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HomeMy WebLinkAbout034-1009-10-000 0 c A) o g , R a § J % ; 2 V (D ° � 0 £$0 5 #( e i/ f� / 7 P\ - 0) �� �� D 0 2 2 ±; i- M. 1 7$\ \ / C ; @ ; 0 / Cc U) -4 / @/0 \ 00 (D / $ } � CA) � ® � \ a § k § �- i 2 � � � � ■ E z k k o . Oro § f a S = r g_ $ z 5 E § E \ R / [ m I � � CA) [ j m � 2 a � � ■ ; . � / i § R 0 ■ 7 § « E § 7 q k � $ & 7 z CA) % ^ � ± 0 § � n � / % � s f � � f � E � 5 I � � » � \ � e 0 < t \ \ \� �7 Parcel #: 034 - 1009 -10 -000 01/11/2005 04:12 PM PAGE 1 OF 1 Alt. Parcel #: 05.29.15.65A 034 - TOWN OF SPRINGFIELD Current 1X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ` = Current Owner * BRIAN M & BRIDGET L FICKLING FICKLING, BRIAN M & BRIDGET L 1178 290TH ST GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 W ITC Legal Description: Acres: 42.990 Plat: N/A -NOT AVAILABLE SEC 5 T29N R15W NE NE FRL EXC NSP Block/Condo Bldg: EZ -UT- 1478/06 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 05- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 12/30/1998 594777 1391/420 WD 07/23/1997 1217/117 WD 07/23/1997 1134/444 WD 149/377 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 50782 Use Value Assessment Valuations: Last Changed: 05/26/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 6,450 262,200 268,650 NO AGRICULTURAL G4 11.000 500 0 500 NO PRODUCTIVE FORST LANC G6 30.990 55,800 0 55,800 NO Totals for 2004: General Property 42.990 62,750 262,200 324,950 Woodland 0.000 0 0 Totals for 2003: General Property 42.990 62,750 152,000 214,750 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 529 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Lpbos.and Human Relations OfAsion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than » inches in size. Plan must include, but St. Croix not limited to vertical and horizontal referencu.npoin� ( f) n and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location nd:d"►stao 034 1009 - APPLICANT INFORMATION PL4ASE PRINT A NF ION REVIEWED BY DATE PROPERTY OWNER: z' PROPERTY LOCATION Blayne C. Williams 3 ,� ` ` ,, GOVT. LOT NE 1/4 NE 1/4,S 5 T 29 N,R 15 for) W PROPERTY OWNER':S MAILING ADDR 'SS LOT # BLOCK # SUBD. NAME OR CSM # 610 Gotzian St. na na 86.5 acres CITY, STATE ZI CODE 'PHONE NUMB [CITY []VILLAGE MOWN NEAREST ROAD St. Paul, MN. 55106 i` (512) Springfield 290th. St. [xJ New Construction Use [ x] Residenti al 1'�OOf drooms 3 [ J Addition to existing building j ] Replacement [ J Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 5 bed, gpdm2 - 6 trench, gpd/ft Absorption area required 375 bed, n2 375 trench, ft Maximum design loading rate • 5 bed, gpd/ft . trench, gpd/ft Recommended infiltration surface elevation(s) 97.25' _ft (as referred to site plan benchmark) Additional design /site considerations system el- based on contour line of el. 96.25' Parent material sandstone uplands — glacial drift Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system 0 S ®U CBS ❑ U ❑ S Z31.1 O S ®U ❑ S ®U 0 S M u SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure ConsistencelBotnd3y Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tlendti 1 0 -8 10yr4 /3 none L 2msbk mfr Igw 2f .5 .6 >< 1 ». 2 8 -17 10yr5/4 none sil 2msbk mfr gw if .5 .6 Ground 3 17 -28 10yr4 /4 none sil 2msbk mfr gw na .5 .6 elev. 4 28 -53 10yr7 /4 none sandstone residuum 9 Depth to limiting factor r7 28" Remarks: Boring # 1 0 -8 10yr4 /3 none L 2msbk mfr gw 2f .5 .6 2 2 8 -20 10yr5 /4 none sil 2msbk mfr gw if .5 .6 3 20 -29 10 r4/4 none sil 2msbk mfr gw na .5 .6 Ground elev. 4 29 -50 10yr7 /3 none sandstone residuum 93.7 Depth to limiting factor 291, Remarks: CST Name — Please Print Gary L. Steel Phone: 715 - 246 -6200 Address: 1554 2,oOfth. Ave., New Richmond, WI. 54017 Signature: fD Date: cstm 02 g am: A 7 -14 -95 PROPERTY OWNER Blayne Williams SOIL DESCRIPTION REPORT Pagt 2 Of 3 PARCELIDA 034-1009-10 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in Munsell Chu. Sz. Cont. Color Gr. Sz. Sh. Bed ITirerch 1 0-10 10yr4/3 none L 2msbk mfr 9w 2f .5 1 .6 3 2 10-26 10yr5/4 none sil 2msbk mfr 9w if .5 6 Ground 3 26-36 10yr4/4 c2p 7.5yr5/8 sil 2msbk mfr 9w na .5 .6 eev. 93 .75 ft. 4 36-50 10yr7/4 none sandstone residutun Depth to limiting factor 26 1, Remarks* Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # . 0 Emma Ground elev. ft. Depth to lirniting factor Remarks: Boring # Ground elev. Depth to limiting factor Remarks: SBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Blayne C. Williams 1554 200th Ave. CSTM2298 NE4NE4 S5- T29N -R15W New Richmond, WI 54017 MPRSW 3254 town of Springfield (715 ) 246 -6200 f N 1 =40' BM.= top of 1" steel pipe @ el. 100' Alt. BM. =- top of 1° steel pipe C el. 95.25 e nd.k- a 0 :2640' w� J� 7 A L 60 3 �. Gary . St x 7 -14 -95 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 3 Labor and Human Relations Divjaion of Safety & Buildings in accord with ILHR 83.05, Wi Adm. Code S 'r. Ci w ly, Attach complete site plan on paper not less than 81/2 x 11 inches in size. PI , not limited to vertical and horizontal reference point (BM), direction and % scale q CEL I.D. # dimensioned, north arrow, and location and distance to nearest road. DrD APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATI 1 \[ Q DATE on l - 0 PROPERTY OWNER RO L 10 $\Z.,1.'PStJ 1 /4,S/S T 2, ,N,R VS E( W PROPERTY OWNERS MAILING ADDRESS• ' L # D. NAMEbR CSM # _ y "ZZ QJZI�)1m T , i�p 4 l CITY, STATE ZIP CODE PHONE NUMBER , ay iLLAGE MOWN ' NEAREST ROAD g�l•.�tti, , ►-.� I S �f o Zz (TcS } 68 � _ z�86 S D Z.°i D `t'DF S'1". K New Construction Use M Residential / Number of bedrooms 3 [ J AdditiQn to existing building j J Replacement (] Public or commercial describe Code derived daily flow VSO god Recommended design loading rate — bed, gpdtl? • 3 trench, gpd/ft Absorption area required 3 S bed, ft trench, ft Maximum design loading rate Z bed, gpd/9 .3 trench, gpw Recommended infiltration surface elevation(s) n Z • o ft (as referred to site plan benchmark) Additional design/ site considerations y- ►��{'xc y `I�zs'>ucll . t"LL) I trt UM \,_L' 0E- S+QvD R L- . Parent material 0vkxry CjU*T"'J e_ TL-L- Rood plain elevation, if applicable tJ A It S = Suitable for system CONVENTIONAL MOUND KGROUND PRESSUF17 AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S Eau Ns ❑ U [IS N U El ®U EIS O U [I S W U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bardary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed jTw& 4 44 O -9 \0`1� 31.2 stil >nf� e w z s, `iP� Ground 3 3!y - .S \oo ft y' ��lS . - `1R 3/y .s`12s�8 Ci^sl ate, Depth to limiting factor 3Z� Remarks: Boring # o - � 1 zm 31 4 t z Z b z�. to� �/� - s�S 1�'SUh h1t- e S 1�� • Zs,3 3 u( -y 0 � • S �'1 R �C �! �. S ti R S S�J ��.-� . Vt1 `Fy. — NP ' ' Z � Ground elev. Depth to limiting factor Remarks: CS T Name Print Arthur L. We erer Phone' 715 - 425 -0165 '. eg rer Soil Testing & Design Service. -P.O. Box 74 River .Falls,WI 54022 ' Sgnatwe: Date CST Number: _ g C)_ta's : 6-- t2 q.9 220254 f PROPERTYOWNER SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D.# 034 1 9 - 10 Boring - Horizon Depth Dominant Color Mottles Structure GPD /ft 9 Texture Consistence Boundary Roots in. Munsell �' CSu.'Sz: Cont. Color Gr. Sz. Sh. Bed ITmr& t> e ,3•�� 1 lu ti 2. 3 i - i, _ Si 1 'L'Fsb1-c wL �-S z v � - S : 6 v� • r `3 Ground L-t R Sw se 1 p" elev. Depth to limiting factor T Remarks: Boring # v.,�� 1 0_6 I.oK 3 [z — si1 2�sbk 3 2. -� � •S `t iz 3!y � : x S 18 . G>^ g 1 p�,,,, . w��.� ! Ground i elev. ° PI ft. Depth to ! limiting i factor ' Remarks: Boring # `. x'' ; t? 00 Ground elev. ft. Depth to I limiting j factor I Remarks: Boring # t s$ 5; `., Ground . elev. ft Depth to limiting factor Remarks: — _ PLOT P Lt-v.v Pa 3 of 3 SCALE 1 "= gL -WrJ O'ON O 0'lfir- 14,31 14"DlA N:" RM WIt�Tq, SW k eon.%-,tcr u R `M13 kvgA $� KL V eo of T1Z VCM 8 v � �-- ►oty y o L LkI\3 . t 0 L. b' O7 cam}. pb n � std„ 1 t0 uo� - q9 -l3o `m S'i tZ -a9 t 715 ) 425 -n 16 9 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations -- -- _ -- _ - -- - _ - - — Division of safety Buildings in accord with ILHR 63.05, Wis. Adm;-Code` -.- Attach complete site plan on paper not less than 81/2 x 11 inches in size. PI includbut S 1�C not limited to vertical and horizontal reference point (EIK, direction and % PAH I.D. dimensioned, north arrow, and location and distance to nearest road. 6 � l 00 p, - L0" D B DATE APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATI �� _� _ PROPERTY OWNER OPEW L1119 $Z.L'Ptt J IC�2L 1�1( 14 S �S T Zq ,N,R S E ( w PROPERTY OWNER':S MAILING ADDRESS• t9l, 10 CK# SUBD. NAM R GSM # CITY, STATE ZIP CODE PHONE NUMBER []CITY' E]NILLAGE OFQWN - NEAREST ROAD BN bwlAj, w I SfoZZ (TtS} 68�� z SPVLkIQ6 V: D Z- 3-r. New Construction Use pQ Residential / Number of bedrooms [) Addition to existing building [ ] Replacement [ ] Public or commerdal describe Code derived daily flow , A-So gpd Recommended design loading rate — bed, gpd19 • 3 trench, gpd/ft Absorption area required 31 S bed, lt trench, 0 Mabmum design �ading rate Z bed, gpd/ft -1 trench, gpd/ft Recommended infiitra!'oci surface elevation(s) ko - Z-- G ` LL - - to I (as referred to site plan benchmark) Additional design / site considerations M W/q `K c 4 ' T Wa - • r`4iLKJ I " UM C) F S f" P LJ Parent material t,w ms mv%-y Gu-fo pe - TIC Flood plain elevation, N applicable i Z A ft r U = Suitable for system CONVENTIONAl. MOUND "ROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING =Unsuitablefors stem ❑S IOU ®S ❑U ❑S NU ❑S ®U ❑S ®U ❑S Eau SOIL DESCRIPTION REPORT Depth Dominant Color Moines Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Ou. Sz. Cont Cola Gr. Sz. Sh. Bed mrxtt S .6 -4 S11 l �`� sbh ln'h' - CtiJ 1 v'� � ...= -h•SC -?vrie Ground 3 zZ -3Z zS`T 3!y G 1^ a 1 � �Sbk_ C - - `I • m �-`f ft y' 3 i -S `IR 3ly �i.S`t Z Depth to limiting facto Remarks: Boring # Z Z b z�. 1.0� -► � �/� - Sal l�sbk m�� c S 1b� • z� 3 4 �� 3 of -�{o �• S �iR.3l � � S�I � s/� sue-[ � • rn ��. - ti�� � ' � ` Ground elev. X 02. J tL Depth to Knifing factor Z%('' Remarks: TName:- Please Print Phone Arthur L. We erer 715- 425 -0165 j ,eg rer.Soil Testing & Design Service. - P.6. Box 74 River Y411s,W1 54022 Signadue: Date CST Number _. : l� gq _L3g 6 - lZ.g9 220254 I PROPERTY OWNER $OIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. # L W9 --� - Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g N In. Munsell • GZu, Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bour�ary Roots Bed Trerxh " t 3 1 0- 6 lu �••t � — 3T Z • . — Si 1 2'FSb1z wi`�4- �S 2 v � - s - 6 € 2 b -2 S y! Ground 3 Z 5 -q `I R 3 f y --1 S 2 S�� S C ] pv►� yt t 4V elev. Depth to i limiting factor Z S" Remarks: Boring # a'•;' -6 L�`LR- 3 LZ Std 2'�S w Yv�`� -- C-S 2 v �' • S � • � y 2 6 -z-q t o �rz �t y - st f 1`Fsbk `fit- Ground X12 S elev. ft. Depth to limiting factor Z pl M I �'f Remarks: Boring # Ground elev. ft. t Depth to limiting factor Remarks: Boring # i Ground elev. i ft. Depth to limiting factor Remarks: L. PLOT PLAN Pa 3 of 3 SCALE 1 "= yp ' M--W1 , p ' ON °0"cdG-H,31q — btR 'Y C R-M I.JApfr-H, w M vpu `C4 APT lLtvsT ZS ' F Z-U►'1 'M UUKAD . -_- � tJ Or eo�ltx�T orc DID R-Q `ni'i g 1c�ut1A 8>K a y ll�� g oTTOY1 or- 6 -9g ( 715 ) 42, -0 65 CST Signature Date Signed Telephone No. CST # r t t ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner 9 911qX) 1c, L Property Addres ' City /State I 'e-cg Legal Description: Lot - - dock --- Subdivision/CSM # '/4, Sec. �' , Tv��` N- R(,'W, Town of SP > z o PIN # �3�— �c�� 9. SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: 01,ouj69-Tcn,o // i Tank manufacturer �,p� ��fsT iA)C Size ST/PC/ vt�/ U Setback from: House.Z� Well (9z P/L SL S Pump manufacture r� ) �a e_ Model Sit F 3 O Alarm location leii,6 (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air in e 'Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: A Lk rj I--> Width Length Number of Trenches l z h air intake o� � Setback from: House �;2(z Well c27 V P/L � Vent to fresh 6 ELEVATIONS Description of benchmark ©��' �? �, 1 Elevations Description of alternate benchmark ? "; Elevation Building Sewer ST/HT Inlet le" ST Outlet �, a ' ` PC Inlet r� PC Bottom `. Header/Manifold ' ` "' Top of ST/7 Manhole Cover Distribution Lines ( ) ( ) ( ) Bottom of System ( ) D () ( ) Final Grade ( ) Q o () ( ) Date of installation / / Permit number State plan number 0 7.5�_ v Plumber's signatur License number -ZZ 5�� 17 Date C/ Inspector Complete plot plan � 1 r 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 AL 3 7� I D� �j INDICATE NORTH ARROW Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count INSPECTION REPORT X r r INFORMATION Sanita P ermit No .. ST. eRG GENERAL INFOR (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy L , s.15.04 (1)(m)]. 344639 Permit Holder's Name: ❑ Cit �❑❑ Villa e Town of: State Plan ID No.: FICKLING, BRIAN S�PRINGF LD �tZ3 =TES • !is. CST BM Elev.:- t I Insp. BM Elev.: BM Description: arcel ax No.: O0. ED W. Q r PVG - a CS( $AJ# I 034- 1009 -10 -000 ef A9990374 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic /� .t&; /� 1 0 O Benchma $,sf'o 1 C70 , E) � � Dosing Lj,.A �W `7 J �1 J d , *11 Y c' /QQ,e6 Aeration Bldg. Sewer Holdin St/ Ht Inlet TANK SETBACK INFORMATION St /Ht Outlet �. -�°)' D ( e , ;z Ventto TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet Septic 4 4 NA Dt Bottom Ail Dosing �z 6� Zop NA Header/ Man. 9 g. }2 Aeration NA Dist. Pipe $ a l. G g Holding Bot. System PUMP/ SIPHON INFORMATION Final Grad(—=P-,,'t( Manufacturer Demand C Q.�9 /07. p� Model Number 3 GPM 61 TDH L ift G, Lr Head TDHQ31Ft Forcemain Length 3C) Dia. 7 Dist. To Well SOIL ABSORPTION SYSTEM RENCH Width I Len th 1 No. Of Trenches PIT No. Of Pits Inside Dia. uid Depth DIMEN I5 DIMENSION SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACH anufacturer: SETBACK INFORMATION Type Of CHA E odelNum her: System: > ZO'd OR NIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) i a x HoI Size x Hole Spacing Vent To Air Intake � Length _!f Dia- Length 3 ` . 5 Dia. Spacing It 36 le 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 E] Yes E] No E] Yes El No COMMENTS: (Include code discrepancies, persons present, etc.) 10.54 ©OC a� Q g a F , 0 tl 1 5A 1178 2� ST I REE'I' b yC�nS�/r C P am ®r �( a &T �4ew— Nk ��- car) as q -rY 4�r - eta'. - IC �" 'Plan revvsion r qulred? ❑ Yes No Use other side for additional information. n ZI 00S� SBD -6710 (R.3/97) �f�-� �D�`* e CMn G �S Iryspe` r sSignature� ert. No T`-koc . �b�I►� h e� e—P Safety and Buildings Division �� ■L�r■i1t1 SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05,Wts: A`din:Lode P.O_ Box 7969 Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on Taper not less Count than 8 112 x 11 inches in size. 1 • See reverse Side for instructions for completing this application f < State Sanitary Perm t Number 3 The information you provide maybe used by other 9opernment agenky progra& L 99 ❑ Check if revision to previous application (Privacy Law, s. 15.04 (1) (m)]. A16. I 8 �`,.( sT CR i\ [ State Plan I.D. Number I. APPLICATION INFOR ATION - PLEASE PRIN IN Ns' Property er Name f P�peFt o akYon C G G/ �` ,�/+/�/ 4., /4, Rl E (or r Property Owner's Mailin Address / Lof]Nn\ b Block Num A) City, ` Zip Code Phone Numbe SubdivisioK Name or CSM Number NJ Z ( e/ r) II. T E FBOIL ING: (check ❑ State Owned ❑Ct� Nearest Roa ❑ VII age ❑ Public 1 or 2 Family Dwelling - No. of bedrooms iVT OF ` ©� III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment / Condo I t A q 5 ,( 0 d v 6 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. � New 2 ❑ Replacement 3 E] Replacement of 4_ E] Reconnection of 5 E] Repair of an System System _____y ____- ___y _____ Tank Only Exi sting ______________ 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 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 3 ❑ Vault Privy 14 E] System-In-Fill C ie . . j "+S —, 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 (s g. ft.) Pr ose�jsq. ft.) (Gals/day/ q. ft.) (Min. /inch) Elevation 3 Feet /tfAr_�Feet _ Ca acit Site VII ( FORMATION in gallo Total # of Manufacturer's Name Prefab. Con Steel Fiber Plastic Exper. New Existin Gallons Tanks Concrete strutted glass App. Tanksl Tanks l� Septic Tank ork Qvv L� ❑ El 1:1 El 1 Lift Pump Tank amber S� ❑ ❑ I ❑ I ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. PI u er's me: (Print) Plum s Sig � ture: m ) M Business Phone Number: = 5'.zo Plum r' Address (Street, City, Sq6te, Zip Cod //-- COO IX. COUNTY / DEPARTMENT USE ONLY E] Disapproved Sanitary Permit Fee ( includes ate Issue Iss gent ignature (No Stamps) surcharge Fee) VAApproved E] Owner Given initial 1:50 L3 e. Adverse Determination mn p X. CONDITIONS OF APPROVAL / IjEASON� FO DISAPP OVAL: _i gym. is -&- - � �• e ( M►�t: o�ry Q N ����,p= fir at �� � ,� a s I , , Zf A ate, -A " •f, 1 4 KOD' �►� o.�fr�t �Faci�e� t f`�•"'!^��� Sfr*�G{rir� w•!l 5a ecxo �le.e e.r L4da . / .426— �6•/ i �! �) r SRD-6398 (R. OS/ 4) r DISTRA80TION1. original to C linty, orl# co To: Safety & i; Wings Di i.ion, D er, Plumt er Safety and Buildings 2226 ROSE ST - LA CROSSE Wl 54603 -1905 TDD #: (608) 264 -8777 iscons n www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda I Blanchard, Secretary August 09, 1999 CUST ID No.267341 ATTN: POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 08/09/2001 Identification Numbers Transaction ID No. 239757 Site ID No. 178296 SITE: Please refer cation numbers, Site ID: 178296 above, ' tip. the agency. St. Croix County, Town of Springfield n� NE1 /4, NE1 /4, S5, T29N, R15W Facility: Brian & Bridget Fickling Proposed Residence`,^ �£Q FOR: > , Description: Three Bedroom Mound System �° Object Type: POWT System Regulated Object ID No.: 484279 ' 1 �O -9°99 G The submittal described above has been reviewed for conformance with applicable �so�n ' tive 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(2)(d), Wis. Stats. 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 07/30/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 Gerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)785-9348, Mon - Fri, 7:15 AM - 4:00 PM jswim @commerce.state.wi.us WiSMART code: 7633 I T ITLE S 1V EL= F Page of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE 1/4 OF THE NC 1/4 OF SECTION S ,T N, R 1s W, TOWN OF K1 6 COUNTY, WISCONSIN. 1009 = r.p - -- INDEX PAGE 1 of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION: PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT -PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR T.s tI y,'z.o c.ED t sr. FAT. #-4.l �.0.\N • 8�t Lvl s��UZ col nditiOn y [ ED 0% pEFAFTMENT pY C ND B E CE INGS � Di iS'or4 aF EE GG Kt5P NCE PREPARED BY WEGE�EF2 SOIL .TEST = NG AND ,N MeNNy� DE IC G 1V S�R�1 I (- �SC0N, �'�► F.O. BOX 74 421 K. KAIK ST. i► ,{ { RIVES? FALLS. V1 54022 ARTHUR L C LJ "v �A lbJ WEGERER 7IJ 0.315 P EtLSWORTM, �SIGO JOB NO. PLOT PLAN Page z of 6 Scale 1 "= So ' �}lj W1 - Qt-. NA) Cl. o't ory - 7` "AG.'d, 31l( " - b t1� • wvc \ E wlLA q1 b NOT CU1� P A C'r 02 LS Sr Cohi gCy °tS;; Bol'Tpw► o 480,w �., eN �r ok 3OJo P Zo I m F. i'r. L� �U • 49_p. 1 i I Zso'oF �� I i F- 0 w�a.� $E f'\' LQrtsT So' F -AR-OI "DUKAb IYYVh O WT LET' ZS ` Fi om -MI-47—S Page 3 Of �o Approved Synthetic Covering Distribution Pipe Medium Sand _ Topsoil H_ �� F Eled, CIq . (� ji 3 E b 3 % Slope Force Main Plowed Trench of -2 "-2k" From Pump Layer Aggregate Undisturbed D k.0 Ft. Soil E 1. \S Ft. Cross Section Of A Mound System Using F 1 3 Ft. Trench For The Absorption Area G a Ft. A S Ft. H Ii. S Ft. B - �S Ft. I N5 Ft. Linear Loading Rate= � GPD /LN FT D ` Ft. Design Loading Rate= 0.3 GPD /SQ FT K 10 Ft. L c1 Ft. A4= e Position of Force Main----- W Z`3 Ft. L J � -f=vree B K Mein W" Distribution Trench Of 2 - 2 2 Pipe Aggregate 1 Observation Permanent Pipes Markers (Anchor securely) Mound Using I Trench For Absorption Area Page Of .6 Perforated Pipe Detail 0 End View End Cap ). ) Perforated PVC Pipe . � f Joi`o ooce • as h Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q End Cap * ti PVC Force Main Distnaution Pipe Last Hole Should Be Next To End Cap Distribution Pipe Layout F 3 4- S Ft. X Sao Inches Y 3 Inches Hole Diameter '`y Inch Lateral 1 1 1 Y Inch(es) Force Main Z Inches # of holes /pipe 1Z Invert Elevation of Laterals °tg -S Ft. Place lst hole 1 S 4 from tee with succeeding holes at 3 b ' intervals. Last hole to be next to the end cap. -PL)MP CHAMBER CRO55 SECTION AND SPECIFICATIONS ' PAGE S OF VCWT CAP 4 "C.Z. VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE ' - 10' FROM DOOR, JUAICTIOW BOX COVER WITH WARNING LABEL wiWDOW OR FRESH 12�M111. AIR IAITAKE GRADE �. - q Z3 S � i y� MI1J• ���G. CONDUIT 18 "MIN. Zw 11� _ INLET PROVIDE -- AIRTIGHT SEAL APPROVED JOINT/ A Tank construction shall comply ` I�� APPROVED JGI)J with ILHR 83.15 and ILHR 83.20 ALARM I C ON LLEV. fT. PUMP --,, OFF 0 iE:LeU CO LI CKETE BLOCK 3" APPROVED RISER EXIT PERMITTED ONLY IF TA MAWUFACTURI~R HAS SUCH APPROVAL• BFODIN� SPECIFICATIOAIS DOSE �Dw TAUKS MAMUFACTURCR: 22� T WMDER OF DOSES: 3 ' 3 $ PER DA4 TANK 51ZE: - -ISO GALLONS DOSE VOLUME r �3b ALARM MAyUFACTURt~R' S ` T Q-��U S�LST> g INCLUp1At6 6AGKFLOW: GALLONS MODEL NUMBER: I I CAPACITIES: A IIZ IIJCHE5Oft - 3 y 1 -3 GALLOWS SWITCH TYPE: . 5= Z IJJ oR 39 4LLOU5 PUMP #" AWUFAGTURCR: C = 2 INCHES OR 2 - S GALLOWS MODEL NUMBER: 53 Ds \-L INCHES OR_ 2,314" GALLOAIS SWITCH TYPE: ►"1LiZR_Cj' MOTE: PUMP AND ALA Rr► ARC To �C� MINIMUM DISCHARGE RATE Z8•oF3 GPM INSTALLED OW 5EPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEW PUMP OFF AUD- DISTRIBUTIOA! PIPE- "52 FEET f MIAIIIAUM NETWORK SUPPLY PRESSURE , . .. 2.50 FEET -F ZO FEET OF FORCE MAIN Y, bbl F Y DF JKICTIOM FACTOR.. O' 3Z ' FEET -= TOTAL OyNAMIG HEAD = ��' FEET DIAMETER IWTERiJAL DIMELJ5101J� OF TANK: LENGTH ;WIDTH _ - ;LIQU10 DEPTH BOTTOM AREA — - 231= GAL /INCH AS PER MANUFACTURER - l.a - GAL /INCH w W 3 15/16 6 5/32 ` W HEAD CAPACITY CURVE "53 - 57" - "55 - 59" SERIES y 4 5/8 1 1/2 -11 1/2 NPT zs TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE -- EFFLUENT AND DEWATERING 3 15/16 0 6 50SERIES — , — = Ft. Meters Gal. Ltrs. 4 1/16 2 15 5 1.52 43 163 Q 4 10 3.05 34 129 } O 15 4.57 19 72 10 Loci V.1— 19.25' I O 2 Lg.p 5 10 1/16 o I I U.S. GALLONS l0 2a 30 a0 1 3 3/32 LITERS 0 80 160 FLOW PER MINUTE SK206 ULT FACTORY SPEC APPLICATIO • Variable level Float Sw s availabl • Availa wit r ngths o • Variable level long cycle em le. 15', 2 • Alarm syste available. plex systems available. SELECTION GUIDE Standard Cord length - automatic 9 ft. 1. Integral Float operated mechanical switch, no external control required. Standard cord length - non - automatic 15 ft. 2. Single piggyback variable level float switch or double piggyback variable level float M53/55 and 57159 Series Control Selection switch. Refer to FM0447. Model Volts Ph Mode Amos Simp Duplex 3. Mechanical aftemator "M -Pak" 10 -0072 or 10.0075. M53155 & M57159 115 1 Auto 9.0 1 or 1 & 7 4. See FM0712 for correct model of Electrical Alternator, E -Pak. N53/55 & N57/59 Non 2 or 2 & 6 3 or 4 5 5. Variable level control switch 10 -0225 used as a control activator, with E -Pak (3) or 053 /55 & D57159 230 1 A t 4. 1 or 1 & 7 _ (4) float system. E53155 & E57159 230 1 Non 4.0 2 or 2 & 6 3 or 4 & 5 6. Four (4) hole J -Pak, junction box, for watertight Connection or wired -in simplex or 2 pump operation, PM 10 - 0002. 53 Series - WL 22 lbs. 57 Series - WL 27 lbs. 7. Two (2) hole J -Pak, junction box for watertight connection or splice, 55 Series - Wt. 24 lbs. 59 Series - WL 30 lbs. P/N 10.0003. CAUTION For information on additional Zoeller products refer to catalog on Combination starter, FM0514; All installation of controls, protection devices and wiring should be done by a qualified Piggyback Variable Level Float Switches, FM0477; Electrical Alternator, FM0486; Mechanical licensed electrician. All electrical and safety codes should be followed including the most Alternator, FM0495;Sump/Sewage Basins, FM0487; andSinglePhase Simplex Pump Control /Alarm recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). Systems, FM0732. 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 40256 -0347 Manufacturers of. . %7, � SHIP v Cane Run Road Louisisville , K K Y 40111 -1961 QvvurYPuMPS S NCE /49iJs/ - PV/VIP !O. (502) 778 - 2731.1(800) 928 -PUMP FAX (502) 774 -3624 i i t �r er t dkg I Wisconsin Department of industry SOIL AND SITE E V A L U AT I O O R T Page of 3 Labovand Human Relations Division of Safety & BUkings in accord with ILHR 83. 05, r . dLfi.(Cade COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in siz fft must ir,,t T - (_"RJ3 1K not limited to vertical and horizontal reference point (BM), direction and• IQa{ -slop , scale dr f ` -p PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. - j!n 3y , 100q - 113 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMA 10' 14 sr ) t�� EIEYI D W r D 3 )f PROPERTY OWNER: TION !• 821 `n1 'Pf YUp ARID LOU k3E t /4,�� 4,S_ S T Z :� ,N,R l S E (or OW PROPERTY OWNER':S MAILING ADDRESS • �. AME OR CSM # L4 7.�3 Ck: a_ >A .- ST_ PT'PT *k 41 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE ®TOWN ' NEAREST ROAD �LeN \> zc`t0TW sT, . [,q New Construction Use [p.-1 Residential / Number of bedrooms 3 [ J AdditiQn to existing building j I Replacement [ ] Public or commercial describe Code derived dairy flow q5Z gpd Recommended design loading rate bed, gpd/ft ' 3 trench, gpd/ft Absorption area required 3 _1 5 bed, ft '"15 trench, ft Maximum design loading rate 5 bed, gpd/ft - 6 trench, gpd/ft Recommended infiltration surface elevation(s) C1 Q • D' It (as referred to site plan benchmark) Additional design/ site considerations "tsmM� w /Sx�S�12��e�. .tv1t>\1 \MUXt 1•Z OF S" FII,t Parent material s t C`M olj � `n Lt_ Flood plain elevation, if applicable )y .1 , ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem [I S IR U [0 S ❑ U El ®U ❑ S ®U [IS O U [1 S R] U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bwxlary Roots GPD /ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed jTrench 0 -9 i LI P- .3 - 9 - - C-S 1D�2yly _ Stl Z' CS IV Ground 3 1$-3 t0`�R31� S 11 1cSb1z l01'� CW - -Z .3 elev. ft. y' 3Z_53 `t•S�1231 — GrSI 1cS�k tMV - �S — •� •5 Depth to . S S3 -f,3 W L �-i . y 2L 5)8 limiting factor y Remarks: Boring # I o _f3 L o `� 1Z 3 L� s ( Z�. s b ►�'Ft �S Z sit Z'�SUh >��� �S lv .s .L Ground 3 lS-zj o 3A . 1 1 IL 3 — StI 7'F rn Ft- CtJ S elev. u Z( 31 S`t R 31 y S 1OS�VL vr�v'�b- cs • q' __S ols • S ft Depth to S 32 _SI 1 •S kR 31y 'F, • `tR S�� S I py,, y,� �>^ � • 3 ,y limiting factor 3 Z " .l Remarks: CST Name: — Please Print Phone: Arthur L. We erer 715- 425 -0165 egerer.Soil Testing & Design Service -P.O. Box 74 River.Falls,WI. 54022 Signature: : 2 _ L a D ate: CST Number , L C l t4 l� �i ' -2�. C1 220 -5 F PROPERTY OWNER F1 ( U )v G SOIL DESCRIPTION REPORT Page? of PARCELLD. _ 03y— IUUC)- lu Boring # Horizon Depth Dominant Color Mottles Texture Structure ,,.. ;,:.. {.,,,., in. Munsell Qu. Sz. Cont. Color Consistence GPD /ft Boundary Roots <:<: >:: < » > <:::: >; Gr. Sz. Sh. 13 �. `t IL 'J ! 3 Bed Trench 3 — si I z `Psb1 Y `(_ e.s z,`4' . 5 • t Ground elev. S l Z`FsU}t Yr1 CuJ .5 • L ° t , •o rc• y 26 -38 �•S`trz3ly — s I 1.�.Sb 1mV`f 1� CS 1 •�� i .S S �•y l i m iting to S 3 S -�f7 `l(Z3ly ��.S`1R Sl8 S factor Remarks: 1 1-I Boring # Ground I elev. i ft. _ Depth to E limiting I factor j Remarks: Boring # Zv ii:fii'r �i:•ii'ri Ground i elev. ft. i i Depth to limiting factor i I, _ Remarks: 3oring # ,round ,lev. ' ft. )epth to imiting actor Remarks: _ PLOT PLAN Pa 3 of 3 ON - 7 ""Ac% 31k( " - tth• PVC WIPE k) /LrIV. ZS ' CIS CokjTvQNL aZ3 . Cie . p el S i i 1 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page N 3 Labor and Human Relations g _of Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 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 Z� - lu3q - l0' APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER PROPERTY LOCATION '%V-1 N^Y"i 'Pf� S2T' F1 � Ll >u r- (39W.. -L&1 1/4 1/4,S rj T Z.c� ,N,R 1 S E (or(W) PROPERTY OWNER':S MAILING ADDRESS. LOT # I BLOCK # SUBD. NAME OR CSM # mil. Z0 c >'r2 ST- P-' - r * 41 — — — CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE (MOWN ' NEAREST ROAD 13 .-o�lN , w ooz. I s� fti�s� 68�- Z S� s FLe�» zO.Q) New Construction U R esidential [)q New (ICJ es dential / Number of bedrooms 3 [ J Addition to existing building J Replacement [ J Public or commercial describe Code derived daily flow qSZ gpd Recommended design loading rate bed, gpd/ft ' 3 trench, gpd/ft Absorption area required 315 bed, ft 315 trench, 1`1 Maximum design loading rate s bed, gpd/ft - b trench, gpd/ft Recommended infiltration surface elevation(s) aq • D It (as referred to site plan benchmark) Additional design/ site considerations �DVt -� w/S ')C1 S' `T2��Cl� . . x�t,�l "ut 1Z, or= S" PIEt_L. Parent material s t L`T%4 d 6 t-ML H' 'n (-L Flood plain elevation, if applicable -1V . m , It S = Suitable for system cowefnONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FlLL I HOLDING TANK U =Unsuitable fors stem ❑ S ®U ®S ❑ U ❑ S ®U EIS ®U EIS O U C] S RJ U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles I Structure GPD /ft Boring # Horizon Texture Consistence Barxiary Roots Bed rer><h in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 1D`t1L 313 91 Z`FSb�t hL�'r CS Z `� S 6 S11 Zis e S lVr Ground 3 1$ L0 S 1 �C_Sb1z H1'�1- CW - Z- .3 elev. -O It y 3z - `I -S4 �s Depth to . S S3 -t,3 10 - 1, R- 6 ( (o �, • y limiting fl Remarks: Boring # J C -F3 Lo` e •S €.1, S i J Z '�'S 0- U-� -s I. L 3 is t o l rZ 3k h f 1- Ground S )z GJ `S L gS ft 2-1-3 S`fR Sl s lCS�VL Wv'e1.- CS - q j -S Depth to S 32_SI �•S `t� Sly 'F, 'S 0' NM fin- � • 3 -�f limiting factor Remarks: CST Name: — Please Print Phone: Arthur L. We erer 715- 425 -0165 Ad dress: - egerer.Soil Testing & Design Service - P.O. Box 74 River .Falls,WI.54022 Signature: (%` -1 a Z Date: CST Number: — 1 Z-7 . -- CI 220254 PROPERTYOWNER SOIL DESCRIPTION REPORT PARCEL I.D.1< I'll 9 — t n Page of .:S Boring # Horizon Depth Dominant Color Mottles Structure :. :...:: in. Munsell Qu. Sz. Cont. Color Texture Consistence Boundary Roots GPD /ft ;> Gr. Sz. Sh. Bed ITmrich yn `f CS Z.T . 5 . l { LU' vl(,j Ground l `1(Z 31� elev. ft. y 26 -38 - )•S `IR-31y _ v` l,- cL AI 1 . S Depth to limiting �- S`tR.5A' factor Remarks: Boring # ., i Ground i elev. i ft. i Depth to 3 limiting i factor Remarks: Boring # F , i 7 - i Ground i elev. f t. Depth to limiting factor { j Remarks: 3oring # around .lev. ft. )epth to imiting actor Remarks: _ I •rl rr �r •rnrf+ ��r •• .• l _ PLOT PLAN Page 3 of 3 \' la. 7` " • wV C Wt pE 1N /L f?�. tz,-L CO °- o to ur eu ?� p Zs is I S D\sTv ' 4 zg' cOr J Tyv� I i i 1 , o ' ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 6 , f,N `- Mailing Address 44 CiF—'R es i - - 0 4 k Property Address I (Verification required from Planning Department for new construction) City /State Parcel Identification Number LEGAL DESCRIPT Property Location %., & V4, Sec. , To�N -R W, Town of Subdivision 41 , Lot # 1� Certified Survey Map # , Volume , Page # Warranty Deed # Sl' �( Z `T 7 . Volume 1,3 , Page # Spec house ❑ yes K 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 masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 days of the thr year xp on date. SfG1qATLJRt 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 roperty scribe abo , by virtue of a warranty deed recorded in Register of Deeds Office. l /6/ r GNATURE OF 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 T r �� L f C W s I� operates freely in basin. Motor runs for short 2• Impeller or volute openings may • 2. Switch contacts may be stuck, time then stops. Then be plugged or partially plugged. replace switch. a fter short period starts Remove pump and clean out. again. Indicates trip- 3. Pump impeller may be partially Pump uns but ping overload caused clogged causing motor to run P by symptom shown slow, resulting in motor delivers Only Small overload. Clear impeller. amount of water 1. Inlet in um base may be P P Y 4. Defective motor stator: return to 1. Pump may be air locked. Start clogged. Remove pump and Authorized Hydromatic Service and stop several times by clean out openings. Center. plugging and unplugging cord. Check vent hole in pump case for plugging. 2. Pump head may be too high. Pump cannot deliver water over j 24' vertical lift. Horizontal distance does not affect pumping, except loss due to friction through discharge pipe. 3. Inlet in pump base may be clogged. Remove pump and clean out openings. r 4. Impeller or volute openings may be plugged or partially plugged. j • Remove pump and clean out. 5. Pump impeller may be partially SHEF30 Performance Curve clogged causing motor to run slow, resulting in motor 9 30 overload. Clear impeller. Fuse blows or 6 20 circuit breaker trips when pump starts. 1. Inlet in pump base may be s � io clogged. Remove pump and clean out openings. �' 2. Impeller or volute openings may be plugged or partially plugged. 0 0 capacity -U.S. G.P.M. o 10 20 3 so Remove pump and clean out. literO mnd 0 1 3 3. Pump impeller may be partially clogged causing motor to run slow, resulting in motor Total Head feet 4 8 16 20 24 overload. Clear impeller. GPM (U.S.) 44 36 29 23 12 0 4. Fuse size or circuit breaker is too small. • 5. Defective motor stator: return to Authorized Hydromatic Service Center for verification. 5 • ical • Ilation MR i n �x I •� P �ty � �r ar � �F � � +l� �k � � � + _r a. �+� � psi au �« '� � z � - ♦ s � �. � ,� ='ale � � � �` �':� � �+ ma • '� �* '.. ��y ��� � ±! °. "� °�i ,'��+e��� „� �;� �� � ��a �e a = � M T "*' �r � � �' � � "� � ; J 1 { 1 I 6 w