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isconsin
Department of Commerce
Scott McCallum, Governor
Philip Edw. Albert, Secretary
March 12, 2002
CUST ID No.267341
ARTHUR L WEGERER
WEGERER SOIL TESTING & DESIGN SERVICE
PO BOX 74
RIVER FALLS WI 54022
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 03/12/2004
SITE:
Robert & Rachel Zimmer
290TH St
Town of Forest
St Croix County
NE1/4, SE1/4, S9, T31N, R15W
FOR:
Safety and Buildings
4003 N KINNEY COULEE RD
LA CROSSE WI 54601-1831
TDD #: (608) 264-8777
www.commerce.state.wi. us/sb
www.wisconsin.gov
RECEIVED
MAR 1 4 2002
ST. CROIX COUNTY
ZONING OFFICE
t Numbers i
Transaction ID No. 717715
Site ID No. 641935
Please refer to both identification numbers,
above.. in all corresnondence.with the.aeencv.
Description: Three Bedroom Mound System
Object Type: POWT System Regulated Object ID No.: 832135
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
General Approval Requirements:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
"Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1)
and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION
2.0" SBD-10706-P (N.O1/O1).
• Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as
required under s. Comm 83.54(4) shall be considered a human health hazard.
• Per manual sited above, limited activities are allowed in the area 15 feet down slope of the component area.
Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal
are prohibited.
• The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption
area..chs. NR 811 & 812c
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the
designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat
• Comm 83.22(7) A copy of he approved plans, specifications and this letter shall be on-site during construction and
open to inspection by authorized representatives of the Department, which may include local inspectors.
A7TN: POWTS Inspector
ZONING OFFICE
ST CROIX COUNTY SPI.
1101 CARMICHAEL RD
HUDSON WI 54016
ARTHUR L WEGERER
Page 2 3/12/02
Owner Responsibilities:
• Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.
Comm 83.54(1).
• Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county
for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)
utilized in the POWTS.
All permits required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible
for the installation, operation or maintenance of the POWTS.
Sincerely,
i ,~
~ / - ~ ~` ~
Charles L Bratz
POWTS Reviewer II ,Integrated Services
(608)789-7893 , 7:45 am - 4:30 pm Monday -Friday
cbratz@commerce.state.wi.us
Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
WiSMART code: 763'3
Wisconsit;}Department of Commerc;~• PRIVATE SEWAGE SYSTEM
5efety antJ Building Division i
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village x Township
Zimmer, Robert & Rachel Forest Townshi
CST BM Elev: Insp. BM Elev: BM Description:
1cx~y~t or~.~ 1« ,~~~~ csi grw~ 1
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic
W,~K.s
Dosing
V~~G
gD`l~
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD
Septic , '~ r ~~ ~ ~ _
Dosing t
S l ~ ~, g ~
~
...
5 9 ~
Aeration
Holding
PUMP/SIPHON INFORMATION
^.i
,y
Manufacturer Demand
GPM t
Model Number #~6 ~`,(~o
Lift ~
3 Friction Loss System Head TDH Ft
`
~.• ~ to .sti ~
f,SS
Forcemain Len~th
~ Dia.
~t Dist. to Well
$O Z
DISTRIBUTION SYSTEM
ELEVATION DATA
county: St. Croix
Sanitary Permit No: 405174 0
State Plan ID No:
Parcel Tax No:
014-1020-40-000
STATION BS HI FS ELEV.
Benchmark
. 3D
ID2.3o
~~o, o t
Alt. BM t~
l ~ q p~
t ~-1~'
Bldg. Sewer ~.. SSf ~
R~-~S
SUHt Inlet
(0.3 ~
9$1
'
SUHt Outlet ~ , ~-Z F
J~Tv'
Dt Inlet ~ .Sti ~~
i
Dt Bottom q~~$
11
2.62'
Header/Man. Z. ~
t~O •~ /
Dist. Pipe Z, G
's
~.~ ~
Bot. System Z •g n 99- `fo l
Final Grade
-i~
St Cover a,
Header/Manifold r' Distribution t +~ x Hole Size x Hole Spacing Vent to Air Intake
th 3 •~ Di
L
2 Pipe(s)
3.O
h 3~•~
L
'•~ n
Ir8
,/ ~~
~'~"__
eng
a engt
Dia
Spacing ~
SOIL COVER 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 Bed/Trench Edges Topsoil j--~ Yes i`'I No j~ Yes [ _~~ No
COMME TS: (Ipclude a dis e~encies, persons present, etc.) Inspection #1: /~ ~O~Z- Inspection #2:
~~ ocation: 2250 290th treet Clear Lake, WI 54005 (SE 1/ NE 1 4 9 T31 N R15W) Lo 1 Parcel No: 09.31.15.132
~ ~ ~~."(~. ~ ~!- ti "+ soy l c~euv over mac,
1.) Alt BM Description = ~ '~6a~~~
2.) Bldg sewer length = ~ ~ 1 a''~ ~ ~'
-amount of cover = ~ _ ~~ `
3.) Contour = q$•~ ~l s ~-~-'~,a{v ~' Io2.
~ _-- ---
- _ - _ _
q n 12(o I '2602 ," f
Use otherls'de foruadditional informati o ,
_~_
_. _--- -_
1 ___ --- -~' - _
SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No.
i
, , ~ Sanitary Permit Application Safety & Buildings Division
~ In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave.
~ ~
`~ See reverse side for instructions for completing this application PO Box 7302
sconsin
Department of Commerce personal information you provide ma be used for second u oses
az'Y P rp
[Privacy Law, s. 15.04(1)(m)] Madison, WI 53707-7302
(Submit completed form to county if not
(~ -(5 -D `L ,5'j/y'3 state owned.)
Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size.
County ~ State anitary Permit N tuber ^ Check i ~/ State PI D. Number
I. Application Information -Please Print all Information ocation: ~~ ~ 6 s~
Property Owner Name
11 / ° J U N ~ 3 2002 ropgrty Locasi~n~la-k~ . ,
~,'~ ~ ~ `/
Property Owner's Mailing Address ST. CRO!X COUNTY otNumber Block Number
~~ ~~~ f ~ ~~ ZONING OFFICE ,''
City, State Zip Code Phone Number Subdivision Name or CSM Number
II. Type of wilding: (check one) ~ ~~~(.,.,~~;(~~~ ^ City
1 or 2 Family Dwelling - No. of Bedrooms :_~ ' `
~-f
j ~ Village
•Town of
,
^ Public/Co ~,rcial des ribe use): ~
~~-fa 6o t~dm ct~sys~m ~ D, ~ a~-
^ State-Owned /'~67,/in,a~ u/ ~p ~x ~] S ~ ~~~~ ~~~ y , ~ ~ ~~ r e 5
~~ ` /~ ~ /1~ r ~,~ ~
b l / ` l / Nearest Road ~~O ~ ~t,
Parcel Tax Number(s) ~~- f~~~~O
III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) ~. 3 , ~ Z
A) 1. New 2. ^ Replacement 3. ^ Replacement of 4. 5. 6. ^ Addition to
System System Tank Only Existing System
$) Permit Number Date Issued
^ A Sanitary Permit was previously issued
IV. Type of POWT System: (Check all that apply)
^ Non-pressurized In-ground '~Vlound ^ Sand Filter ^ Constructed Wetland
^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line
^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other:
V. Dispersal/Treatment Area Information: X00 _, ~,,,t,~,v,,~
1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade
_ Required roposed ~~ v Rate (Gals./day/sq. ft.) (Min./inch) ~ Elevation
VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks
W/
~
~ Con- Con- glass
New Existing ~~
~"/d Crete sttucted
Tanks Tanks
L L
~' 71 f
~
/
~
^
^
^
^
~ ~ C
L
VIII. Responsibility Statement
I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (print) ~ Plum s ignature (nos s):
c MP/MPRS No. Business Phone Number
1^~ r~ ~ ~ ~ ~~S'~c~~ ~~~~
P b s Address (Street, City, State, Zip Cod
~ ~~~ r r
IX. County/Department Use Only
fJ7
l
d ^ Disapproved
^ O
Gi
i
i
l Sanitary Permit Fee (Includes oundwater
Surchar
e Fee) ~1j Date Issued suing ent Signature o stamps)
!~
pprove wner
ven In
t
Adverse
a g
`~ 3 ZS' ~ ~
- Determination ~ ~ () ~--- G2~
~~~
X. Conditions of Approval /Reasons for Disapproval:
-},~"20~~ho-:,~2~ ~atp~c~,,. -n-~a.ef..~ ,~t,~.. ,ae~-~~6a-~~ v,~: ~ri,~.,. b'3•y3-r~ ~,-¢~,~y.;
~d~Cet ~tuh-a .ate-w~. ~ ~'ew-~- u~c~, a.Q,~. ~~'L~c c a.{ - ~. ~~ ~e-d 3~/~~~
.
° ~
_
1~
/
d i~' ~. S ~ 1 f /YLtMI`Ynitiy+~...7~~ /~pC~vL(,(i4.Q~ " YhR~C1L ~U~4.Z S~GZn,oG Ga (p 7 /2~4/ci~ ~Qd.~?~S/•
_ _
U
P _ 0° ,
-+/~.-62G~-rZ~ t!-e, r~'!o-u~,/d ~~N~c.a.~vi-' f'.~'R~.ti~
SBD-6398 (R. 07/00)
isconsin
Department of Commerce
Safety and Buildings
4003 N KINNEY COULEE RD
LA CROSSE WI 54601-1831
TDD #: (608) 264-8777
www.commerce.state.wi. us/sb
www.wisconsin.gov
Scott McCallum, Governor
Phlllp Edw. Albert, Secretary
March 12, 2002
CUST ID No.267341
ARTHUR L WEGERER
WEGERER SOIL TESTING & DESIGN SERVICE
PO BOX 74
RIVER FALLS WI 54022
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 03/12/2004
ATTN.• POII'TS Inspector
ZONING OFFICE
ST CROIX COUNTY
1101 CARMICHAEif
HUDSON WI 54016
~ ~••~ (7S 1 ~ ~
SITE:
Robert & Rachel Zimmer
290TH St
Town of Forest
St Croix County
NE1/4, SE1/4, S9, T31N, R15W
FOR:
Description: Three Bedroom Mound System
Object Type: POWT System Regulated Object ID No.: 832135
r
~`'~/v~
MqR , O
sT~ SZp~
2pH~0iQFOUNTy2
\~~F ,
Transaction ID No. 717715
Site ID No. 641935
Please refer. to both identification numbers,
above,. in all correspondence: with the agency.
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
General Approval Requirements:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
"Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1)
and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION
2.0" SBD-10705-P (N.O1/O1).
Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as
required under s. Comm 83.54(4) shall be considered a human health hazard.
• Per manual sited above, limited activities aze allowed in the area I S feet down slope of the component area.
Soil compaction, excavation, vehicular traffic and other similaz activities that impact the treatment and dispersal
are prohibited.
`ttl'v~~Q'~,~y • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption
area. chs. NR 811 & 812c
1
t)F °• A Sani Permit must be obtained from the county where this project is located in accordance with the
COMAlERCg ~
`~BUILt?tNGs requirements of Sec. 145.135 and 145.19, Wis. Stats.
~-~_;- -.
1(nspection of the private sewage system installation is required. Arrangements for inspection shall be made with the
designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat
• Comm 83.22(7) A copy of he approved plans, specifications and this letter shall be on-site during construction and
open to inspection by authorized representatives of the Department, which may include local inspectors.
ARTHUR L WEGERER
Page 2 3/l2/02
Owner Responsibilities:
• Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and
maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.
Comm 83.54(1).
• Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county
for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s)
utilized in the POWTS.
All permits required by the state or the local municipality shall be obtained prior to commencement of
construction installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to requve changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, stricture, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead. ,
The above left addressee shall provide a copy of this letter to the owner and any others who are responsible
for the installation, operation or maintenance of the POWTS.
Sincerely,
~,
Charles L Bratz
POWTS Reviewer II ,Integrated Services
(608)789-7893 , 7:45 am - 4:30 pm Monday -Friday
cbratz@commerce.state.wi.us
Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
WiSMART code: 7633
FOUND SYSTEM
FOR
A 3 BEDROOr1 RESIDENCE
Page ~ of ~
This plan has been prepared in accordance with the Mound Component
Manual SBD-105 7 P and the Pressure Distribution Manual SBD-10573-P
Ccz. blgq Cam. b14~~
LOCATED Ii~1 THE 1yE 1 /4 OF THE S~ 1 /4 OF SECTION ~l , T 3 ~ N, R ~ S Gd,
TOWid OF ~ tZ~~T ST'. C~Z..c) LX COUNTY, WISCONSIN.
~~ t?~1?v _S:L1~ - -- - -- ---
__CS,1ti1 --
INDEX
PAGE 1 of 7
PAGE 2 Of 7
PAGE 3 of 7
PAGE 4 of 7
PAGE 5 of 7
PAGE 6 of 7
PAGE 7 of 7
TITLE SHEET
TITLE SHEET
SYSTEM MANAGEMENT PLAPd
PLOT PLAN
PLAN VIEW-CROSS SECTION
DISTRIBUTION PIPE LAYOUT
PUI•ZPING CHAMBER CROSS SECTION
PUriP PERFORI•iANCE CURVE
PREPARED FOR
Zo z. ot~k sr. _ ~r ~- ~~ t~ ----_
PREPARED BY
~~
q~ ~y~ ~~i
F~ ~1. ~'F
~~ ~~~
l~'
~~~
~/`
WEGEE~ER SOIL .TESTING
AtYD . .
DES I Ghi SERVICE
P.O. Box 74 421 I•d.~iain St.
River Falls, GlI 54022
Phone 715-425-0165
Fax 715-425-6864
Cc
APB
DEPARTA~
ON OF S.
,~
SEE CORC
~~~~" ~4 ~ ~~~~a~~ ~-~
A
.~, ,K~
~V a
VVE'. t:d e=
n.;~,`
...,~-~ .ri_~
3_g-ot
JOB NO . OZ-4 Z
. Mound System Management Plan Page ~ of
Pursuant to Comm 83.54, Wis. Adm. Code ,c~ -
Seotic Tank ~ ~ t/ ~~
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the
septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and
outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to
ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that
may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if
the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of
the tank, If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise
the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in
the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required.
However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and
Buildings Division.
Puma Tank
The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to
verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution System
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound
shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic
(other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the
infiltrative surface within 'the mound and snow compaction in the winter will promote frost penetration. Cold weather
installations (October-February) dictate that the mound be heavily mulched for frost protection.
Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may
not exceed maximum design flow specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each
lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be
compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is
required to maintain equal distribution within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for eft1uent ponding. Ponding levels shall be reported to the owner,
and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
General
This system shall be operated in accordance with Comm 82-84 Wis. Adm.~Code, and shall maintained in accordance with its'
component manual [SBD-10572-P (R. 6/99)] arid local or state rules pertaining to system maintenance and maintenance
reporting. ._ _
No one should ever enter a septic or pump tank since dangerous gases maybe present that could cause death. Septic and
pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as
POWTS components.
Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access
openings used far service and assessment shall be sealed watertight upon the completion of service. Any opening deemed
unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall
be secured by an effective locking device to prevent accjdental or unauthorized entry into a tank or component.
Continaencv Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the
system in proper operating condition.
If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be
immediately repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired
or replaced in its' present location by increasing basal area 'rf toe leakage occurs or by removing biologically clogged adsorption
and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper
operating condition.
Questions about the operation or maintenance of this system should be directed to:
The County Zoning -Office at ~ ~ ~,S- 3 ~ 6- ~0~8~ ST ~~,p l?(~
The system installer at _ ~ `S -~~ 4~_- Z z6 6 s't~'C~1G
The tank manufacturer at __ a0(~--~Z.S~~g'~156 kJls~ x`12
The effluent filter manufacturer at ~t)l7 - ZZj - S7~Z ZP~$~- .
The pump manufacturer at --"- - ltj 3Q - ~Z..Q- ~ $ ~$ GpULDS --
7
PLOT PLAN
Scale 1 "= y p '
Page 3 of 7
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~v~tL `t0 3~ > Sp' ~'itU~-!_ wiUUrv~ p~~ ? 2S' P[?ev~i'L~kS - ~
_ _ _ __ ..-
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\ ~'~~ ~
~lp'pF ~~ PV@
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so1`SOM - -----_~.
- Oc=- ~-~- ~ . /.
~n
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_~ pvC ~~ti"~'
P SS~~~~ c 2S0-3u0
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y , ~,
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t~lS-N23 '1~f-tS ~'~'"A,
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J
NOTES•
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install 4" observation pipes with approved caps. ( Z required).
3. Septic tank to be 1000 /bSp gallon capacity manufactured by
_W t~'-~ ~1Z ~~ ~~F- ki / 14- t$ ~o Z~PCB @Z. Fl ~`T'trR
4. $ench mark S S~ COVE
~. Divert surface water around system to prevent ponding at the uphill side.
.. Page ~ Or 7
Approved Synthetic Covering
ASTM C33
Medium. Sand
Topsoil
3 J' , +C
Distribution Fipe ~(`~. o
b
~ '
S 1!Z% Slope
Distribution Cell of Force Main
2" to 2 Z" Aggregate From Pump
CROSS SECTION OF A MOUND SYSTEM
Linear Loading Rate= 6.O GPD/LN FT
Design Loading Rate=b:33.GPD/SQ FT
,~~o~ ~~, Ft
~S .
I ~ Z Ft.
J S Ft.
K a Ft.
~ a ~ Ft.
w z 1 Ft.
,E Elev ~~
~Plawed
Layer
/; __--_
D~ ,
E o.$3 Ft.
F o• `d Ft.
G a• 5 Ft.
N ~- v Ft.
`7.Observation Pipe
. i K_
_.~ ___.. _~~ ~AGCt's9
------ ------------- ----- gOX
- o - -
't
---=-- --------------------- Force I
n
Distribution ~- CeII of %" 1 ~~
2 to 2'z
i PiPe aggregate •
Observation Pipe
(Anchor securely)
PLAN DIE~1 OF A MOUND SYSTEI4
~•- osrc ~ vn
-Foy ~-~-~,-
.. L
U ~
C
~"~ -- - __
A i --~~~ 8
w ~`-~_ ~__ - --.
t
' Distribution Pipe Layout Pane S of 7
.~
Place the holes at the bottom of the distribution pipes
. at~equal spacing. Remove all burrs from the pipe and holes.
Extend the ead of each laie:aI un with the use of Ions turn or 4f° $tiin? to a point within slx ~~
inches of the final grade. Te.-urinate the gads of the late.-aIs with a valve, threade3 caa or
. threaded plug. Provide access from final grade for the vaIye; threaded cap or threaded pIuQ.
:~~C`.SS ~OX_
T`t p.1 cr L LZOS S .s ``il 111y
FVC F~JC PVC
Later)-~ ~ Manimfd ~ Laterl
!~- LAN V \ ~~
p -----~+
a- _
hY~3J1r-.'.~
~_
7CC;yS Sfl~
- --0
--a
P 37 Ft. ~ Hole Diameter ~l`b Inch ~_._..
S 3 Ft. ~ Lateral ~ I InchEes)
X ~_ Inchps Manifold Z• Inches
Force Main " Z Inches
<: .
~ of holes/pipe_~ - -
Invert Elevation of.Laterals~DD.O Ft. -
.. _. ~ ~ - Combination Sept,3c~.Tank and
• PUMP CHAMBER CROSS SECTION ANA SPECIFICATIONS ' ~ PAGE ~ OF -7
. _. .
• •VEU7 CAP ~ WEATHER PROOF
JUIJCTIOU 90X ,
ti C.Z. VE1J7 PIPC ~ APPROVED LOCKIIaG
~jO' FROM OOOR. MA3JHOLE COVER Wl'M
:WINDOW OR FRCSH ~ wAR.t.~l-JG L.I+~gEC..
t+~BP~piJ (~ IpE A(K pJTAKE ~ couDu~T
W Ilj'LCLZl6IIT- ZfTQ
- G ~^CD E
i •
IB'I~iIN,
~ IJ`1LET
Approved
joint w/
PVC pipe
S
. •• ~ _. ~ I
6'•~w. S ) I Y~MII.l.
;'~,
BtyFFL~ •n'
z>~~. H~~
A-`Bop
CLCY.~-Z 00 FY
~LV , °I L_ OC~~
• ~__ ~• 18•Mlu.
.- ~~l
-PROV10E I - ---
TAIRTIi.HT SEAL I I i I ~
Ir i I I \V~
°~ ~ ~~I Approved
I III joint w/
ALARM PVC pipe
a .I II •
I I
I i ou
c •i I
{ I .
PUMP -~ '-~
` OFF
D CO-JCRETE -
BLOCK
RISER EXIT PERMITTED OI.JLy IF TA-JK MA],: UFACTURE3t HAS SUGH APPROVAL~3NAA~~`~
8F
0
c rv 4
0
SEPTIC F SPECiFICATIC)t~IS
DOSE
TA-.t~cS MA-lUF1-CTUlZCR:w~~~ ~1L.JC~=-~~ '
L
I
~
TAt,1K SIZE : ~-~C~ J ~ ~ ~~ IJL
MBEA OF DOSES:
'
-
GALLOA:S GCSE VOLUME
ALARYI MAUUFACTUR.GR: ~-S~ EL~-O S`-ZS~~ S IAJCLUDIA7G 6AGKFL
OW: - 1~ Z GAI~ONS
MODEL 1.lUMSER: ~'~~ ~~
~ p
CA?ACITIES: A _ ~ ~ IuCHES OR ? ~ ~' GaLLCs;S
e~.~~+::y~---~(
SWITCH T~PC: ~'' ?~~
8 =
~ IIJCHES''GR _
G
PUMP
!"IAIJUFACTURi<R: 6dU~--D S _
L
IILLOUS
~
~~Z
~~~ C=
-UCHES OR
" GALLOUS
MODEL I.IUMHER: _
~ -
Z"~y
0= ZZ IAICHES OR
SWITCH TYPE: ~ 1 - GALL01J5
~
WOTE: PUMP AUO ALAi~M ARE TO 6C " -
MINIMUM DISCKAROE •R~ E 3 ~' ! ~ pM INSTALLED OAl SEPARATE CIRCUITS
YERTICNL DIFFERENCE pETWCEI,I PUM ..DISTRIBUTIO-.1
• PIPE.. 8.00
FEET
t MItJIMtUM -~IETWORK SUPPLY PRESSURE . ; ~ , /
•So FE.ET ~S-OX~I.3~/
~. SS FEET OF FORCE P1AIfJ X Z.oq F~
O
FRI
F
T -
~' ~S
U
I
A
oF~,
C CTOR
.
FEET
TOTAL Oy1JAMIC HEAD = ~ 5.6S . EET
As per manufacturer 1-~. Q gal/in. Liquid depth. 3g `'
~~~
s
APPLICATIONS
Specifically designed for the
following uses:
• Effluent systems
• Homes
• Farms
• Heavy duty sump
• Water transfer
• Dewatering
SPECIFICATIONS
Pump: EP04
• Solids handling capability:
3/a' maximum.
• Capacities: up to 55 GPM
• Total heads: up to 24 feet.
• Discharge size: l'/z NPT.
• Mechanical seal: carbon-
rotary/ceramic-stationary,
BUNA-N elastomers.
• Temperature:
104°F (40°C) continuous
140°F (60°C) intermittent.
• Fasteners: 300 series
stainless steel.
• Capable of running
dry without damage to
components.
*!......-. r7f1C
• Solids handling capability:
3/a' maximum.
• Capacities: up to 60 GPM.
• Total heads: up to 31 feet.
• Discharge size:l'r~"NPT.
• Mechanical seal: carbon-
rotary/ceramic-stationary,
BUNA-N elastomers.
• Temperature:
104°F (40°C) continuous
140°F (60°C) intermittent.
• Fasteners: 300 series
stainless steel.
• Capable of running
dry without damage to
components.
Motor:
• EP04 Single phase: 0.4 HP,
115 or 230 V, 60 Hz, 1550
RPM, built in overload with
automatic reset.
• EP05 Single phase: 0.5 HP,
115 V, 60 Hz,1550 RPM,
built in overload with
automatic reset.
• Power cord: l0 foot
standard length,16/3 SJTO
with three prong grounding
plug. Optional 20 foot
length,16/3 SJTW with
three prong grounding plug
(standard on EP05).
METERS FEET
10
9
~~
0
a
W
x
U
a
z
J
H
0
Goulds ~~c ~ °`~
Submersible
Effluent Pump
~~
3871 EP05
• Fully submerged in high
grade turbine oil for
lubrication and efficient
heat transfer.
Available for automatic and
manual operation. Automatic
models include Mechanical
Float Switch assembled and
preset at the factory.
FEATURES
^ EP04 Impeller: Thermo-
plastic Semi-open design
with pump out vanes for
mechanical seal protection.
^EP05 Impeller: Thermo-
plasticenclosed design for
improved performance.
^ Casing and Base: Rugged
thermoplastic design provides
superior strength and
corrosion resistance.
^ Motor Housing: Cast iron
for efficient heat transfer,
strength, and durability.
^ Motor Cover. Thermoplas-
ticcover with integral handle
and float switch attachment
points.
^ Power Cable: Severe duty
rated oif and water resistant.
^ Bearings: Upper and lower
heavy duty ball bearing
construction.
AGENCY LISTING
SP• CanadianSiandatdsAssoclation
(CSA listed model numbers
end in "F" or "AC".)
0
. ~ I
i ~
~-~~ ~ 1
~~
=-~ ..~r:, .: `F GPM'
~J
25 ~2s E= r
._..__-~ ._ .
._
_
_ i __!.
;
--
_
-
20
~ ~ _
_
_
,
i j _
~ i ___ ~ .
l
~~ s I - ~
15 .
, '
~
. ! i_
EP0
`
'
io
I
I -
31 t6'
_ ~ ----;----
i
EP04 __ 9
---
v_i
5
o_ ,
10 20 30
40 50 ~ GPM
~ ~ ~ ~ ~ ~ ~
0 - 2 4 6 8 10 12 m'/h
CAPACITY
O 1995 Goulds Pumps, Inc. Effective May, 1995
' 83871
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of 3
G~vision of Safety and Buildings _
f in accordance with Comm 85, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County ST. Ct~
inGude, but not limited to: vertical and horizontal reference point (BM), direction and `~
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. //``~ ~ ~ I N
~~7~~ ~' ~~"~
Please print all information. iewe Y Date
Personal information you provide may be used for secondary purposes (Privacy law, s. 15. m)). G~,liliyf ~ ~~ P '1
Property Owner '~pv~,b ~--(~~ ~ k RECEI erty i_ cation /-
~l-~~'~,~ = l~[3~SZT Prjl~j .~- ZLN~jvj ~~ ~ 1/4 S ~' 1/4 S ' 1 T 3 ~ N R ~' S E (o''`
Property Owner's Mailing Address ock # Subd. Name or CSM#
zo Z b Alrz s T. (Y~r t ~ MAR 1 2 2!~l~ 4~Zo po s ~ cs+~-t
City State Zip Code Phone umbe~T CROIXOC FI ity ^ Village. ®Town Nearest Road
~ ooDV l t_t,E- ~ ~ S S~ 028 (7 lS) 6 •~ `-~ L4 p `-~}- s ?,
New Construction Use: [~ Residential / Number of bedrooms 3 Code derived design flow rate ~ StJ
GPD
^ Replacement ^ Public or commercial -Describe:
Parent material _ 1 f~'L `i'1 l,.l_ Flood Plain elevation if applicable
General comments
and recommendations: W~ l~Ul\J~ h.l / b rK ~ S ~ D 1 S't12~ ~ U `tt 0 }~ („` ~L- /V la
a Boring # I^~ Boring
1Ct. Pit Ground surface elev. ~4. Z
ft, Depth to limiting factor 3S i~,
Horizon Depth Dominant Color R
d
in.
Munsell e
ox Description
Qu. Sz. Cont. Color Texture Structure
Gr. Sz. Sh. Consistence Boundary Roots
I o-l0 lp~it~3L z - s ~ ~ z~sb m`-Fy- ~ Z~
Z L D ZO I-D t-L.(Z.3lC - S i I Z`~Sbk wL`~l- Ct,~1 l.V `F
3 w 3s ~-S`iiz3ly _ L 1 csbh wZ~~. eS -
s-S ~sY2 ~~` ct z.s ~f~s~8 sc~~• ovYt m ~; -
a Boring # ^ Boring
® pit Ground surface elev. a 8 ' 7 ft. nP„rn }„ i;,.,;~;,,,, ~,,.,,,. U -]
ft.
Soil Appligtion Rate
GPD/ftz
' 'Eff#2
• S -~
•S .~
•~ -6
•~ .o
Horizon
Depth
Dominant Color
R
d Soil Application Rate
in
M
ll e
ox Description Texture Structure Consistence Boundary Roots GPD/ft2
. unse Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff# - 'Eff#2
I
Z ~ -t 0
Z LD K R.3! z
l
` - s t I Z~-s b12 ~+'J`Flr- Cw Z`F - s . g
to-
Z 2123L(,
a - g ~ ~ Z~sbh m ~v \v'F ~ s .43
3 2i-~[I ~•S~fu~y - L ZCSbk m~ CS _ .b
~1(-~`1 k K Z .S `a! R-~ $ _ S O S ~lV`~-- C "~ • Z t . 'Z
S ~l~ S'~ ~ -Sera-plc ~f L - m i ~ , 3 , 5
'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 =GODS < 30 mg/l. and TSS < 30 mg/L
CST Name (Please Print) Sign cure CST Number
Arthur L, We~erer d, ~ ~~~Z ~ 220254
Address FBI e g e r e r S o i l Testing &, Design S e r v i c e Date Evaluation Conducted Telephone Number
421 ZIT. I~iain St. River Falls, [•II 54022 Z_7_~Cs-~ 71 5-[~~5-n1 r,S
Property Owner Z ~ Nl ~ ~ Parcel ID #
Boring # ^ Boring
Pit Ground surface elev. ~I. ~. ~ ft.
1~-~JflI~G
Depth to limiting factor cl ~ in
Page Z of
Horizon
Depth
Dominant Color
Redox Description
Texture
Structure
Consistence
Boundary
Roots Soil Application Rate
GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 •Eff#2
o -(o lO"~ ~- 3 ~ - s ~ 'Z~' s b k n1 `~I~ Cif Z ~ . S . ~,
~- l0 Z LO `2 2 3~ 6 s ~ ~ Z'E~ S bk m `~l_ Cl.~, 1v'(L • S - ~
l(-c.l ~ S k ~ 3l y - ~ I. S O S. ~'-'1 U`~l- ~S ~ . -.1 ~. 2
S `l [ so 5 y tz 3~y ~Ft-F ~ , S ~ 2 s ~8 ~. o --,., m`F t" ~ - 3 .5
^ Boring # ^ Boring
Pit Ground surtace elev. ft_ na~er, r~ limilinn f~..b.. :_
Horizon
Depth
i
Dominant Color
Redox Description
Texture
Structure
Consistence
Boundary
Roots Solt Application Rate
GPD/ft~
n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
^ Boring # ^ Boring
^ Pit Ground surtace elev. ft. Depth to limiting factor in_
Horizon
Depth
Dominant Color
Redox Description
Texture
Structure
Consistence
Boundary
Roots Soil Appliption Rate
GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
• Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODs < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (R6/00)
PLOT PLAP1 Page 3 of ~
J Scale 1'=L10'
B-'"1 ~J _- ~' : 100.0 ` Oti 4 ```T7°i2~,..3/`d~` ~~ R ~-E-R~sR=~ ~.-v_7:-L~~.=---
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DlS-N23 'T1ftS ~'u"H.
~~, ~. Z-~b-O2715-425-0165 220254 UZ-
~Z
CST Signature Date Telephone ITo. CST T~1o. Job PJO.
` Wisconsin Department of Commerce SOIL EVALUATION REPORT
Division of Safety and Buildings
r in accordance with Comm 85, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
inGude, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.
Please print all information. Reviewed by
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner '~pv~-b ~ Property Location
~="[2.F~ iti.1 r
~`1,~ ~ l~oB~.
Page ~ of 3
~ ~~lN G
Date
- T A'l~ ~~x[~-. ZLW~JvI ~-[' N C 1/4 S~ 1/4 S q T 3 ~ N R `S E (orf
Property Owners Mailing Address _ Lot # Block # Subd. Name or CSM#
Z~ Z 6A~ sT. (fir ~ll~ I - ~~zopos~ csh-t
~ Clty State Zip Code Phone Number ^ City ^ Vllage ®Town Nearest Road
~ o~DV l t_i...~ ~ t s Sf d z8 t ~ tS) ~ a $ - 2.0 l Z ~ ~o -~ L4 d YN- s 7,
New Construction Use: [5~ Residential / Number of bedrooms 3 Code derived design flow rate ~ SQ
^ Replacement ^ Public or commercial -Describe:
Parent material __ [~ 1 (~, • j l ~ Flood Plain elevation if applicable /V /a
General comments
and recommendations: W~ oU)til~ w ~ b r/K ~ S ~ ~!. S•nZ(. ~ U `[7 0 }~ C~-L
)"L1 t hJ l L,~ U)"'I 6 k ~ 1` S Fj-y~~ }=1 LL -
a Boring # ^ Boring
pit Ground surface elev. QQ. Z ft,
3S iri. __
ce Boundary Roots
Depth to limitinn faMnr
Horizon Depth Dominant Color R
d
in.
Munsell e
ox Description
Qu. Sz. Cont. Color Texture Structure
Gr. Sz. Sh. Consisten
1 0,1o to~l~-j~ z - • S;1 z~sb m~
3 was ~s~iZ3[y _ L 1csbh_ m~s-
s-So ?:s~~ ~l` c~~, ~-s ~t~s~8 s~ ow, m ~;
1~1
GPD
ft.
'Eff#1 'Eff#2
Z~ •s .~
cf,J lv~- • S . E
eS - . ~ -6.
- .~ .n
Z Boring # U aonng
® pit Ground surface elev. ~ $ ' ~ ~ V ~
ft. Depth to limitinn fartnr
Horizon
Depth
Dominant Color
R Soil Application Rate
in
Munsell edox Description Texture Structure Consistence Boundary Roots GPD/ft2
. Qu. Sz. Cont. Color
Gr. Sz. Sh.
Eff#1 - ,
Eff#2
I
Z o-t0
t
zZ IDKR-3[z
1
` - si i z~sbk ~'1'F~- Ctv Z`~ - s .g -.
o- 0
2123[(, - S1 I Z~-'sb-~ •Vn. ~.v ~v~ ~ S .~
3 ZZ-~l l ~ •S y tz3 /4 - L t cs bk vn ~ CS _ , ~ , b
~t-~t~ s ks~[~ Ct.~l Z.s ~tR.,sl~, _ ~.s o s ntv~P+~ t;. -- ~ • Z ti. Z
S ~I~ S'~ ~ -Spa-s~lc ~f L c~v-, m i ~ . 3 ; S
• Effluen t its . ann ~ ~n ~ een .,..n __.. ~.... _ .... _
. - --- ---a-- -.._ ...•, - ~•, - ~••,• ~~~y,~ ~nwern ff~ = rswa < 3o mgfL and TSS < 30 mg/L .
CST Name (Please Print) ... Sign lure CST Number
Arthur L. Wegerer ....,_.=OZ~Z :~.
Address g 2 2 0 2 5 4
W e e r e r Soil Testing &, Design S e r v i c e Date Evaluation Conducted Telephone Number
421 i1. Bain St. River Falls, [lI 54022 Z_Z(~-O-Z 715-425-0165
Property Owner Z' ~~ ~ ~ Parcel ID #
Boring # ^ Boring I
® Pit Ground surface elev. ~I.6; ~ ft,
~~ iNG
Depth to limiting factor ~l ~ in
Page ~ of
Horizon
Depth
in
Dominant Color
M
ll
Redox Description
Texture
Structure
Consistence
Boundary
Roots Soil Application Rate
GPD/ftz
. unse Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2
~ o -t o L 0`2 (~-- 3 ~ s i z~ ~ b k n1 ~~- C.Lv Z ~ . s - ~
lp Z LOK2 3~(~ s~ I Z'FSbk m`~~- CI.~, lv'{L • S -~,
3 ~ 3~ z.S ~~~y - L l c sbk ~, ~~ c w - - ~[ - ~
~-~ ~ S k ~ 3~y ~ tS O S. h'1U`~4- C
S
'-
,1
1. Z
.S ~l I S O 5 y iz 3 /y '~t-<' ~ , S `t IZ 5 ~a L O -~ wt `~' t' ~ - ~ . 5
^ Boring # ^ Boring
n Pit Ground surface elev. n no.,rti ~ ..::...:.:.... ~......._
Horizon
Depth
in
Dominant Color
M
ll
Redox Description
Texture
Structure
Consistence
Boundary
Roots Soil Application Rate
GPD/ftz
. unse Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2
^ Boring # ^ Boring
[] plt Ground surface elev. ft. Death to limiting factor ~.,
Horizon
Depth
in
Dominant Color
M
ll
Redox Description
Texture
Structure
Consistence
Boundary
Roots Soil Application Rate
GPD/ftz
. unse Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
• Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODs < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer, If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-$777.
SB0.6330 (RW00)
PLOT PLAP1
Scale 1'=y0'
Page 3 of .~'
g-'"i ~J --..~ . T 0-0.0 ' ON 4''`~-~; - 3 ! ~" ~ t. R _ ~E-R~'rTZ=~ _w_7= L~,"~.-
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C~ ~ ~ Z-~(,-O 2 715-425-0165 220254 C~ Z - , .'
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CST Signature Date Telephone Ido. CST X10. Job P10.
WEGERER-SOIL TESTING and DESIGN SERVICE
SOIL TESTING - SEWER SYSTEM DESIGN
ATTN : ~ ~ ~ ~ 1ZP~? 'H~S,Z DATE ~ ~- l ~ ~(} Z.
CC:
SUBJECT:
THE FOLLOWING ITEMS-ARE ENCLOSED
0. OF DESCRIPTION
COPIES
1 ~ ~ t~ ~l ~ Uv ~
SENT TO YOU FOR THE FOLLOWING REASONS:
vNOR YOUR USE FOR REVIEW AND COMMENT INFORMATION DESIRED
~UL~ f'~l~.S CJ S ~r f~- ~ }~ `Z ~O ~" ~-~ 1~ L G Cpl ~~
WEGERER SOIL TESTING
AND
DESIGN SERVICE
~Z~ ~ ~~~-
P.O.BOX 74 421 N.MAIN S.T. "RIVER FALLS,WI 54022 PHONE 715-425-0165
wsconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of 3
/vision of Safety and•Buildings _
' r in accordance with Comm 85, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County ST . C~~ lx
inGude, but not limited to: vertical and horizontal reference point (BM), direction and
percent slope, sple or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. ~ ~~ I N G
Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner '~~v~,b NLi~ ~ k Property Location
~t.~~}, - l~Q
n
and recommendations: Wt ~tJ~~ kJ j D rx ~ ~ r ~ ~ ST~Z! l3 V `t! 0 }U C-~-C.
a Boring # ^ Boring
pit Ground surface elev. ~Q. Z ft, Depth to limiting factor 3S in
~- ~TZT F}Ji~ `~~~- Z(+"11~i C t2 N C 1/4 S ~' 1/4 S q T 3) N R ~.S E (o~
Property Owner's Mailing Address - Lot # Block # Subd. Name or CSM#
zoZ 6A1z sr. fir ~i~ I - l'1ZpP0S~j cs+~-~
City State Zip Code Phone Number ^ City ^ Village ®Town Nearest Road
~OObVIL~ ~l S~~2.8 c71S) ~Q~- 2A 12. ~ ~0 -s Z-qC~ `TES- ST
[New Construction -Use: [T~ Residential / Number of bedrooms 3 Code derived design flow rate _ t-(- SQ
GPD
^ Replacement ^ Public or commercial -Describe:
Parent material __ I (~- •~ t-.L Flood Plain elevation if applipble ~>~
General comme is ft.
Horizon Depth Dominant Color R
d
in.
Munsell e
ox Description
Qu. Sz. Cont. Color Texture Structure
Gr. Sz. Sh. Consistence Boundary
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. _ - - -.._ . ., -.. _ ~.... n~~~ cuwe~u *c = °vus c su mgiL and TSS < 30 mg/L
CST Name (Please Print) .. ,,,/ Sign lure CST Number
Arthur L. Wegerer~ d, ~ ~ ~~`~~Z~LZ 220254
Address We g e r e r Soil Testing &, Design S e r V 1 C e Date Evaluation Conducted Telephone Number
421 ~~T, i~iain St. River .Falls, [7I 54022 Z_Z6_p7 715-425-0165
OwnerBuyer
Mailing Address
Property Address ~ 1D ~`l' S~ 2?~ ~ ~
(Verification required from Planning Department for new construction) -
City/State Parcel Identification Number O / ~ " ~ ~ ~ ~ ~ ~ ~~ O ~
LEGAL DESCRIPTION
a'- i
Property Location 1~~'/., ~ '/., Sec. ~, T~N-RAW, Town of .~~ ~' e ~
Subdivision
Certified Survey Map # ~ ~ ~ ! `5~~ .Volume Page # ~ 3 D 0.
Warranty Deed # ~ g ~ a b ~~ ,Volume l ~ 6' Page # l~ 3
Spec house ^ yes ~ no
~~
Lot lines identifiable ~. yes ^ no
SYSTEM MAINTENANCE
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 pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
masterplumber, journeymanplumber, restrictedplumber or a licensedpumperverifying that (1) the on site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
Ifwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the three year expiration date.
~ ~ `7 ; ~(n~ ~. _ / / / ~
SIGNATURE OF AP~PLIC-~--yANT DATE a (~ t~
OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGNA URE OF APPL CANT
~/ ~ ~~~
Lot # ,~_.
ATE
*«**** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ******
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIF/ICATION FORM
' ~ ~1 / `
99 ~ o
STATE BA~ OF SCONSIN FORM 5- 1999
Document Number QUIT CLAIM DEED
This Deed, made between Ardis M. Frank and John Frank Grantor,
and Robert M. Zimmer and Rachel M Zimmer husband and wife as
survivorship marital property, Grantee.
Grantor quit claims to Grantee the following described real estate in St.
Croix County, State of Wisconsin (if more space is needed, please attach
a um
of One of CSM ecorded in Vol. 16 on Page No. 4300 as Document No.
80158 located ' part of the Southeast'/. of the Northeast''/o, and part of
the '/. of the Southeast'/. of Section 9, Township 31 North, Range
15 West, Town of Forest, St. Croix County, Wisconsin, more fully
described as follows:
Beginning at the East '/. corner of said Section 9; thence S 00°00'00" E,
(assumed bearing on the East line of the Southeast'/. of said Section 9), a
distance of 231.47'; (hence S 89°36'27" W, 596.24'; thence N 00°23'33" W,
400.00'; thence N 89°36'27" E, 598.98' to the East line of the Northeast'/.
of said Section 9; thence along the East line, S 00°00'00" E, 168.54' to the
Point of Beginning, containing 239,043 square feet or 5.488 acres, being
subject to an easement for town road purposes over Easterly portions of
said parcel as shown on this CSM and to all other easements and
restrictions of record.
Together with all appurtenant rights, title and interests
Dated this ~~ day of June, 2002.
*Ardis .Frank
~~~
" ohn F ank
AUTHENTICATION
Signature(s) Ardis M. Frank and John Frank
of June ,2002
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by §706.06, Wis. Stars.)
THIS INSTRUMENT WAS DRAFTED BY
Bakke Norman, S.C. 1200 heritage Drive
Y.O. Boz 308 New Richmond, WI 54017
(Sibmatures may be authenticated or acknowledged. Both are not necessary.)
Names of persons signing in any capacity must
QUIT CLAID1 DEED
saxz~4
XATHLSfi1i H. MALSR
REGISTfiR OF DfiEDS
ST. CROIX CO., MI
RfiCBIYfiD FOR RECORD
06-87-2002 12:05 PM
QUIT CLAIM GEED
EJIE1Pi 0
REC FEE: 11.00
TRANS Ffifi: 15.00
COPY FEfi:
CERT COPY Ffifi:
PAGES: 1
Recording Arca
Name and Refum Address
Bakke Norman, S.C.
Daniel M. Tjornehoj
1200 Heritage Drive
P.O. Box 308
New Richmond, WI 54017
014-1020-40-000
Parcel Identification Number (PIN)
This is not homestead property.
(is) (is not)
*
r
ACKNOWLEDGMENT
STATE OF WISCONSIN )
ss.
St. Croix County )
Personally came before me this _~ day of
June , 2002 [he above named
Ardis M. Frank and John Frank
to me known t n(s) who executed the foref;oing
instrumen ow9edged the same.
Notary Public
State of Wiscons n
* Daniel M. T' o' all a OIT1A
Notary Public, fate of Wisconsin
My Commission is permanent. (If not, state expiration date:
.)
or printed below their signature. Inrommtion Professionals Co.. Fond du Ix, wl
STATE aAR OF WISCONSIN 800.655.20?I
FORhf Nu. 3 - 1999
• Y
4 ~\
/'~\
680 1 'S8
APPROVED VOL 76 PAGE 4300
ST. CROIX CUUNTY
' KATHLEEH H. MALSH
plannlnpZonl~n>-,^-'•-" ` REGISTER OF DEEDS
ST. CROI7I CO.. MI
MAY 2 8 2002
RECEIVED FOR RECORD
11 not recoraed wnnin 3u ~:~:> _. 05-28-2002 3:00 PM
approval date apFrovat shall U~
CERTIFIED SITR~Y MAP CERTIFIED SURVEY MAP
3
COPY Fes: a
e0
Ardis M, and John Frank PAGES: z
Located it~rt of the Southeast '/, o the Northeast '/., and part of
the Northeast '/, of the Southeast % of Section 9, Township 31 North
Range 1 S West, Town of Furest, St. Croix County, Wiseonsi7z
OWNER'S ADDRESS
2236 290TH STREET
CLEAR LAKE, WI 54005
N
BEARMIGS ARE RffER9yCED TO T7fE
EASTLN~E OF THE SOUTFfEAST 1/4 OF
SECTION 9, T J1 M R f5 W, ASSUMED
AS S 00 00170' E
NORTHEASTCORNER ~'-,•
SECTION 9,T31N,R15W .~-
(FOUND2'IRONpiPEj) 'y4
SCALEINFEET 1'=150' I ~~~
50 50 1 0 1 ~ ~
I
UNPLATTED LANDS jw
?90THSTREET-+-~ ~ W
N 89°36'2T' E 598.98' 6~6
547.00 ' 1. -~•..
I ~
LOT 1
CONTA)NS 239,043 SQ. FT. OR 5.488 AC. '° 100 (~ I '
~, ~; ti; ~ Easr 1u coRNER
o (218, 800 SQ. FT. OR 5.023 AC. EXCLUDING ~~ W; ~ ~ SECTICMI9, 731 N, ~;
zj o ROAD RIGHT OF WAY) ~~ ~ Iw'I I ~ R i5W(PoUND Zi
~I `r (APPROXIMATE SOUTHUNESE1q-NEi/4 ~ _ ~~~~T~
ZT_ - - _~ v~ ~ ALUMOVUM MONUMENn ~~
3 APPROXIMATE NORTH IJNE NE1/4SE1f4' ~ I w I ~ I ~.~ _ Wi
~;.
~i ~ i e e~ I$'I I s ~
Z; Q ~; w ~ ~ w 4,
Q
~ ~ 100, I~,13 N g
o. i g
547.00
S 89°36'2T' W 596.24'
LINPLATTED LANDS
solmlEasr coRNER
LEGEND SECTION 9, 731 N, R 15W
(FOUND COUNTY 8ERN75EN
INDICATES f' O.D. x 18' IRON ALUMMIUM MONUMENT)
O PIPE SET (MIN. WT -1.13 t a e F.)
e SOR 80RINGS (PROPOSED SEPTIC SYSTEM)
SECTION CORNER MONUMENT (AS NOTED)
DATED: MARCH 15, 2002
' •eLl.URE `E •• .5
PHV
* • 1713
RIVER • E
p FALLS, ,' y~
wi. ~~
Vy n Gp~„~ •LA No. ,9 JPJ
THIS INSTRUMENT DRAFTED BYJERALD L CARSON SHEET 1 OF 2
Vo1.76 Page 4300
i~
40
Shef40 Performance & Dimensional Data
30
~,~ 20
~'y-sS
10
0 10 20 30 50 60 70
PM
3~.~e
x_7/8° 6-5/8" (1x8.27) l.All dimensions in inches. (Metric for international use).
(98.42) 5• (127)
2. Component dimensions may
s-7/8" vary ± 1/8 inch.
(98.42)
3. Not for construction purpose
j ~ unless certified.
g_7/g^ , DISCHARGE
(98.42) ~'`= 1-1/2" NPT 4.DImen5lonS and weights are approximate.
FLOAT
SWITCH S.We reserve the right to make revisions to our product
and their specifications without notice.
~~ HYDROMATIC®
10-3/16"
(258.76) ~ . •
3-5/8"
(92.07)
1
7