Loading...
HomeMy WebLinkAbout034-1017-10-000 (2) C) h ~ Oci 030 c c d a 0 0 J U O m a N c o : N N O _ O F Q L 0) o y °° • 7 I N N ._ N 3 I r c C L N j E p Q 'O S' a) (D E O U) p Y c > I v N U a a) c0 ° E °)c T m •N aw h N c N a) T N N N O O N d o o a) >v pm = x T L O O N a0 a :3 Q C� c L U �.� U 3 C p N a ° O L N Y C L > N UO a)� c OC) N TG O ., 5O p N 0)6 O > O O O. O O .0 . L .. N— C d) 7 N 0 cd c 7 N E - p 7 0'p0 LL Q L .� N U. c0 O O d C N L N m E N C w O O O o O) O o 0 CL N Q O o .S Q "O N N> L O)�2 c I I U M 3 M C w N Z N 7 LO � E E O c Z o = 0 0 z a� m m a�i a ao�z a°° am (n CL .N I . . I o z m Z :Z c cn H .- E 'o -o o ° a) E E ��ww c a) �'�J � o` o I o m N c 4z v v 04 C m •� c r c L a) 0 2 a 0 M 'o Q Q Q z z C z z N I �_, Y co a�i ?� 1 12 0 . d N N Q W O U G 3: 9 d� a� - o O) �' a (n a 0 a m o) o 0 a c c rnrnm _ > m I �Nrnu> o a a I • 3 n a a a a a a in J U ate) ° ° t rn rn o 7 N z �_ r z L O Y O CO O O 0 ''0 7 00 O O C� c N C O C a L � N Q � N •C N O _d Q z to c a d Q to m — 00 O O c N H = °� N C _ O 3 T to O co O "O � O 'O E O ��+ O 0) c N N S C U Q' O O O r \ C• 'O N C E Q ` E Y C o O) .. N C7 d Y m N v' C m co V) co N C a 7 E -° ` M p t O O ny U • �1 Cl) co U) U z y a z U N O z N z �' U m` E L a a tom• CL am .2 d y c d a, c t A 0 cya2 0v 0U))c°) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 141 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: Carufel, Jeremy Springfield, Town of 034 - 1017 -10 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/rown /Range /Map No: 08.29.15.113 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDlTRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 0 Yes [] No Yes No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 2883 110th Avenue Glenwood City, WI 54013 (NE 1/4 NE 1/4 8 T29N R1 5W) 40 acres Lot Parcel No: 08.29.15.113 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Ej Yes 0 No Use other side for additional information. ELLT-1 Date Insepctor's Signature Cart. No. SBD -6710 (R.3/97) o County Sanitary Permit Application ST. CROIX COUNTY WISCONSIN Gp In accord with Chapert 12 St. Croix County Sanitary Ordinance PLANNING & ZONING DEPARTMENT �A1�b Personal information you provide may be used for secondary purposes ST. CROIX COUNTY GOVERNMENT CENTER G �O 1101 Carmichael Road [Privacy Law. S. 15.04(1)(m)] RECEIVED Hudson, WI 54016 -7710 (715)386 -4680 Fax(715)386 -4686 Attach complete plans for the system on papeCfteg dao)A x 11 inches in size. County anitary_Permit # / ❑ Check if revision to pre s ation I. Application Information • Please Print all Information TANNING 8 ZONING 0 Location: Property Owner Name (f - G/ 1/4 (� L� 1/4, Sec rT e, /, t? A -�. (j Cr N G l � � °� N, /S R E (or Property Owner's Mailin Address Lot Number Block Number State Zip Code Phone Nu kubd sion Name or CSM Num er -fe �,��,d �f ���(G r3 �?(5 - 7 � aCL II Typ Building: (check one) -- ❑ Village own of Jor 1 or 2 Family Dwelling - No. of Bedrooms: CI v 11 Public /Commercial (describe use): f h ❑ State -owned rest Roa II. Type of Permit: (Check only one box on line A. Check box on line B if applicable) , Tax Numbers) A) 1.❑ Repair 2.y Reconnection ❑Non- plumbing 4. ❑ Rejuvenation e ( Sanitation ( t B) Permit NumJZer Date Is / ed State Sanitary Permit was previously issued '' _ff IV. Type of POWT System: (Check all that apply) �� e- a n C G K ❑ Non - pressurized In- ground Mound ? 24 in. suitable soil ❑ Mound 5 24 in. suitable soil ❑ Mound A +0 ❑ Sand Filter ❑ Constructed Wetland ❑ Peat Filter ❑ Drip Line ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Other ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed (Gals. /day /sq.ft..) (Min. /inch) - O Elevation ' WU /32d ? p,� tl `�,y / VI. Tank Information Capafcty in Gallons Total # of Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons Tanks Concrete structed glass Tanks Tanks t/ 11WD ❑ 1 ❑ ❑ OOd GO 0 / ., ❑ ❑ 1 ❑ ❑ VII. Responsibility Statement I, the undersigned, assume responsibility for repair / reconnenction /rejuvenation/installation of non - plumbing for the POWTS shown on the attached plans. A license is not required for terralift repair or the itletallation of non-p1jimbing sanitation system. Plumber's Name (print) Plum s Signature (no s a MP1MPRS No. Business Phone umber Plumb e /�� Address (Street S Zip ode) / VIII. Count ose Onl Disapproved Sanita Permit Fee Date Issued suing Ag t Signature ( ps) Approved Owner Given Initial Adverse Determination / IX. Conc�it�tp�"Kfggasons for Disapproval: 1 Septic tank, effluent filter and r�pG Y�/�� dispersal cell must all be serviced / maintained `2Gr h"✓_t � _ �n 'F /�__ as per management plan provided by plumber. �� �7`v tea_ 2. All setback requirements must be maintained as per applicable code / ordinances. GZ��� "K - `7 ✓,'�ta� = 0 T O ::E co� z Ln D z K m O O m 0 X r C/) C/) m © La 0 m m 0 _< X �� Fn cool m O c� O m z D r CO m O ;u K ° n r -� D — G) m 0 x m ' m N Z Z Z O z C 0 r - pp :U t4 . m C U) c dmw C/) l z o En v n Z2 m � O G) 0 z m --i m m 9 m om° m ° C D CL m Q '0 - Q � _iu c. a C D a K a �. v I ID m v m� m' � :3 mn gy D 8� a CD =' CD = = m r " y C 7 y (D 7 0 N —n CA -� O s m Z °-' o m C - ID m° �^' m o • N O N 0 CD N C O q y CD (D O (D N C m (D O r: N O5 m o o 3 N O CD X X y :"' y N N y y = 0 2 n N p C7 � CL G j 0 M. D = N z e = fD O N =or O a O `z N 3 = t O - 'O - O N @ �p � Q =• m m a m 3 3 y ��� rt = m CD CD 'p N ? 7 N N S O V 2 N w O y CD Od fD 'O 3 d -^�" O - v 0 M X 0 f 2 CD 0 Z cn 3 m o m w m C (A Z Q- CD w m m m CD Z r Z a IV �' a m v j o M D CD ` I ma I O O Z O CD CD ? m o m m d c o S o z Z G) Z �7 3 v m - = 0 y = n E `° N� C N N fD 0 ❑ ❑ ❑ = m = CD a !fill! !1111 {i {ii Il {Il {I {II hill Ili! i {ilfl 811 fill State Bar of Wisconsin Form 2 -2003 * 8 9 3 8 3 4 WARRANTY DEED 893834 BETH PABST Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between Cr ockett Farms, LLC, a Wisco nsin Li mited Liabil 04/22/2009 10:30AM Company _ _ — WARRANTY DEED — — -- EXEMPT t ( "Grantor," whether one or more), and Jer L. Carufel REC FEE: 11.00 -- TRANS FEE: 24.00 — — - - - -- -- - - - - -- PAGES: 1 ( "Grantee," whether one or more). Grantor for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area f ` interests, in St. Croix County, State of Wisconsin ( "Property") (if more Name and Return Address space is needed, please attach addendum): Thomas A. McCormack A parcel of land located in part of the Northeast Quarter of the Northeast Quarter (NE' /. PO Box 2120 of NE %) of Section Eight (8), Township Twenty-nine (29) North, Range Fifteen (15) West, Baldwin WI 54002 Town of Springfield, St. Croix County, Wisconsin, more particularly described as follows: Lot One (1) of Certified Survey Map filed April 1, 2009, in Volume 24, of Certified Survey Maps, page 5613, as Document No.892202, office of the Register of Deeds for St. Croix 034- 1017 -10-000 County, Wisconsin. Parcel Identification Number (PIN) TOGETHER WITH AND SUBJECT TO Well, Septic and Drainfield Easement Agreement This is not homestead property. recorded April 1, 2009, as Document No. 892200, and Joint Driveway Easement Agreement Hs) (is not) recorded April 1, 2009, as Document No. 892201. Exceptions to warranties: Easements and restrictions of record. G Dated April A, 2009 � CROCKETT FARMS, LLC (SEAL) X /-�' ac (SEAL) * * Sonie B. C Member (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WIS CONSIN ) authenticated on ST. CROIX COUN e Personally came before me on April the above -named Sonie B. Crockett Q TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _ to me known to be the person(s) w '.e uted., foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledg the same. .~ THIS INSTRUMENT DRAFTED BY: • Tho A. McCormack T A. M cCormack —� Notary Public, State of WISCO N _ _ B aldwin WI 54002 _ My commission (is permanent) (exq immxx xxxxx x xxxxxxxxxx ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 2-2003 *Type name below signatures. INFO - PROTM Legal Forms - (800)655 -2021 - iMoproforms.com 1 of 1 MOUND SYSTEM Page of - 1 FOR ��r 3 Bt C\r_m � C'M��Zp�► to � t�rovsE LOCATED IN THE 1/4 OF THE 1/4 OF SECTION 6 ,T Z9 N, R lS W, TOWN OF C -R-oIX COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 of 7 PROJECT DATA PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 DOSE CHAMBER PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR ►� V �'D L� . C�v Zy �l 3 � RT 1LD R C.l2CCl.� RosFVCL�I HN Ss L\3 PREPARED BY ®eA ���� ®00� WE= !E3 C3 X L TEST I NG `o ;�• �: AND 3 nRrHUR �. N 915 p R I7E� I GiV��- �Ft�! I CE • i as,eP 6LL.WORTH, i : WIS. F.O. BUT 74 421 K. KAIK ST. t RIVET FALLS. VI 54022 ••......••••'• �, 71 5- 4 - 455165 rG�� All NOT Fu T R UC Z" tlq s TI O N JOB NO. a S 1 1.7 PROJECT DATA Page Z of 7 This mound system will serve.a. 3 bedroom residence and a hydroponic head house for a greenhouse operation. This building will contain a floor drain and bathroom facilities for the owner's use only. There are no retail sales or employees. The design daily flow of 520 gpd is based on 450 gpd for the residence plus 50 gpd for the floor drain and an additional 20 gpd for the owner. A 1200 gallon Midwestern Precast concrete septic tank will be installed. . _ Page q. Of 7 Approved Synthetic Covering s� c 33 Distribution Pipe Medium Sand _ H _ G Topso __- ____ p F Elev. . °[ �. O _I t p 3 E " /u ' b S % Slope Bed Of 2 "- 2 %2 Force Main Plowed Agg-regate From Pump Layer D \ -0 Ft. Cross Section Of A Mound System Using E - �-j Ft. A Bed For The Absorption Area F 0-b Ft. G l.o Ft. A S Ft. H 1.5 Ft. Linear Loading Rate =q,� GPD /LN FT 8 SS Ft. Design Loading Rate =o.3q GPD /SQ FT j 11 Ft. J 8 Ft. K tiaS Ft. L 1 b Ft. Force M H W 3 Z Ft. L Observation Pipe -- ,,, , K n A ---------- - - - - -- - - --•f ----- - - - - -- — Force Main W —- - - - - - -- - - - - -- Distribution 8 ed Of z 2 2N Pipe Aggregate Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area Page S Of =7 Perforated Pipe Detail 0 End View ' Ptrtorottd End cop. �' PVC Pipe Install permanent �c at end of each lateral Holes Located On Bottom, Are Equally Spaced S PVC Force Main PVC Manifold Pipe )istJution Pipe Lost Hole Should Be Next To End Cap End Cap P Z S Ft. Distribution Pipe Layout S 9_ Ft. X 66 Inches Y 6 / 0 Inches Il Hole Diameter `f Inch Lateral Inch(es Manifold Z Inches Force Main Z Inches # of holes /pipe S Invert Elevation of Laterals c l 6•.S Ft. Sx-v - \ $- '&Sy - Z-3•VO GVs" 'r%I*L 4 Place lst hole 33 from center of manifold with succeeding holes at 6 tf " intervals. Last hole to be next to the end cap. :PUMP CHAMBER CROSS SECTION ARID- SPECIFICATIONS PAGE 6 OF 7 VEIJT CAP 4%.Z. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE JUUCTIOIJ DOX COVER WITH WARNING LABEL 10 ` FROM DOOR. 12'MIU. wIN00W OR FRESH I AIR INTAKE I GRADE H" AIM. I D' MI IJ. COQDUIT -- — PROVIDE -- --- INLET � AIRTIGHT SEAL. II v Tank construction shall comply I APPROVED JORI APPROVED JOIAIT A With ILHR 83.15 and ILHR 83.20 ALARM d �I II ( 1 C f CLEK FL "i OFF 0 Ez- - (0-so COUCRETE 5LOCK RISER EXIT PERMITTED OKJLy IF TANK MANUFACTURER HAS SUCH APPROVAL. 3.. APPRavC . BEOD I Nt: SPECIFICATIOMS D05E 11�W TAIJ QSTP,) 1� � g T IJUMBER OF DOSES: 3 ' \5 PLK DA4 K MANUFACTURER: TANK :+IZE: lUUO &ALLOWS DOSE VOLUME z A_ ARM IAAhJU CTURER: S ' �` �- - S�IS`T�}"1 s IWGLUOING LACK ►LOW: �'v $ GALLONS MODCL I.IUMBER'. ll> l HW CAPACITIES: A= I /Z IWCHE5 OR 1..L_ GALLOWS SWITCH TYPE: ( B = Z INCHES OR 4LLOW5 PUMP MANUFACTURER: C = < IWCHE5 OR Z O 8 CALLOUS MODEL NUMDER. E D INCHES OR 31 Z GALLONS SWITCH TYPE: MOTE: PUMP AIJ ALARM ARE TO DC ` MINIMUM DISCHARGE RATE LL\A.) GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP OFF AIJ0.015TRIBUTION PIPE.. 1103 FEET + MIMIMUM NETWORK SUPPL. j PRESSURE . . . . . .. .. . . 2.50 FEET + 30� FEET OF FORCE MAIM X `' 1S F YOFiFRICTIOU FACTOR._ 3 '� S FEET TOTAL 0 HEAD = Z�' S FEET DIAMETER 3g BIZ 1 IMTERKIAL. OIMEWSIOMI OF TAWK: LEKI&TH ;WIDTH — -LIQUID DEPTH BOTTOM AREA - 231= GAL /INCH AS PER MANUFACTURER = Z-(c,Q GAL /INCH �E�6E OF 7 M E40 Series MVM 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 W 30 W L H 25 8 F zy 9 s Z Q H 20 6 Q J L3.40 = 15 J 4 0 10 5 2 0 1 1 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE F. E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex 98 -7443 K3326 7/91 Printwi in I I C A ME40 Series M"M 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 tn W 30 W L W Z 25 8 Zy 9 S Z Q H 2 20 6 OQQ W F 15 J O Q I— 4 10 F 5 2 0 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex 98 -7443 K3326 7/91 PrintPri in I I C Q PUMP CHAMBFR CRO55 SECTION ARID SPECIFICATIOMS ' PAGE 6 .O 7 VEWT CAP y" C.Z. VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE JUAICTION BOX • COVER WITH WARNING LABEL 10' FROM DOOR, IYMIU. "WINDOW OR FRESH qIR ItJTAKE ( - fsRADE I CONDUIT - 11� PROVIDE ( - - - -- IIULET AIRTIGHT SEAL I (� APPROVED JOIN A Tank construction shall comply I�� APP ROVED JOIN with ILHR 83.15 and ILHR 83.20 i ilk ALARM 6 I 1( ( I � ( I CLEV. F7 PUMP --j � OFF D L - S� COMCKETE BLOCK RISER EXIT PERMITTED OWLI IF TANK MAIJUFACTURER S900I HAS SUCH APPROVAL RQVEI . 60D 1 NQ SPECIFICATIOMS 005E "ybi � T 3• \5 TANK MANUFACTURER: IJUMBER OF 005ES: PER DAU TANK 5IZE: ��BO GALLOWS DOSE VOLUME I ALARIq M FACTURf~R: S ' �' � ''QI S`-tST&i S UJCLUDIIIJ6 6AGKF6OW: �,O B GALLONS MODEL fJUMBCR: 1 Hw CAPACITIES: A = �Z- INCHES OR S Z 9 GALLONS SWITCH TYPE: V!�Cl_ B = Z- INCHES OR S 2 G( LLOLIS PUMP MANUFACTURER: e\ S C = g INCHES OR z 8 GALLONS MODEL WUMBER: E L V ) D- \-'— INCHES OR 31 Z GALLONS SWITCH TYPE: MOTE: PUMP AND ALA ARE TO O[ 1 MIMIMUM DISCHARGE RATE Z3'\Alo GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE OETWEEW PUMP OFF AUD,015TRIBUTIOU PIPE., l�l'�O FEET + MIUIMtUM ►NETWORK SUPPLY PRESSURE .. .. . .. , , 2.50 FEET + FEET OF FORCE MAIM X l' 1S F Yo>:T.FRtCT10u FACTOR._ 3 ' Y � FEET TOTAL 09WAMIL HEAD = Zq-9S FEET DIAMETER IMTERWAL. DVALWSIOQI OF TAIJK: LEAI&TH ;WIDTH LIQUID DEPTH BOTTOM AREA - 231= — GAL /INCH AS PER MANUFACTURER = 2 I c , p GAL /INCH — I 01 V� as W N N Z p H N N c N p arrt rr+rt•c .. rt i � E 0 r ��0 n xa 5 " =m W � �x n rt• � a � 0 w 0 rt rr °' � -'_ - 10 n P n �• co w o. � lv No n Sr, O 2 � 7�' (D °1 O O (D X w m rr W C �� iL�sT uw� OF 1 4c fic• PWt2) 0 C F-J :4 N a o roro 6 00 (D c N �C p0 w �Z Q� aw r r t � ` rr crA rt W 0 rr H. FJ• ft :1 (G S� I F- rte, `Q ( D 00 rt � ri � N � O�,( tf' (D i 0 r7 (t 1-C 6Q (D rt o o G G Fj P (+ (D 0 F-i v s 0 r 9 ~0 ft n a I a - D a Ci � r o C� o � N- .D 0 f � 11 6 0 C C C m� r m � 0 if,, TI g v G