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AS BUILT SANITARY SYSTEM REPORT
Oi9NER_ c P cc`s-~~~! TOWNSHIP_
SECTION
ADDRESS ~o(~, _,ST. CROIX COUNTY, WISCONSIN
SUBDIVISION__ AI LOT. LOT SIZE
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
,c
b
75 o 4a
I~
INDICATE NORTH ARROW
BENC ~ 100.00
HMARK:Elevation and descriPtion:
- F>~~~ ~~p~i.~0 ~tSP IdCr
00
Alternate benchmark
SEPTIC TANK: Manufacturer: ~c,c~es QI Liquid Cap.
Rings used:&L/Manhole cover elev:
_EZ,_~_Final grade elev:
Tank inlet elev.: .3~ Tank outlet elev.:
No. of feet from nearest road:Front,LM, Side , Rear Ft.
From nearest prop. line:Frontf Side , Rear Ft.
No. of feet from: Well_ 3S'T Building:-_..,._ (Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
Manufacturer: ~Q~~~~~ Kra Co~~ Liquid Capacity:
Pump Model: LPLL pump/Siphon Manufact.:4 ro I/Lf, Z'. Pump Size Elevation of inlet: /G--.-_Bottom of tank elevation 77 -9/
Pump on elev.: 02 pump off elev.:
Gallons/cycle: i.2 91
Alarm: Man.: S,S r-:7 j,, L, , Switch
Type:., Location
es"
Distance from nearest prop. line: Front
Side_, Rear_Ft. _Z
Distance from: Well/Y-
Building 5
SOIL ABSORPTION SYSTEM
Bed: Trench:
Seepage Pit:
Width: '
Length 2. Number of Lines:-::L-Area
Built a sz~ `
Exist. Grade Elev. ~G•0
Proposed Final Grade Elev.
Fill depth to top of pipe:
No. feet from nearest prop. line:Front ✓
Side' Rear Ft.3
No. feet from well: L c-'
._No. feet from building
HOLDING TANK
Manufacturer:
Capacity:
No. of rings used: Elevation of bottom tank:
Elevation of inlet:
No. feet from nearest prop. line:FrontSide
Rear Ft . _
No. feet from: well building
nearest road
Alarm Manufacturer:
INSPECTOR:
DATE :
PLUMBER ON JOB:
LICENSE NUMBER: 3~ C
6/90:cj
[ V
AS BUILT SANITARY SYSTEHREPORT
C3 eo~~{. ~o~ heY f Pd~ e. cr,,
OWRER. P c~~ a t~ 1
TOWNSHIP &„9 1 ,
SECTION-,2,3_T-,2_1 N-R 1'1 W
ADDRESS 2S.(•(,~ ~F ST. CROIX COUNTY, WISCONSIN
SUBDIVISION__ 1
A) LOT Ald LOT SIZE
% 9 'PLAN VIEW
e SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
.s
rn-l
o
c>
R%
G Z
dam'
?~~••ib
~--7 Sb
INDICATE NORTH ARROW
Z> jot 00.00
BENCIRIARK:Elevation and description:_ ,S, '
`5 107.0o
Alternate benchmark
SEPTIC TANK:Manufacturer: JWQ_5 Liquid cap. 1060
Rings.used:&4/Manhole cover elev:_Uo"Final grade elev: ~!7,9_
Tank inlet elev.: .3~ Tank outlet elev.:
No. of feet from nearest road:Front_[M, Side Rear--Ft.
From nearest prop, line:Front Side , Rear Ft.
No. of feet from: Well 3s'+ Bu~lding•
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
Manufacturer i d vQ,s t~ eo~~ Liquid Capacity: 7S-L->
Pump Model:05~_pump/Siphon Manufact04 M Oldt2~ Pump Size,'
Elevation of inlet:/0 Bottom of tank elevation 7 7-21
Pump on elev.: 08 r
Pump off elev..25Y.Gallons/cycle:_ i-P q
Alarm: Man. S T rlec 1_0 Switch TYPe~ Location--
Distance from nearest prop. line: Front Flo
Side, Rear_Ft . _ S~C'_'`
Distance from: Well_ L ` Building
SOIL ABSORPTION SYSTEH
Bid:1 Trench: Seepage Pit:
WAth: ~r•
Length 25- Number of Lines:=Area Built ~s-
Exist. Grade Elev.__ ~l,0 Proposed Final Grade Elev._
Fill depth to top of pipe:,
'
No. feet from nearest prop. line:Front ✓ Side'
• I , Rear Ft . 3(~-
No. -feet from well: 2/0 No. feet from building S7'~
HOfMING TANK
Manufacturer: Capacity:
No. of rings used: Elevation of bottom tank:
Elevation of inlet:
No. feet from nearest prop. line:Front,_,_,, Side
Rear Ft.
No. feet from: Well__, building__, nearest road
Alarm Manufacturer:`"
INSPECTOR: 7Xd,,~
DATE: PLUMBER ON JOB:
LICENSE NUMBER: 3~ C
6/90:cj
LOCATION: HAMMOND 23.29.17.354,E 1/2,NW 1/4,23,200TH STREET
WisconW Department of Industry, PRIVATE SEWAGE SYSTEM County:
staV& and Human Relations
Safety and Buildings Division INSPECTION REPORT ST. C OIX
GENERAL INFO ATI N (ATTACH TO PERMIT) Sanitary Permit No.:
149314
oe
Pgr it d`I,s Ni ame: Q 6-1 ❑ City Village 3V Town of: State Plan ID No.:
0 GHNEY, , GEORGE E& PATRICIA BHAMMOND
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
Uv,~~ /d~• d!~' '~.1 T,e c 018105100000
0160
%
TANK INFORMATION ELEVATI6N DATA o A9
TYPE MANUFACTURER CAPACITY STATION BS HI F ELEV.
lOIG
Septic Benchmark 7777-77
O s111 e)-d,,
Dosin Z
Aeration Bldg. Sewer
3
Holding St/FjK Inlet 6~ 4 7, q -
TANK SETBACK INFORMATION St / IiIiit Outlet
Vent
TANK TO P/ L WELL BLDG. Air ir Ito ntake ROAD Dt Inlet J
A f De➢. +o
Septic >/S o > ~ ° > f NA Dt Botom~
Dosing > / >26b 32 ' NA Header-
Aeration NA Dist. Pipe /
Holding Bot. System
PUMP/SINFORMATION Final Grade ;o.:,.
Manufacturer Demand
Model Number /obl/ -_I GPM
TDH Lift Friction System TDH/>,% Ft
Forcemain Length fib` Dia. aHead
Dist. To Well >Z([J~
al SOIL ABSORPTION SYSTEM
BED/TRENCH Width - Length _ No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK _ CHAMBER
INFORMATION Type O wrirrnCe r r r Model Number:
ou-na ~j6U`' alo OR UNIT
System:
DISTRIBUTION SYSTEM
FHeader Manifold Distribution Pipe(s) x Hole Size. x Hole Spacing Vent To Air Intake
11~9 Spacing r'/ >260 Len th Dia. `i
OVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over [Depth Over xx Depth Of xx Seeded Sodded xx Mulched
Bed /Trench Center Trench Edges lb~ Topsoil 2) Yes ❑ No J2 Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
/7,
_y _ee
N z ,d w
lam'
6f Y4, 0 (P V: 3 a 3)
_.5,&5(9,5 / nll~'U- ~ //SUB O~ Z
Plan revision required? ❑ Yes 12 No
Use other side for additional information...
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
r
SANITARY PERMIT NUMBER:
ILHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code COUNTY
ST. CROIX
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than ❑ 1 y 931 y
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. S91-40938
PROPERTY OWNER PROPERTY LOCATION
GEORGE E. LOUGHNEY & PATRICIA A. BESAW E )9 ZNE1/a, S 23 T 29, N, R 17 )Y(&jW
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
866 200TH STREET N/A N/A
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
BALDWIN, WI 154002
11. TYPE OF BUILDING: (Check one) 1:1 State Owned ❑ VILLAGE NEAREST ROAD
HAMMOND 200TH STREET
❑ Public Ell or 2 Fam. Dwelling-# of bedrooms A-RIPE AX UMBER( )
III. BUILDING USE: (If building type is public, check all that apply) 018-1051 -a9 -OC* $
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. ❑ New 2. 0 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 ® 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 2. ABSORP. AREA 3. ABSORP. AREA 14. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
450 375 375 1.2 97.9 Feet 100.3 Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concret Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holdin Tank 000 1000 1 MIDWESTERN PRECAS
Lift Pump Tank/Si hon Chamber 750 750 1 MIDWESTERN PRECAS
LJ El I F1
Vlll. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plu is Signature: (N) MP/MPRSW No.: Business Phone Number:
BENNIE HELGESON 3215 715 772-3278
Plumber's Address (Street, City, State, Zip Code,.
W 1229 770TH AVENUE, SPRING VALLEY WI 54767
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved San tary Permit Fee (Includes Groundwater Date Issued issu'n Agent Signature (No Stamps)
Approved ❑ Owner Given Initial -H' urcharge Fee)
14 Adverse D t rmin tion !-'O0
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. YoUr sanitary permit may be, aenewed before the expiration date, and ai the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
1 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.
ll. 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 81/2 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 6-ed for monitoring groundwater, grcund-
water contamination investigations and establishment of standards.
F
STS-100
This application form is to
will ooner(s) of the be Completed in
properY being developed. full Sig
and ned by
d^velOnly result ill delays of the permit I AnY inadequacie
house
tf~ ) pment be intended for ale by ssuance, s
e then a second form should own Should this
property is sold be retaineder/COntractor,(spec
appropriate deed recording, submitted to and Completed when
this office with the
owner of property
Location of
property--!1/2
.Township --1/4 Section 23 T 29
N-R 17 W
Mailing address 866 200th Street, Baldwin, WI 54002
Address of site
866 200th Street, Baldwin
Subdivision , WI 54002
name N/A
Other homes on property? Lot no.
Previous Yes---x_NO
owner of property Gregor
Y N. and Gail L. Geissinger
Total size of parcel 80 Acres
Date parcel was created November 6, 1991
Are all corners and lot lines identifiable? XX
Property being developed --Yes -_NO
Vol ume 922 for (spec house)?
Deeds- -and Page Number 56 - Yes ~ No
Of . - as recorded. with the Register
5r t Y A~'`'§
A
i
I
crWe
lwsba~ and wife •as joint tense,,
Ew1
M
ll:
warrants to -UQ%bWy.JwRea
paw
.
.
R[TURN TO
-..,.5
tM lollewint: deseribed red Mtato is St.-• Croix..... .........County, 1
Stab of Whseona n: Taz Pared No:
Y ~I
1 E 1/2 of VE 1/4 of Section 23-29-17, s~
c' St. Croix County, wisconsin.
{
subject to a Farmland. Preservation Agreement,
filed with the State of wisconsin Department of
Agriculture. Trade and Consuner protection, +
dated June 27, 1986 and recorded July 7, 1986
in voluwe 0746", )gage 126, as Document Number 414163.
.4,
.k ,
The . is homestead property.
(is) (is not)
Ezeeption to warranties:
Subject to easements, reservations and restrictions of record.
r-, - E 1Y
Hove 91
- - -
Dated this day of . ll
N. EIS _ NGER---.
C _GZ'{y~< _ (z
(SEAL)......... .
GAIL L. GEISSINGER
AU?UTi1fTICA1'ION ACEWOWLSIDGhhtUNT f
St(s) STATE OF WISCONSIN
es.
St . Croix
j~
ix County.
Pessonail came before EW this ..._L9......
day of
November, 18.91_.. tM sboN
-Gregory N. G, - inger and
.
Gail L. Geissinoer
TITLE: MEMBER STATE BAR OF WISCONSIN
(if not, .
authorised by 1706-06, Wis. State.) to me known to be the person --6 rrho
g instrumentd , ledge the sd1 }y
foregoin
YMt1~ ar
J
F ~.ti or aekwewlOdRe
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER
ADDRESS: 866 200th Stre, Baldwin, WI FIRE NO: 866
LOCATION:- E 1/2, NE 1/4 , SEC. 23 T 29 N-R 17 W o
TOWN OF: Hammond ST. • CROIX COUNTY
SUBDIVISION: N/A 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. 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:_
St. Croix County Zoning office
911 4th St.
Hudson, WI 54016
Page 3 Uf 6
J
Approved Synthetic Covering
Distribution Pipe
Medium Sand
G
To soil F
f-
3 % Slope
Bed Of 2 (Force Main Plowed
Aggregate From Pump Layer ,
D 1.85 Ft.
Undisturbed E Z,, o Ft.
Soil
Cross Section Of A Mound system using _2.OL Ft.
Ft.
1 Trench For The Absorption Area G S Ft:
A 5 Ft.
B 1 S Ft.
I z S Ft.
Linear Loading Rate= 6.0 GPD/LN FT Ft.
Design Loading Rate= o.Z GPD/SQ FT K Ft.
L to\ Ft.
Ft.
Alternate Position of Force Main W 41
L 5.
S off' Z,~
Force
K Main
A.-
W Trench Of 2 - 2 2
Distribution
Pipe Aggregate rt t;
Observation Permanent J ISO
Marker 4S
Pippes
(1lachbr securely) t^
co
r ,la►fi apr~~
Mound Using ( Trench P
0g. V
Page 4 Of (o
Perforated Pipe Oetoil
0
End View
Pertoroled '
End Cop. -j PVC Pipe
;Oa6 L6
Install Permanent *marker
• at end of each lateral
Holes Located On Bottom.
Are Equally Spaced
Q End Cop
PVC Force Moin
i
Distribution
Pipe
LOSt Hole Should Be
Next To End Cop
Sysrt~
le~P0 Distr do/Pipe. Layout P 34-5 Ft.
OAS\
Q X 3to Inches
e 3
A`v'`- Y 36 Inches _
Akn Hole Diameter 'J4 Inch
Lateral Z Inch(es)
Manifold Inches
,4i
Force Main Z Inches
#of holes/pipe ~Z
Invert Elevation of Lateral s Q8 •y0 Ft -
Place lst hole la" from tee with succeeding holes at 36'' intervals..
Last hole to be next to the end dap.
~o
- PAGE OF
PUMP CHAMBER CRO55 SECTION ARID SPECIFICATIOMS'
VENT CAP
4-C.I. VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE
JUNCTIOW BOX ` COVER WITH WARNING LABEL
~t 25'FROM ODOR. fjU• I
WIIJDOW OR FRESH
AIR IWTAKE GRADE i y' MIN.
10' MIiJ.
COWDUIT
itoVIDE
FILET IRT~(GHT $EAL I III
APPROVED JOINTS
APPROVED JOINT
~1S I II ALARM
~~~pS16
I rlo
e •~R~ , LAS U GS 1 I ON
PUMP-~ OFF
L L EV.$-~ f T S~ C4~~'~
D
tel. S i CONCRETE BLOCK
3" APPRc+/e a
RISER EXIT PERIMITED OWL'S IF TAWK MAtJUFAC.TURER HAS SUGN APPROVAL. $6p01NG
SPEGIFICATIOKIS
3.6 PER OAy
DOSE . 1-"'bw'Rs~ PZgst r MUMDER OF DOSES: -
TA K MAAIUFAC7URCR•
TANK 51ZL: DSO GALLOWS DOSE VOLUME ~Z,q_o GALLONS
S.S• ~'t-`m4 S~•LS~1 S INGLUD11J6 6AGK/LOW%
ALAR PAWFACTURGR: 301.0
: vl \ N,\vj • CAPACITIES: A= 1q INCHES OR GALLONS
MODCL AIUM6CR
IMCNESOR 43.11 ALLOWS
SWITCH TyPf►:
ZALsLL~sR CoI I1aRC s 6 IUCNES OR 1Zq . d GALLOIJS
PUMP MDEL UURCR: Q, Ds 161)Z,µCHES OR 3Sq-T GALLONS
MODEL IJUMDER:
MOTE: PUMP AUD ALARM ARE TO OE
SWITCH TYPE: INSTALLED OW SEPARATE CIRCUITS
MIWIMUM DISCKAR" RATE GPM
VERTICAL DIFFEILEUCE OETWEEM PUMP OFF AUO_DISTRIBUTIOW PIPE.. °I • SZ FEET
- FEET
+ MINIKUlA NETWORK SUPPLY PRESSURE •
~•'1 FT FRICFI0LI FACTOR..--0--.34
X s--- ~ooft
i. IS . FEET OF FORCE 1'1/►IW FEET
TOTAL Oy1JAMIG HEAD b -FEET
DIAMETER 38 I I Z "
LIQUIO DEPTH ~ v
IUTERWAI- DIMENSIOWt OF TANK: LENGTH bqI lz`' ;WIDTH b~'!L i
• 231= GAL/INCH
BOTTOM. AREA GAL/ INCH
AS PER MANUFACTURER = 2~. c> J
QPvGLF 6 OF-
Q W
4'b 6'A
W
HEAD/CAPACITY CURVE 411
30, MODEL 97
4% i
6 . - .
25' - +
11'/s NPT
43/16
6 201
V
s 15'
X, 0
101
I
2 Lf3.08
5'
30 70
0 US 10 40 50 60
GALLONS I
LITERS 0 80 160 240 10"/16
FLOW PER MINUTE
TOTAL DYNAMIC EADIFL MINUTE
TERING
35/1E
CAPACITY MEAD UNITSIMIN
FEET METERS GS 22T1RS
5 1.52 I
10 3.05 46 174
15 4.57 35 133
20 6.10 15 57
Cock Valve 23.75'
CONSULT FACTORY FOR SPECIAL APPLICATIONS
. Electrical alternators, for duplex systems, are available a Mercury float switches are available for controlling
and supplied with an alarm. single and three phase systems.
Double piggyback mercury float switches are available
Is Mechanical alternators, for duplex systems, are avail- e for variable level long cycle controls.
able with or without alarm switches.
SELECTION GUIDE
1. Integral float operated 2 pole mechanical switch. no external control required.
Standard All Models - Weight 33 lbs. - T/2 HP 2 Single piggyback wide angle mercury float switch or double Piggyback mercury
float switch. Refer to FM0477.
97 Series Control SelacUon 3. Mechanical alternator 10-0072 or 10-0075.
Modal volt-Ph Mode AarPs skaplax DupNx 4. See FMO712 for correct modal of Electrical Alternstor. -E-Pak".
M97 115 1 Auto 12.0 1 or 1&7 - 5. Mercury sensor float switch 10-0225 used as a control activator, specify duplex (3)
N97 115 1 Non 12.0 2 or 2 6 8 or (4) float system.
3 or 4 8 5 orwired4n simplexor
p97 230 1 Auto Al .tortti7 - 6. Four (4)hole"J-Pak",junction box, forwatertigM connection ,
2 pump operation, 10-0002.
Eg7 230 1 Non 8.0 2 or 2 & 6 3 or 4 8 5 7. Two (2) hole "J-Pak", for watertight connection or splice, 10-0003.
CAUTION
Installation of controls, protection defter and wkk* should be done by a
For information on additional Zoeller products re}, Fto catalog on Combination All Insta Ad electrical and safety codes should be followed
FM-04. FM0514: Piggyback MenaxyfloatSwi. Electrical Alternator. qualified ocensed - Incluillft the most treeen National Electric Code (NEC) and the Occupational
Sewage :Mechanical Alternator: FM0495; Alarm arm Package. FM0513: and nd Sump/- Salaly and Health Ad (OSHA). .
Sewage Basins, FM0487.
RESERVE POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
3280 Old Millers Lana Manufacturers of...
OELLE/~ O. P. 0. Box 16347 a Louisville, Kentucky 40216 s fiff IV
O (502) 118-2731 FAX (502) 774-3624 ,4UAUTY ,ItAe /NCE
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SAFETY & BUILDINGS DIVISION
i
State of Wisconsin
Department of Industry, Labor and Human Relations
Western Regional Office
PRIVATE SEWAGE PLAN APPROVAL 2226 Rose Street
LaCrosse, Wisconsin 54603
: GREG GEISSINGER
WEGERER SOIL TESTING & DESIGN Owner 866 200TH ST
PO BOX 74 BALDWIN WI 54002
RIVER FALLS WI 54022
Date Approved: November 8, 1991
RE: Plan Nu>aber:-S91-40938 Date Received: October 25, 1991
Gallons Per Day: 450 Location: SE,NE,23,29,17W
Project Name: GEISSINGER, GREG
RESIDENCE County: ST CROIX
Town of HAMMOND
for
s project
The plumbing plans and specifications
compliance with applicable code 145, Wisconsin Statutes and the Wisconsin Administrative Code.
upThe on plans are with
stamped 'conditionally approved'. This approval is contingent compli corre any stipulations shown on the plans.
llage, items be obtainedd
All permits required by the city, vi
prior to construction. The licensed plumber responsible for thisain tallation
shall keep one set of plans with the department's approval
iata inspector when
construction site. The installer shall notify the appropriate
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 ffor or private sewage system code
requirements only. These plans have not been reviewed
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 PETITION
- REPLACEMENT MOUND
Inquiries concerning this approval may be made by calling
Y46.Jj.. .+r
f 1. i
Nj v
l '
V- Z
~,SKD-64'23 ,K. 011911
SAFETY & BUILDINGS DIVISION
y
State of Wisconsin
Department of Industry, Labor and Human Relations
WEGERER SOIL TESTING & DESIGN
Page 2
Sincerely,
(4E ARD M. SW
Section of Private Sewage
Division of Safety and Buildings
PPP039/0009n/14 X Private Sewage Consultant
cc: GREG GEISSINGER
s
SHD 642314.01/91
~ _f s
SAFETY & BUILDINGS DIVISION
201 E. Washington Avenue
P.O. Bog 7969
Madison, Wisconsin 53707
State of Wisconsin
Department of Industry, Labor and Human Relations
November 8, 1991
GREG GEISSINGER
866 200TH STREET
BALUWIFS WI 54002 Plan I.C. No. S91-40938-P
Dear 14r. Geissinger:
Re: Greg Geissinger - Residence
Private Sewage System
SE,NE,23,29,17W
Town of Hammond, St. Croix County, WI
Your petition for a variance to section ILHR 83.23 (1)(d), Wisconsin
AduM nistrative Code, has been reviewed.
The rule being petitioned requires a mound system site to have a minimum of
24 inches of suitable natural
The variance requested was to install a replacement mound system on a site
with 14 inches of suitable natural soil.
The fallowing comments were tirade in the petition analysis:
1. In reviewing the petition, it was noted that the request was similar to
other petitions accepted by this department under petition numbers
S89-03304, S89-03318, and S90-00072.
2. Based on the precedent established iDy the previous petitions, this
petition for variance is being processed as permitted by Wisconsin
Statute Section 101.02 (6)(g).
Departii►ental Action: Approval.
This approval is granted with the abovedwilifbehcarriedioutr's
statements and any conditions of approval
Prepared by: Gerard Swim ~
Date:
Departmental Signature: rc a eyer, rct ec
Director, Office of Divi~sio-► Codes and Application
GS:850WPPI ~
Enc .
cc: Leroy Jansky, Private Sewage Consultant - District 5, Chippewa Falls
Thomas Nelson, Zoning Administrator - St. Croix County
Arthur L. Wegerer
SBO 6928 (B. 81191
J
SAFETY & BUILDINGS DIVISION
I
State of Wisconsin
Department of Industry, Labor and Human Relations
Western Regional Office
PRIVATE SEWAGE PLAN APPROVAL 2226 Rose Street
LaCrosse, Wisconsin 54603
Owner: GREG GEISSINGER
WEGERER SOIL TESTING & DESIGN 866 200TH ST
PO BOX 74 BALDWIN WI 54002
RIVER FALLS WI 54022
Date Approved: November 8, 1991
RE: Plan Number: s91-40938 Date Received: October 25, 1991
Gallons Per Day: 450 Location: SE,NE,23,29,17W
Project Name RESIDENCER GREG County: ST CROIX
Town of HAN(MOND
for
basedeondChapter
This project approval been
plans and specifications for this
The plumbing lns are
145, compliance Wisconsin with Stapp liatutes cable and code Wisconsin Administrative Code. The p
the d~
This approval is contingent upon compliance with
stamped 'conditionally approve
obtained
ti ulations shown on the plans. All ltownshiptorrcountyd shalmustl be be corrected.
any s p the city, village,
stamp s at installati
All permits required by
the
prior to construction. The licensed deuabtmentsso appble f royal or this
when
shall keep one set of plans with the p the appropriate inspector
construction site. The installer shall notify
inspections can be made.
This approval will expire two years from the date approved or if a sanitary
ermit expires.
permit is obtained, it will expire the day the initial sanitary p
stem code
foorr private
code rsewageque s
requirements
been these reviplansewed for
The Section of Private Sewage has reviewed
requirements only. These plans have or in Chapters 50 64 0
set forth in Section ILHR 82 for general plumbing
Wisconsin Administrative code.
This approval is for the following components only:
- REPLACEMENT PETITION
- REPLACEMENT MOUND
Inquiries concerning this approval may be made by calling (608) 785-
0o VA ru
s- "~~Z N
C CAO,
lclk
Rr
SRD 64231K.01/811
SAFETY & BUILDINGS DIVISION
J
State of Wisconsin
Department of Industry, Labor and Human Relations
WEGERER SOIL TESTING & DESIGN
Page 2
Sincerely,
ERARD /MSW
Section of Private Sewage
Division of Safety and Buildings
PPP039/0009n/14 X Private Sewage Consultant
cc: GREG GEISSINGER
SBD 6423 (R. 01191)
Page of
y
MOUND SYSTEM
FOR
A 3 BEDROOM RESIDENCE
Z3 T 29.N, R 11 W,
LOCATED IN THE S E--1/4 OF THE NE 1/4 Oc. SECTION bUNTY , WISCONSIN .
TOWN OF hwlM o~1O
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
PA GE 5 of 6 PUMPING CHAMBER
PAGE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
C~RCG~ G~-1SSl~1G X52
Zoo sT.
'a66
nh~Ow~r~ , w1 s4ooz,
PREPARED BY ,~~petat~~ey to 00% \it
Ir►! E G E 1~ E R SQ I t-- T E T I "ca ARTHUR L.
Fl
j WEGERER
IDES I G1V SERVICE EUSMa H.
P.O. BOX 74 421 N. MIN ST.
RIVER FALLS. VI 54022
715-425-0165
JOB NO . q J - 1 O
PAGB
REPT131 HAMMOND ST. CROIX COUNTY ZONING 92 AREA. 12
05/05/92 16:x-3 REQUESTS FOR INSPECTION WORK SHEETS FOR. 5/ S/
INSPECTION REQUEST SUMMARY * * * * _ _
sscss===-=ssm^.xsa=ss= ssss.=.= s _s
Time Activity Type
Address
09:05 A9200160 MOUND HAMMOND 23.29.17.354,E 112rNW 1/4,23,200TH STREET
Item: 00012 FINAL INSPECTION
ST. CROIX COUNTY
. WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
Oct. 22, 1991
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 Greg Geissinger property, located
in the SE 1/4 of the NE 1/4 of Sec.23, T29N-R17W, Town of
Hammond, St. Croix County. This onsite revealed suitable soils
at at a depth of 1411 requiring 22" of sand fill.
This site should be suitable for a mound.
Should you have any questions, please feel free to contact this
office.
e y,
Sames K. Thompson
Assistant Zoning Administrator
cj
PAGE 1
REPT131 HAMMOND ST. CROIX COUNTY ZONING
AREA:
12
05/05/92 16:13 REQUESTS FOR INSPECTION WORK SHEETS FOR: =~===s S/ 8/9!2 ARE_: 12
Activity: A9200160 5/?/ 354Type: E 1/2MNW ND/4,23Satus: PENDING t200TH STREET Constr:
Address: HAMMOND 23.29.1 O20 Use:
Parcel: 018-1051-00-000
Description: 149314
Applicant: LOUGHNEY, GEORGE E& PATRICIA BES Phone:
Owner: LOUGHNEY, GEORGE E& PATRICIA BES Phone:
Contractor: HELGESON, BENNIE
Inspection Request Information..... Phone:
Requester: B HELGESON
Req Time 09: Comments: Time Exp
Items requeste o be Inspected... Action Comments
00012 FINAL INSPECTION
Inspection History.....
Item: 00012 FINAL INSPECTION
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