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HomeMy WebLinkAbout040-1049-70-000 - 0 O 'O O N 0 V 0 �O y4 c •'F C C 1 � ti C n C O � O rn CL c N N O L N ��y 3 �`°� a' Z a N � C = •-' N N E O O a s ° C z a o @ n r c C7 C z N C U C z@ Z @ O f`3 . lL c a E LL C p) .� 0 @ 'C ' O n a 7 E d a E d a) (1) ro U U @ M @ o c a a E o z :.� O O a ° ° z 'a -a I a m a m N Z C C7 O Z a m Z? C N c c m 2 as m o a CK C7 ? 0 0 C mm - 0 0 • C v L '6 L tc (6 N N N r O d o a d a2z z z °00 O f6 E CO L IL w Q O G .� Y z ° > 3333 iN 3333 • o a a a o M a s 3 o m CF) 0) N J U rn rn Z 0) a) o 0 M n � `°° °° o m o 0 O � F4 O O r- N N d N E rvY Cfl c m c m Q N O N O 0 n O 0 `1v C) 6 °2 d z .. c� � °' d z a LO w Ln w R O m U O N O U N @ ;;' C N o o O a C a) 0 0 0 C o O o _ E _ E c O) 0 9 O C m N N C y C Q> m cD O E- C C .�- @ O a r N O �+ W O M €Cv O C) N w (1) C L n • O y' O F - O N N N= z O M O ,z z U) i Cis a) ya �a • m a• a .0 v d c D V a 0 N V 0 N V a ° o ° o 0 0 a M ti O ° p` 04 E N N g t� o o7co Mc�...Ecn c w' o ry t f0 �. 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O M N C @ y V C CL N O ca N .) d y N N y yw c E •IV N C L % N 0 7 0 0 O 0- 9 c O 0 Z Z w N Z �i FL 1 � Ma m L m m m c a O a 0 U ` ° Q EmNN cim R CL CE CL 0 Z a v 7 p fn Z — c�7 d (A J V O O O O C O O ' !y -p N N Z Z � Z Z m CN co - O O o 0 O a°i E m D EL 0 m Q m m Q Q U o 0 d Z <n Z Co n CO Z cq m 0 n m +' o o c ao ♦rO L' c N 2 CL O Q f C_ C_ C_ R N p W d • f` Q Vr 7 7 O C 7 N o o a C i y y c a7 ~ N M C •� d O N N N N N y U • Oi O N W C� M O Z c Y n. a a (n a dt a L: a • Cd CL d ,V 0 d c a� rr�� 2 o1 A cia 2 0 aiv I DEPARTMENT OF APPLICATION � SAFETY & BU INGS INPUSTRV, FOR SANITARY DfV4 LABOO AND. PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8% x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H -63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must be included. Property Owner: M ' i Address: OcXf O CAW E L 156X 77 Property Location: City, Village or Township. County: / �� " /VWt /a 114A/aS /Z /T �N/ R I E (or S �F J� Lot Number: Blk No.: Subdivision Name: Nearest Road, Lake or Landmark: State Plan I.D. Number: (If si e TYPE OF BUILDING � Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: Pq 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED -IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY LIFT PUMP TANK /SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit (� 3 73' Alternative (specify) �N fie4V�,0 �ihQS� F] PU� Seepage Trench Water Supply: / Owner's Name as Listed on Soil Test Report (If other than present owner): Private ❑ Joint El Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Sign ure: MP /MPR N .: Phone Number: ;&� - fo Aj Y , AA1 - t 4. Plumber's Address: Name of Designer: COUNTY /DEPARTMENT USE ONLY ign ur of Issuing A ant: Fee: 0-0 Date: APPROVED Sanitary Permit Number: DISAPPROVED D-3 ea on for Disapproval: ' r j Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to JjfCMff9rior to in- stallation. Failure to comply will void the sanitary permit. GCT Q I. 1 DISTRIBUTION: White- County, Canary- Bureau of Plumbing, Pink - Owner, Goldenrod - Plumber DI LHR•SBD -6398 (N.03/81) u t 4 " iI. •yam �w� ,��.,, `�, ..M'�y..�' i lax lk Do oo Or s 11 t t yy d .rte; I o too. .' N nfJNI ij r Bpd �► --T-- �,.`�" �. �: -:�; ___ ' .q Qs '�\ � �! � ,. �����r�� n 3I �eB r, WORKSHEET PRtc5SUtit: • D 1 STit'1 BUTa ON •NETWOlIK DESIGN • di IPA i � •1..'.. � �1et �� Desig n a prepressure et�ybu� ,wGr badrbom home.' The •�!t.: ; characterisitics ar4: I i Depth of groundwYlt'i�k pedl"oF�4 '.� `�' �,. `� r 111,r a_____ in d I x Lan sl e o p Percolation rate _ —n Distance from dose chamber to distribution system 2a _;ft. El dWereace– between and,distrlbution iystem ft. + c step 1. ESTIMATE W�ISTEWATER LOAD PV, Y I �M Ffrro3. / y( r �,y�U I ' =Os f • << r' Step 2• SIZE A850RPTION AREA A) Area required Fs'I wAST>. Zo,tD /S O s�lgQ Rat . Alt g) Sel length d` ,r% Q F / C) Width is 12 FT' ��. D) I will use a manifold.' f a• Step 3. '! -SIZE DISTRIBUTION PIPES , A) Hole size I will 'use is Y / Y in. B) !.Hole spacing I trill use is __�� in:= I , C) j. lateral length 11s �J� ft. Off D) Lateral size y in. Step 4. DISTRIBUTION PIFE DISCHARGE RATE r i r� i .464E .SPA IPA 4 t;Zj!P . jAAj Step 5. 'SIZE MANIFOLD ~ A - Y Manifold length ft. B) -Number of distrib pipes. C) Manifold diamet 1n. T'. ._ _...— .. ... .. .- ...mss..= _. r._ ••o�• Y'wr. �.Y W'r .. '4�. ,•' 'i .. _ _ •• • M . y 4S a r • 1.,. � _ +k ,�, .. «..._ _.. :��, tl F `} i T � tZ ! • .. t r Y : i i . ' •i'i -R' �. = r ;.o_...C6' -.,, ` r'� ' "V � f , ;.� �h I .. h i ....., w � '! 2 : k • I r ♦ 4,. �• ' t x, NQ . RU• j �..�. N�• ,',i } x � . J � t y_ � j � � ar �,� j a "" r t �1w4IlT.7P�j�J RR "e cif u • dd r t' , f�' x- fC- • I R yy a i } WISCONSIN DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING, PLATTING & FIRE PROTECTION POST OFFICE BOX 7969, MADISON, WISCONSIN 53707 I Verification of Exception Status for an Alternative Private Sewage System In the County of St. Croix Location NW 1/4 NW 1/4 S 12 T 28 N, R 19 Hxow$ W Town or Municipality Troy Township Street Address Lot No. Block Subdivision Landowner's Name: . 1ji r k Q ! Colanoll The application for this site is to serve a: ❑ new construction use. © replacement system use. If this is a NEW CONSTRUCTION USE, the alternative private sewage system is to be incladed as: ❑ part of the 3 %/5% limitation. This is number of the applications made through this office. ❑ one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, nephew, hew or first cousin. ne ❑ an individual lot for which a sanitary permit was issued but was later ruled unsuitable due to new or changed soil criteria established by the department. El a lot that meets the site criteria for a conventional private sewage system. If this a REPLACEMENT SYSTEM USE, the mound is replacing: E2 a failing onventional soil absorption system. ❑ a holding. nk that was installed and in use prior to February 1, 1980. ❑ a privy that was installed and in use prior to February 1, 1980. I certify that the above information is true and accurate to the best of my knowledge. Name Tho C Nels Si natu • Title A ssistant Zoning Administrato Nove 16, 101 DnAR -S&D- 6158 (5.7 /e0) a ST. CROI X COUNTY W I S C O N S I N ZONING OFFICE 796 -2239 HAMMOND, WI 54015 November 16, 1981 Division of Safety and Buildings Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Rick O'Connell property located at the NW of the NWk Section 12, T28N -R19W, Troy township, • , in St. Croix County,.revealed , suitable soils at a depth of 24 inches, below which seasonable high ground water was noted. This site should suitable for an in- ground pressure system. Should you have any questions, please feel free to contact this office. Yours truly, Thomas C. Nelson Assistant Zoning Administrator TCN:sl : Step 6. ; � SIZE THE FORCE MAIN A) 'System di schar a rate �ZD �G►�► T�b�� 0'. , °C B) Force main diameter F'�'" �"tr�, - 2� F ft. 100 ft� n C) Friction loss will be / r Step 7. TdTAL DYNAMIC HEAD t, A) iVertical i i ft ft.: i i • I,.,� +, M �rs• , , f B) Friction loss ✓ ft i. v sysTar i, 7� Q C) TOH. ■ .e ft' Af Step R. SELECT. A PUMP tv >lL �a :iN'r;T' =O �1a7'�7/e�Ar���.r[, _ ---_� Step • 9. DOSE CHAMBER SIZE E'•udv fo D�! leks� �``160A ,(3,�9c g t!o LOA ih +C j ,., Step 10. DOSE VOLUME t : . 1 Y�` }, r4O 44 4. rl i , ,f..' � ¢ ,h i :� 1.1 �� � l �i � �I • �� ..� 1 v N . '9 o S i � f � Q 016.0 C :V V L �(nM�- G 1g 1 ICJ S , F Sc' y h T1Z Lu q 'Rn;` /p • F et �0 Y E U0 y .,a', 77 7 Iw� ` .,.. t � � � Y. q�li� ''SS .�, t 1i �j, i : ■r � I + � 1 r ., V I I , �rLi � � (• i • 1�� • 1 •} l it r i� �� ? 1 � I t - �� � v � z 1f' r �', ' \ 1 �1 P , YI •� �' ` I ll Inl i f Ir ,. �� � i �j � , r +:, .' 1 i 1 i ?I � � f � • � � r 1 \ , r , d i J U �/ "'% (Y � 1 It• I Inn 1 F f 7. t .i 1 • 1 I , " r Gl : x e; , i AR NTr' 1 , , +�' Afl Alf' ;➢°, p A ! ',`` ,r i `I JII i s '� `� 1 1 , li 7 !s� R Wi4{�„r `� Y 1 � � y rA v i ! d � �..� t t Y f f ,` � r ¢ : � �. 1 •i P4 OF P1 A1 PASS paT �� fe OTS pEWI� /N j 0tl vD I gESSU,P�'- �� S TE�1 57 _0 /o K#j - 1q 4o M .. � �_ _ ,_ _ _ � �� fiDEWAlI S , �N f.9Et � • Rosy t�M /EV. dF vERT FT �eef T 1 .5 /Oh - 0 S c --- a o c 1 4 cTcy 9a • fT �tF pr i T I,IM2 . I314 NoR4-4 -eeld CO,V.tlEL ' 'PESiDt,ut� 'F D ?Awe /f wc% I/ERTieA•L �E�FPE�lJCE 001 Is rap of SGAh AT mnv7 �' �'XiSTi:Us' we-GQ IiEt over .. TAaK . RECEIvm �.r r i y 6L �o�Ali�iottz O('t9 - ov PiR DEPARTMENT OR HUMAN RELA DtV TY AND B DINGS" a � c M c je Toe o r ti to C N C RECE1 1� R�P.P�uFv s yv {� �'ov�%� CT D of Xoct , 3 � co E, Pp - DEPARTMENT OF INDU i3'Y LA AND HUM RELAi V DIVISI E ND BUILDI k 1 57 � z C Z c � � T O e � C N 4 o TCTn� i, 09 r V L '�Q EP' ' AAr ME ;`OF IN© ST BUS ANDIFtUMAN RE till Y AND Wl NGS C RRES NOENCE "— -O T A —, k Nr Lk Z l k o v a W J t o \� C v -4 JZ ��. - N ILI v Z. . N � ? ` -n . i 3 W 7 ti w ev ). TE RgvvE Hi �' v W � 0 a a� .� •'- � v►1 w v� O a ftd- r Ilk ON FOR ool . . n . r J c• /. {/:.. A � - -� /ice. ��'Wl °,� � y: t �� V CRP R?JKEl� HDUS ASOR AND4Ni1MA R�tf1T; 7Y AND BU; �. Eli SJ=E CORR GOULDS Model 3870 Submersible Effluent Purop, 9 SPECIFICATIONS O rder No. HP Volts Phase RPM Solids Amps wt. Max. Order No. HP Volts Phase RPM Solids Amps Wt ' WPH1012E 1 230 1 3450 V4 11.0 70 WP0311 E 1/3 I 115 1 1750 V4 9.4 56 - ._. WPH1032E 1 208/230 3 3450 3 % 7 70 WPH1034E 1 460 3 3450 3 /." 3.5 70 w PERFORMANCE RATING (GPM) 60 __ WP03 ('fi HP) TDH GPM I m M 50 _.. - - __ ._ Total ` 3 _.i + 10 85 Dynamic Head 15 - - - 62 _ a 4 {�, _ Feet to 0 ti Water 20 36 R y 25 3 m = 30 -- _ � E � 1 4 WPH10 (1 HP ) TDH GPM G 20 xil 0 10 147 Total 20 124' 0 10 Dynamic 30 98 Head -- - - - Feetto 40 71 TM Water 50 45 0 20 40 60 80 100 120 140 160 Capacity— Gallons Per Minute 60 18 Model 3870 Packaged C apacities to 155 GPM g Heads to 65 feet Effluent Ejector System 3�4" Solids Handling Capability 2" NPT Discharge Connection Goulds packaged effluent Package Includes ejector system offers both Sewage Submersible Pum ease of ordering and instal- ■ Submersible ible Sewage 112E lation. A single ordering number specifies a com- ■ Mercury Level Control Switch plete system designed for (ALS2 -5 for 1 h H.P. package) most residential and (ALS2 -7 for 1 H.P. package) commercial sump and ■Magnetic Contactor effluent pump applications. his The ease of installation is `, (ALS3 -1 with 1 H.P. units only). *:, enhanced by plug -in power J ■. Polyethylene Basin - cords for the pump and � � (ALS7 -1801 P) level control switch which eliminates the need for I` � ■Basin Cover (ACS8- 1822S) additional wiring. (Except " ■Check Valve (ALS9 -2) for 1 H.P. units which have bare leads for connection to ,. Order No. SWP0311 E 115 Volts, magnetic contactor. 95 Lbs. Order No. SWPH1012E 230 Volts, 109 Lbs. MGOULDS PUMPS, INC.�ca-��a. SENECA FALLS NEW YORK 13148 Form No. A- 47BA -WS I SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE: pow- - - — q `t d {{ .. -- •--- ...�'—'-- - ��._. rte-- ... , s — , f Air 810 .> A E A 5T �l r - � �C D 1 PART T ROY T. 28 N-- R.! 9 W SEE PAGE 27 7 / ./ i •. I i 7 s - r -7— t --• ' s �9 , , �. 77 L A� w:l =� r . �'� _.AI y ---:.� � /can � — - '--'� � � f �� � — J � � � / f •r _.. .... �� .- �'� w^•: L— �� _ �_.: •Y n. -•�.✓ �`�sruw°JV�Ir.�^ �f _ , 0 , -, i Q.. > � va / L °, •/ I Kiemme OR >B4 y.o rr�,(�< c . ♦' i r FALLS °` °� • ' „— 425- 71S,r, 7 or 425 -8701 ` 102 North M:,!n Street -River Falls FitJDS - 3E3 -555a 's"•�' 1 �r / y � �� e �>a /do E ti r y / „ \ i . Highway 94 W,� .J 1 c:rv_, r r �\ ..•.fe• :try \ 3 .emu:/ ) if.��e�t ��' o°' k ;a p W PR:SCC - 262 -555L . c �y � ' � / �O � 1 4•4 8roc,o 5 reef North � 71 -69 Ile h i3 / ,9/b f G .FO 10 a /ff ,- v�anct W V I T e y 1 � 1 MEF OOW k. �.t� .ZJU /osy _ r/ /b n/-t �'� Ch aP�>O rk vp�v C��i. / � �ti �� � t .� q•�'F =d i "� _IJoir<1 /d !,� ✓- _- Tn _ � an p i` �`� � � nsen r ��" -�'y f W ':�� � Vhw '� c. 9.B � c w R e l q F .. tSUSan P /6o a;7 Jof.�son zoo p /9en r . i P e F'u f q � Th asn David v` ° co. s � -: •'"` a. a U . /font /oL.z , s C /cre O'MCa/ E ex Bo //o Lie y I Uo _ ,�� �ati >c.E IJ - IJuana • 6SBg .I N 4 p �w,n.sk >, 227 Launihe mob. ii -� sua �. y' � =t�.x .Pryenf � ✓� Pau /son �- gy ', j, - a l e St fe ;( zo6.B6 2 °" TARGET-4-1-1 AIMS T0: Co/ fDcnnc� ., C'a� /3'on %yes �t �� 65 HELP THEM FEEL j of - z4o.s Onin E. Y /594 y ip /9g. 7/ O tTO h�son .Qo / /9aS7g s y x ,7o w WANTED �•. ° . ml�?.' . � � .ao a /a7 the Ke�,nath � F. wanted by -- I °� : aq.c en .3e >. Br I•,. 4� 3 tJ nG' f.JIO3> FF ESC >u en, R�OGE F Y V - - - family /6v O W i etUX ' q b- ' " Q X07 e5 s' ti z� - -- friends - 3bF GLENMO r nP 4 _ .J p p •',`R ? - - -adult leaders i 'Yy /a 77-/ - -- community ernot>ous 1'�y �L iu jry " v7 r , ti g Nh O eta/ o Wi /6c� d6. 8s a / Ceoye !j. �! nie/ S•.DO is � — 35 - M.7 /rr /fie /� », ate >Va /son Ce�n aus RIVE F}q �,� - • - OClety • - - ^ oochfoid 1- luPPu 5 s ne Rc'✓ /y�9 PIERCE COUNTYt , r� Raver Fmlls RIVER FALLS REALTY CO. INC. � 00 DEMMES 2 SCHULTZ { Associalte 3, Md. L1, Stephen L'P�. Stephen Schwalbach, D.D.S. REALTOR Robert W. Hasel, D.D.S. 425 -6701 David A. Page, D.D.S. Phone: 775 - 425 -9707 650 South Main Street REALTOR" REALTOR ` River Falls, Wisconsin *` River Falls, Wisconsin 220 SOUTH �JIAIN STREET �a 54022 54022 RIVER FALLS, WISCONSIN 54022 425 -6732 CT _ s - 3 'V a .3 �" a AL. c w� r # $ Of T�.faf" Wit VY • Of r118 1t rice M Ok 1 *� t S N 5370* . SQL =815: PATE. October 26, 19$1 PROJECT: Rink 0' Connel - Resldrl Y Sewage Disposal - OP1 Wk, NW4, Seca 12 T 2appa Brothers Town of Troy, Hudson St. Croix County, W11 M Wisconsin 54016'" ' PLAN 10. . ; 1 DETACH HERE , ;. 3�' , +ww+�- �+•r- ^�.�.- ..«.��`'str w. m,- �... ..,�.. ...� � � ..�......,,.*. ._....- ..e- �-- ...✓�. _ - u- .«.4�r. w.. -w;�r: ++v ... -w, Ri O' C onn ef - Res i d 81 -05718 PROJECT NAME: PLAN ID.: Tb s is to acknowledge receipt of Vour plans and specifications for the- above- indicated yh k� -Prmliminary review indicates the plan review, fee required is $ r Plan acre ted for review. Fee received is $ _ .. 19 ;. i Fee is being returned because of f (overpayment � Underpayment. Providing one of the two catagories above is checked, remit correct fee in one payment. No fee has been remitted. Plans submitted with no fees will be held in abeyance. Lj Plans being. returned. %k ' Add itional.information required. SEE BELOW. w i , PEen omission 040d tional information shall be submitted in triplicate unless specifically noted., PI not clear, legtble or permanent. T Q"AFI:"inforrtign shitted shall be signed, sealed or stamped in accord with Section H 62.25(2)(a).Wacorrsin> Co�tl'� [Affidavit'enclosed. , Afternabi-saWage pisosal Systems tMound Systems) ' f fl Mg 1fo$ (Application for use of an alternate sYstenn) k ;a �I Catljt_y sr�site required (1 copy). El Design calculations for pressurized distribution E) Crou sWion of mound. 0 Pipe lateral layout. El Plan view of alternate. k " ifl i , ftivate aewagc Disposal Systems 1 Groundslopewith"2' contours in entire area of soil absorption system extending 25' on all sides. y t Elevation of permanent reference point (benchmark). Location of areassuito4e for replacement system - provide soil test data. PI ply sitt>wi lest ize aril ail lateral distances from sewage disposal system or holding tank to bldgs, "lo# !►1 ,, rcourse, etc. C60 Wiruc tion detaitof4 Ic; or lift pump tank if site constructedor tank manufacturer, if precast. ..b Cor+struction detail'and`oross section of soil absorption system. t: - 0 soil boat ganc3 per at testae EH t t5 ttomplttted by eertified soil tester ( 1 copy): � y .:tom Complette data reia#�r to.anti�ipated use of bldg. 0 3 copies of PLB 60 enclosed. 4 1 0 Deed restrictiorrregoired (1 -copy). f1/': Holding.Tanks . {- 1:1 Profile, of holding tank. Holding tan lvagt'eement,signed(. by= owner and -local unit: of government (sample enclosed): CJ Reason for instaltingholding.tank soil test or statement from county (1 copy). V.: Lift Pump Q Calculations .for total lift pump discharge, head and gallons pumped per cycle; r �� r ❑ Size, length & depth of force main. :C1 Detait model of pumpor.automatic siphons including size,; pump, curves,,drawdown and .averageMow rah " • ❑Cr sec t ion , of;lift pump took showing pump(s) or siphons) Vj. Systems In Fill (Fill;mutt be ptlaced prior to plan submission) {�Tata! ateafilles ,(fillxa exter►d 20' beyond -edge of.trench•bef side slope begin). Depth and type of fill, ` I FJCopy of'onsite report fly county or district pkanbira } Length of time fill has been ile place. d, n s.p a ' e • x Y tl qlT ..� ice- — — ..,.- — — — _ _ — _ — — — � _. — ..... , �+�,i.. � — _ — _.... � _ -.� _. .... —...., ..^....^C` ':•;1 t a 5 � tT t i �3 DEPARTMENT OF REPORT ON SOIL BORINGS AN s , I SAFETY &BUILDINGS INDUSTRY 9 DIVISION l , LAB AIV4w PERCOLATION TESTS ( 115 P.O. BOX 7969 HUMAN RE - LATIONS 1 �" ! [SON, WI 53707 LOCATION: (,fJ SECTION: TOWNSHIP /MUNICIPALITY: LOT N K U V N N I V U) 1 / /z /T a8 N /Rt9 E (or►W T,Po i 8l COUNTY: O WNER' S BUYER'S NAME: MAILING ADDR SS: 77 t ES USE F5 NO. BEDRMS.: 1 COMMERCIAL DESCRIPTION: R A TS: Residence 2 ❑New Replace f� / 0 />/ d �.2. �l RATING: S= Site suitable for system U= Site unsuitable for system 0 3 G CONVENTIONAL: MOUND: IN- GROUND - PRESSURE: S STEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) E] S Zu_ ®S ou U S au o S ©u o S ©u SN f�ov�o If Percolation Tests are NOT required DESIGN RATE: /KT 4 lFloodplain, If any portion of the lot is in the S E under s.H63.09(5 )(b), indicate: indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST GHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- v XT %c- / /G "/jv. S;c� z 3 " e y- jileetl e44 y w/ Nwss�o..� yt° • Ar 3 a y/ 9y; '/o v " 13 R 2- 40-tv..tA� . #It/ o e ,+tors A7- o° FT• 3 y "AR /sv. Si 2p 41.,60 SIL /Z " �',PfE.v -dy e4 -4,Y B_ Z G Co 3 3 .5" 7 w oR. /°,Poi 10 ur * o 7 AT s ?" fc 6 G B- 3 3 7y y Fr � ? "Ae'ea. S 1 z " AV- J"'& , // " AV' Xf'l- WIA ff �/ q /yJ 2 C l4o.m R Ao 7s f fov-f ,5"2 4o Co 3 " � r G ,� "_ c c . B- /9 fT Z7 f'orrAl C411Y !y''1j /A). SeL�AT / i/ " 1, au c6A . MA,v H . Old - .v • / or 2 " ./o B- j� g,7 X3.5 Fr. -4'3 ye '' °,r /3,j- Ji - S " �f ,Qa • S: c 3a'• c/ l3� . s: c A+irs,� Wi Y 13,j ScL w dr c cow c oy B- PERCOLATION TESTS � /�S fkiE/ / ? 2t� fj� TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL -MIN. P RI D 1 PERIOD2 P R PER INCH P- /T o Z Z1r. 57 P- P- / 6 P -. p P- PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slop. 9� • 2 �� i' ex � /f / /E T ,lfcf /-olwr / S /o•'D FT RoT SYSTEM ELEVATION y 7, f Fr /6e /o v IJ,E,PP /PEf PT ._ �---¢ •U 3 � P: �m 0 fo N _m N .. Ides �a ttpTic. SEQ� I 4,eow N �A VN � uaaw MAID R I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print : TESTS WERE COMPLETED ON: FohyT &hW1;C 7- s'-• 00/ ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional): 3 L /�cP vvso.v his S yob s's o 2 ye2-- 3 - F/�,5 CS IGNATU E: n r = ?'o of 51P_- WA6k AT F,Povr DooR DISTRIBUTION: Original -Local Authority, 2nd page- Bureau of Plumbing, 3rd page- Property Owner, 4th page -Soil Tester. DILHR -SBD -6395 (N. 03/81) I ' State of Wisconsin ` Department of Industry, Labor and Human Relations Please Reply to: SAFETY & BUILDINGS DIVISION -- Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Plan Identification Number L J Re: X10 PRIVATE SEWAGE SYSTEM ONLY— C ,t co I�HH� 198, The Bureau of Plumbing has reviewed plans, site survey information and installation details for the co r % a rnative private sewage system to be installed at the above - mentioned location. The plans and specifications were prepared by h j and received for approval on The soil and site evaluation was conducted by The site meets the soil and site requirements specified th chapter H 63, Wisconsin Administrative Code, for the use of i S � The proposed system is fora r Wastes from the building will discharge to a r' gallon capacity septic tank which will discharge to a ' gallon capacity pump chamber from which a pump having a capacity of gallons per minute against a total dynamic head of % `' T feet will discharge through a `'' inch diameter pipe to the soil absorption system. i It is of utmost importance that the system be installed in complete accord with the plans and installation details and the conditions of approval contained in this letter. The licensed plumber responsible for the installation shall notify the county inspector when the installation of the system will commence so that the county inspector shall be able to inspect this installation. The installer shall not deviate from this approval and shall follow the directions or orders issued by the appropriate local or state authorities. In accord with ch. 145, Statutes, and ch. H 63, Wis. Adm. Code, the plans and specifications are approved contingent upon compliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. The architect, professional j engineer, registered designer, owner or plumbing contractor shall keep one set of plans bearing the stamp of approval of this department at the construction site. If the installation of this system has not commenced within two years from the date of this letter, this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation and reserves the right to order changes or additions should conditions arise making this necessary. This approval is based on ch. H 63, Wis. Adm. Code, requirements. It shall be necessary to obtain and fulfill the permit requirements of the county in which this installation is to be constructed. Failure to obtain county permits will automatically void this acceptance. cc: OWS By: County Other _ Enclosures DILHR- SBD- 615918.7/811 mes Sargent, B (rector t ST. CROI X COUNTY WI SC0 NSI N ZONING OFFICE 796 -2239 HAMMOND, WI 54015 December 3, 1981 Ed Drozd State of Wisconsin - DILHR Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 RE: #81 -05718 Rick O'Connel Dear Mr. Drozd: Soils for an in- ground pressure system, as indicated by evidence of seasonable high ground water at a depth of 52 ". This proposed system will have to be placed in this area, since other areas tested indicated evidence of ground water at a shallow depth. Sincerely, Thomas C. Nelson Assistant Zoning Administrator sl . 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)). 353215 Permit Holder's Name: ❑ City ❑ Village ® Town of: State Plan ID No.: O'Connell, Rick I Town of Troy CST BM Elev.: Insp. BM Elev.: BM Descri tion: Parcel Tax No.: d d a < - 040 - 1049 -70 -000 TANK INFORMATION ELEVATION DAfA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / 000 Benchmark L Z Z �U p Dosing r � Alt. BM S /0 y led" A n Bldg. Sewer Holdi St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet rr, TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet / / NA Dt Bottom Z Septic � > - - Dosing `, ��r f NA _ a�l,�r }i�/Man. Z. 04 Z 2 A Dist. Pipe Z /V' Holdi Bot. System Z r!v PUMP/ SIPHON INFORMATION ; e4 Final Grade Manufacturer S �J 7 2 - �� a St cover Model Number uJ _ � 1 em OtiPM TDH Lift Z Lrictionq 3 System TDH30, � mead 2, Forcemain Length Z'AQ Dia. Z Dist. To Well SOIL ABSORPTION SYSTEM I BEIYI TRENCH Width Len No. Of Trenches p No. Of Pits inside Di th EN I N TS r DIME SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM Manufacturer: INFORMATION Type of System: c /tJb OR UMT R M Num er: 7�✓ DISTRIBUTION SYSTEM Header / Mani Id Distribution Pipe(s) p x Hole Size x. Hole Spacing Vent To Air Intake Length Dia. , / Length Dia. XLSpacing V /r 3 � ­— 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 E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: // /70 / f /Inspection #2: // /to /qf Location: 475 County Road U, Hudson, WI (NW1 /4, NW1 /4, Section 12 T28N -R19W) - 12.28.19.181B 1.) Alt BM Description= ,60 of r"o 6fl s.) 2.) Bldg sewer length = V - amount of cover = tug rLwan�� 3.) Contour = 3 . & Z // • O Plan revision required? ❑ Yes ® No Use other side for additional information. z SBD -6710 (R.3/97) Dat Inspector's S nature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i 4 ' Safety and Buildings Division N VIsconsi n SANITARY PERMIT APPLICATION 2 1 B W shingtonAvenue Department of Commerce In accord with Comm 83.05, Wis. ( Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the syst ��a�paper not te5s o�unty than 8 vZ x 11 inches in size. Sanitary P Number • See reverse side for instructions for completing this appliPit. ®n y Pe i � Personal information you provide may be used for secondary purposes , Dahl ck it revision to previous application [Privacy Law, s. 15.04 (1) (m)). ?(?. ST �HOI „• $tatO Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT AL INF OR �11 Prop rty Owner Name ' gocati i4 ` 74,'' /2 T N,R E or)g Property Owner's Mailing Address LotiNprr)bell lock Number 1 City, State Zip Code Phone Number Subdivision Name or CSM Number Sd4 e r YG /6 1 ( ) e Y F;z Uol II. TYPE OF B L ING: (check one) ❑ State Owned it Nearest oad Village Public Z 1 or 2 Family Dwelling - No. of bedrooms Town OF r 1 cd R,-1 u 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) f 2 - q, (IN 1 ❑ Apartment/ Condo 1­/ 6 — 16 'CY T — 7er — G ao 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_ ❑ 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 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 s 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: r2 1. Gallons Per Day . Absorp. Area 3. Absorp. Area 4. Lo ding Rate 5. Perc. Rate 6. System Elev. 7. Final Grade 1 . ysa Required (sq. ft.) Proposed (sq. ft.) als/day /sq. ft.) (Min. /inch) Elevation 3 ?,s 3 �� /T , 4 Feet // Feet Capacity VII. TANK in Ca allons g Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App New Existing structed Tanks Tanks e tic Ta Vic_ /'p ® 91 ❑ ❑ ❑ ❑ ❑ < Lift Pump Tank Y- �� U r,C C y. ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ VI ONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) M MPRSW No.: Business Phone Number: ll, " l a yr Se A k "" oe V.? 7 Plumber's Address (Street, City, State, Zip Code): r d 6 V -, G -.v r IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate Issue Issuing ent Signature (No Stamps) 4M(Approved []Owner Given Initial Surcharge Fee) Adverse Determination 4$ 3? / '_ 1 1 (�/ ,, a X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD -6398 (R. 4199) DISTRIBUTION: Original to County, One copy To: Safety a Buildings Division, Owner, Plumber INSTRUCTIONS ' 1 _ A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly rriaintairied. 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 isto 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. P Complete plans and Y specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must P include the following: A) plot pran, 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;_Dl cross section of the soil absorption system if required by the county; Er soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) fora number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. . Safety and Buildings ' 2226 ROSE ST LACROSSE WI 54603 -1905 TDD #: (608) 264 -8777 I sconsI www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 26, 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: 10/26/2001 / , ` A Identification Numbcrs Transaction ID No. 252701 SITE: _ F )' ite ID No. 182664 Site ID: 182664 " . lease refer to both identification numbers, St. Croix County, Town of Troy ; 7 ° �,` 9 -a ove, in all correspondence with the agency. SW 1/4, NW 1/4, S12, T28N, R1 9W t}UGrx �` Facility: Rick O'connel Residence F FOR: +' !° Description: Four Bedroom Mound System Object Type: POWT System Regulated Objec 746 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. Slats. • 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. Slats. • The existing tanks must be inspected for structural soundness, size and baffles where required, and must be brought into conformance with the requirements of ch. Comm 83, Wis. Adm. Code. If either tank does not conform it shall be replaced with a state approved tank. 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. Sincerel k DATE RECEIVED 10/13/1999 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 to 4:00 PM jswim @commerce.state.wi.us WiSMART coddi Page of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE Sw 1 /4 OF THE AJW 1/4 OF SECTION I'L ,T 2�5 N, R 19 W, TOWN OF S1 Q-L COUNTY, WISCONSIN. INDEX PAGE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION PA GE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR 4. Covet Tzzp�b 1-h�0 S C l" PREPARED BY r V . WECGEF:;t ER ACI L TEST S NG ��mez�Qa�e N D E S I G1w S>E R �1 I C E gg � � � � 0 �� M3[t7 \ P.U. BOX 74 421 N. RAIN ST. PRIVATE SEWAGE SYSTEM RIVED FALLS. MI 54022 t W T4l R q 115- 42`, - 0165 "` ;' • Condit � ELIFV,GRTH. A P P "Rh 0 V E I GN� � rvin I} �IIdtIBI��US EC � F S OR KE 'roc; is E._. JOB NO. PLOT PLAN ' Page Z- of Scale 1 "= 5� ' Q- J I , � I Bw � I THIS 1 1D.6 '4607Mh x 3 BD4z �h NOTES •1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z, required). 3. Install 4" observation pipes with approved caps. ( Z required) 4. - Septic tank to be Avon gallon capacity manufactured by W ! eS QNZ ' CO" CR.E - Pc M P - IYQ- 'ry lt� e W L k_"s Lznz - 15 O Grtt I iVt E $0'1-4 EX ta 11 Al C 5. Bench Mark LLLU 100. o ` 010 12LO M of s Lbuv G o►= 6. Divert surface water around system to prevent.ponding at the uphill side. Page 3 Of Approved Synthetic Covering t�sTM C 33 Distribution Pipe Medium Sand G Topsoil F Eled. \\0 3 E ` b % Slope Force Main Plowed Trench of k"-2k" From Pump Layer Aggregate Undisturbed Q �•O t. Soil E �`-L} /Ft. Cross Section Of A Mound System Using F 0.2 Ft. 1 Trench For The Absorption Area G •� Ft. A 5 Ft. H S Ft. B 1 Ft. I tS Ft. Linear Loading Rate= b - GPD /LN FT O - 7 Ft. Design Loading Rate= p•3GPD /SQ FT K Ft. L °N Ft. W Z7 Ft. L Force �-- B K Main� w W ov p N� t3al E , t �w Distribution Trench Of 2 - 2 '2 Pipe Aggregate 1 Observation Permanent Markers Pipes (Anchor securely) Mound Using I Trench For Absorption Area Page L) Of Perforated Pipe Detail 0 End View End Cop ) Perforated t \e 1 PVC Pipe Install permanent-marker at end of each lateral Holes located On Bottom, Are Equally Spaced Q End Cap P * c PVC Force Main i Distnoution Pipe Lost Hole Should Be Next To End Cap Distribution Pipe Layout P 314 -s Ft. X 1 � Inches Y 36 Inches Hole Diameter l tY Inch Lateral ) ),/ Inch(es) Force Main - 4 Inches # of holes /pipe k Invert Elevation of Laterals X1 Ft. Place lst hole 15 'f from tee with succeeding holes at 3 W intervals.. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTION AND -SPECIFICATIONS' PAGE S OF C7 VEIJT CAP `I*C.Z. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE 10' FROM DOOR, JUUCTIOW BOX COVER WITH WARNING LABEL WIMOOW OR FRESH I2�MIU. I- AIR INTAKE GRADE I 4' MIN. PROVIDE I - - - -- . IAlLET � AIRTIGHT SEAL II v APPROVED J01lJTf A Tank construction shall comply I IiI APP ROVED JOI with COMM 83.15 and COMM 83.20 I I ALARM b I II I I I i ON C i -- 88. l2 I CLEV. FT. PUMP i OFF 0 Z13 CONCRETE BLOCK 3" APPRWEA RISER EXIT PERMITTED OWLy IF TANK MANUFACTURER HAS SUCH APPROVAL I UDplNQ SPEGIFICATIOAIS DOS . W l M CQM ClOz- 3.1'I TANKS MANUFACTURCR. WUMBER OF DOSES: PEK DA4 TANK SIZE: - 'ISO GALLONS DOSE VOLUME r \01 ALAR MANUFACTURER: S.s• �-�ThD S�1S ]'1 INCLUDING OACK /LOW: GALLONS w MODEL NUMBER' \21 4A CAPACITIES: A= 1S INCHCSOR 3p �'a GALLONS SWITCH TyPC: �����'� B = Z INCHES OR G�LLOIJS PUMP MANUFACTURCR: � L, g C a 1 1Z IUCHE5 OR � � �' S GALLOIJS MODEL WUMBEM. �S D- INCHES OR Z�' b GALLONS SWITCH TYPE: �� �-Y MOTE: PUMP AND ALAFIM ARL TO DE 20 MINIMUM DISCHARGE RATE Z a ' b GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AMD.- DISTRIBUTION PIPE.. �' $ FEET + MINIMUM NETWORK SUPPLY PRESSURE .. 2 FEET + Z S FEET OF FORCE MAIN X �'� F Yo F T.FKICTIOU FACTOR— L �' ,S FEET TOTAL OtiMAMIG HEAD = 3 I Z� FEET DIAMETER IAITERMAL DIME.IJ5IO4 OF TAIQK: LENGTH Z ;WIDTH ;LIQUID DEPTH 3 _ — z BOTTOM AREA -= 231= - GAL /INCH AS PER MANUFACTURER = - LO OS GAL /INCH I i uouias Submersible Effluent Pump EMhrnI PYA 3885 t APPLICATIONS • Overload protection must 'smooth operation. Silicon can be operated continuously Specifically designed for the be provided in starter unit. bronze impeller available as without damage. following uses: Bearings: PP • Shaft: threaded, 400 series an option. ■ Bearin s Upper and • Homes stainless steel. ■ Casing: Cast iron volute lower heavy duty ball bearing • Farms • Bearings: ball bearings type for maximum efficiency. construction. Upper and lower. ZAPT discharge adaptable duty •Trailer courts 9 P ■Power Cable: Severe tlu • Motels • Power cord: 20 foot for slide rail systems. rated, oil and water resistant. • Schools standard length (optional ■ Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals lengths available). CARBIDE VS. SILICON provides secondary moisture • Indust Single phase: Industry • Y3 and /2 HP -16/3 SJTO CARBIDE sealing faces. � barrier in case of outer jacket • Effluent systems Stainless steel metal parts, damage and to prevent oil with 115 V or 230 V three prong plug. gUNA -N elastomers. wicking. SPECIFICATIONS • % -1'/2 HP -14/3 STO with ■ Shaft: Corrosion - resistant ■ 0 -ring: Assures positive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. Locknut on three and oil leakage. W maximum. • '/2 -1' /z HP -14/4 STO phase models to guard • Discharge size: 2" NPT, with bare leads. On GSA against component damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models - 20 foot on accidental reverse rotation. • Total heads: up to 123 feet length SJTW and STW ■ Motor: Fully submerged in SA Canadian Standards Association TDH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat Uf, Underwriters Laboratories carbide -rotary seat/silicon FEATURES transfer. carbide - stationary seat, 300 ■ Designed for Continuous series stainless steel metal ■Impeller: Cast iron, semi- open, non -clog with pump - Operation: Pump ratings are parts, BUNA -N elastomers. out vanes for mechanical seal within the motor manufacturer's • Temperature: recommended working limits, 104 °F (40 °C) continuous Protection. Balanced for 140 °F (60 ° C) intermittent. METERS FEET • Fasteners: 300 series 90 stainless steel. I _— i_____ i SERIES: 3885 • 25 i i SIZE: 3 /a' SOLIDS Capable of running dry 80 — _ RPM: VARIOUS without damage to WE1- �r = -- -.. , 5 GPM {{ , i - - .._. - = -- - -- / -- — - components. 70• vu E1QH S SFr I— i 20 I Motor < 60 ' Single phase: _ HrEO�, �- — • '/ H P,115 V, 200 V, 230 V, 50' 60 Hz, 1750 RPM; ' /z HP, Z 15 _t— - - - -- - - - - -; _ - -- — 115 V, 60 Hz, 3500 RPM; '0 40 — I WE05H '' /2 HP- 1' /2HP, 230 V, 10 60 Hz, 3500 RPM. ° 30; , • Built -in overload with W.E03L automatic reset. 5 20 , I I • Class B insulation. Three 10 • '/2 H P -1'/2 H P 200/230/ o o 460 V, 60 Hz,.3500 RPM. 0 10 20 30 40 50 60 70 80 90 100 110 120 130GPM • Class B insulation. 0 1 20 30 m /h CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 1995 11 83885 Wisconsin Department of Commerce SOIL AND SITE EVALUATION .� Division of Safety and Buildings Page f of Bureau of Integrated Services in accordance with s. ILHR, :; A9; -Wis. Adm. Code ' _.. County' Attach complete site plan on paper not less than 8 1/2 x 11 inches in size Pfari cnust include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distanck to nearest road Pbrcel I.D. # e 1,7 APPLICANT ' NFORMATION S print all information., . , F B� view y ` Date y P may d2 ry P ( (� 1 rm 5 , Property Owner Prope , dd Govt. Lo pt 1 " /4'f�/E1`1 /4,Si T - 7e,N,R / E (or)9 Property Owner's Mailing Address Ldt 4k 13loc #3 Sied. Name or CSM# Gl L City State Zip Code Phone Number ❑ City El Village ® Town Nearest Road ❑ New Construction Use: ®Residential / Number of bedrooms Addition to existing building K Replacement ❑ Public or commercial - Describe: Code derived daily flow V gpd Recommended design loading rate _ _ bed, gpd /f? trench, gpd /ft Absorption area required a %S bed, ft S trench, ft Maximum design loading rate bed, gpde ___ trench, gpd /ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations z'—' cr, Ye- 11 Q , 4 D e / Parent material �C c Flood plain elevation, if applicable gl-- ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S 0 U ® s El U ❑ S ®U ❑ S LZ U ❑ S 6 U ❑ S X1 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 J ` in. Munsell Ou. Sz. Cont. Color ` Gr. Sz. Sh. B -d Tr i le VYq q16 Ground elev. J� l ' / 42 ` / ft. Depth to limiting factor - Y in. Remarks: Boring # r c raw 4 .--. Ground elev. Depth to limiting factor - in. Remarks: CST Name (Please Print) Signature Telephone No. Address Date CST Number PROPERTY OWNER ✓7 %6Z (� � "c�•��e SOIL DESCRIPTION REPORT Page '2_ of PARCEL I.D.# r Boring Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu. Sz. Cont. Color. Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench r ' Ground elev.�_� %eft. Depth to limiting factor 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 1 Depth to limiting factor in ' Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) A J 4 . • ` ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 11 C 4k- t�� � J3 Mailing Address Property Address 4 4) , 5 J f u'- 4 W ZS CIP'N' (Verification require from Planning Department for new construction) City /State Parcel Identification Number 61 /d - 7" 1--70 - ° " a LEGAL DESCRIPTION Property Location SA %4, ,aj— V4, Sec. /a , T , 9 7 N -R t.9_W, Town of - rv„" gz Subdivision , Lot # Certified Survey Map # x° , Volume _, . Page # Warranty Deed # y5 l3 , Volume S , Page # Spec house ❑ yes 19 no Lot lines identifiable 91 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 th`e thr,,e^e year expiration'datte. q --- 1 SIGNATURE 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. SIGNATURE 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 � C I �+ REGISTEWS �/f f is C eMor'bf 50393 vs- 84SWE113 auGo eSO v Mark R. Hannan and Janet D. Haman, a/Wa J. Diane Hamaan, husband and wife, and individually in his and her own right, and James E. Schreiner and Rebecca L. Schreiner, husband and wife, and individually in his and her own right, cornveys and warrants to Richard O'Donnell a/k/aRichard G. O'Donnell and Carol L. O'Connell, husband and wife, as survivorship marital property the following described real estate in St. Croix County, State of •Wisconsin: Part of Northwest Quarter of Northwest Quarter (NW% NW%) of Section 12, Township 28 North, Range 19 West described as follows: Commencing at the Northwest corner of Section 12; thence South 0° 59' 41" West along the West line of the Northwest Quarter a distance of 1072.85 feet; theme South 89 51' 50" East 37.87 feet to a point on the Easterly right- of-way line of County Trunk Highway "U ", said point also being ` the point of beginning; thence continuing South 89 51' 50" East I f 350.00 feet; thence South 1 03' 17" West 250.00 feet; thence North 89 51' 50" West 350.00 feet to a point on the Easterly right ---af -way line of County Trunk Highway "U "; thence North 1 03' 17" East along said right -of -way line a distance of 250.00 feet to the point of beginning, being lot 1 of Certified Survey Map filed May 30, 2989 in Volume 8, page 2106, EX F the West 200 feet of the South 180 feet TUNS= of said Northwest Quarter of Northwest Quarter (NA NW;t) . s 3-- This is not homestead property. Emception to warranties: Subject to municipal and zoning ordinances and recorded easements and restrictions of record, if any, and highway conveyances. The grantors of this deed are the parties to a land contract dated Fdmuary 3, 1989, recorded February 7, 1989 in the office of the Register of Deeds for St. Croix County, Wisconsin in "833% page 379, as Instrument No. 445253. The obligations of sale to Richard O'Connell are set forth within this land contract. Richard O'Connell by his recording of this deed acknowledges that all terms and conditions of this sale have been fulfilled. This instrument was drafted by: Michael B. Cwayna of Cwayna and Byrnes P. O. Box 179 Amery, WI 54001 The HammnB have dated this deed on the ,3/ y of July, 1989. The Schreiners have dated this deed on t , RXday lo (SEAL) Mar . Hannan . E. einer L a - YLLI, k, . - m >71C� n (SEAL) l e" '� - (SEAL) 7anet D. Hannan Rebecca L. Schreiner k y k Y � _ C i g4 ,9rAse s A FOR HArMADS ST'A'TE OF WISCONSIN) P I CM M) Personally came before me this 3 / day of July, 1989 the above named MARK R. E 1N and JANET D. M MAN, A/k/a J. DIANE HAMAN, hisbW d %A -MU�e, to me krK*m to be the persons who executed the foregoing ins lad acknowledged the same. h �0 F� , ai • :,. Public, Pl My cannissica empires AMMLEDGMEM i FOR 9C HREINEBS STATE OF WISCONSIN) ) ss. COUNTY) *VS T/01 Personally came before me this day of a�*'Y, 1989 the above named JAMES E. SCH FINER and MMEOCA L. 9 71 IINER, husband and wife, to me known to be the persons who executed the foregoing instrument and acknowledged the same. Notary Public, `' po�ntX DWI. My oonmission t 4482'7. CERTIFIED SURVEY MAP LOCATED IN THE NWI /4 OF THE NWI /4 OF SECTION 12 T28N, R19W, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN.` PREPARED FOR RICHARD O'CONNELL RT. I BOX 475 HUDSON, WI 54016 N W CORNER SECTION 12. ,/ (ESTABLISHED FROM TIES). a n Co NOTE BEARINGS ARE REFERENCED TO THE a WEST LINE OF THE NWI 14. (BASED ON HIGHWAY PLAT BEARINGS 2 W FILED ° MAY 3 01989.,. 1 0 a l UNPLATTED LANDS j I ; v � 0 C �Lt I &� �. W :N �S89.51' SO ' E w E I 3 S89 50E 350.0 37.87' I- o S o o. ° O Y drive Z =1 N N :............(v L Q. T I `s eptic ,,�v 2.01 ACRES 87.489 SQ.FT.) 3 'W W `�V shed = 0, W CENTERLINE M O Z 0 Aouse N Q Z a' 1 r • • N89° 51 50 W 350.00 fence �• SOUTH LINE OF PIPE IS 2'SOUTHOF a THE NWI /4 - NWI /4 FENCE. 45' 50' W UNPLATT LANDS :a �a n c :o SAY 3 f^ W 1/4 CORNER SECTION 12. yco S.& (ESTABLISHED FROM TIES) ST CROI i C: e I r�u� _. N ES M. i ^ 4AM WnK> WEBER S-1804 SPRING VALLEY 0 = SET 1 "x 24" IRON PIPE WEIGHING l 1.13 LOS. PER LINEAL FOOT. I •q 0 ti0 U PO �•�' So l $M SCALE I 100 JAMES M. WEBER S -1804 DATED 0 50' 100 200' SHEET I OF 2 89 -51 THIS INSTRUMENT DRAFTED BY o+< mOiv VOLUME 8 PAGE 2106 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the -4,"c /1 deow4Il residence located at: 1 -flA1 ; , W ; , Section /Z , T aT N, R Town of Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced: Did flow back occur from absorption system? Yes _:�/ No (If no, skip next line) Approximate volume or length of time: gallons minutes Capacity: Construction: Prefab Concrete Steel Other Manufacturer: (If known) : Age of Tank (If known): % e 5 (Signature) (Name) Please print 1y1 rL 9 - 2-?7 - - - �V � (Tit e) (License Number) Z& Date Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR 83, Wis. Adm. Code (except for inspection opening over outlet baffle). MPRS Name Signature ✓iM� /