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HomeMy WebLinkAbout004-1042-80-000 - Z 7 ?3 /V/t ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner lVelP� Address City /State wrl 5� C e Legal Description: Lot Block SubdivisionlCSM # ' / 4 SL _ y 4 1 � f Sec. a, T N_R. W, Town of d c d _ v __ PIN SEPTIC TANK -- DOS CHAM R -- HOLDING TANK INFORMATION Tank manufacturer `�'� S € ?e S TtT'C ) /] 2 �/ / 1 Setback from; House �G 'Jell P'.L. Pump manufacturer Model , Alarm location (HOLDING TANKS ONLY) Setbacks: Service road. Vent te fresh air intake Water Line Meter location Alarm location _ — SOIL ABSORPTION SYSTEM Type of system: 6 __ Width , � Length �' Number of T Tenches Setback from:. House ',� J � _ Well I � S P1I Vent to fresh air intake ELEVATIONS Description of benchmark L5� �` � � ° G� 5 _S < � `' x �., Elevation Description of alternate benchmark _ Elevation Building Sewer STfHT Inlet ST Outlet PC Inlet PC Bottom Fieadex /Manifold � ��i Top of ST/PC Manhole Cover - Distribution Lines ( ) U e J,, Bottom of System( ) � q _ Final Grade -- Date of installation ! Permit number State plan number Plumber's signature License number 1 1 4 7 5 Date ! ' Inspector 00 _ Complete plot Milan � . 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 i INDICATE NORTH ARROW &t �. r Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM y: Safety and Buildings Division Count INSPEC REP RT O 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)). Permit Holder's Name: ❑ City ❑ Village W Town of: State Plan ID No.: CST BM Elev.: Insp. B Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchm k 033 ! cS,$ I Cl7S 44 Dosing Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Air I ntake ROAD Dt Inlet Air Septic NA Dt Bottom Dosing _ NA Header / Man. ,ZS lvyS$ Aeration NA Dist. Pipe Holding Bot. System ,(0 3.9s — PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand �. ( 2S 1v2 •56 Model Number �� GPM TDH Lift Friction Syste TDH Ft Forcemain Length Dia. H Dist. Towels SOIL ABSORPTION SYSTEM TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION ��' DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manu turer. INFORMATION Type Of CHAMBER M5i; Number: System: OR UNIT DISTRIBUTION SYSTEM c, - }rte► Wac, A.t,nrrl)1 -6 or> > WAA �k S Header/Manifold Distribution Pipe (s) x Hole Size x Hole Spacino Vent To Air Intake Length q r Dia. _� Length ` 1 ? 74 I Dia. I Spacing 1 i /u,. (py `' - ; 1 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx d /Sodded xx Mulched Bed/ Trench Center Bed /Trench Edges opsoi [_1 Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) rho k" 91 z iw u l ug c" k g �o � � �' �acc� �f'ka crn,c -� �P u ft.�l vac �j y� ,y� 1 5 J I Ao '` Je>�d� C WAJ �► V -'� - Nr� kiCi `M �` 4 �����, by �14� O J er POV d Plan revision required? E] Yes No Use other side for additional inform tion. tom{ SBD -6710 (R.3/97) Date Inspector's ignature rt. No i ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I I v C� t DEPARMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY &BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON -SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 State Plan I.D. Number: SE-',, SE 4, Sec. 18 , T28 -R15 ❑ CONVENTIONAL ❑ ALTERATIVE / (It assigned) Town of Cady ❑ Holding Tank ❑ In- Ground Pressure Mound l ME RMIT LDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Helen Sachsenmaier I Rt. 1, Wilson, WI li ? 'J D -- BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: RE1 PT. E .: C REF. PT. ELEV.' ' Name of Plumber MPIMPRSW No.: County: Sanitary Permit Number: Joe Stang 6646 S Croix 1 128853 SEPTIC TANK /HOLDING TANK °z - lye CGvff= MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OTLETELEV.: WARNING LABEL LOCKING COVER / PROVIDED: PROVIDED: `� ES ❑ NO ❑ YES NO BEDDING: VENT DIA. / -VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BptLDIN VENT T FRESH _ ALARM: FEET FROM �-- --- L15E: a- AIR IN T: ❑ YES NO ❑ YES ❑ NO NEAREST 7 DOSING AMBER:' t;.% r C1� MANUFACTURER: BEDDING: �• LIQUID CABACI PUM PU MP /SiPH9N MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDE PROVI ❑YES ❑ NOS 1 '� t ( e ES ❑ NO ES El NO GALLONS PER CYCLE: • PUMP AND CONTROLS OPERATIONAL: NUMBER OF LIN ROPERTY WELL/ BUItDI AIR INLET:R H (DIFFERENCE BETWEEN �, FEET FROM / t I - - PUMP ON AND OFF If�'YtJ ❑ NO NEAREST —� / C� �` V SOIL ABSORPTION SYSTEPA. Check the s6il moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIA AND MA KING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN a (? / I)dc. the soil is dry enough to continue.) CONVENTIONAL TH'. LENGTH: NO. OF DISTR. PIPE SPA OVER INSIDE DIA.: # PITS: LIQUID BED / TRENC TRENCHES: L: PIT DEPTH. DIMENSI S GRAVE< DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO, DISTR. NUBER PROPERTY WELL: BUILDING: TO FRESH BE W PIPES: ABOVE COVER: ELEV. INLET: M ELEV. END: PIPES: FEET FROM IR INLET: NEAREST � MOUND SYSTE ,�/' = Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO / meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER I TEXTURE: V PERMANENT MAR ERS: OBSERVATION WELLS; K C/ }t 1 ES El NO L� s 11 NO DEPTH OVER TRENCH /BED DEPTH OVER TRENCH /BE9 DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: 1� EDGES: (f 1 _- - Cp rl ❑YES Rt ES ❑ NO ES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: - WIDTH: LENGTH: NO. OF_ LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: BED /TRENCH / l TRENCHES: �I (e(/ // DIMENSIONS I � �Oz 1 ( 47 MANIFOLD PUMP 0 ' MANI OLD DISTR. PIPE I MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIA MARKING: ELEVATION AND ELEV.: / ELEV.: DIA.: q ELE / f 40 PIPES: DIA.: it /\ f�./ DISTRIBUTION ' L4 . 1 - 7 , 67 ` / � W � 5 `W �V - q / (/ HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO / INFORMATION I (I APPROVEDPLANS I ( S [11 NO � ES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDI COMMENTS: FEET FROM LINE: / / YES ❑ NO ES E] NO NEAREST---* ��� >�G� O o 4Z6: lo , n (� .. ,' \. P (' /' / � ,r( yy�J/ • s� `.' �^� �Gjyl E' / / �,1 `t; I f^�✓ /'/ C� z in in county file for audit. Sketch System on Reverse Side. JNU RE.- TITLE : SBD -6710 (R. 06/88) l: i�LHR SANITARY PERMIT APPLICATION N===W1I1 In accord with ILHR 83.05, Wis. Adm. Code couNTY STATE SANITARY PERMIT —Attach complete plans (to the county copy only) for the system, on paper not less than ❑ 1 Fn 8% x 11 inches in size. Chet � r vise pre s application -See reverse side for instructions for completing this application. STATE PL N I. �ER I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY O NER PROPERTY LOCATION 14 S A / G SL- - ' /a S�'* /a, S ► �f T lf ; N, R S E (or Gtf PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # ftl.' t%t C- P-, CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Iti t • s . ��(o � � g �/ II. TYPE OF BUILDING: (Check one) ❑ State Owned VILLLLAGE NEAREST ROAD fV1 U TOWN OF: Cad' etc+ N ❑ Public LPJ 1 or 2 Fam. Dwelling -# of bedrooms PARC TAX NUMBER( 66q_ /6 _ J�)_QQ0 III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales /Repairs 11 ❑ Restaurant/Bar /Dining 4 ❑ Church /School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel /Motel 9 ❑ Off ice /Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. 1\I 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 # — 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 El Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE / REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) ELEVATION 6 0 0 S G T 3 q I.I i 3,_1 16' S Feet — Feet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank POO , � � cr -1 :=�Tn Lift Pump Tank/Siphon Chamber ti 1 6 G l VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber' ignature: ( !amps) MP /MPRSW No.: Business Phone Number: CT t St 4 n p-E 1 (r e. Plumber's Address (Street, Ci tats, Zip Code): 5 UG Iv • Wo 4. D 4/G v c . / r CL � IX. COUNTY /DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued ssui g Agent Signature (No Stamps) Surcharge Fee) — — Approved F] Owner Given Initial < Adverse Determination 0 X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: SBD -6398 (formerly Plb -67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608 -266 -3815. To be complete and accurate this sanitary permit application must include: I: Property owner's- name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. IL 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 in 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 in ##1 -7. VII. Tank information. Fill in the capacity of every new and /or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County /Department Use Only. X. County /Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimension;:, 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; repacement system areas; and the location of the building served; B) horizontal and vertical elevation referen,-:e points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil abscrptiion system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD -6398 (R.11/88) r I N D V§T R Y, - OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS INDUSTY, � C DIVISION BOX 76 HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 537 9 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: UNICIPALITY: OT NO.: BLK. NO.: SUBDI VISION NAME: s� 1 / _S R_ 1 / 4 N% /TzaN /RxsE(o ���� - — COUNTY: MAILING ADDRESS: ST• e �Cavc l kEl.��v S ACHSEN F� A I W l (_-S6),.), W 5 Oro Z'7 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: 1 7 7 A T ES TS: Residence IV -� ❑New Replace � -40 1) - - 40 1 RATING: S= Site suitable for system U= Site unsuitable for system DV S rm $y S) m - T ft) -)0S W 0 1v CONVENTIONAL: MOUND: IN- GROUND - PRESSURE: M TEM -IN -FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) EIS NU NS ❑U EIS N ®U I ❑S ®U - loch GP.A(jxjbw� -� uired If Percolation Tests are NOT re DESIGN RATE: 3.0915)(b1 i - 4 If any portion of the tested area is in the under s. ILHR 8, ndicate: N -N Floodplain, 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. HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- ! S B- Z '4 `1 l QN -3 "� 3 O B - t W .1 Zg 4r B - 9 $.C� r r Z `7 ar B- B PERCOLATION TESTS EST DEPTH , WATER IN HOLE TEST TIME DR IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD t PERIOD P R PER INCH P _ )i lb )) ya Z P_ Z Zp 1ILi0 3L> ` /)L NS)) 1 - 5 /16 3Z P- P- P- PLOT PLAN: 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 slope. `86 101= 8Eb — M..L My. SYSTEM ELEVATION S s> - - -A_ - -_ : ISO a i T Ae X K I _ I I 9 1 �a i ,T ltovs m, i - _ — s 8• i O d 3 ; J I i i - e o T --_ � \ � i � R{ O ► STS 2-'l� M _ � ._. _.._ _ ' � _. .. _ _la scAL� L =SO SLC ) $ I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. WEGERER SO IL TESTIN NAME (print): AND I TESTS WERE COMPLETED ON: nESIGN SERVICE ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): P.O BOX 74 421 N. MAIN Si CST 00Z RIVER FALLS W1 54022 CST SIGNATURE: 715 - 425-0165 9a- Zo9 1 1 4: Original and one copy to Local Authority, Property Owner and Soil Tester. _, 10/83) — OVER -- �pCG� OF ? ' INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; S. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st — Stone (over 10 ") BR — Bedrock cob — Cobble (3 - 10 ") SS — Standstone gr — Gravel (under 3 ") LS — Limestone 's — Sand HGW — High Groundwater cs — Coarse Sand Perc — Precolation Rate mods — Medium Sand W — Well Is — Fine Sand Bldg — Building Is— Loamy Sand > — Greater Than 'sl — Loamy Sand — Less Than '1 — Loam Bn — Brown 'sil — Silt Loam BI — Black si — Slit Gy — Gray cl — Clay Loam Y — Yellow scl — Sandy Clay Loam R — Red sicl — Silty Clay Loam mot — Mottles sc — Sandy Clay w/ — with sic — Silty Clay fff — few, fine, faint 'c — Clay cc — common, coarse pt — Peat mm — Many, Medium m — Muck d — distinct p — prominent HWL — High water level, surface water Six general soil textures BM — Bench Mark for liquid waste disposal VRP — Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. SOIL DESCRIPTION FORM (Attach Soil Profile location Map On . So Shoot) F�C)A SON3 M IR L E - R LINEAR LOADING PATE: 'OGSIC 0 PU RPOSE PCt —UI�T� � �oR �LACG KIT SYSPSH SLOPE,' DESC BY: A' R.'f?+UR. L - W EG A AS OATf pV , 1 19 4 0 CURRENT LAND USE: COUNTY /STATE S`[ C.R —LS IX. CAU "J'N I W VEGETATIVE COVER: G R h S s — W QW% S LOT DESCRIPTI �L —NL SLR, T t5w DRAINAGE CLASS; - _ pj(E(! L OCATION _myj?-..1 OI C,)-, GALLON3 Sp FT. PER DAY t b STGN pir O• gS PARENT MATERIAL(S) /DEPIII SOIL SERIESs �L� dVA NJpgz T - -- - HORIZON DEPTII MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII .BOUNDARY REMARKS •n. plo i s 0 Or. Sz. Shp COATINGS '; T-1 ms I o -a 10-lR 3l3 L Z 9 m T1r Cw Z CS Z Is A 6�1ur�L .. C S 3 22_Z6 �o�t2 X116 — S � 1`FSl�lz � ►- Z(, 1 0�1R 4/ 16 T t s� -sc� S�lrc Yn r -YT�I S S o 's S 3b toKZ a S S/G L) G Z \_ O -9 �u�-l� 3 ! - L Z.nT s �k ti't `Fh s l0 ° 10 6tznclL� z 9- 30 - ).s4fe -'3 lit +i' Z $ -Z$ 10412- y /V S) 1 2. S'ok M h 9 s 3 z?- //(. S �t sl -SCl 1`Fsbk m�►- -M i 9 S % G2,w�t y y,s9 - ) .S LI P- 1) - 1.s lisek �►v a. s u s/6 Z 1t si 1 v _q -• Z q- Z I toti R Y/ V cs L4 qb -sl - ).SLIP3/ — 1 s 9 'bk \tA U ass 5 Sl_ 63 l�ytz s /6 OTHER SITE FEATURES /NOTES: , f� C -�;'�1 1� /• Z1 8 — `)D 0 0 57 6 f� Z of LIMITING FACTORS /DEPTH: Signature ` Date CST k 1 State Of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN Owner: HELEN SACHSENMAIER P.O. BOX 74 ROUTE 1 RIVER FALLS, WI 54022 WILSON, WI 54027 RE: Plan Number: S90 -40696 Date Approved: November 9, 1990 Gallons Per Day: 600 Date Received: November 9, 1990 Project Name: SACHSENMAIER, HELEN Location: SE,SE,18,28,15W RESIDENCE Town of CADY County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50 -64 of the Wisconsin Administrative code. This approval is for the following components only: - REPLACEMENT MOUND C Inquiries concerning this approval may be made by calling (608) 7Sincerely, GERARD M. SWIM � Section of Private Sewage Division of Safety and Buildings 4PP039/0009n/23 cc: HELEN SACHSENMAIER X Private Sewage Consultant SBD -6423 (R. 08/88) Pa ge 1 of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE ,Qr�O s � BDR'Nt 'v�o ®tL� t'fo1�lE LOCATED IN THE SO OF THE SE //Y OF SECTION 1 8 , T �B N, 4 W, TOWN OF COUNTY, WISCONSIN. 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 1- LLEN S /AtC -lASEN "M 1 �R - 10 6 hay PREPARED BY coms, WEC�EFcEFc SOIL_ . TEST = NC-s S ; ~; ARTHUR L. AND • wEGERER 6915 P • w E E3 I C3 11 E3 E F< V I C E $ EcLSwoRTH, 13 ? P.D. BOX 74 421 N. !LAIN ST. SIGlA�'4 FIVER FALLS, VI 54022 pN,„ 715-425-0 isiu. 43 to90 Job # C) c) zo PLOT PLAN • Page Z of 6 Scale 1"= I 2 Z i J yy s€� � pliiT,da« i s ,��ctk X3"11' S � 4� X �J r 3 BORN t HOUSE 5 � 3 N a A p� pwv►uE F"Ro �swl'7croN C % !�� 4J� ." �Os to °E14 B1ctS'tM►6 s�tPlia 1'Muk � � � A hS P� O.ODt�: oR. RE►10U@p. ---- - -�' %ya3r 4. ✓ �tlS R� �r'9� CGS h NOTES 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( y required) 3. Install 4" observation pipes with approved caps. ( 2 required) 4. Septic tank to be 1ZO0 gallon capacity manufactured by - ►�pwCST�R►� QPL aX s , 1N c. 5. Bench Mark gr7kl EL.1ao.00' o►., r-LooR _ $tyt+2- Cit..30�.so' oN '';aoTT" ;or- 6. Divert surface water around mound to.prevent.ponding at the uphill side. 6 dq Si row, marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand I -- H - -- D Topsoil �____ - -_ - _- F — L� —J D 3 1_ Slope P. ` Bed Of %- 2 Force NA,ain Plowed z z Aggregate From Pump Layer D \,O �T Cross Section Of A Mound System Using A Bed For The Absorption Area Q 8 Ft. H S ;T. yr •' `Ji L �C: 9• S 2 Gpb/ L ty F- _ B 6 3 F t. Ft. J 8 Ft. r? t�ELP1 4 7 L Ft. S Ft. ij Observation Pipe r T K F 0 RC -- - - - - - - - { I MNtN 1 h ----------------- op>aOStTE W —---------------- ��o �Disiribution Bed Of Z� 2 z� Pipe Aggregate Observation Pipe Permanent Markers C Pcti1 cttoR SCCx►�t -�f� Plan View Of Mound Using A Bed For The Absorption Area i L � 6 PpN GE ��' o F - Pertoroied Pipe Detail End View Prrtoroted Encn Cop- / PVC Pipe pgQylANguT- HRR1F' i c e. Holes Locoied On Bottom, Jo . Sa o Are Eouolly Spored Q - PVC Force "Main From Puma P PVC Monil016 Pipe I) �GislribuLOr- / _ - Pipe Lost Hole Should Be Next To End Cap r End Gap D i s tri b ution Pipe Lo�eout' P . 29.•3 3 TT. S y 6V y i � / } N ! Inch _ e I Hole Diameter Y Inch(es) Lateral Manifold Z Inches Inches II Force Main Z s .,, - 1NV ER.T 6U6V ir'T>o Jai of I..I4tQ�lrcS �_ S ' OjFt' Aar 6q i ta - t - US PUMP CHAMBER CR055 SECTION AMO SPECIFICATIO ' � E S OF (° lb ;. VENT CAP 4 C.I. VtNIT PIPE WCATHEK PROOF APPROVED LOCKING JUWCTIOIJ OOX MANHOLE COVER will% r Z5' FROM DOOR. w1><}t1JIN6 l.Af3EL WINDOW OR FRESH It M IU. AIR INTAKE GRADE I `I' MIN. LT. Q7.5..��. WAIN* CONDUIT - _ - IQ'�1r11AI. \�� - - - - -- IAlLET :4 ® PROVIDE ( -- -- . � � AIRTIGHT SEAL �.� APPROVED JOINT$ E0 JOINT A APPROY r' I �lOS I l'�. W /C.I. PI -bRp w /c.Z. PIPEoR ALNtM1 -- EXTENDING 3'��'� ONTO SOL.10 SOIL -- c . ON PUMP A ' _ OFF O CO N CRETE BLOCK 3 AppRave RISER EXIT PERMITTED OIJLU IF TAWK MAWUFACTURE:R HAS SUCH APPROVAI. �OOu�1r, SPECIFICATIOAIS DOSE . h�bwESIJ Pt2ECASr 3- 9 7 TA K MANUFACTURER. WUMNER OF DOSES. PER D" TANK 51ZE : D O GALLONS DOSE VOLUME ALAR MANUFACTURER: S.'S ELECZR.O 5�15'TC�IS fiJCL1101N6 bAGKFLOW: \ $�' �I &X616ONS MODEL IJUMbER: Cpl HW CAPACITIES: A= Ib INCHES OR 422 Z GALLOWS SWITCH TyPE: � 8 = Z INCHES OR Ste $ G(►LLONS PUMP MAWUFALTURf✓.R: ZOEL - Cd`'71�h/J� Gs -7 INCHES OR �$y' I GALLOWS MODEL NUMbEA. X31 Os_ 1 � IMCHESDR 369.5 GALLOWS SWITCH TyPE' �CLCU1��f MOTE: PUMP AMD ALARM ARE TO bE MINIMUM DISCHARGE RATE Z GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE bETWEEIJ PUMP OFF AWD..OISTRIbUTIOW PIPE.. IZ " 33 FEET t MINIMUM NETWORK SUPPLY PRESSURE.. . . . .. .. . . 2.50. FLET + 205 FEE OF FORCE MAIN X 1 F / FACTOR. - - 11 FEET TOTAL 041JAMIC. HEAD = �76y FEET Dt Rr1 eTE� i IIti1TERNA1. 0IMLN510Nr OF TANK: LELI&TH _;WIDTH 6�� - ;LIQUID DEPTH ZoTtvh AP-aA bo q 2-6. - 31 (sprL� I)AJC W AS PER 1- ►AUUFA LiR '. _ �Pr� /JI�CI•� I n �f 6% W r � HEAD CAPACITY CURVE E FEET/ MODEL137 -139 CAPACITYGALLONS/LtTERS o 0 4% 30 CAPACITY �. HEAD UNITS/MIN 0 00 8 FEET METERS GAL LTRS — NPT 25' 5 1.52 104 394 Sq /� w 10 3.05 79 300 O = 15 4.57 64 242 U 6 20' 20 6.10 36 136 '¢ 25 7.62 6 30 (1.64 1 26 1 7.92 1 0 0 a 15' s 1 2 5' 1 law U.S. GALLONS 10 zo 30 40 50 60 70 ao so 1 1,0 LITERSI 60 160 240 320 400 4 I 0 FLOW PER MINUTE - CONSULT FACTORY FOR SPECIAL APPLICATIONS a Three phase pumps are available in 200/208V or 230V. • Mercury float switches are available for controlling single . Electrical alternators, for duplex systems, are available and and three phase systems. supplied with an alarm. . Double piggyback mercury float switches are available for e Mechanical alternators, for duplex systems, are available variable level long cycle controls. with or without alarm switches. . Long cords are available in lengths of 15- 25 -35 -50 feet. . Combination starters are available. . Over 130° F. (54 °C.) special quotation required. Standard All Models - Weight 47 Ibs. H.P. . SELECIN 1BI ' -! SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. 137 /139 Series Control selection 2. Single piggyback mercury float switch or double piggyback mercury float Modell Volts -Ph Mode Amps Simplex Duplex switch. Refer to FMO447. M137/139 115 1 Auto 10.4 1 or 1 & 8 — 3. Mechanical a 114 temator "M -Pak" 1072 or 10 -0075. N137/139 115 1 Non 10.4 2 or 2 & 7 3 or 5 & 6 4. Combination Starter. Refer to FMO514. D137/139 230 1 Auto 52 1 or 1 & 8 — 5. See FMO712 for correct model of Electrical Alternator ••E -Pak ". E137/139 230 1 Non 52 2 or 2 & 7 3 or 5 & 6 6. Mercury Sensor float switch 10 -0225 used as a control activator, specify H137/139 200 -208 1 Auto 82 1 & 8 — duplex (3) or (4) float system. '1137/139 2OD -208 1 Non 8.2 2&7 3 or 5 & 6 7. Four (4) hole "J-Pak", junction box, for water tight connection or wired -in 'J137/139 200 -208 3 Non 2.2 2&4 3& 4 or 5& 6 'F137ri39 230 3 Non 3.0 2&4 3 & 4 o 5 & 6 simplex or pump operation, 10-0002. •G137/139 460 3 1 Non 1.5 2&4 3 & 4 or 5 &6 8. Two (2) hole ••J -Pak ", for Watertight connection or splice. 10 -0003. No molded plug Three phase units require a control switch to operate an external magnetic or combination starter. CAUTION All installation of controls, protection devices and wiring should be done by a qualified For information on additional Zoeller products refer to catalog on Combination starter, licensed electrician. All electrical and safety codes should be followed Including the FM0514; Piggyback Mercury Float Switches, FM0477; Electrical Alternator, FMo486; most recent National Electric Code (NEC) and the Occupational Safety and Health Act Mechanical Alternator, Fk10495; Alarm Package, FM0513; and Sump /Sewage Basins, (OSHA). FMO487. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 3280 Old Mlkm Lane Manufacturers of... ZZ7TZ1j6m/ P O. P 1634Z Lof�Ne, Kenpwiliry 40216 (5102) 778 -2731 ` QLULITY t 51ACE 1S3y N ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 n r (715) 386 -4680 Nov. 8, 1990 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Helen Sachsenmaier property located at the SE 1/4 of the SE 1/4 of Section 18, T31N -R15W, Town of Cady, St. Croix County revealed suitable soils at a depth of 26" below which seasonable high ground water was noted. This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. Sincerely, James K. Thompson Assistant Zoning Administrator cj 4 ' I State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION GENERAL PLUMBING PLAN APPROVAL 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 WEGERER SOIL TESTING & DESIGN Owner: HELEN SACHSENMAIER P.O. BOX 74 ROUTE 1 RIVER FALLS, WI 54022 ROUTE, WI 54027 RE: Plan Number G90 -40707 j Date Approved: November 14, 1990 Date Received: November 14, 1990 Project Name: SACHSENMAIER, HELEN Location: HIGHWAY 35 INTERCEPTOR Town of CADY County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance fiance with applicable de requirements. This approval is based on Chapter m 1 a ica a co re eme P pp q pp P 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All items required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved. If construction has not commenced before the expiration date, new plan approval must be obtained. The Bureau of Plumbing has reviewed these plans for plumbing code requirements only. This approval is for the following elements only: - PRIVATE INTERCEPTOR MAIN SEWER - SANITARY Inquiries concerning this approval may be made by calling (608) 266 -8075. Sin rely, LYNITA M. DOCKEN Bureau of Plumbing ' t r� Safety and Buildings Division �y PGP001/0011w/14 cc. HELEN SACHSENMAIER X Plumbin g Consultant SBD -6423 (R. 08/88) Page 1 of, 6 MOUND SYSTEM FOR A 3 BEDROOM M DENCE t�rti,p � @D1�'1 r•ro�d�L �. tto� -1 C LOCATED IN THE OF THE sE /iy OF SECTION 18 , T zE N, R 1 5 W, TOWN OF COUNTY, WISCONSIN. 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 F2utJZ''C � iLSAw W 1 S!I:QZ7 : _ Nf��1mMN� PREPARED BY `S coN S' y� WECBEFtEFC E3 C) I L— TE $3 T I NG 1 t. A AND L WEG=R I?E� I CGN SEV< I C:E 0.9 +5R • EILSWORTH, N.N.N P.O. BOX 74 421 N. MAIN ST. w G�� RIVER FALLS, VI 54022 •hNNt� 715 - 425-0165 t990 Job PLOT PLAN -Page Z of 6 Scale 1" 40 ' I a o -z. fn g i 2 POW 2� ryiltt tit the � i -;<:(: h ► n t .., St O ff• ,,Y t° ; J S' vv„ t r �J r �' , a saax� House v P �O // 0'J• �Y /� �� e • OF S I R � i A h5 Pte. dOtti6`. tlR ►10�. �tti C l7 `fit 1 y �pvc ueAr \�5• / 110 M47 Cn Mc-r 7c�S•p�uG •��� olt D�STv�sg ' 'TZf 13 RRt�q, NOTES 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( y required) 3. Install 4 "observation pipes with approved caps. ( 2 required) 4. Septic tank to be 12.04 gallon capacity manufactured by 'F't l�WCB T�'RIV QP.P -0- f ST , 1A! C. 5. Bench Mark EL-M.00' or,, F:Lbba 1aP7WZ -6L. M; - ),So' o+j ' oWrM m of StwouC 6. Divert surface water around mound to prevent. pond ing at the uphill side. �� 3 of ,Et� S ' of Sfrowr Hay, Or p�PP�eOV Synthetic Covering Distribution Pipe Medium Sand I - H G _�- - - loy• So Topsoil = �_ - -_ -- -- F _LEv J 11 D 3 1E i y % Slope Bed Of 2- 2 %Z Force Main Plowed From Fump Layer !aggregate D 1 0 �T E 1.� �T• Cross Section Of A Mound System Using F 0.8 A Bed For The Absorption Area G \. A 8 Ft. H • S �T. Lt t? LtvN 9.5 Z C, H IV FFT� B 63 Ft. CC- s;jaly x:0.35 vpp�s[�J t=1 I 1a1 Ft. J 8 Ft. K 10 Ft. L 8 Ft. 3 L Observation Pipe } B K F:oRCE �.------ - - - - -- - - 1 MNIN + 1 k��S All -------- ------------------ oPpOStl'E W — l—_---------- � — Distribution Bed Of Z�- 2 2� Pipe Aggregate 1 Observation Pipe Permanent Markers � PY�► �-ttOR SC's -�'r� Plan View Of Mound Using A Bed For The Absorption Area 1 , { Perforated Pipe Del ail End View Perioroted / pgR T HRT2VG6St E n 6 Cap- PVC Pipe / o 'o \e ` �1N fJ i - >aoies Locoied On m Botlo, Jo . 5 �0 r © Are E oually Spaced 4 PVC Force'Main From Pump Q PVC morufold Pipe II �Drs+trbutr i Pipe Lost Hole Should Be I Next To End Gap End Cap Distribut Pipe Layout P , .2q. 1 'FT. 0 7 07 X 6y th Y 6SF h. Hole Diameter 1 �Y Inch _ Lateral 1 Inch(es) Manifold Z Inches Force Main Z Inches — NNW ew, =—Ljv it`nol�1 t - _ ,i , PUMP., CHAMBER CROSS SECTION AMD 'SPECIFICATIONS ' S of �o VEUJT CAP 7 '1 "C.I. VEMT PIPC WEATHER PROOF APPROVED LOCKING W ti JUNCTIOIJ pOX MANigLE COVER ll 1 25' FROM DOOR. �wllRN1N6 U\SEL wiNDOW OR FRESH iL'M11l. t AIR INTAKE GRADE 1 LrL 97.5 * ( ` 0 MiN. � IdMIU. COWDUIT -- _ PROVIDE ( ---' -- IAILC T AIRTIGHT SEAT. APPROVED JONT A. APPROVED JOINTS w /cs. PIPCoR i w/C =. PIPEwy'V EXTENDIN4 3' ;'ALARM 01JT0 6061 0 CAI C ( f 1 CLE 4'ra FT PUMP J- O • r. OFF GOLICRETE DLOCK 3" APPROVE► RISER ZMT PERIAMED OWLy IF TAUK M"UFACTURER HAS SUCH APPROVAL gEpp SPECIFICATIOMS r. t1��w1 4IJ PtZ�ch 3.9 7 TA MAMUFACTURGR. IJUMOER OF DOSES. PER OM TANK WZE ZU 22 GALLONS DOSE VOLUME S.S• Et_EcZR.p s'•� s?>"7.1 II�C,4tiDI1JC� eACE � $`� • � GALLONS Al-Aia MAiX ACTURCR: ..: MODEL QUMBCR: - �o l �1W CAFACITIES -,A= . 1'le WCHES OR- X22.2 GALLONS SWITCH Tupt: ¢y IS = INCH96 OR 5 �' $ C+LLOU 3 PUMP MANUFACTUJRCK: z0faL - Lk6= Cd' 11�h1J� Cs -7 UJCHES OR 1 $�' 1 GALLOWS MODEL NUMpER: i31 X D-_ INCHES OR 36 5 GALLOM'6 SWITCH TYPE: M ��� E: PUMP A ALARM ARE TO OE MINIMUM DISCHARGE RATE a GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIfFEREE DETWEEW PUMP OFF AWO „01STRIbUTiOW PIPE.. lZ. 33 NG FEET + 1AIAIIMU14 • NETWORK SUPPLY PRESSURE .... ..... .. 2 •$ O FEET + Zo FEET OF FORCE MA X A •37 F Xo nntt lou FACTOR. �• I FEET TOTAL OtIMMIC HEAD = FEET • nt AM E�TEtZ '�• ,� IWERWAL DIMEWSION OF TAWK: LEM&TH q ;WIDTH - ;LIQUID :DEPTH x 0TTto' k AMEA loc0l 4 z►3t Z.6- 3q GNI, / )NC - 14 G� 6 OF 6 i 414 7% Q 6K W F UJ TOTAL DYNAMIC HEAD FEET/ 0 HEAD CAPACITY CURVE- METERS o MODEL137 -139 CAPACITYGALLONS/LITERS p 4% 30• CAPACITY HEAD UNITS/MIN 0 00 + _iveil% 8 FEET METERS GAL LTRS NPT 25' 5 1.52 104 394 - 5 W 10 3.05 79 -300 o X i . , 15 4.57 64 242 6 20' 20 6.10 36 136 - a Z �.64 25 7.62 8 30 t — 0 zs 1 7.92 1 0 0 r 15 ' 0 4 1o• 2 5 12% o F] U.S. 10 20 30 4o sa fio 70 60 90 100 110 GALLONS LITERSI 80 160 240 320 400 4 0 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V or 230V. • Mercury float switches are available for controlling single • Electrical alternators, for duplex systems, are available and and three phase systems. supplied with an alarm. • Double piggyback mercury float switches are available for • Mechanical alternators, for duplex systems, are available variable level long cycle controls. with or without alarm switches. • Long cords are available in lengths of 15- 25 -35 -50 feet. • Combination starters are available. • Over 130 °F. (54 C.) special quotation required. Standard All Models - Weight 47 lbs.'A H.P. 0 `/� � 0 7 0 7 SELECTION GUIDE SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. 137 /130 Swiss Control Selection 2. Single piggyback mercury float switch or double piggyback mercury float Model Volle4gh Mode Asps SkNpIH Duplex switch. Refer to FlAD"T M137/139 115 1 Auto 10.4 1 or 1 8 8 _ 3. Mechanical alternator "M - Pak" 10.0072 or 10 - 0075. N137/139 115 1 Non 10.4 2 or 2 8 7 3 or 5 8 6 4. Combination Starter. Refer to FM0514. D137/139 230 1 Auto 52 1 or 1 88 _ 5. See FM0712 for correct model of Electrical Alternator "E - Pak ". E137/130 230 1 Non 52 2 or 2 8 7 3 or 5 S 6 6. Mercury Sensor float switch 10-0225 used as a Control activator, specify H137/139 280 - 208 1 Auto 82 1 & 8 duplex (3) or (4) float system. '1137/139 280.208 1 Non 8.2 2 8 7 3 or 5 8 6 7. Four (4) hole "J ", junction box, for water tight connection or wired -in 'J137/139 200.208 3 Nan 22 2&4 3 6 4 or 5 3 6 simplex or 2 pump operation, 10 -0002. 'F137/139 230 3 Non 3.0 284 334or566 •G137/139 460 3 Non 1.5 2 3 8 4 or 5 8 6 8. Two (2) hole "J -Pak ", for Watertight connection or splice, 10 -0003. No molded plug Three phase units require a control switch to operate an external magnetic or combination starter CAUTION AN hutaMHon of controls, protection devices and wiring should be done by a qualified For information on additional Zoeller products refer to catalog on Combination starter, licensed electrician. AN electrical and safety codes should be followed Including the FM0514; Piggyback Mercury Float Switches, FM0477; Electrical Alternator, FM0466; mast recent National Electric Code ( NEC) and the Occupational Safety and Health Act Mechanical Alternator. Fw10495; Alarm Package, FM0513; and Sump/Sewage Basins, (oSHA)- FM0487_ RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. !O PA 0 lane Manufacturers of... OELLER O . ILoukvft (� M X 16 061urr A"Aff .55,111–ff ARMY p SEPTIC TANK MAINTENANCE AGREEIIENT � St. Croix County ~ .r OWNER / BUYER �'��/ '�- "� ,� �} S n A A w O S Fire Numbe O ROUTE /BOX NUMBER d CITY/ STATE ZIP S i- /G'1- r PROPERTY LOCATION:'.. SL -� Section_, T! , R 6—W, Town of St. Croix County, Subdivision Lot number_. Improper use and maintenance of your septic system could result in its premature failure to handle wastes.' Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a l'icen's'ed' 's'ept'ic tank pumper - What you put into the system can affect the of th s eptic -tank as a treat - ment*stage in the waste disposal system. • St. Croix County residents may be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, whi was in operation prior to - July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new 'sys't'ems agree to keep their system properly maintained. The property owner agrees to.submit to St.. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on -site wastewater disposal system is in proper operating condition and •(2)•after inspection and pumping (if nec- essary), the septic is less than 1/3 full of sludge and scum. Certification form will be sent - approximately 30 days prior to three year expiration. H I /WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with 5 the standards set forth, herein, as.set by the Wisconsin Depart- w ment of Natural Resources. Certification form must be completed • and returned to the St. Croix County Zoning Office within 30 days of the three year expiration.date. ��>> `, -+� �• eat. SIGNED DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386 -4680 Sign, date and return to the above address. i f t APPLICATION FOR SANITARY PERMIT STC -100 This application form is to be completed in full and signed'by the owner( of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ------------------------------------------------------------------------------- Owner of property He - /r-AL r 4 n n/ 1'c2 Location of property S L- 1/9 S G 1/9, Section , T 2 N -R W Township C 4 C✓ — Mailing address 2, X1.1 4 +/• �s �n S ��tl� 2 Address of site g Subdivision name Lot number Previous owner of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes �� N0 Is this property being developed for resale (spec house)? Yes No Volume 1 `w and Page Number � as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER.OF DEEDS In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. ------------------------------------------------------------------------------- PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warrant deed recorded in the Office of the County Register of Deeds as Document No. � ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of a County Register of Deeds, as Document No. ). 3lgnature of owner Signature of Co -Owner (If Applicable) Date of Signature Date of Signature y C/[aPtM t M1siSrratlN� .' ,1t p tAAI r ; aMtals M me. MriQJ�i- _ -_.._. CoWN7.3t1fe of Wisconsin: ,r O t O f t8y/ Veit..: 82 fee lot J . feet o� gist 82 fret t Ott ginsl V3at of Village � _ — ._ TO Mill is Qjarter tss 1/4) Of the 8outtieast ►Wp Itnty -eight (28) 4iz . ' r� L 4 I , A , 4�a.. 4s q } A this . '._ ' ray of �r �+ ,�c .rec t t.r • v k ;4 , w -� ar G - �.rr Titt ilsbar State iMr o! w AF1 i f yx x iltltilorite _ "d*[ e+ .4 qt eV let — :+i�•,r+�.. �'l�ttt v. r �R♦ s" r� F r . c'�`, r w