Loading...
HomeMy WebLinkAbout016-1075-10-000 I 0 E-V � 0 C 0 c c m 0 o r+ CD W m CO CO p_ = m i?5 N � � o O 7' O a C � 1 0 0 O cr O O cn O l c c n ; o o Q m O N O co C> 7 y N 7 p lam\ � d � v us < D m CP i.a N N d N C 0 rt CO W ? N �p �- ' ` co O • D (0 CO < (0 CO G O O O N V !V ao ' 0 O O O m yti�o''' m E v C) m p fD N fA N -1 d M K Q N N y N C 'I O < cl CD CD A O z z K W O N D D ° c 'r o O c N C> v o h ° o o CD !ail CD CD c m a z o O 3 ¢* w A < O 2 z o c CD 3 � � � N Z I C W O N a) CD Q I d 0 C N G c0 p n�i C CL - p 0 -L v O N p _ y co =5 O- � 3 o n CD a CD C O CD O O V L-1 3 o F a a 7 O tr m Nam , 7 N � N d 7 � CL CD � ^ V 0 ti r July 12, 1999 Barb Mrdutt 2411 130 Ave. Glenwood City, WI 54013 RE: Ordinance establishing a residential development moratorium on lands with the Glen Hills Watershed Dear Barb: On July 8, 1999, via a voice mail message, you requested that I provide an outline for you and your surveyor to follow regarding your property in the Town of Glenwood. To recap: your proposal involves building a dwelling and installing a septic system that appears to be located within the hydraulic shadow of the Glen Hills Watershed Moratorium area. Under the scope of regulation A. No residence shall be constructed, erected, placed, or enlarged, nor shall any zoning or sanitary permit be issued by the County for the construction, erection, placement or enlargement of any residence within the area regulated. (See enclosures) With the information provided to date, it is uncertain whether the proposed building site and septic system area lie outside of area regulated. Therefore, further supplemental data is needed to identify exactly what areas of your property are outside of the hydraulic shadow. The information needed must be supplied by a licensed surveyor in the State of Wisconsin. OPTION ONE: Action to be taken by property owner: 1. Contact a licensed surveyor. 2. The surveyor must identify the 1040 -foot contour elevation on your property. Note: All elevations shall be established from a known mean sea level elevation benchmark. 3. Surveyor /property owner must stake out septic system area and proposed house location. Both locations must be clearly above the 1040 -foot contour elevation and mapped. 4. The surveyor shall also indicate and map the south property line of the SW' /4 of the SE 1 /4, Sec. 34, T30N -R15W, Town of Glenwood, that portion of property lying southerly of Hwy 128. 5. Have the surveyor submit the contour and boundary map to the Zoning Office. The surveyor must include the following on the map: the 1040 -foot contour elevation, the location of the septic system and building footprint (include elevation at both locations), the south property as described in sub. (4), and indicate the approximate driveway location. If this area is designated as flood plain, then a filling and grading permit may be required for the driveway to cross the floodplain. The filling and grading permit requires a special exception (public hearing) permit. The board of adjustment hears these requests. r - r • Page 2 September 28, 2009 OPTION TWO: Do nothing now and wait until the study has been completed, so you know exactly what the flood elevation will be set at. If you have any questions regarding this matter, please do not hesitate to contact me at the number above. Sincerely, Rod Eslinger Zoning Specialist 0 fl 0 g v 0 v `i1 O d c 0) O o I � O c m o ai p o A � ° `C • _. - a rn :r < c > w ►�•� rl CD S a m N o 7 0 Q 7 o- � O N c CD N O 6 w CL O 0 CD l� N C w o O d G m c 7 CD z- . ch N a o i S .+ co N C N co _ ID � O cD = 0 O C N co cc ( D o .. a O O O ! t ` i l l No m ? la O _C � N o D ;: N o 90 0) m m w cr N 3 - n CL N Z ~; D D 0 n o =r CL "M e m t�l c W a 3 Z O 0 0 A Z m A Z O N O 7 O 3 C O A W � < CL Z O 0 '' co 3 !�! Z � A W (n o m CL 0 o 3 CD OZ G ) (n D O Z 7O7 N 2 O RL Q C O 7 Q ` O O N r _ VO 0 v t n O S CD Il i V O A 0 ~ CD p Oe A O w 0 i ''; a ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner J�J N M moo/ Cr t` 1 Property Address 1 e ' N , (c- y /a y / City /State N ca r)` V .3� ,4 1 Legal Description: Lot — Block — Subdivision/CSM # " t/4 „IjE' /a, Sec.2V TAN- Rf�'W, Town of PIN # /G' r l /G' SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer Mid tip -e-, feVA( Size ST/PCIW / Setback from: House ` Well P/L Pump manufacturer &y V t-. d Model Alarm location EA S e M e, N 7`' - (HOLDING TANKS ONLY) Setbacks: S ice road Vent to fre Water Line Meter location Alarm cation -_ SOIL ABSORPTION SYSTEM Type of system: M P 14 /y d Width _ Length Number of Trenches Setback from: House Well P/L /b / ; Vent to fresh air intake 7 " ELEVATIONS Description of benchmark rD P e fif N /fie 0( Elevation Description of alternate benchmark f,r F - l' 6..,yj e M t° ni r 1w- Elevation !'e 7. 53 Building Sewer 9 �, - 2 3 ST/HT Inlet '7 5 , O-S > et PC— Inlet PC Bottom 7/ , (v H4a�'�Afx Top of ST/PC Manhole Cover 9 Distribution Lines O V y, 3 O O Bottom of System O C7 7 • � L( () ( ) Final Grade O O ( ) 1 p Date of installation 9 x'1/4 Permit number State p number Plumber's signature Cp�t �� License number 2--�Z Date Inspector � - -4-y� � -��� Complete plot plan I 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. p PLAN VIEW s tA y'7 f�� yse INDICATE NORTH ARROW tcl e 1 S I ^7—e kAl e u// Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM y: ( Safety and Buildings Division M Count 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)]. 344627 Permit Holder's Name: ❑ City ❑ Village X[ Town of: tate Plan ID No.: NS MRDUTT, Jon GLENWOOD Z3�l�ay f � = CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: (00 1 1 M r 016- 1075 -10 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION :? ; BS HI FS ELEV. Septic t � F C0m A 60 Benchmark 6'.0s ob , a Dosing ,ahq- 6), it,93 Aeration Bldg. Sewer qg, Holding St /Ht Inlet 13.0 TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Air I ntake ROAD ir Septic �. Qp Ageo _. NA Dt Be*errt j 1( �j Q�• to Dosing 55r NA Header/ Man. , 38 Aeration < Dist. Pipe �' ° Im 38 Holding Bot. System (a - * <- q, ( � PUMP/ SIPHON INFORMATION Final Grade, # Manufacturer 6cxx S LDp and 0t q, Model Number 0 (f GPM rytA- • zh 6 , 3 b Lem , O DH Lift Lr Systema,s TDH t Forcemain Length ?y 5' Dia. 1," Dist. To Well SOIL ABSORPTION SYSTEM Width / Len th L / 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 of r CHAMBER Model Number: System: �! tW -'Z OR UNIT DISTRIBUTION SYSTEM [ Leng th eader` /,M•a_i I Distribution Pipe(s)! u x H le Size x Hole Spacing Vent To Air Intake �" Dia. 7i Length Dia. Spacing t �� �g SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only 3 �• 8� Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed/Tr nch Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Z;f GLENWOOD 34.30.15.520 1203 Highway 128 0 60. 01 / N � . r cec,Q I" • 1��K V / V l_ �� V�vw�� � r o.� cs• r� 4 Nr Plan revision required? E3 Yes No _ Use other side for additional inform tion. 2,Z 1 Cj] D SBD -6710 (R.3/97) Date I Inspector's Slanature Cert. No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: P F sa x k e. --- ----- - -n ..� .»_ ... m ...,. , e k L i . .......... i .ate y # t T � 3 3 I g .. g � f S ,.. ., »m v,ee emewee.. I $ [ t i n € � ... Y # i ? i g s e F E t 1 0 , P 3 t € a ? , i # S �® , e _ ,» ..... . . «...,. .e - , e c e e £� . F �..._ _ ... .. e � c ....® F f 4 v 3 # , F � f 4 # i t . «. E 3 s rv. i d E 1 „.....,...... _ _.,. _... a-.- . :...,a ........... .. . .. �,._ ., ,..e... ,c........, .. ,n . �,.a...n e ., . w ,. .,.. .....o.....,.,..,..,. . , .,,... ..., .,,..,.a, ...< e ....z,..,<« ,...... ..., ..,... a.,,_._ �, .�, >,.._..... ....w.. -, ., . , �.. , .....�. ..... ,..,.°,6o-......e.,.� ,r. nr -P. /2el 3 h'wY / _ Safety and Buildings Division • `�SCO/1S�I� SANITARY PERMIT APPLICATION 201 Box Washington Avenue Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County C than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number Personal information you provide may be used for secondary purposes E] Check"I�rev'ision t ev2 application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION D Property O er Name Propert Location T O /V f �t /4 jFti4,S3 T3� ,N,R /&wr)W Pro erty Owners Mailing Address Lot Number ! Block Number _ o ve Cit ,State Zip Code Phone Number Subdivision Name or CSM Number f e a/ d k' o 11. TYPE B IL IN (check one) ❑ State Owned C1 i t yy Nearest Road Public 1 or 2 Famil Dwellin - No. of bedrooms � � ° Tow a n OF 6 2 Lv0 ®d .Sf /�!i III BUILDING USE: (If building type is public, check all that apply) Parcel TaxNumber(s) 3f`.3jp. 1 1 ❑ Apartment/ Condo 0/ G 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. jg New 2 ❑ Replacement 3_ ❑ Replacement of 4_ ❑ Reconnection of 5. fl Repair of an ______System ________ System_____________ Tank Onl�r______________ 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 2119 Mound 30 Q 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 Required (sq. ft.) Pro osed (sq. ft.) (Gals/day /s . ft.) (Min. /inch) p� / Elevation 7 . 0 3 J Jf` 6 9 2 / 9• b Feet g Feet Ca aclt Prefab VII. TANK in allons Total # of . Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer' Name Concrete con Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber Q 4+ f ❑ I ❑ 1 ❑ 1 ❑ ❑ Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) r /091155wo.: Business Phone Number: Plum ber's Address (Street, City, State, Zip Code): w G e�Y Guoa �' IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issui gen ignatur (No Stamps) 2 QOwner Given initial Surcharge Fee) Q Adverse Determination / 1 4 16 1 1 1 - X. CONDITIONS OF APPROVAL / REAS NS FOR DISAPPROVAL: 1 p l 4w Pat- x-10 4 PIP OkIW-C SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber 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. 11. 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 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 establishmemof standards. Safety and Buildings 2226 ROSE ST LACROSSE WI 54603 -1905 TDD #: (608) 264 -8777 ,scons n www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 14, 1999 CUST ID No. 222234 ATTN. POWTS INSPECTOR ZONING OFFICE GALE W SMITH ST CROIX COUNTY SPIA 3228 HWY 170 1101 CARMICHAEL RD GLENWOOD CITY WI 54013 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVA EXPIRES: 06/14/2001 Identification Numbers L Transaction ID No. 230104 SITE: ST CROIX COUNTY, TOWN OF GLENWOOD Site ID No. 173931 SW 1/4, SE 1/4, S34, T30N, R15W Please refer to both identification numbers,,, FACILITY: JON MRDUTT above, in all correspondence with the >agency, HWY 128 GLENWOOD CITY WI 54013 FOR: OBJECT TYPE: POWTS MOUND SYSTEM REGULATED OBJECT ID NO.: 472916 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 06/01/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 eroy G. J ky, Was water S ialist BALANCE DUE $ 0.00 Field Operations Bureau (715)726 -2544 Voice (715)726 -2549 Fax WiSMART code: 7633 lj ansky @commerce. state. wi.us Soil Test Plot Plan � Project Name ROBERT FORREST Byron Bird Jr. Address 1655 310TH ST. -?�. GLEN WI 54013 $TM #3479 -� Lot -- - --- Subdivision ------ ----- Date 5/8/ S W 1 /4 1/4S T 30 N/R 15 W Township GLENWOOD ❑ Boring Q Well PL Property Line County S T. CROIX BM or VRP Assume Elevation 100 ft.TOP OF WHITE STAKE System Elevation 99.6 * H R P S W CORNER OF PL Alternate Benchmark TOP OF WHITE STAKE PL 100' 1�flY Pro Garage °y� K P.O.W.T.S. 4 10, Conditionally 'B.M. Alt. B.M. 9 AN L e o 10 DEPARTMENT OF COMMERCE 1 -2 DIVISiO OF SAFETY AND BUILDINGS ,�. P d E OPYESP066ENCE °- 80 40 B -3 5' 0' 230 0 140 10% slope 0 -1 Pl ;de 180' —� * 180' PL 1320' Paged Of Straw, Marsh Nay, Or Synthetic Covering A5 34 1 Distribution Pipe Medium Sand G Topsoil E ,t D 3- � b IU % -slope Bed Of 2- 2 Z (Force Moin flowed Aggregate From Pump Loyer D ,o Cross Section Of A Mound System Using A Bed f -or .f tie Absorption Arco F G A F t H /• S Signed. �%�J -mar k3 Ft. License tlumber: Ft. J G: �" i+ t [late: K /t.- L Fz . V 6. . OBSer'v'afion Pi d � � K �-- — — — — — — - - — O 1 A ��- --- - -- - - - -- — -- -- — — --- -- Force Main W ' _ .__..__._ — - -- - - --- - - -- J From Pump Bed Of Distribution • I Pipe Aggfegate Observation Pipe Perrnanent Markers Plan View Of Mound Using A Bed For The Absorption Arco Page Of Perforated; Pipe Detail End View peR F oRAted a n pV� We, �G P R �b�� C`'• Q �S Force Main PVC Holes located on bottom of force main are equally spaced End cap -- Last hole should be next to end cap Distributation pipe layout P�Ft. -- Invert Elevation of Laterals �L`1G / Ft R Inches S Inches / X 1�Inches Signeds r - Licenses inches s T Hole Diameter Inches. Dates .5 - � ,� _ � `l "� lateral Inches Manifold Inches Force Main " = aches- # of holes pipe: ---,�— • • PAGE 4- OF PUMP CHAMBER CROSS SECTIOIJ AMD SPECIFICATIOIJS VENT CAP 'i "C.I. VENT PIPE IF] I WCATNEK PROOF APPROVED LOCKING 25' FROM DOOR, JUUCTIOIJ BOX MANHOLE COVER WINDOW OR FRESH I2"MIU. AIP, INTAKE GRADE 'i" MIAI, I .� IB "MIIJ. COIJDUIT 18 "MIN. v Z: - - -- INLET PROVIDE I _. -T AIRTIGHT SEAL I I I I AFPROVED JOINT A I I I I APPROVED 1' .; C.I. PIFE W /C.I. PIPE XTENDIAIG 3' I I I E T SOLID SOIL ONTO II ALARM EXTENDIuCl g I I I ONTO SOLID c )I I I O t\1 c I I PUMP �� OFF D y I CONCRETE BLOCK 7�—y "sa ti RISER EXIT PERMITTED CILJL'j IF TAMK MANUFACTURER H�S SUCH APPROVAL Q ed u NG✓eR 7" ass' SEPTIC E SPECIFICATIOPIS COSE TAWKS MAMUFACTUR/ER: m /d l ' pX' C 7 M,5/WtABER OF DOSES'. PER DAy TAWK GALLOMS DOSE VOLUME _ ALARM MANUFACTURER: S.T � � /��`_ IMCLUDIMG BACKFLOW: - GALLOP S MODEL WUMBER: 1Ul A/ CAPACITIES: A= � INCNE50R K99Z GALLOA;i SWITCH TYPE: _ M CSR Cr t - ( R 1/ 8 .Z IMCHES OR GALLOP: S PUMP MANUFACTURER: �C' �� L d / C= L WCHES OR GALLOP. :! MODEL NUMBER: D= IIUCHES OR GALLOF!S SWITCH TlIPE: VOTE: PUMP AMD ALARM ARE TO BE MINIMUM DISCHARGE RArE,2 Y-' S GPM INSTALLED ON SEPARATE CIRCUITS I VERTICAL DIFFERENCE BETWECAI PUMP OFF ARID DISTRIBUTIOW'PIPE.. FEET -I- MIAJI NETWORK SUPPLY. P�RESSSURE ' " " � • _ j FEET �� ♦ i� ._ FEET OF FORCC MAIN X i� F /1ppFE FRICTIOIJ fF TOR. .--'.L FEET TOTAL 09kJAMlt. HEAD = 1L 2._ FEET INTERIJ L -- ' . / A DIME.IJSIONZ OF TAUK• LENGTH _.;WIDTH �._�. ILIQUIO DEPTH LICEIaSE UUMBE < R DATE. WESTEURNE INC. of 12 DUSTRIAL RD. Goulds ®N, w 54016 Submersible Effluent Pump EPO4 38 71 EP 05 wrl APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, fullowing uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. tic cover with integral handle • Farms Motor: Available for automatic and and float switch attachment Heavy u • EPO4 Single phase: 0.4 HP, manual operation. Automatic points. vY ry sump 115 or 230 V, 60 Hz, 1550 models include Mechanical • Water transfer RPM built in overload with Float Switch assembled and ■ Power Cable: Severe duty , • Dewatering preset at the factory. rated oil and water resistant. automatic reset. ■ Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, FEATURES hea vy uty ball bearing Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- construction. • Solids handling capability: automatic reset. plastic Semi -open design 3 /4 " maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SP CanadlanstandardsAssoclatlon • Total heads: up to 24 feet. with three prong grounding m EP05 Impeller: Thermo- • Discharge size: 1 NPT. plug. Optional 20 foot p (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in " or "AC ".) rotary/ceramic- stationary, three prong grounding plug improved performance. " BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • dry of with out g damage to 9 30 7___.777 7777 d without lama - - - -- —t co mponents. �— Pump: EP05 s • Solids handling capability: c 7 w 25 3/4, maximum. I _ -7777 • Capacities: up to 60 GPM. • Total heads: up to 31 feet. 6 20 - -�– • Discharge size: 1 /z° NPT. Z 5 - - - - - -- • Mechanical seal: carbon- 0 15 rotary/ceramic- stationary, 4 BUNA -N elastomers. - I • Temperature: 10 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. ,� p . ,� _ 7777 _ _ _ P0¢ _. _.--- _-- 1 I 0- 00 10 20 30 40 50 GPM #�,,�f , L J 0 2 4 6 8 10 12 m °!h CAPACI ©1995 Goulds Pumps, Inc. o P Z�. o Effective May, 1995 83871 Wiscon$in Department of Commerce SOIL AND SITE EVALUATION Division,of Safety and Buildings Page of Bureau of Integrated Services 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 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # 1 0 7-5 - - lo APPLICANT INFORMATION - Please print all information. Rev ed by Date S° Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).�� �- Property Owner Property Location 2Y' � Govt. Lot 14s��1 /4,S j T3v ,N,R E (o® Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 6s City State Zip Code Phone Number ❑ City ❑ Village T wn Nearest Road '{j�- New Construction Use: 25(iesidential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate 5 – gi bed, gpd /f1 gpd /ft Absorption area required 3 7S bed, ft — trench, ft Maximum design loading rate Sr gpd /ft 2 __ , _jj'; ' trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations Parent material 7� Flood plain elevation, if applicable ;4�w ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S 'z U gS ❑ U ❑ S Eg U I ❑ S RU [- 5iLU ❑ S RU SOIL DESCRIPTION REPORT Boren # Horizon Depth Dominant Color Mottles Structure GPD /ft 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench a �-.�- ,14 G Ground Q G L elev. ft o v Depth to limiting facto in. ' Remarks: Boring # el Ad Ground � " rn t ' r. Depth to " limiting L44 f ctor in. Remarks: CST N; Print) Signature OPFICE Addre af CST Number ')c IC 3 i^ SOIL DESCRIPTION REPORT PROPERTY OWNER — Page of PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground elev. �ft. Depth to limiting factor Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; Ground elev. ft. Depth to limiting factor in. Remarks: Boring # ........................... .......................... ........................... ........................... Ground elev. ft. ; Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) Soil Test Plot Plan Project Name ROBERT FORREST Byron? Bird Jr. Address 1655 310TH ST. G LENWOOD, WI 5401 -£STM #3479 .- Lot ------ Subdivision -------- - -- Date 5/8 /98 S W 1 /4 1 /4534 T 3 0 N/R 15 W Township GLENWOOD ❑ Boring ()Well PL Property Line County ST. C R O IX h L BM or VRP Assume Elevation 100 ft. OF WHITE STAKE System Elevation 99.6 *HRP CO RNER OF PL Alternate Benchmark TOP OF WHITE STAKE 100 PL 100' Pro Garage Pro House 20 B.M. Alt. B.M. 7 L 10' 1 30' -2 w 80 40' B -3 25' IF 80' 40' 10% slope 30' -1 180' * 180' PL 1320' ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Bii m � Mailing Addres /,2L � 4 L6 Property Address 9, 0 3 14w L4 a (Verification required from Pfa&ing Department for new construction) 0 O City /State �a Gail / Gyo Od �' / � Parcel Identification Numbe �� �� ' �a LEGAL DESCRIPTION 0 Property Location %4, �'/4, Sec., , T_2irN -R /6 — W, Town of G`�iYwooc Subdivision , Lot # Certified Survey Map # Volume , Page # Warranty Deed # Volume —-3 . Page # Spec house ❑ yes Q� no Lot lines identifiable ❑ yes 4 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, restricted plumber 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 th.Sprree year expiration date. SIGNkFEiE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p7wr described above, by virtue of a warranty deed recorded in Register of Deeds Office. U 2 / 9 c / SI ATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Il � VOL 141PAf"056 r _D ocument Nu mber WAR DE ED I Rot, - P. Forrest conveys and warrants to Jon D Mrdutt and Barbai a A. REWST °E WS 0 � Mrdutt, husband and wife, holding as survivorship marital . roperty, the ST. CROIX CC' , W1 foliowir=g rtescribed real estate io St. Croix County, State of Wisconsin. It"-d f R+eord F JUL 2 7 1998 10:30 A Recording Area Name and Retum Addr 0116-11074-70,01.6-1075-10 (Parcel Identif�catioas Number) All that part of the Southwest Quarter of Southeast Quarter (SW Y. of SE ' /.) and Northeast Quarter of Southeast Quarter (NE /. of SE %) lying Southeasterly of High•tiay 128, Ali ir. Section Thirty -four (34), Township Thirty (30) North, Range Fifteen (1S) West. /I.T . (g 1 d. y of v c `� , 1998. Forrest ACKNOWIE)GMENT WISCONSIN ) )SS OF ST CROIX ) came before nee this 1 7 rtay of . yly na +Ted Robert P. Forrest to me known to be the -0o executed the foregoing instrument and ,3me J4R.rzy 3 � O�'.3 i �F ►J lic St. Croix County, Wisconsin. lion is permanent. (if state e,:u-ration date Thomas A. McCormack Names of persons sig ning in a n y ca pac„ should be typed or F aldwin, Wl 5y .102 u pnnted teiow their siynctures tVotauy P bY -- 51;�ia of Wx: =.,sin MY COmr.'4,ssiroo Expir$s M, ru, i7, 2002 • 'J .:.J d:, Lac 'N Scwvn' M_1- 1 i5_xt i 1960 8th Ave St. Croix County Land and Water P.O. Box 95 Conservation Department Baldwin WI 54002 Phone: 71 5- 684 -2874 Fax: 71 5- 684 -2666 August 11, 1999 Rod Eslinger Zoning Specialist 1101 Carmichael Rd. Hudson, WI. 54016 Re: MrDutt property, Glen Hills Moratorium below structures #1, & 2. Rod; This letter shall represent our discussion with John and Barbara MrDutt regarding there proposed building lot, located in the SW %4 of the SE' /4 Section 34, T30N — RI 5W, Glenwood Township, St. Croix County, Wisconsin. The new language in the extension of the Glen Hills Moratorium allow County Staff to use the most current information available to base their decisions concerning proposed buildings located in and around the moratorium area. Glen Hills structures #1 & #2 are the structures that would influence the proposed building site of the MrDutts. The St. Croix County Land Conservation Department received confirmation of review by the D.N.R. Dam Safety Engineer, on both structures #1 & #2 on August 10, 1999. Based on the maps produced by Ayres Associates on these structures identifying the hydraulic shadow and the elevations of the proposed building site provided by John and Barbara MrDutt, (see attached sheet) this building site was determined to be out of the moratorium area. If you have any further questions, please do not hesitate to call. Res fully; Robert Heise Cc: John and Barbara MrDutt Robert Forrest (37/16/99 FRI 06 :43 FAX 715 386 4686 ST CRX CO ZONING Q002 d(i 604 Wilson A - Menomon Wisconsin 54759 1 1 01 corporation 795 235 - 9081 800- 472.7372 Fox • 795- 235.2727 V"W. oedo=rp.00M July 14, 1999 St. Croix County Zoning Office St. Croix County Government Center Mr. Rod Eslinger 1101 Carmichael Road Hudson; WI 54016 -77 Re: John Mrdutt residential building and septic system Construction Dear Mr. Eslinger: Cedar Corporation has been retained by Mr. John Mrdutt, to address the.County requirements as stated in your letter to Barb Mrdutt, dated July 9, 1999. On July 13, 1999, a field survey was completed to fulfill these requirements. Mr. John Mrdutt has furnished to me a copy of the Soil Test Plot Plan, prepared by Mr. Byron Bird, Jr., C.S.T.M. #3479. On this plot plan, I have made revisions and additions reflecting the results of my survey. This revised map is attached. Therefore, I Randall S. Stelzner, Wisconsin Registered Land Surveyor, do hereby certify that the survey completed by me, on July 13, 1999, is correct and accurate to the best of my knowledge and belief, and that the attached map is a correct and accurate representation of said survey. Sincerely, C AR CORJ'0 O L Joe :• RANDALL S- % Randall. S. Stel.zner, RLS 1495,; S TEI.ZNEA S - 1495 MENOMONIE, Q :• WIS. Enclosure IS�'9 '•. .•' Cc: Mr. John Mrdutt en +ers • architects • planners - environmental speolollsts • land surveyors • landscape architects • Interior designers 07/16/99 FRI 06:43 FAX 715 386 4686 ST CRX CO ZONING Q003 Soil Test Plot Flan Proj :I, Name ROBERT FORREST Byron Bird Jr. Add s s 1655 310TH ST. j ,;�% %�` ='�'� = - . GLENW OOD, WI 54013 � ST1Vi #3479 Lot Subdivision - --- =--- Date 5/8/98 SW 14 SE 1 /4S T 30 NIA t5 W Township GLENWOOD B Wing 0 Well PL Property Line County ST. CROIX B : or VRP Assume Elevation 1,00 ft TOP OF WHITE STAKE Systi 'i Elevation 95. H R P SW CORNER OF PL Alti date Benchmark TOP OF W= STAKE •• PL 100' sic rNbicA - rE$ &e6UND ELEV*Tlorl xte�T►riC+ Q_eLA"f1VS 14 J4AV 88 AW u5ST 1 Mei. 1 T 9 berTERTnINEn 1<9.0M 6PS 0S5ERVAT VJO .t� Pro Qa�`�G PRopoSED a¢►\/ew B G4,IN5 ara V'' tvo' f 5E of 5T)* 1Z8 FAVS"EP QRa eDaPE me*SVQeD ALopjG ! NcuSE `Q � °' e�clsriN� D12rvewoY, '�o LENGTH AF PRC>PbSt =D Dr1VewAY t� 9Re. 20 M. Alt B.M. 0 9 o 1 DV_AN(1 ir1 U 15 NOT •�_ 4+q �0' 1069.6 TO . ScALE. 30' -� f� P Vol Ma 80 4 0s � � i • s i 25 , W ENOMONIE, .. < WiS. OQ . $ 40 10TQ slope SUF�� 30' _1 i o6a, � �iamnmllw 143 . -1-58` ' PL 1320' ST. CROIX COUNTY WISCONSIN ZONING OFFICE r r s r s M ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road _ Hudson, WI 54016 -7710 (715) 386 -4680 July 9, 1999 Barb Mrdutt 2411 130' Ave. Glenwood City, WI 54013 RE: Ordinance establishing a residential development moratorium on lands with the Glen Hills Watershed Dear Barb: On July 8, 1999, via a voice mail message, you requested that I provide an outline for you and your surveyor to follow regarding your property in the Town of Glenwood. To recap: your proposal involves building a dwelling and installing a septic system that appears to be located within the hydraulic shadow of the Glen Hills Watershed Moratorium area. Under the scope of regulation A. No residence shall be constructed, erected, placed, or enlarged, nor shall any zoning or sanitary permit be issued by the County for the construction, erection, placement or enlargement of any residence within the area regulated. (See enclosures) With the information provided to date, it is uncertain whether the proposed building site and septic system area lie outside of area regulated. Therefore, further supplemental data is needed to identify exactly what areas of your property are outside of the hydraulic shadow. The information needed must be supplied by a licensed surveyor in the State of Wisconsin. OPTION ONE: Action to be taken by property owner: 1. Contact a licensed surveyor. 2. The surveyor must identify the 1040 -foot contour elevation on your property. Note: All elevations shall be established from a known mean sea level elevation benchmark. 3. Surveyor /property owner must stake out septic system area and proposed house location. Both locations must be clearly above the 1040 foot contour elevation and mapped. 4. The surveyor shall also indicate and map the south property line of the SW % of the SE %, Sec. 34, T30N -R1 5W, Town of Glenwood, that portion of property lying southerly of Hwy 128. 5. Have the surveyor submit the contour and boundary map to the Zoning Office. The surveyor must include the following on the map: the 1040 -foot contour elevation, the location of the septic system and building footprint (include elevation at both locations), the south property as described in sub. (4), and indicate the approximate driveway location. If this area is designated as flood plain, then a filling and grading permit may be required for the driveway to cross the floodplain. The filling and grading permit requires a special exception (public hearing) permit. The board of adjustment hears these requests. • Page 2 July 9, 1999 OPTION TWO: Do nothing now and wait until the study has been completed, so you know exactly what the flood elevation will be set at. If you have any questions regarding this matter, please do not hesitate to contact me at the number above. Sincer ly, Rod Eslinger Zoning Specialist I FAX ST. CROIX COUNTY ZONING OFFICE 1101 Carmichael Road Hudson, WI 54016. (715) 386 -4680 DATE: L `t (G. TO: Fax Number. Co Co Name: FROM: Fax Number. t 386 - 4686 Name: r cso CS L l nJ C CS Number of Pages Including Cover Sheet IF COMPLETE AND LEGIBLE INFORMATION, IS NOT RECEIVED, PLEASE CONTACT: NAME: TELEPHONE NUMBER: CE_ JAAickot ec C-c v i c U"* ta-�c rv�w•e �. T 4edar 604 Wilson Avenue • Menomonie, Wisconsin 54751 corporation 715- 235 -9081 800-472-7372, Fax • 715 - 235 - 2727. www..cedarcorp.com July 14, 1999 St. Croix County Zoning Office St. Croix County Government Center Mr. Rod Eslinger 1101 Carmichael Road Hudson, WI 54016 -7710 Re: John Mrdutt residential building and septic system construction Dear Mr. Eslinger: Cedar Corporation has been retained by Mr. John Mrdutt, to address the County requirements as stated in your letter to Barb Mrdutt, dated July 9, 1999. On July 13, 1999, a field survey was completed to fulfill these requirements. Mr. John Mrdutt has furnished to me a copy of the Soil Test Plot Plan, prepared by Mr. Byron Bird, Jr., C.S.T.M. #3479. On this plot plan, I have made revisions and additions reflecting the results of my survey. This revised map is attached. Therefore, I, Randall S. Stelzner, Wisconsin Registered Land Surveyor, do hereby certify that the survey completed by me, on July 13, 1999, is correct and accurate to the best of my knowledge and belief, and that the attached map is a correct and accurate representation of said survey. Sincerely, C AR CORPORATION �►�I�p / /i RANDALL S. Randall S. Stelzner, RLS 1495' l .*: STELZNER %* j S -1495 . — MENOMONIE, f WIS. Enclosure ��4'9jyO••...•.•.•����` Cc: Mr. John Mrdutt �'114 U engineers • architects • plannersvenvironmental specialists • land surveyors • landscape architects • Interior designers Soil Test Plot Plan Projedt Name ROBERT FORREST Byrow Bird Jr. , Address 1655 310TH ST. GLENW OOD, WI 54 C$TM #3479 Lot Subdivision ------- ---- Date 5/8/98 SW 1 /4 S E 1 /4534 T 3 0 N/R t5 W Township GLENWOOD n Boring Q Well PL Property Line County S T. C ROIX BM or VRP Assume Elevation 1.00 ft TOP OF WHITE STAKE System Elevation 99.6 * H R P SW CO RNER O F PL Alternate Benchmark TOP OF WHITE STAKE PL 100' Sao C)QwE 0, 00 l ►JDIGATE5 GQOuND E"LE VATI or4 Ex�STrrl� QELNTIVE TO t4A 88 AUJuSTN►elA oy��� DETERI/�►tD 'FROM br'S oi3SFR/aTlon. D Pro Q�' . pRc>POSE =A• 72t�/Eyyl�Y �EGrNS eta l CJ0 �' SE of ST4 128 PA E N Q2o• � E'Ub�� I"1E�FSVQEA i4LoNl� I i-FE 92 NouSc \p l0. o C-'X15TINI; DRIVEWAY, 16 - rA-L LEN&TN OF FTOP056 pQtVEYvAy vrte. logy. 6AR 1 9 1 °�L, a 20 M . - AIL B.M. C. ... IDIZA r 011 b 15 NOT L 4q' _10 10' R� To 5 CA L Io5 4•(a -2 ` ���1111111111111111/ I //// /j/ �� 30 p �4§0 0 40 • 80 loe2.3 B -3 ' 25' 0, 5 • 162 OMONIE, . 40 10% slo �••••••••�� p e '�iry SUF� 30' _1 1 murlto r lQ3 — 1-88 — PL 1320' S a, c,— •r F r` _J 1a , , I� I . T - � �� ^\i �� � I ..� /� (�: ')J J O „O I • °� ^. J am. � j� \ ` Q�� l • � �� � � �� ��� � � � - - v � , i - , 1 � 1 n r , J ,,CVO. �� J - \ � i . ..:,✓ ���. .I 1 $ ,dam , ,, � i• m � — �� -���_ n, / ( � 1 r � — �� �- II L -� r r edar C 604 Wilson Avenue •Menomonie, Wisconsin 54751 corporation 715 -235 -9081 800- 472 -7372 Fax• 715 - 235 -2727 www.cedarcorp.com July 14, 1999 St. Croix County Zoning Office St. Croix County Government Center Mr. Rod Eslinger 1101 Carmichael Road Hudson, WI 54016 -7710 Re: John Mrdutt residential building and septic system construction Dear Mr. Eslinger: Cedar Corporation has been retained by Mr. John Mrdutt, to address the County requirements as stated in your letter to Barb Mrdutt, dated July 9, 1999. On July 13, 1999, a field survey was completed to fulfill these requirements. Mr. John Mrdutt has furnished to me a copy of the Soil Test Plot Plan, prepared by Mr. Byron Bird, Jr., C.S.T.M. #3479. On this plot plan, I have made revisions and additions reflecting the results of my survey. This revised map is attached. Therefore, I, Randall S. Stelzner, Wisconsin Registered Land Surveyor, do hereby certify that the survey completed by me, on July 13, 1999, is correct and accurate to the best of my knowledge and belief, and that the attached map is a correct and accurate representation of said survey. Sincerely, C AR CORPORATION ``````\``` 'C" Q t; � / /// • 0. RANDALL S. o. Randall S. Stelzner, RLS 1495 STELZNER S -1495 MENOMONIE: j, WIS. • Enclosure �'9jL•. .• y Cc: Mr. John Mrdutt munmetta�� engineers • architects • planners • environmental specialists • land surveyors • landscape architects • Interior designers A' . Soil Test Plot Plan Project Name ROBERT FORREST Byron Bird Jr. Address 1655 310TH ST. G LENWOOD , WI 54013 IMM #3479 Lot ------ Subdivision ----------- Date 5/8/ SW 1 /4 SE 1 /45 T 30 N/R 15 W Township GLENWOOD M Boring Q Well PL Property Line County ST. C R O IX , BM or VRP Assume Elevation 1.00 ft TOP OF WHITE STAKE System Elevation 90.6 * H R P SW C ORNER OF PL Alternate Benchmark TOP OF WHITE STAN PL 100' �n QwE �• ar � INDIGATE5 G2ouND ELEYATJw-4 EX�`' ► � D . 1 2-EL4,71VE TO SAVD 8S AtaVST-'viE O VpT10h.15 VV QOy ��� D� ER I ►tea 'FROM bf'S IISFR Pro 4�pG PR C>PoSED * VIZ IV & WAY $EG N 5 ara I [-o ' ± 5E of 5-r4 12e. p.4V e M Fw T QQo. ED&VE m 4 5VV& D ALoNla i HE E'XI STiN� D121VEYYAY, l oTr1l_ ou LEN &TN of PROPOSED 1D0 %%- L- AY Ana J'1, I ; 10,��. 20 M. - AIL B.M. 0 9 L 1 ' ... DVRp,vA/ 1),j & 15 NOT 4q' _10' 1 054 �- . To S CA LE. Ito 30' 2 ACI o 40 ' °- 80 =_ ia62..3 B -3 0'' t 62' 25' � �• p QNIE, s ; Q 0 40' 10% slope ��••• "•••� � suR 1nInHNM� �q3 * --4.8( PL 1320' • 1 � r LO 00 lb Q• i l CO t i v ° 11 � OD r l o g , c f 'QI 1 _ + • ,