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HomeMy WebLinkAbout006-1089-95-000 Q O VIII (D h ~ 0 e ti C C C r. ~ o - I o - N O I a co a I c S w i N N m s a~ N 3 N v z° c L m E LL ~ ~ a I C O C L_ E Q o Co M N Z d a m m I- U) o I O Z d r N d Z d c O to F- N Z ~ I m 0 'o Q Q O Z Z o N i z a O N ld ~N~rii T n y 10 O ~r U ° d m ~ o LO a 'A w m m N V y y ti O 0 0 O N m I~i y d ~ N ~►a 0 0 0 0 a z° ►w~ L a a a a I L) I ~I a) 0) N J U N } a1 Z O Av > Q W rn E N N O O O 1 m CL rn III Q } n m N N O d 0 O U) C O CC O T C O E O O C~ o c l E a~i E N CL p oo M N V c N E E a~i N N 75 ►~I O W M O O • o c) ' - rn N o E U M U Q N O - Z= U) © CC ~ E d I V] a`, c L a m LL L: (L CL 2 r'IV E i .E c r A t~a~i',Om o NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW I I r lot EIuL••osz Id 'a~(t G Pya.~ ISISr ~tl ~ aas~ INDICATE NORTH ARROW ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner Address 4 JAI 5z AL/ City/State /VAAAP x , a 17 Legal Description: Lot Block Subdivision/CSM # -it7 99 9S!! eao '/4 t/. ,Sec. , TAN-RAW, Town of G PIN # Olaf, SEPTIC TANK DOSE CHAMBER HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC /t ool16 Setback from: House o--g 'Well ,27a!P/L Pump manufacturer ? Model 98 Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: Ax*,~ Width _ Length (6 3 Number of Trenches Setback from: House Well P/L Vent to fresh air intake ELEVATIONS: Description of benchmark Bert;L^- l 06 / Elevation S, Sa Description of alternate benchmark Elevation Building Sewer AQ ST/HT Inlet ST Outlet PC Inlet 90, S / I 41t 30 1 PC Bottom I YS Header/Manifold Top of ST/PC Manhole Cover Distribution Lines . VS ( } Bottom of System O ,S', lD ( ) ( ) Final Grade { ) Date of installation / / Permit number t9i 26 06 State plan number _ S 47 a? d (s,7~a Plumber's signature License number j!f R 7S~S6 Date l 1 Inspector Complete plot plan or ~VIisco' Department of Industry, PRIVATE SEWAGE SYSTEM County: tabor and Human Relations INSPECTION REPORT ST. CROIX ''Safe:ty and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION 299006 -Iff Town of. State Plan ID No.: 3© Permit Holder's Name: ❑ City ❑ Village ALBRECHT, JAMES CYLON ~.co CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 006-1089-95-000 TANK INFORMATION ELEVATION DATA A9700326 O TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark S,S3~ Dosing " (p(~ e Aeration Bldg. Sewer /p' Holding St/ Ht Inlet ; S ~3 TANK SETBACK INFORMATION St/ ,~ft Outlet 75' TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 7~ 1 r ~5l ' NA Dt Bottom Dosing a 75 NA Headertm, 3Q' a Aeration NA Dist. Pipe Hold.ing°° Bot. System y ' ~,/d ~ ~~G)! (l~ ~ PUMP / StIEWNHNFORMATION Final Grade Manufacturer trPc.. Demand Model Number (V 51G ,0 t-mi'TDH Lift 4.97/ Friction f} System TDH Ft L H Forcemain Length O/ Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width Length~No. Of T enches DPIT IMEN I N o. of Pits Inside Dia. Liquid Depth DIMENSIONS `f LEACHING anu acturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM INFORMATION TypeO r CHAMBER _W& el . System: ~4(0, Al OR PNI.T DISTRIBUTION SYSTEM r / Manifold Distribution Pipe(s) / x Hole Size x Hole Spac ng Vent To Air Intake ade ten gth Dia. Length f~l® Dia. Spaci 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 o 0 Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 5,5 VOCATION: CYLON 3 .31.16.600 2256 181ST AVENUE BLK 4 I _ r ~ C Plan revision required? ❑ Yes P'VV Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH 1 SANITARY PERMIT NUMBER: shinlgton Ave sion Visconsin SANITARY PERMIT APPLICATION 201eE. W and D 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 8 1/2 x 11 inches in size. 5(, • See reverse side for instructions for completing this application State Sanitary Permit Number Z q q DU The information you provide may be used by other government agency programs E] Check it revision to previ s application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATIII Property Owner Name Property Location J 3 N R I I t T (or 1/4 1/4,S Property Owner's Mailing Addr s s ~ Lot f~umber/ ;Block Number `r City, Sta Zip Code Phone Number Subdivision N e or CSM Number ( 2/49T ~3 )57 PIK, 0? crare;t d 7►- II. TYPE BUILDING: (check one) E] State Owne it aNe ❑ Vi / . ~ • ' / Public 1 or 2 Family Dwelling - No. of bedrooms llage ~ own OF !v NI. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo -,/to R rO 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. Replacement 3. E] Replacement of 4_ E] Reconnection of 5. E] Repair of an _____System System__________.___TankOnly Existing 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 XLMound 30E] Specify Type 41 ❑ Holding Tank 12E] Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43E] 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/da /sq, ft.) (Min./inch) Elevation O 0Z Feet - Feet VII. TANK Ca in gallons Total # of Prefab. Site Fiber Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Exist in strutted Tanks Tanks Septic Tank or Holding Tank COQ 10E~© 1:3 ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber C70 ( ❑ ❑ ❑ ❑ ❑ 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' ignatur . (No Stamp) M MPRSW No.: Business Phone Number: 1/~ , Sys?~s_ a6- ~~~s PluAe- dress (St et, City, State, Zip Code): Z5 0-~ 0,157 IX. CUNTY / DEPARTMENT USE ONLY Cf ! ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued issuing Age Sig ture (No St ps Surcharge Fee) Approved ❑ Owner Given initial ~&V lp/~~l~J Adverse Determination - 1~ X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R.11/96).. 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, 608-266-3151. 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 exist ng 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. RESIDENTIAL MOUND DESIGN INDEX AND TITLE SHEET Project Owner 1 s'7 Address 221- ! a *6C4-1 4.,,.~..,~ w.~ Syo ~7 Legal Description SM -7 3 / ~G Township County ST (±r4 Subdivision Name Lot No. /0 1-'L Parcel ID Number ~G • /0 f~9•G -/O So- /y2a Plan ID Number $ S 7- .Zb G`7 (o P.O.W.T.S, Condidenato INDEX SHEET PAGE ONE MOUND CALCULATIONS PAGE TWO APPROVED MOUND DRAWINGS PAGE THREE DEPART NT OF COMMERCE PRES. DIST. CALCS. & LATERALS PAGE FOUR DIVISION EV AND BUI NU PUMP TANK DRAWINGS PAGE FIVE PUMP SPECIFICATIONS PAGE SIX E PLAN PAGE SEVEN SEE CORRES EN CE Designer BRADY UTG RD License Number 7456 Signature Phone No. 715-268-6637 Date 7-18-97 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Slats. SBD-10462-E (N.05196) Page 1 of 7 -1111 23 ► Sias: ry & 800. Div. S97-20676 RESIDENTIAL MOUND DESIGN Eight Bedroom Maximum Complete information in red framed boxes as necessary. (y or n) n Is the s stem constructed over creviced bedrock? Slope 0 % Number of bedrooms 2 Wastewater flow rate HIM-9 gpd 1135.5 Lpd Depth to limiting factor in 48.3 cm In situ soil infiltration rate (code) 0.3 gpd 12.2 Um2 Contour line below the upslo edge of absorption cell 98.97 ft 30.17 m Use standard fill depths? U OR Designer spec'd depth 17 in L 43.2 1cm Place X In box to use standard depths (12, 24, A+4 inclusive) OR specify design fill depth. Center or end manifold c (c ore) Estimated hole space 2.5 ft Not a final calculation. Lateral spacing 0 ft Minimum dose 10 times void volume Use a U lateral spacing for trenches Pump tank elevation 94 It outside bottom. Force main length 75 ft Force main diameter 2 in Force main actual dia. 2.067 in SYSTEM SOLUTIONS Inch-pounds Metric Cell media "x" one only. Estimated daily flow ®gpd 1136 Lpd x Aggregate and pipe Chamber and pipe Absorption cell Design load rate & area 1.2 gpdl@ 250.0 ft? 23.23 m2 Linear load rate 4.8 gpd/ft 59.5 Lpd/m Design width (A) 4 ft 1.22 m Cell length (B) 63.0 ft 19.20 m Depth of cell (F) 9.7 in 24.6 cm Sand filter Upslope fill depth (D) lzft2 in 43.2 cm Downslope fill depth (E) in 43.2 cm Basal area required (gpdrnfittration rate) 92.90 m2 Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.4 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 11.2 ft 3.41 m Upslope toe length (J) 9.7 ft 2.96 m Downslope toe length (I) 11.9 ft 3.63 m includes basal adjustment Total mound length (L) 85.4 ft 26.03 m Total mound width (W) 25.6 ft 7.80 m Project: Plan I.D. Page 2 of 7 .t MOUND PLAN VIEW observation pipes (typical) J w_ 256 ft A A= 4.0 ft 1.22 m 7.8m G B= 63 ft 19.2m B K J= 9.7 ft 2.96m 1 = ft 3.63 m K = 11.2 ft 3.4,m L= 85.4 ft 26.0 m typ. obs. pipe A X B refers to absorption cell width and length (anchored secur*) J = upslope width I = downslope width K = end slope dimension a- (150 mm) MOUND CROSS SECTION subsoil cap D = 17.0 in 43.2 cm lateral topsoil G H E = 17.0 in 43.2 cm invert 100.9 ft F = 9.7 in 24.6 cm elev. 30.75 m see note I -F G = 12.0 in 30.4 cm H = 18.0 in 45.6 cm D E ASTM C33 Sand Fill Sys- 100.4 ft ~ elev. 130.601m 99.0 ft contour 0% 30.18 m slope Note: Absorption cell media will D = upslope fill depth plowed layer consist of aggregate and pipe E = downslope fill depth or leaching chambers and pipe F = absorption cell depth as specified x Aggregate G = subsoil + topsoil depth at cell wall at right. Chamber H = subsoil + topsoil depth at cell center Designer notes: If aggregate is used, it is covered with code compliant material. Project Plan LD. Page 3 of 7 PRESSURE DISTRIBUTION CALCULATION: Absorption cell Inch -pounds Metric Width (A) 4 ft 1.22 m Length (B) 63.0 ft 19.2 m Lateral specifications _ Number laterals 2 Holesilateral 12 holes Lateral length 29.7 ft 9.1 m Perforation dia. 0.25 in 6.4 mn Lat. dis. rate 13.98 gpm 0.9 us Sys. dis. rate 27.96 gpm 1.8 Us Hole spacing 31 in 78.7 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1in/25mm Pla -X" one choice 1 1/4in/32 mm x x bo. from the options 1 win/40 mm x dia provided. 2iN50 mm x 3inr75 mm x Manifold diameter Ike diameter Design options Design choice Designer must I in/25 mm W" one choice 1 114in/32 mm No from the options 1 winw mm No provided. 2in/50 m n x 3in/75 mm 4in/100 mm LATERAL DIAGRAM - CENTER CONNECTII Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagran y 1; P i end cap ~ X-, J<--w w Laterals Worce main of PVC Sch40 Last hole drilled ner, to end cap (per. COF,11M Table SUM) Holes dulled on the bottom of the lateral. equal4 spaced i = permanent end marker Inch-pounds Metric Lateral length (P) 29.7 ft 9.05 m Lateral spacing (S) 0 ft 0.00 m Hole spacing 31.0 in 78.7 cm Hole diameter 0.25 in 6.35 mn Lateral diameter 1.25 in 32 mn Number of holes per pipe 12 Invert elevation of laterals 100.9 Ift 30.65 m Project Plan I. D. Page 4 of Total dynamic head System head = 3.25 0.99 m Vertical lift = 5.90 ft 1.80 m Are laterals the highest point in the Friction loss = 1.02 ft 0.31 m system? Yes "x" here. Total dynamic head = 10.17 3.10 m If no, what is the highest elevation Dose Volume downstream of pump? Lateral void volume = 4.6 gal 17.4 L Force main drain Minimum dose = 75.0 gal 283.9 L back to tank? (°x° one) Drain bads = 13.1 gal 49.6 L Yes Dose volume = 88.1 al 333.5 L E No Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per COMM 83.20(3) WAC. approved manhole cover weather proof w/waming label and padlock grade levels) junction box -i" levels quick disconect ~ aitemate 4" vent pipe electric as per NEC 300 and COMM 16.28 WAC location 18" (46 cm) min. wall of pump it chamber or outlet combination joint tank A 1/4" weep Grade levels alarm on Hole as pun np rank ffm*wW = 4° min. above finished grade pump on B necessary pranp tarVk man. =100 mm min above finished grade vet= IT min. above finished grade pump 95.0 ft C vet = ao0 mm ruin. above firrsh®d graft off elev. 29.0 m D 3 " (75 mm) of bedding under tank and anchor tank as necessary 94.0 ft Pump tank elevation 28.7 m bottom of tank Tank specifications: HUFFCUT Pump tank = 15 gaUn Pump tank volume = 600 gal Capacities: Inches Gallons A= 23.1 346.9 Pump manufacturer. ZOELLER ~ B= 2 30.0 Pump model number. N98 C= 5.9 88.1 D= 9 135.0 Project: Plan I.D. Page 5 of 7 ,tlld~t.T' P/o Aco SS 7- ;2009 S33 T 31 At ift I..., 41,O7 /a 41-o- -'r I Z 2 5.4 Cy[oa TV,/ ST. Ge.,r C~j, 67N.. Nw cow.-/ A" ,eo,,,, y S.C a rte. 4T,/,'- I LA . LA 3 a f Ad 2pt~/ooAt /~j/~rrl~ 6ti~LC I 1 f Wisconsin bepartment of Commerce SOIL AND SITE EVALUA i"ION Didlston ofrSafety and Buildings Page of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wi; , Adm. Code Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must :ounty include, but not limited to: vertical and horizontal reference point (BM), direction and j' percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D. It 36 6 -'/0 $'1,) ~ S = ~ / - /C) 40 . APPLICANT INFORMATION - Please print all infoilmation. aeviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Pr Owner Property Location Govt. Lot 1/4 1/4,S 3,3 T3/ N,R E (or(gIN Pr Owner's Mailing Address Lot # Block# Subd. Name or CSM# / Jt /oil 1 .22 City State Zip Code Phone Number ❑ City ❑ V i Town Nearest Road ix I ❑ New Construction Use: © Residential / Number of bedrooms Z" Addition . i existing building ® Replacement ❑ Public or commercial - Describe: Code derived daily flow 00 gpd Recommended design Ic ding rate / L bed, gpd/fl2 l 2 trench, gpdM Absorption area required J rQ bed, ff2.2Y_V__trench, ft2 Maximum design Ic :ding rate /bed, gpd/ftzf trench, gpd/flz Recommended infiltration surface elevation(s) (as referred to site plan benchmark) Additional design/site con erat(on Parent material floc ? plain elevation, if applicable ft S = Suitable for system Conventional Mound =-Ground Pressure AT-Grade System In Fill Holding Tank U = Unsuitable for system ❑ S ~ ES S 15 u ❑ s ®U ❑ S $U ❑ s EJU SOIL. DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Strut ;ure GPD/f12 In. Munseli Du. Sa. Cant. Color Texture Gr. S:' Sh. Consistence Bourxdary Roots 13 Bed , Trench --f-6-1Y 7,F&ZV1 J, .211,C,0 f rhf/< CU4/ /vf Ground S~ C P S, c C 17A1. e- Depth to limiting factor 2-'?-in. Remarks: Boring # _ our d'f.P r 13 "2 r Y1 V'6 S,' 2fA 41/ 411E C Ps S~~ FA ,r Ground Depth to limiting ~in. Remarks: CST Name (Please Print) Signature Telephone No. D_n4i,s EIL_002a *2142-Ay'Z d Z 7 Address Date CST Number 32z- IV6 7- A^ylk LOT ,%gy / !o ?'J' 9 7 a PIioPE*TY OWNER SOIL DESCRIPTION REPORT Page 'of PARCEL I.D.#F Boring # Horizon Depth Dominant Color Mottles Structure 2 in. Munsell Qu Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed . Trench C3 7 Iv. Ground A,2r 7 4 f'Y elev c Z SA S CL Depth to limiting factor Remarks: Boring # , Ground elev. tt. Depth to limiting factor LJ in. Remarks: Horizon Depth Dominant Color Mottles Structure Coe In. Munseil Qu. z. Cont. Color Texture Or. Sz. Sh. Consistence Boundary Roots Trench Boring # eed ; Ground elev. - R Depth to limiting factor ' 'n' Remarks: Boring # L3 Ground elev. ft. . Depth to limiting factor in. Remarks: S8D-8330 (R. 07/96) i'/o `i' I~..~. G.•~.C cup c ST*- 3 vo g L o Z 53 3733AIR/6&✓ Q7 7, mg- 14 Niv /YZ F Yy ~r f f { .24A...., HEAD CAPACITY CURVE 3 7/8 t-E-r 6 1/4 s 30 MODEL "98" 4 5/8 8 i . 25- 3 5/8 20t = B I 15 4 4 3/16 ~0 9 10 2 5 1 1/2-11 1/2 NPT 0 U.S. GALLONS 10 20 30 40 50 60 70 so LITERS AO 180 240 0 FLOW PER MINUTE TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENTANDOEWATERINO CAPACITY 12 HEAD UNITSIMIN FEET METERS GALS LT 5 1.52 72 273 3 10 3.05 61 231 15 4.57 45 170 4 3/16 20 6.10 25 95 Lock `hive 27 t. tD 1j SKI I02 CONSULT FACTORY FOR SPECIAL AI: PLICATIONS • Electrical alternators, for duplex systems, are available and • Variable level float switches are available for controlling single supplied with an alarm. and three phi: se systems. • Mechanical alternators, for duplex systems, are available with • Double piggy) ack variable level float switches are available or without alarm switches. for variable le fel long cycle controls. SELECTION GUIDE Standard all models - Weiht 39 lbs. - H.P. 1. Integral float open ted 2 pole mechanical switch, no external control required. 2. Single piggyback ariable level float switch or double piggyback variable level, 98 Seri** Control Selection float switch. Rafe, ro FM0477. Model Volts-Ph Mode Am Simplex Duplex 3. Mechanical aherr tar 10-0072 or 10-0075. M98 115 1 Auto 9.4 1 or 1 & 7 - 4. See FM0712, for : arrect model of Electrical Alternator, E-Pak. N9 115 1 Non 9.4 2 or 2 & 8 3 or 4 8 5 S. Control switch 1( 0225 used as a control activator, specify duplex (3) or (4) 098 230 1 Auto 4.7 1 or t 8 7 - float system. 8. Four (4) hole J-Pa junction box, for watertight connection or wired-in E98 230 1 Non 4.7 2 or 2 & 8 3 or 4 & 5 simplex or duplex ,perstion, 10-0002. 7. Two (2) hole J-P¢ , for watertight connection or splice. CAUTION Forinformationon additional Zoellerproducts referto cat@4 on Combination Starter, FM0514;Piggybadc All installation of cons ois, protection devices and wiring should be done by a qualified Venable Lewd Switches, FM0477; ElectricalAttemator, FM0488; Mechanical Alternator, FM0495; Sumo licensed electrician. It 1 electrical and safety codes should be followed including the most Sewage Basins, FM0487; and Single Phase Simplex PumpConbWAlann Systems, FM0732, recent National Electri Code (NEC) and the Occupational Safety and Health Act (OSHAI. RESERVE POWERED DE4; IGN For unusual conditions a reserve safety factor is engineered into 1 le design of every Zoeller pump. MAIL T0: P.O. BOX 1634 O: r83, one Ru347 Martufacmrers ol. . 0 SNIP IP T T0: 3649 49 Cane Run Ra:.r Loruswile, KY 40211.1961 QuscirrPu~vB S~cE /9v''9- PVMP !O. (502) 778-2731 • f (800) 928-P(' 1P FAX(502)774.3624 Wiscon. -apartment of Commerce $ITE EVALUATION ,r Safety and Buildings a Page of Bure, of Integrated Services I rdannc1e R 83.09, Wis. Adm. Code Attach complete site plan on paper not less th /2 x 11 fih ca j 4Fme. Pla t County include, but not limited to: vertical and horizo ference point (BM), directio ' S T percent slope, scale or dimensions, north arr nd 104[n agd~lis""o n a m road. Parcel I.D. # STCRaIx (r~ (a _ 0X01 o -i09 - /c, APPLICANT INFORMATION - Pleas It n. Reviewed by Date Personal information you provide may be used for secon ses (Privacy Law 1 (1) (m)). Prop Owner Property Location Govt. Lot 1/4 1/4,S 3,3 T3/ N,R E (oq Pr erty Owner's Mailing Address Lot # Block# Subd. Name or CSM# ,Z.S- ✓ 3 Q 0 1111 Z~ o ,h S .22 City State Zip Code Phone Number ❑ City ❑ villa a Town Nearest Road i S'S%17 (ors ' L?Gs = Y7r q S ❑ New Construction Use: ® Residential / Number of bedrooms Addition to existing building ® Replacement ❑ Public or commercial - Describe: Code derived daily flow -3c o gpd Recommended design loading rate Z- bed, gpd/fl2 _/Z trench, gpd/ft2 Absorption area required SO bed, ft2.2 S"U trench, ft2 Maximum design loading rate / L bed, gpd/ft / Z-- trench, gpdht2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site con ' eration 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 E-u ES~ S ❑ U ❑ S E[ U ❑ S ®U ❑ S $U ❑ S Bill DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 4 > 7 s r &V 19 AAM rhvF cv. / Ivy Ground 7 3 `ll C2 $'y s S, c L 2 /zA/g rC yr elev. Depth to limiting factor Z'2 in. Remarks: Boring # Si -I- h7eZAO 3 -rV/ y/e S s r SSG eA& Wie Ground ft. Depth to limiting factor 2 _in. Remarks: CST Name (Please Print) Signature Telephone No. /e ';V5--,24k-6 3 Address Date CST Number 37Z sT_ to ~2,r97 0 SOIL DESCRIPTION REPORT 4-0~ PROPERTY OWNER Page .Z PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GVD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 / ID-1y CL, A, 40' w4,A CAL, roF ' ;2, yt riex// eL /ll Cum ; Ground 7 sYR yW e z O s/ CL I'1► elev. Depth to limiting factor a-in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench ; Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # <F~m , Ground elev. ft. , Depth to limiting factor 'n' Remarks: SBD-8330 (R. 07/96) Dior P Dww Qm,,~ c sT- 3 vo g L.T S 3 3 T 3 3 AIRS/G &,,l C/ -r S7: C~jc S~3T~ ~ Eye ~7,ss' We/ /To^ I-Oe Q OI.AIX (91-fl" Z., 7-1,,v - -e /yz Y~ I S~ r 1 3q ay. X-4. i STC-105 SEPTIC I ANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER -.1 k4 MARMG ADDRESS PROPERTY, ADDRESS ``ate (location a septic system) Please obtain from the Planning Dept. r CITY/STATE _ Ct ` o v~ w i S c S PROPERTY LOCATION 1/4, 1/4, Section , Taz-N-R-26-W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBERt/ / Z 04"" CERTEREDSURVEY MAP , VOLUME, PAGE , LOT NUMBER Improper use and maintenant of your septic system could result in its premature failure to handle wastes. Proper maintenance consists If pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. Wh it you put into the system can affect the function of the septic tank as a treatment stage in the waste disy,oral system. St. Croix County residents It Ay be eligible to receive a grant for, a maximum of 60% of the cost of replacement of a failing system' xhich was in operation prior to Jly 1, 1978. St. Croix County accepted this program in August of 980, with the requirement that owners of all new systems agree to keep their system properly maintains .l: The property owner agrees to.:#ubmit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumb-or or a licensed pumper verifying that (1) the on-site wastewater disposal sysr, ;,m is in proper operating, condition and (2) after inspection and pumping (if necessary), the septic to !k is less than 1/3 full of sludge and scum. I/We, the undersigned have r ;ad 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 I as been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 da, s of the throe year expiration date. . SIGNED: c........ DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/g3 8 TC - 100 This application form is to be completed ..n 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 ret ined and completed when the property is sold and submitted tc this office with the appropriate deed recording. Owner of property r~.5 SS ~Pi~t cS `J `cam Location of property 1/4 1/4, Sect on 3 3 ,T3LN-R_AL~:W Township l -Mailing addre ;s ).2 ~ (x/ tau e - Address of site 4q -e, Subdivision name Oiwz/ Lot no.l 44 Z a~K r Other homes on property? Yes_,>6_ _No Previous owner of property Total size of property Total size of parcel Date parcel was created Are all corners and lot :lines identif iabl 3? L--'Yes No Is this property being developed for (spec house)? Yes 4--No Volume and Page, Number as re ::orded with the ;Register of Deeds INCLUDE WITH THIS APPLICATION 'HE 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. I7 the deed description references to a Certified Survey Map, t ie Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on tri.s 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 ice of the County Register of Deeds as Document No. 5~21d-3 S aid that I (we) presently own the proposed site for the sewage di.posal system or I (we) obtained an"easement, to run the above described property, for the construction of said system, and the same.,.as been duly recorded in the''off ice f the County Register of Deeds as Document No,. Tot . Signature of Applicant o-App-ica t 7 Date of Signature Date v ` Si,ana ure low STATE BAR OF WISCO IDS 2 - 1982 a j, VOL J P ay 5 DOCUMENT NO. REG15 I LHS O;TI F " Jean M. Lauterbach, a/k/a Jean Lauterbach- ST CROIXM. M a single Derson, AN 19 1997 conveys and warrants to James H. Albrecht and Denise G. 11 :30 A yI _ Albrecht, husband and wife, as survivorship ' marital property,"' - T4ogIi1F Oec~., THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in St_ _ Crn i x County, State of Wisconsin: y'►y 006-1089-95, 006-1090-10,20 PARCEL IDENTifICATpN NUMBER Lots 10,11 and 12, Block "4" in the Village of Cylon, St. Croix County, Wisconsin. TH3 go R FEE This is not homestead property. X(AXX (is not) Exception to warranties- Easements, restrictions and rights-of-way of record, if any. Dated this day of June , A.D., 19 97- s tv, f, \ (SEAL) (SEAL) x • "Jean Lauterbach, a/k/a Jean auterbach (SEAL) (SEAL 3 r a AUTHENTICATION ACKNOWLEDGMENT Signaturz(s) Jean M. Lauterbach, _ State of Wisconsin, a/k/a Jean Lauterbach ss. _ County authenticated this 1 ~~dayof June 19 g7 Personally came before me this _ day of 19--, the above named Kristina gland TITLE: MEMBER SIATE BAR OF WISCONSIN (If not, - authorized by 9706.06, Wis Stats.) -w me known to be the person who executed the foregoing in-r_inent and acknowledge the same THIS INSTRUMENT WAS DRAFTED BY e ~ i x~ ji inv- .s1,c w I ,~01 : r ti S t t , ~y 4 •tic~ ~ x ` " ~`''~K: ~ sr,~i' Al 4 t y. S'~ 2 tt' w Y 4 -7- R f ,--e---R ESL r l II Q~ -(26W G)Q c/ Qb o i ,cl) 0C) ,S6-~~ol °~00