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HomeMy WebLinkAbout022-1048-50-200 -0 0 O a C 0 a 0 0 N ~ i N Otj ' Q C i ' O Z C 7 76 W C O Q ~ M > Z jq 0>0 Z O 0 T L L ~ r d d Z 00 w a Co ~z N O I O z d N U ~ N o CD 2 d N c z U) 1- r N N E 'O C 2 M r y a) co C O m O Q Q O Z Z O N z N ~ N E N R .`.Y a _LO CL 2 ED co .0 O G (L Q o vi U) co v> j z w Z > OO IL U) O Z •rv ~ I >aaa 0 N U) (D M M y (V Fiy 7 O N J V rn rn "0 a) C) C O N .-O O N N 3 0 0 n o O CO d N m C) N _ N 'O N Q C6 wJ 3 w c _ N CO H V O C E CD N C7 O © i N y C a. 0 0 0 0 a - N N N N N U a Y 0 O d' W C 'pL O O N C N.4 r-- O LO r, C O W U M N F- _C C N N ` ~ N N N v m G` to E 61 g6 L r U v tC r~ y m £ n. a a CL 7;5 9 0) A uCL 0 yv ST. CROIX COUNTY r WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE ? 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 May 3, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Carl Westerdahl property, located in the NE;NE4j S.17, T. 28N., R.18W., Town of Kinnickinnic, St. Croix County, WI., has been conducted with the assistance of Bob Ulbricht, CSTM# 2482. This onsite revealed suitable soil for onsite sewage disposal over creviced limestone bedrock to a depth of 24" while meeting the requirements of the A + 4" rule. This site should be suitable for a mound septic system having 24" of sand fill. Should you have any questions, please feel free to contact me at this office. StK' y, ames . Thom pson Assistant Zoning Administrator cc: file V i AS BUILT SANITARY SYSTEM REPORT OWNER wit r /J l ✓c laG~ -TOWNSHIP SECTION ~T_ZE~N-R_fZ_W 0L4 2' 'FA/Y` - 2 • ADDRESS & 4!e_ V /C ST. CROIX COUNTY, WISCONSIN SUBDIVISION G 5 0)9? LOT_ .LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM a. z W a INDICATE NORTH ARROW BENCHMARK: Elevation and description; Alternate benchmark SEPTIC TANK: Manufacturer: Liquid Cap. 107er ' Rings used:.°f Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road:Front , Side , Rear Ft. From nearest prop. line:Front , Side,[, Rear Ft. ~_!~-C No. of feet from: Well,/L~~'r'. Building: IV (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE r PUMP CHAMBER Manufacturer: h2 ~C w~3 t Liquid Capacity: Pump Model : ijjfo-~MPump/Siphon Manufact.:r~UG~r~ -Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front_, Side_, Rear_Ft. Distance from: Well Building ~S SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: Length Number of Lines:__L_Area Built Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: 6t-1 a ; e i C%✓' `7`~c 7`e No. feet from nearest prop. line:Front , Side, Rear Ft. i~l~ No. feet from well:./'1-a,-No. feet from building ,'mod' 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: DATE : C PLUMBER ON JOB: ~ LICENSE NUMBER:'_ X 6/90:cj nTrt KTtions NIC 17.2RA,A Ad'?TS4~-"~'OWN HAL RD - 'atision County: Divisio INSPECTION REPORT JOIN (ATTACH TO PERMIT) Sanitary Permit No-: INFORMATION 193439 der's Name: ❑ City ❑ Village [Town of: State Plan ID No.: KINNICKINNIC 8M Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: ► 022-1048-50-200 , 60 3/cCirRQ c5.44 TANK INFORMATION ELEVATION DATA A9300103 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 107,66 X00. Dosing 75 0 Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet v- Vent TANKTO P/L WELL BLDG. A ir Ito ntake ROAD Dt Inlet X,71 9y, 3s' Septic ;,150 ' VIA / / 1 NA Dt Bottom Dosing j U ti a S / ,a NA Header /Man. y / o y , (o Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand S r Ca-ve-) 3,5,V / 0 Model Number 3 5 GPM TDH Lift Friction,." System a.5 TDH Ft Forcemain Length ffp ' Dia. Hat " Dist. To wen SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth S I y DIMENSIONS DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Typeo CHAMBER Model Number: System: ~1 >lDU 7° cr/,,9 OR UNIT DISTRIBUTION SYSTEM Header/ Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length L~` Dia- Length ql~ Dia. Spacing F` Vy`` 0"tif SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over r[ Depth Over xx Depth Of xx Seeded/ 5edde&-, xx Mulched Bed/Tr nchCenter Bed /Trench Edges Topsoil & /yes ❑ No B 'Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) ~&ATION: KINNICKINNIC 17.2$.18,NE,NW, LOT 4, TOWN HALL RD. r Plan revision required? ❑ Yes ❑ No t Use other side for additional information. 7 / O w~(I,;~ 6 SBD 6710 (R 05/91) Date Inspector's Signature Cert. No r D ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ~ILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUIjTY C arK STATE SANITARY PERMIT # =Attach complete plans (to the county copy only) for the system, on paper not less than /93 V3 9 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. ST TTE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 3 ' ~l dd -7 PROPERTY OWNER PfiOEPrERT ION / ~Q L A/&_572*elJ~ 6~ /l VV /a /a, S T , N, )IRA P E (or) W PROPERTY O NER'S MAILING ADDRESS LOT # BLOCK # (2-/ 7 sr . 4- 1 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 410 411. SWI & 76 SS CS fl ? < ` II. TYPE OF BUILDING: (Check one) ❑ State owned CITTYYi4GE ; NMREST ROAD ryry~~ ,v fj~,t /e dC ❑ Public ZL1 or 2 Fam. Dwelling-# of bedrooms PARCEL AX M R( ) CP- So 2a 1Z 0 III. BUILDING USE: (If building type is public, check all that apply) 02 2,^© 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 120 Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ❑ Replacement 3. El 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 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.) PRO OSED (sq. ft.) /(Gayay/sq. ft.) (Min./inch) ~3 C ELEVATION 375 3 J Feet `S Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's a Concrete Con- Steel glass Plastic App Tanks Tanks A 141 /V 6ffLs structed S Septic Tank or Holdin Tank (OVV Lift Pump Tank/Si hon Chamber 750 A T_ F1 11 El [L] Ll Vlll. 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 Signature: (No Stamps) MP/MPRSW No.: Business Phone Number: 14,/Ir- 0,01,,,,.~ b)/wl • 5~I~~ Plumber's Address (Street,,Gity, State, Zip Code): A,q - fJ ) ~1 S ~~1 Cp D f? Sc IX. CO NTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater [Date issued Issuing A nt Signatu S Approved ❑ Owner Given Initial 4~~ Adverse Det rmination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: 3BD-6398 (formerly Plb-67) (R. 11/86) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. - _ f 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 11% 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 f SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Bog 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53107 HOMESITE SEPTIC PLUMBING CO ROBERT ULBRICHT 655 O'NEIL ROAD HUDSON WI 54016 RE: Plan Number: S93-01007 Date Approved: May 17, 1993 Gallons Per Day: 450 Date Received: May 17, 1993 Project Name: WESTERDAHL, CARL Location: NE,NW,17,28,18E Town of KINNICKINNIC 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) 266-8230. SBD-8817 i R. 01/911 Y y I SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Bog 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations HOMESITE SEPTIC PLUMBING CO Page 2 incerely, KENN TH STIEMKE Section of Private Sewage Division of Safety and Buildings PPP016/0009n/ 9 cc: + Private Sewage Consultant County UW-SSWMP --Plumbing Consultant Owner _-_--Plumber -----Environmental Health i i IL san-saw,K.o~re~, S 9 -01007 I.L.H.R. 83.08(2) PROJECT INDEX SHEET:-'-= Owner: C-4,4L GiJ~sTE~'U~FrfL 75-3~(o-5500 Address : ? - 5 t. !J o T i-t I f L) PSo A) W I'S . S /01 Site Location: L 0 T f Z.9 4Cef"S /UE,vuj Yi .S•ec7 i7, r2-s v, k) 1,erc.) -rower of k~;v,vi c~C'/.vvic S% coot x rO uN7, Project Description: NEW e0 A)S7,P IJ cTi t.✓ - .3 ~ ~~M . ~/a •~r E' . ~sTiA I f rEv i 13 u r 41A + T- Pe) Page 1. PLOT PLAN VIEWS Page 2. MOUND CROSS SECTION & SYSTEM PLAN VIEWS Page 3. PIPE LATERAL LAYOUT" Page 4. DOSING CHAMBER CROSS SECTION Page 5. PUMP PERFROMANCE SPECS~~ PLUMBER: DATE: ~ SITE EVALUATER/ DESIGMER SIGNATURE HOMESITE SEPTIC PLUMBING CO. D 6%O'NEIL RD., HUDSON, WIS. 54016 ROBERT ULBM14T -'S7Af Zy~ MASTER PLUMBER LIC. NO. 3307 M.P.R.S. 1!rt':. IPSTALLER & DESIGN~ERRLILIICC. NO. 00663 16 L o 10 S93 -0 07 I3 Iu W w r 11 vl ~ W • V ~7 ~ Q 3 ~ Do ~a PGA p,~~ 8 r z 0 Q z C6 JP a53~gz CI r1 w - r ` a ~yt'Sf~ !~G R f W~a! J W 7 y w Q a z ¢ < .O~~~S ~SeQ 00 a GpQP . ~ v W ri 41 O ~lj o ~ 4 %A 0 `d G~c ~'z o--O-o a i ~ W t I N~ J > ~ J ~n o j N, rJ a r4 M r4 cl IN, ~ ~ o o r a q~ t oN~ kx~ W IIJ w. vJ r4) CO \)j kn tt I v,~Tio,v , l~v vew -1-1,,/ s yD /e V4 T/O.v 71De Ol4r fr' y/1'2f',,f 72257- /0 70 ( Page L' of i -1001 Straw, Marsh Hay, Or ~r Synthetic Covering 7 Distribution Pipe Medium Sand H-_ y ~c SysrE~ ElevATia~ Topsoil F 3 E D X03. 90 ' 3 ' b uupER 8 % Slope i1 S5ec-"rE Bed Of 22 %2 Force Main Plowed SuyyESiED HovuV z>.ti~;rc,P~-~ Aggregate Laye. /O,, Y2 TUE 1-,-ve F /e- vet r v,v D Z. O Ft. . E 2.J0 Ft. Cross Section Of A Mound System Using G'ES A Bed For The Absorption Area F '~70 Ft. G O Ft. 14 DNS A Ft. H A S Ft. '??'N Signe® B Ft. L i c e n s K/ 3 Ft. 00 Date: ,sL 7y Ft. p 0 d 9 50 Ft. / Ft. GpFl ~E W Ft. L Observation Pipe ~ B K A I~ T]Force Main W~~ r r Distribution Bed Of 2 - 2 2 Pipe Aggregate I Observation Pipe Permanent Markers CSI pp~:~, f%v~ ~ ft~ ~ ~oDS Plan View Of Mound Using A Bed For The Absorption Area r Page -3 Of -5 V ~a D U o 6- ~oA? 0r- 2 T~uc FOR C,5- '/,4c€ ~,4STSg3" 1®0 Perforated Pipe Detail End Vio.+ )Perforoftd End Cop) PVC Pipe i. • Holes Located On Bottom, Are Equally Spaced R S.~~M \ ~ ~ SE~J PGA y P. d w Ott Q uB~R b eU1W PVC C Manifold Pipe s\ DislriDution/'y ES GQ 151. ~ pipe Hole Should Be Next To End MgN~ivlD " Distribution Pipe Layout P Ft. R i' / S-v ~r. aF Z~ X y~ Inches Y 2- `f Inches Signed: Hole Diameter Yz/ Inch Lateral / Inch(es) License Number: Manifold Z Inches Date: Force Main Inches # of holes/pipe 13 Invert Elevation of Laterals /a7• Ft. • D i S rW , l3 v 7"io.v Sc ~►,t'~ E" rvk Z 11 !L 14 TER Z 5~/mot t;,,,. • ~o~~ / -,P1'57Ri13ur1,91.) 'D /'S A,c~cE" J:»~ F,c~ N fwo,~k 3 D :1412- 04, S936-01007 PUMP CHAMBER CROSS SECTIOM AMD SPECIFICATIONS Pf} E It of S VENT CAP -frT 'i' C.I. VENT PIPE APPROVED LOCKING WEATHER P JUNC ~~ppf$~lX MANHOLE COVER 25' FROM DOOR, s ~j~G 4iWA1IO6! A/$El WINDOW OR FRESH 12"MIN. / AIR IM TAKE `A G . ~oy11~j ~~M ; I 16"MIN. y S A ~rEv~r oti o oN c ~i~ /OC~~ O ~cJP PROVIDE I INLET CQAIRTIGHT SEAL I I i I I I v APPROED APPROVED IN'Ip~~K I I I ( W/C IvPIPE01WT5 1JLXT CE IND► PING PE 3' 0 ` 0 x,11 1 ( III ALARM EXTENDING 3' ONTO SOLID SOIL. V 10 I I I ONTO SOLID SOIL s ~ (3 3~ I I I I ON c `~o,~ I I I ELEV. .0 FT. I __J / PUMP OFF D r, 3 w BLOCK ~(AN v~ f o ~ ~ /E RISER EXIT PERMITTED ONL-d IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFICATIOUS DOSE ,ylD~vEfrE~p✓ ~.PEl1 ST zNG TANKS MANUFACTURER: (DUMBER OF DOSES: PER DAy TANK SIZE: 7-5-62 GALLONS DOSE VOLUME C L LC < 7 f ~ INCLUDING BACKFLOW: GALLONS ALARM MANUFACTURER: S, 72, MODEL NUMBER: /0/ -621 CAPACITIES: A= /G INCHES OR 30~ GALLONS SWITCH TYPE: /~E'e CUiPt F~D,¢ T Z 39 B = INCHES OR GALLOWS PUMP MANUFACTURER: O vG-D ~3 P T \ C= 6'y INCHES OR 12-0 GALLONS ftNt)^ L MODEL NUMBER: eSE S6,flES : Cc, 311M D= /S, e' INCHES OR Z Z GALLONS M SWITCH TYPE: 1'16'f(4y y /f/o-' 7-- P&A r MOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET -"AA.) 5'PIECS + MINIMUM NETWORK SUPPLH PRESSURE , , , , . . . 2.5 FEET EAL(A. off" P + FEET OF FORCE MAIN X Z106 FYo FT.FRICTIOU FACTOR.. /1.0 FEET f.VA `S /S'- 7-9 TOTAL DYNAMIC HEAD = 0 FEET INTERNAL DIMENSIONS OF TANK: LENGTH G ;WIDTH ;LIQUID DEPTH Q 01,®o t v~ } v { 3885 AVAILABLE CERTIFICATIONS ETL LISTED SUBMERSIBLE PUMP CLASS I AND 11 DIV 2 AND E CLASS III DIV. 1 AND 2 FTL TESTING LABORATORIES, INC. CORTLAND, NEW YORK 13045 G1086131480 CANADIAN STANDARD ASSOCIATION 'e PERFORMANCE RATINGS (gallons per minute) MODELS WE0511H WE0511HH Series HP Volts Phase Max. Amp. RPM Solids VA. (lbs.) Series WE0512H WE0712H WE1012H WE1512H WE0512MH WE1512HH WE0311L 115 9.4 NO. WE0311L WE0311M WE0532H WE0732H WE1032H WE1532H WED532HH WE1532HH WE0312L 230 4.7 WE0312L WE0312M WE0534H WE0734H WE1034H WE1534H WE0534HH WE1534HH r 1750 56 WE0311M 73 115 9.4 HP '/3 '/3 A % 1 1'/2 '/2 1'/2 1 Rpm 1750 1750 3500 3500 3500 3500 3500 3500 WE0312M 230 4.7 WE051 H 1 5 100 70 80 90 106 - 60 - 15 13.0 10 80 65 76 87 102 112 56 84 WE05 2 6.5 WE0532H 2H 208/2 230 3.4 15 60 57 72 84 100 108 53 82 3 20 , 36 45 65 79 95 105 48 77 WE0534H 460 1.7 60 WE0511 HH /Z 115 13.0 25 25 59 74 91 100 45 75 WE0512HH 230 1 6.5 W 30 50 6 85 96 40 72 WE0532HH 208230 3.3 $ 35 40 61 1 79 92 35 70 WE0534HH 460 3 1.65 40 26 52 72 86 30 67 0/4` 45 10 43 64 80 25 64 WE0712H 230 1 10.0 WE0732H is 208230 5.4 50 30 54 73 18 60 3 3500 WE0734H 460 2.7 55 17 42 65 12 58 70 fi0 6 30 54 3 54 WE102H 230 1 12.5 WE1032H 1 208230 7.0 16 40 51 26 47 WE1034H 460 3 3.5 ~ 70 5 75 14 43 WE1512H 230 1 15.0 WE1532H 208230 9.2 40 90 4 33 WE1534H 460 3 4.6 80 100 24 WE1512HH 1 2 230 1 15.0 WE1532HH 2081230 9.2 110 15 120 5 WE1534HH 460 3 4.6 metal parts, BONA-N elastomers. METERS FEET • Temperature: 160° F (71- C) maximum. MODEL 3885 • Fasteners: 300 series 25 8o SIZE 3/4"Solids stainless steel. wE15H • Capable of running dry 70.,.. W without damage to 20 wEtoH components. 60F=.... 5GPM o a Motor: W wEOi1a SFr i • 1 = 50 J i Single phase: H 3 P, 115 or 15 1 230 V, 60 Hz, 1750 RPM; o WE05H '/2 HP,115 V, 60 Hz, 40 3500 RPM;'/2 HP through 10 WE03M 1'/2 HP,230 V, 60 Hz, 30 3500 RPM. 20, WEO3t Built-in overload with 5 - automatic reset, class B insulation. = • Three phase:'/2 HP through o o - 1'/2 HP 208/230 V, 460 V, 0 10 20 30 40 50 60 70 60 90 100 110 120 GPM 60 Hz, 3500 RPM. I Class B insulation, overload o to CAPACrrv' 20 30 m3/h protection must be provided in starter unit. ' 8 1 9 F Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Pav, -3 Labor and Human Relations Dv=of Safety & Bulelings in accord with ILHR 83.05, Wis. Adm. Code COUNTY S j G/I°D/ ;1~ 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. # 'T dimensioned north arrow, an dt~ 5i and location and distance to nearest road. Ut7p~~~litT~O REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION y_ yy. ~3 eu,,;Ai I 5-, M 74oH Sow PROPERTY OWNER: ~~RL ClJ~J?~~ L PROPERTY LOCATION GOVT. LOT N,!!~_ 114,41W 1/4,S 17 T 21 N,R I E (or) W PROPERTY /OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 7 CI ST • NO y ESN/ CITY, STAJE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE E FOWN NEAREST ROAD n A)o'P 1•L.. R U O.SO ,J Gu/. 51/0/G (715) 3 -P4 - S 5 00 i iV Ni 'L.t'i NN/ G rowv tj A// /Pee . K] New Construction Use [X ] Residential / Number of bedrooms 3 [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow ySU gpd Recommended design loading rate bed, gpd/9 ° G trench, gpd/ft2 Absorption area required 37S bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpol112 Recommended infiltration surface elevation(s) Se-e ' ! • 3 It (as referred to site plan benchmark) Additional design / site considerations S17-E" Sv, 'T4.~? t- F0 k M.0 u~v17 40 1o4. 2 y V o- e Y S/ Parent material -f255 G Rr e_ E - S, ~-T SE~i y ~T - 3 FloodSplain elevation, if applicable /V/f- It Li.~+ESfvvE W4311-M W OT-7,F-A-2 0-69 ZWWWIZ-Zv T-N~- Ta.v E S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN ALL HOLDING TANK U = Unsuitable fors stem ❑ S au Ia S ❑ U ❑ S [Z U ❑ S U ❑ S ®U ❑ S NU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Baxtdary Roots Bed tench 0-6, Hoye 312- 4,Ll-,P2 ~s 3+` (-/L /O yie 313 sb& ~F le Y_ S ` S , G 13, ~l - /9 to m i(H 5V % f, s,6~ 4,., ,e es f . i. -3 Ground elev. 99 It /3y & .3 7 S yle f sb~C rw• f 11 C w i , y 5 Depth to 9iP~AvuCrtR limiting factor C ~y" yZ - ~/f'f'4c kfD %yES ,JE' 3 14-lueou v Tt A9 T' 3 lj Remarks: Boring /014 3/2, - - sal 'w,, Sh't /M ✓ li s a f , ,3r , G 2 z 5 ~D /0 Y2 3/ 3 , F . S G k. is ~P ~'S Y y/ ~ Ground elev. ~3 y 18-1 y ~'S f/R SI' c I , f 56K IVA+ t e w - ~ ' • 3 /oo . 32- ft Depth to limiting factor A' Remarks: { CST Name:-Please Print Phone: / ~j HOMESITE SEPTIC PLUMBING CO. d/ SO S 0'NEIt No., HUDSON, WIS. 54016 Address: ' ROBERT ULBRIGHT Signature: lS. M. TER PLUMBER IIC. N0.3307 M.P.R.S. Date: CST Number: ER DESIGNER LIC. NO. 00663 L/O^Z t ~r P!e r c PROPERTY OWNER C• W£STF~dA~ L SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.DA LD f / ,►w Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bou dory Roots, GPD/f in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 0 - b y/e 31;z- - S./ L din, Sh,C 4"1/ fie 65- .5 G ,q _ ~o ye 31y si/ 2,f, sh,< nAf R- s ly 5/ of Ground S C f, yb& rvv~ f 1, AS lvf 7•sYR f l& fr , S ioz,, ft. /32- - >SYR Y`e - 51'c/ JJ, shk r-1, f1' c w Z - 3 Depth to limiting facto it Remarks: Boring # Ell Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor, Remarks: Boring # kgg px~p~ L•4 Ground elev. ft. ` Depth to limiting factor Remarks: CDf~ O•l •lA/D AC N\7\ Fl, rt1 \ } 0 ~ O N o yN- rn o n o _ w . lu o O 7 Z '`p W P a ~ c~ o N ~ D n N ~ ~ w ~ ti t R~ 1 o N - N C m a y~ C C n 1 O\,'ii ic N V C sp ~ O► h e N ~ ~ n Z w FILED MAY 0 51993s _ JAMES O'CONNELL Register of Deeds St Croix Ca, WI 4985'79 CEP T I E .I ED SUP V E Y MA P Located in the NE 1 /4 of the NW 1/4 of, Section 17, T28N, R y8W , Town of Kinnickinnic, St. Croix County, Wisconsin. Owned by: Carl Westerdahl 621 7th St. North C. S. M. I Hudson, Wi. 54016 V.3 , PG. 653 I UNPLATTED LANDS_ NORTH-SOUTH 1 4 SECTION LINE _ S 01' 18' 13"W 421.92' _ 191 .63 230.29' 47tit5. U7 SEC. 17 S1/4 Cor. SEC. T28N,R18W Sec. 17 LOT 5 r LOT 4 Qi 135,953 Sq. Ft. 138,076 Sq. Ft. (3.12 Ac.) W (3.17 Ac.) LO N Including ROW M Including ROW al 127, 306 Sq. Ft. a 129,013 Sq. Ft. 01 ,31 (2.92 Ac.) (2.96 Ac.) d• WI ti Excluding ROW m Excluding ROW LLI°'.I ,,1111/NN~jM, 3 wl of Z caG oNsi I ~'o .4 '1 I ZII U_ HARVEY G,y MI ° o JOHNSON z n S-1889 = CD of W , : HUDSON .l Ln W IS ors / (n 0 ~I z N_ ~~j~ C S U R"No'o Q~ et m ro ~/1111111111~11tie "r'0 • C, 0. wj v a J+ N ~I to zl 0 Q APPROVED CURVE INFORMATION D= 6°42' 53.. \00 ' / A~5 2~0 5 ~0~ ,I= t58.0o' ,y2'W P~~~ CURVE TANGENTS MAY O's 131 CH 3.00 Q N 36054'19"W Ob ~ ~N 23 yGj~''/ , N23°32'52"W L= 73.67' Zo5'~ aW N50°15'45"W ST. CROIX COUNTY • CJZ ~ 2 ;:wnpdrsnsive PUN p6' 23 3 Zoning and ffarlca Conxnr"t ► \-1't o O, A'~\ 5 RPG~ZQ Bearings referenced to the North- jrwt;record South 1/4 section line, recorded as wN*r36da0VV0f 9- So 13 11W. stlarb, 1 A i ` rA*W void o NO.55'28" 89 .92 1 LEGEND NW Corner Section corner monument SCALE IN FEET 1 100, (Berntsen cap) • 1" iron pipe found 0' 25' 50' 100' 200' 300 0 P x 24" iron pipe weighing 1,68 lbs. / lin. ft, set. Drafted by: J W G -A ---W Fence. 493-2156 VOLUME 9 PAGE 2616 S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER BUYER 1 0,LE-S7Z~XPA z- J T y ADDRESS l l 57 FIRE NUMBER /D y•`Z CITY/STATE /t' )/(A- Sy ZIP 5~/Ol PROPERTY LOCATION:1/4,AAV 1/4, SECTION , T E N-R W TOWN OF _ 1` 0,4^t' G 1'L 'C/ vi~r~ , 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: DATE : /f AOF St. Croix co. Zoning office 911 4th St. Hudson, WI 54016 STC-100- This application form is to be completed in full and si ne the owners of the g d by ro ert p p y bean develoPe will only 5 d. Any inadequacies 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, propertvk~ 1/4 P&/1/4, Section W Township Mailing address & S~ /x.1012 G) Address of site subdivision name Lot no. ,Other homes on property? yes No Previous owner of property Total size of parcel '2, ' 19C Date parcel -was created ",0,4 V, Are all corners and lot lines identifiable? ____A.-Yes No Is this property being developed for (spec house)?--_-Yes A No Volume and Page Number 2*1 l as recorded with the of Deeds. Register 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 i fe office of the County Register of Deeds as Document No. , and that I (we) own the proposed site for the sewage disposal system OrrIe(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 Date of gnat re Date of Signat e r _ F TMii Or"& IkcsaArcu /On a[CORoj%% DATA I DOCUMENT NO. STATE BABWFARATMSDEEDRN 1-188Y 64 ,1 100101C 1 49~5fi - - REGISTER' made between D.:.._MueZ.~.er.. and...... Rez mM, This Deed, .tar.ia..:P.....Muellex,..hll~band..and.-wi£e-----------• MAR 11993 Grantor. 10:00 . . erdahl-.and..Ani-ta..M_...Weaterdah dD" . . - W.est . and _ ....Gaz.1.t.an. .E uaban-d.. and..wif e...as..a-urvivorsh.i_p-.mariraI ..--property Grantee. Witnesseth, That the said Grantor, for a valuable consideration...... ~TU~N TO conveys to Grantee the following described real estate in ...-.s-t LD 1X I County, State of Wisconsin: - - lof Lot Two (2) of Certified Survey Map in Ta:parcdNo : Volume Nine (9) of Certified Survey aps: Page 2593, as Document Number 495052, filed in St. Croix County Register of Deeds Office on February 16, 1993, being located in the Northeast Quartthe Northwest Quarter (NEk of NWk) and the Southeast Quarter of Northwest Quarter (SEk of NWk) of Section Seventeen (17), Township Twenty Eight (28) North, Range Eighteen (18) West, Town of Kinnickinnic. I~ FEE This iS not.•___... homestead property. (is) (is not) Together with all and gingular the hereditaments and appurtenances thereunto belonging; sip a and free end a eareof encumbrances except And..... Onaldis gooam, ind feasible inn kGm warrants that the title is g. easements, restrictions, and rights-of-way of record, if any, and will warrant and defend the same. Dated this 2-6.01 day of Febsuar.y........................................ 19..9.1. SEAL) .............................(SEAL) . - • .Dona.L&D....Mu-elle (SEAL) ..(SEAL) , P.l............ Gloria P. Mueller AUTSBNTICATION ACKNOWLBDGDdBNT Signature(s) Donald.- D Mu211eig..and......... STATE OF WISCONSIN aw County. 26_-.da of.. F.. ..ua. 19...93 - Personally came before me this ................day o theatica t the above named Q-r \ •...L.t...,I.,...G.aX.Laxd..._... . TITLE: MEMBER STATE B OF WISCONSIN _ (If not , aus.) to me known to be the person who executed the authorized by 47 9006.06. is. Statat foregoing instrument and acknowledge the same. I THIS INSTRUMENT WAS DRAFTED SY - C. L. Gay_lord,_Attorney-........................ River Fa11s,,..WI._. 54022 Notary Public (ii County, Wis. - not, state expiration (Signatures may be authenticated or acknowledged. Both My Commission is permanent 19.........) are not necessary.) date: or printed below Heir signatures. L.Naupwas or P* as signing is any capacity should be tread M J aTATE 8AR OP WI8 O'48Llt StOCk NO. 3001 9~ FORM No. I- t$$2