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#-J L77
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
1 11 r a w r a .,..i ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Y I
Hudson, WI 540 1 6-771 0
(715) 386-4680
q SEPTIC INSPECTION / WATER TEST REQUEST FORM
Please specify desired test(s) & remit appropriate fee with
1~( application. Outside water lines are often turned off during
winter months, making access to the home necessary. Please make
arrangements with this office to insure that entry can be gained.
❑ Water (VOC's) $185.00 9 Septic $50.00
Water (Nitrate & Bacteria) 45.00 ❑ Nitrate & Bacteria
I] Water (Lead Concentration) 21.00 retest $15.00
Owner: Requested by: D(Qlj f}/ fir f
Address :.)'/,-1 1j,/-x.r f i' I1 s k)Y. Address:
ZIPSLjL,,SZIP
Telephone W: Q- ) 2- y 2 / Telephone W: 7`10'7
Property address (Fire W & Street)
kC Sec. 2L/ , T,3 N, R ~ Town of oS
Location:/
Realty firm: Lock Box Combo: Closing Date:
030- 7090- /0-00,0 .2 4.10.2P. ass
TO BE COMPLETED BY PROPERTY OWNER
PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORMS
Water sample tap location:
Is the dwelling currently occupied? 'Yes 0 No
If vacant, date last occupied:
Age of septic system: ~ V~/I'
Septic tank last pumped b Date:
Previous Owner's Name(s):
°5 f ? ^ ~
Have any of the following been observed?
0Y -~9N Slow drainage from house. i I
❑Y 'PP Sewage Back-up into dwelling. D,
0Y ,1 Sewage discharge to ground surface or ro d-iitch.
❑Y '`A1 Foul odors. ~~..F
Other comments relative to system operation: cam`
I certify that the above information is complete and true
best of my knowledge.
OWNERS SIGNATURE : DATE :
.9~
1/94 of i-7197
i
OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION
IN
TO BE COMPLETED BY INSPECTION AGENCY
System design &/or permit on file? []Yes ONo
Soil series per SCS Soil Survey: sheet #
Type of soil absorption system: OBelow grd OAt-Grd []Mound
Approx. size 'X GGravity ODose []Pressurized
Ft.2 OBed OTrench ODry Well
Molding Tank ❑Outfall pipe
OBSERVED DEFICIENCIES OOther OUnknown
Septic tank
Setbacks: OHouse OWell []Prop. line []Other
Dose tank
Setbacks: []House DWell OProp. line []Other
[]Locking cover OWarning label OPump/Floats
[]Alarm []Elec. wiring
Soil Absorption System
Setbacks: []House []Well OProp. line OOther
❑Ponding: []Discharge:
General comments:
INSPECTORS SKETCH OF SYSTEM LOCATION
Inspector
Title
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
1 I HORN X e w rrrri ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
•
Hudson, WI 54016-7710
(715) 386-4680
May 7, 1997
Bruce Zimmerman
292 Arbor Hills Drive
Houlton, WI 54082
Dear Mr. Zimmerman:
On April 23, 1997, an inspection of the septic system on your
property, 292 Arbor Hills Drive, Houlton, Wisconsin, was conducted.
A water sample was also collected and you will find the results
enclosed.
At the time of the inspection, the sanitary system appeared to be
functioning properly. The inspection of this sewage disposal
system was based on a surface inspection of said system, and did
not involve any excavating or chemical analysis. Accordingly,
there is the possibility of hidden defects in this system not
discovered by this inspection. This does not in any way warrant or
guarantee the continued proper functioning or operation of this
system. It is recommended that the system should be pumped once
every three years. Therefore, the prolonged life of this system
may be dependent upon proper maintenance of the system.
Should you have any questions regarding this, please contact our
office at (715) 386-4680.
Sincerely,
Mary J. Jenkins
Assistant Zoning Administrator
Enclosures
sm
-COMMERCIAL TESTING LABORATORY, INC.
514 Main Street, P.O. Box 526
Colfax, Wisconsin 54730 Cc ~4,~
715-962-3121
800 - 962 - 5227
FAX - 715 - 962 - 4030
Cust.No: 78900
St. Croix County Zoning Office
Report No: 38206
StCroix Cty Gov.Ctr Date Reported: 4130197
1101 Carmichael Road
Hudson WI 54016 Date Received: 4/29197
OWNER: Bruce Zimmerman
LOCATION: 292 Arbor Hills Dr., St. Jo!: t ph
COLLECTOR: M. Jenkins
DATE COLLECTED: 4128/97 TIME COLLECTED: 11:15am
SOURCE OF SAMPLE: kitchen tap
IME ANALYZED: 2:OOpm
DATE ANALYZED: 4129197 41100m,
COLIFORM,MFCC: 0 INTERPRETATION: Bacteriologically Safe
NITRATE-N: <0.1 ppm
Above 10ppm exceeds the
recommended Public Drinking Water Standard
f t ~ ~ VY 4o-..
Lab Technician: Pam Gane
WI Approved Lab No. 19 t~c~ OE
< Means "LESS THAN" Detectable Level
9 5
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER rwe ji?7I ~1r~12.e
ADDRESS
SUBDIVISION / CSMJ ~lbnb~ y n/~' //s' LOT 1 5
SECTION 4 f/ T N-R W, Town of =5-
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
d~
a ~ J
3
r t
Y~ -INDICATE NOR -H ARROW
Provide setback and elevation information on reverse of this form-
,1li-ov ide 1 d i;n ns l c to Centel. of ';ept is tank ~a~anhole coves -
BENCHMARK: ALTERNATE BM:
SEPTIC TANK / POMP CHAMBER / HOLDING..TANK INFORMATION
Manufacturer: Ide- Liquid Capacity: ~dod
Setback from: Well 5V '-t- House.2e i Other
Pump: Manufacturer
Model#~ Size Float seperation Gallons/.cycle:
Alarm Location
SOIL ABSORPTION SYSTEM
-Width: Length Number of trenches
Distance & Direction to nearest prop. line:_ s -7- a `
Setback from: well: ,Oc7 't- 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: 7 7
s
PLUMBER ON JOB:
LICENSE NUMBER:
,00
INSPECTOR:
3/93:jt
I W'sc;nsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor any'. Human Relations INSPECTION REPORT ST. CROIX
Safety and. Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
Permit Holder's Name El City E] Village Town of: State Plan Po 72
MMERMAN BRUCE
ZI
CST BM Elev.: / Insp. BM Elev.: > BM Description: Parcel Tax No.: /
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic /~~/c✓rc~~~ ///I ~~'!"p. ~ /G~ _1~ Benchmark U;) 1 / Od , Ud/
Dosing
Aeration Bldg. Sewer
Holdint- St/ t Inlet riff
TANK SETBACK INFORMATION St/ Outlet
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet g7~
Air Intake
Septic 7 3 NA Dt Bottom
Dosing NA 14Aadr/Man. i
Aeration NA Dist. Pipe S j
9(9 ~26
Holding Bot. System 97S/7'
PUMP / INFORMATION Final Grade
Manufacturer Demand o- _ T
Model Number GPM
TDH Lifte Friction S stem TDH Ft
oss mead
Forcemain Length b'S / Dia. Dist. To
SOIL ABSORPTION SYSTEM
BED / Width Length / No. Of Tr nches PIT r' ~Q Of Pits inside Dia. Liquid Depth
DIMENSIONS G-3 7 DIMENSIONS
SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK CHAMBER
INFORMATION Type O ? i 3 NIT um
System: `yf%,, ✓ Jr _
DISTRIBUTION SYSTEM
_W4a4er-/ Manifold „ Distribution Pipe(s) j N . x Hole Size i/ x Hole Sppa~ cpg nt To Air Intake
Length ~71 Dia. Length Dia. Spacing 36 ~O 0 >/CL)
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COI)i4MENr<TS: (Include code discrepancies, persons present, etc.) S 33,1 t_
LOCATION: St. Joseph.2.4.30. 20W Lot 5, Arbor"Hills Drive /t q i 97 0 fix. l/
0 all All Plan revision required? ❑ Yes FKW
Use other side for additional information. Olt 16~~= R
BD-6710 (R 05191) 1 2 Date Inspe is Signatu Cert. No.
_l
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
col
Cv mot' s/D9/9 a/P-
r
QILHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code cou
STATE SA ITAR ;RMIT
# -Attach complete plans (to the county copy only) for the system, on paper not less than 6
8' x 11 inches in size.
❑ Check if revision to previous application
-See reverse side for instructions for completing this application. ST UMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. \v o~
PROPERTY OWNER PROPERTY LOCATION
e %as',E %4, S :2 Y T N, R E (or
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
3/ l2 411,5,r c ~ VT- I
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
M AI Yd G rr',6 N I-ee 'Ll
II. `TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLLLAGE NEAREST ROAD
❑ Public W]1 or 2 Fam. Dwelling4 of bedrooms PARCEL T UM ( )
III. BUILDING USE: (If building type is public, check all that apply) 03 O a e ~;a j CJ
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
40 Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash
50 Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify
IV. TYI PPE-OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. O New 2. ❑ Replacement 3. ❑ Replacement of 4-E] 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 0-Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 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
'Y
27 r tr jr, 'Y Feet 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
Septic Tank or Holdin Tank 7 C~ e
Lift Pump Tank/Siphon Chamber (J '
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 Sta ps) P PRSW No.: Business Phone Number:
Ile
on. 5'e If
Plumber's Address (Street, City, S e, Zip Code):
t
Q' ro -0- 40, k
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater a e ssue Issuing D Sign tune (No
AIA_'ppr~oved ❑ owner Given Initial (yidSurcharge Fee)
Adverse De ermin i n jJ (J
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/68) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS ,
r
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.
S: 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 systern. 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 ;ponies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
July 14, 1994 201 East Washington Avenue
P. 0. Box 7969
Madison WI 53707
ULBRICHT & ASSOCIATES
ROBERT ULBRICHT
655 O'NEILL ROAD
HUDSON WI 54016
RE: PLAN S94-02872 FEE RECEIVED: 360.00
ZIMMERMAN, BRUCE
NE,SE,24,30,20W
TOWN OF ST 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 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.
S cerely,
ames Quinlan
Plan Reviewer
Section of Private Sewage ORIGINAL
(608) 266-3937 SBD-6433 (R. 01/81)
.
JAWI@120
ULBRICHT & ASSOCIATES CO.
655 O'Neil Road Hudson, WI 54016 Reg. Designers of Engineering Systems
715-386-8185 Private Sewage Consultants
PROJECT INDEX
DILHR Plan I.D. # -~9T' uZ~7Z Date ,JUL,y ly- 1fq j
Owner ISf0c.6- Z~~.tiER~~4.y Phone Cr/2- 72.2-- 2-087
Address 3//2- Z//
Legal Description Lor 5. ARUR *M-5 _ N--F Ss' kj 54'4 . Zy 7 - 3o -v
Rzo cv.
Town of 57-• County Sr. ceoi X
C.S.T. I~i,wt C0Aj.,j jj CSTM 2.3yy Installer
Local Authority/ Supervision 5T. GRofX COU6,Ty 200;0-*sr-
PROJECT DESCRIPTION
New~s-r ~ucTPd.~ Po►~,~sD, 3 $~1~.~c
5o1 (,5 A;Ze' j)aRMjA61 ( . `7r'
CS proposep.
Pg.l PLOT PLAN VIEWS
Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS
Pg.3 PIPE LATERAL LAYOUT
famapff W.
P9.4 DOSING CHAMBER CROSS SECTION UuFaCK
D1190
P9.5 PUMP PERFORMANCE SPECS Kw"~ j
40
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PERMAAJt,oT MARKERS
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501t. 10-fi l rIQATIU E• y
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A+QAC I Ty / 4. F
PRoposEv f3AsA4 Mel = B (A z) S94-02872
x to t - / 2G o
Cp3 i +
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~►STRI C3uTl0~1 PIPE 1JE tw aR k LAYov r
R
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NoIES IoCATEd o,J BoTrom EgvAIIY SPACED
ViSTR; dur►oly T)►SchARC E RATE- FoR 12~Ach LA'rERA L
PER oTi S l Q. 72._. GAL
TOTAL 1V STRiSOTlo.) 'ni cH~R~~ RATE F-OR
NETwoR K 3'77.
6,A.L / M,•,,) a. S M M
S94-02872
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS of S
VENT CAP
4~~C.I. VENT PIPE
WEATHER PROOF APPROVED LOCKING
~ JUNCTION BOX MANHOLE OVER
25' FROM DOOR, 12"MIU. G/ w/IRN~~Cf ~~/SE
WIIJDOW OR FRESH
AIR INTAKE
~E.Im T/o v GRADE
MIN.
I
IB"MIU-
CONDUIT \
2•S
Y IC 114,171' e 4,1
INLET PROVIDE
---a►- AIRTIGHT SEAL I III
I~t I III
APPROVED JOINT A INy~ N , I III APPROVED JOINTS
1JiC.I. PIPE I lUM I III W/C.I. PIPE EI-MDI'
ZXTENDIIJG 3 /b0~ D I II ALARM ONNTO S LID 3
OWTO SOLID SOIL B I 2 N I II OTO SOLID SOIL
S ' ~ '
.3
3 I I ow
2•P i 1
E.LEV.g FT.
PUMP OFF
D
'j T)tppw 1 1 BLOCK
~lEVA fio,J
RISER EXIT PERMITTED OIJL4 IF TANK MAIJUFACTURER HAS SUCH APPROVAL
SEPTIC E 5PEC.IFICAT10US
DOSE M,pwESr3~ Pp~~,tsT
TANKS ' MAWUFACTURER: ' IJUMBER OF DOSES: ~ PER DA-4
C lI Z.
TAWK 51ZE: '77L2 GALLONS DOSE VOLUME .2
ALARM MANUFACTURER: 5. 3. I V CTRO INCLUDING BAGKFLLOW: I33 GALLONS
MODEL NUMBER: lot kfw IZO V CAPACITIES: A= l 7 INCHES OR ~0O GALLONS
SWITCH TYPE: ME QC V R F 1O ^r B= Z INCHES OR GALLONS
PUMP MAMUFACTURER: ~7 O V L D r-= /4.7 INLHES OR 133 GALLONS
MODEL NUMBER: a ~S ~Ed ~~~ES Yy #P p 3 INCHES OR 2 77 GALLONS
SWITCH TYPE: p,'('(ry/,6ACie M,~waadey floAr MOTE: PUMP AKID ALARM ARE TO BE
MINIMUM DISCHARGE RATE:- GPM [INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 15.3 FEET `rAA,)k SP{C.S '
-F- ~
MIAIIMUM NETWORK SUPPLY PRESSURE , . 2.5 FEET cAC }
I~ f
+12-5 FEET OF FORCE MAIN X 2.L.Z F 00FTFRICTION FACTOR..3' J FEET
21. I -40A f S ZO
= TOTAL D91JAMIC. HEAD = FEET ,J
INTERNAL DIME.WSIOMS OF TAUK: LENGTH ;WIDTH I ;LIQUID DEPTH _
,i
I' f'. LPr F is
t
AY. S j AN
Isd 't l e -1~ i.f ~ n~ ~ ~i 7"d
S94-02872
!`1f is
3885
AVAILABLE CERTIFICATIONS
ETL LISTED SUBMERSIBLE PUMP
CLASS I AND 11 DIV 2 AND ~
CLASS III DIV. 1 AND 2
ETL TESTING LABORATORIES, INC. r,
CORTLAND. NEW YORK 13045 G1086131480
CANADIAN STANDARD ASSOCIATION
PERFORMANCE RATINGS (gallons per minute) MODELS
WE0511H WED511HH Series HP Volts Phase Max. Amp. RPM Solids 1Nt. Ms.)
Series WE0512H WE0712H WE1012H WE1512H WED512HH WE1512HH WE0311L 115 9.4
No. WED311L WED311M WE0532H WE0732H WE1032H WE1532H WE0532HH WE1532HH WE0312L 230 4.7
WED312L WE0312M WE0534H WE073411 WE1034H WE1534H WE0534HH WE1534HH 1 1750 56
WE0311M 115 9.4
HP %3 %3 /2 3/4 1 1'/2 '/z 1 %z 1
pvM 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 2081230 3 3.4
20 36 45 65 79 95 105 48 77 WE0534H 460 1.7 60
z 25 25 59 74 91 100 45 75 WE051 1 HH WE0512HH 72 115 230 1 13.0
6.5
w
39 30 50 67 85 96 40 72 WE0532HH 2081230 3.3
35 40 61 79 92 35 70 3
° 40 26 52 72 86 30 67 WE0534HH 460 1.65 a/4.
WE0712H 230 1 10.0
.45 10 43 64 80 25 64 WE0732H Y4 208/230 5.4
3500
50 30 54 73 18 60 WE0734H 460 3 2.7
55 17 42 65 12 . 58 70
- -60 6 30 54 3 54 WE1012H 230 1 12.5
16 40 51 WE1032H 1 2081230 3 7.0
65 WE1034H 460 3.5
70 5 26 47
WE1512H 230 1 15.0
75 14 43
WE1532H 208230 9.2
-80 4 40 WE1534H 460 3 4.6 BU
90 33 WE1512HH 1 /z 230 1 15.0
100 24 WE1532HH 208230 9.2
110
120 15 WE1534HH 460 3 4.6
- metal parts, BLINA-N
elastomers. METERS FEET
• Temperature: 160° F (71° C) so,.
maximum. - - ~ MODEL 3885
• Fasteners: 300 series 25 80= SIZE 3/4" Solids
stainless steel.
• Capable of running d wE15"
ry
70
without damage to 20 wE10"
components. so sGPM
O
Motor: LU WE07" sFr
• Single phase: 1/3 HP, 115 or a 15 50'
230 V, 60 Hz, 1750 RPM; 0 40 weos"
'2 HP, 115 V, 60 Hz, ~
3500 RPM; %2 HP through 10wEO3M
1'/2 HP,230 V, 60 Hz, 30
3500 RPM. weoa~
Built-in overload with 5 20
automatic reset, class B
insulation. 10
• Three phase: 112 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
Class B insulation, overload o 10 20 30 m3/h
protection must be provided CAPACITY
in starter unit.
8
S94-028'72
VisConsih Deprtment of Industry, SOIL AND SITE EVALUATION REPORT Page of 3
Labor and Human Relations
Division of Safety Buildings in accord with ILHR 83.05, Wis. Adm. Code
' COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
GOVT. LOT 1/4 1/4,S- T N,R - E (o&11
PROPERTY OWNER':S MAILING ADDRESS Lq~# BLO # SUBD. NAME OR CSM #
[CITY, ATE Z P CODE PHONE NUMBER ❑CITY VIL E ,MOWN NEAREST ROAD
s
P0 New Construction Use M Residential / Number of bedrooms [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow gpd Recommended design loading rate 1Lbed, gpd/ft2 rtrench, gpd/ft2
Absorption area required .4 Z5 _ bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/0-,.~;- trench, gpd/ft2
Recommended infiltration surface elevation(s) 9,1-2 ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material Flood plain elevation, if applicable ft
tU= table for system CONVENTIONAL MOUND 7IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
suita ble fors stem ❑S ®U (AS ❑U ❑S ®U ❑S ®U ❑S [N U ❑S ®U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. nt. Color Gr. Sz. Sh. Bed Tmr&
4~`• .:?ti...
ij -71
Ground _ 7, VX- 'V14
elev. sy~P4 sc
9ft. r i
Depth to
limiting
factor
,3.
Remarks:
Boring #
Ground
elev. 7
ft. / r
Depth to
limiting
factor
Remarks:
CST Name:-Please Print Phone:
Address:
Signature: / Date: CST Nun)ber:
PROPERTY OWNER y6A) SOIL DESCRIPTION REPORT Page of,
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Ground
elev. )v '14
'
ft. sy
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
ti4
Ground
elev.
ft.
Depth to
limiting
factor
A..
Remarks:
~.~t%°
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
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130, 825 SO. FT.
S86 34'58"E
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LOT 7
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141 , 432 SOFT.
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9, PAGE 2519 I
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STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER &04i1_e 21i, rle, -mlly
MAILING ADDRESS 'f-/ "T -s' T /~J.~(/..d~ /~B •'y :(l~ SS"~~/~'
PROPERTY ADDRESS 9c~fY/ ~Si^.
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE ` V__{d
PROPERTY LOCATION yF 1/4, s 1/4, Section Q T 3d N-RW
TOWN OF,''n A& S7_,7d,54,4zA ST. CROIX COUNTY, WI
SUBDIVISION y4g4ha'N ~,`1,15' LOT NUMBER S
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 expiration date.
SIGNED: ✓.ti~l~ C~~
DATE: 7 y
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
S T C - 100
r 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 Anac G Z.`~i/y/eC^ ma.~/
Location of property.66 1/4 S~1/4, Section TS,-R ad W
Township 77,r .S -eA-Z, Mailing address
Address of site i'
Subdivision name "irpb'r+ A/.'!Is Lot no.
Other homes on property? Yes No
Previous owner of property Xej,6 er7` DVv-,'e.r/
Total size of property -r Qeye's'
Total size of parcel ,~-r- I-ct'e-V
Date parcel w,as created Z§?V
Are all corners and lot lines identifiable? _jCYes No
Is this property being developed for (spec house)? Yes K
Volume 162 and Page Number as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a
certified survey, if available, would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner(s) of the
property described in this information form, by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. -5127" , 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.
ka
Signature of Applicant Co-Applicant
71 z6
Date of ignature Date of Signature
' DOCUMENT NO. WARRANTY DEED THIS SFA::E RESERVED FOR REC.oRING DATA
STATE BAR OF WISCONSIN FORK 2--1982
- 517793 Vlr 10$2PASf 392 . - 5
Robert E. O'Brien and Marianne Repp-O'Brien, !tecdttarReaxd
husband and wife, as survivorship marital property, JUN 13 199
ii•s
Wit!
o~ ~
- -
Bruce F. Zimmerman..
conveys and warrants to - . .
u -
- - - - ~ _ _ _
. - _ I~I RETURN TO
. ~ j
. .
I{
the following described real estate in StA XQ1X.................. County,
State of Wisconsin:
i Tax Parcel No:
j
j
Lot S, Arbor Hills in the Town of St. Joseph.
TOGETHak WITH an easement for ingress and egress over that part of the
ii SW 1/4 of SW 1/4 of Section 19-30-19 lying Northerly and Westerly of
County Trunk Highway "V".
Ij
P II
- II
r i
I
_ I
iS not
homestead property.
>*fi This -
R )M(iS not)
Exception to warranties: Easements, restrictions and rights-of-way of record,
if any.
All Dated this ----/D.. day of 19-94 .
- - ..(SEAL) (SEAL)
obert/
I it
en - _ .
. E,:-O'Bri
- - - - - -
- - - - (SEAL) fc.n (SEAL)
Marianne ReA
' -
. It
AUTHENTICATION ACKNOWLEDGMENT
~tf
Signature s STATE OF WISCONSIN
- / ss.
e St. Croix
- -------------------County.
authenticated this day off - 19------ Px.soa;d'.y came bcfose :^.o thie. -day of
, 199.4--_ the above named
Robe> t 0'Brien.and-'Marianne------
' Repp-O'Brien,.-husband-and wife,------._-.
-
TITLE: MEMBER STATE BAR OF WISCONSIN -
F (If not,
- - -
tl i authorized by § 706.06, Wis. Stats.) to me known to be the erson .S.......__ who executed the
fore g instrume tackrwle ge the same.
THIS INSTRUMENT WAS DRAFTED BY
Kristina Ogland E- DWAL ~
C un
t,
y, Wis.
Attorney at Law Notary Pub] c - L o
(Signatures may be authenticated or acknowledged. Both My Co 'ssion is permanent. (f not, state expiration
are not necessary.) date: 19.~
II Names or persons signing in any capacity should be typed or Printed below their g Tat,: reg.
.'S Wisconsin Legal Blank Co . Inc.
WARRANTY DEED STATE BAR OF WISCONSIN Milwaukee. Wisconsin
FORM No. 2 - 1v92