HomeMy WebLinkAbout006-1052-70-000
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER /JC it n y S / Lc- Ra S:t--'r
ADDRESS 4ac
SUBDIVISION CSM# LOT
SECTION oC 3 T 3 1 N-R t(o W, Town of C x/o,1
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
dy
lV j•{,a~i C,
e~
~u
,r
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
f
r~
BENCHMARK: 3, Ten
ALTERNATE BM: e- Spa 6 ~y ALI- [SS
v
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: UV ; e- GC--r Liquid Capacity: 12
Setback from: Well House Other
Pump: Manufacturer per,/lCt- Model# Size
Float seperation 2- Gallons/cycle: /(a 1s
Alarm Location 8 'v f r"d ~c
e
SOIL ABSORPTION SYSTEM
Width: Length 5_ Number of trenches
t
Distance & Direction to nearest prop. line: 331
!
Setback from: well: House Other
ELEVATIONS
Building Sewer .yC ST Inlet: ST outlet:
PC inlet PC bottom J. (~'C) Pump Off / 5"ev
Header/Manifold (4 Bottom of system 3;L
Existing Grade Final grade
1
DATE OF INSTALLATION: q-
PLUMBER ON JOB: 1 i0hcf
LICENSE NUMBER: l 35 ~0,~
INSPECTOR:
3/93:jt
yvisconsi ;Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor andHuman Res INSPECTION REPORT ST. CROIX
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 284342
Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.:
DEROSIER. DENNIS CYLON
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
✓~C~ 006-1052-70-000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic: Benchmark 3•~6 /D ,GU
i
Dosing ~drn ~,y~ i 7T:✓l=rz~rn .
Aeratteff- ' Bldg. Sewer 9
Holdin St/,Rt Inlet 66'
TANK SETBACK INFORMATION St/ lyrf Outlet AA -
Vent
irIto ntake ROAD Dt Inlet
TANK TO - P/ L WELL BLDG, A
Air
'
Septic~~' NA Dt Bottom
15, (4
Dosing " NA Heagbe+1Man. 11,631 2'
Aeration NA Dist. Pipe q9
Holdin Bot. System
PUMP / N INFORMATION Final Grade
Manufacturer Q.,~ Demand
Model Number h GPM
TDH Lift Friction System - TDH Ft
oss Forcemain Length Dia. I Dist. To Well }
SOIL ABSORPTION SYSTEM
BED/TRENCH Width i Length(,2 No. Of Trenches D EN 1 N No. Of Pits Inside Dia. Liquid Depth
J
DIMENSIONS
SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHI nufacturer:
SETBACK CHAMBER
INFORMATION Type O Model Number:
System: 1 %c rel3SSO• 2d r 75 ✓rif~ OR UNIT
DISTRIBUTION SYSTEM
N.@p6er / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia- Length (00 Dia. Spacing (o
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: CYLON 23.31.16.35 6B7SW,SE 2458 200TH AVENUE
l
t;i J
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710 (R 05/91) Date Inspector's Signature Cert No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
_ I
I
I
i
SANITARY PERMIT APPLICATION BuSafetyreau o oand ff BuiluildinWater System:
ng Water 201 E. Washington Ave.
In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
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. S ( Gra / >c-
• See reverse side for instructions for completing this application State Sanitary Permit Number
The information you provide may be used b other agency ro rams 9ff q3~
by government pq ❑ Check if revision to previous application
(Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION S ci 6 - 309.7Property Onwner Name Property Location
,Dee- ; r e e.- Sc✓ V4 S /4, S ..2 7 T N, R l6 E (or)C:Y/
Property Owner's Mailing Address Lot Number Block Number
,2 r O T-~z- A4,. W G¢ I/
City, State Zip Code Phone Number Subdivision Name or CSM Number
4e e, A r Q ~ (7,s- 111-116,'
11. TYPE F BUILDING: (check one) ❑ State Owned !t~ Nearest Road
❑ VII age
Public or 2 Family Dwelling - No. of bedrooms ffilZown OF
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Num er(s)
1 ❑ Apartment/ Condo 16- 4V~,
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 on line B, if applicable)
A) 1. ❑ New 2_-Replacement 3. ❑ Replacement of 4. ❑ Reconnection of S. ❑ Repair of an
_
System System Tank Only Existing System ________Exlsting 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 21,1~Wound 30 ❑ Specify Type 410 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
d o _S`vc2 _S-Z> ~7= Feet l7"eet
VII. TANK Capacity gallons Total # of r 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 A~2 5%✓ Jt G✓r'Gl .Ir 1 a ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber C-/~- -f- ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber's Signature: (No Stamps) AIQ / PRSW No.`. Business Phone Number:
Plumber's Address (Street, ity; State, Zip Code):
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved itary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps)
Surcharge Fee)
Approved ❑ Owner Given Initial n
Adverse Determination cJ /
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SOD-6398 (R. 05/94) 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 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, 608-266-3815.
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.
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.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
4
Wisconsin Department of Industry, SOIL AND SITE EVALUATION
-Labor and Human Relations Page of
Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis.
` Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
/
include, but not limited to: vertical and horizontal reference point (BM), direction and d
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.
Od W'_S~f
APPLICANT INFORMATION - Please print all information. Reviewed by 4r
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Prope Owner Property Location S' CF+A
Govt. Lot 1/4 1/4,S T kF~
Property Owner's Val ling Address Lot # Block Subd. Nam or CS ZUNI-
City State Zip Code Phone Number Nearer
( ) El City Vi age [Z Town Cpl/
❑ New Construction Use: ® Residential / Number of bedrooms Addition to existing building
® Replacement ❑ Public or commercial - Describe:
Code derived daily flow. pQ0 gpd Recommended design loading rate &0 bad, gpd/f?__Z___2trench, gpd/ft2
Absorption area required bed, ft2 Q_trench, ft2 Maximum design loading rate /Vf2 bed, gpd/fl2' Z trench, gpd/ft2
Recommended infiltration surface elevation(s)1~, 5 ft (as referred to site plan benchmark)
Additional design/site considerations
Parent material / Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U = Unsuitable for system ❑ S LZ U 2 ❑ U ❑ S ®U ❑ S [NU ❑ S 2U ❑ S 01 U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2
9 Texture Consistence Boundary Roots
re in. Munsell Qu. Sz. C nt. Color Gr. Sz. Sh. Bed , Trench
1
1
J Z
Al 14-1 Z__
Ground
elev.
Depth to
limiting
factor
c~2~in.
Remarks:
Boring # /
.C
s'
Ground
elev.
Depth to
limiting
factor
,__~in. Remark.
CST Name (Plea P - t) ' Signature Telephone No.
Address Date CST Number
Me A2~ ? -
PROPERTY OWNER ZA~ IJ`S: Z~-- -ZfSOIL DESCRIPTION REPORT Page of
~ y
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2
in. Munsell Qu. Sz. Co t. Color Gr. Sz. Sh. Bed , Trench
44
Ground o 5
elev. Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring # ;
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
Boring #
Ground
elev.
ft. ,
Depth to
limiting
factor
in. Remarks:
SBDW-8330 (R. 08/95)
• . ~ ~~i, s ~.~as~x~ s~J~ , St s~ ~ T~1/1; a°/~ w
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a
OPTIONAL WORKSHEET
• 1. MOUND SYSTEM II. IN-GROUND PRESSURE SYSTEM-Continued-
1. Wastewater Load, Total Daily Flow= 990 gal. 10. Force Main: y.2. m.
Use s. ILHR 83.15 (3) (c) Minimum Dosing Rate = Spin.
Diameter = i"'
Adm. Code and PROVIDE A DETAILED 11. Total Dynamic Head:
LIST OF SIZING ON PLANS. 2.S ft.
2. Depth to Limiting Factor = it. System Head =
Vertical Lift ft.
3. Landslope r R' ~
4. Distance from Dose Chamber to Friction Loss = ft.
Distribution System = Ito ft. TDH = ft.
5. Elevation Difference Between 12. Pump Selection:
Pump and Distribution System = -ae~ ft. Pump will discharge at least glint
at Yj6-ft. total dynamic head.
6. Absorption Area Sizing: Pump me" ""'`""S;~ - ?0'_ «Lr-
Area Requited = f Ac, ~ 2Trt..c arc '
, /►,w 4 « -'►IV, y
Bed or Trench Length (8) _ (yS>n Volume: Icon . 05.1 - r s'2 x Z.
Bed or Trench Width (A) 13. Dose
Trench Spacing (C) _ ft. 10 Times Void Volume of
7. Mound Height: Distribution Lines= 1104 Pi.
l Fill Depth (D) Daily Wastewater Volume +
4 Doses In 24 hrs. _ eal•
Fill Depth Downslope (E) ■ gackflow = - P gal.
Bed or Trench Depth (F) fL Minimum Dose = gal.
Cap and Topsoil Depth (G) = ft.
Cap and Topsoil Depth (H) _ ft. 14. Dose Chamber: vU
Volume gal.
8. Mound Length:
End Slope (K) = moo, /1 ft.
Total Mound Length (L) _L 111. CONVENTIONAL PRIVATE SEWAGE SYSTEM
9. Mound Width: i. Wastewater Load. Total Daily Flow = gat.
Upslope Correction Factor= Use s. ILHR 83.15 (3) (c) , Wis.
Upslope Width ■ ft. Adm. Code and PROVIDE DETAILED
Downslope Correction Factor LIST OF SIZING ON PLANS.
Downslope Width (1) ft. 2. Required Septic Tank Capacity = gal.
Total Mound Width (W) _ .7 iL 3. Percolation Rate = min./in.
10. Basal Area' 4. Absorption Area Sizing:
Infiltrative Capacity of Refer to Table 2 in ch. ILHR 83
Natural Soil = ga1./94.ftjday and PROVIDE A DETAILED LIST OF
Basal Area Required = Q0042 94• ft. SIZING ON PLANS.
Basal Area Available = A600 sq. ft. Required Area = sq. ft.
11. If Standard Tables from Chapter ILHR 83 Length = ft.
are used, Indicate Table # Width = ft.
12. For the Distribution Network, Use Numbers 5.141 Section I1. Number of Trenches =
Trench Spacing ■ it.
11. IN-GROUND PRESSURE SYSTEM S. Distribution System:
Lateral Length = ft.
1. Depth to Limiting Factor ft. ■ Number of Laterals =
2. Landslope =
3. Percolation Rate = min./in. Lateral Spacing = In.
4. Proposed System Elevation ■ ft. Distance from Sidewall to Pipe = In.
5. Wastewater Load, Total Daily Flow: Pl. System Elevation
Use s. ILHR 83.15 (3) (c) , Wis
Adm. Code and PROVIDE A DETAILED IV. SYSTEM4N•FILL
LIST OF SIZING 0" 'PLANS. Fill in All items from Section Ill.
Required Septic Tank Capacity ■ gal' V. SEPTIC TANK
6. Absorption Area Sizing: 1. Capacity = PI'
Percolation Rate ■ min./in.
Area Required = sq. ft. 2. Manufacturer:
System Length ft. 3. Show Site Constructed Tank Details on Plan
System Width ■ ft.
7. Distribution Pipe Sizing: VI. DOSING TANK
Hole Sire ■ in. I. Capacity = gal.
Hole Spacing = . y`t 2. Manufacturer:
Lateral Length • 3. Pump Manufacturer:
L.11r6al Silo • _ I.-].- in. `+ret 4. Pump Mrslel:
p. S. OperatinIt Head ■ ft.
i.atrr.d Spacing 6. Flew Ralo=
Ui%lancr' Irani Sirirwall •tn Pilic in.
X. Diatrlhulian Pipe D60,irge Rate: 7. Show Site Constructed Tank Details on Plans
Number of I [tiles Pet Pipe
I low Per Pipe * Itpm. VU. IWI.UING TANK
9. Manifold Siting: 1. Capacity = am'
Ins"
1 yte (center or anal) C_ h d_ 2. Manufacturer:
Length = It. 3. Show Site Constructed Tank Details on Plans •
Dlatnctor = in. S .9 3.0 V 4 3
-SHOW ALL INFORMATION ON PLANS-
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Page Of
596-3.0973
Cross Section Of A Mound Using A Trench For The Absorption Area
Rst~,c33 ~ H
Medium Sand Fill 6" Topsoil
E D
tyso 'rI oea
Trench Of I? - 211" Aggregate, Plowed Layer
6" Below Pipe, Covered With D _I Ft.
Straw, Marsh Hay Or Synthetic Fabric
E /,/d Ft. G Ft.
F_ Ft. H J-*"Ft.
ONSITE SE~VAOE SYSTEM
R AND HUMAN RELATIONS
,
DEPARTNIINQI~~s~~~~ ~V\t1' !Using A Trench For The Absorption Area
S- CC)FIRESPONCENCE Force Main
Distribution Pipe
I-\7
Permanent Markers Observation Pipe
±AV
W ~ K
8 G
\Tr h 0 h" - 215" Aggregate
I H
soL~
L
A Ft. K /O_ Ft. Ft.
(oz.5 • /S'/.o1Ft.
B . Ft. J . 7, Ft. L _
G F T.
License
, Number: Date: /
c..JI&T
Signed:
~~~cY 96-309' 3
1~GQ p1? G/~
S96-309'3
Distribution Pipe Detail For Two Lateral Network
~Ttip,l
Holes Located On Bottom
Are Equally Spaced x x PVC Force Main End Cap 7
H. Y 1b PVC Distribution Pipe
p•~ P
Z5~
g,5 ~ r
Igo (le ~=S ~rro H C e oP
* Last Hole Should Be Next To End Cap ~rVCe 1"OL ~tj o~
P 6.0 Ft. Hole Diameter Inch
X bo Inches Lateral Diameter Inch(es)
Y 0. Inches Force Main Diameter , -,2- Inches
# Of Holes/Pipe
Invert Elevation Of Laterals
Signed: 4--;-!~
License Number:
Date: 1! 1813;1!
,SEyV CUE SYSTEM
dle
• ~ . , N RELAZlO
• UB~.DVRGS
ANU S
SC: 0,ARES?t7UflE~~E
Ec-
i.
09'3
S96 3
SEPTIC TANK E'PUMP CHAMBER CROSS SECTION AND SPECIFICATION'
S96-309"3
bOF
4" CI VENT PIPE 12n MIN. ABOVE GRADE ~ WEATHER PRO
FRESH AIR INTAKE W/ PADLOCK 6
25' FROM DOOR, WINDOW OR W)GAS-
FINISHED GRADE 4" CI RIESER -WARNING LABEL
SOLID HTCONDUIT MANHOLEDCOVER
7 6" MIN. ~~_..4" MIN.
18" IN. ABOVE GRADE
6" MAX.
~
INLET GAS-
WATER TIGHT SEALS TIGHTi
p SEAL APPROVED
411 BAFFLE ~ ALM JOINTS W/ CI
3' CI ONTO PIPE B ON PIPE 3' ONTO
U"tai I E SEWAGE SYS`i 13A SOLID SOIL
C
SOIL ELEV . ly~d FT• OFF RISER EXIT
D PERMITTED ONL)
IF TANK
MANUFACTURER
HAS APPROVAL
DEPARTVIEIe'r ; L,t- ~ ,QV ED BEDDING UNDER TANK
DEvlsioa~ OF SAFETY A CONCRETE PAD
'5 +I• FICATIONS
SEPTIC ~`-OSERRCSPOfV[~ENCE
TANK MANUFACTURER: 41res.Qws NUMBER DOSES PER DAY:
DOSE DOSE VOI~ME FINCLUDING
TANK_ SIZES: SEPTIC GAL:
LOWBACK: GAL.
7171
ALARM MANUFACTURER: _ s.T cc-. CAPACITIES: A = jlr'lNCHES = V51, GAL.
MODEL NUMBER: B = 2 INCHES = GAL.
SWITCH TYPE: c•-<<-~~
PUMP MANUFACTURER: T de-CGe.- C = INCHES = 161, z GAL.
MODEL NUMBER : p" 9f' D = INCHES = l. YAAL •
SWITCH TYPE: ar~
REQUIRED DISCHARGE RATE GPM PUMP 8 ALARM WIRING AS PER ILHR16.23 WAC
VERTICAL DIFFERENCE BETWEEN PUMP.OFF AND DISTRIBUTION PIPE FEET
+ MINIMUM NETWORK SUPPLY PRESSURE . . . . . 2.5 FEET
+ FEET FORCEMAIN X AFT/100 FT. FRICTION FACTOR L FEET
TDTAL DYNAMIC HEAD sr FEET
INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH DIAMETER
LIQUID DEPTH iZ •S~~'~ f 4 d ~Y
t
LICENSE NUMBER: DATE:
SIGNED:
:5.96-30978
rn 3 7/8 6 1/4 _04
HEAD CAPACITY CURVE
MODEL "98" 4 5/8 I
30
25-
I
x 6 ® + _ 1-
V O ;
15
0
4
10
\
Q 1 1/2-11 117 NP-1
5
0 - -
U.S. GALLONS 10 20 30 40 50 60 70 80 `
LITERS so 1 0 240 _
0 FLOW PER MIN TE
TOTAL DYNAMIC HEADIFLOW PER MINUTE
EFFLUENT AND DEWATERING
CAPACITY 12
HEAD UNITSIMIN
FEET METERS GALS LTRS I
5 1.52 72 273
10 3.05 61 231 a 3/ 16
15 4.57 45 170 -
20 610 25 95 ~ -
Lock Valve
r~ ENIIEj
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• Electrical alternators, for duplex systems, are available and Variable level float switches are available for controlling single
supplied with an alarm. and three phase systems.
el oat switches are available for
• Mechanical alternators, for duplex systems, are available with or ~Dobllepevellock cvariable ycle controls.
without alarm switches.
SELECTION GUIDE
1. Integral float operated 2 pole mechanical switch, no external control required.
Standard all models - Weight 39 lbs. - % H.P. 2. Single piggyback variable level float switch or double piggyback variable level,
98 Series Control Selection float switch. Refer to FM0477.
3. Mechanical aflemator 10-0072 or 10-0075.
Sim Model Volts-Ph Mode Am Iex Du lex 4. See FM0712, for correct model of Electrical Aflemalor, "E-Pak".
M98 115 1 Auto 9.4 1 1 or or 1 & 7 _ 5. Control switch 10-0225 used as a control activator, specify duplex (3) or (4)
Ngg 115 1 Non 9.4 2 or 2 8 6 3o r 4& 5 float system.
D98 230 1 Auto 4.7 1 or 1 & 7 - 6. Four (4) hole -J-Pak', junction box, for watertight connection or wired-in
E98 230 1 Non 4.7 2 or 2 8 6 3 or 4 8 5 7. Tsimplex or wo 2) hole duplex
watertight connection or splice.
CAUTION
For information on additional Zoeller products refer to catalog on Combination Starter, FM0514; All Installation of controls, protection devices and wiring should be done by
a qualified
PWybeck variable Level Switches, FMO477; Electrical Alternator, FM0486; Mecharocal Axems- licensed electrician. All electrical and safety codes should be followed including
the
lor, FM0495, Alarm Package. FM0513; Sumpf8awage Beim, FM0487; and Simplex Control Box, most recent National Electric Code (NEC) and the Occupational Safely and Health Act
FM0732. (OSHA).
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
ML 70. P.O. BOX f6317
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p LoubvWe, KY 40216 P~.os S~cE /999"
PUMP !O" (502) n~502j 4,W4
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STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
Y~ St.- Croix County
OWNER/BUYER' ~~1\~ H \ J\F'~
MAILING ADDRESS ~2)LjiA A vP n us_
PROPERTY ADDRESS ~4 5 6'
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE CC~^cT
-9 co ('s-~~
PROPERTY LOCATION `)W''4 1/4, 1/4, Section 4,1 , T N-R W
TOWN OF \ 4\ ns-_ 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 turned to the St. Croix
County Zoning Officer within 30 days of the three y ar ~piration date. /
SIGNED: I~ 2 s•~. a, _ /Z.
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
8TC- 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 Lou P~ Yyt1 :\~C'S((`1~,\
Location of property/S"1/45E 1/4, Section ~ o ,T_,~3LN-R A~ W
Township Mailing address rgq`5'g Ile ,
Address of site g ;fit ~1 V
Subdivision name Lot no.
Other homes on property? Yes-No
Previous owner of property
Total size of property Ceaz
Total size of parcel
Date parcel was created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for (spec house) ? Yes _No
Volume-545 and Page Number 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. J
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. 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 the County Register of Deeds as Document No.
gnature of Applicant Co-Applicant
~'--5 f j 9 2 ~5131 ~R`/
Date of Signature Date of Signature
NO. §TATtt MAR OI NftN D FORM 2
,
•oocUMENT NO 1 WA2tRA% ~ r1f CY DIIatO
VOL 545 PA 11 THIS %PACK 1190911VaD 1011 ■aCopoi NG DATA
336809
By This Ltd. Mathew J. Egan and Joyce.M. Eqan REGISTERS OFFICE
_
husband and wi `e .as...J.o7.'±.L...te.............................................. :T. Ch.nIX CO., W15.
.
Recd. for Record this. 24th
day of Nov A.D. 19'j6
Grantor a,mey, an<i warrants to D . enni.s .....A. . ros•i•er__and.•.Rarhara_....
e......._
11 at Q A. , M.
Dftros.i.~r. h.u.sb.a.nd_ and-wife.-as...3A.i.at...tenants
i Rellster of Doeds
Grantee..s....,
fora 'aluah;r cuu !cratmn......................................................................................................
11[T U11N Tv
the following drs,-nhrd real estate in.. St.....Craix County,
State of Wisc^nsm.
Tax Key at
This is ~nOt homestead property.
The South West Quarter (SW;) of the South West Ouarter (SW-,) of the
South East Ouarter (SE4) of Section Twenty Three (23), Township Thirty-One
(31) North, Range Sixteen (16) West, in the Town of Cylon. St. Croix County
Wisconsin.
T') AINSFER
FEE
Exception to warranties:
Exceptions: S+ahject to Easements and Restrictions of Record, if any.
19. to
Executed at.......:::......1.=r3.x~~..._r.. L!a(11~a this..... %..7,-/....... ...4a of.~..1~ C/~rsr..__.....
.-~•"•.SEAL)
SIGNED AND SEALED IN PREBENCZ or
Mathew J. E
R. (SEAL)
x
-
Joyce M_Egan_
(SEAL)
(SEAL)
N/A
Signatures r:f .
.
NIA
suthenticatt:d this _ day of
~
Member State Bar of LS'iz:rns:^ ether Pant'
Title:
Authorized under Sec. 106.06 viz. . _
STATE OF XV+SC49X"V
iv. f..r:[..Z.~ "Z.-.................. county.
daof_. 4'.,.: ^c:-Q a. c : . 19.7
Personally came before me, this Y
E a.n...._ the above named. ...Mathew-..J-..
_..F-gan-.and...JQy~e..M...... g
to me known to hr :he rers-,n.... s- who executed the foregoing instrument and acknoa• .the some.