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Home My WebLink About038-1042-40-300 RECEIVED 8 2 3 2 1 6 SEP 1 1 2 2M KATE[L2M PAGE 5793 REGISTER OF DEEDS ST. CROI X CO. M I ST. CROIX COUMy RECEIVED FOR E2ECORD SURVEYOR'S C DR'S RECORD 04/19/2006 11: 10AK CERTIFIED SURVEY MAP CERTIFIED SURVEY MASEpi E2 LOCATED IN PART OF THE SOUTHWEST 1/4 OF THE NORTHWEST 1/4, AND PART OF THE SOUTHEAST 1/4 OF THE NORTHWEST 1/4, OF SECTION 10, TOWNSHIP 31 NORTH, RANGE 18 WEST, TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN. - - - - - - - - - - - - - - - - - - - - - - - __~Zry$r CC'r--~ - - i - Ala ~~X~ If ~z' o HliMP4tREY I Jim I S-2188 I wl I I I WOOD ~ r 01 ,O -86Z M „L-V,9Z.00 N Z =o, f^ O m~ OVA ~OO'o rn co >rn A w U) :I. Iz I o Irll O m =yo j 8 m Z to I '~'pr~.~il~ Lyt A! -i O C Z co<- CD I$ I L+ 6774- - > m a N I ICA Ivs 10729.44" Wt-j 301.08' mnNimp~cn C zm~ Zn L" I rri 0o z r~ I I I ~cvn°m~ z C7p m ND~ v m pZ NOa i -5c -0 - I I I BCD CC7" O p O m Iz C) Z m [m g m o z f a zl m a o n rrn Ln- rn I ~~J I/I~ g~a rn v O 1 - V ci I m~~J I I . I 4 'ml.!. Ito I _ _ r~~lcpp 41 I- - - - - - 98 99£ M „61,59 9l1 N { Z Co toll I i° to ~~2 N m 7203.43.. j I I I IC-5 \ e 677 5g. 00 !ol Ip z I.,I_NN { cD Itn N Cn ? I 11 1 I alO ' ICI I o;bo =,-1~ g ~ j + I fIl MN l MS 3M1 !O 3Nfl 1SV3 {W Z / Z C I 50'! V n IZ C) CD m OD OD co icjl ~ p •cD ! m [D j amt ro c0 =o / v j a N V y W I P v n N~ aN N ~ Va I iZ W Im 1N T -n m 1 I~ I w l~, I~ W I I ~N'5O m 0 IV fJ 1~ I ~ ,26'6£8 ro~ I n Z6-ZL8 3 •,6L,9b.00 S. cn E D ~I - z a sorm1 o3uvlavn N co ? N p to AI CD o O I 14 :2 I Im g { I 00.094 3 .6L,917-00 S THIS INSTRUMENT DRAFTED BY BRIAN PERSON SHEET 1 OF 2 o 1 or2 Vol 21 Page 5193 ` 00 Parcel 038-1042-40-300 01/24/2013 08:40 AM PAGE 1 OF 1 Alt. Parcel M 10.31.18.183C-3 038 - TOWN OF STAR PRAIRIE Current 191 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 06/23/2006 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner 0 - ON TRACK PROPERTIES LLC ON TRACK PROPERTIES LLC 2202 BICENTENNIAL CT NEW BRIGHTON MN 55112 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2275 C SC 5432 SCH DIST OF SOMERSET r SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 10 T31 N R18W SW NW EXC CSM 7-1977 Block/Condo Bldg: AND EXC CSM 21-5193 & S 436FT OF W 500FT. Tract(s): (Sec-Twn-Rng 401/4 1601/4) 10-31N-18W SW NW Notes: Parcel History: Date Doc # Vol/Page Type 01/05/2007 842004 EZ-U & 1 04/19/2006 823213 CSM 11/01/2001 660803 1752/22 WD 04/06/2001 642251 1614/458 LC more... 2012 SUMMARY Bill M Fair Market Value: Assessed with: 194622 858,900 Valuations: Last Changed: 09/13/2011 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 25.900 339,500 572,300 911,800 NO Totals for 2012: General Property 25.900 339,500 572,300 911,800 Woodland 0.000 0 0 Totals for 2011: General Property 25.900 339,500 572,300 911,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 01/24/2013 09:06 AM Parcel 038-1042-40-100 PAGE 1 OF 1 Alt. Parcel 10.31.18.183C-1 038 - TOWN OF STAR PRAIRIE ST. CROIX COUNTY, WISCONSIN Current Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 06/23/2006 00 0 Owner(s): O = Current Owner, C = Current Co-Owner Tax Address: O - NEW DIMENSIONS HOUSING NEW DIMENSIONS HOUSING C - ON TRACK PROPERTIES LLC ON TRACK PROPERTIES LLC 4364 GALTIER ST SHOREVIEW MN 55126 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1110 OLD MILL RD SC 5432 SCH DIST OF SOMERSET SP 1700 WITC Legal Description: Acres: 2.290 Plat: 5193-CSM 21-5193 038-2006 SEC 10 T31 N R1 8W SW NW PT CSM 21-5193 Block/Condo Bldg: LOT 01 LOT 1 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 10-31 N-1 8W Notes: Parcel History: NEED DEEDS TO CHANGE TITLE / PT CSM IS Date Doc # Vol/Page Type TITLED IN ON TRACK 1-1-07 SC 04/19/2006 823216 CSM 04/06/2001 642255 1614/464 WD 12/09/1997 569623 1281/448 QC 07/23/1997 889/96 more... 2012 SUMMARY Bill Fair Market Value: Assessed with: 194620 119,500 Valuations: Last Changed: 09/13/2011 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.290 25,900 100,900 126,800 NO Totals for 2012: General Property 2.290 25,900 100,900 126,8000 Woodland 0.000 0 Totals for 2011: General Property 2.290 25,900 100,900 126,8000 Woodland 0.000 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges 00 Delinquent Charges 00 Total 0.00 U 1 9 5 8 P 2 9 3 6 8 8 1 4 6 KATHLEEN H. WALSH •f^•^~ N•r..b•e Dacvme.t lMde REGISTER OF DEEDS ST. CROIX Co., MI er ee_" ••••f RECEIVED FOR RECORD r 08-26-2002 9:00 An 'r ZONING AFFIDAVIT r . EXEMPT • St-Croix County Zoning office REC FEE: 17.00 TRANS FEE: St:Croix County Government Center COPY FEE: 1101 Carmichael Road CERT COPY FEE: Hudson, Wisconsin PAGES: 4 54016-7710 (7 1 5) 3 8 6- 4 68 0 .ecrei~c wry. Na.. and Rebus Address AFFIDAVXT State of Wisconsin ) 038-1042-10-000 r ) ss. 038-1042-40-000 County of St. Croix ) rartes IdeahGeAdoa Number Fr On Track Properties. LLC being duly sworn, states, under oath that: (name) 1. He/she is the owner/part owner of the following parcel of land located in St. Croix County, Wisconsin, recorded in Volume 1752 , Page 22 , Document No. 660803 St. Croix County Register of Deed's office: A parcel of land located Exhibit "A" 2. The above parcel has had added to it the following described pare 1 ec0rded in volume, Page,e , Document No_ St. Croix County Register of Deed's office, resulting in a single parcel: A parcel of land located} of the NWi of Section 10-31-18 ' I St. Croix County, Wisconsin, described as follows: Exhibit "B" This if fo( l;oa nwel be eo.VI. d by mbfa7ttec: Joefa , cCrle tnM, .i rcNrn arlJrcr, s.A C/ 6111q-d d). OKer We--d creh a< N.e srf-er.g elaarcr, lctal dcce1("-, ece. -Ay be p4feed - SAL, Arrr pare of do daeuo.n.r or L•r Joe-c+•& t~t= Ure of d a ewer ^`O7 pl eel er.. fe:~•...I 1-,- of de /v[r dLL onr l.rfc r.. your Jn ....e..r a•./ ; 7 A f r. rrr:...,•..~ /.r It-f,r.•.. Sa.wrr r, 3V.J17. RT,j>,e 7111f U 1958P 294 3. The addition is a transfer exempt from Chapter 18 of the St. Croix County Land Use Regulations pursuant to Section 18.05 (A) (3) . 4. The purpose of this affidavit is to notify the public of the addition and the resulting parcel. On Track Properties, LLC Subscribed and sworn to before me this 22nd day of AuQUst 1&9 2002. Grp i I ER D 1 le- AMERS ~ Roger D. Bevers Notary Public, State of Wisconsin my commission expires January 4, 2004 This instrument was drafted by River Valley Abstract & Title, Inc. U 19581 2 9 5 i I it EXHIBIT A The SW % of the NW 1/4 of the NW 1/4 of Section 10, EXCEPT commencing at the NW corner of the NW 1.4 of said Section 10; thence East along the North line of said section, 597 feet; thence South 726 feet parallel to the West line of said Section; thence West parallel to the North line of said section, 597 feet; thence North 726 feet along the West line of said section to point of beginning; The SW 1/4 of the NW 1/4 of Section 10, EXCEPT the following parcels: 1. Commencing at the Southwest corner thereof; thence North 436 feet; thence East 500 feet; thence South 436; thence West 500 feet to the point of beginning. 2_ Commencing at the Southeast corner of said 40; thence North along the East line 660 feet; thence West 330 feet; thence South 660 feet to the South line of said 40; thence East 330 feet along the South line of said 40 to the point of beginning. All in Section 10, Township 31 North, Range 18 West, including all bleachers, concession stands, lighting fixtures and lighting system, public address system and watering system located on the above described premises. Form -STC - 104 ` AS BUILT SANITARY SYSTEM REPORT OWNER ~JAINSHIP S :1Cj4L SEC. T N-R W ADDRESS AA ST. CROIX COUNTY, WISCONSIN SUBDIVISION N/ LOT N/A LOT SIZE 5d 0.CU`a-~S PLAN VIEW ILHR 83 Distances and dimensions to meet requirements of SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 9 jai Z fo ` Q L . `33 REcEwEO , , , , , ,u` 1 1987 rr r e ra k'a rp~es swore. ~ IONIN6 3 ~ as OFFICE ~ r erg 00~/ "wl O~ i I 1 1 QQ]r~J r P r ~ P ~ 16 , ` rl J O Ib3~ pq, f uK+~o C~Ca..(~r (q-. Zev- L#rv~reA rF A jaf.J 203 0 CV La~,ce sS~ `A ~ '-t 50 y' INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used A ~p e W'e-a Elevation of vertical reference point: 10D16 Proposed slope at site: izso 9P&CL se ,ti,'ficlc- SEPTIC TANK: Manufacturer: Liquid Capacity: !son 4a/ s Number of rings used: Tank manhole cover elev tion: /V T- /ti 5 Q- C~~ Tank Inlet Elevation: Tank Outlet Elevvation: r~ Number of feet from nearest Road: Front,O Side,o Rear, feet 0 .From nearest property line Front, 0Side, 0Rear, 0 feet i Number of feet from: well Z$ , building: 2 9 (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: ~d~~► S P- Liquid Capacity: '5~wo 4ta 1. Pump Model: Sp-- ~ Pump Sipho Manufacturer: - ~t Pump Size Elevation of inlet: om of tank elevation: r Pump off switc elevatio Gallons per cycle: 660 ~gct,1, Alarm Manufact Alarm Switch Type: ~lD Number of feet from nearest-- property line: Front, O Side, O Rear, Ft. Number of feet from well: Z S Number of feet from building: Z Sf (Include distances on plot plan). SOIL ABSORPTION SYSTEM r~ p Bed: Tretle Width: Len Nth: Number of Lines: Area Built: Fill depth o to of pipe: Number of feet from nearest property line: Froth, O Side, O Rear,0 Ft. Number of feet from well: > ,5'd0 Number of feet from building: ? 2s ~ (Include distances on plot plan). SEEPAGE PIT Size: N mber p Diameter: Liquid depth: tt m of seepage pit elevation: Area Built: Has either a drop box or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of ring u ed: Elevation of bottom of tank: Elevation of in e . Number of feet f om nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: i Inspector: Dated: Plumber on job: License Number: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 SW14,NW,„S10,T31N-R18W ❑CONVENTIONAL ®ALTERNATIVE State Plan I.D. Number: f assigned) Town of Star Prairie O Holding Tank f] In-Ground Pressure O Mound CTH CC NAME OF PERMIT HOLDER: DRESS OF PERMIT HOLDER: INSPECTION DATE: Cedar Lake Speedway 7Rt. 1, Box 135A, Somerset, WI 54025 x.400 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF, PT. ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: I John P. Sykora III 3212 St. Croix 92521 SEPTIC TANK/HOLDING TANK: MANUFACTURER: ILIOUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ONO OYES ONO BEDDING: VENT DIA.: VENT MATL.: HI H WAT R NUMBER OF ROAD: PROPERTY WELL: - JBUILDING: VENT TO FRESH JALARM' FEET FROM LINE. AIR INLET OYES ONO OYES ONO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ONO OYES ONO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING: VENTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) OYES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIUE CIA. SPITS LIQUID BED/TRENCH TRENCHES MATERIAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH J DI TR. PIPE DISYR. PIPE DISTR. PIPE MATERIAL-. NO. DISTR. NUMBER OF PROPERTY WELL. BUILDING: V NT TO FRESH BELOW PIPES. ABOVE COVER: ELEV. INLET. ELEV. END PIPES. FEET FROM LINE: AIR INLET: NEAREST-- ► MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES ONO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS OYES ONO OYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED MULCHED CENTER: EDGES OYES ONO DYES ONO OYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH. NO. OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER. BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEVATION AND ELE V.. ELEV.. DIA.: ELEV.: PIPES DIA.: DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL V`ARfTIICAL LIFT CORRESPONDS TO APPROVED OYES ONO OYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: ]BUILDING: FEET FROM LINE' DYES ONO OYES ONO NEAREST Sketch System on Retain in county file for audit. Reverse Side. TITLE. DILHR SBD 6710 (R, 01/82) SIGNATURE. Zoning Administrator SANITARY PERMIT APPLICATION COUNTY U U'LN~ In accord with ILHR 83.05 Wis. Adm. Code S• G l STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER 8%z x 11 inches in size. 8-7-6,?CC2~ 30 -See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES ^1 NO PROPERTY OWNER PROPERTY LOCATION Q5%PjLt)1/a,S Ip TN,R J{3 E(or W PROPERTY OWNER'S MAILING Afb[)RESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME &k IM5 A 414 V14 AA- CITY, STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD, LAKE OR LANDMARK 4 7y, t~'2 ❑ VILLAGE irLl II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family 01A OR Z Public (Specify): 111. PURPOSE OF APPLICATION: (Check only one in ##1. Check 2,3 or 4, if applicable) 1. a. ❑ New b. Replacement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in ##1 and only one in ##2) 1. a. ❑ Conventional b. A Alternative C. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. E1 Mound f. IJIN IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. Seepage Bed b. ❑ seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): c~p7-75- /9f~b ✓~j Feet Private ❑Joint ❑ Public CAPACITY VI. TANK Site in gallons Total of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New xisting Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holding Tank 3/3(7 Lift Pump ank/Si hon Chamber Qn VII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. `Plumber's Name (Print): Plumber's Signature: (No Stamps) MP ESW Business Phone Number: P OLP_ ~Szle (7-,5- 9 -t~rr*~ Plumber's Addre Street, City, State, Zip Cod Name of Designer: VIII. SOIL TEST INFORMATION KJ~ Certified Soil Tester (CST) Name CST ;~~Z,7 CST's ADDRESS (Street Ci y, State, Zip Code) Phone Number: 2 T5' IX. COUNTY/DEPARTMENT USE ONLY E.] Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature (No Stamps) El Approved ❑ Owner Given Initial Surcharge Fee Adverse Determination X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic fank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; Ill. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans 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; dosing or pumping chambers; 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; dosevolume; 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. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over.2 years of steady negotiation and public debate. The groundwater bill Ground Ater included the creation of surcharges (fees) for a number of regulated practices which Wisco n's a can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. 3D-6398 (R.03/86) APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequaoies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,("spec housethen a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of Property Tom' c~ Location of Property, Section -10 T) N - R W Township P ' Gt~f- ✓'trt J`i,~ c Mailing Address to=/ EDDC Subdivision Name /JA- Lot Number Previous Owner of Property E QQ Total Size of Parcel I G C~ 4 C'sr rQ Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed f~r resale (spec house) ? Yes X No Volume and Page Numberc~ as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3.• Other reeordinis filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Hap, the the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) eenti.6y that att statements on th.fa 6onm ane tAue to the beat o6 my (oun.) knoweedge; that I (we) am (ahe) the owneh (b ) o6 the pnopeht y des ehi.bed in th.i.a in6o4mati.on 6ohm, by viAtue o6 a wauanty deed 4eeo4ded in the 066ice o6 the County Reg,i a teh o6 Deedb as Document No. ; and that I (we) pneaentty own the pnopoded d.i,te bon the 6ewageapoaa7-,6ys.tem (oa. I (we) have obtained an easement, to hun with the above dedehi.bed pnopehty, bon the constnu.cti.on o6 eaid system, and the aame has been duty tecoAded in the 066ice o6 the County Reg.i,sten o6 Deedb, as Document No. ) . SIGNA RE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) s~ Z DA E SIGNED DATE SIGNED 'f s' y ' --a "Erp `l A"1 V B OF wtSQ00Ix.- FORM t LAND C 0WIRACT - irtAivtdusi blew conlorots 76,r1. SPA, I ,ifSf,ivf0 ilTrt RECCMING REGISTERS OFFI(74 $T. CROIX CO., WIS. COMTRACT, by and between Elmer Cook a/k a Elmer G. ?V %et for R ecvrrl this 1 _ Cook and Lorraine Cook a/k/a Loraine Cook, 1n• _ _ _huaband and wife, as joint tenants ''Vendor d" of A.D. 19 whethw one oe mote) and Robert J. Cook, Theodore J. Cook dlt ' , ftA. and Gary L. Cook, as tenants in common , „Purchaser wh vthet , ne or more) t:.! • 9tii, ol6„d► 1 Vendor sells and agrees to t'on~t•ti I'u , h fscr, upon the :,rumpt .Ind,lui: per ll ! fOfss1►Ce of this contract he PUrt'h Istr t("!0% 1K p'„prtt,, •„~tther urth 1`e1111ts,plo(ttv.ftxtures and.,'her appurtrr,,n' interest Pr„ •ett~ "1 t -M ~(•~-C~✓ o • r ~~yt F.~ Croix st.e, if Nlsr„nsln RETURN TO i The South one-half of the Northwest quarter of the Northwest quarter (S~ of NW4 of NW4) of Section Ten (10) except that part thereof deeded to Glenn Severson in that deed recorded in the St. Croix County Register of Deeds office on November 22, 1978 in Volume 585 of Records Pax Kev No on Page 350; a The Southwest quarter of the Northwest quarter (SW; of NW'h) of Suction Ten (10), except tt'.e following parcels: 1. Commencing at the Southwest corner thereof; thence North 436 feet; thence East 500 feet; thence South 436 feet; thence West 500 feet to the point of beginning. 2. Commencing at the Southeast corner of said 40; thence North along the East line 660 feet; thence West 330 feet; thence South 660 feet to the South line of said r' 40; thence East 330 feet along the South line of said 40 to the point of beginning. TMis iislt i]Ot homestead property (CONTINUED ON ATTACHED SHELT) Xx (is not j Purchaser agrees to purchase the Propert•,, and to pas Vendor at such place a3 may be de3iCJn$tCd *0 isam of $ __....._15.0,090,.00 in the :owlnK mann,•r 5 10,000-00 {sit the Utica of this Contract, and the halance of S 1_40, 000.00 toKether with interest from date Meteor an such portions as remain from time to time url,,od, .et the r,,t,t of six per , e•nt per annum, until paid -Is full. as follows 1. Tun Thousand and No/100 ($10,000.00) Dollars plus interest on June 30, 1979. ' :Mt r Thousand and No/100 ($20,000.00) Dollars on tune 30, 1980 nnually thereafter with interest at the rate set forth above being first deducted from each payment and the balance applied on principal until the said principal balance is paid in full. Purchaser, unless excused b, Vendor, :,grew to pay monthly t„ t,'vnd,•r p:,,,men`•: ,ulticier.r reason:+hlt to anttcfp:ate tsw payment of taxes, spectal asse;smer.ts r•r,• and required tnsuratnr premtwn . the extt•nf reeclved by Vendor, Vendor I agr"% to apple payments to these oblfKatt,. s when dut• Such ~,m -unts r,•, elved by the V,-nd„r f„r paNment of t:exes, f assettaments and tnsutanct: wll; be deporw-: into an , row fund „r tru5o,e .,c,oulit F,ui 0a11 not bear Interest unless otherwise required by law, k Payments shall be applied first to interest on she unpaid halance it t_,• r•rt, ape( itf,rd .end then h. pint 1p+1i 40"areoval aES~.iw.pasp+►i/+If~tiout.~>1swiEia~s.Ia~pw ~w wo~E.i at,+tt o 44"o,"-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ may _ _ _ f ART-'There may be no piepatmertc of pnnctral without permission of Vendor In the event of any prepaVme•nt, this Contract shall not be treated as in default with r,o-:pect to p.tvment so long, :r3 the unpaid balance of principal, and interest (and in such case accruing interest from month t,, mo, th shall be treated as unpaid principal) is leas than the amount that said indebtedness w.iuld have been had the monthly pat,ne,its been made as first specified above, provided that monthly payments .hall he cr,nttnued in the event of crr.dit Of any pttfcceds of insurance or Condemnation, the condemned premises being thereafter excladed herrtfrom. Purchaser state., that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchases for ettatuinatioa except: Vendor-shall furnish a complete abstract of title to the premises at least 30 days prior to the ult;mate date of closing of thisr Land Contract. ~~Ms.r~lo+Ps~rlh~ips~~4.Liwis~~iaaiiEriMaw.-fi.i+ti►a~i/awe~e-~yw•t+It~►io/i~ei+lf~t.~4M>MMyrifi,Nrs11~' ~ ` PWI~asd by NEe eeslw +s?~ Pat osioer sfiilI bw smitle to`ta m session of the •Cn..sOtil}0... f~ Profgtty. on. (To _,1r1d Be Y 3 QMW Ntfill ~ tt Ail; e„ _ mmi. 11fA& ~G~R.Y.I~~Y -h- ..~u~ Y-~.._ i. ..I i N~ ~ ,..C~'~.'1•at_ ..~C] Von F Purchaser promises to psi when due :ell taxes, ind asse,.smt•nis Iev,ed on thr 1 r ,}x iii or lip-11 Ve•n+le uit,•rt• ! in •z and to deliver to Vendor on demand receipts showinr out h pattrne•nt. v" Pun'haser shall keep the improvements on the Prope•rtt imured agiiintit i.,,- ~ or d., n;, ,(e oe c,r., net! h•, t,r r!ed coverave perils arif other hazards .es Vendor mxv it-quire, without cu-,m ur,rrice, thtewv,h in,utt•r i ,p' '.0 f 1'. r + r in the .sum of w- insurable value, tout Vtndl,t not reyttir,• t „ver,et,e• in .+n wiwin i .,(tore , ~f ,wed under this Contract. Purc'hdser shall p.iv the in ur. 1t c ;it, miuml, when due" •I he ,',r!e•s •.h.,li vr'.1u• ui (Louse in favor of the Vendor's intotes;t end, unb•,s V.•nd-1 ehertco-,, ivrt, i in wrir:%v,, ill, ,me.n.,i tliti" uie the Properiv shall be deposited with Vendor. Pur, -uk'v: •,h,,11 l,rnmpt+.i rive nnirtr• of if r•t, - oA Vrndor. Unl,•a Purchaser and Vend x oth, ,r!•:,• .1yn , n .tnr,nv., tn,ur.m,, pi,+, t! . •.h,,' h+• ,,I,; ',1 „ "r ,-z repair of the Property ddir i, prol.tdcd flit Ain,!„r drtan !h, •t--.t,'r.,tton or r, 1,,rr t1. t„ Purchaser covenants not it, commit u., t,• ri, r -4 h „r 'h' !'+„i„•r'' F., r; I't„}., , iii hood ienantable condititn and 111.1, „ trol, rtt,• I'• 'Jwr I, 'h,. iu•1 !1t• i', ! t umpl)' with Al laws, ordinance, .J; 'd r,.t•.,i,,t,.,rl" tint i'r ,I, : Vendor agree, that in c:ise ih,- { utr 1st,. A 11 1i , !:.111 ,'I,, ; - ,l ;(Ins shall he fully performed at th, ',n.#' Purchaser, it Narrantt, i-i 1, .r•{ ,•ncun,btancv. cn•:aed ill, i ,u d. ! t ! municipal zoning ordinances hUrt'haset .,';ret•, t'.,,t - . , : .1~ete•,t whCn - dut or to the Jerforrn nt a 1,f •n~i l , ct, n11:7Ue: for a pen,lod of 60 ,1. 1 r1, t11, of the j Purt-hus,•r under +'t,~ ig , , i'_, s• ! ' V••nd„r', prop,•rty r, Ill..) t r.l!:, tsr,•, a,ent; and V ,•ttdot shall for!hutih .r ! Aft v l1,r ,ri ut not Purc'hitset, note e he le C to and pa-,ahle, in case ,w It „},t•,.m t r ut,uch r.:,0t be or have been p.u•: by Vend,,: h, rr ir, 1 ihlo in a suit at ' ,ha!4 ht•cotL~rt- 1:0u. ;t :e•, a,• ; 1, 1i h.~, beer, d.te at the time when -v, It d. t rd all the Burns so dishurser, r • ,,•rt••.• I i , : u he! her ,tbated~." or not, all t•xpen,.e-, 'n , I.- + nr:ed. and in r, cast- of judgment •,h,t{ 1 u Upon the corornencemen, „t d r,it elit, , v .j any ;0 t,,,,; t s.,; rt l ( r., i, i 1'„r.hasei f or ents to the appointrneni of a ret,•„or „t iht f'r1,t„ rtv 'n• I.,,!,',,, 4t,rnr.to I,1 ntcn -.t 1,, • rho r, r.t- „•.uec, and profits of the Property, during the per,den, y oI silk h it ±,1„ 0111 tit h lent,. uc. :,rod 1•r„!,, . . ts, „lrrted 01a:1 hr held and applied as the court shall direct. All terms of this Contra t h,ill i., 1n 1111 ;{111 ,nut, flit 1„ nt•tr,..,! rite ht•it,. !teal sepreu•ntative,. su.cessors and assigns of Vendor and Puithanet, i It not in uwncr 1,f tht Pt-pttty iht p. u„ „t \'tndur fur a valuable consideration joins herein to release honw,tead , iglli, n, the .uh;t 1 t Proper+v and agives rt1 I-', it, he ex1• utn n „f the (Iced to he made in fulfillment hereof.) Dated this 30th lay of May 1979 . /x- (SEAL) * Robert J. Cook (SFAL) (SEAL) Elmer Cook a/k/a Elmer G. Cook Theodore J. Cook tog (SEAL) .:L Ig (SEAL) . Lorraine Cook _Gary L. Cook a/k/a Loraine Cook ;i AUTHENTICATION ACXHOWL EDGMENT Stgnatutes authenticated this 30th rl.+v of S'IA1'1• ill' MSO]INSIN A . Nlay 1,)79 t~,,nnt., 1 ~y ' Pct,onally ,'1111( bei„re me. this _ day of i G. E. Norman above named TITLE MEMBER STATF. HAR tiF WISCONSIN (if not, authorized by 'l, 706.06, Wis. St.rts.) This instrument was drafted !w DOAR, ' DRILL, NORMAN, to nie kvown to he the pet"on who executed the fork- BAMM 'BELL & SKOW going instrument and at kn(oit!t•dKed the same. New Riclunond, Wisconsin =:34017 ` <4 r~ (Sisealretr; may !k authenticated or pckttowledRCd. Both site neat necessary.) Notary Public 4-- x TIC use of witnt"" to°optibrtil. My Cos } slon t* permanent.' (IE nt1E, atatr t '#ate: - - f r iF ~ yyws 41 "am iigning I any capacity sittwld be typed Or printed Bellow tlwlr signourea 'V lit Al A- rr. . . T~ All said propcr t.F.I.n r ecatc(.1 n ~-)wns...:rty-one (31) :,orth, '?anac. ;ntF er. tti< ,c . a]' bleachers concession stands, iI l:.c; ..°:v~❑~;; t.^•i 1a^~:^Q system, ' public address systf and Wa-er;:; . 10L3:ed on the above describt2d prer, se's. a t e: F r~ . STC - 105 MAINTENANCE ACRELMLN'I' SEPTIC TANK o St. Croix County C7 U Y E It E~> GeA ROUTE/BOX NUMBER Fire Number CI`T'Y/'STATE~CO,,,,& 2IP PROPERTY LOCATION:S1.0 %4, Section /J) T~ j_N, R_/S __W, Town ' St. Croix County, Subdivision 0 A Lot nu►nber JJ~. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- . 3iSts Of pump-L119 uui LtLc 6U- IL '-'ink every years or sooner, if needed, by a licensed 5_e1-tic tank p_twL _er. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix. County residents ❑iy be eligible to receive a grant for a maximum of 60% of the cuss Of replacomeiit of a failing system, which was in operation prior to luiy 1, 1978. .St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County `honing a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 0 I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certificatiou form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SICNED DATE St. CLix County Zon..ng Office P.O. 1, OX 98 Nammord, WI 54015 715-756-22351 or 715-425-8363 Sign, date and return to above address. f i)c~ e- Lj co CEDA k L-0 P S PEf~D U)A ~ECE~V E~ _ ppR Z g`19~~ boo IffiAg"' 091'1 C' C> S. r40 L1 r_..a--' J-G2 h / ~ _ 14 '20,gai, e- Y, Q pis !f ; c~ e r " i Ca u 4,0(.1' u G Of CA '~~7 00 pus PRIVATE SEWAGE SYSTEMS DIV TiSION OFSAFFETT a BU LDINGS ILHR BUREAU OfPLUMBNG . 201 E. Washington Avenue, Rm 141 PLAN APPROVAL APPLICATION P.O. Box 7968, Madleen, Wt $3707 608-2s6-381s INSTRUCTIONS; Please fill in all applicable data and submit this form with plans. Plans will not be reviewed until all fees are received, The back side of this form describes required plan information. Plumbing codes can be purchased from the Department of Administration, Document Sales, 202 South Thornton Ave., P.O. Box 7840, Madison, Wisconsin 53707, Telephone (608) 266-3358. 1. PROJECT INFORMATION (Type or print clearly) Revision To Plan Number: VIA Name of Submitting Party (Plans returned to same) Project Name / ] Stresst,~$( . or Rural Route Project Location - Street & No. or Legal Description - City or Village State Zip _ city f County 18fJL~ tN $7i? Village DF:eitl l~t\ Town Telephone No. (Include area code) I 7/5" Designer Telephone No. (include area code) Owners Name Telephone No. (include area code) Street 8 No. Street A No- kiwi1.35 A City or Village State Zip City or Village State Zip 2. APPLICATION FOR: New Mound System (3a) 0 Groundwater Monitorinig (7) Conventional System - Public Building (1) ❑ Replacement Mound (4a) ❑ Holding Tank (2) Replacement Pressurized System (4b) iSystem in Fill (1) Petition For Variance {S} New Pressurized System (3b) ❑ System in Flood Fringe (1) 1 Other Alternatives (5) i 3. FEE COMPUTATIONS (include existing tanks) 4. FEE SUBMITTED FOR OFFICE USE MAKE ALL CHECKS PAYABLE TO DILHR 3a. 750 - 1,500 gallon septic tank - 50.00 4a. 3b. 1,501- 2,500 gallon septic tank %Do 4b. 3c 2,501 5,000 gallon septic talk 80,00 4c. Lzs~ - w a 3d. 5,0{11 - 9,000 gallon septic tank -100.00 4d. 3e. 9.001 15,000 gallon septic tank -150.00 4e. 3f. Over 15,000 gallon septic tank -250.00 4f. 3g. 500- 1,000 gallon dose chamber - 30.00 4g. 3h. 1,001 - 2,000 gallon dose chamber 50.00 4h. $1. 2,001- 4,000 gallon dose chamber 70.00 4i. 3j. 4,001- 8,000 gallon dose chamber 90.00 4j.i - 3k. 8,001-12,000 gallon dose chamber --110.00 4k. ' 31. Over 12,000 gallon dose chamber -150.00 41. 3m. 500- 5,000 gallon holding tank 30.00 4m. 3n. 5,001 -10,000 gallon holding tank - 55.00 4n. i 3o. Over 10;000 gallon holding tank -100:44 4o, ~ i E` 3p. Revisions - 20.00 4p. 3q, Groundwater Monitoring Per Lot - 32.00 4q. { (other than a proposed subdivision) Subtotal - - 3r. Priority plan review: walk through 4r. Submittal of plans in person, by appointment, with double fee I 3s. Petition for variance Setback - 25.00 4s. Site evaluation - 50.00 i Total Fee i i NOTi Flex pursuant to Wis. A4m, Co4e, Chapter Ind. 69 may be "bled to change annually -01/1=F~ SBD-6748 (R &&I EMec July 1, 1964 iAlisconsin Depam"ritot industry, vT ~.t?r0 ~3flSt p, Labitr and Human Relations ~r S. C. Safety & Sdirdings Dwislon E ©R 13 E. Spruce qt ?Q( Bureau ofPlgmbing Chippewa Falls, Wl 54729 inspection Date p Q 5) 723.8785 Name of Premises AeWraea4iii-6egal Description 0it!yrrownship County [EiJf4~' t,-AKL,. Master Plumber Noma and Address Master Plumber Firm Name and Address Plan I.D. No. t RT'+ i`Sanitary Permit No, z _ Jew yp"em PI tail Tester Licensed " Persona Name(s) and License Number(s) O Owner's Nwne and Address 1441 - 514 Z1. AFC' 4dF . E -in l A l i i _ . 4~A , r E r t E ~t { 17 i . lilt& 4 4.".3 { ISFi . . 1140 r r 4 s Page-_ a# _:J;.. S E 3w copies to- ; tit e~pYyT ~,,.+,,.y ~v.1.. r.n•~3.; 4rTa. s.. .K ..y,_~.-i~P'nr l.i n'n,, t ~ ~ ~9 ~J1 l V f - - Pa 310- 6 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUST'Ry,, DIVISION L.ABQR AND PERCOLATION TESTS (115) P.O. BOX 7969 AUMAN 131~L'ATIONS 2 MADISON, WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: OWNSHI MUNICIPALITY: LOTNO.:BLK.NO.:SUBDIVISIONNAME: '/a N014 / T31 N/R O 000NTY: ' /BUYER'S NAME: MAILING ADDRESS:: 156 A USE 9 .0 DATES OBSERVATIONS MADE 3 NO.~B/EDRMS.: CSMY~RCIAL~~F}IPTION: New Replace fP,R~OFIL~/ /ES RIP IONS: ER/ ~L/ 10 TESTS: ❑Resider / ppss(~ o01r' jj~s /h -t /'/X A. !'J j7`/0 7 i Vlv~ ;±tvice.) RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) If Percolation Tests are NOT required DESIGN RATE: At~ if any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: w ,7 * Floodplain, indicate Floodplain elevation: An02 0awl PROFILE DESCRIPTIONS I? MA 10 _5 iae~ BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SO WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- fD D 96'' 6 'e.4 r10 aL? ~i v 2 'I~ S ` *51 7-411 666" S h si '630: wI f-c o B- 2- 7~ tl if co 0 © -f/M S J/ CQ- 2 T~~H S( IV, .I V el- (006f a,, p handiss B- 3 G3 97 'V" N 5.y 7"'49M °7'~.. 19A'R'9- sl *9~'* CaA j•19't- 6_40iBti -E- „v s s' 't 3114w N r/ OIL "7"v^ S/ fg+r So"~h S A5#: "'r-6Q~o B- Al 60 98 - 8 60 B s w ~ ~ B- b' ~ p W- 2'` > yco o"- `~o N D Gs BN / -Ir Ddb. - / r. k A 14 ~f 97E Zn „ Cog V~ W1~9r; I S"68"RN s/rt wOw C.d P~ R"Q.Ci"ej -fbv. PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD-2 P PER INCH P- 25' h at4 0 1' P- 2 5 O / 3 P_ S 2-6 Al b t4 V_ p '15' P- 2 K 30 -q 111-9 A P- f s 1/ i' f- P E ^ !215 41&14 S PLOT PLAN: Show locations of ercola - `te ~jr'I borings and the dimensions of suitable soil areas. Indicate sca `stancescribe hat are the hori- zontal and vertical elevation reference poitd; their location on the plot plan. Show the surface elevation all borin(, ~tfd the on and percent of land slope. o G ~ ~ Q C*, SYSTEM ELEVATION Ry ` 9714" 0-f Sparc, t I ~P= q , s _ r MS ; llf~' t ora- .Ire-4li AT u ~ ~+4646. a~.fs , o= m , a ti l py, 2r__ Z 70°Io v" a~vwe K C,T. , ! $M -slope _ /DQ ; ro+t f s7~> , V y I/ C0NC8tSta~ I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief, NAME (print): TESTS WERE COMPLETED ON: 1306 P S aa- Al /14 /87 ADDRESS: ~q CERTIFICATION NUMBER: PHONE NUMBER (optional): Z fae~ 0I000t*J' (.vi • S'a~7Z`~ Z'~2'7 CST SI A RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - I TO / C o c Lake eea4 coo 2 of ~ P4 7 Bor. ~ G ~ o 2 6 3 $-7 cps„ 9-7 z descro ~O" V sI ,Ecd~. 62'- (c$" ~3h s I ~ f c~o'~ ~-s bands sc°~ -7 Dset s j r zY„ Y 614 deoip n S 1 bgkAS D 1 V l l~~s r rvo g pro s ed C~ u-q i o ~i e- ~o~ 57~a iced he~,aved l C0k Se- sSipvl "l lam. fc7[k.4 `fv3~~ Efc~ S'It feu, P f G►o -to he ] I a~ ~ e'en ~ 11 ec( Bn~ C Wed C-q/0 su;~a.b le so, l "14A ho/ 8 7 Co~cess~b~n ~y~ C57' X2327 RECEIVED APR 29 M7 p Aural"a~ Cie. 4~ At VIORKSHVET rl! 111 SYSTEM it, iN-GROU0tt1 PRESSUR£ SYSTEM-Gontlnutd- t . , wastewater Load, Total DANY fkrw Forte Blain: Use Section H 63,15 13) (41, wis, Minimurn Closing Rate = $ stem, AQm. Code and PROVIDE A DET AtL£t3 Diameter AL = tn. LIST OF SIZING ON PLANS. 11. Total Dynamic stead " 2. Depth to Limiting Factor = ft. S l strrn Head = 2.5 ft. 3. Landslope Vertical L tft = --7AT- ft. d,. Distance from Done Chamber to Friction Loss .'t t. Distribution System fiUH ft. S. Elevation Difference between 12. Pump Sekttwtl Pump and Distribution System = ft. Pump will discharge at least. ient 6. Absortftlon Area Sizing: at d0x -f - ft. total dynamic heat' Area Required = sq. ft. Pump model and manufacturer Bed or Trench Length (8) ft. , ' ~ ed rr+n v,-n c ~ '7f" e Red or Trench Width (A) a ft. t t3. - Dose Votunt;: Trench Spacing (C) * ! 10 Times Void Volume of 7. Mound Freight:- Distribution Liners= Fitt Depth (D) = It. Daily Wastewater Volume Fill Depth Downslope (E) = ft. 4 doses In 24 hrs. _ gal. Bed or Trench Depth (F) _ ft 6acitflow'x sit Cap and Topsail Depth (G) _ ft #Jntmsltzr.LTnst = gal, Y`: Cap and Topsoil Depth (H) ft, 14. Dose Chamber: rr t 8. Mound Length- Volume gal. End Slope (K) _ ft: Total Mound Length (L) = ft. E1\41E® Ill. LONVENTIONALPRtVATE SEWAGE SYSTEM 9. Tyloturd Width: Wastewatar Load, Total Daily Flaw = gst-' Upoope Cofmtlon'Factor 'use section H 63.15 (3) (c). Wis. UPslope Width ft. n j 9 Adm. Coda and P'ROVinE DETAILED Downslope Correction Factor = - PR 'T 1r,10 LIST OF SIZING ON PLAINS. = gat Downslope Width*([) = ft. 1~1~ C;j:(, 2. Required Septic Tank Capacity Total Mound Width (W)_ 3, Percolation Rate 10, Basal Area:, 4. Absorptkm Area Sizing: tnflitrative Cgpgtity.pf 72efer to %ble 2 in chapter H 63 Natural Snit = %.>.l.jsz}.ft stay . and PROVIDE A DETAILED t_tSTOF Basa3 Area Required= r sq, ft. SIZING ON PLANS. Basal Area AvrNable= sq. ft. Required Area = sq. ft., 11. If Standard Tables from Chapter Length ft, H 63 are Used, Indicate Table No. Width _ ft., 12. for the Distribution Netwofk, tlse Numbers 5-14 In Section 11. Number of Trenches / Trench Spacing ft v IN-GROUND PRESSURE SYSTEM S. D!Strlbutlon System! t. Depth to Limiting Factor ft. Laltral Length 2. LandslApe = 9G tvumber of Laterals 3. Percolation Rate = min./in, 1',aterat spacing = :ir#R I 4. Proposed System Elevation = #t. 64 stance from Stowalt to plot = firttstewatleT( Dads rgts}Da7)y i low: Systom Elevation Use soction H 63.15 (3t (c),-Wis. Adm. Code and PROViDf A DETAILED Iv. SYSTEM-IN-FILL LIST Of SIZ(NG ON PLANS. Fill in All Items from Section fit R4quirsd Septic T,trlk Capacity = ~~8o gal. b. Abz~rr Jtr~~~l;itt>f . '+~-.Y~ S~T1C ~f►NiC 1'erolrt--Ra b rsirt ~kn, - 1. Caacity = " ~?r Area Requited sq. ft. 2. htanafacturer, r' Sl R~"`~ 5"tem Length ~ 7 5- 7_ ft. 3. Show Site Conjaructed Tank tlf3* on f fan 5-.ystern Width ft_ 7: Distribution Pipe Siz}ryt: ~V}. DOSING TANK Hole Sire = in. 1_' Capacity = >Yre1 ' Holt i3rttin a = ft. 2, Mynufactufi:= LAIWa! Lcn9111 3, t unlp M.enui tc-,, pump Mgului' r;` ``y[Cj I ,rt<<taI `p,trittu ti. S, (7 p~rattny, ltcadn - ft.: tli~f utilr+rtfl tiilirw.ttl air f ills s ~ lit. 6,, Flesw Retc a d~fr ti. t?l rihtttir+rr PHkWs.Jlalgc it,ttr 7. $bow Sitn Cnatssrutit*4 TaAltJU:A 'Pfaeis Nyrillw-r ati iduiKti jlvt i=ips r I iuwYar P{trc ltlrht. Vii, HOLUiN(j ANX N. fp4,tttiErrlst)~ruirttt: I. £~gicitY= {y}YC (rxrtte. ul cnttt Y, 2. tW„+,rrtula<.rt7t'es..- . i#t ~ it. 3. Srt?±sw Slpr fottletru~vA 7aet~r;~fi-d~ r X -SHM AU #4f00"'rj*N ON r 1 - C pir 0 Cec A4-3 L k e E IE IV fD - B ~l a M 1s 7Dp 0-s we cq/0 aHr,( i s VeU'll. -f hours, re S. p y A",w,e4 s pc- C S 1250 'g- A Sreq c e, %y to r e~P~o r 3d ao S,T, 87-02630 x/-700 , . F C, s Pao fi~yd p.4"p ' 2 Cs~ ~ oc 7 S ~ o(v'a r`u► ~ i e !'a, ~ q~, g2 ~ A rl dis7~a.,,cex °fo mee G arde ~ f tt, J$ 0 ~~ef I~Q.T i O N > " VCIA I i D~, + + I , •L,t,,C~~~1~~., ' • ~ ; ; i I see d e'~a ~ ~ l - i O N~ Xe3 3 Lorca N,a~~n -'7~ -700 cjq/,r rot I✓1C;,~ \ \a`~~ see de fa; l gP AreA ,ail g~✓~•f~ Mai" -To CAN. /v1 ~r Lei( 8OO f~ r'}'a~~ RECEIVED C~C ~ PR2g 91. tw ' axK c i.1 ~ CZ - X565 gal, sef~~►~L~ IV 1 ~iicSer ~NC•r1f'2 `P6AAA.cAjrj. 1 b'f f7' f C__ p J ~ fi~eslr{ rooms u)A S ~t T~~zTr'0ow! 1 ahd 1 (,,,k dauA tort `r.N ~rw~eal Cov►cesS~ov~ a~ae g Go- sn d a , 9 ease ~V ferce~ ate, Ssip✓1 7~tCi ~i1"K ;w ~iese~- CO-Ic- I- frtA.,-,/-s aid can-~~fi~ F~. Ere r.. ' d;sp&als'f+e,,,~ tire- clreA'~er 's y `Aaa too' •frb'", Pr°~~ /iyes w~'fer I~K{~ /O / r5~ qn~ d~reclF~oh, f rye r~ ro` j eC"" Cep a c 1. S ed ~ qke. pe a,-~ M~Rs #3zrZ Q~J -T P)q view 7 5 `off' 8 7 w O 2 V 3 O x.33 3^' '•71D s ai4 3 fo" P yDe P/ /ajcq 60" 1 obse~r~a74rarn ~r pbsevva.~lOy~ 97, 5,5 75' - ~ X10 S SJe" Gro s S JeC- p~,saarvc~'/<oN c t pipe- WOO" g °19g- II.S., N ® - ~f N o~ gJ`ad(e 0 ' f1) 3' wl Q N 1 SO 1G Jff 'force Y4Q.11114 / /Q IPQ' Aco fooa - (00 ~ ~ u 60 ~S (o'' REGEN ~.D ApR 2 ~ Z~' _ r. c f'-rtC~~t ~ r Pt IRlh i Pipe La, t IW-4 s oy r l,d~e ~Fotce mC i ti 60 F-vJ c.aP C- 1 (4 hole S 67 3 120 K so 18 z SfygO 12 a-~ 8 0 18 32 48 64 80 96 112 _ U .S. GALLONS PER MINUTE SOLIDS Mead-Capacity; SV40 and SVK50, Submersible Residential Sump Pumps Max. Solids SV40,11/2R' SVK50, 2" Spheres; 4 Pole, 60 Hz. HANDUAN2 G 32 SUOMERSIBLE 2 24 Spy SEWA = 2° GE lid- _ Oq & sp EFFLUENT e i 4 PUM? 0 20 40 60 84 100 -120 140 160 w; U.S. GALLONS PER MINUTE Head-Capacity: -SP40A and- SP5ttASubmersible Sump Pumps Mex. Solids SP40A,11/4" & SP50A, I't% Spheres; 115Volt$ 60 Ift., 1750 RPM 40 _ 313 32 28 24 7$ 20 ~16 ~12 _ M~__~., 4 0 20 40 60 so 100 120 140 160 US. CALLOW PER MMUM RearCapacity: SK60, SK75 and SK100 Submersible Sewage Pumps Max. '-Solids 21, Spheret 1750 RPM HY9JR-0- MRT1 PUMPS A Division of Wylain, inc. , Poo Office Sox 327, 4191289 3042 Clare mrd & ftfoy Rods. AshfwW. Oft 44805 H-82 M Gnfrdr *)N&% CVW" LM. Lme., in Ent Or., emmpton, &WHO LOT 102 ST. CROIX COUNTY WISCONSIN ZONING OFFICE 796-2239 (HAMMOND) r, } 425-8363 (RIVER FALLS) - HAMMOND, WI 54015 April 15, 1987 Division of Safety and Plumbing Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for Cedar Lake Speedway located in the SW 1/4 of the NW 1/4 of Section 10, T31N-R18W, Town of Star Prairie, St. Croix Couty, revealed suitable soils at a depth of 60 inches, below which seasonable high ground water was noted. This site should be suitable for a in-ground pressure system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, ~~11 Thomas C. Nelson Zoning Administrator rc m f c Mm°: m 'f 0 Md-a o ° ~I M `3 m w ~ rr ^ I "a 3 3 CZ Cn O W <J • 1 O N cn cD 0 0 O v m O N CD ~ c cn Q _ 3 c Ln Q m J cD m CD Z a cn z a o N CD co M N m m N W U; 7 O O N C 1 O m d O m m o o m r. In o CO CD c m o n o o ° 3 0 ° o CD 0 (D O 1C C C7 n m A y D Q a m N a s ! C: n A A N 3 7 U7 COJ7 N ICD O N v N O O J cn !cn o w I o CO 0C 0 0< 0 c 4 v fn r V O O O n 0 0 0 n n = a cn cn cn tin to vi x y 3 N vvgm m Q m Na m uo m= s m= CD 6 N m 3 °N' 00 3 °y' Q m cn - ~ cn (n A = M CD 11 O O N N Z -p cn Z u' O D (D D CD -0 co N D N T O C m O C ~4 • 77 m 3 O m m ° ° 3 c c cl ~d a N c n ~6 Q 3 m e 3 m co m v m CO :3 -1 CO cn a :3 m a p 2 m v to S m (D O Sc ~ ° m m W m c c. , z c 30 3 A M x '0 ? II m O N O N n ~ (D a v 000 Q m ~wOn > N (n0 0-3 4 ~ .0.. (D cn -,I <D O m 0 C (D C- 3 CL L, -n as o 0- o N`n a~ w a) 03 a~ a~ o d _3 l narnw =3 (n3 oio m W 'r m 3 0 ( 0 d -n'O S -Nti ~O ~ O N (D (D N co d ..0 O (D ? 3' N N 3 N m "N N y~O 00". (D O 3.N 0 O 0 0 O O . ,0 O (D m 0 zm D O Kt (Q, Cpl ~ co O o 5•m y- 0_~ Fm co -0 ID 4 i QO _.m n QO N N oo o cue CD a A EA Q fA Q r a O ro Q CD I 0 ~No 30 0) 0 10 g V C: to 3 61 OZ I ~ m~ m o w 0 I a. C v d W °o 0-4 Z a m y o N 0 0. 3 C10 -0 D co co W ~t Ul 5. Cl) C7 6 3 O 7 jr (DD l O O ~ to CD cA U) d U> G D a ~v y y a. C CD W A u O ? N 1 O O N 14 (D -4 Z f0 Co n y O co 00 » C d 3 ~ -o I o OOO~nj' = U p v ca as (n 3 co o -0 v 0 m :3 90 A ~ N y 3 m a Z o S4 D D 0 o co y j N CD I c ~ a 3 o z CD -4 cn a Z eo y A (Z I w T C W O CL Z C ! Z v I y A ! ~ ~ C) I m go D 3 N3 d c 7 X M C I O 0J = Q (n O a CD m a .y. CA 3 I N A NO ~ A Cl p Nt I ~ N I 'O OQ 0 N I 3 p a I yA! O .d N N o 0 ~r yb p0 ~ ~i ti s / . f~ Co -4 3 ~ YAA f Fpm' r _ x ' 1 ~f ~ t . i V a ~Xsosv 6~9T EYE 1Y 1~ t~~ 7- r Y ~ ~r e" 4 7-0 w S s~ w` All t ~ t AS BUILT SANITARY SYSTEM REPORT OWNER l~ er Lu L TOWNSHIP ;7', SEC. !U T3/N-R jV ADDRESS QP./ , S r ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 yE$ THING WITHIN 100 FEET OF SYSTEM c u Pvp -WF yIdiae othArrow ' BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical. reference point: Slope at site: SEPTIC TANK: Manufacturer: Pp S hi s 74 Liquid Capacity: yb~o Number of rings on cover : fg'' Tank manhole cover elevation: Elevation: Tank Inlet Elevation: Tank Outlet PUMP CHAMBER Manufacturer : dOcrS X ; M s ~g Number of gallons Y'0r Number of gal. pump set or a cycle X70 gallons; total capacity o distribution lines gallon: size o pump head; gallon per minute horsepower` ran name of pump and model number o I C / ;r'yi~s~G/ 3 8B Type of warning evice i w a ee a 6.-o- HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover Type of warning device'; SEEPAGE PIT SIZE: Number o pits feet diameter feet liquid dept seepage pit inlet ipe-elevation bottom of seepage pit Elevation feet. SEEPAGE BED SIZE: number ct lines ,5' width length/,ivtile depth ~5~ SEEPAGE TRENCH: width length PERCOLATION RATE_ AREA RE UIRED RE S BUILT 1 INSPECTOR DATED PLUMBER ON JOB LICENSE NUMBER do R1 PORT 01 1NSHCTION IN01VIVUALSIWA(;L VSIIM Srtnt tahrl I'crym< SI a tv Svpti c lAM1 wnehi.p 44 St. C)1u r x ('ours f i1 ter f'ootirlrr 50-A --section Lot N Subdivision I I'1 1l' f ANK Acuc gaffone Numbers rah compah.tments ti e ccri~ c A "rurn:. 1UvYY Buitd~ng 12% bYope Hi ghwa to n IIMI'IN(; ('IIAMBI.R - v gafto nb - Pump Manu Aaetuneh Mo de t Numbers ail VIN( TANK Si ze galtone V.b Compantme.nt~s PS e te.m c6toncv nom: Welt eldtng 12% 5tope. Ni.ghwa.ten a 1 r \ISSORPTION. SITE ! C Bed c 1tance nom: Wett._Buitding i 12% atope Hi.ghwaten 1:1W01TION SITE DIMENSIONS Width o A nch h ~ t Re.yui nvd an.ea lenytlc o~ each line At De. tit a 40Ch' befow t4Xv fD irc Numbv.~c c,l~ f4ne,6 Dep.tit (I hock aver ti Z in Tc,ta1' eength o6 ti.ne.a 7 _ At Depth vA tite bei'ow grade. i.n Vi,5 tance between Yi ne.e____ „ At SYupe o6 tn.ench _ - in. pen 100 At I,c A , ab 5 uIc N lio n an e Cc T~~_ It N1e a6 p ~t Coven Ya vn on a #n.aw 'I1 UIMINSIONS IVumhr'It i,l( p+ te Gnavef around pile yee nu Oute.i de di ameten- ~t Depth beYow inPvt (fit Total` abeon.pti.an n At An.ea nequi.ked At NSPUTED Qy TITLE I'I'ROVt U DATE 19 8 111 C1ID DATE 198 'i ASON 1 OR REJECTION *4~ 1 . I ' Ilk III I ~ III f PL13 -67 State and County State Permit # k Permit Application County Permit for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED r ~Q Date Approval Received from State if Required State Plan I.D. 4/{(~~ y A. OWNER ((OF PROPERTY Mailing Address: rr ^ C.e Gcir L C S Pt4t. L t.J r, R+ 1 So e-i S'eJ W B. LOCATION: '/4`1110_'/4, Section Imo, T'~ I_ N, R E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# `,¢ckcA L_"Village Township S _1e r1 i rrt C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) Variance Single family Duplex No. of Bedrooms No. of Persons D. SEPTIC TANK CAPACITY, Total gallons No. of tanks 'L HOLDING TANK CAPACITY_ Total gallons No. of tanks Prefab concrete Poured-in-Place teel Fiberglass Other (specify) New Installation Replacement - Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate T~al Absorb Are 00 sq. ft. New Replacement Alternate (Specify) C S 1 V^ Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: Length 10 0 Width S2 DepthA )-_Tile depth (top)_-4 b No. of Lines_ Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land_ R ea lrt_ -g. Distance from critical slope WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑ Owners name as Iisted on EH 115 if other than present owner: 1, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certrified Soil Tester, NAME C.S.T. '13 and other information obtained from (owner/builder). Plumber's Signature P/MPRSW# ) `1 Phone #2~IG 5 /v 44p.~ Plumber's Address ! PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. 3 y } Y ~ a s 2 g } a 3 # 'F 4 k k m_ ~ Z } p i 4 t ~ i i c } F x Y gym. rt .TM F i t S d Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT U E ONLY Date of Application `cf-- J-, ~ Fees Paid: State Co my 6?-0 D `P Permit Issued/ ed (date) Issuing Agent Name Inspection Yes No State Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, Wl 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 , E Rev; 0/78 REPORT ON SOIL WRINGS AND PERCOLAVION TESTS WtWONSIN bEPA*TMENT OF_ *,I AND SOCIAL 6EftViCE3 V P.O. BOX tft CIA N: N 63701 7'ff fx-' '/o, c /4, Se loon .T.~:+-N,R.~ LW(or) W, Township or Municipality. .y..2,~ ot:No. , flock No. County. ` vision Same Owner'sMayers flame: Mailing Adiai"ress: ,C ter. •e , s r:. jG lr'~t TYPE OF.OCCUP Y Resislence:lr_. No. of Bedrooms COMMERG#AL EFFLUENT-DISPOSAL SYSTEM: NEW r REPLACEMENT ALTERNATE SYSTEM..,` TIaiER DATE9OBSERVATIONS MADE: SOIL BORINGS f' PERCOLATION TESTS /i~ fit l SOIL MAP SHEET 3 NAME OF SOIL MAP UNIT d /9 2- PERCOLATtQN TESTS TEST HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INC,HE DEPTH CHARACTER OF SOIL RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTE19 INTERVAL. ~ MII~~IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- '17 P- P- I I P_ SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B_ _7 B - 4, 4111 B- /v Z11- B- /f4- 7 c: F' PLAN VIEW (Locate percolation tests, soil bore holes and. suitable, soil areas.)- Indicate on the plan the location -Mdsquare feet of suitable areas. ' 11 Indicate number of square feet of absorption area needed for building type and occupancy 1tIieslEe.3cale or drrstanees... Give horizontal and vertical reference points; I~0jcate slope. 1 , a ~N LL t [3 ..L { At— E r , AT " v ii j . It the undersigend hereby' certify that the soil tests reported on this form were made by me in accord with the procedures.and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are Corfeet to the best of my knowledge and belief. t 1_e /Y13 Name (print) Certification No. Address; Name of installer if known CST Signature r ` rib 100a 12!78 Detach And 'Return Upper Portion 'Of. This Form With Any Return Correspondence DATE: o~ C~ \ l~ PflOJECT: \ PLAN 10. L __J DETACH HERD PROJECT NAME PLAN ID. # V This is to acknowledge receipt of your plans and specifications for the above-indicated project. Preliminary review indicates the plan review fee required is $ Plan accepted for review. Fee received is $ Fee is being returned because of ❑ Overpayment ❑ Underpayment. Providing one of the two catagories above is checked, remit correct fee in one payment. ❑ No fee has been remitted. Plans submitted with no fees will be held in abeyance. ❑ Plans being returned. ❑ Additional information required. SEE BELOW. 1. Plan Submission ❑ Additional information shall be submitted in triplicate unless specifically noted. ❑ Plans not clear, legible or permanent. ❑All information submitted shall be signed, sealed or stamped in accord with Section H 62.25(2) (a) Wisconsin Administrative Code. ❑ Affidavit enclosed. 11. Alternate sewage Disposal Systems (Mound Systems) ❑ PLB 108 (Application for use of an alternate system). ❑ County onsite required (1 copy). ❑ Design calculations for pressurized distribution ❑ Cross section of mound. ❑ Pipe lateral layout. ❑ Plan view of alternate. I11. Private Sewage Disposal Systems ❑ Ground slope with 2' contours in entire area of soil absorption system extending 25' on all sides. ❑ Elevation of permanent reference point (benchmark). ❑ Location of area suitable for replacement system provide soil test data. ❑ Plot plan showing lot size and all lateral distances from sewage disposal system or holding tank to bldgs, lot lines, well, watercourse, etc. ❑ Construction detail of septic, holding or lift pump tank if site constructed or tank manufacturer if precast. ❑ Construction detail and cross-section of soil absorption system. ❑Soil boringand percolation test on EH 115 completed bycertifiedsoil tester (1 copy). ❑ Complete data relative to anticipated use of bldg. ❑ 3 copies of PLB 60 enclosed. ❑Deed restriction required (1 copy). IV. Holding Tanks ❑ Profile of holding tank. ❑ Holding tank agreement signed by owner and local unit of government (sample enclosed). ❑ Reason for installing holding tank soil test or statement from county (1 copy). V. Lift Pump ❑ Calculations for total lift pump discharge, head and gallons pumped per cycle. ❑ Size, length & depth of force main. ❑ Detail & model of pump or automatic siphons including size, pump curves, drawdown and average flow rate GPM. ❑ Cross section of lift pump tank showing pump(s) or siphon(s). VI. Systems In Fill (Fill must be placed prior tot plan submission) ❑ Total area filled (fill to extend 20' beyond edge of trench before side slope begin). ❑ Depth and type of fill. ❑ Copy of onsite report by county or district plumbing supervisor. ❑ Length of time fill has been in place. t. t*-'y'•` f .f ~'t -~r Y I,k § 3, 2_.' j: 4b e>-:I 6 ; dam' + cf.: 9w..f 0."', cm oil aifl t ~<~Sx-"`~r"~c.•~,i ie ~,~,*~••#''T~'~~.:, ~ ~r5~ypy~ dry y t , i ' ,~h•, ~ ~4fs'~i-~E'~ - c,~. _ z , : 'y~'~.: ~ , _ 3--,f 3 3K.F.~}.[ i ~ Cs'~~~ f`~ ~ S 4~ 3 ~~3 ~t ~ ~ t AC t V AJSJ ! f fZ:4, + tl ?~1f; .R+lt tc> "a F `;o b'. "v': a , r Gallons Per Minute j1 Model W PO511 W P WPO512 WP0712 WP1012 WPH1012' WPO532 WP0732 WP1032 - WPH1032 Series No. lo- WP0534 WP0734 WP1034 WPH1034' HP ► 1/2 3/4 ! 1 1 RPM 0, 1750 1 3450 SSubmersible 5 150 170 180 190 Sewage 10 _ 126 154 168 170 Pumps ~O 15 94 125 152 51 m _ id - 20 56 90 121 ~ 128 i 2 tC • E 3: 25 17 49 81 107 C 3.2 30 14 T 40 86 Certified is W 35 10 64 Canadian Standards O t- _ 40 ~ i 43 Association 45 24 50 ; j 4 a i A"i N" Max. Series HP, Volt Phase. RPM Solids Amps. Wt. WP0511 '12 115 1 1750 2" 9.0 108 WP0512 Yz 230 1 1750 2" 4.5 108 WP0532 'h ! 208/230 3 1750 2" 2.2 108 wrohWwr+,«raip " ~WPO534 112 460 3 1750 2" 1.1 108 pr WP0712 '/a 230 1 1750 2" 6.0 110 iy s)ki 'WP0732` 3/. 208/230 3 1750 2" 3.6 110 t 'WP0734 -4 460 3 1750 2" 1.8 110 r WP1012 .1, r230 1 17509 114 WPH1012 '1" 930 ~ 1. 3450 P" 11.0 114 i ' WP1032 j 1 208/230 3 1750 2" 4.2 112 WPH1032 j 1 208/230 3 3450 2" 7.0 112' WP1034 1 460 3 1750 2" 2.1 112 W PH 1034 1 460 3 3450 2 3.5 112 'CSA Listing pending. 1 i 50 40 - • , tiie, d goy _ ! ti i °`4e'rl 1 30 Hp . ? Hpt p10Berle t I E Pose 20 p0 . ~ 5 ser/e 5 t°- 10 w . : 120 ~~.fQ(} 1 441gF,~ Ps }'y1d 1 14~.' ill R ■ f4 * ,."~4.yp1 1f ar w K4~NdMN►y13YNIM~NAd~ AMA 1~ ~ 1 A tMlrnibN ra1M w al+" .*n1'~ ~W ,+w+ww w~wraMlrM•~. apac a or Minute SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. ` - ~ T 7' 1~Cr1 1 ~ M it1Q ~~0.~IDr1 on Iuc►•In`1 '(~rou.n 1 S t ~ 191.9 5 ! ~ ~ o t pvt "Ca S4 f n G f wece hole- on ca s •7CJME~r ebk r: 1~i~tNk~"a~f.,k*,~, CkT post n fV1~~< 1081 BID c~l 81008 5 8 -7 X 9000 ()hi T".~k a Step 6. SIZE THE FORCE MAIN lam A) System discharge rate apE+"~ B) Force main diameter C) FricAon loss will be ft./100 ft. , S X 1.73 Step 7, TOTAL DYNAMIC HEAD A) Vertical lift O ft. B) Friction loss `s ft.cQ. ` C) TDH= ft. 10+1,3241-S Step R. SELECT A PUMP &L j J5, rnaJe.I 38g~ ~trir5 Lj N PT D,36ryc Step 9, DOSE CHAMBER SIZE 4vOO Step 10. DOSE V F YYI4WNW~;'Atu. Ww 414.. 3 O 1 ~ MAR N k! H p , I ld(r Iii t' „•,a A , R Y ~ 1~~ ry M isv~kS+P:~ Y ,il if y rx wkn.» n ' , i ..r~ewt i •'-r.wr1~'~VIM A ~e - w.tM vMV'~„Mj~ "fiM1.tN~ ~M„lM".•YP '4•°.N4M"~IV~Y ~ .,M.• 81008 5 8 Lake. R~ 1 5"omer Sc+ Lj i~ Town Pre, k' fie. SwV4 ojyq ~cc iU 1 /.4 (L C pc)pk I,,s P L.) 0- 10 59 g,80 .a LI ne, ~ 'IZ•c1,r,&n , 0, } SNo1 '7 Cuncest101% 5tnr%j w1 Qcs+ Roam Loo PtopIt + N w oft W crs Depth of groundwater or bedrock -7 in. Landslope t Percolation rate min./in. 1) istance from dose chamber to distribution system ft. Elevation difference between pump and distribution system 10 ft. Step 1.. ESTIMATE WASTEWATER LOAD 7,50 t (S X 00) +()LOxq) l S 0 t 3000+ g0 = 3 830 Step Z, SIZE THE ABSORPTION AREA A) Area required R) Select length 100 D) I will use a. Ce~Jcr manifold. Step 3. SIZE DISTRIBUTION PIPES A) Hole size I will use is in. B.) Hole spacing I will use is in. C) Lateral length is ft. D) Lateral size in. Step 4. DISTRIBUTION PIPE DISCHARGE RATE 1~Jholcs ca PO pin 81008 58 Step 5. SIZE MANIFOLD A) Manifold length ft. 3) 'lo B) Number of distribution pipes Y&N C) Manifold diameter in. Y_ t3 Nr I 4 ~ ~ l i~~ ~ ~f ~ 111 ~ J _ f' i 6 M O TLJ. -a U Cf) C i {per • y.<, i 1 n µ - F;ECEIVE►Q ~,v 1 MAR 3D 1981 ur ° r! ,G,A SE t 8100858 r 1 ~ a a ti o ID P a 0 s a -F h~ryh ~ . V ~r AN 46 [ 9 K t 5,., ~ ~ ~ I y ~ D 'a `6;A j . ~ try 3 ~ ..11 4k ~ a 7 C~i t QY ~ e Y O V r.Z; ,EIVCD, MAR 3 1981 vi SrCT1C:: 61-1 --J- 8100808 '2. Indicate whether the following facilities are present. Floor 'drain yes no Number of drains Food waste grinder yes no Dishwasher '-7- Automatic clothes washer yes no Number of clothes washers 2-2a©o 3.' Septic tank capacity !!ice ~ r <1610o n~.l Holding tank capacity Septic or holding tank manufacturer 5 , n s 4. SEEPAGE TRENCHES: total square feet _ wicih of trenches i length of trenches th number of trenches SEEPAGE BEDS: total square feet 3200 width 3 2 length of bed t 00 depth 2 SEEPAGE PITS: 'total square feet ou ide diameter depth below inlet total depth from top to potto f pi Signature of.person completing form:. FOR DEPARTMENTAL USE ONLY .Address Zip Telephone Number, ~ Date . S ,<yL5 ` i V, ~,,j J7~ 1 \C~ ~hY U"S SCI` 'V MAR 3 y 8 Y 008 5 8 A1tCQ na4c are"; -4k \.-art pLVM~~,~G C ` Y y ~ ti f l 1 01 f w - o ~ k \00 o v ~n TPG nC t 1''OGGd To ~C.'c Hnw«xq~w 1 08 5 t4 I~ r Plb. # 60 ' 1/78. 'PROJECT DETAIL DATA SHEET NAME OF 'BUSINESS ~cL,, L c S QR D% LEGAL DESCRIPTION St.~ ~/y I f ~1~ C D 1 3 N ~j ) OWNER MAILING ADDRESS I S o.-~ t~ rS e ZIP ARCHITECT, ENGINEER, , C~C IL( k t n ADDRESS Q Lj~i ch rn C,fIC~ PLUMBER OR DESIGNER, ZIP 5-4017 TEL PHONE NUMBER 2 y 4 S_ya 1. Check appropriate building usage(s) and fill in the information requested opposite each usage listed. Please consult Sectio H 62.20. Existing building New buillding. Addition { )Apartments and condominiums . . . Num er of bedrooms ( ) Assembly hall . . . . . . . . . . Sea ing capacity ( ) Bar . . . Sea ing capacity # of meals served ( ) Bowling alley, . . . . . . . . Num er of lanes ( ) With bar { ) Campground and camping resorts Num er of sewered tes Num er of unsewered sites Tot 1 number of sites ( ) Camps . . . . . . . . . . . . . . ( ) Day use only Number of persons { ) Day and night Number of persons ( ) Catchbasin . . . . . , . . . . . . Num er ( ) Church . . . . . . . . . . . . . ( ) No kitchen Number of persons ( ) With kitchen Number of persons Dance hall . . . . . . . . . . . . Nu be•r of persons ( ) Dining hall . . . . . . . . . . . . Nu ber of meals served daily ( ) Doq kennels . . . . . . . . . . Nu ber of enclosures ( ) Drive-in restaurant . . . . . . . . In ide seating capacity Ca -service Number of car spaces -Dump station Nu ber of dump stations Employees ( total of all shifts) Nu ber of employees ( Hotel ( ) Motel ( ) Cottages . . . . Nu ber of units with -2 persons per unit Nu ber of units with 4 persons per unit,. ( ) Medical and dental office bldgs. Nu ber of doctors, nurses, medical stATf Nu ber of office personnel r, Nu ber of patients ( ) Mobile home parks . . . . . . N ber of sites ( ) Nursing homes . . . . . . . N ber of beds ( ) Parks . . . . . . . . . . . N mber of ( ) persons { ) Toiletss~r,( _ ) Showers Restaurant . . . Seating capacity H (I) Dishwasher and/or disposal? ( ) 24-Hour service ( ) Retail store . . . . . , , . . . Total number of customers ( ) Schools' . . . . . . , , . , N mber of classrooms _FT Meals ( ) Showers ( ) Self service laundry . . . . . . T t a 1 number of machines ( ) Service station . . . N mbeyrof f cars served daily -11 ) Swimm'M4 . Y''« t? NH . p iu 1 ka ;Ir o 4 . , ( OTHER' I, r COMPLET OTHER SIDE-• 8100858 H 115 Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES I a 4 T P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION-S"~-)%4, rv A /o, Section l6 ,TRN,R1fjt(or) W, Township or Municipality-5 Lot No. , Block No. County -S L ~ St)bdivision Name - Owner's/Buyers Name: Cr CC -e- 'O t e- ~Wo rl9c Mailing Address: TYPE OF OCCUPANCY:. Residence ~ /-No. of Bedrooms COMMERCIAL ~r EFFLUENT DISPOSAL SYSTEM: NEW REPLACEMENT ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS 3-- AW - 1~/ PERCOLATION TESTS SOIL MAP SHEET 3 NAME OF SOIL MAP UNIT A1.W Cg!:~ke PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE BOLE AFTE INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- y~ P-A P- 3 y;- P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK OBSERVED ESTIMATED HIGHEST ~j IF OBSERVED IN INCHES B- l 0 !9 ~'J ' _S4 1. B- d p b,3y 1u G" 3-3,- B- C2, ~0 5.7 B- (7 d 7 70 g,"'~_ ;,n a y. r i ~PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. -4 Z Indicate number of square feet of absorption area needed for building type and occupancy Indicate scale or distances. Give horizontal and vertical reference points. V'd ate slope. . s _4 ; k ; m# m _gk ~P j 5 3 = 2 f a H t S 4 tl f 4 q I 1 t e i F t ( 9.) P ~ qq: ~ ~ r , E N I O °Il t I a i t o X39 V - I i ! a 3 v€ t CJ c I, the undersigend, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. t Name (print) / C_ rl I K Certification No. Z Z/ 13 Address ..y t 0 I r ~ Jyi e n Name of installer if known Copy A - Local Authority CST Signature ` Department of Industry, Labor an mu_ State Of Wisconsin S rRf Y & 84 SI ` Bu f Plu P1 g & Protection V t P. 0. 969 TO: ti tit Madis 3707 Plan Identification No. Gentlemen: Re: • . y A The Bureau of Plumbing, Platting and Fire Protection has reviewed plans, site survey information and installation details for the construction of an alt-er-aative private sewage system to be installed at the above-mentioned location. The plans and specifications were prepared by ~'~G~ti~ and received for approval on The soil and site evaluation was conducted by •.L' The site meets the soil an Me requ rements,speci ed in c h. H 63,,Wis. Adm. Code, for the use The proposed system is for a~~ Wastes ~rom the building will discharge to a gallon capacity,septic c tank which will discharge to a J 1`° gallon capacity pump chamber from which a pump havingra capacity of~ ` gallons per minute against a total dynamic head of feet will disc a ge through a inch diameter pipe to the soil absorpt of n system. It is of utmost importance that the system be installed in complete accord with the plans and installation detains and the conditions of approval con- tained in this letter. The licensed plumber responsible for the installation shall notify the county inspector when the installation of the system will commence so that the county inspector shall be able to inspect this instal- lation. The installer shall not deviate from this approval and shall follow the directions or orders issued by the appropriate local or state authorities. DILRH-SBD-6159 (N.7/80) I In accord with ch. 145, Stats., and ch. H 63, Wis. Adm. Code, the plans and specifications are approved contingent upon compliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. The architect, professional engineer, registered designer, owner or plumbing contractor shall keep one set of plans bearing the stamp of approval of this department at the construction site. If the Installation of this system has not commenced within two years from the date of this letter, this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation and reserves the right to order changes or additions should con- ditions arise making this necessary. This approval Is based on ch. H 63, Wis. Adm. Code, requirements. It shall be necessary to obtain and fulfill the permit requirements of the county in which this installation is to be constructed. Failure to obtain county permits will automatically void this acceptance. Sincerely, a -W f "-t Ja s Sargent Bureau Director JS:JP;kas enclosures cc: OWS County 1 pppp ~,*euwn, Upper tk}" TR pmt 3 #?C ' is form With `GA E: PROJEC : C 1 t 5 1 4~~.'C' <'E-' L Y cy 41 ,fit, PLAN )D. # ~ ~ ~ • r t~ 1 DETACH HERE 13 . PROJECT NAME ~ ~ PLAN 1D. f# `s TM, is to acknowledge receipt of your'plans and specifications f r the vecatdl~! preject. 'Prefirninary review indicates the plan, review fee required is j LL a Plan accepted for review. Fee received is $ i cif A;i S Fee is being returned because of ❑ Overpayment ❑ Underpayments < , Providing one of the two categories above is checked, remit correct fee in one payment. ' ❑ No.fee has been remitted. Ptans submitted with no fees will be held in abeyance. t ❑ Plans being returned, Additional-information required. SEE BELOW. 1. Plan Submission} 1 r ❑ Additional information shalt be submitted in triplicate unless specifically noted. ei Plans not clear, legible or permanent. f~ All information submitted shall be.signed, seated or stamped in accord with Section t167.25(2)(a attyeiC e- t El Affidavit enclosed. 4Y 3 i !J Ak 11. Alternate sewage Disposal Systems (Mound Systems) El PLB -108 (Application for use o' f an alternate system), ❑ County onsite required (1 copy). El Design calculations for pressurized distribution Cross section of. mound. © Pipe lateral layout. E-1 Plan view of alternate. It i. Private Sewage Disposal Systems ❑ Ground slope with 2' contours in entire area of soil absorption system extending 25' on°ail sides. ' Ft ~E l; ;j QElevation of permanent reference point (benchmark). > 3 i Location of area suitable for replacement system provide soil test data. ❑Plot plan showing lot size and all lateral distances from sewage: disposal system or holding tank to bidgs,'rlrurse, w ❑ Construction detail of ~septic, holding or lift pump tank if site constructed or tank manufacturer if precast.; ° El Construction, detail and cross-section of soil absorption system. Soil boring and perco0tion test on EH 115 completed by certi-fredseflAmrer• (1 copy). ❑ Complete data relative to anticipated' use of bldg., ❑ 3 copies -of PLB 60 enclosede .t, ❑ Deed restriction required (1 copy). ti - A 1 as` Id'+ngTanks Y ~v - Profile of holding tank: y Holding tank agreement signed by owner and local unit of government (sample encibsed) ❑fletson for installing holding tank soil testor statement from,county (1- copy). s, -V. Lift, PUMP, r ~❑Calculations fot total lift pump discharge, head and gallons.pumped p~eF Cycle. R .MSize, length $cdepth of force main. lcltait & model of pump or automatic siphons including size,, pump curves, drawdio+art~ `r I 6'~' ~ s ~q Cross section~of lift:pump tank showing pump(s) or syphon(s). Z t In Fill (Fill must be ptaced prior.toplan-submission) s r~ fir, 1 IWA otal area filled (fill to extend 20' beyond edge of trench before side slope begin). „t Depth and type of fill. " Copra of onsife report by county or district plumbing supervisor. t Length of lime fill has been in place, r r E z tr 47, i " y - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - • n A dye. a y a N ^•s l Prg.`t-a WISCONSIN DEPARTMENT OF HEALTH & SOCIAL SERVICES Division of Health Section of Plumbing & Fire Protection Systems ON-SITE WASTE DISPOSAL INSPECTION REPORT Name of Premises Street City County Master Plumber - Address Owner Address ❑ County Permits ❑ Appropriate State Permits Type of Building: ❑Public ❑ Single Family or Duplex CHECK APPROPRIATE BOX FOR VIOLATION TYPE OF TREATMENT SYSTEM ❑ Building Sewer ❑ Conventional Soil Absorption System ❑ Septic Tank ❑ Conventional System-in-fill ❑ Holding Tank 0-Alternate AAelmd System ❑ Seepage Bed ❑ Holding Tank ❑ Seepage Trench ❑ Seepage Pit ❑ Experimental System BRIEF, FACTUAL COMMENTS AND SKETCH: t 1 } I w-.. E q g H t ~ g x Po. ~ r t 3 , ~A s ET I ❑ SEE ATTACHED DISCUSSED WITH PLUMBER ( ) Yes ( ) No SIGNATURE (Voluntary) DATE OF INSPECTION Signature of Inspector White -inspector Yellow - Local Inspector Pink - Plumber or Responsible Party fa 4w 'I AUG ,2.9 1977 yr gutat , 8, 1977 ZONING Offl[E 'I!tis Chasl~s Tras~l s i J. $pool C,odet 'tr►1~n' IR°sr► 'ticar~t - ~ ~ ~ .1 ~ ~ ~s d ftm tym ar the Ufa$ do Cnl~ f' . LOS Use ~ Seim S*IW is ~a q Iwo w t~1t pmd' re" I~cselk. a lutes rrr~:. m4A tic « .ON*% w ewtl~ra 1~f► . • 4 1co!►l~eh` txiw bad *Wtta tart oM ' ~ i t~M lwtt" Ua r WOO IWMNT the of "M ~u t fume ors *ot alL ~rstiww► ,oas srt~r*d a the P'''hi' E J., "^"I f isrwl tt li7 A. >It i r. 7 • 8 L; 3~ Z X4.5- 93,900 =,,5 31 No Iol i r~ ~ yF~ 13 40 • _ ~ ~ V. _ _ _ _ _ _ _ _ L o z ._9 i • z q_~•95.. _ 1001, S IoZ.G / ~ c- goo .~I e Iva _ 3 ~0 l0. 5 S ~L: 1Dn•-~J _ Od of 15 COD 2,q tU 100 ?Z w• 8 ,80. l7~ U~ c c on Covet i 41 PVC. pie e ! Uetp hale. on no Pimp Off 1 p~~ ~►en ~i L_ 2 ~l c~ - rf t f 0 ci v0 OVC2 .31-57 3 a h a a 00 lox '0 ~ ~yo X 3oco X. o8S 3 5 7 o o S X 300 0 - / SQ a o 12 S~ '00 to n 2,01 vj~ 07." L IlotYl•St% r S n g I-A i j d ~ ~ ~ ti ~ F I` o~l~ o t I I~ I4.I0 X u 71q0_ x 0. s x YSi t( + s a j ~ v J I Dcase _ l if r ~ I'D I + i , t ~ a i ''A 14 D } iC u AI-rle,; S e W A r, s a `ray ,-z, ,,_l M,~h►1 ` 5 L /~~C1caf-a ~ c rz-" CAF ~a"&I 1 -7 . C= (3_ C ~a t 4-M aM ~G' C> t 5 Z:'z - rVtlc.r/i rj my ov,e;m trra-e" or~_ e~ca S rt N c, 3 r' 'iURoarw 7~,,flw .F.~cE IS -T ul (Z:7 ,r YV~a~'f`Ti.V~11A`77;!:f2._. '~t-.,cast ~ ~CJC7 r^''br~5'/1?~¢~r,-0v►'~ ~'~•Cj <!~yQt,/D1d't' ~~o¢- tb -.3a tutu RA`h*.~ , W rw- i" (c 7+~-r~~ t3o,-►n►~ ~ ►p t? ,l..~S~ ~.3 L, rn~ t s ~ ~ lQ , ( ) l~k~~ t= ~7+~r ~,~'r-r ?~T i~~~i1~►P~u'" Clf tho- NA l ►J . 1 C~ (1A . 1/4- Q tea, .t ~--t~- A U L- )A `7: % 1-4 ~.--r--i-~, N Ju ►sa Z4~,1'!8 ~ l,r~,--'-~~ r:~o., ~~y5~1M~r.~ I~~ati»~-c~~,.,+~ . ~ I a,vti.,. M Z.`r~► . > Y~ y~:i fan , ► c n L t? G.-r ►l _ T GAri1 Q~ A -re kb t2, n r.^ (►a L.l~ \ t? l: 4~ t o t., r.S~i 4 c. a PA t ~4~ p CaP iAo-rv i o x 4y z1 X. o • 04.3 . C3 Ea rte ~ 1~1 r~yc R i-~~ way A~~ ~ -n n+e 4 ~ ~l ~~t = ~4- lt 2 • ~ G ~ ~ '/Z.P.S` 1.95 t t2 • GA.~.. ~a a S MA"o--vt,0 ' &'x o.16CL~ Ptor F ILA4 Rl. fM ~ ~ C~~«~rr~w ~Ca~►~ ~ 9~~~ 'r' 4~~~a'g ~ ~ 1~ C Ct- t- A.J~ p1► (Z FS f T'oN ,~~1N ZA 1931 nEi t!iCArte•, 'NlK.irsL. L1.>t-1►'hc~i •P Pik.-C . l-OC,~'1tp^! j ~ C61L1, C) lN5'CA t-t,., 1800 4, ,n, Pomp GN A nnt3lsR l 16L 0- A r, i ^ ~1.1STAl_l 2 ep05"VA-fIDoi 1IA l.t f \ \ INSTni 1- 4025'- I"~ Dtb'T)<tl~i. ao l o n er c:.►a ~ . \ 4~ 5C,1''T~c 7'/AIJd~ "rA \ P1DE SPAT-. o dT (o W 1`T 4l ;art , to ~ob,.r \ 1 G~It.DT'RAt.. M~^ttteOt.p Or" f'►PC PVG~ tztitlS f 3 i'.kTP►ti~1 ( • F,~ IN IV x 1 t~Z S"ttar~`~ 1)W~1.1~NC. ~ 4"~ G.I . q3 91 u w tk( A ts', trt~.,'t r+ Wit:, 1>1 °c I ,tcS~+°f1n~a !x71. W~ ut, r2~. ~i At' ' t I'r..:. ►N ~ts.t~ A5 P~~ G.3. t3 ►.-.L.r,,_ - 160.0 x Gl~ ; Cz~ 1~4-) ~ C S~ ~ ~3~• ~4~UN~D 4.. 5 4T 0E A St'CED - y >~xi ST 1 t•.t Cl. S>rF-'t' C- TAro►- 'To 1W T~f~.4 ser: r lv~ nr- .-r k ` Y „ 8~ A6ANn ortlsp 4%. F'L:IZ H 4.3.03 CZ~ F r N N A / ~ J N tS ~ 4~ 'g IJ ' Q a P~ V ~ pN R N G-r T o r..a _ ~ J U N IE. 24 , 19 81 o P Z 113 , na 0' aw' j~ .9SN cn c a lu 4 J/ ~1 p) p Y R J \p oL 41A w w a J' 0 a► I 0 cr d w 1rl L ~7dd s~ o Q. W r W W Ck- cD 0 f `ccrr a W N A. ~ ~ ! r 0 > 10 :z _ M n n J' - w @n+4' r~ N 1~1 a s 1 r- 7 S w lt.l ~ w a: -s t` n =y lt! 5 N:. -i 1 o o Iva rS~ w? a X40 l 1 PUMP ~asSln~ AIJUFAcTURCrt_ _ Gi MODE E ►JUMEiER ~N SS 1 Z 4r o¢ l-:c>vAL)t`tIZ SR FRICTIOIJ LOSS WIT111W FORCE MAW-- - j•"J3 F`r MEASURCAACUT BETWEEM PUMP ON AAJO PUMP OFF- t 8 ' GALl.ollb 1~UMrc a i'C ~c 4 `JC.L.C..... •3 Ur T PUMP TA►JK MAMUF'ACTUREFi~~~__.._ ~ SIZE OF TAUK,....... - r ..~~4 VERTICAL. ►1E►hNT FROM PUMP BASE 'To DISTRIBUTI0A1 ©LD OR TREUCH__,.,._._,,.._._.,._ 4-S r. le AbOV'E I.HAOL ' t~.x~ s-r. G.~AOE 4~_ b" ~.Xt's'T'•. t,QAO~ A'f PUMP = 99.0 1 t I E.L.E.V. 93.2 o f 5-r¢~ R PtP+s r I1 t ►aRo%n 't R~ip•rti a A" c . ~ 1 111 ~ 7urt MINIMUM 7:10 roWLET 1OUTLCT: ( ( w~see Hoer 4..C-ASY Leon, etcv t• CAST IROM PIPE EX- To 3 F1CET TCLIOIAJ6, 3 VU(-T CWTO I ON rp pK^# k... lift UAJUISTU;kbED 404-ODUD HI6.N WATCK i 1. a,t.at,"o WARIuU& DEWCE cCt-pv AYs op► ,v~v,~► t~~t.n~ 3.t'~ iN4. r hN,OF'R wvMv wsra.41 UD e►" ~~OGK t..tii.V ~.g • I; 1 1111 1"A r Ol= REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION t ~ t u ~ ; , . rI i l t PERCOLATION e STS P.O. BOX 7969 IIk,'i0A1 L ATIONS ( ) MADISON, W1 53707 ( r ,i~ SE TION TOWNSHIP MUNICIP-ALITY: i =IW.:JSUBDIVISION NA I/4 1/4 1 ~ rutlN I v OWNE U S NAME: L USE DATES OBSERVATIONS MADE NO. B t I 7Resufence ©New L~SRePlace . _ % tv-~" - RATING: S- Site suitable for system U- Site unsuitable for system pyvEN71®AL: MQUND: IN-GAIN 1 -FILL DING TANK: RECOMMENDED SYSTEM:foptionaU -s s. _7T_ -EV It I',.rcr, toll Tests are NOT requiredvE: If any portion of the lot is in the l„ 5.I li, t.uil(5)Ib),. indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS R U ATER-INCHES CHARACTER O. SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH i.,: ion Inllu _ H T3 r,l ! ;rt l iti IN; ELEVATION gSEVED EST. HIGH TO BEDR CK IF OBSE E SE ABBRV, ON BACK.) IS • ~ ,i C tee"""(y rl ~ ~ iC~7 ~.~J .C .~'F~ a / i onri- is r ,,'C~ / i 13 F~ c~7` ~ ~✓/sue ~r PERCOLATION TESTS TEST DEPTH WATER IN H LE ES TIME RATE MINUTES NUMBER INCHES ' AFTER LLING INTERVAL-MIN. PERIOD 1 :2 r-2 '50 li5l_c P t' I, PL.AN V IEW: Show locations of percolation tests, soil borings and the dimensioM of suitable soit areas. indicate scale or distances. Describe what are the hori- i,,,,i,,1 ,I vr:rucal elevation reference points and show their location on the plot plait. Show the surtAp elevation at all borings and the direction and percent SYSTEM ELEVATION _4 7-v TN , 1! r { T th„ ,1,•r}tyned, hereby certify that the soil tests 0~rtod on this form wen m0a by me In accord with the procedures msthods specified in the Wisconsin r. . ,r.„ t rve Code, and that the data recorded and !l*' 1,popban of tkppo We to the boat of MV knowledge and belief. sr" tai `r l1~Ul>F1I ss y+y a / / C TJZICATION NUMBE P NUMBER optional - A AM~WQNATU DISTRIBUTION: Original -Lacs{ pCWhq dW, 2nd page-Sureau of, Ipunbing,.3 ~~pperty Owner, 4th paW-Soil Tester. n , 011-HR-SOD-6395(N.031811,11 Nechv ills Excavating Rt. I Roberts, Wl 54023 Phone: (715) 749-3322 r ,i ! Sold To: '7 1 19~ _ZA . Al j Quantity Description Price Amount a. 1 a ~ 00 , lc) ji;n a 4i I ~ Plb.' 108 WISCONSIN DEPARTMENT OF HEALTH & SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P. 0. BOX 309 MADISON, WISCONSIN 53701 i APPLICATION FOR THE USE OF AN ALTERNATE SYSTEM Location 1/4 1/4 S T i N, R E (or) W Town or Municipality Street Address Lot No. , Block , Subdivision County Landowner's Name: Mailing Address: A (We), the undersigned, hereby make application for permission to install an alternate system on the above-described premises. I recognize that the above premises are not suited for the conventional septic tank-soil absorption field and recognize that the alternate system applied for is to be used on my property which fails to meet the soil and site requirements of a conventional system. If permission is granted, I agree to have the system installed in conformance with the Division's approved plans and specifications. If the system is improperly installed, I agree to modify, repair or replace it if so ordered. I further understand that the alternate system is more complex in nature than a con- ventional septic tank system and as such will require detailed inspection during construction and monitoring after the system is put into use. I agree to permit both county officials charged with administering county sanitary ordinances and Division employees or other authorized persons to have access to the above descrIbe'd premises at. any-reasonable time for the purpose of inspecting the construction or monitoring of the system. I further agree to either personally or by my agent contact the proper county official to'arrange the time and date to begin construction of the system. I understand that this application does not permit me (the applicant) or my agent (the contractor) to begin the installation of any alternate system. The Division or other authorized representative will perform an onsite inspection of the above-described premises'. If the system is approved, the Division will send the applicant a Letter Authorizing the Construction of an Alternate System. I agree to permit Division employees or other authorized persons to-have access to the premises at any reasonable time for the purpose of making such an onsite evaluation and I further agree not to begin construction prior to the receipt of such a letter. I understand that this application does not permit me or any other person to discharge sewage into the alternate system, sought byrthis application, until I receive a Letter Approving the Use of an Alternate System from the Division. This letter will be sentV by the Division after it receives, from the proper county officials, a checklist and statement certifying that the alternate system was properly constructed. I agree not to use or permit the use of the alternate system prior to receiving such a letter. -2- I recognize the limitations of the above-described premises and in consideration for the use of the alternate system applied for by this application, I agree to repair, modify or replace, at my expense, the alternate system if the county officials or the Division find the system to be malfunctioning. Further, I understand that the county or the Division may require that the alternate system be replaced with a holding tank or with a system of a more suitable design. I understand and agree that if a holding tank is required, I will have to make arrangements satisfactory to the Division for the disposal of the effluent. agree to give notice to any subsequent buyer that an application for an alternate .system has been made and if installed, that the premises are served by an alternate ~iystem and further agree to give that buyer a copy of this application. I understand that the Division and the county do not guarantee and do not provide a warranty (either implied or express) that the alternate system sought by this application will properly function.. 'The Division receives this application subject to this understanding and subject to all the conditions and obligations set out in this application. Date Signature of Applicant SME OF WISCONSIN) ss. COUNTY OF ) Subscribed and sworn to before me t h Is --day of 19_ Notary Public,' State of Wisconsin My Commission expires: Q a th n aQ~, Q - ti o opo y 'rl O w ry A~7 A ~ v 16-1 O O J '4 a` n • r P ory . , a rZ q W P Y isr ~ n M wv t r.h e~ 5fi WORKSHEET - PRESSURE DISTRIBUTION NETWORK DESIGN PROBLEM Design a pressure distribution network for a bedroom home. The site charecterisitics are: . Depth of groundwater or bedrock 7 in. Landslope % Percolation rate Z min./in. Distance from dose chamber to distribution system as O ft. Elevation difference between pump and distribution system 10 ft. Step 1. ESTIMATE WASTEWATER LOAD -750 t (S xWp) + (elO X y 1 50 1 3000 t ~0 = 3 830 Step 2. SIZE THE ABSORPTION AREA A) Area required 5x(,00) 0,0 x 3 0 80 1.1 R) Select length 100 C) Width is 3 0 D) I will use a Le ptr manifold. Step 3. SIZE DISTRIBUTION PIPES A) Hole size I will use is 1/9 in. B) Hole spacing I will use is _.e4_ in. C) Lateral length is ft. D) Lateral size in. I Step 4. DISTRIBUTION PIPE DISCHARGE RATE i I Step 5. SIZE MANIFOLD A) Manifold length _ ft. B) Number of distribution pipes C) Manifold diameter 3 in. WORKSHEET - PRESSURE DISTRIBUTION NETWORK DESIGN so 50 PROBLEM Design a pressure distribution network for a bedroom home. The site characterisitics are: Depth of groundwater or bedrock in. Landslope % Percolation rate min./in. Distance from dose chamber to distribution system ft. Elevation difference between pump and distribution system ft. Step 1. ESTIMATE WASTEWATER LOAD 3 Step 2, . " Sl t THE - AB AREA A) Area required 00 25G►G B) Select length O I) C) Width is 3~ Z C. D). I will use a manifold. Step 3. SIZE DISTRIBUTION PIPES A) Hole size I will use is~ in. B) Hole spacing I will use is _ 8L in. C) Lateral length is s0 ft. D) Lateral size ) in. Step d. DISTRIBUTION PIPE DISCHARGE RATE Step 5. SIZE MANIFOLD A) Ma n i fo l d length ft. Z d B) Number of distribution, pipes 1 y C) Manifold diameter in. Step 6. SIZE THE FORCE MAIN A) System discharge rate na S ~ B) Force main diameter C) Friction loss will be S ft./100 f 2,09 2, 5 Step 7. TOTAL DYNAMIC HEAD 2, S A 5 5 A 3 75" A) Vertical lift 1 O ft. B) Friction loss ft. 2 .5 X 2, oy , 57, .2 p r C) TDH ft. Step R. SELECT A PUMP -Step 9. DOSE CHAMBER SIZE Step 10. DOSE VOLUME SUBMERSIBLE DRAINERS PERFORMANCE DATA 40 r W W W ? 30 O ' Q . W Q 20 N 0 10 0 600 1200 1800 2400 3000 3601 / p -4 O S J C/ a 5 - GALLONS PER HOUR Including Friction .Loss K:.,,ya Ailrt~i+a<ar ia. µrnpiMN ~~i1 ib4n,r,r MODE! H.P. 10' 15' 20' 25' 30' 35' RS03 1/3 2200 1680 1200 RSD5 V? 3120 .2820 2580 2280 1800 DISCHARGE 11/4" FPT SPECIFICATIONS & DIMENSIONS A ' MOTOR Approx. DIMENSIONS MODEL TYPE Shipping --INCHES H.P. Vottage R.,P.M. Weight A 9 RS03 CAST IRON th 115 1750 33 11 11 RSD5 CAST IRON V2 115 3500 '34 11 11 • Wafer level switch setting: turn on-10;Aurn off-2°.! B y V ,S~ i 1 . ~ _ n ~s~.._~ _ Step 6. SIZE THE FORCE MAIN A) System discharge rate l ~Q B) Force main diameter g . Scl,ed?.. 2~ qo C) Friction toss will be x,55 ft. /100 ft. Step 7.• TOTAL DYNAMIC'HEAU A) Vertical lift 10 ft. B) Friction loss ft. . S S S 1.3 ? S C) TDH 13, ft. I 0 t I, 2, 5 : 15-9 Step R. SELECT A PUMP ~ioaids lloltl 3V82 SQrieS Ljp()S+i Step 9. DOSE CHAMBER SIZE Step 10. DOSE VOLUME .(~55 X.~SQ 1(PS.)S c)~x i^or ~0rC- er"acr! dfarn bc.Ck 1 1 O k ~nsc v~1 9 y tt ~ i v n O 31I W n O C 1 'c)' a r v 4C7- vi O ~ W T U c~ d 46, VI\ o V a rl. v ..J 7 L11 f V J Ll.-. till d w*M ~ L~ 0 06- a r V C `w O 4 1 M ~ ti C] a • v - p O vi , C..) J V p. ~.r7 'rte Q. S v ° 06- Y (L ~ C± c 16 d n c o LT- Q d v C o J ~nxryyr. .w+.. X•,~. F+~,r. It" "vow L d `T ~ T G7 cJ ~ -WI 1 -C3 R Vl\ a T J dr- ~/v~ {V O .0^ V J r Q. N ' O V, -ro SC, l ' " --7 o Q o. Cb ~•'o w 3 - Is o0 I X PI S:?i~c g Go , -cam V) Q v ~ `I"' hham'' T, ~ 3ooih Ak~- AI tc a n 4 4o Ic.-- 1 O w oo 15 N s ~ ~ M ~ ~ ~ SCp iL V .o 4 I i ao - 3 q . i \ i 4 M~ ~ ~ ~ 0Jrv iM4AH~AM'!4 mill 0- Gallons Per Minute Model WP0511 WP0512 WP0712 ! WP1012 WPH1012' W P0532 W P0732 W P1032 W PH 1032 Series No. Pip- WP0534 WP0734 WP1034 PH1034i A. HP ► 1/2 'Y4 1 1 RPM 00- 1750 3450 y Submersible 5 150 170 180 190 Sewage 10 126 154 168 170 Pumps 15 T 94 125 152 150 r m ~ - m 20 56 90 121 128` . c►a - CIP E 3 25 17 49 81 107 ` p ! 30 14 40 86 Certified -ra LL 35 10 X64 Canadian o - Standards 12W r 40 43 Association 45 24 50 4 s R NS i i Max., Series HP I- Volt Phase; RPM Solids Amps. Wt. y 7~' ;r WPO511 '/2 115 1 ; 1750 2" 9.0 108 W PO512 1/2 230 1 1 1750 2" 4.5 108 , i _ ' W P0532 1/2 208/230 3 1750 2" 2.2 108 'WP0534 1/2 460 3. 1750 2" 1.1 108 W P0712 3/4 230 i 1 1750 2" 6.0 110 `WP0732 3/4 208/230 3 1750 2" 3.6 110 W P0734 3/4 460 3 1750 2" 1.8 110 ! M I i WP1012 1 230 1 1750 2" 9.0 114 k oa , _WPH1012 1 230 1 3450 2" 11.0 114 WP1032 1 208/230 3 1750 2" 4.2 112 y' W PH 1032 i 1 208/230 3 0 2" 7.0 112_, HMr. wt, WP1034 1= 480 . , 2.1 -`i12~' 1• . 1a~~, . ` '""~`s,'" t' N- + W PH 1034 1 ! 460 3 3450 2" 3.5 112 i,.. x . 'CSA Listing pending ....,:.rrmuaw .erri ai .,,„r..=4r..a ,ww.: ...,..a+raw+wr , .,.,.w,w-, , ....wrr.. .•>n„4._, i h 50 • at i 40 7 YO j LL ► ~ I 30 _ 11fp i 6 ~ E , aerie 20 `,RPoa 10 . r_., . SITE . t p ~ MANCE 20 40 60 80 100 120 140 160 180 6J Capacity--Gallons Per Minute SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. Step 6. SIZE THE FORCE MAIN A) System discharge rate 90 q rl 3,. B) Force main diameter C) Friction loss will be 4,3 2, ft./100 ft.. 5 X W7 3 Step 7. TOTAL DYNAMIC HEAD A) Vertical lift Q ft. B) Friction loss .3 2 ft. C) TDH ft. 10 + ~,3~ 1 rJ -Step R..' SELECT,A PUMP a 't. Li w/ 3 ► N PT ~~scr~c Step 9. DOSE CHAMBER SIZE UOO '71 ra 'ilea A Step 10. DOSE V HNT;'MR,iv~IP/ keF=aa+..;~..,'MMkM+ VUy~1~7,1ry.~,.~.•:".a .v':'t #!WMliulrvn• r.vw!MIM,.""xf i t ih Y.r t. 'Pt" rn P, Po 's k 7G~,e~aw 0 v I Je~ 4{000 _<< 7 AJ W, Cc8or Lake, SP-o-co oc TMc„ R} 1 Sumer st+ L. i- Town gar ~fai~t~ Sw~4 fy ~cL ~(7 t,a Ins MPRsLj#!059. A3 N 18 kc,(L LJ L3 40 k P Re y ne-. ;c~mc, n D , o; ~ S~Ioi? c4nce.ss,►on St-n4 w~ Rcs avrl BOO ~nplc + y w 0rLWCr5 Depth of groundwater or bedrock T_ in. Landslope_ % Percolation rate _ min./in. Distance from dose chamber to distribution system 2,5D ft. 'Elevation difference between pump and distribution system Q ft. Step 1.. ESTIMATE WASTEWATER LOAD 50 t ~S X fo00) +(;.O X4) S 0 t 300 ♦ 80 - 3 930 Step 2: SIZE THE ABSORPTION AREA A) Area required 3 83p 3200 2 B) Select length. 100 rC Wf dtlf 3 T D) I will use amanifold. Step 3. SIZE DISTRIBUTION PIPES A) Hole size I will use is in. g) Hole spacing I will use is in. C) Lateral length is so ft. D) Lateral size in. Step 4. DISTRIBUTION PIPE DISCHARGE RATE 13 Wcs Step 5. SIZE MANIFOLD A) Manifold length ft. B) Number of distribution pipes C) Manifold. diameter in. ~len~ ~Ump~r1 JTatton 1 ~ li J u t~' M n~ 17~,~~ cc Oil CoueR 24 ~1~n ~okt 1 _ rou n Sv ( t to t A/C J"'Cas4 inlet weep hoic on Po a WC. ~tjc1 i ?(o" 19, Pump OW p~~~~en con VII, kilo ~.k 7(~~ X 21 i+~ I~osk►°n ~OOta c~f~I -T" ,v ..d...., ~.rruuroarrrrw~rMr. ►,i ~ l~yF RATING Gallons Per Minute Model WP-3881 WP0511S 3881 Series No. 10, WPO512S j WP0532S / WP0934S Submersible j HP / Y2 Sewage RPM t 1750 Pumps 5 1 143 c' r d 10 F 109 s _3 15 75 ' ° 20 41 d a LL 25 7 G' 26 0 !h y s Y` . G" ! 1 fs rN, Liquid passages provide true full diameter solids handling capabilities as advertised. Epoxy seal on power cable acts as secondary barrier to liquid intrusion if cable jacketing is damaged. Rugged wt iron construction. High efficiency full volute casing. r~ WP3881 Max. Series , HP Volts Phase RPM j Solids Amps Wt. w « W P0511 S 1/e 115 1 1750 1'62 13 60 J y WPO512S 1h 230 1 1750 11h 6.5 60 *WP0532S Ieh 230 3, W 1?h 2.2 y. W P0534S ih. "CSA Listing Pending ' 30 t X E3 20, a P 4 C O 7. n 7 i Ya lot aa f 1 t 0 20 _...40 60 . 8Q loo' 120 140 Capacity Gallons'Per Minute 4 i 'k SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NPTICE. 1 _ T Aj ji O t ~ r • M { O~ ~ O o T r w r .y . v t r+ = a r e o • A n ro e c 'O r -o • N Li Q 3 0 "'Cj ' N s ~ O Q 3 s ~ a- a co A n in 3 a r ' - 3 s- ~ 0 ~ -4- .nv O Lq A ~ ~ o C c P E 'r A N A G ~ O N O ~ Y Ns G f T 46 m T Y J ' V • S Ii A 3 to P o v ~ 3 n f!" C A ~ 1 A T n 1 r • ~ O O oO -v ~ ro G A n i 1 3 t0 n -.Ab. F -I-- H x C1n~ 414 01 / f f > 0 $ A yarn ~~~uva4IN Err I Ucn-1 M to J~a♦ton u Q 9 k Gov E2 144 m"n6l't ► ~qII 1. rou r S ~ ` CG s~ r:+ c + i 1 ucce hole, v °n a Obn 7 G~f I i ' A~rnp PosiTl:n Cdnu'l+ sit cl! 74 -IJ i1 x 2i i I?osk; goon ga► T.~ SUBMERSIBLE DRAINERS PERFORMANCE DATA 40 H • W W W Z 30 d W ~ Q 20 t.. O F~ 10 0 600 1200 1800 1400 3000 3604 GALLONS PER HOUR Including Friction Loss Capacities (GPH) at Total Discharge Head MODEL H.P.' 10' 15' 20' 25' 30' 35' RSD3 'h 2200 '1680 1200 RS05 3120 2820 2580 2280 1800 960 DISCHARGE 11/a" FPT SPECIFICATIONS & DIMENSIONS A MOTOR Approx. DIMENSIONS MODEL TYPE Shipping --INCHES H.P. Voltage R.P.M. Weight A B RSD3 CAST IRON % 115 1750 33 11 11 RSD5 CAST IRON '/2 115 3500 34 11 11 • Water level switch setting: turn on-10' turn off--2 B r ~ MtrsR,. .crnn MaNnw+• fl11~~'Mild~^ qH I ~~~Ik+An'y4,r~,,:. sri~ ~p•k ~~~1 ~4~~.:y+xm~... r . r SUBMERSIBLE DRAINERS PERFORMANCE DATA 40 ti W W 30 O US r d 20 N- O H • 'tQ 0 600 1200 16M 2400 3000 3601 GALLONS PER HOUR Including Friction Loss Capacities (GPH) at Total Dischatp Head MODEL MRa, 10' 15' 20' 25' 30 35 RSD3 y3. 2200 1680 1200 RSD5 t/r . 2820 2580 2280 1800 960 - ~"r DISCHARGE 11/4 FPT SPECIFICATIONS & DIMFNr-tnNC A MOTOR Approx. DIMENSIONS MODEL TYPE = - Shipping -INCHES H.P. Voltage R.P.M. Weight A B RSD3 CAST IRON % 115. 1750 33 11 11 RSD5 CAST IRON % 115 3500 '34 11 11 • Water level switch setting: turn on-10" turn olf-2" B i SUBMERSIBLE DRAINERS PERFORMANCE DATA 40 t- W W LL. ? 30 0 Q W ~ - 20 Q 0 10 0 600 1200 1BW 2400 3000 3601 GALLONS PER HOUR Including Friction Loss MODEL H.P Capacities (CPH) at Total Discharge Head H.P. . 10' 15' 20' 25' 30' 35' RSD3 ''A 2200 1680 1200 RSD5 3120 2820 2580 2280 1800 960 DISCHARGE 11/4" FPT SPECIFICATIONS & DIMENSIONS A L-J MOTOR Approx. DIMENSIONS MODEL TYPE Shipping -INCHES H.P. VoItW , R.P.M. Weight g RSD3 CAST IRON ty 115 1750 33 11 11 RSD5 CAST IRON 'h 115 3500 '34 11 11 • Water level switch setting: turn on--10" turn off-2". PINES= ow m mommosol' B ~ , 1 LyA 'aixnuMr a6MM+lw,! ,~,a, ~ d ,~y,y~.iyy~~,,....M~4.'ull) ~ I"~ ~ Oaf. n Ahl'N11P M M,v-, xW~~ ~,.,,a.,uMM'14•; , l r . Y n ,~.4YNft• lA 4✓X~ rW.e;~M~7AaAl~'+~ . lNAM.m . n .d-'pat~y~ ~e~r,VIM1~MMMM'1 "t'N I'!"fr4M W x'°~~`ttlMM! ~it. r f , 4.. : a~nYF k(►!wt~, ~ ~ , rr ~ 1~ ~ x av' '6 f ~ls ✓X CI' CPU ? n Q .q p ~ 1 t , 4L9: ro s` 0 i .r n Z o r • °r Or Y 0 ~i o-- w • O A ' n I W 'LM 3V O Q -rs ~ N 3 z, o r. A ' 1 A 0 ' r,. Oki WIN, . fX M • d ~1 L 1 ~ a COIL ~ o ~ n o -o ~ V n ~ O A 7 o- 0 w n A 7 r ~ n W Q 3 0 -'V h ueb o S o r► A n O IN - cre o F~ co, g w ~O o - F'n ~I'G n c t ro u 0t T,~~ ~3ooth act TO r ,4ItcQ nCAc area -ro COL I ' P 0. 0 W 8 ~ o ~~po°,~J~ `ot ~ '0 1 50 x ~ , o x v \00 c v v nc F'n 1~~a n c ~ 1'"D OQ To =fir v► ~ -Alt P n n 1 111 'a ~ O S VN C2 L ~ n w 0 r Ac„ " L i , ~ ' 3 ~ 4 07 ,w y f Imp I I II ii i I, I 77va ` oq Plp,1 pp o 0.,1 ~ ~ u n,t u3 io o r- M r- o~ $ mill ~ w ~ p ~ ~C 7 c PIK,- O o ' b I J I ~ = i +r a i ~1'~~S 04 vu 1 y a a~ a 7u V4 IV ~ i 5,0 3' 3~ ~Sc+ t(St4oa)1CLctixy~ V '7Sa {3ooq, t$a 14- Pi- tea ~ h~~~c S 2 t ly ~c,~ le,•, tom, S ~ ~ s l4 VO -C &J S ~t C.e_ (''ll GLA_/" 3 w.. e) i ~ N ~y,5 ~v+2,~1 z f z.s 25Q 95 7 -50 (2-00) l~ L AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SEC. T N-R W ADDRESS ST. CROIX COUNTY, WISCONSIN. SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 SHOW •VRUTHING WITHIN 100 FEET OF SYSTEM aw „n..a• v, wn~ ,auw~ I di a e 140#hl Arrow i SC L i BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: SEPTIC TANK:- Manufacturer: Liquid Capacity: Number of rings on cover : Tan manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: Number' of gallons Number of gal. pump set or a cycle- . gallons; total capacity of- distribution lines gallon: size of pump head; gallon per minute horsepower ran name of pump' and model number ; Type of warning device HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover ,Type of warning device SEEPAGE.PIT SIZE: Number o pits eet diameter feet liquid.dept seepage pit in e pipe-elevation bottom of seepage pit elevation feet. SEEPAGE BED SIZE: number of lines width length tile depth SEEPAGE TRENCH: width length PERCOLATION RATE KREA REQUIRED AREA S BUILT INSPECTOR DATED PLUMBER ON JOB LICENSEE NUMBER r, I'EIiFORMANCE RATING Gallons Per Minute Fei WP-3881 W PO511 S Series No. WP0512S 104 wPO53as f or NP li~ RPM M . - 1750 { A; TA~.~ + S 143 _ 10 109 :f a 3 15 75 f 's ° ° 20 41 ' 25 7 28 0 i . I Liquid passages provide true full diameta lids handling capabilities as advertised. Epoxy seal on power cabli so `BB secondary barrier llqulq intrusion if`o jat;itettttg is dameoed: 14 High efficism fd11Igakim a-miliaQ...,.. t, SPECIFICATIONS WP3s81 Max. Series 14P ° j' Vti 1 W t Pliat+a'' ~ APm' Uo" ! An" Wt. WP0511,$ , W 115. 1 1750 1 1% 13 s0 WP0512S "A 230 1 1760 1'A 6.5 60 ' W P0532S 'A' 7230 3 1750 1 Yjt } 2.2 'WPO534S 'h 480 8 '17 s0 'CSA Listing Pendir►g y7;- PERFORMANCE CURVE I i f I i W 30 13: 20 u 10 ~ 0 20 40 60 80 100 120 140. Capacity - Gallons Per Minute ;,urt !th . 14 SPECIFICATIONS ARE SUBJECT. TO CHANGE wITW= NOTICE kel,r ' rt 'a A 11.+ 1 n Y fit, YMY ~ ' 4 y 7y, '.r+iM Y ~S. /i'! n1'14., ~ Af ~I . I^ t 1 It3 }'4 1 ~ w» 7 PERFORMANCE RATING Gallons Per Minute WP-=1 WPO511S. 3 ~1` » Series No. WPO512S ' WPO6326 80 MiN'S1i1~19 WPO534S HP 1h RPM 1750 5 143 r P"r , . = 0 10 109 { +r rt^ 3 15 75 a. 20 41 g u. 25 '7 i- 28 0 • i Liquid passages provide true full diameter solids handling capabilities as advertised. Epoxy seal on power cable acts as secondary barrier to liquid intrusion if cable jacketing is damaged. Rugged cast iron construction. High efficiency full volute casing. SPECIFICATIONS WP3881 Max. I Series HP Volts Phase RPM Solids Amps Wt. W PO511 S 1/! 115 1 1750 1% 13 60 W PO512S '1h 230 1 1750 1 % 6.5 8o j 'WP0532S % 230 3 1750 11h 2.2 60 WP0534S 16 460 3 175Q 11h 1.1 10 `CSA Listing Pending PEHFORMANCE'CURVE `6 a 30 E 3 20 CC i~ [ _ Fti i~'r 10 D 2 i 40 60 100 120 140 capacity - Gallo", Par 411 ~t SPECIFICATIONS ARE SUBJECT TO CHi►NdE WITHOUT TIC 'i PERFORMANCE. RATING Gallons' er Minute Model WP-3681 W130511S 3881 i Series No. 0 WPO512S WP0532S Submersible WPO534S i HP ► '/2 Sewage RPM ► 1750 Pumps 5 143 r 10 109 E 3 15 75 q ~ 1 20 41 e U. 25 7 i' 0 . 26 0 y 1 Liquid passages provide true full diameter solids handling capabilities as advertised. Epoxy seal on power cable acts as secondary barrier to liquid intrusion if cable jacketing is damaged. Rugged cast iron construction. High efficiency full volute casing. SPECIFICATIONS. WP,3881 • Max. Seri" HP Volts Phase RPM Solids Amps Wt. WP0511S. '//d 115 1• 1750 1'fi 13 60 WP0512S 1 ' 1750 1'AI 6.5 60 00 WP05 WP053a,,.. ' 'CSA Listing Pending PERFORMANCE CURVE. 30 oft E 3 20 0 10 rc y 0 20 40 so 80 100 120 140 Capacity -.Gallons-PerVinuts SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE.