Loading...
HomeMy WebLinkAbout016-1042-70-000 <r 0 ° C o ei I c c ° rj x in 0 0 v.., Y J ~inr O N N O M a to v> v h ~ N 0 a t T U C N 'C O N (6 C Z N O 7 N C LL C f6 O O) "O C 7 C O 00 7 O E Q E N 0 U O M V ~ ~ E z o F v z 11 rn Cl) IL m z N C ~ ~ II 0 z 7t O d z N N F- r O N ~ I j~ C Q w y • N O OI C) co N O C L ~zz o NO d M - O N CL ° ~ ° N d v U O O d m 000 (L IL CL ~y Q) *i 7 0 fn W N M co m J U C) 0) } r- z LO N v 0 hnv 0 °N 0 Or, W O O _ O O C CO 7 N ~ (D ~ • U •o Q m co M co M ~ O OC ~ N C °o Q 3 s ° C c Un 00 ce o o ° a 0. ~-I r °o p "t2 o ° c o a of CD 0 :3 CN - o m F- F- N ° (y~~ = c LO z • ) 'a N U N C E U ~l y~ O U` U) O N '7 fA. O ~ m CL v R EL 0) a d" v a c E D U a 2 0 in v TTT,ynyCATI.[SeN: GL~;1j WOOD 19.30.15.304B, NW,NW, CO. RD. D WIscon81npartmentofIndustry, PRIVATE SEWAGE SYSTEM - county: Labor and Human Relations INSPECTION REPORT ST. CROIX , Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GINERAL INFORMATION 175647 Permit Holder's Name: ❑ City ❑ Village [XTown of: State Plan ID No.: CHUG, JOSEPH J & PEGGY CST BM Elev.: 1 Insp. BM Elev.: BM Description: _ Parcel Tax No.: I~Ura /0, ek~ aJ "-,0dt,d ~ •S 016-1042-70-000 TANK INFORMATION ELEVATION DATA A92003 6 /'r,40 - << n~ TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r o C Benchmark z,S~'~ Dosing A Bldg. Sewer Holding St/ Inlet 5(", 9 ,Oa + TANK SETBACK INFORMATION St/ X Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic Y71 NA Dt Bottom e,d o'7 / (p NA Headeri4dw- Dosing ^'(p~~ c /~d 62 i A NA DIsi. Pipe 1, CJ~' Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand -6,1,52 .7L S yel Model Number a7 DGPM 7Q TDH Lift~~ 1 Frictionlj 1 System TDH (),rla.Ft Loss ead 6D 3 Forcemain Length' Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED / 9F*W Ff Width / i Length 2 7 No. Of Ti nches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS I N LEACHING u acturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type O CHAMBER Model Num e . System: d ti~vYla. JrQ~ ^-IZS~ OR UNIT Sao;' DISTRIBUTION SYSTEM s Header / Ma+++i<e1d Distribution Pipe(s) „ x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length ~ Dia. ~ Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only if Depth Over Q Depth Over xx Depth Of r xx Seeded / Sadrla4-- xx Mulched Bed/Ty~sMrCenter / p Bed/ke~ei►€dges Topsoil ~p0 No p -I es ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 7S 1~'Z f Plan revision required? ❑ Yes No / Use other side for additional inf~ormation.~ ~v2 SBD-6710(R 05/91) , 6. ° Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: . r con ` a 00 o~ .HR SANITARY PERMIT APPLICATION i In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITAR ERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ 8% x 11 inches in size. check if r sion to pr io application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER l PROPERTY LOCATION O G.. C'i~l u %a N14,A1., S / T G, N, R E (or) W PROPERTY OWNER'S MAILING ADDRESSJ LOT # BLOCK # L % D CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER CITY NEAREST ROAD II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLAGE ~Yt L,-)c Loh O ❑ Public ®1 or 2 Fam. Dwelling-# of bedrooms -3- PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) ' Q 30 3 G y 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ RestauranVBar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. $ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.0 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 fA Mound 30 El Specify Type 41 ❑ Holding Tank 12 1:1 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. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE LIS10 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) G ELEVATION 3?? 39? • 2- 7 sue. ;"Feet 99, Y Feet VII. TANK CAPACITY Site in gallons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete glass App. Tanks Tanks structed Septic Tank or Holdin Tank ,C s6 C C Y7 7 Lift Pump Tank/Si hon Chamber f 7i t VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumb 's Si gnat : (No Stamps) PRSW No.: Business Phone Number: Plumber's Address (Stre t clity, State, Zip Cod v Ile, IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sa tary Permit Fee (includes Groundwater a Issuing A nt signa a (No S mp Approved ❑ Owner Given Initial n surcharge Fee) Adverse Drminati n -25P0 , X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-8398 (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. 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 a// 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'f 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; fric'rion 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) SAFETY & BUILDINGS DIVISION ICI State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN Owner: JOE SCHUG PO BOX 74 1485 CTH D RIVER FALLS WI 54022 EMERALD WI 54012 RE: Plan Number: S92-40407 Date Approved: June 8, 1992 Gallons Per Day: 450 Date Received: June 4, 1992 Project Name: SCHUG, JOE Location: NW,NW,19,30,15W Town of GLENWOOD 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: - REPLACEMENT MOUND Inquiries concerning this approval may be made by calling (608) 785-9336. Sincerely, l DENNIS R. SORENSON Section of Private Sewage Division of Safety and Buildings PPP027/0009n/48 cc: JOE SCHUG X Private Sewage Consultant seo 64231R. 01/91 Page 1 of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE NW 1/4 OF THE NW 1/4 OF SECTION N9 T 30 N, R 15 W, TOWN OF GLVaML&MOt) , ST• c-CLUIX 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 1 L4 8 S cT)4 D ~~:RL~, W1 S~oIZ PREPARED BY WEC-sEt~ER SQ I L TESTING AND DES I GN, SERV ICE ~SCOIvs P.O. BOX 74 421 N. MAIN ST. So , ~~f iJ,~ RIVS FALLS. NI 54022 _ 1~ 715-425-0165 = wECEAER s 0.915 P i j • WIS. i All SIG14S ~N~~naa S-Z9-4? JOB NO. C17-95 PLOT PLAN Page Z of 6 Scale 1"=3,0 ' 3 Z, 7 ~ ~ ~ Laic. s 1- L t w< o t= Z. he.cZ. Oo >voT zatr" .a oR 0uw ,PhcT - weu~lap ! ` AIS ftvjah. S~p11C •1-Mu~R 1 N C-M Be ?Mhuzo oeb Ols Plri2 cuA ts~ y ~pv C I I i 65'OF y"PVC 4 ° fo fit" CAV~'R uk,~-L i 2.S~vF '~~t`/pr.sw k 3 I I ss' of 32' L O N . p~ 0 14 N v (P QN f 0 ONSITE SEWAGE SYSTEM © - eta i e`•ont~ A en,', F~v,, 7f~ C33 ~ D j, V E DEPART T OF 1,NDiiSTR1f- LABOR A10) HUMAN , t ~ REt~;T,Ords IUNJJ~ ( AND iSUlLv:NG5 Crc45- NOTES t 'r ~~L,_~ t1~-G6-92 1. Elevations st7N~lIr'~ in -ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. (y required) 3. Install 4" observation pipes with approved caps. ( f -required) 4. Septic tank to be va o o gallon capacity manufactured by ~,pw L'S1~2.►J ~Raec.hST. 1 lu ~ . 5. Bench Mark s~ rc3ove A- ni xrprt- surface wai- around mound to prevent- .vond ,ncr at the uphill side. Page 3 Of 6 Approved Synthetic Covering Distribution Pipe Medium Sand H - G Topsoil _ F Elev. q S. 8 " D E 3 ' „ b 3 % Slope Plowed Bed Of ;'i.-2,2 Force Main ONSITE SEWAGE SYSTEM Aggregate From Pump Layer D k. Z Ft. "PI ~~.,~,iy' VviY"`•Mtik.Mt".~[ 44 fi ross Section Of A Mound System Using E t' o Ft. E F d •o Ft . A Bed For The Absorption Area G t.o Ft. A 6 Ft. H t. 5 Ft. Lined & R =e - 1 I, GPD/LN FT B 61 Ft. Design Loading Rate= 0.3 GPD/SQ FT j 1$ Ft. J S Ft. K 1N Ft. rr"'rternOate Position L 85 Ft. . of Force Main W 3 Z Ft. L Observation Pipe-,,,,, 0 K r- - A Distribution Bed Of J,?--2 2 Pipe Aggregate Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area Page mil- Of Perforoted Pipe Detail 0 End View )Perforated End Cap. PvC Pipe Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Face Main G PVC ool'~~ cb abv 1 Manifold Pipe .17 V ) tia 0 Oistrt lion Pi e Last Hole Should Be I Next To End Cap End Cap P 30 Ft. Distribution Pipe. Loyout S Y$ Et. W X L!$ Inches Y VS Inches Hole Diameter UY Inch Lateral " 1 Inch(es) • ONSRE SEWAGE SYSTEM Manifold 2 Inches jForce Main " Z Inches a ~ # of holes/pipe g - ~ 7 Invert Elevation of Laterals 96.3 Ft. APV~?" ~s xs 'y OEPA MEf iT[~ OF ail ~F Y I rE:,~~ 3 / ,,p [7 OiUi` '7~t 1C C t l f Z ll iill:7{I`~ f1~4FSiJrJJ ~,rc, a.:Jild r. Place lst hole ZU from center of manifold with succeeding holes at W intervals. Last hole to be next to the end cap. r PUMP CHAMBER CR055 SECTION AND SPECIFICATIONS PAGE S OF 6 VENT CAP 'i"C.I. VENT PIPC WEATHER PROOF - r,: APPROVED LOCKING MANHOLE 25' FROM DOOR, JUNCTION I5OX - COVER WITH WARNING LABEL ~ It"MIU. WINDOW OR FRESH I AIR INTAKE I GRADE MIN. L1, 95 `i I ONSITE S EWArobtuY WAIN. J LPP7 INLET SEAL Eli IF' A EPT NT OF l1S'fRY. LAt30ft MI'_) -IU41Af4 RELA i iYZ I I ~ I APPROVED JOINT A DIVISf~ir F PFEW A0 LIJILWI 'GS i i I ( APPROVED JOINTS ...o.o...~ _ I 1 I I ALARM d SEE CORNESM-IDEME ( II I I ON C I I gb. b~ I CL6V. f T. PUMP OFF 0 Ll. I~S . Sp CONCRETE BLOCK 3" APPRWIE I RISER EXIT PERMITTED OWL'J IF TAWK MANUFACTURER iiAS SUCH APPROVAL. BEDDING SPEGIFICATIOMS DOSE , y-~~pw~Zti ~T~ 1 NUMOER OF DOSES: 3', PER OAy TANK MANUFACTURER. TANK 51ZE: 1S13 GALLONS DOSE VOLUME ALARM MMJUFACTURi.R' S--y- ELM M0 S'13TE" S INCLUDING OACKFLOW: GALLONS MOOCL NUMBER: CAPACITIES: A= INCHES OR 3S1.0 GALL0415 SWITCH TYPE: 5 = 2 _ INCHES OR 39'0 G~ LLONS PUMP MANUFACTURER: ZO E -L-NR Carl PfiM4 C s 6 I!Z IUCHES OR %Z10-8 GALLONS MODEL NUMBER: 13~ Ds 14 INCHES OR GALLONS SWITCH TYPE: MOTE: PUMP AND ALARM ARE TO OE 3-x.4 MINIMUM DISCHARGE RATE PM INSTALLED ON SEPARATE CIRCUITS G VERTICAL DIFFERENCE OETWEEN PUMP OFF ALID..DISTRIBUTION PIPE.. 01'63 FEET + MINIMUM NETWORK SUPPLY PKESSURC . . . 2.50 FEf T -f- ZS FEET OF FORCE MAIN X 2'33 FYooFCFRICTtoN FACTOR. ~'S8 FEET a TOTAL DYNAMIC. HEAD FEET 0-1 INTERNAL DIMENStoLl f OF TANK: LENlGTH ;WIDTH LIQUID DEPTH BOTTOM AREA - 231--- GAL/INCH AS PER MANUFACTURER '1`l~S GAL/INCH 04 7% ~ It- 6% U) W w TOTAL DYNAMIC HEAD FEET/ O 1 HEAD CAPACITY CURVE METERS CAPACITY o a: MODEL137-139 30' CAPACITY HEAD UNITS/MIN O OO 1Ye-114e 8 FEET METERS GAL LTRS NPT 0 25' 5 1.52 104 394 513/, a 10 3.05 79 300 W O = 15 4.57 64 242 U 2 6 20' 20 6.10 36 136 2 25 7.62 8 30 a ' } 26 7.92 0 0 0 F 15'- 0 4 10 37~Y 2 5 1 12% 0 U_S. 70 20 30 40 50 60 70 80 90 100 110 GALLONS LITERSI 80 160 240 320 400 4 0 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V or 230V. • Mercury float switches are available for controlling single • Electrical alternators, for duplex systems, are available and and three phase systems. supplied with an alarm. • Double piggyback mercury float switches are available for • Mechanical alternators, for duplex systems, are available variable level long cycle controls. with or without alarm switches. • Long cords are available in lengths of 15-25-35-50 feet. • Combination starters Are available. • Over 130•F. (54°C.) special quotation required. Standard All Models - Weight 47 lbs. % H.P. SELECTION GUIDE SELECTION GUIDE 1_ Integral float operated 2 pole mechanical switch, no external control required. 137/139 Series Contra Selection 2. Single piggyback mercury float switch or double piggyback mercury float Model vofts-Ph Mode Amps Simplex Duplex switch. Refer to FMO447. M137/139 115 1 Auto 10.4 1 or 1 6 8 _ 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075. N137/139 115 1 Non 10.4 2 or 2 6 7 3 or 5 6 6 4. Combination Starter. Refer to FM0514. 13137/139 230 1 Auto 5.2 1 or 1 6 8 - 5. See FMO712 for correct model of Electrical Alternator "E-Pak". E137/139 230 1 Non 5.2 2 w 2 6 7 3 or 5 6 6 6. Mercury sensor float switch 10-0225 used as a control activator, specify .H137/139 2OD-208 1 Auto 8.2 I& S - duplex (3) or (4) float system. •1137/139 200-208 1 Non 8.2 2&7 3 or 5 6 6 7. Four (4) hole "J-Pak", junction box, for water tight connection or wired-in 'J137/139 200-206 3 Non 2.2 2&4 3 6 4 or 5 3 6 Simplex or 2 pump operation, 10-0002. •F137/139 230 3 Non 3.0 2&4 3 6 4 or 5 6 6 G137/139 460 3 Non 1.5 264 3 6 4 or 5 6 6 g Two (2) hole "J-Pak". for Watertight connection or splice. 10-0003. ' No molded plug Three phase units require acontrol switch to operate an external magneticorcombination CAUTION starter. AN InstNlaNOn of controls, protection devices and wlrktp should be done by a qualified For information on additional Zoeller products refer to catalog on Combination starter, Ncensed eleetrfclan. AN electrical and safety codes should be followed including the FM0514. Piggyback Mercury Float Switches, FM0477; Electrical Alternator, FM0486; most recent National Electric Code (NEC) and the Occupational Safety and Health AM Mechanical Alternator, FM0495; Alarm Package. FM0513; and Sump/Sewage Basins. (OSHA). FM0487. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 3280 Old M1/ wa Ltlme Manufacturers of... e endiclry 40216 ZZ71ZZZj-ff O, lLoukvft Ken17 (502) 778-2731 Qu~urr Pa,IiPS S,vcE /~3~ Q S o o c c b r~ I N a (N 1v N o m ~~L3~ 3 ct oo- Z n,:3 CL op CL:3 rD c v- o- O v` A A XD O rD 1 ( N ` (7t N C N ro) N c 3 In w N` 0 IA 3 d N H , D 3 T r v X d' t-i Arc Lo) cn O 17 0 s N ~ /GUI ' C d ^z 'I -G1 j "Mo w W W IN N - n 0 F- c n -h w Rt N L X .c V1 b ~ j tM - no p r+ N J 3 QUA s a C U~ ' I ~A ! c~ 1 N rr (n O ~ X Q ~ ; O m OD %A o L ` N ° V J N ~ c c c~ v~ rn rn m ~ ° IV o (D .1 - r Lr)6 o rr, e% 4A 1% O r N N m N o Nco v 0 0) O C 3 3 N 3 r+ H L1 m f Q O _CL cn -F a r 3 Z' ro Z ~ r 3 b pl c b m N t4 m A ° cD O m tz O N 7 "0 Cl. < O A O Q A to N 7CJ 00 X ? p fD fit 0 N w y 0 fu Lo t 0 01 a P 7 _A r yr `a ^ o a ((D 0) Q. 17 b v v+ o 7 om u1~ Z° M A o d N (D m 40 z IV Ole 2c > y = v. m A O N ~O t \7 .1j j V m < 'C d D i o to QO th 00 4 co ~%oc uj Z) Z~l 1 vn N .4~J p 7' -G oQ 0 0 Lp h~ < Nlfl N. ` 0 r O D b r' y t~D a vi (/J CJ J ro n L 3 3 rt O0 O 7 7) O n~ OOa w to N m z N. d w N r a3 o a I ~v \ (r cma r+ I N 3 v v c 3o N o- w o ? I A N N J v X t7 trJ ID ID U) K m 7 Vf (jj rt w w w j _ f.,. ~ o o (~J ~ c ° L:c O x ~ W n r ~ ~ o A 3 f° 1 on + IA ~ Z O 7 , En ? 7 ~ V. O N r+ Fl- 0 G° ° N IC e v d m o O o t N Vl (.e G I H m Ti a .j c C • C N 0 r D r ro O 3 16 L" c .S iT c r) IW n C m 3 (,j °3' r N r- CD h; 0 'D 0- F z 40 ~.N r 7 A~ a0 m n m ° fD 3 'O AD > (A H N Np O ID 0 ~c m o d (D o d .z ;uo iw •3 Ian ~ N N C A ~Q m 1 O d (DD ^ O O. m v cn o vl 0M W~ fD 7 A 3 pd , v co M a) r+ Z 7c D ! m fl, £ d 7 O! P aN U 7 d0-~' < ON j0 r r Ln .C) r w 7 N In L 0 v a 114 '1 '1 LO 2 LA 4k 6- Ntfl 0 r 0 Da 2 .u o o c'Jc b r 3 u~ fl L W ~I -1 A (l1 L o VI o raj ri r~ O 3 r! 3 O O j - ? A A Z Or N_ -n CL V' O - N r d=l (\J 3 :ED or to I* O ff oar m i j ZZ-"9 4 M c m m N N J N (l =3 t7 txj lb ? o O o % C C; ~ r+ Fl- c v? 0 o %A 2. r+ -49 ; -4 (1 0 IV _c x c N N P O b O D v" J I t10 .r to - N ( O ; IA . Oz :3 r+ in w O V1 v, n V p w o m rx p N d o G O O 'p N UP ti ~t Lj 4-) m T~ J 1 c cD (D ~n v GO V~ 1+ 0 0 r A r N ' 0 to .0 A sL O l N m a r 4 CA CA Z m JS o c v n ~m -r 1 C;7 ~ 3Nd ~ o C 3 0 kA 6) r lb 0 (D dD 0 0. s C ~h C 3 ` ro z to r4 D m m d d o a O m tz 1 ~ ~ A < .0 D N o_v oo~ a In N 70 O d d (D o : CL Ll N V N ~ ~ N SU o ) O n ~ N v% L LA. (D ► w ti #D to ^ ~ p m J m Q. m _ T O N O V1 O 3 W 0 =r 7j O m (D m - N 01 1C d ~ .J,v z.e ~ v v y~ m A v1 ^ d d 1 v+ 7 d 0 O ~ U Q• ~D o C o% S7 00 :3 x N /.1- y v m r to %D C: m r ~Q .C> r w N Cl r v LO Z O p 00 o d i n vQ O -,1 o ,~~o 0 O, l S )n l 1'p N SO Ti RUB tA -4- 1 ~ N N ,1 S, I ~ w I ! y' L NA. v rG W .0 G r j0 G b ~ J '00 G ro ACE o -i ID ~i W N (P~~ c r O i °o I ICC La =r ' _ n Z .C G 9 N r, D ti r Q` o, ~o N O Ul I~ SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER-10 e,. J ADDRESS: l q v r (1,t v t" m,?A1j FIRE NO: LOCATION: Nl~✓ 1/4, NIV 1/4, SEC. T ?G _N-1k 15-* W, TOWN OF:_ ~ /C (-,0" 5-gol2 ST. CROIX COUNTY SUBDIVISION: LOT NO. 3 mate, 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. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating 'condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification from will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned have read the above requirements and agree to maintain the private sewage disposal system-in accordance with the standards set forth, herein, as set by the Wisconsin 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: i DATE: St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 STC-100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor house t ,(spec hen a second form should be retained and completed when the property is sold and submitted to this ffice appropriate deed recording. g with the Owner of property To C S C A W Location of property& w9 /4 (4/4,0.1/4, Section , T_& N-R / I- W Township - t? e, /W Mailing address ~'Sr °~t-rt dof 4 14A I- S"`/D Address of site -S/ Subdivision name Lot no. Other homes on property? yes A--.-, -,-No Previous owner of property Total size of parcel _1 Date parcel was created Are all corners and lot lines identifiable? tomes No Is this property being developed for (spec house)? Yes I--ft volume and Pa e Number of Deeds . g qr as recorded. with the Register ' I INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available; would be helpful so as to avoid delays of the reviewing process. If the deed description references to a certified survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. -L q, ( l (2 , and that I (we) r own the proposed site for the sewage disposal system or Ie(we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly reco ded iU ts the office of County Register of deeds as Document No.G G(~( ignat a of 4P13- nt Co-aPP1 cant Date of Signature Date of signature I it ~ P t u t . 44%, t y T ~ ,ai H 4E: Dii*ika ST ~i1 Atst. ~x , ~ sulllonaerl by.'!' ?~+A4. Wn;"} , 1 y~~ 4rv -07 tt. ST. CROIX COUNTY r ;riWISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 _ (715) 386-4680 May 28, 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 Joe Schug property, located in the NW 1/4 of the NW 1/4 of Sec. 19, T30N-R15W, Town of Glenwood, St. Croix County has been conducted. This onsite revealed suitable soils at a depth of 22" below which seasonally saturated soil conditions were observed. This site will require 14" of sand fill beneath a mound for replacement. Should you have any questions, please feel free to contact this office. erely, mThompson Zoning Administrator cj