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HomeMy WebLinkAbout028-1004-80-100 . . n CO) 0 ■ -0 n � @ & c K 2 e 2 �Q! g ® 2 0 E 0 ° m 0 18 8 �. � E a' g m 0. » B\ 0-4 m — ® CD - , c § E S } ] : -4 S / 2 E § ƒ § CD r co o� = 'a © k @ v P> R ?. a 3 i7 §C e 0 2 M ® z � ' C § § �� n r ■ . a B e 8� c a c ) co § .. V CL 0 0 0 > . f * * * ) < z Oro G § / / . � ( k�/ \ ( k > > ƒ §' X0 0 g cam, CD . j \ \ ca � i 3 CD 2 k � OD 0 z 0 F $ § � � z 0$ > CL CD :�' ] 0 % CA Z. 0 ƒ k 2 � \ . � / 0 \ < l f 0 , � � o Wi@consin Department of Commerce E SYSTEM PRIVATE SEWAGE Sa{ety and Isu;ldings Division PR Count ;St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanita o.: Personal information you provice may be used for secondary purposes [Privacy Law X.15.04 (1)(m)). VA& 6 * arlVtelvin ❑ City ❑ vilaRM :owns tip State Plan ID No.: CST BM Elev -. Insp. BM Elev.: BM Description: Parcel Tax No.: 2 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic B�c rkf i ' to � Dosing'' - �(�) c� Aeration Bldg. Sewer Holding St /Ht Inlet .Y TANK SETBACK INFORMATION St/ Ht outlet TANKTO P/ WELL BLDG. Ventto ROAD Dt Inlet % Air Intake Septic (, 1 r tiI NA Dt Bottom +.', " Dosing l NA Header / Man. Aeration NA Dist. Pipe t',, 1 cl q Holding Bot. System 8 rt fi ; )• `� "� A1 QV PUMP/ SIPHON INFORMATION Final Grade anufacturer „; T Demands' 1 �J Model Number �� f'� i � GPM -�” t t ,l ' ,(� CcE TDH I Lift, Friction S stem TDH t z L ;. �; Forcemain Length , Dia. Dist. To well SOIL ABSORPTION STEM j BED/TRENCH Width LenO _\ No. f �T renthes PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS [ DIMENSION SYSTEM TO P/ L BLDG WELL LAKE/STREAM CHING nu acturer. SETBACK CHA MPER INFORMATION Type Of Mode Number. System.1 t' 1 OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) =- x Hole Size x Hole Spacing Vjqft To fir Intake Length 'j / Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over J li Depth Over xx DeptAns ecti0 91:Seeddd /SdddedlnS ecI vaA2: / Bed/ Trench Center I ' Bed/ Trench Edges Topsoil I ❑ Yes ❑ No 1 ❑ Yes ❑ No bn3�`[�Q�S7en(Nj /4 NW 1/4 2 T28N R17W) -Lot 1 1. Alt BM Descrip 2.) Bldg sewer length= 2 ! - amount of cover = f 3.) contour= Plan revision required? ❑ Yes [Ef No Use other side for additional information. > ; t >. �, A A SBD -6710 (R.3197) Date Inspector's Signature Cert . No. -: 9 38 o Safety & Buildings Division ' W iscons i n Sanita Permit A lication 201 W. Washington Ave. -' r3' PP PO Box 7302 In accord with Comm 83.21, Wis. Adm Code Madison, WI 53707 -7302 Department of commerce Personal information you provide may be used for secondary purposes (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)] state owned. Attach comp] te plans to the county copy only) for the e n ess than 8 -I/2 x I I inches in size. Coun State nitary Perm Number ❑ Che ^ if To pr app tion State Plan 1. D. Number /rte s 3 10 I. Application Information - Please Print all Information \ Location: Property Ow er Name Cti ' i'a Property Location r / . /L� I.. e— e, e✓ to t a l6✓ 11 A014, S) T N, K (or) W Property Owner's Mailing Address t ST C * , Lot Number Block Number 1-13 t v� °' . City, Stale Zip Code hole Number Subdivision Name or CSM Numb / 13 / 0", , W 1 Sr ( -/a 0 2 3 II Type of Building: (check one) - ❑ City l¢ 1 or 2 Family Dwelling— No. of Bedrooms: 3j a f Per Pr,- f Si %o ❑ village �j Public/Cotnmercial (describe use): ik'Town of L f� 0 State -owned I ?4j. III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road 6 U t ' n v A) 1. Nf New System 1 2. ❑ Replacement 1 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s) .pe qe'v�, System Tank Only Existing System B) Permit Number, to Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) • Non - pressurized In- ground Mound (r; x 7- ❑ Sand Filter ❑ Constructed Wetland • Pressurized In- ground Holding Tank ❑ Single Pass ❑ Drip Line • At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: • Dispersal/Treatment Area Information: S 5�¢ S T 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final-Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks Se, a t . I/ lets L L✓','e_sC. 650 1 ❑ ❑ ❑ ❑ /' ► l C VII Responsibility Statement 1, the undersigned, assume responsibility f9j installation o e POWTS sho on t he attached plans. Plumber's Name (print) Plum 's Signature ( mps): AtWIVIPRS No. Business Phone Number pe St I - � X23 -/( ? Plumber's Address (Street, City, fate, Zip C e) I & l)fc t t,/a d L " fe 1 2- VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued 7 Agen Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge F ee Determination 3 Z � S ZCXJ Ik. Conditions of Approval /Reasons for Disapproval: / a5 (M We-j tt7 C foot � GtV WC oi,w I UG' {tee tiar . Safety and Buildings � 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 !r „ TDD #: (608) 264 -8777 Visconsin �� t , �mmercestate.wi.us /sb www.vAsconsin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary May 02, 2001 CUST ID No.691727 - ATTN. PORTS Inspector ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/02/2003 Iden tification Numbers Transaction ID No. 635274 Site ID No. 628344 SITE: Please refer to both identification numbers, SITE ID: 628344, Melvin Vandermeer above, in all correspondence with the agency. St. Croix County, Town of Rush River NW 1/4, NW 1/4, S2, T28N, R17W Subdivision: CSM Volume 15, Page 4045 - lot 1 FOR: Description: Three Bedroom Mound System Object Type: POWTS System Regulated Object No.: 787962 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 Treatment 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 (R.6/99). • 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 information must be given to the owner upon completion of the project. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. Slats. • 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. Slats. • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. ARTHUR L WEGERER Page 2 5/2/01 • 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. 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. Sincerely, DATE RECEIVED 04/06/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 Gerard M. Swin BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services 608- 789 -7892 Mon - Fri 7:15 AM to 4:30 PM jswim@commerce.state.wi.us WiSMART code: 7633 TITLE SHEET Page of - 7 BOUND SYSTEM FOR A BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD- 10572 -P and the Pressure Distribution Manual SBD- 10573 -P C2_ b /9q� CP• l� ja:a LOCATED IN THE Nw 1/4 OF THE NW 1 /4 OF SECTION Z , T Z S N, R L'] W, TOWN OF ZIVEZ S 1 — . CN COUNTY, WISCONSIN. LoT 1 O t= Q_Sr 1hJ Vol . ]S 4O=gS- - - - - -- 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 PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR RECEIVED 1� 6O APR -�� SAFETY & BLDI�S DIV. PREPARED BY WECGEI:;tEF� SL3 I L . TESTING AND. DES = C I%J SE= S CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 Phone 715-425-0165 �&� •••••- •`�fi� Fax 715 - 425 -6864 a n y , ; •`' ~ �; i ARTH'ilP • WEv_REA • - C P • ELLS "ORTH, rditieria� y W 5. G° :.. e L44-0 JOB NO. o�-b� I .. i �� , r R" � � ��`� �f _ `r � � f -6s �` ' ,� ,. , �� � �;�� .«;,;tire Mound System Management Plan page Z of Pursuant to Comm 83.54, Wis. Adm. Code Septic 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 1/3 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. Pumc 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 System 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 6005, 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 [SBD- 10572 -P (R. 6/99)] arid local or state rules pertaining to system maintenance and maintenance reporting. 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 - ltS- a$6 L416 bo C..V_rJUC The system installer at '1 LS 618 - - Z.Z6,� SAN The tank manufacturer at 90o - gL-[S6 L-JLez(M The effluent filter manufacturer at $UO.Z2►. S�LL'Z Zp�g Ls� -- -- - - - The pump manufacturer at -- PLOT PLAN • Scale 1 "- qU' . - Page 3 of 7 c� 6 o Tl-� wsyL - -4� a 0 m ^ 21�) o N ;3T otz � �_�� -' '� �� vJVS�UV�e Tti1'1 S ►��p_ �.? F � � 3p' O F 1 1 - 1311u G C&J U aw►�1 �'�� � y 0 Ki p PE W 1L&,T)� Pv c P! wl t_R n 3 gDR.►'� i -L t--- �iiT "CCf L'� - T ? -:S:o Fi c i ►ti uun� x a GGE's1'21� NOTES: _. I. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required).. 3. Septic tank to be lb 65 gallon capacity manufactured by w 1 k 1 m ta 1 Z Cc)ru _ - 14LO ucr1 , W / M ob E1 R ioo Z P , cStZ. A LTCR 4. Bench markg �. Divert surface water around system _to prevent ponding at the uphill side. Page Of 7 Approved Synthetic Covering ASTH C33 1`� C Distribution Pipe `I i, 4- Medium. Sand ' G Topsoil �• H - - +� F Elev p 3 E e - of % Slope Distribution Cell of Force Main Plowed 2" to 2 2" Aggregate From Pump Layer 'Q _ Z Ft E 1.U$ Ft. CROSS SECTION OF A MOUND SYSTE ' F 6.'$ Ft. C t,.:5 Ft. A 6 Ft. H 1_ o Ft. Linear Loading Rate= to - GPD /LN FT B - IS Ft. Design Loading Rate= 0. /SQ FT j \9 Ft. 1 - 7 Ft. K 0 Ft. Alt*Mtte Position L % Ft. of Force Main W - Z - 1 Ft. I j t - Observation Pipe 8 I t = ——r o-- �.----------------- - - - - -- --------- - - - - -- - - - - - -- Box . W •— C _��_� — -- __ _ - - - -- j Distribution `-- Cell of 2" to 2 Pipe aggregate , Observation' Pipe (dnchcr securely) i PLAN VIEW OF A MOUND SYSTE, Distribution Pipe Layout PAge — 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 long turn or 45 fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve,: threaded cap or threaded plug- Provide access from final grade for the valve, threaded dap or threaded plug. L CLAIM s FV C FbC PV C Lateral Manifold Latent X x x x x12 x12 x x x x Lateral Length — Lateral Length P Distribution Line 1 r P t}CG�S BOX — —o }1YSt.11F�t� S ' t Mtn P 3 7 ' Ft. Hole Diameter tq� frich • Lateral 1 Ipch(es) X 2 ` Inches Manifold Inches Force Main " "Z Inches # of holes /pipe LR Invert Elevation of. Lateral s' . Z•bFt- l°1 X U. Q11 3l. L GPKI Combination Sep, c: and PUMP CHAMBER CROSS SECTlOU AND SPECIFICATIONS ' PAGE OF VENT C WEATHER Pjt00tr jUJJCTIOW Sox . ti C.I. VEI PIPE APPROVED LOCKIMG 110 FROM DOOR, \x_j I1111iaLE COVER rNt"M :ilaJ00W OR FRESH 1 l W /PrtL � 6 ttT MOP ALP, 1=1 Po t{ p t•SZ6fV CQ 1 G m^cv E f i �__ � 19 IAILET PROVIDE I _ „ AiRTIGHT SEAL I I I • 1 I I �K sAI�LSa I I Approved 2>38Et �Q� A I I�( Approved joint wj �_ 1pp I I I joint w/ PVC pipe I 1( ALARM PVC pipe I i i I ou C I I CLEY. igXDD PUMP OFF -- .L_OAICRET E'L `SZ.00 &LOCK RISER XI ET PERM17fED OAILy IF TANK MAIJUFACTURI`R HAS SUC APPROVA APPR 3NAAPRc.Fp • �BFODIN4 SEPTIC E 5PECIFICATIOUS DOSE TA L) KS p W Ie'SINt dXAj0_���� IJIIMBEA OF DOSES: L) - — PER DAB TAWK :,QE : 1 O DO 1 6 S GALLOWS DOSE VOLUME r ALARM MAUt1FACTURER: S_S• ozzzzw S!LS7 1z�js IIWCLUDIMG BACKFLOW: 113Z 4ALLONC. MODEL 1JUMHER: - 11 t ``}1,,j CAPACITIES: A= I $ IUCHESOR 306 DALLOUS SWITCH TtIPE: _ �1E�tCUVL -Y Z B= _ IIJCHES'OR 3� G�LLOAIs M PUMP AWLIFACTURCR : ZO Z: 1Z -�� CO C= IULHESOR L IZ GALLOUS MODEL NUMBER: lb D= lZ INCHES OR ZOy GALLOWS SWITCH TYPE: �.��� u OTE: Q U KP A1JD ALARM Rf TO 6C 6 MINIMUM DISCKARGE 'RATE ��'�� GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE, CETWEEN PUMP OFF ALJD.,DISTRtgUTIOAI PIPE FEET + MIAJIKUM WETWORK SUPPLY PRESSURE f f ' ►• S� 'FEET �.0 + 3O_ FEET OF FORCE MAIN X �'�� F�ofLFRICTIOU FACTOR.. O LET Z`? TOTAL Oy1JAMIG HEAD 3 FE T As per manufacturer O gal /in. Liquid depth 3 a { I I , HEAD CAPACITY CURVE 3 7/8 6 1/4 — 3o MODEL "98" 4 5/8 25 I 3 5/8 6 ° ® O U 6 ? + + -4 c 15 O � � 4 \ 4 3/16 10 2 I 5 1 112 -11 112 NPT I • 0 U.S. GALLONS 10 20 30 40 50 60 70 80 LITERS 80 160 240 0 FLOW PER MINUTE TOTAL DYNAMIC HEAD /FLOW PER MINUTE EFFLUENTANO DEWATERING CAPACITY 12 HEAD UNITS/MIN FEET METERS GALS LTRS 5 1.52 72 273 10 3.05 61 231 15 4.57 45 170 4 3/16 20 6.10 25 95 Lock Valve 23' -� SK1102 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available with • Double piggyback variable level float switches are available or without alarm switches. for variable level long cycle controls. SELECTION GUIDE Standard all models - Wei ht 39 lbs. -' / : H.P. 1. Integral float operated 2 pole mechanical switch, no external control required. 2. Single piggyback variable level float switch or double piggyback variable level, 98 Series Control Selection float switch. Refer to FM0477. Model Volts -Ph Mode Amps Simplex Duplex 3. Mechanical alternator 10 -0072 or 10 -0075. M98 115 1 Auto 9.4 1 or 1 & 7 — 4. See FM0712, for correct model of Electrical Alternator, E -Pak. N98 115 1 Non 9.4 2 or 2 & 6 3 or 4 & 5 5. Control switch 10 -0225 used as a control activator, specify duplex (3) or (4) float system. D98 230 1 Auto 4.7 1 or 1 &7 — E98 230 1 Non 4.7 2 or 2 & 6 3 or 4 & 5 6. Four (4) hole J -Pak, junction box, for watertight connection or wired -in simplex or duplex operation, 10 -0002. 7. Two (2) hole J -Pak, for watertight connection or splice. Forinf omlationonaddiUonalZoelle rpmductsrefertocatalogonCombinabonStader ,FM0514;Pi p CAUTION g Piggyback All installation of controls, protection devices and wiring should be done b y a qualified Variable Level Switches, FM0477; Electrical Aftemator, FM0486; Mechanical Alternator, FM0495; Sump/ licensed electrician. All electrical and safety codes should be followed including the most Sewage Basins, FM0487; and Single Phase Simplex Pump Control/Alarm Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. - MAIL T0: P.O. BOX 18347 L . � Louisville, KY 40258-0347 Manufacturers of.. SHIP TO: 3649 Cane Run Road wA LodswfM, KY 40111 -1961 Qv4�TI'Pa►ias S%A' /9�9 1 . 4 7 P U /v /Z0 (502) 778-2731.1(800) 928 -PUMP q. - .. �.. k._.... _ . FAX(502)774,W4 Wis:onsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Ws. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ST C VLQ include, but not limited to: vertical and horizontal reference direction and Parcel I.D. \��1p I AJ G percent slope, scale or dimensions, north arrow, and 1 io ri�r�is to nearest road. Please print all inf � ' n. -` `�• �� 7eF D ate Personal information you provide may be used fors purpos Law, s §�I (1) (m)). Property Owner \ / Pr* ert Location V P'iUbE P'1 f °'''` N1Q 114 IJ(U 1/4 S Z T N R �� E (or Property Owner's Mailing Address Sr 1 r Lot # Block # Subd. Name or CSM# 1 a Z 3 6b `T1-1 I�UL z G °pry - > �?.dpoSeD C°_S)i City State Zip Code o e umber Fic ty E) Village 0 Town N Road � DW1)t.1 L�1 SytDo Z (ZL c "`Rijs� 1�1V CEO `i?)- f uf� ® New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate Ll S 1) GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material (3 U M Tl Lt Flood Plain elevation if applicable General comments and recommendations: pU wl M1,Aj . 6 D)= SAA/D )::)Lt, F Boring # ❑ Boring pit Ground surface elev. 0 15 • 3 ft. Depth to limiting factor 3 O ` 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 -q L()-f 2 31 Y — S 1 1 Z'�s�12 `vt`l -• Z - l o l Iz -.,/ L S1 l Sbk m i- chi lvi -� � s 4 o Sg �A V fit- �S - �✓ 2 30-31 '7 S `223 Ly 'PIS 2 S18 \'s it < . S c . 7 ❑ Boring ❑ Boring # Bri Z ®' pit Ground surface elev. C I S . 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 l0 - t z- 31 - s % I b k . S . � Z .- -S 1- tRuty - S> Z' 5�s ? • ✓ z •Sy sL ) iL1'- S�tic Ski; st�� ti�bk Y►1`Fi - Z •3✓ ' 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 Print) Sign re CST Number Arthur L. Wegerer G0 -��9 220254 Address Wegerer Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Bain St. River Falls, WI 54022 - 1 2'� -00 715 -425 -0165 • 1 Property Owner Parcel ID # ��?.lp )Al 3 Z a goring # 11 Boring ` Page of [j pit Ground surface elev. 9 _ l7 ft. Depth to limiting factor In. Soil Horizon Application Rate Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 1 •Eff#2 2.3 / Y s L 1 Z`{ ►vi — � `� , S • `8 ✓ In`Itz 3!6 Ls m � C% 3 1 -39 3/y 'Fly S k� Slf� G rs l a5bk ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting actor 9 in. Soil Application Rate i 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 Boring Boring # ❑ Ground f u surface elev. ft, a pit 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. i 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 = 8013 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777, SBD -8330 (R.6/00) PLOT PLAN Page 3 of 3 Scale 1' -1 0 0 03 _? 9s N J Z G \\ ad \ 1S' � L u 6 Cdvl izS z�• • a+� rr Z 1' UN n' i , 3 )q"t1R• . QUC \PIPE W f L.t�y'N c l lH Gl¢, 3Ly LiA p V C P l y 1.�I LRfiN 715 - 425 -0165 220254 00 -t89 P� CST Signature Date Telephone No. CST No. Job NO. 5T CROIX COUNTY SEPTIC TANK NIAINI`ENANCE AGREEMENT AND OWNER CERTIFICATION FORM OwnerlBuyer t '/ J, 11 V u 1-t d < M e, IL '2 Mailing Address Property Address 19 19 (e 9� ^� • - -- ( / Verification required fi+om Planning Department for new construction) City /State 13 4 l `` Parcel Identification Number 02 o ` q - jo -too I,,EGAi.. DESCRIPTICIIr; Property Location 'l {, f� l,, Sec. T 2 N_R W, 'I°ovni of n k S e � Lot # Subdivision Certified Survey Map # 3 q 3 . Volume ! S , Page # qG q5 Warranty Deed # `1 / 6 ( � 1 S . Volume page —�-- -� 2 .-.-- Spec house ❑ yes ❑ no Lot lines identifiable 13 ycs ❑ no SvSItvc tuejN'I`ENANCE Improper use and maiatenanceof your septic system could result in its premature ;allure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. '%"%t you put into the system can affect the function of the septic taul: as a treatment stage in the waste disposal s }^stem_ The property owner agrees to submit to St. Croix Zoning Departnient a ceitificatian form, signed by the owner and by a mis plum'ber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdispasal syst torplamber, jouraeyma°` em is less is in proper operating condition andlor (2) after inspection and pumping (if neccssary), the septic faalc than 113 fu11 of sludge . lfwe, 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. C e r tification 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. Ste/ /;,—/ 61/ DATE SIGNATURE OF APP IL CANT OWNER CEATIF'ICATION c our yowled e I wed am (are) the owners) of i (we) certify that all statement_ on this form are t_ e, to the best of my (Our) g ( the property desenbed a e, by virtue of a warranty deed recorded in Register of Deeds Office. DATE SIGNATURE OF APPLICANT * * * * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Dep artment ** include with this application: a stamped warranty deed from the Register of Deed' Office a copy of the certified survey map if reference is irmatlo in the warranty daed h"1� CFO mr i Goulds a Submersible Effluent Pump 38 III - i _ Ful • subme ed in high ■ Motor Housing: Cast iron - APPLICATIONS • Fasteners: 300 series r turbine for g 9 t for efficient heat transfer, Specifically desined for the �£ 3 s r stainless steel. - g stre _ „ Capable of running lubrication and efficient ngth, and durability. - following uses: dry without damage to heat transfer. ■ Motor. Cover: Thermoplas ?• Effluent systems tic cover with integ t c an ral handle componeirts Available for automatic Homes .. and float switch attachment , ° ° Motor. manual operation. Automatic oints Farms , p,� _�� EPO4 Single phase: 0.4 HP, models include Mechanical :! Heavy duty sump Vim= ; 1 i5 or 230 V 60 Hz, 1550 Float Switch assembled and m Power-Cab le, Severe duty • Water transfer K RPM, built m.oveiioad with the rated od and water sistant Dewatenng s ` :° preset at factory . ; , utomabc reset. `. s� Bearings Upper and lower heavy duty ball bearingt tNFF1CAT10NS EP05 Single phase: 0.5 HP, PE X115 d, 60 Hz;9550 RPM, FEATURES constnrcti on. �. Pump: EPO4 R � built in overload with ■ EPO4 impeller. Thermo- ' { Solids handling capability: ` automatic reset. plastic Semi -open design AGENCY LISTING 9 / +' maximum. Power cord: 10 foot with pump out vanes for . • standard length, 16/3 SJTO mechanical seal protection. SP• pnadiansiandardsnasociati ti Capacities: up to 55 GPM. p C .with three prong grounding heads: up to 24 feet m EP05 Impeller. Thermo- : • CSA listed model numbers "olichirge size: V NPT. plug. Optional 20 foot length, 16/3 SJTW with Plastic enclosed design for end in °F" or "AC ".) Mechanical seal: carbon- g improved performance. rotary /ceramic- stationary, three prong grounding plug p p ■Casing and Base: Rugged i3UNA -N elastomers. (standard on EP05). • Temperature: thermoplastic design provides superior strength and _ 104 °F (40 °C) continuous corrosion resistance. 140 °F. (60 °C) intermittent k Fasteners: 300 series METERS FEET - stainless steel. 10 Capable of running dry without damage to 9 30 =: components. Pump: EP05 Solids handling capability c 25 a -/: maximum. w . •'Capacities: up to 60 GPM. 0 s 20 • Total heads: up to 31 feet. Z • Discharge size: I 1 NPT z 5 - • Mechanical seal: carbon c 15 rotary/ceramic-stationary, a 4 BUNA -N elastomers s c,�� J h b Temperature r = _,� " T (40°C) continuous�t "140°F (60 °C) intermittent. "� F 2 - �?rx_Y t • fj . . T Y - L .r i ... .S' .. l� ` —"1 -i S'/{i� °�" •. •, / \ r ` / l �' .• 'fZ+ f' � -�` A: O oo �o uaKns X20 ` •U } .et• " ' � "40 = • !? :'GPPR - 1 12 Wiz. M31h , y :. CAPACITY Effective May. 1995 ®1995 Goulds Pumps, inc. - "- .. Me. ,had n u f VIEW eiMWreR ssarRM i � ` I � � '.x ' "R' . J`-�'�` Ste -� .�" � � T' A • - �a 4�eVMa C F fte& far 1 a/k. 9 dohil Merrit . and Lorraine Hof Jul_ aL'► t� k 6iikfi >i#[d `1ft� ....,...... s ....... ... A gAL P .!w «.. ... ... - ......... 7 e 'N COQAQ I a wxrio�a �� A �#x veer ee.....an ............ h ..ta —Va" r_.deer .... ................................................ ._.........---- ..............._ Deputy �.� . .. ..................... ....... ............• -• - -- • - -... -- •-- ........---- •----- ...... ..L.Y .......... a .................•..._.......... ............................... ._ ........................................... ............................... Rem" ,o BAKKE , NORMAN 8 ............• ........................... ............................... SCHUMACHER, S.C. ................................. STf: •Croft . .. Got i�wiNg daub" Teal auto in ................ ................ ............. , 7 E"t 470 feet of North 214S feet of West 1/2 of Northwest 1/4 of section 2.28 -17. MAN This deed is given in satisfaction of a Land Contract dated '1+74, ' recorded "M as Document No. 333 I( is Thla .. homestead property. i ; E :eeptiott to warranties: � Dates . ............ 18th ........... .....•••....... day of ...... July .. ...... ............ -------------- ......... 1a86..• 'l ' l ]f ..... --(SEAL) �� �1` �•• -.. (SEAL) John 15. Merritt a /k /a John a Lorraine Merritt -- - ................... ----...........•-•-- ...................•.. .............................. (SEAL) ........ ---- •-......-• .. .............._.... . I AUTEIRSTIOATION ACKNOWLEDGMENT John T. Merritt and (� STATE OF WISCONSIN Lorraine Merritt . - » - - a ...................... ..........••- -Count'• _ I8 . .. »uly ----- _¢ Personally came before no this ................ day of c _..._.1 19.__..... the above named •~ -u%!!! .. '....d ! !t4t .! ��.r-- - - - - -- ............................•----------.---- t ---•------ .....------ •- ••-- •• - -•• -• TITLE: MEMBER STATE BAR OF WISCONSIN = "...-- -•--...._ - ••- -••_.. • -• -• •................. ........ ............. ....... ..- •-- •-- •--- .._._...._...� - - -- .. ............... f sstborlsrd by f 708.Od, Win. stafa) to me knowr !a be the rson ...... ..... who executed the foregoing instrument and acknowledge the same. i 111 THIS IN STRUMENT WAS o 91AF IC BY BAKKE, NORMAN F SCHUMACHER, S.C. --------•------------------•-----.._---.--- .................. ............. ..- ( New Richmond WI 54017 ..••. . _. ............ .Y ---- »----------------------------------------- - --------- --•--................. Notary Public - -•- - - ......... ......... Wis. � { (Sin,- laturve may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration ( aks not necessary) - ---•--- -•----•-- -- --• 19_- ....... date: ----------------- ....... ......... r gteaas of DMA slpfas in wT aveaib should be tryad or printed Ddov tacit signatures. STATE BAR OW WISCON82M IeC7sr9r�� 10Rii Ite. 11 -- 1933 Stock No. 13(W t fi'L� 3 • as o 7 2ooti + l o� ..� G39M 4 r9 w CERTIFIED SURVEY MAP LOCA ART OF THE NW1 /4 OF THE NW1 /4 AND IN PART OF THE SW1 /4 OF THE NW1 /4 OF SECTION 2, T28N, RI 7W. TOWN OF RUSH RIVER, ST. CROIX COUNTY, WISCONSIN. A ap Aaa_o — 98 - 9 0 58'38'W 88 0 6828 "E 4 70.03' t ' r z 338.03' m z 66.00' 1 68.00' 60TH_ "E. N Z SEE D ETAIL R . M A s 0 0 $ ,,�,,,,, I NORTH LINE OF THE O 0 v1 v � i 9 0 Nm w $ Sri Nm m fry y ' 4.183 ACRE 1822196 0 FT ; m LINE TABLE $ A= 68.00' *- W' 3.927 AC 8 B =338.03 OWNER m; 171,064 80 FT Z C =66.00' MEL VANDER MEER O '� 1923 60TH AVE. i O i r• BALDWIN, WI 54002 50 : 50' o %DETAIL ` �7 66' 66' m Z / N z OD l m / N89 0 68'38"W 338.03' m O / ; y O r g i m 33.00' I C � Z `F' r - O ; o0 1 ! 1 TREE-- / C C O 1 / 3 Zco 5.03/ "@ A \ ; - 0 0 E Nb 0 M z Z ug 1 Inn 1 0 '( �O i Cs `�"0 0 OD�o O N�`a �n 1 .7 , 3� m House C ° I Z y F cs 8.181 4 o i� SCALE IN FEET 1" = 200' w 358,360 SO FT W m _ to N EXC R/W N j 1 20 0 200 8.131 ACRES 354,182 80 FT Shed As I 888 °43'35 404.02' NORTH LINE OF THE NORTH LINE OF THE SW1 /4 OF THE NW1 /4 S E1 /4 OF THE NWi /4 AFPRO"I r.:f) '� . Qo G • ST. CROtF Plannino 7-1— G f* � I�'INIl O Z 001 IN IN i -n Z It not I'ecolow wluuu JU J.� /5 of = i = o0 1 m approval dale approval shall be m O n+rll and volt s 0� C� 110.781 ACRES 488,838 80 IFT i� 3p LEGEND /W EXC R 10.731 ACRES ' a - 467,457 80 FT ALUMINUM COUNTY SECTION CORNER MONUMENT FOUND 1" IRON PIPE FOUND 1 t 1" X 24" I RON PIPE SET WEIGHING 0 1.68 LBS. PER LINEAR FOOT " N89 0 58'38' W 470.03' �apdQ��p �aDo . ............ • ROADWAY SETBACK LINE Vol. 15 Page 4045 4 i i SbOt abed St $1 1 9-4 CU t�,W. _mWWO 5 E eH M 2 Hi 0 •aa!npe ao; pjvoq unno a BUdoiddB aq; pus as p 8uluoZ fjunoj Yio.ij • ;S aq ; ;aB ;uoa lowed �Cuv guidolaeap ao 8uisega.�nd, aaio ;ag •(•a ;a �la3.ivd o; ssaaas 'azis ;ol uinuuulm �spag� ;a,ti► �•a•i) suol ;gin8aa pug salnj tsmel d!gsumoZ pus f4unoj to ;e ;S o; ;aafgns si dgui s!q; uo uAiogs laaaed gaea si 910tS IM tuospng `NosanH WAS ;nu a � S I M ZTZ r a31HVZ 8u!BaAanS Pug'I 14 $ S ' r svi onoa dcc StTZ SqH `•ialgeZ 'f selBno([ y a p •amss 8u!ddem pus BuUCaAJ ai :ianid gsng 3 u o ano a o aau�u!p.�O uo!s!A!pgnS puBZ ag; pue sa ;n ;e ;S u!s S 3 uoas!M aq ; ;o aqt pus mo.ij 'I a T tr£'9£e Aa;dvgj jo suois!Awd aq; q;!m pa!ldwoa Mina aAeq i;egj Paq!A"V l,uii P dAd narts eui.l'iiYti0ii } .ioua ;xa aq; ;o alsas o; uope;uasa.ida i ;aa.uoa a sl delq AananS pag. jaa siq) ;eq; 411J33'09111 I i" p ; .aoaa.� 3 usuanoa p • o s ue suoy ;u au ;sa.a tsamassa ll o; ;aafgns sl laaaed paquasap anogd 1 R� a` '( *bS tTZ1800`T) saaad StITZ su!gluoa laa.1ed •8uluu!8aq ;o ;u!od aq; o; x as au! ou piss 8uo e t aqua ; :V /T� aqj ;o am q�ou piss o; ;Oa; f j - .gtTZ 3 co £0'OLti i qI•� P. i ►�tt8£t8So68S q Mtt1�ZcL£o00I1j 03uag; 4301 £0'OLti Mtt8£t8So6811 aauaq; : ;aa3 �i'Si'iZ `� /TMH aq; ;o b /TMS aqI 3o gull ;sea ag; Pus y /TMN aq; 3o b /TMAi aq; 3o gull ;sea aq; 8uois 1a46bZtL£o00S aauaq; .Suiuu!gaq o ;� ;od a; 8n!aaSxe `t' a o a o .iau.�oa ;sea ou a o as q vir ; IAMI aq; 3 V /TMI1 q; 3 q qI ; 13 ZL'ST £T `� /TMI�t t '.vn +� : e 8uiouammo ' aq; to aai[ q pu aq; 8uoi `MtcB£t8So6811I aauaq; .- ..,.paS Ines ;o » U O3 ixoa Jii r 9; :sAAollo; so paquasep :u!suoasiM '- tAan03 z!o.�� S t.�aA!ZI gsng ;o uAjos t MLi2I `KgZZ `Z uouaaS ;o % AAH aq3 3 `/z MS sq; ;o ped s pus % Ml1 aqI 3 `/z MM aqI ;o ;red s paddvm pus pap!A!p tpa�CaA.[ns ansq I t.�aalg.�apusA ION y > ; 30 uopaa.�ip' eq; Aq jegl 4pja3 fgaaaq t.io�CaAjnS pusrl u!suoas!M pa is ;s!8ag t calgsZ •p sslBnoQ tI '.. i a1.V3IjHJU2D St2IOAaAlMS 4 t 4 t t '1 y }