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HomeMy WebLinkAbout018-1075-20-400 �1 ti 0 fA O $ M n d _1 a d C d C rj CD CD � CD m m CD O w zg 7� z z n W m o m o S < C W N �r a V V a M n m w 3 cD p N : C m 3 0 A 3 O (D '� N 0 .. J J O 1 U7 ^t N N N 3 Q < N N 0 0 0 0 C � W O 0 V p O (D Ul O N 3 4. 7 H A 7 O O L1 ID v v < D ,� a O) O C C C) 0 N N 3 {s C C CD N N CD o f 3 n r Ul l V � co co N o c t�l 3 3 .. Q o � "ad. O C O C O CC O CC lv N N v q N O O O =r CD W w f01 W 0) CF) c1 'a 7 T i w 3 n ' W z z O D D o O c i C - =r n CD C: w � z N �_ CA n p z O O Cn -1 w m fj A a 3 z cn c .. N z O � A v CL � o � I v c 0 0. CD O I 0 a A "7. t � O N O o_ (D OG OOp � O b i ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner Property Address I It 4 ?1 4,6 J, 1 - e - N City /State r Ly sT c Legal Des ription: _ 2 > 0 / Lot Block Subdivision/CSM # /3 S 1 /4 S 2 1 /4, Sec. V , T'JN -RAW, Town of SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC /000 / GIO Setback fr m: House /D Well Pump manufacturer Model O r z Alarm location 0 7j (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh a• e e Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: Width LengtIC Number of Trenches Pkj Setback fro m. H ouse s -2 Well ybU Vent to fresh air intake o?O o ELEVATIONS Description of benchmark ._ Elevation Zd2. 4 Description of alternate benchmarlY 5r ,.gx Elevation ,?X Building Sewer ST/HT Inlet ST Outlet PC Inlet 29&2SO 9 PC Bottom 7Y U Header/Manifold • Xc) Top of ST/PC Manhole Cover Distribution Lines - 8O O ( ) Bottom of System .52� O ( ) Final Grade () �� o ( ) ( ) Date of installation /off / er it num plan numbe er State t �� 362/ 1 � p Plumber's signature License number Date 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 b 12 v �l AD D Pr �O INDICATE NORTH ARROW I I Wisconsin' Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permi IX Personal information you provice may be used for secondary purposes [Privacy Law s.15.04 (1)(m)]. 33 PerrpitNoldQC' El City_ ViINA Town of: State Plan ID No.: CST BM Elev.: -i1 1llJAA Insp. BM Elev.: BM Description: Yl 1V Parcel Tax No.: 10o . 0 1 10D. a) 1k U TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 0Q0 Benchmark — (,Q Clg,1 O Dosing /AI-JV. SK $1. 39 Aeration Bldg. Sewer It R2. 10 Holding St /Ht Inlet 16.92 x(.2.9 TANK SETBACK INFORMATION St/ Ht Outlet )�• 1D Q(. 10 TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet 1 �•9 Air Intake Septic 72� I� NA Dt Bottom �. g, ( Dosing s _ 2.Z� NA Header /Man. ,Z.4Z 9S. L Aeration NA Dist. Pipe Z. YZ 45-.@) Holding Bot. System 3. 1 5— 4s pyr Ak PUMP/ SIPHON INFORMATION Final Grade} Manufacturer Demand y3.s . }G j Model Number 5D GPM Lift ��,2 Friction System Z.S TDH �p• t Loss Forcemain Length 255 I Dia. Z a Dist. To Well SOIL ABSORPTION SYSTEM QKW TA" r Width r Length 1 Of PIT No- Of Pits Inside Dia. Liquid Depth DIMENSIONS 1 + tC k Am 14 DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O r Model Number: System: 1A Ic 3 >50 OR UNIT DISTRIBUTION SYSTEM Header / Manifold �� Distribution Pipe(s) if x Hole Size x Hole Spacing Vent To Air Intake L� Length 5 r Dia. 2 . Length T� Dia. t L� = Spacing 1 f4 " 3110 It 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.) LO �CAT A T, ; QN HAMMOND 34.29.19,SE,SW 1842 p 60TH AVENUE — LOT �p - 10. d' -� �0+�ti �NL f � C.� �° °" S 5'fl O 2 0 S� I t . (> 36 t o r) °w^Mox s w.. cad PAW" -n n .-� A 'W 5 .= bibµ. �At�4 w . �, � nn (F)_ - �- � -!Q 6�� 26 tev'Q,r wAurk AA 0 . t ,6� 6 SI.a"Lo, r L Plan revision required? No g. rr--•••••• Use other side for additional information. ""�` SBD -6710 (R.3/97) !� w t 7 4 s I� Cert. No. � v I ' ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: , f , . � a , ff g. em , F , F 4 t , S { , = r 3 8 E { Q i , � mm { 4 i [ F i it .._. .._. , .. , . .. ... , __..._,.. ..... —,.. ..,..- � �, ..._..... .L ,.,,...., m. ...... ... ,.,,,. ... < i i f d I � & W Ya 6 w E .tl ........... .... .. , _. , — .«.,..... ,. a ._. .. ___ •_• ... r 3 I e s t , e £ i , , e" F ; Safety and Buildings Division ?N*6consin SANITARY PERMIT APPLICATION 2 1 Washington Avenue Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Box Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8112 x 11 inches in size. C_ / • See reverse side for instructions for completing this application State Sanitary Permit Number Personal information umber y ou p rovide may be used for second � on y p y ry purposes El if revision to previous ap ication [Privacy Law, s. 15.04 (1)tm)l_ State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION a 2 - 1 Property Owner Na Property Location 114 1/4,S T� ,N,R E(or Property Owner's Mailing Address Lot Number Blo Number — XA * _-� Z / / i City, S to - Zi Code Phone Number Subdivision Name or CSM Number J y dv J ( J S) d II. TYPE 43F BUILDING: (check one) ❑ State Owned ❑ C it Nearest Road o Public 1 or 2 Family Dwelling - No. of bedrooms 3 Town of III BUILDING USE (If building type is public, check all that apply) Parcel Tax Nu ber(s) /� l 1 ❑ Apartment / Condo y- 2 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) w 2 E] Replacement 3 E] Replacement of 4 ❑ Reconnection of 5 ❑ Repair of an ______System ________ System _____________ Tank Only______________ Existing System ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 2.VMound :ify Type 41 ❑ Holding Tank 12 [1 Seepage Trench 22 ❑Tn -GroL 42 ❑ Pit Privy 13 ❑ Seepage Pit / 43 ❑ Vault Privy 14 ❑ System -In -Fill l VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. c. Rate 6. System Elev. 7. Final Grade R�uired�q. ft.) Proposed` . /inch) Elevation 4 y,5 6 / Feet Feet capacit bll. TANK in Ca allon s Total of Prefab. site Fiber- Exper. INFORMATION New Existin Gallons Tanks Manufacturers Name Concrete strutted Steel glass Plastic App Tanks Tanks Septic Tank or Holding Tank x Q ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber �rlQ ) ❑ ❑ ❑ ❑ ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for instal ion of the onsite sewage system shown on the attached plans. Plumbe 's Name: (Print) Plumber's Si (No St a MP /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, ate, Zip Code): Si 3 s IX. COUNTY/ DEPARTMENT USE ONL ❑ Disapproved Sanitary Permit Fee flnciudesGroundwater ate Issued Issuing Age Signature (No Stamps) Approved E] Owner Fee) Owner Given Initial ,� , Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber E I INSTRUCTIONS ♦.�, ; 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact 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 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. 7 Safety and Buildings 15837 USH 63 HAYWARD WI 54843 -8107 TDD #: (608) 264 -8777 www. commerce.state.wi. us *isconsin Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary May 06, 1999 CUST ID No.226900 ATTIC• POWTS INSPECTOR ZONING OFFICE SHAUN R BIRD ST CROIX COUNTY SPIA 513 55TH ST 1101 CARMICHAEL RD CLEAR LAKE WI 54005 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 05/06/2001 Identification Numbers Transaction ID No. 223215 Site ID No. 171755 SITE: Please refer to both identification numbers, Site ID: 171755 above, in all corres ondence with the a enc ST CROIX County, Town of HAMMOND; 60TH AVE, BALDWIN 54002 SE1 /4, SW1 /4, S34, T29N, R17W Facility: DAVID BURCH 60TH AVE, BALDWIN 54002 FOR: MOUND SYSTEM, 450 GPD Object Type: POWT System Regulated Object ID No.: 466334 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: 1. This plan action is subject to designer comments on the plan. 2. The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of maximum slope. 3. The area 25' below the downslope edge of the mound must remain undisturbed. 4. Provide 3" approved bedding material under tank(s) per COMM 83.15(4)(c). 5. Maintain well and waterline set backs per COMM 83.10(1) and 83.14(4)(a). P O. 6. The proposed septic tank is a 1000 gallon tank manufactured by Weeks. r/ Cota`h A copy of the approved plans, specifications and this letter shall be on -site during construction and open to APPF 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 DEPARTMEN' construction /installation/operation. F Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the addr on this letterhead. SEE CORR' Sincerely, DATE RECEIVED 04/23/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 PATRICIA L SH ORF , POW PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE.STATE.WI.US WiSMART code: 7633 r • , y PLOT PLAN PROJECT David Burch ADDRESS 1641 31st. Amery Wi 54001 SE 1/4 SW 1/4s 34 /T 2„ N/R 1 W TOWN Hammond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4 BEDROOM 3 CONVENTIONAL IN- GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT 'TANK SIZE DOSE TANK SIZE 800 HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 375 BED SIZE 8'X 47' IL BENCHMARK V.R.P. Orange Spike in Elm Tree ASSUME ELEVATION 100' ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 95.7 Scale = 1/4" = 10' Alt. B.M. B -1 B -2 B.M. Force Main ' B -3 4% Arpa 25' Below Slope System to Remain Ubdisturbed System is to be 420' installed along the 94.7 Contour Line Tanks are to W. r S. properly bedded X1012 with approved a warning labels and a Well is to meet all lockdown cover for V dose tank setbacks found in r pF CoM.m- Comm. 82 and 83 E DT 1 1 r ;SPpNp ST 1000 �,xt w wt Pro 3 Bedroom House 60th AVe Designer No v Date Non - Woven Filter Fabric 4 Observation Pipe Perforated Below Filter Fabric ,Distribution Pipe ��-� ASTM C -33 Sand i / ��� 4H c " Topsoil 1 �'. Scope Bed Of fy�"- 2 % Force Main \Flowed Drain Rock From Pump Layer ! of ID / t,/ C Section Of A Mound System Using ' E A Bed For The Absorption Area F G` A Ft. H 6 Ft. &4_Zx" I Ft. J 7.5 - Ft. K/ Ft. L Ft. W 3Z, r Ft. L F, J _ 4Observation Pipe -,,, - A I " �.-_ _ I Force Moin I W L to -- From - - - - -- From Pump 3 ° Distribution Bed Of �Z�— 2 %2 0 Pipe Drain Rock 4 Observation Pipe Permanent Marker Pipe or Rods Pion View Of Mound Using A Bed For The Absorption Areo PAGE OF li PLJt"kF' CHAMEEP\ CROSS SECT!OI 4.A15 SP[CIF'ICA "101 Q7 CAP APPROVED LCiCi<,i;'.;(, WEAL NERPKOOF JUUCTID J BOX MAFIHOLE CGVE P. wIIJDOw �'�. �,�ESM 12MIU. AIR IIJT.AK I GRADE COQ DUIT - - PROVIDE 11, 11JLET - I — AIRTIGHT SEAL I I I ( J I I I I III ALARM 6 I II I I *APPROVED I I oti < >l/ JOINTS WITH I i ELEV b/' �T. t APPROVED PIPE PUMP - -j I 3 ONTO OFF D SOLID SOIL CO+.ICRETE BLOCK RISER EXIT PERM)TFED OQLy IF TAUK MAIJUFACTURCR HAS SUCH APPROVAL SEPTIC E 5PEGIFICAT10QS DOSE (t TAIJKS MAQUFACTURER: QUMBER OF DOSES: PER DAB c / `AUK SIZE: QQ GALLOQS DOSE VOLUME ALARM MAIJUFACTURER: P ' yCQ�,.�Q InICLUDIKIG 5ACKFLOW: 45 �0 GAL�_ONS MODEL ►JUMBER: CAPACITIES: A- _�ys IAICNES OR Vo GAL L0k,15 SWITCH TYPE: % � ,� T B v 2 IMCHES OR C `� GALLOIJS PUMP MAIJUFACTUR{LR: ' C = - 7 4 — : IQCHES OR / 4 /_&AL'LOUS "ODEL IJUMBER: ~ D = INCHES OR � uAL!OlJS SWITCH TYPE: %�+ /� �./+ IJOTE: PUMP A�1D ALARM ARE TO DE + GPM / INSTALLED OA1 SEPARATE CIRCUIT MIQIMUM DISCHAR�E RATE -3 VERTICAL DIFFEKEQCE DETWCCU PUMP OFF AUD DISTRIBUTIOIJ PIPE.. ` FEET i + MIKJIMUM M ETWORK SUPPLY PRESSURE , , , , , . , . . 2 . 5 FEET L n �,/ + � FEET OF FORCE MAIIJ AP 5�'L F /ooFTFRICTIO►J FACTOR.. $. 3 FEET TOTAL. DLJQAMIC. HEAD FEET 1 IUTERAIA''" DIME.US IJ OF TA EIJGTH _;WIDTH ;LIQUID DEPTH _L — 51GUED: LICE.IJSE IJUMBER: C2C2 U / d0 DATE: � J l s Goulds Submersible Effluent Pump le It 3871 EPO4 EP05 APPLICATIONS • Fasteners: 30(. series FLIdy submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel grade turbine oil for for efficient heat transfer, • Capable of running lubrication and efficient strength, and durability . following uses: dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Effluent systems components. tic cover with integral handle • Homes Motor: Available for automatic and and float switch attachment • Farms • Heavy duly sumf., • EPO4 Single phase: 0.4 HP, nanual operation. Automatic ;lodels include Mechanical Points. • Water transfer 115 or 230 V, 60 Hz, 1550 lode Switch assembled and ■ Power Cable: Severe duty • Water triny RPM, built in overload with ,reset at the factory. rated oil and water resistant. automatic reset. ■ Bearings: Upper and lower SPECIFICATI • EP05 Single prase: 0.5 HP, FEA heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, _ Pump: EPO4 built in overload with ,r EPO4 Impeller. Thermo construction. • Solids handling capability: automatic reset. Mastic Semi -open design ' /4 " 111axlnlunl. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. 9 Canadian standards association • Total heads: up to 24 feet. with three prong grounding ■ EF05 Impeller. Thermo- • Discharge size: 1'12 NPT. plug. Optional 20 fool (CSA listed model numbers length, 16/3 SJTW with plastic enclosed design for end in "F" or "AC ".) • Mechanical seal: carbon- g improved performance. rotary /cerlIn ic three prong grounding plug BUNA -N elastomers. (standard on FP05). ■ Casing and Base: Rugged • Tenlperttul(,. then ioplastic design provides 10;1 (40 Continuous superior strength and 140 °F i601 fl"') intermittent. corwsion resistance. • Fastene(`l -;00 series METERS FEET stainless steel. 10 • Capable of running dry without damage to 9 30 -- __..._. __... _ ; __ ._. I _.. _ . .-5GPM components. Pump: EP05 8 -2.5rr Solids handling capability: o 7 • 25 – _._ '/4" maximum. Q = LU • Capacities. up to 60 GPM. M s • Total heads: up to 31 feet. • Discharge size: 1 NPT. z s • Mechanical seal: carbon o 15 ___._ - -__. __._.._._�. _ ..--- .i- ._.. -. -._- rotary/ceramic- stationary, a q I EPOS BUNA -N elastomers. O • Temperature: '- 3 10 — - - - -' ._.._..._.. -- { 104 °F (40 °C) continuous EPO4 140 C intermit t. 2 j s' o L ot, ;o.__ _ 20_.. 3 0 - _.. ao 5 GPM C 2 1 6 e 10 12 m /h CAPACITY t 1995 Gou as Pumps, Inc. Ellective May, 1995 R3P7, r - r - flit ro h I r Performance Data P ump Ch aracteristics Pump /Motor Unit Submersible Manual Models (50) M1 M2 M3 M4 MS 90 Automatic Models Al A2 25 80 Horsepower 1/2 Fvll load Amps _ { l 15. 1.6%7.1 3.2/3.1 1.6 1.2 70 1 ti ` Mato Ty po ritnr Stnrt 10 —' c � 3450 1 n __, Sri ana 0 ( - _ 230 208 -230' 460 575 - - I Manual Model (100j i M2 M3 M4 M5 0 30 Autom at_ic�M_o od de_lss 12 l I - Hnrsepower 1 20 5 (Full toad Amps 13.6/12.1 6.0/5.8 2.8 1.9 10 Motor T ype Capacitor Start 30 R °M 0 0 3450 ^ap '1cfty, I is GPM 0 0 ?r n Phase �_ -- 3 0 { - - _ _ 0 50 60 7q n -T — - -- -- -- - T -- - Voltage 30 2oa23n 460 575 Frs /S road 0 - - I Hertz a = -- I X IUlri Tn 6Q ?empernture r Mr x F PlEMA Design �- B Total Head (feet) 17 25 sC 54 60 65 70 i F^ Insulation Class B GPM 1/2 HP 69 63 50 36 10 0 Discharge Size I HP - 90 80 72 63 51 9 2" NPi Std. 50 35 Solids Handling 3/ Unit Weight 58 lbs. (50) 65 lbs. (100) Power Cord I I5V, 14/3, S1TW -A; 230V, la, Dimensional Data 16/3 STW -A; 30, 16/4, STW -A, ^i All cords 20' std. with 30' opt. 1. All dimensions in inches. 2. Comnonent dimensions may - -�n, • inch. Ma terial 3 - ;nnslruotion purpos r rid. S Constru ctiotr� n .,;ins and weights are �t n ox I te 5. lNe reserve the right to make revisinns to our products and their �nndle Stainless Steel i soPC flcations without notice. _ __.. Motor HouS Dielectric 0i! �� • h (automatic modal L ubric a ting Oil l 9 Cast Iron x Pump Casing Cast Iron 3 1 I /I6 ' I j Shaft Stainless Steel "r Mechanical ( r_ Senl faces: Carbon /Ceramic Shaft Seal Senl Rndy: Rrns5 Sprinq: Stainless s!ecl Y Bellows: $una -t`' - Impeller P Engineered Thermoplastic - Upper Bearing Single Row Ball Bearing 12 118 L Lower Bearing Single Row Ball Bearing q , - Bottom Plate Polyester Coated Steel - - , 9 Fasteners Stainless Steel Legs Engineered Thermoplastic SHEF501 SHEF 100 _ AURORA /HYDROMATIC pumps, Inc. 1840 Baney Road, Ashland, Ohio 44805 (414)289 -3042 r Wisconsin, Department of Commerce SOIL AND SITE EVALUATION Cam/ ,6ivision,of Safety and Buildings Page of I� ,Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches iR Plan must," ^, County „ include, but not limited to: vertical and horizontal reference point ;.E Wp, direction and r percent slope, scale or dimensions, north arrow, and location and distance to nAresoad `!» / t"! .,r �"�' ` arcel I. D. # APPLICANT INFORMATION - Please print all ia�formagn. 1 ewed by_ Date F, 1tjC Personal information you provide may be used for secondary purposes �6y cy s`1 5.H4 (1) (r�)f.` Property Owner ftslowy Location tt Zt. it?BoiQ`•'t 1145to 1/4,S3 ' T,, 9 ,N,R =pr) W Property Owner's Mailing Address` ,' Lot # Blocky Subd. Name or CSM 1 '6-1_ 23 `° c or City State Zip Code Phone Number ❑ City ❑ Village [] Town Nearest Road rul New Construction Use: Residential / Number of bedrooms S Addition to existing building Replacement 6 Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate •gi bed, gpd/ft ! trench, gpd/ft Absorption area required _Y!2<" bed, ft , 76 trench, ft Maximum design loading rate •-0 bed, gpd/fl . _ - trench, gpd/11 Recommended infiltration surface elevation(s) f 1 r, / ft (as referred to site plan benchmark) Additional design /site considerations Parent material CLA- e ;A 4 r/2 4 Flood plain elevation, if applicable At .4 ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system I ❑ S ® U S❑ U I ❑ S Ua U I ❑ S IN U I ❑ S I U ❑ S ®' U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 0 z S ;t Al S6 Ground 3 elev. /v ..� i� M 6 � -- Depth to limiting factor Remarks: Boring # .6 o -/u /D S'/ L f" Ground elev. q " ft. Depth to limiting factor , '�1 f-in. Remarks: CST Name (Please Print) Signature Telephone No. to S -.2 46 Address Date CST Number SOIL DESCRIPTION REPORT PROPERTY OWNER -)WA A0 My I? /V Page & PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench 2 o S'd L .4 6 /`7 C 442 / voi:r . Ground )AIA46 14F .3 7.3� -eft• , Depth to limiting factor 2- in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; .................... ........................... ........................... ........................... Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) t o � 4 g 41-_ I -- - -. o s A A l e' � o e Ay i Pi it - -. . - I -- - - -- - - - - - - - - - -- - -- - -- Rd ! I 1 -- i - -1 -- 4i -= - -- -� -- -, - - -- - - - -- -- ;- -- t- - - - -- -- - 1 ' - - -- - �- � �i 1 - C , I I ! � � i r : i 4- - - L : i I l - - - - �- - -! f I > - -- - - - - -I- L_ - -- -- -� - -- - - -- -- - �- - -- -� -- - I i - - -1 - -' - - - - i -- -' i i L I I t _I.. t 1 t Q ti'V CERTIFIED SURVEY MAP LOCATED IN THE SE 114 OF THE SW 114 OF SECTION 34, T29N, R 17W, TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN PREPARED FOR BRUCE MOLL SOUTHWEST .CORNER NOTE BEARINGS ARE REFERENCED SECTION 34 -FOUND TO THE SOUTH LINE OF THE SW SURVEY NAIL 114 OF SECTION 34. (ST. CRO I X COUNTY COORDINATE SYSTEM). I�wl UNPLATTED LANDS .................. N p WEST LINE OF SE -SW m N00 54' O 1 " W 660.0 _ L 626.99' 6' 33. 01 '; LOT 1 W I N IN : y 3.97 ACRES cn Q* o, ; n 173,077 SO. FT. :� N 3.77 ACRES EXC. R/W N A I N a I� p 164,422 SO. FT. - N00 °54' 01 "W 660. 00' 626.99' 1 + 33. 01 ': LOT 2 N � N N) N 3.97 ACRES N N (p 0, M N :C HOUSE 173, 076 SO. FT. : Z Z N NI N 3.77 ACRES EXC. RiW 13 ! n + ° • °'- °� 164,421 SO. FT. : n. O N I 4 -333. Olt 626. 99' ' S00 54' 02" E 660. 00' ; 0 v ? U ti66. N00 "W 660.00' 626.99' ~ : C 33. 01 " to � Z :R, LOT 3 N o ' ;C rn �o M :� 3.97 ACRES N N :m N I 173, 082 SO. FT. ni ro 3. 77 ACRES EXC. RiW a? I v' a I m 164,426 SO. FT. 33. ol'; N00 ° 54' 04 "W 660. 00' I 100 : 626.99' 333 LOT 4 I N of I N A 4.00 ACRES 0, v N 174, 148 SO. FT. 3. 80 ACRES EXC. RiW 165,489 SO. FT. 33.00 626- I SOO 37' WE 659-95' UNPLATTED LANDS f SOUTH QUARTER CORNER i SECTION 34 — FOUND RAILROAD SPIKE LEGEND O • SET 1 " 1"-200* .., X 24" IRON PIPE WEIGHING 1.13 LBS PER LINEAR FOOT. JAMES M. WEBER S -1804 0 100 200 400 NEL SEN3 BBER SURVEYING • " FD. 5..18* REBAR W.-CAP DATED 983108 THIS INSTRUMENT DRAFTED BY JIM WEBER SHEET I OF 2 DESCRIPTION A parcel of land located in the Southeast' /4 of the Southwest' /4 of Section 34, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin, more fully described as follows: Commencing at the Southwest corner of said Section 34; thence, South 89 °52'45" East, along the south line of said Southwest 1 /4, 1310.04 feet to the southwest comer of said Southeast t/4 of the Southwest '/4 and the POINT OF BEGINNING, thence, North 00 °54'01" West, along the west line of said Southeast '/4 of the Southwest 1 /4, 660.00 feet; thence, South 89 °52'45" East, 524.56 feet; thence, South 00 °54'02" East, 660.00 feet to the south line of said Southeast '/4 of the Southwest 1 /4; thence, South 89 °52'45" East, along said south line, 66.01 feet; thence, North 00 °54'02" West, 660.00 feet; thence, South 89 °52'45" East, 527.80 feet; thence, South 00 °37' 13" East, 659.95 feet to said south line; thence, North 89 °52'45" West, along said south line, 1115.15 feet to the point of beginning. Contains 15.91 acres or 693,383 square feet. Subject to right of way for 60` Avenue as shown. Also subject to any and all additional easements, right of ways or conveyances of record. SURVEYOR'S CERTIFICATE I, James M. Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St. Croix County Subdivision Ordinance and under the direction of Bruce Moll, I have surveyed, divided and mapped the above described parcel of land and that this is a correct representation thereof. Dated this day of 1999. James M. Weber S -1804 NELSEN -WEBER LAND SURVEYING, INC. NOTE The parcels shown on this map are subject to State, County, and Town laws, rules and regulation (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. SHEET 2 OF 2 98310BThis instrument drafted by Jim Weber ST CROIX COUNTY SEPTIC TANK MAINTLNANCE AGREEMENT' AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address 6© �h 00W . (Verification / required from Planning Department for new construction) r / City /State Parcel Identification Number �l — z LEG ; DESK' T_MON `r Property Location ' / <, .,�i.�7 1 /4, Sec. T . TN -R—LIW, Tc _2 0 Subdivision Certified Survey Map # i�� 3 0 —3 . Volume Warranty Deed # x_5 �— . Volume Spec house d yes kno Lot lines identifiable SYSTEM V &DrMNANCE Improper use bad maintenance of your septic system could result in its premature consists of pumping out the septic tank every three years or sooner, if needed by a lica- can affect the function of the septic tank as a treatment stage in the waste disposal system. Tae property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mas plumber, Journeyman plumber, restrictedplumber or a licensed verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge - Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 of the three year expiration date. / I SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on warranty form deed recorded in be st Of m ( our) Deeds Office I (we) am (are) the owner(s) of the ity described above, by virtue of a ty DATE SIGNATURE OF APPLICANT kkkkkk Any information that is mis- represented may result in the sanitary permi being revoked by the Zoning Department. kkkkk« •* Iaclude with this application: a stamped warranty deed from the Register of Deeds office deed a copy of the certified survey map if reference is made in the warranty r �v VOL 1427PAGE 147 STATE BAR OF WISCONSIN FORM 2 - 1998 KATHLEEN H. WALSH REGISTER OF DEEDS ocument Number WARRANIPY DEED ST. CROIX CO., WI This Deed, made between Bruce J. Moll and JoAnn Moll, husband RECEIVED FOR RECORD and wife, , 05 -18 -1999 9:15 AN , Grantor, and David E. Burch and Bonnie Burch husband and wife d /b /a DaBon Enterprises, VARRANTY DEED EXEMPT M CERT COPY FEE: Grantee. COPY FEE: Grantor, for a valuable consideration, conveys and warrants to Grantee TRANSFER FEE: 75.00 the following described real estate in St. Croix County, State of Wisconsin (The RECORDING FEE: 10.00 "Property"): PAGES: 1 Recording Area Name and Return Address KRILMNA OGLAND Zilz, Estreen & Ogland P.O. Box 359 Hudson, WI 54016 (% l8 - / 0 - 7 5 - 400 Parcel Identification Number (PIN) This is not homestead property. Part of SE1 /4 of SW 1/4 of Section 34- T29N -R 17W, Town of Hammond, St. Croix County, Wisconsin, described as follows: Lot 4 of Certified Survey Map recorded in Vol. 13 , Page 3643 , as Doc. No. 603303 Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of April, 1999. * * Bruce J. 1 * * JOA Moll AUTHENTICATION ACKNOWLEDGMENT Signature(s) Bruce J. Moll and JoAnn Moll. husband and wife. STATE OF WISCONSIN ) ) ss. authenticated this ay of April, 1999. County ) J l��/` — � Personally came before me this day of * Kristin Ogland I the above named TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who (If not, executed the foregoing instrument and acknowledge the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not ) necessary.) *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 -1998 INFORMATION PROFESSIONALS FOND DU LAC. WI 800{55- 2