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HomeMy WebLinkAbout018-1082-10-020 ST. CROIX COUNTY ZONING DEP ; R ME1 AS BUILT SANITARY REPO. Owner 1,41 Property Address 6 City /State Legal Description: j Lot . —Block �` Subdivision/CSM # '/a t /4, Sec., TJN -RAW, Town of # = SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer d�' v.� Size ST/PC Setback from: House Well P/I, Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: Width Length Number of Trenches Setback from: House 5�� , Well P/L -/40_ Vent to fresh air intake /, U-111 ELEVATIONS Description of benchmark T6 `' �6 Elevation Description of alternate benchmark Elevation .163, Building Sewer �f��_ ST/HT Inlet - S ST Outlet PC Inlet ---' PC Bottom Header/Manifold ti0, S<_ Top of ST/.PC Manhole Cover Distribution Lines O XrO,< 5� O ( ) Bottom of System Final Grade ( ) ( ) ( ) Date of installation Permit number 74� ,­Q7 State plan number Plumber's signature icense number c o? Date/ / /0 Inspector Complete plot plan � 1� i � A NOTICE Please provide the owing: • A plan view ch showing everything within 100 feet of the syste • T horizontal reference points to center of septic tank manhole c er. • ow alternate benchmark, if applicable. PLAN VIEW � r. �o .3j L w o p� �o- y' s 4k, INDICATE NORTH ARROW fb3 °� Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count y Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal inf you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 353227 Permit Holder's Name: ❑ City ❑ Village EkTown of: State Plan ID No.: Town of Hammond CST BM Elev. Insp. BM Elev.: BM Descri tion: Parcel Tax No.: s Hl 1 018- 1082 -10 -020 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Se >�dwL IQ zm Benchmark'# Dosing Alt. BM 3 Q.G Z Aeration Bldg. Sewer ,+0 qa % Holding St /Ht Inlet 3,oZ 9' TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Air I ntake ROAD Air Septic ) ' NA Dt Bottom 84..�L Dosing > / up r t' �-� NA Header /Man. 3,OD .660,f6 Aeration NA Dist. Pipe 3 ' 02 " 100,yy Holding Bot. System 3• Q 9 VZ PUMP/ SIPHON INFORMATION Final Grade Manufacturer S Deland St cover Model Number GPM #-► (12 D (f� gwi 3.,6 � TDH Lift Lrictione System 5- TDH �,0 Forcemain Length 6 I f r' D ist. To wet SOIL ABSORPTION SYSTEM ENCH Width I Length f No. f enches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manuadurer: SETBACK INFORMATION Type Of 57 7 r ( Moe Number: System: CHAMBER OR UNIT DISTRIBUTION SYSTEM A �,qz Ce,4,.. 2 ??-93 Header / Mani Id Distribution Pipe(s), it x Hole ize x Hole Spacing Vent To Air Intake " , f r, /� r 1 Length Dia- 1 Length , Dia. Spacing (0 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 I ❑ Yes ❑ N ❑ Yes COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: 12/ 2 /°I1 Insp chon #2: 1 /.3 /99 Location: 705 159th Stre t, Ro a s, (SE 4 SE1 /4, Section 30 T29N -R17W) - 30.29.17.565 1.) Alt BM Description 2.) Bldg sewer length = --t- t '� - amount of cover = > �� �gZ . _ /03. ?S3 `` 3.) Contour= 98.8 C!S'F T PA 1 �° Plan revision required? []Yes XNo p Use other side for additional information. l SBD- 6710(8.3197) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH . SANITARY PERMIT NUMBER: � 9 q a p 6 q a i I 7.m 3 E t , 7 0 5 571�' 4 - Safety and Buildings Division ` SC011S%11 SANITARY PERMIT APPLICATION 201 B Wa ington 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 than 8 112 x 11 inches in size. ST CROIX • See reverse side for instructions for completing this application State Sanitary Permit Number 35 �-f Personal information you provide may be used for secondary purposes ❑ check if revision to previous application [Privacy Law s. 1 5.04 (1) (m)]. State Plan I.D. Number Site ID 182663 I: APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION Trans ID # @%@91 252705 Property Owner Name Property Location MARILYN FLANDRICK SE 1/4 SE 1/4, S 10 T 29 , N, R 17 W W Pro 606 3RD STREET 2 perty Owner's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number HUDSON WI 54016 (715)381 -2795 MEADOW RIDGE 11. PE F B ILDING: (check one) E] 1(715)381-2795 Owned 11 It y Nearest Road ❑ village HAMMOND 70th Avenue Public 13 1 or 2 Family Dwelling - No. of bedrooms &L Town OF III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 018- 1082 -10 -020 3 0 - ?� • �� • S �5 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. [XI 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 (M Mound 0 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure j ix l l� ) 42 C] Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill —_ 9 �, i5 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 699 Re wired (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min_/inch) Elevation 7�i/0/ 500 /7 500 1.2 N/A 99.85 Feet 102.23 Feet Ca acit VII. FORMATION in gallo Total # of Manufacturer's Name Prefab. ion Steel Fiber- Plastic Exper. New Existing Gallons Tanks Concrete strutted glass App. Tanksl Tanks Septic Tank or Holding Tank 1200 200 1 MIDWESTERN PRECAS ® ❑ ❑ ❑ ❑ C1 Lift Pump Tank /Siphon Chamber 800 800 1 MIDWESTERN PRECAS ® ❑ ❑ ❑ ❑ E] VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plu Cs Signa (N tamps) MP /MPRSW No.: Business Phone Number: BENNIE HELGESON ture: 220292 715/772 -3278 Plumber's Address (Street, City, State, Zip Code): W1229 770TH AVENUE SPRING VALLEY WI 54767 IX. COUNTY% DEPARTMENT USE ONLY ❑Disapproved Sanitary Permit Fee (includes Groundwater D ate Issued Issuin Agent Signa re(NoStamps) Approved []Owner Given Initial Adverse Determination s.� Surcharge Fee) It — 15-11 �&A� X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: 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. 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 LA CROSSE WI 54603 -1905 TDD #: (608) 264 -8777 Vhsconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 26, 1999 CUST ID No.268093 ATTN: POWTS INSPECTOR ZONING OFFICE HELGESON EXCAVATION INC `; '1 ST CROIX COUNTY SPIA W1229 770TH AVE, 1 CARMICHAEL RD SPRING VALLEY WI 54767 ` �� HUDSON WI 54016 RE: CONDITIONAL APPROV Identification Numbers APPROVAL EXPIRES: 10/26/2001 -.' .. Transaction ID No. 252705 Site ID No. 182663 .t, SITE: `�� Please refer to both dentificati�fiufiibds,', Site ID: 182663 above, in all correspondence with the agency. St. Croix County, Town of Hammond SETA, SE1 /4, S30, T29N, R17W Subdivision: Meadow Ridge - lot 2 Facility: Marilyn Flandrick Proposed Residence FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 496748 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 RE D T CEIVED 10/13/1999 � FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 Gerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us WiSMART code: '7633 Safety and Buildings 2226 ROSE ST LA CROSSE WI 54603 -1905 TDD #: (608) 264 -8777 i scons i n www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 26, 1999 CUST ID No.268093 ATTIC POWTS INSPECTOR ZONING OFFICE HELGESON EXCAVATION INC ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 10 /26/2001 Identification Numbers Transaction ID No. 252705 Site ID No. 182663 SITE: Please refer to both identification numbers, Site ID: 182663 above, in all correspondence with the agency. St. Croix County, Town of Hammond SE1 /4, SE1 /4, S30, T29N, R17W Subdivision: Meadow Ridge - lot 2 Facility: Marilyn Flandrick Proposed Residence FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 496748 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 10/13/1999 SA_A� FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 Gerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us IYi8MAk c 17 33` MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET MARILYN FLANDRICK Project Halle- 1301dem 4 bedroom residential mound SYSTO Owner Marilyn Flandrick ,�vP''T S AY Address 14 43 hwa 606 3rd Street, Apt. 303 On New 14 - -#ig y� S Hudson WI 54016 � e u� p �NCE Legal Description SE1 /4SE1/4, Sec.30, T.29N., R.17W. k A R ES Township Hammond County St. Croix SSE C Subdivision Name Meadow Ridge Lot No. 2 Parcel ID Number REC;OVED Plan Transaction Number OCT 1? 1999 Index and title sheet Page P ARTY & gLOGS DIV. Mound calculations Page Mound drawings Page 3 Pres. dist. calcs. and laterals Page 4 TDH and pump tank drawing Page 5 Pump performance curve Page 6 Site plan Page 7 Attached soil evaluation report Page 8 Designer Bennie Helge License Number 220292 Signature Phone No. 715 - 772 -3278 Date 9/'8f99 is Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 146.10, Wis. Stats. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBA- 10462 -E (R.05i98) Page 1 of 8 r MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch - pounds Metric Residential or commercial? r (r or c) (y or n) Replacement system? Creviced bedrock site? n (y or n) Slope 4 % Wastewater flow rate 600 gpd 2271 Lpd Depth to limiting factor 27 in 68.6 cm In situ soil infiltration rate 0.6 gpd/ft' 24.4 Lpd /m` Contour line elevation 98.9 ft 30.14 m Use standard fill depths? 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 1 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 5.00 ft Not a final calculation. Number of laterals 1 Pump tank elevation 90 ft Outside bottom of tank. Forcemain length 25.0 ft Forcemain diameter 2.0 in 1.5, 2, 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1/8 = 0.125 1/4 = 0.250 SYSTEM SOLUTIONS Inch-pounds Metric 5132=0.156 9/32=0.281 Estimated daily flow 600 gpd 2271 Lpd 3116=0.188 5116=0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gpd/fe 500.0 ft` 46.45 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) 100.0 ft 30.48 m Depth of cell (F) 1 10.0 in 25.4 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 14.4 in 36.6 cm Basal area required (gpd/infiltration rate) 1000.0 ft 92.90 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.30 ft 3.14 m Up slope toe length (J) 7.60 It 2.32 m Down slope toe length (1) 10.30 ft 3.14 m Total mound length (L) 120.60 ft 36.76 m Total mound width (W) 22.90 ft 6.98 m Project: Halle Builders 4 bedroom residential mound Transaction Number: Page 2 of 8 MOUND PLAN VIEW observation pipes (typical) E 22.9 ft A A= 5.00 ft 1.52 m 6.98 m ::::::................ B = 100.0 ft 30.48 m W B J= 7.60 ft 2.32 m K I = 10.30ft 3.14m K= 10.30ft 1 3.14m _ 12Q 60 ft 36.76 m typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) n J = up slope dimension O = plowed area (LxW) K = end slope dimension I " (152 nm) T MOUND CROSS SECTION D = 12.0 in 30.5 cm lateral topsoil G H subsoil cep E = 7474 in 36.6 cm invert 100.40 ft - - -- -- •::::.:::: F 10.0 to cm c - - - - -- elev. 30.60 m F G - 12.0 in 30.5 ern T ASTM C33 H = 1 18.0 in 45.7 cm D Sand Fill E Sys. 99.90 ft Y elev. r 30.45 m 98.90 ft contour 30.14 m elev. 4 % —� 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: Project: Halle Builders 3 bedroom residential mound Transaction Number: Page 3 of 8 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch -pounds Metric Width (A) 1 5 Ift 1.52 m Length (B) 100.0 ft 30.48 Irn Lateral specifications Number laterals 1 HolesAateral 20 holes Lateral length (P) 96.58 ft 29.44 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 23.30 J gprn 1.47 Us Sys. dis. rate 23.30 gpm 1.47 Us Hole spacing (X) 61 154.9 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 1112 in (40 mm) No choice necessary. provided. 2 in (50 mm) 3 in (75 mm) 4 in (100 mm) Distribution system contains: 1 Lateral(s) LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Laterals centered over the A & B dimension end cap P rHoles rilled next to end cap lF X � I Laterals & face main of PVC Sch 40 d on the bottom of the lateral (per COMM Table 84.30 -5) `d . = permanent end marker Inch-pounds Metric Lateral length (P) 96.58 ft 29.44 m Lateral spacing (S) 0.00 ft 0.00 m Hole spacing (X) 61 in 154.9 cm Manifold length 0 ft 0.00 m Hole diameter 0.250 in 6.4 mm Lateral diameter 2.00 in 50 mm Forcemain diameter 2.00 in 50 mm Project: Halle Builders 3 bedroom residential mound Transaction Number. Page 4 of 8 'r TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 9.40 ft 2.87 m Are laterals the highest point in the Friction loss 0.24 ft 0.07 m system? Yes "x" here. Total dynamic head 12.14 ft 3.70 m If no, what is the highest elevation Dose Volume downstream of pump.? Dose is > 10 times lateral volume Forcemain drain Lateral void volume 16.8 gal 63.6 L back to tank? ('Y' one) Minimum dose 168.0 gal 635.9 L x Yes Drain back 4.4 gal 16.7 L No Dose volume 172.4 gal 652.6 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather proof _ warning label and locking device grade levels junction box disconnect grade levels aftemate electric as per NEC 300 and E -- outlet 4" vent pipe Comm 16.28 WAC \\� location 19'(46 cm) min. 1 wall of um k— approved p p chamber or outlet joint combination tank A Provide 1/4" weep hole or anti - alarm on siphon device as necessary pump on B Grade levels pump 91.0 ft C - pump tank manhole = 4!' (10 cm) off elev. 27.7 m minimum above finished grade D - vent = 12" (30.5 cm) minimum above finished grade 90.0 ft Pump tank elevation 3 " (75 mm) of bedding under tank 27.4 m bottom of tank Tank manufacturer Midwestern Precast 1200/800 combination Pump tank capacity 21 gal /in Pump tank volume 819 gal Pump manufacturer Goulds Inches Gallons Pump model number 3871 EPO4� o A 19.8 415.6 z B 2 42.0 Alarm manufacturer ED lArm a C 8.2 172.4 E p 9 189.0 Alarm model number o Project: Halle Builders 3 bedroom residential mound Transaction Number: Page 5 of 8 .4 I MODEL • I] M OD EL • Vertical • • • • 1 , • 1 Submersi • I r'1., NP Collar 018 n�; I ` �. , r ; ! • , �..,, f � GOU LDS ' Pump Specifications ` METERS FEET ' /3HF Up to 40 GPM ' ,° _ ' MODEL: 3871 Discharge size 1 NPT 9 30 Solids: 3 /s" maximum 8 - � _ f 25 Motor Single phase: 115V C3 6 20 Materials of Construction Brass/thermoplastic a 5 15 - -- - - - EPOS Features and Benefits 4 ' ._i -Top suction eliminates 3 ' °� f -- impeller clogging. 2 �. _ EPO4 • Corrosion resistant construction. 0 10 20 30 40 50 U.S.G°M -Float actuated switch. `ter ° 2 , 6 e ,0 ,2 �amr C PACITY METERS FEET 25 , - - - -- - - - - - Pump Specifications Features and Benefits MODEL DVP03 17 4 h° and '/2 HP •EPO4 impeller- semi -open design 6 um 2° - with out vanes to protect Up to 60 GPM pump 4 15 - - - - Maximum head to 32' mechanical seal. Discharge size i' /2" NPT • EP05 impeller - enclosed design 3 10 Solids: 3 /1' maximum for improved performance. 2 -Rugged glass-filled thermoplastic 5 All motors feature ball casing and base design provides 5 2' bearing construction. superior strength and corrosion 00 5 10 1 0 25 30 35 40 U.S GPM resistance. 11 0 z 4 e 1 , ' Single phase: 115V .Cast iron motor housing for caaacirY Materials of Construction efficient heat transfer, strength, Cast iron and durability. Thermoplastic • Corrosion resistant threaded Stainless steel stainless steel shaft. -Available for automatic and manual operation. • CSA listed models available. All Models are designed for continuous operation and feature stainless steel hardware. P4.1, ag lf87T ✓ r 70 XM -41 "'6 ;.1-0,4 /-;L°7 v 8 n d „ 1 i 1 � 1 � ■ � � ` gi n i 0 ° Zr- c � v h 3 W WwWw Deparlrnentofcannerce SOIL AND SITE EVALUATION Page t of 3 Division of S a f ety and Buildings in accord with Comm 83.05, W is. Adm. Code ac E soc7 & Site Evaluations Attach complete site plan on paper not less than 8 x 11 inches in size. Plan must County Include, buit not limited to vertical and horizontal reference point (BIB, direction and St. Croix _ percent slope, sole or dimernsions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION - Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner 6,., : ` �� N tk h y Property Location Halle Builders, Inc. Govt Lot SE 1/4 SE 1/4 S 30 T 29 N,R 17 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSW 1113 Highway 64 2 1 Meadow Ridge City State Zip Code PhoneNumber ❑ City E] Village ® Town Nearest Road Hudson WI 54016 715- 246 -6813 Hammond I 701h Avenue ® New Construction Use: ❑ Residential I Number of bedrooms 4 ❑Addition to existing building ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate •5 bed, gpolff •6 trench, 9pd/ft Basal area required 1200 bed, ft' 1000 trench, ft' Maximum design loading rate .5 bed, gpd/W .6 trench, gpolft' Recommended infiltration surface elevation(s) 99.85' at 12" above 98.85 contour. It (as referred to site plan benchmark) Additional design / site consideration Parent material Glacial Till Flood plai n elevation, if a licable NA ft S - - Suitable for system Mound In -Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system El M U M S❑ U ❑ S® U ❑ S® U [IS ®U ❑ S M U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture GPD/f F Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consisten Boundary Roots Bed Trench 1 t , 1 0 -7 10yr3/2 None sl 2fcr mvfr as 2f,lm 0.5 0.6 2 7 -14 10yr4/3 None sl 2msbk mfr cs 2f,lm 0.5 0.6 Ground 3 14 -28 7.5yr4/4 None sl 2msbk mfr cs If 0.5 0.6 elev 97.74' ft 4 28 -35 7.5yr4/4 U7.5yr5/8 sl 2msbk mfi cw - 0.5 0.6 to 5 35 -72 1 5/4 m2p7.5yr5/8 & Depth 10yr6/2 sicl Om mfi - - N.P. 0.2 limiting factor 28' Remarks: 401/6 of west wall of horizon # 5 consisted of a pocket of 10yr6 /4 s, Osg, ml, with redox. features at interface with finer textured soil. 2 1 0 -9 10yr3/2 None sl 2fcr mvfr as 2f,lm 0.5 0.6 2 9 -17 1Oyr4/3 None sl 2msbk mfr cs 2f,lm 0.5 0.6 Ground 3 17 -32 7.5yr4/4 None sl 2msbk mfr cs if 0.5 0.6 elev 99.71' ft 4 32-40 7.5yr4/4 U7.5yr5/8 sl 2msbk mfi cw - 0.5 0.6 De to 5 40 -53 1 5/4 'ri2P7•Syr5 / /8 & _ _ Depth 0 Y 1 10yr62 sicl Om mfi N.P. 0.2 limiting factor 32' Remarks: CST Name (Please Print) Sign Telephone No. James K Thompson 715- 248 -7767 Address A.C.E. Sod & Site Evaluations Date CST Number Ref # 340 Paulson lake lane, Osceola, 54020 9/23/99 3602 1111 PROPWff OWHM Halle Bu&km I= - SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL WJ A.C.E. Sod & site Evaluations Depth Dominant Color Mottles Structure Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. sistence Boundary Roots Bed Trench 3 1 0 -9 10yr3/2 None sl 2fcr mvfr as 2f,lm 0.5 0.6 2 9 -15 10yr4 /3 None sl 2msbk mfr cs 2f Irn 0.5 0.6 Ground elev 3 15 -27 7.5yr4/4 None sl 2msbk mfr cs if 0.5 0.6 97.9T ft 4 27 -33 7.5yr4/4 f2d7.5yr5/8 sl 2msbk mfi cw - 0.5 0.6 Dmp m2 75 /8& - - iUng 5 33 -54 10yr5 /4 10yr6/2 Sid Om mfi N.P. 0.2 factor 27' Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: r Z .A T � 1 i i i i r ' OD S� v Lot / !/W 9,4y..268q' 4t I d.1 9,b o y. 2G8Y wwnsi Department ofCommerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code ' AC.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 St. Croix percent slope, scale or dirriernsions, north RMroraqd distance to nearest road. e Parcel LD.# APPLICANT INFORMATION - s- prihtaAinfonlnaWn. �e�d By Date Personal information you provide may be u* fob secondary pv�pses (Privacy law, s. 15.04 (1) (m)). r- Property Owner Property Location Halle Builders, Inc. Govt. Lot SE 1/4 SE 1/4 S 30 T 29 N,R 17 W Subd. Name or CS Lot # Blo Property Owners Mailing Address _ ck # M# 1113 Highway 64 2 ❑ Meadow Ridge City S , - Zip C9y mbar ❑ City ❑ Village ❑ Town Nearest Road Hudson W 5.4016 �I J 3 Hammond 70Th Avenue ❑ New Construction Use: ❑ ' _ tlol Nkaffi rooms 4 v ❑Addition to existing building 17 Replacement ❑Public or rr►ercial describe Code Derived daily flow 600 gpd Recommended design loading rate •5 bed, gpdff .6 trench, gpdfftz Basal area required 1200 bed, ft' 1000 trench, ftz Maximum design loading rate .5 bed, gpdff .6 trench, gpd/ft Recommended inftltration surface elevation(s) 99.85' at 12" above 98.85 contour. ft (as referred to site plan benchmark) Additional design / site consideration Parent material Glacial Tilt Flood Mal n 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 11 S M u ❑ S❑ u ❑ S ®u ❑ S u Us z u ❑ s M u SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPDff g Horizon Consisten in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz Boundary Roots Bed Trench 1 1 0 -7 10yr3 /2 None sl 2fcr mvfr as 2f,lm 0.5 0.6 2 7 -14 10yr4 /3 None sl 2msbk mfr cs 2f,lm 0.5 0.6 Ground 3 14 -28 7.5yr4/4 None A 2msbk mfr cs if 0.5 0.6 elev 97.74' ft 4 28 -35 7.5yr4/4 f2d7.5yr5/8 A 2msbk mfi cvv - 0.5 0.6 to 5 35 -72 1 r5/4 m2p 0yi-6/ /8 & De - - pth Oy 10yr6/2 MCI Om mfi N.P. 0.2 limiting factor 28' Remarks: 40 of west wall of horizon # 5 consisted of a pocket of 10yr6 /4 s, 0§& ml, with redox. features at interface with finer textured soil. 2 1 0 -9 10yr3 /2 None sl _ 2fcr _ mvfr as 2f,lm 0.5 0.6 2 9 -17 10yr4 /3 None A 2msbk mfr cs 2f,lm 0.5 0.6 Ground 3 17 -32 7.5yr4/4 None sl 2msbk mfr cs if 0.5 0.6 elev 99.71' ft 4 32-40 7.5yr4/4 f2d7.5yr5/8 A 2msbk mfi cw - 0.5 0.6 Depth to 5 40 -53 10 5/4 m2p7.5yr5/8 & De - - p yr IOyi6 /2 sicl Om mfi N.P. 0.2 limiting factor 32' Remarks: CST Name (Please Print) Sign e: Telephone No. James K. Thompson 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, Wf 54020 9/23/99 3602 1111 tm O NMI Have Buitdem inc. SOIL DESCRIPTION REPORT ++ ++ Page 2 of 3 PARCEL LDJ A.C.E. Soil & Site Evaluations Horizon Depth Dominant Color Mottles Texture Structure nsistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -9 10yr3 /2 None sl 2fcr mvfr as 2f,lm 0.5 0.6 2 9 -15 ' 10yr4 /3 None sl 2msbk mfr cs 20m 0.5 0.6 Ground elev 3 15 -27 7.5yr4/4 None sl 2msbk mfr cs if 0.5 0.6 97.97' ft 4 27 -33 7.5yr4/4 f2d7.5yr5/8 sl 2msbk mfi cw - 0.5 0.6 to m2 7 5 5/8 & Dmpting 5 33 -54 10yr5 /4 10y 6/2 sic] Om mfi - - N.P. 0.2 factor 27' Remarks: Ground elev Depth to — - - -- -- - - -- - limiting factor Remarks: Ground elev Depth to limiting _ factor Remarks: Ground elev Depth to limiting factor Remarks: I � Z o �9 o 1 N 1 I 1 I 1 � I \ 1 w A V 7 68 Got / Vol 9, ,gy_ z 6BY � Lof .2 d Y JUhf -24 -99 01:33 PM P.01 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address tp0 3 �� St . t�sor.7 w i Sy °!gyp i Property Address 7 O� (Verification required from Planning Departient for new construction) City /State ( Z 6 friS W 1 Parcel Identification Number U1 — lQBa /O Ga.� LEGAL DESCRIPTION Property Location _�L Sec,, T N -R �2 W, Town of 3'aen -°n Subdivision M Ld ida e Certifled Survey Map # . Volume . Page # Warranty Deed # . _ (11 F A q . Volume page # Spec house © yes M no Lot lines identifiable 0 yes 0 no SYSIANI H &IN7tI?iNA= 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 fLmction 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 mastcr plumber, journeyman plumber, restrictedplumbar or a licensed pumper verifying that (I) the on - site wastewaterdisposal 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. I/we, the undersigned have read the above requirements and agree to maiataia the private sewage disposal system with the standards set forth, herein, as set by the Di partment of Commerce and the Dopartment of Natural.Resouwas, State of Wisconsin. Cartitloation ststins that your septic system has been maintained must be completed and returned to the St. Croix bounty Zoning Office within 34 wv� o he three year !ra ' n date. SIONATLWOF APPLICART DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) imowtedge. I (we) am (are) the owner(s) of e property described abov by virtue of warranty dead recorded in Register of Deeds Ot ica. SI NA F APPLICANT DATE - - "' i\tiy is.lbrmarion that to Rise- rOpramented may reault in the monitory permit baba* raked by the ZoslinS Depas- Lmont. **9000 •• Il.clude witil trsta application: a atem,+ed w o dead from tl.e R.rai :ter of A—da omoe e espy =f slim certlrled aur—y neap if rererenoa la t do tsi die warranty deed 11/09/99 14:54 FAX. 17152467227 HALLE BUILDERS IM 02 va 14 69PA097 6 z ags-7a ! KATHLEEN H. YALSH REGISTER OF DEED $ DOCUM N17NQ, State Bar of Wiscoosin Eorm2AM ST. CROIK Co., Y WAPJL4Nff DEED REMM Fat KC110 11- 09-1999 E113 pt I WAat1T 1® EMT 1 3 Halle Builders, inc.. a Wisconsin corporation, conveys and £ tom F�s FM warrants to Marilyn A. Flandrick the following described real TAltaoER estate in SL Croix County, Wisconsin: ADS F EE. �: io.oa I Halle Bullders, Inc. 1113 Highway 64 New RidUMN d, WI $4017 Parcel ID No. 011 -1082 -10-020 Lot 2, Plat of Meadow Ridge, located in part of the Southeast Quarter of the Southeast Quarter (SE1 /4 of SE1/4) of Section Thirty (301(301• Township Twenty -nine (29) Notch, Range Seventeen (17) West in the Town of Hammond. This warranty deed is to correct the legal description in the warranty deed recorded on October 8, 1999 in Volume 1462, page 187 ss Document No. 611824 This is not homestead property. Exception to warranties: municipal and zoning ordinances, easements and restrictions of record.. Dated thiso(day of Novetnber,1999. HALLS B JLD . INC. By. W W. Halle, t 1 011 By: R. al1e, Secretary ACYNOWLEDGM 417 STATE OF WISCONSIN ) � as. ST. CROIX COUNTY ) i 1 Personally came before me this day of November, 1999, the above -named Washy W. Halle i u Praideor and Linda R. Halle a SeeroMy of said oorporatieu to me kwwn to be die penmoa who TFUS DOCUMENT RAF[ ED BY: �4 HAL4 mcatad the fvaegoM iastnmramt and ackmaledge r� &a Jame. J aft A. Nora sio 4( P.Q. Ban 177 ° u° Put state orwiacoasia New Richmond, va 17 Bspiraa: �' —/ Gtr (715) 2463422 d'j GQ '� ot=w�� ' 11/09/99 13:09 FAX 17152467227 HALLE BUILDERS Q02 DOCUMENT NO. STATE BAR OF WISCONSIN' FORM 3 -1982 REMINGTON LAW OFFICES 126 S. Knowles Ave. Ali DAVZ' P. O. Box 177 New Richmond, WI 54017 STATE OF WISCONSIN ) ) Ss. Tax Parcel Nm ST. CROIX COUNTY ) I Re The Southeast Quarter of the Southeast Quarter (SE 114 of SE1/4) of Section Teo (10), Township Twenty- nine (29) North, Range Seventeen (17) Westin the Town of Hammond St Croix County, Wisconsin. S, Judith A. ;Wmington, being fast duly sworn of oath, do state as follows, I. I am an attorney and the drafter of a warranty deed dated October 6, 1999, and recorded on October 8, 1999, in Volume 1462 at page 187 as Document No. 611924 in the Register of Deeds Office, St. Croix Comity, Wisconsin. The initial rworded docurnent contained an incorrect legal description described as follows: Lot 2, Plat of Meadow Ridge, located in part of the Southeast Quarter of the Southeast Quarter (SE114 of SE114) of Seetian Ten 1 Township Twenty -nine (29) North. Range Soven' (17) West in the Town of Hammond, St. Croix County, Wisconsin. 2. Tltt correct legal description should have been da ibed as follows; Lot 2, Plat of Meadow Ridge, located in part of the Southeast Quarter of the Southeast Quarter (SE114 of SE I/4) of Section qty (30) Township Twenty-nine (29) North, Range Seventeen (17) West in the Town of Hannnood, St Croix County, Wisconsin. 3. A new warranty deed with the correct legal description has been Sled with even date herein. 4. This afgidsvit is given for the "ova of removing any cloud on tide on the Southeast Quarter of the Southeast Quarter (5111/4 of SEIA) of Section Ten (10), Township Twenty -nine (29) North, Range Seventeen (l7) West. Dated this c *day of November, 1999. J A. Remington Suhsm - hc q d � / and sworn to before /�.- me this 6 day of Novanber,1999. tep anie A. Desm STEPHANIE A. DESINO Notary Public, State n£ W' ndn Notary Pub(ir -Stale at WbCOn5ir My Cor�rissiun expires: %/3►1 THIS DOCUMENT DRAFTED BY: Judith A. Remington REMINGTON LAW OFFICES 126 S. Knowles Avenue P. 0.9ox 177 New Richmond, WI 54017 (715)246.3422