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HomeMy WebLinkAbout004-1035-50-000 'o 0 4 o N q 3: C; ua N O 0 O ~ Nf~L ~M'O .O C7 i n~ C N M 0 ca -0 °O C. • N N N N y O. ,y N d6 - E No c c '0 M .0 0 N-0 CO r. M m0 d v L 0 0 f6 N U-) N u') •0 C Q) C U ° i~ E n U) C X 0 c- ao 3 es yomoE-n~~_ 3 > 9 O. O 0 d O Q) O a- o M v CNOC V) Ca m a~ 0 # 4 co co r M C, 0 N N j O N J U E > N N N M N > L 0~ O U ik L (6 O i '7 O 0 -p Z '00 E Oo -Om c _ c C y O y 3 t0 01 "O N 0 0 3 c«- N LL C C.d C N 0) N (D N \ O a U O N C f9 2 O ~pp 3 N X M U E Q N (n M-0U O 0)C 1 U V W co Q N t,J E cn 0 L J 00 a m o.o ~ I O z in H m ~J ~ E o 0 o • ~ -C ~ U N N 3 U O O Q Q Z Z O a a Z o 0 N C ~ i d i y d a, O CL ` a~ ooIL (n :3 y ° o H ~ 0 0 0 a 0 3 O fn y M M fn J U rn o) o) rn O O ~ Z N 0 W AV N N O O O ON O O E co ~ r r a co CO L 3 0 a) O d •p Q Z m = to ❑ 7 C O N C M O _ ~ W r O ~ Q O I c U O N 3 O W 0 0 ~ I O M C O a) F C U 0 0 0 0 1 N 3 0 N E Y` N N N LO c W M L FO - C N 5 C` W 7 c6 'Rx CS 0 CD 'a (D • 7a O f6 2 O O m ? U y„ O U U O Z rL U) O ca V m 7 2- L: d w • NCO Q N V d C £ L C C r 3 olb "1 A <°~am Oin0 vvisin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 i arST'and Human Relations s `f5ivision 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 St. Croix 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 Joann Croxall GOVT. LOT SW 1/4 SW 1/4,S 15 T 28 N,R 15 )W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 7104 Robinwood Trail - - NA CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD Woodbury, MN 55125 (612) 739-3120 Cady WSHW 128 [ ] New Construction Use Residential / Number of bedrooms b omi no 2 [ ] Addition to existing building jx] Replacement [ ] Public or commercial describe Code derived daily flow 300 gpd Recommended design loading rate .5 bed, gpd/ft2 •6 trench, gpd/ft2 Absorption area required 600 bed, ft2 500 trench, ft2 Maximum design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 95.6 ft (as referred to site plan benchmark) Additional design / site considerations install 3' x 85' rock bed mound w/ 1.75' sand fill on 93.8 as upslope edge of rock bed Parent material loess over till Flood plain elevation, if applicable NA ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S ® U ®S ❑ U ❑ S ®U ❑ S ® U ❑ S BU ❑ S O U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 1 0-13 10YR 3/3 - sil 2 m-c sbk mfr cs 1f/m .5 .6 k::• 1 ::i::: `'^<3 2 13-26 10YR 4/4 - sil 3 m sbk mvfr cs if .5 .6 w occasional g Ground 3 26-27 7.5YR 4/6 - sl 1 c sbk mfr as - .4 .5 elev. 95.7 ff 4 27-29 5YR 5/8 - is 0 sg ml as - .7 .8 5 29-37 10YR 5/6 - is 0 sg ml cs - .7 .8 Depth to w/ rinnAsinnal 10YR 1/3 sand inclusinns probably n low chr ma mottlin limiting 6 37-48 10YR 5/6 f2p 5YR 4/6,5/8 is 0 sg ml cs - .7 .8 factor 7 48-66 7.5YR 5/8 - s 0 sg ml - - .7 .8 Remarks: horizon 6 close to field capacity; sidewall seepage observed @ 64" in horizon 7 Boring # 1 1 0-5 10YR 4/3 - sil 2 m sbk mf 2 .5 .6 mI, U, }j 2 5-9 10YR 3/3 - sil 2 f sbk 1 .5 .6 §;'i 2 RK-' YAW 01-nritirn 3 9-17 10YR 4/3 - sl 2 c sbk 0~ r cs if .6 e, r- r Ground elev. 4 17-28 10YR 4/4 - sl 3 m sbk ; r c as if .6 9A-4 ft. COMTv 5 28-35 10YR 4/6 - sl 1 c-m abk f ZOR' WOOFFIC ~•4 .5 Depth to limiting factor r Remarks: CST Name:-Please Print Phone: Henry F. Grote 715-665-2681 Address: PO Box 57, Knapp, WI 54749-0057 Signature: Date: 9/13/93 CST Number: 3065 PROPERTYOWNER Joann Croxall SOIL DESCRIPTION REPORT Page? 3 PARCEL I.D. # a Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends i•.'•:3 1 0-4 10YR 3/2 - is 1 m cr mvfr cs 2f .7 .8 2 4-8 10YR 3/3 - is 1 m sbk mvfr cs if .7 .8 Ground 3 8-15 10YR 4/3 - sl 2 m sbk mvfr cs if .5 .6 elev. 93e ft w/ occasional 5YR 4/6 iron concr tions -19 . Depth to 4 15-22 10YR 4/4 f1f 7.5YR 5/2 sl 2 m sbk mvfr as if .5 .6 limiting 5YR 5/8 factor 5 22-31 10YR 5/3 c3p sl 2 m-c sbk mvfr - - .5 .6 10YR 612 1511 Remarks: Boring # 1 0-5 10YR 3/2 - is 2 m cr mvfr cs 2f .7 .8 2 5-23 10YR 313 - is 1 m sbk mvfr as if [.7 .8 3 23-32 10YR 4/3 c2d R-Gy sl 2 m sbk mvfr - - .5 .6 Ground elev. 93.5 ft. Depth to limiting factor 23! _ Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) i .t\ ` tl f1 4 ' vco R-%.%h 461 10~O! ~SW`SW~ ty -LJL~ UW``7 r... aai~ : C i e~ i'Ka1 kp.} vw1a.. ♦~o ~h > l sro A•tr h }ti • s J~ e..~. _ `C e; al) • C(~\ o Z ••t,.~ + 1 v .fie i ct 8. - Z _ xo A r %J AmA ti is a„ . ~ (~1.Q a.. 4w~ c:Z: ~.0 Q bo-c ~r► e t J 1 i r etc/ tX LAJ `~L.,1 > ~ gyp' ~r(•~•~'C ail ~ o a~.n.t ~~~L Z e ~ 3 McL Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT w, Page 1 of 3 0Mr 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 St. Croix 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 Joann Croxall GOVT. LOT SW 1/4 SW 1/4,S 15 T 28 N,R 15 )Omv PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 7104 Robinwood Trail - - NA CITY, STATE ZIP CODE PHONE NUMBER [:)CITY ❑VILLAGE MOWN NEAREST ROAD Woodbury MN 55125 (612) 739-3120 Cady WSHW 128 [ ] New Construction Use ] Residential / Number of bedrooms 3 becoming 2 [ ] Addition to existing building jx] Replacement [ J Public or commercial describe Code derived daily flow 300 gpd Recommended design loading rate .5 bed, gpd/ft2 •6 trench, gpd/ft2 Absorption area required 600 bed, ft2 500 trench, ft2 Maximum design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 95.6 ft (as referred to site plan benchmark) Additional design / site considerations install 3' x 85' rock bed mound w/ 1.75' sand fill on 93.8 as upslope edge of rock bed Parent material -loess over till Flood plain elevation, if applicable NA ft rU= uitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK nsu itabtefors stem ❑S ®U EIS ❑U ❑S ®U ❑S ®U ❑S 9U ❑S ©U 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 Tre & 1 0-13 10YR 3/3 - sil 2 m-c sbk mfr cs if/m .5 .6 it> < A 1=> =1 2 13-26 10YR 4/4 - sil 3 m sbk mvfr cs if .5 .6 w occasiona Ground 3 26-27 7.5YR 4/6 - sl 1 c sbk mfr as .4 .5 elev. 95.7 ft 4 27-29 5YR 5/8 - is 0 sg ml as - .7 .8 Depth t.0 5 29-37 10YR 5/6 - is 0 sg ml cs - .7 .8 limiting r ma mottlin factor 6 37-48 10YR 5/6 f2p 5YR 4/6,5/8 is 0 sg ml cs - .7 .8 37" 7 48-66 7.5YR 5/8 - s 0 sg ml - - .7 .8 Remarks: horizon 6 close to field capacity; sidewall seepage observed @ 64" in horizon 7 Boring # 1 0-5 10YR 4/3 - sil 2 m sbk mfr cs 2f .5 .6 2 2 5-9 10YR 3/3 - sil 2 f sbk mvfr as if .5 .6 3 9-17 10YR 4/3 - sl 2 c sbk mvfr cs if .5 .6 Ground elev. 4. 17-28 10YR 4/4 - sl 3 m sbk mfr as if .5 .6 9e _ A ft. Depth to 5 28-35 10YR 4/6 - sl 1 c-m abk mfr - - .4 .5 limiting factor f Remarks: T Name:-Please Print Phone: Henry F. Grote 715-665-2681 Address: PO Box 57, Knapp, WI 54749-0057 Signature: h Date: 9/13/93 CST Number: 3065 PROPERTY OWNER Joann Croxall SOIL DESCRIPTION REPORT Page? •tft3~w_ 1 PARCEL LD.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourldary Roots GPD/ft in. Munsell ()u. Sz. Corrt Color Gr. Sz. Sh. Bed Trerldl 1 0-4 10YR 3/2 - is 1 m cr mvfr cs 2f .7 .8 x,. 3 2 4-8 10YR 313 - is 1 m sbk mvfr cs 1f .7 .8 Ground 3 8-15 10YR 4/3 - sl 2 m sbk mvfr cs if .5 .6 elev. W/ occasional 5YR 4/6 iron concr tions 93.8 ft. Depth to 4 15-22 10YR 4/4 f1f 7.5YR 5/2 sl 2 m sbk mvfr as 1f .5 .6 limiting 5YR 5/8 factor 5 22-31 10YR 5/3 cap sl 2 m-c sbk mvfr - - .5 .6 1nVR 6/9 15" Remarks: Boring # 1 0-5 10YR 3/2 - is 2 m cr mvfr cs 2f .7 .8 k 2 5-23 10YR 313 - is 1 m sbk mvfr as if .7 .8 4 < 3 23-32 10YR 4/3 c2d R-Gy sl 2 m sbk mvfr - - .5 .6 Ground elev. 93.5 ft. Depth to limiting factor Remarks: Boring # {<v .lwif:.i<4i: Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting ' factor Remarks: SBD-833o(R.05/92) -sv (P C. X w 4A. kO.} w~t ♦n (~~1 ~T1~k w ~y > t+~►' bn `t'otal) ~frh}tip s~~a... i aY Q ~t y mQ lam, ct tb - L x Q t b _ tN sH w ~ / tl_S o -1-e.: ~ 1`1 w v` a.+.~ L .4-) _ Z o ' -~-~o : r • sir ~ - s ~ t ST. CROIX COUNTY WISCONSIN ZONING OFFICE r r r r p r r""'~ ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 _ (715) 386-4680 March 7, 1994 Joe Menter 1120 N. Broadway Menomonie, WI 54751 Dear Joe: I still need AS BUILTS for the JoAnn Croxall Replacement Mound, Town of Cady, and the Kevin Kerr New Mound, Town of Cady. Please turn them in as soon as possible. Thanks! Sincerely, t?:Jnjenkins Assistant Zoning Administrator I'4 X+%part b'f IA5str? 8. 15. 2 3 7APRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT Safety send Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) SanitaryR,mit o.: Permit Holder's Name: ❑ City ❑ Village k, Town of: State Plan ID No.: ev.: Insp. BM Elev.: BM Description: X Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9300311 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Loss Syetem TDH Ft Forcemain Length Dia. FFii Dist. To wen 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: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. I Length Dia. Sparing 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 E] No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) PT LOCATION : CADY 1.4-28-15-237A t • :1ti kt v 1i. t Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. i ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION u TDILHR In accord with ILHR 83.05, Wis. Adm. Code co nr STATES IT 202 I -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ / 8%z x 11 inches in size. h rf evi 2us application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S 1473 -d F 6 PROPS TY OWN R PROPERTY LOCATION 0 1~ 77 ) 0- r d x /3--1 / S tl % , dkJ a, S / 1` T -2g' , N, ,R / E (or PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 05- t4W lam- g CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ~s a LU i 5yo~ l 5 77.)- III. TYPE OF BUILDING: Check one CITY C NEAREST ST ROAD a G E : ( ) State Owned VILLAG N OF: Public 9 1 or2 Fam. Dwelling-# of bedroomsli- PARCEL TAXNUMBE ) 111. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. N Replacement 3. El Replacement of 4. ❑ Reconnection of 5.E] 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 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 (s q. ft.) (Gals/day/sq. ft.) (Min./inch) (/}ELLEVATION /-/90 325 37,s d /Go~ ~ Feet 7*"/5g Feet VII. TANK CAPACITY Prefab. Site in allons Total # of Manufacturer's Name Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks oncret glass App. Tanks Tanks strutted Septic Tank or Holdin Tank I©0 l M fd ICS 45 Lift Pump Tank/Si hon Chamber X I LX I El El EL VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's N~aAme (Print): P zignqure: (No Stamps) MP PRSW No.: Business Phone Number: Plumber's Addre Street, City, State, Zip Cod 1 I;LD 7,~ r o au A' M 0'1 l e a, 5v ;7i J IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent S' Sta..-- ) ❑ Approved ❑ Owner Given Initial Surcharge Fee) 10-21- 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 & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be 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. 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 1.15 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. !I The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards: SBD-6398 (R.11/88) Joann Croxall - Mound S93-03862 Location: SW 1/4, SW 1/4, Sec. 15, T 28 N, R 15 W Town: Cady County: St. Croix Date: October 20, 1993 Owner: Joann Croxall Address: 7104 Robinwood Trail Woodbury, MN 55125 Plumber: Joseph J. Mente In Signature: J~ License # ;)5658 S93 03862 Attachments: 6748-Plan Approval Application 115 page 1: cover 2: calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve page 1 of 7 System Calculations one family residence 3 bedrooms Loading rate m•1- gallons/sq ft per day Depth to ground water in Depth to bedrock in Cross slope % ~...i. Force main length ft of Z in Manifold/header length ft of - in Drainback gallons Lateral length @~~~ S ft of 1 L in Lateral elevation ~lo•°S ft (bottom of pipe) C~ Lateral hole size in @ ~O _ in ( ~7ft) spacing holes/lateral, holes total Lateral volume gallons Total lateral discharge rate gpm @ Z•~ ft head ~ Elevation difference It Friction loss ~'r4• ft @ 3 ° gpm Total dynamic head ft Pump/siphon 31 gpm ft of head Manufacturer A k~e~•• 04 ~+w-.l.~ Model # S`" y~ Dose volume gallons Lift/s\whon tank 44 gallons Septic tank 44 gallons Measurement pump on & off (O`dr in Height alarm from tank bottom 14,Ar in Reserve capacity } gallons calcs page Z of - - - i. I UQ {I I I _ ••l ~ I ~~o ~tyiA.v I ' f E t I-._ lb' I. cRt C% I i 1 y .l ~ V 3 ~ I ~ I/ I ~ ~ 1 i 41 1. -b i My o~l-t.:l ~ ~`A► w ~ v (,~11" Z' ~ ) t mow, I "ILI ' I 1 ~ r `47-0~ v --r _I I 1 ~'~t ~ ~ V" cm,, S LA, s , c ~o s s S s 3 ree.~ ~t~ ..((~S.hve [4T\.4~e. ~os1o....1 2 Q ~"•S ~ 1 ~o ~o,pe.~~, S ~ _ 1 Za Z a 1 3 J1& -03 2 s . rally ion v~ 0 sv • < ~F n ro a+ ~ I goy ~ !wpr~ ~ 0 ~ ~F`..~ ~ 'F, rY1 K ~ ~ ~ ~ ty. u; ~ , ` ~ .~1. .....T ~M=, •i 1 ~~1 3z.4 ~Z.e(f loz.5f l.-t., ~ It.g' ~ X: ,L S ~N ~woAN ~OY ..:V ~ ~ ~.~1' QNN ~•X w rv Kpa.~ o~w:..4.~. To •.•.J~ s~ o w. v~ ~ o i Ir o ~ `c P jtL -SOS ~ coltaitto ® SO v v S93-43862 Q~ r 1 ~ : P ( n ON , P S 1 P%oc- c 4v EF. 00R ~ I I I I I I " S9 vif" CjQA,~ 1 C..`Y V I s' o ~ } w Z VEAIT CAP 4"C. I. VEAIT PIPE WEATHER PROOF APPROVED LOCKI&IG _frT ~ 25' FROM DOOR, JUMCTIOU BOX MANHOLE COVER C WIMDOW OR FRESH w~ wgcteua ► AIR INTAKE I LAQ~2L I GRADE kw Q q G i 4 COAIDUIT-- PROVIDE AIRTIGHT SEAL I III V T I I 4~'sb + cf-~. a , ~leT I: (Lv %7 1Z.{. ~ I I I i APPROVED JOINTS I III W/C.I. PIPE I II ALARM EXTEUDIAIG 3' ONTO SOLID SOIL OIJ 1►J i 1....,.~ PUMP OFF a.\a.v, g ~D•~ „ BLOCK a 9 0 S93-03862 19„ sEWAaE gYSTEM z o.-t,} / ~6 1V ~®n ~ I P~ HUMS Salk 5 ~0~ G . OF OF ipFE1"~ gUi ON E Gov, EsppNOENCE fP" o E U ENGINEERING DETAILS - SW25/33 Performance Data Pump Characteristics 32 Pump/Motor Unit Submersible Manual Models SW25M1 SW33M1 W 2a Automatic Models SW25A1 SW33A1 W 1/3 HP x Horsepower 1 /4 1 /3 Full Load Amps 8.0 10.0 Z 16 1/4 HP > SL Motor Type Shaded Pole (4 pole) ° a R.P.M. 1550 0 8 Phase 0 1 Voltage 115 0 Hertz 60 0 10 20 30 40 50 60 CAPACITY-U.S. G.P.M. Operation Intermittent Temperature 120°F Ambient Total Head (feet) 4 6 8 10 12 14 16 18 20 22 24 NEMA Design A 1/4 HP 44 41 36 33 29 26 23 18 12 6 0 Insulation ClassA GPM 1/3 HP 47 45 43 40 37 34 30 26 22 16 10 Discharge Size 1-1/2" NPT Solids Handling 1/2" Dimensional Data Unit Weight 30 lbs. 1. All dimensions in inches Power Cord 18/3, SJTW, 10' std. 3-1/2 5-7/8 2. Component dimensions may (20' optional) 4-1/2 vary t 1/8 inch 3. Not for construction purpose 1-1/2 NPT unless certified 3 1/2 DISCHARGE ximate 'sh'~°`° Materials of Construction appproroximate a Handle Steel S. On/off level adjustable 3-1/2 6. We reserve the right to lubricating Oil Dielectric Oil I oda~ nd a` .i w their Motor Housing Cast Iron sq '1i11,006 Wid a'I notice Pump Casing Cast Iron Shaft Steel Mechanical Seal Faces: Carbon/Ceramic Shaft Seal Seal Body: Anodized Steel Spring: Stainless Steel PUMP -Q 111/8 Bellows: Buno-N 10-1re ON 9-1n ~ Impeller Thermoplastic Upper Bearing Bronze Sleeve Bearing DISCHARGE HEIGHT __T Lower Bearing Single Row Ball Bearing n Strainer/Base Plastic 3 3-1/2 PU P OFF Fasteners Stainless Steel AURORA/HYDROMATIC Pumps, Inc. } e } 1840 Baney Road, Ashland, Ohio 44805 (419) 289-3042 APPLICATION FOR SANITARY PERMIT STC-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 ~S- 0Y`~ KJ 1 r 0 x A- L Location of Property Section , T N-R~,57 W Township d y T Mailing Address lo5'- Qwy U_)/13061, VJ j 7 Address of Site 9- Fxr v Subdivision Name Lot Number Previous Owner of Property Total Size of Parcel ~'d a:- ,Q-Date Parcel was Created Are all corners and lot lines identifiable? x Yes No Is this property being developed for resale (spec house) ? Yes No Volume 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I (We) ce U6y that atf a.tatementa on .thi6 onm ane tAue to the but o6 my (oun) hnow.tedge; that I (we) am ( cute) the owner (a ~ o6 the pnopen ty du cnibed in th.i.a in6o4ma ion 6onm, by vi tue o6 a waAAanty deed neconded in the 066ice o6 the County Reg.is.ten o6 Deeds as Uo&~nent No. ; and that I (We) pneaentey own the pnopoaed a.c to bon the sewage d Apoa a ys em (on I (we) have obtained an ea,aement,..to nun with the above deacni.bed pnopehty, 6o& the con6tAucti.on o6 aaid a ya.tem, and the name has been duty neconded in the 066ice o6 the County Reg.ia#en o6 Veedb, a.a Document No. SI TURE OIL OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED v. H a ST C- 105 r r a H SEPTIC TANK MAINTENANCE AGREEMENT 0 St. Croix County z c7 ~I a BUYER rn WNER v~-5 72_ Fire Number C7 ROUTE/BOX NUMBER CITY/STATE U It 7.IP S z/ 0,2 PROPERTY LOCATION: !4 , ~14, Section , T X N, RAS~ W, Town of St. Croix County, Subdivision , Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment 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 systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 0 I/WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- ►a ment of. Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED t'Z- l` I DATE St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. St.C-1111 ,•C -DOCUMENT No. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA fi SPATE BAR OR WISCONSIN FORM 2- 4312,81 '-=MPA~EZ"' REGISTERS OFFICE 5T. mix CO., WIS, JoAnn Croxall, a single person Rat d, for Record this 20th y of Oct. A.D. 198 2•zo P M., ALI conveys and warrsnts to P. Wiegan...,•_.a••singl.. • , ".*A^ ~ 1, .4 . pp- x_sQa - ~..wer~ a.rs O i - To ecTURN - the following described real estate in ._....--_St•.-- Croix--••-___•__•--...County, State of Wisconsin: Tax Parcel No: 00.4. ~O 35~a West Six Hundred Ninety-six and Thirty/100's (W696.301) feet of the South Half of Southwest Quarter (Sz of SW4) of Section Fifteen (15), Township Twenty-eight North (T28N), Range Fifteen West (R15W). go o FM /s This A.-*ft homestead property. XEX (is not) ~ Exception to warranties: Easements and restrictions of record. i i f' October 19.$.7.... Dated this 15-----••th day of 1 n . C C (SEAL) X'... I (SEAL) I',' s R-~JOAnn Crll •i'"" i•.-.V C P ........--•--------•-••--•-••-•--••-•--•---•---•-•---•--•--..-.-_(SEAL) L) C-) AUTHENTICATION ACKNOWLEDGMENT ~u Signature (a) STATE OF WISCONSIN inty authenticated this day oi........................... 19 Personally y of ;i came before me this _15th~ ----_..da# ~I October 19-87-•• the above named JoAnn Croxall I' I TITLE: MEMBER STATE BAR OF WISCONSIN • • • (If authorized by j 706.06, Wis. StatsJ to me known to be the person who executed the foregoing instrument THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack a Michael K. Gisvold Baldwin.WI.....54002 Notary Public St. Croix..---•------... County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) 24 date: June•------•••- 19---9.0:.). .Names of persons signing in any capacity should be typed or printed below their signatures. SPATS BAR OF WISCONSIN FOAM No. 2 - 1982 Stock NO. 13002 - - - COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 800 - 962 - 5227 ST. CROIX ZONING REPORT NO.: 14950/01 PAGE 1 ST. CROIX COUNTY REPORT DATE: 12/13/91 COURTHOUSE DATE RECEIVEM 12/11/91 HUDSON, WI 54016 ATTNS THOMAS C. NELSON ' C Ica, 014VER: Lawrence Wiegand 007, ) > 23,7/4 LOCATIOM 311 Hwy 128, Wilson i !I COLLECTOR: M. Jenkins f SOURCE OF SAMPLE: Yard Hydrant COLIFORMS 0 /100 e{ INTERPRETATIOM Bacteriologically SAFE f NITRATE-NI 4 PPm Above 10 ppe exceeds the recommended Public Drinking Water Standard. t E Coliform Bacteria/100 ml Nitrate-Nitrogen, mg/L ' I 8 O f LAB TECHNICIAN: Pam Gane z o WI Approved Lab No. 19 ? cri~ i v tiV c/ dt ~nr,,,oEAy.LZ it'y 5 $ t Means "LESS THAN" Deiec+able Level Approved by'* I, 4A ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 i Olt) oQ I a --q I ! ST. CROIX COUNTY ZONING OFFICE 911 4th Street v 1 Hudson, WI 54016 Telephone - (715)386-4680 ffThe St. Croix Co. Zoning office offers the service of septic and water inspection to Lending Institution, Realty Firms, and private individuals. COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE LOCATED. Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING FEE:$ 25.00 (For nitrates and coliform bacteria) WATER TESTING FEE:$175.00 (VOC'S) SEPTIC SYSTEM INSPECTION FEE:$ 25.00 PROPERTY OWNERS NAME: ,~}/„J~~=,ye PROPERTY OWNERS ADDRESS : 311 /A4 I cU' CITY: W 1 L S c1J &J I Legal Description 1/4, SW . 1/4, Sec. is` , T 2 N-R 1r W, Town of_ 6., O vl , Lot. No . , Subdivision FIRE NO. 3I/ LOCK BOX NO. Color of house WkI i•rc:" Realty sign? Firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e., COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: 11C/6-4C lt7 r&-. Telephone No. f/ X 71T3 REPORT TO BE SENT TO : 4.9 e c w 3// #"y /",f- GviLSon J CLOSING DATE: /.2 ~a Signature: