HomeMy WebLinkAbout038-1070-20-000 f --
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Parcel #: 038 - 1070 -20 -000 01/11/2006 10:46 AM
PAGE 1 OF 2
Alt. Parcel #: 17.31.18.293L 038 - TOWN OF STAR PRAIRIE
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
MICHAEL & CHARLOTTE BUE O - BUE, MICHAEL & CHARLOTTE
2188 ISLAND DR
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): ' = Primary
Type Dist # Description ' 2188 ISLAND DR
SC 5432 SCH D OF SOMERSET L
SP 8050 SQUAW LAKE RHAB &MANAGE �� /1; !- ��, M (/h-
SP 1700 WITC / �� U . �
Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE
SEC 17 T31 N R1 8W NE NE THAT PART OF S Block/Condo Bldg:
75' OF N 150' BOUNDED ON W BY LAKE & ON
E BY W LN 33' R/W AS DESC IN 691/594 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
ALSO TH S 75' OF N 150' BOUNDED ON E BY 17 -31 N-1 8W �/ f
LN RD & ON WLY 33' R/W
Notes: Parcel History:
Date Doc # Vol /Page Type
03/19/2003 713739 2176/119 WD
02/20/2003 710433 2147/508 EZ -WL
11/17/2000 633893 1560/283 WD
07/12/2000 626270 1525/627 WD
more...
2005 SUMMARY Bill M Fair Market Value: Assessed with:
119158 199,900
Valuations Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 0.000 75,000 121,500 196,500 NO
Totals for 2005:
General Property 0.000 75,000 121,500 196,500
Woodland 0.000 0 0
Totals for 2004:
General Property 0.000 75,000 121,500 196,500
Woodland 0.000 0 0
Lottery Credit Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 038 - 1070 -20 -000 01/1 1/2006 10:46 AM
PAGE 2 OF 2
Parcel History: Cont. aq 2 --
1110 262 QC
65/57
9
I
C�
I
ST. CROIX COUNTY
WISCONSIN
<4 "' ZONING OFFICE
�.
796 -2239 (HAMMOND)
425 -8363 (RIVER FALLS)
- HAMMOND, WI 54015
November 4, 1987
Mr. Mylan Erickson
Route 1, Box 129A
Somerset, WI 54025
Dear Mr. Erickson:
This is a letter to remind you that your State Approved Plans for a
mound system will be up on February 7, 1988. If you do not obtain a
permit by that time, all your plans will have to be resubmitted to
the State of Wisconsin again for approval.
Please send us a copy of your warranty deed and fill out the STC -100 and
STC -105 forms that are enclosed and return them to our office so we
may have Byron Bird, Jr. come down and obtain the permit so you can get
your septic system installed.
If you have any questions regarding this matter, please give this office
a call.
Sincerely,
t-f a,o (•.c')"o
Roxann Croes
Administrative Secretary
Enclosures (2)
i
iscons APPLICATION FOR SANITARY PERMIT y
(P« 67) / GroZX COUNTY
UNIFORM SANITARY PERMIT #
E BOR 6MUTRlI RELRTIOI'l5
— Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'hx 11 inches in size.
—See reverse side for instructions for completing this application. PLEASE PRINT
PROPERTY OWNER MAILING ADDRESS
PROPERTY OCATION CITY:
11fl 1A S / , T , N, ` E (or N
LO NUMBER BLOCK NUMBER SUBDIVISION NAME_ NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER
TYPE OF BUILDING OR USE SERVED
2 1 or 2 Family Number of Bedrooms. �,2 ❑ Public (Specify):
THIS PERMIT IS FOR A:
❑ New System ❑ Tank Replacement ❑ Repair
X Replacement m ❑ Revision ❑ Privy
❑ Alternate System ❑ Reconnection ❑ Petition for Modification
IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK.
❑ Seepage Bed ❑ Seepage Trench ❑ Seepage Pit 1,7204C ,r� ❑ Holding Tank
System -In -Fill ❑ In- Ground Pressure ❑ Vault Privy ❑ Pit Privy
❑ Existing, For Which A Previous Permit Is On File, Permit # issued
❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions.
Total #of Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity
Lift Pump Tank /Siphon Chamber
Holding Tank capacity
Manufacturer:
IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: Mound ❑ In Ground Pressure
Total #of Prefab. Site Steel Fiberglass Plastic
Gallons Tanks Concrete Constructed
Septic Tank Capacity
Lift Pump /Siphon Chamber
Manufacturer: QG
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet):
` 2 Private ❑ Joint ❑ Public
I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans.
Name of Plumber (Print): Sign ur MP /MPRSW No.: Phone Number:
Plum Address: Name o Designer:
ZZ
COUNTY/ DEPARTMENT USE ONLY
Signature of Issuing Agent: Fee: Date: ❑ Disapproved
❑ Owner Given Initial
Approved Adverse Determination
Reason for Disapproval:
Alternate course(s) of Action Available:
DILHR -SBD -6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of
INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398
To be complete and accurate the permit application must include:
1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in
a city, village or town);
2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant,
etc.) ;
3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks.
4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of
square feet to be installed;
5. Complete the section on water supply;
6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi-
fication, place your license number in the space provided and sign the permit in the signature block;
7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the
permit;
8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to installation.
Failure to comply will void the sanitary permit.
9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable.
10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system,
depth of the system, type of system.
11. All revisions to this permit must be approved by the permit issuing authority.
12. A complete plan including a plot plan, drawn to scale or with complete dimensions.
13. Horizontal and vertical elevation reference points that are permanent and clearly shown.
14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s)
to system, building sewer and vent observation pipe(s).
15. The permit issuing agent may require a cross section drawing of the effluent disposal system.
TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems
must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning
your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin.
DEPARTMENT OF RE PORT ON SOIL BORI AN D '`"
?'" - SAFETY & B D I LDINGS
VISION
INDUSTRY, - - - -- -- �(�Y7y
LABOR AND PERCOLATION TESTS (115) w� P.O. BOX 3707
MAD
HUMAN RELATIONS / ISON, WI 53707
(ILHR 83.09(1) & Chapter 145)
LO ATION: SECTION: T u {1 /� OWNS .f /MUNICIPALITY: LOT NO.: BLK. NO. : SU DIVIS11r7 F2cG
COUNTY: OW R'S /BU ER'S NAME: MAILINU ADDRESS:
Crd ` c ., a c r Gr/rsc oa
USE DATES OBSERVATIONS MADE
I ry NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: 1PERCOLATION TESTS:
�F ?esidence " `�' ❑New Replace I ';?/_, --j
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN- GROUND - PRESSURE: SYSTEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional)
OS U S DU EIS U EIS DR U I OS IZU
If Percolation Tests are NOT required DESIGN RA (lf any portion of the tested area is in the
under s. ILHR 83.09(5)(b), indicate: Floodplain, indicat Floodplain elevation: �O
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER - INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-
Al Q 2
� D--- 9 � i •�'.� s/9 -
B- i' /� P�
B ,3 ��' oZ 1 /h 6v c fe
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL -MIN. PERIOD t PERIOD 2 PER PER INCH
P-
E
P � _
P-
i ::ad 011!2�6 4. �7 6 .2
P-
P
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION �� be- ele Zee - �� 41
E E
d
.0 Prf— - —
e
- ��► L`?a � _o � -- � .. � .� _ �� ^ ..I�b�� � . mil ..
E
E
F t
} 3 E
.G
. _ .. q _ ...._ ... V
I �
i
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in th Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print): TESTS WERE COMPLETED ON:
jKr-o o n
ADDRESS: CERTIFICATION NUMBER: IPHONE NUMBER (optional):
D� 7 4"
G 6l
CST SIGNATURE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR -SBD -6395 (R. 10/83) — OVER —
J
iNSTRlJCTI0NS FOR COMPLETING FORM 115 - SBD b 6595
I
To be a t;i, =£T E s7 no an d uc,:L.Qu SO O • ;r" )£ Yt "t . w ":
a ;;,y irzl t€ lo,
gad iesc ir3t ill "#
' 2. The use 5;34;f_X3 £ €rYi,iS4 E,,,, et.lY KAMP M OO" M:s ,s tl r'£SEE,t,SiEZ,$3 or E;otllY7fl"al MjL`C ";
S rv l 0 riilmbet .= bedroOms Use p li:lrlh-d£
��. is thk a ne s+ . " rep fE i.i1° e - ^ySWFTI;
S H E qn r zs t A HC' � S � ,�., )t,P,.y IF A LL
A 1 „a> �; �.., ��.., i � < �L. [�: FOR �_. �” - 3iz.��.�7 2 s,��8s.
OTHER SY i p IMS A RULED GUT BlkSED 01 SOIL, CONDITIONS,
6s r .. - � ,v...- s o s Y o s Y t - � 'le t � �, � - F y. t
6 P LEAS 155. .. �� ab., � �s,ls ya_.ta <� 3�,., f or s-s� lr��, pazt� tt. ti �s�. i,�tivsl. and �n ,�,..�t,� �� pp�tt ;:an
I. R4.fxK.E A t.. %- GM dwTwn ,iC'f;w:aif;l'y kwalhg y(. +GZY tE,S.: ;v7C..a riEJr.,,. L + - a , ..2:i ":C? st.,flr e., rj "t- �tr;
3rti:d. FS
i j *
point al
n a r, O " ' Pei'en � i. C.:Et� �� .,.?.lJ. ano < t
�a. ,t�ii�t...E3re � , 1 h`= €e. ir7:�PE� aC<.< .� 1 .3i � -. .E£ V ,e,r • e
9, �,'or'3plov' all .a,'"3.pvoU : We boX£35 as to claws, 11:imeS, ud.34"Lves, Hood Plain f�s3�sE, 3e co,ci`.ion iu:st exernp-
do'1 it pp"r jar ai?e;
IT 9 Vw Qum tY•o on :-,rchaS floc A plain, ul&vut on) does not apply. N,A, in the approp€ ,,te f7C3k,
1 1. ;q r We hrm and pla your ctirt'env %3Tv m and you an ticyton number;
r;
IT Make ,ecpiil£.. ..aans ..i d dr4u:p-i to 4-� r££<tified, ALL SOIL -TESTS ".. ST BE F' _LED WiTH T
LOCAL X \U 1 HOP E TY `b - (HNNJ 30 DAY OF COMPLETION-
ABBREVIATIONS FOR CERTIFIED SOIL. TESTERS
cas; Sppswst<;s and T£,xtwes OMer Symbols
;,t> to ur. ES "'t 811 — Bedrock
.: , u
C��a�.el i°iri��e, 31 LS � � L.irr��,siin;.
mi' I Gi ,Jv` High Caro urut_Vgtcr
'-, e " .., 504400 s and ,
LasTbw
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_,� b ll(i
o ...., Sjw Co t t? w rfit , 100%
sic Sky c hay a,,
pit Nat 1'. , N [ %; t'i-,wn
ni . _ N"1o'c d dis in(." .
I'{ cell
" u �J:: l "i• ;, i
£. ljmwi y .aS ",'e i• oosai p'4 .__. B en ch Iwk
° V RP V;
i' £' 1 E YS:f''ilCi $ 3i'r
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a
TO THE OWNER:
This soil test report: is the Wit strata in se; uring a sanitary p: omit. Dw county or the Depal "tment may request
Ver1TICdbon of mis &I tat in tim ? Ad nivi m to pE? mit i554m€IC.', A ccirn cte set o plans for the prNae
sewage s} c,.r?l1; a , a o s q ap in dSmst to Sill rni � l _., the appropriate ;ocal wit horrty in order to
obAn it pt, rnit, 1 salad "yr peCmd rn st Ima €_?3 i3; e(1 arld t'C SiHd p:R "i(A to the Start" of any construction.
i
DEPARTMENT OF RE PORT ON SOIL BORINGS AN D SAFETY &BUILDINGS
INDUSTRY, 1 DIVISION
LABOR AND PERCOLATION TESTS (115) MADISON WI 53707
HUMAN RELATIONS
(ILHR 83.09(1) &Chapter 145)
LOCATION SECTION: OWNS /MUNICIPALITY: OT NO.:BLK. NO.: SUBDIVISION NAME:
�/ % /T N /R/ (or) 3 ;"q)- f t
COUNTY: OW R'S BU ER'S N E: MA L N ADDR S :
C ' G a r -� �Js� _ y o a
USE DATES OBSERVATIONS MADE
NO. B DR COMM R L D R PTIO R N T STS:
esidence ❑New Replace _� /Of�� �s
l
RATING: S= Site suitable for system U= Site unsuitable for system
ONVENT NAL: MOUND: IN- GROUND - PRESSURE: S STEM -IN -FILL OLDING TANK: RECOMMENDED SYSTEM: (optional)
Ds u sou as u EIS MU as u
N RA IG
If Percolation Tests are NOT required DES [ Flodplain, ny portion of the tested area is in the
under s. ILHR 83.09(5)(b), indicate: indicate Floodplain elevation: O-
PROFILE DESCRIPTIONS
BORING TOTAL P H T R UNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED S HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- t 60 ho,1,017 o el .3'
B- 0 /7 e
'.r 5%02 �g'— Lc oP•��
B 3 ��' sz `�
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL -MIN. PERIOD t PERIOD 2 PERIOD PER INCH
P. .4 30 y
P /� 1. 11 —
P-
P-
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION
'�
fA 11.
of It p�ulna -= l _._- ./._ _ ` cek. ^_ 1 ►.;� o' l#V1 yl'°K'`q \
9 i Ap
Al
6
iii
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in thit Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME print : TESTS WERE COMPLETED ON:
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
D�
CST SIGNATURE: f
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHRSBD -6395 (R. 10/83) - — OVER —
DILHR
a.... PLAN APPROVAL Safety and Buildings Division
Bureau of Plumbing
P.O Box 7969
❑ 1
eneral 'n P lans Madison on W 537 7
Plumbs a ads o
i g Sewage Plans Telephone: (608)266 -3815
oil
Project Name Project Location - Street No. or Legal Description
1X )
— // County
1 city Village JYfown of: XLVV / ✓�/ �C�/ ,�/ `
The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is
based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped "conditionally approved ". This approval
is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the
city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of
plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be
made.
❑ FOR GENERAL PLUMBING PLANS: 3a 3b 3c 3d 3e 3f 3g
This approval will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan
a proval must be obtained.
E� FOR PRIVATE SEWAGE PLANS: (1) (2) (3a) (3b) (4a) )1 b) (6) (7)
approval will expire two ears from the date approved belo or
This a if a sanitary permit is obtained it will expire the day the initial sanitary
PP P Y PP Y P P Y Y
permit expires.
The Bureau of Plumbing has reviewed these plans for plumbing and /or private sewage code requirements only. All other system reviews must be
submitted to the Bureau of Buildings and Structures.
Comments:
By:
James Sargent
Bureau Director
If Questions Plans Approved By: Date Approved:
Contact ♦ 7 /
c: L k ; P <, e Sewage Consultant ❑ Plumbing Consultant El Environmental Health
1� County ❑ Local PI ❑ Facilities Need Analysis Section
❑ UW -SSWMP ❑ Plumber ❑ Department of Agriculture
DILHR -SBD -6099 (R. 01/85) ❑ Owner ❑ Other
«�
PROJECT 'G/ d bRESS ' oop ..,,c
a
/ cC OUNTY 3 Gr p s
, ,go
m . CO�NTIONA. ,:, CCIVEENTTON+►I,1rfFT MONDHOLDING TANK
x ,
IN, PRESSt ,
�EPTIC:TANI~; SIZE
�.'
Y _ z LIFT TANK SIM
4
4'
DOSE TANK SIZE WIN
O 'I"ANK SIZE
ABSORPTION RATE A BED SIZE
iZZ PLUMBER ISCENS$ NO.
,
AM
a ► , BM ssuzne elevation t�►4 .�4 -5 _ o lyo
s Lc>atoa of Bencrirnc
Bore
• Perc Hole System
S !tfo � `XP R��ICO I1G
2 2«. 2"
6" Sewer b6ck -
aft. i 's ft. 24 ft.
h9 t
� �•c• , moo op.,x
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RN
�r£ 2 1995
K E t m"raNc Pj I'��'I°`'� UREAU
F
StraW,;Morsh Hay,. Or.
' Synthetic Covering
Distribution Ripe
t Mediwm
an
`��' T�opsoi►;, �� ' a
d} 1 art+ k h
"3 Force Main Plowed
i �' �g egote From Pump
Layer
4 , 6
g J
F
Cross � SetIion Of,' A, Mound System Using E
F
° r 4 A ed .For Thi'Absorption Area ?� +
bignee� A _ Ft. N
E
tCerre Nui er': „fir "`
on
k `#
A� terntte Pos 1 ti o0
L Ft
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re
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j i
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«»�.�..��...... 1 Main
Force
F rom Pu*
f _, Disiribuli+b Bed Of ��— 2 ;- z
i y r A €pe r A
v
lion
Pik
Permanent Markers
,
t }
CElVEi
DEC 12 198
Pion V�e.w`
r ,o , o Area
,�� ��� -�►� 1 �r��',9� E ,
" Y AIp Csi�;�Cil S I�i_IJflliRi�9�
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x,
z ,r Perforo�,� `Ptae_ Datall
3 b�& s,
zt ,, nd View
�+. po f0gfed
Cap a lPiv -
Holes ,Located On Bottom,
S Are Equally Spaced
Cr:� Fart # Main
PY
'>s
Manifold �' +pe ,�, •'
t
wUk'3
r E k , �a}jtron �� Aiternpt Position of
t p +k Force Main.
r � >a�kxo- r i
ri
d 1 r ` ell. TO V6�1; t
, 5 ,
7 b i f i A Y 4 I, q ty Y{
�fi p, f3tdfeib ate Lqy !�
it 9 or 0 1 Ft.
1:
u s
t� r
+ x
+ x Y Inches
��r
Hole Diameter Inch
Lateral Inch(eO
t.tc nse Nurn art
NAM ..,_,�.._..,_ Manifold " � I nChe5
date: >�'tk Force Main 10 a Inches
q{ .-...
}
# of holes /pipe
k LU �lnvert-.11 of Laterals Ft.
+� k
a
"F RECEIVED
'q' , p ri
E Lf t7t `�kt1r 11k� ti7 fl �+r� D E C p�,,. �1 12 198
+k
.. P i
eURtAIJ
e.
PAGE OF
" Pl1MP CHAMBER CRG' S5` SECTION AKID SPECIFICATIOMS
1fEt�9T CAP
x
WEAVER' PROOF APPROVED LOCKING
DOOR,. ,,
ukic 1013 "BOX MAWHOLE COVER
iOW,OK FRESH IZ "MI11.
INTAKE`
GRADE
4" MIh1.
j
4QIJDUIT
I�! " /l " 1�♦ w sd �.
AIRTIC+HT SEAL
h fl ! 0 A APPROVED JOINTS
x #!Pz 1 I w /C. . PIPE
ALARM EXTEUDIAIC+ 3'
ONTO SOLID SOIL
r
i
t C sz PU MP
Orr i
y tj,D,,a CO, 63S• , v�
c 6Ai Tf BLOCK r9 5
> #fit w aLY
RISl;tt EXIT' PER1 :I"WrD ON SIP` ?`AtaIK MA�l+,IU ACTUR£R HAS SUCH APPROVAL
f O ki
FACT' lttttb1l : —_.. '` .. .... �WMBER OF DQSE5:_ .....,_...,.PER DA!
`Ak)K' SlZ1 CG;A►I.ORSS DOSE VOLUME°
l AAf�IUFACTUI$t1t, ` ` Ct INCLUDING BACKFLOW: GALLONS
MODr~L WUMBEti. "''''' // LApACiTIES: A= IAICNES OR GALLONS
b1lITCH TYPE: ._. INCH£5 OR GALLOUS
+IP MAUUFA IAJCHES OR GALLOWS
oc
D- IN HES OR GALL01,16
' `:
'S4d1TC'H '1"`IfP):; e AND ALARM ARE TO 5E
{ t M t1J 1J!'1 ", kt' CM A► kGE ,, t't' ` ''' FPM INSTALLED ON UPNRATE CiRCu1T6
DtPfSRENCE 5ET
tOdiiii UPAP OFF AM OtIl'tTRIBUTIOM PIPE....., ,FEET
�!► `
IIAJIMLIh1 METW0' RK 5lfPP4, P R « .... r .. .. 2,5 FEET ° Q
F"15RCC MAW P I�y�FRICTIOU-FACTOK FEET
...�.. ,,
Q4A4 0!;W444t 'HEAa
E>rtll�lA1, I IM NSIO#tiC F 'fAt�1K: L1wI`1G►`�`Il� '.' iW'1 -DTH - .. -�-,J .. LIQUID_ 'OEPTH -
d
� . +ICEhlSl MUM. : DATE�
ER Y
yy ! t
I 1
�a
46 UN0 SYSTEM "
r Ii. IN- GROUND PRESSURE SYSTEM-Continued-
I� Wastewater Load, Total Dally Flow= taI 1t). Force Main:
Use section H 63.15 (3) (C) Wis.
Minimum Dosing Rate = gpm.
Adm. Code and PROVIDE A DETA,MED , Diameter
LIST OF 5lZING ON PLAN S _ _ •�•�._ in.
I+ , = Depth to L #miring Factor= T1. Total Dynamic Mad:
tL7tndslopp Systemkfead = 2.5 ft 0?_,5-
Vertical Lift = ft 9
1, pll�t ?nee from Dose Chamber Friction Loss =
Distribution
. fir TDH =
Equation Dlfferencc 8etween 12. Pump Selection:
; , Absarptior Pump and' Distribution System ar ( / Pump III d }scharge at least. gPm
i %Area Sizing Ir / +Y 7 1r
�'�; at t. total dynamic head.
t 004 o T r e nch red = 'd Pump model and m nufacturer
i Bed or Trench Lartgtls �Bj " fi a
x =bed or Trench Width (A) w.„ , �'—
Trench Spacing (C�'
• 13.' Dose.VolumeR
�
` `Mann¢ 10 Times Vold Volume of
F1lI Deptft,(D) = Distribution Lines= _ gal.
z Fil! "Depth bQwnalope (E� ;' ,r r' Daily Wastewater Volume
I. 4 Doses in 24 hrs. gal
Bed or Trench Dt>s- th'(Fj o. ft RacY w
l
Cap and Topsoil Depth �G} fi. gal.
t Mlnimum'fose ...., 8e1
Cap and T opsoil Depth (H
�cwnd
Length
14 �
. ' Dose C hamber:
End Slope t R) *'
�n Volume = — g:i.
t „Tbta1 Mound Length JL. _ }
f ,� M tfi. CONVENTIONAL PRIVATE SEWAGE SYSI E
'i Mouriq Width: 1. Wastewater Load, Total Dahl" flow =
` Opslope Correctiolt�Far �? a
s ' 'tJPsMope Width {l�,e Use section.H 63.15 (j {g, Wis.
Adm. Code' an dPROVIDIE ETAtLEp
" Dgwnslc pa Correction Factt
' �i f r
Width OF SIZING ON! PhANS.
ra Downsiope i1) rr Ch
t f#yt, ' » tankCapacity-
, Ct►tal Mound Width
3 l i p'ercolation Rate= Area "w " �" 4 < AbsorptJon Area Sizing. milt. /in.
niltrat#++! �Capacit of 4
Re ter to Table 2 in cha p ter N,63
.
+, NttturtalScJt� 4 : an
DE #{ day d PROVIDE A DETAILED LIST OF
#glisal Ar$a Required * M SIZING ON PLANS.
Atet� Available' * r
P Tab1e's from Chapter +' Required Area = --.. sq. !t.
fit 63 are ysed, Indicate Table
Length so ,. ft
ty Width = .- .- ...._. ft.
I~of Clio Distribution Network, Itsa Numtett S I4 to Scatter! r`' 1 Number of Trenches =
�
Trench Spacing
ROM) PRESS U RE SYSTEM
�p #b to LilMting Factor * y t S• Distribution System:
t rt �'} d �'
anetopo �� , Lateral Length = ft,
x Number of Laterals=
�'freotatJon Ii.ale � ;' •s it �i,
" m Lateral Spacing a
��rdfragad SYttem" Eleva #Jot► _ , it :
Waltajvatar Loan, TotaJ.Daily FtAw r , Distance from Sidewall to Pipe In.
;I' f
the System Elevation
,i sectlon.H 6315 �3� . VN}s, f, Vj
" t Adar Code and PROVIDE 0 TAlt IV S YSTtM•iN-FIL�
LI5i OF 4IZI G ON LAt
' i k mill In A N Items from Section Ill
� Iuircd'$optic Tahk Cloildl y ,• gat z
4
°Aris SEPT
sit
6U " rca itcgtt bq x§ 1. Capat #ty in gal.
"stem Lattgth = 2. ' Manufacturer: ze—
System Wtgth = " 3. Show Site Constructed Tank Details on Plan
Q
lls"Ole bution site Pipe Siting: Vi; DOSING TANK V
F1olc r = 1. Capacity ffi 8 5 081
!Tole Spacing :., . ft. gal.
Lateral Lenttth ° 2. Manufacturer:
Pwmp m4nul4cturar:
in ro � 4. Pump Model.
I+ Operating Head
I11ist ntkr lgit)r tip!, w.,il Irr I'i}ne iq � `, ft. `
lalfrbti{Jar# PJ}+b Dl.clt.t kc, R,ri�r« G. 't tow Rnic r gp m.
i ember i 'llettt.r Prr:Pgx* � , 7 'Show Site Constructed Tank Details on Plans
Per Pit l '
w iCir� VII l!K)l:Cj11VKb "fnNK '
daler�rrlo yYnggz. P
thtar cxr �nel Capacity _
2. Mrnufaclurer. — - � gal.
Show Site Constructed
6
tA% on Plans
1 1/ ED
- � SrFVir A#i N 4N PLANS - DE C 1 2 1905
IID'�'f?6E Flt D3�g21.
MEAD CAPACITY CURVE
s „ t L1H
iz
M
a
kt
EFFLYENTANDDEWAT9FAM
F iwF�r: �� , I lI�nwyllA�r►Pfl�r1 Y
1 ,
sEI11Ei si sT•bf 97 IR-1» 161 /s5
ti EFFLUENT AND 041IVATERINO FT. AMOAL oAl GAL GAL Owl GAL
s 49 W ION s, st '
SEWAGE AND DEMIATERtNG 10 • x s7 79 61 s1
AM
Z4A
.a e4 so eo
:o 27 �s so 90
zs • ` 57
* ao sa- ss
s 40
M
b 1s 43
30
S}r '% 4631 ' 14
Lock v41w YY 5. Ig �• 67 .
TOTAL DYNAMIC NEAD/CAFACmr FIJI WWjyt
Na
WAU ” sEMES sEAcewATElltiw sN !q
! f FT ; GAL GAL tiAl GAL GAL
la 102 Jsd 190 4A2' 11p iM-
10 so 74 95 167
7
i 43 57 149
14 1 20 s 3=3 123
.i. I 2s xY 78 a9a':
S s r"'Ar r4 A rr 90 so 77
40
Y
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r
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4 40'
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M DEL 4s
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t
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AA40EiS '%
M 0 M !1.
59 {
'311t""' ifl 0 =.{ "ltl8p a0 "$'ii0 :101. 140 h 24 .- 30'* ': X50 )80
,.
s7
t Tt 60 160' :240 320 400 480 56�EC
l 1
FL t�W PER MIN
V50 813 A ►14!�rfn�
s
1, p b 834 fans Manulactwm o! .. .
0. Box ZL ! 1 ftvllle, Kentucky 40 218
(SO) 778 -2731 Quuurr /�u "PB SIiM- /.9.1.9
•
✓ ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
? 796 -2239 (HAMMOND)
S : T 425 -8363 (RIVER FALLS)
HAMMOND, WI 54015
October 22, 1985
Division of Safety and Building
Bureau of Plumbing
P. 0. Box 7969
Madison, WI 53707
Dear Sir:
An on site investigation for the Mylan Erickson property located at
the NEk of the NEk of Section 17, T31N -R18W, Town of Star Prairie,
St. Croix County, revealed suitable soils at a depth of 26 inches,
below which seasonable high ground water was noted.
This site should be suitable for a mound system.
Should you have any questions regarding this subject, please feel free
to contact this office.
Sincerely,
.
Thomas C. Nelson
i
Assistant Zoning g Administrator
mj
GEC 12 195
f
WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING
P.O. BOX 7969, MADISON, WISCONSIN 53707
Verification of Exception Status for an Alternative Private Sewage System
In the County of St. Croix
Location NE 1/4, NE 1/4, Sec. 17 T 31 N, R 18 W
Town o`0 'a" star Prairie Street Address
Lot No. Block Subdivision
Landowner's Name Mylan Erickson
The application for this site is for:
❑ new construction use.
® replacement system use.
If this is NEW CONSTRUCTION USE, the alternative private sewage system is:
(..1 to have one of the first five approvals guaranteed for this year. This is
number - - of those applications. (Use one of the first five
quota num ers s sue to you.)
t. l one of the applications needing a quota number. The quota number assigned to
this application is - -
❑ for one additional homesite on a farm to be occupied by a parent, child,
grandchild, sibling, niece, nephew, or first cousin.
D for an individual lot for which a sanitary permit was issued but was later
ruled unsuitable due to new or changed soil criteria established by the
department.
[....]for an application on file prior to February 1, 1980.
(_]for a lot that meets the criteria for a conventional private sewage system.
If this is a REPLACEMENT SYSTEM USE, the alternative private sewage system is
replacing: 8508
® a failing conventional soil absorption system.
Oa holding tank that was installed and in use prior to February 1, 1980.
❑ a privy that was installed and in use prior to February 1, 1980. e,ECEfVEL1
If this is a REPLACEMENT SYSTEM USE and the Jot meets the criteria for a D `c 1 19a
conventional private sewage system, check here. 0 17
rNrn �
I certify that the above information is true and accurate to the best of my �t3
knowledge.
Name Thomas C. Belson S re
County Official
Title Assist Zoning Administrator Date October 22, 1985
DILHR -SBD -6158 (R 12/82)
STATE bF WISCONSIN42AIM VT CSC' INbUStitt, to OR & HUMAN RELATIONS
DIVISION OF SAFETY & BUILDINGS - BUREAU OF PLUMBING
P.O. BOX 7969 - MADISON, WI, 53707
APPLICATION FOR THE USE OF AN ALTERNATIVE SYSTEM
Location: Township /4195
NE k NEk S 17 T 31 N/R 18 }86N;a W Star Prairie St- Croix
Street Address: Subdivision: County:
Landowners Name: Mailing Address:
Mylan Erickson Box 129A Somerset WI 54025
I (We), the undersigned, hereby make application for an alternative system on
the above - described premises. I recognize that the above premises are not
suited for a conventional private sewage system. If approval is granted, I
agree to have the system installed in conformance with the Bureau's approval
of plans and specifications.
I further understand that an alternative system is more complex in nature than
a conventional private sewage system and as such will require detailed
inspection during construction and monitoring after the system is put into
use. I agree to permit both county officials charged with administering county
sanitary ordinances and Bureau employes or other authorized persons to have
access to the above described premises at any reasonable time for the purpose
of inspection the construction of or monitoring of the system. I further agree
to either personally or by my agent contact the proper county official to
arrange the time and date to begin construction of the system.
I understand that this application does not permit me (the applicant) or my
agent (the contractor) to begin installation. If the system is approved, the
Bureau will send the applicant a letter of approval which authorizes
construction of the alternative system after all necessary permits have been
obtained.
I agree to give notice to any subsequent buyer that an application for an
alternative system has been made and if installed, that the premises are served
by an alternative system and further agree to give the buyer a copy of this
i application.
�'ECE
The Bureau accepts this application subject to this understanding and sub3ect
to all the conditions and obligations set out in this application.
9, 508131, f
X
S gna ure of Applicant Date
STATE OF WISCONSIN Subscribed and sworn to before me
SS.
COUNTY OF St . Croi Th s , 14� day of - iw ov e ��eeesis�,
Notary Public
IN QB.1�A .L �EDEA�
Notary P is St to of Wisconsin
DILHR -SBD -6413 (N. 05/81)
My Commission Expires: 16 Piar. 19
--
- DEPARTMENT OF RE PORT ON SOIL BORINGS AN D SAFETY & BUILDINGS
INDUSTRY, DIVISION
LABOR AND PERCOLATION TESTS (115 MADISON B
I 53707 9
HUMAI* RELATIONS
(ILHR 83.09(1) &Chapter 145)
LO ATI CTION: OWNS /MUNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME:
�� /T N/R/4 (or) �Q r
COUNTY: OWNER'S/BUYER'S N E: MAILING ADDR SS:
�j� • gill
1,222 G .� a e r _C 4r15G Oa
USE DATES OBSERVATIONS MADE
NO. BE MS.: COMMERCIAL D S RI TIO R S: PERCOLATION ESTS:
esidence ❑New ,Replace
RATING: S= Site suitable for system U= Site unsuitable for system
ONVENTION MOUND: IN- GROUND - PRESSURE: S STEM- II FILLHOLDING TANK: RECOMMENDED SYSTEM:(opticnal)
❑ S U S ❑U ❑S N [ZU ❑S U
ESIGN RA
If Percolation Tests are NOT required D If any portion of the tested area is in the
under s. ILHR 83.0915)(b), indicate: Floodplain, indicate Floodplain elevation: O.
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GR UNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN. ELEVATION OBSERVED EST. HE TO BEDROCK IF OBSERVED ( SEE ABBRV. O N BACK.)
B- t 60 Q we,"a
�� •E'3n s/9 - 4 e
i3ii .5 / � - tea Rah
B- D e6 6 �r s
I, B -.
B-
B-
RECEIVED
PERCOLATION TESTS 9URFAIJ
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL -MIN. IOD PER PER INCH
P. Jv CY
P-
P-
P-
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
I
� D I L H R Safety and Buildings Division
,A - PLAN APPROVAL Bureau of Plumbing
P.O Box 7 %9
❑ General Plumbing Plans Madison, Wl 53707
Private Sewage Plans Telephone: (608)266 -3815
Jill
r !
Project Name Project Location - Street No. or Legal Description
y County
❑ City ❑ Village []/town of
The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is
based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped "conditionally approved ". This approval
is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the
city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of
plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be
made.
❑ FOR GENERAL PLUMBING PLANS: 3a 3b 3c 3d 3e 3f 3g
This approval will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan
approval must be obtained.
❑-` FOR PRIVATE SEWAGE PLANS: (1) (2) (3a) (3b) (4a) b) (6) (7)
This approval will expire two years from the date approved belo or if a sanitary permit is obtained, it will expire the day the initial sanitary
permit expires.
The Bureau of Plumbing has reviewed these plans for plumbing and /or private sewage code requirements only. All other system reviews must be
submitted to the Bureau of Buildings and Structures.
Comments:
By:
James Sargent
Bureau Director
If Questions Plans Approved By: Date Approved:
Contact
dc: - [,q Prjvate Sewage Consultant ❑ Plumbing Consultant ❑ Environmental Health
❑ Local PI ❑ Facilities Need Analysis Section
❑ UW -SSWMP ❑ Plumber ❑ Department of Agriculture
DILHR -SBD -6099 (R. 01/85) ❑ Owner ❑ Other
ST. CROIX COUNTY
•r s WISCONSIN
r„ ZONING OFFICE
796 -2239 (HAMMOND)
425 -8363 (RIVER FALLS)
-- HAMMOND, WI 54015
October 22, 1985
Division of Safety and Building
Bureau of Plumbing
P. O. Box 7969
Madison, WI 53707
Dear Sir:
An on site investigation for the Mylan Erickson property located at
the NEk of the NE of Section 17, T31N -R18W, Town of Star Prairie,
St. Croix County, revealed suitable soils at a depth of 26 inches,
below which seasonable high ground water was noted.
This site should be suitable for a mound system.
o have n questions regarding this subject
Should you any q g g subject, p lease feel free
to contact this office.
Sincerely,
Thomas C. Nelson
Assistant Zoning Administrator
mj
1
STATL bF WISCONSIN -MM 14T Oft INDUST", LABOR & HUMAN RELATIONS
DIVISION OF SAFETY & BUILDINGS - BUREAU OF PLUMBING
P.O. BOX 7969 - MADISON, WI, 53707
APPLICATION FOR THE USE OF AN ALTERNATIVE SYSTEM
Location: Township /, '
NE 1 4 NE 1 4 1 S 17 IT 31 N/R 18 )96@WW Star Prairie St- Crnix
Street Address: Subdivision: County:
Landowners Name: Mailing Address:
Mylan Eric son Box 129A Somerset WI 54025
I (Me), the undersigned, hereby make application for an alternative system on
the above - described premises. I recognize that the above premises are not
suited for a conventional private sewage system. If approval is granted, I
agree to have the system installed in conformance with the Bureau's approval
of plans and specifications.
I further understand that an alternative system is more complex in nature than
a conventional private sewage system and as such will require detailed
inspection during construction and monitoring after the system is put into
use. I agree to permit both county officials charged with administering county
sanitary ordinances and Bureau employes or other authorized persons to have
access to the above described premises at any reasonable time for the purpose
of inspection the construction of or monitoring of the system. I further agree
to either personally or by my agent contact the proper county official to
arrange the time and date to begin construction of the system.
I understand that this application does not permit me (the applicant) or my
agent (the contractor) to begin installation. If the system is approved, the
Bureau will send the applicant a letter of approval which authorizes
construction of the alternative system after all necessary permits have been
obtained.
I agree to give notice to any subsequent buyer that an application for an
alternative system has been made and if installed, that the premises are served
by an alternative system and further agree to give the buyer a copy of this
application.
The Bureau accepts this application subject to this understanding and subject
to all the conditions and obligations set out in this application.
Signature of Applicant Date
STATE OF WISCONSIN Subscribed and sworn to before me
SS.
COUNTY OF This day of 19 — .
Notary Public, State of Wisconsin
DILHR -SBD -6413 (N. 05/81) My Commission Expires:
WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
DIVISION OF SAFETY b BUILDINGS, BUREAU OF PLUMBING
P.O. BOX 7969 MADISON WISCONSIN 53707
Verification of Exception Status for an Alternative Private Sewage System
In the County of St. Cro
Location NE 1/4, NE 1/4, Sec. 17 T 31 N, R 1 x Fxt W
Town 0' Star Prairie Street Address
Lot No. Block _, Subdivision
Landowner's Name Mylan Erickson
The application for this site is for:
❑ new construction use.
® replacement system use.
If this is NEW CONSTRUCTION USE, the alternative private sewage system is:
�..1to have one of the first five approvals guaranteed for this year. This is
numher - - of those applications. (Use one of the first five
quota nom ers issue? you.)
1. l one of the applications needing a quota number. The quota number assigned to
this application is - .
❑ for one additional homesite on a farm to be occupied by a parent, child,
grandchild, sibling, niece, nephew, or first cousin.
[for an individual lot for which a sanitary permit was issued but was later
ruled unsuitable due to new or changed soil criteria established by the
department.
(.for an application on file prior to February 1, 1980.
L]for a lot that meets the criteria for a conventional private sewage system.
If this is a REPLACEMENT SYSTEM USE, the alternative private sewage system is
replacing:
® a failing conventional soil absorption system.
❑ a holding tank that was installed and in use prior to February 1, 1980.
❑ a privy that was installed and in use prior to February 1, 1980.
If this is a REPLACEMENT SYSTEM USE and the Jot meets the criteria for a
conventional private sewage system, check here.0
I certify that the above information is true and accurate to the best of my
kn
no e. g
Name Thomas C. Nelson S re
County Official
Title Assistant Zon ing Administrator Date October 22, 1985
DILHR -SBO -6158 (R 12/82)