HomeMy WebLinkAbout036-1176-80-000
o c
0
o c
0. 0
C t
t~ U
N
N
O O
y' Y
C
b m
O N
C m
i m -
C) c~
OO L
o m
o a~
c Z N x
LL m
LL c m~
O O-0
'ZI °o
3
O
° E
I
M
N I
Z w
w E
w . °
Z o
z c` a m
M a m
v H w
° o
°
c (D ° m
0 z a
w O
m Z
fA F- ~ N N Z
N E a
O 2 M
E °
o a~ I
• N N N p
N C O co 1
O 2 z z
N °
d E C
N L A I
Lo 0. M Lo
72
N d i N 0 0
co CL .0 1:
~ w ~ ~ fn fA N w _
o d d O
Z Z O
IL CL CL
a
c 0 3 (0 CD N
m -j U Z rn rn D
C)
"V o m °o
(n CO ° E N
L co a-
y N a~
m - p
' N ~
O ^ 7
~1 O O 3 N NE Z5 E
O O 'O O O O
~O F- U
V O M O L a~ c C a m o f
00 C c^o U N° E m CV CO
O N
C r d C ~ c
M O co C
N m E a
• L' O O (n 2 N O N 2 U1
CC
O~. w
Xk .5; w
C~
D M y a
L: (L
0 cl CL (D
~ w E E c
A 0 a~', 0 mCi
June 11, 1999
Chad Monson
2372 110`" St.
New Richmond, WI 54017
RE: Four-season porch addition, Town of Star Prairie, St. Croix County
Dear Mr. Monson:
You have requested the Zoning Office to review your remodeling project for compliance with the state sanitary
code (COMM 83). When remodeling or adding onto a dwelling you are required to examine whether or not
the construction involves an increase of wastewater.
As I understand the project, you presently have 2,024 square feet of living area and you are proposing another
484 square feet. The proposed construction equals a 24% increase in the total living area and does not include
a bedroom.
Section 83.055 (3)(b)(2) states: Increased wastewater load in dwellings results from an increase in the
number of bedrooms or from construction of any addition or remodeling which exceeds 25% of the
total gross area of the existing dwelling unit.
Since you are not adding another bedroom and the construction/remodeling does not exceed the 25% standard
as stated in the code section above. The septic system does not have to be enlarged or evaluated to obtain a
building permit.
Jeff Fox installed the septic system serving this structure in 1996. Records of the sanitary permit are located in
the Zoning Office.
To prolong the life of the system, remember to have the septic tank pumped once every three years or when the
tank becomes _ full of sludge and scum. Other efforts to prolong the life of the system could be as simple as
fixing or replacing plumbing fixtures with water conserving fixtures, reducing shower time, washing dishes
when the dish washer is full, avoid using a garbage disposal, using a wash machine with a suds saver feature,
etc. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system.
All applicable setback standards shall be met during the construction of the addition. Contact the
township to obtain a building permit.
Should you have any questions, please contact this office.
Sincerely,
Rod Eslinger
Zoning Specialist
Cc: Doug Rivard, Deputy Zoning Administrator, Town of Star Prairie
-0 C,
Q c o p
3 0
C) v>
v) c
o c
o I
U
C
d0 N c
N " i5
N N E
N 0 ~ 0)
Y ma
c o
co
° ° c
N O) N
rn mW
? co
Q
C! ~ = y
C
1`t O
c m
L
0 (emu W
~ ~oEU I
o a~ oc
c Z N x"- 0
o
' "v I
LL O O)- O
7
~ O 00)10
Q ~ E~ m
3 m
a~
Z E
00
W
W o
Z
Z c\ y
r; - a m
d I- W
O
N
O Z d a
v ~ ~ ~ N I
d Z !E c
(n F r y N
N E
O
E
O O
N Q O 00
• N 'D -C ra tp N
O
~ w
Z Z
Z Z
o
0 0
N 4) E
n m E D
c o N R
CL b
N I,. Q Q 4. =I
cn (n (n • E 0 a 0 a
R U
FL I ~
Q 3 0 0 N
7 O
fn J U Z
a
CD C)
0
~i aoi `O o CD co
(n O N N
r, Emrn
•~~•r=3 cU N _
p ~ N N ~ 0
~ Q cf1 ca
'1 C-4
O n 7 Q
O O 3 N 4
r O O 0 C = p O
O O M~ N 0 C y a p 0 0
` 00 N U Y C. C -U N N cc) a c a) -5 Q
rs I- E v (0
a 0) N a)
• M y o 2000 c N m E c=)
C) CD U) C,4 C)
st
L:a w
CL 0) 0 c
`IV E c c =
A ciao Oinu
' .u Yk
tea..
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER C W Ai~) g\0 ADDRESS 13 I S 1t z _ , r-T 308
l~l~ r .L
G
EA f~(C►tVtV`~IZ1
SUBDIVISION / CSMJ MALLA f'(~ h~UJ~
LOT ~
SECTION L T- 31 N-R I8
_ W, Town of S6'n (Z Fa *-1 R 1r.
ST. CROIX COUNTY, WISCONSIN
FILM SHOW EVERYTHING WITHIN I
100 FEET QF SYSTEM
q
I
GAi',W tAo JSE
a
(3
O
f
I 7U JY)41I~ p~~v
gc E:
g 3 `t(1i~~E,
f~ f P
f
h
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center -F
BENCHMARK: Wt~T CORNER Pon
ALTERNATE BM: TOP 6,- l~~►SEvnt~~t
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: VI/ Liquid Capacity:/606 -T
Setback from: WellHouse aW'S Other
t Pump: Manufacturer 1LE1, Model# N 96 Size
Float se eration
p ~ Gallons/cycle:
Alarm Location 'Ascmvyr
;SOIL ABSORPTION SYSTEM
Width: Length Number of trenches 2
Distance & Direction to nearest prop. line- &j op
-L/ +1111 `11 1-1*1 A
Setback from: well: House_ Other
ELEVATIONS
Building Sewer ST Inlet: 7, ZZ ST outlet L15
PC inlet PC bottom_JZ,r- Pump Off
Header/Manifold Bottom of system
Existing Grade Final grade
DATE OF INSTALLATION: 0jT 2 uQ ti 3 RO
PLUMBER ON JOB: TE
LICENSE NUMBER: _7 PRS0503(,!,
INSPECTOR: ~l A `T~~m~,Sa~J •
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
a and Human Relations
Safety INSPECTION REPORT ST. CROIX
and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 268599
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.:
MONSON, CHAD STAR PRAIRIE
CST BM Elev.: or Insp. BM Elev.: BM Description: Parcel Tax No.:
TANK INFORMATION ELEVATION DATA A9600299
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic S C /Cw Benchmark /dz)
Dosing j i4,rrc e. o,SJ/ So?
Aeratio Bldg. Sewer
32~
Holdi St / t*f Inlet 9 7 /a 3,
TANK SETBACK INFORMATION St/ FW Outlet ? e)
TANKTO P/L WELL BLDG. Aenttake ROAD Dt Inlet 8 95' d/ '
Septic _~o' NA Dt Bottom , S3' f
Dosing NA k#rJ Man. 16766
Aeration NA Dist. Pipe ? 63
Holdin Bot. System
PUMP/ S1Fi6N INFORMATION Final Grade
c..,M
Manufacturer o
Q errand
Model Number 2!~(9x S~P~IJI
TDH Lift 51 :riction ;13/ Systemn 50 TDH 1 (,qj3 Ft
Loss 1 Head
Forcemain Length X31 Dia. 1;1L" Dist. To Well 3
SOIL ABSORPTION SYSTEM
BED/TRENCH Width I Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMEN 1 N
SETBACK SYSTEM TO P/L BLDG WELL LAIK Manufacturer:
-
INFORMATION TypeO CHAMBER o er:
System: IK,,,d OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) g x Hole Size x Hole ac~g Vent To Air Intake
r `2
Length Dia. Length ova Dia. / Spacin GO
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: STAR PRAIRIE.4. 31.18W, E,,NE, 110TH ST
14, 'l, ISO (IOS,1),
o ~ La~vr 107,30'
n~11~1~o-.-~-y~~; -I FqT4/- an revision required? ❑ Yes Noy Q
Use other side for additional information. L6 Do? /
SBD-6710 (R 05/91) Date Inspector's Signatu a Cert. No.
ADDITIONAL COMMENTS AND SKETCH `
SANITARY PERMIT NUMBER:
~i~i~■'~i SANITARY PERMIT APPLICATION Bufeauof Buildig 5 Water and Division
Bureau of Buildin Water ' 201 E. Washington Ave.
' In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County~r
than 8 112 x 11 inches in size.
• See reverse side for instructions for completing this application State Sanitary Permit Number
Q e2
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
Property Owner Name Propert W91 tion
i4, S T 3 NR E (or)
Cif/410 twn Isoz 1 i C% X
Property Owner's Mailing Address 3L~S- N~~ :9 74C
~Q Lot Number Block Number
d8 ~ I
City, Stated + 55/U Zip Code Phone u b r Subdivision Name or CSM N ber
SybZ 1(7/ ' 3-4z /n c a'p IE1
II. TYPE F BUILDINGO (check one) ❑ State Owned 'tyy Nearest Road
❑ Village pill, Public 1 or 2 Famil Dwellin - No. of bedrooms Town OF R A0 79
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. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
SystemSystemTank 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 410 Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3- Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation
11-60 375 376 Z ! Feet .10q Feet
VII. TANK Capacity
in gallons Total # of Prefab. Site Fiber- Plastic Exper.
INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel
New Existin structed glass App.
Tanks Tanks
Septic Tank or. Holding Tank m~Q ~D~ W EE/~ ® ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber p b~ 606 VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
PI mber's Name: (Print) Plum ber's_~ignature: (No St s FM AMP4&W-ho.: Business Phone Number:
Plumber's Addr ss (Str t, City ate, Zip Code):
u 5,440 o
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved San tary Permit Fee (include' Groundwater P:~4 Issuing Agent Signature (No Stamps)
XApproved ❑ Owner Given InitiaSurcharge Fee) Adverse Determination 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 r
` 1. A sanitary permit is valid for two (2) years.
p
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 numLer(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, 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/,)r 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.
i
SAFETY & BUILDINGS DIVISION
201 E. Washington Avenue
P.O. Box 7969
Madison, Wisconsin 53707
State of Wisconsin
Department of Industry, Labor and Human Relations
August 8, 1996 209 West First Street
Route 8, Box 8072
Hayward WI 54843
CROSS COUNTRY EXC
PO 295
DRESSER WI 54009
RE: PLAN S96-20748 FEE RECEIVED: 180.00
LUNDE, AL
E1/2,NE1/4,4,31,18W
TOWN OF STAR PRAIRIE 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.
Sincer ly,
~G~
Thomas L. Sraun
Plan Reviewer
(715) 634-3026 7:00 - 4:30
7118R/ 1
sxuA-5928 (x. 1W94)
Private Sewage System Plan Index/Checklist
All plan sets should be legible and permanent copies, organized into sets, bound with staples and covered
by an index sheet such as this sample. No other pages need be signed as long as the index sheet for each
set is signed. Your cooperation expedites your plan review and shortens plan entry time.
Plan ID # Owner's Name
s9 .2 7 L VA106
Legal Description
A_ Address S.T /1 _6/,yF_ L4, W=S OZ q
S' Y 73 NR /8 v✓ /~61 ~I/ tc Cr ~C y
Cit W llagerfown Count
Y
Y
Contents Comments/Special Instructions
Page # Included Two copies needed for all
pkuas
I Plot Plan
2 _ Plan View/Lateral (glReturn by Mail
3 Cross Section
4 Tani: & Pump/ Fax Letter to (County) (Submitter)
5 Siphon Information Circle One and Provide Fax ( )
6 u Call for Pick-Up: ( )
7~ _
Q Other
1, the undersigned, hereby certify that the Seal (if applicab'e)
plans and specifications submitted
herewith were prepared under my
direction and control.
Plulubcr/[ksigner Li:cnsclftrgistration b
Address City tale
7 ~
Ss~ c v') 3
Signature
For Office Use Only
Attachments: "WAW
Application
Soil & site evaluation
Fee Conditionally
Needed for Bolding Tank f noti t,ed ed APPROVED
One copy of notaariz holding tank
agreement. (Originals to County)
DEPT. OF INDI!M, LAW 4 ~ ~AfION~
Needed for At-Grade Submittal: 01VISlON =Af'f1'>t An NNuO
Original signed and notarized
Application far" Ilse of an At-
Grade" SEE COR ONDENCE
County oil-Silt
One addilional set of pleas SBD-10268 (N.01196)
S962074 8
Aft
k
Y
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM Safety and Buildings Division
Labor and Human Relations REVIEW APPLICATION Bureau of Building Water Systems
Hayward Office La Crosse Office Madison Office Shawano Office Waukesha Office
209 W 1 st Street 2226 Rose Street 201 E. Washington Ave. 1053A E. Green Bay Street 401 Pilot Court, Suite C
Rt 8, Box 8072 La Crosse, WI 54603 P.O. Box 7969 P.O. Box 434 Waukesha, WI 53188
Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Shawano, WI 54166 Phone (414) 548-8606
Phone (715) 634-4804 Fax (608) 785-9330 Phone (608) 267-5119 Phone (715) 524-3626 Fax (414) 548-8614
Fax (715) 634-5150 Fax (608) 267-0592 Fax (715) 524-3633
INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this
form together with fees and plans/information. Your submittal must be received at least one working day prior to the appointment at the office
where your review was scheduled. Please call any of the listed offices if you need help filling out the form or have questions on what information to
submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your.reference.
1. APPOINTMENT INFORMATION -if ou have scheduled an appointment, fill in the information re uested below to save time:
Appoi tment Date Reviewer Name Plan Identification Number
39U20 _7'q'9
2. PROJECT INFORMATION If this review is a revision or extension to your existing
plan identification number, provide that number here:
Project Name [3 City ❑ Village in
Town Of: County
Project Location{ 7- 1
GOVT. LOT ~Y' Jft 1~/~E 1/4,S T 1 N ,R E or I f19 k L 1 C►~v J y(
j
3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED
System Type (check one): System Type 1 (include new and existing tanks), C
$110.00
Up To 1,500 gallon septic tank
A ❑ At-Grade 1,501-2,500 gallon septic tank $120.00
H Holding Tank 2,501 - 5,000 gallon septic tank $160.00
M Mound 5,001 - 9,000 gallon septic tank $200.00
N ❑ Non-Pressurized In-Ground(Conventional) 9,001-15,000 gallon septic tank $300.00
P ❑ Pressurized In-Ground Over 15,000 gallon septic tank $ 500.00
0 ® Other: Up To 1,000 gallon dose chamber $ 70.00
70-
1.00 - 2,000 gallon dose chamber $ 80.00
Building Type (check one): 2,001 - 4,000 gallon dose chamber $100.00
4,001 - 8,000 gallon dose chamber $120.00
D Dwelling, 1 or 2 Family 8,001 -12,000 gallon dose chamber $140.00
P ❑ Public Building Over 12,000 gallon dose chamber $160.00
S ❑ State-Owned Building Up To 5,000 gallon holding tank $ 60.00
5,001 -10,000 gallon holding tank $100.00
Code Derived Daily Flow gpd Over 10,000 gallon holding tank $150.00
❑ Check If Replacing Existing System Experimental System (additional one time fee) $300.00
Revisions To Approved Plan 2 $ 60.00
Petition For Variance: Setback $100.00
® Petition For Variance Site Evaluation $ 225.00
Plumbing $ 225.00
Revision $ 75.00
❑ Groundwater Monitoring Groundwater Monitoring - Per Site $ 60.00
(other than a proposed subdivision)
❑ Site Evaluation in Lieu of
Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring $ 60.00
.1'i" n C)v
Subtotal: /i
Priority Review: Enter same amount as Subtotal:
MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total Fee: x160 oJ
5. SUBMITTING PARTY INFORMATION
Telephone No. (include area code & extension) Company Name Contact Person
( `7~S>a9~r CzSS o -e C'~
No. & Street Address Or P.O. Box 1 2ao~,-h
or VillzkjO State, Zip Code r Vl
D14 C-laxO& d )-2- Q' S S 1 W
1 Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers.
2 Revision fees are not applicable to temporary holding tanks or extensions to existing approvals.
NOTE: Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to change annually.
SBD-6748 (R. 03/93) OVER
27
m lii i' t
T'
-4 O
CJ ~ ~ ~ ~ 0.!!1 ~ ~1
-a
G k O Vd.
LA, L
boo
uJ` d.
I
+.°A
77
GO~
lam ~ ~ WISE
f
^x,
f/ ~ v
Ot 1
rri
~ IJ
O
O
cy rd rh
Z.
ra 3
r
rn '
LA
-i
r~
Page?- Of
1 i 1
Perforated Pipe Detail
n
End View
)Perforated
Eno Cap 4 PVC Pipe
d %op
Holes Located On Bolton,
,g+ Are Equally Spaced
Q
PVC Force Main
P PVC
Maa14fadd Pipe
Alternate Position of
Dietributian - Force Main
Pipe
Lost Hole Should Be
Next To End Cop
Distribution Pipe Layout P 2Z Ft.
S 19~ 95
X~ Inches
Y Inches
Hole Diameter 11y Inch
Signed:
Lateral Inch(es)
License Number: Manifold Inches
Date: Force Main " 2 Inches
# of holes/pipe (o
Invert Elevation of Laterals Iy7,3'Ft.
J
F'---- - g - K
- - Force
JMain From
Observation Permant:;nl Pump
Pipes Marker; - \
Distribution
Trench of 2 - 2'2
pipe aggregate
Mound U,;in1 3 Trenches For Absci i.)tic Area A L
j3
D C 117.95
E K 10,6
F L G , Z
-1 ? 7
VV
Straw, Marsh Hay, Or
Synthetic Covering .
Distribution Pi~
Medium Sand
H _ G 77
Topsoil -
D
3 E '
n
d
Slope 'Trench Of 2~2 Force Main Plowed
Aggregate From Pump Layer
Undisturbed
Soil
Cross Section Of A Mound System Using
3 Trenches For The Absorption Area
Roister, Febn.ury, 1994, No. 458
PUMP CHAMEER CRuSS 5EC`IO;J AMC, SPECIF ICI 1.10k!`
VE.tJ7 CAP
i C.I. \-E"_,T PIPE WEATHERPROOF APPROVED LOC.Ki(U(-
7MA~IHOLE COVEF_
JUAICTION BOX
25' = R0.^1 DOOR, 12"M7 j
IU.
WIIJDOW OR FRESH
AIR INTAKE 1
GRADE i y" MIN.
I8' miQ.
CONDUIT -
19"MIN.
INLET PROVIDE (
AIRTIGHT SEAL I I I ,J~
I III
r7 -
APPROVED JOINT A I I I I APPROVED JOINTS
I I I W/C.I. PIPE
W/C.I. PIPE I I I I ALARM EXTENDING 3'
EXTENDING 3' I 11 ONTO SOLID SOIL
OWTO SOLID SOIL I I
ON
c I I
I
ELEV. FT. PUMP---
OFF
r
D
r~ E LOCK
vwm
RISER EXIT PERMUTE O L TANK MANUFACTURER HAS SUCH APPROVAL
SEPTIC E SPECIFI'CAt10U
DOSE
TANKS MANUFACTURER: W~Ek~ WMBER OF DOSES: PER DAB
TANK SIZE: E200 GALLOWS DOSE VOLUME 3~
E i &L ALARI~ INCLUDING BACKFI.O
ALARM MANUFACTURER: W~ GALLONS
w -300 MODEL NUMBER: nhY' CAPACITIES: A= INCHES OR_ GALLONS
SWITCH TYPE: ME.RCUR'Y 8= 2 INCHES ORyo GALLONS
PUMP MANUFACTURER: 7pCLLE g. C = INCHES OR /3o GALLONS
MODEL NUMBER: IV qS D w 11A1- INCHES OR 330 GALLONS
SWITCH TYPE: MERCURY NOTE: PUMP AND ALARM ARE TO BE
INSTALLED ON SEPARATE CIRCUITS
MINIMUM DISCHARGE RATE. GPM
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. ! FEET
+ MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET
` FT
1 S
F FORCE MAIN X rr.FRiCTION FACTOR.. 1 qz FEET
+ FE ET O
TOTAL 0'J JAMIC HEAD FEET
IIJTERNAL DIMEWSIONC OF TANK: LEk.jC•TH ;WIDTH -_;LIQUID DEPTH
SIG~JED• LICE.NSF IJUMBER: DATE:
WOW
Wal A flow
HEAD CAPACITY CURVE 3 7/6 6 1/4
MODEL "98" a 5/e
o I
2 3 5/8
X 6 + +
v O
4 3/18
t15 e
4
1 1/2-11 1/2 NPT 'NN
2
0
U.S. GALLONS 10 2011 30 40 50 60 70 80
LITERS 80 160 240
0 FLOW PER MINUTE
TOTAL DYNAMIC HEAD/FLOW PER MINVTE
EFFLUENT AND DEWATERINO
12
CAPACITY
HEAD UNITS/MIN
FEET METERS QALS LTRS
5 1.52 72 273
10 3.05 61 231 3 5/16
15 4.57 45 170
20 5.10 25 95
Lock Valve 23'
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and
supplied with an alarm. three phase systems.
• Mechanical alternators, for duplex systems, are available with • Double piggyback mercury float switches are available for
or without alarm switches. 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 mercury float switch or double piggyback mercury, float
98 84,610111 Control S•laction switch. Refer to FM0477.
Mod•l Volta-Ph Mode, Sim 1•x Duplex 3. Mechanical alternator 10-0072 or 10-0075.
M98 1 t5 1 1 or 1 & 7 4. See FM0712, for correct model of Electrical Alternator, "E-Pak".
5. Mercury sensor float switch 10-0225 used as a control activator, specify
N96 115 1 2 or 2 & 8 3 or 4 & 5 duplex (3) or (4) float system.
D98 230 1 1 or 1 & 7 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in
E98 230 1 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
For information on additional Zoeller products rotor to catalog on Combination Starter, FMO514; AN Installation of controls, protection devices and wiring should be done by
a qualified
Piggyback Mercury Switches, FMO477; Electrical Alternator, FMO496; Mechanical Alternator, licensedetect"an. Allelectricaland satetycodes should be followed Including the most
FMO495; Alarm Package, FMO513; Sump/Sewage Basins, FMO487; and Simplex Control Box, recant National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA).
FM0732.
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
MAIL T0: P.O. BOX 16347 Manufacturers of
Loulsvllle, KY 40256-0347
zffF111A_ff SHIP T0: FAK (5• 3280 Ole M2eB Lane Loulsvillip, a 1(40216 928-PUMP y~~~ r z,,,,~„ aWW LlN~. IMF's
(502) 778-2731 a!~ IMF
FAX (502) 774-3624
Wisconsin Departmnt of Industry' SOIL AND SITE EVALUATION
Labor and Human Relations Page of 3
Divisiuh of Safety and Buildings in accordance .vith s. ILHR 83.09, Wis.
:U'^ch complete site plan on paper not less than 8 112 x 11 inches in , izr P, : Count
_Jude, but not limited to: vertical and horizontal reference point (BM), au,,,uon and S1 x
percent slope, scale or dimensions, nc th arrow, and location and distance to nrarest road. Parcr•I I.D. #
APPLICANT INFORMATION - Please print all information. Heviewed by - - pate
Personal information you provide may be used for secondary purposes (Pnvacv l s 15 01 (1) ml).
Property Owner L4 Property Locdti-:n
Govt, Lot 1/4,S 7 T N,R E (or) W
Property O er's Mailing Address Lot # Block# Su d ame or CSM#
City State Zin Code Phone Numtr - - r i--- -
1~ Nearest Rcad
1 C~ c;.x~ ✓v/ ~Syl~~ CJ I )yC.~J ~3)L~ 1 City Vllaya Town -5
A~New Construction Use: ~'4Nesidenti;rl I Nurnher of bediocm, Adu li,n ;o r~)w5t ng budding
❑ Reap lacement -
f ubhc c~ cumlnOrota) - C?escrihe
1
Code derived daily flow ] JFx1 Re r,nv enrlc I rlc loading rate bed, gpd/fl ! -__trench, gpd/ft2
Absorption area required t !td, ! trench. it - ""ixuniirn ,it !.!in Inad!n(; rate bed, gpd/fC'•_ '.k:) _trench, gpd/ft2
Recommended infiltraticur surfacer zut o (s, ft is s referred to site plan benchmark)
Additional design/s to considar, du?,• c,
Parent materia' 1-10od pla n elevalion, if applicable S ,onv~nUC+ntrl A4uunU Li Sys, rn in Fill Holding Tan's.
SuiteLia for SyStum I r > -Gradr: +n
I u = unsuitable for System ~i s 2 a s u C S ! u ❑ s [j u ] s _u
SOIL DESCRIPTIO^I REPORT
Boring # Horizon Depth Dominant Co'or ~ Mottles -W i (liv Structure r' Consistence Boundary soots GP D D ft''
n. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh Bed Trench
le) 74
elev.
1-7' Al
Depth to - ,
P
limiting - -
.actor - - - - - -
U in. -
Remarks:
Boring # 3
C/
l 77'1
Ground q ( g 7J-7/1 'L~
19
/o J a_----/
Depth to
limiting - -
factor
~211 in, Remarks: _
CST NarPA (Please Print) ,milum - - Telephone No.
- .rC ~~G f. f i c -t-.,~ 7L S- -yzL
AddreS D,tte -
~C~~/ CST Nun ber
SOIL DESCRIPTION REPORT 2
PROF'SRTY OWNER - Page of v
PARCEL I.D.#
Horizon Depth Dominant Color Mottles Structure 2
Bring # Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
3
ILI)
Ground ' - -
elev. L--
17 0
Depth to j-!~1_/~ .._/775--v--~ ~^i✓ P . 10.
limiting
factor - - -
1 S=_K_in.
Remarks:
Boring # _
50 z~ ✓ S~~ - ✓c!` r
- - _ Lz4~,.5
Ground Q 7 y~ i f
elev. J ` - 1_ 1 1'-_ _ -~~y'-~-. . 1 . ✓'f ~ G~ c.AJ
TAG, L~ _ -
Depth to
limlina
factor "
Remarks:
Horizon Depth Dominanl Colo! Mottles Sliuc;u~~~ GPD!tt2
Consistence Boundary Foots
in. Munsell Ou. Sz. Cow Col(r Gr. Sz t>Ir Bed . Trenc.
Boring it
Ground
ft. I
Deo'n to -
limiting 1
factor -
in,
- Remarks:
Boring #
Ground
elev. -
ft.
Depth to
limiting
factor
in.
Remarks:
SBOW8330 (R. 08!95)
t
I
i
i
ICU
I
i
t
Ivy \ ~ \
• Wisconsin Department of Industry, SOIL AND SITE EVALUATION
Labor and Human Relations Page of
Division of Safety and Buildings in accordance HR 83.09, Wis.
` County
Attach complete site plan on paper not less than 8 1/2 x 11 inche in ' plan must 12 d X
include, but not limited to: vertical and horizontal reference poi 4P dir ctio nd /
percent slope, scale or dimensions, north arrow, and location stancT1 (`e st road. arcel I.D. #
APPLICANT INFORMATION - Please print all i fo matio eviewed by Date
Personal information you provide maybe used for secondary purposes Ppv cy Lakas "I5.04 (1
Property Owner / X U N E_ Rr hefty Lo t{o,
D chi ,.►-r O A Lot JFA,f 1/4,S y T _fl N,R i8 E (or) W
Property O er's Mailing AddC ss dot ck# SSu4d~jJame or CS:7
M#
citify a State Zip Code Phone Number qt/f d Nearest Road r1ty I-~'• C~ O,, lVe 1,VOLO (~js)Y9333Z9 City Village Town /O 1/17 •
~vew Construction Use: &Residential / Number of bedrooms Addition to existing building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow gpd Recommended design loading rate bed, gpdhi2 w %z trench, gpd/ft2
Absorption area required bed, ft2 d, trench, ft2 Maximum design loading rate bed, gpd/ft2trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design/site considerations o7
Parent material Flood plain elevation, if applicable. ft
S = Suitable for system Conventional Mound In-Ground rPirreessure AT-Grade System ,iinnrFill Holding Tank
U = Unsuitable for system ❑ s Ku k s ❑ u ❑ S Imo, u 11 s & u El S L'1l U ❑ S X„U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Ground Q v'' & '
O
elev.
3d - 7 C 7°, N.
Depth to 047
limiting
J actor
min.
Remarks:
Boring #
j `a 3i J6~ a.,,,. • S
3
Ground f0
elev . !s y n, _ P
Jd~ft. S y 'T/8 3-.,
• p
Depth to
limiting
factor
.?$In. Remarks:
CST Na (Please Print) Signature Telephone No.
Addre Date CST Nu ber
/!oi a7lPo du, zqe p /99.j' v' 7d
SOIL DESCRIPTION REPORT a 3
PROPERTY OWNER Page of
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
a O s/lam m.,,..~-- / /.,r,~S~~yt ~w Jv~' ► 4~ ;
Ground O 'i/ , ~'J-61~. w • y 3
Coln 37-- V/,' a S - P. p~
Depth to S yS- wT 7.J 1/1 s J,, ;~1°•
limiting
factor
~Z®Z in.
Remarks:
Boring #
F-97-
Ground / / ✓t,~ G~ t.J pP
elev. ✓ J►~ ~ ~ ,
/,,att. Y8- S y S~8 / 7
Depth to
limiting
factor
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
Boring #
Ground
elev.
ft. ,
Depth to
limiting
factor
in. Remarks:
SBDW-8330 (R. 08/95)
--A
\ N
Qj a
LAI o a. a r~
~N
ti
3
w
a
r~
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
I St. Croix County
OWNER/13UYER
MAILING ADDRESS
PROPERTY ADDRESS Z37a //0 7 "J S7- 5?n2 PR 19121 e, .S~Vozs
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE A2 P2 A ) 2 ie.} ZI);
PROPERTY LOCATION 3-hE-1/4, 4J E 1/4, Section T__3j N-R_&_W
TOWN OF sfR R Rq i R i e- ST. CROIX COUNTY, WI
SUBDIVISION / / aj jA2cj Ru ~J n LOT NUMBER
°~1
CERTIFIED SURVEY MAP VO UME ALP, LOTNUMBER
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.
UWe, 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: O_
DATE: 7 L31 !'1 (0
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
3
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 iUad loo v_Ta j
Location of property 5E- 1/4 /UE 1/4, Section, T,3/ N-R)ff W
TownshipQ,r~S~`gR FkA;2/i~ Ma~+ilingaddress 13y3' lj~ eyh
/ J 1 /~Nr -Ja / I
ALL ~ 59UQE-,qq/4/J, J✓
Address of site ~~~j~J ~tj7~~7~ 5?~Q Pk1QR1 E , (,~l O
Subdivision name Lot no.
Other homes on property? Yes _X No
Previous owner of property A/je" L~,✓a~~
Total size of property ~2, _S'3 A ,Qe5
Total size of parcel g2, 53 AeRcs
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 - & and Page Number as recorded with the Register
of Deeds ~/9.P_ 36;--
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 in the office of the County Register of
Deeds as Document No. ~'7-5,10y , 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.
Signature of Applicant - pplicant
-7 :3) /~31 (0 --7-
Date of Signature Rata of CinnatiiYn.
WARRANTY DEED
54'7504
1192 P X36 r _ - _-`T ,
Document Number VOL
St. Cn~,n c r., i
F..urc" i
JUL 3 0 X996
Return Address
PR4'x.80-~ at 10:00 A.M
Re, -q G)Aii.
D•ec a s11d, ka~ 00 27 R. L:Z:Src'.:,eeds
Parcel I.D. Number: 038-1050-10
Allen . Lunde and Pamela E. Lunde, husband and wife, conveys and warrants to Chad Monson and
Sherril'Monson, husband ar i wife, as survivorship marital property, the following described real estate
in St. Croix County, State of Wisconsin:
Lot 11, Mallard Run in the Town of Star Prairie, St. Croix County, Wisconsin.
This is not homestead property.
Exception to warranties: Easements, restrictions and rights-of-way of record, if any.
Dated this 2,95~ day of July, 1996.
X (SEAL) (SEAL)
Alle L. Lunde Pamela E. Lunde
AUTHENTICATION UAW ER
Signature(s) Allen L. Lunde and Pamela E. Lunde,
husband and wife, authenticated this 2A511-~_ day of FEE
July, 1996.
Kristina Ogland
TITLE: MEMBER STATE BAR OF WISCONSIN
THIS INSTRUMENT WAS DRAFTED BY:
Attorney Kristina Ogland
Hudson, WI 54016
i~
~ ~