HomeMy WebLinkAbout030-2051-50-000
-S'TE` ~~a~~.ss 3i, R~l►Jt3ow ST, f-}ovc.T-a.a 4~ ~S S ~`o~'L
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER
ADDRESS el 2 13 oX 4O q
IK0RPr , /4IN~ . 55 0S
SUBDIVISION / CSM# V'II' tf° C?. I g .I LOT 3
SECTION. Z1 T 3d N-R_ 2Z W, Town of ST• Tos EP+
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
sue. sue, u- p1o-~-
TT i'vc , P 3
I
T, w, C
T
:
t 1
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
p
• t1
~o h ( E'V A-T('c0 Z~ = c 0 0
BENCHMARK.: iARK.' TOPMOST -20-4E~ Plu(r- e.J 4Jtlf CASi0(r
ALTERNATE BM:
N° CXIS17X-3
SEPTIC TANK / PUMP CHAMBER / HOLDING-TANK INFORMATION
g. ~
Manufacturer: wFFKS Liquid Capacity: (000 °LQ '
7 '
Setback from: Well 90 House 32- 'Other '2.a-!
W a7 -W- 311 L -
Pump: Manufacturer 6rou L-flS Model# W& FO Size
Pump: t~~
519-6.01" I(,?-.ft 120
S Float seperation Gallons/.cycle:
Alarm Location SET- 1O ~ZUS-E' O") Sq= T&7 Cf PCANT
SOIL ABSORPTION SYSTEM
Width: 5 Length Number of trenches
Distance & Direction to nearest prop. line: 40
v~ Setback from: well. House sa i Other
OQ
N
ELEVATIONS
o ? -e ~•03
Building Sewer ST Inlet: ST outlet
q7 6,Y ' 7Z/ /Q ' ~v0
Off
J JI PC inlet PC bottom Pump
a CO Header/Manifold Bottom of system 1D Z S
g-~ Existing Grade Final grade 10 ySD
'ETA c.. 0"TCCAC Li f l = g. b 3
o- s'- 0014.2gX - Nov . y 3
DATE OF INSTALLATION:
PLUMBER ON JOB: Po gEk-- T- ubf3P G~7--
M P~ S 3 3 0
0 Q Q LICENSE NUMBER:
W S
INSPECTOR: I•
3/93:jt S
* a+ l d f4' - g O Gd-Q ~i►M-~-~. Sp EcS
• LoT
~4s Q u «r
Pt-o T PLA~3
0
w
30 I
• .o
~o
10
20
I' 3s
~ l E VhTip ~J S~ i I
I I
• Err'ST/Nf' rtvE,+P~iE rj'iP~tAE , i ~ ~
-RN SAWl1 4IOCtj::~ /6/. >-y \t I i 3S V
I
5 y/ STEM
I I
/C~.3„O I I
• Tod S o~ I y " Pic I ,
" I
LATE*AI S ^ Ib3 •C~3 I
• ' o
C ± s
o f=
(WAS
r ~ of t Pvc
I
A`Jy ~'EGitT~ PPoT~tTt`U S ~ ~ ~,~w goo~..Q
wid%" Ty Prtr2 Fh$Pkc_ ! Re-USED PR~[,rST
Cc~er~Fr~D, Pump c4,4AlAA
33 E~ rs ti•v(r- Cv~~ic$
0Ees
SEpt~c T
I '
13~DAAN. ~
o wEd
/f D,uE
i
3 df 3
I+~sbiKlZparttM~rkoMrtA x 27.30. j%0k SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT
Safety andBuildings Division ST- CROIX
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION I 9990Q
Permit Holder's Name: ❑ City ❑ Village R Town of: State Plan ID No.:
11 QS - an.S
S Elev Insp. BM Elev.: BM Description: Parcel Tax No.:
-2051-50-0
.7 0111711
TANK INFORMATION ELEVATION DATA A9300313
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark 1 , &2
DosingQ
Aeration G~ Bldg. Sewer
Holding St/ Inlet f' `r f C_ ~^J=-
TANK SETBACK INFORMATION St/,~O Outlet 80
TANKTO P/ L WELL BLDG. VVe
Air Intake ROAD Dt Inlet
Septic NA Dt Bottom 3 /d
r
Dosing til5 E. c ° >IDS NA Man. d 3 -76)
Aeration NA Dist. Pipe (D
Holding Bot. System- ' Orj, p
PUMP /ttNFORMATlO Final Grade
Manufacturer DeMnd ~O ' ° ~ c( 9 (pl
Model Number j~ GJ t✓a3 L ~Uq S3~
of TDH Liftg e7(p/ Lrictio Syetem TDH .61t
Forcemain Length r Dia. F,;i Dist. To Well (PQ~
1
~1. SOIL ABSORPTION SYSTEM
cv-~ BED/TRENCH Width ` Length s~ No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMEN I
Q\ SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM LEA G Manufa
(n INFORMATION Type O / umber:
System: OR UNIT
v DISTRIBUTION SYSTEM
A' f er / Manifold I Distribution Pipe(s)l I x Hole size% x Hole Spacing Vent To Air Intake
j /
A
Length Dia. Length *V; Dia. Spacing 5
t9
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
/Trench Center _j" /Trench Edges Topsoil CO es ❑ No B--YaTs ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: ST. JOSEPH 27.30,20.518A ~.~C
/0
oX
Plan evision required? Xles
Use other side for additional information.
SBD-6710 05/91 Date Inspector's Signatur Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
?,'.er . * ~".(.'✓'S° r, ~i f s". fir !..s•-) f, C n`e 3; ~ {.L"'i /l r
F
Y
rg
r- .gym , , ~Y
=affl LHR SANITARY PERMIT APPLICATION
. In accord with ILHR 83.05, Wis. Adm. Code COUNTY
ST C,evi x
~j Z Aiv Go w S r 111v STATE IT RY :PM #
-Attach complete plans (to the county copy only) for the system, on paper not less than ~8% x 11 inches in size. ❑ cwous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 40 2 7O -7
PROPERTY OWNER PROPERTY LOCATION
PAT + 'WAaE L000pS fE '/a/uS 2-7 T '30, N, R Z0 E (o W
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # /
P,T - Z (3 0 x Af D F Co u- 3 _
G~
NUMB CITY, STATE ZIP CODE ,
1( P G7 1 392-1 SUBU/`/~E 0OF NUMBER
1 5 SAS
II. TYPE OF BUILDING: Check one) CITY NEAREST ROAD
State Owned ❑ LAGS : Sr. 36s (2i4/sr1 Qo co GPI%j
❑ Public L'~ 1 or 2 Fam. Dwelling of bedrooms ~ PARCEL N NUMBER(S)
III. BUILDING USE: (If building type is public, check all that apply) 0_30-2-0O/- 37-000
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: (Chk onl ne in line A. Check line B if applicable)
A) 1. ❑ New 2. ecReplacement 3. ❑ Replacement of 4. ❑ 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 PressuZi z Distribution Experimental Other
11 ❑ Seepage Bed 21 ou nd 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: /OY Z
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
A11.10 3-L-5 3-1 .Z NA- /62..7
Feet Feet
VII. TANK CAPACITY Site
INFORMATION in gallons Total # of Manufacturer's Prefab. Fiber- Exper.
New istin Gallons Tanks Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Hold! n Tank 000 C F-1 F~ F1
Lift Pump Tank/Si hon Chamber oo .1900.1 F-1 El Ej 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): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number:
8004- ~,t l bRIC`14T 330? ~!S "~l
Plumber's Address (Street, City, State, Zip Code~): ~ ISDaJ
IX. C NTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit (includes Groundwater Date issue Issuing A nt Sig N mps)
S
Approved ❑ Owner Given Initial urcharge Fee)
Adverse De ermin lion o ( a
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
I14STRUdT10NS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to. this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior.to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a,licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin,. Safety & Buildings Division, 608-266-3815.
To be complete and accurate. this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of-
where the system is to be installed.
II. Type of building beingserved. 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 informatiion 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 All 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; close 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.
GROUNDWATE14 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.
SeD-6398 (A.11188)
PROJECT INDEX SHAFT
OWNER: ~~i D i~tiE oohs CP /1 3,?z 7
ADDRESS: Tti1'Z , (30)( yv9 MaR.4t~ M~'~,v • 55oS/
SITE LOCATION: 32- f;v AoW 5T, /~dc>LT1>.J, Cc~i'S. SYdQ Z
Lot 3~ 131, U i!I A 6G~ of- 141c o L-To•v
3oN' lezow 7aw,v o~ 5 T 70'reP114-
PROJECT DESCRIPTION: 5,-- W, S-17 T
;7. r y
14 3 =D~P~-/ ,PE-,vt-~ ~ LiD•v~ yso Jas IV 4 X55 o~~ )
~P~9i~✓Fi
Soi/S f}/c~E- U ~ ~tI?M~ ~a /E /,c, 7%e- pP Z y '7 ci h ~ / Z
/3u7- •5ejSo.v 411Y 5~Tv,c°f T~I~ 47- ;Zy
t ItRE ST,Pvc 7`voe /:9 111 /eio pllr- F,Ns- -Al 4c1 vim/ 1 ~1~ss~vF
~~E '~tp/~cE.yT s/STF~-t ~lvs r T~~ 4- Gov-~1~ sysT~,~
IMQORTAxYT NVOTE TD =x,1ST`A 1 CR,
13E' MmaE
OF AlDvup FDR 2-5 ~ . ~i i 5 ~9,E'Ef1 -5-A04-1 /-,0 /Vd,P/-1/! ~'~~2?~'o p ti,q,ucc /o,v y Zvi of t i S /t'lO v vp S'~/S T~ M
PAGE 1. PLOT PLAN VIEWS
PAGE 2. MOUND CROSS SECTION & SYSTT;M PLAN VTEWS
PAGE 3. PIPE TjATERAL IJAYSUT
PAGE 4. DOSTNG OR SIPHON CIIAMBER CROSS SECTTONS _0 270 i
PAGE 5. PUMP PERFORMANC'' SPECS OR SIPHON :7PECS RECEIVED
AUG 3 01993
OFFICE OF: DIVISION
CODES AND APPLICATION
PLUMBER: DESIGNER
DATE : ~5...-.»...S/
00BER
SIGNATURE : WNW
01160
HLOSOK
WIS.
AGE S`r u g a3
litlon ,WXAL°~a p~Hi
M SIR
liu Y t
DEPT, G~ ify LABOR $ Hqq
s, SSAFETY AN
ORRESPON';
7
-
5rf'l3 $3
r
' PiPOfJOSFD - ~
2s 'K I / ~ I I o
2 ~a I I ►v
N o E I i W
L ~ Nom'/ Ul ~iQ/N~
rL ui "a ,
°F/ /po .0/9 1/00 in /Dz
a
(D 4 1 I
/oo,5 a
~1(A~i/,.sEO
St~'Jf i c m SG /}LE % / 20
~ New
T4A.11< ~0p
32. ~ PuHp CkAKBER = 13A C~l7tVE P1'77S
~ LO,vG,Cf-e y ~ ~ EX /ST/NG- jrPADF
10C I 74S E- e
/98y I SQ1 7-,rc r ~1
y:4 :k" r`.,v~~ ors
3 ~a/. q y
I I DEPT. OF 1Wt2 S'i'R4 42U1i~#S1 N OF ,E
(00
/rv
w
)UT
SEE CORRESP(INI,
PT. = Tod . ~F
l to
I ,
I I Z$
i
c c-
l /U V ER T air- 12- ZfTc 15 /
EGEUs~7'io~S T f> of ROGJK /6 3• SO pageZ Of S
-ro OF ~.2 ~ IA -EP6L-5 JOS.3y'
Synthetic Covering
Distribution Pipe
Medium. Sand
S y STEM
r . H G 16VATI00
Topsoil
/0.2, 7
3 E D
Z % Slope vNt R 2>t D
Bed Of~ Force Main Plowed
Aggregate Layer JC`,~. ~d
D Ft.E A - Ft.
Cross Section Of A Mound System Using
F
A Bed For The Absorption Area • ~O Ft.
- G Ft.
5 Ft.
Ft.
K A0 Ft.
~>x L 9S Ft.
UTT. OF lNMU"TRY, sW~ Iq HUly,11, W 9 Ft.
I Ft.
W ZS" Ft.
Observation Pipe
..---------------------i-----------
A 0
w
Y
-,Distribution fled Of
_i
Pipe Aggregate
i
Observation Pipe Permanent Markers
S~Est_ ,PooS .
-t~ 270
Plan View Of Mound Using A Bed For The Absorption Area
y O
o414 y , wMr 7E f -IocJ
r,4 /3~E o
yz Z4 ;4r
~~PoPos~l~ f3/tsA-L
12-00 SO. r7
l
Page 3 Of S
• VOID V o /U. 4 E o,P 2 -5 Or 2-
/4 S ~ FoR cF
r ~ole-
Perforated Pipe Detoll
~v/1Cu~r%o~ 0
End View
Perforated
Eno Cop y" PVC Pipe
40 Holes Located On fjottom,
Are Equally Spaced
Q
Q PVC
( Manifold Pipe
Distribution
Isr Pipe r '
Hole Should as l9//0GJ
Next To End
MhN~iolD/ ~ E,v1J unit//S
Distribution Pipe Layout P 70 Ft
Fo.~
R 3.0 - W/0 w
SHOE Avg-//S
Fo~PcE ~'7.4ii✓
Fx of f'UG X Inches
Y (06 Inches
_ Hole Diameter i Inc",
Lateral Inch(es)
Manifold " ? , Inches
Force Main Z , Inches
# of': holes/pipe /S
Elevation of Laterals______ Ft.
r (Z
D i5TRi6urtO,J 3)%ScH^ RvE RATE FOR EAc li.
L,RTER gI_ Pkr 0Tis 2-7 l7.
. ~ MIN
• TOTAL_ "DtisTRtc3urloxl -D iSGHAP6 E RnrE FOR
K)e Two R'1` 3 / _ I'/v I'M
l't
fAD
Z/SE' ?~~5 ~ lrv
o,= ya
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS p/¢ yE g OF S_
VENT CAP
4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING
JUNCTION BOX MANHOLE COVER
25' FROM DOOR, 41 4V4tAl)')6-Qiel
WINDOW OR FRESH 12"Mlll. I
AIR INTAKE
/~v~17io~v GRADE I I 4"MIM
yRA9~ ~ I
18" MIN.
fQ'V. v I CONDUIT IV
9 o PROVIDE I
INLET AIRTIGHT SEAL
APPROVED JOINTS
5
APPROVED JOIN-A K I W/C.I. PIPE .
Iv/c.-I. PIPE IN 0~ I I I EXTENDING 3'
I I
I
ONTO SOLID SOIL
EXTENDfNG 3' ALARM
IJTO SOLID SOIL
0 ' I
B
13, 1
I
y I I ow
9~. 6,
ELEV. FL 1 PUMP
f OFF
D 7 ,
4APK eDDI") I I BLOCK--I
~
~7 1'1~ vil A) L
9 3':5 D RISER EXIT PERMITTED 01,JL4 IF TANK MANUFACTURER HAS SUCH AFPROVAL
SEPTIC E SPEC.IFfCAATIOUS
DOSE ~E KJC ~O.VCi!°EjF '-O • DUMBER OF DOSES: PER DAa
TANKS /AANUFACTURER: //-I
TAAIK SIZE: '00 GOGALLONS DOSE VOLUMEy Poo LUL-l- a o- INCLUDING BACKFLOW: GALLONS
ALARM MANUFACTURER:
MODEL NUMBER: CAPACITIES: A= X71 INCHES OR 30O GALLONS
1" 6
SWITCH TYPE: RGy~/ ~~D~ B= 2 INCHES OR GALLONS
a S ~ INCHES OR GALLONS
PUMP MANUFACTURER' ZOAt~~E/e
MODEL NUMBER: III INCHES OR GALLONS
SWITCH TYPE:?I GGy Wk kfRCUR I f-1 MOTE: PUMP AMD ALARM ARE TO 15E
y0 INSTALLED GN SEPARATE CIRCUITS
MINIMUM DISCHARCaE RATE GPM S.
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. d~ FEET 1'A~~ECS
2.5 FEET (C-AC-1A. P ffL
t MINIMUM NETWORK SUPPLY PRESSURE . . .
+ Z,~ FEET OF FORCE MAIN X 2. 2 F .0 ~FRICTIOM FACTOR.. FEET` 40A I S 5 yd
OTAL DYNAMIC. HEAD FEET J
T
. ~PrwND 31
INTERNAL DIMEWSIONS OF TAWK: LENGTH ~,-;WIDTH LIQUID DEPTH
/I
Co, df{ 9 3 -0i 2 L O 7
M1^ w41
0EIT 13E" IF#MJSTI?Y. ?r3!:;5d tI Hdd ~y I?cfkdel x'
f11r1 I;+~Dizii
DIVISION OF C.k I:~Y AND
^ SSE CCPRAE-SFl0N EN!,-,E
l -
r
rn HEAD CAPACITY CURVE 3 7/8 6 1/4
MODEL "9t3"
30 4 5/8 -1
fj I
25 e
3 5/8
S 6-
I' + -
0
15 4 3/16
4 e
10
1 1/2-I1 1/2 NPT
2
i. 5
0
U.S. GALLONS 10 20 30 40 50 60 70 BO
LITERS 80 160 240
0 FLOW PER MINUTE
TOTAL DYNAMIC HEADIFLOW PER MINUTE '
EFFLUENT AND DEWATERING
CAPACITY 12
HEAD UNITS/MIN
FEET METERS GALS LFRS
5 1.52 72 273
r
10 3.05 81 231 31
15 4.57 45 170 3 5/16 Y
20 6.10 25 95 .
Lock Valve 23~
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 o Double piggyback mercury float switches are available for
':without alarm switches. variable level long cycle controls.
SELECTION GUIDE
1. Integral float operated 2 le mechanical switch, no external Standard all models - Weight 39 lbs. - 1/Z H.P. p° conva required.
2. Single piggyback mercury float switch or double piggyback mercury, 1110 at
98 Series Control Selection switch. Refer to FM0477.
Model Volts-Ph Mode Amps Simplex: Duplex 3. Mechanical alternator 10-0072 or 10-0075.
M98 115 1 Auto 9.0 , 1 or 1 & 7 - 4. See FM0712, for correct model of Electrical. Alternator, "E-Pak".
N98 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor float switch 10-0225 used as a control activator, specify
D98 230 1 Auto 4.5 1 or 1 & 7 - duplex (3) or (4) float system.
6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in Sim-
""Erie 230 7 Non 4.5 2 or 2 & 6 3 or 4 & 5 plex or duplex operation, 10-0002.
7. Two (2) 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 controls, protection devices and wiring should be done
by a gwli-
Piggyback Mercury Switches, FMO477;, Electrical Alternator, FM0486; Weachanical Alternator, fied licensed electrician. All electrical and safety cods should be followed inetud-
FMO495; Alarm Package, FMO513; Sump/Sewage Basins, FMO487; and Simplex Control Box, ing the most recent National Electric Cod (NEC) and the Occupational Safety and
FM9732. Health Act (OSHA).
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor s elrlgineered into the design of every Zoeller pump.
MAIL T0: P.O. BOX 16347
Louisvil,'„ KY 40256-0347 Manufacturers ol...
0 A0EZ 1~ ZA0a, SHIP T0: 3280 0:+ PJlili Lane q I f /ff ff A'
j ` Louiwiili', KY 40~°16 QUAL/13'/"uMPS /NCF
(502) 778-2731 • FAX (502) 774-3624
/ 6.
J
Qoulds
Submersible
nical 7
aft j - Effl uent
. Motor Pumps
6. Bearings - .Upper & Lower
7. Power cable j • 01 A q
8.O-Ring r.
6
5
i 4
i .t 3885
I 3
8
1 PERFORMANCE RATINGS (gallons per minute)
A~ WE0511H WE0511HH
Series WE0512H WE0712H' WE1012H WE1512H WE0512HH WE1512HH
2 No. WE0311L WE0311M WE0532H WE0732H WE1032H WE1532H WE0532HH WE1532HH
WE0312L WE0312M WE0534H WE0734H WE1034H WE1534H WE0534HH WE1534HH
HP '/3 ''A '/s % 1 144 'h 1'%
MODELS RPM 1750 1750 3500 .3500 3500 3500 3500 3500
5 ---WO 70 80 90 106 - 60 -
Series HP Volts Phase Max. Amp. RPM Solids WL (Ibs.) 10 80 65 76 87 102 112 56 84
WE0311 L 115 9.4
5 60 57 72 84 100 108 53 82
WE0312L ,'A 230 4.7 1750 56 20 36 45 65 79 95 105 48 77
WE0311 M 115 1 9.4 25 25 59 74 91 100 45 75
WE0312M 230 4.7 3 30 50,. 67 85 96 40 72
WE0511 H 115 13.0 35 40 61 79- 92 35 70
WE0512H 230 6.5
40 26 52 72 86 30 67
WE0532H 208-230 3 3.4 LL 45 10 43 64 80 25 64
WE0534H 1/2 460 1.7 60 m 100 50 30 54 73 18 60
WE0511 HH 115 1 13.0 5 55 17 42 65 12 58
WE0512HH 230 6.5 60 6 30 54 3 54
WE0532HH 208-230 3 3.3 65 16 40 51
WE0534HH 460 1.65 70 5 26 47
WE0712H 230 1 10.0 75 14 43
WE0732H % 208-230 3 5.4 3500 80 4 40
WE0734H 460 2.7 90 33
WE1012H 230 1 12.5 70
100 24
i WE1032H 1 208-230 3 740 110 15
WE1034H 460 3.5 140 5
WE1512H 230 1 15.0
WE1532H 208-230 3 9.2 '
WE1534H 1 460 4s 80 DIMENSIONS
~
WE1512HH 230 1 15.0
WE1532HH 208-230 9,2 (All dimensions are in inches. Do not use for construction purposes.)
WE1534HH 460 3 4.6
I
t
EFFLUENT EJECTOR SYSTEM 12'k° '
Effluent ejector system Package Includes: 5'y~ x
offers ease of ordering Submersible Effluent Pump, ROTATION
and installation. A single WE0311L, 12L or NE0311M. 1° k, D- , f•.r.
ordering number specifies 12M, WE0511HH, 12HH
n Mercury Level Control Switch 21I NPT
a complete system - A2-5 015V), A2.6 (230V)
designed for most resi-
BasimA7-16015 '
dential and commercial Basin Cover A8-1822
sump and effluent pump Check Valve A9-2P 3'/~
applications. Order No.: SWE0311 L,
SWE0312L,
SWE0311M, SWE0312M, KICK-BACK
SWE0511HH, SWE0512HH.
0' '/3,'h, % and 1 HP =15' except for model WE0712H and WE1012H 18%
C~ 144 HP =18'
WATER TECHNOLOGIES GROUP
S84_{A FALLS NEW roan 0148, SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U.S.A.
S I
+ Laab~or~Hu ela°~f~ "S~'. SOIL AND SITE EVALUATION REPORT Pace / of 3
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
5r r~ fDP,6E5s 32 R,41;(l do w ST • /,o t, c- To C4-" S 5y0 J0 Z 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. vv
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION 11c,, REVIEWED BY DATE
Gv 1 T. TG on Su.~ Q- /6 -93
PROPERTY OWNER: PROPERTY LOCATION
Pf -r 3 0 / 4N ice- 400,0 P-5 GOVT. LOT SE 1 /4 41t,() 1/4,S 7 7 T ~ 3 0 N.R 10 E (
PROPERTY OWNER'.S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM
~T Z III,
13 o x y o
CITY, STATE ZIP CODE PHONE NUMBER []CITY OVILLAGE [j]fOWN NEAREST ROAD f
MORA 1',VA) • 55os1 ((11) &79-30P Z7 ST D"o Sc P Ff- ~~iv/3ou~ SST J
[ j New Construction Use [x ] Residential / Number of bedrooms ~3 [ j Addition to existing building
Ld Replacement [ ] Public or commercial describe
Code derived daily flow gpd Recommended design loading rate • 7 bed, gwp. • r~~ trench. 9pdnt2
Absorption area required 375 bed, ft2 375 trench, 112 Maximum design loading rate . 7 bed, gpd/ft2 • d trench, gpdAt2
Recommended infiltration surface elevation(s) SF PG-. 3 It (as referred to
site ~n benchmark)
Additional design / site consi ons 5/ 7E- Sv'T-~ ovcY 470 jO 44<.,'0 s t/ S 7~6-,-./
Parent material ~S y/ OTr Rfj`a~T 51 j Flood plain elevation, if applicable Nf9--- It
UV
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FLL HOLDING TANK
U = Unsuitable fors stem ❑ S INU Ia S U 0S U 0S Ia U ❑ S M U ❑ S QU
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 Toth
r ff 0-6 /0 3/Z. C7, C /N~~ S 3 f
i4Z 6-15 /0Yk 31Y /S 0, 'e- S ~f ~00
Ground ; 15-.2-f 7, S V R ~ l f5 ~f gR ~r+►.Q C S y f . S . ~
elev. ft. 9 y0 7,5 VP. 91"1 ~'svR s/ k s/ .2, f,sdK +I' S- 1 c
Depth to C, TKO - 7 5 Y R 31 C s i k s l .51 0 f (U,\ ft of i Q S N P ~ P IV (Z limiting ;
factor Oi %0--7,0 /oye Y/ s,-/ /,f sdk ,W► v`f a,c' N iN
L
C z F/'ifcTV,e L/~JE sT1~ E w cov E 9 z • 5-a
7a - o
S a
Remarks:- - /f p~' Zp y C t Lo /RS M A S S r 0 rL ' j UE 12 Y cc~+=-'T.' .
Boring # t/R ~.C, y',e s 3 , ~ ~
P -y~ 7 5 YR Y S/ s b k f cs S
Ground
elev. C' 110 Syr 3/y 7,SyR. s/ S/ d~f of a
fL / ~,z C
P
Depth to Y/ c7 11 S6 le A-n of 1 ~ •,c ~ u (A N
limiting
factor ~i
.0 1111
2-0 N is q of- 61A 51
Remarks:
CST Name:-Please Print n P no: ~j O
Address: SS L7'A-ol G ` '~F- /4l - l 3 C5r;A' ZYF2 -
SOature: /f UD ~j~ S y0 t~ Date: CST Number:
~J Stu ~F`Gt
ORIGINAL
g,-
/t OU,UP 5y'- TC•,-q 5,166,60 IV07- 'U t7~ 4!! 77i~¢•
r: ;f r S~ o ;v~ f~! ~ l~ :v~ D.C^ i.t/r~'~: ~"/3 E , ,~G?vi•u (f-- Q~~U ~ • ~A1,~ /sD;/~t
7 4~Of' 7d 4'/ ply
~E
o, -1
5~ .j!~ v~+r r,rrc-.~ r t~cr ,S y
PROPERTY OWNER ~i4A~ ~aO~SSOIL DESCRIPTION REPORT Page 2613 .
PARCEL I.D. i G-v f~ 3. /31 t'. ) 3z (2. A"u 4 o cv S I . _
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour>doy Roots GP itt2
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. r3ed fi
Ground ZS'yPy/e /,f, ShK .w\f2 cs • y S
elev. ft , f; ShK v~ i' i NP I N
Depth to I
limiting
factor
Remarks:
Boring #
i
s
I
Ground i
elev.
Depth to
smiting ~
facto
Remarks:
Boring # I
13
i
Ground
elev. i
ft.
i
Depth to i
limiting '
facto I
I
Remarks:
Boring #
I
Ground
elev.
fL
Depth to
limiting
facto
Remarks:
Oaf% 0991ND AGMM
JAM181RO
• r
T~~Po~oSED
Z3'x 9~,
FAi L i O(r
r e l>
NEiGl
Zy -
u
to , ,
aQ~ r 5p' i
h I
AN
~~/btii,►EO /OD , S Z '
. Do /odd ~ I
h~EI~ST~ i ~
` r
32-1
l ovJ'~-~ y _ .C / S Tiru G- f~,PfItDE`
4v , i k
3 r; vr~T~ o~S
3 ti -
l~vME ~ ~ G Z .
F33
~o
No c lE~IR ~i01/S
0 o kA
Z$
144
ST. CROIX COUNTY ZONING OFFICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF AN EXISTING SEPTIC TANK
This is to certify that I have inspected the septic tank presently
serving the Rff 10005 residence located at.
J`~ 1/9 Ow 1/4, Sec. 27 T~v N R-2o W Town of
S7- ' O S Upon Inspection, I certify that I have found the
tank and baffles to be in good condition, and it appears to be
functioning properly. 2
Last time serviced lfvG'' ll`~3
Y
Did flow back occur from absorption system. Yes No (if no, skip
next line)
Approximate volume or length of time: gallons minutes
Capacity:
Construction: Prefab Concrete Steel Other
Manufacurer (if known) : CVEZ; ~5 cewcix77e
Age of Tank (if known) :
(Signature) (Name) Please Print
(Title) (License Number)
(Date)
Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes)
or Licensed Disposer (.NR 113 Wisconsin Administrative Code)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Plumber (applying for sanitary permit) Certification:
In accepting the above statement regarding existing septic tank
condition, I certify that the tank to the best of my knowledge will
conform to the requirements of ILHR-83 Wis. Adm. Code (except for
inspection opening ov-err' outlet baffle)
Name '7,
_ 1b P- ('G~ 1 Signature . /~;e/NPRS
5/88
~I
• I
I
I
S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER
ADDRESS 13" FIRE NUMBER
CITY/STATE / 1'191?4- 5_0 5
ZIP 1
PROPERTY LOCATION:. SC! 1/4, N 1/4, SECTION 27 3~
, T_ N-R 40 W
TOWN OF ST_ , St. Croix County,
N1dth /~SUBDIVISION' U , LOT NUMBER 3 .
L 77, ✓
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. Zoni Officer within
30 days of the three year expiration
SIGNED: -
DATE
DATE
St. Croix co. Zoning Office
911 4th St.
Hudson, WI 54016
.
STC-100
This application form is to be completed in full and signed by
the owner(s) of the property being developed. Any inadequacies
will only result in delays of the permit issuance. Should this
development be intended for resale by owner/contractor,(spec
house), thenia second form should be retained and completed when
the property` is sold and submitted to this office with the
appropriate deed recording.
---l---I--------~D
Owner of property U y 4~ 0
Location of,property 1/4 1/4, Section , T N-R W
Township ST l/l~
Mailing address ' °L
Address of site S/
Subdivision name # 3
Lot no.
Other homes on property? yes No
Previous owner of property
<
Total size of parcel !t
Date parcel-was created
Are all corners and lot lines identifiable? X Yes No
Is this property being developed for (spec house)? Yes _j _No,
Volume~-73 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. y 4~G f , 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 Doc ment
No. .
Signature of a plicant Co-app is nt
(o A -3
Date of Signature Date f Sign ture
S 73PAGE 204
45°469
STATE OF WISCONSIN CIRCUIT COURT ST CROIX COUNTY
FEDERAL HOME LOAN MORTGAGE REGISTER'S OFFICE
CORPORATION,
ST. CROIX CO., WI
Plaintiff, :':'d for Record
JUN 121990 SHERIFF'S DEED
V. at 11:35 A. M
KAREN J. WAKELING, et al. C~r+•4-4_&Case No. 89-CV-178
Defendants.
Pursuant to a judgment of foreclosure entered in this
matter, the subject premises was sold at auction to the highest and
best bidder, Patrick S. Wood.
Now, in consideration of the payment of the purchase price,
the sheriff does hereby grant, bargain, sell, and convey unto the
successful bidder named above, all of the following described land:
of 3, Block "1" of the Village of Houlton, St. Croix
nty, Wisconsin.
.gyp $11990' s
4 9L. R )ph a er
ti St. Croix County Sheriff
STATE OF WISCONSIN)
)ss
ST. CROIX COUNTY)
Personally came before me this '~7~-ri-day of June, 1990 the above
named Ralph Bader, per-;pally known to me as the sheriff of this
county and the officer described in this instrument, and who
executed this document as such officer an acknowledged the same.
--4 y
cSflL , ciri_< Nota 'jubAlc, V . i►
! Drafted by Terry Gray County, W 41n~-
li Gray & End, Milwaukee, WI My commision:
STETS C
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
August 30, 1993 201 East Washington Avenue
P. 0. Box 7969
Madison WI 53707
ROBERT ULBRICHT
655 O'NEILL ROAD
HUDSON WI 54016
RE: PLAN S93-02707 FEE RECEIVED: 180.00
WOOD, PAT
SE,NW,27,30,20W
TOWN OF ST JOSEPH COUNTY OF ST CROIX
MOUND SYSTEM _
The Department has reviewed the above-referenced submittal.
Conditional approval is hereby granted foo the system plan submittal. All
noted items must be corrected. The review and approval of the system is based
on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin
Administrative Code, and is contingent upon compliance with any stipulations
shown on the plans. This system has not been reviewed for the code
requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin
Administrative Code.
This plan submittal approval will expire two years from the approval date, or
if a sanitary permit is obtained, plan approval will expire on the day the
initial sanitary permit expires. The licensed plumber responsible for this
installation shall keep one set of plans with the Department's stamp of
approval at the construction site. The installer shall notify the appropriate
inspector when inspections can be made.
All permits required by the city, village, township or county shall be
obtained prior to installation.
Inquiries should be directed to me at the number listed below. Please refer
to the plan number shown above.
Si erely,
ames Quinlan
Plan Reviewer
...Section of Private Sewage _
(608 266-3937
SBO.7N7 ~R. OIIIIU
• 1
r i
i
i t s a°" ~ z y.y,r .fi
b
1 ° ° s
u 10 _
6~ - '
o ~j
g Gtr = 5
O
CT • N ~ ~
CA VQ
~p r
ST.' UI .-1~ - O,D O O gg
W
a
f
o I
WI D , 520
a\
~m ~4 (A 00 00
I Y I \
519 'O ^ -PS
518 q> 11~
01
D 151 ~5 \ io
_ . ` 89a/Lw 517
If,) 1 0 (A Go, 51~ IV
528A~ to e w ,W 516 A !y
d3CA 52~'? o v. o ao . 7±" ~n
'
' ~ Df S
$?~i1
ll~ In
a. D STATE HWY.
yT71 C71
U -Lin
c;, _-567 w
w qo a
I 567A
n A,~ 9
566 Iv s'
cn cn ' _ I $ 565
ISO' I au.
r"y r A c. a 564 p
W
kt a ~ 563 10 .
~J V alrso _
r v ? I ;3 An
io!
fT
~a
alp so'
A - ? 4