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Form -STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER MmL-vkaeL ~zvr.,.,5 TOWNSHIP
SEC._ T Z8 N-R 20 W
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION n1/rr LOT d lid LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I•LHR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
lLt r R~ 1 rzize
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used
S1DiKE Zk Qx►u..'i~ o~ SLS oar,
Elevation of vertical reference point: po Nc.i~s
Proposed slope at site:- 4
SEPTIC TANK: Manufacturer: ,~5 Liquid Capacity:
I0aG C'i4ttcvf
Number of rings used: Tank manhole cover elevation: j' I
Tank Inlet Elevation: 1.r-7 Tank Outlet Elevation:
Number of feet from nearest Road: Front10Side10Rear, 0
~5O,loll feet
From nearest property line : Front,O Side,a Rear, Ofeet
Number of feet from: well SS`~CJi, building: 2a:-e~"
` (Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
L
o
PUMP CHAMBER
Manufacturer: Liquid Capacity'
Pump Model: SS 4 Pump/Siphon Manufacturer: titECLAC-yL Pump Size
Elevation of inlet: A-1 ZO Bottom of tank elevation: Pump off switch elevation: -14. v Gallons per cycle: S~-!vU
Alarm Manufacturer: 5- L 5t-E~C.`C~ Alarm Switch Type:
Number of feet from nearest property line: Front, O Side, O Rear, 0 Ft•
Number of feet from well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench: X
z
Width: -0t Length: 50-0" Number of Lines: ~ Area Built: ZJ
u
Fill depth to top of pipe: Z
Number of feet from nearest property line: Front, Side, O Rear,OFt. -0"
10
Number of feet from well:°
Number of feet from building:
(Include distances on plot plan).
SEEPAGE PIT
Size: Number of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built:
Has either a drop box O or distribution box O been used on any of the above soil
absorbtion sytems? (Check one).
HOLDING TANK
Manufacturer: Capacity:
Number of rings used: Elevation of bottom of tank:
Elevation of inlet:
Number of feet from nearest property line: Front, O Side, O Rear, 0Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
7 Plumber on job: ~7►
Dated: License Number : o✓
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HLWAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O.'BOX 7964 BUREAU OF PLUMBING
MAWSON, WI 53707
RkCONVENTIONAL ❑ALTERNATIVE 51 ale Planl.O.Numbe,~
(11 asflpnMl
❑ Holding Tank ❑ In-Ground Pressure O Mound
NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. INSPECTION DATE
Michael Wiken Rt. 3, Box 261D, River Falls, WI 54022 1744 III. d
BENCH MARK IP-S.en1 ,0,,en.ep-0 DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV. CST HEI PI ELEV
r'
SE NE, Section 26, T28N-R20W, Town of Troy
N.-n1 PI.-l-, JMPIMPRSW Nn.. County S-II&V P-md Numb-
Paul Cudd 2739 St. Croix 83819
SEPTIC TANK/HOLDING TANK:
MANUFACTURER L) LIQUID CAPACITY TANK INLET ELEV. TANK OUTLET ELEV WARNING LABEL LOCKING COVER
/2 M +4 PROVIDED PROVIOEO
CVYES NO OYES 91NO
BEDDING VENT DIA. T ENT MATT. I/IGH WAT H NUMBER OF ROAD. PROPERTY WEII BUILDING VENT TO I RE 511
ALARn( FEET FROM LINE I4 In INLET
OYES MNO - ` [DYES ONO NEAREST
DOSING CHAMBER:
MANUFACTUREH BF DOING LIQUID CAPACITY PUAIV MI)UEL PUMP. SIPHON MANUF ACTl1HER WARNING LABEL LOCKING COVER
PROVIDED PROVIDED
OYES ONO OYES ONO OYES 'C]NO
GALLONS PER CYCLE: vLIMPAND CONTROLS OPERATIONAL
NUMBER OF vH(n`IH1r 11111 u BIIIlU1N1• VENT TI71H1511
(DIFFERENCE BETWEEN FEET FROM LINE AIR INIf T
PUMP ON AND OFF) DYES ONO NEAREST-0.
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing t E NGIH DInMI Till IIIATIO41AI ANO MAIMINI.
or excavation. IIf soil can be rolled into a wire, construction shall cease until FORCE
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYSTEM:
WIDTH LENGTH INO OF 1115TH PIPE SPACING COVER SIDE 111.1
8E0/TRENCH =vjls ,unn(,
TRENCH FS / kl F(Inl: PIT IN I1F 1'111
DIMENSIONS l\/~~},
(,I/AV LCA PIH FILL UEPTII DIS 111 1'111 UIS TH PIPE DISTR. PIP, MAT HIAL NO U. H PROPERTY WCII HUILDING VFNI TIIFHf ~.,I
it LOW PIPES ABOVE COVFH I I F V INI l l ELEV ENU PIPES NUMBER OF
LINE
f I I1 ~7 Zc, FEET FROM AIH INIE 1
/ NEAREST-► lQ
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM
and furrows thrown upslope: mound systems to make certain that it . ON REVERSE SIDE. SHOW ELEVA-
OYES O NO meets the criteria for medium sand. TIONS MEASURED.
SOIL COVER TFxT11Ht T HMANf NI MAHK111S I,Itsf 14VAIIIIN WI 11 %
_ OYES ONO _ DYES Li NO
UFPiH f7VFH I HE NCII HE I) DEPt11OVFH IHENC14 BED I)EV111 Of TOPSOIL [5051 I) SFF DID M(11 (.HID
CENTER EDGES
OYES ONO DYES ONO DYES C_INO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH *1Un/ LFNG 111 TRENCHES LAIEHAL SPA(:IN G GNAVEL I)(PT11 Itf lDW PII'1- 1 Il L U(PI11 AHOVI fnVl H
TRENC
DIMENSIONS
MANIFOLD P11M MANIFDID UISTR PIPE MAND OLO MATE HIAL I1CSTH IIISIH PIPF x)15 D1H1u Iit1NPI1'1 MP.I,ItIAI &kIA#lKIF-
ELEVATION AND ELFV ELEV CIA ELEV PFS D1n
DISTRIBUTION
r NFORMATION HOLE SIIF HOLE SPACING UtILILU Ch11111 CILY EQNO VFHMATFHIAL VIHIILM III It:OH11FSP(INDS In APPI/OVfD
Pl AH5
OYES DYES DNO
COM ?ENTS: PERMANENT MARKERS S NUMBER OF P ROPERTY WELL `l FEET FROM LINE
DYES ONO ONO NEAREST
Sketch System on in county file for audit. r/
Reverse Side. Z
SI(iNATUHE IITL.,%
DILHR SBD 6710 (R. 01/82)
NNMFMmmli wisconsm APPLICATION FOR SANITARY PERMIT
DILHR (PLB 67) St • crO1X -COUNTY
.
OEPARTmEnT OF #
- InOUSTRV, LRBOR 6 HUMRn RELRTIonS UNIFORM SANITARY PERMIT
-Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8/2x 11 inches in size.
-See reverse side for instructions for completing this application. PLEASE PRINT
PROPERTY OWNER MAILING ADDRESS
Michael Wiken Rt. 3, Box 261D, River Falls, WI 54022
PROPERTY LOCATION XDL=
SE 1/4 NE /4, S 26 , T 28, 20 ~ dC xIAxxM Troy
N, R $ W TOWN OF:
LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER
Glenmont Rd.
TYPE OF BUILDING OR USE SERVED
ik7 1 or 2 Family Number of Bedrooms: 1 ❑ Public (Specify):
THIS PERMIT IS FOR A:
IN New System ❑ Tank Replacement ❑ Repair
❑ Replacement Soil Absorption System ❑ Revision ❑ Privy
❑ Alternate System ❑ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
❑ Seepage Bed ® Seepage Trench ❑ Seepage Pit ❑ Holding Tank
❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy
❑ Existing, For Which A Previous Permit Is On File, Permit # issued
❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions.
Total #of Prefab. Site
Gallons Tanks Concrete Constructed Steel Fiberglass Plastic
Septic Tank Capacity
Lift Pump Tank/Siphon Chamber
Holding Tank capacity
Manufacturer: Wieser Concrete ro 1iC s
IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure
Total #of Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity
Lift Pump/Siphon Chamber
Manufacturer:
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet):
Class 2 250 250 ® Private ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber (Print): Sign ur : NIP/MPRSW No.: Phone Number:
Paul R. Ciidd MPRSW2739 ( 715) 425-2049
Plumber's Address: Name of Designer:
Rt. , Box 364, River Falls, WI 54022 Art Wegerer
COUNTY/DEPARTMENT USE ONLY
Sign ture of Issuing Agent: Fee: Date:
~ ~ ~ ❑ Disapproved
❑ Owner Given Initial
Approved Adverse Determination
Reason ol:
Alternate course(s) of Action Available:
DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber
INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398
To be complete and accurate the permit application must include:
1. Property owner's name and complete, legal description,, please circle the appropriate municipal government unit, (whether this is in
a city, village or town);
2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant,
etc.); o
3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks.
4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of
square feet to be installed;
5. Complete the section on water supply;
6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi-
fication, place your license number in the space provided and sign the permit in the signature block;
7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the
permit;
8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation.
Failure to comply will void the sanitary permit.
9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable.
10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system,
depth of the system, type of system.
11. All revisions to this permit must be approved by the permit issuing authority.
12. A complete plan including a plot plan, drawn to scale or with complete dimensions.
13. Horizontal and vertical elevation reference points that are permanent and clearly shown.
14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s)
to system, building sewer and vent observation pipe(s).
15. The permit issuing agent may require a cross section drawing of the effluent disposal system.
TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems
must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning
your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin.
Fo rln - S T C; 100
III
Owner of Property~f - ~C•
Location of Property W
Township__
Mailing Address
Subdivision Name
Lot Number
Previous Owner of Property
Total Size of Parcel
Date Parcel Was Created
Are all corners identifiable? Yes_ `No
Include with this application one of the follow'
-Certified Survey Map
.Deed
.Land Contract, or
.Other I:egal Document which describes the property
PROPERTY OWNER CERTIFICATION
I (We) certify that all statements on this form are true to the best of my (our)
knowledge; that I (we) am (are) the owner(s) of the property described in this
information form, by virtue of a warranty deed recorded in the Office of the
County Register of Deeds as Document No. k ~ ; and that I (we)
presently own the proposed site for the sawage disposal system (or I (we) have
obtained an easement, to run with the above described property, for the
construction of said system, and the same has been duly recorded in the Office
of the County R inter of Deeds, as Document No.
R E a UtAI f A
SIGNATURE OF CO-OWNER OF APPLICABLE)
VT-.
NEDGATE SIGNED
. cn
y
S T C- 10 5
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y
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County °
z
~1 d
OWNER/BUYER
~A~
ROUTE/BOX NU 'R - n fire Number
CITY/STATE t {---~-L-
PROPERTY LOCATION:JC 14, IV & if, Sectiona~O TN, R ~j
Town of A-V
1 St. Croix County,
Subdivision Lot number
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes. Proper maintenance con-
sists of pumping out the septic tank every three years or sooner,
if needed, by a licensed septic tank um er. What you put into
the system can affect the function of the septic tank as a treat-
ment stage in the waste disposal system.
St. Croix. County residents may be eligible to receive a grant for
a maximum of 60% of the cost of replacement of a failing system,
which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that
owners of all new systems agree to keep their systems properly
maintained.
The property owner agrees to submit to St.. Croix County Zoning a
certification form, signed by the owner and by a master plumber,
journeyman plumber, restricted plumber or a licensed pumper veri-
fying that (1) the on-site wastewater disposal system is in proper
operating condition and (2) after inspection and pumping (if nec-
essary), the septic 'tank is less than 1/3 full of sludge and scum.
Certification form will be sent approximately 30 days prior to
three year expiration. y
O
I/WE, the undersigned, have read the above requirements and agree
to maintain the private sewage disposal system in accordance with
the standards set forth, herein, as set by the Wisconsin Depart-
nient of Natural Resources. Certification form must be completed
and returned to the St. Croix County Zoning Office wi in 30 days
of the three year expiration date.
SIGNED_
DATE
St. Croix County Zoning Office
P.O. Box 98-
Hammond, WI 54015
715-796-2239 or 715-425-8363
Sign, date and return to above address.
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IND"STN NT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
I N D*1STR Y, P.O. BOX 7969
LABOR AND PERCOLATION TESTS 115l DIVISION
HUMAN-RELATIONS
Gvz. UST' 2 (H63.090) & Chapter 145.045) MADISON, WI 53707
LOCATION: SECTION: TOWNSHIP UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME:
►.>€~/a ~/a z- a P-%N/RAE co oar -
000NTY: WNER' UYER'S NAME: MAILING ADDRESS: 3 Box
T. c. tx M lC~4A wok lv t~)uls_~, P ALS w~ SV(3 .z
USE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: DATES OBSERVATIONS MADE
Residence (PROFILE D ESCRIPTIONS: PERCOLATION TESTS:
N ❑New Replace 6 . ZiS- g 6 A
RATING: S= Site suitable for system U= Site unsuitable for system
COrrN~~VtENTIONAL: MOUND: IN-GROUNDP RESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(optional)
If Percolation Tests are NOT required DESIGN RATE:
under s.H63.09(5)(b), indicate: C~F~s S Z EF any portion of the tested area is in the
oo dplain, indicate Floodplain elevation: N^>~
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-FPdeHCI& CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH tU, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- 01 Q)' cvu vz; g• o , o. 9 ' btc$n L_ 7"S ; gr L_ ; s. y 8r. rn S
B- Z q•~~ G S•O~ NOPd , 9•a r p.alb-ttli +T'S ; ~•$~BnL ; 0.8' ~h 1 ~S
6 . ~3 r VYIIR,S S
B- 3 a• t ~ q 3. ~ ~ ~ oN ~ ~ g • 1 t o 8 `Y TJ~` G Lsi w ~t~~IyrVL ~ ~u I ~ "3.9~js~, y~J g
B "1 8
B-
_ c? O i
PERCOLATION TESTS
TEST DEPTH W NUMBER INCHES AFT ERIN HOLING INTERVAL-MIN. TIME DROP IN WATER - RgVkL-IWC-HW PERIOD 1 PERIOD RATE MINUTES
PERT Ds PER INCH
P_ ,
P_
P__
PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION e~
f j
e E
l7. CCU O T~' i
F
2
- cvv Cam _
( i• OR
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C -
SC/~l~ 1 SOSX C' EsAT ~4S S }fUitJ N a t BA
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print):
vR L • wEG, G~ TESTS WERE COMPLETED ONG- -21,
ADDRESS: 11~>__r L Qbx CERTIFICATION NUMBER: PHONE NUMBER (optional):
(-L W t2 I1J) S1401 S--)6 ')1S-44ZS_G10/
CST SIGNAT~
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) -OVER -
ik
INSTRUCTIONS FO-,',-' ~ ORM 115 - SBA? - 6395
To be ,orate sail test, ~ r report ,.,ust ir-rrl,trte,
1. C(
2. a indicate, tis is a WITI t;
3. S or Ceara it use plann
4. terra;
1' 9 A HOLDING TANK' NL`r' IF ALL
5, taaXr~es, A
)LED Vk d'T _ :TIONS;
`rims show =escriptians and corn,s:= th _ pk t plan;
locations. Drawin ~1, A
7. ,t - m accu
>r f desired;
and vert' ti
c boxes as to
1C load pV to box;
11e c
E D WITH THE
L F
-11lL TESTERS
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clr ~
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cs ,
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nic
Vt ;
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cc
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or
ray
oral Steil 'teX$UreS
iquid waste disposal DIVI
VRP V ye Point
TO THE OWNER:
This sail test report is the first step irl securing a sanitary permit. v or the Depar neat may request
'r a ate of this soil test in the field prior t V =rmit iss 'ete set of rr the private
sewa x system and a permit application must remitted :w late local order to
ob-n a permit. The sanitary permit must be c' " I rid posts >r he start of a ~ struction.
i
C7urn~P~~ ndRltc ~==tn. P"Imlt No.
1](-,3.05 PLOT P1,AN
Show:
" t Location of building served Dosing chamber
ED Septic tank Vertical/horizontal reference point
Q Building sewer Q System elevation is 3~d.~7 I
Effluent system Q Well
NN Replacement system area Q Property lines w/in 501 of system
1\1A Distribution boxes Scale = = S~ , or dimensioned
F. E. NI'-t
Pump and controls: y
Mfr. & Model No. Vertical Lift S~ze~ Fo Main
\ 3 . q °1 30 ~Q L 3 ~r3.9 w/b ~cw~ r, N
Friction Loss T. D. H. Vol. Dist. Pipe Gal. per min. Gal. per Cycle
Place check mark in appropriate box, indicating item is shown on plot plan below:
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By the granting or approving of the above plan, or upon the event of a subsequent
permit being issued, St. CroixCounty and theSt.CroixCounty Zoning Administrator, does
not assume or hold itself liable for any defects in plans or specifications, plan
omission, examination oversight, construction, or any damage that may result in or
afte installation.
1u1PRSWZ739 7-28-86
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PLiMF' CHAMBt.R !R47` ~tCTiON AMD SFECIFICAI-IMS _
.-VENT CAP
H C.I. VEIJT PIPE WEATHER PROOF APPROVED LOCKING
JUNCTION BOX MANHOLE COVER
25' FROM DOOR, 12'MIU.
WINDOW OR FRESH
INTAKE
GRADE i y" MIN.
LEN. b • o
IB"MIN.
CONDUIT-/
PROVIDE I
INLET ~Ev 8~'~, FL 79.'75'AIRTIGHT SEAL I i V
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APPROVED JOINTS
APPROVED JOINT A I II W/C.I. PIPE
W/C.T. PIPE I EXTENDING 3'
EXTENDING 3' ALARM ONTO SOLID SOIL
ONTO SOLID SOIL I I
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ELEV. 77. I-7 FT.-- FU MP -_J
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RISER EXIT PERMITTED OUL9 IF TANK MANUFACTURER HAS SUCH APPROVAL
SPECIFICATIOUS
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DOSE
TANKS ' MANUFACTURER' r~nYl)C- ~ NUMBER OF DOSES: PER DAy
\DZNC) (So 0
TANK SIZE: ""CO -J GALLONS DOSE VOLUME
INCLUDING BACKFLOW: SR -f. GAttoNS
S,S• EL~cR2.p SYJ'T~IS
ALARM MANUFACTURER:
MODEL NUMBER: CAPACITIES: A= "7-31NCHES OR 33S-10GALLOUS,
SWITCH TYPE: B= Z INCHES OR N9'9 GALLONS
F.~~~ZS Gp. C6 INCHES OR S9. (2 GALLONS
PUMP MANUFACTURER:
MODEL NUMBER: SS y D= ZQ INCHES OR ~9g'$ GALLONS
SWITCH TYPE: C~2-CNOTE: PUMP AND ALARM ARE TO BE
INSTALLED ON SEPARATE CIRCUITS
MIN►MUP'I DISCHARGE RaTE~GPM
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET
+ MINIMUM NETWORK SUPPLY PRESSURE . FEET
+ ~S FEET OF FORCE MAIN X 3.d) FYoFTFRICT100 FACTOR-- FEET
• TOTAL 09MA.MIC. HEAD = X3.99 FEET
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INTERNAL DIME.MSIONS OF TANK: LENGTH - ;WIDTH - .;LIQUID DEPTH
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Parcel 040-1165-95-000 02/07/2007 11:25 AM
PAGE 1 OF 1
Alt. Parcel 26.28.20.638E 040 - TOWN OF TROY
Current X' ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
CHERYL DAWN TRUST ADKINSON O - ADKINSON, CHERYL DAWN TRUST
600 2ND ST S #5406
MINNEAPOLIS MN 55402
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 1.187 Plat: N/A-NOT AVAILABLE
SEC 26 T28N R20W 1.187AC COM 623 FT W OF Block/Condo Bldg:
SW COR OF NW 1/4 OF SEC 25, TH N 26 DEG
W 213 FT, TH S 70 DEG W 202 FT, S 26 DEG Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4)
E 148 FT, TH E TO POB: BEING IN GL 2 SEC 26-28N-20W
26 &.32A AS DESC IN VOL 490 P 408
INCLUDES P637E
Notes: Parcel History:
Date Doc # Vol/Page Type
04/22/2002 676839 1875/576 QC
08/06/1997 1256/68 QC
07/23/1997 839/436
07/23/1997 744/586
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/21/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.900 342,000 195,800 537,800 NO
Totals for 2007:
General Property 2.900 342,000 195,800 537,800
Woodland 0.000 0 0
Totals for 2006:
General Property 2.900 342,000 195,800 537,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00