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014-1023-10-000
r ST. CROIX COUNTY ZONING DEI'ARTMENT AS BUILT SANITARY REPORT ' fr Owner Address � Y City /State CCc,G l,�c S7 CouN 1 ZY � � ?C31VIPvG pFFiCF Legal Description: -- Lot Block — Subdivision/CSM # s'29 y / ' /� ilL.(�.� ' / +, , Sec. T ,-. l � 3 0 ,C2, .lN -RZW, Town of _ f-y t A, ;S PIN SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size P/L ST/PC / / P' Setback from: House t 2 Well - Pump manufacturer �'s�1.tGp !/�Q s- Model ?P71 Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: 1�t,.avl,) Width / Length f! Number of Trenches Setback from: House -->-e I/ Well P/L �_ Vent to fresh air intake _ Sam ! yy ELEVATIONS Description of benchmark �/9 P /'= O CD �,� y , �� Elevation / 00a Description of alternate benchmark Elevation Building Sewer / ` ST/HT Inlet r- ST Outlet Pc,.. Z 2 PC Inlet 9a . /d' PC Bottom r Header/Manifold 9'7.23 Top of ST/PC Manhole Cover 97G�- Distribution Lines ( ) Bottom of System( Final Grade ( ) O ( ) Date of installation ermit number Q 3 State plan number 1401Z Plumber's signature License number Date Inspector /coq/ Complete plot plan a 1 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. L../ PLAN VIEW c � 5 ►{ 5'o r At 1 M IZ 31 r S'Cl�L / ? sv INDICATE NORTH ARROW �� �► �Qti� �P �� l ,za ,ee ST. CROIX COUNTY WISCONSIN ZONING OFFICE N p p/ p p p N ST. CROIX COUNTY GOVERNMENT CENTER _ 111114 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 NOTICE OF VIOLATION August 26, 1998 NUMBER 98 -V -21 LOCATION: NW '/ +, SW Ys, Sec. 10, T31N -R15W, Tn. of Forest, St. Croix Co., WI PIN # 014 - 1023 -10 -000 Bill Mueller Zz3 3249 -290th Street Clear Lake, WI 54005 RE: Failing septic system Dear Mr. Mueller: As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of § 254.59(2) Wisconsin Statutes, COMM 83.01(2)(c) Wisconsin Administrative Code, and Article 15.03 of the St. Croix County Zoning Ordinance. This system has failed under the definition in § 145.245(4)(b) Wisconsin Statutes (Category 1). This violation was first noted on July 11, 1998. The violation noted is discharging sewage into zones of saturation. The soil and site evaluation report submitted by Dave Fogerty (id #221180) dated July 11, 1998 revealed that the existing system is located in non - compliant soils. An on -site inspection on August 26, 1998 revealed surface discharge. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed as of that date in accordance with Chapter 145.12(4) Wisconsin Statutes. REQUIRED ACTION: Within 30 days of this notice, contract with a certified soil tester to have a soil evaluation conducted which will determine the type of septic system needed and its location. Give the results of the soil evaluation to a licensed plumber who will design the septic system and obtain a sanitary permit through this office. The septic system must be installed within 90 days of this notice. Please contact me if you require clarification of this matter. Sincerely, � ' Ow 6 t��� Rod Eslinger Assistant Zoning Administrator Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM v' Safety Arid Buildings Division Count k. CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitarili!W UCi.: Personal information you provice may be used for secondary purposes [Privacy L s.15.04 ( 1)(m)]. 7 y 3 Permit Holder's Name: a CC tv Village Town of: State Plan ID No.: MUELLER, BILL g j� CST BM Elev.: Insp. BM Elev.: BM Description: Parcel TdiV- :1023- 10.000 t 1U0 1 04 ►/c ( TANK INFORMATION ELEVATION DATA A9800381 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. ptic /per Benchm i g8 3 .c..2 iO3•JI6 boa E ng G^A a Aeration Bldg. Sewer S 6rjg. Holding St/ Inlet TANK SETBACK INFORMATION Outlet �. 57.2Z, TA TO P/L WELL BLDG. vent to ROAD Dt Inlet Air Intake Septic 2, 1VIk NA Dt Bottom ►z, I� �/. S Dosing NA Header/ Man. Aeration NA Dist. Pipe 3 Sd (oo_Z3 Holding Bot. System clq..Te q. PUMP/ SIPHON INFORMATION G�� AA kax Final Grade Manufacturer 0 it V-5 Demand 5,,,0 , ko& 3•�� j oQ_ Model Number 3c GPM TDH Lift?. (�� L N Friction �3 et S- TDHI2. D Ft Forcemain Length 6C l Dia. . " Dist. To well SOIL ABSORPTION SYSTEM b0 e EN TR ENCH Width //'' / Length i No. Of Trenches PIT No. Of Pits Inside Dia. Liqui pth I N `� DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type of r / y odes N er: System. c OR UNIT DISTRIBUTION SYSTEM Header/ Ma fold „, Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. .� Length Dia. Spacing "' / It II 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 [8" Bed/ Trench Edges 1 ` Topsoil /p 'g Yes ❑ No Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: FOREST 10.31.15.154,NW,SW - 32 - 9 290TH STREET Plan revision required? ❑ Yes 12 No Use other side for additional information. SBD -6710 (R.3/97) Date Insp or's Signature SANITARY PERMIT APPLICATION 20 Safety and 1 E. WashngtonAve Ais Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary �Perrmmiitt(�Number The information you provide may be used by other government agency programs ❑ Check if revisiorlYo previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N 0Z Property Owner Name Property Location tV114 1/4,S T l y , N, R E (o Property Owner's Mailing Ad rW Lot Number Block Number City, State - Zip Code Phone Number Shleme or S Number if Z-vffwt 00 72T G II. YP F BUILDING: (check one) E] State Owned ❑ it� Nearest R a Vil Public 1 or 2 Family Dwelling - No. of bedrooms 3 le le Town OF XIS' — ' D III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) ' 0 t ' 1 • 15 , j 1 E] Apartment/ Condo `� 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 p 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. 0 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 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 ,�10 1 3,73 X Z , p Feet Feet Capacit VII. TANK in Ca allo s Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin structed Tanks Tanks Septic Tank or Holding Tank wE ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber 2 li/ ❑ ❑ 1:1 E] 1:1 El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation he onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No amps) NHWPRSW No.: Business Phone Number: PI er's Add res (Street, City, State, Zip Code): © ,c wt Q IX. COUNTY DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D at Issued Is ing A n )4ignature (No Stamps) R A roved surcharge pp ❑Owner Given Initial e Fee) IM 07�_ Adverse Determination u� /lJU / U X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD -63M (R.1 IM) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, plumber I DAVE MUM PL1 WW4 Licensa e �� ROBE S "S � s ,7y s•� f /rl� A W �� i � fixrL,Ev ... /(s0 x d SyST�i1h � U�l4TE�Q 4i11� y . L•S.: ScitGt / " =Yo So # /d c �31r► T °� O P 0 VG,07 Pc?& , Arsuk,C-- tm. o , V 7' o UF.V i ; 000 6wL. S. T. 1, 0 = too G , 0% 6 /.S. To 1.3,0 •:v = /�.O , G - OL l� fSEL.� d£N T = ii� -- s^i T ,ec E ��7 ALec d 4o ju -Tc�o) r . X ! �o cm3pq, & p Roy pry L F� Safety and Buildings 1\ 15837 USH 63 - HAYWARD WI 54843 -8107 V A sco /' � si /' � Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary August 13, 1998 CUST ID No.259518 ULBRICHT & ASSOCIATES 655 O'NEIL RD HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identification.Tumbers APPROVAL EXPIRES: 08/13/2000 Transaction ID No. 120186 SITE: Site ID No. 16882 Site ID: 16882 Please refer to both identifxcatton nu bens , ST CROIX County, Town of FOREST above, in all correspondence Wl& thei!igen y. NW1 /4, SW1 /4, S10, T3 IN, R15W WILLIAM MUELLER RES MOUND SYSTEM FOR: Description: REPLACEMENT MOUND Object Type: POWT System Regulated Object ID No.: 37472 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. This plan approval is for a 450gpd mound. The following conditions shall be met during construction or installation and prior to occupancy or use: • This plan action is subject to designer comments on the plan • Correspondence Note: • The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of maximum slope • The Northeast corner of the mound is to located 55 feet South & 95 feet West of benchmark #1. P.O. • Minimum "K" dimension is 11.64 feet, adjusted "L" dimension is 117.28 feet. Cvnd1 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 APPF required by the state or the local municipality shall be obtained prior to commencement of OEPAR MEN' construction /installation/operation. pMS1 SAF Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address SEE CORRI on this letterhead. Sincerely, DATE RECEIVED 08/10/1998 FEE REQUIRED $ 180.00 TOM BRAUN, AN REVIEWER FEE RECEIVED $ 180.00 Integrated Services BALANCE DUE $ 0.00 (715)634-3026, M - F 7:45 AM TO 4:30 PM TBRAUN @COMMERCE. STATE. WI.US • ' ULBRICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson, WI 54016 Reg. Designers of Engineering Systems 715- 386 -8185 Private Sewage Consultants PROJECT INDEX DILHR Plan I.D. # / Date k -13 • Owner �U . /�'�Gt� i� Phone 7/� 2& 3 • 3 �P Address 323 ��� d'1. C /E/} Lf�i�� CU /. 5�00`•�' Legal Description X p /y- /oZ3 - /0 dS1 �2 f I W6 11N //13 p� • yZ0 �� Town of FoRes T- County ST• C.S.T. 3 IV -FbgE�1 y 2 Z• 1/ ,FO Installer Local Authority/ Supervision s . fi. 4el C-7 2- 0"I:V6- bt-QT . PROJECT DESCRIPTION •4 �EpJ�� sYsr• �� �57 f�'7�7� �ff /L y/ �/¢.S��j�OLc� '• l��f'Q � . SO /�S �".G A'9v 5:45fsO- 444 y S4 � -.,c,. trop ily 'OF COMMERCE / ETY W INGS \ ��oa��n� nrmn uruy` i ok y a,� = SPONDENCE � ALL NON - CONFORMING °� 1SC.. TREATMENT TANKS SHALL • BE ABANDONED PROPERLY u ICM' ~ _ g P@R IL14EL 83.03(2). = �: 0116 � = G HUDSON, Vlfl J ✓ ii Y Pg.l PLOT PLAN VIEWS Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS Pg A PIPE LATERAL LAYOUT Pg.4 DOSING CHAMBER CROSS SECTION Pg.5 PUMP PERFORMANCE SPECS Thia design for installation is based entirely on measurements, elevations, landscape conditions (slo p � The accuracy of his specstasereported, sshalluremainithesoleresbYnsibili of the csTM. Po ty i Any use of this POWTS design by any licensed plumber, or any related unlicensed parties or persons (excavaters, laborers) shall not be construed as an assumption of responsibility by the designer for the rorkmanship, construction, placement, substitution or selection of any components not specified, or any assumptions by the plumber that any unspecified components are state approved or proper, or the effects of poor judgement if working under adverse damaging weather conditions (wet /frozen soils) by any such parties or persons. 3 I3�iPrN ' o 00 0 /jji4- «C�o -e P i Ts ► -ro NEW /000 / Ah P& nts T S, T, ^ - "- rx ; I D pmo C57? o �),k -f 2 �i1SE G� Q N S ' T I-Al- 1-31f # z ' We Top � yd �C'R�C�1 ENC rre..ui I II •I � I i � � t D1 urea 5 0, 181010.1 � , t Soil lbsoltiou System must remain IRIAN, PZ V PER PLUMBING PRODUCT APPROVAL CODES, ALL ABOVE- GROUND PVC PIPING (FROM TANKS & SYSTEM AREAS) h MUST BE SCH.40 PVC MEETING ASTM D1785 OR D2665 STANDARDS, ALL NON - CONFORMING TREATMENT TANKS SHALL BE ABANDONED PROPERLY FOR ILHR 83.03(2). elf 'l -CROSS SEG TIC» of M ouAj D wi rti B eD Gev eF % " ro 'DiSTRMUT%oN I �,` Ay9Qt cr es3 pipr OF TdP SotL SYSTEM E IEvA rioo i Vu FOR -roe w H W� /�D• L i'ru E F -.- 3 , • ___..' RRT�O fit Mao. .•. i►' SAuD . 1 / /IPIow6o ToPSoi rl r um FORM SIo HAW EImVATA UNDER Rep h�N E 1.7 Fr. I"veRT OF 2 IATERA(S ��D •�D F Ft • Top of R oC_ ✓C�a•�y G, /. D F T. H /. S• FT. ' Top °F IATERAIS X00' 6F I PLAN VI OF M00.0D -- Witti t3Eo FoRcE MAW A F r• I � (3 9 � F r CTION NEEND /O F r a _ _ _ _ _• i SEE C RESPONDS J�CE ��� fT � Fr �W w z(0 M I F E t; D OF X2 To I .! " PVC_ cAppep i Ag �E hrE n I 9 5 (3SERVhT' ox) Prpes PERMAJtA3T MARKERS REcqumep 13ASAL hR e/t a 'D A�'�y wh = 40 - 2- SCI L r�li� ITt� /1Tib E C APAci ry See. Fr, PRopoSEb BASM AReA = X A t z s 1R. FT, I I60 T10KJ pipe uErw Y OTAL- V F LATG-2A IV�TwoIL �/ d S' �15YR�r3urt' LATERAI. RNv CAP I T Y x K x pvc FORCE MAW L A S T V�olE sNAll f3E "Ef-T Tv 6 N b CAP VOI VO I WA E Fo R - uvERT IEVJ�r�p� dr- 2- FORCE MAW ?l • 2' JOS PERFvRArED PIPE DETAi L, N01E9 1 0cATFn oX 13 oTroM SH All BE I -I VAR IF y l q O RIIy 5 pACe D . Y bi S rN>, HOIE Di Ah rm Te R L AT ERA L- 2 y MAKM FOLD IN . X IN _I, s FORM MAi Y zy - 1 � i DISTRii3uTlviV i)�g�N/1RC�E RATE PEP, L GAI /Miu. TOTAt, - DISGIIAR vE PA NEtwo GA L/ Gc�lllris Submersible Effluent Pump r 38 APPLICATIONS Motor: FEATURES Specifically designed for the • Single phase: 0.4 HP, 115 Impeller: Thermoplastic following uses: or 230 V, 60 Hz, 1550 RPM, Semi -Vortex design with • Effluent systems built in overload with pump out vanes for mechani- • Homes automatic reset. cal seal protection. •Farms • Power cord: 10 foof Casing nd Base: Rugged • Heavy duty sump standard length, 16/3 SJTO thermoplastic design provides • Water transfer with three prong grounding superior strength and length 16/3 • Dewatering ping. ,6 / 3 a120 foot SJTW �►ith corrosion resistance. SPECIFICATIONS three prong grounding plug. Motor Housing: Cast iron • Fully submerged in high for efficient heat transfer, Pump: grade turbine oil for strength, and durability. lubrication and efficient Motor Cover: Thermoplastic • Solids handling capability: heat transfer. p /4" maximum. cover with integral handle and • Capacities: up to 55 GPM. float switch attachment points. Total heads: up to 24 feet, Available for automatic and manual operation. Automatic .Power Cable: Severe duty • oma Discharge size: 1 NPT. rated oil and water resistant. • Mechanical seal: carbon- models Include Mercury rotary/ceramic- stationary, Float Switch assembled and 0 -ring: Provides positive BUNA -N elastomers. preset at the factory. sealing. gaskets replace • Temperature: during maintenance. 104 °F (40 °C) continuous Stainless steel fasteners. 140OF(60 0 C) intermittent. • Fasteners: 300 series stainless steel. METERS FEET • Capable of running dry without damage to 8 components. 25 -► 5GPM 7 0 -- _ - -- _.___.__. ___._ -_._ 2.5 FT — a W 6 20 x U � 5 - -- a >_ 15 0 4 a 0 3 10 f 5 1 0- 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m -/h CAPACITY r Effective May, 1994 1994 Goulds Pumps, Inc. 83871 9 r Goulds 6 Submersible 8 ' --� Effluent Pump 8 6 9- 5 3 3 87 1 4 3 2 DIMENSIONS PARTS (All dimensions are in inches. Do not use for construction purposes.) Item No. Description 1 Impeller 2 Rugged thermoplastic base 3 Rugged thermoplastic pump casing 4 Mechanical seal 11 MAX. 7%z 10'/8 1 NPT 5 Ball bearings 6 0 -rings ' 7 Power cord 3% 8 Oil filled motor 4/2 '/e Cast iron motor 9 housing /stator 9'/4 assembly 10 Thermoplastic motor cover MODELS PERFORMANCE RATINGS Order No. HP Volts Phase Max. RPM Solids Power Cord Wis. Total Head Gallons Per Amps Handling Length ( lbs.) (f l. of wate Minute EPO411 115 12 10' 20 5 53 EPO412 230 6 10' 10 46 EPO411A 4/ 115 12 3/4* 10' 21 15 36 EPO411F* 115 1 12 1550 20' 20 20 21 EPO412F* 230 6 20' 20 24 0 EPO411AC* 115 12 20' 21 "A" denotes automatic operation. Pump includes float switch. ` "F" denotes 20 foot power cord. "AC" denotes automatic operation, CSA listed with 20 foot power and switch cords. ' GSA listed units. C q WATER TECHNOLOGIES GROUP : SENECA FALLS NEW YORK 13148 SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U.S.A. 10 PUMP CHAMBER CROSS SECTIOU AUD SPECIFICATIONS P,4 1 C `f OF 5 -VENT CAP 4 "C.I. VENT PIPE WEATHER PROOF APPROVED LOCKIUG JUAICTION BOX MANHOLE COVER > z 5' FROM DOOR, w� (VARN /A)&- IA13EI WINDOW OR FRESH 12 "MIIJ. AIR INTAKE /EVj1 -4 0 Al GRADE I C�� I I Mlu. 9 d Cold DUIT -- \ YS �IEU ary INLET PROVIDE I I - - - -- �___ AIRTIGHT SEAL APPROVED JOINT A y�1(DA�IC I III APPROVED JOIUTS VfA W/C.I. PIPE 1JiC.I. PIPE I n � I I ' ZXTENDING 3' O�� I I I I) ALARM EXTENDIIJG 3' OIJTO SOLID SOIL ONTO SOLID SOIL 3 q 0 " 3.z I I o c 3 ELEV. FT, t __J uSE 3 D PUMP -� OFF BLOC D .21I y lgo�P eF �fA� ' � E p01 � � 1 S/lrt/l� �tiv� f io,✓ � ivlr- RISER EXIT PERMITTED OUL4 IF TAUK MANUFACTURER HAS SUCH APPROVAL SEPTIC E .5 PEC.IFICATIDUS OOSE � TANKS MA NUFACTURE `"� ( � IJUMBER OF DOSES: PER DAy TAAJK SIZE : 40 v 4 1 �AALLOTJS DOSE VOLUME /0 ALARM MANUFACTURER: �U �rl �1 IMCLUD)NG BACKFLOW: / "' O GALLONS MODEL HUMBER: CAPACITIES: A= INCNES OR 36-D GALLONS SWITCH TYPE: ��� �lQ�- 8 = IWCHES OR GALLONS PUMP MANUFACTURER: 2d�1 I , C= �/* 0 IAICHES OR O CALLOUS MODEL NUMBER: j-' its V D= iT • � IMCHES OR 2 9+ Q GALLONS SWITCH TYPE: P(j3yGl MEAC' l 06 - 6 — IJOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 30 GPM INSTALLED OU SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. •Q5 FEET -rAo L ppccs - MINIMUM NETWORK SUPPLY PRESSURE . , . , , . . , 2.5 FEET CACLL I Of J� + S d FEET OF FORCE MAIN X I�S F Y,,,,FRICTION FACTOR.. • SL_ FEET 0A TOTAL 09MAMIC HEAD = .32— FEET RNIA ey 39 „ INTERNAL DIMENSIONS OF TANK: LENGTH ;WIDTH — ; L IQUID DEPTH Y HEAD CAPACITY CURVE y MODEL. I. T.- e 4 5/a T15 I 35 /6 L + + ' E1 4 3/16 1 A 5 T - P 2 1 1/2 -11 1/2 NPT 0 U.S. 41O 30 4p UTERS 5 0 60 70 e0 e0 0 160 FLOW PER MINUTE 240 TOUT DYBA4IC NrADAtoW ►pl larWTg 111FLU NT AND DEWARPING NEAO CAPACITY 12 UNITi/MIN � fEE1 YETEns OATS MIS S 1.52 72 ?73 10 305 at 231 0 4.57 5 70 ZO 5.10 2 5 115 lock vsk• `�, 3 5/16 CONSULT FACTORY FOR SPECIAL APPLICATIONS e Electrical alternators, for duplex systems, are available and supplied with an alarm. • Mercury float switches are available for controlling single and P: alternators, for duplex systems, are available with or • Double Ise s IA. Without. alarm switchea, piggyback float switches are available for variable level long cycle controls. Standard all mode - Weiflht 39 Ib11 - i H,p, SELECTION QUIDS 1111 S•rl•s —ML __ _. T. Inlspril1100 operated 2 pole rn•ch&rdcW switch, Control salecllon 2 Single PIGOYback mercury rw •gornU control required. 110at switch or double PlJpyback mercury, Boat Model V h• -Ph 1 w Mods Am switch. rioter to FM0477. M98 115 Sim lax Du lex 3. Mschsn o 11 • lot 6 _ kal alternator 10.0072 or JO-O07& . 4. Sec FM0712, for correct 'no" or Els &kW Akernalor, "E -p 0116 230 S. Mercury sensor Boat switch 104" •used a 1 Non 4 1 or 1 li 7 . _ duplex (3) or (4) host system 4 a conuol acgvator •PecIA• f110 200 .. Y.. 4.5 .2 q.R a 4 ; ' a or 4 8, 6 R Fpw,r, • • 'J•Pak ". junction box, for -- --- : Plex a duplex operation, 10.0002. W�!yuyf M connection or wired -In skn- 7. Two (2) hut• "J- Pak ", for wsdartighl coruTw__.. of splice. PM Far kdamadpr tcMtt FLO � aoduc4 nlsr 10 Son BtaASr, fM0511 _ ko. k ae M 0t an C0mb4 AN hatallelloe q sadr fMO1eS; k M eg Package, *s, u Elec4kM ANanWor, fMow; Vachankd ANa � AN NwnNd W Wont � Il -11 cal sn/ do" w s rime#• fM07>? ' mW11ewage easkuk fM04al; and Aiaptax Cerwd l &pA and wirin shoaW (n11 Ilea awy recant Nallonal Ebdde Code (N *n4 IM C earPa�l safely and NeaNk Ad (06NA) RESERVE POWEPED DESIGN For'unusuai conditions a reserve ;safety factor la dngineered into the design of c��ery Zoeller um -�-- p p. t" ARIL rQ r.0. BOX 16347 slri �ryrr'''Xr 40156.0341 Manulaclurers of... P 10: 3 80 04 M eerS c ane N •e v tOr 1, y/ xr 40� Is Qulu�rps ,fwcE /9.�9 (501) 718-2731:o f A (502)114.3624 . Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and ST C percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT IN - Please print all information nwed Date Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location �� Z Govt. Lot 1/4 S� 1/4,S T ,N,R E (or)(S Property Owner's Mailing Adds Lot # I Block# 1 6tilxh4+larx�e or CSM# ,z 3 .2o 6 City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road C 7/.5 > 3 - / O TAB ❑ New Construction Use: Residential / Number of bedrooms -3 Addition to existing building Replacement SPublic or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd/ft — trench, gpd/ft Absorption area required bed, ft 3 7 5 - trench, ft 2 Maximum design loading rate bed, gpd/ft trench, gpolft r — Recommended infiltration surface elevation(s) �'. $- _ ft (as referred to site plan benchmark) Additional design/site considerations A /W Eg_�f FtEL Parent material T Flood plain elevation, if applicable ey n S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = unsuitable for system ❑ S 0 U 0 S ❑ u ❑ S O U I ❑ s O U I ❑ s o u 10s Elu SOIL DESCRIPTION REPORT Horizon D e pth Dominant Color Mottles Structure GPD/ft Boring # P Texture Consistence Boundary Roots h in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench .z Z .s- r - Ground C� L .Z /= Z FL G r elev. q� — Depth to limiting factor Ii n. Remarks: Boring # I - F IR s •� U - j r, Z _ JZV — /Z L I M . S 3 S 4/A/ -7C to /a Ground 5 s - s G O S ft. - , Depth to piX limiting U ° factor �- # F • ��in. Remarks: O CST Name (Please Print) Signature / f Address Date CST Number SOIL DESCRIPTION REPORT PROPERTY OWNER Gt/ &4 ZA- ,0 'LLE� Page Z" of _ ` PARCEL I.D.# iPN— 3 /D Boring # Horizon Depth Dominant Color Mottles Structure Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench 3 2 5 /— 2 M- 5 A)k' W)SC 2 ZA s ;-ZL ms SIC' Ground 3 elev. — S — o Depth to limiting' factor Remarks: Boring # 131 Ground elev. ft. ' Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/(t2 in. Munsell . Qu. Sz., Cont Color Gr. Sz. Sh. Bed , Trench Boring # Ground { elev. tt Depth to limiting factor ` Remarks: Boring # E3 Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) aDepartment of commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page _sj_ of 8 Bureau of IAtegrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code I Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # —0 .2 3- D APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location t m z4lox Govt. Lot 1/4 1 1/4,S O T 3 N,R s - E (oov IfIff Property Owner's Mailing Address Lot # Bock# Subd. Name or CSM# City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road P ( 7J_5 1 - ,2 o r�s ❑ New Construction Use: ❑ Residential / Number of bedrooms 3 Addition to existing building 0 Replacement ❑ Public or commercial - Describe: Code derived daily flow V -0 gpd Recommended design loading rate bed, gpd/ft trench, gpd/It Absorption area required bed, ft trench, ft Maximum design loading rate bed, gpd/ft trench, gpd/ft Recommended infiltration surface elevation(s) _ ft (as referred to site plan benchmark) Additional design/site considerations ( gr4 4a t 7 - j W 1- 1,-R .Q 4 -7 - 20ly 'AoxC�4 Parent material Flood plain elevation, if applicable A te q ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding U = Unsuitable for system ❑ s ❑ U ❑ s ❑ U 11 S ❑ U EIS (Z U El S U S SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD/ft 9 Texture Consistence Boundary Roots in. Munsell . Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench -O L Z z - — 5G 5,9,e AA V Ground .3 S-_ N13 elev. ft r- 5 — G l= Depth to limiting factor in. Remarks: Boring # Or' _ w lc6p 11 E3& a 'e=_ 7lu r. o 7A (les Ground 49 Ze elev. Depth to limiting O WO r= �'E GvZ crki ZD-� factor in. Remarks: Sv' CST Name (Please Print) Signature Telephone No. i)A ve ROKEETV Address Date CST Number /3a o ,ar 7 �i flY _2 /90 SOIL DESCRIPTION REPORT PROPERTY 'OWNER page - PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 13 in. Munsell 'Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench Ground elev. ft 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 PD in. Munsell _ Ou. Sz. Cont Color Gr. Sz. Sh. Bed Trench Boring # cl Ground ; elev. ft ' Depth to limiting ; factor i n . Remarks: Boring # Ground elev. ft. Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) L s `4r"- FOMW PL UMBM Ummed POOL Tester r F ,SSE � RO�� 7// %P J 4'1 = Top o F oLfl F? EGD CIE/ 7 pt--_P rtssUsssc /o ©.o' i D��� r - s.FLD ,ciExi Td p --DE. _l I �sstarrre /D �• /6' =0 ftE'cD Tv F.En/CE : �y3y i #/ X G p dm� it 1 ,ter -wc� Ta c/r�� z66 1 s LoPIF T-o l 1 �o' v 1 r i I � 6 10 ST CROIX COUNTY ev SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner:A.4 �J.CLC Mailing Address Property Address (Verification required from Planning Department for new construction) – o, —/ City /State C4&0z_ Parcel Identification Number 01 — /o s3 -- /d LEGAL DESCRIPTION Property Locat2on /4, _ / a, Sec. I , T __SL N -R Town of Subdivision , Lot # Certified Survey Map # Volume , Page # Warranty Deed # 5 9 9 yN� , Volume its ? , Page #. Spec house ❑ yes ,O no Lot lines identifiable Z 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, joumeymanplumber, 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. 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. °tle� lxlre� 7 /at/ 9 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 ^ State Rat of Wisconsin For= 2 — 190 �v4 a C3 E WARRANTY D w r - ��cJfsE — DOCUMENT NO- • S n GF` 1 r, i7t 1 Lester C. Frank, a sin le ersoa iac'dWrF:s.::! {, MAY 30 1995 er e S t 8:00 A. Gl cOnveys a Tue3�er us an e� — of Doe& as sure vora marita trotertt, THIS SPP= MURVEO iqt MCORWHO DATA NAM AND AETWA ADDnE �� the following desrnbed red aatatc is _ -- t . ro _ County. Satre of Witcoeain: (p&lcd Weadficatiwl Number) SWC of NWT and N.% of SW#, Section 10- 31 - IS, St. Croix C Wisconsin. t *� I I 7 d Tbk is boimwad property. (it) (it Mot) � E:oeptioM to warnntim Municipal and zoning ordinances of record and 1 recorded easements, restrictions and reservations. I .. y Ma . E9 9S NA 1 - Dana ibis ' (SEAL) (SEAL) .� ..► /it (i ,• (SEAL) (SEAL) ! t't ; AUTHENTICAT[ON ACKNOWLEDGMENT ' . ii ~ STATE OF WISCONSIN Si�oatwe(s) SL jl t Croix___ County. day of Personalty came before me tbn / day of th ibis • f9 _ t4�` .the above named auenticated � a Tr: : MEMBER STATE BAR OF WISCONSIN t + t ' (If not. who executed the autborized by $706.06. Wis. Stats.) to me kno Pe tore oin Tt same. -- 4 ! i. THIS 04STRUMENT WAS DRAFTED BY at - _Lav - x . Notary Pu —_ -- County. W is. C1$aY Lake Wl_ 54005 ��_ not sta.: expiration date_ commiss (Signatures may be authenticated or acknowledged- Bab ne bat MY necessary) - - - - -- •;ti �mn c:t pCrx.rts cigaiat in am :apxin'"Id he tyMl .x prune -i l+eL.v. tR`r_ a :' rrc'. Wisconsin legal Stank Cio.. tnc WARRANT, DEED S BAR CW WISCONSI Milwaukee. Wis [aDa" N., 2 — I"Z