HomeMy WebLinkAbout034-1031-90-000
.ell, A
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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER) !n Ol lam„ C7r (~l_~
ADDRESS
b l"
Z:IAZ
SUBDIVISION / CSM# /V A LOT #
SECTION__Z I _aT N-R_(W, Town of
`r v~ 15. 223
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
~A/
~iA
x
INDI T NORTH ARROW
Provide setback and elevation information on reverse f t is form.
Provide 2 dimensions to center of septic tank manh le cover.
A
" r
i
BENCHMARK: ' /C z C ItOe, nC ou•\j lh /o a O o
ALTERNATE BM: O.1U ®L kt5 ACvk Couek- ok ajuvg4a C hCx C~~ ~~.OO
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
Manufacturer: I Prr. -Pr-eg S~ Liquid Capacity: ( C__)
Setback from: Well House S Other
Pump: Manufacturer 7t3c~ ~dC Model #t()r_- jj Size ILI f
Float seperation Gallons/cycle: 175
S-
Alarm Location T, ( P OINT-2,
,A40c,,,& SOIL ABSORPTION SYSTEM
Width: Length ji-_~ 3 Number of trenches
Distance & Direction to nearest prop. line:
Setback from: well:'; House Other
ELEVATIONS
Building Sewer d ST Inlet, gS-")_y ST outlet k, C
PC inlet X99 PC bottom / Pump Off
Header/Manifold Bottom of system
Existing Grade / b/_ Dy Final grade
DATE OF INSTALLATION: n
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR:
3/93:jt
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Cock,
O
140
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j.WA i;WartrnWATnAF;ELD 14.29~RIV Sir T,AS YSrT • E County:
Labor and Human Relations INSPECTION REPORT
Safety and Buildings Division' T C OIX
(ATTACH TO PERMIT) Sanitary Permit No-:
GENERAL INFORMATION 193447
Permit Holder's Name: ❑ City [I Village DATown of: State Plan ID No.:
J SPRINGFIELD
BM Iev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
OD 10 c l , % n 4! - •1 034-1031-90-000
TANK INFORMATION ELEVATION DATA A9300106
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark . 4a, ! P
/
Dosing / 5
Aeration Bldg. Sewer
Holding St/ Ht Inlet
TANK SETBACK INFORMATION St/ Ht Outlet
TANK TO P/ L WELL BLDG. AirI to ntake ROAD Dt Inlet
Air I
Septic NA Dt Bottom i 'lL
Dosing NA Header/ Man. Aeration NA Dist. Pipe
Holding Bot. System /a. /p .d 3
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer 16Le4l-LL Demand
Model Number GPM
TDH Lift Friction Syste h TDH -Ve" Ft
Forcemain Length y2~ Dia. j`' Dist.ToWell
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length .h rent s PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DJ DIMENSIONS
SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK CHAMBER
INFORMATION Type of ao f Model Number:
System: OR UNIT
DISTRIBUTION SYSTEM
Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length k1 DiaLength ' Dia. Ire Spacing I/U~i A
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded /~odb2tl xx Mulched
Bed /Trench Center Bed /Trench Edges ° I Topsoil eyes ❑ No 93 ,*Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
ATION: SPRINGFIELD 14.29.15.223,SW,SE,CO. RD.E
r
r.
Plan revision required? ❑ Yes Ejlf4o
",e other side for additional information.
-6710(R 05/91) c~. ,mete 1nspedor'sSignature Cert No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER: ,
m
DILHR SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05, Wis. Adm. Code
.4 ST. CROIX
STATE SANITARY PERMIT#
-Attach complete plans (to the county copy only) for the system, on paper not less than ❑ 193 /-/-/71
8% x 11 inches in size. Check if revision to previ us application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S92-40397
PROPERTY OWNER PROPERTY LOCATION
DONALD E CORN JR SW '/4 SE 1/4, S 14 T 29, N, R 15 E (or a
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
8457 REGENT AVE. N # 14 N/A N/A
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
Minneapolis, MN 55443 1(612 721-7511 N/A
CITY : NEAREST ROAD
Ili. TYPE OF BUILDING: (Check one) ❑ State owned VILLAGE ; SPRINGFIELD CO RD E
❑ Public ®1 or 2 Fam. Dwelling--# of bedrooms -1 PAR T X NUM ER( )
111. BUILDING USE: (If building type is public, check all that apply) 034-103190
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 80 Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. 0 New 2. ❑ Replacement 3.E1 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 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.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
450 3~ $ 3'7 N/A # Oa oFeet 10<1,-3 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 Tanks structed
Septic Tank or Holdin Tank 1000 1000 1 MIDWESTERN PRECAS
Lift Pump Tank/Si hon Chamber, 750 750 1 MIDWESTERN PRECAS X
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:
BENNIE HELGESON 3215 715 772-3278
Plumber's Address (Street, City, State, Zip Code):
W 1229 770TH AVENUE, SPRING VALLEY, WI 54767
IX. COUNTY/DEPARTMENT USE ONLY
Stamps),
No
❑ Disapproved Sanitary Permit Fee (includesS Groundwater ate Issued Iss g Agent SignatL~5~~al
A Approved ❑ Owner Given Initial T urcharge Fee) i/f 1 )r,
r6-
Adverse Determination U
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any, new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
11. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 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)
A
State of Wisconsin \ Department of Industry, Labor and Human Relations
SAFETY & BUILDINGS DIVISION
201 E. Washington Avenue
P.O. Box 7969
PRIVATE SEWAGE PLAN APPROVAL Western Regional Office Madison, Wisconsin 59707
2226 Rose Street
tk)o 7-3~ LaCrosse, Wisconsin 54603
WEGERER SOIL TESTING & DESIGN Owner: DONALD CORN
BOX 74 4a 1Jmj0 WG- Av.,N
RIVER FALLS WI 54022 ? t ~ V MENNEAP0618 1141 464W.
X41
RE: Plan Number: S92-40397/y-LL Date Approved: June 3, 1992
Gallons Per Day: 450 04,of-S,i l -,i Date Received: June 2, 1992
Project Name: CORN, DONALD -Location: SW,SE,14,29,15W
Town of SPRINGFIELD 3 County: ST CROIX
. s~
The plumbing plans and specifications for this project have been 'reviewed for
compliance with applicable code requirements. This approval is based on Chapter
145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are
stamped 'conditionally approved'. This approval is contingent upon compliance with
any stipulations shown on the plans. All items that are noted must be corrected.
All permits required by the city, village, township or county shall be obtained
prior to construction. The licensed plumber responsible for this installation
shall keep one set of plans with the department's approval stamp at the
construction site. The installer shall notify the appropriate inspector when
inspections can be made.
This approval will expire two years from the date approved or if a sanitary
permit is obtained, it will expire the day the initial sanitary permit expires.
The Section of Private Sewage has reviewed these plans for private sewage system code
requirements only. These plans have not been reviewed for the code requirements
set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the
Wisconsin Administrative code.
This approval is for the following components only:
- NEW MOUND
Inquiries concerning this approval may be made by calling (608) 785-9348.
Sin ely,
GERARD M. SWIM
Section of Private Sewage
Division of Safety and Buildings
PPP039/0009n/57
cc: DONALD CORN X Private Sewage Consultant
S13D-7483 (R. 05/88)
Page 1 of 6
MOUND SYSTEM <1 y;U9 Ny~
FOR
A 3 BEDROOM RESIDENCE
LOCATED IN THE SW 1/4 OF THE SE- 1/4 OF SECTION 114 T Z9 N, R )S W,
TOWN OF SpiZIKJG >=tEt b , ST. ~R~1K COUNTY, WISCONSIN.
INDEX
PAGE 1 of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
PAGE 3 of 6 PLAN VIEW-CROSS SECTION
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PAGE 5 of 6 PUMPING CHAMBER
PAGE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
oo~ ~~o cuter.,
V 12- 1 RV N j G r~vE . ~i0T?-T-;
MIrJNC~~o~IS, NrN 554IZ
PREPARED BY
WEGI=FREF;Z SFlQ 11_ TEST I [NJ G; 46dao~C0 Te~oie4ct~ecs*46A
DES I G;m SEIZZ V ICE •.''•;S J 'A
r i • ART... iq L
P.O. BOT 74 421 N. MAIN ST. WT aE.R q
RIVER FALLS. MI 54022 ELL89yiXTH.
7I5-425-0155 wr.
JOB NO. °1 z _ 9 9
PLOT PLAN
Page Z of em
Scale 1"= LiO
4
4 0C
"rvc.
3 BDRM R.ts t arm C JQ!
0 F z'l PuC
Fou..cE MhiAl
~E W p,GE SYS7E ` 10 e~ _ a-. q 1.6 ~ o►.,
\
S~ • ToP OF wq,l. Weftb
c~
kj(j
~IQNS
REt-A 1
OMAN Y`
pa AN
$ D ull ING~., \
pF INDLIS~ SAFE P►N
OEPART~AE 1VISO
E
SEE COP 1
r
Do >JoT 12e"'PhcT OR - - -r
'1?4lS ~2t:`q -
L BN - g1.ev• trio 10, OQ
2s , e SP112~ it RBOVE G~uWD
t1~1 w~+sr sro~ eF
~s 03
' s
u~65T LWt of
VD ~1eR~ t~hRCt. - _
-r- if 4F
o. b M, ro o. q
NOTES : 1;z;n 1 C %Nb 43
CZti "w"
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install permanent markers at end of each lateral. ( required)
3. Install 4" observation pipes with approved caps. ( required)
4. Septic tank to be -F gallon capacity manufactured by
5. Bench Mark sue- KgovE 01-11N
F+- Divert surface water around mound to nrevent nondina at the uuhill side.
Page 3 Of
Approved Synthetic Covering
Distribution Pipe
Medium Sand
_ H G
Topsoil F Elev . \O Z. b
3 E p
„
b
ONSITE SEWAG /o lope
Bed Of 2 %Z Force Main Plowed
Conjitiona I Aggregate From Pump Layer
U 0 \.o Ft.
MAN RELATIONS
pEPARTM Op~OF VI INDUSTRY, LABOR BUILD10ross Section Of A Mound System Using E S Ft.
A Bed For The Absorption Area F o.8 Ft.
SEE CO ENCE G Ito Ft.
A Ft. H 1. S Ft.
Linear Loading Rate= GPD/LN FT B 4.3 Ft.
Design Loading Rate= 0.3V{ GPD/SQ FT 1 15 Ft.
J -7 Ft.
K \ \ Ft.
Alternate Position. L_ Ft.
of-
Force Main W ZS Ft.
L
Observation Pipe
g K
0I
A I -
W j-------- Force Main
M M
Distribution 7-B ed Of z - 2
Pipe Aggregate
I
Observation Pipe Permanent Markers
(Anchbr securely)
Plan View of Mound Using A Bed For The Absorption Area
Page Of to
Perforated Pipe Detail
0
End View
)Perforated
End Cap PVC Pi
od~° `c pe Install permanent 'marker
at end of each lateral
Notes Located on Bottom,
Are Equally Spaced
Q S
PVC Force Main
Q -
PVC
Manifold Pipe
4
Distn ution
Pi e
Lost Hole Should Be
Next To End Cap
End Cap
P 30 Ft .
Distribution Pipe Layout
S q$ E* llv_
QNSITE SEWAGE SYSTEM
p X gl$ Inches
(fon1 tiO~fu Y - '18' Inches
Hole Diameter 1111 Inch
P%rr,KAUVED Lateral J Inch(es)
DE-PARTME F IN. DUSTRY, LABOR AND AN RELATIONS Manifold " Z Inches
IViS10N SAF B I AS N
Force Main " Inches
SEE 5 # of holes/pipe-
Invert Elevation of Laterals NW-5 Ft.
4
Place lst hole -2-q from center of manifold with succeeding holes
at qe "intervals. Last hole to be next to the end cap.
r ,PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE 5 OF
VEIJT GAP
ti C.I. VENT PIPE WEATHER PROOF
APPROVED LOCKING MANHOLE
JUMCTIOM BOX COVER WITH WARNING LABEL
25' FROM DOOR, I2'MIU.
WIMDOW OR FRESH I
AIR IMTAKE
GRADE
s I y. MIN.
~ ~ 1e'MIU. ~CONDUIT
18~P1 I ICI.
GFJtS+Xe~EM I
INLET ONSITE SE~AAIRTI SEAL I I Iff )
. 9,-
i III
Q,Jitjonaq 1 11 APPROVED JOINTS
I
APPROVED JOINT
I
/ A moft
AL ED i
I III ALARM
1 1
RELAT 0 I
e
I I
OEPARjMEN F IN,,'JSTRYOR AN)
ANP gEp i ( ON
C SION OF I
'I
GLEV. fT. SEE CWRE PUMP----
~ OFF
O
Lri_ -76 • SO COMCKETE BLOCK
3APPRWCD
RISER EXIT PERMITTED ONLY IF TANK MAIJUFACTURER HAS SUGH'APPROVAL• 12~ p pl
SPECIFICATIOAIS
DOSE I~►Wt~~sT IJ PR RS'T
TAAIK 1AAIJUFACTU0. HUMBER of OOSEs: PER DA.4
CR.
TANK :rIZE: ISO GALLONS DOSE VOLUME
ALARM MMJUFACTURCR: S'S• L~-IZ-•TM SkS7L11 S INCLUDINC9 6ACKPLOW: GALLONS
MODEL NUMBER: 10I Hw CAPACITIES: A= 151IZ-IWCHESOF. 302.3 CALLOUS
SWITCH TyPC: >✓1~R 5= Z IMCHES OR 3q .O G, ►LLOUS
PUMP MAIJUFACTURCR: ZO~'L~R COrtPA►~`f C. q IMCHES OR GALLOIJS
: 0~ ~
MODEL IJUMDER IMC14ES OR Z,3'O GALLOM6
SWITCH TYPE: Y'Ie~tzY MOTE: PUMP AND ALARM ARE TO 6E
MIMIMUM DISCHARGE RATE 3~'4 GPM INSTALLED OU SEPARATE CIRCUITS
VERTICAL. DIFFERENCE BETWEEU PUMP OFF AUD.DISTRIBUTIOIJ PIPE.. Lill FEET
-I- MINIMUM NETWORK SUPPLY PRESSURE 2.50 FEET
-I- 3Z 5 FEET OF FORCE MAIM X 1- t FYo fEFRICTIOU FACTOR. FEET
TOTAL OtIUAMIC HEAD 3q.40 FEET
DIAMETER - v
f
IIJTERNAL DIMEIJSIONf OF TANK: LENGTH - ;WIDTH ;LIQUID DEPTH 1Z'_
BOTTOM AREA - c 231'= GAL/INCH
HEAD/CAPACITY CURVE 161, 163 AND 165 SERIES TOTAL DYNAMIC HEADIFLOW PER MINUTE
LL EFFLUENT AND DEWATERING
2e 90 SERIES 161 163 165
FT. M. Gal. Ltrs. Gal. Urs. Gal. Ltrs.
24 80 5 1.52 106 401 61 • 231 61 231
MO EL 10 3.05 100 378 61 231 61 231
70 DE 15 4.57 91 344 60 227 60 227
zo
W so 163 20 6.10 82 310 59 223 60 227
= 25 7.62 74 280 57 216 59 223
1e so
30 9.14 65 246 55 206 58 220
Z 40 12.19 46 174 46 172 55 206
p 12 50 15.24 21 80 33 125 51 191
J OD L 60 18.29 15 57 43 161
s 30 p 70 21.34 30 114
1-_ 20 80 24.38 14 53
11.4 y 90 27.43
4
1o 100 30.48 1 -1
Lock Valve: 56' 66' 87'
0
GALLONS t0 00 40 50 tip 70 s0 90 100 110
LITERS 0 so 40 240 020 400 r .
FLOW PER MINUTE °
Standard all models - Weight 77 Ibs. - 20 fl. cord - S H.P.
+s • +w rrr
161 MODELS Control Selection „a „r, pq
Mode! Volts-Ph Mode Am Simplex Duplex 3-ewT
- I
M161 115 1 Auto 14.0 1 or 1 S 9 - 1
N161 115 1 Non 14.0 2or2S8 3or5&6
D161 230 1 Auto 7.0 1 or 1 & 9
E161 230 1 Non 7.0 2or2& 8 3or5& 6
F161 230 3 on 3.0 2S4 3&4or5&6 T-
'1-1161 200-208 1 Auto 82 1&9 -
1161 200-208 1 Non 8.2 2&8 3 or 5 6 6
*J161 200-208 3 Non 2.2 2 S 4 3& 4 or 5& 6
'G161 460 3 Non 1.5 21k 4 311 4 or 5 A 6
Standard all models - Weight 771bs. - 20 ft. cord - % H.P. '
163 MODELS Control Selection ~T
Model Volts-Ph Mode Amps -Simplex Duplex
4
M163 115 1 Auto 14.0 1 or 1 &9
-
N163 115 1 Non 14.0 2or2A8 3orS&6 -
D163 230 1 Auto 7.0 1 or 1 &9
-
E163 230 1 Non 7.0 2or2&8 30r5 &6
F163 230 3 Non 3.0 2&4 3 3 4 or 5 A 6 SELECTION GUIDE
- 1. Integral float operated mechanical switch, no external control required.
[*G3~ H163 200-208 1 Auto 8.2 1&9
1163 200-208 1 Non 82 2&8 3 or 5 &6 2. Single piggyback mercury float switch or double piggyback mercury- float
J163 200-208 3 Non 2.2 2&4 3 8 4 ors & 6 switch. Refer to FMO477.
460 3 Non 1 5 2 S 4 3 S 4 or 5& 6 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075.
Standard all models - We 4. Combination starter. Refer to FMO514.
Ight 82 Ibs. - 20 ft. cord -1 H.P. 5. See FM0712; for correct model of Electrical Alternator, "E-Pak".
165 MODELS Control Selection 6. Mercury sensor float switch 10-0225 used as a control activator, with "E-Pak"
Model Volls-Ph Mode Am Simplex Duplex alternator, 3 or 4 float system.
0165 230 1 Auto 9.0 1 or 1 & 9 _ 7. SIMPLEX CONTROL BOX 10-0050, 115/230V, 1 Ph. max. 2HP use one (1)
E165 230 1 Non 9.0 2 or 2 8 3 or 5 6 single piggyback wide angle mercury float switch OR two (2)10-0225 mercury
F165 230 3 Non 6.6 2&4 3 S 4 or 5 & 6 ~n~ floats for level control.
8. Four (4) hole "J Pak", junction box for watertight connection or wired-in
E*H165
200-208 1 Auto 10.7 1 or 1 & 9 - simplex or duplex operation.
200-206 1 Non 10.7 2 &8 3 or 5 & 6 9. Two (2) hole "J-Pak", function box. for watertight connection or splice.
200-208 3 Non 7.0 2 &4 3 & 4 or 5 b 6 'No Molded Plug
460 3 Non 3.3 2&4 3 S 4 or S 6
For.kdorlrradon on addhimW Zoeller products refer to catalog on Combination Starter. CALMON
FMOS14: Piggyback Mere" Switchet, FMO477: Electrical Alternator. FM04e6: Mechanical All iahllaaaa af ee++k I P14 leek and wkbq dt dd be done by a aoeraed qualified
Alternator. FMOM Alarm Package. FMOS13: SumplSewage Basins. FM0487: and Simplex steekidan. Aa ale~l k and oslov eodat e11a1d be laaoewd brakring ar a1ea1 reead Hasoew
Control Sox, FM0732. El A-1, cede pWq and • e OeeupdWW Sakty and HeM Act MSt1A).
RESERVE 'POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
3280 Old Maters Law Manufacturers of...
P.O. Box 16347
Loukieft 0 ZM~Zliff ZZ7. K 40216
-
(502) 778-2731 Q uwrr P uuPS S,vcE Iffly
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State of Wisconsin \ Department of Industry, Labor and Human Relations
SAFETY & BUILDINGS DIVISION
201 E. Washington Avenue
P.O. Box 7969
PRIVATE SEWAGE PLAN APPROVAL Western Regional Office Madison, Wisconsin 53707
. . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2226 Rose Street
LaCrosse, Wisconsin 54603
WEGERER SOIL TESTING & DESIGN Owner: DONALD CORN
BOX 74 4312 IRVING AVE N
RIVER FALLS WI 54022 MINNEAPOLIS MN 55412
RE: Plan Number: S92-40397 Date Approved: June 3, 1992
Gallons Per Day: 450 Date Received: June 2, 1992
Project Name: CORN, DONALD Location: SW,SE,14,29,15W
Town of SPRINGFIELD County: ST CROIX
The plumbing plans and specifications for this project have been reviewed for
compliance with applicable code requirements. This approval is based on Chapter
145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are
stamped 'conditionally approved'. This approval is contingent upon compliance with
any stipulations shown on the plans. All items that are noted must be corrected.
All permits required by the city, village, township or county shall be obtained
prior to construction. The licensed plumber responsible for this installation
shall keep one set of plans with the department's approval stamp at the
construction site. The installer shall notify the appropriate inspector when
inspections can be made.
This approval will expire two years from the date approved or if a sanitary
permit is obtained, it will expire the day the initial sanitary permit expires.
The Section of Private Sewage has reviewed these plans for private sewage system code
requirements only. These plans have not been reviewed for the code requirements
set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the
Wisconsin Administrative code.
This approval is for the following components only:
- NEW MOUND
Inquiries concerning this approval may be made by calling (608) 785-9348.
X41
Sin ely
46/
GERARD M. SWIM
Section of Private Sewage
Division of Safety and Buildings cQf
PPP039/0009n/57
cc: DONALD CORN X..... Private Sewage Consul t tc' .
SBD-7483 (R. 05/86)
1 '
Page 1 of 6
MOUND SYSTEM 1`>
FOR
A 3 BEDROOM RESIDENCE
LOCATED IN THE SvJ 1/4 OF THE SE. 1/4 OF SECTION 11 TZq N, R IS W,
TOWN OF SptZ1X3 G F1 NL, p , ST. ~R~tK COUNTY, WISCONSIN.
INDEX
PAGE 1 of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
PAGE 3 of 6 PLAN VIEW-CROSS SECTION
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PAGE 5 of 6 PUMPING CHAMBER
PAGE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
OOl~I F"LD C0R_w
V_,~s 11 1 ?-\J) N G rev 1,302 R4
Y~IIJTJCA~oLiS, Mfl Ss~IZ
PREPARED BY
~aQttt4eaoa~t,
WECEF;EFZ SQ I L TESTING ~
AND .~Pfo SCONE , -0*
ICES I G; t%4 SEFR %,,P ICE • Os
ARTu' lR 1.
F.O. BOX 74 421 N. MAIN Si. t W[dvERFR
G-s1. G
RIVER. FALLS. VI 54022 r [r LSVr
W'JF.TM,
t
715-425-0155 s ~
d
3r`i si `S I G N
•tttt~~
JOB NO. °1 Z - q 9
PLOT PLAN
Page Z of !o
Scale 1"= LIO
4°p~~ 1
t0 oG
4 PVC ~
3 B DRM R,~S t pry ct?
3LS~OF Z~ PUC
FpRC~ }7(4~N
f
EK~S17N6 WL=1.L
S wA~'E SYSTEM e~ _ gi.61 +
ptSStTE ~ ,-oP of wq.L WOtb
a
goo D OV
kj(,
O ULAN 4tE~lONS F~~\
LPBOR `
RZV,ti OF iNG'~1'1 SAF AND Ull INFS..
OEPF IyiSION
CE
Stitt OOR+3p A
i
1 1
8N - aeU. W13. o' o1J
2S ; 8Z a\ S'P11t~ tr R80vE 6RCUND
85 11J WEST SIDt?' OF
~po u %-e
6" M wP~~
28 ~ I
ccy.r•Rt~tt
U~sT LWt of ~
VD ReR~ PMtc~t..
0.6~ O•gh1I to
NOTES: IPWIT C RartD 3 c'TN "w"
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install permanent markers at end of each lateral. ( required)
3. Install 4" observation pipes with approved caps. ( required)
4. Septic tank to be gallon capacity manufactured by
5. Bench Mark Ste, l,<gcug %-ILP%N
6. Divert surface water around mound to prevent ponding at the uphill side.
Page 3 Of b
Approved Synthetic Covering
Distribution Pipe
Medium Sand
G
Topsoil F Elev. VOZ.c3
-J ~
3 E p
"
fu
is
ONSITE SEWAG /o Slope
tones Bed Of '2 2 -2 (Force Main Plowed
~D Aggregate From Pump Layer
gem CAMI, AP P R V 1:160 D V o Ft.
OEPARTME " OF INDUSTRY, LABOR MAN RELATIONS E N- S Ft.
DIVISI F BUIL0II0ross Section Of A Mound System Using
A Bed For The Absorption Area F 0.8 Ft.
SEE CO ENCE G I- o Ft.
A 6, Ft. H 1• S Ft.
Linear Loading Rate= I GPD/LN FT B 43 Ft.
Design Loading Rate= O.3V GPD/SQ FT I 1 S Ft.
J -7 Ft.
K 1 \ Ft.
Alternate Position L S Ft.
of-
Force Main W Z S Ft.
L
Observation Pipe
FA K
(
W - _Force Main
0
Distribution Bed d Of 2 - 2 2
Pipe Aggregate
Observation Pipe Permanent Markers
(Anchor securely)
Plan View Of Mound Using A Bed For The Absorption Area
Page H'Of b
Perforated Pipe Detail
0
End View
)Perforated
End Cop. PVC Pipe
Install permanent-marker
poi`°SO~`e at end of each lateral
Holes Located On Bottom,
Are Equally Spaced
Q S
PVC Force Main
Q
PVC
Manifold Pipe
Distrn ution
Pi e
Lost Hole Should Be I
Next To End Cap
End Cap
P 30 Ft.
Distribution Pipe- Layout
S qS E*. 6N _ ~
ONSITE SEWAGE SYSTEM X q $ Inches
j
~OIZditio y V8 Inches
APPR rm I Hole Diameter 11Y Inch
OVO"D
Lateral 1 Inch(es)
DEPART(4it F lNO:STRY, LABOR ANED IN S RELATIONS Manifold " Z Inches
iViSION SAF Force Main " Inches
SEE OORR E of holes/pipe Invert Elevation of Laterals 102--5 Ft.
Place lst hole Z-q from center of manifold with succeeding holes
at 4 e intervals. Last hole to be next to the end cap.
'PUMP CHAMBER CROSS SECTIOW ARID SPECIFICATIONS ' PAGE S OF (o
VEIJT CAP -
ti"C.I. VENT PIPE
WEATHER PROOF APPROVED LOCKING MANHOLE
- r-f
25' FROM DOOR, JUNCTION DOX COVER WITH WARNING LABEL
~ IYMIU.
wIN00W OR FRESH I
AIR INTAKE I
GRADE I
11'5 MIfJ•
COIJDUIT--
18.1r11AJ.
~SnXe~.E~
IAILET
ONSITE SSWAGAIRTI SEAL I IiI
,12 .1101.
77
APPROVED JOIM'r A o I I ( APPROVED JOIAITS
I III
OVEU
' I II ALARM
e N RELAf I I
An
, S~gY LABOR AND ~ .
DEPARTM~N F INOJ ~ A BUi I I ON
C iStOt4 OF f I
LLEV. FT SEE CORD PUMP-~~ __J OFF
r
D
trL.. -76 • SO COAICKETE 9LOCK
APPRoVEp
RISER EXIT PERMITTED OIJLy IF TANK MANUFACTURER HAS SUCH APPROVAL gEDO1~
5 P E C I F I C AT I 0kJ S
DOSE MW1,y~s~scs►J PRA ST
TANK MAIJUFACTU0.ER. ~ NUM9ER OF DOSES: 3. S PER OAy
TANK 51ZE: 1 S O GALLONS DOSE VOLUME ZZS- S
ALARM MANUFACTURER. • S.S, Lzl.~tT12p St[S7'LH S INCLUDING OACKFLOW: GALLONS
MODEL NUMBER: 1p I tjw CAPACITIES: A= ! 5 I I ZINCHE5 OR 3DZ 3 GALLONS
SWITCH T?jn: Mq%t C.Q Vol 8 = Z INCHES OR 610 G~ LLOA15
PUMP MANUFACTURER: COF'IP~N`( Cs q INCHES OR ♦-)S.S GALLONS
MODEL MUMBER: 110 D-"-INCHES OR Z', 3'o GALLONS
SWITCH TYPE: VII CUSZY MOTE: PUMP AND ALARM ARE TO bC
INSTALLED OIJ SEPARATE CIRCUITS
MtIJIMUM DISCHARGE RATE Z-1'4 GPM
VERTICAL DIFFEKEMCE BETWEEN PUMP OFF AAIO_DISTRIBUTION PIPE.. 2'4'$1 FEET
t MINIMUM NETWORK SUPPLY PRESSURE . . . 2.50 FCET
♦ 3zs FEET OF FORCE MAIN X L-32 FYopt,FKICTIOU FACTOR. 'S7 FEET
TOTAL Oy1JAMIC HEAD = 3~I.40 -FEET
DIAMETER -
INTERNAL, DIMLIJSION~ OF TANK: LEM&TH ',WIDTH ~ ;LIQUID DEPTH y~0 1Z'
BOTTOM AREA = 231= GAL/INCH
AS PER MANUFACTURER = ti~1:5 GAL/INCH
~K(S (a (30
W 1= 6
HEAD/CAPACITY CURVE 161, 163 AND 165 SERIES TOTAL DYNAMIC HEAD/FLOW PER MINUTE
EFFLUENT AND DEWATERING
LL
ze SERIES 161 163 165
90
FT. M. Gal. Ltrs. Gal. Ltrs. Gal. Ltrs.
24 5 1.52 106 401 61 231 61 231.
MO EL 10 3.05 100 378 61 231 61 231
70- 15 4.57 91 344 60 227 60 227
w 20 163 20 6.10 82 310 59 223 60 227
= 60 25 7.62 74 280 57 216 59 223
30 9.14 65 246 55 206 58 220
16 so
a 40 12.19 46 174 46 172 55 206
2
/2 50 15.24 21 80 33 125 51 191
a 3K • OD L 60 18.29 15 57 43 161
~a 30-
0 70 21.34 30 114
Zo 80 24.38 14 53
Y Y 90 27.43
4
10 100 30.48
Lock Valve: 56' 66' 87'
0
GALLONS 10 30 40 50 60 70 80 90 100 110
LITERS 0 80 160 240 320 400 r
FLOW PER MINUTE
V6%006
Standard all models - Weight 77 tbs. - 20 fL cord - 1h H.P. 1%- 11%
wuPT
161 MODELS Control Selection `2-11%rModel Volts-Ph Mode Am Sim x Du lex M161 115 1 Auto 14.0 1 or 1 & 9 -
N161 115 1 Non 14.0 2or2&8 3or5&6
D161 230 1 Auto 7.0 1 or 1 & 9 -
E161 230 1 Non 7.0 2or2&8 3or5&6 T-
F161 230 3 Non 3.0 2&4 3&4or5&6
'H161 200-208 1 Auto 8.2 1&9 - i
'1161 200-208 1 Non 8.2 2&8 3 or 5& 6
'J161 200-208 3 Non 2.2 2&4 3 & 4 or 5 & 6
-G161 460 3 Non 1.5 2&4 3&4or5&6
Standard all models -Weight 77 tbs. - 20 ft. cord - yz H.P. ~
163 MODELS Control Selection
Model Volts-Ph Mode Amps Sim lex Duplex 6
M163 115 1 Auto 14.0 1 or 1 & 9 -
N163 115 1 Nop 14.0 2or2&8 3or5&6
D163 230 1 Auto 7.0 1 or 1 & 9 -
E163 230 1 Non 7.0 2or2&8 3or5&6
F163 230 3 Non 3.0 2&4 3 & 4 or 5 & 6 SELECTION GUIDE
'H163 200-208 1 Auto 8.2 1&9 - 1. Integral float operated mechanical switch, no external control required.
'1163 200-208 1 Non 8.2 2&8 3 or 5 & 6 2. Single piggyback mercury float switch or double piggyback mercury. float
'J163 200-208 3 Non 2.2 2&4 3 & 4 or 5 & 6 switch. Refer to FM0477.
•G163 460 3 Non 1.5 2&4 3 & 4 or 5 & 6 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075.
Si4tndtM aq models -Weight 82tbs. - 20 7L cord -1 H.P. 4. Combination starter. Refer to FMO514.
5. See FM071Z for correct model of Electrical Alternator, "E-Pak".
165 MODELS Control Selection 6. Mercury sensor float switch 10-0225 used as a control activator, with "E-Pak"
Model Volts-Ph Mode Am Simplex Duplex alternator, 3 or 4 float system.
D165 230 1 Auto 9.0 1 or 1 & 9 - 7. SIMPLEX CONTROL BOX 10-0050, 115/23OV, 1 Ph. max. 2HP use one (1)
E165 230 1 Non 9.0 2 or 2 & 8 3 or 5 & 6 single piggyback wide angle mercury float switch OR two (2) 10-0225 mercury
F165 230 3 Non 6.6 2&4 3 & 4 or 5 & 6 sensor floats for level control.
8. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in
'H165 200-208 1 Auto 10.7 1 or l &9 - simplex or duplex operation.
'1165 200-208 1 Non 10.7 2&8 3 or 5 & 6 9. Two (2) hole "J-Pak", junction box, for watertight connection or splice.
'J165 200-208 3 Non 7.0 2&4 3 & 4 or 5 & 6 'No Molded Plug
'G165 460 3 Non 3.3 2&4 3&4or5&6
For. information on additional Zoeller products refer to catalog on Combination Starter, CAUTION
FM0514'. Piggyback Mercury Switches. FM0477; Electrical Alternator, FM0486-. Mechanical M NrfallaYon d an6 A p Ack desloI and wkfrlg should be done by a iarlsed qualified
Alternator, FM0495; Alarm Package, FM0513; Sump/Sewage Basins, FM0487; and Simplex electrician. M decrial and defy codes should be 1o8owed Irlc1-1 tale oast raosrN National
Control Box. FM0732 l7netrle Cade PIEC) and the Oeagalbnsl Solely and Heellh Ad (OSHA}
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
2 0 OldiUN Low Manufacturers of...
ZAIZZLff O. LoukV01 4 KenhWky 40216
® (502) 778-2731 QhAL/rY 444-9 SiYCB Iffff
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUST44Y, DIVISION
AN REDLATIONS PERCOLATION TESTS (115) MADISOP.O. BOX 76
N WI 3707
HUMAN (ILHR 83.0911) & Chapter 145)
LOCATION: SECTION: OWNSH UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
Z'110 1/4 sE1/ 14 /TZ1N/R 1SE (o spR1~~~=t~~n - -
COUNTY: MAILING ADDRESS: 4312 1RV1/t1G nUt_. KN&kTH
sT-CA_ROVC _ZavrtiLp C~12ty V-11~►~ owls wtly. ss41Z
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: I ROFI DESCRIPTIONS: PERCOLATION TESTS:
Residence 3 k3.1 , New ❑ Replace l 6-1Z- 9' / 6-13-,?/
RATING: S= Site suitable for system U= Site unsuitable for system OQSITS 13Y S1Ml 7}f'01tlP,30A3 Ohl 6-18-9/
ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
EIS ®u 21s ❑u a s ®u ❑ s ®u ❑ s ®u "L~'JkJ~ - 1A, G14 ~~~>uDW
If Percolation Tests are NOT required DESIGN RATE:
If any portion of the tested area is in the
under s. ILHR 83.09(5)(b), indicate: N• Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- 1 qq , 2 t~o>v Z 8 s i~h Z a>` Z
B- Z 6Z 9 S ~r 39 Ii
B- 3 L) 0 tio1.10 Z7
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH
P- 'LU NQ Z C) 1 '/16 ' 1/11. 1 1/46 26
P_ Z Zo ~o s n L 3/s 1 3ia 1 W9 22
P- 3 Za 30 3/r6 I~i6 1 '/S Z-7
P-
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope. 1l7 Z U , I. V O`[^R LT SO
I
SYSTEM ELEVATION of sI~~\ T
J
ITT LL-n S T' Z yl =T,~",'
V € Pt 8 PI ! i~ +
i
p3 8C',,
_
E
I ;
I E ~ ~ r a 'L.o~ u~' s►tt3~N
:
F
4
~OTZ Y10U~+L~ ; ~ ~ E ~ ~ S
E r j ~Y' t
I ~ E a i i i ~ V i E
ct,
L
91
S GALE ~lo~ "T CROlx N see I~
I, the undersigned, hereby certify that the soil tests reported on this for mpde WUNTIV accord th a procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tes e, QAIK-tQF6QIEof k Medge and belief.
NAME (prinlOfEGERER SOIL TESTING
ESTS WERE COMPLETED ON:
AND , 6-13-9/
ADDRESS: DESIGN SERVICE CERTIFICATION NUMBER: PHONE NUMBER (optional):
CST 60oS76 'CIS- L/2S- 0/6S
P.O. WX 7-4 491 N. MAIN • CST SIGNAT
RIPER FALLS; Wi 54022
715-425-0165 c~ 1 , 67
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. _
DILHR-SBD-6395 (R. 10/83) - OVER
y .
INSTRUCTIONS FOR COMPLETING FORM 115 - SOD - 6395
To be a complete and accurate soil test, your report must include:
1. Complete legal description;
2. The use suction must clearly indicate whether this is a residence or commercial project;
3. MAXIMUM number of bedrooms or commercial use planned;
4. Is this a new or replacement system;
5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER
SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan;
7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet
may be used if desired;
8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent;
9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if
appropriate;
10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box;
11. Sign the form and place your current address and yur certification number;
12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL
AUTHORITY WITHIN 30 DAYS OF COMPLETION.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Soil Separates and Textures Other Symbols
st - Stone (over 10") BR - Bedrock
cob - Cobble (3 - 10") SS - Standstone
gr - Gravel (under 3") LS - Limestone
's - Sand HGW - High Groundwater
cs - Coarse Sand Perc - Precolation Rate
med s - Medium Sand W - Well
Is - Fine Sand Bldg - Building
Is- Loamy Sand > - Greater Than
'al - Loamy Sand < - Less Than
'I - Loam Bn - Brown
'sil - Silt Loam BI - Black
si - Slit Gy - Gray
cl - Clay Loam Y - Yellow
scl - Sandy Clay Loam R - Red
sicl - Silty Clay Loam mot - Mottles
sc - Sandy Clay w/ - with
sic - Silty Clay fff - few, fine, faint
'c - Clay cc - common, coarse
pt - Peat mm - Many, Medium
m - Muck d - distinct
p - prominent
HWL - High water level.
surface water
Six general soil textures BM - Bench Mark
for liquid waste disposal VRP - Vertical Reference Point
TO THE OWNER:
This soil test report is the first step in securing a sanitary permit. The county or the Department may request
verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system
and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary
permit must be obtained and posted prior to the start of any construction.
SOIL DESCRIPTION FORM
Attach Sol] Prof Ic Localjon Ma On s Su orate Shoat)
LINEAR LOADING TE: -'Z4 S GK.1 -Al
V
PURPOSE: u SLOP
D,~CRIPTION BY P~2T}-}UR Ll)E-G~12E~2 ASPECT:
j V~ `'Z l q q ( CURRENT LANG USE:
DATE: 0 Ofl O
DATE:
COUNTY/STATE: ST. ZALV_ CeUY-.)T! IAJI VEGETATIV COVER: -tk T~-'U3 4
LOT OESCRTPTION: Set`lL4 TZ9" R lSW DRAINAGE CLASS: ~~~~•C_ ~~I~1~lJL~~
1 f
LOCATION: T~&^-jN OF S R(),J r GALLONS-PER 39. FT. PER OAYt ~ sIGK) T • 3Y
SOIL SERIES: ~~~~.~~T S 1 I
PARENT MATERIAL(s)/DEPTH:
lly! - Q
HORI10N DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII -BOUNDARY REMARKS
jn. nnjst Gr. Sz. Shp COATINGS
~ G
o-~ to~R Z l - L Z. ck- ymu~~ cs
1, 2
3 -yb S R 31 2 s 1 o yr., enVLs' 3 ek oY~ 6/ LBR
Z-
TJI&
c S
3 21-30 -).sY123! s I 3 cad vnu '
_L4 3u-3~ IOH,R 31~ - 1s 3 eae _~IVf►- c s
1 s 3 c sbk m v'$ r »T S Y-7 YM-3/V it
S 1O`1iZ 316 l
S IJ6 3 -
b - ~ 1 Z), 2. Z!Z Z er Yn U'F w c- S
z 6-Z`f to~~ ul3 - Selz rn f~ C-S
3 ZV-27 10lf7- '5 - S O g9 `t's
27-31 M'lZ 3/6 Z~ ~S O s m cS it
S 3)-vo 7SKR 3 1y 2c S b 1n, rt 'Fi Bic ►zs 'tom 3 s~
p c pQi C oZ f. ~t~ t~~
~o
S! S
Sot(-: c- wt ~-ic~ uhJG
OTHER SITE FEATURES/NOTES:
6-2-9) o0o s76 1~~16e Z ora Z
LIMITING FACTORS/DEPTH: Signature Date CST M
ST. CROIX COUNTY
WISCONSIN
y" ZONING OFFICE
v ✓7
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
(715)386-4680
May 21, 1992
Division of Safety and Building
Bureau of Plumbing
P.O. Box 7969
Madison, WI 53707
To whom it may concern:
An onsite investigation of the Don Corn property, located in the SW
1/4 of the SE 1/4 of Sec. 14, T29N-R15W, Town of Springfield, St.
Croix County. This onsite revealed suitable soils at a depth of
28" of suitable soil requiring 12" of sand fill beneath the mound.
This site should be suitable for a mound setpic system.
Should you have any questions, please feel free to contact this
office.
in`cerely, 7~
James K. Thompson
Zoning Administrator
cj
APPLICATION FOR SANITARY PERMIT
STC - 100
This application form is to be completed in full and signed by the owner(s) of the
property being developed. Any inadequacies will only result in delays of the permit
issuance. Shduld 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 ' DONALD CORN
;Location: of Property 14, Section 14 T N-R--~„ _ W
Township SPRINGFIELD
Mailing Address 8457 REGENT AVE N, #114, MINNEAPOLIS, MN 55443
Address of Site, 3 r
Subdivision Name.
Lot.Number
Previous' Owner of Property
Total: Size- of`-Parcel ~
,Date Parcel was'Created
ire all corners and lot lines identifiable? Yes No
Is this property being developed for resale (spec house) ? Yes No
Volume' and Page Number as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A Warranty Deed which includes a Document number, volume and page number, and the
Seal of the Register of Deeds. In,addition, a certified survey, if available, would be
helpful so as to avoid delays of the reviewing process. If the deed description refer-
ences.to a Certified Survey Map, the Certified Survey Map shall also be required.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PROPERTY OWNER CERTIFICATION
I (We) eexti6y that att dtatements on this bonm ane t)Lue to the but o.6 my (ouh)
knowtedge; that I (we) am (axe) the• ownen(.a) o6 the pnopenty dac ibed in this
.i,nso,,unation Sown, by viAtue o6 a waAAanty deed neconded in the Oss.ice o6 the
County Regizten o6 Deedsa6 Document No. ~,ga , and that I (We) pnedentZy
own the ptoposed z to Son the sewcge dispos syst (on I (we) have obtained an
easement, to nun•with the above de uti,bed pnopuay, Son the eonstnuc ion o6 said
system,. the same has bge duty neconded in the 046ice` o6 the County Reg~ten o6
:Deeds, e e o. 9~ )
C, ~k Al
I NATURE OF OWNER SIGNATURE OF CO-OWN (IF APPLICABLE)
•,.DATE' SIGNED DATE SIGNET?
BOOK 819-PAIlf 11
DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA
• S~T~1TE BAR OF WISCONSIN FORM 2 -1982
REGISTER'S OFFICE
-The__ First.__Nat ona_1_ Bank._ of__Ba.ldwin,______.__--__._____-_ $T. CROIX CO., WI
Wiscons_in_,_. a__national__ banki_ng_.corporation........ Rec'd for Record
MAY 121988
conveys and warrants to -D.onald._E-.-..C.orn..... ir......axxd---------------------
Marc_el.la__J_.._Cox_n_,.__hushand._Ja.nd__wife of 10:35 A. M
Register of Dee&
RETURN TO
the following described real estate in ...St....-Croix. .......................County, _
State of Wisconsin:
Tax Parcel No
The Southwest Quarter of the Southeast Quarter (SW4 of SE4)
of Section Fourteen (14), Township Twenty-nine North (T29N),
Range Fifteen West (R15W).
TRANS, FM
$-_3-b-sop
FM
This i_S__ not
homestead property.
X]B$ (is not)
Exception to warranties: Easements and restrictions of record.
Dated this 6th------------------------ day of -------------------May----------- - ----------------------19.88.
THE FIRS TIONALLBANK OF BALDWIN
---------(SEAL) by ---------(SEAL)
* Doug- W res t
(SEAL) by = EAL)
* * Jon- Mentink, Vice- -resident------
AUTHENTICATION ACKNOWLEDGMENT
Signature (s) STATE OF WISCONSIN
ss.
St. Croix
County.
authenticated this ....----day of 19.----. Personally came before me this At -.__._day of
~Y_--------------_. 19.88. the above named
Douglas--S-•---Wynveen-Vice_ President_ & Jon M.
Mentink, Vice-President
TITLE: MEMBER STATE BAR OF WISCONSIN
authorized by § 706.06, Wis. StatsJ to me k n to be the person S---------- who executed the
y ` j4 foregoi g i trument aid ac owled a the same.
THIS INSTRUMENT WAS DRAFTED BY
"
omas A. McCormack Je I Pederstuen
C S
,
Baldwin, WI 54002 sz J t_' Croix
!"4>... •8}- Notary Public - - - - ---County, Wis.
(Signatures may be authenticated or acknot -11491 ';nth My Commission is permanent. (If not, state expiration
are not necessary.)
4f~~ .':~4. date: wry ti - f-
.
~r . • . ^ MY_ Commission Expires Mar 11. 1990
'Names of persons signing in any capacity should be typed or printed below their signatures.
WARRANTY DEED STATE BAR OF WISCONSIN R•isenasin Legal Iila,,4 C,.. I,,,FORM No. 2 - 1982 dl I nnkc•r wi®.