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HomeMy WebLinkAbout034-1046-70-100 o O o ao > d 0. 0 p O 0 N O~ N N y C -0 LL LO vim., c6 U ~ U a 0 w 0 o" o C -0 o c Q O E o E~- ~ a Z E~ C N N V X LL 0 N in p U ` N O Y C T . B r M d m m w (L N F- U) C N 0 C (D C6 O Z a m O F- N N Z E a O M E _ I o v N C ~ • N O 0 0 0 Q Q U _0 I Z Z o N Z N C C d O N C W 7 O i ~ N d N co O. t0 J C (D W_ d O Q) a C G a a y ° o w N _LO fA N fA E N U ~p 04 W`f E O Z •rv O O a a a m CL °O Lo U) 3 J N ~ ~ N ~V C p Lo Q N N O O . L cn a N 00 d Q f6 00 (a 0 C O 0 O 3 N N 61 F- U O O r' O t` U N d 0) 00 M a Q 'O LO N W L L t N N N c l o M 3 F- F- c - 00 • ~a M O a O N 0 N E E ~ U O N (n co N O - (A .r C~ ;;.Q a ~ CL i '2 c a L rrww O w O 3 O _1 A vat Owv ~s STC - 104 AS BUILT SANITARY SYSTEM REPORT OWN G7 Ss-, SUBDIVISION / CSM# LOT # SECTION e_~P6 T2_N_R.. IS-W, Town of c ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTE £ cont~ 1 44 v f O'as ~ INDICATE N0R`I'II ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank- m.mhole cover. I I' BENCHMARK: i~t1 1,x-) /l4G ~C~/~t~cJe~ ~.c~y Ltd ~df~.OB ALTERNATE BM: a)(" S ("01,Zoo c:~Z SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: in~;rJG=Sr~vr~c)~itl ~i~'~Liquid Capacity: ldtJC) G4-L. Setback from: Well_~_ House 2,9 ` Other 4/-- S-,7 1 Pump: Manufacturer. 0 (9-le C O S Mode19 OJC5 o;3 J /vize Float seperation ' Gallons/cycle: 13(:9 Alarm Location A~- SOIL ABSORPTION SYSTEM r Width:- Length Z-15- .1 Number of trenches (OX) C~ Distance & Direction to nearest prop. line:, G2J t If Setback from: well:-72 House _ Other / j/4-0 ELEVATIONS Building Sewer S Y9 ST Inlet. (:5S, 0,3 ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATF, OF INSTALLATION: _V3( g PLUMBER ON JOB: L.ICENS[; NUMBER: 4 2 9 I NS PECTOR :h~J 3/1) 3: jt ' (COI Ill Submersibie Effluent Pump ENNenI Nwnp 3885 CANAPIA'IS] Atli )AHII ASI:(41IA I If IN SP APPLICATIONS • Three phase: 1/2 HP - FEATURES Motor: Fully submerged in 1'/2 HP 200/230/460 V, high-grade turbine oil for following Specifically uses: designed for the 60 Hz, 3500 RPM. Class B open, non-clog Cast Cast with iron, pump- lubrication and efficient heat - insulation, overload transfer. • Homes out vanes for mechanical seal • Farms protection must be protection. Balanced for Designed for Continuous • Trailer courts provided in starter unit. smooth operation. Silicon Operation: Pump ratings are • Motels • Shaft: threaded, 400 series bronze impeller available as within the motor manufacturer's • Schools stainless steel. an option. recommended working limits, • Hospitals • Bearings: ball bearings Casing: Cast iron volute can be operated continuously • Industry upper and lower. t without damage. • Power cord: 20 foot type for maximum efficiency. • Effluent systems standard length (optional 2" NPT discharge adaptable Bearings: Upper and lengths available). for slide rail systems. lower heavy duty ball bearing SPECIFICATIONS Single phase: 1/3 and 112 HP Mechanical Seal: Silicon construction. Pum : .-16/3 SJTO with three carbide vs. silicon carbide Power Cable: Severe duty • Solids handling capabilities: prong plug. 3/4-1'h HP sealing faces. Stainless steel rated, oil and water resistant. 3/o maximum. -14/3 STO with bare leads. metal parts, BUNA-N Epoxy seal on motor end • Discharge size: 2"NPT. Three phase:'/2-1'h HP elastomers. provides secondary moisture • Capacities: up to 128 GPM. -14/4 STO with bare Shaft: Corrosion-resistant barrier in case of outer jacket • Total heads: up to 123 feet leads. On GSA listed stainless steel. Threaded damage and to prevent oil TDH. models - 20 foot length design. Locknut on three wicking. • Mechanical seal: silicon SJTW and STW are phase models to guard 0-ring: Assures positive carbide-rotary seat/silicon standard. against component damage sealing against contaminants carbide-stationary seat, 300 on accidental reverse rotation. and oil leakage. series stainless steel metal parts, BUNA-N elastomers. • 1Temperature: T 040F (400C) continuous METERS F 90 140 F 60°C Intermittent. 1 SERIES: 3885 ( ) ! I I SIZE. SOLIDS • Fasteners: 300 series 25 80 WEt - - RPM: VARIOUS stainless steel. 56PM • Capable of running dry 70 %E1-►1 i s~ without damage to 0 20- components. 60 e° _ i - - - Motor. ~ 15 50 - - - • Single phase: 1/3 HP, 115 Z - - or 230 V 60 Hz, 1750 RPM; 00 40 - - - - - - - EO F1 Y2 HP, 115 V, 60 Hz, a 3500 RPM; '/2 HP -1'/2 HP, ° 10 30 E0 - - - - NIS 230 V, 60 Hz, 3500 RPM. AEO 20--- Built-in overload with 5 _ automatic reset. Class B insulation. 0 0 ._...I - _ i.. _ . __..L._ 0 10 20 30 40 50 60 70 80 90 100 110 120 130GPM I I _-A_ 0 10 20 30 m3/h CAPACITY a0 1994 Goulds Pumps, Inc. Effective May, 1994 11 B3885 Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and 14'uman Relations INSPECTION REPORT ST. CROIX *.S&4ty and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION E] City E] Village Town of: State Plan ID No.: Pent Flnid fr'sCHELL I SPRINGFIELD CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA 71-- TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark (a5 /G(~"'~` r Dosing (,-f7' '95-,0" C6W Aeration - Bldg. Sewer 5 76` Ho di St/,~Pf Inlet J TANK SETBACK INFORMATION St/ Ht Outlet Vent ir Itnta ROAD Dt Inlet TANKTO P/L WELL BLDG. A Air oke Septic NA Dt Bottom Dosing 3S NA / Man. Aeration NA Dist. Pipe "ate Holding Bot. System INFORMATION / Final Grade P_/ SfP Manufacturer 5 ~0~2 /r Demand Model Number 3~GP O~ TDH LiftS Lrictio ,q3/ Syestem~ LD TDH Iq~ t Forcemain Length Dia. Dist. To Wellr SOIL ABSORPTION SYSTEM BED /TRENCH Width i Length No. Of Trenches PIT f Pits inside Dia. h DIMENSIONS S v DIMENSIONS LEACHING nuf urer: SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM f 7D `IP r , CHAMBER odelNumber: INFORMATION Typeo System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) 7 x Hole die , x Hole Spacing Vent To Air Intake Length Dia/-; Length. Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only n µ 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.) ~f6-LOCATION. SPRINGFIELD.20.29.15W,SW SF„ 0TH AVENUE 7 r z-, <7 r, bel Plan revision required? ❑ Y to W,- /191 Us e other side for additional information. ~44 SBD-6710 (R 05/91) Date Inspector's Signatur ert. No. - 12 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: o / ° Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water System- 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less Count than 8 112 x 11 inches in size. , • See reverse side for instructions for completing this application State Sanitary Permit Nu er 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 LD. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name Property Location JYT C 4 DO 5 iAJ114 ' 1/4, S ;t(7 T 9 , N, R 1,15'E (or)© Pro erty Owner's Mailing Address Lot Number Block Number ;Z L.2 City, State Zip Code Phone Number Subdivision Name or CSM Number ( /cs) LO,W II. TYPE F BUILDING: (check one) ❑ State Owned ❑ City Nearest Rod ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms Town OF SJO IV& III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 654- 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. 14 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 Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 IN Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6- System Elev. 7. Final Grade ~J Required (s q. ft.) Proposed (sq. ft.) (Gals dater/sq. ft.) (Min./inch) Elevation 0,3 Feet Feet VII. TANK Capacity aacitllons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank _Iwtn loot) W 9 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber 0© ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT vol)o S9 I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.u Plumber's Name: (Print) PI tier's Signatur : (No Stam MP/MPRSW No.: Business Phone Number: C_ Iq As A n15 7~5) - & 995 Plumber's Add ss (Street, Cit , State, Zip Code): ~r D m C GL~.Z a s X121A P-) IX. COUNTY / DEPARTMENT USE ONLY ? 7L ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing Ag nt signature (NO p) ~7Appr(:)vecl ❑ Owner Given Initial y~` 1 p~G2~ Surcharge fee) K~ Adverse Determination `t' oto ~lj~ X.CONDITIONS OF APPR YAL /)~EASOR DISAPPROVAL: KJ,/~~ (7,f Xp ~ v caO i!9 QGi'c'`"Q (cam' SBD-6398 (R. 05/94) - DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2_ Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 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 jallons, number of tanks and manufacturer'- indicate ;prefab or site constructed and tank material. Complete fl;r all septic, purnp/siphon and holding tanks for this systern C: ,eck experimental approval only if tanks receivec experimenta; 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. C :m ie r;la°~,, and soecificati(:rs not. smaller Vian P 1/2 x 1 1 inches rust s .oi,-iitted tc r unty. The plans must wing A) pouf iirawn to scale or vvith complete dirn2r->Ic>ns lo c. ion of rrtading tank(s), septic lakes; pump or siphon so pa ;Oj s iems; repl.xerT~er± syster . _s , t the building served, . c- 'i v2rcaI el_ Mere:,.o2 poi-, Q cor-ip;ete spe. plJr"p:, r, - -ontr&, dose volume,- .i-un I.3curve; _;ump modes _ _ :mp MnL ,~r'..,_er W cress section tie soil at;~;pt~on y. ;en; it equ.i soil testdat_; c.. a rm 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. SAFETY & BUILDINGS DIVISION a State of Wisconsin Department of Industry, Labor and Human Relations March 7, 1995 2226 Rose Street La rosse WI 5460 / ~ ~ 199 WEGERER SOIL TESTING ~R 1X 421 N MAIN STREET PO BOX 74 gt'~ ti RIVER FALLS WI 54022ND RE: PLAN S95-40106 FEE RECEIVED: 180.0 BLOOM, MITCHELL SW,SE,20,29,15W TOWN OF SPRINGFIELD 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 I` 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, villagel 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 , ker'rd Sw" Plan Reviewer Section of Private Sewage (608) 785-9348 7714R/ 1 SBDA•7997 (K. 10194) Page of b MOUND SYSTEM S95-401o.6 FOR A 3 BEDROOM RESIDENCE LOCATED IN THE Sw 1/4 OF THE S F 1/4 OF SECTION Z0, T Z9 N, R IS W, TOWN OF S~~tti1C~l=1ZD , ST• C2~C1EX COUNTY, WISCONSIN. INDEZ 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 PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR Z. 6 I-7 RECEIVED wOOL~Li_~~N,-k/I SuOZB MAR - 1 1995 SAFETY & SLOGS. DIV. PREPARED BY WEGEE:Z ER SO I L TEST I NG 0~40/o~ON6p~ DES = GNNDSIER~1 I CE #Ct}~~~ F.O. BOX 74 421 K. MAIN ST. ti L. RIVES FALLS. 11I 54022 ART4U WEGegFq Y o 715-415-0165 EaLSn~s. w~ g4e, S I G~ Z-Z~3-qS JOB NO _ °L S - 3 f,, I PLOT PLAN Page Z- of ~o Scale 1"= Wp' S95-40106 SC ~ ►voT c.ow~pR~T oR C G%buw» u~ ~~"~If1• TRIB. fl- Z - 2 N L °L'1 2 ! J j E" S13 ' ! qg• 1 J l r3. 1 Z tJ4T~ : !{ou wlu WE hT Left S ST wLSLL lv Bt!- NT MST 2 S • ~ 1' ~ A~ ~fiT ~,~3T' ZS ~ FReW `rh~hs. 2 ia' L'L q-i 8 S 2p bF q, PU C ~~T'~wt pF ~~Ck( c~ ~ 3 eD\z►-~ 0 2 I IGS A PPIZOX. op;;~ - o~ Vol - :r o, S m To Zbp -T-A. -a-r. 801Rt- Ru ~ _ 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 IMO ASS gallon capacity manufactured by v~lpwtST~J P~ZLs►-, lruc - ~~~3~►y/t'nu~1 5. Bench Mark S TQ7 ftspUE 6. Divert surface water around mound to prevent ponding at the uphill side. Page Z of Approved Synthetic Covering S95-40106 1~s~1~ c 33 Distribution Pipe Medium Sand _ Topsoil Elev_ e1$• Z 3 E D b Z % Slope Force Main Plowed Trench of 2"-2%2" From Pump Layer Aggregate Undisturbed D 1.0 Ft. Soil E 1 • 1 Ft. Cross Section Of A Mound System Using F 0.8 Ft. I Trench For The Absorption Area G 1•o Ft. A 5 Ft. H I- S Ft. B --7S Ft. I \S Ft. Linear Loading Rate= 6•0 GPD/LN FT d g Ft. Design Loading Rate= 0.3 GPD/SQ FT K l~ Ft. L °1 S Ft. A4+wAqote Position of Force Main---_____._ W Zb Ft. L RAA For ce B K W Trench Distribution Of Pipe Aggregate Observation Permanent Markers w~ Pipes 5 (Anchor securely) t4 tjo Mound Using I Trench For l> se pt, 0 RR Page Of b Perforated Pipe Detoll S95°40106 0 End View Perforated End Cop) eA~ PVC Pipe 1. A onG ~as Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally SPoced Q End Cop y d~~ ~i * PVC Force Main y ~~w41s V0 'Nil tos Distribution y~~• ~'L ~.l~t iy Pipe GE Last Hole Should Be Next To End Cap Distribution Pipe. Layout P 3'4 . S Ft. X 3 Inches y 3i,- Inches Hole Diameter 1l~( Inch Lateral l~~y Inch(es) Manifold Inches Force Main Z Inches # of holes/pipe I Z Invert Elevation of Laterals 96.710 Ft_ ~zxt .k ; I.y - oyY- 2 = ZS.a$ GI%y 1v?vRL, Place lst hole 1a from tee with succeeding holes at 3 intervals. Last hole to be next to the end cap. Combination Septic Tank and S 9 5 4 0 1 0 9 PUMP CHAMBER CR055 SECTION AND SPECIFICATIONS PAGE OF 6 VENT CAP WEATHER PROOF JuIJCTION eox 4'C.I. VEIJT PIPE APPROVED LOCKIMG 10' FROM DOOR, MAWHOLE COVER w111i wAR►JIIJG %_N%EL. 'dIMDOW OR FRESH 12•MIU. AlR INTAKE cor,pulT ( I `f~ h11N. GRlR ~ IV Alm. I PROVIDE I INLETAIRTIGHT SEAL I II~ II I I i BgPPLSS A I I I APPROVED JO{1JT5 APPROVED JOINT I II W/C.I. PIPEoR~" PIVEaR Tank construction I III - I I I ALARM EXTEUDIUG 3' EXTENDING 3' shall comply with ONTO SOLID &OIL OWTO 60LID $OIL ILHk 83.15 and 83.20 e I I I I Ow C 8{•33 I LLCV. - f L PUMP OFF D COIJCRETE EL S3, S~ BLDCIt 13" APPRO~ RISER EXIT PERMITTED OQLy IF TANK MAIJUFACTURER HAS SUCH APPROVAL. %EDDING SEPTIC SPECIFICATIOUS f DOSIEK MAMUFACTUREK. P ~rST- NUMBER OF DOSES: 3' 64 PER DAU TAWK SIZE: 6SO GALLOWS DOSE VOLUME t S -::S. ELLrC"M S43T94s INCLUD►uo BACK►LOW: GALLONS ALARM MA►JUFACTURCR: MODEL WUMBER: 101 "AW CAPACITIES: A= L~UJCHEbPR 30 b GALLONS SWITCH TJPE' V~~``%~-oR . GpLLOws PUMP MAIJUFAGTURER: Z0KL L'AL7%-t Ct~ kz'ftkl'l C= INL OR GALLONS MODEL NUMBER: HE LLOIJS 4`l SWITCH TYPE: MOTE: PUMP LA D ' INST~L'LED A ,~C~ MINIMUM DISCHARGE RATE' D$ GPM ATy UITS 00~ VERTICAL DIFFEILENCE DETWEEU PUMP OFF AIJD._DI5TR1BUTIOIJ PIPE.. l y F:H E4j + MINIMUM METWORK SUPPLY PRESSURE . , . . . . . . + 1_SR FEET OF FORCE MAIN X FYo fl.FKICTIOIJ FACTOR.. TOTAL OyNAMIL HEAD = 1B'~ DIAMETER Pump chamber 'I IWTERLIAL DIMLWSIOLIi OF TANK: LEM&TH - ;WIDTH - (QUID DEPTH 38'_ BOTTOM AREA 231= GAL/INCH Ac Dvv MAMT1 Ar'TTTRT:R = \-I. r) GAL/INCH C~~16E ~ O F 6 W HEAD CAPACITY CURVE 3 7/8 6 1/a - • • ~ MODEL "98" 4 5/8 30 8 s 25 3 5/8 6 20 (D + + v 1e.1~ O 4 3/16 0 15 4 Z8. 0~ 0 10 1 1/2-11 1/2 NPi 2 5 S95-40106 D U.S. GALLONS 10 20 30 40 50 60 70 so LITERS 80 160 240 0 FLOW PER MINUTE TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING CAPACITY 12 HEAD UNITSIMIN 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. - 1/2 H.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-Pak". N98 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 Alex 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; AN 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, FM0513; Sump/Sewage Basins, FMD487; 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. MAIL TO. P.O. BOX 16347 t-oah0e, KY 402564W Manufacturers of... f~ `o zgzzzzj-ff O. TO. ~ OMI a Lane p (502) 778-2731 • 1(800) 928-PUMP `QL /AL /7Y PL/MPS ,r/NLf /9." Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of -1 : Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 03y- 1 Ot j 6-70 j APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE I PROPERTY OWNER: PROPERTY LOCATION P'1 TQMe'_ %l_%t.), e0Vf.tM SW 1/4 SF 1/4,S-Z0 T Z°I N,R 1S E(or@ PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # Z 6 1-7 q C `T" 9 Vt± . - - CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®rOWN NEAREST ROAD woo~V►t_~t:,ttil Sgo713 (')IS) 6g8•2S99 AlZlfvGF-ilE-D 8c)rd QQ New Construction Use [1q Residential / Number of bedrooms 3 [ j _ Addition to existing building Replacement Public or commerdal describe Code derived dally flow Ste- gpd Recommended design loading rate - bed, gpolft2 0 3 trench, gPd/ft2 Absorption area required 3-1 S bed, ft2 3 S trench, ft2 Maximum design loading rate o • .y _bed, gpd/111:2 C' S trench, gpol(t2 Recommended infiltration surface elevation(s) q B . Z ft (as referred to site plan benchmark) Additional design / site considerations') W/ S 'X -1 S ' ITJ~uC 1r) - `n tA3 - 1 ' o f= S 6 Al b E--/ LL. Parent material GL A,0- h A L ~ 1~.1 FT Flood plain elevation, if applicable IV-- A - ft S = Suitable for System CONVENTIONAL MOUND IN-GROUND PRESSURE AT- GRADE SW M IN FILL HOLDING TANK U= Unsuitable for system ❑ S NU RIS O U ❑ S O U ❑ S ®U ❑ S U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consisbenoe Botrd3y Roots GPD/ftin. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tench •s 06-6 o--l It4v Z!z - L Z n1 sbk VA ih a S _ 0-S' 13, 2 7-15 lb`tR 31Y - s I Zm 5~k tin` S o_1. Ground 3 1$-3y Loy{ 2 3I(o - s o s 'M v' - C-S - o. S o.b elev. ~.S't(zs1l; °/6.? ft. 314-51 lob TZ3/y G 3 9 Depth to av'j .v 'S Y r- y/ C >h L L CL i 1'~D S ` limiting factor 3 t, Remarks: Boring # ] o_ S 1 b ~-l a._ Z ~ L Z ~r, s ~1rt ~'~t'FI- ~t• s ~ o . s o. I~ Z Z S -Z7 10 `11Z 4// 3 _ ~s tin S ~lrt W1 U `F1 C W o. v 10-S 3 Z~.yo .S HR y/y - L cS~k cs n.~{ r,.,s Ground r 3 elev. Ub_S6 S `12 Y/ j f ~•S`12s/~, L 92 a ft. Depth to limiting factor Ll o'' ; . Remarks: r, T Name:-Please Print Phone: Arthur L. We erer 715-425-0.16 WI egerer Soil Testing & Design Service-P.O. Box 74 River Falls, Signature: Date: CST Number: CIS-11 Z-9-~5 M00576 PROPERTYOWNER SOIL DESCRIPTION REPORT Page_? of 3 PARCEL LD. !f ©3 4 - l 3q 6 --)o Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trerxt o_b ~p..t~ Z!Z - L Z~ SU WIS S v n • S ; k{ Z b -3y LO H Q SIl3 - I wr Sbk h, ~ 0~ Ground 3 3q-Sy ~.S yIZ Y/y t ~•S '-1 P- Sig L L) elev. ft. Depth to limiting factor , Remarks: Boring # 4•• 1 ; i SS ; Ground elev. ft. Depth to i limiting factor Remarks: Boring # rat Z Ground elev. ft. Depth to limiting factor } Remarks: Boring # i I Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 otiIQ -m- SCALE 1"=y Q n1D `►JU, Day-10~1b-~0 ~~e-LPIr 1~ 9 S l-{-pw t~ G sC I~ DoT eow~Ph~-T v2 \~IUIZ4 ~?k1.3 8 - e1, ~oo.o' ow s pItt-e 3so Jut- S• R.1 ~ I I ~nn" ~ qS Z1 ' qS, I 2 1 F3. I Z o~ ILIA : }{pU SN *To We kT LM sr 1~J <Tl alb Zs, F-itUNrI laq~VlVtj . w LFLL \To 10e R-T LMsT 1 SQL FPW " viuvvib. 8-Z C c~tu~q~, Q.. C`L. q `i _ z r3 oTTu r-1 of 'ht.~,.c.lk g g . Z i ulue L.u C,..Its"j~ u ►U ~3 0~ catv S~Zt.! ~ti►J J Jr u L~ 6~ o`RFE'~ZS P- a ~ M a o, S wt To ZOO `fit ST. 80 `nt H~ ~ . a.L q S-1'1 of 2- °L S (715 42.5-0169 1400576 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry. SOIL AND SITE EVALUATION REPORT Page X of 3 Labor and Human Relations J)Wtsion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ST. eY~tx Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. 03y- dimensioned, north arrow, and location and distance to nearest road. 0 1 Oy 6-70 dimensioned, APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION h1 C~~I,L 3 LV O t0VF.tM SW 1/4 SF 1/4,S ZO T 14 N,R IS E (oraW PROPERTY OWNER -S MAILING ADDRESS LOT # BLOCK If SUBD. NAME OR CSM If Z 6 l'1 °l O `RI l~l OF . - - CITY, STATE ZIP CODE PHONE NUMBER OCITY 0VILLAGE MOWN NEAREST ROAD wooDV~~~~ wt SqOZt3 (CIS) 618.2999 SA1Zll1GFIi;Iub ba PrUI;'. New Construction Use [X) Residential / Number of bedrooms 3 Addttipn to eias&V buildutg [ 1 Replacement [ ) Public or commercial describe Code derived daily flow 114 Q gpd Recommended design loadiig rate - tied, gplW ~ -3 trench, gpol(t2 Absorption area required 3Z S bed, ft2 3 -1 S Irench,112 MaAmum design loading rate O , y tied, gpoA12 0. 5 trench, gpol(t2 Remnmended infiltration surface elevation(s) CIS - Z It (as referred to site dan benchmark) UC N - yn I Ill 1 O F- S ft Qj b F1 L L Additional deW / site considerations 1-1%1. rQZ w/ S 'X -15 ' `ME Parent material Gt_ NC. I. pi L Rood plain elevation, if applicable IV- A - ft S = SWltable for system CONVENTIONAL MOUND N-GROl1ND PRESSURE AT-GRADE SY8TBA N FILL HOLDNG TAM( U=unsuitableW system ❑S MU ®S ❑U ❑S WU ❑S 91U ❑S ou ❑S ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ru.1160 0-1 IU~LR Z.lz - L ZMsbk YA`F' o•S Z 7-l$ l07R 31Y - s Z V4 Sbk -rn`~ Lw - 0. S Ground 3 1$-3~/ LL~~{ (2 31~ - ~'tS o s 'yn CS - o. S o.h elev. ~l`F 7 • S`t (ZS)~ c6 ft. 3y-Sl 1~~11Z3/b 1~s Gs9 Depth to ~-O+v S '7• S `1 y/ O ~n w L Ct~-iD S Ip limiting factor 3 nt Remarks: Boring # J o_ S lb Z-l Z ~ L Z S ~k m'F1•- a-S ~ o .s o- I~ Z Z S -Z'1 1 b `1(Z y/ 3 '~s Yn S b)rt lout U `~1- C W o. Y o. S 3 n.uo •s yR y!y - 1_ csdk r~`~1r` ~S - n, 4 6.,S Ground ~•SyRs elev. OS6 L Owe v►l' 9~. g V ft Depth to limiting facia 4 o'' 1_7 Remarks: CST Nan'e-Please Print Arthur L. We erer Phm: 715-425-0165 qsi egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number. Z-9-QS M00576 U OIL DESCRIPTION REPORT Page, PROPERTY OWNER S :ol 3 tel. O PARC EL I.D. O 3 4 1 6- O Depth Dominant Color Mottles Texture Structure Consistence Botry Roots GPD/ft Boring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tterich .~4 o _ b ~ov►~z z - L z;wi s U w~'F~. S - v, S o. ~ 3 Z b -3 1O H R- 4/!3 - 1 slow h, ~j 0. V U -S Ground 3 i-S4 ")-S 41-L YA/ lF ~•S `!Q Sig L U vh~~. - _ elev. q~1ft. ' i S Depth to limiting factor Remarks: Boring # ! 13 I Ground elev. j ft, ~ Depth to l limiting factor i Remarks: Boring # mw i Ground elev. i ft. Depth to limiting factor Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: SBD•8330(R.05/92) • PLOT PLAN Page 3 of 3 SCALE 1"=H C) ' ~1Q llll. ~3y-1Dy~-~0 ~~X-cl?P'Ir 1~ 9 S ~{-tiw N J sC I~ rvoT cuw~PR~T ~R n\~1U1 ll~l3 l'f~~• ys" -et. Loo.o o>u %I:' Ivr-e 30~nouE - GlicovNp u" "DIf1• TREE. J ~ I f qs ! 1 qg• , I 1 2 l !-t w lU We t T LeftsT ex- a 6" ° Zs, T--Um "b vr"p . J p w IFLL- lm BE kT LeftsT j 50' 1 PVI WI uv wD . tt. q-) 8 ~3oT1o~ or= TR.E~ct-I g~d,Z i Ap~l~oX. tz op ty ulu e - U~1Z! Py L~ c...h~1u ~ 4 ~"Po~ ~ s~zu e-7~~►.1 J ~ r a ~ M a o.S~ lv Z00 ~1t ST. 80 7tt Ru Ir . q S-1`7 7-9-9s (715 ) 425-01 69 T400576 CST Signature Date Signed Telephone No. CST # STC-105 SEPTIC TANK MAINTENANCE AGREEMENT Q /J St. Croix County OWNER/BUYER 6~~ SL MAELING ADDRESS 2~ /7 ~O C3,v 6,1,4 t w2- may, 2 R PROPERTY ADDRESS _ CW F0, a, (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION ~W 1/4, S 1/4, Section .20 T a 9 N-R /S- W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION - LOT NUM13ER CERTIFIED SURVEY MAP , VOLUME//dl, PAGE -ZX 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 tite 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. V Q The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner T 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 V pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. 1/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: I - - St. Croix County Zoning Office Government Center 1 101 Carmichael Road Hudson, W1 54016 11`y t r' 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 4*" 41ooell-) Location of property SI.J 1/4Sk 1/4, Section.7 0 ,T.29 N-R W Township: Mailing address 5"n 17 ~ lit Gv S'V o~ Address of si e 'go QA t Subdivision name - Lot no. _ Other homes on property? Yes No Previous owner of property Total size of property X5- a4&, 4 Total size of parcel 1, . Date parcel was created of -2S' / g Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes k No Volume //0/ and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND 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 v , dz 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. 5"2ZO Z 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 o construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Sa 30 ~ Z Signature of Applicant Co-Applicant Rt 6 Date of Sianatiir,- n-,4- c ;---4,, I THIS SPACE RESERVED FOR RECORDING DATA !I DOCUMENT NO. STATE BAR OF WISCONSIN FORM 3-19e4 QUITCLAIM DEED VO111(11P~,E6 az~+- t✓ ~i Dorn o `n Leh ° I loo r~ . I W faf Rmt4 t..Qr~o~r~~t ~n C[1 m mart on NOV 2 1994 I " of n CC rrt fF► quit-claims to tt'~~+eh~l1 F3laarn r%C 830 A. M ; the following described real estate in C d X County, State of Wiscansin: RETU N TO far (f~~(L t Pei, TVI't W'XS+ phit - K00 C "'J I/.a o - 30u th -tCLS+ Q uo c t'•e - Use tI l ) 0 ~L 4 eCT 1'0 n Tax Parcel No: EACepl o ~ I,.,~s-t 3 rods o rods, •1-'!~ SLJ ~/~I o t h e 5E: 11 4 - t I This !s nm~ homestead property. (is) Us not) Dated this a5- 1A day of y(~rj t9. (SEAL) Y1 (SEAL) .'3er+ ~ L oo rn . 'f1'1 i ~ Ch e l 1 'iS Lcar~ (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT I Signature(s)- STATE OF WISCONSIN ss. ~1.C,-O/X County. 19 PersorialLy came before me thisday of authenticated this day of - 9 ` t e abov amed r E' !~/aim un /ylifc~~I TITLE: MEMBERSTATE BAR OF WISCONSIN to me known to be the person.----wro Executed the (If not. for nstr en}gnd ledgethe-same. authorized by § 706.0$$$6, Wis. Slats.) THIS IN$TRUNj EN DRAFTED BV • • • N IS•~ ~'tri/~ °J serf ©/so~_ - . -Notary Public_ j O~Sr County, Wis. '.My Commission /is permanent. (if not, state expiration (Signatures may be authenticated or ac~c t~t7Y ledg 8 J L. t?C'e'rkt/~ /5- 19AL I are lot necessary.) date SB3 NTF 0023 'NameS Of Oersons sigring to any capac,ty sho„ Id oe typeQr pnnte~0.l~~ti fir signatures i! STATE BAN OF WISCONSIN Nelco Tax Forms, P.O. Box 10208. Green Bay, WI 54307 0208 (I QUIT rLAIh1 DEED FORM No. 3-1952