HomeMy WebLinkAbout026-1153-27-000 Wiskonsilti Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
r Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
515276 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:
Marek, Todd R. I Richmond, Town of 026- 1153 -27 -000
CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No:
!mss 18 M I GST 19.30.18.1165
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV.
Septic f � ) -,,� .5 Benchmark Z 7_
; zoo ?b , 3
Dosing Alt. BM $ 7 . 3 , 7
d
�
46 Bldg. Sewer
x.58 $9
Holding St/Ht Inlet
mss. S
St/Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
e tic / Dt Bott
S P 39 y� 36 36 _
Dosing f ) 3 6/ I Header /Man. S 3 ' 7 Z
3
Aeration Dist. Pipe /
Holding Bot. System ' l
Final Grade
PUMP /SIPHON INFORMATION 3. 3 '75. Z
Manufacturer Demand St Cover
S GPM C J 3 _
Model Number
TDH Liftg, Z Fricti1 L� (p $s System gad TDH� ��Ft
Y j f lQ
Forcemain Length Dia. Dist. to Well
L �! I is ' a— z
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length / No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 3 f Z r'e, �CI
_� _ _ A
SETBACK SYSTEM TO 7 P/L BLDG W EE L LL L LAKE /STREAM LEACHING Manufacturer.
INFORMATION CHAMBER ORt>f't
TYP Z I Syst ie s o /`'
t 0 UNIT Model Number:
6
V (2,.): Z..
DISTRIBUTION SYSTEM o 21+- ZZ a
Header /Manifold I I I Distribution x Hole Size x Hole S cing Vent to Air ntaJr,�
Pipes) j{.
L Dia A l ! Length ` Dia Spacing 3r G a r�
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only
Depth Over Depth Over ` xx Depth of xx Seeded /Sodded Bed/Trench Center 1 xx Mulched
Bed/Trench Edges \ Topsoil
Z No Yes ]No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2:
Location: 1451 92nd Street New Richmond, WI 54017 (SE 1/4 NW 1/4 19 T30N R1 8W) Glen View Lot 27 Parcel No: 19.30.18.1165
1.) Alt BM Description = � CaJ� �Ou / . 54 le.js
2.) Bldg sewer length
- amount of cover = ID I
Plan revision Required? t' Yes No L� �� I 3 a
Use other side for additional informati __ W
Date In or's Si to Cert. No.
SBD -6710 (R.3/97)
commerce.wl.gov Safety and Buildings Division County
a 201 W. W gt Aye., F.O. Box 7162 e
s c o n �'�;Ivlan,; WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.)
Department of Commeroe 5/5
Sanitary Permit Application State. Transaction Number
In accordance with s. Comm. 83.21(2), Wis. Adm, Code, submission of this form to the appropriate governmental
unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are oject Address (if different than mailing address)
submitted to the Department of Commerce. Personal information you pro ry , ,(J/7
u oses in accordance with the Privacy Law, s. 15.04 I m , Stats. V G �57
,�-
I. Application Information - Please Print All Information 17
Property Owner's Name P cel #
JUN 15 2010 7 0 0Z
Property Owner's Maili g Address ST. CROIX COUNTY Jvt erty ocation / 114 G
Q Z Z PLANNING & ZONING OFFI of (# a
City, State jj Zi 1 5 KO17 p Code Phone Number 3 - - 7 � /4, Section
Wl ,0 ucle one
T R E �
[I. Type of Building (check all that apply) Lot #
g..{ -or 2 Family Dwelling- Number of Bedrooms - _...- -- __ ... S.ubd_iyisiQn Name
(�
A6 ` Block# — G t / Vf
❑ Public/Commercial - Describe Use
❑ City of
❑ State Owned - Describe Use CSM Number ❑ Village of ' /
M ^l
A s lSl�' G�U.� w �Z 4-Zl �a .' C bt Town of / C D l6
III. Type of Permit: (Check oij one box online A. Complete line B if applicable)
A. PIAlew System P Y 8 P Y 8 Y (explain)
❑ Re Replacement System ❑ Treatment/Holding Tank Replacement Only Other Modification to Existing System
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner /=� = P 1�
s C.
IV. Type of POWTS System/Component/Device: Check all that appl
Y - IJon- Pressurized In- Grou ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. ofsuitable soil ❑ Mound < 24 in of suitable soi
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersaVrreat nt Area Information:
Desi n � w_(gpd) Design Soil Applic n Rate(gpdsO Dispersal Area Required (st) Dispersal Are sf) System Elevation
VI. Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units u o
New Tanks Existing Tanks / a
�U iz
Septic or Holding Tank
Dosing Chamber
l L
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation ofthe POWTS shown on the attached plans.
Plumber' Name (Print) Plumber's Signature MP /MPRS Number I Business Phone Number
o ran. e z z6 �q Z 7 S�Sc
Plumber's Ad ress (Street, City, State, Zip Code)
V11I. Count /De artment Use Onl
pproved Per
Fee Date Is Issuing A ignature
$, .�
iven Reason fo Denial
IX. Conditiftlftigasons for Disapproval ✓, �eaa.J /_ _ _
1. Septic tank, eMuent filter and + �t
dispersal cetl must all bs servhcea / mairttahtstd f v► f r yvlck . I
ft per management plan provided by plumber.
2., AN solbacktequhements must be.ntaintbirtid
o e e system and submit to the County only on paper not less than 8 1/2 x 11 inches in size
SBD 6398 (R. 01/07) Valid thru 01/09
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page Of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code �
County `
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 53
Please print all information. ewed by Date ow
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15,04 (1) (m)). .2-
Property Owner Property Location
�l �� S /. �� Govt. Lot allot l.4J' /4 S � T N R E (o W
Propeq Owner's Mailing Address L t #
7 J Block # Subd. Name or , C S SM# /
City late Zip Code FlIzoneNumber ❑ City ❑ village IKT o Nearest Road
New Construction User Residential ! Number of bedrooms — Code derived design flow rate"' GPD
❑ Replacement ❑ Public or commercial - Describe: — _. —_ - -- ---------- - - - - -- - --
Parent material �c Flood Plain elevation if applicable /y //5 ft.
�f
General m comments
endati �S �✓ �t/Cit�C.�,fl'f`� , 0�r 0
and recommendations: / � � I ('� I Se lqt-.c� P, cct_� 1 ��q CW
Boring
# E] Boring � od cl FC-B,ZM
(�
Pit Ground surface elev. y ft. Depth to limiting factor -� I-=- in.
Soil ligtion Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff - -'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2
0 16 e- 3/ <S C _)7
Z- ms c
3 .� � �---- 5 l s✓1 � 1. � • �
(5 07F . F
® Boring # Boring
pit Ground surface elevj � Z ft. Depth to limiting factor J in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f?
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
1 �Iz
31, Q .f a,
Effluent #1 = BOD > 30 < 220 mg(L and TSS >30 < 1 VIXA Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) r re CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 54017 �_��.�, 715 - 246 -4516
r -
C2-
Property Owner _ Parcel ID # Page of
FT Boring # El Boring Z' '0
i
14 Pit Ground surface elev. �' ft. Depth to limiting factor -- -f–_ =– n• Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/T
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2
O -ZZ V 3/ l71 EL - CS
2 2 -3� G C L �_
Z
r
F—I Boring # Boring
pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2
Boring # E] Boring
F
pit Ground surface elev. ft. Depth to limiting factor in.
Soil Appl ication Rate
Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDM
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#4
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.
SBD4330 (8.6/00)
Y '
Soil Test Plot Plan
Project Name Lakes and Hill Development Sha ird
Address P.O. Box 10598
White Bear Lake Mn 55110 M #226900
Lot 2 Subdivision Glen View Date 7/18/03
1 /4 N W 1 /4S 19 T 30 N /R W Township Richmond
F1 Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post
System Elevation 91.2!91.0 *HRPSame as Benchmark
Alt. BM Top of Survey Iron @ 96.3' Scale is 1" = 40'
unless otherwise
noted
492' Property Line
110'
B.M.
Please note: survey was not
completed at time of testing, B -1 10'
setbacks from lot lines may 90 M
change. Installer must verify B -2
all lot lines and setbacks
before installation.
30'
Please Note: Tested area B-3 45' 1%
may not be suitable for Slope
desired building area.
Check system location not enough slope to establish contours
before excavating.
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Private On -Site Wastewater Treatment System (POWTS)
Index and Title Sheet
Owner: -�D f,7 p / (!!Y
Project Name and System Type: C 0 N Vc-'ti 41 ^- L (A) 9 /LB erre
Location: ti4 7�
Street Address
L 0 f Z 7 ?41r-A) V!C- w *PP
Legal Description
R t6ffmolv0 f � e (Z
Township /County
Design Criteria (Check one):
Holding Tank Component Manual: In- Ground Soil Absorption Component Manual:
❑ SBD- 10571 -P (6/11/1999) ❑ SBD- 10567 -P (R. 6/1999)
❑ SBD- 10855 -P (3/2007) Version 2 SBD- 10705 -P (N. 01/2001) Version 2
Contents: Page 1: / AJ cr y- ,1
Page 2: _.5" C IZ4 ,1z4 �f= �7/!/a c .r✓ n/!�^'c E �wt�
�V c �/
Page 3:
g
Page 4: < < r
Page 5: r 1
Page 6: C (kA-M *oL C kz9,4Y
Page 7: TA—A) fi(
Page 8: 6 4IMP C41at/(
Page 9: ftd T / C I �
Attachments: Pf
�- 0 z 7 ,
Plumber/De_sis"17 i� Signed:
Credential Number: 1 12/ 9 z 6 °7 Date:
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer lo ln( w 6 k
Mailing Address 7 o _ 4ZD X Z ZS Af CE-(A o Np &U( 7
Property Address a
(Verification required from Planning & Zoning Department for new construction.)
City /State NC- A( C(�IW e AAo wParcel Identification Number O Z 6 — Z 7— 0a o
LEGAL DESCRIPTION
Property Location ta- 1 /4 , Sec. , T 30 1v R/ ff Town of 121 C1� A le
Subdivision ^j l C {/V , Lot #
Certified Survey Map # , Volume , Page #
Warranty Deed # Z, Z _ ,Volume , Page #
Spec house no Lot lines identifiable <215V no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
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. Owner maintenance
responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & 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
� q g P g P Y
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 Planning &
Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedrooms
q4 PA � /�� z,
SIGNATURE OF APPLICANT(S) DATE
** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * **
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 08/05)
Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In- Ground Soil Absorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System (POWTS) shall include information and procedures for maintaining the system within
the
parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are o
pp p n file at the count
P y
zoning or health department.
This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground
Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
10567 -P (R.6/99).
Table 1:
System Design Specifications
Y p
Sanitary Permit Number
Number of Bedrooms
Design Flow - Peak (gpd) 6 &1
Estimated Flow - Average (gpd)
Septic Tank Capacity (gal) ` ZOO
Soil Absorption Component Size (ft')
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption Component
Design Flow - Peak ( pd) O-D
Maximum Influent Particle Size (in) 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet F every Y ilter Inspect once a year and clean at least once eve 3 ears
Soil Absorption Component Inspect once every 3 years
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks
under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with
NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
The operating condition of the septic tank and outlet filter
p shalt be assessed at feast
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
Management Plan for a Septic Tank and Soil Absorption Component
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 scum and sludge 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 an 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.
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 the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors in extending the useful life of this component.
The soil absorption component's operation must be assessed by inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health hazard.
Traffic around or over the soil absorption component should be avoided particularly
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
impossible to repair until weather conditions improve. In general, soil compaction over this
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to
more intense, and earlier, organic clogging of the soil.
2
Management Plan for a Septic Tank and Soil Absorption Component
Plantings of deep- rooted trees and shrubs directly over or within ten feet of the
component should be avoided since root intrusion into the component may obstruct wastewater
flow.
P L O- e[ s ,AJ PI- 9 6 _71_- 2 _73
--�-�� �� S co c 2 E 715 6 4 7
C O
( 797
3
- 7 zit =&3j
ffick4n"'
otils A " e STANDARD CHAMBER t�I
52"
Qui k4 Standard Chamber 48 "
(EFFECTIVE LENGTH)
f n . n n
12 "'�' N
il I Alfli I
Z SECTION SIDE VIEW
ON VIEW
I
Mult Port End Cap
A
16"
12" M/ A 1
34" SIDE VIEW TOP VIEW
FRONT VIEW
INFILT IATOR SYSTEMS. INC. STANDARD LIMITED WARRAN
i.
(a) The air r1ural Into^ of each ctternber, and plate, wedge and other accessory manufactured by Infiltrator (u tat, when Installed and operated
Ina iltachli id of an melee septic system in accordance with Inllftretor's Instructions, is warranted to the original gxdteai r ('Holden against defective
materials wwwnen hlP for one year from the date that the septic permit is Jawed for the septic system con:; fine Units; provided, however,
that it a Sol tic parrNl Is not required by applicable law, the warranty period wW begin upon the date that Installation of the septic system cormtences.
To ax its warranty rights. Holder must notify Infiltrator In writing at Its Corporate Headquarters in lid Saybrook Commectllaut within fifteen (15)
days Of alleged defect. Infiltrator wW supply replacement Units for units determined by Infiltrator to be carered by fias urnited Warranty. . (♦
InNtratorg ability specWcey excludes the cost of removal and/or Installation of the Units. •
(b) THE U UTED WARRANTY AND REMEDIES IN 3118PARAORAPFI ARE IXCLUSIVE. THERE AR
(a) E NO OTHER WARRANTIES WfTH RESPECT
TO THE U RS, INCLUDING NO ltviPLJm WARRANT1ES OF MERCHANTABIL,TTY OFi RTNESS f-0R A PARTMILAR PURPOSE.
(U This Wartanly ahel be void arty pan dn
of the ember system is marwleclnxed by anyone other then WWretor. The LkrYted WerWarranty y does SYSTEMS INC
rat extend o Incidental, consequarntid, spedd on Indirect darrnagea. InRtretor ahafi riot be 1" for penalties or kA idated damages, Including Toes of Environmental Onsite Wastewater
Solutions'"
production profits, faba and rnaterlals, overhead costa, a other basae or expenses incurred by the Holder or any third party Specific*
exckdadeda Units ed Warranty coverage are damage to the Units due to ordinary weer and tear, alteration, acddeM, misuse, aW1se or neglect of
the bang subiecled to vehicle traffic or other conditions which ere riot perrnided by the Installation Instructions; Ialfura to maintain the 6 Business Park Road " P.O.
Box 768
mk*nti n g ound covers set forth In the Installation insinuctions; the placement of Improper materials Into the system containing five Unite; fafiure of
the Units the septic system due to "'pope' ON or knpopsr six)ng. excessive water usage. Improper grease disposal, or Improper operation; or This Old Saybrook, CT 06475
any other not caused by Infiltrator. Infiltrator. United Warranty shag be void If the Holder fails to comply with al d the terms set forth In this Lim 860 - 577 -7000 • FAX
860 - 577 -7001
FurihaL In r 0 event shell Infiltrator be responsible for any loss or damage to the Holder, the Units, or any a" party resulting from Installation or ship- 800 - 221 -4436
meM, or any produce uablfity CUM of Holder or any third party. For this Limited Warranty to apply, the Units must be Installed In accordance
wet all site candflons required by state and local codes: all other applicable laws: and Infiltrator's Instaeetbn Instructions.
lot N NE. Mix t of k0rata has the authority to change or extend this United Warranty. No warranty apples to any party Other Man the origi-
net
The above spresin the Standard Limited Warranty offered by Infiltrator. A Imlted number of slates and couvtles have different warranty teWI.-
ments. An pact a of Units should contact Infltralor's Corporate Headquarters In Oo Saybrook Connecticut, prior to such purchase, to obtain a
copy of the applicabie warranty, and shodd carefUy read that warranty prior to the purdnese of Units.
U.S. Patents 4,759,881; 5,017,041; 5,156,488; 5,336,017; 5,401,116; 5,401,459; 5,511,903; 5,716,153; 5,588,778; 5,839,844
Canadian Pa tents: 1,329,959; 2,004,584 Other patents pending.
!n iitrator, EG after and SldeWindw ere registered trademarks of Infihrator systems Inc. Infiltrator is a registered trademark In Prance. Infiltrator Systems Inc.
is a registere I trademark In Mexico. Contour, Contour Swivel Connection, Microl-eaching, PotyTuff, Snap -ock, ChamberSpacer, Posil-ock, QuickCut, QuickPlay RECYCLED PAPER
and Quick4 are trademarks of Infiltrator Systems Inc. 0 2003 Infiltrator Systems Inc. Printed in U.S.A. 0011203HP-0
Combinatian Sep4;ic-,'fank and
PLJMf' CHAMBER CROSS SECTtO tN D SPFCIFICATIDf
.v�JJT CAP wcArla�K PROOF
�•--- JulJCTIOUI BOX
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ANpKQVLD JOIIJT �
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mall comply with I II
TLT ,3.15 and 33.20 a i
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KISER EXIT PCRMI1fED OIJLy IF TAUK MA1JLJFACTIJRE7, HAS SUCH APPP, V E?tp01N
SEPTIC F
5 PFC,IFICATI0I`1S
DOSE G �Z CCL
Tnr.1K'; MAr AJUl OF DOSCS: PER DA.�
TA)JK aIZC: ivy GkLL0 JS D05C VOLUME
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MODEL {JLJMbE K' 10 I CxPAGITICS: A - Z 3 _% ;UCHL'S OK / / GALLONS
SWITCH TSPE: l�l�l�C�1�GI( (j WCHES'OR /
Pump MAIJUFACTURCK: � � ...•_. � C� IuLHES OR 17 � 7 1 ' ZLL0U5
MODEL 11UMdER: _ �/ _ � D F --6L— IP1CFfE3 OK Z uALLO
5WITCH TYPE: � �� 1JOT PUMP ANU ALARJ'1 ARE TU 6L
MIUIMUr1 D15CKARGE RArE GPM INSTALLED 01J �EPnR1TE CIRCUITS
VERTICAL DIFFERENCk DETWCEIJ PUMP OFF AQD..Q15TR16UTIOIJ PIPE..�ZECT
t 1 METWORK SLIPPI_� PKESSURC . , , . , FLLT
3 -f- FEET OF FORCE MIM y3 -3_D 6 FEA=T
TOTAL C` QAMIC. H� ACI FEET
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APR -12 -2005 16:28 FERGUSON ENT HUDSON 715 386 6144 P.01
HGOULDS PUMPS Submersible
Effluent Pump
PE
44 YW MMP
SPECIFICATIONS MOTOR FEATURES
Pump up General: General: ■ Corrosion resistant
• Discharge: 1'A" NPT • Single phase construction.
• Temperature: 104OF (40 • 60 Hertz ■ Cast iron body.
maximum, continuous when ' 115 and 230 volts ■ Thermoplastic impeller and
fully submerged. • Built -in thermal overload pro- cover,
• Solids handling: 1 h" tecaon with automatic reset. ■ Upper sleeve and lower
maximum sphere. • Uass B insulation. heavy duty ball bearing
• Automatic models include a • 011 -filled design. construction.
APPLICATIONS float switch. • High strength carbon steel ■ Motor Is permanently
Specially designed for the a Manual models available. shaft. lu¢ricated for extended
following uses: • Pumping range: see PE31 Motor se ice life.
• Mound Systems performance chart or curve. • .33 HP, 3000 RPM ■ Powered for continuous
• Effluent/Dosing Systems PE31 Pump: • 115 volts operation.
• Low Pressure Pipe Systems • Maximum capacity: 53 GPM • Shaded pole design IN All ratings are within the
( • Basement Draining • Maximum head: 25' TDH PE41 Motor working limits of the motor.
•Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM ■Quick disconnect power
Dewatering • Maximum capacity: 61 GPM • 115 and 230 volts cord, 20' standard length,
• Maximum head: 29' TDH • PSC design 115 or 2 0 S) W with
PE51 Pump: PE51 Motor. plug
Maximum capacity. 70 GPM .50 HP, 3400 RPM ■ . Complete unit is heavy duty,
• Maximum head: 37 TDH 115 and 230 volts portable and compact.
M ET ERS FEET • PSC design ■ Mechanical seal is carbon,
40 _ ceramic, BU NA and stainless
pis I I I I I: ' I I MODBIS: P631, Pf41, TEST steel.
35 I I i I I r HR .33, .4o, .so ■ Stainless steel fasteners.
30 •�E4 I f �1— I ; i I I I AGENCY LISTINGS
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Q I ; I I I 'I i- j i, C US
zo Tested to UL 778 and
15 I I = I ; ' Fl �� I_I� ' j I 1 j ,' CSA 222108 Standards
I j i - f I By Canadian Standink AnocWon
rile AM"
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1 i t `-,, ..L I� : i I I I +•� ' '' � i Goulds Pum p
is ISO 900 Regiscercd.
I jlj rI �� •.I. i I ,i..lf Ali'
0 0
10� 20 30 40 50 50 70 GPM 8o
O 5 i 15 m Goulds Pumps
® 2004 ITT Water Technology. APACITY
Effective June, 2004 Inc. i'u
"e3T/41 - ITT Industries
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1 111111 VIII 11111111111111114111 Illl 111111 IIII 1111
* 9 1 6 2 2 8 1
916228
STATE BAR OF WISCONSIN FORM 1 - 2000 BETH PABST
WARRANTY DEED REGISTER OF DEEDS
Document Number ST. CROIX CO., WI
RECEIVED FOR RECORD
THIS DEED, made between United Bank, Grantor, and Todd Marek 05/18/2010 12:15PM
Construction, Inc., a Wisconsin corporation, Grantee. WARRANTY DEED
Grantor, for a valuable consideration, conveys to Grantee the following EXEMPT t
described real estate in St. Croix County, State of Wisconsin (the REC FEE: 11.00
" Property" ): TRANS FEE: 42.00
PAGES: 1
Lot 27, Plat of GlenView in the Town of Richmond, St. Croix County,
Wisconsin.
Recording Area It
Name and Return Address:
St. Croix County Abstract and Title Co., Inc.
219 S. Knowles Ave.
New Richmond, WI 54017 Sfa7742
Together with all appurtenant rights, title and interests.
Parcel Identification Number (PIN)
026-1153 -27 -000
This is not homestead property.
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except
easements, covenants, and conditions of record.
Dated this y of May, 2010 %
United Bank !
* By DalAVindhorst, President
r �
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF3YISC NSIN )
COUNTY �crit_ 0 atrC ) ss.
authenticated this Personally came before me this 1 day of May, 2010 the
above named United Bank by Dale Windhorst, President to
me known to be the person(s) who executed the foregoing
TITLE: MEMBER STATE BAR OF WISCONSIN t and acknowled ed the same.
(If not,
authorized by § 706.06, Wis. Stats.) :
..............:
THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Wisconsin �.�`� ' • • N,; �'•.
` L y t•
ommiss'on is perntanen (If no j t,�te•ekpiratiob3fie
Robert L. Loberg A R Y ' • _ .
Loberg Law Office �..
(Signatures may be authenticated or acknowledged. Both are not necessary.) Cj _
•Names of persons signing in any capacity must be typed or printed below their signature : P V 8 �` • : ?�+
L�'IrF •......•''
WARRANTY DEED STATE BAR OF WISCONSIN FOR MNo
1 of 1
Jv
71.9ft S.F.
(1.95 ACRD)
It ' 26 o�
42.233 S.F. of
(1.89 A CRM)
7 3'4 ?'W
28 r .e
/� �/ b •"�
i/ � ~fie nI 27 ` d
•'� fj 2.35 ACRES
`�►� % m � �isar
►� •w i / jj• Na3 '22-53 "
538. PART OF THE N
f
OF THE NW Y
UNPLATTED LANDS f i t PART OF THE
r SECTION 7 9
0
ALD D. JA5I�ERSQN l ilt
ST.
Y: RONALD D. 1ASPERSON ;
•