HomeMy WebLinkAbout032-2183-04-000
, Croix
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St
Safety and Building Division INSPECTION REPORT Sanitary Permit No:
592231
GENERAL INFORMATION (ATTACH TO PERMIT) 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: L City Village Township Parcel Tax No: Glen & Yvonne Peterson TOWN OF SOMERSET 032_2183-4-000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No:
23.31.19.1552
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER IN: AS I CAPACITY STATION BS HI FS ELEV.
rIL Irv, n ~j Benchmark J~ 0
Septic / 8F~ Nlr ' 00
I
Dosing c v Wit, .1 Alt. BM !
•
A on Bldg. Sewer )^f p J I~ C7g
S- I ` /Q
o Ing S t Inlet 15 3 8V .
St/Ht Outlet / Q •7
TANK SETBACK INFORMATION V v
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic S Dt Bottom ~S _
L~:j Header/ n. 60 17 y~~~lll
Dosing V 93 r
Ae ion Dist. Pipe 1(J~ / l
Holding Bot. System / G) 7 l1
2 ,(Q/~ Q~• CAJ
7 l~
PUMP/SIPHON INFORMATION Final Grade
Manufacturer / Demand St Cover / Q Q O
> GPM ~ _ I
Model Number -k 1,
i
TDH Li Friction Los System Head T~5. Ft
Forcemain Len th j Dia. Z h Dist. to Well > / n A(G,I
SOIL ABSORPTION SYSTEM ~(J
BED/TRENCH Width Len th No. Of Trenches .r~ =PIT No. Of Pits Insie Di Liquid Dept
DIMENSIONS - SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM CHLEACHING AMBER OR Manufacturer: / U }hf
INFORMATION TYe Of S ste / / UNIT Model Number: , ~VVt1V
wrKI Z6ZCIS }Z 56
F BUTIC SYSTEM {S
x Hole Size x Hole Spacing Vent to Air Intake
anrfold IF
Distribution 1 Pipe(s)
Dia Length Dia S acin
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
IDe th Over FD e th f xx Seeded/Sodded xx Mulched
Depth Over , P 1
Bed[Trench Center Bed/Trench Edges ps i Yes No Yes No
i
COMMENTS: (Include code discrepencies, persons pres t etto, I r n #1: Inspection #2:
Location: 208862ND ST P o hccins~ 0t- LS
1.) Alt BM Description = yj
2.) Bldg sewer length= t /v ~1(~ `~Il VrY ~~S1,
- amount of cover = 61
)41:, Coverc)(\011,
Plan revision Required? Lj Yes to Aq
Use other side for additional information.
L Insep*0s na a Cert. No.
Date
SBD-6710 (R.3197)
l~nxxrvrErr 3 County
Safety and Buildings Division X
201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Numbe (to be filled in by Co.)
1 -~C'f- Madison, WI 53707-7162
~~4lONAti.
State Transaction Nh her
Sanitary Permit Applicati- ~,/J
In accordance with S~~S 383.21(2), Wis. Adm. Coda 7~ssion of this form to
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned Yu w i are suomruee to rroject Address (if different than mailing address{)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary
purposes in accordance with the Privacy Law, s. 15.04(l)(m), Stars.
1. Application Information - Please Print All In tion
Property O Name 0 ~^%AA~ Parcel #
Property Owner's Mailing ess Property Location
/ Govt. Lot
City, , State Zip Code Phone Number 1/,, 1/4, Section.
/ circle one
T 11 - _ T _N; R Eor
II. Type of Building (check all that apply) Lot #
Subdivision Name
A I or 2 Family Dwelling - Number of Bedrooms r Block ❑ Public/Commercial - Describe Use ❑ City of
CSM Number 11 Village of
El State Owned -Describe Use
Town of
III. Type of Permit: (Check only one box on line A. Complete line B if applicable) x
A. ~ew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
List Previous Permit Number and Date Issued
B. El Permit Renewal El Permit Revision Change of Plumber ❑ Permit Transfer to New F
Before Expiration Owner ?
IV. T e of POWTS System/Com onenVDevice: Check all that apply)
A Non-Pressurized In-Ground El Pressurized In-Ground El At-Grade El Mound > 24 in. of suitable soil El Mound < 24 in. of suitable soil C~1t M S
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersal/Treat nt Area Information:
Design Flow (gpd) Design Soil Application Rate( f) Dispersal Area Required (s Dispersal Area Proposed f) System Elevation Y
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units
q < ~J U CC
Existing Tanks 11 ~2 Y C
New Tanks !6
` J a U v~ ~ v~ i~, U R.
Septic or Holding Tank
Dosing Chamber
VII. Respo *bility Statement- I, the undersigned, assume responsib' or installation of the PORTS shown on the attached plans.
Plumb 's ame t) Plumber's ~gn~riirE /f MP/MPRS Number Business Phone Number
ber's dress (Street, City, State Zip Code)
N oun /Department Use Only
Permit Fee Dat Issue Issuing ent Signature
Approved Disapprov $ Q5 DO 1
❑ Owner Given Reason for nial V
4P r •1
IX. Condij~rppbA1Hl"'Reasons for Disapproval
3 l ~a
1. "$ept"= lark Eiflucn hlte> i n 1 /V
u ser cell emmust e ill be s ices its ei ~rw
as pPr rnarsyemen! plan f- c nae-1 by flu noes.
2. 'AN x~k recww.i,aen-s rnuuttLe.-,&nt, r:e i
as per applicnWt vadlo I ;.rd!naar.
Attach to complete plans for the system and submit to the County only on paper not less than 8 r/2 x 11 inches in size
SBD-6398 (R. 11/11)
i ~
0
1
a~
1 13
Rl~
6.
C
~_COP
CONVENTIONAL COMPONENT DESIGN
Residential application
INDEX AND TITLE PAGE
Project
;l`a C Titles
Nam
s rr ~ r s l Owner's - X)
N e:
4 Owner's
-0;xel Address: -
RC ae3t3c Tklt3Fw7tEIr~ r' 7 r
r r Iii A_
Legal Description:
Lot #
Subdivision: ; s
Town:
County:
Parcel ID#?~._z "
Designer/Plumber. License
D"ate: 7
Signature: -
Comments
Designed pursuant to the In-Ground Soil Absorption Component Manual for POINTS version 2.u
lndez+iitle 2/2/2012
F-T
14-1
i
I
~9 ~
rq 17
C L`
M ~
`f
I
Soil Absorption S stem Cross Section
1-'f~ ft
4° Schedule 40 Final Grade
PVC Vent Pipe
With Vent cap ft
Leaching
Chamber
7, f t
t System Elevation
ft ft
Soil Absorption. System Pian View
ft
i ft
Z Vent Or Observation Pipe Leaching
Trench 1
Chambers
4e Dia
Trench 2 .
Header
Leachinca Chamber Specifcat~ons
Manufacturer And Model
EISA Rating sQ ft per chamber Soil Application Rate
---L_ gpd/sq ft
gpd Design Flow ; ,,5' Soil Application Rate
EISAChambers
2 rows ofd chambers each.
Page of
0m INS a c- R
. , PI MK!.
4~ ltv~ C"~.a•* rte' S~ t^ ~ ~ l»~~ ~
r
INSTALLATON
- f ~r -
~Ee~~__ . ~ -.mac ~ Y ~ Rs,.
~ - -~L_ ~ ~;1<. ~ , arc
71
zf ®R&
_ _ P•';._ -r .ire-~i ~=`:i-~~'~' ~`'^y.. _ Y= iL+.+. r.•~'3
jT^i'`, = = -~C'y ~--'++1-,• 1-!:lC,; .--,~.~ta~_c~ ~ c. --°•-L~.i ~,-v/`'~-_ !3 R .r. .++°...r~-•~~;:~
MOM.
3tap 1: step Bef 2: lv c~ PhW8 step Otte f~ ho on the tA) MW
(Aj LOcdf o Orate sepam s-i'w hoMft on to file OU fet*a- auffe[ pkm
{3} Remove cover and pump ian~c (BJ Affiake f fm h~ 4P) kfi Mt #ia low
if necwsmy- is posfioned so ffieifs can W I3awk,91 fAsida Swe 90 f
removed from Otte ia*for leis p YSff and
matnienas~ceand swum camPew[y m the h°usgn9-
MAfNTENANCE "~~~C3f~~ ems::-~-~•-.~~:;,.. _ - - R -
j..
j( t -f,
7 F
5
El.
s, : j tl rte.,.-_~, ~:;,..Ts ter: . _ _ r%..•by-,:°r -
j( _.:,y_c. _ _ .::.'~~r f E ~ - {jam ~ y__r ••~~e'~ i_~GY't~-.,r'~ :
F - 2
~j!~j1
fff _ _ _ r: 7.:y.l:~ti i_c _ ?y •--~i5'T.~, _ F -w_~-- l+ ; ':i
- - - • 1 ,..'"mac-".._-F--.
~..-i=;.'-~ .r`„•.~ + yam.. - ___.r.__...~--~^°~'_".'~.__.
Slap Stap 2-- at S. g6 6dCI£
Laaatq f#te outjet D'§'ie septic tanc- (A) Remuvc- a .ocrvei and pump fA3
_ ~,gR~Et1
necassm.
;aehP is j4 ~f s 4L s1~-tStf l ~ i3T housing. ~~'3(• m i POP&
...-x S t llaw ogdN c,a~~T~ ~y,,~ 'CMe~~~'i,e ep idf' the
t _ L ~`Z ' P' laxasd C't31t~F
POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page .5--of
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner Septic Tank Capacity gal ❑ NA
Permit # Septic Tank Manufacturer A~ ❑ NA
DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA
Number of Bedrooms ❑ NA Effluent Filter Model El NA
Number of Public Facility Units JZ NA Pump Tank Capacity gal ❑ NA
Estimated flow (average) gal/day Pump Tank Manufacturer % ❑ NA
Design flow (peak), (Estimated x 1.5) gal/day Pump Manufacturer d ❑ NA
Soil Application Rate gal/day/ft2 Pump Model El NA
Standard Influent/Effluent Quality Monthly average* Pretreatment Unit 2-NA
Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter
Biochemical Oxygen Demand (BOD5) 5220 mg/L O NA ❑ Mechanical Aeration ❑ Wetland
Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection ❑ Other:
Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA
Biochemical Oxygen Demand (BODS) 530 mg/L jai In-Ground (gravity) ❑ In-Ground (pressurized)
Total Suspended Solids (TSS) <_30 mg/L Z NA ❑ At-Grade ❑ Mound
Fecal Coliform (geometric mean) 510` cfu/100ml ❑ Drip-Line ❑ Other:
Maximum Effluent Particle Size %a in dia. ❑ NA Other: ❑ NA
Other: ❑ NA Other: ❑ NA
*Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Inspect condition of tank(s) At least once every: El month(s) (Maximum 3 ears) ❑ NA
y' year(s) y
Pump out contents of tank(s) When combined sludge and scum equals one-third (%3) of tank volume ❑ NA
Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA
Z year(s)
Clean effluent filter At least once every: ❑ month(s) ❑ NA
9year(s)
Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA
2~ year(s)
Flush laterals and pressure test At least once every' 1-1 month(s) NA
❑ year(s)
Other: ❑ month(s)
At least once every: 11 year(s) NA
Other:
❑ NA
MAINTENANCE INSTRUCTIONS
Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:
Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank
inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks,
measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface.
The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding
of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the
immediate notification of the local regulatory authority.
When the combined accumulation of sludge and scum in any tank equals one-third (%3) or more of the tank volume, the entire
contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,
Wisconsin Administrative Code.
All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment
units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer.
A service report shall be provided to the local regulatory authority within 10 days of completion of any service event.
Page oy
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or-must be taken, to provide a code compliant
replacement system:
A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
\ system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
-site
f~ T .
N a o ding~ank
aluati ~
be i e ai a D 4l15 n FD 2 /,j 61,J Cal~JSTKCI ~ D
❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< <WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name _ Name
Phone _ 5 _ c 7 Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
Name Name sl . GI~-(J l D Z0~(1 iCl
Phone Phone (S- 3 ~(p_ ID
This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
Page lei
START UP AND OPERATION
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals
that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents
of the tank(s) removed by a septage servicing operator prior to use.
System start up shall not occur when soil conditions are frozen at the infiltrative surface.
During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be
discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of
effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring
power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to
restore normal levels within the pump tank.
Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area
within 15 feet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the
POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat;
foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil;
painting products; pesticides; sanitary napkins; tampons; and water softener brine.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is
properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:
• All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator.
• After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with
soil, gravel or another inert solid material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or: must be taken, to provide a code compliant
replacement system:
l A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption
/ system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by
required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will
result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must
comply with the rules in effect at that time.
❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS
technology a holding tank may be installed as a last resort to replace the failed POWTS.
T
aluati a / a odingank
be i e ai a ?RD4-!151TSZL Fat- A/6V 66t JSTRUCi n 01\j
❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the
infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time.
< <WARNING> >
SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT
ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A
PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE.
ADDITIONAL COMMENTS
POWTS INSTALLER POWTS MAINTAINER
Name 41 z Name
Phone -217 Phone
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY f
Name Name sI ( U N 2Qt1~1 /U
4~ 11
Phone Phone
This document was drafted in compliance with chapter Comm 63.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code.
Septic-Dose Tank Cross Section And Pump Performance Specifications
Tank Manufacturer 6
Pump Manufacturer
zFz-
Tank Model Number Pump Model Number -
Total Tank Capacity Alarm Manufacturer
Max. Bury Depth ' Alarm Model Number
Switch Type
Filter Manufacturer t~ Total Dynamic Head (TDH) - Feet
Filter Model Number Elevation Head
Distal Pressure
Network Loss
Minimum Pump Performance Required Force Main Loss
f` GPM @ Ft TD H
Total t12 lz
Outlet Manhole Min. 4" Above Grade With
Locking Device. Inlet Manhole Manhole Min. 4" Above Grac'_ ,
< 6" Below Grade Sealed Watertight Securely Mounted With Locking Device
Weather-proof
Junction Box
r-Finished Grade
~ i
Depth of
Cover Vent Min. 12" Disconnect
Above Grade
Ft With Vent Cap Means
>S> S>t C tyt <<<>< <yt>t S>C < t t i t S S S S t{ S S t t {
Outlet
Outlet Filter
Inlet Inlet Baffle {>t _ _ 1 _
Switch Settings and _Reserve Capacity A y4,!
Tank Volume = GPI <;< Weep
Dimension I
I volume Gal. B 'i Hole
{
>L
>i> (reserve) A t>{ <
t< >
~{y (alarm) B 2>r Off Elevation C
Ft
}~s (dose) C 1-2
(dead) D Bottom
D Elevation
,
Total / Ft
r > > > } > s > } : s > > s s s } s > s > s : > > s > s } s > > s s
>{s{s<}{>sst>{s{s{s{>{s{>{}{}{s{}ts{>{y{s{y{y{y<,{>{y{>{y{}{y{}ty<y{y<y{y<y{y{y{,{yt,{y{,<~{>ty{, <~<!{~tytyt~<
GENERAL INSTALLATION: The septic/dose tank is bedded and back filled in accordance with the
manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacturer may not
be exceeded without prior approval. Manhole covers exposed to grade have an effective locking device (padlock)
installed. Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings, and
laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bridge the tank
excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.28 WAC.
02/05 LJ Page of
RGOULDS PUMPS Submersible
Effluent Pump
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1 EUIENT PUMP
SPECIFICATIONS MOTOR FEATURES
4
General: ■ Corrosion resistant
Pump - General:
• Discharge: 11/2" NPT • Single phase construction.
h • Temperature: 1040F (400C) • 60 Hertz ■ Cast iron body.
maximum, continuous when • 115 volts ■ Thermoplastic impeller and
fully submerged. • Built-in thermal overload pro- cover.
3 • Solids handling: '/z" section with automatic reset. ■ Upper sleeve and lower
maximum sphere. • Class B insulation. heavy duty ball bearing
• Automatic models include a • Oil-filled design. construction.
APPLICATIONS float switch. • High strength carbon steel ■ Motor is permanently
Specially designed for the • Manual models available. shaft. lubricated for extended
• Pumping range: see PE31 Motor: service life.
following uses:
• Mound performance chart or curve. • .33 HP, 3000 RPM ■ Powered for continuous
Systems
• Effluent/Dosing Systems PE31 Pump: 12.0 Maximum amps operation.
• Low Pressure Pipe Systems • Maximum capacity: 50 GPM • Shaded pole design ■ All ratings are within the
working limits of the motor
• Basement Draining • Maximum head: 25 TDH PE41 Motor: ■ Quick disconnect power
• Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM
Dewatering • Maximum capacity: 60 GPM • 7.5 Maximum amps cord, 20' standard length, • • PSC design heavy duty 16/3 S1TW with
Maximum head: 2 29'TDH NEMA 5-15P, three prong,
PE51 Pump: PE51 Motor: 115 volt grounding plug.
• Maximum capacity: 70 GPM • .50 HP, 3400 RPM ■ Complete unit is heavy duty,
• Maximum head: 37' TDH • 9.5 Maximum amps portable and compact.
• PSC design ■ Mechanical seal is carbon,
METERS FEET
40 ceramic, BONA and stainless
MODELS: PE31, PE41, PE51` steel.
PE51 ;
HP:.33, .40, .50 ■ Stainless steel fasteners.
35
10 2 GPM AGENCY LISTINGS
30 PE41
1FT
E31
C US
a 20 Tested to UL 778 and
Z s` CSA 22.2108 Standards
By Canadian Standards Association
Q 15'
O File #LR38549
-
Goulds Pumps is ISO 9001 Registered.
10
0 0 0 10 . 20 0 40 50 60 70 GPM 80
0 5 10 15 m37h Goulds Pumps
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ST. CRO CO'N'S
SEPTIC TAI\'I; ~rrEN7-CE AGRI':NFT
A,'~
O"f?NERSY P CERTIRCATTO-N FORM
0 wn e_r." layer 0 - e
(V a ficadon required from Ply & Zoaiag t for new consiruzdon.)
• , . r' Parcel Identification Nim nber L ' . '7 1 -
~zt}~~ State
LE -kL I SCRIPTICYre
Jr-L:
V, _ Sec. = . T NT R ToVM of s
5 d b&%ision Plat: ~t i ~ - - - - , Lot +
Certified Survey Map Volume Page
Warranty Deed (before 20 i)Volume , a
Spec ho-weyy' yes - no Lot ices ide-atifiableyyes 0 no
S`rrS M ~'TENANCE ANT OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature failure to handle wastes- Proper
mamteaance consists of pumping out. the septic tank every three years or sooners if needed, by a licensed pumper- ghat you put into
Uae system can affeaw, -die nmction of the septic tank as a trea±ment she in the -*wm disposal system Qwnermabitenance
°esponsibilides are specified in §SPS. =8352(l) and in Chapter 12 - St. Croix County Sanitary ordinance.
1 be property owner agrees to submit to St. Croix County Planning & Zoning Department a cettifcation form, signed by the
owner and by a master plumber, journeyman phnnber: restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal system is in proper op--rating condition and/or (2) after inspection and pumping (if necessary), the septic tack is
Less than 1/3 dill of sludge.
Tlwa; the undersign°cihave-read the above requirements and agree tomaintain the private sewabe disposal sys`Ler with the
td ds set fps her.-= as s& by -J2e Dep+artment of Safety And Pmiessional Scm-res and the Department ad lg=nal 12esources,
Smote of W5sconsm C cal ion sm=g thin your senric system has be= mamiamed must be ccso=leted and : eturned to tie St. C're
County Planning & Zoning Depulrr►= within 30 da3T of the three year a pizatma date.
liwe cerdt that all statements on this form are Prue to the best of my/our knowledge- Uwe am/are the owner(s) of the
property described above, by virtue of a w•az; anty deed recorded is Remster of Deeds Office.
Number of bedrooms
9
7 '161 /
F I -INATCr'R.l=. OF AP'PLIC_N1(S) DATE
"
_--Any information that is misrepresented may resmh in the sanitary permit being revoked by the Planaigg & Zoning Department.
Include m= this apphcation a recorded warranty deed from the Register of Deeds Office and a copy of the coed surrey map if
reference is made in the wa ranty deed.
W 4'56`.54 I ~ I ) ro
> U I N7 7 n ~s66as s6 E 792
N I I Al 116.82'
I 2
12 ~ _ 0 0
n w ~ 3 u'n22r n 2p• ale
m I d l ^~o~ ~b o. o "v 588'05'56"E 290.3C'
LOT 2 °
- - - u i I 4P 130, 763 sq. ft. ~F ao I 36.9 X 73 so 79133r 1
D F ro 3.00 acres - z tp o 6 f 7s m•
w W LBO = 934.40' 10
\ I yR S
w a~ y ss, 3
WI - I ~6 - 130,688 sq. ft.
Lp~ a ro a ° 00 acres a 1y
g40A9' J. s
b l h'I Ei I o r ~'7h~ bo 36.5 J SE,
^I'°N"15'a803"E 3p6.55` - e I N -LBO = 935.30'/~ 8 \yh939.0 34 S~e3s
40.3 NBr42'40E
J ~J p 2
o ~;e 92• 382
N I - _ ~ ~1_ I _ W • 1
Droinoge - } I I N69 z 19.77'
t0~ --W I OI m ~Ih Easement v0~'
m v
I > °o °j HWE=93240' -pfi °P °
U n x I I N69 1'2 \
g
PART OF LOT 3 ° SBa76 t sp ~Fr\ \ ^ e 730,830 s ft.
2 33' 3J' Z N lU22, E 2/~ _ `'°,oYO .~y ~o'srn P V,Im 300 acres
PARCEL DESCRIBED IN ° -4 / ry/y ' " m °9~~or N LBO = 939.20'
VOL 2077 Pr'_ M
239 730,812 sq. ft.
I 3.00 acres \G'S ~~s yg/k\h 6'~h a
RfCP DED IS 58845 ~'W -
LBO = 934.40" rt S
33.00' 588'56'22°E 938.2
6 p\Sx t476,32,
415.04' 3 6 \ \ 63.53' 100; 32.9~s
N 382.04' 7 6b .%N 9'S ~~~161 b`p 12.9 p 65.5p: ;p9~.74
Q6 '1~1
\ CS ~6 6/~E.. Aq, ^^i oAec~ 0
42
o 273.19' 5 ~y99 7
29
z N 88'56'22"W 130590 sq. ft. 2473 ~3 593 d62 p 5 `qy c° eFe~~ry
33. IO' 33.0 J.'00 aCreS 42"k, C9 'S o 3. 8,1-3 0 h ~9 ~M1
306.19' 41.34 &7 3 . eo k6 f
, LBO = 93220' o / t7g S s 2 d lb,
71.
I I ? ~ M~~} ~ e~I~ 2 e642~\ 3p3 ~ig419 /~6/ .
~'s2•
PARCEL >r -l
0 1 e
a}~~579 ~FJ 60' io. - oAe cti Op J0
DESCRIBED IN: CD 131,155 sq. ft. 106 ~ a 'lo~~F~~y. ~ 1s?\
0 3cl, 0 01 acres 9 1 5
u VOL. 1227 0 LBO = 932.20' `ss Droinoge z B
C) _ 04°G7j ~q~
m ti O Easement s r k
PAGE 497 Z 130,810 sq.ft. N a\
v - - - - - - - u, 0• .sw HWE=930.20'
3.00 acres
o O u~m LBO = 935.00'
i 2 26.20 H. 80' 7empavey cul-do-soc~
i
- _ - - - \ h \ -1200.71'- 22~.JF Ea -t- - a to [ne remo roovedd)
455.90' 12o.4s' \ 107.59` yM1 uP~ extonslon
I 627.22' \ - E
West 114 Corner
Section 23-31-19 South line of the N 112 64.°t3' N88'56'22"W
(found aluminum of the NW 114 NaszJ~
i County monument) UN PLATTED LANDS CEN7ER
NOTES
ELEVATIONS ARE USGS NAVD 1988 BASED ON CPS OBSERVATIONS.
~lr
1214
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3
Division of Safety and Buildings
tY in accordance with Comm 85, Wis. Adm. Code Tom Schmitt
Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix
include, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel 1.D.
Please print all information. Revie B / Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). - 3 jf
Property Owner Property Location
Grand Properties, LP _ t Govt. Lot NW 1/4 NW 1/4 S 23 T 31 N R 19 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
712 Rivard Streeet, Suite 300 a 4 Gavin's Acres :h
City State Zip Code Phone Number City Village ✓ Town Nearest Road
Somerset ~VI 54025 715-247-59013 Somerset 62Nd St.
✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD
Replacement Public or commercial - Describe:
Parent material Outwash Flood plain elevation, if applicable na
General comments
and recommendations: Area is suitable for a conventional system with a 0. Srgpd/sqft rating. Possible system elevation for Area 1 is
97.74'. Slope is 6%.-~ ff s
Boring # Boring
Pit Ground Surface elev. 100.44 ft. Depth to limiting factor 96+ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ffz
*Eff#1 *Eff#2
1 0-8 1Oyr4/3 none Is 1csbk mvfr as 1f .7 1.6
2 8-17 1Oyr4/4 none Is 1msbk mvfr 9w 1f .7 1.6
3 17-31 7.5yr4/4 none sl 3msbk mfr gvv .6 1.0
4 31-54 1Oyr4/6 none sl 2fsbk mfr 9W .6 1.0
5 54-96 1Oyr5/4 none s Osg ml - .7 1.6
51- 91t11' bands of 7.5yr4/6 msbk
Fil Boring # Boring
✓ Pit Ground Surface elev. 98.49 ft. Depth to limiting factor 98+ in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft'
*Eff#1 *Eff#2
1 0-8 1 Oyr3/4 none Is 1 msbk mvfr as if .7 1.6
2 8-29 1Oyr4/4 none Is 1csbk mvfr 9W 1f .7 1.6
3 2949 1Oyr4/6 none s Osg ml gw .7 1.6
4 49-98 1Oyr4/6 none fs Osg ml .5 1.0
* Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS< 30 mg/L and TSS <30 mg/L
CST Name (Please Print) Signature: - CST Number
Thomas J. Schmitt /L,----~' 227429
Address Tom Schmitt Date Evaluation Conducted Telephone Number
1595 72nd St., New Richmond, WI 54017 4/15/04 715-247-2941
Property Owner Grand Properties, LP Parcel ID # Page 2 of 3
a Boring # Boring
✓ Pit Ground Surface elev. 100.24 ft. Depth to limiting factor 69 in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
*Eff#1 *Eff#2
1 0-9 10yr3/4 none Is 1msbk mvfr as 1f .7 1.6
2 9-35 10yr4/3 none sl 2msbk mvfr cs 1f .6 1.0
3 35-57 7.5yr4/6 none Is Osg ml gw .7 1.6
4 57-69 7.5yr5/4 none s Osg ml cs .7 1.6
5 69-84 10yr5/4 m2d 7.5yr5/8 7.5yr5/2 sl 1 msbk mfr .4 .7
5T'- 69' 2" bands of Is 7.5yr4/41 msbk.
Ilk
❑ Boring # Boring
Pit Ground Surface elev. 102.39 ft. Depth to limiting factor 94+ gyn. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2
*Eff#1 *Eff#2
1 0-12 10yr4/3 none Is 1msbk mvfr as 1f .7 1.6
2 12-31 10yr5/4 none s Osg ml 9w .7 1.6
3 31-74 10yr5/6 none s Osg ml cs .7 1.6
4 74-94 10yr4/4 none sl 2msbk mfi .6 1.0
v
❑ 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/fil
*Eff#1 *Eff#2
I,
* Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 S_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.
11Y /-,,?/IV
Page 3 of 3
Conducted by: Conducted for:
Schmitt Soil & Site Evaluations Name: Grand Properties, LP
Thomas J. Schmitt, CST 227429 Address: 712 Rivard St. Suite 100
1595 72nd St. City, State, Zip: Somerset, W1 54025
New Richmond, Wl 54017
Phone: 715.247.2941 Subd.Name: Gavin's Acres,
Lot No.
~r~-- IY41 1/4, M 1/4, S 23, T 31 N, R 19 W
Township of Somerset
BM El. 100.00' 7c ~O o S-lee / 1c,14-
BM El o/
Alternate
Slope = %3 Contour Line El. W/4
t
Scale: F= 40'
r
.3 y
cLj
eCR
I ~
This soil report was done to fulfill a Zoning requirement. It may or may not be in a location that is
suitable for your use. No permanent lot markers were in place when the test was conducted.