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HomeMy WebLinkAbout020-1363-21-000 C) (A 0 i 0 0 M 0 T V - a z 0) 0 0 & ¥ ƒ I co CL (A + \ \ Z3 0 k C c 0 K) 0 a) m 4� c U) co 4 CA) 3 =r IA @ x m z > CD > 0 o co C) c c 3 0 m r- 0 CL F41, CD 0 r CA rot s' V 0008 K) M c cr Ta o 03 c :3 � � CL z � \ c CD c 0 CD } � « @ a 0 CA � �_ � � z 0 CD 0 M 0. ■ M CL iz) Z a U) ;0 0 to 3 Z Ca 0 ;0 > CD 0 o o ( D M o 23 a 3 aR. CL 3 o C) 0 ). o 3 I c R 8 , < CD o - '0 Z — o 5 9 CD 2 & i f 0 CD D < 0 , M'< 0 0 < (D , CD 2\ - a cn 5 0) CD M "a c / 3 3 0 c a 0 Q 0 CL Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St, Croix Safety and Building Division INSPECTION ' .SPORT Sanitary Permit No: (ATTAF;H TO�'ERMIT) 453107 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Stanke, Tim I Hudson Township 020 - 1363 -21 -000 CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /Map No: aj t�n �Qti �Q--Q� 27.29.19.2158 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION �BS HI G• FS 9 FyV,. 8 Septic ��i, Bemark�� . [ !�° a / ' �.� y 0 V N ' l 1 / - y Alt. BM /+ l Aer ion Bldg. SRwe 4 f q-3 S � Holding St /Ht Inlet S t Outlet TANK SETBACK INFORMATION , of �j 3 2, 3 TANK TO P� WELL BLDG. Ven it Intake ROAD D SG G b S e) q 72_Z Septic V . Dt Bottom S 1 5 - ------ 12•y X28 - Dosing ' Header /Man. y Z Aeration Dist. Pipe / 7, 2 P 93 7.9� Holding Bot. System 3..5$ 37, c Fina Grade PUMP /SIPHON INFORMATION � I+ S4r p ,es*, 3q• 2' Manufacturer Demand St Cover / GPM 3 , y7& 93to. SS Model Number O ' (�/ � S TDH Lift Fric ion Loss System Head TDH Ft Q �51 5 5' I 7 . S/ �a. .0 F JlLen th I Dia. N Dist. t el i oVv� v� 0- w(! • p 6 93�•Z SOIL ABSORPTION SYSTEM BED /TRENCH Width 1 7 Length No. Of Tre ches PIT DIMENSI No. Of Pits Inside Dia. Liquid Depth DIMENSIONS �— SETBACK SYSTEM TO P/L U JBLDG W�L LAKE /STREAM L AC G Manufacturer: INFORMATION CH ER OR Type I — U IT Model Number bS DISTRIBUTION SYSTEM a� < 304 - " d-1 Header /Man f_I j Distribution x Hole Size x Hole Spacing Ven to Air Intake i s PiPe( / 7 � ?, I 4J h Length Dia 2/ Length Dia I -U Spacing u G SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over fi Depth Over xx Depth of xx Seeded /Sodded j xx Mulched Bed/Trench Center I S�rOr�" L�� � � Bed/Trench Edges Topsoil Yes No Yes ;No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: // Inspection #2: /Z e - / Location: 643 Brakke Dr Unknown (N 1/2 SW 1/4 27 T29N R19W) Exit 4 Business Park Lot 21 f Parcel No: 27. .19. 158 1.) Alt BM Description = y r ( �O V � /I 2.) Bldg sewer length = ,�' C ` Sl Lt� 5 � - amount of cover -- S r =' � a /�� 3.) Contour ' Yes I_ No I ---- �- - - -, r- -_. -_. - - - - -- - -- - - - -- _ __ Use revis Re e otherside for additional in L formation. Uy� -�- SBD -6710 (R.3/97) Date Insepctor's Sig ature Cart. No. Safety a4BLii�dings Division County 201 W. Washington Ave;, P.O. Box 7162 C Y X C Uv >h — Vis Madison, 1 53707-7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (6 )266 --� -... _ w � 14 �j )0 Sanitary Permit Applic ion St ate 1 Plan LD. Number In accord with Comm 83.21, Wis. Adm. Code, personal info ation 4718 may be used for secondary purposes Privacy Law, s 5.04(1ZO� roject Address (if different than mailing address) t. Application information - PleasePrintAllInformation (L 21 4 p nesS Property Owner's Name -�- Par Lot k Block k �ms LLC Ti ny Sianye- _ `X1 Property ^ �Owner's �M Address 1 ,,, •q -7 r b ! �j LJ u i ,, t Q., Avenu � �� S 1 `l' %, Section 4. / City, State (� Zip Code j 2 Phone Number 2 p p L I l e i u �r� � F " l 3 (i Sl f 3� - T 2-9 N, R i (c E c or 0i e} II. Type of Building (check all that apply) ubdivision Name C--SM Number - ❑ I or 2 Family Dwelling - Number of P X public/Commercial -Describe Use C.», "9 (a . 2 ✓� """ ❑ State Owned - Describe Use - 1 �. S� Gl) v�D r,� ity Village Township of tl Ciq Iii. Type of Permit: (Check only ne box on line A. Complete l ine B if applicable) - - 13(4 P3 - 2_( C5t3� A. X New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B• ❑ Permit Renewal ❑ Pen Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that a pply) ❑ Non - Pressurized In- Ground XMound > 24 in. of suitable soil ❑ Mound < 24 in, of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Fitter ❑ Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ r crsa /Tre a rea Information. Design Flow (gpd) Design Soil Application R te(gpds ispersal Area Required { Dispersal Area Proposed S}'stern Elevation - - -- Vi.'rank Info Capacity in Tob I Number Manufacturer Prefab Site Steel r Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding 1 mik Aerobic Treatment Unit `,Z� A — o y + ` i Dosing Chamber 4 2So Z5� 1 Iu �CS ^- ri►J i llr` VII. Responsibility Statement- 1, the unde • ned, assume responsibility for ils4ilation of the P WTS shown on t ttached plans. Plu tier's Name (Print) PIn r' Sign re MP ° Number Business Phone l�� �lA �D 22S5` IS j_,� - 3 Plumber's Address (Street, City, State Zip Code) 1 F�i T-0 A Re,( W � iti�. } M /V :5 S© Vill. Countv /Dc < rtment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued 1 um 1 Surcharge Fee) r_ftl Owner Given Reason for Denial 1 iX. Conditions of A royal /Reasons for Disapproval { 1 SYSTEM OW 33 Cu NER: I q 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained ` — as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not Less than 8112 x 11 inche SBD -6398 (R. 01/03) J \ PLOT PLAN Page of Scale 1 "= 90' iz-1 A E DI 7ctr �o cos co �� Orr- � t / x'1"1 S ►'s1� 60 i". U l R �' 1 0 10 S uopc 3� EL, g 3b.Z S do` or- 1 0 ` OF 2 1 PU C r. N, o21�UtTE Fog FIZOSI' C \��o� i r✓� P K FROST S 0 ti,�L Wes, u,.,t I y 1 fJ p 1— Fu J s' a-uQ ag eD c, �.� G . C o N 7 O A N J ept4 � Fw,sw �lzAOE N 43 "PuC s�e� �'L" o1Z b" B cr1Dw v os M 4 "V wY� y "Pvo But�Prn+G S@�+�.. c�� °vY*� ovT e�,ss sEc -'nog, r+) - kz.. PftsovE G►'LUUIVb iry ?P . AVli,EZ L Z -8 S Vbz: OF P V Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 ` TDD #: (608) 264 -8777 iscons n www.commerc . o ns ov www.wiscnsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary June 19, 2003 CUST ID No.267341 .4 TTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 06/19/2005 Transaction ID No. 877066 SITE: Site ID No. 660443 -,ems LLC Please refer to both identification numbers, Brakke Drive above, in all correspondence with the agency. Town of Hudson / I St Croix County W1 /4, S27, T29N F 6 d t 2 smess Park Description: Commercial Office Complex Mound System Object Type: POWT System Regulated Object ID No.: 907836 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes C'4ndi 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. APP The following conditions shall be met during construction or installation and prior to occupancy or use: DEPARTMENT t)F Fl General Approval Requirements: i�n SEE CORRE 1 a • This system is to be constructed and located in accordance with the enclosed approved p lans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • This approval does not include plans for the general plumbing systems that may be required for this project. Tans shall b e See section Comm 82.30 (12) (f) 2. and Comm 82.40(8)(c) 2., Wis. Adm. Code, to determine if plans recorded with the register of deeds. • The plumbing for this project discharges to a private sewage system. The approval covers only domestic /sanitary wastes directed into this system. The Department of Natural Resources must be contacted regarding the treatment and disposal of all industrial wastes. Industrial waste includes drainage from the floor drains/ catch basins in the vehicle parking facility. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • Access to the filter for cleaning must be provided per Comm 84.25 (7) and (8),Wis. Adm. Code product approval conditions. ARTHUR L WEGERER Page 2 6/19/03 } • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19 Wis. Stats. • 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. Stat • Comm 83.22(7) 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 Safety & Buildings 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 to the owner and any others who are responsible W for the installation, operation or maintenance of the POWTS. . Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II, Integrated Services WiSMART code: 7633 (608)789-7893, 7:45 am - 4:30 pm Monday - Friday cbratz @commerce. state. wi.us Leroy G Jansk Wastewater Specialist, 71 726 -2544 cc y y, p , ( 5) TITLE SHEET Page of 8 • MOUND SYSTEM RECEIVE FOR j f j jv� 9 /01 )3 B OGS flnv. This plan has -been pre in accordance with the Mound Component Manual SBD- 10572 -P and the Pressure Distribution Manual SBD- 10573 -P ?'.vjg) CR_6 LOCATED IN THE / 1 2_1=Pk OF THE 1/4 OF SECTION ZZ , T Zq N, R � W, TOWN OF ST- 0_C'U3 COUNTY, WISCONSIN. Lo Zo L4 L3\�jstrvE7ss PPY'R -k INDEX PAGE 1 of 8 TITLE SHEET PAGE 2 of 8 SYSTEM MANAGEMENT PLAN PAGE 3 of 8 PROJECT DATA PAGE 4 of 8 PLOT PLAN PAGE 5 of 8 PLAN VIEW CROSS SECTION PAGE 6 of 8 DISTRIBUTION PIPE LAYOUT PAGE 7 of 8 PUMPING CHAMBER CROSS SECTION PAGE 8 of 8 PUMP PERFORMANCE CURVE PREPARED FOR - T 1 M S 1 t'�v \rzL, Zkayn s, L LC c_ UU 1Aj f0 1J 7aly L'f�-�z -�. LIB -�v� , ►''1 N S So �[ 3 �� d O MMERC,E A rN�:� GS PREPARED BY L�IEGEF�EF2 SO S L . TESTS ms AND. DES = (SM S31= I GE P.O. Box 74 421 N.Main St. River Falls, -I � e�e�toN Phone 715- 425 -0165 65 Fax 715-425-6864 'N IS , J W j!6 l WEGc F.A • p915 P t' KU,woHrm. rs. JOB NO. �3 —c� Mound System Management Plan P age Z of 8 Pursuant to Comm 83.54, Wis. Adm. Code ' 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 filter shall be assessed at least once every 3 years by inspection. The outlet filter 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 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, Safety and Buildings Division. 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 filter 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 for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg/L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specked 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 clog has occur 99 9 andrf orifice cleanin i required to maintain equal distribution within the dispersal cell. 9 s 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 [SBD- 10572 -P (R.- 6/99)] 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 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. Continaencv 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 Coun Zoning-Office at -'1 tS— .Ia- '(p.., Lt 680 ,The system installer at The tank manufacturer at �pp- 32.S $�LS6 1 ^.11L3�R The effluent filter manufacturer at $0r�— ZZ S' L31 The pump manufacturer at 6✓ b ZQ - Lie �R Gout —, s PROJECT DATA Page 3 of a Due to the soils and limited available area a conventional in- ground system can not be installed at this location. No replacement area would be available. This proposed mound system will serve the proposed building and a future building with a total of 26 employees and 2 floor drains. The facility will be used by PDI Cable Maintenance, Inc. The existing ditch shown within the 15' downslope area has existed for quite some time, has well established vegetation and due to freezing /thawing cycles is well structured. Due to soil conditions at the mound site, lateral movement of the effluent is not anticipated. A DNR approved holding tank will be installed to dispose of snow melt etc from the vehicle n are r�rki � z. SEPTIC TANK 582 + ( 11.61X7.76X3 ) + ( 46.77X7.76 ) 582 + 270.28 + 362.93 = 1215.2 gal minimum capacity required. A 1250 gal Wieser Concrete septic tank will be installed with an A -1800 Zabel filter. P LOT PLAN - - Page � of Scale 1"= 90' DNz -1VE R S Jo SL-aaz u � 3�0 k V k 8s� G•Z) Lt, ctY Z-S' 1✓�t N •. � 11t'u P diSrt � i w.i 6 S� > �: 'v C, I I-i V W S Qo tZ FLZO ST C \�'"P'Srl v u ; ►. l�' PRU Cf70,�/ d FROSTSI�{3V Or. i l I ILI ) J C) I � I � o N D� I 7 J� 1 ePtP � Fh�lap GRM'p� ve wt- i --U44T 11 4 "vvC�wtg` 4 "PW aut�Wr. r. Ste+ @R.. ` i3M 1#) ,_ t~SL, 93V.8S�0►.� S1 >lk.� 16`' �UVE G1Z.uVnr� Jh.,) 1?p . i •66/19/2663 11:56 17154256864 WEGERER SOIL TESTING PAGE 02 Page Of P_pproved Synthetic CoverinS ASTH C33 Distribution Pipe Medium Sand Topsail y - -�- - ( L�Iev C.) 36- 3 ' j. % Slope Distribution Cell of Force Main Flowed " to 2' " Aggre.-ate From Pump Layer .S \ 0 O Ft. E:0aSFt. CROSS SECTION OF A MOUND SYSTEM F Ft. Ft. 0. Linear Lcadi..ng Rate= ci.0 GPD /LN FT 3 6, F ` Design Loading Rate= D•q3GPD /SQ FT i Ft. K �� Ft. }��on L "aS Ft. r e — W Ft. • I - Observation Pipe E? _x A o--� -- = / ` --» --- - - - - ---------- - - - - - -- --�-- f=orce Main Distribution n fl Pipe t to 2 I Cell of � � a ggregate Observation_ Pipe (Anc3bbr S&CW617) PLAN LIEU OF A MOUYD SYSTEM ' PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS' PAGE OF VCWT CAP 4 C.I. VENT PIPC fr JU UCTI PROOF APPROVED LOCKING MANHOLE 7 1 10' FRoM DOOR. JuuCTI0N1 80X COVER WITH WARNING LABEL WINDOW OR FRESH 12�MILI. I AIR INITAKE I GRADE �Z,`� M'MIIJ. I j 18' MIIJ. COWDUIT Z.. 11� INLET • PROVIDE I T AIRTIGHT SEAL I 1 I i 1 APPROVED JOIMT� A I I APPROVED JOIIJT I II I s I I II ALARIA a �i 1 1 I 1 C ON •i I PUMP OFF O ZLe\3 , aL Z-5 o I CONCRETE DLOCK Y RISER EXIT PERMITTED OWLy IF TANK MUUFACTURCIt HAS SUCH APPROVAL 3 "ApFS2ovF� �8r:001 µG SPECIFICAT10k] DOSE TAIJKS MAAJUFACTLJsLr6 � CA!`.1C�- WMBER OF DOSES: L � ° PER DA4 TANK SIZE: W \Z 5 O - Y � t 6ALLOWS DOSE VOLUME r ALARM __1!1A1 g-S •_CIrTCT12O 5`�.Sle INCLUDING OACKFLOW: j bO' Q GALLONS MODEL I.WUMBER: —LO[ t>1PACITIES: A- Z 6 y3• - INCHES OR � GAL.I.ONs SWITCH TyPt: B - INCHES OR S GQLLONIS PUMP MAWUFACTURER: G 6y LAS C■ INCHES OR 60 GALLONS MODEL WUMHEIC: O S 0= S INCHES OR — 0 GALLONIS SWITCH TUPE: �Z A10TE: PUMP AMID ALARM AR O 6C �,�` MINIMUM DISCHARGE RATE y 1 -8 Z GpM IN5TALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE 6ETWCENi PUMP OFF AUD.DISTRIBUTIOW PIPE.. \__OQ FEET + MIMIIAUM NETWORK SUPPLY PRESSURE . , , , , , , , , 6 5 O FEET - ? _ FEET OF FORCE MAIN! X _ SR F T � ' � l Ioo f�FR1CT1011 FACTOR. FEET TOTAL OtIIJAMIC. HEAD = zt,:c FEE As per:aanufacturer • 2 6- o) gal /in. Liquid depth Ll - Goulds 0, Submersible • Effluent Pump EPO4 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 dry without damage to heat transfer. ■ Motor Cover. Thermoplas- • Homes components. tic cover with integral handle Motor: Available for automatic and • Farms manual operation Automatic and float switch attachment • Heavy d • EPO4 Single phase: 0.4 HP, points. an sump . 115 or 230 V, 60 Hz, 1550 models include Mechanical Dewatering RPM, built in overloa • Water transfer Float Switch assembled and ■ Power Cable: Severe duty • d with automatic reset. preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz; 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. ■ EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design 3 /a' maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. • Total heads: up to 24 feet. with three prong grounding Co. Canadian Standards Association _ • Discharge size: 1 NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F' or "AC ". rotary/ceramic - stationary, three prong grounding plug improved performance. ) 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 METERS FEET stainless steel. 10 i • Capable of running j — Y dry without damage to 9- 30, components. I i �scn Pump: EP05 - - -- - -- -- - -1— s • Solids handling capability: 25 ' --t— ° I I I maximum. Lu 7 Lu 7 • Capacities: up to 60 GPM. L) 6 20 Tot — ta heads: up to 31 feet. • Discharge size: 1 NPT. Z 5 • Mechanical seal: carbon- a 15 rotary/ceramic- stationary, _j 4 i BUNA -N elastomers. o i 41. _ _ E POS • Temperature: ~ 3 10 1041 (40 continuous j 140 °F (60 °C) intermittent. 2 II -- 5 I 1 I _l I I ! 0 00 10 20 30 ` 40 50 GPM 0 2 4 6 8 10 12 m°!h CAPACITY ®1995 Goulds Pumps, Inc. Effective May. 1995 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of �J Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County _ include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ID Z C3--- Z'o-600 Please print all infrmat e i wed by D Personal information you provide may be used for secoridary purposes (Privacy Law. s. 15.04 1) (m)). I l� Property Owner (� ^ '� e.,Tr4j �� Property Locati "MS ' LLe �e+rt oL N / /Z1 /4SW 1/4 S T Z. N R E (o W ^; Property Owner's Mailing Address -Lot # I Block # Subd. Name or CSM# U L ICJ Lp� City State Zip Code Phone Number City Village ® Town Nearest Road L 1 z tTL ►� >�ry S� 0`13 ( 6 :S I ) L)3 b - IaS 3 YN�S N 1'�SUA r YcE - 1mZ . Q New Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate S g GPD [] Replacement Q Public or commercial - Describe: Z ( L 1 PU'l e1Z S — Z U WOK — wz �hj S Parent material G PT 0 U'T" 1tiXP jq Flood Plain elevation if applicable N . A General comments and recommendations: 4 �� S,� /4> �1 LL , Boring # Boring � 1 d-D!� Fig , ® pit Ground surface elev. `i • S ft. Depth to limiting factor -7 1 �� in. D Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 �_ )N31-iIL 'Ztz L - J sbk �m cs I s 1 .' Z - 7 -Z� - I,s 4 rz W y - 1 s L'5 b>z Yn v - ,,J - --7 N, z 3Z 1 642 V II, � Chu N S 10�{ 2.31t� S�1 B ►�9S - 1 `in k � a Boring # ❑ Boring ® pit Ground surface elev. `I' S ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz - in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 C) - b W�-JrzztZ -- L Z � - sb k � \j c S s 7- 6 -zy - i.S�M31Y 1s lesbk m v'f 7,3 z q -31 l 6`1 R-({ty — �s 0 s 9 m V `Pr 5 S3 -lot 3 C D l )1 IZ 6 Si 1 T6 ft)--b S CA of W S - i's L12 L,►1 - S Bi°M�D S c> > `/Y1 V Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD rint) Signature S < 30 mg/L and TSS < 30 mg/L CST Name (Please P CST Number Arthur L. Wegerer. ++c, �. 0 3 _ BY 220254 Address U e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Hain St. River Falls, UI 54022 S - Z-9 0 3 715 -425 -0165 Property Owner S `) (A-0 Parcel ID # — 3 �-� - lJ� 1L1 Page of F9 Boring # [] Boring C ® Pit Ground surface elev. �� �• S ft, Depth to limiting factor 7 �� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 0 - 1% Zlz — L Vz 4 \1`E�- Z - 7 YLYI 4Z40 iu-m (11v 0'M Y g0 -\7.0 ❑ Boring # [] Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 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. SBU -8330 (R.6/00) PLOT PLAN Page 3 of 3 Sci�l.t� LO)� CU�w� C�2C� b12_ r`-�.sr- �iicN `mo 'NaT CUw��f�_eT pR '!> 1 Slvi23 r � nl 15 °10 S�aPC �3� g3s.zs' S oa a e- g3b.Z -S c ") w i J � J J 5 'nuUVS � l a , 0 D J \ II 1 Laoor aria Human Relations '�•� ^••Y v 1tJii..�JM i fV1Y `� < Page of a3 Division•of Safety and Buildings in accordance with FU 83.08, Wis. Adm. Code Attach complete site plan on paper not less than a 112 x 11 inches in an m [Rewkv�d include, but not rmited to: vertical and horizontal reference pant (B ,��on , { sir l percent slope, scale or dimensions, north arrow, and location and di to rest road. I.D. # i APPLICANT INFORMATION - Please print all inform�tiah. by Date Personal kdomiat maybe tin ' You provide used far secrondarY purposes (Privacy Lf9�r, s. 15.0�C���� Property Own Property Location ,, ! Govt. Lot 914 *1/4,S `7 T ') C ,N,R I *is" W Property Owner's Mailing Address Lot # Bbck# Subd. N or CSI�A# 'I �� 1 C+N l State Zip Code Phone Number [] city El Vtilage Ca Town Nearest Road . . ' t ,-t or nn I 550', L I(G5 4 ) 4SO -1500 New Construction use: ❑ Residential / Number of bedrooms Addition to existing building ❑ Replacement ((Public or commercial - Describe: Code derived daily flow Id rl l�naAIA Recommended design loading rate 4 gy bed, gpd/ft r 5 trench 9pd/ft 1 Absorption area required bed, It trench, ft 2 Maximum design loading rate bed, gpd/4 ' 5 trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site Parent material i (? e 5 3 :.s �- # . r Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank u= unsuitable for system f� S ❑ u M S ❑ u ®s ❑ u S u ❑ S M u ❑ S u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure Texture GPD/ft in. Munseii Qu. Sz. Cont. Color Gr. Sz. Sh. sistence t3aundary Roofs Bed , Trench T 4 7 ' c t Tr Yr S Ground 9° t -7 i T Depth to limiting factor 12t) in. LL Remarks: tn1� 'f f•5 Of VJfs S Vr (/, : � a ? 5Y'r 31 Boring # e1!:) f _q S a r v a Ground AX 7,5 r elev. �_. Depth to limiting fad ,. Remarks: - ' f { �' -r o "J �5 7, : f {r ` �E� �t Ns - I'S r CST Name (Please Print) Signature Telephone No. Number 7 3S-7 SOIL DESCRIPTION REPORT PROPERTY OWNER Page I of PARCEL LD.# Bofing # Horizon Depth Dominant Color Mottles Structure 2 in. Munseli Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed . Trench I iZ la r2j1 C , ,5 ,!, Ground . ' r r'v. - ($ fYe :`, in \1 Slay. qLaft. L] r 15 Depth to limiting factor 7 110 in. Remarks: _T .ft- _S Cj V S - 1 , 5 V7 Boring # ;� 1 i re r^ pw r }� MUM 2 t- 33 7.5 rr n s I ri.5 i< r Ground L� f =S i , s� , ff F elev. 4 6 0 —ft- 5 io3 -71 ti Depth to Le 1'� 7,5` C �,`r _ CI ,� P s J ll f' r limiting .7 75- 12 7,5- i` factor i 1203 in, Remarks: lc, `+- t t S of y ?. 5 Y r Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PDT` in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed , Trench Boring # t - t ` I f, I r 2l! 1 6 k fy� r 5 1- _ C tjl(j o"I r Ground Iq JL9 - ql `' t ,r _ S iYl b 7VY �"5 ft S 4 �- 47 Depth to limiting factor � -LW in. t Remarks: * � I � r2.� o s� 'J , 5 /r 5� /tom I � � " t�` 7, 5 r Boring # Ground elev. ft ' Depth to limiting factor in. Remarks: I tMVfPQM1AtMTAL �Y PtSt6N 1432 12& STREET, NEW RICHMOND, WISCONSIN 715 -246 -2454 Tom Nelson Certified Sod Tester 227387 -- Registered Sanitarian SR00713 1 P C 10-3. vo r SCALE Z" = 4 0 Tom Nelson Bm 1. T o , BM 2 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND °'� OWNERSHIP CERTIFICATION FORM Owner/Buyer � 1 e rn S 1 L C t j 1 S t(A A k< e Mailing Address 3 g g u i N j a t j A v£ L u k e `A Q o O N S 5 O `{ 3 + Property Address O T 2j X i 4 RU; ne P me ° t.JN SL 1 v 0f& bN i II (Verification required from Planning Department for new construction.) City /State 1 tU Parcel Identification Number o ZO 36 3 -2l - '�0 �• o�- (S, LEGAL DESCRIPTION Property Location ' /�, S '/a , Sec. z? , T X9 N R 1 9 W, Town of u d 5 �- J Subdivision Ex" & S v e s S , Lot # 2 1 Certified Survey Map # , Volume , Page # Warranty Deed # li 3 1 p 93 , Volume 2 , Page # Spec house U yes U no Lot lines identifiable U yes U no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the s s et forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. C rtificati n stating that your sep ' system has been maintained must be completed and returned to the St. Croix County Zoning p t wi 0 ys of a year expiration date. a SIGNA RE APPLICANT DATE OWNER CERT IFICATION Uwe certify tha statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the prop described ab wax�apty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. J 2 1 7 1 P 7 5 7 1 3 1 83 1/ KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 1999 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between C.P.T., LLC, a Wisconsin Limited 03/14/2003 08:30AM Liability Company EXEMPT # REC FEE: 11.00 Grantor, and Jems, LLC, TRANS FEE: 378.90 COPY FEE: CERT COPY FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area C l�ot, lat of Exit Four Business Park in the Town of Hudson, St. Croix Name and Return Address County, Wisconsin. kQ 020- 1363 -21 -000 Parcel Identification Number (PIN) This is not homestead property. CK) (is not) Exceptions to warranties: Easements, restictions and rights -of -way of record, if any. -- Dated this Y5 day of March 2003 C.P.T., LLC C. R. Hackworthy AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. Cx01� County ) authenticated this day of , Personally came before me this day of March 1 2003 the above named C.P.T., LLC, a Wisconsin Limited Liability Company r by C.R. HArkwarthy- member —e0==CrtN'— TITLE: MEMBER STATE BAR OF WISCONSIN ' 40 . pp- (If not, to me known to be the person(s) who e instrument and acknowledged the same authorized by § 706.06, Wis. Stats.) rn THIS INSTRUMENT WAS DRAFTED BY * to Attorney Kristina Ogland Notary Public, State of Wis onsin �y Hudson, WI 54016 My Corn . ssion is permanent. (If not, s d)ae• (Signatures may be authenticated or acknowledged. Both are not necessary.) * Names of persons signing in any capacity must be typed or printed below their signature. Information professionals company, Fond du lac, WI STATE BAR OF WISCONSIN aOn-655 -2021 WARRANTY DEED FORM No. 2 - 1999 -4I � I a'I til ° LO I �.�. I w I -F-,OI 120'I2E 3 „10 OD VI 0 ° ,LE'ZtZ M,.TO.00.00S ,t•L'I1Z o tJ ,111122 M „10,00.00 S ' �� < . (7 N O U N tll Y� H� C Lai o� ¢ w °` ,LS'99E �� ' NI Nr O ZD ,os'as .os'as . a � m LO Q M II ` ,OIAr2t• 3 „10,00.00 N O N cis T O P OD Z V Q�I I OD I w N o n21 `° W U- � N , �, W ^I � �y o .. 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