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Home My WebLink About026-1133-08-000 Wisconsin Department of Commerce / PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division ]jj I INSPECTION REPORT Sanitary Permit No: 430370 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: McPherson, Chris I Richmond Township 026- 1133 -08 -000 CST BM Elev: Insp. BM Elev: ll BM De tion: Section/Town /Range /Map No: D (� U I °� 06.30.18.921 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. , Septic 1 Q i) Be r ftck-t ark q), Dosing / / Alt. BM 1> j9 y ('V Aeration W 1=- C�14 b� 10 Bldg. Sewer `g TJ o ' • .? . 0 S 6 K y o Holding St/Ht Inlet 4 XI-1 1 k. eq �02r - 3 0 O / ' Ll utlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 1tiJ� S� aT Septic , ZU � `") 0 Dt Bottom ` / In - 111 Dosing Header /Man. p.3 Aeration Dist. Pipe /1• Holding Bot. stem t �b �i Final Grade 'S t f v PUMP /SIPHON INFORMATION �, n , r �' m ' 9ST 75 Manufacturer Demand St Cover / GPM 7 v rs Model Number TDH Ljft Friction Loss System- H¢ TDH Ft tP. �/ For i Length Di /t o V lS SOIL ABSORPTION SYSTEM (S V BED/TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 q (.,t r SETBACK SYSTEM TO ll P/ BLDG WELL LAKE /STREAM �CHAM BEF"R EACH!N Man r er , INFORMATION Ty a Of System: n 1 uf �0 �/ t > I vo t Model Number: PISTR IBUTION SYSTEM 7 � �h Header/ anifold Distribution f / , ,00�.. x Hole Size x Hole Sp cing a to Air Intaak Pipe(s) �� -- _- too Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only ;n&C-ly Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil h ;..j Yes No Yes No COMMENTS: (include code discrepencies, persons present, etc.) Inspection #1: I � / Z � / b Q Inspection #2: / / Location: 908 172nd Avenue New Richmond, WI 54017 (SW 1/4 SW 1/4 Parcel No: 06.30.18.921 �0N R18W) Pine Valley Lot 8 ` 1.) Alt BM Description / +3 Q O o f 2.) Bldg sewer length = 46 - 14�lt- - amount of cover = Plan revision Re uired? Yes No ` 1 /, L-j Use other side for additional Information. I � J _ � �� — [i►.� L-4 SBD -6710 (R.3/97) Date Insepctor's ignature Cert. No. Safety and Buildings Division County e( c V 201 W. Washington Ave., P.O. Box 7162 5L X 1 *is consin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) De artm_ e nt of Commerce (608) 266 -3151 30 3 Sanitary Permit Applie State Plan LD. Number In accord with Comm 83.2 1, Wis. Adm. Code, personal info on )R E-G E I V E D may be used for secondary purposes Privacy Law, sl .04(lxm) loject ddress (if ifferent than mailing address) 1. Application Information - Please Print All Information S E P 1 2 2 003 A- - f Owner's Name [. LZONING IX CRO COU re NTY ael # Lot # Block # m C ers� OFFICE 60 Property Owner's Mailing Address - Property Location S/3 tA 6.6, 3W St,J (� • � 2 I %A, ' /,, section City, State co Zip Code Phone Numbe �SOl7 C.V� �7� " C7/ 3 0 �3 7Z trcle one) U. Type of Building (check all that apply) T .30 N; R /a'.'ss_W P-e1v Subdivision Name C'£.! 4-iau^ t (I`or 2 Family Dwelling -Number of Bedrooms ❑ Public/Commercial - Describe Use �la A ❑ State Owned- Describe Use 157 a -f w t , ❑City_ ❑Village ownship of i (�anl 111. Type of Permit: (Check only one box on line A. Complete line B if applicable) A " I Jew 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 stem: Check all that appl 9< - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel - less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: 30 (C t' 3/./ ,= 33 .tai• i5Zr- 4 Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Req ed (sf) Dispersd Area Proposed (sf) Syst Elevation " s0 0- %0 93 P6. BY. co I V1. Tank In To Capaci m Total Number eManufacturcr fab Site Steel Fiber Plastic Gallons Gallons of Units l �� /��b Concrete Constructed Glass New Existing Z � ( r Tanks Tanks 1 { Septic or Holding Tank t ) / Sew HC z,-- Aerobic Treatment Unit Dosing Chamber 410 _ 1 6 SO 5 .T. 0 e. J VII. Responsibility Statement - 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) P) ber's S;gnat MP/MPRS Number Business Phone Number e zz5 036 Plumber's Address (Street, City, State, , - l VI Coun /Department Use Onl Approved ❑ Disapproved star Permit Fee (includes Groundwater Date )ssued ing Age Signatur nips) Surcharge Fee) j ❑ Owner Given Reason for Denial 1 • IX. Conditions of Approval/Reasons for Disapproval /J / ` . �petank, effluent filter and (Qvw� 1 3.f2- y dispersal cell must all be serviced / maintained v / as per management plan provided by plumber. )A ll setback requirements must be maintained as per applicable code /ordinances. cf em �3. Y3. Attach complete plans (to the County only) for the system on per less tha 1/2 l l inches in-iz j� t SBD -6398 (R. 01/03) ■ Soil eVQ &(ar6 r 4oC0.l6ejl P rop. 56z E 1 SCa/C- \ o E -P�opo sed �.►I Pr" 5 C& \ 3 6csl�oon, r'cs.clence. p� �- JTeSe� 1 �\ 9G�� 93. fou�to be- ins ll�a� 5.� outl NN- r Q \ p \ w BI vo S0.25 4 { ECG rria rt . O \ a ' U J � 9s� d � c \ n_ l3en�h I'►'Ia�IC � - 1'v of eltc.. / moans For.r+e� ,q ss amerJ Too oF' fc /e�Olicn4 i /7l' n � A; . S Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 30o and - - f► Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented � < Alternate outlet location Forcemain diameter Weser Concrete Manufacturer �_ 2 in. Ca cit 646.00 Gallons Volume 17.00 galfinch A Weep hole or anti - Dimension Inches Gallons B siphon device A 18.64 316.86 B 2.00 34.00 C P ump off e levation (ft) C 5.36 91.14 —t 85.00 D 12.00 204.00 Total 38.00 646.00 D YH 4 Dose tank elevation (ft) 3" Bedding uncT tank. 84.00 Alarm Manuafacturer LevelArm Alarm Model Number I DLV Pump Manufacturer JZoeller Pump Model Number 153 �� t"l Pump Must Deliver gpm at , 90 ft TDH VV/,J rw O"v Project: Chris & Kris McPhearson 3 bedroom dose conventional POWTS Page 4 of 9 II r Wisconsin Department of Commerce SOIL ,� `� �IV T - 6"EPORT Page L of 3 Division of Safety and Buildings in accordance with Cpmm 85, Wis. *n. Code County S #. Cro t X Attach complete site plan on paper not less than 8 1/2 x 11 ' chat in siz4. EEk W include, but not limited to: vertical and horizontal reference iiiq p (BM), direction and rcel I.D. percent slope, scale or dimensions, north arrow, and lo ti dd di c," t re &t r0a t f BUJ � viewed by Date Please print all inform ti .'. ST GROX Personal information you provide may be used for secondary purpo s,4Privacy La W,C 1 )). ! r 'n rNC Property Owner roperty Lovk �- alt IIS N �-�,, _ t. 1/4S(,J1/4 S T 3� N R �� E(o LcIVes C. W Perty Owner's _Mailing Address lock # Su bd. Name or CSM# T 6 . 1�C K 1(36 D. i c �� a rc� /t.} E' scl) f3 e u'. i� ►YI C�v1 City State Zip Code Phone Number ❑ City ❑ Village 0Town Nearest Road � 4e ear LQif YnN 5 1 (651 ( 651 ) 7yg- Qyqg Ric �wNan�f V New Construction Use: [Residential / Number of bedrooms 3 Code derived design flow rate y S GPD ❑ Replacement ❑ Public r commercial - Describe: Parent material g C. c, r �. ( 1n'� Flood Plain elevation if applicable ft. General comments Mo• 5� cs '�. 3 -- S�� 75 ° and recommendations: SS ' 4y.79 �� T, (99. W) - r. a (g7,7q et. 6'64 a A Ts t93. a9') T, II...1.4'a t.il. t9t.79') / ❑ Boring Boring # Pit Ground surface elev. 1 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 O- 10 10YR 3/a L R OI S d F 3 )8 33 1 IILI -- SC 33 -As -.5YR'ly - L c y 30 d 0 e ll The soil test report for lot 3 was discovered to be inaccurate during the septic inspection on Nov 2, 2001. The soil horizon reported as single grain ® Boring # Boring p loamy sand was actually massive loamy sand with Pit Ground surface elev. l .9 v ft. occasional pockets of sandy loam. Therefore the Horizon Depth Dominant Color Redox Description Text loading rate must be .5/1 and not .7/1.2. If this in. Munsell Qu. Sz. Cont. Color error is discovered on any other lot, additional U -2 )o Yk 3 / R S( borings /soil investigations will need to be performed for the rest of the subdivision. The plumber should - )..5yp, Y S ( make note of the potential for error and prepare for l _� - ��SY Y L < the possibility of increasing the size of the drainfield. 3 30N6 Cabe * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /I CST Name (Please Print) SignatL i�ohv\a 7:1"' Address a7fo a Oo S,+ _A Property Owner L A k es GIs Y1C- Parcel ID # Page C;k of 3 Boring # ❑ Boring � Q Pit Ground surface elev. / 8, 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 o -1) IoyR 1a L< a &P, M F A G S a F a 11 -I5 0Y s L aFs �2w F .5 , 3►- 6 i' 1 , 5 qg y .� - m,..r�.....,.. .., .. sC L OM 56Y, MF9 O 56 e 1 i F p oring # ❑ Boring 19 Pit Ground surface elev. q y D b ft. Depth to limiting factor /00 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 *E / 0 - 11 � 3 / a L 2 F6 MFR Q 9r r� D 3 »- 3y loq 41y arose CW F q . b y 3q-S6 15 y y .,.��w. .. SL arsAk mrg CW , s , 9 56 -16 -IS yl r..,t L rg k m Fib — F-1 Boring # F1 Boring Pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * 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. SM -8330 (%2Z7 R0) .� Sw / `�� w�� ,mot. b,T 3oN ! �tl w �nMA T lot 1 � � 1 p � o_ c y 1 C Q bit 1 r 61 )D3.oq 63 98.7s l o o, acs 0 rGe L Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: C 430370 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: McPherson, Chris I Richmond Township 026- 1133 -08 -000 CST BM Elev: Insp. BM Elev: T Description: Section/Town /Range /Map No: CST BM Elew Insp. BM Elev: 06.30.18.921 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil L - 1 Yes L] No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 908 172nd Avenue New Richmond, WI 54017 (SW 1/4 SW 1/4 6 T30N R18W) Pine Valley Lot 8 Parcel No: 06.30.18.921 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? 0 Yes E No I Use other side for additional information. _ SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 _ JC X ` ll Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) o sin (608) 266 -3151 Department of Commerce �0 3 Sanitary Permit Applie State Plan I.D. Number In accord with Comm 83.21, Wis. Aden Code, personal info on y R I V E D may be used for secondary purposes Privacy Law, s .04(1 xm) tectddress (if 'fferent than mailing address) 1. Application Information - Please Print All Information S E P 1 2 200 7; AW `/ Property Owner's Name arcel # Lot # Block # C ST. CROIX COUNTY C� ' r r+' rn C e�$Yj� ZONING OFFICE 40 -- Property Owner's Mailing Address operty Location S/3 sw , S LR � 2 / City, State Zip Code / Phone Number /�' /�' S ec tion A ak" , ;n ] (7/ -) 3 3 72 uncle one) H. Type of Building (check all that apply) T N; R /anc_W �or 2 Family Dwelling - Number of Bedrooms ,/ �� Su 'vision Name C m.bl�tl>as El Pubhc/Commencial - Describe use % /I e //a IA C1 State Owned - Describe Use 1 Ll 4 '� �(j ❑City_ ❑Village - . - .ship of (�irn0 Ill. Type of Permit: (Check only one box on line A. Complete line B If applicable) A. Ii Kew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑Permit Renewal ❑Permit Revision 11 Change of ❑Permit Transfer to New list Previous Permit Number and Date Issued Before Expiration Plumber Owner 1V. Type of POWTS System: Check all that apply) ` "'. - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized in-Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Information: 30 u 3/./ 33 �rs.4 Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Req ed (sf) Dis Area Proposed (sf) Syst Elevation 933 VI. Tank In To Capaci n Total Number Man cturer fab Site Steel Fiber Plastic Gallons Gallons of Units �� t / 100 Concrete Constructed Glass New Existing W Tanks Tanks I Septic or Holding Tank z • ) � • e Se/ �/C Aerobic Treatment Unit Dosing Chamber 460 _ 650 5 •T. A t2. J VII. Responsibility Statement - 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pl her' Si gnat MP/MPRS Number Business Phone Number e 005 T Yl 9u Plumber's Address (Street, City, State, Ap Code) - / !/ l ?a A DC GC c se �I Vl Coun /De artment Use Onl Approved ❑Disapprovedt� Permit Fee (includes Groundwater Date sued 1 ing Ag Signatur mps) Surcharge Fee) / ❑Owner Given Reason for Denial W �S�Q IX. Conditions of Approval/Reasons for Disapproval /'J / G�'' �l e ter and (fYIwl2 i' 5�� dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2)II setback requirements must be maintained as per applicable code /ordinances. C4-A mo em X3. V3 —t A __ . /' i � ` M i`4 L Iii AX Attach complete plans (to the County only) for the system on Opert ( less tha 112 x l l inches to gize SBD -6398 (R. 01/03) ■ Soi/ e ✓G/aca�on A, El zda o� •- ,Cocafed�Orop. �..r 0E- prap05td ")VA \ 3 6cAl/'Oonl to i / cJ Lp K° 9� °�ab21.4- ��e�Flcce.tic �; t Ems- �o n P. d. C. /d; �' 25 Nn p a H cA a 7h � � J c �J P ■ a3 � � h d c t n �'ansF'orn ,43sameol A T,o of fcle Gne /72 ke y o,c d. Ele v.' = 99.82 r ' � ■ S oil E ✓Q�LC�On r �000.�e��0YOp..J�x L \ N s cale: \ o �— proposed we,►I \ propo std \ 3 6cslroon -, . ('e5ident,e. �raPosed Mesa - I, aO/ DyKk� K 95 0 a6e I ,4- i e 4r ellm -.C 93.D�C'rn�ou�t7o be i'l S&lle&a6 A 4 61 \ L oa Se wee (� 4 {orccmcL;n. � � a cQ ■ 43 - � h \ d n_ L3en�h r►'lar/� � T off' eltc / {�' Q.nSFormer' ,4 .�sairled . 8 : Top of - 6 e- le- ( ,n{ 1 7.L 11 . 99.8.2. �/ I Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -► Comm 16.28 WAC Disconnect LForcemain in. min. Tank component is properly vented Alternate outlet ocation diameter Wieser Concrete Manufacturer �_ 2 in. Ca acit 646.00 Gallons Volume 17.00 gaVinch A Weep hole or anti- , Dimension Inches Gallons B siphon device A 18.64 316.86 C B 2.00 34.00 Pump off elevation (ft) C 5.36 91.14 85.00 D 12.00 204.00 D Total 1 38.001 646.00 �Dose tank elevation (ft) 3" Bedding uncTer tank. 84.00 Alarm Manuafacturer LevelArm Alarm Model Number D Pump Manufacturer JZoeller r 1 ` VWC1,1f- Pump Model Number 153 r x Pump Must Deliver _ gpm at , 90 ft TDH Project: Chris & Kris McPhearson 3 bedroom dose conventional POWTS Page 4 of 9 HEAD /CAPACITY CURVE cc H S W LL HEAD CAPACITY CURVE EFFLUENT MODELS 5 TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE 1 1 C7 EFFLUENT AND DEWATERING 32 105 6566 SERIES 67-x9 97 99 137.139 161 153 _156 166 itb 1B4 180 100 FT. M. ' 1tr1. G 0 G.J. ': Ltt Gd Ltt Gd LVt Gd Lpy .' Gd L4!' _Od Lim ( 111 ( 111 Lt 1 : 04i lL04 ;. GaL lts.' 30 6 1.2:'; 4J 163 68 1212 72 274 104 Ji4 106 401!' 07 23f: 61 231 _ 6e 95 - 6 ZX 166 667 166 - 667 28 10 4106! 34 129 46 :174 61 231 79 300 100 3791. 61 231h 61 =I 66 ,22D 14S :660 161 672 90 15 4.b7.i 19 72 J6 IJJ 45 170 64 242 91 y{4 So 227: e0 227' be ?20 142 637 145 - 649 26 f70-- 20 410. 15 ':: 67 25 96 36 136 92 310 223;' W 227'.' 66 220 136 '.616 140 bw 26 7.42 9 3Q 74 260" a7 R14 ba 223 68 220 126 " 4B1 1JJ 603 24 30 66 246.: 66 20 0!. 66 220. 90 44.0. 56 220 l2t 466 127 Ht 46 171 48 172'. 66 206 i 76 293 68 220 106 1::397 1 I t 431 22 186 60 16.24 21 90. 33 125: 61 191 W 219 6 6 2 W .341; 100 379 60 10.29 _ 16 '67.; 43 1611, J6 136 68 220 71 I.2% 65 322 20 65 165 70 21.34' 30 114 ` 10 'iJ6 62 197 61 193 70 266 90 24.39'.. 11 W 45 170 26 106 64 204 tB 60 90 :27.43. 32 121 2 9 J7 140 55 100 30.49 IB69 2t 79 t6 163 Ito 3200', 7 a 5 Lock Valve: 1926' 23.76' 1' 26' 66' 68' 97 73' 1t6' 91' 112' ;35 12 EFFLUENT & DEWATERING 185 Warning: Model 185 should not be subjected to less 0 than 30 feet TDH. 8 25 189 Note: For Head Capacity on Model 112, industrial 6 20 column - explosion proof pump, see FM 219. 4 5 161 ( 97 188 fo 0 5 59 " 19 SEWAGE & DEWATERING 0 GALLONS 10 20 30 1 50 60 70 e° 90 too 110 120 130 140 150 160 WARNING: Model 293 should not be subjected LITERS eo 60 140 320 400 480 560 640 0 to less than 15 feet TDH. N W W pu w(ll d Q 3 $ atL dt ' n T..0. N. H Zi LL 24 So TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE 75 SEWAGE AND DEWATERING 22 - SERIES 262 266 267 266 262 294 292 293 294 295 70 FT. M Gal. LIr6. Gal. Lim Gal. Urs. Gal. Llm Gal. Ltrs. Gal. L1rs. Gal, Llrs. Gal. Llrs. Gal, Lim Gal Urs. 20 5 1.52 90 341 128 484 128 484 128 484 130 492 ' o8t 140 530 196 742 225 852 65 10 3.05 60 227 89 337 89 337 89 337 95 360 1 598 124 469 181 685 205 776 15 4.57 22.5 85 50 189 50 189 so 189 63 238_ 735 51t 1 401 130 492 165 625 185 700 18 60 20 6.10 10 38 10 38 10 38 33 125 ? 401 88 333 719 450 150 568 168 636 25 7.82 7 288 _ 68 257 1 06 401 136 515 153 58 0 30 9.14 - -- 43 163 47 178 90 3 4 0 121 458 140 530 55 40 1239 - -- - 16 5 19 50 188 94 356 11'_4 58 220 89 337 50 60 76.zs -- - -- 3 49 59 223 14 70 21434 - -- -- - - -- _ 25 95 45 Lock Vahe 18' 21.5 21.5' 21.5 _ 26' " 35 42' 12 40 3 10 5 30 293 a 25 I 6 20 15 4 282 10 292 2 5 262 266, 267, 268 260 294 295 0 GALLONS 10 20 30 40 50 60 I 70 80 90 100 110 120 130 140 150 160 170 160 1 1�_ 90 200 210 120 230 -� __ _ 1 I _ _ __ _____ _ LITERS 0 80 160 240 320 400 BU 560 640 720 800 880 z� f e� t 4 � , w Chamber 11" Stan- 14" High 16" High Dimensions dard Capacity Capacity -1 L A lY F 1707 ✓ Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Derision of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8 11 inches County St Crob( include, but not limited to: vertical and horizontal reference pant ), di I E D percent slope, scale or dimensions, north arrow, and location an distance to nearest road. arcel I.D. 026 -1 3-08 -000 Please print all information. S F p eviewed By Date Personal information you provide may be used for secandery PmP ( Law`s.�15.j(j &? 0 O 3 Z Property Owner ST. i APWIY(tp1Wi�ign Chris & Kris McPherson Z f6a6IFFICE W 1/4 SW 1/4 S 6 T 30 NR 18 W Property Owner's Mailing Address Lot # Bl cl( # Subd. Name or CSW 513 Wisconsin Street 8 Plat Of Pine Valley City State Zip Code Phone Number : j City J Village 0 Town Nearest Road Hudson WI 1 54016 1 715 - 381 - 1372 Richmond 1 908 172 Nd Ave. New Construction Use: 01 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD I Replacement f Public or commercial - Describe: Parent material Glacial drift Flood plain elevation, if applicable na General comments and recommendations: Install two trenches at elev. 89.00' using 30 leaching chambers. Boring # Boring > Pit Ground Surface elev. 92.97 ft. Depth to limiting factor >1 12" 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 1 0-12 10yr3/2 none sil 2fcr ds gs 2f,1m 0.5 0.8 2 12 -20 10yr3/3 none sit 2fsbk ds as 1fm 0.5 0.8 3 20 -34 10yr5/4 none sicl 2msbk mfr cs 1 A 0.4 0.6 4 34-44 10yr5/4 none sil 2msbk mfr cw 1vf,f 0.5 0.8 5 44 -54 10yr5/4 none Is lmsbk mvfr gw 1vf 0.7 1.2 6 54 -72 7.5yr4/6 none gr Is 1 msbk mvfr gw I 1vf 0.7 1.2 u Horizons # 3 4, 5, & 6 co in appro 10% cobbles & stones. ,� v� o. d&tvs �srd�s Boring # �j Bori >99" in. Sal Application Rate 0 Pit Ground surface slew. 94.61 ft. Depth to limiting factor Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -12 10yr3/3 none fsl fill na na na na na na 2 12 -21 10yr5/4 none sicl fill na na na na na na 3 21 - 38 10yr3/3 none sil 2msbk mfr cis 2f,lm 0.5 0.8 4 38-46 10yr5/4 none sil 2msbk mfr cvw 1fm 0.5 0.8 5 46-67 7.5yr4/6 none gr Is / sl 1 msbk2msbk mvfr gw if 0.5 0.9 6 67 -99 7.5yr4/6 none gr Is / s 1 msbk / 0 sg mvfr / ml - - 1.2 Q 5, 6 conta in approx. 1096 cobbles & stones. ' Effluent #1 = BOD 5 > 30 < 220 mg/L a TSS >30 < 150 ( Effl / ue #2 = BOD < 30 mg/L and TSS <,0 mg/L CST Name (Please Print) Signature: CST Number James K. Thompson s 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 8/132003 715 - 248 -7767 f Property Owner Chris & Kris McPherson Parcel 1D # 026- 1133 -08 -000 Page 2 of 3 3] Boring # - Boring sm Pit Ground Surface elev. 91.26 ft. Depth to limiting factor >90" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-4 10yr3/3 none sil 2fcr ds gw 21,1 me 0.5 0.8 2 4-20 10yr5/6 none Ifs 1 msbk ds cw 2fm,1 c 0.5 0.9 3 20-38 10yr5/4 none gr sl 2msbk mfr gw 1fm 0.5 0.9 4 8 -90 10yr5/6 none s & gr 0 sg mfr gw 1fm 0.5 0.9 Horizons #2 & 3 contain approx. 30% cobbles & stones. Horizon #4 contains approx. 20% cobbles & stones. Loading rates reduced to reflect impermeability of coarse fragments. Boring F—I # � Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring #ng J PR Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 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 < 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. r ■ Soil e ✓a /cca�,vn ,4 6 \ ♦ E�edc�Eion ,�ocafed � roP. �• -Cc r-- v�- o' Ko 9s/o 0 'CJ� 9G.� 9 3 •D l eon toai - N r'_ p g Yll °110 ■ 63 V c L n Laeh�h ry a()l'. Tv o e.ItG. 0.nS fOrmCr �354//jQr/ A .6 Top PF f c. /e�O ��ne 17z `� Ave . �� d. -/e = 9 9.82: ° /� ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND n ' OWNERSHIP CERTIFICATION FORM Owner/Btyer 1...�1f; S � �JS g e 1 ersan Mailing Address fi C W 5, 5-44 4ws r to/._ Property Address /4bf d 0f - (Verification required from Planning Department for new construction) City /State `xMe/_.T�1 C,)/. Parcel Identification Number LEGAL DESCRIPTION Property Location ScJ %s, 5U) ' /a, Sec. . T 3 N -R /9 W, Town of A .,-4e / yzi 8 Subdivision Act - o,C' /llQ l/ y , Lot # Certified Survey Map # , Volume 119 , Page # Warranty Deed # , Volume Page # Spec house ❑ yes 2 Lot lines identifiable 9-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 wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days o e / 7 e year expire ' date. SI A OF LI ANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the ro scribed abov , virtue f a warranty deed recorded in Register of Deeds Office. S A OF APPLIltANT 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 deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Conventional Septic System Management Plan L136 3 Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10567 -P (R.6/99). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed I/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. 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. Septic tank manholes 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 the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the system and will promote frost penetration during cold weather months. Cold weather installations (October - February) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG /L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Contingeney Plan It 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. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary or by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to installing plumber Mike:.NIUD.onell at (7 15) 248 -7767, or the St. Croix County Zoning Department. '1 2 2 15 P 5 6 6 -7 1a4a1 � KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 1999 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between Hillvale Development Limited Liability 04/23/2003 10:30 Partnership WARRANTY DEED EXEMPT 0 Grantor, and Christopher J. McPherson and . Kri Steil A. Schel l REC FEE: 11.00 -McPherson, husband and wife TRANS FEE: 109.50 COPY FEE: CC FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Name an Re turn Add ress— , / Lot 8, Plat of Pine Valley Addition in the Town of Richmond, St. Croix F j/' / [ /J N1�" County, Wisconsin. 026 - 1133 -08 -000 Parcel Identification Number (PIN) This is not homestead property. Dj) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. } Dated this day of April ' 2003 Hillvale Development Limited Liability Partnership * * * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE O WISCONSIN } �( - X County ) ss. 01 ) authenticated this day of S Personally came before me this al day of April 1 2003 the above named Hillvale Development Limited Liability Partnership * TITLE: MEMBER STATE BAR OF WISCONK f;.:�Q a known to b e s who executed the foregoing (If not, ' ins m t� d ac d same. authorized by § 706.06, Wis. Stats.) JAS THIS INSTRUMENT WAS DRAFTE E. Spv, N Attorney Kristina Ogland Public, State of Wisconsin Hudson, WI 54016 f S � J - Commission is permanent. If npt, state expiration date: (Signatures may be authenticated or acknowledged. Both are n �� , f ) * Names of persons signing in any capacity must be typed or printed below their signature. I P rofessionals company, Fond du Lac. wl STATE BAR OF WISCONSIN e00- 655-2021 WARRANTY DEED FORM No. 2 -1999 in Z ' SECTION 6, T,30 N., R 18 W. l — SCALE: 1" = 2000' �Fi WI S ( 1 1 � 1 ' 1 1 1 21 .26 300.00 2 ��. BUILDING SETBACK LINE tn A . CP N I 87,854 SgFt± N \ 2.02 Acres± 87,289 SqF ' 9 I \ Z 94,509 SgFt± N. /'" 2.00 Acre: y 89,735 SgFt± 2.17 Acres± W 1 w � 2.06 Acres± \ 3 0A ' b - * -�' SEZB \ •110 Ad %d =` cY,c� /' - /,- / / 12 •3 i 21 O w Na 7'19.5 3 E N78 S / / g�k�°/ G11 / 59 0-i' 100.21 a 5.0 i3 O y 8 • • / / HH E`992i � 5 ' ' � / - - / 29 UOV '25.00 '34'59 "E Co 14 87,879 SgFt± w 34'59 "E 2.02 Acres± 1n BUILDING SETBACK LINE �__ W 33 ' W Sp I N so 1 m 7.g 1 • i � 87,949 SgFt± N t •E ��i,,��S75 {/ 2.02 Acres± / V •58 2 ro'Yti 9• 116,330 SgFt± -+ 2.67 Acres± N o ! ` A h ' 338.29' W $p�� A k� VIA I \ C291 \ —C32