Loading...
HomeMy WebLinkAbout010-1075-30-000 o 0 (A 0 f ` ° A. rmo, fb § # ; [ k 2 TO �_1 — 7 � � § � $ @ 9 7 / / ° E 9 % . £ c ID _ 2 w /S�(D kf,��� k / E § / i ¢ \ § 2 E 2 G]@ q w o ■ Q ~ $ ( E E 0 $ 0 O § 9 © � @�> E E: CD e m A (D : ƒ \ 3 o C ® \2j; / CO § %' 2 0 � (D CD 2 S� ■ \ z 0 0 o § " - § / \ § § ) k: § ; { 2 ° i ° S § CD k i r 8 Z � ©' } g §§f ƒ C � m � Oro � � I % 7 7 C - � ■ � 0 9 ƒ w M �) e CD CL ■ 2 z � ! � § I � 2 4 f CD Ll ■ � } c 0 % $ ƒ ) � ƒ I � a � � ƒ qb / 0 � < f ? & CD E . a 2 : � Parcel #: 010 - 1075 -30 -000 11/27/2006 12:59 PM PAGE 7 OF 1 Alt. Parcel #: 31.30.16.457 010 - TOWN OF EMERALD 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 DONALD E & COLLEEN M MELVIN O - MELVIN, DONALD E & COLLEEN M 2127 130TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 31 T30N R1 6W W 1/2 OF W 1/2 OF NE Block/Condo Bldg: 1/4 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 31- 30N -16W Notes: Parcel History: Date Doc # Vol /Page Type 11/23/1998 592254 1379/638 QC 11/23/1998 592252 1379/633 QC 11/23/1998 592251 1379/632 QC 11/23/1998 592250 1379/630 TI more 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/20/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 15,000 83,900 98,900 NO PRODUCTIVE FORST LANDS G6 38.000 45,600 0 45,600 NO Totals for 2006: General Property 40.000 60,600 83,900 144,500 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 60,600 83,900 144,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 121 Specials: User Special Code Category Amount 010 - GARBAGE SPECIAL ASSESSMENT 30.00 Special Assessments Special Charges Delinquent Charges Total 30.00 0.00 0.00 ST. CROIX COUNTY ZONING DEPART AS BUILT SANITARY REPORT Owner Property Address - 7 0 City/State* Legal Description: Lot Block -- Subdivision/CSM # '/4 ,A),F'/4, Sec. 3L T O N- R-UaW, Town of P" f -LCS 7: S = 30 SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC 8 C b Setback from: House 27 Well P/L �- Pump manufacturer Model 6t2 Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of of system: Width It -� Length 7 Number of Trenches Setback from: House WO Well D SO P/L /�5 Vent to fresh air intake ELEVATIONS Description of benchmark x- /- '�� 5�( �--� Elevation Description of alternate benchmark Elevation Building Sewer 7 g ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifo d 9 - Top of ST/PC Manhole Cover Distribution Lines ( ) '%�, 27 C� , () ( ) Bottom of System () 103 5(,;k ( ) ( ) Final Grade O O ( ) Date of installation 9 Q /9fP ermit number ��` �� State plan number 3 �g Plumber's signatur icense number -'ZiZQW'� Date t = -- =/ Inspector i2o—M � Complete plot plan or 3-� NOTICE: � se provi a following: P r o pos 3 kedr� _ • A p seat �u�►ytlung within 1 `6 fv !"entot/G.d. ■ 50;1 Ai® 'zontal re r ce oints to center of septic tank anhole cover. P: g� I - •El a ✓a �� if applicable. /,c0 / gob PAN L VIEW ,,,,� Oc�ner � �4 VZ7 1&0� rc�f 3/,T,3M Sao'{ t o /32A /306J Ba n ►?a ;L in 8,4sh t c¢ • Ass Kmed INDICATE NORTH ARRO / a s' flsl tom«. JI clef = /Gb 9.3. B� P�.70�8 W isconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count ,safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 344684 Permit Holder's Name: ❑ City ❑ Village (Z Town of: State Plan ID No.: MELVIN, Donald & Colleen EMERALD CST BM Elev. - - Insp. BM Elev.: BM Description: Parcel Tax No.: `k_ 010 - 1075 -30 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic p Zoe /gft Benchmark 3.26 X• 04_ Dosing �- 21'` I'lf /3Nl , p /0 , Z / 6, f Aeratio Bldg. Sewer fl-?f , Holding St/ Ht Inlet 12.E 3 f - TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. A l to ntake ROAD ot Septic \> (s0 > 16 0 NA Dt Bottom ' 7 % 5 ­: e Dosing >�6� NA Header/ Man. YO Aeratio A Dist. Pipe Z. ­7 -j Al Y 0 Holding Bot. System 3. / 3 Z PUMP/ SIPHON INFORMATION �tc Final Grade Manufacturer �jp l� Derttand 0.4 _ 7 Model Number � / K L`�. GPM TDH Li ftf Friction SystemZ � TDHa'ZFt oss H ead 4y.g�f Forcemain Length 3 5 1 Dia. Dist. To Well SOIL ABSORPTION SYSTEM j = 3 ` -E- f2 • !S RIEDYTRENCH Width Lenath r No. Of Trenches PIT No. Of Pits Is de ja. Liquid Depth DI N I N S 1,#Jjr41 DIMEN SYSTEM TO P/L BLDG WELL LAKE /STREAM G Manufacturer: SETBACK CRAM INFORMATION TypeO 1 / del Number: System: S yU� y'Do OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) / x Hole Size x Hole Spacing Vent To Air Intake Length 11�1 Dia _10 Length ':� l ( Dia. Z Spacing IVA 1/ y �(3 r, " — 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 E] No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 2,1o1 EMERALD 31.30.16.457,NW,NE 2127 130th Street j f r (e r /v� Se ? b14t rrn. pu eo✓ ltf, `io' a S A&-1J e­ <5 Feu y ��✓t• Plan revision required? ❑ Yes ❑ No Use other side for additional information. 2p v `� SBD -6710 (R.3/97) Dat pector's Signa Cert. No ADDITIONAL COMMENTS AND SKETCH r SANITARY PERMIT NUMBER: r e k E r� e t I t 4 E t r I i e E i S a 3 E t A . ..... .. ...... ems. _� � ... p. .. �.w e.q s f i e E f i �... ....«w .. .. e ...e �.. _. e..5 . .-a.. ........ tl. .. ... . :... mq _.. . m.e, g� ., ..,q„..:.... .« ..,e ....... t E - f v t 1 ¥ � C t � E i p g r s a , e � d r B _.. d r.— ..mmm. e. m. ... ... _.. �. __. ... .m 6• , a 1 a a � � r i € e r [ - s � P t er`f d t � SANITARY PERMIT APPLICATION Safety and Buildings ig Division Vi scons i n 201 W. Washin ton Avenue In accord with ILHR 83.05, Wis. Ad P O Box 7302 Department of Commerce 1 , Madison, WI 53707 -7302 � \ . _ • Attach complete plans (to the county copy only) for the system o per nolless .Goun than 8 112 x 1 Tinches in size. Cb RE"c � '` S`'1' CROIX • See reverse side for instructions for completing this applicati '' '�' `t sta itary Permit Number _ �.�_ 3"N - i ' Personal information you provide may used for secondary pu se �` i ' S EP 0 n a -fig Ctie i revision to previous application [Privacy aw, s. 15.04 (1) (m)]. ^- 0 y pZI e2 T 13 ST GROiX f State I.D. Number 1. APPLICATION INFORM TION - PLEASE PRINT LL I M S. die ID 179913Trans ID 244216 Property Owner Name 'Property ocat"i n . I DONALD & COLLEEN MELVIN T 30 , 16 ) W Property Owner's Mailing Address Lo m e f Block Number 2127 130TH STREET N/A City, State Zip Code Phone Number Subdivisi n Name or CSM Number BALDWIN WI 54002 1 (715) 694 -4408 N�A II. TYPE OF B ILDIN : (check one) ❑ State Owned it Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms village EM 130TH AVE _ Town OF III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 21 55 I / _ 0 . i' `7 .5-7 1 E] Apartment/ Condo 010107WOI 01 1075 — , 30 - 00 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 ❑ 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 ❑ Pit Privy 13 ❑ Seepage Pit X 43 ❑ Vault Privy 14 ❑ System -ln -Fill VI. ABSORPTION SYS EM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade 450 Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation 375 375 1.2 N/A 103.42 Feet Feet VII Capacit TANK in gallo s Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- steel glass Plastic App New Existing structed Tanks Tanks Septic Tank or Holding Tank 1200 1200 1 MIDWESTERN PREQA3TQ I ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber 1 800 800 1 1 MIDWESTERN PRE A ❑ 1 ❑ I ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum 's Signature: S ps) MP /MPRSW No.: Business Phone Number: BENNIE HELGESON 220292 715/772 -3278 Plumber's Address (Street, City, State, Zip Code j . W1229 770TH AVENUE, SPRING VALLEY WI 54767 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved S ; itaryPermitFee (Includes Groundwater D ate I ssued Issuing Agent Signature (No Stamps) �. P Approved ❑ Owner Given Initial 2,S- tJp Surcharge Fee) C 3 Adverse Determination X. CQNDITIONS OF APPRO AL / REASONS R DISA PROVAL• .�� � . SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, plumber 1 INSTRUCTIONS f 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. 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. V111. 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. • r Safety and Buildings . � 2226 ROSE ST LACROSSE WI 54603 -1905 TDD #: (608) 264 -8777 �sconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary August 31, 1999 CUST ID No.268093 ATTN.• Rod Elsinger ZONING OFFICE HELGESON EXCAVATION INC ST CROIX COUNTY W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 08/31/2001 Identification Numbers Transaction ID No. 244216 Site ID No. 179913 SITE: Please refer to both identification numbers, Site ID: 179913 above,, in all correspondence with the agency. St Croix County, Town of Emerald NW1 /4, NE1 /4, S31, T30N, R16W Facility: Donald & Colleen Melvin FOR: Description: Repl. 3BR A +4 Mound Object Type: POWT System Regulated Object ID No.: 488570 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. Adm. Code. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats. 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 08/25/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 orensoV onr —.` BALANCE DUE $ 0.00 Wastewater Specialist (608) 785 -9336 dsorenson @commerce.state.wi.us Wi$MAR ;7 031 f Y MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET I Project Donald & Colleen Melvin 3 bedroom residential mound Owner Donald & Colleen Melvin Address 2127 130th SRf Av Q- Baldwin, WI 54002 Legal Description NW1 /4NE1 /4, Sec.31, T.30N., R.16W. Township Emerald County St. Croix Subdivision Name Lot No. Parcel ID Number 010 - 1075 - 30-000 Plan Transaction Number Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 Pres. dist. calcs. and laterals Page 4 TDH and pump tank drawing : Page 5 (.1 Pump performance curve Page 6 Site plan Page 7b Attached soil evaluation report Page 8° Designer Bennie Hekjeson License Number 220292 Signature Phone No. 715 -772 -3278 Date 6/28/99 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 8.05/96 Page 1 of 8 AROUND 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) L ' J Replacement system? Creviced bedrock site? n (y or n) Slope 2 % Wastewater flow rate 450 gpd 1703 Lpd Depth to limiting factor 13 in 33.0 cm In situ soil infiltration rate 0.6 gpd/ft 24.4 Lpd/m` Contour line elevation 101.5 ft 30.94 m Use standard fill depths? I x 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, 0.156, 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 3.50 ft Not a final calculation. Number of laterals Pump tank elevation 86 ft Outside bottom of tank. Forcemain length 375.0 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 5/32=0.156 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 9pcvfe 375.0 ft` 34.84 m` Linear loading rate (LLR) 6.00 gpd/ft 74.4 Lpd/m Design width (A) 5.00 ft 1.52 m Cell length (B) 75.0 ft 22.86 m Depth of cell (F) 10.0 in 1 25.4 cm Sand filter o Upslope fill depth (D) 23.0 in 58.4 cm GS SVS�E Downslope fill depth (E) 24.2 in 61.5 cm sr"I- l Basal area required (gpd/infiltration rate) 750.0 ft 69.68 m2 PR`vPtE • orially Supporting components oIt �tti Topsoil depth 6.0 in 15.2 cm c Subsoil depth at center 12.0 in 30.5 cm � S Subsoil depth at cell wall 6.0 in 15.2 cm p g11 End slope toe length (l) 12.90 ft 3.93 m Q p � Up slope toe length (J) 10.60 ft 3.23 Down slope toe length (1) 12.30 ft 3.75 m - PO NpEN G � Total mound Total mound width (W) 27 90 ft 8.50 m �E GO Project: Donald 8r Colleen Melvin 3 bedroom residential mound Transaction Number: Page 2 of 8 MOUND PLAN VIEW observation pipes (typical) �J 27.9 ft q A= 5.00 ft 1.52 m 8.5 m i : ::::::: ; r B = 75.0 ft 22.86 m W B J= 10.60 ft 3.23 m I K 1= 12.30 ft 3.75 m K = 12.90 ft 323 m �_ 10080 ft 30.72 m typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension O = plowed area (LxW) K = end slope dimension 6° (152 mm) T MOUND CROSS SECTION subsoil cap D = 23.0 in 58.4 cm lateral topsoil G H E = in 61.5 cm invert 1 103.92 Ift F = 10.0 in 25.4 cm elev. 31.67 m :::::::::::::: JF G = 12.0 in 30.5 cm ASTM C 33 H = 18.0 in 45.7 cm Sys. 103.42 ft y Sand Fill y elev. 31.52 m 101.50 ft contour 30.94 m elev. 2 % ---� slope D = upslope fill depth 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. Designer notes: Final gr ading plan should include placement of fill on upper side of mound and grading of area A to divert surface water away from the mound site. VW .yr !� \S� PCN Cf�N G � Project: Donald & Colleen Melvin 3 bedroom residential mound R ES Transaction Number: S PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch -pounds Metric Width (A) 1 5 Ift 1 1.52 Im Length (B) 1 75.0 Jft 1 22.86 Im Lateral specifications Number laterals 1 Holestlateral 21 holes Lateral length (P) 71.67 ft 21.85 m� Hole diameter 0.250 in 6.35 mm Lat. dis. rate 24.47 gpm 1.54 Us Sys. dis. rate 24.47 gpm 1.54 Us Hole spacing (X) 43 in 109.2 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) None required. from the options 1 1/2 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 i Last hole dUiled next to end cap 14- X 3�1 Laterals & Force main of PVC Sch 40 Holes drilled on the bottom of the lateral (per COMM Table 84.30 -5) equally spaced i = permanent end marker Inch-pounds met Lateral length (P) 71.67 ft rlp • (Rally Lateral spacing (S) 0.00 ft 0 �l Hole spacing (X) 43 in 1 cm Manifold length 0 ft 0.00 9t � 6S Hole diameter 0.250 in Lateral diameter 2.00 in nn ) &o Forcemain diameter 2.00 in NGe Project: Donald & Colleen Melvin 3 bedroom residential mound J ESp�NO� Transaction Number GORR t TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 16.62 ft 5.07 m Are laterals the highest point in the Friction loss 3.99 ft A pU 1.22 m system? Yes "x' here. I�AJ Total dynamic head 23.11 ft 1 ' 7.04 m If no what is the highest elevation Dose Volume downstream or pump? Dose is > 10 times lateral volume Forcemain drain Lateral void volume 12.5 gal 47.3 L back to tank? CY' one) Minimum dose 125.0 gal 473.2 L x Yes Drain back 65.3 gal 247.2 L No Dose volume 190.3 gal 720.4 L Typical Pump Chamber Layout s In combination with state approved treatment tank. Tank construction as per Comm 83 .20(3) WAC. approved manhole cover with T weather proof warning label and locking device grade levels ot g junction box disconnect grade levels r akemate `--- 4" vent pipe electric as per NEC 300 and outlet Comm 16.28 WAC location 16'(46 cm) min. V all of pump Lam` approved CO chamber or outlet joint �� G combination tank el � • 0 0 A Provide 1/4 "_* -` alarm on siphon as ne y pump on B 0�� 43, love pump 87.3 ft C - pump tank manh cm Off elev. 26.6 m minimum i lk tJ0 ` O D - vent = IT ( .5 ) t>m SQ above finis 86.0 1 Pu e>e�patron 3 " (75 mm) of bedding under tank 26.2 m bottom of tank Tank manufacturer Midwestern Precast 1,2001800 gal. Combination Pump tank capacity 21 gal /in Pump tank volume 800 gal Pump manufacturer JGoulds Inches Gallons Pump model number 13885 WE03 H A 15.0 315.7 B 2 42.0 Alarm manufacturer JSJ. Electra systems E C 9.1 190.3 Alarm model number 1101 HW 'p D 1 12 1 252.0 Project: Donald & Colleen Melvin 3 bedroom residential mound Transaction Number: Page 5 of 8 +�ifi■ \'mom am\m■■■■■■■■■■■■■■ ■■\aim■om\ ■■■■■■■■■■■■■ \■■M■ ■■■� ■■� ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ '■■■■■\■\■■\■■■\' \■\■■■■■■■■ ■� ■ELP-m■u■■■■\ ■\■■■►■\■■■■■■ ■ ■ ■ ■ ■ ■ ■ ■■■■■■■■ ■■ MODEL 388 ■a■■■■■■■■■■■■■■ ■■ SIZE/4" Solids� .. ■ ■ ■ ■ ■ ■ ■ ■� ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■■ .. M■■■■■■■■■\\■■■■■ ■■■■■■■■■■ ■■■■■■R■■■■■■W ■■ ■■■■■■■■■■ r �O �� - -- - -.. -- /&3 (Jroposed 3 kdr&,n re t — G,�'�E:n rytc6�Ce �•»e Observo&-8 on oe--o be ,.- e1 � o vcd. P: � E/e ✓a�;on �� ` AsT - m -D 383'1 P,V.C. .SCO- Ce ° �5 0' l�a.n P Cl,a,, der: - baymLU 4( C-O Lfcn /Y6&;17 ,Z./Z7 /30 S4reek AaCd".)in, 9S 3 7S'o 1? Z "5"•4o P.V c. /I G�K /)& SeC 3/, T,�vt �P. /l� ay., n . off' Eme✓�c,Ca; • 96.9 � gYSSEM 3 xr 5-' -{ &0 cooditl®ri 1,30 NfsS 8 s tree. Assamed Via h P Rq PAID folp P ice. co . � �v iSt og Of sAE �- ' i 30' ESPpN��NCE 1 1 ; 83 I a Q�.70�8 Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page l ot of 3 - Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code J A.C.E. Soil &Site Evaluations 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 _ _ S_ t. _Cr percent slope, scale or dimensions, north arrow, and location and distance to nearest road. parcel I.D.# APPLICANT INFORMATION - Please print all information. - - - -- --- - - -- -- — Personal Information you provide may be used for secondary purposes (Privacy Law s. 15.04 (1) (m)). Reviewed By Date - Property Owner Property Location Don & Colleen Melvin Govt. Lot N W 1/4 NE 1/4 S 31 T 30 N,R 16 W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 2127 130th Ave. NA City State Zip Code PhoneNumber City [ Village [�. ]Town Nearest Road Baldwin WI 54002 715- 694 -4408 Emerald 130T'h Ave. New Construction Use: [ Residential 1 Number of bedrooms 3 to existing building [,< ]Replacement ( I Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate •4 bed, gpd /ft .5 trench, gpolftz Basal area required 1125 bed, ft 900 trench, ft Maximum design loading rate .4 bed, gpd /11 .5 trench, gpd /ft Recommended infiltration surface elevation(s) 103.42' at 23" above 101.5 contour. ft (as referred to site plan benchmark) Additional design I site considerations Site su itable for A +4 " mound to replace existing syste. Mound requires 23" of ASTM -C33 sand fill beneath system. Parent material Glacial till. Flood plaiii n elevation, if applicable NA ft S= Suitable for system Conventional Mound In Ground Pressure AT - Grade I System in Fill Holding Tank U= Unsuitable for system I [_ J S U S Cl U O S U L7 S G J U Lis (� U N S❑ U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Borin # Horizon Texture Consistenc Boundary Roots -- 4444- -- - -- 9 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -6 10yr3 /2 None sil 2fcr mvfr cs 2f, lm 0.5 0.6 2 6 -10 10yr4 /2 None sit 2msbk mvfr as 2f &m 0.5 0.6 Ground 3 10 -13 10yr4/2 None sl 2msbk mfr aw if &m 0.5 0.6 elev 100.82 ft 4 13 -15 10yr4/2 f2d7.5yr5/8 sl 2msbk mfr cw If 0.5 0.6 Depth to 5 15 -40 5yr3/4 m2d7.5yr5/8 sl till Om mfi - - 0.3 0.4 limiting factor - --- 4444 -- 13" Remarks: _-_ ___ - -___- - 2 1 0 -6 10yr3 /2 None sil 2fcr mvfr cs 2f, Im 0.5 0.6 2 6 -11 10yr4 /2 None sit 2fsbk mvfr as 2f &m 0.5 0_6 Ground 3 I1 -16 10yr4 /2 None sl 2msbk mfr aw If &m 0.5 0.6 elev - 4444 -- 100.83ft 4 16 -24 10yr4 /2 f2d7.5yr5/8 sl 2msbk mfr cw If 0.5 0.6 Depth to 5 24 -41 5yr3/4 m2d7.5yr5/8 sl till Om mfi - - 0.3 0.4 -- 4444 -- limiting - factor _ 16" Remarks: -------- - -- - -- � � . CST Name ( Print Si 9 natu Telephone No. James K. Thompson 715- 248 -7767 -- - - - - — - -- - - — -4 - 776 --- - - Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, 54020 7/2/99 3602 1065 • PROPERTY OWNER: von & colleen Melvin SOIL DESCRIPTION REPORT toss Page - 2 -of 3 PARCEL LD.# _ A.C.E. Soil &Site Evaluations Depth Dominant Color Mottles Structure GPDIft Horizon Texture nsistence Boundary Roots - - - -- - -- - -- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -8 10 r3/ 2 None sit 2fcr mvfr cs 2 lm 0.5 0.6 2 8 -13 10yr4/2 None sit 2fs mvfr as 2f &m 0.5 0.6 Ground - -- - -- - - -- - - - -- - - -- - - - -- — elev 3 13 -17 10yr4 /2 None sl 2msbk mfr aw if &m 0.5 0.6 1 ft 4 17 -26 1 Oyr4 /2 f2d.7.5yr5/8 st 2msbk mfr cw 1 f 0.5 0.6 Depth to 5 26 -46 5yr3/4 m2d7.5yr5/8 sl till Om mfi - - 0 3 0.4 limiting factor 17" — -- — - -- - -- - -- -- -- -- -- — - -- — — Remarks: ---- - - - - -- - - - - - -- Ground elev Depth to limiting — — — - - -- — -- - - - - -- --- - -- -- - — — — factor Remarks: __--- _ —__ - -- - - -- Ground elev Depth to - - - -- -- ---- - - - - -- — - -- - -- — limiting factor Remarks: ----- - - - - -- — Ground- - - - - -_ - - - - -- ---- - - - - -- - - -- --------- ___ —_. -- ._— _ _. _ - - -- - - -- - - - - -- - - -- - - - - -- - - - -- - -- _- - - - - -- elev Depth to limiting factor Remarks: - - - -- - - -- I .33 130 - .AA • (�� Proposed 3 kdreW" reSide - • ''`'L,l��'�:ng YYtO�aLGIS'oMG ■ 50; ( O&ert"* o., fv (jc �i^ El e✓at ;vn 66 A'STwK -D 303q P.V.C. N 1 pro ser I Zw�PGU�oQ -�► bt'u' i se ww fi VZ7 R30" S�re�f �3aCd� vin, 04 - VMZ 9'r x 375 4oP.�C. �OCa�o»• + r'cc Mc%;v\, /Iw��'i7tLy Sec 3 /,T l • 96.96 , 3 QQ i?a;L in ,Rvcnuc 8" t.-c¢. Assk►ned A b 0 Q E t( pN GoR SEE � •.E I / sus- �f r i / I � / b 1 � / Cl P�.7a8 Wisconsin Department of commerce SOIL AND SITE EVALUATION Page 1 of 3 "Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code A.C.E. Soil &Site Evaluations Attach complete site plan on paper not less than 8'/2 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, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION - Please print all information. Personal information you provide may be used for, secondary purposes (Privacy La*,, s. 15.04 (1) (m)). Re ad By Property Owner `Property Location Don &Colleen Melvin " ' ='k:Ll A Lot NW 1/4 NE 1/4 S 31 T 30 N,R 16 W Property Owners Mailing Address " r t # Bkx�C # Subd. Name or CSM# 2127 130th Ave. NA City State Zip Code P r City Village Z Town Nearest Road Baldwin WI 5400 4408 Baldwin 130Th Ave. ❑ New Construction ld Use: r tiali•[�uWber� .e s 3 ❑Addition to existing building Z Replacement � Public-or m 6i cribe Code Derived daily flow 450 gpd Recommended design loading rate .4 bed, gpolff .5 trench, gpolft Basal area required 1125 bed, ft 900 trench, ft Maximum design loading rate .4 bed, gpolft .5 trench, gpolft Recommended infiltration surface elevation(s) 103.42' at 23" above 101.5 contour. It (as referred to site plan benchmark) Additional design I site considerations Site suitable for A + 4 " mound to replace existing syste. Mound requires 23" of ASTM -C33 sand fill beneath system. Parent material Glacial till. Flood plain elevatio if applic NA ft S- for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system El S® U M S❑ U ❑ S ®U 1:1 S ®u ❑ S Z U ® S❑ U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPDIft Boring# Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bed ,Trench 1 1 0 -6 10yr3/2 None sit 2fcr mvfr cs 2f, Im 0.5 0.6 2 6 -10 1Oyr4 /2 None sit 2msbk mvfr as 2f &m 0.5 0.6 Ground 3 10 -13 10yr4/2 None A 2msbk mfr aw if &m 0.5 i 0.6 elev 100.82 ft 4 13 -15 1Oyr4/2 f2d7.5yr5/8 sl 2msbk mfr cw If 0.5 0.6 Depth to 5 15 -40 5yr3/4 m2d7.5yr5/8 A till Om mfi - - 0.3 0.4 limiting factor 13" Remarks: Platty structure of silts in horizon #2 readily part to 2fsbk structure when disturbed 2 1 0 -6 10yr3 /2 None sit 2fcr mvfr cs 2f, lm 0.5 0.6 2 6 -11 10yr4 /2 None sit 2fsbk mvfr as 2f &m 0.5 0.6 Ground 3 11 -16 10yr4 /2 None A 2msbk mfr aw If &m 0.5 0.6 elev 100.83 ft 4 16 -24 f 0yr4 /2 f2d7.5yr5/8 sl 2msbk mfr cw I f 0.5 0.6 Depth to 5 24 -41 5yr3/4 m2d7.5yr5/8 sl till Om mfi - - 0.3 0.4 limiting factor 16° Remarks: CST Name (Please Print) Sig re: Telephone No. James K. Thompson 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, Wr54020 7/2/99 3602 1065 PROPERTY OWNM Don & Colleen Melvin SOIL DESCRIPTION REPORT Page 2 of 3 PARM LU A.C.E. Soil & Site Evaluations Depth Dominant Color Mottles Structure GPDM Horizon in Munsell Qu. Sz. Cont Color Texture Gr sistence Boundary Roots Bed Trench 3 1 0 -8 10yr3 /2 None sil 2fcr mvfr cs 2f, lm 0.5 0.6 2 8 -13 10yr4/2 None sil 2fsbk mvfr as 2f &m 0.5 0.6 Ground elev 3 13 -17 10yr4 /2 None sl 2msbk mfr aw if &m 0.5 j 0.6 101.70 ft .5 0.6 4 17 -26 10yr4/2 f2d7.5yr5/8 sl 2msbk mfr cw if 0 Depth to 5 26 -46 5yr3/4 m2d7.5yr5/8 sl till 0M mfi - - 03 0.4 limiting factor 17" Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: 430 4 ke.. Proposed 3 bedrilan 'Y fir EX�4:n LOA ■ 50;/ o{,,6er✓abo.� be �i p" ♦ Ede ✓ate ;on ♦ , N Scn.�c� / =�yo� O cane� �eraQ� Coaten lYtcLvin VZ7 /30u 56reck �3 aCd�in, cJ /, S fiQaZ ♦ 95.38' Sec- r^ ♦ 96.9 /0 3 0 I 8 Ash *ree• ,Assumed / yIt/o EI /CYz ?- ■ filed,• = /GY>. 82 DON - MELVIN Fax : 71568444.08 Sep 08 '99 10:11 P.01 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND owNERSHIP CERTIFICATION FORM Owner/Buyer DONALD & COLLEEN MELVIN Mailing Address 2127 130TH S TREET, BALDWIN WI 5+04 Property Address Q l a�� n uirrd From Plsnmia Department for new constructioa) - (VeniiGadou q g P City /State j, n i Parcel Identification Number 10 1075• 20 - ()()Q LEG Prop" Location NW ,'/4, NE `/4, S 31 , T __ 10 N -R 16 W, Town of _EMERALD Subdivision p Lot #• Certified Survey Map # Volume Page # Warranty Deed # R a a L4 . Volume Page # Spec house O yes no Lot lines identifiable W yes O no SY STEM MA0=NAN!Q Improperun sad mafimm noeof your septic system could n$ultin its pM=t failure to handle wastes. Propermaintowace consists of pumping out the septic tanks every three years or sooner, if needed by a Hoensed pumper. Wbat you put into the > can sEfoct the function of the septic tame as a treatment stage in the waste disposal eystent. The property owner agrees to submit to St. Croix Zoning DOPOrtmcm a cettidcatian firm, signed by the owner and by a master p1wnber, journaymaaptumber, restrictedplumber or a licensed pumparvenifyigg that (1) the on -site wastewa►terdisp" ttyS'6 M is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tarok is less thaw 113 full of sludge- Uwe th e untie lgned rs have mad the above requirements and agree to maintain the private sewagsewage dispoW systma with the standards set forth, herein, asset by tbs. Department of Commerce and the Department of NaturalReaouross, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. CFoix County Zockg Office within 30 days of the dune you expiration date. IGNATURE OF APPLICANT DATE OMBR CERTIFLC&UO I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (ors) *6 owners) 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 nus- repmaentod may result'in the sanitary permit being revoked by the Zoning DepartmenL 0 *0" *« •� Include with this appklCatlon! 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 • STATE BAR OF WISCONSIN FORM 3 – 1982 KATHLEEN H. WALSH QUIT CLAIM DEED REGISTER OF DEEDS YDi. �� ��PA � E6�3� 5T. cROix co., ax DOCUMENT NO. RECEIVE) FOR RECOU I - - - Terry L. Melvin, a single person U43 -1999 11100 AM quit- claims to Donald E Melvin and Colleen M Melvin QUIT CLAI DEED husband and wife as survivorship marital property 8>tINO FEES 10'00 the following described real estate in St. C r0 i x County, State of Wisconsin: THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS West Half of the West Half of the Northeast Quarter Richardson Law Office (W1 of W} of MEj) of Section' Thirty -one (31), P. 0. Box 399 Township Thirty (30) North, Range Sixteen (16) West. Spring Valley, WI 54767 art o 0-1075 - ParY of Q10- 1075- -30 PARCEL IDENTIFICATION NUM5ER �ff I This Is l homestead property. (b) (is not) { Dated this 20 day of November 14 (SEAL) (SEAL) • Terry L. Melvin (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT sigum" -Tzu=;K L. ; State of Wisco - voin, person ss. County. authentic d this of 14 98 Personally carne before me this day of I , 19 , the above named I TITLE: MEMBER STATE BAR OF WISCONSIN (if not, authorized by 1706.06, Wis. Slats.) to me known to be the person who executed the foregoing Instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY JENNIFER A. "NEILL Attorney at Law — X2rlilg yaIIBY. (ftl 54767 Notary Public, County, Wis. # (Signatures may be authenticated or acknowledged. Borth are not My commission is permanent. (If not, state expiration date: i necessary) ' Names of perscros stgntng N my apactty should by typed or punted below their Signatures. QUIT CLAIM DEED STATE BAR OF WISCONSIN [:repel av�* r4.*. Inc, Form No. 3 — 1982 kuwaAge. Wis. I s 0 � � Y�'�ttll! � • Q I i O fJ CC �1 ca f Y za vo Y U m a N c I uj / 4 Q rai I ! rl XR :Id, m k Zj Dw iL 0 10 { o , Ida _.. IL 'fit IP 1 M Z�S.LY� I� Y � �• ® � II C D � l �uv 01,61 1370 !0 3 X 00 y 0� l t�3 t 5