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004-1020-40-000
d r S t.Croix County Planning and Zoning Th ursdaji, Jait uary 12, 2006 at 5^:13:3 7 PH .,.Paze I o 2 Detail Sanitary Information Computer #: 004-1020-40-000 Sub/Plat: NA Section: 9 Parcel #: 09.28.15.141A Lot: TNIRNG: T28N R15W ft Municipality: Cady, Town of CSM: 1/4 114: NE 1/4 SE 1/4 ---- ---------- - ---------- .................. -------- --- -- - ----- - - -- - - --------- -- - - ----- ---- - -- - ------ ------------ ------------ ----------------- Owner: Stockman, Rex D. 454 Hwy. 128 south Wilson, WI 54027 State Permit: 149336 Issued: 05/12/1992 POWTS Dispersal: Mound Permit: Replacement County Permit: 0 Installed: 05/12/1992 POWTS Detail: NA Bedrooms: 3 W1 Fund: POWTS Pretreatment: NA Notes Issuer/Inspector As Built Plumber Other Requirements Not determined Yes Webster, Bruce Jim Thompson Signed Off: No Owner: Stockman, Rex D. 454 Hwy. 128 south Wilson, WI 54027 State Permit: 463029 Issued: 09/13/2004 POWTS Dispersal: Holding Tank County Permit: 0 Installed: 09/14/2004 POWTS Detail: NA POWTS Pretreatment: NA Notes Issuer/Inspector As Built Not determined NA Pam Quinn Signed Off: No Not determined NA Mark Iverson (contr Signed Off: Yes Maintenance Scheduled Pump Date Pumped 9/14/2007 Notes Issuer/Inspector As Built Not determined NA Pam Quinn Signed Off: No Not determined NA Mark Iverson (contr Signed Off: Yes Maintenance Scheduled Pump Date Pumped 9/14/2007 Additional Notes Money Owed check archive permit for details on connection to $0.00 house versus business Permit: Replacement Bedrooms: 40 WI Fund: Plumber Other Requirements Additional Notes Money wed Koehler, Paul Farm Supply is on both Ne/SE and SE/NE 1/4 of $0.00 Section 9 9/13/04 Holding tank servicing contract and HT Agreement copies of recorded and notarized forms received + $325 fee Koehler, Paul $0.00 1 st Notification 2nd Notification 3rd Notification Plumber Other Reguirements Additional Notes Money Owed Koehler, Paul Farm Supply is on both Ne/SE and SE/NE 1/4 of $0.00 Section 9 9/13/04 Holding tank servicing contract and HT Agreement copies of recorded and notarized forms received + $325 fee Koehler, Paul $0.00 I st Notification 2nd Notification 3rd Notification 4L oning St. Croix County Planning and Z Th ursdaj7, Jan itari, 12, 2006 at 5.-13:3 7 PM Page 2 of 2 Detail Sanitary Information - ----- --- Computer # Section: 9: 004-1020-40-000 Sub/Plat: NA TN/RNG: T28N R15W Parcel #: 09.28-15.141 A Lot: 1/4 1/4: NE 1/4 SE 1/4 Municipa• lity: Cady, Town of CSM: Owner: Stockman, Rex D. 454 Hwy. 128 south Wilson, W1 54027 Permit: Replacement State Permit: 463029 Issued: 09113/2004 POWTS Dispersal: Holding Tank Bedrooms: 40 W1 Fund: County Permit: 0 Installed: 09/14/2004 POWTS Detail: NA POWTS Pretreatment: NA Notes lssuerilns ector As Built Not determined NA Pam Quinn Signed Off: No Not determined NA Mark Iverson (contr Signed Off: Yes Maintenance Scheduled Pump Date Pumped 9/14/2007 Notes lssuerflnqP.eC--tor As Built Not determined NA Pam Quinn Signed Off: No Not determined NA Mark Iverson (contr Signed Off: Yes Maintenance Scheduled Pump Date PqM ped 9114/2007 Plumber other Re uirementsAdditional Notes Money Owed Koehler, Paul Farm Supply is on both Ne/SE and SE/NE 1/4 of $0.00 Section 9 9/13/04 Holding tank servicing contract and HT Agreement copies of recorded and notarized forms received + $325 fee $0.00 Koehler, Paul 1 st Notification 2nd Notification 3rd Notification Plumber Other Koehler, Paul Koehler, Paul 1 -,t Nntifirntion 2nd Notification 3rd Notification Additional Notes Money Owed Farm Supply is on both Ne/SE and SE/NE 1/4 of $0.00 Section 9 9/13/04 Holding tank servicing contract and HT Agreement copies of recorded and notarized forms received + $325 fee $0.00 LOCATION: CADY 9,28.15.131,S1/2,NE, HWY-128 Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION a 'k [-] City [-] Villages] Town of:Permit Holder's Name: STOCKMAN, REX D CADY CST BM F ijQ v Insp. BM Elev.: BM Description: TANK INFORMATION ELEVATION DATA TVDF- I NAAKII I[:ArT1 IRFR CAPACITY [ STATION I TANK SETBACK INFORMATION TAN KTO P / L WELL WELL BLDG- vent to Air Intake Intake ROAD Septic A�l NA Dosi ng ZM > NA uion Holding Benchmark ;el Ci t -5 on 4 SoL Bldg. Sewer St / 1-$' inlet St / IJ( Outlet Dt Inlet Dt Bottom Headerq Man. Dist. Pipe Bot. System LV County: ST. CROIX Sanitary Permit No.: 149336 State Plan ID No.: Parcel Tax No.: 004101930000 A92,00183 BS HI F S ELEV_ ,-2 3 3,7e� I PUMP SIPHON INFORMATION Final Grade Manufacturer NDemand -i1T-fi"kCU�e_ 16-7,77 Model Number J9� GPM M Pce Xj'�tre - -K? hd L1, TDHLift co' I Friction 4'�ystem5'I- dp,,,�Ft 0Cyyl a L 0� Fo rcernain Length&70 Dia. c;2 Dist. To Well SOIL ABSORPTION SYSTEM /0�t, _BED/TRENCH Width Length i _7 No. Of Trenches PIT .. .... Pits No _04, P j,' Inside Dia. Liquid Depth DIMENSIONS-- ;1611- QIMENSI_QN5 Manufacturer. SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING SETBACK INFORMATION T pe Of r') ff I y System '. CHAMBER OR UNIT mod 1;mber: DISTRIBUTION SYSTEM 1 i-ead r_/ MAa nXoId !ength Diakq Distribution Pipes)Hole Length D1a. Spacing x Hle SizeI - X Hole Spacing Vent T2o A6ir0 Intake SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ SodtIVIC xx Mulched Bed /+Txmw*fenter G Bed/T+&mtWEdges / "o, Topsoil es.❑ No❑ No COMMENTS: (include code discrepancies, persons present, etc.) 7 - A e OS ro ceo -r— 2 1�1 -S ion required? ❑ Yes (2 side for additional information. 61 05/91) Date inspector's Signature ..Mm- rjc�4._ - - - Cert. No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: -- --, SANITARY PERMIT APPLICATION couNTY '1�1-931LHR In accord with ILHR 83.05, Wis. Adm. CodeC V-0 ce oil STATE SANITARY PERMIT # h,c m letsIt plans to the county copy only} for the system, on paper not less than —Attar � p p ( 8 1/2 x 11 Inches In size. ❑ Check if revision to prev+ us application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER � 1^ I. APPLICANT INFORMATION -- PLEASE PRINT ALL INF ORMATION. PROPER OWNER PROPERTY LOCATION TIS N R o Sf �6�. MCA 11 PROPER OWNER'S MAILING ADDRES LOT ## BLOCK ## 0 1 �56n i r • CITY, STATE ZIP CODE KiONE NUMBER SUBDIVISION NAME OR CSM NUMBER _�4Ar) JL L-i CITY NEAREST ROAD II. TYPE OF BUILDING- (Check one) El State owned ❑ VILLAGE El Public Wor 2 Fam. Dwelling—# of bedroomaI5,, PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that applyi �► ..� 1 El Apt/Condo Facility 2 ❑ Assembly Hall fi ❑ Medical Facility/Nursing Home 10 ❑ outdoor Recreational Fact y 3 ❑Campground 7 ❑ Merchandise: Sales/Repairs 11 R Restaurant/Bar/Dining 4 ❑ Church/School 8 1-1 Mobile Home Park 12 ❑ Service Station/Car Wash El Office/Facto 13 ❑ other. Specify 5 El HotellMotel g�' IV. TYPE OF PERMIT: (C:9.,eplacement ly one in line A. Check line B if applicable) . Replacement of 4. ❑ Reconnection of 5, El Repair of an 2, 3 ❑ pA} 1. ❑'NewEx1stin System S stem stem Tank only Existing System g Y B}Ely A Sanitary Permit was previously issued. Permit## Date issued V. TYPE OF SYSTEM: (Check only one) Non -Pressurized Distribution Pressurized Distribution Experimental other 11 ❑Seepage Bed 21 Moun d 30 El Specify Type 41 ❑ Holding Tank 12 R Seepage Trench 22 In -Ground 42 E] Pit Privy 13 ❑Seepage Pit Pressure 43 ®Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: ABSORP. AREA �. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE. fi, SYSTEM ELEV. 7. FINAL GRADE 1. GALLONS PER DAY 2. Min./inch ELEVATION [7TO REQUIRED (s ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) 9�' Feet Feet r_30 I - 11 9— 1 mnw� CAPACITY Site Fiber- Exper. VII. TANK in gallons Total �# of Prefab. Con- Steel Plastic p INFORMATION Manufacturer's Name Concrete glass App. New xistin Gallons Tanks structed Tanks Tanks F� 0 El Septic Tank or Holding Tank ov- 41- 1 L Lj Lift Pum Tank/Siphon Chamber El Lj VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plum is Signature: No Stamps) MP/MPRSW No.: Business Phone Number: Plumber's Name (Print): 9 p * P j --- '"�� K 14* 3 r7 Plu ber's Addr ss (Street, City, State, Zip Code): F�% L/ I - lal, r� IX. elL�. COUNTY/DEPARTMENT ENT USE ONLY Issuing Agent Signature (No Stamps) Disapproved Sanitary Permit Fee (includes Groundwater ate ssue Surcharge Fee) pproved owner Given Initial 0&Z&,s, —" Adverse Determination 61- X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6338 (formerly } � R. 11188 Plbfi7 DISTRIBUTION: Original to County, one Copy To: Safety & Buildings Division, Owner, Plumber ) INSTRUCTIONS R ' 4 . 1. A sanitary permit is valid for two 2 r ' _.. y p. � i Years. 2. -Your sanitary- permit may be renewed before the expiration date, and at the tim e of renewal any new criteria in the Wisconsin Administrative Code will be applicable. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Farm (SBD 6399 to be sjubmttted to the county `prior to installation. 5. Onsite ,sewage systems must be properly aiMained The sept°c: tank (s ) must be 'pumped ped by a licensed pumper whenever necessary, usually every 2 to 3 years. 8. If you have questions concerning your onsite sewage system, contact your local c"de administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To -be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax numtr)er($) of where the system is to be installed.. ll. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. . Ill. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank re iacernent reconnection, p t vn, or repair. V Type of system. Check appropriate box depending on system type. V1. Absorption system information. Provide all information requested in 1-7. Vil. k information. Fill in the capacity of every new andF 1- �x� t , v sting to +st the t spa;(allons �;�,Mber of tanks and manufacturer's name. Indicate prefab or site (_onstrLJCtC �! ano tank maierial. Co.m = , ple��? for �11 septic, purnplsiphen and holding tanks for this system. Check expenmer�t:-AAl L p.proval or,, anl. received experimental product approval from DILHR. Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate :3refix'e. . MP, etc.), address and phone number. Plumber must sign application form. p 9 X County/Department Use only. X County/Department Use only. Complete plans and specifications not smaller than 8Y2 x 11 inches must be submitted ubr� tted to the county. The plans roust include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tanks), septic tank(s) or ether treatment tanks; building sewers, wells, water rmainslwat+l�r service - streams and lakes; pump or siphon tanks, distribution boxes; soil absorption systems; re laceme } p- Y p nt system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss pump p performance curve, pump model and pump manufacturer; D) cross section of the soil absorptions stem --if required by the�ceunty; E) soil test data on-4115 form; and F) all_sizinginformation. y 9 .. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for inonitorin roun g g dwater, grvundr water contamination investigations and establishment of standards. SB D-6398 (R .11188) SAFETY & BUILDINGS DIVISION State of Wisconsin Relations Department of Industry, Labor and Human PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN Owner: REX STOCKMAN PO BOX 74 BOX 40 RIVER FALLS WI 54022 WILSON WI 54027 RE: Plan Number: S92-40008 Gallons Per Day: 750 Project Name: STOCKMAN, REX RESIDENCE Town of CADY Date Approved: January 22, 1992 Date Received: January 14, 1992 Location: S,NE,9,28,15W County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - REPLACEMENT PETITION - REPLACEMENT MOUND Inquiries concerning this approval may be made by calling (608) 785 42 L SBD 6--423 (H. 01191) • -C6 V SAFFFY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations WEGERER SOIL TESTING & DESIGN Page 2 Sincerely, iiMGEERARD M. Section of Private Sewage Division of Safety and Buildings PPP039/0009n/27 cc: REX STOCKMAN X Private Sewage Consultant 5IM-6,123 (U. 01/911 fo SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations January 17 1 1992 REX STOCKMAN P 0 BOX 40 WILSON WI 54027 Petition No. S92-40008-P Dear Mr. Stockman: Re: Rex Stockman - Residence Private Sewage System S,NE,,9.,28,,15W Town of Cady, St. Croix County, WI Your petition for a variance to sections ILHR 83-.13 (1 ) and (2) and 83.23 (1 i (d) , Wisconsin Administrative Code, has been reviewed. The petition has been approved,, The rules being petitioned require that seepage trench excavations shall be I to 5 feet in width, seepage bed excavations shall be more than 5 feet wide and have more than one distribution pipe, and there shall be at least 24 inches of unsaturated natural soil over high groundwater as indicated by soil mottling or direct observation of water in accord with s. ILHR 83.09 (4) (d) and (e). The variances requested were to allow the installation of a replacement mound system with a 6-foot wide trench on a site with 16 inches of suitable natural soil * All of the data and statements submitted on behalf of the petitioner were considered. This variance is specific to the subject petition and cannot be used for any additional modifications. Si,icerely, i andeyer., Director, Office of Di i ion Codes and Applicati (608) 266-3080 RM: GS: 1216WPPI cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls Thomas Nelson, Zoning Administrator - St. Croix County Art Wegerer S Fit) 6928 (R' 01 /19 1) Page 1 of 6 MOUND SYSTEM FOR A BEDROOM RESIDENCE SE —/fv LOCATED IN THE s �O 1/4 OF THE V--)C 1/4 OF SECTION 9 , T z8 N , R 1 � W , TOWN OF cl'�N\ 4 `-f , ST. C.�C]I K COUNTY, WISCONSIN, INDEX PA GE 1 of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PA GE 3 of 6 PLAN VIEW -CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PA GE 5 of 6 PUMPING CHAMBER ° PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED F O R 3 x L 0 �1 5'4c�1_7 LAJEC-`EF=;tEF=;Z �SC3 31 L_ TE E3 T° I AND nFEE S = CE; P4.1 S;EFR I C"E F.D. BOX 74 421 N. MAIN 5T. RIVER FALLS. WI 54022 715-425-0155 0. ME cm ARTHUR L. Gb a o C-? 15 P r w E� I SY ORTH, 1 i Wia. s�000**0004*490 1--6-9 _ JOB NO. ql- / 96 Page -S Of 6 I.pproved Synthetic Covering Medium Sand Topsio i I (zs-,5 -/o z>iope Undisturbed Soil Distribution Pipe 0 Plowed Layer D �--1 Ft. E 2--cl Ft. Cross Section Of A Mound System Using F Ft. I Trench For The Absorption Area G Ft. A Ft. H Ft. B 10S Ft. Ft. Linear Loading Rate=--;?,) GPD/LN FT J 9 Ft. Design Loading Rate -Z GPD/SQ FT L 10 Ft. Alternate Position of Force Main W L-1 S Ft. L Force B- jr1i K Main A. W Distribution Trench Of °.;� '.. 'AggOWFTE SEW Pipe E SYSTE ane Observation Pipes (An chor securely) DEPARTMENT OF INDUSTRY, LABOR AND H AN RELATIONS ISION " AF SEE .. CO Mound UsiCE ng I Trench For Absorption reea��01 Bed Of lift—'2 Aggregate From Pump End Cop 0 Lost HOie Should Be Next To End Cop Page Of 6 Perforated Pipe Detail End View "erforoted "VC Pipe Install permanent "marker at end of each lateral Holes Locoled On Bottom, Are Equouy Spoced End Cop SYSTEM &tjonatIV PVC Force Main 0 nd P Ftov e1)VaA1@tqS AWR AND MAN L JL% S 1k, Of DV wNRI 'e riuqm% ofA Distribution Pipe - Layouf P S 0 Ft. X 5-7 Inches y S`7 Inches Hole Diameter J Al Inch Lateral 1 �JV Inch(es) Manifold • K- Inches Force Main Z Inches #of holes/pipe 11 Invert Elevation of Lateral s Ft 5-� intervals. Place 1st hole Z<b)/Ifrom tee with succeeding holes at Last hole to be next to the end cap. SPECIFICATMJS PAGE 5 OF • PUMP CHAMBF-R CRO55 SECTIOW WD dc==— 4"C.I. VC KIT PIPE ? 2_51 FROM DOOKO w1moow OR FRESH AIR MTAKE 15"Alli, INLET APPROVED J0114'T LLLV. q 1 - 33 FT- VCWT CAP 71, 116miu. WEATHEK FKO0lr JUkJCTIOLI BOX - CoRADI: 19-1 1 a \ i__ - _mmwmmm_� APPROVED LOCKING MANHOLE COVER WITH WARNING LABEL ONSITE SEWAGTl?%Ytf%TEEM AIRT"IT SEAL r �ov�diEcona�."' IALARIA OFINDUSTRy, LABOR HUNIAN RELATION� j � DEPARTMEN r%mpBLDI%Gs vy IN v ELf APPR R HUMAN IN DI'll B LDW VIS") 106 A ow DIVISION SWT)� now-- �,WENCE _j" OFF SEE cuVhEE PUMP Z D 17 lu �L X C) � I CoklCFLV-TL 5LOCK 4 0 m1wo APPROVED J0114TS L - 3 ill APPRWED KISEK EXIT PLKMIlTf:D OWL!J IF TAWK MAMUFACTURE-R, HAS SUCH APPROVAl— gEoo I NCO SPC Cl F I CATI OKJS DOSE R. PF.P. DXl C BbI WUMbER OF TA W KS-1 tAAMUFACTUR TAWK :51ZE GALLOWS DOSE YOLUME 303.9 �,�t�an�s IiIUCLU0164(a OACKFL-OW: ALARM MAMUFACT UIL66R: cyZC3 Sy3Tc— m s mooct. tjutAbcp.*. CAPACITIES: A= Z9 IkIC14E5 Olt 6 -9B4O GALLOW5 INCHES OK t46.8 4P�LLOLJ5 3WITCH lr%fPLw "MUFACTURCR*0 MEN awwwo ILICKE5 OR 3c3.'9 GALLOWS pUrAp MODEL kJUADE90- le D INCHES OR 5WITCH TVE: Y-11) o_ Q�.r MOTE: PUMP AMD ALARM ARE TO 5E OW SEp&RATE CIRCUITS MIUIMUM DISCKARGE RATE.2_s__)ll GPM VLKTICAL DIFFERENCE SET WEEW PUMP OFF AUD-015TRIbUTIOKI PIPE.- 3l%8_1 FEET + MIMIRUM NETWORK SUPPLE PR,E$5IJKE 10 0 a & a 0 0 0 a 0 lw 2. 5Q FL ET -) FY10 ftFKICTIOU FACTOR + 4 0 FF. ET OF FORCE MIM Y, 100 FEET TOTAL OtlUXMIL HEAD �14709. FEET DIAMETER By IIJTEKLIALft DIMLWSIOW� Of TAWK: LFKlCvTh oWiDTH LIQUID DEPTH 6z '� . BOTTOM AREA 231 GAL/INCH A.q—PRR MANUFACTURER - .39'. GAL/INCH 60F 1� HEAD/CAPACITY CURVE 161, 163 AND 165 SERIES TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING W LLJ W LL SERIES 161 163 165 23 FT. M. Gal. Ltrs. Gal. Ltrs. Gal. Ltrs. 5 1.52 106 401 61 231 61 231 24- 10 3.05 100 378 61 231 61 231 70 MO EL 15 4.57 91 344 60 227 1 60 227 Q 20- 163 20 6.10 82 311.0 59 223 60 227 LU 60 25 7.62 74 280 57 216 59 223 30 9.14 65 246 55 206 ! 58 220 is 50 40 12.19 46 174 46 172 55 206 z >_ 40 50 15.24 21 80 33 125 51 191 o 12- 60 18.29 15 57 43 161 30 0 L 101 70 21.34 1 30 114 0 8- 80 24.38 14 53 20-- 90 27.43 4 W 30.48 10 Lock Valve: 56' 66' 87' 0 GJ LITERS 0 80 1150 240 320 4 LXJ FLOW PER MINUTE Standard all models - Weight 77 lbs. - 20 ft. cord - 1h H.P. 161 MODELS Control Selection Model Volts -Ph Mode Amps Simplex Duplex M161 115 1 Auto 14.0 1 or 1 & 9 - N161 115 1 Non 14-0 2 or 2 & 8 3 or 5 & 6 D161 230 1 Auto 7.0 1 or 1 &9 - El 61 230 1 Non 7.0 2 or 2 & 8 3 or 5 & 6 F161 230 3 Non 3.0 2 & 4 3 & 4 or 5 & 6 *H161 200-208 1 Auto 8.2 1 & 9 - * 1161 200-208 1 Non 8.2 2 & 8 3or5&6 *J161 200-208 3 Non 2.2 2 & 4 3&4or5&6 *G161 460 3 1 Non 1.5 2 & 4 3&4or5&6 Standard all models - Weight 77 lbs. - 20 ft. cord -'/2H-P. 163 MODELS Control Selection Model Volts -Ph Mode Amps Simplex Duplex M163 N163 115 1 115 1 Auto Non 14.0 14.0 1 or 1 &9 2or2&8 i 3or5&6 D163 230 1 Auto 7.0 1 or 1 &9 E163 230 1 Non 7.0 2or2&8 3or5&6 F163 230 3 Non 3.0 2 & 4 3&4or5&6 *H163 200-208 1 Auto 8.2 1 & 9 *1163 200-208 1 Non 8.2 2 & 8 3or5&6 *J163 200-208 3 Non 2.2 2 & 4 3 & 4 or 5 & 6 l*G163 e460 3 Non 1.5 2 & 4 3&4or5 &6 Standard all models - Weight 82 lbs. - 20 ft. cord - I H.P. 165 MODELS Control Selection Model Volts -Ph Mode Amps Simplex Duplex D165 230 1 Auto 9.0 1 or 1 &9 - E165 230 1 Non 9.0 2 or 2 & 8 3 or 5 & 6 F165 230 3 Non 6.6 2 & 4 3 & 4 or 5 & 6 *H165 200-208 1 Auto 10.7 1 or &9 - *1165 200-208 1 Non 10.7 2 & 8 3or5&6 *J165 200-208 3 Non 7.0 2 & 4 3&4or5&6 _*G165 460 3 Non 3.3 2 & 4 3&4or5&6 For information on additional Zoeller products refer to catalog on Combination Starter, FM0514; Piggyback Mercury Switches, FMO477, Electrical Alternator, FMG486; Mechanical Alternator, FMO495, Alarm Package, FMO513, Sump/Sewage Basins, FM0487; and Simplex Control Box, FM0732. 4 4 'AU 1A - I VA NPT 2 - 11 % NPT (OR) 3 , 6 NPT 6 SELECTION GUIDE 1. Integral float operated mechanical switch, no external control required. 2. Single piggyback mercury float switch or double piggyback mercury float switch- Refer to FM0477. 3. Mechanical alternator 41 M-Pak" 10-0072 or 10-0075. 4. Combination starter. Refer to FM0514. 5. See FM0712; for correct model of Electrical Alternator, "E-Pak". wish "E-Pak" 6. Mercury sensor float switch 10-0225 used as a control activator, alternator, 3 or 4 float system. 7. SIMPLEX CONTROL BOX 10-0050, 115/230V, 1 Ph. max. 2HP use one (1) single piggyback wide angle mercury float switch OR two (2) 10-0225 mercury sensor floats for level control. & Four (4) hole "J-Pak", junction box, for watertight connection or wired -in simplex or duplex operation. 9. Two (2) hole "J-Pak", junction box, for watertight connection or splice. *No Molded Plug CAUTION AM jnsWation of contra* MALc devIces and WdiV should W done by a licensed W06ed electricim AA electrical iiiind so" codes sho4*1 be folky*vd hickm&V the ffwost recent National Esectr1c Code (NEC) wW to 000VW0rW SO" and H"M Acl (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 3280 old Millers Lane Manufacturers of O P.O. Box 16347 Louisville, Kentucky 40216 /�93�9 „ o (502) 778-2731 PUMPSSIAKCZ- i SAFETY & BUILDINGS DIVISION le State of Wisconsin Department of Industry, Labor and Human Relations S I BD 64231H. UP91 -- - -------------- ------ - - I .. - - - .1--1. ... .. . 0 SIM 6423 1 R. 01/911 SAFF'ry & BUILIDINq • 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations January 17, 1994L REX STOCKMAN P 0 BOX 40 WILSON W1 t")'4021 Petiti on No, S9?-4.0008-P Dear Mr. Stockman: Re: Rex Stockman - Residence Private Sewage �ystei-,i S9NE,s9928115W Town of Cady, St. r,.','roix County, W1 Your petition for a variance to sections ILHR 83*13 (1 ) and (2) and 83.23 (I )(d), Wisconsin Administrative Code, has been reviewed, The petition has been approved. The rules being petitioned require that seepage trench excavations steal I be 1 to 5 feet in width, seepage bed excavations shall be more than 5 feet wide and have More than one distribution pipe-, and there shall be at least 24 inches of unsaturated natural soil over high groundwater as indicated by soil mottl inn or direct observati on of water in accord with s. ILHR 83.09 (4) (d) and (e) The variances requested were to allow tne installation of a replacement mound system witn a 6-foot wide trench on a site with 16 inches of suitable natural soil All of the data and statements submitted on behalf of the petitioner were considered, This variance is specific to the subject petitior and cannot be used for any additional modifications, Si/ricerely, PABnax Director, Office of Dri�ion Codes and Applicati (608) 266-3080 cc: Leroansky, Private Sewage Consultant - District 6, Chippewa Falls Thomas Nelson, Zoning Administrator - St. Croix County Art Wegerer [it) 028 1 R. 0 1 /V 1) S T c - ioo 'I'llis OPPlic,-Ition form is to be completed in full and signed b I I y t1le 0�'!Jlct(s) Of U10 Property being developed, Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec 110USC), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording, ..rrrrr0..u...+.w...+..rr....rwr..err.rw_wrr-wrr.wr+rrrarrrwwrrrrrw.r-.rr...wwrwrw 0-0 ------- ------ Owner of property Location of pro erty ---.:.1/4 Township — Hailing address 1XC 5 Ic Address of *site LCK 1/4 section-'. C-71 T R./ ZW Subdivision name Lot no, Other homes, on property? ye X_No ye Previous owner of property JJ Total size of parcel Date Parcel was created Af/y OF 62 0 7V Are all corners and lot lines identifiable? .Yes No Is this property being developed for (apec. house)? yes No Volumejr/ and page. * Humber as recorded. with the Register of Deeds, J14CLUDE WITH THIS APPLICATION THE FOLLOWING: A DL'_BD Which includes ct DOCUMENT NUMDERF VOLUME AJID PAGZ T111- , SUL Or- Tllr,, ItEGISTklt OF DEEDS. In addition, a ccVtificd survey, if available, '.:would be helpful so as to avoid dOlt"Y!3 01 the reviewing process, If the deed description referencon. to Q cartified survey Map, the certifi©d Survey Map Shall also be required, PROPERTY OWNER CERTIFICATION 10%'c) certify that all statements on this form are true to the best Of nY (our) knowledge that I (we) am (are) the owner(s) of the Property described in this information form,, by virtue of a warranty deed recorded in the QJCfic'3 of the County Register of uccds as Document own the and that I (we) presently proposed site for 1-1-p- sewage disposal system or I (we) obtained i-Lin eas ement, to run the above described property, for tile construction of said sYstem, and the same has been duly recorded JD the office of County Register of deeds as Document 140. Signature of ap' lica_nt Co-appl cant Date of Signature Date of Sigmature �� �• f`'�fi+ .. '� .(mow r+x - A 1 4 W � gym. t / 323539k , t Ar • n • , q - j1 ' e� � ev Made ends r ft of JJ,jjj1jj J11+ tl � r "Ff r betwaen I , , * ;Martin Dahl and Althe� Dahl, hugb � and? e. r r , »_ • r Rex 4tockman and Wilma: StA99)=aU_, huebitud add *ifq , as 1 n yq , III i#""06'That the said pare f .e a of aw first part, for `and Inoa�dd +�a ' � 4 �t am of s j� "Thirty-six Thousand Five Hundred and no/100 ($309 5O.Cb) " • ( to them. in hand paid by the said part ie s of the second part; the r receipt whereof is hereby i confessed and acknowledged, have given, granted, bargained, acid, remised, ' pleased, iliened, conveyed and confirmed, and by these presents do give, grant, bargain, sell, remise, release, alien, convey and d confirm unto the said part ies of the second part, themselves and their heirs and assign forever, the following described real estate, situated in the county of St. Croix,, and State of 'Wisconsin, to -Tait: • The Northeast Town ' « Quarter NE,�} of Section Nine (9), .. ry Twenty-eight 28) Range fteen (15 subject to .4 Fifteen C ) � B all ' .< ° * ^. ea nts, right of ways n privileges some a dof record " I This deed" is executed by the grantors herein in full satisfaction of the terms of a land contract recorded anOctober 27, 19711 in 4?7, gage 6229 :r #307522, with the office of Register of Deeds, St. Croix County Wisc. " • y : Y , y t^ i ". , • 'M ••.a:^ pd � . „ ,..i., , fr . n . , t f a Y .. . _.' f a .. .r '.r r - "I tea ro , .. ,. • - ., � a ,,," - e+ .b w. ... ... ,., ..,.. ... , .. ,,. . •r - .-..... ,.aq-, ?y},' .. ,.,.,. .a N.. V'w. + } r r x. ' e,}r L `, i+F rF f•,wy. L1 1 , r V y t -'. .. ,,. s .' i • .. '* \*•• • ors ry s .l e M , r • YYY Fm ° " EXEWT , r, j r i L r " � • , r " V i i x 9Dgtt0tr with all and singular the hereditaments and appurtenances thereunto belonging or in anywise PP +� I appertaining; and all the estate, right, title, interest, claim, or demand whatsoever, of the said part ies . ' of the first part, either in law or equity, either in possession or expectancy of, is and to the above bargained premises and their hereditaments and appurtenances. r Ce Inbe anb to oib the said premises as above described with the hereditaments and appurtenances., rx; , unto the said parties of the second part, and totheir heirs and assi ns FOREVER•, i Anb tot $alb ,Martin Dahl and Althea Dahl s . for themselves and their heirs, executors and administrators, do convenant, grant, bargain and 'k agree to and with the said parties of the second part, their heirs and assigns, that at the tingle of the ensealing and delivery of these presents they are well seized of the premises above described, A as of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear from all incumbrances whatever, -- - and that the above bargained premises in the quiet and peaceable poa r sian of the said pant iom. oftle , a L • , wr ; a• :r," s .., V" I'a I -w1 I ... , . , i e T ° ;: S .. r y Al r. t Y ,. • .. . ... , .., k. Vie. - , « •i. ,. .. y.. i u 4` .. a ' Y� ' c '` ,ly,+`- + •r } i Y r '# r. - F d ;. iY C • 4y - r .c+ t r ! kl • , t .. r } , r t A �.2- Z���f �► Ale //F", 6pV !0/9 -3o S41 N� Ic % T2�N NC T,2g,�A �sw Ic of Industry, SOIL DESCRIPTION REPORT Safet & Build I ngs Division misconsin DepartmentP.O. dox 7969 Labor and Human Relations (Attach Soil Profile Location Map - To Scale - On A Separate, Signed Sheet) madison, Wl 53707 Page 0 f L-/ Pit No. Elevation ��n-S Soil Survey Page No. �Eso Mapped as -Soil Evaluation Date Currenf Land Use or Vegetative Cover Parent Materials Customer Name �-- I Estimated S a oweFt Groundwater Flood Plain Elevation Customer Adrress LAj S 14 Tax Parcel No. SE I IV - QE JIV <) 0 q - 10 1 9 - L�/,-) System Loa_d�ing Rate in Gallons Per Sq. Ft, Per Day County <I, -2 OCI - System Geometry and Depth IQ. -L(3 S�ope a Aspect L - Lot Legal -Description I) SEC9 I T_ -2, J� �LAJ 7- Q� LAJ v_3 F 1-1 t'l 1� �.,Y1 �'�3x =.�� � � � Structure Remarks: clayskins Loading Horizon Depth Dominant Color Mottles Roots Boundary ores, PH, and other G PD/ft. 2 1 n. Munsell Qu. SZ. Cont. Color Texture Gr. Sz. Sh. Consistence k Z V S c� Alt 01- _S; S V R_ 20 S C-A ia '3 5 2S qBPS 1-1Z 31Y Remarks: 77, -B --j 'S Additional R CD CC, ... L r— Other Site Features: _P CO CST # C" pth: CST Signature Date Signed Telephone No, Limiting Factors/De SOIL DESCRIPTION .REPORT Safety & Buildings Division of Box 7969 Wisconsin Department of Industry, -Olt Labor and Human Relations (Attach Soil Profile Location Map _ - On A Separate, rate, Signed To Scale p g Sheet) Madison, W1 53707 Pit No. lr Soil Survey Page No. eso a Mapped s �.- 'NS IN ----�- s Page � of MNMEMWENM�Elevation -Customer Name _ �� -Soilva uat on Date current Lind use or Vegetative Cover Parent Materia s t ��' - T't LL S�'v Cam" 1"�Itw t]V g g ' �L �t..p -- �M_h9 �' S F oo Pan Elevation Estimate Shallowest Groundwater ustomer Address �. S ar-.) b`7 Tax arts o, S !(V-� j(� 00 y_ 10 1 9 - '� system Loading ate n Gallons Per q. Ft.Per ay ounty ooU- lolq- 3u 1 co. Z System Geometry an Dept pe an Aspect --- Lot estr�pt on Lega ' is Lzt> Remarks: clayskins Loading Horizon Depth . Dominant Color Mottles Structure ' Roots �oundar ores Hand other GPDIft.2 fin, Munsell u. Sz, Cont. Color Texture SL Y"nu.�M �5 y I u 7�4 �•Sy�z 3Jy — y �q-z3 �-5�1� 3Jy �•s YQ s/a cz 31Y �-S y�z s�8 Additional Remarks: C4-bk wn v �� SI -TI �Ll o �.S C._S Other Site Features: � J � �, i SST• �\ (S� JET Date Signed Telephone No. CST # Limiting CST Signature Factors/Depth. 4-nn 0j")(% OL, n• ,nA1 '- Safet & Buildings Drvisian u tr SOIL DESCRIPTION .REPORT Wisconsin Department of Industry, P.o. ox 7969 Labor and Human Relations • - Tn Stale - on A Se arate, Signed Sheet) Madison, W! 53707 � t M � Pit No* tAuath Soil Profs a Loca ion ap � � Page � of Elevation - � L° Soil Survey Page No . � Mapped as � �. �'• S � � ------ �___._ Soil Evaluation Etion Date Current Lan Use or Vegetative Cover Parent Materials e r Lot Legs Description S )1 z — �(E 1/ Horizon I Depth 1A 11.E -CV.� Y13 , LA J 1 - r---,, (-I -T- --;� v �_ \ . o x C i .' _�_« w K.� n F7 (2- t�A 1'�) Additional Remarks: other Site Features: Limiting Factors/Depth : CST Signature Date Signed VVV F 1pll f ti.Fti ■a+•�v� I— .—r-—S14-15 6jzo - Telephone No. CST # SEPTIC TANK MAINTENANCE AGREEMMU St. Croix County 0 C� OWNER/BUYER a-, t�-Ivx-y ADDRESS: --FIRE NO: LOCATION* 4, 1/4 SEC T �Y N-R.ZLW, MEMO TOWN OF:� ST*OIX COUNTY SUBDIVISION:— _LOT NO* Impr' ' Oper use and maintenance of your Septic system could result In its premature failure to handle wastes. Proper Ou consists maintenance Of um out the septic tank every three years or sooner, 1"f needed, by a licensed septic tank Pumper. What y®u put into the system can affect the function of the septic tank as a treatment stage in the waste disposal systemi St. Croix County residents may be eligible to receive a grant to hclp w*th the cost of the replacement of a failing system which was in operation prior to July 1, 1978e St Croix County accepted this program in August of 1980, with the re uirement that owners of n1l new systems 3 maintained, agree to keep the r sYstem ro er y The property owner I agrees to submit to the -St. Croix County Zoning a Certification form, signed by the owner and by a master plumberr, journey -man .plumber restricted plumber or a licensed Pumper verifying that (1) the on -site wastewater disposal system is in proper operating 'condition and (2) after inspection and PUMPin.9''(if necessary)f the septic tank is less than 1/3 full of sludge and scum, Certification from will be sent approximatel 30 days prior to three year expiration., y I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system.'in accordance with the standards set forth, - herein, as set by the Wisconsin D14R. Certification form must be completed and returned to the st. Croix County Zoning Officer within 30 expiration date, days of the three year SIGNED:"- L DATE: St. Croix county Zoning office 911 4th St. Hudson, W1 54016 a! s ` • f Industry, V�1�scQns�n Department a y, DESCRIPTION .REPORT & Buildings Division SafetLx P.O. 1959 Labor and Human Relations, � (Attach Soil Profile Location Map - To Scale - On A Separate, Signed Sheet} Madison, WI 53707 Pit No . Elevation ' ti soil Suave Page o , cD mapped a s S � -�' � 1 y g � PP Page of Customer Name of Evaluation, Date Current Lan Use or Vegetative Cover Parent Materia s r Customer A ress Estimate a 5 owest Groundwater Flood P ain Elevation County TaxParcel NO. 5jE!jV _K3E 1 jY a a q _ 1 o l q - -/ u System Loading Rate in Gallons Per Sq. Ft. Per Day Lot Legal Description � System Geometry an Dept L�] . `fit]`` 5 pyu� l�'1 Uhl' W ` t b S r ope an Aspect S P, � j D 1��Z` 'tW � ice,] tQ F C'� , Lzb Horizon Depth . In. ' Dominant Color Munsell Mottle s Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Roots Boundary Remarks: clayskins ores H and other Loading GPDlft.2 , I \ i S16k yy� -�j n- Z ` jj\\ {fir 4j/ 4 y- tJ , • S 3 ��-19 �•S�t�Z 3/,� _ s 1 � c"k w,v�� as y y \q-Z3 �-SY� ��y � sYec�,..Vk ,rr,v��- �S c z CSL S Z3-35 �-S Y%;�_ 31y -,.S y�j sID m Additional Remarks: Other Site Features: Z�i Y \ Z_�' x _Z' I E,::s T_ - NA 9 0 _:: --- "'�`" CST 9 P Limiting Factors/De the CST Signature Date Signed Telephone No. inn Q--)A REPORT Safety & Buildings Division n in Department -of Industry, SOIL DES PT oN P.O. Box 79'68 W sca s p n Y� n �JVf 537�7 Labor and Human Relations _ Madison, (Attach Soil Profile Location Ma To Seale - on A Separate, Signed Sheet J .� --, Page of u Pit No. Elevation -� Soil Survey Page No. �c:� Mapped as � `�. N S 1� -�---. ---� - `- 41 Eva uatian Date Current Land Use or Vegetative Cover Parent Materials Customer Name rl-- . - - r _ _ _ _ _ � , � `r nil \g"� TvIUL Lot Legal Description 1 Z Horizon I Depth . lA_l\�_.gn�13.I r r --, C-1 -T- -7 a k i . t-) i C t . '\ - t\ 1 A-) to N n ; c'a A ' `% Additional Remarks: Other Site Features: E S-7'. ,--�-r ),to It Limiting Factors/Depth: CST Signature Date Signed kernarks: clayskins Leading %r%rac nH Anri tether GPDlft.2 M ---) � ) L4 Z S i �' G-S S-,) 6 Telephone No. CST # 'r-j1,14(:� Department of Industry, SOIL DESCRIPTION REPORT Safptv & Buildings Division • Wisconsin P.0', dox 7969 Labor and Human Relations (Attach Soil Profile Location Map -To Scale - On A Separate, Signed Sheet) Madison, Wl 53707 o f Page .. Pit No Elevation Soil Survey Page No. <�so Mapped as \3 S VA Tl-� F Customer Name of Evaluation Date Current Land Use or Vegetative Cover Parent Materials "SCAM k�s Estimated Shallowest Gro it Customer Address undwater Flood Plain Elevation NA, -)I V- q ViM , W I Lot Legal Description e— I I - I ti — i ) C- r-- I- r], -'v- \ i .- i t.- N n s= ev A v%\ t„ Additional Remarks: -- � _YZ j 41E� L- I S X OY)G. t RLLt Other Site Features: cD S- C Limiting Factors/Depth'. CST Signature DateSignedTelephone # /*9 1 SYSTEM 1TE SEWAc'E tlorta OYS oft P'NO I DCPARTPIlENj �s��y � SEE T rii EtL I v) Al _Mx 7 � G EE Z. OF (M -4 [fir CN- -V—���SLL E X, N S 'Pkj (S Tpq%jk jcrr PP en, 15 levations unless otherwise noted. ch lateral. 2. required) oved caps. z required) ity manufactured by revent ponding at the uphill side.