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S I . CROIX COUNTY ZONING DEPARTMENT
AS DUILT SANITARY REPORT
Owner eEv i ?ENO(// 3 ap 6 - Z D 23
City/Stale / a D.) �Lvf S S/O/Ce R�CF/VF0
J1J/✓ 0
Legal I)Fscriplinn: 9 2003
Lot �4 flock Subdivision/CSM N 4) i S4e krs
%.5 % via), Sec-3, T29N-R/f W, Town of V
PINK � . /p ,
SEPTIC TANK -- DOSE CHAMBER — IIOLDING TANK INFORMATION: 26
w lESeR 12 So pa) >S° ).35
Tank manufacturer _ CO . Size ST/PC / Setback from: House 7P Well P/L
rump manufacturer ZOC..n/ 7'//� Model qg )/2 1yn /". .//j- t.7'- —
Atntm location /4S/vE
/ ,,ttF'!lam- fib? Thai a� ,Q �(et , Cd .
(11(11,111NG TANKS ( NI.Y)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSO1 r rl sYsr�M: W O o vw cuts
Type of system: Width 3 Length Number of Trenches `3_
Setback from: house Well,' P/L Vent to fresh air intake •• 2 .S'
78 _
ELEVATIONS: ,
p1)Nos T AaiuT /o t// /b- e
Description of benchmark S
Description of alternate benchmark TOP/ S/O�W,}/' d,1- Gf�,((f� lElevailio
Clevan f15: 2.4
Rniiding Sewer 4 ST/Itt' Inlet / 0.35 ST Outlet NIA
PC Intel /V/! ."--
$ 1i,g 0 ORop 134 Q
PC Iloltom (leader/Manifold ` 2 'w Top of ST/PC Manhole Cover
Distribution Lines ( ) ( )
Ilollom of System )
sue- P�a 7- p 61,t)
Final Grade ( ) ( )
-2. '?4.1%.0 6,' ,t7Dg
1 ate ni installation / / Permit number / T �7 f( /
Stale plan number
Plumber's signature Z2G37C ��
License number / Date jg$7-1-•
Inspector kEV/N r it'y(, /fitg f 3
ComplNa pMl phn»
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Ulbncht & Associates
/� Private Sewage Consultable
/ IA ti 2812 1 otr,Ave.
Spring Valley, WI 54767
pAiryb 20 0 3 7 7 a • 3 y 1-/Z
C4P2/ . 46-±---- ' Ai, eL
Wisconsin Deportment PRIVATE SEWAGE SYSTEM CO10ty
Arrt St. Croix
Safely and Building Division
' INSPECTION REPORT Sanitary Permit No:
420493 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)I. 4CM-7(.1='T,,,eft.ii . I
Permit Holder's Name: City Village X Township Parcel Tax No.
Penovich, Kent Hudson Township 020-1342-10-260
CST BM Elev. f 'Insp.BM Elev: BM Description:
(� •a lac.0 ' 4' t.40
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic :::
ark
w &662. I Nit)/ /,�Z 101•‘{z ( ITO •D
Dosing / 1( -D� \ ((
Aeration ( a /) Bldg.Sewer ---/ /�
ceu 4re.!( )
Holding SUHI Inlet CA) 1. I z
_//// o• 3S
St/Ht Outlet
T SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet _
Septic 35/ > ! i Dl e°n° '�ff�x4.y h ' l f•44) �� /cf Fd
So 3 1- b,p� lI
Dosing u U. l.. Header/Man.
Aeration Biel- r
--\ -c �y t5 U14,t s (460.- )
Holding r i Bot.Systerri3
Final Grade r,l 1 +� �\ 4
PUMP HON INFORMATION tv •�•^, ) s't q3.921
facturer Demand N St Cover
Model Number 449.8
r by l.5 ,#1- • I (;... ) Q.QJ$ I z,s-if r
TDH Litt v' Friction Loss System Head TDH Ft• �p ` 7 r
. 'kjD 0.fo4 " 3•.fo9 IJ:S4. . bex 2(,:.,) 9 •‘S" 'Il• �
Forcemain Lengths. Dia. Zll Dist.to Well R 'Cq\ 6-Ss)/ S•p� L�•C r
SOIL a RPTION SYSTEM 3 c� Z..•n/ , lci- = l Z. I D = cj . 3 Z '
• - ' idth Length 1T' No.Of Trenches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth
DIME' r'S 7J t ( tt-a: T' (3� -
SETBACK SYSTEM TO "t BLDG WELL LAKE/STREAM LEACHING Maanuuffactrger r - ^ r;
INFORMATION - CHAMBER OR li+vt.r 7�,�
Type Of System: 1 3'1'el. /G,wV• 4s G.--f - UNIT Model Number.- }a ` t 12.1i.
DISTRIBUTION SYSTEM (� •j. /Jo, P/L.)
Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s) —
Length Dia Length` Dia Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center Bed/Trench Edges Topsoil
Yes Ti No .,,_ Yes - No
EttleT/4":_(11nclut d' cies,persons present,etc.) Inspection#1:S "r OS/2�3 Inspection#2: ��l i
lion: 481 CarriageLane H dson,WI 54016(SE 1/4 NW 1!4 32 T29N R19W) Wi son He' of 2 Par
1.)Alt BM Description= WA et,_ 5 s �j 1-•
2.)Bldg sewer length= \ .a.a Q 1. 9.10 Jo.so
= `t l • 3 2'
3 t-a o nt of4 r l eep . q2 s}' = i • q. ) O.•S- = "/°'s}'
Plan revision Required? Yes X.No Z4-lr� l /
tU(.e 9th�eyr i4efor ad i'on I i formati n. /� sep `P)
S1 E�i711+_ A(R 3/9►a� at cote__
`1�J•++IiL O-11 Siggature Cen.No.
Safety and Buildings Division County 5 T e Ip0/•
r 2%1 W. Washltglon Ave.,P.O. Pox 7162
OI IsC1S n Madison,WI 53707-7162 She Address ye/ Gi09,0i L,4/
Department of Commerce !O-S[R-oz 1¢0 i Ito /-/f/f/SOv sc//. Sy , 4
Sanitary Permit A lication Sanitary Penh < /d o ye/3
In accord with Comm 113.21,Wis. Adm.Code, rsenal u
. may be used for secondary purposes P y 1 , 0 Check if Revision
I. Application Information-Please Print AN Inform anon Stare Pla�D Number 4 / / 7vs !II
Property Owner's Name t ? 2Q� Parcel Number /
0
eEwT ST 02.0 • /.3Y), • /O . 2Cn0
C;U�� ilY tits
Prope Owner's Malll Address OF. 10E Property Location b�
IjV/ AR,',t — w
G LN S� 4 54,S T21N,R /isi
City,State Zip Code Phone Number 7/S. , Lot NnmbetZ ce Block Number
/7 aMA7 aI/• S y0/6, 3: 6 '.a-o 2-3 Subdivision Name -CSM•aJwakr
a,/;(,PSoR rn-s •
II.Type of Building(check all that apply) 0 ! S al.' �t a�ci, �c-+ Doty
ja.1 or 2 Family Dwelling-Number of Bedrooms �/}-iseds /4 L!!L«e.e&-+ [Village
U P ublk/Commercial-Describe We Q To hIp f l�,tso.ti
U Stale Owned -�� �d 1...J//4f ejrly - -f./iI 3/x 577 / Nearest Road A /
c,q /C//T(f AA/
Ill.Type of Permit: (Check only one box on line A(numbering scheme for internal use). Complete line B if applicable)
A' I U New 4 0.Replaeement System U Replacement of 6 0 Addition to For County meSystem auk Only Existing System
B• U Check If Sanitary Term revbesly Issued Permit Numbe► Dale finned
IV.Type of Permit: (Check all that epply)(numbering scheme Is for Internal use)
lrod,. , // G��4jew
44*Non-Pressurized In-Ground 210 Mound 47❑Sand Filter 50 Constructed Wetland 6-754 Yx.,?,d
22 LI Pressurized In-Ground 41 U Holding Tank 4813 Single Pass 51 0 Drip Line 2
45 U At-Grade 46 0 Aerobia Treatment Unit 49 U Recarculadnd 30 0 Other
/ ! /
V. Dispersal/Treatment Area Information: ` -p alta"len-i/Art-'kr: 0.7/pi/4 r.441. -o
sign Flow(Ord), Dispersal Area '/ Dispersal Ara Soil Application Percolat{on Rate System 8levnbn Final Grade O
2 ✓ Reryuled /7 Proposed Rate(OaI../Days/Sq'R.) (Mln./inch) .,,�y�0 S Blevstbn q_c'
�°� Q . � 7v, P . 7 s ,�/A* 5q 0
VI. Tank Info Capacity In Total Number Manufacturer Prefab Site Steel Fiber pifstie
Gallons Gallons of Tanks ��QO • T Concrete Constructed Glass
I n' New Esistina
Tanks Tauten V
Sepik or lloMMg Talk �� / J(vieSeX
'Doting Chmrber. go // 8ov /4,, 4 f e. ce •
VII.Responsibll ty Statement- I,the undersigned,mask responsibility for installation of the POWTS shown on the attached pleas.
Plumber's Name(Trite) Plumber's SI mmrc PRS Number Business Phone Number:'
R.lobiz i GGl.� /ldU M 1,- _(J 3"7 5 115•3 8(• .5
Plumbers Address(Street.City.State.Zip Code) .•
0 5 5 0'N.,e,i t kD /fvps 0A) w/• 5 y0i v
V4.count /Department Use Only
WSanitary Permit Pee(Includes O, ndarater Date issued nt S o SM
Apprmed [] Disapproved' l copal
Surcharge Pee)�l
U Owner Given initial Adverse ,1 1 lam'. des/a •• G�,^I '` r
Delermlmtioe Ofa 'm^44/0,
. IX. Conditions of Approval/Reasons for Disapproval
1,d gs.k. ..l 4,14.4, 41" 4e- a6whdm-J en'✓ 41rwr..-/3'13
(,t/'Q s-fcuvu,�ef- vDl tyyn� -a�rnr', LI e 2 J 4 phew .- w/4 M ram), ot4u-o� need r,
l/�,1i3�1[I f1ay,dtvn-,4b/-&r/ro slt..rwn- 0-�-f/o4-,,iw+ i_, Fla �I3-/ �/ p
0 t`' '�.
40 �Y µ -T (4/ ,0„,. aaf� /I),2,i ��4.-. il/3iddir02�
p1 a (s t Canny es es pipers hu SW x 11 is she
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n ,'- e/ a d�r.,a-c .c....� infry •3 y cc •
SBD-6398 (R. 05/01)
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A L NON-CONFORMING 0 Sim Wm(:
6,4c k Ae P 'T S T 'EATMENT TANKS SHALL l- " ,,
7
L,;�/�C $ B ABANDONED PROPERLY A T �'ev/PUE
4 O� U� P. R COMM. 83.33. q9 .O
._ ell . ).. or 7 — C L cA01,46-F L,v
Safety and Buildings
PO BOX 7162
MADISON WI 53707-7162
NViscOnsin TDD# (608)264-8777
WWW.commerce.state mi.uslsb
Department of Commerce www.wisconsin.gov
Scott McCallum,Governor
Phillp Edw.Albert,Secretary
October 12,2002
CUST ID No.226375 A7TN: POWTS Inspector
ROBERT W ULBRICHT ZONING OFFICE
ULBRICHT&ASSOCIATES CO ST CROIX COUNTY SPIA
655 O'NEIL RD 1 101 CARMICHAEL RD
HUDSON WI 54016 HUDSON WI 54016
CONDITIONAL APPROVAL #zidb0 qq 3
PLAN APPROVAL EXPIRES: 10/12/2004 Identification Numbers
Transaction ID No.795761
SITE: Site ID No.651726
Kent Penovich—Dwelling&Office Building Please refer to both identification numbers,
481 Carriage Dr above, in all correspondence with the agency.
Town of Hudson, 54016
St Croix County
SE 1/4,N W 1/4,S32,T29N,R 19 W 'D)
Lot:26,Subdivision: Windsor Heights �j p h" Y
FOR: 1' F
ee
Description: Replacement Non-Pressurized In-Ground System 600 Gpd '�I ,1p
Object Type: POWT System Regulated Object ID No.: 874746 ' 1�
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.
The following conditions shall be met during construction or installation and prior to occupancy or use:
1. On pages 1,2 and 3,this approval assumes that the leaching chambers to be used for this installation are
manufactured by PSA,Inc.with model number 11" Standard Bio Diffuser. The chambers are 11" high
and 6.21 ft long as specified in the product approval found in the Wisconsin Plumbing Products Register.
2. On page 1,the two dispersal cells for this system measure 86.94 ft in length,for a total linear length of
173.88 ft.
3. The slotted observation pipe detail shown on the back of page 3 is extraneous and irrelevant to this
approval. Those observation pipes are intended for installation in dispersal cells using aggregate.
Likewise,the combination observation/vent pipe detail drawings do not apply to this POWTS that uses
leaching chambers.
4. On page 6,the access peni�he effluent filter on the septic tank is incomplete. The access opening ;
for the effluent filter shall conform to s.Comm 84.25(7).,Wis.Adm.Code. That is,the access opening C„,4
shall conform to this code section with respect to restricted access. k C yee.—Ci.t4�f/lolx D
70 BG /1 bCpeeb f1
5. There are actually 8 pages in this set of plans,some of which are not numbered or suitably referenced in 0 Dfp. ft
the table of contents.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to SE
inspection by authorized representatives of the Department,which may include local inspectors. All permits CCRRE,
•
ROBERT W ULBRICFfT Page 2 10/12/02
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Safety& Buildings reserves the right to require changes or additions
should conditions arise making them necessary for code compliance. As per state scats 101.12(2),nothing in this
review shall relieve the designer of the responsibility for designing a safe building,structure,or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the
installation,operation or maintenance of the POWTS.
Sincerely Fee Required$ 175.00
Fee Received$ 100
0.0
Balance Due $ 0.00
Peter E Pagel
POWTS Plan Rev wer II , Integrated Services WiSMART code:7633
(608)266-2889 , M- F,0630- 1500 Hrs
pepagel@commerce.state.wi.us
cc: Leroy G Jansky,Wastewater Specialist,(715)726-2544
ULBfiIcift & ASSOCIATES CO.
655 O'Neil Road • I ludson, WI 54016 peg. pes►gne s nlF efi,g systems
Fhlvele Sewnpe Consuhmds
S9 715-386-8185
6 p't
StiLQ 2' S 0•-• PROJECT INDEX
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PLAN ID 11 Sip . -Z1 0 2�
DATE
OWNER keivr ?tit/ (has/ PHONE 1/5.38 6 • ?-o 2. 3
AUDREss / / :,� (,.�. ffv1SSN 41/5. Syo/C,.
LEGAL DESCRIPTION Lo 4#- Z V - s .itv&vs,'o.v
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TOWN OF kT [V�SON COUNTY Sr.Goo/ X-
CSTH R• .ze g/G4r .)- - 375
LOCAL AUTHORITY/ SUPERVISION 5-1 • Gto/X Gtt Z u/A)C�
PROJECT DESCRIPTION:
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%• Ulbdcht&Associates
P //J� Mts Sewage Consuhenta
v~ Hudson•iWI.. 54016
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o��F 414 S ZZ—lp Z
WO ;Ay QUA INFILTRATOR SIZING WORKSHEET ;`
O Z •Y'ld1 SYSTEM PLOT PLAN
1141g144
Orb, ROSS SECTION OF SYSTEM, WITH ELEVA IONS.
g. 4 ,, ,
O _NlimkOwNER MANAGEMENT PLANS & ZABEL FILTER SPECS
V or (OPTIONAL) CROSS SECTION AND SPECS FOR DOSING TANK.
Q PG. 7 (OPTIONAL) PUMP PERFORMANCE SPECS.
V W
The attached plans and specifications are based on "In-Ground
Absorption Component Manual For Private Onsite Wastewater
Treatment Systems . " (Version 2 .0) SBD-1075-P(N01/O1 .
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6 4C k /i'T-5 T EATMENT TANKS SHALL T / ''
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Iff I IN
i -1 F,N/S#EDr5c . 90 y fiAP� 9a . a
n 5 Meet vf�rX0Taie •.-1_--/0c
1
, o ' .. - .
, ... .�..ter. aa.i S.r►. - aa► a rill a�i=ih 0 ,,
•
=i�1 WEYi iir GiC 1ii W rYi■Yla*i 6
ram► i Ya aii atiea assauan4 '�ll t I
.��i uiiai _
LAveL ,ew1rED T r Y-c S y5TM ,
g 5
OVER: See Reverse Side for Vent/ Observation Pipe Details.
T� 3of /
•
•
•
An observation pipe may serve as a • n r ination o se ' n/vent pipe providing it terminates in
the same manner as required fo ent pipes. See Figure 6.
Vent cap_- Rebuts bend ;Cap
12"min.
r112"min. ?Li' Float grade. `,. r
Aggregate\� Distribution aleral
O�0 `System elevation
0��st.IC`� .figure 6- Vent and combination observation/vent r pes
LO
Leaching chamber tops are at or below the original grade. Leaching chambers are placed directly
on the bottom of the distribution cell. The locations of leaching chambers are in accordance with
Table 3 of this manual.
Observation pipes are installed in the distribution cells and are provided with a means of
anchoring to prevent them from being lifted up. Observation pipes extend from the infiltrative
surface for stone aggregate systems or from the inside of leaching chambers to a point at or above
finish grade. The portion of the observation pipe below the distribution pipe for stone aggregate
systems is slotted while the portion above the distribution pipe is solid wall. Observation pipes for
leaching chamber systems are attached to the chambers in accordance with the chamber
manufacturer's printed instructions, extend from a distance >_4inches above the infiltrative surface
through the top of the leaching chamber up to or above finish grade and terminate with a
removable watertight tap. All observation piping has a nominal pipe size of 4 inches. See Figure
5. , .
0��0���, Water tight cap
`J() �� or Top of
S< !11"min. dla. leachin ■
Repair couplings
[` 9
chambher
JS1o1 I ■
�"min.
n.
Infiltrative surface
Water Closet Collar 1 , Bar /11"min.dia.)
- • rservation pipes
Vent pipes, if installed, connect to the upper half of the gravity flow distribution laterals and
extend up to at least 12 inches above finish grade. Vent pipes terminate with the vent opening
facing downward by the means of a vent cap or fittings. Vent caps must allow a free flow of air
between the distribution lateral and the atmosphere. All vent pipes has a nominal pipe size of 4
inches.
OWNER 's MAINTAINCE OF SEPTIC SYSTEM ,� _ � C J
4-4/aC}ft
POWTS ( landowner ) is reponsible for proper operation and
maintenance of this system. Regular periodic inspections and
servicing is necessary for the safe healthy operation of this
system. The owner is required by code to submit all necessary
maintenance/inspection reports to the controlling ,authorities .
SPECIFIC CONTACT AGENTS
S? Goo i X c.7 y 2o.vi.vG—
* Governmental authority/ inspectors : 4D P7 .
3gG • Pb?S'
* Licensed installer, responsible for providing an operation/
maintenance "Users" manual :
3 gG • gigS • '. zl/6/g uz f M/°4'S 5
* Licensed service / inspection agent other than installer :
•
T,P;- cry. s,44)/r4-7-76,4> PUiipi,v6-- co .
/3C,v /WM'6-4,v 3456 . /3 0
* Electrician , for pump, electric controls, wiring units :
gtec7-e;c co , •
� s - 7336.
IMPORTANT OWNER MAINTENANCE REQUIREMENTS
1 . Winter traffic (sledding, shove*inq; etc. ) across the
area shall not be permitted, or frost can/will penetrate into
the cell , freezing up the system. Discontinuos use in the
winter (a vacaction trip, resulting in no water use) can also
lead to freeze ups.
2 . Water conservation needs to be exercised ! Or system can be
• hydrollcally overloaded and destroyed . This evskem was
•
designed for a maximum wastewater flow of
60 gals . daily .
3. POWTS are not designed to accomodate wastes from a garbage
disposal unit , or any other unnatural sources of waste.
Any introduction of such waste materials will overload and
destroy this system.
1 • if a
power outage occurs, or a pump' fails, it may ; result
in a temporary overload of effluent being pumped into the
cell , which may adversely impact the cell ( leakhge) . It is recommended that a licensed pumper empty the dosing tank,
allowing the pump to return to dosing the correct amounts .
Consult your installer immediately for advice.
5 . Neglect of the vegetative cover ( the cells insulation &
erosion preventive ) can lead to failure. Compaction or heavy
traffic also can destroy t he system. It IS NECESSARY TO
REGULARLY WATER THE VEGETATION OVER A SYSTEM! ! Effluent in
the system beneath TS NOT sufficient alone tO maintain a
grass cover.
6. Periodic inspections by
necessary. Inspection pipes and eports have r, or hisabeensincorporated
Into the system: on the mound basal area (effluent level
inspection pipes ) , cleanout terminals on the pressurized
laterals, at each tip - for flushing and cleaning the laterals
out . The filter system In the tanks (via a locked above
ground cover/manhole ) . Only a licensed properly quali6ied
person should be performing this work which involves health
& severe safety risks. Evidence of effluent ponding in the
system's tre,tment cell shall also be regularly inspected.
— P5 . 6 oF7 - -
0 • SfFo�+gir`cCr/O
4, O� SEPTIC & PUMP CHAti. , • c..i SECTION AND SPECIFICATIONS
"1 bG n
/aV x .J - --_-�
`l��A , V OF ' _ .
�(�at�•P CI VENT PIPE 12" MIN. ABOVE GRADE & !WEATHER PROOF SH2.
�� ,
A ? 10 ' FROM DOOR , WINDOW OR JUNCTION BOX APPROVED
FRESH AIR INTAKE �1u WITH CONDUIT MANHOLE COVE
5�� 406:=-11-1 -
i"` . _� W/ PADLOCK
�yf �� �Lc cjiI WARNING LABE
_, 1-�( /a If, I __ -9 . . ,J t_ -4" MIN.
1 B" T1I N . o eV �tJLET I � � -
d **
• 1
1 INLET _ �� '
g D \ 'Tr _ _- I ,,
I -- -_ GAS- ' . —r
a" �. /A,?If7_ --- -1- TIGHT i ', �/
�4 /F •ZAIiEL A I SEAL 0 0 APPROVED
sal. 4 o F JOINTS w/
it-Ter- I_ I
puc pips- , r-ALrt
3 SOLID MoOt l- # - - -}3.3.�J 1 r- ON PIPE 3 ' ONTO
SOLID SOI L
SOIL PUMP OFF ELEV .tS•�S F1'. �- I C I t+'gOFF ** RISER EX I'
D It-t, PERMITTED ON
t IF TANK
16° + I I I MANUFACTURER
3" APPROVED BEDDING UNDER TANK HAS APPROVAL
VI75 CONCRETE PAD
SPECIFICATIONS
^EPTIC / DOSE Wle5Pe rdg42it-
TANK MANUFACTURER : NUMBER DOSES PER DAY :
"-0
TANK SIZES : SEPTIC /2 GAL. DOSE VOLUME INCLUDING
DOSE
�D'r7 GAL. g,l FLOWBACK: �3� GAL.
ALARM MANUFACTURER: 140/.L ftbr,W CAPACITIES: A = II. 5 INCHES = y0O GAL.
MODEL NUMBER : P.U.L.- •
SWITCH TYPE: F104.7- B = 2 INCHES = V. O GAL,
PUMP MANUFACTURER : ZOE ' R C = 4• 3 INCHES = AO GAL,
MODEL NUMBER : ff . Yy tit r •
SWITCH TYPE: Pi#syB44,4t F7m•T- D = //•2 INCHES = 22 7 GAL.
REQUIRED DISC1fARGE RATE 25 GPM PUMP £ ALARM WIRING AS PER ILHR 16 . 23 WA(
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . 725 FEET
+ MINIMUM NETWORK SUPPLY PRESSURE FEET
+ 50 FEET FORCEMAIN X 439 FT/100 FT. FRICTION FACTOR . • v 7 FEET
TOT�A/LL DYNAMIC HEAD
= 7. 9y' FEET
INTERNAL DIMENSIONS OF PUMP TANK: LENGTH 7jl ,, • WIDTH 7V ~
uoi0 V aVI-IE Foie So, oP 1 „ __ ;
t! DIAMETER
LIQUID DEPTH 3/
PIRCe- /'1/}TN — v •1 5 •
LINED:SI LICENSE NUMBER : `�-
-
DATE:
e 179
THIS POWT SYSTEM SHALL 1N r P/C SPECS
INCORPORATE PER COMM. 9Rer EEC& I V of
DEp-�-
83.44(2)c A PROPER ZABEL 1 h ,_
FILTER MODEL # ,q.,� 93� - 2o,SDr V�- 47
r3•'I x 20"' �oR 3aav _
4( SEPTIC TANK, per Comm. 83.44 ( 2 ) (c) shall be equipped with an
outlet attached approved filter device (Zabel
filter ) . Tank shall have an approved above
ground locking manhole cover for regular (every
12 months or less ) inspection & servicing by a
licensdd service pumper.
..--- rj . 7 °I.7..4.
•
ZOELLER EFFLUENT PUMP MODEL' 98 . •
•
I IEAD c� ltr n r�c Cunv� 3 , 1/1 .
MODEL �•ot1 r
it_ 4 In 1
•
'14°1*
IA_ 1414—
�_ 0.4).11
1
. W414 4 3/16
1 1/1-11 in HPi
II-- —
TT
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ILU014S If1_ !a 30 4e _yo b r NO
SO 1 e 240
6 FLOW PEA M41111lit
111111J'/
. �•..iiii11.. 01
rare'MUMe„r,nr1M roil rn.Nr1 •
lrrrrrtMt ure tYvr.rlwN.
—
142.121 lAa'Alrlr
milkmen11 .sF
/lfr 1U1110 •AU L PS 011 1•f 11 _ 7 J 1/11
,L
•
CONSULT FACTORY FOR SPECIAL APPLICATIONS
1 Electrlcel eAsrrlelal,la duplex systems, ere ev:IMabls and
Supplied Mth en chem.
• Mere phase
float slemi.s are available for controlling single end
I.Mecllenkel allernetae,laf duplex system,ors available with or e three phase systems.
frN1e1A elan ew+IC,Me. Double piggyback mercury Ilosl switches ail wobble l01
variable level long cycle controls.
lllndafd�od.te-Well hi 3V lba - 'i M.P.
1. H.erYlbrl*penned 2 a!LlCTIDH•UIDe
ge4t1/• °o• pot. ' cM,l sw#eh•110.dMt1•IcMdlell•gi/r.t
alod•1 Cenitel lNeetlee e• sr*.pl.$, I.k mercury Node sweets a double daoraael m•num Seal
yaFe•tth Mod• A • �hn of 'math.Rda I.rllogr.
4ae 1 ��_ n 3. M.ehurkalehan.lor1000t2at100ei1 •
4-- 11111� 1 t°I-t-�L— — 4. s•.r401 if,for eared modal el Elaeekal A .m.io, 'I.Pali".
Ina_
!!0 I.
—t41311_ _lott��_ S. 4/teory amen Neal ew11eA IOO]2e .roily • eenbd eeMler .pecIly
De q0 1 eO 1 a 1 a 1 — *orlon(31 of III IbM°lom
+ ++!n f f e."olefin hole 'J Pall".lundAai look let f+�dye imewellerl er weed In ele.
!t Iii . take r�
�'•a.d`rp.-apra/oq 10•lead.
�� 1. «m Nat-J►ier.kr w•lerlald•eret..,-...rl even
1.64.4
. .,•l/•a0�M•aleelt��p/d1Y relw Y tY.kr a Ca•r.ly,r,y„Y„r„ Pi h moo*
1•IM 4 Ut. Ferry 1►�ifl tlMkd M.r �IbY :V�d•��il tend d� IW klaisllen 4..w Mdr64wyA�oi,4rWM.1.ea ..r IT.. 0 Nee
""Nb.roe ear Vy t �rla l solo •MuY w Ire.
r �' Nn11 Ad 10 16 woof SOA�McMwd ILeY4 c.a. pile; M Or(.�..rfk.•rfSplay
RESERVE POWERED DESIGN
For unusual condltlons a reserve safely lector la
engineered a ed Into the design of o fiery Zoeller puma.
Zzzrzi,w • HAIIraro.tox?&U7 DIarrw*f Rr ro7sr thoOlaclm a of. .
tn•o rtk 1trp0 a•Altrrl 1sy
lalr.le%xr tort ,l v.wrY Ayes,Parr Sji r
Wisconsin Departmentef Commerce SOIL EVALUATION REPORT 3
hlvlsion of Safely end Buildings Papa/d
In accordance with Comm 65.WIs. Adm. Code T
Mach complete slle plan on parry di
tint less than A I r7 x 11 Ines In size.Plan must County S' ale/x-
IncpMe,NA not Smiled to:vertical and horizonla' -rite point(BM),direction and
percent slope,scale or dimensions.north avow '•t-ation and distance to nr road. xl I.O. 0 Zt7 ' /3t/� •�O ' O
Please print all Inf• Finn. by 77 Dale
Personal Information you rare•-N.•testy he used for eeco.• teq. 01/1/1 14 t((/YYj; 1 /6/o?./Q/7--
Property OwnerNon
/ y Si,S • keuT 7) A
.vovI - Govt.Loll C V4'()WIN S 32 I 29 N R if E'p)W
Pro er'sperly Own Mating Address ,; I 7 2 Q211 Block X Subd.Name or CSMX
I/S/ c kik44'- !-� • . to �l!>i.UDo� iffT 5 '
City
f/ Slate
Zip Code Pfwn ST G,wr.O rF
v��� I4)/• 1 S7el& 1 ( 7/ �mrb@►ONi�'r;OFFr�Cih ❑Vipape ®Town Neared Road
UDSo.%) I CA,eIe4o_ —Lrti
0 New Conshucton t1sel0 Residential I Number of bedrooms V Code derived design Sow rale Celdr0 GPO
(*Replacement [J Public or commercial-Describe: L
Patent material AVM- over $AN) 0orLug CA Flood Plain elevation If applicable /V1// f.
General comments �'L r
and recommendations: 4,eL i- 7 7Zj svrr,/3/E- T ie esouairiet, ,4 G AVi#0e,As/�
7iPf►r--i-tevr eels (/3;o P ,z oy j) go/ 4- '-:f/-,vv y, s/ A,,,J
44et /vew 7-Xe-4-T,40 r Ticks ifeVtliiPe-D .
Poring t LI "ming
ppit Ground surface elev. 9�• 7� fl. Depth to limping factor,/tr.° in.
Soil Application Rate
Horizon Depth Dominant Color Redo.<Description Texture Structure Consistence Boundary Roots GPM/
In. Munsall Qu.Sz. Cord.Color Gr.Sz.Sh. 'Eli1 •Eff12
/ 0'/t/ /o Yee 3/3 st 2-fShK (Its It, ,1 to 31-- _ s 9
2. Ny.28 /0Pe
et , sL /f bx s � Cs / f . y Go.
1 22•317syle y/c. Ls bmf/' /s c s • . -) /. z.
.J9•io mix .>d. s D; SI d,Q . 7 1. z
4-n&.-sa-6 iittA
ikt.,ff;s, 3.,�I , - ya ° .
•
1 B Bo /y! ,
gi P11 Ground surface elev. 10� "I S Depth to limiting factor > �(f in.
Horizon DepthSoil Apgilcellon Rale
P Dominant Color fledox Description Texture Structure Consistence Boundary Roots GPDIII°
•
In. Munseil Qu.Sz. Cont.Color Gr.Sz.Sh. •EffNl 'Effl2
/Y s ,e c$ / r` . y
3 31•Sv 7s y�e yid, — z. 5 //j„y,Q As cs • ) ,' Z
'Effluent at m Bob,>30<220 mg6.and TSS >30< 150 argil- •Effluent X2=BOO,<30 mg/L and TSS <30 ma
CST Name�p�(Please Print) 74 /� Sipnahr
f—l3eI r M I. CST Number3_7
Address 1 z 437 S
.+ • Dale Evaluation Conducted -f TelephoneleO Number
Ulbraf 4&Aesocl•las �//�. 1 Z vv0 Z /�S'39 . 8/95
Private Sewage Consultants
655 O'Neil Rd.
I Hudson,Wis. 54016
•
ORIGINAL
•
L-4Tz4
rv, ,v
j�oaov%GG fIsOA 'frs
Property Owner Parcel ID A D 3 0 ' /3 Ye'- •'�� • �'�°D 2 3
❑ timing Page of
ri
o7
IA Pit Ground surface elev. f. Depth to Notting factor In.
Soil I lnrizon Depth Dominant Cola fledox best/lotion Text Structure Consistence Bound Roots /IppPO /io
fl' Rork
In. Mansell Qu.Sz. Cont.Color
Gr.Sz.Sh. 'ERMGPDIElf/2
/ 0 • y 'o y/ 3/3 S/L y w,w Ij h c$ a f . s •
z f• al lOVie Sit IFSAK Al A 's /74. . z . a
3 3 '3V AO ye/q4. y sL A' ds% cs — . y . 6
y , •y� 7's yie �i. L S %�% d S cs —
Y /y irilAtP• S 61, ore Q -- • -) 1. �
Li timing R "'no U Pit Ground surface elev. p. beplh to limiting factor In.
Horizon Depth Dominant ColorRedox Description TextureSoil Application Rate
Structure Consistence Boundary Roots GPD/N'
In. Mansell Ou.Sz. Cont. Color
Gr.St Sh. •EffNt 'EfM2
r
II Aahrg A ❑ Boring
❑ Pit Ground surface elev. ft. Depth to limiting factor
In.
I takon Depth Dominant Odd Redox beccrlptMn Texture StructureSoil App ation Rale
In. MunseN *fence Normdary Roots GPD/fI't7u. Sz. Cool.Cda Gr. h.
'EffNI• 'EIM2
Effluent fit =BOO,>30<220 mg&and TSS>30< 150 mglf •Effluent*2=HOD,<30 mglL and TSS <30 mg/1
r
the Department of Commerce is an equal opportunity service provider:Ind employer. If you need assistance to access services or
need material in an alternate format,please contact the department al 608-266-3151 or 1TY 608-264-8777.
son urn ja soon
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C (A-0 �46-E L,v .
•
• ST CROIX COUNTY
•
•
SEPTIC 'TANK MAINTENANCE AGREEMENT
AND
�/j/ OWNERSHIP CERTIFICATION FORM •
•
Owner/Buyer kt -'T A)0 L2/Gee. 3,396 " ZO �-3
Mailing Address 98/ Cq ;4- LA ' 79" P'rD'J e.-0/
•
Property Address d�t" ,
(Verification required from Planning Department for new construction)_.051)..5-1i//5/
City/Slate 2.e9 • /� yG ' �D - Z-liD
Parcel Identification Number
LEGAL DESCRIPTION
Property Location St '/,, Sec. J , T N-R �/ W, Town of VPS v�
Subdivision &)/N DSS • �' "4-7-/ , Lot # 2 69
Certified Survey Map # AI` , Volume , Page II .
Warranty Deed # 631 g� y , volume / Se� , Page #
Spec house LI yes 4.90 Lot lines identifiable�] yes O no
SYSTEM MAINTENANCE /
Improper use and mainlenanceof 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 In 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.
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 • •
slating that your septic system has b 'nlainadJnust be completed and returned to the SI. Croix County Zoning Office within 30
days of e three year ex ate.
9/ /q o-z •
SIONA1 L1CAN 1' DATE
OWNER CERTIFICATION
•
i (we) certify that all statements on this form ate true to the best of my (our)knowledge. I (we) em (are)the owner(s)of
the property descri. .r of . • d recorded in Register of Deeds Office.
.ice Q ,/4
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
• 1582r1GE 96
STATE BAR OF WISCONSIN FORM 2-1999 63782AL
WARRANTY DEED REGISTER
GIER OF DEEDS
Doman Number ST. CROIX CO., WI
This Deed,made between West lake Builders,lee.,a WUensdn RECEIVED FOR R I I
Corporation - 02-01-2001 10:301MI
IMBRANTT REED
EXT
Grantor,sad Kart Penovkl and Xen m ia P.Paaki,baabaad sad wile CERT
C I
ERT COPY FEE:
COPT FEE:
TRANSFER FEE: 911.00
RECORDING FEE: 10.00
PAGES: 1
Grantee. Grantor,for a valuable consideration,conveys to Oratee the
following described real estate in St.Croix County,
State of Wisconsin(if more space is needed.plane attadi atktendtml):
Recording Area
Name and Return Address
Lot 26, let of Windsor Heights in the Town of Hudson,St.Cmix County,
Wise n. Lam' N✓!iy'—
020.1342-10-260
Peal 1daat:aarn Nroba(PIN)
This b as harm:end reopen)
O1) (k smtl
Exceptions to warranties: Easements,restrictions and rights-of-way of record,if any.
Dated this /Q ' day of January. ,2081 •
--- Wert lake Redden c.
•
• •.
AUTHENTICATION ACKNOWLEDGMENT
Signature(s)
r•'''••ft: STATE OF WISCONSIN
, )�
(.t u i,ot County )
authenticated this day of 9/70
PersonallyPersonallym cense before e this day of
Jrgry ,nnal the above named
• r rrey}Wetdlnke BaNMn,Ina.a Wieesuta Corporatism by
' ' •lt'ltAarei les Prt s.id-tn-
TITLE:MEMBER STATE BAR OF W1SCONS11i• :. '. c th o{F
-, ,,,.;is'to me known to be the person(s)who executed the foregoing
(If not.
authorized by D 706.06,Wis.Stab.) Monument and aclywwlo��sd'aM'ytrsa
/Yt
THIS INSTRUMENT WAS DRAFTED BY • f'yf a r/e n P ( i rs n
Attsraey Kritia Ogleted Watery Public,State of Wisconsin
Pedrm,WI 541116 My Commission is permanent.(If not,sae expiration date:
(Sipnrrr may be authmicred or ackaoakdged.Botha sot aearry.) 3 MO%i.)00)
•)
•Noma of p:nons signing in any capacity must be typed reprinted beton dick aiprlare. ana.rinnasa.r+c.P7.r'.,s
WARRANTY DEED STATE BAR O►WEICODBDN
FORM Na.2.HMO
ORIGINAL
Ij �/ l eq„�' 1� 24 1, �� 23 '° a�
2'',)• ) 1.422 ACRES • �`. 1.090 ACRES • •
01' •<v •
/ 61•
.961 SQ. FT. J� 47.467 SQ. FT. • `\
•
• 1 �t•.�t9 / :. •. �� T
• 350 39 'w •
�9°•/o°y •
• m 3
�1 gin — 25 \ , • tib� /
• g : 1.304 ACRES /t� ryh
56,818 SQ. FT. • . • fy •
_ _ �� W I ; �\� •�ti , Coln
•• •• Al'
22 •
• y.
• �• ;� 1 � 1.056 ACRES M
`\, N _l._._.-._ 45,989 SQ. FT.. 1• ' / N I. n
' .Z \ i U #• ?/
• I 14 7 ,t0,29•• E� 1 T i▪ •
• • • 3t7.89 a • •. •
�• • I J M'f N
-'- -•�� en
• • 26 r, ri
.� • 1• .237 ACRES �OJ 85.5g'55" "�
- . . — • , . \. 53,903 SQ. FT. W 4 Z 206l.
.63 - I N
WELL
• ® 0 l
• , ` ` • \ I. .,A\*f..]
•'' 41 /262.2 N L.JTCRES
i
i \ \.•
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