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HomeMy WebLinkAbout030-1018-70-000 1 ° c �• m I � O cn 3 T. Z o w (n cn o N v O p p 00 J `A\ N a w 'm o S c 0D °o -0 n m m D o O w e m c a o b A� 7 N O a c 01 Co =r 0 C v v D a a N � fD 0 t m a a 3 W 0 CL ° 3 CA) O 1 3 c o L O� N N = l� ;o 0 0 p 0. p cD C y 0 0 0 3 a N • z a 0 0 0 ,. o 000 cn Z 3 ti y ° D p cp cp N N O O t0 I � O, w Z O_ C = Z ai 7 O cp O Ep o =r '7�0 I � 1 y I � o N. — a 3 7 N Z °' o A z� ` M S .. y a Z: z 0 0 C Z G C A G co Z G '' f CC n co 1 y G 0 I I a a � o — 'm m c o a y O S 1 I O I A I � I C I � CD z A N I o A I � o w co ob CD �o w LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SAINT JOSEPH COMPUTER NUMBER 030 - 1018 -70 -000 Parcel Number 05.29.19.79A OWNER NAME: First EDWARD B & JEANETTE A Last MCCAULEY PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 1186 42ND ST SECTION 5 TOWN 29N RANGE 19W %160 Y +40 Line Description Line Description TOTAL ACREAGE 3.203 PLAT CSM 12/3391 LOT5 BLK 01 SEC 5 T29N R1 9W NW NW 15 02 BEING LOT 5 CSM 12/3391 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT �C '_ RE- co ,ir0 Owner Property dr s 6 T CAOX City /State 1 ,. 00UNTY ti ?Clttlt G0FFKx Cq Legal Description: Lot S' Block Subdivision/CSM # Sec. � N -R J� Town of oS � PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer •L&S trR 4S (Size ST/PC � , -y Setback from: House Well �0 P/L LSD Pump manufacturer A,' r s � _ Model .L© Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM t r Type of system: Co iAa , Width 3 Length 6 Number of Trenches 1�2 i i r J �S' 5d Setback from: House sd Well �� r P/L Vent to fres h air intake ELEVATIONS - k Description of benchmark P i Elevation f l �I �� ✓l �' /O Description of alternate benchmark '< <` Elevation Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines ( ) () ( ) Bottom of System () () ( ) Final Grade O O ( ) Date of installation / CAD Permit number State plan number Plumber's signature % License number ��9 Dated/ lDO Inspector Complete plot plan �+ NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW C) o 3 � Jacv��c� co �6..�5 a- tU ePi C4te x �6,�� t�� ` uvt INDICATE NORTH ARROW /)�DD !�•� ep I I c ri' S� I PAGE OF PUMP CHAMBER CROSS SECTION AKJO SPECIFICATIONS w4lmc X.Spri SCI —VEKIT CAP F APPROVED LOCKIN WEATHER PROO MANHOLE COVER W � JUIDGY1093 1501C 2.5' FROM DOOR, I�4rn�A WINDOW OR FRESH IL•MIV' I AIR INTAKE I . GRADE-- I y" MIN. COUDUIT ` -- __________ 18 "MIKI. � • PI OVIDE I — --- INLET AIRTIGHT SEAL I I V APPROVED JOIWT A I I APPROVED JOINTS W /C.I. PIPE ( I ( I W /C.I. PIPE EXTENDING 3' I I ALARM EXTENDIN6 3' ONTO SOLID SOIL I i I ONTO SOLID SOIL I i ON n 6a,l� �n c� C CLOG ___ FT. PUMP 1 - OFF r D r-Okf RTE BLOCK 1� [ 0 3" APPRoV RISER EXIT PERMITTED Ly IF TAIJK MANUFACTURER HAS SUCH APPROVAL�gEppl SEPTIC E SPEGIFICATI�mKJS- 005 TANK [d /,I�s r �c�t4s7` NUMBER OF DOSES: PER DAU MAWUFACT / UR � C /y R ' Q►'' TANK SIZE . - — - c7� ,c GALLOUS, DOSE VOLUME ALARM MANUFACTURER: S. `s • 1 e� /dd �y� INCLUDING BACKFLOW: GALLONS MODEL NUMBER: /") / A CAPACITIES: A= INCHES OR .zS GALLONS SWITCH TYPE: 01 4 ' r 8 = a INCHES OR GALLONS PUMP MANUFACTURER: C = INCHES OR GALLONS MODEL NUMBER: �J El Du INCHES OR GALLONS SWITCH TYPE: tGClly'a - MOTE: PUMP AMD ALARM ARE TO BE MINIMUM DISCKARGE RATE ° - 6rPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEREUC BETWEEN N PUMP OFF AIJO.DISTRIBUTIOAI PIPE.. � FEET ♦ MINIMUM NETWORK SUPPLY PKESSSURE .... . .... . . . FEET ♦ -1 1 — ) )MET OF FORCE MAIN X _t E! L__ 2 F YoI<x FRICTIOU FACTO16 ' FEET TOTAL OyNAM1C. HEAD = . f FEET IWTERNAL. DIMEWSIOWS OF TANK: LENGTH 1 0,.�_.._;WIDTH � - ;LIQUID DEPTH SIGNED: LICEKlSE NUMBER: �� DATE ■ ubmersible MODEL: 3871 SIZE: 3/4" SOLIDS Effluent Pump RPM: 1550 HP: 0.4 METERS FEET 7 I w 6 20 / Z 15 i . i 4 - -+ -- -- -4 - -- -- -- - - - -� - -- O 3 10 2 5 ' i 0 0 0 10 20 30 40 /7k 50 GPM 0 2 4 6 8 10 12 m CAPACITY ��^^. GOULDS PUMPS. INC. l�J SO48--A FAUSWW N EMS ti O 1988 GoUW Pun". fNctlw Oclobw.19& �W. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED N USA ST. CROIX COUNTY ZONING DEPARTMENT 1 AS BUILT SANITARY REPORT Owner C� (' Lle Property Ad ess Q4 i d City /State i/ Legal Description: Lot Block Subdivl, ion/CSM # '/a 1� t /4, Sec �Z , T. -R Town of 5�?'- J PIN # 0311 -- 10 (9 —:?V — M 7 J, , -11� SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacture t ltdE YPc'�l ize ST/PC �OL / S�GSetback from: House �4 We11 P/L � Pump manufacturer o Model Zfy el Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM r Type of system: ?rte 1 d( S Width Length 5� � Number of Trenches Setback from: House 1 Well � P/L DSG Vent to fresh air intake �Sa ELEVATIONS Description of benchmark /('G1 t ^ l /� P �? P Elevation Description of alternate benchmark i r Elevatio Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines ( ) ( ) ( ) Bottom of System O O ( ) Final Grade O O ( ) Date of installation la 4OPermit number State plan number Plumbe'r's si nature lY License number PO / 11 0 Date 7 /�/� Inspector Complete plot plan CL �� A NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. �^ 19 X-3— s7- PLAN VIEW r N 17 -- r . ® a o ),000 b INDICATE NORTH ARROW Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Personal information you provice may be used for secondary purposes [Privacy Law, 5.15.04 (1)(m)]. 353320 Permit Holder's Name: ❑ City ❑ Village ❑ T n of: State Plan ID No.: McCauley, Ed St. Joseph Township CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: C70 c`E� CS j �yN# � 030 - 1018 �n, �jA_, -70 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic A 6m (p50 Benchmark IF D. 51) 1co . tro v* Dosing � N� Alt. BM 9 3q Aeration Bldg. Sewer 9-- 93. 41` Holding St/ Ht Inlet �5 O 93 . 0 8 TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Air I to ntake ROAD Dt Inlet Air Septic >`�D gj -� NA Dt Bottom Dosing ��� �E tr z / NA Header / Man. 3 g }- 33 Aeration NA Dist. Pipe ( •rs 77,03` S 25 95. , Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade �PP�'� 91 , o Manufacturer Demand St cover Model Number �� �` GPM TDH Lift (,`lD I Loss Friction0 �S Syetem � TDH q,46Ft Forcemain Length asr Dia. H Z " Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width 3 r Length , No. f Tenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMEN I N SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manuf c r: CHAMBER F Type O M del Number: INFORMATION System: w� J > 25 3 3� OR UNIT DISTRIBUTION SYSTEM Header /Manifold �� Distribution Pie(s) x Hole Size �Hole Sp acing Vent To Air Intake Length VgA? 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 �1, 0 4 - Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No ns ecion : r2 nspe COMMENTS (Intl d ode di�sreanc�es p� r�s 6�.[€�Q�t�A 1/4 5 T30N R19W) - 5.29.19.79A -Lot 5 Location: 1186 4`nd treet, u son, WW (� b lip vv ,p� a 1.) Alt BM Description 6u� eu' S"k c c 0 1M t Y Se r= 9,X ;, 2.) Bldg sewer length = LS' l ot g - amount of cover = '54g pzk Cd Plan revision required? ❑ Yes Dd No Use other side for additional information. 4( f8 fJ'b I 5 (a SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: E § § E , i x e. s .. ..mm..... 3 3 5 E � ° i' :`t 3 i j} _x. g e a A. ......�.., .. LA P.... . _ .. __ .. ..., .. ._ ... __ .. e t .,_ f—i __. � ..... .M. § � E T 3 1 _T 4 .e,.. .� ,., §�,.....,,.. f $4 tt 8 L-1-44— _ , e i w ;nd 4 10 0 3 E 1 3 } e I F [ X j i gg a € � § 5 § C e 111 T 1 � � E ..�,»,........,.... ..... _. >-.. >� ; m'�{°°' ® 4 B 3 § t § 6 3 3 § i 1 I i �.....�« «�.......... m � � � . . p..e...., �...... { ..... ... ......... ... � .�. .. 4 .._.»..... � ........, v#....__ F .. �r..na � ...... a. «e..� o -...e.e..�� 4 � i _ _J -.._} _ w..�. �..m _ _ } t a t 3 a m. . . y } I ® m e LITT e � § ° . kll .w . �. g __.. t § ° �.�... �,,,, e .......a. ....,..e..... .w._ € � _... ... ...., ... ... ,. ..,,.. a .. [[( P i F t } � 3 € q S .... .. 5 ° «.........e, d ... ,...e....e...m.e. .e..«�.m......«,. ,,, :. ..�. ..._tee.. .,,,,,,w... .,...».�......, ,,,. _.....,,,,. .........,..e...r. ... . .......... � .e.a....,. ..< ...., s .__.�p_ ...... .. ....,......e,.., e .... ..... _„.M ......,.. »». § Vi seonsin Safety and Buildings Division SANITARY PE APPLICATION 201 W. Washington Avenue P o Box 7302 In acco IiHRa33.05, Wis A Code Department of Commerce \ �.. -- - - y ; ^ , \\ Madison, WI 53707 -7302 • Attach complete plans (to the county copy o ) r t e s � on pA�Er of less County than 81/2 x 11 inches in size. t � • See reverse side for instructions for comple ira g�this application State Sanitary Permit Number 3S 3:2 Personal information you provide may be used for seconda 1lrposes , E] Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. �' ' :� C)U +'' State Plan I.D. Number I. APPLICATION INFORMATION -PLEA SE T DLO ON Property ner Name ! P.r6perty Location lz (!a ;� 1, A14) 1 /4,S T30 , N, R E(or Prope w e M ng ddress Lot Number Block Number `7 � re a _ty4 to �P Zip Code Phone Number Subdivisio N me or CSM Number FNO ( ) ' O 11. TYPE OF BUILDING: (check one) ❑ State Owned its Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms E] Town OF J elo �11 III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 E] Apartment/ Condo el 30 IC IF - 7© "400 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdo r 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. 5g 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 Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed / 21 [:]Mound 30 ❑ Specify Type 41 []Holding Tank 1210 Seepage Trench t h O 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit i W Ol S I ! e$ $'6 t r7� I 43 ❑ Vault Privy ❑ System-In-Fill 14 stem -In- Fill °i ev, e 1i _ VI. ABSORPTION SYSTEM INFORMATIO 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 15. Perc. Rate 6. System Elev. 7. Final Grade Required (s% ft.) Proposed (sq. ft.) (Gals/da sq. ft.) I (Min. /inch) /1 Elevation 1 `O Feet Feet TANK Capacit VII. INFORMATION in g Total # of Manufacturer's Name Prefab- Con- Steel Fiber- Plastic Exper- New Existing Gallons Tanks Concrete strutted glass App. Tanks T nks �1 eptic Tank or Holding Tank K OQG�' I l � �$ � � ❑ ❑ ❑ ❑ ❑ L ift Pump Tank /Siphon Chamber 6,5 ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plu er ignature: (Not s) M R P Business Phone Number: rl ! !� Plumber's Address Street, City, a e,ZipC de): f lei'Per b) W>p IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee (InciudesGroundwater ate Issued Issuing Agent Signature (No Stamps) 'Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL• g SBD- 6398 (R.11/97) 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 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 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. Complete plans and specifications not smaller than 8 1/2 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 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 contamination investigations and establishment of standards. n& Ut 4,vw � Serif 7wh S�p dc) , W -3 /1 1Ce) qu tie 10 0 Pat' 1h " D"", -pit Ae ta�ee 1 pose UAX, b -Or to . 4 , 3`'x �b•�� R� a 3 4 ----- Wisconsin Department oflndusby, SOIL AND SITE EVALUATION REPORT Page 3 Labor'and Human Relations g _ Of Division of Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code ` COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), dire n�:of e, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to ngare'olr6ail O 10 l$ _1 p _ 0 0 O APPLICANT INFORMATION- PLEASE PRINT AFL 1 F6R�IAT,ION R IEWEDBY DATE -6 a PROPERTY OWNER: S��R - +J.t � Wt PROPERTY LOCATION e-lo � FYUSE cokI FZU U !w 1 NC' . .GAFF -1 8� 1V tiJ t/4 N W 1 /4,S S T 3l� ,N,R 1 cl E W PROPERTY OWNER':S MAILING ADDRESS • " LOT* BLOCK # SUBD. NAME OR CSM # 336 C�f}h 61ZcT�) R V E. I� �- - C S r✓1 t ti CITY, STATE ZIP CODE PHONE NUMBS$,\ ❑CITY ❑VILLAGE ®TOWN ' NEAREST R04 ST1��w 2 �N SSOBZ (6SI) U39- 0�9 '` �US�N q Y1 ST. nNew Construction Use [jc] Residential /Number of bedrec ms - [ J AdditiQn to existing building j I Replacement [ J Public or commercial describe ~ Code derived daily flow U. SO gpd Recommended design loading rate bed, gpd$ - b trench, gpd/ft Absorption area required 6 Q bed, ft S 6 trench, ft Maximum design loading rate bed, gpd/ft ' $ trench, gpolft Recommended infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design / site considerations S N3�' - QE 'NO Uv ZTy� C>ty �f 4 3 Parent material Ski `-1 OyRSN Flood plain elevation, if applicable ►y A ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem as ❑ U ZS ❑ U ®S ❑ U ®S. ❑ U as ❑ U ❑ S lot) SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Ba�rxfary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed [Tiench {:x _ _ - to `11z 31 L Z.M CS S . Ll I q — s 1 I 10-s vn e s - z., . 3 Ground 3 I -14 - 7 •S lz Sly — 1 S 1 CSU M elev. gq.3 k 4 L\1 -90 S`f2 y�� S 6t - p SoI Yn ` - •`� :.�? Depth to limiting factor b' `tS . 6 9W Remarks: Boring # o- lZ 1 b` l lZ- 3 t Z - L Zr�► 9 m '�(� as Ground 3 Zi.1-So SvrLz 31y - 1S S9 Y►'1) e�,�, '-�`'� elev. 4 SU-$q S K �z �l6 — S S9 m ► _ .� g 8.2 It Depth to limiting factor ? SCI ` Remarks: CST Name: - Please Print Phone: Arthur L. We erer 715- 425 -0165 dress: egerer Soil Testing & Design Service - P.O. Box 74 River.Falls,WI. 54022 Signature: Q_ 30 Date:?- 9 0 0 CST Numbe 2 PROPERTY OWNER �ULL� SOIL DESCRIPTION REPORT Page? of PARCEL I.D.# O 3p— 1pl� — -000 Boring # Horizon Depth Dominant Color Mottles Structure ..�." in. Munsell Qu. Sz. Cont. Color Texture Consistence Botxx�ry Roots GPD /ft a Gr. Sz. Sh. Bed Trer& o - 10`22 31 L Z•►,� 9 n,, _ Z 9.37 W` yly S y Pt- cW • 1 •t3 Ground 3 3� -S3 7 S`1231y _ S G►- O S9 ,7 ,13 elev. ft. Ll 2 P- VA s Y', Depth to ` limiting _ *3 factor :L ` ` _ Remarks: Boring # - � ° 1 0-- t lZ3 l z - m t y : l i()LI a Ground 3 -�!9 �.S`iR3 ` . ,g CS tyi V �t,v •1 =•6 elev. y9 8 6 R .,! — S Pf 61- C� gg : aa.O ft. 1►'1 — �7 .� Depth to - �•f-q . g limiting Z factor i Remarks: Boring # Ground S D S � j elev. 98 Z ft. i Depth to ` limiting € factor Remarks: 3oring # _ around I ;lev. it. )epth to imiting actor Remarks: _ PLOT PLA Page of 3 SCALE 1 "= 30 ' 1- us'E BLE V�r L-k!,�T zs"r - >zQ�l sLIsT'Ftl f'r���s -- �j I� �rvs LL Z h ctt�s, L-''Rclf 3 "x.. 5 6.ZS " UWG a=il ! 1-H (5LA - �,°rn 4 stok� M Q-Z:ne. et h s CgvN�n- erg - ,,e C�- ..DOSE P��"1.P - 1S_ t�L�Ul2CS� �D P1ZUU�D� .�S'E►�t�vT- _S_E�tiLc.E. � I � I l�►'1� �a�3 3�1� b — Z �' n� � b ' � � • �'s s C so,-� � N 3 s_ E�Qq I �L��`N ►�`CE �L'Y� TI 0.5 — – 8•SI� � I NtgB? LoT U OE 0p _3o zzoZSy ( 715 ) 425 -0169 _ CST Signature Date Signed Telephone No. CST # 9 P f�ODD C-A PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS y��P�V.C, Tns�e�'ivn VC WT CAP --�� WEATHER PROOF APPROVED LOCKIN MANHOLE COVER W/ 25' FROM DOOR, (1�4rn;j f �CIOt� IC-141U. WINDOW OR FRESH I AIR INTAKE I GRADE-- I y MIN. I , CONDUIT -- __________ ---- - - - - -- N PROVIDE _ I -- --- INLET � AIR IGHT SEAL II v APPROVED JOIAIT A I I (� APPROVED JOINTS W /C.I. PIPE I III W /C.I. PIPE EXTENDING 3' I I ALARM EXTENDING ONTO SOLID S OIL ONTO SOLID SOIL B i i t I I ON c I f E.LEV..__ FT. - -� PUMP -�, OFF 0 CO RTE BLOCK r RISER EXIT PERMITTED LIS IF TAWK MANUFACTURER HAS SUCH APPROVAL 194001%ra SEPTIC E 5PECIFICAT10kjS X333__ Toss TANKS MANUFACTURER: NUMBER OF DOSES _ PER DAU TANK SIZE : GALLOWS DOSE VOLUME ALARM MMJUFACTUILER: `' * t /e /�� / INCLUDING BACKFLOW: ���� &ALLOWS MODEL NUMBER: h /�� CAPACITIES: A = /F INCHES OR .;52 // GALLONS SWITCH TYPE' $ _ INCHES OR _L GALLONS PUMP MANUFACTURER. C INCHES OR � _ CALLOUS MODEL NUADER: D- INCHES OR /5 GALLOWS SWITCH TYPE: /,>yrG�Llb'I� u OTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE KATE G INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. __/6 FEET + MINIMUM NETWORK SUPPLY PKEESSUKE ......... . . 2.5 FEET ♦ 4r) `rEET OF FORCE MAIN X •J° y F 3j / ooFLFRICTIOW FACTOR.. ' 016 FEET TOTAL DyWAMIC. HEAD = N� FEET INTERNAL. DIMEWSIOWS OF TAWK: LEWGTH v' ;WIDTH _-'..;LIQUID DEPTH SIGNED: LICENSE NUMBER: �`� DATE: r Submersible MODEL: 3871 SIZE. 3/4" SOLIDS Effl Pum RPM:1550 . HP. 0.4 METERS FEET 8 25 7 D a g 20 W U 5 z 15 p 4 3 10 t- 2 5 1 0 L 0 1 1 1 0 10 20 30 40 50 GPM L I I a I I 0 2 4 6 8 10 12 m /h CAPACITY �GOULDS PUMPS, INC. WeCA AAUSMW VOW GW8 .3 Efbctiw October, 1988 close Goulds Pun►e, kr- SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED IN U.SA. C3871 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buycr �d le Mailing Address 3 Property Address (Vcrificatioa sequined from P lzauic� Dcpartntcat for acw coastcuctioa) City/State _ 44'A Pamci Identification Number DFGAL UFSCRIPITON Property Location A) / 10 , J /<, Sec. S T (- N -R `. ` - � Z,� W, Town of � • .10�e Subdivision tj-vj/d ► i/.i l Lot # - Certified Stuvey Map # Volume o� Page # Warranty Deed # Volume . Page # Spec house 0 yes ® no Lot lines identifiable ja yes ❑. no SYSTEM-WmMANC Impmperuse=4 ofy=roPesyd.=cwldt=kmits tobandlewasfcs.Propor e ooasists of pumping oat am scptio tank evay tutee y� or sooner; if needed by rnocasod WI�t you put.iato tae system eau:ffcdS�e fzmdica of the septic runless: � is the Vtzlcd os - 1cyAc�L T y- owner au= to sabmit St Qu Zoaiag Dcgartmcut i eatif>catioa form, signed by tlu awncc and by a =zkrP 7Ocr0jcymaaplumbcr,trsbidodplumbcroriliaasodpampavaifY ingtw (I)dicon-Cie*admakrdivosalsysGcm is m Pr oP=dn9 coadifioa and/or (2) ai3cr iuspcc�oa and pa�ing.(,f neo ty), the iVdaank-is fez fan 15 full of sladm U. the 11 &signr bm =ad die abm rcqak=xnft and aV= to araiataia the privato sewage disposal system with 6u stand set foA. I=in,,s sot by the Dq=ftmcd of c=== and the Dcp:rtmcact of tla mml R,c O=cs, Statc of Wisconsin.. Certification that YUr ScPfic sYstcat has boat mainuin od mast be eomptdod and rrbamed to &c St. Qroiz.County Zoning Office within 30 days' of the taro= year aTiratioa date. 44 SIGNATURE OF APP CANT DATE OWNER CLRT[RXCATxON the I (we) cattfy that all stutcnmts on dais form ate C= to the best of my (our) knowledge. I (we) am (m) the owact(s) of ProPatY dcscticd above, by virtue of a wartamy dood roeozdM in Register of Doody Office. SIGMUM. OF APPI;I DATE • « « «*a Amy information that is mis � �y t�uld in the taaitary permit bang revoked by the Zoning Departm cat. s « Indade Frith (his appticatioa: a twupod warranty deod from the Register of Doody office a copy of the ccd&tted t=cy map if mf=acc is made in the warranty deed LUt�; H M XKHY Fax: Jan 1,5 'LA) iv :1S N. Ul ZILZ, ESMEy & OGLAND, LLP ATTORNEYS AT LAW 304 LOCUST STRBBT POST nFFIr..B RnX 359 }1�1fl1ifN, WttC.Qti0ltt Sw FAX (715) 386-6560 DOUGLAS R• ZILZ DAME J. bW1'r4sa.N 1Gl uaru +A vv++nl +u LcnM A. MORRAY FAX COVER SHMU DATM. o 0 TO: - J PAX t,10. _ G ':'�: 7' 3 9 � •S 7) k, TOTAL PACi!'.J: - (INCLUDIN(3 TIllS Cuvuit N1411 ll.') 2'4(J'V •Vv L+v r.cn ft '1'V 1'VLLVIY L1 11�A+L IT YOU DO NOT RECEIVE ALL PAGES, PLEAS>"S CALL AT (71S) 31&4*K-*S SOON AS POSSIBLE. n � , >: s y r G'Ky4 r2 ������ (j�ys� QsG'P s Q �. ntun infnr, ati.an &cam 7.ily FctrCen tlYla tel000 tsRnamiaCton Co , T1tG tltxu►ur,►�ta acmil►i y ��nb I'Y RN:., f..Cwwnwrliww tw N t.. `^► 1ua vr. vow �., wv s • use of the individual or entity named on this transmission sheet. if you are not the Intended recipient, be aware that any disclosure, copying, distribution or use of the contests of this information is prottib.t*4. nnA m Ay mnxtitwe.. an invasion or the privacy of the intended recipient. If you have received this telecopy in error, please notify us by telephone (collect) immodiatcty ao that we can arrange fhr thw retrieval of the original document at no cost to you. P1 A limited liability pattwnhip 90ftliatiAg of 840i= 9orpont10" M1� I rlTn r't MI IDP,"1 C.....• 1 ( iC.•'fA O !1Z r 15 Continued I iiltAYJiX �71i� 1 .i�..L.l� a n r n r ra•ry a, )Q S(1aa 0. r.salar, at"VtWL..•4V6 11•tVVVal1,14•i/ !•P...'1 u «: v +ya ►•, aw a•va.•y .:certify that by the direction Ot lxlaira uilt;g, t have Nurveyuel, alivlJlled .....�.�.. ..• .... •...... �.... ... • .•.1 .... JY. ..•�v.�«.��� Y.,. j .' n,..*d a nd 4.......� ....r., vl..,.. ...,- ...... -. 1... t.:..,...�...y ..i ►M.. 1nv.,i pr.vn,�l anlrvOVid nd Ik ns ce p of 1Gnd jocat -od in parr „f r.hn WW1 /4 of the NWi /4 of Section 4, z�l i9 uw11 ut .;t. ivect.:l. : ::.. :,.:rz� .......:...... further described as follows: L a11_111J Al 1l.11- M.)Ola1W.lVl f'._Il llnl .1r nn 1.1 C1R..1. �..1t1 '/ tlJt.l lt..• 1I A A Ily I.IIR WRl/.. J. 111® V► L..P \..11I1 Vi YYLY VVYV Jada .ar uu1Ik.J 4 a iesi jtL�1114�ti .i1CiiLllltidil4li .ueuwe+ .rwilay aoo ^ 3.I "M, Lw/y : !Cc to en nlA wr nr l�nr., O7C, A4 ra.xh, t. ,.unuu a:u •Jn.1 ].••L!••V, ..7 r••t, I,l.<• .. '•►'{:a. 4A%'. t. .. .., .... .. ...a.•..I .,�.t........ coo, v - ')# ...A V—. 4 of A. r►i ♦4 nA :>.... .; y 1a11�. ..a�..l ..) .i.....,.. 1 I....l 1., v..t ..... . r..1y:. t I t 1. sr ahP L OU • croi.x Coaanty ito7iater of heeds office, 1315.78 roar; thnr -P N00 °B, along the east line of said NW1 /4 of the NW1 /4, 815.36 teat; thence N88 47 "W, 1318.94 feet to the Vajag _ L-O iftni g. 1):..•n.: L...► I.4. 1. e. or.ra iq.. 74.010 Aoroo 41, p0•), 7L3 Qal • Oh ) . Aoovc described parcel in subject to right - -way for Town load (42nd Street. and Trout Brook North) and all easements, res trictions and covenants of record. 1, also certify that this Certified Surrey Map in a correct representation to scale of the exterior boundary purveyed and daaaribedi that I have fully compiled with the current pralviai of wl.v .. naJr.�• rIl w1.. ��. �1.. .J ., 1.. Ordinance of the County St. Croix and the Town of St. Joseph in purveying and mapping same. n„1. .t 4nMl ,,�. 0� WJ'� S k N i.wuA Cucvwiuu. Iatt < /ppuCl� 212 walnt t St. y YN ( Hu dson, w1 S40 TOWN QE B.T. 1T461P8 CeRTIPW&TB T FtnrT�y �twrtify r.hat thin Certified iurvey Map is arvrovAd by the St. m net* Y Cacn parcel uhuwll ust thi.0 Ina`) i is subject to otutc, County and Tounehi.p laws, rules and regulatione (i.e., wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St_ rrniic rn»nty zoning office and appropriate Town Board for adVioe. V01.12 Page 3391 v01.1493PAU 645 STATE BAR OF WISCONSIN FORM 1 - 1998 19195 Kfi'fH1..EEN H. W01_SH Dmument Number WARRANTY DEED R F_. G T F) T E. R 0 F 1! E E p S ST.. CROTX CO., , wT This Deed, made between Lonnie Diethert and Jennifer Diethert, RFCETVFD FOR RECORD husband and wife as survivorship marital property Grantor, and Edwar B. McCauley and Jeanette A. McCauley, husband and wife as survivorship 03 -03 - 2000 4:00 PM marital property Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys to Grantee the following EXEMPT # described real estate in St. Croix County, State of Wisconsin (The "Property "): CERT COPY FEE: COPY FEE: TRANSFER FEE: 120.00 RECORDING FEE: 10.00 PAGES: 1 Recording Area ame and Return Address yvo S. Zr,�l sf' 030 - 1018 -70 Parcel Identification Number (PIN) This is not homestead property. (s not) A parcel located in part of the NW 1/4 of NW 1/4 of Section 5, T29N, R19W described as Lot 5 of CSM filed December 1, 1997 as Document #569190 in Vol. 12 of Certified Survey Map, page 3391 in the Office of the Register of Deeds for St. Croix County. Together with all appurtenant rights, title and interests. COI O A MURRAY f an r r 15 300 5333 ]at 1 13 ' 00 10;24 r.02 02 - pN�°� I t ksxM 'uN3inuv1l .. i� l C _ f 6 m ,••' F q ay Ivvl fly ° tal Mgle of 9 vus o�ol vo OaP!"°a� Z ^ • ff el+lsq st lssl 9 91 louop!ppo uy •poOJ °pIM p+ %'{ != UJ 0 i i imej a1 6UI J000 ;sION x N J 6 " 7 -- - - - - - - --- - - - - -- SOW + 0311V1dNn � `\ 1 7 tJ _ m In ,Wrynz• tj Y h °1' X11 S O N Z b In v Cl N 1• ( olep i laa 1 dde 3•.OSICi.$p►! 0 10'L6Z IC!'EIZ W I w bC tY' /iM / O' I p*p+uas/lo++p . � AZ'6YY Q 31,OC,[1.20N I n S 1 �gMWWo:I Cre "ri M . . . . . . . . 0 ` Z U 1 E1M iVf1O �M44t «IJ'O YO.) •� ( (ti OC 0C LO1 W ( � / 6. C ( I.� .:. J �.1 • � Iw ii W g to leg i s J A : I _),( aAC".:.�;�`,• S �� � tj I (�, In a � � In 1 IA LIN � � � i S � ! 1 � O� n T ^i � � t•i � � "� 1 f 1 I � � CL w ! + 1 4 I 1 , 1 t'f T � I � •I. \•.I.If 11..11. 11. •IIVi , PJ 6 �' sffi�3� L n ^•1.171 L-1- .. s ♦II14N 3M1 !D ]N!l 1S]M -� L lil'tt)7t1)JO Hi J ON -- >Ion�J9 inoa ;. --- ----- �-- - - - - -. - - -- .- o1ao�$''Jry'.:WD.Il °.!� °JdJ, ^' zotav`f f1 1: 1 v' +r•In � 711♦ Vl a�oa /7V 7J7v w ♦IINIYM iq OG't69S . •� Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Divis±on of'yafety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point0 "directbm no % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distarr0ttt nearest roach 030- 1018 -70 °� REVIEWED BY DATE APPLICANT INFORMATION— PLEASE p AL, IN&ORMATIO PROPERTY OWNER: " OPERTY LOCATION Claire Dilts �? ^ `: - VT. LOT NW 1/4 NW1 /4,S 5 T 30 AR lg t( pr) W :G PROPERTY OWNERS MAILING ADDRESS k i. T # BLOCK # SUBD. NAME OR CSM # 1218 Trout Brook Rd. ST CF�OiX na csm CITY, STATE ZIP COD , `PH �,�, CITY VILLAGE ®TOWN NEAREST ROAD Hudson, WI . 54016 { ; 5) - 6..0 St. Joseph 42nd. s t . [ New Construction Use PC] Residential l Nu?ttbeL Qf'bed 4 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 7 _ bed, gpd /ft _ R trench, gpd /ft Absorption area required 8 5 8 bed, ft 7 5 0 trench, ft Maximum design loading rate ._ bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 95.80 ft (as referred to site plan benchmark) Additional design / site considerations alt. area =94,9 Parent material outwash Flood plain elevation, if applicable na ft S = I I Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem :K1 S El Z S ❑ U aS ❑ U ElS ❑ U Ea S O U ❑ S CCU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerx ................. ....1 _ 1 0 -12 10 r 3/2 none 1 2m r mfr 2m .5 .6 2 12 -28 10yr 4/4 none sil lcsbk mfr gw lm 1 .4 .5 Ground 3 28 -38 7.5 r 4/4 none sl lcsbk mfr 9W if .4 .5 elev. 99 3 ft. 4 38 -84 7.5 r 4/6 none ms osa mvfr na na .7 ' .8 Depth to limiting factor +84 Remarks: Boring # 1 0 -14 10 r 3/2 none 1 2msbk mvfr gw 2m .5 i.6 >'> 2 2 14 -25 10 r 4/4 none sl 2msbk mvfr 9w lm .5 `:.6 Ground 3 25 -84 7.5 r 4/6 none ms oscf mvfr na na .7 .8 elev. 9 Depth to limiting fact Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715 -246 -6200 Address: 1554 200th, New Richalond, WI 54017 Signature: Date: 10-23-97 CST Number: m02298 PROPERTYOWNER Claire Dilts SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # 030 - 1018 -70 Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tw& 1 0 -12 10 r 3/3 none sl 2mgr mfr gw 2m .5 .6 2 12-29 10 r 4/4 none sl 2msbk mvfr crw lm .5 .6 Ground 3 29-84 7.5 r 4/6 none is 0scr mvfr na na .7 .8 elev. 98 ft. Depth to limiting factor + 841, Remarks: Boring # 1 0 -15 10yr 3/2 none 1 2mgr mfr gw 2m .5 .6 2 15 -39 10 r 4/4 none sil m na 9w lm np .2 4 2 Ground 3 39 -82 7.5 r 4/6 none is osg mvfr na na .7 .8 elev. 97 ft. Depth to limiting factor +82 Remarks: Boring # 1 0 -10 10 r 3/3 none 1 2mgr mfr gw 2m .5 .6 5 2 10 -28 10 r 4/4 none sil lcsbk mfr gw lm .4 .5 Ground 3 28-80 7.5 r 4/6 none ms osg mvfr na na .7 i .8 elev. 97 Depth to limiting fac p b Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) a STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 C laire ni N Richmond, WI 54017 MPRSW 3254 NW'�Nw s5 T s N - R19w New . 246 -6200 town of St. Joseph 715 ) lot #6-csm N 1 =40' BM.= nail in Pine tree C el. 100' Alt. Bm.= alt. BM. == nail in Pine tree C el. 98.00' soil evaluation was done to satisfy a zoning requirement and may or may not be suitable for your use. / -Z 2Q, 6 Gary L. Steel 10 -23 -97 I I _