HomeMy WebLinkAbout016-1017-40-100
y a) ° a°i °o
ti 0 0
v
a a 0 o
0 o i ~
C~
O >
N O
O N
C
C E N
0 C
S N r
0 3
E o
m LL N
CD Y E
c °
Z N v Z
C v,
_ c
U- C N N U. c
O O)'o O
a E E a
m
U
N co
N N
z
LO LL E E
w O O
2 O` p
z r d d ~
° Cl) a m a co
0
c C7 ~
0 z :!t
U
U r N N
a) z a t o
(n I- r y y z
E E
Y ~
Q = Z Z Z Z
N w z
c
j co t0 E O 10 £ N
0)
C
~l a V 4) ` 0) LO y - N
06 LO M - (D 2 (o (o
N °O °ON
a o c % a` L o o a` co
h s, v~ co h E :R - cn co to E o U o 0
F- H
V O O O o a m z o o
• w m o a a n. 3 0a 0a a
a a)
VJ J V N n n ONi OMi
C7 a) am Z rn rn
:300 o ac) t co v p o
c: N M O N _ O O
> co 05
O O } L O O ~ E
f°D 'O d Q ° 'o Q m r
O ° H N O N N O
c 1Op N C 4 N c
O
D L) O 'O
3 N Q)
4 a
° M~ U N m L) C N n. o°) O
'J O C m Q) 7 _N E E Q) CO N
-0 Z -z
• y 0 0 (D r N 2 z Y O 2 z Cn
a, #ti m d a N a
3
0 (M CL ID
E 4) 4)
rr~~
3 o
`~1 A c 0 a O in 00 0
v~ c~
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP
SECTION T31:57 N-R2 ~W
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
s
v Pt
Ilk
~y
i
0
l1 LlZ ~OY OBI tGOa/ ~O/ /U
y INDICATE NORTH ARROW
BENCHMARK:Elevation and description: ,;.11 e
Alternate benchmark `1-
SEPTIC TANK:Manufacturer: Liquid Cap. ~
Rings used:_~L Manhole cover elev:~Final grade ellev:
Tank inlet elev.: O-D Tank outlet elev.:
No. of feet from nearest road : Front , Side, Rear Ft . a-5 z
From nearest prop. line:Front , Side, Rear Ft. a3~
No. of feet from: Well Bf Building:
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
a
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP
SECTION T N-R W
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
Ti >6
e" C. 47/1
7,1
INDICATE NORTH ARROW
BENCHMARK:Elevation and description:
Alternate benchmark
SEPTIC TANK:Manufacturer: Liquid Cap.
Rings used: 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.
No. of feet from: Well , Building:
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
8
IQ.CATI~3N • GLE) TW~Ory 08.30.15 PRIVAf E SEWAG E S 0STE AVE E.
isconsin epartmento In ustry, County:
Labor and Flu n Relations INSPECTION REPORT
Safety. and Buildings, Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION - 171577
Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.:
KLINGER EUGENE T & LINDA M GLENWOOD
v Insp. BM Elev.: BM Description Parcel Tax No.:
CST BM Ele.
2 016-1017- -100
TANK INFORMATION ELEVATION DATA A9200284 ~?O, Z _ 2yK
a-3
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing/ A6,1W O.`/Or /0(
Aeration Bldg. Sewer
Holding St/ Inlet 9a 1 3Q/
'
TANK SETBACK INFORMATION St/ fiK Outlet /0 80
TANKTO P/L WELL BLDG. Vent to ROAD Dt Inlet ~9 f19~
Air Intake U-
Septic' NA Dt Bottom r~, ,O
23`
96 ~
Dosing 7/Q}r 66 !o l / ' NA JMan. SZ ' 2,25
Aeration NA Dist. Pipe z ,30 21
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand ~l oh S, r, ,
S ~o
,Y- A-
Model Number !~~GPM orl ~'o~, 3,SlZ P~' 9,7
TDH Lif " _y Friction 0~' System sr TDH $~~Ft
71761 Loss H 6.12
Dist. To well> &d'
Forcemain Length w' Dia.
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ?S 0 DIMENSIONS
LEACHING Manufacturer:
SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM
INFORMATION Type O ,~l , CHAMBER Model Number:
System: ,jG c~ }~U~ OR UNIT
DISTRIBUTION SYSTEM
}}ender / Manifold , Distribution Pipe(s) r/ x Hole Size x Hole Spacing Vent To Ai'r~I,nnt , e
Length Dia. Length cf Dia. Spacing l~/v
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over ~r Depth Over xx Depth Of f xx Seede /Sod xx~M~u~lched
B~(Trench Center to .?2i}Y Trench Edges /Z - r/9 Topsoil CO es E] No UJ s ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
~'2 ) I Z' 7 C. 2
' G, 7U i _ / lLo-yo
Z, yo
J
~ , -;0' C-6- 1C,
f
Plan revision required? ❑ Yes Q'No /
121
Use other side for additional information.
F/
SBD-6710 (R 05/91) Date Inspector's Signature Cert No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
TIMLHR SANITARY PERMIT APPLICATION COUNTY
In accord with ILHR 83.05, Wis. Adm. Code ry~ / ~o
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than El /i'J
8% x 11 inches in size. c ec f ev n o p wousapplication
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 4SQ,2 -047 613
PROPERTY OWNER PROPERTY LOCATION
4. r a' % S eL' T N, R /,S'To W
PROPERTY NER'S MAILIN ADDR S LOT # BLOCK #
CITY, TATE ZIP CODE PHONE NUMBER Yl SUBDIVISION NAME OR CSM NUMBER
.rzrr Idea d M
1 (7X C2 164~ E] o/
II. TYPE OF BUILDIN : (Check one CITY NEAREST ROAD
❑ State Owned VILLAGE: F: p o L~ 1~,etrr^
❑ Public 1 or 2 Fam. Dwelling-## of bedrooms PA EL TAX NUM ER() f9
'
111. BUILDING USE: (If building type is public, check all that apply) 7 10(670
1 ❑ Apt/Condo co
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
30 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 1130 Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. ❑ New 2.,X Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 511 Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 Mound 30 El Specify Type 41 ❑ Holding Tank
12 El 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 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PEAC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min,/inch) ELEVATION
4/5-0, .5r 1112- > \ Feet Feet
VII. TANK CAPACITY Site Fiber- gallons Total # of Prefab. Exper.
glass App
INFORMATION New xistin Gallons Tanks Manufacturer's Name oncret Con- Steel Plastic
strutted
Tanks Tanks
i _T7 F1
Septic Tank or Holdin Tank
Lift Pump Tank/Si hon Chamber F1 1:1 EL
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumb nature: (No Sta MP/MPRSW No.: Business Phone Number:
n r~A_e 41 7
s Address (Street, City, State, Zi Code):
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater E,:e Issued I'ss ' g Agent Signatur ( Stamps)
4 Approved El Owner Given Initial Surcharge Fee)
Adverse Determination n2L
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 ,
• x
e,
1. A sanitary permit is valid for two (2) years.
2. + Ybur•sanitarylpermit 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: 0646ges in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to instaHation.
5. Onsite sewage systems-musfbe properly-maintaifidd. 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, 608266-3815.
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
whore 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 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- ,
GR10,0 DWATER 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. _ - - ,
e,
SBD-6398 (R.11/88)
PROJECTS ADDRESS .c cciC,/ k'
e~ t/4 t 4/~
S~/T
p N/ /5-1N TOWN y COUNTY
MPFS Byron Bird Jr. 3318 ATE.,(.
BEDROOM '2
CLASS PERC (CONVENTIONAL` IN-GR 0 PRE$ UREA
CONVENTICSNAL LIFT MOUND2~htOLDI G TANK
SEPTIC TANK SIZE _
LIFT TANK SIZE` '
DOSE TANK SIZE HOLDING TANK SIZE
ABSORPTION AREA
PERG RATE ABED SIZE
l Benchmark' V-R.P, Assume Elevation 100'
Location of Benchmarks
H.R.P. <<r-• i
EJ Borehole Q Well jScale
I Feet
0 Perc Hale ,
SXStem Elevation ~22 17
i
r iI
I I
I
44
I i
Ot4cJSFVJ
I ID 14
woo rl
I'I Q~ l a t, ,
I - r I ' I I E5
I
t
r
I
II
I
L
,:a
t ~
r~
~ r. s
" s
r?
`•I t
tir ~1 j~ i.. /
r. 4
fi ' "i
'a "i 1 " , .1
3i
w 7 ~ #Y CMS
'A
r. , YaVtir...iw+cwe., !
* Page Of
Perforated Pipe Detail
t
End View
P,erfo+ad~c~
End Cap
y PVC Pipe
9 « Holes Located On<Sottom;
Are Equally Spaced
R
S
\~`4 VC Force Main
x
PVC
Wi4fold Pipe
ti
Alternate Position of
Distribution
Pipe
Force Main
'Lott Hole Should Be
Next To End Gap
End Cop Distribution Pipe Loyout' P
Ft.
R
S
E
X 4 Inches
YInches
Signed: SYST04 Hole Diameter Xy Inch
Lateral Inch(es)
License Number: anifold Inches
Dated ' orce Mn~ Inches
t An'fUHrio ?e s / P t Pe
D H l
- ~ LABflR AN
tt lIIS11RY D Bjo1LDINGS
OEPAR[tJlEll4'DF
SA~~r't El.
O1S1n tA of evatip0.f f"-Laterals Ft.
pRRESPOND
ENS~
Page Of
t
Straw, Marsh Hay, Or
Synthetic Covering
Distribution Pipe
Medium Sand
Topsoil G
E l
4 3 D
1 `
% Slope
Bed Of 2 Force Main Plowed
Aggregate`'. From Pump,
Layer
D •I~t ,4
Cross Section Of A Mound System Using E~Ft y
A Bed For The Absorption 'Area F1~ Ft.' ~S
G Ft.
Signed: A_ Ft. H 1 S"~ Ft. j
T
B Ft.
License Numb6r: 3 3i`~ K
Date: j 1742 Z -,r oc £ 'tI4 L Ft. , .
--Ft. fig,'
Alternate Position T -Ft.
of _ l
Force Main WFt.-
Observation Pipe--,,,
B K
pv_ Sys
s -
A _ T -
~ ~ Force Main
W c
a gyty HU RElAT10NS
Distribution
L®~ S
PipeQ?AIR""'NT pF.IN S~
DNISIOtV
Aggregate
Observation Pipe I' ~ie
N[~6iers
SE
Plan View. Of Mound.' Using A Bed For The Absorption Area
r (;F
PUMP CHAMBER CROSS SEC710IJ AND SPECIFICATIOkJS PAGF
VEUT CAP
4' C.I. VENT PIPE
WEATHERPROOF APPROVED LOCKIAIG
JUMCTIOAJ BOX MAAIHOLE COVER
25 FROM DOOR,
WINDOW OR FRESH 12"MIU.
AIR INTAKE I
GRADE I
I y" MIAJ.
I
ml U.
COWDUIT
IB"MIN.
~ 111
IAILET PROVIDE I
AIRTIGHT SEAL i I C I ~ 1
* A
pNSITE SEWAGE
ALARM
d ~ 1
*APPROVED I NS
I E
JOINTS WITH Nt1MAN a
ELEV. FT. APPROVED Q 0F i>~lDUSTRY, I.ABOAA
' ILDINGS
3' ONTO p ? Tr~E'NIT-
D OFF
SOLID SOIL DIVISst~ ~
Co _ ~P®N ENCE
RISER EXIT PERMUTED OAJLy IF TANK MANUFACTURER HAS SUCH APPROVAL
SEPTIC E SPECIFI'CATIOUS
DOSE r ~
TAWKS MANUFACTURER'- NUMBER OF DOSE$' PER DAU
TAWK SIZE : GALLOWS DOSE VOLUME •
ALARM MAIJUFACTUKER: L INJCLUDIWG 6ACKFLOW: j~ GALLONS
MODEL IJUMB'EK: CAPACITIES: A= IAICHES OR GALLOAI5
SWITCH TUPE:
INCHES OR 4 en GALLONS
PUMP MANUFACTURER*-: - - G =~IAICHES OR XGALLOWS
MODEL MUMBER: D-INCHES OR GALLOWS
SWITCH TYPE: r l'! `7 c_ .rGr-►~ MOTE: PUMP AWD ALARM ARE TO BE
MIAIIMUM DISCHARGE RATE GPM INSTALLED OW SEPARATE CIRCUITS
VERTICAL DIFFEREAICE BETWEEN PUMP OFF AAJD DISTRIBUTION PIPE.. FEET
+ MII~JI;M~UM METWORK SUPPLY P ESSURE . 2.5 . . FEET
♦ sL=. FEET OF FORCE MAIN) X Y,0
100 FLFRIGTION FACTOR. ' FEET
TOTAL DyWAMIC HEAD FEET
IIJTERIJAL DIMEIJSIOUS OF TAUK: LEKI&TH -.G_.• / d
,WIDTH ;LIQUID DEPTH
SIGNED: 43 7~~
LICEMSE HUMBER. DATE.
r '7
OPTIONAL WORKSHEET
6. MOUND SYSTEM II. IN GROUND PRESSURE SYSTEM-Continued-
1. Wastewater Load, Total Daily Flow= 4 , v gal. 10. Force Main:
Use section H 63.15 (3) (c), Wis. Minimum Dosing Rate = ggpm-
Adm. Code and PROVIDE A DETAILED Diameter = In
LIST OF SIZING ON PLANS. 11. Total Dynamic Head,
2. Depth to Limiting Factor = System Head = ft.
3. Landslope = _ `5 % Vertical Lift = ft.
4. Distance from Dose Chamber to Friction Loss = ft.
Distribution System ft. TDH =1 ft.
5. Elevation Difference Between 12. Pump Selection:
Pump and Distribution System = ft. Pump will discharge at least D' gPm
6. Absorption Area Sizing: . at . total dynamic head. >
Area Required = sq. ft. Pump model and manufacturer: ' e3_e /tlee
Bed or Trench Length (B) = ft.
Bed or Trench Width (A) = ft. 13. Dose Volume:
Trench Spacing (C) = ft. 10 Times Void Volume of
7. Mound Height: Distribution Lines = / a
Fill Depth (D) _ ft. Daily Wastewater Volume
Fill Depth Downslope (E) _ ~ft. 4 Doses in 24 hrs. = gal.
Bed or Trench Depth (F) = ft. Backflow = 11 _ gal.
Cap and Topsoil Depth (G) = fit, Minimum Dose = 1,2a gal.
Cap and Topsoil Depth (H) ft. 14. Dose Chamber:
8. Mound Length: Volume = iSDD gal.
End Slope (K) _ zw'~ AZ ft.
Total Mound Length (L) = ft. III. CONVENTIONAL PRIVATE SEWAGE SYSTEM
9. Mound Width: 1. Wastewater Load, Total Daily Flow = gal.
Upslope Correction Factor = S Use section H 63.15 (3) (c), Wis. •
Upslope Width (j) = ft. Adm. Code and PROVIDE DETAILED
Downslope Correction Factor = LIST OF SIZING ON PLANS.
Downslope Width (1) t. 2. Required Septic Tank Capacity = gal.
Total Mound Width (W) = ft. 3. Percolation Rate = min./in.
10. Basal Area: 9 4. Absorption Area Sizing:
Infiltrative Capacity of Refer to Table 2 in chapter H 63
Natural Soil = -2- gal./sq.ft./day and PROVIDE A DETAILED LIST OF
Basal Area Required = p sq. ft. SIZING ON PLANS.
Basal Area Available = _ZQ sq. ft. Required Area = sq. ft.
11. If Standard Tables from Chapter Length = ft.
H 63 are Used, Indicate Table No. Width = ft.
12. For the Distribution Network, Use Numbers 5-14 in Section II. Number of Trenches =
Trench Spacing = ft.
11. IN-GROUND PRESSURE SYSTEM 5. Distribution System:
1. Depth to Limiting Factor = fj Lateral Length = ft.
2. Landslope = % Number of Laterals=
3. Percolation Rate 7 min./in. Lateral Spacing = in.
4. Proposed System Elevation = - ft. Distance from Sidewall to Pipe = in.
5. Wastewater Load, Total Daily Flow: gal. System Elevation = ft.
Use section H 63.15 (3) (c), Wis.
Adm. Code and PROVIDE A DETAILED IV. SYSTEM-IN-FILL
LIST OF SIZING ON PLANS. Fill in All Items from Section III
Required Septic Tank Capacity = gal.
6. Absorption Area Sizing: V. SEPTIC TANK
Percolation Rate = min./in. 1. Capacity = gal.
Area Required = ~2 Z2- sq. ft. 2. Manufacturer:
System Length = ft. 3. Show Site Constructed Tank Details on Plan
System Width = ft.
7. Distribution Pipe Sizing: VI. DOSING TANK
Hole Size = in. 1. Capacity = gal.
Hole Spacing = fl. 2. Manufacturer:
Lateral Length = p2~It. :3. Pump Manufacturer:
Lateral Size in. 4. Pump Model:
Lateral Spacing ° tom, 5. Operating Head= ft.
Dislance IYont Sidewall•In Pipe 0. Flow Rate= gpnl•
8. Distribution Pipe Discharge Rale: 7. Show Site Constructed Tank Details on Plans
Number of Boles Per Pipe
I low Per Pipe ~Q!?C gent. VII. HOL IJING'I ANK al.
9. Manifold Siz' 1. Capacity = g
f ;.end en 2. Manufacturer:
YI N
Lent,*lh it. 3. Show Site Constructed Tank Details on Plans
Diameter = in.
-SHOW ALL INFORMATION ON PLANS-
DILHR SBD-6761 (R.03/82)
REPORTING LOCATION AND ELEVATION DATA FOR SOIL TESTING
r
r
LEGENn
BM • Benchmark which is the vertical
DRIVE and horizontal reference
Nay point w/
the top of well at assumed eleva-
fWELLE tion of 100.0 feet.
ism
O Soil bore holes (backhoe) .
aAarc,E i HOUSE
Percolation tests.
Suitable soil area.
Sv' 65' ELEVATION DATA
+g I 55
~ PT BS HI FS EL
I P- 10' I / s;zqt--2o' ~R BM 2.5' 102.5' 100.0'
B-1 5.5' 97.0'
1 4% 2
! 24' B-2 5.4' 97.1'
P- 3 T~ B-3 6.0' 96.5'
1 g.3 _ y0
zs/~ PT • Point
BS • Backsight to the reference point
3s' HI • Height of instrument
~joa HI • BS + BM
FS • Foresight to some point
>ao/
EL • Elevation EL • HI - FS
Ron
4-1 Lf MEL-~
S!± f/ RvD
' Rot,
HOu Ss _y 4.0
BH - ReinWrlG~
6RApE ~ ~ SS' REAPINQ
.01 = 1/8 " .26 31/s" .51 = 61/a" .76 = 91,,„
.02 = 1/a" .27 = 31/4" .52 = 61/4" .77 = 91/4"
.03 = ,8" .28 = 3318" .53 = 63/8" .78 = 9%"
.04=1/2" .29=31/2" .54=61/" .79=9 SOIL
CSoR~~ -
.05 = 5r8" 30 = 35/8" 55 = 65/e" 80 = 95/8"
.06 = .31 = 3%" .56 = 63/4" .81 = 93/4" BosTorl ar-
.07 = 2/s" .32 = 3%s" .57 = 6%" .82 = 9%" Sy5tEM
.08 = 1" .33 = 4" .58 = 7" .83 = 10"
.09 = 11/8" .34 = 4118" .59 = 71/8" .84 = 101/a"
.10=11/ .35=41/" .60=71/4" .85=101/4„
.11 = 1%" .36 = 43/8" .61 = 7%" .86 = 103/."
.12 = 1112 .37 = 41/2" .62 = 716" .87 = 101/2"
.13 = 15/8" .38 = 45/." .63 = 75/8" .88 = 105/." Table for converting
.14 = 13/4" .39 = 43/4" .64 = 7%" .89 = 103/"
.15 = 1%s" .40 = 4%e" .65 = 7%s" .90 = 10%"
_ .41 = .66 = .91 = decimal feet to inches.
.16 =
.17=2" .42=5" .67=8" .92=11"
.18=21/s" .43=51/8" .68=81/8" .93=111/8"
.19=21/4" .44=51/" .69=81/" .94=111/
.20 = 23/8" .45 = 53/8" .70 = 8318" .95 = 11%"
.21=2 ' .46=51/2" .71=8w, .96=11112
.22 = 25/a" .47 = 5518" .72 = 8518" .97 = 115/8"
..23=23/" .48=53/4" .73=83/" .98=113/4"
.24 = 27,8" .49_= 5%" .74 = 87/8" .99 = 11%8"
.25=3" 50=6" 75=9" 1.00=12"
cc w
HEADI a LL
CAPACITY 34
32 105-
CURVIEN 30 t00. 1
9S I
26
90
26 95
EFFLUENT 24
MODEL t
and Q 75 MODEL - 199
22 165 - - I
LLJ
DEWATERING
U 20
~ 65'-
Z 1 ° 60
Z
C) 5S
J
FQ- 1° 50 MODEL
O 14 163 MODEL
IS 19s
12 40.
3S
1° MODEL
30 - 137,139 - MODEL
115
SEWAGE and ° 25
DEWATERING 6 20 - MODEL
is - 161
W MODEL
W LL 2 5 53, 55,
57, 59
0
24 GALLONS 10 20 40 s0 60 70 So 90 100 110
s0
-
LITERS 0 s0 160 240 720 400
75
22 FLOW PER MINUTE
70
-
20 as
O 1s 60- - - MODEL
295
W SS
= 16 T
U S6 _
Q 14 45 MODEL- I -
Z 294 ---It
p 12 40- I
Q 3s MODEL - - -
- - ---1' - -
1 _.a 10 293
0 I MODEL
30 ~ 284 - - - -
25 - . . ' +
MODEL - -_i
6 20- - 282 _ _
is I J _ _
10 -MODEL - - - '
4 JOTLtE~4'' O.
2 __267.2658
S
6 3280 Old Millen; Lane
GALLONS 10 20 30 4o SO 60 70 10 90 100 110 120 120 140 iso 190 1y0 110 190 P.O. Box 16347
Louisville, Kentucky 40216
LITERS 0 s0 160 240 320 400 480 560 640 720 (502) 778-2731
FLOW PER MINUTE
Cl)
I F' QUALITY
HEAD/CAPACITY CURVE TOTAL DYNAMIC HEAD FEET/
f_
UJ U_ W METERS
U, Uj
i 30' MODEL 97 CAPACITY GALLONS/LITERS
CAPACIT
HEAD UNITS/Mll
8 FEET METERS GAL Q
25' 5 1.52 57 2
10 3.05 51 1QMPARE
G 15 4.57 43 1
6 20' 20 6.10 27 ':Vortex Imp,
X - F7_ I L_
v Lock Valve 24.5' Float..opera
g mechanical
a Durable ca:
15' switch case
o base and irr
4 parts to rus
Stainless st(
10' handle, gua
assembly.
Bronze unit!
2 UL-listed 3
and plug.
5' 10 ft. standa
15 ft. standa
Automatic rE
protection.
0 it filled mo
US 10 20 30 40 50 60 70 80 90 100 arbon and
GALLONS aximum to
LITERS 0 80 160 240 320 4 ewatering-
30 cycles, 17
amasses % inc
CONSULT FACTORY FOR SPECIAL APPLICATIONS Vo screens t,
P/z" NPT Dis
• High water alarms available. Dn point-9=
• Electrical alternators for duplex systems available with mercury float switches. 3ff point-3'
• Long cords available. Major width-
--13
• Mechanical alternators available for duplex systems. -13".
• Over 1300F. - 540C. special quotation required. MPLEX A
• Variable level long cycle systems available. STEMS .
Zoeller Co. can provide complete packaged systems or combination of components 1CKAGEE
including controls, pumps, polyethylene and fiberglass basins.
IAILABLE
SINGLE PHASE UNITS FRIABLE
Cast Iron Model Ph H. P, Volts Amps Wt. 'STEMS
M97 Automatic 1 .5 115 12.6 33 lbs.
D97 Automatic 1 .5 230 6.3 33 1 bs.
N97 Non-Automatic 1 .5 115 12.6 33 lbs.
E97 Non-Automatic 1 .5 230 6.3 33 lbs.
RESERVE POWERED DESIGN 3280 0/d
For unusual conditions a reserve safety factor is an engineered/design part of every Zoeller pump. P0. E
Louisville, ,
(502)
3280 Old Millers Lane Manufacturers of .
O`/ / C Zff., ILoul Box 16347 aville, Z `L L ` (502) 778-2731 Kentucky 40216 QUAUTY PUMPS ~We' ~~9 10"~
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY-, DIVISION
LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969
HUMAN RELATIONS
N WI 5370
(H63.090) & Chapter 145.045)
LOCATION: SECTION: OWNSHIP NICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
/T yo N/R/aE
COUNTY: OWN 'S UYER'S NAME: MAILING ADDRESS:
USE DATES OBSERVATIONS M E (p (7
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ER ATION TESTS:
Residence ❑New .Replace
D -:&Z I
1 1 -7-- 1Z
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED S EM:(optional)
❑sOu 50s❑u ❑s[Ou ❑stVu ❑s2u
If Percolation Tests are NOT re uired DESIGN RATE:
Q If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: 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. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- 17
B 17
B-
B-
B-
J"c a PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD 3 PER INCH
O I
P-
P_ p I/ 3- S
P_
P-_
P-
P-
---Pt$T 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.
SY TEM ELEVATION
i
_ t
3
36 ~
11R, 7
E
. W..e.,..._ . n. y3
3
A ® 'ok.4_~c
/pp
/6 Or/) /9-
1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print)' / TESTS WERE COMPLETED ON:
eh /
ADDRESS- CERTIFICATION N MB R: PHONE NUMBER (optional):
.Qr moo .3y 7 f,
CST SIGN TURE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
')ILHR-SBD-6395 (R. 02/82) - OVER -
• a
INSTRUCTIONS FOR COMPLETING FORM 115 - SBD -
To be a complete and accurate soil test, your report must include:
1. Complete legal description;
2. The use section must clearly indicate whether this is a residence or commercial project;
1 MAXIMUM it her of bedrooms or commercial use planned;
4. Is this a ne- r placement system;
5. Complete ility rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL
OTHER S RE RULED Ol 3ASED ON SOIL CONDITIONS;
0. PLEASE r ~i<tions shot for writing profile descriptions and completing the plot plan;
7. MAKE A ! L diagram accura locating your test locations. Drawing to scale is preferred. A
separate si be used if desired;
& Make sure , imark and vertical elevation point are clearly shown, and are permanent;
0. Complete late boxes as to dates, names, add flood plain data, percolation test exemp-
tic 1, if
10, flood piai•, does not apply, place N,A. in the appropriate box;
11 .i,rur currer d your certification number;
1^ CO distribute _rired. ALL SOIL TESTS MUST BE FILED WITH THE
--60RITY hr1ITHIN 30 DAYS OF COMPLETION.
AE. _ JIATIONS FOR CERTIFIED SOIL TESTERS
Soil Sepia ;.tes and Textures Other S• mbols
st -over 10") BR
cola C (3 - 10") SS
gr r = (under 3") LS -
s - & HGW - C~rccs id Pere - alati •
meet s - ind tr'lr
f, PS nd Bldg - F 'Iding
Is - rry Sand > - C1
"sl !y Loam < L,
_
u.l n Sri -
sil - L -arm BI
si - Gy - Gs
Y Y
R - R I
I - y l mot - N les
y Clay Wv - vvith
sic; - C'ay fff f
cc -
~t rem
P
HWL I- eves,
soil --tierces Fter
disposal BM cap
VRP i' Reference Point
TO THE OWNER:
r is `ie,.' . a in . sari' iry y or tyre a aar y r 1 .r
be su'I(
b= bt rii. posted orior to #
NDUS DEPARTME. NT O~ REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTR~t, DIVISION
WOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 76
HUMAN RELATIONS
HUMAN
N WI 53707
(H63.090) & Chapter 145.045)
LOCATION: SECTION: OWNSHIP NICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME:
/T ;o N/R/Li4 /ten
COUNTY; OWNfp'S UYER'S NAME: MAILING ADDRESS:
5fi G►ror u~, I /6 D L9)'Cn ~vo-~G; F ~i/ SYv
USE DATES OBSERVATIONS M E
NO. BEDRMS.: COMMERCIAL DESCR PTIOr~ RO 10 T STS
:
Residence _ ❑New ,loneplace Q `
F5
RATING: S= Site suitable for system U= Site unsuitable for system
CONVE _N
STIONAL: MOUND: JIc SYSTEM-IN-FILLHOLDIINGTANK:RECOMMENDEDS EM:(optional)
D®~ S[]U ❑S
D S [~U D S ~ _
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: G ! CL r7~ Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION gSERVED EST. HIGH TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK,)
B- c►~ ~j.., 5' ~Q/~ ~S-/,7~j-.fir 3• /j'~e" 6 S
7
B-
B-
6-
f=et~ PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD3 PER INCH
P- O
P- O I/ S f'
P- y q
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,
SY TEM ELEVATION Z, c~ c''~"~~ e ~ ~~k err
I i t
i
~ ( I 1
-
,
:
-
4r►. ' - O
b-a
(7 i
Y.. ~p♦r 04~`c- .-i
W&V
_ 1
j
' t1
1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
I
NAME (print)' TESTS WERE COMPLETED ON:
ADDRESS' I CERTIFICATIO~7_ 11 _7 - 119112
N N MB R: PHONE NUMBER (optional):
B .Qr KJI o0 3 / 5 +2~ J
CST SIGN TURE: r
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) -OVER S92-20703
-
STC - loo
This application form is to be completed in full and si, ned
the owner(s) of the property being developed, An inadequacies
will only result in delays of the permit issuance. Should this
development be intended for resale by owner/contractor,(spec
house), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed-recording----------
Owner of property `
Location of propertyi' 0-1/4 _:2~ 1/4, Section
~ TAN-R W
Township
Hailing address AL S A t-)
liV T Gl
Address of site
Subdivision name
Lot no.
Other homes on property?
yes No
Previous owner of property ~I
Total size of parcel
X ~fOo
Date parcel was created
Are all corners and lot lines identifiable?
=~_Yes No
Is this property being developed for (spec house)?_YA3 ;;~No
Volume
And Page Number _ ~o as recorded. with the Re
of Deeds. gister
114CLUDE WITII THIS APPLICATION THE FOLLOWING:
A WARRAIITY DEED which includes a DOCUMENT NUMER, VOLUME AND PAGE,
NUMBER & THE SEAL OF THE R,CGISTI R 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( the property described in this information form, by virtue sofoa
warranty deed recorded in the office of the count
Deeds as Document no. L~ 7-2Z Y Register of
own the proposed site for the sewage di p salt system or I (we)
obtained an easement, to run the above described ( ) presently
the construction of said system, and the same hasopbeen duly
recorded in the office of County Register of deeds as Document
No.~
4ihh:~aature o fa 1 c
Co-appl cant
mar
Date of Signature
Date of Signature
i
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER ct Q e
i er
ADDRESS: 6~ - lp FIRE NO: c~ 6 P)
LOCATION: " f~t~ 1/4, 1/4, SEC.
N-R / ri W,
TOWN OF: y- .p yl Gcl d ST. • CROIX COUNTY
SUBDIVISION: _
LOT NO.
Improper use and maintenance of your septic system could result
in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or
sooner, if needed, by a licensed septic tank pumper. What you
put into the system can affect the function of the septic tank as
a treatment stage in the waste disposal system:
St. Croix County residents may be eligible to receive a grant to
help with the cost of the 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 the St.
Zoning a certification form, signed by the owner and Croix County
by a master
plumber, journeyman. plumber, restricted plumber or a licensed
pumper verifying that (1) the on-site wastewater disposal system
is in.,proper operating 'condition and (2) after inspection and
pump,i-fig.. (if necessary) , the septic -tank Iis -less than 1/3 full of
sludge-_---and 'scum. Certification firom_ will be sent approximately
30 days prior to three.`year expiration.
I/WE, the undersigned have read the above requirements >an"d agree
to maintain the private sewage disposal,system•in accordance with
th.e 'standards set forth, herein, as set by the Wisconsin DNR.
Certification form must be, completed and -returned to the St:
Croix County- Zoning Officer within 30. days of the three year
expiration date.
SIGNED:
L .
DATE
St. Croix County Zoning Office
911 4th St. _
Hudson, WI 54016
.
FWP.
ICU
ww.raua -t. lap
"'T4.min
114. ,
.J Ora..Awband and. !rife as sarrira~rrrbip aatital
n n. Ri, LMt ,Q
P. 0. not
St. Croix Couat~. Olem ood 1*0
iin tope+riett d6eeri rsal ertaM in .
41 -1; -11 0
~e of N►iesnlsie : -
Tex Petal ANN:.......
?he South 600 feet of the Meat 800 feet of the
Se.'*Awest Quarter (SW 1/1.) of the Southeast
r QmUbter (S)r 1/4) of Section Eight (8)t Township
Thirty (30) Worth$ Range Fifteen (15) Meet. Y
~i
This is not hnmrstcud pn'prrt~ %C."
dw lie not)
F r5tteeption to warranties: Subject to easements snd rights of way of reCordy 1.
municipal and county zoning ordinances.
116ted this day o' t9
r t - ~ti
lsr:AI, ~1nGlLri'm 1 V, fi. ~t4, ~8~
Marcia H. Perry
Ito-
AUTHRUTICATION ACKNOWLRNDOML)EN'l< 'z
'1 f4 f~, t r r , r STATV OF WISCONSIN
t NriRat~ra(s►
aotlb ~bd this Asa of i'.rronuli> came before tpe this
the ANtw",
T t. Ntt~ATATR BAR OF
t1'I!~r rt\1~X
r • ~ K sat...
anti, atd Or 1 706A6. Qua. slat*,) to n1P t n ,u 'n In he 01 4- rNt wrho
rorrvtwLc' tnrtrumpnt :.tttl Y+•knowk•do the tea:.
1` - [•s.g riYSrMUr✓t MT was 01140 to PY 5...
,Fruicis X. R>~va~d A~
Glenwood Cityf WI 5401? <
Notts. , Public
lAiRnaturvo may he ruthentleatod or sricn.mt~ri: ~d. lir+th r'' [r;mi•.unn pt-rmanent. I If 16
R st1t1 not ttrce1mary.1 dntr
. IR_i E_~,yu~r
r. ~16Mr.t M~r..+ ++ewl.f t..PS et o..-+ty 4"04 1- UP-4 1-o" ►•6 01.0 New.
r.. ~L
r -
k ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
,R ST. CROIX COUNTY COURTHOUSE
f 911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
July 13, 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 property being purchased by Tim
Klinger, located in the SW 1/4 of the SE 1/4 of Sec. 8, T30N-R15W,
Town of Glenwood, St. Croix County has been conducted with the
assistance of Byron Bird Jr., CST #3479.
This onsite revealed suitable soils to a depth of 17" which meets
the A+4" rule for a mound with 19" of sand fill.
Should you have any questions, please feel free to contact this
office.
er~ly,
mes K. Thompson
Assistant Zoning Administrator
cj
I
C
w
livilit Business Co.
A • B • C Complete Sewer Services
KNAPP, WISCONSIN 54749 MENOMONIE, WISCONSIN 54751
Phone: 665-2112 Phone: 235-1666
y%OSJaP+E
a-3
ow r+ARJE
~v post o
~ ~ fjc~ t'f/wC
3a
QQ41 t i
I
&oxko
s/r,iNpnQ `Toordstlrp 1
C1 M J
mrr.~ 'o
p~xC CL
N G!
>m0 Ct
N~ ~ ~ N O
~ C
LA or ~ C
> v
IQ ~
W Y= O
A
CJ a A E ~ r. C
~ a
t c n w O L
o Q.
N a W N C
Gl
V1 LL C
v ~ O
~ > N m
L V + a
A j
cr. ~n g ~
v
m
& C o a
LU O N ; r C
y C C1
N
.c E
1 N
Z IV 0
O p i0 N O W N
l~ C
N R
p, C E aEi aE, ° p
? N N N
w+r ~ V W N vT1
LAN N
4# -c
CC N 17
Q r j N
1 4.0
O to
V1 c 1 d
o , W f-
L
:o u 41
N N
` O C + C
v o ,-V o a
m o u V1
Q N N
1 n U
v \ x 3
H
AA L.
V
V C GJ a
C C rp C
C
O O :33
a~i a, p
d ~p
o~E o
W:) y y a aai c A 41 Q'
p2 E N p v c
CIO
1~ 2 Q p C tN, LL Z
C m a`, y io O O t C m
N~ o o o ,o = - Q E m
~J V V V J O J N
ov;
l
Dry
4- S
o O
,~o u
? M O O
CON M
d N
9mp%A CL
va- v c O
t% d G
>
q ~
N
q c W~? ` = C
g a c to v, Z 'i
y ~ O
g. O
t
{n a LL tO 1~ Q
4J '0 ~ _a
Fa-
C1 a p ~'1
ILL c .S
N > N m
M o o+
s..
A a
N c
O. c
4w M
kA 'D
d 12
vl
0 Q > 0
c v
M n1
C c a+ c a
W 0 a, 3
All 2!. CZJ _ V C
Z cc a
40 NO
-C .6 c O
N
V% N N
0 N c ~ -i L7 C I++aO
E E O
d O w E 'd' " V ~
M N N
V W N v+ ` ,
V a `!t
an
V1 M :3
a- N
J O #1~
-g
0 O C
Q
W 1'-
0 `
d ` IA O W
4O U p
t c a, ~ c
M Z O V N
Vf
Q a ~ N V
v
x j
F
v
s C t C
O C ~ Al
c m O
4) W
~ Cr- 0 -*.d 1 Q
a
ixE
Q= w a. C 1 1 Q O
E v N O cc li v c
N C Z Q a ti Z
C N ~ O ~ C1
I p E > 01 N f' ` C M
3J V V v° 0 = Q O J co
4
O
•N ~ N
~u
a
Q c C',
:Sal
_c~ cn
co r~ /a
a
ct \
mo N N
a~c~ Y o
A > v N
W
y W Y=
5
m
Z
GJ 41 a to a C
C n ai O O
a
N o LL N kn V
C 0 `
ell?
a O
N C
7 r ,
v O t,f
d► > N CID
O ai
m u A a
CL Z • 3 C N
F- °J n p
OC kA ° t7 a, ac
0 Q a o
Q. c
c
LU D $ o v Cr
c
E .411
0 A N N
ow 41
E E O
1 N C
a 0 v E N N U
7 N
/ U W VT/ N {
ii
L. N
7
vi VQ
W jan V)
J O
0 rip ~
4A ° I a,
O o~
_a 1 3
y.. u F-
O w
_ VI O ~
O
O u°
V1 N
N r
v z O l0J ~
m
a U
x
m
IF-
_O
N 0
c~ 01
p.2 c
Em O
E y
t'' C y 0
N 7 y n N O N /~p O Q
c v`
p rr v o
O = K-)
N C P Z Q p C 1 - Z
0O i1+ as A O O N C m°
N.Q YO J W t+ 00
~ 7 O O Q O
U V JO _ H
L
c
O M N \-Q y~
sv~
.42 n c 0 Q y 1 1
N o a
c m oU
v LA I
:30 % (aa
o2f x ~ a• `
u+ N
.-p O
~
0
tp o A
v, a
~ ra IV c
t <D
v
ar c p
t a o n O t
0 0 a
N CL H
m G~
C
I
l O V
CL
0. ~A
ct-
0~C ~ ~O ~ o oc
O Q a ~
IL = o A
W 0 C
v
-Z~ T
CC ~ Z
Q
14' o '7A E EEV
0 a c
U T T
W
U N N ~
V
V, m q
W j ~n
= C N l7
O m
m
D
A X ~
w "y y r
a 0 c
d
~0 N u
c C
0 L)
V F-
V A
CL
o
z
c a a
v
4l
y-c c
c
o•- v
~m O O t
4v
E °C ` M Q
aE o ~u o
O C 12" - v ci ro
up :3 SL 15 a
•N C Z Q p C c 41 LL Z
O 'O ~O-, C
v U v_ 0 ' 0 O
c I
0
•N d1N
C
p ^ O ~ p v~ V~
cn (1 I J (7
~rnI
CON
a L
N a
4 N0_ C t
4a- O
C N
LA0: o
~a c
q > y V
T a
a W ~C O
Y C
~ S` ~ ~ E Gr a
a a 0 o
N a g O t
A N C.
a
= p L
• ~ LL C
3 _ 1
° V
N m
0 W
L V \ N d
C N
4441 C
1^ \ a 0
O Q a l7 c p®
W
C1
L O N V1
O ° a $ l7 ~
C A
0 E o
? a v v
N ~ V W N N
Li 1
at
L/1 R
41
Q 2
..1 O g v, l7
O m
V p
.o\ "y J
J `
~
4J ~ y a
' d L
O
o a
o
N N V N
to
W C - ✓ C
T, 0
v O V y~
Q O x ~ u
x ~
3 4(
41
"d r-
C C CS
C_
°M _
E oac
c N a
-C m
QE a E~ g
a „ off, a a c a ra ! o
am: c -p m -0 aL v o
c 0,4
0 ILO a a 0
in C M
c
.N0
~N
> w- C ~
p ^ O ~0 ~ VJ ~
c M I O~ V
.c Q.,
(A V
a
ca x
i,° w, c t
4- o N o
v,a::> N co c
> v m
a
W w
O
a o a O O C
N a LL Q.
c JJ
N LL
CJ y c O
> co
m V` N
> C V1
CL .,p 0 41 C4_,
C
O Q W V' c
W 0 3 v N
cc c y C 1 C
Z E C~
J Q N
p~-, 0 ? E E V
_ N ; N
N r V W Vn vi '
Li L
&A j N
W ~ ? ri
~ :
.J O v+ l7
N c o
• C A y ~ H
L.
_o
N U
° ° 0
O N _ 1 R
m cj~ z 3 v u0 O'
N
Q fl ° N
v x
z 0
U
C N
C N
0.2 c
HE=3 Q `V
°C t' C QE G
~llj 03: E \r w
C v uj N) FE ti vi O
0 3~ z
OvO Q N N C m°
~n F O c ai ' . O y i, rn
? > > p O "C
J' ' V V V = Q O J tmn
„
Ability Business Co.
A ' B • C Complete Sewer Services
KNAPP, WISCONSIN 54749 MENOMONIE, WISCONSIN 54751
Phone: 665-2112 Phone: 235-1666
y7oS/oP~E
$`3
cam--- ~
Bf'N ors MAA/E
1
s feo PAC 0
f
~ ~jc,s`r~wc
3
gg~~~ ' O
`-F Cb
i
Y, 600
6/6,10000 -°gWn7SHIP + ? "
o d f o f ! c d o
' o " 3 3 ~1
:t
w S= 3 Z y z ° Z 2 N Z N CD °
0 ,~1 •
m O N O= O N y p co
N(D O ~yl
..a D. CD N CD C1 N m 0
j N C A CD V fD is O o ►'~f
CD CD :3 CD OD :3
o V AlA1
CL 00 c '04
CAD A fD O D O O
I CD CD C M j N A CD
3 a o
CL °
CD
cn y U) 0 o
cn (n ~ U) 0 o o ~y
p m rn (D N
U) D cn D 4 0
CD Cp CD y C. (d y y C.
CD CD CD
C C1 = 0 0 Fr CL C o 0
iv 3 p a, D O m i cD
CD CD CD (4 " =
C) r
0) 4h- CD CD
CD o r-
y W N W o CEO f-4D 7 3 o c
7
o T M
°a a o X000 °a
o ~00 n ry~
U) -u
i o o a cn CO) co 3 CO) vi (A m til
to - W~5 ~S
cr vvv ?cr vvv?j y
0) 0) o - v obi m y + sx+
7 CD R. CD Cep = 0 O cr
C- fu
N 3 d (D
O ~ 0~1 W
I n (D w CD y
z N
D D o D D o O
d O O
o CD a CD m
CD CD l~l
I 3 I 3
Z CD CD -i N
I ° ~ I ' A ? eo
v A z o
C/) w co
ao ao ~
(D (D °
`D c z
c c r*
I B I 3 m~
y ~ y Z ~
-`°p CD ,A
I w ~ I N ~
a 3
CD 0
3 4 a
a ' o
7
I v ~ I y fl? ~
I o a o c
N CD O N
I y I ~_v
m 3
g oo fi
I CD
a
(0o
- O
0 m
I I m
N
CL O
o CT
A
I o o b
fD CD
69 O 69 0
o (D ° y
CD (D
° L ° CL ti
GLE
NWOOD T 30 N.-R. 15 W 4
< T S • SEE PAGE 61 IL 1 L
L¢w.-acc James I/e.vi d ~a/d • FN. Nare/
■ Gz Sc H.// aa~ i 7 96 k • PQ a S dae~
tl 2 p 1 s7 _ i 9z /03 Nc ma s ~ 1 h • ,j 'P z 9B t ,s
D V h~ Don c man e N Pitt4 .~~A e/fma~ z
y, C p .Posenber, Sf/Y U h • n Emm \ \ \ Qcha/rL Ze r1/,k ~
V o ~ ~ N.tche 8
.Qap K s Bo e ~ .,¢o /s~ C.Jp a C ~ \ p Kenneth S"
ee~-
~ 4 S 3 4 N S 'h V~ .3• 4 S\ 3 4 S 34 S b
S
J .P°bccf P S 4Leo d h\ 0 \0 X49 4 ° sB4
K
\ B Eahe.- _ 4/ G p .7.
B : • 0 8 7L /7. 9 L b7V \ l0 9 7 So 9 8 7 q 7
FE ° "
4 9yd/es '°ss C U 00 L/N •~s o • JO~YNS C
/yQ°yie^ F~C1~lcis GY% c4o • ce v 9 cs yes/ J 9 2z7 ~Q 9 9 R,
/z3 ~5'ch9 ~.~sco e~f a • /%/eta ~z~s o~ U~A /9,9he ZG~ .C°99he g`i eaic
w .Doan • osc%,E ~S/17e,F .De%/r ~ ~Po e~
tl \ p 9 4o e~ F~On-E Edo✓ C 80 .~o Q- </r/ate
\ ~~\1 ~y ~ h .schu V ,Y o /ZB ate. James • ~ ~1
\ U \ Michael 4 ~7e/' /~ou~i./s h C e s'Lo~~o.~ ,Po / d Sfo.~,ybu
® Sharon • n p 9.~ • .Pons
~C soo 457 /moo p C `8 \ cdv .Tohn on
~y, Wacne~ . ~l p es U q /s-z s5~ 8o V
MDon /3o Te ~72rse FG/ads ~\Ctly /"zp 60 ~ v A ~ '
97 ~ u ~ • 80 v V ~ 0 d r/¢ es C Q) /s4 U\ p p 9ndei-.roc.
Levna e,o ~ W y Ca n ~ ~ Ed c 3 p !s%%/•a.~7 Lev ~ e/a/
9~or~ lie R v 1Q o ems .i v /ffi ,ems : yo~s X e c \ /60
> J do • 7Rs /i7
so l~~/i co L a . w~ Herba~Yf/o; P3~ oM.Qc Leon4 EJ 2
6'osse~s '38 d~ Rose Lu,Fcs ~m• V\~'~' /e- brc• so U
ehz/ F~ ~ v tlp~ Edwa.,~ sNa ttc v C U ~a ~ `o" c o°% ~Jf /e 3s G` /9a .n J
EOmeF¢i-o/d J ~ n y Obc.rnue/%c 5 `Q. //o ~ . • 'Q
p r me u~ `i /Gf w . Loc/ia A
z¢o • ~ltl ~1rfj d h.. Sto~~'oc r- fKafh. Sa//,yy Moa
EI2AL
7E.. ,j? ~.C e/i /79a ~ 0 / ~ `C • ~ ~ ~ • loo ~sB a /kc .C7uehn :a
drTOIV v I~ . 90 ~ ~ ~ `H C q • `mil c`s>< sd : 5 99s o v ~ pni ~ ~ ~ Eve y
C ~ \ l~` C /,zo f /c,E vo o ~ d h ~~~1 V e"->-o mete so fo 2
s3/ 3a~^ c7~ nE. s /aa ~a~ qUa Robes 0•~3 be/ /lo 47
'Mu 80 0~ s/ro
W Fr°"ci`' j v/7 tl Leonard ~ Edw~ /,/o/%%.- ~P~6e N
h Sche/9 floe ~ ~ CD f Pau/a_ BO C'!! /sow ~ • oy~-/ov 9~ •
67 8 r. ^ y V fo~ae 80 • loo%~ c /"le/r.~ 7s ~f'o 6e~f s
.Berno d F'C ^ tl X30 l Coro~f~¢il ~gEd /9ss 8 F eQ
~o.-~ ^S Q Q~13'~. . (o\~ U ~0 9~decso.~ . Kalnisr~ ' <~fo offn /9s
44
~8~ .Pobecf / ~ B ~sean v ~ C T 9e~ ~ tl oW • U
ccna O tom ~ ~ Edw. f a.••uu,, o,Fe ~ l
esf • /ese tl Moe. /P.~ ~ U ~ y ~ Ci • /F.~ ~ \
go
waj Fan ci.s E h C °~~0 a • W • y~ o• TIFFP~/qo twgo,Ee A
70
i~u~ F Otlh `~Q: v .h\ a OCh n /a~~o~5
tlt N'9 /ssefux 'Q ~0 U 'C N by R u N p ~1 Q \ Q n Low ¢ine 9 Lo dYo~a~,cC
~~ftl V Q ~Y`M H ~vV 9cdc sow
E ~esf . ;V./f • ~ a ~l C ~Se~ ,7 4
v ~ V ~ ~f'eh ebe Casse% • • v ~ ¢mes ~
a By /us o 6Z//mr .5 is/cnscq _ u\ owe
C ~ /moo ~d
•tl~ bob Iv.e V~ Ha3 e/ 6/%3 • ~~54: a
t`~~ 80 da bee/ 9o eb/h/ • fo Wm. //oPm
\4 Jr9
n^
f cce • t • •2rv. s ,D°./aJd G -14117
Jeanne • 6 Ko P~ l/z//ea aTo.>- Mate/ Zo Ju/.'e • Uh N • h
h/o re/ Da.7o%' ud 9c s~~ /yoe ~F~' C a OWNING
~o monde 3y 4'9 ~o F eb~~ Ai Cu /x Jc /o
61>e/was
.Pay f 9nne Tfi'om o~ . V ° 0 4~ F7/6 f ~ Lo is /20 ~¢as. s• •Dav,d Maw/n ~ • U N 4 yB/e
f `0 ^ • Boof-/j C cfis Boofh,
~fiom a %s ro p I "B oIi/ Can f Gai/ Dads o
~1 zoo .F-ro~• Wo/d lie Tei en o o /,3- Gg ,T
z ~ ~ o + Q 6o e/d .9/,ZO 8 q etux
La.cence ~aF GaBooth 7/ E A Q yoovv d er p• • PY6e R€ 40 36 u.@~h
C • m <S'i7ec~ n p • C F q
4 A66,e a ibp Bo /zo /2/ • v tl ~ln Q /O/ \ C Crosb~r Bo 0 0
D Hau9ec p p 3 .h v~uaS /l%tvi7 .Zlocavan 0 ~ /28 •vane ~ ~
z1a a l~ o C3 /9o t s• •13rve.-/y • Q < r 9 6 v Qobe t dm~r CC W
• • DD BO ..Pehwa/df p _ So r son ~1~ Ccosb Bo 40 ~/o u
®/971 tic F~oro P ao 9o v
e1/97¢ SEE PAGE 37
GLENWOOD '
Lundeen LEON LEE S
CITY AUTO CO. Frame & BENSCHOT DRUG STORE
INSURANCE
. : 9 Body Shop AGENCY Glenwood City, Wisconsin
INSURANCE & LOANS Congratulations to
PHONE: 265-4877 GLENWOOD CITY the 4-H
GLENWOOD CITY 54013 PHONE: 265-4080 Program
WISCONSIN GLENWOOD CITY 54013
AS BUILT SANITARY SYSTEM REPORT
=INER /06.10%A ~~R eQ Y , TOWNSHIP4'4e4yA,.o,0~EC. T30 N, R ~W
.0. ADDRESS_" 2,. , ST. CROIX COUNTY, WISCONSIN.
to L Jv Joe0
-,UBDIVISION,, LOT LOT SIZE
PLAN VIEW
.Distances & dimensions to meet requirements of H62.20
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
t .
i
17✓1 64 N
ZWYA'
TANK
(S)MFGR• a'v1 CONCRETE STEEL
NO. of rings on cover _ Depth DRY WELL
.ENCHES NO. of width length area
:D no. of lines width length area
depth to top of pipe
3GREGATE
1RK RATE AREA REQUIRED AREA AS BUILT
`.sclaimer: The inspection of this system by St. Croix County does not imply complete
mpliance with State Administrative Codes. There are other areas that it is not possible
y inspect at this point of construction. St. Croix County assumes no liability for
-stem operation. However, if failure is noted the County will make every effort to
termine cause of failure.
.:EASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM.
~TNSPECTOR
DATED -70 PLUMBER ON JOB
LICENSE NUMBER ~-f 49
REPORTiOF-INSPECTION INDIVIDUAL SEWAGE SYSTEM
San.itany Penmi t°7e ~
State Septic ~
NAME rownahip St. Cno.ix County
Location S CC; Section
SEPTIC TANK
Size gattond. Numbers o6 Compan.tments j
D.iatanee Fnom: Wett 12% on greaten Mope 6t
Buitd.ing 4t. Wettand.6 ~ .
H.ighwazen _ it.
DISPOSAL SYSTEM
D.iatanee Fnom: Wett it. .12% on greaten ztope it.
Bu.itd.ing St. wettand.6 Ft.
• H.ighwaten it.
FIELD DIMENSIONS:
Width o6 tneneh it. Depth o6 rock below t.ite in.
Length o6 each tine it. Depth o6 rock oven Cite .in.
Number o6 tine.6 Depth o6 tite below grade .in.
Totat .length o6 t inezs it. S.2o pe o j tneneh in pen 100 it.
Distance between tine6 it. Depth to bedrock it.
Totat ab.6 onbt.ion area 6t2 Depth to gnoundwaten it.
Requined area it 2 Type a6 Coven: Pape & on Straw
•
PIT DIMENSIONS:
1 '
Number o6 pit.6 Gnavet anaund p.it.6yed no
Out,6 ide d.iameten it. Depth below .inlet ~ .
2
Totat abz onbt.ion area it A
Area nequtned it2
INSPECTED BY TITLE
APPROVED , DATE 197.
REJECTED , DATE 197.
1
EH, 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
LOCATION: ..~L~✓'/4, Section -L, T-20N, R4r OW W, Township or°A (5:/ 6?& ~a e
Lot No. , Block No. County
Subdivision Name ~I
Owner's Name: S~ RO i X
~ A R C A R
n ~
Mailing Address: a IN k.".0 Og~
TYPE OF OCCUPANCY: Residence X No. of Bedrooms off- Other
EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT
DATES OBSERVATIONS MADE: SOIL BORINGS 7_4_Z2 PERCOLATION TESTS ,2"'~~~
SOIL MAP SHEET SOIL TYPE A ND R AIALR
PERCOLATION TESTS
TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE
NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL
BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 MIN/IN
PI J, J_
R e e, Ala 201 Ire
P 0 p si .~i ~6
P i~r s a 30 q6
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
z 72, No ;2 y „s1- S- e / „S
B_ 3 a y j" 4,
.31''x, ~o "sue
72 No ;,s11 ~4 "c ''se
e,, "se,
6 7 ,,s e
PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.)
Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area
needed for building type and occupancy. Indicate scale
or distances. Give horizontal and vertical reference points. Indicate slope.
T
8N
• 1 N
2
e
v
s ~e I
.o
N R µ
1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures
and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct
to the best of my knowledge and belief.
Name (print) 6/' 4/_/e® s^°~ A Certification No.
Address 1 -G~• ti W O ®d L' f fV ~J
Name of installer if known C'#~ le,
COPY A- LOCAL AUTHORITY CST Signature
State and County State Permit # 10
PLB67 Permit Application County Permit #
T-
for Private Domestic Sewage Systems County
n
*DENOTES STATE APPROVAL REQUIRED /
Date Approval Received from State if Required / State Plan I.D. # ~~r Q 3 44
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION: -5'AV Section , T ,7,V N, R Z:f JMr1 Lot# Citv
Subdivision Name, nearest road, lake or landmark Blk# Village
Township ~r~G/Y4~Daot'
C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance
Single family _X Duplex No. of Bedrooms ~21 No. of Persons a
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder X YES NO # of Bathrooms
Automatic Washer X YES NO Other (specify)
E. SEPTIC TANK CAPACITY Total gallons No. of tanks
*Holding tank capacity. X 124`0 Total gallons No. of tanks New Installation -Addition _ Replacement Prefab Concrete X
*Poured in Place Steel Other (specify)
F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) rO 2)96 3) Y'_Total Absorb Area- sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width Depth Tile Depth No. of Lines
Seepage Pit: Inside diameter Liquid Depth Tile Size
Percent slope of land Distance from critical slope p0
I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20,
Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
by the Certifi So' Tester,
NAME y C.S.T. # and other information
obtained from (owner/builder).
Plumber's Signature MP/MPRSW# Phone
Plumber's Address
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
H62.20, including well).
o~~L NoLd~;~~t~NK
! 7s
I's. kz<L
Do Not Write in Spa cg Below FOR DEPARTMENT USE ONLY C
Date of Application Fees Paid: State 6'CJ Count - ~ Dyte 1 ? --7
Permit Issued/11 ed (date) E) -7q.-issuing Agent Name E/~ c p~✓
Inspection YesNo Valid# Date Recd 07
1. county (wh' a copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy) Revised Date 6/1/76
4` r A,~t~ ~ 'i '~i. r ~ ~ 1'." ~ 5, ~ r c~5 0.' ~ 3" q y' s3' -
1 A`7 11 "y
_ ~ n ~ rc `+e0. y F
""55 SS Wyk
1
t -Awl'
4ik
F
F (f V i R tl ~ R' 1 r4r, ~ « yy t u .i
IOU
4+~'~ a ~ - € 4P,,. T`6 ~ .i "I1~bM - 4 ~ 'C ~~1+ ~ L'k i ~ t,S, 1 ~c~ i •'C t~7 ,J, ~r o ~ C1 ,}..,a r~S ~ ty~
,1~~
aR
4k ~t
~ y,* ~ h "Sr r .t~'~. ~ n,,'~, r~ c;.: `ra '~i R y ~4;+ `,'f~t,'~~,b~',~,ts"~
-P 'At
40** ter,' T F l t C t<r L ~t =jam s
:c t 4 ~ ~~{{r r~ d:r y. .,4 1 ,?•v D^`}'k~ ~ X a ~-4 ~~~e ~ij:
+ - K .'~1r]Ir~ ~1 ~ < ~ tom. ip
I WO" 0104
c
of,
4001
;rte `4 t y g.'!S roha'.
a - ' ~ i 3 fit x t
Awl
4*1
r 3 x .v,~ a . ~ , t h'. ~ ; ~1 _ t.~; a
~~r r
i c a ~ 4 ° ; k a ~ ~ k ? e~ [ ~r' ♦ t 1" ti ~
i 1'. t, b 3 4 ~.~~'.Pr 3 3 x_ S r~. Y f` a~.F ~,v:. h~• r_ S r _
S .`r Y 1 ~a 1 ~A M
t a 'r'. Etr tg wr ,t ^t } ^(fi=lC 4,T !°S Y,,;~ k ~l i't
~ r' Y t ~~•-.r. t ~ . 1 h .~t C ~ S' ! y 1 ~ Sy , ~ ~ , _F~ ~yt.~..
,~,,.`l"~ Fi ' 6.rs. ~ n . _ ..a 3w a.. r ti_ .•ss Y'?. it .R. _i J
t ~L r , :,4 ~`t r3~, ~Rt 4 1
Y r'd. 9 { ~ ~ k ~ b-Mt ~ti. K d K~' Y'S' ~r !y}
"Ali
r
~ ' ,a .F 'z " ,~,1~~, '~~~,pp k r+►~ ~ "Yy ~ _ 6~~t r S jp $ a Y jF 3 ~ ~ a i
* ~y Y y t 4 a ~'"y fi 7i~1 i Rr r` ' » le y ; n t , ?'_I r ^ p
4 0
v ar 7't k r r'~'{o ;r y,.s~ `T~ t ~i E 3 ,~S,~F~ Yrt 'fit bye" ~ r ~ ~fi
~ y$ 'r ~Yia 1 l1IR~~~~E"~~JIe~•'X~~•„e t y!S,T~~L~~t. f,~.~~IK~~K ~`.7~j`,° ~~st ~~F
W 1
s r R - r jF X, It
t P „ff i 4 Y ,
yyir~+~ ~ 4 ~ y5 ~ Y t` ~ ~ ;,q, a. ~ ~ 's~~' ~ " mow: Q, ~r `"''s pxt r 'j~~
*fto
S . Jr: ;a~ r A-k ~ a: ,t, ~ J~a -.~1:~ ~ •t P a
}c-
C*Ti- z.
j ,w4t D,.. ~ < ~ 1
lT t } ' ,f, ,c i #Y'
r
ow v
fF~ t r ti, a Z¢ < r~"3ar~c w~• ~f~ , f k'~ Y~
're
,it va•. r P ~ s- e ~_T }tea"_..,•- ~G ' -+Si''•~r.~ ~~~~1 y
tx >.~y L ~4§Pt~CPNB{/ l4lJ 1~~ 1 rl®ra µ Fti 4 ` T
44
Po",
;.y
~4
tiw ~:r ~ ~tpty .b-.,r ~`r.~ n .yw~dG, '£b', a +.a rs :•t yi'~
iN~l
5 e t i 1. .YF r j y, }Jw ~ fi Ai,_ rvd
i-k
hi A .y -i y r. 1 _''In Y S t (Y`YIy Y
4W41LfM ~~36i
04
t ' r s i ..;rK `?4
_ 9. I F } ~ R Y ~ J.
+ f 34 4y
~ A~ • st 3 a' lPTf
~ i y ' it~li;fiaq r~~ VF7R~~g r ,~~b .a4t
00" Al 1, lp
y, t
~'~wwwt,1" v~er1 flak .
41, F
r
w t~ J ~ .dK
t Jo~Joe"f7~}y t ~ti v~ p i A 4Rk1 Y`_ ii
16
17-
c' Y X s i T y ~ E !k, W T' 'L - 0. ~ 7~ Y ttY
/ ~yl yy J
Y Y~ - _ ~ t~ gip.
ilk
'fi'x e ~ ~,'F C y5,, ~ ` x-*; 1 ~ ` ~t Js Jf'k h t c k n`,d: dc~, J.~.~
~r_,e®u~, f .'a. ~ J ~ i ~ a . .1TL ~ ,A ~2'3ru..~' ~Fi . ~,lb "'!°t,': '4s . .•~c. . k~,~ ~z s x
1 : 1 fi
y n f rr♦ e.;y`;, sy+- > ~ ~ t' .~°;3 ~R"1,.}~Fy ~ ~ a..~ti `"!~'~tt .l lai'~~~~ \
~ ' ~ " ~f~x ti ~ t~'w.e r P`'~'FGA _ ~ »•1.. m6'' ~Y~^ . ~ ti~~~~y. -ti ~
42`''~~'±
t tx r_,."# r. 9 r cr
e-V
I°:.
v
44-
Y Jf ? Gf1~f a7 ~ ro _ k~ ~T 04 1 r y , I y,
x ,~.r a si._~y~ ~y`' $i~*' ..E~i ~~~•-.e . ~1 - .a't ,'.t-. z:
Alf~
Sic c 1 r,r:^k.1fir, 1~R3
xf~ ~v •4,: E.~ 'kil~t:,~. ttr-~ 7+~ ~ 3 , r
i r~ '4M•3i • f ~ ~'..r ~ ry4,~r-.~+~, ~ t ~ ~ 311
~ ~ r.~+" f^'S °`Ti ~ ~ ~ ~ ~ ~ S ~ ~.n e r ~
.r~''c
a.".f
6tr', 3' ~ r ! 0.a+' V
~ $ r` rw~Q 7 x~ ~~Nx' ,~~~~~'W4x r ,iy fps,. { 'I t. a~,~: i'%.
d } ~r{. ~ o ar ° ,I s"' ~ 4 :0.~n: t v ~ ^c~~3 ~ r'"''~►7.~+ ? 'r'te J, w a +n`SH' ~Yti, ,yg,.~~~-•
- 4
''ate =
.,r,. ~ ~4 R r ~ ~ a • J : ~5- n ~ 1~ x a s'~4v;. Y
.,~c
a
7-
~ , 2 ~ ~ .,q ~ ~ ~ Jy3''~e, c71~~ ' i' r ~ • "`dyyR '},~t~~ r7f, m ~'i~ ra ~ .1~~ ik # ~ i.~•, S ¢ r ~ ~ ~
41. ~8 i A' ~,i .fib rt 3 f`j~ ~"'r W 35' •d' y ^i'
r rib. "t4 i' .Y dk ti ~ f ~ try t e•C .+;~",J^ > Y~' ~r
~ ~i s a a r ~ ~ fib. `,'R4 g ~ 1 f's t't ~r icy r~ x t K e 34~ - w " z
s. wry ti3 y>' i§' ++fi 1 c`i t x ~kTy"~
r n..~ r°Y ~ t i~Kk' P• J°.f;i'~ i~'~a"$t.t, ,S ~ •_7
4
i y s •sr 1 ,"w ¢ w, g4,~,s~•~'" .9F ip i - f ^a ' F
A 1
Szn'z'th Plumbing PHONE (715) 265-4838
GLENWOOD CITY, WISCONSIN 54013
t 3
ton ok
cec 1
Y4~P J U 0 Q
r L Y1
. 4l:.es' a:
f i f r G Y
Coll
q„ r r r nv
~ov,r
A' ei
~f`Ga
eV
~
-z
y ..ate...,..,. f *i,. 1 ~/r r'4 •I~ ✓f ~ rt (
f ~ A Y ~ + E
A { ri •
r•
1 tie
i JUL 2 ~ 1979
'9 0
:"1 , . ai \ ` i r` 6.d t-~ ~""G..C,,.. !„i+s~ ~°^~r^. ~`r^ p ~r .a✓ ~l ~ I
F ^ Y
L AGREEMENT
This agreement, made and ntered on this ~ day of 19~ , by
and between the Township of P ddress
VEEREpS: En application has been made for a sanitation system on the
following described property:
V~HEREAS: Septic tank drainage does not meet the minimum standards of the
ordinance of St. Croix County and state codes.
V~F_EREAS: The owner agrees to install a holding tank for septic tank purposes
purpoges.
NCV`:,, THEREFORE: For and in consideration of the issuance by the Town-
ship of ~,u of a permit for the above premises, the parties
do hereby agree and bind themselves as follows:
1. Owner agrees that they will conform to all the rules and regulations
pertaining to a holding tank system. They agree that anytime said
township deems it necessary to pump out said tank, the owners shall
have same pumped out in 24 hours, or township will have said work
doneand charged to owners and place same on their tax bill as a
special charge.
2. The Township reserves the right to assess a bond if they desire to
cover any possible pumping charge in the sum of $ , .
IT IS UNDERSTOOD that this, agreement shall be binding on the owners,
their heirs and assigns.
---IN Vi ITNESS WI-EREOF, the parties have hereunto set-their hands and seals
the day and year first above written.
Township of
- 7
by e L`-,-
Developer ` 9 Q
or owner `
STATE OF, V,ISCONSIN)
SS: JUL 2 1979
COUNTY CF ST. CROX)
Subscribed and savor before me this A day of 19og
i
YARLiN W. SEVERSON
lfL~ Cammte~on pxp~ NawY 13681 _jr Notary Fubiiic, t. Croix County
11