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006-1067-70-000
e o o ^ p ° o c c a a ti O 0 ry H =ti~ I (D a c LL c .3 c ~ ~ I II c E J -el U i O M 0) > ~ y m r O ~ V Z r 41 ~ M F- fn i d m O O Z :!t c fyl ~ ~ =O N 0 Z :!t C O z fA F- 0) E f~ w N O O c 0) cy V~ m N CL (D oa) • o a°i Q w O Z m z N z I N y N c E c ns L Y U co 06 N y O 0 0 o o a (D j~ ^ f0 f0 f~ o N 033 ° a Z0I • R E a m a in FL v 7 O V) N N J V y 0)0) 0) Z r r ~l N co 0) T (17 I~ E 3 m'I a L ~ N 0) ~ d co Q lE O O C v q U O N O C C E Q o c Z a) a a c a m C ca H c c E E r M ad.. ~ ~ C 0) FBI M O co k L Q C _ „ ~s L d • e~ a m .2 a c rr`Iww~1 ~ ~ c c 3 Parcel 006-1067-70-000 07i24i2006 08:59 AM PAGE 1 OF 1 Alt. Parcel M 30.31.16.465C 006 - TOWN OF CYLON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - MORTEN, VINCENT M & EDNA H VINCENT M & EDNA H MORTEN 2032 HWY 64 NEW RICHMOND WI 54017-7601 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 2032 HWY 64 SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 5.110 Plat: N/A-NOT AVAILABLE SEC 30 T31 N R1 6W 5.11 AC W 168.5' OF SE Block/Condo Bldg: SW Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-31 N-1 6W Notes: Parcel History: Date Doc # Vol/Page Type 10/02/1997 566289 1267/592 WD 07/23/1997 439/567 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.110 25,000 126,100 151,100 NO Totals for 2006: General Property 5.110 25,000 126,100 151,100 Woodland 0.000 0 0 Totals for 2005: General Property 5.110 25,000 126,100 151,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 512 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER_,rrjj4j TOWNSHIP SECTION T_!:,y~N-R_/4_W ADDRESS' ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOTAZ_LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i r l sJf r NDIC E NORTH ARROW r~ BENCHMARK:Elevation and descripti n: Alternate benchmark a oil. SEPTIC TANK:ManufacturerLiquid Cap. Rings used:.:51^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 , Rearj Ft. No. of feet from: Well , Building: ~r t (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE a ~ r PULP CHAMBER Liquid Capacity: Manufacturer: 2~ Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Switch Type: IjWgl Location Id Alarm: Man.:. Distance from nearest prop. line: Front-, Side_, Rearl1Ft. Distance from: Well go Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: Length Number of Lines:,-Area Built Exist. Grade Elev. Proposed Final Grade Elev.-ell Fill depth to top of pipe: i ;vo. feet from nearest prop. line:Front Side_ X, Rear Ft., & No. feet from well: No. feet from building -4 HOLDING 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: DATE: - - PLUMBER ON JOB: LICENSE NUMBER: 6/90:cj DEPARTMENT OF INDUSTRY,. Act 100 1 ~ INSPECTION REPORT FOR FETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 ' BUREAU OF PLUMBING MADISbN, WI 53707 SE4,SW4,Sec.30,T31-R16 1:1 CONVENTIONAL DALTERNATIVE State Plan I.D. Number: Town of C l on y El Holding Tank El In-Ground Pressure El Mound (If anlgned) Hwy. 64 NAME OF PERMIT HOLDER: RESS OF PERMIT HOLDER: INSPECTION DATE Irven Gleason ADD 3 New Richmond WI ,O3- BENCH MARK (Permanent reference porntl DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV. Name of Plumber; MP/MPRSW No, Cnumv. Sanitary Permit Number: Calvin Powers Jr. 1563 St. Croix 149058 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACIT y. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED /UG✓e/Z-) DYES ONO DYES ONO BEDDING: VENT DIA.: VENT MAT ( JHIGH MAT R NUMBER OF ROAD: PROPERTY WELL. 6____G. VENT TO FRESH g! ~o AARM FEET'FROM LINE 70 AIR INLET DYES LINO CH Uo DYES 9TNO NEAREST (O .c) DOSING CHAMBER: MANUF ACTUHER BEDDING. UOUID CAPACI TV PUMV 9nUEl Pl)MP: $IVHON MANUI ACInUHEH WARNING LABEL LOCKING COVER r~ V PROVIDED. PROVIDED: ~a vb DYES CO N0 YES ONO YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF VHOPEHTY WELL IBIJILDING VENTT FRESH (DIFFERENCE BETWEEN FEET FROM AIR INLET' PUMP ON AND OFF) DYES ONO NEAREST'--4. Z' ~d I'3 SOIL ABSORPTION SYSTEM. Check the soil moisture.at the depth of plowing FORCE I I N(.111 IDIA111 T111 110AIIIIIA1 ANO MAHKIN(. or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN f the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TR ENCHz. WIDTH LENGTH N101 IDISTH PIPE SPAItIN,. COVER JINSIDL DIA -PITS LIQUID L iRF.NCHFS 41ArLHIAL PIT DEPTH DIMENSIONS::'::: / Q C/ly5 RAVEL EPTH FILL DEPTH UT 14 PIPE UISTR PIPE DISTR. PIPF. MATERIAL N ISIH NUMBER OF. PROPERTY WELL BUILDING VENTTO FRESH BELOW PIPES/, ABOVE COVER EV`INITI ELEV END II PIOPES LINE AIR INLET1 '5 NFEET FR EARESTO--► / ~(vS l~s S7 MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE ADIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- DYES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE IPIHMANINIMAHKIHS UHSENVAiION WE LLS DYES ONO DYES NO DEPTH OVER THEN(: BEU DEPTH 1VFH TRENCH HIT) I)l VTI/UF TOPSOIL S'DOED D MULCHED CENTER EDGES DYES . ONO ['ELA DYESONO OYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OF LATERAL SPACING IG"AVEL DEPTH HE LOW PIPF FILL DEPTH ABOVE COVER TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL IN0 UI57H IU:STRPIPE UISTHIBUTION PIPE MATERIAL & MARKING ELEV. EIE VDIAELEV. PIPES A: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECT I. y COVER MATERIAL VERTICAL LIF T CORRESPONDS TO APPROVED PLANS DYE ONO DYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET )m LINE: OYES ONO DYES ONO NEAREST to . cf ~ - ~a a~ ,03 CA - Sketch System on Retain in county file for audit. Reverse Side. /7 l" '/F~ \ \~\A' IGNATUR E: ~ ~7 111 Y7 / _ _ tia~ DILHR SBD 6710 (R. 01/82) 7TITLE '~R SANITARY PERMIT APPLICATION COUN 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 / qQa 5 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. PROPERTY OWNER PROPERTY LOCATION a"Aj _T1 S Y4 Y4, S T , N, R 1wl E (or)f~ PROP RTY OWNER'S MAILING ADDRESS LOT # BLOCK CI , ST E P CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER yr 111f (71&- I=-y/k s7 Al CITY NEAR T ROAD 1n T 111. TYPE OF BUILDING: (Check one 1 ) ❑ State Owned VILLAGE 12 ❑ Public X 1 or 2 Fam. Dwelling-# of bedrooms 3 AFIEL TAX NUM R( 111. BUILDING USE: (if building type is public, check all that apply) 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) 1.0 New 2. 4 Replacement 3. ❑ Replacement of 4.0 Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ® Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. 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 ' /i Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank S l + X 1 1:1 El Ej 1 0 1 F] 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' ame (Print): Plumber's Signatur Stamps) MP/MPRSW No.: Business Phone Number: ` 163 S- 6 Plumbe 's Addr ss Street, City, te, Zi p p Co X COUNTY/DEPARTMENT US ONLY I. ❑ Disapproved $gnitary Permit Fee (Includes Groundwater ate Issued ssuing ent Signatur m ff Surcharge Fee) jArApproved ❑ Owner Given Initial Adverse Determin on X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Pib-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber I APPLICATIOH FOR sAHITARY PERMIT 9TC-100 This sppllcatlon form Is to be conplotod In full and eIgned by the owner(s) of the property being developed. Any lnadoquacles will only result In delays of the pztmlt Issuance. -Should this development be Intended for resale by owner/conttactoc,(spsc house)# then a second torn should be retained and cvppleted when the property is sold and submitted to this office with the appropriate deed recording. Ovn:c of pcopetty.1 rolbl h, dad Location of pcopetty.s-C-1/4 50 1/4s section T-31r-R-/6ff Township _ y ~o IZ~ Hailing address C>20,3(9- A bell-) -7 Address of site am/ lnbdlvlslon nowe N • Lot number Previous owner of property ----Mar" -T/) YIP SQ`f ' Total sire of parcel _ PW"-0V A re Date parcel was created Are ■lll corners and lot lines Ident1flable? ---yen Is this property being developed lot resale INPIC house)?- so Volnwe and Page Number - 114, as recorded with the Reglstet of Deeds. INCLVD9 L WITH H APPLICATIOH Tilt t A VAARXNTT D¢ID whlchIncludes aDOCUHIHTHUMBIRI VOLVIMK ANDPIIOR MVXIgR, and the 91JkL OT Tilt R9018TBR Oir DBtDB. In addition, a certified survey, It available, would be helpful so as to avoid delays of the tevlewinq process. It the deed description teferences to a Ceitltled Survey Hap, the Certified Survey Hap shall also be required. PROPSRTY OVNER CSRTI►ICATIOH I(ve) certlfy that all statements on this form are true to the best of my (our) knovledgtl that I (we) am (ace) the owner(s) of the property descclbcd In this Information form, by virtue of a warranty d e r cor ed In the office of the County Reglater of Deeds as Document No. `(o. presently own the proposed site for the sewage disposal systein)(ordlt(wo)I have obtained an easement, to tun with the above described property, for the cuctlon Of asld nystam, and the of the Cv same has been duly recorded in the office of thyntyaegl at of Deeds, as Document Ho. gnstut~jo net Asnatute of Co-owner III Applicable) Date of Signature Data of Signature _-DOCUMENT NO. STATE BAR OF WISCONSIN- FORM 2 WARRA Y-D-t;D j = 331616 VOL 534 DAV' ] t THIS SPACE RESERVED FOR RECORDING DATA REGIfPTERS OFFICE BY THIS DEED, Irven L. Gleason and Helen M. Gleason, ST. CROIX CO., WIS. husband and wife, and Edward J. Gleason and Viola Gleason, Recd for Record this_2,0_th- 1 husband and wife, and William D. Gleason an Dorothy M. day of ke ~OC__A.D,19Z6 I Gleason, husband and wife Grantor conveys and warrants to Irven L Gleason and Helen M. Gleason, at____lVj- ur husband and wife 7,3 A rM Rsgist~r of eeds i ~l Grantee S for a valuable consideration One dollar ($1.00) and other valuable RETURN TO consideration Wm. Ward I~ the following described real estate in Ste Croix County, State of Wisconsin: New Richmond! WI I~ 'l'ax Key # jI This is homestead property. The Westerly 168.5 feet of the Southeast one-quarter (SFr) of the Southwest one-quarter (SA-4) Section 30 T32K R16W. i FEB EXEMPTi !i !I Exception to warranties: None i ii Executed at New Richmond, Wisconsin this day of February 19 r_v J iC►P/l =-7 (SEAL) ' SIGNED AND SEALED IN PRESENCE OF c- Irven L. Gleason j (SEAL) ~ I e n M. son &6&1,,,f •O~L9 (SEAL) i~ I Hdward J. Gleason 4u Lo gar ~(lhdr.- (SEAL) , Viola Me Vh4 s i Dorothy M. eason i iam D. leason Signatures of Irven L. Gleason and Helen M. Gleason husband and wife, and Edward J. Gleason an Viola ('Tltaason and Dorothy M. Gleason' authenticated this day of Februa 9 h 6 • h band wife. Wm. W. Ward = Title: Member State Bar of Wisconsin or Other Party Authorized under Sec. 706.06 viz. STATE OF WISCONSIN ss. j County. I Personally came before me, this day of 19_, the above named to me known to be the person who executed the foregoing instrument and acknowledged the same. i i This instrument was drafted by 1 i Wme Ward, New Richmond, WI Notary Public County, Wis. The use of witnesses is optional. My Commission (Expires) (Is) Names of persons signing in any capacity should be typed or printed below their signatures H.GMd'er Congmy~ WARRANTY DEED-STATE BAR OF WISCONSIN, FORM NO. 2 - 1971 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County ~ n MER/BUYER - d...._ e le-17 _P °`r° rL o ROUTE/BOX NUMBERo2o -?A A46 `4 &./!L4 Z gFire Numbero?4_ d p CITY/STATVVr_ J/eiG~l/~2 -ZIP S-Vv l7~ PROPERTY LOCATION:' ,k', Section -3( T I , R ! • Town of ' /o/1- St. Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Prover maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed' 's'e t'ic tank pumper. What you put into the system can a ect t e :unct on of cne eeptic tank as a treat- ment-stage in the waste disposal system. St. Croix County residents-mom be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, whic 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 .s s t'ems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and .(2)-after inspection and pumping (if nec- essary), ,-he septic-.tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year-expiration. y 0 I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- Zoningform Officemust withincompleted ment Natural to the oStCeCroixCertification days and returned of the three year expiration.date. SIGN DATE S 2 G - i~/ St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. IZ69 Yd ui rrlM M ¢ tip -Z Cc) tamer- rt ¢ aiff w Ww O (71 in b7 w w r• ° l to z z m R ffti r. h_ ¢ M W 0 < a H in t o "s, rj ~ c> ~x „ z I _ F a t' a m a0 O Va IL iLL aU aP 0x Q Z iv O rna O } O = zz z as G r 0w m m LL a r m r O W Z> w f'- w~ w i x Q Q z ` W o 0) :D T. 'D w m OC aO0 Q ~ ~ 11 O° ZN m 0 LL cn :r r) N. (L <I t ON oa WUF < U) v a r w i1J~D wy irz 0xcr a%<¢ aw -'O ¢Z IG U w a°U w a a m Z p cna CLO oo \ CS 1 n~ LL J o u W W J Q< w O ZWP \ ° m 'L'¢ Q O ~ 0. a < ZW xa 2iJ LL Q > ~ a tWii mQ z a¢ W a y a ?a O ¢ m ¢ (Wrycr z O v0 m ~F ~a W J >~cn~ a a .o W o K OU ZZ OFC7 F a~WLL as a i0w z a J ~aH } ¢Ul~~ cxpi c~ <W co 0 (n z O~-xW¢ a c? car ocLi a CTS {tit W N LO t•- r f*l Ln O o wwN10 W a)h-Mft N LL x ..w M N x a m< u co aD in co m IT t9 O K r Q d ° vo'.vr, i`wMfti 0 a CJ a ¢ w N r.. r. r H tY o ~a r WO u <h v Q 1 z s w¢ h ~ Z w - z <n iu t- W w :3 W O ° Q U- U° {V I l i f 1 w 0 0 LL N Q ~ ? in M W W cc 0 ~ R ` wow o Q x wcz, LL Z LL N ff, a< cr cv o O aa'..n co x r z'~ i- o~ In N o -jZ3U w 1- = a` :2 D (Ij N F- G T F-+ W a F- C? o¢ T z .L LQ N = o W ICJ Q U Cdo Q -~WM3 H > ~n p reJ=W N TY " N q. Ct++-'DCYltU o) %J) OD (Is N ~v w Q L, o~taRR s a ur t•' w IJY v'.a Q M wm Q r z Q wa 111 f'I fir- U a ~ > ff+ ° CA o cc 0 -D w o W IJ7 R M~ a CC J ~~y Q N N Q V: l~ \r O m U w •T TZ 0 Z X U U! U-) y 4 ° U to rj? w ¢ ~S'0? ^`3 o M o Z=- x o UGr tir U 1' a u O c] V ~ 11 Ct 7- LY U7 Z5 »J w > r= w r z o CC il c = i1- > ~ f Y f1 O O a (t; h'I h1 lrJ .T L7 t2 N a (i W 2 O¢ a m * q N3~LU ?-OZU W T z ¢ is MMOO t7 G (,d w a Li M I W -,1 W W zQ F- h? V) ~wNa rzZ-j W W w 11D xII r 0 g a-j u r-Wwau»Twx }-OOUO G a w (L t•?UW3 -0(.)< J r~i U N (n r I•"• U) ua z U.0 IL fJJ s RY OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DEPARTMENT INDUSTRY,- DIVISION P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP/MUIVFe F6At: rY: LOT O.: BLK. O.: SUBDIV SION NAME: for I! ffl S '/a /T N/R COUNTY: OWNER'S BUYER'S NA E: MAILING ADDRE : 1_0 13 )s DATES OBSERVATIONS MADE USE NO. BEDRMS.: COMMER AL DESCRIPTION: PROFILE DES IPTIONS: PER O ATION TESTS: Residence ❑ New Lk Replace 5:_ j _ 7- 9/ Y RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ®S ❑U ®S ❑U ®S ❑U EIS ®U EIS [A If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SO], WITH THIC , COL R, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- r d ~ B- B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RAT ES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD PERIOD2 PERI 03 PER INCH P- .2 !5~2 Old -yell P- P_ P- P- PLOTPLAN: 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. SYSTEM ELEVATION i~ E 3 , 6 4..,ee ~ 5- E Als, J~ lam- S7 , , I, 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. NAM pri TESTS WERE COMPLETED ON: ADD SS: CERTIFICATION NUMBER: PHONE NUMBER (optional): AL X:~~ al/ S*-/;? CS N TUBE: ` 4C'Z" DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - tr R "'"'LPS.,SUBMERSIBLE t 3 x•. SEWAGE AND EFFLUENT PUMPS 1 4 r f " E P0311 L DISC. apUPFP0311 142 EP0311 1/3 HP 115 V Effluent Pulp 1/2" solids 256.80 172.10 *k aSubmersible t~ MODEL EP0311 r r~ . Effluent Pump , „ " u METERS FEET SIZE % SOLIDS 25 1 Y ! J ' .20 } h ow X o 1o j. e K rrT1 M~~~~~«R{r~7 2 } ~r.• , rTy a L 34 28 32 38 10 ° ° 0 4 12 1E e 20 GPM 0 2.6 5.0 I .S WAt CAPACITY I'wr • ~~lv, 't'•= E Performance 3885 Curve f MCfElti fEtT . MODEL 3885 SIZE 3/4" Solid 26 f4 'l yl I t.~x:k~t A~ s 20 < ~A s ~ ao f WED?;.- 16. 50 4w WE05H A 40 ' Nth ~:tro + ~.R to WE Wfox 70 1 ~ - ,0 z Z: Mgy - - - 0~ 0 _ iL 1, 0 .10'. - BO - ,00 11°•. 12D OPM go 0 to 2!0 0 60 1 ° CAJ%CITY LIST DISC. x - 3/4' solids 491.55 329.35 p3lhfi,'E0311I. 142 WE0311L 1/3 HP 115 V Ia+ H r (Gt1Pt,E0311M 142 'WE0311M 1/3 HP 115 V Mod H 3/4" solids 491 55 329.35 9 3/4.1e1 ids 704.25 471.85 Q~t 0511H 142 WE0511H 1/2 HP 115 V High K f a ; 3/4" solids 8.43 .65 565.25 ! rah w Q7UPhE07121i 142 WE0712H 3/4 HP 230 V High Fkl. ~Yf PlID SPE7CIFICATICt1S. 4cz c~ Yf••rSEE .FOI1L7h7ING PAGE FC[i PFf1FCE0f PAGE Wu DEVr 30 • PAGE OF 4~~ CJ~ ~ PUMP CHAMBER CROSS SECTION AMD SPECIFICATIOUS w"i ~,~c./krro ti! r sya'~ VENT CAP 4'C.I. VENT PIPE frT WEATHER PROOF APPROVED LOCKING 25' FRCM DOOR, JUNCTION BOX MANHOLE COVER WINDOW OR FRESH 12°MIU. AIR INTAKE GRADE 41 I `i" MIN. CONDUIT 18"MIN. - IAII_.ET PROVIDE I AIRTIGHT SEAL I I i I V T I APPROVED JOINT A I I i I APPROVED JOINT W/C.I. PIPE. I I W/C.I. PIPE EXTENDIAIf• 3' I III EXTEMMUG 3' ONTO SOLID SC t;. ALARM B I I ONTO SOLID SOIL I I C I I ON I I PUMP---- -f OFF 0 CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL SPECIFICATIONS SEPTIC AND DOSE TANKS MANUFACTURER: NUMBER OF DOSES: PER pA~ TANK :,IZE: GALLONS DOSE VOLUME ALARM MAUUFACTUP CR: INCLUD!`!:, Z,;r-!.FLOW: GALLONS 1~= MODEL NUMBER: 14 CAPACITIES: A=., ~IMC14E5 OR GALLONS SWITCH TYPE: _ i B= '~INCHESOR~GALLONS PUMP MANUFACTURER: C= -L_INCHES OR GALLONS MODEL NUMBER: - ' { 0 D INCHES OR GALLONS SWITCH TYPE: 1l%I.L. NOTE: PUMP AMD ALARM ARE TO BE PUMP DISCHARGE RATE _ AS- 6PM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEKENCC D1 WEEIi PUMP OFF AIJO 015TRIBUTION PIPE.. _W1, 7 FEET + MINIMUM NETWORK SUPPLY PRESSURE . FEET ,4//,/,- + 41- FEET OF FORCE MAIN X / / AXio iooFTFRICT1oN FACTOR..~C.FEET I~ - TOTAL DYNAMIC. HEAD = FEET 1,6 /01 INTERNAL. 0 IMEWS.lo S OF TAAIK: LEAIGTH-;WIDTH ;LIQUID DEPTH 7- 9 SIGIc)E LICENSE ►JUMBER:DATE: -11~- , . PAGE OF CrvSS Sa- co ~ Iq Zito Sy A Floih Alf Inlsh Arid OCtuvullon Pipe '•!Y ~Q Q Appeovild Vent Cop /~/Ehl~ 7f iA•! Liwanm 12* Above c'~itq~7' Final Cr4d• 20. 42' Above Pipr -4* Coq lion yo final O/odo Veal Pipe shoe 11oy Of S/nlMlk Co.olnp min 2' AV9140610 0got Plpo . OI4ulCrllon - 0 0 0 -Too i r9 0 Plpo 4'Ap pistols o Pulosolu Plpo bolo. ' B~MOiII Pipe o 'Covolnp Twnlnolinp At Bottom Of System D Ptn•.l 5r ~Ic.J•.~' Ion ~ { SOIL FILL . DISTRIBUT101.1 PIPE APPKOVED S4wTNETIC COVCK MAT- OR 20Cf AG6 E6ATE OK )AAK,SN HAy90 OF STRAW , 0FAGGREGATE ELF. V.OFg FEET DISTRIBUTIOM PIPE TO K AT LEAST Z2 IUCHES BELOW ORIGIMAL GRADE AIJU AT LCASTtO IUCHES BUT 1.10 MORC THPW 42 MICHES BELOW FINAL GPLADC ,i MAXIMUM M.T.►{ OF F-%CAVATIOIJ FROM ORI&WAL 69ADF- WILL BE _ I►JCHEs t' imm ©Errli of EACAVATIOW r-J~0jv\ U,16INAL GRAOF- WILL BE. INCHCs f! 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