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Parcel 042-1091-70-100 10/08/2007 10:44 AM
PAGE 10F1
Alt. Parcel 32.29.18.504B 042 - TOWN OF WARREN
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 - ALTMANN, GERALD R & THERESA B
GERALD R & THERESA B ALTMANN
1098 60TH AVE
ROBERTS WI 54023
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 1098 60TH AVE
SC 2422 ST CROIX CENTRAL
SP 1700 WITC
Legal Description: Acres: 30.000 Plat: N/A-NOT AVAILABLE
SEC 32 T29N R18W PT NE SE N 990 FT Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
32-29N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 1142/08 WD
07/23/1997 1142/07 WD
2007 SUMMARY Bill Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 07/14/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.000 30,000 283,800 313,800 NO
AGRICULTURAL G4 12.000 1,600 0 1,600 NO
MFL BEFORE '05 CLOSED W8 15.000 40,500 0 40,500 NO
Totals for 2007:
General Property 15.000 31,600 283,800 315,400
Woodland 15.000 40,500 40,500
Totals for 2006:
General Property 15.000 31,600 283,800 315,400
Woodland 15.000 40,500 40,500
Lottery Credit: Claim Count: 1 Certification Date: Batch 307
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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lunowy fjoBaleo apo0 leloadg aasn
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OOt'Z£ OOt`Z£ 000'26 puelpooM
000`02 0 000`0Z 000'8Z A:padoJd leaauaa
:9002 aol slelol
OOt`Z£ OOt`ZE 00076 puelpooM
000`0Z 0 000`0Z 000'8Z A)jedoad leJauaE)
:LOOZ ao; Slelol
ON OOt`ZE 0 OOt`Z£ 00076 8M a3SO10 90, 3210338 13W
ON 009`L6 0 009`L6 000'£6 W9J 1S32i0j -mini1f10iHov
ON OOt`Z 0 OOt`Z 000'96 tJ -m:jni-ln 1Jt/
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I1 L9 6/860 6 L66 6/£Z/LO
01 66Z/LE 6 6 L66 6/EZ/LO
(IM LOIZt 6 6 L66 6/£Z/LO
n-Z3 L06868 9002/2/ZO
ads .L abed/Ion # 000 alea
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8 `dS3213H18 2] 41b2130`NNt/Wl1`d - O NM INiIV 8 `dS3213HiQ 2J 41b2i3J
jaumo-o0 juaiino = 0 `Jaumo luaJJno = 0 :(s)Jaumo :ssoippv xel
0 00
adA1 llwaad # l!waad # uolleollddd ee iy seleg # deW alea leolJolslH alea uolleaa0
NISN00SIM 'A1Nnoo X10210 '1S X luaiin0
N3 :NVM 30 NMOl - Zt0 961'8 V6Z'ZE 180aed 111
6 30 6 39Vd
Wd st:OL LOOZ/20M 000-06-680 VZb0 IaOJed
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER I-e- I?I?V 1~lt 4 ✓7
ADDRESS I
G t Iles SUBDIVISION / CSM# LOT #
s SECTION T,_N-R_ ~__W, Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
sy°
,v
a
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
s,
BENCHMARK : L G Oa t ~~i y~ / C~~
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: Liquid Capacity: JUGC> `S U
Setback from: Well A 4-- House Other
Pump: Manufacturer w 11'-.2 Model# S~ Size
Float seperation Gallons/cycle: G
Alarm Location
SOIL ABSORPTION SYSTEM
Width: S Length 7S~ Number of trenches f
Distance & Direction to nearest prop. line: 4 /G o
Setback from: well: d/ House ~G Other
ELEVATIONS
Building Sewer 1 U 3 C ST Inlet,.. ~l. O ST outlet
PC inlet PC bottom S-,G Pump Off
Header/Manifold 104. 42, Bottom of system 1 Oil
Existing Grade 103 Final grade /G
DATE OF INSTALLATI 2 ~CJ
PLUMBER ON JOB: „y
LICENSE NUMBER: Lfr
INSPECTOR:
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION 284173
Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.:
ALTMANN, JERRY WARREN
CST BM Elev.: Insp. BM Elev/: BM Description: Parcel Tax No.:
and ,60 /O<~ 0s
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing
c~n
Aerati Bldg. Sewer
Hold St/ Inlet
TANK SETBACK INFORMATION St/ Outlet Vent TANK TO P/ L WELL BLDG. AirIto ntake ROAD Dt Inlet
Air
Septic CID NA Dt Bottom
Dosing NA /Man.
Aeration NA Dist. Pipe
Holdin Bot. System
PUMP /S INFORMATION Final Grade
Manufacturer Demand
Model Number GPM
TDH Lift Friction System TDH Ft
Forcemain Length 90 ° Dia. Fib Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMENSIONS
Manu
SYSTEM TO P/L BLDG WELL KE/STREAM
ETBACK CHAMB Mode Num er.
INFORMATION TypeO 0 IT
System:
DISTRIBUTION SYSTEM
t° x Hole Spacing Vent To Air Intake
Header / Manifold Distribution Pipe(s) ~ x Hole Size
Length Dia. Length Dia. 1 ' Y 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.)
Z.ctl'
LOCATION' WARREN.32.29 18W SE NE 60TH AVENUE _
IJ
fa `401
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
Safety and Buildings Division
SANITARY PERMIT APPLICATION Bureau of Building Water systems
201 E. Washington Ave.
In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 .
Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 8 112 x 11 inches in size. c1rv 1
• See reverse side for instructions for completing this application State Sanitary Permit Number
AFL//-73
The information you provide may be used by other government agency programs ❑ Check it 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 Location
e e e #A ✓r1 LY- ph 4 -1 S~cf 1/4 d E-114, S 3 z T N, R ~~or) W
Prope y Ow er's Mailing Address Lot Number Block Number
) 3 Vs- c,4n1 /a
Cit , State flip Code Phone Number Subdivision Name or CSM Number
l a y ~ $ J?/1 R , cj` S" Y ? 1-1 (
> X12 ~Ys
II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ aty Nearest Road
❑ Vlt a e 1 /9
E] Public 1 or 2 Family Dwelling - No. of bedrooms Town OF C' U
111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo '9 -y 2 - / 0, 7 U
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. IS-}' 1 2. ❑ Replacement 3. ❑ Replacement of 4.0 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
110 Seepage Bed 21 E3.0ound 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
f L Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation
7 3 ?.5 5- 1. 3 1 v `f` Feet / c's". 5 -Feet
VII. TANK cap acit
i llons Total # of Prefab. Site Fiber- Exper-
INFORMATION Gallons Tanks Manufacturer's Name concrete Con- Steel glass Plastic App
New Existin strutted
Tank Tanks
Septic Tank or Holding Tank C U~' I d w. C El ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber L 7 v t it a ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber'sName:(Print) Plumly r'sSign t"r oStamps) PRSWNo.: T siness Phone Number:
Plumber's Address (Street, Cify, State, Zip Code); r
s v(. w~' l "w /a ct jo 0 C/ v
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing A )
Surcharge fee)
Approved ❑ Owner Given initial 0-
Adverse Determination 4
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 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) of where the
system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new/or 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 8 112 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.
lot"
` I SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
August 1, 1996 2226 Rose Street ON 10 j~
La Crosse WI 546 Cb A.
WEGERER SOIL TESTING ,~E~ L 6 ir.cs~~
421 N MAIN STREET ST GRU!!
CCyUNl r
FALLS WI 54022 ~11MGOFFt.~
RIVERX 74 %9
r
i\
RE: PLAN S96-40858 FEE RECEIVED: 180.00
ALTMAN, JERRY
SE,NE,32,29,18W
TOWN OF WARREN 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,
rard M. Swi
Plan Reviewer
Section of Private Sewage
(608) 785-9348
SBDA-7987(8. 10/84)
. 7 6 4 ,9 Page ~ of 6
MOUND SYSTEM
A 3 BEDROOMRRESIDENCE RECEIVED
J U L 19 1996
LOCATED IN THE SE 1/4 OF THE N~ 1/4 OF SECTION ,w7"N ~;'>~~n101V.
TOWN OF W pnZ Z , JT. C\Z-olX COUNTY, WISCONSIN.
INDEX
PAGE 1'of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
.PAGE 3 of 6 PLAN VIEW-CROSS SECTION
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PAGE 5 of 6 PUMPING CHAMBER ~C4
PA GE 6 of 6 PUMP PERFORMANCE CURVE SAS
PREPARED FOR ~~o<~
R l~ l-T 1"1 1~l _ ;'app b~ 00
I g 3 S S S't'P TLLt6 if T- t:' V-t . t s~~'~'SP E
R G S mm. S S 37 y 4~Q~t G
S
PREFAI EID BY
~~®S1060~5603~_~+
WECCEFR E: F;?_- SQ I L TEST I thlG
AHD .
I3ES I CN 5~~~1 = CE
S ARTHUR L. : g
i KEGERER = w
2 0-375 P
F.O. BOX 74 421 K. YAIK ST. ELLS;&6rTm.
RIVET FALLS. V1 54022 Z was.
715-425-0165 ~o
°a, BSI G14
I
JOB NO. a 6' M
PLOT.PLAN
Page -of -
Scale 1"= y~)'
' P~pOS~
w~.LL loe~~ ~ ~ v $ ~
G ~o
tn- toS
5
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y~ ( 60 OF ZYPILe'Fri„ 9~' g~/p OO1.h~v~Z r~TL A
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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 %ob /(SO gallon capacity manufactured by
5. Bench Mark S 19.130 U e
6. Divert surface water around mound to prevent ponding at the uphill side.
Page 30f b
Approved Synthetic Covering
rysTM c 33 Distribution Pipe
Medium Sand
_ H ~G
Topsoil F Elev-. 104.13 _
3 E'
b
1 % Slope
(Force Main Plowed -
Trench of '-,"-2-2" From Pump Layer
Aggregate
Undisturbed D N- .O Ft.
Soil E I,yS Ft.
Cross Section Of A Mound System Using F O•o Ft.
1 Trench For The Absorption Area G 1•,c, Ft.
A S Ft. H I- S Ft.
B S Ft.
I )5 Ft.
Linear Loading Rate= b.\-)GPD/LN FT J Ft.
Design Loading Rate= o-3..GPD/SQ FT
K --~-1-- Ft.
L q`] Ft.
W Z-7 Ft.
L
Force
B qK
ain~-
„ pa s r~
Distribution Trench Of 2 - 2 2pD
Pipe Aggregate
1
Observation Permanent Mark
ers
(Anchors securely)
Mound Using 1 Trench For Absorption Area
` - Page Of
Perforated Pipe Detail
0
End View
)Perforated
End CoD) PVC Pipe
t .
Install permanent marker
at end of each lateral
\ Holes Located On Bottom,
Are Equally Spaced
Q / \ End Cap
* PVC Force Main
Distnoution
Pipe
Lost Hole Should Be
Next To End Cap
Distribution Pipe Layout
P 3y. S Ft.
X 3 Inches
Y 3 Inches
Hole Diameter Inch
Lateral 1'<</ Inch(es)
Manifold •Inches
Force Main Inches
# of holes/pipe LL
Invert Elevation of LateralslDq.S Ft.
Place lst hole 18y from tee with succeeding holes at 3~z"intervals.
Last hole to be next to the end cap.
Combination Sept:ic;Tank and
PdMP CHAMBER CROSS SECTION AND SPECIFICATIOUS ' PAGE S _'OF
VE IJT CAP WEATHER PROOF
- -
JuNCTIOI J 80X
,j' C. I. VENT PIPE APPROVED LOCKING
'_.10' FROM DOOR. MAIJHOLE COVER "Ot_%
Z watt NJIIJG L.l4gEL
•WiNDOW OR FRESH
AIR MITAKE c aolJbul r
- r
r -1 tj
F Y, MIIJ.
~L 1O r
- ~ ~ I ~ I9' MIIJ.
1S'MIIJ.
lh
PROVIDE I
IAJLET AIRTIGHT SEAL ( III
1 III
BraFFL~S A I I I i APPROVED J0ilj$
APPROVED JOINT I III W/C.I• P1 PE,;X Pt, C
W/C.I. PI PE AR Tank construction _ I I I ALARM
shall comply with ( II
ILH~ (83.15 and 33.20 d I 1
ON
C
q~•83 I
CLOY FY PUMP-~ --J
OFF
r
D CONCRETE
' DLQGK
EL, q -7. 0 0,
APPROVE[
RISER EXIT PERMITTED OIJLy IF TAWK MAWUFACTURER HAS SUCH APPROVAL gEpplµ~
SPEC.IFICATIOMS
SEPTIC f
DOSEK MANUFACTURER: M~ p T NUMBER OF DOSES: 3S? PER D"
TASJj
TAWK dIZC : t ~Ob L G 5O GALLOWS DOSE VOLUME
S ~M'T" :31t)~1'IS INCLUDi1J(a 6ACKfLOW: l50 GALLONS
ALARIA MANUFACTURER:
MODEL IJUMBER' lOl lbw CAPACITIES: A= 1g IIJCHES OR 30b GALLOys
i SWITCH TYPE: B= Z IIJCHES"OR G( LLOIJ5
PUMP MANUFACTURER: Zug`- M co-1 G = I1JCHES OR `36 GALLOWS
MODEL NUMBER: S`) D- 1O INCHES OR V)a GALLOWS
M A E To 5E
SWITCH TYPE: ZCUR-Y MOTE: PUMP AND ALARM (O
INSTALLED OW 5EPARATE CIRCUITS
MIMIMUM DISCHARGE RATE ~g'~ GPM
VERTICAL DIFFERENCE DETWEEU PUMP OFF AAJD_D15TRIBUTION PIPE.. 6- b7 FEET
+ miwIMUM NETWORK SUPPLY PRESSURE . : . . . . . 2-50 FEET
+ 60 FEET OF FORCE MAIN X 61 FXoFLFRICTIOI.I FACTOR.. 9'x'7 FEET
TOTAL 0 JAMIC. HEAD = ,1 L -FEET
DIAMETER
Pump chamber _ 38
UJTERLIAI.. DVALWSIOIJi OF TANK: LENGTH ;WIDTH - ~jLIQUID DEPTH
BOTTOM AREA 231= GAL/INCH
AS PER MANUFACTURER = E--I•.0 GAL/INCH
476 61/4
rn 1- HEAD CAPACITY CURVE 46/6 _
W W "57" - "59" SERIES
W u 4s/6
25-
-1112- 111hNPT
43/16
20-
6-
I
W
15-
V Q
z
C 4 915/16
J
Q
0 10 lO.1
33/32
2 I
Z$. O$
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 11 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. a 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 mercury float switch or double piggyback mercury
57/59 SERIES Control Selection float switch. Refer to FM0477.
Model Volts-Ph Mode Am Sim ex Duplex 3. Mechanical alternator 10-0072 or 10-0075.
M57/59 115 1 Auto 8.0 1 or 1 & 7 - 4. See FM0712 for correct model of Electrical Alternator. "E-Pak".
N57/59 115 1 Non 8.0 2 or 2 & 6 3 or 4 A 5 5. Sensor mercury float switch 10-0225 used as a control activator, with "E-Pak"
57 1 Auto 4.0 1 or l &7 - duplex (3) or (4) float system.
E57/59 230 1 Non 4.0 2or286 3or485 6. Four (4)hok,J-Pak", junction boy, forwatertight connection orwired-in simplex or
2 pump operation, 10-0002.
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 ofcontrols, protection devices and istring should be done by a qualified
FM0514; Piggyback Mercury Float Switches. FM0477; Exectrical Alternator, FMO486; Mechani- licensed electrician. AN Neetricel and safety codes should be followed Including the
cal Alternator, FMO495; Alarm Package, FMO513; Sump/Sewage Basins, FM0487; and Simplex most recent National Electric Code (NEC) and the Oceupado"Safetyend Health Act
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. 80X 16347
Louisv4le, KY 40256-0347 Manufacturers of .
cig. SHIP TO. 3280 01AMillk s Lane
® O "
ZMaLff Louis1411e, KY 4021 40216 p
QUALITY /~UMPB ~NCE J
(502)778-2731-1(800)928-PUMP
FAX (502) 774-3624
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Human Relations
`Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
s~'.
~ZC1 LX
Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but PARCEL I.D. #
not limited to vertical and horizontal reference point (121", direction and % of slope, scale or EL Z _
' 8 q 9 0
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
_68V~tffF • SE 1/4 N 1/4,S 3Z T _19 N,R 18 E (or W~
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM #
t43SS s~n'_\_vG
CITY STATE ZIP CODE PHONE NUMBER EICITY []VILLAGE (MOWN NEAREST ROAD
0~ S 1N SS3-) (6l Z) L11S- Y8.4S X.JNA_Z Z ~ 6Q `-w jp Vve
( New Construction Use [A Residential / Number of bedrooms 3 AddiliQn to e)dsbq building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow LS 9Pd Recommended design loading rate - bed, gWl2 0 3 trench, gpd/ft2
O
Absorption area required 3, S bed, ft2 3~ S trench, 112 Maximum design loading rate bed, gpd/ft2 trench, gpolft2
Recommended infiltration surface elevation(s) 10 k- O It (as referred to site plan benchmark)
Additional design/ site considerations *Ntv T,,.& w &'A n S `f 1Z-C~ CH , ti'L► nj . l oF- SflXjD LL,
Parent material ~t c `ry o v LTTL c Z-t t✓L Rood plain elevation, if applicable N A, ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN RLL HOLDING TANK
U= Unsuitable for system ❑ S O i l ®S O U ❑ S ®U O S ®U O S ®'U O S W U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Ba>r>dary Roots GPD/ftBoring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed
Trerxdi
4,, u.- 1 0-lo tio~l 2 Lt z - sl) Z Sbk yn'f~- ar s • S • b
Z 10 3 S t o 11Z 3110 s~ I 3 a.bk m c
Ground 3 35-6~ 1L Y C7-S ` Q_ S1
elev.
ft >J S o S 2 313 S
Depth to
limiting
factor Remarks:
Boring # as S -
0-1 Z ld`'t~ ZL Z St Z.~S~k 1vl T~
- s 3 b S L
~~Z Z ~Z_yn to `I\z 31~ L
VIZ) c)
Ground
elev.
1 D2-31t.
Depth to
limiting
factor i
Remarks:
CST Name:-Please Print Phone- 715-425-0165
Arthur L. We erer
egerer Soil Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022
Date: CST Number:
Signature: "1 ~O M 0 0 5 7 6
PROPERTY OWNER SOIL DESCRIPTION REPORT Page? of 3
PARCEL I.D. # oq Z - L VJ 99 - a O
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer
r'-42--
Z ! Z a- S • S Z lz _Z~f . ~ o~ Iz s i 1 Z~ s b k ~ T~- r s • s ,
Ground 3 2y-3b lw-tfZ 3)6 Si T~~~2 lrvt~h CS •S
elev.
)bs oft. y 31,-s~ Lk-)`11~
Y! c;_ titiz yn.
1
Depth to
limiting
facto r
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
...;M1S
Ground
elev.
ft. '
Depth to
limiting
factor
Remarks:
Boring #
S
{
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
1
PLOT PLAN Page 3 of 3
SCALE 1"=
P~PaS~
~ y shy
6.2 _
90
J v ~l 104.p'
8.~
ka U30
I N
IV 4~- B.2
tLt o Z 3
~L 1pt1.0' ON ill``WIG1{ ~J
0
'L 1~1 ~TSi tlrv~ of ? LIL 1?-C P R~1
S ? 1 G V' ~Z.Of~► 'r7 DVtiJD
D~21U --vl
~-s hz i ?v
~-~~ttwM-(` b S
60 'm kt~la .
(715 425-0165 - 1400576
C5T Signature Date Signed Telephone No. CST #
Wisconsin Departrrient of Industry. SOIL AND SITE EVALUATION REPORT Page S -L of
Labor and Human Relations
Division of Safety & Railings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
ST. ~Z.01SC
Attach complete site plan on paper not less than 81/2 x I I inches in size. Plan must include, but PARCEL I.D. #
not limited to vertical and horizontal reference point (13", direction and % of slope, scale or EL Z _ 8 dimensioned, north arrow, and location and distance to nearest
road. q -90
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
F OPERTY OWNER: PROPERTY LOCATION
$g~FF-{@T^ SE 114 N~ 1/4,S 3Z T Z9 N.R 18 E (or &
OPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM 8
tg3SS
CITY STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE [MOWN NEAREST ROAD
~ZAGmS MN Ss3--) V (6!Z) L128-q$4_S i..~i~Ztz~t`, 6Q 7?I- 7P~ve.
[ New Construction Use M Residential / Number of bedrooms 3 Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow L O gpd Recommended design loading rate --:!-bed, gpolft2 0.3 trench, gpo1ft2
Absorption area required 3~ S bed, tt2 3~ S trench, 9 Maximum design loading rate - bed, gpcW trench, gpd*2
Recommended infiltration surface elevation(s) 104- O It (as referred to site plan benchmark)
Additional design / site considerations `P'1.0v rW w !S fX 1 S 71Z-C'~ Ctf , f-i.l rv . l My- SAXAv 9 LL
Parent material sLC_y y o v M C 1 TL %J Flood plain elevation, if applicable t-3, A~ , ft
ble for system cONvEJTIONAL MOUND "ROUND PRESSURE AT-GRADE SYSTEM IJ FILL HOLDING TANK
for system [I S ICU EIS ❑ U ❑ S O U Os ®U 11 S Qu ❑ S o u
uitable
rU TUrrs
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ftBoring # Horizon in Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed
[Trench
2 1 o-to ~o~I.2 -Lcz - s~,~ Z, sbk rn
1
Z 103S 10'IR- 31L S
Ground 3 3311 10`-R y/ C~-s ~ cZ sl L1 ow, wi.~ i - _
elev.
got It ,~S o~ ~•S 2313 S~
Depth to
limiting
factor
3 S''
Remarks:
Boring # ` o-lZ 10`~► 2 L Z S CL,S _ . S
Z. Z 12_~f0 l0 `~\i 31~ - SL 1 3 ~~b~ m ~h LS _ s
Yh.
o in
Ground
elev.
1o2.3ft - -
Depth to
limiting
r
factoLLij
T Name:-Please Print Plxme" 715-425-0165
Arthur L. We erer
egeirer Soi Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022
Date: CST Numb:
X16- 170-C~~q~ M00576
PROPERTY OWNER A1.~1^'1t'CN SOIL DESCRIPTION REPORT Page? of 3
PARCEL I.D. Oq Z - L O S9 - `l O
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botaxlary Roots GPD/ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
o-lZ 1p `t Z.! ? St Z* Sbk w. 1- 7- S , S ,b
vL J.
Ground 3 24-3~ to~t(L 3l6 $t 3~~12 1vth CS •S
elev.
d os o ft. y 3 6 -S ~ I~ y IL yl ~l_ S 41Z S/8 0- cN Y' ,
Depth to
limiting
r
facto
Remarks:
Boring #
Ground '
_ elev.
ft.
Depth to i
limiting i
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
M.:.:•:
Ground
elev.
f t.
Depth to
limiting
factor
Remarks: -
PLOT PLAN Page 3 of 3
SCALE 1"=
P~pOS~ ~
Ski a
weu Lo~x~, J ~ ~ s ~
/ Q.
G'3
y~ 90 Oo~.ttov~2 ~?1, t03 ,0~
ca `T 'OE
~ ~ Nt 104.0
A Loo 9
a.Z
Cl,6o Z 3
h
3(~(" n11~. PVC PtPF_1...t~Lf~?}.
a
~~S~►~p l~l s t~rcc-~rA .
• L,~ c~1~JY~1 S`~~~ e~
sly TJtSi L1jv~ a /Yt P$I~
~
e~l6ttwh`(` b S"
601'21 hUl? .
C16-~~ 0
(715 ) 42.5-(11 ~4---- 1400576
CST Signature Date Signed Telephone No. CST #
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNERBUYER Tc"r A h
MAILING ADDRESS 1-13 Z. V,2 r~v y e ~ S rh t~ 1l
47
PROPERTY ADDRESS
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE D p ~o D 1 <
PROPERTY LOCATION S 1/4, r---- 1/4, Section 3,, T 2 ~l N-R I4 W
TOWN OF W4 re e- - 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
o
County Zoning Officer within 30 days of the three year expiration
SIGNED:
DATE: .2 -7
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.
Ownerofproperty
Location of property St 11010 1/4, Section ~,T N-R W
Township LA14 rre.l Mailingaddress N25-5_ Sri?
O'l Wo e es
kj P\
Address of site C140
Subdivision name Lot no.
Other homes on property? Yes 4- No
Previous owner of property .Stc1,c ,i Mkt /e 2
Total size of property
Total size of parcel
Date parcel was created
Are all corners and lot lines identifiable? `-'Yes No
Is this property being developed for (spec house)? Yes L----No
Volume and Page Number 0 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 in the office of the County Register of
Deeds as Document No. S_3L(3j-e I 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.
6-3g3,~- g_-
_'hoz) /j J
Si nature of Applicant Co-Applicant
9 7 / 2 2 b
D e of Signature Date of Signature
~y 43 t„ State Bar .,f \\'u:on,in Form 2 _ 1913
J58 W'.ARRANiTI' DEFL) REGISTER'S OF7rd
DOCUMENT NO V 1.114?Pa,E C,8 ST. CROIX CORam d for RecSteven M. Butler and Antie M. Butler, 3EP 2 8
husband- and wife, _ _ - - - 10:45 A. M
Gerald _R' Altmann and Regizterof eels
Conveys and warrants to
Theresa B. Altnann,
- husband and wife, oof.~ ;'urtiL,. pd
- -
THIS SPACE .7FSER:ED FOR RECURD,NCi oA'A
NAME AND RETURN ADDRESS
- S o yr testa ~"k
the follow ing described real estate in S t • Croix
County, State of Wisconsin:
(Parcel Identification Numbt:0
E1/2 of NEB/4 lying south of township road and the North 990 feet
of the NE1/4 of SE1/4, all in Section 32-29-18.
TOGETHER WITH an easement over the East 66 feet of the SE1/4 of
SE1/4 and the South 330 feet of the N=._,'4 of SE1/4 of Section 32-
29-13.
is not
This . - homestead propert).
XK,XX(is not)
Exception to warranties: Easements, restrictions and rights-of-way of record,
if any.
Dated this day of September 19 95
- (SEAL) (SF:\LI
• Steven M. Butler
- - (SEAL) VY 1-~ (SEAL)
• , Anne M. Butler
AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN
Signature(s) - - ss.
St. Croix County.
authcmicated this day of _ 19 - Pes. ~na'1} came before me this tT" da of
- - $Epteirtbe_r 19 95the abo\e nacted
_ Ste._en M.- Butler_ and- Anne M.
Butler, husband and wif_e_,_
TITLE: MEMBER SIAI E BAR OF WISCO'vSIN
(If (lot. -
authorized by §706.06, \Vis. Stats.) to n I 17- *n :o be the peron S _ who executed the
n:?+amcnt and ackll,s'kle he same
THIS INSTRUMENT WAS DRAFTED BV~~f"'
Y
}
`ihisovnsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 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 t 2 . size. Plan must include, but PARCEL StI D. # roix
not limited to vertical and horizontal ref ere BM), dire n % of slope, scale or pending
dimensioned, north arrow, and location dai ance to neyest ro
REVIEWED BY DATE
APPLICANT INFORMATION-PLE RINT 9G,L fMA
PROPERTY OWNER: E, PROPERTY LOCATION
Jerry Altman % g !a_ GOVT. LOT SE 1/4 NE 1/4,S32 T 29 N,R 18 for) W
PROPERTY OWNERS MAILING ADDRESS L) LOT # BLOCK # SUBD. NAME OR CSM #
14355 Starlight Dr. anti ti~ na na csm pending
CITY, STATE ZIP COD ❑CITY [3VILLAGE MOWN NEAREST ROAD
Rogers MN. 55374 Z 5 Warren 60 th. Ave.
[x] New Construction Use [ )q Residential /Number of bedrooms 3 [ ] Addition to existing building
j I Replacement [ ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate -5 bed, gpd/ft2 - 6 trench, gpd/ft2
Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate • 5 bed, gpd/ft2 -6 trench, gpolft2
Recommended infiltration surface elevation(s) 95.38 It (as referred to site plan benchmark)
Additional design / site considerations system el. based on contour line of el. 94.38
Parent material limestone uplands Flood plain elevation, if applicable na ft
S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable for svstem ❑ S 6 ImS ❑ U ❑ S U U E] S U ❑ S ®U ❑ S glU
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in Munsell Gu. Sz. Cont. Color Gr. Sz. Sh. I Bed Trend
-17 10 r3/2 none 1 2msbk mfr 2f .5 .6
1
lM 2 7-30 10yr4/3 none sicl 2msbk mfr gw if .4 .5
Ground 3 0-39 7.5yr4/4 none =sc1 M na 9W na np .2
elev. 4 9-55 7.5ry4/6 c2p 2/5yr4/6 sicl M na na na np .2
95.38 ft.
Depth to
limiting
factor
30"
Remarks:
Boring # 1 -16 10yr3/2 none 1 2msbk mfr 9w 2f .5 .6
2 2 6-31 10yr4/3 none sicl 2msbk mfr gw if .4 .5
3 1-50 7.5yr4/4 c2p 2/5yr4/6 sicl M na na na np .2
Ground
elev.
95.3$1.
Depth to
limiting
factor 3111
Remarks:
CST Name _Please Print Gary L. Steel Phone: 715-246-6200
Address: 1554 th. N nd, WI. 54017
Signature: Date: 8-31-95 CST Number-.02298
PROPERTY OWNER Jerry Altman SOIL DESCRIPTION REPORT 2'e
PARCEL I.D. # pending Page Hof
Depth i Dominant Color Mottles Structure
Boring # Horizon (Texture Consistence Bour by I Roots GPD/ft
_ in. Munsell Ou. Sz. Cont.Color Gr. Sz. Sh. Bed iTw& P
-14 10yr3/3 none 1 2msbk mfr
3 9w 2f . 5 .6
2 114-24 10yr4/3 none sicl 2msbk mfr 9w if .4 ~ .5
Ground 3 4-32 10yr4/4 none sicl 2msbk mfr gw na .4 .5
elev.
91.68ft. 4 2_50 10yr5/4 c2p 7.5yr5/8 scil M na na na np .2
Depth to
limiting
factor
32"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
MEMO
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel Jerry Altman 1554 200th Ave.
CSTM2298 SE4NE4 S32-T29N-R18W New Richmond, WI 54017
MPRSW 3254 town of Warren (715) 246-6200
1 lot 50 acres
N
1"=40'
Bm.= top of 1" steel pipe @ el. 100'
Alt. &n.= top of 1" steel pipe C el. 99.24'
Coce6r, la~~
2
S r
0
~Tl7 6~0
A. 2
®u
Gary L. Steel
8-31-95