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HomeMy WebLinkAbout026-1121-23-000 Wisconsin Departmen. County: PRIVATE SEWAGE SYSTEM St. Croix Safety and Building D Sanitary Permit No: INSPECTION REPORT 463284 0 GENERAL INFORM (ATTACH TO PERMIT) State Plan ID No: IL Personal information you provide` be used for secondary purposes [Privacy Law, 6.15.04 (1)(m)). Permit Holder's Name: City Village X Township Parcel Tax No: Halle Builders Inc. I Richmond, Town of 026- 1121 -23 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /Qb (Jj rA c 05.30.18.738 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic -7 plr. /600 Benchmark 4-sk O r jDa•S�p /pZj 7 Dosing � ��� Alt. BM l�s� ' I . Zb 0 J -36 � Bldg. Sewer PC) Gb zo . 01 Holding St/Ht Inlet 7� S� 77 7 9 TANK SETBACK INFORMATION St/Ht Outlet � TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet SepticP ' r Dt Bottom 27 Uzi zc �s.7� �y �� Dosing ' r I Header /Man. �-S 8 7 Z � Z. I � , l7 3 . 5 Aeration Dist. Pipe 12 •`rw 7. 7 3.33 - 7. z3 Holding Bot. System PUMP /SIPHON INFORMATION Final Grade Z ( �9 Manufacturer Demand St Cover �-/ G. O ( GPM 12-- a • �O 7 9 � Model Number {' 64 2C3 1 131 S� TDH Lift Friction Loss System Head TDH t Forcemain Lengt i Dia. Dist. to Well 7 , 7 Y SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia, Liquid Depth DIMENSIONS SETBACK SYSTEM TO `Y J P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: r ` INFORMATION CHAMBER OR LJ� A w� Type Of System: (� 7 3 ? cJ i UNIT Model Number: 0 t,r b roc` ( �(- DISTRIBUTION SYSTEM A zz Header/Manifold L (�� Distribution I x Hole Size x Hole Spacing Vens to Air Intak q 1 , Length Dia 1 Pipe(s) ength \ Dia Spacing \ \ 1(`e.I� '° SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only GCS e mac. --�— Depth Over FDe Over xx Depth of xx Seeded/ dded 1 xx M ched Bed/Trench Center 2 rench Edges ` Topsoil `_ es No es 1 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 5 14 Inspection #2: Location: 1711 107th Street New Richmond, WI 54017 (SW 1/4 SE 1/4 5 T30N R18W) Partridge Run Lot 23 Parcel No: 05.30.18.738 1.) Alt BM Description = ,�- 2.) Bldg sewer length = 7 j _ - amount of cover Plan revision Required? Yes L] No 1 / - — - -- S Use other side for additional information. 6 - ! Date Insepctor's natur Cart. No. SBD -6710 (R.3/97) A Safety and Buildings Division Coun� ` 201 W. Washington Ave., P.O. Box 7162 iscorrsin Madison tary Permit Number to be X11 n y Co.) t ( L VE� 3 X 7 �j Department of Commerce Sanitary Permit c sca Plan I.D. Nu ber 0� In accord wit h Comm 83.2), Wis. Adm. Code, a 5 Z may be used for secondary purposes Privacy 5 Proj t Address (if different than mailing address) NT 1. Application Information - Please Print All Information OFFICE / J 1 07 "�- ( ( k# Property O / Parcel # Lot # Bloc Property Owner's Mailing Address / Property Location �a__ r v - 1 y., 5 %, Section City, State Zip Code Phone Number U (cir cle o e) h Z T _& - C a �CS _ E w' II. Type of Building (check all that applyl Subd ision ame r CS)Nber or 2 Family Dwelling - Number of Bedrooms ❑ Public/Commercial - Describe Use Tl � 91 � ❑ State Owned - Describe Use ❑City _ lage To ship o III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System List Previous Permit Number and Date Issued B. ❑ Permit Renewal ermit Revision ❑ Change of ❑ Permit Transfer to New Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl kNon - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Welland ❑ Pressurized In -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter IqLeaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Appli ion Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) S stem Elevation 3 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit / eJ Dosing Chamber - / ' t l.LQ_ - VII. Responsibility Statement 1, the undersigned, assume respo sibility for installation of the POWTS shown on the attached plans. PI a (Print Plumber' gnatur P PRS Number Business Phone Number Plumber's Address (Street, City, State, Zip VII . Count v /De artment Use Onl pproved ❑ D elf Sanitary Permit Fee (includes Groundwater Date Issued Iss7Signature Surcharge Fee) t Y/ „ b 5 15/ 6 ❑ Own tven R or Denial IX. ('onditions of Approval /Reasons for Disapproval U w�,✓� -� � � U V a � � � l� o u � d� � �1 P� PL/ V Attach complete plans (to the County only) for the system on paper not leas than 81/2 x 11 inches in size SBD -6398 (R. 01/03) �SYST ER: ' r C 1 Se effluent filter and RECE'u dispersal cell must all be serviced /maintained C as per management plan provided by plumber. 2, All setback requirements must be maintained DEC as per applicable code /ordinances. 0 2004 CROIX COUNTY sr. Q ,I ZONING OFFICE C' - Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7082 ` ,�'COn Madison, WI 53707- 7082 Sanitary Permit Number o be filled in by Co.) S,n artment of Commerce (608)261 -6546 3 Za L De Sanitary Permit Application State Plan I.D. Number In accord with Comm 8321, Wis. Adm. Code, personal information you provide maybe used for secondary purposes Privacy Law, s 15.04(1 xm) Project Address (if different than tnai 'rag address) 74, I. App l o Jn or �t a e P itif 11 I m µ f �� \ Property 's alma P I M Lot ii• Block M z. ( _.- (( Pr Owner' ailing address Pro Location its State Zip Cod4 Phone Number `' Section f circle II. of BuUdIn '1; - -� N; R�E r W Type g (check aU that apply) 17? ` or 2 Family Dwelling - Number of Bedrooms i vision Name . .��yp Number Public/Commercal- DCSCiribeUBe ❑ State Owned - Describe Use ❑city IIL T of Permit: (Check only one box on Une A. Complete line B if applicable) �2( — ►21 - Z'� - OQD , �3 A New Sy ys ❑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 S stem: Check all that a 1 Non - Pressurized !n Ground ❑Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ A -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter V Leaching Chamber ❑ Drip Line ❑ Gm -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Info mation: Design Flow �o.,rt) Design ? sting pplication Rote(gpdsf) Dis persal Area Re u �P' p q (so Dispersal Area )'roposed (sC) System Elevation Ti ",-1 Z j -Z j�r�f,3 VL Tank Info Capn Total Number Manufacturer Prefab Site l Steel Ft Plastic G Gallons of Units I��Q Concrete Constructed Glass New Teaks Tanks T via Septic or Holding Teak i , ; Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. bet's N e (P ' t) Plu 's Si acute MP/MPRS Number usiness Ph ne Num r o? 6) 3 7 � � fyn(c r Plumber's Addy (S cat, ,State, Zi code) Hi , VIII. Coun /De artment Use On 1K Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Is uing cot Signaty a Stamps) Surcharge Fee) � ❑ Owner Given Reason for Denial Z� -- IX. Conditions r v po Zr- V `� .9 p M � � T - J !� M o r c k— M ar 3 V V 1� Cv d Wisconsin Department of Commer a ,_. 1 1 . d 20 SOIL VALUATION REPORT Page — L of 3 Division of SAfety and Buildings in accordance wit 85, Wis. Adm. Code c ?C;� {- County J ��( Attach complete site plan on pa x up N T� inc s in size. Plan must include, but not limited to: vertical and horizof5ta ce Co poi (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location d distance to nearest road. Qa - a' - a Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location �fq I k i,3U1 Oee -s Govt. Lot 5W 1 / 4 5E 1/4 S T 30 N R $ E ( r) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 113 a3 Pa{f,-;ase. R City State Zip Code Phone Number ❑ City ❑ Village ®.Town Nearest Road A)f QiA.,.j w I I sy o 17 1 ( ) tc 0 7 TIN St. 9 New Construction Use: ( Residential / Number of bedrooms Code derived design flow rate 44 50 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material l & S ti 1 Flood Plain elevation if applicable ft. General comments goy,�s'1 f - /•�S' aaRi a! ,.75.A ?Rit�,xhf a- h a - G oZ "a ►.cQ 3 - S 6,�5 `TRENC)• and recommendations: P For *V Pe P� wG •� w, .,-} T. 1 Ca7.4a'� rt,3 (�l,►.Y3� T `! 09,yl T'l C91,y1') b � �d --S� t C V6•.9.3', T. S 01-9a � T.7 9 7,9.1 o�- nth FT I Boring # ❑ Boring e .�u o1 F-6-6. z noq >, Pit Ground surface elev. �/ /, / ft. Depth to limiting factor � in. U 60_ Soil Application Rate /I- Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 0 - 9 )04R 3 /a L a FUR 6Sk QS C ,s �� 6 a g.. 75'41? ' 1 4 t tr -RM5 65 k e- vi r F .s 19 c� 3 1s-y "I' S `R "Ito SL arSSK sV► 0 V 1v .5 .9 � q115 S �R 4 1q SL 121* 4 cw,40 - 42ar_lcleh SL Fa� Boring Boring # . Pit Ground surface elev. Qo?. �L ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 0 -13 )0\- 3 1 a L a F&P Jls a a , 5 .,% SL. E* S8K 1 6 s i h a\A► I F * 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) Signature CST Number I�anha T° S�Cxr n- Cc. as1 H6 Address A U Date Evaluation Conducted Telephone Number SBD -8330 (R07 /00) I . 1/ Property Owner P41le dul N et's Parcel ID # Page of Boring # ❑ Boring I 3 R' Pit Ground surface elev. b,4 3 ft. Depth to limiting factor q 5 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 I o -s 101IR 3 1a SL WA as as a F •S I + a 5 -„ 10yp, Sly SL a,F 8 S�% CW I F .s ,9 3 I1a3 I S48 Siy SL &P 8 s ti CW I u F .5 ,9 f° y a3 -35 1.5 yR 4 )q "sue • amStgK e Ss % CW Iv F .5 , R S 35 - 5cl V ' 1 14 5 L a A SV, 0. ---- -- .5 ,9 � b sa -95 5 �tR yip °-- SL Fq-1 Boring # E] Boring a Pit Ground surface elev. 9 S - log ft. Depth to limiting factor ao in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 o -lo E6l e a L aF&P a 1:! .S A - ( a 10 -3a S w )y ----- SL aPs9K CW { F .5 .9 3 a �R 4)q SL & FS 9 K J s� � 3 c on�a�� s o kefs 5 y�'� SL Boring # ❑ Boring El 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 /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 ' Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 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.07 /00) -� -� IL 4-3 \n CA F + .� CA- -� 4L a 4. ; r ink 1 10 01, J � A � O 6 s M � a p t- I Cb I q r I = '� V7 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner H f Septic Tank Capacity a l ❑ NA Permit # 2 Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model — ❑ NA Number of Public Facility Units = OA Pump Tank Capacity a l A Estimated flow (average)t0 al /da Pump Tank Manufacturer A Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer A Soil Application Rate gal/day/ft' Pump Model A Standard Influent/Effluent Quality Mont4 average" Pretreatment Unit rw%'A Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg/L ❑ 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 kn- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510` cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: q X ear( 1(s) (Maximum 3 years) 13 NA Pump out contents of tank(s) When combined sludge and scum equals one -third IY of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 0 mo ms( s) (Maximum 3 years) ❑ NA (s) Clean effluent filter At least once every: ❑ month r[3 NA ep yealsl month(s) A Inspect pump, pump controls & alarm At least once every: ❑ year(s) Flush laterals and pressure test At least once every: ❑ year(s) ❑ month(s) A Other: ❑ month(s) A At least once every: ❑ year(s) Other: A 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. Page Z of 2 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 cdll(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 fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or.must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. W191 T lua ' o m9 ank ai ? �Di2 -H/ �'ONS7Rflc? b e fZ0}l1817i� ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the b(omat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Gz Name Phone j� — �:- �. � Phone SEPTAGE S VICING OPERAT (PUMPER) LOCAL REGULATORY AUTHORITY Name ` � ' (� Name S G ( bU Z 241111 � Phone Phone /S— 38'( &9 C7 This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d) &(f) and 83.540), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 'M7 Mailing Address Property Address (Verification required from P lanning Department for new construction) City/State A / V k JWD GAL Parcel Identification Number - y'' ' '3�" LEGAL DESCRIPTION Property /L_ , T�_N -R� W, Town of Pro Location '/,, '/4, Sec. Subdivision Lot # 2� Certified Survey Map # , Volume r- Page # Warranty Deed # �)C /50 , Volume j Jr Page # Spec house Xyes ❑ no Lot lines identifiable 1� yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof 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 mastcrplumber, joumeymanplumber, 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin- Certification stating that your septic sys m has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da a three y ti date. ATURE O APPLICANT DATE OWNER CERTIFICATION I (we) certify that state ents on this form are true to the best of my (our) knowledge. I (we) am (arc) the o wner(s) of the described e, by utue of a warranty decd recorded in Register of Deeds Office. Z nn NA'T'URE O AP LICANT DATE • «• « «« 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 decd from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed y �52PAGE� G0936� KATHLEEN H. WALSH DOCUMENT NO. State Bar of Wisconsin Form 2 -1982 REGISTER OF DEEDS ST. CROIX CO., WI WARRANTY DEED RECEIVED FOR RECORD 08 -27 -1999 9:15 AM WARRANTY DEED EXEMPT M 15 Wesley W. Halle and Linda R. Halle, husband and wife, convey COPY FEE: FEE and warrant to Halle Builders, Inc., a Wisconsin corporation, the TRANSFER FEE: following described real estate in St. Croix County Wisconsin: RECORDING FEE: 10.00 PAGES: 1 Halle Builders, Inc. 1113 Highway 64 New Richmond, WI 54017 Parcel ID No. 026 - 1019 -10 -000 The Southwest Quarter of the Southeast Quarter (SW1 /4 of SE1 /4) of Section Five (5), Township Thirty (3 0) North, Range Eighteen (18) West, EXCEPT Volume 728, page 136 as Document No. 407700, now known as Lots 1 — 26, Plat of Partridge Run, in the Town of Richmond. This is not homestead property. Exception to warranties: municipal and zoning ordinances, easements and restrictions of record. Dated this day of August, 1999. .- W. 1 �vv ��iCy rxr e aej Linda R. Halle ACKNOWLEDGMENT STATE OF WISCONSIN ) ) ss. ST. CROIX COUNTY ) Personally came before me this day of THIS DOCUMENT DRAFTED BY: August, 1999, the above -named Wesley W. Halle and HA da R. Halle to me known to be the persons who Judith A. Remington �O ��@x ted the foregoing instrument and acknowledge S the s e REMINGTON LAW OFFICE. P.O. Box 177 poi A New Richmond, WI 54017 • � _/' � Z � (715) 246 -3422 ry Pub1iF Stat f Wisconsin Commiss' xpires: aZ OF \N \ � r 33 i w SE1 /4; S89'S5 31 "W 240.60 z f sc line o I i 643.37 ...... w feet to south 1 I - I arcel cc P .22 � 00 . 1.032 ACRES 44,967 SQ. FT. I I O S89 31 "W 243.60' 4) CD :2 0 N (6 N N i S N 00 1.025 ACRE N 44,66 SQ. FT. v I LO V) o Ob o I L S89'5 '31 "W 246.53' o z 24 N 1.005 ACRES I : 43,789 SQ. FT. S 0 0 VJ -" V -;t v� O � W � Q � 1 1 -1 � V1 COMBINATION SEPTIC/DOSE CHAMBER TANK & PUMP SPECIFICATIONS PER COMM 84.25 CODE CHANGES 2/1/2004 Access Opening, not top of cover, Access Opening, not top of coyer, must extend to a point no greater must eidend at least than 6" Below Finished Grade 4' Above Finished Glade . ' Coyer with 1N�A� Y �PQt2e D, YED CH P Locking Device lU bn� 89x a (typical) Min. 23" Finished Grade �Z M , / � v m 30 Pr >qi 10 ► Access Opening i O e — Lf�l� 1tj Min. 23" Access Opening „ i G Oulat Effluent Filter p' j Z �i Union jQpeoYEA /P� 3 PT, � � ON1a - 50�- /D SOIL Inlet Baffle ► i Pump �� 'n unaler w� ;Ll, c'2nle Z•• /acuerSLhar Qd 3 .Sar►d arq Two CompartmentSeptic /� � o� OvfSide` SPECIFICATIONS TANK MFR: byj4 DOSES PER DAY: TANK SIZE: SEPTIC 1600 GAL. DOSE VOLUME: Io 3 J GAL. DOSE 6s6 GAL. (INCLUDES FLOWBACK & <20% OF DWF) ALARM MFR: CAPACITIES: A= J 6,q7 1NCHES = v . GAL. MODEL # G. Switch type: B = — 2 — INCHES =GAL. PUMP MFR: ��'�. C = y 03 INCHES = 1 GAL. MODEL M E D SWITCH TYPE: T D = _INCHES = GAL. REQUIRED DISCHARGE RATE _ GPM PUMP & ALARM WIRING PER COMM 83.43(8)(e) VERTICAL DIFFERENCE BETWEEN PUMP OFF & DISTRIBUTION PIPE (LIFT) _ .79 FT. MINIMUM NETWORK SUPPLY PRESSURE (DISTAL & NETWORK PRESSURE) _ + — FT. 9 FT. OF FORCEMAIN x 1,1 FT. /100 FT. FRICTION FACTOR ...... _ +_Z _ FT. TOTAL DYNAMIC HEAD (TDH) FT. INTERNAL TANK DIMENSIONS: LENGTH ; WIDTH ;LIQUID DEPTH MP/MPRS SIGNATURE: LICENSE NUMBER: �'laao 35 7 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 %r: components. tic cover with integral handle Motor: Available for automatic and Farms EPO4 Single and float switch attachment • Heavy duty sump g phase: 0.4 HP, manual operation. Automatic models include Mechanical RP points. • Water transfer RP M, , built in overload with 230 V, Hz, 1.5 Float Switch assembled and ■ Power Cable: Severe duty u • Dewatering automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. ■ EPO4 Impeller: Thermo- • Solids handling capability:,- automatic reset. lash i- 1 / 4" maxi p c Semi-open open design AGENCY LISTING " mum. •Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal p rotection. • Total heads: up to 24 feet. with three prong grounding SP Canadian Standards Association • Discharge size: 1 NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers roved or Mechanical seal: carbon length, 16/3 SJTW with plastic enclosed design for • improved erf end in "F" "AC ". ) rotary/ceramic - stationary, three prong grounding plug P P ormance. 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 ! i • Capable of running _ f u dry without damage to 9 30 components. = –►: , �___ ____ __ - -__ -� Pump: EP05 8 r • Solids handling capability: 0 25 3/4 " maximum. 7 7 i aximum. W -- • Capacities: up to 60 GPM. s 20 • Total heads: up to 31 feet. z 5 • Discharge size: 1 Y2" NPT. • Mechanical seal: carbon- o 15 rotary/ce ram ic- stationary, _ 0 4- -_� - -- - – '— BUNA -N elastomers. � -- - - -- -- - - - - -- { • Temperature: 10 104 °F (40 °C) continuous j 140 °F (60 °C) intermittent. ---------- `_ -- -- - - j - -- - -- -_ -_ -- - - -_ -- -- - - - - -- a - -- — 5 1 � i I I 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 W/h CAPACITY ©1995 Gout umps '�o 0 Effective May, 1995 83871