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HomeMy WebLinkAbout030-2093-50-000 0 cn 0' 0 y 0 9" c o o c , A (D 1 �. C I m 0 r n fT 'S K fB Z N O z F O A O N N O O. = °_'. 3 m c° o°o o m w co w U1 O A �. A O N w e a jo �_ N -4 c H �_ C R S L Z N 3 c 3 o m g °° c 'Z m to co p N N N d 3 m m 7 0 v w O O_ O -D 0 N = CD N 0 i CO O 0 CD O N O j W O 0 a O i O O ro 7 fA D. 7 N d j O r te • VI H 0 N °: cn D a� In v D o a o t �. _ m `° y CO a co' IW ° m C c y c CD N N 3 0 A A 0 O o A O O (D N O, O O L • • V CA m co m o _O n 0 CO) W A A? O S CO) .,�+, Q CL 000 000 tr v v f cn o , U O �D N f�/1 p 3 3 y N f�N O 6 vov _.Q vvv o to v m ° a °—' z l Z y CD (D g z O N Z z O O OD O D ^ y N O D N N O N N� 7 N - �f CD fQ fb N N C O p. "a CD V 7 fD N � N m O H a a p Z eD a a A z o �? N O o o m W M M o , z CD A ,Zl (D O :'.' o p y N Z C v A CA) w d m v D < -0 o cr D C c m a 0 a y N y �' in.0o�w Q 3 o w 3 o 7 T fD 0) co 7 i N N C . d N S r- CL Z a m CD o CD c m f N _ c CD °- 6 N f � w w m 3 a M = �e m y S o DSO CD it m m m CA v o a w n I x I o OD C c o CD CD m 0 o o °p fD m c ~ aro c 0 0 0 0 f f o CD m o m I o n I o a j ti Wisconsin De *partment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Sat`o1y and Building Division INSPECTION REPORT Sanitary Permit No: 483971 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: O'Rourke, Clifford & Teresa I St. Joseph, Town of 030 - 2093 -50 -000 CST BM Elev: Insp. BM Elev: Descr Section/Town /Range/Map No: /90 b /00,0 BM 77 /) CA� 29.30.19.779 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic (� /006 Benchmark Q 19 0 00 O D osing ,7 S-D Alt. BM Aeration Bldg. Sewer Holding •> St/Ht Inlet TANK SETBACK INFORMATION St/Ht outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Q/1) 13• �i Dosing eader/ an. Aeration_ Dist. Pipe !f Holding 0 f Bot. system �(QQS b 5• Final Grade 7 � PUMP /SIPHON INFORMATIO Z Quaff -QN TZ Manufacturer Demand St Cover GPM Model Number ✓'3 W 1. 5 2 1 <1 VT S TDH Lift iction L ss ``�= tem Head TDH Ti v. s gyp: Sys , 2 10 . foS Forcemain Len ft Dia. 2 �, Dist. to Well SOIL ABSOIIPTION SYSTEM — t'j BED/TRENCH Width / Length No, Of Tren es PIT DIM ONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS —7 / J J SETBACK SYSTEM TO P/L \ BLDG WELL LAKE /STREAM LEACHING Ma facture . INFORMATION CHAMBER OR Y - �+ 1. Type Qf System: \ten i ` t � Model Number: �j D T IBUTION/vSJ 11� SYSTEM lI r ` , '�(!, , ! (y (,�/�� W cJuK�_ Header/ ni Distribution x Hole Ske x Hole Spacing Vent o Air Intake 2 )- Pipe(s) 0 '�' Dia Length ^ � V q0 r --- ength g / Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over , / N Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center 2 - Bedlrrench Edges Topsoil Yes [N No ❑ Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: // //� Inspection #2: Location: 421 Highland View HOU TON, WI 54082 (NW 1/4 SW 1/4 29 T30N R19W) Highland Hills Lot 5 - Parcel No: 29.30.19.779 1. Alt BM Description = 2.) Bldg sewer length = �/ - amount of cover = Plan revision Required? F%] Yes No G I / 0 Use other side for additional information. � SBD - 6710 (R.3/97) Date na re Cert. No. r comme Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 C� i sco n s i n Madison, WI 53707 -7162 Sanitary Permit Number to be filled in by Co.) Department of Commerce �YJ - 7 ! Sanitary Permit Applic 10 State Transaction Nu m r In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form a appr 4 gopg mental /J/ unit is required prior to obtaining a sanitary permit. Note: Application forms for teTS are Project Ad ess (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may b ed for secondary p urposes in accordance with the Privacy Law, s. 15.04 1 m , Slats. I. Application Information - Please Print All Information Property Owner's Name Parcel # t r r AAl f r A '�o u 12 r C�I�E® a - D -so - doo Property Owner's Mailing Address Property Location AUG 2 7 2010 Govt. Lot City, State Zip Code p(A VhtQ Jfr8N NTY W E v � ' /., Section Z F �1 o u L , o >v l Sv 18 Z G &ZONING OFFICE R ,(circle one 1 [ II. Type of Building (check all that apply) Lot # T N; EorW X 1 or 2 Family Dwelling — Number of Bedrooms Subdivision Name Block # GN Ca >v b 4 LL S El Public/Commercial - Describe Use ❑ City of ❑ State Owned - Describe Use CSM Number ❑ Village of / NTownof ,S'T, 30SEQly III. Type of Permit: (Check only one box on line A. Complete line B if applicable) & ❑ New System y � Replacement System ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ ❑Permit Transfer to New a of Plumber Chan g List Previous Permit Number d Date Issued �/ Before Expiration Owner J41 5 � y 9 7 IV. Type of POWTS System/Component/Device: Check all that appl E9 Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑l At-Grade ❑ Mound > 24 in._o(fls��ta�ble soil ❑ Mouu < 24 ^ of / suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) / ►19��G�/t W L`I 4 trtf 1 er r gxplaW - C Y�-� V. Dis ersaUTreatment Area Information: Design Flow (g 1 d) Design Soil Application Rate(gpdsf) Dispersal Area Required (so Dispersal Area Propose (SO System Elevation 0. yS ou' IDaO /DZO 1037. lb?. y8d� VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units / a o New Tanks Existing Tanks S ) Of J 115 C' 14 S TF -� �^ w d 6 u y - 7) l ct U V) co) w C7 0, Septic or Holding Tank / 069 0 J OOv I IESt =f� Dosing Chamber n ./ 5/ ( 1 E 5 G p X VII. Responsibility Statement- 1, the undersigned, assum respons ibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's 'gn MP/MPRS Number Business Phone Number 4IV Sci* crr 1C ��%�► ZZ3760 7 /s- ?6O +DYE Plumber's Address (Street, City, State, Zip Code) 6 1f40 45 yr �> l� l2 SET t�/1` 5 y0 Z S VII Coun /De artment Use Onl Approved ❑ Disapproved $e Date ssued suing Age pt Si u ❑ Owner Given Reason for Denial "T / I() IX. Conditions of A roval/Reasons for Disapproval SYSTEM OWNEA 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained I nt� as per management plan provided by plumber. G��J ✓ G� � � /V �� I MftwVA 2. All setback requirements must be maintained as per applicabl =MAWMans for the systernmd submit to the County only on paper not less than 8 r/2 x 11 inc es in size r - u SBD -6398 (1Z 02/09) Valid thru 02/11 G Pqq - fR� 'v 11 �� Page 2 of 13 PLOT PLAN (O'Rourke Property) ♦ BM1 Elevation = 100.00' Top of iron pipe NW lot corner. A SM2 Elevation = 88,63' Bottom of Dose tank. ■ Backhoe pits Slope = 4- 0 /0 System Elevation = T4= 98.43', T5 =97:28, T6= 95.68' 3.14 Acre Parcel 2" PVC Ball Valves to be installed with test ports on each trench N to equalize flow to each cell. Scale: I"= 40' rj 6Xi5 iix"o - 3 dedo&ejit NOuS6 y"Z "f Ar ` X� ri IV C� E , Wc pis. «r X �G0 to G. FXr1 s y s TCW T o dZ Z- ,cF �Y 1UT14CT JEu� ,�a`titP t y c c. �Sr STcl11 r Page 1 of 13 CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: O'Rourke Conventional Dosed Septic System Owners Name: Clifford and Teresa O'Rourke Owners Address: 421 Highland View Houlton, WI 54082 Legal Description: NE' /+, SW %, S29, T30N, R19W Township: St. Joseph Subdivision Name: 3.14 Acre Parcel Lot Number: 5 Parcel ID Number: 030 - 2093 -50 -000 Page 1 Index and Title Page 2 Plot Plan Page 3 Dose Tank Detail Page 4 Pump Information Page 5 Filter Information Page 6 System Cross Section and Sizing Page 7 &8 Maintenance & Management Plan Page 9 Septic Tank Maintenance Form Page 10 &11 Existing Tank Certification Page 12 Warranty Deed Page 13 CSM or Plat Attachment: Soil Evaluation Report Designer /Plumber: John Schmitt License Number: 223760 Date: August, 26, 2010 Phone Number: 715 - 760 -0486 Signature Designed pursuant to the in- Ground Soil Absorption Component Manual for POWTS Version 2.0 SBD- 110705 -P (N.01 /01). -- - - Page '2 of 13 - -_ PLOT PLAN -- (O'Rourke Property) - ♦ BM1 Elevation= 100.00' Top of iron pipe NW lot corner. 0 BM2 Elevation = 88,63' Bottom of Dose tank. ■ Backhoe pits - - - - - - - Slope=4 9 16 -- System Elevation = T+4= 98.43', T5 =97.28', T6= 95.68' 3.14 Acre Parcel - - 2 PVC Ball Valves to be - N " ..installed with test ports on eacfi trench to equalize flow to each- cell. -- - - -- -- - - - - -- kale 40' eIT I r ✓ r' T�; - _ - - � ,� ✓rr c •t n� lc - IM .r °?� G �� u►i�w' � tVhC -w _S_/ rtc 'TIC T r 4 C� T,� "�11 C h! - i Aj S 5 i EM T 6Z Z — r `�� -_ /V Ti4Cr'i hJEW �uOIIJ Wit( &E Page 6 of 13 Soil Absorption System Cross Section 100.75 ft 99.75 tt 4' Schedule 40 PVC Vent Pipe t7� With Vent Cap 98.75 ft UmwhbV ChaaiW l�l —► t t t c� _s' ._ ft 98.08 ft. >3 ft 99.53 f S ystem Evaluation s yste m va ua on ys va u n Soil Absorption System Plan View 68 ft 3 ft Trench 1 4' Dhr. Trench 2 Fieadot Vent Or Observation Pipe Trench 3 Leachina Chamber Specifications Manufactuer And Model INFILTRATOR Quik 4 ESIA RafingF sq. ft per chamber ESIA Rating 5.8 sq. ft per 2 endcaps DWF 450 gpd Soil Aplicabon Rate 0.45 gpd/sq. ft 450 gpd DWF + 0.7 Soil Apiication Rate + 20 ESIA= 50 Chambers 3 rows of 17 chambers each. • DOSE TANK DETAIL Page 3 of 13 a Owner s Name: Cliff & Teresa O'Rourke 85.55 ft Inlet Elevation Weatherproof Manhole with Locking Device Junction �� and Warning Label soon loom■ ■ ■...� ■ ■ ■ ■ ■ ■ ■...`. , disconnect fitting n __1_ Ems- Alternate forcemain outlet co 1 reS (a) Dimensions Inches Gallons ----- ---- - -- --- a 15 304.05 separa (b) alarm on b 2 40.54 i --------- - - - - -- - - - - - -- x pump on dose vol a (c) c 4.84 98.11 v ; - d 15.16 307.29 Total 37 750 d (d) 88.63 Intake Elevation Tank Manufacturer Wieser Pump Manufacturer Zoeller Tank Model 750MR Pump Model 53 Tank Capacity 750 gat Alarm Manufacturer Existing w Tank Volume 20.27 gal / in Alarm Model Existing Filter Manufacturer Sim /tech Filter Model STF -100 DOSE VOLUME CALCULATIONS TOTAL DYNAMIC HEAD CALCULATIONS Design Flow (DWF) 450 gal / day Min Network Supply 0 ft Number of Doses 5 /day Passive Vertical Lift 10.9 ft — (Header /D.Box elev. - Pump intake elev.) Max. Dose Volume 90 gal Friction Loss 0.46 ft F «o`y100 Length x Friction Loss u Drain Back 8.15 gal Total Dynamic Head 11.36 ft abw 4 • - r Pi — J�� Design Dose Volume 98.15 gal Min Discharge Rate 20 gpm 44;144 NOTE: Pump and alarm are to be installed on separate circuits. INTERNAL DIMENSIONS OF TANK Length 78 in Width 78 in Liquid Depth 37 in Plumber /Designer Signature: Z44 L - 1 9 License #: 223760 Date: ' Z Page 4 of 13 TOTAL DYNAMIC HEAD /FLOW LIJ UJ w PUMP PERFORMANCE CURVE PER MINUTE MODELS 53/55/57/59 EFFLUENTAND DEWATERING 0 6 20 MODEL 53/55/57/59 x Feet Meters Gal. Liters v 5 1.5 43 163 15 10 3.0 34 129 z 4 15 4.6 19 72 0 a 10 Shut -off Head: 19.25 ft.(5.9m) 0 ~ �f 009697 L 3 718 63116 5 y8 1112 -11 12 NPT I 0 3 718 10 20 30 40 50 GALLONS 1 LITERS 0 80 160 FLOW PER MINUTE CONSULT FACTORY j FOR SPECIAL APPLICATIONS • Variable level float switches available • Variable level long cycle systems available • Available with special cord lengths of 15', 25', 35', 50' 230V only P� 9 � Y1 101116 • Alarm systems available • Duplex systems available } 33M SELECTION GUIDE BK65a 1. Integral float operated mechanical switch, no external control required. 2. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 3. Mechanical aflemator "M-Pak" 10.0072 or 10.0075. 4. See FM0712 fa correct model of Electrical Alternator. 5. Variable level control switch 10 -0225 used as a control activator with "Easy assembly" Electrical Alternator (3) or (4) float system. (Pump rat i nclu d ed.) clad" pipe c Sir Seal Control Selection Listinas Model Volts Phase Mode Amps Simplex Duplex CSA UL M53155 & M57/59 115 1 Auto 9.7 1 — Y Y N53/55 & N57/59 115 1 Non 9.7 2 3 or 4& 5 Y Y BN53 115 1 Auto 9.7 Y Y BN57 115 1 Auto 91 — N Y • BE5357 230 1 Auto 4.8 Y Y OPTIONAL PUMP STAND P/N 10 -2421 D53/55 & D57/59 230 1 1 1 Auto 4.8 1 -- Y Y Reduces potential Clogging by debris E53155 & E5759 230 1 1 Non 4.8 1 2 1 3 or 4 & 5 Y Y • Replaces rocks or bricks under the pump Included' • Made of durable, noncorrosive ABS ° `" 17ON • Raises pump 2" off bottom of basin All installation of protection devices and wiring should be done by a qualified • Provides the ability to raise intake b adding sections of 1'/ :" licensed electrician. an. All All electrical lectrical and safety codes should be followed including the Y Y n9 most recent National Electrical Code (NEC) and the Occupational Safety and Health or 2 PVC piping Act (OSHA). • Attaches securely to pump For Information on additional Zoeller products refer to catalog on Piggyback Variable Level • Accommodates sump, dewatering and effluent applications FloatSwkhes, FM0477; ElecMcalAtlemalor, FM0486; MachanicalAhemator, FM0495; Sump/ NOTE: Make sure float is free from obstruction. Sewage Basins, FM0487; and Single Phase Simplex Pump Con#WAlmm Systems, FM0732. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 0 Copyright 2010 Zoeller Co. All rights reserved. p „ SECTION: 2.20.010 �� r1A1 /TY PUMPS 51=r 1AY17,7 FM0493 0810 Product information presented ® Supersedes here reflect conditions at PUMP !O. " 09 time of publication. consult factory regarding discxepan- des or inconsistencies. MALL TO. P.O. BOX 16347 • Louisville, KY 40156 -0347 visit our web site: SHIP 70: 3649 Cane Run Road • Louisville, KY 40211 -1961 www.zoeller. com (502) 778 -2731. 1(800) 928 -PUMP • FAX (502) 774 -3624 COMPARE THESE FEATURES 53 - 57 Cast Iron Series • Non - Clogging vortex impeller • Float operated, submersible (NEMA 6) 2-pole mechanical switch & variable level long cycle systems available 55 - 59 Bronze Series • UL Listed 3 -wire cord plug; 9 ft. standard for automatic, 15 ft. standard for nonautomatic (For Pump Prefix Identification see News & Views 0052) • Corrosion resistant powder coated epoxy finish • No sheet metal parts to rust or corrode � � M I G H TY -MATE" • Stainless steel screws, switch arm, guard and handle • No screens to clog SUBMERSIBLE PUMP • Watertight neoprene "0" ring between motor and pump FOR UL • Housing ( SUMP) • Solid buoyant polypropylene float ra.o.d W kx ( ) •Motor - 60 Hz, 1550 RPM, oil - filled, hermetically sealed, stwld.d kxna. OR automatic reset thermal overload protected EFFLUENT (SEPTIC TANK SYSTEMS) • Upper and lower sleeve bearings running in bath of oil Entire unit pressure tested after assembly PASSES /s SOLIDS • Carbon and ceramic shaft seat 8-w.1 art � 108. 1 Maximum temperature for effluent or 1 /: „ NPT DISCHARGE dewatering -130 °F (54 °C) AUTOMATIC r-• """"�'”" • Passes '/z inch spherical solids MODEL • 1'W NPT Discharge. • On point -7%: • Off point -3' • Major width-103/37 • Height-101/16' SPECIAL MODEL FEATURES: MODEL 53 MODEL 55 • Cast iron switch case, motor & • Bronze switch case, motor & pump housing pump housing • Engineered thermoplastic base • Engineered thermoplastic base VORTEX TYPE • Engineered, glass -tiled, plastic • Engineered, glass - filled, plastic impeller with metal insert impeller with metal insert IMPELLER • Stainless steel guard & handle • Sunless sleet guard & handle • Bearing - lower & upper oil fed • Bearing - lower & upper oil fed cast iron bronze i MODEL 57 MODEL 59 • All cast iron construction • All bronze construction • Stainless steel guard & handle • Stainless steel guard & handle • Bearing - lower & upper dl fed • Bearing - lower & upper oil fed cast iron bronze • Cast iron impeller • Bronze impeller ALL MODELS ARE COMPLETELY SUBMERSIBLE POWDER ( BN MODEL HERMETICALLY SEALED COATED TOUGH' Watertight - dust tight. Permanent) oiled bearings. 9 9 Y s. 9 VARIABLE LEVEL CONTROL MODELS AVAILABLE • Automatic or Nonautomatic SYSTEMS AVAILABLE '53- 57' -.3 HP. 11 5V or 230V • •55 - 59' -.3 HP, 115V or 230V Note: The sizing of effluent systems normally requires variable level BE53BE57 & BN53BN57 available packaged floats) controls and property sized basins to achieve required with Piggyback Variable Level Float Switch pumping cycles or dosing timers with nonautomatic pumps. i ® Copyright 2010 Zoeller Co. All rights reserved. Page 5 of 13 JLW1R4V= Toll Free 888 - 999 -3290 Mailing Address Office 231 -582 -1020 1455 Lexamar Drive, Boyne City, MI 49712 Fax 231 -582 -7324 Email simtech @freeway.NET Web www.gag- simtech.com INSTALLATION & SERVICE INSTRUCTIONS INSTALLATION: When installing an STF -100, screw filter into discharge port of any pump that has a 2" National Pipe Thread. Pumps with a smaller discharge port may be adapted to fit. When installing an STF -100A2 a tailpiece and male adapter will need to be added to the inlet end of the filter to the desired height and a 2" union will need to be added to the outlet end of the filter. Always install the filters in a position where they can be easily serviced. * *Always use caution when starting threads to avoid cross threading * *. Plumb force main into the 2" sch 80 PVC union. * *We recommend that the union remain together during gluing to insure that glue or cleaner does not ruin O -ring or sealing surface * *. SERVICE: Service of filter screen is dependent on usage as every system is unique. For most residential systems we recommend inspecting the filter within the first year to determine the necessary service intervals for the filter. In high volume systems we recommend inspection within the first 6 months to determine necessary service intervals for the filter. Once the service interval is determined it should be consistent unless something changes in the system. Always inspect the filter screen for any damage or corrosion and replace if necessary. If our STF -101 service alarm switch has been installed and adjusted properly it will alarm when the filter requires service. It should be serviced no less than when periodic pumping of the septic tank and pump chamber is performed. Servicing will be more frequent if using any one of our optional filter socks (600 micron, 150 -190 micron, and 100 micron). Check your local health department for septic system servicing recommendations. If the screen becomes clogged before the periodic pumping requirements, a high level alarm or light will indicate the need for service. If system is equipped with a "pump on light" that stays on longer than normal, this also may indicate a need to service filter. To service filter screen, unscrew the 4" cap. Pull filter screen from canister and wash out thoroughly in appropriate location with proper protection. In some cases an additional filter screen allows quicker service allowing the dirty filter to be washed later at the shop. Note that in cold conditions the fiftroWl1 b iwme. P(W the Biter Ina wom area or pour warm water over the cap befinre rmtovtn�. _, ftWO In the tw* tt nm s a stable temperature and removing the cap wiff not be a pvt If the system is equipped with our Service Alarm Switch, the filter screen does not need service until the Service Alarm Switch activates a light or audio alarm. We still recommend that the filter be inspected once a year for damage or corrosion. NOTE: The total dynamic head loss of the system must be increased by 0.5 feet of head to overcome friction loss through the filter. SERVICE ALARM SWITCH The alarm switch is available in three pressure ranges, low head, medium head, and high head. Installation is simple, on SIM/TECH FILTER systems, remove %" plug from base of filter chamber and connect tube fitting. Next, run the tube up into the tank riser and connect to service alarm switch. The alarm switch is fastened to the side of the riser via the nylon strap provided. Run alarm wire to alarm box. The service alarm switch can be wired with its own alarm or with the high water alarm. Pressure adjustment is made by removing the end plug, and inserting the 7/32 allen. Clockwise increases pressure. One turn equals approximately 3 PSI. The low head alarm switch comes factory preset at 8 PSI and is completely field adjustable within it's range (3 to 24 PSI). We recommend the use of a ball valve when using an alarm switch. Once you have installed the filter and alarm switch, the ball valve can be closed off to simulate a plugged 11Iter so that you can make sure the alarm switch is working correctly. * ** *TRY OUR LID /SCREEN REMOVAL WRENCH. Our wrench holds filter lid firmly and hooks screen for easy removal and installation. Made of PVC plastic. Installation Service Instructions.doc COO The ShnITech filer, wltl Jrs unique design and InolJ Ung vocation. a0cma the MlerkV screen to be scrubbed vWW* in operation. prou►iding rrnaarinrurn rnaLi w wou er intenook vAlh unniatiched pevfOf7rfincc Capa . The filter screen is a tWm 347 stainless steel whit . 062 diameter hoies. l't is 3 hwches in diguneter and IS &aches long Wth a 6952 square inch open area This hie 41% open area allows the inter to pass 83.5 gallons per minute at i psi. WMth features nitre these even a partiaky clogged screen wilt keep the system vwN protected and worldng Pip I. This prefornmince product assures quality effluent with lowar TS5 tewls, kegptng your pressurized system functioning at 00% fffichmcjj, Engineers and designers now haw* tie abft to offer a sfivWM snfqpmrd. to assure sgstenms wN functicn as designed now and In the future. The 5irnlTech f9ter can be used In both residan ti■�l and ap�phcat3ons e 5TF -JOO Flaw raft W crEan scr . J20.672D PSI S7'F- J0OA2 Flow rate w 9S% Fd screen. 1.912 GPUI J! 8 PSI Cbraawrchd nwv~ Totai head k ss. S air .21 PSI film WWW. ''S�t.COM -9 .9x-3290 ffJMt6ChO I rif Page 7of13 POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION SYS SPECIFICA Owner: Cliff & Teresa O'Rourke Tank Manufacturer: Wieser Concrete ❑ NA Permit # IN Septic ❑ Dose ❑ Holding Volume: 1000 gal DESIGN PARAMETERS Tank Manufacturer: Wieser Concrete D NA Number of Bedrooms: 3 ❑ NA ❑ Septic a Dose ❑ Holding Volume: 750 gal Number of Public Facility Units: ® NA Vertical Distance Tank Bottom(s) to Service Pad: 10 ft Estimated (average) Flow: 300 gal /day Horizontal Distance Tank(s) to Service Pad: 25 ft Specific servicing mechanics must be provide if vertical is >15 feet or if Design (peak) Flow = estimated x 1.5: 450 gal /day horizontal is >150 feet. Specific instructions to be provided on back. In Situ Soil Application Rate: 0.45 gal /day /fe Effluent Filter Manufacturer: S IM /TECH ❑ NA Standard Domestic InfluentlEffluent Monthly average Effluent Filter Model: STF -100 Fats, Oil & Grease (FOG) s30 mg /L Pump Manufacturer: Z O e 11 e r Biochemical Oxygen Demand (BOD5) a20 mg /L ❑ NA ❑ NA Total Suspended Solids (TSS) s150 mg/L Pump Model: 53 High Strength Influent/Effluent Monthly average Pretreatment Unit Fats, Oil & Grease (FOG) >30 mg/L Manufacturer: Biochemical Oxygen Demand (BOD > 220 mg/L ❑ NA Iff NA Total Suspended Solids TSS) >150 mg/L ❑ Mechanical Aeration ❑ Peat Filter Pretreated Effluent Monthly verse D Disinfection ❑ Wetland Y 9 ❑Sand /Gravel Filter ❑Other: Biochemical Oxygen Demand (BOD5) s30 mg /L Soil Absorption System Total Suspended Solids (TSS) s30 mg /L ❑ NA Fecal Coliform (geometric mean) s10 4 cfu/100m1 In- Ground (gravity) ❑ In- Ground (pressure) ❑ NA At -Grade ❑ Mound Maximum Effluent Particle Size: 36 in dia. ❑ NA ❑ Drip -Line ❑ Other: Other: D NA Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Pump out contents of tank(s) ❑ When combined sludge and scum equals one -third (35) of tank volume ❑ When the high water alarm is activated Inspect condition of tank(s) At least once every: D month(s) (Maximum 3 years) ❑ NA 3 IN year(s) Inspect dispersal call(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA 3 ® year(s) Clean effluent filter At least once every: ❑ month(s) 3 ® year(s) DNA Inspect pump, pump controls & alarm At least once every: D month(s) ❑ NA 1 .5 year(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWfS Inspector; POWfS Maintainer; Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one -third (X) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of s12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. (Rev.2/05) Page 8of13 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) discharge; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide the opportunity to obtain a sanitary permit for a code compliant replacement system: J* A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING: TREATMENT TANKS AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES AND LACK SUFFICIENT OXYGEN TO SUPPORT LIFE. NEVER ENTER A TREATMENT TANK OR HOLDING TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK IS VERY DIFFICULT. ADDITIONAL INFORMATION: Existing.system is intact and can be used by unplugging pump for new system and nluUgina in old numn POWTS INSTALLER POWTS MAINTAINER Name: John Schmitt Nam - Jo h n S chmitt Phone: Phone: 71 -9-760-0486 SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name: Apostle Septic Service Name: Zonin St. Phone: 7 5- 4 9 7 - 5 9 2 9 Phone: This document is intended to meet minimum requirements of Ch. Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) 8 (3), Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. (Rev. 2/05) ' Page 9 of 13 STC -105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER C 1 rt c91�G� -c MAILING ADDRESS T 5`tA4,0 / / PROPERTY ADDRESS (location of septic sys m) Please obtain from the Plarm Dept. CITY /STATE PROPERTY LOCATION 1/4, 5_(o 1/4, Section c.2i T 3D N -R W TOWN OF /. fj ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank Wiper,, Wlfa - Xou put into the system can affect the function of the septic tank as a treat stage in the waste dispgW system. j / St. Crohj County residents may be eligible to receive a grant for a maximum of 60 % of the cost of rep cement f a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted is program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. i SIGNED: Q DATE: St. Croix County Zoning Office Government Center 1 101 Carmichael Road Hudson, WI 54016 11/93 Page 10 of 13 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to cert ify that I have inspected the existing septic and/or dose tank presently serving the following esidence: (Street address) IZ / i( z'q d V yi c` w located at: Aj '/ - 5 [A) '/_ Section 2 5? , Town 3 O N, Range / W, Town of J' j, ,J Dsc,ylf , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service '4 u 6 u 5 7 Did flow back occur from absorption system? Yes No-4<— (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: /6900 6 4 L Construction: Prefab Concrete NC Steel Other Manufacturer (if known): W / i� sc/ Ca iv C to = Age of Tank (if known): f c 4fz S Permit number (if known) lfj ( ' nsed Plumber Signature) (Print Name) 27-3760 (Title) (License Number) MP /MPRS V - e 7 - 701- 0 (Date) Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 9/2008 Page 11 of 13 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SBP19W' TANK(S) 0 ns1 This is to cert ify that I have inspected the existing septic and/or dose tank presently serving the following resi ence: (Street address) , 1.E W located at: /u W ' /a, _ ' /a, Section Z , Town Range Town of i p s,�1 f{ , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service 13 _ 5�" Z 6,/ Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: .5 gallons minutes Tank Capacity: 7 Construction: Prefab Concrete Steel Other Manufacturer (if known): 1/0 t 6 See Cc /U e �e C7Tf Age of Tank (if known): S Permit number (if known) Z D 73 b? J D t-(AJ SCH14 1 7- ( ensed Plumber Signature) (Print Name) ZZ3760 (Title) (License Number) MP/MPRS 7 -7 Oil 0 (Date) Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 9/2008 DOCUMENT NO. STATE BAR OF WISCO rNla slAc [ R[afRYED FOR R c WISCONSIN FORM 1 —1982 ' � o RDINO DATA i C ' 50SO I� WARRANTY DEED I , VOL 1032PAGE 344 - - -- i r. CISTER'S OFT I I - - - This Deed made between ................... 3 f: L'�i)1't ic0..E4dl r . �J,�o Pe sico, Bruce Peterson and Roger_ Rueln�_____ Rid ' H1g aiid �i11s a ' a " "f�artiieis7iip " " " "' " "' ' II .................... .......................... .•... SEP 3 1993 - ---- ---- fford .T... Q! .... or . ........... and --- - Cli -----..I Grantor, RDUrke - and- Teresa 0 •F•. - -! Rourke ... ....... . ....... • --- -- `t 11 :00 A -; -- - - - - -- husband -and- wife --- --- •---••• - --- • I) Re-11rer nt Deeft l --- --- ----- •----- --- -- -- ---- ----- •- -•- - - - Grantee. �i Witnesseth That the said Grantor, for a valuable consideration ...... - I conveys to Grantee the following described real estate in --- •.St Croix... ........ R[TURN TO County, State of Wisconsin:'! Tax P l C. Lot 5, Plat of Highland Hills in the Township of St. Joseph, St. Croix County, t , Wiscons' Y in !I Y I I I This _._- _-- - -------- homestead property. i. (is) (is not) i Together with all and singular the hereditamenta and a �I And --- JQA??n __Persi co PPurtenances thereunto belonging; 1 Bruce Peterson and R er Ruelin warrants that the title is i "-W- ---• - -- -. .. -• -- -- -••- -•--•-• -- goo ,indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and rights -of -way of record, if any. � 'I and will warrant and defend the same. I� Dated this -----•----------••--- •-- •-- - - -• -- da f - -- September ---- - - - - -- 93 Y ........... 19-- .- .. -... r _(SEAL) ii °- - .cam __ -c. EA 'I _(s L ) .. ' li Bruce Pet son • -- ✓�- - - � -- -- ----- -- --- (SEAL) Roger Ruehn (SEAT,) JoAnn Persico e , I ( AIITHSNTICATION ACBNOWLED(iM$NT Signature(s) ------------------------ ------------------------------------ I _______ _____________________________ STATE OF WISCONSIN - - - - -- St. Croix sa. uthenticated this ------- day of___________________________ 19 ...... ---------------------------- County. a Pe onally came before me 4ii _I - -day of Septe mber i ------ --- --- •-------------------------•--- --- _- -------------- ---- ---- --- ------------ ------------------ --- --------- , 19.---.... the above named Brice ------ - - - - -- Pet�sdii', Jt3AtiTi "Pers�, - Rtr - - - - -- TITLE: MEMBER STATE BAR OF WISCONSIN - Rueliii ___________________•-__--__-----_----_-_-----------•-------------- •------- ---- -- ---- ----- ---- --- (If not- --- ----- ------ °-- ------ _ _ _ _ --- -------•----__..•-------- authorized b Altce•Jay- rantim i o Y 706.06. Wis. Stats.) to me known to be the person --8- f ng instru t and ackn Gfiahe e �gp� P THIS INSTRUMENT WAS DRAFTED BY I J`WG brMs omdA (( Kristina Ogland I' Attorne' at "Lw . Alice Joy Co rs --- • - • - -• -• - - - - Y ---- •-- • - - - -- -- •- •-- :•-- - -• - -- • .. ......... . .• -- ---- • - - - -•- I Notary Public ---- St. Croix ... - -..•. County, (Signatures may be authenticated or acknowledged. Both MY Commission is _ Wis. �I are not necessary.) g perms ent. (lf not state expi tion date: - - ---•. 19fi +.. ���, J 'Names of Persona si[ninQ in any capacity should be typed or — I � !� Printed below their siQaaturea. i ti> WARRANTY DEED '; aTATR R.4R OF Sr WI+vgl*t t'[•:a -a y 1 .. Wisconsin Leval Blank Co. I -• .�, V'. rY � r 4 , • Milaau,kae, Win. Q L. -A. v O'9b6 a •1 3 / `� 1 EazE aqq anaas 04 41461-1 O w J1 11 puE satpoq ozjgnd 3c O squawaSP2 ,�gTjTgn -saq uOT4PTotn E si auOd Vi- ' auz T 5 6' S \ LS \ 4onzgsgo zo aNegs A C)\ 2 5 � ° auk eons paoE T 5 -� y N fn - s oo '£ 0 O, -�� '13 'OS 8L9'O£1 TO -� \\ v O un O 11� 9 10� o I r 7 o\ p\ o 1 -1 -o = O (Y \ r r I (T1 � O Q 7 I � 7 \ I Z r, a o ° S3MJd bl'£ OS '13 'OS SL8'9£I \ 01 Z 0 5 10� sa v C a ` w w N O 'F m C bZ 0 196 = •13 5� 5 /0 �'� M „50,60 °9L5 co S38Z)V 00' £ l� 1� 'OS 189`0£1 N t 10 OD d 1 ' - ,6b'019 M „bZ,LZoLBN (Z 133HS 33S) 3NI HOlb'W ' N ISNOOSI M ` )\1Nnoo ` . X IC ( SEE SHEET 2 Page 13 of 13 N8 7 °27'24 "W 67 0.49' 0� LOT 4 ° N 130,681 SO. FT. 3.00 ACRES Cf CU ZSS3o 05 43 „ W \ _O ° 30 /� pp ST 5 159 EL. = 951 .0 24 • W - 911.0 9 O 3 = N � M O 25 LOT 5 o FO \ 136,875 SO. FT. z 5 0' 3. 14 ACRES O \(5 \ a v \ J \� L � 6. 59. ` 5'7 2 (� \� 0- 335. 0 \ N N ? �z -A 0 o v O ° WI o \ O I 1 L L n Z J1 0, o \ rn o LOT 6 LA 0 \� W 130,678 SO, FT. W� ':DI U) �0 3.00 ACRES N Z �. p \ \-A Y NN laced such that the ` � 5 F stake, or obstruct \ 5?\o 95 tine. 3 anyone is a violation p :es. Utility Easements 3f p u b l i c bodies and \ I I CP ` fight to serve the area. ab and Human Relat ions Department ti P ons Industry L abor and SOIL AND SITE EVALUATION REPORT e 1 Of 3 L, Divisionoof Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ��• -revised 2/25/94 (Sub, T & R) k4* Xt� COUNTY ; St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION part SE -SW & NW-SW JoAnn Persico GOVT. LOT NE 1/4 SW 1/4,S 29 T 30 N,R 19 W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM # 700 Second St. 5 - --- Highla CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN ROAD Hudson, WI 54016 (715) 386 -8236 'IF" J New Construction Use J Residential / Number of bedrooms 3 [ J Addition to existing building I J Replacement [ J Public or commercial describe Code derived daily flow asn gpd Recommended design loading rate 5 bed, gpd/ft gpd/ft Absorption area required gon bed, ft 75n trench, ft Maximum design loading rate „_ bed, gpd /ft , trench, gpd/ft Recommended infiltration surface elevation(s) 94.7 ft (as referred to site plan benchmark) Additional design / site considerations install 5' x 75' rock bed mound on 93.7 as upslope edge of rock bed Parent material till Flood plain elevation, if applicable NA ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S U S❑ U ❑ S Eau ❑ S Qu I ❑ S PU I ❑ S qu SOIL DESCRIPTION REPORT Consistence Botxldary Roots Texture Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft 1 in. Munsell Qu. Sz. Cont Color Gr, Sz. Sh. Bed TT-w& n 7 3/2 - 2 10 -20 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 .8 Ground 3 20 -37 7.5YR 4/3 - is 0 sg ml ai if .7 .8 elev. 9 3.7 ft. 4 37 - 48 dense till, re istant to penetrat on, effe tive BR Depth to limiting factor 37" Remarks: Boring # 1 0 -3 7.5YR 3/2 - sl 2 m sbk mvfr as 2f .5 i .6 2 2 3 -10 7.5YR 4/3 - is 1 m sbk mvfr Cs if 7 .8 3 10 -29 7.5YR 4/3 - is 0 sg ml Cs 1f Ground .7 8 elev. 4 29- dense till, iesistant to penetration, effective BR 93.8 ft. Depth to limiting factor 29 11 Remarks: .:.- o u rr CST Name: — Please Print - O?<,'yY:,; ; e`^� ;�C 00 Henry F. rrntp \ �. O O Address: N Po Box Signature: ate;. CST Number: / 'S>2 3065 Wisconsin Department Industry Laborand Human Relations SOIL AND SITE EVALUATION REPORT Page ? of 3 Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code � COUNTY Attach complete site Ian on ~T St. Croix PI p paper not less than / x Al {r�pj�e ize. Plan must include, but not limited to vertical and horizontal reference I t M) dih §tt' of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and �t;e to npa roa APPLICANT INFORMATION - PLEA INT1L1; TN'FRMA REVIEWED BY DATE PROPERTY OWNER: ROPERTY LOCATION Cliff O'Rouki �" " OVT. LOT SE 1/4 art NW - S 29 T _ S + ,N,R 19 E ( or) W PROPERTY OWNERS MAILING ADDRESS c�5, `'� OT # BLOCK # SUBD. NAME OR CSM # 2742 A �,.. CITY, STATE ZIP CODE MBER i [03CITY ❑VILLAGE Qf0 N NEAREST ROAD North St. Paul, MN 55109 1 / St. Jose h P Highland Hills Dr. [� ] New Construction Use [ x] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate NA bed, gpd /ft trench, gpd/ft Absorption area required NA bed, ft l000 trench, ft Maximum design loading rate NA bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(S) 98 .4/96.9/95 .4 ft (as referred to site plan benchmark) Additional design/ site considerations install 70n' + 5 w i (iP tranch / q S P 1 Pv 1 5' ha 1 n � gr 99 9 /qA a /q6 9 Parent material fluvial outwash over glacial drift Flood plain elevation, if applicable NA ft S = Suitable for system CONVEN ILL TIONAL MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM IN F HOLDING TANK U=Unsuitablefors stem OS ®U ®S OU ®S ❑U ®S ❑U ❑S fo U ❑S ®U SOIL DESCRIPTION REPORT Depth Dominant'Color Mottles Texture Boring # Horizon Structure GPD /ft Consistence in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boundary Roots 1 Bed Trench 0 -4 10YR 3/2 is 2 m cr mvfr cs 2f /m 7 8 6 ` 2 4 -12 10YR 3/2 - is 1 m sbk mfr gs if .7 .8 3 12 -18 10YR 3/2 is 1 C abk mfr Ground - gs if .7 .8 e ' 4 18 -34 7.5YR 3/4 99.9 t. - is 0 sg ml CS - ;,8 5 34 -51 7.5YR 4/4 s 0 sg ml as if .7 Depth to 6 51 -57 7.5YR 4/4 limiting w/ it egular 7.5YR 3/ sl band thinning disappearing to sou h factor 56 , - dense a resistant to p netration, irregular & thinning & dippi g deeper to south v /top 1 C4 64 about 2' to south of east wall but there f2d 7.5YR 5/8 mots in s at 56 above sl Remarks: Boring # 1 Simila to B -6 for upp r 3' but mottled low 36" in dense sl E Ground elev. 99.9 ft. Depth to limiting factor 36" Remarks: This pit outside system area CST Name _ Please Print Phone: Henr F. Grote ress: PO Box 57 Knapp, pp, WI 54749 -0057 Signature: Date: 3/21/94 CST Number: 3065 PROPERTYOWNER Cliff O'Rouki SOIL DESCRIPTION REPORT Page 2 of 3 _ PARCEL I.D. / ' Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trends 96 .13 xisr:i 2 4 -16 10YR 3/2 - is 1 m sbk mvfr cs if .7 .8 Ground 3 16 - 54 7.5YR 4/4 - n is 1 m sbk mvfr as if .7 .8 elev. 7.5YR 5/3 96.9 It. 4 54 -60 7.5YR 4/6 f2d 7.5YR 5/8 sl 2 m sbk mfr - .5 .6 Depth to limiting factor 5 4 11 Remarks: Boring # 1 0 -3 10YR 3/2 - is 2 m cr mvfr cs 2f /m .7 .8 9 2 3 -10 10YR 3/2 - is 1 m sbk mvfr cs if 7 .8 3 10 -42 7.5YR 4/4 - is 0 sg ml as if .7 i.8 Ground e1ev. 4 42 -60 7.5YR 4/4 - is 0 sg ml - - 7 8 97.3 ft . w rragular and disc nt nuous 7.5YR 3 4 sl bands ® 42 -43, 48-49, & 53 -54 Depth to li6tin 9 factor > 60" Remarks: bands are clean of mots but reduced permeability of texture variations requires oversizing syst Boring # _ } 1 0 -3 10YR 3/2 - is 2 f sbk mvfr cs 2f /m .7 '•..8 10 >s 2 3 -16 10YR 3/2 - is 1 m sbk mvfr cs if .7 •`.8 3 16 -21 10YR 3/2 - is 1 c abk mvfr cw if .7 .8 Ground w/ sone mix 7.5YR 4/4 is elev. loo. l it 4 21 -69 7.5YR 4/4 - s 0 sg ml - - .7 s.8 Depth to w vet y irregular irregular-& scon inuous . YR 6 s a s, 1 8 -1 4" ick ®38 44, 54 & 60 limiting factor Remarks: Boring # '> # [ e:x:: change at depth requi a oversizing from ominal 8 trench to din beds not rec mmende ' :::.:......... w: and trenches s zed at 0.45 should give good servi e if they are kept w in 18 of urface n area of Ground elev. limiting pits -8 at 54" and B-6 at 56 "; pressure distribution w/ laterals figurec for eq al dis ribut on ft. Depth to Pits 1 repot ed on previous soil report for Per ico limiting j factor Remarks: SBD- 8330(R.05/92) t — o� —• —. —. .. r ° s f- M � � • �S �/S p � S / �� Y � (.7 f• 1 � l F p S t °� �° a G e V -� •1'� (/ t r �V3 p A H c• r ILj ✓ 2 v r t, G 1,4 �-� 1 ' Wisconsin Department of Industry SOIL AND SITE E V A L U AT 1 O N REPORT Page ? of 3 v�s and Human Relations iodof safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2'x 14 inches in -sizo. Flan must include, but not limited to vertical and horizontal reference point (SM), direction and 56 crf *pe, scale or PARCEL I.D. # dimensioned, north arrow, and location and d4ance to neariist.roradl. APPLICANT INFORMATION- PLEASE PRIf4T ALL 146 -'� REVIEWED BY DATE PROPERTY OWNER: ERTY LOCATION t part NW - SW & NE - SW + Cliff O'Rouki w ca�;t. aA LOT SE 1/4 NW 1/4,S 29 T 30 N,R 19 E (or) W PROPERTY OWNER':S MAILING ADDRESS ,L # BLOCK # I SUBD. NAME OR CSM # 2742 Apache ' - CITY, STATE ZIP CODE P FF_• ❑CITY ❑VILLAGE [f0 I qhl;;nri Hi 11 N NEAREST ROAD North St. Paul, MN 55109 (715324 - -` St. Joseph Highland Hills Dr. [x ] New Construction Use [ x] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 g pd Recommended design loading rate NA bed, gpd /ft .45 trench, gpd/ft Absorption area required NA bed, ft2 1000 trench, ft Maximum design loading rate NA bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(s) / 96 . 9 / 95 . 4 ft (as referred to site plan benchmark) Additional design/ site considerations i nsta ll ?nn 1 ' w i dP t rpnrh w/ sy Play 1.5' hP 1 nm nnmi na 1 grariac - 99.9/9R _ A /9F _ 9 Parent material fluvial outwash over glacial drift Flood plain elevation, if applicable NA ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem I ❑ S ® U U S ❑ U ©S ❑ U ®S ❑ U EIS U U ❑ S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoUnday Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ,s. :.•.. 1 0 -4 10YR 3/2 - is 2 m cr mvfr cs 2f /m .7 .8 6 �.:.,.:.; 2 4 -12 10YR 3/2 - is 1 m sbk mfr gs if .7 .8 Ground 3 12 -18 10YR 3/2 - is 1 c abk mfr gs if .7 .8 elev. 4 18 -34 7.5YR 3/4 - is 0 sg ml cs if .7 :.8 9 9.9 ft. 5 34 -51 7.5YR 4/4 - s 0 sg ml as if .7 .8 Depth to 6 51 -57 7.5YR 4/4 limiting w/ irregular 7.5YR 3/ sl band thinning & disapp aring to sou h factor 56" dense resistant to penetration, irregular & thi Wing & dippi g deeper t south /top 1 C 6 about 2' to south of east wall but there f2d 7.5YR 5/8 mots in s at 56 above sl Remarks: Boring # 1 Similar to B -6 for upp r 3' but mottled below 36" in dense sl Ground elev. 99.9 ft. Depth to limiting factor 36" Remarks: This pit outside system area CST Name: — Please Print Phone: Henry F. Grote Address: PO Box 57, Knapp, WI 54749 -0057 Signature: Date: 3/21/94 CST Number: 3065 PROPERTYOWNER Cliff O'Rouki SOIL DESCRIPTION REPORT Page? -of 3 4 > PARCEL I.D. #` Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boundary Bed Trench . IM iiioi:•i;S}}}: $� 2 4 -16 10YR 3/2 - is 1 m sbk mvfr cs if .7 .8 Ground 3 16 -54 7.5YR 4/4 - is 1 m sbk mvfr as if .7 .8 elev. 7 .5YR 5/3 9r, 99 ft. 4 54 -60 7.5YR 4/6 f2d 7.5Y 5/8 sl 2 m sbk mfr - - .5 '.6 Depth to limiting factor 54 11 Remarks: Boring # 1 0 -3 10YR 3/2 - is 2 m cr mvfr cs 2f /m .7 .8 9 2 3 -10 10YR 3/2 - is 1 m sbk mvfr cs if .7 .8 3 10 -42 7.5YR 4/4 is 0 sg ml as if .7 .8 .................. Ground elev. 4 42 -60 7.5YR 4/4 - is 0 sg ml - - .7 .8 97.3 ft. w/ irregular and disc ntinuous 7.5YR 3/4 sl bands C 42 -43, 48-49, & 53 -54 Depth to limiting factor P 60" Remarks: bands are clean of mots but reduced permeability of texture variations requires oversizing syst Boring # 1 0 - 10YR 3/2 - is 2 f sbk mvfr cs 2f /m 7 .8 €10 2 3 -16 10YR 3/2 - is 1 m sbk mvfr cs if .7 .8 3 16 -21 10YR 3/2 - is 1 c abk mvfr cw if .7 .8 Ground w/ so e mix 7.5YR 4/4 is elev. 1 4 21 -69 7.5YR 4/4 - s 0 sg ml - - .7 .8 Depth to w very irregular & da 7.5YR 6 s ads, 1 8 -1 4" hick C 38 44, 54 & 60 limiting factor Remarks: Boring # TexturE changes at depth require oversizing from iominal C.8 trench to din • beds not rec mmende and tr chess zed at 0.45 sho ld give good servi e if they are kept win 18" of Eurface in area of Ground elev. limiting pits - 8 at 54" and B at 56 "; pressure distribution w/ laterals figure for eq al dis ribut on ft. Depth to Pits 1-5 reported on previous loil report for Per ico limiting factor Remarks: SBD- 8330(8.05/92) r fl `n Jj �+ rj 3 IJ cl o OA i DO d -r n Li J \ e s � ' toe c t Gl 0 � 0 © C_A or T t i s � J n y O 3 v n v1 201 Tn 3�� ro 3 ;�. .g � c v N m m /W 1 `� lo t No p co °w C 0 • 3 3 c o - :U C- w o a - I CD c w e o o n> p A c 0 0 OS = x N C O N Q :J 0 N r V W 'D 0 N 0 W n V O "� O rn 3 3 ° 0 o W y d o '3 O m m D F a I m N C 0. = D C c co l N C cn cn a O (D co n r o CD N -K of f o e 0 I o; 0000' 0 � � Ci 3 CA fA In co E 3 0 D O o 0 CD N 3 D1 N CL ` �1 Z O O Z Z � D D 0 N O m N O !�i �p • N CD W CL C � w m O O :3 a P Z A n A Z O v � 7 0 S W N o C I� Z 3 c o y Z CD w -0 0 D m c o a N n - C O - M. ti C C a m o a cn N C 0 c � CL 0 fi CID i 47 A C ti, O O V 1 A O p � A p 0 a CD CL a �r�1 19W g ��,pr�+ r� i LOVE' T ,4#irtSl�r�t SWAGE STD HIL County: L,aborand` Human Relations INSPECTION REPORT Safety and Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No -: GENERAL INFORMATION 2 08938 Pe it Uo r Name: ❑City ❑Village IR Town of: State Plan ID No.: C M ev.: Insp. BM Elev.: / BM Description: / , f Parcel Tax No.: 030- 2093 -50 -000 TANK INFORMATION ELEVATION DATA A9440059 7 �2 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic _ �� �! y..< d� �, Benchmark 1 03, 07 Dosing Aerati Bldg. Sewer Holding St /y'qE Inlet TANK SETBACK INFORMATION St OK Outlet yz' 9a, 0,? TANK TO P/ L WELL BLDG. Ae jntake ROAD Dt Inlet /,�- q� Septic >--5D' NA Dt Bottom Sax0 �a! Dosing , >50� ti0I' ��7` �3� -7� NA Header /Man. ,� f Aeration NA Dist. Pipe Holding Bot. System PUMP /i1f INFORMA uy . r cl Final Grade Manufacturer Demand` Model Number 22` GPM Syr 94 U� TDH Lift ' Lrictio g I System TDH ��Ft Head oss Forcemai n L oc ia. "' Dist. To Well 7 S SOIL ABSOFWTION SYSTEM BED /TRENCH Width / Le 9th No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 5 V 3 DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHIN Manufacturer: SETBACK CHAMBE INFORMATION Type O 1 7 � � � odel r. System: 1,G .P, aa?7 RUNIT DISTRIBUTION SYSTEM (aV PFtad2r /Manifold , Distribution Pipe() / x Hole Size, x Hole Spacing V n o Air Inta e Length 2_1:c Dia. 1 Length / Dia. Spacing 3s y � �C SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Ove v y xx Depth Of xx Seeded/ Sodded xx Mulched &O /Trench Center (�—�� Bed /Trench Edges i� —�T Topsoil ❑ Yes ❑ No []Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) LOCATION: ST. JOSEPH.29.30.1 9,W,NW,SW,LOT 55,HIGHLAND HILLS DRIV r t • t .� C 1 , _jU� _ +; �,A_ �, !� �,�jc�2 � ,cJG?,L!'vU'�' ��LQ7'?{`(� �; ::rc�' { !:.moo s!,- y�= • "�7G� - yY'� �GZ,� -Q-� U Plan revision required? ❑ Yes No 7 Use other side for additional information. SBD -6710 (R 05191) Date Inspector's Signatur Cert. No ADDITIONAL COMMENTS AND SKETCH 4' SANITARY PERMIT NUMBER: lip Parcel #: 030 - 2093 -50 -000 02/14/2007 10:37 AM PAGE 1 OF 1 Alt. Parcel #: 29.30.19.779 030 - 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): O = Current Owner, C = Current Co -Owner O - O'ROURKE, CLIFFORD T & TERESA F CLIFFORD T & TERESA F O'ROURKE 421 HIGHLAND VIEW HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 421 HIGHLAND VIEW SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 3.140 Plat: 2083 - HIGHLAND HILLS SEC 29 T30N R19W HIGHLAND HILLS LOT 5 Block/Condo Bldg: LOT 5 3.14 ACRES Tract(s): (Sec- Twn -Rng 401/4 1601/4) 29- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1032/344 WD 07/23/1997 1015/586 QC 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.140 75,000 222,100 297,100 NO Totals for 2007: General Property 3.140 75,000 222,100 297,100 Woodland 0.000 0 0 Totals for 2006: General Property 3.140 75,000 222,100 297,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 208 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 SANITARY PERMIT APPLICATION HR In accord with ILHR 83.05, Wis. Adm. Code cou .....�.�,. - . Co x STATE SANITARY PERMIT ## —Attach complete plans (to the county copy only) for the system, on paper not less than R ,3 a 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER I. APPLICAN INFORMATION — P LEASE PRINT ALL INFORMATION. PROPERTY OWNE 6� o(,Lr PROPERTY LOCATION L t /a ,S GJ � /a, S 2 1 T , N, R Iq t (o PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 171 CITY, STATE ZIP CODE PHONE NU SUBDIVISION NAME OR CSM NUM ER II. TYPE OF BUILDING (Check one) ❑ State Owned V IL E : NEAREST OA ❑ Public El 1 or 2 Fam. Dwelling-# of bedrooms - P L AX UM b 111. BUILDING USE: (If building type is public, check all that apply) 0:50 _76 b 3 - 5,a 1 El Apt/Condo 1 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. X 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) j Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 gin- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. AB SORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYST ELEV. 7. FINAL GRADE `l// REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) "� j ELEVATION 7�6 /wo /6d0 . Y - 5 - - R 7 p ro• Feet ' ?Feet VII. TANK CAPACITY Site in ciallons Total #of Prefab. Fiber Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con Steel glass Plastic App Tanks I Tanks strutted Septic Tank or Holdina Tank l Lift Pump Tank/Siphon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumbs F ame (Print): Plumb is Signature: (No tamps) MPS.: Business Phone Number: !t"-p-1 1 b ­3 V Plumber's Ad ess (Street, City, State, Zip Code)' Jz 3k Are Ojo IX. COUNTY /DEPARTMENT USE ONLY [::] Disapproved �� rmit Fee ( Sa ita Pe includes Groundwater ate Issued Issuing Agent Signature (No Stamps) R lli Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: I SBD -6398 (formerly Plb -67) (R. 11/88) 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 W the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form�(SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608 - 266 -3815. To be complete and accurate this sanitary permit application must include: 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 in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1 -7. VII. Tank information. Fill in the capacity of every new and /or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County /Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8'% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains /water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C complete specifications for pumps and controls; do vol v p p p p se 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 f surcharges ud ea o su ges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD -6398 (R.11/88) w. STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS �� /_�,fj (�G�• �'- l/ /�'�Or SUBDIVISION / CSM# /_,� i1 : d r :!�� LOT # v SECTION -` T z�) N -R 1 `% W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ,Z 3v lYG INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. _ 1 BENCHMARK: l r �h /�// ) idP♦ fcs c / ��. BENC Wl�l� � ►- or+ ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: 1600 Setback from: Well 1�� House Other Pump: Manufacturer G 6 c' Model# 13 Size h,D Float seperation /2 " Gallons /cycle: a 58 Alarm Location SOIL AB SYSTEM -7 &0 3 Width: 5 Length 2 goy Number of trenches 3 Distance & Direction to nearest prop. line: /o' Setback from: well: /D� Hawse Other ELEVATIONS Building Sewer ST Inlet ST outlet PC inlet PC bottom Pump Off Header /Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: 7 PLUMBER ON JOB: ✓ r•,►- v ce LICENSE NUMBER: /"�.�` 321 -y INSPECTOR: 3/93:jt Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 -Labor and Human Relations, Division of Safety &Buildings in accord with ILHR 83.05, Wis. Adm. Code + � COUNTY __ St. Croix Attacb complete site plan on paper not less than , S 1, x 11 trtohestR.�ize. Plan must include, but not limited to vertical and horizontal reference ppalt (11M), directidn r / of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and,(W"' nt a to nearest road- r° �X z � ` "+ REVIEWED BY DATE APPLICANT INFO RMATION- PLEA41r'PRINT�ALL IItifoRMAflloia. PROPERTY OWNER: ' ,'' ROPERTY LOCATION ; f OVT. LOT t/4 art NW 4 S & T -SW + ,N R E (or) W Cliff 0 Rouki SE NW 29 30 19 PROPERTY OWNER':S MAILING ADDRESS iOT # BLOCK # SUBD. NAME OR CSM # 2742 A - Hi z CITY, STATE ZIP CODE • 1;RfjQN NUMBER ;' []CITY ❑VILLAGE �JfO N NEAREST ROAD North St. Paul, MN 55109 �71� -72.4 St. Joseph Highland Hills Dr. [x J New Construction Use [ x] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 g pd Recommended design loading rate NA bed, gpd /ft2 trench, gpd/ft Absorption area required NA bed, ft 1000 trench, ft Maximum design loading rate NA bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(s) / 96 . 9 / 95 . 4 ft (as referred to site plan benchmark) Additional design/ site considerations i nsta ll 200 + 5' wide trench w/ s Pl Pv 1-9 hP 1 nw nnmi nn 1 grades - 99-9/9A-LL/94-9 Parent material fluvial outwash over glacial drift Flood plain elevation, if applicable NA ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑S ®U ®S ❑U ®S ❑U ®S ❑U ❑S �U ❑S ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer& 1 0 -4 10YR 3/2 - is 2 m cr mvfr cs 2f /m .7 .8 6 ° 2 4 -12 10YR 3/2 - is 1 m sbk mfr gs if .7 .8 3 12 -18 10YR 3/2 - is 1 c abk mfr gs if .7 .8 Ground elev. 4 18 -34 7.5YR 3/4 - is 0 sg ml cs if .7 :.8 9 9.9 ft. 5 34 -51 7.5YR 4/4 - s 0 s 9 ml as if .7 :.8 Depth to 6 51 -57 7.5YR 4/4 limiting w/ irregular 7.5YR 3/4 sl band thinning & disapp aring to sou h factor 6 1 if dense resistant to p netration, irregular & thi ing & dippi g deeper t south / top about 2' to south of east wall but there f2d 7.5YR 5/8 mots in s at 56 above sl Remarks: Boring # 1 Similar to B -6 for upp r 3' but mottled below 36" in dense sl x z; 7 �i.t. }v: n;;. •:tiff Ground elev. 99.9 ft. Depth to limiting factor 36 Remarks: This pit outside system area CST Name _ Please Print Phone: Henry F. Grote Address: PO Box 57, Knapp, WI 54749 -0057 Signature: Date: 3/21/94 CST Number: 3065 PROPERTYOWNER cliff o'Rouki SOIL DESCRIPTION REPORT Page? of 3 PARCEL I.D. A Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench $ €` - 2 4 -16 10YR 3/2 - is 1 m sbk mvfr cs 1f .7 .8 Ground 3 16 -54 7.5YR 4/4 - is 1 m sbk mvfr as if .7 .8 elev. 7.5YR 5/3 96 9 ft. 4 54 -60 7.5YR 4/6 f2d 7.5YR 5/8 sl 2 m sbk mfr - - 1 .5 .6 Depth to limiting factor Remarks: Boring # 1 0 -3 10YR 3/2 - is 2 m cr mvfr cs 2f /m .7 .8 9 €< 2 3 -10 10YR 3/2 - is 1 m sbk mvfr cs IF .7 �.8 3 10 -42 7.5YR 4/4 - is 0 sg ml as if .7 .8 Ground elev. 4 42 -60 7.5YR 4/4 - is 0 sg ml - - .7 i.8 97.3 ft, w/ it gular and disc ntinuous 7.5YR 3/4 sl bands @ 42 -43, 48-49, & 53 -54 Depth to limiting factor > 60" Remarks: bands are clean of mots but reduced permeability of texture variations requires oversizing syst Boring # 1 0 -3 10YR 3/2 - is 2 f sbk mvfr cs 2f /m .7 .8 >z10 ? 2 3 -16 10YR 3/2 - is 1 m sbk mvfr cs if .7 : :.8 3 16 -21 10YR 3/2 - is 1 c abk mvfr cw if .7 .8 Ground w/ sone mix 7.5YR 4/4 is elev. 1 4 21 -69 7.5YR 4/4 - s 0 sg ml - - .7 .8 Depth t.0 w7 very irregular & 7.5YR 6 s ba ds, 1 8 -1 4" hick a 38 44, 54 & 60 limiting factor Remarks: Boring # Texture changes at depth require oversizing from iominal C.8 trench to din • beds not rec mmende and tr chess zed at 0.45 should give good servi a if the are kept w in 18" of Eurface in area of Ground limiting pits -8 at 54" and B-6 at 56 "; pressure distrib ion w/ laterals figurec for eq al dis ribut on I elev. ft. Depth to Pits 1 reported on previous soil report for Per ico limiting factor Remarks: SBD- 8330(8.05/92) l .� ID n � � 3 _d cj d t � } CO rn 1' rA 1 l DO � ! d r , o n 9 - Q ! 9 k # ' 4 r �� a J C a C ��� .__ . _ . _ . - . - r Q �f � J i rtl L 1 T I V! i ! -( , n 1 V '01 X COUNTY , WISCONSIN. MATCH LINE (SEE SHEET 2) N W 670. 49' — ---.� A _ I cp I m O LOT 4 " 130, 68 1 SQ . FT. 3.00 ACRES ,23 W \O 0/3 5 ?60 09 03 00 0,, 5 \ 5. A EL. = 951 .0 F O 24 W O W . ` \ (0 _ O O� 9 , \ �� d, o ` 25 LOT 5 z (p \ 136,875 SQ. FT. 50 3. 14 ACRES v o-) \ C I OG\ - N� C:I ZI ten\ J1 O \\\ o \6 C 59 `N 5 28 \ 33 5 D -)3 p.. -�3V\�Z- Ln 2 0 �� 7 LA, o W I / \ - ) 3 0 O \ 0, 1-11 Z- 0 a \cn N 0 \7 01 o LOT 6 s �, Q \ 00 a'�p W 130,678 SQ, FT. • W� , ' 3.00 ACRES c� o ��-A rni \ • laced such that the 0 \ P .(\ 5 • � ey stake, or obstruct 5 3215 line. \ 6 ° y anyone is a violation utes. Utility Easements S of p u b l i c bodies and 1 O (P OL right to serve the area. / EL. ° 945.0 / i , T �A �,.. ... .� "'. :`S'i J + � v �(,'�.. .: f.'c 9..�► ,.r, }.,��}... .... fr .�,.r ;.�`. .i _ '� ,. er ...., .. �� .-r .... i ,.� w.s .�_IJ C1e a. r -�+ti� 'DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1- 1992; TNIS srACC acscavco roa RECORDING DATA WARRANTY DEED 50 I _ V 32 44 __ I ,_ IST R o ' PAGE 3 +I C rC Er �J MR !! ,y 1. (✓. Ix 1 cQ.a vdi ;r:, j This Deed made between ........................ I `:•:, , JJo.�Iln_Persico,Bruce_ Peterson_ and••RQger_Ruelin�.......... I ;tea�dW%c�o+d T3igYiland . Hills, - a ?artriersliip ------------------------ -------- •.............................. • --------------- - - - - -- -- � SEP 3 1993 ................ ........•- •-- -•----- ••--- ----- ........... --- --• -_.. . Grantor, 11-00 A.; � and.... Clifford - T...•Q.Rourke.. and. Teresa..E..._D. -Rourke- s ... .......... .•_ I Ct N /1� --- - - - - -- husband- and _.wife---------------- - - - - -- ----- •• -• -- ............................... - •-- • .....................•••... l Re�ls�r of Oeeda I' Grantee, Witnesseth That the said Grantor, for a valuable consideration____ -_ l kRJ.rrtJRN TO conveys - Grantee the following described real estate in ..... St -- - --- Q1X...._....._ County, S State of Wisconsin:. I I I I , s Tax Parcel No: ................................... ` I 4! !i Lot 5, Plat of Highland Hills in the Township of St. Joseph, Ij St. Croix County, Wisconsin. I , I I� ,I I ' This ....... iS_ D.Q.t ........ homestead property. l (is) (is not) � Together with all and singular the hereditaments and Appurtenances thereunto belonging, j I; And ..... -- Persico,,_ Bruce. Peterson - and Roger Ruelin ..................... warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except` easements, restrictions and rights -of -way of record, if any. �( I` and will warrant and defend the same. i I !i Dated this .......... ...... lil----------------- day of --- Sep tember................................... 19._9 r; s li .............. ---- -- -- --- - - -•-- ------ -- -•- -- ----- - - - - -- -(SEAL) --- ••--- -•----• ------- _....... ._......... (SEAL) 't II ' Bruce Pet son --• -- - - - - -- - f Roger Ruelin •---- / -•- , --•-•-----•-• ----- --- •- ------ •--------- - ---• - -• •...(SEAL) ----•-----.. ......- -•----- •--- •....... .... .......... _• (SERI.) i 4fc!_izM:7ee4!_- ------------------- s - I ! J Persico AUTHENTICATION ACKNOWLEDGMENT Signature( s) --------------------------- •- ---- ...------------ -- °- ----•- STATE OF W IS CO NSIN ----------------------------•------------------------- •----- •------------- - - - - -- St. Croix as. I` . .................................. County. authenticated this ........ day of__ __________________ ___ __ __ 19 ------ e onall came before me �f' ....day of Septem i °_-•-------•-----------------•------ •- --..._._......__._......_.... -- ---------------------------------------- , 19._....... the above named •---------- _____________ Bruce 'Pe1;eYsbli; "'JtSAritT "F�Y�3't, +i • fir- - -- . _•____...._............._.._.....- _....___...._.__.._._...__..... .._..__.__.___._.__.___............._.. _....__._......._....__.._.._.. _q TITLE: MEMBER STATE BAR OF WISCONSIN Ruelin II (If not, ----•----•-----•----------- •--......- ---• .............. °-- Alke .�q_C41111M authorized b ° .......... ... y 706.06, Wis. Stats.) to me known to be the person ...s .... Npghryx ahe II Yj �1 1`!f n r �hs�'��f�sconsin t THIS INSTRUMENT WAS DRAFTED BY Kristina Ogland .. ... .._ • g - .. - - -- -- - - - - -- !� instru t and ackn e . ' �I -------- - - - - -- Attorney - at-- LaV- J - - - - - -- . Alice o Co V Joy i ---•••-••---••-•-----•----•--••-- ---- -- ---- ------- --------- _._..--- ---- _-•--•-------- ---- --- - -- ..... Notary Public . St. C>:O. X.......-• ----•- °-County, Wis. + (Signatures may be authenticated or acknowledged. Both My Commission is perms ent: ([Y not, state expi lion II are not necessary.) date: ..__ ........... .. -"_.!C�.__.._ , 19� Names of ersons sig ning f D iniaQ in a ny capacity should be typed or printed below their sipnaturea. �.i IM WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Lmral Blank Co. Ina FORM No. 1 -1982 Milwaukee, Wis. ' s, �'''•; qK:' �' Y�'': f;, s�3{a' "'.�Y- , ").`f .s � :1, , y r. ; :`�'- it" x,- :,t. ..i 3 ; , ., � _ It i T 1J � � Cl , ` l • (� fi i� { S � b � � o v. i VEUT CAP H`C.I. VEMT PIPE WEATHE PROOF APPROVED LOCKMIG JUMCTIOAJ BOX MAMHOLE COVER 25' FROM DOOR, wAP „ w aK,w G- WIIJDOW OR FRE5H I / LAQ t- AIR IMTAKE GRADE -.Ott CONDUIT - \� (o.� • \� \ 111 PROVIDE I - - - -- AIRTIGHT SEAL I III T I APPROVED JOINTS I III W /C.I. PIPE II ALARM EXTEUDING 3' I 1I ONTO SOLID SOIL W t.s�.o� �.� I 1 ow ll - $YSTFN PUMP - :wn � e $$. NA i A � P•v �. "ut" BLOC K $g. a J I N 4"L" s-o • z � Z �. ,�� 1, � i __ S94 40134 Cliff O'Rouki - In- ground Pressure System 594 -40134 Location: Lot 5, Highland Hills parts NW -SW, NE -SW, & SE -NW, S 29, T 30, R 19W Town: St. Joseph County: St. Croix Date: March 25, 1994 Owner: Cliff O'Rouki Address: 2742 Apache North St. Paul, MN 55109 Plumber: Rog L. Timm Signature: A,' / 5 L License # MPd 3224 Attachments: 6748 -Plan Approval Application 115 page 1: cover 2: calculations RECEIVED 3: plot plan 4: system cross section MAR 2 4 1994 5: plan view, lateral detail 6: pump tank exit detail SAFETY & BLDGS, DIV 7: pump curve page 1 of 7 System Calculations 40134 One family residence 3 bedrooms Loading rate gallons /sq ft per day Depth to ground water �' S Ar in Depth to bedrock > 11'' } in `t Cross slope 4- % Force main length -5 2 ft of in Ig,14 Manifold /header length $� ft of Z in X4.4 Drainback 7;.�' 33•S' I � gallons L am' � • Lateral length u: t @ 4 bt s�o� yi iV�.'• ft of in Lateral elevation m'%' I tIAt ' I" ft (bottom of pipe) Se.4" j&t 4.zt� Lateral hole size � in @ u t 64" 3 in ( �'� ft) spacing d.% % A "S to IL L "' holes /lateral, �" holes total Lateral volume .4 - -L gallons ILI Total lateral discharge rate G lm& gpm @ ft head / Elevation difference ft Friction loss ••.�.sZ•« l«+t�►: Mks. 0 s 4- ' ►t= G. - LL. ft @ G Z gpm Total dynamic head 14•ob ft Pump /siphon Cow gpm @ ft of head Manufacturer ��`<<� , Model # Dose volume g gallons Lift /siphon tank � , }fib gallons Septic tank ' -A A-.,- , 1 " �' gallons Measurement pump on & off 12 •x' in Height alarm from tank bottom i.o.� in Reserve capacity 33 �' gallons calcs page Z of r -- - ---S94- __4 1 3 4 ,� fl n -cj 3 4 J rr N let ca N J T Q N l' ,A CA V A le D9 Li so G / s to °o t' lw 1 f � o t c S9 .; 4 40134 (VI LV x .Q„ ;:..Q 3 foo.n' S4.o' ;.o' RS•1.�� 9 L,ts� 7, It k•9 4 a � Z 3 0 • z 4' _� S.o , `� �� Z o . z R' --•� f— s o ' .'_'�! P N �L ondit1 0 t A ll L DEPT. OF ItIMST"' LANR ' ._ TIONS udVsS OF S R c" w, L SEE c ,�> U 40 f do' O, M — _ • , c ' S 14' 9 �4 S " Olt 1. S ' a -'�} yr X • _..� .. L to X i•T' ; O e• ��.,._... 2'► ?V sJ, �'� w.e.�.:ic11tX •� $�� •�a�� t10 aJ� �o dCarw`ye�•e...«►N O: 4 c�.,p,p Pv� Q`t?+r..�, -:e.. wn��s � be�`o�., e S Mu�.� �w�y lh4' Qvt s �► i 'r 4,L� 4•1V I q.t' 44' 1 4 Z / 5,33' I �•33� , 74.1 -L� 5.33' � S.ii� s5 f I `"ice t3' tX, �4 ►e 1 Lt p �''. `.►T�IIra�� td+M.MM�O,w► 1 %`�Q —,� �.ehrN yi�1 d ♦ iR t7y M. � .A. �LX. i �'t. Yi O M � j . "GiC s 46 % ' Tn� -� +r<L.et.� �4•.0,� l�el._ 4� �e�.,Q 0� �..�1. Z� L `� r�-� t 4•i' � q 2.S' I.l'} •��N. zt.tl �.. 3g4.i r l %,,nsin Human Relations Department of Industry L SOIL AND SITE EVALUATION REPORT Page 1 Of 3 abond Division of Safety &Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY revised 2/25/94 (Sub, T & R) k4T Xts St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION part SE -SW & NW-SW JoAnn Persico GOVT. LOT NE 1/4 SW 1/4,S 29 T 30 N,R 19 W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 700 Second St. 5 _Highla CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE ®TOWN ROAD Hudson, WI 54016 (715) 386 -8236 " J New Construction Use ] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 45n gpd Recommended design loading rate _____ _ bed, gpd /ft _6 trench, gpd /ft Absorption area required gon bed, ft :75g trench, ft Maximum design loading rate � 5 ___ bed, gpd /0 trench, gpd /ft Recommended infiltration surface elevation(s) 94 ft (as referred to site plan benchmark) Additional design / site considerations install 5' x 75' rock bed mound on 93.7 as upslope edge of rock bed Parent material till Flood plain elevation, if applicable NA ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem El U S❑ U ❑ S U El U ❑ S U ❑ S U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ITmr& .................. ................. .................. ................. .................. . 2 10 -20 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 .8 Ground 3 20 -37 7.5YR 4/3 - is 0 sg ml ai if .7 .8 elev. 9 3.7 ft. 4 37 - 48 dense till, resistant to penetration, effe tive BR Depth to limiting factor 37" Remarks: Boring # 1 0 -3 7.5YR 3/2 - sl 2 m sbk mvfr as 2f .5 .6 <> 2 €> 2 3 -10 7.5YR 4/3 - is 1 m sbk mvfr Cs if .7 .8 3 10 -29 7.5YR 4/3 - is 0 sg ml Cs if .7 .8 Ground elev. 4 29- dense till, iesistant to penetration effective BR 93.8 ft. Depth to limiting 4� factor 29" Remarks: CST Name:—Please Print s O Address: PO Box 57 Kn app, T CS N n ature: umber: Signature: �. 3065 PROPERTY OWNER JoAnn Persico SOIL DESCRIPTION REPORT age 2 et PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounclay Roots GRD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ITrench :h...•. 1 0 -20 similar to B -2 -N 2 20- dense till w/ very irregular boun ary, resistant to pen tration, e fective BR Ground elev. 9 4-8 ft. Depth to limiting factor �rn Remarks: Boring # 1 0 -10 10YR 313 - sl 2 m sbk mvfr cs 1f /m .5 .6 <: 4 € 2 10 -36 10YR 4/4 - is 1 c sbk mvfr as if .7 .8 :;_..... w/ occasional cob & gr Ground elev. 3 36 -44 dense till, resistant to penetration, effective BR 9 2.b_ h Depth to limiting factor 3 Remarks: Boring # 1 0 -11 10YR 313 - sl 2 m sbk mvfr cs 1f /m .5 .6 :X' K* 5 € 2 11 -31 7.5YR 4/3 - lcs 0 sg ml as if .7 .8 w/ gr /co Ground elev. 3 31- dense till, res stant to penetration, effective BR 93.2 ft. Depth to limiting factor 31" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) r rye M `n I os r � ry � c r d CA tA � a S!_7 le # `" DD C1 rr 9 � C D " o �+ f C4 0 V-- o > N o M Wisconsin Department of Industry, La", � t,dHurnarrRelations SOIL AND SITE EVALUATION REPORT Page i of 3 Division of Safety R Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY tevised 2/25/94 (Sub, T & R) 1S* If= St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION part SE -SW & NW-SW JoAnn Persico GOVT. LOT NE 1/4 SW 1/4,S 29 T 30 N,R 19 yy PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM # 700 Second St. 5 _ Highland Hills CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE 0OWN NEAREST ROAD Hudson, WI 54016 (715) 386 -8236 TH "E JX] New Construction Use & ] Residential / Number of bedrooms 3 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 45n gpd Recommended design loading rate 5 bed, gpd /ft gpd /ft Absorption area required 9nn bed, ft X50 trench, ft Maximum design loading rate _ bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(s) 94.7 ft (as referred to site plan benchmark) Additional design / site considerations install 5' x 75' rock bed mound on 93.7 as upslope edge of rock bed Parent material till Flood plain elevation, if applicable NA ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL I HOLDING TANK U= Unsuitable fors stem ❑ S P U I PS ❑ U ❑ S LIU ❑ S PU ❑ S U ❑ S QU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trendl AW .................. .: 2 10 -20 7.5YR 4/3 - is 1 m sbk mvfr gs if .7 .8 Ground 3 20 -37 7.5YR 4/3 - is 0 sg ml ai if .7 .8 elev. 9 3.7 ft. 4 37 -48 dense till, re istant to penetrat on, effective BR Depth to limiting factor 37" Remarks: Boring # 1 0 -3 7.5YR 3/2 - sl 2 m sbk mvfr as 2f .5 .6 2 2 3 -10 7.5YR 4/3 - is 1 m sbk mvfr Cs if .7 .8 3 10 -29 7.5YR 4/3 - is 0 sg ml Cs if .7 •. .8 Ground - elev. 4 29- dense till, iesi t to penEtz ti©b effective BR 93.8 ft. Depth to limiting factor 29" r. Remarks: CST Name:—Please Print y rte, Henry E. rrntp. 1 _ Address:y v PO Box 57 Knapp ° �' Signature: a CST Number: 5/2/9 ti 3065 PROPERTY OWNER JoAnn Persico SOIL DESCRIPTION REPORT Page 2 of 3 , PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxia Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed y , Trench 1 0 -20 similar to B -2 2 20- dense till w/ very irregular boun ary, res stant to pen tration, effective BR Ground elev. 9 4 -R ft. Depth to limiting factor ?nil Remarks: Boring # 1 0 -10 10YR 313 - sl 2 m sbk mvfr cs 1f /m .5 .6 2 U 10 -36 10YR 4/4 - is 1 c sbk mvfr as if .7 .8 4 w/ occasional cob & gr Ground elev. 3 36 -44 dense till, resistant to penetration, effective BR 92. ft. Depth to limiting factor 36" Remarks: Boring # 1 0 -11 10YR 3/3 - sl 2 m sbk mvfr cs 1f /m .5 �.6 5 2 11 -31 7.5YR 4/3 - lcs 0 sg ml as if .7 .8 W/ gr /co Ground elev. 3 31- dense till, res stant to penetration, effective BR 93.2 ft. Depth to limiting factor 31" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) r - 0 `n /1 d Q p � \ Ci oS N r� � � v d, c ` / d 0 1p 1 d # DO �J Li f o o e _Jo ✓ d t r + - d tj J. a e ll 1 t i l S94 49134 HEAD/ LL CAPACITY 2105 _- CURVE 30 100 - - 95 28 - 90 - - 85 - - I EFFLUENT - 24 6U ; MODEL 189 O 75 MODEL - f and Q 22 165 DEWATERING = 70 I I U 20 65- f - �- 55 - r F 16 50 __ MODEL 163 MODEL 14 _ 188 45 - _ _ - 12 40- 35 - + 10 MODEL MODEL 30 137,139 - 1 185 SEWAGE and 6 25 ,� f ► - DEWATERING 6 20 } i - MODEL 15 MODEL __1 161 4 97 MODEL 2 5 53, 55, - -- W W F_ LL 57.59 lu i 0 GALLONS 10 20 30 40 50 60I 70 60 f 90 100 1110 24 LITERS 0 80 160 240 320 400 75 22 FLOW PER MINUTE 70 20 18 80 _ - MODEL G 295 55 = 16 50 _ ABLE DISTRIBUTING CO., INC. z 14 45 M2 4EL 144 W. WASHINGTON ST. p 12 MODEL P.O. BOX 1367 7 J WAUSAU, WISCONSIN $4441 10 35 293 - - r — 7IS 842 -22SG G MODEL H 30 284 MODEL I 6 20- -- 282 - i 4 15 - -- -- - -+- - - ZA9- 10 MODEL - - - - Z A gjj � ZZ j Jff 2 7___267,268 _ _ _ ° 3280 Old MNens Lane GALLONS 10 20 30 40 50 60 70 80 90 100 110 120 X 130 140 150 160 170 160 190 P.O. BOX 16347 Loulsvllle, Kentucky 40216 LITERS 0 80 160 240 320 400 480 560 640 720 (502) 778 -273 FLOW PER MINUTE STC -105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OVVNER/BUYER MAILING ADDRESS PROPERTY ADDRESS lLlilJ�- (location of septic sysr/ m) Please obtain from the Plannirij Dept. CITY /STATE PROPERTY LOCATION _ �� I,y 1/4, 5'W 1/4, Section �� T _,3 - o_ N -R �y W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the wast dispo system. St. Cro' County residents may be eligible to receive a grant for a maximum of 60 % . of the cost of re p cement f a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted is program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: / 0, L DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, W1 54016 11/93 S T C - 100 • This application form is to be completed in full and signed by the owners) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ------------------------------------------------------------------- Owner of property i Q d i vie Location of property r'V (J 1/4 , Section T_.?L_N -R .. Township Mailing address F� Address of site UU Subdivision name Lot no. s Other homes on property. Yes X No Previous owner of property , Total size of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? X Yes No Is this property being developed for (spec house) ? Yes � No Volume / yTL and Page Number 3� as recorded with the Register of Deeds. ------------------------------------------------------------------- INCLIIDE WITH THIS APPLICATION THE FOLLOWING. A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded i th office of the County Register of Deeds as Document No. - Z> O , and that I (we) presently own the proposed site the s wage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Signatuff of Applicant Co- Applicant y - s- 9y Date of Signature Date of Signature