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HomeMy WebLinkAbout002-1086-70-025 (2) Q c a-°i °o, I M; ac 4 0 a o .r ~ r. N O C en a w h ar f9 Q O E c, ~ N x Z2 3 ih ~ o N N O Y E O O M C Z O U LL f: O N LL o ~oo~ I CL ~ N i Q N O f0 ~ Z y ~ Z C L Z m (D CY) N w a co m IN- Z ~ C N O i C a N U O Z d w o N H S N N Z a) E 72 O ~ M E cu O N - CL N CO • ~l O L m O Z Z O Z N ° V O N C O N - W N CL m o m ~ W CD o °o O D a m CO N co cn (n U) w O E N F- F' H dU) - N 0 0 0 Z O •rv a a a S: a 7 O fq N ►i ~ v v U rn rn } ►~j N co o° h 0 E N O al=. d N 3 o N ~ ,:5~ ~ a O U Cl) O U-) O N C _ N N O Q C O E C C LO co n m O U O O 45 0 0 0 ' O 0 a N d N N cJ n- 0 0 0 C 6 E E (D o is c) 00 c c _ O O O M N izz v o of 3 o CD H H r.. N N m E E U • L 0 M CO d N O N '7 =7 Cn O rte. j" ~t w - 41 V E d a dt a a r • ca a a 2 m c E c c ~1 A 0 a 2 0 in 00 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS 2 4~ 7 I I key/ 11 .WAS S-c~G2 ji SUBDIVISION / CSMI / LOT SECTION '3 "It T" ~ 1 N-R W, Town of ST, CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Nv Wt ll 3 6r 1 Uq `r V1 AVOW Provide setback and elevation information on reverse of this form- Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: S ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: M G W e- st c,l? A Liquid Capacity: zoo & Setback from: Well-_ House 1 Other Pump: Manufacturer (Ce Model# l3 7 Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: Length L~ Z-- Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House 2 S'U Other ELEVATIONS / Building Sewer ST Inlet. 3 eI ST outlet S~PC inlet -u, C(5- PC bottom L/ Pump of f Header/Manifold Bottom of system) 4~ ?,o Existing Grade Final grade DATE OF INSTALLATION' PLUMBER ON JOB: 240-f- LICENSE NUMBER: r G G 4 G INSPECTOR' 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: 'Labor and Human Relations INSPECTION REPORT ST. CROIX Suety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: PePARON,r Holder's JOSg~PH E] City E] Village Gl Town of: State Plan ID No.: Raldwin CST BM Elev.: Insp. BM Elev.: BM Description: X Parcel Tax No.: 12 S d. 67 ~ , r6i I a,5 74, A nn'>A-A / i TANK INFORMATION ELEVATION DATA - rQ_ TYPE MANUFACTURER CAPACITY STATION BS HI FS EV. Septic 0)16,-09, Benchmark 6 V W) Dosin /N. Aeration Bldg. Sewer Holdin St/kO Inlet 3,da~ TANK SETBACK INFORMATION St/Xt Outlet 3 a 5./ate TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet c3 Air Intake Septic NA Dt Bottom S 7 7( ~r NA -k/Man. Dosing S~ y~Sd Aeration Dist. Pipe S 3~/` U 3 Holdin Bot. System '.5,9Z 070 PUMP / %PffbMiNFORMATION M Final Grade 01 Manufacturerp e-~ o errand f "o Model Number # /Z7 ~GP Loss rictiil ~ H Syestem~ TDHa 3 t TDH Lift iq F Forcemain Length a2 Co Dia. ot Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width , Length i No. Of Trenches PIT No. Of Pits Inside Dia. id Depth DIMENSIONS 3 DIMEN I N SYSTEM TO P/L BLDG WELL LAKE/STREAM LEA Manufacturer: SETBACK 404AMBER INFORMATION Type O /).ec.o i Model Number: System: ~A OR UNIT DISTRIBUTION SYSTEM + Header/Manifold J Distribution Pipe(s), x Hole Size x Hole Spacing Vent To Air Intake / ~j carLength Dia°.t Length Dia. Sparing e,e !aa' SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over „ , xx Depth Of xx Seeded/ Sodded xx Mulc d Bed-7 Trench Center 3ed TTrench Edges _ f/7 Topsoil es f] No Yes ❑ No I COMMENTS: (Include code discrepancies, persons present, etc.) -Y LOCATION: Baldwin. 34. 29.16W, ,~NE, NW, ~Ughway 12 Jae, fc x(00 1 d ~~jc `~~.jc.~ i~. ;J~sl_-'~ '7 1c' t ,C✓"- r ~i l,.~-Ll'r'~ 7-7 (7 (3) Plan revision requ/ired')(a) es ❑ No O ~~/l Use other side for addi l nal information. ~Q SBD 6710 (R 05/91) ate In@ctor'sSignatu~ Cert. NO. A, 1.<r~ ,J c c,x, ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: N O ,8~ too' r✓ , r ,J cGv~~ i L SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code C(T STATE SANITA Y PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 912 ~ I I 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION Joseph Paron NE '/a NW '/a, S 34 T 29, N, R 16 E (or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 2427 Highway 12 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Woodville 54028 1(715 684-285 11. TYPE OF BUILDING: (Check one) ❑ State Owned O VILLAGE : NEAREST ROAD :Baldwin U.S. H 12 ❑ Public ©1 or 2 Fam. Dwelling-# of bedrooms 1 PARCEL TAXNUMBER( ) 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 30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 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.E] Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 M Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 420 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 150 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 126 126 .01 107.0 Feet 109 Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name oncrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holding Tank x 1000 1 Midwest F Lift Pump Tank/Si hon Chamber x 650 1 Midwest x VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for ins Ilation of the to wage system shown on the attached plans. Plumber's Name (Print): Plumb s Signature: (N S IMP/MPRSW No.: Business Phone Number: Joe Stan( 6646 715 698-2266 Plumber's Address (Street, City, State, Zip Code 506 Willow Di Woovi We WI. 54028 IX. C LINTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e 7~/~ ATsuing A nt Si lure No n urcharge Fee) Approved ❑ Owner Given Initial Adverse Determin tion X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 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 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) i SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations June 6, 1994 2226 Rose Street La Crosse WI 54603 J21 . k_ 4 WEGERER SOIL TESTING PO 74 RIVER FALLS WI 54022 jot RE: PLAN S94-40567 FEE RECEIVED: 180.00 PERON, JOE NE,NW,34,29,16W 8 TOWN OF BALDWIN COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or, if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, Hrard m Plan Reviewer Section of Private Sewage (608) 785-9348 4187R/ 1 SBD-6423 (R. 61/81) L Page of 6 MOUND SYSTEM FOR A 1 BEDROOM RESIDENCE LOCATED IN THE MIE! 1/4 OF THE N W 1/4 OF SECTION 3 L , T ZR N, R 16 W, TOWN OF \ W t N , ST C\Z~ lX COUNTY, WISCONSIN . 4-40x67 INDEX PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PA GE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR ~s~ P P r~ Ro►v RECEIVED ?-L47,-7 )'fr(5HW" iZ J~~ 0 6 1994 SAFETY Wes DIV. FREFAIM BY WECCEREFR SO I L TEST I NG °e®°°~~~6~1~'~ ~►e AND ~~.~~a ®a~' DESIGN SERA = CE ` kr• 'tr, ARTHUR L. P.O. ROx 74 421 N. KAIN ST. - W) nES PR RIVQ? FALLS. VI 54022 3 EUSVORTH, 715-4425-0165 S s IyN•••N•• 4_ JOB NO. - Z S PLOT PLAN Page Z of 6 Scale ,vN o 6 ~gg4 vs\-t C), 1 -T Q i\ S94-40567 ZSQ TA ST, to"1 Oll IV l ~ ~Slti\'2.$ `CYO t s mi". ~00~2 g, 3 8.7 CL, `I ~ 1p6° 62. / ~L / - L L31.S~ a~ N 14S~ OF Zr Ph °L w M N log LrL lps avv -3,ts- 1b8•o" C,1,3 D ®°t-Lat+, INIbm. L. NL,N vc. \~IPr w/u~ -v Z P "T t_I~ul' 0 s Of n t a J i aGE SYSTE ~ 3 C®nditio aNy 1 ISO of BilpPR .....apt F i Page 3 Of 6 Approved Synthetic Covering 49 vft 56~ Distribution Pipe Medium Sand Topsoil F Elev'. l0 ~.O -J 1 D - 3 E b -1 % Slope Force Main Plowed Trench of k1,2"-2,k12" From Pump Layer Aggregate Undisturbed D \,o Ft. Soil E 1- Z Ft. Cross Section Of A Mound System Using F o.s Ft. I Trench For The Absorption Area G N. ,c, Ft. A 3 Ft. H I- S Ft. B 4 Z Ft. I \5 Ft. Linear Loading Rate= 3.6 GPD/LN FT J '7 Ft. Design Loading Rate= a. Z GPD/SQ FT K \O Ft. L bZ Ft. A+ternate P6sit4ei+ of Force Maim W ZS Ft. L Force - - - B K - Main_ FI A ~i-- - - - - - - - - - Cti~~ s RT W Distribution Trench Of 2~ - 2 2 Pipe Aggregate I Observation Permanent,/ Markers Pipes (Anchor securely) r Mound Using i Trenc prPbsar re c,Alii7tlS ua 0`hiis s Oil ,Avis EE 00 R Page L( Of b Perforated Pipe Detail 0 X056 7 J'~K.d Vi,- Perforated End Copt PVC Pipe Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q End Cap P * PVC Force Main i Distribution Pipe Lost Hole Should 8e Next To End Cap Distribution Pipe. Layout P 19. S Ft. `Nl X 3L Inches Y 36 Inches Hole Diameter 11Y Inch v 1 Lateral I Inch(es) via Manifold Inches D . pp Force Main " Z Inches # of holes/pipe 7 Sf- E G Invert Elevation of Latera 1 s IASI- S Ft. Place lst hole 8 ~t from tee with succeeding holes at 3 btu intervals Last hole to be next to the end cap. Combination Septic;Tank and PUMP CHAMBER CROSS SECTIOM AMD SPECIFICATIOMS ' PAGE S OF 6 VEKlT CAP WEATHER PROOF JUNCTION 90X 4'C.I. VENT PIPC , APPROVED LOCKING 10' FROM ODOR, MANHOLE COVER cN11H WINDOW OR FRESH . 1NARNIKJG L.14gEL 12 MIU. . AIR INTAKE cor ~Duir i . q 6RJ1 MIN. .off PROVIDE I . IAILET -('AIRTIGHT SEAL I I I ~ li I v 8>aF>r~~s I I ~ I I APPROVED JOINTS APPR TES A I II W/C.I. PIPE4Pbc W/CiIPEtir WfIrcomply onstruction EXTEUDINIG 3 I ~ALARM EXTENDI~ with ONTO 30LID 601L rb~ ~ I I ONTO 50IC IC 15 and 83.20 e ( 11 ow C P . S I I At & d_4.r~31DN MAN HU BO DEPT. OF i11011STAY' IaUILDI4 CA- L E Y. S F T. PUMP - - OF OFF WVISt D COIJCRETE . x_ CO 0~4~' i EL, 88. so h DLOCK ~ SE t~. 3" APPROVEC RISER EXIT PERMITTED OWLy IF TANK MANUFACTURER HAS SUCH APPROVAL lUDD,iNQ SPEGIFICATIOUS 7 E SEPTIC DOSE M~Dw IZ~►v Ptz~chs_T T/+kJK MANUFACTURER: NUMBER OF DOSES: l' PER DAU . TAWK tar.: 1000 1650 GALLOWS DOSE VOLUME S-S LL~ -R4 S~fS`T~l~j S INCLUDING 6ACKPLOW: ~3~ GALLONS ALARM MANUFACTURER: MODEL WUMBCR: ~G1 1A\'> CAPACITIES: A- INICHES OR 111 GALLOIJ3 M'1C~12GuC ( c Z SWITCH TyPC: IIJCHES'OR 3y G ~LLOW5 PUMP MANUFACTURER: Z.Oe-l--l..Q1? COI-Imo-f ;ti~,~~ C* 8 INCHES OR 13 `D GALLOWS MODEL NUMBER: 31 ` D- S INCHES OR ZSS GALLONS Y'1~Z'LU1Z( MOTE: PUMP AND ALARM AR TO bC 6 SWITCH TYPE: MIMIMUM DISCKARGE RATE ~ 6' 3a GPM INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP OFF AUU..DISTRIBUTION PIPE.. \1.15 FEET + MIWIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . 2.50 FEET .F 3~ S FEET OF FORCE MAIN X t' S9 FYo tLFKICTIONI FACTOR. yy FEET TOTAL DyWAMIG HEAD = 2' L'29 FEET Pump chamber DIAMETER IMTERLIAL DIMEWSWIJ~ OF TAWK. LEKI&TH ,WIDTH -..;LIQUID DEPTH BOTTOM AREA 231= GAL/INCH AS PER MANUFACTURER - 1`-1.0 GAL/INCH 'v> 1E ` 4 3/4 7 3/8 W TOTAL DYNAMIC HEADIFLOW W HEAD CAPACITY CURVE PER MINUTE MODEL 137-139 EFFLUENT AND DEWATERING ~ 6 1/8 30 SERIES 137-139 Feet Meters Gal. Ltrs 5 1.52 104 394 25 ° 8 10 3.05 79 3 0 4 3/4 a ZZ 15 4S7 00 64 242 4 20 6.10 36 136 = 6-20- 25 7.62 8 30 ° 26 7.92 0 0 a 16 0 1 112- - 11 1/2 WT 0 15 4-- 0 to 2 5 I t2 3/4 0 U.S. GALLONS 10 20 30 40 50 60 70 80 90 100 110 I I 4 LITERS 80 160 240 320 400 0 FLOW. PER MINUTE ~04 a~a 40 5 6 7 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V or 230V. • Mercury float switches are available for controlling single and three • Electrical alternators, for duplex systems, are available and supplied with phase systems. an alarm. • Double piggyback mercury float switches are available for variable • Mechanical alternators, for duplex systems, are available available with level long cycle controls. or without alarm switches. • Long cords are available in lengths of 15-25-35-50 feet. • Combination starters are available. • Over 130'F. (54'C.) special quotation required. Standard all models - Weight 47 lbs. - Y2 H.P. SELECTION GUIDE 137/139 series control Selection 1. Integral float operated 2 pole mechanical switch, no external control required. Model Volts-Ph Mode Amps Simplex Duplex 2. Single piggyback mercury float switch or double piggyback mercury float M1371139 115 1 Auto 10.4 1 or l &8 switch. Refer to FM0447. N137/139 115 1 Non 10.4 2 or 2 & 7 3 or 5 &6 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075. D137/139 230 1 Auto 5.2 1 orl &8 - 4. Combination Starter. Refer to FM0514. E137 39 230 1 Non 5.2 2 or2 & 7 3 or 5 & 6 5. See FM0712 for correct model of Electrical Alternator "E-Pak". `H137/139 200-208 1 Auto 8.2 1&8 - 6. Mercury sensor float switch 10-0225usedas a control activator, specify duplex " 1137/139 200-208 1 Non 82 2&7 3 or 5 &6 (3) or (4) float system. J1371139 200-208 3 Non 42 2&4 3&4«5&6 7. Four (4) hole "J-Pak", junction box, for water tight connection or wired-in F137/139 230 3 Non 3.0 2&4 3&4 or 5&6 simplex or 2 pump operation, 10-0002. - 6137/139 460 3 Non 12 2&4 3&4 or 5&6 8. Two (2) hole "J-Pak", for Watertight connection or splice, 10-0003. No molded plug I Throe phase units require a control switch to operate an external magnetic or combination starter. CAUTION For information on additional Zoeller products refertocatalog oncombination starter, FMD514;Piggyback All installation of controls, protection devices and wiring should be done by a qualified licensed Mercury Float Switches, FM0477: Electrical ANernator, FM0486; Mechanical Alternator, FMD495; Alarm electrician. All electrical and safety codesshould be lollowed including the most recent National Electric Package, FMD513; and Sump/Sewage Basins, FM0487. Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Louisvft, KY40256-0347 Manufacturers of SHIP T0: 3280 Old Millers Lane 0 louisv8le, KY40216 I (502) 778-2731. 1(800) 928-PUMP FAX (502) 774-3624 'Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page I of 3 Labor and Human Relations t 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. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION kv-ON3 lieu . -()T- m 1/4 VPJ 1/4,S 34 T Z9 N,R 16 E (or)( PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE (MOWN NEAREST ROAD r y WOtzLIVtLLN W( S~4 OZ 6 (-its) &ay-2.8sy $R~1Jwltv \MGkIll' ( ti QQ New Construction Use (J~ Residential / Number of bedrooms [ ] Addition to eAsting building ] Replacement Public or commercial describe Code derived daily flow % SO gpd Recommended design loading rate - bed, gpdtl? 0 - Z - trench, gpd/ t2 Absorption area required \ Z S bed, ft2 1 Z S trench, ft2 Ma)dmum design loading rate o • S bed, gpd/f? 0- -6 trench, gpoltt2 Recommended infiltration surface elevation(s) 1 O`1. O ' ft (as referred to site plan benchmark) Addlitional design / site considerations ~'lu wl`N .3' x y 2L r "t•RZ JC,4 - M) ti . ) ' oh s Rtib F t_(~ Parent material L o E~s S ovk4Yt C\.-" U" -n L,- Flood plain elevation, N applicable N - ft S = Suitable for System COWIRITIONAL MOUND N-GROUND PRESSURE ATMZ;DE SYSTEM IN ]FILL HOLDING TAW U = unsuitable for stem ❑ S IZ U ®S ❑ U El S RU ❑ S ICU ❑ S Is U ❑ S au SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consisterm Boundary Roots GPD/ft in. Munsell Qu. Sz. Cora Color Gr. Sz. Sh. Bed ranch 1 0-9 102 zlz - st Z ~bk ~s - o.S v.6 Z G-t8 toy tZ t!!3 - s i 1 Z~sb~r 1 On - o, s o. 6 Ground 3 1$ -ZC6 t0-t tz 31 L - Z wt S ~k yn '~1- S - a. 2 0. 3 elev. c z • Si b'. - "oS.n ft. t4 283S io,jR q1V to b•~~ e ~ - Depth to limiting % factor Remarks: ' Boring # 6 U- Z Z -)-L9 to`ifZ V/3 - g l` Z~'~bk m~~ cs - o- s o 3 !q_ZS to~~ ~t6 - s 1 Zwtsbk >•riv~'4- cS o.s o. 6 Ground ,3,1 R S!g elev. 2-Y_3b ~.Sy2 ~l~ cz~ soya 1.1 e\ ~~ah~ wt'~t' - - Depth 10 limiting factor Remarks: CST Nama:-Please Print Arthur L. We erer Phone: 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022 Signature: Date: CST Number: ay- M00576 PROPERTY OWNER C~Z~1f~7 SOIL DESCRIPTION REPORT Page ^of PARCEL I.D. Depth Dominant Color Mottles Texture Structure Consistence Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Boun~ Bed Trench o - b l o"t 2lZ - s Z `F3 b1z wt cs - o • s o' 6 I s S v. 6 '•kvv..,y...~L..vlGround 3 12 Z S L~ R 3/6 - S Z rrt S b1 t vn v `~y. C g _ O- S v- 6 elev. l 1.S`7R s/8 lObft. ZS-3S 7.5 ~!R y ~L cz& IU~iR 612 C~ 1N1 Depth to limiting factor L's Remarks: Boring # o -~l 11s %-f 2, L 2 S1 I Z s ~1rti 'F~ a S - o• S CIA. Z 7-ly 10 `t 6Z. ~l3 S1) Z`PSbI~ w~'f1r CS O`S i~''b 3 1y-2L Iu4li 3!L - S I Z Sblrt VA U' c 5 0• S' o• 6 Ground t SY2 S~f3 _ - - elev. _35 ~.S~s2 yIL O w~ 2b cz~ tu~ttZ ~!Z c ~o S. s ft. y Depth to limiting factor , L Z Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # 16MM Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) PLOT PLAN Page 3 Of 3 o,~,g\z: ~~R~N s C/z~j kE: ~'►T rcs s~vwrv ZSo TK ST, 1 ao~y u ~oS S l 3 Al ~~O ~,Z ..S1NIN 6.1 x q6 X101- CL ►•OS~ w/c h`ITI 1~1U\Z~' \ pva \--I POE L&T LWe a M S \ lye y J I it Gry °J STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Joseph Paron MAILING ADDRESS 2427 Hwy 12 PROPERTY ADDRESS Same (location of septic system) Please obtain from the Planning Dept. CITY/STATE Woodville, WI. PROPERTY LOCATION EVE 1/4, NW 1/4, Section 34 T 29 N-R 16 W TOWN OF Baldwin ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expir L2'=~.iate. SIGNED: DATE: r St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 STC~100 This application form is to be completed in full and signed by the ot;»er(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 i the property is sold and submitted to this office with the appropriate deed recording. Owner of property Joseph Paron Location of property NE 1/4 NW 1/4, Section' 34 , T 29 N-R 16 W Township Baldwin Mailing address 2427 Hwy 12 Woodville WI. 54028 Address of 'site Same Subdivision name Lot no. other homes on property? yes x No Previous owner of property Total size of parcel Pate parcel was created ' Are all corners and lot lines identifiable? x Yes No la thin//,~property_being developed for (sped house)? Yes x No volume [O & and Page Number 5a as recorded, with the Register of Deeds. 114CLUDE WITH THIS APPLICATION THE FOLLOWING: A 11ARIWITY DL ED which includes a DOCUHENT NUI DER, VOLUME AND PAGE. NUMBE'lt & THE SEAL Or THE R-GISTkIt 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 Nap shall also be required. PROPKUTY OWNER CERTIFICATION I(wc) 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 Decds as Document 11 o•q`1/y44 , 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 County Register of deeds as Document Ij D Sign ure o applicah Co-applicant l'Vw J5~ Date o Si ature Date of Signature > DOCUMENT NO. STATE BAR OF WISCONSIN FORNf 1-1982 TH;S SPA:E RESERVED FOR RECORDING OATA WARRANTY DEED 471401 90SPA,E ~ REGISTER o OFFICE 5`..4 ST. CROIX CO., WI This Deed, made between Hans W. Hulback, - a - - - - - - - - - R. C R for Record . single man - - Grantor, 9:00 A.QM/~ and Joseph F. Paron and Clarisse L. Paron C^"~"~`~.~C husband and wife, as joint tenants - - - - _ . (of Deeds - - - - - _ - - - Grantee, Witnesseth, That the said Grantor, for a valuable consideration - _ - _ - - RETURN TO St conve-s to Grantee the following described real estate in Cro 1X County, State of Wisconsin: Tax Parcel No- All that part of &11 of NWI4 of Section 34-29-16 lying Nly of Railroad Right-of-Way and Sly of State Trunk Highway "12" as now laid out. 447 • 3 0 o PEF This 143rranty Deed is also to satisfy the Land Contract between Hans W. Hulback, Vendor and Joseph F. Paron and Clarisse L. Paron, Vendee dated August 31, 1976, recorded September 28, 1976 with the Register of Deeds, St. Croix County, Vol#543, page 277, doctrint #335706. This 1'S - homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And. warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. Dated this - 1.__.. - day of July 19, 91 - - .(SEAL) :.(SEAL) Hans W. Hulback - (SEAL) _ - (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. -------..County-. 1 I:. authenticated this -day of Personally came before me this day of Jul j - 19..-91.- the above named - - - -Hans W. Hulback I. - - TITLE: MEMBER. STATE BAR OF WISCONSIN (If not. - - - - - R authorized by 706.06, Wis- Stats.) to me known to•be the person who executed the feri ink instrument and -lcknoN71e4ge the scone. THIS IN3TRUNIENT WAS CRAFTED FY L i . Bakke, Norman, Schumacher, Skinner S Walter, S .C. Balds;in WT 54002 * Jalid" TerkAsen Not;•-v PuNir St. Croix Co!;nth-, Wis. (Si(Znature; may be alltl-enticatcll or acknowledged. Both JIB Commi=li(n is nc 1 tanent. Of not, state exl iraG~•I arc not nece;sary-.) Mc Iv 14 ()5 date: _ 19 ) •Names of persona signing in any cnparlty 'h.n,lld b, t➢Y.'' r i"intod hd-, th, it WARRANTY DEED ST:ILTE II%R OF R"ISCf)\>IN wi-r,n<in 1""I ULank co. Inc. FORM Nn. I--195" ?lii.. a•iAee, A~'~. SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 63707 State of Wisconsin Department of Industry, Labor and Human Relations December 5 1994 Street WI 54603 1 WEGERER SOIL TESTING N 421 N MAIN STREET to PO BOX 74~ RIVER FALLS WI 54022 RE: PLAN S94-41513 REVISION TO PLAN S94-40567 CEIVED: 60.00 PARON, JOSEPH NE,NW,34,29,16W TOWN OF BALDWIN 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. - The approved changes will become an addendum to the plans previously approved. All other portions of the installation shall conform to the original approval. 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. Sincere erar M. S Plan Reviewer Section of Private Sewage (608) 785-9348 SBD-0020 (R. 01191) n r 9 4 " 41513 Page of S 6 1MOUND SYSTEM FOR A 1 BEDROOM RESIDENCE LOCATED IN THE MlE 1/4 OF THE N W 1/4 OF SECTION 3 q , T ZR N, RIG W, TOWN OF N~ l~L l N , ST C\Z ()LX COUNTY, WISCONSIN. INDEX PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR ~SCP1~ PARON z z~ 1 + 1 GH t✓h / ! Z RECEIwEO DEC - SA~ i PREPARED BY a~a~.~9360g WEGEFQ: EFR ! E; CJ I L TEST I NC3 E5 I` 4` AND. DES I GFV SEFRV I CE Fa' ArMN ® __c.: F.R. BOX 74 421 K. KAIK 5T_ , _ ; FF' RIVFF. FALLS. Ili 54022 m ` wcs. a .t P• 715-4225-0165 ° ..6- ~,~iS~P 11-zR-q y JOB NO. 9y-IZS ;8. ~ 'a i' f ~f # PLOT PLAN S✓ 4 m*41513 Scale 1"=W0 pge Z of AG USA \Z.." I ZSo ST, ~ Nor c.~►~~~t-c-r oR X1.2(3 ~C~ Ij' Spy ~.3 i etLN Z' t-tl~.v Al a~ Zo~3 of Zk PVC zl. log IrL, ICS 1 P 1-'uTv~1gT \ pvC.\ZIPr w/L~'rt1 ~5 4 Olt SONIS G ti N ~•yG G 0 40 J S 9 4 w 415 13 I, Page 3 Of 6 Approved Synthetic Covering A~{m C-13, Distribution Pipe Medium Sand _ H_ -~G Topsoil F Elev'_ Ira 1.\3 3 b -7 % Slope Force Main Plowed Trench of %2"-2%2" From Pump Layer Aggregate Undisturbed D V o Ft. Soil E k. Ft. Cross Section Of A Mound System Using F 0. 4B Ft. I Trench For The Absorption Area G N. a Ft. A 3 Ft. H I- S Ft. B q Z Ft. I \S Ft. Linear Loading Rate= 3.6 GPD/LN FT J -7 Ft. Design Loading Rate= a. Z GPD/SQ FT K \O Ft. L bZ Ft. W Z S Ft. L d r' Force B K Main - ~ W Distribution Trench Of 2 '2 Pipe Aggregate I Observation PermanentJ Pipes Marker (Anchor securely) ONg ® ypN N Gg Mound Using I Tren ,k?(oI bsoWD ~N°v gp Doll ' ON° sP GO S94.-41513 Page Of Perforated Pipe Detail 0 End View )Perforated End Cop) ~y PVC Pipe 1n. ~o~~oe o~ct Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q End Cop ti PVC Force Main Dist rout ion Pipe Lost Hole Should Be Next To End Cop Distribution Pipe Layout P 19-SR. ~,TE SE c1itiQnally X 3~ Inches co Y 1 ~ Inches pis Hole Diameter I/Y Inch Lateral I Inch(es) ADO on. Manifold Inches °~ws sp poN0 Force Main Z Inches G # of holes/pipe -J Invert Elevation of Laterals N071•63Ft. Place lst hole 18 from tee with succeeding holes at 3 6 intervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS ' PAGE S OF 6 . S 94 r 41 b 1 :1 VENT CAP 4"C.1. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE JUMCTION 80X lO'FROM DOOR, COVER WITH WARNING LABEL II', ? wwDOW OR FRESH !2 MILT. I AIR IAITAKE I GRADE I + I y MIM. Ilk, Ie MIN. COIJDUIT---------- 18 MIN. \ INLET C•E PROVIDE i I V~ ~ S AIRTIGHT SEAL I I ~10 illy J TI ~I A ` a` • - APPROVED JOINT A ~b Str hall comply I III APPROVED JOINTS ID with approved wit ILHR 83.20 ( II 4V P I I iPe extending RE1~1~OttS ALARM pN 1 I 3 feet onto a ~BOp pue ` 1ASS I I solid soil. OF ~Rp S10,S t• I ON Both sides of q~t• 0~ FOR I 1 tank. LLEV. FT.-- -7 PUMP OFF EL CONCRETE BLOCK APPRQVep RISER EXIT PERMITTED ONLY IF TAWK MANUFACTURCR HAS SUCH APPROVAL gE001µG 5PEC.IFI CATI0K1S TADOSE S PER DAy WK MANUFACTURCR: M InlE.l..l PI ~`kST NUMBER OF DOSES: TANK SIZE: S SO GALLOWS DOSE VOLUME Z GALLONS S.S•~LLC- S`(SrtI S INCLUDING 5AGKFLOW% Z~'4 ALARM MANUFACTURER: MODEL WUMBER: IOC l1vy CAPACITIES: A= 6' L L INCHES OK \L6.8 CALLOUS SWITCH TZIPC' B = INCHES OR 3 uGQLLOL15 PUMP "MUFACTUKCR: ZoEL'Lft- C ■ ~Z INCHES OR Z 3y y GALLOWS MODEL NUMBER: 4 31 D= 18 INCHES OR 3S1"GALLONS MOTE: PUMP AND ALARM A E TO DE a SWITCH TYPE: MWIMUM DISCHARGE RATE 1I' S8 GPM INSTALLED ON SEPARATE CIRCUITS VLKTICAL DIFFERENCE OETWEEN PUMP OFF AUD_OISTRIBUTIOLI PIPE.. 18"3'1 FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . 2•50 FEET + ~'_y FEET OF FORCE MAIN X ~.S9 FYOfr.FKICTIOU FACTOR_\ " FEET TOTAL DYNAMIC HEAD = FEET DIAMETER INTERNAL" DIMENSIOW~ OF TANK: LENGTH - ;WIDTH --•i LIQUID DEPTH 3a T ~Z t BOTTOM AREA - - 231= - GAL/INCH AS PER MANUFACTURER = . \q-S GAL/INCH _ S94-41513C o' C' k;-- 6 0r 4 3/4 7 3/8 W HEAD CAPACITY CURVE TOTAL DYNAMIC HEAD/FLOW PER MINUTE MODEL 137-139 EFFLUENT AND DEWATERING L- 6 1/8 30 SERIES 137-139 Feet Meters Gal. Ltrs i o 8 5 1.52 104 394 25 10 3.05 79 300 0 4 3/4 o Z~ O 15 4.57 64 242 a 20 20 6.10 36 136 0 = 6 7.62 8 30 0 25 26 7.92 0 0 Q 16.38 0 1 112" - 11 1/2 NPT Y 15 4 o to I 2 5 t I 12 3/4 0 U.S. GALLONS f0 20 30 40 50 60 70 80 90 100 110 --T LITERS 80 160 240 320 400 1 1 44 0 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V or 230V. • Mercury float switches are available for controlling single and three • Electrical alternators, for duplex systems, are available and supplied with phase systems. an alarm. • Double piggyback mercury float switches are available for variable • Mechanical alternators, for duplex systems, are available available with level long cycle controls. or without alarm switches. • Long cords are available in lengths of 15-25-35-50 feet. • Combination starters are available. • Over 130'F. (54'C.) special quotation required- Standard all models - Weight 471bs. - Y2 H.P. SELECTION GUIDE 137/t39 series control Selection 1. Integral float operated 2 pole mechanical switch, no external control required. Model Volts-Ph Mode Amps simplex Duplex 2. Single piggyback mercury float switch or double piggyback mercury float M137/139 115 1 Auto 10.4 1 or l &8 - switch. Refer to FM0447. N137/139 115 1 Non 10.4 -20r2 &7 3 or 5 & 6 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075. D137 39 230 1 Auto 5.2 1 on &8 - 4. Combination Starter. Refer to FM0514. El 371139 230 1 Non 5.2 2 or 2 & 7 3 or 5 & 6 5. See FM0712 for correct model of Electrical Alternator "E-Pak". H137/139 200-208 1 Auto 8.2 1&8 - 6. Mercury sensor float switch 10-0225 used as a control activator, specify duplex 1137/139 200-208 1 Non 8.2 2 & 7 3 or 5 &6 (3) or (4) float system. J137/139 200208 3 Non 4.2 2&4 3&4or5&s 7. Four (4) hole "J-Pak", junction box, for water fight connection or wired-in F137/139 230 3 Non 3.8 2&4 3&4 or 5&6 simplex or 2 pump operation, 10-0002. ' 6137/139 460 3 Non t.2 2&4 3&4 or 5&6 g, Two (2) hole "J-Pak", for Watertight connection or splice, 10-0003. ' No molded plug Three phase units require a control switch to operate an external magnetic or combination starter. CAUTION For information onaddhionalZoeller products refer tocatalog onCombination starter, FM0514;Piggyback All installation of controls, proleclion devices and wiring should be done by a qualified licensed Mercury Float Switches, FMO477: Electrical Anemator, FMO486; Mechanical Alternator, FM0495; Alarm electrician. All electrical and safety codes should be lollowed including the most recent National Electric Package. FM0513; and Sump/Sewage Basins, FMO487. Code (NEC) and the Occupational Safety and 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 Louisville, KY40256-0347 Manufacturers of SHIP T0: 3280 Old Millers Lane Louisvilk, KKY40216 (502) 778-2731. 1(800) 928-PUMP L~111iffy FAX (502) 774-3624