HomeMy WebLinkAbout002-1002-20-000
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' ST. CROIX COUNTY
fr WISCONSIN
ZONING OFFICE
r r r r r r r r■ noun, ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 540 1 6-771 0
z (715) 386-4680
December 3, 1997
First Federal
Attn: Tammie
P.O. Box 263
Hudson, WI 54016
RE: Septic Inspection for Mike McCarn located at 1180 260th
Street, Town of Baldwin, St. Croix County, Wisconsin
Dear Tammie:
An septic inspection of the above referenced property was conducted
on November 19, 1997. This property is located in the NEX of the
NE4 of Section 2, T29N-R16W, Town of Baldwin, St. Croix County,
Wisconsin. At the time of the inspection, this septic system was
found to be code compliant for a three (3) bedroom home.
If you have any questions regarding this, please contact our office
at (715) 386-4680.
Sincerely,
Rod Eslinger
Assistant Zoning Administrator
sm
STC - 104 ED BUILT SANITARY SYSTEM REPORT
_'Il~OWNER-PI ` r /1 e- X, y 42I^ vT CROIx~ s7
~j COUNTY
ADDRESS 1 ,2 'fin d psi ZONINGOFF{CE
- Can L✓, s qo 2
SUBDIVISION / CSM# / LOT #
SECTION T N-R W, Town of /3 ti Q t.~ , &I
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
fo,p~ a
Ll N , j X30
o~
V)v
Joe,*
i
oa
N 3 ,
J
V \10
No GSC
r`
j'
1
2 LU C ~`-S 7C ^y~~^'_ v INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tangy; manhole cover.
.
BENCHMARK: t y' G G✓C~ f l ) 0 U
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: f7~,d w~sterY~ Liquid Capacity: yG G S'U
Setback from: Well G U House Other
Pump: Manufacturer 20~ //e-,r Model# S Size
Float seperation Gallons/cycle: i0el) loo
Alarm Location 4 C "t l 0
-,SOIL ABSORPTION SYSTEM
i
Width:-? `'f Length ? Number of trenches
Distance & Direction to nearest prop. line: 41 S 0
Setback from: well: Gy . House 3 60 ' Other
ELEVATIONS
Building Sewer 99i ?S ST Inlet. ST outlet S^~ Z~
PC inlet ~3 •Q(~ PC bottom Pump Off
Header/Manifold /04.F~ Bottom of system 1644-2
Existing Grade Final grade
DATE OF INSTALLATIO : I I '
PLUMBER ON JOB: O-C.
LICENSE NUMBER:
INSPECTOR: RO
3/93:jt
WisconsibrDepartment of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar299152
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.:
MCCARN, MIKE BALDWIN
ST BM Elev.: r DO Insp. BM Elev'Ov' BM Description: ayme. C~ CSTIParcel Tax No.:
0 002-1002-20-000
TANK INFORMATION ELEVATION DATA A9700468
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic M Benchmar
11-7-117 "I, X93 /og•-13 !oa'
Dosing /Y1 VV F' -75o 3~M ('040") q'02 Y C` /t)IU
Aeration Bldg. Sewer
!oS••2v ((y X13-~'?S
Holding /Iff Inlet
ros•Zo tr.~~ ~3 ti
TANK SETBACK INFORMATION Outlet Ips20 j~.qq 93.L/
Verit
irl to ROAD Dt Inlet
TANK TO P/ L WELL BLDG. A
Ar Intake t05,201 11.0 Septic 7# ' ' „;251 NA Dt Bottom 106'.Zo
Dosing rr a il# NA Header/ Man. /047 .02
Aeration NA Dist. Pipe 101- 0-1'24 /0&.•1 I`
Holding Bot. System 0 ~~r
lo9.02-
PUMP/ ~.7~ l !o• 27 1u~2
SIPHON INFORMATION ins Final Grade
Manufacturer 'Zoe ~ 4.(- LDa ndS+ _)ylModel Number PM ~r•M +
NO Al a CIA- Tq,,t . 1.0 110
TDH Lif4~ Friction 1 Systerrrl TDHZ'Sd..,1Ft
Loss 1~( I- Forcemain Length' Dia. Mead
Dist. To Well f 'L
SOIL ABSORPTION SYSTEM
TRENCH Width Ir Length r No. Of Trenches PIT No. Of Pits Ins/ Dia. Liquid Depth
DIMENSIONS 947 DIMENSIONS
SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING 7 nu acturer:
SETBACK
INFORMATION Type O del Number:
System: L. 2(.r(?r CHAMBER `OU OR UNIT
DISTRIBUTION SYSTEM
Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length y~ Dia- 2 Length 22.5 Dia. I Spacing qr
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over / l~ ' Depth Over • xx Depth Of xx Seeded/ Sodded xx Mulched 0e
Bed /Trench Center r ' ✓ Bed /Trench Edges / • O Topsoil Yes ❑ No Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)s.cle•~(UG ,2
Con~rwrr Igy'~i5 ~ hi9h Poi~~' LOCATION: BALDWIN 02.29.16.17C,NE,NE 1184 260TH ST(FEZytEET k4~ 6-16 - L93 (K(SAA)
`73'
' ~fz 08'.
1. Cams-+*nContour oq•(oK J
e,s~.1 115'0
2) 16~z7feM X15 (04e cow►rtisv)t
3) ySfP,wl will be, Scttted «VId MUJCrhfej by I hs+a~ ~~r-.
~jDvJl tf•~•`l'7 Flhal 61 • j9.97
Plan revis bn required? ❑ Yes P(No
Use other side for additional information. I (°f 1,1 e -t ! 7 .
1 -2 ~ '
SBD-6710 (R 05/91) Date Inspector's Sign ture rt. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
Visconsin SANITARY PERMIT APPLICATION 201eE.W shingtongAveision
In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
Department of Commerce Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 81/2 x 11 inches in size. v•
• See reverse side for instructions for completing this application State San tary Permit Number
99 /
application
The information you provide may be used by other government agency programs E] Chec if revision to pr our
(Privacy Law, s. 15.04(1) (m)]. State Plan 1. . Numb r
1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION S
Property Owner Name Property Location
Mike McCarn 1/4 NE 1/4, S 2 T 29 N, R 16 E (or) W
Property Owner's Mailing Address Lot Number Block Number
711 292nd. St
City, State Zip Code Phone Number Subdivision Name or CSM Number
ilson WI 54027 ( >
II. TYPE BUILDING: (check one) ❑ State Owned !ty Nearest Road
Public X 1 or 2 Family Dwelling - No. of bedrooms -4 o Town of Baldwin 260th. St.
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 2-
❑ Apartment/ Condo vU 1, /00 2 - Z V
1
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable)
A) 1. ❑ New 2_ E] Replacement 3. E] Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
System System Tank OnlyExisting System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ® Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 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
450 376 376 1.06 l~ 106 Feet 107.9 Feet
VII. TANK Ca
in gallons Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con` Steel glass Plastic App
New Existing structed
Tanks Tanks
Septic Tank or Holding Tank X 1000 1 Midwestern ❑X ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber X 750 1 Midwestern f] ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibilit for install n of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plum er's Signature tamps) MP/MPRSW No.: Business Phone Number:
Joe Stang , MP 6646 1-715-698-2266
Plumber's Ac dress (Street, City, State, Zip Code):
506 Willow Drive ville, WI. 54 28
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps)
r w.
Approved E] Owner Given Initial Surcharge Pee)
Adverse Determination (J
X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL:
SBD4M (R.11/96) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
l
c
INSTRUCTIONS
11- A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of 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 Form (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 and Buildings Division, 608-266-3151.
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.
III. Building use_ If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on 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 for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new/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/ Department Use Only.
X. County/ Department Use Only.
Complete plans and specifications not smaller than 8 1/2 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 form; 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.
T re monies collected through these surcharges are used for monitoring groundwater contamination investigations
a d establishment of standards.
J
J
September 9, 1997 2226 Rose Street
cyLa Crosse WI 54603
SE' i
ST 0FAO!X
WEGERER SOIL TESTING COUNTY
421 N MAIN STREET Cf 70N114GOFFICE r<
PO BOX 74 _ to
RIVER FALLS WI 54022
RE: PLAN S97-41184 FEE RECEIVED: 180.00
MCCARN, MIKE
NE,NE,2,29,16W
TOWN OF BALDWIN 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 Comm 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 Comm 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.
Sincerely,
VDennis Sorenson
Wastewater Specialist
Section of Private Sewage
(608) 785-9336
j _
Page of 6
0-1 JL RECEIVED
MOUNFOR STEM SEP -
31997
A 3 BEDROOM RESIDENCE SAFETY & BLDGS, DIV.
LOCATED IN THE NF 1/4 OF THE NE 1/4 OF SECTION Z ,TZ°) N, R 16 W,
TOWN OF Q PS pw 11V , S'r = C2o I X COUNTY, WISCONSIN .
INDEX
PAGE 1'of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
PACE 3 of 6 PLAN VIEW-CROSS SECTION
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PAGE 5 of 6 PUMPING CHAMBER
PAGE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
\A3l `S o>J, ~]1 SCI oZ-`?
PREPARED BY
WEGEt~ER SQ IE L TEST SLAIC-a
A10 -
I3E8 T CN SEF;ZW x CE ~r5 »e
P.O. BOX 74 421 K. 11AIK ST. •1
RIPQ3 FALLS. K1 54022 W r
GEREA
715-42`5-0165 KLOWORTW,
Wis.
~i ~-Gtiti7~G►,''L- ~ 6
Ri t~sIG14E
~~KNKN
JOB NO. C! - 2 6 I
t
w ~ rt'
cu
t
PLOT PLAN
Page 2- of
Fm Scale 1"= yp' r
i
_-7 '~CLSTlv(e
` ~~4T.C 'ti\*~C - 1000 Gf1t
_ CDr"~ p l.b f N _--1 Z=1G70T -R.EPZI~..L'`~l'~'7~
\o0p 6Rt , r'1 W W ~s`Rstw Tih'Mrc.
40 0~
t4 PIDt+
3'ibDR
Z-~10 OF ~ap~SC
2.'~ p V C F•
LOO.p, asi )-r4
• of I.~~.L !}~"1~p ~ ~ ~
'Pt
Po t- /
>JOT Cuv~p RtZ' 012 ( ,o
rJ
QV.
Ilk GS Si
EL baq QR~ tti0 (A z
,
01,
C s~
e _ 0 8V~
~ ~ Nd
L:3L I%S z , QQ
A
SYOt`1
°YfIT, P%4q)& ~InkTt l.llve of ,6 S hc.
NOTES: V tiMLFY aerzau - COIV Snu C_,PW )
-1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install permanent markers at end of each lateral. ( q required)
3. Install 4" observation pipes with approved caps. ( Z required)
4.-Septic tank to be 1O0o gallon capacity manufactured by
e,i4-tS-n a 't Pc►J~ , ~vM P ~ ~k 1'0 8 F 5o cam . MLD w Fs'R=kN t~tZ T" 1
5. Bench Mark S embtict-'
6. Divert surface water around-system to prevent-.ponding at the uphill side.
- Page 3 Of 6
Approved Synthetic Covering
Fls,rm C.33 Distribution Pipe
Medium Sand '
G
Topsoil F Elev. 1 Ob .O
E D
3 -
z % Slope
Bed Of 2 Force Moin Plowed
Aggregate From Pump Layer .
D ~S Ft.
1.
Cross Section Of A Mound System Using E 66 Ft.
A Bed For The Absorption Area F 0A Ft.
G i.o Ft.
A $ Ft. H 1-S Ft.
Linear Loading Rate= 9 • (oGPD/LN FT B q`1 Ft.
Design Loading Rate= O,4 .GPD/SQ FT I 1'6 Ft.
J 10 Ft. ~9 s
K ~ Z Ft.
L -11 Ft.
-Feree- ai n W 11-4 Ft. 5
L
Oh ervatid~~
~O
- - E
G orce Main
PAAW o - DOf 2"- 2 2 o?~os t ~D
Pipe Aggregate
I
Observation Pipe Permanent Markers
(Anchor securely)
Plan View Of Mound Using A Bed For The Absorption Area
Page Ll ' Of b
Perforated Pipe Detail
0
End View
)Perforated
End Cap. \c~° PVC Pipe Install permanent marker
aa<~asoo°` at end of each lateral
Holes Located On Bottom,
Are Equally Spaced
S
PVC Force Main
Q
PVC
Manifold Pipe Y7
Distri ution
Pipe
Last Hole Should Be I
Next To End Cap
End Cap
P zi_ 5 Ft. I
Distribution Pipe. Layout S L/ Ft.
GSA X 2 6 Inches
Inches
Eg~~P~ Y it.
Q V`JP~ 01 Hole Diameter Inch
a 0
r Lateral 1 Inch(es)
G 0` Manifold Z Inches
Q di S ;y AGE Force Main Inches
t ~ SPpN # of holes/pipe S
GG~ Invert Elevation of Laterals10 b•5 Ft.
$XI.1l_~1.31X~= 3~.c~~( 6Pr'1
Place lst hole )'6Ifrom center of manifold with succeeding holes
at intervals. Last hole to be next to the end cap.
1
~.t~.
~t `~~.,,,,~v:
4 ~
:j., Y
S
' PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE S- OF ~p
VENT CAP
4* C.L VENT PIPC
WEATHER PROOF APP10'FROM ROVED LOCKING MANHOLE
JUAlCTIOW 80X COVER WITH WARNING LABEL
DOOR, IY~MIU.
wItJDOW OR FRESH I
AIR INTAKE
GRADE (
~'l, cI 8 ~ I y" MIIJ.
18' MIU.
CONDUIT
lh
•
IULET PROVIDE I -----71
. T~ 3 AIRTIGHT SEAL
1 II v
APPROVED J011I A Tank construction shall comply I I~j APPROVED JOINTS
with ILHR 83.15 and ILHR 83.20 i ill
ALARM
8 II
I
i ON
c I I
--LLEV. PUMP
pRNP• * O l~ IVI
Coed ~_-L 8 OOH COAICRETE BLOCK
p ~Q 3" APPRWE[
Q 5UK EXIT PERMITTED OWLtJ IF TAWK MAIJUFACTURER HAS SUCH APPROVAL gEppINra
a~
00001% DENCE SPEGIFICATIOUS
FACTURCR: PTk_ _r WUMBEROF DOSES: 3•SZ PER DI
EI~4~MJU
TANK SIZE: GALLONS DOSE VOLUME Z I -1 S 5
ALARM MANUFACTURER' S!IST)L3,jS INCLUDING DACKFLOW: GALLONS
MODEL I.IUMBCR: ~w CAPACITIES: A= NS I7"IMCHESOK 302 3GALLOIJ5
SWITCH TUPC: B= L INCHES OR 3q O 4LLOU5
PUMP MANUFACTURER: C=_1_IUCHES OR 11 S SGALLOWS
MODEL NUMBER: l D w NZ INCHES OR 3y" DGALLONS
`Nl`S1ZCCrR Z'Q-r4 L._7SO•Yj
SWITCH TYPE: MOTE: PUMP AND ALARM ARE TO OE
INSTALLED OM SEPARATE CIRCUITS
MINIMUM DISCHARGE RATE GPM
VERTICAL DIFFERENCE OETWEEN PUMP OFF AUI).DISTRIBUTIOIJ PIPE.. 16• SO FEET
+ MIMIALIM NETWORK SUPPLY PRESSURE . , , , 2.50 FEET
-E 2q~3 FEET OF FORCE MAIM X F~ FRICTION FACTOR."~S
F L FEET
100
TOTAL DtIIJAMIG HEAD = 2 ~'~5 FEET
DIAMETER
INTERNAL DIMEIJStON~ OF TANK: LENGTH ;WIDTH - ~LIQU10 DEPTH 3$
BOTTOM AREA - 231-- GAL/INCH
AS PER MANUFACTURER GAL/INCH
til
SingleSeal
w HEAD CAPACITY CURVE TOTAL DYNAMIC 3 7/6 61/4
Weight 53 lbs.
PER MINUTE
MODELS "140/4140" EFFLUENT AND DEWATERM 4 5/e
Ft. Meters Gal. Ltrs.
6 of
14 5 1.52 91 344 3 7/6 _
45
10 105 64 378 +
15 4.57 76 289 0
12 40
1 40,41 40 20 6.10 68 257 1 1/2 - 11 1/2 WT
35 25 7.62 59 223 p
10 30 9.14 49 185 f
30 35 10.67 38 744 ~ ~ ~ ~ ~ ~ f•~
e 2 .01S 40 12.19 21 79
25 45 13.72 5 19
12 5/8
Q L«k Volvo: 46'
3 7
x 6-20
U 4 5/16
i 15 SK1524A
0
~ 4--
0 10-
2- Double Design
5 3 7/8 6 1/4
1 4 5/6
Q
U.S. GALLONS 10 20 30. 40 50 60 70 90 90 700 110 0 37/8
LITERS 60 160 240 320 400 +
0 FLOW PER MINUTE e
010940 0
1 1/2 - 11 1/2 kW
CONSULT FACTORY FOR SPECIAL APPLICATIONS
" Electrical alternators, for duplex systems, are available and supplied 16
with an alarm.
• Mechanical alternators, for duplex systems, are available with or without
alarms. 4 5/16
4 Control alarm systems are available for 1 phase pumps used in simplex
SK15248
system. See FM0732.
" Variable level control switches are available for controlling single phase
systems.
" Double piggyback variable level float switches are available for variable SELECTION GUIDE
level long cycle controls. 1. Single piggyback variable level float switch or double piggyback variable level
4 Sealed Qwik-Box available for outdoor installations. See FM 1420. float switch. Refer to FM0447.
4 Over 130"F. (54°C.) special quotation required. 2. Mechanical alternator M-Pak 10-0072 or 10-0075.
• Refer to FM0806 for 200° F. applications. 3. See FM0712 for correct model of Electrical Alternator E-Pak.
4. Variable level control switch 10-0225 used as a control activator, specify duplex
(3) or (4) float system.
5. Four (4) hole J-Pak, junction box, for water tight connection or wired-in simplex
140 Series - 53 lbs. 4140 Series . 73 lbs. or 2 pump operation, 10-0002.
14014140"' MODELS Control Selection
Model Model Potts-Ph Mode Amps Simplex Duplex
N140 N4140 115 1 Non 15.0 1 or l &5 2 or 3 & 4 CAUTION
E140 E4140 230 1 Non 7.5 1 or l &5 2 or 3 & 4 All installation of controls, protection devices and wiring should be done by
BN140 BN4140 115 1 Non 15.0 1 or l &5 2 or 3 & 4 a qualified licensed electrician. All electrical and safety codes should be
BE140 BE4140 230 1 Non 7.5 1 or l &5 2 or 3 & 4 followed including the most recent National Electric Code (NEC) and the
Double nWpwopsareavabbleMho%ionalrnoisturesensm.Seal Falli'dicatorrgMavabblenNEMA1orNEMA4X Occupational Safety and Health Act (OSHA).
control panels.
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
MAIL TO. P.O. BOX 16347
` Louisville, KY 4 0256-03 4 7 Manulacturersof..
Z i SHlP v 3649 Cane Run Road
Louisisville, KY 40211-1961 QvaurrPUMPS ,SINCE /9499
a 4!O. /(502) 778-2731.1(800) 928-PUMP
FAX(502)774-3624
ent LaboWisconsin
and HuDepar ntmR labors Industry, SOIL AND SITE EVALUATION REPORT Page of 3
Division or Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on not less than 81 1 i CCc~ 1
p paper oi~ n must include, but I.D. #
not limited to vertical and horizontal reference poi ( irectigq,nn an571 A e, scale or PARCEL I.D
dimensioned, north arrow, and location and dis a neP4Pad 00 2,- l00 2 - 2 D
APPLICANT INFORMATION-PLEASE P ALL FF"~I UION REVIEWED BY DATE
R
PROPERTY OWNER: S~ K►J►a~ F S fj#N4W P TY LOCATION
V-A\\z.E 1-Ae CN S'"1 r ~0?A Ntr 1/4 NF-; 1/4,S Z T N.R I E(oro
PROPERTY OWNER':S MAIL((VG ADDRESS BLOCK # SUBD. NAME OR CSM #
-)\A 1%01- 5T. c; ZONINGOFFICE - PZup ~ C_ S. wt -
CITY, STATE ZIP CODE tjER4arc IT) ❑VILLAGE [,MOWN NEAREST ROAD
1~ L S ~>u I.v 1 514 Wul R l ~ 1~ ~ ~ 1 to Z 6 Q r -t1• ST
New Construction Use [,X) Residential / Number of bedrooms 3 AdditiQn to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow L1 SO gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2
Absorption area required _ 1- -S bed, ft2 3-1 s trench, ft2 Maximum design loading rate s bed, gpd/ft2~ trench, gpd/ft2
Recommended infiltration surface elevation(s) 1 \3 b. b ft (as referred to site plan benchmark)
Additional design / site considerations ki / 8' v- Lip' 3 Q\:,,, , f''1 I ~Q 1)-1 UM ! 6" OF- S A A,,p Fl Lt_
Parent material St Lyy ~NDtwtC~~- out s 1 1 t UL Flood plain elevation, if applicable i'j. 1) , ft
S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FlLL HOLDING TANK
U= Unsuitable fors stem ❑ S IRU IN S ❑ U ❑ S O U El ®U ❑ S ®U ❑ S ~ U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounclary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerxh
0 J. 1 Z `A tL 2! 1 SO
Z S ~D'2 m ~4 S 1 S b
Ground 3 t8-Zy tO ytL y!3 Sylz Y S 1 1 S~k yq`-I- C_ _ z
elev.
\%,A •n ft. 4 2-V S YR- ~ ! V4 U '-t. - ~ 3 Y
Depth to
limiting
factor
NL
Remarks:
Boring # ) p- 6 -1 `Z Z 1 - S1 Z F J1i1T ►vt'FV C"' \ S
Z`< 2 6-l 9. 1~`t2Y(3 - S1~ Z~SI~k ~I'~l- a.S - 5`-U
3 ~a-z6 t\S 4e v(3 skR yf StI 1 cs~k m ~I- cg . i .s
Ground
~OS.Zft, 26--SZ.SkR 3Ly g 1 JnL)T> _ V
Depth to
limiting
factor
Remarks:
CST Name:-Please Print Phone:
Arthur L. We erer 715-425-0165
ergerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022
Signature: Date: CST Number:
°t7-261 ~_'_c~17 M00576
PROPERTY BOWt RF--~ c ~ N SOIL DESCRIPTION REPORT Page of
3
PARCEL I.D. # O t) Z _ 10 b Z - Z. O
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour-dary R. GPD/ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer&
-3 o `t R Z! t - z
sbk w. i~ a. s 1 ~ • s . ~
Z S-iq ~b`-!IZ ~1~3 - Sil Z'~sbh mkt, ors . S .t,
Ground 3 ~`~`Z$ 1p yR Yl3 C I-S m- v! 'R 1 l k to 1-4- c4 - 2- .3
elev.
lu4.Zft. 4 Z@-3S -SyR --sly IMv+1
Depth to
limiting
factor tA
Remarks:
Boring #
~;;r f14?.
Ground
elev.
ft.
I
Depth to
C limiting
factor
i Remarks:
Boring #
' i
t
Ground
elev.
ft.
Depth to
limiting
factor '
Remarks:
Boring #
Ground
elev.
ft.
i
Depth to
limiting {
factor
Remarks:
SBD-9330(R 05192)
PLOT PLAN Page s of 3
SCALE 1"= 1-16 '
\ sir e '~•it~ 1 ~ Q'' a 3
L( .S
gM y-
zoo's
t•'rovs ~
E,. L oo.p' OPJ 'TIP
• of WL3t L
BLpC /i ~ ~L~~
1
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goy
5
< mac- F deb -
~Il I
z
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FrPPT"~c \vnATl,~ LWe Or } S hc. ~ L
C v MLFY QermaR~ cotj s'{ w cpwU)
~~I NFL .3 r (715 ) 425-0165 M00576
CST Signature Date Signed Telephone No. CST #
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER Mike McCarn
MAILING ADDRESS 711 292nd. St.
PROPERTY ADDRESS 61407
w C 5 ~'/3
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE Wilson, WI
PROPERTY LOCATION tE 1/4, ATE 1/4, Section 2 T 29 N-R 16 W
TOWN OF Baldwin ST. CROIX COUNTY, WI
SUBDIVISION , LOT NUMBER
CERTIFIED SURVEY MAP , VOLUME , PAGE , 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 licensed septic tank pumper. What you put into the 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/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 DNR.
Certification stating that your septic has been maintained must be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year expiration date.
SIGNED: ate! ~y qee j"_4/
DATE: / l Gl 7
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
S T C - 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 in delays of the permit issuance. Should this
development be intended for resale by owner/contractor, (spec
house), then a 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 Mike McCarn
Location of property NE 1/4 NE 1/4, Section 2 T 29 N-R 16 W
Township Baldwin Mailing address 711 292 nd. St.
Wilson, WI.
Address of site tf 90 ° U c Sc Z'~ 1'e- n '
Subdivision name Lot no.
Other homes on property? Yes x No
Previous owner of property -J,t~~
Total size of property
Total size of parcel. S
Date parcel was created
Are all corners and lot lines identifiable? x Yes No
Is this property being developed for (spec house) ? Yes X No
Volume 124 2 and Page Number ?46, 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 AND 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. 5-4.1-116 Z , 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 o fice of the County Register of Deeds as Document No.
Signat~ o Applicant Co-Applicant
ll
Date of Signa re Date of Signature
c.. +-la. rr .~'s!tltftL4!' ttti~.~' >•'t r'i. ]~1t'M+'
064962 STATE BAR OF WISCONSIN FORM 2 - 1962 ' *7 { I
WARRANTY DEED
DOCUMENT NO. ~Ce y
ii REGISTER'S OFFICE
i Jeanne M. Hintz, f/k/a Jeanne M. Eschenbach
ii and Jeffrey Hintz, her husband ST, wyO WI fK 111680
ii SEP 0 5 1997
Michael A. McCann, a single M
conveys warrants co ! 3:00 ``P
••-..4k W.i.l .
II
THIS SPACE RESERVED FOR RECORDING DATA +
N ME ANO RETURN A.UORESS
~ the following described real estate in St. Cro x Coattit)c ii Premier Escrow and Title, Inc.
State of Wisconun: 706 19th St. So. yisa
Hudson WI 54016
4 z`
002-1002-20 l r t
i PARCEL IDENTIFICATION NUMBER 'i "r.
~I The East 450 feet of the South 450 feet of the North Half of
the Northeast Quarter (Nk of NE'k) of Section Two (2), Township }j'..
Twenty-nine (29) North, Range Sixteen (16) Kest.
ii
TRANSF Er'
This is homestead property.
(is) (MM ti v
Exception to warranties: Easements and restrictions of record .
Dated this 4 day of A.D., 19 97
i
i j (SEAL) (SEAL)
Je fre Hintz Jeanne M. Hintz, /k/a
I' Jeanne sc en ac
(SEAL) (SEAL) .
~I M~~.
AUTHENTICATION ACKNOWLEDGMENT k1
State of Wisconsin,
Signature(s)
St. Croix County Try ( • .
authenticated this day of 119- Flersonalb- came before me this S day of
i~ al+. fops 19-%7-. the above named ii
Jeanne M. Hintz, f/k/a Jeanne
it
• N. Eschenbach and JAMONami.Mintz
f TITLE: MEMBER STATE BAR OF WISCONSIN wNw
it (If not. L,. 4
authorized by §706.06, Wis. Scats.) to tire Mown to be the persons e>ictttc~Fto fcgoi g
•Rg071 ac oiw d
THIS INSTRUMENT WAS DRAFTED BY 0 y?•'