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HomeMy WebLinkAbout022-1095-50-100(2) e • O N O o v a N o d co l � c � A (D 3 3 # n 3 C- Z Z o w Z l u Z o N r w o • N 7 O o W� N v N a ° j N N ►.q CA) Nj ao co N CL o m m s? 3 -- w CL rn rn m ? ° p :3 =1 y °° cn "� 1 N N N CL (n CD Ln ° o o $ N 3 (D (� CL O CD CD D O v o W 0 N y d (n N g O O p y l (D to v (n D a -4 (n D m .°.- Co oo = CD h o o (° n rt o o s �y N 3 O m z O � 0) V CD O Z F > '< { N O W { co ( .Z_7, , n r N co co cn CD C fl O � y C U N 3 C3 (a ( a CD (n (n n ' (D O N ^ N O (D N (a CD CD 3 -' a ; _ ' - co Z Y a O =ti D D I D D o o O O � I _ F a j• a o (D '� y c c I _ n 3 CD Z I A G7 j Z -I w A A (D m I �., ONO w CL Z C p_ o '! O Z ao w Z { m CD +� I � C) o a f Lo? m c » 00 �p�m c > >° Z c ��' 0 o O z a v O co N < (n n. o O co N Z (� O a (D N N N 0 ° 0 �� 7 N me Owv_o fi CD 5 v 0 aid y O �o j Ao e a3 v �c �3g CL :3 o_ °� a 0)ao °may a x (D o N W (A OA O O w3m (p n ON CL A o O b ( D CD N A p ~ w oCL `e) H N u ^ � 1 M 00 AG T_ "' o z. O ^$ N O Z Z H E CN ;� R1 N 3 W C) x J U) h ` otS H N ^� N I N 4-) z u1 O ro as z Z w +� O ai � z 0 r. 4 � a�-rx < a z SI 4714'7 LOCATED IN THE NW-NE, THE SW -NEC E E SE- NE, T - - HE NNE NE, ALL SECTION 33, T28N, R I8W, TOWNSHIP OF KINNICKINNIC , ST. CROIX CO., WI. N I/4 CDR. SEC. 33 • UN . PLATTED . .. .... NORTH LINE OF THE NE I/4 LANDS • N . D . S . NE CDR. SEC-33 N 88° 19'34 "E 131 7. 58 892. 58•-' 425. 00 ' a o: JUL 2 3 '961 o _ Z . s: J . �;ROIX COUNTY a: W C0«,;Xehen5ive Planni �Q rn z Zoning and ` ri - z Darks Cominittea� M n 1 In > S M — SEPTIC 14 not recorded LOT Iv Q LOT 2 ^ (. within 30 days o16 U) (n . al M 28.74 ACRES approval data - 1 3.18 ACRES N W ( 1, 252,097 SO, FT.) w 311 27. 42 AC. EXC. ROAD EASEMENTS 'nProva! shagb• p (574,048 S0. FT.) _ ( I , 1 94, 364 SO. FT. void 1 1. 8 1 AC. EXC. ROAD EASEMENTS 3 M ( 5 14. 324 S0. FT.) W; 1� W U) 2 Q 1 ExIsrING OO � .•••.- HOUSE ° Q� to N O P� N W0.0 1 W N ELL Z W y , J. -�• d• Z . , W �. DRIVEWAY M W: t M O M J. m 0) M 4. ...._ N z' '. M N2 ° 00'17 "W M — 433 h 33.83 �� "� N7 .90 S88'4_3 1 2 W 1285.03 _ SOUTH LINE NW- NE - 33' 33' UNP�ATTED LANDS to P- a M M PREPARED FOR : o p t - 66' WIDE ROADWAY MICHAEL AND PEdGY LOTTMAN EASEMENT "' ~ �I 0 M /17G r? /1► ® - COUNTY MONUMENT FOUND •; ~ ro W yac� w 'I,Ir.�O O : I" IRON PIPE `FOUND N ( �tllljY ,y`� ♦S 0 SET I "X 24" IRON PIPE WEIGHING 1.13LBS. 0 - �� PER LINEAR FOOT. Q o Q O N Q 2 0 JAMES M• Z °o N WEBER _NOT BEARINGS ARE REFERENCED S88 TO In In S 1804 TO THE NORTH LINE OF THE N E 1/4 66.00' 3300 a 33.00' SPRING VALLEY 1 (RECORp BEARING), + ,f �� C? e w M - •M• •. 33. 00 ' 33.00' �. l ✓ s Net, 4 SURv� , S88 °09,29`` '• � l eQ!!Q!3`�Q l �� SCALE I 200 ' 6 6.00 JAMES M. WEBER S -1804 NELSEN -WEBER LAND SURVEYING DATED Q' 100 200 400 1�►�.s4 Z �nftt RN�og�o -w SHEET I OF 2 94 -72 THIS INSTRUMENT DRAFTED BY J IM WEBER VDT.. 11 PAGE 3129 n ■ ■ n c e i \ J g � ' 2 a It � } e ; � ■ � . g ® © z q 3 § q E co & g Q> w ` e/\ A / 0 k j& 90 $ « o. 5@ ° ) § 2 S 8§ M Ma ;\ S g § # d - E -4 a a f \ oo i �� o §�� /a z & CD _ n r CO) ° co S J z 0 0 0 f ƒ / I T CA § ) k / ~`§ E o i M ƒ N3 \ A ^ e CL i § ƒ / § , ; � k R \ k $ 7 § � S. � � \ § � 2 � ■ z / / K @ 2 ,i ■ T i f § ± E§ �z k z 2 7 � � � f ^ E 0 K e �§ =nom £q§ E/ § /k 9 z ,-� z �! k( ° k 4m CD n= {� � f � � . � I � � � \ � © � $ i � SE � - ' .�ptl�veUfr�ON ` ` ST. CROIX COUNTY ZONING DEPARTMENT A115 ¢-- . �� AS BUILT SANITARY REPORT D �% �� L CD ! S Tl Owner S Property Address 1/7P #wV• �l City /State jL v eC 6f-<lS Gt, -f • 5V,0 2- 2 -- s gee � Legal Description: 5. 117IV � 31 f Lot 2- Block Subdivision/CSM # 0 2 Z � � ©y — So • �D� ,v� t /4 V /a, Sec.2�, T N -Rj W, Town of e�� PIN # T SEPTIC TANK DOSE CHAMBER -- HOLDING TANK INFORMATION: to 1 25 , 0 > 7S Tank manufacturer S Size ST/P# / Setback from: House Well P/L Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM s� /4S ViG T - Type of system: Width Length Number of Trenches Setback from: House Well P/L Vent to fresh air intake ELEVATIONS �/� �'�' �°'v f-.• a.- - �JD U;,v(, -- ,S�7'�: c �'. Description of benchmark Elevation Description of alternate benchmark & ffc� Elevation /0 -77 Building Sewer 23 ST/aF Inlet /10 V. 85, ST Outlet /!5 y 7 PC Inlet el /p 7.2'7 PC Bottom ?� Header/Manifold ''� Top of ST/PC Manhole Cover — �oaE Distribution Lines () () ( ) Bottom of System ( ) ) ( ) Final Grade O Date of installation / / Permit number State plan number Plumber's signature ! License number 22 &3 License Date Inspector Ab/k� Complete plot plan � X NOTICE Please provide the following: VI T • A plan view sketch showing everything within 100 feet of the syst Sr cio • Two horizontal reference points to center of septic tank manhole co y r �� • Show alternate benchmark, if applicable. 7 PLAN VIEW f - 4 INDICATE NORTH ARROW r � U M rA FN I o� iA \ l �. M V. o ti ;� a 0 1� CSb ACC \n 3 ��x °, p o � A 3 IL I I M �S VIN 3 I� t Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: C IX Personal information you provice may be used for secondary purposes [Privacy Law s.15.04 (1)(m)]. 338998 PerrRt�9 'hR m & PAT ❑CityKINNI9CKINNIC State Plan ID No.: CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: 4 s � 022 - 1095 -50 -100 TANK INFORMATION _ ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ' ' it r Lx 1,-4 // Benchmark t `/. Z 1 Z y'f _ W Dosing ; .e , n U ev 2 . 7V Bldg. Sewer 5—, Z Hol 6/ Ht Inlet Z TANK SETBACK INFORMATION Ht Outlet 4 - 7 TANK TO P/ L WELL BLDG. Ai nttake ROAD Dt Inlet Septic 7Zs� 7 13 Z NA Dt Bottom Dosing >> S' fw� .. NA Header /Man. tion Dist. Pipe `0l� S Holdi Bot. System _ J ' PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM Z d , Z 7 ec 42 t TDH Lift Friction I System TDH Ft L oss G meadtti Forcemain Length Dia. Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMEN I N SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER � � � Model Number: System: >/ 7-0 — OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake 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 ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) �. 5-5-¢ r . 7 Z H- Z LOCATION: KINNICKINNIC 33.28.18.514B,NW,NE 1178 QTY RD M © u S eat 4o �- o� p l; d 4 , se. s 40 4s \ z o & J kouse «t✓ Sec .H l �6 -mod o�f�•� - � 'k I.., K _'5 Plan revision required? ❑ Yes ❑ No q Use other side for additional information. ( Z (y SBD -6710 (R.3/97) Date Inspector's Si ture Cert. No t Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue %Lonsin P O Box 7302 Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number �6 ,1111 1 9 1 8 Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)). State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION S OZ 77 4 P Property OwnerName • P operty cation '11 R 3� �' A10 /4 1/4, S 33 T 2 9 , N, R 1J (or Prope 7 . s Mailing A ress� O Lot Number Block Number Cit , Stat /f, / Z� ,, eN Subdivision Nam r CSM �ber � 31 Z f 1 61t*r� - 6 116 II. TYPE OF B ILD G: (check one) ❑ State Owned E] It w� - Near ❑ Vill ge /�/ Public or 2 Family Dwelling - No. of bedrooms wn o f '�N� III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo I g• S I `{' S 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2 E] Replacement 3. ❑ Replacement of 4_ [(Reconnection of 5. ❑ Repair of an ----- - _____ __System___ __ _ _____ __Tank -- -- __________ _ Existing System Existing System B) A Sanitary Permit was previously issued_ Permit Number Date Issued ? W' V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressun d Distribution Experimental Other 11 ❑ Seepage Bed 21 found 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 []Seepage Pit S'"�� T�.�� 43 C] Vault Privy 14 ❑System -In -Fill DIV .. e L p � 70 G VI. ABSORPTIONS EM INFORMATION: 1. Gall ns Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Require (sq. ft.) Proposed (sq. ft.) (Gals/?y /sq. ft.) (Min. /inch) !03 7�o Elevation '7 76 /= �L �' Feet Feet Ca aclt VII. TANK in allo Total # of Prefab. Site Fiber- Exper. INFORMATION New Existin Gallons Tanks M Name concrete st Con- Steel glaze Plastic App_ Tanks Tanks Septic Tank or Holding Tank 01 n R oor ❑ ❑ ❑ ❑ _74�_4 Lift Pump Tank /Siphon Chamber ! ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) r Plumber's Signature: (No Sta ps) MP /MPRSW No.: Business Phone Number '90661T 2411311 CO XI&I ) !; 7 <5- 3d'6 - slk5 Plumber's Address (Street, City, State, Zip Code): &5"5" D e " r G �� . � pS w / . IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Iss ing Agent Signature (No Stamps) Approved E] Owner Given Initial Surcharge Fee) hAn Adverse Determination X. CONDITIONS OF APPROVAL / REA ONS FOR DISAPPROVAL: SBD- 6398 (R.11197) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS , 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Ad min i'strptive Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the' county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6.; If you have,questions concerning your onsite sewage system, contact your local code administrator or the State of. Wisconsin, Safety and Buildings Division, 608 - 266 -3151. - To be complete and accurate this sanitary permit application must include: I. Property owner's name and 'mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed_ II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI_ Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County / Department Use Only. 4 Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic " tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction Joss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system,if required by the county; E) soil test data on a 115 form; and. all sizing information. ---------------------------------------------------------------------------------- GROUNDWATER SURCHARGE , 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer ��'� MTV /�/ • /Ul • S L L� Mailing Address ; //Z 7 �y� • s • 5*0 04L 5 �a G "ef&. Property Address D (Verification required from Planning Department for new construction) City /State D ZZ - �+� 1`,l�' sQ • �O� `l Parcel Identification Number LEGAL DESCRIPTION Property Location N JA) '/4, 'A, Sec. 3 3 , T Z f N -R W, Town of Subdivision Lot # 7 -- Cotifled Survey Map # sy7 � , Volume , Page # 3� Z Wgrranty Deed # s 5 1? 0 Volume III Page # ' Spec house ❑ yes e no Lot lines identifiable E Y es ❑ 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 113 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 days of the three y at expiration date. S 6111 SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION ` I (we) certif that all statements on this form are true to the best of my (our) knowledge. I (we)'9m (are) the owner(s) of the roperty describe above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** 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 t r VOL �� PaCf JJ EXHIE'T "A" Parcel A Lot 2 of Certified Survey Map filed July 23, 1996, in Vol. 11, page 3129 as Document No. 547147, being a paJ of the NW1 /4 of the NEI /4, the SE1 /4 of the NEI /4 and the NEI /4 of the NEI /4 of Section 33, T28N, R?tW, Towa of Kinnickinnic, St. Croix County, Wisconsin. TOGETHER WITH AND SUBJECT TO an easement for ingress, egress and utility purposes over the 66 foot wide roadway easement as the same is depicted on the above described Certified Survey Map. St. Croix County, Wisconsin. f - r i 1 4 i.. r r s, ST. CROIX COUNTY WISCONSIN _ k.. ZONING OFFICE R s ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road r� � -- Hudson, WI 54016 -7710 ,� (715) 386 - 4680 November 20, 1998 To Whom It May Concern: The code complying sanitary septic system for the Dan Nitzler property was installed on August 2, 1996 and was inspected by staff of this office at that time. The Nitzler property is located in part of the NW% of the NE'/ of Section 33, T28N -R1 8W, Town of Kinnickinnic, further described as Lot 2 of the Certified Survey Map recorded with the St. Croix County Register of Deeds in Volume 11 Page 3129. Should you have any questions regarding this subject, please feel free to contact the Zoning Office at 715 - 386 -4680 during regular business hours. Sincerely, Mary J. Jenkins Assistant Zoning Administrator c: Robert Ulbricht, Plumber Chairman, Town of Kinnickinnic Dan Nistler File f oft S TC - 104 && 4WO AS BUILT SANITARY SYSTEM REPORT OWNER �,P. -74" ? f T- /V �� / G ie• �'''"� y /rte ADDRESS 7 C7� /• /P �. 5� or `10 z. Z SUBDIVISION / CSM # �•� ' LOT Z SECTION — T_N -R S W, Town of /C/NN/G����/i 3T. CROIX'COUNTY, WISCONSIN P LAN EVERYTHING WI I IN FEET OF SYSTE 100 • M a p �/ s tom, ' s ��: � r ��s •' t . INDICATE NORTH ARROW Pf*ide 4etback and elevation informat' ion on reverse of this form': Provide 2 dimensions to center of septic tank manhole cove; ' r A13 f2NATE BM : Ay 7f /e / / Z �'6 Ss-Q • /00 dalQ. SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION . Manufacturer: ZV/CSE� �p,Vll �p, Liquid capacity: WTI G , j N S Setback from: Well N/� [louse /�- Other �- i7 � c� Pump: Manufacturer -Z0 Model# / Size Float seperation � ' ��� _Gallons/cycle: T O P �� Alarm Location T 6 /3e- 1 /NSi/7)E" '�U7� -i,� -� o a � � o�T II r ,v� �f'�s�X's •.o &W r-- vs av d,j S`�7X � T - �� li� ;SOIL ABSORPTION SYSTEM Width: 7 Length �7 / 9 Number of trenches Distance & Direction to nealiest prop. line: Setback from: well: N House A1 Other �- �oT�L ��____ ----- 1"0 l;C ELEVATIONS —~ Building Sewer ST Inlet: -� ST outlet /• 8� PC inlet X 00. 3 7 " PC bottom 6 /7 2 - 0 , Pump Off Header Manifold /0 3(p /D �j• 76 / Bottom of system Existing Grade /0/' 10 Final grade � 7fVP&R M00,vP DATE OF INSTALLATION: �J /G PLUMBER ON JOB: Ro 1 3E - R 7- :?I/I)/X LICENSE NUMBER: �� /I 5 3 3 6 7 'ECT I: Al 4f 7 �til 1�3- 3/93:jt r ' CL p st y . 0 3 ' O N ; 33 a C D) Vv O 0 m � C VN - x c c t o 1p � a � H ^' 1, b n i NE4,4OZ T La 7- C 4 aw n 1 a o Q C m 01 C r z 4. m �' U o, ?� w c to d vj� '1 I c b i p b 19 I Z � � `1 N � tv o or r rn I m L, m v , IVE4AFS 7 O C I r ' Aas 547147 LOCATED IN THE NW-NE, THE SW -NEC E THE R S NE, AND S E RVE� A SECTION 33 , T28N, R IOW, TOWNSHIP OF KINNICKINNIC , ST. CROIX CO., WI. UNPLATTED LAND$ N I/4 CDR. SEC. 33 NORTH L INE OF THE NE 1/4 • • NE COR. SEC.33 N 88 19'34' E 2 131 7. 58 892. 58 425. 00 :-��"i- 'V•V'F_ V Sao 01� ti' JUL 2 3 '961 1 ° _ N : �. m N. m • j-. y . Q, J a: �,ROIX COUNTY C;wr,;x0ensive Plarui 01: W z Zoning and 3 . Parks CommittOff ° z M I ^ U) >: 0 2 - I- SEPTIC 1i 110t r@COrdB N: L 0 T I within 30 days ol+ LOT 2 28.74 ACRES approval date ) 3, I g ACRES N v w ( 1, 252,097 SO. FT.) W 3 27. 42 AC. EXC. ROAD EASEMENTS 'j)p(ovalshad M (574,048 SO. z y von 11.81 AC.EXC. ROADEASE ASEMEN7S ( 1 , 194, 364 SO. FT.) 3 514. 324 SO. FT.) W 3 b_ z 3 F. W u) - Z O TING O O - j ..- ...... EXISTING HOUSE o O Im )F N ° y LO 2 N Q A• 0 W ELL � - W. - W 0: r; z z• a . J. J• d. 9 W p• DRIVEWAY M_ W M In 0 M O Ih J: en 01 M 4.. Z ro N ;. 0 0. • �_ `, N2°00 "W 33.83 N�o 79 /Q 9 /5 1T`1r� W 4 35 W 40 0 T< S 88° 14 32 W 1 285. 03 SOUTH LINE NW- NE 1 - 33' 33 UNPLATTED LANDS "' j PREPARED FOR 66' WIDE ROADWAY a ^' MICHAEL AND PEGGY LOTTMAN EASEMENT M 01 - ® -COUNTY MONUMENT FOUND 3 W O : I" IRON PIPE FOUND q ' M {INI/f1�P �kc;O 'i O PER X24!R I PIPE WEIGHING 1.13LOS. O o O • N 2 O JAMES M. �`j 'l z ° vi WEBER NOTE: BEARINGS ARE REFERENCED SSB °09 ' W a00"t S-1804 TO THE NORTH LINE OF THE N E I/4 . 66.00 29 . 333.00' SP RING VALLEY RECORD BEARING). wls. G.T. +. 1 M- — < <' r •• ••• 33.00 33.00 v�,� S 86 W Su f /111S1:�S�, SCALE I "= 200' 66.00 JAMES M. WEBER S -1804 NELSEN -WEBER LAND SURVEYING 0 100 200 400 DATED -a`w4 Z �qA4 RNA -mow SHEET I OF 2 94 -72 THIS INSTRUMENT DRAFTED BY J IM WEBER VOL. 11 PAGE 3129 l CVVI CCCIII / STC - 104 �1 p AS'BUILT SANITARY SYSTEM REPORT A fA 0 O �J,P. OWNER T /S ! G�/e SOV 4 fro p 6#4 = /TE ADDRESS �! ? C� � Cl % t? L?. M �fro SUBDIVISION / CSM# !/�/ l� LOT # Z SECTION T 2 '� N =R 6 W, Town of ST. CROIX`COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100'FiET OF SYSTEM *off, ORIGIN 19 1RM 4, INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. ,t�'��f' ,tom► a�w � • ��,P.o� �e r� T�. ��� . �} d .1 loot . A6VkkWATE • BM • / �iY 0 0 � r /�yG / • ��LZ v • _ /0 00 7Co SEPTIC TANK,/ PUMP CHAMBER HOLDING..TANR INFORMATION �• Manufacturer: ��S�i "�� r'e �• Liquid Capacity: �2� /G ( Setback from: Well �/ House N /l Other �- y � Up �O E E� 4 ' Model# I Size �, Gd E ��� Pump: Manufacturer a / • GT d rr NsPs Float seperation Gallons /cycle: of D To Alarm Location TOP O �v� r � R' -SOIL ABSORPTION SYSTEM Width: Length Number of trenches /,uEST �, • Distance & Direction to neatest prop. line: Setback from: well: N t+ House Other r �oT�� LET S�Pr 1'c Z+Vk r"4rv 106 --S0 . �p • /CO f r• TC ELEVATIONS , �~ /0 (v . O /O�. O /a� Building Sewer ST Inlet: a ST outlet. PC inlet X 37 / PC bottom 6 77 2 - 0 Pump Off 9e• 2 • b Header/Mani Bttom of system Existing Grade 161. Final grade 0 ,' 90 u .ov.uD 71 -o` DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: 3 3 6 7 INSPECTOR: � /" y 3/93:jt I • y 107 -Z Ar IU o � � -� o- � �- °� • � 1 � 4 � . pb Qj ° • �I x '� I 0 h 10 � Z E Q ° n ILo ` v v • `V � M V 0 + Wisconsin Department of Industry PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST . CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 224641 Permit Holder's Name: - []City ❑ Village C Town of: State Plan ID No.: LOTTMAN, MIKE & PEGGY KINNICKINNIC CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION V eLEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r /__ - Benchmark !� 7S �� /00 ' Dosing '�$, ! �' � /00' Aeration Bldg. Sewer Holding St /Ht Inlet �v' vS Off` TANK SETBACK INFORMATION St /Ht Outlet 9.1 TANK TO P/ L WELL BLDG. A ir ir I to ntake ROAD Dt Inlet 3Tf / D 0. 3' ' A g ✓ Septic ',z5 ' 3 NA Dt Bottom Dosing >as 3 — NA Header / Man. U, 39' l 3 Aeration NA Dist. Pipe U 3 /, / /e)46 ' Holding Bot. System X99 /o 3, 9 1 PUMP/ SIPHON INFORMATION Final Grade 05 yo' Manufacturer Demand / ., ��7i .� (!' ' `,? % n, J�+ S� 8. V . Model Number 3o GPM TDH Lift&,lt- Friction 5 System TDHG 1q Ft Forcemain Length Dia. l Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS -z/' �� DIMENSION SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O Mo Number: System: p?v? ,,.n OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia - Length Z Dia. �� Spacing L / 11 L g SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over 1 F Fr' Yes Depth Of 4- xx Sodtlff xx Mulched Bed/ Trench Center /C) _! Bed /Trench Edges 1g Topsoil (0 - res ❑ No Lz]'4es ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Kinnickinnic.33.28.18W, NW, NE, Hwy M 7 Plan revision required? ❑ Yes dNo Use other side for additional information. I C/( SBD -6710 (R 05/91) Date L tn ctor's Signature Cert. No T SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code cou57t STATE SANT � PERMIT # —Attach complete plans (to the county copy only) for the system, on paper not less than { ' Q , �r J ) 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. SLA SLAT PLAN I.D. NUMBER 1. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION. �(� 2- - n PROPERTY OWNER _ PROPERTY LOCATION r /_ /� /�'� !-CJ Tiy�� �'/a I ry., S 33 T2� , N, R f� E (or W PROPERTY OWNER'S MAILING ADDRESS LOT # Z BLOCK # & Av V. 14 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME Q CSM NUMBER II. TYPE OF BUILDING (Check one) LLAGE : State Owned ❑ CITY NE REST ROAD ❑ Public LJ 1 or 2 Fam. Dwelling --�# of bedrooms PA C L TAX NUMBER() r 111. BUILDING USE: (If building type is public, check all that apply) / Q �J 5� /00 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility /Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales /Repairs 11 ❑ Restaurant/Bar /Dining 4 ❑ Church /School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel /Motel 9 ❑ Office /Factory 13 ❑ Other: Specify IV. TYPE O PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit## Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressu' ed Distribution Experimental Other 11 El Seepage Bed 21 L"J Mound 30 El Specify Type 41 El Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: l66, 0 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) ELEVATION �a � 1.7— * /O �� 7 Feet Feet VII. TANK CAPACITY Site in ciallons Total # of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks _ structed Septic Tank or Holding Tank /&W d� L) Lift Pump Tank/Siphon Chamber 750 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) Io1P/MPRSW No Business Phone Number: P SEET ZI t AP- I CLOT 330 71 06 Plumber's A ess (Street, City, State, Zip Code): IX. COUNTY /DEPARTMENT USE ONLY ❑ Disapproved Sagitary Permit Fee (Includes Groundwater ate Issued I ing Agent Si nature (No $tamps) Approved El Owner Given Initial t Q� Q� Do Surcharge Fee) J Af A-4 Adverse Determination X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: SBD- 6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety 8 Buildings Division, Owner, Plumber T � � E INSTRUCTIONS , e 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD 6399) to be ?� submitted to the county prior to installation: 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608 - 266 -3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. Ill. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1 -7. VII. Tank information. Fill in the capacity of every new and /or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County /Department Use Only. X. County /Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains /water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. f GROUNDWATER SURCHARGE 0 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground - water contamination investigations and establishment of standards. SBD -6398 (R.11/88) J r A A SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations . PRIVATE SEWAGE PLAN APPROVAL Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 BOB ULBRICHT Owner: MIKE & PEGGY LOTMANN 655 O'NEIL ROAD 1176 HWY M HUDSON WI 54016 RIVER FALLS WI 54022 RE: Plan Number: S92=02778 Date Approved August - 2 - 0 - 1992 1992 Gallons Per Day 300 Date Received: August 17, 1992 Project Name LOTTMAN, MIKE & PEGGY Location: NW,NE,33,28,18W RESIDENCE Town of KINNICKINNIC County: ST CROIX 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. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50 -64 of the Wisconsin Administrative code. This approval is for the following components only: - NEW PETITION - NEW MOUND ORIGINAL S B D 6423 1 R. 01 /911 r— r � s SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations BOB ULBRICHT Page 2 Inquiries concerning this approval may be made by calling (6UB) 266 -6230. Sincerel NNE H STIEMKE Section of Private Sewage Division of Safety and Buildings PPP016 /0009n/ 4 cc: MIKE & PEGGY LOTMANN _Private Sewage Consultant _County _UW -SSWMP _Plumbing Consultant _Owner _Plumber Environmental Health SBD 6423 R. 014111 1 ft 4n; AL " f SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Bog 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations August 19, 1992 MIKE AND PEGGY LOHMAN 1176 HIGHWAY M RIVER FALLS WI 54022 Petition No. S92- 02778 -P Dear Mr. and Mrs. Lohman: Re: Mike and Peggy Lohman - Residence Private Sewage System NW,NE,33,28,18W Town of Kinnickinnic, St. Croix County, WI Your petition for a variance to section ILHR 83.23 (1)(d) 1., Wisconsin Administrative Code, has been reviewed. The petition has been approved. The rule being petitioned requires that a mound system shall be allowed where at least 24 inches of unsaturated natural soil exists above estimated high groundwater as indicated by soil morphological conditions. The variance requested was to allow a mound to be installed for a new residence with 14 inches of suitable natural soil. All of the data and statements submitted on behalf of the petitioner were considered. This variance is specific to the subject petition and cannot be used for any additional modifications. Sincerely, I c a r Wee rc i to Director, Office of Di i ion Codes and Applicatio (608) 266 -3080 RM: KS: 231 4WPP 1 cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls Thomas Nelson, Zoning Administrator - St. Croix County Bob Ulbricht S H D 6928 A 01/91) 1' S92 =02778 _I.L.H.R. 83.08(,2) � --- — - - - -- PROJECT INDEX SHEET Owner: A� y L o % l�- Ii�•c/ 7�5 — �/�,� 2 1`�D A d dr ess: 76? ff w� R J i U� ��f;�S C� /S . ✓� y0 Z L Site Location: Project Description: ✓r C,�°p�;� Cpv,�J c , 2 ty t' /�_ w i d�- ro oD •-' v�� ..'" /�' u c � v .t'�" �- � G"/�� /�7� J / / K. /� T /' /� �� y / L :'[Jw C !� I J •'l r s l /(G '_' "� f� /�^�7� /j/ 767 ® '`t 7 l y GU, U�'i `/:7,0 «_ / I ,� ,/� / � ,�J Tyr . ,: r �,,. '+ •f ! , ° ./"'•�� �..� V �IC ��'� � r V• /� �GJ a. �•� i /' K . -Q. � Cr�t J i � L. � _ r' � fir-- �r / �J� , V ! "SGG�'► /4 L� r rf !' � " �y/ay / la'VS ©� e. 1 ✓ i ll /C D �%i c i� c L -� o 14- J Qt V.eA9 Page 1. PLOT PLAN VIEWS !J Page 2. MOUND CROSS SECTION & SYSTEM PLAN VIEWS Page 3. PIPE LATERAL LAYOUT Page 4. DOSING CHAMBER CROSS SECTION Page 5. PUMP PER FROMANCF SPECS , 1 -10'X SITE SEPTIC PLUMBING CO. PLUMBER : r; , 01 -flL RD., HUDSON, WIS, 54016 ROBERT ULBRIGHT NiF-' klo:i - i E-ti P! UMBER LIC. NO. 3307 M.P,R.S. MtNIN !r)! "1 1,LL ! *a & DESIGNER LIC. N0.00663 PATE: �y SITL EVALUATER/ DESIGMER S I G N A T U R E HOMESITE SEPTIC PLUMBING CO. 655 O'NEIL RD., HUDSON, WIS. 54016 r ROBERT ULBRIGHT WIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. '— ' –�' --- – MtNN. INSTALLER 3 -DESIGNER LIC. NO. 00663 i a' f E' W cn b m w En 'v H. 0 �_ ::I �3' " C3. rr m (D P. N• F" 5 9 2- 0 2'7 '7 8 � Fl- P. (D 0 z t >; , CIT cn 0 O b ., F- CIS Fy F- in � H. N r r OQ 0 m m O 3 C :X) m �onnnpr• "zm0 m m 0 n p `°�7'' ED cn 0 Q Oq 0rn -4 �-4 c G w (D` 1 C)E:: En z C H I Q a rt r' Z ^1 0: m m 11 1" t"v1� r„� 1 V w (.0 OG U) H g O m r'i c h'S =p Orn m O m P. 7D i w � O LLii Gn U7 in W ;7 N• 7 _ O I - - -- - w h O w 'xocmn ly a N P. I 3 - -- .` cn rD Q In I I I - � � d • - y1 h1A th Cl � r ° t 4 G v E ` ` - -- - �E s ally p -a Q ` eJP � r' R i P 1, R� 1 C oll M L1 1 Q� \� ~F COF NS N � .1d 1 ,0 41, 33 ' # 5 5Tt I Sct�� u v C,` /.� ;-e ie f� /03 7D 1 1 E� � c� S ,92 w0 78 Page O f 0 & 7 Strow, Marsh Hay, Or Synthetic Coverin 00 Distribution Pipe €"> r Medium Sand A .... H � � G Topsoil �_. F D E ' g % Slope Trench Of ,"-2 Force Main Plowed /�/ 70. Aggregate Layer R ` Undisturbed; D Z ' 0 Ft. $oil M E Z• 2 Ft. . Cross Section Of A Mound System Using F - �?O Ft. Trench For The Absorption Area G 40 Ft. W �$ A Ft. H �•..5� Ft. �,,►rt 9 B y Ft. K 13 Ft. PA J / 9 Ft F�R� A � osition of Force Main Y /Y Ft. �' u 31 Ft. is J i K A- �_._.`_.� - -- --- T I i fly \' Observation Permonbnt Pipes �. Markers 1 Trench Of z» — 2 z M ' I Aggregate sl Mound Using Trench For Absorption Area I t 4 Page 3 Of F VOI 1 1 01 MM E" 11:50e 30 .7 Perforated Pipe Detall S 9 2 - O 2 7 7 8 uV Ri Gti T fik VA v l v 3' / En View ) Perforoted t End Cap • \t t "�?. PVC Pipe I. Joi`o 0 Holes Located On Bottom, Are Equally Spaced S a / GE SYSYEM / � itiorta ll y t PVC Fo Mil a ED U DF IND USTNY SAf AND 6U11D DEPT[. DIVISION DF i- Distribution ESP�NpENCE Pipe SSE (`,Q Lost Hole Should Be Neat To End Cop I' End Cop Distribution Pipe Layout P �lQ Ft. p X �O Inches Y /6 Inches Signed: Hole Diameter �� Inch Lateral Z Inches) License Number: Manifold " 2 ' Inches Date: Force Main 2- Inches # of: holes /pipe 2- I / 0Y ' Elevation of Laterals Ft. CJ�'STK�j3vT /O� 1 ' 5 e G APj E t 9 7 z-: 14 7,6 ' 4 i Welt- O Tic Z 7 irj r v15 /6urloj Dl-se4L p z. lvOek- f I i l I .I i i PUMP CHAMBER CROSS SECTIONJ AND SPECIFICATIONS P, 41 OF S j I VENT CAP S g2 - 027 7 8 4`C.I. VENT PIPE WEATHER PROOF APPROVED LOCKIKIG r JUNCTION BOX MANHOLE COVER 25' FROM DOOR, w/ 41A,6 /AISE� WINDOW OR FRESH 12 "MIU. AIR INTAKE I l LrleW11 - /OAl GRADE I H"MINJ. I /0 COI.IDUIT -- ---- - - - - -- �IEv�n oti � rl WLET PROVIDE AIRTIGHT SEAL ® L; r I I I 90'✓ �� I II APPROVED JOINTS APPROVED JOINT A INy �� K -� I I I I W /C.I. PIPE LJ /C.I. PIPE `OIAI A�jlr I EXT EIJ OING 3' EXTENDING 3 ' 00 I I ALARM OLITO SOLID SOIL B ONTO SOLID SOIL � � 4 I G n 3 PI k Om III � • �� c 3 LLEV. FT. S /~ OFF 6- i�tl� OF S�F ` p fA)j , t - A) B K S . RISER EXIT PERMITTED OQLLJ I K 71 UUFACTURER HAS SUCH APPROVAL 5PECIFI'CATl0KJS SEr 'IC E — DOSE TANKS MAAIUFACTURER: W MBER OF DOSES: PER DA-4 i. TAWK SIZE: GALLONS DOSE VOLUME 5 ALARM MAAIUFACTURER: G U G Altll6f INCLUDING BACKFLOW: a GAL.LONS MODEL HUMBER: "G' U CAPACITIES: A = � S '� O INCHES SWITCH TYPE: B 300 GALLONS / �'�fGV/P Z INCHES OR 3 v GALLONS PUMP MANUFACTURER: Z4 El/�A'l y C = �' Z INCHES OR �lf GALLOWS .' MODEL WUMBER'. u A e b ,rte Y /l� D= OR ? ! �— G'LLLONS SWITCH TJPE: �� / MOTE: PUMP AUD ALARM ARE TO BE MIKIIMUM DISCHARGE RATE- GPM INSTALLED ON SEPARATE CIRCUITS VE RTICAL DIFFEKEMCE BETWEEM PUMP OFF AND DISTRIBUTIOW PIPE 719 FEET —r AA ) L SPEC + MIKIIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.S FEET 6A6(A, L 0 i + 3� FEET OF FORCE MAIN X /.5 /` F YoFT•FRICTIOU FACTOR.. 'S FEET TOTAL DYNAMIC HEAD — FEET "} P / ? 3 IIJTERNAL. DIMEIJSIONS OF TANK: LEtJGTH _G — ;WIDTH ;LIQUID DEPTH te' A is a f j 7i {IIJ r:.: ���N, k�++.ubdwiNrw�na+mr. ... -. _, .... ...._ ., .... .,�,...,,, , i y 3 7/8 s 1/4 HEAD CAPACITY CURVE 30 MODEL "98" a 5/e 25 y s 2 m + Y 15 4 3/16 ~ 1 10 it 1 1/2 -11 1/2 NPT .. 2 S S 92 - 0 2'7 8 U.S. GALLONS 10 20 30 40 50 60 70 80 80 160 240 ^`. 0 FLOW PER MINUTE I TOTAL DYNAMIC MEAD /FLOW PER AIINUTE ,,. EFFLUENT AND DEWATERING CAPACITY 12 HEAD UNITS /MIN FEET METERS GALS LYRS 1.52 61 273 1 t 10 3.05 81 : ?31 R 1 15 4.57 45 170 _ 3 5/16 M � 20 6.10 25 95 / dr, • I I Lock Valve 23' t 1,. • CONSULT FACTORY FOR SPECIAL APPLICATIONS 4 Electrical .alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and i" Supplied with an alarm. three phase systems. p, f+ llechaflical.alternotors, for duplex systems, are available with or • Double piggyback mercury float switches are available for ?. without alarm $witches. variable level long cycle controls. } i ` SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. cx, $ tandard all models - Weight 39 lbs. - /2 H.P. 2. Single mercury pggyback mercury, float _ g p mercu float switch or double i 98 Series Control Selection switch. Refer to FM0477. •- Model Volts -Ph ` Mode Amps Simplex Du lex 3. Mechanical alternator 10 -0072 or 10 -0075. r M9 115 1 Auto 9.0 , 1 or 1 & 7 — 4. See FM0712, for correct model of Electrical Alternator, "E -Pak ". N98 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor float switch 10 -0225 used as a control activator, specify D98 230 1 Auto 4.5 1 or 1 & 7 — duplex (3) or (4) float system. 6. Four (4) hole "J- Pak ", junction box, for watertight connection or wired -in sim- ir,• 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 plex or duplex operation, 10 -0002. 7. Two (2) hole "J- Pak ", for watertight connection or splice. e.. 1 CAUTION For information on additional Zoeller products refer to catalog on Combination Starter, FMO514; All installation of controls, protection devices and wiring should be done by a quell- Piggyback Mercury Switches, FMO477; Electrical Alternator, FM0486, Mechanical Afternator, tied licensed electrician. All electrical and 'safety eodea should be followed Inolud- FMO495; Alalm Package, FMO513; Sump/Sewage Basins, FMO487; and Simplex Control Box, Ing the most recent National Electric Code (NEC) and the OceNpetlooal Safety and FMO732. Health Act (OSHA). RESERVE POWERED DESIGN 1-1 t For'unlisual conditions a reserve safety factor Is Erngineered into the design of every Zoeller pump. ' MAIL T0: P.O. BOX 16347 w 0 LouisvN&, KY 40256 -0347 Manufacturers 0/.. . nF��Z� SHIP 10: 3280 Or' Pvfille/s Lane ZZ/ ` � 11(502) � Louicr�i;r, KY 40216 ,QUAI /1Y PUMPS S/NCE �;�„� 778 2731 • FAX (502) 774-3624 I Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of 3 Labor 9nd Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code L ' COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 5r, ceof' X { not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. eZv 5'17�L &X44 -t d e APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION SOrL REVIEWED BY DATE -. T.4 o.-r/4.rc,,, 5 9z. PROPERTY OWNER: PROPERTY LOCATION GOVT.LOT MW 114 NE 14,S 33T 2- 0 ,N,R l E (o(o PROP RTY OWNERS MAILING ADDRESS �l �Cp ttcv M Pq'er o/= gU '-f upEs t CITY, STATE ZIP CODE PHONE NUMBER [:]CITY []VILLAGE [MOWN NEAREST ROAD R /(/E f/t a/, 5 (7/S) 4Z5 i�✓,viC1 vI ffw M [X] New Construction Use Residential / Number of bedrooms Z- [ ]Addition to existing building j Replacement [ ] Public or commercial describe Code derived daily foR 1 Y flow � 9Pd Recommended design loading rate bed, gpd/ft 2 • 7 trench, gpolft 2 Absorption area required 37 -5 - bed, ft2 395 trench, ft Maximum design loading rate -�- bed, gpd /ft • trench, gpd/ft Recommended infiltration surface elevation(s ft (as referred to site plan benchmark) Additional design/ site considerations ?" 0"/i O & 00r. /PEG ire�O� Tiv,� - o ctt�PS %2�' X012 3 Q EDP y s Parent material Flood plain elevation, if applicable V ft u�E T/l C!7 D S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem O S 5I U ®S O U CIS ®U EIS SI U EIS Q U AD S O U lvfA V4 AIWA0114L SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Co ns is tence Bou Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground 3' /9 /o /iP 313 S1/ 3, ,w,, sot a,, f e elev. /0 .34 ft. / 30 2 J /A S/y ms's � �, c/ 2 ,,•,,, 03�C In fi i 7 s s Y Depth to e 0 -36 5 ^ � ��3 - s li4iF .NAss� aE .f� v� — �v� N limiting factor r AL Remarks: "tio�izo,� /So 7 S �ir4eTv�� o G�:tiEs7a v� Boring # G io yet 21-2- — �/ Z, s/ it, rr!/� S Z,r,, s' • G <:..... 1 1 - lU /d /� e57 I t Ground �9, oG it. - 3 �,,5"yi2 ✓`� - 7.5 yA 4 g G/ L h� 40 4011 Depth to limiting factor Remarks: 411 3 PfT 5 m&-& r 14 f} 4 ,P v /F A?w �i D U,vp CST Name:- Please Print HOMESITE SEPTIC PLUMBING CO. Phone: I RD. HUDSON, WIS. 54016 A ddress: ROBERT ULBRIGHT Si t + °aNN. tM �4LLER & DESIGNER UC. tJO.00663 Date: �� — 9z CST Numb y�Z i PROPERTY OWNER Ld �'� SOIL DESCRIPTION REPORT P &ge o PARCEL I.D. # Depth Dominant Color Mottles Structure Boring # Horizon Texture Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch s _ o 2/ s'/ Z,4,1, Sk 4t e s z, . s Ground Y 3 Si 3 elev. /oz . y� rk 4 C/ 2 1 '": �.� �►•►r IJ�/ " S �' . 5 Depth to j limiting factor p . Remarks: T�� S i 5 A f/�,gvi'G CuooD�D �y�p, �GvooA-Ps Boring # .9 d % 7 Dui / �� 4''v /.�' c fu Ground ;• elev. .vf� 0 7 mil t�S 7`o - ft. -- Depth to tilrt ": Gui .v 1"e;6-4 limiting factor I L�D•J ,� Ali Remarks: � 0 1 0r-- Y Boring # 01 x Ground 5 70 elev. C� �t Zd To T -1W 00 44 - F t ft. Depth to Jr icr�: 37U �J limiting C factor — — Remarks: Boring # Ground elev. Depth to — limitin g factor Remarks: _ SBD- 8330(8.05/92) t i ' G i C � s 4 z b• 1 V N o Ck / - LI, t sS n + D G IN ��LL ---- OJ q 0 ` C ° 11 v o N p c � N „ m ©, C s ti NS 0 . x 6b (A Ll AL Q'ILHR ' AND SITE EVALUATION REPORT in accord with ILHR 83.05, Wis. Adm. Code COUNTY ` Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCELI.D. R dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER PROPERTY LOCATION GOVT. LOT 1/4 1/4,S 3�T ,N R PROPERTY CyWNER'S MAILING ADDRESS LOT N BLOCK M I SUBD. NAME OR CSM I CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE N NEAR ST ROAD 14-'ge Construction Use ( I Residential / Number of bedrooms j I ReplaeeT"t ( I Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd$ tench, gpde Absorption area required bed, 1`1 trench, ft Maximum design loading rate bed, gpd/it trench, gpde Recommended Infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable It S = Suitable for system I CONVENTIONAL MOUND INGROUNDPRESSURE AT•GRADE SYSTEM IN Fl LL HOLDING TANK U= Unsuitable fors stem O S O U O S O U O S O U O S O U IDS O U CIS O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Conststerlce'�' Roots Bed ITrerxt t'k i a D 04 Ground elev. / ft. , ,5 Depth to limiting factor Remark's: - Boring # Ground �./ wn — Ii elev. ft i • C •r. C 3 �f sSiuk Depth to - -- — limiting factor — � Remar CST Name: — Please Print Phone: Address: _ Signature _ Date: CST Number: I ST. CROIX COUNTY WISCONSIN K M Y ZONING OFFICE :Stir' ?�'h'• ..y; . ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 _ (715) 386 -4680 .W Aug. 4, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Mike Lottman property, located in the NW1 /4 of the NE1 /4, Sec.33, T28N, R18W, Town of Kinnickinnic, St. Croix County, WI., has been conducted with the assistance of Bob Ulbricht, CST# 2482. This onsite revealed suitable soil for onsite sewage disposal to a depth of 14 while meeting the requirments of the A + 4 rule. This site should be suitable for new construction using a mound septic system having 22" of sand fill. Should you have any questions, please feel free to contact this office. Since ely, James K. Thompson Assistant Zoning Administrator cc: file CERTIFIED SURVEY MAP LOCATED IN THE NW THE SW -NE, THE SE -NE, AND THE NE -NE, ALL IN SECTION 33 T28N, R 18W, TOWNSHIP OF KINNICKINNIC , ST. CROIX CO., WI. PLATTED LANDS N I/4 COR. SEC. 33 UN NORTH LINE OF THE NE 1/4 NE COR. SEC.33 N 88 "E 1317. 58 892. 58 425. 00 ` 3� in M1. Lo. Q; � N. _; y Q a: J a) W -j' 2 O• 3. >. z In i rn - ' SEPTIC LO T I LOT 2 N I- "' 28.74 ACRES 1 3.18 ACRES W ( I, 252,087 SO. FT.) V ( 574,048 SO. FT.) 2 Lu 3 27. 42 AC. EXC, ROAD EASEMENTS m ( I , 184, 364 S4. FT.) 1 I. 81 AC. EX C. ROAD EASEMENTS 3 rn ( 5 1 4, 324 SO. FT.) w 3 to z 3 ^ - - — z Lo O .. r....... EXISTING o OJ HOUSE a ► Lo to 2 O• p "WELL U) W O. W. _ �.. Z Z Q . J. J • d• Z' O W O DRIVEWAY rh W Lo CO N Q M o M J. , 0) a. N2000'17"W 4 = - 74 , 33.83 � 7.9 5 i N7go/5 W 0 S88 14 32 W 1285.03 i - 33' 33' SOUTH LINE NW -NE UNPLATTED LANDS 't a M M � M PREPARED FOR 66' WIDE ROADWAY - M O MICHAEL AND PEGGY LOTTMAN EASEMENT m ®= COUNTY MONUMENT FOUND 3 • s I" IRON PIPE FOUND - N /-• t,M�� O = SET I "X 24' IRON PIPE WEIGHING 1.13 LBS. O p VOI� PER LINEAR FOOT. O Z 0 o N JAMES M. NOTE: BEARINGS ARE REFERENCEO o S88 0929W In WEBER TO THE NORTH LINE OF THE N E 1/4 66,00 33.00 a 33.00' 5-1804 (RECORD BEARING). SPRING VALLEY �� r 'M" a j� ` W1S. J � 33.00 33.00 9 '�q, �.••• S 8 8 0 0 9'2 9"w flo 4 SU�v��� SCALE I "= 200 66.00' 4, floo904 JAMES M. WEBER S -1804 N ELSEN-WEBER LAND SURVEYING 0 100 200 400 DATED Jw4Z-- '1�a1q `SHEET I OF'2 94 -72 THIS INSTRUMENT DRAFTED BY J IM WEBER DLP— SCE2 I PT I (D" A parcel of land located in the NW 1/4 of the NE 1/4, the SW 1/4 of the NE 1/4, the SE 1/4 of the NE 1/4 and in the NE 1/4 of the NE 1/4, all in Section 33, T28N, R18W, Township of Kinnickinnic, St.Croix County, Wisconsin, more fully described as follows: Beginning at the N 1/4 corner of said Section 33: Thence N88 "E along the North line of the NE 1/4 a distance of 1317.58' to the NE corner of the NW 1/4 of the NE 1/4 of said Section 33; Thence S2 "E along the East line of said NW 1/4 of the NE 1/4 a distance of 1257.05'; Thence S79 "E 33.83'; Thence S2 "E 1370.37' to a point on the East-West Quarter Section Line of said Section 33; Thence 588 "W along said line 66.00';` Thence N2 0 00'17 "W 1317.45' to a point on the South line of the NW 1/4 of the NE 1/4 of said Section 33; Thence S88 "W along said line 1285.03' to the SW corner of said NW 1/4 of the NE 1/4; Thence N1 "W along the West line of said NW 1/4 of the NE 1/4 a distance of 1319.33' to the point of beginning. Contains 41.92 acres subject to C.T.H. "M" right -of -way and any and all additional right -of -ways, easements.or conveyances of record. SUF2V1✓YOF2 ' S CP —R- I F= I CAT1✓ I, James M. Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St.Croix County Subdivision Ordinance and under the direction of Michael and Peggy Lottman, owners, I have surveyed, divided and mapped the above described parcel of land and that this map is a correct representation of the boundary described Dated this \"" day of ,1994. s �5 ' 1 % James M. Weber S -1804 Y} JAMES M. NELSEN -WEBER LAND SURVEYING WEBER S- 1804 SPRING VALLEY Wis.� NOTE: The parcels shown on this map are subject to State S e N O Township laws. rules and regulations (i.e. wetlands, minimum oa6q► access to parcel, etc.). Before purchasing or developing any parcel, contact the St.Croix County Zoning Office and the appropriate Township Board for advice. SHEET 2 OF 2 94 -72 This instrument drafted by Jim Weber STC -105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER � ` ��` 1- MAILING ADDRESS S PROPERTY ADDRESS I f I -VE X s s Z (location of septic system) Please obtain from the Planning Dept. CITY /STATE �7 PROPERTY LOCATION NW 1/4, N� 1/4, Section 33 T 2 '� N -R /d W TOWN OF !��'tlN� «N� ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP ,VOLUME , PAGE , LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment 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 system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. 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 DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three y expirat'on date. SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 t 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 issuance. Should this development be intended for resale by owner/ contractor, (spec house), then a second form should be retained and completed w the property is sold and submitted to this office the appropriate deed recording. ------------------------------------------------------------------- Owner of property P�y , E /y /;'k-� Go TT.H�, - Location of property N Gd 1/4 PVC 1/4, Section 33 , T 24 N -R /0 W Township Mailing address 1 / 9 Ce tftJ V • M le i' ut.- 4015. S Y aLZ. Address of site 5dvv--- Subdivision name /3 Lot no. Other homes on property? Yes No Previous owner of property Jbic Total size of property /3 • T 4 et S Total size of parcel 4ea S Date parcel was created /f i Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes Z- o Volume and Page Number -- as recorded with the Register of Deeds. ------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. 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 Certified Survey Map shall also be required. 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 i11 h� ffice of the County Register of ' Deeds as Document No. / N 0 s , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Signa � 6 ' f Applicant Co- Applicant -z -9 Date of Sianature Date of SianaturP ' DOCUMENT NO, STATE. BAR OF WISCONSI FORM I -1982 THIS SPACE RESERVED FOR RECORDING DATA A WARRANTY {{ DEED A � .I���Ed'� 7� 451083 �`�' REGISTER'S OFFICE This Deed, made het—en Joseph 0. Maxwell, a ST, CROIX CO., WI single man Recd for Record Grantor, AlU'G 3 11989 ; ,,,,1 Michael D. Lottman and Peggy Ann Lottman, of 8:30 A. M husband and wife as tenants in common � � R e egister of Deeds Grantee, Witnesseth, That the ai,t t;:antor, for a valuable consideration RCIVHN TO Steven B. Goff I•uncr.s to Grantee the fuilowin); Iiesrr!h,d real estate in SC. Croix P 0. BOX 167 County, State of W Seonsln: River Falls, WI 54022 The Northwest Quarter (NW of the NE 1/4 of section 33- 28 -18, the East 1 rod of the SW's of Tax Parcel No: the NEB, of section 33- 2S -18, containing 40 acres, FEE more or less, - ---- EXEMn and The West 1 rod of the East 2 rods of the Southwest 1/4 of the Northeast 1/4 of Section 33, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin, being subject to easement over southerly portions of said parcel for C.T.H. "M" R.O.W. purposes, also being subject to easements of record. This parcel containing 0.50 acres, more or less. This deed is given to correct the legal description in that certaiinLand Contract dated December 1, 1988 and recorded December 2, 1988 at 3:15 p. of Records, n3ge 513, as document no. 443570 in the office of the Register of Deeds for St. Croix County, Wisconsin, and that certain Warrantv Deed dated August 1, 1989 and recorded August 4, 1989 at 11:10 a.m. in Volume 847 of records, page 639, as document no. 450346, both documents between Joseph 0. Maxwell and Michael D. Lottman and Peggy Ann Lottman. Ti is not nnustead property - txx li, nLt, Tot;ctk.er w`,tn all and sinz -,i:Ir t`:c an,i ;,i i :rten;Ice, 'hereunLl bcloct !n�: And Joseph 0. Mayu-11 warrant; that thr taie i; luod, .n,i, ;rt ;!male and :rc a:.t c..:u' cr, rml.rar. rs r�:r,,t s -of -way of record and farmlard preservation easements, restrictions, and right agreement :,nd will warrant and de'e. ^.d tier -nrr.r. / �S+ 13 89 tr,,tfd chi; 3 0 �4 FA1, Jds ph 0. axwell ,SE:AL. AUTHENTICATION ACKNOWLEDGMENT Si€rnat -: e Jose h 0. Maxwell ti rated t 14 _ 30 la;: /� 89 of / 1 V �JS t I� Steven B. Goff TITLE: MEMBER � r:ATF: R.11; I+ I)N,4f ; I i f not, Steven B. Goff, Attorney at Law 710 North Main Street, Ro 167 \. River Falls, W sconsin 54122 ,, \11 I: „< Of 11 '' . ''' Stock No 13001 co 3`ou 5 47147 � Cf. ' •' LOCATED IN THE NW-NE, THE SW -NE THE SE- NE t AND SURVEY A MA P LL SECTION 33,T28N, R18W,TOWNSHIP OF KINNICKINNIC , ST. CROIX CO., WI. UNPLATTED LAND$ N 1/4 COR. SEC. 33 NORTH LINE OF THE NE I/4 • • • NE COR. SEC. 33 N 88 1934 "E 131 7. 58 892. 5'8 425. 00 P . 4pmOVED 3� JUL 2 3'961 O . N. Z• R. -'• �LROIX COUNTY a ' W Ganp(ehensive Plannh m z Zoning and 3 . Parks Cornm+ttai 0' _ >: 2 M — i — SEPTIC I f Rot recorded L Q T I within 30 days ob LO 2 28.74 ACRES approval date = , 13.18 ACRES N �' N W ( I, 252,097 SO. FT.) a W pproval Shad b* v ( $74,048 SQ. FT.) : 3 27, 42 AC. EXC. ROAD EASEMENTS m 11.81 AC.EXC. ROADEASEMENTS , ( 1 , 1 94, 364 SQ. FT.) vow m ( 5 1 324 SO. FT.) W 3 �0 2 3 � - - — N W Z L0 O 1 EXISTING O O • j...... / HOUSE o O I N O N 0.0 WELL W. ? N W Q F••; 2 Z. Q, J. J- O. O, W O. DRIVEWAY M- W' M O M J m 01 Ma Z N 2 7' W 33.83 N>9 /5�4-n�.14 W 4 �.. W4p 0 T4 S88 14 32 W 1285.03 3' 33' SOUTH LINE NW- NE - - UNPLATTED LANDS M PREPARED FOR: 66' WIDE ROADWAY cy O MICHAEL AND PEGGY LOTTMAN EASEMENT '? = = M w ®= COUNTY MONUMENT FOUND M . LU O = I IRON PIPE FOUND ~ n N t O.P RW �O "S 0 ' I RON PER LINEAR FOOT.IPE WEIGHING 1.13185. O O N = O '� ° o N NOTE: BEARINGS ARE REFERENCED S88 °09'29 "W th TO THE NORTH LINE OF THE N E I/4 66.00 3300 ♦ 33.00' ( RECORD BEARING). a` M TrT. . ... $3. 00 33.;0' . Su S U R v�+�'r S 8 8 69' 2 "W ��tel4>o43N�k� SCALE I 200 JAMES M. WEBER S- '1804 NELSEN -WEBER LAND SURVEYING 0 100 200 400' DATED -JwG - VI \gc1 SHEET I OF 2 94 -72 THIS INSTRUMENT DRAFTED BY J I'M WEBER VOL. 11 PAGE 3129 1 pESCRIPTION A parcel of land located in the NW 1/4 of the NE 1/4, the SW 1/4 of the NE 1/4, the SE 1/4 of the M-1/4 and in the NE 1/4 of the NE 1/4, all in Section 33, T28N, R18W, Township of Ri.nniekinnic, St.Croix County, Wisconsin, more fully described as follows: Beginning ai the N 1/4 corner of said Section 33: Thence N88 11 E along the North line of the NE 1/4 a distance of 1317.58' to the HE corner of the NW 1/4 of the NE 1/4 of said Section 33; Thence 52 ,0 00 1 17 11 E along the East line of said NW 1/4 of the NE 1/4 a distance of 1257.05 Thence 579 11 E 33.83 Thence 52 11 E 1370.37' to a point on the East -West Quarter Sect Line of said Section 33; Thence S88009 11 W along said line 66.00 Thence N2 "W 1317.45' to a point on the South lane of the NW 1/4 of the NE 1/.4 of said Section 33; Thence 888014 "W along said line 1285.03 to the SW cornea of said NW 1/4 of the NE 1/4; Thence X1 "W along the West lane of said NW 1/4 of the NE 1/4 a distance of 1319..33' to the point of beginning. Contains 41.92 acres subject to C.T.H. °M" right -of -way and any and all additional right -of -ways, easements or conveyances of recoxd. SURVEYOR'S CERTIFrCATE I, Jamues M. Weber, registered land surveyor, hereby certify: That in fall compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St.Croix County Subdivision Ordinance and under the direction of Michael and Peggy Lottman, owners, I have surveyed, divided and mapped the above described parcel of land and that this map is a correct representation of the boundary above. Go Dated this Z�day of ,1994 . /L JAMES K Fames M. Weber 3 -1804 ms WEBER NELSEN -WEBER LAND SURVEYING SPRING VALLEY Wis. a .NOTE: The parcels shown on this map are subject to ►����x, and Township laws. rules.and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact they St.Cxoix County Zoning Office and the appropriate Township Board for advice. SHEET 2 OP 2 94 -72 This instxi nt drafted by Jim Weber - VOL. 11 PAGE 3129 'I SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code 57, STATE SANITARY PERMIT # — Attach complete plans (to the county copy only) for the system, on paper not less than ,� 5t 'T 8% x 11 inches in size. 1:1 Check if revision to previous application -See reverse side for instructions for completing this application. ST T PLAN I.D. NUMBER 1. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION. 5 'Y) — 0 Z - n PROPERTY OWNEfi PROPERTY LOCATION Pt i 6 Y r / - O to T TM 4.t l 4./'/0� %, S 33 T'1 r) , N, R to E (or W PROPERTY OWNER'S MAILING ADDRESS LOT # -Z BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 11. TYPE OF BUILDING (Check one CITY NEAREST ROAD ) 1:1 State Owned �j ❑ VILLAGE : �/ (Jv j ❑ Public LJ 1 or 2 Fam. Dwelling of bedrooms PARCEL TA NUMBER(S) , 111. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales /Repairs 11 ❑ Restaurant/Bar /Dining 4 ❑ Church /School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel /Motel 9 ❑ Office /Factory 13 ❑ Other: Specify IV. TYPE O PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit## Date Iss V. TYPE OF SYSTEM: (Check only one) r _ Non- Pressurized Distribution Pressurized Distribution Experimental Other 1 11 ❑ Seepage Bed 21 n Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 14. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) ELEVATION 1 ) 375 3 ? <., /. Z AV �� 3' �o Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank ! ' &-) Lift Pump Tank/Siphon Chamb @r i 6e VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) MP /MPRSW No.: Business Phone Number: Or L'f'c�T Zc.�,t % X30 7 1 3g6 - � ► j�" Plumber's A dress Street, City, State, Zip Code): , 5 .etc' i - 4 0 - l9 s , IX. COUNTY /DEPARTMENT USE ONLY L Disapproved Sa itary Permit Fee (Includes Groundwater Surcharge Fee) Date Issued Issuing Agent Signature (No $tamps) Approved ❑Owner Given Initial � r ' Adverse - Determination ; X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: SBD- 6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber k + w: i , r r , ,• , , r . t . . r e z < . t r , ; t i t d ; { 4. 41 �l! +5 }fi ' f ' 4 . ti ' s , ` , � , 5 ,, � , .f , t • f • ti , t , � , ♦ • as • • • . a . c. .. . t • ♦ f. ♦ R d A ' i. ' 3 ' ► t }1 .t � 1'1'} 1 1' } lt t i S '. 5 iA t y i '. _ __. _ INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. Ali revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608- 266 - 3815. ' To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. <. II. Type of building being served. Check only one and complete ## of bedrooms if 1 or 2 Family Dwelling. k III. Building use. If building type is Public, check all appropriate boxes that apply. ?' IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repai r. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1 -7. VII. Tank information. Fill in the capacity of every new and /or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County /Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The _ plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains /water service; _ streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system. if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. - S t SBD -6398 (R.11/88) SANITARY PERMIT APPLICATION COUNTY ri'�[iL■7�1 In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Check if revision to previous application —See reverse side for instructions for completing this application. ST A PLAN I.D. NUMBER I. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION. P OPERTY )WNEF� PROPERTY LOCATION j Ilt 66 1 /f*114 /0 7 k+t l�iE ' /a, S 33 Tad t' , N, R �i E (or W PRQPEERRT OWNER'S MAILING ADDRESS LOT # BLOCK # CTY, STAT ZIP CODE PHONE NUMBER SUBD ISION NAME OR CSM NUMBER Er I. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD I ❑ State Owned � ❑VILLAGE : '46,/ �f:�/ ❑ Public L`J 1 or 2 Fam. Dwelling -# of bedrooms — PARC TAX NUMBER(S III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility /Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales /Repairs 11 ❑ Restaurant/Bar /Dining r 4 ❑ Church /School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel /Motel 9 ❑ Office /Factory 13 ❑ Other: Specify IV: TYPE O PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System i B) ❑ A Sanitary Permit was previously issued. Permit ## Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 El Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE RE UIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) Al ELEVATION ?, 3 7 ; !• 7,,. - V+ Feet Feet VII. TANK CAPACITY Site in allons Total ##of Prefab. Fiber- Exp INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks :Tanks structed Sep tic Tank or Holdina Tank QCf Lift Pump Tank/Siphon Chamb r 0 7 J l e& oct f Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's I nature: (No Stamps) Fi0 /MPRSW No.: Business Phone Number: Plumber's A dress reet, Ci State, Zip Code): / IX. COUNTY /DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued t Signature (No $tamps) Approved ❑ Owner Given Initial f n r Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: SBD- 6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber . . „ r , . > > r > r ' i i r r ) t r r . r t r `i'1 L i i :� //{/ 41r1'i't'A'}'1'!'{1 4 , , r + r l r t r i , ' . 1 r', '!•4'4raa a . . . . .. . . . . . " ♦ •. i i i r A ' I A i 3 !� A i A f 1 1 1 i i i i i i A A�6 1 ..ti. . INSTRUCTIONS 1. A sanitary , permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608 - 266 -3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete ## of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1 -7. VI1. Tank information. Fill in the capacity of every new and /or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County /Department Use Only. X. County /Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains /water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD -6398 (R.11/88) S 9 2- a 2'7'7 8 _I.L.H.R, 83.08(2) PROJECT INDEX SHEET -___ - -. -- - - ---- - - - _ Owner : 1 P� Gci L D % � �/� J,rJ 7/✓� — yZ 2 1r/!� Address : / /7& D Y: Site Location: , L, Project Description: ✓T` C,t°0�;� cOlJ�J`� �i ��ar� /E wi'�� J"o oD .i �'i � ��f' �'4"r ✓ ' fJ >�-� f/ LU',� �- �i' IC'j�` � 1� / /r : F. �`( �J � j: i. =� j:. "'r` -�/Q ✓ +L � � S te 071!5 X'i 7 .� Top/ 1' ,v ,�J,� �, , Page 1. PLOT PLAN VIEWS Page 2. MOUND _CROSS SECTION & SYSTEM PLAN VIEWS Page 3, PIPE LATERAL LAYOUT Page 4. DOSING CHAMBER CROSS SECTION Page 5. PUM PER FROMANCF SPECS 1 SEPTIC PLUMBING CO. PLUMBER : C NUII_ RD.. HUDSON, WIS. 54016 ROBERT ULBRIGHT ,lik Ia4;, i E-R PLUMBER LIC. NO. 3307 M.P.R.S. MINN V"! i 1,L `;1 & DESIGNER LIC. NO. 00663 PATE: d L S I T E EVALUATER/ DESIGNER SIGNATURE HOMESITE SEPTIC PLUMBING CO. 655 O'NEIL RD., HUDSON, WIS. 54016 ROBERT ULBRIGHT es-7���Z. WIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. - MtNN. INSTALLER g -DESIGNER LIC. NO. 00663 W Cil •1:) (D w (n �rj Fl- 0 CL Cf) (D C% H- Fl- u] C " 0 0 rr ti N P- (D 0 F-3 S92,-02778 rt co r- �D 0 0 " 0 N w p 0 tv cn FT1 rr r_ rA) CL H. 0 61 Sl OQ 0 (D (D cn CrQ tl Q_ m 0 6 5 M ; rn 3: (D Lo D" crQ 0 M rj rrl :b a C/) (D Z C: z CD (D 0 in (n z - r- f— O g. rh z U. (D (D tj .Cj W n g (D 0 :5 C N C) N GO CO F- ri . w H. (D . p N, (D 0 (D Co —0 7.3 to 0 w ;K' 0 C (D " rD rD (D >tl Fl. 0 (D :� � i N p � -_�\. � � it �� t1� � ��� r aj y';;' � - � � � �.� r \ A . ( Al o LV Col > 'S po lx � � � i.� S 6b N t f � ! � G� v�'I Riau � l_ � / -t - "�t,'` �-. -� 7 - c- � � /• S� 1A i t XD x) _.. _ �/, 3 S LD - r - &2 9j5 i,a•, +� Page Of & 6E , S ,92 - 0 2'7 7 g - ? i , UN,F�R Straw, Morsh Hay, Or �a Synthetic Covering Q0 Distribution Pipe Medium Sand i H —� i; Topsoil E E,►� /ST /� J�f'rlf�c 1O/• 70. %Slope I �� ,° g Trench Of 2 - 2 i Force Main Plowed Aggregate —'� Layer Updisturbad� D Z ' 0 Ft. poi! �� E Z, 2 Ft. isS v� S Cross Section Of A Mound System Using F - ?0 Ft. 5 Trench For The Absorption Area G /- Ft. A �` Ft. H A-5 Ft. D Ft. K 13 Ft. t� • �s� °� poN0 Er1GE L /ZO Ft. ES J 9 Ft. A o PR sition of Force Main Ft. W 3 Ft. i I � K A I W Observation Perrnantnt Pipes I Markers I ` I Trench Of Aggregate � I l is Mound Using J Trench For Absorption Area t s Page 3 0f (/ O -0,() 3o ,�= _ I tf C /,4s /E Perloraled Pipe Deloll S92- uV R1 Gti )r Fo,�' VA C vM VA v'9 i t•oti � En View ) PLr(oroted End Cap . ob\t > PVC Pipe Holes Located On Bottom, Are Equally Spored � �� /' VATE SEWAGE SYSTEM PVC Forcn ndjt M n�� ,�" ED P OF I141010"RY A PAD BWLD OEP� DIVISION of S Dislribulion S EE CSR ES?0NpEIyCE Lost Hole Should Be Pipe Nexl To End Cop End Cop Distribution Pipe Layou P �1 - Ft. X V Inches Y / Inches I Signed: Hole Diameter 7 Inch Lateral 2— Inch(es) License Number: Manifold - Inches Date: Force Main 2 Inches #1 of holes /pipe i 2 - Invert Elevation of Laterals /oyz Ft. • vas T��� •��5 ���,��E ,�;.i ��- ���: �: ,i � F 1 /,� r� / / j! D �� O T d ° 7 'viS7 /d UT/ U�' Cl , >,. �.. �� U� �'1 �. '1 � 0,� S l,c G � t 1 � ` i i PUMP CHAMBER CROSS SECTIOM AtJD SPECIFICATIONS P,4 1E- o 5 - 7 - VENT CAP S 92 - 02'7 78 `i C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUUCTIO►J BOX MANHOLE COVER 25' FROM DOOR, WINDOW OR FRESH 12 "MIU. AIR INTAKE v4p 'r/ I"IT /oM GRADE I M " MIN. � IB" MIM. 3'o i COIJDUIT ` -- ---- - - - - -- y � o - - - - -- �/EU , 4rl . e A, ` 11� PROVIDE I ----- INLET AIRTIGHT SEAL APPROVED JOIIJTS AP V� PE JOI fJT A Art � � � I � � . W /C.I. PIPE CXTENDING 3' '00 ` �C' AG I ALARM EXTE►JDIUG 3' 01JT0 SOLID SOIL B • �i Z� • ONTO SOLID SOIL o tta Ow I LLEV. FT. FF S OFF SSOY SPFEtY k , B K 1E vii c, �5'o RISER EXIT PERMITTED OIJLJ I R 7 IJUFACTURER HAS SUCH APPROVAL i 1 SE', IC E SPEC IFICATIOUs DOSE TAWKS MAWUFACTURER: IJUMBER OF DOSES: PER DAy TAWK 51ZE : �✓ GALLONS DOSE VOLUME 5' ALARM MANUFACTURER: INCLUDIN BACKFLOW. GAllONS MODEL NUMBER: "�' CAPACITIES: A= / IISCRESOR 30" GALLOIJS SWITCH TYPE: �LV�I p r / � - g = Z INCHES OR 3S" GALLONS PUMP MANUFACTURER: ', q ' - �� /< C = �' Z INCHES OR CALLOW$ MODEL NUMBER: / O D = �SZ INCHES OR ? ! GALLONS SWITCH TYPE: N6Y f7,! MOTE: PUMP AM ALARM ARE TO BE INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE GPM ,Q VERTICAL RTICL DIFFERENCE DETWEEAI PUMP OFF AUD D15TRIBLITIOW PIPE.. FEET 'rA�k Sa� + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET EACGk. + FEET OF FORCE MAIN X FyoFLFRICTIOU FACTOR.. ' x.,5 /` FEET TOTAL DYNAMIC HEAD — FEET po IIJTERNAL DIMENSIONS OF TANK: LENGTH --- ;WIDTH ;LIQUID DEPTH n /D - wrn.F. W HEAD CAPACITY CURVE 3 7/8 s 1/4 MODEL " 98" 30 4 5/8 25 g T {!' I 3 5/8 20 I i 6 m O 15 4 316 4 10 _._ `. t 1/2 -11 1/2 NPT 2 � 5 _ o S92=02778 ii;;,; U.S. GALLONS 10 20 30 40 50 60 70 80 UTERS 80 160 240 0 FLOW PER MINUTL — TOTAL DYNAMIC HEAD /FLOW PER M1',UTE _ EFFLUENT AND DEWATERINC CAPACI[Y 11 HEAD UNITS /Mill FEET METERS GALS LrRS 5 7.52 S'73 10 3.05 61 67 ;'91 15 4.57 45 170 20 6.10 25 95 3 5/16 Lock Valve "Fltt - -- i CONSULT FACTORY FOR SPECIAL APPLICATIONS i Electricol.alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and supplied with an alarm• three phase systems. !, Mechanical alternators, for duplex systems, are available with or a Double piggyback mercury float switches are available for without alarm switches. variable level long cycle controls. ' s a SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control I equir Standard all models - Weight 39 lbs. - '/1 H. P. 2. Single piggyback mercury float switch or double piggyback mercury, float 96 Series Control Selection switch. Refer to FM0477. Model ' Volts -Ph Mode Amps S implex Duplex 3. Mechanical alternator 10 -0072 or 10 -0075. r M98 115 1 'lluto 9.0 , 1 or 1 & 7 — 4. See FM0712, for correct model of Electrical Alternator, "E- Pak ". 5. Mercury sensor float switch 10 -0225 used as a control activator, specify N98 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 duplex (3) or (4) float system. D98 230 1 Auto 4.5 1 or 1 & 7 — 6. Four (4) hole "J- Pak ", junction box, for watertight connection or wired -in sim- E9$ ! 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 plex or duplex operation, 10 -0002. 7. Two (2) hole "J- Pak ", (or watertight connection or splice. i CAUTION For infotmation on additional Zoeller products refer to catalog on Combination Starter, FM0514; All installation of controls, protection devices and wiring should be done by a quali- Piggyback Mercury Switches, FM0477; Electrical Alternator, FM0486; M,.chanical Alternator, fied licensed electrician. All electrical and safety codes should be followed inctud- FM0495; Alaim Package, FMO513; Sump /Sewage Basins, FM0487; and :simplex Control Box, ing the moat recent National Electric Code (NEC) and the Occupational Safety and FM0732. Health Act (OSHA). RESERVE POWERED DESIGN I , For unusual conditions a reserve safety factor �s i4inlineered into the design of every Zoeller pump. MAIL To: P.U. BOX 16347 `O Z Z�L L �� �- SHIP r o;!l , 40256 -0347 Manufacturers of ... SHIP ro: 3280 80 Q % :+ PAiIlers lane 71 Og u V Louifvide, KY 40216 ,QUA! /7Y PUMPS �iYCf /a7a7 (501) 778 -2731 a FAX (502) 774 -3624 Wisconsin Labor and Department of Industry, SOIL AND SITE EVALUATION REPORT Page � of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code i COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but ST, C��r not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. e2v S &)(4 -r Oe APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION SOIL REVIEWED BY DATE rat' = J'. Tti PROPERTY OWNER. PROPERTY LOCATION ' M / 77 A-., GOVT. LOT 114 NCi14,S 33 T ` ,,N,R [I E(00 p'IOPEF Y OWNERS MAILING ADDRESS Lg // , Ce ttwv M Psf kr of gG r1` oR �s CITY, STATE ZIP CODE PHONE NUMBER OCITY VILLAGE GjrOWN NEAREST ROAD cK�:✓.v �. �Y. M [X] New Construction Use Residential ! Number of bedrooms Z (] Addition b existing building j ] Replacement (] Public or co mmercial describe Code derived dal Now � O '� d IY gpd r /3 n Recommended design loading rate �_ bed, gpd/ft • 7 bench, gpd* Absorption area required 3 7 r bed, 11 3 7 5 trench, ft Maximum design loading rate _ bed, gpdffl trench, gpd/g Recommended infiltration surface elevation 3. 70 ` (? It (as referred to site plan benchmark) Additional design / site considerations Me il Zor l(W2. r te- is -- o �sr'Z� � 3 Q CPP422 5 Parent material SC5 / ,>D��pi vD ; srZt Spa, .; ors ti Flood plain elevation, If applicable �--�. ft wE r t O S - Suitable for system CONVENTIONAL 7 ND !Z-GROUND PRESSURE AT -GRADE SYSTEM IN FlLL HOLDING TANK U - Unsuitable fors stem 0S W U ❑ U ❑ S ®U ❑ S ®U I OS IQ U 40 S U WrPt V/K �/�foU�L. SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourtdaty Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed tench r YX ,set �►,� 2 2, s , >ri ' - 1 3 /O '/z S, / ?� a•, S ,t,h v {,Q S 2,r,, S � , G Ground ? /� /p YW 313 51 1 3 , ," '►, s G /0 e l ev. ft. ' '% 3a Z •S Yk Sty ti►► G s • Y , s Depth to 0 - S y �/3 - -- - - 4-44 limiting s !�4 /E 1 SS aE M G� i N /a i A) fact _ Remarks: Boring # 5 „ I f 69 • r �• 3 s6,r c 3 / ,�, �► s Ground �e 1 t . s G o ev. ,� ZO- 3a ?•✓�� ✓r� y, G G/ z h f� ' S y -f ft. Depth to l 1� 1 3 still / ` �'IilSfii �I vii iV/� �v limiting factor Remarks: 3 P ►'T 5 M& y ” CST Name: — Please Print HOMESITE SEPTIC PLUMBING CO. Phone: I RD. VD SON. WIS. 54016 Address: ROBERT ULBRIGHT IC NC) e INiT.ALLER & DESIGNER LIC. 140.00663 Date: r 9z CST Number: z yfZ. 1 11 t s PROPERTY OWNER . �'✓ SOIL DESCRIPTION REPORT Page . =of PARCEL I.D. I Consistence Bourxl2ty Roots Texture Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench a, �, s tir M►v�,e s 2,..� . Ground E / /Q Yid L3 3 1 , S . elev. z 13 y- )( 1,.s' y/v s/ �. s j, 4 /A C/ Z, �►, 6 '�, of l ' Depth to limiting -- factor i Remarks: T- Boring # a A d T 4u/, Ground t�U,� S.t �¢,�'E elev. ft. ,v,& - P 0 °7 -- 7 1 -0 70 De th to /W i 4u f t v 4 e-f T p i limiting factor Remarks: GO,r,� (r �.v17 �i�1,2,rr — 0 , r - 7, ' '�t,Y� S T jiG A—W Boring # v:.� - La (�- /. 3� sp v�v Ground i elev. O C � it i "Z,- 7'O S 7 44 0 ft Depth to J{ / s 717--f.2 _ J limiting t factor _ Remarks: Boring # i Ground - - - -- -- — � elev. Depth to _ limiting t' factor Remarks: _ SBD- 8330(R.05192) i r� IL tj So t F I '1} �a d • 1' 0 i Q (, w N INI QN 0 u, Q Cj 0 ` b r� } SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Bog 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations December 21, 1992 GOB UIBRIC:HT MIKE & PEGGY LOFMANN i 655 O'NEIL ROAD lilt, HWY M HUDSON WI 54016 RIVER FALLS WI 54022 I Dear Sir or Madam: I .>;ubjec:t: Petition for Variance Approval PLAN ID; 9202/78 .. There has been some confu expres c�e1 rctlardiny the ] state C o f petition for varianr:F for mounds for new construction. On November 23, 11,49 ?, •Judge Mark Frankel of the !lane Countv Circuit Court issued a temporary In unction against the Department prohibiting it from irtentincl or approving curtain kinds of variances. The injunction affected only petitions being processed or) or received after November 13, 1992. The variance that you for your i mound system was approved prior to the issuance of tht temporary injunction. The Public Intervenor, who brought the action against the Department, did not request, nor did Judge Frankr:l grant, any order affecting variances already approved by the Department. If you have not yet done, so, you may submit a sanitary permit application to your county code administrator. Once you havN rereived a sanitary permit, your irlumber may proceed with the construction of the mound system. if ou have:an questions regarding this ma >lease feel free to contact y q F Y 9 9 me, Sincerely, Csennette 0. Burks, P.E.. Chief Private Sewagp Section 606!266- 005h cc ST CROI X SBD -88M R. 011811 I ST. CROIX COUNTY WISCONSIN ZONING OFFICE .., ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 Aug. 3, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 �- Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Mike 1 in the NW1 /4 of the NE1 /4, Sec.33, T28N, Croix County, WI., has been conducted wi Ulbricht, CST# 2482. This onsite revealed suitable soil for onsite sewage disposal to a depth of 14" while meeting the requirments of the A + 4 rule. This site should be suitable for new construction using a mound septic system having 22" of sand fill. Should you have any questions, please feel free to contact this office. g erely, s K. Thompson Assistant Zoning Administrator cc: file ST. CROIX COUNTY WISCONSIN : Y ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 _ (715) 386 -4680 Aug. 3, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 I To whom it may concern: An onsite soil investigation of the Mike Lottman property, located in the NW1 /4 of the NE1 /4, Sec.33, T28N, R18W, Town of Troy, St. Croix County, WI., has been conducted with the assistance of Bob Ulbricht, CST# 2482. This onsite revealed suitable soil for onsite sewage disposal to a depth of 14" while meeting the requirments of the A + 4" rule. This site should be suitable for new construction using a mound septic system having 22" of sand fill. Should you have any questions, please feel free to contact this office. erely, ames K. Thompson Assistant Zoning Administrator cc: file