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HomeMy WebLinkAbout012-1068-80-100 Q c o q a p °v> o ~ c C.. N O ~ p ~ w O ;v ~ I w ~ T o ~ a c Z 'o L m N 3 LL c0 N C c ~ ;a c _n a~ -0 3 E Q ° U N co N I` U) = O ° a m 1) F- V) o I c C C7 U O z d •V 'I D N !A H z c o E -o '0 0) hh~~ m N C v wV N c d t O 2 o Q h-- zi`z - ~o z N ° c N aD c a - G 0 a > - 'D ~ L U U Q c fR fA fn ~ w Z ~ o F- H H a Z - 0 0 0 Z CL M 0. g a) V1 J U Z rn rn o a } rn m ~V o o rn °o 'pal cn ~ ~ N L o O J ~p m n N N Q vZ O = « 04 (0 co o O ~~r 6 V N c C u a o o o 00 N N N E: ~ •p N N N C, o r 3 V (Ot0 C N N U N (O N ~ fJ ~V N M c a co c E M W J O N F- Cl) v~ m M ail a `a r co CL W ~r`hw~i y E c "~1 A 0 a 0 in L) Parcel 012-1068-80-100 04/05/2007 10:54 AM PAGE 1 OF 1 • Alt. Parcel 32.30.17.490B 012 - TOWN OF ERIN PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner O - LANDRY, MARY J MARY J LANDRY 1217 160TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1217 160TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 7.176 Plat: N/A-NOT AVAILABLE SEC 32 T30N R17W PT OF THE W1/2 SW1/4 Block/Condo Bldg: BEING LOT 1 OF CSM 10/2828 7.176 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-30N-17W Notes: Parcel History: Date Doc # Vol/Page Type 02/08/2002 670593 1832/430 TI 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/07/2005 Description Class Acres Land Improve Total State Reason OTHER G7 7.176 46,600 137,300 183,900 NO Totals for 2007: General Property 7.176 46,600 137,300 183,900 Woodland 0.000 0 0 Totals for 2006: General Property 7.176 46,600 137,300 183,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 213 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department Industry, Labor and Human Relations SOIL AND SITE EVALUATION REPORT Page C' 3 DiYjsion of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code couNTYs~, Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION G(/i)r1 G/}~tJO/~~ GOVT. LOT 54) 1/4 54) 1/4,S 32- T 3,0 N,R E (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # /]X/7 1612 dh 57, AST Q 4W CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE (BrOWN NEAREST ROAD N iPlCGr.wUv GU/, S 'Y01 7 (71S) rf6e - L7/ ST [ ] New Construction Use ( ] Residential / Number of bedrooms 3 [ J Addition to existing building { Replacement [ ] Public or commercial describe Code derived daily flow y~y gpd Recommended design loading rate 7 bed, gpd/ft2 trench, gpolft2 Absorption area required ~y3 bed, ft2 5~4~'3 tench, f12 Maximum design loading rate bed, gpd/ftC1 Ttrench, gpd/ft2 Recommended infiltration surface elevation(s) S-~ p5 3 ft (as referred to site plan benchmark) Additional design / site consider ti s ?SSE 7; ~,uGA S - wig r 7 10U-'-s~el Sr:~t Parent material s ~ 7- S+V P Flood plain elevation, if applicable ti• ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL 7 HOLDING TANK U= Unsuitable fors stem S❑ U I& S❑ U CRS ❑ U "®S ❑ U S❑ U ❑ S f 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 tench N P y -/O /D y/e YZ Si~ L ,Q ,r,~f C S 2- f Ground 31 G -1 /4 yle S f S`J/~ ~►7~j S , L 3 9l~ elev. ft. fl2 3 /O yid 1-5:,6 Depth to C, y ,~o y6P es ? ` • limiting factor Cy ~D yle •~~~P -s Remarks: Boring # -/i /o ye -2/2. ell z, { s b,~ vF~P cS ? f , s~ .6 El c5 2 f , s , G /o y~P S/ Z, -mix Ground 4G•~o ft. /Z*- Depth to limiting C2_ -~Q /D!/,e s r C, S iw► , fact , . Remarks: I CST Name:-Please Print Phone: /JZ p Address: 655 O'NEIL RD., HUDSON, WIS. 54016 ✓ a ~asr~ '7G Signature: HObERT UtBRIGHT Date: _ CST Number: MASTER PLUMBER LIC. NO. 3307 M.P.R.S. 2S y3 IM.JALLER a DESIGNER LIC. NO. 00663 9 This test date APPROVED ck~G D for a (conventlor i se tic aystM. c 2 p 4 0 '5 = v N ~kl(, !i l i" t PROPERTY OWNER AM . 44X/Ako SOIL DESCRIPTION REPORT Page 2- of 3 PARCEL I.D. # /W 14 Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ierch -io lo 7-7277 f she ~,.,~,e s ► . s , o - z /o Y,e y s~/ ~,f, shy cs zf . z Ground Z"v elev. ~ ,w► ~ C-S , -s s o y/2 ~~..0 ft. c , 36 Depth to C.J- limiting factor > 5D Remarks: Boring # 4 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. It. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: con 0oo^10 nc mn HOMESITE SEPTIC PLUMBING CO. 655 O'NEIL RD., Hl1DSON, WIS. 54016 ROBERT UkBR04T W16. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. MrNN. INSTALLER & DESIGNER LIC. NO. 00803 osT~Y zyPZ 23 , , 7& 30 6 6r 3 9~ . ,~O n = i5x(sr1A)6-- Mipe- ~S,r,~- o~ p~E'opos~ c 4 4-1 AE-?P, i T19 test bite APPROVED for a conventionM septic system. ~J . 1~ V f~~e/,COX . ,EI~Z~~t-Try a~ lDy , ppywt,V /~v I ~ 130770," E79(re- qc 0 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNED, ADDRESS jZ. 1 7 l~a .~U SUBDIVISION / CSM# LOT # SECTION 32- T3VN-R l Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~ u.s6 87 I LGQ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this-form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING-..TANK INFORMATION . Manufacturer: Liquid Capacity: 11964,2& Setback from: Well t p House -;t7:-6- her / Pump: Manufacturer_ Vm_ Model# 9 Size ~A , Q 4 ,r 7~ Float seperation , I~ Gallons/cycle: Alarm Location ':SAIL XBSORPTION SYSTEM Width:Length 73 Number of trenches Z I Distance & Direction to nearest prop. line: ~1 ho-od Setback from: well: -Stk House Other s ELEVATIONS Building Sewer ST Inlet: ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system 9 ~--510 i ExistiM, Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: t- LICENSE NUMBER: 3 ~-S INSPECTOR: 3/93:jt Ab. Wisconnn Department of Industry, PRIVATE SEWAGE SYSTEM County: LaLbor and Human Relations INSPECTION REPORT rSafety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM scription: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 11619tk- Benchmark Dosing pis go 0 Aeration Bldg. Sewer 3 ql~?, 1 Holding St/ Inlet TANK SETBACK INFORMATION St/ Outlet 1 P41- TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 2 7 3l 9 a -7 L ` 3 O NA Dt Bottom 7,1-7 Dosing ? 3.2v NA Header-l-Meal. ~ 3. Aeration NA Dist. Pipe 3 , Holding Bot. System PUMP/ SN H ~FORMATION Final Grade Manufacturer .A4_ - Demand C F Model Number # ?0GPM TDH Lift Friction System TDH ~ t Forcemain Length 5T 1 Dia. aHead Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width i Lengt / No. Of T riches PIT Pits Inside Dia. Liquid Depth DIMENSIONS S~ DIME N SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manu acturer: SETBACK CHAMBER INFORMATION TypeO g~* OR UNIT Mode ber: System : COy~- DISTRIBUTION SYSTEM Header 4Merr4edd- Distribution Pipe(s) elf , x Hole Size x Hole Spacing Vent To Air Intake Length _1L Dia. Length t,S Dia. Spacing 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 Brd/TrenchCenter - ~B: TrenchEdges„3~'~~ Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc. PJII~l Plan revision required? ❑ Yes ❑ No r Use other side for additional information. SBD-6710 (R 05/91) Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I s 4m m _ r aG~~~~~s sX J' Cr,;17 ~a T3 ocs 0~~ DILHR SANITARY PERMIT APPLICATION COUNTY EZ ;;;=1 $7. In accord with ILHR 83.05, Wis. Adm. Code C4( I~T~YIOIT -Attach complete plans (to the county copy only) for the system, on paper not less than STATE h/~/ SA(J`l 8% x 11 inches in size. c k if revision to previous~pplication -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION 46t4i - 1,,4VAV1 SW Y. S 32 T 3q N, R E (or PROPERTY OWNER'S MAILING ADDRESS LOT #~7- A` 1 w (0(J ctot ~4~ 1x1-7 0 ~ sT' - ,(J CITY, STAT ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER Alew 'u lNrO vD Sy0! 7 14111+_ 11. TYPE OF BUILDING: Check one CITY ~Al NEA9 -EST ROAD II~~ ( ) 11 State Owned ❑ VILLA GE : /E- /&40 A . =W OF: ❑ Public Zj 1 or 2 Fam. Dwelling-# of bedrooms PARCEL AX NUM III. BUILDING USE: (If building type is public, check all that apply) Z 0,6 90 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) rIA A) 1.E1 New 2. )N Replacement 3.E1 Replacement of 4.0 Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 Seepage Pit Pressure 43 ❑ Vault Privy 140 System-In-Fill 4 Z- -M ew C tf 1E.7 iA C,4-, S 5 7 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 u n RE UIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 7 r 3 d ilJ / Feet gG ` Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanksstructed Septic Tank or Holdin Tank 00& OVa / Zayc%ff Lift Pump Tank/Si hon Chamber MOO 1 El I F-1 F-1 [1 0 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumb 's Signature: (No Sta s) MP/MPRSW No.: Business Phone Number: rA, V eck u i (1 E K sS 7(5' 799^ 33 Plumber's A dress Street, City, State, Zip Code) IX99.COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Si tamp ❑ Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determinati n SVc X. CONDITIONS OF APPROVALIREASONS 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 Wisconsirt 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 Forrn {Sl i:! 6399) to be (~ubrni ted to the count) prior to installation. 5. 01, !]a sewage sysierns rnust be properly maintained. he., =ptic tanks) m;_-1-,t be pumped t;y a licensed pumpcr vrhenever necessary, usually every,2 to 3 years, 6. If you have questions concerning your onsite sewage system, contact your local code adrninistrator 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. Absorpt;n, sy stnrn information. Provide a0 inf-mation reques`nd in ~4' ' Vli T ai } _ it in .apacity of e. 3r- new and/or exist, k, the total c;:<ilor s, au nt,er of tank x ijn; ~u`rt tureAr's nave. indicate prefab or site construe ` t c "'r,0 -:ai)k material. Complete for all and holding tanks for this SystErm. Check t .!,rui ,-.l ?Pproval ci i,' I` fc3rll<S received exper r; „ pi .:;.l,sct appr(_-:val from DILHR. VIII. Respbo?ibiMy statement. installing plumber is to fill in name, license number with apprepria..e prefix (e.g. MP, etc.;, :ii.?dress; and phone number. Plumber must sign application fc,rri IX. Gorjntyif~°r~artrnerrt Use Only. X. Countyrl;et) Ertroem Use Only. Corr-pl0e ,?cans and spec its. 'ons not smaller than 8'/2. V 11 inch:. :.,:s_ be submiti,F,%)'', f11- cot-nty. The n, ans cross' `.rc A) plot pan, draw ) to scale or with ~ le. e mer;; o ~r +:)^F.fion of holdtr~u -&-il (s). sei~tiC ether treatment tanks, buidin9 water dtater service; st,,eams arui lakes; purnp ~>r --iphon tanks; distribution Mikes; so,, systerns: ,~rAim-_- ner!t System areas :r J c, of ~c bui`•"ing served; B) horizontal an v ! °-vat!cn j) C) complete specifications for, pumps and controls; dose volume; eievat:>>r; d;fferenca:,; fricticr, loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absor--lion system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - - - I GROUNDWATER SURCHARGE 1983 Wiscon sir Act 410-included the creation of surcharges (tees) for iturna=er of regu!a ed pr,iic'.ices w`?ic h. ca.ri effect groundwater. 'h3 1o L4 t ~Y~ t:;irSB Stvchargus "rft ci Ji'I wate? ~,Coniani;natlort i~ R y~i;~Bt+rtrl5 and estabiishmeril iii 8rC5`,- SBD-6398 (R.11/88) . rt ILHR 83.08(2) PROJECT INDEX SHEET Owner 4991. 114W ]i6 7 f6 -.2 7/7 Address X117 160 $T Site Location p,W7- Ste, sue, 5 .32, T,?O-J, A/-) 40 TEJGvc> of Project Description ST ~/l0/if' ~'O a/v Aooy GVE// Sy s rF•~-~ . 3 '6 S . ors r~ ,~la~ - ~✓`o sus , Page 1.-Pilot Plan & System Plan View Page 2. Cossi-Section of Soil Absorbtion System Page 3. Lift Pump Cross Section Page 4. Bump Specs. i 1 so~=~~ l~i ~ ~v c1r4 PPzposeD I t~osFaTw. uf.i3wcKc t~ 5 x S Tn+a.e. sb FT 01160 14UDSOK` 00 Wis. pU.H D 574-7-10 J % S OPT' vik Ev IA.) OAP 94!~ ~ s yaw i~,~~ PLOT 'SYSTEM ~ V ~e 3 9~ . ~p o = E'I<(Sr/A)6 - f,61,PE GF i eQ1os- Pv, r c r►~-►~~,e J C~/E 1/,-7-10 AJ 0 13o fA, s ysreAfS ~ ~ fjo~~eox • ~/EV~tr~~v o~• ~ xis-7-1A) w.e&- / so-; ; VM 1 dd C~AA113c I I y I I uri - - _ I I u cr, I u /I 13qIvQav 411 7RE,grME,vT T' SflRa~~ ,~,P~~v~ w y r~ I I h t l I~ ~I I I P P'' -tLfi~~ k3,03 0 32- _ I 3 ~~iPN • _ ~ h ~ ~7~ 0' f i , , I NEW TAuk-5 (Z-) E g / N1411v~ 3 ~ yo' JF iZ .4 Pub DiST,Pi/3vT~i.~ GU~E~S GO.uG,~~~ eav • Neh fo,~r fox V/S. I,vtEr - .z f/ ~M $I T~OTTOM EDGE a~ Lt}p S/DAN(,-- \ i r /EV~Tio,~ s X00' D 3 tp o 0 Fresh Air Inlets And Observation Pipe • 2 TR~ti)C. Approved Vent Cap Minimum 12".Above Final Grade LF - 4" Cast Iron • 3 (o Above Pipe Vent 'Pipe' 'to Final Grade Synthetic Covering min. 2" Aggre4ale Over Pipe Distribution s~ .2-~Tee Pipe 0 0 0 Ag gregat0 Pertorated Pipe Below • Boneolh Pipe - 0 Coupling Terminating At Bottom Of System ' 5y5 E 0 J5aS SZ_ /T , s 'I - i Fresh Air Inlets And Observation Pipe i Approved Vent Cap - -r Minimum 12" Above Final Grade ~:uiS/1f~T~ ~iP~9~ y .5 O 4" Cost Iron • ' 3 (Q Above Pipe Vent Pipe' -to Final Grade L • Synthetic Covering Min. 2" Aggregate Over Pipe Distribution ski .~~24 -Tee Pipe 0 0 0 0 0 Ce" Aggregate o Perforated Pipe Below Beneath Pipe 0 Coupling Terminating At Bottom Of System S IV 57, l I? SGi 4 "Puc (I I-S- • . J " ' ~ti~% To ors T,P~'~vro-~ (3 0 ~ 1 y, .So - PUMP CHAMBER CROSS SECTION AMD SPECIFICATIONS of VENT CAP 4'C.I. VENT PIPE WEATHER PROOF _APPROVED LOCKING t > 25 FROM DOOR rF7 JUNCTION BOX MANHOLE COYER - , WINDOW OR FRESH 12'MIU. r'' 4V WAIr0!! 1AAC1 AIR INTAKE RADA ~IgpIt7ION GRADE y" MIAl. _ v1k, LL, I J, 0 r ( 19" MIN. COIJDUIT-- /Ev1n oti WLET PROVIDE I - AIRTIGHT SEAL I i i I V APPROVED JOINT A I ~ I I ~ I APPROVED JOINTS J/C.I. PIPE 010 I nM ) I I W/C.I. PIPE EXTENDIMC, 3' 'DOI ' ( I ALARM EXTELID'.jG OWTO SOLID SOIL ONTO SOLID SOIL B / I I b c i ON ELEV. i r PUMP pFF I k ~~D D 1,60 p1,.) lr L 4P N 1 BLOCK eVA POd 0~ L RISER EXIT PERMITTED 0AJL4 IF TANK MAIJUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFfCATIOUS DOSE L(j&E~s ~dclG+.l-C TANKS MANUFACTURER: ` IJUMBER OF DOSES: PER DAU TAWK SIZE: r6) S - G LLLLO S DOSE VOLUME ALARM MANUFACTURER: INCLUDING BACKFLOW: GALLONS r*• S MODEL NUMBER: T•~-' V. CAPACITIES: A= 16-9 INCHES OR 30 o GALLONS SWITCH TYPE: HER-WAY F/OA'T^ B = 2- INCHES OR 3 C° GALLONS PUMP MAMUFACTURER: f/~ C = e, 5 WCHES OR 11 GALLONS MODEL NUMBERy:~-1-X►ivp 1/0 U D=_.L_INCHES OR 3 L S GALLONS SWITCH TYPE: x166,/ J'l1 aACfe- FioAT kIOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 30 GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF ARID DISTRIBUTION PIPE.. . FEET -rAok SfPfCS ' ♦ MINIMUM NETWORK SUPPLY PRESSURE . . . . FEET EAL111,. Of' P -1- ~Q FEET OF FORCE MAIN X /,'s FoFrFRICTION FACTOR...~- FEET lie:!_4vr TOTAL DYNAMIC HEAD = -7' Z FEET yy INTERNAL. DIMEWSIONS OF TAWK: LENGTH ;WIDTH ;LIQUID DEPTH A o ,D - . 5 ,e to HEAD CAPACITY CURVE 3 7/86 1/4 MODEL "98" 30 4 5/8 25 / 3 5/8 v z 4 3/16 b 15 4 O ~ 10 ` 1 1/2-11 1/2 NPT 2- - - 5 0 U.S. GALkONS 10 20 30 =40 50 60 70 80 UTERI S. &0 160 240 0 FLOW PER MINUTE - - TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING CAPACITY 12 HEAD UNITS/MIN FEET METERS GALS LTRS 5 1.52 72 273 10 3.05 e1 231 - 15 4.57 45 170 3 5/16 20 6.10 25 95 Lock Valve 23' , I~ - CONSULT FACTORY FOR SPECIAL. APPLICATIONS Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single, and Supplied with an alarm. three phase systems. Mechanical alternators, for duplex systems, are available with or • Double piggyback mercury float switches are available for without. alarm switches. variable levol long cycle controls. r y I, SELECTION GUIDE 1. Integral float operated 2 poie mechanical switch, no external control required. Standard all models - Weiht 39 lbs. - '/z H.P. - 2, Single piggyback mercury float switch or double piggyback mercury, flog' 98 Series Control Sel Ion switch. Refer lu FM0477. j Model Volts-Ph Mode Amps Simplex Duplex 3. Mechanical aUurllalor 10-0072 or 10-0075. r 1, M 115 1 Auto 9.0 1 or 1 & 7 - 4. See FM0712, for correct model of Electrical Alternator, "E-Pak". 5. Mercury sensor float switch 10-0225 used as a control activator, specify N98 115 1 Non 9.0 2or2&6 3or4&5 duplex (3) or (4) float system. D98 230 1 Auto 4.5 1 or 1 & 7 - 6. Four (4) hole "J-Pak", junction box, for watertightconnection or wired-in sim- F98, : , . 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 plex or duplex ppelration, 10 0002. 7. Two k2) hole "J. Pak", for watertight connection or splice. CAUTION For Information on additional Zoeller products refer to catalog on Combination Starter, FM0514, All installation of c ontrolo, protection devices and wiring should be done by a quell- Piggyback Mercury Switches, FMO477; Electrical Alternator, FMO486; Mechanical Alternator. tied licensed sWAilctan. All electrical and eddy codes should be followed includ- FMg495; Alarm Package, FM0513; Sump/Sewage Basins, FM0487; and Simplex Control Box, ing the most raoard National Electric Code (NEC) and the Occupational Safety and 1:M07,32. Health Act (OSHA). RESERVE POWTagineered D DESIGN factors into the design of ever Zoeller pump. 1 For'unusual conditions a reserve safety I MAIL T0: P.0 BOX 16347 Manufacturers of... `O D IP TO.feK1 4tt:'S6-0347 SNIP T0.3!'80 l)I Milers l.,ine P S /✓a✓ ii Louisville, kY4011ri QU.IL/lY UMPS /NCf (502)778-273 1 0 FAX (51,x) 774-3624 %sc nsin Department ooff Industry, SOIL AND SITE EVALUATION REPORT Page ~ Cr -3 and Human Relaons Division of safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. . dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION s'(/.wt . L,q vQjPy GOVT. LOT 5k 1/4 SW 1/4,S 32- T 3,0 N,R 17 E (w) W PROPERTY OWNERS MAILING ADDRESS LOT N BLOCK #f SUBD. NAME OR CSM 1-,?.17 p dk ST Ate r mr- / q6t 10 CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE [MOWN NEAREST ROAD .UF k ,Pi cGr.yn ~n 4,'1, S ya 7 (71S) N4, - 2-71 E~Pi ti ~Pi4r,{'rE_" /lv O o~•- -ST" (j New Construckm Use [ J Residential / Number of bedrooms 3 [ J Addition to existing building f U(I Replacement (J Public or commercial describe Code derived daily flow gpd Recommended design loading rate 7 bed, gpdfil?. -e~Uench, gpd/ft2 Absorption area required G y~ bed, 112 5_~~ ench, ft21 Maximum design loading rate • bed, gpdo ' trench, goo Recommended infiltration surface elevation(s) P5 ft (as referred to site plan benchmark) sjW *S,- C ,uGj, S - ~idt, 41'F 7'- 3?'"~t T<a.v Additional design / site consider Parent material 5 14'111-07-- Si - S~•v Flood plain elevation, if applicable ili. •rt It S = Suitable for SySlo-d CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL FOLDING TANK U- Unsuitable for s stem .2S []U IRS U aS 0 U .9 S❑ U ©S ❑ U D S WU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence -Bao r ; Roots GPD/ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed mnch _6JZ e_ ~12_ es, 5J/2 p Si~ L 'r"~ C f C r N` Ground Z3 /o Y,e L,~ S f S,~i~ .ti►~'7'~j' S / - , 2- elev. - St It. ~zr .3 /,0 Y/ y S/ 2,.w► s~~ /1►~t7~ie zf . s , Depth to D, limiting factor Remarks: Boring # 511 2j .5 Vbe 00" me /Wrfk Z6~ /3 lea S/ 2,4,1' p /m -die c5 2f S Ground qG.9e, G -y ® It iay,~ `~/y D, S ,1,,,~ cS • Depth to limiting CL C, DWI 7 ' II '~--~1~- -r Remarks: T Name:- Please Print Phone: Y15- ` 3 9 PS57- AWress: 655 O'NEIL RD., HLWON, WIS. 54016 Signature: ROBERTUtBRIGHT Date: 2^,3 CST Number: V)S. MASTER PLUMBER LIC. NO. 3307 M.P.R.8. INSTALLER & DESIGNER LIC. N0. D0683 r,8 57 This %st' to PROVED PROPERTY OWNER LU,M. L~wO SOIL DESCRIPTION REPORT Page 2-of .3 PARCEL LD. i Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bown fty Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rerxh Tv 70 .2. f o.-.z /o ,e S~ i f shk ~-f i' c zf . z M1( %e M^'ff, d.57 ~f 40 Ground Z-~ r/e e44 -,57/ gG Z It. C 36-%S11 /0 0 YA - s i. 7 Depth to C i 1 v /D Y11e s/Co C 5 D, C, 5 leok - , 7 limiting factor > 50 Remarks: Boring # f 131 3 Ground elev. ft i Depth to limiting factor ' i Remarks: Boring # E3 s Ground elev. it Depth to limiting ' factor i Remarks: Boring # i i E31 f Ground elev. ft Depth to limiting factor Remarks: eon 0,P)MO nc N%n% ~S HOMESITE SEPTIC PLUMBING CO. d 655 O'NEIL RD., HUDSON, WIS. 51016 ROBERT UtBRIGKr WIB. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. MINN. INSTALLER & OESIONER LIC. NO. 00663 4ST.y 2.j/,PD- e3 (o 6r !3 z (S,7~ OF AeVIOSep J Sv 6:5 r&-P E,4j II' 3` Q "TMs test 91te APPROVED for a conventional septic system. i 9~ .SO c1J loq E,trs'f, Z 3 97r~, r 7' Z3 ' 13o r7o~+ EDGE' aF APO ~c D '~v STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix. County OWNER/BUYER ROUTE/BOX NUMBER FIRE NO. CITY/STATE ZIP PROPERTY LOCATION: S W 1/4 S 1/4, Section 3 1 , T -3 4 N, RZ ' W, Town of e5:_~rL,4w /O_A02 . , St. Croix County, Subdivision , Lot No. 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. I St. Croix County Residents NAY be eligible to receive a grant for a MAXIMUM of $3000 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 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. Certification form will be sent approximately 30 days prior to three year expiration. 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 Department 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 DATE St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address S T C - 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 Location of, property 8 401/4 Srv 1/4, Section a , T_:319 N-RAW Township ' Mailing address 7 l'G U "6's Address of site L Z l b sSl~ / Subdivision name Lot no. Other homes on pro ert ? P Y Yes No Previous owner of property Total size of parcel o Date parcel was created Are all corners and lot lines identifiable? _______Yes No Is this property being developed for (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 & THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. , Signature of applicant Co-applicant `I 3 i ' Date of Signature Date of Signature j DOCUMENT NO. STATE BAR OF WISCONSIN-FORM 2 WARRANTY DEED 314771 THIS SPACE RESERVED FOR RECORDING DATA BY THIS DEED, _ William C Landry & Elizabeth P. REGISTERS OFFICE ii Landry, husband and wife, - ST. CROIX CO., WIS. ~ Reed for Record this-22nd j Grantor conveys and warrants to William D Landry & Mary J. day of uc1Ty M. 73 r M M. Landr husband and wife d :330 0_____ A_ - I~ r - ter of n~ _ i~ I _ Grantee__- - for a valuable consideration One Dollar & other ya_luab_l_e_ RETURN TO j consideration - - _ ~j I the following described real estate in St. Croix _ County, State of Wisconsin: I~ Tax Key # - - - This is homestead property. i The Northwest Quarter of the Southwest Quarter and the Southwest Quarter of the Southwest Quarter and the Northeast Quarter of the Southwest Quarter and the Southeast Quarter of the Southwest Quarter of Section 32, Township 30, Range 17 West, St. Croix County, Wisconsin. This deed is made in satisfaction of a land contract between the j above parties dated June 23, 1967, recorded June 26, 1967, in 1i Volume 433 of Deeds on Pages 600 & 601 in the St. Croix County Register of Deeds office. I i) FEE Exception to warranties: EXEPJIPT i i Executed at__Ne3AL_-Richmondt--Wizoon-i n day of --Flr'k?r11aLy - - 191 SIGNED AND SEALED IN PRESENCE OF ? a~ tiC (SEAL) William C. Land y `r------------ - _ (SEAL) i Elizabeth P. Landry.__ (SEAL) it f - - I(SEAL) li it ~j i h Signatures of NiIliaiIL_C,__Landry____ &_Ellzabeth_ _ ____LandrV--- - - II II 19.3 Ij authenticated this -day of____ . _brpary Title: Member State Bar of Wisconsin m^~3ik[t~4P.Mty i ~a~f-ivnze3~rrtTer-~~~~L. I' STATE OF WISCONSIN l } as. County. JJJ I Personally came before me, this day of the above named ii to me known to be the person- who executed the foregoing Instrument and acknowledged the same. i This Instrument was drafted by WM. W. WARD, Attorney Notary Public County, Wis. i The use of witnesses Is optional. My Commission (Expires) (Is) Bou 494 PAhE591 Names of persons signing in any capacity should be typed or printed below their signatures. MCMi~~,r Car~y® WARRANTY DBBD- TATS BAR OF WISCONSIN, FORK NO. 2 - 1971 13 HOMESITE SEPTIC PLUMBING CO. 6% O'NEIL RD., HUDSON, WIS. 54016 ROBERT UtBRIGHT WA. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. MINN. INSTALLER & OESIGNER LIC. NO. 00663 dsry 2y~'Z G~ t! 7"/dti S , 5cs~l~ : / = 30 /3~CC ;nth Pay c4 This test 91te /APPROVED for, conventionM septic system. q W 9~ . s"D d y~RA~~ ~,Pi ~ wy ► Ioq a 3 n ~ 11,0 'L r~ $ 13o n'oM FDA- of LAP S/d/aJG.- r ~YE'v~tTio,J " ~OD~ ~ 3 fob 0