HomeMy WebLinkAbout010-1059-70-100
4 'o 0
o N C~ O r
d F
CD ' CD 3 ' nLo~
l.
- •
a CD
(D m
3 ^r
aD OOy-
n 3 O = 0 ° A D CD C M N C ° °C [ 1
v n o o 3 •
CD CL a ' 3 ° CD y ? CD CD o
C A z 2, N N p
m CO 5-
O CD Gl N co r (P C.0 O
N
O (~j 7 Q (D 7 O V O oS
o c CD C1 -4 0
O co 7 co
7 N CD O C) 0
Et C
o W N CD N G
OIQ cj (D (c (D =3 U) Qu 0)
I-It CD
CL (D w Q °On
71 C C O Ca m CD Z',
Ul (0 (0 0
(n z N p A N O C
W is z lz)
v T g •
~ Z O O O $ !mil
° cn a -i -A -I a
H rt 3E 3 N N n ! o D
z =r _
CD C °
U) m Nv
< J
H (D m CD
r CD D7 N ~
CD
CD 00
tz) C1. w CA) N
- z z
~o w D D o
rl 0° v a
`D H H z (D •
o w
10
4-
CD y
c
Ffi - a
CS U] Z CD -1 cn
j;: z
rt
n Fl' v a
o
rrt ::j
in, y z --i N
W - m w° cn
ul CD (D
c - z
0 3 a
o I C/)
rn
H m
;o , g
CD A
Cl) Cll
0
CD
D 3
ul Co a 7
N CD C G
n - O -
T
N
CD m
a a
0
90
N CD
N a N
~v
o ~ 4
I ~o
3 a
n s
O fi
CD A
N
N O
O a
3. [wi
I O
~ O
CT
~ A
O
CD D Q
lv
fn 0
° L ~ y
ti
Parcel 010-1059-70-100 01/06/2006 09:22 AM
PAGE 1 OF 1
Alt. Parcel 25.30.16.377B 010 - TOWN OF EMERALD
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
O - PAGNOTTA, STEPHEN J & CATHERINE M
STEPHEN J & CATHERINE M PAGNOTTA
1346 CTY RD D
GLENWOOD CITY WI 54013
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1346 CTY RD D
SC 2198 GLENWOOD CITY
SP 1700 WITC
Legal Description: Acres: 7.010 Plat: N/A-NOT AVAILABLE
SEC 25 T30N R16W NE SE 7.01 AC LOT 1 CSM Block/Condo Bldg:
7/1883
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
25-30N-16W
Notes: Parcel History:
Date Doc # Vol/Page Type
06/18/2001 648631 1662/473 WD
02/04/2000 617908 1488/232 TI
07/23/1997 1014/329 WD
07/23/1997 844/325
2005 SUMMARY Bill Fair Market Value: Assessed with:
80408 107,900
Valuations: Last Changed: 10/19/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 7.010 35,000 64,200 99,200 NO
Totals for 2005:
General Property 7.010 35,000 64,200 99,200
Woodland 0.000 0 0
Totals for 2004:
General Property 7.010 35,000 64,200 99,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 306
Specials:
User Special Code Category Amount
010-GARBAGE SPECIAL ASSESSMENT 30.00
Special Assessments Special Charges Delinquent Charges
Total 30.00 0.00 0.00
Form- S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER 4ANd &yffTOWNSHIP SEC. ~ T-7 N-RL_W
ADDRESS ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of H 63
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
~ 1 I
i
it
I I
,vd
ma
j
1~.~ 1G o loch G11< . -elotl&-,
INDICATE NORTH ARROW
fir? f to v F ~i d r h~' ct t~J
BENCHMARK: Describe the vertical reference point used A/t-v
Elevation of vertical reference point: / 0 0 Proposed slope at site:
SEPTIC TANK: Manufacturer: L ee/rs" Liquid Capacity: % 7-
Number of rings used: Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation:
Number of feet from nearest Road: Front,@ Side,0 Rear, O feet
From nearest property line Front,0Side,0Rear,0 feet
Number of feet from: well building: 20
(Include this information of the a ove plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
Manufacturer: Liquid Capacity: F0 a
7T--
Pump Model: O',SR j Pump/Siphon Manufacturer: / Tc1,qpm,+-'(eump Size Z114)
Elevation of inlet: Bottom of tank elevation:
Pump off switch elevation: Gallons per cycle: hol
Alarm Manufacturer: ,Lf j5: 'Ge ~D Alarm Switch Type: j~Ce /h y
Number of feet from nearest property line: Front, 0 Side, O Rear, 0 Ft. ~
Number of feet from well: 1-
7-Number of feet from building: L/ 3
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed: Trench:
Width: ~f Length:-Number of Lines: 3 Area Built: ~76
Fill depth to top of pipe: A92
Number of feet from nearest property line: Front, O Side, O Rear, O Ft
Number of feet from well: 2-o ~i
Number of feet from building: ~I.
(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, O Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
Dated : J. Z/ Plumber on j ob
License Number:
MJ~~~9®
3/84:mj
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. BOX 7969
MADISON, WI 53707 BUREAU OF PLUMBING
ECONVENTIONAL L2EALTERNATIVE State Plan IDNumber
❑ Holding Tank El In-Ground Pressure 4~1 Mound Ilf assigned)
NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HOLDER. INSPECTION DATE.
Federal Land Bank Hwy. 35 N., River FAlls, WI 54022
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.. CST REF. PT. ELEV..
NE SE, Section 25, T30N-R16W, Town of Emerald
Name of Plurn ber. MP/MPRSW No.. County. Sanitary Permit Number:
Gale Smith 5690 St. Croix 54994
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELE V.. WARNING LABEL LOCKING COVER
f ` c ` PROVIDED: PROVIDED.
I c7 30 J 7 EYES ENO EYES ENO
BEDDING. VENT III VENT ATE.. HIGH WATER NUMBER OF ROAD. PROPERTY WELL. JBULD;VENT TE FRESH
ALARM FEET FROM LIN~ LAIR INLETEYES S RDOSING CHAMBER:
MANUFACTU ER BEDDING LIOUI§C APACITY PUMP MODEL PUMP/SIPHON MANUFACTURE WARNING LABEL LOCKING COVER
(7 7 PROVIDED' PROVIDED'
A. EYES NOnt~ S t J 3 EYES ENO EYES ONO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH
IAIRINET
(DIFFERENCE BETWEEN FEET FROM LINE /v 7 7
PUMP ON AND OFF) 1677 ( ES ENO NEAREST i3_ l
SOIL ABSORPTION SYSTEM. Check the soil moisture at the epth of plowing LEN(,TH JDIAMETER 111A TEHIAL AND MARKING
or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE
the soil is dry enough to continue.) MAIN ~_z
CONVENTIONAL SYSTEM:
BED/TRENCH WIDTH. LENGTH No. OF DISTR PCOVER INSIDE CIA =PITS LIQUID
TRENCHES MATERIAL' PIT DEPTH:
DIMENSIONS
C;RAVFL DEPTH JFILL DEPTH UIST H. PIPE DISTR PIPE D TR " , I I
PIP IAL. NO. DISTR. NUMBER OF PROPERTY WELL. BUILDING. VENT TO FRESH
HF LOW PI PES ABOVE COVER ELEV. INLET ELEV. END PIPES. FEET FROM iLINE AIR INLET.
NEAREST 10MOUND 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-
E YES NO meets the criteria for medium sand. TIONS MEASURED.
E
SOIL COVER TEXTURE Q4__~"'(Y\/ PERMANENT MARKERS OBSERVATION WELLS
ES ENO ?PYES NO
PTHOV ER TRENCHBED DEPTH OVER TRENCHBED DEPTH OF TOPSOIL SODDED SEDED MULCHED
CNTER EDGES1 ' Q - EYES YES NO KYES ENO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVF COVER
BED/TRENCH ZI TRENCHES S i
DIMENSIONS .3
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. INO DISTR JD:STRPIPE DISfHIBU 110N PIPF MATEHIAL & MARKING
ELEV ELEV DIAELEV.PIEDA'
ELEVATION AND C)el
DISTRIBUTION r S
INFORMATION HODS HOLE SPACIN DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED
PLANS
~e YES ENO RYES ENO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WE L BUILDING:
FEET FROM LI
YES E NO ES ❑ NO NEAREST
Sketch System on e+a+n+n-cprrs;Lv, file for audit.
Reverse Side.
SIGN ATUR TITLE:
DILHR SBD 6710 (R. 01/82)
' -7 wlsconsln APPLICATION FOR SANITARY PERMIT
DILH R r COUNTY
(PLB 67)
DEPRRTR1
--TO- UNIFORM SANITARY PERMIT #
- InOUSTRV,LR60q&HUmgn RELRTI0n5
l99y
-Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 81/2x 11 inches in size.
-See reverse side for instructions for completing this application. PLEASE PRINT
PROPERTY OWNER MAILING ADDRESS
PROPERTY LOCATION grr. 0
1/4,r 1/4, S, ,?-5 , TjC; N, R (Or) W TOWN OF: i / r`te'
LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER
1.V~s.T 4 1 1) 3
TYPE OF BUILDING OR USE SERVED
1 or 2 Family Number of Bedrooms. ❑ 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 '7
Manufacturer: .zs .r.,.
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet):
;7 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): Signature: MP/MPRSW No.: Phone Number:
L 90 (715
Plumber's Address: Name of Designer:
J j,,,,,IZI,
COUNTY/DEPARTMENT USE ONLY
Signature of Issuing Agent: Fee: Date:
❑ Disapproved
❑ Owner Given Initial
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.
° cn
r to
~ m
~ r:~~-~ w?cncnn~30
' O " d W x(D 0 0 (D M
.0 D =r =r W
ocoo- o cO
c c
=r 3 z S' =r M :3 CD CD
N n N CD cn CD
fa CL 0 0 N (D O ~ x(D W W co
_
F (D CA
= CD =r CD
CD % 0 0 M CD 00 gr
0 .moo W
0 3 a
> > m W ° 0
w -0. ? m C:
0 0 C- C: CA T
w c c m~ 0
W
N
N _
jwCD 0~0
CD 00
< M N N. Z fol.
Q O A
0 0 0 Dc D _.a G)
v U) 0 0 0 0
c ~nW ~-%M0 O
oCDQ o~-0 0)-0 C W CO) (D m CO) N W SD W W N Z SD :E
$ a~ C 3 CD M ?a "i
CD N co FA,
CA °?g-.0. m
ch cD CD vi s Ca co V1
viWa ac0kcm C m
5j, CA wo -
3 CD .o CD 3
m CA CD ro. Ch
(a CD rq. W W
` "--%0 0 r q. - F.* ~
0 CD
N c c (a co,
m o 0 A N 0 m
G
c a c
wow (D c OL A)
chi
a0 ~ cr 3•~
C7 CO) =r CD 3 co
1
c~'o C+~co~ `<oWCD-
m 0 C a O y n N O
Cl. 0 7 0 t0 c cD C CD
CL c 3 0 -3
CL3 aCD 0
o
..s _
0
NOW-
or and Human Relations
rtment Industry, Lab
ofi
pepa INGS p1VIS10N
SAFETY & BUILD
Late of Wisconsin A VIII,„ A,
~,>r44u U WasiliG~4 r,
liS"~' ;ily 1`oi•~ 6OX
Sool,
ass;; iYsik~( iz
1~,3V35s
uer al "Stem e 1 J. {
~,t~P, j ej15~~1Si;3
FrlVatc~~ t t?1151~ s
all
S Zk,~3v, 'St- t;r~ 0yOer 01 . tc~
tA3' U.aS
'(1, cfl'" a titar~CJ.t~{• tyt, Ea,
s S? S
t ,Si,l 5t't`t~l. i +tw41 or 3j - S~w~ 1T1
a1SC.1S15
~ i c~C1 'i exists r jt1 Et1Y
, , l~:a• to PL replace cri per
' ~~a= ~ 5~5tes~ Lr~~ tt, tt1~ si 4i~
0S
"Al 134. ,
t Co6e• Svc i August ruval are
t , ,art Op S Ste -ti as
~
--n re(I
a v ar . -S ccfl5i thi
1 tjsiC - Coot~1 C itiila tvie f~{)UTt4 Y r,~v red
t1t~~,rt fcr ative CUGC: -1hc zit be
(17i s tilt
Pe r; dec .6 ice UPS 4: i11 S` 11
r~Cl 1t11Sir rDV . I SaVI1 `?t3Ss
i caC~.~tSSl11 ti ry~`crai 1 ~aer~1 u{6s t1LC+t3ic1lally r'~
~
` 1,f:+i or t,,, apL~.rDv:,GiaCed -1144,
,.f°S ~i~'~., •l►Pr ~iiVer iDr15~~ ~ G} a,~+~1t1Ctt18~
~
:~ar1 ace LerOY as it4uica re it sit 11 e
5i % tay s•LeM of v
;~u"d sy ~~Satur,tE
hil of
sou ~5 s 'ste es j
t
1c,o t0 s,10"' s
uegins rivate seta t Z{j islc tallatI()"
to ai1c V at ea5 f or tt1e i r1s
}e conf crt. 5
~,a11
roltn 'eater
1 a ri'quil Sti.,11at ~Y1 J'1 i~
a ur~1 501 a cve e a rctsct syster3 erg a
5
t instil irs.
re(Veste =_trt
v a l anc 111 £ ~ ern rlt
State of Wisconsin ` Department of Industry, Labor and Human Relations
r-''U'- SAFETY & BUILDINGS DIVISION
#3 2
of L,.~e-t't,,~.labS 1i.:..,~t i I 'vc + f je ~i-Y~:
<n!nsidered. Triis vdriance is si3ecil'ic ;.t c;;. :it.;, k
i -1, „sed for a r az # ttiif iCa IC } .
a ~icere g
+''f lvo S,t'1Cr i=,
xro --i I • 3ruo-r, Lon n ~ (;ni or ? i i l ~i1}t1a.
I
DILHR-SBD-6423 (N. 04/81)
PLAN APPROVAL Safety and Buildings Division
Bureau of Plumbing
DI LHR P.O Box 7969
General Plumbing Plans Madison, WI 53707
3' Private Sewage Plans Telephone: (608)266-3815
OFFICE USE ONLY
Plan Identification No.
3Y-li
Gallons Per Day
PRIORITY PLAN REVIEW ONLY
Plan Review
Petition For Modification
Project Name Project Location - Street No. or Legal Description
~ County
City 1-1 Village V Town of:
1:1
The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is
based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped "conditionally approved". This approval
is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the
city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of
plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be
made.
❑ FOR GENERAL PLUMBING PLANS:
This approval will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan
approval must be obtained.
F~t?'y FOR PRIVATE SEWAGE PLANS:
This approval will expire two years from the dat pproved below or if a sanitary permit is obtained, it will expire the day the initial sanitary
permit expires.
Commer
By:
James Sargent
Bureau Director
If Questions Plans Approved By: Date Approved:
Contact ♦ ~~/L. (C-
cc: L'~J' qWS ❑ DPS ❑ H&R & Rec. San. Section
County ❑ Local PI ❑ Facilities Need Analysis Section
❑ UW-SSWMP ❑ Plumber ❑ Department of Agricultur.=
DIMR-sM-6099 (R. 01/84) ❑ Owner ❑ Other
• , f
Smith Plum,bing'& Heating PHONE (715) 265-4838
r 1.- GLENWOOD CITY, WISCONSIN 54013
i
f
+C.
PLUM 13ING ~
g!
V IN
7v
iG tAtiOR Ault) riUM,~N RELATIONS
. NO ~ o
NGS
NI
DIy SA j IISION ON OF OF SAFETY AND BUILDINGS
DrPART M
r
CORRESPONDENCE
S „
r }
3
Page - Of
Straw, Marsh Hay, Or
Synthetic Covering
-Distribution Pipe
Medium Sand
4 G
Topsoil - F
3 E
% Slope
Bed Of 2 % Force Main ~.~plowed
Aggregate From Pump Layer
l~-l
D 1 , 1. 1
Cross Section Of A Mound System Using F
A Bed For The Absorption Area
A c< Ft. H
Signed:
B Ft.
License Number: _ I j/ Ft.
O F t . 4
Date: K~ Ft. 1_21
►
Alternate Position t. I
7-1,22
u~
of ~„3
Force Main
Observation Pipe--,\
Force
Force Main
4 A
I
From Pump
Distribution @ed Of 2 - 2 2
Pipe Aggf egGOLU" C i
Observation Pipe Permanentc_~ rSkgirs~ U'
0 F'5 4N I- Cf iru L,~ I i)ti 4 51'rl*~"!1T I 0%s
r~r k.
`M' -
Plan View Of Mound ..!sing A Bed Far h ~1bk~t,~ W Af'e0
Paste Of
Pet for ate d Pipe Detail
End View
~Perforateo ~
End Cop PVC Pipe
"is
Holes Located On Bottom,
S Are Equally Spaced
From Pump
e P V C
Monifold Pipe
y- y
~OiyP:pe buvon Alternate Position Of
\ ~ a Force Main From Pump
P
Last Holy, `,hould Be
?dent To End Lap
End Cap - Distribution Pipe Layout P r
R
r
S
x -~4i7
1e lit ~vL C'I`%~
Signed: bole Diameter_ Inch
Lateral ,A Inch(es)
License Number
/ Mani fold Inches
Date: Force Main Inches
w W
t
U. J.
t r ,
PAGE OF
PUMP CHAM;~j'Eft C:KOS a SECT!OAJ AUD SF'ECIF TEAM IGF!S
_ VE_ K.1-1 CAP
4'c.i. VL~J-, PIPE 1
j WE A f NL Fi F'KL}C>f AI'1'H_OVED 1-c~C K IMG
MA►JHOLE COVER
JUiJC fI0~5 ;',UX
45' r RCM LIcc;K,
'A/WDOW OR F-RLSH 8L.,/~41U.
AIR IAITAKE ~
41
I I I ~ IEi'~MIU.
i~"MIAI.
FROVIDE
Ii.IL_f.: f
- AIK ("IGH T SEAL_ ~I I I O`\ s
AH,KOVEA) ,JGI?J-1 A I APPROVED
W/ c.. I_. PIPE. I I W/c.z. I'll"'t
EXTEEJLr(IJG .S' , ALAKM f EXTLX.IDIL",
OMTO SGL.ID I i I I I O►JTO SOLID e
~ I ~oN I
I
PUMP
f I
i;QNCKV FE BLUCK
KISEK EXIT PERMIT(-ED GKIL9 IF IAAJK MAKJIJFACT URtrK HAS :UGH APP,RGVAL
~PECIF IC:AT Ql~JS
SL TAMK` MA►JLLFA~T"LJR..EI{' __G tf' `iS _r ~"ii tt)'t~#[rt{'Z ~k DO~~St ---i'EK DAJ
li,IJK IZE
_ GALL, U1"I 5 DOSE VOLUME-
C JJ ,L f
ALAFIM MA►JUFACI"UKEF<. LAPACITIVcb: A- t IKICH[S OK 0_ k,,ALI.
11,\OULL. ►~urnF3E1 : / L~-i--~ - a= ___IUCwES OH S GA~~~~_
WITCH T yNE: c r
I N C H E S G 1?. t= A L L L' t.-
I'IIM1, 1w,An11IIIIIKI,k: L) cHER
^^,~,.,I L ttluMbL K~ H« I E
LIMP
W I I( H `ll~t_:~~~C✓ :wv r F' AI`STAI_L_e D OM SEF'AKATL (_IR-C U I T S
!'UM4' hlc HA{iC,E KAl L.
~ ~i((~ lam
VII<l I C A L !JIFFLKLINICE 8E-1 W L I U F'L1M1' Ott AFJD )IRIf3UTIOH F'IF'EIF L
I- MIKJIMOM. ~JE I WOKK UPPL- ~ PRE: J`. irk F . . . . . F E E_-T "i )p / O
t t
PV'IIJ Q x~~~, I I FF<tCI iU►1 FA<.7~~t1 FEE I 2-
~F F_L7
1 0 1 AL. U ~~JA~1l~ HL AU
A1,JK: iX(*j(~7 T-4 '76 WD)tFr { L4C,tll!! DtojrH
w
YDR-0-MRTIC SECTION 100
Pl1MPS DIMENSIONAL DRAWINGS
& PERFORMANCE DATA
MODEL: OSP33 SUBMERSIBLE SUMP PUMP -MAX. SOLIDS %11 SPHERE -1750 RPM
TOTAL Lit. No. 113.5 348
HEAD - IN FT. 3/,o HP MOTOR
24
22 -
'yFy~ t- l -
20
,s - cgAyc _ -t
16
14 ~ 1--
12
I
10 - - - -
S
6
FULL LOAD' 1
4 AMPS AT 115 V.
- - - - - 6.5
0
10 20 30 40 50 60
U.S. GALLONS PER MINUTE
MODEL: OSP33 319
4 7
O
43/8
O
0 51/4
0
0
914 0
4
0
11/4 STD.
25/16 PIPE THD.
a { 43/8
NOTE: CASTING DIM. MAY VARY ± 1/8
W.L.H.R. D-0 I
Leroy Jansky O.W.S. Wisconsin Department of industry,
PL3-1' INSPECTION REPORT 13 E. Spruce Street Labor & Human Relations
Chippewa Falls, WI 54729 Safety & Buildings Division
(715) 723-8786 > j q Bureau of Plumbing
Name o remises Date an No.
7-/c-ss _ d 3 E
County Sanitary ermit
N~ E S 2- RIbkAj - Si vt
as a Plumber Firm ame Address
l t= S M I ,t-2- LEtj C 1 S- -'t5`40 1
Journeyman Plumber Address
Owner ra L &o K
W aTf= j Ck I l l
L6 F
n Y. g~ Ct S 1 L Ca NGS
-,1 " DL Y~ 03 f-j CtU\.tRy~
AN Si~T cGgNGS _
g~~ 3 -y
2 -Z .R_gt?& R~ CL
T-t IZ ~~Z M 0T • _ _ _
_-2-
_ u
E-ST, _LEUEI_ OF tS l6 ~I
62-
iscusse with igna r
( )See Attached.
Signature o is a as Rvy,Specia i
DILHR-SBD-6192 (R.10/82)
Inspector Local Inspector Plumber or Responsi 1 Party Own r
'e- war a/s /-.1`6s=c1785!
~~c~fc f C(tnw«~~ `ip uls'
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFEJ,4r$D1.LDINON
W DUSTRY, c
LABOR AND PERCOLATION TESTS (115) /MADIP 9
HUMAN RELATIONS
(H63.09(1) & Chapter 145.045) ~C
LOCATION: SECTION: JTLOT NOIBLK. NO.: SUBD, I N N E:
a*o 9M W e
'14SVY4 a l /T N/R1j
COUNTY: OWNER'S/BUYERL&-f>*fttE: MAILING DDRESS:_ 1 Q
USE DATES OBSERVATIONS MADE
~~LL NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PTS:
t~tesidence ❑New Replace /
as
RATING: S= Site suitable for system U= Site unsuitable for system Oh JP" f
CM~ IN GMS ROUND-PRESSURE:_ HOLDI /j . RECOM ~DED SYSTEM:(~tio~/.;I`00
SS S ,ICJ(U DS /l~jj Urelic S
y portion of the tested area is in the
If Percolation Tests are NOT required DESIGN RATE: lFloodplain, If an /
under s.H63.09(5)(b), indicate: N4 indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
- , q s;I S y: Sir. •4.s
B % love' ~l~ % ~0
/.o'QI
e5w B e
B- 2.2 : B/ 5; fs 3- A, Sif R /tl s
B- Y
'
6-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD3 PERINCH
P_ Gn in -a -je, Y3.
P_
4/0
P- t /
P-
P-_7~
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope. '7-reN,~y Urpe,r 90.7
SYSTEM ELEVATION ,M`Jd`e 40'.:2 Sc4(e
L L w er 09 7
81
9 ,ppro>e.
C I
B.M V. R.P. loo 0
CAL
o•n ® 14at6e 5.p3 J
a (Sroanil E(.). Pl 12.3
4 P2 q 11$N
P' P
3
.5hpc m
h3l
- - -
Prof e t ~7 re llloct5
U)e'r -e
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 (p): TESTS WERE COMPLETED ON:
cPni ile e ~ Sri 2Q 5 /
ADDRESS: p CERT FICAT N NUMBER: PHONE NUMBER (optional):
R Q \ F 0
CST SI ATURE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER - I
~s
u s fit t"~p3sS, 9 7 u P . a,.., s~,t~.,Ie-£ ;'£`r, ks =r =.,-.:-SCrE.}?a.: u„ C£"i~?.rras£'FL..o. g)ac.j£;,;t;
€`bt>d+, , IiiA lv N"; €'+•!l f .:)t 'i! t?i , €,r c=:)rnrn£.,"c!E;t 1:.' I € l ( y
€ I
t: ,.r F:; rwf e ONLY ALL
S -E
_Pi EEAS : Si f211?.n I`le;a €€•7t % r1 , Ea (J, € ri 131"tC'3YSC c"ii(!
1i-°M, c7 4,rii,',g `;r€`;ur loca...;3ns. to Sr£?1 IS prel.r?od, A
€,:le. f.ica1 ` . Fe ' cr. t'ki irly s-i tv'slC~, ;~f[,s c€f? €),r E?~, Y7 ::,::p
Q- pp .-,p €1, ?pp tpp€ u, ,x xw ,f do--z-,S, - u 6,;a €F.C"C'~ c ~7Of! `EE2}a 6.
.fi s1 € ,)€1 ~z u
t. ' a-:9 a,"'d pkih£ -10bp" y,?u @ .fi,
a -
v-srat € c
vl~
iC-
Dii
u.n.
x
t` " y i
F iLA"QW PERMLA
` M63.090) & Chapter 145."S)
LOC TOWNSHIP/SKY: rT N SU D t,
%T N/R
N AILING ADDRESS:
el-All LAMill 6t f7'
DATES OBSERVATIONS MADE
TFM' ILE DESCRIMONS: PE COLATIUM -I=
q~~ EDRMS : COMM R IAL DESCRIPTION:
y~tsesidenca ❑New ~yReplace
Ad 1
RATING: S- Site suitable for system U= Site unsuitable for system Oh d rn 4
EN AL: " ND: IN-GROUND-PRESSURE: S STE -IN-FI L OLDING T NK: RECOMMENDED SYSTEM: (optional) 'PJp~ I
JCQN
S []U GIs ❑U ®S ❑U El S U ❑ S U L s O~
DESIGN RATE:
If Percolation Tests are NOT required If any portion of the tested area is in the
Floodplain, indicate Floodplain elevation:
under s.H63.09(5)(b), indicate:
NA
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN. ELEVATION OBSERVED I- T. IGH_EST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
.Y 61 5, /,r5 Onoz! e- a e
B-
S.
PERCOLATION TESTS
TEST DEPTH WATER IN Hnl E TEST I fME DR, `P IN 1IVATER I E VEI_ I a :HES RATE MINUTES
ME
INCITES AF TER St'JFt L ING INTERVAL MIN_ Pff Ft Z~L-; _ j PE 'c c PER (5 PE:R INCH
_
ML __3C
I
~ _OT PLAN: Show locations of I:-r.-ation tests, soil bornngs anti the r ri':n,ns of su tal:lr. Suii areas. Indicate scale or distances. Describe what are the hori -
,tal and vertical ele%atio, reference uo,nts and sho,v they loeatw,, on tt•e p1m plw" Shn,.% 're surface oevation at all borings and the direction and perceni
nd slope.
`YSTEM ELEVATION - - C . wy~ ..1 f l - yo
fit.: ~~..n ~ ~ ~-{'ti5 S .~•„5 i
7 a
sire r
~wri er
C1
in e 1~
1, the undersigned, hereby certify that the soiN tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
s
Administrative Code, and that the data. recorded and the location of the tests are correct to the best of my knowledge and belief.
AME ' - TESTS WERE COMPLETED ON:
Sell 1
CERT ICAT N NUMBER: PHONE NUMBER(optional
O 7 12 2A_
CST SI 0257-
TURE:
K,
:a
r`**R0TA*: Original and one copy to Local Authority, Property Owner and Soil Tester.
1 - OVER
Popp" 1 11 o° P'''