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HomeMy WebLinkAbout034-1020-20-000 n§oi■ - 0 n tv @ • § ; SU 2 %q Ec K - � (D � 0 0 $ o °§ # 2 S IE E k % g @E /( =p:£ §8 0 /K§ CD 7 / �§§2§ / m 0 m6 3 � 4 s r ��� a CD ( CL ` CD CL $ 2 } o 4 S § ■ / 0 0 9 n r■ 0 0 § ; & % o; / M M 10 CL a �, 000 0 - 2 0 �� § 0 2 E ■ ■ ■ 7 %( 7{ ��� n / / o F § CL z � ƒ � / 0 § § \ / CD c � z ) ■ 0 z R ƒ co IM § § . E § z k F § 7 7 z . CD 7 0) 0 U) > ,at I= %ƒiK3k § q CD 0 3 ]o / k c = C: 'D R (D.; � g$ z _ �g % � k \ \� 2 \ «§0 / -§�ƒ a 3 %sp �2 c 7 Q � }J CD %) \ i I Rl § CD -o %§ C D i � � June 5, 2000 St. Croix County Zoning Office 1101 Carmicheal Street Hudson, WI. 54016 Vicky L. Benson y Clerk- Treasurer, Town of Springfield � 980 280th Street Woodville, WI. 54028 RE: L.E. Warnke residence" Dear Sirs,. 4 This letter is to inform you that the building permit is ued to L.E. Wamke located at 1043 290th Street, Glenwood City Wi. is authorized and still in a ect for her to build a residence on. This permit was issued on September 13, 1999 and is go for a one year period. If her new building site takes longer than the year after the date stated E bove she will be required to purchase another building permit at the cost of $35.00 at that time. I have talked to Ms. Wamke about this matter and she is aware of the conditions. Sincerely, V Vicky L. Benson Clerk- Treasurer, Town of Springfield cc: L. E. Wamke F> 1 ST. CROIX COUNTY NING DEPARTMENT AS BUILT S ARY REPORT Owner` Property Address o P � d City /State Legal Description: CFO Lot Block Subdivision/CSM # Azkl 1 /a,9& ,l t /a, Sec. - 9 'lam - N -RAW, Town of '�%N SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK IN N: Tank manufacturer l Size ST/PC/ LAW Setback from: House � Well _ZL P/L � Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Ve to fresh air ' take Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM 1 Type of system: Width Len S`r Number of Trenches Setback from: House - 3 Well ,2,. P/L 255 'Vent to fresh air intake ,V641A ' ELEVATIONS Description of benchmark Elevation /DVid Description of alternate bench94 Elevation Building Sewer ST/HT Inlet Q • 9 1 ST Outlet iU • V PC Inlet 0A. S' PC Bottom g © Header/Manifold ITam Top of ST/PC Manhole Cover Distribution Lines () l02.5 7 () ( ) Bottom of System () /00. D Final Grade O O ) Date of installation 41F / Permit nu e - State plan number .eX ?fJ Plumber's signature Lice se number Date .5 / Inspector � DlitK� Complete plot plan Or • NOTICE Please provide the following: • A ptan view sketch showing everything within 100 feet of the system. • Two horizontal referencb�oi Is to center of septic tank manhole cover. • Show alternate benchmark, if applicae. PLAN VIEW .� v 8 0 L w �. N _ N � ll it ll Il V Y ZP% n v r � V Q N IT • N V INDICATE NORTH ARROWt' ;, Wisconsin Department of Commerce EM PRIVATE SEWAGE SYS Safety and Buildings Division Count Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) SanitnksntNo.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)( Permit Holder's Name: ❑ City ❑ Village f: State Plan ID No.: arnke, Ellie Sprmgpe c�To CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax o.: D o 034- 1020 -20 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �� D eb Benchmark Z a2 �v Dosing W it e, Pd v Alt. BM Z. �r3 a ' Bldg. Sewer 9, P6 q s-& Holding MI Ht Inlet /v, Z y/ TANK SETBACK INFORMATION & Ht Outlet / d TANK TO P/ L WELL BLDG. ventto ROAD Dt Inlet p p Air Intake d d l Z, Septic > lib 5_ 3 0 31 NA Dt Bottom y. 33 d Dosing 7 �ba I 3 S t 3 S NA Header/ Man. Z / S A r ' -- _ A Dist. Pipe od. 5­ yold� "rig Bot. System 3 42 1 0 0 - 0 6 PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand St cover Model Number 1= P'D �( 23.�f GPM „� S Go 3, firma rU Frictio S ste ° TDH lift S / L Hy TDH� Ft Forcemain Length ZSS Dia. Z '' Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Len th No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION DI SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM L ING nufacturer. INFORMATION Type Of 1 / CHAMB del Num er: System: /04 Zy OR UNIT DISTRIBUTION SYSTEM Header/Manifold a Distribution Pipe(s) / x Hole Size x Hole Spacing Vent To Air Intake Length hlJ Dia. 2 Length ' Dia. Z 1r Spacing `/ ( __�)o 11 > ZOO 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 ❑ Y ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1 S/ 3 /a0 Inspection #2: --S /Q / a o Location: 1043 290th Street, Glenwood City, WI j S y Q�NW 1/4 S�V 1/4 9 �2 R15.29.15.138 1.) Alt BM Description= � 0 e feC , ic- Pad 61) yZ 1" I—el- s 2.) Bldg sewer length = 1 y3 �) ¢l�Of -fewer (ua f "R CM -ec �1 - amount of cover = / g 30 l� wi ll " /fir � 3.) contour= 3 , 3 6 - g 1 `I � j L4 aA.� �'� (YYLa�Gf S�q,�� � � �� 1�'l � �rot9� / S fU(/►�. ,�(� Hk �e`� �d`G� Plan revision required? ❑ Yes No Use other side for additional inforrr(ad in Z2 SBD -6710 (R.3/97) Dat Inspector' nature Cert. No. s ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i ... _ , .� ..° _ s° ° , F r i ..m a„ ...a r t E e e — L € € 3 . , 1 5 i , s_. h 1 € 9 .... ° 5 . w� ' i E � E t F t A } � E e m. e € c ? , € � F i t 3 E c € E E 3 s °r ..— a t a e � E , g ? D S e 3 r. F i ,...,.... », 7 p s ,...... E € i w _ E E t 3 _. a 3 Safety and Buildings Division Visconsin SANITARY PERMIT APPLICATION 2 1 B. W Avenue Department of Commerce In accord with ILHR 83.05, Wis . C d C �� � � ���! ;�, Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) forth cyst pajfr rapt less t ty than 8 112 x 11 inches in size. • See reverse side for instructions for completing this applic r o)i ��-'� P:.,, sc #e anitary P rmit Number >� 3E33 Personal information you provide may be used for secondary purposes P.� c •;. Q Chg k if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. i > C)'"' r,� c�rtir Stine Ian I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL RMAT� r ' S ✓-i *t'y -d Property Owner Name Pr rty Location ',- 1a T �7 . N, R /,f (ork Property Owner's Mailing Address L rh a Block Number City, State Zip Code 7f Phone Number Subdivision Name or CSM Number X �►.> S3S 1 '� d ES 11. T P DING: (check one) ❑ State Owned It� Nearest Road Lj Public 1 or 2 Family Dwelling- No. of bedrooms 2 - ❑ Town OF .Z O 111. BUILDIN USE: (If building type is public, check all that apply) IParcel Tax Number(s) q- 14. 15. .� 1 E] Apartment/ Condo — 20-- v — 4gft 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. � New 2 E] Replacement 3. ❑ Replacement of 4. E] Reconnection of 5. ❑ Repair of an ---- I System_ Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Press re _, 42 ❑ Pit Privy 13 E] Seepage Pit ><5d 43 E] Vault Privy 14 ❑ System -In -Fill G - 0�t T9. 2, VI. ABSORPTION SYSTEM 1 FORMATION: 1. Gallons Per Day 2. Absor . rea 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation O zslto l. 2 . Feet Feet Ca aclt VII. TANK in gallo s Total # of r Prefab. Site Fiber- Plastic Exper INFORMATION New Existing Gallons Tanks Manufacturers Name Concrete st acted Steel glass App. Tanks Tanks Septic Tank or Hek*mg 1 ank ❑ ❑ ❑ ❑ ❑ Lift Pump Tank 5 p�wrber �� f ❑ 1 ❑ I ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation f he onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: N*WPRSW No.: Business Phone Number: Plu er's Address (Street, City, State, Zi ode): d l� IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee (includes Groundwater D ate Issued Issuing Agent Signature (No Stamps) Approved E] Owner Given Initial -� �-- Surcharge Fee) Adverse Determin 3 — 30 2 4.�, X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: X. PL,-� - ow�) Att VJ" —LP__ ow_-- SBD- 6398 (R.11197) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber F INSTRUCTIONS ' 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually.every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact yourlocal code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 2M315i. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plaos.mUst include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer, D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. FOGERTY PLUMBING & PERK TESTING, INC. P.O. Box 130 ROBERTS, WI 54023 �itdej • = �oC/�vD �09� lo,�/VE� - �� .n-, 0 4( 4 = �sr �� off` f�if� . f Xze, IV �' 2 ` 4 � f¢Lr •,G�'H'7 �� or- f'Go'G F�'n,ct �ssT �'�� • _ , / �rysGrF /at7. �/ ak7� ��'v= �• z y�l � ysD fis„4LG ow of s -x s 1� �� I — -- � __ t + a - -.. _.. .. ._ — • � _ — - - -1 f � , ,. , ,� �. _._ _ _.. .. ._ .._ _ _ _ _ _ — _ t .�- _ - — -- — -- —. _ a __ I i � �. y _ _ _ _ _ : _ _ ._ _ . — - -- _ :— ._ _ _ I � ; r � � � i I _._ ._... . - -- — _._._ .. � . _ i w _ + -- -- - -- -- - — ' � � � ' � j j ! ' 1 ' _�__ _ __. _— __ ... .. y .. _.___ _.. � ___ ._ ...._.. :. .__ —— — — . _..... -— i s l i -, 1 i i } _ _ j 1_- ._ . _ I - - - - - -. :_ �_ i �— - — - - — — — � . — r —rt— � � I ! � � — -- — — T - -- — ' -- —. ._ i — —. -- — -_ _� __ — — __ �. _ . ... . _ _ r _. .— -- { -� .- i. ; ". 1__ - -y - .-f- -- -- - = - --� _ . - - . _t _..__�_ � ____ _. i � � � . i I 1 { � i i � _ 1 ,- � i . � : _ :__ .__ _ ___ .____ ._ _. _ , I _ �_ --- — __- __ • ___ _ � _ — — -- —__ _ it 1 __ —?__ � - - -r _ __ _ _�_' u I _„ -_: . _. - - - -. rtt f � �. _ _ . -- - 1 -- , ---t -rt- � ,- 1 ; _ _. _ __ _ . -- . _ : _ . _ . � -- - -T - -- �- - - -._ i 1 _ �__ � - -- �_ - -___- _.. _ __. ;_ — __ i _ - _ �_ � . :_ , - -� ' I I i _ _. _ — j — — i -- — :____ _ _ i — _. _ _ � � .. ._.. ___ _ : _ _ _rt i � � � i �i � f _. ' ; __ _ � ,__. i � I —• r � t Safety and Buildings • PO BOX 7162 MADISON WI 53707 -7162 ff TDD #: (608) 264 -8777 N visconsin www.c ommerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary November 18, 1999 CUST ID No.267341 ATTN: POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN _ ZONING OFFICE 421 N MAIN ST a- T CROIX COUNTY SPIA PO BOX 74 1 1p l CARMICHAEL RD RIVER FALLS WI 54022 ° 't) r f ,- I4U SON WI 54016 t . RE: CONDITIONAL APPROVA APPROVAL EXPIRES: 11/18/200 ST R ^t%� Identification Numbers CP1 x �Ca Transaction ID No. 276785 ,, W Site ID No. 184089 SITE: f��� Please refer to both identification numbers, Site ID: 184089 - - "," \ above, in all correspondence with the agency. ST CROIX County, Town of SPRINGFIELD = NWI /4, SW1 /4, S9, T29N, R15W P Facility: ELLIE WARNICE 290TH ST, GLENWOOD CITY 54013 Coo FOR: AP Description: NEW MOUND DWELLING 300 GPD Object Type: POWT System Regulated Object ID No.: 636933 DEPARTN DIVI OF 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 SEE COF 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: 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. 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 11/09/1999 FEE REQUIRED $ 180.00 U FEE RECEIVED $ 180.00 ROBERT KANTER , POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (608)261-7735, 8:OOAM - 4:30PM, MON -FRI RKANTER @COMMERCE.STATE.WI.US Wi MART code. 76.33 cc: ELLIE WARNICE 7 - LE S 1-V E Page of 6 r MOUND SYSTEM FOR x, liter V �. A Z BEDROOM RESIDENCE LOCATED IN THE 1/4 OF THE Sw 1/4 OF SECTION °1 , T Z"l N, R lS W. TOWN OF SP�ZI►� 6 F-L�.� ST - C Rc>!X COUNTY, WISCONSIN. INDEX PAGE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION: PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER O.W.T.S. PAGE 6 of 6 PUMP PERFORMANCE CURVE ditionally ) ROVED PREPARED FOR ENT OF COM ERCE iAFETY AN ILDINGS I E,LL1F, yvP�R.►�11 �,E - ____ ._ :RESPONDENCE �b�{1 Vot�1+T Czo� PREPARED BY WECEE�EF:Z Sp = L TEST I NG AND. DESIGN SERV = CE F.0. BOX 74 421 N. KAIN ST. �► • ,•••••�••••• RIVET? FALLS. YI 54022 ARTHUR L 7 t ! 1S 422.!"0105 ® = W ^ ^.':FSR `2? u +t' r EiL ✓vORTH y y Q, f'l 1 h1•lls � L I G t o _Z 4q JOB NO. R9 - Z98 PLOT PLAN Page z- of �o Scale 1 "= 30' r r t 6' � ki I v S vl 1 4 PvC O s - iS ' o F Z•'t i>v c N I 109 c ,jor -% Sc � 'MH OF . 4''► �" --� � � ti �� tt Ctg - L \ g3 Z.q. lu �\ \ LS1 A, wL.L "gE - Pff V&T SU'_F'10►"1 ►tiOG S o1° Prr�D R QM1 2 5' F�0►'4 1� 5 . -�.. �� ti 3sr _PcWV4z - Y LIA .tS> _5 r r-1 Muux,0, $ �- iz-o 8 NOTES '1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( 2 required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. tank to be Voop gallon capacity manufactured by w�kS - l� P e E X00 6t�t I.J2�hs Tic . 5. Bench Mark - ( - a. WQ on, spy R'r $AQI�i O Sl M.A Q._M - Tlea� BIv CL. 1W OJ TDP of F9vCg 6_. Divert surface water around system to prevent.ponding at the uphill side._ Page 3 Of 6 Approved Synthetic Covering 1j3TM c 33 Distribution Pipe Medium Sand H Topsoil - - � _J F Elev. 3 E D b Slope Force Main Plowed Trench of i " -2 %Z" From Pump Layer Aggregate y Undisturbed D •b Ft. Soil E 1 -1 Ft. Cross Section Of A Mound System Using F b Ft. I Trench For The Absorption Area G 1 • a Ft. A S Ft. H I• S Ft. B So Ft. I l0 Ft. Linear Loading Rate= b - GPD /LN FT i 'FS Ft. Design Loading Rate= o.4 GPD /SQ FT K lu Ft. L - 7O Ft. -Alternate Position W z 3 Ft. L Force I3 K Main e - - W Distribution Trench Of 2� - ? 2 Pipe Aggregate 1 Observation Permanent 1 Pipes Markers (Anchor securely) Mound Using 1 Trench For Absorption Area Perforated Pipe Detail pa y Of 0 J "' � End View Perforated End Cop) PVC Pipe Install permanent-marker at each end of lateral Pv� �=vzt� k1f11 t� a L F :t�sr• ttoLE sttovko aE 1� � f 3E31t�..�lr�� OF �15�- 18u11t�.1 Plate. PUC DISTR.\ 6v'Ttoht pt P = - Holes Located On Bottom. Lost Hole Should Be r Are Equally Spaced Next To End Cop Distribution Pipe Layout p q , ' S Ft. X 3D Inches Hole Diameter !1 Y Inch Lateral Z Inches) Force Main Inches # of holes /pipe "?-0 Invert Elevation of Laterals q9- Ft. Place lst hole at the beginning of the distribution pipe with succeeding holes at :10 intervals. The last hole.to be next to the end cap. ' PUMP CHAP%bl:R CROSS SEC TION AMD SPECIFICATIONS FAGF- V£IJT CAP 4 VENT PIPC r F WCAT11EK PROOF AppROVED .LOCKING MANFiOI,r'_ JllIJCT101J box COVER WITH WARNING LABEL '_ 10 � FROM OoOif, t wluaow OA FgCSW ! GRAD i f `I'MIIJ. LSL 0% 5 1 COWDUIT .. _ _.. 18 Alm, PROVID l IMLET -T AIRTIti4r S EA L APPROVED Jol A Tank construction shall comply ` �i� APPROVED JOI with Comm 83.15 and = 83.20 ! tt l ALARM o •! I ! I t ON C I I off d �q O Q • C OIJC BETE 5LOCK 3" APPA"ED - RISER EXIT PERAiyrc OWL Is TAWV. MAJJUFAr.TURCit HAS SUCH APPROVAL [ �1 5PC:C (FICATIOASS ...•3333��..•• DOSE TAMAJ M Ay1,1FACTUIiCR : iJiiMbElt Of DOSCS: PER pAb TANK WZE: - `F On GAL.LOUS DOSE VOLUME t AL Aith MiWumenj m _ 5.1 ZvM.Mo SH Slfn g INGLUOIWC, BACItI�ow: 11 � - GAut'ONS A00EL NUN1bCR: 141 "W CAPACITIES: Az ZI INCHESOA'iQ - I WLLOAi S WITCH TyPC � 5 v 7- 111,1046501t G�LLOL)S Pu(A? tAMUFACTURCR: C t 6 IuCNES OR GAt1.0u5 MODEL 11JUMbCR: 3 � ^ � � 0- 1Z 1WHHES OR GALLONS SWITCH TyPC: — h'l��Zr �f' )JOTr, PUAP AND ALARM AR[ T pG r � MINIMUM OISCIiARGE RATE Z �`� CFtA INSTALLED ON 5EPARATK CIRCUITS VERTICAL DIFFERENCE aE PUMP off A1J0.415TRIaUTIOU PIPE.. a ,0 FEET t AIMIMUM NETWORK SUPPI.y PREssuAE .. . . . .... . . 2.50 FEET + 15 FEET OF FO M X F� 4 — �oorLFK ►.1 t CTto iwcYOR FEET TOTAL OIJUAMIC. kLAD = 13 ' y `' FLcr DIAMETER IUTERIJA4. DIMEN5t0Qt OF TAWK: LCA!(,TH ;WIDTH — ;L.IQUID OLFTH BOTTOM AREA _ -- ^ - 231-- GAL /INCH AS PER MANUFACTURER -- 1q =51 GAL /INCH Goulds w Submeysible F Ifflue t 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 components. tic cover with integral handle Available for automatic and • Farms Motor: manual operation. Automatic : 0.4 and float switch attachment • EPO4 Single phase: HP, • Heavy duty sump 115 or 230 models include Mechanical points. V 60 e: 0.4 H 0 • Water transfer RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty • 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 ■ EPO4 Impeller: Thermo- 3 /4 ° maximum. • Power cord: 10 foot construction. • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING with pump out vanes for -- • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. es for • Total heads: up to 24 feet. with three prong grounding SP• Canadian Standards Association • Discharge size: 1 1 /2 ° NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in 7" or "AC ".) rotary/ceramic- stationary, three prong grounding plug improved performance. 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- • Capable of running dry without damage to s 30 5GPM components. Pump: EP05 8 ! 2.5 Fr • Solids handling capability: c 25 3 /4' maximum. w • Capacities: up to 60 GPM. 6 - 20 • Total heads: up to 31 feet. • Discharge size: 1 1 /2" NPT. z 5 _ • Mechanical seal: carbon- '0 15 rotary/ceramic- stationary, _j 4 ob BUNA -N elastomers. EP05, • Temperature: ° 3 lo- 104'F (40 °C) continuous I z3.y 140 °F (60 °C) intermittent. 2 ePOa 5' I 1 0 00 10 20 30 40 50 GPM L _L 0 2 4 6 8 10 12 ml /h CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 1995 83871 l�-s� heel Wisconsin Department of Industry SOIL AND SITE E V A L U AT I O Page of bo _ "5'�7 Lar and Human Relations n Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code J' UNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but C OZ not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. - APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION EWEDB DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT 114sW 1 /4,S T ,N,R E (or) ' PROPERTY OWNER':S M kG ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CI STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OTOWN NEAREST RQAD [ q'New Construction Use [ yr Residential Number of bedrooms 3 [) Addition to existing building L I Replacement [ ] Public or commercial describe Code derived daily flow !- , gpd Recommended design loading rate — bed, 91)d/ft2 . s trench, gpd/ft Absorption area required — bed, ft X75 trench f 2 aximum design loading rate --f bed, gpd /ft -- trench, gpd/ft Recommended infiltration surface elevation( �0 7�u ft. 2 ft (as referred to site plan benchmark) Additional design / site considerations O - 2- Parent material A/�,MX — 6gZjQ e_ 7:r44- Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL I MOUND IN GROUND PRESSURE AT - GRADE SYSTEM IN FILL LDING TANK U= Unsuitable fors stem El U (Z[ S U ❑ S O U ❑ S OU ❑ S U S ❑ U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITmrich 0 3 s . Ground 3 . 5 - G.2 C S - S R I v. . r ft. _ 1 17 . 7 S_ — -S S -S L — — Depth to limiting factor,,, Remarks: Boring # s 3 LL F S 2 2 -22 /� Ground elev a S C S `{ Depth to limiting factor Remarks: Z CST Name: Please Pri t \ 4n • 6 , /= Address: © Wwx p 1 .Z f� Q Signature: � �� D e: CST Number: PROPERTYOWNER �I¢/t��.� SOIL DESCRIPTION REPORT Page - > - of� PARCEL I.D. 0 Q X V 1030 .ZD Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench _ S Ir 3> o Z — /© r pd;iT s Ground yo T — 1 — '— elev f�� ft. — s l -- Depth to limiting factor Remark r Boring # ii: OT Ground elev. 3 Isapile C •F AEr ft. Depth to G r limiting factor I Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: -- -- i SBD- 833018.05/92) � x A �► - 1�1 � � y \ � I N t f � � o / 0 a �T �f O _ y g N W Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of tabby anti Human Relations g Division of Safety & Buildings in accord with ILHR 83.05, 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 C OT not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. —,Z APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION VIEWED BY DATE 3- —� PROPERTY OWNER: PROPERTY LOCATION AfIT'g GOVT. LOT w 114s",.) 1 /4,S 9 T.Z f ,N,R E (or)�_V PROPERTY OWNER':S MG ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE OWN NEAREST RQi� 4a- I L T ��11 [ WINew Construction Use [ vj' Residential % Number of bedrooms .3 [ } Addition to existing building (j Replacement [ ] Public or commercial describe Code derived daily flow !- , V gpd Recommended design loading rate _ _bed, gpd/9 , :�. trench, gpd/ft Absorption area required — bed, ft 375 trench, ft Maximum design loading rate bed, gpd/ft trench, gpd/ft Recommended infiltration surface elevation(s) Z^pA i P� .2 rr It (as referred to site plan benchmark) Additional design / site considerations =,a IN qmw Parent material f ,e S.rLT'Ljyr1,! — djgj je_ RrGL Flood plain elevation, if applicable It F U = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE - SYSTEM I FILL H LDING TANK = Unsuitable fors stem ❑ S U S ❑ U 1:1 S Rf U [I S U ❑ S U S❑ U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Bouindary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerx _ -- Ground 3 — 7.5 - G2 C S — I v. Depth to limiting factor y Remarks: Boring # FA as_ z 3 Ground 3 2 — ..i G elev _ ,S �S C . , 91 - V it. Depth to limiting fact rr Remarks: Z C 3 — CE 7 CST Name: Please Pri t Pon 6, Address: , d v k- 23 wZ- 0 3 z O Signature: r --• D e: CST Number: ER9pEF.tQwNER / SOIL DESCRIPTION REPORT Page PARCEL I.D. # .6 3y lD3o — X6 Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Barxiary Roots Bed Trench 3 z v /- 2 Ms:AJ< F- f Ground ? _ / — , elev. f7. ft. Depth to limiting factor tr Remarks: y Boring # 1 1 00 / Ground T E V, TX elev. ft. Depth to G '� T limiting factor Remarks: Boring # yti Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) l ► W � r Tr) qa � M 8 � y , 9 / W n / e � W a ' I I f • _ . f � I•. I I I , I 1 I � I . I i - I T I i i I , I : I I � , I I ; I I I ' I Y . 6c ilk- gu _ II i : I I : I i i j ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address 3Gi/7 ZAE&.2 `T 7 Property Address 0 3 o - s'T (Verification required from Planning Department for new construction) City /State 6X?-!j Parcel Identification Number LEGAL DESCRIPTION Property Location VW = /4, '&/ '/4, Sec. _ , T - �' N -R / S NV, Town of S ? /sr'- Subdivision , Lot # ' Certified Survey Map # , Volume . Page # Warranty Deed # i f- , Volume /V97 , Page # / z Spec house ❑ yes O no Lot lines identifiable yes ❑ no SYSTEM MAINTENANCE / Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a Th p perry gre nmg Dep 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 of the three year expiration date. I W — j o.• 1z / 4 / 9a SIGNATURE OF APPLICANT 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. `S-. L)" %- / y / 9 q SIGNATURE OF APPLICANT 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 � /C¢S'r l �6'•v d.�r �z / Ay t /'? rLi 1147 61t 608288 STATE BAR OF WISCONSIN FORM I - 1998 KATHLEEN H. YALSH WARRANTY DEED RE OF DEEDS Number RECEIVED FOR RECORD This Deed, made between 08-09 -1999 3:00 PM Harold K. Brandt and Betty R Brandt husband and YAARIN417 DEED wife EkEKPT D Grantor, CERT COPY FEE: and COPY FEES TRANSFER FEE: 135.00 L. E. warnke a single Person RECORDING FEE: 10.00 DACES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property"). The NW 1/4 of the SW 1/4 of Section 9, Township 29 Recordin Area North, Range 15 West, Town of Springfield. Name and Return Atlilress Grantor, his successors and /or assigns, hereby reserves an easement for construction and maintenance of a mound -type septic system of a size s u E itable for a three bedroom home to service the wners of the property located in the NE 1/4 of the 1/ 4 of Section 8, Township 29 North, Range 15 034- 1020 -20 -000 West. Said easement shall be located in the North Parcel IdentifiicationNumber (PIN) 234 feet of the West 310 feet of the NW 1/4 of the This is not homestead property. SW 1/4 of Section 9, Township 29 North, Range 15 (is) (is not) West. Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easement, roadways and restrictions of record th Dated this J l day f / 9 y � Harold K. , H � r 7 and / t �, J e ZI " * Betty R. Brandt AUTHENTICATION ACKNOWLEDGMENT STATEOFWT9QQ=1N 11 11 n1A1FSnT!� Signature(s) ) ss. (1..(zS It i N y fDq County. ) 5 Personally came before me this day of authenticated this day of u- J q rI the above named 6�cQ K, coeval.'♦' aa Beily R, 3 rGHC�'1 f U5j;7Ctg`Q QIfcQ [v��C- TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person S who executed (If not, the foregoing instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY * 0( Ad Michael H. Forecki, Attorney Notary, blic, State of r 1h r iPSOT4 Eau Claire, Wisconsin My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are ) not necessary.) ��a ' v *Names of persons signing in any capacity must be typed or printed below their signature. Notary Poll0 -Mtn a 5 -0001 STATE BAR OF WISCONSIN t�9 WARRANTY DEED FORM No. 1 -1998 n omm C. Eapns Jan, at, 16o.UrD Mwa.*w..— 6Mt♦ ICI � NW 1 14 -SW 114 138 If y � -- I II SW 114 -SW 714 139 S � qq �u r 3 ti k ^