HomeMy WebLinkAbout040-1185-40-000
ry o (D o
a 0 61
M o
a
h C
N 0 N T
O
O co
O C w
V .N N.L..
C O O
O C N
N
N L
Oyi N O
C
L N L
O d N
O Z N Y
C C
LL c .0 m
c E
-e E
N O N.N.
O O aL y
Q Z F- in
m
~ N
Z H
rn z 0
O
Z
M co w a m
O
76
O Z
v ~ r ti
0
N F r :t z
E
N M
N
C
• A~ ,D L p
O
0 Z Z
z
N
t C:
Its U N
y N L
~1 Q
m U
r~ll v a ;a « vi c
O~ O O 0. E -0 (D
c (pE
m N N N U
O _ a
~Nv 0
~i O O O Z
•N c0' a (L a
~1 g -o
~,i 0) M
U) -j U = 0) rn
O Lf) 0 70
a)
N N
o o O E
O n O a)
m 10)
0 p d ¢ Z N
W 7
E
^i O O O N C
O 0 0 O w v 0=. 0 0
C O O
Z5 E u-)
`=yam') 4O a0 O co O d N
N T m 4)
• a 7 CO O W O E N U
;0.4 M~ N F' •C L O I`
y~ O M F- N O Z -7 (n
v1 y € a
r'1V +r ~ ~ c c 3
r A U a j O U) 0
4
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of
Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
111irYcl?e irrsize. Plan must include, but
Attach complete site plan on paper not less than p
not limited to vertical and horizontal reference X"N direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and tence to nearest road.
APPLICANT INFORMATION-PLEASPRiNT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: ' P EROTY LLOOCATION4~ 1/4,S3o T a8 N ,R 19 E (or) W
Y
PROPERTY OWNER':S MAILING ADDR SS ~OT# BLOCK # SUBD. NAME OR CSM #
I' Y I a Z0N NU,;FF! S
CITY, STATE ZIP ODE ` PHONE NUMBER 3 EHL4AK MOWN NEAREST ROAD
, -R^o YY~1
v ear Fodks . GOT 1540ZZ'
New Construction Use[ ] Residential / Number of bedrooms [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow y SO gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2
Absorption area required . f bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2
Recommended infiltration surface elevation(s) 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 7IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U ❑S ❑U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
I. i z, iI a 56K In v -Er 0- a y s
a IS-3 p Y `I] 3 S11 01 m sb~ MV-~_r C 1Y~ , S
Ground 3 3Z-149 IO Y L4 6 1 f 66K mv'Fr c, Iv-' •S 41 elev.
ft. y8- r Oo Is s ML
Depth to ~j 657 -1a 1 C r -11q IS Ume, 0-V 5 M L S . (o
limiting
factor ~p a _ lp9 r 7 Ctme j'Y1
Remarks:
Boring #
I -19 jD 0, r Z1 t n l i' 5bK v CL ,S
. iq 3b 41,4 5i 1 Z m bK rnv C , y 1's
Ground -ro0 ' 0 Y 41 t ( K L C V-F . ' .
~ S
elev. 400-`1 Y b I (o Is T. S ML
94'q t ft.
Depth to J 7a-10% 10 1 I q 5 0-f' i
limiting
factor
Remarks:
CST Name:-Please 0nt Phone:
A/ Q "5 6
owl C : } n<2r_
Address: g. "'10 CI t _ R \\r t 5
, r4 Signature: u l Date: CST Number:
PROPERTY OWNER SOIL DESCRIPTION REPORT Page x- of
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
all
3
1q-Q(0 I bur 414 S i m
Ground (0-`13 10(4 ie' 9 (o Si 1 C. ~V~ q S
elev.
qs ft. y qa-o i® r~ 0 i co m L , S ,
Depth to j 67-I0$ IDUr 7 of L
limiting
factor
Remarks:
Boring #
1 o-1a ow z) 1~ o b m v-6 Q a~ - S
, a 1x-30 113 , j Zm K L' f Y ,
Ground 3 104r 4 io t l I -F b MVPr 0, ) v y 4
elev. A4 N3-8 r (0b Is 60b n - 5 m L
5 -I Y 7/3 1,S Co - L _ , 5
Depth to
limiting
factor
Remarks:
Boring #
41
d-I6 I r Zf n a 56K MvFr OL 0-If
, S
Ila-a r 414 i 1 b mU -Fr IV-F 'q
S
Ground 3 ab-48 r b (o S i l L f sb K , y, s
elev. 4e IC9 c>r 7/4 _ ' .
9 ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
S13D-8330(8.05/92)
Wiscontin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Buildings Division County
INSPECTION REPORT ST. CROIX
GENERAL INFORMATION (ATTACH TO PERMIT) SanitarMr§7t..
Personal information you provice may be used for secondary purposes [Privacy L , s.15.04 (1)(m)].
Permit Holder's Nam Village Town of: State Plan ID No.:
RIVARD, PATRICK
CST BM Elev.: Insp. BM Elev.: BM pescription: nT1185-40-000
11, I GU . GU r
TANK INFORMATION ELEVATION DATA A9700240 /6 A~'8
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic C~~ S. rY C_y~ <r C - 0~4 Benchmark 60
Dosing //7 53
A e r a ion Bldg. Sewer
Holding St/>f Inlet' Jl75,S5~
TANK SETBACK INFORMATION St/ bK Outlet r3 -
Vent
TANKTO P/L WELL BLDG. Air Ito ntake ROAD Dt Inlet n
Air -
Septic / dA NA Dt Bottom
Dosing NA Header
LA~arr (0
Aeratio NA Dist. Pip; I, v
Holding Bot. System ii, ' " y7
PUMP / INFORMATION Final Grade
Manufacturer o~ y Demand
Model Number 9 y GPM
TDH Lift Friction Systern7 TDH Ft
Forcemain Length Dia" Fi Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No_ Of Trenches PIT No. Of Pits Inside Dia. epth
DIMENSIONS DI
SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHING
INFORMATION TypeO CHAMBER Moe Number:
System: t-NcL._j q OR UNIT
DISTRIBUTION SYSTEM
Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length Dia. Spacing
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.)
DRIVE LO 7 r/~?•r
LOCATION: TROY 36.28.19,SE,NW 61 E WOODNDGE,
4-1111 7. 06.
D O
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710 (R.3/97) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH '
SANITARY PERMIT NUMBER:
Illl~~is Safety and Buildings Division
v~■~r■r,. SANITARY PERMIT APPLICATION Bureau of Building Water Systems
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 8 112 x 11 inches in size. X
• See reverse side for instructions for completing this application state Sanita Permit Number
Rp9 4139
The information you provide may be used by other government agency programs ❑ 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
PropeLtyO Name q /
R , 1/4 ).Z01/a, S -36 T N, R/ 9 E (or)
Property Owner's Mailing Addr s Lot Nu er Block Number
J 19 h.- /A S-,~'
City, State ip Code Phone Number Subdivision Name or CSM Number rn,
( > rid Jam'. EQ SL`
Cit
II. TYPE OF BUILDING: (check one) ❑ State Owned ity r, Nearest Road
Public 1 or 2 Family Dwelling - No. of bedrooms ~,Towan pF I v`
111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) `
1 ❑ Apartment / Condo Q Ll o L cD
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. K New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
------System Syste_m 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-ln-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) o Elevation_._._-
1-5- 0) 1 3 7 7 G / !f Feet Feet
Ca acit
VII. TANK in gallons Total # of Prefab. Site Fiber- Plastic Exper.
INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel
New strutted glass App-
Existing Tanks Tanks
Septic Tank or Holding Tank (pp ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plum1i Name: (Print) PIu ber' Signature) No Stam MP'/MPRSW No.: q Business Phone Number:
C-Q(
Plumber's Address (Street, City, State, Zip Code):
IX. COUNTY/ DEPARTMENT USE ONLY
❑ Disapproved Sa itary Permit Fee flncludesGroundwater Date Issued Issuing ent Signature (No S ps
A roved Surcharge Fee)
pp ❑ Owner Given Initial
Adverse Determination d CJ_
X. CONDITIONS F AP ROV~ ON FOR D SAAPPPROVAL:
SBD-639B 105/94) DISTRIBUTION: Original to County, One copy To: Safety & Built ings Division, Owner, Plumber ,I
I
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-
11 . 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, rec;:)nnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information Provide all informatior requested for numbers 1 throuch
VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, n, rr L rof tanks and
manufacturer's name, indicate prefab or site constructed and tank materiai Complete for ;L! ,)tic, pump/siphon and
holding tanks for this systern. Check experimental approval only if tanks received experirn(--,t~i ;,)rodu(t approval from
DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropi a = :)refix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX. County/ Department Use Only.
X. County/ Department Use Only.
cm;~letc plan a speCi not srria:1,,r than 8 10 x 11 !nche•s rrust be sui,. unty. The plans must
1;-0 [hie fu) hj p,ot r>lan, draw scale or vlltfl Ct)it,s~ : ~ r a., £~=51 1 k,; ding 'ank(s), septic
t I s t rrn,-r or siphon
c r <;nl b.:;Idm w(li,, ,n
served;
C)
Lie 1 .i r) rnp i cur i.r, 'r, D) ci css s°ction
of _ SJ i .-b crpuo. system if required by Gil ~z,L r ~)rrT a -,J ng inforration.
GROUNDWATER SURCHARGE
1983'r' "1G' included the crea'on c` surcharges (fee,) ^c,r a numb- z- A pi i i,_ , (Vhich can
effect groundu,<ate.
The r,rf : •-~s ed through these surcharges are used for monitoring grog. v :-T investigations
and establishment of standards.
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Commerce
July 10, 1997 2226 Rose Street
La Crosse WI 54603
WEGERER SOIL TESTING
421 N MAIN STREET
PO BOX 74
RIVER FALLS WI 54022
RE: PLAN S97-40857 FEE RECEIVED: 360.00
RIVARD, PATRIC
SE,NW,36,28,19W
TOWN OF TROY 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,
6rard M. wim
Plan Reviewer
Section of Private Sewage
(608) 785-9348
SBD-7997 (R.11/96)
6
S97-40 g 57 Page -1 -Of
MOUND
SYSTEM RFIlI
FOR I
A 3 BEDROOM RESIDENCE Jul sAFFTy ~ 0 1997
BOGS. D/V
LOCATED IN THE 1/4 OF THE iVW 1/4 OF SECTION 36 T N, R 19 W,
TOWN OF T-2olr , ST C~ZFILX COUNTY, WISCONSIN.
INDEX
PAGE 1'of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
.PAGE 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 -t S.
4•~•~~ Wally
coriditi° ~Q
-1 DY S 7'N 5r. ti0~ PSTPT** 2 O~ ~E s
11v~So ►J i~J l .S ~ ~ t b ~~oE ~o a1
~~aa~~'EN
o~p s~
o~s~ PONp~NGE
SEE GD~tR
PREPARED BY
WEGEFtER SO S L .TESTING ~~~e~~90oNN~.,
AMID .
DES = CN S d
IEF~V = CE
F.O. B01 74 421 K. MIK ST. A"(JR L.
RIVU FALLS. KI 54022 %FGEREA
715-425r0165 ELLSWORTH,
LA'S I G 13
JOB NO.
r~
i
PLOT PLAN_
Page Z of 6 -
yD ' r
Scale 1"=
ZOO'
~ n2w~M/ lAe:.rtT1~
7t
C.OvM0 8~, WCA
/_J O~Bm~,
~ NZ. ~p$.o~'L p6o
. 8 a~o
Q i ~ 8.3 p
3 G3Dt i
%A-p) F
3 cr >
O > S'pF~`'cv C
'~aZ0~~ P
.y o ~ ~ by ? ZOO
cJ fir" 1 • Wo.p' oN ~P O1= 2 '1i16 M Cm\,kt. TV .
\ DO NoT Cowl PST Oft 't_--,i S UttD .T. V~z Y-111vMp ?'t►`tZS'R
' o1Z ~L wtT~t!>\► Z,5'b~iwl:lS~.01~N 0l=7It~ _l~iU~►ui~.
~1iv2LrU ~ t-hjUSF ~.~~r~JSll~-UC"T?(1►~1. - -
-2. Lv~tL `Tp 3F ~T L"-&-r ISO, 1= tzOM "OVvv~) '1~it~1J ~T
L~T ZS ' F=l-zep4 s_
~}-UU S eUrv 5~1~ t.Y101y olZ ~ '1 rJ ~~'D~W U'P~~
t'fe-~-`~S S Fo R Lt~'i~lZ : 1 n~ S~~t~LAfi D ~J , _
+-l- `ltM U0SWPZ SL 0 - Y-~Uv
F r,~
%LeQZ ! ~ T} Fi " S ktM ~ SCt .
S, veRit ~r Lol- U"IZS toVA _ COQ ST~it,c UtJ, -
NOTES:
•1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install permanent markers at end of each lateral. required)
3. Install.4" observation pipes with approved caps. ( Z required)
4. -Septic tank to be 1tsob I6oo gallon capacity manufactured by
~tnz CAIV @WXTE i> R01JUe-'rS
5. Bench Mark s. ~$pUN
6. Divert surface water around system to_prevent .ponding at the uphill side.
Page Of
Approved Synthetic Covering
PrsTm C- 33 Distribution Pipe
Medium Sand
_ H _ G
Topsoil = F Elev \0'8-0
_11
3 E D
-
b
% Slope
Bed Of 22 Force Mbin Plowed
Aggregate From . Pump Layer
D Z, o Ft.
E z-5 Ft.
Cross Section Of A Mound System Using
A Bed For The Absorption Area F c.b Ft.
.
G 1-O Ft.
A 8 Ft. H N.S Ft.
Linear Loading Rate=O~- 6 GPD/LN FT B Ft.
Design Loading Rate= o-~ .GPD/SQ FT j 16 Ft.
J ~Z Ft.
K 1 Ft.
A! termatp-Posit+oii, L 15 Ft.
o~
W_ Ft.
L
Observation Pipe-,
A I - - -
I.----- ---------------------~I
W o Force Main
Distribution \.,,Bed Of 2N- 2 2
Pipe Aggregate
I
Observation Pipe Permanent Markers
(Anchor securely)
Plan View Of Mound Using A Bed For The Absorption Area
Page -Of Perforated Pipe Detail
0
End View
)Perforated
End Cap.) PVC Pipe Install permanent marker
at end of each lateral
Holes Located On Bottom,
Are Equally Spaced
Q S
PVC Force Main
II
P
PVC
Manifold Pipe
Distri ution
Pipe
Lost Hole Should Be I
Next To End Cap
End Cap
P Z Z Ft.
Distribution Pipe Layout
S Ft.
X8 Inches
YS Inches
Hole Diameter 11Y Inch
Lateral Inch(es)
Manifold Z- Inches
Force Main Inches
# of holes/pipe
Invert Elevation of Laterals 108:5 Ft.
bx1.V') ~•01Y ~4 zg.ug GW~
Place 1st hole Z~4from center of manifold with succeeding holes
at L18y intervals. Last hole to be next to the end cap.
Combination SepL"c, Tank acid
PLl-MP CHAMBER CROSS SECTION ARID SPECIFICATICIMS PAGE S OF C~
-VEUT CAP WEATHER PROOF
JUUCTIOM BOX ,
`'C.I. VENT PIPE APPROVED LOCKIIJG
lO' f ROM DOOR, MANHOLE COVER k-JIV
'.iIUDOW OR FRESH 2 wARN1uG L1~6EL.
AtR IUTAKE DJ,
s
I `(r MIU.
107 I I
I ~ I B' MI IJ.
11~ _
PROVIDE I
IAILE T AIRTIGHT SEAL I III
~ gFFt~s ~ I i ~ l_ v
APPROVED JOIM r A I I I APPROVED JOIWT
aR I 11 I W/LI. PIPE~pu
w/C.I. PIPE Tank construction I II
shall comply with I I ALARM
ILH e I II
~ 1;3.15 and 33.20
• I i oN
C I I
LLI- V. FT. Pump
OFF
0 COkICRETE
BLOCK
13" APPRo
RISER EXIT PERMITrID ONLU IF TAUK MANUFACTURER HAS SUCH APPROVAL. BEDDINi-
SEPTIC E SPCGIFICATIOMS
DOSE
TAWK A►1UFACTURGR: UUMBER OF DOSES: PER DAB
M
TAWK SIZE: /630 GALLOUS, DOSE VOLUME z
INCLUDING BACKFLOW: GALLONS
ALARM MAAIUFACTURi`R:
O1 N J
MODEL iJUMBER: 1 CAPACITIES: A= 'Z -2 IUCHES OR 3D GALLOIJS
SWITCH TyPC: 1~ ~'y~~t' B= Z IIJCHES'10R X3'6 G~LLOk15
PUMP MANUFACTURER: zO~L~~R C-O C= ~ 1 WLHES,OR GALLOU5
MODEL NUMBER: D- lZ IMCHES OR GALLONS
`lIJOTE: PUMP AMD ALARM ARE TO BED ~
SWITCH TYPE:
MINIMUM DtSGKARGE RATE GPM IN5TALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE DETWEEU PUMP OFF AW0.015TRIBUTIOU PIPE.. _t' SO FEET
+ MINIMUM NETWORK SUPPLY PRESSURE . , . , . 2.52 FEET
FLFRIC710k1 FACTOR. FEET
+ ~Q FEET OF FORCE MAIN X `'t'1 FY100 \,`3
TOTAL 09UXMIL HEAD = \1I V1 FEET
Pump chamber DIAMETER
~I
INTERAIAL DIMLWSIOW~ OF TAIJK: LEAIGTH ;WIDTH ;LIQUID DEPTH S 1
BOTTOM AREA 231= GAL/INCH
AS PER MANUFACTURER = ~I.B Z GAL/INCH
6 a b
3 /8 6 1/4
a HEAD CAPACITY CURVE
30 MODEL "98" 4 5/8
8
25
0 3 5/8
6 ° ® O
-
Q O
15-
4- t .t3 4 3/16
F
0 10-
5- 8 08
2
1 112-11 1/2 NPT
0
U.S. GALLONS 10 20 30 40 50 60 70 80
LITERS 80 160 240
0 FLOW PER MINUTE
TOTAL DYNAMIC HEAD/FLOW PER MINUTE
EFFLUENTANDDEWATERING
CAPACITY 12
HEAD UNITSIMIN
FEET METERS GALS LTRS
5 1.52 72 273 I
10 3.05 61 231
15 4.57 45 170 4 3/16
20 6.10 2s 9s L_J
Lock Valve 23'
SK11112
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.
• Mechanical alternators, for duplex systems, are available with • Double piggyback variable level float switches are available
or without alarm switches. for variable level long cycle controls.
SELECTION GUIDE
1. Integral float operated 2 pole mechanical switch, no external control required.
Standard all models - Weight 39 lbs. - 1/2 H.P. 2. Single piggyback variable level float switch or double piggyback variable level,
98 Series Control Selection float switch. Refer to FM0477.
Model volts-Ph Mode Amps Simplex Duplex 3. Mechanical alternator 10-0072 or 10-0075.
M98 115 1 Auto 9.4 1 or l &7 - 4. See FM0712, for correct model of Electrical Alternator, E-Pak.
N98 115 1 Non 9.4 2 or 2 & 6 3 or 4 & 5 5. Control switch 10-0225 used as a control activator, specify duplex (3) or (4)
D98 230 1 Auto 4.7 1 or 1 & 7 - float system.
6. Four (4) hole J-Pak, junction box, for watertight connection or wired-in
E98 230 1 Non 4.7 2 or 2 & 6 3 or 4 & 5 simplex or duplex operation, 10-0002.
7. Two (2) hole J-Pak, for watertight connection or splice.
CAUTION
Forinfonnationonadditional Zoellerproductsrefertocatalog onCombination Starter, FM0514;Piggyback All installation of controls, protection devices and wiring should be done by
a qualified
Variable Level Switches, FM0477;ElectricalAltemator,FM0486;Mechanical Alternator, FM0495;Sump/ licensed electrician. All electrical and safety codes should be followed including
the most
Sewage Basins, FM0487; and Single Phase Simplex Pump ControVAlarm Systems, FM0732. recent National,Electric Code (NEC) and the Occupational Safety and Health Act (OSHA).
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
.T MAIL TO. P.O. BOX 16347
Louisville, KY 40256-0347 Manufacturers of..
Z Ly SHIP TO: 3649 Cane Run Road _
LoulSvdle, FAX(502J KY 40211-1961 Q~caurrPruias Slh'Mr ARMY
PUMP !O_ (502) 778-2731 - 1 74.3628PUMP
WmonsinDepartmentof lndusty, SOIL AND SITE EVALUATION REPORT Page \ of 3
Labor and Human Relations
Divi, of Safety & Buildings in accord with ILHR 83.05,.Wiis. Adm. Code
COUNTY
r Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but C lk
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. vy.0 - 1 l Qf 5 - y n
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: ~c\ D FO X PROPERTY LOCATION
Qv~-► ~2: V" Per Z Cjr- IR V mtt) Gew.-E SE 1/4 K)W 1/4,S 31 T ZS N,R 101 E (00
PROPERTY OWNER'.S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
)oy 8r►t ST. N.IaIL TI T*~ 2 1 - 1346"V-- l~-~O66 hcCc..s
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®fOWN NEAREST ROAD
Sw-j~ kiI 580[6 (itS)3Rs SgL9 TZU 1WWbV-1DQ DQ.Ehs"T
[X! New Construction Use [X] Residential / Number of bedrooms 3 [ ] Addikn to existing building
[ ] Replacement [ ] Public or commercial describe
Code derived daffy flow SO gpd Recommended design loading rate • \4 bed, gpdlft2 trench, gpdjft2
Absorption area required 31 S bed, ft2 31 S trench, ft2 Maximum design loading rate , q_bed, gpd/ft2 , S trench, gpcW
Recommended infiltration surface elevation(s) - S It (as referred to site plan benchmark)
Additional design / site considerations ovt~\~ w~ ~~V 1 31~A • V--,Irv . L k S' of S)" F-j LA_.
Parent material Sf'C~►nS`TO 111 Flood plain elevation, if applicable 1- f\ . It
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESS7RE=ATG1R ADE SY STEM IN FILL HOLDING TANK
U = Unsuitable for system ❑ S ® U ®S ❑ U ❑ S [2U ❑ S [8'U ❑ S ®U ❑ S ® U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed tench
TAY .H : ?y' n_ _ J Y 1 fi •
1 0-8 't `i.R 3) - S VA S VC g CS 4 S
Z &4 -!&'1 IL V/ - S > 1~nSbk `MV \h CS _ 'S
Ground 3 \-L-y g ~0 ti 616 - `Fs o S 9 t Cg . S
elev
10-1 a ft 10,- Q_ _ ~S o s 9 Yrl • S , b
Depth to S 460/b+- S"M G 1,1 L v S,
limiting
factory 1 1 SO R
Remarks:
Boring #
1-~ 1 - s1 1sbk ds cs _ •q s
Z Z -7- zL WL - ~s o s9 1 C T
SSS
Ground
elev.
°-ft
Depth to z
limiting
factor
Remarks:
TName:-Please Print Arthur L. We erer Phone: 715-425-
egerer Soi Testing & Design Service-P.O. Box 74 River Falls,WI 54022
Signature. t; ~hi _ 1-1 (o Date: -7 CST Number: M00 5 7 6
PROPERTY OMER. ~Z1V PM[ D SOIL DESCRIPTION REPORT Page - of 3
PARCELI.D.# 040-11$S-yO
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounday Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 79 `11Z 3 l S) tins S cS - • 5
Z a 33 lv`~1Z 3lcf - ~s~ ~v4Sbk ynv l ~S _ • 4 •5
Ground 3 11-Sb 1 ~ tz ell - ~ g O S-) - - S . L
elev
\0°I 9 ft. 3 Cps, N S > °`o SP%J~a 8 vi M1 - S 8
Depth to
limiting
factor Remarks:
Boring #
C3
Ground
elev.
ft.
Depth to r
limiting ,
factor
Remarks:
Boring #
13
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
PLOT PLAN page 3 of 3
SCALE 1"= L4p '
j Zoo'
~ ~2i,u~wf~y L.oeXno,~
c x w~ LuctmuN
0
t0 0 ~ Lam. l0 q ~
0 ~ B.3 0
V ° Otitov~ b o
O r \ b @ti t~p►q ~P
3 p ~ a- i` ` of a
11103° . \ WL ~L. LOl s
~ J ~3.
c1 ~"1 vau-rj' ON SOP O~ 2~lt16t+ Gc6\.l TV Pao.
LrL -0i, Om
r~1o1iL":
1, Cho NoT ~o~i1'~T _atiL of s~v~~R ~ ir-iuviu~D -'A~n'~R
OSt `T Pm ~..,t`~}th► ZS' c slgP 61=_7ttL-~inu~uo,
B.- W zL4- _ k
6
(715 ) 423-0169 1400576
CST Signature Date Signed Telephone No. CST #
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page \ of 3
Labor and Human Relations
Division of Safety & Buildngs in accord with IL.HR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but C~~ Zk
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dmensioned, north arrow, and location and distance to nearest road. 0qo - W&5_ q u
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: 1QWfV ZD F-0 X PROPERTY LOCATION
8v`1 ~i : PPt'i' (CSZ V ~ V Pt 'RD GeW-EO • S E 1/4 MW 1/4,S 36 T ZS N,R l c1 E (0(@
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # SUBEr. NAME OR CSM #
boy BYIt ST. vaokTH 1'1-pTW 2 -I - ash- Vk-L06E" 1f~UZss
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE EFOWN NEAREST ROAD
Soau, Lit sk.ol6 (7tS)3~)- S9'L9 WooUR1DGt? DR.Eyts"1'
[>q New Construction Use [X] Residential / Number of bedrooms 3 [ ] Addition to existing building
j ] ReplaMent [ ] Public or commercial describe
Code derived daily flow A SO gpd Recommended design loading rate • ~ bed, gpd/ft2 ~ trench, gpd/ft2
Absorption area required 31 S bed, 1112 31 S trench, ft2 Mabmum design loading rate__, bed, gpd$ IS trench. gpdtft2
Recommended infiltration surface elevation(s) t0~ - S ft (as referred to site plan benchmark) ,
Additional design/ site considerations r W jK.;p w/ H 5c V g~ • W> OIJ . L $ 4 OF S't}yvD Fi L.L .
Parent material S1( SAO h1L. Rood plain elevation, if applicable 1-3 • f\- it
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for system ❑ S ®U ®S ❑ U ❑ S [2U ❑ S [,8'U ❑ S ®U ❑ S o u
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD/ft
Boring # Horizon in. Munsell Chu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed rench
f 1 t7-8 10 ~lR 3 ) - s m S ~1z g CS .,4 .5
Z 8-lZ S`iR y/ - S ~~nS~k `Mv- cS -14 -S
Ground 10-OW"WVAJ g LO -1 ~ 6 l 6 - `Fg o s 9 ,,,1 c S ' S
L b3 ft to fa- I yyl Depth to S 14 O0 A f :S S'f0 6 h v S,
limiting
factor y L t ? so ° a' S B
R
8 L4
Ll-
Remarks:
Boring #
S) 1 s~k dS 0 - •q .s
4 4
Z -7- ZL loin:. W L - ~s o s9 1 c s - . s .L
3 Z6-4 f~~Q 8/t - SSBR - - -
Ground
elev.
lft
T
Depth to
limiting
factor
Remarks;
TName:-Please Print Phone:
Arthur L. We erer 715-425-0165
Ad:
egerer Soi Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022
Signature: Date: CST Number:
ctiv h C~ M00576
PROPERTY OZwWN1i6RI tV Pt'lZ b SOIL DESCRIPTION REPORT Page -of
3
PARCEL I.D. # 0 4 0- 'W3G - 4 0
Depth Dominant Color Mottles Texture Structure GPD/ft
Boring # Horizon In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots Bed Trench
1 0-9 `0 -,x.31 - S l ~ sb s C-S
9. 33 1tJ`-IIZ - ~s~ lknSbk Y►tv- ~S ,5
Ground 3 ~3-93 1l31-tlz 8l1 - `FS Q S
elev
\Og9 ft. 3 Cp~v S > 0°~o Sf`C~.JO 8 W IF1 - S &
Depth to i
limiting
factor 3-21
Remarks:
Boring #
.13
Ground '
elev.
ft.
D
. epth to
limiting
factor
Remarks:
Boring #
13
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
'Boring #
i
Ground
elev.
ft.
Depth to
limiting
factor
i
Remarks:
SBD-8330(R.05192)
Page of
PLOT PLAN 3 3
SCALE 1':=
zoo'
!}uvsE !gip
h7 -a, evo
c9 0 \ , k!v- Ira q
p ~ a.3 0
by \ ~
O S ~ ~ e` v ~~n,tovcz~ I.Obo
3 p ~ gar ` i, au1~►'~ of d~a
L-L
0 „cj, ? ZOO
~ ~ ~ ~"1 -~t.tAO,O~ oN ~P o~ 2~ltt61+ ~c6~ TV Ply. .
At -!'t tot.q' oN ri~L ~1u~ posy.
NoT~:
1. DO- t~oT cU~.i'~tT - OR of s~v~~t3 ~ 1MU-u~nD_~A
Olt 'TM ft-jz" wv-r*IIQ
sow
(715 ) 42.9-011;9 _ 1400576
CST Signature Date Signed Telephone No. CST #
3 200.00 90 - -
0 -Co. 1-66.00' N' 89053'W
0 0 ( 900 200.00
o Q 77 0~ S 8
Q I 1 0
9e 200-00, °
$ Meadow L~ane•. '~8 o 90~ 900 0
q°° S 89 ° 53' E Soo p b fJ
900 200.00' ° O o
~0 tD 8 1,0 00
CO " S
OD 01
N 7 8 N M
84; N
01 0
9
f0'c o 0°
N O S
O .
(n ° N89°53'W
- O
@W i N 90 200.00'
7,g ti66.00 ° 'P°W ,
N t J~ N °p M 2\8o\s' 28.44'
N89°53'WY~ z ° 8 9O0 ti
tlo
190..' 2 0 O' ° 43o AZ' p
+O • \ o !y
O o
°o Z\e°\a 66 0 , Q 8~ ZOO'0 ~g 9.~
610 0,
OP C,
90 0 '249.73'
3042 ' 90 0
,m. !y A. ~p QO ~9r «I
00;., N 89053'W
O ZO g4j 33 r
~iS O0
4 9' S ayo4Z
SFe° a 81 °o, '°o. 900 6 \ 1
`des, A
sr~, \ o ti
66' \809 a0
\3 05 89053'W 3 042 p
0° N89053'W .
900 2 00.00 0 6 6. 9° 2 0 0.00 0
9 9
'O 8
s 82 0 °
d 5 a
d o
o
o -
0
83 ° g 4
S o -
0
P2 p° - N
8 . •h
O
O p Vt O _-0 In
O S 0 W 0'. O C
S 84 8 p ~ 3
3 3 0
0 00 N89053 W 200.00' 00 Z I o N 89053' 200.00' °O o
oo 9a, 100.00 100.00 ~o 000 100.00' 100.00' o z
to U to
U
86 85 g 2 I o
0 0 o
0 C?
B I 00
N 0 iI 0
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER ~'kc\+,a~c1Q P,:,~ r ► C 0CLrCj
MAILING ADDRESS ~T , /(j Or L A /I
PROPERTY ADDRESS d IK- ~0 a~ S-~/
(location of septic system) Please obtain from a Planning Dept.
CTTY/STATE Z~_ Ll y 1 &
PROPERTY LOCATION J(~ 1/4, L,-) 1/4, Section 3 ( T-;2k-N-R 'j W
TOWN OF ) ` Qp e ST. CROIX COUNTY, WI
SUBDIVISION ®Cd(f Rj" f' C(X S 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
DATE: ;71111~p -7
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
' 8 T C - 100
711 3
This application form is to be completed in full and s7lgh6d by the
owner(s) of the property being developed. Any inadequacies till
only result in delays of the permit issuance. Should 'his
development be intended for resale by owner/contractor, (=pec
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 ti
Y 1/4 lJ 1/4, Section T -N-_W
Location of ProPert
_
Township Mailing address ~ U Li
-
Address of site 1<
Subdivision name C' ca R; ~GQ Acre ~ Lot no.
other homes on property? -Yes No
Previous owner of property K_
Total size of property
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 06 and Page Number as recorded with the Register
of Deeds
.T - -
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PI3E
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 recprded i t frice of the County Register of
Deeds as Document No.6 ~and that I (we) presently
own the proposed site for the sewage disposal system or I (wb)
obtained an easement, to run the above described property, for the
construction of said system, and the same has been duly recorded in
th~~o~ fi~e/ of the County Register of Deeds as Document No.
s
Signa ure of Applicant Co-Applicant
Date of Signature Date of Signature
.r
V~L 1246~E6 1 6 STATE BAR OF WISCONSIN FORM I - 198:
.lE1IL2~1 1VARRA*iTi GEED
DOCUMENT NO.
r6 07FI"F-
r
This Deed, made between Rolling Hills Developtent, i cT cROUTY,W)
Inc., a Wisconsin corporation ,..ti..rK•
IN r
0 1997
~ 41- Gram x r ~1 1`I
and Patric J. Rivard .~_marriedperson , 10:00 AM
an`i In-p h 17Rivard a single pgrson 'k t-0.6 La
am iJnint tenants 9+99w. ,;r [.ea
Granter i
Witnesseth, That the said Grantor, for a valuableaxiskieranort
* YR , conveys to Grantee the following described real estate in St- Croix -HAS SPACE RESERVED FCR RECORDING DATA
County State of Wisconsin: -rarrE AND RETURN ADDRF~S
Lot Seven (7), Oak Ridge Acres to the
Town of Troy.
040-1185-40
IDENTIFICATION NUMBER
~d
q~~SFER A.
It
iK This is not _ homestead property
r (is) (is not)
Together with all and singular the hereditaments and appurtenances thereun-,o `v.*'or-4And Rolling Hills Development, Inc.
warrants that the :itle is good, indefeasible in fee simple and free and clear of encur.,bca-._ crept
easements, restrictions, and rights-of-way of record, ;y
x
,a
and will warrant and defend the same.
Dated this 19th day of June ig
.-ROL.1 W6-1W6D E VSL-6MN 9i 7 C.
Nt
rid (SEAL) (SEAL)
• Richards N. Fox Presi t
v
_ (SEAL) ri C r w T (SEAL).c
Frances J. Fox, Secretary _ f,•a
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) State e[ Wisconsin,
ss
• Pierce County .
: authenticated this day of 19_ Persurs&"s sate before me this 19th day of
June .
19-9 -7, the abo%e named
t
. -R+ichard M. Fox and Frances J
TITLE: MEMBER STATE BAR OF WISCONSIN
9
(If not,
tt>r
authorized by §706.06, Wis. Stats.) to me knowm w mic :ht person S-who exe"M
V
krarLdu-ar m-!aL:lza-siedee the same / t•