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HomeMy WebLinkAbout040-1227-80-000 Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 370218 Permit Holder's Name: ❑ City ❑ Village ❑ j[own of: State Plan ID No.: eis ltm & Laura I Troy Township CST BM Elev.:. Insp. BM Elev.: BM Description: Parcel Tax No.: 106 e 040- 1227 -80 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic (�� ✓ 00 Benchmark Dosing L6 Alt. BM / 2, /9 9 7 G Bldg. Sewer 9 3, yS` Ing t Ht Inlet 1 U, 9Z , TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. AirI to ntake ROAD Air I Septic ± 9 ' z ' ' NA Dt Bottom op Dosing 3 =� ' NA Header / Man. 9 V Q y era NA Dist. Pipe "`) 9,r 3. H91 9 Bot. System PUMP/ SIPHON INFORMATION Final Grade �Z 9-7 yz Manufacturer Demand St cover Y Model Number S 3 GPM vc✓ o TDH Lift #,15- Friction Syestem TDHS, -IyFt i Loss Forcemain Length 9 J Dia. Z FF--ff /' Dist. To Well SOIL ABSORPTION SYSTEM 12- BED / NCH Width / Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIM DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEA_QJI Manufacturer: ; INFORMATION T pe O CHAMBE y i M odel Number: System: ce q 3 > / OR IT DISTRIBUTION SYSTEM Header /Manifold /I Distribution Pipe(s) / x Hole Size x Hole Spacing Vent To Air Intake Length Dia YL Length —779 Dia. [lL� Spacing I A18 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes E] No F] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: jo /6 /oo Inspection #2: Location: 294 Salishan Drive, Hudson, Wl 54016 ( 1.3 T28N R20W) - 13.28.20.1116 Salishan -Lot 8 1.) Alt BM Description = hp o¢, fevcd. �lvov 2.) Bldg sewer length = 3y - amount of cover = �' we /- ,/0(4rhhfr 14 ir.5�ll UCvt�S in >,�iSai(/.t1'lrr. �O.�cS Plan revision required? ❑ Yes No Use other side for additional information. 1 (0 d U FFZ,1j SBD -6710 (R.3/97) Dat Inspect Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: z e m m 3 E E F e m q i Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 `�s consin p 8 Madison. WI 53707 -730' Department of Commerce Personal information you provide may be used for secondary purposes (Submit completed form to county if v [Privacy Law, s. l 5.04(l)(m)] state owner Attach com fete plans (to the county copy only) for the system. on paper not less than 8 -1/2 x I I inches in size. County State Sanitary Permit Number ❑ Check if revision to previous application State Plan 1. D. Number S I. Application Information - Please Print all Information Location: Property Owner Name Propert e l t11 ✓IY�Y ' �I /4. Property Owner's Mailing Address Lot Number Block Number f /3 X/r 1 City, State I Zip Code Phone Number Subdivision Name or CSM Number 4 - r T ( ) �a S II Type of Building: (check one) ❑ City I or 2 Family Dwelling — No. of Bedrooms ❑ Village ❑ Public /Commercial (describe use): P of ❑ State -owned III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearer ad �, A) I. J Vew System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Par�T�ur�ber(s) / System Tank Only sting System Permit Nu er Date Issued kA Sanita Permit was previously issued -Zo'o O IV. Type of POWT System: (Check all that apply) 'allon-pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Oth : V Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed yy Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks Tau ( Gott �Ia�u e)"_ 0 0 0 13 a ( Cie VII Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's re (no s s): MP/MPRS No. Business Phone Number Plumber's Address (Street, City, State, Zip Code) VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issu' Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surchar Fee) — Determination C� o IX. Co ttions of Approval /Reasons for Disapproval: �' /CeV�s;o"- /,vu5 �4.drriiT7ec� btGAkSe Y�ne OWhP� eva���� 7z7 OVA /,si �c me S ySl�ccr.` SBD -6398 (R. 07/00) iD N 111 ii AFt �� a ► � � ca • a � IA 0 + co 4 t f o m 9� � N q t. a 1n tat CL N N M n r SANITARY PERM TION 201 W. Washi n ton Safety and Bu ggton Avenue Division . V i s c onsin � ' P O Box 7302 In accord with ILH s A m. C e Department of Commerce Madison, WI 53707 -7302 1 • A. Attach complete plans (to the county copy only) for ste r not less, county than 8 112 x 11 inches in size. ' ' cv&( • See reverse side for instructions for completing thi lic }y pn State Sanitary Permit Number Personal information you provide may be used for secondary purpo r I 1 CO ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)). O"TY te Go Sta Plan I.D. Number at I. APPLICATION INFORMATION - PLEASE PRIN `l F 5Z 7A N� � Propert Owner Name - Pfo a cation q �- , ! _ 1 S T N, 1 1,10 E (or0 Propefty Owner's Mailing Address Lot Number Block Number 3 City, State Zip Code Phone Number Subdivision Name or CSM Number ; cam II. TYPE BUILDING: (check one) ❑ State Owned ity Nearest Road t/ p VII age Public 1 or 2 Family Dwelling - No. of bedrooms 7 Town OF �Y rCoU� 111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 13 9S, 1 E] Apartment/ Condo 45 U 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4, ❑ Reconnection of 5. ❑ Repair of an ______System ________System __ Tank Only______________ Existing System ________ ExlstingSystem B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 $Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 46 Z�ZSer 43 ❑ Vault Privy 14 ❑ System -In -Fill C 31. 8' S VI. ABSORPT SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Require (s q. ft.) Proposed q. ft.) (Gals/day /sq. ft.) (Min./inch) p Elevation icoo Capacity �. Feet F7 ' Feet w VII. TANK in allo s Total # of Prefab. Site Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturers Name Concrete strutted steel glass Plastic App T nks Tanks Septic Tank or Holding Tank 0 25 ❑ ❑ ❑ ❑ 1 r 1 Lift Pump Tank /Siphon Chamber f c/ t - ct cC� J2 ❑ ❑ ❑ 11 LJ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumb�e Name: (Print) Plumber's Sig at;re : No Sta ps) MP /MPRSW No.: Business Phone Number: 5; ta�4 r/3 C /7 ��" l 7a C' Plumber's Address (Street, City, State, Zip Cod rx !^ a C/tr O f IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved S n Surcharge Feel itary Permit Fee (includes Groundwater ate Issued Issuing Agent Sig ature (No Stamps) �j,Approved F1 Owner Given Initial � Adverse Determination I S -ZED X. CONDITIONS OF APPRpVAL / REASON FOR DISAPPROVAL: SBD- 6398 (R .11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS r 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank. replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only_ X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 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; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. 12 12% SLOPE 49 � S LOCAT ON M C 3, 20 p it-� 2 F 1 ' tp _- p, .. _ 17 © IAN y IN 8 0 o vy PAGE 6 • f # 534218 < 1 SLOPE ova q" 3 p' Sato. �3 �V oy w�. Libor and Human Relations '� 5 U I L A N U b I 1 E EVALUATION REPORT Page \ of 3 onnsion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code »+' COUNTY Attach complete site plan on paper not less than 81/2 z 11 chesiasize. Plan must include, but ST c' Zx not limited to vertical and horizontal reference point , difeCtign and�ff slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dista tb 6ares road. ' O y 0 - 2 2 — APPLICANT INFORMATION PLEASE P INT,ALL FNE ION I REYIEWED BY DATE PROPERTY OWNER: T'tk'L btZ PROPTTY LOCATION _ I GOVT. pT 1/4 1 /4,S \3 T 18 ,N,R Z,p E ( �W PROPERTY OWNEA':AMILING ADDRESS r y, t LOT # , BLOCK # SUBD. NAME OR CSM # SOZ Zn S1 , Svc : zo�j .OUN _ SfitlSt -�-flN CITY, STATE ZIP CODE PI{ONE F ' #U VILLAGE ®T OWN ' NE R 1 L UE wvpSoKJ I �Jl Sqo'1 2S 3$ soso: ,, New Construction Use Residential l Number o �- Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow b 0 O gpd Recommended design loading rate bed, gpd/11 • 8 trench, gpd/ft Absorption area required 1 3 S S bed, 1`1 �S O trench, ft Maximum design loading rate • -) bed, gpd/ft • trench, gpd1ft Recommended infiltration surface elevation(s) G, D .5 ft (as referred to site plan benchmark) Additional design /site considerations S NO`C `tom ! Aj STT 1 Parent material Lp tT3S oU M � Lf'ft, pv11.� 1`j Flood plain elevation, if applicable ' J fl It S = Suitable for system NVENTIONAL MOUND O&GROUND PRESSURE AT -GRADE SYSTEM N FILL HOLDING TANK U= Unsuitable for stem 29 S O U ®S ED ®.S DU ®S O U 14S O U 0S fall SOIL DESCRIPTION REPORT Bonin # Horizon Depth Dominant C Mottles Structure olor g in. Munsell Du. Sz Cont. Color Texture I Gr. Sz. Sh. Consistence Bourxfzry Roots GPD /ft KW I Bed Mench toLlz- zL - si1 2�s �'�'Fh CS W .S .� 'Mf e-S - • S Ground 1 k* ) `'1 R V A _ \s 1 es�r,4L 4rl U C°_S - • .43 elev. �1 Depth to f limiting factor Z (. S o � 4 • ��1 oS (� Remarks: Boring # Z st 1 z »� sbk ►� C S — . S. 6 Ground 3 I 3 -6� L'W Vj( — 1 s e sb1L elev. y b4 -`- tio� tiz S o s9 wl 1 — �� RL�'a _ Depth t0 3 0-tVQ NS >� SPUTs <3 F_ t `iR - Uo et1f�1`Sf OvS limiting factor >L� Remarks: T Name.— Please Print Phone: Arthur L. We erer 715- 425 -0165 ' eg6rer Soil Testing & Design Service -P.O: Box 74 River Yalls,WI. 54022 Sgnature: Date: CST Number.. �: o� - ids 5- 23 _cx� 220254 PROPERTY OWNER SOIL DESCRIPTION REPORT Page?- of PARCELI.D.! Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Botxtdary Roots ': "� >" Tench ki" ` Z L - t( Z m`Fi� S z s sbk s i 1 Zm s 6>c Ground 1 b'-•t R (LA k. elev. CV1-2 _ft. Io-tP- yly Depth to 3 S s P Z `( 1�-S Q Z limiting factor FT A -TO.-V Remarks: Boring # � < ^�:: :� 2 �y. I.0`tl� 316 . — s1I Z�iSbk 1rt��• c u-iR c Ground S 1 c bk : Vn v`�►, S elev. S3 - UZ13 104 R- y l Depth to limiting factor ' Z 2 • S 3.� Remarks: Boring # r � > 1 0_ 0> 1 \ Z`1 5b17- ''t F ) c �;: Z 13 -3b lo Liz 316 A i 3 36 Ss 1 H 2 Ground elev. SS l ULI R V/V Depth to limiting factor Remarks: 3oring # around ;ley. f t. )epth to imiting actor Remarks: ' PLOT PLAN Page 3 of 3 SCALE 1 "= S3 ' /j S-L- -- 7767�J q4U MA t Lk-- 2 P �'ZOH k S 3EE ( EL10 1 J PM 0 j S m D S. 8.3 I L �lDS is_ CIO S .4 ITT LOT UhJZ ' Bp ty�2 �TL_, J 4 zak = R.�z \\ -- -Tj; of Ll CiU�IST��� . ��X N 1NS`(`ftt,L. Z 1vc3 , �Cy 4 3'X �S�G �✓/ �Z ftP f s t b kAA/D Q2 1.I- w c t)-D& - , 11ZEJCJ 0 O -ILLS ( 715 ) 42 -0169 CST Signature Date Signed Telephone No. CST # r - --±— - - - - Ss - � - — - i 'O I i - PUMP CHAMBER CROSS SECTION d C.1 VENT PIPE —+ T AEATNER -PROOF WITH APPROVED VENT JUNCTION BOX 24" I.D. MANHOLE RISER CAP, +25' FROM 12" MIN. i WITH APPROVED. LOCKING COVER BuILaING , CONDUIT '- Zo AIRTIGHT SEAL t ,i PVC FORCE MAIN -' t ALARM APPROVED JOINTS WILL BE USED i f AT ARROWS 1 t/ l moo C�c quam C SWITCHES I ; ON PUtL -- OFF CONCRETE BLOCK VERTICAL LIFT: DOSE VOLUME / + S GAL ORAINBACK SYSTEM PRESSURE: 1= GAL /DOSE r s� *FRICTION Loss: -7,OV Pi�MP: 53 �a� TOTAL DYNAMIC HEAD jFe ell DELIVERS j FORCE MAIN X "/ 1D0' "�► / �S G'P�'1 f kn Ce �w HEAD CAPACITY CURVE MODELS 53- 55 -57 -59 Model "53/55/.57/59" 25 Ft. Meters Gal. Ltrs. • n 20 5 1.52 43 163 10 3.05 34 129 � 15 15 4.57 19 72 4 Lock Valve: 19.25 ft. (5.9m) r 10 3 15/16+ -6 5/32 2 5 — I 4 5/8 _ 1 1/2 —11 1/2 NAT 0 3 15/16 U.S. GALLONS 10 20 30 40 50 LITERS I 0 / 80 1 _ 1/ 16 FLOW PER MINUTE aoenr t CONSULT FACTORY FOR SPECIAL APPLICATIONS • Variable level Float Switches available. • Variable level long cycle systems available. • • Available with special cord lengths of 15', 25', 35' and 50'. • Alarm systems available. 10 ' 116 • Duplex systems available. I 3 1 3/32 BKeea SELECTION GUIDE -- 1. integral float operated mechanical switch, no Kemal control required. SglgMtiesl _ - -_ St VoKs - -- - mpMkr �Pll - ___ ------ Mods CorltolaeNcibn UL 2. Single piggyback variable level float switch or double piggyback variable level -- ModN 74.j00 Duplar --- - - - - - - - - - C>iAA M53M & M57i59 115 1 Auto 1 or 1 a 7 — Y Y float switch. Refer to FMO477. 159 1t 1 or a or4 Y Y 3. Mechanical akernator'M -Pak" 10-0072 kx 10 Ob75. • BN53 115 1 Auto — y Y 4. See FW712 for correct model of Electrical Akemalor. • BN57 115 1 Auto — N Y 5. Variable label control solkh 10.0225 used as a control activator, with Electrical BE53157 230 1 Auto — Y-- - - - Y Alternator (3) or (4) float system. D53155&057159 230 1 Auto 4D 1or1 & 7 — Y Y 6. Four ( 4) hole J - Pak, jundon box, forwatertigM 4nsimplaor E53f55 & E57159 230 1 Non 4.0 2 or 2 a 8 I 3 or 4 & 5 Y Y 2 pump operation, PIN 10 -0002. 'Single piggyback sift Included. 7. Two (2) hole J- Pak, junction box for watertight eon nectbn or splice, PIN 100003. ♦ CAUTION For informetionmedd iWrwl2oellerprodudareforbkatabgon ftybackVadable Level FloatSwNches ,FM0477; All Installation of controls. Protection devices and wir i; should be done by a qualified Ele ctricalAltsmalor, FMOM: MedlarkalAllemalor, FMO495; SumplSewageBasins ,FM0487;andSi!oPhase licensed electrician. All electrical and safety codes shoWdbefol lowed including the most Simplex Pump ContrdlAlarm Systems. FM0732, recent National Electric Code (NEC) and the Occupatlohal Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAR 70: P.O. BOX 16347 • Lou& 3, 347 bfarwfacGxeraol. . � SHOP T0: : 3849 6 Cane on Ru Run Reed p� Louisville, xY 40211.1961 PIAiAsB S rcx� I (502) 778 - 2731.1(800) 929 -PUMP hKp /lwww twll�r corn P!//L!P !O. FAX( 774.3824 ® Copyright 1998 Zoeller Co. All rights reserved. SECTION: 2.20.010 /� �+ O FM0493 p aL /TY / SiYCE c7 ~ 0498 Product information ® O Supersedes • presented here reflects PL/MP !D 0597 conditions at time of L publication. Consult factory regarding discrepancies or 11141L T0: P.O. BOX 16347• Louisvft KY 40256 -0347 inconsistencies. SHIP TO: 3649 Cane Run Road • Louisville, KY 40211 -1961 http:lAvww.zoollor.com (502) 778 - 2731.1 (800) 928 -PUMP FAX (502) 774 -3624 COMPARE THESE FEATURES 53 - 57 Cast Iron Series • Non - Clogging vortex impeller. • Float operated, submersible (NEMA 6) 2 pole mechanical 55 - 59 Bronze Series switch & variable level long cycle systems available. • UL-listed 3 - wire cord and plug.- 9 ft. standard for automatic. 15 ft. standard for nonautomatic. (FOP Pump Preft identfficadon see trews & Views 0052) • No sheet metal parts to rust or corrode. ' � M I G H TY MATE" • Stainless steel screws and switch arm. • No screens to dog. J • Watertight neoprene TY ring between motor and pump SUBMERSIBLE PUMP housing. FOR • Automatic reset thermal overload protection. DEWATERING (SOMP) • Oil -filled motor — hermetically sealed. • Entire unit pressure tested after assembly. OR Carbon and ceramic shaft seal. I I EFFLUENT (SEPTIC TANK SYSTEMS) D • Maximum temperature for effluent or `b' /. I M rM dewatering -1307. (54 °C.) PASSES'" SOLIDS • Passes 'W inch solids (sphere). 1' /s" NPT DISCHARGE „ S • 1 %" NPT Discharge. AW "'M M • RPM 1550 60 cycles. AUTOMATIC _ • On point --8%' • Off poin"1 /4 ". MODEL • Major width -10 3132 ". •Height - 101!16". SPECIAL MODEL FEATURES: MODEL 53 MODEL 55 • Cast iron switch case, motor & • Bronze switch case, motor & •P t ' pump housing. pump housing. • Glass4ilted polypropylene • Glaw4ged polypropylene base. base. • Engineered, glass-titled, plastic • Engineered, glass - filled, plastic VORTEX TYPE impeller with metal Insert. Impeller with metal insert. Y IMPELLER • Galvanized guard & handle. • Stainless steel guard & handle. ±_a • Bearing - lower & upper oil fed • Bearing - lower & upper oil fed ± ' cast iron. bronze. ' 4! S MODEL 57 MODEL 59 • All cast iron oonstruc6on. • All bronze construction. • Galvanized guard & handle. • StaiNess steel guard & handle. # ° • Bearing - lower & upper od fed • Bearing - lower & upper oil fed cast Iron. bronze. ALL MODELS ARE COMPLETELY SUBMERSIBLE BNMODEL HERMETICALLY SEALED Watertight - dust tight. Permanently tiled bearings. • VARIABLE LEVEL CONTROL MODELS AVAILABLE SYSTEMS AVAILABLE Aulomaticora Nonwtomatic '53 - 57" - .3 HP,115V or 230V Note: The sizing f effluent syste normal) "55.59" - .3 HP, 115V only n9 ys y requires variable level BE531BE57 & BN531BN57 available packaged floats) controls and properly sized basins to achieve required with Piggyback Variable level Float Switch pumping cycles or dosing timers with automatic pumps. 0 Copyright 1996 Zoeller Co. All rights reserved. i Za711drr sm xc m mtoc QUIRE be PpIFCg11T10N CR • rFAFORATEO 1.4TEIl.I l A. Determine pump capacity: arm C•• - Gravity Distributiou ' - - .b 1. Minimum suggested is 600 gallons per hour (10 gpm) to stay ahead of �,,,, ., ..,,.. pawn w..- water use rate. `, �.�.... �.. w r.�. r � 2. Maximum suggested for delivery to a drop box of a home system is 2 Us gallons per hour (45 gpm) to p build-up of pressure in drop box. w r A LA :- LAN" of Pressure Dssribution "'"" `•W I a Select number of perforated laterals b. Select perforation spacing c. Subtract 2 ft from the rock layer length. immam;c - 2 ft. =_ feet. TABLE OAF pMW01tATxW VMKU RCZS IN GPM d. Determine the number of spaces between perforations. Length per' spacing " ft. + - ft. = spaces Head P=fcrae= dbn~ 0rAhW ' e. spaces + 1= perforationvIaterai f. Multiply perforations per lateral by number of laterals to get total number of perforations. ,- x p __perforations. 748 056 0.74 & �.rs x�sgs,t Spa'' S ,� iat, OAD IAS LECTis PUMP CAPACITY U 0 1.17 SE gpm s.0 eras tN 4.0 1 M 1.47 11. Determine bead requirements: s ° 176 166 1. Elevation difference between pWnp and point-of discharge. ;bVW v,. Lo root of bud *wr : I I I I I ayataaia. 4 feet 2.0 het of fwd roe odrr nt ha+enb 2. If pumping to a pressure distribution system, five feet for pressure required at manifold if gravity system, zero. e057 feet 3. Friction loss - a. Enter friction loss table with gpm and pipe diameter. Pipe LA M& Read friction loss in feet per 100 feet from table ~ P060(DisGha� F.L. = 1 ft. /100 R of pipe b. Determine total pipe length from pump to discharge ®avaaw Dula= Point. Add 25 percent to pipe length for fitting Io&% or use a fitting loss chart. Equivalent pipe length -1.25 times pipe length = F -18b 3 0 x 1.25 - 37,5 1 - , feet 13 inch 2.0 hwh 3.0 =k c. Calculate total friction loss by multiplying . 7K saftwimpW :aofs.rr+v friction loss In ft /100 ft b equivalent length 10 0.69 0.20 Total friction loss = O x 100 = feet 12 0.96 0.28 4. Total head required is the sum of elevation difference, 1 1.28 a38 special head requirements, and total friction lose. 18 2.03 0 20 2.17 0.73 0.11 23 3.73 1.11 0.16 (1) (Z) (3v 335 5 .23 .90 2. 030 TOTAL HEAD _? ._feet 45 11. 73 2. 28 0.18 so 3.99 O.58 53 4.76 0.70 C. PUMP selection 60 5.60 0.32 1. A pump must be selected to deliver at least rgpm (Step A) with at least _,z, feet of total head (Step B). 56" 101 ij" , 39" 2 I , 1 1 • l 1.1 r 0 m Uff M m m ± m , 9" n - I - 1 w rn Fn 41" D F m m O g r*1pm�pZmjOOD0 Sao °xxp� c� . N Z to 0. IS;! v . rn N =•• �� w t w > O p;, wmD > 1 x (,10= ,rn \AV rri D O o z o° Mmm �$ �o oo�o _ o vv 0 U4) m � C�s z N m� Fvw jc 0 N m n :2 Q p � a v O 7 C C Ln C) rn 0 L, O F..�J v n JO i A ° Q r c, z U) 00 I- z n Ln i 0) PI S v >� SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer _rl M - t - � CI it grcz �L? Is Mailing Address J 1 9 <3 /Vi �/t4 f Al, ` � S%a G� , �e� , C� �o %. /�ry S Property Address A47 ?' E l 57Aa,;-� DrI YE ��/ �i S �0 14 r LY - (Verification required from Planning Department for new construction) City /State I7 U P h1- Parcel Identification Number G YG --/ 2-.7 –8'0 LEGAL DESCRIPTION _� 6ov4..wt - Property Location 1 /4, '/4, Sec. ' / 3 , T aL N -R(ZW, Town of 7 �u t Subdivision Q J r E a n , Lot # c Certified Survey Map # , Volume J , Page # 13 Warranty Deed # -.---_--_ / <(5_7 , Page # 3_57(( Spec house ❑ yes JE no Lot lines identifiable dyes ❑ no SYSTEM MAINTENANCE Improperuse and maintenanceof your septic system could result in its.premature failureto- dandle wastes. Propermaintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect thee- function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department' a certification form, signed by the owner and by a masterplumber, joumeymanplumber , restrictedplumber or licensedpumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Itwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the a year expiration date. SIGNATURt OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described �� above, by virtue of a warranty deed recorded in Register of Deeds Office. • loefz, S /3/ Zo o O SIGNATURt OF APPLICANT DATE * * * * ** Any information that is mis- representedmay result m the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed . ' DOCUMENT NUMBER WARRANTY DEED 61059$ KATHLEEN H. EdALSH REGISTER OF DEEDS Vii.1457 ST. CROIX CO., WI RECEIVED FOR RECORD 09-20 -1999 9:30 Ail Robert T. Popowski and Laura C. Popowski, husband and wife, O R -20-19 DEED EXEMPT A CERT COPY FEE: COPY FEE: ( "Grantor ", whether one or more), TRANSFER FEE: 687.00 conveys and warrants to RECORDING FEE: 10.00 PAGES: 1 Timothy P. Deis and Laura A. Deis, husband and wife, as joint tenants, ( "Grantee°, whether one or more), RETURN To Timo y P ura eis in consideration of $1.00 and other valuable consideration, 4913 vale nue North the following described real estate located in St. Croix dale, 55 28 �, County, Wisconsin: �1wn 1O Tax Parml No: 040- 1227 -80 Lot 8, Plat of Salishan in the Town of Troy, St. Croix County, Wisconsin. Grantors also quit -claim to grantees, without warranty, a 1 /10th interest in Lot 1, Plat of Salishan. TOGETHER WITH and SUBJECT TO the rights and obligations under the Covenants of Salishan Association; easements, building setback line, and reservation of Outlot 1 as a common recreational area, as set forth in the Plat of Salishan; rights of the public in lands lying below the ordinary high water mark of Lake St. Croix, part of the St. Croix River; Right of Way Easement for Rural Electric Line to St. Croix County Electric Cooperative, recorded in Vol. 263, page 98; Right of Way Grant to Wisconsin Telephone Company, recorded in Vol. 661. page 24, Doc. No. 383243. Together with and subject to any easements, rights -of -way, covenants, reservations and restrictions of record, if any, but this shall not extend the term or expiration of any encumbrance on the above described property beyond that stated in documents of record or otherwise provided by law, unless expressly stated herein. This is not homestead property. Dated this 15th day of September, 1999. �SQ (SEAL) (SEAL) Robert T. Popowski LL urn a� ski AUTHENTICATION ACKNOWLEDGMENT Signature(s) of Robert T. Popowski and STATE OF WISCONSIN ) Laura C. Popowski, husband and wife, ) ss. COUNTY OF DUNN ) authenticated eptember 15, 1999. Personally came before me this 15th day of September, 1999, the above named Robert T. Popowski and Laura C. Popowski, husband and wife, * Edu'A ,r I�6�GlG to me known to be the person(s) who executed the TITLE: MEMBER, STATE BAR OF WISCONSIN foregoing instrument and acknowledged the same. (If not, authorized by Sec. 706.06, Wis. Stats.) Drafted By: William J. Gilbert, Attorney at Law Notary Public, Co., Wisconsin. 206 Second Street, Hudson, WI 54016 My Commission Expires: X � `b• � / lb ' w :W �.... •�uFF 10 ( 3.85 ACRES \ ( 167, 8 40 SO.FT. ) 3.22 AC. EXC. EASEMENT ( 140,448 SO. FT.) ?�, I NOTE: OUTLOT 1 IS RESERVED FOR A COMMON RECREATIONAL AREA FOR THE y, \ OWNERS OF LOTS I THRU 10. ' `�d' .B 1 o ♦ `T �'• 31873 N94 25 ° E OUTLOT -1- 9 C. TO W ATER'S EDGE OF ST. CROIX 1 6' \ \ u ►� 2.02 ACRES o ( 8 8, 088 SO. FT.) f APPROX. .1, 394, 300 SO. FT.) $, S. 16 AC. TO MEANDER LINE �\ \ ( 1, 53 1, 698 SO.FT. ) TO MEANDER LINE EXCLUDING S N• TS ( 1, 464, 382 S0. FT.I o "i 1 (1 FT.) �ti \ SLUFF \ �, O � L — S 18 "E-_ to 4 63.04'_ -- 387.29'— / 129 ACRES (143,429 SO. FT.) May 22, 2000 Mary Jenkins St. Croix Valley Zoning 1101 Carmichael Hudson, WI 54016 Re: Erosion Control Calculations — Lot 8 Salishan Drive, Hudson, Wisconsin nze Enclosed are calculations for lot 8, Salishan Drive, in Hudson, Wisconsin for your records. n A copy has been forwarded to Bob Heise. If you have any questions, please let me know. It Sincerel , 3 c O U) Bruce G. Le en President �) -t BGL:Iwc ^f Q V) Enc. .� U) N ph one 715 -386 -50 Q fa 715 - 386 -1999 LO LOT 8 — SALISHAN, HUDSON, WI May 22, 2000 AREA "A" CALCULATIONS Area "A" = 1,965 Sq. Ft. of Lot Area x 30% = 590.00 sq. ft. + 860 Sq. Ft. Roof Surface Impervious -100% + 860.00 sq. ft. Total Area - Square Feet 1,450.00 sq. ft. I I X 10 year event 4.2" per Sq. Foot or X .35' =Total Amount of Water from 10 -year Event 508.00 cu. Ft. Retainage Basin 15' x 20' wide x 2' deep- Capacity: 600.00 cu. ft. AREA `'B" CALCULATIONS Area `B" = Lot area 1,415 sq. ft. x 30% = 425.00 sq. ft. + Roof Area 100% + 825.00 sq. ft. Total Area 1,250.00 sq. ft. 10 Year Event x .3 5 cu. ft. 438.00 cu. ft. Retainage Basin 15' x 15' wide x 2' deep — Capacity: 450.00 cu. ft. AREA "C" CALCULATIONS Area "C" = Lot area 1215 sq. ft. x 30% 365.00 sq. ft. + Roof Surface 100% 1168.00 sq. ft. Sub Total Area 1533.00 sq. ft. 10 Year Event x .3 5 cu. ft. 537.00 cu. ft. Retainage Basin 15' x 20' wide x 2' deep — Capacity: 600.00 cu. ft. LOT 8 — SALISHAN, HUDSON, -WI May 22, 2000 AREA "D" CALCULATIONS This water is flowing away from the St. Croix River per development drainage plan Area "D" = 900 Sq. Ft. of Lot Area x 30% = 270.00 sq. ft. + 412 Sq. Ft. Roof Surface Impervious -100% + 412.00 sq. ft_ + 1 Sq. Ft. Driveway Area + 1,225.00 sq. ft. Total Area - Square Feet 1,907.00 sq. ft. X 10 year event or X .35' =Total Amount of Water from 10 -year Event 668.00 cu. ft. Retainage Basin 17' x 20' wide x 2' deep- Capacity: 680.00 cu. ft. AREA "E" CALCULATIONS This water is flowing away from the St. Croix River Area "E" = Lot area 978 sq. ft. x 30% = 294.00 sq. ft. + Roof Area 100% +1,826.00sq. ft. + Driveway Area 100% +1,780.00 sq . . ft. Total Area 3,900.00 sq. ft. 10 Year Event x .35 cu. ft. 1,365.00 cu. ft. Retainage Basin 30' x 25' wide x 2' deep — Capacity: 1,500.00 cu. ft. r Mary Jenkins From: Bob Heise Sent: Friday, June 02, 2000 3:20 PM To: Mary Jenkins I have reviewed the storm water and erosion control plan for Lot #8 Salishan Subdivision. I was on site with Bruce Lenzen approximately two weeks ago. The natural drainage appears73 away from Me bluff line on this particular lot. They have address the storm water and erosion control co ncerns on thi lot. Robert Heise 6 1 monsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of 3 bor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 5 Y' GiiO lx not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # .— _ dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTYOWNER: `AK -TL, L, SptiJ t Cupp 8 CUQ PROPERTY LOCATION C S fl GOVT. LOT ) 1/4 1/4,S 13 T Z i3 .,N,R - L0 E (o W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SU M. NAME OR CSM # St�l,lS?i RN \ \Z.O � We 1Z1p6L AtZOe 8 — 1�tz.upp5ea 1 ? .TOF CITY, STATE ZIP CODE PHONE NUMBER EICITY ❑VILLAGE ®TOWN NEAREST ROAD R\Ulz1"L SgtO'LZ (71S) qz s - Z. -Mla-f 1 10 - 446 - r COUE RAFlp pQ New Construction Use [)(] Residential / Number of bedrooms Additif�n to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 660 gpd Recommended design loading rate o -1 bed, gpd/ft 0- 8 trench, gpolft Absorption area required R' SS bed, ft - 1 S O trench, ft Ma>amum design loading rate 0- bed, gpd/ft 0. trench, gpd/9 Recommended infiltration surface elevation(s) s 4' PAGE 3 of 3 ft (as referred to site plan benchmark) Additional design / site considerations 'loo SAD 'e Wt-27S NRJ <Z� COQ- 11NE7u D . Parent material s «'M SgD t1KQwT` o u (M S N)vp Q Flood plain elevation, d applicable N - A . ft S = Suilable for system CONVENTIONAL MOUND INaIOUND PRESSURE AT -GRADE SYSTEM W FNl HOLDING TANK U= Unsulhable for ® S 1:1 U ®S O U [9S EI U ®' ❑ U ® ❑ U [IS IR U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Motles Texture Sere Consister Baniary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rer& ] O-1 O � v- iL Z — L 2- � s Vhz m ��. ot.S a.s o.6 Z �u -�S �o `-1 R 316 L kn a-6 Ground 3 1S -Z lb `•I R 3/(, _ g 1C-5�k hn ukv S elev. $ 3 n S g s N. Depth to S 4 t/ _ 10 4 2 y/ — S o S 9 ►vt 'J o .1 ' o. 8 limiting factor „ � d8 Remarks: Boring # L zi sbk M �-- C IS o. a -6 3 zo - Z7 io 42 3 J6 S Zw,Sbk m� c S o•S I t,. b Ground elev. So t0 k2 Y/C is asj o t" o.z gg lo.o ft 5 so - qa 1 �l Iro, limiting to a ' n9 factor r R o C:) rv .. Remarks: / TName: Please Print Arthur L. W �' e r ` ° Phone: 715 g rer Soil Testing & Des r .0. Box 74 River Fa11s,WI 54022 Sgnattxe: �J �p,.. Date: CSTNum '_ 3 43 00576 PROPERTY OWNER CAaoD 4CM D SOIL DESCRIPTION REPORT Page? PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench vfl 1 0 - 10 �o`-tQ 3lZ - L Sd w�`F� o�-S a•s o 6 3 :f 10 -18 l Qmt-- 3J& r L Z •-S 61Z m 'FL e- o• S o• Ground 10 V(Z 3/6 -S Z VA s b k M y f-v CU-) o S o• L elev. 8 Lio• - 4 ft. Z6 -L!5 - 7 -su- 311 \S c� s w, c.5 0•� :o• Depth to S US-SS 1 0 1 12 y/ `FS Q S Yn u h C S v• 5 O•�. limiting factor 4 L SS q5 l o ` a yJ S . O s y►� , o• ; o $ Remarks: Boring # 1 0 - 1 ►o -t Q 3 ! Z )- Z s bk wt v- " S 0- 5 ! o. 6 k y Z \1 -t8 Ioyz 3A. L Z R , 5bIt >n C S o -S o•L 3 1 8 -Z 1011E W/O s Z� S �`�. C w o• S= o . b Ground ; elev. Zy -VU - 7.Sy2 Sly s IS O s, )i CS v•� =a.$ 8�L-j ft. 5 X10 -S 1p 4 tt Yl �S e S � X Depth to ' limiting b SZ -q5 1 p 7 Q yJ factor 7 q 5'' Remarks: Boring # 1 0 \o-► tt 3 l i L Z� sbl� ` f h 5 Z )S -z-3 t ot 316 L Z iS�k �n'F1- c S o•S =a•b Sbk m%XgA. cry v•S io.L Ground elev. y 3o -y3 - 7 -S4tz V — �S c� S 5 1 ti► � cs o•� o•$ 8 ft. Depth to S 43,g 5 toil lZ Vly i limiting factor M i 17 95 i Remarks: Boring # — tw e 5 MI t3 � 1 s s t ti � s 2 — 1 M t t_ 1 s s >tit X S C* n, r v ou':. S Ground -S -3 RU re- elev. S o S i R F s ft Depth to lti► S L �1--cs l20 ►V . limiting factor Remarks: SSD- 8330(R.05/92) PLOT P LAN Page 3 of 3 Ltz r a SCALE 1 "= SO' t�o c-RY� o N %- reTe- - - SE '� BE �T L�ASr 2 5' r -�..cl h DRh��► F� �.Qs. i Q O 4 O O O � 0 a ` O � r4e1R.r�.IS itc, < _ A L Q\ 1 • PLt►� cL �3oT'R1�'�r of S� - tSTL� �T �. 8 3 S . 6 , h'1y� X1IItJM OF 4?- OF c 6WS OuM `THe �J \$TR \8v`�►'p�l ���P�S C'1 1 -PcwOS Cl�-p�. 1'0 ' =U L�QT Ii7-�WJb 1fU G OF S u 1Z M'4CG o Ott 1�1.tvcl \Z $ 1) 6G wt - 6 kTts 3 E w 't t Z \ \ ' �8 0 , e •3 8�to 3 vt 4 tlu V T L e twu AL - Iwk ►R'ie 8YO 4�1 - el.•. 840.73 10 L Big �1 V 0 tom.. 8 q .oZ' w / L Pt- CLl DC -SNC Lo r X13 -b3 -8 ( 715 ) 4L M00576 CST Signature Date Signed Telephone No. CST #