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HomeMy WebLinkAbout018-2009-45-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Sanitary Permit No: safety and Building Division INSPECTION REPORT 582011 (ATTACH TO PERMIT) State Plan ID No: 2603090 GENERAL INFORMATION Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Parcel Tax No: City village Township 018-2009-45-000 Permit Holders Name: TOWN OF HAMMOND Felecity Homes LLC section/TownlRange/Map No: CST BM Elev: Insp. BM Elev: BM Description: 04.29.17.1029 ELEVATION DATA TANK INFORMATION STATION BS HI FS ELEV. TYPE MANUFACTURER Benchmark Septic Ei771 Alt. BM Dosing Bldg. sewer Aeration St/Ht Inlet Holding St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Dt Inlet Dt Bottom Septic Header/Man. Dosing Dist. Pipe Aeration Bot. System Holding Final Grade PUMPISIPHON INFORMATION Demand St Cover Manufacturer GPM Model Number TDH Ft TDH Lift Friction Loss System Head Dist. to Well Forcemain Length Dia. PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SOIL ABSORPTION SYSTEM Width Length No. Of Trenches BED/TRENCH DIMENSIONS LAKE/STREAM LEACHING Manufacturer: SETBACK SYSTEM TO P/L BLDG WELL CHAMBER OR INFORMATION Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM x Hole Size x Hole Spacing Vent to Air Intake Header/Manifold Distribution Pipe(s) Dia Spacing Length Dia Length SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only xxSeeded/Sodded xx Mulched Depth Over xx Depth of Depth Fal over Topsoil ~ Yes 0 No Yes No Bed french Edges BedlTrench Center Inspection #1: Inspection #2: COMMENTS: (Include code discrepencies, persons present, etc.) Location: 1783 117TH AVE 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? 0 Yes J7Z, No I Cert. No. Use other side for additional information. Date Insepctor's Signature SBD-6710 (R.3/97) ~ y J ~ ~ cam. ~ ~ a r 3 i Q 4&0 n -Z P Cr- i2te L Nl. , ~C]c py 41 J xRTS(F • f~ f /L oar tiT Industry Services Divisi County y an q?ryermiNumber (to be filled in by Co.) `1 a t' ' 1400 E Washington A (to be filled in by Co. a P.O. Box 7162 oe-~ COUN 1Y CROiX Madison, WI 53707-7 d UNI Y DEVELOPMENT p~~FESS70;1~~'Sw Sanitary Permit Application State Transaction Number 2 b3 D in accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Project Address (if different than mailing address) anitary permit. Note: Application forms for state-owned POWTS are submitted to you provide may y be be used for secondary is required prior to obtaining a s ation the Department of Safety and Professional Services. Persornnal i f 0 / -fk tStats. ~ u oses in accordance with the Privacy Law, s. 15.04(1)( 91 1. A lication Information -Please Print All Information parcel # Property Owner's Name 8 -Z C Q °j yr -p O / c o~rn` 3 ~C- d4. i7 Ivan Property Location Q Property Owner's Mailin Address Pe ^ l/.~Jl Govt. Lot 03 U_ 5 CIA, P,(1/4, Section T Zip Code hone umber (circle one) City, State / )A ' if ya % 7 I I L T Z. t N R/-7E orU /V LAJ Y) of# II. Type of Building (check all that aPPI Subdivision Name 1 or 2 Family Dwelling-Number of Bedrooms U~/ C Block # 7 ❑ Public/Commercial - Describe Use ❑ City of v ❑ ❑ State Owned -Describe Use Village of CSM Number V i X 1 Town of o A /a, /.I I mo" DN t III. e it: eck only one box on line A. Complete line B if applicable) Other Modification to Existing System (explain) New Syste ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ B. Change of ❑ Permit Transfer to New List Previous Permit Numb d Date Is ed , Permit Renewal El Permit Revision Plumber Owner • Before Expiration IV. Type of POWTS System/Com onent/Device: (Check all that apply) j Mound < 24 in. of suitable soil F1 Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound >24 in. of suitable it !II ❑ Pretreatment Device (explain) ❑ Holding Tank ❑ Other Dispersal Component (explain) Q s ` V. Dis ersal/Treat ent Area Information: Design Flow (gpd) DisPersal Area Required (sf) Dispersal Area Pr osed (sf) e levation Design Soil Application Rate(gpdsf)- --p(J-- - (.-a /01 0• / VI. Tank Info Capaci in Gal ns Total # of o y y Manufacturer y ro Gallons Units O New Tanks Existing Tanks f ' /YY► j 5f'ia.w ® El El ❑ ❑ El ❑ 1-1 El El eptic Holding Tank d ing Chain e -7 SO VII, es onsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plansusi.ness Phone Number u ber's Name 7(Pri Plumber's Signature of e- kf 2" Pl mber s Address (Street, City, State, Zip Code) VI . Court /De artment Use Onl Approved ved Permit Fee 1 Date Issued Iss 'ng Agent Signature aV ~U QwaefUven Reas enial $ ~ SYSTE O ER: IX Conditions of Approval/Reasons for Disapproval DPI elt5QCV Septic tank, effluent filter and ~n C o 1 V1 I(~ ~~p 2 U'f P~(bV d2 dispersal cell must be serviced / antai ed anagement plan provided by pl mber. (P : ild ~ ~a' C► ~`e erm - M( nkraflYas Perm - - QU J/ a~ ~'`LtV ~J /1~` Q /All setback requirements must be maint fined I IV V lN.dr d , 2/ IL /as Attach to complete plans for the system and submit to the County only on paper not less th n 81/2 1 mches in size N o~ ~ ~rn.► s ~ ov~~ ~ s Seed ~J ~ ~jeclfr~~M-- ~.Q. ti tirAxr.RENr DIVISION OF INDUSTRY SERVICES 10541 N RANCH ROAD HAYWARD WI 54843 3i Contact Through Relay ` P S http://dsps.wi.gov/programs/industry-services www.wisconsin.gov ION Scott Walker, Governor Dave Ross, Secretary September 14, 2015 CUST ID No. 222872 ATTN: POWTS Inspector JACQUE M HAWKINS ZONING OFFICE HAWKINS SOIL TESTING & SEPTIC SYSTEMS ST CROIX COUNTY SPIA PO BOX 2 1101 CARMICHAEL RD LUCK WI 54853 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/14/2017 Identification Numbers Transaction ID No. 2603090 SITE: Site ID No. 816990 Felecity Homes LLC Please refer to both identification numbers, Co Rd T above, in all correspondence with the agency. Town of Hammond St Croix County SE1/4, NE1/4, S29, T29N, R17W Lot: 45, Subdivision: Hillside Heights Sub FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1554902 Maintenance required; 450 GPD Flow rate; 22 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: 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/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. r JACQUE M HAWKINS Page 2 9/14/2015 Sincerely, Fee Required $ 250.00 je?'~ This Amount Will Be Invoiced. When You Receive That Invoice, Carl J Lippert Please Include a Copy With Your Wastewater Specialist, Division of Industry Services Payment Submittal. (715)634-5035, M-f 7AM - 12PM WiSYtART code: 7633 carl.lippert@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm 1 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Felecity Homes LLC Mound Sanitary System Owner's Name: Felecity Homes LLC Owner's Address: 1403 County Rd. GG New Richmond WI 54017 Legal Description: Parcel in the SE1/4-NE1/4 Sec. 29 T29N-R17W Township: Hammond County: St. Croix Subdivision Name: Hillside Heights Lot Number: 45 Block Number: Na Parcel I.D. Number: 018-2009-45-000 CONDITIONALLY Plan Transaction No.: APPROVED DEPT OF SAFETY AND Page 1 Index and title PROFESSIONAL SEF=VmCES Page 2 Data entry Page 3 Mound drawings DIVISION OF INDUSTRY SERVICES Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency pla Page 7 Pump curve and specifications SE4C0~P00ZDDENCE Page 8 Site Plan Designer: Jacque Hawkins License Number: MPRS#222872 Date: 00/23/15 Phone Number: jS-'j- S3$Q Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 7.0 (R. 03/2012) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 383-44-3 in-sftu soil treatment for 1.50 Peaking Factor (e.g. 1.5 = 150%) fecal coliform of - 36 inches. 600.00 Design Flow (gpd) 3.00 Site Slope 98.90 Contour Line Elevation (ft) 22.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (C or E) E Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) 2.33 Estimated Orifice Spacing (ft) = 6.98 fe/orifice 2.00 Forcemain Diameter (in) 93.00 Forcemain Length (ft) Does the forcemain drain back? Y 90.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 15.17 Forcemain Drainback (gal) 9.57 Vertical Lift (ft) 90.56 5x Void Volume (gal) 2.45 Friction Loss (ft) 105.73 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 35.43 System Demand (gpm) 18.52 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Skaw Precast I Manufacturer gal/in (enter result in cell B49) Dose Tank Information luent Filter Information 754.35 Dose Tank Capacity (gal) Filter Manufacturer 16.05 Dose Tank Volume (gal/in) Filter Model Number Skaw Precast Manufacturer Project: Felecity Homes LLC Mound Sanitary System Page 2 of 8 Mound Plan and Cross Section Views J K ^ . T 1/10 B • • . ' :Observation Pipe . M14' A W t :B ' L Mound Component Dimensions Down slop a toe extension made. A 6.00 ft E 6.16in H Mft ft K 9.15ft B 100.00 ft F :50 in z ft L 118.29 ft 14.00 in 0.50 ft J W 21.77 ft 600.00 (ftz) Dispersal Cell Area 1500.00 (ftz) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.86 (ft) - 0 ..rrrrr:.. rrrrr,,.. G ♦ H .,riiiiririiir rrrrrrrrrr, 1 F Dispersal Cell 100.57 (ft) Lateral 100.07 - Invert Dispersa ell D Elevation E 98.90 (ft) Contour Elevation 3.0 % Site Slope Geotextile Fabric Cover Shading Key m a -T Dispersal Cell See lateral details on 1❑ ® Topsoil Cap c 1.5 ft Page 4 for number, size, 0 •rrrr.. Subsoil Cap m V and spacing of laterals. ASTM C33 Sand Laterals are equally v F spaced from the Tilled Layer CE 4) 0.5 ft Twicai Lateral 0 distribution cell's © Aggregate o centerline in the - A distribution cell (AxB). Project: Felecity Homes LLC Mound Sanitary System Page 3 of 8 End Connection Lateral Layout Diagram LaderalsctntereaovortheA&Bdsnension Turn-up vdbollvslv*oralosnoutplup ^I P AN Iattfals art idem"I IE X *1 Holes drOod on the bottom of tht latetal 5 eqt"% spwed Force man connection vu to* or cross to mxmWd at on ro ar. Laterals & forcemain Sch 40 PVC per SPS Table 384.30-6 Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.35 ft Lateral Length (P) 98.70 ft Orifices per Lateral 43 Lateral Spacing (S) 3.00 ft Orifice Density 6.98 fe/orifice Lateral Flow Rate 17.71 gpm Manifold Length 3.00 ft System Flow Rate 35.43 gpm Manifold Diameter 1.50 in Total Dynamic Head 18.52 ft Forcemain Velocity 3.62 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented E- Altemate outlet location Forcemain diameter Skaw Precast Manufacturer 2 in. Capacityl 754.35 Gallons Volume 16.05 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 26.41 423.92 B 2.00 32.10 C Pump off elevation (ft) C 6.59 105.73 91.00 D 12.00 192.60 D Total 47.00 754.351 11 Dose tank elevation (ft) Bedding under tank. 90.00 Alarm Manuafacturer SJE. Rhombus Note: Switches Alarm Model Number Tank Alert 1 containing mercury may not be used in Pump Manufacturer Goulds this system. Pump Model Number EP05 Pump Must Deliver 35.43 gpm at 18.52 ftTDH Project: Felecity Homes LLC Mound Sanitary System Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Powers Sanitation Phone 715-246-5738 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 Gfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Ins ect for ndin and seepage once eve 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade :7 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve \ Distribution Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Felecity Homes LLC Mound Sanitary System Page 5 of 8 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01 /01)] and local or state rules pertaining to system maintenance and maintenance reporting. 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 SPS 383.33, 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. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. 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 fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the fitter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent fitter 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 tank. 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. Pump 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 fitter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System 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 as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS,10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. 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 if 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continsrency 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(s) 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 absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Project: Page 6 of 8 Page 7 of 8 MGOULDS PUMPS Submersible Effluent Pump EP04 3871 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: • heat transfer. ■ Casing and Base: Rugged Effluent systems • thermoplastic design provides AGENCY LISTING Homes Available for automatic and • superior strength and corrosion Farms manual operation. Auto- • Heavy duty sump matic models include resistance. Canadian standards A%Ddabon • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "C" or 7".) factory. strength, and durability. SPECIFICATIONS ■ Motor Cover. Thermoplastic Goi f nits is ISO W RKiswed. • Solids handling capability: FEATURES cover with integral handle and float switch attachment points. la" maximum. ■ EP04 Impeller: Thermoplas- ~ power Cable: Severe duty • Capacities: up to 60 GPM, tic Semi-open design with rated oil and water resistant. • Total heads: up to 31 feet, pump out vanes for mechanical • Discharge size: 1'12" NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40`C) continuous 140"F (60`Tv) Intermittent. METERS FEET • Fasteners: 300 series 10 stainless steel. 9 30 • Capable of running 5 GPM dry without damage to 9 z s rr components. 25 o 7 a Motor: _ • EP04 Single phase: 0.4 HP, 6 20 115 or 230 V, 60 Hz, 1550 RPM, built in overload with c 5 automatic reset. 4 • EP05 Single phase: 0.5 HP, o EPOS 115 V or 230V, 60 Hz, 1550 3 10 RPM, built in overload with automatic reset. 2 EPW • Power cord: 10 foot s standard length, 16/3 1 SJTOW with three prong grounding plug. Optional 20 0 00 10 20 30 I 40 50 GPM foot length, 16/3 SJTW with three prong grounding plug (standard on EP05). 0 2 4 6 9 \ 10 12 m3/h CAPAaTV ~ VII oulds Pumps Ef 2001 Goulds Pumps ITT Industries Effective may, 2001 93871 r, a~ r '4Z 3 3 i D ~ mot, ~ ~ S ~ ~ v v a ~ FIZ .IN'. o h c~ ,ILI O M 11 _ S g € 5 13 M 1 ~ d. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address / Ye 3 dour- t Rcr/ ~j 14vr ck." 6ticr yQ/? Property Address 7 S (Verification required from Planning & Zoning Department for new construction.) City/State f-~ti ,i►+~+¢r~t ' Parcel Identification Number 0/8'L v0 9-41J'- 00 V LEGAL DESCRIPTION Property Location S~ '/4 . /4 , Sec. 'T T 2- q N R / 7 W, Town of Subdivision Plat: h fs , Lot # Certified Survey Map # Volume , Page # Warranty Deed # L O~ (before 2007)Volume Page # Spec house yes Xno Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master phunber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary). the septic tank is less than 1 /3 full of sludge. 1/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warrant eed recorded in Register of Deeds Office. Number of bedrooms , SIGNATU F APPLICA DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REN'. 08/05) X166.92' F THE. NE1 /4 227.77' 277:75' lilt o ' ago 60 N) CID p f nt 0 C C3 a t~0 V (A - * Cn a 10; 4-- Cif f It CID C'~ Sz 4 CA co ;E l c,., f r`. t~ > s CYI 004, r,s Cs? U) U) " L 1 ( U7 Imo! 33 0 Vi ZI 54 6. C63 C2,5 r-- p r, Fm = ~ I -n -fl k 48_ z (1v Q,,a lam" ,A lilt co 1509 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Siifety anc~Ht>~fi dings in accordance with Comm 85, Wis. Adm. Code Steel's Soil Service, Inc. Attach mpl@tp siWpIaplon4A gnat less tha 8%x 11 inches in size. Plan must County St. Croix includ , but not ' rCaii4ro, horizo 1 reference point (BM), direction and parcel I.D. perce and location and distance to nearest road. Please print all information. Reviewed,8y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Cutting Edge Four, LLC Govt. Lot n/a SE 1/4 NE 1/4 S 4 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# E976 170 TH Street 45 n/a Hillside Heights City State Zip Code Phone Number J City Village sM Town Nearest Road Hammond WI 54015 715-796-2793 Hammond Cty Rd T P6 New Construction Use: 60 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement Public or commercial - Describe:n/a Parent material Ground and end moraines, pitted glaical drift Flood plain elevation, if applicable n/a General comments and recommendations: Mound design, system elevation 100.07 ft, based on contour line elevation 98.90 ft. Boring # I Boring 01 Pit Ground Surface elev. 99.00 ft. Depth to limiting factor cin. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 12-18 10yr414 none sic[ 2msbk mfr cs n/a .4 .6 3 18-30 10yr4/4 none scl 2msbk mfr gw n/a .4 .6 4 30-60 10yr4/6 c2d7.5yr5/6 scl/sicl om mfi n/a n/a .0 .0 Fil e Boring # I Boring Pit Ground Surface elev. 99.00 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/1 none sil 2msbk mfr cs 1f .6 .8 2 9-2 10yr4/4 none sicl 2msbk gw n/a .4 .6 3 2-60 10yr4/6 c2d7.5yr5/6 scl om mfr n/a n/a .0 .0 * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 <30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel t---- 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St., Baldwin, WI 54002 9/7/2004 715-684-5680 Property Owner Cutting Edge Four, LLC Parcel ID # Pending Page 2 of 3 3 Boring 601 Pit Ground Surface elev. 97.90 ft. Depth to limiting factor in. Soil Application Rate F Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 'Eff#2 1 0-11 10yr3/1 none sil 2msbk mfr CS 1f .6 .8 2 11-19 10yr4/4 none Sid 2msbk mfr gw n/a .4 .6 3 19-28 10yr4/4 none scl 2msbk mfr gw n/a .4 .6 4 28-50 10yr4/6 c2d7.5yr5/6 scl om mfi n/a n/a .0 .0 Boring # J Boring F-1 _J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 ❑ Boring # _I Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD5 <30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. Page 3 of 3 STEEL'S SOIL SERVICE INC. David J. Steel 994 200' St. CST-POWTSM Cutting Edge Four, LLC Baldwin, WI 54002 Lic. #248956 SE1/4,NEl/4,S4,T29N,R17W Bus.(715) 684-5680 Town of Hammond, St. Croix Co. Fax.(715) 684-3449 Hillside Heights, Lot 45 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. Legend 1" = 40' ♦ =Benchmark Ele. 100.00Ft Top of 3/4" pvc pipe 3~ • = Alt Benchmark Ele. 99.75Ft ay Top of 3/4" pvc pipe ' ~1 7 ❑ = Borings Boring Elevations B1 = 99.OOFt B2 = 99.OOFt B3 = 97.90Ft B4 = OO.OOFt °]o 5 ( 73: C~ a 7 35T -7-OY I 1 N.S. 1.83 Ac. / 0 \ - 4~ W_, xi i oo- _ 45,11 6 Sk49 4 F. 1.60 Xc----- do, ~ N N B. 69-494, S.F.- ~tV:Q. 1.60 Ac. , ~J -LL) 1013 S.F. 194 p N\ ,2.33 A/, \ N.B. k43 S.F.,- / -off cD ~ N.B. 2.12 Ac. 101 X89 S. / \W OP - Z33 Ac p~ LBO = to \i 1 W 13 ,o I ~ 1 Q -157226 SF~ - f / 3.15 Ac. 0239- .FN.B. 64764 N.B. 43 7 S. F. _ 2, - A.B. 1.58 Ac. \ I -NZ. 1. c. - ~ C LB~094.0 ER -0 THE 0~ LBO = 1094.0' 4 e w ~ $ I I O I _ ! c k °p ~ ~ FV ~4o ~~c N I~ ~ 2 >~m Y~oyy~8§ ~ I ~ I ~ wl ~ l l l j ~i{ 7 7••g _iig g~ g 3 IIIjLL W Iy~ YYpp~ d I B LL W I i fta N I I ~LL I i f I I f~a ~ i i 11 f of §dllllll { {4 I ; ! ! y II I I ! I 'ill I ,b ~ ,III III I;'I, I ; ! I ' ;Y d i I " I I i I - m, I I i ~ o! i I ! F~ - gl 4 II; II ~ I I I I I j I i 1 I . 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