HomeMy WebLinkAbout022-1046-60-100
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F B T 7 111994 b~
J&%Ms OrONNELL
g Register of Deeds
512801. at Cr* Co. m
CERTIFIED SURVEY MAP
LOCATED IN THE NE1/4 OF THE SW1/4 OF SECTION 16, T28N, R18W, TOWN OF
KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN
"OWNER & SUBDIVIDER NOTE: E-W1/4 SECTION LINE
CATHERINE R. QUIGGLE & BEARS S88°40'40"E
DAVID A. MUNKITTRICK
1108 TOWN HALL DRIVE N1/4 CORNER
RIVER FALLS, WI 54022 SECTION 16
CENTER OF SECTION 16 T28N, R18W
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CENTERLINE POINT OF BEGINNING co
W1/4 CORNER OF ROAD ,n
SECTION 16 - - - - - - - - - - - - -
T28N, R18W 2282.63' 5.20
(PK NAIL, _ IQ HALL RO8D5.89 6.00'
FOUND) S88040140"E 300.00' X50' 2662.39
Q E.-.W.'I/4 N88048
2 '30"W 299. 98'' - E1/4 CORNER
U SECTION LINE 27.80, •x.11, SECTION 16
W v~l T28N, R18W
QI 100,
'
rX4
¢I HIGHWAY SETBA K LINE QI
ul)
a _ ~i zl 110
~ x ¢I
M H A! o o o m
W cn r,l o ' 0 1°, rn
C4 O F--1 00 o I 00 CN 00 QI M
E-i H ►--I • °D 0 0
WI N 0 M ul) 3~ LOT 1 Ln W f--I w z `n
JI ~ un o I-I o
cL! _ ~
± o ¢I
zI o 4. 0 0 0 AC.
0 174246 S.F. ± o
SCALE IN FEET =I o o J o
z INCLUDING TOWN ROAD a-1 o
zI z
0' 100' 200' 3.811 AC. ± ~I
166013 S.F. ±
EXCLUDING TOWN ROAD
. C;1^s1r;lf
50
N88040'40"W 300.001
LEGEND
SECTION 'CORNEA. MONUMENT, D E •L g :I I E D L ghl D 5-
FOUND, UNLESS NOTED. S1/4 CORNER
0 1"x24" IRON PIPE, WEIGHING SECTION 16
1.68#/LINEAL FOOT, SET.
• 1" IRON PIPE, FOUND. T28N, R18W
THIS INSTRUMENT DRAFTED BY DARIN FLATER
PAGE 1 OF 2
VOLUME 10 PAGE 2730
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AS BUILT SANITARY SYSTEM REPORT
SUBDIVISION / CSM# a t LOT #
SECTION /45^ T-a N-RAW, Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
6 w a ' ~i/
iDG D ~ G
s 14
6k~
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
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BENCHMARK:
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: ~`GLu.c~g7`~,.1 Liquid Capacity: Z~2,0d
i
Setback from: Well 3,or House ~,7a Other
Pump: Manufacturer /,~J• Model# i3 Size
Float seperation Gallons/cycle:
Alarm Location a ter
'i
SOIL ABSORPTION SYSTEM
Width: Length / Number of trenches
Distance & Direction to nearest prop. line:
Setback from: well: House Other
ELEVATIONS
Building Sewer ST Inlet. ST outlet
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system
Existing Grade Final grade
i
DATE OF INSTALLATION: ~ / q
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR:
3/93:jt
'goad
L4 T part4p fA;inic.16.284VA'FE SEWA t SYSTEM Town Hall County:
Lafeta Human Relations INSPECTION REPORT
Safety an d~3uiEdings Division
ST- rRQTX
GENERAL INFORMATION (ATTACH TO PERMIT) ` Sanitary Permit No.: 208923
Pe,G?%. Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.:
PENIREIT
lev.:
Insp. BM Elev.: BM Description: innickinnic Parcel Tax No.:
TANK INFORMATION ELEVATION DATA A9400044
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELE.'.
Septic /2 I&LJ141 J ! ti's Benchmark
.3 00-
Dosing
6
Aeration Bldg. Sewer
Holding St/ Ht Inlet / j
TANK SETBACK INFORMATION St / Ht Outlet
Vent
TANK TO P/ L WELL BLDG. Airito ntake ROAD Dt Inlet
Ar U.j4~ //,tom
Septic >a S 'a$ - ao~ Sd,; NA Dt Bottom $7 21
Dosing ~a 5 >~,S / a 5 ! , Z.() NA Header / Man. W, 7
Aeration NA Dist. Pipe q,0-7
Holding Bot. System ?7,
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand
Model Number / 9~3 GPM I'
EFcemLaiiftjn Lriction,16 S stern TDH t~;VFt
Length Dia. HH~ ~ u Dist. To Wellta
SOIL ABSORPTION SYSTEM
BED/TRENCH Width 1 Length - No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS I DIMENSIONS
LEACHING Manufacturer:
SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM
INFORMATION Type O CHAMBER Model Number:
System: fi-tt, 0d'4) > 5 510 OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length A- Dia. 0 ~I I Length 00 Dia. 1b Spacing I ~Iq 1l I I Y~t
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over / xx Depth Of xx Seeded/ Sedrfed - xx Mulched
Bed /Trench Center 1Uu Bed/ Trench Edges Topsoil (p 1 dyes ❑ No R?ryes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: Rinnickinnic.16.28.18W, NE, SW, Lot 1, Town Hall Road
Plan revision required? ❑ Yes ❑ No
'Jse other side for additional information.
D-6710 (R 05/91) Date I pector's Signature Cert No.
ADDITIONAL COMMENTS AND-SKETCH
f SANITARY PERMIT NUMBER: '
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D~LHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code CO e rD
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than z?q a 3
8% x 11 inches in size. ❑ Check if revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
7" '/a, S T _2 , N, R E (or)~o
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
ey ~alCs' 12 S- 70 C
II. TYPE OF BUILDING: Check one CITY NEAREST ROAD
( ) 1:1 State Owned FN OF: VILLAGE /2d
.4/i Q'
C G1.~/ ~41 If 2d
Public Rj 1 or 2 Fam. Dwelling-# of bedrooms PAR EL TAX NUMBER(5)
III. BUILDING USE: (If building type is public, check all that apply) Q~ r~ ~.-,Oyu -{G TG A
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
40 Church/School 80 Mobile Home Park 120 Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. [K New 2. ❑ Replacement 3. ❑ Replacement of 4.E] Reconnection of 5.E1 Repair of an
System System Tank Only Existing System Existing System
B) ❑ 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 Mound 30 El Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 L In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
4 -S-0 .SrG et- Feet Feet
VII. TANK CAPACITY Site
in allons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper.
INFORMATION New istin Gallons Tanks Concrete structed glass App.
Tanks Tanks
Septic Tank or Holdin Tank G0 l r (,JL ' I- Lift Pump Tank/Si hon Chamber, 614 &-a t I M]E 0 1 L1 F1
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system show on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps) /MPRSW No.: Business Phone Number:
Plumber's Address (Street, City, State, Zip Code):
1070 .Seo'
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Si
❑ Approved ❑ Owner Given Initial Surcharge Fee)
Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time cif renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. 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
submitted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
111. 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 replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Departmeot Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement 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
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 foam; and F) all sizing information.
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 monitoring groundwater, ground-
water contamination investigations and establishment of standards.
I
SBD-6398 (R.11/88) !n
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ULSRICHT & ASSOCIATES CO.
655 O'Neil Road • Hudson, Wl 54016 Reg. De
Consul Systems
Prisigers waEgngi
715-386-8185
PROJECT INDEX
DILHR Plan I.D. # rjgl~-00 2.SS Date =era. 1,9 tf-
Owner 13ENEDrCT Phone Z1 5- qi5 -'77/4
Address 107 3? i U£ K -.DR . R i ue R FA I I S L01 5. 5 yO 2.2_
Legal Description Lo T-- * ( C-.S /~j 512.80I Vol • 10 , 2030
QE 5cc) 5ec-. I(o, T'2811), R Ie W
Town of kiNNi GK I "Ai C- County 5117. GRUt' K
C.S.T. eR, Vi-9R C-kT C-S --m 2-q ?2- Installer
Local Authority/ Supervision
ST. C R o i x GO c.w T Y Zoa
PROJECT DESCRIPTION
New c0AuSTRVC1"1'0 N3 - uet-v 5 Pr1•C- 5 y5TE,-1 .
4VA-% J=- I'S P Qo pos eu - O~i c•~ y ~sr,'~9 k T ~'Z~ ~v~s rE-~i ,
&0 0 IQ s .
50(I S t N jj_ J S T- APE- ~ C IQMi ~t ~1 ~ C . s G P D I 'F} Z) wt'C1~-
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LvCdt.. -f9AC vReV 1.1*1LAE'S7aa
19-
5foo&r QE/Al') S. S . oIR t' 2~0,t.55 - ~`1ou.~p ZlSr'A-)G-
(a.." SAND f c( is pp-opos &D .
Pg.1 PLOT PLAN VIEWS ~S-VEM
5 ,rFaapSS
~yoI
I11~M •,,~0>.••'..Y S .,~ePg .2 SYSTEM CROSS SECTIONS P IEw.q
'!(4~ pg.3 PIPE LATERAL LA1O~~~ ~~low{~$
D1160
Pg.4 DOSING CHAMBER CROS SE ND Gs; rte, twos k
~s~4 Nv WIS.
P9• PUMP -PERFORMA N CE S N S~ PFD y. 810 s~ 594- 002 55
11-411
zP
qWSITE SEWAGE SYSTEM
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ELATtoas
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A r, DEO TMENT OF D ,RY,111BAR
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15 ~
126P
97,
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- Vibe ~~ea Y~ belo~ 1h~ dowasiop~ edgy of e
ail ON O,1011 mud 11Niftw.
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Prior To Plowing- Installer will carefully '
shift or orient ,ound position k toe line
and area under bed agoregare) so grow,d
elevations across slope are as uniform as
possible. Suggested elevations (staked on
site with lathe marker6) are shoTm herein 9 ••Q 2 5
and on pg. 2.
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SE' 'e or I
t lE CATVUAJ 100,0
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~GEUr]rion~S rop OF ROCK
Page _ Of S
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Top of y - 1aT~nLs c1 3s
Synthetic Covering
Distribution Pipe
Medium Sand
• s y SrEH
" - c ErEViFnoN
Topsoil F 7, 70 '
- 3 E rJ ~~1
3 ~
u
S to Co % Slope uN>~ R Fat c7
Bed Of Force Main Plowed '
Layer • 7 0
Aggregate
Vo foxPM roE' G•~vE D t, Ft.
'
Cross Section Of A Mound System Usir E Ft.
SSA F Ft.
A Bed For The Absorption Area •
pG~ gY G ( Ft.
~a4 A 8 Ft. H ~•S Ft.
pNS~T~s~
B C~3 Ft.
R Z10 K' Ft. I 58
N
~~gOR DAD ► G L _ Ft. $ `I . l8
1N 8 Ft.
~pp~~ME~~Nis r~E - l5
~N f Ft.
EE CO'RR~ForcCe Ma . n W 3 Ft.
S
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77- -1
r Observation Pipe
W
-
-----Distribution Bed Of 2
Pipe Aggregate
Observation Pipe Permanent Markers
y PvG C~PPEl~ STEEL ,POoS .
LL J
S94- 002 55
Plan View Of Mound Using A Bed For The Absorption Area
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Page 3 Of
• VO/0 1101VM6- ~o,e ~5 rJ. or ~'vc FORCF
Y14ce /45 r Xo/E Perforated Pipe Detoll
Z(P,1'6 T Fob Dill v~E
VA( v,9 i I'oA..) ~
End View
Perforated
End Cap) PVC Pipe
1 . ~
'4c<%o o~~e
Holes Located On Bolfom,
v~ Are Equally Spaced
R
P
w -
Q PVC
( Manifold Pipe
Distribution
ISr Pipe
Hole Should Be
Neat To End
MkN,iolD /
Distribution Pipe Layout P Ft.
R y. D
Fr. of f'(/G X ~O b Inches
- Y Go Inches
pNSITE SEWAGE SYSTEM Hole Diameter y~ Inca,
' Lateral ~ i. Inch(es)
Manifold Z- Inches
nches
E
Force Main I
APP IND BOR DAIS of` holes/pipe t 3
DEPARTNSNT OF
DIVISi ETY 96 0
Invert Elevation of Laterals ~8• Z Ft.
S94-00255
• TISTR030rio,J 115GHR RGE RATE FOR EPs,C 4
L,A7ER AL . rRnr OTiS rP5 Z-7
15
TOTAL-- "DiSTR1c3urlo,--j V1ScHAPG E RATE F0 P,
i
K)e Tiwo R k 30. q 2 _
- c~~ Mi►J ~ 2'~ 'Al ~VM
U.
E~ i CTi►~ - u 5 i a Cr- . M ('A.~ f' .y v' M R 6-tG~-
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PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ,}GE ~f of S
VENT CAP
'i"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING
JUNCTION BOX MAIJHOLE COVER
25' FROM DOOR,
WINDOW OR FRESH 12"MIU.
AIR INTAKE
"r►T/O' GRADE I ti~ MIAJ.
l~ , I
zl_ D I ~ 18" MIAI.
i CONDUIT--
CI
I87r5o 0 PROVIDE I
INLET AIRTIGHT SEAL I III
nn I III
5 YE I III APPROVED JOINTS
APPROVED JOINT A IN I I I W/C.I. PIPE
W/C.Z. PIPE DtA ' I (I I EXTEWDIWG 3'
EXTENDfAI(a 3' ALARM ONTO SOLID SOIL
OWTO SOLID SOIL B l~•
7f 1
3.3 I I ow
pp c I I
b~!5~
ELEV. FT. I PUMP
~ y OFF
D 3
L BLOCK
0 11. O RISER EXIT PERMITTED OIJL4 IF TANK MANUFACTURER HAS SUCH APPROVAL
SEPTIC E 5PECIFICATl0KlS
DOSE µiDwr`~TERN JVI`CA57- IJUMBER OF DOSES: PER DAd
TANKS MANUFACTURER: l DDO ISo
TAWK SIZE: GALLOMS, DOSE VOLUME /ft ALARM MANUFACTURER:
LEVEL- A-IARM • INCLUDING BACKFLOW: GALLONS
'D• V, L- CAPACITIES: A= 4 INCHES OR ilo0 GALLONS
MODEL IJUMBER: c
SWITCH TJPE: MERCVR.y r(O^T g. 2 INCHES OR 5~ GALLONS
PUMP MANUFACTURER: Z-D~lleg C= WCHES OR ?l ~ GALLONS
MODEL NUMBER: 13-7 Yy kt P 115 V. D = I S INCHES OR 3 ~LO GALLONS
5WITCH-TYPE:-pc (SA(-K ME'RcuRY FIOiIT - ►JOTE: PUMP AND ALARM ARE TO BE
3,5 GPM INSTALLED OM SEPARATE CIRCUITS
MINIMUM DISCHARGE RATE I2.7
. FEET ?A~k S~ECS^~•
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.
+ MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET EAC(A- O~' P~
85 FEET OF FARCE MAIN X 2 05 F'00 5 ({~UJ11S 2- S
H. FtFRICTIOU FACTOR.. FEET ~A/Sr /Ij TOTAL DYNAMIC HEAD = 1&.9 S FEET
INTERNAL. DIMENSIONS of TANK: LENGTH ;WIDTH LIQUID DEPTH
S94- 002 55
ONSITE SEWAGE SYSTEM
A
DEPARTMENT OF U Y, R- A A LATIONS
DI SAT: AN DIN
t
SEE CORRESP ENCE
r
HEAD CAPACITY CURVE 3 7 4
MODEL "913" 4 5/8
30
8 2
I 3 II5/8
6 + +
15 4 3/16 a,t
e
~ 4--
to-
1 i/2-11 1/2 NPT
2 A ,k10
S
0
U.S. GALLONS 10 20 30 40 50 60 70 80
LITERS 80 160 240
0 FLOW PER MINUTE
TOTAL DYNAMIC HEAD/FLOW PEA pn1UTE
EFFLUENT AND DEWATERING
CAPACfIY 12 •
HEAD UNITSIMIN
FEET METERS GALS L7RS
5 1.52 72 ?73
{ 10 3.05 81 231
15 4.57 45 110
3 5/16
L-j
20 6.10 25 95
n IF)
Lock Valve ! I'
S94-00255
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and
supplied with an alarm. three phase systems.
• Mechanical alternators, for duplex systems, are available with or a Double piggyback mercury float switches are available for
without. alarm switches. variable level long cycle controls.
SELECTION GUIDE
l Standard all models - Weight 39 lbs. - /a H. P. 1• Integral float operated 2 pole mechanical switch. no external control required.
2. Single piggyback mercury float switch or double p.agyback mercury. Moat
98 Series Control Selection switch. Rater to FMO477.
Model Volta-Ph Mode Amps Simplex: Duplex 3. Mechanical alternator 10-0072 or 10-0075.
M98 115 1 Auto 9.0 , 1 or 1 & 7 - 4. See FM0712. for correct model of Electrical Alternator, "E-Pak"
N98 115 1 Non 9.0 2 or 6 6 3 or 4 6 5 5. Mercury sensor float switch 10.0225 used as a control activator Pecify
098 230 1 Auto 4.5 1 or 1 6 7 - duplex (3) or (4) float system.
6. Four (4) tole "J• Pak". )unction box, for w idepight connection or wired-in sim-
'E9B 230 1 Non 4.5 2 Q.r.2 6 3 or 4 6 5 plex or duplex operation, 104002.
7. Two (2) hole "J-Pak", for watertight connection or splice.
CAUTION
For information on additional Zoeller products refer to catalog on Combination Starter, FMO514; All Installation of controls, protection dices mW wiring should be done by a
qusN-
Piggyback Mercury Switches, FMO477; Electrical Alternator, FMO486: W.--cimnical Alternator, tied licensed electrician. AN electrical and adely codes should be followed hlelud-
FMO495; Alarm Package, FMO513; SumplSewage Basins, FMO487; and :simplex Control Boa, Ing Ow noel recent National Electric Code (NEC) and Ow Oocupedonal SarMy and
FMO732. Health Ad (OSHA).
RESERVE POWERED DESIGN
For'unusual conditions a reserve safety factor ~s 6-16ineered into the design of every Zoeller pump.
MAIL T&,P,O. BOX 16347 Manufacturers of...
` Louisvif"5. KY 40256-0347
SHIP TO., 3280 00 MillerS Lane
0 ZZ71ZZZ- O. Lortisvidrt KY 40216 QUALr1rAANPS SAK-7 9f Al
) 778.2731 9 Fm ('502) 774.3624
(501
4. 490.11&6~1e-
Wisconsin Department of Industry,
Human SOIL AND SITE EVALUATION REPORT Page of 3
l loo :arxJ Re lations
liltl;n o4 Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
sr c,~~X
Aftach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but J
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: ~3~,u~0~•C% 6 je,4AJT PROPERTY LOCATION
GOVT. LOT ~VF 1/4 S~ 1/4,S T 2.t N.R I? E (o W(
PROPERTY OWNE ':S MAILING ADDRESS LOT # BLOCK # SUBD. N~ C ND/I
/073 R:v~2 Doe.
CJIY STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE N NEAREST ROAD
KivE~ ~irllS 4/i 5"Yo2.2. ( Ivy) yLs- f 7i0 ,;~~vr~ .;r.,~.•c. To4vv f1,4.11 fat?
[Oew Construction Use ( c]lesidential / Number of bedrooms [ ] Addition to existing building
j ] Replacement ( ] Public or commercial describe
Code derived daily flow (00 O gpd Recommended design loading rate S bed, gpd/ft2 trench, gpd/ft2
Absorption area required S'GU bed, 11:2 5-00 trench, 1111:2 Maximum design loading rate bed, gpd/fttrench, gpdm
Recommended infiltration surface elevation(s) •~-e-e ( 3 ft (as referred to site plan benchmark)
Additional design / site considerations S~'TE SU-1740: 4 - a r, L~ j!4?),0e A!O V-c00
Parent material -5C-5 93 ku t'Ck"N 51'4t- s~~ STS Flood plain elevation, if applicable ~•4 • It
ov -4k
S = Suitable for system CONVENTIONAL MOON IN-GROUND PRESSURE AT-GRADE SYSTEM INRLL HOLDING TANK
U = Unsuitable fors stem ❑ S $t7f l❑ U ❑ S O'd- ❑ S [ 1 ❑ S ❑ S &b-
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence BoLrxbty Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed tench
;X
/ow 312.- a.f, 50,t %ufR
1
-2 A-1 f
Ground 1%, 2-5-' 3 7• S yR 161 Z, f, Sbtk v-f~ C S 2f- . 5 . Cp
~7 ~z-- ft. 3.L-yk 7•5y12 Yl s/ 51 1,-f Sbk fR S . S
Depth to C ~ 40 ! 41 S ° of yip n~f ti ! rv
limiting " k
factor ~l•~o~..> C Co,r, IFr'.~+~ flO~ $ D ~o
32.
wrs *VS'
Remarks: 4{-;'iLe2to--)~ `C oallaS-1t'011*-F" By 19Cr/ a J;f 4 f3eppoc.K
Boring # a.. /OVA 51 / 21 SA6t A10 VfA C S ' , 5
_0i 5,
; z -2•S yR Y/ 5/ 2-J, sb 4,, vf,e .
Ground
elev 135,&.37 7•5 VA 3/2- ~ s •K- s/~ Sl -F 9~ v-F/2 c S • Y ` ~S
fs, -tip ft.
L', - S~ yie G/ ;5;.°
Depth to /o 0, 0f, AMufR :z e "P op
limiting l0 , 0f,, 4v%,e f1• - Aa
7 L S
1 .7g yjQ l jc/e
fac u
s Remarks: A~~r,~i'f/o~v BED R-0Clk X21
CST Name:-Please Print f ob e;eT Phone: '13•, 396 g!~
Address: &5.5 Dr et/R. C kP • 4-009OA3 W t. 5 yo" CP I2"- LS 3 GS}~'•i y11~L
Signature: Date: CST Numt,dr:
zf✓~I '
4u I Aj,YE'R TES 7-
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Ffe ob T . PAit7-0 Soaa
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ORIGINAL
r
PROPERTYOWNER f3. rrRh aT' SOIL DESCRIPTION REPORT PageZ- otr 3•
PARCEL I.D. #I
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BaMary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed tench
r
3 to i2 3/2- Si/• 2.f s b e t+ L) Pie 5 z- s
Jill 2. f=
'7 20 lo Yoe
13,
(3L. -t 171sYR y/ci 51 25kk .►~vfR o S
Ground
elev.
q5,9-0-ft 133 /D y/2 311-- -F• 5 S l.f, f~. nM-Fie cS • y • S
Depth to C • (,.C /0 y/2 G/ S 9R N N
limiting
fac^tor ~r
tits i 20 11C, Go v 7r~1r s Li;K fo.~, APe/f d:- TS
Remarks:
Boring #
Y
Ewa
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
•'ivi.YV.~M
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
,mm, -gi
Ground
elev.
ft.
Depth to
limiting
factor
Remarks-
eon ooon,o non m
t
J A
i
d
-
i
S>~9 R't 0 vv T' rr,
a
ffUME S i 1'~` u+
f,0 A3
r
L3 97 zo "
r
M
3 5- eo
-50666 STE D Sy STEM r3z ,
1
sA O p F 9 7 70
i
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5~,~~Eyo.2's zP 4r
5~' L o T <oR~ t ~e
f- LEUATiOJ
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0
CERTIFIED SURVEY MAP
LOCATED IN THE NE1/4 OF THE SW1/4 OF SECTION 16, T28N, R18W, TOWN OF
KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN
OWNER & SUBDIVIDER
CATHERINE R. QUIGGLE &
DAVID A. MUNKITTRICK
1108 TOWN HALL DRIVE N1/4 CORNER
RIVER FALLS, WI 54022 SECTION 16
CENTER OF SECTION 16 T28N, R18W
CENTERLINE POINT OF BEGINNING o0
W1/4 CORNER OF ROAD
SECTION 16
T28N, R18W 2282.63 5.20'_ IQ1~N HALL ROAD 89
(PK NAIL, - ' ~0 6.00'
~o
FOUND) S88°40'40"E 300.00' `O
50' 2662.39'
Q E.- W. 1/4 N88-48'30"W 300.00' E1/4 CORNER
z SECTION LINE 27.80 27.11' SECTION 16
T28N, R18W
col
w cad 100'
w
w _ zl
¢I HIGHWAY SETBACK LINE Ql
Z "o J,
c4 = zl
w x ¢I _
w H
0 0 JI N
-i11 0 0
W cn
E-1 14 rn ~n
H OH I-I 00 00 00 00 QI
`n wl N
¢I 3 Ln w F-I W
'n Ln
JI o 0 i`-1 0
cam! - ¢I
zl a 4.000 AC. ± a
SCALE IN FEET 0 174246 S.F. ± 0 J1 0
Z INCLUDING TOWN ROAD 0 0-1 0
Z
zl
0' 100' 200' 3.811 AC. ± ~I
166013 S.F. ±
EXCLUDING TOWN ROAD
50'
N88040'40"W 300.00'
LEGEND
® SECTION CORNER MONUMENT, U N E L A T T E D L A N D S
FOUND, UNLESS NOTED. _ S1/4 CORNER
0 1"x24" IRON PIPE, WEIGHING SECTION 16
1.68#/LINEAL FOOT, SET. T28N, R18W
• 1" IRON PIPE, FOUND.
I
THIS INSTRUMENT DRAFTED BY DARIN FLATER
PAGE 1 OF 2
J
r ~ ~ I
FEB - 7 9994
JES O'DONNELL
CJ~ ReQsfer of Deeds
512801 S.cr* Co.va r
CERTIFIED SURVEY MAP LOCATED IN THE NE1/4 OF THE SW1/4 OF SECTION 16, T28N, R18W, TOWN OF
KINNICKINNIC, ST. CROIX COUNTY, WISCONSIN
OWNER & SUBDIVIDER NOTE: E-W1/4 SECTION LINE
CATHERINE R. QUIGGLE & BEARS S88°40'40"E
DAVID A. MUNKITTRICK
1108 TOWN HALL DRIVE N1/4 CORNER
RIVER FALLS, WI 54022 SECTION 16
CENTER OF SECTION 16 T28N, R18W
M
CENTERLINE POINT OF BEGINNING ao
W1/4 CORNER OF ROAD +r~
SECTION 16 - - - - - - - - - - - - - - - - -
T28N, R18W 2282.63' 5.20' ' 110 (PK NAIL, i TQ~N HALL RDAD5.89 6.00
FOUND) S88°40'40"E 300.00' X50' 2662.39
A '
E.- W. 1/4 /4 CORNER
N88°4 8'30"W 299•.9.8 El/4 SECTION LINE 27.80' 27.11' SECTION 16
W NI T28N, R18W
w QI 100'
rz zl - NI
0 In ¢l HIGHWAY SETBACK LINE Ql
Z 1O .JI zl
x ¢I
w
H AI o o JI CD M
o o rn
a 0 f--1 0 o rn~ QI r~ 00 H H } -I N ao 00
Ln `0 0 0
Wl CV o M
C) Ln
~I 3 Lo LOT 1 Ln W F-1 W Z
0 0 F-l o
± o ¢I
zl 0 4. 000 AC.
~s o 174246 S.F. ± o JI 0
SCALE IN FEET ~I o o °
z INCLUDING TOWN ROAD U) a-I o
0' 100' 20"0' 3.811 AC. ±
166013 S.F. ± ~I
N r f EXCLUDING TOWN ROAD
a r~r
50
c -
N88040'40"W 300.00'
LEGEND
SECTION,CURNEA MONUMENT, U N P L Al T E D L AND S
FOUND, UNLESS NOTED. S1/4 CORNER
0 1"x24" IRON PIPE, WEIGHING SECTION 16
1.68#/LINEAL FOOT, SET.
T28N, R18W
• 1" IRON PIPE, FOUND.
THIS INSTRUMENT DRAFTED BY DARIN FLATER
PAGE 1 OF 2
VOLUME 10 PAGE 2730
3, f y
1
DESCRIPTION
A parcel of land located in the NE1/4 of the SW1/4 of Section 16,
T28N, R18W, Town of Kinnickinnic, St. Croix County, Wisconsin
described as follows: Commencing at the E1/4 Corner of said Section
16; thence N88°40'40"W 2662.39' along the E.- W.1/4 Section line of
said NE1/4 to center of section 16; thence N88°40'40"W 50.00' to the
point of beginning; thence SO°06'10"E 5.81.001; thence N88°40'40"W
300.001; thence NO°06'10"W 581.001; thence'S88°40'40"E 300.00' along
said E.- W.1/4 Section line to the point of beginning.
This parcel contains 4.000 acres, more or less, being 174►246 square
feet, more or less, including existing town road right-of-way and
3.811 acres, more or less, being 166,013 square feet, more or less,
excluding town road right-of-way. Subject to easements of record.
I certify that I have made such survey, land division and Certified
Survey Map by the direction of the owner of said land, that such map
is a correct representation of all the exterior boundaries of the land
surveyed and the subdivision thereof made, that I have fully complied
with the provisions of Chapter 236 of the Wisconsin Statutes and the
Subdivision Rules and Regulations of Kinnickinnic Township and St.
Croix County in surveying, dividing, and mapping the same.
Date December 9,1993
Revised: February 1, 1994 Francis H. Ogden S-88 Jo No. 93-20517
Ogden Engineering Company
113 West Walnut Street
River Falls, Wisconsin 54022
0~~ a- %#0 m n m► n l f a~~~"
```•~~~~~®I~'~oOWNER AND SUBDIVIDER
CATHERINE R. QUIGGLE &
FRANCIS H. DAVID A. MUNKITTRICK
OGDEN 1108 TOWN HALL DRIVE
F3 RIVER FALLS, WI. 54022
WIS. Q'
NOTE: THIS PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE AND COUNTY
LAWS, RULES, AND REGULATIONS (I.E., WETLANDS, MINIMUM LOT SIZE, ACCESS
TO PARCEL, ETC.). BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT
THE ST. CROIX COUNTY ZONING OFFICE FOR ADVICE.
PAGE 2 OF 2
VOLUME 10 PAGE 2730
\j
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ry
r L
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
February 18, 1994 201 East Washington Avenue
P. 0. Box 7969
Madison WI 53707
ULBRICHT & ASSOCIATES
ROBERT ULBRICHT
ORIGINAL
655 O'NEILL ROAD
HUDSON WI 54016
RE: PLAN S94-00255 FEE RECEIVED: 180.00
GRANT, BENEDICT
NE,SW,16,28,18W
TOWN OF KINNICKINNIC COUNTY OF ST CROIX
MOUND SYSTEM
The Department has reviewed the above-referenced submittal.
Conditional approval is hereby granted for the system plan submittal. All
noted items must be corrected. The review and approval of the system is based
on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin
Administrative Code, and is contingent upon compliance with any stipulations
shown on the plans. This system has not been reviewed for the code
requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin
Administrative Code.
This plan submittal approval will expire two years from the approval date, or
if a sanitary permit is obtained, plan approval will expire on the day the
initial sanitary permit expires. The licensed plumber responsible for this
installation shall keep one set of plans with the Department's stamp of
approval at the construction site. The installer shall notify the appropriate
inspector when inspections can be made.
All permits required by the city, village, township or county shall be
obtained prior to installation.
Inquiries should be directed to me at the number listed below. Please refer
to the plan number shown above.
Sinc r y,
t
Peter E. Pa 1
Plan Reviewer
Section of Private Sewage
(608) 266-2889
SBD-6423 (R. 01/91)
' a
S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER 2ywed"C 11-
ADDRESS. 107.3 ✓C/~~?r. ( FIRE NUMBER /lY;
CITY/STATE 61L _ZIP_ crZL
PROPERTY LOCATION: 1/4, 1/4, SECTION, T 2 ? N-R~W
TOWN of ~C1'NAj10(11V L , St. Croix County, '
SUBDIVISION , LOT NUMBER
Improper use and maintenance of your septic system could
result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three
years or sooner, if needed by a licensed septic tank pumper. What
you put into ttie system can affect the function of the septic tank
as a treatment stage in the waste disposal system.
St. Croix county residents may be eligible to receive a grant
for a maximum of 60% of the cost of replacement of a failing
system, which was in operation prior to July 1, 1978. St. Croix
County accepted this program in August of 1980, with the
requirement that owners of all new systems agree to keep their
system properly maintained.
The property owner agrees to submit to St. Croix Zoning a
certification 'form, signed by the owner and by a mater plumber,
journeyman 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 pumping (if
necessary), the septic tank is less than 1/3 full of sludge and
scum.
I/lle, 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 DNR.
Certification stating that your septic has been maintained must be
completed and returned to the St. Croix Co. Zoning officer within
30 days of the three year expiration date.
SIGNED: •-~y L~~
DATE:
St. Croix co. Zoning Office
911 4th St.
Hudson, WI 54016
STC-100
This application form is to be completed in full and signed by
the owner(s) of the property being developed. Any inadequacies
will only result ~n delays of the permit issuance. , should this
development be intended for resale by owner/contractor,(spec
house), then Ia second form should be retained and completed when
the property` is sold and submitted to this office with the
appropriate deed recording.
owner of property t'yE! i 62`T
Location of property /VC114 Sh;l 1/4, Section 4, T2
_Z_N-R,._W
Township
Mailing address Xllveg /Z,
d
71 4,w X; I- S 2 2-
Address of site
subdivision name Lot no.
Other homes on property? yes~_No
Previous owner of property A10A) ~i1~7~y- C al er117 C,
4611, Total size of parcel 271, Glcre~S G
Date parcel -was created f(~, /yy5/
r-
~'Are all corners and lot lines identifiable? =Yes No
Is this property lpeing developed for (spec house)? Yes _Z._No
Volume and. Page Number 217-A) as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER & THE SEAL OF THE REGISTER OF DEEDS. In addition, a
certified survey, if available, would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a Certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I(we) certify that all statements on this form are true to the
best of my (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 office of the County Register of
Deeds as Document No. 2F&I , and that I (we) presently
own the proposed site for the sewage disposal system or I (we)
obtained an easement, to run the above described property, for
the construction of said system, and the same has been duly
recorded in the office of County Register of deeds as Document
No
U
Signature of applicant Co-applicant
Date of Signature Date of Signature
rs t DOCUMENT NO. THIS SPA." RESERVED FOR RECORDING DATA
_ WARRANTY DEED
STATE BAR OF WISCONSIN FORM 2-19821
1.3403 0L 1,066pAK 227
;t.. ~~f cat 5 Vr iCc
David A. Munkittrick and Catherine R. SL CROIX CO., WI
..-ui
Qgg_le-, P~c'dfctF.-n d
husband and wife
_
FE B 24 1994
~IZ:22.ia „ P. `M
conveys and warrants to ...BCnedict--J,_.G ent-. nc)- Bar}~a .Grant,.. husband--and..wife_.as..survivorship__marital
.property ~aterofDeeds
.SS. RETURN TO
the following described real estate in .................SC, AQrQix............ County,
State of Wisconsin:
Tax Parcel No:..............................
Part of the NE 1/4 SW 1/4, Sec. 16-TM-111811, described as follows.
Lot 1 of Certified Survey Map recorded in Vol. 10 of Certified Survey Maps,
Page 2730, as Document Number 512801. I'
II
'I
I~ This is -not homestead property.
(is not) !E
Exception to warranties: it
easements, restrictions and rights of way of record, if any.
d II
Dated this 22-n- day of .......(T.avi~d February... 19-94
(SEAL) / -..:...(SEAL)
A. Munkittrick
(SEAL) - -
......(SEAL)
. Catherine R. Quiggle
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
ss. I'
Pierce
•-------County.
authenticated this ........day of--------------------------- 19...... Personally came before me this . as
---•-•----•---.day of i
Febx'nary 19..94. the above named
David A. Munkittrick
TITLE: MEMBER STATE BAR OF WISCONSIN Catherine Quigple .
(If not,
authorized by § 706.06. Wis. Slats.) - ---1 -7-
to me known to be the person t L%fho xecuted the
foregoing instrument and ackga ge•the same„ "
THIS INSTRUMENT WAS DRAFTED BY
,IQSSRh_.D Boles - Attorne at Law r
1'
River Falls, 111 54022 (715) 425-7281 O
Notary Public EounA, Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state &xpifation
are not necessary.) date: T 1..)
,n<,a 9
. .
.Names of persons signing in any capmity should be typed or printed; below their signatures.
! WARRANTT DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc.
FORM No. 2 - 1982 Milwaukee. Wisconsin