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HomeMy WebLinkAbout008-1087-20-000 Q a o N y h ~ C Y o ti tl ~ h. r~ C x p C n O O N y C O I r~+ C O - o~ N C O N Z LO .X .d O N E ~ N lL (0 U ~ N _ N a) O 01~ C > C 6 O 7 OL E Q EO m co a 02 z o z £ z v 00 W a m ~ o N C V' a) U O Z d v c in IZ Z - N CD N E 'T2 o M N C • AJ L O . 16 O Z Z o O O z a U N z O i N L 06 a „ N O N N a) i N V7 0 0 o o c a c° E _ a 0 0 ~ 0 0 0 z CF CL CL CL ►~i a 3 = O N co O O N to J U co 00) 00i 7z ~7 } 0 O by O N O O ~ N L O 00 U O O O O OC ` N C r. O CO m O LO co O O F- m v1 N U a. p p N O a a CL C -p N N d ai N E E N 4O co L O O CZ) ! d L L U N C N H F a) cc w oo N a m o N E E v • U. O M W W N O N -7 U1 r w V~ y m a y dt _a a > CL y u m y C Iry . E i c rr~~ u c3 3 `o1 A u a m 0 iv co V 09/27/2007 11:52 AM Parcel 008-1087-20-000 PAGE 1 OF 1 Alt. Parcel 31.28.16.461 B 008 - TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - RASMUSSEN, JACK A & REBECCA K JACK A & REBECCA K RASMUSSEN 82 220TH ST BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 96 220TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE SEC 31 T28N R16W 10A NE OF NE NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 31-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 887/88 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 26,500 89,900 116,400 NO UNDEVELOPED G5 6.000 2,700 0 2,700 NO Totals for 2007: General Property 10.000 29,200 89,900 119,100 Woodland 0.000 0 0 Totals for 2006: General Property 10.000 29,200 89,900 119,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch M 513 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER f�,`J / r/ /� /7 i TOWNSHIP /�L (,./� SECTION -3/ T 2,P N-R / W ADDRESS 7 - ,2.-0 r S ST. CROIX COUNTY, WISCONSIN -Z- )`cU /-, ' ,'s 6r1-7C)e'L ' SUBDIVISION LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM , St''P11C. hP.+k .:2 C 3 BD2i /.0 -7' 4, 2pOF k— —0- �`4pue 1}vVSE OCur h�Li J t, G.� -tR. too.p' o,v %'I F Li4PVC 9"litt6H , I eDiA viuv.LLZ" c.43Jez Pve- PIPS wju • T►c‘-` G R S- 'TIC S �{ . . ..--)1 0 ,E B.2 ti0 30'OF'L4PVC F. 1. P -tic �; < Is.-- s D i \ \ tiAq \ +� o \ O \ 9 �EQ -. b "c=.O 1.b oT C-0-1 P frCT \ otL 1-5)\ P-4 -btIS h4.EYI `,‹ 9 \�� \ s L \\ tit: \ -Le"' 2 s 6 et4 s'ti„0,, `?, 98.pe BENCHMARK:Elevation and description: 47)e i -4" -34 A-I c '9 -'/// Alternate benchmark 'Mr> A6.! t_...zl,� / 7 6- 6 SEPTIC TANK:Manufacturer: C41/ 5--e Liquid Cap. j'� 0 Rings used:3 Manhole cover elev:l'', inal grade elev: /OF, yU Tank inlet elev. : /Q "3 '2O Tank outlet elev. : / :5 No. of feet from nearest road:FrontT6C; Side 1 1'Rear /ii/F't. From nearest prop. line:Front/ , Side) Rear, No. of feet from: Well) fi4 �� , Building: C� f ( Include this information in the above plot plan) iNDIritl ( 2 reference dimensions to septic tank) ' SEE REVERSE SIDE 41. RtcENED s APR 1 7 1997 a ST VOX / ZroANA# ��` PUMP CHAMBER Manufacturer: _ Liquid Capacity: Pump Model: um /Siphon Manufact.: w imp Size `i' 4 Elevation of inlet,:-.Bottom of tank elevation Pump on elev.: ~!319T-ump off elev.:n ~allons/cycle: Alarm:' Man.: IA-bitch Type: Location Distance from nearest prop. line: Front/ Side~ , Rear, Distance from: Well Building 9,~ P- SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: -~5- Length Number of Lines: Area Built Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: No. feet from nearest prop, line:Front 40 ~69 Side, Rear ' No. feet from well: ~/cam No. feet from building rp HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevati - f bottom tank: Elevation of inle - No. feet from, nearest prop. ine:Front , Side Rear Ft. No. feet from: Well building , nearest road Alarm Manufacturer: INSPECTOR: DATE : //mil oA~~sa ~ PLUMBER ON JOB: LICENSE NUMBER: 6/90:cj WiscdhsinApartment ofIndustry, PRIVATE SEWAGE SYSTEM County8T. CROIX Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) sanitar2ftrrlit~.: GENERAL INFORMATION ENG , H PHMT: [aXihaLgtj ❑ Town o : State Plan ID No.: CST BM Elev.: 1 Insp. BM Elev.: F BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9600445 TYPE MANUFACTURER CAPACITY STATION J_BS HI FS ELEV. Septic GL) 'e 511/~C G Benchmark /o.c& s~ Dosing G~1~> 5c'r` ~rlE~ , 7~~0 3 Aerati Bldg. Sewer ng St /P Inlet /p C, TANK SETBACK INFORMATION St/ Outlet TANK TO P/ L WELL BLDG. Ae intake ROAD Dt Inlet /,9-5 l Septic NA Dt Bottom I 7 X S/ Dosing 75 ~ NA Aoaw / Man. 3 lj~ 77 i o Aeration NA Dist. Pipe i / • GAS Holding Bot. System ` PUMP/ SOMM INFORMATION Final Grade Manufacturer Demand % 3 O /4 Model Number TDH Lift ~p5' Friction/,,p/ System_~50 TDH~76Ft oss F Forcemain Length ,,5' Dia. Dist. To Well > SOIL ABSORPTION SYSTEM BED/TRENCH Width LengN No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS IMEN QLan U7 SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHIN SETBACK CHAMBER'-' INFORMATION Type O Mode Number: System: d /S6 C. ORIAIT DISTRIBUTION SYSTEM N+t,,~ d Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake ~T Length Did. Length Dia. Spacing a~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only V Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Trench Center ,A'/lf7Trench Edges Topsoil C] Yes ❑ No E] Yes El No / ,0COMMENTS: (Include code discrepancies, persons present, etc.) 71f 7 LOCATION: EAU GALLE.l3!~la.8.16W, NE, NE, 220T STS,- f 94~ LI ° t ; ~Al art t , &A" ` ~ L Plan revision required? ❑ Yes Ly'No Use other side for additional information. 5- SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: t r^~ia.'■'■n SANITARY PERMIT APPLICATION Bureau and Building Water ureau o off Buildin 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 Count~C / than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application state Satarry Pmta Num er 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 Pro erty Owner Name Property oWtion L/ X1/41/4,5 3 T Z ,N,R/E E(or)Q/ Pro erty Owner's MailiniAddress Lot Number Block Number city state Zip Code Phone Number Subdivision Name or CSM Number L~C~ r GrJ /.s S Oc~ (76-) 6 - -311 _ II. TYPE F BUILDING: (check one) ❑ State Owned ❑ city Nearest Road Villae Public 1 or2 Family Dwelling - No. of bedrooms -7 O %Towgn OF r G au /tS/ III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo O e 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 100 Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2. Weplacement 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 22 ❑ In-Ground Pressure 42 ❑Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade ^ Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft-) (Min./inch) Elevation J~b 3 7_'T 73 7~ . le&& , Feet 1411, Feet VII. TANK Capacity acits Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank t` ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber t 7 D / w e -e [~F ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's S~gnature: ( o stamps MP/MPRSW No.. Business Phone Number: L s /I ot- . ` ~c /77/`o / ~lL/ 7 /,6-- 6,''y - 3;~3d Plumber's Address (Street, Cit , State, Zip de):. 2 _3 0 74 .5 IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved San tary Permit Fee (includes Groundwater Date Issue Issuing A ent Si nature (No a S) Surcharge Fee) Approved ❑-0wner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-6398 (R. 05194) DISTRIBUTION: original to County, One copy To: Safety & Buildings Div-ion, Owner, PlurnWr INSTRUCTIONS y 1 . A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe 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) o= where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Tarnily Dv, (ling. 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 r ~,>:rnnection, or repair. V. Type of system. Check appropriate box depending on system type. VI_ Absorpti an system information. Provide all informatior requested for numbers 1 throu&, ; VII. Tank information. Fill in the capacity of every new/or existing tank, list the tots°;l :gallons, nr rnL: r of tanks and manufacturer's name, indicate prefab or site constructed and tank material Cc,` ;Mete f. r :.d tic, pump/siphon and holding anks for this system. Check experimental approval only if tanks reC_ivs i.' x.peri r.e^t: roduct approval from i. D I L H VIII. Responsibility statement. Installing plumber is to fill in name, license number v, i1.f, appr(,pr alt, :)refix:;e.g. MP, etc.), address z rid pllor,e number. Plurnber must sign application form. IX. Cousrty; Dep:,runent use Only. X. County r Department Use Only. t .iet2 rtia ; ? t C i f l atlGr; r ~ r F t'-ar R IiL X 11 ~f"',chc e ; t `nty_ Y he plant must ~(s'I'1 ! E,f -tk (s), Sept,c or siphon el~i 1 i ii, Id ng serv-er', Q! GROUNDWATER SURCHAR63E. 'r4 a _ ft _f, thf,. ,~np ii'r~4? ~h ~'1 •c`_!' "VhIC'1 Can 19 a 3 Vv , etfec° c'c;,l^c! . and estai)i sh.-,ew of s l-lndard I SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations September 23, 1996 2226 Rose Street, 4 La Crosse WI 546Q3 `.e, WEGERER SOIL TESTING 421 N MAIN STREET PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S96-41185 FEE RECEIVED: 180.00 ENG, PHILIP NE,NE,31,28,16W 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 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, erard M. S 'm Plan Reviewer Section of Private Sewage (608) 785-9348 SSDA-7897 (R. 10184) S✓ 6 m 41 1 8 5 Page 1 of 6 MOUND SYSTEM ~~a..-E.,:&f FOR SEP 16 1996 A 3 BEDROOM RESIDENCE SAFETY & BLDGS. DIV. LOCATED IN THE 1 1/4 OF THE NF; 1/4 OF SECTION T ZSN, R )b W, TOWN OF tZT1,10 6 l_F. Sr• (!!A- 1X COUNTY, WISCONSIN. INDEX PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PA GE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE S`~STEM PREPARED FOR SWAGS a o dltio~ ~l L L1~ - a b Z~ o Trt ST. V VOID B L D tti~ /v ~v S ~ 0o Z ® NIA , pF ,pus"! DD p1V1S pONOS~C~ SEE c°R PR~~ BY WECEE;ZER SO X L TEST I NG AND. 4p@®9B/4 DES 2 Ghi S~F~V I CE ~C 0 Pd F.0. BOX 74 421 K. KAIK ST_ RIV9.. FN-LS. NI 54422 m •••r 715-4225A165 • M/uayER:1 { 0 Z 0-915 P A ELLSWOgTH, = wrs. a ~fn Q, MS ~°~i ~S I G 13 E ,~~hOtNtt~~,s JOB NO. N` I P PLOT PLAN j Page Z of Scale 1"= LZXksr, bv~_n L ~s > IOa' kw)LW OF "Ovr.& ~XIsT• 1`Pt~1rcS BE 1'rBP~9Wuti.►~~ (~S coDE. zo o~ k- -k ~gUSE ~ yKpuC • Oft wlR.l J q-~-~L, 10O•p~ ON 90 OF L4IrPUC q'' 16 H , 31 y " D 1 ~ w► uv . ~z," c,puC~ i PuC P~P~ w~~R~1 ~i, T►c~-` G ~3 S - ~11L~S cl t't- qS ~ P 0 lj \ O oR ~~Slti~g -NIS "a ~ 9 4s b 0T .o_ 0- NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be VbO p gallon capacity manufactured by W~g~Z C°0hJ e 3 4~RODyeTS - r-~ P 'Iy~lc ADD 13 kJE\SM ?5 O (Sr ~ ` t k, 5. Bench Mark 5 ~ rr'~:py t 6. Divert surface water around-mound t.o.prevent ponding at the uphill side. 1 Page 3 Of Approved Synthetic Covering F1sTM c 33 Distribution Pipe Medium Sand Topsoil F Elev. ~0o•O 11 E D 3 e S % Slope (Force Main Plowed Trench of k"-2k" From Pump Layer Aggregate Undisturbed D N •3 Ft. Soil E VZ5 Ft. Cross Section Of A Mound System Using F 0,9 Ft. I Trench For The Absorption Area G \•o Ft. A S Ft. H I- S Ft. B 5 Ft. I ~S Ft. Linear Loading Rate= b•b GPD/LN FT J 8 Ft. Design Loading Rate= 0-3_GPD/SQ FT K V3 Ft. L °t S Ft. i+er to Position of Force Main ~a W Z8 Ft. L force- K Mutes A 41;:7--~- - - - - - - - - - - W 21« Distribution Trench Of 2 2 Pipe Aggregate I J Observation Permanent Markers ' (Anchbrssecurely) i i Mound Using I Trench For Absorption Area Page L Of- Perforated Pipe Detail 0 _ End View _ )Perforated End Cop. PVC Pipe (I. Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q End Cap f.Z * PVC Force Main Distribution Pipe Lost Hole Should Be Next To End Cop Distribution Pipe Layout P 'S4r-S Ft. X 3b InchPS Y Inches Hole Diameter Inch Lateral ) Inch(es) Manifold Inches Force Main Inches # of holes/pipe lZ Invert Elevation of Lateral s10b•S Ft. Place lst hole lghfrom tee with succeeding holes at 3 6, intervals. Last hole to be next to the end cap. 'J PUMP CHAMBER CROSS SECTION AMD SPECIFICATIORIS' PAGE S OF 6 VENT CAP 4'C.T- VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE l .I000TIOW BOX COVER WITH WARNING LABEL ~ O' FROM ODOR, 12~MtU. wwoOW OR FRESH AIR INTAKE I f,RAOE ( M'MIN. i✓Z. ~ 00 ~ I ' I ~ I Ij' M1JJ. IJLET PROVIDE I AIRTIGHT SEAL I III 7 I III v APPROVED JOINT/ A Tank construction shall comply I IiI APPROVED JOINTS with ILHR 83.15 and ILHR 83.20 i I I I I ALARM I 1I B I I i I ON C - g3.Zl I CLIV FT PUMP _-j ~ OFF D j_ 2 _ OO COIJCRETE BLOCK 3" APPRW9v) - RISER EXIT PERM111•ED ONLY IF TAWK MA/JUFACTURER HAS SUCH APPROVAL. gE0O1µ~ SPECIFICATIOMS DOSE TANK MA0JUFACT1UK5:R: ~ IS~Z C-O~Cr~S ~ NUMBER OF DOSES: 3,9 PER DAU TANK 51ZE: `LSO GALLOWS DOSE VOLUME I ALARM INCLUDING BACKFLOW: GALLONS S•S.~~l TRQ S`fS`) 4S /'!1AIJUFACTURER: - MODEL NUMBER- ~Ol 1y~ CAPACITIES: A= ~S INCHES OR 30d' 8 GALLOI,IS SWITCH TYPE: Y~1 .CUR `1 B= 114CHES OR 4LLON5 C = PUMP MANUFACTURER: IMCHE5 OR GALLOWS UL- -7 MODEL NUMBER: S7 0= 1 1I2'INCHFS OR _L9 b GALLONS Wl ~'SZCU~ 'Tt'tm ; -IS k 9 SWITCH TYPE: MOTE: PUMP AND ALARM ARE TO BE MIMIMUM DISCHARGE RATE GPM INSTALLED OIJ SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AUO_OISTRIBUTIOIJ PIPE.. 2'1 FEET + MINIMUM NETWORK SUPPLY PKE55uKE . . . . . 2.50 FEET + 30 FEET OF FORCE MAIN X F% 0,~$ Io0 fLFRICT101J FACTOR. FEET TOTAL D!JUA.MIC HEAD = FEET DIAMETER 1 a INTERNAL DIMLW510WJ OF TANK: LEI.I&TH ;WIDTH - ;LIQUID DEPTH 3? 1? BOTTOM AREA 231= GAL/INCH AS PER MANUFACTURER ~:dS GAL/INCH - V'G e- ~ " 4% 6'/4 I- HEAD CAPACITY CURVE 45/a W W 4r57" - 6159" SERIES I.- LL W 4 /a a 25 r _1112 -11112NPT 43/16 e 20- 6- W S tJ Q 15 2 > 4 915/16 D J H 0 10 til~•Zl ~ 33/32 2 ' Z-$ 08 5 TOTAL DYNAMIC HEAD/ FLOW PER MINUTE EFFLUENT AND DEWATERING HEAD CAPACITY UNITS/MIN 0 FEET METERS GAL LTRS US 10 20 30 40 50 5 1.52 43 163 GALLONS 10 3.05 34 129 LITERS 0 80 160 15 4.57 19 72 FLOW PER MINUTE 19.25 5.87 0 0 CONSULT FACTORY FOR SPECIAL APPLICATIONS e 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. SELECTION GUIDE Standard cord length - non-automatic 15 ft. 1. Integral float operated mechanical switch, no external control required. 2. Single piggyback wide angle riercury float switch or double piggyback mercury W71 t',ontrol Selecuon float switch. Refer to FM0477. de Am SIm ex Duplex 3. Mechanical alternator 10-0072 or 10.0075. lto 8.0 1 or l &7 - 4. See FM0712 for correct model of Electrical Alternator, "E-Pak". on 8.0 2 or 2 &6 3 or 4 &5 5. Sensor mercury float switch 10.0225 used as a control activator, with "E-Pak" to 4.0 1 or 1 & 7 duplex (3) or (4) float system. on 4.0 2or2&6 3 or4&5 6. Four (4)hole"J-Pak", junction box, for watertight connection orwired-in simplexor 2 pump operation, 10-M2. 7. Two (2) hole "J-Pak", for watertight connection or splice, to-=. 57 Series - Wt. 27 -.3 H.P. 59 Series - Wt. 29 -.3 H.P. CAUTION For information on additional Zoeller products refer to catalog on Combination Starter, All Installation of controls, protecdondevices andwMlnpshould bedone byagwNRed FM0514; Piggyback Mercury Float Switches, FM0477; Elcectrical Alternator, FM0486; Mechani- licensed eleetrlelao. All eleeMtal and safety codes should be followed Indudln9 the cal Alternator, FM04g5;Alarm Package. FM0513;Sump/Sewage Basins, FM0487; and Simplex most recent Nations! Electric Code (NEC) and the0oeupatlonalSafety andHealth Ad Control Box, FM0732. (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 16347 Loubl4k, KY 40256-0347 Manufacturers of... SHIP TO. 3280 Old M#Iers Lane p OE~~E~ Oi Louisville, KY 40216 (502) 778-2731.1(800) 928-PUMP QUAArY /ff/A/P9~iYCE 1ffF L a FAX (502) 774-3624 Wis-consin Department of Industry, SOIL AND SITE EVALUATION REPORT Page \ of Labor and Human Relations Division of Safety 8 Buildings in accord with ILHR 83.05, Was Adm Code COUNTY sT- cA,,m~X Attach complete site plan on paper not less than 81/2 x 11 inches in site Plain musonclude b4 not limited to vertical and horizontal reference point (BM), direction affd%2Sf slopQ,*419 or VPARCELI.D D. # dimensioned, north arrow, and location and distance to nearest road.,APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION 1 BY DATE y PROPERTY OWNER: PROPERTY-L6CATION 1/ 114,S IN T Z~ N,R 16 E (orOW PROPERTY OWNER':S MAILING ADDRESS ;SOT'" tiC # P. NAME OR CSM # R 6 zzo ` W s1 ' CITY, STATE ZIP CODE PHONE NUMBER a I ' [MOWN NEAREST ROAD wt~,, yvl S4ooZ DIS) 68V- 3IIS --"Y h ZZ~7}t sT- [ ] New Construction Use [XI Residential I Number of bedrooms 3 (J Addifion to existing building Replacement [ ] Public or commercial describe Code derived daily flow ASp gpd Recommended design loading rate bed, 9pd/ft2 0-3 trends, gpdtft2 Absorption area required S bed, ft2 37S trench, ft2 Maximum design loading rate o. S _bed, gpd/112 0• L trench, gpd/ft2 Recommended infiltration surface elevation(s) _ ticx0. C) ft (as referred to site plan benchmark) Additional design / site considerations I"1 ~vY•~L W/ S 'X l 5 7j&JC-tt - M/". ) , OF S rq,~.Ij FI L.L Parent material StCN of S1mip'f o vltivt~ s N Flood plain elevation, if applicable ti A It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem ❑ S RIU ®S ❑ U ❑ S ®U ❑ S C7 U ❑ S IOU ❑ S MU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon Texture Consistence Boundary Roots i in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed renctt 1 0-(0 ~O`11Z 31 Z - Sl Zw\ `rvt~'lr C"- g ~.5. Z 6- l ~ l0`1 {Z y/3 s l ~ ZM S b1r. m'Fh ~S o. S_ o, 6 Ground -1 ) b-Z8 •S y R_ - S I W1 S b\,L wt'~t- ~S o y O- S elev. `FI s`lR 3! C) ft. Z$-S~ S L12 31 t ti e (0 13~ Depth to limiting factor gy Remarks: Boring # 0-8 lug IZ 3! 2 S 1, Zw, S~~ vvt a-S o S € a, Z' Z -14 ) U`t 2 V13 - S i 1 2~sbh >n~~ CS - 6.S €o. 3 S~ctZ31 s 1 1~t,~~ m`Fi~ cS - aft as Ground Cl s~IZ 3/~ _ elev. 3Z . S y 2 3 /~C R 6/ S O` l as.~ ft Depth to limiting factor 3 Z," 1 1 Remarks: CST Name:-Please Print Arthur L. We erer Phone. 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: X16=1 ~ 7-r3-°l MOO576 PROPERTY OWNER 1vG SUIL DESCRIPTION REPUR V Page '?'of,_ PARCEL I.D.# 0O$- L 0 S7 - ZO Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench t' tiO`1\Z 3!~ 5l ZmSb1t i,- a~,S Z $-30 ~1~ti2 yl3 sll Zvy) Sbk~H cS - o.S 0•b Ground 3 3o-yo ~ •S `i ~ 3! - s ~ Yh Soh wi O, V 0.3 elev. T Z S `t R .31y 1 ft. 14 k) (3 "S tLt "5 1 1 Z~ 61 Depth to limiting factor ~I. O 4 1 Remarks: Boring # \YL~\yyt(k> , qq;;pp \i Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor FT 7 1 J., I Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: CAn.P?gnra nrlna~ PLOT PLAN Page 3 of 3 SCALE 1"= ) xXkV . w~qu is > too' WZN of "ovr~ s1~,M. s s~Te, ~ ~ 3 BD~ k k~ W-o ~ SE o~ - CL go o. o ON Puc PIPS w~~ N 0 79 S• Z lu / /may ry ~ ~ ~ r Q1,11- ~LS1L ~8 l)F1S 1retiR A ` p SN eL RS b oT a.. q6-1 ~l7 _7 (715 ) 42.5-01 69 _ 1400576 CST Signature Date Signed Telephone No. CST # - . Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page Ofd Labor and Human Relations Division of Safety & Builclings in accord with ILHR 83.05, Wis. Adm. Code COUNTY SZ- C -l" ~X Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limned to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 06 a- ~ u qj-7- Z.O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Q W l t, I~Q G POV Ft0T tJE 114 N$ 114,S 3 N T -?-b N,R 16 E (d PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # Of 6 1;-Lo `rtf . Sr, - - CITY, STATE ZIP CODE PHONE NUMBER []CITY [3VILLAGE [MOWN NEAREST ROAD _ ~3'~-1~ Wtn,, h~) S~IooZ hIS) 6$Y- 3=lts ~1 6tr1-LL ZZ~`T1t sT• , [ ] New Construction Use [X] Residential / Number of bedrooms 3 [ ] Addkn to existing building p~ Replacement [ ] Public or commercial describe Code derived daily flow Lip gpd Recommended design loading rate bed, gpd/ft2 D -3 trench, gpd*1 Absorption area required S bed, ft2 37S trench, ill Ma)dmtmt design loading rate o, S bed, gpd/ft2 0• trench, gpolft2 Recommended infiltration surface elevation(s) : X00. 01 It (as referred to site plan benchmark) Additional design/ site considerations T-/\ ov 1 w/ S Z 5 ~`T1Z ctF - M) ti • ) ' O F Sr" FL.L , Parent material SVCN or- st~vw{ o v-.vn-8t•I Flood plain elevation, if applicable tv R • It i S = Suitable for system CONVENTIONAL MOUND "ROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for stem ❑ S RIU ®S ❑ U ❑ S ®U ❑ S ©U ❑ S ®U 0 S MU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure consistence Roots GPD/ Boring # Horizon in. Munsell QU. Sz. Copt Color Gr. Sz. Sh. Bouncialy .Bed rtctl, - 1 p _ (0 1 O` I t~- 31 Z - s 1 Z rn ~nit~lr a. 0- v? Z 6-tb lo~t~ Y/3 - sti\ ZMsb><> m~t cS o S 0 6 Ground 3 ) 6 8 7 •S y iz 31 y - S S bk wt'F1- CS 0 `I .0-S elev. (r ~Q p I 1 s~ t~ 31v q S• 6 ft 'T Z$ -SO S 2 3! I `12 l3 r S Y ~1' I - Depth to limiting fa~gy Remarks: Boring # ~ a-8 luy-2 31 Z S 1 ~ SU>T v~ `~4- a-S o. S ° Q• ~ Z Z g- t4 ]O'l2 V13 Z.t L-3 h, cs - 6.S o. 6 i 3 1°f-~z ~-S`~R31 - s 1 1~. ~bk m`F►~ cS - o-S Ground CI S`1C~ 3/fit f" _ elev: ~ 3Z -~l 7 . S `12 3/~ ~ `1 ~ e~ S ~ O~ `~''t~-► qS.l ft Depth to limiting , factor ' 1 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 S~nahue, Date: CST Number:__ . PROPERTY OWNER ENG SOIL DESCRIPTION REPORT Page Z of ~ PARCEL I.D. # O 0 $-LOS 7 Z..O Boring # Horizon Depth Dominant Color Mottles Texture - Structure Consistence Boundary Roots GPD/ft in. Munsell' Qu. Sz. Cont. Color Gr.'Sz. Sh. Bed Trench ' • • o - $ tio~. ~Z ~ t ~ 5 l Z m s 1~>z ~ ~ ~ ~ S ~ o . S o • 6 0• b R Y!3 S 1 Z M S~ h 1M `FL- CS - 0.S Ground 3 3o-yo ~ •S y2 31s 1 Yn Selz wi Ti,- as O, V 0•5 elev. T Z S `t R .3i 99•1 ft. 14 Ytj 1•S t:'( it 91V 1 6! S) O►ti, V,1 Depth to ' limiting factor i i Remarks: Boring # i i Ground elev. I ft. Depth to limiting 1 factor i i Remarks: Boring # 3 Ground ' elev. i ft. Depth to i . limiting factor n. Remarks: Boring # i j Ground elev. ft. Depth to limiting factor Remarks: c4r1.R'2'1I11R nc'~?~ . Page 3 PLOT PLAN of 3 SCALE 1"= lax ksr. ki, n, L ~ s > too' k%)'UW of "ovK s tM. a a s Tc +.lic s BD1- x k- lF}-o v SE p~ t svtLL ~O O, p ON Q''1~lgH, 3114"DID . PuC ~tp~ wAim g. Z v0 L'1 9S ~ O e19a I`) \ y 02 ~~S1Le3 -f)Fts PttcA \ g' tis,~ 2 e~ 4s b 00 `4~ - 0- _ d g6-1147 (715 425-D1 ft5 1400576 CST Signature Date Signed Telephone No. CST # - STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER (,u G MAILING ADDRESS 02 C)' / c~w N I I _S UU o2 PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION PC 1/4, NC- 1/4, Section 31 , T_28_N-R / 6 W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTEPUDSURVEY 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 y x 'ration date. r SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 rss. • 8 T C - 100 n :1 This application form is to be completed in full and sitjhed by the owner(s) of the property being developed. Any inadequaCies ,ill only result in delays of the permit issuance. Should 'his development be intended for resale by owner/contractor, (:pec house), then asecond form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - :►_.i~~ _ Owner of propertyh ; P EJV Locat~on of property /UE 1/4 IV C 1/4, Section 31 T N-R Township fc Gct a Mailing address "U l Address of site S _ Subdivision name Lot no. Other homes on property? YesNo Previous owner of property ~al eX S Total size of property /69 Total size of parcel Date parcel was created _ Are all corners and lot lines identifiable? Yes No _No Yes Is this property being developed for (spec house)? . Volume W-?-. and Page Number_ as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND P73E NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid ed Survey description Yap delays of the reviewing process. If the deed references to a Certified Survey Map, the 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 rec rded ~jb ffice of the County Register of Deeds as Document No.~ 7 , and that I (we)-presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. L 3 r ignatu of Ap ~cant Co-Applicant AD Date of Signature Date of Signature b v DOCUMENT NO. STATE BAR OF WISCONSIN FOVA 1--lfOt .rs ar~ct etaevso roe eswaoieo DATA WTr DEED "4392 y690 Do Ito 88 REGISMS OFFICE This Deed, made between ST. CROIX (At VA Jstf-cwY.__ A.--Ihaiaaw __wOd__Mwryt..l..__T.hnmaw............ Reed for NieW ........huats+u~d_.wnd.-~if~__~s..~nwrix.~l__-wtuxixor.whip--•-_-_ ~qp 3 r_ art Greater, WOYr 6 LO ....._wi_f-e._.ms_._wacitwl •------.b~ ~ . dOMd~ Witnesseth, net the said Grantor, toe . ..lo - - owevas to Grantee the following described real estate Is .-...St ....Ccoix._.~ 0 mty, State of Wisconsin: { Mm Pared No: I NE% of NE% of NE% of Section 31, Township 28 North, Range 1S West, St. Croix County, Wisconsin. s._ imal This iw................. homesteau property. - (is) (is not) Together with all and singular the hereditammb add appurtenances the:eemto belonging: warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except sesements, restrictions and rights-of-way of record, if any. add will warrant and defend the same Dated this day of ovember------- 1sa9O__.. ~ O. ....................(SEAL) R (SEAL) Jeffrey S. Thomas Mar L. Thomas ...............(Sir") -••-_._...-....___-•-..................(SEAL) x . ! - - AWTURNTICATION ACXNOWLBDGMENT * _ Sl re(sj Aftf-EcjaY_-$~-_Ihaxat,-------- STATE OF WISMNSIN Mary L. Thomas es• Persssny ewe before this ----------------day of „ a?G 7_YStelbft!'_ 11.9Q ~ /G a$t~~tds~, lY ths above named *Kristine Oclend Lundeen I TITLE: MEMBER STATE BAR OF WISCONSIN ti F' autborlsed by 1 706.K Wis. Ststs.3 - to me knows to be the person who executed the