Loading...
HomeMy WebLinkAbout008-1024-70-400 M ^ 03 I of 00 4 O w °1 ~ w I c x ° o O O L N - y 0 O CT V p N E 0~1 7 O L O O U N y E 0 c O Y ~ I A i ° ym I O N CO c O T 3RoaUi I N O J C O D p O U z E(p ao c V (O~ U. o y o F- 3 N ~ CO v a~^~•=0 ¢ ~vrn ~a M v ~ I z y co E Z w m d rn H d z o o z :t 1 w o U) FZ- -It N z Cl) N ~ I o _ •WWI t 0 Z Z O z N N 0O E C N L C6 d C d U N d vi c y m a (D o o p p a bap Z a o 3aao0 z . M co to V m rn rn 4) ~J c o o ~ A rn Cl) I 0) in cD w. O ~ ¢ o o : v N = fD N N m 0 O L d Lo 4) M ii N N :N O N N C E (D N CD CD Q CD Lo o m a o 0 o C3) 0 0 N N _rn T n N Y R N_ N V O N O C C a Crr fC CD 4) N 7 N N -co • Oi C6 (D O W N " 'O O w O m (p O O y CO U I_I O' N = > Y Z' L • o o LU U) O Z C 2 0) w CL Z r A c0CL Ovid •,r \rO 8 Wisconsin Department of industry, PLB-1 INSPECTION REPORT s * Labor & Human Relations F,o - Safety & Buildings Division 1 1 GF Bureau of Plumbing Name o Premises A w 9~ a e an No. Stwee~6 Elty county Sanitary Permit r 57' CRO1 NE NE 1 t (o W -r-'o Master Plumber irm ame cs-r 'Addr6ss ~ENNiE 6L6ESQKj 4-1 S tt,1C, VI4u- WZ Journeyman Plumber ress er AUTF-ess p /fit STf V E 2.-12" X. and clIuxg]?~) 5: M481 NE - " Y. 8 u) (I Vi?, 5/pi ) L's 14 to O V- T-1 1 AAX " ANbb OF V/AQ1Gv~S ~NSa1T! 01 .01 Leroy Jansky O.W.S. E. Sprace Street--_~'-- _ (715) 723-8786 Discussed with Signature ( )See Attached. DILRR-SBD-6192 (R.10/82) Signature-of Dist. 47effibing n- a as p Inspector Local Inspector Plumber or Responsible arty er C o ttt cn o a o~ 0 2 J 1 N 0) r- r C M - -O cn LI) I J Ql (31 y Q~ m t- d C 1 T, , 1 ~I A+~ J i4.0 c r ` L/ V on +1 It; (L y O (d) CIO D R N J 0 a to g -C 2! 0 '2a m cn LL 2 2 T vt J an C 1r ° Cf1 0 V\ O m CL 4) 3 d U' > c o t1) A N p 1 n/ O Q cd ~ t7 ~ 0 G. C o 3 ; T v , c O a c r Y S S ~y s iL~ tA N c .n ; O 1^ f- cGo ~JE~ ap d~ v° J n V W N N ~ CC as o 0 r J (/1 fC G P4 cn II 09 ~ o~ N N r r r m 44 0 ~ a o~ ~ a, J 0 >1 L- .o V1 .n V o9 0 1 -1 t Ul .C o cn c rn ~ o u I J c T, a o 'X 2 P9 ti 41 o .u 2 Z r0 -A N ~ 2 = r J c 3 6- C / o v v o, p s co 4v c rn ego ~ x p Y T- Oo C50 a aE p . a Mr cr- _ E n C c3o 7 , C9 v < C~ o z a E~p1 ~ o Z 'o Y U 2 0 E D E47, CD r^v, ~/~~•~v~f ° o `y 4-) 0 3:-j =1 0 0 P4 qj v Q Q 11 J ~(n r o o ~ o°o O 2 ~ V) N NI F C m Ln 025 X C a v Y Y ~ 13 vmi d G > v y !9 to ;n J co J N o a c -5N co a v c q ( a V1 ~ a r N o (if co la7 2 LL Q o v > m (U 0 '/n1 m U/ V 3 a ~ d > Y D -7, OC m o, ° 0 o e°c O Q z c~ A W 0 y ac CC f1. co q a) a ! aci 1 S Z 04 N _ r O N 1 in q C oN 0 4o C q 0 ar Er) E0 M~ V O cL T T N V W N V1 V cL r LA M J O /v v~ t7 r i' O rn a o p v i N J >I _o O ZT, O L- u) o J J o a, 0 u O 1 N + ~v d C: c~ c tp Z p u J " to 0 2 ' y- a 0 ° u ~n An C: -P 20- C: (a c c-I 4-0 :3 to cl Itc f X 0 3 ` 16 `O NJ 0 r o N 6' cll ~ ::77 `O O-E am: fo +1 ~a •~,c O z 2a03 N .15 ~ a t c c a: U- 2. v or q Ali O O i/► C I 0 0 41 cu 0 4- 0 0 i c Y cn f 0- V) ° o r,, a a a 2 N M c Ul) -0 Ql co r- _ c'3 d 06xc a, r o to ^ C 0 O -1 O wo _0 f-) fu ti c -j r t y > i5 N C~ n Y U A h Q Y r ~Z c ~a J C d v C Q. A a, i2 m t7j o 2 n O a F~ J C/I t ly- N ~et rn a D vi N i 2 s v m > ~n V O/ Q .r c N N 0 lJ O Q t~ c y d.. G. C~ o~ 3 A T~ ~ ~ a C~ ,o c E y S s S s c/1 N 04 O N n a, E E 0 V O 1^• T T V W N N N ~ o V N ~ ~ LU <4- 0 Z 7N C4- v Q c N N l7 r N J_ O N ri a O v w orj a, _ N D J o QY~ _ j t r'1 Ln x to J ~4 M> W a 0 J J o _ J o O N V t t!1 ? a C p1 Z j ou ' r 41 ♦.0 (t? 1 G N V V1 Q ~ ap N V v x 7 D sC to y' r ~ 6J o a v - m o _ ° [A t^! -n -i 2 Z c N a pP3 r c a ~ r r S c ° t7 Y A r N E~ W W r r H a N to N ~ o a c 41 ME _ y or U" a 0- c O z Q 'D U- fp c n1 = t z O v+ a O N 0 w = ~ E I-01 V c I 0 cf) J v o to C> 0 o a® 2 2 N c d c V) J( a Dm§ C31 c or- (o c.7 dS xO a N v In ao „ C L 1~ ~C O v p o a o W ~n z ~ a" q ~ L E Q! (v0 ~0 o~ a L N a O O 3 a q > ^ V > > J, N 0 w V N a (d or to c x o > N y c ~ ~ prA 3 0 q C Z 04 o 4J o~ T j E 4) ° a I S r v u, N In r c4- (J d J O N N Q r r i- a ri M q O O i- ° q x 0 V7 a I 4- ~4 W J 0 a, o +mj V1 0 ~o c~3 ~V) c Z I o r ~0 fl0 a q N `r V A 2 D r 0 _ m 2 Z c w of ~ ~ - 3 6- R Ac d J„ C s p N ~1 O r r V7 tC 16 i0 ?"I d1 r QE o E 41 O~ ac to 0 4) D 41 ~/t v z Q Ep o N c N O c cm J w > > o o Q O J 10 V) 0 10 ' a a v A d .o 40 _ cn y - r/ Z c 0 (/1L Q 1 ~ N CL. P o a o to P4 a O C A U CO z: m Alf a Z 7 0 10 P4 0 ~ 7 n gi: p= O L C3 o FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER pl ) tl TOWNSHIP ~L-,e SECTIO N-R /-A!!~ W ~6 ADDRESS_ ST. CROIX COUNTY, WISCONSIN a7~137 Jr°~",~-u'e-' Ld cam, i. ~'1-,~©a,~ SUBDIVISION LOT LOT SIZE 3 L~r~ae, PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Orh Ad--C (O 2''11 oM 3 ►v d f INDICATE NORTH ARROW ~ F BENCHMARK:Elevation and description::~!d L c G,-~-~ Alternate benchmark SEPTIC TANK: Manufacturer: Liquid Cap. Rings used:-Manhole cover elev: /D Final grade elev: Tank inlet elev.:~46,k4Tank outlet elev.: 1©V,- 7 No. of feet from nearest road:Front_23~QSide ,©]FearCS~: From nearest prop. line:Front , Side , Rear Ft. 7 d No. of feet from: Well Building: a (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAFER Manufacturer: w cev-4-z4 Liquid Capacity- Pump Model: 2 Pump/Siphon Manufact.: "ump Size •~s Elevation of inlet,: 9 Bottom of tank elevation- Pump on elev.:qZJ-Pump off elev.:-2.9-Gallons/cycle: ✓ Alarm: 'Man.: S-J'~- Switch Type: 01' - 4;1 tion m-- Distance from nearest prop. line: FrontinideRear-Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench:" Seepage Pit: Width: Length Number of Lines: oZ Area Built Exist. Grade Elev.- / 09 Proposed Final Grade Elev. le 3 Fill depth to top of pipe: -11~ ~ "V No. feet from nearest prop. line:Front~ OSide Rear Ft. No. feet from well:_Y-f No. feet from building- 00 HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front , Side , Rear Ft. No. feet from: Well building nearest road Alarm Manufacturer: INSPECTOR:- j DATE : PLUMBER ON JOB: ~R P S •C/'7 n e-~ LICENSE NUMBER: 6/90:cj P ;AL 9.28.1b County: nd Human Relations INSPECTION REPORT Buildings Division ST. X ENERINFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: 193406 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: EAU GALLE C T B/UM E ev(:~ Insp.. BM Elev.: BM Description: Parcel Tax No.: tJ 008-1024-70-000 TANK INFORMATION ELEVATION DATA A9300066 TYPE MANUFACTURER CAPACITY STATION BS HI FS LEV. Septic 0-" Benchmark Dosing ers -y S O Aeration Bldg. Sewer Holding St/ Ht Inlet `7,3 100.9 TANK SETBACK INFORMATION St/ Ht Outlet 7, 1()6,7S_ Verit ir Ito ROAD Dt Inlet TANK TO P/ L WELL BLDG. A Air ntake 7 /00• U Septic bLO >5J' NA Dt Bottom 97, 3 Dosing a~0. >S;b Hof >Z6' NA Header/Man. Aeration NA Dist. Pipe Holding Bot. System A37 /US 17 PUMP/ SIPHON INFORMATION Final Grade Manufacturer x&/,) Demand Model Number + a1 aaO$GPM TDH Lift (o,tl Lriss 0 L System < TDH 13.)`) Ft Forcemain Length LAS Dia.'tt Dist.ToWell 751 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS q a DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O ~J CHAMBER Model Number: System: pA61u,4 OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length IV Dia. Length ~ Dia. Spacing `-L g i) I 5 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of ` xx Seeded/ 3aVcecT xx Mulched Bed /Trench Center Bed /Trench Edges a Topsoil B-Yes ❑ No LI-Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 11 -Ij 9 3 LOCiTION: EAU GALLE S.28.16.125A,NE,NW, 50TH AVE. C, U,;X 7'1.S- T 3(~ - I Plan revision required? ❑ Yes ❑ No -w Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: x, vu t I -1,A j c~ f L I 1 - Al - w. ~DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITAR ERMIT # =Attach complete plans (to the county copy only) for the system, on paper not less than /i► 8% x 11 inches in ize. L,f re ion t previo application -See reverse side or instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INF RMATION - PLEASE PRINT ALL INFORMATION. A ION L C PR ERN OWNER MR /4, S T N, R E (o PROPERTY OWNER'S AILING ADDRESS LOT # BLOCK # SfTTATT ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Z✓!-ZVL1441)/r II. TYPE OF BUIL ING: (Check one) F1 State Owned VILLLLAGE : NEAREST ROA ¢vCe ve 'ZI Public 1 or 2 Fam. Dwelling-# of bedrooms J PARCEL TAX Nu BE ) q- ;0 111. BUILDING US : (If building type is public, check all that apply) / V a o 6' A_ 1 ❑ Apt/Con o 2 ❑ Assembly all 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1 New 2.E] Replacement 3. ❑ Replacement of 4. ❑ 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 r!~ 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 12. 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 41 '3 7< 7 b 411*- 4©51_ Feet le -2-3 Feet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank 1612tvt U)", F1 Lift Pump Tank/Si hon Chamber 9 t! 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 Si ature: (No Stamps) MP/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code . IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved itary Permit Fee (Includes Groundwater ate sue Issuing Agent Sig ture o stamps) I If Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination ; 6~z r 71~ X. CONDITIONS OF APPROVAL/REA ONS 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 prior3o 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, -)umber 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 115 form; and F) all sizing information. - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) State of Wisconsin \ Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 PRIVATE SEWAGE PLAN APPROVAL Western Regional Office Madison, Wisconsin 53707 2226 Rose Street LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN Owner: RONALD STAVE PO BOX 74 2289 CTH N RIVER FALLS WI 54022 BALDWIN WI 54002 RE: Plan Number: S92-40396 Date Approved: June 3, 1992 Gallons Per Day: 450 Date Received: June 2, 1992 Project Name: STAVE, RONALD Location: NE,NW,9,28,16W Town of EAU GALLS County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR' 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - NEW MOUND Inquiries concerning this approval may be made by calling (608) 785-9348. Sincerely, GERARD M. SWIM Section of Private Sewage Division of Safety and Buildings PPP039/0009n/56 cc: RONALD STAVE ,X..... Private Sewage Consult 't SBD-7483 (R. 05/86) Page of MOUND SYSTEM FOR A BEDROOM RESIDENCE LOCATED IN THE NF 1/4 OF THE NW 1/4 OF SECTION 9 T 1% N, R 16 W, TOWN OF ~psU 6f~ll~ , Si • NCO/K COUNTY, WISCONSIN. INDEX PA GE 1 of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR p Q, KvN _b ST7% V E Z.2 $ q C `LT) N 4 ~~.~W1N ~J) SLIOZZ PREPARED BY WEC=EF;t EF;t 1B C3 I 1 TEST I P4 C3 ~t0ea~01 DES I ~ NDS~r-cv I CE ~td~`~ ~sc01vs ItP'y F.O. BOX 74 421 N. MAIN ST. RIVER FALLS. NI 54022 w asn • oats v 715-425-01 b5 x, _ a. httatNM Mpq ZZ, 1992 JOB NO. °1 Z -'7 S PLOT PLAN Page Z- of ~ Scale 1"= 40 ' ~ ra~~t~T Uti+t~ot= 35 hc. ~ P~@t\ ~ ~►'1 _ Lam.-- Lpo.o' oti. SPl~ 1' 1 1a$ocjt Gunul-t ",a 13A -Tub 3~ I 2 -mot, . 1oZ.y' oN SPIVLQ 1` Raout Gkoun.o ~ N S O ! q • `{itE$ to A a1 m N 1 - ltm w 6T Pncr oR O 141-x, wa 4 ~ ' p,2 'j'lr 1 S RtZ~1q i cF jr I I I 25 ti ~!J L'•! Y i i Z 4"PVC Vy, G~ \O of S3 ONSITE SEWAGttYSTE_M r0 n'tziti,0Wa It li A-"O "D PNR V L OEPARTN"ENT OF INDUSTRY, LABOR AND 1, RELATIOM VISION ©F FETY AUD BU SEE CORRE r`ip 1\1-LL `M ~ k Pt r LAST So' p:j? N"Jz 4 N ZS H TM't~~YtS NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( 4 required) 3. Install 4" observation pipes with approved caps. (9 required) 4. Septic tank to be lbot3 gallon capacity manufactured by r~l~bw P2ECAsr 5. Bench Mark 5 LVE hWU P L RN 6. Divert surface water around mound to prevent ponding at the uphill side. Page 3 Of Approved Synthetic Covering Distribution Pipe Medium Sand H - G Topsoil F Elev. to5.0 o 3 E y % Slope Trench Of 2 Force Main Plowed From Pump Layer Aggregate Undisturbed D k. o Ft. Soil E 1.8 Ft. Cross Section Of A Mound System Using F 0,9 Ft. 2 Trenches For The Absorption Area G k• O Ft. A - Ft. H I. S Ft. B Ft. C 1b Ft. Linear Loading Rate=°i• 6 GPD/LN FT I \lv Ft. Design Loading Rate= 0.7--l.GPD/SQ FT J Ft. K Ft. Alternate Position of Force Main L 69 Ft. W 49 Ft. L i B K A t - Observation Permanent Pipes Markers (Anchor securely) Force - - - L-- -R - - - - - - - - - - ~ Main W ~-o N S ITE SEWAGE Distr ~K rerlch Of 2 - 2 2 7ion Aggregate Y 0as APPROV&WE W DEPARTMEN F INDUSTRY, LABOR AND HU RELATIONS !SlON OF ETY U! NGS SEE CQRRESPa Mound Using 2 Trenches For Absorption Area Page Of 6 Perforated Pipe Detoil 0 End View Perforated End Cap. PVC Pipe Install permanent-marker ,oi~S~oo at end of each lateral Holes Located On Bottom, Are EQuoUy Spaced Q s PVC Force Main PVC Manifold Pipe Oistn ution Pi e Last Hole Should Be I Next To End Cap End Cap P ZZ. Ft. Distrib_ution.: Pipa?gayouf SYSTEM S 16 Ft. GN~I I~ SSWAOF X q8 Inches fly y L13 Inches Hole Diameter Inch Lateral I Inch(es) A p, F1 0*4 FELAIIQNS Manifold " Z- Inches OEPARTMLIJ F iNtlUS1RY, LABOR ANBtn "V ING iVISION OF AFF Force Main Z Inches &E OgHR p~ # of holes/pipe (o Invert Elevation of Laterals 105.5 Ft. Place 1st hole -2.L/'(from center of manifold with succeeding holes at V6 % intervals. Last hole to be next to the end cap. • OF ~ PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS ' PAGE S VENT CAP 4"C.1. VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE JUNCTION BOIL COVER WITH WARNING LABEL ~ 25' FROM DOOR, IYMIU. WINDOW OR FRESH AIR INTAKE GRADE ( y'MIAI. Lo ~ ~ I CONDUIT 18"IrIIAJ. - 'I INLET ONSITE SEWAGEX4 IYi' EAL I III -7 I T ' i I I ( APPROVED JOINTS APPROVED JOINT AC~~"~f16"sGcLi~ UU 1 I I I I I ALARM DEPARTf,,!ED `r INDIJSTRY, LABOR AND JlAN RElATiONS ( I ON C IVJSIGI`1 OF SAFE D ILD I I ~S.33 I LLEV. fT. CE PUMP-~ SEE fORI~ ~ OFF 0 L LL °14.00' CONCRETE BLOCK APPROVEI RISER EXIT PERMITTED OWLy IF TANK MANUFACTURCR HAS SUCH APPROVAL g~ppl SPECIFICATIOMS DOSE LDw tT1 IiZ 1V TAIJK MAIJUFACTURCR: '1-' NUMBER OF DOSES: 3.8 PER DAy TANK SIZE: SQ GALLONS DOSE VOLUME ALARM MAUUFACTUILER: ~'S•~~l SYST~iS IAICLUptIJ6 6ACKFLOW: GALLONS MODEL WUMBER: LO \ taw CAPACITIES: A= (2 INCHES OR 3~Z'O GALLONS SWITCH TZIPFi.: B= Z INCHES OR 3q.0 G( LLOLIS PUMP MANUFACTURER: °.OMP12-I'1 r- 61 2 1NCHE5Olt GALLONS MODEL NUMBER: O= /(7 INCHES OR 312.0 GALLONS 3-WITCH TYPE: "EtCy2Y NOTE: PUMP AMD ALARM ARE TO 5L MINIMUM DISCHARGE RATE Z,t.cs$ GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE OETWEEN PUMP OFF AMD-DISTRMUTION PIPE.. 1O" 17 FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . 2.50 FEET loo FT.FR►CTIOIJ FACTOR.. FEET + LAS' FEET OF FORCE MAIN X x.31 F/ TOTAL 091JAMIC HEAD -FEET DIAMETER IIJTERAIM_ DIMLIJSIOIJ t OF TANK: LEW&TH - ;WIDTH --;LIQUID OEPTH BOTTOM AREA _ 231= GAL/INCH AS PER MANUFACTURER 19-S. GAL/INCH PAGE 6 of 6 Q 1U 4J W - LL ✓ HEAD/CAPACITY CURVE 41/6 0. .4 6'i to. MODEL 97 4% 30 m 8 4% 25'- o . - 1'12 11112 NPT 41/16 6 W W m V Z 15' 0 4 13.29 _J Q ` O 1O' 'L$.Otj 2 5' 0 us 10 20 30 40 50 60 70 GALLONS LITERS 0 80 160 240 1011/t6 FLOW PER MINUTE TOTAL DYNAMIC HEAD/FLOW MR MINUTE EFFLUENT AND DEWATERINO CAPACITY HEAD UNITS/MIN 35/16 FFJT METERS GAL LTRS 5 1.52 56 212 10 3.05 46 174 15 4.57 35 133 20 6.10 15 57 Lock Valve 23.75' CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available • Mercury float switches are available for controlling and supplied with an alarm. single and three phase systems. • Mechanical alternators, for duplex systems, are avail- • Double piggyback mercury float switches are available able with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard All Models - Weight 33 lbs. - 112 HP 2. Single piggyback wide angle mercury float switch or double piggyback mercury float switch. Refer to FM0477. 97 Series Control Selection 3. Mechanical alternator 10-0072 or 10-0075. Model Yolts Ph Mode Amps Simplex Duplex 4. See FM0712 for correct model of Electrical Alternator, "E-Pak". L497 115 1 Auto 12.0 1 or 1 & 7 - 5. Mercury sensor float switch 10-0225 used as a control activator, specify duplex (3) N97 115 1 Non 12.0 2 or 2 & 6 3 or 4 & 5 or (4) float system. 097 230 1 Auto 6.0 1 ort&7 6. Four (4) hole "J-Pak", junction box, forwatertight connection orwired-in simplex or E97 230 1 Pon 6.0 2 or 2 & 6 3 or 4 & 5 2 pump operation, 10-0002. 7. Two (2) hole "J-Pak", for watertight connection or splice, 10-0003. CAUTION For information on additional Zoeller products refer to catalog on Combination All installation of controls, protection devices and wiring should be done by a Starter, FM0514; Piggyback Mercury Float Switches, FM0477; Electrical Alternator, qualified licensed electrician. AN electrical and safety codes should be followed FM-0486; Mechanical Alternator, FM0495; Alarm Package, FM0513; and Sump/- including the most recent National Electric Code (NEC) and the Occupational Sewage Basins, FM0487. Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. Z LZZ LJt~ TZ 3280 Oki Millers Lane Manufacturers of... ~O O P.0. Box 16347 • Louisville, Kentucky 40216 778-2731 • FAX (502)174-3624 Q (502) L &IrY Y PM.-9 F1h'Cr &J a - f ~'r'1h sM~~ .Or t d T1 ~I is it ~ cl 1 t.. a1J^ a -hA ~ 1 i~yy{ ~2. o r Y,fjhS Ei,. i ww' 7 u , x~ {i. S r~ TANK. il -1t CITYs~1~0010! f CAP) CONCRETE S~TR Ci tH` 5 ~Sl REINFORCEMENT 4~ry; COVER #4 REBAR =b t TANK 6 x-6/10 GA'.WIRE'MESH DIMENSIONS ti WALL 2'%z',' LENGTH. i 1110 BOTTOM: 3" WIDTF, 93' , c .COVER:' 5" BELOW' NLE M T- ° HEIGHT: 73 MANHOLE;{:;.l 24" I.D. , - INLET AND, OUTLET 4" BORE~WITH`STOP-`F S L OR A FERNCO;.GSKE ` INLET. AND`OUTL"ET. SA~F, LES. s: Ps C "MEETS WIs'D 1 r R A` ' MNr'M RGA S~ A ONS LIQUID CAPA II ~zt 19.65 GAURNCH SEPTIC 1000 GAL 9.94 GAUINC,= '(PUMP) 500 Ga~L: s. WEIGHT: 1,400 POUNDS' MODEL CT-1 Oa MIESER 10001500 Combination Tank DOUG Rt. 2 (Hy 10) Maiden R66 W►54750-(7 5 47.23f ;w PAGE 0 PUMP CHAMBER "CROSS SECTION AND SPECIFICgrIONS r .S VEUT`CAP t 'i C.I. VENT. PIPE WEATHER PROOF APPROVED LOCKING 25' FROM DOOR, JUNCTION 50X MANHOLE COVER WINDOW OR FRESH 12"MIU. AIR INTAKE C,~R I I~E I I y"MIN. COIJDUIT 1B"MIAI. \ 111 r`,r IIULET PROVIDE I - 7 AIRTIGHT SEAL 1 ~ a APPROVED JOINT A APPROVED JQlIJ7.~ W/C.=. PIPE I III W/GS: PIPE EXTENDtA1G 3' I I ALARM EXTENDIIJG 3' ONTO SOLID SOIL e I II ONTO SOLID SOIL 9. I ,r oN; I I ELEV. (5 3 FT PUMP X OFF "t D CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL r' SEPTIC F SPECIFICATIONS DOSE ~I TANKS MAWLIFACTUL CK: - ~L1 v \ WMBER OF DOSES: PER DA-4 TANK 5 1 Z E : 101--0L C2 _GALLOWS DOSE VOLUME aW: NCLUD ING f3ACKFL ( 261 GALLON ALARM MANUFACTURER: I MODEL IJUMBER: CAPACITIES: A= 31, JCHES OR y2?~ GALLOAIS 22 SWITCH T.9PE: -E:~~~ y g. INCHES OR. ~ ~GAlLOA1S~ 1 PUMP MANUFACTURER: Er G=-1- ! IIJCHES OR'2GALLOWS~ ~ MODEL NUMBER: - _ 7 - D= IAICHES OR GALLDAIS - i SWITCH TYPE: - fl1~ NOTE: PUMP AND ALARM ARE TO BE ; MINIMUM.DISCHARGE;_RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP'OFF AND DISTRIBUTION PIPE.. /0/2 FEET 41 -h MIAUIMUM NETWORK' SUPPL9' PRESSURE 2.5 FEET + _y FEET OF FORCE MAIN X' ooFtFRICT1oN FACTOR.. f ~2 FEET TOTAL DbWAMIC. HEAD - , 27FEET INTERNAL DIMEIJS►O►JS` OF TAIJK: LE GTH ;WIDTH _;LIQUID DEPTH; LICEhJSE NUMBS, R DATE. O ul N (n -0 (n v o0 a 0 0 ? J vN c m :3 v mr~ w z C: 0- O J -C y N v a mQ N 7 co ol ' ,o d 0 R N v GOB F~~G~ +A aZ, a V~ a A£ a ~G c VI co V) C,- -0a~ o 0 9 (v -T lw c~ ~ m VI tm r a vI :7' '1 O 3 (j V 2 N LL C A o m cyC V 3 O 1 y ° ° CL 0 ° L Q RS a l7 c O O Q y n/ a, (0 Q ,~1 1 C/► LU O N o T v i C of v C v'I Z 04 J a~ y, cn A tns m N V1 ac, V O E E O O O E " J r v w N N u Q. :3 o 3 y~ 01 C O t+ N 10 (n F O J :3 CJ 0 o_ E dN ZA N r r r a r 4 a D w a o 1 J 20 T j v Q) L x c!1 N N (A v= ~ >`/~111 O W V CL o J J o r a, u F o o 1 v 41 x log :2 0 Cl- ° 1 J I v 41 ,cc r2 26' m c ~ tj, 2 J c o O CO s ri 41 w Ew co (D • 0 to -C E 41 CL q# ci 4# m _0 q 40 j do 40 41 E In' 1, ~9 o z 2403 a C y a z E ,y ° ►9J -P o o 0 4P :3 0 _0 o m Q Q w . 3 w 0 o - o.. j 0 0- 0 L V N C M Ln N 01 7 Q~ ~ CS1 co r- W x C VI In - 0 0 N C ~ rt^ F, 0 ~D 1;2 wci-o to 40 m c A a'. a J v w Q ~J tr Z v ~ C J t N 00~ C W- C Q tit a LL 3 d 0 0 40 a X o d d 3 a C N CL 0 1O Y V 0 N U) at A 4/ cr- O a cd a1 E z n/ a a, W O a°, 3 r 04 GaUyy1 ,a ^ E a~=i 1 `f' vii z \ N= q 1 w N C 7 77 O V 11`/%n1j d `J 0 r V w .n V a aN x V1 M O ? pn -i_ c (1) Al Q) r r O m a o O c Zr4 ly) Lo W o ~ ~ o J CL ' • r-I 2 J o a, 0 r I 0 r V) 41 t° c i I r aZi ( 0 V 4-0 i Q f A J r V v N J X j 0 ~ i G1 1 0 fj cN 2 C:+-= fn c rd ~C: d r r o c > I, D 3 r cn E x Y o QE N r 0 Q crll 40 . Q 41 cr- 10 G E 41 E 2 cl d nl Li m O z 240' ~0 1 c 40u O E E 4 ~y 0 / (J :t ` C -%j 0 4J cc :3 C O ul i N / LtN I-- r 0 0 0 Q 2 vI N a, ~ r1I F C M d" O MLn mr ro to d s C X00 ~t C~ r Ln im f1J Y ' p -i ~O °'O-0 cc >v .3 n v`6i a ° ~o c r 1O mkt > v ~t 1/ V~ a _ z "m d c v a A E O V c s ° °o o ° ►plI J d~ vi /J a (n u l N (n o r~ ` v cl 2 a 0 > d m lJ ~ v 3 n ~ _ o cC Q " " C- a c o d q Aa 2- w CC 04 c ap -L -L Z v Q4 T o y~ Cy in v ONE ~E E V a V W N N N m O v N r z r4 W 4- d' J O Aj nl7 r N a rl O 4~ N o a o 1 0 v >1 c oo v M L x U) V2 d~ d~ J v '1-• S4 i H 4 p 5 W V a 0 J J o v .0 N O a im C o v z o o I T _ in ~(1 N F- l V1 Q a N V 4A O - V m 4-0 I~ 3~ s.r r d w c) c~i~ n p E~ x o to m J V? 1-1 c O a+ 7, 41 l~ O LL. O z a fp C~ a i c J ri > 1j O v, o = c 3 a Q 61 0 c O ~F C ` /o ~ 0 o J ~ 0 V) u I rn 'O i on- o d ® 2 2 N c m O' O a o c t r to o v o O m c a n O a ' c Q Y D „ Z 1 d c m d a a A Ea a~ ..c r: -a w 4, 0. 0 010 L w ct -C N a JO p a: a m a~ 0 a rn a - ri c ~ on h ~ N V 2 Q ~ o ~ a 4~ 4) ca V° A ro ~ n O N O l7 0 oC Q cCS ar l7 c Z O > r _ a c (0 N 06 C: - W v 40 0 'J~ v 1 c r 1 ~ V) ar C C)1 a A~ E r E -A. A t S c vi V1 Z A ~ O v1 C~i cji C~ . y' o_ J 4" 0 r 0 ra N A {J E E 7 O p N N H 0 v E V V W N N 1 L O ~tD r J o N a O - o Q N ki P, o O 0 >1 y a~ ~l x C4 v1 V7 e1 N v- S4 > ~ Cam. O J J o o J ` N o 3 uo 0 IN ~ rn c s u] d C~ c v Z ( OV ' 00 Q I v ~N V L v J x o ~ 2 y' "J 41 3 2 co, of 4-) 2 4A c ~ rd c c d , s o~ r a V? a u L E~ X A t a -0 41' r N N 3 I , I d to O CL V c l LA- co 4~ LL. c O z 2afn o 1 c m c C co • 0 p Z E O E • a ~ji O O N c 4J w 3`° a 'd'~ 0 s Q 0 75 O CD ° O2 2 2 ~ av ~ A ~ `D z _ 0 LO 0 rl ~m ~ D a / - f pit / o q ? M Fri H 0 a (Di a a 6 ? r o 0 P4 (A a 10 o ✓ ~J vi N~ ~I V 3 " o ~ i S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County LI e OWNER/BUYER (~J O S 7-1 ADDRESS 1 U Z- FIRE NUMBER CITY/STATE ~z ZIP ~yn~ 2 PROPERTY LOCATION:~1/4,/1/1/4, SECTION , T-ZLN-R Z~LW TOWN OF D 'aU (!~r A- ZZ , 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 consists 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 treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained.. The property owner agrees to submit to St. Croix Zoning a certification 'form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1). the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full 'of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoning Officer within 30 days of the three year expiration date. SIGNED: 11-9 DATE: St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 STC-loo 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 C~ 17A4~_ Location of p7ropertyA/F-1/4 /I/1t)l/4, Section' , T2.e_-N-R Z/ W .Township x-o Hailing address ~ 1 ~,gy~ Address of site Subdivision name_ YG Lot no. Other homes on property? yes- -No Previous owner of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? _ yes No Is this property being developed for (spec house)? Yes i~LNo volumegnd Page Number as recorded.with the Register of Deeds.' 114CLUDE WITH TIIIS APPLICATION THE FOLLOWING: A WARIUUITY DLED which includes a DOCUMENT NUHBER, VOLUME AND PAGE. numDI R It THE SEAL Or TIIE ItEGISTGIt 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 Hap sliall also be required. PROPERTY OWNER CERTIFICATION I(wc) certify that all statements on this form are true to the best of ny (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 tle office of the County Register of Deeds as Document Ho. , and that I (we) presently own the proposed site f he 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 County Register of deeds as Document No. S gnature of ap licant Co-appl pl7 cant Date of Signature Date of Signature nW0 q (For we by: AG. PCB, FLCA. PGA) 1 J._ 0 94 PW 1d,2 V 484517 LIMITED WARRANTY DEED j 92 INDENTURE. BankrFCB , tML yF 22nd may d 19 , between gri O 3 REGISTER'S OFFICE Farm Credit Bank of St. Paul , a federally chartered corporation, with a post cffice address of ST. CROIX CO., W1 375 Jackson Street Reed for Record St. Paul, MN 55101 parry of the first part, and - Ronald L. Stave an Sharon R. JU) 10 1992 stave, husband and wife as survivorship marital' Ot 9:00 A. M proWrty, whose post office address is 2289 County Road N. Baldwin, WI 54002 RpQls}er of Deeds party of the second part, (hereinafter referred to as parry whether singular or r , plural), WrrNESSETH, that the said party of the first part, for and in consideration of the sum of Eighteen Thousand and no/100 Raordin< Intbrnudm DOLLARS, (S 18,000.00 to it paid by the said party of the second part, the receipt wh.;reof is hereby acknowledged, does grant, bargain, sell, and convey unto the said party of the second part, his/her/their heir's, successors and assigns forever, the following described real estate, situated in the County of St. Croix and State of Wisconsin , wwit; The Northeast Quarter of the Northwest Quarter (NE,NWQ) Except the North 670 feet of the West 210 feet thereof. All in Section 9, Township 28 North, Range 16 West. fP Property is enrolled in Wisconsin Farmland Preservation. P subject to all existing easements and rights of way; also subject to all taxes on said premises for the year 19 92 and following years; also subject to all unpaid parts and installments of special assessments on said premises which have fallen due, or will fall due hereafter. EXCLUDING therefrom and excepting and reserving to said party of the first part all mineral and royalty rights, interests, estates and titles heretofore reserved or excepted of record by The Fedcrai Land Bank of Saint Paul prior to January 22, 1986, if any, with such easements for ingress, egress and use of surface as may be incidental or nexssary to use of such rights. The foregoing exclusion, exception and reservation shall include, but not be limited to, all oil, gas, hydrocarbons, coal and other minerals of whatsoever nature lying in or under the above- described lands and all royalty interests as to oil, gas and other minerals produced and saved therefrom. It is expressly understood that the s -..d party of the first part will make no warranty as to the extent of its ownership of minerals, or as to its title thereto. TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; and all estate, right, title, interest, claim or demand whatsoever, of the said party of the first part, either in law or equity, either in possession or expectancy of, in and a the above bargained premises, and their hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises as above described, with the hereditaments and appurtenances unto the said party of the second part, and to his/her/their heirs, successors and assigns FOREVER. AND THE SAID party of the first part, for itself and its successors, does covenant, grant, bargain and agree to and with the said party of the second part, his/her/their heirs, successors and as against all and every person or persons lawfully claiming the whole or any part thereof, by, through or under said parry of the first part, and none other, it will forever WARRANT and DEFEND. •nw (n PVC 2 42 )f~, 9J IN WITNESS WHEREOF, the said party of the first part, has caused these presents to be executed in its corporate name the day and year first above written. W I1NESSESS: AgriBank, FCB, formerly known as FARM CREDIT BANK OF SP. PAUL -Lee Strom Director., Real Estate (N. ) (title) Services of AariBank, FCB, formerly known as K#CWQ rlEiYelfXXff JXFarm Credit Bank of St. Paul. or: By: (None) ' (TNM) SPATE OF Minnesota 1lt COUNTY OF - Ramsey 1SS. The foregoing instrument Ivan acknowledged before me on (date) May 22, 1992 by (name) Lee Strom (title) lrec or, ea Of 1tR21=MM(K-= *VArdiWFiarm Credit Bank of St. Paul. ■AAn ,AMAAAAAAAAAAA ,NAAM AAAAAAAAA■ <<< M„RY LOU LEVI S NOTARY PUBLIC-MINNESOTA WASHINGTON COUNTY Notary Public, County , Mr Comm. Expires May 27, tags My co ■ 19 SPATE OF l COUNTY OF rte' The foregoing instrument %w acknowledged before me on (date) by (name) O f (title) ' on behelf of said corporation. Notary Public, County. My commission espies J9 This instrument was drafted by: AGRIBANK, FCB SEND TAX STATEMENTS TO: y Real Estate Services Dept. 4E- Ronald L. Stave 375 Jackson Street St. Paul, MN 55101 i k ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 May 11, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite investigation of the Ron Stave property, located in the NE 1/4 of the NW 1/4 of Sec. 9, T28N-R16W, Town of Eau Galle, St. Croix County. This onsite revealed suitable soils at a depth of 26" requiring 12" of sand fill beneath the mound. Should you have any questions, please feel free to contact this office. in erely, ames K. Thompson Zoning Administrator cj