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HomeMy WebLinkAbout036-1034-20-000 WisconsSn Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Personal infor y p rovice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 363942 Permit Holder's Name: ❑ City ❑ Village ❑ Tdwn of: State Plan ID No.: Peper, David Stanton Township CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: Z ) c, L 036- 1034 -20 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 2 Benchmark e' 6, U / Dosing Alt. BM t u 71 Bldg. Sewer .. 1 2 - P �� Holding St /Ht Inlet -&I TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Air i to ntake ROAD -Dt Wet Air Septic >2OO t{8 — NA Dt Bottom 13 - Z 9 d Dosing `j Z00' 4- �y� ±�3� NA Header /Man. wMF �, 3 X00 Aeration NA Dist. Pipe sa e, , ( to Holding Bot. System /a 99. PUMP ' /SIPHON INFORMATION 0 Final Grade Manufacturer s T emand St cover 3. Yp Model Number •,GPM TDH Lift I. 1 4 oss Friction Z System Z TDHIZ,ZSFt Forcemain Length 5 1 Dia. Dist. To well SOIL ABSO TION SYSTEM a k 3 - BED / Width Length No. Of Trenches PIT No. is Inside Dia. Liquid Depth DIME -N z DIM SYSTEM TO P/L BLDG WELL LAKE /STREAM LEAC M anufacturer: SETBACK INFORMATION TypeO CHA ER Mo um er: System: >200 > I OR NIT DISTRIBUTION SYSTEM Header/Manifold tr Distribution Pipes) N x Hole Size It x Hole Spacing Vent To Air Intake Length —4/.: Dia. Length Dia. Spacing It SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) �' , tit S Ins - 1: 00 Inspection #2: /n�� v Location: 2155 IjOfL S -►re 1 New Richm nd, WI 54017 (S 1/2 NW 1/4 15 T31N R17W) - 153117219A 1.) Alt BM Description 2.) Bldg sewer length = '?* - amount of cover = '3 YZ" 3.) contour= Plan revision requireJ`� Yes No (0 -- 1 F Use other side for additional inform Lion. SBD - 6710 (R.3/97) Date Inspector's Signature Cert. No. Y ADDITIONAL COMMENTS AND SKETCH I SANITARY PERMIT NUMBER: ±4 - - -------- I - i 4 i i Safety and Buildings Division V CO/1S %11 SANITARY PERMIT APPLICATION 2 1 B Washington Avenue Department of Commerce In accord with Comm 8 ,�Y1 A a e Madison, WI 53707 - 7302 • Attach complete plans (to the county copy only) for th,e M o air nb(.1 County than 8 112 x 11 inches in size. t / �,- /v C p • See reverse side for instructions for completing this cation. Ep r , State Sanitary Permit Number 363 W7_ Personal information you provide may be used for secondary purpos _ S� Z�O ; 4� Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)). CP 2 C04"N Q,y State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT I�I� RAC 1 Tj&ws Prope caner N me !.� Pro eft Loca Ion � Lim X, 11 Cl- V° - — 1i4, S tJ T 3 , N, R EM W Propert y Owner's Mailing A dres ` Block Ngm er City, State V ZipC de I Phone umber � Subdivision Name or CSM Number / 3 5T II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ cit Nearest Road Public 1 or 2 Family Dwelling- No. of bedrooms X Iow of III BUILDING SE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 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 box on line A. Check box on line B, if applicable) A) 1. New 2_ E] Replacement 3. [] Replacement of 4. E] Reconnection of 5. ❑ Repair of an { )_`_System ________ System_____________ Tank Only______________ Existing System ________ Existing System 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 E] Specify Type 41 ❑ Holding Tank 12 E] Seepage Trench 22] In- Ground Pressure r . { 42 ❑ Pit Privy 13 E] Seepage Pit f C� X 43 ❑ Vault Privy 14 E] System-In-Fill - p �( VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Prop (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation Sw o b0 I a 1 1 1 9, Feet Feet Capacit VII. TANK allons site in Ca INFORMATION g Total # of Manufacturer's Name Prefab. Con- Steel Fiber- plastic Exper. New Existin Gallons Tanks Concrete structed glass App. Tanks Tank Sep is Tank Heldertg % k+ ❑ ❑ ❑ ❑ Lift Pump Tan /Si r 1:1 E] 1:1 El 1:1 V Tff. 7RrSPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. PI ber's Name: (Print PI tier's Signat re: Stamps) /MPRSW No.: Business Phone Number: l v O - -GI,35 Plumber's Address (Stree"ity, tate, Zip Co e): 77�� IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sayitary Permit Fee (Includes Groundwater ate ssue Issuing Agent Signature (No Stamps) R Surcharge Fee) ` Approved E] Owner Given Initial Adverse Determination 3�5. b 30- X. CONDITI NS OF APPROVAL / REASONS � R � , � DISAPPROV L: SBD -6398 (R. 4199) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS ' 1. A sanitary permit is valid for two (2) ye` 2. Your sanitary permit maybe reneweid't5efor6Wzpiration datqand at a time of renewal any new criteria in the Wisconsin Administrative Code will &;7ipplicable., ' i 3. All revisions to this permit must be approve the- perfnit issui4 authority. 4. Changes ,n ownership or plumber requires a Saniti0fy Permitfrar +'fer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maint-Sin $d! T "ptic Lank(s) must be pumped by aliCensed pumper'whenever necessary, usually every 2 to 3 years. 6. If„you - -h4ve�uesi�ns concerning your onsite sewage system, contact your local code administrator or the State of Wis'tohsir, Safety'and Buildings Division, 608 - 266 - 3151. -- • - To be complete and accurate this sanitary permit application must include: �1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone numbr_ Pt`umbef. must sign,application form. IX. County/ Department Use X. Vunty / Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following` A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve, pump model and pump manufacturer; D) cross section of the soil absorption system if by the county; Ej soil test data on a 115 form; and F) all sizing information. GR SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can' effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. x l Parcel #: 036- 1034 -40 -100 06/ 2 0/ 2007 02:21 PM PAGE 1OF1 Alt. Parcel #: 15.31.17.220C 036 - TOWN OF STANTON 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 - PEPER, DAVID & DEENA DAVID & DEENA PEPER 2155 170TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A -NOT AVAILABLE SEC 15 T31N R17W PT SE NW BEING PT N1/2 Block/Condo Bldg: OF S1/2 NW 1/4 ASS'D /W 036- 1034- 20- 100(219C Tract(s): (Sec- Twn -Rng 401/4 1601/4) 15-31N-17W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1234/490 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 036 - 1034 -20 -100 Valuations Last Changed: 07/15/1999 Description Class Acres Land Improve Total State Reason Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery redit � Claim Count: 0 Certification Date: 12/0411998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 036- 1034 -20 -100 06/20/2007 02:21 PM PAGE 1OF1 Alt. Parcel #: 15.31.17.219C 036 - TOWN OF STANTON 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 - PEPER, DAVID & DEENA DAVID & DEENA PEPER 2155 170TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 15 T31 N RI 7W PT SW NW & SE NW BEING Block/Condo Bldg: N1/2 OF S1/2 OF NW INC 036 - 1034 -40 -100 (220C)& INC 036- 1034- 30(220B Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 15 -31 N-1 7W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1234/490 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/16/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 25,000 319,800 344,800 NO AGRICULTURAL G4 46.100 6,100 0 6,100 NO AGRICULTURAL FOREST G5M 10.000 10,000 0 10,000 NO Totals for 2007: General Property 61.100 41,100 319,800 360,900 Woodland 0.000 0 0 Totals for 2006: General Property 61.100 38,900 319,800 358,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch M PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Vhsconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 29, 2000 CUST ID No.220537 ATTN: Rod Elsinger ZONING OFFICE CALVIN W POWERS JR ST CROIX COUNTY 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 ----.-- WI 54016 r�o RE : CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 06/29/2 �',IV�d 'transaction ID No. 326683 _Ske ID No. 195259 + SITE: ; (� ± (j 3 2fi10 ` ` Please refer to both identification numbers, r;1 Site ID: 195259, David Pepper 5• radix ove, in all correspondence with the a enc . St Croix County, Town of Stanton w' ; rlok) ' r , ,rC S1 /2, NW1 /4, S15, T31N, R17W FOR: Description: New 4BR Mound, 2- Trench D� Object Type: POWT System Regulated Object ID No.: 671115 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Adm. Code. • 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(d), Wis. Stats. CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit approval if submitted to the issuing agency on or after July 1, 2000. Note: There is a potential for a law suit that may delay the effective date of the code so this status may or may not change. 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. CALVIN W POWERS JR Page 2 6/29/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 06/23/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 ennis R. Sorenson BALANCE DUE $ 0.00 Wastewater Specialist (608) 785 -9336 dsorenson @commerce.state.wi.us WiSMART coder 7633 cc: DAVID PEPPER safety and Buildings 4003 N KINNEY t:UULEE RD LA CROSSE WI 54601 -1831 TDD M (608) 264 -8777 *5consin v�vw.commerre•state.wl.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 29, 2000 CUST ID No.220537 ATTIC- Rod Elsinger ZONING OFFICE CALVIN W POWERS JR ST CROIX COUNTY 1969 185TH AVE °T 1101 CARMICHAEL RD NEW RICHMOND WI 54017 `f�UDSON WI 54016 �► \ \:� RE: CONDITIONAL APPROVAL j !���� �� � Identification Numbers PLAN APPROVAL EXPIRES: 06/29/Z002 Transaction W No. 326683 �- 1 i. fi .Z zp�Q �.! Site ID No. 1.95259 51 CAO�x Please refer to both identification numbers, SITE: COt,►�ty '� above, in all correspondence with the a enc . Site ID: 195259, David Pepper , , ZONINaorf,CE St Croix County, Town of Stanton Sl/2, NW1 /4, S15, T31N, R17W 'r,- ; - — r-- 03 FOR: I 1 Description: New 4BR Mound, 2- Trench Design Object Type: POWT System Regulated Object ID No.: 671115 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED_ The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis, Adm. Code. • 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(d), Wis. Stats. CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit approval if submitted to the issuing agency on or after July 1, 2000. Note: There is a potential for a law suit that may delay the effective date of the code so this status may or may not change. 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. C � • CALVIN W POWERS JR Page 2 6/29 100 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 06/23/1000 FEE REQUIRED S 180.00 (� FEE RECEIVED $ 160.00 "Cnnis uSo�renson BALANCE DUE $ 0.00 Wastewater Specialist (608) 785 -9336 dsorenson@commerce-StRtc.wi.us WiSMART code; 7633 cc: DAVID PEPPED, PAGE�OF� MOUND SYSTEM FOR A 11 BEDROOM RESIDENCE jE t LOCATED IN THES 1gOF THEM 0 1/40F SECTIONIL,T 3Y,R - 1 W, TOWN OF ` COUNTY, WISCONSIN. INDEX PAGE IA OF 9 TITLE SHEET PAGE 1 OF 9 WORK SHEET PAGE 2 OF 9 WORK SHEET PAGE 3 OF 9 WORK SHEET PAGE 4 OF 9 WORK SHEET PAGE 5 OF 9 PLOT PLAN PAGE 6 OF 9 PLANVIEW CROSS SECTION PAGE 7 OF 9 DISTRIBUTION PIPE LAYOUT PRIVATE SEWAGE SYSTEM PAGE 8 OF 9 PUMP CHAMBER PAGE 9 OF 9 PUMP PERFORMANCE CURVE It Condition iy A P P 0, If [y �a� _ P ARET�FOR IVISION OF SAFETY AND BUlL0a 4'5 N m vd, PREPARED BY SEE CORRESPONDENCE POWERS C TING C. aD o S3 7 1969 185th AVE NEW RICHMOND, WISC. 54017 715- 246 -5135 ��.' � �r.u.. � y� a QOM ✓UN z �I S, 3 ?000 e �o�s D/� °• 1 7tD lo� WORKSHEET - MOUND SYSTEM DESIGN PROBLEM: eA Inn Design a mound system for a The site characteristics are: Depth to groundwater s P--4=dPWk n • Landslope - % Percolation rate ,r; i min. /in. Distance from dose chamber to distribution system J ft. Elevation difference between Dump and distribution system ft. 'Step 1. WASTEWATER LOAD 4 O gal.' Step 2. SIZE THE ABSORPTION AREA A) Area required = �� �' Z .5` sq. ft. B) Brad or trench length (B) _ /25 1z� d, �-�. ft. ?; C) Bed or trench width (A) ft. � :0) Trench �sp�cing .(.C) Wastewa..er load i4 gal/ft-/day B _ t t re sic e�Ti - s_ fl �o � 3 Step 3. MOUND HEIGHT A) Fill depth (0) A __.___ . ft. � B) Fill depth (E) 0 + � slope (A)f ) t. ZL� / f, SXt C) Bed or trench depth (F) _ .g� ft. 0) Cap and topsoil depth (G)`- ,ft. E) Cap and topsoil depth *(H) ft. i ten Step 4. MOUND LENGTH A) End slope (K) = D + E + F + H x 3 = ? ft. (Za C- 2) . B) Total mound le (L) = B + ?.(K) Step 5. MOUND WIDTH Al) Upslope correction factor z rr4� A2) Upslope width (J) R (D + F + G)(3)(factor) A -_ ft. &-7 . 01) Downslope correction factor = p B2) Downslope width (I) _ (E + F + G)(3)(factor) _ 7 t :C.3A 4.$3 41) 3X Cl) Total mound width (W) for bed = J + A + C2) Total mound width (W) for trenches J + + (no. trenches -1)(c) + A + I = I ft. 6 P Step 6. BASAL AREA _ �° A) Infiltrative capacity of natural soil '��r '3 „ gal. /ft /day B) Basal area required = wastewater flow ' natural soil infiltrative•capacit = oZ sq. ft. � 3 = a° Cl) Basal area available for bed for sloping sites = B x (A + I) _ sq.- ft. C2) Bas are •avail le for trench for sloping sites = B W �J + A 1 asq. ft. C3) Basal ar eh fo'r trdncn or oed for level sites = B x W = sq. ft. l PeLe Step 1. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size = in. 2) Hole spacing = lv in. 3) Distribution pipe length =-i- -% 1 4) Distribution pipe diameter a_ in. 5) Spacing between distribution pipes = 6) Distance from sidewall to distribution pipe - 41-t— in. 7B) DISTRIBUTION PIPE DISCHARGE RATE 3 ft. 1) Number of holes per pipe = ✓ �� 2) Flow per pipe = 1 GPM 1Z,g'� 7C) SIZE MANIFOLD 1) Manifold is central/ end 2) Manifold length a /4 /6 ft. 3) Number of distribution lines = _y.._. 4) Manifold diameter .3 in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate n � _• GPM 2) Force main diameter = 3 in. 3) Friction loss �K -' ft.�_Z_o ' 7E) TOTAL DYNAMIC HEAD 1) Vertical lift = ft. 2) Friction loss = ja3ft•�-Z 3) System head 2.5 ft. _ ft. - -- ft. 4) Total dynamic head = CxQ 7F) PUMP SELECTION 1) Pump selected will discharge GPM at 17 . 5 ft. total dynamic head. =m7odel ufact urer 7G) DOSE VOLUME 1) 10 times void volume of stribution lines //Y / g a l. /cycle /t, (,a4ax49 ? 1 2) Daily was volume 4 doses /24 rs. gal. /cycle 3) Minimum dose volume v X 34 11 , 441 ./cycle 7H) DOSE CHAMBER 1) Minimum capacity required = 7-5 gal. C - 4 E DIM I N N 1 It ol . p -- -- - - -- _- - - - Page f� Of traw, Marsh Hay, or Synthetic Covering S� Distribution Pipe Mums Sand H G ✓ nos .. rr_ - rr_��_aaasq- r_aaasssz-c�ss - r F ` E ` Topsoil l _J 1 — r is F Trench of Y' -2Y' Force Main `Plowed Layer f% of Slope Aggregate Undisturbed Soil Cross Section Of A Mound System Using 2 Trenches For The Absorption Area D Ft. A Ft. E =Z (o B Ft. F , S 3 Ft. C j(, Ft. G I Ft. K Ft.K =1Z -4' H — Ft. L - $3% Ft . L -91.3 J („ 8 Ft. I Ft.r =1I.S W Ft.t), = 4W.3' i I Alternate Position of Force Main L J �� ------------------------------------ A L - - - - -- l Observation On W Pipes i Permanent - -- - -- - - -� - -- Markers -- — _ 7 - - - -- _ __ Distribution Trench of Y' -2V Pipe re ate gg g I Mound Using Trenches For Absorption Area rw Perforated Pipe Detoll End View Perforated End Gop PVC Pipe o(%O `e y d+ Hater Lotated. :-Otn Bottom,., w t d Art, Equally Spaced y � PVC Monlfold Pipe D OA Al"W0 Position Dt telrip•�Ii pipe Force main Last Hole SAould Be N{tt 7o End Cop r ` End Cop J Distribution Pipe Layout P ' Ft. R .y S - 4 X InchPS f Y -6 Inches Hole Diameter inch Lateral " Inch(es) Manifold " . 3 Inches Force Main " Inches # of holes /pipe It t Invert Elevation 'of Laterals! �• F. SEPTIC TANK &• 'PUMP CAAMBE CROSS SECTION AND SPECIFICA't'tuN� 4" CI VENT PIPE 12" MIN. ABOVE GRADE S WEATHER PROOF' >_ 25.' FROM.DOOR, WINDOW. OR JUNCTION BOX APPROVED' FRESH AIR INTAKE. WITH CONDUIT MANHOLE. i; FINISHED GRADE 4 Cl RISER WARNING LABEL 6 MIN. 4 " MIN . ABOVE G ADE 18" IN. 6" MAX. INL ID G , I' AS- WATER TIGHT SEALS ___./ A TIGHT i APPRO A SEAL' � � VED 4 BAFFLE } ALM JOINTS W/ CI CI B PIPE 3' ONTO 3' - T - i ON SOLID SOIL SOL SOIPUMP OFF ELEV . ?.i5 FT. +- -- I �-` Off PERMITTED RISER EXIT ' D PERMITTED ONLY IF.TANK . MANUFACTURER HAS APPROVAL 3 APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: 06 nn bz NUMBER PER DAY: _ TANK SIZES SEPTIC 1�Z GAL. DOSE VOLUME INCLUDING - DOSE - 7� GAL. FLOWBACK: = GAL. ALARM MANUFACTURER: t ���_s^ CAPACITIES: A = -3d'7 1NCHES = Sa GAL.. ' MODEL NUMBER: ICI hf. B = 2 INCHES = aq.T GAL. SWITCH TYPE: PUMP MANUFACTURER: �. ��a S C = /a. 2- INCHES = 1 M 6 GAL. MODEL NUMBER: D = ` INCHES =� GAL. SWITCH TYPE: �1 .t — -+e-- REQUIRED DISCHARGE RATE _ GPM PUMP & ALARM WIRING AS PER ILHR16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET + MINIMUM NETWORK SUPPLY PRESSU E . . . . . . . . . . 2.5 FEET + ! FEET FORCEMAIN X 5 FT 1100 FT. FRICTION FACTOR ,a.3 FEET L DYNAMIC HEAD - TOTAL - q •• , Za- FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH 5_; WIDTH �? _; DIAMETER ________• LIQUID DEPTH 51 t D „ �k 4 - — ulds P0 . a o� G - � ' Submersib le Effluent Pump 3885 APPLICATIONS • Overload protection must smooth'operation Silicon can be operated continuously be provided in starter unit. bronze Impeller available as without damage. Specifically designed for the .Shaft: threaded, 400 series an option. '=�r ,. ; following uses: p {' m Bearings: Upper and • Homes stainless steel. Casing: Cast iron volute lower heavy duty ball bearing Farms • Bearings: ball bearings type for maximum efficiency. construction. upper and lower. 2" NPT discharge adaptable • Trailer courts P ■Power Cable: Severe du ty • Power cord: 20 foot for slide rails stems. • Motels standard length (optional y rated, oil and water resistant. • Schools lengths available) ■ Mechanical Seal: SILICON Epoxy seal on motor end . • Hospitals CARBIDE VS. SILICON provides secondary moisture Single phase: • Industry •'/, and Y HP -16/3 SJTO CARBIDE sealing faces. barrier in case of outer jacket • Effluent systems Stainless steel metal parts, damage and to prevent oil with 115 V or 230 V three BUNA -N elastomers. wicking. prong plug. SPECIFICATIONS • 3 /4 -1'/2 HP -14/3 STO with ! Shaft: Corrosion - resistant ■ 0 -ring: Assures positive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. Locknut on three and oil leakage. 3 /," maximum. •'/2-1 HP -14/4 STO phase models to guard • Discharge size: 2" NPT. with bare leads. On CSA against component damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models - 20 foot on accidental reverse rotation. • Total heads: up to 123 feet length SJTW and STW ■ Motor: Fully submerged in co CanaatanstanliardsAssoctation TDH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat UL Underwriters Laboratories carbide -rotary seat/silicon FEATURES transfer. carbide - stationary seat, 300 ■ Designed for Continuous series stainless steel metal •Impeller: Cast iron, semi- Operation: Pump ratings are parts, BUNA -N elastomers. open, non -clog with pump- within the motor manufacturer's • Temperature: out vanes for mechanical seal recommended working limits, 104 °F (40 °C) continuous Protection. Balanced for 140 °F (60 °C) intermittent. METERS FEET' • Fasteners: 300 series 90 stainless steel _ — SERIES: 3885 SIZE: 1 /4' SOLIDS • Capable of running dry. 25 so vuEl RPM: VARIOUS without damage to - — SG PM "'""- components 70 WEI H 5FT Motor ° 60 Single phase: _' Eo -; -- • '/3 HP, 115 V, 200 V, 230 V, 15 50 60 Hz, 1750 RPM : ' /2 HP, Z — 115 V, 60 Hz, 3500 RPM; '° 40 w E0 H 'h HP -1'/ HP, 230 V, A - - 60 Hz, 3500 RPM. ° 10 30 E° • Built -in overload with. 20 1% e03l automatic reset. 5 • Class B insulation. : i Three phase: •'/2 HP -1'/2 HP 200/230/ 0 0 460 V, 60 Hz, 3500 RPM 0 10 20 30 40 50 60 70 80 90 100 110 120 130GPM • Class B insulation. 0 1 20 30 m 3n1 CAPACITY 0 1995 Goulds Pumps Effective May, 1995 83885 Wisconslg Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page_ of Bureau "of Integrated services in accordance with s. iLHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County Include, but not limited to: vertical and horizontal reference point (BM), direction and 'S 77 CAO!:4 percent slope, scale or dimensions, north arrow, acid location and distance to nearest road. Parcel I.D. Of APPLICANT INFORMATION - Please print all Information Reviewed by £ Date Personal Information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property ne Property Location Govt. Lot S Z eM# x&/1 /4,S �.r T3 ,N,R I E (oCW Property Owners Mailing Addr —� Lot # Block# Subd. Name or CSM# f t . P b 216 (20-A- State Zip Code Phone Number Nearest Road ❑ City ❑Village � Town 4th s510 0 1 0/1' - 12YZ 3c ro sra,#, a L 74> s r P3 New Construction Use: [ Residential i Number of bedrooms `y Addition to existing buNding ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 16 1 0 gpd Recommended design loading rate _LZ _ bed, gpd/f1 ! ?– trench, gpd* Absorption area required __bed, tt2 _,_0��} trench, ft Maximum design loading rate _ Lam bed, gpel A ?_ trench, gpd/ft Recommended Infiltration surface elevations ml* "c "N. ' g ft (as referred to she plan benchmark) Additional design/slte eider tion�s, _.._ Parent material _�— __._... ... -._..— —__... Flood plain elevation, if applicable It S = Suitable for system Conventional Mound In- Ground Pressure AT-Grade System In Fill Holding Tank U = Unsuitable for system ❑ s ® u ® s ❑ u ❑ s E5 u ❑ s 2!Fv I [Is a cis '6 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ground S y i �.S si elev. -- -- Depth to - - -- - �__ limiting in. Remarks: - Boring # ' - , ,� yR.zs /z � — C� ,�sc.C" �F a �- OF , 3 Ground Depth to - —_ - -- limiting fa or I dL in. Remarks: CST Name (Please Print) ( gnature Telephone No. Al 21j`24 k -C C 37 Address Date CST Number 27 Z. /Yo sz c<ir s t 1 -0c) 7e lg7f PROPERTY OWNFR 6 SOIL DESCRIPTION REPORT -_ Page of PARCEL Lox Boring # Horizon Depth Dominant Color Mottles In. Munwi Qu. Sz. Cont Color Texture r. Sz. re Consistence Boundary Roots 2 13 Gr. Sz. Sh. Bed .Trench OT 7, 374F.1/21 _ C� lU dK vF w x Ground 3 SB' �/�..._ elev. Ak e `I7 o2._n. Depth to limiting _ jor Remarks: Boring # EZ AY ak q� : , 3 elev S. W9 ir,tR Depth to limiting in. Remarks: Horizon Depth Dominant Color Mottles Stricture In. Munsell tau. Sz. Cont. Color Texture Gr. Sz. 5h. Consistence Boundary Roots Boring # Bed ; Trench C3 Around elev. tt. , Depth to limiting factor In ' Remarks: Boring # Ground slev. -- _.._ft. ' Depth to - limiting factor in ' Remarks: SBD•8330 (R. 07/96) r , 22 /y7 Ut� )i i �M $ T �3 sr' APr yso 1 Wisconsia Department of Commerce SOIL AND SITE EVALUATION Page of bi0sion of Safety and Buildings Bureau of Integrated Services in accoldanoevijto s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8.4/2x It inch in size.' Plan st County include, but not limited to: vertical and horizontal4erence in irectioti S percent slope, scale or dimensions, north arrow locatioV = ce to ne' s road. Parcel I.D. # APPLICANT INFORMATION - Pleas# plijnt aWkYA �k a��n. 1 Reviewed by Date Personal information you provide may be used for seco�Oty' purposes (1 (F) 6 - - so � ZMD Property 1 prap6rty Location ,. vt. Lot t W4 W&/1/4,S T3 N,R - �;p E (o W Property Owner's Mailing Addr ed Lot # Block# Subd. Name or CSM# 131Y 21 Qo-t ity State Zip Code Phone Number ❑ City ❑ Village El Town Nearest Road s* f� 0/' LWG 3G�a �"7aH7a /70 New Construction Use: ® Residential / Number of bedrooms y Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow lCi D 0 gpd Recommended design loading rate _ bed, gpd1ft Z trench, gpdV Absorption area required " — bed, ft ft !mum design loading rate Z bed, gpd/ft gpd1ft Recommended infiltration surface elevation(sj (as referred to site plan benchmark) Additional design /site c side r lions Parent material - Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S 0 U ® S ❑ U EIS B U I ❑ s Ef'u I ❑ S O U ❑ S '6U SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft Boring Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench IN > y 7 Ground elev. /O�L72ft. Depth to limiting �✓ Remarks: Boring # 1 .sYR.1s /z C� /14CSO' h,40F e Cl yo • sYR �/� !'2Fs ,'c. �a�i��K �F� � _ ; , Ground elev. Depth to limiting fa r in. Remarks: - CST Name (Please Print) gnature Telephone No. ; !/ 21J'26 k —G C 37 Address Date CST Number ? Z / 4 1 0 S ie w:? s - I - Ica Z2 / �! 7 SOIL DESCRIPTION REPORT PROPERTY OWNER Page PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ground elev. 9LoZft. Depth to limiting Remarks: Boring # 13 Z o_ 7 "rUos - �Y CL 1 1164 QiC MP6C alu/ Ground S1 , L M FiP elev. , Depth to limiting in. ��, Remarks: Horizon Depth Dominant Color Mottles Structure GPD/112 in. Munsell Ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench Boring # 13 Ground elev. ft. Depth to limiting ; factor in. Remarks: Boring # 1:3 Ground elev. ft. , Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) LT /q7/ s ILL L? -Pl ��► PU'c ,B/h 7 boo' i b4 9P 1 + z a ,�►� yam' K �-- V f ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer o.�`v d ,- Mailing Address Property Address (S Jc 17a` -S� t% (Verification required from Planning Department for new construction) �� / tate � City/State ty S Parcel Identification Number p 3 (o L O 3 cEa LEGAL DESCRIPTION Property Location.. '/ ftj W '/4, Sec. !, , T -) N -R W, Town of Subdivision , Lot # Certified Survey Map # �- , Volume . Page # Warranty D S a ty eed # �� , Volume , Page # 1 Spec house ❑ yes 1P no Lot lines identifiable IX yes ❑ no SYSTEM riIAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, j ourneyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, 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 statin that our septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da s of the three r expiration date. Lo GNATURE OF APPLICANT DATE OWNER CERTIFICATION i we) certi at all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prope described abo by virtue of a warranty deed recorded in Register of Deeds Office. SIG ATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I ' VOL 1v i; STATE BAR OF WISCONSIN FORM 2 — 1982 !j S9$ '�' 1 KATHLEEN H. W WALSH ARRANTY DEED REGISTER OF DEEDS DOCUMENT NO ST. CROIX CO., WI ' I I RECEIVED FOR RECORD 'I Steven S Malleen, a /k /a Steve S. Halleen it 08=04 =1995 9:30 AN it a single person, WARRANTY DEED l CERTT COPY FEE: COPY FEE: Ii conveys and warrants t o TRANSFER FEE: 151.20 husband and wife as rzuryiyo -Rhin marit�t a M Paper RECORDING FEE: 10.00 i; _. property. PAGES: I is I ' ii THIS SPACE RESERVED FOR RECORDING DATA it NAME AND RETURN ADDRESS the following described real estate in St_ Ctrni x County, i BANK OF NEW RICHMOND State o[ Wisconsin: f PO BOX 128 I ! ; I NEW RICHMOND, WI 54017 i I, 036- 1034 -20; 036 - 1034 -30 036- 1094 -4n PARCEL IDENTIFICATION NUMBER f. I ST /2 of S1 1Z of NW1 /4 of - Sec. 15 -31 -17 EXCEPT Lot 1 of Certified I) i Survey a f iled 11 II y p f 1 d January 27, 1999, in Vol. page 3597, as •l J , Doc. No. 596589, St. Croix County, Wisconsin. I if I II II This f S not homestead property. I X (is not) I Exception to warranties: Easements, restrictions and rights -of -way of record, if any. I ' Dated this �� day of February A.D., 19 99 (SEAL) S tY-W"� (SEAL) !I • Steven S. Halleen, a /k /a if (SEAL) Steve S. Halleen (SEAL) u I ii AUTHENTICATION ACKNOWLEDGMENT Signatures) State of Wisconsin, i 55. it St. Croix 'I County. authenticated this day of 19_ Personal) came before me this o`Z _ Personally '�'_ day of February 19_ 9 9, the above named I: Steven S Halleen, a /k /a ' Steve S. Halleen, a mingle TITLE: MEMBER STATE BAR OF WISCONSIN -. person , II (If not, authorized by §706.06, Wis. Slats.) to me known to be the person who executed the foregoing instiumen[ and acknowledge the same. .� THIS INSTRUMENT WAS DRAFTED BY ��; • ^+ ;' • If Attorney Kristina Ogland ' �•' Hudson, WI 54016 Notary Public, I c/ County Wis, (Signatures may be authenticated or acknowledged Both not My commission is permanent. (If not, state expiration date i. necessary) • Names of persons signing in any capacity should be typed or printed below th& slgnalurcs. WARRANTY DEED STATE'AAIt OF W ISCONS IN Wiscatsin LoW Blank Co., Inc. Form Nd: -b 1992 MlwaJrw. Wk.