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HomeMy WebLinkAbout040-1221-10-000 -0 o 0 Q a o o O o c © m O N o L ~ N I C O • ~ I F N y - O N (D _0 Z a LL C m O 0)~ l7 000 6 N x I Q CO Z W E U) O cc o Z 'a 00 4) (D z a w H m (n O c C9 m O z co L= 0 z :!t ' '5 r '0 1 2 E 2 1 O M o a) `J C7 N C -0 0 • ~ O © z z q= z ` N - d N y Y C) (0 m Q d - a) C O a w w co Z m a~ U O C G G a ° N H H H •N aB O O O Z (a > a a a Z5 a F I g c c m 0) (D (n -j U m 00) O N N T} O (6 N Y N = O O Q N u E O O m CL O O 'a d Q iII U O 7 O N N C ° O N Q a E 0) co O O C O LL rn 0 1 1r ' C O Y N C N O U) C C N~ . co r m~ O M Efi ` M C ~?5 C) N • V N v )n O U y O N F- (n N O z (/J ~ w 4 (y I'N d k a a) ~r/,~• e a V N a r D Q a* 0 in 0 -4 o L O C 3 l~916 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER S coT 5ck-w ADDRESS 14 53 1Z Fd( ; s~az1 SUBDIVISION / CSM# Ca, -r~ Qom. LOT # I SECTION_ T' 8 N-R I q W, Town of Tt e,/ ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM }l 41 42' 4g 18~ gsi o sd~ J 3 /b 2G INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: Top ~ru»S~o~nc~ ~6 njW Io~Gati u / G6,p ALTERNATE BM:, TO L SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: ~2$o adl Setback from: Well_qL3 House )4 Other Pump: Manufacturer (W~eyS Model# NP -3 3 Size Float seperation ` Gallons/cycle: /SSJ Alarm Location -0rnvl w~,~ WxO -:SOIL ABSORPTION SYSTEM Width: G Length $9 Number of trenches l Le,A Distance & Direction to nearest prop. line: aG r r Setback from: well: q House 56 Other ELEVATIONS Building Sewer 9 og,O Z ST' Inlet , 41, 7 I ST outlet ~I, 3Z PC inlet Co, bg PC bottom 84,_/ Pump Off $~,g 1 Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: 0. a,r ( P, N t LICENSE NUMBER: yvkPRS INSPECTOR: IY1u~ yc«~w; 3/93:jt .Visconsirrjepartmentofindustry, PRIVATE SEWAGE SYSTEM County: LJborePd Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Permit Holder's Nam ❑ City ❑ village RTown of: State Pla SCHUG, SC8T A. X ,5 jj( CST BM Elev.: , Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS =HI FS ELEV- . Septic 4) -,e Ser ,y, C , 2-'s-0 q4 Benchmark 1,9(a L; 0. 6 Dosing e0d c4AA C -/f (0 5~(O Aeratio Bldg. Sewer /D_ ' 07, Ga St / Inlet 91,71 Holding T K SETBACK INFORMATION St/oE Outlet 91,30 TANK TO P/ L WELL BLDG. ventto ROAD Dt inlet 0,6$ Airlntake ' Septic NA Dt Bottom 16, 67 y ~ U 3 Dosing tIR NA Header { Man. Aeration - NA Dist. Pipe Holding Bot. System Z'__ q.? PUMP / SIPHON INFORMATION Final Grade ' i Manufacturer Y Demand Q J a r' r'. . Model Number ~j 3 GPM n~ ~~a 7 ?S ,5 z.o TH Lift 9,0 I Friction Z SystemTDH p4 Ft Length Dia. ~,n Dist.ToWell,5U SOIL ABSORPTION SYSTEM BED / TRENCH width r Length No. Of Trenches DIMENSION PIT No. Of Pits Inside Dia. =Liq=uid pth 19 DIMEN I N Man rer: SYSTEM TO P / L BLDG WELL LAKE/STREAM LEAC SETBACK CHAMB Moe u _ INFORMATION Type O a ' S() 4 A) P d j O IT System: DISTRIBUTION SYSTEM F Header / Nfanifold Distribution P pe(s) x Hole Size x Hole Spacing Vent To Air Intake r ~ " f Length Dia. Length Dia. I yy Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only De th Over t~ xx Depth Of xx Seeded /Bedded- xx Mulched jDepth Over O'Yes es No El No d /Trench Center Bed /Trench Edges Topsoil [Y COMMENTS: (Include code discrepancies, persons present, etc.) r LOCATION: Tro~yj~. 2~1®. 28.19W,'~ yNW, SE, Lot 1, Townsvaley Road r J r J-- CP q a- f s / J n ! ~ryy o F. Plan revision required? ❑ Yes ❑ No Use other side for additional information. Date Inspector's Signature Cert No. SBD-6710 (R 05/91) ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: _ , SANITARY PERMIT APPLICATION *4A3ILHR In accord with ILHR 83.05, Wis. Adm. Code Co TY - . o.....,. a......., . C~n ~_k STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 95q45-3 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. S e PROPERTY OWNER PROPERTY LOCATION V A 1 t/4 '/4, S __:~L T N, R (or) W ~~c r 4 A. ~~:Ic c-' PROPERTYER'S MAILING ADDRESS LOT # BLOCK # \ 4 E~r~ 1~7_ I~Lcq I-, N . -4 I CI ,STATE ZIP ODEPHONE NUMBER ~ SUBDIVISION NAME OR CSM NUMBER 11. TYPE OF BUILDING: (Check one) CITY TN EST ROAD ❑ State Owned O VILLAGE : ❑ Public K1 or 2 Fam. Dwelling-# of bedrooms -4 PA RWY Rh L Nu ER ) , III. BUILDING USE: (If building type is public, check all that apply) c>,4 O - 1 --_~L _ 0 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 4.0 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 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 12. 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) E[L~(~ATION o~ / Y - ! G , ~ Feet '7 , Feet VII. TANK CAPACITY S onite in gallons Total of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncret C- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank 12501 2.5O W Lift Pump Tank/Si hon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plu bar's Signature- (No Stamps) MP/MPRSW No.: Business Phone Number: r ..r,1 -7 IS ~ Plumber's Address (Street, City, State, Zip Code IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Saary Permit Fee (Includes Groundwater a e ssue Issuing Agent Signature (N Stamps) Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determinati n e~~o GY :j X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: I SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 3 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 ren(:vwal 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/R.en ~wal Ferrn (iBD 6399) to be submitted to the county prior to installation. 5. Onsite' sewage syztems must be properiy maintained. The septic tank(s) rnt.3t be f:U.MP(ld t: Ct licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your 'ocal code ac:r inistrator or the- State of Wisconsin, Safety & Buildings Division, K8-266-3815. 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 i` 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apple. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacamenl, 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. Vil. 'rank inforirtation. Fill in the capacity of every new and/or existing tank, ;'lst P3 total :j' ilorts, rumber of tanks and r-manufacturer's name. Indicate prefab or site constructed and tank nate-Jal. 00, i 't>te for all septic, purnp/siphon and holding tanks fo.r this system. Check nxperimer ,l ; :prova! only f `3riks received experin-et:ntal product approval from DIL R.. Viil. Responsibility statement. installing plumber is to fill in name, license nt!rnher with ar,,,ii1) ri<^te ;prefix (e.g. MP, etc.), address and phone number. Plumber must sign application four;. IX. (ounty/Department Use Only X. County/Department Use Only. Complete plans and specifications not smaller than l3'/2 x 11 inches mus, !)o uor;itt?,J 4o ih,~ county. The plans must -Icii,de the following: A) plot plan, drawn to scat;~.< or with cor;i,,ii;_ - (10T,-, 1,. ,n w^ation of holding tank(s), ^ep.tl*[c tank(,,, or c 1her treatment tanks; huiidir•iy ~N net wo,R °.r 3, mater service; ..frpar*fs :ano lakes; pump or s !ph( n tanks; distribution box-: s- +i abSol'frt t 9 :ystemr is rel-is#;u;neot systern area,.; af?U `thu location of the bl.Wdlirrq secipcl; 13) ho-izontal .t;itica: deV- li n re~eren-t_ C;) com,aiete specifications for pumps and controls; dose vc!UrTie; `3levat,on dilierencES; fri'.:ti. ! loss; pump performance curve; pump model and pump manufacturer; D) c.r_,ss section of the soi~ at+sc)r; t:ion system if required by the county; E) soil test data on a 115 form; and F) all sizing inforration - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a•nun':»r of regulated practices which can :?ffect grc.und4vater. The r ion.ies collected through 1' ese si.,rcharges are i ;eC for rno lorin" Crc :not ,\I +E wait-, .t (;,,)ntam;nation irrves?igaf-:-; and establlshme € of stan~:,ards. - c SBD-6398 (R.11/88) X , • eoaaao ` SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations December 8, 1995 201 East Washington Avenue P. 0. Box 7969 Madison WI 53707 ULBRICHT & ASSOCIATES ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN S95-04794 FEE RECEIVED: 180.00 SCHUG, SCOTT NW,SE,21,29,19W TOWN OF TROY 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. Si7erely, ` ~ uinlan Plan Reviewer Section of Private Sewage I,y AL (608) 266-3937 [[fit VV SBDA-5524 (R. 03/95) ULBRICHT & ASSOCIATES CO. 655 O'Neil Road - Hudson, WI 54016 Reg. Designers of Engineering Systems 715-386-8185 Private Sewage Consultants PROJECT INDEX DILHR PLAN ID # S95-04794 DATE Dec.8. 1995 , OWNER Scott Schug (seller: L. Murphy) PHONE 715-426-0660 ADDRESS 1453 Emery Circle, #4, River Falls, Wis. 54022 LEGAL DESCRIPTION Lot 1, major subdivision "Country Oaks" owned by L. Murphy. .2.8 acres. NW 1/4, SE 1/4, Sec. 21, T29N, R19W. TOWN OF Troy COUNTY St. Croix CSTM Robert Ulbricht C M 4R2 LOCAL AUTHORITY/ SUPERVISION St.Croix Cty. Zoning Dept. PROJECT DESCRIPTION: New construction. For a proposed 4 bedroom sized home. Estimated daily wasteflow: 600 gals. Soils are fairly permiable (.5 GPD/ft2) but seasonally saturated at 34". A long narrow mound system using 12" sand fill is proposed. A conservative design loading rate of A GPD/ft2 will be incorporated into the sizing of mound. Installer shquld note special requirements for site preparation based on soil & site evaluation: topsoil needs to be CHISEL plowed carefully to break up any platey structure that was noted in one backhoe soil pit. Treatment tanks to be used: Manufacturer- Wieser ConcEe-ie- Products, Maiden Rock, Wis. Highly recommended: have tank manufacturer insert a Zabel filter in septic tank. RECEIVE pEC _ 81995 SAFETY & SLOGS. DIV. Pg.l PLOT PLAN VIEWS Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEW SPECS. co ~Pg.3 PIPE LATERAL LAYOUT Pg.4 DOSING CHAMBER CROSS SECTION', Pg.5 PUMP PERFORMANCE SPECS a MIN ' ' f h % ~y 1)F SAFE;11 •,o Z'S I GIA y"WNIIinuni:::aaa~~~ This design for installation is based entirely on measurements, elevations, landscape conditions (slopes etc.) and soil suitability provided by CSTM 2482 of1ethecCSTMy of his specs, as reported, shall remain the sole responsibility Any use of this POWTS design ty any licensed plumber, or any related unlicensed parties or persons (excavaters, laborers) shall not be construed as an Resumption of responsibility by the designer for the workmanship, substitution or selection of anyComponents inot specified, or any assumptions by the plumber that any unspecified components are state approved or proper, or the effects of poor judgement if working under adverse damaging weather conditions (wet/frozen soils) by any such parties or persona. 0, R! G I N L a'kt 0 d ~J Ul~l! Ey ~ ~ - o _ 70 i IN ' ~r a ~ ~_o _ a 1 Q S~ e ~i 1 LN it C5 ~ b n'1 ~ - i o 1 n ~ a p ~ o • ~ N C p , 10 40 1 , p rn • It WNW N ~ r~ µ f 21 CIL M=a -v 5 -'194 w~ z ofi 5 ICROSS SECTIOXJ OF MODUD Zvi rti BeD Oev ~F ro 1 a•~ Allet-SATE ~iST(ti(3uTto,~) of To 5 /STEM P sor EIEVArioo UMiFORK TOE k 4~.(D I artTio MEV. ~ ~ PIOWIto ToPSo< 1 uu FORM /o % S1opE FORCE 91eVAT100 UuIER HAW Bev, 57/- F d ' r. ELEVAr1o►J S E, /•Cv Fr. IMVF-Rr OF IATIERAIS 93. /d F: ~'O FT• • TOP OF Rock 9 3 y0 40 F- T. Top F I AT E R A I S z z. H /1,S FT. PLAN VIEW OF MouAjD - wi rri 13E v CEN't'(zA+ L FeIRCIZ MAW g y F r T Fr a lo& b + FT k ~I a - f T' F T- ~ W ~ w 31 o Fr- l \Bev o F To 1 ! " PVC- cAppp-D A ggRE hT~ d f3SE R vilTi oo 5 P~pes.5e,(, .40 Q HUMAN 6iEt i,, a u Cr SArE-"~jAWD BUILDINU4 PERMA,v EuT MARKERS REi(gv Rep BASAL /tQeh 961t- ---7 rJi~ ITr?/1TIbE APAci Ty s4. Fr, PRopo51;d BASM AReA S 4R. FT. •.CE0TRAL- MANi FOL Q D►STRiBu TtoAj pipe ~jETwoR k To T4 L X3 ETwn0 f~- tool u-ct, P 1 9►51 R1 t3uT 10 113 PVC CENTRAL. LATERAIS MAW Fro t_ o ENO SAP 5 Z~ - - - x x y PVC- FoRCE MAW LAST- HO I E 5 H R II (3E Peer To E"D CAP VOID V0 l u)At FOR 25- Fr, N -tNVERr 6IEVgrto&3 d F z FO RcE . MAW 1r,3. /o PERFvRAVED PIPE DE1Tai L Holes IOCAT'eo 6x-!f G o-rroM S li A 11 BE -_I VAPIA(5LS7 y Eq o&11\/ 5phcED. DtSTn~NCE p ~0 Fr Hole, Di/~HETE R tN ,i L ATERA L it MAO%FOLD If Z (N. X y~ - i~uchl:s r(>RcE MAtk) IN. Y - -y _ N a E s , OP liOI E 5/ p i p e s. DISTRi (3uTIoN Dt`SGHA .x'. ~ ~-E 'LArE-RAL- 12,?7 GAl /MIN. TO"1A(- 'D15C kAR vE RATE / wErWOR 1< &A 1, I MtN ~cl . PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS P,4 1E of VENT CAP 'i"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER > ?-5' FROM DOOR, WINDOW OR FRESH 12"MIU. AIR INTAKE pPr E (1,11/0 AI GRADE I I y„ MINI. z 41, 93 CONDUIT-- LIEU,4n ov INLET PROVIDE I I ~~__-s- AIRTIGHT SEAL I I !1 I I INy, ~NK i i APPROVED JOINTS APPROVED JOINT A WCIE 1J/C.I. PIPE N CXTENDING 3' ~0~~ 5 I I ALARM EXTENDING 3' OIJTO SOLID SOIL B 3 l I i I ONTO SOLID SOIL 3 / 93 f I I ow c ~ .I D ► I ELEV. FL & 1 1 as~kPt~'t9P'",.` OFF app/~ 6 OP vl~f io,✓ a a _ ~nw.A F So RIStR EXIT PERMITTED OUL4 IF TANK MANUFACTUR6.R HAS SUCH APPROVAL SEPTIC E SPEClIFI'CnATIOUS DOSE/ESE TANKS MA►JUFACTURER: ~ F IJUMBER OF DOSES: ~ PER DAy TAMK SIZE: ~pOO GALLONS DOSE VOL ME f!/ ALARM MAIJUFACTUKER: S• J 6(EcTRV INCLUDING BACKFLOW: GALLONS MODEL HUMBER: CAPACITIES: A= ✓'~O IWCNES OR y~ GALLON5 SWITCH TYPE: AM6(11fl B= Z INCHES OR GALLONS PUMP MANUFACTURER: yE~ C = INCHES OR GALLONS MODEL NUMBER: ME 33 v D= ~5..~ INCHES OR GALLONS SWITCH TYPE: Rufysl4CK M CU~/ /~7r MOTE: PUMP AMD ALARM ARE TO BE MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS ~S VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. S1 FEET -AAA) SPECS + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET EAL~. I O~ --tI{ P 5 FEET OF FORCE MAIN X Y'E F oFr.FRICT1oN FACTOR.. / L FEET ~Ur S ZLj 6' 00 FEET `~AIS• = TOTAL Dy1JAMIC HEAD = 7 It INTERNAL DIMENSIONS OF TANK: LENGTH /OY ;WIDTH 6LIQUID DEPTH k ME SERIES 1/3 through 1-1 /2 HP Effluent Pumps n a> POWER CORD MOTOR HOUSING DIMENSIONS Jacket sealed with com- C p" - Cast iron for efficient 512 pression fittings. Individual wires potted with epoxy heat transfer and o ~l to prevent wicking in case corrosion resistance. of cord damage. BEARINGS I z n~nnme Upper sleeve and lower ball (1/3 and 1/2 HP), upper and lower ball o'~ o 0(3/4 - 1-1/2 HP) support rotor. Take radial and _ thrust loads. MOTOR 1/3,1/2,3/4, 1 and 1-1/2 HP single or three phase, _ I r t~ 1 _ 60 Hz, 3450 RPM. Single 0 phase PSC motors have built-in on winding overload protection, oil- cooled and lubricated. 4 HIGH EMCIENCT CAST < - IRON VOLUTE Passes /4 spherical Co sionresistant solids.. 2" T IM f ~~~~~I I I I NPT discharge. r( i inches millimeters~° Model Series A B c F L ME335 & ME50S 14.7 4.09 1.03 12.13 373 I04 26 308 - - ME33D 8 MESOD 16.5 4.09 1.03 12.13 419 104 26 308 ME75S, MEIOOS. ME150S 16.8 4.0 1.06 12.5 427 102 27 318 ME75D, ME100D, ME150D 18.6 4.0 1.06 12.5 ENCLOSED TWO VANE VOLUTE/IMPELLER SEAL 472 loz 27 31s IMPELLER RING PERFORMANCE CURVE High efficiency. Passes Maintains high efficiency 3/4^ spherical solids with and reduces recirculation. CAPACITY LITERS PER MINUTE stainless steel wear ring. Replaceable. O 50 100 150 200 250 300 350 COO 450 Optional bronze construc- tion available. loo SHAFT SEAL(S) 90 ze _ Carbon and cenarnic faces. B0 M So 24 Optional dual tandem seals. Extends motor life. 70 U w MejOO 20 m z 60 ? M~> 16 Z s0 6 0 40 M~so 12 i 30 0 e F SEAL LEAK PROBES 20 MF33 Optional probes (dual to 4 seal only) detect water leakage in seal housing. o o Activates warning light. 0 0 20 30 40 SO 60 70 BO 90 100 110 120 1 30 CAPACITY GALLONS PER MINUTE K3320 5/92 F. E. AshMyers, A Pentair Company Pfinied in U.S.A. M"rg 1101 Myers Parkway Ashland, Ohio 44805-1923 419/289-1144 FAX: 419/289-6658,TLX: 98-7443 ME Series 1/3 through 1-1/2 HP Effluent Pumps Performance Curve CAPACITY LITERS PER MINUTE C 50 1 00 1 -)0 00 250 300 350 400 450 100 90 28 80 MF 24 cw W / 00 20 Wz z - 0 All 50 ~S 16 w _ _ J 40 MFS~ ~ 12 O O ' 0 MF33 ~ 1 4 (1 0 10 20 30 40 50 60 70 80 90 10C 110 120 130 0 CAPACITY GALLONS PER MINUTE F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805-1923 419/289-1144 FAX 419/289-6658 Telex 98-7443 K3327 7/91 Printed in U.S.A. -,onsinvepanment or rnoustry, SOIL AND SITE EVALUATION REPORT Page / of 3 to r and Human Relations Dilsiod of t7 Safety Buildings in accord with IL PR 83.05, Wis. Adm. Code COUNTY r C,Du~ T Ry D,t K r~M A 3'o e Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but PARCEL sL L I.D. x not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or # dimensioned, north arrow, and location and distance to nearest road. OAJ S,'7. - Ut1°ifi c~Tlo.~ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION sa y 3FiPoST IHWETNam rsa•J' DATE- 93 PROPERTY OWNER: PROPERTY LOCATION S-'r- 0OSE; SW 'kv SE' I . 1--f1 Vkk VC'rE' J V If viP/oyr GOVT. LOT 1/4 1/4,S LI T 1$ N,R V7 E (or) W PROPERTY OWNER'.S ING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # h; w 9302- 00 ,~uE / M,~SO,e SVAP -Gev.~rRy CITY, STATE ZIP CODE PHONE NUMBER QCITY E]VILLAGE j9OWN NEAREST ROAD OR i U IF R Fit (1 S W1 s 4io f ns) yi -903 T Poy f'oaurl oat's ae- I`•' VA New Construction Use [ J Residential / Number of bedrooms 3 [ J Addition to existing building j ] Replacement Public or commercial describe Code derived daily flow (o o O god Recommended design loading rate bed, gpd/ft2 G trench, gpd/ft2 Absorption area required fiO bed, 1t2 ~~o trench, ft2 Maximum design loading rate ` S bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design / site considerations 4 ov v YS' 7EAy Parent material 5C5 ~'L - S- ~T SED%~yE,~TS ovF~E' Flood plain elevation, if applicable ti ft S = Suitable for system CONVENTIONAL MOUND IN•GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S ®U EIS O U ❑ S ®U ❑ S &U ❑ S OW ❑ S tau f' 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 Trench ~ayA Y12 s/ Z-f S6K ~„vfi< CS 2f S G Vie X/y ~e C5 10 round Q , 16- /o YR y/~ /S v C 5 /v f , 7 , P 8zev ft. yn 1,f, s,6,e ~,fe ~s ,V-F Depth T33 3 y y 7, S xx / S/ K f~ S o f S• G limiting y 2 G 2 56,C !/~i ' S r , /0 y~ A - . Y factor C 31 wET l~t'M,iLrf/ Y8 Remarks: MovfAfiraT ~tSTX; crie.~S 47- Boring # o - /o yie y/~- 5/ f, sbe ~'.e C' S Z f . s . G Z x -~4 /0 Y/e y - S/ Z, f, 4t /M-6~ cs i 13, 5 0 c k~ v~,e s /fG- 3 /0 Ye y/ Ground ' ~elev. ft. 4 o - 3 7S Yt y/ S z, f/ SkC om-r4 S - Depth to limiting factor / 006' 20A1 4111 l ' C &4,V 7E,V Remarks: CST Name:-Please Print HOMESITE SEPTIC PLUMBING CO. Phone: YK r Address., ROBERT ULBRIGHT Signature: k^+ Date: y` ~c 3 CST Number: "u-Gr +'►NN. It,1-1ALLEA & DESIGNER UC. N0.00663 ORIGINAL 11-30 VA , y~ ~~l•°rit~~t'iT~' 5~dda vv 0" kr3 PLe 7- PROPERTY OWNER SOIL DESCRIPTION REPORT Page? -'of PARCEL .D.# GO f- 4U.u7`AV Onk-S Depth Dominant Color Mottles Structure .;PQ Boring # Horizon Texture Consistence Bourdary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed iench D-/0 /Drl 3/3 3~A loyle ev /3 ~I Z- e S yR 7 Depth to C P4 fp -7 S yie y/ , f 4 Sc A< A f , P z limiting face Sk - &iO"/ !Ci f I Remarks: MdST eAIJE411ow ~.ee Ow iPi Zo~v Boring # ~ j Ground elev. ft. i Depth to i limiting factor ' Remarks: Boring # i Ground elev. ft. Depth to limiting i factor Remarks: Boring Ground elev. ft. Depth to Gmi6ng _ factor Remarks: ' SBD-8330(8.05/92) • ~ 'fir ~ ~ ~ _ . s tjx _ o L -c ~ ~ C] • Ln Q V r. 01 ?C - W--•---` o r` a N ~ o o~ 00 • ' ' T6 3 I o 1 m Lq O c G t1 m ~LA G o Q ; ~c LA map I ~ rn w N 03 ~ ~ N o .b W -j Q -v o I ~ n aoa= ~ e~ y p W a p~ w o N N OAQ - e. i~ 1p a z / r ~ N , c °O• ~ s W H a 0 (w r y Cpl' a N \ / ' / / 1 C) /77.9 rag' 00•!0'00"W ?O}. O/• 4 / t00•9000009 SOI16/' iscir ' EVALUATION REPORT Page / of 3 Lab r and Human Relations Ojlsion of Safety 8 Buildings in accord with IL PR 83.05, Wis. Adm. Code z 'i ~ r' GUN RY _ C 'r D rM /ti SO I° COUNTY k Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but 5-2". CiPo/ x 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. noel/ 06- S OA-1 S,'7,-- 0terij~.'C.f71101~ ¢ I, APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION 3/- F3 REVIEWED BY DATE ~a~vy, l"FiQpST 1r'r► Tftar.PScW -Y-93 PROPERTY OWNER: v PROPERTY LOCATION of SE ; sw sE; .uu, ° SE 4-4URCA)GE GOVT. LOT 1/4 1/4,S21 T2.0 N,R 141 E (or) W PROPERTY OWNS ':S M~~G ADDAES$ V E_ LOT # BLOCK # SUBD. NAME OR CSM # ° CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE DOWN NEAREST ROAD r u ~ R Fit (f S W 1 s yo a t f ~s) yl -9a,3 2. 7,Poy t"oavr,~ o.~,fYs ICJ New Construction Use[ J Residential / Number of bedrooms 3 [ J Addition to existing building j J Replacement [ ] Public or commercial describe Code derived dairy flow (o 0 ° gpd Recommended design loading rate • S bed, gpd/0- G trench, gpdM2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate ` S bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) s-~ 3 ft (as referred to site plan benchmark) Additional design / site considerations M bU.v VS" Te~",y Parent material 5c5 92- - S,47- SED%~y~TS dU~P Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL MOUND 711N.GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable 11 S ® U ®S l] U S ®U ❑ S &U ❑ S aU ❑ S RU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bwdwy Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench IL o / f} D- /d Vi2 S/ 1-{ sd e ~i 417"A CS 2f S , G M<r Y,e XY 61 5ht" _M fe e5 z f s lZ /0YR y/4 - /s v{e e s /u f Ground , 8 o1 eV~ ft. S Y/? ylCP - S~ 1.-f, s,6~ {,e S ~vf . S G i Depth to 3 y f 7, S YX 2, F, SbK f R S u f . S . G limiting 40, 2 i ; fact3 or C, /0 die y/~i S c I Z, , '5 ,k /ivfi . ~l S to -4T- y~ Remarks: Boring # o _ /O Yie y1a 4, W" e C' S L f . s G hk ~ vie y 5f Z. f shrIf,~ cs L~ , S 3 /o Yee y/ 5 9,e 6M v~,e S /U Ground 0 - 3 7, S Yt y/ S 1, f, S,6iC rm-rie. 5 92.3 ft. Depth to limiting LK. facto IVC Remarks: 5 3 i ~~('E ' G /f i' Z d.✓ IV >►~'•v CST Name:-Please Print HOMESITE SEPTIC PLUMBi G Phone'r T S ' 3e6 y- 655 ROBERT ULBRIGHT MP STER PLUMBER Lie A:;;t +PIN. fPf'':1LLE7 & DESIGNER LID. NO. 00 Signature: k"''"""' l e: CST Zy002- iS PROPERTY OWNER SOIL DESCRIPTION REPORT Page 2- 3 r. PARCEL I.D. * GO f -I-- y1~ J 02~ Gd U.v TiQ O ~"S . I Boring # FHorizon Depth Dominant Color Mottles Texture Structure Consistence Bo~xxiary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tterxh #nE: ii z: D iD /O y/e 3/3 S: / z, f 5h K -,,,,fe ~S Z f S ,3 . y ,r . 3 Ground l3 / y- 2-/[h S/iQ y S~ Z, e, 'rk /M 4k C S I U f S G { elev 13, . g~~ 7y ft. Z 2"3G yie y~~ rM ofd C S ~Uf Depth to C L " S %ie y/ ' f 4 SC / 1, f Sb~C f I " ~P z limiting fact M S f ~'i`'►~ ~ci r' S i'cr Remarks:, ~l/S f~//E d S T GGr~:Sc~ ,//o w wee t1e1.6 cv rt'i Zo~v Boring # ! Ground elev. ft. Depth to limiting factor Remarks: Boring # paiv ~Y::C$',::uy Ground elev. ft. Depth to limiting factor Remarks: Boring Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) G r °z- -1 Qo 0o W m m~ O mucaim °O ~ocmo~ .c~ oMcc N` W w w 31 NW 3 y N S t • n W ~ - a " Ns, L~ ft I y 1 cW a N I IN Q O G Z i w 0 0 ~ 1n p o V 0221 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County O WNERMUYER Isc- o+ SC ~ t G MAILING ADDRESS ~rncjr~,. _7 R, -r-F-', V: kk Wr S b -;L PROPERTY ADDRESS cD k~,6 r UQL s C.l (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION rlu~1 1/4, 1/4, Section a I T_ N-R SCE W TOWN OF bi/ ST. CROIX COUNTY, WI SUBDIVISION pad 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. UWe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three expiration dat . SIGNED: DATE: 1201 /Cl i°~ 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. Owner of property S C o+ Pt _Sid L) G Location of property ,4 VJ 1/4 sE- 1/4 , Section 0)I , TAN-RAW Township boy Mailing address 14, r- IFa.1 ~S S ZI U~~ Address of site Subdivision name Covg+At OAKS Lot no. Other homes on property? Yes ✓ No Previous owner of property LAV?,Et4rg- My7*flh1 Total size of property , X33 ACRES Total size of parcel Date parcel was created 'b0CC-1y1BRZ y"ti > 49 Are all corners and lot lines identifiable? ✓Yes No Is this property being developed for (spec house) ? Yes _Z'O" No Volume and Page Number 3e 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. 5,~5'S 'S(, , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Signature of Appant Co-Applicant 11/)1 hS Date of Signature Date of Signature 11,•21/95 TUE 15:07 FAX 1 715 386 6560 ZILZ R ESTREEN ®002 Yt State Bar of Wisconsin Forrit 2 IW- ~t 535956 WARRANTY DEED REGISTER`S OFFICE - OL ~,,14~PAGE 38 DOCUMENT NO. V Raed for Rc-.ord Ray Calep, Robert L. Mackey, Laurence NOV 6 1995 ^ MurV d Eli lundyy~raLlTtTIPrCh1~_ oronerty. at 4:455` `~P.. M SC and -Than . ` Iti`'- t~ ' conveys and warrants to Scot A - P Sshue. Regtalar of Dneds husbmd and wife. x-ez ' f340&T,4,s aP!:cr. RGSanvaD FOR Rir-ORGMO VATA _ - •t awucEAND fIlTURN. DA SS ? / A. Po ~t:-sG 3sy the following desarlbed real estate in 9t. Croix fri WS sy416 County, State of Wisconsin: G I (Pnroel Identification Number) FU- ' Lot 1, country Oaks in the Town of Troy. SUBJECT to i-in easement retained by Grantor for tbs placement of an advertising sign for Country Oaks, a Subdivision, similar in size to the sign that exists on said property as of the date hereof, or smaller. r Th{r~9 not homestead property. XM; (a not) ' Exception to warranties: Easements, restrictions and rigbts-of-way of record, if any. October Dated this ~ &7 of (SEAL) (SEAL) urenr-e Hurphy - Norwood Eeklund (SEAL) (SEAL) AUTHENTICATION ACKNOWLJWGMENT STATIOl VffNCONSIN F: latLund Courtly. ' c r..o• -31 October 95 authenticated thb~y of 14 PktsRata~y ntRe before me this day of 19 - the above ttamrd a Kristi Ogland _ TITLE: MEMBER STATE BAR OF WISCONSIN - (If etot. authorized by 1706.06, Wis. Stara.) to me knower eat be the person _ Who ekecuted the foregoing i ewsisnem and acknowledge the same. THIS INSTI4VUENT WAS ORARTED BY _ Kristine 0gland Attorney at Law Notary County, Wis. (Signatures may be authenticated or acknowledges. Both are not My cotsaai>!ew is pcrmanent. (If not, state expiration date: necessary.) i 'Noma of none in in an ca tat NM WJ he tt Pe norm a ally pa Y YtWI of printed blow thm .4wonw. WARRANTY DRT.n STATa DAR OF WISCOKUM Wisconsin Lsgsl Blank Co,. rnc. FORM Na 2 - I4112 nlilwaukea. Wis. a ~ y~yjt 1y'~;'4 qy a f . r. 7 .r,. [it' f : - r ;r • ' "1C irk R .zr' r°'f,` ..;1 t ~•~.~r fyyS~i'•t"Y• 4 s"F •`7y Va~.~~ $`ly`.: