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HomeMy WebLinkAbout040-1005-05-000 0., o a•°i °o I N 0 d (D a a o w ~ b O N h; ~ I ti I ~ ~ I I I c Z C U- C O 3 I Q I I M rn w ~ z o o I 00w am c') Z N O O Z a N (D Z v c O z fA F- r O E o $ Cl) ~J E cam., Q ~zz N zl Its O y ) N rn io ~ i o G C a ~ o co w bap ZM> X000 Z •N M a a a u CL O ~ o U (A J = rn rn } Q N p O oo E O O O ~ O O U) C O7 N O H C 00 _ to $ C E Q O M O COi N v d OLh j2 C L E C C N N F - O N .w~.. W 0) CO FBI N 2 *6 E -c •Q O O h Z N O Z N:-3 2 d (n U E v~ a da Y • a m R `m a t`i..l E c r t A c0 ao ',0U) Parcel 040-1005-05-000 07/14/2006 04:09 PM PAGE 10F1 Alt. Parcel 3.28.19.33A 040 - TOWN OF TROY Current X I ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - NAGEL, DARRYL M & BECKY J DARRYL M & BECKY J NAGEL 664 DEERWOOD DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 664 DEERWOOD DR SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 5.020 Plat: N/A-NOT AVAILABLE SEC 3 T28N R19W 5.02A IN NE NE LOT 37 OF Block/Condo Bldg: CSM VOL 1/99 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 03-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1073/546 TD 07/23/1997 1073/108 WD 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 71,500 229,700 301,200 NO Totals for 2006: General Property 5.000 71,500 229,700 301,200 Woodland 0.000 0 0 Totals for 2005: General Property 5.000 71,500 229,700 301,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 135 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER s%je ADDRESS ~6 y ~~~OOD SUBDIVISION / CSM# 51. ctofy ~Owti~ LOT # 37 SECTION .3 T Zff N-R W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 BEET OF SYSTEM ljo1eT~ see. lNA'L flR~~ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. • l T1110 v cs/,I 5 BENCH ARK • 1~7 I'Gv ' /0 r ALTERNATE BM: y3 o i7-o,, Q~e 4,,06Z;) SEPTIC TANK / PUMP CHAMBER HOLDING..TANK INFORMATION Ct1 EE'if'i CD.v Gt e Manufacturer: Liquid Capacity: /00 O .V o Setback from: Well 1NSfh!/AR House ~d Other ZDE/lam Model# Size rZ Pump: Manufacturer Float seperation Lr Gallons/cycle: 12-2- Alarm Location :SOIL ABSORPTION SYSTEM Width.• r Length Number of trenches / L fc7 ~ Lo T Distance & Direction to nearest prop. line: 7~0 .IV 0 T Setback from: well: Z i ouse y0 Other e f ELEVATIONS ~ /a~•~~ /ob• ~ f ~ Building Sewer ST Inlet. ST outlet. goo. Pump Off Z~ PC inlet /00' y0r PC bottom Header/Manifold 10 O L Bottom of system l0 y' Existing Grade /OFinal grade /0 Atfla DATE OF INSTALLATION: PLUMBER ON JOB: I/ 0XZ--W 7 4L~~/• 3367 LICENSE NUMBER: lel/d ks3 3 6 7 INSPECTOR: CI ~~/'mss 3/93:jt V CIO o 0i-:FY d N-I `I ri 3 ti ~ ~ h ~ V' Q CA .44 N h CIO, i T ~ O \ i i c- \ L i ~ O Q J O y m 9 A r' W iu J V &TX%lartrti,&qyQust~0•19, NE, ~ATt E dGFj%y M1 Drive: County: Labor and Human Relations Safety and Buildings-Division INSPECTION REPORT (ATTACH TO PERMIT) Sanitary Permit No-: GENEi4L INFORMATION 208968 Permit Holder's Name: ❑ City ❑ Village IR Town of: State Plan ID No.: GET, ARRY T_ .1 Troy CST BM Elev.: Insp. BM Elev.: BM Dgscription: Parcel Tax No.: ff J ~ TANK INFORMATION ° ELEVATION DATA A9400091 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 14,f-" qu Benchmark /0J Dosing hL w9.8i/ / d,) Aeration Bldg. Sewer Holding St/ Ht Inlet gyp, 3 vv , TANK SETBACK INFORMATION St/Ht Outlet /9 O Vent TANK TO P / L WELL BLDG. Air Ito ROAD Dt Inlet ntake /O•> / 160, Septic 97 r /d „n NA Dt Bottom /S/v 9~ << Dosing /07' N/,l 1z ~I-L NA Header/Man. Aeration NA Dist. Pipe Holding Bot. System 5 J3 11o U, PUMP/ SIPHON INFORMATION Final Grade Manufacturer ~o~t/mss Demand n/ 1 ~,/g fGy, ~6 Model Number 3i,/"GPM c<..~ /a.lo 9B TDH Lift Friction (vim Syetem~ TDH Ft oss Forcemain Length 70~ Dist.ToWell ,U,/I SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER Model Number: System:/✓ o. :J' 97 'c J v OR UNIT DISTRIBUTION SYSTEM "7 - Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Dia Length -jKS ' Dia. / rJ Spacing 6 Ug Length j_ c~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of f xx Seeded/ Seddgd xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil 6- Yes ❑ No Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Troy.3.28.19, NE, NE, Lot 37, Deerwood Drive r CA may; ~r Plan revision required? ❑ Yes ❑ No , Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i Y YJ, c ` SANITARY PERMIT APPLICATION DILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY neorx - STATE SANITARY PERM -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. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S 9 y bb ~O PROPERTY OWNER PROPERTY LOCATION PA RRy L- N•4 r-415- IVE_ % N5-'/4, S 3 T N, R (9 E or W PROPERTY OWNER'S MAILING AD ESS LOT # BLOCK # Vo(• f - f I S'O S, l ( tf -T, 3 c's,4 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER vas o o 4W 151/01~ 7/3 3X S?S 15T-- c12orx 2)6LJAf 5 VITM T'RoY NEAREST ROAD II. TYPE OF BUILDING: (Check one) 1:1 State Owned ❑ LAGE I-y ~e't~cvooa E ]Public LJ 1 or 2 Fam. Dwelling-# of bedrooms - PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) d 1 0 / 0 6 ✓C 05 O O ~ 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. U New 2. ❑ Replacement 3. El Replacement of 4.E] 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 0 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 120 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~d 3-1-5 OO 1,2- /61y// Feet 105• Feet VII. TANK CAPACITY Site INFORMATION in gallons Total # of Manufacturer's Prefab. Fiber- Exper. New Existing Gallons Tanks Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Hoidin Tank DOO /QQO I Lift Pump Tank/Si hon Chamber O G~ F-1 El 1 0 El El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Sig ture: (No Stamps) MPRSW No.: Business Phone Number: P-06&k7" ?t l be(ck7- 733o-) 7~S 3,P6 „4[005 Plumber's Address (Street, City, State, Zip Code): G S S l f u PSO .v IX. C TY/DEPARTMENT USE ONLY ❑ Disapproved Sap'tary Permit Fee (Includes Groundwater Date Issued Issuing A13711 S stare (N tamps) urcharge Fee) Approved El Owner Given initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety s Buildings Division, Owner, Plumber INSTRUCTIONS 1. A saniiary 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. All revisions to his permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Pe; rwl Transfer/Renewal Form '&H•_r 6399) to be submitted jq the county prior to installation. 5. Onsite sr., ~2ge systems must be property maintained. The ;_ptic tank(s) mutil t_pe ; earl, sc. Iik? a i'rcensed 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 gomplete anti accurate this sanitA(y. permit application. must include: 1. Property owner's name and mailing address. Provide the legal description apad parcel tax mimber(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 Farmly 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, _'Z-;connection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorntirn system information. Provide all information requested in #1. 7. 11 Tank i,w-ri;?atiors Fill in the capat~ty of ev ~r, new and/or ex ,r"..`. st tile rC't'j Of tanks aii4 :anufacturer's narne. Indicato prefab or site constru.,;,;:tiand t lank rn0aic:, i ,l. C )rnr, X>te or all septic, pomp/siphon and holding tanks ',or this system. Check ey.'e imel-ital a.pprovai cvanks received exper r,r,n??.l product approval from DILHR VIII. Responsibility statement. installing plumber it. to fill in name, license n,.pnboe watts approprw.e prefix (e.g. MP, etc.'a, address and phone number. Plumber must sign application form. IX. County/Department Use Only. X County/Des artment Use Only. Complete I :an and specifi catior', not smaller than 81A be subritted i ; tin. ccunty. The tans must include the foliowirlg A) plc":t plan, drawl, to scare rr witd :o-i,le r,e1 -in7. i.pcaaiori of holding tank(s), !,eptic tank(s) or other treatment Larks; build r s ,ve111',; wal,~ -Ier service: Streams and lake s; pump or siphon tanks d~t5lCiNition boKeS, SO- rJtion sy-tiem -i s .,sot system arras; and the location of type bu :.iinq Eer, i ed ED herizootaI a p . :Ica :Dewitt-- , infs, C) complete specifications for pumps and controls; dose voiuni !,ievation :i fferenccas; t: loss; pump performance curve; pump model and pump manufacturer; D) cross sect"on of the soil absorr)tion system'if required by the County; E) soit1est data on a 1154orm; and F) all sizing information., GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices wlhich can effect groundwater. The riivr0e_> co.!: ectcd thrOlLigh these Surcharges are 'Tionitoring water contamination investigations and establishn,p o; 5itar,.14rds. SBD-6398 (R.11/88) SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations April "14, 1994 2611 East Washington Avenue P. O. Box 796ra Mad i s tan WI 53107 ULERICHT & ASSOCIATES ROBERT ULBRICHT 655 O'NFILI ROAD HUCSON WI 54016 RE: PLAN S94-00808 FEE: RECEIVED: 180.00 NAGLE, DARYI. NE,NE.,3,28,19W TOWN OF TROY 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 11HR h3 and 84, Wisconsin Administrative Code, and is contingent upon compliance, with any stipulations shown on the plans. This system has riot been reviewed for the code requirements set forth in chapter ILHI? 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two year-.% from the approval date, or if a sanitary permit is obtained, plan approvalt will oxpire op. the day the initial sanitary permit expire, The licensed plumber responsible for this installation shall keep one set of plans with the Di.-gariment'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. Sin-, ly, e l` E, age IJ~ Plan Reviewer-` Section of Private Sewage (603) 266--1889 ssD•6423(e. ui/su . 40 T" / 04.) 51? F•ItU~FTi 5 O DO Im Y511, below 1116181018 gill 1111 soil Absorption System most mil 10i, ,ya 13, S~P~Q~~ i 53 s log. O 5 J 4.~~`c~ pJ GD al ~ P Q W 5~ Co o TOTAL OF z C?? UP ~ pvc Go,ecF ti1~~;v io~.y, OF ME o do ~ pew 9,00 PUA P C-JA k K (N C-k o S pl?goseo Weil New /aDO jo, /~~~c~45 T SEp7/L T, Prior To Plowing- Installer will carefully shift or orient ,;pound position ( toe line and area under bed agRregare) so gruwiu elevations across slope are as uniform as possible. Suggested elevations (staked on site with lathe markers) are shown herein and on pg. 2. J GA LX YO I& VATiO.3-S - 4 /OZ.70 a A,-I. .5&T Cs r' a2 /0 2.70 TOp of 100-5-6 /O O • D I o= E x i6 T►N Cr y,~~-oE LOT 37 E/~v^-r~ov s 5r. CROIX "4)owPS 0 3$y0~ So. L. or t.. _ oyP sp -08 17. EcRwodZ) E ►,o 0 8 0 ?&.I o-FS- ULBRICHT & ASSOCIATES CO. 055 O'Neil Road - Hudson, WI 54016 Reg. Designers of Engineering Systems 715-886-8185 Private Sewage Consultants PROJECT INDEX DILHR Plan I.D. # sN00. tog Date y- 14^ 9`{ Owner :DARR1L Becky N AGe t - Phone '7"5-' 3 (?6 •~~•5'f'l Address 50Y S. 11 ti, ST'. t+UPS0,3 6t) fS . S ~'o Co Legal Description 1-0-(- # 37. ST'. CRot'X J~owNS 50aDt'ui S t'o,a , S.o Ac.e.5 NE~NL~ S,ee.TZ~~ j21~ w TA--)t°YO Town of TROY Ce hS I PApr) County ST. CROi x C.S.T. &Aey ~~L CSTM 2 2~ S Installer Local Authority/ Supervision 5T' cRof k COU,57-Y 7-Do,31'A Cr p~- PROJECT DESCRIPTION aF 3 P"r-5 SVIfIV47e-P I t Sd r-f A RIE FbR ~ w 105POUAI17 SVS4.4, C 13, Soi15 PN B I ARE- S.s. A>- 3 g>V• soils 1„j 2- c&u +Ai a D o 1o i 4 E" i At E's 4-04 E) A T' ~s Tt-C "I GS T 6Ss7e/L~e..,ie- FEA+uk FOP- DCS(Ga ~vPhoses -Fk2 c-uieeo ~lti~S1 c1. A- t4 00, p S y S -E-E ?-t s i " o f s ►~D c s PP.oposeD XR- A g>c.P~.. NbA-t i~~ . c'Srr--i ATeo DA- cy t6ASjE Flow `fwd ~j t~S . s Pg.l PLOT PLAN VIEWS Pg.2 SYSTEM CROSS SECT S ~ L ~`"%jj%061#ji "colva Pg. 3 PIPE LATERAL LAYOU13 4TP~0 EMEMW. Pg.4 DOSING CHAMBER CR ~~6 0 UUF"T p ~ o Pg.5 PUMP PERFORMANCE s Wis. still G 894-00808 I INVLR T o~ y /4r4^0,415 /0y ~D Et6VItT1'0nJS TOP OF RocK /0 -57 /g i 1L - Page z of S TOp of 1 IAT°E'PnLS !D5 D Synthetic Covering Distribution Pipe ° Medium Sand - H z G S y tTEM Topsoil E1eVAT100 ~ S'fo G % Slope UNI R See Bed Of l 2_ Force Main Plowed Aggregate Layer lo z.Yo D 2-0 Ft. E 2 • y Ft. Cross Section Of A Mound System Using SVA A Bed For The Absorption Area F - O Ft. ~ g~~Q►E G Ft. ©IRS A Ft. H 14 Ft. ctoc>s s .SQ Ft. K /3 Ft. A ~~~a A ptN L 7(o Ft. Y, ~ppRtt+AEN~vj~ SaF ~ ~ Ft. oENcE T 17 Ft. COR Srce Main w 3s Ft. L ( Observation Pipe A ` o ~o w ~•--1-T--------------- ----------------------•I I" Distribution Bed Of i Pipe Aggregate Observation Pipe Permanent Markers y ~ Pv~ c~,opED sfE~~ ,PooS ° Plan View Of Mound Using A Bed For The Absorption Area 2~Q~~~~n ~~+s•~ Mkt = P41- y &,10; 7E 0~-~v moo. -61T1~,+r,,U6 e.4 -ei X Z rA 13 /,f o y S lIT I . +'t k i r r t': • ~t l 4 M j~ b S` I Page 3 Of S • VOID, ~/o/v.HE wok 6O rr ~F 2_ J~Uc '~C"JRcF Perforated Pipe Detoll 2c~ Ri -A r roe v 1. "e V/►C v~ i ~•oN ~ • End Vier )Perforated Eno Cop PVC Pipe Holes Located Oa Bottom, Are Equally Spaced R Q r: Q PVC C Monif old Pipe Distribution Ist' Pipe Hole Should as ~llaw Neal To End Distribution Pipe Loyout P 7 Ft. R p X Inches Y Inches ONSTM SEWAGE Hole Diameter y Inch . Lateral Inch(es) Manifold 2- Inches Force Main 2. Inches .1 E~►Z P. ANO BQ D01 # of*: holes/pipe 13 ~ ~f 1N0 F E1''l EpRDTpAE pN~S~0 vation of Laterals 0 Ft. . s E ~ a po • -D STRiIBLY 'tOAJ :D15C HA RGE RATE FoR Etc l4 • L.ptTERAL PAr OTi-S 2- -7 15.2 / ~2 MIN TOTA - -DiSTRt[3url0j-,1 V%Sc, HARG E RATE FO IJeTWO Rk 30- :2 - ~°.2 Mi►J 'S 44 I-'vI'MUM It 1WA D • 1eS~6-,~ , -U S"06- TOTAL ~I'$Tpl't3vRATE 'F 3 5 6Ai! / *K L4;1 S94-00808 PUMP CHAMBER CROSS SECTION AND SPECIFICATIOAIS p~FyE g of 5; VENT CAP 4'C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER 25' FROM DOOR, • &/I 4VNAP 6-AfWl WINDOW OR FRESH 12 MIU. AIR INTAKE I R~pg5 Lr1Ek,47/0"V GRADE I y" IA. I Z---, MILL IB"NIL CONDUIT _ IEv.~n oti yon 00.0 INLET PROVIDE I - - AIRTIGHT SEAL I I i I V ri7 7 I: I I I APPROVED JOINT A INS,I(~~ fjC I III APPROVED JOIAITS W/C.I. PIPE I tA I III W/C.I. PIPE LXTENOING 3' 6O 1 ' I I ( ALARM EXTEIJOING 3' ONTO SOLID SOIL B V 'fy yj 1 I II ONTO SOLID SOIL q~• ~ (3. 7 I I 31 I I ON ?.•0 I I ELEV. FT. ~ PUMP ~ OFF D .(AID m f o' J ~ aLOCK ar , RISCR EXIT PERMITTED OIJLy IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFICATIOUS DOSE (rJ~E~S CO,uG~~-C G7 L~ TANKS MANUFACTURER. IJUMBER OF DOSES:_PEK DAS TANK SIZE . GALLONS DOSE VOLUME /o ALARM MANUFACTURER: LEUEL AL-AleM Co INCLUDING BACKFLOW: /2Z GALLONS MODEL NUMBER: 'D' V• ~L ' CAPACITIES: A= /0((P IIJCHES OR `300 GALLONS SWITCH TYPE: MEIRLJA'7 FtOhr B= Z INCHES OR to/ -LL_ GALLONS PUMP MANUFACTURER: ZoelIE7;i~, eo . C= C INCHES OR /2'Z GALLOWS D , " O MODEL AIUMBER~9 y~'~r ItSV ~ 3 T INCHES OR '37 GALLONS SWITCH TYPE: p~ P'J5yQAClk- hGet0leY F10AT MOTE: PUMP AMD ALARM ARE TO BE MINIMUM DISCHARGE RATE3 5 GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE 5ETWEEN PUMP OFF ARID DISTRIBUTION PIPE.. 4.7 FEET -rANk SPECS . + MINIMUM NETWORK SUPPLY PRE$ RE/~ 2.5 FEET EAGG~, Of' ~f P~ ♦ ~o FEET OF FARCE MAIN X ;"'y FT/oo,FRICTION FACTOR../ 2-3 FEET ZD•5' ~40r t s ASS. TOTAL DYNAMIC. HEAD /0-Y FEET INTERNAL. DIMEWSIONS OF TANK: LENGTH ;WIDTH a ;Llgwo DEPTH 4 &low SO NOS ~ABaR AHU ~ G p~pAR~' p~V1S ~..QOgOB Sg i - N HEAD CAPACITY CURVE 3 7/8--f-'' 6 1/4 MODEL "98" 1 30 4 5/8 e 25 t3 t I 3 5/8 y 6 2 m i v O + ' 15 4 3/16 l 4 8 10 1 2 1 1/2-11 1/2 NPT U 4•: 0 U.S. GALLONS 10 20 30 40 so 60 70 BO LITERS 1 BO 160 240 0 FLOW PER MINUTE 1 TOTAL DYNAMIC HEADIFLOW PER LWIUTE EFFLUENT AND DEWATEPJNG i - CAPACITY 12 HEAD UNITS/MIN FEET METERS GALS LrRS r 5 1.52 72 P.13 `4 10 3.05 61 231 ''I 15 4.57 45 110 irsq 20 6.10 25 95 3 5/16 4 Lock Valve JL_ CONSULT FACTORY FOR SPECIAL APPLICATIONS t • Electrical alternators, for duplex systems, are av:iilable and • Mercury float switches are available for controlling single and supplied with an alarm. three phase systems. If,. Mechanical alternators, for duplex systems, are available with or • Double piggyback mercury float switches are available for ?F~ without. alarm switches. variable level long cycle controls. M1' SELECTION GUIDE Standard all models -Weight 39 IbS. - H.P. 1. Integral float operated 2 pole mechanical switch, no external control required, 2. Single piggyback mercury I" switch or double piggyback mercury, float 98 Series Control Selection switch. Refer to FM0477. :.j Model Volts-Ph Mode Am ' Simplex Du lex 3. Mechanical alternator 10-0072 or 10-0075. 1 M98 115 1 Auto 9.0 , 1 or 1 & 7 - 4. See FM0712, for correct model of Electrical Alternator, "E-Pak". N98 115 t Non 9.0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor float switch 100225 used as a control activator, specify 098 230 1 Auto 4.5 1 or 1 & 7 - duplex (3) or (4) If" system. 1:98 230 1 Non 4.5 2 or 2 & 6 3 or 4 6. Four (4) hole "J-Pak", junction box, for watertfghtconrlection or wired-in aim- 4 plex or duplex operation, 10.0002. 7. Two (2) hole "J-Pak". for watertight connection or splice. For information an additional Zoeller products refer to catalog on Combination Starter, FM0514; CAUTION Piggyback Mercury Switches, FMO477; Electrical Alternator, FM0486; W' chanical Alternator, lied All installation licensed of electrician. controls, All l W protection uricsl and r and ryid wiring shoul should d be b darts a yw- FM0495; Alarm Package. FM0513; Sump/Sewage Basins, FM0467; and Simplex Control Box, ing the most recent National Eleclrk Code (NEC) and No OccupsYopel III&" end NsaMh Act (OSHA). RESERVE POWERED DESIGN For'unusual conditions a reserve safety factor.+s dnglneered into the design of every Zoeller pump. MAIL TO.• P.U. BOX 16347 t' 0~~~~I I O TO: 3 40256-0347 Manufacturers of... Q SHIP IP T0: 3280 80 0~:1 Millers Cane N e Couisvide• KY 4,1;: 16 eVA.11.rJKA WIff fft-T /9.x'9N (501) 778-2731 a FAX (502) 774-3624 -ool I Division of s y a Buildings in accord with I f ~ ode COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 i in siz Incl t not limited to vertical and horizontal reference point (BM), d- n and cale o PARCEL I.D.9 dimensioned, north arrow, and location and distance to ne oad. 01-0 _ 4e) r REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL I RMATION- P OWNER: ' bPERTY LQC N 4 va ' ✓G t/a,S 3 T z 9 fN,R / Film) 9w PRO TY W EA';S MAU.INCt ADO s L'QT If r BLOCK u SUED. NAME OR CSM r N.4 CITY S . j)e et) V7 S ATE ZIP CODE PHONE NUMBER QCITY QVILLAGE GOWN NEAREST ROAD [A-New Construction Use (residential I Number of bedrooms (I Addition to existing building ( I Replacement ( I Public or commercial describe Code derived daily flow :~5o gpd Recommended design loading rate bed, gpd/0 , G trench, gpolft2 Absorption area required,3 75 bed, ft2 , ?75 trench, ft2 Maximum design loading rate • 5 bed, gpd/ft2 , 6 trench, gpd/;2 Recommended infiltration surface elevation(s) /O °O ft (as referred to site plan benchmark) Additional design / site considerations N A . Parent material /'g'W/ Q/4d, a yeti J,,,, 40e Flood plain elevation, if applicable 4/10~ n S - Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK u- Unsuitable for system I❑ S OW I ,®S O U I❑ S M ❑ S /Su [Is M ❑ S 131.11 SOIL DESCRIPTION REPORT Borin # Horizon Depth Dominant Color Mottles structure GPD/ft g in. Munsell Qu. Sz. Conl Color Texture Gr. Sz. Sh. Consistence IBardary Roots t} M.r ka'3~rw:;Y Bed Tierldl r~ Ground 3 Z -,39 S 4/ 0 /1~ z m 5d 6, 44) ✓ , elev.7a /oz ~tt / 7I a 9.54, f1je c ,52 9 G° N`ff / i Depth to limiting factor _301 Remarks: Boring # YVI -21 /V ye- /V 0 N re 'S/2 2M5gX .5*,4, Ground 7, ~y d Nf% z ao x ✓-r° 5 . G el -5o D;r ~O D C r .)cif Depth to limiting factor - Remarks: CST Name:-Please Print Phone: !v T ~i5-- z 4•~ - ~ Boa Address: 01-2 Spneture: - Date: CST Number: 94 along Tile IvU1 AIL 11110 - ..nom nn, t, i.Inrrhnrly right- Horizon Depth Dominant Color Mottles (Texture I Structure I Consistence I Bourd ry Roots GPD/f t *0040 - in. I Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed iTmrK:h -e- tns"OK al -4z- so awl ty!.e. 4 S s • `J ( I ~v -7 C) Ground , b' S z Srbt'i cc~ . 5 I , G elev. p t J oo -rr 4/ 0 G S Depth to limiting factor a Remarks: Boring # Ground elev. IL Depth to Gmifing factor Remarks: Boring # i ,W": :4.?3 Ground elev. ft. t Depth to limiting factor Remarks: Boring # i i ti f Ground elev. ft. Depth to limiting factor Remarks: i8!}8330rR.05192) i along the Nortn line ul 5d1u +vuil - „t, Tdnrrhnrl v ri nht- I STEEL'S SOIL SERVICE Gary L." Steel I C.S.T. 2298 New Richmond, WI 54017 MPRSW-3254 ~E O j(/ IJ f~5 ~ ~ (715) 246-6200 1v c yJi N 5,Y4 s 3 - -1- z e N • i~ ~ ~ ~J 40 W.17 &Y-7L c54-Oro at X VocvnS zs ) o Z 0614- 19, .3z' o ' i✓,~, ~o~ ~r ~Poi ~.x ~ZoI oo r 47,1 01 A-1 C~~ h~loc~ r X ti oo' X 00 i . I WOOQ ~I I along the Nortn line U1 tutu i,L~~ - -I,- M^V-thasrly rioht- l STC-105 SEPTIC TANK MAINTENANCE AGREEMENT ~.p St Croix County OWNER/BUYER V L A111 lei" r L. MAILING ADDRESS S d 5 l S T - V fl S Y~ PROPERTY ADDRESS (O COT E EV woo 0 D R , N~' fl S D.~ 4~ 1. SYo<~ (location of septic system) Please obtain from the Planning Dept. CITY/STATE Z~ PROPERTY LOCATION 1/4, 1/4, Section 3 , T N-R W TOWN OF -T ST. CROIX COUNTY, WI SUBDIVISION ST ' &tf " X 0 ,v s LOT NUMBER 37 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 co to nd returned to the St. Croix County Zoning Officer within 30 days of the thr irat' date. SIGNE DATE: Z - St. Croix County Zoning Office Government Center 1101 Cann ichael Road Hudson, WI 54016 11/93 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 ~ Q < (VA (rE 4-Location of property N F- 1/4 N<E 1/4, Section N-R W Township -T ?--0 Mailing address S o o S 11J4- ST,- f{ yi?S o') c0 Address of site (v6 l :D EE-e (4.:2 o o a V 0S a-.j 40 1. 5 ` oe(i Subdivision name ST cto i y- Dbw,v S Lot no. 3 7 Other homes on property? Yes No Previous owner of property M1Y12 y 1 N Total size of property 2. O + eqSS f ~bD ~C7 /~sdv S Total size of parcel Iq 1 S Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes No Volume 1073 and Page Number 5 Y <v 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. 515 3 `{I , 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. Sig e o pplicant Co-Ap c t V 4/'fl; /q a~ Date of Signature Date of/ ignature DOCUMENT NO. STATE BAR'OF WISCONSIN FORM 16-1982 THIS SPAC[ R[s[RV[o FOR w[cowoINa DATA TRUSTEE'S DEED Z t4L;;~T~ trt~s orFrct: Mary Andersen Hulin s and Roe a ST. CROlX CO 0 W, r g.. =y M. Wi lemon----•-------------------- Raced for Ryloorcf - • as Trusted S f APR 13 1994 The Albert D. Hulings Revocable Trust { 8:30 A, y for a valuable consideration conveys without warranty to ~tw~+* •--Darryl.M...Nagel..and.Becky.. L..Nagel a ....husband.-and--wife R[IURN TO N j; ---•-------•---°............--••-Grantee, y the following described real estate in Sts Croix County, State of Wisconsin: _ t Tax Parcel No: Part of NE 1/4 of NE 1/4 of Section 3-T28N-R19W, Town of Troy, described as follows: Lot 37 of Certified Survey Map filed April 1, 1975, in Vol. 1, page 99. SFLr D s i t Dated. this Ist......................... day of Al?ri_i....__ 1994_.._. i i EAL) ~~..(SEAL) Mary dersen Hulings Rociney M. Wilson Trustee AUTHENTICATION ACKNOWLEDGMENT I Signature(s) STATE OF M } OUPIA - J!~ash 1• nton as. Ji XX9GXgx County. authenticated this day of........................... 19...... Personally came before me this 151.... day of Apr_il.................... 19.94.. the above named Ma Andersen Hulin s Rodney 4. Wilson g TITLE: MEMBER STATE BAR OF WISCONSIN 1 (If not, authorized by $ 706.06. Wis. State.) to me- known to be the persors............ who executed the f go'n instrument a acknow ed a the same. THIS INSTRUMENT WAS DRAFTED BY Kristina Op-land 6.._....... Attorney at Law Kathleen--F,.-Conley Notarv Public tY, Via. (Signatures may he authenticated or acknowledged. Both My Colnmission is , ~~yoluelrca. id~'lr:,tion are not necessary.) N F. CONIC date:.---------- KATNLE-.i(►11eso}~ "Names of persons signing in any capacity should W typed or ---j--._---- ---r-M - printed below thou signatures. My COMMIS31011 DO l@!~I - TRIISTFI?'~: Itl•;:Il STATR nAR OF WISCONSIN V Wlw.n.in Lnal Illank Co. Inr. F011M1i Nu 16 . I•141• ~lil,v:~nl 1Vi,