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HomeMy WebLinkAbout022-1015-70-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: `, 399524 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: City Village X Township Parcel Tax No: Ahlman, Craig Kinnickinnic Township 022- 1015 -70 -100 CST BM Elev: Insp. BM Elev: BM Description: 9 9 , 3a 3 ✓ SA ` ' TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS FELEV. Septic Benchmark 'I'l' 3° Dosing � Alt. BM - 'PL Aeration Bldg. Sewer to Ls�,s' Holding 2 Inlet 1. 43. SUHt TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt jiil -- Septic , Z Dt Bottom Q�r / 9 Dosing 4- 3 Header /Man. Aer Dist. Pipe 4 k 4 71 7 Ido, (pa Holdin Bot. System PUMP /SIPHON INFORMATION �3 S Final Grade Manufacturer /7�� GP �an ;� (p S f Model Number .,� a jy. �z 0- �sz b TDH Lift Friction Loss System Head TDH Ft Z 3 -�� Forcemain I Le_Tth Dia Dist. to well F S Z z SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. IlLiquid De th DIMENSIONS ?!S r lr SETBACK SYSTEM TO P/L JBILD6 WELL LAKE/STREAM LEACHI anufacturer: IN CHAM OR Type Of System: NIT Model Num -�L 0 DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Length Dia Length 3V Dia Spacing 7 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded j xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil [11-1 Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepencies, persons present, etc.) Inspection 1: 111 11 / 0 }/ Inspection #2: Location: 525 90TH Street River Falls, WI 54022 (NW 1/4 SW 1/4 6 T28N R18W) N�A ot Parcel No: 06.2 .18 90A 1.) Alt BM Description = ` J� �Y Jrrw,k.0rt.6,— ! ✓ k O tul �� , R_,/ 1s 2.) Bldg sewer length = L� .� S .y q/s GC or l7 - amount of cover= ";�� *T = � °3. Q ✓C0. , bc� g�ev�;,,.�s Barr 3.) Contour = 99 Sit G �— Plan revision Required? [I] Yes ❑ No Use other side for additional information. �_ L SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. , I,I� w � i I t � f o, jv / 3 0 16 i Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.2 1, Wis. Aim. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Attach complete plans (to the county copy only) for the sy stem, on paper not less than 8 -1/2 x 1 1 inches in size. Coun State Sanitary Permit Number 11 Check if revision to previous application State Plan I. D. Number I. Application Informati - Please Print all Information Location: Property Owner Name Property Location // _ / h U4114 5114/4, S 'GTR tY , r) W Property Owner's ailing Address Lot Number Block Number - 13.,&J Z &I--- City, State Z' ode Phone Number Subdivision Name or CSM Number L� Type of Buildin . (check one) P �ti t -" " -" . ❑ City 1 or 2 Family Dwelling - No. of Bedrooms : �G ,� i N l,i ❑ Village r i� Public /Commercial (describe use): own of ` � ❑ State -Owned - earest Road ST III. Type of ermit: (Ch ck only one box on line A. Check box on ' f ftlka v Z2 - p S - - 7 o —/60 A) 1. J UKNew . ❑ Replacement 3. ❑ Replacement of / 5. z3 .1'956A 6. ❑ Addition to System System Tank Only r ` ` Existing Sy stem $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) �R�X ❑ Non - pressurized In- ground Mound � ❑ Sand Filter ❑ Cons c et and ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: D= /• yz' V. Dispersal/Treatment Area Information: n or •O 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required I So Proposed LjSc7 Rate (Gals. /day /sq. R.) (Min. /inch) / , Elevation - / VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks. Con- Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ ❑ - c ❑ ❑ ❑ VIII. Responsibility Statement 1, the undersig assume r esponsibility for installation of the POWTS shown on the attached plans. Plumber' Ze (print) Ad Plumber' ignat (no s): PRS No. Business Phone Number O� S Plumber's Address (Street, City, State, Zip od ) / o IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Agent Signature (No stamps) 1 Approved ❑ Owner Given Initial Adverse Surcharge Fee) Cq r Determination �I� l6 30 (5 tl X. Conditions of Approval /Reasons for Disapproval: ,rti Fn-so ►a1e_ �m'rtU-e w-a _�yladPov✓tz e �l� �i 1f�r Qeir Ska U het SBD -6398 (R. 07/00) 0 � - 7 ' ti 1�ZOtJ p tD� I� 1 \ o 1 \ � \\ S to �\ \ J I o I � J t' I r 3 NOTES 1. Elevations shown are existing grou 2. Install 4" observation pipes with 3. Septic tank to be 1 1606 /6Sp gallon !N czrm eit tt)\j ems , W/ /:� -15 4. Bench marks - po:�pUt 5. Divert surface water around system Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 V www.commen�.state.wi.us/sb www.wisconsin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Acting Secretary October 03 2001 CUST ID No.691727 A7TN.• POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEOERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/03/2003 Identification Numbers Transaction ID No. 676609 SITE: Site ED No. 636413 CRAIG AHLMAN / CHRISTINE HENDERSON Please refer to both identification numbers, 90TH above, in all correspondence with the agency. TOWN OF KINNICKINNIC ST CROIX COUNTY NW1 /4, SWIM, S6, T28N, R18W FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 813005 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. 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 the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 /01). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, the owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. ARTHUR L WEGERER Page 2 10/3/01 • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. 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 /instal lation/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. Sincerely, FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 � BALANCE DUE $ 0.00 Charles L Bratz POWTS Plan reviewer II- Integrated Services WiSMART code: 7633 (608) 789 -7893, Mon. -Fri. 7:45 AM to 4:30 PM cbratz@commerce.state.wi.us cc: CRAIG AHLMAN " TITLE SHEET Page of MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD- 10691 -P and the Pressure Distribution Manual SBD 10706 -P (N.01 101) (N.01 101) LOCATED IN THE NW 1/4 OF THE SW 1/4 OF SECTION 6 , T Z $ N,R I $ W, TOWN OF �,1/V Kj LCkIMk)IQ ST_ <2'm Lk COUNTY, WISCONSIN. - _COT - 1: 0�- : :eSw1 Av VOC. 1St pS �1f6 INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION IL PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT 00, PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE tO B O O V PREPARED FOR ' G 1D °L30 �7-00�j BLVD ,_ ° �110'til lZ -P�P1 D S , Y�tiV ss4 �$ PREPARED BY LJEC3E1=;tER SC] I L . TEST S lNtCG AND . DES I G1V S1 S CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 Phone 715- 425 -0165 c ��s ®K.o�,� Fax 715 - 425 - 6864 s 6� C"on&&natly EILi >Y(:Ntl. p, MPROAMD J a 1 G N AM s ta ges oj-�3 -0 JOB NO. I - Z Z7 I 1 � ' � , r ��� �� 7p ��� ������V.� iii 1 Mound System Management Plan Page Z of Pursuant to Comm 83.54, Wis. Adm. Code Seotic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its. contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank, If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BODS, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [ rid local or state rules pertaining to system maintenance and maintenance reporting. SgD - �pbgI - Cl` OQIA> No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at 1 is 4680 ST. 0—M IX The system installer at — 1 is -Z(8 - GOIC S V3 mtt. l The tank manufacturer at 8Zj[1_3Z,S_ cQ S6 LV 1ZS slZ The effluent filter manufacturer at The pump manufacturer at l4g 6pULflS S � g �^'�'+�'1 - �,L . �.0 C1 •. b' O s y ' o ' Z t .1.00 �.. 10� 9gs J J �3 NOTES 1. Elevations shown are existing grou 2. Install 4" observation pipes with 3. Septic tank to be l oop /bs0 gallon 1N � LlZ Ohl Cr ZF -7 W / l+ - l$ 4. Bench marks : Std 1`YL3dU� 5. Divert surface water around system PaceOf An Synthetic Covering ASTM C33 Distribution Pipe Medium. Sand Topsoil P F Elev.l�'Q.0 Z 3 E b 1 ' Lz% Slope Distribution Cell of Force Main Plowed Z to 2' Aggregate From Pump Layer • 0 � •�Z Ft. E 1•SI Ft. CROSS SECTION OF A MOUND SYSTEM F O,$ Ft G 0.5 Ft. A Ft. H t- 0 Ft. Linear Loading Rate= b •k /LN FT B - 1S Ft. Design Loading Rate= (3.38GPD /SQ FT I %Q Ft. J S Ft. K 10 Ft. L °1, S Ft. ems-, - Fe�c-e -�4 W ? Ft. j - Observation Pipe 8 K V, A O -- �� / _ _ _` - W L — __T__ - -- - -- - - - -- — - -- , Force Main -- 'Per Distribution �-- Cell of %° to 2Z d►'PaS1 LSD x Pipe aggregate , Observation Pipe (anchbr securely) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout pa S of '7 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of Ion, tum or 45" fitting to a point within six inches of the final gz -ade. Tern ate the ends of the laterals with a valve,:threaded cap or threaded plug. Provide access from final grade for the valve; threaded cap or threaded plug. T-t F Cti L C\ZZS S FVC F�J= PVC Lateral— M Lateral x x x x xJ2 x!1 x x I x x Lateral Length — Lateral Length — P 0ist6butian Line S F0RCE r+Rt� I P t6,S Ft Hole Diameter 311.6 inch ­ S Ft. _._. Lateral l �� Inch (es) 3 � - X I nches Manifold " 2 Inches Force Main " Z Inches # of holes /pipe 't Invert Elevation of.Laterals 9' ZFt. x Y = 3q. Z G;:*', _ - Combination Sept'c: and PLFMP CHAMBER CRO55 SECTIOIJ AMD SPECIFICATIOMS ' PAGE OF 7 -V M CUT CAP WEATHER PROOF JUIJCTIOI! 90X ti C.Z. VENT PIPE � APPROVED LOCKING 1 10' FRO DOOR, MA4HOLE COVER WIV -INOow OR FRESH wARIJ1IJG LA6EC.. u.�sPoU tPE coraputr w /t�tRr A� IUTAKE s ttj �rP r , Ft Ill LSl}© 6`,^w. . b_ C l Y� HII1. la•M __________ IAILET PROVIDE •• ,n AIRTIGHT SEAL I s A, 7-: 7 �t Approved ZEE- r-tcr A � ��I Approved joint rJ/ S�_18�0 I joint w/ PVC pipe - � if ALARM PVC pipe b I 0m Q q� C I F T. { _T I CLEY __ J PUMP —� OFF D COAICRETE RISER EXIT PERMI7rED OIJLy IF TAW MA{„UFACTURER HAS SUCH APPROVAL 3 "AAPS2o.FD �Br<Dt� t i�14 5EPTIC F SPEC.IFICATIOUS DOSE TAWKS MAIJ UFACTU;LER: 6 _JL��LZ C0k)0_ L2 y� A1LlME5ER OF DOSES: S,1 PER DA_ TAMK SIZE : - \Ot O 1 6 SO GALLOI.IS DOSE VOLUME r ALARM PkAUUFACTURER: S •S- 1E_31-z_r_-TM StIST&t_,S IIMCLUDI 5ACKIrLOW: 1 `� GA�tOhiS MODEL WUMBER: 1 b� Hw CAPACITIES: A= 1R) IuCHESOR Sob GALLO SWITCH TAPE: _ �"1eZ R tC B= �- II,ICHES'OR 3 ` G( LLDUS PUMP PkAMUFACTURCM G0U`-bS C = _ WENES OR 1 q GALLOIiS MODEL MUMBER: —_ �$Z� C�40S 0= 1 INCHES OR GALLOIIS SWITCH TYPE: u OTE: PU M P AUp ALARM TO 6 E L I J ° MIMIMUM DISCHARGE RATE GPM INSTALLED OIJ SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEII PUMP OFF AIJO..D15TRIBUTIOIJ PIPE.. � S•DO FEET + MIIJIMUM METWORK SUPPLY PRESSURE , ; , , , , , �� FLET 3. fi + l FEET OF FORCE MAIN X � p FLFRICTIOU FALTOR_. �� FEET " TOTAL OtIIJAMIL HEAD = Z -Z g FEET -� r As per manufacturer C) gal /in. Liquid depth Z8•' ' . Goulds Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. tic cover with integral handle Available for automatic and • Farms Motor: • EPO4 Single manual operation. Automatic and float switch attachment e hase: 0.4 HP, models include Mechanical points. • Heavy duty sump 115 or 230 V, 60 H z, 1550 • Water transfer RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty • Dewatering automatic reset. preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, ■Bearings: Upper and lower in SPECIFICATIONS 115 V, in le phase: FEATURES heavy duty ball bearing construction. Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- Solids handling capability: automatic reset. plastic Semi -open design /4" maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING /� • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SA• Canadian standards Association t otal heads: up to 24 feet. with three prong grounding - Discharge size: 1 "NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers -" • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F" or "AC.) rotary/ceramic- stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running dry without damage to s 30 I components. ! ,►. — SGPM Pump: EP05 8 i �_25Fr • Solids handling capability: c 25 s 7 /a" max a 2. 48 • Capacities: up to 60 GPM. _ ! j • Total heads: up to 31 feet. 2 6 20 • Discharge size: 1 NPT. z 5 3 • Mechanical seal: carbon- 0 15 rotarylceramic- stationary, a 4 BUNA -N elastomers. o EPOS • Temperature: 3 10 104*F (40 continuous I I 14 EPO4 0 F 60 C intermittent. - -- -- ( ) 2 I ; 1 5 �. - -- 0 00 10 20 30 40 50 GPM L -L L , 0 2 4 6 8 10 12 m3 /h CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 19 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page � of 3 .'Division ofliciafety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper notMess than 8 1/2 x 11 inches in size. Plan must `W include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. G Please print all information. < Revi ed D e Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location �c Gout.loL Nw 114 SW 1/4 S T Z $ N R E (or W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# F'•o - BpX Zc� — I 1�ZoPos�j c_ S,�i_ City State Zip Code Phone Number ❑ City ❑ Village 0 Town Nearest Road T->f - 0J L 0 NJ i S (61 - 723 -I08 `i Mt jIClzIKI►jle 0 I.v1AA- S T , ®, New Construction Use: ® Residential / Number of bedrooms �_ Code derived design flow rate 60Q GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material _ L 11'r lr �t �.�, Flood Plain elevation if applicabfo , General comments f' . and recommendations: h� `lUh1�� 1nJ� 91 Y— -k Sf k3Q 1.01 �`� L ��c . l I+q v Y-1 1- K O S P, � F! L. t_ _ E Boring # ❑ Boring ® Pit Ground surface elev. Y00. ft. Depth to limiting factor Z �' i lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence B ' dai po GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z l b ZZ [ � 2 .31 6 s i 3 ZZ -3 - I.S Ll Z 31 c 0 E Boring # ❑ Boring �i ® pit Ground surface eiev. _ O ft. Depth to limiting factor l I Q in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 Z 8 -tq 2 alb - giI Z'�s m FI- �S — .5 -lj 313 ct�- - 1 , S4 IZ s JS L 3 .5 ` Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Ptint) ign to CST Number Arthur L..- Wegerer o -S 3 220254 Address Wegerer Soil Testing. & Design Service Date Evaluation conducted Telephone Number 421 N. Hain St. River Falls, WI 54022 LJ_Z 715 -425 -0165 Property Owner L e�'LT Z Parcel ID # lam EKM 1 IU G Page or 3 Boring # ❑ Boring ® I/ Pit Ground surface elev. R ft. Depth to limiting factor 2-1 -- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o o�- tvz3lz Sit - Z.�Vsbk 3 Zt -3 - 3 cicg- -S`tYZ s�� o 7.11 .S t� • F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F 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/11 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 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. SBM$330 ln.sroo> � PLOT PLAN Page 3 of 3 Scale 1' = SO ' 3u'r�p w� 0 F CAL I ?st. , 1C0 • �? � \ es za 9 9s \ rJ �s- 9 p o DoT e1� P Pre. i N c�'L ��Slv�z13 �4 o i cyJ rf� J m Sao, , a" qQ.3' Olv- � u � -"Y Dtp_ pv C Pt,� �/ LAIF?4 . V S . Vt--� 715 425 -0165 220254 p1- SR — CST Signature Date Telephone No. CST No. Job NO. r- 08/17/01 FRI 12,50 FAX 16126332188 AUTOMOTIVE INFO SYS 16 002 ST CROIX COUNTY SMIC TANK MAINMANCE AGREEMLN'r AND 3 �s� Z�v 9 OWNERSHIP' CERTIFICATION FORM (1 ( e. YZ4 o. J pwnerBuy r �i'._..a_.. � �, r a e c, �UD. Mailing A.ddt:ess � p 9' 3 /' 6u 7 Property Jkddr= (riratt Melon requhrA from PlanniAg Department for new consttuetion 1 city/State (A)I" Parcel Identification Number �a1 J ?O o0 �l U f/1- - „ LEGAL ..DESK ON o T � 9Vl Tcwn o£ /ej property Locatioa Aviv c: l�l ryv S_.( �• y4, Sec. : Subdivision ��/ QTR- Trot # Cerdflkl Survey Map # 64 Volume _ .1 S — � ,Pag ®# warran ty Deed If 6 5 Volume , Page # Spec home ❑ yes P(UQ Lot lines idew fiablex yes ❑ no SYS l ViA1TITENA)YCE failure to handle wastes. Proper maintcuance r�properus® � and maiutenw= of your septic system could zadtia its premature t consists of purring out the scptie W* every tbree years or sooner, if needed by a B=ats pun'tpar. What Y� the sy stem Pu into cm affect: the fa3cdon Of the septic tank as a treats =t stage in the waste disposal system. nt a t:ertiScation form, sigod by the owucr and by a .10 property owner agrees m submit to 5t Croix Zoning Dapattova fat (1) the on-site wsstewatetclisposal system mastcrpb=bcr, j�yTmanpl� tes ber, tdctedplutnbeceral�eensCdpump +st C tfse sa t3e task is less than W full of sludge. is in prof operating condition and/or (2) after hge000n and pumping (if rte mary), cep tic the andczskped have =sad the above requirements and agree to maintain the pdvato sewstgo disposal system with the staadatds set forth, herein, as set by the Department of Commerce and the Department of N01121 P-"Ources, State of Wiseonso cati n stating d at your septic system bas been maintained must W Completed and setumed to the St. Croix County Zotuug widdu 30 days y,ea= expiration. {late. - ��� SIGNA7. OF APPLICANT �' DATE �R•[MCATION I (we) certify that all statements on Phis form are tme to the best of WY ( knowledge.'• (w am (ate) the owner(s) of 4tty destiibed above, by virtue of a warranty decd recorded in Registor.of Deeds Office. l SI A 4oprfiAlT DATE !lsswf Any infoj=ation that is xnis- represenwdnmy result is the sanitary permit being revoked by the Zoning Department.' «r Include with this applicat[aa: a co f s PY he ccrt ed =VC Y m if tcfacu= is made in the wwranty decd yo , 171-PAG,E279 [ STATE BAR OF WISCONSIN FORM 1 - 1998 65rtEs0 9$ W `: a EM N. DEED i WARRANTY DEED F;E:GTS i CF OF DEEDS Co., wI Document Number RECEIVED FOR RECORD This Deed made between Frederick G. Lenertz, single 09-06-2001 4:15 PA WARRANTY DEED XEAF'T A CERT COPY FEE: Grano C3H FEE: and _ Crai g F. Ahlman, single and Chri stine M. Hende TRANSFER FEE: 1i9. ?O SInRI @,sjoint tPnantc RE;1inU 11.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in — St. Croix County, State of Wisconsi (the "Property "): Recording Area Name and Return Address Craig F. Ahlman Christine M. Henderson x 90th Street lot 1 Kinnickinnic, WI 54022 42210157000 Parcel Identification (PIN) This 1 n CT homestead property. Lot 1, Certified Survey Map in Volume 15, Page 4104, as Docume4l located in the NW 1/4 of the SW 1/4 of Section 6, Township 28N, Range 18W, Town of Kinnickinnic, St. Croix County, Wisconsin. Abstract Property. Together will all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasable in simple fee and free and clear of encumbrances except Dated this 15th day of 7001 (SEAL) (SEAL) e ric Lene z (SEAL) (SEAL) # W AUTHENTICATION ACKNOWLEDGEMENT Signature(s) State Of Wisconsin, } ss. • C_ !_ County. authenticated this ers� omillycame before me this 15th day of Au 2001 theabovenamed oriand AW10N d t �, � erte rim, S tie. TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me ]mown to be the person who executed the foregoing authorized by §706.06, Wis. Stats.)���.� men, and ackn wledgethc same. THIS INSTRUMENT, �Vl �t(AS�[1®'tts_ r. `— Coldwell Banker B ��4~ u Road VV r W C✓ 1301 Coulee lee �W` 5 Notary Public, Sta4c of Wisconsin Hudson WI 54016 My commission is permattpnt (If not, state expir�ti dale: ) ( Signatures may be authenticated or acknowledged. Both are ++ not necessary.) Names of persons si in& in any capacity must he tXged or printed below their si nature. A EB O S NSt tsconsm Lega lan o.,lnc. WARRANTY DEED FORM No. l - 1998 Milwaukee, Wis. ' 64'7128 THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6000-02 DATE: 01/19/2001 REVISED 04/18/01 �� o � 1�7��I� MO g @ P @. Wiwi I °° o I o I o cn W w � Q �U�II�dLQ44GD �Q IDS �1 m NI o� A �° o�a�o o o�a�a� I I I io co A Po — — — — — 90ET 33 S00 °03'3 " W 2636.41' - TH T E - - - - - - - - - n 0 o) S00 °0_3'3 "W t 1 318.21' o) °' 230.10' - 230.71' 30.7 w 626 4'+ N 230.19' N 230.73' N 230.73' N 593.74' PD iJV S00 °06'58 "E 1285.39' WEST LINE OF THE V A . w NW1 /4 OF THE SW1 /4 L`7 Cl) N N ( N N � ca 6 � p� CA ° ° cn A� Drn D 4�Dcn D A AO A l C7 iv C7 r p 1 C-) C) r A t o o QNmgamiNCmn 10 QNm , I _ _ 77 _ mi1 _ —� uuu NOO o J -4 ODxO z N CODx z OD to 41 O `�D 33'33' o CO �p� r °�P� ' °D I gcncn� W N 0 y JUN 01 2001► 12 � � � � � aeol�erat Deeds 1 � � �cc�mcco.wl C� 231.28' 230.73' 230.73' 1' N 00 °06'58 "E 692.74 W I ° o , W y z ` . � N 1 W A � i w Wr c wDw D r w C.) ,\ w �� p O M 10 V (n �� � N \ J I� I /r' 7C � _7y 00 Fv C: z Y o Z Cn I o m �O O 2 n 6' i �o _r z Z 1 IM ( Q m m W O n Z :M - m IQ A m H00 0 08'07 "W 1321.49' NW OFT EOSW1/4 .33 02' I 0 1+ 1288.47' 1 x 44C�D D� O�i1i GvIC�D � 04GJL�G°�� X X -- O n BEARINGS ARE REFERENCED TO THE cD �o m r cn m cn 0 T f D M o p� O x - N m O m O O m I EAST -WEST 1/4 LINE OF SECTION 6, �LIU �iOO �° pC� ��� D cn . O = Mm , ASSUMED TO BEAR S88 °04'14 "E — T� 01 A D o �N o _C 2 °y Z Z c�NT �CyyOtvt�� O V1 L �m A m rA Z37 3r U) z z oo U) �Som :U ���'' ��OC) n m'n n �O Z Cz F� 0 n m K� O CZm O y rnO ;r, o a m Z� z c� -cn+) D m o� K1) �c - v' Xm M I "_ 4 N4 O b Z T Z cn Z _ m O o G) � � II � � m � ` . ,� 04 O Z S = z cn N n -n = I�. �] m z m O n N D 3 0, n O O O m °o O -n z O X m Oo Vol. 15 Page 41.04