HomeMy WebLinkAbout022-2001-10-000Labor and Human Relations
Division of Safety & Buildirgs
SOIL AND SITE EVALUATION REPORT
in accord with ILHR 83.0S, Wis. Adm. Code
Page -</or
COUNTYsT cea/ {
PARCEL I.D, #
PROPERTY OT{ITER: B I,IDiP/eor B4utZ Wu BourR
REVIEWED BY
{ t n T/t O^.r [) da <t
OATE
PROPERTY LOCATION
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PROPE RTY owN ER':S liilAlLl NG ESS)0 0 ?./,/RP LoT # I gt-ocr*SUBD. NAME OR CSM #fa 4e-(_ f4/4
CIW. STATE5f. Paut ZIP CODEr+/r.ud 5S tt PHONE NUMBER? @/4 73 F- 35//crTI DVTLTAGE EIrowNt(t .U.U/ C f,/ .lta21'4-
Attach complete site plan on paper not less than 8 1t2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and yo of slope, scale or
dimensioned, north arrow, and location and distance to nearest road. aD * If-
AppLrcANT rNFo RMATToN-pLEASE pRtNT ALL TNFoRMATToN lztrrTc't zto'v
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Boring #
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Ground
elev.
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fier A)a7E Btlaa,)
Boring #
Ground
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Public or commercial describe
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S = Suitable for
U = Unsuitable
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MOUNDDS E]U
IN.GROUND PRESSURE!S EU
AT.GRADEt]S EIU
SYSTEM IN FILLDS trU
HOLDING TAI.JKES DU
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Munsell
MoUes
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Texture Structure
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Consistence Bordary Roots
Bed Ttgdr
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Name:-Please Print Phone:7/t-- 3 ?tefI.iOillESITE SEPTIC PLUMBING CO
ROBERT ULBRIGHT
Sisnature: l6k^rf VCd;44 I.IINN. NGTALLER & DESIGNER LIC. NO. 00663
Date: 3 - ,/- /3 cSTNumber: ZlgZ
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// /zEzrp-SOIL DESCRIPTION REPORT PagePROPERTY OWNER
PARCEL I.D.I /u DzfPtPvA Brt -rE_As
Boring #
Ground
elev.
7 3.3o_ft.
Deph to
limiting
factor/3
Remarks:
Horizon Depth
in.
Dominant Color
Munsell
Mot0es
Qu. Sz. Cont Color
Texture Structure
Gr. Sz. Sh.
Consistence Bq,rdry Roots G P D/ftz
Bed Trcndr
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Boring #
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Remarks:
Boring #
Ground
elev.
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Deph to
limiting
factor
Remarks:
Boring #
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ft.
Depth to
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qouEsllE SEPTIC PLt irSlNG CO.
66s oNErL F0.. HUDSoN, us. 51016- -'lioffi{r u6#'ii'- jsi- s t'/?L
vE. trAsIEn PLUUBER tE. NO. 307 U.P.8.S'
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AS BUILT SANITARY SYSTEM REPORT
OWNER 34Rte,ue- t3{uER.1uS- t lG S
ADDRESS z8/ t+/o DK
r&ue7Q frtltS k)rS - .fUo22-
suBDrvlsroN / csl,t#'- frff of 7a ,/Ut IpT #
sEcrro" 3{ r X2*-* /8 *, Town of K, r.l^) t'
sT. cRorx couNTY, WISCONSIN
Provide setback and elevation information on reverse of this form-
Provide 2 dimensions to center of septic tank manhole cover-
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PL,AIMEW
SHOW EVERYTHTNG WITHTN ]-OO FEET OF SYSTEM
5ea P/rf P'l+^'
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ORIGINAL
INDTCATE NORTH ARROW
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ALTEBNAEE-B!{i Tc2 p oF TPn^as}oRfi(^. R A X )o) .l/o'
gErvcrruaRx:
SEPTIC TANK / PUMP CIrAI'IBER / HOLDING TANK INFOR].IATTON
Manuracturer: Lo€f# QnC*{L O .Liquid capacity:/m fu!.17-
3oo(&,_ s r
Setback from: We tt aO' P.
Pump
L5,- 5,7,
House (oO' P-C. Other
: Manufacturer Zaa//R lF Size l'z- h7 /g-UModeI #
Float sep eration f'c ft
GaIIons/cycle://G
Alarm Location /rart ,la rg
/qrunL freD S'd7o (ar,'*@/
PNil ,
3o B4s
Leng
, soIL ABSORPTTON SYSTE!,(
{" /o { Number or trenches
Distance & Direction to nearest prop. Iine:3l / 1. €rt-s 7-
Setback from: weII: House Other
ELEVATIONSI
widrh:
Building
PC inlet
INSPECTOR:
3/e3z1t
,
lo t.O sr rnr sa /oo. 30 / oo.loSewerST outlet
?f .o ' pc borrom ? ,C Pump Off ?c. fo '
Header/Manifold /O L.b'? 'Bottom of sy stem /oz. o t
I
Existing Grade lo o,o Final grade /o/.C ah:04 Aou.t0 ,(ocg /gR4
DArE oF TNSTAL*rJA1'{fi.6l1fl* - ?/
PotBg?f ZluBPt'c(r-T-
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PLUMBER ON JOB:
LTCENSE NUMBER:IPAJ 33 o )
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nita It
erm tHo e s Name
DARLYNE
TownVage tate
CST BM Elev
/oD,
lnsp BM Elev
/db
BM Description
Tffiil /'ltn, t)tab ybr/-*t lrlttu t--
Pa rce Tax No
LOCATIQN: KINNICKTwtsconstn Department ot lndustry
Labor and Human Relations
Safety and Eurldrngs Division
Gf NERAL INFORMATION
TANK INFORMATION
TANK SETBACK !NFORMATION
PUMP / SIPHON INFORMATION
SOIL ABSORPTION SYSTEM
NNrc 35 ' 2$Rfifnff
SEWAGE sysrEM
INSPECTION REPORT
(ATTACH TO PERMTT)
ELEVATION DA A93oo 343 o's 'gv -floD
TYPE MAN U FACTU RER CAPACITY
Septic /t hrls / /AaA-L
Dosing lrioqh f roo fufi
Aeration v
Holding
STATION B5 HI FS E LEV
Benchmark tlg.ly.l 100'
10 5,1 lgo,
Bldg.Sewer 4,t'l L toofi3
St / Ht lnlet 5,1 lau,2q
St / Ht Outlet 5.)q tAOrO{
Dt lnlet b.rL 71,0t
Dt Bottom g,rl qS,S b
Header / Man J,q>lo) ,Gg
Dist. Pipe
Bot. System 3oQ l(,lF,oL
Final Grade t I lOq ,U u
STtr^^JeC.ir )3 -l )lol u7
hn-Pr q,g 7 q r,16
TANK TO Ptt WE LL BLDG Vent to
Arr lntake ROAD
Septic >tu /L o /ar />as NA
Dosing >l 0D'10t bo'I aol NA
Aeration NA
Holding
Manufacturer *n*Uu Demand
€or*lVlodel Number 9r - t/o h,n
TDH Lift Friction
Loss
Svstem
Head ron p5 Ft
Forcemain Lensth ,/S Dia. t ro Dist. To wett {rtt
BED / TRENCH
DIMENSIONS
width
".1,'\(q')Lengt 1vo
No o/.re nches PIT
DIMENSIONS
No Of Prts lnsrde Dra Lrqurd Depth
SETBACK
INFORMATION
SYSTEM/TO Ptt BLDG WELL LAKE / STREAM LEACHING
CHAMBER
OR UNIT
Manufacturer
Type Of tVW
system, ItiOlLiil 37',0ot /oo|-,UlL ModelNumber
DISTRIBUTION SYSTEM
Header / Manifold
Length Dra !'Distributron Pipe(s)
Lengtfl- Dra Spacrng
x Hole Srze x Hole Spacing Vent To Arr lntake
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over
Bed / Trench Center c I Depth Over
Bed / Trench Edges
xx Depth Of
Topsorl+xx Seeded /Sodded
I Yes g-wo
xx Mulched
I Yes ElNo
COM M ENTS: (lnclude code discrepancies, persons present, etc.) -,'
LOCATION: KINNfCKINNIC 35.29. 19. 54S
t4 ipi,qd l. ?
(",i>
?,t 1
5,4q -lA0
tb:L#o
,u.o
Plan revision required? [ Yes E No
Use other side for additional information.
5BD-6710 (R 0s/91)
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4 6 u07as?q 7),^*fu-u-r-'Date ln ctor's Srgnature Cert No
TA
af l--an ai1-a rr AAA
l.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
7-aL -q4
5
o,,
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ILf q'!
tr,r.11
r vr 0.'n u..ti , ',,
lql
I ,3,(
Jli
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['tLun..-r-r- )(tf. U- fy'.,i..'r. ft r
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L/
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4b
-u LHFI SANITARY PERMIT APPLICATION
!n accord with ILHR 83.05, Wis. Adm. Code
-Attach complete plans (to the county copy only) lor the system, on paper not less than
81Ax 11 inches in size.
-See reverse side for instructions for completing this application.
I. APPLICANT INFORTIATION - PLEASE PRINT ALL INFORTIATION.
7Y,!.Eo/x
";"ij/p"Kx:,."
application
STATE PLAN I.O. NUMBER5?3 - az{7 3
{ DaUER fuWA /,/€ y1,S 35 T8,N,R tsfQorlwPROPERW LOCATION
PROPERW OWNE
tf*/o D'A= + te?tR'S MAILING Lor# t 'i?!s 4e< s
"tt"H'F/(/, htr"
ZIP CODEf{o>>PHONENUMBER. ^(t/z,6) 5 38)'83H"";y''l7ir*uu'i), /,7 P? . LQ 1 /
r E Aoucondo
Z Z Assemblv Halt
g E camooround
4 lJ Church/School
s E Hotet/Moter
6
7
8
I
trtr
1 or 2 Fam. Dwellingr.f of bedrooms
one)Pr',tlttt'aR
tg E other: Specity
lll. BUILDING USE: (lf building type is public, check allthat apply)
II. TYPE OF BUILDING:State Owned
Public
Medical Faci I ity/Nursing Home
Merchandise: Sales/Repairs
Mobile Home Park
Off ice/Factory
10 n Outdoor Recreational Facility
11 f] nestauranUBar/Dining
P A Service Station/Car Wash
o'L72^ OA//O0Oo
lV. TYPE 9F PERillT: (Check
A) 1.d*"* z. E
only one i
Replace
System
line B if applicable)
Replacement of
Tank Only
B) E I Sanitary Permit was previously issued. Permit #
4 5.
n line A. Check
ment 3.
Date lssued
System
Repair of an
Existing System
Reconnection of
Existing System
V. TYPE OF SYSTEH: (Check only one)
Non-Pressurized Distribution Pressuri Other
arE
424€EII
ibution
21
22
11 tr
13
14
nd
12
Experimental
30 E Specity Type Holding Tank
Pit Privy
Vault Privy
ln-Ground
Pressure
Seepage Bed
Seepage Trench
Seepage Pit
System-ln-Fill
2. ABSORP. AREA
REQUIRED (sq.ft.)250
3. ABSORP. AREA
PROPOSED (sq. ft.)
3?-S
4. LOADING RATE
(Gals/daylsq. ft.)
/, ''
5. PERC. RATE
(Min./inch).s
7. FINAL GRADE
ELEVATION
/o ?. s FeetFeet
VI. ABSORPTION SYSTEM INFORMATION:
6. SYSTEM ELEV.
/oz
CAPACITY
in oallons Prefab.VII. TANK
INFORMATIOil New
Tanks
Existing
Tanks
Total
Gallons
#ot
Tanks Manufacturer's Name
Site
Con-
structed
Steel Fiber-
glass Plastic Exper
App.
Seotic Tank or Holdino Tank /Ooo f (r'cc6 )T
Lift Pumo Tank/Siohon Chamber 3e I cQ4t6,471 v
VIII. RESPONSIBILITY STATETIENT
l, the undersigned, assume responsibility for installation of the onsite sewage system shown on the aftached plans.
MP/MPRSW No.
3 3o?
Plumber's Name (Print):
B-o@?-?lbp icr"
PI Business Phone Number:
(7/5 i86-g&5-
L P2. 4w7Sat OrS.fro/S -lJ ?t .LZip Code)
!X. COUNTY/DEPARTMENT USE
No,o""o
Disapproved
Owner Given lnitial Surcharge Fee)
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:IZ/
W}D
SBD€398 (formerly Plb67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
D
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NEAREST
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SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
August 16, 1993 201 East t{ashlngton Avcnue
P. 0. Box 7969
Itladl son tJI 53707
ULBRICHT & ASSOCIATES
ROBERT ULBRICHT
655 O'ilETL ROAD
HUtlS0il tlI 540]6
RE : Pt Al{ 593-02473
BAUER, DARLII{T
Nhl,frlE,35,28,lBE
TohtN 0F KIittrIcKIt'lllIc
l,l0UND SYSTEI,|
FEE RTCE I VEt}:I 80.00
COUI{TY OF 5T CROIX
The 0epartment has revlewed the above-ref erenced submlttal ..r
Condltlonal approval ts hereby granted for the system plan submlttal. Allnoted ltems must be corrected. l'he revlew and approval of the system 1s basedon chapter I45, trllsconsln Statutes, and chapters ILHR 83 and 84, tllsconslnAdmtnlstratlve Code, and ls contlngent upon compltance wlth any stlpulatlons
shown on the plans. Thls system has not been revlewed for the cocle
regulrements set forth ln chapter ILHR 82 or ln chapters ILHR 50-64, trltsconstnAdmlnlstratlve Code.
Thls plan submlttal approval will explre two years from the approvaltf a sanltary permlt ls obtalned, plan approval tri I I exptre on the dalnlttal sanltary perrnlt expl res. The l lcensed plumber responslble f olnstallatlon shall keep one set of plans wlth the Oepartlnent's stampapproval at the constructlon slte.. l'he installer shal1 notlfy the aplnspector when lnspectlon.s can be rnade.
AII permlts regulred by the ctty, vlllage, townshlp or county shall be
obtalned prlor to lnstallatlon.
Inqul,rles should be dlrected to me at the number llsted beJow. Please referto the Ian number hown above.
Stn 1
eter E.
Plan Revi
Sectlon of Prlvate Sewage
( 608) 266-288e
date, ory ther thts
of
proprl ate
eI
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t
tSBD.7987 tR. 0lr9l r
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PROJECT INDEX ,SH IIET
O,tf/ea.zf A4usR
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SITE IOCAIION , /O Aat s
AF,/€, $e-c,35, f2gr/, RtP 4)
PROJECT DESCRIPTION:
7/€- laQ- 539-f
f r ur'T F-l//S 4Ytt 5?'> za-
OWIIER:
ADDRESS:
PAGE 1.
PAGE 2.
BAGE 1.
PAGE +.
PAGE 5.
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MOUND CR.OSS SNCTIOI{ & SYSTIi}.{ PIA}I T/IEi'IS
PIPE IAIER.AI TAYOUT
DOSTNG OR STPHON CIIAI.IBER CROSS SECTIONS
PUMP PERFORT,IAI{C'I SPECS OR SIPHO}I .SPECS
S93- 02,478
Pr,r]ulBFF.:
DATE:
SIGNATURE:
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Synlhelic Covering
Dietribut ion PiPe
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Force Moin
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s6'fl i.cg ,*atet*
Cross Soc tion Of A Mound Syslem Using
A Bed For Ths AbrorPlion Arco
!/ rt'/3 Ft.
zLFt.
0bsorvotion PiPe
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Pipe
0bservotion PiPe
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Aggre gol e
Pe r mcrtenl Morke rs
sTsel 2ot'5 .
Bed Ct L"'
plon view of Mound Using A Bed For The Absorption Areo
94rty hrAs rE f/ct<t
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Pipc
':nd Cop Dislribulion Pipc LoYoul
,)
l{ol e Di ameter
l.ateral rr
Hani fol d rr
Force Main rr
Allrrnolr Poclllon 0l
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Nrrl To End CoP
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P3C L..FIt.
rL//ot t Foe
lt'Ex,o rttrtt,)
I nches
I nches
Inch
Inch ( es )
Inches
Inches
r.6l R 3'oggB-
0247 8
set hog t3-;'rx
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gt L
# of ' holes/ PiPe /c)
Invert El evation of Lateral ,/ol'5 tt '
Or gc/,rrtf € prrE Fop, E 4 c lu /a ran ,,t r/ li' 70 N' 2 t'S fR iR ufto^t
, ?,ta- oT i S
x/56
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?/r.ur'4t/-+t /U*1 / /t'{Ch i/4 G€ R t,b- aF
f /ttt/,,
Pcrforolcd PlPr Dltol!
)
P U \P CHAAb E R CROS5 SECTI ON AND SPE C lrtc TI NS
VENT CAP
\^/EATI.IER PROOF
JUNCTION EOX
GRADE
AP
/u.,
:T
/o'L FEE'
s/
PROYED LOCKING
NHOLE COVER-
,irr/ ,"*to(r lnne /
ta' I\lu.
APFROVED JOINTS
w/c.t. rtre
EXTENDIUG 3.
oNTo soLlD solL
ilePs € le unT/O N>IN'
) es'FRorn oooR.
WINDOW OR FRESH
AIR INTAKE
1
( Ewfr o,v
ixTENOlNG 3'
ONTO SOLID SOIL
l
lz'Alu.
tl
t'Atu.
ALAR}A
ON
OFF
'sJcx r\PPRo vAL
2-
77.7AP
\v/
PROVED'"'''/
C,T, ?IPE I
qf,6
'y;,:ri!:'
LLEV,
-
FT.
L04,
'-
1 x KISE K EXITPE'R,1|]rEDoNLllFTAu(|^^uUF^CTURERHAS
SPECIFICATIOi..JS s9 3-p
kunrgEn or
// ''DOSE VOLUf.IE 7
i SEPTIC f
DOSE
TAN KS
-ALARTA
DOSES:PER DA5
//0
H,O ?oo GALLONSCAPACITIES: A =lucl{85 0RL {/GALLOr.l5INCHES OR
5,C VT oALrouSc--IUCHES 'R/tr.9 INCHES OR w 6ALLOUS
INCLUDIN6 6ACKFLOW:
$=
0',
<.2 FE.L;
:
€,qclr- i " o? Dt P-fl'L
C.ALLONS
tl
PUA P
PUAr AND ALARI1 ARE To AE
INSTALLEO 6:J SEPARATE CI Rcutrs
0,'75 -Apl SPt'c s
FEETvERrlcAL DIFFERENCE 6iTwEEu PuAP oFF AUD olsTR,lbuTloN P|PE..
+AIUIITUA N[TV')iiK SUPPLS PR ESSURE.
+z9 FE ET OF IORCE f'\AIN X
n .?F %o n.FRtcTlorl FAcToR'
TOTAL O9NAA'TIC. HEAD
?o,tuo
IUTEKNAL DII-AENSIONS OT TAUK: LENGTH ;WlDTH
SA^'AGE SYSTETI
FEET rQon lq 20 ,5
ls,
1A
3f
i LlQulD OEPT H
e@
APP WE
OEPARTMEI{T Of I
0tvtsl
AI.,ID HU
COUDUIT
INLET
I
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PUAP --
bLOCK
-T
(,
I
4
AIRTIGHT SEAL
PROVI DE
rv.frl,,jr,^
'ii.no
?q
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0
4
SEE
ANU B
LATIOITS
,I..C.I. VENT PIPE
2473
I,
-
a a
a
t
z5tt )
HEAD CAPACITY CURVE
MODEL "98"
-,\-r \
\
15-
\to-
\\
5-
50 /+O
IIro 20
E
H
6
+
0, U.S. GALLONS
, U]ERS
ad.
lrJ
h
=
37 6 i/4
I s/8
6
3I
' (-,,=
,,8
cF-oF
t 5/8
1 3/16
\
supplied u/ith an alarm.
,.Mechanigal alternators, for duplex SyStemS, are available with or
, without alarm switc.heq.
Standard all models - W 39 lbs. - '/z H.P
98 Serles Conlrol Selection
D
or4&
3or4&5
t 1/2-11 1/2 NPr
12
3 s/15
. Mercury float switches are available for controlling single and
three phase systems.
o Double piggyback mercury float switches are available for
variable level long cycle controJ$sg 3- o 2473
1 . rnregrar roar operared, dt;::"?:,["rl',ffi no extsrnat *nt ot requirod,
2. single piggyback mercury llcat switch or double piggyback mercury, floal
switch. Refer to FMO477
3. Mechanical alternator 1O-OO7:J or 10-0O75. '|
4. See FMO712, for correct mor-;l ol Electrical Auernalor, "E-Pak"'
5. Mercury sensor llgat switcir 10-0225 used as a control activator, specify
duplex (3) or (4) lloal sYstem.
6. Four (a) hole ;.t-P"t", functi^n box, lor watertightcorrnection or wired'in sim-
plex or duPlex oPeration, 1G0OO2.
7. Two (2) hole "J-Pak", lor watertiglrt connection or splice'
cAUIloll
All inctallation ol controla, protccli,on dcviccr end wiring rhould b. dooG by r qurli'
ticrt liccntcd ctcc-tricirn
-All
clci.tricrl .nd ol.ty codcr ehosld br lolloscd irclud'
ing thG mo.t rcc.nl Nrtionrl Elccldc cod. (NEC) rnd thr occupetinor! srlcty rnd
H..nh Acl (oSHA).
ign of every Zoeller PumP.
2
s0 60 70 80
210
o
80 150
FLOW PER MII.IUTE
TOTA! OYNAMIC HEAOifLOW PER I.I IUTE
Ef TLUENT ANO OEWATERING
CAPACI IY
U}IITS/MIN
Lock Valve 23'
n
CONSULT FACTORY FOR SPECIAL APPLICATIONS
For inlormation on additional Zoellcr products teler to catalog on Combin;rtaon Starter, FMOSl4;
piggyback Mercury Switches, FMOa77; Ele;hical Alternator, FMO486, Mtichanical Altetnator,
flidcss: Atarm package, FMo5t3; Sump$ewage Basins, FMo487; and Simplex Control Box,
FM0732.
RESERVE POWEBED DESIGN
For unusual conditions a reserve safety factor is fn'fineered into the des
@ hnrfn {,trlAll f0: P 0 80X 16347
Lwisviti :, KY 4 A2 56' 034 7
$HlP T0: 3280 0t:' llillets Lane
Lot;t::viilt', KY 40216
ivlanulacturers ol
IIEAD
72
6r
45
25
GALS LTRS
?t3
231
t70
95
I
FEET METERS
5
10
't5n
1.52
3.05
4.57
6. r0
Ampe SimplexVolts-Ph ModeModel
1or1&7Auto9.0 .M98 115 1
Non 9.0 2ot 2 &6N981151
Arrto 1or1&7D9829'l 4.5
4.5 2or 2 &61230Non'E98
-*:1;.6'5 .t:;T " .
-:-.r*Ial rr" 11'-'lrf' --- ""-
(502) 778-27 j1 o f A.Y (502) 774'3624
'l^,rl Pwps ln r /gJg"
-t 1
':l'' /,
,; tt{' .
t.l,
) Electrical alternators, for duplex systems, are avrilable and
I
I
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.,^
,_l
trdLHD
I .L3J
t(504410
CEHTIF:TM SLT:IVE'\T MAP
TI.AR-Y:hE ATO TEAFI BAIEH
Pant of the Nontheast l/4 oF the Nontheast L/4 of Section 35,
18 West, Town oF Kinnickinnic, St. Cnoix County, Wisconsin.
N t/4 COR, S EC. J5, r ?8 N, R l8 tf
/ 2" tRoN ptpE FouND) wp_L_A TT ED L A Np_A
Township 28 Nonth, Flange
N€ COR. SEC.35, r28N, Rl8W,
I COUNT Y SURVEYOR'S MON.)
N90c oo'oo"€ 2633.52',N LINF N€ I/4
/3t6 544. 45'.
t oo'
6.76',
SH€O
oo
t5',
ence l{.
772,3t'
-J3,oO' 1 77z,Zs,
' oo "ty I 3 16. 74',
lr
rl
-_-l
DRIVEWAY
ROAD SETEACK LINE
eaf
/\PPROVED
N8 2 5IIl
Tt. cRotx corJ}{rv
-' .npchrnslvo pt*g
Zortrg md
Perks Cornnffir
I.13 lbs. /tin. Ft.
Indicates Fence.
;.r;,7oo
";r,
N 90.
t oo
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ro
t
t{J
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trJt
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OWELLING
. w E LL
6ARA6E
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lf not rccordcd
wihh 3O days of
epprovd dcto
.pprovc rhr! be
nul
L
&ovc*CTI
t6.524 ACRES
7t9,777 SQ.Fr.
16. III ACBES €XC. ROAO
R.O.t(.
ZCI,8O9 SQ. Ff .
O fndicates 1" x 24 ?t iron pipe weighing
LOT 2
23,4O8 ACRES
ItOl.9;67.45Q,FT.
22.423 ACRES EXC. ROAO R.O.t{.
991 , I 90 SO. Fr.
SARN
POLE SH ED ;
\l
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This instnument draFted by
0wnen t s Addness:
1393 Halo Drive
Fliven Falls, Wf 54O??
Fhone No. L-715-425-5385
Munphy
2
77 l. 6 7'4
S 89'5J'46"W l3t6,lZ,
UNPLATTE D LAN DS
ALL EEARIN6S REF. TO THE NOR TH LINE
oF rHE N€ l/4 OF SEC. J5, r28N. Rl8W,
ASSUMED N 90'OO'OO''E
Dated: July I?, 1993
SCALE I ": 2OO'
o 50, too, 150'200'JOO', 400'. 500',
r/ol. 9 p-Eu 2671 , CertiFied Survey Maps
St. Cnoix County, Wisconsin.
a I SI-EET I CF ?
.S LINE
oto
LAU R
W
wtsc.
$D
E l/4
Sunveyon
(\l
(\t
e;\
h
Gc,-t-
g,
1
- a ^_l
sTc L05
SEPTIC TANK I'IAINTENANCE AGREEI,TENTSt. Croix County
Otltb4^L (3r+u€<
ADDRES s 7i<f), fu/o pK IRE *""A /fl
ot^INER/BUY
FI'TI
cITYr/STAT R, F- a//t. S4o2-.L
pRopERTy LocATroN: 'Vl'/ t/n,'Fr/4, sEcrro* 39- , * Zl *-* /f n
TOWN OF l( t'/o/t (//'St. Croix County,
suBDrv ,"ro* t5 I .9 c 't'/ / "! , LoT NUr,{BERJL_.'or-
rour septic system couldImproper use aresult in its premature failure to handle wastei. proper
maintenance consists of pumping out the septic tank every threeyears or sooner, if needed by a }icensed septic tank pumpef. Whatyou put into the system can affect the function of the septic tankas a treatment stage in the waste disposar system. 'st. Croix County residents may be eligible to receive a grantfor a maximum of 60t of the cost of replacement of a failingsystem, which was in operation prior to .fuf y J., L}ZB . St. CroiiCounty accepted this program in August of LgBO, with therequirement that owners of all nei^, sysLems agree to keep theirsysten properly maintained.
. Tt,. property ot{ner agrees tc sub:rnit, tc St. Croix Zcning acertification form, signed by the owner and by a mater plumbLr,journeyman plumber, restricted plumber or a Iicensed pumperverifying that ( 1 ) the on-site wastewater disposal system - is' inproper operating condition and (2) af ter inspecCion and-purnping (if
necessarY ) , the septic tank is less than L/3 full of shidge and
scum.
I/We, the undersigned have read the above requirements andagree to maintain the private sewage disposal system- |n accordancewith the standards set forth, herein, as set by the Wisconsin DNR.Certif ication stating that your septic has beei'r maintained must becompleted attd returned to the St. CroLx Co. Zoning Of f Lcer withln30 days of the three year explratlon date.
SIGNED:
St. Croix co, Zoning Office
911 4th St.
Hudson, WI 54016
DATE:/Jl-u ?,/'?94/-
Tt)
ai \
Owner of property "rtfrh,* B+rtE<
Location of prop"rtyllU L/4 Er/n, section 35 , T! N-nJ&w
Klr/rt r'Township
Mai I ing address ts 77 /f4 /o DZ
e,rc'4t/'S. EfO1?--
za t3? /H,+/o 2<Address of site
Subdivision nam
cf*t qo q /c ho t,?t no.
Other homes on prope
Previous otirner of pr
Total size of parcel
rty?
-ye
-/s_No
PB /<.ft?operty
/6. s 4c,t ,
Date parcel .was created
Are aII corners and lot lines identif iable?
-1,
es
-No
Is this- property peing deve
VorumeT f7 ^^u pase Numberof Deeds.
qc r ( spec house ) ?-yes <"
aB recorded wlth the Reglster
Ioped fo
INCLUDE WITH THIS APPLICATION THE FOLLOWING:A wJ\r{nANTY DEED which includes a Doctn{ENT NLTHBER, vSLLJHE AI.ID pAGENI'}TBER & TIIB SEAL OF THE REGTSTER OF DEEDS. IN AdditiON, Acertified survey, if avairabre, would be h;I;i;I so as to avoiddelays of the revi.e.wlng process. rf th; deed descriptionreferences to a certifted survey Map, the certlried- s";";y Mapshall also be required.
best of my ( our )knowled ge that I (we) am (are ) the owner(s) ofthe property described t n thls information for m, by virtue of awarranty deed rec
I ( we ) certify th
PROPERTY OWNBB CER. IT.ICATION
at aII statements on this fo rm are true to the
Deeds as Document of the County Re gister of
own the proposed , and that f (we)presentlydisposal system or I (we)obtained an eas ement, to run the abo ve described pro perty, forthe constructi on of said system , and the same has been dulyrecorded in th e office of County Regi.ster of deeds a s DocumentNo.
Signa ure of applLcant Co-app I ica
"il?l r*,f\,? ="i'*"site for the sewage
P*t , /?'1 i/
,i
\r
,(
i
Date of Signature Dat fst gnature
sTC-100
this application form is to be completeg in full and signe<l bythe_owner(s) of the property being'developed. eny InaOe'quaciesnlll -onlv resulr. tn delays 6e tne-pernti-i"lran""l -siJuii tnr"oeveropmenE be intended for resale by owner/cohtractor, (spec
l]3!"") , the.n,,a
. second f orm should be retained lna comp-flGh wnenEne property' is sold and subrnitted to this officd wlth the
:T::::t:::_:::3_:::."dins.
/
a
f
DOCUMENT NO.STATE BAB OF WISCONSIN TOBU
WABRAI{TY DEED
1- 1$l ?r.ra ar.G3 lt aIYIo ,oa rtc{r-.rao carl
'4S6?0g
lbig Deed, D& bcho:r. . H ar.r y...L.-- - P-eskar--
.ln.t e r.e e 3... l.n .. he r... ann. .r igh t . and...a s...a...i oin.L.. t.enanl
.rl.th...o t her...g,r.BBErylded...qne
e.es.i.. . Dean. A ^.. B.a ue r...and.. J.ean.. .U -uer,
.an..undl :.ha I f... in t e.r e.s t.. a s. -.J oi n-L*-, Greptoo,
WltngSsOth, Thtt thr uid Greator, fot r vrlneble coaridoration......
conv.yr to Grrntor thr lolloring dacribcd rot ctte . in ..St....Cf.Oi)(
County, ShtG o, Wircorlia:
.*tenants between themselves and as Jolnt.- .tcrrrrr-8 with Darlyne R. Bauer
RE
sf. cg00(
Rec'd hr
MAR 3 1 T99E
at "10:50ofrducE
cqr
Rocotd
A'r
0t-r
LYuar Tc*lL
Tg Percd No: .----.-.
The North Half oof Section Thlrt(28) North, Rang
he Northeast Quarter (Nt of NEt)ive (35), Township Twenty Eight
lghr-een (18) Hest..
f,ryF
eE w
(ft is lntended by the grantees that in the'event either Dean A. Bauer
or Jean M. Bauer- dles Leaving a survivor , as be t,ween the two of them,
the survlvor sha l1 rece i.ve the deceden t I g i.n teres t . In the even t of
the death of Darlyne R. Bauer, her one-half lnterest shall go to
Dean A. Bauer and ,Jean M, Bauer r ot the survivor of them. )
Thi! . - -. -l S- - -nO. t-. -- --- - toncrtad propcrty.(ir) (lr mt)
Tofethrr ritb dl rad dafuhr tfr lcraitruentr rnd rpgurtenroccr thorcuoto bclon8in8;
And.... Ha rr.y..,L.....Pes karrtg.Dt thrg th. U-Ur tr 3oodn l.ndofceribh ia frr rimph rnd frr rad clcrr of cucumbrenc:r crctpt
. easements, restrictions, and rights-of-way of record, lf aDIr
rad rill wrrrrat 3rd d.f.td tDr rrrrur.
Drrd thi! ....-.--..23rd-.- dlly o?.....-.....t{arch Ie..93..
(sElL)(sEALl
...-Hg.F..t,....P.esker.a
(sEAL)(sEAL)
CT.
a a
ir 2ITI
a;
TIO N ACEN OWLEDOIENI
?Stprtuir
').
._--..-J
rutt Ddcetcd
iot:...J..J ,
10.-----
a
SIlILE: IEIBEB STATE BAa Of WISCONSIN
(r
by I ?0G0G WL. Strta)
?xta lxtTlurgxT wAa Oa^tt3o !Y
.....9.,-..L,..-9.-evLe.dr-..A.t!.s.-r.n.ev..
.. . . 3.lv e.r. . . F.a I I s
"
-..ffi .. -- 5 lt 9.22. .....
(Slomturcr ruey br euthra6crtrd or rclnoll&gea. goth Iy
err mt nrccsrry.) ddl
gTATE OT WIS@NSIN T
n "i* -couaty. I-
Prmoadly cear betoro nr thb .-.23fd.--dry ot
7
.I.. cf rrtrr rrrrlr lr rry rr:ru.rddd L trrd r Drhtd ldo: lldr taeEr|....
Nttl{
to nr Lnorn to be tto D.sto! lho sccutld tlhr
forrfpios iutnrmcnt rnd eclmrlcdgp aalnc.
a
(If rt, rtrtc grplr Wi!-
'eti'on
n9fi.y
ftatl BAt,olr r-rt.a Stocl No. l30ot
ril gg&et{0?
- "rf,Y