Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
034-1071-10-200
f Af Wisconsin'Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 344630 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: MELANDER, Scott L SPRINGFIELD CST BM Elev. Insp. BM Elev.: BM Des / ption: Parcel Tax No.: A6 �� 3 / `]� 034-1071-10-200 TANK INFORMATION . LL- 7 1 ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 17 / 00 10 Benchmark /S hy 6) Dosing 6 U� Bldg. Sewer Holdin Ht Inlet D_ 7 S, TANK SETBACK INFORMATION tlet TANKTO P/L WELL BLDG. Air to i ntake ROAD ir Septic o t 3� / NA Dt Bottom Dosing y a0 i A ll t137' NA Header/ Man. Ae ation A Dist. Pipe ? ., 0 ds.ia Holding Bot. System -� Q 7 �5 PUM SIPHON INFORMATION 4 Final Grade Manufacturer d� j Model Number 3 GPM TDH i Lift - Friction Syste Zr� TDH 6,L5�"i Forcemain Length Z�r' Dia. Z," Dist.Towell SOIL ABSORPTION SYSTEM _ BED/TRENCH Width Le a�, th— No. Of Tr nche PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION -S T� Z DIMEN 1 N SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Typeof CHAMBER Model Number: System: �fod -7 10 d �/ OR UNIT DISTRIBUTIO SYSTEM 1('3 (( 'w& Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Z Length-7 Dia. Z Spacing SOIL COVE 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.)S SPRINGFIELD 31.29.15.481D 606 Ccuinty Road NN Moat ,d ., fir �, 6�e� 13G o 5�'c�,c�'r rove✓ 'r ilk ' ��� �� T"� 6 � �A* -C�l(� '`C�rv+ -- /s� I�C� 7 �Nt� ✓ /G�m- i/��t S /Xr� rn�t�' ^•" Plan revision required? E] Yes �PNo Use other side for additional information. SBD -6710 (R.3/97) Datel Inspector's Si ature Cert No ST. CROIX COUNTY ZONING DEPARTM AS BUILT SANITARY REPORT �' "" `'' / Owner Property Address City /State Lk. Is c� Legal Description: Lot 3 Block Subdivision/CSM # 5 E t /4 S r t /4, Sec. 3/, T ,;�4 N -R Town of ' r' na �' E I� PIN # ? 3 (2- T SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC 62r. (- o Setback from: House /3G Well "SO + Pump manufacturer &v ter 1 Model 5 t k% ` Alarm location b en k r r (HOLDING TANKS ONLY) Setbacks: Service road T _ Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: m v u n Width Length Number of Trenches Setback from: HouseJ Well} 05 P/L -?co ' Vent to fresh air intake 140 ELEVATIONS Description of benchmark -� 4 C v„ c , f �� �� �- rn � - 6 Elevation /0 Description of alternate benchmark -I-L, o � c oyx c � -c �C `� -�^ CX 4 Z`Y` Elevation o Building Sewer �IT Inlet c?S I ST Outlet PC Inlet PC Bottom 1 ?/,i Header/Manifold c : S Top of ST/PC Manhole Cover Distribution Lines ( ) ?� : -S O ( ) Bottom of System O q' ? 5 - ' O ( ) Final Grade () /cc , () ( ) Date of installation q A3MPermit number 3 O State plan number 10 Plumber's signature License number ;z 7 l 3 y G Date --�2 L201 Cs-- 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 �La C����vu} vu} 5 P INDICATE NORTH ARROW Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 ( 344630 Permit Holder's Name: ❑ City ❑ Village [{Town of: State Plan ID No.: Melander, Scott I Town of Springfi CST BM Elev.; Insp. BM Elev.: BM DPSCription: Parcel Tax No.: - 034- 1071 -10 -200 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer _ Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header/ Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand St cover Model Number GPM TDH 1 Lift Friction System TDH Ft L oss Forcemain Length Dia. -Head Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. 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.) Inspection #1: / / Inspection #2: Location: 606 County Road NN, Wilson, WI (SE1 /4, SE1 /4, Section 31 T29N -R15W) - 31.29.15.481D GYX Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No ` SANITARY PERMIT APPLICATION Safety and Buildings Division Y 41, Safety 201 W. Washington Avenue In accord with ILHR 3.05 Wi C d P O Box 7302 Department of Commerce B lot Madison, WI 53707 -7302 4 = I! • Attach complete plans (to the county copy only) forth sys pa � er tie unty than 8 112 x 11 inches in size. S - CC (,�jV�© it • See reverse side for instructions for completing this appli I n Sanitary Permumber --i AUC 1 3 - 4/y &3d Personal information you provide may be used for secondary purposes t T QQ� k if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. "~V Plan I.D. Number I. APPLICATION INFORMATI N - PLEAi iEINT 14L Z O Property QWner Name Propert Z ' C .J C 0 - 1T M C L a 1D &ia� / 3 T N R J E (or Propert Owner's Mailing Address a Block Number 0 ) - ) V C '2T, Q ty, Sta e Pone Number Subdivision Name or CSM N tuber � �+R r1§ 1 S S 3 3 2 4i, 1. TYPE OF BUILDING: (check one) ❑ State Owned C it y pp e est Road ❑ Village S P)�4N6 L� Public 1 or 2 Family Dwelling - No. of bedrooms Town OF p4k ti C Co 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) • 15. 48 D 1 ❑ Apartment/ Condo 7 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] Replacementof 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 Distribution Pressurized Distribution Experimental Other 11 []Seepage Bed 21 [Mound 30 F] Specify Type 41 [] Holding Tank 12 ❑ Seepage Trench 22 ❑ I n- Ground Pressure 42 ❑ Pit Privy 13 []Seepage Pit 43 0 Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: ��- 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 15. Perc. Rate 6. System Elev. 7. Final Grade j� / Required (sq. ft.) Proposed (s ft.) (Ga s/day /sq. ft.) (Min. /inch) [evation v '37SS S1 , Z r 7. Feet Feet Ca cit VII. TANK i n gallon Total # of Prefab. Site Fiber- plastic Exper. INFORMATION Gallons Tanks Manufacturer's Name. Concrete Con- Steel glass App. New Existin strutted � Tanks Tanks Septic Tank or Holding Tank b If iJ O► 0 U T �U f-a ❑ ❑ ❑ ❑ El Lift Pump Tank /Siphon Chamber 60 t1-� {w� (b/-0 L 12 El ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for'nstallation of the onsite sewage system shown on the attached plans. i Plumber. 's N ame: (Print) Plumb s I : (N mps) FRAR /MPRSW No.: Business Phone Number Plunfb er'sAddress er et, Cit Mate, Ziplo�f�) IX. COUNTY/ DEPARTMEN v //J ❑Disapproved Sanitary Permit Fee tlncludesGroundwater Date Issued Iature No Stamps) A roved Surcharge Fee) pp ❑ Owner Given Initial & Z 5- v � � � Adverse Determination - �Y X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: CRn_ R 'AQR i'R 9I IQ71 DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber s ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer SC O IT fi 0 Q[ L A N o ( - P - ? n g Add ress y C- C'oaN Rc,plo 5 1Y11�V SSy3' Mailing Address �ti 1 S a Q _ N&.✓ Property Address �� C e j ,�,,A_ r nO IV 7 I- S °/--1 GL ' s (Verification required from Planning Department for new construction) City/State ( A , I'- Sn �v 1 S 5�Z t j Parcel Identification Number D 3 (-1 - - - d o O LEGAL DESCRIPTION Property Location $ C '/4, S '/4, Sec. . T11N -Rj LW, Town of 5 P2 I N G f 1 _0 Subdivision , Lot # 3 Certified Survey Map # S'6 Volume . Page # 3 Z Warranty Deed # 0 - 7 0 Volume 4 of Page # Spec house ❑ yes 4 no Lot lines identifiable P( 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 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 three year expiration date. /41. / / §IGK ATETRA OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on tlds form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 1 //' 'e �:Wd vl F /3/ S� Sj^ttJPjB 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 Safety and Buildings Division V SANITARY PERMIT APPLICATION 201 W. Washington Avenue Department of Commerce In accord with ILHR 83.05, Wi C d P O Box 7302 r �: ! Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the sys pa er t Ie`ss. unty than 8 v2 x 11 inches in size. � �'�+ VE C r 1 • See reverse side for instructions for completing this appli bn Sanitary Permit Number Personal information you provide may be used for secondary purposes 37 3 10 ck it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. - . / Plan I.D. Number I. APPLICATION INF RMATION - PLEA�E �INT SAL N 2_5 Property O.)yner Name Propert 60 i C0`T> V 3T .N, (Or Propert Owner's Mailing Address a Block Number 0 ) V C S1 . � ty, Sta l ZipCo d e Pone Number Subdivision Name or CSM Number 14 )rigs M l(v ld 553 c ►2>�S� �,�� � ,,., il� I Z 3 Z �(� II. TYPE Or-BUILDING: (check one) ❑ State Owned it� a est Road Public 1 or 2 Family Dwelling - No. of bedrooms 3 - Town IF > � 1NG ��� Lf� P 1 04� , vC I III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) , �. 15. c I' 811) 1 [] Apartment/Condo 05q-10 — l0 —2.c7 T 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) New Replacement Replacement of Reconnection of A 1. 2. P 3. p 4. S 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 Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 �! Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 [] Pit Privy 13 []Seepage Pit 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. Pert Rate 6. System Elev. 7. Final Grade / Required (sq. ft.) Proposed (s ft.) (Ga s/day /sq. ft.) (Min. /inch) �t Elevation V ) S sq 3 7 S 5 fi 7 - ! Feet 1 Feet _ Ca at VII INFORMATION in g Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. New Existin Gallons Tanks Concrete strutted glass App. Tanks Tanks Septic Tank or Holding Tank 0G � D {(.0 C t�C El 1:1 1:1 1:1 F-1 Lift Pump Tank /Siphon Chamber � - o U l3 u ( {Cy�j �b + C Rh I � - ❑ ❑ . ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for i nstallation of the onsite sewage system shown on the attached plans. Plumber's ame: (Print) Plumb s 7igzu (N mps) /MPRSW No.: Business Phone Number: Plu er's Address (Street, Cit , State, Zip e): IX. COUNTY/ DEPARTMENT USE 'ONLY ❑ Disapproved Sanitary Permit Fee (include' Groundwater D ate I ssued Issuing Agent 5 ature (No Stamps) pp []Owner Given Initial Ap Surcharge Fee) 1,� Adverse Determination -`�' L S. <-�� r f � X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: r" l SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber Safety and Buildings , Visconsin 2226 ROSE ST LACROSSE WI 54603 -1905 TDD #: (608) 264 -8777 www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary August 06, 1999 CUST ID No.3412 ATTN: POWTS INSPECTOR ZONING OFFICE HERB J PELKE ST CROIX COUNTY SPIA S5 CTY RD AA 1101 CARMICHAEL RD DURAND WI 54736 -8076 HUDSON WI 54016 RE: CONDITIONAL APPROVAL . APPROVAL EXPIRES: 08/06/2001 Identification Numbers Transaction ID No. 239490 Site ID No. 178170 SITE: Please refer to both identification numbers, Site ID: 178170 above, in all correspondence with the agency. St. Croix County, Town of Springfield SE 1/4, SE 1/4, S31, T29N, R1 5W Facility: Scott Melander Proposed Residence FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 483895 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(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, q DATE RECEIVED 07/28/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 &rd. 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 WjSMAR code 6 i' of G PRIVATE SEWAGE SYSTEM EVDEX AND TITLE SHEET Property Owl"(s): G o T' r ��G"L ,eAllae2 Project Nma: Pro}C C t IACx tm: �6 �o �d E', '� G o. o t " A 'V 34rool Ad�occ loo i ✓iFiEG o -- oaru cc z;; atty �J" ��t o /X L ow.✓ J' r Cow ' Contents: PW 1: /,✓ DEx �> - �,v� -E r pace 2. Pngt 3: ��or - ia-✓ a / /ew.✓o Page 4: li L,�.✓ E a/ �E L. r� . �s G.�Ye.. T . Pale 5: �6 /t'ic 1 �/�✓.r •r.o �is�iy�7��•r L /Jdrs_ -4 rfa.✓ Page 7: Credential Nmnber: ire°- �s2 z Date: _7-.T ,s f A.d&mis: Al "98 r, a ' r o= Nmnbtr: 7is c 7w - s',z�t �' 7 �s 7 P n v4 S ". r 9, v 19g V �����������fr��� y o Case , > � � ►vss� ` a o 0 1 Ci z t r\ � r ro C Z ' 1 0 Lv a � a i s � 1 � J 0 w n Cr] I O I� ►r�� h\� Na r ►►rr�� T s :rte O r �a t `' H �4 J ti • � 1 W �4 p W c a �A o _ 1 M T' . V a [� a \ V (n C, cQ ca J c R x ti H 1 r . o v ! IY V v � o a 1 0 rt rt o rt m w m rt q� n C-4 H 0 T � n 0 j. I w I n I r• � I m I I w ykw / h 160 ! 05 r �. r O a rt d mC to r• n rt w m r{ I O 1.. m r' I n e 0 CT o c� z cn td x 0 �• O C a •d00 fu I y A n " h m O n m 0 N H p� t ,\ 'e � a90 �, N m "V 11 n m w N 'b Q ft M v r• N :j fu cil rt r En ti t E ^ M h Page S Of SEPTIC TANK &, PUMP CHAMBER CROSS SECTION'AND SPECIFICATIONS o.t d4,v. yo 4" CI VENT PIPE 12" MIN. ABOVE GRADE 8 WEATHERPROOF ?' /p FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W/ PADLOCK & FINISHED GRADE 4 u CI RISER �- ---WARNING LABEL y _ -4" MIN. 18" IN. 6" MAX. • •l INLET WATER TIGHT SEALS GAS ; '� fl TIGHT i APPROVED A SEAL JOINTS WITH Fj APPROVED — ; A LM APPROVED PIPE PIPE 3' --f ON 3' ONTO ONTO SOLID C SOLID SOIL SOIL PUMP OFF ELEV . X0,3 FT. -- OFF '`'� RISER EXIT D PERMITTED ONLY IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: NUMBER DOSES PER DAY: g TANK SIZES SEPTIC 4 Aoo GAL. DOSE VOLUME INCLUDING /-s7, 8 ` yi DOSE GOO GAL. FLOWBACK: , /G3, 9 GAL. ALARM MANUFACTURER: f -7 CAPACITIES: A = _ INCHES = _ 3,T78 GAL. MODEL NUMBER: o SWITCH TYPE: B = 2 INCHES = d9 8 GAL. PUMP MANUFACTURER: /Vy,�o/u.y.�r C = 1/ INCHES = G.3, GAL. MODEL NUMBER: ��/ �3 /"� zw SWITCH TYPE: D = _7 INCHES = a y, GAL. REQUIRED DISCHARGE RATE X08 GPM PUMP 6 ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE 8.0 FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . . . 2.5 FEET + �,� FEET FORCEMAIN X A FT /100 FT. FRICTION FACTOR _�/ FEET TOTAL DYNAMIC HEAD = /o. 4 FEET rr INTERNAL DIMENSIONS OF PUMP TANK: LENGTH S/ ; WIDTH Jo „ ; DIAMETER -- LIQUID DYPTF �,?" 'rl Typical Application* Sum /Effluent pump T ical Application* Sum /Effluent pum Ca adlies SW /50/625 - to 44 GPM (2.8 Vs) Capacities SW /SD/VS33 - to 48 GPM (3.0 _ Vs) Heads SW /SDNS25 • to 24 h (1.3 m) Heads SW /SDNS33 - to 26 h (1.9 m) Electrical SW /SD/VS25. 115V le, &OF(A 60Hz Eedrical 1 SW/SD/VS33. 111111 V e, 10.OF1A, 60Hz overload Motor SW /SD/VS25. 1/4 HP shaded pole w /thermal overload Motor inimum Recommended SDNS33 =12" (304.8mm) overload 15 5 - /3 50 RPM P shaded pole w /thermal 1550 RPM Minimum Recommended SD/VS25 =12" 1550 RPM M Sum Diameter SW25 =18" (457 mm) Sum Diameter SW33 =18 "(451 mm) Automatic Operation SW =Wide angle float Automatic Operation SW = Wide angle float switch (manual available) SO = Diaphragm pressure switches (manual available) SD = Diaphragm pressure switch A VS = Vertical float switch VS = Vertical float switch YS = Single cord Materials of Construction Cost iron and engineered thermoplastic Materials; of Construction Cast iron and engineered thermoplastic Impeller Thermoplastic vortex Imp eller Thermoplastic vortex Discharge Size 1.1 /2'NPT(38.lmm) Discharge Size 1.1/2" NP1138.1mm) Solids handling 1/2" (12.8 mm) Solids handling 1/2" (12.8 mm) Power cord 10' , S1TW, (20' optional) Power cord 10' S1TW (20' optional) Superior Features • Carbon/(eramic mechanical seal Superior Features • Carbon/Ceramic mechanical seal • Oil filled motor w /automatic reset • Oil filled motor w /automatic reset thermal overload thermal overload • Uses single row ball bearing construction • Uses single row ball bearing construction • Piggy -back plug available for easy maintenance and • Piggy -bock plug available for easy replacement maintenance and replacement 9 30 SD33 SW33, 533 b W 20 W W 1 � O 3 °10 t y .1. 0 0 ! ` Capacity -U.S. G.P.M.O 10 q0 a • ?1� Y. a Y , ".K Mme', e � \' / liters /Second 0 NOR 1 Wislo Department of Industry SOIL AND SITE EVALUATION REPORT Page / of .Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but -s 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. d -- / /•- /!t APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION EWED RY DATE PROPERTY OWNER: PROPERTY LOCATION ,o h Al S,4 e GOVT. LOTS ' 1/4 S,,r 1/4,S3/ T �2 �? ,N,R / 40r) W PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # I SUBD. NAME OR CSM # 9 o 44 0 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN NEAREST ROAD [ New Construction Use [X7 Residential / Number of bedrooms [ J Addition to existing building (] Replacement [ ] Public or commercial describe Code derived daily flow L? gpd Recommended design loading rate bed, gpd$ .r french, gpd /ft Absorption area required bed, ft trench, ft Maximum design loading rate bed, gpd /ft - trench, gpd/ft Recommended infiltration surface elevations O ft (as referred to site plan benchmark) Additional design / site considerations Parent material 6�A Ad /A / )' i � L. Flood plain elevation, if applicable NR ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem I El [aU ®S ❑U ❑S ®U El ®U ❑S OU ❑S OU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botx>day Roots GPD /ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed ITtrich Ground _ �� �� /vl S.�A� S /A4 � G' c<J iV Ar 3? elev. ��ft. /a 6 J`f,� .• S" H F s S NA NA Depth to limiting fac Remarks: Boring # S % A 2 M '6 i-' h1 1 L'S V AI ' _5 , d Vr Ground ` I� C MV S I�'y F _ V N•4 elev. C' yL-Vft n , Depth to limiting factor Remarks: , = COUNTY CST Name:— Please Print Phone: �r Address: a G1� 1 C Signature: ate: CST Number: PROPERTY OWNER �"aXi St ye R S SOIL DESCRIPTION REPORT Page .• PARCELI.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench S1 .2 M S'B K Ground 3 7' p zM d?- C C A 6 i; M v IV-4 AVA elev. ft. Depth to limiting facto„ Remarks: Boring # 0K. Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor i Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) I I - S -- 1- I ecg ° — r – -- I ' i : I I i Whielo -- - a - -I- -± - - i ' I — ' -_ - -- -- — -- - - -- �— - � i t - -� - - -.� _._: -- - -- — -- — � —_ -_- - -- — - -a —� I � i i ' I I i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICA FORM Owner/Buyer Sc b IT d P k J Y' r L 0 (i - Mailing Address 1) I S'D L) f j N &w Property Address ��� C� 1 '� ��1��� Gli I S °� �L ' S 20 7 (Verification required from Planning Department for new construction) City/State 50, �'v J 5 5Vd9`2 Parcel Identification Number D 3 L t – (eq - 7 —� O LEGAL DESCRIPTION Property Location 1 /4, 1 / a, Sec. , T - 1N -R W, Town of 5 PIZ IN 6 0 <- �►) Subdivision , Lot # Certified Survey Map # S J ?S , Volume 2 -- , Page # 3 Z � . Warranty Deed # 6 0 7 0 3a , Volume - TT 1 / , Page # Spec house ❑ yes 4 no Lot lines identifiable 0( 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. 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 three year expiration date. SIGXATTjRlt OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. /Z 4 L'4� --/ J- / /cz SI 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 1442PAGE 536 DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2 - 1982 607032 KATHLEEN H. WALSH WARRANTY DEED ST. CROIXOCO., WWI RECEIVED FOR RECORD 07- 19-1999 9:30 AM John G. Sauers WAITY DEED EXEMPT N CERT COPY FEE: COPY FEE: TRNWER FEE: $9.70 conveys and warrants to RECORDING FEE 10.00 Scott E. Melander and Hope M. Melander, PAGES: 1 husband and wife as survivorship marital property R 7w " aw o: Packaging I g Dept. the following described real estate in ST. CROIX Federal Savings B r� County, State of Wisconsin: Box 1868 r f rosse, WI 02- lo,o # 's"Vro T ax Parcel No: 034_- 1071 -10 -20 Lot 3 of Certified Survey Map #3288 recorded in Volume 12 of Certified Survey Maps, Page 3288, being a part of the Southeast Quarter of the Southeast Quarter of Section 31, Township 29 North, Range 13 West, Town of Springfield, St. Croix County, Wisconsin. TRANSFER FEE This T G NOT homestead property. (is) (is not) Exception to warranties: Easements, covenants and restrictions of record. Dated this day of July, 19 (SEAL) (SEAL) G. Sauers (SEAL) (SEAL) * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) t o u U 41 vc- SS. County. ) t' authenticated this day of Personally came before me this 4 day of July, 1999 the above named * John G. Sauers TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Subsec. 706.06, Wis. Slats.) to me known to be the person who executed the for oing Instrument and acknowledge th same. THIS INSTRUMENT WAS DRAFTED BY K . C MICH J VINOPAL * . 1a K, G dtr oy"' A TTORNEY AT LAW Notary Public L6W4 eIdi rt. County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration date): are not necessary.) Names of persons signing in any capacity should be typed or printed below their signatures. 0 ?'1999 07:23 7151201893 F40RTHWCIDDS PAGE me uj LU CO ecp -S CC O ch s27 ,aaz� n ti �4 f� az - lErfr i I 1 I 3 � A< L ij i e4' i f 1 j . I I FORM NO. 985-A 4 d&.ff m Stock No. 26273 5616`:8 CERTIFIED SURVEY MAP NO. 328 VOLUME 12 , PAGE 3288 . BEING A PART OF THE SOUTHEAST 114 OF THE SOUTHEAST 114 OF SECTION 31 TOWNSHIP 29 NORTH, RANGE 15 WEST, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN. LEGEND NOTE. EACH PARCEL ON THIS MAP IS SUBJECT TO STATE AND COUNTY LAWS, RULES, AND REGULATIONS --- - - - - -- GOVERNMENT CORNER (AS NOTED) (I.E. WETLANDS, MINIMUM LOT SIZE, ACCESS TO PARCEL, ECT.) BEFORE PURCHASING OR DEVELOPING ANY PARCEL, 0...... - - -- SET 314 "x 24" RE —ROD WEIGHING CONTACT THE ST. CROIX COUNTY ZONING OFFICE FOR 1.502 LBS. /LINEAL FOOT ADVISE. THIS INSTRUMENT DRAFTED BY STEVEN J. WAAK SCALE: 1 " =300' GIN,,,, % , 0' 150' 300' 600' �� •.�-. `/ .� ��.•�� STEVEN J. WAAK E.1 /4 COR. c • 31 -29 -15 �' = FD. 2' I.P. S -1610 PREPARED FOR: MENO i Q MR. JOHN SAUERS �'4,, "1� •�• ���`� 3900 PEBBLEBROOK DRIVE MINNEAPOLIS, MN. 55437 MIp cQ / on � I S UNPLATTED LANDS I OJ NIL- S.E —S.E i6 6, J �D N89'55'12 E 1201.17' ' I N 3 019 9.7., _ 441.10' 717.63' ' �� 760.07' 42.44' ao LOT 4 �+NII JJ :r 310,699 S.F. 00 7.13 AC. rn od sod s ` EXCL. R/W Z rn g i 293,947 S.F. 6.75 AC. S8956'50 "W 760.81' I '_ N a 381.00' 340.28' 39.53' ' 379.81 N � 100' —i ' ° z w :5, LOT 1 ° p\'rn C i too, 583,699 S.F. o ,� m QI 13.40 AC. N ° Q ai EXCL. R � i z or 569,681 S.F. w on � om 13.08 AC. O N . LOT 2 N LOT 3 Z N1O s IiNo c, a 0 348,609 S.F. = 348,262 S.F. 6 mia,g %j uj W $ 0 '^ 8.00 AC. 8.00 AC. °p I Z on m EXCL. R/W cy EXCL. R/W �pV) 336,306 S.F. 0 303,676 Sf I s = 1 Ewa 7.72 AC. c 6.9JAC BUILDING p SETBACK LINE I I r� N895234 E wNj 1170.24' 16 441.10' ____ 381 ' MT ---- 348.14' L___ 1437.28' -- ----- 44fTfl `O S.E. COR. 58956'S0 "W - - - -- � ---- - - - - -- s ¢ ---- - - - - -- s --------- - - - - -i r31 -29NT S COR. 607H AVE i sFD. BERNTSEN 31 -29 -15 UNPLATTED LANDS FD. NAIL/WASHER CEDAR CORPORATION 604 WILSON AVENUE MENOMONIE, WI 54751 (715) 235 -9081 Vol. 12 Page 3288 PAGE 1 OF? First Floor A �. 14'-0" r One WNW DOouble4h�+ Doublehung One 24"x30' Doublehunp KRchen Two 30')aB0' ' LM V Room DoubNhunp One 30' AW - Doublehurg L Mk Room 37.7 Three 7 Tampered �" ' Ghfe Parnb Oper" to _ - - - - - - - Basement quest Closet 38" . 3M Mr Bedroom W-W Chest One 24 k37 Doublehurg 0 TWO 30 Doublehu g 24'-0" x4r Second Floor Dne - one - is Doume" room Two WNW Open to LMV Room DoubWwnp j 1 i -------- 324r ft i' Closet Lkwn s Closet 'a 30" 90' i Bedroom Bath Closet Oro 241' 0W MUNO wg 10 1 1 1 OM 3olidw DoubWhtmV K ,Z-T Mr FORM NO. 985-A Stock No. 26273 JUL 301997 567.6"( 8 SURVEYORS RE CERTIFIED SURVEY MAP NO. 3288 VOLUME 12 , PAGE 3288 . BEING A PART OF THE SOUTHEAST 114 OF THE SOUTHEAST 114 OF SECTION 31, TOWNSHIP 29 NORTH, RANGE 15 WEST, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN. LEGEND NOTE: EACH PARCEL ON THIS MAP IS SUBJECT TO STATE AND COUNTY LAWS, RULES, AND REGULA77ONS ...... GOVERNMENT CORNER (AS NOTED) (I.E. WETLANDS, MINIMUM LOT SIZE, ACCESS TO PARCEL, ECT.) BEFORE PURCHASING .OR DEVELOPING ANY PARCEL, O ......... SET 314 "x 24" RE -ROD WEIGHING CONTACT THE ST. CROIX COUNTY ZONING OMCE FOR 1.502 LBS. /LINEAL FOOT ADVISE. THIS INSTRUMENT DRAFTED BY STEVEN J. WAAK SCALE:1 " =300' on' ��gtltlat O Rtlult uth „ A r �7jryi 0' 150 300' 600' ��```` \ � j G. • • •/ : �;s�/� �'��i'� STEVEN J. t WAAK 3 COR. 31 -29 -15 • 1610 = �• 2” I.P. S- a PREPARED FOR: �� : MEN IS. ; Q •. wis. O� MR. JOHN SAUERS 3900 PEBBLEBROOK DRIVE '////9? • • • • • R� ��� �\\\\\` MINNEAPOLIS, MN. 55437 Nl M l�. • 1/31/97 ^Ig S UNPLATTED LANDS OJ N/L SE. -SE is II JU N8955'12 "E 1201.17' 3 0 441.10' 717.63' 1997 ► 10 760.07' 42.44' LOT 4 310,699 S.F. 0 Z13 AC. °oCd EXCL. R/W i rn ig i 293,947 S.F. �= i 6.75 AC. i - S89 56'50 "W 760.81' i N 381.00' 340.28' 39.53 M 379.81 !-1 O H y� Cni W J� LOT 1 rn i t 583,699 S.F. �cri�y �i rn 13.40 AC. N WW I zi EXCL. R/W rn P 569,681 S.F. = W . ° w pm °' a 13.08 AC ° rn LOT 2 .f L 2_Nio C �O M to Q`- M a O ip W N1�M 348,609 S.F *a 348,262 S.F. 1° N h 8.00 AC. o 8.00 AC. g °f EXCL. R/W �, n EXCL. - R/W i �py 336,306 S.F. ° 303,676 S.k ' Z72 AC. C .� 0 6.97 AC i i 1�-' BUILDING SETBACK LINE m I I n� 9'52'34"E c" � 1170.24' 16 6 381.00' _4 __ -- 348.14' _ L_ -- , _ �JA� 1437.28 -- to S E. COR. V S8956 50 "W - - ^ -- �' ------- --- $� ---- - - ---- --- ----- - ^=o -i r31 -29 -15 S.1/4 COR. 60TH iFD. BERNTSEN 31 -29 -15 - FD. NAIL/WASHER UNPLA77F0 LANDS CEDAR CORPORATION ' 604 WILSON AVENUE _ MENOMONIE, W154751 (715) 235 -9081 Vol. 12 Page 3288 PAGF_ 1 OF?