HomeMy WebLinkAbout006-1022-60-000 ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT
Owner Gel C. E c � o
Property Address Z2 y t- J7
City/State
Legal Description:
Lot — Block - Subdivision/CSM #
t /4 S t /4, Sec. /O ,TAN -RAW, Town of C: v t o ti PIN # (?D — f o7a —b0 - Cy- ) v
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION:
Tank manufacturer s e Size ST/PC Iwo 6 o Setback from: House - y Well P/L * 7 mo o
Pump manufacturer Model 8'
Alarm location Z o G LL pr -
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
Type of system: 6 e-�- Width 6 Length 6 � Number of Trenches
Setback from: House Well P/L Vent to fresh air intake
ELEVATIONS
Description of benchmark 0"' / so - 0-C/ Elevation v o
Description of alternate benchmark Elevation
Building Sewer 'T 1, Ot ST/HT Inlet 79- 0 ST Outlet f- � PC Inlet
PC Bottom V7-9,r Header/Manifold % , 61 Top of ST/PC Manhole Cover S"
Distribution Lines O 1 6. 05' O ( )
Bottom of System O � S j Y O ( )
Final Grade () !
Date of installation I / /6/ S'Permit number : 32 05 State plan number /7 7 2-2- 3
Plumber's signature License number - 2,ts` /j Date . ////d/ 5
Inspector
Complete plot plan �
NOTICE: Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
Pvt vie
®v 0�
/
(,60 ID i
(: e h 4 i k -6
S yv - y 140 f .4P
C3` 3�
7io6 T
8y
7 JD 6
INDICATE NORTH ARROW
.Wisconsiq Department of Commerce Count y TE
SEWAGE SYSTEM Safety arld Buildings Division PRIVATE
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)). 353209
Permit Holder's Name: ❑ City ❑ Village CIXTown of: State Plan ID No.:
Echo Bill & Jennv I Town of Cylon
CST 8M Elev.; Insp. BM Elev.: BM Description: Parcel Tax No.:
KO .0 / (� , 0 - ` A iau � i� " CSF (� 006 - 1022 -60 -000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic DAD hmarktt"R
Dosing Alt. BM
Aeration Bldg. Sewer �. q /.0 0
Holding St /Ht Inlet 81 gq,0�
TANK SETBACK INFORMATION
TANK TO P/ L WELL BLDG. Ventto ROAD
Air Intake
Septic 7zao A3 / NA Dt Bottom t5',2D $'S. Z$
Dosing u k) V J 3 r NA Header / Man. c1-- %j o
Aeration 4; NA Dist. Pipe /• 9�' a ;z--
Holding Bot. System �t 9S' 3g
PUMP/ SIPHON INFORMATION Final Grade it `)
Manufacturer - Demand i s �
L L , St cover ,�•To QS .00
1� Model Number ?��` %PM 144- - 40. 1 100.0
TDH Lift 1,1 Lriction xp System �,�j TDH ),'O Ft
Forcemain Length I Dia. Ff i 1 Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length // / No. Of PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSI 10 DIMENSION
SETBACK
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of i / CHAMBER mod Number:
System: > 00 2 "3$ - �— OR UNIT
DISTRIBUTION SYSTEM
Header /Manifold N Distribution Pipe( Dia �/ x H I Size x Hole Spacing Vent To Air Intake
Length <_et� Dia. �' Length LD . I/- Spacing 1c [r ^—
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 ❑ No s N tfik
COMMENTS: (Include code discrepancies, persons present, etc.) Insp ion #l: 1(/ 9 /ctVnspectt n #2: u / / /97
Location: 2246 240th Street, Deer Par ,� SEIA, Section 10 31N -R16W) - 10.31.16.146
1.) Alt BM Description = M wo tAt 0-4 `4k 2.) Bldg sewer length= c23,1> 5°t'� � Q i � ®� � w•;- 6-14
IP -amount of cover = �, `� q, o� e.
Go) 3.) Contour= 9t{, - 3 l S W7 fvc , l U
- -s
Plan revision required? ❑ Yes �kNo
Use other side for additional information.
SBD -6710 (R.3/97) Date Inspector's Signature Cert No.
ADDITIONAL COMMENTS AND SKETCH'
SANITARY PERMIT NUMBER:
E
I w
3
s
F
Safety and Buildings Division
Visconsin SANITARY PERMIT APPLICAILION 201 Box
Department of Commerce Washington Avenue
In accord with ILHR 83.05, Wis. Ad o e$
,/ �`` Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the system, er �.ot IAs County,
than 8 1/2 x 11 inches in size. U, -IT C
• See reverse side for instructions for completing this applicatio State Sanitary Permit Number
/I�:
Personal information you provide may be used for secondary U rpOSeS heck If revision to
ion previous ppl tion
(Privacy Law, s. 15.04 (1) (m)]. �c1 /_ r�D' /
7 �/� ,; J�.rY State Plan W. Number
I. APPLICATION INFORMATION - PLEASE PRINT ALL NF t MAC?` . 7 -3 2Saq`
Propert Owner Name Property Location
3- pia, T 3 , N, R E (or
Propert Owner's Mailing Addr ss // Lot Num ;. _ Block Number
City, State Zip Code I Phone Number Subdivision Name or CSM Number
" S I ,, .S 4 :Z 7 Y)� t 0 otcre
II. TYPE OF BUILDING: (check one) ❑ State Owned o v C ity a Nearest Roa
Public or 2 Family Dwelling - No. of bedrooms �_ own OF
III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)
I'-I-io
1 ❑ Apartment/ Condo OD ID 22 — GO - 000
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. LZ New 2 ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an
ystem ________System _____________ Tank Only______________ Existing System ________ ExistingSystem
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 21JRMound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14 ❑ System -In -Fill (Joy 4ou r
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation
Z /_5 t? 1 _37-s " 3 7 S" , ,s 5 r j a Feet Feet
Capacity
VII. TANK in Ca allo s Total # of Prefab. Site Fiber- Exper
INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Exist'n strutted
Tanks Tanks
Septic Tan or4+oh rng Wank A /Coe, �r1 �'.os �- ` �R— ❑ ❑ ❑ ❑ ❑
ft Pum p Tan iphtrrrth�PFber tG0 ,., El El ❑ ❑ El El
Vill. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber's Signature: (No Stamps) MPRSW No.: Business Phone Number:
Plumber's Address (Street, Cit State, Zip Code):
V 4 d e r S`Yd o/
IX. COUNTY / DEPARTMENT USE ONL
❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued t gent Signature (No Stamps)
gApproved ❑ Owner Given Initial 3� bo / surcharge Fee) / 9
Adverse Determination J�U
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: - Iso t
SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changesin 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'sname;and.mailing address., Provide the legal description and parcel tax number(s) of where the
system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII_ Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX. County/ Department Use Only.
X. County/ Department Use Only.
Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The 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.
Safety and Buildings
1340 E GREEN BAY ST STE 300
SHAWANO WI 54166
TDD #: (608) 264 -8777
visconsin www.commerce.state.wi.us
Department of Commerce Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
October 18, 1999
CUST ID No.270108 ATTN. POWTS INSPECTOR
MIKE WILSON ZONING OFFICE
HILLTOP EXCAVATING ST CROIX COUNTY SPIA
888 STATE RD 46 1101 CARMICHAEL RD
AMERY WI 54001 HUDSON WI 54016
RE: CONDITIONAL APPROVAL Ident7fication Ntxtnlrs
APPROVAL EXPIRES: 10/18/2001
Transaction ID No. 252964
Site ID No. 177223
SITE• Please refer to boffi iii fidatioh numbers,
Site ID: 177223 above, in all correspo ieno: *W a agency!
ST CROIX County, Town of CYLON; 240TH ST, CYLON 54017
NE1 /4, SE1 /4, S10, T31N, R16W
Facility: BILL & JENNY ECHO 240TH ST, CYLON 54017
FOR:
Object Type: POWT System Regulated Object ID No.: 496966
Mound for New Single - Family Dwelling
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation /operation.
n n umber listed below, or at the address
Inquiries co cernin this correspondence may be made to me at the telephone q g P Y P
on this letterhead.
Sincerely, DATE RECEIVED 10/15/1999
FEE REQUIRED $ 180.00
FEE RECEIVED $ 180.00
ROSS J FUGILL , WASTEWATER SPECIALIST BALANCE DUE $ 0.00
Field Operations
(715)524 -3629,
RFUGILL @COMMERCE.STATE.WI.US tl�
cc: St Croix County Zoning Office
I
MOUND SYSTEM DESIGN
INDEX AND TITLE SHEET
Project BILL ECHO
Owner BILL ECHO
Address 683 200TH AVE LOT 28
SOMERSET WI 54025
Legal Description NE- SE- SEC10- T31NR16W
Township CYCLON County ST CROIX
Subdivision Name Lot No. ##W
Parcel ID Number
Plan Transaction Number
Index and title sheet Page 1 P.O.W.T S.
Mound calculations Page 2 Conditionally
Mound drawings Page 3 APPROVED
Pres. disc. calcs. and laterals Page 4
TDH and pump tank drawing Page 5 DEPARTMENT OF COMMERCE
PUMP CURVES Page 6 M=1014 OF SAFETY AND BUILDINGS
PLOT PLAN Page 7 zf I
SEE COR SPONDENC7
Designer MIKE WILSON License Number 225150 -
Signature /Z,; . Phone No. 715- 268 -6626
Date 10-7 -99
Personal information you provide may be used for secondary purposes [Privacy Law, a.15.04 (1)(m)].
88D- 10462 -E (R.O5W) Page 1 of
RMEIVED
QCT 1 21999
SAFETY & BLDGS. DIV.
MOUND SYSTEM DESIGN
i
Complete red boxes as necessary. 1000 gpd maximum design flow.
Inch - pounds Metric
Residential or commercial? R (r or c) (y or n) n = Replacement systbm?
Creviced bedrock site? n (y or n)
Slope 4 %
Wastewater flow rate 450 gpd 1703 Lpd
Depth to limiting factor 24 in 61.0 cm
In situ soil infiltration rate 0.6 gpd/ft 24.4 Lpd /m
Contour line elevation 94.3 ft 28.74 m
Use standard fill depths? x OR Design depth? in cm
Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth.
Center or end manifold a (c or e) Hole diameter 0.25 in 0.181, o 0.281, or 0.3r 0.3 13 3 inc nly. , ody. 0.25,
Lateral spacing 3.00 It Use 0 lateral spacing for trenches.
Estimated hole space 4.00 ft Not a final calculation.
Number of laterals 2 Pump tank elevation 87.5 ft outside bottom of tank
Forcemain length 50.0 ft Forcemain diameter 2.0 in 1. 5, 2, 3 or 4 inch only.
2.067 in Actual I. D.
118 =Q125 1/4=0.250
SYSTEM SOLUTIONS Inch-pounds Metric 502=0158 9132 = 0.251
Estimated daily flow 450 gpd 1703 Lpd 3MG = 0.185 5/16=0.313
M2 = 0.219
Absorption cell
Design load rate & area 1.2 gpdW 375.0 Ife 34.84 m
Linear loading rate (LLR) 7.14 gpd/ft 88.5 Lpd /m
Design width (A) 6.00 ft 1.83 m
Cell length (B) 1 63.0 Ift 19.20 m
Depth of cell (F) 9.5 in 24.1 cm
Sand filter
Upslope fill depth (D) 12.0 in 30.5 cm
Downslope fill depth (E) . 14.9 in 37.8 cm
Basal area required (gpd/infiltration rate) 750.0 ft' 69.68 m
Supporting components
Topsoil depth 6.0 in 15.2 cm
Subsoil depth at center 12.0 in 30.5 cm
Subsoil depth at cell wall 6.0 in 15.2 cm
End slope toe length (K) 10.24 ft 3.12 m
Up slope toe length (J) 7.50 ft 2.29 m
Down slope toe length (1) 10.30 ft 3.14 m
Total mound length (L) 83.48 ft 25.44 m
Total mound width (W) 23.80 ft 7.25 m
Project: BILL ECHO
Transaction Number: Page 2 of 7
MOUND PLAN VIEW
observation pipes (bpical)
1 E 23.8 ft A A= 6.00 ft 1.83 m
7.25 m B - 63.0 ft 19.20 m
W B J = 7.50 ft 2.29 m
K I= 10.30 ft 3.14 m
K = 10.24 ft 3.12 m
L
L _. 83.48 ft
25.44 m typ. obs. pipe
(anchored securely)
I = down slope dimension = absorption cell (AxB)
J = up slope dimension Q = plowed area (LxW)
K = end slope dimension 6'( 152 mm)
T
MOUND CROSS SECTION
D= 12.0 in 30.5 cm
lateral
topsoil G H subsoil cap E = 14.9 in 37.8 cm
invert 95.80 ft .. .. _ _ F= 9.5 in 24.1 cm
elev. 29.20 m `:.F G = 12.0 in 30.5 cm
ASTM C33 H = 18.0 in 45.7 cm
D Sand Fill E
Sys. 95.30 ft 41
elev. 29.05 m 94.30 ft contour
28.74 m elev. 4
slope
D = upslope fill depth plowed layer `
E = downslope fill depth ;rote: Absorption cell media win consist
F = absorption cell depth of aggregate and pipe with laterals
G = subsoil + topsoil depth at cell wall centered across A>8 media. The cell
H = subsoil + topsoil depth at cell center media is covered with geoteAile fabric.
Designer notes:
Project: BILL ECHO
Transaction Number: Page 3 of 7
PRESSURE DISTRIBUTION CALCULATIONS
Absorption cell Inch -pounds Metric
Width (A) 6 ft 1.83 1 m
Length (B) 63.0 I ft 1 19.2 m
Lateral specifications
Number laterals 2
Holestlateral 16 holes
Lateral length (P) 60.00 ft 18.29 m `
Hole diameter 0.250 in 6.35 mm
Lat. dis. rate 18&4 gpm 1.18 Us
Sys. dis. rate 7. 8 gpm 2.35 Us
Hole spacing (X) in 121.9 cm
Lateral diameter Pipe diameter tbelyn o pliau o rP, c hoice
Designer must 1 in (25 mm) +Place X in red
"X" one choice 1 1/4 in (32 mm) j —; box of chosen
from the options 1 12 in (40 mm) x X I'diameter.
provided. 2 in (50 mm) X
3 in (75 mm) X
Manifold diameter Pipe diameter DedynopWrw DoWgnc
Designer must 1 in (25 mm)
W one choice 1 114 in (32 mm) Place X in red
from the options 1 12 in (40 mm) x box of chosen
pr 2 in (50 mm) x X di ameter
3 in (75 mm) x
4 in (100 mm) x
Distribution system contains: 2 Lateral(s)
LATERAL DIAGRAM - END CONNECTION
Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area.
Lat erals centered over the A & W dimension Last hole drilled next to end cap i
P
All laterals are klontical If X--+ Holes drilled on the bottom of the lateral
equally spaced 3
Faroe main connec via tee or cross to manildd at any point. Laterals d force main of PVC Sch 40
• = permanent end marker (per COMM Table 84.30 -5)
Inch -pounds Metric
Lateral length (P) 60.00 ft 18.29 m
Lateral spacing (S) 3.00 ft 0.91 m
Hole spacing (X) 48 in 121.9 cm
Manifold length 3.00 ft 0.91 m
Hole diameter 0.250 in 6.4 mm
Lateral diameter 1.50 in 40 mm
Forcemain diameter 2.00 in 50 mm
Project: BILL ECHO
Transaction Number: Page 4 of `�
TDH and Pump Tank Drawing
Total Dynamic Head
Operational head 2.50 ft 0.76 m
Vertical lift 7.70 ft 2.35 m Are laterals the highest point in the
Friction loss 1.16 ft 0.35 m system? Yes ")C' here. x
Total dynamic head 11.36 3.46 m If no, what is the highest elevation
Dose Volume downstream of pump?
Dose is > 10 :times lateral volume Forcemain drain
Lateral void volume F— 12.7 gal 48.1 L back to tank? ( ^x" one)
Minimum dose 127.0 gal 480.7 L x Yes
Drain back 8.7 gal 32.9 L No
Dose volume 135.7 gal 513.7 1 L
Typical Pump Chamber Layout
In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC.
approved manhole cover with
weather proof waning label and locking device
grade levels junction box —�
disconnect grade levels
altemate
4" vent pipe electric as per NEC 300 and ' `. F— outlet
Comm 16.28 WAC \ location 18" {48 cm) min.
Pi mrall of pump 1 k_— approved
chamber or outlet joint
combination tank
A provide 1 /a' weep note or anti -
alarm on siphon device as necessary
pump on B
C Grade levels
pump 88.1 ft - pump tank manhole = 4" (10 cm)
Off elev.
26.9 m jk minimum above finished grade
D - vent =12" (30.5 cm) minimum
above finished grade
87.5 ft Pump tank elevation
3 " (75 mm) of bedding under tank 26.7 m bottom of tank
Tank manufacturer WESER
Pump tank capacity 11.3 gal/in
Pump tank volume 600 gal
Pump manufacturer ZOELLER Inches Gallons
Pump model number 98 A 35.1 396.5
'as B 2 22.6
Alarm manufacturer S.J.ELECTRO INC E C 12.0 135.7
Alarm model number H.W. 101 i5 D 4 45.2
Pry: BILL ECHO
Trolr' ipla'Number: Page 5 of 7
HEAD CAPACITY CURVE
MODEL "98" 4 5/8
30
t3 —�
2 ® I
3 5/8
= 6
15 O
4 4 3/16
10
2 5 1 112 -11 112 NPT
0
U.S. GALLONS 10 20 30 40 50 60 70 E6
LITERS 810 160 240
0 FLOW PER MINUTE
TOTAL DYNAMIC HEADIFLOW PER MINUTE
EFFLUENT AND DEWATERING
CAPACITY 12
HEAD UNITSIMIN
FEET METERS GALS LTRS
5 1.52 72 273
10 3.05 61 231
15 4.57 45 170 4 3/16
20 6.10 25 95
Lock Valve 23• ^
sxnst
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• Electrical alternators, for duplex systems, are available and • Variable level float switches are available for controlling single
supplied with an alarm. and three phase systems.
• Mechanical alternators, for duplex systems, are available with or • Double piggyback variable level float switches are available for
without alarm switches. variable level long cycle controls.
SELECTION GUIDE
Standard all models - Wei ht 39 lbs. - '/: H.P. 1. Integral float operated 2 pole mechanical switch, no external control required.
2. Single piggyback variable level float switch or double piggyback variable level,
98 Series Control Selection float switch. Refer to FM0477.
EN Volts -Ph Mode Am s Simplex Duplex 3. Mechanical aftemator 10 -0072 or 10 -0075.
115 1 Auto 9.4 1 or 1 & 7 — 4. See FM0712, for correct model of Electrical Aftemator, 'E - Pak'.
115 1 !�! 2 or 2 & 6 3 or 4 8 5 5. Control switch 10 - 0225 used as a control activator, specify duplex (3) or (4)
230 1 1 or 1 & 7 — float system.
6. Four (4) hole 'J -Pak', junction box, for watertight connection or wired -in
230 1 2 or 2 & 6 3 or 4 & 5 simplex or duplex operation, 10-0002.
7. Two (2) hole 'J -Pak', for watertight connection or splice.
CAUTION
For information on addtional Zoeller products refer to catalog on Combination Starter, FM0514; All Installation of controls, protection devices and airing stiould be done
by a kpralltied
Piggyback variable Level Switches, FM0477; Electrical Alternator, FM0486; Mechanical Aflame- licensed electrician. All electrical and safety codes should be followed Including
the
tar, FM0495; Alarm Package, FM0513; Sump/Sewage Basins, FM0487; and Simplex Control Box, most recent National Electric Code (NEC) and the Occupational Safety and Health Act
FM0732. (OSHA).
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
MAIL 70. P.O. BOX 16347
Louisville, KY 4 0256-034 7 ManubcIt arsof. .
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SHIP TO. l KY 4 Run Road Quaurr P uMVS S,r /999
LouisvtL' KY 401 11.1961
PUMP !O.
(502)778-273I-I(8W)
FAX(=)774,4614
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Wisconsin Department of Commerce SOIL AND SITE EVALUATION
Division`of Safety and Buildings Page t of
Bureau of Integrated Services in accordance with S. ILHR 83.09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County 1
include, but not limited to: vertical and horizontal reference point (BM), direction and �T C Rb I A
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. #
0cocP —0
APPLICANT INFORMATION - Please print all information Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
e ( Govt. Lot IJlff 1/4'D I�F 1/4,S I (j T 3 N,R Poor) W
Property Owner's Mailing Address Lot # Block# Subd. Name or CSM#
Ca' 3 Zoo"A Nj UIT 28 —"
City State Zip Code Phone Number [_1 City ❑Village ® Town Neare Road
S LYMM� R..SZT U5L 02 (1 ) Cy L�CDIIJ 24 ST
® New Construction Use: ® Residential / Number of bedrooms L� Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow gpd Recommended design loading rate I .2 bed, gpd/ft l • `L trench, gpd/ft
Absorption area required 3A.5 bed, ft � trench, ft Maximum design loading rate 1 • L bed, gpd/ft i .ZZ trench, gpd/ft
Recommended infiltration surface elevation(s) 9 5r- 3 ft (as referred to site plan benchmark)
Additional design /site considerations M dt_)/j [ KZQ C__,' tM fY) C)0 n
Parent material 1)M 7rJ Flood plain elevation, if applicable . A ft
S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system I ❑ S 0 U I ®S ❑ U E S ®U I ❑ S ®U [- ® U ❑ S ® U
SOIL DESCRIPTION REPORT
Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft
9 Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench
F 1 I
0-5 75Y S i l 2 ►V) r M' Y C U '01 • `J (A
Z : 10Y s ?M5 6K M 'v lm- .(
Ground .�� �' 21 S Gj I t md bk .3
eley. v
q4LLft.
Depth to
limiting
factor
J.Z, _in.
Remarks: , Fi gm t fJ ' PL_•AC ys _
Boring #
DA_ �Y 2 >5 5t 1 Zm r m r
�... �- 24 5►1 2t bK ►� Y m .5
Z,5y12 2,��ta 5 2 5(_1 �m�bk
Ground
g el )3v. -
1 V
Depth to
limiting Z UNTy
�4 tor
in. Remarks: -IQJYn
i I tkoKone No.
CST Name (Please Print) Signature
Address Date CST Number
4k� �� �� � 51
PROPERTY OWNER _ SOIL DESCRIPTION REPORT Page of`
PARCEL I.D.#
Boris # Horizon Depth Dominant Color Mottles Structure 2
Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed ,Trench
o- 7.5�t2 I 5 t i 2m r (y) Y-
S 2 -- • �°
Z ►a72 S I 2►rsb ►r cis
Ground - Z•5Y2 sc'l l+/r1Abk V �� ,Z- ,•3
elev. ,� '
g
Depth to
limiting
factor
- 1b in.
Remarks:
Boring #
13
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Boring #
Me ...........................
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
Boring #
...........................
..........................
...........................
Ground
elev.
ft.
Depth to
limiting
factor
in ' Remarks:
SBD -8330 (R. 07/96)
313
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Wisconsin Department of Commerce SOIL AND SITE EVALUATION
. Division o*Safety and Buildings Page _ of
Bureau of Services in accordance with S. ILHR 83.09, Wis. Adm. Code
Attach Am lete site plan on paper not less than 8 112 x 11 inches in size. Plan must County
include but not limited to: vertical and horizontal reference point (BM), direction and �� C'1 �L JC
I --
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. If
APPLICANT INFORMATION - Please print all informatio ewed b Date
Personaf information you provide may be used for secondary purposes (Privacy Law, s.
Property Owner Location
6 1 LL— JVoo 0:,13c) . t ( CS 1/4`je. 1/4,S T jI N,R F16r)W
Property Owner's Mailing Address Lot # Block# Subd. Name or CSM#
City State Zip Code Phone Number ❑ City ❑ Village ® Town Neare woad
`- (11 > 4� -5t GYLc vj Z4d
_S L) rrn.sv �.�� r uS G2
® New Construction Use: ® Residential / Number of bedrooms Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow gpd Recommended design loading rate . bed, gpd /ft I • `� trench, gpd /ftz
i bed ff 2__31_5 trench ff 2 design loading rate I- Z- �� bed, d /ft gpd /ft
Absorption area required 315 _ Maximum des g g 9P
P �
Recommended infiltration surface elevation(s) _ �• 3 It (as referred to site plan benchmark)
Additional design /site considerations - - --
Parent material 1 dLux m l ._ __ __. Flood plain elevation, If applicable . A • __.ff
S = Suitable for system I Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = Unsuitable for system ❑ S O U ®S ❑ U EIS ®U I ❑ S ®U I ❑ S ®U ❑ S ® U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft
Texture Consistence Boundary FRoots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
( I O -5 7. -t J 2 m5 bh ' 1 y S _ J G,
Ground _. Z r 2 5 { { � �_ . 5GI �rvicr��k m r -- -
eley.
q4 -tift.
Depth to
limiting ;
factor
��' - - in.
r
Remarks: P ' �° t 2►ti1 t ►, AC r�
Boring #
J 2 m- —
'L Z A L4 U ( St I 2ri� ►,� r S 2m_ ��
R3 Z,Si(z 1, Z,�(0 a 7 ! 5
if 1
Ground —
elpv. 'r _
Depth to
limiting
T f ctor �')
�, in. Remarks: 121
CST Name (Please Print) Signature Telephone No.
)e. U -- - It (�3 "1 - jCjZ C _-
Address 7 t � + > > Date CST Number
SOIL DESCRIPTION REPORT Page i of
PROPERTY OWNER 10 1 1
PARCEL 1.D.# S - tructure ry Roots
1,
N_ /ftj
Horizon De 2
Boring # p F
th Dominant Color Mottles Texture Consistence Boundary *Ore
in. Munsell Q Sz. Cont. Color Gr. Sz. Sh. nch
W 411
Ground SL I wy)b k
-
elev. /
14 -] it.
Depth to
limiting
factor
Remarks:
Boring
Ground
elev.
ft.
Depth to
limiting
factor
-----in. Remarks:
Structure GPD/ft2
Horizon Depth Dominant Color Mottles Texture Gr. Sz. Sh. Consistence Boundary Roots __�adTrench
in. Munsell Qu. Sz. Cont. Color
Boring #
Ground
elev.
Depth to
limiting ---
factor
. --in. Remarks:
Boring #
Ground
elev.
Depth to
limiting
factor
in.
Remarks:
SBD-8330 (R. 07/96)
Ajel
Tc w o o r= CY w rJ UID I V, Co .
IN
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f CROIX COUNTY
SEPTIC T;'.NK MAINTENAIwCE AGREEMENT
AND
OWNEkSHIP CE RTIFICATION FORM
Owner/Buyer J I � 1 f CJ�, an �
Mailing Address l!� � a� �I�1'1�1' } j -6 q 0_5
Property Address
(Verification required from Planning Department foi new construction) _
City /State Leg p6k,1 g �U31 Parcel Identific, lion Number _
LEGAL DESCRIPTION
Property Location rvt- '/4, 5( /4, Sec. ID , T 3I N -R_ W, Town of L
Subdivision , Lot #
Certified Survey Map # ` l _, V;�lumc T , Page # _
Warranty Deed # �o _,volume , Page #
Spec house ❑ yes'K no Lot lines identifiable ❑ yes 0 no
SYSTEM MAIN
maintenance
•o � our septic stem could result in its rcrnature failure to handle wastes. Yrope �
Improper use and rnaurtcnancc, f y p y (
consists of pumping out the septic tank every three years or sooner, if' needed by a licensed pumper. What you put wio the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the < ner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdiLposal system
is in proper operating condition and/or (2) after inspe,:lion and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
s disposal (/w e, the undersigned have read the above requirements and agree to m;u the p g p system with the standards rivate sewage osal
s
ntaut
set forth, herein, as set by the Department of ('ommer. :e and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year expiration date.
01 o/
SIGNAURE O PLICANT DATE
OWNER CERTIFICATION
this are to the best of m our knowledge. I we am (are) rite owners) of
I (we) certify that all statements on ns forn true y ( our) fa ( ) a
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGNA E O PPLICANT DA•i
' * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.
** Include with this application: a stamped warranty deed fi„m ;hc Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
STATE BAR OF WISCONSIN FORM 3 - 1998 612430
QUITCLAIM DEED KATHLEEN DEEDS
Document Number �o!_ .14U 582 ST. CROIX CO., WI
RECEIVED FOR RECORD
This Deed, made between ?A� A 10 -20 -1999 11:30 AM
'��, R h � S 1 i1i - F'Q cXS i d►Y�• '� ka�Y1'�S ;'
QUIT CLAIM DEED
Grantor, !'' EXEMPT N 8
�. &hn_¢yLd .�Q1ntr� 1 L. CERT COPY FEE:
and th)3 M
(1��1 l�. � C � � A S COPY FEE: 2.00
TRANSFER FEE:
RECORDING FEE: 10.00
PAGES: 1
Grantee.
Grantor quit claims to Grantee the following described real estate in II
sk , Qy x County, State of Wisconsin:
Recordinq Area
Name and Return Address
IVNp . t4 t4E'ly�
,SOOVh e0-S Q My-kr (SE 1 /y) O (�g,3 C ?Oown Rot
59-C IDY-) (0, Tmone r'% 31 `t�� oy� , Ra�h Somers -�- , cADi q0aS
Cp
oo�
Parcel Identification Number (PIN)
This 11 5 I)Ct homestead property.
(is) (is not)
Together with all appurtenant rights, title and interests. • p
Dated this O day of o c t
* (SEAL) (SEAL)
t (SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature (s)
State of Wisconsin,
ss.
r t X Count.
authenticated this day of Personally came before me this day of
oc7ro be-Y the above named
TITLE: MEMBER STATE BAR OF WISCONSIN to
(If not, N, me known to be the person S— who executed the foregoing
yH
authorized by §706.06, Wis. Stats.) . •. • instrument and acknowledge the same.
THIS INSTRUMENT WAS
� DRAFTED BY
leen
�• (\Ib Public, State of Wisconsin
�•••'' •••• '' { commission is permanent. (If not, state expiration d
b �
(Signatures may be authenticated or acknowledged. Both are not
necessary) •'� •�
' Names of persons signing in any capacity must be typed or printed below their signature.
STATE BAR OF WISCONSIN Wisconsin Legg
QUIT CLAIM DEED FORM No. 3 - 1998 MI.,
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ST. CROIX COUNTY
114. ti
� WISCONSIN
ZONING OFFICE
r r x r r x x x ST. CROIX COUNTY GOVERNMENT CENTER
"■" 1101 Carmichael Road
In Hudson, WI 54016 -7710
_ (715) 386 -4680
December 6, 1999
Consumer Loan Advisor Bank
Attn: Terry
New Richmond, WI 54017
RE. Sep tic Inspection for William Echo located at 2246 240 Street,
Town of Cylon, St. Croix County, Wisconsin
Dear Terry:
A septic inspection of the above referenced property was conducted on November 10,
1999. This property is located in the NE' /4 of the SE' /4 of Section 10, T31 N -R16W, Town
of Cylon, St. Croix County, Wisconsin. At the time of the inspection, this septic system
was found to be code compliant for a three (3) bedroom home.
If you have any questions regarding this, please contact our office at (715) 386 -4680.
Sincerely,
I�Q,Ui�. & 0- 6X,
Kevin Grabau
Zoning Technician
sm