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JVisconsin Ct=partment of Commerce PRIVATE SEWAGE SYSTEM Safety and Building DiVisiJn 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 Johnson, Dave Hammond Townshi SST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION LEVATION DATA TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number ~~ ~~~ ' ` /~ TDH Lift Friction Loss System Head p~y,n TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM DISTRIBUTION SYSTEM county: St. Croix Sanitary Permit No: 420336 0 State Plan ID No: Parcel Tax No: 2~-17.5379 /O STATION BS HI FS ELEV. Benchmark ~ ~ ~ Z~ loS~2 !QU AIM l e ~ ~-~ ~oS.'~F- O / O S A 7 Bldg. Sewer art -~/ • s-,~,7 tos: ~ 9•~`i ~J ! SUHt Inlet ~~ ~ ,S. "(• ~~ -l ` SUH tle ~ , ' ~ Dt Inlet ~I?S 9 •~ Dt Bottom 1 Z o ~ (off' Header/Man. Dist. Pipe Bot. System Final Grade St Cover 3.os <a/. 20 a Header/Manifold Distribution x Hole Size x Hole Spacing Ventto Airlntake Pipe(s) Length Dia Length 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 Yes L~ No - ; i Yes [ _~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection ~ l /~~ /~v4"+~ Inspection #2: ~ / • ~~ /6 Z Location: 685 190th Street Baldwin, WI 54002 (NW 1/4 NW 114 35 T29N R17W) NA L ~ 1 - ~ ~,~y Parcel No: Q ~ - v ~{~r -~ ~`~2~ 1.) Alt BM Description - ~/~'°~ ~Yf~~ 2.) Bldg sewer length = ~~~ ~ - amount of cover = 3J Contour = 3 ~ ~ Gi ~re~`~ v Plan revision Required? ',~' Yes I ~ o I p, ~~~-~I~ r r7~~~_ - _ --- ~ I / ~ _ -J Use other side for additional information. ~-(~[__-- K _ ~!~~y~~-- I. CO~~-~ - SBD-6710 (R.3/97) Date Insepctor' Signature Cert. No. Wisconsin DepartmegtofCommerce ~ PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holders Name: City , Village X Township Unknown ~P~ ~T < Unknown CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER' CAPACITY Septic Dosing Aeration /~° /~ ~ ~ Holding TANK SETBACK INFORMATION TANK TO /L W LL BLDG. Vent to Air Intake ROAD Set ~ ~ !N ~~ /©s o1 ~ /D' Dosing ~~ ,~ ~~, ~ ~ / Aeration Holding PUMP/SIPHON INFORMATION C Manufacturer Model Number / ~ ~,rr, TDH Lift Friction Loss /System Head //.~' ?.~ ' P~ .~ Forc~majn Length ~ Dia2 /~, Dist. to Well 11 SOIL BSORPTION SYSTEM ~ 0~>4.rt ,-a! ~~ Demand ~ "~? GPM ;Z¢w ~fi~ rnu s c ELEVATION DATA County: St. CfOIX Sanitary Permit No: 100000 0 State Plan ID No: Parcel Tax No: ~ c' STATION BS HI FS ELEV. Benchmarkp ~v14,~ -/ ~r~ ~ D , ~ l~ Alt. BM Bldg. Sewer SUHt Inlet SUHt Outlet Dt Inlet ry ~ (- ~ b Dt Bottom a +~ ~V !~~ ~T 1 Header/Man. 'l- ~ (f 3• Dist. Pipe yr~ r,/ f _v G 2 2 ~~ ~ ~ 7 Bot. System ~~ `~ , j Fin Grade f ~ °j S~~ ~.s!- o ~~ St Cove~% . s. BEDITRENCH Width Length `~ N Of Trenches l PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ t `/~ , ~:~ ~' SETBACK SYSTEM TO P/L B G WELL LAKE/STREAM ACH Manufacturer: INFORMATION CHA R OR Type f ystem: ( ~/'~~ / a ~ Model Number: DISTRIBUTION SYSTEM f/~4 . ,~1,~...,~ C:~'~ - Header/Manifold h / / Distribution ~/ +' Pipe s) ~~ x Hole Size , ~ ~~ x Hole Spacing /~ Vent Air Intake ~ ~ L th Di ~ ~ th Di i L S ~ ~ ~ ~+ ~ ~~f Z 2'~, 5 ~QaGd~r?et.,, en a 9 9 ac n en a P 9 J t! SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Only 9 ~~ ~°^'~'~L~ Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Cent `~ ( Bed/Trench Ed es g To soil P ~ Yes No ~ Yes ~~? No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~~/(~/ ~2~' Inspection #2: / / Location: Unknown (Unknown 0 nknown) NA/~t . 1 `"'[ ` Parcel No: 1 J Alt BM Description ~~ ~ ~ ~~~w!jM`~~~' ~ ~ U i'f'~`~ , ~Q.4.Q- ,(~p,(,,t,.c.p~t,;l /ivt S~_~c~2d'ti G~ii~ a>~,/ 2.) Bldg sewer length = o ~a ~"~"/ I.~~ ~ '~'~~' ~,~2 ~~ ~~^•/ " -amount of cover =~ ~ ~~~.'t~uk." ~ ~Aa.~,,, ~'~,tk,~;'~/ '''; ~ J z.~. c a ~,`~ C <~ ~t ~ -:?r~ ~°~~~/L . Plan revision Required? ^ Yes No _ Use other side for additional information. ~ ~ ~ ~L'Ti'~1/Lt-. ~ J ~ SBD-6710 (R.3/97) Date Insepctor'~ Signature Cert. No. ~1~~8~ Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ST. CKOIX ~ iseonsln Madison, WI 53707 - 7162 Site Address ~ S+• # G~ 0 De artment of Commerce Sanitary Permit Number . Sanitary Permit Application ,~„Z,p 3 3 (o In aaord with Cornet 83.21, Wis. Adm. Code, personal information you provide [] Check if Revision ma be used for second ses Privac Law, s15. 1 m 'Mp~ ~ `i ~~; , [ lication Information -Please Print All Information A I (~ Sis~ plan I D. Number • to ID# 648500 ®M pp . ~ Trans ID X35 Property Owncr's Name 2002 Parcel Number I~~ ~ DAVE JOHNSON ~''•~'~a " ' Property Owner's Mailing Address ~; ~ = operry on Q Z ,~ ~ 1982 110TH AVENUE ~ • ~f 1. N R k1 ~ ~ • S T W~ Zip Code one Nrunber city, state Lot Nrunber ` Block Number N A BALDWIN WI 54002 715/684-3fr~' Subdivision Name CSM Ntmtber II. Type of Building (check all that apply) ~ ~,, ~fZ ^Ciry ®1 or 2 Family Dwelling -Number of Bedrooms 3 ^Village e ~ i be U s ee~scr ^ pubticlCommercial - ®'I'ownship Hammond _ ~ / ~~ -" ~~ ^ State Owned ~~^"""rt '~ ~ f r~ .. ~ ~ ~~ ~~- (.t2 ~ 2 ~ Nearest Road 190TH STREET ~ III. Type of Per 't (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A' 1 ~ New S stem Date Issued Permit Number B. ^ Check if Sanitary Permit Previously Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) ~ ~ - ~ 44 ^ Non -Pressurized In-Ground 21(~ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. Drs ersaUTYeatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate- System Elevation Final Grade Elevation Required Proposed Rate(Gals./Days/Sq.Ft.) (Min.Mch) 450 450 '~' 450 ~ l.o N/A 103.12 104.95 VI. Tank Info Capacity in Total Number Manufacturer Prefab Concrete Site Constructed Steel Fiber Glass plastic Gallons Gallons of Tanks New Existing Tanks Tanks Septic or Holding Tank 1750 - 2 1750 WIESER Dosing Chamber 750 1 VII. Responsibility Statement- I, the undersigned, assume respoasibDity for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum 's Signature MP/MPRS Number Business Phone Number BENNIE HELGESON 92 715/772»•3278 Plumber's Address (Street, City, State, Zip Code) W1229 770TH AVENUE, SPRING VALLEY WI 54767 VIII. Conn /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issu' Agent Signature (No Statnpa) Approved ^ Disapproved _ Surcharge Fee) ~ ^ Owner Given Initial Adverse . ~ ~~- ,~~p Determination lX. Conditio of pproval,(Reaso for Disa rpval ~ ~^ -}~ ~ ~. Attach complete plans (to the County ody) for the system on papa' not less than 81/2 =11 lather In size t: 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use Tank Onl Existin S stem m Ala f Pia w ~.~~ Jd~~so~ a. M. 9 ~. os Tod ~ f I'' S fire ~ p, P e \"ruC`j Corn er) ~gdfh ~e~~ ~- `r ~i 4 ~~ .~ ~ M'i ~ {~~ I oF~ 'l~.M-.loo,oo Tep e~ " ..S 1"e-~- ~ 1A~ p e ~. Jc~rv ~ CcW-N ~-- i ,~~ ~a~ ~ ~ ooh ~Q , ~ 3 ~~ a ~ ~~ o~ .~ ~ ~ s , kty / ~ ' ~ t,°, ° Ba Ga.w~S ~ SAP+, ~ `~2~6~J ~... --• --- --- --- fo O~Cc~ ~~ ~ ~ e c;cJQ ji i 75a Gk~. ~ ~»~ ~ r c H~..rb ~C ~~ a Q /,~~to0o Gw). ~ro~j ~ ~ ~3c ~ L~ ~~ ~ ~ ~scons~n Department of Commerce August 06, 2002 CUST ID No.220292 ATTN.• POWTS Inspector Safety and Buildings 4003 N KINNEY COULEE RD to CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary BENNIE W HELGESON ZONING OFFICE HELGESON EXCAVATING ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/06/2004 Identification Numbers Transaction ID No. 773530 SITE• Site ID No. 648500 Dave Johnson Please refer'to both dentification,numbers, 190th Street ::above; in all corres ondence with the a enc . Town of Hammond St Croix County NWl/4, NW1/4, 535, T29N, R17W FOR: Description: Proposed Three Bedroom Mound System w/private garage bathroom Object Type: POWT System Regulated Object ID No.: 863614 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 Zrompliance 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. • 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 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. 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 83.52(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. • 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. pO c°'?~r~~'rs BENNIE W HELGESON Page 2 8/6/02 Note: There are two buildings sharing this POWTS. Per Comm 83.22(2)(b)S.b, Wis. Adm. Code, plans for a POWTS which serves more than one stnzcture or building shall be accompanied by a copy of a recorded legal document that identifies all the parties that have ownership rights, and are responsible for the operation and maintenance of the POWTS. A copy of this recorded legal document must be presented to the county before the sanitary permit can be issued. 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, ~(/~ < ~~~~~/V Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WSMART code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 '. INDEX SHEET RE~~~~E ~u~ D 2 2 zooz SAFE' & 8 LDGS pIV. PROPERTY OWNER: DAVE JOHNSON 1982 110TH AVENUE BALDWIN, WI 54002 PROJECT NAME: DAVE JOHNSON PROJECT LOCATION: NW 1/4, NW 1/4 , S 35, T 29 N, R I7 W MUNICIPALITY: TOWN OF HAMMOND COUNTY: ST. CROIX DESIGN: PRESSURE DISTRIBUTION MANUAL SBD-10573-P(R/99) MOUND COMPONENT MANUAL SBD-10572-P (R 6/99) CONTENTS: Page 1: Plot Plan Page 2: Cross Section and Plan View of Mound Page 3: Distribution Pipe Layout Page 4: Septic Tank & Pump Chamber Cross Section & Specifications Page 5 WLP750-MR Tank Specifications Page 6 Pump Specifications Page 7 POWTS Owner's Manual & Management Plan - Pg. 1 Page 8 POWTS Owner's Manual & Management Plan - Pg. 2 Name: Bennie Helgeson Address: W 1229 770th Avenue Spring Valley, WI 54767 Credential Number: 220292 Signed ~ Date: July 18, 200'2 s ~t~'ART V SIDN pFMFNT DF ~0 ~~ a ~ rgND 8U ~~~ Can,.. I,! ~~ r n~r~ ~.~~ Jd~~ So ~ - ~~~ T ro~ SC ~13e~ ovv~ ~~ C~~i..~ei' ~ ~ev~,n `~ ,2 5 Q~O~-- c~s~ZSc~9a '~ M• loll Oct 1 a P o~ Tod ~-f I " ~ }ems ~ P, p e \"ruc7 C,or~ e~-) 19d fh ~e~~ ~: ~~ I fl ~~ I 1" Stet-( tA~ p ~z. ~ Jv~r~ ~ t~ N C'b- ~ ~ ih raj i ~ ~~ ~ o i , 0~ ~~ ~.~ a ~ o~ 5 ~` ! ~y / ~ o ~ ~ t°~ ° Qa , r ?~ ~S~ ,co,,~c ~ ~~ ~ ~~~ Prop o sr c~ ~,. Gay i i i ~~ ~ D !" 75o Gµ~' ~ ~`"r''. ~° 's c ti~.w.b 1 .~ooo G~i. ~C~~iC ~~20.~t 1~a (.,Q-~ ( I S~~(e I',^~~a ~JLul1f ~r ' ~ ~AJ P ~1 G V~ n S v ~ Synthetic Covering ,~STM C 3-3 Medium Sand Topsoil -~~ E 3 Z % Slope C C L~.O f 2~- 2 2 Aggregate _ Page ~ D' Distribution Pipe ,C/eu. /D~S" G _ v F E/c v3. i / ` Force Main Plowed From Pump Loyer Cross Section Of A Mound Signed: License Number: Date: r-- o /. 9a Ft . E ~ Ft. F , g~ F t . G f 5- Ft . H ~ Ft. Observation Pipe J ~ K i..----~------- a A ~ ---------------------- j w G ~ _ _ - I~=7-.~-------------- T ~ I N I 11 / Distribution ~~t_L Of i - 2'2 Pipe Aggregate I Observation Pipe /~6v'~ ~as~.~'~re~ q ~ Ft. g _~ Ft. K //, s Ft. L y~ Ft. d ~ Ft. T/O~ Ft. W ~~ Ft. Plan View Of Mound ~1 <<rs~ • If'CIN ~-~ Pe~lo~ol~d Plp• Detc~~ / ~J End Vl~w P~rloroted ~ „ ~ ~ l• 30~ Holes Located on Bottom are Equally Spaced r~ ,~~~ 1Y1frd~ ~• ~ai /UQxf~ -~'o Mahr+oloY e ~P~ rrp~ Distribution Pi a La out Signed: License Number: Daee: P 7~ lea ~~ . . R s 3 ,. x ~~ -~ Y s~'~l~ Hole Diameter ~8 Inch Lateral "~ Inch (es) Manifold " o~ Inches I~'orce Main " ~, Inches ~,,UVE~t ~I~e~. /0 3, 6 ~ ~o~.~s peg- ~- a~e~. ( = 3 g X 7'vvo ~- Q-~~,-a{ S = ~~ ~~/-cr'. ~A~e~ ~d~~SO-n~ PU/''~F' CHP./^•EE.R CROSS ~E~~"10:.; ARJG JPECIFIi:l.IlU~!`: y• C.1 vE.'J'. PIPC Z_ = 20.E GOOR W11JD0~^/ OR FRCSH AIR INTAKE le"nlti. I-JLET APPROVED JOIIJ'f A W/C.I. PIPE EXTEIJDIAIG 3` O-JTO SOLID SOIL ~ ~~ ~~--~~~ c ELEV. ~.~.~-~ F T. 0 I I I' ~__ V PROVIDE AIRTIGHT SEAL MA-1HOlE COVEf'. Y" MIAJ. I ~, j IB"nlu. ~~I ~/ I ~ I APPROVED JOIU"- ((~ w/C,I. PIPE I ~ I ALARM EXTEWDI-JG 3' 01JT0 SOLID SOIL I I ~ o-J ~I I I PUMP --~ -- OFF r COAICRETE BLOCK RISER EXIT PERMITTED OA1Ly IF TA-JK MAIJUFAGTURER~ S~SUo~u~hn@= P~~a'L~IS.~ 1-~a~•terQ I -1 O~ G«~. S c ~<< r G. i _7~a G f. S p~c~ SPEGIFI•GATIOAIS 13,3Y x S 6 7 EPTIC DOSE j~ 1 Sel~- TA1JK5 AIJUFACTURER: - TAAJK SIZE : 7~C~: - GALLOAIS iALAR/~'1 MAIJUFACjUR{`R: ~S ~ ~I~C }"'~ S`~C~-ems (pl «~ MODEL -JUM6ER: ~ ~ ~ SWITCH TyP[: / I'P r`' F O~ PUMP MA-JUFAGTURER: ~ ~F~/« MO EL WUMDER' 13r~{~~luw Volu.~n. +_ ~~•7 __ ~I. DOSE VOLUME ,,. S13 GAl~ONS To`fc~. ~ po~~ Vol~,~ CAPACITIES: A=~=-INCHES ORti212-L_= GAILO-JS ~ INCHES OR ~.~~GALL01J5 8= C = ~~ry~~/ IAILHES ORI~Qiq,1~5ap.4~. C+AL~O-JS p a __._L_-INCHES OR a$~ GALLO-J5 SWIDTCH TYPE: •~~"'~ ~ ~/~~~~~V r/~~ uOTE: PUhtiP A1JD ALARM ARE 70 DE .~ / ~~_ INSTAlLEO OIJ ATE CIRCUITS MIUIMUM DISCHARGE RATt-~2L~.-sue.-GPM Q , IJ E DETWEEN PUMP OFF AIJD 015TRIBUTIO-J PIPE.. "`~~ FEE•T ~3 VERTICAt_ DIFFERS C ~, S FEET ~- .^~i1.JIMUM AIETWORK SUPPLY PRES~SfURE SQ t~ ~- o FT,~ FRIC710-1 FACTOR.. a• " FEET + ~~_ FEET OF FORCE /"IAIIJ X a.s /onrr. TOTAL Dy1JAMiC HEAD = L1--L-- FEET -•LIAUID DEPT--I ~~- IAJT ERIJAL DIME-JSIOIJL OF TA1JK: 'i'LE'.~C:•TH DWI-D}-T!-i j ' ~C. e ~~ , o~ o 0.I• T'f r .,{min C "~ ,Se'e ~ ~.1~C' -s~ .S~ .e// I•. UATE: SIGIJED: _ LICE.IJ~E L!UMOER: „~-- VE A1T CAP WEATHE RPRC~OF JUIJCTIOAI BOX 12"MIU. ~IQJ- GRADE --~~ ~91„ GOIJDUIT (\_~ `-'9 ' ~~ \ nQ V ' Y S ~~ Z //yy ~. Li. Q ~ U ~U ~ W ~'a^^ V/ Z 0 0 s 'd' ~ °0 0 O We ` m -0F-~MJ N N O Q W J~ \_ ~ ~W, I Ms ~OJ>~j I '~ lal Z ~nNO~W==°-30~ p~~>Z~~~OtWW9 <OOQW~w03 Z3mU~sOm~ W ~_ O „Yd O U Z W J ~a v W w F~ 10 Y F OOp O~ ~ m ~Q OQ JU W Q ~ D N I aWWWN ~N m(WF- w~v wZ~ W N N OAF' OZ~ OmY OOW O fn ON~ Qd'~ Q~~ J J Z Z 131.1 II 5~ J O W U N _J O N N O Z W OJ F- Q d' z c~ ~ ~ ~^ Z O O N ~ J ~ O N 0. Q 1~ } ~a F- ]C S U ~ Q H W Q D O Z~a Z O 0 0 0 0 J = J n ^ n~ U ~~ ~ Z ~~~ 4 H O ~ ~ c~ Z ~ N ~~ ~ M O~ C 0 ~F ~~ ~ Q ~ W J fn o~ ~~ O S F' „tb W J i Z ~~ N 11 I f ~ I I ~ I~ i ~ U W~ ~ ~ ~_ .b I .£ W i:i I ~ N ~ „Ob O „l9 N w W HEAD CAPACITY CURVE MODEL 98 25 6 -{ 20 0 a W S cv 15 z a r 0 ~ ~ t0 o 2 5 0 U.S. GALLONS 10 20 30 40 50 60 70 80 LITERS 0 80 160 240 ooea~r FLOW PER MINUTE r~ (~ o F ~! - 6 1/4 a s/e 3 5/8 rQ`~~~` ~ \ 3/16 1 1/2-11 1/2 NPT 16 8K1/02 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available Double piggyback variable level float switches are available with or without alarm switches. for variable level long cycle controls. Standard all models -Weight 39 lbs. - Yz H.P. 98 Series Control Selection Model Volts-Ph Mode Am s Sim lex Du lex M98 115 1 Auto 9.4 1 - N98 115 1 Non 9.4 2 3 or 4& 5 D98 230 1 Auto 4.7 1 - E98 230 1 Non 4.7 2 3 or 4& 5 SELECTION GUIDE 1. integral float operated 2-pole mechanical switch, no external conUol required. 2. Single piggyback variable level float switch or doublepiggybadr variabb level, float switch. Refer To FM0477. 3. Mechanical alternator 10-0072 or 10-0075. 4. See FM0712, for correct model of Electrical Attemator. 5. Control switch 10-0225 used as a contrd activator, specify duplex (3) or (4) float system. CAUTION For information on additional Zoeller products refer to catalog on Piggyback Variable Level Switches, All installation of controls, protection devices and wiring should be done by a qual-flsd FM0477; t.lectrical Alternator, FM0486; Mecharrical Allemator, FM0495; Sump/Sewage Basins, FM0487; licensed electrician. All electrical and safety codes should be followed Including the most Single Phase Simplex Pump Control, FM7596; Alarm Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA} RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16341 Louisville, KY 40256-0347 Menu(edurers of , , Zo ' ~ SHJP T0: 3649 Carre Run Road ~ • Louisdile,KY402f1-1961 Q~~rur~PutiaeS,vcE/999r nrtp/rwww.:oeaer.com PUMP !O. (~2)77FAx(so2J767436248-PUMP ® Copyright 2001 Zoeller Co. All rights reserved. ' a' , , POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page~_of~ ru G INFr)RMATION .~.. --- Owner DAVE JOHNSON Permit # DESIGN PARAMETERS Number of Bedrooms ~ ^ NA Number of Commercial Units ~ NA Estimated flow (average) 300 aVda Design flow (peak), (Estimated x 1.5) 450 aVda Soil Application Rate 0 , 5 aUda /ftz Influent/Effluent Quality Monthly average' Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (RODS) 420 mg/L Total Suspended Solids (TSS) 5150 m /L Pretreated Effluent Quality ~ i)4 NA Monthly averages` Biochemical Oxygen Demand (RODS) 530 mg/L Total Suspended Solids (TSS) 530 mg/L Fecal Coliform (geometric mean) 510' cfu1100m1 Maximum Effluent Particle Size Y inch diameter SYSTEM SPECIFICATIONS Septic Tank Capadty 0 al ^ N/ Septic Tank Manufacturer WIESER CONCRETED NE Effluent Filter Manufacturer ZABLE ^ N~ Effluent Filter Model A-100 12" x 20"^ Np Pump Tank Capacity al ^ N~ Pump Tank Manufacturer WIESER CONCRETED NA .Pump Manufacturer Zoeller Pump Co^ NA Pump Model ^ NA Pretreatment Unit ~ NA ^ Sand/CZravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other. Manufacturer Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) O At-grade ~] Mound ^ Dri -line ^ Other • Values typical for domestic (non-commerdaQ wastewater and septic tank effluent ** Values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every 2 ^ months D year(s) (Maximum 3 yrs.) Pump out contents of tank(s) ~ When combined sludge and scum equals one-third (Y) of tank volume Inspect dispersal cell(s) At least once every 2 ^ months ~ year(s) (Maximum 3 yrs.) Clean effluent filter At least once every 1 ^ months . ~ year(s) Inspect pump, pump controls 8~ alarm At least once every 1 ^ months ~ year(s) ^ NA Flush laterals and pressure test At least once every 3 ^ months year(s) ^ NA other. At least once every ^ months O year(s) ^ NA other. At least once every ^ months ^ year(s) ^ NA MAINTENANCE INSTRUCTIONS _ Inspections of tanks and dispersal cells shaft be made by an individual carrying one of the fotiowing licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer, Septage Servidng Operator. Tank inspections must Include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. ~ , The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components; and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. STARTUP AND OPERATION. For new construction, prior to use of the POWTS check treatment tank{s) far the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. OW~iER : , DAVE JOHNSON ~ Page 8 of 8 START. UP ~(9Nt) OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemical that may impede the treatment process and/or damage the dispersal celllsl. If high concentrations are detected have the content of the tanklsl removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will b discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge c effluent. 7o avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restorin power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls t restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the are within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of th POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall lie taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled wilt soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a coda complian replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon b~ required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area wil result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems mus comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWT: technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tanM may be installed as a last resort to replace the failed POWTS. ® Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NO7 ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name HEL~~SON EX AVAT Phone 715/772-3278 POWTS MAINTAINER Name Phone 715/273-5811 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name JOHNSON SANITATION Phone X15,7273-5811 Name ST CROIX COUNTY ZONING Phone 715/386-4680 This document was drafted in compliance with chapter Comm 83.22(2)(b1(1)(d)&(f) and 83.54(11. 12) & (3), Wisconsin Administrative Code. y , e~of~ OIL EVALUATION RE~R~~IVED pa g Wisconsin Department of Commerce S Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Cod ty ~ 0 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and SR~6FI(~A(000NTY ~ percent slope, scale or dimensions, north arrow, and location and distance to nearest ro d. Please print all Information. Date Personal information you provide may be used for secondary purposes (Privacy l.aw, a. 75.04 (1) (m)). ~,.,. Prope'(rty~Owner ' ~ ' Property Locat~io~ n) Govt. Lot ~"" 1/4/1/4 S~ T a N R ~ E( W ,~ 2~ {~.JC h 1'~ t S ©~{ Property Owner's Mailing Address Lot # Block # Sulxi'Name or CSM# IQbs C.Tf-t Ciry State Zip Code Phone Number ^ City ^ vilage own Nearest Road ( / T S~ ~ ~ ~ 5'00 ~ ( f $") - ~ ~-{tr-trn, rrn o ~ e~ f 9C~ ~ r.{. New Construction Use: Residential / Number of bedrooms ~ Code derived design flow rate ,~Z`~ y ~D ^ Replacement ^ Public or commeraal -Describe: ~ Parent material ~~` ~~ ~ ~~ Flood Plain elevation if applicable General comments ~ r ~ m{ C c ~ l (jtti COt1 Tour' ~ O f , ~ and recommendations: ~• 9~ SQ-n~ u.^c~le,t- ~~` ~'~ S.~~w~ ~ IQ v. ~ 0 3. ~ a S 7 ~'k 7S~ <e l( a Boring # U j n9 L'~ Pit Ground surface elev. ~S ft• Depth to limiting factor ~T_ In. ~p Ilcadon Rate ture St Consistence Boundary Roots GP Horizon Depth in. Dominant Color MunseU Redox Description Qu. Sz. Cont. Color Texture ruc Gr. Sz. Sh. 'Eff#1 'Etf#2 / 1 O ~~ S f/ o~ ~Yt ~h I J. S a - .~ o -- S I ~ ~,,.. s ~ r ~ ~ _~ Boring # rU-~~Boring t~ Nit Ground surface elev. o. 8 ft. Depth to limiting factor ~ in. ~ i~~ ~ i i T ture Structure Consistence Boundary Roots GP D/f~ Horizon Depth in. Dominant Color Munsell pt on Redox Descr Qu. Sz. Cont. Color ex Gr. Sz. Sh. 'Eff#1 'Eff#2 / O- -~ v 3 ~ `~ s-- s trvt ~ 4 /~~ / '~ S • ~ .r`i .F o ~ S c ~ ~ CS(o ~ r L ~ ' Effluent #1 = BOD > 30 _< 220 mglL and TSS >30 < 1 50 mgll 'Effluent #2 = BOD _< 30 mglL and TSS _< 30 mglL i nature CST Number CST Name lease Print) ~ ~ / 9 ~~ ~ 01 y.~ ` ~( N~D~ Address 1 , Date Evaluation Conducted Telephone Number Property Owner `/P Y? V1 ~ ~ ~O C...~S't~`r' Parcel ID # Page ~_ of 3 B U Boring # ri .. ..... _. 7 Horizon / o ng Pit Grou Depth Dominant Color in. Munsell D- U b 3" © ~ nd surface elev.ll.~~ ft. DeP~ ~ umifing ~~ -~ ~ ~' Redox Des(xiptlon Texture Structure Consistence Boundary Roots Qu. Sz. Cont. Color Gr: Sz. Sh. 5 • ~ a~F _ ~ ~ 5 ~C ~ c.J ~ ~~ Soil ication Rate GPD/ti? 'Eff#1 . ' 'Eff#2 . ~ S ~ ~ ~- 3 le ~ ~ ~ a o ~ c c c~ ~ . a , I I L,f Boring Boring # ~ Pit Ground surface elev.~d~_ ft• Depth to limiting factor ~~_ in• Soil icadott Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots .E~GP D/ffE~ crt~ ~ J U Boring Boring # ~ Pit Ground surface elev. `©' ~~ ft. Depth to limiting factor ~ In. Soll Igtlon Rate da B Roots GP D Horizon ~ Depth in. v /~ Dominant Color Munsell Q ~ ( Redox Description Qu. Sz. Cont. Color `_ Texture Structure Gr. Sz. Sh. ~ b Consistence ry oun ~ J °~,.~ 'Eff#1 . ~ 'Eff#2 ("f a 6-3 ~ _( ~. s t c ~ ~ . ~ . 3 Effluent #1 = BODS > 30 < 220 mgfL and TSS >30 <_ 150 mglL `Effluent #2 = BODs _< 30 m9n-and TSS _< 30 mglL 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 1"I'Y 608-264-8777. SBD-8370 (R.6/00) Ci~~/~ ~~v~.h ~. aaoagaC ~~YL~ 1~_S ~O~~St`er- _. ~( tt ~ __ 1 1~-`. _~ <~_.___._.._----- BJ" ~. ~ OHO ~("opP of .M 9 ~.C7 `I"c~ a~ (~ S-f~~( j ~ S+e,~ I P~ p~c .~p-e , ~Cti.~Ue~, COC'r1fh- s t.~r'vc~ ~bt`K .~ ~B% ' I ?~ - \p; / ~ ~ 70~ \~o; (,~ r~ ~ - ~° ! ,' j D e n Bad ~~ ~ ~ a/ ~~ ~-~~~~Q C.~~ l ~F~~_ - ~~. y ~., ~w~~~- 3 T3~ ~ ~~e1 ~( ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~. ~ 1 ~Ql~~ C,- cJ Chh~ ~~a~ ~~ • ~t~l~t~SC5t1 Mailing Address _IQ 8 ~ I (b~' p ~ e, ~~ ~d,.~ ~ h ~~-~-~ ~ ~ `~~~ Property Address ~ (Verification required from Planning Department for new City/State LEGAL DESCRIPTION Property Location ~ 4y Subdivision Lot # ~_. Certified Survey Map # ~o~~ ~.~~ _ ,Volume ~ to ,Page # _~~~.• Warranty Deed # ~ ~v ~ ~~ ,Volume ~~,~ a ,Page # ~ ~ ~' Spec house O yes 1,3J 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 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying 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. Uwe, 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 d~ of the three ye expiration date. SIGNATURE OF PLICANT DATE 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. S NATURE OF APPLICA DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. *****' Parcel Identification Number action) ~~ ~~ 0~ ~ f~ ~ ~~ ~~ ~3~C~o~ '/<, ~ ~ '/., Sec. ~, T '~' _N-R~'~W, Town of N~,-n ino~ r~ ** 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 'J 19`~~r i32 STATE BAR OF WISCONSIN FORM 1 - 1998 WARRANTY DEED Document Number This Deed, made between Dennis J. Foerster and Teri A. Foerster, husband and wife Grantor, and David 5. Johnson and JoAnn M. Johnson, husband and wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property"): Part of the Northwest Quarter of the Northwest Quarter (NW 1/4 of NW 1/4) of Section Thirty-five (35), Township Twenty-nine (29) North, Range Seventeen (17) West, Town of Hammond, St. Croix County, Wisconsin, more particularly described as follows: Lot One (1) of Certified Survey Map dated July 23, 2002, and recorded July 24, 2002, in Volume 16 of Certified Survey Maps, at Page 4339, as Document No. 684832, office of the Register of Deeds for St. Croix County, Wisconsin. 68Es 1 39 KATHLEEN H. IiALSH REGISTER OF DEEDS ST. CROIR CO.. NI RECEIVED FOR RECORD 08-05-2002 3:45 PM WARRANTY DEED EXEMPT ~ REC FEE: 11.00 TRANS FEE: 73.20 COPY FEE: CERT COPY FEE: PAGES: 1 Name and Retum Address Thomas A. McCormack 102010th Ave. Baldwin, WI 54002 018-1077-30 ~ Parcel Identification Number (PIN) This is not homestead property. Together with all appurtenant rights, title and interests. (as) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except municipal and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded building and use restrictions and covenants, general taxes levied in the year of closing. Dated this 3 ~~ * * Signature(s) day of ~U~ ~ 2002r~ * Den~'ni~Js~,J. Foerster ~`ZO,fa ~. * Teri A. Foerster AUTHENTICATION authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Attorney at Law (Signatures may be authenticated or acknowledged. Both are not necessary.) ACKNOWLEDGMENT STATE OF Wisconsin ) ss. St. Croix COUNTY) tY Personally came before me this ~~ day of ,r,, 2002 ,the above named Dennis .Foerster and Teri A. Foerster, husband and wife to me known to be the * Thomas A. McCormack Notary Public, State of Wisconsin My Commission is permanent. (If 1 date: i.w ti ~:~ ~ .~ ~~ C L , ~.~J . ~` 'Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-1998 To order this form call INFO-PRO at 800-655-2021 Certified Survey Map Dennis and Teri Foerster Part of the Northwest 1/4 of the Northwest 1/4 of Section 35, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin. Description: That certain parcel of land located in the Northwest 1/4 of the Northwest 1/4 of Section 35, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin, more fully described as follows; Commencing at the West 1/4 comer of said Section 35, thence N D0~00'00"E (assumed bearing on the West line of the Northwest 1/4 of Sectron 35) a distance of 1631.94', to the POINT OF 6EG1NNiNG, of the parcel to be herein described; thence continue N 00° 00'00"E 380.00` thence N 90°00'00 E 280.00'; thence S 00°00'00"W 380.00'; thence N 90°00'00"W 280.00; to the POINT OF BEGINNING, containing 2.443 acres or 106,400 square feet, being subject to easement over the Westerly 33.00' thereof for town road purposes and also being subject to easements of record. Note.' Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i. e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the appropriate town board for advice. This instrument dra/ted by Laurence W. Murphy Dated: May 17, 2002 State of Wisconsin) County of Pierce) 1, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, Dennis and Teri Foerster, 1 have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are a true and correct representation thereof. APPROVED ST. CROIX COUNTY Pynnln° Znnlnn arwl P3~1cs f~pmmiHe.. ~~„_ 2 s Zooz It not recordeo wimin 3u days o. approval date approval shall be n11P Pnd ••~A VN. (. FAL13, WI ~~ LAN9 S~ Vo1.16 Page 4339 SHEET 2 OF2 • ^~ Certified Survey Map Dennis and Teri Foerster Part of the Northwest 1/4 of the Northwest 1/4 of Section 35, Township 29 North, Range 17 West, Town of Hammond, St Croix County, Wisconsin. Legend: o Indicates 1 1/4" outside diameter X 18"iron pipe set (minimum weight 1.1316s.Ain. ft.). d lntiicates soil boring for proposed septic system. Owners Address: 1905 C. T.N. J" Baldwin, Wl 54002 This instrument drafted by Laurence W. Murphy Dated.• Mary 17, 2002 NORTHWEST CORNER OF SECT/ON 35, (COUNTY BERNTSEN NA/L FOUNO/ V 2 ? I J 3 ti o ~ UNPLATTED LANDS 90'00'00~"E 280.00' 300 ?47.00' 33' 33' + ~ 6 6' I I ~ ~ ~ o ~ ~I ' ~I D ~ LOT I o .I ( ~ h i I ~ ~ I 2.443 4CRES ~ Q I v 0 1 O W /06, 400 SOUARE I ~ ~ ` cp I ~ p I O ?FEET, ~ Y 2. / 55 ACRES ~ O ~ N O 3 ~ ~+ 93, 860 SOUARE ~ vl !a h 00 I m FEET EXCLUO/NG ~ O I O ti ROAOR/GHT-OF Z I 0 ~ ~ -WAY ! O , O 1 ~ °o h 0 o I ~ IO '~ z ( 1 3001' ' 247.00 f N90.00'Od'W ?80.00' ql UNPLATTED LANDS M b WEST//4 CORNER OF SECT/ON 35, x2.375"O.O. /RON P/PEFOUNO/ SC4LE l ": /OO' O 50' /00' /50' 200' 300' /3 ~^~ 3 _ 0 8 4 9 3 2 VC1L 76 F'AGE 4339 IiATHLEEH H. WALSH REGISTER OF UEEUS ST. CROIX CO., WI kECEIYEU FUR kEGOkD 07-24-2002 12:95 P CERTIFIED SURVEY MAP REC FEE: 13.00 COPY FEE : 3. 00 PAGES: 2 ~' 3 2 O ~ O ~ O v o 0 O a O 2 W 3 ~ 2 c ~ h O ~ 2 2 i n ~ ~ . o i ~ ? N V7I D Q vl WI l\ Q j, APP ~ ~ '' ST. CROIX COUNTY Planninn 7nnino antl Parke Committe9 . n n_ 2 3 2ooz If nor rocuroad w,ulin 3U da s of approval tlata appr nut! nn GOIY~. W. Vo1.16 Page 4339 SHEET / OF2 HELGES N EXCAVATI N, Inc. SEWER AND WATER SPECIALISTS Plumber/CST Cert. #220282 BEN HELGESON Office (715) 772-3278 W. 1229 770th Ave. Home (715) 772-3127 Spring Valley, WI 54767 Fax (715) 772-3387 September 23, 2002 RECEl~fE® St. Croix County Zoning Office 1101 Carmichael Road Hudson, WI 54016 RE: DAVE JOHNSON SANITARY PERMIT NO. 420336 Dear Sirs: S e~ r~ ` 5 2002 ZO~~~IiVG OFf=ICc It was necessary to put a larger pump in for this system so I have enclosed a copy of the new pump curve. Please add this to your files. If you need any further information, please feel free to call me. Sincerely, Bennie Helgeson President BH:cb Enc. (~~ iJE. ~J ©/! NSD f~ VI ~~ ~~ 6 2s 6 20 15 4 10 2 5 0 S. GALLONS TERS 0 HEAD CAPACITY CURVE MODELS 137/139 80 160 240 FLOW PFJ2 MINUTE SK373 MODELS 137h39 Ft. Meters Gal. Ltrs. 5 1.52 93 352 10 3.05 79 299 15 4.57 64 242 20 6.10 36 136 25 7.62 8 30 Lock Valve: 26 ft. 90 100 110 320 400 009921 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V, 230V or 460V. • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Mechanical alternators, for duplex systems, are available with or without alarm switches. • Simplex Panels are available for 3 phase pumps. • Control alarm systems are available for 1 phase pumps. 137 Series - 47 lbs. 139 Series - 51 lbs. Sln le Seal Control Selection Listin s Model Volts•Ph Mode Am Sim lex Duplex CSA UL M7371139 115 1 Auto 10.7 1 or 1& 8 -- Y Y N137/139 115 1 Non 10.7 2or287 3or586 Y Y ' BN137 115 1 Auto 10.7 Y Y D1371139 230 1 Auto 5.8 1 or t 8 8 Y Y E737/139 230 1 Non 5.8 2 or 2 8 7 3 or 5 8 6 Y Y ' H1371139 200.208 1 Auto 6.2 188 Y N • 11371139 200-208 1 Non 6.2 2 8 7 3 or 5 8 6 Y N ' J1371139 200.208 3 Non 2.6 4 384 ors&6 Y Y ' F137/139 230 3 Non 2.6 4 384 or 586 Y Y • G137 460 3 Non 1.4 4 384 or 586 N N ' G139 460 3 Non 1.4 4 384 or 586 N N ' No molded plug "Single piggyback switch included. Pumps must be operated in upright position. Three phase units require a control switch to operate an external magnetic contactor. For information on additbnal Zoeller produGs refer to catalog on Piggyback Variable Level Fbat Switches, FM0477; Electrical Attemator, FM0486; Mechanipl Alternator, FM0495; Alamt Package, FM0732; and Sump/Sewage Basins, FM0487. • Variable level control switches are available for controlling single and three phase systems. • Double piggyback variable level float switches are available for variable level long cycle controls. • Over 130°F. (54°C.) Special quotation required. • Refer to FM0806 for 200° F. applications. SELECTION GUIDE 1. Integral float operated 2-pole mechanical switch, no external control required. 2. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 3. Mechanical alternator M-Pak 10-0072 or 10-0075. Refer to FM0495 4. Simplex three phase control panel. Refer to FM1228. 5. See FM0712 for correct model of Electrical Alternator. 6. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 `, Louisville, KY 40256-0347 Manufacturersof.. 0 SHIP T0: 3649 Cane Run Road ® ~` ® Lo1,lslnrre, xY aozfr-rear Q„~,n.Puuve SHCE /9~9~ http://www.zoeller.com PUMP ~0 (~2) 7 ~(5p2) j7~3624 PUMP 4 13/16 _~ 1 1/2° - 11 1/2 NPT ® Copyright 2001 Zoeller Co. All rights reserved.