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HomeMy WebLinkAbout028-1046-20-000 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER Pe- t)'02' S q" / y ADDRESS i/ V 6-0 ) a 14(114 134 /C/ SUBDIVISION / CSM# LOT # SECTION 3 ~ T ; ~N-R_LLW, Town of G~ S ~j r t/ /2 ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM IL)( R (s R INDICATE NOR Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. i BENCHMARK: Gf~ U 1 r ) V o t ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: /nrtfl ev e-.r Cce h Liquid Capacity: / G G U Setback from: Well 5 3 House 3 s Other Pump: Manufacturer Model#5.3 Size Float seperation I I Gallons/cycle: Alarm Location ~l SOIL ABSORPTION SYSTEM Width: Length 1.r % Number of trenches 2 Distance & Direction to nearest prop. line: C' Setback from: well: ~ House 5 Other ELEVATIONS Building Sewer fGZ 7 ST Inlet. / U ( ST outlet PC inlet /~L PC bottom 9(2~_ 5 L Pump Off Header/Manifold 1/'7 , Co ? Bottom of system fG~. < Existing Grade Final grade DATE OF INSTALLATION. PLUMBER ON JOB: v LICENSE NUMBER: IYI G G INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Lab,-and Human Relations INSPECTION REPORT ST. CROIX y Safet'ynd Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Pil& Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI AULD, DENNIS X CST BM Elev.: , Insp. BM Elev.: BM Description: Liver Parcel Tax No.: 10 9 TANK INFORMATION ELEVATION DATA .r9 TYPE MANUFACTURER CAPACITY STATION BS HI ELEV. O Septic ;a.!aF Benchmark 42. is v,`/7 Dosing &SO ogLL ~24 Ll d,V V. L27 7e ~ Aerati n Bldg. Sewer p,2 r Holding St/ I it Inlet 5,0 7 rfj) 2.2 TANK SETBACK INFORMATION St/ Ht Outlet Vent irito ntake 7 TANKTO P/L WELL BLDG. A Ar ROAD Dt Inlet . Septic > SD SS 7 NA Dl~m_.I ,,yv ~.ys ~T r r Dosing >,-2 ' NA I'#ezWer f Man. 73 Aeration _ A Dist. Pipe i (o 7 yr Holding Bot. System PUMP /•AkINFORMATION Final Grade i 7Z' Manufacturer O e Demand "OP + /P, , r I ~r ' p, 1 ~k psls/ Model NumberM TDH Lift Lriction~ Q~ H stemTDH p pl`t Forcemain Length 51 I Dia. Dist. To Well SOIL ABSORPTION SYSTEM TRENCH Width i Length No. Of Trenches PI Ot Pits Inside Dia. Li id Depth DIMEN I N 7 DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING acturer: SETBACK INFORMATION Type O t'? CHAMB Moe Number: System: WI ,4 OJIAMT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipes " s x Hol~ Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing / 6 as N SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only V Depth Over /ry Depth Over xx Depth Of / xx Seeded/ Sodded xx Mulched a .&0YTrench Center / d RgI617rench Edges Topsoil es ❑ No [cyfes ❑ No h` COMMENTS: (Include code discrepancies, persons present, etc.) I LOCATION: Rush River.36.28.17W, SW, SE, Pierce & St. Croix Co. Lines ( f%> co o 4-e Plan revision required? []Yes [,'No Use other side for additional information. /j) 9 s- 7` 0 SBD-6710 (R 05/91) Date Inspector's Signature Cert. No_ 1 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: J n SANITARY PERMIT APPLICATION cJ~ouNTY In accord with ILHR 83.05, Wis. Adm. Code c / 1 l_ STATE SANITARY PERMIT # -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 previous application -See reverse side for instructions for completing this application. ST~9 T-E PLAN I.D. NUMBER ii 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. J 4 44 - "1 b.?3 / PROPERTY OWNER PROPERTY LOCATION Dennis Auld SW '/4 SE %4, S 36 T 28, N, R 17 E (or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 1050 12th. Ave. CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Baldwin WI. 54002 715 684-4951 ID ITY VILLAGE NEAREST ROAD II. TYPE OF BUILDING: (Check one) El State Owned ❑ :R sh River Pierce & St. Croix Co. Li ❑ Public ©1 or 2 Fam. Dwelling-# of bedrooms 3 PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) C ❑ O /60146 1 Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. © New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 511 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 x❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42M Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 450 376 376 .01 104.0 Feet 105.6 Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holding Tank x 1000 1 Midwest X Lift Pump Tank/Si hon Chamber x 650 1 Midwest x VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for ins Ilation of the ite sewage system shown on the attached plans. r P/MPRSW No.: Business Phone Number: Plumber's Name (Print): Plumb s Signatur7m__ 698-2266 Joe Stang 6646 715 Plumber's Address (Street, City, State, Zip Code): 506 Willow Dr. Woodvill WI. 54028 IX. COUNTY/DEPARTMENT USE ONLY ) o mps) ❑ Disapproved Sanitary Permit Fee (Includes Grounwater a e Issued Issuing Agent Signature Approved El Owner Given Initial ~Surcharge Fee' Adverse Determination o U, X. CONDITIONS OF APPROVAL/R SONS FOR D APPROVAL: c A I ll 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 :i 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 ew and/or existin 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) wOdcr-6 Department of Industry, SOIL AND SITE EVALUATION REPORT P 1 of 3 ~r~and Human Relations of Safety 8Suildings 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 S 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. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Dennis Auld GOVT. LOT ST i t/4 SE t/4,S 36 T28 N,R 17 vor) yy PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUIRA ME OR CSM # 1902 Stimit Ave, na n//a "7,f ST Eaul Pare DE (PHONE UrEg ❑CITY ❑VILLAGE MOWN NEAREST ROAD 1~d. 5 0 (16s59-7096 R.nst? giver TTarmondy Pd.. [,,"ew Construction Use tof Residential / Number of bedrooms 3 [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily now 450 gpd . Recommended design loading rate n/p bed, gpdfit • 3 trench, gpd/ft2 Absorption area required n/P bed, ft2 37`8 trench, ft2 Maximum design loading rate n/P bed, gpolft2 •3 trench, gpolft2 Recommended infiltration surface elevation(s) 103.64 ft (as referred to site plan benchmark) Additional design / site considerations n /a Parent material glacial drift Flood plain elevation, if applicable n /a It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S -M U 0Q, ❑ U ❑ S OU ❑ S 30U ❑ S OU ❑ S Eau 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 rertdt 1 0-10 10yr3/2 none L. 2/m/gr mvfr w m .5 7 s_ _ .2 .3 2 10-31 10yr4/4 none szl 1/f./..hk mfr g/w 1/f Glround 3 131-42 10yr4/4 f2d 10yr5/8 sl. 1/f/gr nfr g/w 1/f .4 .5 leM'.% 4 42-60 10yr5/6 none linest e residut . m n/a n/a n/P : n/p Depth to limiting factor 31" Remarks: _ Boring # 1 0-9 10yr3/2 none L. 2/n/gr mv£r g/w 2/n .5 .6 2 2 9-37 10yr4/4 none sil. 1/f/shl: mfr g/w 1/f_ .2 ' .3 3 37-49 10yr4/4 j'-2d 10yr5/8 sl. 1/f./gr nfr g/w 1/f_ .4 .5 Ground 4 49-62 10yr5/6 none limestone reside n M n/a na/ n/p 'n/.p Depth to 1 limiting O factor 37" t~ P S Remarks: t # 2 CST Name:-Please Print Gary L. steel Phone: _2464,6 Address: 155/x. 0th. Ave., T w Richmond, 1J. 54017 ZatsltN~OrFI Signature: Date: Number: l 6-12-g3, PARCEL I.D. #t Dennis Auld - Pag" 12 of 3 Boring # Horizon Depth Dominant Color Mottles in. Munseil qu, Sz. Cont Color Texture Gr. Sz. Structure Sh. Consistence GF D/ft ~~Y Roots L111IT 1 0-7 7 10yr2 none L. 2 n gr nvfr g ca 2 m 7-33 1Oyr4/4 none 3 ~ sil. 1/f/~;r mfr g/w 1/m .2 ,3 Ground 33-30 _ 10yr4/4 none sil. 2/m/ sb,; g/w 1/f.5 .6 lOle~0 , mfr 4 39-62 10yr5/6 none LS 2/m/sbl: mvfr Depth to na/ na/ 5 1.6 limiting factor >62,, Remarks: Boring # ax Ground elev. ft Depth to limiting factor Remarks: Boring # Ground elev. ft , Depth to limiting factor Remarks: .Boring # II~ Ground elev. ft. a . Depth to limiting factor Remarks: 38D-8330(R.05/92) STEEL'S SOIL SERVICE 3-554 200th. Ave. Gary L. Steel C.S.T. 2298 Dennis Auld New Richmond, WI 54017 MPRSW-3254 Sti<?%;SE% S36-T28N-R17W (715) 246-6200 Rush River, toimship M-- k' I oo' 01 m K~i2 quo i-o~ dr7 fivrgs I-qO u err .3 90` co3` oo'~ :3 to ► 4r7' S' Gary L. Steel 6-12-93 . 3 SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations July 13, 1994 2226 Rose Street La Crosse WI 54603 WEGERER SOIL TESTING' 421 N MAIN STREET 194 PO 74 RIVER FALLS WI 54022 61' 0) RE: PLAN S94-40831,+ L~ FEE RECEIVED: 180.00 AULD, DENNIS SW,SE,36,28,17W TOWN OF RUSH RIVER 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, Ge rd Swim an Reviewer Section of Private Sewage (608) 785-9348 4806R/ 1 SBD-6423 (B. 01/91) A : Y Page 1 of 6 MOUND SYSTEM S 94 sa 40831 FOR A 3 BEDROOM RESIDENCE LOCATED IN THE SW 1/4 OF THE Se 1/4 OF SECTION 36 ,T18 N, R 11 W, TOWN OF 'F2v 3! R1 VC'R , ST. CrQ.OLX 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 1~ so ~Z.v RECEIVED R~I.DIw1w ,w1 5~ao2.-_ JUL 12 err i , ~ PREPARED BY WEGEF;tEF:;Z SO I L - TEST I NG aa~~p~e~oe AND. DEE3 I CtV s~Fv I cE s ~~yC®1 P.O. BOX 74 421 K. KAIN ST. • ARTHUR L RIVET? FALLS. VI 54022 : WEGERER 715-425-0165 g1S r WORTH. S _ ~ S • S I G 10' hNHK JOB NO. c1 L(-16 6 PLOT PLAN Page 2 of 6 Scale 1"= ":M 40 3 $DRI~ YSTEE~A L-rt Bf FNT ~ T so w ~ n ditional~y ~M~ 1'x'1' L'c~`R•ST L S' t''t so' o F k ~ ~ i ~l Pv t c. ® ONS ~wt►w . ~Z"aev~Rl ~ ~ HUMAN R ItiDUST'R~• 81111fl1ti~ d ~E1S1QN Of ~ E pONO iGE Soo~ Z4Pc.C JE 0 1-wtzc.~ r~,pp,N l'G get •i1 % a V `tl 4 10 3' ~ 23.3 ) \3),%12b `(t} t S I~R~'1 ~ N r N e' OF 3 1*%~ N n LC LJL o Z S)4 vS ►!6 NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted.. 2. Install permanent markers at end of each lateral. ( y required) 3. Install 4" observation pipes with approved caps. ( -q -required) 4. -Septic tank to be `bou b O gallon capacity manufactured b,y 1+~ 1D~.1 ~'S`[2~12U PR.~/~•s T ~ Iti C. C CAMBw ~4`1'i0~ '1Yt•*.+tz~ 5. Bench Mark i--L, c-1, CW--j *Wp of 1 " 5" ZEI. e P w rnzkM C sCe rMcjQCr rtt2 L1ae.170N 6. Divert surface water around mound to prevent ponding at the uphill side. Page 8 I Of 6 - - Approved Synthetic Covering Distribution Pipe Medium Sand H G Topsoil F Elev. trjq.o D' b % Slope Trench Of 2~- 2 Force Main Plowed From Pump Layer Aggregate Undisturbed D 1 ° Ft. E 2 - Z Ft. Soil Cross Section Of A Mound System Using F 0, Ft. 2 Trenches For The Absorption Area G Ft. A Ft. H X. S Ft. B Ft. C I Ie Ft. Linear Loading Rate= Y•a GPD/LN FT I S Ft. Design Loading Rate= o, 3 GPD/SQ FT J -7 Ft. K \Z Ft. -1 1 Alternate Position of Force Main L Ft. W 4-L Ft. L B K Observation Permanent C Pipes ~-Markers (Anchor securely) _ - - - ~r`-"'- Force ---.,-.,x, - - - - - Main W Y O+s . i w f d Trench Of 2- 2 2 ipe a Aggregate .a" t i e S El ~~q,Sl4s1 pP CA- Mound Using 2 Trenches For Absorption Area cJ► Page Of .6 Perforoted Pipe Detail 0 End View )Perforated End Copj . PVC Pipe Install permanent marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Man P PVC Manifold Pipe Distri ution Pi e Lost Hole Should Be I Next To End Cap 1 End Cop J P z2 Ft. Distribution Pipe. Layout s \6 Ft. X 4 9 Inches Y LIP. Inches Hole Diameter t ! Inch P Lateral 1 Inches HU7 d : ,a6QNS Manifold Z Inches U , I. Df 1NDUUS R $ Ago B0, Ion OF d6 Force Main " Z Inches # of holes/pi pe_ ( SSE O ESPW.: Invert Elevation of Laterals lb'4.S Ft. Place 1st hole Zyyfrom center of manifold with succeeding holes M at q& intervals. Last hole to be next to the end cap. • - Combination Septic;Tank and PUMP CHAMBER CROSS SECTIOM ARID SPECIFICATIONS PAGE S OF C~ S VEA1T CAP WEATHER PROOF 94-40831 JUUCTIOIJ BOX H"C. I. VEIJT PIPC APPROVED LOCKING _-*101 FROM DOOR, MANHOLE COVER rvl1Vl WINDOW OR FRESH u-'A~tNll.lG E.149EC. 12'MIW. AIR INTAKE e0&3D4stT I 4" MIM. I WAIN. 18"MIAI. `i vt k 1 IkILET i~G SSE S I I I APPROVED JOINT -APPROVED .t01NTS r I I ( W/C.I. PIPE4Puc w/c.z. PIPS: Olt Tank constructi~z P~~ I III ExTEAIOIUG 3' CXTEIJDIw(. 3' shall comply wi h " I 1 I ALARM ONTO SOLID SOIL OtJTO SOLID SOIL , i ILHR 133.15 and ate' I i ON LLEV. 3 PUMP-..- --J OFF D CONCRETE h DLOCK tX-1. SO 3" APPRWEC RISER EXIT PERMITTED OWLy IF TANK MAMUFACTURER HAS. SUCH, APPROVAL gEDpl SPECIFICATIOUS SEPTIC f DOSE MANUFACTURER: ~►~D~J~S JJ p ST WUMBER OF DOSES: 3'5 PLR DAU TA k) KS TANK SIZE: ~qOC~ !(3SO GALLOWS DOSE VOLUME t SS.~L~3c`nLO S`1STl~•9 3 INCLUDING, 6ACKIF LOW: GALLONS ALARM MANUFACTURER: MODI`L HUMBER' 101 ~w CAPACITIES: A= INCHES OR 30~ GALLONS SWITCH TUPC: V~NiMd.I NZt B n Z INCHES'OR T G(►LLOIJS eLLM C ~c~tNGHES OR 13 CALLOUS PUMP MANUFACTURER: 770 MODEL IJUMBER: 53 D- ISI INCHES OR 1)~) GALLONS 6E V'1 Iz-~f MOTE: PUMP AMD ALARM ARE TO ~6 SWITCH TYPE: Zg.ya INSTALLED ON 5EPARATE CIRCUITS MIMIMUM DISCHARGE RATE GPM VERTICAL DIFFERENCE BETWEEN PUMP OFF A1JD..DI5TRI5UTION PIPE.. V~ FEET + MIAIIMUM NETWORK SUPPLY PRESSURE ; 2.50 FE.ET 5 FEET OF FORCE MAIN X ``6 FY o fT.FKICTIOU FACTORO ' FEET TOTAL DtI JAMIC HEAD = -FEET DIAMETER Pump chamber 38~ IMTERLIAI. DIMILIJSIOMf OF TAWK: LEW&TH = ;WIDTH --..;LIQUID DEPTH BOTTOM AREA 231= GAL INCH AS PER MANUFACTURER = %,'O GAL/INCH CD 4-408IPPICIS .6oFt a` W HEAD CAPACITY CURVE -*-47/8--f- it 61/4 - • W 6653-55" SERIES 45,a 25 - TOTAL TOTAL DYNAMIC HEAD/ 4% FLOW PER MINUTE I EFFLUENT AND DEWATERING o - CAPACITY + 20 HEAD UNIT MIN. -11h - Q 6 FEET METERS GAL LTRS6 111h NPT = 5 1.52 43 163 e 10 3.05 34 129 15 4.57 19 72 Q 15 19.25 5.87 0 0 !Z- 4 D - J O t- 2 Z9.o8 5 91y 16 i i 0 16~ 1316 US 10 20 '30 40 50 GALLONS LITERS 0 80 160 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS _ • Piggyback Mercury Float Switches • Available with special cord lengths of 15', available. 25', 35' and 50'. • Variable level long cycle systems • Alarm systems available. available. • Duplex systems available. Standard cord length - automatic 9 ft. Standard cord length - non-automatic 15 ft. SELECTION GUIDE M53155 SERIES Control Selection 1. Integral That operated mechanical switch, no external control required. Model Volts-Ph Mode Am Simplex Duplex 2 Single piggyback wideanglemercuryfloatswitchordoublepiggyback mercuryfloat M53155 115 1 Auto 8.0 1 or 1 & 7 switch. Refer to FMO477. N53/55 115 1 Non 8.0 2 or 2 & 6 3 or 4 & 5 3. Mechanical alternator 10-0072 or 10-0075. D53/55 230 1 Auto 4.0 1 or 1 &7 - 4. See FM-712 for correct model of Electrical Alternator, "E-Pak' E53/55 230 1 Non 4.0 2 or 2 & 8 3 or 4 & 5 5. Sensor mercury float switch 10.0225 used as acontrol activator, with E-Pak (3) or (4) float system. 53 Series - Wt. 23 lbs. -.3 H.P. 55 Series -Wt. 25 I bs. -.3 H.P. 5. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in simplex or duplex operation. PM 10-0002 7. Two (2) hole "J-Pak' junction box, for watertight connection or splice, P/N 10.0003. For information on additional Zoeller products refertocatakrg on combination Starter, FM0514; CAUTION Piggyback Mercury Float Switches, FMO477; Electrical Alternator, FM0488; Mechanical Alterna- All Installation of controls, protection devices and wiring should be done by a qualified nator, FMO495; Alarm Package. FM0513'. Sump/Sewage Basins, FMO487; and Simplex Control licensed electrician. AN electrical and safelycodes should be followed In addition to the Box, FM0732 most recant National Electric Code (NEC) and the Occupational Safely and Health Ad (OSHA). RESERVE POWERED DESIGN - For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. AM TO. P.G. BOX 1047 , sW ro 3 Boo awe one Manufacturers of... ZA0Z1 O. qp O® 1502J 778-27310 1 774-35148-PUMP • QUALITY ~UMPBr ~NCE ~~JJ a FAX (502) J . . STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ►c 6-A Y,45 f DLO MAILING ADDRESS 05V 5W O-Z PROPERTY ADDRESS ~v 70 T~ - eZ Ig0a (location of septic system) ease obtain from the Planning Dept. CITY/STATE 4(A `S S e(O c► L PROPERTY LOCATION 1/4, S f 1/4, Section , T N-R r W TOWN OF /~-k s u e rZ ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME`6 2 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. I 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 ate. SIGNED: k~ry hl'16 DATE: ' ~7d-5'gy St. Croix County Zoning Office Government Center 1 101 Carmichael Road Hudson, WI 54016 11/93 $TC-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 I10usc), then n second form should be retained and completed when ~e property is sold and submitted to this office with the appropriate deed recording. Owner of property Location of property l/4 _1/41 Section "_L_, , Tc, N-R W Townships ivcg flailing address Address of * site - ~ 170 kOQ1z Subdivision name Lot no. other homes on property? yes ✓ No Previous owner of property Total size of parcel __57 kyt-r Date parcel was created /Z Are all corners and lot lines identifiable? Yes No In thin property being developed for (sped house)? Yes No Volume/011 and Page Number as recorded, with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARIWITY BLED which includes a DOCURENT NUIMER, VOLUME AND PAGE, 11UttBER It Till-3 SEAL Or THE REGISTLI OF DEEUs. 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. PROPERTY OWNER CERTIFICATION 10,!c) certify that all statements on this form are true to the best of n y (our) knowledge that I am (we) (are) the owner(s) o the property described in this information form, by virtue of a warranty deed recorded V the office of the County Register of Deeds as Document TIo. 2 Z , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtainer] an easement to run the above described property, for the construction of said system, and the same has bee recorded in the office o been duly of No. County Register of deeds as Document t sign tune of ap~llcaht Co-appl cant Date of Signature Date of s gnature * ' OOGU MENT NO. 1H15 SPA.:. RE>ERVE. FOR REC nRDING DATA WARRANTY DEED STATE BAR OF WISCONSIN FORM 2-1962 i ►'~L 1021PAS~ , - - - F REGISTER S OFFICE ii t ST. CROIX CO., W1 Harvey...R!...H-ielkema Rec d forp .owro - J U L 1' 2 1993 ' J8:30 - A: conveys and warrants to --...pej1i11S_-..-_AUld__and._StaCy_____-..__--_ f at M A,._Aul.d,..husba,nd--.anal--wife................. _ Rehr of Deader - . RETURN TO /h 6141"1 ClelAs, - k/fsTca'~% . B./~wi~, wt syoioa the following described real estate in _..St..___C_ro-lx--------------- County, state of Wisconsin: Tvwc Parcel No:.............................. Southwest Quarter of the Southeast Quarter (SW's of SEU of Section Thirty-six (36), Township Twenty-eight (28) North, Range Seventeen (17) West, EXCEPT Certified Survey Map recorded in Vol. 9, page 2588, office of the Register of Deeds for St. Croix County, Wisconsin. TRANMAR s Fr4u _ This ...is not homestead property. (is not) Exception to warranties: Easements and restrictions of record. .19..9 Dated this 8th----- day of ..Jul,y II (SEAL) (SEAL) . . Harvey N. Hielkema c S l( (SEAL) _ (SEAL) II YA - - f~ lV3 l/AUTHENTICATION ACKNOWLEDGMENT I Via' f. - (a~- STATE OF WISCONSIN of I. 1, 1 ,1 as. __St-.__-GLo-ix---------------County. authenticated this day of___________________________ 19 Personally came before me this __-8th______day of Jul!-_-------_., 199-1-_ the above named --Iiaxvey_--N-,.__I.ii. -e-J.K ema------------------------------- TITLE: MEMBER STATE BAR OF WISCONSIN ' (If not, authorized by j 706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack 'Slld'. oho- Baldwin, WI 54002 i+x Notary Public - ---------County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission/ is permanent. (If not, state expiration are not necessary.) date: 41 19-191, 'Names of persons si;ning in any capacity should be typed or printed below their signatures- WARRANTY DEED STATE BAS OF WISCONSIN Wisconsin Legal Blank Co., Inc. i1 FORM No. 2 - 1992 W!waukee. Wisconsin 5.. 5"- t, 3.~.. Ta .f"'.._..va~ ; :-jC:i' F 4; 1. •M '-t. t° 9 , , • ~ ~ f: f.a ~'1'