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HomeMy WebLinkAbout034-1001-20-000 7 7 j c 10 o I � }F jf � ■ � 0 ƒ£ 7 E 0 m[ \# e S I �- \ S. ; �, , # 0) � [ [ \ \ } § 7 k § k § 9 i a cr ? j\ 2 Q r r §\/ k) / Q / @ v y 7 $ \ k \ \ 7 9 g D d CD z 0 § § / \ 00 cn CD / \ \ / \ § E c i c « � ic CL _0 -0 -0 �' r 0 0 0 ƒ; 2 } 2 % CD Q v o : E D \ cr 0 § % f \ [ J K j " 2{ 0 E z z> a( 0 > > & g j § $ 0 CD / "04' I m . � CD � 2 z cn / z 0 � Q 2 � . . \ z § D { ri 0 §± ) ® ;E §J \ 0 0 ( c • §0 % ( 0 \ 7Z Mo \ 0 §/ 9 [[ % . =b E m C1 [( j \ . � # / \ \ CD R j § \ a, 7 i Briarlea Bouvier Kennel Page 1 of 2 Cyrano x Ruby Puppy Blog Briarlea Bouvier Kennel Performance Bouviers for the Real World Sunny DeYoung 1134 Rustic Road #4 Glenwood City, WI - 54013 - 715 - 265 -4056 Ruby's pups on New Year's Day January - March we are in High Rolls, New Mexico. Com 2010 litter being planned now. 2008/2009 Titles and Awards 0 I About the Breeder Our Do s Our Farm Herding Bouviers References Kids and Bouviers Upcoming Litters Puppy Reservation Form FAQ 1 % The AKC Bouvier Standard j T he FCI Bouvier Standard Is this the RIGHT dog for Home of High in Trial Bouviers des Flandre j YOU? email me at: sunny a briarleabouvier.com i Adult Dogs Crate Training he Bouvier des Flandres is a robust, obedient, affectionate and active d Getting Ready for your pup i and its sociability make an excellent companion dog. Let us not forget h Ear Cropping companion of ours was initially a dog of herding quality, having a certg Groomin i defense. With its waked up expression, its hair hard to the touch, this val Scavenger Hunt for Puppy i dual nationality (French and Belgian), will make happy all the Masters E Socialization formidable companion for the family, a watchdog able to defend its Mas Bite Inhibition of his forces, with fidelity and passion. - from the French National Club Obedience Training Resources Books in my library Liver Cookie Recipe 1 , Vaccination protocols i Cancer in dogs i Canine Health and Genetics http: / /www.briarleabouvier.com/ 1/6/2010 Briarlea Bouvier Kennel Page 2 of 2 Canine Reproduction Get visitor map HTML Links F Videolink - Breed all from CtustrMaps.com t — Bouviers working bouviers, herding bouvier, bouvier des flandres http: / /www.briarleabouvier.conV 1/6/2010 7 j a \ . 0 - � \ I � * � $ � \ � 0 « � z � k 2 \ ) z L LL \ ( = o k \ § ) c « E « \ t } \ 8 \ \ a. c e z \ $ k � . � A f D cy @ � _ g } .2 \ \ @ 7fe 3 a Q ƒkk )k2 � { � \ k CL ¢ 2 G o o a = y 0 m m k E g\ k\ a. w ,; ., o o o « $ a a a f k 0 K # ° ° m Q u \ \ U) k \ ) z \ 0 \ \ « 8 3 = 3= = a a d 7 c 0- a B A � n � � § 8 } E $ / & ( § § \ 2 \ G G a CL § § \ 2 =. _ = c = N N a k § r \ j / f ) \ § d 2 - a U) § : £ e 5 { -� G O ¥ \ R k o $ ƒ ƒ \ / $ # ( CL E) k k a CL \ k 3 a 2 �3 2 J J- f Sanitary Permit Applicati C((� }�J� ,� afety &Buildings Division In accord with Comm 83.21, Wis. dm PO Box 7302 a 201 W. Washington Ave. A ,•- � See reverse side for instructions for completing . - pplic��6pA �. adison, WI 53707 -7302 Personal information you provide may be used for ary purposes form to county if not purp Q department of Commerce [Privacy Law, s. 15.04(1)(m)] rA S7 C OIX Omit �"Z4t eted state owned. Attach complete fans to the coon co only) for the stem, on r t l I i size. State Sanitary Permit Number ❑ Check if revision to p o lication Sta 1 umber countyST 2 S I. Application Information - Please Print all Information / P roperty Location Property Owner Name y ,rC !�S X / /t� IV U4�W1/4, S property Owner's Mailing Address e Lot Number Block Number u 577 c � � rt) r4 AJ a4 City, State �p Zip Code Phone Number Subdivision Name or CSM Number ❑ City Type of Building: (check one) ❑ Village I or 2 Family Dwelling -No. of Bedrooms: AZ gown of D ❑ public/Commercial (describe use):_ S 0 7Q ... NJ G -F r 46:�t !`> ❑ State -owned Nearest HDad 2,9t �D/A D $ I L krarcelTaxNumber(s) 0_5c/ 0d— 2 0 III. T e of Permit: Check gnly one box on line A. Check box on line B if applic able 5 6. ❑ Addition to A) 1. ❑ New 2. eplacement 3. ❑ Replacement of 4. Existing System System System Tank Onl Date Issued B) Permit Number ❑ A Sanitary Permit was previously issued N. Type of POWT System: (Check all that apply) ❑ Sand Filter ❑ Constructed Wetland • Non - pressurized In- ground ❑ Mound • Pressurized In- ground ❑ Holding Tank ❑Single Pass ❑Drip Line P(At-grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dis ersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (GalsJday /sq. ft.) (MinJinch) Elevation 3 ©© o� 300 /ds / 7.73 VII. Tank Capacity in Total # of nufacturer Prefab Site Steel Fiber- Plastic C Information Gallons Gallons Tanks Con - Con- glass New Existing crete structed Tanks Tanks ❑ ❑ ❑ ❑ '� C. / A � M I Dry � 7Z4 ❑ ❑ ❑ ❑ �u C` Ois r,41 T .u� VIII. Responsibility Statement 1, the undersigned, assurr_e renonsibilr for install of the POWTS shown on the attached lans. Bru;ness Phone Number Plumbers Name (print) Plumber's Signature (no stamps): IvIP/MPRS No. : / n� ; �L 71 4P1b Address (Street, C' , State, Zip e) IX. County/Department Use Only Sani Pemut Fee Includes Groundwater Date Issued Issuing Agent Signature (No stamps) ❑ Disapproved �' Approved C3 Owner Given Initial Adverse S ge Fee) Determination I - -3aS W X. Conditions of Approval /Reasons for Dis ppproval: - 8r.i i.rt+� o� fs�l• d'e tQlGtrcell �9'�' `T�*R- �v /� C NW.t W�{" � .�{s - - c�a als,c_ � �9 l.I `Wisconsin Department of Commerce y' Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitarlgsrt sNo.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)( Permit Holder's Name: ❑ City ❑ Va e ❑ q�yr�Pf: ate Plan ID No.: Laskin, James prmgfielCl 1 ownshi p CST BM Elev.:- Insp. BM Elev.: BM Descri ti n: - Parcel � c t 01 -20 -000 CD , � M . o' �� � 34 1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic hA.tdCweS�, tSG� Benchmark D, 3 p t M . D ' Dosing t 8. bZ ol.St� Aeration Bldg. Sewer Ito " `� , q 1cro , i8 ' Holding St/ Ht Inlet Jp 9 99. IV TANK SETBACK INFORMATION St/ Ht Outlet --- TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet Septic SD >lCro 025 ' NA Dt Bottom $ 2S 30 r Dosing Sl7 �.{– `� 3 5' NA Header / Man p 2. 106 .q2-' Aeration NA Dist. Pipe a �g 01 . •9� Holding Bot. System / PUMP / SIPHON INFORMATION Final Grade Manufacturer [jLlakp Demand St cover Cis- Model Number tjp , 5Z_ 1 'GPM S �}.Z3 ►lo•r3 oSgF� ,� TDH lift \.�ti Friction D q l System S TDH Ft Forcemain Length 5 1 Dia. 2- Dist. To Well I� f SOIL ABSORPTION SYSTEM IlfiOT TRENCH) Width q r Leng / No. f Tr nches PIT No. Of Pits Inside Dia. Liquid Depth IMEN 1 ( �q DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Man er: INFORMATION Type O t CH Moe Number: System: �c ` - `�0`1 ,5 � �S �'—" OR UNIT DISTRIBUTION SYSTEM Header /Mai Id „ Distribution Pipe(s)r N x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. 2. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed/Tr nch Center Bed /Trench Edges Topsoil I ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) "' s Inspection #1: c0/03/ 0o Inspection #2: Location: 1134 Rustic Road P4, Glenwood City, F1 54013 (NW 1/4 SW 1/4 1 T29N R15W) - 01291510A 1.) Alt BM Description= 6 j � � } 5� `t• i 3 = 10 S. 9J 1019 ' i 2.) Bldg sewer length = 2 S � { . 1 3 L1 , r --- - amount of cover = dy (Q ' ( C�r , LA� (oj. vs = v sl��kH� :13 - 57 - cpue, - `f) P 6 Plan revise n required? ❑ Yes MNo - Tf H Use other side for additional information. 68 03 1 CM SBD -6710 (R.3197) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: � f c € S t F F w....,. o .. °j =. .. ,....a. en.�..�. � �dym. mP....., ...m °�_ �- ........... &.......,.��, ... 5 ... »° ...,� m.° .. ... .° . __ 3 ,*w F e I x 4 € � F w.m e � { r a � S _ ° a TM Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water System: _ 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Ad e _ P.O- Box 7969 Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the syste pe ot ess o than 8 112 x 11 inches in size. • See reverse side for instructions for completing this applicat _n �C Sta a itary Permit Number �d� -t 3 � 3 iS The information you provide may be used by other government agency progra Lr ❑ C twit revision to previous application [Privacy Law, s. 15.04 (1) (m)]. S G� 5� `t to P n 1.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL I MATT .Z c/7.7 7 Property Owner Name C P o y Lo do 4 !� T , N, R E (or Property Owner's Mailingtdjr� Lo ,�' Block Number, f3 .a - a V > p City, State Zip Code Phone Number Subdivision Name or C Number L+= �Ju1e4.i t D ( lS OS� �9 II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Cit Nearest Road ❑ Village � ¢ E] Public 1 or 2 Family Dwelling - No. of bedrooms � Town OFs6VV P. /Go 111. BUILDING USE: (if building type is public, check all that apply) Parcel Tax Number(s) f / /S !O /7 s� 1 ❑ Apartment/ Condo 1 d3 q mn —/ — - © 2 ❑ Assembly Hal[ 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: box on line A. Check box on line B, if applicable) A) 1. ❑ New 2. N( Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System - _____ ____ ___System _________Tank Only______________ Existing System _________E B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressur 42 ❑ Pit Privy F 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 E] System -In -Fill G Q k. VI. ABSORPTIONS ST M INFORMATION: 1. Gallons Per Day 2. Absorp- Area 3. Absorp. Area 4. Loading Rate 5. Perc- Rate 6. System Elev. 7. Final Grade Required d (sq. ft.) Prop (sq. ft.) (Gals/day/sq. ft.) (Min. /inch) Elevation �� SS9U Feet /,07 .73 Feet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Plastic Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con steel glass App. New Exist in strutted Tanks Tanks 41 D Septic Tank or Holding Tank odd 12 9 j ob ❑ 1:1 ❑ El El Lift Pump Tank /Siphon Chamber g zo /t> ❑ ❑ ❑ ❑ 1 ❑ gn VI11. RESPONSIBILITY STATEMENT ` I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. i" Plumber's Name: (Print) Plum er's Si nature: No StamIDS) MP /MPRSW No.: Business Phone Number: Plumb is Address (Street, City, Itate, Zip de g T. ell, 7 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stamps) Approved [I Owner Given Initial Su rcharge reel Adverse Determination s X. CONDITIONS OF AP OVAL / RE S NS FOR DISAPPROVAL: 4 AA— r. SBD -6398 (R. S 4) DISTRIBUTION: 1friginat to County, One ropy To: safety & Ruildings Div, ion, Owner, Plumber INSTRUCTIONS ; 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before ftpxpiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will beapplicable. il 3. All revisions to this permit must be approved bVfhe perrnitsissuing authority. 4. Changes in ownership or plumber requires a Sanitary Pe(mit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly MY.n`tainetl' - 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 r Wisconsin, Safety and Buildings Division, 608- 266 -3815. To be complete and accurate this sanitary permit application must include: I I. Property owner's name and mailing address. Provide the legal description and _rarcel tax number(s) of where the f system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. ti IV. Type of permit. Check only one on line A. Complete line B if permit is for tank _placement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. Vl. Absorption system information. Provide all information requested for numf er 1 through 7. i VII. Tank information. Fill in the capacity of every new /or existing tank, list the tot, gallons, number of tanks and P anufacturer's name, indicate prefab or site constructed and tank material. C r,plete fc:r ah''septic, pump /siphon and holding anks for this system. Check experimental approval only if tanks rec Div d ex erir�ental product ap proval from g Y p pp Y p p pp DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number th appropriate prefix (e.g. MP, etc.), address and phone number. Plurrtber must sign application form. IX. County / Department Use Only. X. County/ Department Use Only. Fans a d �rvecfications no 3 : I �.�n 8 1,'2 x 11 inch must he _:_e d ?,- iht> county. The plans must At (ollowir < A; Blot t :an, drav�, %r !e or with complere c; rner.s _ Ic,; holding tank(s), septic 3' Ltnent ­ .jr , 1; hr; IC t�:: VVe'IS; Wot2r rT 31n;'kVx ? s ­,S and lakes, pUnlp Or Siphon d r o,; _ o n boxes; scl <,b orptir�r, replacement syr ten arc :tip = loo .Ation of the bmiding served; 1�_, for pumps find controls; dose VOIUme ; "nr :;ump „tnufacturer; D) crosssecteon : of I t " ::ii oin io ?`. .t - er' orR of all sizing Information- ----- ---- --- --- --- -- -- --- - - - - --- ----- --- ------ ------ --- ---- --- - -. GROUNDWATER SURCHARGE 1983 Wisconsin Art ided the creation of surcharges: "or a numbers }` rt ,�:lated practices which can t effect groundwater. Fz The monies collected through these surcharges are used fo monitoring grounder.: �t contam nat on investigations and establishment of standards -, � .0 .�b Safety and Buildings a PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 c o n sin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 23, 2000 CUST ID No.227618 ATTN: POWTS INSPECTOR ZONING OFFICE TOM GUSTUM ST CROIX COUNTY SPIA N13450 937TH ST 1101 CARMICHAEL RD NEW AUBURN WI 54757 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 06/23/2002 Transaction ID No. 324727 SITE: Site ID No. 194753 RESIDENCE JAMES LASKIN - Please refer to both identification numbers, ST CROIX County, Town of SPRINGFIELD above, in all correspondence with the agency. NW1 /4, SWIA, S1, T29N, R15W; 1134 RURAL RD #4 FOR: Description: AT -GRADE SYSTEM Object Type: POWT System Regulated Object ID No.: 669888 Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145 Wisconsin Statutes and chapters Comm 83 and 84 PP Y P , � P , Wisconsin Administrative Code. This system is not reviewed for the code requirements set forth in chapter Comm 82 or in chapters Comm 50 -64, Wisconsin Administrative Code. This system is to be constructed and located in accordance with the enclosed approved plans and the Wisconsin At- Grade Soil Absorption System Manual (SSWMP Pub. 15.21). In the event this soil absorption system or any of its components malfunctions so as to create a health hazard by discharge of partially treated or untreated liquid wastes to ground surface or into the surface waters or ground waters of the state, the owner will employ a properly licensed plumber to repair, modify or replace this system (including the possibility of installation of a holding tank with proper disposal) with such action approved by the Division and appropriate local officials. This plan submittal approval will expire in two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. 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 otP ential for a lawsuit that may delay the effective date of the code so this status may or may not change. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address q g P Y P on this letterhead. 1M 16 �- 0 S __ 1 TOM GUSTUM Page 2 6/23/00 S DATE RECEIVE D 06/19/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 PAGEL , P S LAN REVIEWER TI BALANCE DUE $ 0.00 Integrated Services (608)266-2889, M - F, 0745 - 1630 HRS PEPAGEL @COMMERCE.STATE.WI.US WiSMART code: 7633 cc: JAMES LASKIN RECEIVED JUN 16 2000 RESIDENTIAL" 'T-GRADE BMW SAFETY & BLDGS. DIV. Pressurized - Sloping Site INDEX AND TITLE SHEET Project Two Bedroom AT -Grade Owner Jamgq; Laskin Address 1134 Rural Road #4 Glenwood City WI 54013 715 -265 -4056 Legal Description NW SW S 1 T 29 N R 15 W Township Springfield County St. Croix Subdivision Name N/A Lot No_ N/A Parcel ID Number 034- 100 -1 -20 0 0-0 Plan Transaction Number 3 ��. OF .... ..... .. Index sheet Page 1 �O,p At -grade calculations Page 2 t j THOMAS D. ` n At -grade drawings Page 3 so GUSTUM Pres. disc. calcs. and laterals Page 4 1201 ` Z TDH and pump tank drawing Page 5 Plot PI n Page 6 ® ••.... Pump Curve Page 7 SI�NEF Designer Thomps D Gustum License Number D1201 Signature Phone Number 715 -658 -1344 Date 6/13/2000 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Slats. Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. SBD- 10471 -E (R.0&98) Page 1 of 7 l P RESSIlRIZ€.Q =AT-GRACE DESIGN At -grade Calculations - Sloping Site Complete information in red framed boxes as necessary. 1000 gpd maximum. Sizing and site data entry, Inch- pounds Metric Residential or commercial? r (r or c) Wastewater flow rate 300' gpd 1135.5 Lpd Depth to limiting factor 37.0 in 94.0 cm In situ soil infiltration rate 0.5 gpdtft 20.4 Lpd/m Linear loading rate 5.0 gpd /ft 62.0 Lpd/m Contour elev. below lateral fi05.9 ft 32.28 m Slope 9a.2 % Pressure distribution data entry. 0.125, 0.156, 0.188, Center or end connect a (c or e) Hole diameter 0.250 in 0.219, 0.25, 0.281, or Pump tank elevation 94.00 ft m 0.313 inch only. Forcemain length 50.0 ft Estimated hole space 1 3.00 ft Not a final calculation. Forcemain diameter 2.0 in Minimum dose is > 5,0 times lat. void vol. Forcemain actual I.D. 2.067 in System solutions. Absorption cell Inch- ounds Metric Estimated daily wastewater flow 300.0 gpd 1135.5 Lpd Design load rate & area 0.4 gpd/ft 750.0 ft' 69.68 m Minimum basal absorption area required 600.0 ft 55.74 m Actual linear loading rate- 3.57 .gpd/ft. 44.3 Lpd /m Proposed effective absorption width (A) 1 9.00 ft 1 2.741 m Maximum effective width permitted 10.00 ft F 3 0 m Aggregate width jadacing - support (C) 1 3.35 m Aggregate le7po) 8 4 6 ft 25.60 m Supporting components Perimeter fill beyond aggregate (D) 5.0 ft 1.52 m HOLE DIAMETER Total at -grade width (W) j21 .00 ft 6.40 m CONVERSIONS Total at -grade length (L) .00 ft 28.65 m 1/8 =0.125 5/32 = 0.156 Observation pipe spacing 1/6 6 14.0 ft -:2:71 m 3116 = 0.188 7/32 = 0.219 Observation pipe spacing 1/2 B 1 42.0 ft 12.80 m 114 = 0.25 9/32 = 0.281 Minimum topsoil cover depth 6.0 in 15.2 cm 5/16 = 0.313 Minimum soil cover at center 12.0 in -30.5 cm _ AT- Grade, Transaction Number: Page 2 of 7 AT -GRADE PLAN VIEW 1/6 B Observation pipes (3 typical) cap 1� n Typical observation pipe. W C Anchored securely. D F- -1/2 B —� 1 B 6 9(152 mm) t L A 9.00 ft 2.74 m = Total, aggregate cell A x B B 84.00 ft 25.60 m C 11.00 ft 3.35 m O= Plowed area L x W D 5.00 ft 1.52 m E 2.00 ft 0.61 m AT -GRADE CROSS SECTION L 94.00 ft 28.65 m W 21.00 ft 6.40 m .Synthetic fabric cover Lateral 107.73 ft Finished grade invert 106.40 `ft 32.84 m elevation elev. 32.43. m a *— Obs. pipe at .................. ... ..... ...................... ......`...... `.....< aggregate toe . E 11 % Slope A Surface contour 105.90 ft C and system elevation 32'28 m D ® = 12 in. (30.5 cm) topsoil and subsoil over aggregate and tapered to toes. Plowed layer below L x W _ �4v.- (1'5.2 cm) aggregate below pipe(ab and -2 in. (5 cm) above pipe. Designer notes: Deep chisle plowing to break up top layer Project: Two Bedr l -Grade Transaction Number: Page 3 of 7 PRESSURE DISTRIBUTION- CALCULATIONS. Lateral specifications Inch-pounds Metric Number laterals 1 Hole spacing (X) 36 in 91.4 cm Holesgateral 2--8 holes Lateral length (P) 81.00 ft 24.69 m Hole diameter 0.250 in 6:4 mm Lat. dis. rate 32.62 gpm 2.1 Us Sys. dis. rate 32.£x2 rpm 2.1 Us _ t2itE Fi disill of ' Pipe diameter Design options Design choice Designer must - 1 i (25 mm) X' one choice 1.25 in (32 mm) Place X in red from the options 1.5 in (40 mm) box of chosen provided. 2 in (50 mm) x x diameter. 3 in (75 mm) X LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Do not press delete when lateral diagrams are in use. end cap P Last hole drilled next to end cap I X -3I Laterals &force main of PVC Sch 40 Holes drilled on the bottom of the lateral (per COMM Table 84.30 -5) equally spaced • =permanent end marker Inch-pounds Metric Lateral connection point end Lateral length (P) 81.00 ft 24.69 m Hole spacing (X) 36 in 91.4 cm Hole diameter 0.250 in 6.4 mm Lateral diameter 2.00 in 50 mm Forcemain diameter 2700 in 50 mm ~ ct 3 1 AT= Grade Transaction Number: Page 4 of 7 Total dynamic head TDR -and Pump Tank -- Drawing Operational head 2.50 ft 0.76 m Vertical tilt 11.65 ft 3.55 m Are laterals the highest point in the Friction floss 0.91 ft 0.28 m system? Yes "x" here. C � Total d cnarnir-head 15.06 ft 4.59 :m If no, what is the highest elevation (ft) Dose downstream of pump'.? Lateral void volume 14.1 gal 53.4 L Minimum dose 75.0 gal 283.9 L Does f t x Yes drain back to n Drain back 8.7 gal 32.9 L tank? (x one) J No Dose volume 83.7 gal 316.8 L "fca1'Pump1 hamdber Layout In combination v state approved. treatment tank Tank construction_ as per_ Comm 83.20(3) WAC. approved manhole cover with weather proof warning label and locking device grade levels pnction box grade levels disconnect electric as per NEC 300 and alternate 4" vent pipe Comm 16.28 WAC F— outlet location 18" (46 cm) min. wall af_pump approved chamber or outlet joint combination tank A Provide 1/4" weep hole or anti- alarm on siphon device as necessary pump on B Grade levels pump 94.75 ft C pump tank manhole = 4" (10 cm) off elev. 28.88] minimum above finished grade D - vent = 12 (30.5 cm) minimum above finished grade 94.00 ft Pump tank elevation 3 " (75 mm) of bedding under tank 28.65 1 m Bottom of tank Tank manufacturer Midwestern Precast, inc. Pump tank capacity 17 gal /in Pump tank volume 650 gal Inches Gallons Pump manufacturer JHydromatic c A 25.3 430.3 Pump model number osp 33 ° B 2.0 34.0 c (D C 4.9 83.7 Alarm manufacturer JS&J Electro D 6.0 102:0 Alarm model number 1101 Project: Two Bedroom AT- Grade' Transaction Number: Page 5 of 7 , I , + Nc I i -- __ I I , cyoo S � I 4 I , r .�V • I I, T� C f -- _ -- -- - - 4e- e t o i g�j /Va, 1 B� i _ F7 ENGINEERING DETAILS - OSP33 �i _ ■ttt■ttt■t��tttt■tt■■tt■� Ott ■ ■ttt ■r,aE ■ ■O■WOMEN A 11.4 ���i�i� ■t ■ ■ ■ ■ ■Lii�� ■ ■� ■ ■ ■r l \' 'I■ ■EE■ENFi ■ MONO ■Nlg\■ ■1 i ANNE ■OEEOL /O■ ■N■■OOO►! '.: NONE ■O■/ A■ ■■■EONS INS ► JOO►�O■ ■O■' /■■ ■E■ ■E■■ ` \\ CEO ■ ■ ■ \`■ I RMFIMMOMEMONSEL ®�� ■I , � .7\■■■■■■�7F I■■■■■■■ /■ 3.7/@L V—Z iA- 4. WMAiM 8W V*b am IWWJMW %"I dwoll r ( _ ,. AM now 11-3/4 PUMP ON PUMP OFF 4 k .� i r i fp l re IN,.sconsin Department of Commerce SOIL AND SITE EVALUATION Page __L of - 3 _ *Div n of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. C roix percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. — - -- - - - - -- - -- Parcel l.D.# 034 - 100 -1 -20 APPLICANT INFORMATION - P 1 formation. - - - - -- -- - - - - -- - -- - - Personal information you provide may be u ( Yacy Law, s. 15.04 (1) (m)). Rev' y Property Owner t� r , Property Location Laskin, James n�' I �LC[lIvi, Govt. Lot NW 1/4 SW 1/4 S 1 T 29 N 15 W Pro Owner s Mailin Addre r ,, ' Lot # Block # S bd. Name or CSM# 1134 Rural Road # 4 _ Ci `date Zi Xu El Village ®Town I Nearest Road Genwood Ci ty }�lL 265- r q' Sp ringReld Rural Road # 4 L J New Construction Use: Rlssi¢ bedrooms 2 []Addition to existing building Z Replacement Alk r al describe Code Derived daily flow 300 gpd Recommended design loading rate • bed, gpd/ft' .5 trench, gpd/W Absorption area required 750 bed, ft 600 trench, ft' Maximum design loading rate ' bed, gpd/ft' .5 tr ench, gpd/W Recommended infiltration surface elevation(s) lateral on 105.9 ft (as referred to site plan benchmar Additional design / site consideration i nstall 9 ' x 85' effective (I P x 89' overall) at - grade rock unit on 105.9 contour Parent material sandstone Flood plain elevation, if applicable N ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system ❑® U M S U El M U Z S❑ U ❑ S Z U ❑ S U Depth Dominant Color Mottles Structure GPD/ft Boring# Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots — � Trench 1 0-4 10YR 2/1 - sl 2 m gr mvfr gs 1 f/m 5 .6 _ - 2 4 -12 IOYR 2/2 - A 1 m sbk mvfr cs Im .4 .5 Ground 3 12 -16 10YR 3/2 - sl 1 m sbk mvfr gs if .4 .5 elev - - -- -I— - 104.5 ft 4 16 -29 l OYR 4/4 - sl 2 m sbk mfr gs Inn j 5 .6 Depth to 5 29 -37 l OYR 4/6 - sl 2 m sbk mfr cs 1 m 5 .6 factor 6 37 -70 l OYR 4/6 c2d 7.5YR 4/6,5/3 scl 0 m mfi - - } NP .2 Remarks: y si coats on peds 16 -29 1 0 -5 l OYR 2/1 - sl 2 m gr mvfr cs 1 Vint i .5 .6 2 5 -16 IOYR 3/2 - A 1 m sbk mvfr cs lm .4 .5 Ground 3 16 -21 IOYR 4/4 - A 2 m sbk mfr gs lm .5 .6 elev 105.9 ft 4 21 -38 IOYR 4/6 - sl 2 m sbk mfr cs I m .5 .6 Depth to 5 38 -58 IOYR 4/6 t2d 7.5YR 4/6,5/3 scl 1 m sbk mfr - .2 3 limiting - -- - - -- - -- - - - -- factor 38' Remarks: CST Name (Please Print) Signature: Telephone No. Henry F. Grote - 715- 665 -2681 CeRT r Soil I�esim - --- - - - - -- ---- - - - - -- - - -- _ __------- - - - -__ _ _____ Address g D to CST Number Ref # P.O. Box 57, Knapp, WI -54749 427/1999 222774 1135 PROI' ATY OWNER Laskin Jame SOIL DESCRIPTION REPORT p pgq _ 2 -. of "3 PARCEL LD.# 034 - 100 -1 -20 Certified oil Testing Depth Dominant Color Mottles Structure GPD /ft' Horizon Texture � onsistence � Boundary oots - -. -- - -- - in. M�lnsell �u. Sz. Cont. Color Gr. Sz. Sh. ry Bed Trench 1 0 -4 10YR 2/1 - sl 2 m gr mvfr cs If/m .5 .6 ' A 2 4 -15 10YR 3/2 - s1 1 m sbk mvfr cs lm .4 .5 Ground 3 15 -20 10YR 4/3 - sl 2 m sbk mvfr gs lm 5 .6 elev 105.9 ft 4 20 -38 10YR 4/4 - sl 2 m sbk mfr cs lm .5 .6 Depth to 5 38 - 72 1OYR 4/4,4/6 c P 7.5YR 513 scl 1 m sbk mfr - - .2 .3 limiting factor 38' Remarks: an s w m 67- by _ I Ground elev - - — - -- -- - - - Depth to I I limiting factor i Remarks: 1 <? I Ground elev i -- - -- + - - I Depth to 1 limiting -- -- factor i Remarks: i I Ground elev Depth to limiting - factor Remarks: ��� y �� � 4,0.S 7 \o� i lwh (Z%AAr& 2 00 C t- C.'S C I 172.0 C LA,4 � iro(��i�c 4D t0 4 w (rot J n,, ^6 + 0 t / N" i�c�+ Q rl wr. t � z•h `� '' � •'(t Ott 6 o4 - >> 6Z 1 R -s (Io1.ClS t �1 c iS 3. � � _S s2� � 4...�C 10 I•�..q 3 oS 3 SAFETY AND BUILDINGS DIVISION 201 East Washington Avenue P.O. Box 7969 '� ' Madison, Wisconsin 53707 isconsin Department of Commerce Tommy G. Thompson, Governor William J. McCoshen, Secretary At -Grade System Onsite Verification Report Are the soil and landscape features accurately reported on the Soil and Site Evaluation Form yes no If no, provide a further description by including an onsite report, which may consist of a soil profile report, or provide a brief explanation below. If yes, what other type of Private Owned Waste Treatment System (POWTS) could be used? 1M, U o".b s -�g -gg County Offid4al Signature Date Nom'/ o.F % f 72 A) - - T r' -t414 Property Location J -0, w e's Lash& Landowners Name (?t S� - ZIvS- q05�, SBD- 10513(N.11/96) ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer I uyer A51e n) U3YC Mailing Address 113 V too 7' Property Address (Verification required from Planning Department for new construction) c City/State 14-x -7 l e )eW ei - rw GU r Parcel Identification Numb r c� (. 24 • (� /oft. LEGAL DESCRIPTION c) �- reo(- 3D - z ass Property Location t.V %., 3 W '/.,Sec. , T g N -R t S S W, Town of L. Subdivision I lL4 Lot # d1 . Certified Survey Map # Volume , Page # Warranty Deed # � Z S , Volume _ mil) , Page # Spec house ❑ yes C9 no Lot lines identifiable ❑ 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 masterplumber, journeyman plumber, restrictedplumber or a licensedpumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Itwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. y (7 ,7 / I LI ? o mssT DATE OWNER CERTIFICATION 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. I"! ,.�. , DATE * * * * ** Any information that is mis- represented may result in the sanitary permit eing 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 DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1 —•IM -16 "Ac "09"50 "N *Kc*mIN DATA " WARRAWY DEED 426508 • . 7ROFa'E 593 REGISTERS OFFICE ST. CROIX CO., WIS. Me 1 v i n H. St an g a/ k/ a Wd. {,a Record this 3rd _ This Deed, made between ............. ...... .... .. ..... Kelvin- -Stang and Sylvia Stan I usband and day of .Tune A.D. 19 87 i. 14...�0).T).t...T.enants ................ ..... 1:00 P Grantor, a Baines: �......; a s div3:dua1 ....I........ ..... .................................................. ........... .............................., Grantee, Witnesseth Tha: the said Grantor, for a valuable consideration...... j St Croix 118TURN TO conveys to Grantee the following described real estate in ...._.- Rivard haw Office County, State of Wisconsin: ; P.O. Box 191 I All of the Northwest One Quarter (NWJ) of the _.Glenwood:City,_WI Southwest One Quarter (SW}) and the Northeast 54013 One Quarter (NE }) of the Southwest One Quarter Tax Parcel No ................................... (SW}) of Section One (1), Township 29 North, Range 15 West, Town of Springfield, St. Croix County, Wisconsin, lying Westerly of the following described lines; Commencing at the West One - Quarter (WJ) corner of said Section 1, thence S 50 11 E 2229.07" to the POINT OF BEGINNING, of said lines: thence N 08 11 W 885.65 thence N 60 11 W 57.57'; thence N 41 "E 60.92': thence N 06 11 E 483.78 more or less to the East /West One Quarter (E /W}) line of said Section One (1) and the POINT OF TERMINATION of said lines, containing 49 acres, more or less being subject to easements over portions of said parcel for town road purposes as they are now laid and traveled and also being subject to easements of record. FRANSFU $ • 00 ! This .... is ............. homestead property. (is) Ic'f Together with all and singular the hereditamente and appurtenances thereunto belonging; AnC .................. .. ...... --••-•........... .........•- --..._.............. warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except Subject to easements and rights of way of record, nonveyances for highway purposes, reservation of mineral rights and zoning ordinances of record, if any. and will warrant and defend the same. h Dated this ... ............ P ............................ day of ... -- m` q--. ..- --- •- -- ----....._........... ..............., - - - - - -- •........ .......... --•- -- - -- -- (SEAL `' . .........................(SEAL) Mel -in Stang ' ............. -- •--- - -• - -- ... -....................... ........ • .. ...... - -•- --•- ---- ...... ............................................ (SEAL) �- 4--- :z?..ry . . . .. .........(SEAL) ' - • ._S ... via -- Stang %// AUTHENTICATION ACHNOWLBDGMSNT Signature(s) ............................. ............................... STATE OF WISCONSIN ML .................................•--......._..... ....------ •--- ................. St. Croix ... .. .......... •............... County. authenticated this ........ day of ........................... 19...... Personally came before me this ..ath ........ day of ... -- ny ... ..................... .. •y 19. 87 the above named ...........................•----•-••------------. .....-- -- •-- -•-••••- •.... - - --•- Melvin Stan and S lvia Stan ............................. ............... TITLE: MEMBER STATE BAR OF WISCONSIN ----------• ................•---------... ..------ .......--- ---.......- -- •-• - - -•• - (If not, .................... authorized by J 706.06. Wis. State.) to me known to be the person ......... _ whn executed the fore . instrumen a d acknowledge thp,A.gme. J\ .., . THIS INSTRUMENT WAS DRAFTED SY I J •. Francis Rivard f =��'y - - ..--- ,.:.�.OF.,e._ �= -- ................................ _.......... ......... •----- - - - - -• David Steffen r i ......................................... . �; - -. . _.:. -- n -- --- .--- G-leawod..Cjr. i_t WL.5.4D13..... Notary Public y .._ .- _Croix. :: • _ � . - -- . ,... i/c 44 Ctit4 eo tl: Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. ([f' * AQt, kabe irat)Dn are not necessary.) date: "'•' '� 1il ) •Names of Person* signing in any capacity should be typed or printed below their signatures. 'i'rJp V °� .4 n ` NGYiUS+CamprM® STATE BAR OF WISCONSIN FORM No. I — 19U Stock NO. �, . , a t. >� Shef40 Performan e & Dimensional Data 40 - %%%, SHEF40 30 W 20 10 0 r 0 10 20 40 50 60 7 3 -7/8" 6 -5/8" (168.27) (98.42) 1. All dimensions In inches. (Metric for international use). 5" (127) 2. Component dimensions may 3 -7/8" vary ± 1/8 inch. ( 98.42 ) t 3. Not for construction purpose unless certified. 3 -7/8" DISCHARGE (98.42) 1 -1/2" NPT 4 Dimensions and weights are approximate. FLOAT SWITCH 5.We reserve the right to make revisions to our product and their specifications without notice. ti I� HYDROMATIC 11 -3/8" 10- 3/16" (288.92) (258.76) 3 -5/8" 2' (50.8) (92.07) - � 1