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002-1022-10-000
e' 3 0 ) 3 tD W 5 o W m o ^ co 0 n O N 7 j O N C�0 1 7 N 0 1 O j FS N C 3 7 CD [� O [CT O 3 N y O O O cn z N ii a z m 'n O (D 3 co a o o IN O - _ CD i 00 CD J J J J y <° 8� N M c V v °.: tr ego or I o,D Oro N 3 o o O' ° N 3 O1 G 0 CL .. N Z Ni co ° \ 3 o • CD C i m z Z / C2: CD 0 A G o. r z -1 T m C a c z 3 m � I D \ o' o a ID CL c a °' y Z a co , ° as a ?y m z C O O CL y b o°i m a O R j O � O N GJ tD O C Vi O. A I ' � r b ~ m vo A A w O H ° o CL Parcel #: 002 - 1022 -10 -000 12/26/2007 12:08 PM PA 1 OF 1 Alt. Parcel #: 11.29.16.152A 002 - TOWN OF BALDWIN 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 - WENDELL, DENNIS F DENNIS F WENDELL 519 BENZ RD NEW BRIGHTON MN 55112 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description ' 2577 110TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 20.410 Plat: 3856 -CSM 14 -3856 SEC 11 T29N R1 6W PT NE NE CSM 1413856 Block /Condo Bldg: LOT 1 LOT 1 20.410AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 11- 29N -16W NE NE Notes: Parcel History: Date Doc # Vol /Page Type 01/20/2006 816847 WD 02/11 /2002 670810 1833/577 OC 06/09/2000 624577 1518/75 WD 06/08/2000 624483 1517/442 WD more 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 229995 Use Value Assessment Valuations: Last Changed: 04/16/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 17.000 2,900 0 2,900 NO 00 UNDEVELOPED G5 3.410 4,300 0 4,300 NO Totals for 2007: General Property 20.410 7,200 0 7,200 Woodland 0.000 0 0 Totals for 2006: General Property 20.410 7,000 0 7,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 002 - 1022 -10 -000 07/13/2005 03:25 PM PAGE 1 OF 1 Alt. Parcel #: 11.29.16.152A 002 - TOWN OF BALDWIN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner SCOTT WENDELL * WENDELL, SCOTT 9457 HOWARD LAKE DR FOREST LAKE MN 55025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2577 110TH AVE SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 20.410 Plat: 1047 -CSM 14/3856 SEC 11 T29N R1 6W PT NE NE CSM 14/3856 Block/Condo Bldg: LOT 1 LOT 1 20.410AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 11- 29N -16W NE NE Notes: Parcel History: Date Doc # Vol /Page Type 02/11/2002 670810 18331577 QC 06/09/2000 624577 1518/75 WD 06/08/2000 624483 1517/442 WD 07/08/1997 1250/302 LC 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/28/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 20.000 2,100 0 2,100 NO UNDEVELOPED G5 0.410 100 0 100 NO Totals for 2005: General Property 20.410 2,200 0 2,200 Woodland 0.000 0 0 Totals for 2004: General Property 20.410 2,200 0 2,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Co §Yyeroix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sar�itary�P„e�mit No.: Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 3��33 4y Permit Holder's Name: [I City U Village To n.of: State Plan ID No.: 'Connor, Phillip & Nancy own of alalwln CST BM Elev.:- Insp. BM Elev -: BM Description: Pa j _ 10 _ 000 TANK INFORMATION ELEVATION DATA UUU 11 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r, V v(� Benchmark Alt. BM ;�bld io B ldg. Sewer ng St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P / L WELL BLDG. Air l to ntake ROAD Dt Inlet Air I septic , 7 /clU1 >/& >rU�i >,/d NA Dt Bottom NA Header / Man. Aeration NA Dist. Pipe Hol ng Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer and St cover Model Number M TDH L' Friction e TDH Ft Forcemain Length Dia. Dist.Towe SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No- Of Pits Inside Dia. Liquid Depth DIM N 1 N DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type CHAMBER model Number: Syste ,r i V 4 Ob >/da y /o(j OR UNIT DISTRIBUTION SY 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 Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1:1v /e` f f Inspection /3 Location: 2561 110th Avenue, Baldw - n, WI (NE1 / /// 4 ��� , NE1 /4, Sec 11 T29 / N -R16W) - 11.29.16.153 / Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's nature Cert No. x ` s � ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: r , ° E � # 7 i 3 � j 3 y 8 R a x a .... _g E f ! B �- ..n,._ g I g `s 6 i # i r a � � P g t # a t �i 1 i d = a E n o i # roc... # s d ¢ t E � .......u}.,.., °...:.� 3, m T d ; J Safety and Buildings Division ,- ' SANITARY PERMIT APPLICATION 2 01 W. Washington Avenue 16sconsin P O Box 7302 Department of Commerce In accord with ILHR 83.05, WA de Madison, WI 53707 -7302 c to copy on for r • Attach com p p ( comp lete plans the n n Count y o � than 8 v2 x 11 inches in sizp.' :.- • See reverse side for instructions for completing this ion Mstate nitary Permit Number 3531 T Personal information you provide may be used for secondary purpos Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. � tate Plan I.D. Number 1. PPLI ATION INFORMATI N - PLEA E PRIN Pro a Owner Na e ` rty a i E i` , S T , N, R llprj W Property Owner's Mailig2Ad ess �= Lp Block Number City, State A� Zip Code Phone Number ubdiv ion Name or CSM Number SO ro5I833 /�� C54 11. T YPE OF B LDI : (check one) ❑ State Owned 0 c ity Nearest Ro ad . Ci Public or 2 Family Dwelling - No. of bedrooms vll of YAKS WG 1>► / /� — �Q• III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 []Apartment/ Condo 0 0.2 - OZZ — D 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. ew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ 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 ❑ Specify Type 41 [:]Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pi rivy 13 ❑ Seepage Pit 43 ffrVault Privy 14 ❑ System -In -Fill 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.) Propos (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation Feet Feet Ca acit VII. TANK in gallo Total # of Site INFORMATION Manufacturer's Name Prefab. Con- Steel Fiber- plastic Exper. New Existing Tanks Concrete glass Afpp. strutted T nks Tanks I � Septic Tank or Holding Tank j�$Q/ t //s! p'Yre • ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ I ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Print) (N ps) ham.: Business Phone Number: - - ©eonrraY ddress (�,t eet, City, State, Zip Code): IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate I ssued Issuin ent Signature (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) / / Adverse Determination l� �o sq X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: 1 ` Tv � Z v � �� S l , '�, � e ' C`�' P- py t� v G� (lwcra* i l�a,�c, q, w ct� U�"1 I't'► 5 '�' p✓,e 1ti►� -vl P• Sa�-{ bae- i�S SBD- 6398 (R.11/97) ' DISTRIBUTION: Original toWo One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS ; 1. A sanitary permit is valid for two (2) years. 2_ Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. 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 number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 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 required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER 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. Rod Eslinger From: Jansky, Leroy [Ijansky @commerce.state.wi.us] Tent: We Jl 8:14 AM,. wt Subject: rinitary Permits You may issue either a state sanitary permit or a county sanitary permit for a privy. Since privy construction is not considered plumbing an owner may both install the privy and sign for the sanitary permit since he /she is solely responsible for the installation. If using a state sanitary permit make sure to cross out things that refer to master plumber in the responsible party signature block area. The county should still make an inspection upon completion of the installation to ensure proper setbacks have been maintained, and to see that a watertight vault has been installed (if required), or that the bottom of an open vault is at the correct elevation above a limitation. Leroy G. Jansky Wastewater Specialist 13 East Spruce Street Chippewa Falls, WI 54729 Ljansky @commerce.state.wi.us E -mail (715) 726 -2549 Fax (715) 726 -2544 Voice 1 Wisconsin Department ofCommerce SOIL AND SITE EV,A WkTION Page 1 of 3 Dlvisim df Safety and Buildings in accord with Comm 83 t Adm. Code ' A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8% x 11 inches in sine Plan mfist � i County include, but not IkTded to: vertical and horizontal reference point (BM), di "" ' i ' St. Croix percent slope, scale or dimemsions, north arrow, and location and distance to t road; Paroel I.Q.# r- 002- 1022 -10 -000 71 APPLICANT INFORMATION - Please print all informations C , Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. . 1504 (1) (m)j Property Owner 7 Go� pedy L' 0 6&N (-, O'Connor, Phillip &Nan — �'S ! Q Z,�/1 .dot NE NE & NW 1/4 NE L 1 /4 S 11 T 29 N,R 16 W Property Owner's Mailing Address ot # Block # Sutld, ame or CSM# 2561 110th Avenue West 1/2 ° " ❑_ Proposed CSM City State Zip Code PhoneNumber ❑ City ❑ Village ❑Town Nearest Road Woodville WI 54028 715- 698 -3385 Baldwin I 110Th Avenue ❑ New Construction Use: ❑ Residential / Number of bedrooms uilding ❑ Replacement ❑ Public or commercial describe _ ❑�'' avv Code Derived daily flow 450 gpd Recommend (�� _ 9P 6 trench, 9P Basal area required 900 bed, ft' 750 trench, ft- Maxii X N . gpolg .6 trench, gib Recommended infiltration surface elevation(s) 104.40 at 24" above 10. , N r` site plan benchmark) Additional design I site considerations A + 4" replacement mound requiring ` � S Parent material loess riQ''r 6 _. --d on, if appl NA ft S- for system Conventional Mound in - GromN r,CSsure AT - Grade System in Fill Holding Tank U= Unsuitable for system ❑ S N U ® S❑ U ❑ S Z U I ❑ S Z U ❑ S ®U ❑ S® U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Structure Consistence GPQ/ft2 in Munsell Qu. Sz. Cont. Color Texture Gr. Sz Boundary Roots Bed Trench 1 1 0 -7 10YR3/2 None sil 2fgr mvfr as 2f 0.5 0.6 2 7 -12 10YR5 /4 None sil 2 thickpl mvfr cw 2f, lm NY 0.3 Ground 3 12 -21 10YR5 /4 lmd 7.5YR5/6 sil Imsbk mvfr cw if 0.2 ! 0.3 elev 102.51 ft 4 21 -38 10YR5 /4 2mp 5YR4/6 sit 0 m mfr - - NP 0.2 Depth to limiting factor 12' Remarks: Platy struchm of horizon #2 readily parts to 2fsbk structure when disturbed 2 1 0 -7 10YR3 /2 None sil 2fgr mvfr as 2f 0.5 0.6 2 7 -13 10YR5/4 None sil 2 thick pl mvfr cw 2f, lm N.P. 0.3 Ground 3 13 -24 10YRS /4 Imd 7.5YR5/6 sil lmsbk mvfr cw If 0.2 0.3 elev 102.33 ft 4 24 -39 10YR5 /4 2mp 5YR4/6 sil 0 m mfr - - NP 0.2 Depth to limiting factor 13° -- Remarics: P structure of horizon 2 to 2fsbk structure wh CST Name (Please Print) Signatu Telephone No. James K. Thompson 715- 248 -7767 Address A.C.E. SOB &Site Evaluations f Date CST Number Ref # 340 Paulson Lake Lane, Osceola, 54020 4/24/99 3602 1026 PROPERTYO WEk O'Conw, Phill & Nancy SOIL DESCRIPTION REPORT ,o2s page 2 of 3 PARCEL LDS 002- i=- 10-000 A.C.E. Soil & Site Evaluations Horizon E�Pth Dominant Color Mottles Texture Structure nsistence Boundary Roots GPDM2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -7 10YR3/2 None A 2fgr mvfr as 2f 0.5 0.6 2 7 -15 10YR5 /4 None sil 2 thick pl mvfr cw 2f, lm N.P. 0.3 Ground elev 3 15 -24 10YR5 /4 1md 7.5YR5/6 Sil lmsbk mvfr cw if 0.2 0.3 103.06 ft 4 24 -38 10YR5/4 2mp 5YR4/6 A 0 m mfr - - NP 0.2 Depth to limiting _ factor IF Remarks: Platy str ucture of horizon #2 readily parts to 2fsbk structure when disturbed. 4 1 0 -7 10YR3/2 None A 2fgr mvfr as 21 0.5 0.6 2 7 -13 10YR5 /4 None sil 2 thick pl mvfr cw 2f, lm N.P. 0.3 Ground - elev 3 13 -22 1OYR5 /4 lmd 7.5YR5/6 A lmsbk mvfr cw if 0.2 0.3 102.15 ft 4 22 -41 10 YR5/4 2mp 5YR4/6 sil 0 m mfr - - NP i 0.2 Depth to -- - — -- - - -- — - limiting — factor 13° Remarks: Platy structure of horizon #2 readily parts to 2fsbk structure when disturbed. Ground elev Depth to limiting _ factor Remarks: Ground elev Depth to limiting factor i Remarks: i C F,v �aP C S rYJ /� �„� 3� r z � � ■ .� W � p � \ \ tA 0 4 rs � N \ 7 c c ■ c N C W Ch g f &L El t 7p In o l4 j CT P t rt tA Piz ? rz� N U Zs Ll ° o f N �- Q `I 3 ' � A t ox r5 w 1,3 .� st "—— /33 • , `proposed wc:eQ • ■ Soy l ©bse�Va�or� P� � o ,, - jE—�E- e,Xi�Ein� mince /,•nc s8,2 - Pro post,d 3 • 5ei l Rao- L ka-;U-v.,s ou.nd -Eo be r K;(ALr btd��Om 4' S r �dc.cc or I�ss sk;ta.b /eFoY' CS A ' onb�� woS��v' Proposer) I,0� 0 94 I � Sys�e►+t• N`so � �u insEa.Ucd o-4_- c, W;v%i ,mw% O aF2 "S-. , 1O �p�tc pd. C. f'arctMw�K. � 71 i Pump CL�ar,bef; (3'� /� N 0 • ep ` Pri - •fobc re pt`' B ch & Chu Y&ve ,9' ,' � � � � v1oy j ►n DaV-tret . , ° P' Assumed �L. lcao.tD M ph:c p Da rcy D'Connor El rCA114fkV See, ��, 7: z9rl, iP. /l c•�, / / vK . T , or ( Cd win SC . Cro;X C'o. cJ G c ,?S!o / 0 �¢ n GcJc�ol v� GGc, cJ /, S • r o aoact e�ro .'71se reported were be 6(e otosE Su If • fa� s ;•� a P. o.�TS• �A• I WO PRIVY INSTALLATION AGREEMENT COPY TO BE ATTACHED TO THE SANITARY PERMIT APPLICATION Pro erty Owner(s): i qq ��?? 61 1729 WALSH V01_ 1` 61PAGE REGISTER OF 580 KATHLEEN H. DEEDS f DEEDS 19 G�r1G / nQ� ST. CROIX CO. WI M ailing Address: RECEIVED FOR RECORD to v� �/,� �/ SY 10 -06 -1999 12:30 PM Location: ,� /11/4, AIG '/., S �� , T N, R (oE W EXGERNT eity, Mllege Of: CERT COPY FEE: Be�u win COPY FEE: Parcel Tax Number: TRANSFER FEE: D 2,2- _ d RECORDING FEE: 10.00 Legal Description: PAGES: 1 Personal irdormation you provide may be used for sseondary purposes.lPrivaW Law. s. 15.04 (Ixm)) 1. No plumbing will installed in the privy. 2. No plumbing will be installed in the premises served by the privy unless a code compliant soil absorption system or holding tank exists, or a valid sanitary permit to install such a system has been issued. 3. A privy vault/pit shall maintain minimum setbacks as specified in Table 1. Table 1 Well Well Lake /Stream Additional County Setbacks Open Pit 50 Ft 25 Ft Min. 75 Ft Sealed Vault 25 Ft 25 Ft Min. 75 Ft 4. Privies for public buildings shall comply with ILHR 52.63, Wis. Adm. Code. 5. Privies used for one - and - two- family purposes shall be constructed in such a manner so as to exclude flies, rats and other vermin. Doors should be self - closing and vault ventilators should terminate at least one foot above the roof. 6. A privy vault shall be constructed of watertight plastic, fiberglass, coated steel or monolithic concrete. Materials shall comply the intent with Comm 83.20, Wis. Adm. Code. Counties may by ordinance, establish minimum sealed vault sizes and type or construction within the guidelines of Comm 83.20, Wis. Adm. Code. 7. The privy shall be kept clean and sanitary. The contents of the pit or vault shall be disposed in accordance with NR 113, Wis. Adm. Code. 8. This agreement shall be binding on the owner, their heirs and assignees. This documentation shall be recorded by the register of deeds in a manner which allows its existence to be determined by reference to the property where the privy is installed. Printed Owner(s) Nam (s): �� -t-,O _ •� �d)'lYI r� Subscribed and sworn to before me on this date: '' • ` . ner ) Signatu Puk :' My commission expi r es on: ^ F O of SBD -6432 (R.7198) I _ PRIVY INSTALLATION AGREEMENT- COPY TO BE ATTACHED TO THE SANITARY PERMIT APPLICATION • P cty Owner(s): Reserved For Recording Date ro Mailing Address: / Ila Location: ne /4, 11g 1 /- 9 S // , T N, R 16 ff W efty, YiNegerTownship Of: Parcel Tax Number: 022- - / 0 Legal Description: Persorud trdormalion you provide may be used for secondary prposes.(Privacy Low, s. 15.04 (ixm)) 1. No plumbing will installed in the privy. 2. No plumbing will be installed in the premises served by the privy unless a code compliant soil absorption system or holding tank exists, or a valid sanitary permit to install such a system has been issued. 3. A privy vault/pit shall maintain minimum setbacks as specified in Table 1. Table 1 Well Well Lake /Stream Additional County Setbacks Open Pit 50 Ft 25 Ft Min. 75 Ft Sealed Vault 25 Ft 25 Ft Min. 75 Ft 4. Privies for public buildings shall comply with ILHR 52.63, Wis. Adm. Code. 5. Privies used for one - and - two- family purposes shall be constructed in such a manner so as to exclude flies, rats and other vermin. Doors should be self - closing and vault ventilators should terminate at least one foot above the roof. 6. A privy vault shall be constructed of watertight plastic, fiberglass, coated steel or monolithic concrete. Materials shall comply the intent with Comm 83.20, Wis. Adm. Code. Counties may by ordinance, establish minimum sealed vault sizes and type or construction within the guidelines of Comm 83.20, Wis. Adm. Code. 7. The privy shall be kept clean and sanitary. The contents of the pit or vault shall be disposed in accordance with NR 113, Wis. Adm. Code. 8. This agreement shall be binding on the owner, their heirs and assignees. This documentation shall be recorded by the register of deeds in a manner which allows its existence to be determined by reference to the property where the privy is installed. Printed Owner(s) Name(s):: A ' 4L 0 . Subscribed and sworn to before me on this date: wner ) Signatu Notary Public My commission expires on: SBD -6432 (R.7198) ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM O �? k l j j d e,,ncv O CQn nor' Mailing Address .S& Property Address (Verification required from Planning Department for new constructio ) City /State Parcel Identification Number D 22 - LEGAL DESCRIPTION Property Location f1L '/4, / E ' /s, Sec. / I , T �LN -R Town of Subdivision . Lot # Certified Survey Map # . Volume , Page # Warranty Deed # <6,2.090 !/w, 17- 501 3 Volume Page # — �2 Spec house Lot lines identifiable 2 ❑ no SYSTEM MAINTENANCE premature failure to handle wastes. Proper maintenance result in its Improper use and maintenance of your septic system could p 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 w ewater sal s 1 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying g ( ) dispo system the on site ast 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. I/we the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 o the xp' tion date. / SIGNA OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of e o rty des c ' ve, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNA 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 t LOOP- 51.0 1' (POTH SIDES Of gptLDING) GRAB BARS n b" TYV WALL ♦ ww� 12" 8 WOMEN - - -� MEN �t 1 30" 36 "DOOR � 0 36" DOOR "VENT PIPE 1 PER SIDE g 36" DOOR . 'Or OR I" – I v 32' DOOR 20" OR B" D I A.. - 0_ — - "- - -r MAN I+G�E OPENING " AND CG /ER These buildings are handicap accessable and can meet DNR specifications. With no wood floors or walls to rot, this building is a maintainence mans dreams. If cleaning is required, the building can be hosed down with water or disinfectant. The buildings are very resistant to vandalism. The stools are made of durable plastic and will not dent. The door and frame are constructed of steel. After completion the building is painted inside and outside. x • The roof is set and then the • The inside of the building is • This unit can be done as a bug screens are installed. finished off which includes in- - two- seabor one seat unit. A Ventilators draw air from both stallation of grab bars, stools, concrete roof can be added pits. and stalls. also. When looking at the long -term maintainence cost of this building, you can see what a value it would be. We can also manufacture a secure utility /storage structure. This building would be ideal for storage of flamable or hazardous liquids and materials. For more information contact: A` PRFc =P 9N� HUFFCUTT CONCRETE o c 737 Herbert Street Zo 9 �P Chippewa Falls, Wisconsin 54729 ASS (715) 723 -7446 Huffcutt Concrete is a member of the National Precast Concrete Association and Wisconsin Precast Concrete Association. Steve Olson, President STATE BAR OF WISCONSII� FORM 11 – 1982 a D 1$2 562090 LAND CONTRACT Individual and Cor (TO BE USED FOR ALL TRANSACTIONS WHERE OVER DOCUMENT NO. $25,000 IS FINANCED AND IN OTHER NON - CONSUMER ACT TRANSACTIONS) t Contract, by and between Ai Crank EGISTER'S O=Fi!;E nk and Joan M. Cron ST. CROIX CTY., WI husband and wife- ( "Vendor ", whether one or more) and Philip C. O'Connor and Nancy L. J UV 8 1997 'r O'Connor, husband and wife, ( "Purchaser ", whether one or more). 11:00 A (111 Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance A O &A of this contract by Purchaser, the following property, together with the rents, profits, r lieglsterofDeeds fixtures and other appurtenant interests (all called the "Property ") in St - Croix County, State of Wisconsin: 6a�� 7 yo THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS _ /cam y 00 9-0UA\ 07" I S3 '�cr 1*- 1416 -70-(D C _ &CEL IDENTIFICATION NUMBER The North Half of the Northeast Quarter (N1/2 of of Section 11, Township 29 North, Range 16 West, St. Croix County, Wisconsin. $2TRAN oER This ] � .S , not homestead property. ,. �� JbbC (is not) Purchaser agrees to purchase the Property and to pay to Vendor at p1 ace Venrinr di rPrtG the sum of $—.7 5, 000 00 in the following manner: (a) $ 1 0 000.00 at the execution of this Contract; and (b) the balance of $_05 - nn together with interest from date hereof on the balance outstanding from time to time at the rate of Platt (A %) percent per annum until paid in full, as follows: Commencing on the day of August, 1997, and on the /S day of each and every month thereafter, equal monthly installments of principal and interest in the amount of $400.00. Provided, however, the entire outstanding balance shall be paid in full on or before the day of Ju V, 2000 OM (the maturity date). Following any default in payment, interest shall accrue at the rate of 9 % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time In the event of any prepayment, this contract shall not be treated as in default with respect to pairment so long as the unsaid bal o f I principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: None. Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on r of closin 'Cross Out One. TATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. LAND CONTRACT — Individual and Corporate �� Fof iVU 11 — }98i2 # — Milwaukee, Wis. ��. ii RECEIPT DATE 1�NO. 9 ® RECEIVED FRO m a AD S um .� 0 LL FOR ACCOUNT HOW PAID AMT. OF ACCOUNT CASH AMT, PAID CHECK BALANCE MONEY B DUE ORDER � II I I � -/.� z (A °lu. W I w cn s + 6 I D o LA i D w I l ' 099 N c � c 1321' C oo °rl Cl� D n Q� O Z 492.60 A T V W �d I w N c� r l w N S — 3 'v N c O _ N z 13 23.78 TREET rn m Safety a d Buildings 2226 ROSE ST LA CROSSE WI 54603 -1905 TDD #: (608) 264 -8777 isconsin www.commerce.statemi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 09, 1999 CUST ID No. 663739 ATTN: POWTS INSPECTOR ZONING OFFICE ACE SOIL & SITE EVALUATIONS ST CROIX COUNTY SPIA 340 PAULSON LAKE LANE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 09/09/2001 Identification Numbers Transaction ID No. 243813 SITE: ST CROIX COUNTY, TOWN OF BALDWIN Site ID No. 179753 NE 1/4, NE 1/4, S 11, T29N, R1 6W Please refer to both identification numbers, FACILITY: PHILLIP & NANCY OCONNOR above, in all correspondence with the agency. FOR: OBJECT TYPE: POWTS REGULATED OBJECT ID NO.: 488140 REPLACEMENT MOUND SYSTEM 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: 1. The county shall verify, by filing an inspection report, that a private sewage system exists on this property prior to sanitary permit issuance. If the presence of an existing system cannot be verified this approval shall be considered null and void. 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. 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 08/24/1999 J� FEE REQUIRED $ 180.00 - /� FEE RECEIVED $ 180.00 roy G. J ky, Wa wa�Spiahst BALANCE DUE $ 0.00 Field Operations Bureau (715)726 -2544 Voice�' (715)726 -2549 Fax WiSMART code: 7633 Ijansky.@conu E G 3 II� X ° r i 1 t y Safety and Buildings 2226 ROSE ST LA CROSSE WI 54603 -1905 TDD #: (608) 264 -8777 Visconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 20, 1999 CUST ID No. 663739 ATTN: POWTS INSPECTOR ZONING OFFICE ACE SOIL & SITE EVALUATIONS ST CROIX COUNTY SPIA 340 PAULSON LAKE LANE 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 10/20/2001 Identification Numbers Transaction ID No. 243806 SITE: ST CROIX COUNTY, TOWN OF BALDWIN Site ID No. 179751 NE 1/4, NE 1/4, S11, T29N, R16W Please refer to both identification numbers, FACILITY: PHILLIP &NANCY OCONNOR above, in all correspondence with the agency. FOR: OBJECT TYPE: POWTS REGULATED OBJECT ID NO.: 488135 REPLACEMENT MOUND SYSTEM 450 GPD 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. 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. 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 08/24/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 eroy G. ky, Was ewater Sp i list BALANCE DUE $ 0.00 Field Operations Bureau (715)726 -2544 Voice (715)726 -2549 Fax WiSMART code: 7633 Ijansky@commerce.state.wi.us , Z "AiNGp1 FiCI Safety and Buildings 2226 ROSE ST LA CROSSE WI 54603 -1905 isconsin www TDD #: ( 264 -8777 . com merce. rce.state.wi. us Department Of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 09, 1999 CUST ID No. 663739 DATE RECEIVED 08/24/1999 FEE REQUIRED $ 180.00 ACE SOIL & SITE EVALUATIONS FEE RECEIVED $ 180.00 340 PAULSON LAKE LANE BALANCE DUE $ 0.00 OSCEOLA WI 54020 WiSMART code: 7633 RE: REQUEST FOR ADDITIONAL INFORMATION TRANSACTION ID NO. 243806 SITE: SITE ID: 179751 ST CROIX COUNTY, TOWN OF BALDWIN NE 1/4, NE 1/4, S11, T29N, R1 6W FACILITY: PHILLIP & NANCY OCONNOR FOR: OBJECT TYPE: POWTS REGULATED OBJECT ID NO.: 488135 REPLACEMENT MOUND SYSTEM The submittal described above has been placed on HOLD and the review and approval is pending subject to receipt of the ADDITIONAL INFORMATION and/or revised plans requested by this letter. Upon receipt of the additional information and/or revised plans, the plans will be reviewed for compliance to applicable Wisconsin Administrative Codes and Wisconsin Statutes. The following must be corrected/revised and accompany the resubmittal: 1. Documentation in the form of a county inspection report verifying that a private sewage system currently exists on this property. 2. An appropriate mound design (trench) for slowly permeable soil conditions. The soil loading rate for horizon two is incorrect for a moderate platy structure. It should be NP, 0.2 in category B of Table 0. Send your resubmittal into the address listed above, unless otherwise noted, and the department will review the resubmittal within 5 working days of receipt date. A copy of this letter is to accompany the resubmittal. If the above requested information and/or plans are not received within 30 days of the date of this correspondence, this submittal will be returned unprocessed. No fees will be refunded, and a new fee, application form and submittal of plans /specifications may be required should you desire to continue with this project. Sincer ly ��'rrlGl� oy G. J ky, Waste ater Spe 'list. Field Operations Bureau :;T CROIX (715)726 -2544 Voice t;OUNTY `- (715)726 -2549 Fax , ,, ZONiNG OFFICE ljansky @commerce.state.wi.us }\ cc: Zoning Office St Croix County SPIA Safety and Buildings 2226 ROSE ST _ LACROSSE WI 54603 -1905 TDD #: (608) 264 -8777 Z www.commerce.state.wi.us 1 Visconsin Department of Commerce 00� Tommy G. Thompson, Governor t, Brenda J. Blanchard, Secretary October 20, 1999 CUST ID No. 663739 / N7y ATTN. POWTS INSPECTOR ZONING OFFICE ACE SOIL & SITE EVALUATIONS �/ }} ST CROIX COUNTY SPIA 340 PAULSON LAKE LANE 1 � 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 10/20/2001 Identification Numbers Transaction ID No. 243806 SITE: ST CROIX COUNTY, TOWN OF BALDWIN Site ID No. 179751 NE 1/4, NE 1/4, S11, T29N, R 1 6W Please refer to both identification numbers, FACILITY: PHILLIP & NANCY OCONNOR above, in all correspondence with the agency. FOR: OBJECT TYPE: POWTS REGULATED OBJECT ID NO.: 488135 REPLACEMENT MOUND SYSTEM 450 GPD 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. 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. 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 08/24/1999 }� FEE REQUIRED $ 180.00 / �-- FEE RECEIVED $ 180.00 eroy G. sky, Was ewater Sp i list BALANCE DUE $ 0.00 Field Operations Bureau (715)726 -2544 Voice (715)726 -2549 Fax WiSMART code: 7633 lj ansky @commerce. state. wi.us i MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET P.O.W.T.S. Project Phillip & Nancy O'Connor Conditional Owner Same APPR DEPARTMENT OF COMMERCE Address 2561 110th Street DIVISfiN Of SAFETY AND BUILDINGS L 4 - Woodville, WI 54028 t /('o Legai Description NE1 /4NE1/4, Sec. 11, T.29N., R:� Township r+fjgfielct�� "���,� County St. Croix Subdivision Name Proposed CSM Lot N W1/2 Parcel ID Number 002- 1022 -10 Q p� Plan Transaction Number 2 4 3 8 0 6 RECE'IFQ Index and title sheet P e 1 Nun, v ;, 1999 Mound calculations P ETY & B DGS Dirt Mound drawings Page 3 L1�l Y Pres. dist. calcs. and laterals Page 4 TDH and pump tank drawing Page 5 Pump performance curve Page 6 Site plan Page 7 Attached soil evaluation report Page 8 Designer Mike M C Donell License Number 225036 Signature Phone No. 715 -386 -8692 Date 5/01/99 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Slats. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10462 -E (11.05198) Pagel of 8 MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch - pounds Metric Residential or commercial? r (r or c) (y or n) �, Replacement system? Creviced bedrock site? n (y or n) Slope 2 % Wastewater flow rate 450 gpd 1703 Lpd Depth to limiting factor 12 in 30.5 cm In situ soil infiltration rate 0.3 gpd/fe 12.2 Lpd/rn Contour line elevation 102.4 ft 31.21 m Use standard fill depths? I x I OR Design depth? in cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center or end manifold a (c or e) Hole diameter 0.25 in 0.125, 0.1 56, 0.188, 0.219.0.25, 0.281. or 0.313 inch only. Lateral spacing 0.00 ft Use 0 lateral spacing for trenches. Estimated hole space 3.67 ft Not a final calculation. Number of laterals Pump tank elevation 94 ft Outside bottom of tank. Forcemain length 70.0 ft Forcemain diameter 2.0 in 1.5, 2 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 118 =0.125 1/4=0.250 SYSTEM SOLUTIONS Inch -pounds Metric 562=0156 9/32=0.281 Estimated daily flow 450 gpd 1703 Lpd 3/16=0.188 5/16=0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gPdhY 375.0 ft` 34.84 m` Linear loading rate (LLR) 4.79 gpdtft 59.4 Lpd/m Design width (A) 4.00 ft 1.22 m Cell length (B) 94.0 ft 28.65 m Depth of cell (F) 10.0 in 25.4 cm Sand filter Upslope fill depth (D) afe in 61.0 cm Downslope fill depth (E) in 63.5 cm Basal area required (gpdfinflitration rate) 139.35 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 13.13 ft 4.00 m Up slope toe length (J) 10.80 ft 3.29 m Down slope toe length (1) 12.50 It 3.81 m Total mound length (L) 120.26 ft 36.66 m Total mound width (Vi) 27.30 ft 8.32 m Project: Revision - Philip & Nancy O'Connor 3 bedroom residential mound Transaction Number. Page 2 of 8 r MOUND PLAN VIEW observation Pipes (typical) J 27.3 ft a A= 4.00 ft 1.22 m 8.321m ;: ;::: :::: ; :;: •::•: B = 94.0 ft 28.65 m W B J = 10.80 ft 3.29 m I K 1= 12.50 ft 3.81m K = 13.13 ft 4.00 m _ 120.26 ft 36.66 m typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (A B) J = up slope dimension = plowed area (1-xW) K = end slope dimension 6" (152 mm) T MOUND CROSS SECTION subsoil D = 24.0 in 61.0 cm lateral topsoil it G H cep E = 25.0 in 63.5 cm invert 104.90 ft F= 10.0 in 25.4 cm - - -- -- - - - - -- ......... elev. 31.97 mF G = 12.0 in 30.5 cm T ASTM C33 H = 18.0 in 1 45.7 cm D Sand Fill E sys. 104.40 ft elev. 31.82 m 102.40 ft contour 31.21 m elev. 2 % ----> slope D = upslope fill depot 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. Dmigner notes: Project: Revision - Phillip & Nancy O'Connor 3 bedroom residential mound Transaction Number. Page 3 of 8 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch -pounds Metric Width (A) 4 ft 1.22 m Length (B) 94.0 ft 28.65 m Lateral specifications Number laterals 1 HolesAateral 25 holes Lateral length (P) 92.00 ft 28.04 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 29.13 gpm 1.84 Us Sys. dis. rate 29.13 gpm 1.84 Us Hole spacing (X) 46 in 116.8 cm Lateral diameter Pipe diarneter Design options Design choice Designer must 1 in (25 mm) Place X in red 'X" one choice 1 1/4 in (32 mm) box of chosen from the options 1 1/2 in (40 mm) diameter. provided. 2 in (50 mm) X X 3 in (75 mm) X Manifold diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) X' one choice 1 114 in (32 mm) None required. from the options 11/2 in (40 mm) No choice necessary. provided. 2 in (50 mm) 3 in (75 mm) 4 in (100 mm) Distribution system contains: 1 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 end cap P rHoles drilled next to end cap 1<-X--->l Laterals & Force main of PVC Sch 40 lled on the bottom of the lateral (per COWA Table 84.30.5) paced • = permanent end marker Inch-pounds Metric Lateral length (P) 92.00 ft 28.04 m Lateral spacing (S) 0.00 ft 0.00 m Hole spacing (X) 46 in 116.8 cm Manifold length 0 ft 0.00 m Hole diameter 0.250 in 6.4 mm Lateral diameter 1 2.00 lin 50 mm Forcemain diameter 1 2.00 in 50 mm Project: Revision - Phillip & Nancy O'Connor 3 bedroom residential mound Transaction Number: Page 4 of 8 TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0. m Vertical lift 9.60 ft 2. Are laterals the highest point in the Friction loss 1.03 ft 0.m system? Yes "x' here. Total dynamic head 13.13 ft 4. If no, what is the h ighest elevation Dose Volume downstream of pump? L -J Dose is > 10 times lateral volume Forcemain drain Lateral void volume 16.0 gal 60.6 L back to tank? C'x' one) Minimum dose 160.0 gal 605.7 L Yes Drain back 12.2 gal 46.2 L No Dose volume 11 172.2 gal 651.8 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83 .20(3) WAC. approved manhole coin with weather pry warning label and locking device grade levels junction box rade levels disconnect g �► alternate 4" vent pipe electric as per NEC 300 and outlet l Comm 16.28 WAC location 18" (46 cm) min. wall of pump �"-- approved chamber or outlet joint combination tank A Provide 114" weep hole or anti - alarm on L siphon device as necessary pump on B C Grade levels pump 95.3 Ift pump tank manhole = 4" (10 cm) off elev. 29.0 m minimum above finished grade D - vent =12" (30.5 cm) minimum above finished grade 94.0 ft Pump tank elevation 3 " (75 mm) of bedding under tank 28.7 m bottom of tank Tank manufacturer 1Mieser 750 gallon concrete Pump tank capacity 20.28 gal/in Pump tank volume 760 gal Pump manufacturer JZoeller Inches Gallons Pump model number 98 o A 15.0 303.8 B 2 40.6 Alarm manufacturer LevelArm C 8.5 172.2 Alarm model number 1DLV p D r 12 243.4 Project: Revision - Phillip & Nancy O'Connor 3 bedroom residential mound Transaction Number. Page 5 of 8 l _ HEAD /CAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 18514185 should not be subjected to less than 30 feet TDH. TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE N cr 37dS W l--. +l7 SERIES 43 41 SIM 90 177.139 140/4140 16114161 16714163 16514165 +eS14+eS 114146 IM4161 18914t69 191 li FT. M. Gal. Lim Gal. Lt.. Gat. Lkt Gal. Lvs Gal. -Lori Gal. Un Gal. LM Gal. Lim WI. lbs. Gat. Us, Gal. Lim Gal. Lka. Gal Um. Gal. �: Lt. 140— S 1.57 16.3 42 : 21 104 43 147 72 2T3 13 :752 14 2s +06 401 41 771 61 331 54 130 1SS 317 155 SIT 45 : 110 42 10 7A6 U2 50 : 23 41 34 121 N 271 71 300 10 741 100 310 41 Ull 61 231 SI 220 141 060 131 072 45 110. 135— 1s �. 1.1 a IS it 72 tS IN N 242 Q 114 11 Nd w W 60 Ul SI 214 112 7 1 5 So 45 '17 20 0.10 2.5 9 7 11 25 93 34 134 73 '216 12 .710. 39 .: 223 60 :727 s4 ,220 176 '.513 140 S30 45 '.170 40 25 1A2 i 30 63 230 74 100 S7 216: $9 223 S1 120 128 494 177 :50 45 .170 130-- 70 9.+4 57 ; 201 6S 744' $S 106 se 220 >D `340 54 220: 121 460 127 441 45 110'. w 1L19 30 110 46 174 € 46 171 SS _204 7S :207 34 220 10s 797 114 1431 45 >170 38 1 2 so ILM 21 14 : 33 its Si 111 36 211 $6 229 w 341 too :�fl9 45 X 170 60 Isis - +S 31 43 111 36 136 so 2" 7+ 241 45 32 - 45 >170': 1 2 10 21 71 30 114 10 < u S2 H7' 51 »7 70 'M 45 170 36 1 91 10 K34 14 53 45 111' 2e 106' 54 '201 45 170. 115— 90 21AS 32 121 2 6.. 77 140 43 .110 100 70.46 Is 64 21 It 40 . 34 110 7L00 7 26 1 30 30 314: 1 1 CF 120 36.56 20 ' n 105 130 39.0 +o Ise 32 Lock Yale: 21,4' 21' 1923' 2P 26' 46' K' 66' or 7T 115' 91' 117 UT 100 30 95 28 90 186, 26 4186 85 165. 24 80 4165 75 ° 22 6 70 x v 20 65 z z > 60 163, ° 18 4163 189, —' 4189 0 55 16 50 14 45 12 40 140, 188, 35 4140 4188 10 30 137, 185, 8 4185 25 139 6 20 .p 15 10 2 5 43 48 53.55 98 161, 0 57,59 4161 U.S. GALLONS 10 201 SO 401 0 80 90 100 1110 120 0 140 1150 160 LITERS 80 160 240 320 400 480 560 640 0 FLOW PER MINUTE 009922 ;tf.. /3 mot, of( a/ S / rafe FMO219. e� y Note. For Head Capacity Model��2, industrial column - explosion pr000f pump, see G �, i WwodsmDeparknentofCommerce SOIL AND SITE EVALUATION Page I of 3 . Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code A.C.E. Sod &Site Evaluations Attach complete site plan on paper not less than 8% x 11 inches in sine. Plan must County irclude, but not WOW to vertical and hori aft reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to rearest road. Parcel I.D.# APPLICANT INFORMATION - please print all Infomwtlon. 002 - 1022 - 10-000 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed By Date Property Owner Property Location O'Connor, Phillip & Nan — P e V f 5Rj g1Z,3 Govt. Lot NE NE & NW 1/4 NE 1/4 S 1 l T 29 N,R 16 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2561 110th Avenue West 1/2 Pro osed CSM City State Zip Code PhoneNumber ❑ City ❑ Village ®Town Nearest Road Woodville WI 54028 715 -698 -3385 Baldwin 110Th Avenue ® New Construction Use: ❑ Residential / Number of bedrooms 3 ❑Addition to existing building ❑ Replacemment ❑ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/ft .6 trench, gpd/ft Basal area required 900 bed, ftz 750 trench, ftz Maximum design loading rate .5 bed, gpdm .6 trench, gPd/ft Remmended infiltration surface elevation(s) 104.40' at 24" above 102.4' contour. It (as referred to site plan benchmark) Additional design I site considerations A + 4" replacement mound requiring 24" of sand lift. Parent material loess Flood plain elevation, ff applicable NA ft S for system Conventional Mound 71n-G�round Pressure AT -Grade System in Fill Holding Tank U- Unsuitable for system El S M U ®S ❑ u S ®u El S ®U El ® u El ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPDIft� Boring# HOB in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consisten Boundary Roots Bed Trench 1 0 -7 10YR3 /2 None sil 2fg mvfr as 2f 0.5 0.6 1 2 7 -12 10YR5/4 None sil 2 thick pl mvfr cw 2f, Im NY 0.3 Ground 3 12 -21 10YR5/4 Imd 7.5YR5/6 sil lmsbk mvfr cw If 0.2 0.3 elev 102.51 ft 4 21 -38 10YR5 /4 2mp 5YR4/6 sil 0 m mfr - - NP 0.2 Depth to limiting factor 12" readily Parts P strucxure of horizon #2 to 2fsbk structure when disturbed. Remarks. MY Z ; 1 0 -7 10YR3/2 None sil 2fgr mvfr as 2f 0.5 0.6 2 7 -13 10YR5 /4 None sil 2 thick pl mvfr cw 2f, lm N.P. 0.3 Ground 3 13 -24 10YR5/4 Imd 7.5YR5/6 sin lmsbk mvfr cw If 0.2 0.3 elev 102.33 it 4 24 -39 10YR5/4 2mp 5YR4/6 sill 0 m mfr - - NP 0.2 Depth to limiting factor 13' RetllatkS: Platystructureof horizon 2 to 2fsbk m uxure wh CST Name (Please Print) Signatu Telephone No. James K Thompson 715- 248 -7767 Address A.C.E. Soff & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, 54020 4/24/99 3602 1026 PROPEFVY OWNEk Momw, rnffllip & Nm y SOIL DESCRIPTION REPORT ooze page 2 of 3 PARCEL WJ 002- 1022-10.000 A.C.E. Sod & Site Evaluations Flodzon Depth Dominant Color Mottles Texture Structure Boundary Roots GPDIft in. Munsetl Qu. Sz Cont Color Gr. Sz Sh. Bed Trench 3 1 0 -7 IOYR3/2 None sil 2fgr mvfr as 2f 0.5 0.6 2 7 -15 10YR5 /4 None sit 2 thick pl mvfr cw 2f, lm N.P. 0.3 Ground elev 3 15 -24 IOYR5 /4 Imd 7.5YR5/6 sil Imsbk mvfr cw If 0.2 0.3 103.06 ft 4 24 -38 10YR5 /4 2mp 5YR4/6 sit 0 m mfr - - NP 0.2 Depth to limiting factor 15' Remarks: Platy structure of horizon #2 readily parts to 2fsbk structure when disturbed. 4 1 0 -7 IOYR3 /2 None sit 2fgr mvfr as 2f 0.5 0.6 2 7 -13 10YR5 /4 None sit 2 thick pl mvfr cw 2t Im N.P. 0.3 Ground elev 3 13 -22 IOYR5 /4 Imd 7.5YR5/6 sit Imsbk mvfr cw if 0.2 j 0.3 102.15 ft 4 22 -41 10YR5 /4 2mp 5YR4/6 sil Om mfr - - NP 0.2 Depth to limiting factor 13' Remarks: Platy structure of horizon #2 readily parts to MW structure when disturbed. Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: • 7 �'8 Amp JA o !z • r.o as Via to ��. I at R' e F � s R. { S cr "_ p �� • IA e% s ro Z �' p 41r z �— O O 3 A gg A A I