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HomeMy WebLinkAbout191-1011-90-050 , 0 0 A. \ E ; 3 \/ D 7 � 0 2 7 0// ° A \\\ Q } «_ \ ± $ % } \ / ;k § \ E ' @ / U') ` 3 & ° \ \ \ (/ G « \ k ƒ $ § a 7 E F 0\\ \ � \ \ / f 7 E / \ / / \ § . 0 0 \ \ 0 � - § \ 7 \ n r CD c 2 2 \ \ % \ � � . \ / "kA, 4 j j \ / \ . / } o R g \ i E I % (D - J a �\ cr ' \ A) � � ° %§j A & j w 0 ' \ ! � I $ / \ o . & C CD t m \ \ \ § \ � g � z 9 / \ z g 03 V > m It m = 0 \ FF ) ^ \$t � wE § \ � � ( ƒ � 0 \ % \ � \ 0 \ CL � � k � E § \ \ E \ i 2 \ CD 0 o \ { § \ Parcel #: 191 - 1011 -90 -050 08/08/2007 11:48 AM PAGE 1OF1 Alt. Parcel #: 26.29.15.95A 191 -VILLAGE OF WILSON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - GRANDAHL, CLINTON C & DONNA MAE CLINTON C & DONNA MAE GRANDAHL 1700 JOHNSON ST WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description * 1700 JOHNSON ST SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.500 Plat: N/A -NOT AVAILABLE SEC 26 T29N R15W PT NE SW DESC COMM S Block/Condo Bldg: 1/4 COR; TH N 00'W 1975.66FT TO POB; TH CONT N 00'W 255FT; TH S 89'W 256FT; TH Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) S PARALLEL TO E LN 255FT; TH S 89' E TO 26- 29N -15W NE SW POB Notes: Parcel History: 2004 TAXES PRORATED & PAID PER CLERK Date Doc # Vol /Page Type 3/15/05 11/02/2004 778786 2688/179 WD 06/13/2003 725812 2275/520 WD 04/24/2000 621781 1505/165 QC 07/23/1997 1093/398 WD more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/31/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.500 15,000 165,900 180,900 NO I Totals for 2007: General Property 1.500 15,000 165,900 180,900 Woodland 0.000 0 0 Totals for 2006: General Property 1.500 15,000 165,900 180,900 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 Wisconsin Department of Commerce, PRIVATE SEWAGE SYSTEM \ County: St. Croix Safety and Building Division � \ INSPECTION REPORT // Sanitary Permit No: (ATTACH TO PERMIT) Jp 463211 0 GENERAL INFORMATION �� State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. b_T 2 = WS A Permit Holder's Name: City X Village Township Parcel Tax No: Grandahl, Craig Village of Wilson CST BM Elev: r Insp. BM Elev: BM Description: Section/Town /Range /Map No: Co •a � (11` t +l 28.29.16. TANK INFORMATION ELEVATION DATA TYPE MANUFACTU CAPACI Y STATION BS HI FS ELEV. Septic Benchmark d S �C vaD ON 0 Dosing Ls7 Alt. BM Aeration Bldg. Sewer 9to 4C) Holding St/Ht Inlet J' r ego St/Ht Outlet TANK SETBACK INFORMATION -at TANK TO P/L WELL BLDG. ent to it IrLk ROAD Dt Inlet N ®v►M Septic r Dt Bottom F > 5a ~ 20 20 lo .Iz- 9 2• G Dosing t t Header /Man. ,p r 2• 9? VO • �0 Aeration Dist. Pipe o 2- Z S 24 100-V Holding Bot. System 7,D 9L 3.6K •la Fin Grade PUMP /SIPHON INFORMATION tv w `(, Le, �Z Manufacturer II Demand St over h ` TTL(-- Glow GPM R &Aa& Model Number 14- ctl_,I / ° 3 1 , �o TDH Lift Friction Loss System Head TDH Ft t 2 Forcemain Length r Dia. tt Dist. to Well SOIL&EJS ORPTION SYSTEM idth / Length No. Of f:as PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth b ` S f �C�O SYSTEM TO P/L JBLDG IWE LL LAKE /STREAM LEACWK IM acturer: 2?5WION CHAMBER O r del Number. Type Of System: r� - UNIT .- ISTRIBUTION SYSTEM eader/Manifold Distribution t �� x Hole Size x Hole Spacing Vent to Air Intake g // Pipe(s) \\ J. Spacing � . O ,3 / /� r � �7 tt en th Dia Length 3� � �Aia S acin ` SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded 1 xx Mulched Yes [ 1 No [] Yes N Bed/Trench Center Bed/Trench Edges Topsoil o COMMENTS: (Include code discrepencies persons present, etc.) I4;. Inspection #2: Wp Tat( Location: Johnson 1 54027 NE 1/4 NW 1/4 28 T29N RI jPacel I - .29. 0 1700 Joh so Street Wilson, W ( ' 1.) Alt BM Description = f `� W _ q _ �/ 2.) Bldg sewer length = 20 d R- t ,) S �"'�- ,(J ( � -Y• +9 , amount of cover = get Aaak LL •I 11 �^� St- �7 3.) Contour = W,tsp � roK (a 6 Plan revision Required? Yes fNo Q � � �S Use other side for additional information. ��, S Il nsepctor'sSi na t ure � BD- 10 (R.3 ` Cert. No. 1�7,`- �i'^�r' ��✓��y/`"^ -• "`�'^ �M �) a """" t E S� 05/07/2003 WED 07:21 FAX 1 715 Z32 4088 DUNN COUNIA i)L%E UY.11h;�i ® Safety and Buildings Division County W 201 W . Washington Ave„ P.O. Box 7162 5 CeD /)C consin Madison, WI 53707 - 7162 address Departmemt of Commerce W�ISg+► Sanitary Permit Application � Permit Numbirl , �Fb sr--? In accord with Comm 83.21, Wis. Adm. Code, personal information you provide y� may be used for secondary purposes Privacy Law s15.04 1 m ❑ Check if Revision I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number Cam �� ' : ]I ' Property Ow 's Mailing Address ro ilea y 1 -V / �- u �if • S P T; N. R E City, State Zip Code ^� '"� Phone Number Lot Number Blw Number— v S ���`' ) Subdivision Nau►p� CSM Number od W 11. Type of Sullding (cheek all that apply) a� 1 or 2 Family Dwelling - Number of Bedrooms -3 S 3 !J ❑ Public/Com- eicial - Describe Use ca^s av& tAk ak,% illage W i o�la ❑ State Owned oz S D/\ Nearest Road Lo Zs M. Type of Permit: (Cbcck only one box on line A (nuititbe ring scheme for internal use). Complete line B If applicable) A. > ew 2 ❑ Replacement System 3 0 Replacement of 6 1) Addition to F use stela Tank Onl Exisda System B. ❑ Check if Sanitary Permit Prev10113ly Issued Permit Number Date Issued N. 'lope of Permit: (Check all that apply umbering scheme is for internal nac) d4 ❑ Non - Pressurized In- Ground ound 47 ❑ Sand Filter 50 ❑ Cons niatcd Wedand 22 0 Pressurized In- Ground 41 ❑ Holding Tank dg ❑ single Pass 51 ❑ Drip line 45 ❑ At-Grade 46 ❑ Aerobic Treatment Unit 49 O ReeiEs dng 30 ❑ Other V. Dis ereal/Treatment Area Intotmation: ' k 7 S' = Zo Design Flow (gpd) Dispersal Area Dispersal AteL Soil Applicadoa Percolation Rare System Elevation Final Grade qS Required Proposed Rate(Gals. /Days /Sq,A) (Mindlnch) f Elevation 30 �o VI. Tank Info Ca . ry in Total Number Manuf zturer Prefab site Steel Fiber Plastic `Gallons Gallons of Tanks Concrete Constructed Glass New Batstlns T&WO TaNtr Septic or Holding Tank / Doslar Chamber 1 00 VII. Res onsibllity Statement- I, the undersipaed, assuna responsibility for installation of the POWTS sborn on the attached plans. PL is Name t) Plum r' ;gna a MP/MPRS Number Business Phone Number Plumber's Address (Steee ky, Smte. Zip Codc C Y I Z r Kai C �M w✓ SY7a 3 VIII. Corm /De artment 'Uee Onl Approved (]�ved Sanitary Permit Fco (includes Groundwater Date Issued Iss lag CDC ' s (No Samps) Sumbarge Fee) yen Adverse . t 3 51D - An � Determination / V V 1K. Conditlow of ApprovaUReasuns for Disapproval SYSTEM OWNER: 3� -Ad o • w '+4-1 V I Septic tank, effluent filter and la � �l es �.ar O t , 0 M OS La- e.,,_ dispersal cell must all be serviced / maintained Nov l� as per management plan provided by plumber. 2. All setback reauirements must be maintained as per applicable codWeld a (to 16e Coma only) for the syst on paper not lea than AW s U cinches In sire SBD -6398 (R. 05101) I _ N GRANDAHL SITE PLAN NE- SW- 28.29.16W JOHNSON STREET WILSON TOWNSHIP ST CROIX COUNTY, WI E �� S7 �/ , r W PARCEL DESCRIBED AS.— AC. S (�!! SCALE 0 10 20 (UNLESS SHOWN OTHERWISE) WILLIAM J. BERGH WISCONSIN CERTIFIED SOIL TESTER 75'X 6.0 AGGREGATE CELL DESIGNER OF ENGINEERING SYSTEMS i CUSTOMER ID 227819 ' // f;y r+ WITHIN A MOUND COMPONENT i' 3.8) ' J p O (90) z 0 PLACE UPSLOPE EDGE OF ROCK z ALONG THE FLAGGED 98.0' CONTOUR /. 0 m ry p 3.8) SKAW MODEL 10001600 SEPTICIPUMP TANK (w/approved outlet filter) O _10'- 4" ASTM PVC BUILDING SEWER LINE 30'- 2" SCH 40 PVC FORCEMAIN (must drain back to pump tank) - I I -PROPOSED 3 -BR - - BUILDING SITE LEGEND f ISj BENCHMARK ELEVATION = 100.0' _ _ _ _ i (top of 1" pipe) BUILDING SEWER MUST COMPLY CO PI o LOCATION OF SOIL BORING(S) j WITH COMM 82.35 WAC (11)(C) LOCATION OF SOIL PIT(S) t i I �c NO APPARENT COMM 83.43 SETBACKS I ; LOCA TION OF WELL MUST COMPLY ® DESCRIBED LOCATION OF LOT LINE _WITH WDNR CHS. NR 811 & 812 , 9 ® LOCATION OF RIGHT - OF - WAY j ® CENTERLINE OF DESCRIBED ROAD PAGE 3 OF 9 " Safety and Buildings 1340 E GREEN BAY ST STE 300 commerce.Wl.gov SHAWANO Wl 54166 TO #: (608) 264 -8777 ommer i sco n s i n www.c isco Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary November 10, 2004 CUST 1D No.252324 ATTN: POWTS Inspector EDWARD BERGH ZONING OFFICE BERGH CONTRACTORS INC ST CROIX COUNTY SPIA 1422 PRAIRIE LN 1101 CARMICHAEL RD EAU CLAIRE WI 54703 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/10/2006 Identification Numbers Transaction ID No. 1075762 SITE: Site ID No. 691579 Craig Grandahl Please refer to both identification numbers, Johnson St above, in all correspondence with the agency, Village of Wilson St Croix County NE1 /4, SWIA, S28, T29N, R16W FOR: Description: Mound. System for Craig Grandahl Object Type: POWTS Component Manual, Regulated Object ID No.: 988977 Maintenance required; 450 GPD Flow rate; System(s): Mound Component Manual, SBD- 10572 -P (R.6/99) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with publication SBD- 10572 -P (R.6/99) "Mound Component Manual for Private Onsite Wastewater Systems ". • The pressure network is to be constructed in accordance with publications SBD- 10573- P (R.6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" and /or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". • Since the submitted soil test plot plan does not comply with the minimum requirements of the code, the system plot plan (page #3 of the approved plans) shall also be considered as the soil test plot plan. This drawing shall be filed with the County SPIA as the soil test plot plan for this property. BERGH CONTRACTORS INC Page 2 11/10/2004 A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation /operation. In granting this approval the Division of 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 for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 A Fee Received $ 175.00 Balance Due $ 0.00 Keith Wilkinson POWTS Plan Reviewer, Integrated Services WiSMART code: 7633 (715) 524 -3630, Fax: (715) 524-3633, M -f 7:45 am - 4:30 pm kwilkinson @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist (715) 726 -2544 RECEIVED OCT 1 9 2004 Cover Sheet BLOCs, DIV. s�Enr & CRAIG GRANDAHL i 780 Johnson Street — Nilson. WI 54027 MOUND COMPONENT Reference Component Manuals Mound Component Manual SBD- 10572- P- P(R.6199) Pressure Distribution Component Manual SBD- 10573 -P (R.6199) Job Location: JOHNSON STREET NE 1 /4, SW Y4, Sec. 28 T 29 N, R 16 W Town: WILSON County: ST CROIX Designer's name and license #: William J. Bergh (License No. 1577 -007) 1 the undersigned state that these plans were designed?. ''. . S. and submitt d under my author i Y Designer's signature: 1� U C E _: ,JN OF Si,; FEiY :u 6,01. Designer's address: 2667 113 h treet Chippewa Falls, WI 54729 S" COF:T:LSPONDENCE Designer's phone number: 715- 723 -5555 voice 671; �� 715 - 723 -7535 fax ?w � - --- - ------------- / J =577 -6838 cel ufaD soiltestingcharter.net email 'e14-o IV, Content :• WI �t4 LLIAM J.= Page 1 -cover sheet g B GH Page 2- system calculations O� ER 2 Page 3 -site plan e •; 'S' . ��Q�• Page 4- cross section of mound component �•%. ....AL 10t •• Page 5- plan view of mound component & distribution lateral schematics -fl +R, •• Page 6- septic & pump chamber schematics Page 7- pump curve Page 8- maintenance /management & contingency plan Page 9- maintenance /management & contingency plan Page 1 of 9 e SYSTEM CALCULATIONS USING SKAW COMBINATION TANKS residential dwelling with total of 3 bdrm calculated at 450 qpd design wastewater flow LLR (linear loading rate) 6.0 al /9 day/ DLR (design loading rate) 0 gal /sgft/day 1125.0 minimum basal area depth to limiting factor 15 inches system area cross slope 13 e� rcent forcemain length 30 feet using 2 inch - SCH 40 PVC manifold and /or header length 3 feet using 2 inch - SCH 40 PVC forcemain volume 4.9 alg Ion length of each lateral 37.000 feet using 1 1/2 inch - SCH 40 PVC total number of laterals 4 invert elevation 100.25' (bottom of lateral). orifice diameter 0.1875 =3/16 tenths /inches 99.75' system elevation distance between orifices 24 inches or 2_0 feet total orifices per lateral 19 total orifices all laterals 76 lateral volume (each lateral) 3.4 alg Ions 12.54 lateral dischar ecerrate system discharge rate 50.2 gallons calculated at 3.25 distal pressure x 1.3 ft. vertical lift 10.0 feet friction loss in the forcemain 1.5 feet calculated at 50.2 gal /min discharge rate TDH (total dynamic head) 14.8 feet minimum pump discharge 50.2 gpm at 14.8 TDH (total dynamic head) p ump manufacturer L GIANT model number 9EH estimated total dose volume 73.0 alg Ions 77.4 actual dose (total - forcemain) pump tank model 600 actual tank size 642.33 alg_ Ions septic tank model 1000 actual tank size 1039.35 alg Ions manufacturer of tank /s SKAW. pump float on /off measurement 5 inches alarm float from bottom of tank 18 inches Page 2of9 N GRANDAHL SITE PLAN NE•SW-28-29-16W JOHNSON STREET WILSON TOWNSHIP ST CROIX COUNTY, WI VV E 7 7 0 " �_ o Ot 7 PARCEL DESCRIBED AS.— AC. LS SCALE 0 10 20 (UNLESS SHOWN OTHERWISE) WILLIAM J. BERGH WISCONSIN CERTIFIED SOIL TESTER DESIGNER OF ENGINEERING SYSTEMS 75'X 6.0' AGGREGATE CELL CUSTOMER ID 227819 WITHIN A MOUND COMPONENT O �'`���� 0 o S :149 3,8) ��P�� QPG�\p\� 0 z (98) U) 0 PLACE UPSLOPE EDGE OF ROCK z rf - C/) ALONG THE FLAGGED 98.0' CONTOUR 0 M M 3.8) 7" SKAW MODEL 10001600 SEPTICIPUMP TANK /approved outlet filter) 0 -10'- 4" ASTM PVC 30'- 2" SCH 40 PVC FORCEMAIN BUILDING SEWER LINE (must drain back to pump tank) PROPOSED 3 BUILDING SITE LEGEND BENCHMARK ELEVATION 100.0 (top of 1" pipe) BUILDING SEWER MUST COMPLY o LOCATION OF SOIL BORING(S) WITH COMM 82.35 WAC (11)(C LOCATION OF SOIL PIT(S) NO APPARENT COMM 83,43 SETBACKS LOCATION OF WELL MUST COMPLY (1) DESCRIBED LOCATION OF LOT LINE WITH WDNR CHS. NR 811 & 812 (D LOCATION OF RIGHT-OF-WAY (D CENTERLINE OF DESCRIBED ROAD PAGE 3 OF 9 MOUND COMPONENT CROSS SECTION (typical) (DRAWING NOT TO SCALE) 4" OBSERVATION PIPE >12" SOIL TO PROMOTE SUITABLE PLANT GROWTH DISTRIBUTION CELL SYNTHETIC MATERIAL DISTRIBUTION LATERAL(S) 1 INVERT ELEVATION = 100.25' >12" UNDISTURBED XX I 10" D DO 1 LO O 1 ELEVATION = 98.00' ,J,8j1"' ASTM f C -33 6" fill material PLOWED /TILLED AREA 17.4" 2.7' 6.0' .4° 3� .-7 CUBIC YARDS OF AGGREGATE (minimum) 15 CUBIC YARDS OF SAND (minimum) 130 SYSTEM AREA SLOPE —10% SYSTEM AREA LONGITUDINAL (long axis) SLOPE NA DISTRIBUTION CELL 0.5" - 2.5" washed hard aggregate, 6" below & 2" above distribution lateral(s) ALL MATERIAL & PIPING SPECIFICATIONS AS PER THE MOUND & PRESSURE DISTRIBUTION COMPONENT MANUALS PAGE 4 OF 9 PLAN VIEW OF MOUND COMPONENT (typical) All piping & material specifications per the Mound & Pressure Component Manuals 15.01 _�GREGATE DISTRIBUT ICELL 1.5 0 DISTRIBUTION Y 0 6.0' V �D �D LATERAL(S) C Q-4 /7 OBSERVATION PIPE(S) 20.1' -j 75.0' Distribution laterals terminate 6" from the end of the distribution cell O Access box covering threaded plug at the end of each distirbution lateral DISTRIBUTION CELL EFFECTIVE BASAL AREA DISTRIBUTION LATERAL (typical) All discharge orifices are located on the center bottom line of the distribution lateral <6" final grade 6, final grade threaded cap threaded cap 1 1/2" DISTRIBUTION LATERAL— access box access box 2" FORCEMAIN 37.0' 24" 24 1 2" - - X/2 -I- x 1-Y 74.0' Discharqe orifice diameter 3/16' = 0.1875 X spacing 24 Number of orifices per lateral 19 Y spacing 24' 1 ' Total number of orifices (all laterals) 76 X/2 spacing 12 I (DRAWING IS NOT TO SCALE) PAGE 5 OF 9 COMBINATION SEPTIC TANK /PUMP CHAMBER X- SECTION (DRAWING NOT TO SCALE) MANHOLE RISER & COVER FINAL GRADE (per COMM 84.25 (7) & (8)1 (slope ground surface away from manhole(s) for proper drainage) 4•VENT PIPE ELECTRICAL & ALARM SUPPLY (electric & alarm wiring must be BUILDING SEWER installed on separate circuits) /fperCOMM 82,30 (11)} ELECTRICAL JUNCTION BOX PoRCENAIN 1 MANHOLE MANHOLE MANHOLE LE a 18" min, r prope fy sealed BOTTOM OF INLET (invert elevation) 3" when not used ...... ......... (wastewater level)-- - - - - -- I I -- \ i I RESERVE I INLET ; CAPACITY a.. " ? ALARM FLOAT C ON FLOAT FILTERED B 4" INLET PIPE ' OFF F: LOAT (tee LET Pbaffle) APPROVED EFFLUENT FILTER EFFLUENT elev — REQUIRED ON OUTLET A 100.25 MINIMUM OF 3" OF SUITABLE BEDDING BENEATH TANK PUMP PAD EFFLUENT FILTER ZABEL A -100 ** ** OR EQUIVALENT COMPONENT Tank Manufacturer SKAW DWF (daily wastewater flow) 450 GPD Septic /Pump tank model 10001600 Number of daily doses —5.8 (DWF 1 actual dose volume) Alarm manufacturer S.J. ELECTRO ** 1 ** Forcemain volume 4.9 1 Alarm model number HW 0 Type of float switch MERCURY** Actual dose volume (gallons) 77.45 (total dose volume - volume of forcemain) Effluent pump manufacturer LITTLE GIANT PUMP TANK CAPACITIES Effluent pump model number 9EH Reserve above alarm 19 inches = 312.93 gallons Alarm float above on float 2 inches = 32.94 gallons (C) Minimum pump discharge rate (GPM) 50.2 On /Off float measurement 5 inches = 82.35 gallons (B) Off above bottom of tank 13 inches = 214.11 gallons (A) Vertical lift (pump off to distribution lateral) 10.0' system head (distal pressure X 1.3 feet) 3.25 PUMP CHAMBER DIMENSIONS Friction loss in the forcemain —1.5 Length 55.0" Width 69.0" Total dynamic head (TDH) —14.8 Liquid depth 39.0" Gallons per inch 16.47 PAGE 6OF9 r >' 9EH SERIES SUMP /EFFLUENT PUMP Xl Specifications MODEL CAT, SOLIDS S12E RUNNING PERFORMANCE (GPM @ HEAD) SHUTOFF PWR. CFO. WEIGHT DIMENSIONS N0. N0. LISTING HP VOLTS (Dia.InJ AMPSIWATTS y 10' 15' 20' Ft. P.S.I. (Ft.) (Ebs.) (HxLxW) ( ) 9EH iM 509330 UUCSA 419 115 3/4 13.0 1000 71 66 69 49 32 13.8 20' 27 9.11 z 11.64 x 8.94 9EH - 0IM 50934.' UUCSA 4/10 230 3 6.5 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 9.94 9EH- 01A -RFS 509350 UUCSA 4110 115 3/4 13.0 1000 71 66 60 42 32 13.8 20' 27 9.11 x 11.64 x 6.94 9EH -CIA-RFS 509360 UUCSA 4/10 230 3/4 6.5 1000 71 68 60 49 32 13.8 20' 27 9.11 01.64X8 FLOW- LITERS /HOUR Constructi 0 1000 2000 3000 �- I Motor Housing Ep oxy Coated Cast Iron Impeller Materia Poly Carbonate 30 10 Jim eller Tyke Closed Vane Volute AB V - - W ' S W Power C ord SJTW -A 20 f Mechanical Shaft Seal Nitrile with carbon and 5 ceramic faces to z . F aste n ers _ Stai nless Steel 2,5 Shaft Stainless Steel Bearings Upper Sleeve and Lower o Ball Bea rings o - - -- - - -- - -- 0 20 40 60 80 FLOW- GALLONS /MINUTE PUMP PERFORMANCE CURVE 115V 60HZ .S.SP _ - k`Y L i ttle Giant Pump Co. - PO Box 12010 Phone: 405.947.2511 Okla. City, OK 73157 ` Fax: 405.951.5674 ISO 9001 CERTIFIED .. 1e p -cam m 9952 5 — 01 /00 ":For P w -7 �,� POWTS OWNER'S MANUAL MANAGEMENT PLAN PERMIT NUMBER: Owner: CRAIG GRANDAHL - - JOHNSON STREET POWTS Maintainer: Geo Tech Soil & Site Evaluation — Chippewa Falls, WI 715 -723 5555 Local Regulatory Authority: St, Croix County Zoning Department — Hudson, WI 715.386.4680 POWTS Installer: Bergh Contractors Inc, — Eau Claire, WI 715 - 834 -6194 Septage Servicing Operator DESIGN PARAMETERS Influent /Effluent quality (values typical for domestic (non - commercial wastewater and septic tank effluent) Fats, Oil and greases (FOG) <30 mg /L, Biochemical Oxygen Demand (BOD) <220 mg /L, Total Suspended Solids (TSS) <150 mg /L Soil loading rate (SLR) = 0.4 SYSTEM SPECIFICATIONS The components of this septic system are Intended to serve a three - bedroom (450 -GPD) single - family residence, The components include: a Skaw model 1000 /600 septic /pump tank (with an approved outlet filter and Little Giant effluent pump, alarm & controls and a 75.0' x 6.0' distribution cell within a mound POWTS component. All components must comply with WI Adm. Code COMM 84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIAL ✓ SBD — 10572 -P (R.6/99) "Mound Component Manual' • SBD — 10691 -P (N.01 /01) "Mound Component Manual" Version 2.0 • SBD — 10570 -P (R.6/99) "At -Grade Component Manual Using Pressure Distribution" • SBD — 10567 -P (R.6 /99) "In Ground Absorption Component Manual" • SBD — 10705 -P (N.01 /01) "In Ground soil Absorption Component Manual' Version 2.0 ✓ SBD — 10573 -P (R.6/99) "Pressure Distribution Component Manual" o SBD — 10706 -P (N.01/01) "Pressure Distribution Component Manual" Version 2.0 MAINTENANCE & MANAGEMENT Inspect the condition of the treatment tank(s) and dispersal cell(s) a minimum of every three years. The septic tank contents must be removed in accordance with Chapter NR 113, WI Adm. Code when the combined sludge and scum equals one -third (1/3) the tank volume. The effluent filter(s), effluent pump, controls & alarm and distribution lateral(s) should be inspected annually to ensure maximum performance. Lateral inspection /maintenance should include flushing of the laterals and pressure testing. START UP For new construction prior to use of the POWTS check treatment tank(s) for 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. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of wastewater will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume, Also, the brine or waste from water softeners, iron removal units, and other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. The system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fruit peels and seeds, bones, and food solids such as those produced be a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins, condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics (medications), solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain regular steady flow by spreading the laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the unit may cause it to freeze up. o Valves Valves should be operated in the following manner ✓ Alarms Alarms should be tested on a regular basis by the homeowner. If an alarm sounds, contact an individual licensed to serve POWTS. There is normally a one day reserve capacity under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surface discharge, Page 8 of 9 INSPECTIONS Inspections shall be made by a person carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule) ✓ Septic Tank Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks of leaks, measure the volume of combined sludge and scum and to check for any backup or surface discharge of effluent. Access openings used for service of assessment shall be sealed and /or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental of unauthorized entry Into the tank. The outlet(effluent) filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank during cleaning. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating properly. • Pump Chamber /Treatment Tank(s) Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must me made for leaks backups surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. • Mound, At- Grade, In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code, ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. All piping to tanks and pits shall be disconnected and the abandoned pipe opening sealed. The contents of all tanks and pits shall be removed and properly disposed of be 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 other 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(s), 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, o The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation 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 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 GASES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OF OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. Page 9 of 9 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of DWon of Safety and Buildings 9 - - d z — C/ 9 / Y t-- in accordance with Comm 85, Wis. Adm. Code lunty Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include. but not kWed 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. Please print all Information. by Date PersonN WonnoWn you Provide may be used for secaWary Purposes (Pnvacy Low. s. 15.04 (1) (m)). BLl . I Property Owner Property Location Govt. Lot V N R E (0 Properly Owner's Mailing Lot # I Block # I Subd. Name or CSM# City State Zip Code Phone Nu Lm�b)er�/ ❑ ciity� illage ❑ Town Nearest Road New Construction Use` Residential / Number of bedrooms _ Code derived design flow rate ' 7� Q GPD ❑ ReplaoemeM /s ❑ Public or I - Describe: — - •�►� .4 grn Parent material Flood Plain elevation if applicable ! is t General comrnents and : M 002 �• r 0 4 0 2 C�� a�IX COUNT`( i�GJC ST. O FFICE Boring # ❑ Boring a Pit Ground surface elev. Z49.5 " / ft. Depth to smiting factor in. Rate Mail rt Depth Domirgint Color Redox Description Texture Structure Consistence Boundary Roots GPDW kL Munsel Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff# •Eff#2 I 0 -1 /Z ''f' —15W - i- Y0 o _fA l✓i,4 , 3 Boring # Boring l ® Pit Ground surface ele>/ l v am} `�/ J ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •E 'Eff#2 -I z " 3!y - S Z 2 -2 s v �' gr = Effluent #1 = BOD > 30 < 220 mg& and TSS >30 < 1 ' Effluent #2 = 800 ll. < 30 mg& and TSS < 30 mg re CST Number C ! 5 c - �tz :Z,0�6 7 0 Address Date Evaluation Conducted Telephom Number va Property Owner Parcel ID # Page of Boring # 0 Boring ® Pit Ground surface elev _ M_L ft. Depth to limiting factor�in T Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots G in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. 'E 'Eff#2 - 3 1— 166 �L Z o '16 Boring # O Borin ❑ ❑ Pit Ground surface elev. ft. Depth to kniting factor lo• Sob Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsefl Qu Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 E, -j F-1 Boring # ❑ Boring Pit Ground surface elev. ft. Depth to laniting factor in. Soil Akpplication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 ng/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD < 30 mg& and TSS < 30 mg& 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. sew330 pteao) Soil Test Plot Plan roject Name Jeff Moore Shau Address 245 Foster St. River Falls Wi 54002 C M #226900 Lot ------ Subdivision -- - ---- Date 8/ 29/02 NE 1/4 S W 1/4S 2 8 T 29 N/R 1 6 W Village of Wilson F1 Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1.5" Pipe System Elevation 104.5' *HRpSame as Benchmark Alt. BM Top of 1.5" Pipe @ 98.0' Alt. .M. 10' * B.M. 14% 101' 10' Slope 20' 103' a 0 45' 105' 80' 10' 70' AL Pro 3 100' Bedroom House 50' 500' Johnson St. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Al C Rli / (i 6 Rt9 A .Afi Hz' Mailing Address SO /US 01V ST .,, _jl ksonl iti 6- y0 �-7 Property Address 7 0 0 -J N S 0 &v S W /) 0 rV �-U-L- �j y0 - 7 (Verification required from Planning Department for new construction.) City/State Parcel Identification Number LEGAL DESCRIPTION Property Location A r 6 %4 , ,5W %a , Sec. 2 ( O , T Z- NR f S W, Town of WI /.,._S 4 AJ Subdivision , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # - 7 - 7 - 7 8 C O , Volume Z (? Page #, 1 Spec house yes no Lot lines identifiable yes 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. 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 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 standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Department within 3 7 of the 7: aZ date SIGNA F APPLICANT DATE OWNER CERTIFICATION Uwe certify that all statements on this form are true the best of my /our knowledge. Uwe am/are the owner(s) of the p bed �e by v' warranty eed c d in Register of Deeds Office / / // / Q , - a., , f -'41LA- d7'L SIGNA OF APPLICANT DATE * * * * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Departments * * * * ** 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. 8 8 r 17 9 - 7 - 7 8 - 7 $6 + tir STA BAR OF WISCONSIN FORM 1 - 1999 WARRANTY DEED KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ST. CROIR CO., WI This Deed, made between .Terry Hermanson, RECEIVED FOR RECORD 11/02/2004 03:00PH Grantor, WARRANTY DEED and Clinton Craig Grandahl and Donna Mae Grandahl, EXW # 8 husband and wife as survivorship marital property REC FEE: 13.00 TRANS FEE: Grantee. COPY FEE: Grantor for a valuable consideration, conveys to Grantee the following CC FEE: described real estate in St. Croix County, State of PAGES: 2 Wisconsin (the "Property") (if more space is needed, please attach addendum): See attached legal description. Recording Area Name and Return Address Craig and Donna Grandahl 1780 Johnson St. Wilson, WI 54027 pt. of 191 - 1011 - 90 - 050 Parcel Identification Number (PIN) Together with all appurtenant rights, title and interests. This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except covenants and restrictions of records. General Real Estate Taxes for the year 2004. Dated this /9 1 ' day of 2004 , *Ter Hermanson AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature (s) ss. (j � n County. ) authenticated this day of Personally came before me this day of 6Lr 0 04 the above named ����� NNE► err Hermanson TITLE: MEMBER STATE BAR OF WISCONSIN : • ;�PRV •• (If not, = fp known to be the person who executed authorized by §706.06, Wis. Stats.) • Z Uth going ' F is tllllnent and ac o ledged the same. V . THIS INSTRUMENT WAS DRAFTED BY ����• • e •: `� Q r CL I rb �� ••••• Michael J. Vinopal C tary Public, State of Wisconsin Attorney at Law 14 44161 - 'My Commissi is - nuanent. (If not, state expiration date: ( Signatures may be authenticated or acknowledged. Both are not neces WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 -1999 *Names of persons signing in any capacity must be typed or printed below their, signature. linopal Law Office 1812 Brackett Ave, Eau Claire WI 54701 -4189 Phone: (715) 835 -8280 Fax: (715) 831 -0882 Vinopal Law Office T5131734.ZFX Produced with TipFormTm by RE FamisNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 48035, (800) 3839805 .+ . a088P 180 i LEGAL DESCRIPTION A parcel of land located in the Northeast 1/4 of the Southwest 1/4, Section 26, Township 29 North, Range 15 West, Village of Wilson, St. Croix County, Wisconsin, more fully described as follows: Commencing at the South 1/4 corner of Section 26, Township 29 North, Range 15 West; thence North 00 ° 04'23" West along the North -South Quarter Section Line, 1975.66 feet to the point of beginning; thence continuing North 00 ° 04'23" West along said line 255 feet; thence South 89 ° 57'25" West 256 feet; thence South parallel to the East line of the Northeast 1/4 of the Southwest 1/4 to a point Westerly of the point of beginning; thence South 89 ° 57'25" East to the point of beginning.