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HomeMy WebLinkAbout006-1071-70-000 _ ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Own •� 5 1 ? G �'1 — h � •� Property Address 1.21 G rr l U� RF City /State V yn y u r it W a , L Y y 2 ' CP sr 1�9 Legal Description: 00" Lot Block Subdivision/CSM # N IZ t/4 t /4, Sec. ?,2, T IL N -R 16 W, Town of P SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMA Tank manufacturer Size ST/PC / L SG / /2UGSetback from: House 1 30 ' Well P/L Pump manufacturer ?,T1 a e Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: myu 1 d Width Length ` Number of Trenches Setback from: House I 1 ' Well PAL Vent to fresh air intake ELEVATIONS Description of benchmark M - t a o c l 7G Elevation Description of alternate benchmark m0 °! c Elevation Building Sewer CN ? ? 1 ST/HT Inlet 3 ST Outlet 3 2 2- PC Inlet 7 4 PC Bottom Header/Manifold Top of ST/PC Manhole Cover 2' S S � Distribution Lines O U O ( ) Bottom of System Final Grade Date of installation Permit umber 3 c State plan number ) 6 G S Plumber's signature �..w M a . License number , -° `� d % Date / y Inspector G 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. e $ e S rt PLAN VIEW =,i,, a �- q C Qld� se ww 3 v o 2 r� v -- M 1 1 INDICATE NORTH ARROW _ - - Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No ST CRO X Personal information you provice may be used for secondary purposes (Privacy Law, S. 15.04 (1)(m)]. 338954 Permit Holder's Name: I ❑ City ❑ Village Town of: State Plan ID No.: JORGENSON, STEVE - C.M. GROU CYLON ` CST BM Elev.: Insp. BM Elev.: BM Descrj on: , Parcel Tax No.: u . 0 q7 l ?V& i L 006- 1071 -70 -000 TANK INFORMATION ELEVATION DATA A9900193 TYPE MANUFACTURER CAPACITY STATION BS HI FS ,ELEV. Se Ic- %d Pc G Bencf� r �',q '77 • (O D r r O /a c>z> B U , 14 OA /o .� OaZ L/A 476 - Aeration Bldg. Sewer 9Y7.113 9,6 977, Holding I < L_ Jf�r Inlet �' f,y 13,(a 97q. TANK SETBACK INFORMATION ) Fp Outlet IN 7 W3 /3,17 q 7:3 S;l, TANK TO P/ L WELL BLDG. Ae Intake ROAD Dt Inlet %7, q3 1 , (� q73 , �f Septic A--I,& tld NA Dt Bottom Q� 7 ,113 17.03 97a y Dosing !! Nf f a� 133 NA Header / Man. $ S•Ja 7 , �✓ 9 , o — 1 Aeration NA Dist. Pipe fS Ja ? . 7 .9 . 0/ Holding Bot. System j F.Z-k, PUMP/ SIPHON INFORMATION Final Grade 7` ,S$ nr 9 ✓ Manufacturer _:. e 2 Demand 5 4, W,,,,W G 9 17 0 3 9 7 j r Model Number 9!K 0. -GPM L� �S$ TDH Lift ? .&I Lriction!r Syetem .2, TDH 0f Ft Forcemain Length Dia. ��� Dist. To Well �x SOIL ABSORPTION SYSTEM TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS L 7 DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type Of ^^ nn � i Model Num e System'00 p� 110 ^' �b0 �f OR UNIT DISTRIBUTION SYSTEM Header /Nj#nifoid Distribution Pipe(�)� �/ �, x Hol Size x Hole Spacing Vent To Air Intake 3 c1 /r Length Dia. 19n Length Dia. Spacing 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 ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) *3 .3 oqA ✓.,• /a.. LOCATION: CYLON 32.3 16.49 ,NW,NW 1893 HIGHWAY 63 90f °1 75 IV Q'I fo U -4 C 's 5e 0 �10wF &13111 ►a q.Z- g7&,;0-ovt¢,ur x`77. s ,o.ao 12.0 Ae.,F " b.i ld t� gGw•ti� - (� SfreL'� '8�0.Ct A, �fotit' �lole��sc(- Scbl �O• - bu, a e.+ bye IsJww Ea 5 ® A (f, ' 5 �:L �avt ��..e Plan revision required? ❑ Yes Ej No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's S nature Cert. No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i { E s E { em, y d } r e , r 3 t e # r 5 g a,m 1 s t # p f a � r # ° ��?- 2 Slapt s m, � f � 3 y # m i # _ .. .m #' .. , , . # , _,. _ .._ _ Ty p e p 3 e r � € # < s ; E y I F c 3.. a e € 4 Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue In accord with 1LHR 83.05, Wis. Adm. Code P O Box 7302 �SC�� Madison, WI 53707 -7302 Oepariment ol@t@ p lans lans in size Attach 1 inch (to the county copy only) for the system, on paper not less county �y . �1 C th rse side for instructions for completing this application State Sanitary Permit Num ber informati purposes on you provide may be used for secondary pur 7 7 p ❑ Check if revision to previous application fy Law, s. 15.04 (1) (m)). State Plan I.D. Number APPLI ATION INF RMATION - PLEASE PRINT ALL INFORMATI N Prop rty Owner Name Property Location t ri 1 4 / 4/ 1/4, S 3 z T 3 ( , N, R /4 E (or) -W Pro erty Owner's Mailing Ad ress Lot Number Block Number 11 - 0 rr r 4 (11, ,e t- k City, State I Zip Code Phone Number Subdivision Name or CSM Number 11. TYPE OF (check one) ❑ State Owned It ,o Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms ❑ Vil wn OF 6 V f v vt 4 e ' S 43 III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number (s) �2. 31 l (p - L 1 6 1 ❑ Apartment/ Condo 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 Ig Service Station/ Ca&-W sh 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" R New 2" ❑ Replacement 3" ❑ Replacement of 4" ❑ Reconnection of 5" ❑ Repair of an System St Tank Ol ________ysem __ny Existing xisting System ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 []Seepage Bed 21 M Mound 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 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 S —C f t— S` Z / . ! ?�, Z Feet `� 7 Q. L Feet Capacit VII. TANK in Ca gallo s Total # of Prefab. Site Fiber- Exper- INFORMATION Gallons Tanks Manufacturer N s Name Concrete con- Steel glass Plastic App New Existing strutted Tanks Tanks I Septic Tank Ing ' Tan hl f_ w . 6c- , - t =J ❑ ❑ ❑ ❑ ❑ Lift Pump Tank ber t/ I ZGv / t ❑ ❑ 1 ❑ ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility or installs "on of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum is Signat e: Stamps) �A11P/MPRSW No.: Business Phone Number: Plumber's Address (Streqt,tltity, State, Zip Code IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate slue Issuing gen ig u No amps) roved 2 � Surcharge Fee) pp ❑Owner Given Initial r.��`S� Adverse Determination rn / X. CONDITIONS OF APPROVAL / REAS NS FOR DISAPPROV OP6 SBD- 61198 (R.11/97) DIS BUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber X, INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe 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: L 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 online A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. V1. Absorption system information. Provide all information requested for numbers 1 through 7. V11. 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 2226 ROSE ST LACROSSE WI 54603 -1905 *hSconsin PhiTommy G. Thompson, Governor Philip Edw. Albert, Acting Secretary Department of Commerce October 21, 1998 CUST ID No.267341 ATTN.• POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN ZONING OFFICE 421 NMAIN ST ST CROIX COUNTY PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL dentificaton,Numbers APPROVAL EXPIRES: 10/21/2000 ` Transaction ID No. 181656 Jite I D No. 161831 SITE: �` _` +r, +� 'lease refer to bothidentification numbers, Site ID: 161831 ,, cv q�'r,� s h all correspondence with the agency. 2 Ulv r St. Croix County, Town of Cylon F Y I fi NW1 /4, NWIA, S32, T3 IN, RI 6W i' ,r Steve Jorgenson/ CM Group % _{ FOR: Description: Mound Object Type: POWT System Regulated Object ID No.: 430099 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holdirg tank that may be required for this project. See section Comm 52.20, Wis. Adm. Code, to determine if plan submittal and approval is required. • The plumbing for this project discharges to a private sewage system. The approval covers only domestic /sanitary wastes directed into this system. The Department of Natural Resources must be contacted regarding the treatment and disposal of all industrial wastes, including those combined with domestic /sanitary wastes. • The discharge of hazardous wastes to a private sewage system is prohibited by state and federal regulations. Accidental discharge of any hazardous substance to a private sewage system must be reported to the Department of Natural Resources or the Wisconsin Division of Emergency Government. • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard by discharge of partially treated or untreated liquid wastes to ground surface or into surface waters or groundwaters of the state, the owner will employ a properly licensed plumber to repair, modify or replace this system (including the possibility of installation of a holding tank with proper disposal) with such action approved by the Division and appropriate local officials. •' WEGERER SOIL TESTING & DESIGN Page 2 10/21/98 A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 10/07/1998 FEE REQUIRED $ 200.00 &rardM. Swim FEE RECEIVED $ 200.00 POWTS Plan Reviewer - Integrated Services BALANCE DUE $ 0.00 (608)785-9348, Mon - Fri, 7:15 AM - 4:00 PM jswim@conunerce.state.wi.us MOUND SYSTEM Page 1 of FOR `'j LOCATED IN THE Nw 1/4 OF THE mw 1/4 OF SECTION T 31 N, R 1 W, TOWN OF L,�{Lp1\3 Sr C -itpLk COUNTY, WISCONSIN. � INDE% 1 PAGE 1 of 7 TITLE SHEET PAGE 2 of 7 PROJECT DATA cfB `x`98 PAGE 3 of 7 PLOT PLAN �O�S PAGE 4 of 7 PLAN VIEW -CROSS SECTION Ol PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PA GE 6 of 7 DOSE CHAMBER PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR s�v�. S01ZG�1 S �!V LZ \ \S b sT P►�1F . 1V ©�ZT� , P.O •`,N ovally �,()N RCE DNS OF N CA C , p oN 0 A F Y ry CE E� GORRES DEN PREPARED BY S WECEFREFt SC7I L TESTING AND oS I3ES I GN ARTHUR L F.O. BOX 74 421 W. 1SAIH ST. WEGERER D-.915 P RIVET? FALLS. WI 54022 ; ELLSWORTH, 115- 4ir0165 -� t � d I G 1 eel N d � —� JOB NO. I PROJECT DATA P age Z of - I This proposed mound system will serve a convenience store with gas pumps. ANTICIPATED WASTEWATER 3 employees at 20 gpd ------------------------ - - - - -- = 60 gpd. 1 floor drain at 50 gpd ---------------------- - - - - -- = 50 gpd There will be 1500 sq.ft. available for customers. 1500 X 70% = 1050 - 30 = 35 X 1.5 gpd -------- - - - - -- = 52.5 gpd There will be a shower available for customer use, 3 showers per day X 15 gal per shower--------- - - - - -- = 45 gpd 50 cars per day are anticipated at the gas pumps. 50 X 10 gal. per car ------------------------- - - - - -- = 500 gpd Total -- = 707.5 gpd SEPTIC TANK 707.5 + 750 = 1457.5 gal minimum capacity required. A 1650 gallon Midwestern Precast,Inc. septic tank will be installed. PRAT P - _ page 3 of Scale 7 - o 0 O h SZ,oPOSr�.A � 7 T - ' %-- V . °lqo - ' P r-0 P A'N LT o , a 1y � -fp" Zr N 0 " 13 b R ! U - �CRL`A �Zb'. Z d rz. M. ffff 1 I n 6.Z pewlaa i y � rcfa*D o� rvo� �- ow►�r� -T � ; k P IN- ) w /L ATN. Loc.�pU Sk_� -�4 i�Y\ STW 6 wZu \s ' € > oo't kxsT of Muv'f� . o a "t NOTES -1�0 •1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( y required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. -Septic tank to be NbSO gallon capacity manufactured by r��o��i� Pt�utsr c�•.re. �s� ��� �� ��o �� ,w,�o►.�1�.r -N �Jk._ 5. Bench Mark PobE - A niuprt surface water around system to- prevent .ponding at the uphill side. I r WEGERER - SOIL TESTING'and DESIGN SERVICE SOIL TESTING - SEWER SYSTEM DESIGN ATTN: DATE 6 CC: SUBJECT: THE FOLLOWING ITEMS ARE ENCLOSED 0. OF DESCRIPTION COPIES 1 � 3a) SENT TO YOU FOR THE FOLLOWING REASONS: OR YOUR USE FOR REVIEW AND COMMENT INFORMATION DESIRED IOUE u�C aUX i WEGERER SOIL TESTING AND DESIGN SERVICE I i i P.O.BOX 74 421 N.MAIN ST. RIVER FALLS,WI 54022 PHONE 715- 425 -0165 r PLOT PLAN • Page 3 of • Scale 1 "= 4rJ ' r 0 y - o 0 ° IgO.S x CO o h 7� p� �' SLJ�r 60 4,aG �v`TU \t� P'PC1Z `rt.1 W 6 bltlu � ��r`A �ZO' o�'zJ "vve �.rti. \ N� � ! pup O� Iv OT COwtS�1�CT \� SG Rs PCRQA _-j � k _ 8 16.6 NaM41 - LL., atv 6'`F}1Gt{,31y "D1A. �fDp w /L1\'f31. LSL C1 \e t±tc 31y` - biA .PUC PlPL�r W / L47'}1 L o�RfiuU NOTES •1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Y required) 3. Install 4" observation pipes with approved caps. ( Z required) i 4. tank to be ZbSO gallon capacity manufactured by 'N1 l p k�LS t�rJ P t�oh t Svc. �S E ��'c.- 11� � �. �7.0 0 G i1t. ►"� Lb 1�+���7�t�J �.�k . 5. Bench Marks 'El-, � PMoyP- 6. Divert surface water around system to prevent.ponding at the uphill side. Page y. Of 7 Approved Synthetic Covering R s c 3 3 Distribution Pipe Medium Sand _ H G Topsoil - - -- __ -- F Elev. q1 Z ID 3 I 1 '' b 1,,� % Slope Bed Of 2�— 2 %2 ( Force Main Plowed Aggregate From Pump Layer D Ft. Cross Section Of A Mound System Using E •T� Ft. A Bed For The Absorption Area F o- ?3 Ft. G o Ft. • A �— Ft. H l S Ft. Linear Loading Rate= ' GPD /LN FT B Ft. Design Loading Rate= GPD /SQ FT j Ft. J 1 :2) Ft. K \ Ft. A 44e=&te Position L q uo Ft. of Force Main W 3 Z Ft. Jo L Observation Pipe K A - - w -- �------ .- ----------------- ----- -------- --- - - - - - -- I fig Distribution Bed Of 2 — 2 2 Pipe Aggregate Observation Pipe Permanent Markers (Anchor securely) Plan View For The Absorption Area e •f Mound Using A l3e� • Page S Of 7 Perforated Pipe Detail 0 / End View , Perforated End Copt 80'.. PVC Pipe b\ i °` Install permanent at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S P PVC Manifold Pipe II \\` PVC Force Main f + Distri ution Pipe Last Hole Should Be I Next To End Cop End Cop P 3y Ft. Dist P ip e Lay S y Ft. X 1 4b Inches Y �j U Inches Hole Diameter Inch Lateral l"q Inch(es) Manifold L Inches Force Main Inches # of holes /pipe ' Invert Elevation of Laterals a Ft. lr Place lst hole from center of manifold with succeeding holes at 4b intervals. Last hole to be next to the end cap. ' PUMP CHAMBER CROSS SECTION AND SPECIFICATIOMS ' PAGE 6 OF VEIJT CAP 'i 'C.L VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE _f r-T JUUCTIOW 90X COVER WITH WARNING LABEL 10' FROM DOOR, IZ•MIU. WIIJDOW OR FRESH _ I AIR tIJTAKE i - GRADE I yr Aim. COIJDUIT -' 18 "MIN. ---- - - - - -- 11� _ • PROVIDE I -- IMLCT AIRTIGHT SEAL I I • � I I I APPROVED JOW . A Tank construction shall comply I I�� APPROVED JOINTS with ILHR 83.15 and ILHR 83.20 I II I I ALARM �i II d I I i I ow C I I LLCV.al� PUMP --�, _ -i OFF D SEQ . Q COtACRETE 5LOCK 3" APPROVEL RISER EXIT PERMITTED OAILy IF TAWK MAAJUFACTURCR HAS SUGH APPROVALgEpplµ� SPEC.IFICATIOKIS ��LL 005E • Y'1lD>�l3 lJ PS2 r1 ST NUMBER OF DOSES: 3. SS PEE DAy TANK MAAJUFACTURCR. TAWK SIZE: lZ'�C7 GALLOWS DOSE VOLUME t �r, S�IS�TuJ -1 S INCLUDING OACKFLO AIJ ALARM MUFACTURLR. S .T• �.ECTTO MODEL NUMBER: 1 31 �Aw CAPACITIES: A= 3 WCHE5 0R � 1 �' � GALLO SWITCH TyPC: MtfQ. C.yR - B = Z INCHES OR b1 . G(►LLOM5 PUMP MANUFACTURER: -Z C - 6 1 I iWCHE5 OR Z0 Z ' s GALLOWS MODEL IJUMBER: g D - INCH O R 2I &' I GALLONS Q SWITCH TYPE: W� �r✓V� MOTE: PUMP AND ALARM ARE TO DC Y MIMIMUM DISCHARGE RATE LIZ. GPM INSTALLED OIJ 5EPARATE CIRCUITS � . �Z VERTICAL DIFFERENCE DETWEEIJ PUMP OFF AAJD..OISTRIBUTIOIJ PIPE.. FEET + MIAJIMUM NETWORK SUPPLY PRESSURE . .. .. 2.50 FEET } �� FEET OF FORCE MAIN X 3.`lo F Yo Fr F RIC - flo" FACTOR.. V - 6� FEET TOTAL DyUAMIC. HEAD = ' 222 FEET DIAMETER � IMTERAJAL DIMLWSIOW� OF TAWK: LEAIGTH ;WIDTH -- ..;LIQUID DEPTH 3 1 ? Z BOTTOM AREA 231= GAL /INCH AS PER MANUFACTURER = 31.11 GAL /INCH _ Pn6e? of HEAD CAPACITY CURVE 3. 7/8 s 1/4 MODEL i198" 4 5/8 s o I 3 5/8 = 6 m O U + + 15 O ° 4 4 3/16 \1.3b 0 10 2 �R. 5 1 1/2 -11 1/2 NPT 0 U.S. GALLONS 10 20 30 40 50 60 70 130 LITERS 80 160 240 0 FLOW PER MINUTE TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENTANDDEWATERING CAPACITY 12 HEAD UNnS/MIN FEET METERS GALS LTRS 5 1.52 72 273 I 10 3.05 61 231 15 4.57 45 170 4 3/16 20 6.10 25 95 Lock Valve 23' SKI 102 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 • Double piggyback variable level float switches are available or without alarm switches. for 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. Model Votts -Ph Mode Amps Simplex Duplex 3. Mechanical alternator 10 -0072 or 10 -0075. M98 115 1 Auto 9.4 1 or 1 & 7 — 4. See FM0712, for correct model of Electrical Alternator, E -Pak. N98 115 1 Non 9.4 2 or 2 & 6 3 or 4 & 5 5. Control switch 10 -0225 used as a control activator, specify duplex (3) or (4) D98 230 1 Auto 4.7 1 or 1 & 7 — float system. 6. Four (4) hole J -Pak, junction box, for watertight connection or wired4n E98 230 1 Non 4.7 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 infomlationonaddi nm[ ZoellerproductsrefertocatalogonCombinatanStarter ,FM0514;Piggyback All installation of controls, protection devices and wiring should be done by a qualified Variable Level Switches,FMO477; Electrical Alternator. FM0486; Mechanical Alternator, FM0495; Sump/ licensed electrician. All electrical and safety codes should be followed including the most Sewage Basins, FM0487; and Single Phase Simplex Pump ControllAlann Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. . _ MAIL TO: P.O. BOX 16347 Louisville, KY 40258-0347 Manufacturers of. . SHIP TO: 3649 Cane Run Road Louisville, KY 40111 -1961 ,Q=17Y)QUA8 SIMUF ISi79� (502) 778-2731 - 1 (800) 918 PUMP FAX(502)774 -3624 r - Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page \ of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Ste. QlCzz �4 Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 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. O 0 APPLICANT INFORMATION- PLEASE PRINT TION REV EWEDBY DATE PROP // ERTY OWNER:'(�U�, sDR.G >�ltiv PROPERTY LOCATION f9VF--L$T } 1 /41QW1 /4,S 3LT 31 ,N,R )b E( W PROPERTY OWNER':S MAILING ADDRESS `' ` `, LOT # BLOCK # SUBD. NAME OR CSM # — CITY, STATE ZIP C E- `: PHONE NUME6 1n., EICITY []VILLAGE ®TOWN NEAREST ROAD P\H " " N �Q New Construction Use [) Residen' Y %member o ti ppts [ I Addikn to existing building 1 Replacement (, Public orco � -� fbe GaU. i�►,1��lve� S`nyLe derive 'I fl ow -S ! I ' I �� nd d esig n rate bed ft trench Code de ed dal y o gpd a ed d g g _� , gpdt , gpd/ft 2 Absorption area required S ° lD bed, ft2 s c 0 trench, ft2 , Maximum design loading rate • S bed, gpd /ft • trench, gpd/ft Recommended infiltration surface elevation(s) CI_)_) • 2 ft (as referred to site plan benchmark) Additional design / site considerations hbut W / 8' y1 y ' BAD . Mw lmum L oF- 5P� F1 tom, Parent material L c3 S O V N5t 6Lf l tit `S1 L�- Flood plain elevation, if applicable M. R, ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN. FILL I HOLDING TANK U= Unsuitable fors stem ❑ S Q U 0S ❑ U O S E U ❑ S ®U ❑ S O U O S IK U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boux�ry Roots Bed Trench ` 0 -8 2,`F �,SkTz v Zen �bk ►n'� cw - s L Ground L elev. q . n ft. y 33 _ `( s `t R ( - ) •S - f R. S L C )'4 j C S 1 • 3 Y Depth to S 6V 6 -S Y TL VIV ti S o- I O>_, In limiting factor Remarks: Boring # ::�•.A.�4�.. # o -b ot Z z z. t ry > ti< SY V - sib - Li - Sb Z mn 3 Z6 S Z 'S `2 r~ 3/y S R S )'6 ld 'sG �`^� c CS Ground elev. y Sz_6 L SI % %A o� m y . S g 73:1 ft. Depth to limiting factor Z io � Remarks: CST Name. Please Print Arthur L. We erer Phone: 715- 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: C� Zs� 4 M00576 PROPERTY OWNER ��G�r ` ._ ._; J SOIL DESCRIPTION REPORT Page of 3 PARCEL I.D. # O 0 b l X7 - - 70 Depth Dominant Color Mottles Structure GPD /ft Boring # Lrizo in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bourxtary Roots Bed Trends a--5 IOH 3/ Z — S1\ z`� - a �► r 0=S 3 n, $ z8 to --I,tz �1 L — s c i � - z+3'V Ground Z$ -Vy S �1`Z 31V �n,s - s L ��^, C ele Z s - o f t. \4 qq -63 Z -S`flZ VJL Depth to limiting factor Remarks: Boring # E3 i Ground eleu: i ft. Depth to limiting factor Remarks: 6dxng # Ground elev. ft. Depth to limiting factor Remarks: Boring # rJ G'o,Gid efev: Depth to liming factor Remarks: SBD- 8330(R.05/92) PLOT PLAN Page 3 of 3 SCALE V'= 4O ' 3 0 - a n�opos� o P Iz-o P PrIV c O N 6V Gu10 g_t N ri %Yn EL, q1q. b' otv 6'' E+tG 1{, 3Jy' "DlA. pve PlD� k. T . LIL , aF)4.0' L-I\,J W N±tG ff, 31y` b1A .Pve Ply w /LA" Lo��u>J Sk�Te -l� EXts))Q6 w� 1s Zoo's of wtiov� . W ° 0 o'L �yt 10 _' 71 ) 4 2A-0165 14 00576 CST Signature Date Signed Telephone No. CST # . Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 tabor and Human Relations . Droision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code . COUNTY Attach complete site on P aper not less than 81/2 x 11 inches in size. Plan.must include, but 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 RBY D ATE PROPERTY OWNER:T�U� �D26 t S ptv PROPERTY LOCATION L` !p - CBg-L,F NW 1/4 11W 1/4,S 3L T 3l ,N,R 16 E { W PROPERTY OWNER':S MAULING ADDRESS LOT # I BLOCK # SUBD. NAME OR CSM # _ \-L\XS 6 Ne , ►J(,r t CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [@TOWN N � b3 EAREST ROAD M _ >QgK" " N SSWZ (612) SS - 7- CM6% C� -cLoty tj s �Q New Construction Use j ] Residential / Number of bedrooms [ ) Addikn to existing building Replacement j>q Public or commercial describe CntiJ V�1J� 5`TO SZ-� Code derived daily flow _ gpd Recommended design loading rate _ bed, gpi:W trench, gpd/ft Absorption area required S °L.D bed, ft S of 1 ) trench ft Maximum design loading rate -S bed, gpd/9 -6 trench, gpW Recommended infiltration surface elevation(s) °L " 1 ft (as referred to site plan benchmark) Additional design / site considerations M�y>� w / f3' y- 1 y tep . M LN l m UIH 1.Z" of 5VTk-'7 F1 Lf - Parent material t S 0 y Zt G\e. t jl. `S1 Flood plain elevation, if applicable M. N' it S =Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM N. RLL HOLDING TANK U= Unsuitable fors stem o S Q U Ms ❑ U ❑ S ®'U cis IOU ❑ S au 1 ❑ S NU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ' Roots Bed Tmnch ' :': � O'� �.D`{tZ 3 �Z � Sl � 2,`'{ -sblz M-t`� �S � . S •b 7, 5L/R 3 Y — 6r St I Z ►vt SbV� 1n`�'t Cw ` S L Ground 3 18 lo�tZ 3)i� — S,5 Z�Sbk Yn'E'h �ti - �S L elev. g 33 -L`( S`1R Sty 1•S`IRSli3 Depth to S b y R y lV ti S O� , ry► T l� N P Z limiting factor Remarks: Boring # S o -v Ground S )'� l a'sG � Q� c CS elev. U Sz_6� `1v sly �� 1`�s ov Yvt .y .S q ft. Depth to limiting factor Z. N Remarks: CST Name. — Please Print Arthur L. We erer Phone. 715 - 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Fa11s,WI 54022 Signature: .,{� v� Date: CST Number: 2,d . Al,'I-tiz `1&' -L4 °�- �Z_gg M00576 PROPERTY OWNER Z-76 ,- �J SOIL. DESCRIPTION REPORT Pag6.? of 3 0 AACEL I.D. # Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed iTrer& Z $ Z8 1 3 — si, 2'� S�k 1�`F4- �S • S Ground 3 IP 4V S c� cg N1"� rip elev. �1 -63 4 y Z -S `Itz V IA. .. ft. Depth to I'tmiong factor Remarks: Boring # 's Ground elev;. ft. Depth to lir�titit�g factor Remarks: 3 ;Ground elev. ft. Depth t,o limiting f'r 1 I '* ipg # Remarks: G Q4hd .. „ Met f. t' I Depth to 11M (ting *f 51 Remarks: S D 8 �,0(9 01/92) e. . I � PLOT PLAN Page 3 of 3 SCALE 2 3 0 y - i h' SZoPOS� � hl ar P rzo P A q c co -FA 0 N T 6.1 N n � G i J � S1'fLT k C7 U \3'CJ�Z -ice �R`ClS �Lch� �� � f 8' oiv 6'` ►H6 H, Sly' "DIA. pvC PjDp ►tilLA- -J. %m L-TL . q19 .p' Ohl W 1+Ia t�, 3) V' DI A . \RUC PIPL w/ 1 -A7N , 1 _ o c Afi uU , •�f�� \ dot 0 0 ( 715 425 -0165 I400576 CST Signature Date Signed Telephone No. CST # ST CROIX COUNTY Y SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer S t v Pele g h Sa if 6 e , ti y Mailing Address I 1 /S Gi sC l?U� �� 2t� I e - �ln M SS - y q , L Property Address 3 P w (0 3 (Verification required from Planning Department for new construction) PIP City/State Parcel Identification Number 6 /0 - U LEGAL DESCRIPTION Property Location CJ 1 /4, (`J y a, Sec. 3 2 , T 3 N -R W, Town of fv c� Subdivision , Lot # Certified Survey Map # Volume , Page # Warranty Deed , Volume 2 , Page # ` S Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification ' stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year exp' lion date. GNA 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 abov , by virtue of a warranty deed recorded in Register of Deeds Office. 5/ 'STd N - k1b W 0F,APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 1 S st:!(e [tar t,E Wi,con n F,, rtt _ 1982 NARRANY1 DEED f� �, _ _ 1f oocu�.:Erv� NO K": ER'S OrFiCE ST. CROIX CTY., W1 Peed to Pecad Arthur Mugerauer ane M ary Jane JUN 4 1996 Mugerauer, husband and wife, as joint tenants, at 5:30 A. M ,'tm%c} and warrtnt, ht Crtarles L. Jorgensen and ^ * 0,41, Maryann Jorgen. en, husll and RepEefKof0oeds wife as survivorship marital property, rl11' 'A." .Eq.r �` [. ".N H .:1••. •.: " -�.`. A •.A'; t, FiL` . in.A.�e- Ww �r��y v >c,2�Q Jerry arvieux St. Croix 1 ;south Knowles, P.O. 96 the Iloiiingdrvrihrdrealtaatcin _ Vew '2ichmonO, WT 1 ;4017 C •unt%. State of \► isa,nsin: 006 1071 - 70 Panel Identification Number) Part of the NWQ of. NWk of Section 32 -31 -16 eescrihee as follows: Commencing at the NW corner of said NW� of NW'; (Being intersection of centerlines of Highway "64" and High- ways 11 63 "); thence East 500 feet; thence South 500 feet; thence Sout' to a point 678 fee` south of place of beginning; thence North to place of beginning. S D SffR This is ht mrstead prulxrt} (is) (RR9ChC Exctptiunto hairanties: Easemetits, restrictions anr reservations of record. Also su'7ject to all builOing, governmental requlations any' or lane' use and zoning regulations. 30th davot may Iv 36 Dated thi - A 1" H? o uUGERAit7ER t (SEAL) ;�,�, n,� }i - LL' ,Lccx't.� oo: \l. MARY J5�`f'F *1UGER�AUF , AUTHENTICATION ACKNON% LEDGNIEN F Arthur Muger,luer and ST►TF: OF I,%1, OV` I` f Signature(s) .. Mary J : :ine Mugerauer, husba+•:' a 1 wife as j�oi t tenants ( �^ M 19 96 pt :. ^.r_ nc hef, r hi, authenti" d thi. 3' PRi1CF SCOTT J HNSON F1T1 E: ME MBFR ST:AFL B \R OF 1Y1`, ONSIS (II not, awhnn -_d by §70;, -O6. AV,,- Stau ) t: :.. ;,,,_•.- the (`rrn,�n ah, rytF , yti , ;',9£tiT :'.A jOHNF�ON & T?ITTFR . Luc WI 54853 -0A30 `, t . �,.. i..yl:,t n, Ott , li ,rt. pia; -• . jr.. , n n:. 1lienaturr m.ts he auth.- w:,aitt r It: .tre not t n•� a N \Ci 1: i \I,It,t ,; ♦t \; : ti iR +)F �i l.t it =.7' _ F It I:,.