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HomeMy WebLinkAbout018-1046-60-000 ~ ~ 3 0 3 o I h p cn O V). Q c c ao A" ° I ° I C) CD 0 cl~ ry '0 'O LL U O m y N N~ N e m o a N a CL > r N C ~ N N > O Mn `O 7 L 7 (U O ° N .O LO to r- E0 0 O_ € O O O D O O ~ (D E O O 0 a 7 N O id N N N y N L II! c z g z :3v °U 3: U) 7 t6 ° N N 7 fG ` 'a CL U- - ca O H N 0 (D O a N 3 c y f° L c 3 -a r- `p N E 'o o o - o a oN ° o Q c o 3 3 E Q U~ mw U Cl) f0 to > z N of N I'E E Z III O ~ v ° E ° z € d d m N H Z a m a m I I II c 0 O Z c N N m Z 07 c c N H ~ I'I ~ ° E N = O 11 L N N C) C) • l _LO D. U) L C = t0 V N N ° C •O O O 7 O w N I'W o I~ a v Z m z LO Z Z 0 a z Z o 0 c c N 'O O V O Mn ° c E c E a E a N a N = y N N W = y N N N S o a a - c o a 2 75 U) U) co z~>° ~n333 a m in333 aJ • L m m a L a a a co illo Io a o y n co n ^ 0)040)C4 N U) J L) C O O Z C 00 O O N m 00 O 0~ N '•C O O O O O I, °oo O w O ENN N NN N = 'O O O 'o O to N N O 07 W O m W m 0) (D M n p p dS y~y~~ y otS y y O C N C 0 N C .,..i O 0 O m O ICI', r ° C ° N O LO O r M U U r N N 0 O O C) f0 ~ ~ C O C I- ° c a y 0 o ° a (D o 0 O N - 0 O 'y 'O N N N N O M •p r- f6 N C C N LO \ ~ \ O N ] V` LO N N 0) U O m~ C II ~ c m N ~ N C M E a~ co N fD N a~ v 4) 75 0 a) Y.1 00 N E L c r- .d. 7 L w 7 C m tv co It O N m O N O N O O O U • n on O N (n ~ M Z_N 2 Z U) ~ O Z_ Z2 ~ (n U a x Y€ E V1 `m €a €a ~#6 a `a te `(L • O. m c y y c rrww cu E ` _1 A U a o N V 0 (j) 0 STC - 104 f _ 4 AS BUILT SANITARY SYSTEM REPORT,, - 't; r ~ ~y •.jc*t► ~0~`~~Cr='~, OWNER ADDRESS SUBDIVISION / CSM# LOT # SECTION T N-R_4_~_W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM r, Q „ '"~,tv- , t M~ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. 1 BENCHMARK: ! t1 .r{ _ a CY GA Cf- r Arl+e. ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: ,r.- Liquid Capacity: Setback from: Well / 4-16 House Other Pump: Manufacturer Model# / 3 Size Float seperation Gallons/cycle: Alarm Location Q, !9 -;SOIL ABSORPTION SYSTEM Width: Length Number of trenches r r Distance & Direction to nearest prop. line: Setback from: well: 2© House /m Other ELEVATIONS Building Sewer !93 ST Inlet; 9, .2 _ ST outlet J ~ PC inlet PC bottom § iq4 Pump Off 7~' Header/Manifold fr Bottom of system 7 ~ -71 Existing Grade Final grade 7. DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt Q ~ . c`s%j,t#MRWRtry21. 29.17. ~j6 AVE S&AGE SYSTEM county: laborandfluman Relations INSPECTION REPORT Safety dnd Buildings Division S O X (ATTACH TO PERMIT) Sanitary Permit No.: GENtRAL INFORMATION 171446 Permit Holder's Name: ❑ City ❑ Village [k Town of: State Plan ID No.: SATHER. LORI ESPERSON & ROBERT IDHAMMOND 00-u-, Z CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: O! Jo o. 018-1046-60-000 TANK INFORMATION ELEVATION DATA A9200211 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic v l 6-5" Benchmark 37 ' , l w,0, A001 / Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet y S$ ~j~/ S/ Vent i,ito ntake ROAD Dt Inlet T / gJ9`/ TANKTO P/L WELL BLDG. A Air gg Septic rasp /L/JI NA Dt Bottom 3" i Dosing "air NA Heatrf Man. Aeration NA Dist. Pipe 'k- 3 Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer _ Demand 6 98,13 Model Number kyGPM TDH I Li ~rictio System ~t TDH Ft Forcemain Length /,)6/ Dia.,)." Dist. ToWell SOIL ABSORPTION SYSTEM BED/TRENCH Width , Length No. Of T enches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS g DIM N I N LEACHING Manufadu ' SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM INFORMATION Type o CHAMBER Moe Number: System: OR UNIT DISTRIBUTION SYSTEM W"AwManifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Z Length z 10 Dia. _L1 Spacing Z 166 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over r. Depth Over xx Depth Of „ xx Seed /ceded xx Mulched Bed /afeneh Center Bed/ Tfe;K*Edges I Z - ~o Topsoil ~p es ❑ No B--Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) a t , Plan revision required? ❑ Yes kd'wo r v Use other side for additional information. 6 Oak? I __1 I k+ SBD-6710 (R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: DILHR SANITARY PERMIT APPLICATION couNTY In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT ' -Attach complete plans (to the county copy only) for the system, on paper not less than /''/7 / vq 8% x 11 inches in size. ❑ check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. SQ 111 PROPERTY OWNER -y- PROPERTY LOCATION 0.1 % a)%, S :Z T R I / E (Or) ode, 6 d- p Il v PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CS UMBER II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD 211 ❑ State Owned ❑ VILLAGE : 114m,#? d"I C l '7~ ❑ Public or 2 Fam. Dwelling- # of bedroom PARCEL TAX NUM ER ) III. BUILDING USE: (If building type is public, check all that apply) 2 _ a b _ / / 6 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 40 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. El New 2. ~ Replacement 3. ❑ Replacement of 4. ❑ 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 M 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 X 1-0 t 5 / 4 " , 3 W 1?A_ Feet 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 f Tank or Holding Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature( o Stamps) MP/MPRSW No.: Business Phone Number: 16 Plumber's Address (Street, City, State, Zip Code): q IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sagitary Permit Fee (Includes Groundwater [Date Issued Iss ' g Agent Signat Stamps) Surcharge Fee) -O N Approved ❑ Owner Given Initial Adverse Determination 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`sahitarylpermit 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 sarlitery_ permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the systems 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. - - - - - - - - - - - - - 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.11188) 1 C) T71 ST-. 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P. or x v " C) 17 N rt V U) D A a~ no N ~ p r+ 2 .w N r o V1 0 c 7~ C O • C. 0 Z O En N d J < o w o OR (CD M LA C I'< r- Z G C ro ^ W 0_ (~f G1 rt - CD 3 f O r N N h m sm ' AA M n C \ ~J 3 O r" A T r ^ 'l J C S V N. polob a G T s ^ Wo Lc CL N~ 9D r+ < n vu D eD tn- to 7D lD p O 'a w f A t` ® W A A A ILA (D O L -'I M CL V 461 IA (D J CL b o N Om NA ° 3 3 ~D ti vA. as m m h n.`G v O U) :17 D ~"p/ ' r m N ~ 90 c v V W li U2 IO C U ~D Q Iq I W 11 1- V t0 Q0 O o 0 v v, J L ° Z 6' 6- '.W E C-3 E FR E FR S C3 I L T E S T" I M C-.. P.O. BOIL 74 421 N. MAIN ST. AND RIVER FALLS. NI 54022 73ES I C31M Sl_=v< .o* I GE 715-425-0165 ATTN:DATE CC: SUBJECT: b ~~Zrf~'~}}c~1Z WE ARE ENCLOSING THE FOLLOWING ITEMS: N0. OF COPIES DESCRIPTION 61 L SENT TO YOU FOR THE FOLLOWING REASONS: ❑ FOR APPROVAL ❑ APPROVED AS SUBMITTED ❑ INFORMATION DESIRED El-FOR YOUR USE ❑ APPROVED AS NOTED ❑ RETURN COPIES NOT APPROVED ❑ FOR REVIEW AND COMMENT I] L~`~ ~ L Y~~v Cam} 51~1- C-~~~Z'1~ 1 ~ S. 1~ , WEGERER SOIL TESTING AND DESIGN SERVICE SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWASE PLAN APPROVAL Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 WEGERER SOIL TESING & DESIGN Owner: ROBERT SATHER P 0 BOX 74 877 170TH STREET RIVER FALLS WI 54022 HAMMOND WI 54015 RE: Plan Number: S91-02682 Date Approved: October 1, 1991 Gallons Per Day: 750 Date Received: September 24, 1991 Project Name: SATHER, ROBERT - RESIDENCE Location: NW,NW,21,29,17W Town of HARMON 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) 26 1j A o~ ~ v a i O y. ~GO~'L~Cyy. trI AU 7~ fv ~ SUD &Ia31N.01/911 Page of MOUND SYSTEM FOR A S BEDROOM RESIDENCE LOCATED IN THE ►Ow 1/4 OF THE NW 1/4 OF SECTION Zl , T Z.q N, R 11 W, TOWN OF \Ap., ""Oivb S`T'• CR1JlX 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 oQ E~.T S E'R 8~~ l~0 m ST- l-t~Mr'~o,v~, wl s~1o~s PREPA RED BY WE G E F;tE R S Q I L TESTING a~1N4/t~1 AND OF Esc o I7ES I Gt~1 SEF~V I CE ~ ~ ~ P.O. BOX 74 421 N. MAIN ST. ARnnm L + RIVER FALLS. NI 54022 _ "is PA 3 MAZW 715-425-0165 2 wrs°RTM' f • IGl; h~noo~ q- Z3_ R I JOB NO. - S~ PLOT PLAN Page 2 of Scale 1Yo' ~ nor blS"NR.B oR CAM P~tCr TA I S Aee&A LOT UN~ i ~ ~ s ~~C.L31'riV 6 ~ ~ 7 ~ 1" \ N 9. Z~ P'Iv/ c1 A V Ram m qt /u w~VOr O~,V?1,~., o OF \~p~~F $ ~~GF' 'rites r I ~ o`~\S\p Q~~O "pv` P e an ~ M1tJ•`LZ J D NOD= LsrNc S1WPC- Z11'c~1re. TO i3F RE~'L-RC® W~lN A ~SbS ..~G. ~Jtg3EQ_C~cLZ~ \\~f' seer c . ? +ut~ : AF ~cCS1 MIG Z R ~ ~ 0 -37w rz O4NIM Ft tEL Q VS _CAC1e ::cOHP<<YW6 ~ 'VT 1~ti~- ~~~1hJJ~a ,113- Pt~t~s~-t~?~~: ;Piti1~tTFO~7tZ-`{'Muk LST11ti1G Y( of SciCtt: St? PiS 7veC423 70. z4~ ' NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. (Y required) 3. Install 4" observation pipes with approved caps. ( 2 required) 4. Septic tank to be moo. w4. was gallon capacity manufactured by w\-F5(- Cosa 7i:~ZebQ rs C Srz-~ 1\o'Tzz- T%Loue~ 5. Bench Mark tm,e\.3, IM.o' o\y 's~o pM -or W uytAr y `Mim . 6. Divert surface water around mound to.prevent-ponding at the uphill side. Page Of 6 Approved Synthetic Covering Distribution Pipe Medium Sand Topsoil F Elev °lb.O E D b SIm 0 Slope C)N$\'f~ • ' B~Of 2- 2 2 Force Main Plowed V PNQI~~ gre a From Pump Layer r y T. Ofl ~~O~N` \NGS D \.O Ft. r,• ' ~OF\~"NOFS ss Section Of A Mound System Using E l1o Ft. O~~~N 0\V\S\o ~N F o • 8 Ft. D~gO A Bed For The Absorption Area $p G x • o Ft. A 8 Ft. H 1.5 Ft. I. r L ceding Rate= O W49 GPD/LN FT B 4 Ft. Design L ding Rate= o•4 GPD/SQ FT 'j 1 6 Ft. J 8 Ft. K ~D Ft. innate Pesit4eTr- L qq Ft. Force Main W 3 2- Ft. L Observation Pipe g K F A I - - - W to F in Distribution Bed Of 2M- 2 2 Pipe Aggregate Observation Pipe Permanent k rs { (Anchor securely) CT` 1.~`i'L = ~1ov~ s S l Gt}Tl.L! C,~,r1 CAVQ~ `M 'R4 E So~Tttw~sT SEE PLAT PLW Ph o,F 6 Plan View Of Mound Using A Bed For The Absorption Area • Page Uf Perforated Pipe Detail 0 End View )Perforated End Cop. ~\c~c PVC Pipe Cap. Install permanent-marker °`a,S•°°` at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main P PVC Manifold Pipe Distn utian Pi Last Hole Should Be I Next To End Cap End Cap - P 36~83Ft. Distribution Pipe Layout 5y~`v s 14 9 m iN POO X S L Inches ~5§11- G,- 4 Y 'SZ Inches Hole Diameter Inch (fj o~ \NG A Lateral Inch(es) Manifold Z Inches \~\OOOFS NG~i Force Main " Z- Inches 0#of V\S\ON ONO holes/pi pe__CL_ AGO Invert Elevation of Laterals q b--S Ft. X126 . Place lst hole 2.0 from center of manifold with succeeding holes at 52Y intervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTIOM ARID SPECIFICATIOMS ' PAGE S OF ~ VENT CAP 4"C.I. VENT PIPC ri WEATHER PROOF APPROVED LOCKING MANHOLE 25'FROM ODOR JUUCTION BOX - COVER WITH WARNING LABEL ~ , itMIU. WINDOW OR FRESH AIR INTAKE I GRADE C~G la, .12 le•Mlu. ~ COWDUIT 18"MIN. ~~pVIDE I - g~s IAlLET -riGHT SEAL I I I APPROVED JOINT APPROVED JOINTS A QNcj~ • ( III V ~ s'(10~ . I I I ( ALARM e N~MAN~~ I I a peg 8 1AaN~'s I ON 0~ acaoUS~R CLEV.~~,QJ6FT p~DEN OFF D CONCRETE 5LOCK " AARov RISER EXIT PERMITTED O L y IF TAWK MANUFACTURER HAS SUCH APPROVAL--3 DpPtNGe SPECIFICATIC)AJS DOSE woes COIVCVA- PR~Av~rs 3.4 TANK MAIJUFACTURIrR, . NUMBER OF DOSES:- PER OAy TAWK 51ZE : rZ- SO GALLOWS DOSE VOLUME s--=-. eL„L INCLUDING 5ACK►LOW: ~4 O 'O ALARM MANUFACTURfR: s--=-. `'ECRU S~lS-!~S GALLONS MOOCL MUMBCR: CAPACITIES: A= 1°I WCHESOR SO6'~ GALLOWS SWITCH TYPE: -~ZCV~~ g= Z INCHES OR 53'3 GLLO115 PUMP MAIJUFAGTURER: Cs9_tNCHES OR GALLOIJS MODEL WUMOER: Os " IlZ-INCHFS OR GALLONS SWITCH TYPE:~~~~ / MOTE: PUMP AND ALARM ARE TO OE MIIJIMUM DISCHARGE RATE L ~ LZ GpM INSTALLED OU SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AIJD..DISTRIBUTION PIPE.. FEET + MIMIMLIM NETWORK SUPPLY PRESSURE . 2 5O FEET + CIS FEET OF FORCE MAIN X 2-20 F~ 3 .6 3 ~ ~ 1- too FxFRlCT101J FACTOR.. FE t TOTAL DtiUAMIC HEAD - `74' 6-7 -FEET DIAMETER IIJTERiJAL DIMEiJS10N~ OF TAWK: LEW6TH TOP,WIDTH $I"'MP ;LIQUID DEPTH ~1 BOTTOM AREA - 231'= GAL/INCH t AS PER MANUFACTURER = 2.:0'.6.7 - GAL/INCH F b m 4f4 -fit 7% 6% W F W w U. TOTAL HEAD CAPACITY CURVE METERS DYNAMIC HEAD FEET/ o . MODEL137-139 CAPACITY GALLONS/LITERS 0 4% 30' CAPACITY + HEAD UNITS/MIN o 0 0 1 *41 % 8 FEET METERS GAL LTRS NPT p 25' 5 1.52 104 394 5% w 10 3.05 79 300 U 15 4.57 64 242 0 6 20 6.10 36 136 ( - z 25 7.62 a 30 0 26 7.92 0 0 15' 0 ~ 4 1 .67 10 2 ( I 5• 42. t-' 1 1214 l 0 U.S. 10 20 30 40 50 80 70 s0 90 100 110 GALLONS LITERSI 80 160 240 320 400 4 0 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS e Three phase pumps are available in 200/208V or 230V. a Mercury float switches are available for controlling single a Electrical alternators, for duplex systems, are available and and three phase systems. supplied with an alarm. a Double piggyback mercury float switches are available for a Mechanical alternators, for duplex systems, are available variable level long cycle controls. with or without alarm switches. a Long cords are available in lengths of 15-25-35-50 feet. a Combination starters are available. a 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 Control Sslectlon 2. Single piggyback mercury float switch or double piggyback mercury float Model Vohs-Ph Mode Amps Simplex Duplex switch. Refer to FM0447. M137/139 115 1 Auto 10.4 1 or l &8 _ 3. Mechanical alternator •'M-Pak" 10-0072 or 10-0075. N137/139 115 1 Non 10.4 2 or 2 & 7 3 or 5 & 6 4. Combination Starter. Refer to FM0514. D137/139 230 1 Auto 5.2 1 or l &8 - 5. See FM0712 for correct model of Electrical Alternator "E-Pak". E137/139 230 1 Non 52 2 or 2:& 7 3 or 5 & 6 6. Mercury sensor float switch 10-0225 used as a control activator, specify .H137/139 200-206 1 Auto 8.2 1 & 9 duplex (3) or (4) float system. •1137/139 200-208 1 Non 82 2&7 3 or 5 & 6 7. Four (4) hole "J-Pak", junction box, for water tight connection or wired-in 'J137/139 200-206 3 Non 22 2&4 3 & 4 or 5 & 6 simplex or 2 pump operation, 10-0002. *F137/139 230 3 Non 3.0 2&4 3& 4 or 5& 6 'G137/139 460 3 Non 1.5 2&4 3 & 4 or 5 &6 8. Two (2) hole "J-Pak", for Watertight connection or splice, 10-0003. No molded plug Three phase units require a control switch to operate an external magnetic or combination CAUTION starter. All Installation of controls, protection devices and wMng should be done by a qualified For information on additional Zoeller products refer to catalog on Combination starter, licensed electrician. All electrical and safety codes should be followed Including the FM0514; Piggyback Mercury Float Switches, FM0477; Electrical Altemator, FM0486, most recent National Electric Code (NEC) and the Occupational Safety and Health Act Mechanical Alternator, FM0495; Alarm Package, FM0513; and Sump/Sewage Basins, (OSHA). FM0487. Arl RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. L" 3280 Old Mulcts Lane Manufacturers of... P 0. Box 16347 ® O Z ZZLAW O. LoulsWfYe, Kentucky 40216 (502) 7M2731. f&AL/TY PUMPS fl#CE ly,7y SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER. A. ~J ADDRESS: `7 _ 7 ~,S FIRE NO: LOCATION: 1/4, _JLI~_1/4j SEC._ T N-R W, TOWN OF: L~T/ ST.•CROIX COUNTY SUBDIVISION: ]LOT NO._ 'lo , 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:_ ' DATE: 9 9a St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 y rt _ ~ Awl.~-.~~7//~~_~-~! _~Je/i.r~. , a~c. WJ for eR . _ day of,,, ONW AL-d BLe CMIX:__ Comm Wiaoommin, bwft emms and warrmte r; fttbw ~a = -an& li0rj. Zmarem s joint LeAiutR- lr Smut - SETR/ T♦ 4-- Croix _ Coustp. Wirooa~ia. for tia wm of y 11n11~w and Ott LiiIP a homiq bad d hod in St. Croix Courty, Sate of Wkeomin; Park of the 1111 lA opt the 11R 1A of Section 211, Township 2911. Ranh 277. sat In the Certified Snrvey 11ap in the Register of Deeds Office in Volume 2 Pap W. a E,v,EMPT Dt R VIHIB"F, the aid grantor 41~__ ha bmunto set ----their-- hand i dad esl A. D., 19 SIM= AND S><rAt,iD IN PRESENCE OR L' f _ _ - se 8tt~t~ i arirA'M OF WISCONSIN. ~-ow'ty } PM80e1lty case bdom me, this 30th day of Jtaroh doAbwe MOW Glen W. Sather ad Dorot y Z. Sataer s te) are prows to be the person A- who eucnted the t~~ ~ the @am& K f ~i1,y 1 4 . "f * i - - N-. od 10 1#8" Plaft U% tutrty mM dratted by to e' T. ~thaar _ , _ . k lit his ttsuaiie ¢am4st1 son" {t• d a who a table l➢tM IM_ t1~~ "or: trtrotem rlll. >Nb~ • ' ~ ; ST. CROIX COUNTY ' %X1- WISCONSIN b'gsd ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Aug. 2, 1991 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation of the Robert Sather property, located in the NW 1/4 of the NW 1/4 of Sec. 21, T29N-R17W, Town of Hammond, St. Croix County, showed 28" of suitable soil requiring 12" of sand fill beneath the proposed mound. Should you have any questions, please feel free to contact this office. ncerely, Ja K. Thompson Assistant Zoning Administrator cj STC -loo 't'his aPplication form is to be completed in full and signed by the Oc;11er(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. should this development be intended for resale by owner/contractor,(spec house), 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 ,rC-s'r~ 6 vt- Location of propertyai?1/4 .46./4, Section 2/ , T _N-R_~LW .Township Hailing address 2.- / Address of site Subdivision name 2- Lot no. Other homes on property? yes No Previous owner of property Total size of parcel Date parcel was created ZZ 7 Z ? Are all corners and lot lines identifiable? ~ Yea O NO in thin property being devel.opad for (spec house)?-Yes /Y~No Volume 57/ and page 14umber as recorded. with the Register of Deeds. , 1NCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARIWiTY DLED which includes a DOCURENT NUIMER, VOLUME AND PAGE HUItUIIt & THE SEAL OF THE REGISTLR 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 cartified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER. CERTIFICATION 1(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 Leeds as Document Ho, ',3 "Y 7l/~ , and that I (we) presently own the proposed site for the sewage disposal system or I (we) Obtained an easement, to run the above described property, for ,;Jif~- construction of said system, and the same has been duly recorded in the office of, County Register of daads ua. Document 140, 11 i 'Signature of ap~al .637i_n : Co--app cant: !i use -3, 119 Date of Signature Date of Signature ~l/9~fq~~ yz s - 4710 / AS BUILT SANITARY SYSTE14 REPORT I 014NER S- 14' TOWNSHIP , SEC. P. 0. AD~~S S n,4 m-m v,,,,,j: At TAI N, R 7 W A rn nn- Ck. ST. CROIX COUNTY, 14ISCONSIN -SUBDIVISION LOT LOT SIZE PLAN VIEW DiPtances & dimensions to meet requirements.of H62.20 i SHOW EVERYTHING WITHIN 100FEET 0•F SYSTEM A/c PRA • V 1 1W 4- SEPTIC' TANK(S) Q oo 'MFGR. CONCRETE ~C STEEL NO. of rings on cover /v e_ Depth ZI « DRY WELL o0 TRENCHES No. of width length area BED no. o lines coo widtE- length area o 4 -F depth to stop of pipe c2 q Ir .AGGREGATE PERK RATE. ~A.REA REQUIRED '61 5--, AREA. AS BUILT 9 DISCLAIMER: The inspection of this system by St, Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for syst.e i oUeraLi-on. 'However-, i_i: failure is Noted the County will make every effort to deter- inn_ cause of failure.. GREASES AND OILS SHOULD NOT BE DISPOSED TH1:0UGH THIS SYSTEr1. INSPECTOR 'DATED /0 - a .7 - 7P ' PLUMBER ON JOB LICENSE _ - REPORT OF IIISPECTIOf1--INDIVIDUAL SEI•IAGE NSPOSIIL SYSTEIi. Sanitary. Perm it 3.11 State- septic - JE T&INSHIP ~ al _ t. Croi" County S,?PTIC TAM11 ' Size gallons. 'lumber of Compartments IIy 1. Distance From: Well ft, 12% or greater slope ft. Building` ft. Wetlands f Ilighwater ft. DISPOSAL SYSTF,-T Tile Field or Seepage Pit(s) Distance From: Well _ ft. 12% or greater slope' ft Building y~ft. Wetlands FIELD Highwater, ft. Total length of lines ft. Number of lines Length of each line ft. Distance between lines ft. Width of the trench ft. Total absorption area sq. ft. Depth of rock below the in. Dp-pth of rock over tile in. Cover _ over-rock., Depth of tile below grade in. Slope of trench in per 101 ft. Depth to Bedrock ft. Depth to ground water ft. PITS Number of pits Outside diameter ft. Depth below inlet eft. Gravel around pit: `yes no. .Total absorption area sq. ft. .Square feet of seepage trench bottom area required Cquare feet of seepage nit area required Inspected by: Title:. Approved -Date 197 Rejected Date 197 State and County State Permit # A rd PLB67 Permit Application County Permit # for Private Domestic Sewage Systems County ~7'• 9,0 / X *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. 030E OF P PERTY Mailing Address: ry f K B. LOCATION: -Y4 Section ~L T N, R _"O[ (or) W Lot# -City_ " Subdivision Name, nearest road, lake or landmark Blk# Village Township d C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family __X Duplex No. of Bedrooms &L No. of Persons p D. TYPE OF APPLIANCES: Dishwasher K YES NO Food Waste Grinder YES XNO # of Bathrooms O Automatic Washer -AYES NO Other (specify) E. SEPTIC TANK CAPACITY 040 Total gallons No. of tanks n! ir_ *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Total Absorb Area 73- sq. ft. New Addition Replacement *Fill System decl Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width &I' Depth r~ Tile Depth Y No. of Lines - 7iA)O Seepage Pit: Inside diameter Li uid Depth d q Tile Size Percent slope of landed % Distance from critical slope 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 Certified Soil Tester, NAME dc..Ae- '7- 71- C.S.T. # , - S'5454 and other information obtained from p r2 (owner/builder). tt D Plumber's Signature MP/MPRSW# Phone # 6 ?4 S3 7 J Plumber's Address L. cif o PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). PQIJGWR Io Q Q 1~ of 14e 3 0 of o Do Not Write in Space Below FOR DEPARTMENT U E ONLY l) Date of Application - Fees Paid: State x) County Date _17 Permit Issued/ d (date) Issuing Agent Name ~ i 1 Inspection Yes No Valid# Date Recd 1. county (white 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 NNEW 15H 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%, Section _Z1, , TZ*N, R ] ---e*) W, Township or Mumisipal y )4 1-\ in I-,-. Lot No. , Block No. County C~~11( Subdivision Name Owner's Name: V;~,3 1~:►A J?jER Mailing Address: 1'1 Nt o Iy IN i I• TYPE OF OCCUPANCY: Residence No. of Bedrooms RI Other EFFLUENT DISPOSAL SYSTEM: NEW k ADDITION REPLACEMENT DATES OBSERVATIONS MADE: SOIL BORINGS j j / -7 la PERCOLATION TESTS Z j Z SOIL MAP SHEET FE ~ ?AS SOIL TYPE %-KND ~,oIL Sk>2lVEY LUCIMATE5 HcacaNj 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 P- I z3 r~o t o iI J 1/6 6_1 P- z 3 L o ~Z MJ C, 3 ►~n 1 0 ! ) $ e P- 3 3~ ac`Cl~ 1~O Q 7~$ z 7 1Z 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) B--t 70 S 12 ' ' 1?sll, S : S 1 ~►Z.; 39 _ Z 72 7 7Z Ts a • %1 114,3h SO f %j 23 • Y-Fs 16 B 3 77- `7 '72 75 Z f~ 33 B S -72 ;r -7 7- -rS is o • 13)% 4 s e-14 to• . 13 IN q 6 $Lt t~ou lr S~ ITS, 13 • B Scl I- sl Q 31 • SO &;,YfA Ib PLAN VIEW (Locate percolation tests,soil bore holes and suitablesoil areas.) Ntym : #P?.ag-- `b~ . 2.003't Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. - 4 Indicate scale or distances. Give horizontal and vertical refer pints. Indicate slope. 6 `S A' 111. %n 1606 a 1 b o ' y t1 J i 25 V ~o ~ t'PI ~ ~ c, 0 1 • t N 3 Pi • ` so ~ ~t Z6 ' ,I p ' pl Ira SG/►c l.$ 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) AZ7T)10R L • 4.) IE45~ E Certification No. 57 b Address paw.) -re Z L ~k~ l~ T}ii lrtr ~ c,lo/ / Name of installer if known CST Signature COPY A -LOCAL AUTHORITY