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HomeMy WebLinkAbout028-1029-20-000 * © a c c c e m I •€ I E 1 N 'D a € I a ao" m�o� arnc C co= C N I I •CmS i oa z^Q 3 i f E a� °Yu. I a o i0 w= I m d 7 d . L -5 N N N I G 0 o � m I L E i m =L „ gam.=_ z oz I zE I z 3 m � I m y 3 !E ti c o m o a c u. c m Q F V a I Q LL Q LL O I ?� Q L I Z Z f W n Z 1 p I am ozg 4. w $ Z N F! E I E E I = 3 = N I y I I • 0 U 2 z Z I 2 z z w 2 z z 16 N I z z l d I d d c Its $ i R t0 I $ N p N $ C a �. W N i 3 H m I w a m = c o I H ,o v d n I O O d n o m� N eCCL G C �r o $ 1 E E o to to to E c o CL L v zo v zg •+��t R r Imaaa �, ma *� a I t- 7 p tq C 't It w J U Q O rn Z I Q CD } to ( Q N N M O O .. Q I Cl) !n E N tD E a U . ) m i m c d m ,n m $ c n cn o Q1 y N N m m �d Qzin id a> (D o �s�° Q�rn o t o `3 Q O 1 0 C H C O N C 0 E co m Q m Q a C • e- N m € L C T7 N N t" > LL. '� E i LL E E m 4 N W m m m m N I W p • 0.. N Cp C O O C o o aCd.. 5` N (� 6Cf N N �N = �� ~� Ipa (D ° (D Ipco _� c mccvi o w o E pp I c C" o N E E R v c g co m m m v 1 •© O N d' N O Z -5 Z - o i O Z � : 9 0 _' n M O Z y Z Y .G 3 IL OC I I I Y � 1 I y I • :� am 4) c A c 10 0 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM C ounty: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 383834 0 GENERAL INFORMATION a Plan ID No: St Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. r 32 4 0711 = T 10. Permit Holder's Name: City Village X Township Parcel Tax No: Jon -De -Farms I Rush River To wnship 028 - 1029 -20 -000 CST BM Elev: InsTBM Elev: BM Description: # SectionlTown /Range /Map No: 0 a CS 1 l3►µ /' sv • O pu 4- ,� ( I 24.28.17.178 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark w see- 1 S Dosing Alt. BM MW r Aeration Bldg. Sewer CA r i 3•toD Holding St/Ht Inlet C4 t3.9[ • �3r TANK SETBACK INFORMATION St/Ht Outlet LA) 1�.I3 .oJ TANK TO P/L WELL BLDG. Vert to Air Intake ROAD 9t Inlet 1 gyp "a (, ) r 1 � 3 -T 2- 45W Septic r t t Dt Bottom (j 29 9 Dosing r r Header /Man. 30 1 � • � -••• i CIO Dist. Pipe p 3 �S'' 3.45 tos.3o r Holding Bot. system Final Grade it PUMP /SIPHON INFORMATION ,;(( Ie .1 1 4 tw-, -- cb 1 Manufacturer g y, Demand St Cover oE(� GPM Model Number t5k • ( TDH Lift Friction Loss System Head TDH Ft �{�•31 jo.az b sn (aD 3 DT r, w. gy.�S" `-P ?•5.9 Forcemain Length , Dia. If I Dist. to Well 1 ^• UZS 7 j tC�D r S IL ABSORPTION SYSTEM 2- `F.9((,r Width t Length f No. Sf Ttenehes PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth IMENSIONS SETBACK SYSTEM TO P/L l!o ) BLDG WELL LAKE /STREAM LEAC G ufacturer. INFORMATION CHAMBE Type Of System: T Model Number: , r' r, • A u�+ - .v.&� 1(W r �t Tit � c DISTRIBUTION SYSTEM Header /Manifold Distribution « x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) r 1 1 /3 11 U Length Dia Length Dia �� Spacing g SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of eeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil xx 5 Yes D No [� Yes E] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1t.TA`vW -c05 / .Of_ Inspection #2: t ! (_ 0 �Y(oW`tCLJ� w Location: 2051 30th Ave. Baldwin, WI 54002 (NW 1/4 NE 1/4 24 T28N R1 7W) NA Lot Parcel No: 24.28.17.178 S3 1.) Alt BM Description < � 0e o� t .A k) f 2.) Bldg sewer length = So " - amount of cover = r 3.) Contour = 5�A S tt�= took K 1+93 .DES Plan revision Required? [] Yes X No Use other side for additional information. SBD -6710 (R.3197) Date Insepctor's Signature Cen. No. � t� 0 � G t� Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. IV See reverse side for instructions for completing this application PO Box 7302 isconsin Personal information you provide may be used for secondary purposes Madison, WI 53707 -7302 Department of Commerce (Privacy Law, s. 15.04(1)(m)J (Submit completed form to county if not state owned. Attach complete plans to the county copy only) for the stern; n pA lAot eSs.th an 8 -1/2 x 11 inches in size. Court State Sam Permit Number ❑ Check if re%gNdn go omvious aippiicaq State Plan I. D. Number ty- i 3 e V 7, 3 ?/ I. Application Information - Please Print all Information r) ' , _ ocation: Property Owner Name .... petty Location I m ar m s { ; , . < 114 r/4, S 2qT 22,N, R W Property caner s Mailing Ad Lo Number Block Number �: 9 k / q '/ �� �, s r cat +x -_-- -- City, S t t t a a t e/t Zip Code P fi9;5uml 4DN1NG UFFiCE ,:, bdivision Name or CSM Number II. Type of Building: (check one) Z D pwe Yee5 ❑ City ❑ Village ❑ 1 or 2 Family Dwelling - No. of Bedrooms: © �' own of n ❑ Public /Cornmercial (describe use):_ ,5, �' �� ❑ State -Owned ` - Neare oad o544 Qv�- Parcel Tax Number(s) Z z III. T e of Permit: Check only one box on line A. Check box on line B if applicable) -' 6295 -- 6 — a00 A 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to ) l • ew P Existing System S stem S stem Tank Onl B) Permit Number Date Issued ❑ A Sanity Permit was previously issued IV. Type of POWT System: (Check all that apply) • Non - pressurized In- ground Mound ❑ Sand Filter ❑ Constructed Wetland • Pressurized In ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line • At-grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dis ersal/Treatment Area Information: 3 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal A rcolation Rate 6. System Elevation 7. Final Grade Soil Application 5. Pe Area 4 pp Elevation Proposed Rate Required Z � po GalsJday /sq. ft.) (MinJinch) s'2 ( VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete strutted Tanks Tanks ❑ ❑ ❑ ❑ CC j Sao ❑ L1 ❑ A A - � Z5a ( I.l� CS'er VIII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Business Phone Number Plumber's Name (print) Pl r s Si a (no ps MPIMPRS No. Q 1► t r16,1f+ - roll is -67z �r'9 Plumber's Address (Street, City, State, Zi Code) L Z ? F0 s�' �ra � - cal 0"L.R �-� S IX. County /Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surcharge Fee) Z�O Z 2 L Determination X. �� Conditions of Approval /Reasons for Disapproval: 'k C oucr 4, - , ce AKlt:r� f & Pro Ji ,*d ?e,, 5�wfe S {e �o / 4V1 ggee tae t knar`H�i2.'uetC �oPr /µQna�c7tLtf� ✓s YCCo�m�^r���b�r 5, � �, '� � e u v�7� Nn.ti 5'Y d e s r �"N v w. �-{�e � ✓ope �� �� � � � � C 5 W! l/v /. t i f s (LL L Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 \ Visconsin www.commerce.statemi.us Department of Commerce �- - - Tommy G Thompson, Governor Brenda J. Blanchard, Secretary t July 12, 2000 �_,� CUST ID No.6917 1. ATTIC• POWTS INSPECTO R d I V� ARTHUR L. WEGERER r r ZONING OFFICE 421 N MAIN ST '� 2 ; "� ST CROIX COUNTY SPIA PO BOX 74 � �`�;., - 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL i Identification Numbers PLAN APPROVAL EXPIRES: 07/12/2002 IC Transaction ID No. 326711 Site ID No. 195264 SITE: Please refer to both identification numbers, Site ID: 195264, JON -DE -FARM above, in all correspondence with the agenc i St. Croix County, Town of Rush River NWIA, NEU4, S24, T28N, R17W FOR: Description: Commercial Mound System P Y Object Type: POWT System Regulated Object ID No.: 671134 i The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual For Private Onsite Waste Treatment Systems" SBD- 10572 -P (R.6f99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound Component Manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. • . ARTHUR L. WEGERER Page 2 7/12/00 inquiries concerning this ma e m e to me at the tele hone number listed below, c sb ad > or at the address � q g Y P on this letterhead. Sincerely, d DATE RECEIVED 06/23/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 200.00 erard M. Swim REFUND AMT $ 25.00 POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM Refunds of $25 or less will be jswim @commerce.state.wi.us made only on written request. WiSMART code: 7633 TITLE SHEET Page I of MOUND SYSTEM FOR PrN O�FIcE Bv1� -bl�v6 "Foy` � ��2Y ��.; This plan has been prepared in accordance with the Mound Component Manual SBD- 10572 -P and the Pressure Distribution Manual SBD- 10573 -P LOCATED IN THE NY 1 /4 OF THE IJt-: 1/4 OF SECTION , T z$ N, R 17 W, TOWN OF �y�1 \\1tR `3T. (a\ZaIX COUNTY, WISCONSIN. INDEX PAGE 1 of 8 TITLE SHEET PAGE 2 of 8 SYSTEM MANAGEMENT PLAN PAGE 3 of 8 PROJECT DATA PAGE 4 of 8 PLOT PLAN PAGE 5 of 8 PLAN VIEW CROSS SECTION PAGE 6 of 8 DISTRIBUTION PIPE LAYOUT PAGE 7 of 8 PUMPING CHAMBER CROSS SECTION PAGE 8 of 8 PUMP PERFORMANCE CURVE PREPARED FOR ��► �� 10 �/� 7 RECEIVED 0 00 —a ►�► , z000 , �= —M N-1 — �� — �rL� � $T CROIX COUNTY ZONING OcFGCE I` ZY9 -hJp � b�J � S � -x. (o • PREPARED BY WEGEF:;tE1:2 SO 2 L . TEST S NG AND . DES a Get EE Z CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 Phone 715 - 425- 0165 �SCt?1Y� f � Fax 715- 425 -6864 ARTNUP L 1P: ona Con � s of 0 0) DOOM „ '� �`'S I G N �► - DE4AM�� 91 V1S�ON �� G JOB NO. O l�a SYSTEM . MANAGEifENT Page' Z of g Management and maintenance of this system is critical to its proper operation and longevity. The system owner must be provided with a complete set of plans including the management section. GENERAL Proper functioning of any type of on -site waste disposal system is dependent on the amount of water entering the system and the quality of the water. The lower th e volume of water and the lower the level of contaminants, the more .efficient and longer lasting.the system wi.11 be. Typical system components include a septic tank to settle out and break down solids, an effluent filter at the septic tank outlet to filter out small particles a um tank with an effluent_ um and � pump pump controls and an absorption cell to dispose of the water in a manner which will protect the groundwater and public health. RECOMMENDATIONS 1. Install water saving devices when and where possible. 2. Repair any water leaks as soon as possible. 3. Do not pour greases, oils, chemicals such as paint or paint thinners into the system. 4. If you have a garbage disposal, use it sparingly. 5. Do not dispose of any paper products other than tissue into the system. 6. Try to avoid excessive flows of water in short periods of time. MAINTENANCE I. The septic tank should be inspected by a licensed pumper every three years or less and pumped if necessary to remove solids and scum, 2. The effluent filter must be cleaned periodically to remove any accumulated particles. It should be washed back into the septic at 6 month intervals or as per the manufacturer's recommendation. 3. Periodic inspections a d ad b p s t the observation pipes should be made y the owner to determine if any ponding is taking place in the absorption cell. Also check for any seepage to the ground surface If consistent ponding or seepage is noted, a licensed plumber should be contacted. 4. This sytem - contains an alarm which must be installed on a separate circuit from the pump. If the alarm activates, minimize water use and contact a licensed plumber immediately. CONTINGENCIES Monitoring of the volume and effluent quality may become necessary if problems develop. Monitoring must be done as per the requirements of COMM 83.54(2). Pumping and disposal of wastewater by a licensed pumper may be necessary while analysis and repairs are made. 1. Failed mound systems may require removal and disposal of the existing sand fill and replacing it�with new sand or installing an aerobic pre- treatment unit to reduce or eliminate any clogging mat that may be present. 2. In- ground soil absorption systems or at -grade systems may require the installation of an aerobic pre- treatment unit or replacement of the system. Additional site and soil evaluations may need to be done and additional plans may need to be,prepared and approved by the Safety and Buildings Division of the Department of Commerce. Safety and Buildings 4003 N KINNEY COULEE RD AA LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Irscons n www.commerce.state.W.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary July 12, 2000 CUST ID No.691727 4TTN: POWTS INSPECTOR ARTHUR L. WEGERER ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 07/12/2002 Transaction ID No. 326711 Site ID No. 195264 SITE: Please refer to both identification numbers, Site ID: 195264, JON -DE -FARM above, in all correspondence with the agenc St. Croix County, Town of Rush River NW1 /4, NE1 /4, S24, T28N, R17W FOR: Description: Commercial Mound System Object Type: POWT System Regulated Object ID No.: 671134 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the Y PP P "Mound Component Manual For Private Onsite Waste Treatment Systems" SBD- 10572 -P (R.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound Component Manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary rmit must be obtained from the coup where this project is located in accordance with the �' county P J requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with P P g Y q P the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation.. ARTHUR L. WEGERER Page 2 7112/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 06/23/2000 ` FEE REQUIRED $ 175.00 FEE RECEIVED $ 200.00 Gerard M. Swim REFUND AMT $ 25.00 POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM Refunds of $25 or less will be jswim @commerce.state.wi.us made only on written request. WSMART code: 7633 t PROJECT DATA Page 3. This mound system will serve an office builging for a dairy farm with 20 employees, 1 floor drain and shower facilities designed for a maximum of 20 showers per day. ANTICIPATED WASTEWATER 20 employees at 13 gpd = ---------------- - - - - -- - 260 gpd 20 showers taken at 10 gpd = ------------ - - - - -- 200 gpd 1 floor drain at 25 gpd = --------------- - - - - -- 25 gpd Total = 485 gpd 485 X 150% = 727.5 gpd. The system is designed for 750 gpd. SEPTIC TANK 750 + 750 = 1500 gal minimum capacity required. A 1565 gal precast tank by Wieser Concrete Products will be installed with a Zabel effluent filter at the outlet. DOSE TANK A 1250 gal Wieser Concrete tank will be installed. This system is designed with no flowback after the dosing events. A check valve will be installed and the force main will have at least 6' of cover or be insulated for frost protection. Page 'S' Of 8 Approved Synthetic Covering ASTM C33 _ Distribution Pipe Medium Sand G Topsoil -- -- - - -,.-- i � F Elev. 1. )q-'S E p 3 u e g . % Slope Distribution Cell of Force Main Plowed 2" to 2 Aggregate From Pump Layer D .._> Ft. F Ft. MOUND SYSTEM ON OF A o. Y, CROSS SECTION F Ft. G o.s Ft. Ft. H Ft. Linear Loading Rate= 8•g GPD /LN FT B - Ft. .. Design Loading Rate = O.L IGPD S FT � Z- Ft. g g ! Q I J 6 Ft. K o Ft. A "e;r•e Position L l o Ft. of W 7-7 Ft. Force Main L I Observation Pipe o — fir•--------------- - - - - -- ------------------ - - - --� A-- �- q - --------- - - - - -- ---------------- - - - - -• --------------------- 4 TFe- � -Distribution Cell Of to 22" Pi pe I aggregate Observation Pipe (Anchbr securely) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout Page b of S Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and 'holes. Extend the end of each lateral up with the use of long turn or 45 fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve,:threaded cap or . threaded plug. Provide access from final grade for the valve, threaded Cap or threaded plug. pvc F vc S vc Lateral Manifold Lateral --- x x x x x/2 V2 x x x x Lateral Len th — Lateral Length — Distribution Line x n , Fo uo S PvC w2� r� t'rsN i o -- _ � o a C 1 -oAC�, rir�ti, P t� Ft. Hole Diameter "f Inch S _ Ft. Lateral n _ Inches) X _ Al inches Manifold " 3 Inches - Force Main ";, Inches # of holes /pipe 28 Invert Elevation of Laterals 113S•o Ft. IIX o.y\= B.boA n.b= S)AL a>m ' PUMP CHAMBER CROSS SECTION AND SPECIFICATIOMS ' PAGE 7 OF S v�uT c�P • 'I VENT PIPE CO WEATHER PROOF APPROVED LOCKING MANHOLE a: 10' FROM DOOR, UUMCTION &OX VER WITH WARNING LABEL WIIJDOW 09 FRESH AIR INTAKE I GRADE I I 4 • � � 18'MIU. cONDU1T -- _ 18 "MIN "� ------ — 11� PROVIDE IIULET AiRTI&NT SEAL 7 APPROVED JOINT/ A Tank construction shall comply i III APPROVED JOINTS with COMM 83.15 and COMM 83.20 I I i . I (I ALARM 1 ti S'i'Pfl�, A•PP Cr�V �A Ceti: Vpct -VE I I txJ L1 0 E i0 1 Pf?_ Vhf' F I I ON C I I CLEV. L 1S F T PUMA -•�, � OFF D COLICRETE &LOCK 3" AP RISER EXIT P6RMITfED OWLy IF TAWK MAAIUFACTURCR HAS SUCH APPROVAL ggpplµy SPECIFICATIOUS DOSE .. TANK MAQUFACTURER: W1^c �Z LW CCZ g• IJUMOER OF DOS65: ` PER D" TANK 512E : -- ZZ54 GALLONS DOSE VOLUME t �L.S ALARM .._P%AyUFACTURLR: S •S - _EL£:TM S`f�?Z !� GALLONS MODGL QUMBCR: `� l HW CAPACITIES: A= Zg WCHCS OR -15 o ' 7 GALLONS SWITCH TUPC: - - -Y 5 2 I OR 5 3'� G{►LI.OI►!S PUMP MAUUFACTURCR: ZO EZA_eN_. C:p" C. 22 IIJENE5 OR Zl�'S GALLONS MODEL NUMBER: p: 9 IN CHES OR 2 - q" GALLONS SWITCH T`JPE: -- IyI� J�' MOTE: PUMP AMD ALARM ARE TO DE MIIJ IMUM DISCHARGE RATE `,�,;.LL r.PM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEREMCE OETWCEIJ PUMP OFF AIJ0,015TRIBUT16M PIPE., • FEET + MIAJIAUM NETWORK SUPPLY PRESSURE ...... , ` °` 10' FEET - f- FEET OF FORCE MAIN X � F ooFLFFtIC FACTOR I ' D . = FEET TOTAL OtIUAMIG HEAD = �'�' FEET As per manufacturer gal in Liquid depth �1^ HEAD CAPACITY CURVE HEAD CAPACrrYUNITSIMIN s MODELS " 185 / 418 5 - 1 86/4186 - 188/4188- 189/4189 -191" 118614186 118814188 18914189 191 A utomat i c e 50 74 G L r ' Gal Ltr Gal Ur I Gal U r I CJ Ur 5 1.52 58 45 $49 145 549 45 170 Wei 220 1 40- 10 3.05 f 58 220 ( 140 530, 140 530 45 170 20 6.10 58 220 I 128 484 131 494 45 170 6 1/2 ` u 170 I ( 30 9.14 85 322 1 58 220 .116 439 120 454 45 170 40 12.19 70 265 58 220 104 392 109 413 45 170 32 1,0 ` I I I W 15.24 51 193 i 56 220 90 341 97 367 45 170 °0 60 1&29 32 121 58 220 71 269 I 85 322 45 170 2e ( ! I 70 21.34 9 34 52 197 51 193 69 261 45 170 I 80 24.38 45 170 28 106 51 193 45 170 90 27.43 31 115 I 2 8 34 129 45 170 1 7o I 10D 30.48 16 60 i 117 64 40 151 2° eei ++es 110 32.00 4 15 30 114 Vt -n 112 nvr g ° • f,7 I 120 36.56 20 76 f 7 - n lit 40T (CR) w 130 39.62 1 10 38 j 4 1'. - -'- ; I Lock Valve: 73' 114' 91' 110' 137 40- ° rsr 1 I +� / ++es 20 009903 + , X86/4186 °6 ' WARNING: Model 185 should not a 9i75 , ° I I be subjected to heads less than 1 li 11 i I s rauays o m » w w w ro so so ,oa no +io iio uo rso ,so 30 feet TDH. {! L � o rw reo 24 320 wo +eo Sell ew 1 I li 94e vv4r:r u SKA374 1 185 MODELS 4185 MODEL Standard all models - 20 it cord -1 H.P. Control Selection { Listings"' FT 1 -/ Single Seel Double Seat" Volts - Ph Mode Amps Simplex Duplex CSA I UL , /z i Weight 89-94 lbs. D185 - 230 1 Auto 9.8 { 1 or 1 & 9 Y { Y E185 E4185 230 1 Non 9.8 2 or 2& 8 I 3 or 5& 6 YR I Y o ' H185 - 20D- 1 Auto 11.5 1 or 1 &9 IN I N _ 1185 ' 14185 200.208 1 Non 11.5 1 2&8 3 or 5& 6 l N I N ' o F185 ' F4185 230 3 Nan 7.4 1 2 &4 1 3 &4or5 &6 I Y Y ' J185 ' J4185 200.206 3 Non 7.5 2&4 3 & 4 or 5 & 6 I Y ! Y 1 ,/t -11 1/2 vpr G185 ' G4185 460 3 Non I 3.7 ( 2 & 4 3 & 4 or 5 & 6 Y I Y s - 9'vaT2 .vvr ;cal BA185 - 575 3 1 Nan j 3.3 I 2 &4 3 &4or5 &6 Y N 186 MODELS 4186 MODELS Standard all models • 20 R cord • 1 H.P. Control Selection { Listing Single Seal Double Seal" volts - Ph Mode Amps Simplex Duplex 1 CSA I UL D186 - 230 1 Auto 13.7 1 or 1 & 9 N ! N � E186 E4186 230 t Non 13.7 2 or 2& 8 3 or 5& 6 N 1 N _ ' F186 ' F4186 230 3 Non 8.6 1 2&4 3 & 4 or 5 & 6 1 N I N G186 ' G4186 460 3 Non I 4.6 1 - 2&4 1 3& 4 or 5& 6 N! N - r 188 MODELS 14188 MODELS Standard all models - 20 fl. cord • 1'12 H.P. Control Selection { Ustings'" s SKA1413 Single Seal Double Seal" volts P Mode Amps Simplex Duplex CSA I UL D188 - -1 230 1 Auto 13.3 , 1 or 1& 9 N Y' I { E188 E4188 230 1 Non 13.3 2 or 2 & 8 - 3 or 5 & 6 Y fir Y ' I " ' H188 - 200.208 1 Auto 16.8 t 0 r t N &9 N SELECTION GUIDE 1 ' 1188 I' W188 200 - 208 1 Non I 16.8 1 2& 7 3 or 5& 6 ! N! N ' FIBS ' F4188 230 3 Non I 8.9 1 2 & 4 1 3 & 4 or 5 & 6 Y y 1. Integral float operated mechanical switch, no external control ' J188 ' J4188 2OD-208 3 Non 10.3 2&4 3 & 4 or 5 & 6 1 Y Y required. G1 ' G4188 1 460 3 Non a.s 2& 3 & a or 5 & 6 Y f Y 2• Single piggyback wide angle variable level switch, or double BA188 575 3 Non 3.5 2 & 4 3 & a or 5 & 6 i Y I N piggyback variable level switch. Refer t0 FM0477. 3. Mechanical aftemator M -Pak 10 -0072 or 10 -0075 189 MODELS T4169 MODELS Standard all models - 20 fL cord • 1 H.P. Control Selection { Listings'" 4. Combination starter- Refer to FM0514. Single Seal I Double Seat" Volts - Ph Mode Amps Simplex Duplex CSA UL 5. See FM0712 for correct model of Electrical Alternator n D189 T - 230 1 Auto 16.6 1 or 1 & 9 N ( Y(') E -Pak. E189 of E4189 230 1 Non 16.6 2&7 3 or 5 & 6 YI Y ^' 6. Variable level control switch 10 -0225 used as control activator with rn XE189 m XE4189 230 1 Auto 16.6 2&8 Y I Y E -Pak duplex (3) or (4) float system. H189 - 200 -208 1 auto I 20.5 1 & s i N i N 7. See FMO486 for correct control panel model. 1189 ' 14189 200-208 1 Nan 20.5 2&7 3 or 5 & 6 I N I N 8. 4 hole J -Pak, box t connection or wired -in 1 for wat e r ti gh t � ' F189 • F4189 230 3 Non 11.2 2&4 3 a simplex or 2 um operation. 1 & or 5& 6 �, Y j Y p pump pe abon. PIN 0 -0002. ' J189 ' J4189 200.208 3 Non 13. 32 2 & 4 3 & a or 5 & 6 I Y Y 9. 2 hole J -Pak, junction box, for watertight connection or Splice. ' G189 ' G4189 460 3 Non 6.0 2 & 4 3 & 4 or 5 & 6 Y { Y P/N 10 - 0003. BA189 - 575 3 Nan 5.8 2&4 3& 4 or 5& 6 Y N CAUTION All installation of controls, protection devices and wiring should be done by a qualified 191 MODEL Standard all models - 20 ft. cord • 2 H.P. Control Selection 8censed electrician. All electrical and sat codes should be followed including the Listings"' aY 9 Si le seal Volts Ph Mode A most retard National Electric Code (NEC) and the Occupational Safety and Health Act mps Simplex Du lex CSA I UL E191 - 230 (OSHA). t Non 14.5 2or2 &8 3or5 &6 N I N No Molded Plug For information on additionalZoellerproductsrefertocatalogonCombination Starter, Double Seel pumps are available weh oplioaN moisture sensors. Seal Fad indicator fight available in NEMA 1 or NEMA 4X control panels. FM0514; Pi ectrica lABemata, FM0486; Currently no UL or CSA listing an Double Seal Pumps. 9gY� dcVariable Level Switches, FM0477; El (1) UL Listed unit available with 20 Amp Plug Mechanical Alternator, FMD495; Alarm Package, FM0513, Sump(Sewage Basins, (2) CSA Approval wivau plug cap. FMO487; and Simplex Control Box, FMO732 (3) 20 AM Out P I NN) must be used. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. Wisconsin De par t m en t Relations Industry Hu Labor and Human n Rel ati SOIL AN D SITE E V A L U AT O R T Page o 3 Rel - 3ivision of Safety 3 Buildings in accord with ILHR 83. , VVG Cde; COUNT Attach' complete site plan on paper not less than 81/2 x 11 inches in 11 Ian must t,'�., S T - 0 M LX. not limited to vertical and horizontal reference point (BM), direction a of sl op?, scale or P , CEL I.D. 3 dimensioned, north arrow, and location and distance to nearest road .1Y/ APPLICANT INFORMATION- PLEASE PRINT ALL INFORM s - REVI DBY DATE CRCA PROPERTY OWNER. MM -DE 1=1ACRv� -1 S � CC Wf N ` r` 2 �b l b va ATE BUl��tS .%�cU I ctr -� c _ *_ 1�1L 1�E 1l4,S Z � T Zv ,N,R 1`2 E ( 4V PROPERTY OWNEIT - S MAILING ADDRESS • ! 40 Kb 0. NAME OR CSM x C3U X s - 10 Vku - 1. IS N CITY, STATE ZIP CODE PHONE NUMBER []CITY QVILLAGE ®TOWN ' NEAREST ROAD �t�Cc1 b,W1 Sq -1 ( 6'11-S9LI A RkukU lL. 3z) Ti Avg [� New Construction Use (J Residential t Number of bedrooms [ J Addition to existing build'mg [ J Replacement 1>4 Public or commercial describe o >=�t cc �L G 2 Uf�rtRy C P�`zr�n b lv Code derived daily flow - 1 So gpd Recommended design loading rate • 3� bed, gpd$ - trench, gpcVft Absorption area required bZ S bed, ft2 b Z. S trench, ft Ma)amum design loading rate S bed, gpolft b trench, gpdtft Recommended infiltration surface elevation(s) 10 y - S It (as referred to site plan benchmark) Additional design / site considerations _'r-'1 o urns w/ 6' x I o s' 8Z) , Y i 0- n u M 1 Z U 0I= SAl Pt L-C Parent material L-0 tfZ 9 o ut <S LA -<-'.L R-t, 1 t_t_ Flood plain elevation, I applicable N fa ft S = Suitable for system CONVENTIONAL MOUND MROUND PRESSURE I AT -GRADE SYSTBA IN FILL HOLDING TANK U = Unsuitable for system ❑ S ®.0 13S ❑ U [Is IO U [I O U ❑ S ICU , ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth 1Dominant Color I Mottles Texture Structure Consistence Ba� Roots GPD /ft in. I Munsell f Qu. Sz. Cont Color I Gr. Sz. Sh. I I 1 C - a 10�t 2 313 — S t 1 2`FS b12 wi �y C S - S Z$ -1$ 20 2-31 L s I 1 3 P 5b m' C-S - 5 Ground 3 1`� Z�' Z -S`t2 3L — s � lt°_5b►Z elev. t o 6- S -q 0 -1rz 31y - S 1 CQN Mt I Depthto S L10 -fir{ • S c z.s-t orn n9 fac tor �LO Remarks: Boring # o_q . 1 Q R 31 z si 1 Z�sb>2 m 1 Z 10`lIz -3) Ground S O S 9 m u `�h e.s - t el ev. 3 1- S� - S 1 �Sb'2 „� �S - .J\ 5 6- qS •Z.S Y SIz �1 S �2s1� Depth to limiting factor Remarks: T Name: — Please Print Phone: Arthur L. We erer 715- 425-0165 ' egerer Soil Testing & Design Service - P.O. Box 74 River•Falls,WI 54022 Sgnature: 8 Date: CST Number o6 - 6 00 CST 220254 PROPERTY OWNER SOIL DESCRIPTION REPORT Page ?di 'z PARCEL I.D. # Depth, Dominant Color Mottles Structure Boring # Horizon Texture Consistence Bourxtary Roots GPD /ft L � in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. =t= 1 3i l z P3b t rn�- �S ° < = Z 8 -lb• lU � n 31F s� I z�'sh►z -s Ground 3 16 -z�' -).3`frz �Z YAv elev. 1�1.5 � �� -�6 •Z<S y' S !Z e �l•S�fR ,$�`� S1 L uwr w,`F'i rv>> � Depth to limiting face Remarks: Boring # r .;. , Ground elev. It. Depth to limiting factor j 1 Remarks: Boring # h` Ground elev. ft. Depth to limiting factor Remarks: 3oring # IN ;round ftv. It. )epth to imiting actor Remarks: _ Wi scons in D e pa rtmen t ngel Bo Relations o olndustry labor bor a and Human Rel SOIL AND SITE EVALUATION REPORT Page of Division of Safety 3 Buikings in accord with ILHR 83.05, WI S. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but- S T • 0- CCU not limited to vertical and horizontal reference point (BR, direction and % of slope, scale or PARCEL I.D.I dimensioned, north arrow, and location and distance to nearest road. ' D Ze — I - Z-q - ?O APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: - - 3 0>ll —DE -. F l % PROPERTY LOCATION BULB —\Z>MS -SE1ZV t Cl -vi C _ =4--L01- Nth 114 UE 1 /4,S 2 y T Z Q� ,N,A 1 1 E( w PROPERTY OWNER':S MAILING ADDRESS, LOT: BLOCKY SD. NAME OR CSM S T 0 Y, - _ ti0 1Avw ZS N -- CITY, STATE ZIP CODE PHONE NUMBER []CITY �1/ILIAGE ®TOWN NEAREST ROAD host 6 - s q I R S �4 \Zw 3o Tit- gvtr [>j New Construction Use [) Residential / Number of bedrooms (J Addition to existing building (j Replacement ( xj Public or commercial describe to FF -LCC' 1�Lp G �z p�tiTy p c tjji - -� Y, Code derived daily flow - 1 SO gpd Recommended design loading rate • 3 bed, gpd/ft - trench, gpd/0 Absorption are r Z.S 2 Z a req uir e d b bed b � , rP eq , ft trench, ft� Maximum design loading rate S bed 2 . b . 9 9 , gpd/ft trench, gPcUft 2 Recommend infiltration nfiltrahon surface elevatton(s) ft (as referred to site plan benchmark) Additional design / site considerations _ `r'10 v ,j/ U ' x t o S ' g,a�) . }" l l Q I % M l Z' 0 ►= g 1 =t LL _ Parent material L p l=s S eJ Uel 6 LA-Q_L p-t, - 7 - t LL Flood plain elevation, if applicable l� l fa ft r su = Suitable for system COWENTIONAL MOUND IN-GROUND PRESSURE AT•GRADE SYSTE+I IN F L HOLDING TANK = Unsuitable for stem I O S M I ®S ❑ U ❑ S ®U ❑ S O U I] S [RU I IDS ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Structure Mottles Texture Consistence Roots ! in. ! Qu. Sz. Cont Color GPD /ft Munsell ' 1 I I Gr. Sz. Sh. ! I B 1 ed 0 8 l 31 12 , wi.'�y- c • S , S 6 • S t 1 3'4 sbk Ground 3 j y — s 1 e g ►� v fr, ec - . �( . 5 elev. . 10 6 s 2n --\4 0 -1 -3 Ct� Depth to limiting tac 3 Li I . Remarks: Boring # � - q l O''1 2 3 J Z -• . s i , 2'F � k w1, 'FI•. ` e..S - . S � . 6 3 Z -ts. 1 z F-sbk _ f j6 . S m Ss �- cS 3 \S -z 7•S`�iL 31y _ �S O 39 mv`�- 0-S Ground � 5 fL 2(� l •S `� 2 �L y - 5 1 CS�k � - S - ��' S a 6 - Z.3 V S l z e�1 1 Depth to S r y 2 S S t C wt� i t R GmIng factor Remarks- CS T Name: — Please Print Phone: Arthur L. We erer 715- 425 -0165 egirer Soil•Testing & Design Service -P.O. Box 74 River.Falls,WI 54022"' . Sgnadue _ NL 00 - L 6 a Data: b � t 7.- dU CST Nunber: . 220254 i PROPERTY OWNE SOIL DESCRIPTION REPORT Page ? PARCEL I.D. # _ ©Z g` - LOZ - ZU Depth Domin n Boring # Horizon p a t Color in. . Mottles Texture Structure Consistence Y Roots GPD /ft Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. t3 S Tiendi `ff 316 Ground 3 16 -Z9 -�. S'�u VV — 1 ` sb� Yo v elev. Z"S `/' S !Z - a •S `tR S� `+� S L' caw, F1 N \� 11117 Depth to limiting factor „ j Remarks: Boring # Ground elev. ft. " Depth to limiting factor Remarks: Boring # Ground elev ft. Depth to limiting factor Remarks: 3oring # around ?lev. ft, )epth to imiling actor Remarks: _ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer b Mailing Address o.S/ C� �Ql/ (,lJu't r) {/II Property Address _pS/ .3 rl, (V required from Planning Department for new construction) City/State �G� G�u�tr1 Parcel Identification Number LEGAL DESCRIPTION Property Location /U1/V /, Sec. T R W -own o Wu 4 -4 e e,� 5� s T f � Subdivision Lot # Certified Survey Map # Volume . Page # Wan=ty Deed # Volume / Page # Spec house ❑ yes 0 no Lot lines identifiable 0 yes ❑. no S'YST1�'M ENANCE Implroperuse and maintenanceof your sep system could result m itsptemaft f duce to handle wastes. Propermaimbcaanoo consists of punnpiag goat the septic tame every three years or sooner, if needed by a licensed pumper, What you put into fire system can affect.thre fwwtion of the septic tank as a treatMed stage in &C waste disposal:sysbau. The propectY- owner agrees to submit to St Croix Zoning Departnuat t .certification form, signed by dw ow= and by it p l manP1umbe� restdctedplumbcror a lk=cdp=pervedfyh g thine (1) flee on-site wastewaterdi qmW system is m proper operating condition and /or (2) after inspection and pumpmg.(if necessary), the septic. less .than 113 full of sludge. Uwe„ the undemiguod have read flit above roquir crucnts and agree to maintain &c private sewage disposal system with the standards .6d fork h=in, as set by dhte Departmcnt of Cow and the Department of Nat=al R souwcs� State of Wiseonsim. Certification s<at'ng &u4 Your septic system has ben maintai ed must be completed and mimed to the St. Cmix.County Zoning Office within 30 da tire three year tiott data 14 9 6 ) GNAZURE OF APPI ICANT DATE OWNER. C R TMCA'TION I (we) certify that all. statements on this form ate true to the best of my (our) knowledge. I (we) am (are) the owner(s) of dte , described a , by virtue of a warranty deed recorded in Register of Deeds Office. GNATURE OF AP ICANT DATE « « « « «« Any information that is mis rxxentodma result in the «E «EEE - reP Y e scut 't be' t. tary paint rug revoked by the Zoning DcPattrncn «« Include with this appiicxtion: a stamped warranty deed from the Register of Deeds office I a copy of the certified survey map if rcf=we is made in the warranty deed • Y+}t.1521AAGi 523 KA REGISTER OF DEEDS Doe QUIT CLAIM DEED ST. CROIX c o., WI t N RECEM FOR RMW Dean G. Doornink and June Doornink, husband and 06- RR-Fow 14:00 $W wi&; Barry C. Serier and Heather Serier, husband and wife; WN CWN KD and Todd A. Doornink and Elizabeth Doornivk, husband and wife, quit -claim to D & S Dairy Facility, LLC, a Wisconsin VY �: FEE Limited Liability Company, in property on Exhibit "A" in St. tRAt�FER �° M44 RECDR & FEEt 12.44 Croix County, Wisconsin: PNtBa t Record this document with the Register of D SEE EXHIBIT "A" ame Farm Credit > lt&MI&MCk"k 186 Cty Rd U Tax Key No. SEE EXHIBIT "A" River Falls, WI This is not homestead ro P perty. Dated this day f Ma 2000. Y y. tli * 4�an G. Doorulnk Mune Doornink Barry C Brier Heather Serier �— —_ Todd A. Doornink Eliza h Doornink STATE OF WISCONSIN +) )SS COUNTY OF ST. CROIX ) Personally came before me thisrV Vf day of May, 2000, the above named Dean G. Doornink, June Doolnink, ,Barry C. Serier, Heather Sexier, Todd A. Doorhink and Elizabeth Doomink to me known to be the persons who executed the foregoing instrument and acknowledged the same. Geo . Twohig Public, St. C ' ounty, Wisconsin y Commission is permanent. Drafted by: Attorney George W. Twohig Twohig Law Offices, S.C. 102 N. Madison Street, Chilton, WI 53014 (920) 849 -4999 LAV0 RNRMQCp1 d 9970'ON jN 1I03N� WBbj WV8� 6 OOOl fi noN r VOL 1521PAU 524� EXHIBIT "X$ S 112NE114NW114, except beginning at the Southwest corner thereof thence North along the West line thereof 23,33 feet, thence Southeasterly 33 feet to a point that is due East of the point of beginning and is 23.33 feet from the point of beginning; thence West to point of beginning, S 1/2NW I ANE 1/4, except Lot I of Certified Survey Map in Volume 11, page 3122, as Document No. 546098, Sec, 24- T28N -Rl7W. S ubj ect to existing highways, easements and rights of way of record. Parcel 1D Numbers; 028-1029-20 -000 028- 1029 -50 E A 9940•aN I 9 iIGM NU wd89 :6 0002 -6 - AON � I Nww , M z M� a z CL N ` Z LL LO LO . L 4k, LO p i IMC IL LO w , M L� AW 173 � 1 I NWT -NE 1 4 I 393. LO 1 w 5211521 ° 1778 3 , I I I 0 0 I I 11/07/00 17:58 FAX 715 672 5490 HURL3URT HEATING _ Q ool i i i NN O X - 1227 HURLBURT HEATING, PLUMBING & ELECTRIC, -INC. I (EATING - SHEET METAL - PLUMBING - ELECTRIC E. PROSPECT ST. DURAND, WISCONSIN 54736 PHONE 672 -9190 FAX 672 -5490 t i DATE: rr 1p /ao _ NU. OF PnGES : FAX NUMBER- TO: ell r t TRANSMITTED - ATTENTION: FRDNs i - REmmms i i I 1 , - IF THERE SHOULD BE ANY QUESTIUNS OR PROBLEMS, PLEASE CALL (715) 67e 8190. h 672 5490. OUR FAtrSIMILE NUMBER I5 (715) J 1 11/07!00 17:58 FAX 715 672 5490 HLTRLBURT HEATING ac tu r • . r 1 ' • s i i • , i , - : �.•� ',!I .. •. .� I- _ ?_ .: y r x J ` _ '.._ti •. _ mi l; `, - ,� � ,l r ,_ v , , 1 _ :ij -�.•,• - .. .• _ •+•'�. S: �. ?, 1 '�_ r ' 1 '. •, - 1 _ - 1 ` r. - Y ^ •l , .'= r, �� - r� ••tit? .Y k y' .,`c?: " LU'l _ r I�, -� _ •' - �. _ . . �. � �:�� '� 'fi : = . r .. �' : 1�;. Iq •1•a _. �J�'.Y :.`t't:• • . ,Ir II. , ♦`. _ r 'L •• .. _ + l�', .:y�.rT 1''. r`L. • t �� • =F` r•_I. 10tL3 r t '� t r • ' y r r • F Ro �.� �� ASSN S� "+ C +t iy y i • y J. � '� xx " r � l'; r � rJ p P� ,1'r ai lf �rni6� {•''� +•� ' '. t � e�° ". ` ._� r. (•, i a. 4a Fr , [ 3 a r 0 w .. Jt 'Ar ea rr r y ( 3 r e 1 4t A Mr J. Y . ti r' Sr d x v. ky <�i'�',ii ! ' tp +�ti b; ;• 1t- .._. t• S 1 M � Tt•�•� „I � 7 , Z e ♦ .,{r: � ,fi a f s ei.i. - vs '� 'r F -� i T \ ` , .�! J A - AV t^yp1 1r r yY.. f • ' d 1 ` � �. K f J �c i t +vRt ,� u't"' Y s I // __._.�- .•- .` -+..„- (��' a.r � " },:, ii hr, f 1 r, i. � � • 't a. r ". N 1i.'���'1�jt .f� �y"�i'•'}rt". •� .. � j r g 'A ' 4 Y � r 1 T y } rdL �l r' of •# 3t�� "t : � " }.' ea i ti ./ !�'. , ` _p. , 2// k 3 --__ � 6 3 -3 3a � �, 3 ' �� � � s �j ..-� 1 i �Lt�fi'1 2 �. `� �� ��>: Z ,�S = I- �� �7" �t� -- .�a �s . ��- (� . r 4 ' ��- �f � �v ,- -�� f s� �.S��o 1' 0 w Ah. U) 0 Lij s ---,g0 g ; . s � 120 It LO w N � � Z t � O i 1 I W \ ....... - - _ w V) r I -0 o u N o N 1L' Ip �n u o o �. CL E a e3 , r O M 0 N ' 04 N D 5�r o V 1�. 0 o o O v T ' � G i 0 � j I 7 1 v ,O � j u U �l rl a O � IN i ` 0 1 ei 0 P G LL r� L� P 3' m Y 1 i . T 00 o N i o N 11 . p Z c r ° G a Q) i LA � H zz �r 0 Y / ➢z J .. R , - S 2 k, 1 o s ov o 3 t � Q J c O a ¢ CL I p � s 1 � 1 a r I i i o J Q � � �r I I Y Q � A � � o U J r) bl ri Q) 3 � •I a) n c o o a) :j y p �, N cli ^, o w 0 4-j 4J u v � D a l � o u p, 04 0 n' r.au $4 4-) o .0 to 3� >, k D bo ca v) 0 U) W CO oxi C, co �+ to cri ca y� 2 � �• 3 as ° o w o v cn O 4 C.) .x (/3 . 4-, �= a x �4 r. -It ca �4 o +3 •ri r-1 «S co -H .[ y"", +, 4 u (1) (1) > t1] n PC) A H 'zi r— N M n Department of Industry. PRIVATE SEWAGE SYSTEM County: a4 Human Relations INSPECTION REPORT ST. CROIX eiy and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Fr_!Permit Holder's Name: ❑ City ❑ Vi lage ❑❑ Town of: State Plan o.: ra DOORNINK, DEAN - X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Vent to TANK TO P/ L WELL BLDG. Air Intake ROAD Dt Inlet Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bat. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction I S ystem TDH Ft 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 I SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ' INFORMATION Type Of CHAMBER Model Number: System: I OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hoe 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.) LOCATION: Rush River.24.28.17W, NE, NW, 30th Avenue Plan revision required? ❑ Yes []No Use other side for additional information. I FF1 I I SBD -6710 (R 05/91) Date Inspector's Signature Cert. No. DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code cO STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than a) gllo 8% X 11 inches in size. ❑ Check if reion to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLI I NFORMATION — PLEASE PRINT ALL INFORMATION. PROPERTY OWNER � r & _. C PROPERTY LOCATION art/ Jdnl - OF , /fib' /a AAoNt, S 2_ T Z$, N, R /7 kjor PRO OWNS S MAILING ADDRE LOT # BLOCK # Cl) AT ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ku' z 1 S 6 I. TYPE OF BUILDING (Check one) CITY NEAREST ROAD I 1:1 State Owned ❑VILLAGE ow .04 NQF ❑ Public *Q 1 or 2 Fam. Dwelling- # of bedrooms. A R 's Ill. BUILDING USE: (If building type is public, check all that apply) O 0 :1 8 ( O J a 0 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 OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1A New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System / Exl Ing System B) A Sanitary Permit was previously issued. Permit ## �/ l Date Issued ' ` 2 9� V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 §9 Mound — G=k(tA7 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure /Vey Sgo re- 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 REQUIRED (sq. / ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft. in. /inch) ELEVATION 5cre C: 5A Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New !sting Gallons Tanks Manufacturer's Name C oncrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdina Tank Lift Pump Tank/Siphon Chamber Jl- - LE Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plu is S on No Sta ) MP /MPRSW No.: Business Phone Number: M a� �et,� rf d/9 7/s 6 �� y 7L - o Plumber's Address (Street, City, te, Zip Cod b): � � ��� L2 DS «7L' �LI.rYYr� IX. C LINTY /DEPARTMENT USE ONLY Disapproved San)tary Permit Fee (includes Groundwater Date Issued k I Issuing ent Si lure (No S ps) Approved El Owner Given initial 1.�� harge Fee) / / /�� Adverse D er in tin / wcs 6 X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: 77 f )j0'51 , SBD -6398 (formerly Plb -67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety S Buildings Division, Owner, Plumber SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations September 27, 1994 2226 Rose Street La Crosse WI 54603 WEGERER SOIL TESTING 421 N MAIN STREET PO 74 RIVER FALLS WI 54022 RE: PLAN 594 -41150 FEE RECEIVED: 190.00 DOORNINK, DEAN NE,NW,24,28,17W TOWN OF RUSH RIVER COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above - referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50 -64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Since , '.... erar M. Swi Plan Reviewer` Section of Private Sewage ( 608 ) 785 -9348 SHD -6423 M. 01181) MOUND SYSTEM Page 1 of 1 FOR S 94 - 41 15 0 I LOCATED IN THE NN 1/4 OF THE Nw 1/4 OF SECTION T z8 N, R 1_ 7 W, TOWN OF ) U LR COUNTY, WISCONSIN. — II i INDEX RECEIVED PAGE 1 of 7 TITLE SHEET PAGE 2 of 7 PROJECT DATA SEP 2 119% PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION SAFETY & BLNS. W. PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 DOSE CHAMBER PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR �_ o. 13Ux ley PREPARED BY m` � ®aolt Q e t t e o ®0 r ��� WEC3EFcEF� SO I L TEST" I �S ® e ®�� AND`4' .••' . S I7r E= = ('3P4 Si E F=C w I C F= WMERER D- wOR fiiLLSN.'OR7H, i P.O. BOX 74 421 N. KAIN ST. 't ft RIVER FALLS. VI 54022 715 - 44 • d�, •••� ••i S IG NHinaN 9- ZD - JOB NO q- 2. ZO S94w41150 LL NY, 1p6L'R ;U 8S OED OF � S10N F Af 0 S r Page .t Of .. 8 94_41150 Approved Synthetic Covering �sTwt C- 33 Distribution Pipe Medium Sand H _ G Topsoil �,- _ -__- -_ =_ 1 I E1ev. R9.1 _J D 3 E s �.. % Slope Bed Of %�- 2 % Force Mdin Plowed V4 2 2 Aggregate From Pump Layer r D 1 • o Ft. �r�tst E 1 • Z Ft. Cross Section Of A Mound System Using G� `d A Bed For The Absorption Area F o• Ft. G N. o Ft. A - 1 Ft. H 1.5 Ft. Linear Loading Rate= 8 3 GPD /LN FT B 59 Ft. Design Loading Rate= o• GPD /SQ FT j 14 Ft. q Ft. K �•C) Ft. A *e� Position L 19 Ft. of Force Main W 3 Ft. L + ry tion Pi e F -------------------- Obse o p -� K .I -------- - - - - -- -- Feree- A4e+t� -- a a Distribution B e d Of J-, 2 2 Pipe Aggregate I Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area S Page ^_ Of =1 Perforoted Pipe Detoil 0 End View Perforated End Cap. i PVC Pipe Install permanent - marker at end of each lateral Holes Locoted On Bottom, Are Equally Spaced Q S PVC Force Main P PVC Monifold Pipe Distr ution Pi e Lost Hole Should Be Next To End Cap End Cap P Z 8 3 3Ft. Distribution Pipe Layout S L) e_ Ft 113 ?0A X ►-1 b Inches Y qO Inches „ Hole Diameter 11 Y Inch b �T Lateral 1 Inch(es V"' Manifold ` Z Inches Force Main " Z Inches �ww�t• �• � '�� # of holes /pipe 9 DIV L Invert Elevation of Laterals 99.60 Ft. G Place 1st hole Zo 4 from center of manifold with succeeding holes at Ljp intervals. Last hole to be next to the end cap. • OF • PUMP CHAMBER CROSS SECTIOAI AMID SPECIFICATIOIJS PAGE .� • VENT CAP S 9 4 m 4115 0 -( C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE JUIJCTION 90X COVER WITH WARNING LABEL �: 10 FROM ODOR, 12•MILI. WINDOW OR FRESH I AIR INTAKE GRADE �� - I 4 MI N. le AIM. CONDUIT �'"- _ -__ PROVIDE I - --- WLET _'AIRTIGHT SEAL , —T APPROVED JOIrJT A Tank constr shall comply i III APPROVED JOINTS with approved with ILHR 83 and, ILHR 83.20 pipe extending i.° ` I I ALARM 3 feet onto solid soil. ON Both sides of C r vs j�t. tank. :PC. "�; El I CLEV SZ..83 FT I's�,t _ P _� _ , OFF e'Z 5Z., 00 COMCRCTE BLOCK 3" APPRaVer> • RISER EXIT PERMITTED ONLY IF TAWK MAMUFACTURER HAS SUCH APPROVAL gEpplµG SPEC.IFICATIOMS DOSE w�ES� �JC1ZE' PRuDu 3 -4 TANK MAN UFACTURER: NUMBER OF OOSES: PER 011y TANK 51ZE : � � � � GALLOWS DOSE VOLUME ALARM MMJUFACTURCR: S '�' � S�fS ,? INCLUDING GACKfLOW: CrALLONS MODEL wuMBCR: CAPACITIES: A= 11Z INCHES OR SOS GALLONS SWITCH TyaE: � ' Y 5z Z INCHES OR Sl y 4 LLOW5 PUMP MANUFACTURER: ZO �LC'lZ GO • G = -7 INCHES OR ZOl' O GALLONS MODEL NUMBER b 3 0- \O INCHES OR ZZ'&-) ' 1 GALLONS SWITCH TYPE: � L2zy MOTE: PUMP AND ALARM ARE TO BE MI)JIMUM DISCKARGE RATE L4 Z ' Z GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEIJ PUMP OFF ALID..DISTRIBUTIOIJ PIPE.. L-22 FEET t MIAJ NETWORK SUPPLY PRESSURE .... , .... .. 2 FLET ♦ 140 FEET OF FORCE MAIN X 2 -�i F YoftFKICTIOIJ FACTOR.. >>' Sq FEET -- TOTAL OyNAMIG HEAD = 30 ' FEET DIAMETER - 3 � 11 2• -" INTE RNAL DIMEWSMW� OF TANK: LEAIGTH - ;WIDTH ;LIQUID DEPTH �.�.�. BOTTOM AREA - - 231= - GAL /INCH AS PER MANUFACTURER = Z 8.71 GAL /INCH _ �PcU� 1 of 1 a HEAD CAPACITY CURVE TOTAL DYNAMIC HEADIFLOW PER MINUTE - EFFLUENT AND DEWATERING i w 161, 163 AND 165 SERIES SERIES 161 163 165 Fr. M. Gal Ltr Gal Ur Gal Ur 5 1.52 106 401 61 231 61 231 28 10 3.05 100 378 61 231 61 231 90 15 4.57 91 344 60 227 60 227 20 6.10 82 310 59 223 60 227 24 80 25 7.62 74 280 57 216 59 223 30 9.14 65 246 55 206 58 220 70 165 1 40 12.19 46 174 46 172 55 206 20 163 50 15.24 21 80 33 125 51 191 18.20 15 57 43 161 0 60 70 21.34 30 114 16 80 24.38 14 53 z >_ 50 90 27.43 a 1 DO 30.48 r 12 40 LOCK VALVE 56' 66' 87' O r D 1. 8 30 3 S94 -41150 20 4 V2 ,L2 4 7/32 8 3/4 10 161 6 1/2 0 1 1 U.S. GALLONS 10 20 30 4O 1 5g6O7O 80 90 100 110 1 LITERS 0 80 160 240 320 400 4 7/32 FLOW PER MINUTE _ 6 11/32 I Standard all models - Weight 77 lbs. - 20 M. cord - % H.P. 161 MODELS Control Selection Lis tlnos 1 Model Volts -Ph Mode Amps Simplex Duplex CSA UL 1 1 /Z" -t 1 t/2 NPT M161 115 1 Auto 15.5 1 or 1 & 9 Y Y 1 2" - 11 1/2 NPT (OR) 3" - 8 NPT N161 115 1 Non 15.5 2or2 &8 3or5 &6 Y Y D161 230 1 Auto 7.0 1 or 1& 9 Y Y E161 230 1 Non 7.0 2or2 &8 3or5 &6 Y Y Ft 61 230 3 Non 4.0 2 &4 3 &4or5 &6 Y Y 1 H161 200 -208 1 Auto 8.2 1& 9 Y N 1161 200 -208 1 Non 8.2 2&8 3 or 5& 6 Y N J161 200 -208 3 Non 5.2 2&4 3& 4 or 5& 6 Y Y G161 460 3 Non 2.0 2 &4 3 &4or5 &6 Y Y 18 9/16 1 1 Standard all models - Weight 77 lbs. - 20 h. cord - Y2 H.P. 163 MODELS Control Selection Listings Model Volts -Ph Mode Amps Simplex Duplex CSA UL I 6 M163 115 1 Auto 14.0 1 or 1& 9 Y Y N163 115 1 Non 14.0 2or2 &8 3or5 &6 Y Y D163 230 1 Auto 7.0 1 or 1& 9 Y Y E163 230 1 Non 7.0 2or2 &B 3or5 &6 Y Y F163 230 3 Non 1 4.0 2&4 3& 4 or 5& 6 Y Y ' H163 200 -208 1 Auto 8.2 1& 9 Y N ` 1163 200 -208 1 Non 8.2 2&8 3 or 5 &6 Y N SELECTION GUIDE J163 200 -208 3 Non 5.2 2&4 3 & 4 or 5 & 6 Y Y 1. Integral float operated mechanical switch, no external control required. G163 460 3 Non 2.0 2&4 3 & 4 or 5 & 6 Y Y 2. Single piggyback mercury float switch or double piggyback mercury, floatswitch. Refer to FM0477. Standard all models - Weight 77 lbs. - 20 ft. cab -1 H.P. 3. Mechanical alternator "M -Pak" 10 -0072 or 10 -0075. 165 MODELS Control Selection List tnos 4. Combination starter. Refer to FMO514. Model Volts -Ph Mode Amps Simplex Duplex CSA UL 5. See FM0712, for correct model of Electrical Alternator, "E- Pak ". 0165 230 1 Auto 9.8 1 or 1 & 9 Y Y 6. Mercury sensor float switch 10 -0225 used as a control activator, with "E -Pak" alternator, 3 or 4 float system. E165 230 1 Non 9.8 2 or 2 & 8 3 or 5 & 6 Y Y 7. SIMPLEX CONTROL BOX 10- 0050,11523OV,1 Ph. max. 2HP use one(1) single F165 230 3 Non 6.6 2&4 3 & 4 or 5 & 6 Y Y piggyback wide angle mercury float switch OR two (2) 10 -0225 mercury sensor H165 200 -208 1 Auto 10.7 1&9 Y N floats for level control. 1165 200 -208 1 Non 10.7 2 & 8 3 or 5 & 6 Y N 8. Four (4) hole "J- Pak ", junction box, for waterfightconnecdon or wired -in simplex J165 200 -208 3 Non 7.0 2 & 4 3 & 4 or 5 & 6 y Y or duplex operation. G165 460 3 Non 3.3 2&4 3 & 4 or 5 & 6 Y Y 9• Two (2) hole "J- Pak ", Junction box, for watertight connection or splice. BA165 575 3 Non 3.0 2&4 3 & 4 or 5 &6 Y N 'No Molded Plug CAUTION For information on additional Zoeller products refer to catalog on Combination Starter,FM0514; All Installation olcontrols, protection devicesand wiring should be done bya qvallfled licensed PiggybaekMercury Switches, FL40477; ElectrialARemator, FMO486 ;MechanicalAftemator,FMO495; electrician. All electrical end safety codes should be lollowed Including the most recent Alarm Package, FMO513; Sump/Sewage Basins, FM0487; and Simplex Control Box, FM0732. National Electric Code (NEC) and the Occupational Safety and Health Ad (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. a Wisconsin Department of Industry PRIVATE SEWAGE SYSTEM County: 'Labor Human Relations Safety and Buildings Division INSPECTION REPORT St. Croix NE,NW,24 (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 30th Ave. 149120 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: James Doornink Rush Ri ver S91 -40525 CST BM Elev.: h Insp. BM Elev.: BMpescription: f Parcel Tax No.: 1 6o, C v� �G �� Gl,! �.f wwt -�' Qs (D Ce... NA TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI ELEV. Septic' P Benchmark Dosing AeraTI on Bldg. Sewer Holding St /*Inlet TANK SETBACK INFORMATION St /X Outlet ( TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic > /&t >/co >160 NA Dt Bottom f Dosing > /G0 / ? / ;D 7/� -1� NA Header4IFen. NA Dist. Pipe; q9,s �, Holding � Bot.System '/ 'PUMP/ SIPHON I F R T N �, 8� ;fie /�I t Final Grade Manufacturer- Demand Model Number $ , 61 ± GPM TDH Lift �0 Lriction \ rte System „eP' TDH a Q Ft � `: Forcemain Length, ` Dia. a '2` / Dist. To well 'S /#0 ! SOIL ABSORPTION SYSTEM N, BED f+R'Elt" Width ! Length / No. 0€4�s PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS IMEN I N Manufacturer. q ' SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHI � SETBACK W INFORMATION Type O �, \ f CHAMBER M um er: System: 7 �l1 U 1�C OR UNIT DISTRIBUTION SYSTEM 77' anifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Int�ke a Length Dia. Length 0 y Dia. t' + Spacing > 6c� + ql t o SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over i' Depth Over xx Depth Of xx Seedo /Bedded• xx Mulc d Bed/ T-rErteiq Center Bed / Tf-� h Edges Topsoil �j es ❑ No es ❑ No II OMMENTS: (Include code discrepancies, persons present, etc.) l Zoel W.Z_ .0/z _9G,✓D' 6 t 0-d Plan revlslon re Ired? ❑ Yes E'I o Use other side for additio informatio / G•.- $"� SBD- 6710(R 05/91) 5,6� 5SS ate (,/4 Inspector's Signature � � Cert.No. f s ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: . 63 e F t � a DI�.HR SANITARY PERMIT APPLICATION cou In accord with ILHR 83.05, Wis. Adm. Code t7.- �%A4 STATE SANITARY PERMIT # –Attach complete plans (to the county copy only) for the system, on paper not less than /!./L? /10 8% x 11 inches in size. 1:1 Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. I S'Q/ D�a-S PROPERTY OWNER PROPERTY LOCATION 4 /< r t /a /a,S T ,N,R r) W PROPER OWN S MA LI G A , RESS LOT # BLOCK # i CITY, S AT ZIP CODE PHONE NUMBER SUBDIVISION NAM DR CSM NUMBER II. TYPE OF BUILDING Check One) CITY : NEAREST RO!►DY ( U Spa w � y ned � VILLAGE : El Public 01 or 2 Fam. Dwe in / � @dlOri'1S � PARCEL AX NUM R ) III. BUILDING USE: ((f 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 OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. L 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 Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 210 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 El seepage Trench 22 El 42 ❑ Pit Privy Y 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTI SY STEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. f�.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) q ELEVATION Feet Feet VII. TANK CAPACITY Site in oallons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Sep tic Tank or Holdina Tank Li Lift Pump Tank/Siphon Chamber I X+ Yen n i L1 F—I 1 0 Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plum er's Name (Print): Plumber's 'gnature: (No Stam MP/ o.: Business Phone Number: lum er's Address (St et, City, S t ,Zip d 14 L IX. COUNTY/DEPARTMENT USE ONL L] Disapproved Sa ry Permit Fee (Includes Groundwater a e I ue gnature (No Stam ) rcharge Fee) Approved ❑ Owner Given Initial L V Adverse D t rminati n f� �7622 7A WJ 7( X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-M8 (formerly Plb -67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber 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), a second nd form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ------------------------------------------------------------------------ Owner of property J p h D v° Location of property W .1/4 1/4, Section, T 2,j' N -R _L7W Township R k S f1 R r P r Mailing address .2 0 Co Rd C3 a, leAl 11 n tv 1 S 'lo0 2 Address of site 26 6 1 : A U Subdivision name Lot no. Other homes on property? — yes No Previous owner of property i Total size of parcel Date parcel was created Are all corners and lot lines identifiable? �� Yes No Is this property being developed for (spec house)? Yes 4— No Volume 5SZ and Page Number 17,1 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 & 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 in the office of the County Register of Deeds as Document No. ,.3 3 o o , and that I (we) presently own the proposed site 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 County Register of deeds as Document No . ,3 3 l 2z O J o h — .d Fal,4� j 1n c . Dy Si atur off—Lap Co- applicant Date of Signature Date of Signature 1 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER /BUYER J O L.-2- /�GZ G , ADDRESS: 20G r Ca R J FIRE NO: LOCATION: 1 /4, N E 1/4, SEC. 2 T 24 N -R TOWN OF: ST. CROIX COUNTY SUBDIVISION: LOT NO. 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 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 to help with the cost of the 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 the St. Croix County Zoning 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 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. Certification from will be sent approximately 30 days prior to three year expiration. 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 form must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. n SIGNED: 0 DATE: St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 IIQDUS TR Ti Y, OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS IIaYDUSY, GG DIVISION LABOR HUMAN REDLATIONS PERCOLATION TESTS `11J) MADISON WI 53707 (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: TOWNSHIP UNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: NE�4 Nw z4 /T z$ N /R\�E RvsH _ COUNTY: MAILING ADDRESS: 2p65 1--T)4 'Z� 1� N LDW)A) w/ S V00 - 2 USE DATES OBSERVATIONS MADE ff�� NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE D I S: A ION TESTS: VsdResidence $t -O�r"1 I" ONew ❑Replace ^IR A fV 6 -6 -4/ 6 -I1 -4I FOR Z t:;'1 P Lp` ele S —t-ML 49 6P RATING: S= Site suitable for system U= Site unsuitable for system cx-7 S j 7r-- 13Y Ti r�iOl'J pS01J O 1.J 6 9 l ONVENTIONAL: MOUND: IN- GROUND - PRESSURE: rE]SZU YSTEM -IN -FILL OLDING TANK: RECOMMENDED SYSTEM: loptional) EJ S YU IBS ❑U EIS f U EIS ®U If Percolation Tests are NOT required DESIGN RATE: 4 � If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: T"3 - I \ • Fl indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVA TION OBSERVED EST. H1 HET TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B 9 �_ I B- Z S `7 �t1 -2 � � 3 � 1 13 `' B 3 L 47 Of1.9 1 ow 6 -/0 - 91 B - l0 Z C1 g . Z, +vow E 7 Ir , 44 ^. \- v 17 B_ I ' PERCOLATION TESTS i TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVE - INCHES TES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIOD2 PERIOD r TTA EWCH P_ 1 z-z 4-N% X L 3/y 3 ) 4�a P_ Z 2 2 )fib 3 l7 1 S ig 1 1 S pa ! 8 P- 3 Z 13 /4. 37 P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. tF 86 SP'K7 LOA► -) SYSTEM ELEVATION C 1 ►1F�1 - �' of slog LI�R S - � Tin z6o ; 80 �N ' ; � � i . ,� •� 1 ,. , } - t I _.4..n rt _ _ _ _ _ _ �— — { l ; t t c t . 1 7 3 _ T 1, sCAL's )'I= so' sc Zy 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. WEGERER SOW TESTING NAME (print): AND TESTS WERE COMPLETED ON: ADDRESS: DESIGN CERTIFICATION NUMBER: IPHONE NUMBER (optional): P.O. 74 421 N. MAIN ST C_ST n 7 IS- LIZS - OJ6S RIVER FALLS WI 54022 CST SIGNATURE 715- 425-0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. p OF DILHR-SBD-6395 (R. 10/83) OVER SOIL DESCRIPTION FORM Attach Soil Prot Ile Locatio n Map On a Su arate Shoot) CL T• L:. Qdt�/.�1N1c LTNEAR LOADING RATE: PURPOSE: C11A1 UY frog Vv� C`.C)J ►SJJW C-'n0 J SLOPE WOMPT ION B Y:- J R- f)+j9• L LA-) EG stk A DATf.: - VyJt Lj Iq [ I CURRENT LAND USE: COUNTY /STATE: C1bIL4 UljIl1 LtJ VEGETATIVE COVER: h` Y LOT DESCRIPTION: �F • ti� 1/ ' NW 1 /v SIC Z44 11 L�7 DRAINAGE CLASS: LOCATION: �I.J IJ 01 liz`.1S N l - I ueR GALLONS PER S2. FT. PER DAY C, . 0 PARENT MATERIAL s /DEPTII: SOIL SERIESt St�Z'TI�.E 1�1� SOILSAM FIORIION DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PH -BOUNDARY REMARKS in. n »1St Gr. Sz. Sh — COAT INGS TZa 6 0-9 1O`{R — SL ` Yn lo`lR 31 - at Z Sl1k ti^f ►^ c s 3 ►U -Zg �e�cLz 316 — s I 3 c s�4c 'm vH �S u � C S 7.S y R 5 /5 h207 S 32. • R 31y �' S) O yn Sy M ( — S t� Z �' P tin i. Cz_ S Z 4 -tY� t��lt2 31Y Si I ZmSbk �`�'►^ �-S 5 ZhT Sbk ►�y y_ °LS v - 11. GtzN� -- 3y -�lo LOYR 3/6 Z� S ) 2>n5bk mkj' v c s -1.sYR s /8htar S yo -sl 7•S` R 3 ! y z c� S 1 1 S Ix s es to L-L q 3 S_L o Lo'tR 3/6 l sl Sbk ►� i �-SYR S18 1to7 to 'l lZ 31Z SO Z 1�_Z3 N(mTZ3I y SLR Zm Slbk �`��►^ c S \t` TL 3 /G s 1 o si b M V�� 4_s L) 47 -1t- ho.li S A o S9 W , yQ3 6 I @ -• s -SY►t slta AmT OTHER SITE FEATURES /NOTES: 6 -11 -9/ 0O0S76 PnGt — 2 - F: Z LIMITING FACTORS /DEPTH: Signature Date CST 8 Il • W E C E Ft E F;: S C3 11.— T E t�.,s- T I M C—.—+ P.O. BOX 74 421 N. MAIN ST. r AND RIVER FALLS. III 54022 715 -425 -0165 • `Z ATTNr _� f v ire �, DATE ID CC: SUBJECT: WE ARE ENCLOSING THE FOLLOWING ITEMS: NO. OF COPIES DESCRIPTION i SENT TO YOU FOR THE FOLLOWING REASONS: ❑ FOR APPROVAL ❑ APPROVED AS SUBMITTED ❑ INFORMATION DESIRED [FOR YOUR USE ❑ APPROVED AS NOTED ❑ RETURN COPIES ❑ NOT APPROVED ❑ FOR REVIEW AND COMMENT ❑ 9 10 FGF -\�,N WEGERER SOIL TESTING pii`GG, ,' AND � !s '•I DESIGN SERVICE T �' SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN Owner: JAMES DOORNINK PO BOX 74 2065 CTH J RIVER FALLS WI 54022 BALDWIN WI 54002 RE: Plan Number: S91 -40525 R Date Approved: October 16, 1991 Gallons Per Day: 490 Date Received: June 28, 1991 Project Name: DOORNINK, JAMES Location: NE,NW,24,28,17W JON -DE FARM INC Town of RUSH RIVER 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 MOUND - REVISED MOUND Inquiries concerning this approval may be made by calling (608) 785 -9348. SUD 6423(N.O MI) I SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations WEGERER SOIL TESTING & DESIGN Page 2 Sincerely, GERARD M. SWIM Section of Private Sewage Division of Safety and Buildings PPP039/0009n/35 cc: JAMES DOORNINK X Private Sewage Consultant SLID -6423 (R. 01 /911 � r S Gtr o. wi To C111� " o • S ►ril R.c C ka eom - evr T-t -F '.Pe w` ( L4 � 'L y i � y T �M PR tT oR - its I I SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PAP 19 1 PRIVATE SEWAGE PLAN APPROVAL Western Regional Office e� 2226 Rose Street l LaCrosse, Wisconsin 54 to WEGERER SOIL TESTING & DESIGN Owner: JAMES DOORNINK �� r PO BOX 74 2065 CTH J RIVER FALLS WI 54022 BALDWIN WI 54002 £ Z+ RE: Plan Number: S91 - 40525 Date Approved: June 30, 1991 Gallons Per Day: 490 Date Received: June 28, 1991 Project Name: DOORNINK, JAMES Location: NE,NW,24,28,17W JON -DE FARM INC Town of RUSH RIVER 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 MOUND Inquiries concerning this approval may be made by calling (608) 785 -9348. Sincerely, O RD M. SW Section of Private Sewage Division of Safety and Buildings PPP039/0009n/37 cc: JAMES DOORNINK X Private Sewage Consultant SRD 6433 IR. 01 /01.) I ' Page 1 of 7 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE F�,"p R eA�}R�ot -t lt�l ehti�v LOCATED IN THE NE 1/4 OF THE NW 1/4 OF SECTION - L'4 , T 2a N, R 1 W, TOWN OF Gtuil}( COUNTY, WISCONSIN. INDEX c - JL . PAGE 1 of 7 TITLE SHEET PA GE 2 of 7 WORKSHEET PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PA GE 6 of 7 DOSE CHAMBER PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR ao►J - OC '�Q-� l�vc. Zo�S cTt S ' dl�l_flwliv, w l 5(oo PREPARED BY ®o �waN�e - WE�EIREFZ SCJ I L TEST I MC3 �o c c At ~• • 1. �I � �� •''".•. /� AND DES I G!V S►EF�V I CE � �� �:� _ WEOEREp P.D. BOX 74 421 N. MAIN ST. RIVER FALLS. 54022 9�''�- 715- 425 -01 65 oo�� Ij�,s I G��' �► ��o�oo�eW►` JOB NO. aJ I — - 7 3 WORKSHEET Page Z of - 7 This mound system will provide wastewater disposal for a proposed 3 bedroom mobile home and also for a bathroom in a proposed dairy barn to serve 2 employees. SJ1 -40525 3 bedroom residence - -- 450 gpd 2 employees - 40 gpd Total wastewater - -- 490 gpd 490 divided by 1.2 = 409 sq. ft. min. absorption area req'd. The mound will utilize a 7' by 59' bed which provides 413 sq. ft. A 1000 gallon precast concrete septic tank will be installed for the mobile home with an additional 1000 gallon precast concrete septic tank being installed for the barn. The effluent from both tanks will run to a 1000 gallon precast concrete pump chamber. • � 11 lam` 9 3p i� AV�UC -r SEW A R .o.w . L-uWe �® e� ion V C � ts nt spewrr L,.-u E of - zA c M 17t., ti�NS R NGS C� Of i ?dGI�SSF� ��-p' AN 6 O,tPAR��' :ISION O� E tioT coy - Pr� cT oR Ol S�i2�, T'T� 1 � hi�syl Page 9 Of 7 Approved synthetic covering Distribution Pipe Medium Sand H _ G Topsoil. _` - - _ _� _ F Elev. R�1• �. SY �(EM E ;; p PIG j jfoaa ° ape Bed Of 2�— 2 %2 Force Main Plowed aELA�'ygregate From Pump Layer D N D `• o Ft. t 1VtS�4N 0� CE E �• z Ft. E Cross Section Of A Mound System Using SE A Bed For The Absorption Area F o.B Ft. G k. o Ft. A - 7 Ft. H � Linear Loading Rate= &W GPD /LN FT B ST Ft. v - 1 s Design Loading Rate= o.yoGPD /SQ - FT j ! Ft. 1 Ft. K Ft. Al ternate L --1 ° 4 Ft. �„-�� Position of - W 3C) Ft. Force Main L Observation Pipe �. F A — — --- — — -- — _ — -- — 'I I •-------------- - - - - -- ------------------ - - --•I Main M K Distribution Bed Of Pipe Aggregate { Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area Page S Of -7 Perforated Pipe Detail End View Perforated End Cop. o�OA e PVC Pipe Install permanent marker �W% � at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main PVC Manifold Pipe 4 Disir ution Pi e Lost Hole Should Be I Next To End Cop End Cap P 2 8.33 Ft. Distribution Pipe_ Layout S X UO Inches Y uD Inches C31VSD1"E SEWAGE SYSTEM Hole Diameter J AY Inch . Lateral 1 t!q Inch(es) 0D �II��Z�l.J02fdGL " Manifold Z - Inches Force Main " Z Inches F , � # of holes /pi pe UEPARTMENT Or iNdN: USTRY, LABOR AND MAN RELATIONS i 1 N OF S T AND INGS Invert Elevation of Laterals q7-6'0 Ft. SEE GORiIE CE ... , . Place lst hole ZA l from center of manifold with succeeding holes at 40" intervals. Last hole to be next to the end cap. PU1MP CHAMBER CROSS SECTION ARID SPECIFICATIONS ' PAGE (7 OF VENT CAP 4" c. Z. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE JUIJCTIOM BOX COVER WITH WARNING LABEL �" 25' FROM DOOR, IL•M1U. „lINDOW OR FRESH P AIR WTAKE GRADE IV ne IAJLET ��ly .• SEA DNS ( I II APPROVED JOINT A PND DEG$ 4 I I I I APPROVED JOIN p0 D ALARM 1 I Ow CLCV. FT. PUMP --,, ' -j f OFF D LL $Z • 0 O CO U CKETE 5LOCK RISER EXIT PERMUTED ONLY IF TAWK MANUFACTURER HAS SUCH APPROVAL I 3 L APPRWE- SPECIFICATIOKIS DOSE . W�� - ��R CO�Cfte? ] te» )UCn 3.3 7 TAUK MA IJUFACTLI RCR. NUMBER OF DOSES: PER D" TANK bIZC : GALLOWS DOSE VOLUME S• 1 • EL�t'ZRU SYST a S IIJCLUO1NCa BACKFLOW: Zoe. 0 GALLONS AL ARM MA/JUFACTURti.R: MODEL NUMBER: IC� l HLJ CAPACITIES: A= 2- INCHES OR _ CPALLONS SWITCH TYPE: 11 LOUR c 1 A - I�' S t � 8 = �' INCHES OR S l:.Y_ &(LLOIJS PUMP MANUFACTU1Lf<R: C_.O • C - 7 114CHES OR lot' O &ALLOWS MODEL NUMBER: 1 3 D= I O „ D- INCHES OR 6VL011f. SWITCH TYPE' T)eltr.uwy WOTE: PUMP A1JD ALARM ARE TO BE MINIMUM OISCHARCoE RATE. ' 41-11 GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL OIFFER.ENCE DETWECIJ PUMP OFF A1J0_DISTRtbUTIOLI PIPE.. --'- 5 FEET (6 - *7 ' t MIAIIMUM NETWORK SUPPLY PRESSURE .. .... 2 SO FEET ♦ 3y O FEET OF FOR MA 'A L FYo fiFRICTIOU FACTOR.. 6 FEET It 5 �_ r ..._ TOTAL DyWAMIC HEAD = 29 FEET 3b+ $CO DIAMETER -- a UJTERNAL, DIME.WSIOLI f OF TANK: LENGTH 994' T°p ;WIDTH t1DP ;LIQUID OEPTH BOTTOM AREA 231= GAL /INCH AS PER MANUFACTURER GAL /INCH MEAD /CAPACITY CURVE 161, 163 AND 165 SERIES TOTAL DYNAMIC HEAD/FLOW PER MINUTE ' W EFFLUENT AND DEWATERING LL 28 SERIES 161 163 165 eo FT. M. Gal. Ltrs. Gal. Ltrs. Gal. Ltrs. 1.52 106 401 61 231 61 231 MO EL 10 3.05 100 378 61 231 61 231 70 15 4.57 91 344 60 227 60 227 mutic a 20 163 20 6.10 82 310 59 223 60 227 w = 60 25 7.62 74 280 57 216 59 223 U 16 30 9.14 65 246 55 206 58 220 Z 40 12.19 46 174 46 172 55 206 p 12 50 15.24 21 80 33 125 51 191 -1 OD EL 60 18.29 15 57 43 161 }- 30 70 21.34 30 114 O s 80 24.38 14 53 20 90 27.43 4 14 .V to 100 30.48 Lock Valve: 56' 1 66' 87' 0 GALLONS 10 30 40 J 50 60 70 so I 90 100 110 4•b- =rte- !iG LITERS 0 so 160 240 320 400 FLOW PER MINUTE o 411 Standard all models - Weight 77 lbs. - 20 fl. cord - % H.P. - - O 181 MODELS Control Selection 3 $ -.,wr Model Volts -Ph Mode Am Simplex Duplex - M161 115 1 Auto 14.0 1 or 1 &9 - N161 115 1 Non 14.0 2or2 &8 3or5 &6 1 D161 230 1 Auto 7.0 1 or 1 &9 - p E161 230 1 Non 7.0 2or2 &8 3or5 &6 Ft61 230 3 Non 3.0 2 &4 3 &4or5 &6 PF l `H161 200 -208 1 Auto 8.2 1&9 - •1161 200 -208 1 Non 8.2 2&8 3 or 5& 6 'J161 200 -208 3 Non 2.2 2&4 3 & 4 or 5 & 6 ,sw 'G161 460 3 Non 1.5 2 &4 3 &4or5 &6 Standard all. models - Weight 77 lbs. - 20 It. cord -'h H.P. i I 163 MODELS Control Selection Model Vohs -Ph Mode Amps Simplex Duplex e M163 115 1 Auto 14.0 1 or 1 &9 - V63 115 1 Non 14.0 2or2 &8 3or5 &6 230 1 Auto 7.0 1 or 1 &9 - 230 1 Non 7.0 2or2 &8 3or5 &6 230 3 Non 3.0 2 & 4 3 & 4 or 5 & 6 SELECTION GUIDE 200 -208 1 Auto 8.2 1 & 9 - 1. Integral float operated mechanical switch, no external control required. 200 -208 1 Non 8.2 2&8 3 or 5 & 6 2. Single piggyback mercury float switch or double piggyback mercury float `J163 200 -208 3 Non 2.2 2&4 3 &4 or 5 & 6 switch. Refer to FM0477. `G163 J 3 Non 1.5 2&4 3 & 4 or 5 & 6 3. Mechanical alternator "M -Pak" 10 -0072 or 10 -0075. 4. Combination starter. Refer to FMO514. Standard all models - Weight 82 lbs. - 20 ft. cord -1 H.P. 5. See FM0712; for correct model of Electrical Alternator, "E- Pak ". 165 MODELS Control Selection 6. Mercury sensor float switch 10-0225 used as a control activator, with "E -Pak" Model Volts -Ph Mode I Amps Simplex Dup alternator. 3 or 4 float system. D165 230 1 Auto 9.0 1 or 1 &9 - 7. SIMPLEX CONTROL BOX 10-0050, 115/230V, 1 Ph. max. 2HP use one (1) E765 230 1 Non 9.0 2 or 2 & 8 3 or 5 & 6 single piggyback wide angle mercury float switch OR two (2) 10-0225 mercury sensor floats for level control. F165 230 3 Non 6.6 2&4 3 & 4 or 5 & 6 8. Four (4) hole "J- Pak ", junction box, for watertight connection or wired -in `H165 200 -208 1 Auto 10.7 1 or i &9 - simplex or duplex operation. "1165 200 - 208 1 Non 10.7 2 & 8 3 or 5 & 6 9. Two (2) hole "J- Pak ", junction box, for watertight connection or splice. `J165 200 -208 3 Non TO 2 & 4 3 & 4 or 5 & 6 `No Molded Plug `G165 460 3 1 Non 1 3.3 1 2 &4 1 3 &4or5 &6 For information on additional Zoeller products refer to catalog on Combination Starter, CAUTION FM0514; Piggyback Mercury Switches, FM0477; Electrical Alternator, FM0486; Mechanical N Installation of coft b pfoligellon as and Wdbv duoild be done by a 1 g l Alternator. FM0495; Alarm Package. FMO513: Sump/Sewage Basins, FM0487; and Simplex .let ri . N ° and as" codas should be I sd WJuding flue mod pawl NMld Control Box. FM0732. Electric Code PECI and ft Ocapollonel SWW and 1Isaldu Ad (O4 RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 2 80 OOl �� Lam Manufacturers of... ZZY-1,11W TZ7. (5122) � 7 tlxttucky 4M6 Q P S /.93.9 " UAUTY UMPB lNCE 4 I SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN Owner: JAMES DOORNINK PO BOX 74 2065 CTH J RIVER FALLS WI 54022 BALDWIN WI 54002 RE: Plan Number: S91 -40525 Date Approved: June 30, 1991 Gallons Per Day: 490 Date Received: June 28, 1991 Project Name: DOORNINK, JAMES Location: NE,NW,24,28,17W JON -DE FARM INC Town of RUSH RIVER 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 MOUND Inquiries concerning this approval may be made by calling (608) 785 -9348. Sincerely, A ERARD M. SW Section of Private Sewage Division of Safety and Buildings PPP039/0009n/37 cc: JAMES DOORNINK -X Private Sewage Consultant SBD-6423 4H, 01/80 Page 1 of 7 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE ��O R BA'11�lZOOT� 1tJ @1�€L1V LOCATED IN THE NE /4 OF THE Mw 114 OF SECTION �-y ,T 78 N, R 1'7 W, TOWN OF �us�� Rlv�z , ST• CR�IU( COUNTY, WISCONSIN. - INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 of 7 WORKSHEET PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW —CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PA GE 6 of 7 DOSE CHAMBER PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR �AlKmes D0014- Ji�k Zo6s c '7" 13l�LflwlN, wl sEooz I PREPARED BY mad °� -M1E CBS EF;tER AC Z I TEST I INJ $ WMEPAR P.O. BOX 74 421 K. KAIK ST. oosP RIVER FALLS. VI 54022 715 -425 -0165 Zl, l 9 R I JOB NO. 1— 3 r WORKSHEET Page Z of - 7 This mound system will provide wastewater disposal for a proposed 3 bedroom mobile home and also for a bathroom in a proposed dairy barn to serve 2 employees. SJ1_ 3 bedroom residence - -- 450 gpd 2 employees - -- 4.0 gpd Total wastewater - -- 490 gpd 490 divided by 1.2 = 409 sq. ft. min. absorption area req'd. The mound will utilize a 7' by.59' bed which provides 413 sq. ft. A 1000 gallon precast concrete septic tank will be installed for the mobile home with an additional 1000 gallon precast concrete septic tank being installed for the barn. The effluent from both tanks will run to a 1000 gallon precast concrete pump chamber. F>L o g c,fv `�zz 1 -40 �, 3p`f�► AUE� V � SEW A Cojitionaft u ND AN4 RELAZIO p� lN�JOS A B NGS OtiQARIM 1SION OF '' .. E SEE GORR i Page 9 Of 7 Approved Synthetic Covering Distribution Pipe Medium Sand G Topsoil...t; F Elev. �T9• 3 E D _ flSATE � e J 1 1 0aa ape Bed Of 2�- 2'" Force Mbin Plowed I PP. AN RELAN10hSggregate From Pump Layer LRBDR p,ND N�iS STRd,f F 0 p 1.o Ft. `�LPARZ1V1titi� OF 1NOu 1`i1S�flN OF CE E \-Z Ft. SEti CA��E Cross Section Of A Mound System Using A Bed For The Absorption Area F O•S Ft. G k o Ft. A - 7 Ft. H i s � F c) Linear Loading Rate= 8.30 GPD /LN FT B S q Ft. 1 Design Loading Rate= O- yDGPD /SQ •FT j Ft. -OL-- Ft. K \�p Ft. "4 ter Position L -19 Ft. of Force Main W 3 O Ft. L Observation Pipe A � - - I f ------------------ - - -- W ° - --------- - - - - -- - Distribution Bed Of 2 - 2 2 Pipe Aggregate Observation Pipe Permanent Mark LL� (llnchbr securely) Plan View Of Mound Using A Bed For The Absorption Area Page S Of `7 Perforated Pipe Detail 0 End View Perforated End Cop. PVC Pipe Install permanent marker at end of each lateral Holes Located On Bottom, Are EquoUy Spaced e s PVC Force Main PVCQ Manifold Pipe s� Distr ution Pi e Last Hole Should Be I Next To End Cap 1 End Cap / P 2 8 •�3 Ft. Distribution Pipe Layout X Q0 Inches Y L t'b Inches ONSITE SEWAGE SYSTEM Hole Diameter 1 /Y Inch C ondition a ll Latera l l /y Inches) y Manifold Z Inches A W__U Ar's % 0 I w P R( 3 a E [0) # Force Main " Z Inches DEPARTMENT OF INDUS t RY. LABOR AND MAN RELATIONS of hot es /pi pe I r N OF S AND IN &S Invert Elevation of Laterals °/4 6n Ft. SEE CORFrQdCE ...,.•.; Place 1st hole Z37 from center of manifold with succeeding holes at qe intervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE (> OF VEIJT CAP `i" C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE JUNCTIOU BOX COVER WITH WARNING LABEL ? 25' FROM DOOR, IL "MIU. wW00w OR FRESH I AIR IuTAKE I GRADE ( 44 MIN. LwL. 40 3 AL iC'MIU. co ` --- _ - - - -- S vv. 11� .I#JLET �o SEA \ QQ S I I I N � A P I I APPROVED JOIN 0 I S� APPROVED JOIWT w\ G P� ALARM G I I OW I CLCV ° =SL FT. PUMP - -� OFF $2 � O L. $Z.00 COLICRETE BLOCK 3" APPRWE- RISER EXIT PERM1TfED OWLy IF TAWK MANUFACTURER HAS SUCH APPROVAL IscoolNG 5PEC.IFICATI0AJS DOSE . W l�-S �R C1C I2g7� '�RU cn � 3.3 7 TANK MAIdUFACTU0.ER. IJLIMBER OF DOSES: PER DAU TAWK SIZE : GALLOWS DOSE VOLUME S•� . EL4 SYSTl"1 S INCLUDIIJG 6ACKFLOW: ZOl • O GALLONS ALARM MMJUFACTIJKLit: 50Z ••Z.5 MOOGL NUMBER: T�ll 1-It0 CAPACITIES: A= � � Z - uJ CNCSOR �� GALLONS SWITCH TyPC: I& - 17. 5 " 5 = -4 OdCHEf OR E q GrL.LOLIS PUMP MANUFACTURER: ZOL Cs tNLHES OR �I' GA MODEL IJUMBER1 � - 3 D= t our 0- ,- INCHES OR � GT►L$OU5 SWITCH TYPE' vn MOTE: PUMP AND ALARM ARE TO 5C MIUIMUM OISCHAR6E RATE GPM INSTALLED OU SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEIJ PUMP OFF AI40_01STRIBUTIOW PIPE.. FEET ((�•'�'7 + MIIJIMUM ' NETWORK SUPPL IJ PRESSURE 2 FEET + - 3 ' - 40 FEET O F FORCE MINX 2 F✓00 fEFKlCTl0U FACTOR. "6 FEET < <• 5 TOTAL OyWAMIC HEAD = Z8-7q FEET SO �6 DIAMETER 1 ,r INTERNAL. DIMLIJSIOW� OF TAUK: LEM&TH 99111 ;WIDTH lrr7DP ;L.IQUID DEPTH BOTTOM AREA -- 231'= GAL /INCH AS PER MANUFACTURER - Z8• ?'1 GAL /INCH _�2_oF 9HEAD /CAPACITY CURVE 161, 163 AND 165 SERIES TOTAL DYNAMIC HEAD/FLOW PER MINUTE # W EFFLUENT AND DEWATERING W W z SERIES 161 163 165 so FT. M. Gal. Ltrs. Gal. Ltrs. al. Ltrs. 2a 5 1.52 106 401 61 231 61 231 MO EL 10 3.05 100 378 61 231 61 231 4L r 15 4.57 91 344 60 227 6 227 a 20 163 20 6.10 82 310 59 223 60 227 = 60 25 7.62 74 280 57 216 59 223 U 16 30 9.14 65 246 55 206 58 220 so- Q 40 12.19 46 174 46 172 55 206 r 50 15.24 21 80 33 125 51 191 Ci t2 _J OD L 60 18.29 15 57 43 161 ~ 30 zt3:� 70 21.34 30 114 a 80 24.38 14 53 20 90 27.43 4 100 30.48 L10- Lock Valve: 56' 66' 87' 0 GALLONS /0 30 40 50 60 70 80 90 100 170 LITERS 0 so 160 240 320 400 FLOW PER MINUTE Standard all models - Weight 77 its. - 20 fl. cord - % H.P. - - 1'1- % PT ( 161 MODELS Control Selection a a 'W K N Volts -Ph Mode Am Sim Duplex - J 115 1 Auto 14.0 1 or 1 &9 - 115 1 Non 14.0 2or2 &8 3or5 &6 230 1 Auto 7.0 1 or 1 & 9 230 1 Non 7.0 2or2 &8 3or5 &6 �- 230 3 Non 3.0 2 &4 3 &4or5 &6 200-208 1 Auto 8.2 1 & 9 200208 1 Non 8.2 2 &8 3or5 &6 *J161 200 -208 3 Non 2.2 2&4 3 & 4 or 5 &6 ,ax 'G161 460 3 Non 1.5 2 &4 3 &4or5 &6 Standard all models - Weight 77 lbs. - 20 ft. cord - % H.P. 1 I 163 MODELS Control Selection Model Volts -Ph Mode Amps Simplex Duplex ! 7T ] M163 115 1 Auto 14.0 1 or 1 &9 - Ni63 115 1 Non 14.0 2or2 &8 3or5 &6 D163 230 1 Auto 7.0 1 or 1 &9 - E163 230 1 Non 7.0 2or2 &8 3or5 &6 F163 230 3 Non 3.0 2&4 3 & 4 or 5 & 6 SELECTION GUIDE 'H163 200 -208 1 Auto 8.2 1&9 - 1. Integral float operated mechanical switch, no external control required. `1163 200 -208 1 Non 8.2 2&8 3 or 5 & 6 2. Single piggyback mercury float switch or double piggyback mercury float 'J163 200 -208 3 Non 2.2 2&4 3 &4 or 5 &6 switch. Refer to FM0477. 'G163 460 3 Non 1.5 2 & 4 3 & 4 or 5 & 6 3. Mechanical alternator "M -Pak" 10-0072 or 10 -0075. 4. Combination starter. Refer to FMO514. Standard all models - Weight 82 lbs. - 20 fl. cord -1 H.P. 5. See FM0712; for correct model of Electrical Alternator, "E- Pak ". 165 MODELS Control Selection 6. Mercury sensor float switch 10-0225 used as a control activator, with "E -Pak" Model Volts -Ph Mode Amps Simplex: Duplex alternator, 3 or 4 float system. D165 230 1 Auto 9.0 1 or 1 &9 - 7. SIMPLEX CONTROL BOX 10-0050, 115/230V, 1' Ph. max. 2HP use one (1) E165 230 1 Non 9.0 2 or 2 & 8 3 or 5 & 6 single Piggyback wide angle mercury float switch OR two (2)10-0225 mercury sensor floats for level control F165 230 3 Non 6.6 2&4 3 & 4 or 5 & 6 8. Four (4) hole "J -Pak ", junction box, for watertight connection or wired -in •H165 200 -208 1 Auto 10.7 1 or 1 &9 - simplex or duplex operation. '1165 200 -208 1 Non 10.7 2 & 8 3 or 5 & 6 9. Two (2) hole "J -Pak ", junction box, for watertight connection or splice. 'J165 200 -208 3 Non 7.0 2&4 3 & 4 or 5 & 6 'No Molded Plug 'G165 1 460 3 Non 3.3 2 &4 1 3 &4or5 &6 For intonation on additional Zoeller products refer to catalog on Combination Starter. CAln10N FM0514; Piggyback Mercury switches. FMQ477; Electrical Altemator. FM0486: Mechanical YrfaNaaott a O d° and ��� done a Iloaewd glaMsd Albano r. FMOM. Alarm Package. FM0513; Sump/Sewsge Basins, FM0487; and Simplex aleehfelaR AN slaeYbal aad ad* codes sholid be ice YrludYq on most aonM Nalianl Control Box. I M0732. 6achie Coda p'Eq and r+s Ooa4afonsl SWW and HsaMt Ad PS14 . RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ` P �O�Id NA/e7111 Lane Manufacturers of... � ZZ7VZ1ZR O. ( ��7 31 QUA.uTYPVMPf SIAMr NY ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 June 21, 1991 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation of the James Doornink property, located in the NE 1/4 of the NW 1/4 of Section 24, T28N -R17W, Town Rush River, St. Croix County, revealed 24" of suitable soil for onsite sewage disposal making this site suitable for a mound septic system requiring 12' of sand fill beneath the mound. Should you have any questions, please feel free to contact this office. Sincerely, James K. Thom on Assistant ping Administrator cj I. c