Loading...
HomeMy WebLinkAbout034-1052-95-000 � a j2 / & o ON 2 0 � I � Ctl � § ' . � § ' » � . } ; O � _ 0 � zt 0 / g j $ a 2 . � o § k � ( � N j c % � ! 0 ` | } k \ \ .. � § . § d � 2 ■ ■ m E 0 o a = e k / k k k E ƒ k �§ a 2 a 0 § �(d § j/o 2 2 / k ƒ � $ / \ } 4 § ) ° Cl 2 . § @ao« 0f - W co X © a { _ / Q ± .G \ o ] £ k J $ m k a — , : [ " a » \ E ) ' \ k a § c J a&\ 3 2 J Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM oix Safety and Buildings Division Count . INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMI Sanita o.: Personal information you provice may be used for secondary purposes [Privacy LawA. 15. (1)(m)). I ame: El City El V o qF : nS I State Plan ID No.: CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic B Dosing Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION 19t�6 Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemain Legth Dia. H n Dist.Towell 71 L_ i SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type Of Mod Number: System: OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake 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 { B e d /Trench Center Bed /Trench Edges Topsoil InS ectio # ' / / In t� # / _Lo1a�ionT5,8'2�n�t c�,i�e �i r��a�i sc n tW'W6't c 414 23 T29N R1 5W) - 232915368B -Lot 2 1.) Alt BM Description = 2.) Bldg sewer length= - amount of cover = 3.) contour = Plan revision required? ❑ Yes ❑ No — 1 FH Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert No. r - - roe q 3835 Sa fety & Buildings Division 8j o C" _ Sanitary Permit Application 201 W. Washington Ave. In accord with Comm 83.21, Wis. Adm. Code PO Box 7302 r— See reverse side for instructions for completing this application Madison, WI 53707 -7302 t]e tirtment of Carrieietce Personal information you provide may be used for secondary purposes (Submit completed form to county if not p (Privacy Law, s. 15.04(!xm)) state owned. Attach complete plans to the county copy only) for !h stem, on ` not less than 8 -1R x 1 l inches in size. // State r e ��ttrr it Number ❑ if revision to `previous application State Plan I. %'umber County T /O.� I. Application Information - Please Print all Information , ,.: Location: Property Owner Name _� •F -A Properly Location D r t 1 > 1 /4-S/r U4 SZ.S T N, R V or Property Owner' s Mailing Address Lot Numbs Block Number Z I � r p►U �J ..•.��; ST CFiOfX � Z /�� !, s Code City, State / l f za \h tOFF Subd M Number �oc9p'! 35 II. ype of Building: (check one) 13 City V ❑ Pillage 1 or 2 Family Dwelling - No. of Bedrooms: own of • Public/Commercial (describe use):_ ,5? y'I I - r • State -Owned Nearest Road o y } { 1 t � n /� `- S) u _ ! It O .5 1 S Parcel Tax Number(s) x7316 I d III. T e of P mit: Check one box on line A. Check box on sine B if applicable) 0 5 - O O A) I. ew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only 1 g f3 Existing System B) Permit Number ate Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) A 47 T ft • Non - pressurized In- ground iRfAound ❑ Sand Filter ❑ Constructed Wetland • pressurized In- ground ❑ Holding Tani: ❑ Single Pass ❑ Drip Line • At- de ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/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 1 150 4 50 � 4.30 Capacity in Total # of Manufacturer Prefab Information Gallons Gallons Tanks Con Con- glass Site Steel Fiber- Plastic VII. Tank New Existing Crete structed I . Tanks Tanks Sc /coo I P- s� 75 0 75 >> ❑ ❑ ❑ ❑ VIII. Responsibility Statement 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached Plans. Plumber's Name (print) Plumber's Signature (no stamps): MP/N�RS No. Business Phone Number 7 , �/ vlso,.. � d� zZo8�3 7i$ -6F� 33 �al& � Plumber's Address (Street City, State, Zip Code). D l IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued g Agent Si lure (No stamps) l Approved ❑ Owner Given Initial Adverse Surchar a Fee) Determination ,z t X. Conditions of Approval / easons for Disapproval: r k �� $ �� �S is cw �, 3 -��„j 5 fey, 3 � tft.� cc�i ` tit: , , 'P-f rye• r P`� 1 ■ 5oi/ Q6scrva�on !�,•6 / Oe - le Ll - jE - JE - EXis1iny S e� Pr residence 5e'_.13, v U % J 7e: TpoF / "p.✓e. n.ed ales: _ /60 MOW Proposed WOW . P. Cost 6; � a ors :S:r . 7 . 4 . F. l4-e, a oktl c�, 1,4 -.4. 12w i in wtcden -t A I t &6 /:na >ioo' # 1'lo�e : d4� )d •�'enc,��OoaE. E /er/� = 9s1(ra0: S sf�••, a�e4. Sewer' � be ins kia�td a5 par' Co•�sn. 8.2.300 J (a). . 7 OF /O Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 JU TDD #: (608) 264 -8777 VI Visconsin s www•commercei � �, r , r F ,. , . www.wiscwisc onsnsin. n.gov ov Department of Commerce �.., •� -�� Scott McCallum, Governor ;QUt` Brenda J. Blanchard, Secretary May 10, 2001 CUST ID No.220853 ATTIC• POWTS Inspector ZONING OFFICE DALE E HUDSON ST CROIX COUNTY SPIA 820 MAIN ST 1101 CARMICHAEL RD BALDWIN WI 54002 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/10/2003 Identification Numbers Transaction ID No. 638199 Site ID No. 628653 SITE• Please refer to both identification numbers, SITE ID: 628653, Jeff Bitner above, in all correspondence with the a enc . St. Croix County, Town of Springfield SEl /4, SE1 /4, S23, T29N, R15W Subdivision: CSM Vol. 14 Page 3562 - lot 2 FOR: Description: Three Bedroom Mound System Object Type: POWTS System Regulated Object No.: 788827 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior. to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01101) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 101). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual are complied with.. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation /operation. t� DALE E HUDSON Page 2 5110101 In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 04/13/2001 FEE REQUIRED $ 175.00 ~ y FEE RECEIVED $ 175.00 Gerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services 608- 789 -7892 Mon - Fri 7:15 AM to 4:30 PM jswim@commerce.state.wi.us WiSMART�e,r7633 i i MOUND SYSTEM DESIGN Residential Application V+" INDEX AND TITLE SHEET < 400 1 Project Jeff Bitner 3 bedroom residential mound ! Owner Jeff Bitner Address 121 Mathison Street • Woodville, WI 54028 Legal Description SE1 /4SE1 /4, Sec.23, T.29N., R.15W. Township Springfield County St. Croix Subdivision Name CSM Vol. 14, Pg. 3562 Lot No. 2 Parcel ID Number 034- 1052 -95 -000, ID# 23.29.15.3 Plan Transaction Number Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 Pres. dist. calcs. and laterals Page 4 TDH and pump tank drawing Page 5 Pump specifications Page 6 Site plan Page 7 Turn -up detail Page 8 POWTS management plan Page 9 Attachment: Soil evaluation report Page 10 Designer Dale Hudson License Number 220853 Signatur 4 ( W Phone No. 715 -684 -3378 Date April 9, 2001 P.O.W.T.S. Conditionally APPROVED DEPARTMENT OF COMMERCE Pagel of 10 ;g SEE CORRESPONDENCE i i � •pis � ! �,"' ' I MOUND SYSTEM DESIGN Complete red bo) es as necessary. 750 gpd malomum design flow. Residential or commercial? C�(r or c) Slope 12 % Design flow rate 450 gpd Depth to limiting factor 30 in In situ soil infiltration rate 0.5 gpd/ft' Contour line elevation 96.8 ft Use standard fill depths? x OR Design depth? ® in Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Orifice density PON�2 Orifices per fe Center or end manifold a (c or e) Orifice diameter 5 in 0.125, 0.156, 0.188, 0.219, 0.25, 0.281, or 0.313 inch only. Lateral spacing 3.00 ft Use 0 lateral spacing for trenches. Estimated orifice space 2.95 ft Not a final calculation. Number of laterals Pump tank elevation 88 ft Outside bottom of tank. Forcemain length 30.0 ft Forcemain diameter 2.0 in 1.5, 2 , 3 or 4 inch only. 2.067 in Actual I.D. DIAMETER CONVERSIONS 1/8 = 0.125 1/4 = 0.250 SYSTEM SOLUTIONS 5/32=0.156 9/32=0.281 Design flow rate 450 gpd 3116=0.188 5/16=0.313 7/32 = 0.219 Absorption cell Application rate & area 1.0 9Pd/W 450.0 ft` Linear loading rate (LLR) 6.00 gpd/ft Design width (A) 6.00 ft Cell length (B) 75.0 ft Depth of cell (F) 9.5 in Sand filter Upslope fill depth (D) 6.0 in Downslope fill depth (E) 14.6 in Basal area required (gpdfinfiltration rate) 900.0 ft Supporting components Topsoil depth 3.0 in Subsoil depth at center 9.0 in Subsoil depth at cell wall 3.0 in End slope toe length (K) 7.95 ft Up slope toe length (J) 4.50 ft Down slope toe length (1) 12.90 ft Total mound length (L) 90.90 ft Total mound width (W) 23.40 ft Project: Jeff Bitner 3 bedroom residential mound Transaction Number: Page 2 of 10 PRESSURE DISTRIBUTION CALCULATIONS Dispersal cell Width (A) 6 ft Length (B) 75.0 I ft Lateral specifications Number laterals 2 Orifiicetlateral 25 holes Lateral length (P) 74.00 ft Orifice diameter 0.125 in Lat. dis. rate 10.30 gpm Sys. dis. rate 20.60 gpm Orifice spacing (X) 37 in Lateral diameter Pipe diameter Design options Design choice Designer must 1 in Place X in red X' one choice 1 1/4 in x box of chosen from the options 1 1/2 in x x diameter. provided. 2 in x 3 in x Manifold diameter Pipe diameter Design options Design choice arab 1 i X' one choice 1 1/4 in x Place X in red from the options 1 112 in x box of chosen provided. 2 in x x diameter 3 in x 4 in x Distribution system contains: 2 Lateral(s) LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Laterals centered over the A & B dimension a = Turn -up vaiball valve or cleanoutplug P I All laterals are identical IE X —.>I Holes drilled on the bottom of the lateral equally spaced S Force main connection via tee or cross to manifold at any point. Laterals & force main of PVC sch 40 (per COMM Table 84.30 -5) Lateral length (P) 74.00 ft Lateral spacing (S) 3.00 ft Orifice spacing (X) 37 in Manifold length 3.00 ft Orifice diameter 0.125 in Lateral diameter 1.50 in Forcemain diameter 2.00 in Project: Jeff Bitner 3 bedroom residential mound Transaction Number: Page 4 of 10 MOUND PLAN VIEW observation pipes (typical) F A = 6.00 ft 234ft .. : B= 75.0ft A .. ............................... J - 4.50 ft WB I = 12.90 ft K K = 7.95 ft 1/613 =1 - 12.50 ft 90.90 ft typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (MB) J = up slope dimension = plowed area (LxW) K =end slope dimension 6" T MOUND CROSS SECTION subsoil cap D = 6.0 in lateral topsoil G E = 14.6 in invert 97.80 ft_____ __ ______ F = 9.5 in elev. F G = 6.0 in T ASTM C33 H= 12.0 in D E y Sand Fill Sys. 97.30 ft W elev. 96.80 ft contour 12 % ---> slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geotextile fabric. i Designer notes: System installation to comply with standards as specified in Mound Component Manual version 2.0, SBD- 10691 -P (N.01/01) and Pressure Distribution Component Manual version 2.0, SBD - 10706 -P (N.01/01). Ad ditional gravel and sand fill required to accommodate cresant shape of system. i I Project: Jeff Bitner 3 bedroom residential mound Transaction Number: Page 3 of 10 TDH and Pump Tank Drawing Total Dynamic Head Operational head 6.50 ft Vertical lift 8.50 ft Are laterals the highest point in the Friction loss 0.23 ft system? Yes "x" here. Total dynamic head 15.23 ft If no what is the highest elevation Dose Volume downstream of pump? Dose is > 64, times lateral volume Forcemain drain Lateral void volume 13. I gal 13, ( back to tank? (" x' one) Minimum dose Letfl&4 gal (,g,Qg I x JYes Drain back gal f Z No Dose volume 11 TK4 gal ?3.CV Typical Pump Chamber Layout In combination with state approved treatment tank. approved manhole cover with weather proof warning label and locking device - -� grade levels j unction box grade levels disconnect afternate � 4" vent pipe electric as per NEC 300 and E-- outlet Comm 16.28 WAC location 18" min. wall of pump k— approved chamber or outlet joint combination tank A Provide 1/4" weep hole or anti - alarm on siphon device as necessary pump on B C Grade levels pump 89.3 ft - pump tank manhole = 4" off elev. minimum above finished grade D - vent =12" minimum above finished grade 88.0 ft Pump tank elevation 3 " of bedding under tank at bottom of tank Tank manufacturer Weiser Concrete 1000/600 gal. combination Pump tank capacity 16.76 gal /in Pump tank volume 653.64 gal Pump manufacturer JGoulds Inches Gallons Pump model number 13885 WE0311L o A 19.0 318.6 0 B 2 33.5 Alarm manufacturer ILevelarm E C 6.0 100.4 Alarm model number JDLV p D 1 12 1 201.1 Project: Jeff Bitner 3 bedroom residential mound Transaction Number: Page 5 of 10 P Effluen ance Curves P umps METERS FEET 90 MODEL 3885 25 80 � — � SIZE 3 / ," Solids o WE15H w 70 = 20 WE10H J F 60 H WE07H 15 50 WE05H 40 10 30 WE03M T0. 20 WE03L 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM 0 10 20 30 m' /h CAPACITY �GOULDS PUMPS, INC. �7 SENECA FALLS NEW rpcM 13146 METERS FEET 120 MODEL 3885 35 110 WE15HH SIZE 1 /4 " Solids 30 100 90 25 80 Q 70 w 2 20 — +41-, J 60 ++ 0 15 50 WE05HH 40 10 30 20 1 NJ 5 10 0 0 q9 I — T I I I -- H 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM 0 10 20 Q m' /h 6 ;_J pq � 0' r /0 X1985 Goulds Pumps, Inc. CAPACITY Effective Jwy, i9G_ . ... ■ Sail Qbsc/•va�on p,•b A nee K e. N > e; p� res;dence -�eI cr 8;t- �►���D �o�a Plwosedwell /ot CS,,( 5c 5C,, Qec. 23, be o 3 Proposed �ua%oa7 P. w/ bcl.l - /ao eff /ayr -JE A I ( lo� es �in F. l�er e4El (�. g• 12w j r, wcOolerr nO-6e (3cu w; �' E /el� = 95� � S y Sfem a e4. 5 c,. U — b e jn5 kl0_�c-d a5 per Access Box Threaded Plug Lateral Manifold Lateral turn -up detail Pg. 8 Of 10 I Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The mound septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10572 -P (R.6/99). AJ1 local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. No individual should ever enter a septic tank or pump tank as dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manholes risers, access risers, and covers should be inspected for water tighmess and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shal I be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every two years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System Trees or shrubs should not be planted directly on the mound. Plantings may be made around the mound's perimeter. The mound shall be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) on the mound is not recommended. Soil compaction may hinder aeration of the infiltrative surface within the mound and will promote frost penetration during cold weather months. Cold weather installations (October- February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220mg/L BOD5, 150 MG /L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. The pressure distribution system is provided with a flushing point at the end of each lateral. Each lateral should be flushed of accumulated solids at least once every 18 months. A pressure test should be performed with the results compared to the initial test taken at the time of system installation to determine if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring become defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location. Toe leakage will be eliminated by increasing the basal area of the system. Excessive ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to your county zoning or health inspector. r }3ClLDTS PLBG & HTG Fax : 715 -684 -3144 Mar 26 '01 1643 P02 • l In0*4�^tatlndusm. SOIL AND bl l f �rK�ti^ """ ••_. _ D�w.l� euAdrgs in adcord with ILHR 83.05, �• AM. Code COUNW St. Croix ate etti Plan on pspw not im than 8112 x 11 Ind++a in aise. Plan must indude, but pARCEt L . i and horlso" reterwoe Pcint 034 1052 - 95 dkrK+ b+wd, north arrow, and tocalion and diet 9 l my DATE APPLICANT INFORMATION- PLEASE LL NFQRMM � I q P IY OWN9 f , ERT`l LOCATION h,a 15 � W Dos T11vMS Jell LOT SE u SE 114A 23 T 29 . . PROPEMYOWVNER'S MAJUNG ADDRESS 6L r Sl �NA14; OR C3M N boon: 125 L LAGE OWN T ROAD ZIP C -} field • "w" i],sonr WI . 54427 )DA ` F , dM use C Id Raeidmoal l ol Addifion b exisiirp buAdin9 l C Public or commoW * now 450 gpd Re001 wr*d 0030 los M rata . 5 bed, 9K* -6 tench, gp W AbmrpW X" rriquired 375 lied, R2 375 t wd, q2 MLdmisn desipn lWng � _ j bends, gpd* Reoonxnen W infrlrabon surtaoe elwgkx is) — 98.50 ft (as Adati W de6ipn / sm wristderatlons natem el. bzsaW on line 0t el 97.501 Parent mutteti'dl -Pad Pwn wwwon, F &pow* S = Suitable 60r system r4vuNO M'4C ESSURE {#iA SYSTEM NFU HMOW TANK• U unsuitebie lar stem D =6 9) i S Q u Q S® u U s ® u Q S flu O S fl 0 SOIL DESCRIPTION REPORT Depth Oorninant Color Motow Texbne Structure awe, sle w mulcwy Root$ GPO tloring # Horizon in. Munsell Qu. Sc. Cont Color Gr. Sz. Sh. fled . SID► 1 0-12 10yx3 /3 ncoe 81 2mabX mfr gzv 2f .5 1 .6 1 2 12 -31 10yr4 /4 none ail 2msbk mfr gw if G round 3 31-60 7.5yr4/4 c2d 7.5yr5/6 $l loubk mfr na na .4 -5 9 3.00 tt, t Dep to i 31- Remarks: Boring e 1 15 10yr4/3 Acne sl 2tlugr mfr Cs 2f .5 .6 2 2 15 10yr4/4 nme sl 2mgr mvfr gr if .5 -6 3 8-68 5yr4/4 c2d 7.5yrW al lc ibk mfr na na .4 .5 Ground �v. 98.E Qk Dop in Mang btu�Or 48" Rem>rrks: CST` :- P1eaw print L. Ster1 Phone: 715-2446-6200 1554 ve. New W154p1? = Nwnbw VONS Vitus: I�aa. 7 -2--98 ---- r 7, In 1bgr."MuTIM", JILM � ' l,F T =SEEM Man m mm mom mm mm M� mom mm ==mom BOUTS PLBG & HTG Fax : 715 -684 -3144 Mar 26 '01 1643 PO4 STEEL'S SAIL SERVICE 1554 tooth Ave. a, L Sted � New Richmond, WI 54017 ss SE% S28 215ia {715) 246-6200 M $W -3294 tarn or Wingfield r N 1°=101 7M . . top of 1 M r pipe S�. +W � � 7 „ 711 �,, . w � C . _ mail i'in n pcet 9 el. 94.60 0 1 1 o x M Id Gary L. Stool 7 -2 -98 5e Wisconsin D riment of Indus Pa ge 1 of 2 Labor`Si*!1umenRelations �' SOIL AND SITE EVALUATION REPORT 9 Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix c not limited to vertical and horizontal reference polnt nd /° of slope, s le or PARCEL I.D. # a dimensioned, north arrow, and location and dista o n 4�rdad, 034- 1052 - `' R IE D BY DATE APPLICANT INFORMATION - PLEASE IW� NF„ RMAfi JJ PROPERTY OWNER: PVOPERTY LOCATION v Don Tuvnes .$� ; !(�,� ` G VT. LOT SE 1/4 SE 1/4 T 29 N,R 15 E*r) W PROPERTY OWNERS MAILING ADDRESS T# BLOCK # SUBD. NAME OR CSM # box 125 sr 'Rao a na na CITY, STATE ZIP COD - , P CITY ❑VILLAGE INTOWN NEAREST ROAD Wilson, WI. 54027 ',('. kia P F/cc fi S rin eld Cty. Rd. "W" [x] New Construction Use [ A Residential / Nu off tier 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 g pd Recommended design loading rate - 5 bed, gpd /ft .6 trench, gpd/ft Absorption area required 375 bed, ft2 375 trench, ft Maximum design loading rate - 5 bed, gpd /ft .6 trench, gpd /ft Recommended infiltration surface elevation(s) 98.50 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 97.50' Parent material glacial dri ft Flood plain elevation, if applicable n ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S ®U a S ❑ U [IS ®U ❑ S ® U ❑ S ®U ❑ S o il SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed jTirench 1 0 -12 10yr3 /3 none sl 2msbk mfr gw 2f .5 .6 ,S L a "' 2 12 -31 10yr4 /4 none sil 2msbk mfr gw if .5 .6 .� Ground 3 31 -60 7.5yr4/4 c2d 7.5yr5/6 sl lcsbk mfr na na .4 .5 elev. 9 8.00 ft. Depth to limiting factor 31" Remarks: Boring # 1 0 -15 10yr4 /3 none sl 2mgr mfr cs 2f .5 .6 . S� 2 2 15 - 48 10yr4 /4 none sl 2mgr mvfr gw if .5 .6 3 8 -68 5yr4/4 c2d 7.5yr5/6 sl lcsbk mfr na na .4 .5 Ground elev. 98 ft. Depth to limiting factor Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave., New Ri hmond WI 54017 Signature: 0 Z4&zfie Date: 7 -2 -98 CST Number: m02298 I PROPERTY OWNER Don Tuvnes SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D.# 034 - 1052 -95 }w Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourdary Roots GPD /ft g in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Tram 1 0 -9 10yr3 /3 none 1 2msbk mfr cs 2f .5 .6 ,S 2 9 -30 10yr4 /4 none sil 2msbk mfr gw if .5 .6 s ^ I Ground 3 30 -55 5yr4/ 4 c2d 7.5yr5/6 scl 2csbk mfr na na .4 .5 elev. 9 3.9 ft. Depth to limiting factor 30" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Don Tuvnes 1554 200th Ave. CSTM2298 New Richmond, WI 54017 MPRSW -3254 SE4SE4 s23- T29N -x15w (715) 246 -6200 1 town of Springfield N 1 " =40' BM.= top of 1" pvc pipe C el. 100' Alt. BM. = nail in wooden post 9 el. 94.60' q, 3 30' M ° -4 -� P & 5 P 6 1 N ti C13 1 o 0 k Gary L. Steel 7 -2 -98 54 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ,�;' - Mailing Address 121 Ov^ .5 . flc &2` , 5:Yez- lo Property Address ^ Z (Verification required from Planning Department for new construction) City/State Parcel Identification Number _634 - 1052 - 95- 600 LEGAL DESCRIPTION Property Location 55F V4 . 4. Sec. 2_3 T 9 N -R /-5 W. Town of Subdivision N x Lot # Z - . Certified Survey Map # Volume 12 Page # Z Warranty Deed # S9 Z 9 Volume /3 3 Page # oZZ4 Spec house ❑ yes eno, Lot lines identifiable L Y es C1 no SYSTEM;MAMMNANCE Improper use and maintenanceof your septic systemeould melt is its prtimatui+efaffune to handle wastes. Propermamtenance consists of pumping out fire septic tank every thmee years or sooner, if needed by a licensed pamper. What you put into tlbe system can affect.60 function. of the septic tank as, a treatm stage is the waste diSjwsksystem The pmpetty owns agrees to submit to St. Croix Zaoiag Department t . certification form, signed by the owner: and by a PIO= P I=AXX i O=c y =n pbmkc4rcstdctedphtmbcror'alicensodpumpervcffyingfEut( 1) the on -site wadcwatcrdisposal system is is proper operating condition and/or (2) after iaspecticn and pamrping necessaty). the septic-tank is Iess than M full of sludge. Uwe, tie undcmignod have read the above requirements and agree to maintaain there private sewage disposal system with the standards set folk herein. as set by t#e Dcpattmea of Comme = and the Department of Natural Reno stating that your septic umcs; State of Wisconsin.. Certification system has been maintained must be Completed and =Wined to the St. Croix.Couaty Zoning Office within 30 days of the three year expiration date. Y l iYl of PUCANT DATE OWNER. CERTJ.P'ICAZTON I (we) certify that all statements on this foam are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the Property descnbcd above. by virtue of a warranty deed recorded in Register of Deeds Office. SIGI>IATURE OF APPLICANT ! / DATE « « « « «« pay information that is mis - ncpnesentod may result is the sanitary permit being revoked by the Zoning Department. «•t « «« «« Include with this application: a stamped warranty dud from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 'eta Wa 1353 PAC[ ,26 SIA. E BAR OF WISCONSIN FORM 2 1 - 9N2 t WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS DOCUMENT N3 ST. CROIX CO., WT' xLCFIVED FOR RECORD �34 Dori Tuvn a nd Lor raine E. Tuvnes, husbcind and 12 2:25 PM - - --- -- - - -- _ WRANTY DEED _ ^ -- __ - -- EXEMPT I -�- - -_ _ - CERT COPY FEEL co and w, an o Lr, �oflr Winer a te - _ COPY FEE: a r r i , t t�itn n and -wee TRANSFER FEE: 135.00 - _ - -_ RECORDING FEE: 1 0 , _ ?AGES: 1 +� - - THIS SPACE RFSFRVEO FOn RECORDING DATA - NAME AND RETURN ADDRESS + S t. Croix Count i the fotlt„s•ing c escnFxd real estate in Y V a.. State of Wisconw, i 34- 1052 -95 -000 PA H EL iDENT;FICATICN NUMBER 2 - 3. zt Lot Two (2) of Certified Survey Map filed November 30, 1998, in Volume 13 of Certified Survey Maps, Page 3562, as Document No. 592574, located and being part of the Southeast Quarter of the Southeast Quarter of Section 23, Township 29 North, Range 15 West, St. Croix Couaty, Wisconsin. t I i r� This is no t homestead property i os noo 41 Exception to ts:rrrannesi Easements, - estrictions and rights -of -way of record, if any. ea December ST8 R1 Dated this , day of AA), 19 (SEAL) — (SEAL) Don Tu Lorraine E. Tuvnee - (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss St. Croix _ County. authe vic3ted this day of l9_ Personall_y came before me this _ J � day of December 19 , the above named DonµTuvnes and Lorraine E. Tuvnes, hu and 'wife, TITLE: MEMBER STATE BAR OF WISCONSIN (if not, -- authorized by §706 06, Wis. -ats.) t rw m to be the person __._ who executed h, aregoi;.g ,In Breldp � � sttvm and acl.nowle f THIS INSTRUMENT .VAS DRAFTED BY Notary Q' the same. � - State ^t Attorney Kristin ogiand P.idson, WI 54016 N Public, — County. Wis (Signatures may be authenticated or acknowledged. Both are not My commission is permane (If a state spiration date. necessary.) Names of persons signing to any capacity should be typed e• prtnted below tb.Nr signatures. STATE BA .R OF WISCONSIN ftseensn t.e9m Bun` WARRANTY Dr ED Form No. 2 — 1982 '+, Rr ', g .i ►:t ,e #4 t ! �� ; ;ti ,+-• ' _ - .aa; iM,. t.ld� Y 3T� .>< , 'r ;.-.. ^s s.i, ..3 � -t,a '�f. -. .?. „' ..;. -._ ti�.r .�+r 'Ik_ s. .. ►�.. ,1 �I 'iec_ .. •�/.J `.�._.� 4: ,. 5925'4 o THIS INSTRUMENT DRAFTED BY ED FLANUM JOB N❑. 98 -108 3ooG B O • D y��y u v N BEARINGS ARE REFERENCED TO THE �7 3 Ln < SOUTH LINE OF THE SE1 /4 OF SECTION vr' 23Cn ASSUMED TO BEAR 36'W LA ° m n p� -� °o o. ° r p �N zo � .., C d N� Z "C COD < �' ° N o rrl ;o D Z� Z p � W � r'' �y o n r ;o m 1, r —i 0 ZO O a z °£ ------- - - - - -- ------ - - - - -- S II w .0 NZ Z r �r n p RJ N a W m d Ct Q a fU 70 H Z p r O N00 °28'56 "W 1316.33' x WEST LINE OF THE SEI /4 OF THE SE1 /4 3' +/- a IV Z OD P- O C Z W s D g r ly �ypV w.w m VA o 1 b %C10% ll 'l� ro r C W 10 W o e I 4s �0 o C:) O m cc) W D h I� cn O W n �M oN r •- zly m w rrl:til r ;b S00 °32'15 "E 630,81' X �, r r `� x Z £ d 0 W ? ±'-------- - - - - -- ti — i �� c') z I z ��;7 r ��S' (0,) 00 I m m 00 -' : by C3 m Un� � £ w z ' N W 1 . N r I.. ... .............................w. .p Ul I v W ' W o £ ' `O /- b N00'32'15'W 439.87' N 00 °32' "E -a- N_00'32'15 "W EAST, L INE ❑,F T S E1 / ° _ _ _ _ `"' v -- 880.27' �^ 249.46' Z S00 °32'15 "E � 43 9. 96 ' — nr --- -- ""— — CENTERLINE 01 110 v� r oM C. T.H. " T1 - - - - - -- '" - o Z z ------------- --+ (U �, m a n W� UNPLATTED _______LANDS N z w r A VOI.13 Page 3562 ME 96ed £ L ' IOA I I - aotnpe 203 paeou uaos aletadoadde pue axt330 6utuoz AIunoD xtoaz) - IS aq� gaEquoo Toaaed Aue 6utdoTanap ao 6utsegaand axo;ag -( , 4a 'Taoaed 'o ssaxxe ' azts IOT mmntutm 'spueTIO& ' - a- Z) suOTIeTn69a pue sa jna 'B ART dTgsumos pue Aluno:) 1 91eiS of ioa Cgns st (WeTcd) dem sigl uo uesogs Toaaed gaEg 'SIM 'IUOSanH s U31HVZ co 's •rs vis noa ya m 9T IM ' 'IS anuTeM ZTZ S auI 6uiAananS Psi N 33 S �M 3� �aaTtrez 'r seT6noa -ames 6utddem pue 6utAaeans ut xtoa:) *IS 3 A:IunoZ) aq 3 o aaueuipap uotstAtPgnS pueZ aql pue sainIVIS utsuoxST at[l 3 VE'9EZ aaldmD 3o suoistAoad auaaana aql gTFA POTTdmox ATTn3 aneq I :Ieq:l :pagtaosep pue pahmans Aaepunoq xotia - 4xa aq:j 30 sTexs 0:1 uoi:le:tuasaidea joaaaox a st dew AaeanS POTJTIJGD stqj 3egl A3t1380 osTe 'I -paoxaa 3o slueuaAOx pue suoTIotalsaa 'sluamasea TTe 01 1091gns pue rMa -g • y •D ao3 Aegis 30 - Igbta 0 1 IxaCgnS ' (' Iii 'bS V98'90E'T) saaxV T00'OE sutequoo Taxied . .6al - uzrrbW 90 , aql 01 1883 T8*OE9 'HmGTiZ£OOOS I axuaul !198:F �0'SE9 'Mm9£a9Oo68N axuaq� !:499J 9V'6VZ 'Aegis- 3o -ag6ia ies 6uo a axua o Aegis- o- 6ia A as es P. T S�St�ZEo00S tt� �M y 'A 'Z ', 3 3 �q sa T a aq:l 0:4 :4a83 ZOOS 'Mu9E,90068N 30uagl ::Iaa3 96'6Ei► 'autT sea pies 6uoTe 'HUST&Z£OOOS axueq:a :V/TgS pres 30 auTT rigid aql oa '1893 81'8ZET 'autll ggaou pies 6 uOTe '$,L£,9TO68S axuaq:l :V /THS aq:l 3o VIES Pies 3o autT glaou W4 o 3993 £E'9T£T 'autT 189es Ptes 6 uOTe 'Ma9S.8Zo00N eoua l : a q 3 0 / es T$S Pies 3o auTT Jsa aqj oa 1983 8i�' VVq 'auTT i q / TSS q:lnos pies 6uOTe 'M ,,9Es9Oo68N 6utnutquoo aouagq g aq:t 0:4 Taal 90'S89 WT$S pTES 3o au gInos aqa 6uo7[e 'Mr9E&90068N axuaq:l =EZ uotIoaS pies 3o aauaoo gseagqnog aqq :te 6utxueumoD :sMOTTo3 se pagiaxsOP !utsuoxstM 'Alunoo xtoaa - IS 'PTat36uiadS 30 uAOL 'MST?I 'N6ZL 'EZ uOTIDOS 3 V /TSS aqq 3o V /TgS aqq 30 - 4aed e paddem pue paAaeans eAeq I 'saueny uoa 3o uot:txaa eq Aq geq A3i�aax Agaaaq 'aoAananS pueri utsuoostM paaa�st6ag 'aaTtMZ 'r seT6n0Q 'I I � I -