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Parcel 008-1009-70-000 01/18/2005 09:12 AM
PAGE 1 OF 1
Alt. Parcel M 3.28.16.48A 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): * = Current Owner
* MIELKE, JOHN B & HELEN J
JOHN B & HELEN J MIELKE
510 250TH ST
WOODVILLE WI 54028
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 510 250TH ST
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 15.500 Plat: N/A-NOT AVAILABLE
SEC 3 T28N R1 6W 15.50A N1/2 SE SE S OF Block/Condo Bldg:
INT HWY 94 INCLUDES P47C
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
03-28N-16W
Notes: Parcel History:
Date Doc # Vol/Page Type
07/23/1997 866/409
07/23/1997 836/492
2004 SUMMARY Bill Fair Market Value: Assessed with:
45942 Use Value Assessment
Valuations: Last Changed: 07/15/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.500 18,800 226,000 244,800 NO
AGRICULTURAL G4 12.500 1,500 0 1,500 NO
UNDEVELOPED G5 0.500 50 0 50 NO
PRODUCTIVE FORST LANC G6 2.000 2,100 0 2,100 NO
Totals for 2004:
General Property 16.500 22,450 226,000 248,450
Woodland 0.000 0 0
Totals for 2003:
General Property 16.500 22,600 226,000 248,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 513
Specials:
User Special Code Category Amount
010-GARBAGE SPECIAL ASSESSMENT 138.00
Special Assessments Special Charges Delinquent Charges
Total 138.00 0.00 0.00
L
Form-STC- 104
AS BUILT SANITARY SYSTEM REPORT
SEC. T N-R _W
U e- TOWNSHIP 6,
OWNER Il
ADDRESS SOt ST. CROIX COUNTY, WISCONSIN
U ~ r'G w~S
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of IZHR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
q~ 1
90rF 71
/o/ c-. j1s a ~s i,$ G
s
f
o
4.
q01 li;~
It 11~ly
. 1
INDICATE NORTH A OW.
c
BENCHMARK: Describe the vertical reference point used ~'r 0l~ ICi / d
Elevation of vertical reference point: Proposed slope at site: ~2
SEPTIC TANK: Manufacturer: ftdy tttte, Liquid Capacity: l d 0 V
Number of rings used: J Tank manhole cover elevation:
Tank Inlet Elevation: U Tank Outlet Elevation:
Number of feet from nearest Road:
Front, Side,O Rear,. O feet
From nearest property line Front .0Side ,(ear,O ~0 feet
Number of feet from: well , building:
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SF,F. RFVF.RSF. STnE
y
PUMP CHAMBER
Manufacturer: yY1t esbtr Liquid Capacity: ` sw
Pump Model: Pump / hon Manufacturer: O
a P P 2 ~I e JQ Pump Size Y?~
Elevation of inlet: 9E. 11 1 Bottom of tank elevation:
Pump off switch elevation: d 3•s Gallons per cycler
Alarm Manufacturer: G ~l✓ Alarm Switch Type: C- -tie U
Number of feet from nearest property line: Front, O Side,(Dfear, 0 Ft. 42 0
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench:
r I
Width: Lenth: 7 Number of Lines: ,L Area Built: 3
Fill depth to top of pipe:
Number of feet from nearest property liner Front, O Side, &Aear, 0 Pt
U
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SEEPAGE PIT
Size: Number of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built:
Has either a drop box O or distribution box O been used on any of the above soil
absorbtion sytems? (Check one).
HOLDING TANK
Manufacturer: Capacity:
Number of rings used: Elevation of bottom of tank:
Elevation of inlet:
Number of feet from nearest property line: Front, O Side, O Rear, 0Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
Dated: Plumber on job:
License Number:
3/84:mj
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and hlumanRelations
INSPECTION REPORT ST. CROIX
Sairv,and{3uildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-:
PeMIELKE s Name: ❑ City E] Village R Town o : State PI
i JOHN
CST BM Elev.: Insp. BM Elev.: BM Description: E" 6 13H Parcel Tax No.:
TANK INFORMATION ELEVATION DATA ,mss P'a3
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark leJ
Dosing
Aera Ion Bldg. Sewer
HoldiaQ- St / kK Inlet S ~S 90
TANK SETBACK INFORMATION St/,kK Outlet
Vent
TANK TO P/ L WELL BLDG. Airito ntake ROAD Dt Inlet
Air ~ , ~z • G
Septic 6 NA Dt Bottom py` 9Sl'
Dosing 90' ~ NA /Man.
Aeration NA Dist. Pipe
Holdin Bot. System
MP / NFORMATION Final Grade
Manufacturer Demand
Model Number 3-GPM atI
TDH Lift >,~T Friction ~3 < Systerry .5- 01 et
Forcemain Length /G/ ' Dia. n Dist. To Well ~9J '
SOIL ABSORPTION SYSTEM
BED /TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. iqui pth
DIMENSION ' DIM IONS
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING
SETBACK AMB
INFORMATION Type O CH Moe Number:
System: A OR IT
o r
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size( x Hole Spacing Vent To Air Intake
Length Dfa.t_ Length Dia. ~Y Spacng /4 /,y 3~ T
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 /,$qftbr.Center Bed / Tfa%bFdges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: EAU GALLS 3.28.16E,SE,SE 250TH STREET
0
X al
Plan revision required? ❑ Yes p'40
Use other side for additional information.
SBD-6710(R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER: `
I,
SANITARY PERMIT APPLICATION COUNTY
v'~■'■■~ In accord with ILHR 83.05, Wis. Adm. Code
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than AA ~.3 ~15
8% x 11 inches in size. ❑ Check if revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
John Mielke SE t/4 SE t/4, S 3 T 28, N, R 16 E (or) ~P(I
BLOCK #
PROPERTY OWNER'S MAILING ADDRESS LOT #
2446 50th. Ave.
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
Woodville WI 54028 715 684-395
0 CITY
VILLAGE : NEAREST ROAD
II. TYPE OF BUILDING: (Check One) El State Owned ❑
:Eau Galle 250th. Street
N OF
AX NUMBER( 5)
❑ Public X❑ 1 or 2 Fam. Dwelling- # of bedrooms 3 PARCEL T
Ill. BUILDING USE: (If building type is public, check all that apply) 60r,1,09--76-600
1 ❑ Apt/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 in line A. Check line B if applicable)
A) 1. ❑ New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑X Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 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
450 375 375 .5 l~ 95 Feet 97 Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks strutted
Septic Tank or Holdin Tank 1 1000 1 Midwestern 5j I El E] M 1 11
Lift Pump Tank/Si hon Chamber 1 750 1 Midwestern
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for instillation of the o ' sewage system shown on the attached plans.
Plumber's Name (Print): Plumber' Signature: (N S ps) MP/MPRSW No.: Business Phone Number:
Joe Stang MP 6646 715 698-2266
Plumber's Address (Street, City, State, Zip Code):
506 Willow Drive Woodville, WI. 54028
IX. COUNTY/DEPARTMENT USE ONLY -
❑ Disapproved Sag~ary Permit Fee (Includes Surcharge Fee) Groundwater Date Issue I suing Agent Signature (No Stamps)
20(
Approved F-1 Owner Given Initial
®
Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS ,
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the 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 & Buildings Division, 60B-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 in 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 in ##1-7.
VII. Tank information. Fill in the capacity of every new and/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% 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, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
SAFETY & BUILDINGS DIVISION
201 E. Washington Avenue
P.O. Box 7969
Madison, Wisconsin 63707
State of Wisconsin
Department of Industry, Labor and Human Relations
December 8, 1994 2226 Rose Street
La Crosse WI 54
WEGERER SOIL TESTING
421 N MAIN STREET ; t (
r-- i
PO BOX 74
RIVER FALLS WI 54022 ;V
tip'!
RE: PLAN S94-41523 FEE RECEIVED: v
MIELKE, JOHN & HELEN
SE,SE,3,28,16W
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.
Sincerel
era M. SW
Plan Reviewer
Section of Private Sewage
(608) 785-9348
7320R/ 1
SBD4988 (R. 01/91)
t Page of b
MOUND SYSTEM
A 3 BEDROOMRRESIDENCE S`m 9 4 41 5 2 3
LOCATED IN THE SE 1/4 OF THE SE 1/4 OF SECTION 3 T Z't~ N, R ) (b W,
TOWN OF ) yy c z'^ ST" e \ZA \X COUNTY, WISCONSIN.
INDEX
PAGE l 'of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
PAGE 3 of 6 PLAN VIEW-CROSS SECTION ;
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PAGE 5 of 6 PUMPING CHAMBER
PAGE 6 of 6 PUMP PERFORMANCE CURVE
I
PREPARED FOR
ohtN t~►v0 `t-0E lzw IF11:FLY E
zg46 SoTrt r)vE.
RECEIVED
DEC - 8 M4
sAFSY i OLM. NV.
PREPARED BY
WECDEF;t EFZ SO I L TEST I N(13
AND g0tiOQ00
DES I c3pq SEI=ZW I CE vtO :¢~0~~j ,
F.O. BOX 74 421 K. MAIN Si_ -6
~s®
RIVP FALLS. KI W22
Ar,THUR L.
715-42250165 w.:e,-F;ra =
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JOB NO. 0)
03VI3338
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via ~8 a Y134AZ
PLOT PLAN Page z of
Scale
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Sg4..41523
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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 VDoO gallon capacity manufactured by
ll'vp ~'j e- s' Piz ~'c~ ST, we. P~~n[~ ZYf*~~ ~U 13~~ r-►IbkjeTrETu-j _)S0 GRt TtOJ►L-
5. Bench Mark Se"Is- Y'S Bove
6. Divert surface water around mound to prevent ponding at the uphill side.
Page 3 Of (o
Approved Synthetic Covering S94-41523
~S~t~ c 33 Distribution Pipe
Medium Sand _
_ H _ G
F ~Elev°l S. O'
Topsoil `
-J I p -
E "
3
u
b
t Z % Slope
Force Main Plowed
Trench of V -2 2" From Pump Layer
Aggregate
Undisturbed D 1. o Ft.
Soil E 1 • Ft.
Cross Section Of A Mound System Using F o-g Ft.
I Trench For The Absorption Area G 1•icN Ft.
A S Ft. H )-S Ft.
B S Ft.
I 1 Ft.
Linear Loading Rate= 6.0 GPD/LN FT J 6 Ft.
Design Loading Rate= o.ZSGPD/SQ FT
K I 1 Ft.
L Q-1 Ft.
n W Z-1 Ft.
L
Force
B K Main
IL ion Trench Of '2
Aggregate
-Permanent 1
Markers
rely) raE 5,4STOM
low
RE~max's
~ppN 1NOS
Mound Using I Trenc orS
OF 1Np0 OF
Dom' mv
N~ENG~
GORN
S
r
Page 9 Of Perforated Pipe Detail S94-41523
0 End View
)Perforated
End Cop PVC Pipe
Jo~`pb a~Lt
~a
Install permanent-marker
at end of each lateral
Holes Located On Bottom,
Are Equally Spaced
Q End Cop
JJE
Q
* ~ PVC Force Moin Condttio
HUPAAj1 F;~LAT+I@~IS ~
Distribution LABOR RIaS
Pipe DV(, Of INDUSTRY 8 FEYY 8131L44
MVI
Lost Hole Should Be
Next To End Cop S~
EE C
Distribution Pipe Layout P 3~. S Ft.
X 3E, Inches
Y 36 Inches
Hole Diameter )~y Inch
Lateral 1 Inch(es)
Manifold Inches
Force Main " Z Inches
# of holes/pipe \Z
Invert Elevation of Laterals 015•51D Ft.
"y.oy Kph xZ_ Z8.08 Glut 'n-rNL
Place lst hole 184 from tee with succeeding holes at 36" intervals.
Last hole to be next to the end cap.
PUMP CHAMBER CROSS SECTION ARID SPECIFICATIOmS PAGE 5 OF
VCWT CAP S94-41523
4'C.1. VENT PIPC
WEATHER PROOF APPROVED LOCKING MANHOLE
f r-T
JUUCTIOIJ BOX COVER WITH WARNING LABEL
~ 10' FROM ODOR, 12"MIU.
wIWDOW OR FRESH i
AIR miTAKE
GRADE I y' MIIJ.
COWDUIT
11~
PROVIDE ( -
IAILCT s,~j1 IGNT SEAT- I
I C~' I I (I v
Ta )r~C~718t PC ruC jShall comply I I APPROVED JOINTS
APPROVED Jolla-A > I I ( I
i
with approved I L,tj(). a HR 83.20
~ I II
pipe extending OT11 ALARM
3 feet onto e E~~a~~cAS
r, 4tj ON
solid soil.
Both sides of O
v
tank: LLEV FT. OFF
o
Fxy i COAICRETE 6LOCK
H
3" APPROVED
RISER EXIT PERMI•ITED ONLY IF TAWK MANUFACTURER HAS SUCH APPROVAL I UDDINQ
SPECIFICATIOMS
DOSE 1 llQlti)MOW 2~Cel- WUMBER OF DOSES: 3 ' ~
TANK MAIJUFACTU0.CR: PER DAU
TAWK SIZE: -1 Sly GALLONS DOSE VOLUME I
S 5'. QLNL ,O slim-ms INCLUDING DACKPLOW: S GALLONS
ALARM MMJUFACTURER:
MODEL NUMBER: 10I "W CAPACITIES: A= 6 IWCHE50R 312.0 GALLONS
SWITCH TSFC' 'I fI R0kiw%-{ B= z IWCHES OR 3q" GrLLOIJ5
PUMP MANUFACTURER: Z-O Q1'``~R C = -7 IWCHES OR GALLOWS
MODEL WUMBER: CIS D= \3.lIZINCHES OR 2-63 ~ GALLONS
O.
`~CT17.000LY MOTE: PUMP AND ALARM RE TO DE
SWITCH TYPE:
MINIMUM DISCHARGE RATE Z B • l38 GPM INSTALLED OW SEPARATE CIRCUITS
VERTICAL DIFFERENCE OETWEEW PUMP OFF AUD..DISTRIBUTIOIJ PIPE..~Z FEET
+ MIAIIMUM NETWORK SUPPLY PRESSURE . . . . . 2.50 FLET
+ 5 FEET OF FORCE MAIM X 1 FyoFCFRICTI0U FACTOR. 1 2-1 FEET
TOTAL OtIMAMIC, HEAD = 16.09 FEET
DIAMETER -
_.IZK
WTERWAL DIMEWSION~ OF TAWK: LEW&TH ;WIDTH ;LIQLIID DEPTH 3 !a
BOTTOM AREA - - 231= GAL/INCH
AS PER MANUFACTURER = 1°l•5 GAL/INCH _
URGE 6 u
aW HEAD CAPACITY CURVE 3 7/8 6 1/4
UJ
30 MODEL "98"
4 5/8
8 g
25 3 5/8
= 6 20
+
O
Q 16 09 4 3/16
15
4-
H o$
0 10 ZS
1 1/2-11 1/2 NPT
2
5
S94w41523
a
70 80
1
11 U.S. GALLONS 10 20 30 40 50 60
LITERS 80 1130 240
0 FLOW PER MINUTE
TOTAL DYNAMIC HEADIFLOW PER MINUTE
EFFLUENT AND DEWATERING
CAPACITY 12
HEAD UNITS/MIN
FEET METERS GALS LTRS
5 1.52 72 273
10 3.05 61 231
15 4.57 45 170 _ 3 5/16
20 6.10 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 or • Double piggyback mercury float switches are available for
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. - 1/2H. P. 2. Single piggyback mercury float switch or double piggyback mercury, float
98 Series Control Selection switch. Refer to FMO477.
Model Volts-Ph Mode Amps Simplex Duplex 3. Mechanical alternator 10-0072 or 10-0075.
M98 115 1 Auto 9.0 1 or 1 & 7 - 4. See FM0712, for correct model of Electrical Alternator, -E-
N Pak".
98 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor float switch 10-0225 used as a control activator, specify
duplex (3) or (4) float system.
D98 230 1 Auto 4.5 1 or 1 & 7 - 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in sim-
E98 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 plex or duplex operation, 10-0002.
7. Two (2) hole -J-Pak". for watertight connection or splice.
CAUTION
For information on additional Zoeller products refer to catalog on Combination Starter, FMO514; All installation of controls, protection devices and wiring should be done by
a quali-
Piggyback Mercury Switches, FMO477; Electrical Alternator, FMO486; Mechanical Alternator, fied licensed electrician. All electrical and safety codes should be followed includ-
FMO495; Alarm Package, FMO513; Sump/Sewage Basins, FMO487; and Simplex Control Box, ing the most recent National Electric Code (NEC) and the Occupational Safety and
FM0732. Health Act (OSHA).
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
AL41L TO: P.O. BOX 16347
Louisville, KY 4025544 Manufacturers of .
` zigizzli-ff O. SHIP TO: 3280 OM 40MN= 216 Lane 1JUAL/7Y PUMPS
Q Lrwisv(8e, KY 40218
o (502) 778-2731 0 1(800) 928-PUMP
FAX (502) 7743624
j Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page l of
Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
ST- C-kz o 1x
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but PARCEL I.D. #
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or o®$ - (~0 9- Z b
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
G99 LET- SE 1/4 SF 114,S 3 T _-f'~ N.R I L E (or0N
PROPERTY OWNER•:S MAILING ADDRESS kLOT # BLOCK # F BD. NAME OR CSM #
CITY, STATE ZIP CODE PHONE NUMBER CITY ❑VILLAGE MOWN NEAREST ROAD
Wo4~V1CL~,WI S\1 (3 ZB (-)IS) 68y-39S1 Gkt_~.tC 7SO IN ST.
New Construction Use. [4 Residential / Number of bedrooms 3 AdditiQn to existing building
[ ] Replacement [ ] Public or commercial describe
Code derived dally flow y S o _ gpd Recommended design loading rate bed, gpd/ft2,o trench, gpd/ft,
Absorption area required 3 -1 S bed, ft2 3 S trench, ft2 Mabmum design baring rate o - S bed, gWI2 0- b trench, gpdjft2
Recommended infiltration surface elevation(s) 0I 5-o ' It (as referred to site plan benchmark)
Additional design I site considerations ~Z "MI" l Zhjb wl Whib w\ni st-1 S`-T _e Cff Mks-i - 1 `ot= S Ut, R t-L
Parent material L e ns rs Q eZ Flood plain elevation, if applicable It
S = Suitable for System CONVWDIAL MOUND W-GROUND PRESSURE AT-GRADE SYSTEM IN FILL T HOLDING TANK
U = Unsuitable for svstem ❑ S ®U ®S ❑ U ❑ S ®U ❑ S ®U ❑ S ®U ❑ S O U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in. Munsell Chu. Sz. Cont. Color Gr. Sz. Sh. Bed mndl
1 0-11 Io'.V.-:3 1Z - S -S bit w,-tv 0-S - o•S o-L
Z -Z6 10 Q 31 3 - s 1 Z sbk wt.'s- 0_ L4.> o. S o• 6
C-1
m~~ o-Y o.s
Y _ SI 1 t,~,
Ground 3 26-3y -7. V_ 31 Sbk
elev. - -
CO5 It ~f M-03 S`tZ- Sly sy~z sit gel wt~
Depth to
limiting
factor
3y4
Remarks:
Boring #
o-t0 ~o'-ttZ 3 tZ S11 Z`~sb~ w~'~~ eS o•S o.d
I Z ~Sbk w~~fa 9 s - o, s o. 6
Z Z to-i6 to~Q yi3 - .37
3 IZ6•u3 16,11 y/L - S O 39 wt cS 0.7 d.g
Ground
elev. Sl3-S8 ~.S yR 3[ S
o o- o ft.
. L s
Depth to c
limiting ) S p L S P. US L. L
factor
\(_S ` 3-ZZ_gs
Remarks:
CST Name:-Please Print Arthur L. We erer Phone. 715-425-0165
V egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022
Signature: Date: CST Number:
gy_Z~y/ bL' ?_,k9C1 y M00576
PROPERTY OWNER CSOIL DESCRIPTION REPORT Page?- of 3
PARCEL I.D,# h08- 1009-'10
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bmrcbry Roots GPD/ft
in, Munsell Qu. Sz. Cont, Color Gr. Sz. Sh. Bed Trench
rb 0_9 1O`~t~ ~l2 st1 Z`~Sb►z YY1'Fh cS
Z g--z.t; vb `l2 M/ Z`P Sbk r~'E1- c S o. s v. L
3-~9 bll`11Z 316 C o 7.SyR S/Ej Ground C ~"'1 V~ i -
elev.
92. S ft.
Depth to
limiting
factor F
Remarks:
Boring #
i
Ground
elev.
ft.
Depth to
limiting
factor i
Remarks:
Boring #
lL
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
r
PLOT PLAN Page 3 of 3
~ PLOT
SCALE 1"= qO '
c`sc.,c~PT it S S ttpw u
~MPftC-r OR
~ISh~~2.e 'rr}lS tl'Ae+~ '
L-Lq?- S J
ti ` B.3 (A
0 /-3
\~~tiS 8.2
z^ a~8oT-oF l~l cel ct S.o~
O
TL qo"
~ti°~° V►
L~.qS»
3.1
FEL, CC - U&Jt OF Ito PIC- P,"ce)
' - z.o'' PsBovE Gttou►.A
tN 8'` OtR• ZTzt'E
I
t`lp h
_ we:-- -Tra $F PSS l..LM*97 Sllt'R'v►~1 WIOVIV~~ Pp,D 'fir l~rOt' ?S' F=IR414 'M'w1z.S.
10
,o O
• Z~ 1`i~~ (715 ) 425-n] h5 T400576
CST Signature Date Signed Telephone No. CST #
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
} St. Croix County
OWNER/BUYER ,1 ` l ~r d / Vt le 1-1 MAILING ADDRESS w, s
PROPERTY ADDRESS S 10
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE S
PROPERTY LOCATION Sri 1/4, 1/4, Sections T N-R l W
TOWN OF L k k Gy rt ~l c ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER
CERTIFIED SURVEY MAP , VOLUME g_4 PAGE ! 00 LOT NUMBER
Improper use and maintenance of your septic system could result in its premature failure to handle
wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed
by licensed septic tank pumper. What you put into the system can affect the function of the septic tank
as a treatment stage in the waste disposal system.
St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost
of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that owners of all new systems agree to
keep their system properly maintained.
The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner
and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1)
the on-site wastewater disposal system is in proper operating condition and (2) after inspection and
pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum.
I/We, the undersigned have read the above requirements and agree to maintain the private sewage
disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintained must be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year expiration date.
SIGNED: ~J1 U~
DATE:
St. Croix County Zoning Office
Government Center
1 101 Carmichael Road
Hudson, WI 54016 11/93
APPLICATION FOR SANITARY PERMIT
STC - 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
Location of Property Section J , T -C d N-R~
Township C &A Mailing Address 6/0 O/~(/
Address of Site ~ /0 ~~oI S 7- 00LL,~
Subdivision Name NIP
Lot Number W114
Previous Owner of Property
Total Size of Parcel
Date Parcel was Created
Are all corners and lot lines identifiable? Yes No
Is this property being developed fdr resale (spec house) ? Yes 1-~ No
~7,
Volume Ott and Page Number U as recorded with the Register of Deeds.
INCLUDE WITH THISAPPLICATION 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 refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPFRTV OWNER CERTIFICATION
I (We) centi.by that att .6tatement6 on thi,6 bonm cute true to the best ob my (oun)
knowledge; that I (we) am (ane) the owneA (b) o6 the pnopeh ty de s cA bed in th.i,6
.inbonmation bonm, by vi4 tue ob a warranty deed neconded in the Obb.ice ob the
County RegiAten ob Deeds as Document No. 1Y 5l90 V Sl ; and that I (We) pnesentCy
own the pnopoA ed .6 to bon the sewage d.i 6po.6 s ys em (on I (we) have obtained an
easement, to )um with the above de6ck bed pnopehty, bon the constnucti.on ob said
ey6tem, and the dame has been duty neconded.in the Obbtice ob the County Regi6teA ob
Veed6, as Document No. k15? v v ) .
X f+j,', c c,c~/u~
/k ZZ
SI ATURE OED OWNER SIGNATURE OF CO-OWNER (IF APPL'
DATE SIGNED DATE SIGNED
i
AGENDA
ST. CROIX COUNTY
NOTICE OF COMMITTEE MEETING
TO: Robert Boche, Chairman
St. Croix County Board
FROM: Thomas Dorsey, Chairman
COMMITTEE TITLE: St. Croix Co. Planning & Development Committee
DATE: Monday, September 11, 1995
TIME: 7:30 p.m. viewing, 8:00 p.m. meeting
LOCATION: Somerset Town Hall
CALL TO ORDER
ROLL CALL
ADOPTION OF AGENDA
DATE OF NEXT MEETING
ACTION ON PREVIOUS MINUTES
UNFINISHED BUSINESS
OLD BUSINESS
NEW BUSINESS: 1. James H. Ristow, to rezone a parcel of land
from Ag.-Residential to Commercial
ANNOUNCEMENTS AND CORRESPONDENCE
POSSIBLE AGENDA ITEMS FOR NEXT MEETING
ADJOURNMENT
(Agenda not necessarily presented in this order)
SUBMITTED BY: St. Croix County Zoning office
DATE: August 28, 1995
COPIES TO: County Board Office
County Clerk
Committee Members
News Media/Notice Board
i~
_ VJOCUMENT NO. ST:i I'F: 13,\K OF WISCONSIN FORM 5-1982 THIS %PAr:! RESERVED FOR REGOROIHG DATA
PERSONAL REPRESENTATIVE'S DEED
457008 SGGws 409, REGISTER'S OFFICE
St. CROIX CO., Wi
Theresa Lee, a/k/a Theresa B. Lee Recd for Record
as
. ve of _ ti:e -
- a>:atr - of MAR 3 30 0 1990
Personal Rep . resentati -
A, M
a' 8:30 A. M
.....KenneS,h-.hee~...a/k/a.__Kenn.ett> G.~--Lee
-
- - ("Decedent"), R*tsrofD"&
for a valuable consideration conveys, without warranty, to ...John B .
Tr(ialke.Mie•lke,_•husband .and............
wi fe---
Grantee, FITTLIP, o St. Croix
the following described real estate in County,
Stat- of Wisconsin (hereinafter called the "Property") :
Tax Parcel No:
A one-half -nterest in:
Norte ~'alf of Southeast Quarter of Southeast Quarter
(N' of SE4 of SE4) of Section Three (3), Township Twenty-
eight (28) North, Range Sixteen (16) West.
All that part of the Southwest Quarter of Southeast Quarter
(SW4 of SE'h) of Section Three (3), Township Twenty-eight
(28) North, Range Sixteen (16) West, lying Easterly of
the Railroad Right of Way.
N` A
i-?.0
FEE
rrrsonai °r,-e=entative by this deed does convey to Grantee all of the estate and interest in the Property which
the Decedent had immediately prior to Decedent's death, and all of the estate and interest in the Property which the
Personal Representative has since acquired.
Dat,xi this - - - - - _ 29 _ - - - day of - - - - Mar-c.h------ -
-
(SEAL)(SEAL)
-
. Theresa B. Lee
• - -
ATI _nENTICATLON ACKN01,17LF.DC,AI\ENT
STAT'E' 1-'11
\V 1:; ~.7:+>I ~i 1
- - - - St. Croix
- - - -
authentieated this .__._(lay nf.-----. 19. r-.un:.ily rtme hefr,r^ me ti;is .-.29..----- day of
Marc-h_----- 1^_9_ the above named
- Theresa B. Lee
TITLE:.'•SEIIPER STATE
((f not, . -
to n then <n ;:~hn execate(tt4e
al:riu,nzrd b: ;OF.(?5, s..,
;or en r in I l)-l rfi 1 j 4iT ,amt. + : r
_3
tl~s
?au,.._ Jr :vas naAF•T-) Thomas A. .McOormack
LeRoy'--A. Storley
Baldwin, WI 54002 St. Croix ewirty. Wi:.
I S1£,"nalu r' }:n ,i i' ,..nhn ..'rU J. '
•Ir InF , I... July 2E, 1f,92 .1
"'MI 7
PFR~~'•: ~~f: '.-pa,.-cr~t?ATTVF;~~ nT.~'fl .iii: ~I I
i
J
_ THIS SFAS:L RESErV►D
-DocU fop' RrCOMDIHO DATA
i MCNJT NO. WARRANTY DEED
` STATE BAR OF WISCONSIN FORM 2-1982
45'7009 vrr ~i6PAsE410 REGISTER'S OFFICE
ST. CROIX CO., W!
Theresa Lee . Reed f6f ROCOyd
.
MaR3a19
0 8 30 A.
conveys and «..rrants to john. B. _Mielke••and Helen ~T. V
wife.. it of Deeds
Mieik.e.,.-.husband-..and
. .
'tE TERN TO
- ......County,
the following described real estate in
State of W isconsin: Tax Parcel No:................
A one-half interest in:
beas North Half of Southeast Quarter of SOueightt(~S)rNorihN RangeE4 of SE's)
of Section Three (3), Township y-
Sixteen (16) West.
All that part of the Southwest Quarter of southta t Quarter (Rangef
SEk) of Section Three (3), Township Twenty-eig
(16) West, lying Easterly of the Railroad Right of Way.
This isnot homestead property.
IG74 (is not)
Exception to warranties: Easements and restrictions of record.
Dated this 29 day of March _ 19 90
_-.(SEAL) (SEAL)
Theresa Lee
ISEALI
(SEAL)
AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN
Signature(s)
St.-. CrOiX ..............County.
-
Personally came before me this Z9.-day of
authenticated this day of---------- 19----- .
March- 19_90- the above named
Theresa Lee.. - -
-
- .
•I
TITLE: MEMBER STATE Bart OF WISCONSIN
- -
(If not,
authorized by $ 706.06, Wis. Stats.) to me kro cn to be the per=an 47.c van executed the'
tore-U1 lent Ind aykno led,e. tf% same.
,
T-4',S INSTRUMENT WAS DRAFTED P.Y ~
Thomas A. McCormack
- - LeRoy . Storley u
- .
7 (in~l t~
Baldwin, WI 54002 St Croix
fir nn
- - to - \T: r, ru;<IOn is nerrnar,n..!_It not.
(Signatures may be authenticated ~~r aclcn~,whdmd, I;uth J
U~y 26, 1992 )
are not necessary.) date:
LACE IAA OF P.1"dCO•:, o;
WAARA?3TY DEED "11 No -
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page l of
tabor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
ST_ c4zz tx
Attach complete site plan on paper not less than 81 d 1 jri~h s n Plan must include, but
not limited to vertical and horizontal reference pqo,* o ope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and di 7fr~e nearest road. CWa - 1,00 9_ Z O _Gw
Iji-F m REVIEWED BY DATE
A Cal
APPLICANT INFORMATION-PLEASE tl ALL-
PROPERTY OWNER: RTY LOCATION
0 1\j NI \ SE 1/4 SE 1/4,S 3 T Zf3 N,R ie E (oQ
PROPERTY OWNER':S MAILING ADDRESS { BLOCK # SUED. NAME OR CSM # re, 1 Z 4 q 6 50 'n4 fi\j tz-r
CITY, STATE ZIP CODE PHONE NUMBER ITY ❑VILLAGE MOWN NEAREST ROAD 0
Wcai7v~~l~,bvl S4 0Z8 (-15,) t,BV-.39Syti Gh4~.L 7So `ref Yr.
[ New Construction Use [J~ Residential / Number of bedrooms 3 [ ] AdditiQn to existing building
[ j Replacement [ ] Public or commercial describe
Code derived daily flow kASo gpd Recommended design loading rate - bed, gpdth? D - trench, gpd/ft2
Absorption area required 3 -1 S bed, ft2 3 -1 S trench, ft2 Maximum design loading rate o - 5 bed, gpd/ft2 a- b trench, gpd/ft2
Recommended infiltration surface elevation(s) S. O ' ft (as referred to site plan benchmark)
Additional design/ site considerations R ~~L +D *I owvD w\n-k s'XZ s'1~l e t(. M ls_) Xor SRti t~ R L.l
Parent material L s s o `~Z Flood plain elevation, if applicable N - A . It
S = Suitable for System CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for stem ❑ S ®U ®S ❑ U ❑ S ® U ❑ S ® U ❑ S ®U ❑ S kill
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consisbenca Boundaly Roots GPD/ftBoring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed
iench
~ 1 O-a 1D~f.12-3lZ - S 2.v~gbh ~`('1.. C.s - o•s o-6
Z -Z.(O 10`-1 tt. 3! 3 - S 1 Z ~ Sbk wt.`s Gt.~ ~ o, S o. 1,
Ground Zb-3y 7. S`tV_ 3LY - S~ 1 C SbIZ v t6_j
elev.
I.5 ft 3`[-~!f3 S'a- Sly c1z• sti%Z stj SCl
Depth to
limiting
factor
3y"
Remarks:
Boring #
:Y I o- t o to'-t 2 75 ! i - S 1 S Z s b►~ vh `F'>" e S _ o. s o. 6
o. 6
Z Z It-Z6 m lv_ y/3 - S) I Sbh- w,`F~- 9 s o, s
3 Z6 -L13 16'1VL Y IL - S o g 9 ri~ c S
Ground
elev. X13-Sg . S `1 R 3 t S R s!g Sc
°t~• o ft.
Depth to
limiting
factor
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:
ay-Z7}~ ~lZ,~q~l~ M00576
PROPERTY OWNER SOIL DESCRIPTION REPORT Page? of
PARCEL I.D.# u08 1009--7e
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
v 0_9 1.p~t~ ~~Z ~ sit Z~Sb►z Yh~h ~
01
ry,:< Z g-Z~, lb `-t2 Y/3 - S1) Z ` Soh wt ` C S O. 5 u.
Ground 3 Z$-~ 9 ~L1 `112 3 u G I Vh i
elev.
q2•S ft.
Depth to
limiting
factor Remarks:
Boring #
t
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
1.:
Ground
elev,
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
PLOT PLAN Page 3 of 3
SCALE 1"= 4Q)'
'tic c@pT 'j,%S s "uj"
~o DoT CO►-p ReT op,
s a ~ l, 1
CL qZ - c/
ti`s ~ 51
07
'CTL qQc Z
rtj
,x,5 a.z
2~' ate' BoT. of ~-l~ cM , q g , o
x N
2Lq S 9
~I
3.1
CR• °ll S 1
Aok
a~~ OF ~~o Ham. Pt~ac~t.~
=e~.~r - ~~,e~u~r U
lit" - LL _ ►.oo.o o►a SP~~
zo" "'Ziule
Gt~uNn
1N 8~ OLPI.
~tl`RT : i (ll
w~lL ZU $;Z WT LEST SOS V-%Il "1 PIOVk-k, PPI VVT LftST Z$ 4U1 C>gV1tS. 2
00
.v 0
~ETC:• Z.~ N,clY, (715 ) 425-D1 6S M00576
CST Signature Date Signed Telephone No. CST #