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HomeMy WebLinkAbout030-2060-30-000 nC/) o K m o d 3. 0 3 c CD CD y 0 m v • v 7! c D `D C m o rn f em w CD o O W CL 0 N N Cp N N O O 1 O O v v S Cr O r~ N O- ~ d N O O C'i 3 O p 0 p O O c !D C) K p' 3 7 N j O O y. C OD p O d F a: D F a = CD N CL n cn M ~d x co ~ ~ rt 3 CL o o w V (D - H (D w o = ~j (D rt L 7 Cl. c0 c0 o r N N• (D r N coCD~°. Q o H. b r td w z~-- O m vvv 0' x 1 d z o 0 o p C31, F-i N) a: 7J k.0 N C=i m to In N N °c D N -P rC v 'U O O o CT CD 0 CD p d v G H rl) D CD r r W r z t~ - ° z-i z 77 d 0 O D -4 Z :7 0 Oo o N • ~o cn r H Z ( N O w c(D CCDD M N r S N N CD w Z z to a N I CrJ w (D CD TJ n 3 51 N cn z (D Ul td CD (D A Z m C) 0 F- cn N. v C L V7 o. x v r O _ A Z A y O r O (D N W w (D v a o o Z N x ~ 3 a~ O r-h 00 r: Z N N rrt 3 m N rt L4 O D O w m GO p CD 10 n CD N rn - W ~ c ° Z a z a a t fi A N O O H A N CD CD ffl 0 " V O * ` b 6 CL r Parcel 030-2060-30-000 02/18/2005 12:53 PM PAGE 1 OF 1 Alt. Parcel 27.30.20.580 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner ROBERT E SIEBENALER SIEBENALER, ROBERT E 1321 HWY 35 HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1389 HWY 35 SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.500 Plat: 2111-HOULTON SEC 27 T30N R20W LOT 26 BLK 7 VIL Block/Condo Bldg: 7 LOT 26 HOULTON Tract(s): (Sec-Twn-Rng 401/4 1601/4) 27-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 835/36 07/23/1997 808/554 07/23/1997 683/225 2004 SUMMARY Bill M Fair Market Value: Assessed with: 6210 117,500 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.500 50,000 65,600 115,600 NO Totals for 2004: General Property 0.500 50,000 65,600 115,600 Woodland 0.000 0 0 Totals for 2003: General Property 0.500 23,000 52,200 75,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form-STC- 104 AS BUILT SANITARY SYSTEM REPORT / T Jo N-R -26 W OWNER TOWNSHIP SEC. ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE V PLAN VIEW I D I Distances and dimensions to meet requirements of 11HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM t N ~I I V M ~ a INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: Proposed slope at site: SEPTIC TANK: Manufacturer : Liquid Capacity: (Q Number of rings used: _ Tank manhole cover elevation: 4 Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front, Side 10 Rear, O z feet .From nearest property line : Front 10 Side,O Rear, O feet Z -A j building: r Number of feet from: well (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER lot Manufacturer: Liquid Capacity: T ~ Pump Model: ~iZ / Pump/Siphon Manufacturer: r ~C Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: t-1~ 1- Alarm Switch Type: Number of feet from nearest property line: Front, O Side Rear, Ft Number of feet from well: o a / Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: 1Width: Length: / Number of Lines: Area Built: ~d Fill depth to top of pipe: c Number of feet from nearest property line: Front, Side , Rear,OFt. Number of feet from well: 22, & d Number of feet from building: 2"Z 6~' (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Bui;rop Has either a 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, O Ft. Number of feet from well: Number of feet from building: r of feet from nearest road: /Manufacturer: Al Inspector: Dated: Plumber on iob: License Number: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7569 BUREAU OF PLUMBING MADISON, We 53707 CXONVENTIONAL ❑ALTERNATIVE IS,,,, Plan l.D Number. . (If assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER'. INSPECTION DATE. Sidney Hartfiel R. R. 1, Box 124, St. Joseph. WI 54082 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CST REF. PT. ELEV. NW NE, Section 27, T30N-R20W, Town of St. Joseph,Lot#26,Blk. 7, Houlo I Name of Plumhar_ IMP/MPHSW No_. County Sanitary Permit Number. Gary L. Steel 3254 St. Croix 69692 SEPTIC TANK/HOLDING TANK: ? C!J MANUFACTURER- r LIQUID CAPACITY. TANK INLET ELE V.. TANK OUTLET ELEV. ARNING LABEL LOCKING COVER WPROVIDED: PROVIDED YES ONO DYES ONO PROPERTY WELL BUILDING VENT TO FRESH BEDDING VENT DIA. VENT MATL. NIGH WATER NUMBER OF R AD D ! LINE A IL E T ALARM FEET FROM 30 YES ❑ NO D YES ❑ NO NEAREST DO ING CHAMBER: _ WARNING LABEL LOCKING COVER MANUFACTURER BEDDING. LIQUID CAPACI TV PUMP MODEL PUMPi P ION MANUF AC;TDR ER /f~ /~j PROVIDED P,RQQV{IDED YES ONO tl , ) t YES NO AYES ONO GALLONS PER CY L PUMP AND CONTROLS OPERATIONAL . NUMB ER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN / FEET FROM LINE /J I AIR INLET: 310 PUMP ON AND OFF) 6 (y ~p YES ❑ NO _ NEAREST p~ SOILABSORPTION SYSTEM. Check thesoil moisture atthe pthof plowing atilt Ii marTER MATERIAL AND MARKING, or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) j D/ MAIN CONVENTIONAL SYSTE -I I Py WIDTH . LNO. OF DISTR. PIPE SPACING COVER INSIDE DIA. -PITS LIQUID BED/TRENCH 10 TRENCH S / Iv ERIAI PIT DEPTH. DIMENSIONS ` (g GHlrVEI U4 P1~1 FILLDEPTH 1111ST11IDISTR PIPF. PIPE DISTR. PIPE MATERIAL. ISTR NUMBEROF PROPERTY WELL BUILDING. VENT TO FRESH g, I R[ LtnN PIPES ABOVE COVER El EV INLE 1 FILE E D S I LINE AINLET_ FEET FROM / -j zz, y~ D d U NEAREST--s MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. DYES NO SOIL COVER. TE %TURE PERMANENT MARKERS . Of35ERVATION WELLS OYES ONO OYES ONO DEPTH OVER THENCH BED DEPTH OVER TRENCH; BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER EDGES DYES ONO DYES ONO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: _ OF LATERAL SPACINGGRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER WIDTH LENGTH rRENCHES. BED/TRENCH DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR PIPE MANIFOLD MATERIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MAHKING. ELEV. ELEV. DIA. ELEV. PIPES DIA.: ELEVATION AND DISTRIBUTION VERTICAL LIFT CORRESPONDS TO APPROVED HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL. INFORMATION PLAN, DYES ONO DYES ONO COMMEN_TS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF LROE ERTV WELL: BUILDING: FEET FROM EYES ONO DYES ONO NEAREST- Sketch System on Retain in county file for audit. Reverse Side. S GNA RE. ~ TITLE'. DILHR SBD 6710 (R. 01/82) 7inO consin AP PLICATION FOR SANITARY PERMIT L H R (PLB 67) COUNTY UNIFO M SANITARY PERMIT # USTusTraVA OF ,LRBOR6 HUTFln RELFITIOnS ~y -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/zx 11 inches in size. -See rreverse side for instructions for completing this application. PLEASE PRINT f~ PR~.r ®T WEER MAILING ADD1112S6 PROPERTY C ION G E ;0 E: r,71/4, S,~7 , 13f.I, N, R`2' : (or) W TOWN OF:~ 217 LOT NUMBER BLOCK NUMBER SUBDI ISION N ME NEARES " OAD, AKE~OOR LANDMARK STATE LA/N I.D. NUMBER .75C y jf- TYPE OF BUILDING OR USE SERVED `V-~ 1 or 2 Family Number of Bedrooms. L ❑ Public (Specify): THIS PERMIT IS FOR A: ❑ 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 Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer. 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): rW-~' L J Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Nam f Plumber (Print): Signature:( -*P/MPRSWttN~~o.: Phone Number: r 7" /-.44 Plumber's dclress: Name of Designer: r Z COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved t- ❑ Owner Given Initial ,jr Approved Adverse Determination Reason for Disapproval: 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.); 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. I APPLICATION FOR SANITARY PERMIT S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit 4 issuance. Should this development be intended for resale by owner/contractor,("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property 6 r ,I )IS r 01 0--il = `r+ ° I. Location of Property (~f; )o '3, Section , T N - R W 7 Township Mailing Address Xj / LCX 2 Subdivision Name ~j Lot Number 2 Previous Owner of Property Cam' 7 Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume` and Page Number -7 as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3.. Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) eeAti 6 y that aU statements on .this 4onm ane ttu.e to the best o6 my (out) knoweedge; that I (we) am (ate) the ownen.(s) o6 the pnopenty dacAi.bed in .th-i,a in6o4mati,on Jonm, by vi tue o6 a wa&&a.nty deed neeonded in the O~Aice o6 the County Reg.i..s.ten o A Deeds " Document No. ; and that I (we) pnesentty own the proposed site Jon the sewage diZposat system (on I (we) have obtained an easement, to nun with the above ducAibed pnopenty, bon the cons.thu.at%on of said system, and .the same has been duty neeonded in the 0JJice ob the County Reg.c6ten o6 Deed6, as Document No. 1. llv,-, cV, SIGNATURE F OWNER \ SIGNATURE OF CO-OWNER (I APPLICABLE) DATE SIGNED DATE SIGNED H z H a ST C- 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT 0 St. Croix County z d H OWNER/BUYER /%A"Leal( Z?'2zez" t~ ROUTE/BOX NUMBER ~ A~T Fire Number CITY/STATE ZIP PROPERTY LOCATION: Section TC~ N, R W, Town of .A4~_,;>/~ ` St. Croix County, Subdivision Lot number '~C_ i 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 pumper. 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. Cr.oix.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. H 0 E I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- b ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. S I G N E D D ATE 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. ° LA x ~ x m m =r cn n~ 3 v O (D m 7~ A A m p co ~ o n3 SS W~ ;:L (D lc<r O c C w w 7r Z =r p 3 ~cnf0 p_p =r CD _0 a c` D 7~ : p :E _ m N m o a p o N p c~D O cD w -0 CD CD P. r. S CD -w 7 S CD N o3a o0°~~w o CD c o N 00 R a > = 0 c Zn Q 0 ~ w - ~ ~ m W w cn j'W w o ~ p a~ O ' -CD oo- vv D 1 C CD ~ Q iD cQ0 t7 m°r pyc 6 0 oA -.=wAA° foC w ~omCOD- o~ Q 0 -m-• m co ~ =r -0 gu c~'n C N 06 m 0~a, u,mwrowN, Z a S w vi ° Z N A ~ v m a CD 0 m CD A? a m ch CD % can D N o sgc° j > a " w S C :or ° CY n S-.A O 7 °a mv,Sa(a W m n c A:E (D C r!1 O 3 c v ~ m CD CO o o. m y N n ` = 0 X10 a<nc w Qw S 0 CD p O N ~O - .c► cG a qe mC:0 o w o w n 0 n ~ c n aw o m °cD N v - a CL =r CA cNO :C <~~~~3 c n A co ° N (D O g n p.a oco 0. Lu C (;D -I; c ("D 0 0. =r CL 3 :3 -3 0 nm ° o n p < CD CD 0 o DEPARTMENT OF REPORT ON SOIL BORINGS AND BUILDINGS INDUSTRY, ~ DIVISION LABOR AND 0 BOX 7969 j PERCOLATION TESTS (115) r.- HUMAN RELATIONS D~gON,:WI 53707 (H63.09(1) & Chapter 145.045) `mow LOCATFON: J1, • SECTION: TOWNSHIP/ AfTY: LOT NO.: BLK. NO.: S PJ~VIS10 VD o[-v, s . '0s A-) . "W I L c /a .2_ T3c~N/R,v $ (or) W -75S COU WNER'S/ UYER'S NAME: , ]MAILING ADDRESS: USE DAT OBSERVATIONS NO.BEDRNIS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: TESTS: esidence ~ / U ~ 1:1 New Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILLHOLDFNGTA-N K: R ECOMMENDED SYSTEM: (optional) 0S Elu ES [j$ If Percolation Tests are NOT required DESIGN RATE: If an } y portion of the tested area is in the under s. H63.09(.09(5) (b), indicate: Is < 1 Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL ITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B I sc" 7f3 } SU i ~3 S /7 (o G A) tel. l . _4: 5. A . _14- 4/, )v /-z" B Z D N [3~l.S,L . u~Ct/b. ~-'f '`A'i- ~CGb.1-3 B-3 33 3 A10 /U l - o .S / V)/,V b '-7' 61 c~ b,/-3 - en ~6 17. 9_1z" B- & . B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD t PERIOD 2 PERIOD 3 PER INCH P- P- P- i P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION J J~ S' rff- a,- iod T I 3 t t j I i E _--r. _ 3 3 a - 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): TESTS WERE COMPLETED ON: ADDRESS: CERTI ICATION NUMBER: PHONE NUMBER (optional): `69' /U ' is AL ~d ?i CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - I a.v -:cj pest, your . ~ Mr t e, L&.s£,° mL ,i, 9n d ~ boa j'2f lE (r`y'~L,2 v3 u6febe of b,,,uh o3rris c-wvm?ei cial use G,=teE'r~-3^r' E h ;t ol" ie loc i?_. £ t `r7t Jy'es T~: { E`Y''' [Y ..i1 €."t:)tf6 iS?~._ r, Y '.-1.63 ? "r 13F.:ik y ineS., t,r £ n; t ot,3e if-m _ind cornplot nq the, ntpik",- S A K f~ LFt'iB; ;?.!rn aca i mU,ly oC,.. Hny y';3t.7; to scalt, k t°ed ".his -ltr„ S,`e~ 3 =rep {s . ` =as£'fid; N"I ee' Gl: 1 }eu "ho io~ £n 4 gt; 4 ' f ''t ¢ R;r t,..~,I: .r r0f Y l S ~ sit,talj, ci,`J s-, ^9 i''7I I GOULDS Model EP0311 & EP0311SS Submersible Effluent Pump 25 a~ 20 Model EP0311 EP0311 SS LL 1 15 a ca m 2 U_ 10 f0 C 76 O ~ 5 0 4 8 12 16 20 24 28 32 36 Capacity - Gallons Per Minute i Discharge: 11/4" NPT. Will accept adapter for 1112" discharge pipe. EP0311 _ Motor: Full 1/3 H.P., 115 volt, 60 Hz, single .K phase, thermally protected (auto reset), com- pletely sealed in high grade turbine oil. 13 Amps maximum, 1750 RPM. Motor Housing, Casing & Top Cover: Heavy wall cast iron construction with stainless steel m' fasteners. Model EP0311SS has a stainless steel base. Power Cord: Heavy duty 3-wire 16/3 SJTW-A with NEMA 5-15P Cap., 15' long. UL-listed wire 'r and plug. Impeller & Handle: Stainless steel Solids Handling Capability: 3/8" Temperature: 140° F max. Liquid Temp. Weight: EP0311 - 34 lbs.; EP0311SS - 32 lbs. EP0311SS Note: Pump can be controlled by a timer or external switch. hr Specifications are subject to change without notice. • Form No 82n U.S.A. . GOU LDS PUMPS. -1 A INC. Litho in U.S. SENECA FALLS, NEW YORK 13148 ©Goulds Pumps, Incorporated 1982 July 8, 1983 r Bulletin CL2.1A1 At P s Submersible ~ Effluent Pump 3 r Models a EP031 1 SS 11 1 ''e 3 E ~r Rugged cast iron construction and , stainless steel impeller -especially suited for effluent pumping. Oil filled motor - sealed in high grade turbine oil for efficient heat dissipation and permanent lubrication. Powered for continuous operation. All ratings are within the working limits of the motor. EP0311 Model EP0311SS has a stainless steel base. Listed • Ta GOU LDS PUMPS, INC. SENECA FALLS. NEW YORK 13148 EP0311SS `Canadian Standards Associated listing pending. PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP li"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER N 2.5' FROM DOOR, WINDOW OR FRESH I2"MIU. AIR INTAKE i GRADE ( y" MIN. IB"MIU. CONDUIT 18"MIN. PROVIDE IIJLET 7 AIRTIGHT SEAL I I i I I I APPROVED JOINT A I (I I APPROVED OlNT5 W/C.T. PIPE I III W/C.I. PIPE EXTENDING 3' I II ALARM EXTENDING 3' ONTO SOLID SOIL I I ONTO SOLID SOIL J3 I I I ON C I - ELEV. FT. PUMP-- g JOFF D CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL S PE C I F I CATI OU S ~I ~P~'t TD DOSE TANKS MANUFACTURER: IJUMBER OF DOSES: PER DAy TANK SIZE: lr~~ GALLOMS DOSE VOLUME ALARM MANUFACTURER: INCLUDINIG BACK~FL`O7W: GALLONS MODEL NUMBER: CAPACITIES: A=INCHES OR GALLON5 SWITCH TYPE: B= _INCHES OR S 7GALLONS PUMP MANUFACTURER: IV U-/O( C =INCHES OR -LL?-,~~AL OQS MODEL NUMBER: Kn It D= INCHES OR _i- 7" GALLONS SWITCH TYPE: NOTE: PUMP AND ALARM ARE TO BE INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE GPM cam. lv"z VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET - + MINIMUM NETWORK SUPPLY PRESSURE , . FEET "PVL + '16 0 FEET OF FORCE MAIN X l.LFYo FT.FRICTION FACTOR.. FaT ' 1,2 TOTAL DYNAMIC. HEAD = FE.ETq j INTERNAL. DIMEMSIONS OF TANK: LENGTH ;WIDTH ;LIQUID DEPTH - SIGNED: LICENSE "NUMBER: DATE: Page U. Perforated Pipe Detail 0 End View Perforated End Cap) PVC Pipe i aye e 0c Holes Located On Bottom, S Are Equally Spaced S P ~At PVC Force Main .7 P PVC Manifold Pipe Alternate Position Of Distribution Force Main Pipe Last Hole Should Be Next To End Cap End Cap Distribution Pipe Layout P Ft. R S X Inches Y Inches Signed: Hole Diameter Inch Lateral Inch(es) License Number: Manifold Inches Date: Force Main Inches # of holes/pipe Invert Elevation of Laterals Ft. y~ v~ a~ r 1L - ~ c~ •i u s i 3-4 z 1 J STC - 105 r v H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z d a H OWNER/BUYER ROUTE/BOX NUMBER Fire Number CITY/STATE ZIP PROPERTY LOCATION: 14, 14, Section , T N, R W, Town of 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 pumper. 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. Ho rE: I/WE, the undersigned, have read the above requirements and agree Ln to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- It ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 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.