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008-1071-95-000
Form-STC- 104 AS BUILT SANITARY SYSTEM REPORT 64. SEC. T _N-R L& OW OWNER ~QIr TOWNSHIP - ADDRESS l~T ~y ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•IIHR.83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM LA- i o~ e~4' CCr\C~T ~ ~IOQ~" BENCHMARK:. Describe the vertical reference point used --t~"sJ e bt+cs- Elevation of vertical reference point: Proposed slope at site: Ip CliS~ SEPTIC TANK: Manufacturer: e:"t?&0(;"J'6r+t 4 Liquid Capacity: 000 6o 1 Number of rings used: O Tank manhole cover elevation: Tank Inlet Elevation: ? 7, 3 g'Tank Outlet Elevation: _-7:2,12 Number of feet from nearest Road: Front, Side,O Rear, O '-~.o feet From nearest property line Front, Side,O Rear, O o~ O feet Number of feet from: well w "/Ovbuilding: (Include this information of th above.plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: v Liquid Capacity: Pump Model: 3' Pum iphon Manufacturer: Z 0 eC j e'" Pump Size Elevation of inlet: 76 . ~ ~ Bottom of tank elevation: 7 Pump off switch elevation: Gallons per cycle: 7 . Alarm Manufacturer: S f~~FcTlre Alarm Switch Type: ~~rc""'-x ~~Ot Number of feet from nearest property line: Front, Qfide, Rear O , Number of feet from well: 0 P- ec~ Number of feet from building: 4 K (Include distances on plot plan). SOIL ABSORPTION SYSTEM / _(00n. ot/ Bed: Trench: Width: 0 Length: Number of Lines:_ Area Built: .Fill depth to top of pipe: ® q Number of feet from nearest property line: Front, Side, O Rear,0 Ft A.3-2 Number of feet from well: -3oU Number of feet from building: 7 (Include distances on plot plan). SEEPAGE PIT' Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, OFt. Number of feet from well: Number of feet from building: ` Number of feet from nearest road: Alarm Manufacturer: Inspector: N Dated: Plumber on job <Z16 / License Number: _7P 3/84:mj a C. (E C o F r - ~ s e.r< <-ta 1'1~ 4.u 1 7 ►s ' ~o tvoT b l STv2I3 orz P1 A CT A~,Rtzvt a 3a' m6.w3 W NfvtL. lr oup Grzu" ?s . t lv b" 'nte3~ r j r'd' N P.9 J ~ r /aL Z-)t0 of ~V C \=o~ CE HAi1J C. • ~ Q N \ 9PC1.1t~oN~D hs PER G~,~~.,~.,p Cow 81 ~ bRb w~LL. P 1 PvUrt P~ c_ubCS'to P~~,o attiWk f C~RU~TE~'T)q W , ~ i 30 of y~'AVC„i~ 1 . 61~-4utvD EL'190 X 'S' , / ZS 'oF 4`Ipv ?s•Pl t 6 t~!'c+~Mt 01.1 aA1JC.RE'TL~ Qr f Lgp0. Of 9LAG, A * w el-L l.0 ch'iLb 3~0 Llw .Y.QJ 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. ( Z required) rep' A. Septic tank to be tiooO gallon capacity manufactured by f h\o~J~R>J PRA=GST, two. 5. Bench Mark s~ Alaw Pt-hN 6. Divert sur aCe water around mound,to.prevent ponding at the uphill side. 1 A o S S h~\ ~ TO , . , Z.S~ AvE. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUST,'iY; DIVISION LAROR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 539069 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: NSHI UNICIPALITY: OT NO.:BLK. NO.: SUBDIVISION NAME: NwI/ Nw y zs /Tza N/RIC E (or COUNTY: MAILING ADDRESS: 19-1 CTli ~rt,v sT- 0_.019 `DffL. z-Le3PM-r woo U)l,_LZ W1 5L/oL$ USE DATES OBSERVATIONS MADE NO. BEDRMS.: ICOMME R DESCRIPTIONS: PERCOLATION AL DES R TION: TESTS: OFILE 1;&Residence ❑ New Replace I 9 _ Zg- c~O 1 t~ - T -Q,l~ RATING: S- Site suitable for system U- Site unsuitable for system O/U S i`TQ- Qk f Z-VV CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: S TEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: Ioptional) E ]S ®U ZS oU [Is EZU IE]S ZU OS LOU If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the h under s. ILHR 83.09(5)(b), indicate: ~V. 1K . Floodplain, indicate Floodplain elevation: A PROFILE DESCRIPTIONS BORING TOTAL P H R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION SERVED TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- S ~K~q.S' NOvJk_z- 39 S~Tt` PhG(z- 3 0>= 3 B. zg B- B- B- B- PERCOLATION TESTS TEST DEPTH , WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RAT MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. -PERIOD t I PER INCH P_ \ tiz~ "Z4 C) 1 1 11 1 / & 2-1 P- Z. z-o f.» 30 1 S~It. 13/16 ) Ity zy P. 1,6 '116 P- . P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope, '8(Yl yam( 0\= et;S~ - 4:FL„ LOL. S l~►l6~ s W {CL. S SYSTEM ELEVATION IN V r- S 'S~ C$' r, OF 941 CZ1 ?W-U t Se Z. -5 _ Z 1 m~ 4---1--_._ III h o S r , x ;9 -cam , t -4- i f - . sue, zS 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, WEGERER SOIL TESTING NAME print : AND, TESTS WERE COMPLETED ON: l0-~-90 nESIGN SERVICE ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): P.O BOX 74 421 N. MAIN ST. c S T d N tzs S-)( 13 - LI Z3 - o) 6 S RIVER FALLS, M 54022 CST SIGNATURE: 715-425-0165 cm - \89 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR•SBD-6395 (R. 10/83) - OVER - ` NQE OF 3 S cft 8.'L 1 P. .o~ ~~ti. s~ t17`BLE P12Scf! FAR HCUAlD Zoo's a.t p~ / / p ..--t- B rt - ~,~v , toe . oo' o+a ti►+t« 1' t~uu~ G ~zw~wn 6" 'MelS B •3 J h o J U 2 1 ~.o acv 91-0 C. ~ 1 / ; s~vn a, trt~ t woa of e~oc , ~o, _ m yr i 1J oT6 ; w LZLL~ lA C*rTtEb 30O $ ►v w p ~ ~f o v ~0 91'1'L , IAVI C All, I " - - ~cG~ 2 of 3 SOIL DESCRIPTION FORM (Attach Sol] Prohlo Location Mao On 0 Su ara a Shas ct' S1 =Ny: TO RATE, - Z1C$ LINEAR L nE L PURPOSE lUP~LUf~~ FrjR WEV"C.EYIE1T S`IS11SPI SLOPE D ,P.IDN .R'T?-BUR l.. WEASPECT, So~TEe~ai DATI sti' Z 4, I4°IO CURRENT LAND USE: IS1~D TY/STATE ST c-k~ U~ C-pUKJrli l.~1I VEGETATIVE COVER: RL-FH~-F~ G2hS$ LOT DESCRIPTION' 1-Y VV-Qlj I/V SAC ZSrTze" 6w DRAINAGE CLASS: LOCATION -TTOW Yl~ oTZ ESPt'V (S LI_Z GALLONS PER 30'-'FT- PER y SERIESt~~C~L-~~ Sl ~t' uT u~TCetu rS)/ PTH 1 SOIL„ Nw. MAR HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE' 'CLAYSKINS/ PORES ROOTS PII .8"OARY RE. KS C St. Shp l O lo`'I LL 3 IZ 'Z V, rn C S 2 $-z~ Lo~-Ltz ~!3 _ ~J I ~ ~sbk wt h _ , : w 3 2y-3 lu s ~ . ~ l 1 3bk r~l.fh 39- 51 ~b`ttz, ~ 13 C 2, P 'Fs ,l~ S~ wl V'F►^ _ ~ aosm S18 1►aoT s i l "Z m h ►"~'Fh cS 1 0-8 111`i[Z 3 Z - t lost s! ` - s i I 2. m s 'F+, C s Z`f-~ ~o s1 - l ab m.~ ~5 S Z .3~ mLl12S1 1 S Sb 1n.U h" CS G 3~-sl Z~K 1~ z~ .s~1 1 bk »t ,,.1 10~-1R 3 / 2. S t I 2 m 3 bh' h't'~►- Z lb`-M 1 SIT Z `g b' in s 9w 3 7-S`ilZ 3l 3 a% S GI ~5b1Z !y1 TI' W/ Lott 27 CPC s ~.S`t2 S!$ NOT OTHER SITE FEATURES/NOTES: 00056 3 3 rid Signature ~~~~G- Oats CST M LIMITING FAFTORS/DEPTH: SAFETY EPAFT`MtNT OF INDUSTRY, INSPECTION REPORT FOR & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION 4ADISON, WI 53707 State Plan I.D. Number: NW4,NW~:,Sec.25,T28-R16 ❑ CONVENTIONAL ❑ ALTERATIVE (If assigned) Town of Eau Salle ❑ Holding Tank ❑ In-Ground Pressure C Mound AME BRM HOLDER: ADDRESS OF PERMIT HOLDER: ICTJON DA ~G' Del Ziebart 197 Co. Rd. B, Woodville, WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: , REF. PT. ELEV.: CST REF. PT. ELEV Name of Plumber: e o n % MP/MPRSW No.: County: i ry Permit Number: Acqoan 6646 St. Croix 128818 4 5 SEPTIC TANK -8a•l3 ^ / - , C~ f ; = MANUFACTURER: LIQUID CAPACITY: TA7qK INLET ELEV.: TANK OUTLE EV.: WARN L LOCKING COVE C ! y N % e L / / _ / PROVIDED: PROVIDED: r C T 35 7, /Z ES ❑ NO ❑ YES BEDDING: 40EN NATL.: HIGH WATER NUMBEROF ROAD: PROPERTY WELL: BUILDING: VENTTOF SH n ' ALARM: FEET FROM / LINE: , I /#.l AIR INL T: UaIES ❑ NO 1 4- [--1 YES NEAREST ~//UU DOSING CHAMBER: / :O2'~ 72 .S ;7-,l MANUFACTURER: BEDDING: LIQUID CAPACITY: P P, NUFACTURER: WARNING LABEL LOCKING COVER PROVIDE PROVIDED: 21- ES ❑ NO 'p n~ f c~ g. C~ GO e1tS ❑ NO 9'YE Q NO I~.~` h-' GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH FFERENCE 7 BETWEEN FEET PUIMP ON AND OF) ES E-1 NO NEAREST-~ Ll'>j~ ( e f4 AIR INLET: SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: / DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until the soil is dry enough to continue.) MAIN 40 VC CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: OtlSt-j &INSIDE DIA.: # PITS: LIQUID TRENCHES: DEPTH: NSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. NUMBERJESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: FEET FROE: NEAREST MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; !'lz/< Z?fCr NO C'T~~ NO DEPTH OVER TIIII_ GH/BED DEPTH OVER FRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: v f ~Cp C~ ❑ YES pab ES ❑ NO B ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: / f TRENCHES: DIMENSIONS 41r MANIFOLD PUMPo MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: / ELEV.: / DIA.: ~j i/ ELEV.: n PIPES: DIA.: ELEVATION AND G~ 1l~o~,C~.3 S c-k, ~F ~C? r G'h PPYC' DISTRIBUTION HOLE SIZE:/ HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO .n5 c Z7,Sl INFORMATION ' /r APPROVED PLANS S ❑NO ~Jff ES ❑NO OBSERVATION WELLS: NUMBER OF PROPERTY WELL: COMMENTS: PERMANENT MARKERS: ~T'' / BUILDING: / - Z ' 3- SS 2. c S' AYES ❑ NO DYES F-1 NO NFEET FRM EAREST~♦ C<:,F.~ , zo ~zz.~s'= 889 " ?Lvo;=- 7e . fozo. / s v, m faG t~'runty file for audit. ketch System on ~j- - w~ Reverse Side. SIGNATUR TIT SBD-6710 (R. 06/88) DILHR SANITARY PERMIT APPLICATION COUNTY. In accord with ILHR 83.05, Wis. Adm. Code mot STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than El 1 g O1 8% x 11 inches in size. O Ch/ eck if revision to previous pplication -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S '9 PROPERTY OWNER PROPERTY LOCATION OG .2 -t ~e~-- 0'/a WY4,S aS T0 8N,R r E(or W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # / 14w B CI , ST TE ZIP CODE PHONE NUMBER SUBDIVISION N ME OR CSM NUMBER 6 ? 0-2-712 II. TYPE OF BUILDING: (Check one) ❑ State Owned O VILLLLAGE NEAREST ROAD R341 ❑ Public ~ 1 or 2 Fam. Dwelling-#of bedrooms_L PAR L TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 3 7 1 ❑ Apt/Condo 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 1130 Other: Specify IV. TYPE OF PERMIT: (Check o/nll one in line A. Check line B if applicable) A) 1. ❑ New 2. LReplacement 3. ❑ Replacement of 4. ❑ 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 M ound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 420 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 -7 3? Feet Feet VII. TANK CAPACITY Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks oncret structed glass App' Tanks Tanks Septic Tank or Holdin Tank f A, lia;i A Lift Pump Tank/Si hon Chamber I Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print : Plumbe ' Signature: (No Stamps). MP/ PR W o.: Business Phone Number: Plumbe s Address treet, ty, State, Zip Code)` IX. C LINTY/DEPA MEN USE ONLY ❑ Disapproved Sa 'tary Permit Fee (includes Groundwater Date ssue Issuing an Approved ❑ Owner Given Initial Surcharge Fee) Adverse DeterminationG~ 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 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 properlyinaintaiiied. 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 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. , . GROUND)NATER 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. r SBD-6398 (R.11/88) } c Z} ' ` nn y v W 0 m + U W ~ O z co ~ o O ~ t z q Z: a a f o J` c w~ J W g cc a O _ o w 0 W y z « O 1 a w UJ y :3 ❑ w a) Q~ Z 0 W zz o 9 O N Y Q Z U W Q I- O Q X S a ~m0a z F- 1 F- Co U (Sm Q a Q :Di 0 7zz~- z E LL 0 0 0 Q m - W O D U U W c J W = LU `n C) iL 0 E QV'0 } O z uY~" Z w Q h F= N Y H y N Q Z H Cc m 3 ~0 ~ co ~ N w~ O r 7 D J y a W Qlz~ F}- 0 O U) co j j NJ W F= c? \ U z w 0 a > > a CL m p w Q 0 a> w w tp O > z' Z Q a a LLI LL. a m 0 O Z Z c Q g co H W z p i z z w O O Q , Q LL W v a ❑ Q LL > z w Q z ` - m OC O UJ ~ Il z S N z V r^ Z ? o Q w ! co a a~ z CL ~ 0 m O= 77- N ~ N E a cc W y 1~ LU a H m y Z) a 5 W Q z\ V Q W I ❑ 030 N ~ N Lr) Q Q~m c z Q , ~ m LLJ m L) LL z > N Q O M Oa w w w y N z W CO m ~=)2 a N m ❑ + O III a z w t o a Q w 00[ O Q O CL a c7 a a w Z Q a a N r .C O C C t C 'D ~ (D w e--~I ° - E E- M c W o c . A; y c a c o u> a °E o m < E M L y ° _ 0 rnE E d v w M. J c•E o ° m C p a 3 Z; Q p a ° `m v Y (u 5 w w H C N O) C N M- a N ° v a m N Z O O N m 0 -,0 a' ? C a>i a m Q Z E NO.V -N ai ° wry~ O Ea m u o `ma) 3V a Li. o.~ a m° E - H nd i E_ E E wr O N m d Of C M 7 N a U-) ~p C m O O. 7 01 m ' C > O 7 p C > p CV) LL c N N L y = N C Lc) 4Q _ C w d w; d r C y U U W r L uUi E cN c m m E d ` m cc Vv off a~a:E~ °m av w 0E a,d o 0a LC CL ° Q O Q nN o; c E N m o o c m 3 oui N20-'C c E d° "'m o m^ ww L d ~ L m 3 C L~ N L a ° N W w i H F- C F' m O. > N ` - Z do `Nod do` `N a w w z z • z LL ~ O O U O o w Z I- U U) z Z c : LL Ir U) 0 U) I ° Q z z L UO U Q = o ~ U U Q F- O 2 -J F- m 0 2m cr: LL w J U U) 00 ~ ~ to X _ F- w O ~ co Cc LL 1 2 COIOJW Cc C= oC m O 0 w g co z ~ Z ~ w m D U) CL ~ff COO* 0 CL O Q co 17UILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code couN STATE SANK P ~ IT -Attach'complete plans (to the county copy only) for the system, on paper not less than QQ 8% x 11 inches in size. ❑ C 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 0 e-1 2 Q. / or V Y4 4/Y4, S 2 5 T 2e, N, R/ E (or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOC I 12 C. 10 8 J/4 L N CITY, STATE / ZIP CODE PHONE NUMBER S 13(VISION NAME OR CSM NUMBER e, c, v,l 4 6;1 lQ~V) l 4 [ef/ C( Ws, 1 II. TYPE OF BUILDING: (Check one) 11 State Owned CITY : NEAREST RO/~ ~~K G~ll,~ Gar /j TOWN W: ❑ Public 1 or 2 Fam. Dwelling- # of bedrooms) PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo C• 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 100 Outdoor Recreational Facility 30 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. ,.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 PQ 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) L! S v / , ELEVATION r -3 &5(/Feet / G 3 Feet VII. TANK CAPACITY Site in allons Total Of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete glass App. Tanks I Tanks structed Septic Tank or Holdin Tank , W e_f c Lift Pump Tank/Si hon Chamber r) -U I k Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumbe Signature: (N mps) -MPMPRSW No.: Business Phone Number: c tj L 4f 9 / s° Cry Z_ / Plumber's Address (Street, Ci ate, Zip Code) J W~r/G 4.~ ~/2 WG v a~ v , 2 G✓r S S ~l U 'L IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing gent Signa No Sta ) Approved ❑ Owner Given Initial (Z~//C = Surcharge Fee) Adverse Determination 0 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 sanitarypermit 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 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 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; purnp 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.11/88) APPLICATION FOR SANITARY PERMIT 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 pstmlt Issuance. -Should this development be intended lot resale by owner/contractor,(spec house), than a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Ownet of property yC, [ Z C 6 4 ,Az - ✓ ~ ~ ~ • Location of property /..._1/4 l.Y~.w.__ 1/4 Section T R~V Township 'Fri o /19 r( Malling address Ct ~2r ~ ,e o~ ~~1P Address of site s ~tev Subdivision name[VA*_ Lot number Al Previous owner of property 1 I D Total size of parcel ll~ M Data parcel was created Are all cornets and lot lines ldentiflable? an _ -J 0 is this property being developed for resale (spec house)? - as Volume and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWINCs A WARRANTY DEED which Includes a DOCUMENT NUMBER, VOLUME AND PACE NUMSEyi, and the SEAL OF THE REOISTER Of DEEDS. In addition, a cettified survey, If avallable, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Ceitified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(Ve) certify that all statements on this form ate true to the best of my (out) knowledge= that I (we) am (ate) the owner(s) of the property described In this information form, by vlrtue of a warranty deed recorded In the Office of the County Register of Deeds as Document No. v'~ 71 s and that I (wet Presently own the proposed site for the sewage disposal system (or I two) have obtained an easement, to tun with the above described property, got the construction of said system, and the same has been duly recorded in the office th County Register of beads, as Document No. ~Lo :5 9 819nature of owner Signature of Co-Owner III Applicable) /J _ q6) Date of Signature Data of Signature a F~ « N , ..MNy~..NAI,««..N..«.w..• _...MI.. • .M~ • . ~ tq~ ti wd SAW* IN • . ~ 1 M% and the M* S"ik f Lt 1a-116 m0ject t0 clI t of ors a + ptlril~s of record. } PcoPety twins due and p4jo1►le by 1-0", 1 ' bd. paid one-half (1/2) by each the 6etltmes aCt~t argrer~►. r S fit F I a iomMm" proputy. r I) . day of ..,.,.,.t.. .rtii~L) • S~ a • ' AMM=3t:IQ♦::o• woau~o~~stto ...........««.......»w......__.. CAL. ~'i a w d._..»...J.gly.... ».9II f i~ M~~ ■t. ~r~ts zii wiL si i:.w....._ a.~. wa flu to f ..psum lhyi~ iM~~~t at ««w.,r.w "ft OWN-MtfT WAS ORAFMO ry Him be MtbnLieMM K Sl~w111~~. l11it M 4* SSw &%o4 M .q mwsdy shoal k %94 M 1MOA No& doMOMSI► SEPTIC TANK MAINTENANCE AGREEMENT ~ St. Croix County r a OWNER/ BUYER I~~- ' e r t , o ROUTE/BOX NUMBER 3 Fire Number d STATE ~ W G l~ C~ l%', r S rt CITY/STATE ZIP 0 PROPERTY LOCATION:L✓►~ Section T N, R_ Town of ''q_ '4 St. Croix County, Subdivision ('Y/4- Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes.- Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a 1'icen,s•ed, 's'ept'ic tank pumper. What you put into the system can a ect t e unct on of the•septic.tank as a treat- ment-stage in the waste disposal system. • St. Croix County residents-may_'be eligible to recieve a grant for a maximum of 60% of the cost.of 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 'sys'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), the 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. H I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with 9 the standards set forth, herein, as.set by the Wisconsin Depart- :r went of Natural Resources. Certification form must be completed •,d and returned to the St. Croix County Zoning Office within 30 days of the three year expiration-date. SIGNED L nub w"a X) DATE---/P-/2 -20 St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680' . Sign, date and return to the above address. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 53707 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: t,)W1/ Nw 1/ -zs /Tza 11/11l6 E (or E~ ~ ~fk t- ii - _ COUNTY: MAILING ADDRESS: 1 q-) o_ "Z 1, ST. c.a'-o~>c DR- z-~ AST wooDvl~lL~c w SL/o16 USE DATES OBSERVATIONS MADE I~t NO. BEDRMS.: COMMERCIAL DESCRIPTION: PERCOLATION ROFILE DESCRIPTIONS: TESTS: Residence 3 ❑ New Replace 13 - Z4- RATING: S= Site suitable for system U= Site unsuitable for system dU S l Sky 51~~ Tt P S~ pp► \'~l ' r ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) ❑ S r7U ®S ❑U ❑ S ~U ❑ S L~U ❑ S LOU 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 SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED T. I HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- S l Oy . S' ~nJ` 3 S P~ v 3 0 3 B- Z B- 3 S~ q9.3' B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P_ 30 1) 1'is 1 )j~, Z7 P_ I ZO YJD 3l7 1 5)ll 3/16 1 i/y 2(( ZS P_ 3 Zp IUO 3l7 1 tft1. 1116 P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. ~0~1~( O\= e~~ -~Z•~~Z.S~ 1~ti6~ qS ~~Ct.l'l'~ S1I SYSTEM ELEVATION +N or s F' 0F S. l ti- l b.C~l'c` T~j _ ? s0 oU i?_,___1a.. Soon T- ci F. T _ t~_lcJ (_g12 e1Z OF sec. _ZS a . ' _ 3 E LOCt~ pn1 I x -9 T~ { E E r [ - r F 3 STN. ZS 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. WE ERER SOIL TESTING NAME (print): AND TESTS WERE COMPLETED ON: DESIGN SERVICE ADDRESS: CERTIFICATION NUMBER: IPFO,,NE NUMBER (optional): P.O, BOX 74 421 N. MAIN ST, C S T C1 ~u S 7 - L! Z S - 016 S RIVER FALLS; M 54022 CST SIGNATURE: 715-425-0165 gb _ egg DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHA-SBD-6395 (R. 10/83) - OVER - G~ / OF INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Standstone gr - Gravel (under 3") LS - Limestone 's - Sand HGW - High Groundwater cs - Coarse Sand Perc - Precolation Rate med s - Medium Sand W - Well is - Fine Sand Bldg - Building Is- Loamy Sand > - Greater Than 'sl - Loamy Sand 'c - Less Than '1 - Loam Bn - Brown 'sil - Silt Loam BI - Black si - Slit Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay fff - few, fine, faint 'c - Clay cc - common, coarse pt - Peat mm - Many, Medium m - Muck d - distinct p - prominent HWL - High water level, surface water Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. P1.~'C" P LP~Iv 1 ~~v S v \Y^I~$ L E PctZt~ ~ ~ FOB. ►~ow~p I LoO~-DFI-\ /AI / `3' Q---"'L X1'1 - EL,~ , ►ob.oo~ o+~ I~1~tL 1~ Pr@~ GRw~h tiv b" TRH $ -3 Q. c 8 h J U 2 OR`t "Yet)- 1 IOG j~~ 1 F~~o \»~g 18 / ; S~2P`R C YYhMrC a1~_L-Le-,J. 83.21' o~ °L.plJC~~ ~ F~°oR OF @LD6, q ZpJ 1~1 oTE : wt--u l.b cftTEb 300 * 1~1w or- v-iovp,\~o SME. J ti .Q,' f t1 1~cG~ 2, of 3 I SOIL DESCRIPTION FORM _ (Attach Soil Proh to Location Mao On . 50Dar816 5116611 L Z1C~3~~T LINEAR LOADING RATE: 9'5-7 PURPOSE ~ LV FoR R l~c'7~1 1T S`tSTL~"I SLOPE: 0). DESr.R1PTI0N BY' RR` DATI. T1-}UR L • wE69SZASPECT: SoU &-ZL- _ s~ Z9, 1990 CURRENT LAND USE; Fj COUNTY/STATE ST °u~ CpU1tJ`1"~f : w ! VEGETATIVE COVER R~-~LF~ - G2RSS LOT DESCRIPTION:' V--\WV,4-QW Jfq SAC ~S,TZ81J, t~ lbw DRAINAGE CLASS: ~ L 32AIx LOCATION: TU W IJ O F E`' ft V 6A L-LE GALLONS-PER SO FT PER DAY: 'Z:~ k~-,S 16/V NT O • ~ O PARENT MATERIAL(S)/DEPTH: SOIL SERIES: vJ 1... A IJ S l I 4y, SOIL Cl ASS EIG&=' HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS Pit •SOUNOARY REMARKS n. moist G Sz. Sh COATINGS AJ G 2 $ -Z~/ Ib•-t2 413 ~ '~S ~ ~ ~Seh 1~►'~~^ ``j`am' 3 zy-3 1u~tz s 1 - 1 sblz~~ 101YR. slis 1NoT L 39- 51 the-(,tZ, ~ 13 C Z. P 'FS Sb1z !n U'F►^ ~p G s i 2 YA n~~w cS 1 0-~ 134[z 3 1i - Z- ~o-1 z S~ - S0 Zmser, Mi4, 9 s 2`f-29 Zo~c2 s1 - Fs l 3bk m U ~s 5 2, ..3y tp~-t Q S 1 S 1 S blz 1'1U ~ S 3~- S 1 1~~-t 16 2. ~ s e- ~ 1 S bk Yn ~ I' ~-S y it S/$ Mo7• N G 1 c~ -OI 2wi3 bk Yh ~ cs Z -Z`T ld`LA 31 - s) 2 `F S b1z m 3 z.~_3~ ~•s~cZ 3~ - s1 1. b1t w~ p~~ p~ ~s -).S `itZ 31 3 S C,~ FSbYZ m Tl' SPU s S`i2 S/t hrc.-r OTHER SITE FEATURES/NOTES: Wit= 3 of 3 LIMITING FACTORS/DEPTH: Signature Date CST M HORIZON DEP111 MATRIX COLORS MOTTLES TEXTURE GSTRUCTURE CONSISTENCE CLAYS INS/ PORES ROOTS PII PlWND4RY REMARKS in. moist OTHER SITE FEATURES/NOTES: 0001576 PA 6H_ of_ Date CST M Signature IIRITING FACTORS/DEPTH: State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN Owner: DEL ZEIBART P.O. BOX 74 197 CTH "B" RIVER FALLS, WI 54022 WOODVILLE, WI 54028 it RE: Plan Number: S90-40558 Date Approved: October 9, 1990 Gallons Per Day: 450 Date Received: October 8, 1990 Project Name: ZEIBART, DEL - RESIDENCE Location: NW,NW,25,28,16W Town of EAU CLAIRE County: EAU CLAIRE 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) 785-9348. Sinc ely, 6 or GERARD M. SWIM Section of Private Sewage Division of Safety and Buildings 4PP039/0009n/21 cc: DEL ZEIBART X Private Sewage Consultant SBD-6423 (R. 08/88) Page 1 of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE t?~ 1 i y OF THE k3w1 /Y OF SECTION Z 5 , T--8 N, R 16 W, TOWN OFy c~rcLLF , sT. chi L)< COUNTY, WISCONSIN. INDEX PA GE 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 WOODVILL~,W( 5~{0Z~ PREPARED BY O,~,: • ARTHUR L W E E F< E Fc S C1< I L_ T IE S T I !V G $ oa OR WEGERERS _ AND $ iz wrs A. DES I (3M SEFcW I CE i~ ~~ti ~~S I G N P.D. BOX 74 421 N. PAIN ST. Mt RIVER FALLS, VI 54022 ,R2 715-425fi165 Job # X10 - L89 • P 1. uT" ~ h~.lv _ ~ ~ G E Z o F 6 • Jl ~ ~ rv Qu \,frcaL~ PC1L~h FaR IybWUD ~-V ~o NoT Dl$TVIZ-B oit LoOr-►O.\ AI C~-oYHPACT\S l~R~ q a e {~C e. a~ (°~y d z.-~o' of •PV C ~o~.cE Hi~IN n ~ S --405-58 c"X~'sT1s`►G `ttc'rv~S 1~ II~ C?r91~h\i~on.l HD RS Pe'~ • GRA"n'A Cam . ~~.8) OR•`tw~LLL 1 poLit 1~ Pipe RS paRb ®WG Pa4t~1D~ m1asr 1 X11.0` `W! ~o ep4'b11C/ 1 G~vND E119 ~ .+1 a / ZS'oF'4gPVC, go" 4, vfv~,1t r ~-apa~ etc.. e\-oc , A irof IN, _ r wemu- Lbc.*J-" 300 Ww o v~o~Nu ,4r1'~, s ; w- NOTES : 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. (_q__ required) 3. Install 4" observation pipes with approved caps. ( z required) 4. Septic tank to be \.000 gallon capacity manufactured by 5. Bench Mark t_ArV. Ste' /°(330UC P . po 6. Divert surface water around mound to prevent nding at the uphill side 0.56 M~ ~'L1 , . 1 ~'CG E 3 of ~ ~4`ITo s'` 'oF Sir0wr, harsh Hay, Or ~p~2avEV Synthetic Covering Distribution Pipe Medium Sand I r Topsoil 10Z.50 F -L 3 ' b ~7 % Slope N~~;ES~~ l±'~ Bed Of 2~- 2 Force Main Plowed From Pump Layer d C0 n.~• s~ Aggregate ! ; Cr ss Sec#.ion Of A Mound System Using F o . t3 r riR A Bed For The Absorption Area A 53 Ft. H ' 5 QrT. B Ft. - - - - - Ft. J -7 Ft. K Ft. l_ Ft. W Ft. L Observation Pipe . 8 K FolteE t W - - - " I ~ Distribution - \,"Bed Of 12 - 21- Pipe Aggregate Observation Pipe Permanent Markers LIT. i Plan View Of Mound Using A Bed For The Absorption Area Q>N GE y 'OF Perforated Pipe Detail 0 End View Perioroted LnO Cop "y PVC Pipe pEg}~AVEt)T MARKER Jo1t Moles located On Bottom- © ~arS are E cuolly spaced s 4 I 4 - PVC Force Mom From Pump i P PVC Monilold Pope, 11 . UDi51ribulioi,, Pipe Cost Hole Should Be I Next To End Cap End Cop Distribution Pipe Layout P Z.Z.S "f SWAGE S~`1 , X. 36 in. ys~; Y 36 1 r. Hole Diameter 111,4 Inch Lateral I11~ Inch (es) a 2 N+anifold Z Inches Z Inches Force Main tlr~~CtilRtt , 's a^ z t{j°?e.il~:p1r~.ES~PJ NM-,3etrr GLESM-MN of UNIVRA-S 1~~•~O, fi Cl•36 GZzH / !_f LK i/: 3].YY GP-11 S90-405-58 ' PUMP CHAMBER CROSS SECTION AKIO.' SPECIFICATIONS ' ~ E S OF VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING , 7 JUNCTION BOX ' MAIJROLE COVER viii 25' FROM ODOR, IL~MIU. wRR1~IN 6 LABEL. wuJDOW OR FRESH AIR INTAKE I GRADE $ I • i y0 MIN. WAIN. CONDUIT-- 10"IKIAI. J INLET S ~ PROWDE I I . 4TI6HT SEAL I III ~ r I I I APPROVED JOIUIT ~ A APPROVED JOINTS ~~j,.--'• ~a W/ C.I. PIPE I l I( W/C.I. P I PE ORPV C CXTCNOIN4 3' ALARM OWTO LOUD &OI L b I y J. I ON C f r ` r -7 q ~ LLE11: s FT. __J PUMP OFF cc r 0 COUCKETE BLOCK RISER EXIT PERMiTrED OWLU IF TAIJK MALIUFACTURE:R HAS SUCH APPROVAL 3'*APPitaVEC . gE00 ~ Nf~ SPEGIFICATIOMS DOSE • F'I1Dk11 o2-rAjc mER OF DOSES: 3.10 PER DM K MAIJUFACTURCR. TA TANK 5IZE: -)SO GALLOWS DOSE VOLUME 1b1 q ALARM MIWUFACTURER: S S=~Z-FZ1lZ0 SYspel S IINCLUDING GACKFI.OW: GALLONS MODEL NUMBER: ID I Kw CAPACITIES: A=2-4 WCHES OR 366.2 GALLONS SWITCH TVPt: kZ~ Gz y 9 . Z INCHE: OR %0' S G~ LLOIJS PUMP MANUFACTURER: ZV= C • C = I I INCHES OR 1614 9 CALLOUS MODEL NUMBER: Z 4 3 0 \5 INCHES OR 7:119 GALLONS SWITCH TYPE: MOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE - 3 _GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEREUCE BETWEEN PUMP OFF ANO..OISTRIBUTION PIPE.. Zg'UO FEET t MINIMUM NETWORK SUPPLY PRESSURE . . . 2.50 FEET 0 FT,/ FRICTt01J FACTOR. 6-24 FEET ON 0 Z10 FEET OF FORCE MAINX x'33 FL 100 S 9 0 41 TOTAL DIWAMIC HEAD = 11-251 FEET N of Rrj DER G7 ~ INTERNAL DIMILUSIOWt OF TANK: LENGTH - ;WIDTH -~~LIQUIO DEPTH S-4 ,80T -tOi AtZaA 73-S-2-6 z3l = 1S.x GRt /1NCN RS V ,-E_1 F-~A!JU I=AC~~JR~12 - G1`I L-/ I;jCH W 76 70 , 1e so Q ss W Is= s0 I _ 1` u MODEL TOTAL DYNAMC INAWLOW PM MNN11E V _ . UWAOE AM oEwATEMwo Of HEAD CAPOCITY 12 1193 2N 35 MODEL FT r Gr. Um Gat. LI- 06L Lua or. Lkf Q 10 M 5 1St 140 57o to 712 725 on 30. 10 sos 124 4e9 1s1 006 205 776 J a 26 31.4 is u7 tors 401 130 4" 105 625 IN 700 O MGga N 6.10 M 779 119 450 150 5" 169 038 6 10 25 7.Q 69 251 109 ~0/ 176 545 1. No r 70 9.14 47 170 90 30 121 4W 140 590. . 16 40 1219 5 19 50 109 N 356 119 495 10 - 50 1524 56 220 as SO 00 10.29 17 19 59 223 2 6 7021.34 25 96 00 24]0 0 90 x7.u GALLONS 10 20 70 40 SO t0 70 a0 a0 100 110 120 130 140. 60 160 170 16a in 200 210 220 230 1m 30.46 LITERS 0 40 160 240 320 400. 4a0 Sao 640 720 am p0 LoeE VALVE 4r 59• OY 77'' FLOW PER MINUTE WARNING: Model 293 should not be subjected to less than 15 feet TDH. i Sbndard as models - 83 bs. - 20 PL cord - % H.P. SELECTION GUIDE 292 i C01" Sdscftn 1. Integral float operated mechanical switch,.no external ModN va tM anode M292 115 1 Aub 14.0 1 or 1 & 11 _ control required. NM2 115 1 Non 14.0 9 or 10 & 12 3 or 5 & 6 2. Single piggyback wide angle mercury float switch, 10-0032 or double piggyback mercury float switch Strlderd as 1rwd6ts - WeWd 83 ans. - 201L cord -1 H.P. 10-0230. (23OV) 293Sa1a Conbalswecson 3. Mechanical alternator "M-Pak" 10-0072 or 230 1 Auto 9A 1 or 1 & 11 - 148D Volb-Ph Mode 10-0075. 230 1 Non 9.0 7or 769or 7&10 3or5&8 4a. Combination starter 10-0162, 23OV-3 HP-3 PH. 2ao acs 1 Aura 10L7 t «1 a 11 - 4b. Combination starter 10-0164,4W/575V, 3 phase, 5 HP. 200.408 1 Non 10.7 7&9 3 «5 & 8 5. See FM-712 for correct model of Electrical Alternator, j 230 3 Non 66 4a&7 3 & a or 5 & 8 "E-Pak". . 3 Non 7A a a 7 3 a a ar 5 6. 20 amp outlet 10-0060, must be used with Model 295. 9 Non 33 4b & 7 3 & 46 or 5 & 8 7. Single piggyback mercury float switch 10-0035 or StnrftM all aadels -Wdal a w. - 201L cord -1% H.P. double piggyback mercury float switch 10-0230. 294Salse Ca"Seloclim 8. Mercury sensor float switch 10-0225 used as a control Nbcm lrereft Mod' activator with "E-Pak" duplex (3) or (4) float system. 0294 230 1 Aub 12A 1 or l & 11 - E294 230 1 Non 17-0 2or2&9or2&10 3or5&e 9. SIMPLE( CONTROL BOX 10-0050,115/230V,1 PH, '1-M &002011 1 Aub US 1 «1 &11 max. 2 HP, uses: •rz94 0i t Non 149 2&9 30r5&8 One (1) Single piggyback wide angle mercury float •P284 230 3 Non 7A 4&&7 3&4acr5a6 Switch OR • I29t 200•&011 s Non 409 4a& 7 3 &a ors &a Two (2) 10-0225 mercury sensor floats for level control •c t 4W 3 Non 37 4b & 7 s & 4b or 5 a 8 10. 4 hole "J-Pak", junction box, for watertight connection Slrrdrddawaels_ view 63 110, -2atlcold-2 HP. or wired-in simplex or 2 pump operation. =5 so" CarbelSNec@m 11. 2 hole "J-Pak", junction box, for watertight connection or splice. ON 001111- OM Aub 17.5 1 or 1 & 11 - 12. Single piggyback wide angle mercury float switch No" R=W=3 Nab AINIK Ow E296 Non 17.5 7&9 3 «6 & S 10-0034 or double piggyback mercury float switch x£195 Aub 175 6&7 - 10-0229. (115V) Ives Aub 205 1 or 1 & 11 'NO MOkted Pltfg. 'rm4 Non 205 7 & 9 3 ors & 8 "fdetna 4X RatingNon 1&6 a7 3&aor5&8 ti 4 •1296 Non 13b !!!!L1 3&ar5a8 (~J erg •G= 40D 3 Non 6.1 4b&7 3&4bor5&8 CAUTION For information on additional Zoeller products refer to catalog on Combination Aa lesteMMlea of contrals, " i - n 77 n deMoes and Vrbbg aboldd be done by a Starter, FM-614; Piggyback Mercury Float Switches, FM-477; Electrical Alternator. quallRed sconew eNditdan on Neehlal and aaNt- codes shadd be followed FM-486: Mechanical Alternator. FM495; Alarm Package. FM-513; and Sump/ incloWl" llo oast Hoax Natlaal ENetrlc Code (NEC) and dw Occupal1onal Sewage Basins. FM-487. Safety mW Health Act (OSffA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is an engineered/design part of every Zoeller pump. State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN Owner: DEL ZEIBART P'.O. BOX 74 197 CTH "B" RIVER FALLS, WI 54022 WOODVILLE, WI 54028 RE: Plan.Number: S90-40558 Date Approved: October 9, 1990 Gallons Per Day: 450 Date Received: October 8, 1990 Project Name: ZEIBART, DEL - RESIDENCE Location: NW,NW,25,28,16W Town of EAU CLAIRE County: EAU CLAIRE 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) 785-9348. Sincerely, cl~, /Oda GERARD M. SWIM Section of Private Sewage Division of Safety and Buildings 4PP039/0009n/21 cc: DEL ZEIBART X Private Sewage Consultant SBD-6423 (R. 08/88) A Page 1 of. 6 MOUND STSWA FOR A 3 BEDROOM RESIDENCE LOCATED IN THE 1 1IY OF THE ~ OF SECTION 25 , T a8 N, R116 W, TOWN OF lev !Sr. cgh-0 t x 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 PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR tan c--n4 ''8" w.~oD~ltLLE{WI. v PREPARED BY a •~~,...»».'`s~ij,~~yy _ L wwom. ii W EL3EFZEFZ SQ I TEST I IVG = a 041s p AND • ? ,MS 4 1 DES I f3M SEFtV I CE s ,~4 ~~'S I GlZ~' P.O. 101 74 421 N. MAIN ST. RIM FALLS, VI 54022 715-425-0165 • i i Job # G10 -189 S90-405.58 of S e.ft L~ ~~~3 4V ~ --77- ~ sv L;EY~fBLE J~RS~ft FaR rzow~n , V -J'~- ~o +~Z- D L srU2p o2 kzoo'~a.~ P1 coMp~C-r 't~1s ARLsA, ~ Q~ `s1Yl - F:L~V , lob.oo~ ~ NrR~ ,1~ ~Bcx~3 ~►L -its, tlv b' 'CR.e1~ 9.3 aU (L J Z-) o' of Z" ~V C ~--6P CE P) ~ Q N `Iv I sn C-' ` "Im s 1>7 8'E . • ~~rBhN~On.► ~ D 91 S 4~ • Gtyu~►..~a CeSL u ~Sv~ f' Pcs L~ P9~ e.ob~ to ~ ~ P•~rc~.o Detaw! 30 of 4''pVC/ 1 G~tAvwn at "196 r.u 'S~,";, / ZS'OF 4"PVC, 3ili'YtQ. ~ . ~ ~LIV~ 83•il' oN Q.p).)CQE~ ~.apa. of a~oc , 1.1 o'c~E ; w au- l.b ck1Lvb 300 Nw M NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. required) .J 3. Install 4" observation pipes with approved caps. ( Z required) r: 4. Septic tank to be lOpp gallon capacity manufactured by 1~~oW1~ PR~e~sT', ilUe. 5. Bench Mark S~ /&puEF pL NK) 6. Divert surface water around mound to prevent ponding at the uphill side. ZS RE Hue. 3_" of 6 . AGE ,~a;ro s' of Strow°9marsh Hay, Or aPACzbvEO Synthetic Covering Distribution Pipe Medium Sand .-.r..- ~ _v.r - IDZ.50r Topsoil F. D 3 E i 1 b b AGES -7 % Slope Plowed . Bed Of 2 - 2 2 (Force Main From Pump Layer rOW; J4 Aggregate 00 ~~~~10NS D V z ~-T . . S E 1• ~i'. P ~~Si-~0~ p1N Cr ss Seo#.ion Of A Mound System Using OF to. A Bed For The. Absorption Area ~ 6 L. o p~PPS~ ~T• x A S Ft. H 1. 5 T. i ~ Ft. Ft. J -7 Ft. K Ft. L Ft. i W Ft. 1 ~ Observation Pipe - - - - - - eE - - { HAIN R Distribution - Bed Of 2- 2 Pipe Aggregate Observation Pipe Permanent Markers 590-4 55 Plan View Of Mound Using A ;bed For The Absorption Area -Y csf= j p Grm Perforated Pips Wall End View Perforated Eno Cop y PVC Pipe p jMNSOT MARWOM -,°;a~c~ Hotet t ocoted On Bottom. Are E ouoay Spaced Q PVC Force'hloin From Pump 4 b PVC Monifolb pipe art,, Distribution , Pipe lost Hole Should Be Nect 7o End Cop End Gop ~ Distribution Pipe Layout P Z ,S "r1'. _ I SYSTEM _ 5 Ot4 Si "fE S , X 3 et~r , Ia-•~ pYlu~' . ter Inch _ Hole Di awe ~OV16~w NS Lateral Inch(es) REt~T10 tad p PIR~~$TRY Lp60R ~ ltd - <Maniff3ld Z Inches DEPAR E tSifN1 DF force Main Z Inches °l. 36 cpfy / t_!t' is x ij W GPx1 S90 - 405.58 Y ' PUMP CHAMBER CROSS SECTION MD. 'SPECIFICATIONS ~ E S OF VEIJT CAP ' 4* C-1. VENT PIPE WCATHEK PROOF APPROVED LOCKING JUIJCTIOM NOX 1r1AUROLE COVER WITH 23' FROM DOOR. It'MILI. VJA 1N 6 LABEL. wWDOW OR FRESH ks AIR INT AKE GRADE H' MIiJ. now" Al COWDUITIAILE T TIf.HTSEAL 1 I ajjf~oaa APPROVED JOIpT A I I I APPROVED JOIIJTS eo W/C.Z. PIPE ty I 111 W/C.I. PIPE ORpVc EXTEMDIW6 3' ~E~ AC~t3 _ ALARM 0MTO L01.10 $OI L a , AN 1.AQE3R NGS l' 1 ON C T~t::ry; CLEV. 7 .0o Ft 7r C4~RE ~~d~HC PUMP-~ SEE OFF D 5 CONCRETE DLOCK RISER. EXIT PERMITTED OWLU IF TAUK M/►IJUFACTUR!*R HAS SUCH APPROVAL Appawac S.P E C I F I C AT I OM S ~~~•••iiiijj............ TOmuKt, MANUfACTLIRCR: Mtbfe5TeRN p STi jc-wUMOER OF DOSES- 3' 1O PER 0A TANK SIZE: -)So GALLOWS DOSE VOLUME GALLONS ALARM MAWUFACTUPMR: SYST&1 S INCLtJO11JCs LACK PLOW: 1 6 1,9 MODEL WUMBER: -101 Nw CAPACITIES: A= 2-Y INCHES OR 3b6.2 GALLONS SWITCH TYPE: 1~1 ~ZC~ V-Y p = Z INCHES OR S G(►LLOIJS DUMP MANUFACTURCR: 2-beA-cxz CC • C s 1 I OXNES OR V6-) q GALLONS MODEL NUI+IOER: - 2 4 3 0 s \5 INCHES OR ILI 9 GALLONS SWITCH TRIPE: ~~1ZCt:Z~f MOTE: PUMP ANO ALARM ARE TO OE 1"11MMUM DISCNAR" RATE 3 _6PM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE 6ETWCEU PUMP OFF AUfl.OiSTR101JT10W PIPE.. eO FEET + MINIMUM NETWORK SUPPLY PRESSURE 2•SO FEET tJ + MO FEET OF FORCE MAIN X 3 F/oofxFRICTIOU FACTOR. 6-14 FEET ~ g O " 40 TOTAL osuAMIC HEAD = 3129 FEET otAr1ER'ER 6-? " INTERNAL DIMENSIONf OF TANK: LEM&TH -;WIDTH ~~~LIgUlO DEPTH So•rmf-l. Av-Em 35Z_6 : 7L3I= 1S Z6 6^-f, /)"C-14 As PER. M q IJ v pp, v.-VV RLi'2 - c n L-/ I Q C.14 >a . ~46 s mom ♦orAtoveanete7AO.wareele~wrE 2/5 tEtAaE AIe3al0/A100M0 u 10 s74 "M CAPACIT 37 7 ( 0980 M ea ae eee A&WIMM r oaua CkLI" rill" sits". 1st w see /es as itt ast t N.. w 30e 121 ae let sd ees M 1s 4W - In IM 130 Nt In " IB 700 30 a" M aes I* Im INS" 1M sx a Zp 2l2 zs 7Je M ZA ws got t3s s1s in ies X aN A 170 N 30 131 40 IN 93i 1 . tip S 10 .10 M no in Ae 10 W 1031 se eee M 317 = Ifi s0 N9 a d • m s A ".24 a M e ale 10 70 10 00 >r M M 100 110 120 170 1M. tn. 1" 170 we 100 20 !t0 320 za awe to ae,u tAglwui[ ~e sr sr 77 ' LF"M 0 0o in 26 730 100 W W 040 730 000 on i FLOW PER MINUTE WARNING: Model 293 should not be subjected to has than 15 feet TDH: ~ i 9kndwds1nWdek-W4W UFA&-20Fl.amd-%HP. SELECTION GUIDE MOM Yab•Wl=Snist CaMroI S0M0tlon 1. Integral float operated mechanical switch,_no external M292 115 1 Aub 14A 1 «1 a 11 _ control required. N292 115 1 Non 14A s or 1o a 12 3«5 a s 2. Single piggyback wide angle mercury float switch, 10-0032 or double piggyback mercury float switch slal0ads0mo0ds- WW mM 8101&-2oa.oad-1HA 104M. (230V) 20339Ms Con1in1 0" 3. Mechanical akemator "M-Pak" 10-0072 or 74ads1 vaks-m sbft _ 10-0075. D33 MD 1 Aub 9A 1 or 1 a 11 E203 230 1 Non 9JD 7ar.7i9«7a10 3or5ae 4a Combination starter 10-016Z 230V-3 HP-3 PH. 'H35 200-M 1 ALA* ts7 1 «1 a t1 - 4b. Combination starter 10-0164.460/515V. 3 phase. 5 HP. 200,w1 1 Non 1a7 7d9 3«Saa S. See FM-712 for correct model of Electrical Alternator, 'M 230 3 Noy 68 4aa7 3a47or5a8 1-422- 20DbR 3 Noa 7A 4sa7 ails«Si8 6. 20 outlet 10.00130. must by used with Model 20& 4W 3 Non 23 45&7 3HESaa amp 7. Single pWybac k mercurylloat so*1 ,ch 104XM a sl.w.drt.~odrs- asttls -3laaoed-tlteltt double p%Wyback mercury" float 10-0230. 2aanrs aura adsalae 6, . Mercury sensor fbaCswitch 10-0225 used as a control 0m4 230 1 Aab ne 1 «1 a 11 actlvdor with "E PW duplex (3) or (4) float system E204 230 . 1 Non Us 2«2a9ar2a10 3orsaa 9. SIMPLEX CONTROL BOX 10400. IIW230V.1 PH. 9H294 3DDOp0 1 Aldo Us 1 ar t a 11 mwL 2 HP. uses I= 203-= 1 14M 143 2a9 3«3a6 One (1) Single piggyback wide angle mercury float 'FM 290 3 Non 7A 4fa7 3a4a«Saa $wilcl1OR 1200,w1 3 Non 103 4fa7 3a47«Saa Two(2)104M mercury sensor floatsforlevel control. ra94 400 3 Noy 37 4ba7 3a4b«5a8 10. 4hole "J-Pak".Onctioo box. forwalerfthtconnection arar.e4900"- afra-2lLewd -2HR or wire" simplex or 2 pump operation. Molds Cm"Gd §M 11. 2 hole "J-Pak", jwlctim box, for watertight connection 010th wasw 01861 PAN 91"0- DNA- or splice. t>ms no 1 Ads as 1 «t a n 12. Single piggyback wide angle mercury float switch EM 230 1 Non US sas 3arsas 1040,94 or double piggyback mercury float switch x ON 290 •1 Ale ns 9s2 - 104219. (1151/) 'Hilo 2la800 1 Ale 225 1 er1 a 11 - 'No Molded Plug. '1?84 300QN1 1 Non 205 Ile 3«sas "Name 4X Rasing. 'lass 1210 3 No uz 4aa7 sa4.«saa n-40558 l ao0all s Non 13s La7 3a1a«saa ,l 'olds 4b 3 Nan at ba7 3a4b«Saa CAU"M wonnesm an adMa" Zaaaar pn3duals VOW b caftlao an ca"WnMlan All rrleasasn s11 osnYMe.+eeleeasa sl0sloss anal sMlYla ailosad M A0a0 alr a . FM,14 ybad; liNraNy ft4dum 129" 7; BadrtcM AnNapo( ~arIMI aosnsM/NaAola A11 wwiiod ane sslsar ossin araAd M fearwad MoC Al10nM10f. F7rt Aline Packalm FM-613; and Sump/ reelydMlarwntssosMN"4WAdB@ McCeM 8askm FM-W. addjiaMHOd&Ad(OaN1y )asd RESERVE POVERED DESIGN For unusual conditions a reserve safety factor is an engineere&design part of every Zoeller PUMP. ST. CROIX COUNTY WISCONSIN A dl~ jxti99.. ZONING OFFICE ST. CROIX COUNTY COURTHOUSE LT 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Oct. 4, 1990 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Del Ziebart property located at the NW 1/4 of the NW 1/4 of Section 25, T28N-R16W, Town of Eau Galle, St. Croix County revealed suitable soils at a depth of 28" below which seasonable high ground water was noted. This site is suitable for a mound. Should you have any questions, please feel free to contact this office. Sincerely, Thomas C. Nelson Zoning Administrator cj DECISION OF ZONING BOARD OF ADJUSTMENT ST. CROIX COUNTY, WISCONSIN Case No: 90-90 Filing Date: 8-20-90 Notice Dates: Weeks of Sept. 10 & 17, 1990 C(OPY Hearing Date: 10-25-90 FINDINGS OF FACT Having heard the testimony and considered the evidence presented, the Board find the following facts: 1. The applicant or appellant is: Delmar & Jean Ziebart 2121 Bryant Ave. S. St. Paul, MN 55405 2. The applicant or appellant is the owner of the following described property which is the subject of the application or appeal: NW 1/4 of the SW 1/4 of Sec. 25, Town of Eau Galle, St. Croix County. 3. The property is presently used for: Farming 4. The applicant or appellant proposes: Utilize a camper as a residence until the new house can be reconstructed. 5. The applicant or appellant requests a special exception under section 17.70(3)(C)3 6. The features of the proposed construction and property which relate to the grant or denial of the application or appeal are: House burned down forcing applicants to live in camper while reconstruction begins. CONCLUSIONS OF LAW SPECIAL EXCEPTION: The application for a special exception use permit does qualify under the criteria of Section 17.70(3)(C)3 of the ordinance because temporary residences are permitted as a special exception while the permanent residence is being 1 constructed. ORDER OF DETERMINATION The basis of the above finding of facts, conclusions of law and the record in this matter of the board orders: SPECIAL EXCEPTION: The requested special exception is granted subject to the following conditions: 1. The septic replacement be installed before June 1, 1991. Vote: Bradley, yes; Stephens, yes; Menter, yes; Sinclear, yes; Kinney, yes. Motion to approve by Stephens, seconded by Menter. Motion carried. The Zoning Administrator is directed to issue a zoning permit incorporating these conditions. Any privilege granted by this decision must be exercised within 12 months of the date of this decision by obtaining the necessary building, zoning and other permits for the proposed construction. This period will be extended if this decision is stayed by the order of any court or operation of law. This order may be revoked by the Board after notice and opportunity to be heard for violation of any of the conditions imposed. This decision may be appealed by filing an action in certioari in the circuit court for this county within 30 days after the date of filing of the decision. The municipality assumes no liability for and make no warranty as to the reliance on this decision if construction is commenced prior to expiration of this 30 day period. ZONING BOARD OF ADJUSTMENT Signed ~ 1 . C,~~~ Chairperson 0 Date: L~-(l7 Q Filed:-11-13-90 cc: Town Clerk and file 2