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HomeMy WebLinkAbout020-1406-02-000 0 cn p 3 v 0 d (D "4- (D o c v I m ID Cl) Cs N O m O O W � G W N ° C f • S Aa < O. c 00 ! 0. jV O h , y M il l i CD CD co N N C {D N O j O O r N N CL 7 Q O CD D! O0 Co O ch CO A c @ C C7 V 7 v N co N oo O O a c W O N CL v 'C -4 W Q N 3 Z Q O CD m ".` Z W O w j ��f O O CD O O 3 lei CD CD O O X i (�/� O C a a c a f 3 ° O O O n • A N lD j co N N z CL CL Q =� D D c 3 0 3 1 2. 0 3 a c �• CD to -pt 3 CD c 3 w m O a 3 m oZ 7 C � 2 m 'A m CD O, N 7 �. C W j C Z A 0 ! C O yl Z <_ CD CTD 3 W Q C CO N O C CD D v m p. N N O N r_ G O N - -'o Z 3 3 m v m 0 0. y N 7 CD 03 N 0 O CD CL y C') �. � y 7•co5 x a) 3 n r a �n mho O n O N 0 5 = 7 p CD � O N CD , N (D y 3 7 0J S 0 O n N O tv 7 O O, C N CD ti mnc 3 0 CD °' a E; m = ti CD o m C, O .. ° CD a ° O Q. �.' Parcel #: 020 - 1406 -02 -000 08/02/2007 10:57 AM PAGE 1 OF 1 Alt. Parcel #: 23.29.19.2547B 020 - TOWN OF HUDSON 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 O - UTSCHINSKI, BERNARD J & KATHRYN BERNARD J & KATHRYN UTSCHINSKI C - KUPKA EDWARD F KUPKA EDWARD F 718B WALDROFF FARM RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description ` 718 B WALDROFF FARM RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: 2460 - SKYLER ESTATES CONDO 020/02 SEC 23 T29N R1 9W PT SW NW EVERGREEN Block/Condo Bldg: LOT B ESTATES LOT 2 NKA SKYLER ESTATES CONDOMINIUM UNIT B Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 23- 29N -19W SW NW Notes: Parcel History: Date Doc # Vol /Page Type 09/21/2005 807037 2893/65 EZ -U 08/15/2003 735891 2366/613 WD 03/18/2002 693762 1855/248 WD 02/27/2002 672286 1/75 PLAT 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/25/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 44,500 180,200 224,700 NO Totals for 2007: General Property 0.000 44,500 180,200 224,700 Woodland 0.000 0 0 Totals for 2006: General Property 0.000 44,500 180,200 224,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Z£S 'aN'000Z 'rydy'iais!Aaa y cz t, 00 �p O N A 1" C w �J� g r a v 3 o! 3 0, m D yn (\ m 0 w 3 j ro °n rS' rn C o a j c QN 1 (n s (/) W y D m e c c. "o N 0 y. C O D C y(A 3 7 V CD o r m N � 1 X = CU _ N ln1 a z CL va c � �p a � � o � og 0 m \ l rn H z D ca 7C o •� m Z a N• 3 m CD ;D c 3 3 d O p M 0 3 � a n =L b C 5 '1`t a� .. o n z "� m J CL 13; 9 Z n M CL m m o O Z z (� 3 ` ° WM -o� 1 t a (lu C 10 tj o o �1 W c �g o U 3 w •ailed agLL no utAogs aaplSag pus asp ggnoigl 3uajjnO •(awnloA Pawlad "S) Aal 1 xlpuadd{/ Eg wwoD HougWWOO -40 1 NHKLddvgu £Ll r —� D w Q z Q r r p ::E C z O z m O m �o OD PA r m I two O0 m x .. < U) ►, cn rn m V 00 Cf) C� m N y 00 i co �o O O r ,� m D 0 O Z -+ � _ Z = � D C7 m m '-� n m _� ° m Q ri) Q ° N U) z p m Z D o c x — I c C Z z < �•► C) O m o 0 -� C/) Z n ( C O z m C O m � • s� �o� �a go o � �� z IM m --{ �� os m NFds M ms T 0 ,< Q tD (D � fD m 1" CD c 7 d m a d a� m e m? d o a 3 2 COO No r m oy. a A m� <m mo Ho O p ms o< o 3o m c° �--� T mm m3 D ULI om 0 ^ ? fD f" m . C A J7 M C� _- m 72 0 L H o� � o o� ? am c l 0 It < �a CH �° rya o� o� 3 �3 s3 o,0 M _.3 �d d mod° v °3 AO m - �. - y y Z c <O 0= s c�^' 3 my z A D dm 9 .dad j0 Z z Sm H v a y v m V) L. c� c m < am o m D - 0 o m 3 - V -1 o m m m o ° 3 y C W M H =m - � r M o " o 3 3 c ? p 1 j m V z _ c 3 D c �' < S - 0 & ? C.0 o d 3' o o '� n' m o o 00 D N 0 d y ,y fD y M O a- S m M CD 3 :r S 7 ti. W — d�5��'/ Wisconsin Department of.Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No... ST. IX Pers information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 338980 Permit Holder's Name: ❑ Cit - ❑ Villa e Town o : State Plan ID No.: MOLL, BRUCE (�(ocaX>n HUDSO CST BM Elev.; Insp. BM Elev.: � BM Description: Parce Tax No.: l70 rc7 of rc7 ✓L r 020- 0 2000 TANK INFORMATION ELEVATION DATA a3. -Irt. /9, TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV, Septic ES��L OLTO Benchmark Dosing Aeration Bldg. Sewer ItX = tc?.• 1) I or I .83 S. Holding St/ Ht Inlet V S H q•'(2) 94 r TANK SETBACK INFORMATION St/ Ht Outlet S T , 0. Ts) (W TANKTO P/ L WELL BLDG. Ventto ROAD Dt Inlet 8 1 t �� ( I Air Intake L ? , r Septic sb NA Dt Bottom Z c( r `1 (, fl ( Dosing 5� r �t 3 � NA Header/ Ma Aeration NA i i Dist. Pipe )00 r Holding Bot. System L� PUMP/ SIPHON INFORMATION Final Grade �;(( Le /g`_� -_ ft Manufacturer � Demand Jt CVO ! �(I (•qZ) 9`� �{� r Model Number $ GPM z 411(1- 3 Z 3 TDH Lift r.,,J( °o Friction ,.� System �� TDH 1�.�%Ft oss Forcemain Length `J � t Dia. Fi �` Dist. To well SOIL ABSORPTION SYSTEM �,� / S r L` �• y_() C o4,gj. NC Width Length / No. Of Tre a PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 5 - �S Z I� DIMENSION SYSTEM TO P/ L� BLDG WELL LAKE/STREAM LEACHING Manufa SETBACK CHAM INFORMATION Type O { NIT Model Number: System: V�(C DISTRIBUTION SYSTEM ` Header/Manifold Distribution ipe(s) � x Hole Size x Hole Spacing Vent To Air intake I Length �Q� 3`(� Dia. Length )Dia. Spacing I 3& r -1 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only x Depth th Over Depth Over xx Depth Of xx Seeded / Sodded x Mulched Bed/ Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Y es E] No s�i COMMENTS: (Include code discrepancies, persons present, etc.) AI & - S -o / I LOCATION: HUDSON 23.29.19.1726,SW,NW 718B WALDROFF FARM RD (EAST SIDE) � aOhq /01 -tt Plan revisio n required? ❑ Yes R No /9 / Use other side for additional inforrfiation. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: S 4 E 4 s r e 3 } y s l _ ..... .. ,. i 3 i m e.. m 8 a e E E i 7 3 ��. .. •a ��......,....,.. .. e. e...«.. a ., .... ._... t p € E ; i .,a da ee a ee m . AL j —m.. ee�...® m i 3 x f s e._ 3 _ , ew i E _.. .. a .. ,._. .. _ E r SANITARY PERMIT APPLICATION Safety and Washington Division Vi sco h si n 0 201 W. Washin ton Avenue P O Box 7302 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 8112 x 11 inches in size. • See reverse side for instructions for completing this application State sanitary P N Personal information you provide may be used for secondary purposes ❑ Check if Z2 to pr evious application [Privacy Law, s. 15.04 (1) (m)]: State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name Property Location D S Zia 114, S T , N, R & Nbr) W Property Owner's Mailing Address Lot Number Block Number �- Cit ,State .• Zip Code Phone Number Subdivision Name or CSM Number 5 lv o/ (/�� E•!S II. TYPE F BUILDING: (check one) ❑ State Owned ❑ Cit Nearest Road /Pp; C] Village Public 1 or 2 Famil Dwelling - No. of bedrooms Town CFA a' A I w L9 1 . & 9 ) 4 ` f� III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo "P p — 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 online B, if applicable) A) 1. 9 New 2 ❑ Replacement 3_ ❑ Replacement of 4 ❑ Reconnection of S ❑ Repair of an System SystemTank 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 Q0 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation �10 I Y 1 2 11� IQQ, D Feet 162, Feet Capacit VII' TANK in gallon Total # of Prefab. Site Fiber- Exper INFORMATION Gallons Tanks Manufacturer's Name Concrete con- Steel glass Plastic App New Existin structed Tanks Tanks Septic Tank or Holding Tank �O"� dlcJ - ❑ El ❑ ❑ El Lift Pump Tank /Siphon Chamber Q ❑ ❑ El ❑ El VI11. 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: o Stamps) MPRdPNW No.: Business Phone Number: ml X Plumber's Address (Street, City, State, Zip Code): IX. COUNTY / DEPA TMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Issuing Ag t ignature (No Stamps) W Approved E] Surchar a Fee) Owner Given Initial e Adverse Determination Ke'? X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber r INSTRUCTIONS R 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. 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. i PLOT PLAN Page Z of 6 Scale 1 "= 60' e1"1 EL. 1oe.8'ow� rF V -� Lnu•p' �� - p1.9 +v `7.S'O O O CO�nttav�_ E'1..1 bli • S � - I 2 rl l:- Z `1 �1. LO1•S' . 1. 4$ - OC V Jrjr d°ovAop -- 6% sy 4 / � m et• n i q9 / qs, a. Z o1q. p , 2 &J / �l,q'1 Z ��� of ��►,, CH Dn N oZ- e or�Wwn T- LL • R " `•� J / Gt w /sit 3 �D' btv 1�3 T. uR GT 3 P VATE SEWAGE SYSTEM p�c eo ova Co d1 nally S APP VED 0 t A DtVISiON OF SAFETY AN UILDINGS ) A , SEE CORRESPONDENCE \ Nub- w�l.L o �Z lS lb Q � S o v lli o � H'UvS� NOTES / 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be Looa 6Sb gallon capacity manufactured by `ice k D W es) P\ Wt^-sr, )/VC, 5. Bench Marks S(E! p V F 6. Divert surface water around mound to prevent ponding at the uphill side. Safety and Buildings 2226 ROSE ST LACROSSE WI 54603 -igo5 ' Tommy G. Thompson, Governor *i5co Philip Edw. Albert, Acting Secretary Department of Commerce October 01, 1998 CUST ID No.267341 ATTN.• Jim Thompson WEGERER SOIL TESTING & DESIGN 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 L , �,. RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 10/01/2000 ` 5r CRr�� Tdeptificaton Numbers. `.`' CCx�rv7y ransaction ID No. 149580 SITE: 4 ZONING OFFICE Site ID No 161059 Site ID: 161059 y } '` Please refer to both �dent�facatlan numbers, St Croix County, Town of Hudson ; above, in all correspn odence with the SWI /4, NWI /4, S23, T29N, R19W a en Lot: 2, Subdivision: Eevergrecn Estates Richard La Casse, Duplex FOR: Description: Mound, Westerly Site Object Type: POWT System Re elated Object ID No.: 427626 Description: Mound, aster y rte Object Type: POWT System egulated Object ID No.: 427627 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 constructionlinstallation /operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. lincerely, DATE RECEIVED 09/25/1998 DENNIS R SORENSON , WASTEWATER SPECIALIST FEE REQUIRED $ 360.00 Field Operations FEE RECEIVED $ 360.00 (608)785-9336, MONDAYS 7:OOAM- 3:45PM BALANCE DUE $ 0.00 DSORENSON @COMMERCE. STATE. WI.US I� r - Page of b MOUND SYSTEM C; 9 FOR A - 3 BEDROOM RESIDENCE &A TED IN THE S w 1/4 OF THE N w 1/4 OF SECTION 2, 3 , T 29- N, R 1R W , TOWN OF COUNTY, WISCONSIN.. INDEX PA GE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN y zn u 7,1 -PAGE 3 of 6 PLAN VIEW -CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR L Ar CA CusZOm *Om e;, i iv c . �`LZA O'RkL�JOUD `,'f1�'J� `el'vUsvrJ , W1 S�lvlb PAEPA= BY WEGEEREF;t SO I L . TEST 2 NC AND. I3ES S (aLV�E�V = CEaa ®��e4p F.O. Bat 74 421 K. KAIK ST. \SC O RIVE? TAUS. MI 54022' r� 115 -42`.r -0165 AATHUA L. R WEGSkE P915 P 6LLSWOHTH, . �� y, � , KNBOt r) JOB NO. 1 PLOT PLAN Page L of 6 Scale 1 "= 60' ♦ N 1i 9.,�'1-�1, loe.8'o� P F 8J''. - . �-- . -1s1. 9`7.S' o►v O COhf'RV'ii.. �- .1b4� • S 1 r - 1 'L '"1 la Z `1 OOl�pw� 01= hl. L01.5' o tL�01 B 100 - t`l. 4$ 6 Do Nrjr �1PAeT CR 2�, O�41vrZ6 - Tv s p(R" / 9S• N� � •� N / Z. qS' eEi vv� o1q.p - y— N . C'1.WO� Pl7 c V- w,. wls P VATE SEWAGE SYSTEM s Co diti®nally APP VED DIVISION OF SAFETY AN UILDINGS Z z SEE CORRESPONDENCE -o w ill O X lb B� Sov`n� piF �j -qVS�, LoT Z c� NOTES 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be �ooa 6sb gallon capacity manufactured by tD W E5 � PAZ Sr, )iv c. 5. Bench Marks S t3yVE '� 6. Divert surface water around mound to prevent ponding at the uphill side. Page Of` "a Approved Synthetic Covering 1�sTr� C 33 Distribution Pipe Medium Sand H G T- opsoil 1 F Elev: t0 b- O _ � i D 3 E "- b \ % Slope Force Main Plowed Trench of k"-2k From Pump Layer Aggregate Undisturbed D X•D Ft. Soil E � . %3S Ft. Cross Section Of A Mound System Using F r3, Ft. I Trench For The Absorption Area G Ft. A S Ft. H t• Ft. B - IS Ft. I \ S Ft. Linear Loading Rate= � -'o GPD /LN FT J S Ft. Design Loading Rate= c3 j GPD /SQ FT K 10 Ft. L o1 S Ft. Position of Force Main W Z,g Ft. L J feMp- - K M Distribution `\ Trench Of 2 - 2 2 Pipe Aggregate J Observation Permanent Markers Pipes (Anchor securely) A1'E SEWAGE SYSTEM Conditionally A 1 P R O VED Mound Using Trench For Absorption Area 9 P DIVISIAN OF SAFETY AND BUILDIN SEE CORRESPONDENCE Page y Of -b Perforated Pipe Deta(t 0 End View Cop Perforated End Co y PVC Pipe t (1 1 v�� w a Install permanent-marker at end of each lateral Holes Located On Bottom. Are EgaoUr Spaced Q End Cop e *-t * PVC Force Main i Distribution Pipe Last Hole Should Be Next To End Cop Distribution Pipe Layout P 3y• S Ft. PRIVATE SEWAGE SYSTEM X Inches 1 ditia Y 3Q Inches Hole Diameter ILy Inch raw M In A P n `0 V ED` Lateral Inches) Manifold Inches DIVISION OF SAFETY AND BUILDINGS Force Main " Z. Inches # of holes /pipe �Z SEE CORRESPONDENCE Invert Elevation of Laterals Ft. �Z-k1- \1 _ \ •OBE X � 'Z�. U$ 6�y Place lst hole \b " from tee with succeeding holes at 364 intervals. Last hole to be next to the end cap. Combination Septic; Tank and PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE S OF -VEIJT CAP WEATHER PROOF JUMCTIOA! BOX 'i'C.I. VENT PIPC APPROVED LOCKIIJG 1Q' FROM ODOR, MAWHOLE COVER Mjiv .iIIJDOW OR FRESH wARtJI►JG LPrt3EL.. A,Lg IWTAKE t colapurr r,' 4 b . i6 "r,iW, YaR1h _ I Y� Miw. 19'MIAI. 18"MIAI, \\�` y "►us1�t+�tlara PIPC 11, — — — — PROVIDE I IAILE T AIRTIGHT SEAL I I I • 3q�L�S ' � I I I APPROVED 4 113T AGM A I I I APPROVED JOI "' I� %/Af TtVrk Ic I W /C.I. PIPE Pic / onstruction I 11 ALARM ,sha�rll comply with Condid y ()3.15 and 33.20 I f ow APPR E D LLEV. FT. PUMPS - -� DIVISION OF SAFETY N1 BUILDINGS OFF D COUCRETE SEE CORRESF 014DENCE t� • �- o o I BLOCK 3' AP PRovED RISER EXIT PERMI - IrED OWLy IF TAW MANUFACTURER HAS SUCH APPROVAL• BFODIN4 SEPTIC F SPECIFICATICIMS DOSE TAUK MAIJUFACTURCR: WUMISER OF DOSES PER D" TANK SIZE. lubk so GALLOWS DOSE VOLUME Z ALARM MANUFACTU S •S` '��� S`F'S� g IWCLUDIUG BACKFLOW S GALLONS MODEL WUMBER: CAPACITIES: A= _IMCHC5 OR 3o r O GALLOIJ5 SWITCH TYPE' B= Z INCHWOR L. G( LLOAI5 PUMP MANUFACTURER: C: INCHES OR \ S3 CALLOUS MODEL MUMBER.. 3�1� EPOS D = INCHES OR 1 S T GALLONS SWITCH TYPE: N OTE: PUMP AND ALARM AR o DE MINIMUM DISCHARGE RATE Z g' V GPM INSTALLED ON 5EPARATE CIRCUITS •VE•KTICAL DIFFERENCE DETWCEU PUMP OFF AIJO..DISTRIBUTIO►J PIPE.. FEET + MIIJIMUM mETWORK SUPPLY PRESSURE . ; . . . . - - - 2.50 FEET + !�i FEET OF FORCE MAIW X �' \� F Yorr.FRICTIOU FACTOR.. -'` ZS FEET TOTAL Dti JAMIC HEAD = 11 So FEET DIAMETER Pump chamber IAITERAIA6. DIMEIJSIOM� OF TANK: LEIJGTH ;WIDTH ;LIQUID DEPTH BOTTOM AREA - 231= GAL /INCH AS PER MANUFACTURER = \ . GAL /INCH I ' Goulds p��6o1r Submersible Effluent Pump C� ' EPO4 EP05 !t APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for fore icient heat tran r, following uses: • Capable of running lubrication and efficient s h, and'durabif • Effluent systems dry without damage to heat transfer. Motor Cover• e • Homes components. Available for automatic and tic cover with ha nd • Farms Motor: manual operation. Auto c and float switch chment • EPO4 Single phase: 0.4 HP or points. •Heavy duty sump ' models include Mech al 115 230 V, 60 Hz •Water transfer Float Switch assem and ■Power vere duty • Dewatering RPM, built in overload with preset at the facto rated oil er resi nt. automatic reset. s g Upper an SPECIFI IONS • EP05 Single phase: RP , FEATURES h II bearing 115 V, 60 Hz, 1550 RPM, cti Pump: EPO4 built in overload with ■ EPO41 Iler: Thermo- * Solids handlin pability: automatic reset. plastic i -open design 3 /a' maximum. • Power cord: 10 foot with p out vanes for NCY LISTING � • Capacities: up to 55 standard length, 16/3 SJTO me nical seal protection. SP• Canadianstanda an )r • Total heads: up to 24 fe with three prong grounding • Discharge size: 1 1 /2' NPT. plug. Optional 20 foot 05 Impeller: Thermo- (CSA listed del ers • Mechanical seal: carbon- length, 16/3 SJTW with stic enclosed for end in '-F" or C" rotary/ceramic - stationary, ee prong grounding plug roved perfor c BUNA -N elastomers. (s and on EP05). ■ ing and gged • Temperature: ther plastic vides 104 °F (40 °C) continuous upe r str nd 140 °F (60 °C) intermittent. IT on nce. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running; dry without damage to s 30 ,- components. Pump: EP05 a • Solids handling capability: c 3 /a maximum. w • Capacities: up to 60 GPM. 20 • Total heads: up to 31 feet. • Discharge size: 1 NPT. Z 5 • Mechanical seal: carbon- 0 15 rotary/ceramic- stationary, -+ 4 BUNA -N elastomers. epos° • Temperature: 3 10 104 °F (40 °C) continuous 0 — EPO4 — 140 (60 C) intermittent. ,l OL 00 10 2 30 I 40 50 GPM L -L 1 0 2 4 6 8 10 12 m'/h CAPACITY 0 1995 Goulds Pumps, Inc. Effective May, 1995 l .Xe Not 4 , IR T N S :. x .,ems - + .. . � � •. � r. t . �,. ..... f .. .. •.. . .. ►or�oconsd pa �t9fl�rn!, SOIL AND SITE EVALUATION REPORT Page 1 : of Huinan t 8a#sty & Buildr s . in accord with ILHR 83.05, Is AcIM -Code COUNTY ...�:,,.. w i + , St. Cr Attach i7omplete.eite plan on paper not less thah�81/2'x t t inches tn.siie. P(ait must include; twt PARCEL I.D. # not lira jd to'vertical and horizontat reference point (13m) !6 of slope, scete'or 020- 133Q -20; dimonskmwd north arrow, and location and distant nearest hdad. APPLICANT INFORMATION — PLEASE PRIN 'ALL INFOJLMATION' REVIEWED BY DATE - n .:► ERTY LOCATION 1, P Richard Case • ' _ LOT 1�4 1/0 23 T 29 AR 19 ` W ING ADDRESS " �$ . Y BLOCK # SUED: NAME OR CSIVI # T a i sr cRax � na Ever reen Estal CITY, STATE ZIP CODE (iO�IE OVILLAGE ®TOWN NEAREST ROAD Hudson WI 54016 7 1541-u 54 - � Hudson t+Qald ofE.Fn j:;4 New. Construe* Use [ �# Residential / Numbs Z [ j Addition to existing building Replacement [) Public or commercial desalbe Code derived daffy flow 450 . gpd• ,, Recommended design loading rate .5 �. bed. gpddt •6 trenc�t;�pollt� 2 I Absorption area required 375 lied, ft2 375 trench, ft Maximum design loading rata • 5 b gpolft - trench, gpolft Recommended infiltration surface elevation(s). 99.90' R (as referred to site plan benchmark) Additional design I Me considerations na' Parent material glacial drift Flood plain elevation, 9 applicable na It I CONVENTIONAL .MOUND 1N GROUND PRESSURE AT•GRADE SYSTEM N F HOLDING TANK., $ = Suitable fpt system U -Unsuitable fors stem •C7 S ®U K] S . Elul D S ®U .. - 0S ®u 0S ® ® u SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure. Consis6enae Body Roots e-d IT Boring # Horizon in. Munseil .. Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerx� 1 0-12 10yr3/3 none 1 . _..2msbk mfr• • If .5 .6 2 12 -31 10yr4 /6 none sil 2msbk mfr 9w if '.5 .6 3 31-48 10yr4 /6 c2d 7.5yr5/6' sil lcsbk mfr 'gw na ..2 .3 1 � Y elev. 4• 48 -60 - 10yr4 /6 cad 7.5yr5/6 si]./f 3 lcsbk • mfr na na • 2 •3 9 9.0 ft. Depth 1 to Noting factor , :31" Remarks Ot ring # ... 1. 0-13 10yr2 2 none 1 2csbk,, f1S1tr if ,5 6' 2 13-37 10yr4 /4 none- sil i901* . mfr .w . 9w :,if :2 i .3 s 3 37-60 10yr4 /6 c2d 7.5yr5/6 icl/fs lcsbk mfr na.. na •2 •3 Ground elev. _ 9 9.2 It Depth b raniting y 3 1i „ t ' Remarks: CST Name:- -Plewc Print Qw Steel .: Phone:715.- 246 76200 . Address: 1554 20(hh. New Rich n I Al 24017 . signature: , Date: 9 -9 -98 CST Number: m02299 r - Wiiscohs4 ^nepartmentofIndustry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor ar TAuman Relations Divisron of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8_V2 --x -11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal refere; I- ' din nand % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location Aan64 to near stN� 020- 1330 -20 R E E BY DATE APPLICANT INFORMATION -PL S FPRI T_ F01(I�IONjI y� p " - /'�• <(gl r 9 6 q PROPERTY OWNER: PROPERTY LOCATION Richard 1aCasse .. _ GOVT. LOT SW 1/4 NW 1 /4,S 23 T 29 AR 19 tor) W PROPE Oal W M AILING � ;���pX ° L2 # B LOC K # S �er A reen Estates CITY,,ZZSTZZAUUTE ood zip pDE:: hWR ❑CITY ❑VILLAGE [grOWN NEAREST ROAD Hudson WI. 54016 4. <,_ 71_9 54 Hudson Waldroff.Farm Rd. [x] New Construction Use [ if Residential / drooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd /ft .6 trench, gpd /ft Absorption area required 375 bed, ft2 375 trench, ft Maximum design loading rate • 5 bed, gpd /ft • trench, gpd /ft Recommended infiltration surface elevation(s) 99. ft (as referred to site plan benchmark) Additional design / site considerations na Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for sy stem ❑ S ®U K7 El El U ❑ S ®U ❑ S O U ❑ S ®U El S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bou Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -12 10yr3 /3 none 1 2msbk mfr 9W if .5 .6 ...._1....... 2 12 -31 10yr4 /6 none sil 2msbk mfr gw if .5 .6 Ground 3 31 -48 10yr4 /6 c2d 7.5yr5/6 sil lcsbk mfr gw na .2 .3 elev. 4 48 -60 10yr4 /6 c3d 7.5yr5/6 sil/f lcsbk mfr na na .2 .3 9 9.0 ft. Depth to limiting factor 31" Remarks: Boring # 1 0 -13 10yr2 /2 none 1 2csbk mfr gw if .5 .6 r# 2 2 13 - 37 10yr4 /4 none sil lcsbk mfr gw if .2 .3 3 37 -60 10yr4 /6 c2d 7.5yr5/6 icl /fs lcsbk mfr na na .2 .3 Ground elev. 9 9.2 ft. Depth to limiting factor 37" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. 4M., New Rich nd WI 4017 Signature: Date: 9 -9 -98 CST Number: m02298 I PROPERTY OWNER Richard LaCasse SOIL DESCRIPTION REPORT Page? of, 3 PARCEL I.D. # 020- 1330 -20 w Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -14 10yr2 /2 none 1 2csbk mfr gw if .5 .6 2 14 -24 10yr4 /4 none sil lcsbk mfr gw if .2 .3 Ground 3 24 -30 10yr5 /4 none sil lcsbk mfr na na .2 .3 elev. 98.6 ft. Depth to limiting factor + 301 1 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # ................ Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Richard LaCAsse New Richmond, WI 54017 MPRSW - 3254 SW4NWq S23- T29N -R19W (715)'246 -6200 town of Hudson lot #2- Evergreen Estates N 1 =40' BM.= top of 2" pvc pipe C el. 100 Alt. BM.= top of 2 pvc pipe C el. 97.50' tZZ' 32 2' t l fog � , r � n r� �y►� -� � 0 / L Gary L. Steel 9 -9 -98 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /RoW /V/ a Mailing Address _ ����� - �O �`"� �/�vfj(i�M D/1/-::xl Property Address Gr> o / (Verification required from Planning Department for new construction) CitylState I LI err! $o A Lv% ap/Z Parcel Ideatification Number 4 a O LEGAL DESCRIPTXON Property Location y., Scc, T2 -R _Zf W, Town of 1 1*�YS� . Subdivision Y N ._ �`.e Lot # ;_ . In Certified SmTey Map # Volume Page # 9;2 Warranty Deed # _ l e4l, � S' Volume page # Spec douse V yes ❑ no Lot Iincs identifiable . 19 yes 0-no SYSTEM � 4 iA I N M NA . N C E Iapmpecaxa ndanintcn aaoeofY 'ourscpaCsydanoouldremkii itspr ': 111666hAtmetalla ndlewast6r ,Propermmmbcaa= consists Of pumping out tba septic tank every gme years or sow if needed by at Iiceased can. affect the f mcd= of Me, P RTbat 3 P ia�bo fire system scpGic taak stage is the vvasbe- fiialxua. Isysbcm. - - - Zee. Ply owner agrees to submit to St. Croix Zoning Dgwft ant a certification form, signad by flue owner and by a - P] plumb�odptnmlxrorili�oeasedv�aifYmS> bat(Ijffieonaitea�fiisposalspstem, is m PrOPM oPMI&B condition andlor (Z) aft= and pumping -(if none saty), flue septic taakris less than W Am of shrdge. Vwc. the aadesxignad have read Bye above requicematts and agree to mainhin flue private sewage disposal system with tine stnndar ds rct forth. h='n, as set by do Dgmkmcat of Conuaeree and the Dgmhnaat of Natural stating teat your septic system has been maintained must be ; State of Wisconsin.. artrf' rcaticn der of flue throe OOII�� snd �aod tome St. {roix.(�r Zoniag'Office widrim 30 day year expintioa data, SIGNATURE OF APPLICANT DATE OWNER. CERITWCAITON I (we) certify dW all statements on this form are troy to lira best of my (our) knowledge, I (we) am (are) the owner(s) of the property dascribod above. by virtue of a warmmty dood recorded in Register of Deeds Office. SIGNATURE OF APP —�� ��� DATE AnY information that is mis sR•s•a -rtod may result in the sanitary permit bring revoked by the Zoning Department •' Include with this applieation: a stamped warranty deed from the Register of Dodds office a copy of the certifrod survcy map if refcxencc is made in the warranty dead iv Vol, 1431PAA21 STATE BAR OF WISCONSIN FORM 2 — 1982 EsC74305 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI DOCUMENT NO, RECEIVED FOR RECORD LaCasse Custom Homes, Inc., a Wisconsin 06 -04 -1999 9:30 AM corporat WARRANTY DEED EXEMPT I CERT COPY FEE: COPY FEE: conveys and warrants to Bruce J Moll and Joann L Moll, TRANSFER FEE: 168.00 huch3nd and wi f _, _ RECORDING FEE: 10.00 PAGES: 1 THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in etr County, The First National Bank of Hudson State of Wisconsin: 915 Davis St. P.O. Box 28 Hammond, WI. 54015 020- 1330 -20 PARCEL IDENTIFICATION NUMBER Lot 2, Evergreen Estates in the Town of Hudson, St. Croix County, Wisconsin. This is not homestead property. )CR]RX (is not) Exception to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of May A.D., 19 99 s C Home Inc (SEAL) BY ri, (SEAL) w . rd W . LaCass , President (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, St. Croix ss. County authenticated this day of , 19 Personally came before me this day of May 19 99 the above named Lacasse Custom Homes, Inc., by Richard W. LaCasse, President, TITLE: MEMBER STATE BAR OF WISCONSIN (If not, — authorized by §706.06, Wis. Scats.) to me known to be the person - -�• • 'c�ut2ti• ing instrum n and ack wled a the s te.�.� °• THIS INSTRUMENT WAS DRAFTED BY R y• w ■ Attorney- Kris Oal and „ �}- t& L , Ka t Wit" I 1 0 1 1 Ci ; AV Hudson, WI 54016 Notary Public, t C, ro CoupFy be authenticated or acknowledged. Both are not My commission is permanent. (If + �ypf',q�c2no.axpt�?t�� ate: (Signatures may + � F necessary.) y g _ a WI ne • '�+anu•e• • names of persons signing in any capacity should be typed or printed below their signatures. STATE BAR OF Wte':ONSiN Wisconsin B" Co., Inc' wtq /4 OF SECTION 23 — NOO °04'51 "E, 2655.76' 39' I N00° 04'51 "E m M T 3 O V m , c MAP r- D S mN < p z co '< A OD IZ IM o ' I� PG. 3234 1 w io I� Z - 1 m Z jo 1° 10 w LOT I I M s I c„ 1 I;Q (N m N IG) I< _ rn N IN I� 71.53' 6 1--4 ID S00 0 04' 51" W 457.12' I I� 240.00' 160.00' 57.12' — 400.00' NOR FLEX0 DRIVE r 100' - - - - - -- - - - - -- -� F OD W t7 1 GD - O n O " m to N NN —p -� O m2 r V W ^D 1 4 O -fir °o � W D N n x D O Z In n cn h -� •P m I— IM o N �. O p m m 1Z I� w 0 \ IV I< I ir Ir o \ \ > I to I —� \ \ O 1 c �- I m \\ 8 �E -� �< W Or 06' IG) n im \\ \ 3 „£Z,tpS °6pS A m \ \ \ 101) w 10 IK \� •� ( A 11 so \ to I D \ O O\ 100' v I r Z Z a w 1 v O ., m tO G� A TD Iv —O 1 Q I wm — o CT rn cn z o N 0 �r r z 4 m O m I 1 A co • D Z D> o N 0 O DO A o O f O N m, 0� r • 'n 1— S05 °48' 00” W -- / I 1 u 377.68.._. co _ 1 w I • ! Z CID In �,� �► HE M HEAD CAPACITY CURVE EFFLUENT NONE M EMO ■!gym ®mmm�0 ®m�m�m ®mmm ®� ■m��m��® ■ \■■ ■I�ommmmm ®�m�mmm ®m ®� ®��o��m ® ® ®� ■\ ■ ■ ■I�m�m�m�m�omm ®mmm ®�� ®��o� ®� ® ® ®� ■ \ ELI ■I ®mmm m�m�m�������■����m ® ©v ®� ®� ■■\ ■111\ \ \ ■ ■ ■ ■ ■ ■ ■ ■■ 'FW;TWOWT B 01110011 \\\\�M■■ ■M■■■ ' fee NOTE: For Head Capacity on Model 112, Industrial column-explosion proof pump, see FMO219. B1MRS, 1111\ ■ ■\\ \M■■■■■ ■EN EWI \■■MINE ; 11IM■1 ■N !EE\ ■OMMEMM■ ■I ■11►�1 \INS ■ \■M ■M■ �■a;��t �. W■\■i■■W■■■ HEAD CAPACITY CURVE SEWAGE ■ ■ ■1� ■tea ■ ■ ■ ■ ■ ■ ■■ M ■■ ■NO N■NMNro����ee . ■■■■■■ ■■MINI ©mo ®�o�m�o ®om�mmmm mmm ®® ■■■■ ■ ■■■ ■ ■im�o ®o ®m ®o ®�omomo ®mmm�om© MWEROOMMEE ®� ®oomomom ©m�m ® ®mo� ®mmmo , �■■ ■■■■ ■■Nimes = = =_ _ =_o ©mmm ©mo m ® ®o ■OR ■NN ■ ��OE ■ ■■■E ■ ■■E ■E ■E ■�� ° mm NEEMON ■■■NOME■ ■�� \ \ ►� ■ ■ \ \ \ \MNME■ ■OMEN MENEM Model 293/4293 slould not be subjected to less than 15 feet TDH. RONNE ORRIONEMEN ,NN \ire \� �� \► \■O\■■\■ENN NNUMEEN