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HomeMy WebLinkAbout042-1104-40-000 -0 0 zz- Qa ti p u> . Ci h (o C I N x a in U C --o ti 41 U ~ C j V N J r.. ~ N c 0 i O Q° 'o ° E N o Z 0 c m O ° LL r- U-) O o ~ I c Q ~ 2 I z w E z = o z w O N W a m N I- Z 'i o I o z d °c v m 2 + o c ° cn P Y, CD c E as m m CL 0 CD a U err N C • ~ ~ U O ~V a L .c c C O Q o Q w Z H Z ° N c m E c `y a C m N o d i C O N co a O a O "N CN 0 0 0 2 -2 C: S' d to J z O •►v a a a a ~ I j cn a rn fn J U a0, rn 0) } a) LO o 3 N M O _ N't LO Q) O O O Q L L N N N a) 'p d Q J- t0 a) w rI Z'r N W*A 0) ~l O ~ ~i ^J O O O N C ® C m O O 3 > O N N LL 0) OO I L O U) E O. E a) LO C)) _ C N S"r pj N a) ,k O H H N\ L m w ~I N co Ci N E E O U • O N N O N -7 cn ~ E d I r~ a a a • a w '2 m ~ Vey E 'C C in C~ U a ~ O in o . STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER JEO(2f) ) C Il E~ V\~~t ADDRESS SUBDIVISIC§iMuff p LOT # c~ SECTION T AWRLN-R/b W, Town of _ ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM kL i 00°1 o INDICATE NORTH Pr tback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover BENCHMARK: b h( j ALTERNATE BM: SEPTIC TANK PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: (-,q6lLiquid Capacity: jj~C (OS (p'0 0 Setback from: Well House 0 Other Pump: Manufacturer flA&O MIS't7(f Model# SLID,33 Size Float seperation Gallons/cycle: Alarm Location A hpo& c,(-) -Flo&+ SOIL ABSORPTION SYSTEM Width: Length Number of trenches C~) Distance & Direction to nearest prop. line: / ST r Setback from: well: House_ Other ELEVATIONS (Q Building Sewer CO)Cl) iI ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Vg_ Bottom of system • 7C7 Existing Grade Final grade 1q0 8 DATE OF INSTALLATION: PLUMBER ON JOB: ) Q~'(yl NAV\,~l , LICENSE NUMBER: Y`\p -7 3~) Q INSPECTOR: 3/93:jt Wisconsin G*~partmentof Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX .Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Permit Holder's Name: ❑ City ❑ Village ❑ Town o : State PI WEBER, STEVEN X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA S TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Y ~eCk Benchmark ~a3 Dosing " bah dYl CoSZ~ DAZZ. D. at. D~ 97-11713 Aeration Bldg. Sewer V0 /ov( /3 41 Holding St/)(t Inlet 1,;2' TA TBACK INFORMATION St/ Outlet TANK TO P/ L WELL BLDG. Vent to ROAD Dt Inlet Air Intake Ott Septic > 50" NA Dt Bottom PAD" .0 ¢.?31 Dosing NA Header / Man. ' , s!~ Aerati Dist. Pipe 31 r Holding Bot. System 0, fZ? PUMP/ SIPHON INFORMATION Final Grade Demand 3'10 5,3 Manufacturer V ~~G~~✓ cove., Model Number _-S,3 GPM f TDH Lift Friction System TDH Ft Loss Head Forcemain Length &g/ I Dia. ll Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Lengt / No. Of Tenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION c5 Jr DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O rltA Moe Number: System: fir- Q 1114 OR UNIT DISTRIBUTION SYSTEM Header / Ma i odd Distribution Pipe,)/ x Hole Size x Hole Sp Vent To Air Intake Length VA Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade stems Only Depth Over Depth Over p xx Depth Of xx Seeded/ Sodded xx Mulched Bed/ Trench Center Bed /Trench Edges / Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc. LOCATION: Warren-20. I 29.18W, NE N , Lot 4,,89t Ave e ~cJa,~~ Plan revision required? ❑ Yes 0_~ko Use other side for additional information. W__ SBD-6710 (R 05/91) Date lrnspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION - V'~L~7■~1 COUN ' In accord with ILHR 83.05, Wis. Adm. Code 1T # STATE SAJxIT$S37. -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Check if revision to plvious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER ~ ~ qq PROPERTY LOCATION S-re W Q_, ME t/4 t/4, S 90 T 491 , N, R 1 *(Or PROPERTY OWN R'S MAILING ADDR LOT # BLOCK # 00 3OCQ6 CITY, STATE ZIP CODE PHONE NUMBER SUBDI ISION NAME OR CSM NUMBER aar 11 i. tt CITY NEA ST R D II. TYPE OF BUILDING: (Check one) State Owned ❑ VILLAGE r ❑ Public 1 or 2 Fam. Dwellin of bedrooms PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 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. X New 2.E1 Replacement 3. ❑ Replacement of 4.E] Reconnection of 5.0 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) i Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 X 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) 9n - LO 'ELLEVATION q50 & 5 ~ O Feet '7 Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holding Tank jC>Lo Lift Pump Tank/Si hon Chamber 6b lA~ti l t t Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) P PRSW No.: Business Phone Number: V\or) I ~~tAJkA EZU0 (7/.S OYS-7TV Plumber's Address (Street, City, State Zip Code): N `4(o rS 4- AeA olnol? Le- IX. C NTY/DEPARTMENT USE ONLY ❑ Disapproved Sa itary Permit Fee (Includes Groundwater a e ssue Issuing A nt Sig No a Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination ILLgfg~s X. CONDITION OF A PROVAL/R SONS F DISAA~~~~ . ~i SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber r 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, 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. 11. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one 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) pos k J~,fiS ~1 1 ftcQ..rv+ a ' k. s J 11 S ~xe~ is tscl-~b - I I t5% enw KuiL" -13 J arch rn ~'rf' K- (Er . n ~z P 9-S (.5ce, i l ;(-z qp I~ olo" t ~ o c= ~ a r 41 l~ - ccxi e r C, 42x4-f r1 -r " t( Yr&l: ~ i~~f.}i ~✓1~°j{afJ~'~~ 'vy 1 (tL~ 'Fli :73 r ~ Y Wiscbhsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with I LH R 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point ('~AA Tt L of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dista o e r APPLICANT INFORMATION-PLEASE P LL 1NFQRMAT1~I REVIEWED BY DATE PROPERTY OWNER: I co I A;". ` • ; f PR ERTY LOCATION James Krueger (bui LOT NE 1/4 NE 1/4,S 20 T 29 N,R 18 )S(6r) W PROPERTY OWNER':S MAILING ADDRESS f0f BLOCK # SUPBD. NAME OR VCSM iew Acres # 1816 3rd St. CITY, STATE ZIP CODE NE ITY ❑VILLAGE )DOWN NEAREST ROAD Menomonie, WI 54751 7t4 235 2 !x Warren 89th Ave. x ] New Construction Use ] x] Residential ! Num d y [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .6 bed, gpd/ft2 7 trench, gpd/ft2 Absorption area required 75o bed, ft2 643 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 90.0 & 90.3 ft (as referred to site plan benchmark) Additional design / site considerations install 2 - 5' x 65' trenches into sands w/ 4" extra rock beneath laterals Parent material loess over sandy/loamy outwash Flood plain elevation, if applicable NA ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem El S ❑ U ®S ❑ U 13S ❑ U US ❑ U ❑ S )MU ❑ S E 1U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxby Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-7 10YR 3/2 - sil 3 f sbk mvfr cs 2f .5 .6 2 7-32 10YR 4/6 - sil 2 m sbk mfr cs if 5 6 Ground 3 32-46 10YR 4/4 - sl 2 m sbk mvfr as 1m .5 .6 elev 94 7 ft 4 46-51 7.5YR 4/4 - mcs 0 sg ml as if .7 .8 5 51-55 10YR 4/4 - is 1 m sbk mvfr as - .7 .8 Depth to limiting 6 55-65 10YR 5/4 - s 0 sg ml cs - 7 .8 factor > 9n„ 7 65-90 10YR 4/4 - mcs 0 sg ml - - .7 .8 Remarks: f gr in horizon 4; gr in horizon 7 Boring # 1 0-6 10YR 3/2 - sil 3 f sbk mvfr cs 2f .5 .6 2 6-14 10YR 3/2 - sil 2 m sbk mfr cs if .5 .6 3 14-29 10YR 4/6 - sil 2 m sbk mfr cs if .5 .6 Ground elev. 4 29-55 10YR 4/4 - sl 2 m sbk mvfr as 1m .5 .6 9r, Z ft. Depth to 5 55-60 10YR 4/6 - s 0 sg ml cs - .7 .8 limiting 6 60-92 10YR 4/4 - mcs 0 sg ml - - .7 .8 >f9211 w/ 9r Remarks: CST Name:-Please Print Phone: Henry F. Grote 715-665-2681 Address: PO Box 57, Knapp, WI 54749-00 7 Signature: Date: CST Number: f 3/23/95 3065 PROPERTY OWNER James Krueger SOIL DESCRIPTION REPORT Page2 ''bf 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3`•. 1 0-6 10YR 3/2 - sil 3 f sbk mvfr as 2f .5 .6 2 6-21 10YR 4/6 - sil 2 m sbk mfr gs if .5 .6 Ground 3 21-32 10YR 4/4 - sl 2 m sbk mvfr cw if .5 .6 elev. 4 32-72 10YR 4/6 - s 0 sg ml as if .7 .8 94.8 ft. Depth to 5 72-96 10YR 4/4 - mcs 0 sg ml - - .7 8 limiting factor Remarks: Boring # 1 0-6 10YR 3/2 - sil 3 f sbk mvfr cs 2f .5 .6 2 6-22 10YR 4/6 - sil 2 m sbk mfr cs if .5 .6 4 3 22-35 10YR 4/4 - sl 2 m sbk mvfr cs if .5 .6 Ground elev 4 35-62 10YR 4/4 - sl 2 m sbk mvfr cs if .5 .6 . 26" diameter inriusinns 1nYR 41A 92.E ft. _ 5 62-72 10YR 4/4 - s 0 sg ml cs - 7 .8 Depth to limiting 6 72-94 10YR 4/4 - mcs 0 sg ml - - .7 .8 factor > 92" w/ occasi al gr F Remarks: Boring # 1 0-11 10YR 3/2 - sil 3 f-m sbk mvfr as 2f .5 .6 5 2 11-37 10YR 4/6 - sil 2 m-c sbk mfr cs 1m .5 ' .6 3 37-45 10YR 4/4 - sl 2 m sbk mfr as if .5 .6 Ground elev. 94.7 ft. 4 45-55 10YR 4/4 - mcs 0 sg ml cs - .7 .8 . w/ gr Depth to 5 55-63 10YR 5/4 .7 .8 limiting 6 63-80 10YR 4/4 - sl 1 m sbk mfi - - 4 5 factor > 8011 w/ occasional gr Remarks: Boring # Ground elev. ft. Depth to limiting factor I T-I Remarks: SBD-8330(R.05/92) . V 0. ~ ~ y _ ~ \ o ~ ~ 1 1~y l o ~ cs3 rw ~S ~ 2 rK. \`1 w a'! t.S NL kStrw ~ 1 ,p v ~ 4, vv awn M ~ jaA &A& S ~q4 •s} I s: s~ Zb' S .Q tio.3 I ~ l ~ Ml i W consih Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Diosion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 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. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION James Krueger (builder) GOVT. LOT NE 1/4 NE 1/4,S 20 T 29 N,R 18 *(w) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1816 3rd St. 4 - Pleasant View Acres CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE )DOWN NEAREST ROAD Menomonie, WI 54751 (715) 235-2682 Warren 89th Ave. ] New Construction Use gx] Residential /Number of bedrooms 3 [ ] Addition to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .6 bed, gpd/ft2 .7 trench, gpo1ft2 Absorption area required 750 bed, 11:2 643 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2 Recommended infiltration surface elevation(s) 90.0 & 90.3 ft (as referred to site plan benchmark) Additional design / site considerations install 2 - 5' x 65' trenches into sands w/ 4" extra rock beneath laterals Parent material loess over sandy/loamy outwash Flood plain elevation, if applicable NA ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem EIS ❑ U QS ❑ U f3S ❑ U QS ❑ U ❑ S U U ❑ 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 Trench ,Y 1 0-7 10YR 3/2 - sil 3 f sbk mvfr cs 2f .5 .6 2 7-32 10YR 4/6 - sil 2 m sbk mfr cs if .5 .6 QgGround 3 32-46 10YR 4/4 - sl 2 m sbk mvfr as 1m .5 .6 94 7 ft 4 46-51 7.5YR 4/4 - mcs 0 sg ml as if .7 .8 5 51-55 10YR 4/4 - is 1 m sbk mvfr as - .7 .8 Depth to limiting 6 55-65 10YR 5/4 - s 0 sg ml cs - .7 .8 factor 7 65-90 10YR 4/4 - mcs 0 sg ml - - .7 .8 Remarks: f gr in horizon 4; gr in horizon 7 Boring # 1 0-6 10YR 3/2 - sil 3 f sbk mvfr cs 2f .5 .6 2 6-14 10YR 3/2 - sil 2 m sbk mfr cs if .5 .6 2 3 14-29 10YR 4/6 - sil 2 m sbk mfr cs if .5 .6 Ground elev. 4 29-55 10YR 4/4 - sl 2 m sbk mvfr as 1m .5 .6 Depth to 5 55-60 10YR 4/6 - s 0 sg ml cs - .7 .8 limiting 6 60-92 10YR 4/4 - mcs 0 sg ml - - .7 .8 factor act w/ gr Remarks: T Name-Please Print Phone: Henry F. Grote 715-665-2681 Address: PO Box 57, Knapp, WI 54749-00 7 Signature: Date: CST Number: 3/23/95 3065 PROPERTY OWNER James Krueger SOIL DESCRIPTION REPORT Page 2_of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench k 1 0-6 10YR 3/2 - sil 3 f sbk mvfr as 2f .5 .6 kh,, 3 g 2 6-21 10YR 4/6 - sil 2 m sbk mfr gs if .5 .6 Ground 3 21-32 10YR 4/4 - sl 2 m sbk mvfr cw if .5 .6 elev. 4 32-72 10YR 4/6 - s 0 sg ml as if .7 .8 94.8 ft. Depth to 5 72-96 10YR 4/4 - mcs 0 sg ml - - .7 .8 limiting factor y 96 Remarks: Boring # 1 0-6 10YR 3/2 - sil 3 f sbk mvfr cs 2f .5 .6 a_ 2 6-22 10YR 4/6 - sil 2 m sbk mfr cs if .5 .6 a 4 3 22-35 10YR 4/4 - sl 2 m sbk mvfr cs if .5 .6 Ground elev. 4 35-62 10YR 4/4 - sl 2 m sbk mvfr cs if .5 .6 elev. _ 92_4 ft 5 62-72 10YR 4/4 - s 0 sg ml cs - .7 .8 Depth to limiting 6 72-94 10YR 4/4 - mcs 0 sg ml - - .7 .8 factor > 92" w/ occasi al gr Remarks: Boring # 1 0-11 10YR 3/2 - sil 3 f-m sbk mvfr as 2f .5 .6 5 2 11-37 10YR 4/6 - sil 2 m-c sbk mfr cs 1m .5 .6 3 37-45 10YR 4/4 - sl 2 m sbk mfr as if .5 .6 Ground elev. 4 45-55 10YR 4/4 - mcs 0 s ml cs - .7 .8 94.7 ft. w/ gr Depth to 5 55-63 10YR 5/ - - limiting 6 63-80 10YR 4/4 - sl 1 m sbk mfi - - .4 .5 factor > 80" w/ occ sional gr Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) ~ I J 0.,., ci J~ y _ l o ~a . l o 1~ Qas s+~ t N tc - N ti -'Z••o _Zq- t YC w 1 ALA &-u y;3~ SrLT~wc ~ C~i t f) ~q4 ~q4}3 S. `..,tQ ( W ck o 0 S 5.....A ti o . 3 f aM `8a Ck, \t o SS. k 11-1 P Performance Data Pump Characteristics 32 Pump/Motor Unit Submersible Manual Models SW2SM1 SW33M1 U 24 LL a Automatic Models SW25A1 SW33A1 ° 1/3 HP z Horsepower 1 /4 1 /3 Full Load Amps 8.0 10.0 Z 16 1/4 HP Motor Type Shaded Pole (4 pole) Q R.P.M. 1550 0 8 Phase 0 1 Voltage 115 0 Hertz 60 0 10 20 30 40 50 60 CAPACITY-U.S. G.P.M. Operation Intermittent Temperature 120OF Ambient Total Head (feet) 4 6 8 10 12 14 16 18 20 22 24 NEMA Design A 1/4 HP 44 41 36 33 29 26 23 18 12 6 0 Insulation Class A GPM 1/3 HP 47 45 43 40 37 34 30 26 22 16 10 Discharge Size 1-1/2" NPT ~ Solids Handling 1/2- nit Dimensional Data EPowed 30 lbs. I. All dimensions in inches 18/3, SJTW, 10' Std. 3-1/2 5-7/8 2. Component dimensions may 4-1/2 vary+ 1/8 inch (20 optional) 3. Not for construction purpose 1-1/2 NPT unless certified 3-1/2 J DISCHARGE 4, Dimensions and weights are Materials of Construction p 4i approximate Handle Steel 5. On/Off level adjustable 6. We reserve the right to 3-1/2 make revisions to our Lubricating Oil Dielectric Oil products and their Motor Housing Cast Iron specifications without notice Pump Casin Cast Iron Shaft Steel C( . Mechanical Seal Faces: Carbon/Ceramic Shaft Seal Seal Body: Anodized Steel Spring: Stainless Steel a, 11-1/8 Bellows: Buna-N PUMP 10-1/8 ON 9-1/2 Impeller Thermoplastic Upper Bearing Bronze Sleeve Bearing DISCHARGE HEIGHT Lower Bearing Single Row Ball Bearing 3 31/2 Strainer/Base Plastic PUMP OFF Fasteners Stainless Steel AURORA/HYDROMATIC Pumps, Inc. 1840 Boney Road, Ashland, Ohio 44805 (419) 289-3042 STC- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNERIBUYER ".rte 3 i ~ MAILING ADDRESS ~2 / © 3 '7 /690 Q, PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE 'rte UJ~ 3--y ° PROPERTY LOCATION: 1/4, 1/4, Sectio0` T N-R W TOWN OF yNa4 - ST. CROIX COUNTY, WI SUBDIVISION 411L, LOT NUMBER CERTIFIED SURVEY MAP ,VOLUME PAGE , LOT NUMBER LI 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 \vastewater 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/Wc, the undersigned have read the above requirements and agree to maintain the private sewage disposal systerm 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 Toning; Officer within 30 days of the three year expiration date SIGNED: DATE 'C/5 St Croix County Toning Office Government Center 1101 Carmichael I\'.oad 1TudsUn_ W1 54010 1 ii93 i 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. 1 Owner of property Location of property T_ 1/4 1/4, Section2_ (-),T~N-R~_W Township Mailingaddress ~,_4 14ve-_ ors ye. 4- 3. 0,90 Address of site L 0 y ~(eAsw%-\- k z,.,' L V S 2~~~r } s w Y am 7S Subdivision name l (Ce~~u J; Lot no. / Other homes on property? Yes-No Previous owner of property c:~Ai L) Total size of property Total size of parcel J , / L Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes No Volume 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 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. , 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. ,0 A Signatur of Applicant Co App icant 3-30 -?s _ Date of Signature Date of Signature 4C° a State Bar of Wisconsin Form 2 - 1982-, 5281-12 WARRANTY DEED REGISTER'S OFFICE Q Fn[~'n(~1 ST CROIX C').,, "'I DOCUMENT NO. VOL , RiASEIjI)~ A©t 'd for I I F77 APR 2 5 1995 Gerald Louis Nadeau, aka Gerald L, Nadeau II at 8:30 A. RegFster of Dc. r' conveys and warrants to -Ste-Men-J.-Weber and Jacqueline M. Weber, husband and wife, Survivorship Marital Property l000 _ THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS /5T i1~~ Grvssc~ - I the following described real estate in - St Croix i' County, State of Wisconsin: (Parcel Identification Number) I I Lot 4, Pleasant Acres in the Town of Warren, except the West 20 feet thereof., and the exception described in warranty deed, Volume 1061, ~I page 93, St. Croix County Register of Deeds office, also described as ;I that parcel in S20, T29N, R18W, Plat of Pleasant Acres, Lot 4, except the West 20 feet and except as described in warranty deed in Volume 1061, page 93• 1 1 This lot is approximately 153 feet wide. 2v".7 i This 5 not, homestead property. (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. it Dated this day of . March 19. 95 II (SEAL) (SEAL) Gerald Louis Nadeau; aka Gerald L, Nadeau (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN Signature(s) - ss. St. Croix County. authenticated this day of - , 19 Personally came before me this day of ~I March 19 95, the above named - Gerald Louis Nadeau TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) to me known to be the person AHCC ~0=ffAcuted the l f oing instrum Grtt nd acknowl a~iD{b1~C ~I, THIS INSTRUMENT WAS DRAFTED BY to Kristina Ogland Attorney at Law i' Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is perm, nent. (If not, state expiration date: necessary.) _ 19 ) *Names of persons signing in any capacity should he typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. FORM No. 2 - 1982 Milwaukee. Wis. Y