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HomeMy WebLinkAbout030-1093-95-100 I County: Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 600372 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: Village Township Parcel Tax No: Travis Christmann City TOWN OF SAINT JOSEPH 030-1093-95-100 CST BM Elev: Insp. B v: BM Description: Section/Town/Range/Map No: 5" -:5 1 M GST 32.30.19.342E TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER . AjF CAPACITY STATION BS HI FS ELEV. Septic JfcG~ ~o., L / 14160 Benchmark d.q Dosing C. "L, (0~ Ak76 ~ ~ 0 Or^ aFG t Bldg. Sewer , 3 Holding St/Ht Inlet y3 , 7 i ~ TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L4- WELL BLDG Ven o Air Intake ROAD Dt Inlet Septic Dt Bottom S ~ ~ •r Dosing Header/Man.' J/1 • 7 Aeration /V Dist. Pipe W~ C'1% y7-ti Holding Bot. System 7.4a `f. V ~ ad ~I PUMP/SIPHON INFORMATION Final C~ 3 /~L ell^ Manufacturer Ve ! GP Demand St Cover C J~ j _ Model Number ( 6 TDH Lift C Friction L ; System He d TD~ ' t Forcemain Length Dia.Z ii I Dist. to Well _ Z(ob SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Tren PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3" Z ( ` 'ev,.S" SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer INFORMATION CHAMBER OR ~~I~ I a Type Of System: r +1 A UNIT Modedumber:! ,r DISTRIBUTION SYSTEM ~y~/cj /✓S toAir ake Header/Manifo}d Distribution _ x Hole Size x Hole Spacing V _ f,~ Pipe(s) ✓ Length Dia / Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only q'w Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges O~ Topsoil Yes E] No Yes E] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 461 OLD E EAST C_L0. --!5 J'-- 1. ~GJW d' 1.) Alt BM Description ;Insep 2.) Bldg sewer length / 7S- amount of cover ~ Plan revision Required? Yes to Use other side for additional information. Date Sig re Cert. No. SBD-6710 (R.3/97) 51 V,-9 County rsj Safety and Buildings Division j -1 < o R 4 2018 201 W. W ' gto ve. .O. 7162 Sanitary Permit Number (to be filled in by Co.) P l Ma n, 37 -71 ~~lX colalltiv~ 6663 ?z ~t o welooment , unitary Permit Application State Transacp2n Number In accordance with SPS 383.21(2), Wis. Aden Code, submission of this form to the appropriate governmental unit ~(N/ is required prior to obtaining a sanitary permit Note: Application forms for state-owned POWTS are submitted to Project Address (if different than trailing 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. I) m), Stats. L !I L Application Information - Please Print All Information C' Property Owner's Name Parcel # r Property Owner's Mailing Address Property Location 3 ^ y 3 O~ f l L7 J Govt Lot ~f 1 City, state Zip Code Phone Number Section L.t...~ , ~ cri T~ N; R -le E W i II. ype of Building (check all that apply) ' Lot # or 2.Family Dwelling -Number of Bedroo Subdivision Name ok e4 Bl~ ❑ PublicJCommercial - Describe Use ❑ City of lJ State Owmed - Describe Use CSM Number ❑ Village of Z n"? Town of J~. (7 OL4 III. Type of Permit: (Check only one ox online A. Complete line B if applicable) Z n A. 'System ❑ Replacement System ❑ Treatment/Holding Tank P_eplacement Only ❑ Other Modification to Existing System (explain) I B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner lkah-L % 4 IV. Type of POWTS System/Component/Device: (Check all that apply) on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound 24 in. of suitable soil ❑ Mound < 24 in- o suitable soil ❑ Holding Tank ❑ Other Dispersal Component (expl ❑ Pretreatment Device (explain) V. Dis rsaliTreatment Area Information: ) , , j S r Design Flow (gpd~ Design Soil Application Rat dsf) Dispersal Area Required (sfl Dispersal rjo Ws: sf) System Elev o (12 1/ 1 .1 VL Tank Info Capacity in Total # of Manufactu Gallons Gallons Units New Tanks Existing Tanks i _ a>v y / o u a m I !I✓ ~ 1 U v~ ~ I v~ .z Ci Septic or Holding Tank C~ - I Dosing Chamber r VII. Responsibility State ent- 1, the undersigned, ass ponsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb S" ature MP/MPRS Number Business Phone Nurp_ ber ~c . . I' t j f I'lly Al Plumber's Address (Street City, State, Zip Code) ell l 12 VII. County/De artment Use Only NC31~ ~ pproved roved Permit Fee Date uueedd Issuino ent Signature E~Q.-6 'ven Reaso or Denial 5 #tF " " DL Conditt~l •asons for Disapproval 1. i Eifl i1te.- emi _U4J tif+ l luW prii ' l be s41 Lk in m X35' cl~n,of'otided bypluinllei'. I Per 2. -Ail 0961110(Yer,. .rn.s mlkUl AW&-ht+t_l Attach to Complete plans for the system and submit to the County only on paper not less than 8 r2 z I1 inches in size SBD-6398 (R. 11/11) System PLOT PLAN PROJECT Travis Christmann ADDRESS 250 150th Ave Houlton Wi 54802 SW 1/4 NE 1/4s 32 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX 1 SYSTEM ELEVATION 97.6/1.,6 5' below qrade 5/15/18 3 DATE BEDROOM CONVENTIONAL ,r r ti-- CONVENTIONAL LIFT XXX HOLDING TANK r'j 1000 gallons LIFT TANK sIZE630 DOSE, TANK SIZE MOUND SEPTIC/TANK SIZE HOLDING TANK SIZE LOAD RATE, .7 ABSORPTION AREA 651 # of chambers 38 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Old E East Scale = 1/4" = 10' All piping shall be ASTM SDR 30/34, within Vent 10' of tank, piping shall be ASTM F891 >6" Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 12 5.6ft^2/pair of end caps 4' Long ~i 34" Grade at System Elevation 131' B-4 B.M.* 2-3' X 78' Cells with >3' spacing B-1 30' S0' 128' Vents 21' B-2 71' 7% Slope 26' Pro Accessory Building 114' B-3 95' Pro 3 CO 190' Bedroom House 60' Y 60' 11' 47 1' Property Line Huffcutt Combo Tank Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County~~ ~ ;J Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. e, , percent slope, scale or dimensions, north arrow, and location and distance to nearest road., Please print all information. Reviewed by Date I Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)) 14 Property Owner Property Location Govt. Lot 1141j, E 114 S T c N E ( r) Property Owner's Mailing Address Lot # Block # Subd. Name or CSNW City State Zip C e Phone Number C3 City ❑ Village Town Nearest Road ~ y A : `Y~ l w y° - 1*11 d 1. New Construction Use: esidential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Pudic or commercial -Describe: _ - - - r - ft. Parent material r" s:--k Ji!',3 1r f Flood Plain elevation if applicable General comments i tw ~1 l and rooomi lendations: 1 m System Type C'_L~~' System Elevation Boring # ❑ Boring 11:1 Pit Ground surface elev. _ it. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 e F-1 El Boring # ® Boring Pit Ground surface elev. ft. Depth to limiting factor in. Sot1 tication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft? in. Munsell Qu. Sz. Cont. Cotes Gr. Sz. Sh. 'Eff#1 'Eff#2 • Effluent #1 = BOD- > 30 < 220 mq& and TSS >30 < 150 mpA • Effluent #2 = BOD, 30 mg& and TSS < 30 rr1g1L CST Name (Please Print) Sign, ",,e , CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Cooqucted Telephone Number 1432 120th St, New Richmond, WI 54017 715-246-4516 System PLOT PLAN PROJECT Travis Christmann ADDRESS 250 150th Ave Houlton Wi 54802 SW 1/4 NE 1/4S 32 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 94.1/93.6 5.3' below grade DATE 4/23/18 BEDROOM 3 CONVENTIONAL CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Old E East SC%fale = 1/1-t IV All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Vent >6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 5.6ft^2/pair of end caps 4' Long 12 131' 34" Grade at System Elevation B.M.* e B-1 30' 21' B 71' 7% Slope Oa ~4, B-3 Pro 3 Bedroom 0, House 7° Y 10, 20' uffcutt Combo Tank Z 7, d 47 1' Property Line y~ / Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 4/28/18 Owner: Travis Christmann Location: SW 1/4 NE 1/4 S 32 T30 N,R19W 461 Old E East St. Joseph System type: In-ground absorbtion system (conventional) Manuals Used: In-ground absorbtion system (version 2.0) Pressure Distribution Manual (version 2.0) Page# r 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications Sheet 8. Dose Tank Cross Secti y 9. Pump Curve 1(' Signature License number #226900 System PLOT PLAN PROJECT Travis Christmann ADDRESS 250 150th Ave Houlton Wi 54802 SW 1/4 NE 1/4S 32 /T 30 N/R 19 W TOWN St. Joseph COUNTY ST. CROIX SYSTEM ELEVATION 94.1/93.6 5.3' below grade DATE 4/23/18 BEDROOM 3 CONVENTIONAL CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE630 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. same as benchmark Old E East Scale = 1/4" = 10' All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 Vent >6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 4 Long 12" 5.6ft^2/pair of end caps ' 131' 34" Grade at System Elevation B.M.* B-1 30' 128' '~k Vents 21' B-2 71' 7% Slope 26' 114' B-3 -11111-0 Pro 3 Bedroom 70' House 10' 20' uffeutt Combo Tank 471' Property Line Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber To be >1' above grade 5.6ft 2 pair of end plates Finish grade elevation Typical Installation 99.40' Y Vent G rade Vent 3, 4„ 3, x/30/34 Septic Tank 5' Long 1 5' S' Long 1 Grade at System Elevation -10 " Grade at System Elevation Spacing 5' 2-3' X 66' Cells Same on other end Observation tube/Vent At end of cell A B 16 chambers per cell System elevations: A-94. 1' B-93.6' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner r~~~ Z-~C.. Septic Tank Capacity al ❑ NA Permit # Septic Tank Manufacturer /1 ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model O NA i Number of Public Facility Units `Ii NA Pump Tank Capacity al NA j Estimated flow (average) _ -'C~D aUda Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) Y J al/day Pump Manufacturer ❑ NA Soil Application Rate j Pump Model al/da lft p o~ ❑ NA i Standard Influent/Effluent Quality Monthly average" Pretreatment Unit -211NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) X220 mg/L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) :5150 mgiL ❑ Disinfection ❑ Other. Pretreated Effluent Quality Monthly average Dispersal Cell(s) O NA Biochemical Oxygen Demand (BODs) 530 mg/L ,n-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) 530 mg/L t ❑ At-Grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100ml ❑ Drip-Line ❑ Other: iMaximum Effluent Particle Size Ya in dia. ❑ NA Other ❑ NA Other: Other: NA ❑ NA "Values typical for domestic wastewater and septic tank effluent Other ❑ NA IAINTENANCE SCHEDULE Service Event Service Frequency (inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA ~a 54ear(s) (Pump out contents of tank(s) When combined sludge and scum equals one-third of tank volume ❑ NA linspect dispersal oeli(s) At least once every: 2 ❑ month(s) (Maximum 3 years) ❑ NA year (Clean effluent filter At least once every: / ❑ onth(s) ❑ NA l 4ar(s) ❑ month(s) I nspect pump, pump controls & alarm At least once every: earls❑ NA 1=11ush laterals and pressure test At least once every: ❑ month(s) NA ❑ year(s) ether. At least once every: ❑ month(s) NA Xher: ❑ year(s) 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 iinclude a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of icembined 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 I-egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (X) or more of the tank volume, the entire contents of j:he 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, land 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 authoritywithin 10 days of completion of any service event. Page of , 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 th*t may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of tho 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 bje 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 with lri 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 POWT•$: antibiotics; baby wipes; cigarede butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation dralin (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pestictikles; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS falls and/or is permanently taken out of service the following steps shall be taken to insure that the system is propetly and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space fined with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ,PLA suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requirled setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rule$ 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. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaiuaoon must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed) as a last resort to replace the failed POWTS. ❑ Mound and at-grade sail absorption systems may be reconstructed in place following removal of the biomat at the infiltralive surface. Ructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TAN UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O~ A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS „ POWTS INSTALLER POWTS MAINTAINER a-V r Name ' 4: f~, Nemes_ ~`^.<~_~s SEPTAGE SERVICING OPERATOR UMPER LOCAL REGULATORY AUTHORITY 1-7 Name ( Z ' r / Name ' Phone J l Phone W C Cl This doarment was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.,54(1), (2) & (3), WWxinsin Administrative Code. Z z I f J D _ I I- I I r I o CD d E f ~ i ~ f I T t ~ I I ail b i ~ ~ t N 1 F , Vt I i ~ f Septic-Dose Wank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufacturer c t' ank Model Number, Pump Model Number Total Tank Capacity ,7 ~ c~ Alarm Manufacturer C - i Max. Bury Depth Alarm Model Number ✓ Switch Type T c Filter Manufacturer Total Dynamic Head (TDH) - Feet Filter Model Numbed c7 Elevation Head - Distal Pressure Network Loss Minimum Pump performance Required Force Main Loss ~ ~ ZS . GPM Ft TDIR Total Outlet Manhole Min. 4" Above Grade With Manhole Min. 4" Above Grade Locking Device. Inlet Manhole With Locking Device < 6" Below Grade Sealed Watertight Securely Mounted Weather-proof 1 Junction Box . - -r Finished Grade t- - - `r a Vent Min. 12" Disconnect Above Grade Means With Vent Cap C ;a ~<,<,< ~ r putlet Filter Ilet Inlet Baffle Switch Sd ngs and Reserve CapaA %a" Tank Volume = GPI " Weep Dimension in Volume Gal. B Hole (reserve) (alarm) 13' 2 ~-1 Off Elevation C J 1 Ft (dose) C 7 Bottom IX I ' (dead) D, D Elevation Total Ft j 'ar<,`"<r<~ :':`n .'a•a l:': i . , r > > r `,'>'r', `sa r'i r`i •`r`> >'r`i r.. < < . . e•1' t•• < . t . t < a , t < e </~t>ari'ta•t•1 (1••'{ <>1't't 1•<'a't•1>/•.`/'< < i•. 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. 02/05 U Page of 280=SERIES 112 hp Submersible Effluent/Sump Pumps The Liberty 280-Series provides a cost effective "mid- Performance Curve: 2$0_Se/Yes range" pump for on-site waste water systems, liquid waste transfer and commercial heavy-duty sump pump applications that require higher head or more flow. 35 11 Designed around Liberty's unique "Uni-Body" casting, 30 the 280-Series will provide years of reliable performance. 9 ~ 25 8 v All Models Feature: ~ 20 s • Vortex style impeller permitting passage of solids 1 5 Up to • 416 stainless steel rotor shaft 10 3 • Permanently lubricated upper and lower ball bearing 5 2 • Epoxy powder coat finish 0 0 • All fasteners - corrosion-resistant stainless steel 0 5 10 15 20 5 30 35 40 45 50 55 60 65 70 -1Y2" Discharge U.S. Gallons Per Minute • Stainless steel bottom screen - easily removable 156 192 228 270 • Maximum fluid temperature: 140° F. 0 38 78 114 Liters Per Minute 280-Series Cord Lengths Model 10' 25'(_2) 351(_3) 5) Dimensional Data., 291bs. 280 Standard Optional Optional Optional Wight: 13" 281 Standard Optional Optional Optional Major Width: 10" (model 287) 283 Standard Optional Optional WA 287 Standard Optional WA WA Minimum Sump Diameters: 10' cord length standard on all models. For optional lengths, Model 281, 283...14" add "-2, -3 or -5" suffix to model number. Model 287 VMF...10" Example: for model 280 with 35' cord, order 280-3 Factory switch Model 281, 283 Model 287 settings VMF Motor Specifications Turn on level 13" 9.511 Y2 hp 60 Hz 3450 RPM Turn off level 7" 4.0" Oil filled, thermally protected (PSG) Permanent Split Capacitor The Model 283 features a fully adjustable wide-angle float Differential 8.0 amps (115V) adjustments can be made easily by tethering the float to the dis- 4.0 amps (208/230V) charge pipe or other mounting point Vertical float model 287 is not adjustable. Model 280 Model 281 Model 283 Model 287 Manual, Wide angle Wide angle VMF-Series no switch float switch float switch Vertical mag- with quick- with series netic float for disconnect (piggy-back) smaller pits - plug will operate in a 10" diameter sump, SSPN~ caus ® c Certified specifications are subject to change without notice. Liberty Pumps • 7000 Apple Tree Avenue* Bergen, New York 14416 • Phone 800-543-2550 Fax(585)494-18 3,q www.libertypumps.com copyright @ Liberty Pumps, Inc. 2017 All rights reserved. LUT 2000 R05/17 i ST. CROIX COUNT"e SEPTIC TANK MAINTENANCE 1'~GREEMENT AND OWNERSHIP CERTMICATIGN FORM Owner/Buyer .t/l. Mailing .Address Property Addre s 6 21, (Verification required from Planning & Zoning Department for new construction City/State _ Parcel Identification Nur -iber LEGAL DESCRIPTION Property Locatioa%,L4--~ ,/V~'/, , Sec. 3 / r _N I?Lr W, Town 01'5f . -10 S' Subdivision - - Lot # Certified Survey Map # f C - , Volume Page # ~2-7 _9 9 Warranty Deed # Volume -Page # Spec house yes no Lot luxes identifiable y 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 & Zen ing 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 standards set forth, herein, as set by the Department of Commercc and the Departrrient 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 for 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 warran deed recorded in Register of DeeiE' Office. Numr of bedrg0 s S NATURE OF APPLICANTS} DATE ***Any information that is misrepresented may result in the sanitary perrnit being &:voked 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. (REV. 08/05) w f ~ r n ml E m d m ; m iy m Z i :fl 1 _ U a 1 ~cm m m m I i ~ c J ry d LL IT 3 w t 3 n N O 0) N 'c5 9- L - 17] 'tea E L 9l/F 5,b m-! - x $ in in w o N F „Z}L air/L G--S °o N 2 ` 4L lm O = cV 70SOi'j' J2}5B`..i Nr ~ ~ G` 3b"Va y It nity a cn ~D m <o c°f 1y rv ; i 0 v US c j a 1 atJ_Z6 Z71 aZLZ6-~~l 3 r ' #1656 1T/!SCOIISIn QEV LUATION REPORT CIE ccordance 'th Comm 85, Wis. Adm. Code Page 1 of 3 Department of Commerce Division of Safety and Buildin Steel's Soil Service, Inc. g 105 County Attach complete site plan on paper of less,ll~ 811 x"I 1 inches in si Plan must St. Croix include, but not limited to: vertical a hori t l refere(BM), direction and percent slope, scale or dimensions, orth arrow, a d dist ce to nearest road. Parcel I.D. qS~ / dd c,\~ncei~t( F~ 030-1093--- Please pri t all r~tt Reviewed Dat Personal information you provide may be u Loon'dary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Johnson giaF`anna fJ_~ Govt. Lot na SW1/4, NE1/4, S32, T30N, R19W e s Mailing Dp P rty Ownery' E East g Address Lot # Block # Subd. Name or CSM# na CSM Vol. 3 P 56 00 C'65 Old Ct State Zip Code Phone Number 6 City Village Town Nearest Road Hudson WI 54016 612-366-4197 St.Joseph Old Cty Rd E East New Construction Use: Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement Public or commercial - Describe: na Parent material Glacial Outwash plains and Stream Terraces Flood plain elevation, if applicable na ft. General comments Conventional system, system elevation 94.15ft below grade. Trenches spaced and depth to code 5.25ft below grade. and recommendations: Boring # Ground surface elev. 99.40 ft. Depth to limiting factor 100 in. 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 0-18 10yr3/1 none sil 2msbk mfr 1 cs 2c 6 8 2 18-40 10yr4/4 none scl 2msbk mfr gw 1vf .4 .6 3 40-54 7.5yr4/4 none cos osg mvfr gw na .7 1.6 4 54-110 7.5yr4/6 none ms osg ml na na .7 1.6 ❑ Boring # JI Ground surface elev. 99.40 ft. Depth to limiting factor 100 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 0-12 10yr3/1 none sil 2msbk mfr cs 7na .6 .8 2 12-37 10yr4/4 none scl 2msbk mfr gw .4 .6 3 37-54 7.5yr4/4 none sl 2msbk mfr gw .6 1.0 4 54-110 7.5yr4/6 none cos osg ml na na .7 1.6 f6D a * 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 248956 Address Steel's Soil Service, Ins - Y Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 4/16/2005 715-760-0347 SBD-8330 (R.07/001 Property Owner Johnson, Georgianna Parcel ID # _030-1093-70-000 Page 2 of 3 I Boring # Ground surface elev. _ 98. ft. Depth to limiting factor 1,00 In. _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 0-10 10yr3/1 none sil 2msbk mfr cs 2c .6 .8 2 10-24 10yr4/4 none Sid 2msbk mfr gw na .4 .6 3 24-42 7.5yr4/4 none grcos osg mvfr gw na .7 1.6 4 42-110 7.5yr4/6 none ms osg ml na na .7 1.6 F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. 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 I i ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. 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 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 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. SBD-8330 IK_07/00) Steel's Soil Service. Inc. STEEL'S SOIL SERVICE INC. 3 of 3 David J. Steel Georgianna Johnson 994200 th St. CST-POWTSM SW I /4,SE I /4,S32,T30N,R I 9W Baldwin, WI 54002 Lie. #248956 Town of St. Joseph, St Croix Co. Ce1L(715) 760-0347 Lot, 6 CSM Vol. 3 Pg 856 Fax.(715) 684-3449 Legend N 1"=40' ♦ -Benchmark Ele. 100.00 ft Top of 3/4" Steel pipe • = Alt Benchmark Ele. 99.90 ft Top of 3/4" Steel pipe = Borings Boring Elevations BI = 99.40 ft B2 = 99.40 ft B3 = 98.90 ft B4 - 0.00 ft i y i y i `7/ - ~4r 79 1 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page-/ of Dwisrc i of Safety and Buildings - t~~ In accordance with C:omr!t..yl5. 1^.'is. Aom. Cone County Attach complete site plan on paper not less than 8 2 x 11 inches in size. Plan must r D r x include, but net limited to. vertical and honzonln' reference point (Skij, direction and Parcel LUn ~j percent slope. scale ordlmensions, north arrow and locatwn and distance to nearest road. - c % / ! Please print all information. Reviewed b Dat C Personal,Mormaeon you prcvale may be used for secondary purposes (Privacy Law. s 15 oa (1) (m)) Property Owner Property Location cz 1 ~~/'V i JT a- r•• y - Gow. Lot 51 0 1;4/,/)F IA S f~ T ~ ON R / q E to( 'W Block # Subd Name or CSW Ise Property Owner's Mailing Address Lot city Stat Zip Code Phone Number ❑ City ❑ Village. ~L]TOwn Nearest Road New Construction Use' Resoenbal I Number of bedrooms _ Code derived oesign flow rate GPD Replacement tmet ❑ Public or o0mmerpol Describe: _ ❑ / ` Parent matonal Flood Plum elevation it applicable h General rrrwnt5 and recommendations-. ~.;~`i-v o. --Ct: Cic-r--- 6• S /'PIBW~ -crfJt L T= r 51'stem Tyne[-,7 /I/J Sysleri Cladatia: ' Boring # El Boring ® Pit Ground surface elev..__ ft. Depth to hmNrg facto in. Soil ication Ra!e Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD," in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'E 'f#1 'EB42 Boring # Bong pit Ground sudacc elev.?z' ` B. Depth to limiting factor '12d-111. - Sal App;icaton Rate Hoizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD#f in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh, 'Eff#1 -Etf#2 .41- and TSS < 30 rtry'L Effluent #1 = SOD > 30 < 220 mil. and TSS >30 < 150 ' Effluent #2 = BOD < 30 bat CST Narita (Please Print) S CST Number Bird Ph.mbinc), Inc. SheNn Bird 226900 ~]^r:.yp fy~Fv,!I dr r:~~i 'u-I- eV r-N,in'c=. 15 ~ % -246 1516 1008 19?nil Ave. Now RichrnonJ. V/1 54C17 I Property Owner__ Parcel lDk Page of Boring9 ❑ Boring yt f l E ® Pit Ground surface elev.,/! C/ • ^ft Depth to IimNng factor in. Soil lirafion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO+If in. Munsel; cu. Sz. Coot- Cdor Gr. Sz. Sh. •E"I *E"12 "4j- L'14 1V1,4 -5-V CIT Boring # ❑ Boring i_ ❑ Pit Ground suface elev. Depth to limiting factor in. Soil MoL•eahon ?ate. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff _ is Munsell Ou. Sz. Cont. Color Gr Sz. Sh- •EIBii 'Eff#2 I I Boring # Boring ❑ Pit Ground snafaceelev. N- Depth to limiting factor in. Shc lication Rate Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence Bourxtary Roots GPDM _ I in. Munsell Ou Sz. Cont. Color Gr. Sz. Sh. •ERR7 'Eff#2 Effluent p1 = BOD, > 30 < 220 ng•1 and TSS -30 < 150 mg4 • Effluent A2 = BODE < 30 fng& and TSS < 30 nxgL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material i:: an alternntc forma:, plcasr contact the department at 60s-266-31 SI m''1-IY 603-264_- 7??. SUU Wu1x nW' Soil Test Plot Plan , ' Project Name Travis Christmann Shau rd Address 1745 Maryland Ave E Saint Paul Mn 55106 G I N;l #226900 Lot 6 Subdivision Date 9/3114 SW 1/4 NE 1/4S 32 T 30 N/R19 W Township St. Joseph Boring O Well PL Property Line County ST. CROIX BM or VRp Assume Elevation 100 ft. Top of 314" pipe System Elevation 93.9/93.4 6.5' below grade *HRP Same as Benchmark Old E East Scale is 1" = 40' unless otherwise noted 100.5' B-3 45' 100' 30' R.M.` 98.5' 120' 15' B 2 90' - Slope R-1 N 470' Properly Line -v':uc•.9 oop;rtrnertt of Industry. SOIL AND SITE EVALUATION REPORT Page Hof Labs z. ',d :'luman Relations 0-vision of Safety 8 Buildings in accord with ILHR 83.05. Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include. but y - -i e' t not lini to vertical ana nonzonta: ro!erence point (BM), direction and % of slope, scale or PARCEL LC. C1~ dimensioned, north arrow, and location and distance to nearest road. 6'~(_ , -74_ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REV PY ?ATE PROPER~TTY~eCWNER. - -RCPERTY LOGA'ICV Ln fO r r A-.~n 7rC%- l~•.S fyr~___ GOVT . -0" S~ V4 N 6. 114.53?- 30 N,R /y Kor) W _ NE R CStv1 # P~ROPA CW 5 VgiL6NG ADDRA ''SS B-OCd # SUED. NA crjA4 in It (C 4zf CITY, STA E I ZIP CODE PFONE NLNIBER ~nC TY ❑]'ILLA-E 2YOWN NEAREST ;O AD t ~v c S C'v) t t , scc r ; - 55L9- 77(5 [,A New Construction Use Residential; Number o' bedrooms Addition to existing building [ Replacement (J Public or commercial describe Code adrivea daily flow &c0 gpd Recommenced design loading rate oed, gpa ft2' trench. gpm-n- Absorption area required Z.SO bed, 112 .2:.~;Tc trench, tt2 Maximum design loading rate S bed. gpd!ft2 L bench. gpdgt2 Recommended infiltration surface elevation(s) /ep / ft (as rf!fened to site RIan benchmark) Additional design r site considerations y✓ f}' _ _ j~? - ! - : , r Parent mateaa Flood 'plain elevation, if applicable 69 $ _ $uilable 10r System CONVENTIONAL MOUND IN-GflOUN" PaESSI.HE '"GRAD^ C4STEre V ILL •+OLDIN0 -ANK U = Unsuitab'e for system ❑ S 4 U ZS ❑ U ❑ S X711 ❑ S ill I ❑ S ~4- ❑ S Im SOIL DESCRIPTION REPORT Depth Dominant Color Motes Texture Structure Consistence Bougicory Roots GPD)tt Boring # Horizon in. Munsell Cu. Sz. Cont Color Gr. Sz. Sh. Bed Trend) / -l3 G rL V-Z-_ /16-77 ~ a rn ti r ' ~ ~ ~ .S oZ 5 • ~ 7 7_ _:./6 rL`-// - X OYI E S i _ m Sae S / G w , 5 E sC- l a 5<~ S Ground J - 5! //5 vrt N/ fee elev.7c /oc,11 '.J- S- 'M l~L~rrE S~ ✓n I CJ S i Depth to _ 83 C) Y/J~ S E S / JL~ limiting factor Remarks: Boring # is MV / Ground /o 5` 75 -5/2 _ O _S _ I c I ti/~ • 7 ji- elev. q° - a rL'/3 f[ - Depth to - limiting face L- Remarks: CST Name-Please Print iv of ~ ddress _S z n p r9y/~ d - 664-..S<l 17 S.gnahure: z z Date: CST 7-fi; Number: _SJ~iI> -Sb ► PROPERTY OWNE SOIL DESCRIPTION REPORT Page_Z_et _3 PARCEL I.D.% Deptn Dominant Color i Mottles Texture Structure Consistence RM13M j Roots GPD' L4 Boring # Honzcni n, Munsell Ou.Sz.Cont. Color Cr. Sz, Sh. Bed Trenm Z 2-_~6 , /~/y2`t"/¢ !/I r~l'l L oS• ~~~~.5/.3/ Y~ ~ ~ I l ~_5 ' ~ Ground /Q ~2S/ 6o2X\ SG-/ .3 elev9o - -Al Depthto n' Y4"llzl- -S mi6ng factor, I Remarks: Boring # L Ground elev. - t - - Depth to - - - limi6ng factor - - - Remarks: Boring # - Ground - elev. I Depth to limiting factor RemarKS: _ Boring # Ground -i elev. It. - - - Depth to limiting 'actor - - Remarks: enn_allleu n' ;c;' PROPER-•OYME 11,¢t L44S-on- SOIL DESCRIPTION REPORT 'aseL~f_3 PARCEL I.D.D Boring 4 '•-crizont Depth Dominant Colo., i Molt:es Texture st•ucn,re 0,ansvencelBaxxarv Roo:si C' D`+„ n. Munse:, OL'. Sz. Cent Colo! Gr. Sz. Sr Bed !Trtxrn y,-z/z__ _L_ a- m s r3r5', cc~ 5 • L-r Iu,, i i around /(i' a-J tvl dv>✓ ,3 , ~ Depth to j 5F 7C /C n~l N% 1 imitinp laClor L l Remarks: Boring # Grand e.ev. I - It. i Depth to limiting factor Remarks: Boring Grounc - - elev. Depth to - - limning factor - - Remarks: Boring # Ground elev. Depth: to -T_ iimitinn_ factor ~ - F-T _ Remarks: - - a3'1_v~znta nc,~~, STEEL'S SOIL SERVICE Gai L. Sleel - 988=A1 EM~oe Brive C.S.T. 2296 //~o New Richmond. WI 54017 MPRSW-3254 hE B Y, i f}--"4 q /J of," /-~5 dY7 (715) 246-6200 4 14 5 fin ko314fwc 4 14------ Q'\ i~ ~90y Parcel 030-1093-95-100 or, arr:::; 0-148 I'M PAGE 1 OF 1 Alt. Parcel 32.30.19.342E 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): = Current Owner S A JOHNSON ' JOFINSON. S A 465 OLD E EAS I HUDSON WI 5,1016 Districts: SC = School SP = Special Property Address(es): ' = Win,ary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 3.000 Plat: WA-NOT AVAILABLE SEC 32 T30N Rl9W PT SW NE BEING LO 1 6 OF BlocklCondo Bldg: CSM 102788 3 ACRES Tract(s): (Sec-Iwn-Rng 40114 1601:4) 32-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 2004 SUMMARY Bill Fair Market Value: Assessed with: 5512 80,200 Valuations: Last Changed: OT08+2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3,000 78.900 0 78,900 NO Totals for 2004: General Property 3.000 78,900 0 78,9()0 Woodland 0000 0 0 Totals for 2003: General Property 3-000 46,400 0 46,400 Woodland 0-000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0-00 03/17/2005 13:36 7152460010 WELCCME HOME GIV1C PAGE 07/07 vwneo oy: b. A. Johnson 465 Jld £ East _ HudeOn, W i 54016 „ ► - _ ` Y 1 AYs-p2 N ,d 1 , 249. t 81 07' d'E 673 ~URVF. RATA - - ) N79• 100 K.... VNE. PAOE_432_ R - :533.00' StT O, 6 1* 1 YI i = 33r. 80' Chord = N79°35153"E a c~ Q.O 6 33.80' w Tangents - 130, 890 Sq. Ft. ,4t r N80413147"E -q (3.00 acre") IV N78' 57159"E nI; m ; 8_O If 5 z N I A' 1. 18' 1 I h e ' Q ,Y (CHORD - 34.70'1 420,631 Sq. Ft. It O u) (9.66 acres) r m 0 O o M / e W W tpl m Cu m .1/4 COs ml b 31; SEC 32 I 1 W N Ian w! mz .7 s m C!1} 41 - - in _ 75 51 C v[ a O o zI 11711 o O _ EXISTING N r,"' ~l ul - OI i O Jam- NOOSE 3 0 i Wl dl >11 1z WILL : W WI L ZW - ...il DI W! r.I I me Bearings referenced to the 031 Bearinga Li s North-South quarter election wl3 referenced to y ; ~0 line, pravioueIy recorded that Certified ae N01 11141"W a Survey Map -II w recorded in Vol. 3, pg-856. (sea-H'02"w 600.00') 7r 121e.e2' ) lyar•11'o:"wl 218. 4' 3B1. Sd' 11oe.es•I ' ~A 8 aB 10'55"N 600.0x' `In 1411'41"YI C_J 1•'. VQ 3 ,_PAGE_$S(?_ - 114 j29rB. )r '1 O FI Cox LEGEND .1 0 1"X241' ;ron pipe weighing 1,68 yGo $ T a A ` SE CORNER OF IHE lbs. per tin, foot Oct. SW i/4 OF THE NEI/4 • 1" Iron pipe found, Y} HARVEY O• c zleaz') Previously recorded information, JOHNSON ~ S-18gp Sectlon curner monument = HUDSO 93 WI8 II (Berntsen capl' $GALE IN FEET I a Ie0' • _ O Fz`zz ~rrr rul`z .........m7 272 y~I~NO $Ufi`1~E 0 70, 160' 300' 460' This in3trument drafted by! 351. 4932749 Vol. 10 Page 2758