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HomeMy WebLinkAbout026-1101-60-100 C) c n 0 N a 'Q O N c L m LL c O E Q U Co M d d I N _oD Z LLI E _ C Z d ° a m m F (n o I O z :j V) F r z a M i • � N C C @ Q z z O w N E Z m a LO CNII �l c � M n > O i la d 1U) C N a w w Y c r > W d E .0 > c o a E � m z > c I. H H O o 3 3 3 ° N z E O O O Caaa a g V1 J U Z o> Z M c> N N p p tvJ N N i, 0 0 j 01 M w ? Q r 00 cu m d c CO N .r O O C4 O c N c �+ o Q 3 y o -o E O �R+ O 0 U N 7 .3 N (D 00 (n ~ E C N N N r/ (n ° O =o N n ao ►.1 ` M L Y O C C N U y C:) a ! Y r O Z Y O � d ar m a ' Fa o a' a 0 m a m 2 m `1AVi +. E L c c w _1 A 0 (L 2! O in V Wisconsin Department of Commerce D SITE EVALUATION Division o? Safety and Buildings �� Page of Bureau of Integrated Services 83.09, Wis. Adm. Code Attach complete site plan on paper not less th2 x 11 R e. PR m st County include, but not limited to: vertical and horiz tal ct3ference directidn an J percent slope, scale or dimensions, north arr _,. nd I sign and distance to nip t road. parcel I.D. # APPLICANT INFORMATION - Plea�f'Iq►rint all��tion. ; ` Re ' wed by Date Personal information you provide may be used for seciryQur(f3rgw, s 15.64Y) (m)). Property Owner roperty Location Govt. Lot 1 /4 1 /4,S 3 b v ON T R E (or OW Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 7an S. lI ZYA"'le_ /3 3 _ a i CGity , a / State Zip Code Phone Number City ❑ Village Town Nearest Road t .v ❑ New Construction Use: kResidential / Number of bedrooms Addition to existing building Replacement ❑Public or commercial Describe: Code derived daily flow d gpd Recommended design loading rate /V, P,�. bed, gpd/ft Is trench, gpd /ft Absorption area required �, _bed, ft trench, ft 2 Maximum design loading rate � Lbed, gpd/ft 1 ► trench, gpd/ft Recommended infiltration surface elevation(s) 9 - 5 ft (as referred to site plan benchmark) Additional design /site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system I ❑ S U � ❑ U ❑ S �U ❑ S �U ❑ S `4U ❑ S RU 1p � SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ground elev. j s Depth to limiting fa in. Remarks: Boring # ej Ground T ,.– L v �� 1`✓' elev. N f Z_Lft. Depth to limiting factor in. Remarks: CST Name (Please Print) S' n e , Telephone No. 5,e e 1., / .2 Q / /e, Address Date CST Numb r SOIL DESCRIPTION REPORT PROPERTY OWNER — Page y of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure 2 0 ng Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground .y V- Y " 14 C U N� elev. * M 5 -/N " t P IP Depth to limiting fairtor in. Remarks: Boring # 131 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 # C3 Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ; ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) i - � 1 Soil Test Plot Plan Project Name Dean and Debra Fergusson Sjt �-��2 Address 720 S. 11th Ave St. Charles Illinois 60174 7 FSTM #226900 Lot 1 Subdivision ---- --- Date 10/ 8/98 E NE S 1 /4 1 /4536 T 30 N /R W Township Richmond Boring ()Well PL Property Line County S T. C ROIX BM or VRP Assume Elevation 100 ft. Base of Sidi System Elevation 97.5 * H R p Same as Benchmark l i Alt. BM Top of Wood Fence Post with Orange Ribbon @ 98.5 150th St. i 300' d c Alt. % M. S lope 15 5' B -3 50' 45' B -1 Overflow 30' 2 Z50' r' 36' T ,� 20' B.M. 36' — E xisting 3 Bedroom 36' House 14' ell II I o k ? o / co� T 7 � 0 7 / ƒ / £� (/ G 00 \ I ± , m I # � 91 § g a ; o / (0) © - 3 7 R 7&! i` E� a a& \ / 2 2 @ § @ \ \ k ® E E ! S E ( r cn © CD OD / / / ± k » w2 \ _ % / ® o 2 2 Cl) � z z . ° 2 S \ A § "M. \ 0 0 0 / / % / % % § / § o q % � / 3 \ � 3 \ ® » � k ® \ = E , = E § 9 \ ° \ § � \ , ° � / I \ 7 ■ R { � { . P. ■ T m / m CD ;o 0 F $ # C $ � ; 2 2 0 § a c . z I / 0 j Q � 2 o + § \ . _o �§ \/ �7 Parcel #: 026- 1101 -60 -100 01/21/2005 01:08 PM PAGE 1 OF 1 Alt. Parcel #: 36.30.18.555A -10 026 - TOWN OF RICHMOND Current I-Xj ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner JOLENE J BEMIS * BEMIS, JOLENE J 1258 150TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1258 150TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 14.980 Plat: 0764 -CSM 13/3554 SEC 36 T30N R18W PT SE NE BEING LOT 1 Block/Condo Bldg: LOT 1 CSM 13/3554 14.98AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 36- 30N -18W Notes: Parcel History: Date Doc # Vol /Page Type 12/10/1999 615282 14771275 QC 12/29/1998 594661 1391/053 WD 12/29/1998 594660 1391/052 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 20445 169,400 Valuations: Last Changed: 06/20/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 14.980 76,500 77,200 153,700 NO Totals for 2004: General Property 14.980 76,500 77,200 153,700 Woodland 0.000 0 0 Totals for 2003: General Property 14.980 76,500 77,200 153,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 122 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r ST. CROIX COUNTY ZONING DEPAR WN AS BUILT SANITARY REPORT (' r Owner ' Cti� u A, �c l Property Address City /State ., i ANGOFFict; ` Legal Description: Lot Block . Subdivision/CSM # t/4 ' /a, Sec. , T_a`N -RZ7 W, Town of PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer i J s7� Size ST/PC �l GTo Setback from: House 30 ' Well � P/L mod' �Za�.� j1d11� 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 f e system: �— Length .I d �J Number of Trenches ���c L Width � Setback from: Hous W P/L � , — Vent to fresh air intake ELEVATIONS ,! Description of benchmark 4 � u d Elevation Description of alternate benchmark v o �r �� �' Elevation qQ- Building Sewer - • ST/HT Inlet ?� _ . 7 ST Outlet PC Inlet 7r S' Header/Manifold To of ST/PC Manhole Cover , �S PC Bottom �_. p Distribution Lines f( () ( ) y 41 - Bottom of S stem O 9 0 O ( ) Final Grade () () ( ) Date of installation 05/x"/ Permit number 3`g4'' Z State plan number 2 32 og =T¢ "S ,o �. Plumber's signature ��=�_ License number Z2 2 7 � Date / / � g Inspector A u. J i Complete plot plan � NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW 1 60 /11 41 INDICATE NORTH ARROW Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: ST CR IX Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 344642 Permit Holder's Name: ❑ City ❑ Village Town of: tate Plan ID No.: KUNKEL, JAMES /BEMIS, JOLENE RICHMOND S ID *: 2 CST BM Elev.:- Insp- BM Elev.: BM Description: Parcel Tax No.: 026- 1101 -60 -000 TANK INFORMATION U ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic l�0�6 Benchmark ,Q� 1.01.1ir (ov. Dosing AbAl SM4 .2 g7, Aeration Bldg. Sewer q, Holding St/ Ht Inlet 10,2. TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Ventto ROAD D Air Intake Septic > t 66 53� t !+. NA Dt Bottom Dosing S(do � 3 31 NA Header /Man. Aeration NA Dist. Pipe �• 33 ��c Holding Bot. System �•Q� 1 em PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand `T_Cft e41_ 6, Model Number CPO 3s GPM DH Lift (•$`� F a Syetema•� TDH �t• 3'�Ft Forcemain Length Dia. HH a" e �Dist.Towell �' SOIL A PTION SYSTEM RE Width Leng r No. Of Trenches PIT No. Of Pi s Inside Dia Liquid D th DIMENSIONS s ;L DIMEN 1 N SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHI nufacturer: SETBACK CHAMB INFORMATION Type Of , r Ota el Number: System: c7C 6 � �'� OR IT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) k x Hole Size t � x Hole Spacing Vent To Air Intake it Length Dia. Length Dia. Spacing i/ '3D SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) S zi 3� LOCATION: . CHMOND 36 1258 150TH STREET — T� $ L _ P e �� —t/ f7 r " w�0 ,L PA',. Pial revision required? ❑ Yes No l Use other side for additional information. 3 9 SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: " a " " b nm z a Z a { f E e a e a a s F y m, i a { � 2 c E E ? 4 ! c " E s Y i t E `s, S r e s e r te. ., ....... >,�........ <._.� _ - _ ..... rya <..__ ..... ... .__ ..e.. _. .. . ... ...... .... .. 1 t F E m F i ? G � { t 6 & 3 a f s" 5 z 3 { 4 � i Safety and Buildings Division SANITARY PERMIT 201 s Washin Avenue Visconsin of Commerce In accord with ILHR 83. i Code J jf, Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the on1stdess` my than 8 v2 x 1 i inches in size. ' `` - �l - .S ��o ,' C D • See reverse side for instructions for completing this application /f" 1 9 �a Sanitary Permit Number _ ^J Personal information you provide may be used for secondary purposes 40 j] neck if revision to previous appf yti o n [Privacy Law, s. 15.04 (1) (m)]. /L� �� � 1 ' S to Plan I.D. Number I. APPLICATION INFORMATION , PL / EASE PRINT ALL INFORMATIO 1, 4 308 Property Owner Name j - do n l l i1 1 14, S 3G T��' ,N,R S E(o W Property Owners Mailing Address Lot Number Block Number as o Tti s T City, State Zip Code Phone Number Subdivision Name or CSM Number c > cs1W . TYPE IL DING: (check one) C] State Owned ❑ p Vil Ili age Nearest Road Public 1 or 2 Family Dwelling Q - No. of bedrooms �_ Town OF III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 02-J6 11 © 1 ^ 0 0 3 IT .1355 9 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2. C&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 aMound 30 ❑ Specify Type 41 []Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure /� / 42 [] Pit Privy 13 ❑ Seepage Pit f 137 � 4 43 ❑ Vault Privy 14 ❑ System -In -Fill J'3.0 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 42�SLlf I 2 7 S 3-7:5- r �' ,l�G+: Y� Feet 913', S— Feet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Ex p er INFORMATION g Gallons Tanks Manufacturers Name Concrete con Steel glass Plastic A p p New Existing structed T nks Tanks Septic Tank or Holding Tank d'dQ / - `G t (,1,es - e" / r ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber G G�j O /-h `✓G A<V^f/ ILA ❑ I ❑ 1 ❑ 1 ❑ 1 ❑ VIII RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber'sSignat re (NOStam P PRSWNo.: Business Phone Number: P lumber's Address (Street, City, State, Zi C de): 11T 7 y l IX. COUNTY/ DEPARTMENT US ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued I nt Signature (No Stamps) A roved _ Surcharge Fee) pp ❑Owner Given Initial 3213 Z� art Adverse Determination M X. CONDITIONS OF APPROVAL / REASONS OR DISAPPROVAL: " V 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: L 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 musts n 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 Too #: (608) 264 -8777 N visconsin www.commerce.statemi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary July 30, 1999 CUST ID No.267341 ATT Y.• POWTS INSPECTOR WEGERER SOIL TESTING &DESIGN ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 "5,;` " `I4IJDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 07/30/2001 p Identificat on Numbers RE CEIV ED `T saction ID No. 237308 D No. 177445 SITE: ffe, e refer to both identification numbers, Site ID: 177445 ST CAOIX ` ,inall coffespop .dance °with St. Croix County, Town of Richmond COUNTY ;ZOWNG OFFICE SE1 /4, NE1 /4, S36, T30N, R18W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 482002 I The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes I 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: I • 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 07/19/1999 l 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 - 4:00 PM jswim @commerce.state.wi.us WiSh�T, 70 3 - -- S � a T'ITZ -E -' Page l of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE SQ7 1/4 OF THE NE 1/4 OF SECTION 36 ,T N, R 12- W, TOWN OF �tCl�mciO JD , S C(Z,)Lk COUNTY, WISCONSIN. LuT OF C VPQ V bL INDEX n PAGE 1 'of 6 TITLE SHEET � PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION. a �ao� MEKp�M PA GE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE NO�NG� PREPARED FOR - RECEIVED JUL 19 1999 N tW tZ LCt4 i�1 t�D , iV l 5 U l'7 SAFETY & BLDG$ Diva PREPARED BY ln1ECEf:ZER SOS 1_ . TEST S NC AND. c ONS�� ARTHUR L F.U. BOX 74 421 N. 11AIM ST WEGERER D.915 P RIVES? FALLS. V1 54022 N '•` wORTK 715 -42`., -014 n IG1 �MaUwe JOB NO. PLOT PLAN Page Z. of 6 Scale 1"= �O ' LY54SS5T" L-I"z 03 1 5 P01 C� fYizCisL Soo =,- lv 1 S 0 f r 4 I W ' F- 42, o f Br'1i4-Z —o 3S'o1= �l ° P V 01 Rti' C�'LLN, l�Z,• c-O V ls'R� X C•la B� tfi8fj►vOd+v�D � t}S P 1, R ca pe tom. 9 3 3 s 8- I 10� OF C2a13 65 13- Z , 1 OTz- ,� O1SZV'�S 1�1 pl'iZt'�9 , 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 1 000 J 65 0 gallon capacity manufactured by Y"1 ID�J �T�1z -►�1 �1 sr „ I,v C. 5. Bench Mark _ . X00.0 �v �P of OLD CC► -i�' SLtYB pt�t L - LTL. l00 Z-S ' oyj 'C01 Ot Fmki Pm 6. Divert surface water around system to prevent ponding at the uphill side. Page 3 Of Approved Synthetic Covering 19gTM c 33 Distribution Pipe Medium Sand i Topsoil H IG F Elev. • O p - 3 E b 6 % Slope Force Main Plowed Trench of z " -2 z" From Pump Layer Aggregate Undisturbed D 1 • y Ft. Soil E \• Ft. Cross Section Of A Mound System Using F o Ft. I Trench For The Absorption Area G \•� Ft. A S Ft. H t• S Ft. B Ft. I 1S Ft. Linear Loading Rate= b•) GPD /LN _ FT J Ft. Design Loading Rate= o.2 'GPD /SQ FT K Ft. L q Ft. --��` W 28 Ft. L Force S K Mai A Lc — — — — — — — — — - Distribution Trench Of Pipe Aggregate ( Permanent Observation Markers Pipes ir (Anchor securely) Mound Using I Trench For Absorption Area Page Of Perforated Pipe Detail 0 End View Ca p Perforated End Co . PVC Pipe Install permanent at end of each lateral Holes Located On Bottom, Are Equally Spaced _ Q End Gap P �-t * ti PVC Force Main Distribution Pipe Lost Hole Should Be Next To End Cap Distribution Pipe layout P 3Ej ,Z,SFt . X 3'p Inches Y 3o Inches Hole Diameter Ily Inch Lateral 1 ' 1l / Inches) Force Main Z Inches # of holes /pipe `S Invert Elevation of Laterals N -5' Ft. Place lst hole from tee with succeeding holes at 3 0� intervals. Last hole to be next to the end cap. Combination Septdc;Tank and PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS ' PAGE S OF (o -VEIJT CAP WEATHER PROOF JuuCTIOIJ 50x 4'C.I. VCNT PIPC APPROVED LOCKING 1 10' FROM DOOR. MAWKOLE COVER wl"M •./ikIDOW OR FRESH +�`- 'ARt.�11JG A�IIJTAKE cl�DUrr 6' � q q :�-- GR11 I E PROVIDE I IAIL T • ^AIRTIGHT SEAL. I I I APPROVED JOIAi7 �nFr��s A I I APPROVED J01 W /C.I. PIPEDR Tank construction w /C.I. rIPEp�� _ I l I ALARM shall comply with ILH' ()3.15 and 33.20 a j i Ou C I I 8S• 8 3 OFF I C L I- V. FT PuMP� - -J D COKJCRETE BLOCK 3" APPRo K15EK EXIT PERMITTED O►DLy IF T,-,UK MAIJUFACTURER HAS SUCH APPROVAL SEDIDING SEPTIC f SPECIFICATIOFJS DOSE TA Kj MANUFACTURER: Y` \Z\ J QMT 1 ZW T Z `'Z` - �'V 2 T MUMbER OF DOSES: 3' 6 PI_R DAZ TAWK SIZC : < b S� GALLOWS DOSE VOLUME r 13% ALARM MANUFACTURER: S - S-� �� S`i'3TE IMCLUDIIJ BACKFLOW: GALLOW MODEL ►DUMBER: tO � HW CAPACITIES: A= l8 Ii.ICHCSOR 3 � 0 � 6 GALLOtd5 SWITCH TYPE: I�1�2c_u�Y B= Z IWCHES OR G� LLOUS PUMP MANUFACTURER: GOVLpS C= $ 1&XHES OR l36 GALLOU5 MODEL UUMBER: D= \O 14C HE5 OR GALLOWS SWITCH TYPE: �fR -Y IJOTE: PUMP AMD ALARM ARE TO 5 MINIMUM DISCHARGE RATE PM 3 S. INSTALLED Ohl SEPARATE CIRCUITS G VERTICAL DIFFERENCE pETWCEIJ PUMP OFF AWC.015TRIBUTIOM PIPE- 8' 6 - 7 FEET + MIWIMUM IDETWORK SUPPLY PRESSURE . . . . . . . . . . . 2 FEET + FEET OF FORCE MAIM X Z'� 3 F Y0 rr.FRICTiou FALTOR.. 1 ' FEET TOTAL 09)JAMIC. HLAp = \Z .8'i FEET Pump chamber DIAMETER IMTERUAL DIMENSIOWI OF TAWK: LEMGTH ;WIDTH ;LIQUID DEPTH BOTTOM AREA — - 231= — GAL /INCH AS PER MANUFACTURER GAL /INCH J6 0 6 • Goulds Submersible _ Effluent Pump `v EPO4 38 71 EP05 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, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. Available for automatic and tic cover with integral handle • Farms Motor: manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 or 230 V, 60 Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering _ , RPM, built in overload with preset at the factory. rated oil and water resistant. automatic reset. ■ Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, construction. Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- • 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. SA Canadian Standards Association • Total heads: up to 24 feet. with three prong grounding • Discharge size: 1 1 /2" NPT, plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F 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 • Capable of running dry without damage to s 30 { —!• 5GPM1 I components. l , Pump: EP05 8 - .Z • Solids handling capability: c 7 25 3 /4" maximum. a • Capacities: up to 60 GPM. W I • Total heads: up to 31 feet. 6 20 •Discharge size: l' / "NPT. • Mechanical seal: carbon- c-� , 15 rotary/ceramic- stationary, a I(•33a z , 8 , ' i BUNA - N elastomers. EP05" • Temperature: ° 3 10 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. 5 0 0 I I 10 20 30 40 50 GPM , , 0 2 4 6 8 10 12 m /h CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 1995 Wisconsin 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 00 r 1- -�...1 , y, ' County Attach complete site plan on paper not less than 8 1/2 x 11 Inches in si . �I include, but not limited to: vertical and horizontal reference point (B 9etfon and \ ST ,Yd k percent slope, scale or dimensions, north arrow, and location and d to Pa el I.D. # 024- l(a�_ p APPLICANT INFORMATION - Please print all In tlon. i r 1 999 Revi� by Date . I 2 rr Q Personal information you provide may be used for secondary purose ps (Pri Law, s. 15.044(9 NOIX `J � Property Owner ` ^- . P I ton ,, `; c� !y► S u G \- .'� Q, �4,(/� 1/4,S �G T 3!� �N�R %8 E {o09 Property Owner's Mailing Address Subd. Name or CSM# /.2 .rte 1,5 61 7`h s>J cs Irl City State Zip Code Phone Number ❑ City ❑ Village X Town Nearest Road ❑ New Construction Use: C&Residential / Number of bedrooms — Addition to existing building (� Replacement ❑ Public or commercial - Describe: Code derived daily flow 1 gpd Recommended design loading rate ° , S bed, gpd1ft gpditt Absorption area required — ?7 Sbed, ft 3 7� 5 trench, it Maximum design loading rate ., _ bed, gpd/ft to trench, gpd/ft Recommended infiltration surface elevation(s) 971 Oa it (as referred to site plan benchmark) Additional design/site co ea,vla u v Parent material �/�� c 'a- / O tuTkla -S'Lt Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S 60 U Co S❑ U ❑ S 5d U 1 ❑ S 0 U 1 ❑ S F U ❑ S .® U SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD/ft 9 Texture Consistence Boundary Roots in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 13 0-16 1OX-0q 51- .207,69 &,cw !Z 5 J 6 Ground 3 o e 5 .sC a11fC1L�' s ! �5 ele� .3 C /F .7,6_ Depth to limiting factor Remarks: Boring # a a1 0. .4 5 Al �� F xsa c 1 �S s s a s es s' Ground Plow. Depth to limiting factor 1 Remarks: - CST Name (Please Print) Signature Telephone No. IVi / /iu .5'c6i ujr,cc fi ev 7t :.3 ;G -3l Address Date CST Number PROPERTY OWNER SOIL DESCRIPTION REPORT Page a of 3 PARCEL I.D.! Boring # Horizon Depth Dominant Color Mottles Structure 2 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench /;Z /a S/ ;Z A 5 eS' 0 - LEY q 5 ; Ground tt. Depth to limiting factor , Remarks: Boring # 13 Ground elev. ft Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bou ndary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor ' Remarks: Boring # E3 Ground elev. ft . Depth to !uniting factor in. Remarks: SBD -8330 (R. 07re6) �� �h1 � 'd O i" 6► -e,oT ,4or�G! /G�'J�. � 2;ijO 614 b. IdIf �, e a � q N O 1 B3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer TfkM V- 0 k- t- L Mailing Address _ 05 ?, � Y) 1A Property Address d5ft� (Verificatioa requircd from Planning Department for pew constnietioa) city/state Parcel Idcutifieation Number 2(o — l ( 0 — 0 LEGAL DESCZIMON Property Location 2L y /, See. , 5V - T 3 a N R f W-. Town o 19, Subdivision Lot # CerfiSed Sarvey Map Volume f . rage # 3S•S v . Warranty Deed # Volume - page # 4S Spot house 0 yes a no Lot Imes identifiable ❑ yes It no SCSZ31Vi dA NA1VCC consisft QfP=P1qg, oat 6 C _ Im { y�uP��Idtrsaltmitsp . � . .. � -" tobandleRmsba.Propermaim6c�e can affcd 5m�ctioa of tbe� � �y 9 = Y'= or if aadcdby st Yiocasod WhAt yna pat.mto the system Sep& tukss -a tr+catm�cmtstz�e m do taaste ai.�ystcm. Ile pmpatp owns agnxs to submit' St. Qvnc Zoning Dq=tmen th .oafficatioa form, signed by flue •owner and by a P ] oumeymmaPlmubc;restd ctodplumberora Reensed Pampa vaifttbat (I) the on-ac dev sposalsystem is PmPa condition aa&-or(2) sfta iaspoction and pmaping (lf neassaiY), the teptictank is less than W 6H of dndgc. U*r, do =d=dp cdhm -read the above rcquin=m=ts and a&= to maiatd, the private sewage disposal system with &c standards set fob .1s sd by dw Dquameat of Comma oe tad the Dq=tmcat of Nadual Rmom=r, State of Wisconsin.. Ccctificahca that YOM septic qstcM bas boat maintained mast be eompktod and rid to tiie St: cmix County Zoning within 30 days -of ,�� , SI OF APPLICANT DA / I DAZE OWNED. CERTTMrCATTON I (we) cer ify that all swevacats on this form ace true to the best of my (our) knowledge. I (woe) am (arc) the owacc(s) of the vidw of a wam�aty deed reeocded in p egister of Deeds Office. SI(iNA OF APPLICANT A E / DATE ss «s «« AY idformation that is mis- c+cpreseaxedmay t= in the sanitary pctmit being revoked by the Zoning Department. sss « «« ss Iaclade with tt& app[icatioa; a stunpod wamaty deed from the Rcgidcr of Dodds office a Copy of the rectified tucvcy map if rafcroaoe is made in the warranty deed - o� + mcux�/��ax� ^�[ `- /^o� ����������1LSH - H(EEH s w*� «�m�/�A�4�� — '-- H. ~^ ~�^,-u`" wARnAN/voLen eE J oF DEED6 ST. t7RbLX iU', Wl oo-'uwsurmo FA kZOp: De�ra_I'�_FerQu Debr�a �L�- ----- (�il�i�a�i�- �-�igg��-��rs�ln �[ - ~�"",.. ,.. � EXEMPT FEE: r0P, F c ------- ^ aod ���« `rn�pu'�wxan`s.* ____-�c�-e�e_u~�-��m^�s' — ------ -_ m°" � ,"~ 16.00 -__Ja�e�_�uo�o�- __---------- ---------------- ���� \ ` -----'_ ____-__-�_-------- ---�--- -- ------------- ^cca"u.~^u°'A _ ,^wc _ ------------------- ^~c"�,�p~^o�"a� co"c', � o: ioU_)°^nuL.Ir,o.hoJ it: u|au° m y^u^/wezmnvn AVE � oA*o " `^ 026-1101-60 ' � '1 � �i 36-30-13 dea��i�a� as fc1lcwo � * Part of SE1/4 of 0Bl/4 o Section l filed � lgq8 iu Vol � o�ember I ' Lot l of Certified Survey Vap e ^ -~'- ' _' 3554 �oc �o 59l��2 page ' . . . �' .. � U~ tric�ions and rights-of -vay Of / c,m�wn'o°�on ", Easements, r-a � ' recocd^ if any. �o _u=�___--�-�u���o��'_- -___��_—_- SEAL) � ' ^ ^sAu uepz* L. Ferguson ^"^^§an�_- -------�--�--------- a/k/a Debra L. Ferguson (SEAL `sLAU -_-------�-------'-----�--------- � ' - ^ �! 6CuNOv/LEDGNIEx[ �QT�swuc»T�o� !),ate o f %X4L F!orida is '� ' ` nn^^^� �"= ,,�, ^" +^ 4r '^ .| ^�w^uuruu/____-___-_�-.� __-� octoter � 14 ���. ' ueocw 1 "=^ single . � - � I E ucuocx IA/s BAR opx)scnmyN _-_-__-____- __-_�-------- oi not. ------ uu, " *,x, rca.v "^.m'Iuudtwu,�^.r4 �o��u,o�u»r»/.mmo� Wis. / , �' *� ^n�^ i ,*.c /wu,x"wcmrw`ooe^"rco v, WLA_K_~JmW!�M__ � - _-�%tuJCoeY-��t��j�!�_{�l1 u��� CITY, FL cu�uno1A * �I 548lh . -_-_-Hudson - -------- ------ -- " � ___-- 'ao,«,v^m^ b°�mx�. ^'o'".'`"«"ua�u «"�' `z"* I to � ^^mu~ov*a 1.)82 � ' � Sz q 4 li�r RONALD F. JOHNSON AMERY. , �r 1 1 1998 ► � w1 5. �0(p1HlEENH.WAISH "3 0,_--4-. C ; 43 pegister of Deeds 5912 S '•• No Su R AE ,`,i► 6 SLCfQiXCu'W1 • q CERTIFIED SURVEY MAP Located in part of the Southeast Quarter of the Northeast Quarter, the Northeast Quarter of the Sout Garter and part of the Southeast Quarter of the Southeast Quarter, all in Section 36, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. �� —NE CORNER r SEC. 36 -30 -18 -� Prepared for and at the request of: Prepared by. i (ALUM. CO. MOH.) 2. 0 0 0 OWNER � A& E �� D m z X o Dean and Debra Ferguson ; o �i M o o ° 720 South 11th Avenue LAND SURVEYING ac CIVIL ENGINEERING Ph No. (715) 246 -4319 °_ St. Charles, IL 60174 y z Phone ' ° S 109 Eas Third Street, P.O. Box 325 Ny� I r <�� o Drafted by. Kristi A. Eylandt New Richmond, WI 54017 t,, o 0 I o cn m N� 0 JOB #98242 I �Ir*i j ^ m > c_ - O Q A � fD N UNPLATTED__LAN_DS_OF_OW_NER 33.00_- I;. I �z o0 0 iC mN� Iz --- '56'30"E 1316.84' �t I ni m o o a f 1 r- 1283.84' - - I K> -n m I> z _ DRIVEWAY a ; o) N N 5 C- z n° o LOT �fHOUSE 4:1 o v, A `�"� ozm =� °a Ir # to N SHED BARN ro ^� T N 2 Ui : y IZ 1~ o WELL : C l o w p n y v > ° , 3 Ip a r` o TOTAL AREA: r j 652,447 SQ. FT. / 14.98 ACRES I m I n A z o> v P w j n m AREA EXCLUDING R.O.W.: SHED �l o m o rn o -9° CD i !► 636,113 SO. FT. / 14.60 ACRES �I o / -2 - 0 � o m t 9 O m - -� ---- N89'S6'30 "E 5284.21'--- - - - - -- -- al �/ (n f w N89'56'30 "E 1319.465' /�r-r MN 3 z .rt N89 "E 1286.465' o $ - '- 0 3964.745' ; "13.6' �7/' i ��� a ` to r EAST -WEST 114 LINE OF SEC. 36 33.00' -• 3- 0 0 0 rn t I Z LOT 2 to: �,l I ,� n 0 1A n 1 I J n •-^ N 0 17 1 I n V l I 11 I � P rt 7 TOTAL AREA: o : N rn I I I "'1 v 867,047 SQ. FT. / 19.90 ACRES j ID cn ° � v � I n I N 2 AREA EXCLUDING R.O.W.: �' 100' I rt y a oo I il 845,358 SO. FT. / 19.41 ACRES � � I• 33' != Iru N a) I> 33.00\ 1 I { I IN jv Z i �' „ -ll.a' I A I i i i—I s NO TH D o in Ic • 1285.84' I I I I I� to <n tn j z I I I cn � N8956'16 "E 1318.84' i I I I Irn IN 0 m� l I Im WooM D o LOT w..3 :a o o' m o��Z 1 :, o o r OL'm i o o TOTAL AREA v a o yy N °f 866,638 SQ. FT. / 19.90 ACRES vl v m rn M z o CA AREA EXCLUDING R.O.W.: wl w �_ M IN OS 844,948 SQ. FT. / 19.40 ACRES I rn n 0 w M A V t0 m y 7 (n (M > 1 I I N D Z --f SOUTH LINE OF THE NE 1/4 OF THE SE 1/4 M I I I I' M p rrr m D z 11.1' O N89'56'02 "E 1318.22' I JL I I t �' o m o 1285.22' I / I I I n 1 W i 1 NORTH LINE OF THE SE 1/4 OF 7HE SE l/4 33.001-0 ( I I I \ m 1 Z LOT 43�' I I I I ' IZ h i � TOTAL AREA: z —� rn P �° M 0 0 a 1 866,229 SO. FT. / 19.89 ACRES 1 v 0 3 j- IN Z AREA EXCLUDING R.O.W.: _ ;, o x 0 jo y� j 844 SO. FT. / 19.69' ACRES i l I' I o g a m D "� Ii I i I i a o z Io ` I / IN 1 33.00'�, o / I 3 0 1284.60' T 0 S89'55'48 "W 1317.60' I r► a el rri UNPLAT_TED LANDS OF-OWNER CA TO BE SOLD TO LAND OWNER TO WEST N 9 C. SOUTHEAST CORNER W n / SEC. 36 -30 -18 r^ / (ALUM. CO. MON.) / Sheet 1 of 2 Vol. 13 Page 3554