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HomeMy WebLinkAbout006-1013-50-000 • 9 Wisconsin Department of Commerce Count y PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: ST CRO X Personal information you provice may be used for secondary purposes [Privacy Law s.15.04 (1)(m)]. 338999 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: DOPKINS, DEAN CYLON CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: DU va M 006- 1013 -50 -000 TANK INFORMATION LEVATION DATA A99 TYPE MANUFACTURER CAPACITY _ STATION BS HI FS ELEV. Septic e ,� i S i�K rZgO��� � I enchmark 5-7 /,o3-Sd /00 Dosing is a " Y � t 9 "?' lo Aeration Bldg. Sewer 9 Holding 91 Ht Inlet 9�- y -- TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Air i to ntake ROAD , Dtialet ir Septic ) 70 SS � >40 --- NA Dt Bottom 19.90 Dosing >7 0 �,T ` >K - NA Header / Man. 3 S / v , 72 Aeration NA Dist. Pipe - rz 4.ss / Holdin Bot. System 's3 g y •s /�O.9i< A PUMP/ SIPHON INFORMATION !� Final Grade V i1v Manufacturer �� Demand 1l'�o ,A Model Number � D� ���� TDH Lift ,13 Friction q Dq System y TDH d(.5;-Ft T m ead Forcemain Length 4 I Dia. Dist. To Well �YS� SOIL ABSORPTION SYSTEM BED/TRENCH Width Length i No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 2 DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O Model Number: System: Mom a �S S OR UNIT DISTRIBUTION SYSTEM Header/Man I ifold � Distribution Pipe(s) u , x Hole Size x Hole pacing Vent To Air Intake Length _� _ Dia. 0 Length (i$ Dia. Spacing J I /V [1,p 5 1.. 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.) LOC CYLON n 6.31.16.96F,SE,SE 23 ✓ 12 HIGHWAY 46 r eff j kve✓ r edit, �eUav ,�r'd�✓ � (o J)�9� �`'�' . � �`� " e✓-- - z g =.—a Plan revision required? ❑ Yes �C([ No Use other side for additional informa ion. Z o SBD -6710 (R.3/97) Dat Inspector' nature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: _ F 3 = x _ c A F f i S i F _ E P e m = s F � Y r t ems_ s L _ 2 € F € a s m _ . 3 .m= = i _ { 3 S S � f P bm � i 9 xa _ { € 6 € i 1 ... a� e� t w =,m g r 3 i I 6 � E i } 3 am. sm=.. .,..�� _. t i s _ ?W 4 1 a m� € Y € Safety and Buildings Division Visconsin SANITARY PERMIT APPLICATION 201 Box Washington Avenue Department of Commerce In accord with ILHR x3.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less count than 8 112 x 11 inches in size. 57 • See reverse side for instructions for completing this application State Sanitary Perelrmiit Number Personal information you provide may be used for secondary purposes [I Ghec ik f revision to previous application (Privacy Law, s. 15.04 (1) (m) }. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION 1 2 0 Y7 Prop rty Owner Name Property Location / 6/C 114, E 1/4, S 6 T 3 , N, R 1 lf W Pr perty Owner's Mai Ting Aiddress Lot Number Block Number J� r [AILL ip Code Phone Number Subdivision Name or CSM Number �Z o (71s Q&? - F BUILDING: (check one) ❑ State Owned !tia Nearest Road c3 Vile Public 1 or 2 Family Dwelling - No. of bedrooms Town OF C 51,, 1/ 7CD III BUILDING USE (If building type is public, check all that apply) Parcel Tax Nu s) `- I -' `- (. V02, 1 ❑ Apartment/ Condo 06 — ! 6 1 3 —S0 -0o(0 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 W Replacement 3_ ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an ------ System _____ System_____________ Tank Only______________ 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 )d Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault 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 ��11 Required (s . ft.) Proposed (s . ft.) (Gals/day /sq. ft.) (Min /inc !!�� Elevation ©L.l . �• /'Feet Feet Capact VII TANK in gallons Exper. Total # of Prefab. Site Fiber- INFORMATION g Gallons Tanks Manufacturers Name concrete Con Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank ldoc ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ 1 ❑ 1 ❑ I ❑ ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumb r' am • (Print) Plum be ' igna e: (No S s) /MPRSW No.: Business Phone Number: 96 3S 7 rlo Plumber ddress (Street, Cily zip Co e):� IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit F e (Includes Groundwater I Z ss a &Issuing g ent Signature (No Stamps) Approved E] Owner Given Initial Surcharge Fee) Adverse Determination IS �' -0 &/, - t. Aw� X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to county. One copy To: Safety & Buildings Division, Owner, Plumber 1 INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2_ Your sanitary permit may be 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. 111. 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 tothe 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. ---------------------------------------------------------------------------------------------------- GROUNDWATE(t 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. Wisconsin Department of Commerce SOIL AND 51TE EVALUAT19N pet Division of Safety and Buildings Page of 3 Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 Inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and 5•, c -t percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # Oo L _ -50 --D o OC APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal inlomration you provide may be used for secondary purposes (Privacy Law, S. 15.04 (1) (m)). Property Owner Property Location 2� R r .L L r Govt. Lot 5E 1/4 -5� 1/4,S G 31 ,N,R �� E (ore Property Owner's Mailing Address Lot # I Block# I Subd. Name or CSM# 1 City State J Zip Code Phone Number ❑ City ❑ Village Eja Town Nearest Road ❑ New Construction Use: esidential / Number of bedrooms _ Addition to existing building E -Repiacement ❑ Public or commercial - Describe: Coda :an ad dai flow Lt. gp: Recom,00nJud iiusign loading rate L bed, gpd/f? .a trench, gpd/ff' Absorption area required 5 0 a bed, n S � � e trench, n Maximum design loading rate I A bed, gpd/e � � a trench, gpd/ft Recommended infiltration surface elevation(s) 7 ♦ */O bDD . V � � � ft (as referred to site plan benchmark) Additional design/site considerations . r - 1 IN r o o v a f , SO L �pr iM pv►+ lace Me ht Parent material Flood plain elevation, if applicabl n S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S S U E&S ❑ U ❑ S® U 0 S❑ U ❑ S � U ❑ S � SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 9 - 10,1p 3 5 .` Ground e a v ` y elev. , 9 8 n. L1 4A 7.51 y s L _._. --- --- '5 ' Depth to s err V r 0, CA — limiting fa •t r in. Remarks: UK +0 borL below 3 � " Boring # . 6 4t> I O - J 8 3 a� laU Ground -I -37 75 5 L _..._._. — , -S el S 7- C R. No r r a o Depth to 1( limiting ` fa or In. Remarks: e CST Name (Please Print) Signature Telephone No. V- - 7)5-D98- ress Date CST Number i SOIL DESCRIPTION REPORT PROPERTY OWNER Page of PARCEL I.D.0 Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed . Trench Ground elev. ft. , Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots P /f in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor in ' Remarks: Boring # hr ; Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. OV96) III Safety and Buildings 15837 USH 63 HAYWARD WI 54843 -8107 - - TDD #: (608) 264 -8777 �sconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 14, 1999 CUST ID No.220357 ATTIC• POWTS INSPECTOR ZONING OFFICE BRADY J UTGARD ST CROIX COUNTY SPIA 110 KELLER AVE N APT 112 1101 CARMICHAEL RD AMERY WI 54001 -1034 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 06/14/2001 Identification Numbers Transaction ID No. 231108 Site ID No. 80494 SITE• Please refer to both identification numbers, Site ID: 80494 L above, in all correspondence with the agency. ST CROIX County, Town of CYLON; Fire Dept ID: 5501; 2312 HWY 46, DEER PARK 54007 Facility: DEAN DODPKINS MOUND SYSTEM, 600 GPD 2312 HWY 46, DEER PARK 54007 FOR: Object Type: POWT System Regulated Object ID No.: 474527 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. This plan action is subject to designer comments on the plan. P 2. The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of maximum slope. 3. The area 25' below the downslope edge of the mound must remain undisturbed. 4. Abandon failing system per COMM 83.03(2). ?h D(V 5i of the approved laps specifications and this letter shall be on -site during construction and open to A co g P copy PP P P ._ inspection by authorized representatives of the Department, which may include local inspectors. All permitsCc. - required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. - F 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 06/08/1999 i FEE REQUIRED $ 360.00 FEE RECEIVED $ 360.00 PATRICIA L SHANI)O , POWTS P ZANREVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE.STATE.WI.US WiSMART' code: 7633 I 1 a ' MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project DEAN DOPKINS Owner DEAN DOPKINS Address 2312 HIGHWAY 46 DEER PARK WI 54007 Legal Description SE SE S6 T31 N R 16W Township CYLON County ST. CROIX •TS. Subdivision Name Lot No. Lla ionalllj7 Parcel ID Number 006 - 1013 -50 -000 t OF COhf. ERC Plan Transaction Number sAFETygN0 GS Index and title sheet Page 1 ONDENCE Mound calculations Page 2 Mound drawings Page 3 Pres. dist. calcs. and laterals Page 4 / TDH and pump tank drawing Page 5 PLOT Page 6 PUMP Page 7 Designer BRADY UTGARD License Number 220357 Signature Phone No. 715- 268 -6995 Date 06 - 14 - 99 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10462 -E (R.05/98) Page 1 of 7 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) �IJ Replacement system? Creviced bedrock site? Y (y or n) Slope 4 % Wastewater flow rate 600 gpd 2271 Lpd Depth to limiting factor E38 in 96.5 cm In situ soil infiltration rate gpd/ft` 20.4 Lpd /m Contour line elevation ft 29.99 m Use standard fill depths? 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 1 0.25 in 0.125 0.156, 0.188, 0.219, 0.25, 0.281, or 0.313 inch only. Lateral spacing 3.00 ft Use 0 lateral spacing for trenches. Estimated hole space 4.00 ft Not a final calculation. Number of laterals 2 Pump tank elevation 86 ft Outside bottom of tank. Forcemain length 110.0 ft Forcemain diameter 2.0 in 1.5, 2, 3 or 4 inch only. 2.067 in Actual I. D. HOLE DIAMETER CONVERSIONS 1/8 = 0.125 1/4 = 0.250 SYSTEM SOLUTIONS Inch-pounds Metric 5132=0.156 9/32=0.281 Estimated daily flow 600 gpd 2271 Lpd 3/16 = 0.188 5/16 = 0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gpde 500.0 ft` 46.45 m` Linear loading rate (LLR) 8.33 gpd /ft 103.3 Lpd /m Design width (A) 7.00 ft 2.13 m Cell length (B) 72.0 ft 21.95 m Depth of cell (F) 10.0 in 1 25.4 lcm Sand filter Upslope fill depth (D) zft2 in 61.0 cm Downslope fill depth (E) in 69.6 cm Basal area required (gpd/infiltration rate) 111.48 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) 13.43 ft 4.09 m Up slope toe length (J) 10.30 ft 3.14 m Down slope toe length (1) 14.00 ft 4.27 m Total mound length (L) 98.86 ft 30.13 m Total mound width (W) 31.30 ft 9.54 m Project: DEAN DOPKINS Transaction Number: Page 2 of 7 MOUND PLAN VIEW observation pipes (typical) E 31.3ft ; A� A= 7.00ft 2.13m 9.54 m :- B = 72.0 ft 21.95 m W B J= 10.30ft 3.14m K I = 14.00 ft 4.27 m K = 13.43 ft L± m _ 1 98.86 ft 30.13 m typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension = plowed area (LxW) K = end slope dimension 1W 6" (152 mm) T MOUND CROSS SECTION D= 24.0 in 61.0 cm lateral topsoil G H subsoil cap E = 27.4 in 69.6 cm invert 100.90 ft F = 10.0 in 25.4 cm elev. 30.75 m J F G = 12.0 in 30.5 cm T AsTM C33 H = 18.0 in Lj5.7 cm D Sand Fill E sys. 100.40 ft + elev. 30.60 m 98.40 ft contour 29.99 m elev. slope D = upslope fill depth plowed layer E = downslope fill depth dote: 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. Designer notes: Project: DEAN DOPKINS Transaction Number: Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch - pounds Metric Width (A) 1 7 Ift 2.13 m Length (13) 1 72.0 Jft J 21.95 m Lateral specifications Number laterals 2 Holestlateral 18 holes Lateral length (P) 69.42 ft 21.16 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 20.97 gpm 1.32 Us Sys. dis. rate 41.94 gpm 2.65 Us Hole spacing (X) 49 in 124.5 cm Lateral diameter Pipe diameter 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 1/4 in (32 mm) Place X in red from the options 1 1/2 in (40 mm) box of chosen provided. 2 in (50 mm) x X diameter 3 in (75 mm) x 4 in (100 mm) x Distribution system contains: 2 Lateral(s) LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Laterals centered over the A & B dimension Last hole drilled next to end cap a ^`loop E P • All laterals are identical If X - -> Holes drilled on the bottom of the lateral s equally spaced • Force main connection via tee or cross to manifold at any point. Laterals & force main of PVC soh 40 s - permanent end marker (per COMM Table 84.34 -5) Inch - pounds Metric Lateral length (P) 69.42 ft 21.16 m Lateral spacing (S) 3.00 ft 0.91 m Hole spacing (X) 49 in 124.5 cm Manifold length 3.00 ft 0.91 m Hole diameter 0.250 in 6.4 mm Lateral diameter 2.00 in 50 mm Forcemain diameter 2.00 in 1 50 Imm Project: DEAN DOPKINS Transaction Number: Page 4 of 7 TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 14.20 ft 4.33 m Are laterals the highest point in the Friction loss 3.17 ft 0.97 m system? Yes "x° here. C � m If no what is the h' Total dynamic head 19.87 ft 6.06 hest elevation �9 Dose Volume downstream of pump? Dose is > 10 times lateral volume Forcemain drain Lateral void volume 24.2 gal 91.6 L back to tank? ('Y' one) Minimum dose 242.0 gal 916.1 L x Yes Drain back 19.2 gal 72.7 L No Dose volume 261.2 gal 988.7 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) VVAC. approved manhole cover with weather proof warning label and locking device grade levels junction box grade levels disconnect g alternate 4" vent pipe electric as per NEC 300 and E outlet I Comm 16.28 WAC location 18" (46 cm) min. wall of pump L — approved chamber or '� outlet joint I — I combination tank �– n Provide 1/4" v.—­– hole or ant!- I, / alarm on I I I siphon device as necessary j pump on o I I I I I _ Grade levels I _ C um - um tank manhole = 4" 10 crn p um p t36. � tt W pump ( ) off elev. 26.4 m minimum above finished 9 rade D ILI - vent = 12" (30.5 cm) minimum above finished grade W i i l I 86.0 Ift Pump tank elevation 3 "' (75 inrn) of bedding under tank 2v.2 rn boitorii of tank Tank manufacturer MIDWESTERN Pump tank capacity 19.51 aal /in Pump tank voiume 800 gal Pump manUfartitrer C�O(11 DS Inches Gallons Pump model number I EP05 c A 20.6 402.2 I vi 8 2 39.0 � r Alarm manufacturer ILEVEL 13.4 261 Alarm model number JDLV p D 5 97.6 Project: DEAN DOPKINS Trangar_.tinn NiimhPr: Page 5 of 7 sE SE 3Co Tat N R ILO LV --> 160 '5+ COX ou � `�- 1 = y O o j i r i _ S4' rd. L4 L 1( Ob Wall r p-p- j(a,oq) Ov NE -b- Lu, Goulds StbuieMbIg Effluent Pt" EPQ4 387 E P45 A'KXATMK •Fasteners- 300 series • Fully submerged ut h igh Specifically designed for the stainless steer grade turbine oil for 0 Monk !: Cast MW following foflong uses. ' C�able d ftx efficient heat transfer, running lubrication and efficient strength, and duraMlity • Ftfiuent systems dry without damage to heat transfer. • homes components 0 Nb for Corer. Thermoptas- • Farms Mellor: Available tic cover with integral handle • I feavy d* sump • EPO4 Single Phase: 0.4 HP 08011 11 QW41106. Aletotetage and !lost switch atachment • Water transfer 115 or 230 V, 60 Hi', 1550 , modals 1neltNe McMsoiq! points • Dewatenng RPM. built in overload with Host Swilo saembled aid • P ortW CW@: Severe duty automatic reset Pink M the FiCIOry. rated oil and water rft aunt. VMFICATIM • EP05 Single phase: 0.5 HP 4 Bearings: Upper and lower EM 115 V_ 60 14z, 1550 RPM, FFATMI k" duly ba# bearing btidt in overload with construction. SOWS handling • ng cap ,hey automatic reset, aE EP811 n � - PaMre► co 10 toot AGCY Up= ' • Capacities: up to 55 GPM. standard with pump out vanes f • Tula; heads. up to 24 feet. with three prturg grounding mechanical so P►akct+o 41 ea ow , • Discharge size: 1'/;' NPT. PhW. Optional 20 loot • E1 limp~ Thermo- 0 Mechanical seal: carbon• length. iW sdTW w e Plastic enclosed design for (CSA fisted model numbers rotarykerarnic stabornary, three prong grounding plug improved performance. end in "F" or '*AC S MA•N elastomers. (standard an EP05). N C4=1e10 MM 901111: Rugged • Temperature thermoplastic design provides 104 (41M) continuous Superior strength and 140°F (60" C) intermittent. corrosion resistance. • Fasteners 300 series blf27f MS FED stainless steel T • Capable of running dry without damage to 9 30 components. ": EM s • Solids hanftig capability. c 25 sari maximum. 49 • Capacities: up to 60 GPM. • Total heads- up to 31 feet. 6 20 — • Discharge sue: 1 NPT S _ � 87 • MBCttal"Cad seas: carbon- > • rotarylcerarnic- stationary, BONA - elaslomers. • Temperature, o tees 1041(4M) continuous 3 ,o 140 °F (F0 Q intermittent. 2- EPO4 s 0 % ro 20 30 40 so GM O 2 4 6 a 1 - - -- ••• I c It VALUA 77ON • to BCCOr�nG"e with s. ILHR 5�b &?.09, WiS. Adm. God, w • y ' • �b site Plan on Paper not less than a 112 x 11 inches in size. Plan must COW inClulde, but not limited to: vertical and horizontal reference Percent skape, scale or dimensions. north snow. arw kx;atxmpnt (BM), direction aril and distance to nearest road. S • l 1 1 Pwce11. D. N APPLICANT INFORMATION. P O !rase print ell Information. O p 0 0 Personal iMormsh- you provide may be used W se na Revue by Date �y ourDOSes (Privsey law. s. 15.04 (t) (m)). Property Owner t* ProPertY Location i , : Propery Owners tv{aif; Govt. Lot S E tia 5 1/4,S T - 1 ng Address 3 f ,N,R / E ( yy .� Lot M 81pCkN r: '` d (J � f • � � Subd. Name or CSMN Ci ty r ' State Z P Code Phone Number r Ar` + `'� l�Ob - Q City ❑ Village � Town Nearest Goad - 715 ) 2 69- SS70 ❑New Construction Use: Residential / Number of bedrooms 7 EA RSWacante►tt O Public or corrtrrte►cfa(. per; Addition to existing building Code denved daily NOW L DD gPd 2 Recommended daslgn loading rate Absorption area required O C _ 1 . a bed, gP bed, h _. _ � i7 � trench, K 2 ��lrencft, 9Pd/ft Recommended utt Maximum design loading rate b irertcft, gpinfiltration surface elevations) * -L— 1 1 ft (as referred to site pan benchmark) Additional design/sile considerations d0 • � Parent material � ` t � W C, ` L� V v. r 4 c A V ! c bt �i roe in a Flood plain elevation, it applicaple tt S = Suitable for system ventional Mound to -Ground Pressure AT -Grade U = UnstataWe for system ❑ S 8 u ®S ❑ U I o s System in Fill Holding Tame ®u ®s Qu Os CJu Os W u SOIL DESCRIPTION REPORT Boring 8 Horizon Depth Dominant Color Monies tu structure in . Munson Qu. Sz. Cont. Color Texre Gr. Sz. Sh. Consistence Boundary Roots PD/ttz Bed Trenct I 4- to ti =1 � ---- -• S •. L a b� F an, bk r C�J Ground � � � � 1 + • - � . I � a 5 ' , b % '� J L o: >h 5 k h 1hr r C k..) 01F Depth to limiting 5 `~ 1 factor _ _ -_ -- AL_in. Remarks: Boring # Il -a0 1 y sJ L y Qyj -- ---- -_ ..,�y � bk Gr ound , 5 y 30.95 7.5 Y ------ -._... L M Fr Slav Sbk f+ 4W J .4 9tt. 4s- - s- Depth to limiting factor --%IS Rema rkS: CST Name (Please Print) Signature ss ` •!' �„�,' Telaphone No Ad -} 5& .T r a , , t Date CST Number -�s -g a�I SOIL DESCRIPTION REPORT p at od s Z PROPERTY OWNER K 4 — PARCEL 1.0.e nn la— 1 Q 13. w —Q coo Boring # Horizon Depth Dominant Color Mottles Structure 2 in. Munsek Qu. Sz. Cont. Color Texture Gr. Sz. SK Bed Boundary Roots Bed . Trent 3 o -9 R s.L a 6 a f : r5 •�� t0`�R - ��. L o�tfllt.S�' r C � If S • Ground 3 D 'IFZy N ►}aav y a 1%5bk- kt�r t v� t J F $ elev. toc ll. 3 7 S yaQ y y L a1Mbb MFV- Q Iv F 5 Depth to + v it 4 Sa. limiting factor 4 Remarks: Boring # 0 -10 1 04 3 + L 8 M$ A Ground evi N q tc elev. 91A n. 5 g- ,c. 5 r"", r% Depth to limiting factor _3in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots P !f in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. Bed . Trenc Boring # 1 12 10 j "L. d (v 9- VA JR L o�t 5 r Cw 1 •5 :. o R gig_ ----- Z: L. *% ltt M C w Iv F . s Ground 7 .S y Y _ 5 Lr vZAn b ME, R h3 11,) elev. _ Depth to limiting � f for ' Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD -8330 (R. 07/96) I r met ;E. J s ��. t �-. 3 i N� R b+� po�,� n+� S. . _ � ` • � c. ►� yv ' �.�o a++4& -tc .1 .27 �o 1 t _ k ida Si 35� �tat � Hvvs -e- apt` �' 75 1s d * 3 b AkIlz i t �1 4 E %M 1 ( T O T ° \ue9R• P►pt -� �Z.oy� ��� r 4 f c . �t> ern ao +tom 4 OR N E Cor tY` 't" vSt �3 1 * 99. *IP 9 S 3 99.y6' 98 irat � � in �000e�a = LAND *M EVAWATI�fN p a � nm *ft s. ILHR 83.09, Wis. Aft. Cody A"ch "well" oft mn on Oiler not sm sun • tR x f 1 Inohae N on. ftn mw MC M. W not bow im wft" sed h I IN 40 IMWWW OW (ML dnollon wW RNOMM SISK SOW & dtmermiOne. mo tIMOw. OW Ia lllow wl WAiRCr 10 nweN nnd. � C t AMOaI t.o. e APPLICANT INFORMATION - Phwe prr1M � � —ID liean�eo eY ou. rwamnl wa.*so@ pu p$&" M t o w.e b. a.eewry ewYaw PVMWW L••, L i ( NMl• ;;;,Wy Qww ProP+Rr �oeation f r - ryl f GOvI Lot ` j E 114:5e 114,S (p T,31 ,14,q E Owners M4Wip Amd►eee tot • 8locke Name a 1 .l. CRY 91w J ap Cody prAm Nwmw t] cm, ❑ Vwpe Q Town NwW Rood Q Nw Co"Muclion we: ❑ N eg- rwal MwWW of o.aowft _ a,ebleon to Wew+p a no code ft' ed dWly raw j aOQ wa a.00.hmend.a diiiii1w "lift _1.. L WW. opdeW_l.2_Www +. WdO R0001MMMM kWW4 on swf.es dwsUa+iQ _ 9 + it /o Lip 1e5i __- hoe Wm,00 �� wr+1 PnrMM nNMMa1 ` flood O Wn eiw llon. awficabb V=.. n t s • surAft lo, evelem Nb wd I WGRNNW Prom" sy M Fill u - •+� 03 ta u E&3 t]u IOS IO U I Be DU 1 0 g I ❑S M SOIL. DESCRIPTION REPORT so" M Mon>tan [D"w oomtraiu Color Mot"& Tejo" Suww m Canermtanoa oounany Rook in. MuneN Ou. St Cats color cir. Sz. w scot . T Ulnlonp . OOdflQ � yip: `! - -- ... ' . -. .5 '. q� S z- c9, N Daplh to IN+tIInQ .{ t � Crf teal" PNw P" slpnMUn T"Pmm NO' t u. ---)y8 - 58 T � _ 114" - CV Nwnea o► . 1 — Y Z5 y 6 ,Wisconsin Department of Commerce D SITE EVALUATION Division of Safety and Buildings 11 gi I r, Page of Bureau of Integrated Services y � tOr fide Yivy r j ILHR 83.09, Wis. Adm. Code ~ [� Attach complete site plan on paper not less t /2x11 e Plonliiust County include, but not limited to: vertical and horiz KMII1 eference point (R directibn,and percent slope, scale or dimensions, north ar ow, land Igo4it)on nd distance to nearest road. Parcel I. D. # n t ' c r�J o to -lo)3 So —aooa APPLICANT INFORMATION - Plea a print all.i��►ation, eview d D Personal information you provide may be used for sec dary purpose (ft�yiLw, s. 15.0411) (m)). 1V+C Za Property Owner - ,- - - - ,, Property Location + L, s Y' £ f- i . �. �!';. Govt. Lot s E 1/4 5 1 /4,S T 31,N,R b E (o W Property Owner's MailingAddress Lot # I Block# I Subd. Name or CSM# C � a, N ui - _ City State Q Zip Code Phone Number ❑ City ❑ Village [5§ Town Nearest Road v .:fi_t Vic. UO loo (�►5 � 6g - 557o Wit, kA, gla ❑ New Construction use: ® Residential /Number of bedrooms T Addition to existing building E4 Replacement ❑ Public or commercial - Describe: Code derived daily flow L gpd Recommended design loading rate , a bed, gpd/ft . a trench, gpd/ft Absorption area required 5 O 0 bed, ft SD trench, ft Maximum design loading rate bed, gpd/ft trench, gpd/ft Recommended infiltration surface elevation(s) L11. * (D ♦ ,] 10 1.4 y) ft (as referred to site plan benchmark) Additional design/site considerations ��'1 + B I Parent material 1 O - c5 S 0\,) C f - O ur} W e"! 0 V e r rf Q c y r c& bd r' Flood plain lain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure I AT -Grade System in Fill Holding Tank u= unsuitable for system ❑ s B u ® s ❑ u I ❑ S 5 u J ❑ u ❑ s CO u ❑ s E�i u SOIL DESCRIPTION REPORT Boren # 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 EY «.... a o -zd ! `(t _'!'( 5 ; �.. Q m5bk- rA F r CvJ 1 5 , b ...:....:......:...... / Ground elev . 91 . % y -y 4 �. `It~`I� 5L. I c sb M$+ 1� , , S 5 Depth to , limiting factor Remarks: Boring # d -It Iv`�tZ ; L QFOL M S- Q5 aF ,S tl �►o l y 5 1 5 L 2tA 5 M f ►^ C w 1 >r: 5; y Ground y 36 - 4 S - T.S`I 11- 4 /ill s L I et ea ME aw JF +4 ele .., v ��p► q e ft. y5- C r. — Y`e. r e.. +�►. h Depth to limiting factor -9-5-in. Remarks: CST Name (Please Print) Signature Telephone No. Ad ress Date CST Number - t. 5 �cr�t..� -as -gg aat Sg0-26 PROPERTY OWNER ��. SOIL DESCRIPTION REPORT Page 4� of PARCEL I.D.# OD O Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 3 0.9 p (2 S:L aF 69- r aIF ,5 ' Ground 3 .�y I Dyf�` N 4� -r� o�IMS�'� -- MFv- C. Vj 10 5 � elev. I V 1 00 elev. 3 - 7 , 61 R Y)Y SL a v% bb tAF,r a Iv P Depth to 31 v— °` V it A 54 limiting factor Remarks: Boring # 0-I1D Ib%, ,L 6 M F r- a, 6 a ,5 . VY o 0 1 kv N Ly -2 W\Slb 4-w 10P 5 b Ground �,sy y 5 L �M'S �C. M'Fv- V " S . tp elev. Rv6 ft. Depth to limiting factor Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /fie in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # 3 01 IF (a wt�N AS 5 1� -7► p y �� S i L aM M C w 1 F -S: 1 5 6. �' a*, k M r r - Ground � 1.5 �{� 9 ) 5 L c?Msb M Fv- Q LJ f elev. q 3,Wft. ; z - 4-9L Depth to limiting M for in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) L _ I oars e.h e rve M e Y e r- 3 3 %y Scc. t T. 31 N� R 16 W ((�� - , Y. 1�Jo+n n i4 -G j�r K rl Vo i•7o acre.�.��.e.1 CStM ��17y�, SCa.1 e. l - to �.a tat In Gitr�- 4a rc E. M k t 35' 7S' ° Hvvs-e- s o, 75 10 q 1 %, °'� °� wv9Q- P, p�� (a.dy> a l ao C feat a v.c s• l t\ N tom s; ��y,g1� 9b.oy ' B 5 93,38 1 On E Gor koU 41-26 3 / -1 q9, Q7' */D 9V. 37 g� 9 v3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address 3 1-7 5 o Property Address a 3la Sy°o ? (Verification required fro Tanning Department for new construction) City /State Aj 0' - Parcel Identification Number DOt� LEGAL DESCRIPTION Proper Location S4 r /4, .S� t /., Sec. , T 3 N -R�W, Town of 6-LjJ-tT� P Subdivision - . Lot # Certified Survey Map # Volume . Page # Warranty Deed # S S a 3 -5 , Volume 1 Page # � Spec house ❑ yes K no Lot lines identifiable X yes ❑ no SYSTEM MAINTENANCE 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, journeyman plumber, restrictedplumber 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 stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLI ANT 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 owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** s* i 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 rro� 33:37 STATE BAR OF WISCONSIN FORM 2 - 19+82 WARRANTY DEED DOCUMENT NO. (! Ronald Meier and Cheryl Meier, husband and ST. CROIX CO., WI w ife, 1 a t'd he lt:i d JUL 0 6 19% conveys and warrants to Dean A. Dopkins and Laurie A. 9:50 A M 4 Dopkin husband and wife also kn as Dean Dop and Laurie Dopkins n THIS SPACE RESERVED FOR RECCAgDHNO DATA II NAME AND RETURN ADDRESS i; the following described real estate in St. Croix �+axX EQ r \ 3 � t' � State of Wisconsin: 1 of '7 i TRANSFER t ov. $J1 PARCEL IOENTIFICAnON NUMBER (, P. -t of the Southeast Quarter of the Southeast ()aratster (SE 1/4 of SZ 114). Saetioa Six f6), Townsh.:p Thirty -ons (31) North, flange Sixtrsa (16) W4att �4 Cotesencing at the SR career of said St 1/4 of the Sit 1 14; thence North, an the last Section line, S73.S foot, to the POINT OF BRUI ; thence W*Gt 462 feet; Ij thence North 314.0 feet; thence (last 462 foot; thence South 375.0 feet to t1}A + POINT OF SD IANIM; ZXCZPT that portion lying 8teetor1y of a line 70 toot it distant, at right angles Westerly from and parallel to the following dwserilood +j referencs line: Caen*aring 2,659 feet I*st of the NN corner.z of the SW 1/4 of � the NE 114 of said Sevtioa 6; thence South 0 dogrees 13 minutes Nest, 1059.3 feet; thence South 0 degrees 26 winutoe Zast, 260.2 feet to the POINT CM i 14i0ana n a of said reference line; then* continuing South 0 degrees 26 ainutes Zast, °.,333.5 feet; thence South 0 degrees 31 minutes 30 seconds last, 900 i feet, St. Croix County, Wisconsin. �! I� !t This_ .._ � a homestead property. j 'i (W XMM E r;on to warranties. Eas <_•tttents, restrictions and rights -of -way of record, if any. I Dated ® this ,,, _ _ day of —jime (SEAL) L UA , --- (SF l i • Ro nald Meier Ch Meier i t — (SEAL) -_ (SEAL) ii AUTHENTICATION ACKNOWLEDGMENT !} F ,I + t Signatnre(s) Ronald Meier, State of Wisconsin, !� jj Cher y l bier ss. II authenticated this day of June? , 19 Ae sKeoally a th re before e his County. I 19 , the above named i EI Kristi land � TITLE: MEMBER SIArE BAR OF W!'C - ONSIN II (If trot, �+ authorized by i706.06, Wu. Stet;.} to me mown to be the person who executed the foregoing ij r 1 instn.::caetx and aclatow'w :, the lame. { i THIS INSTRUMENT WAS ueiAf'E'l 'iY 4 i _At.c rr iey Kristina Oyler,:. j Hu dos, W 54016 _ Notary Public. — _�� -- _ County, Wis. I' (Signatures may be authenticated or acknowledged. froth are not My eovnmissinn ii peruiiinent. (it not, state expiration date: i recess° -y) i 't • Nartres of pe,-,os gninp,!., _ � : >;, .,y sh Sc .yvcd sv pr,n,a3 bXi . thew $agnm: s - - ! WA oKANTY DEE:3 STATE " , WI1 ?r VA' =W�r! I" . form ?..- . — t98Z k r 1 t # m w 4 � � t w , p' F win JJ k IRE � I 6 k ao. y � I I ar� �gy M . , 0 N O 3 0 d lu O fD ID O c O O N C"a O O `G m 0 0 `C �I • CD H a m m - 0 - o \ �y N N C N CD n 7 O O A7 i t 3 0 a o O I I I 7 W _ N O � ►� ty w m N _ (�1 W v. Z D C G N O CD cr.� O . T W r� V� 0) `G O O j co co CD '' I n r c C co cr O O O w 3 a s cn a D I C 0 0 W m d 4' c m rr m A Z Z Z O N p ; D D 0 N N 2 0 7 � a O CD h1 • m O CD D C N I CD A z cn --i m ao v m fD f D Z a 3 a z o - O m CD A . O p� N Q N CL O N G o a CD N O I I S I a, H A e ti w � + N O ti O b o0 N 0 �O 0 V O CD �, a O C- ti