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HomeMy WebLinkAbout020-1359-24-000Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division . • INSPECTION REPORT GEt'F~' ;.INFORMATION (ATTACH TO PERMIT) Personalinrormation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township La Casse, Richard Hudson Townshi CST BM Elev: Insp.. BM Elev: BM Description: voy9t l~ .O~ CST +3w~.~' 1 TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic C~C~L_ ~2,~ ~ ~ Dosing ~ t Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic r } r ~9 + ~ `-' Dosing ~ ~S t , A r } "1 if 3~ ` Aeration Holding PUMP/SIPHON INFORMATION Manufacturer p, Demand S eJ„' GPM Model Number ~~ O ~ ~.~ ~ o`'~C X TDH Lift Friction Loss System Head TDH ~ Ft '~ 0.4 ,>SS 3•Zt 8•~ ~•1 ~ Forcemain Length Dia. Dist. to well ~ SOIL ABSORPTION SYSTEM Width Length No. OfTrenc es ENSIGNS I ~ ~y- T a SETBACK SYSTEM TO P/L LDG WELL INFORMATION Type Of System: + ~ ~ ~~ r 96 -~ J, DISTRIBUT ION SYSTEM ~•~hW t5'. ELEVATION DATA County: $t. CrOIX Sanitary Permit No: 39962$ 0 State Plan ID No: ID~~ Parcel Tax No: 020-1359-24-000 STATION BS HI FS ELEV. Benchmark Alt. BM ~.~Z ~ a(.~ Bldg. Sewer ~~ ~, l .sue ~ Z-~s St/Ht Inlet , ~. /. [ SUHt Outlet ~ = is ro t .~ Dt Inlet Dt Bottom , S ~ O ~ ~O r o Header/Man. LA ro,0~ r OD• fi Dist. Pipe 'Is t ~~'~ .sot. System ~A ~' 99~•~ Final Grade Grr St Cover .~ ~ © r ~ b. ~5 ~ ~,,b . ~t at', . a' ~~ I UNIT P Header/Manifold 11 11 Distribution ~ t, , Pipe(s) \\ x Hole Size 1 t ~I '~ x Hole Sp /ang ~(. Vent to Air Intake Length~Dia Z Length3l•~ .bia t'V Spacing 3(0 ( v_ SOIL COVER v Procc~~ro Cve4ome rlnly YY Mn~ind C)r ot.Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~~ Yes [~ No [~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Location: 922 Meadowood Lane Hammond, WI 54015 (NW 1/4 SW 1/416 1.) Alt BM Description = ~ a""'~"' ~'~~~"~ " S~ 2.) Bldg sewer length = ~ ~ a - amount of cqover = t y IB . 3.)Co`tour= 11•IS 5~~~~~~ °`~' ~cl~b.~Sl~ Plan rewslon Require ? ~ Yes No I Use other side for additional information. ~ 3 ~ ~ l- Date SBD-5710 (R.3197) Ins ection #1 / ~ / Ins ection #2: / r / p p S T29N R19W) rkwood ~ Parcel No: .19.21 0 ~,p ~ . •~,_ ~ !r p -- ee Insepctor's Signature Cert. No. ~~ 1 ~ ~ '--~1a~-~ CZ ..~ ' Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ~ C/l.4"~G ~S~~nSI ~ Madison, WI 53707 - 7162 Site Address !3e artment of Commerce ~.~~"' O LO 7 D `~9 0~ t~ Sanitary Permit Application ut Numb er s~~y P°m p q Z ~ ~ ~ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ' a ` Q ( Check if Revision ma be used for seco ses Privac Law, s15. 1 m ~2 ! ~ I. Application Information -Please Print All Information ~1~ I.D. Number Property Owner's Name ~ Cf~JfE YL ber ~(~, 2 9. 9 Z J Z ~ ~~ ~ ~ -- ~3s~ -a y-ate Property Owner s Mailing Address 2 pe 'on R /~ ~7 d ~// . ~ ~ ~ ST t;AOtX ~ /U ~`•, Bt,( S4; S J T ~ N. R~ E City, State Zip Code Pho ~be>xO~fiNG pF Lo r Block Number ~~ : -~. ~ "~ • j ~~ _ _~ ision Name CSM Number ': j r 1 tea / Type of Building (check all that apply) fib, ~r 2 Family Dwelling -Number of Bedrooms ~ ~ Is-" s Sl~low, ,Yf c~, ^Vlilage ^ Public/Commercial -Describe Use ovvrtship ^ State Owned Nearest Road III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A' 1 New ~ 2 ^ Replacemem System 3 ^ Replacemem of 6 ^ Addition to For County use m Tank Onl Eris ' S stem B • ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued lV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 ^ Non -Pressurized In-Ground 21~Mound ~~ ~x (,~ ~ ~) 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 4ti ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. D' ersal/Treatment Area Informati on: r = . O ~` SJ Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate( Days/Sq.Ft.) Gals ./ (Min./Inch) Eeevation / ~ f VI. Tank Info Capacity in Total Number Mamrfacturer Prefab Site Steel Fiber plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank b _ ~ f ! -~. Dosing Chamtxr Q ",_ ~Q ~/_- VII. Responsibility Statement- I, the tmdersigned, assume responsibility for on of the POWTS shown on the attached plans. Plumber's Name (Print) Phtmber' Signs RS Ntmiber B usiness Phone Number ~7 j Q~ ^ ~ //~S- ~e~~~ ~'7/ // um be 's A s (Street, City, State, Zip e) er s' ~ / 6 V ~ ~.+E''~ ~~ G~-c~ s~ ~~ VIII. Conn /De artment Use Onl Approved ^ Disapproved ~~rY Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ^ Owner Given Initial Adverse q~ ` ' C Z Determination ~ L ~ O ti t~ Z IX. Conditions of Approval/Reasoas for Disapproval 'k K-~-~~~e~ -~~~•~ ~s ~ 3~ru~`eed~ikec,'K~aih~el ~f ~/ ~-~aw~~~:c{aver~s reco o s ~ ~ ~ , ~rn ~ Q K r N Attach complete plans (to the (;ouoty Daly) for the system on paper not kas thou SLZ x 11 inches in size SBD-6398 (R. OS/Ol) ',. LoT z S ~ ~_ T atiy --- -~ I f ~- ~ I I W 2 p PLOT PLP.N Scale 1 "= y ~'~ ~loS•o ~ ' Db tioT ~~-PA-q- ~ C7~Z D \S1'U ~, ~~ ~t'~S ~'R.LM ~ i /~/ °'v ~G;S' /'/ Zs . ~~ ~/ ~s- ~. Zs ,/ ~ ~ i,', ~ ~ ,~ i i ~ ~/ /; ~ - ~' ~~o 10 ` ot= 2`~ave F.M. ~`~ cunhvv2 Q . q9.o ' ~ ao1`ror~ c~ c~t~, ~- • ~c4.51 -S' O F yyPUC y BD R.I^~ 1~wt ~. ~ Gt~2 --- I k S~16 G ~~Q wet-~ wow ~ N~ P 1 B~1=tom ~illti ~ ~-.'_. _ Z9~. ~.-t 1~. 11Z-~i1~1 PL P E--1_t3T` C a1ZI~J~2 . 1'~r.3?`1= ~L--~~:so' o~ 1``.PVC Ft~:: - - --- i_- ~.0 S. 3 +' LoT Z-`f ~ ~1~10~ ~ 1v ~ o~ o ~n~~ ~o~ Page 3 of ~ -BM 0 0 0 N N Lor 33 NOTES: - 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be IZ~Q /800 gallon capacity manufactured by W ~ ~ ~Z CA~~~,~ W ~ !~ L8 0o Z~ ~Z... F~ LT~IZ _ 4. $ench marks S~ -~80VE 5. Divert surface water around system to prevent ponding at the uphill side. q `t 4 _~ ~`~ ~~ , 1 1 ~ y ~a ~ ~.~a o~ 1 ~ ~. o~~ M ~~ ~ ~~ a ~~; o~ ~, 1 I 8 0 0 '~7,b'~ Y. ~~ ~ isconsin Department of Commerce November 07, 2001 CUST ID No.691727 ARTHUR L WEGERER ``~~ WEGERER SOIL TESTING & DESIGN SE PO BOX 74 RIVER FALLS WI 54022 Safety and Buildings 401 PILOT CT STE C WAUKESHA WI 53188-2439 TDD #: (608) 264-8777 www.commerce.state,wi. ustsb www.wisconsin.gov .%-~'"'" ! Scott McCallum, Governor ~„ '„F Philip Edw. Albert, Acting Secretary r'v `•, ~~~ '~ ~~ 2~~~ ST~C A POWTS Inspector rONlIME3t7F'~ A ~ %^ . ;' r \ ING OFFICE : r '1/~EJ "r' ~ ~ y~ ~ CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/07/2003 SITE: La Casse Custom Homes Meadowood Lane Town of Hudson, 54016 St Croix County NWl/4, SW1/4, S16, T29N, R19W Lot: 24, Subdivision: Meadowood Lane FOR: Object Type: POWT System Regulated Object ID No.: 819987 Discription: 600 gpd Design Wastewater Flow Mound System. Identificatt N begs Transaction ID No. 87047 Site ID No. 638669 Please refer to both identification numbers, a>aove, in all correspondence with the agency. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Waste Treatment Systems" SBD- 10691-P (N O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N O1/O1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of mound component manual are complied with. A copy of this information must be given to tl~4w~ upon completion of the project. ~, j ' () Opt, O ~ ?~~~ . y • Maintenance information must be given to the owner of the tank explainin hat peti~j,~l ~tl~ filter is required. Access to the filter for cleaning must be provided per Comm 84 pro t appr~,~ t~!!5, S~~ sqF ~~ I F +" ~ . • A Sanitary Permit must be obtained from the county where this project is located ~ ordan~with the requirements of Sec. 145.135 and 145.19, Wis. Stats. 'Q.Q~ • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. ARTHUR L WEGERER page 2 11/7/01 ' , A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions azise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sinc ely, Fee Required $ 175.00 Fee Received $ 175.00 ` Balance Due $ 0.00 Thomas J Perkins POWTS Plan Reviewer ,Integrated Services WSMART code: 7633. (262)521-5064 , 7:30-4:00 tperkins@commerce.state.wi.us .~ , TITLE SHEET FOUND SYSTEM FOR A ~ BEDROOr1 RESIDENCE Page ~ of ~7 This plan has been prepared in accordance ~Jith the Mound Component I4anual SBD-10691-P and the Pressure Distribution Manual SBD-10706-P (N.O1/O1) (N.O1/O1) LOCATED ICI THE ti~ 1 /4 OF THE S W 1 /4 OF SECTION l6 , T ~ N, R Z Q td, TOWid OF ~`~-»SON ST. CCZE7uC COUI`TTY, WISCONSIN. -----~=.~'t'Z~-p~__:P_~'z~C,.1NDUI~ 1"i~T>ALv=S~ ~~(.'.~eR~~~ INDEX ~,,, ~ _ .~ ~n,n~ 6'~ `. ~~ PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEI IIAdAGEi~IENT PLAi1 PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEt7-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUi•IPI1`1G CHAtiBER CROSS SECTION PAGE 7 of 7 PUMP PERFORI.IANCE CURVE PREPARED FOR 2LC~'r Pr_Cz-D - ==L 1~- CPsS~S~.--- _ Lr~C-~3SE c°-US`rDM F-Fo1''1~-_-_. 5-1.3 Co v-.r~{ ~•OF`tD `~ __~-+, --- - _ BUD So~,1 , W ~ _ SQL O 1 b - - ---- -_ PREPARED BY L~EGEFtER SL] I L , TEST S NG At~tD . . - 175 3 GiV S~RV 3 CE P.O. ,Box- 74 421 Id.~fain St. River Falls, I~~I 54022 Phone 715-425-0165 Fax 715-425-6864 SAFETY & SLD,aS. D1V. ~'~'~T ~' ~ ~~~ ~'i ,~~~ ~ ~ 4~R{~ ' •.I.y ~'.• ~ '~ . ~A,~r.., sv s ,- ~~' ~~~~~~~ ~~~a~~~ JOB NO . C~ l -Z83 Mound System Management Plan page Z, - of 7 Pursuant to Comm 83.54, Wis. Adm. Code - Seotic Tank ' The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of.the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tanks If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pumo Tank - The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Sy~tem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L GODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine ff orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General - This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual E88~] arid local or state rules pertaining to system maintenance and maintenance reporting. -~~D , t0 6q~ . P No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continoencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system Into proper operating condition. Questions about the .operation or maintenance of this system should be directed to: The County Zoning -Office at 1.15-- 3~6. LJ,~B ~ ST". e.aUUC • The system installer at The tank manufacturer at _ gu o - ~~s_ - ay,s6 w>,es~ The effluent filter manufacturer at 8Op - zZl,_ S7~Z Zf~g~Z The pump manufacturer at ~--- - ~ _ , ~3Q _ $Z-p ~ Lj~t{,~ -----_ ~~-u-~pS -- - Y W ~t' p PLOT PLP.N Scale 1 "= y ~' LoT Z S ~ ~T a~^f ~loS•o l ' / T~ ~~ ~s DO 1~OT ~f"iPPr~- / - c~,Z b \SZv ~3 ~ Ttt~1.S ~tRI~A ~/ ~vv' / ~ ~i / ~ i %i ~ ~:S' /jai `.S , ~O ~ O~ ~'/ /./ ~i~ ~ ~~,o Page 3 of ~ BM ~~ ~. 1 " ~.. c untruv2 ~L .9.9.0 ' y~ ao`i'~-or-i c~ ems.. L'~- • ~.4.5~ ~s'o F yya,c y BD ~ ~ - i k~ SU6G~~~ w e1-~ ~.~,~fiw ~ -~ ~~ ' Pt -- _i~ -~LTOU p'- Cif::_:f l~.:l R-l~l`I PIPE:: wT`: COVZT~7~ . _-. _ i L-r3?~t-= fit.-~c~:so~ n~ _\ _pvc p~P~, L.OT ~-~ 0 0 0 N N SAT 33 ~.o s. 3 ~' ~ ~l ~l l~' t 1v ~ o t o~~~ ~~ NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required).. 3. Septic tank to be 1280 /800 gallon capacity manufactured by w ~ ~ ~z ~0~~2.~ w / !~- LB oo zrn3 ez Fc L~lZ 4. $ench marks S~ t~oV~ 5. Divert surface water around system to prevent ponding at the uphill side. P_pproved S~ thetic Covering AST~i C33 ' Medium Sand Topsoil ---1 J ~ .~ Page ~ Of `7 Distribution Fipe _, I~ . _ F Elev . cj.a • S <tD ~~ b . % Slope Distribution Cell of ~ ~ Force Main Z" to 2 2" Aggregate From Pump ~S .~... CROSS SECTION OF A MOUND SYSTEMS Linear Loading .Rate=$ `15GPD/LN FT Design Loading Rate=O•~{SGpD/SQ FT •,. `6 T-- i u ~ ~. C T7CTft~ • L A ~ Ft. f3 6`7 Ft. I 11 Ft. ~ S Ft. i< ~ Ft . L $3 Ft. W Z S Ft. Flowed Loyer D O -S Fi. E o-g 6 Ft. F o-8 Ft. G o. S Ft. H 1- 0 Ft. ~ -Observation Pipe $ ~ K ~r_- -_---_-- __---'---= -- ~ ' A c-~----~ 8---- --------- -------------- ------ W e_~-- 6 _ ~ Force Main L.. ~-- _ ----__ ------__---- ' L~~ sa ;~ . Distribution ~ ~ ~ ,. ~ ~~ Cell of z to 2z Pipe ~ aggregate Observation Pipe (aachbr securely) . ' ' •• PLAR VIE?~ Or^ A MOUND SYSTEI4 Distribution Pipe Layout Page S of ~ Place the holes at the bottom of the distribution pipes . at equal spacing. Remove all burrs from the pipe and 'Holes. Extend the end of each lateral up with the use of long turn or 4~ ° fitting to a point within six inches of the final Bade. Terminate the ends of the laterals with a valve,~threaded cap or . threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug. ~ _~, cc`ss Bo~_ T `t P 1 Ct~ L. ~,~5 S S'```C101~7 FVC F~jC Later) ~ ' r-Manifold a- ~ ~ h P;1.11 Ff14 a- -- o- - t~ V C Lateral ~- ~cc::~s -~~x - -~ FvC wQC~ n~ _ _ ~q P 3 ~'S Ft. ~ ~ Hole Diameter 3Jlb Inch - S 3 Ft. ~ ~ Lateral 1 ~ InchEes) X 3 6 Inches Manifold Z• Inches ' ~-- ~ Force Main " ~ Inches Hof holes/pipe It ~ ~• Invert Elevation of.Laterals tide• ~ Ft. !~ L'FYN V ~ ~ --- _ .. ~. ~ ~ Combination Sept~.c~.Tank and PUMP CHAMBER CROSS SECTlOtiI AND SPEClFICATlONS ' ~ PAGE G . OF 7. .. . _ - ~' WEATHER PROOF - -VEu7 CAP - - ~uucTlou eox . ti C.I. VEIJ7 PIPE ~ APPROVED LOCKIAIG ~ lO ~ FROM DOOR. MAIJHOLE COVER rv1~1t _ :JIAIDOW OR FRCSH ~ u'AR.tJII,JG l.l4gEt., u.Igp~pU PIPE p,L_IUTAKE ~ coraDutr -w~HtRrsttT~t-p ' F! N LS('~© - G~DE IS'/'~IN. UJLET Approved joint w/ PVC pipe c .. ~ - -- (,'~+~w. i~ I - i ( I 'f ~ MI IJ. `__ .~ 18•Mw. _... ```\ _ 1' ~ ~•~ - PROVIDE I i~ .,. . ••'~ ~~'"AtRTIGHT SEAL I III :. I I I e ~~~~ I I I I -~~ I III ALARM o •~ iI - + I ( ou I 1 C .I 1 ' CLEY~ FT. PUt'tP~ '-~ ~ OFF D COWCRETE LLt~, _ 9'x,00 ~ !' ~ e~ocx Approved joint w/ PVC pipe RISER EXIT PERMiITED OI.1Ly IF TA-JK MAIJUFACTURER HAS SUGH APPItOVAL~3NAA~~FD 8E0+~ t ~4 SEPTIC E - SPEC,IFICATIOI\1S DOSE Tf.1JK5 ~@ ~ !~ MA-JUFACTLIiZCR: ~L~~Z ~~C`~-CJ~ Wt1M$EA C)F DOSES: S '3 TA1JK :,IZE: 1Zf30 180o GALLOAIS PER DAB DCSC VOLUME r ALARM MAUUFACTURCR: S~~ ~F1~ S~tS`f~S IAICLUDIIJG 6ACKTLOW: - `Z-3-~ GALtOhiS MODEL l.IUMSER: ~~~ ~w CAPACITIES: A- zp IiJCHESOR ~~Z'O GALLOtJs SWITCH TyPC: - ~~~~' 8 = Z' IIJCHES'OR ~~`' ~ G(~LL0115 HUMP MAlJUFAGTURCR: GOV~~S _ C: 6 IUCtIES OR ~'Z3' 6 GALLOUS MODEL I,IUMBEK: 38~I ~OS D= 10 206'0 SWITCH TYPE: ~~~~-'~ INCHES OR GAlLOl,IS IJOTE: PUMP A1~1D ALARM RC b ~~ MIAIIMUM DISCHARGE RATE L1Gp/~l TO C INSTALLED OA! SEPARATC CIRCUITS VERTICAL DIFFEREIJCE DETWCEU PUMP OFF AUD..DISTRIBUTIO-.I PIPE..1Z• ~~ FEET f KIUIMUM -~JETWORK SUPPLY PRESSURE , ~ . 3-ZS FEET ~Z'Sxl•31 ~- ~ ~ FEET OF FORCE MAIIJ X 3'88 F~c FCFRICTlo-,! FACTOR.. Z' ~ Z FEET -• n TOTAL Oyl.IAMIC HEAD = 1$, l~ FEET As per rlanufacturer ZO;~O gal/in. Liquid depth 3f3~ ~ ~. ~E ~ o r ~ uoulas su~~ners~~~e E~~~~en# Pue~~ 3871 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ^ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for . for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems d without lama a to rY 9 heat transfer. ^ Motor Cover: Thermo las- p • Homes • Farms components. Motor: Available for automatic and tic cover with integral handle and float switch attachment . Heavy duty sump • EP04 Sin le hose: 0.4 HP, g p manual operation. Automatic models include Mechanical oints. p • Water transfer 115 or 230 V, 60 Hz, 1550 RPM built in overload with Float Switch assembled and ^ Power Cable: Severe duty • Dewatering - , automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS •EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, FEATURES ^ Bearings: Upper and lower heavy duty ball bearing ` Pump: EP04~ built in overload with ^ EP04 Impeller: Thermo- construction. •Solids handling capability: 3/a" maximum ~ automatic reset. • Power cord: l0 #oot plastic Semi-open design AGENCY LISTING . • Capacities. up to 55 GPM. ~~ ~Y standard length,l6/3 SJTO i h with pump out vanes for mechapical seal rotection. p . SA• Canadian Standards association otal heads: up to 24 feet. ' ~ - ' ~~Discharge size: l'/i NPT. w t three prong grounding plug. Optional 20 foot ^EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, l6/3 SJTW with plastic enclosed design for improved performance end in "F" or "AC".) rotary/ceramic-stationary, three prong grounding plug . _ BUNA-N elastomers. (standard on EP05). ^ Casing and Base: Rugged • Temperature: thermoplastic design provides .104°F (40°C) continuous superior strength and 140°F (60°C) intermittent. corrosion resistance. ' Fasteners: 300 series nnereRS i=ee-r ~ . `stainless steel 10 • Capable of running dry without damage to s s , ~ ~ ~ y ` ~~~ K5~ "'~ components. o ~ I --: ~ ~ .:, Pump: EP05 $ zs :~ -_ t--zs • Solids handling capability: c a ~ 3/a"maximum - ;_. _ . , • .Capacities: up to 60 GPM. _ ~6 20 ~ ~ , , • Total heads: up to 31 feet g. . r Dischar i l'/2 NPT ge s ze: . Z~,Q~ • Mechanical seal: carbon- } n 15 rotary/ceramic-stationary, a a B ~~ po ' s . UNA-N elastomers.. o ~ . s • Temperature: : ~o _ E _ . . iMoC inno~~ ,.,,.,+~.,...,~... I I { Wisconsin Department of Industry, $ O I L AND SITE E V A L UATION R E P O R T Labor and,Numan Relations niviainn of Safaty & Ruildims -~.~ ~~ ~ ~ w ~~ n_~_ Page ~ of _3 ~~~ awv,a~ ..,a„ ," „..,......., ..,~. ,.........,.,...... . COUNTY but Plan must include a er not less than 8 112 x 1 i inches in size Attach com lan on lete site St. C ' x , p p . p p not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to rtearesXa~oad-..,, 020-1029-30 APPLICANT INFORMATION-PLEASE PRIN A~-~~'~:IN~OaMAT10~N'> IEWED a DATE ~ PROPERTY OWNER: ~ ~ PAbPERTY LOCATION r~~f~r~ ~~'' LaCasse Custom Homes, Inc. ~ GQV7. LOT 1VW 1/4 SW 1/4,S 16 T 29 ,N,R19 f(or) W PROPERTY OWNER':S MAILING ADDRESS .,`}-i - . / ~ ~ CrOT # BLOCK # SUBD. NAME OR CSM # •`~; ~ ~ 521 McCutcheon Rd. "24t na Parkwood Meadows CITY, STATE ZIP CODE ONE N ~ M5 5 ` CI, Y []VILLAGE ~]iOWN Hudson `• NEAREST ROAD Meadowood Ln. Hudson, WI. 54016 ~ ~ F [ ~ New Construction Use [x] Residential / N ~~ ~ 4r~1'4~' [ ]Addition to existing building (]Replacement [ ] Public or commercia r b~ t Code derived daily flow 600 gpd Recommended design loading rate -~ bed; gpd/ft2 -~ trench, gpd/ft2 Absorption area required bed, ft2 ~~ ~nch, ft2 Maximum design loading rate ~•Zbed, gpd/ft2 -~f~trench, gpd/ft2 Recommended infiltration surface elevation(s) 100.00 ft (as referred to site plan benchmark) Additional design /site considerations 3~ system el . based on contour line of el. 99.00' Parent material outwash Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIO AL ~ S U MOUND ®S ^ U IN-GROUND PRESSURE D S U AT-GRADE ~ S U SYSTEM IN FILL D S U HOLDING TANK ^ S ~U U=Unsuitable for s stem SOIL DESCRIPTION REPORT Boring # .................. ................. .................. ................. .................. ................. 1 ';<s Ground elev. 99.4 ft. Depth to limiting factor 33" Boring # 2 Ground elev. 99.4 ft. Depth to limiting fact33" Depth Dominant Color Mottles Texture Structure Consistence BaX>dar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. y Bed Trends 1 0-11 10 r 2 2 none 1 2msbk mfr yw 2f .5I .6 2 11-21 7.5 r 4 4 none sil 2msbk mfr gw 2f .5 .6 sl 2msbk mfr if .5 .6 4 33-60 10 r 5 4 c2 7.5 r 5 8 ms/sil M na na na np .2 Remarks: 1 0-12 10 r 2 2 none 1 2msbk mfr 2f .5 .6 2 12-25 10 r 4/4 none sl 2msbk mfr gw if .5': .6 3 25-33 10 r 4 4 none sil 2msbk mfr if .5~ .6 4 33-60 10 r 5 4 c2 7.5 r 5 8 sil M na na na np .2 Remarks: CST Name:--Please Print G L. Steel Phone: 715-246-6200 Address: 1554 200th. .New Rich I 54017 Signature: ~ ~ n Date: 7_10_99 CST Number: m02298 PROPERTY OWNER LaCasse Custom Homes SOIL DESCRIPTION REPORT PARCEL I.D. # 020-1029-30= Boring # .::3.:> Ground elev. 98.0 ft. Depth to limiting factor 3~ Boring # .................. Ground elev. ft. Depth to limiting factor Boring # Ground elev. ft. Depth to limiting factor Page ?,~ of 3 Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxxiary Roots GPD/ft in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. Bed Trends mfr w 2f .5 .6 2 13-25 7.5 r 4 4 none sil 2msbk mfr gw 2f .5 .6 3 25-38 7.5 r 4/4 none sl 2msbk mfr gw if .5 .6 4 38-55 10 r 5 4 c2 7.5 r 5 8 sil M na na na n .2 Remarks: Remarks: Remarks: Boring # Ground elev. i ft. Depth to limiting factor Remarks: v •.. ~ Gary L. Steel CSTM2298 MPRSW-3254 STEEL'S SOIL SERVICE LaCasse Custom Homes, Inc. ~4~4 S16-T29N-RT9W town of Hudson lot #24-Parkwood Meadows 1554 200th Ave. New Richmond, WI 54017 (715) 246-6200 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test-was conducted. `.~ "= 40' top of NE lot stake @ el. 100.00' Alt . BM. = top .,~ i ~~ .,,,,, ,,, ,-,o n ei o~ ~n ~ ..,~ ~~~ I (~ ""7 Gary. L. Steel 7-10-99 S'1' C1tOlX COUN'1'1' SL1''1'1C 'I'A1JK MAIN'1'I?NANCL AGItI?LML~N'1' AND UWIJI?ItSI111' CI?It'1'II~ICA'1'ION 1~O1tM Owner/Bayer Moiling Address _ 5' 7 3 G c~ ~ J~ ~~ 1 ~,~~ 4 ~ ~ I'rol)arly Address ' (Vcriticatiou tc,µtitccl I•~uiu !'tanning Ucpa;Uucnl fur new conslntclion) City/Slulc,~~~~~5~_, 1'art:cl Itlcnlilic;-lit,t- Nun-I-c-' O;~ - 1 .~59 - acE-c~j LrGAL DrSCRII''I'ION Properly Local~i/ou ~L '/,, ~~ '/~, ,~~~. 1~~ 'I' Z c~1J-It t~_W, 'Town of _ r~~e~'~ - - SuUdivision ~IrtA~i~ ~ _ _ yYt ~~~A~s I.ot ~l ~_. Ccrltfied Survey Map ~E Volnn-c , 1'oge I'1 Wttrrouty Dced # Voluntc . 1't-gc # Spec Louse ^ yes t~w Lul lines itlenliliul-lc,l?( yes ^ no SYS'1'I!,M MAIN'I'I:NANC1~~ Improper use and maiutenauccof you, septic system andd result iu its p,cntattne t~ilute to handle wastes. I'roperrnahttenance consists of pumping out the septic tack every Ih,ce ycats or sooner, if needed by a liccnscd punq,er. What you put into the system can affect Ure fiu-cliou of the septic lank as a Iteahncnt stage in the waste <lisposal system. The properly owner agrees to submit to St. Croix toning Ucpattnrcnl a cetliticalion form, signet by rho owner and by a ntastCr pluutber, journeyman plumber, test, iclcd plunther or a liccnscd pumper vet ifyiug that (1) the on-silo waslewalerdisposal system is iu proper operating condition anrUor (2) alter inspection and pumping (if necessary), the septic lank is less than 1/3 full of sludge. I/wc, the undersigned have read the above rcquitcnrents and agree to u-aiutaln the private sewage disposal system wltlt the standards set forth, lrerciu, as set by the Department of Conuuercc and the Dcparln-a-t of Natural Resources, Stale of Wiscoasia. Cettlficalion stating tltal your septi system has been ntaintaincd Hurst be con;plctcd and retooled to the St. Croix County Zoning Offieewllhin 30 lho lhr ye expiration dale. ~~ ~ / /~ / NAT'URII r AI'PLICAN'I' I)A'I'II O~'YNCR C1.R'I'II~ICATIO I (we) certify that all slalentenls on Ibis loon arc Uuc to the hest of n,y (our) l:nowlc<Ige. I (we) an- (are) the owner(s) of II- operly describ dab ve, by virtue of a wauauly decd tecurdcd iu Itcgislcr of I)ccds Ottice. S GNATURII Al 'LICANI' ~ / /_~~~ llATl3 ..r•t• ~ •~«**. Any information that is ntis-tcprescntc~) stay tcsull in the sanitary pcunil being revoked by the Zoning DeparUneut. ~'' Iucludo with this applleallou: a stamped wauanly decd from the Itegislcr of Uccds otT'ice a copy of the cetli(icd survey n-ap if reference is made in the warranty deed ~~nt_ ~ 7~i~PasE 35 ;; STATE BAR OF WISCONSIN FORM I - 1998 j' 6Ea2T20 ~~ WAI2RAN'I'Y DEED ~ I;fl'iaLEEN H. WflLSH REGISTEk OF DEED5 Document Number II ~I S7. CROIX CO., WI !~ RECEIVED FOR kECOkD This Deed, made between Howard LaVen vLp Three-f {f, th,a ~I 11-21-2001 10:10 AM (~~5~_ interest in and Arlunc i_V3nY,^rP,~_~n-f~fth~___ (2/5) interest in, as tpnanta in rn„m+nn ~ WARRANTY DEED Ij Crantor, ~i EXEMPT M 17 and .a a e:a Custom Hom s. Tn II CERT COPY FEE: j. COPY FEE: TRANSFER FEE: ~ ~ RECORDiN6 FEE: 11.00 i' '~ PAGES: 1 ii~~ Grantee. I; Grantor, for a valuable consideration, conveys to Grantee the following ~~ described real estate in St . Croix County, State of Wisconsin ji {the Property"): j~ Rxording Area Name arW Return Address i ~' LaCasse Custom Homes, Znc. Lot 24, of Parkwood Meadows, Town of ;1-~µ OSc,1 I 573 County Road A St. Croix County, Wisconsin Hudson, WI 54016 r 020-1359-24-000 ~~ Parcel Identification Number (PIN) This is not homestead property. ~§~ (Is not) This deed is given in partial satisfaction of certain land contract dated February 19, 1999, and recorded in Volume 1404, Page 616 as Document Number 598116 i which was subsequently assigned by assignment dated May 28, 1999 and recorded in II Volume 1431, Page 352 as Document Number .693P3•. ~i Together with all appurtenant rights, utle and interests. ~` Grantor warrants that the title to the Property is good, Indefeasible In fee simple and free and clear of encumbrances except II all liens, covenants and restrictions of record, if any and any liens or encumbrances i j created by act or default of the Grantees and will warrant and defend the same. ~I i Dated this 14th day of November , _2001 i I 1 (SEAL) OC ~- ~ (SEAL) II ~f Howard IaVa„t-nre r--.. (SEAL) (SEAL) II i " -Srlene-LaVenture AUTHENTICATION ACKNOWLEDGMENT i I Signature(s) Howard LaVenture i; State of W(sconsin, i' Arlene LaVenture l ss. ~' J , l County. li authenticated this 14th da of November 2001 personally carne before me this day of I) ,the above named II i a el Ca i T[TLE: MEMBER STATE BAR OF WISCONSIN to i i (If not, me known to be the person who executed the foregoing i authorized by §706.06, Wls. Stats.) instrument and acknowledge the same. II ~I THIS INSTRUMENT WAS DRAFTED BY I ii Heywood S Cari, S.C. Samuel R. Cari i;, Notary Public, State of Wisconsin ` I',' 204 Locust St., PO Box 125, Hudson, WI 54016 My commission is permanent. (If not, state expiration date: ~~ 'I, (Signatures may be authenticated or acknowledged. Both are not ) ~I necessary) II i • Names of persons signing m any capaaty mmt be typed or printed below ttulr signa[urc. ~, STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.. inc. I! WARRANTY DEED FORM No. I - 1998 MJweuk9e, Wis. II' •,, of I Q. W I ~ F- I ~- JI D_ I ~ I z I M ~t ~ l ~ I I r- M N IM co I N (3 I~ Io z (o BENCHMARK: SPIKE IN --~ 'EAST SIDE OF I POWER POLE ELEV.=897.63 I •r I I~ _s 1 `I C IL I~ UNPLATTEDI LANDS ~ W CORNER i 25 2.324 ACRES 101,213 S.F. t ,,, 24 2.321 ACRES 101,116 S.F. 1 , 32 2.389 ACRES 104,082 S.F. 33 :! 507 ACRES 109,215 S.F. -- -~~ 0 90' / 180.E •Yi~_ . 225;30 ~ 19 ~ . ~ -~ S 89°46' 2 f' E 598.21' / ~ ~ G--- - -~ '`-~ -- -- - - -- --- ~ M N 89°46' 21" W 595.67' ~ _ _ 8.90 3 266.49' 0 '~ 405.39' _ 190.28' C ~ - 1 ' _ O>: i~ 100' f N;h it;c~On 15' .-; 1' o: ~ 5' ;n .ry O: 2 3 z M ~ °i• Z: 010 ACRES ''~•'~ 3 k M ~-- O ~ o ~ . p}'• 131,098 S.F. 'O °' ~'' ~ I I ~~'°j~ • ~ ~' :3 ACRES 2.852 ~ ~ N 89°46' 21" W 405.77' N 124,236 S.F. ~t, ~ 16.34' 374.43' 15.00' '"~ / 3 ~ ~~ / ~ ~ l 2 : ~. tv ~ ~ ;Z N^N r 0~~~ ~I~~Y r N ~ 3.433 ACRES °''~^~ :W r1 F, / i ~~ ~ 149,558 S.F. ~ ~- ~ ''~ PG . ~ Jr / .~ / ~ $~ ~Q, n;o / L •~ ~ ~ 01 ~, I 1 o I 1'10' ~ya~~~~° W ~ ' I ,~ 5 ~ ~ ~ Q~~F ~ ~~, 5 6 ~N I 0 I Z ~------------- ~ ~~~Q;~ I~OT 1 i Ion ~~~ C.S_M_ I LOT 2 ~JOL. 7 I C.S_M_ ~ ~~ EJAGE_2046 ' VOL. 12 ~ ~~ DOC. X443210 PAGE_334E I ~ I _ i DOC. ~5E ~'