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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, C DIVISION
LABOR AN P.O. BOX 76
HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 3707
(H63.090) & Chapter 145.045)
LOCATION: SECTION: TOWNSHIP/MIRY: LOTNO.:BLK.NO.:SUBDIVISION NAME:
~ 4NEI/ 22 /T30 N/1t9xE (or) W St. Joseph 6 n/a Bas's Lake North
COUNTY: OWNER'S NAME: MAILING ADDRESS:
St. Croix Richard Stout 11353 Awatukee Trl., Hudson, Wi. 54016
USE DATES OBSERVATIONS MADE
I)E NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: 1PERCOLATION TESTS:
Residence 3 n/a Eboew ❑ Replace ( 3-23-92 3-24-92
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional)
❑S ®U ®S ❑U ❑SU ❑S ®U ❑S mound
If Percolation Tests are NOT required DESIGN RATE:
If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: n/a I Floodplain, indicate Floodplain elevation: n/a
decimal' PROFILE DESCRIPTIONS page 34 SIB
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH N;K ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-1 4.17 -100.45 none 2.17 .92,10yr3/3,1., 1.25,10yr4/4,s.sil.,1 2.00, 10yr-
m
yr3/3 ,s.si . yr-
B_2 4.58 100.45 none 2.58 4/4, mot. s.l.
101.95 1.00,10yr3/3,1., 1.42,10yr4/4, sil., 5.33, 7.5-
1_3 7.75 none >7.55 4/4, s.l.
B-
B-
B-
decimal' PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER IROM AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH
P- 1 2.00 none 30 11-1 l 1% 24
P_ 2 2.00 none 30 11-4 1 1 30
P- 3 2.00 none 30 1 7/8 7/8 34
P
P_
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION 102.95
appr-cva p ndng' on si e y t Cr ix Count' Z nib 3
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I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print): TESTS WERE COMPLETED ON:
Gary L. Steel 3-24-92
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
1554 200th. aV.e, New Richmond, Wi. 54017 2298 71 246-6200
CST SIG T E:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
INSTRUCTIONS FOR COMPLETING FORM 115 - SRD - 6395
To be a complete and accurate soil test, your report must include.
1. Comple _!scription;
2. The use Trust clearly indicate whether this is a residence or commercial project;
1 MAXIN.. rm')er of bedrooms or commercial use planned;
4. Is this aplacement system;
5. Comp..... suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL
OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
6. PL ASE use the abbreviations shown here for writing profile descriptions and comple[Irig the plot plan;
7. A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A
' may be used if desired;
ar benchmark and vertical elevatio=-i reference point are clearly shown, and are permanent;
6, r af' appropriate boxes as to dates, navies, addresses, flood plain data, percolation tryst exemp-
ti; t 'propriate;
10 `ormation (such as flood plain, elevation) does not apply, place N,A. in th ;)riale box;
11. S= F . form and place your current address and your certification number;
12 I 2 ble copies and distribute as re<fuired. ALL SOIL TESTS MUST BE FILED kNITH THE
L( AL AUTHORITY WITHIN 30 DAYS OF COMPLETION.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
and Textures Other Symbols
- Stone (over 10") BR - Bedrock
- Cobble (3- 10") SS - Sandstone
Gravel (under 3") LS - Limestone
s - Sand HGW - High Grr r
cs - Coarse Sand Pere Percolation Bate
nred s - Medium Sand W WeII
fs Fine Sand Bldg Building
Is - Loamy Sand Greater Than
- S= ~dy Loam < - Less Than
- Bn Bro vin
Lam BI Black
- Gy - Gray
- Clay Loam Y Yellovv
Sandy Clay Loam R Red
sk - Silty Clay Loam mot Mottles
Sandy Clay w/ with
sic - Silty Clay fff - fow, fine, faint
c Clay cc- common, coarse
or Peat ITrm - Many, medium
rn - Muck d - distinct
p - prominent
HWL - Nigh water level,
Six general soil textures surface water
for liquid waste disposal BM - Bench Mark ~
VRP Vertical Reference I' r
TO T O0VNER»
Th sr ast report is the first step in securing a sanitary permit. The county orthe Department may request
r cf this soil test in the field prior to permit issuance. A complete set of plans for the private
and a permit application must be subrnitte.d to the appropriate local authority in order to
ob,.,~n a I=ermit. The sanitary permit must be obtained and posted prior to the start of any construction.
d
1, q
STC - 104 +Yt
AS BUILT SANITARY SYSTEM REPGrRfi,`,,"~
O
ADDRESS IV
SUBDIVISION / CSMf LOT 4
SECTION ?;7- T ,?d N-R j9 W, Town of S~;~e s e,GA~i
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 E SYSTEM
i
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Ok
la ~
~ y
U k
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INDICATE NORTH ARROW
I
- 1
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
BENCHMARK:
s'a f,t s 5-
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: .,~2)-t`,I,,,:~ r 2Pe, e/ Liquid Capacity: /6d 2
Setback from: Well mil'„ House Other
Pump: Manufacturer Z o/~ e Model# ~1,7 Size ~
Float seperation / Gallons/cycle:
Alarm Location
i
SOIL ABSORPTION SYSTEM
Width: Length Number of trenches
Distance & Direction to nearest prop. line: -A" YS
Setback from: well: SD's House Other
ELEVATIONS
Building Sewer ST Inlet. ST outlet
PC inlet PC bottom Pump Off
Header/Manifold Bottom of system
Existing Grade Final grade
DATE OF INSTALLATION:
PLUMBER ON JOB: fJ`
LICENSE NUMBER:
INSPECTOR:
3/93:jt
Wisconsin Def--*,rtmentof Industry, PRIVATE SEWAGE SYSTEM County:
Labor anriHuman Relations INSPECTION REPORT ST. CROIX
,$afetyand Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan Roo.?
BROOME, SCOTT CA
St. Joseph
Parcel Tax No.:
CST BM Elev.: Insp. BM Elev.: BM Description:
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Ca-6 Benchmark /0&.S-S- l00
Dosing yy s
Aeration Bldg. Sewer /0,75 ~S, F
Holding St/Ht Inlet a;L 9 S.S3
TANK SETBACK INFORMATION St/ Ht Outlet /i y 3 c/S, /
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake 95-- 0
Septic >aS~ /J- y / NA Dt Bottom 7 5,
Dosing y d NA HeadeaMan. 7 y /03, x`
Aeration NA Dist. Pipe /0,, ? 7
Holding Bot. System q '/b3, 01-
PUMP/ SIPHON INFORMATION Final Grade ,k /b 3, 75-
Manufacturer ' . Demand N/0 9'd V5
Model Number GPM
TDH Lift Cpl Friction 5 System, TDH -7 .01 Ft
Forcemain Length ` Dia. aH Dist. TO Well SOIL ABSORPTION SYSTEM rty
BED/TRENCH Widt Length " No. Of enches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK
Mode Number:
INFORMATION Type Of i iC,re r CHAMBER `~s , , .lc a cl~~ OR UNIT
System:'jda, ` . ~v Lc-cct-
DISTRIBUTION SYSTEM
>ieader / Manifold ` Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
l D
Length Dia. J Length Dia. /),-Spacing'
, Spacing 36
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over ~r xx Depth Of xx Seeded ti3edded- xx Mulched
Bed / Trench Center p Bed/ Trench Edges (ate Topsoil l~ [}/Yes ❑ No Yes El No
COMMENTS: (Inc6ude code discrepancies, persons present, etc.)
LOCATION: St. Joseph.22.30.19W, NE, NE, Lot 6, North Bay r\J rY
f
r -
J, 7
rv ~ r
41
f ")4
Plan revision required? ❑ Yes ❑ No
Use other side for additional information. Im t t
' ~c , t• (o
SBD-6710(R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
II, II
'I
i
i
SANITARY PERMIT APPLICATION
< v'=~■'■~ In accord with ILHR 83.05, Wis. Adm. Code COd`-~UNTY uo IV
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than A9 / 914010.'X
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. I -e
PROPERTY OWNER PROPERTY LOCATION
'/4, S J.2 T,?Q, N, R E (ork562
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
0? W-1 wv so X. vtp
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
.✓d Shs A.-5:5 4,0 Ae d 7'1
II. TYPE OF BUILDING: Check one) CITY NEAREST ROAD
( ❑ State Owned ❑
VILLAGE ~
nR_ TOWN OF. -5 7' _4
❑ Public ~41 or 2 Fam. Dwelling-## of bedrooms -7 PARCEL TAX NUMBER(S)
III. BUILDING USE: (If building type is public, check all that apply) (T n
I-
1 ❑ Apt/Condo
20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
40 Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
50 Hotel/Motel 9 ❑ Office/Factory 130 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 5.0 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)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 Mound 300 Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-ln-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) p ELEVATION
~J Q 7 0o d (J /vim 0-2- l~ Feet I&W L1 S Feet
VII. TANK CAPACITY Site
in gallons Total # of Prefab. Fiber- Exper.
INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed F] F1 1:1
Septic Tank or Holdin Tank 10 kXf' EJ
Lift Pump Tank/Si hon Chamber k+- d
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system sho on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps) P/ PRSW No.: Business Phone Number:
Plumber's Address (Street, City, State, Zip Code):
IX. C NTY/DEPARTMENT USE ONLY
❑ Disapproved S%V* ary Permit Fee (Includes Groundwater a e ssue Issuing A nt Sig a (No ps
urcharge Fee)
n
*Approved ❑ Owner Given Initial 6Q1_1'
/
Adverse Determination ~V / ~ a/ c
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: '
SBD-6398(8.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
T -
INSTRUCTIONS mfr
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.
Vlll. 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)
. O
Sv,~~Eya~ 5
AT-
cog ti~
75
d = E,risr~v f f',e4'pE E~~v r~ovs
C5T's 13"1 Fov.~D
Top o,,=- STEz-z-
the 0, lip II imlope 11111111 0
must roil 1111 118 D , 'Z
So~i 10011Spslim
S~p,GE SY~~ /
PRjVP''YE ~l
ditiona Y
Con ll y~ •l ; s
NS 3
~t p~1~1 / l 70
010 gUtlQ 5 I
~OUgTt►'~ , Q ~ ~
SAFE ~ /
ptVt5t0~ Of ~ ~ ~
,Ace
SEE GORR
aril/ oF~.~~
i /DO/ T ~ ~E N~tl-✓
a
yo
-
.v~w Aooa n
S~ /ov r V
DC, Zd J
NEw ~REatsT f~E7J~P~15 . V
iooo 6~M2 • S~T
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use se4. 40 Puy i -
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pRoPosEO wEll
S,c~v~ 57 ~5,
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ilia • ~,q-ss G~1 K~ -
-
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
Octnber 28, 1994 201 Last Washington Avenue
P. 0.. Box :%969
Madison i'I S:1707
til_IiRICHT & ASSOCTATFS
ROBERT 111 BRICHT
655 O' NF I i.l ROAD
HOOSON WI 54016
RE : PI AN 594-04613 f iJ RH'F 100 ' I F10,00
BROOME, SCOTT
SE,NW,26,30,19W
TOWN OF SAINT JOSEPH COUNTY Of `j CROIX
MOUND SYSTEM
The Department has. review,,~d the above-roferpnced slibiriitt.al.
Conditional approval is hPr(-.,hy granted for the ~y0om plan stibmittal _ All
noted items most ho corr clod. The rev)ew ;end approval of the system is haseri
on chapter 14`1, Wisconsin >t.~tul:PS; and chapters IIHP 83 and 84, Wisconsin
AdmireislrativF Code, and is r-ont invent upon coirrpl'ianro with any st.ipolations
shown on t.hP plans:. This gstPm has not been reviewod for the code
requirements set forth in chapter ILHR R2 or in rhapter'; fl-HR 50-64, Wisconsin
AdministrativP Coda.
Fhis plan submittal approval will expire two yviir,' from the approval date, or
if a sanitary permit i*5 nhtainPd, plan approval will expire on -the duty the
initial sanitary permit expires, Thv licensvcl plurirbor r(~sponsible for this
installation shall keep onr set .)f plaoi with the Or-q';ar mr,nt's stamp of
approval At the constriirtion site. The installer shill notify the appropriate
inspes:t.or when inspoctions rata ho made.
All permits required by the city, village, township x~r r.ounty %hall bP
obtained prior to inst.allatinn.
TngrririPs should be direr•.ted tt? my it the number li,;fvd holow. PlPdso refer
to tho plan nunmr:~r shown above.
since ely,
enr~ .th Stienike
plan Reviewer Section of Private ewago
(608) 266-8730 7:00 to :1:45 Mon. thu Fri
SHD•saaa (K. 01/91)
ULBRICHT & ASSOCIATES CO.
655 O'Neil Road • Hudson, W1,54016 Reg. Designers of Engineering Systems
715-386-8185 Private Sewage Consultants
PROJECT INDEX c
S 94 - 046 13
DILHR Plan I.D. # S94-04613 Date Nov. 1, 1994
Owner Scott Broome Phone 612-436-6671
Address 2446 River Rd. So., +Lakeland, Mn. 55043
Legal Description Lot 6, Bass Lake North Subd., NE 1/4, NE1/4, Sec.22,~
T30N, R19W.
Town of St. JoseDh County
- St. Croix
C.S.T. Installer
Gary Steel, CST 2298
Local Authority/ Supervision
St. Croix County Zoning Dept.
PROJECT DESCRIPTION
New construction. For a 3 Bedrm. sized home. Estimated
daily wasteflow: 450 gals.
Soils are pe5miable (34 min/inch or equivelent design laoding
rate of .5 GPD/ft However soils are seasonally saturated at
2.17'.
Proposed: use a mound type system.
This design for installation is based entirely on measurements, elevations,
landscape conditions (slopes etc.) and soil suitability provided by CSTM 2-7 19
9
The accuracy of his specs, as reported, shall remain the sole responsibility
of the CSTM.
Pg.l PLOT PLAN VIEWS
Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS ```~u~u`""1p1°"ut"~ag
'Scol S,r
Pg • 3 PIPE LATERAL LAYOUTS ~f+
R00ERi W.
Pg.4 DOSING CHAMBER CROSS SECTION - ULOOW
01160
Pg.5 PUMP PERFORMANCE SPECS
-CROSS SECTION OF MoUAjD wi TN f3ED
13ED aF ro
S 94 - 0 4 6 1 3 •Di sT giau-r%oj y5iee5ATE
pip it.)
,
Fss
G , rti~ ck~s s ys rEM
of TaP s o i l E IEvh rioO
Vjoi Fop M To E
~-1'IV E r
' SAND
piowEa ToPSol' u l) ; FoRM
ORCE,
% SIopE rP1h 61EVAT1o0 Um PER
40 Fr. - ELEVhrio►J 5
E• /,3 Fr. IrJvFRr OF 2- ]ATERMS 3, y6;-
F a Top OF Pock /o 3.77
G F-r. of ( -L- ii H FT
y' To p IATERAIs
.
. VIEW OF MoUjjD ~ wirtt 13ED
PRiV ASE S
oriditt°~ 1ED C FvRcE MAbJ A (p Fr-
si I
°~~c~ 4- I T l- ~ 3 F r
- b 1
w - - - T /3
Fr
a
W Y W a7
Bev of
To I Z"
PVc cAppEp A 99RE5hTE
d~35ERVhT'10~~
Pipes
PERMA,j EruT MARKERS
ReceulfReD (3ASAL fNgeA _ TACLy tuhsm-F1 ow
' Shit, t/J'f'~ITIQ/1T1bE
C n'PAC Ty • S sa. Fr.
PRopoSEv BAsA4 AReN (A t Z
11f 7
S /n FT.
- a
v O
D%5TRi f3uTi oA3 PipE N e Tw oR k LA%ou r
S,94 -,046 13
_ p R
0
~o\E '
y
~No~v~ti/s 2, p p F r
Ae ~y R 3, d :r
X 36o I~tcl~ES
FORCE MAi►`1
/Oy Fr. of Z PVc Y 36
IucHE5
VARi A(3LE
TOTAL vela U01W.Ae ~~,y Gats,
I
H olE D,AmeTE`R ~y ~NCHes
L.hTERA.L, It
INcDES
MAWFoLD Z
I~ c I~ ~s
FoRcE MAI&3 2-
It SZw
'Ve~ps pi a 2-1
ZtJUERT
R~~ . ~
p ELEUAT1o~J
~on'ditto o F- L ATE Rh I S 01
/a -3,
ys
-DETAiL ~uD c Ap
GoRaES~ 17E R Fo R /4TE ~ ~ ~---J
• ReMovE- Ali FDROI (3uR[2S ` Y
HoIES IocATEe 0,0 BoTToM EgL)AllY SPACED ,
Di STRi BOTIOM 'DISChAR CsE RATE FOR IE~Rch LArERR L
p~R 0T (-S 2.7 GAS l MI*A3.
TOTAL 17iSTRiBOT100 V5CH^RC->E' FATE FOR
NETwoR K Ml*"I'Mo AA
~ilS~ ST rF ~~p~~a~ Sri Ti G ~s
S94 - 046 13
/~~~,va-yvuiE- GCi is ~~f 7jr/ .
PUMP CHAMBER CROSS SECTIOU AND SPECIFICATIONS pf}~E OF S
-VEUT CAP
4"C.I. VEPJT PIPE APPROVED LOCKING
WEATHER PROOF MANHOLE COVER
JUI~CTIOIJ BOX
P-5' FROM OOOP 4vA,(A11N&-- IA13EI
„ 12"MIU.
WIIJDOW OR FRESH
AIR IIJTAKE GE 8 $
-/,1740// GRADE
L c~ 4"MiN.
A E
z1- cQn 1 IB"MIN.
CoN T
3G
tiCN
~ l E U~ 1"I R ~v HpMA ~ 11~
~oussAY . Ko B
OF Al E I I I I
I N L E T Slott
Y
I (
010 ~~ESp~Nt~iv"sli I IIi APPROVED JOINTS
APPROVED JOINT A IN SEE ~ I III W/C.I. PIPE
W/C.I. FIPE ,~(U I I I EXTENDING 3'
EXTEAIDIIJG 3' '00 I II ALARM ONTO SOLID SOIL
OVJTO SOLID SOIL B 9 o
I i
(3. 3) I I 0"
~J c
ELEV. FT. PUMP-----
' OFF
y
D G
A O k ZE p p j~ 6 BLOCK
CC it VA f iod
'Jo 7 RISER EXIT PERMITTED OIJL9 IF TAMR MAIJUFACTURER HAS SUCH APPROVAL
SEPTIC E SPEGIFI'CATIOKJS 2
OSES: 3 PER DAy
DOSE ~iO~it sT~A°~✓ ~~f'~'fSIJUMBER 156
TANKS MANUFACTUR ER:
TAIJK SIZE: GALLOMS DOSE VOLUME ,G
5. -T- &IEcT p O INCLUD)MG BACKFLOW: GALLONS
ALARM MAIJUFACTURER:
MODEL KWABER: /I*/ e6c-) CAPACITIES: A= /L INCHES OR ady'd~J GALLONS
SWITCH TYPE: gc,,e Cy,,el fi/~,f T B= 2 INCHES OR GALLONS
L - INCHES OR iGG GALLONS
PUMP MAMUFACTURER: ~OV ~5 V p G-
MODEL DUMBER: 3eyg" GvE0,s/f /1 r p= Y IMGHES OR GALLOWS
SWITCH TYPE: ?illy BY-K Raeply MOTE: PUMP AND ALARM ARE TO BE
GPM 1f,1ST~9lLED OM SEPARATE CIRCUITS
MINIMUM DISCHARGE RATE ~J~ EET -rAok SPEC S
VERTICAL bIFFEREIJCE BETWEEN PUMP OFF AND DISTRIBUTIOAI ~Z1?E.. , ;1
2.5 FEET 16A6 1k ~ O~-
-I- MIUIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . .
X00 FEET OF FORCE MAIN X f? F oirFRICTION FACTOR.- .3." FEET t-~OA~S 2S"
TOTAL 09MAMiC. HEAD = 17-6 3 FEET
LIQUID DEPTH
INTERNAL DIMEMSIONS OF TANK: LEKI&TH LL-;WIDTH ~i
S 94 - 04613
Submersible
Effluent Pumps
3885
AVAILABLE CERTIFICATIONS
ETA LISTEN SUBMERSIBLE PUMP
CLASS I AND 11 DIV. 2 AND E
CLASS III DIV. 1 AND 2
ETL TESTING LABORATORIES, INC.
CORTLAND, NEW YORK 13045 G1086131480
CANADIAN STANDARD ASSOCIATION $11
PERFORMANCE RATINGS (gallons per minute) MODELS
I
WE0511H WE0511HH Series HP Volts Phase Max. Amp RPM Solids WI (Ibs )
Series WE0512H WE0712H WE1012H WE1512H WED512HH WE1512HH
NO. WE0311L WE0311M WE0532H WE0732H WE103211 WE1532H WE0532HH WE1532HH WE0311L 115 9.4
WE0312L WE0312M WED534H WE0734H WE1034H WE1534H WE0534111H WE1534HH WE0312L
15 4.7
HP Y2 Y8 Y2 3/4 1 1'/2 1,/z WE0311M Y3 115 9.4 1750 56
RPM 1750 1750 3500 3500 3500 3500 3500 3500 WE0312M 230 1 4.7
5 100 70 80 90 106 - 80 - WE0511H 115 13.0
10 80 65 76 87 102 112 56 84 WE0512H 230 6.5
15 60 57 72 84 100 108 53 82 WE0532H 20030 3 3.4
20 36 45 65 79 95 105 48 • 77 WE0534H 460 1.7
25 25 59 74 91 100 45 75 WE0511HH /2 115 13.0 60
30 50 67 85 96 40 72 WE0512HH 230 1 6.5
S 35 40 61 79 92 35 70 WE0532HH 208/230 3.3
40 26 52 72 86 30 67 WE0534HH 460 3 1.65
i5 10 43 64 80 25 64 WE0712H 230 1 10.0
N 50 30 54 73 18 60 WE0732H 1. 208/230 5.4
_~55 17 42 65 12 58 WE0734H 460 3 2 7 3500
6 30 54 3 54 WE1012H 230 1 12.5 70
IZ 65 15 40 51 WE1032H 1 208/230 7.0
r
70 5 26 47 WE1034H 460 3 3.5
j _75 14 43 WE1512H 230 1 15.0
4 40 WE1532H 208/230 9.2
90 33 WE1534H 460 3 4.6
100 24 WE1512HH 1 /2 230 1 15.0 80
110 15 WE1532HH 208/230 3 9.2
120 5 WE1534HH 460 4.6
metal parts, BUNA-N
elastomers. METERS FEET
• Temperature: 1600 F (710 C) 90
maximum. MODEL 3885
• Fasteners: 300 series 25 80 SIZE 3/4" Solids
stainless steel.
• Capable of running dry 70 We' !
without damage to 20
5GPM
I
Motorponents. so ! . __*-5 Fr
WED
=
• Single phase:'/3 HP, 115 or a 15 50
230 V, 60 Hz, 1750 RPM; o WEO H I
HP, 115 V, 60 Hz, 40 __w _
3500 RPM;''/2 HP through 10
11/2 HP,230 V, 60 Hz, 30
3500 RPM.
20
Built-in overload with
automatic reset, class B 5
insulation. 10
- -
• Three phase:''/2 HP through 0 0
1'/2 HP 208/230 V, 460 V, 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM
60 Hz, 3500 RPM. I I I
Class B insulation, overload ° 10 20 30 m3/h
protection must be provided CAPACITY
in starter unit.
8
ONO"
L
pv,~f>v,~-r To ^1 `~-1 z
. ~ tv~v ~ •~7-t~ D~~ /°y1i~°TS Ors /o7-- TD'S T~~ ,
Wisconsin Depa of In S ND SITE E V A L U AT I ON REPORT Page of 2
Labor and Hum atioM .
Division of Sa _ ~nl Irvs ccord with ILHR 83.05, Wis. Adm. Code
E $ COUNTY
Attach comp) e e plan Qn papef not less 1/2 x 11 inches in size. Plan must include, but
not limited to and hortzorat refere M (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, ;a oiV 466.1 ion i ante to nearest road.
REVIEWED BY DATE
APPLICANT IN MATIp V 1. ARINT ALL INFORMATION
PROPERTY OWNER: PROPERTY LOCATION
SGO TT 7310 o~1 E ~fla ..5- 7'007- GOVT. LOT 1/4/0,---1/4,S 22-T 3o N,R I r E
PROPERTY OWNER':S MAILING ADD ESS LOT # BLOCK # SUED. NAME OR CSM #
lyy~ ~i6 5-'8 • Cp
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE C~FOWN NEAREST ROAD
/ v 14%V. s576Y3 ((.1im) 17"36 -66 71 57-, TO s~ j3 ss do
[ q- ew Construction Use [ residential I Number of bedrooms 3 [ ] Addition to existing building
GS = N o7- Q tJ~4 /iF~ ~1~
I ] Replacement [ ] Public or commercial describe 41,
Code derived daily flow i gpd Recommended design loading rate 4a bed, gpd/ft2 y4 trench, gpolft2
Absorption area required bed, 1112 trench, 111:2 Maximum design loading rate tit bed, gpd/ft2Ztrench, gpd/ft2
Recommended infiltration surface elevation(s) 1~ ft (as referred to site plan benchmark)
Additional design / site considerations Si •7if- N 0 7- SUi'T 3 ~ - 7%e
Parent material Flood plain elevation, if appli6able It
S = Suitable for system CONVENTIONS MOUND IN-GROUND PRESSURE AT-GRADE SYSTt:M IN FILL HOLDING TANK
U= Unsuitable for s stem O S f'U ❑ S ❑ S C tip O S O S G-V- ❑ S
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 lends
El 2 )-z0 7,sVe YA; - CS 4, S aU_ 2 S -
Ground 3 -~D -7, S y c 2 P cs f S,6,C '
elev.
"e~ft.
Depth to i
limiting
fao
sus
Remarks: S7~ ~D~S ,c9o / 2 /f ~N SilTr/,fifTz~V ?D SGi/ 00~~ ,
Boring # y/P y /Yh S f • y S
o z s~ ~s~,~ f 3
.:r::.. 3 D y Z 2 Sr i' e 5-
Ground
i
elev. x'70 ,S ` 2 P S/ 7//
ft.
Depth to
limiting
factor ,
~s Remarks:
CST Name:-Please Print Phone:
Address: - i, / jD,v ~v/S, sya~C 7 D • CO o5- T~ i y~L
Signature: Date: CST Number:
Fee
PROPERTY OWNER SOIL DESCRIPTION REPORT page of
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boun tary Roots GPD/ft
In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rench
13,
Ground
elev.
ft.
Depth to
limiting
facto
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
r~
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
con coon,o ncinn%
,von Lo T. L
K3
75 ~ L
r • r----y IN i
13
i
J
l
w
L 0 T
G~'1 t~-Q /Ud
AS -s
APE+
~ I
~PP~ev~l~ I ~
Soil. 7~5 ~ ~
3-1y-~2 ~ I i
I ~ -
I ~
'QEpARTK4ENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
DIVISION
INDUSTRY, P.O. BOX 7969
LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707
HUMAN RELATIONS (H63.090) & Chapter 145.045)
LOCATION: SEC-TTIO~1 TOWNSHIP/Ml]bWe)M WY: OT NO.: BLK. NO.: SUBDIVISION
E 1/414/4 NAME:
St. Jose h 6 n/a bas's Lake North
22 /T3o N/R9xf (or) W p
COUNTY: OWNER'S A1NE- =AG SS:
St. Croi x Richard Stout ee Trl., Hudson, Wi. 54016
USE DATES OBSERVATIONS MADE
rL NO. BEDRMS.: COMM D CR PT10 I ROF E DESCIII ' 10 S: A ON TESTS:
Residenca 3 n/a WNew 0 apiece 3-23-92 3-24-92
RATING: S- Site suitable for system Us Site unsuitable for systsih •
ONVE3~11 L: MOUND: IN-GROUNl1 N-FILL OLDING TANK: RECOMMENDED SYSTEM: (optional)
®U ®S ❑U ❑S)HU ❑S ®U ❑S NO mound
❑S
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under 0163.09(51(b), indicate: A joo n n/a Floodplain, inibcale Flomll)lam elevation: -n/a_-_
decimal' PROFILE DESCRIPTIONS page 34 S111
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTE OF SOIL. WITH THICKNESS, Cf)LOR, TEXTURE, AND DEPTH
NUMBER DEPTH ELEVATION OBSERVED S i rES TO BEDROCK IF OBSERVED ISEE ABUHV. ON BACK.)
B-1 4.17 100.45 none 2,17 .92,,1.0yr3/3,111., 1.25,10yr4/4,s.si.l.j 2.00, 10yr-
~$~Oyr~i;I:--O~l~yr4T ,s.st-:~7. yr-
B 2 4.58 100.45 none 2.58 4/4, mot. s.l.
101.95 1.00,10yr3/3,1., 1.42,10yr4/4, sil., 5.33, 7.5-
g-3 7.75 none >7.55 r 4/4, s.l.
B-
B-
B_
decimal' PERCOLATION TESTS
RAPEfMINCH ES
TEST DEPTH WATER IN HOLE TEST TIME DROP IN -WATER-LEVEL-INCHES
NUMBER I AFTERSWELLING INTERVAL-MIN. PERIOD I QERI D 2 R
P. 1 2.00 none 30 1% V% 24
P. 2 2.00 none 30 11, 1 1 30
P- 3 2.00 none 30 1 7/8 7/8 34
P-
P- - -
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION 102.95
l pqy,6 eft"
a pr va p End ng on 91 e by t. Cr ix Coynt~ 7, ning !
it
i I I I i I I ~ i
0% 1
{ I
2
r
1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print : TESTS WERE COMPLETED ON:
t,,iry L. Steel 3-24-92 _
ADORE S: CERTIFICATION NUMBER: PHONE NUMBER (optional):
1 246-6200
1554 200th. aV.e, New Richmond, Wi. 54017 22ZTE:
CST SI3UTION: C iginal and one copy to Local Authority, Property Owner and Soil Tester.
i'l) f3i?!; ill,li7/q7) tran 11
\hIr NE CORNE
_ SECTION
SECTION ,22
S89055~ 13"W 318.67 se9°55' I "w
220.00'
6 °/o
I ~
1V I /
i
CJ I ~
.I ID i /
I CJ ( C`J I NOTE; LOT 6 TO BE (0
oil ia-
I LiJ I (-of N SERVED BY A MOUND 0 ~)1
CSI ~I TYPE SEPTIC SYSTEM.
0)
1 --1
1 LOT 6/ 0
~I `7
I 1 ~I
1 ~ M 4.12 ACRES 6% ~ I ' 1 (71
3 0
i --1
~I CSI * tn/ 179,619 SO. FT.~ L~1 Q~
~ Z I N I 3
i Li j
I M I i!1 I
r I CSI i d 'J1 C-) I CGI Ln a
i J, CJI 1 LiJI UJI ~1 rn
I -r- M o
>1 0 00
C, I C Z 11 r► CSI z
JI O
6%
1 I
6 °/o 1\ I i -
V (O
....I ......................0...
n ! O ~vj OT : LARGE STONE OCCUPIES CORNER
I ( Oo M FOUND I" IRON PIPE LIES
146.14' _ N06035'56"W, 2.86' FROM
N89°57' II"W 9 COMPUTED POSITION.
THE
- FVe~/e O ~S9o
-317;54' _ ,
~S00
ass ° 2? •
O, o
/0, PO 5
00' O ( N
h N
Q1
Z
M F-
u
w
W
3 0
CD v
am ' - \
• Z
o
• 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 Szae 2~T+~'
Location of property F 1/4A/E1/4, Section 01, . , T_,30 N-R_L_L_W
Township 64 31s5 c» A Mailing address c~y~6 !?✓LzM ~~Sn
L& 4
Address of site a~ 41 6L
Subdivision name 5j 3sc,,Oti Lot no. (o
other homes on property? Yes c/ No
Previous owner of property R d1 ka."d 6`t
Total size of property 'ke-
Total size of parcel G
Date parcel was created C 4 /1 - 7
Are all corners and lot lines identifiable? ✓Yes No
Is this property being developed for (spec house) ? Yes t.--/No
Volume Ib!E~ and Page Number SY7 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. S.1 a C31 , 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 Applicant Co-Applicant
//h /14f
Date of Signature Date of Signature
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNERIBUYER &'6-74- ~na j n4 =r
MAILING ADDRESS
PROPERTY ADDRESS N a ti R d
(location of septic system) Pease obtain from the Planning Dept.
CITY/STATE 'ce'syl- L.., i
PROPERTY LOCATION _ I 1/4, NP 1/4, Section d-R T30 N-R W
TOWN OF 6f ~d S~fOti ST. CROIX COUNTY, WI
SUBDIVISION /VCS' LOT NUMER
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, joumeyman 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 expiration date.
SIGNED:
DATr: { I--
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, W1 54016 11/93
i
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
October 28, 1994 201 East Washington Avenue
P. 0. Box 7 ,0i
Madison ,
ULBRICHT & ASSOCIATES
ROBERT ULBRICHT ,
655 OINEILL ROAD
HUDSON WI 54016
RE: PLAN S94-04613 FEE RECEI 1 0
BROOME, SCOTT
SE,NW,26,30,19W
TOWN OF SAINT JOSEPH 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 exnira roval date, or
if a sanitary permit is obtl the day the
initial sanitary permit exp \ fle for this
installation shall keep one, ;tamp of
approval at the constructior ;he appropriate
inspector when inspections c
All permits required by the ~ti r all be
obtained prior to installati -
Inquiries should be directed )lease refer
to the plan number shown aboi
Nt el y,
h Stiemke
Plan Reviewer Section of Private Sewage
(608) 266-8230 7:00 to 3:45 Mon. thu Fri ORIGINAL
S HO.6423 (R, (11/91)
ULBRICHT & ASSOCIATES CO.
655 O'Neil Road - Hudson, W1,54016 Reg. Designers of Engineering Systems
715-386-8185 Private Sewage Consultants
PROJECT INDEX S 94 -P 046 1 e3'
DILHR Plan I.D. # S94-04613 Date Nov. 1, 1994
Owner Scott Broome Phone 612-436-6671
Address 2446 River Rd. So., +Lakeland, Mn. 55043
Legal Description Lot 6, Bass Lake North Subd., NE 1/4, NE1/4, Sec.22,
T30N, R19W.
Town of St. Joseph County St. Croix
C.S.T. Installer
Gary Steel, CST 2298
Local Authority/ Supervision
St. Croix County Zoning Dept.
PROJECT DESCRIPTION
New construction. For a 3 Bedrm. sized home. Estimated
daily wasteflow: 450 gals.
Soils are per2miable (34 min/inch or equivelent design laoding
rate of .5 GPD/ft However soils are seasonally saturated at
2.17'.
Proposed: use a mound type system.
This design for installation is based entirely on measurements, elevations
landscape conditions (slopes etc.) and soil suitability
of the CSTM provided by CSTM 2-219
The accuracy of his specs, as reported, shall remain the sole responsibility
.
Pg.l PLOT PLAN VIEWS
Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS
Pg.3 PIPE LATERAL LAYOUT
Pg.4 DOSING CHAMBER CROSS SECTION
Pg.5 PUMP PERFORMANCE SPECS 16.2,
ts++f ~ :,nf6,..
~'~'r.r.
~ f
~ ~
~j
~ y
bi Y~
d
- Fr U~D
5v,~~Eya,~ s
rP ~T
I /0'-
30
zy
• 1Y* e ?o F TS
d = ExiS7-1N5 f,~~I9E /~Ufinovs
CST's 13'A! Fo~~D
rod c~ sr~~
the ~~ea R. Wil to Will 111111 o
$01~ 1hijoll SASIim
GE
Pa~vA~E SoP.°Wally
Cond`t1 y~
rt~GNg / / ~
gQg 11~~Q ~
p ~ g
ESp00
SEA ~ ~ ~ , !
2 /
rprAl
a
yo
/Ov AN
za' ~
I~
NE,,v f,EUol`15.
/DOO 6&x • 5~T , I
~ ilk
i
j
use- se4. 40 Puy I
•~~cv7- ,4/~ T.~f.~~S p RopoS E D wrtl
0
ORIGINAL
- P 1Of S
Xle
P 2 of
CROSS SECTIO,J OF MOUOD W i T'ti f3ED
OED OF ro
S 94 046 1 t7 ASgerS`ATE
'DiST(ti(3uT%n~
G, rk,Ck.0es3 PI PwG-
s ysrEM
OF T•oP s o i l a levA riC)Q
Uu i Fo R M TOE Ur N H ~i/4 Z /~J~
ILCC
Mao. -
• ~ ll~ lll~ 111 ill ~
plews:o TopSo. L
~
I' FORM
/G SIoPE OR AJ EIWATIO-) Uu17ER
AO FT - ELEVA rioN) 5
_L-
/,3 Fr. ImVF-Rr of Z IATGRA(S /0 3, ys'
F - FO F T Top of Rock /O3_
G /f 0 FT ot; t -L- it ~ATERAIS
/a3. ~D
H SYS~W TO P
AGE
PRIV p-~E •
C n I vF M0U~~ wi rtt 13E D
Q S1uNS
A aN RE1A
~►eo SUB 1~D1 FoRcE MAW
oosta ~,ao R CP F T•
off' ~ws~sa °f
E~~ I 4 ~3 Fr.
R SP° K
~b F r
(3 T l- ~'3 Fr
_k~,, o---------_~-_ 01
W, I' --------'------------j! 1 FT
T ~3 Fr
a
a- Y W ~ 7
l fT7
Bev of
To I "
Pvc cAPpep
at35ERVATlo#_) A j3PrjATE
Pipes
PERMAA)WT MARKERS
RE(2ufRr=P 13ASAL h 'EA ` 7)ACLX tohsrE to _ %✓~0 - l~
sc,l ~ iai~ IrrtnTwE• ~ . ' Sq. F
C APAC, ty T.
PRo?osEb I)AsA{ AReN = 13 x (A + I
~ 5 to ~T.
d °
DISTRI f3uTl oAv Pi PE N E tw OR k LAyour
&94 04613
P R
T MA
~n\ E
r
6o F
v s 2,. p
~~laav Ae 15 R 3, d Fr
X INCNEs
FORcE MAk3
oy
Fr. of Z PVc y 36 IIUCHEs
VARi'h(3LE
TOTAL v(9lr7 VoluMG Gals, WST^x3Cm
H olE D~~NETE (Z 4/ INCHES
Lh1E1?/!L /2_ INCRES
MA01FOLp 2-
I~Cf{ES
i ►~CI~ES
qw"/PiPE- 2-1
ZOVF-RT E LEVATIok)
pR,vxv itionolly
Coed o F- LATI_ Rh I s
/a 3. ys"
P
A
,e
~~~s~nr. Po
OF SAFE
P; P -DE TAB L-
p{V1S10N
(~':~(7 R ATE D D c AP
~ .e----J
Pot
SEE \
• R MovE- All I)Rill Boof25 ~ \ y
H61ES I0CATE0 o,J BoTroM E-gUA1IY SPACED ,
Di STRi C oT-Iom 'DISChAR C>E RATE r-°R I;Ach LAT`ERA L
PAR CoT•(S 2-1-1,,1,- 7 GAS
/ MiXN .
TOTAL 1`)(STRi(30Tio0 'DISCHA;RC->E' RATE PoR
NETwOR K yl~ G~~.~MI',~. a•5' I MI'NI'MUM
;;~f W"f
894 -04C) 13
PUMP CHAMBER CROSS SECTIOKI A"D SPECIFICATIOUS PA E I of 5
-VEMT CAP
4 C.I. VEUT PIPE WEATHER PROOF APPROVED LOCKING
JUPCTIOM BOX MANHOLE COVER
~ P-5' FROM DOOR, rjw/(VA1A11N(!"IA13E1
WINDOW OR FRESH 12"MIU.
AIR INTAKE I
'I^n~ GRADE SY
c~ I 4° MIIJ.
Z-_ J IB"MIU.
970 ' 77141-- COMEC4p
3G
~IEU~rr. a~. N
ILDI
of nRE'b eoA as ou AN = _ _
IrLILET nwo~
GH E~
~{V1~
qq.o y l V" Np I APPROVED JOIMTS
APPROVED JOIAIT
1J/C.I. PIPE A M SSE CQ~RSPn I~ w/c.i. PIPE
EXTEMI)ING 3' '00 ALARM EXTENDING
S
ONTO SOLID SOIL ONTO SOLID SOIL
e q0,
ow
c y~'' l 3 3 l I I
3~ I
ELEV. FT ' PUMP --J OFF
D G
~
A,)
NK Igtno/
BLOCK
VII fro AI 1
y~ 7 RISER EXIT PERMITTED 01JL9 IF TAWK MAIJUFACTURER HAS SUCH APPROVAL
SEPTIC E SPEC.IFICATIOUS
DOSE ~{~J
TANKS MANUFACTURER: ' `/OZV6,57 &-C"'STIJUMBERS~ DOSES:_ 3 PER DA-4
TAUK SIZE: DOD GALLOMS DOSE VOLUME 16 /614
: S. J. t=(EcT O IMCLUDIUG BACKFLOW% GALLONS
ALARM MANUFACTURER
MODEL HUMBER' CAPACITIES.' A= lL INCHES OR `~Dd GALLONS
SWITCH TYPE: 1yelPev"et ic2a.f 7- e = Z INCHES OR .50 GALLONS
PUMP MANUFACTURER: GOVLJ~jr C. INCHES OR EGG GALLONS
INCHES OR GALLONS
MODEL NUMBER: 3~~✓~ GtiEd,S ff/~// t'i #P
46
SWITCH TYPE: Pfjj BAcK ~ «/~Y NOTE: PUMP AMD ALARM ARE TO BE
MIMIMUM DISCHARGE RATE 50 GPM INSTALLED OM SEPAR/~ATE CIRCUITS
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.// /r FEET -rA&) ! a 1 UC S
-F- MIAIIMUM METWORK SUPPLY PREcSSSUR7E/. . . . . . . 2.5 FEET EACI~ p~ pit
o 0 FEET OF FORCE MAIM X ~ J d F loo FT.FRICTIOU FACTOR.. 3' 9d FEET
TOTAL D9QAMIC. HEAD = 17,63 FEET
D"
INTERMAL DIME."S101JS OF TAMK: LF-KIGTH a L ;WIDTH •;LIQUID DEPTH
S 94 - 4461 3
Submersible
Effluent Pumps
3885
AVAILABLE CERTIFICATIONS
ETA LISTED SUBMERSIBLE PUMP G
CLASS 1 AND 11 DIV. 2 AND
CLASS 111 DIV. 1 AND 2
ETL TESTING LABORATORIES, INC.
CORTLAND, NEW YORK 13045 G1086131480
CANADIAN STANDARD ASSOCIATION SA
PERFORMANCE RATINGS (gallons per minute) MODELS
WE0511H WE051INN Series HP Volts F%ase Max. Am p HPM Sol
series WE0512H WE0712H WE1012H WE1512H WE0512HH WE151214H ids YUI jibs.)
NO. WE0311L WED311M WE0532H WE0732H WE1032H WE1532H WE0532HH WET532NN WE0311L 115 9.4
WED312L WE0312M WE0534H WE0734H WE1034H WE1534H WE0534HH WE1534HH WE0312L 230
4.7
MP A 1/2 Y4 1 1'/x %2 1'/z WE0311 M Y3 115 1 9.4 1750 56
RPM 1750 1750 3500 3500 3500 3500 3500 3500 WE0312M 230 4.7
5 100 70 80 90 106 - 60 - WE0511 H 115 13.0
10 80 65 76 87 102 112 56 84 WE0512H 230 6.5
15 60 57 72 84 100 108 53 82 WE0532H 208/230 3 3.4
20 36 45 65 79 95 105 48 77 WE0534H 460 1.7
25 25 59 74 91 100 45 75 WE0511 HH 115 1 13.0 60
31 30 50 67 85 96 40 72 WE0512HH 230 6.5
S 35 40 61 79 92 35 7p WE0532HH 208/230 3.3
40 26 52 72 86 30 67 WE0534HH 460 3 1.65
WE0712H 230 1 10.0 'h"
r. .~5 10 43 64 80 25 64
_50 30 54 73 18 60 WE0732H 208/230 3 5.4 3500
S5 17 42 65 12 58 WE0734H 460 2.7
041 6 30 54 3 54 WE1012H 230 1 12.5 70
65 16 40 51 WE1032H 1 208/230 7.0
lu 5 26 47 WE1034H 460 3 35
75 14 43 WE1512H 230 1 15.0
4 40 WE1532H 208/230 9.2
90 33 WE1534H 460 3 4.6
100 24 WE1512HH 11/2 230 1 15.0 80
110 15 WE1532HH 208/230 9.2
120 5 WE1534HH 460 3 4.6
__'metal parts, BUNA-N
elastomers. METERS FEET
• Temperature: 1600 F (71 ° C)
maximum.
_ MODEL 3885
• Fasteners: 300 series 25 80 SIZE 3h" Solids
stainless steel. _ Ei
• Capable of running dry 70
I - _
without damage to 20 1-
components. o so 5GPM
Motor: vuEO SFr _
• Single phase: 1/3HP, 115 or -1 15- 50
1
230 V, 60 Hz, 1750 RPM; O WEO H
'/2 HP, 115 V, 60 Hz, 40 _ T .
a ,
3500 RPM;''/2 HP through 10i
1'/2 HP,230 V, 60 Hz, 30
3500 RPM. 20
Built-in overload with -
automatic reset, class B 5 10
insulation.
• Three phase:''/2 HP through o o
1'/2 HP 208/230 V, 460 V, 0 10 20 30 40 50 s _
0 70 80 90 100 110 120 GPM I
60 Hz, 3500 RPM. I I I I
Class B insulation, overload 0 10 20 30 m3/h
protection must be provided CAPACITY
in starter unit.
8
• DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2-1982 THIS SPACE RESERVED FOR RECORDING DATA
WARRANTY DEED
522631
Ir ivf necold
Pic--hard (L stn"t And Janet P Stnilt, bus-ba-m r7 •c t
And wife Survivnrshin marito1 nrnnP~rt7, 5
OCT 19 1994
2:15 P. fir
conveys and warrants to Scott M Broome and Jul i e f p,„r,.V•
Tangen, husband and wife, r 709G 3 i
6.
RETURN TO
the following described real estate in St C'rn i x _County,
State of Wisconsin:
Tax Parcel No:
Lot 6, Plat of Bass Lake North, Town of
St. Joseph.
This i S not homestead property.
(is) (is not)
Exception to Warranties: easements, restrictions and rights-of-way of record,
if any.
Dated this 1 8th day of October 194--•
(SEAL) (SEAL)
~t•-ll.~~.-~ /~~l/t~-'~`
Richard O- S ort Janet P Stout
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
SS.
This i G not homestead property.
(is) (is not)
Ex ception to Warranties: easements, restrictions and rights-of-way of record,
if any.
Dated this 18th day of O oh r 1984-.
• (J (SEAL) (SEAL)
Richard O. Stout Janet P Stout
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
ss.
St _ Crni x County.
authenticated this day of 19 Personally came before me this 1 8th day of
October , 19C)4 the above named
Ri r`harrl p_ Stniit and ,Janet.- P_a
gtnut
TITLE: MEMBER STATE BAR OF WISCONSIN p. ,5~~~.
(If not, to me known to be the person-q. vexe~Rted(EAr6z
authorized by § 706.06, Wis. Stats.) foregoing instrument and acknovilefge thg6% rrp.~ U
TIiISiNSTeajPl;W~/}FTEDBY - 0 ~ N
1 L r• u (~r Q -qt
Q VY~ ..t.
1tdSOTt, 154 16
Notary Public "t- a STAOAA-ty, Wis.
(Signatures may be authenticated or acknowledged. Both My Commiss n is permanent. (If not, state "6xpiration
are not necessary.) V date:- '19 )
_
Names of persons signing in any capacity should be typed or printed below their signatures, SB2 NTF eo21
GTATF DAD nG WICr1r)iJGIN in7. r. i~ '^nn