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HomeMy WebLinkAbout024-1020-20-200 o 0 3 d c d c m ' W � cn I � O o ��� m v m m N N ►.� r5 c m D) (D O (D .. (D (D 0 o 4 C 7 _ _ :3 3 $ m 3 N a O ul Cy cn z D CD a N .tom m co D a o o '�► CD 3 0 , o? N CL 0 O o p o X 0 r rn N A O i ! N• 3 * 000' O z O W D CD 3 cn CO) cn o' o m jr o 'w 7 ' A N ID , W 3 d � N ] m Q CD z 0 =� � D o a a a n O 3 7 I � m c ? m N cn z N o yr A z N N M d a a G a. co N W T m rn CL '' z o rr m CD CD y z -� (D A to W f a a a CL 0) 3 CD oo a o N I A rn n I CL a �7 D o I � N 0 o O I a o_ A I m �ro 00 m G9 ti ° o a ti Jessie Nye Subject: #463096 Helgesen / Melander - PLOW Location: Pleasant Valley, Lot 3 Start: Mon 11/8/2004 9:30 AM End: Mon 11/8/2004 10:30 AM Recurrence: (none) 16.28.17. 312 C.T.H. "T" i Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division r>/ INSPECTION REPORT Sanitary Permit No: 463096 0 GENERAL INFORMATION r �' ' �<< ^ (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary rposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Melander, Donald I Pleasant Valley Townshi CST BM Elev: Insp. BM Elev: BM Description: " Section own/Range /Map No: / ac,.cx, / T1;1V &.V pc 16.28.17. TANK INFORMATION ELEVATION DATA 3.7-7 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark a , z Dosing Alt. BM Aeration Bldg. Sewer 13 Holding _ St/Ht Inlet c 1 G TANK SETBACK INFORMATION '§t/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet \ Septic +v. Dt Bottom 7 Dosing [ Header /Man. �. Aeration Dist. Pipe 3 • s_ L7 Cl Holding Bot. System E 3. - 7 (10 -t - 'i 4 y PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover V GPM _ Model Number 3 L co ,-r+ o 3.'2::;- 103.0 TDH Lift Friction Loss System Head TDH Ft N o. ; - c:, ry 3 c, 1 o S. G t✓ Forcemain Length Dia. Dist. to Well + Z SOIL ABSORPTION SYSTEM r3, . z /0 r,>� . BED/TRENCH Width Length 1 No.Of Trenches PIT DIMENSIONS No. Of Pit Insi h DIMENSIONS 6 5 L- 2 SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING nufacturer: INFORMATION CHA MB O Type Of System: M o r A Model Number. / 30 — idS �L 11 DISTRIBUTION SYSTEM S4 Header /Manifold Distribution , +E x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) z.- / + Length f -,14 Dia 3 ( Length J 1 1 Dia / � Spacing 3 .� 27 SOIL COVER x Pressure Systems O nly xx Mo und Or At - Grade Systems Only Depth Over , Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center , Bed/Trench Edges Topsoil � G, l Yes N No 0 Yes 0 No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:L_/ 8 / Inspection #2: QIv� Location: 312 C.T.H. "T" River Falls, WI 54022 (SE 1/4 SE 1/4 16 T28N R16W) NA Lot 3 �W / , 16.28.17. 1.) Alt BM Description= T:-r, C L Lr « � 011%i a_ 0' Y�.1 0 a w a A_ 2.) Bldg sewer length= lti °� <0 P a•. � 11 -� `cam+/ - amount of cover = /F A s �? t a s « � Plan revision Required? J Yes No f / - [ I� Use other side for additional informati Date Insepctor's Signature Cart. No. SBD -6710 (R.3/97) r Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ST CROIX N *iscon _ s!n Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled In by Co.) De artment of Commerce (608) 266-3151 1 - /(e 3 Sanitary Permit Application State Plan I.D. Number In accord with Com 83.21, Wis. Adm. Code, personal information you provi TRANS. ID m may be used for secondary purposes Privacy Law, s15.04(lxm)`�; Project Address (if different than mailing address) I. Applicatioa Information - Please Print All Information 3 1j w +�� Property Owner's Na mt - — �- •— - --- m - - Parcel N Lot / Blod DON JOANNE i ISLANDER R E C F-11 V :. Property Owner's M ailing Address ; _ 1 4 7 roperty Location n, � � V rL B788 TOWNHALL ROAD .: �- SE +,t, SE +,Section 16 City. State Zip Codc Pbonc Number UNITY WI 4488 a15�2Z3 -2$96 (circle one) N. R - E o w II. Type of Building (check all that apply) / .�— ! 28 ✓ Subdivision Name , [ CSM Number 3 1 or 2 Family Dwelling - Number of Bedrooms 3 .�y 'Viol, l� ! 77273 ❑ Public/Commercial - Describe Use y� C3 State Owned - Describe Use _ f t� 5 ❑City_ Village Prownship of PLEASANT Ill. Type of Permit: (Check only one box on line A. Complete line B if applicable) (X New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) ❑ Non - Pressurized In- Ground XA­ t' > 24 in. of suitable soil J Mounxi < 24 in. of suitable soi ❑ At -Grade ❑ Single Pass Sand Filter ❑ Conswctcd Wetland ❑ Pressurize., lolding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel•less Pipe ❑ Odter (explain) V. Du ersal/Treatrrtent Area Information: / -5 le Al Design Flow (g Desl Soil Application Rate(gpdsl) Dispersal Area Required (St) Dispersal Area Prupusecl (0) System Elevation 450 T­ t -1 D• � 450 ,U 450/// Y/ - ZS 104.99 VI. Tan k Info Ca city in Total Number Manufacturer Prefab Site Steel Fiber PlastlC Gallons Gallons of Units Concrete Contacted Glass New Existing Tanks Tank -$ Septic or Holding Tank 1000 1000 1 _WTESER CQNGREI� Aer T reatment Until i. / � VV --' Dosing Chamber 600 600 1 WIESER CONCRETE X VII. Responsibility Statement- 1, the undersigned, assume responsibility for Lastatlation of the POWfS shown on the attached p lass. Plumber's Na the (Print) I Plumber's Si gnature MPIMPRS Number Business Phone Number BENNIE HELGESON 220292 1 715/772-3278 Plumber's Addre is (Street, City, State, Zip Code) dr 141229 770TH AVENUE, SPRING VALLEY, W1 54767 VIII. ount /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date ued Issuingtuc Stamps) Surcharge Fee) � , 5 ❑ Owner Given Reason for Denial � IX. C �aUReasons t'or Disapproval 3 ! s t.� 1 ptic tank, effluent filter and � dispersal cell must all be serviced / maintained �"��"'`�' 7 as per management plan provided by plumber." - 2. All setback requirements must be maintained as per applicable code /ordinances. � Attach complete plans (to the County only) for the system ou paper not less dum 81/1 x 11 Inches in size QUr% 4404 IV f11 /111 i �ClQYCS OfO Y /n om T I 4 \ _ v i F 1 r ' 1 I 1 q t r kA ap a- m v a Op w m '" d P m ✓� �a L -r f Safety and Buildings 4003 N KINNEY COULEE RD commerce .Wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 's c o n s' n www.commerce.wi. goy /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary September 20, 2004 CUST ID No.220292 ATTN: POWTS Inspector ZONING OFFICE BENNIE W HELGESON ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/20/2006 Identification Numbers Transaction ID No. 1060093 SITE: Site ID No. 689626 Don and Joanne Melander Please refer to both identification numbers, County Road T above, in all correspondence with the agency. Town of Pleasant Valley St Croix County SE1 /4, SETA, S16, T28N, R17W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 980904 Maintenance required; 450 GPD Flow rate; 20 in Soil minimum depth to limitin factor from on grade; original Ma q P g g g System: Mound Component Manual, SBD- 10572 -P (R.6/99), Pressure Distribution Component Manual, SBD- 10573 -P (R.6/99); Biofilter 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. Cpndzn� No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, �p stats. M Ept , The following conditions shall be met during construction or installation and prior to occupancy or use: �� F T Of General Approval Requirements: R SEE COR • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD - 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10573 -P (R.6/99). • The changes made to this plan on 9/20/04 by this reviewer were acknowledged and approved by the system designer. The manifold length will be 32 inches. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. r BENNIE W HELGESON Page 2 9/20/2004 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety R. 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 �j�� Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 11 , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday Friday cbratz @commerce. state. wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 T f f 5 f KJ V U� a � j w m a � (A) ° u � n L - C 1-2 p r^ � OP �-= T o c � E CIO 0 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 7 of 8 FILE INFORMATION SYSTEM SPECIFICATIONS Owner DON & JOANNE MELANDER Septic Tank Capacity 1000 gal ❑ NA Permit # w 3 Septic Tank Manufacturer WIESER CONCRETE ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ZABEL ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model A -100 12" x 20" ❑ NA Number of Public Facility Units R] NA Pump Tank Capacity 600 g al ❑ NA Estimated flow (average) 300 al /day Pump Tank Manufacturer WEISER CONCRETE ❑ NA Design flow (peak), (Estimated x 1.5) 450 al /day Pump Manufacturer ZOELLER PUMP CO [3 NA Soil Application Rate 0 gal/day/ft' Pump Model 153 ❑ NA Standard Influent /Effluent Quality Monthly average' Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg /L ❑Sand /Gravel Filter ❑Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L M NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- Ground (gravity) - essurized) ! Z`k Total Suspended Solids (TSS) 530 mg /L ® NA ❑ At- Grade Mound OK Sa� Fecal Coliform (geometric mean) 510 cfu /100ml ❑ Drip -Line Maximum Effluent Particle Size Y. in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA "values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Frequency Service Event ❑ month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: 2 ® year(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA ❑ month(s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: 2 ® year(s) W'month(s) ❑ NA Clean effluent filter At least once every: 13 ❑ year(s) ® month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: 13 ❑ year(s) ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: 3 ® year(s) ❑ month(s) ❑ NA Other: At least once every: ❑ Y ear(s) Other: [3 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) OWNERS: DON & JOANNE I IELANDER Page _ of .�£s START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may Impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the Infiltrative surface. During power outages pump tanks may All above normal highwater levels. When power Is restored � ex the will be discharged to the dispersal call(s) in one. large dose, overloading the c4 and backup or surface discharge of effluent To avoid this situation have the contents of the pump tank removed by a r prior to restoring power Septage Servicing Operato to the effluent pump or Contact a Pkanber or POMS 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 "Compact the area within 15 feet down slope of any mound or at -grade soll absbrptlon area. Reduction or elimination of the following from the wastewater stream may improve ���Rft� and p , g MOP Id' . of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs, dental do* ' hetbkddes� meat disinfectants; fat foundation drain (sump pump) water, fruit and vegetable peelings, gasoline; g scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONJMENT When the POWTS fails and/or is permanently taken out of service the following steps shall sure that ll b taken to In the system is properly and safely abandoned in compliance with ch. Comm 83:33, WisconshAdministrative 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 property disposed of by a Septage Servicing operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN It the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: may be utilized for the location of a replacement soil O A suitable replacement area has been evaluated and absorption system. The replacement area should be protected from disturbance and compadionend should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish 8 'suitable replacement area. Replacement systems must comply with the rules In effect at that time. In POWTS O A suitable replacement area Is not available due to setback and/or soil 0mltatl0n& Barring advances tec ology a holding may be Installe last resort to repia tad POWTS. � IA Th i as not b n ova led to I tify a suf le replaceme area. U fall . the PO i alu 'on st be perfo to locate a suita re en area. If no Content area �8VW�� olding tank may be installed as a last resort to replace the failed POWTS. CT he1i a sys nfiltrative s rface. Reconstructionso such ems must p comply with the rules in effect m t that dM4L < <WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANAIOR INSUFFICIENT OXYGEN- E NTER A OF SEPT PUMP PERSON O ROM THE INTERIOR OF F A MAY R ANY CIRCUMSTANCES- DE E DIFFICUL OR IMPOSSIBLE MAY ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name HELGESON EXCAVATION INC g-PhoneT7 OHNSO Phone 715/772 -3278 15 273-5 1 SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name JOHNSON SANITATION Agency ST. CROIX COUNTY ZONING Phone 715/273 -5811 Phone 715/386 -4680 This document was drafted by the staffs of the G(een Lake, Marquette and Waushara County Zoning and Sanitation eQendF& Thts doC "waW the minimum requirements of ch. Comm 83.22(2)(b)(1)(d)3(f) and 83.54(1), (2) 6 (3), Wtsconsln Admints"Ove CW& Uso of (hit dotaunsta does Bot guarantee the performance of the POWTS. GAAVIIi?/01) I �Fc ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT sr� AND �ONti��� �� ?00,v OWNERSHIP CERTIFICATION FORM o C) Owner/Buyer v So Mailing Address Property Address 3 1 oZ— (Verification required from Planning Department for new construction) City /State Parcel Identification Number � �oZO LEGA DE SCRIPTION / J C Property Location '' /,, Sec. I , T a8 N -R 7 W, Town of IPA U�r� Subdivision Lot #- Su rv e y Ma # " '7 - , Volume Page # Certtfieti Su y r Warranty Deed # ''7 Volume , Page # Spec house ❑ yes X 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. The property owner agrees to submit to St. Croix 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 wastewaterdisposal 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. Cerd&Ati= stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. S ATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. (we am (are) the owaer(s) Of the roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office. ATE NATURE OF APPLICANT Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * ** •• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed INDEX SHEET s AFF p1 3 goo PROPERTY OWNER: DON & JOANNE MELANDER B788 TOWN HALL ROAD UNITY, WI 54488 PROJECT NAME: DON & JOANNE MELANDER PROJECT LOCATION: SE 1/4, SE 1/4, S 16, T 28 N, R 17 W MUNICIPALITY: TOWN OF PLEASANT VALLEY COUNTY: ST CROIX DESIGN: PRESSURE DISTRIBUTION MANUAL SBD- 10573- P(R/99) MOUND COMPONENT MANUAL SBD- 10572 -P (R 6/99) i CONTENTS: Page 1: Plot Plan Page 2: Cross Section and Plan View of Mound Page 3: Distribution Pipe Layout Page 4: Septic Tank & Pump Chamber Cross Section and Specifications Page 5: WLP1000 /650 -MR Tank Specifications = Page 6: Pump Specifications atcrlly pa fED Page 7: POWTS Owner's Manual & Management Plan - P . 1 J g g g IF COMMERCE cYANU 1[D1NGS Page 8: POWTS Owner's Manual & Management Plan - Pg. 2 C - SPOIyuF NCE Name: Bennie Helgeson Signed Address: W1229 770th Avenue Spring Valley, W154767 Credential Number: 220292 Date: September 10, 2004 ''`` n,► Page. Or V(il 1Jan m6ja 1, e - er - -- Synthetic Covering Distribution Pipe ASTM C 3.3 Medium Sand Topsoil � rH= " mss F /D D C one v 1 63, g % Slope Plowed (;Et�ii.Of i »_ 2 ,? Force Main From Pump Layer Aggregate D /.3 Ft. E j. q$ Ft. Cross Section Of A Mound F , $O Ft. G , 5 Ft. A Ft. H / - Ft. Signed: B Ft- K Zpy_ Ft. License Number: L �S - Ft." ioL Date: j k,_Y_ Ft. _ I /3 J Ft. W Ft. L - --- Observation Pipe K Afir- -- - - - - -- - — - - - _ -- - - - - -- Of "— 2 Distribution 2 '2 Pipe Aggregate Observation Pipe aasa,l Are- o.- Plan View Of Mound eOG_► -L h e a� C'eov�0"r Perlorut n I >t� ._U •�� r� arc GT. / End VI.r -4 ' Holes Located on g oCCOm are Equally Spaced i PIP* Discri bur ion Pip Layo e ut py . R X Hole Diameter Inch Si gned: Lateral Inch (es) u License Number: �- Manifold Inches " -:--►� Dace: a _ Inches Force Main Tj, ) VE9 �e0. / H ot" pe �Q �'er*' e� ,A w er- o � i-Je �o�"a l yal� 7 5 wiler5 D m I TO ck 0 Page__J_Of c9 SEPTIC. TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS u" ?LK -VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W/ PADLOCK E WARNING LABEL 97. �� - - r �4" MIN. 7 � 18 2y M " IN. u - 'j �8 MIM• . INLET WATER TIGHT SEALS GAS- TIGHT : /APPROVED FILTER —+- A SEAL , JOINTS WITH APPROVED 2A 8 I- A' X00 - ' ALM APPROVED PIPE PIPE 3' P*xl (a" a ON 3' ONTO oN7o So�IO T" � � SOLID SOIL C SOIL � � PUMP OFF ELEV . �FT. -- OFF D 3" APPROVED BEDDING• -UNDER TANK CONCRETE PAD SPECIFICATIONS xeta, (T�.1 Ir. L c SEPTIC / DOSE S' TANK MANUFACTURER: LOteses, /0.37 X . "' 957 / ' �`�f• TANK SIZES SEPTIC 1 000 GAL. DOSE VOLUME INCLUDING DOSE ( ,()o GAL. /lD 3 Go-I FLOWBACK: GAL. ALARM MANUFACTURER: � "�T �Try CAPACITIES: A = - Ig - INCHES = 301.4Y GAL. - MODEL NUMBER: !D l HLIJ � Ipo B = 2 INCHES = 3 L-) GAL. SWITCH TYPE: 4 -orc" l PUMP MANUFACTURER: nfll 1-- C = INCHES = LM. Sb GAL. MODEL NUMBER: 5 SWITCH TYPE: w- ba-� D = INCHES = 1tcT o GAL. REQUIRED DISCHARGE RATE ._ GP PUMP E ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN MP OFF AND DISTRIBUTION PIPE . . 19. 9 FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . FEET + /0 FEET FORCEMAIN X 0,0 FT /100 FT. FRICTION FACTOR . - . EET TOTAL DYNAMIC HEAD - ; O F T INTERNAL DIMENSIONS 'OF PUMP TANK: LENGTH WIDTH DIA I D D 3 &" C/ / / L7uI IL SIGNED: LICENSE NUMBER: DATE: 1/88 CL �f w� °I a z a� m .j © co ry a �' � b � � N = Z v.. N O v a 4 F Fa o u F= g n o Y_� a j zN mwV 1 _ a < M cn $� Z o v w o �` ^ p .- F in '� �r.00 a Wcr r Q N ! ° w Naw 00 Z � y O V V o rn o ao m = .� a O W �p� N`M N a j <WN °0n $ Z LO O Y �M ao?��` �gw ow a w ° a o� Mo=F-° ;6 m< � z �— �n3mc��s��m� b w a Q i i .zt Z - - - - - -- -- - - - - -- _ _ I LLJ I . I y I , w , 5 .� 5 w I s w �, 1 o U I N sn N •' ' V Z I I I . 1 _ I, s i i� -` ) ' ~ J o „6£ N �g � „9S c .vne•►^ -s ' Von . - - Sd ci.>z>7� iNleland�r _ F � ' _._ IUTAi DYNAMIC HEAD /CAPACITY PER MINUTE HEAD CAPACITY CURVE 11110FNT AND DF.WATERING MODEL 152/153 153 1 52 153 W� � 1:5� - p Feel Meters Col. Liters Col. Liters 5 153 5 1.5 69 261 77 291 10 3.1 61 231 70 265 12 40 152 15 4.6 53 1 201 61 231 20 6.1 44 167 52 197 30. v 25 7.6 34 129 42 15 8 30 9.1 2 3 87 33 125 y i ..___.. -- - 10.7 - - 22. , 85 a i 35 -- a 20 I 40 12.2 -- 11 42 0 Lock Volve: 38.0 Ft. (I1.6rn) 44.0 Ft. (13.4m) 4 o+�soe 10 0 100 20 40 60 80 GALLONS a 1 / 4 - LITERS 0 80 160 240 320 1 27/;z 5/8- FLOW PER MINUTE 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICA FIONI _ �- ® Ti • med dosing panels available. • Electrical alternators, for duplex systems, are available and supplied with 3 27/32 an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable — -- level long and short cycle controls. • Sealed Owik•Box available for outdoor installations. See FM1420. • Over 130T (54 °C,) special quotation required. 12 1/e 1521153 Series 1 21153 MODELS Control Selection 5 1/8 Model Vohs -Ph Mode AMPS Sim lex Duplex Nt t t 1 Non 8.5 1 2 or 3 SK2064 8N152 115 1 Auto 6.5 Inducted 2 a 3 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Induded 2 or3 N153 115 Nm 10.5 1 2or3 SELECTION GUIDE B 115 1 Auto 1 10.5 included 2or 3 t53 230 t Non 5.3 2 or 3 Single piggy back variable level float switch or double piggyback variable level float E 1 BE153 230 t Auto 5.3 Inducted 2or3 switch. Refer to FM0477. o CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualifier 3. Variable level control switch 10.0225 Used as a co ntrol aC11ValOf, specify duplex (3) licensed elecuklan. All electrical and safety codes should be followed Including the most or (4) float system. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety facto( is engineered into the design of every Zoeller pump. MAIL TO: � BOX 16347 Y i Louisvdr, KY 40256.0341 Munwacrurers or. . Z O SHIP v 3649 Cane Run Road � k Lou KY 40211.1961 QUaL /TY/-UMPB S NCE �9�✓ O r �• 502)778 -2 - 1(800) 928 -PUMP htfp;//www.soellei.com PUMP L U FAX (SU2) 774.3624 ® Copyright 2001 Zoeller Co. All rights reserved. VVisamsirk Departva t of Cumrnerce SOIL EVALUATION REPORT Page 1 of 3 Division of Barely a nd Buildirtigs in accordance vAh Conan 85, Wfs. Adm. Code C=tY ST. CRO1X Attach complete site plan on paper not less Om 812 x 11 kxhes in aim. Plan must Include, but not limited to: vertical and hortzartel reference point (BM). direction and Panel t.D. (Pending) percent slope. stale or dimensions, north arrow, and location and distance to nearest road. PkM D J 6 6 It 8 .. Personal Miamason You Provide purposes (P►Ivacy Low, a 14.04 (1) (m)). ` AV LOC86on n Proper tY WILLIAM SF 1/4 SE 1I4 S 16 T 28 N R 17 E ( - Property (hers Ong Addy ; Loth# Block # Subd. Name CSMB 179030thA - Il(P - 7 -7 .2 - 73 - 7 civ State Zip Code, ❑Nilage tjIT6wn Nearest Road Hammond, Wl 1 54014 715 796 - 5252 I C.T.H. T E) New Constru Lion UseEl Residential, Number of bedrooms Code demoed design Clow robe GPD E] Replacement Pubic or commercial - Describe: Parent material sandstone Flood Plan etevalon Nappicai>le 14A it General comments Mound System - 134 & sand fill - 0.6 loading rate and Innendations: (To be designed by designer/installer) (If pr+e-�nt - below ground drip irrigation system) F] Boling # 0 �0 0 Pit Grokmd strfaae 101.05 % Depth b liriiting factor 20 n Sob Rate Horizon Depth Dominant Color Redox Description Texture Structure Corsisoanoe BokxxMry Roots GPOR n. Munsel Qo. Sz. Cont. Color Gr. Sz. Sh. *M 'M 1 0-5 10YR3/2 - 1 3f -msbk ds as 3vf-co 0.6 0.8 2 5 -12 1 0YR3f2 1 3f -mabk ds ab 2vf-m 0.6 0.8 3 12 -20 7.5YR3/4 - sl 2fabk mvfr as 2vf-f 0.6 1.0 4 20-25 j 7.5YR4/4 f sl lfabk mvfr cs 2vf-f 0.4 0.6 5 25-30 7.5YR4/4 e2d 73YR5/6 sl lf- -mabk mvfr - lvf-f 0.4 0.6 F 2 [] Boring 9 # [] Pit Ground surface elev. 105.80 R. Depth to boiling lector 23 in, Sob Applicabn Rate Horizon Depth Dominant Color Redox Description Todura StrucXkre Consistence Bokrrdery Roots GPDW n. mtrsel Qu. Sz. Coat Color Gr. Sz Sh. *M IEW 1 0-4 10YR3/2 - 1 3f- ms&abk ds cb 3vf -co 0.6 0.8 2 4-12 10YR3/2 - l 3f- ms&abk ds ab 2vf-m 0.6 0.8 3 12 -23 7.5YR3/4 - d 2f -mabk mvfr as 2 0.6 1.0 4 23-26 7.5YR3/4 13f 10YR4/6 sl 2f-mabk mvfr as 2vf-m 0.6 1.0 5 26 7.5YR4/4 c2d7SYR5 /6 $1 If- -mabk mvfr - lvf-m 0.4 0.6 Effluent #1= POD > 30 220 mgil and TSS >30 150 mg& " Eflus t 02 = BDD 530 mg& and TSS :S 3D mg1L. CST Name (Please Print) CST Number Mary Jo Hollister k 224832 Adder Delit EvAialiori Conducled Telephone Number W9875 690dt Avenue, River Falls, Wl 54022 07-21-04 (715)426- 1775 r Property Owner Parcel W rll m Parcel ID # (PAS) pop 2 of 3 3 V � Boring # v a Pit Ground surface elev. I oa .80 R Depth to knftV factor i,. Sol Application Rate Horizon Depth Dorruinart Color Redact Description Texture Structure Consistence Boundary Roots GPDW in. Mussel Qu. Sz. Corm. Color Qr. Sz. Sh. •EMM 1 0-6 10YRY2 — 1 3f -mabk ds ab 3vf-co 0.6 0.8 2 6-12 10YR3/2 — 1 3f -mabk ds ab 2vf 0.6 0.8 3 12 -20 7.5YR4/4 — sl 2fabk mvfr as 2vf-m 0.6 1.0 4 20-24 7.5YR4/4 Of 7.5YR4/6 sl lfabk mvfr as 2vf-f 0.4 0.6 5 24-32 7.5YR3/4 c2d 7.5YR5 /6 sl if -mabk mvfr — lvf-f 0.4 0.6 F BOFkV Pit Grand surface elev. ft. Depth to knft g factor i,. Sol Appkatlon Rate Horizon Depth Dominant Color Redact Description Te dure Structure Co oblernoe Boundary Roofs GPDN in. Mutsel Qu. Sr- Cont. Color Or. Sz. Stn. 'lgM *M F—I Bork8 # H �n9 Pit Grand surface elev. R. Depth to Irnlft factor in. Sol Awkeft Rate Horizon Depth Dominant Color Redox Description Teture Structure Consistence Boundary Roots GPIW In. Muneel Qu. Sz. Cont. Color Gr. Sz. Sh. •EIM 'Ella Mat t #1= BOO, > 30 <_ 2Z0 nq& and M >30 130 ffq& • Ef mut 82 = WD, : 5 30 ffq& and TSS < 30 mgll. The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or aced material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 26448777. saaa+r�arentRarrom • PLOf PLAN p/1 0- M3 YONCE W \U.%4VA CASEY J 0 LAML Las W 1DO Tp E a F sr. C w #Z- T 7 l l rr 'sRPN �11� � �•/ V�/ �/� _ wow W� aot�+► irs�) PRop051EZ S ACRES n 0 a° �n \ o T D8 r X0 0 � 1 v o jCb' FL4'td 0 0 3 WSos� �z X S�5 U1 N W \ x 0 \ 70 LIN 00 1 O W O O 1 0 � N I J c� Ol o x G-) W i I < (14 x ED CA 0 I O z i 1 ................... ......... x C7 O z O \ W 0 \ I I SHELVES \ u Io I L J o X � ILL CO= ID 0 c >Nn rR N myco 4 Z' 13' -3 1/2' N 10' -11' w w A� O �yOf1 � O •\ � ��2J1 -4 4 � .Z � P� p / � b i 1 91/Y �O ♦ 1N r N o C Ch Im rP u k22x30 C2 BASEBOARD at z 3 REJURR `� uN ��•yN Q m+ p - X N • Or -� Z + 7.0 u i 4 o !. �IN (1 1 N 1 � M =11 1/2 n \ \ !/ � n ) g � \ . 5•-0, ems. o�. w< n N W 4 • I w M I A- ' C . S / I �� �•� '' / m m m y � 1 +gyp i ct H v I. I g a )5� YIZ 1 . 9 �� i �1 N PAAPJ��J I rr z 1 . 0 • / 1 i G IDg �m n .✓ •/ FSS01 5' I. m N - Q N ��� { �N •', •�'Z �, 2Y2 14�Aj L w a On t° 0 14'-3 1/2' m, 1 xM `-4' -5 3/4' 0 Z 2 rn ZZM co 01 1 1 z - - Ng R z v`ni,�' Da DD .IIIIIi1111111111i I e I1 lip ill � ��� � ll li�lillllllflillll � ' i: M _ ■!!!!!l,, _ 1 �� � ','.� � ���� � � i t .� � i'.��C�� uunnnu mm! m MM I i4 ��i1110�11�111 . ~ U 2 6 5 0 P 12 0 77�srzs6 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI STATE BAR OF WISCONSIN FORM 2- 2000 RECEIVED FOR RECORD Document Number WARRANTY DEED 09/83/2804 03 :99PH THIS DEED, made between William D. Casey and Barbara H. Casey, WARRANTY DEED EXQIpT lE husband and wife, Grantor, and Donald Melander and Joanne Melander, husband and wife, as Survivorship Marital Property, Grantee. REC FEE: 13.80 Grantor, for a valuable consideration, conveys and warrants to Grantee TRANS FEE: 179.78 COPY FEE.- the following described real estate in St. Croix County, State of Wisconsin: CC FEE: PAGES: 2 SEE ATTACHED EXHIBIT A Recording Area Name and Return Address: Edina Realty Title, Inc. 400 S. 2" St. — Suite 115 Exceptions to warranties: Hudson, WI 54016 Easements, restrictions and rights -of -way of record, if any. 444883 024 - 1020 -20 -000 Parcel Identification Nu er (PIN) This is not homestead prope Dated this 2nd day of September, 2004. * William D. Case Barbara H. Casey * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ST. CROIX COUA'TY. ) ss. authenticated this 2nd day of SeptembeC C; 4 Q 0 �5 Personally came before me this September 2, 2004 the * NN I above named William D. Casey and Barbara H. Casey, husband and wife to me known to be the person(s) who TITLE: MEMBER STATE BAR OF executed a oregoi instrument and acknowledged the same. (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY *Cheri biown Notary Public, State of Wisconsin Peterson, re Beeman Steven Bruns My commission is permanent. (If not, state expiration date: 50 East Fifth fth S treet, St. Paul , MN 5510 1 3/1112007 ) (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signature WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2 -2000 . U 2650P 121 EXHIBIT A Lot 3 of Certified Survey Map filed August 26, 2004 in Vol. 18 of Certified Survey Maps, page 4819, as Document No. 772737, located in the Southeast '/. of the Southeast %, of Section 16, Township 28 North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin. i 'A ' 772737 VOL 18 PAGE 4819 KATHGEE9 H. V REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 08/26/2084 03:30PM CERTIFIED SURVEY MAP COPY FEE: 3.00 CERTIFIED SURVEY MAP PAGES 2 William and Barbara Casey Located in the Southeast %4 of the Southeast % of Section 16, Township 28 North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin. N LEGEND BEARINGS ARE REFERENCED INDICATES 1' O. D. x 18' IRON TO THE EAST UNE OF THE 0 PIPE SET (MIN. WE -1.13 LB.&F.) SOUTHEAST 114 OF SECTION 16, T 28 N, R 17 W, ASSUMED AS • INDICATES 1' IRON PIPE FOUND N 00 °0254" E. p SOIL BORINGS (PROPOSED SEPTIC SYSTEM) 0 SECTION CORNER MONUMENT (AS NOTED) SCALE IN FEET 1"=150' —"— INDICATES FENCELINE EAST 114 CORNER SECTION 16, T 28 N, R 17 W 50 0 50 100 150 (FOUND RK NAIL) OWNERS ADDRESS 1 50' 41.25 ' 6' 1790 30TH AVENUE HAMMOND, WI 54015 1 I � 1 1 I UNPLATTED ------ D p ° x I 8 I z 1 I'1 N 90 0 00'00" E 654.40' 2'# 604.40' 50.00' r 10v x 1.25' Z� x W I �; Z 60 , 1 q 1 OR 5.413 AC. ch W W O ._ N o LOT 3 u c z T. o P cli I I _j CONTAINS 235, 779 SQ. F Z (217,850 SQ. FT. OR 5.001 AC. OCCLUDING Z� I N co � Z; Q) COUNTY TRUNK F IIGHWAY RIGHT OF WA ) CM W V N �' 1 -121 � 1G0' W W NORTH UNE LOT 2 610.65' 50.00' c �FRTic, S 90 °00'00" IN 660.65' I z ,9_w x LOT 2 I I 41.25 I 50' ' S�R� I I Ci I �I AI W LL1 �`SGONg7� g ug e • e .° z LAUREL 4" e I W. • I e MUR Y n *e 1 13 e* 9jp a DENVILLE, SOUTHEAST CORNER DATED: SECTION 16, T 28 N, R 17 W s AUGUST 23 , 2004 (FOUND COUNTY BERNTSEN FR ° ° °• J�J ALUMINUMMO- VUMENT) LA N0 8 THIS INSTRUMENT DRAFTED BY JERALD L. LARSON Vol 18 Page 4819 SHEET 10F 2 CERTIFIED SURVEY MAP William and Barbara Casey Located in the Southeast %4 of the Southeast Y4 of Section 16, Township 28 North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin. Description That certain parcel of land located in part of the Southeast 1 /4 of the Southeast 1 /4 of Section 16, Township 28 North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin, more fully described as follows: Commencing at the Southeast corner of said Section 16; thence N 00 1 02'54" E. (assumed bearing on the East line of the Southeast 1 /4 of said Section) a distance of 387.39' to the Point of Beginning of the parcel to be herein described; thence along the North line of Lot 2 of that Certified Survey Map recorded in Volume 14, Page 3894 of St. Croix County Certified Survey Maps, S 90 °00'00" W, 660.65'; thence along the East line of Lot 1 of said Certified Survey Map, N 01 °02'50" E, 358.64'; thence N 90 °00'CO" E, 654.40' to a point on said East line of the Southeast l/4; thence along said East line, S 00 °02'54" W, 358.58' to the POINT OF BEGINNING, containing 235,779 square feet or 5.413 acres, being subject to an easement for county roadway purposes over the Easterly portion of said parcel, and to all other easements and restrictions of record. State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, William and Barbara Casey, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are a true and correct representation thereof. NOTE: Each parcel shown on this map is subject to State, County, and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the Town of Pleasant Valley. Dated: August 23, 2004. APPROVED ST. CROIX COUNTY Planniaq Zonina am corks Commlttee AUG 2 6 2004 It net rrxordeu wunin 30 days of I ! I approval date approval shall be null and void ONg� o LAURE ^ % e W. 0 e M PHY s 1713 i ELOENVILLE, Oa e WI. a A • • � •°•eeee•° 5 1) �Fp LAND i THIS INSTRUMENT DRAFTED BY JERALD L. LARSON SHEET 2 OF 2 Vol 18 Page 4819