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HomeMy WebLinkAbout008-1069-60-000 I 3 o h c C 4 Z O O N m N O � w M o •3 I a a� y .3 D) N 61 N U m z o .c C Z . LL �'o� p U N CO "0 U� DI N " g D Q M 2 w 3 M v m z o D z OD a m N I- Z o C: N 0 O l d a U N fA H T (D z E m �a N C • ly � _L o C N O I z Z Z N C � _0 _ d N .. G �'' a) C 00 d a ' U O o G G a. c E F H X w 0 0 0 a Z • ►v R � ', � a a a �, i o N a rn c O fA J V O O O) z N O N ( D 0 0 M w w N N L m r d O O N Q n m 0 ! C , 4 7 w h tlI C) Q 3 '', H e ° m E N co rn !1 O O U #I r O O 1 9 M C E C N N N V -S C C M N CO O 00 (� C � (n d U N, ' N (O 0 n N 'D N O C\j ' c6 N D f9 cY ... 6 C • O y O N w (n Cl) z N z lnI lac ° L: CL r _1 A c d a �', 0 in C> Wiscongin Department of industry SOIL AND SITE EVALUATION Labor and Human Relations Page of 3 Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County �° include, but not limited to: vertical and horizontal reference point (BM), direction and C n }� percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # L81 1 d0$ - /Oz- - (a APPLICANT INFORMATION - Please pr" r,fdh. Reviewed by Date Personal information you provide may be used for seco a ses (Pri *y Law, S�fS a 1) (mj). Property Owner [ EIVL Aro rty Location U 5 t < "S W CL ,oyx Lot 1/4 ())1/4,S „� Tag ,N,R ( E (or) O Property Owner's Mailing ddress , L> ) ; 4 it # Block# Subd. Name or CSM# a 77 ST C!O'X '— City State Zip Code \ Pf onp Nearest Road FFICE City ❑ Village / Town �, r R � New Construction Use: esidential 1 Number of bedrooms 3 ? Addition to existing building ❑ Replacement l> ❑ Public or commercial - Describe: Code derived daily flow 7 SU gpd Recommended design loading rate S� bed, gpd/ft 4 trench, gpd/ft Absorption area required �3 S bed, ft ,33 `7 _ trench, ft2 ��// Maximum design loading rate S bed, gpd/ft • (' trench, gpd/ft Recommended infiltration surface elevation(s) y� /jt 7 c9r41 0r � ft (as referred to site plan benchmark) Additional design /site considerations ec/ 6n ' 1 �S Parent material - _ Sc% CCVe, f Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Prresssure AT -Grade System in Fill Holding Tank U = Unsuitable for system El -IJJ If S El El E U ❑ S r_ -1__1 J ❑ S Ea ❑ S Pt SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Lu Ground , 3 l -3 (o `�� - vr� S�K o r LL 1 0, e el� l le e j v � .. �� j � ( _ / ��. v ft' T y l) T s y Depth to limiting ; factor 3 �s Remarks: Boring # 1 0 - 7 O Y f2 5 sly (n1 �r ¢ S la Ground o b' r7_ C V_ elev. 9/ft. Depth to limiting factor t4 f�Js., a5 in. Remarks: CST Name (Please Print) signal r Telephone No. Address r , 9 ` Date CST Number I SOIL DESCRIPTION REPORT PROPERTY OWNER r � Page J of 3 PARCEL I.D.# ©0,J /o 39 Bann # Horizon Depth Dominant Color Mottles Structure 2 Boring Texture Consistence Boundary Roots I in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 / 2 - 5 D -� I O Ground 3 -� o ` _ f 3 P �" c elev. Depth to limiting factor �5 in Remarks: Boring # I ; Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Structure GPD /ft in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench Boring # ; Ground elev. n. Depth to limiting factor in. Remarks: Boring # .......................... Ground elev. ft. Depth to limiting factor in. Remarks: SBDW -8330 (R. 08/95) r .trd c � 0 � 5 I 4 / � k V • ' r t k G C3 3 1- 0 op I I 1 n , AN � t 1 � r — T C 1 ,� A I Wiscorlin Department of Industry SOIL AND SITE EVALUATION Labor and Human Relations Page L of 3 Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x h sliritt'�s W Plan must County (, include, but not limited to: vertical and horizontal refs �tVtJdirection C 7� percent slope, scale or dimensions, north arrow, an I n and dlnce to neare t road. parcel I.D. # APPLICANT INFORMATION - Please t al 1 formation. " " Reviewed by Date Personal information you provide may be used for r ry. rpoi6mlway fa.j* 614 (l im) Property Owner C X Pr ope Location N ry G vG of r 1/4 u)1/4,S ,D T , N,R ja E (orCW" Property Owners Mailing Address tqt l Block# Subd. Name or CSM# �, 7 7 City yy State Zip Code Phone Number ED city ED Village Town Nearest Road co �cl� l�i 5'tv.,2g ( 7i5) 699 al'�� ��oO Sfr�� 93"New Construction Use: EgAssidential / Number of bedrooms 3 ? Addition to existing building ❑ Replacement /, ❑ Public or commercial - Describe: Code derived daily flow 7 SU gpd Recommended design loading rate S� bed, gpdHt — trench, gpd/ft Absorption area required :3'7 S bed, ft `7 S trench, ft 2 Maximum design loading rate bed, gpd/tt • 4o trench, gpd/ft Recommended infiltration surface elevations) 96 • ft (as referred to site plan benchmark) Additional design /site considerations �� /'mod r / h r x "/. -5- - Parent material s,ZjL Ccue'r' Flood plain elevation, if applicable ft S = Suitable for system Conventional �M�ouu In Ground , P - re AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S Lr" " ❑ U ED t'J U ❑ S 0u CIS [ -, u ❑ S SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPDJft g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench €4� F �Y �� S � � SLk 1A ' 12 Ground 3 t .'?� t O y� - sLk 9v 1j to elev. 7 s Depth to limiting factor �i in. Est Remarks: Boring # Ground l 0 y /O a U� S ( Cr v - elev. 9 ft . Depth to limiting factor 5j m in. Remarks: CST Name Print) I I Signature Telephone No. Seel V1 I e e sa �� (7 /s- ��.� 3a�K Address // r Date ` CST Number SOIL DESCRIPTION REPORT j PROPERTY OWNER Soh. Page °-D of I PARCEL I.D.# OOSf /G i8 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots G - in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench vh r W I F (o Ground _ y f 3 �„ ✓ , 3 ' Depth to limiting factor ,2�in. Remarks: Boring # u� Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Boundary Structure PD r Consistence Bounda Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # i Ground elev. ft. Depth to limiting factor ' Remarks: Boring 9 , Ground elev. ft. , Depth to limiting factor ' Remarks: SBDW -8330 (R. 08/95) r a f 4 � CA r c c t Jb 0 a I r I 0 4 � I � AN I n I� 1 ST. CROIX COUNTY ZONING DEPAR AS BUILT SANITARY REPORT Owner p Property A dress x -, City /State Legal Description: Lot Block W Subdivision/CSM # V4 1 /4, Sec. 14, T ^;: N -R Town of 6 A SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer 7y1 Lo P Size ST/PC I I?q(. > Setback from: Housed Well P/L Pump manufacturer Model S !L0 Alarm location x., / j Q -- (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: � tyc� Width Length Number of Trenches Setback from: House ,' Well P/L Vent to fr sh air intake PC ELEVATIONS Description of benchmark Ln S- C.* .S` ..s2 �� Elevation l Description of alternate benchmark Elevation Building Sewer - . ST/HT Inlet J ST Outlet PC Inlet PC Bottom 9 '' - Header/Manifold E� : ? - ra Top of ST/PC Manhole Cover Distribution Lines Bottom of System Y O - Final Grade O O ( ) { Date of installation State number Permit number � ,�. p Plumber's signature 0 A,J. 4 . + hx License number - � Date ., I J Inspector Complete plot plan I 1 f NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW 1 f: 1 \ f, INDICATE NORTH ARROW t Saf ety and Buildings Division of Commerce PRIVATE SEWAGE SYSTEM y:ST . CROIX Safety nd Buildings D Count ! INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitaryy2r* 9(2: Personal information you provice may be used for secondary purposes [Privacy La*, s.15.04 (1)(m)]. NA14 "s NAT [x„¢46 MAIDLED Town of: State Plan ID No.: CST BM E ev.:. Insp. BM Elev.: BM Description: Parcel T — — — b d i rad TANK INFORMATION ELEVATION DATA A 900056 TYPE MANUFACTURER CAPACITY QTION BS HI FS ELEV. Septic �UJQ /a0V � chmark 3 z 6 Dosing Aeratio Bldg. Sewer � , flj� ; yZ Holding St W4_IA4Qt �$.v TY32 TAN TBACK INFORMATION &t4 i it- E).thet TANK TO P/ L WELL BLDG. Ventto ROAD Bt AMIet Air Intake Septic > �(D' >e,�,' a3 ' NA Dt Bottom a & Dosing " S ' ' NA Header / Man. Q6 36 Aeration Dist. Pipe 3. 8 oz • 3 Holding Bot. System `►G /"f' 3C PUMP / SIPHON INF RMATION ('��P Final Grade Manufacturer G ennand ?7 , �z Model Number — gZ ;Z - IGPM TDH Lift , ,eb Friction , Systema.� TDH.X>.2ft Forcemain Lengtha(O Dia. 1" Dist. To well 7 &V SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type O ,t, ( I CHAMBER Mode Number: System: bt•(tu >' �/ Z (� 7 Z06 OR UNIT DISTRIBUTION SYSTEM r Header / Manifold r, Distribution Pipes) / / N x Hole Size (/ x Hole Spacing Vent To Air Intake Length � Dia. �_ Length - 5 Dia. /� Spacing /l UQ 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 E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) �� 4 S SrN �' 9��'"' r� "�` , LOCATION: EAU GALLE 24.28.16.357A,NE,NW 302 265TH STREET �d a � 5;G�i Gi Q (> ° c . � �Q e S� /d (. Plan revision required? Yes q ❑ ❑ No Use other side for additional information. (� SBD -6710 (R.3/97) Date Inspector's Si ature Cert. No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 4 t F } F e } E , e v " 3 3 i F m" "" , t � e t , , �4 T } �a F 4 € € y 4 b } F I € W � i f s p _ F f € i t i � o a F F F a F { t" s F � k ,.. ------ 3 " i § v F s 3 F s s : , i � 4 , ,.e. �,rv.b ......._ ,.... � ,.,.. z ,,. , .... .. �,.._ ..... �. . A,.,. M ...�. _....< ..... _, ..._ <.,.., ,,._ , ... , _.,. . .. .. ..... ... .... . ....._ a - ,.,, ._a.,, .. ,. .......e.... ,, .._..... .mM e.... , .�..,N., . W.d.a Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave — In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size_ D� <f /r; hC • See reverse side for instructions for completing this application State Sanitary Permit Number you provide may be used b other government agency programs �� The information y p y y g g y p g ❑Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)1. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Prop ' y Ow r Name Property Location ����� N So X1 /V&..) 1/4, S Z* T 20 , N, R l� mro Property Owner's Mailing Address Lot Number Block Number 0 6 OA 2,2-6 City, State Zip Code Phone Number Subdivision Name or CSM Number II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ cit / Nearest Roads�/ ❑ Village av Public X 1 or 2 Family Dwelling - No_ of bedrooms X Town , O F I11. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) ppfj — t 0313 - 30 —t03i 7o 1 F1 Apartment/ Condo 008 � 1 O ;1 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 PERM_ IT : (Check only one box on line A. Check box on line B, if applicable) A) 1 New 2. E] Replacement 3 E] Replacement of 4. ❑ Reconnection of 5 E] Repair of an 'S ystem System ________ _____________TankOnly - - __ -- Existing System E xisting 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- DWound 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 � A Q Required q. ) Propos d ( (Gals/day /sq. ft.) (Min. /inch) p Elevation r1 2 r ZU --• /1,1� I Feet !O Feet Capacit VII. in allon Total # of Prefab. Site Fiber- Exper I NFORMATION _ g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks tic Tank r Rri9&rrtg-Fank t 25, ❑ ❑ ❑ ❑ ❑ L1 Pump Tank �Qr gf�' El ❑ . El ❑ ❑ ❑ Vlllr. STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) �� Plu s Si na ps MP /MPRSW No.: Business Phone Number: ft 1A ,�, Z� ?SO Plumber's Address (Street, City, S e, Zip Code): Z EG St 4C> Z) IX. COUNTY / DEPARTMEN USE ONLY E] Disapproved Sanitary Permi ee (Includes Groundwater ate ss a Issuing Agent Signature (No Star A Approved / Surcharge fee) �// pp ❑Owner Given Initial ( /f✓,n Adverse Determination X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SHD -6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: safety & Buildings Divuion, 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 I 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 -3815. 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 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if 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. Safety and Buildings 2226 ROSE ST 1 \ + LA CROSSE WI 54603 -1905 VA sc0ns n Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary Department of Commerce February 22, 1999 CUST ID No.261068 ATTN. POWTS INSPECTOR ZONING OFFICE HURLBURT HTG, PLBG & ELEC ST CROIX COUNTY 1227 E PROSPECT 1101 CARMICHAEL RD DURAND WI 54736 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 02/22/2001 Identificat Numbers Transaction ID No. 212141 Site ID No. 167344 SITE: Please refer to both identification numbers, Site ID: 167344 above, in all correspondence with the agency. St. Croix County, Town of Eau Galle NEIA, NW1 /4, S24, T28N, R16W Facility: Kurt Swanson FOR: Description: Mound Object Type: POWT System Regulated Object ID No.: 451327 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. 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 02/17/1999 FEE REQUIRED $ 180.00 L M. Swim FEE RECEIVED $ 180.00 erard BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)785-9348, Mon - Fri, 7:15 AM - 4 :00 PM jswim @commerce.state.wi.us -3, I I� Ott �v,p S S �'cn LOCATION 4JC_ 1 /4,NW 1/4, SEC.Zzl. T Z8 N, RAW TOWN: Eau Coo /% COUNTY: St' 0 ' 0 r" DATE : Z f 99 OWNER: ADDRESS: -- 'moo 28 DESIGNER: h '� o , �� 'r" SIGNATURE:" LICENSE # ATTACHMENTS; /0577 PLAN APPROVI:L APPLICATION SOIL & SI EVALUATION REPORT-_.__ PAGE 1: COVER 2: CALCULATIONS 3: PLOT PLAN 4: PLAN VIEW, SYSTEM CROSS SccT1aJV 5: LATERAL DETAIL 6: PUMP TANK EXIT DETAIL \ 7: PUMP CURVE P.O.W.T.S. Conditionally APPOPhROVED DEPARTMENT OF COMME VISION Of TY D UI GS SEE CO ESPO NCE SYSTEM CALCULATIONS ONE FAMILY RESIDENCE BEDROOMS LOADING RATE °rob GAL /SQ.FT. PER DAY DEPTH TO GROUNDWATER _ INCH DEPTH TO BEDROCK � INCH UP -SLOPE 77, % BED -SITE SLOPE 7 /a - % DOWN -SLOPE 7 /O FORCE MAIN LENGTH FT. OF Z IN DIAMETER FORCE MAIN DRAINBACK 2-3' O GAL. ELEVATION DIFFERENCE BETWEEN PUMP /SIPHON AND DISTRIBUTION SYSTEM 19 •�� FT. FORCE MAIN FRICTION LOSS /'S FT. @ 2 3• 1 / GAL /MIN TOTAL DYNAMIC HEAT Z3. 2 j. FT. PUMP/ SIPHON @ Z3. 21 FT. OF HEAD MANUFACTURER � O / /J'C M MODEL# 56e_ 5 o 1 DOSE VOLUME /73. O GAL. MEASUREMENT PUMP ON & OFF $' IN. LIFTAQEMZDN TANK go GAL. SEPTIC TANK GAL. HEIGHT ALARM ABOVE TANK BOTTOM 3.3 INCH LATERAL LENGTH 2 ' @ �` f' s FT. OF /rz- DIAMETER LATERAL ELEVATION �' S 7 FT. BOTTOM OF PIPE LATERAL HOLE SIZE Al IN . @ IN. SPACING HOLES PER LATERAL, 2 - 0 HOLES TOTAL LATERAL VOLUME GAL. 2.5 << L LATERAL DISCHARGE RATE 2 • G.P.M. @ FT. HEAD TOTAL I � I tocabicw or I'v C w b �( N Bs rr� e�euo.•1+'0^' � (� ��'�w�si F}eca Sf' Cscal� f = 4c� �7.(0�inuc l2vo /Joo Co.,tibo ElkuL+j Cow e = 47, D e� {o � tf0 • _ z " Force' rrc:gN (& tot RUC) S /op rav �-o (1/'a i� V b a C {#wyN 2bS � Hwy Are N l�w \ A flfi ham e Q ens C A /1�lar d ■ ro�Q� a+ 6a Cry -� �a cjo Ste c � 5 �/ le / va • Lt 0��. // = -)Pe e t ClruafivNS Qrc jN 7 Qe L lrh <t a7 �lrrvsu�c N© 83.10 $cf bock fs�ob/e.�s . i Page q Of 7 f Y a 'm Distribution Pi �t-s c33 e p Medium Sand � v2. S7 H __ G 6" Topsoil - F — - /o% Q ' —J tc ....... D "i % Slope Bed Of 2'- 2 Force Main(?-" Plowed Aggregate Layer (6" Below Pipe) D /Z,D Cross Section Of A Mound E (a,,Z� - - F lo, G 12.0 " . A O Ft. N (8. o B /00,0 Ft. K o.5 Ft. �- L 121,0 Ft. j J. / Ft. Ft. Z" Force Main W 2 Ft. J /7 Observation Pipe -� f op - 0 zo 3D 6 K '� _ crua{�'o•� A I � p cabs 30 O� 11 _ _ • �,• - - -- tF-- 111 ' M Distribution Bed Of Pipe �! %, "� Aggregate 'i Observation Pipe Permanent Markers Plan View Of Mound T !�F7 /e 1 �9 G Z) 6 T/:5 L. T �/eA Z �' BUG sc�i V6 pICE �J pin A - wC 5c�f yo m10 44 L.¢rE , S 9S.o � 1 2.0 s CfiCW TYPE CAP OR SLIP CAP I �I « PE 4 PVC P 1 (LENGTH VARIE-5 ) I 4-- V4 x4 " " LOG � 5LOT5 90 o N APAR TOILET RING 4 - I s c. o T Page__&_Of 7 COMBINATION SEPTIC TANK /PUMP CHAMBER (No Scale) 4" CI Vent Pipe with Approved Locking anhole Cover Approved Cap, +25' With Warning Label Attached From Buildings Weatherproof Approved _ Warning Label Junctio n Box Vent Cap V —� 12" mum 6" Minimum i -- Final Grade -� 4" Minimum 6 Maximum ' _ 4 Quick C.I. 18" Minimum Insp. Pipe :___ Disconnect V I N 1/4" Weep � Baffles Hole D iJ Cleo = 2 77 Approved Joint � ,�_ A w /C.I. Pipe ► 4 Extending 3' Alarm M B , Approved Joint Onto Solid Sail On 6; w /C.I. Pipe ► C Extending 3' 3 . q C /e- y ' Onto Solid Soil off 6' 10 D. 3 Conc. Block C -A Li zYz' 3" of Beddi nq Under Tank—' ank - 2/, o Gol /Byr� -zNCh Note: Pump and Alarm Are On Separate Circuits Number of Doses: 4 1 Per Day Gallons Per Day/f of Doses: /SV.o Gallons Volume of Backflow:........ 2L 5 Gallons Tank Manufacturer: eSf Aecasr Total Dose Volume: ........ = _L 23.y Gallons Tank Size - Septic /Pump: 1 2 - oo 9:0o Ga Ions Alarm Manufacturer: s 3 Ele cfrp Model. Number: /v �-tw• Capacities: A 25.E inches or �Z9, Z Gallons Switch Type: • �'@rrJr u �U + B z .o inches or /f 2 A Gallons Pump Manufac I eta arc + Cinches or /� , 3 Gallons Model Number • �'_ so + D & o inches or &s. v Gallons Minimum Discharge ate: Z 3 -y Total ..... ,Sv inches or Vertical Difference Between Pump Off and Distribution Pipe: Feet Minimum Required Supply Pressure :....... ..................+ 2 jiQ Feet of Force Main x I.Ie Friction Factor /100 Feet: + — !.5 eet 2 Diameter Force Main Total Dynamic Head: ... = 23. { In Tank Dimensions: Length /y 7 ; Width 7 Liquid Depth *1*1 Signature License Number Date SEWAG EJECTORS - Features and Perfo SP40 • Oil - filled ball bearing motor 29 4/10 HP —MAX. SOLIDS II /s " SPHERE —1750 RPM incorporates automatic reset 21 - __ d thermal overload. • • Non -clog two -vane impeller. � • Reliable diaphragm switch. ! 111 • 2 -inch NPT discharge. •Stainless steel shaft. o - !- - � J • Completely field serviceabl 9 _` :... — — — FULI. I.(Y1D AMPS AT Id 115V. 1 9.I. AT 200V 1.7 t I i 0 O 20 10 60 80 100 120 1 y y I U.S. GALLONS PER MINUUTTEy T'T P1 1'l l l4 ii )\ /1 I'1 Fl Jl /i Fl fl Y1 Ti 7l 7'T * TS Ti 7l Ti 31 T7 I\ J7, P( 7T • Oil- filled, heavy -duty ball- bearing 1/2 HP— MAX. SOlIDS1Vi "SPHERE -1750 - " motor. 29 — • Enclosed, two -vane sewage type - - - --- - - - - - 2. = 7 7) impeller. - • Oil- isolated level control - -- -- - - - - diaphragm swtich. _ ,e • Mechanical shaft seal with carbon < 12 and ceramic faces. - -- - - - - - - ) • 2 -inch discharge (W flange - - - -- - - - - FUl1LG,U - t Wl ll Sa 20, Al 230 SO FULL LOAO • Completely field serviceable. 0 f " 2019 0 20 40 SO M1 110 140 130 1 yy U.S. GALLONS PER MINUTE 1 y� SEW50 • Heavy -duty oil - HP motor 1 /2 HP —MAX. SOLIDS 1 SPHERE -3000 RPM with built -in thermal over 24 protection. • Heavy-duty, cast iron motor 16 ° ` ty housing. < 12_ „ • Noncorrosive ABS volute. w q • Automatic (SEW50A1) fe wide -angle switc Iggyback D 0 20 ,G 60 80 100 p CAPACITY IN GPM • anual model (SEW50M1) also y available. ^*,� 6 Wisconsin Department of Commerce S OIL AND SITE EVALUATION Page I of 3 Division of Safety and Buildings iih' *6orld, WM ;omm 83.05, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County • include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scab or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION - Pfease f for,�nadon. OD - '� 0 � 09 T BOO Jk Personal information you provide may be used for I Bd By Date p (Privecy t'aw 15.04 (f) (m))• s. r Property Owner j' r n, ray location NE 1!4 NW 1!4 S 24 T 28 N,R 16 W Swanson, Kurt P. • I' , �' Pro Owner's Mailing Address L pt # Block # Subd. Name or CSM# P.O. Box 225 C_ ity Slate M �i� _Code P City LE Villaagge ®Town Nearest Road Woodville WI 28 7 684 / au Ga11e 265Th St. New Constrtictiori Use: ® dential / Number o s 4 ❑Addition to existing building ❑ Replacement El Pu ` orr - "a>II Code Derived daily flow 600 gpd Recommended design loading rate •5 bed, gpolft2 6 trench, gpdtfF Absorption area required 1200 bed, ft 1000 trench, fts Maximum design loading rate - bed, gpdtW •6 t rench, gpd/ft Recommended infiltration surface elevation(s) 101.9 ft (as referred to site plan benchmar Additional design /site considerations install 5' x 100' rock bed mound on 100.9 as upslope edge of rock w/ 1' sand fill Parent material loess over till Flood plain elevation, if applicable NA ft S= Suitable for system Conventional Mound In -Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system E] ® U ®S ❑ U ❑ S ®U ❑ S ® U ❑ S ®U ❑ S X U Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench �1 1 0 -7 10YR 3/3 - sil 2 f sbk ds cs 2flm .5 .6 2 7 -20 10YR 4/4 - sit 3 m sbk dh gs lm .5 .6 Ground 3 20 -32 7.5YR 4/4 - sl 2 m sbk dvh cw If .5 .6 elev - 100.9 ft 4 32-48 7.5YR 4/6 f2d 10YR 6/2 is 1 m sbk mvfr - - .7 .8 Depth to limiting factor 32' Remarks: 1 0 -8 1OYR 3/3 - sil 2 f sbk ds cs 2flm .5 .6 Lj 2 8 -26 1OYR4/4 - sit 3 m sbk dh cw Im .5 t 6 - {- - Ground 3 26 -36 7.5YR 4/4 - sl 2 m sbk dvh cs if .5 1 .6 elev - - - -- - -- - - -- - 100.9 ft 4 36 -76 7.5YR 4/6 f2d l OYR 6/2 is 1 m sbk mvfr - - .7 .8 Depth to limiting - -- — - - - -- factor _ __ -- 36' Remarks horizon 4 is occasion y w y cemen resistant to penetration, but genera sbk CST Name (Please Print) Signature: Telephone No. Henry F. Grote 715 -665 -2681 Address C ertified of T esting D tt CST Number Ref # P.O. Box 57, Knapp, WI -54749 18//1998 222774 1066 swamn, xud SOIL DESCRIPTION REPORT 3. PROPERTY OWNER: ® Page of PARCEL LD.# Certified Soil Testiiig Y Depth Dominant Color Mottles Structure onsistence Boundary Roots GPDIft2 Horizon in Munsell C!u. Sz. Cont. Color Texture Gr. Sz. Sh. Be Trench 3 1 0 -9 10YR 3/3 - sil 2 f sbk ds gs If/m .5 .6 2 9 -25 IOYR 4/4 - sil 3 m sbk dh cs lm .5 .6 Ground 3 25 -34 7.5YR 4/4 - sl 2 m sbk dvh cs lm .5 .6 elev - -- 102.8 ft 4 34 -80 7.5YR 4/6 t2d IOYR 6/2 is 1 m sbk mvfr - - . .8 Depth to limiting factor 34' Remarks: onzo i g e u si pene ion 4 0 -10 1 F10YR 3/3 - sil 2 f sbk ds cs lf/m 5 .6 2 10 -19 10YR 4/4 - sil 3 m sbk dh cs lm .5 .6 Ground 3 19 -35 7.5YR 4/4 - sl 2 m sbk dvh cs lm .5 .6 elev 100.6 ft 4 35 -70 7.5YR 4/6 f2d 10YR 6/2 is 1 m sbk mvfr - - .7 .8 Depth to limiting — — -- -- - -- factor 35' Remarks: Lj Ground elev Depth to limiting factor «. - Remarks: Ground — -- elev Depth to -- - limiting - factor -- -- -- — Remarks: _ _ —_ �� M T Jwew.gor.. 1 ° �o�i - ��a.�. �og - ►ob9 - l.r� -woo Z4.z'g -Y NIr- 1Yw- 't4 - tg - Ito � 4s�r+1 •s�.Z }�4 L'C'K k t�. X13 �►es.�� �► w.g.� 1 U -4. t$ 4 Ga cia � n•� �¢ Q `o«rt a L. sr l s� �t s +•� �� oo. o� S 3 O it 3 r 01/18/99 MON 09:40 FAX 715 986 4686 ST CRX CO ZONING 1@005 ST CROIX COUNTY SEPTIC - TANK MA'INTENANCE AGRLEWNT • : AND...: OWNERSHIP CEETINCATION FORM i Own Buyer �2T Sc� iV S o Mail ; Address 2 Prop a' Address S T 57X#- C7 (Verification required from Planning Department for new construction) �. City/ ute zo dot) U t G" / Parcel ldentification Number o0 8 -/ 0 38- 3 0 ; oca3 /03NO- 7o LEG rood'' ^/06 r —G C9 DESMEMON Props y Loeation� 4 A4 %, N4.1 %, Sec a T rep N R W, Tawn of J -4 G-f� Subd lion Lot # Certi .d Survey Map # Volume . Page # Wan sly Deed � VOlume _ _ /3 . Page # r// Spec ase ❑ yes O no Lot lines identifiable (J yes U no • S )M 11 MAIlr1'1'ENA . Vroper use and maintenanceof yon septic Uskmeould in its premat = faflum to handle wastes. Proper maintenance coa4isi rl' pumping out the septic Csnk every three years or sooner, if needed by a licensed pumper. What you put into the system can d t the function of the septic tank as a tmatment stage in the waste disposal system. [ be property owner agues to submit to St Croix Zoning Department a certification form, signed by the owner and by a master jib , journeymanplamber, restricted plumber or a hcensedpumper verifying that (1) the on -site wastewaterdVosal syst= is in pi cr operating condition and/or (2) after inspection and pumping (if necessary), the septic tads is less than 1/3 full of sludge. uwe, x undersigned have read the above requirements and agree to maintain the.private sewage disposal system with the standards set fort herein, as set by the Depadment of Comnu= and the Department of Natural Resources, State of Wisconsin. Certification stating 1 1: your septic system bas been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days 0 tr thtw expiration date. 1_ w 54-oftwW*4 t /¢L /!t SIG"N1 IRB OF AP PLICANT DATE t)Wl� B. CERTMCATION (we) certify that all statements on this farm are true to the best of my (our) knowledge. I (we) am (am) the owner(s) of the pro • y described above, by virtue of a warranty deed recorded in Register of Deeds Office. � s IGNA JI[tE OF APPLICANT DATE ►ay information that is miss- representedmay result in the sanitarypermit being revoked by the Zoning Department. • •" Xnel e: with this application: a staruped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ' YOt ���RPA�En��. 596265 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD Wesley G. Swanson and Karen A. Swanson, a /k/a Karen 01-21 -1999 1:40 PM Swanson, husband and wife, conveys and warrants to Kurt W. Swanson and Dana E. Swanson, husband and wife, WARRANTY DEED as survivorship marital property, the following EXEMPT II holding p P p Y, 9 CERT COPY FEE: described real estate in St. Croix County, State of COPY FEE TRANSFER FEE: 216.90 Wisconsin: RECORDING FEE: 10.00 PAGES: 1 Recording Area Name and Return Address C �ii >G d 1 - � 008 - 1038 -30 ;008- 1038 -70; 008- 1089 -60 (Parcel Identification Number) 1. The Southeast Quarter of Southwest Quarter (SE ' /4 of SW '/4); also all that part of the Northeast Quarter of Southwest Quarter (NE '/4 of S '/4) t hat lies South of State Trunk Highway "N'; All in Section Thirteen ('�, o ins Twenty -eight (28) North, Range Sixteen (16) West. 2. Northeast Quarter of Northwest Quarter ( '/4 of NW '' /4 ) of Section Twenty -four 24 Township Twenty -eight (28) North, Range Sixteen (16) West EXCEPT East Two n one -half (E 2 '/Z) rods of North Twenty (20) rods thereof and EXCEPT Lot 1 of Certified Survey Map in Vol. "6 ", Page 1584. Subject to the right of Gordon Haugfos, a /k/a Gordon M. Haugfos, to cut firewood for his personal use only during the balance of his lifetime as recorded in Volume 1108 of Records, at Page 1, as Document No. 524899. Exception to warranties: all easements and restrictions of record. This is not homestead property. Dated this * 157— day of JANuA , 1999. "Wesl y G. an n * aren A. Swanson AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ST. CROIX COUNTY Personally came before me thin o7l - day of av 1999, the above named Wesley G. Swanson anJ Karen A. authenticated this day of Swanson, aAda Karen Swanson, to me known to be the person(s) who executed the foregoing instrument and acknowledge the sa e. signature - type or print name Sig ture TITLE: MEMBER STATE BAR OF WISCONSIN bP or print name aT�� (If not, Notary Public St. Croix County, WiscQnsiH authorized by §706.06, Wis. Stats.) My commission is permanent. If not; }e'ex !ratio tt!we* THIS INSTRUMENT WAS DRAFTED BY a Thomas A. McCormack 'Names t persons signing in any capic* Should batVed or Baldwin WI 54002 printed below their signatures. �,. Pun Information Professionals Company Fond du Lac, Wisconsin 800.6552021 tS gy 3s� Legal Description for Kurt and Dana Swanson Residence: Part of the South Half of the Northeast Quarter of the Northwest Quarter ( of NE of NW's) of Section Twenty-four (24), Township Twenty -eight (28) North, Range Sixteen (16) West, St. Croix County, Wisconsin, EXCEPT Lot One (1) of Certified Survey Maps recorded in Volume 6 of Certified Survey Maps, Page 1584. 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