HomeMy WebLinkAbout020-1100-00-000 (2)t SySr€H /ru S/*//tD ocT ,trA i C ru- /775
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AS BUILT SANITARY SYSTEM REPORT
OWNER /4nf( Grtl,'san 3 8O- 3y'oL
ADDRES Gflo Ra?€tr Pa
HuPsdil atg. SlOt O
suBDrvISroN / cst'tfl /to/.r H ?/r,or f 70
sECTro *- 3 (
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sr. cRorx corrNry,q#rk8*srN
Town of hbzco',t
PI,AN VTEW
SHOI^I EVtrRYTHING I^IITHTN 1OO FEET OF SYSTEM
,': (.' j
5cr nrr44sl //oT PZaAL
INDTCATE NORTH ARROI^I
Provide setback and elevation information on reverse of this form'
Provide 2 dimensions to center of septic tank manhole cover'
BENCHHARK: //// ///B SzPEzzttK 47 A,+/(auT
ALTERNATE BM:
t/E,,u gqfrc /+^tF- luEEfS CarcPffi - 8OO 6*Q
dr? 7,+.Jk - Ar/.ESe.< Qua+ln-SEPTIC TANK / PUMP CITAMBER ,/ffioN
,Uez": P'A - - ,u€E<g QDa-({,Q
Manufacturer:/dVO &--Q Liguid Capacity:/aao w
setback fron: weLL > OO' uou=.' /1'other
Punp: ManufacEurer Zoela7 Modelf /?lzl? rtot/size
Float seperation /o'5 "Gallonslcycle:"ob
Alarm r.ocation /..D hbasa
3 ret,ucl,ls - €4al- f' rz>
-i6oU., ABSoRPTION GYSTEU
width:,?2-'Number of trenghes 3I€n
Distance & Direction to nearest prop . line: '1o'-?b a)€s7 /.c
setback fron: well .>//0 ttouse >/O0 Other
-Z
E€E ?zoT //a^-'ELEIIAEIONS
ST fnlet;Building
Pc inlet
Ser,rer ST outlet
PC botton Pump off
stenHeader/Mani fold
Existing crade
Bottom of sy
FinaI grade
DATE oF TNSTALLATToN : OcT's^ I 6fr t713
PLUMBER ON JOB:Pats=pr Z,tt-BP icAT
LICENSE NUMBER:
INSPECTOR: UI
lrlls 33o z
go- Acsf .zu,DiDC-
3/93:.)t
llpt,
Aa't't '
I I
Parcel #: 020-1100-00-000 01/192005 04:50 PM
PAGE I OF I
At, Parcel *:
ix
34.29.19.4020 O2O . TOWN OF HUDSON
ST. CROIX COUNTY, WISCONSINCuntnt
Creatlon Hbtorlcal Date Map *
00
Tax Addreas:
DOUGLASA&SUE R SCHINDLER
680 BAKER RD
HUDSON Wt 54016
Dlstrlcts:
Typo
SC
SP
Dlst # Doscrlptlon
2611
1700
SEC 34 T29N R19W NE NE LOT 10 AS SHOWN
ON CERT SUR MAP IN VOL I PAGE 94 ORD
IEiI!E
B #:
48/,07
Appllcatlon # Permlt# Pormlt Typo
Owne(s): '= Cunent Owner
. SCHINOLER, DOUGLAS A & SUE R
. = Primary
5.000 Plat: ll/A-NOT AVAII ABLE
Tract(s): (Sec-Twn-Rng 40114 '1ffi 1l4l
34-29N-19W
Parcol HBtory:
Doc #
07/15/1998 583057 1340/396
Sales Area
0
SC = School SP = Special Prop€rty Addrg33(€s):
. 680 BAKER RD
SCH O OF HUDSON
wtTc
Acr€s:
Typ6
WD
Fah Market Valuo:
224,100
Assocsed wlth:
Class
GI
Acr€o
5.000
Land
58,000
lmprow
115,400
L.st Changod:
Total state
173,400 NO
ut2912002
Rea30n
RESIDENTIAL
Totab for 20(X:
Totals lor 2003:
5.000
0.000
173,400
0
173,400
0
58,000 115,400
58,000 115,400
0
0
IEtiriEtl 5.000
0.000
Clalm Count: I Cortlllcatlon Dats:l.?flilri!
Speclals
Category
SPECIAL ASSESSMENT 27.OO
U.er Speclal Codo
018-RECYCLING
aaTrrlt
Sleclal Asse3sment3' 27.OO
Speclal Ch.ffes Dellnquont ChaEes
GE
CROIX NI},
ni
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n
il ,Lil f'-iti1
I i; '
r$
SI.\i:ti 0 3 "i D
0
NORTH LINE OF NE I/4 - SECTION 34
s 89" 53' E t3t7.39'
NE CORNER
T 29N,
N89"Se W
LOT 14
EAS TERLY RI GHT- OF-WAY LI N E
g
SECTION 34
R19W
_LO-r_e_
-(o - -I{
89"58'W -(o o.40'
1'' X 24" IRON PIPE
I^IEIGHING I,68# /LINEAL FOOT.
SECTION CORNER MONUME]VT
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CUR\E DATA TABLE
CuryeI-2 R-266.00'
Central Angle = 90o06'
cthord = N44055'W 376.51 '
Tangent Bearing = I'10o08'E
Lot11 R-266.00'
6te rat Angle = 30 " 14 ' 5 0r I
Chord = S74o50'35"E 138.80'
Lot12 ft=266.00'ffi't Angle = 29"49'10'r
chord = s44049'35"E 136.99'
TOWN ROAO
SCALE
loo'o 50' loo'
o
A parcel of 1an
Town o f l-luds on ,the NE corner othe Eas t 1 ine othe Easterly ri418.30' along N
266 , 00' radius
thence N89o 58'W
town road; thenof said NEl/4 t
Lot 13 R - 266.00,
0rord = Sl4oSi'E lSZ.g4,
+FI I.ED
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SURVEYED FOR: Kenal1 Builders, I-94, Hudson, Wisconsin S4016
cur
48
ceot
ocated in the NEl/4 of the NE1/4 of Section 34, T29N, R19W,. Croix County, Wisconsin, duscribed as follows : Beginning ataid section 34; thence s0o08'w (true bearing) gg4.T6, a1oilg,iq NE1/4; thence N89o58'W 570.25'; thence N0'08rE 62.STt itong
. of-way, line of an existing town ropdl thence Northwesterlyheasterly right- of -way lin6 of s,eid \existing town road on 'a
ve concave Southwesterly whose chord bears N44o 55'W 376 .51t ;0. 40 I along !!9 Noftherly rlght- of-way line of said exis ringN0o08'E 552.-83'; thence Sego5s'E 1s17'.39' along the North lInehe point of beginning.
d1
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ort
I celli{y that the above description and mapcomplied with the provisions of-sec. 236.34- o bJ
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5.O ACRES ,gD\,
LOT II5?2;[o
567.00
t/4- NE t/4
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a/
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8
358.39
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oiroro
99
&o.o\o
LP
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POINT OF
BEGINNING
LOT I?
6.?3 ACRES
-o
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b
NORTHE TERLY
RIGHT --WAY LINE
ACRES^ Lc_p/.$$
-u,70.25' t'-',
5.Ot
I E
?.36 7
5
'oo
LOT I3
FRANCIS H.
OGDEN
s-882
RIVER FALLS'
yvls.
Date: March 5, 1975
Volume I Page 9L
AT
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e. correct and that I have fu11ythe IVisconsin Statutes .
LEGEI.'ID
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Wisconsin Departrnent of lndustry,
Labor and Human Relatiors
Oivision of Safety & Buildirgs
SOIL AND SITE EVALUATION REPORT
in accord with ILHR 83.05, Wis. Adm. Code
Attach complete site plan on paper not less than 8 112 x 1'l inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and"/o of slope, scale or
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATTON
COUNTY 5r cKo/'x
PARCEL I.D. #
020- //oo-o0'odo
REVIEWM BY.&^s*rlr't-1.DATE
t q?3
PR.PER* **' 'tt/4(( G,q t/ r,saat PROPERTY LOCATION
Gow. Lor /YE 1t4 /YE w3 3/t z? ,N,R 11 E(lr
P RoP E
UYflN
r* 2*'rP2P * P,,LOT #/o BLOCK #SUBD. NAME OR CSM #
BATC R
CITY /)/, s lor aPcooE PHONE NUMBER
,y UP,,d A)I //r't Zf6 -z E tsrowNH
I I New Consfuction
lffiepaenent
U* 1(Aesidential/ Number ol bedrmms / - //ut /I I Addition to
1{ euOticor commerciat descri /r'c€ttSED 2rl €
code derived oat,- now 7/* ng f'* P 3 L
Absorption area required { bed, ft2 7'O [endr,
Recommended design loading rale / bd.,gqfiz_, f Eench,
sqnz-_:L wvilt,
gpd/ft2
fi lr/aximum design loading rale / W,gpdft2
Recommended infi ltration surface elevation(s)S-ea-3 ft (as refened to site plan bendmak)
7E /o, // /z (it(E- z r'fT ?Atlditional design / site considerations 5'a ruolz :;&a4) 5t uap .9 D17ro,t
Parent naterid 5C SOQ Bunvh*RD f plain elevation, if applicable ,U,t ft
S = Suitable for svstem
U = Unsuitabte fo,i system
CONVENIIOI{ALWS tru MOTJNO-W{ Du
IN.GROUNDas'n PRESSURE
U
AT.GRADEE5tru SYSTEM
trS
IN FLLBI HOLDING TAi.IKNS E}U
SOIL DESCRIPTION REPORT
Boring #
Ground
elev./o/.Oo n
Deph to
limiting
hchr ,> /zo
Remarks:
/
G P D/ftzHcrizonDepth
in
Dominant Color
Munsell
MoUes
Qu. Sz. ConL Color
Texture Structure
Gr. Sz. Sh.
Consistence BCIJrCary Roots
Bed Trcrdr
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Boring #
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Ground
elev.
.a z- tl.
Deph to
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tactu
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Remarks
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Name:-Please Print R o r- 7lreRtcAT Phone: 7/f - 33G- gtF
Q55 O'ttEt'L RD.HuDlon 5tl otQ 7-z-73 C5 ry4
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Date:CST/J
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PROPERTY OIVNER ly7ll K fir //r'{t,t SOIL DESCRIPTION REPOBT Page 2- or 1
ffitC
PARCEL I.D. T
Boring #
Ground
elev./o3.ro n
Deph to
limiting
factor ,,7 /20_
Roots
Remarks
Horizon Depth
in
Dominant Color
Munsell
Mofies
Qu. Sz. Cont. Color
Texture Structure
Gr. Sz. Sh.Consistence BorEy
Bed Trcndt
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It.
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factor
Ground
elev
Remarks:
Boring #
Grounci
fr.
Deph to
lim[ing
factor
elev
Remarks
Boring #
Ground
_ ft.
Depth to
limiting
factor
elev
Remarks
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HOUESITE SEPTIC PLUMBII'IG CO'
655 O,NE|L RD., HI-DSoN, tilS.54016
ROBEHT ULBRGHT
WE. MASTfR PLUMBER LIC. NO.3307 MP.R.$
tfll.tN. IITSTALLER & DESIOI'IER LtC. No. m603
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Wsconiin Departrnnt ol Industry,
Labor and Human Relatiors
Division olSafety & Build[rBs
SOIL AND SITE EVALUATION REPORT
in accord with ILHR 83.05, Wis. Adm. Code
Page of3
5r cKo/'KCOUNTY
PARCEL I.D. r
REVIEWEO BY DATE
PROPERTY OIYNER:rAU( dl t/,'saN PROPERW LOCATION
cow. LoT /VE u4 ilE tn,s 3/t z?ra,lr,N,R 11 E
PR0PE8(ggt*ilyrpgPorr€o LOT T/o BLOCK I--'
Attach complete site flan on paper not less than B 1t2 x 11 inches in size. Plan must include, but
rrct limiled to veriical and horizo;rtal reference point (BM), direction ardYo of slope, scale or
dimensioned, north arrow. and location and distance to nearest road.
APPLICANT I}IFORHATIOil-PLEASE PRINT ALL INFORIIATION
CIW. STATE CONF PHONF NTITIRFR ITV I I t,:c li-,'\t^rll
LqfiAT,LqUd",.tH$FfiQN*fr+ - 2e -Le - 4tft?v[fEtEuFAEEBv*Pfrr 10
Labor and Human Relations
Safety and Burtdrnss Drvisron INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
SUBD. N..'.T!E OR CSMI
B4TEX
ELEVATTON DATA Ae3 aO277 /TANK INFORMATION
TYPE MAN U FACTU RE R CAPACITY
Septic tlJezK e4r<-.,@
Dosing r't l(rPrd
Aeration /
Holding
TANK SETBACK INFORMATION
TAN K TO PIL WE LL BLDG Vent to
Air lntake ROAD
Septic )ta'-a0 *q5 (lt*NA
Dosing )t/,a
I-/0 *ba >70 NA
Aeratiorr*-
-
NA
Ho+diagi-
PUMP /Ercilt TNFORMATTON
SOIL ABSORPTION SYSTEM
Permit Ho s Name Town olagerty!vi
/lnsp. BM Elev
/da. a'W)"b^fr4 ,c&*
ounty
an rt
State Pla-hlD-t\Io.: -
ParcelTax No.:
nrn-11fto-oo-nnn
Manufacturer ,fuU"/['lrydd'
tc^8,,Model Number
TDH tittl flt 'ri::io"c,1 iff:8',/l*rca$,13 rt
Forcemain Lensth 44'Dia. J"Dist. To wett> / fil
HI FS ELEVSTATIONB5
8,Q/',/a,c0'Benchmark
Bldg. Sewer
gZsA'Srt# lnlet //, t/'
tz(c'5t t ttt Outlet //,?tl
Dt lnlet 32..</,, 1C{p_-z -"^ty'
o!uu"Dt Bottor:_
I 5,bl' ;,ra-K 2-{l
?)/-
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2"
Header / Man \n
I_---,
-?3.DDist. Pipe {
Bot. System
Final Grade
/o. re ?2f,'o,jfu*"{/*:*^<
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/ntzs (
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73,67);c"'#
BED / TRENCH
DIMENSIONS
wrdth _5 I ,""n VJ,No renches P!T.DII\JIENSIOE_No. Of Prts lnsrde Dra Liquid Depth
SETBACK
INFORMATION
SYSTEM TO PIL BLDG WELL LAKE / STREAM LEACHING
CHAMBER
OR UNIT
Type Of ?aA.Y.
System ,<-!ndo<
l+
tn5o - /00(>/to 4*M e Num
DISTRIBUTION SYSTEM
Vent To Air lntakex Hole SpacingLffiWO,"4:Dra Spactngy'"dDistributron ,r:"8, ,
Length @ /
xx Mulched
IYes DNo30:3?"
Depth Over
Bg!.|'ftench Center
Depth Over
Dglftrench Edges 9 3/xx Depth Of
Topsorl
IIt xx Seeded /Sodd
es ENo
SOIL COVER
LOCATI
Plan revision required? [ Yes WA{o
Use other side for additional information.
W;A.utu*1#"P&f"n*'-tr,
x Pressure Systems Only xx Mound Or At-Grade Systems Only
COMMENTS: (lnclude code discrepancies, persons present, etc.)
937b4 ?E /7
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sBD-6710(R 'ssl,Lrt >T;0L ,t Date lnspector's Srgnature Cert No
IftTI.tAnD'I
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PROPEHW OWNER &iltK hr//r'{o,,t SOIL DESCRIPTION REPORT
PARC EL I.D. '
PqeL ot 3
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owner /,/A R K GA /ir 5o ,<s 7/9'- 3 86 -
Addrers GgO B.t(cR Ro , //u
site Location il., Nf,Sc*c.3q.Tzf/\),f{ co Tor*-r,^.1 a{ HUDJo6
5r. cP y co uory
Project Description 4 / RLDP4| , /fu*ts , ktr l/. /t /r (r pstD
?{y'c4r?s (fre ['c/,,tOPe -\ A+s i f,i,t/*sG (trcS) 3-
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Pag e I. Plot Plan & System Plan View
Pag e l i 1 Ccossi Section of SoiI Absorbtion 5 yst,em
Page 4
Page t
Lift Pump Cross Section
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FreshAirlnlelsAndobserYolionPipe
f Approved Vcnl Cog
Minimum l2".Above
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Finol Grode
3(. " Above Pipo
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4" Cosl lron
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PP I OY ed Venl CoP
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Minimum 12" .Above
Flnol Grode .4--z F/ ).) ts HX*D 7ft.tDr
/o/,o
3G " AboYe PiPe
lo Flnol Grodo
4" Cosl lron
Venl flgc
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WINOOW OR FRESH
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PUAP CHAA bE R CRoSs SEC TION AND
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JUNCTlotl Box
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EXTENDIN6 3.
ONTO SOLIO SOI
? /,tr
LLEV,
-
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('t 's' )
APPROVEO JOINTS
w/c.1. rtee
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7
--------
SEPTIC E
005E
TANKS
-
AANUFACTURER:
lueu<S cauh,L/n-
alocK --l
l.tUl'rgeR^OF DOSES:
X KrsE( txlT PERAlrl'ED ouLs lF TAU l( AAUUFACTURER HAS SUCTi APPROVAL
7r:74 L ,O,q'./ kl+srt F/a4) -17L
sPEclFtcATIQ-LJS-5'-(
/ooo GALLONS DOSE VO Lul E/20G
ALARN AANUFACTU RER: lt ue t n Unm G GALTONSTANK
'tZ€-'.
- 30.c 6oo GALLON5
AODEL NUA BER: D L.Y' cAPAclTlEs!A 2-
IUCI{ES OR
tNct{ES OR lo GALLOIJS
SW]TCH TSPE , itePcr-tPY Flo*f /o. 5
p=3
/o,5 FgET
"'
/ FE,ET
5s FEET r4oa l<
20OTUCHES OR GALLOUS
E
-r-
rNcHEs oR /5/ c,ALLoNs
r uorE: PuAP ANo ALARf't ARE To aE
=- irusreuLED ou sEPARATE clRculTs
VERTICAL DIFFERENCE OETWEEU PUAP OFF AUO OISTR'IBUTION PIPE..
+ AlNlft UI,\ TIETWORK SUPPLY PRES5URE
fo rcri oF FoRcE r AtN x /,/o f Yoo n.F Rt cT lo Il FAcToR''+
TOTAL O9NAIAIC HEAD
BouuD
iONS OF TAUK: LEUGTH
A '_l-
-+-
n
ls
FTHCEBVEM
U'3- FEEI
;W I DT !-l
3/,',i LlQule OE PT H
s.gg-0s0g551997SrP 1
'/
C OU DUIT
IN I-E T
IUTERNAL DiI''TENS
u''-Tr',$t*o5#L13So
PU'\AP
a
HEAD CAPACITY CURVE
MODEL "98"
\
E-
\-
\15-
\-10-
L-\
E_\
I
0 20
I
1 30 40
h
H
+
0
U.S. GALLONS
UTERS
I Electrical alternators, for duplex systems, are av:iilable and
supplied with an alarm.
, p Mechanical alternators, for duplex systems, are available with or
'I, :without alarm switcheE.
37 6 t/4
+ s/B I
3 s/8
1 3/16
t r/z-tt 1/z NPT
12
s s/16
o Mercury float switches are availa}..,le for controlling single and
three phase systems.
o Double piggyback mercury float switches aro availa,ble for
variable level long cycle controls.
tltu
LJ
h
.\
6
3-
(J
.2
o
cFoF
2
50 60 70 80
240
0
80 160
FLOW PER MI[-IUT[
HEAD
fEET METERS5 1.5210 3.O515 4r7
n 6lc
Lock Valve
GALS L fRS
?73
231
170
95
:t3
72
6t
45
25
CONSULT FACTOI1Y FOB SPECIAL APPLICATIONS
ht 39 lbs. - ',/z H.P.
98 Series Conlrol .';eleclion
o ex
4.5 3or4&5
For intormation on adctitional Zoeller products refer to catalog on Combirration Starter, FM05t4;
Piggyback MeIcury Switches, FMO477: Electrical Alternator, FM0/l86; M':,chanical Alternato.,
FM0495: Alarm Package, FM0513; Sump/S6w3gg Basins, FM0487; and Srmplex Control Box,'FM0732.
SELECTION GUIOE
1. lnlegral float operated 2 pole rnechanical swilch, no external conuol required.
2. Single piggyback mercui,y floal switch or double piggybach morcury, lh;at
switch. Beler to FMo477.
3. Mechanical alternator 10 ft172 or 10-0O75. ?
4. See FM0712, for correcl n,,rdel ol Electricel Alternator, "E-Pak".
5 lilercury sensor lloat swii;h 10-0225 used as a control activator, specity
duplex (3) or (a) lloat syslem.
6. Four (4) hole "J-Pak", jur,clion box. lor watertiglrtconnectaon or vriru'd-in sim-
plex or duplex operation, 10-0002.
7. Two (2) hole "J-Pak", lor watertighl connection or splica.
CAUTION
All inotallation o{ conlrolc. protcctiron deyicc. rnd wiring ahoulrl bo done by e qurli-
lied licenced elcclricirn Atl clcclrical rnd arluty codeg ahould bc lollowed includ-
ing lhc mocl rccent }{rlionrl Eloctric Codc (ilEC) rnd lhc Occup.tbo.l Salcty end
Heehh Act (OSHA).
Standard all models - Wei
RESERVE POW'BED DESIGN
For unusual conditions a reserve safety factor is dngineered into the design of every Zoeller pump tu
I.OTAL OYNAMIC HEAO/FLOW PER ttiliUTE
ETFLUET{T ANO DEWATENING
CAPACI IY
ul{lTs/tuliN
Model Volts-Ph Mode Anrps Simplex
M98 115 1 Auto 9.0 .lorl&7
N98 115 1 Non 9.0 2or2&6
Dg{t 230 1 Auto 4.5
E98 t230 l,lorr 2or 2 &6
1or1&7
@ funtrnfi lilAlL T0: P.0 B]X t6347
Latisv;ti:, KY 4A256 0347
sHlP 70: 3280 ]tt f/litlers Lane
Lout::viit, KY 41?16
(502) 778-2731 t rA\ i50?) /74 3624
'){*rrr, /u*rts ,fno /gJ!"
Manulacturers ol
{
=:--:-.T?'[.R ;
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p93
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ST. CROIX COUNTY ZONING OF'FICE
CERTIFICATI ON STATEMENT
FOR UTILIZATION OF AN EXISTING SEPTIC TANK
cert i fy that I have inspected
G,t (/'So ^-/u€ L/ 4,,UL L/4, s.r.3{ , ,L?*, R l7 *,
Ont Upon inspection, I certify that I
tank and baffles to be in good condition, and it
This is
servi ng
to
the
the septic
res ide nce
allons
Othe r
tank presently
1 ocated at :
Town of
have f ound the
appears t o be
functlonlng properly.
Last tlme servlced ?-Jo -?>
Dld flow back occur from absorption system? Yes No
?7
(if hor skip
next 1 ine )- minutesApproximate volume or length of time:
Capac i ty:
,r/Construction: Prefab Concrete Steel
Manufacurer (if known): t<tCfg(
Age of Tank (if known): l?79
(Signature)
fr'2€ I /@ N.
(Name) Please Print
(TitIe)(License Number )
( Date )
Fornr to beor Licensed
completed byDisposer ( NR
llcensed plurnber (s, 145. 05,
1L3 tJisconsin Administrative
Wl scons I n Statutes )
Code )
Plumber (applying for sanitary permit) Certif ication:
In acceptlng the above statement regardlng exlsting septlccondition, I certify that the tank to the best of my knowledgeconform to the requirements of ILHR-83, llis. Adm. Code (except
inspection opening over outlet baffle
tank
will
for
Narne ?'ohqef ?illr 'ClLf gnaturesi
HOI\4ESITE SEPTIC PLUMBING co.
655 o'NEIL RD., Hi,DSoN, WtS. 54016
R0BERI ULBHTGI-17
v1,lS. MAST€F PLUMBEH LlC. NO. gg07 M.P.R,S
r.:tNN, tt{STALtER & DESIOilER LlC. NO.0066s
s/88
)M
RS 33o)
T
ltcrlnlCop.ryffi
D-.-r.. -.r.-.- H
a
STATE BAR OF WISCONSIN - FORM 2
WARRAilW DEED
IHIS SPACE R€SERVEO FOR RECOROIilG O^T^
DCCUTTENT NO.
\JCL 650 in?lz'}
3790
Vernon G, Voght and Lois I. Voght,REGISTERS OFT}CE
sr. aRolx co, w6.
Roc'd. {or R:.'cord fi} 6th
Coy of- Aug Atr l9.t.z
husband d wife s 101-n t enants.
convryo lnd wrrrants to
Kimberlv
Mark H Gallison a nd
J- Galli h usb n d and ot 10:05 A tton.
wi fe as oint ten nts.
ol t
ro
thc lollowlng descrlbed real estate ln
Slete ol Wisconsln:
t. Croix Countyo
Tax Key No.
part of Northeast Quarter of Northeast Quarter (NEt of NEL)
of Section Thirty- iorr. ( 34 ) , Township lluenty-nine Q9\ North,
Range Nineteen tig t West being Lot rr 10" of Certif ied Survey
Map filed I'larch 25, L975 in Volume I, Page 94'
<':: ,-rT lSiffi;j#o
Thtr is homestead propsrty'
(is) (ls not)
Erceptlon tc warrantles:
Sqb ject to easernents, reservations and restrictions of record'
Oated tnis i day of August ,19 82
(sEAL)(sEAL)
t RNON
(sEAL)(sEAL)
LOI S I GHTa
*AC KNOWLEDG EM ENT
day of STATE OF WISCONSIN
ss.
St. Crciix County
Personally came belore me, this day ol
a,p August ,1g 82 ,
TITLE MEMEER STATE BAR OF WI SCONSIN lhe above named
runreil#fY ! 790'90' ffis')Vernon G. V hr
This instrument was drafted bY
S TEPHEN J. DUNLAP
Wisconsin -\tom 7 n to ba the person
-
who qxeculbd ih'a lorgdoing in'
Hudso st t and tho l ACl ..trl
(Slgnaturesmaybeauthenllcatedoracknowledged.Botharenot
necessarY.)
.Narnltr ol gcrtonr trgning rn any capacrly must bc lyp'd ot Itinlcd b'los thclr 3rgn'lur't'
-ao
n il ris.Nolary Public Courtt
My Commission is perrrranent. (ll
srock No. 13002rY OEEO _ STA'E BAR OF WISCONSIN, FROM HO 2 _ I97f
a 5
?
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ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
1101 Garmichael Road
Hudson, Wl 54016'7710
(71s) 386-4680
November 23, L993
To Whom it May Concern:
An inspection of the septic system for the Mark GaIIison property,
located in the NEI of the NEtr of Section 34, T29N-R19W, Town of
Hudson, was conducted on October 6 , L993 .
At the time of the inspection this septic system was found to be
code compliant for a four bedroom home.
Should you have any questions, please feel free to contact thisoffice.
S incerely,
James Thompson
Assistant Zoning Administrator
mij
rtll
,sTc 105
SEPTIC TANK HAINTENANCE AGREEI{ENTSt. Croix County
/arrrtK G4/h'sa^tol{NER/BUY
ADDRESS 6.po Rqrd. PD IRE *U"'@
cITy/STAT Il /rbpso u fu /7.TP f7o/o
PRoPERTY LocATI onrLl/4, U€-t/4,sEcrro n_7/_, *-rf n-*_/f ,
TOWN Or HuZ,fo-St. Crolx County,,
SUBDIVISION t LOT NUI,TB
T /lle, the undersi gned have read the above r equirements andagree to maintain thewith the standards se
pr ivate sewage disposal syst em ln accordancetforth, herein, as set by the t{isconsln DNR.Certification stati ng that your septic has be en maintained must becompleted and retur ned to
_ ImpSoper use and maintenance of your septic systen couldresult in its prenature f ailure to handle $rastei. propermaintenance consists of pumping out the septic tank every threeyears or sooner, if needed by a licensed septic tank purp"f. Whatyou put into the system can if rect the func-tion of thl "ipii" t;;kas a treatment stage ln the wast,e disposar system. ,St. Croix County residents may be eliginfe to receive a grantfor a maximum of eot of the cost of replacement of a faiiingsystem, whicn uras in. operation prior to .fufy 1 , 19Zg . St. Crolicounty accepted this program in August of 1980, with therequirement that owners of aII neu, syit,ems agree to keep theirsystem properly maintained. -
. TI," property owner agrees to submit to st. Croix Zoning acertification form, signed.by the owner and by a mater plumber,journeyman plumber, rLstricted plumber or e Ii;;;;;a--pumperverifying that ( 1 ) the on-site wastewater aisfosif systen'is inproper operating condition and ( 2 ) after inspection and-pumping ( ifnecessarY), the septic tank is less than i/l fuII of'sfiale andscum.
Er
Crolx Co. Zon30 daye of lhe three year
st. Croix co. Zoning Office911 4th St.
Hudson, WI 54016
the St.explratl
SIGNED:
DATE:
on
offlcer wlthln
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sTc-100
Tftis appl ication f orm is to b-e .conpleted in f uI I and signed bythe owner ( s ) of the property
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belng developed . Any inuO.iuaciei
1111 -only result ln deliyn 6f the'pernlt i.*u.n... should thlsdevelopment be iirtended f or resaie by or,rner/contractor, ( specItouse ) , then r a second f orm should be retainea and completed whenthe property' is sold and subnitted- to this office with theappropriate deed recording.
Owner of property K Fn/rSa,,t
Location of ' pro p"rty /l/L L/4 /Lr/n, section %-, r-L? n-x/f w
Township lfops-dry H=P-
Mailing address o9o fr 1ff*, KD
/rl,ZSd^t dJ/-f f?ot (e.
Address of site 5a"3-
Subdivision name
Ot,her homes on property?"= 4o
t no.
v
Previous orirner of property l/il?ruo -<t UOGtr T
Total size of parcel 3 rlr ./ c,4 5
Date parcel .$ras created
Are all corners and lot lines identifiable?
-Yes
rs this property peing developed f or ( spec house ) ?_yes
u..,"^&and page Number i'- as-recorded wlth theof Deeds.
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N o
o
Reglster
INCLUDE WITH THIS APPLICATION THE FOLLOWING 3A WARRANTY DEED which incrudes a DocLrt{ENT Nt uBER, voLLJuE AND pAGENUHBER & TIIE SEAL OF THE REGISTER OF DEEDS. In addition, acertified survey, if availabre, would be h;I;f;I so as to avoiddelays of the revie.w^i.ng process. rf th; deed descriptionref erences to a certif led survey Map, the Certlf ied-- I;;;y Mapshall also be required.
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I ( we ) certi fy th
PROPERTY OYINER CERTIFICATIOH
at all statements on this fo rm are true to thebest of my ( our )knowledge that I (we)am (are) the owner(s) ofthe property desc ribed ln thls inf orrnation form, by virtue of awarranty deed recorded in the off ice of th e County Register ofDeeds as Document No.oo , and that I (we)presentlyown the proposed site for th e se$rage d isposal system or I (we)obtained an easement to run the abov e described pro perty, forthe construction of said system, and the same has - been dul Yrecorded in the offic e of county RegJ.ster of deeds as DocumenNo.
si gnature of appllcant Co-ant
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Date of S gnature Da of gnature
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