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HomeMy WebLinkAbout018-1001-00-000 W isconskn Department of Commerce PRIVATE SEWAGE SYSTEM County - °Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitarx Permit No.: Personal Information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)). 370397 Permit Holder's Name: ❑ City C1 Village C1 ipwRO State Plan ID No.: Prater, Urkis I Hammond Township CST BM Elev.: Insp. BM Elev.: BM Description: np Parcel Tax Nn 018- 1001 -00 -000 TANK INFORMATION ELEVATION DATA i. Z-1411 1 10 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �r IZSp / Benchmark D• O �•`v Dosing �1 ( � Alt. BM 51 Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P / L WELL BLDG. Airi to ntake ROAD Dt Inlet Air I Septic > Sp r > 20' NA D ottom L 8:: 2g Dosing L` u NA Header / 0. Aeration -- NA Dist. Pipe q� S 91k •�s Holding Bot.System b.roZ p �S•oS PUMP/ SIPHON INFORMATION Final Grad ? L • d 12`f r o Manufacturer :2o6UX-C__ Demand St cover • S� ��"' r tl� Model Number (3+ GPM yA � TDH Lift - +.4 ( Friction, $ p Systerr�,Z TDH �I, ad Forcemain Length ^ �S Dia. Z Ir Dist. To Well SOIL ABSORPTION SYSTEM ENC Width r Len th r N O Trenches PIT No. Of Pits I side Dia. Li th DIM 1 to 2 DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Mu r a er. INFORMATION Type O ( I / CHAMBER 491odel m er. System: 0 16U �s OR UNIT DISTRIBUTION SYSTEM L. '$ 3 � � is b ` ) ° t Header/Manifold Distribution Pi a 3 I x Hole size x Hoe Spacing Vent To Air 1 ake Length _� Dia. Z u ibution s) I Length,_ - Dia. � Spacing �' (/$ 2 3 i 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 ❑Yes C] No ❑Yes [] No COMMENTS: (Include code discrepancies, persons present, etc.) • s 3 = I ° Sl Inspection #1: OS/ I / o f Inspection #2: o S/ 1 +7 Location: 2075 117th Avenue, Baldwin, WI 54002 (SE 1/4 NE 1/4 1 T29N R17W) - 0129174D -Lot 1 1.) Alt BM Description = S( c.vvc.r'. 2.) Bldg sewer length = 'L5.v - amount of cover = '. It 3.) contou = q,3. Z- (& let f -83` Plan revision required. ❑ Yes KNo Use other side for additional information. SBD -6710 (R.3197) Dg 4 66QLS inspector's Signature Cert. No /1-7t- /ivE 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 N iseonsin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if not state owned.) Att comp pl an s (to the cou nty copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. County State Sanitary Permit Number ❑ Check if revisia b eiriods application State Plan I. D. Number UX 7 3 3 ' Z' T l s ho# < <f38g83 I. Application Information - Please Print all Informa c� Location: Property Owner Name " Property Location c1 A' r--e �/ a Owner's Mailing Address R 1/4 z1A, S T, ,N, Rl (or) W Property ftY g Lot Number Block Number , � 0, 1 City, State Zip Code Phone Numbez c)uN ! Subdivision Name or CSM Number 1-F II. Type of Building: (check one) y ❑ City ❑ 1 or 2 Family Dwelling No. of Bedrooms: [I Village � �• -• -- - � - Town of ❑ Public /Commercial (describe use):_ ❑ State-Ow 4d , . O Nearest Road v t' � ICJ a r 5-D tsLS Par T Numboeos) 53 III. Type of Permit: (Check only one box on line A. Check box on line B if applicable) 1.2-9 .. ( " 'E A) 1. ❑ New 2. eplacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) 11 Permit Number Date Issued A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) C ❑ Non - pressurized In- ground f9NIound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade « « ❑ Aerobic Treatm Unit ❑ Recirculating ❑ Other: o 6 -g V. Dispersal/Treatme Ar ea Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks 1Y 6 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Signature (no stamps): MP/MPRS No. Business Phone Number Plumber's Address (Street, City, State, Zip Code) . County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) 13 Approved ❑ Owner Given Initial Adverse Surcjlarge Fee) - Determination „� -j 2S- X. Conditions of Approval /Reasons forDisapprova� I}�oQ•t st t � A-IcuS , j S S Ca tde-.. ((77 . vv tnna� 0,0 V^�- a�Cn�,�s SBD -6398 (R. 07/00) 4 Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.commerce.state.wi.us /SB Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 17, 2000 CUST ID No.691727 ATTN: POWTS INSPECTOR ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST �ZZ �_ / ST CROIX COUNTY SPIA PO BOX 74 ,\� 1101 CARMICHAEL RD RIVER FALLS WI 54022 " HUDSON WI 54016 RE: CONDITIONAL AP f AL �4�0 — Identification Numbers PLAN APPROVAL EXPI 10 /lg1¢402 �FO�X �� Transaction ID .4388 �'�• S'OO 4 , C's Site ID No. 1998133 SITE: �j,., ZON <co Please refer to both identification numbers,; Site ID: 199833, Urkis Prater ' (� above, in all correspondence with the agenc St. Croix County, Town of Hamm NEIA, S1, T29N, R17W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 764776 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (8.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD- 10573 -P (R.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • An effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. Stats. A copy of the 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. ARTHUR L WEGERER Page 2 10/17/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 10/13/2000 FEE REQUIRED $ 300.00 FEE RECEIVED $ 300.00 &rardSwim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. to Fri. 7:15 AM to 4:00 PM jswim@commerce.state.wi.us WiSMART code: 7633 • Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 iscons►n www•commerce.state.wi.us/SB Department of Commerce Tommy G Thompson, Governor Brenda J. Blanchard, Secretary October 17, 2000 CUST ID No.691727 ATTN.• POWTS INSPECTOR ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 ----_1101 CARMICHAEL RD RIVER FALLS WI 54022 .�� , j_ _� � * SON WI 54016 RE: CONDITIONAL APPROVAL p� .* Identificat' umbers PLAN APPROVAL EXPIRES: 10/17/20 1'+ r4nsaction ID N SW ID No. 199833 SITE• cgoOk ' ase refer to both identification numbers, Site ID: 199833, Urkis Prater COUN cG��� a ve, in all correspondence with the agenc St. Croix County, Town of Hammond ZoNt�CO NE1/4, S1, T29N, R17W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 764776 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10572 -P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD - 10573 -P (R.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • An effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. Stats. A copy of the 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. ARTHUR L WEGERER Page 2 10/17/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 10/13/2000 FEE REQUIRED $ 300.00 FEE RECEIVED $ 300.00 Oerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. to Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us WiSMART code: 7633 r TITLE SHEET Page of - 7 MOUND SYSTEM FOR A Lf BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD -1057 P and the Pressure Distribution Manual SBD- 10573 -P C Cz• l� l g9) C tz _ 614a LOCATED IN THE — 1�1 1 4 OF T � / HE 1/4 OF SECTION ,T, Z') N,R 11 W, TOWN OF jam. L -Cj3W1 COUNTY, WISCONSIN. INDEX PAGE I of 7 TITLE SHEET ' PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN 9.c�, PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION �onn PAGE 7 of 7 PUMP PERFORMANCE CURVE yt� ® �G PREPARED FOR PREPARED BY WEGEF;tER SL7 I L . TESTING AND . DES Z (S" SEF;ZW = CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 %SCO)VS Phone 715- 425 - 0165„••'''" ••'''•�� Fax 715- 425 -6864 • ART1+�,PL s � WEGE RER } = 1 6L4SWO 5WgRTM, P.O of at��' �. �ttt 9 ....... Coll �'�►� IGN of o t. ,torus k ~ hNlN 4 o v�s�oN D��y�E ESP SEE GO JOB NO. O p- ZS Z Mound System Management Plan page Z of Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank 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. Theoperating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The utlet felt shall be cleaned as necessary o ensure pro er o e tion. The filter cartridge should not be removed unless provisions are made to re am 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. Pump 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 BOD5, 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 effluent 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. 6199)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be 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 for 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 accidental or unauthorized entry into a tank or component. Contingency 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 if 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 on the operation or maintenance of this system should be directed to the County Zoning office at "1tS.- 386-46SO or to the licensed plumber who installed the system. / PLOT PLAN Page 3 of 7 Scale 1 " =qj j ' - - -- no tiu ot8 loar= oo _ __ o � 3 a � . VzLo 9 x \ \� \\ O D ►v u T - SS` b� s L a� ZkaV CF.r1_ X Z etgz 3 9 0 � v S ni L1 E St;Y.1 t�m - 2FP W P n Ftp LS >✓ CODE -0w►P k i 6, i 4V _ : 1y- q`f _�?�._v 6'- �lS`f� ►moo- \�= [�Z1:.hU TI.U►�1- P- �- � -�� - -- ' EiTc:Ls -nKJ G: - -Tf��v NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. required). 3. Septic tank to be 12Sa -)So gallon capacity manufactured by CCVj C�Z. 4. Bench mark Ste P�3c�V� 5. Divert surface water around system to prevent ponding at the uphill side. Page Ll Of - 7 Approved Synthetic Covering ASTH C33 Distribution Pipe Medium. Sand _ H G Topsoil - - - - -- - _ F Elect. Gl �- 3 E D %. Slo Force Main Plowed Distribution Cell of Z" to 2'' Aggregate From Pump Layer Undisturbed D -y Ft. Soil E 3 - Ft. Cross- section of a mound system using F o -b Ft. 2 cells for the absorption area G 0 Ft. A Ft. H l -o Ft. B S O Ft. C 1 - 1 Ft. Linear Loading Rate = 6 -0 GPD /LN FT I t Ft. Design Loading Rate= o.3GPD /SQ FT J 7 Ft. K Z Ft. Force Main L Ft. W 4 Ft. L B —7 E g K A __ Observation Pipes — '(Anchor securel - W - Distribution Pipe Cell of Z" to- 2-,." aggregate Plan view of a mound system usii .q 2 cells for the absorption area Distribution Pipe Layout Pace 5 of Z Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up .Airh the use of long turn or 45' f ttinQ to a point within six inches of the final grade. Terminate the ends of the laterals with a valvi,:threa ded cm or • threaded plug. Provide access from final grade for the valve, threaded dap or threaded plug. f R1 FVC F�3� PVC Lateral Manifold Lateral x x x z xf2 x/2 x x z I x Lateral Lenoth — F Later<l Lngth —'"P Distribution Line — OUZO C MM►, rRCe�'SS o-- S o- — __O wL�� FoW T . o- - S o- - P Z y Ft. Hole Diameter �� g Inch S Ft. Lateral .Inch(es) X Z.3 Inches Manifold Z_ Inches Force Main " Z Incfies l of holes pipe 13 Invert Elevation of -Laterals q4 q Ft. Combination Septic; and PUMP CHAMBER CROSS SECTION AMD SPECIFICAT NS ' 10 PAGE OF - VEUT CAP WEATHER PROOF JUUCTIOIJ 8OX . ti C.I. VENT PIPC APPROVED LOCKIMG "' 10' FROM DOOR., 71 COVER wrDi woOW OR FRESH wE'►RIVIIJG LP.gEL., 3P 1o>l1 t'tPg A.�IUTAKE aC-\UDUir w /H1CLTl emp � c , Q S S ` "•mow. j I Y MIU. 7r FT • I � 18' ht11,J. IIJLET +" PROVIDE f — - -- AIRTIGHT SEAL 8 4�LS3 f Approved Z�B�.� '� I Approved joint �,r/ f �i joint w/ PVC pipe ALARM PVC pipe � I f ou C f I LLEY. -�S FT I - PUMP --� OFF 0 - C Ok3CRETE �TL�U. '80_00 BLOCK - RISER EXIT PERMITTED DULY IF TAWK MAUUFACTURER HAS SUCH APPROVAL 3NRV _ j, _ Br<DO:rv� SEPTIC E SPEC- IFICATIOUS DOSE TA Li )(5 MAWLIFACTURER: IN"M�M C2kjCZ -Q- >_ IJUMBER OF DOSES: S,o PER DA4 TAIJK SIZE: \ZSO / "D GALLOMS D05C VOLUME I ALARM MANUFACTURER: S • \ZU- S Lj,!J " 1-S IAJCLUDIN 15ACKTLOW: — lljot- O G A�tOfi15 MODEL IJUMBER: Z O CAPACITIES: A I M CHE5 OR t4 I y GALLOUs Y- �1�2eu2 SWITCH TyPf: � $= 2 IUCHFS'OR 3 1- Z 4LLOIJ$ PUMP P'IAIJUFAGTURER: - r- ►IJCHE5 OR 11-1 CALLOUS MODEL QUMBER: 13-7 1MCHE5O 1\12 - -1 GALLOUS SWITCH TYPE:- �Ze11�Z� -( WOTE: PUMP AMD ALARM ARE T bE -7 MIAJIMUM DISCHARGE RATE q1 -W GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWCEU PUMP OFF AIJO..Dl5TRIBUTION PIPE., FEET + MWIMUM METWORK SUPPLY PRESSURE , ; , , , , , , , , , L ZS F + SS FEET OF FORCE MAIN X 3 n fLFRICTIOIJ FACTOR_. Z � S FEET TOTAL: DtWAMIC HEAD = _ b _� S FEET As per manufacturer �2 gal /in. Liquid depth Ll-?{I . - . •" �.y Y`1� �E1Z.�0 �. �F'11°r lU L° � CU tit U �. �A-GC � a= � 4 13/16 7 7/16 -� W f5- HEAD CAPACITY CURVE MODELS 137/139 � - 6 1/8 MODELS 137/139 Ft. Meters Gal. Ltrs. s 5 1.52 93 352 ° ° 4 13/16 10 3.05 79 299 15 4.57 64 242 p° 6 20 6.10 36 136 c / `�5 25 7.62 8 30 15 0 1 1/2" - 11 1/2 NPT a 4 37,139 30 9.14 1 o Lock Valve: 26 ft. 2 5 6 +` I ll l I 13 I 0 U.S. GALLONS 10 20 30 40 1 50 60 70 80 90 100 1 110 -� LITERS 160 240 320 400 1 1 4 FL PER MINUTE SK373 009921 ��" CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V, 230V or 460V. • Variable level control switches are available for controlling single and three • Electrical altemators, for duplex systems, are available and supplied with phase systems. an alarm. • Double piggyback variable level float switches are available for variable • Mechanical alternators, for duplex systems, are available with or without level long cycle controls. alarm switches. • Over 130 °F. (54 °C.) special quotation required. • Combination starters are available for 3 phase pumps. • Refer to FM0806 for 200° F. applications. • Control alarm systems are available for 1 phase pumps. ,r . 137 Series - 47 lbs. 139 Series - 51 lbs. SELECTION GUIDE Single Seal Control Selection Listin s 1. Integral float operated 2 pole mechanical switch, no external control required. Model Volts -Ph Mode Amps I Simplex Duplex CSA UL M137/139 115 1 Auto 10.7 1 or 1 &8 - Y Y 2. Single piggyback variable level float switch or double piggyback variable level N137/139 115 1 Non 10.7 2 or 2 & 7 3 or 5 & 6 Y Y float switch. Refer to FM0447. SN137 115 1 Auto 10.7 - Y Y 3. Mechanical alternator M -Pak 10 -0072 or 10-0075. Refer to FMO495 D137/139 230 1 Auto 5.8 1 or 1 & 8 - Y Y. E1371139 230 1 Non 5.8 2 or 2 & 7 3 or 5 & 6 Y Y 4 • Combination Starter. Refer to FM0514. H1371139 200.208 1 Auto 6.2 1&8 Y N 5. See FM0712 for correct model of Electrical Alternator E -Pak. 1137/139 200 -208 1 Non 6.2 2&7 3 or 5 & 6 Y N 6. Variable level control switch 10 -0225 used as a control activator, specify duplex J137/139 200.208 3 Non 2.6 2&4 3&4 or 5&6 Y Y (3) or (4) float system. F137/139 230 3 Non 2.6 2&4 3&4 or 5&6 Y Y 6137 460 3 Non 1 1.4 2 &4 3 &4or5 &6 N N 7. Four (4) hole J junction box, forwatertight connection for hardwired simplex G139 J 460 3 Non 1 1.4 1 2&4 3 &4 or 5 &6 1 N N operation, 10 No molded plug **Single piggyback switch included. 8. Two (2) hole J - Pak, for Watertight hardwired Pconnection or splice, 10 - 0003. Pumps must be operated in upright position. CAUTION Three phase units require a control switch to operate an external magnetic or combination starter. All installation of controls, protection devices and wiring should be done by For information on additional Zoelle products refer catalog Combination starter, FMO514; a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occ Piggybackvariatde Level Float Switch Switches, FM0477: EIectr icalAltem ator ,FM0486; Mechanical Altema tor, FM0495; Alarm Package, FM0732; and Sump/Sewage Basins, FM0487. P Safety and Hea lth Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. I MAIL T0: P.O. BOX 16347 it • : Louisw le, KY 40256-0347 M nul a acturer of.. SHIP TO. 3649 Cane Run Road Louisville, KY 40211 QuaurrPu /9�9� PUMP !O. ( 502) 778 - 2731.1(800) 928 -PUMP FAX (502) 774.3624 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page l of 3 Divisidn of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ST 20 l X include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. O L E - 1 ZO l — rj 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 Property Location Gevit -Lot — 1/4 M F'1 /4 S l T z N R 1 E (o W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Z() S l � Tt� EVE- l - � U 4 -L S,P113 1 o City State Zip Code Phone Number ❑ City ❑ Village [Z Town Nearest Road 'c�- 1�wt�1 ►��1 S4onZ ( 6$V- 2_' T M Oki o ❑ New Construction Use: © Residential / Number of bedrooms Code derived design flow rate GPD ® Replacement ❑ Public or commercial - Describe: Parent material �I,y�� ► 1 L ,I Flood Plain elevation if applicable PA n, General comments R�cO M A MOUKA) S bJ/ Z CZLu, SO' LDnJG wl M! and recommendations: 1 \ 07 S - R► 1 = lt,L, p _3 6P D /Sc� Lt �b1AJ G Tt � © Boring # ❑ Boring Pit Ground surface elev. �Q ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/1`1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 p_a Lp`I231Z 0..S Z u'� . S •� l o4ri VZY z.`- sb)c yylf' - 3 31 ZSli2 m cl S�-i ►z,. -S S �m 3�- 6 t sl z Lei 5 .. �-, £ T4- 0 0 1 tJ C' Boring # E] Boring Ground surface e y' Z ® Pit ' {C 4 ° th to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Des a Structure Consistence Boundary Roots GPD/W in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z-'PS b M V7 -2 Z - .S yll�( < Y 6 t0`12512 <°- S`i.1 _' S ! c o 1'►)'F4� °� -0 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig tur CST Number Arthur L. Wegerer a 4 i l u �O'2 SZ 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Hain St. River Falls, WI 54022 q_ 6„00 715 -425 -0165 R, Property Owner v �2 Boring # ❑ Boring Parcel ID # 0 8 - L 00 - U Page �- of ® Pit Ground surface elev. q6.2 ft. Depth to limiting factor in. — ' i Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 o 10` -t1Z 312 Sjf 2`�sb1Z `ff� CuS Z.uf 3 l� -27 •S `/2 _ Is, a -6 J S'Ltt / CJ S`t 313 S p '") c , S •7 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 , Eff#2 F-1 Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 1ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 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 (X6100) PLOT PLAN Paae 3 of 3 Scale 1' =40 ' - Z C3 s _ N1'1,..`C�l 0 era C S s �%R 2 x D o N (tQ-,�q Yg� - - C Py�� �t.l sz X atqi 3 9 � S�Tie Zv 5 nj ST; I t -N P i L 0 0) C0)'W% - z_ 0E- CAk1 L° IZ 1A212^ ►= Z2tvu_I�IJ Pia = - - - -- - -- - - - - -- a�-lsT1h1G:._1yqkS 715- 425 -0165 220254 DO - Z S CST Signature Date Telephone No. CST No. Job PTO. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page \ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County' Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must ST 20 X include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 0 L Please print all information. Reviewed by Date Personal information you provide may be used for seconds purposes (Privacy Y �Y P rPo ( acy Law, s. 15.04 (1) (m)j. Property Owner Property Location R�Zt� pa -�T�Z Gevt -Lot — 1/4 ME) /4 S I T Z N R l'7 E (o W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Z S t 11. ` t� - C-SM U 4 S, City State Zip Code Phone Number ❑ City ❑ Village ❑ Town ' Nearest Road Jam- 1 C] S�L oaZ (l lS) 6��- Zb 6 SA1^�IM Y1 ` 1�UC ❑ New Construction Use: © Residential / Number of bedrooms �_ Code derived design flow rate b 0 GPD ® Replacement ❑ Public or commercial - Describe: Parent material �1Pc�,V� L 1 L LL Flood Plain elevation if applicable ft General comments Ri n A M OU1 Ste- S 1v / Z _, U, � 6 K SC), Lin 1 G and recommendations: kJ F Boring # ❑ Boring pit Ground surface elev. �Ol ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. '�n/ 'Eff#1 'Eff#2 -$ LO.1 23LZ s! I Z'FS�Iz YvLT}- 0..S ZU`� . S 3 zo - 31 -lsKR uIy cl& SLI tz 313 sLC) �csbk yh - - - z -3 31 -37 S �1RYIS( is a ynU'Fi^ eS _ . S .7 S S6 !0`?2SIZ �� slcl c�w� 1ry� ', , 0 ,0 a Boring # ❑ Boring ® Pit Ground surface elev. q Z-• 3 ft. Depth to limiting factor Z- Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots , GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Q.S z u- , 5 .. RL o-1 Lasbk 1v��Cw 4�3 ZZ - L 0`7 2-s12 e SLt s Lc qmn wl • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sig tur CST Number Arthur L. Wegerer SZ 220254 Address Wegerer Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Main St. River Falls, WI 54022 715 -425 -0165 Property Owner Parcel ID # O l - L 00 1 Page of 3 Boring # ❑ Boring ® Pit Ground surface elev. Z ft. Depth to limiting factor Z in. 4Roots oil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary GPD /f t in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1D`11Z 312 .S .8 3 V-) -27 s y2�J - 1 s 2: - ) S V 3/ C� S `t 2 3I S O wt c Y . S .7 Boring F-1 Boring # ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 Boring # ❑ Boring Ground surface elev. ft. Depth to limiting El pit P sting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ' Effluent #1 = SOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = 13013, : < 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 (R.6/00) PLOT PLAN Pa;e 3 of 3 i Scale 1' =�Q ' 0 6Z az4 X C \ o�L Q�ST.►vZp 71i29 P g z T A x flLQZ 3 $� �� O 4 ltii 1 Z O BH1 r1-2 K1.�c g� -N eon _w! A�1 tFZ = -� . �. p ' 0►�1 .�.ptiJ ° L�� t� AD 1R T D2e1c= � _ / � Q EC:G 133E- 1°fiZ570- ci -6-Aa 715- 425 -0165 220254 Dp -ZSZ CST Signature Date Telephone No. CST No. Job NO.. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNP CERTIFICATION FORM Owner/Buyer __ U k s ��� •� � /e Mailing Address .2 ,7 �/ 7 1 1 Property Address - (Ve ificatioa required from Ph=ing Department for new constructioa) city/state ' `" 'to-, LW&J ' ' s Parcel Identification Number — o D LEGAL DESCMITON Property Location %, ` /<, Sec. T ZLN -R_LLW, Town of A p �-, Subdivision Lot # Cerfifed Stuvey Map # Volume -� pie # 1.3 Wuranty Deed # ®y 2 / Volume �� 4 page It J g _ Spot h'0use ❑ yes ❑ no Lot fines identifiable yes ❑. no + eea y ���altiai�prca�a�aie .�cu�ctol�andlcwastes.Proper Consists of pmmpbg oat &C septic tank evtty d= y = or � if wedcd a Ii,oarsod you pat into due can. affect dre ,fnmcttioa of dre � P�Pu" What sysf= - - taak - ss -s tictitmcat stage is Su veastadisposat- �systcm, - - . P roP�Y owner agcccs to sabcdt to St. C c Zodmg oa i ffication foam, signori by Me ewnet and dry a �P JQQ= Pb=bcr � (I)$con-citaarastewaterd 4g3osatspsbcm. is is popper op=fiag condition andlor (2) after iaspoetioa and pumping.C�f may), the wp&.t U&-is icss .than M tall of sludge. . Lae =des kMcd have =ad the above rcqmk=cnftsndxgrcc to amiaftin true private sewage disposal system wiffi the sasadards set fa k b= kW its sd by rise Deparence of Commerce and flue Department of Naftd Rcsom= - , State of Wisoomin.. C =06tfion 9 Utiq9 6 dY*W esft=I nbocnmaiataficdamstbe Icicdand days-of &c dz= year cVhtioa date. ' returned to the St t�oix- t;otraty Zoning OPfix witbia 30 SIGNATURE OF APPLICANT DATE O R'. CERTU CATION I (we) ca* drat all statements on this fora ace true to the best of m the ley demrbod above. by virtm of a Y (Our ccds face. I (wc) am (are) the oaract(s) of r wuraaty deed n000r�dod is gegister of Dads Office. SIGNATURE OF APPLICANT 116166 DATE ssfafs Amy infoamatioathat is mis - mpres8todmaY t+ dt in the sanitary permit bciug revoked by the Zoning Depu=cnt. «fns.• •f Indnde with this application: a stamped warranty decd fmm the Register of Deeds office a Copy of the cectifrod survey map if reference is made in the warranty dcod 1`F�e �$•` "�K "`s �`.� $ � l i r�: 4Y F v � vy` � '•..: r.r. 3 .�. � �. � - .+�.r� .1� �.' i1 -'� DOCUMENT NO. t STATE BAR OF WISCONSIN FORTS 3 -190'' ThIS SACS eaacevao roe ACCORDING DATA f� QUIT CLAIM DEED 02 nn - — th -_ n cu,S� E R'S OFFI Urkis Prater and Clara Prater, husband and ii ftaO�Ax CO. S X e. ---------- - - - - -- j .........................................................•- ... •..-•__..... .......••..............••••• ••.... '' AUG 2 3 1993 ,. gnat claims to -- Urkis Prater and Clara Prater, --- • - •--- ...•_. ii 8:30 A. M ng... � $. .$��'vivorshi (�' ...marital- -p.ro• Per- tT ---- - ------- - - - - -- -- - - - - -- ------- •- •--------- ..... -_.. p----- ....... _ _ _ �,osdoeed. the following described real estate in ------- !at.! ... PrP X ................. County, l I� State of Wisconsin: �� ei�uaN To 1 �� ii I! Tax Parcel No: .............................. r !' Part of the Northeast Quarter of the Northeast Quarter (NEh of NE'h), and part of the Southeast Quarter of the Northeast Quarter (SEh of NE'k), and part of the Southwest Quarter of the Northeast I Quarter (SW'( of NEk), Section One (1), Township Twenty -nine (29) North, Range Seventeen (17) West, described as follows: Lot one ( Lof Certified Survey Maps filed July 6. 1983, in Volulae_5 of Certified Survey Maps, at PAR-12" office of the Register of Deeds for St. Croix County, Wisconsin. i .I it l i� 'I I' I Tuis ....... i ........... homestead property. (ia) Odget'1t �, ( Dated this -- ...................... .......... day of ...- V ............. .. 19. J r-- -- ....................... .. .(SEAL) ------ - --- .(SEAL) ' S ._Urkis_ - Prater - -- - -- - - - - - -- --- i ................................... .- (SEAL) x G�l�Aftr_.. (SEAL) Clara Prater ' ' AUTHNNTICATION ACENOWLEDOMENT Signature(s) ------------•---------------- ---- --- -- ---- ---- -- --- •-- --- --- STATE OF WISCONSIN •---------------------•-----_--,------------------------- •---------- •----- • - - - -- St. Croix ss. .................... County > authenticated this -- .-- - - -day of--- --- --- ----- ----- --- -_ -, 19...... P nay came before me this .I - - - - -_ day of . 19. - -9 .3. the above named --- -- ------ - --- ------••--•----------•- -- ------ ' -- ---- -- -- -- --•- -•- --- ... kis._.P_xai<ex__ an_.C1r-..Xzx - -•- j • TITLE: MEMBER STATE BAR OF WISCONSIN ------ ( -•- - --- -- --------- - - - - -- ------•------------------------- .-- .--- -• - - -- ----- •----•-------..-.----•-- -- -------------- I! If not .... .................... 1� I authorised by 1 706.06. Wis. State.) to me known be the person $.__.. ... executed the foregoing sad sdnio same THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack �,:.�.. x :�. .......................................................... ..................... TIYKM+� '--- •------ -•• - -• •- •• - - - -- .....6 Baldwin, WI 54002 '' " " Notary Public _StiW_ \..,. ` ..:....._.Come , WIS. (Signatures may be authenticated or acknowledged. Both My Commission ,p p&n? (f �aot, state expiration • '• ARTHUR L �•• WEGERER = S -963 ELLSWORTH 36SS2 w s. NOTE CURVE DATA TABLE AND DESCRIPTION ON REVERSE. '•.,� SUR�� .•��h CERTIFIED SURVEY MAP LOCATED IN THE NEI /4 -NE 114, SE 114-NE 1/4 AND THE SW 1 /4- NEI /4, SECTION I, T29 R 17W, 0 6 TOWN QF HAMMOND, ST. CROIX COUNTY, W ISCONSIN. Affidavit 666 S 3767.20 A Z :-i 1498.76 NI 14 CORNER SECTION OWNED BY: GLEN BOLDT tq 30�� REC.ASSOUT 1, T29N, R17W.( 1 "IRON S I/4 CORNER SEC. 1 n w : I RT. 2 BALOW I N W IS. T29N, R17W. (I "I.P. y g��o:Z. 1453.05' PIPE FOUND) r r FOUND.) I y_ N -S QUARTER SEC. LINE. O`er J ^�• N0 ° E 66.02 # �+ F I 3 .ol 33.a Z t L co � 0 , 1983 1 ao c `{ j\ I 84 O r i G li G WTY .0 �. i(�, Cr �.`� O =SET 1 "X24' IR •z p V , , i' r 1.13 LBS. PER LI Qr 10 .D . o 10 • = I" IRON PIPE FOUND. 00 NO ° 41'48��W •Z .D I 43.55 - APPROVED . (n ::-1 :� .� N 1 � aZO��o'� /(/,100 �i .rn JUL 61983 :v w CD 00 n, s �' ST. CROIX COUNTY 10 1 m I 4�SG.• ° PARKS A014"EHENSIVE PA PLANNING S64 24 51 AD ZOPNNG COMMITTEE 2 a 6.00 h 400'W 115. I I \ 0�1 S sTE 3S ;' N AS its g 5') 66'WIDE ROADWAY EASEMENT I N 5 W 66 tD O, Iw 33.13 Z N79 °01'52 "E b+ SCALE 1 "s 100' a Imp' OD o � o' 50' ►oo' 200' m O I p NOTE: BEARINGS REFERENCED TO THE vs p Ut �p I� /f N - S QUARTER SECTION LINE OF SECTION 1. (ASSUMED BEARING ,1 N R1 \ I ' S0 "E). .Z 0 r ti \ • Ilk N \F GARAGE . n 1 0 ® 1O o5a gip' (A O e, N 14' +P Z N1 0 058 p8 W LOT 2 29� co 2 \ •r p +.`> a' 4.765 AC.TO M.LINE \ ' �4/• a ° •D — o (207,567 SQ. FT.) o\ A 2.981 AC-TO M. 'z �. 6.1 A C' TO EDGE H2O v (129,859 SOFT. HOUSE 3.66 AC. TO M. L. AND EASEMENT LINE. 3.2 AC. TO EDGE o' (I59, 635 SO. FT.) i •� 2.75AC.TO M.L IN to CD N EASEMENT LINE. p (119, 769 SO. FT.) ut l `�