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HomeMy WebLinkAbout008-1063-90-000 ~ o II ~ o h j O o6F). O aD O a 4 0° V y O I N N O i I i ~ N I M I Wu m Q I I Z E I co z °o Z `m m N H z O. m 0 O Z v Z o fn F- Z 7 N M it O O C I c L O I O Q z z O w Z N 0 U) '0 '0 E N (mil O N CO m C) 4) ca C. 1~6 a.. O C M w H d N O O N .O. D D IL cm 76 N U) rN {U) c Q 0 I E U) > o ° Z o l0 O a a n. v, 0y' m rn (D fA J U m rn mo N M N 0 0 0 a N m c p N N In, m Q (A o I O N C O OO ^i ~ C O Q 0 OC,~ 7 y V C- 0 0 V O (0 C P CL O N N r - cMO V- o p 4O r O O p y N 06 co . 0* N = N F- C N O 3 co y •Q O N W H co O Z c U) a #t n L: a • a E 2 c c r A V a 2 0 f%J u Parcel 008-1063-80-000 06/02/2005 09:08 AM PAGE IOF 1 Alt. Parcel 22.28.16.326A 008 - TOWN OF EAU GALLE Current I X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner TOWN OF EAU GALLE TOWN OF EAU GALLE 2530 CTY RD N WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 36.030 Plat: N/A-NOT AVAILABLE SEC 22 T28N R16W 36 AC NW NW EXC 1/2 Block/Condo Bldg: ACRE NW COR & EXC PARCEL 8X10 RDS TO TN E.G. & EXC N 328' OF W 328' TOWN HALL Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 22-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07123/1997 998/344 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/07/1998 Description Class Acres Land Improve Total State Reason OTHER X4 36.030 0 0 0 NO Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labsr and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY sT• C-~ ! K Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. If dimensioned, north arrow, and location and distance to nearest road. 0o S - 113 6 3 - O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION -`'p►til rJ (n~ I= Lz~~ G P, L'u_ GOVT. LOT Nw 1/4 NW 1/4,S ZLT Z N,R 16 E (00Z PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE @TOWN NEAREST ROAD,, I.vU~pVLL1.L 1ti1 1 SY 0 2, B CAS) 698- 2.161 L v G~ PLC e. t ~ l~. 813 ' New Construction Use [ j Residential / Number of bedrooms [ ] AdditQn to eAsting building J Replacement ki Public or commercial describe 'Tow ►J 1 kart. Code derived daily flow ' gpd Recommended design loading rate - bed, gpd/ft2 trench, gpd/ft2 Absorption area required ' bed, ft2 7 trench, ft2 Ma)dmum design loading rate a • S bed, gpo1ft2 0.6 trench, gpd2 Recommended infiltration surface elevation(s) S q )v(3TE O)Q F1 6 1~r S It (as referred to site plan benchmark) Additional design/ site considerations 't- l oui... S H S' tw7 - 1N) 1pi ) M y" 1 r o t= S AMA f-i c r_ . Parent material s ► Flood plain elevation, if applicable N A - ft ru 7~nsVuittlabfloerfdr uisystem CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK system 1:1 S 0 U [9S El U ❑ S 9 ❑ S ®U ❑ S LZU ❑ S Evil SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundapf Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed tench 0-9 ~p 313 s i 1 Z `F sbh mph a-S z.4 o . S o. b Z q - l-1 ti~ `1 ~ / ~ - S'1 ] Z-'~ s b k >~t ~ S - o • S o , ~ Ground 11z) `1 R Y/(o S t Z F1bk vn f I- O-S o•S o. elev. lo4R A. )j -1.5vas/e) w.ujv-- a7-Bft. 4 Z~_SZ -,.sKa v/ /oCy 2 ('/Z W CA o wt~F~ - Depth to limiting factor Remarks: Boring# 0 Z~Sdk rn`F►-~ cS 2u~ o•S o ~ -8 ll~H.1Z 3 /3 S 1 2 Z 1-ZS )O`? 2 y/V S) 1 Z sb g - u.S o.l 3 ZS 36 `f R V ~1 ~•Sy R s/'d S 1` Z ►Nt H S Ground elev. 36-64 S u12.. VA, A, r Sc- J ton•3ft. Depth to r c N limiting factor ZS ~.~CISFIOE Remarks: ' CST Name:-Please Print Arthur L. We erer Phone: 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: °►3- Z64-Z C~-3o-c13 M00576 PROPERTY OWNER -t QAJ OF ftU (90-1--e SOIL DESCRIPTION REPORT Page?-of 3 PARCEL I.D.# otu $ - 10 63 - Vu Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ranch ;.-°i 1u`1~2 3l~ S~ 2 ~SbYt MU cS 2u~' n.S u Z °l - S Z 10 '1 V- 31 s Z S bk V4 u t- c S - o - S o .6 to `-LR 5/6 Ground 3 SZ--1 y~ 51 x-1.5 L, s!e it -If31 ~S9-o,•, -hv~ - _ y elev. o8 ft. C s j S C 1~En ,b Depth to limiting factor SZ Remarks: Boring # , v-~ to`(Q 3 !3 - S1 Z `F5 bh w, `~f. 0-S ~ 10, Z 6-t ~ lo`t2 ~1ly s 1 I Z'F S bh m f 1, c w lv~ c s oA lb`1(z Sll6 - 'Ss 1 c sVk mu`Fi, S Ground ~o ~tlZ 9!6 f s1 , 1s 1 S_ elev. 4 31= t~ Z.S4R V ~,5 ~2 s16 d si co mu Ft~-~n~i - - ~bV • 3 ft. Depth to C"` 3 S I` limiting factor Remarks: Boring # .O..,,,0_1 iL,)Lt 3L3 S1~ Z'F'bk 'Fh cS Zu`F o.S o.6 S-zo ~o`~b2 Yly - s l 1 Z~S bk `~t~ cs 1~ u-s 0.6 3 Z0-31 LuK2 Yob - S~►) Z'FSb►c wiTv cg lui o•S ` o,` Ground l0`i 2 Yly~ ~l'F -SYQ S11~ S), SLt elev. 31- 6~ . S `t R 31 si t ll ~t k 6 z c l C7w% m~l• ~n - - - q ft. Depth to - limiting factor 31 Remarks: Boring # Oer o- s o- 6 #i,-7 < 2- B=ZS tOyR Y/y s Z~5bh Yn~f►- CS lv u-s 0.6 S)8 S i l -4~ s~~Z c-S - Ground elev. 3~l-S I l lu11CL V/ ye Vn u ii, c. S - - Cty--K ft. 5 S1_st3 Depth to tbL1R Y/y cl o~, VVI ~i - - - limiting facztors „ Remarks: 86 - S1M) L M - D MbTnk`S ljoTeb A-T 11 bu M SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' a ~aJ g s.~. ~&7 X94 _y. 33 Q 0 g.S qq B / ~,sp 8 Sv VTR L\- P(LZ a ~ tTL l00 3 do s. Z a °c rvo~ : ~R~w~S A~ ~r~, Z'~CQ ~ 1~5~'RPT101~1 If1, ~ v 3S ~ S ~r S ~r~r ~3v ~ o+v ~v 8E' D~1L ►-»n~~p ~T `Rw~~ of 1J l; SIGN, ,t`~N BLDG- l S lv l3~ CST SST' ZS 1 ~ L u3 8 t~o`ti = Sol l s Ll~ `Rt'IS 1~'R.t='A S.y F~P!'~L ~ SliL1At31 FOR L:FLlo" 3 t~ Y~vuivp S~iS~RI-f $vT 't-1,{ L. '~-~I~ 1►v t S u~ S u tTt~'A ~.L 1~u~' l'q 1 ti'IPS, L>L'S \(Ltz-eG(j-P 2 Swoes, t~m q3-Z ~-,30-°13 (715 ) 4L-0165 M00576 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page Labor and Human Relations _ Of Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY sue. G~.lj )1C Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but 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. 00 8 - ] 3 - $ O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION -T"~ Iii rJ O E_ V G JAV L.l_E GOVT. LOT Nth 1/4 Nw 1/4,S ZZ-T Z-e~ N,R 16 E (oreW PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # ZS : 0 eov►v`f'( " N" - - - CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®fOWN NEAREST ROAD, W0t)DUI1-L ki I Syp 13 (7IS) 698- 2.361 N!!:~ GR~~C c<-1r, @g New Construction Use[ ] Residential /Number of bedrooms [ ] Addikn to existing building j ] Replacement k1 Public or commercial describe ')m L--) 1 ~ L Code derived daily flow ' gpd Recommended design loading rate - bed, gpdAt2 trench, gpd/ft2 Absorption area required 7 bed, 11:2 7 trench, ft2 Maidmurn design loading rate 0 • S bed, gpd/ft2 D 6 trench, gpd/ft2 Recommended infiltration surface elevation(s) S VE NUT'E D1J PR 61- 3 ft (as referred to site plan benchmark) Additional design/ site considerations ov>` S Lt STD-7 - W i 1") M y t~l 1 r o f= s IN KA'~, 1-1c L . Parent material Rood plain elevation, if applicable tu• A - ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE ASYSTEM IN FlLL HOLDING TANK U = Unsuitable for stem ❑ S ®U [as ❑ U ❑ S ®U ❑ S U ❑ S [RU ❑ S ,a, 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 rends 1 0-9 ~O`-tR 313 sit z ~Fsbk V-t.`f►•. cs z"~ o.S o-b h. k K W, fV Ground ~-l R y/~ - s I Z 1bk Mf i, c S - o•S elev. 1~`-t R Y/6 it ~ ti ~•SY2SlY~ a~,sc1 \ C-g\6h - 'mA,- q-)-Sft. 4 Z~_SZ -,.Sk2 V roYrz Z Ir c.l V11 - - Depth to limiting factor Remarks: Boring # 0-8 Ltj`112 3/3 Sl~ Z~Sdk rn`~t-. cS 2u~ o•S o Z Z 1-ZS 1O `I 2y/c~ S) J Z('Sbk ►m`~I~ eg - o•So•L 3 ZS-36 10`1 R V/y FI-~•sy 2 s/~ s i z~5hk e S Ground elev. 136-u s Litz y/(, - s)sc~ o v►~`Fi _ - - Depth to limiting factor u 7ZS Remarks: CST Name:-Please Print Arthur L. We erer Phone. 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: °f3 -Zoo- Z Cj-3o-9 M00576 PROPERTY OWNER Tdw~ OF ft Q 6k"-eSOIL DESCRIPTION REPORT Page -Z-of- 2.) PARCELI.D.# Uu$-1l> 63-~(~ Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Lv::i`:twyvi` _ 01 Ir~ L J 1 \ S M U \ 0-5 zUr 0-S U' 3 1 - o.S v......<':». Z of-sz vo `Tve 31 s i Z sbk vn U j,- cs o.6 ~O `yR s!6 f 'el'f S, ~S oS 1 MI -tow _ Ground 3 S z _1 v Sly- `1-5 `1 5!a it 1 1 9 - elev. S tb ~ ft. 3 N S C-Q)n Depth to limiting factor SZ Remarks: Boring # I _ ~-b ~~~GQ 3 l3 S l ~ Z ~ bk vn c 5 ZU'V -'Z-5 o• ~ ~f ~ Z 6-t.~ 1.0`1.2 illy - s~1 I 5 bh yn c w 1v~ o.s I o.6 51, 1.s 3 L$-31 tGL1V!- Yl6 - s 1 (2- mu~~ ~S 1 v~ o.~( `•.o. S Ground tiff S) , Is 1 sl_ _ elev. y 31 Z.S41? 4a Sib d si v w►u~-m~~ - - 4bV.3 ft. c.L E~ 3 S Depth to limiting factor 31 Remarks: Boring # l o _1 to `-t D- 3 L 3 S 11 Z'Q S dk O.S 5 Z 1-~ 1oH2 illy sal Z~sbk tin cs l~~ u,So.6 3 zo-3~ ~~`t2 Yl~ - s I 1 Z~sb~ CS Vui Cs s o.` Ground I O`2 R- Y/Y y L j -).SKR Sll, s), sc-l _ elev. ~f 31- 6y • S `i R 3 t q L14 41t 61 Z. c 1 c>w. rn ~I. -In `Fr' - q 7 ft. Depth to limiting ` factor 31 Remarks: Boring # _ 7 Z B=ZS IZ)4a yl~ S 1 I Z~ 5bh vil cS 1v ~ o•S 0.6 3 ZS_3Y ll~`1R y!~ ~l~,.s~a sl8 s 1 I Z~su~ w,~►- C-S Ground elev. 3y-S I 1l~uj tZ y!~ i~ S) bw1 vn Ui-~ c-S - - q~, ft. S S 1- S 8 LD ``i 2 y/1! ~ e. ~ 0►~-, m~ i - - Depth to limiting factor zS Remarks: e o - S) M I L Pit. -M g~ 17 T l~D'1'TL~TS ll~U ~ ice' 11 `r b U E'' T'O SBD-8330(R.05/92) Si I ~'-T' 114 %M ZO~ a PLOT PLAN Page 3 of 3 SCALE . 1"= 30 ' a ~v em -I(o o f -j: EL9Y y IL ,e S.S g1 a Sv i'M%LL ADZ N ~~4 ~-TL1003 a ,n 3 PVT 'VIIw of ~NS~srv. -/-V _ T*H B Lb 6 . 1 S To 13 F t-,tT t.&TS Z S ' I ~r L sT so' I ILOM ~ `f>+~~ Y-?uuw.p . . 8.3 l03 $ S6LL3 LN T1tj f9"RLA S.y 3 L°1 ~0"{ / ~P 'Aci~ jf 1N V-IoUAvp S`tS 1 $vT n4 ~ 1Z'~►Z~! 1►v t S Uu S U ilY~'A L~ 1~~ l'0 1~u ~ P S , 1~o L ~ ~ ~ ~tZ.~Gv L{°fR S l.c►pNS, ~'c. (715 ) 425-0169 m00576 CST Signature Date Signed Telephone No. CST # STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ( o 4j 0 /4 G( (t /4 11 ADDRESS S-3 U C r rl (V SUBDIVISION / CSM# LOT SECTION 2 T ~ ? N-R W, Town of k ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~s- 'Cr Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tangy; manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: l~~ cl r,, cS t Cr v~ Liquid Capacity: /000 - s U Setback from: Well House FjU Other Pump: Manufacturer ~~~c.✓z Model# S_~ Size Float seperation 3,Gallons/cycle: 117 Alarm Location SOIL ABSORPTION SYSTEM Width: 3 Length L- Number of trenches Distance & Direction to nearest prop. line: -73-, Setback from: well: House ~y 0 Other ELEVATIONS Building Sewer ~d ST Inlet. ` s ST outlet PC inlet ~p PC bottom Pump Off Header/Manifold 7, Bottom of system U i Existing Grade Final grade DATE OF INSTALLATIO b PLUMBER ON JOB: LICENSE NUMBER: 12 -l INSPECTOR: 3/93:jt I it t Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: 'aHuman Relations Safety fety and Buildings Division INSPECTION REPORT ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION 262380 Permit Holder's Name: ❑ City ❑ Village KWown of: State Plan ID No.: TOWN OF EAU GALLE EAU GAT-1-P CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: ,a, I Gd So ~aS '~~`~c~ A9600192 TANK INFORMATION ELEVATION DATA 7 _ 6.,/( ZX~ TYPE MANUFACTURER CAPACITY STATION BS HI FS ELE Septic le CAS Benchmark Dosing Aeration Bldg. Sewer (g8- Holding St /)4f Inlet 1d43' 7 / TANK SETBACK INFORMATION St / Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake .r 57 7~• Septic 64) NA Dt Bottoms Dosing NA _dgadw /Man. -7 Sa 760 ' Aeration NA Dist. Pipe L-52 7 r" O' Holding Bot. System 5A, 067` jPUMP'? INFORMATION Final Grade / Manufacturers-r' demarid f" ~~~,.i S, 1J C1, /4 Model Number 3Y TDH Lift ~p F riction gyp( System D TDH,?-4 Ft Forcemain Length ~l~'U Dia. o- " Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No. Of Trenches . Of Pits Inside Dia. Liquid Depth DIMENSIONS 3a / IMEN I N SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING rer: SETBACK INFORMATION Type O i Mode Num e . System: ~yvt" CHA 9L,) Q) OR~UNIT DISTRIBUTION SYSTEM Hea er / c Distribution Pipe(s) ~r x Hol SizP~ x Hole Spacing Vent To Air Intake .r , /i / Length ia. 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.) LOCATION: EAU GALLE.22.28.16W, NW, NW,CTY RD BB 0, A-P A"_ (c?, (o) Plan revision required) C, s No Use other side for additional information. 7co SBD-6710 (R 05/91) Date Inspector's Signat re Cert. No. G OJ( ~(2»"1 4 r ' ADDITIONAL COMMENTS AND SKETCH ` SANITARY PERMIT NUMBER: Safety and Buildings Division v~•a.~R SANITARY PERMIT APPLICATION Bureau of Building Water System: 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. . cro f • See reverse side for instructions for completing this application State Sanitary Permit Number ;2 3h0 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 I: APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name Property Location Town of Eau Galle NW /4 NW 1/4, 5 22 T 28 , N, R 16 E (or) W Property Owner's Mailing Address Lot Number Block Number 2530 Count N City, State Zip Code Phone Number Subdivision Name or CSM Number Woodville, WI. 54028 (715) 698-2361 II. TYPE F B ILDING: (check one) ❑ State Owned C Ity Nearest Road x Public 1 or 2 Family Dwelling - No. of bedrooms ! I A Tolwn OFu Galle Cty Rd. BB III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment /Condo 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. ❑kNew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only 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 ® Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22n 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 S. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 150 128 128 1.17 97.0 Feet 98.5 Feet VII. TANK Capacity gallons Total # of r Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin structed Tanks Tanks Septic Tank or Holding Tank 1 1000 1 Midwestern ® ❑ El 1:1 1:1 1:1 Lift Pump Tank /Siphon Chamber 1 5 M1 western ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility or installs 'on f e onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum r'sSignat s) MP/MPRSW No.: Business Phone Number: Joe Stang MP 6646 1-175-698-2266 Plumber's Address (Street, City, State, Zip Code): 506 Willwo DR. Woodville, WI. 54208 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sa Itary Permit Fee (includes Groundwater Date Issue Issuing Ag t Signature (No St p Surcharge Fee) Approved I ❑ Owner Given Initial` Z -7 Adverse Determination OU l~ ~°~l X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-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. IL 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. t d Department Relations Industry, 3 Labor SOIL AND SITE EVALUATION REPORT Pa N of ' and Human Relations Page N of Qiviswn of Safety & Buildings in accord with ILHR 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 S T- C-U IX 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. d o $ - L 063 - e-u APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION OWKJ OF er" GPNL_l_ Q GOVT. LOT 1,3L,J 1/4 WW 1/4,S 11 T ZH N,R 1 6 E ( W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # Z S 30 coin v N" - - CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE OWN NEAREST ROAD woo\1~vX_L~E t w I 507,B IS) 6 9B- z 361 . t G~ ~ cyli " iB [ ] New Construction Use [ ] Residential / Number of bedrooms Addition to existing building Replacement [ Public or commercial describe 1ybc.1 Q l.L Code derived daily flow gpd Recommended design loading rate - bed, gpd/ft2 - trench, g;xW Absorption area required ? bed, ft2 trench, ft2 Matdmum design loading rate o • S bed, gpd/ft2 0- 6 trench, gpd/ft2 Recommended infiltration surface elevation(s) sEE uuT'- 011J P+t G e Z It (as referred to site plan benchmark) Additional design/ site considerations t 1 uw>v~> w r`nj m o lu t J%iv" Zo " OF S AAv\--3 F=t.t_t_ Parent material S ` -T' t _ Flood plain elevation, if applicable N- lk • It S = Suitable for system CONVENTIONAL MOUND J IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for system El S Rf U [as ❑ U ❑ S O U El S ICU ❑ S LZ ❑ S 0, J SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouliby Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed re & -l4 ~o~-LQ 313 - sl` Z`~ Sbk rnu~~, cw Z~~ o.S 76 Z 10-18 1.042 Ylyr - s~ 2,' 3bk YnUik C'S v•S n_!, Ground 3 l$ Z S I ~ `i 2. Y/Y 0 m \t?- 611 S Z~ sbk vn v~ 1. C S elev. ~o ~f! 01 b ft. L/ 2S-6b s ti 2 31~ ~ ~z ~u 5>t~cl 1 ow' ~1--1n`~i _ _ Depth to 1 1 G S Rh.D C.o hs)'Jl^ limiting factor ~ Remarks: Boring # lo`AQ ZIZ S1 Z`~S~1rc -n- Zu f o.S 0.6 Z Z 8-1~ 10`~ 2 y! - S j) Z'f Sbk - o. 5 ' o. b 3 16-Zy I Ll12. y/Y III lOYR 6!Z S1 I Z~ 3v4c Ground elev. 4 8 ft ~f-S$ l~S LfaVA. h S ~i c j I Q~ `V\ ►n 7 Depth to limiting factor Remarks: CST Name:-please Print Phone: Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: M00576 PROPERTYOWNER 1UAJQ OF ekU (SkL Z SOIL DESCRIPTION REPORT Page Z of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots Bed Trench in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. o-~ 10 ~t (z 31 3 s 1 1 Z `F s b►Z wr U'fs- C -S Z u o. S u• 6 jof Q Y/6 _ Gk3 I o sq vvi 1 Ground 3 17-L~/-Sy~31y c.~ c~►n vh I eS - 0.2 elev. w~c 2 ~I16 L4 1-S Fitt 31 8. CGr- s_1 qS•'1 ft. t4 Z-4Sy 7:~Yp3 x!041¢ &1 Depth to limiting factor tr ? 1_ Remarks: Boring # 1.~U G P O S02P U~ 1°n U 1 S S LU Uti v-6~ WE ~n M a Ground Y1 ~Utti ~l S 16 elev. ft. Depth to limiting factor Remarks: Boring # a h .v 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"= 30' Pow~~ el 9.6 Purr, X3.1 n \ 2 1 g.3 r- ~ O ~ SY~ s~ ~`~l-E F'(►Z.L~ BUR U @►~ _ UL LW3.O; tlN •ILGH 3/ytDty. we Plpc Pjewr To y`x6"wooD ~`I St pu sr. L, LWL. X03.0' ~COp OF "FX\SlnN TOW w NAkk. V, ~9SLS\-e i4 2 t3'I X- w ~ L Lu ck'i7 o N (715 UkIP-1R1L ~ 9 3 -ZOO{ -1 ) 425-0165 M00576 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 & Buildings in accord with ILHR 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 S T• C-U IX Rot 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. o - 113 b 3 - VLO APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION E( W 7-OWKJ OF EftU <SI~ .LL GOVT.LOT ~3LA1 1/4 NW 1/4,SZZT ZH N,R J6 PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # ZS30 cow, N • - - _ CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEARESTR )AD we t~v~ L~E~ w l SVo ZB ISIS) 6 9B- z361 (Iy-b} " 3Q [ J New Construction Use [ J Residential / Number of bedrooms [ ] Addikn to e*.*V buiKM ( Replacement [ Public or commercial describe -Tk~,bc.1 Q MAU - Code derived daily flow gpd Recommended design loading rate - bed, gp(ltt2 - trench, gpolft2 Absorption area required ? bed, ft2 ? trench, ft2 Ma)dmum design loading rate 0 - S bed, gpd/ft2 0- 6 trench, gpolft2 Recommended infiltration surface elevation(s) sEE uoT'e oN PlkO tS Z ft (as referred to site plan benchmark) Additional design/ site considerations m wk,: w i`M M i 1L1 t i r j ZO w OF S ralb F.Lt_ Parent material S ` T ~L Flood plain elevation, if applicable N - It S = Suitable for system CONVENTIONAL MOUND MI-GROUND PRESSURE AT-MDE SYSTEM N FILL FIOLDNG TALC u -tlnsdtable for stem ❑ S. Nju INS ❑ u ❑ s w ❑ s emu- - [3 s r u - ❑ s 11P SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tench I 0-10 1b`tiR 3/3 - sly Z` Alk muiH cw Zu~ o.S o•~ v_6 Z 10-18 !O`~2 Vlyl - S) 2-' w Vh ui~' C S - "o' -S i z ~.SYa Sly, Ground 3 l$ ZS S1 '-I Y/V 0 k%-tt-Gl2 S Z ~'Tbk C S elev. ~o Q ~LL)< st s~~ q6, b ft y 2S-6d s~cz 3i a al 0%-A Depth to t G S Rfi.p Co `Tl~T limiting factor Remarks: Boring # 0-$ lb'-t2 Z-1 Z S t Z~ S ~Ic ~ h as 2u i- o. S 0.6 Z $-1~ 1wi Q yl Z - S 1~ Z~S~k tin `FH C S - o. S o.b 3 1b Zy 1~`t R y~ c ~.SyQ 5/8 S~ z~ J1~k w► 9 s - - - Ground Y I O Y R 6! Z elev. i f Z~-S$ ~ S YR Y 6~ h S~ S'-1 I I ~ rn `F►-- tirt`~f' - 97-$ ft Depth to limiting facto[ , ~ Remarks: CST Name:-Please Print Phone: Arthur L. We erer 715-425-0165 Address: Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number. °l3- 20 y- J ci- 30_ q3 M00576 PROPERTYOWNER 1WJ0 OF WJ GM-~-ia- SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. # Boring# Horizon Depth Dominant Color Mottles Texture Structure onsistence Bou;xiary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-1 tort 2 3 - s11 z~ sbk w,v'.. cS ?-UT o.S u. 6 3 r Z -ll l~`ifZ - S1I 2 f3bk mkt- cg - o,S o.6 o~tQ y/6 3 Ground Zy )-s y c caw, w, elev. wit tz LC 16 C 7•S'72 3l 8 q5.1 ft. L{ Z~~y 7, !u Y ¢ ~i a o m t - Depth to limiting factor i Remarks: Boring # UC- I.w N.S P b So one 1 v ; S S L11 - D /~uc~~ OUIrV S 16 Ground elev. ft Depth to limiting factor Remarks: Boring # ra, t Ground elev. ft. Depth to i limiting E factor f i Remarks: Boring # Ground I elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= 30' ego Pews U.46 j -,P Poles 'B.1 2 8.3 \ LrL qs D 0 BIZ Su L`t'Kt3l~ P(~ZLSR ~%UR R ~~~r ~ouwD ill= / Y 67 0 t7 U ~ g~_~ Lop-OoN ca'`H'tGN 3/y"Dty. Pie. PLpc 1u~kT To 4ic 6" wooD S\ G/-l pe s r. 'RZ.~PCtOwE \~~tTSTRI , PQLU`{ ~?~\871N G TOklrv NAk~~ ` ~39La~-e a4 2 ti -I L u ~'T1lW of Iu~ ~owlJ ~fi l L I x ~'cP P lZO kl r-1 k 1"E w ILTLL Lp GtT~ o ni a _ q 3 -zoo- I (715 ) 4L-0165 M00576 CST Signature Date Signed Telephone No. CST # i / I SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations June 17, 1996 2226 Rose Street La Crosse WI 54603 WEGERER SOIL TESTING 421 N MAIN STREET PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S96-40611 FEE RECEIVED: 180.00 TOWN OF EAU GALLE NW,NW,22,28,16W TOWN OF EAU GALLE COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. - This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section ILHR 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. 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. SUDA-7997 (x. W94) SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations WEGERER SOIL TESTING Page 2 June 17, 1996 PLAN S96-40611 Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, 4 Gerard M. Swim Plan Reviewer Section of Private Sewage (608) 785-9348 SBDA.7997 (R. 10/84) MOUND SYSTEM Page \ of ~ FOR i~ -7O l.W fJ " l..l_ S96-40611 LOCATED IN THE NW 1/4 OF THE MW 1/4 OF SECTION Z Z,T _2ZN, R " W, TOWN OF L1 G1~~,E , SZ : C%Z0LX COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 of 7 PROJECT DATA PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 DOSE CHAMBER PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR '}-owt~ o~ ~V Gtrt.L~ ~ 1tilUC~~v~l~~~, wt suoZV RECEIVE ally D C0T_td'tl trl'~,"`~ITPN" JUN10W6 ro~s SAFETY & BLDGS. DIV. . per- of 1U7 ~ ~ S{A•L~[ ~ S~ PREPARED BY eft®oa WEGEE~ER !E3 C3 I L_ TEST I NCa AND DES I CGtV c_3 =FcV I CE .1 ARTHUR L. WEGERER d P.O. BOI 74 421 K. KAIK ST_ °0 i as,c N : o % TH, RIVER FXLS. KI 54022` wts. 115-425-01&5 s ~uti~ l°t4' b JOB N0. R 6-13~ PROJECT DATA Page Z of -7 This mound system will serve a proposed Town Hall. The system is designed for 150 gpd. There will be one floor drain at 50 gpd which will rarely, if ever, discharge that amount. 150 - 50 = 100 gpd will be available for Assembly Hall at 2 gal. per person allowing up to 50 people per day. A maximum of 20 to 30 people is anticipated. The building will contain a kitchen area for coffee making and the washing of cups, etc.. This additional loading is minimal. i SEPTIC TANK 150 gpd plus 750 = 900 gal. minimum capacity required. A 1000 gallon Midwestern Precast septic tank will be installed. PLOT PLAN Page of 7 Scale 1"= X1) ' S96-40611 e'aq q `/v bo ►voT co~1~'~T' oR (~Y ~t q ~ ~ ~ 1~ lS 1vR$ l~}tS I'~~q a ti ~ 9 B.1 6°!ti sr ti` t'tq~8 3S' of Z" P~ e F.wi. F3~ ~ ~ I ~~u tivd' of ~l`' PuC _c M'N Ov~ZFWw - ~ 6a ° eov~-'R ~ p~4z.1. N G 1 Cyl h to of ~ `pvc ' _ ~ W~,(.• LOC~'(1pN ~d-1 n 0 ` laL.OC. J °f review include ticlholdtin9 not the sep 1010n- doe- °t VNis. 1 and > s app raPstreok R 52.20, subrnitta 2 ` ~CR111w c J~e 1t,ian . r. n lure 'ectian whether ~Mbin9- a t° ©detc( . Ted for that piu cod app °va1 is requi NOTES : 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( 2 required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be loop gallon capacity manufactured by 5. Bench Mark e.~►- 100. o' orv S l-I r6 H 31y ° 4~ e Pt Pe w / u _ stEL- Pn3raQl FioR.. Lbc T~u~y 6. Divert surface water around mound to prevent ponding at the uphill side. Page Of I Approved Synthetic Covering 1~sTNt c 33 Distribution Pipe Medium Sand H ~G Topsoil F Elev. G-).0 p - 3 E b (o % Slope Force Main Plowed Trench of k"-2k" From Pump Layer Aggregate Undisturbed D l.k3 Ft. Soil E Ft. Cross Section Of A Mound System Using F O-~ Ft. I Trench For The Absorption Area G 1 o Ft. A V Ft. H I- S Ft. 6 3Z Ft. I NS Ft. Linear Loading Rate= q.t9 GPD/LN FT J Ft. Design Loading Rate=o.ZSGPD/SQ FT K 1o Ft. L S Z Ft. W Z L Ft. L Force 13 - K - Matn A.-- - - - - - - - - - L`iL*~ S 11T o~pu s t~ W Distribution Trench Of 2 - 2 2 Pipe Aggregate 1 Permanent Observation Markers Pipes (Anchor securely) Mound Using 1 Trench For Absorption Area ' Page S Of Perforated Pipe Detail 0 End View )Perforated End Cop.) PVC Pipe 1 . ~o~~e oec~ Install permanent marker at end of each lateral Holes Located On Bottom. Are Equally Spaced Q End Cop * PVC Force Main 4 tDi.1r.l.tiow pipe Last Hole Should Be Next To End Cap Distribution Pipe. Layout F X 3 o Inches Y 3o Inches Hole Diameter 'IV Inch Lateral I Inch(es) Manifold Inches -Force Main Z Inches #of holes/pipe 4 Invert Elevation of Laterals Ft.07'5") Place 1st hole \SHfrom tee with succeeding holes at 3p`t intervals., Last hole to be next to the end cap. 4 PUMP CHAMBER CR055 SECTION AND SPECIFICATIONS PAGE C~ OF VEL1T CAP - 4' C.L VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE 10' FROM DOOR, JULICTIOLI BOX COVER WITH WARNING LABEL wIMDOW OR FRESH 12~MW. AIR INTAKE I - 1 GRADE I COWDUIT !b"f411J. ~ 1 PROVIDE. I - - IIJLET AIRTIGHT SEAL - I I I v APPROVED JOINT/ . A Tank construction shall comply APPROVED JOINTS with ILHR 83.15 and ILHR 83.20 I Ii) I I I ALARM - d ~ II I i I ON C i - LLEU ~'S0 FT PUMP-~ ~ OFF 0 t;Z 88 0 0' COUCKETE 5LOCK 3" APPRovI:p RISER EXIT PERMITTED OWLy _ IF.TANK MANUFACTURER HAS SUCH APPROVAL- gEDpIµE 5PECIFICATIOAIS DOSE •~pw~s~ P2~~kST 2 TAtJK MAIJUFACTLIRER. NUMBER Of DOSES: PER OAy TAWK SIZE: S00 GALLOWS DOSE VOLUME 1 bl•Z ALARM MANUFACTURER' S`1,3TO13 INCLUDING DACKFLOW: GALLONS MODEL 1JUMBER• 121 tAL",) CAPACITIES: A= Z 3 WCHE5 OR 2114. 6 GALLO1j3ez=q58 SWITCH TUPE: Z INCHES OR 14`1_ ._t_ G~ LLOUS 7- 39 PUMP MANUFACTURER: Zu ZLJ -Q C,- 6 INCHES OR 61-1 GALLONS -3 ~'-1 - F$45_ MODEL NUMBER: S 3 D- 18 INCHES OR 3' iD GALLONS 351 SWITCH TYPE: MOTE: PUMP AND ALARM AR TO DES MIIJIMUM 015CHI.RGE RATE 112N (;PM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE OETWEEU PUMP OFF AUD_DISTRIBUTIOM PIPE.,-- t3 FEET (18.(7r) • + MINIMUM NETWORK SUPPLY PRESSURE • • • • 2.50 FEET + 3 5 FEET OF FORCE MAIN X ' S FYo FLFRICTIOU FACTOR. '2' FEET TOTAL DtIIJAMIL HEAD FEET CIQ~ 66 DIAMETER `1 - ILITERNAL DIMLIJSIOLI, OF TAWK: LENGTH ;WIDTH - ;LIQUID DEPTH Yg BOTTOM AREA - - 231= - GAL/INCH AS PPP MAN1TFA TTTPVP = tt1,-7 GAL/TNCH G~ 01= 7 ULJ W HEAD CAPACITY CURVE 7~a 61/4 - - LL Y "53-55" SERIES 45/6 25 a TOTAL DYNAMIC HEAD/ I 4% ' FLOW PER MINUTE EFFLUENT AND DEWATERING m - CAPACITY + a 6 20 HEAD UNITS/MIN -11/2 - UJ FEET METERS GAL LTRS 43/,6 111/2NPT = 5 1.52 43 163 e V 10 3.05 34 129 15 4.57 19 72 Q 15 19.25 5.87 0 0 yZ, 4- _J .10- I- 0 ty. oy ~ 2 5 915/16 1 0 US 10 20 30 40 50 33/32 GALLONS LITERS 0 80 160 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Piggyback Mercury Float Switches • Available with special cord lengths of 15', available. 25', 35' and 50'. • Variable level long cycle systems • Alarm systems available. available. • Duplex systems available. Standard cord length - automatic 9 ft. Standard cord length - non-automatic 15 ft. SELECTION GUIDE M53155 SERIES Control Selection 1. Integral float operated mechanical switch, no external control required. Model Volts-Ph Mode Am Shtt lex Duplex 2. Single piggyback wide angle mercuryfklatswitch ordoublepiggyback mercuryfloat M53155 115 1 Auto 8.0 1 or l &7 - switch. Refer to FM0477. N53155 115 1 Non 8.0 2 or 2 & 6 3 or 4 & 5 3. Mechanical alternator 10-0072 or 10-0075. D53/55 230 1 Auto 4.0 1 Or 1 & 7 - 4. See FM-712 for correct model of Electrical Alternator, "E-Pak" E53/55 230 1 Non 4.0 2 or 2 & 6 3 or 4 & 5 5. Sensor mercury float switch 10-0225 used as &control activator, with E-Pak (3) or (4) float system. 53 Series - Wt. 23 lbs. -.3 H.P. 55 Series - Wt. 25 IbS. -.3 H.P. 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in simplex or duplex operation. P/N 10-0002- 7. Two (2) hole "J-Pak" junction box, for watertight connection or splice, P/N 10-0003. For information on additional Zoeller products refertocatalog on Combination Starter, FM0514; CAUTION Piggyback Mercury Float Switches, FM0477; Electrical Alternator, fM0486; Mechanical Altema- All Installation of controls, protection devices and wiring should be done by a qualified nator. FMO495; Alarm Package. FM0513; Sump/Sewage Basins, FM0487; and Simplex Control licensed electrician. AN electrical and safety codes should be followed In addition to the Box. FM0732. most 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. MAIL TO. P.O. BOX 16,347 Louisv&, KY40256-0347 Manufacturers Of . O ZZ/"/ TZ SHIP T0: s',3280 *Old Mftrs Lane `LL Loulsvi!!e, KY 40216 0216 p ® (502) 778-2731. 1(800) 928-PUMP QUALITY PUMPS ~NCE ~~~J FAX (502) 774-3624 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Town of Eau Galle MAILING ADDRESS 2530 Cty Rd. N / W e o C~ y r l ~P PROPERTY ADDRESS 2 G d 5- C 4 V &61 (location of septic system) Please obtain from the Planning Dept. CITY/STATE Woodville, WI. 54028 PROPERTY LOCATION NW 1/4, NW 1/4, Section 22 T 28 N-R 16 W TOWN OF Eau Galle ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: aG i St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 ' S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/ contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property Town of Eau Galle Location of property 1/4 NW 1/4, Section 22 ,T28 N-R 16 W Township Eau Galle Mailing address 2530 Cty RD. N Woodville, WI. 54028 Address of site subdivision name Lot no. Other homes on property? Yes X No Previous owner of property Total size of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? X Yes No Is this property being developed for (spec house) ? Yes X No Volume~~L and Page Number U~ as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded the office of the County Register of Deeds as Document No. L~ ~ 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 th office of the County Register of Deeds as Document No. ~~~G~ s a J Signature of pplican Co-Applicant Date of Signature Date of Signature DOCUMENT No. WARRANTY DEED THIS 3PAC R°SERYEO FOR R_~OROING DATA I I~ STATE BAR OF T.VISCG-NEIN FORM 2-IS82 IL 496450 VOL 99$n£ 344 -ER S GFFIC ! Sr. CROa Co., V4 F-,'d f--r Record Sigvard E. -$ten,~ . and Darc'_!~y J.. Steve,.: ~xi. and wife, as joint. tenants- arxd.. each in. his. er. he`s Wight, MAR 2 6 1993 tl ..t 8:40 A - - . Tbwn. - of.. EaU GalLe, a, SC ~]rLS conveys and warrants to • M Municipal.Corporation-------- . - Rem of Ce ft . L i . RETURN TO the following described real estate in -____...County, State ll co _ -I Tax Parcel No: q it I~ The NWh of NWh of Section 22-28-16, EXC=_ North 328 feet i of West 328 feet and excepting corn eyar.-_JeS of record to school districts, municipalities, easements, and lands conve,'ed for highway purposes. The grantors herein are releasing to the --antee their tRANSFEit !I reservation as to "the right of ingress and egress to and the use of the weii" as set fcrth on deed :aced 1-20-1961, FEE II ii recorded in 374-309, #264293. This conveyance is further Subject to Rig!--t of Way easerrent to Dairyland Power Cooperative as recorded :Jlth the Office of the Pegister of Deeds, St. Croix County, Wisconsin, on 4-22-74 in 510-38, #321407; and to easement to St. Croix County Electric Cooperative recorded 4-10--75 in 521-537, #326324. Prorated share of 1993 property taxes hz:le been paid by grantor- to grantee; grantee's liability f= property tax ccrarences with date of 1-1-93. it This . is.not......_ . homestead property- (is) (is not) Exception to warranties: ! I ii a is day of N1drC11. 19.93. Ii - _(SEAL) (SEAL) f aXd.E. S - / gV Ii//~,.._ _>SEaL) (SEAL) . Doroth - - I AUTHENTICATION ACKNOWLEDGMENT I Signature(s) Of..51civardJL_..,S.teI --and---.-------- _STATE OF WISCONSIN ss. Dorothy-J-- i I - ' County. ! authenticat !-~.-.day of.. C$----------- 19,93. Personally came before me this day of i - - - 19 the above named li ii *-.Sohn-.G,..Nestzngen........ TITLE: MEMBER STATE BAR OF WISCONSIN j f (If not- - i authorized by § 706.06, Wis. Slats.) a me known to be the person - who executed the ^e~-Ding instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY i I ___,7ohn G. Nestinaen. Att-nL„,-, cnn'1924 f • • i