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HomeMy WebLinkAbout008-1059-30-200/* l~od iNisconsi~ Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] Permit Holder"s Name: ^ City ^ Vi haU Ga~~'e '1'o°wnship Coplan, Bradley a CST BM Elev.: Insp. BM Elev.: BM Description: n i! b-t G r TANK INFUKMAI IVN TYPE MANUFACTURER CAPACITY Septic ~ ~ ll/c~Q Dosing (~ Hol TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. vent to Air Intake ROAD Septic `f' ~ 1 .~ s ~ bQ~~ ,~ NA Dosing /dS ~ ~ t ~~ NA NA eration H Ing ~~ ~~~n i c~n~ ~~u IwICA~11I ATIA/~1 ~...~ , ,.~ ...,........,.....,-...~.. r Manufacturer ~~ Demand Model Number y ~ GPM TDH Lift y~~ Lriction t~ System Z TDHZS''~Ft Forcemain Length ryd ~ Dia. Z ~~ Dist. To weu S01L ABSORPTION SYSTEM ED' TRENCH Width ~ Len th No. Of Tr nches PIT No. Of Pits Inside Dia. Depth IM N I N D D' N~ DIMEN I N SYSTEM TO P! L BLDG WELL LAKE /STREAM LEACHI nu adurer: SETBACK INFORMATION 7 pe0 ~ Y ~ ±~ d ~ `°'°'~~ CHAM OR IT Mo a Nu System: Q DISTRIBUTION SYSTEM Header /Manifold ~ Distribution Pipe(s)r ,~ ~ ~ x H i le Size x Hole Spacing ~/ Vent To Air Intake Length 3 Dia. ~ Length Dia. / Spacing Z 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 COMMENTS: (Include code discrepancies, persons present, etc.) `~' `~' Inspection #1: / /bb Inspection #2: /o ll~/vv Location: 248 222nd Street, Baldwin, WI 54002 (NW 1/4 SW 1/4 20 T28N R16W) - 202816298B -Lot 2 1.) Alt BM Description =~ ~~ ~'~-e/~~. ~.~vd {,~(~ ~¢ ~;~~, . 2.) Bldg sewer length =LS' f co er ~ -amoun \ ~ ,/-. ~- ~ ~ P(~,`u c w ~ ~ 3.) contour = 3. D~ L , ;. In.3.i ~/off. 3S~ ~,)~oWn. ~ ~ r ~ t v~ ~r~o/dv ~v rTI 5 ~ ~,) 6~4-f~. Bwis w~,~~ ~l~s~~d yam' J ~b~~ -yl p~wx~rcr rt-s~`f' GL- Co ~r roly $W~?i~ lu v;s s ,~ // ~ h~ , . g Plan revision required? ^ Yes ~ No l,, Use other side for additional information. o ( 6v SBD-6710 (R.3/97) D at Inspector's S' nature Cert. No. county:St. Croix Sanitar"S~b~it~lo.: StateState Plan IDJNUUo.: Parcel T~'b~oI059-30-200 STATION BS HI FS ELEV. Benchmark , ~ /~ c 6 t. z,~' 3 4 Bldg. Sewer f!3 -S/ ~' Ht Inlet ~ ~ Z , ~~ Dt Bottom a , G ~ ~, 3 Header /Man. 3 , / y /p 3 - Dist. Pipe Z'~y";~ /D9 -9z Bot. System 3. ~~- /0 3 - 2i Final Grade St cover ~ ~ d3N~ ~ /° ~ o /o .1~ # 2 ZZ.2 5t-. 'Sanitary Permit Application Safety & Buildings Division ~ In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. ~ ~ `~ See reverse side for instructions for completing this application PO Box 7302 SCOnSIn .personal information you provide may be used for second u oses ~ p ~ Madison, WI 53707-7302 Department of Commerce [Privacy Law, s. 15 Submrt Com leted form to coon 1f not ( p ~' "' state owned.) Attach complete plans (to the county copy onl , ~fn ap of less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number eck if r~sion to prevjbu pplication State Plan I. D. Number ~K n o ~..- ~s id= `F3`F~9 I. Application Information -Please Print all Informat' '- ~ Location: Property Owner Name a zaao ~ ~ ~ ~~ Property Location :~ f s ~ ~ ~ ~ ~ 1 ~ ~ ~ ~ ~ ~ ~ ~ ~ ( ~ / C: ~t. ~ ~- r X ~ ~1/4, S T , i, R (or 1/4 Property Owner's Mailin Address ~UNZ'~( Lot Number Block Number / O ~a d ~ ZONINGOfF1GE ~ oZ City, State Zip Co de Subdivision Name or CSM Number / ,.,/ r ) .( J II. Type of Building: (check one) 2 S l~ 1 or 2 Family Dwelling - No. of Bedrooms : "~ / A S ~r r P ~Cw• S ~~ ^ City ^ Village ~ ~~ G~ C L .~ ^ Public/Commercial (describe use):_ Town of ^ State-Owned r-- ~ ~ ~(~ s' /Q ~ c ~ Neazest Road ~- 3 -~a o Pazcel ax Num er(s) III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) ((o ~ `J$ f3 A) L New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to System System Tank Only Existing System B) Permit Number Date Issued ^ A Sanitary Permit was previously issued 1V. Type of POWT System: (Check all that apply) ~ ~ , ^ Non-pressurized In-ground )B;Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade ~ ^ Aerobic Treatment it u ^ Recircul ating ^ O ther: ~ ~~~ ~ yy~~ g p V. Dispersal/Treatment Area Information: _ 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) Elevation ~~'G ySo ~ 5 0 / / ~3, y / ®,s- VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks / p t VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Si afore nos ps): MP/MPRS No. Business Phone Number ~iG i ~ ~ ~ .~ 7 ~~ ~ ? ~~'~8 -3 ? Plumber's ddress (Street, City, State, Zip Code) ~ IX. County/Department Use Only ^ Disapproved Sanitazy Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) ® Approved ^ Owner Given Initial Adverse Sur~rge Fee) ` Determination 2S db 0 _ .. X. Conditions of Approval/Reasons for Disapproval: ~- Pt,.~,.~.r- ,,,,,~- ,>e,,; .G,l ~ ~,tr,~ l~ ~- ~.e.,~{.~..~r.a, k r p.~~ -~ t ~ sy . SBD-6398 (R. 07/00) ~ ~ ~scons~n Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www. com merce. state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 14, 2000 CUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 ATTN.• POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/14/2002 - _ '; ;; ,_ SITE: - • ,_ Site 1D: 198691, BRADLEY COPLAN ~ ~'; `. ST CROIX County, Town of EAU GALLE; 222N~~ST NW1/4, SWl/4, 520, T28N, R16W -•- = ~ ~ ~' ' FOR: Object Type: POWT System Regulated Object MOUND /DWELLING 450 GPD c~o~x ~N'o:: 76147"~cun~~ ~,, ~. , C~ The submittal described above has been reviewed for conform~atric~` ~ifh~a~~~ Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY OVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, _ ,,YAMES B QUINLAN , POWTS PLAN REVIEWER Integrated Services (608)266-3937 , 7:00 AM 3:30 PM MON / FRI JQUINLAN@COMMERCE. STATE. WI.US I Identification: Numbers I ~`rction ID No. 434089 ~'` Site I~. .198691 Please ief` to both identification numbers,. • sr~Kd~e_ in a~rresnondence with the agency. Li~~~ DA' FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART,code: ' cc: BRADLEY COPLAN { isconsin Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www.commerce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 14, 2000 CUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIItE5: 09/14/2002 ATTN: POWTS INSPECTOR ZONING OFFICE ST CROLY COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Transaction ID No. Site ID No.198691 SITE: Site ID: 198691, BRADLEY COPLAN ST CROIX County, Town of EAU GALLE; 222 ,~` NW1l4, SW1/4, S20, T28N, R16W ~~ FOR: -~~ Object Type: POWT System Regulated Object ~~'~c MOUND /DWELLING 450 GPD 't. --`, The submittal described above has been reviewed for conk and Wisconsin Statutes. The submittal has been CONDIT chapter 101.01(10), Wisconsin Statutes, is responsible for ~~ Z e refer to both :identification numbers,. ~- o~de_ ig all. correspondence with the agency. ~D `r .5 ~.~n 76~14771 ~ ~Op ~-- :tip y0~5 ~~~ p~k : y' / ~sconsin Administrative Codes The owner, as defined in requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, _, ~, AMES B QUINLAN , POWTS PLAN REVIEWER Integrated Services (608)266-3937 , 7:00 AM 3:30 PM MON / FRI JQUINLAN@COMMERCE. STATE. WI.US DATE RECEIVED 09/05/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WSMART code: 7633; cc: BRADLEY COPLAN RECEIVED SEP S 2~~~ TITLE SHEET Page - 1 of ~ SAFETY & BLDGS. DIV. MOUND SYSTEM FOR A .~ BEDROOM RESIDENCE This plan has been prepared in accordance c~ith the Mound Component Manual BD-10572-P and the Pressure Distribution Planual SBD-10573-P LOCATED IN THE tyUJ 1 /4 OF -THE S~ 1 /4 OF SECTION ZO , T Z$ N R ) c W > > TOWid OF _ ~-U Cjf~tLL, ST- CC2.U lX COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEr1 rIAI~TAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEtd-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI~iPING CHAP•1BER CROSS SECTION PAGE 7 of 7 PUMP PERFORP4ANCE CURVE PREPARED FOR . ~_ o_ ~3ox X03 Q~L7l~J~ly ~ LV ~ S~ D o Z ~.~.:~• r~'.t~ ~,~n~~itiorially pRDVED ~~R•fMENT Of COMMERCE PREPARED BY DEP ETYA~~ ~~~ ~~10N Of SAf ~ ' ~. ~ -_.. WEGEF~EFt SQ 2 !_ .TEST = NG,,-; ~~_ %:>"•~--? ~~ ~~ i •' ~.. DES 2 G ~l ~S~ F? V = C E SEE ~Ec,~pQ(~tDEtrCf P.O. Box 74 421 IT.iiain St. River Falls, WI 54022 Phone 715-425-0165 Fax- 715-425-6864 JOB N0. ~~~25) g _ 3 L--4 0 Mound System Management Plan Page 2 of 7 Pursuant to Comm 83.54, Wis. Adm. Code . Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. . Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)J and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal pertormance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. _ --- Questions on the operation or maintenance of this system should be directed to the County Zoning office at `tlS-~8b - ~6i3o or to the licensed plumber who installed the system. Cp,~~ ~u~t"1 ~~~~~t,S ~~, to~~ ~~DZ ? ~s~l 6°~e Zb; s . ~~~_ r ~S' _ ~'; ~~ - `Z41 26_S' ~, o~ ~ ISZv~LLII . e. ~~uu4v.~'~ =mts r'riz.~~ GprtZ tp' pF ~ `~ Puc ~ ~ 3 8~~1 ~~OMI~ Page 3 of -7 ~ suGG~s`r~'~ W ill LU~'10~V -- ~~ y __--_.~ ~Z~`U•_loo•o ow 6 triG~~ 3~y 111R.pvc nt~~=_WZ~/, -Jp~; - __ __-- P1,0~.1 Sam 1"IUUN~, S~`1~ - R'~' ..LN~3T ~~ ~~~ Tv._ btz~lz vP `tom ~-xl.Sl~~r~ P~-r~n`'1 sY'~-~.-clvrz~ J Y ~~ r ~~ ~ ~) ~I ~~ l~ NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 1oUo /~p0 gallon capacity manufactured by W l~ ~2 CD1J c~"T~. Prw~~cTS w / z~~z ~'w ~~r~t- F=i ~7-~rz Scale 1 "_ =~ p ' L~ 4. $ench marker SSE Pc~uU~ ~. Divert surface water around system to prevent ponding at the uphill side. Paae y Of ~ Approved Synthetic Covering AST~i C33 Medium. Sand Topsoil ~ ___ -___ F _~ ~ ~~ p g E " ' p. / .. b Slope Distribution Cell of Force Main Z" to 2''z" Aggregate From Pump CROSS SECTION OF A MOUND SYSTE;`i Linear Loading Rate=~.5 GPD/LN FT Design Loading Rate=O•Z6.GPD/SQ FT G.1srrS~n D ~ ~ • ~ .J 1 V 1 V fT _Gnv.rn M~ ~.. ~ .. L Distribution Fipe A y.5 Ft. B 1~~ Ft. I ~~ Ft. J ~) Ft . K ~Z Ft. L 1Z-~ Ft. w z6.s Ft. 0 ~•~1 Ft. E Z ~ ~~ Ft. F o•~ Ft. G O.5 Ft. h ~ • ~ Ft. U +~ -Observation Pipe ('- --~---- ----- ---i ~Acctss C}-~-•--------------------- --------------- -------+ Sox ( O _ _ -.._- W -~__.~_~ - -------- ------~------ J Force i Distribution `-- Cell of %" to 2%" ~ t=~~~ z z Pipe aggregate , Observation Pipe (Aachbr securely) G Elev . l0 3 Plowed Layer nn ~~ PLAN DIETS OF A MOUND SYSTEI4 Distribution Pipe Layout Place the holes at the bottom of the distribution pipes . at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of Ion, tum or 4f ° fitting to a point within six ~~ inches of the final grade. Terminate the ends of the laterals with a vaIv~,~ threaded cap or • threaded plug. Provide access from final grade for the vaIye; threaded cap or threaded plug. " T`t P 1 C1~ L ~,ZOS S . S~Z.`i1 ~ 1~7 PVC ~ F~JC PVC Lateral Manifold Later) x x ~ x ~ z ! x!2 (xfl ~ x ~ x ~ z ~ x ~ . :Lateral Length - '~- Lateral Len P P o-• - h r,-u ~ Fc» ~~E r, Rim ci- Page S of 6 i}c~s ~x - -c - --o F ~ Ft. S 3 Ft. X ~ ~nchss ' Hole Diameter ~f8 Int:h ~~ ~---- Lateral ~ 1 ~~~. InchEes) Manifold ~_ Inches Force Main " ~ Inches .~ Hof holes/pipe 2S - . Invert Elevation of.Lateraislb3.9 Ft. i ' `-' 1 _ ~ - Combination Sept~.c~.Tank and _ ` PUMP CHAMBER CROSS SECTION AA)0 SPECIFICAT101J5 ~ PAGE ~ OF 7 • .__ - . _ •VEIJT CAP ~ WEATHER PIt00F JUIJCTIOIJ 90X . 'i C.Z. VEIJT PIPC t APPROVED LOCKIIJG ~lO' fROM DOOR. ~MA3JHOLE COVER ~•vi'11i :i! OW OR FRESH ~ t+uA(i.fJ!!JG LA.9EL,. ,_ tee 3P ~G1olJ P tPE ' w~Pl1.CL~'16t!•T ~P ~~~~~ -- 18'/'IIAI. IAlLET Approved joint w/ PVC pipe AJO AIR IIJTAKE f ~ L"nw.• b''r14Vic . ~ it ~. Cot.tDu1T I ' ~-- ~'° ~`i,: ~~~: __. _ ~ ' 1 +-~ •PROVIDE I •, ;!~ AlRT16HT SEAL I 3+ZFFL~.S LLEY.gs'~f'C- ~1.-~~J • ~d ~l. S u r i ..~ I i a -I. I, c ~i . I PUMP ~ jr~~ D CoucRETE l' BLOLK-- ~r' xlu. ~ r8'Mlu. III I ~ I Approved III joint w/ ALARM PVC pipe II ou OFF RISER EXIT PERMITTED Oi.1Ly IF TA1JK MAUUFAGTURER HAS SUCF{ APPROVAL~3NAD~~~D BirOD t zv4 SEPTrC F ~ SPEC.IFIGATIOt~lS . DpSE ~ LJ1.~~1Z- CV1V C TAlJK MA-1UFACTURER: ~~~ 1JUMESER OF DOSES: ~' 9 PER DAB TAlJK SIZ1<: 1.OU~ 1640 GALL01J5 DOSE VOLUME Z INCLUOIAIG 6AGKfLOW: ~•~,• ~ ALARJr1 MAUUFACTURCR: S•S• ~Z-~~b `3t'~ST>_~''1 ~ GALLON,S MODEL 1.IUM8ER: l~ ~- law CAPACITIES: A_ ~ 30l•~ 'f'1.1ZC~~Z, _~IAICHES OR GALLp-!s SWITCH T~PL: ~ g. 2- IAJCHES'OR 33'S GpLtous PUMP MAI.IUFACTURER: z-O~-~-~Z C:~tAICHE50R ~"'~GALLOUS MODEL !LlUMBER: 1 ~ ~ 0=~INGHES OR 150-a GALLOAIS SWITCH TYPE: ~C~C_eU~Z-~'/ fJOTE: PUMP AUD ALARM A~RtC To ac '3 MIiJIMUM DISCFIARGE RATE- ~-I1. D GpM INSTALLED OA] SEPARATE CIRCUITS VERTICAL DIFFEREIJCE DETWfEt,1 PUMP OFF A-JD..DlSTRIBUTIO-J PIPE.. ~g• ~ S FEET + Ktt.tIMUM AIETWORK SUPPLY PRESSURE , , , G-ZS FEET + t6o FEET OF FORCE MAIIJ X 3'~~O F~pF~FRtCTtou FACTOR.. S•S~ FEET TOTAL Oy1JAMIC HE:AO = `3o'~y FEET As per >;tanufacturer lb•'"')C~ gal/in. Liquid depth - 3~ ~' • ,. • Y ' • • ~ N W W w ~'' ~ ~ 14 a5 12 40 35 t0 30 9 Q x 6 2C U a z or 1° J 4 t0 2 5 0 -r- U.S. GALLON LITERS _"~y~P i~~R FD~Zr~~x~ C~ C u\zy~. HE M AD CA ODE PACITY CURVE LS "140/4140" TOTAL DYNAMICHEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING ft. Meters G°I. Ltrs. 5 1.52 91 3aa 10 7.05 64 719 15 4.57 76 288 i 40,41 40 20 6.1c 6e 2s7 25 7 62 S9 227 . -~~ 30 9.14 49 185 75 7 0.67 78 14a 40 12.19 21 79 a5 13.72 5 19 Lock V°IVe: 46' 1 ~t1~.o 10 20 30 40~ 50 60 I 70 60 I 90 100 1110 60 160 240 320 400 FLOW PER MINUTE 010940 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical altemators, for duplex systems, are available and supplied with an alarm. • Mechanical altemators, forduplex systems, are available with orwithout alarms. • Control alarm systems are available for 1 phase pumps used in simplex system. See FM0732. Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. • Refer to FM0806 for 200° F. applications. 140 Series - 53 lbs. 4140 Series - 73 lbs. 140/4140"' MODELS Control Selection Model Model Volts-Ph Mode Amps Simplex Duplex N140 N4140 115 1 Non 15.0 1 or 1 8, 5 2 or 3 ~ 4 E140 E4140 230 1 Nan 7.5 1 or 1 ~ 5 2 or 3 & 4 BN140 BN4140 115 1 Non 15.0 1 or t & 5 2 or 3 ~ 4 BE140 BE4140 230 1 Nan 7.5 1 or 1& 5 2 or 3 b 4 "' Double seal pumps are available vritll optional naisture sensors. Seal Fail indicator light available in NEMA 1 or NEMA 4X control panels. i6 SELECTION GUIDE i 1/2 N7r SK1524A 1/2 NPT 6Ki6246 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0447. 2. Mechanical alternator M-Pak 10-0072 or 10-0075. 3. See FM0712 for correct model of Electrical Alternator E-Pak. 4. Variable level control switch 10-0225 used as acontrol activator, specify duplex (3) or (4) float system. 5. Four (4) hole J-Pak, junction box, for watertight connection orwired-in simplex or 2 pump operation,l0.0002. CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump ~ ~ MAIL T0: P.O. BOX 16347 1 Louisville,lCY 40256-0347 Manulacturersol.. ~Q ~~~~ SHIP T0: 3649Cane Run Road ~ Louisville, KY 402114961 QvaurrPuwve S,vcE /949~9~ ~' ~ PUMP !O. (502J 778.2731.1(800) 928-PUMP FAX(502)774-3624 J Wisconsin Department oflndustry, SOfL AND SITE EVALUATfON REPORT Lahor and Human Relations •. n of safety a Buildrx3s in accord with. ILHR 83.05, Wis. Adm. Code Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan rrwst include, but not limited to vertical and horizontal reference point (BfVn, direction and 9'0 of sbpe, state or dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION Page l of 3 ST'. C.2O1X PARCEL I.D. # 008 - l.o S9 - 30 PROPERTY OWNER: G~Z~'P~ tvojt~'t}~tJ t»pvgTR_t~ PROPERTY LOCATION ~v`-1 tom- : 'D1~'t~ V f~C)`) SUS ~''N ~6A1F~-L&T NW 1!4 S1~J t/4,S ZA T Z~ ,N,R y (, E ( PROPERTY OWNER':S MAILING ADDRESS • LOT # BLOCK # SUED. NAME OR CSM # aao sp~~~.~; sT. - CITY, STATE ZIP CODE PHONE NUMBER ^CITY (]VILLAGE ®iOWN NEAREST ROAf~ BPS~i~wf/u,Lvt S~~pZ hts) 68~(_y~lSO ~v Gtr-~,t~, -z.ZZh sT, (~f New Construction Use [J~ Residential ! Number of bedrooms 3 [)Addition to existing buiki'ing j) Replacement ([ Publ'~c or commeraal desaibe Code derived daily flow VSO gpd Recommended design loading rate - bed, gpd/fl2 trench, gpolft2 Absorption area required - bed, fl2 - trench, fl2 Maximum design baring rate - bed, gpd/ft2 trench, gpolft2 Recommended infiltration surface elevation(s) - ft (as referred to site plan benchmark) Additional design /site considerations g,~t-h~ D v t'N~-T ~2.ty ~-r w/ 1Z~•P~-fib ~i r"la~~ _ Parent material l.o~ S ov ~lz el l~~ Flood plain elevation, if appfcable N A ft S =Suitable for system ~~~ MOUND W1iR0UND PRESSURE AT-GRADE SYSTEM tN Fl[.l. t-IOLDNVG TANK U =Unsuitable for system ^ S ~ U ^ S ®U ^ S ~ U ^ S ®U ^ S ®U ^ S ® U SOIL .DESCRIPTION REPORT Boring # xn;> ~;~ <;~; .r:~:;~ Ground elev. ~t9- ~ ft Depth to Gmifing r ~, Boring # Ground elev. 9~ ft Depth to limiting factor ~4N Horizon Depth Dominant Color Motlies Texture Structure ~~~~ Botrda Roots GPD/ft i M ll y n. - unse Qu. Sz. Cont Cobr Gr. Sz. Sh. B~ tends o-$ ~~'-t tz 3 / Z si) 1 `F P 1 ~`F1- CS - NP - 3 Z 8-~ ~o~R '/~Y - s~cl . Z`~sbk wt ~- ~~t , S .,{ .~ ,/~`" ~'r 7v~.., ~~ r~T a Remarks: ~~-q~ ! .,,;o r F4._a ~_ ~~ ~ ~' ~-g LO`12 3l Z. ~ Sly ~`E~P~ ~ cs ~ N>>€ ,3 Z 8-ty. toy2 y/y si~e~ z~sb~ -m`f~- es ~ -~ ~ -s 3 ty-U l U~t 2 Y/l, e~ -S ~r 2 S ~~ e~ ~~ w~~t- _ ~'P' -Z ,~,, 'Remarks: ~ t 6 'fVame:-Please Print _ Arthur L. •Wegerer P~~e' 715-425-0165. ' g rer.:Soil Testing & Design. Service-P.O; Bax :74 River .Fa11s,WI 5402 ~~ -•' ~adue: - . _ .. _.: Date: ~' , CST Number:. ti~ ~ ~_` ~~~..a~,.t_ Q'cl -= 6 8 ;.a ~ ~ ~--~9 2 2 0 2 5 4 ~~~ Pi~OPERTY.64tFNE€{ Val Sur-~~Z~ SOIL DESCRIPTION REPORT P;aRCELLD.~ ~OQ~- lp SQj - 3~ "'oring # `Horizon Depth i Dominant Color Mottles Texture Structure is*'~~ n. Munsell. Qu. Sz. Cont. Color Gr. Sz. Sh. '~'~$ Z st cJ Z~S ~k Ground e 3 lg~D 1.0~ z y jb ° ~.S`tR s/g C) p el v: 1bZ.Zft. :, Depth to limiting _ fat r h Boring # ..> r ~~~ . ~~:;;?k•::}~j ,fir; ... n. V Ground elev. . ' ft. Depth to limiting factor Boring # ;;fix ., :tti~:;.tii:4iia Ground elev. it: Depth to firniting factor Remarks: ~'1' 1,0 ~~ Goring # ^ W '+\\ "' ~; Ground elev. ft. Depth to limiting factor: ~ ,. no'iNl"+ ~,~ ,v., ~... .... .~ Page ? of ~ 3 Consistence Bour~iary Roots G P D/ft Bed Trer~ m'Ff- c S. - rvn . 3 m~ es - ,~~ s W1 `~ t^ ' Y" ~ - Z I S k ~, ~~. ~ ~.. 1 PLDT PLAN Page 3 of 3 SCALE 1"= L~~' ~~-o~~.Y`f LlryF ~-1.OZ. ? ~~ halo a~_ _ ~-.~~~ ~~~r ~~ ~ I N ~ ~Z2 1 . _ r, ~ ~ _' -"~ O B.Z./ ~'' N' ~ ~ ~~ (/ ~- ~S N _ _ _ ~ ~ ~ Iv Do tioT W~.aR-eT- 02 ~ ~ .) ' ~~S~R-.~ ~T.S~ pSR-C~'Pts ~ J O~ ~ I ~ ? ~ ~ ~~ ~ ~ ~~ . r~ ~// ~~ ~ " ~y #-~ ~z~~v. ~~o.o n~v b`tti~GN; 3~~4DrR.pvc nta~ wry!. q9-(,~-$ zZ.o~. 5 y ~~Z _ 5 `~~~`~ (715 ) 425-Ct ~ S rifer CST Signature Date Signed Telephone No. CST # ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGItE~M~NT AND O~NN~RSIiIP CBR'CIFICAT[ON FORM Owncr/I3uycr __ ,i~yf~~ ~ ~ ~.,~ ~ ~~ ~ Mailing Address _ ~" D ;~ Property Address ~ ~. Z ~ ~ ~ r (Yaificauon rcquurd from Planning Dcparfmcat for acw construction) d ©~ ~ / a,S- ~- ~ Q ,. rte/ ~"" o City/State Parcct Identification I~Itunbcr LEGAL DESCR~T~ON Propcrty Loc:atioa -1f ~ <, ~ ~, Scc- ~ (~ T ~ N-R .~ ~ ~.~- v ~,~t - ~ ~W, Town of ~~ Subdivision Lot # - .~- , . ~erlified Sacvey Map # ~ 270 j Volume .page # -~ ~~ -~ warrnaty need ~ ~~ ~ ~' d ~ ~ ~~ page # ~? ~ . ~~___.__, Volume Spo~.~,ousc ^ ycs J~.no Lot Lines identifiable ~ yes ^. no ~YSZF.I~I` A1~tCE oosustsof ~ ~~`ooaldnsaItmits ~ : tolsandlewasttx.Propcrmai~acaaaoc. caa at~+oct$re,fim,~ipa o f~ ~~~ ~ or ¢axdcdby ~ Yi~ocasodpampcc ~WY~at yua pat.mLo ~e_ systcm . t taa~as.a ~ m ~e ~stedispor. aispsbcur. .. - _ .The P.~Paty~ o~cr agaxs ~ ~tp St C~c Zug ~ f~a, by ~e cw~nes and ~y a p~~P r~stuctodplumbaor'a Tiecarcd isinpmpcroPuztingaoaditioasa,d(oc(Z)aftcrm~md ~~~(Ij~oaaitevrssGcwaterdisposalsyst~ •~~Y). ~ scptiatank•is icss $raa I!3 #u11 ofsludgc. . ~ ~ ~vc~rad the above tugaic+~ and agree to ~ gbe pcivatc searrage disposal systcm with the staadaids • fem. taarsa" aas sd by ~ of Gbo~maoe and tree ~ Y~ uP~ ~~ bas'6oca of IZatruxi Rrsormas; Statc of Wisconsin.. cation days• of the thrx ~ be completed and t~nmod tp the St. ~oix.Cotmdy Zoning ~Offioe wiihioa 30 yar ctpintioa date: • j ~' slcirrAT~ of cAt~ ~ ~~i c w DATE OWNER CERT~CATXON I ~~~ ~Y ~ all statmrcats oa this foam arc true to the b«t of m our Joao wiedgc, I (wc) am (arc) the owner(s) of ~ Y / above„ b~v~ of a warzanty decd reoordod in ~tcgistcr of Dads Office. SI / .. PLI f ~'~- .a G~ ~~ !~'~ir-'tom GNATURB OF~, DATE s««ss« ~ iafotmatioat that is mis-rcprescatodmay r,x~ilt is tt~e sanitalY Pcamit being rcvolaed by the Zoning Depactmcnt. •««••` ss Iadudc ~vttt< this application: a stampod wamaty dood fmm the ~g~' of Doods ofTicc a Dopy of the ecrtifod tunny map if rrf,.ceaoc is aaadc is the warranty decd ~,,:1.5~1PA,;t 570 Danny J. Van Someren and Cindy L. Van Someren, husband and wife, as survivorship marital property, conveys and warrants to Bradle Coplan the following described real estate in St. Croix County, to a of Wisconsin: 629684 KATHLEEN H. WALSH kEGISTER OF DEEDS ST. CkOIX CO., WI RECEIVED FOR RECORD D9-11-000 1:50 PM YARRANTY DEED EJ(EMPT B CERi COY FEE: COPY FEE: TRANSFER FEE: 19.50 RECORDING FEE: 10.00 PAGES: 1 Recordirg Area Name and Return Address ~/ (~fL^~'CJ,~-s z...) t~GCfrZ''f C..I Ni..i.~ a-rT.~ '~pio.~ K I~PP P~ Q/~oF r36 a'- o CF~R.,. ~~ 008-1059-30-000 (Parcel Identification Number) Part of the Northwest Quarter of the Southwest Quarter (NW '/. of SW '/.) of Section Twenty (20), Township Twenty-eight (28) North, Range Sixteen (16) West, St. Croix County, Wisconsin described as follows: Lot Two 2 Jul 26 2000 ' of Certified Survey Maps, Pam , as Document No. 627095 Exception to warranties: all easements and restrictions of record. // This is not homestead property. Dated this ~ day of.5l ~bLR , 2000. AUTHENTICATION 'Danny J. Van a en Indy L. Van meren Signature(s) > `O authertllcaEedthis_,dit~of , ~:~ ~pTARy signs r~ F+f A:w ~ ~ :~ ~~ - _ ,,~~.;;~~~ . ryv~ ~ts'I~ck,, ~re~. ,, ~`' TITLE: MEM1~~rS~T~S~ BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) THIS INSTRUMENT WAS GRAFTED BY Thomas A. McCormack Baldwin. WI 54002 ACKNOWLEDGMENT STATE OF WISCONSIN ST. CROIX COUNTY Personally came before me this ~ day of ~ ..~ 2000 v med Danny J. Van Someren and Indy L. Va Someren to me knovm to be the person(s) who ex uteri the for oing instrumen~ad ackt~o~n c-ttje typQ.eiprint name w Notary Public, St. Croix County, Wisconsin. My c/oomm~a ion ~ ermanent (If not, state expiration date: 'Names of persons signing in any capaclry shouxl De typed or printed below their signatures. Inlomreon Protaaeiaru4 Company FoM du ue, WaeonWn 800655-2071 ~~..~;~ /~~ i` <'<~ 2 ~Ava~~ tF> .:L~L' 6 2000 - a KAT'ILFryI H. WALSIt HoLs:;rolDeeds /I 62"~U95 t~ Certified Survey Map Danny and Cindy VanSoroeren The Northwest 1/4 of the Southwest 1/4 of Section 20, Township 28 North, Range 16 West, Town of Eau Gape, St. Croix County, Wisconsin F//1 COR. SF C. 20, T28 N, R/6W, IJNPLA TTED LANOS I BERNTSfN NAIL FOUND) W//4 CO R. SFC. 20, T28N, R16W, / I l/4" IRON BAR fOVN OI S 89•/4'!0"E !228./0' E/W I/4 LINf 1 x, 742.92' ' "°kkyl:..~h.'.~. ~. ~. 1k?`•:..; +..1-.»', ,. f , /2l1. (1• - r ss7. o4• 8.9s•X ''_:a; ~ 1299.96' ~° I I .:~ o W 34.373 ACRES 3 ' • !.003 ACRES BORINGS i A 2 (, 197, IBO SO. F7. h - 217, 9/O Sp, FT, I 41 I W -/ !3.494 ACRES EXC. ROAO R, O. W. - 4.380 ACRES EXC. R04D R. t~. W. ~ l~ i 1, 438, 99050./7. C `~ 189, l07 SO. FT. I I ~.N ~ I 1 R; _ ~~ 11.40' 2 N 89 •24' 38" W !! 7.00' ^ ? ~/ 20' Wltls Oreln9as Etlssm4nl I I ~ / I n a ~I , ^- ,/ f ORAlNA0E 8WALE I ; ml Q .. .... iii"' ,,`,elgltlNlf//~,~ I : ql A ~ Low '~ ~.•~~~l~~SG Oly O . I ~ y Qi • AREA •~M~'• S~ 't'I I 'rv b ^ -~ JI e • 'YY ••~o.... ~ I~ ~ pl ~ QI til ~ i 713 a ~ BARN pl Q ~ ,~ IVER FALLS ~: ~ ,w ; ~ I M ~ J L .F.ND \ :~~ •'•-. WI5C. r Jq. ,• I ~ F- Z O Indicates t" x 24" iron pi weighing 1.13 ~~~i ~E~••LANa 5,,,`•~ i ~ ~) Ibs./lin. ft. set. ~•/Nlu/a~la~ C] s'NEO a --ik--iG- Indicates fence. ~\ ~ "' 4 This instrument drafted by Laurence .Murphy oweeLlNG ~j ELL ~ Dated: February 23, 2000 "Revs ed this 22nd day of ~ I ~ , n May, 000." I •,~ ; t7wner's Address: ~ z ( I sFRrlc ` 730 GTh Aver ~ ~ I -° Baldwin, WI 54002 ~ Y I ~~I "~ ~ I a c m I c x ~ i i ~fl' ~ s I B ~~ 1270.8/' ~ 37.27 ,~ t 1 I N 89.07' 36"W (307, 8B' S LINE NW l/4 SW l/4 n LAND S~ ST. CROIX COUNTY P1amBp Zardnq and Parks Commiltes SW COR. SEC. 20, 728 N, RI6 W, 1 ( / I/4 "1RON B4R FOUNOI ./Ul 2 s 2000 SC41E /": 200' o loo' 200• aoo• 400' If not wctlr~tidwithin 30 days of approval shall be nd void ALL qE ARINGS REF, TO THE E/W //4 LINF OF SFC. 20, ASSUMED S 89• /4' 3D"F SAEET 1 OF 2 Vo1.14 Page 3906