Loading...
HomeMy WebLinkAbout030-2117-80-200 n N Q b n d �1 C d 3 A n A T T f . O C z 01 �D A c o o m ° gy m � (D w C �• 3 C. L OW ? H m� a m M o (A j N = W ' ID D m 3 N m? 0) CD O O < t? N C7 -I O° A7 O u H O O a 0) m - v i C c CD v G p o 0 2 ry 3 CD Ul C• O O p C N o o CL O a c I A O m 0 0 0? �• _ K N N 9 o v N (D O'� O O 3 W A N m CL 0 o O I D D o I o � � a �� I a c (D I m c I w Z � N _p N A Z n W o co 3 I:iA� °o Cl) I o � i I a I a v r c I o a CD oZ I S fi z y A �C A rr, N I ° p v I ) A o n CD !" to O V O Q CD �y ti r3 VOL 20 PAGE 5132 KATAL= H. REGISTER OF DEEDS ST. CROIX Co., WI RECEIVED FOR RECORD oH! 2 o�3!2 si (n r� c v w a z n 3c �*1 O cn to 12/27/2005 08: 40AM W - 0 m Q.- C - /0pmm) C OaD o N i D CERTIFIED SURVEY MAP � y ,L, w 'O Z w � m ((A N � N V m REC FEE: 13.00 A COPY FEE: o 00 _. -+ — ° D c 0 o I m x �c) �v z Z PAGES: 2 II Z 0 0 0 3 a o n m rq D Z rrn °� r '*1 2-4 a � «� yDiCcc �= o m v a c �A :9 A °c, �o Z O ° y t9 > 0-0 A ti m n Q c10 O ° z a THE WEST UNE OF THE SW1 /4 OF SECTION $ m •°- OO I m n n �^ $ II 79 BEARS SOO'22'23"W AS REFERENCED TO ° c rtp m THE ST. CROIX COUNTY COORDINATE SYSTEM \� rtm o �,o .� 'p'1� O O m�MN C W •► ,.. — m � LOT 5 PLAT OF D r*,c`�"i� z' r / / V `°v` - ARBOR MILLS ° cn -< �'' `/'o -+ -< ' D C I / a - ------ -- Z D n O m n N M rn H p� �C SOO'22'23 "W 2642.92' z v > z -� 0' WEST UNE OF THE SW 1/4 O� r r i w° SOO'22'23 "W 476.93' tO N 387.35 I 6 8 f .' R =NOO'38 20 "E 476.57' 778.65 pC I �Z� 100• co Z � O (A O /o p o. Z o c') OD ' 1q oo rr o M. -+ - 4. El - 10 In N C C I - 11 s \�� {�s3 a' S� c, cvo�c„ s � a o C O A + � _ 'd C 4 M o. V/W A� m v ��� ►�� I s 11 °�° X1-3 m i N f ` �o _ $ N a o m -, m <- -4 x - 1 o z _.> m N N O _ _ d� I y��.D_ m m U� O C _ - t N zcncn �f \ y N Q \\ N rn O t bD V D y CL a \ � N I('�'C"\ cPe:4 c c� to "2 �Q I� mC� cn vl ri crl ; C4 I O �c0 N*rn �yry�G o m m' m m ~7 \t �. \`•y��J �N N 0 m S U O N 0 to n N tJl T m O w 00 r"' y iii �\ ��'� -. ��\ N Z N 01 O OJD , `- � 4 Z (O a) 0) 00 o > ; w' O' `' m O n t Q r y vi oCAw -• V N �0 m m m m ?. O O • • �\ \ `�� � yJy \ N \tYtUfI / / / /q Z N In N o w a i► '' t7 i' S N O = N r*1 Z .� N ? tr t0 -2 w tr ci < v -1 C�m N vm v c)c> -'1 r d � � O cam') S crn5 c ?NONE• -�Z mpg �Z �Z ZZZ C i f r . m p� ° m o J W CO W O D m �SOa i r*lp r r7 m-10 G` Dam- Zm� Zmf� m m' m °D :{ t� 'v < m 12 v rn 'V 'D I�TI Z M - n CO Vl p N �c cnzo vc 12 Z NC� C) N�O n m � m c� CD m m m SHEET 1 OF 2 Vol 20 Page 5132 Parcel #: 030 - 2118 -00 -000 02109/2005 10:19 AM PAGE 1 OF 1 Alt. Parcel M 19.30.19.971 030 - TOWN OF SAINT JOSEPH Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * DAVID J & JILL A KREILING KREILING, DAVID J & JILL A 296 ARBOR HILLS DR HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 296 ARBOR HILLS DR SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.013 Plat: 2613- WHITETAIL RIDGE SEC 19 T30N R19W NW SW FRL LOT 10 Block/Condo Bldg: LOT 10 WHITETAIL RIDGE Tract(s): (Sec- Twn -Rng 401/4 1601/4) 19- 30N -19W NW SW Notes: Parcel History: Date Doc # Vol /Page Type 07/21/2003 731193 2323/207 EZ -U 05/09/2000 622657 1509/136 WD 2004 SUMMARY Bill M Fair Market Value: Assessed with: 6641 252,000 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.013 60,200 187,700 247,900 NO Totals for 2004: General Property 3.013 60,200 187,700 247,900 Woodland 0.000 0 0 Totals for 2003: General Property 3.013 35,300 146,400 181,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 521 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 370213 Permit Holder's Name: ❑ City ❑ Village ❑ T6vvn of: State Plan ID No.: Vieregge, Evan St. Joseph Township CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: & 3 " 030 - 2118 -00 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic Benchmark/ fain � 3 0 00 rr P Ca5 f /00D Dosing U Alt. BM A 6__ era ' Bldg. Sewer Holding 6t 1 Ht Inlet TANK SETBACK INFORMATION s TANK TO P/ L WELL BLDG. Ventto ROAD Dt inlet Air Intake Septic 4" ,Q / > S y �' Sy' NA Dt Bottom + S 2. 7 Dosing 7 U ' �� �S NA Header /Man. Aeratlo NA Dist. Pipe d _.c,��> � Holdi Bot. System .S S 3.3 PUMP / SIPHON INFORMATION (<< Final Grade Manufacturer r Demand St cover 4 9 3 99 9 Model Number y0 �{In BGPM If S1_ TDH Lift Friction,� System TDH(9 Ft A S� /DD. S_ Loss - ad Forcemain Length` S ' Dia. Z Dist.Towelt w✓ � lo l . 2 S ABSORPTION SYSTEM ( BEDttRENCH Width Length No, Of Trench s PIT No. Of Pits Inside Dia. Li u th btM - E N51ONS q 43� DI EN 1 SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHIN Man urer: SETBACK INFORMATION Type O — Model Nu System: ±(�U r r 7 v - CHAM NIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length _q Dia. r LengthZO_�' Dia. / 1 ' Spacing �/ ( /' L '' 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 [I No F] Yes [3 No COMMENTS: (Include code discrepancies, persons present, etc.) c S Inspection #1: � l( t .. bo Inspection #2: 7 ll3 1W Location: 296 Arbor Hills Drive, Houlton, WI 54082 (NW 1/4 SW 1/4 19 T30N R19W) - 19.30.19.971 Whitetail Ridge -Lot 10 r SIC' l.) Alt BM Description = ° P ° ��� �j�y ��w�✓ Y / t G�i3t i �vh- Ce yl,r'Du✓ /ht �/tiS Ltk -� i� 41P '�,/l 2.) Bldg sewer length= (o 0' „ - amount of cover= > `�z 1Jer� { �� /�; S �o v�� b 3. contour = YU = %o 2 - 5 q� Alf. SAN < <Sr) ��1��'r�Pa� �u a �t�'S1�i��L✓t� Pia revision required? ❑ Yes No Use other side for additional informiftion. y SBD -6710 (R.3197) Dat Inspector's Sig ature Cert. No. II k t - 1 ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: �. 9 ma d f 1 1 i k � f a� f g a < Safety and Buildings Division `�SCO/1S %/1 SANITARY PERMIT APPLICATION 201 B W shingtonAvenue In accord with ILHR 83.05, Wis. Department of Commerce t ' Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the Sys aper not less- than 8 112 x 11 inches in size. `j, 5 T Cm 1 • See reverse side for instructions for completing this app! n U state Sanitary Permit Number 9L-0 2[ 3 Personal information ou provide may � y p y be used for SeCOnda U OS2S � � eck if r w 1 n t previous rY P rP �� - ,- �; �7 ❑ Ch e S o o p v s [Privacy Law, s. 15.04 (1) (m)].(,/ i g; Olq� 'State Plan I.D. Nurriber 'P^vz-t- o-r- 1. APPLICATION INFORMATION -PLEASE PRINT AL N r O 1 040- l O Property Owner Name cay rT 1 /4 "i/a; I Cl T �Q , N, R I CI E (o W Property O�w�ner's ailing Address � utn r '° Block Number O Lo City, State Zirb Code Phone Number Subdivision Name or CSM Number f 66 sort I WS 54 O l ( ) X 1 II. TYPE OF BUILDING: (check one) ❑ State Owned Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms own OF 5T j'n AY'60v Ol IS III BUILDING USE (If building type is public, check all that apply) Pa rc I Tax Number( ) 030- If- oa"'oaD 1 ❑ Apartment/ Condo . 3 O - l9 , - 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing He 0 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) j. 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an 'System ...... System ______ _______TankOnl�r _____ _______ Existing System __ -_____ ExistingSyste 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 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Press re 42 ❑ Pit Privy 13 E] Seepage Pit f x K � 43 ❑ Vault Privy 14 E] System-in-Fill 1 VI. ABSORPTION SYSTEM INFORMATION; 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade � Reqguired (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) i Elevation ;. 73 3 7 Q a , 0 Feet 4 Feet Capacit VII. TANK in Ca gallo Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing structed T nks Tanks I � q Septic Tank e R �jQ© j�jQ 0, `! ❑ ❑ ❑ ❑ ❑ Lift Pump Tank !Siphon Chamber (� Oa k ❑ ❑ ❑ 11 1:1 Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) P r' Signatu e: No Stamps) MP�o.: Business Phone Number: QI ,UL C's &� ee t eX a aS S 15- Z125- S Plumber's Address (Street, City, State, Zip Code): a R4 �T � FoLL 54Q Z2- IX. COUNTY / DEPARTMENT USE ONLY E] E] S itary Permit Fee (includes Groundwater ate I ssued Issuin Agent Sig ture (No Stamps) Approved E] Owner Given Initial SNrcharge Fee) Adverse Determination 6­z 1� X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: aS 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 maybe 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 8 142 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. { Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 - TDD #: (608) 264 -8777 hsconsirn www.commerce.statemi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary May 19, 2000 CUST ID No.691727 ATTN.• POWTS INSPECTOR ARTHUR L. WEGERER ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1 101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/19/2002 Identification Numbers Transaction ID No. 317029 Site ID No. 192320 SITE: Please refer to both identification numbers, Site ID: 192320, David Kreiling c/o Vieregge Construction above, in all correspondence with the agency. St. Croix County, Town of Saint Joseph NWIA, SWIA, S19, T30N, R19W Subdivision: Whitetail Ridge; lot 10 FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 664008 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 installatiow and prior to occupancy or use: • 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. CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit approval if submitted to the issuing agency on or after July 1, 2000. Note: There is a potentia l for a law suit that may delay the effective date of the code so this status may or may not change. • The well must be a minimum of 25 feet from any system tank, and a minimum of 50 feet from the absorption area. 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. I ARTHUR L. WEGERER Page 2 5/19/00 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 05/15/2000 �. FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 Oerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us WSMART code: 7633 i I I i Page of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE Ny�J 1/4 OF THE SW 1/4 OF SECTION 1 � , T N, R ? W, TOWN OF a r. C.IZ V COUNTY, WISCONSIN. O r INDEX PAGE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR s PREPARED BY WEGEt�ER SOIL. TESTING AND. DES I CSV4 S1=RV I CE ® P.O. BOX 74 421 N. KAIM ST. �`.NN "" •••1�4 RIVED FALLS. MI 54022 /*,�' tit 715 -Si5 -016.1 S 44 ^- .r,GaER } ,. 5. p,O.W.T.S. c A JOVED P KI ��'�, S 1 cr0 E D'p" ENT OI COMME LDII�S '�BhBN DIVISIO of SEE GORRE DENCE JOB NO. PLOT PLAN Page Z of Scale 1"= ' — - LOT LINE LuT tp Lttet9 8r'►#t Z. �V ? B.1� J Zone �r'14t -I 61 a _ J 3 L = WN1V vlZ @1. lz 1l. F- 32 • IIo'R�y1 of 'ate 1 ��lou � t_ - - - -- - - - - -T` DO t.,oT eowt►�rtt7' ClR D l3SU �Z3 'h1'l S wr1Z�"A l0 °�pF' 2'�PUCF.►1. S ' 3 uFu ° PUC_ =Soo, r �VSTN PAM — � l a 8N'1t1 - �TZ, 1U0.0��w 1O 31 ' hurt — , /�,• �"'t'tl'Z- �1.. 102.2' � S' a � � ., - - -- b�• s, NOTES -- 1.-Elevations shown are existing ground elevations unless otherwise noted.. 2. Install permanent markers at end of each lateral. ( 9 required) 3. Install 4" observation pipes with approved caps. ( - 2 — required) 4. Septic tank to be luo /boo gallon capacity manufactured by W VLS QV-- ceju m- pt�-uW �-TS 5. Bench Marks S Pr�ovE 6. Divert surface water around mound to prevent ponding at the up hill side.- Page '. Q: Approved Synthetic Covering R•s C- 33 Distribution Pipe Medium Sand Topsoil _H__ G -- .., F Elev . UD - L p 3 E D b Z % Slope Bed Of 1 '"- 2 %2 Force Main Plowed Aggregate From Pump Layer D t. Cross Section Of A Mound System Using E Ft. A Bed For The Absorption Area F Ft. G 1 u Ft. A �Ft. H 1 -5 Ft. Linear Loading Rate =q..o GPD /LN FT B — _:�.."ft• Design Loading Rate =o.V .GPD /SQ FT I Ft. J 8 Ft. K 10 Ft._ v..,� +� Dncitin L 61 Ft. reree Main - W 3 `Z- Ft. � I. L Observation Pipe K - -- -- A - -t W o - - -- ----- - - - - -- - - -- -- - - --.I Force Main Distribution Bed Of Z~-2 Pipe Aggregate I Observation Pipe Permanent Markers (Anchor securely) - r; Plan View Of Mound Using A Bed For The Absorption Area r Page �4 Of b Perforated Pipe Detoll 0 End View Perforated End Cop � PVC Pipe Install permanent-marker .40 °` at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main Q PVC Manifold Pipe Distri ution Pipe Last Hole Should Be I Next To End Cap End Cap it . Distribution Pipe Layout S Ft. X ;' Inches Y Z6 Inches Hole Diameter Inch Lateral - nch(es) Manifold Z - Inches Force Main 410 ft Inches # of holes /pipe 1 Invert Elevation of Laterals VL.s Ft. Q) x I �, x Ll = Lt w Place 1st hole 1,l from center of manifold with succeeding holes at Z6` intervals. Last hole to be next to the end cap. Combination Sept 1c;Tank and PUMP CHAMBER CROSS SECTION AND SPECI PAGE S OF CC= NEWT CAP WEATHER PROOF JIJUCTIOM 80X 'i'"C.I. VENT PIPC , APPROVED LOCKIMG 2!.10' FROM DOOR, MANHOLE COVER >NC % -iN00W OR FRESH wp+At.�1sJG Lf�OEL. A-LR IAlTAKE S coup, r to 6 � 'i hIIIJ, ki. Ib IAILET W/►31�61{� -p PROVIDE AIRTIGHT SEAL I I t APFLtS � I I Approved .A i I Approved joint w/• Tank construction I II I joint w/ PVC pipe shall comply with ALARM PVC pipe ILHR 113.15 and 33.20 a I II I I I ! c ou • I CLEV Fj __� PUMP —� OFF D COUCRETE tFL ,v . q3 •o o' BLOCK i K15CK EXIT PERM11TED 01JLy IF TAWK MAIJUFACTURER HAS SUCH APPROVAL �Dfl i N� SEPTIC f wLP luu� /bop SPECIFICATIOUS DOSE TANK tAAWUFACTU$LrR: W 00Ue-R�� IJLIMElEA OF DOSES: 3. 8 Z PER DA4 TAWK SIZC : I X00 1 60() __ GALLOUS D05E VOLUME I ALARr1 MAIJUFACTLIPUR: S• L.� -`''.0 S - 6 INCLUDIN5 6ACKPLOW: ���' GALLONS MODEL WUMBER: 1 b1 �J CAPACITIES: Ac �S 301. 1fJ[HE5 OR 7 GAL LOys SWITCH TYPE: __ ME)740JI?- g_ Z IMCHES'OR 33.5 G(LLO PUMP "MUFACTURCR: f TRLS C: a I u CHE5 OR 1314 GALLOIJS MODEL IJUKBER: MS LEO D= U�.� INCHES OR GALLOAIS SWITCH TVPE: — mmytllIZ uOTE: PUMP ANO ALA MARE TO C MIMIMUM DISCHARGE RATE L La GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP OFF AU0..DI5TRIBUTIO►J PIPE.. 8- " FEET + MIAJIMUM M ET WORK SUPPLY PRESSURE , 2.50 FEET f L FEET OF FORCE MAIIJ X ly F �OFEFIRICTIOU FACTOR.. U' N FEET TOTAL D!JUAMIC. HEAD FEET As per Manufacturer gal /in. Liquid depth 166 ME40 DIMENSIONAL DRAWING MW50 DIMENSIONAL DRAWING " O O E 0 14.76 E "OFF" r co N tp �Ya I I -- ' � C1 10 O a a f rn _J r >_ 1 -1/2" NPT • B ((38.1 mm) bischarge t r _ 9.04 r� 1 0 s o I 5.66 I I - -s.44 t — (144mm) 11.68 11.42 (296.5mm) �4OPEFORMANCE MW50 PERFORMANCE CAPACITY LITERS PER MINUTE CAPACITY LITERS PER MINUTE 0 100 200 300 400 Soo 0 50 100 150 200 250 300 350 30 10 40 12 25 6 35 10 N 30 a F 20 W W W W B W U. e LL 25 ? z 2 C ? W 15 < 20 8 Q = S 4 r 4 ° 4 0 10 2 2 5 5 0 0 10 20 30 40 50 60 70 80 90 100 0 0 0 ' 0 20 40 60 80 100 120 140 CAPACITY GALLONS PER MINUTE CAPACITY GALLONS PER MINUTE 23833A275 11 M E40 Series M 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 N W 30 L }}.. 25 8 X Z 20 6 J _ FQ- 15 K -47 4 F 4 10 cl6. e 5 2 0 0 0 10 20 30 40 50 60 70 60 90 100 CAPACITY GALLONS PER MINUTE 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289.6658 Telex 98 -7443 K3326 7/91 Printed in U.S.A. WAbo sin Department of Industry SOIL AND SITE EVALUATION REPORT Page o Labdr aro3 Human Relations . Division of safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference int BM ) , of slope, scale or PARCEL I.D. 9 po ( nd % �' OF dimensioned, north arrow, and location and distance to d{ ? APPLICANT INFORMATION PLEASE PRI y INFORRbIATION R V I EWED DATE .4111 \` BY - �- zoo PROPERTY OWNER: n PROPL I RTY LOCATION EV 1V v \ETZ GG ` vet IJ'-J 114 S W t /4,S 1°) T 3 O ,N,R E (or� W� PROPERTY OWNEA':S MAILING ADDRESS • _ ` ' 199 LOT # BLOCK # SUBD. NAME OR CSM # �z o8 ivt��Ek.r'� 6a>J � ao� sr c CITY, STATE ZIP CODE 1 -RHONE Q OVILLAGE E TOWN NEAREST ROAD 1�vC�SOrJ LJ 1 S �! of h45.) ^ is $F T• S� S:Y1� R�.BOR l��l S U2 . New Construction Use (>1 Residential / Num odd rr�s� "" (J Addition to existing building (J Replacement [ J Public or commercial descrl Code derived daily flow FASO gpd Recommended design loading rate '`( bed, gpd/9 - trench, gpd/ft Absorption area required 3ZS bed, ft 3" trench, ft Maximum design loading rate S bed, gpd/ft • trench, gpd1ft Recommended infiltration surface elevations ti o Z. O' /a /• , Cea>✓ow elevation( s _ (as referred to site plan benchmark) Additional design / site considerations ! / ��1 ' S � m rti,t"uM LZ 4 or SP�XAZ) R LL , Parent material LO t!Sq - Flood plain elevation, if applicable N t� It S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system 1 ❑ S El U ®S ❑ U CIS ®U 1 1 Sod ❑ S OU I [I ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles ( Structure GPD /ft Boring # Horizon Texture I Consistence Banciary Roots Bed r�Idt in. Munsell Du. Sz Cont Color Gr. Sz. Sh. r 0 - `3 \D`l2 3!Z Std Z'F tin 1 Z2J, — .S •� 1V -- s i t Z`$ s U;� Ground 3 25 -�10 10`1tZ 316 - Si l Ze S y,, elev. L OkiZ 3/b 1 j.S`11zS�$ Sit y„ ��. - y"� �Z Depth to limiting factor D Remarks: Boring # o -1.Z �fl� 2 �1 Z siti Z�s�h 1M`Fh �w � • S -b E l l l.0`4 y/y _ Si Zw►s wi`�� C-3 — • S b j Ground 3 2I -yZ LUYiZ X16 - St 'J 1 eSbk W► T 1- elev. 1o\-9 It Depth to limiting factor Remarks: T Name - Please Print Phone: Arthur L. We erer 715- 425 -0165 ' dress: egerer Soia Testing & Design Service -P.O. Box 74 River.Falls,WI 54022 Signature: - - ` Date:., M CST Number 2 2 0 2 5 4 � i I PROPERTY OWNER PARCEL I.D.# SOIL DESCRIPTION PTION REPORT page z of 3 P . p pap„ spy _� D 0 -- Boring # Horizon DePth Dominant Color Mottles ...• .... in. Munsell Qu. Sz. Cont. Color Texture Structure Consistence G P D /ft nce Gr. Sz. Sh. Y Roots 3 l Z — s i i Z`F sb�� Bed Trerxh �^'► Cam) Z L It -2.6 lof v/ S y s Z � Ground 3 A -3S I p y2. 3/ 6 elev. CS t � 3S -�� )p�tz. �/6 �� -S'�2 S/8 i Depth to -'Z limiting factor f Remarks: Boring # Ln . � f • 7 Ground elev. —ft. Depth to limiting factor Remarks: Boring # 1 Ground elev. I — ft.. Depth to s limiting . factor Remarks: Boring # Ground elev. f t. Depth to limiting factor Remarks: r•ry rr •r •rnrn ..r �• .� PLOT PLAN Page 3 of 3 SCALE 1 "= �1p' 1 -uT S USr L1rtE LuT 10 1 tttut9 � 1 _ $1✓1#t Z II CJ a.te tt�a►� 0 � 3Z , L3�`tTpy„t of 3 lot) b lS�SU�'z•3 'T1t11 S prt�.�rA C'.'"f_ �OCP�1prJ Slti"'TC1� I — 1 S % - T t 71 S ) 4 2 5 - (l 'I n 5 CST Signature "� Date Signed Telephone No. CST # y 4 li 5 ■ ........... ■ i I ST CROIX COUN'T'Y SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer D - - � -r- ` C Mailing Address . 9 k� �� '&2 `` � < l � � `` � V ° e- Property Address q 6 a 2t Zzz (Verification required from Planning Department for new construction) City/State /4 / ! e) If! / , / . / P arcel Identification Number e 3 ` �//g LEGAL DESCRIPTION /4, Sec. T f J B .1j Properly Location ,�� '�.,� ' .1.�, �� N -R W, Town of Subdivision It, i R p , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # Volume Page # . s>�b�:h�, pro��SJ��aflle9, 03' (7eea'�k © %cam el a ,S Spec house ❑ yes X no Lot lines identifiable 3 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. [two, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 , da of the three year expiratio te. r S PLICANT DATE OWNER CERTIFICA ON I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE F APPLICANT DATE * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed STATE BAR OF WISCONSIN FORM 2 — 1996 t� !/ DOCUMENT NO. WARRANTY DEED / �V e Y" �a 1✓ C �h,�%'�tc f;as� Co1vi3O ah ✓_ �,. � s conveys and warrants to _ Y - r A. i the following described real estate in O County, State of Wisconsin: f n , , l r -l 1_ / RET v, al u e- S' �i �; o � //s ,-- - ve 9 � A :t 9 foh i J'Z 5 IVv8.Z Parcel Identification Number (PIN): This fS �� homestead property. (is) (is not) Exception to Warranties: I / h Dated this L day of 00 11 �� (SEAL) (SEAL) 1 / V "crl_9y� G oh�7`L���*G (SEAL) (SEAL) R 1 ' AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN 1 ss. ! • � - d y County. c ,zr authenticated this day of ,19 Personally came before me this 4 day of 19 0o the above named TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person S' who executed the authorized by § 706.06, Wis. Stats.) foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both are not My Commission I perma ent. (If not, state expiration necessary.) f date: ��-�� Patricia Coate-s-K 'Names of persons signing In any capacity should be typed or printed below their signatures. Notary Public SB2 NTF 0021A WARRANTY DEED STATE BAR OF WISCONSIN Ne co, Inc. P ox 10208, Green Bay, WI 54307 -0208 Form No. 2 -- 1996 stake of Wisconsin 1 g w § l y� w O ^�� Y < -41 o US � Z . N I = I a it S213FI10 1.8 03NhA0 I w a N o I N a = 1 0 •• O i .. s It 02 SaNVI 4311V1dNn i o w a N r; i z I I � ;a � ;I II Z ;•SS i Y/IMs 3W !0 r /u�N i � ,Z ,(;g 3W do 3Nn 1SV3 Sa�FIrO .l� f�4 (5• �Z1N - 6'I_ II6'i�f5 1N M �L ► L. S __ ;A.- -.� N 39 M..SS.9I.00S 3 n 3 nUMN33 ­7 --- : - - - - -- 1R -- N Y 3 3W !0 Y]IT� _.__.__._ .__.__._ 3W I0 3Nf115V3 I 1 ,L6'OOC M- 9Y,6G005 - - -.__ k _. I_ .__._ ACYLZ M..9Y,b I `,�- ��► cd D� o I it ui N Cti h FS all I r w a m 9 OI !/ f f =! y to s { /f H' .f tea' O c►��� I w V L,.I c`4 _ : r�• _ _ J fi /: .� r l / i ci I b 00 N S rn /._ 1S'lil `y_. 3! - ��� /'�! 'i r ; .r •�; ( r ��/ i �`• �. W re 0 N 0 Lo w j/1 w . p aS.a0.W5 r � 1 w zI i o, uj co sr 9 1 a .+ f i .1 bt i r a W V TC I ( s N ♦.. ; $ h OO � l s } j l r ..�... r . l r /, / 1=) O ,YY'OGSL AO'LLL ;. 161SS ' ,19'94Y LY'LYCI .*G SSZ.L 3 „OZ.9£.00N ,3.ALALOON 3 ZZ.MOON i 1 `)� Y /4MS 3W d0 Y /WN 3W !0 3Nr1 1S3% V I 1 /� znl 1 s rr sn'” N In Y /IMN 3W A VVAS 3W!0*n ls3M � � � �\% ;gp` f+��� yr g P �i S pgp+y�3ng b b / O 3ML .40 C 1S3M 3W NY VV39 \ ; \ • r•'R § § $ �' k 's $ 1t y s ae r �Oeb'b y0 b $ r 8 N ff) W �+ iA N fN+ n S H i B" q AI LS g QIi 0') , 1-- V p z§ E-4 U �8B B 13'3$ 88 "s g�8 � -tj w '.4 N q, 8 i 1