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HomeMy WebLinkAbout026-1102-60-000 o p `° i m I N i o I I I I' I 0 I z a a z c LL C O Q 3 v v o I z " I o UJ w o w 4) m C c') F z c o I C Z N 2 o N Z 0 m 0 N C O O z z w O N .. z .. d N LO R Cl) r" d _ d 0) p! p O. m L O C U') d rr N m m o °o �� � o oa E � Z N> •► v c►� c 0 0 0 z p m E c. a s Z a _ v t (rll W O) 11i O y N N U 3 rn rn } ti z oo o N O .--• �J N N p = rx t= � tp (O i {T3 d � w N N R Q O N N C N E N co ~,, C Co 0 0 '6 N E N M 'B N N Lo ° r C o --j cp c a (D a I L o f Z , a) c a co ~ N O U O� Ze 4 O Q) U .-- • LW O co C� co O Z N z Y .c'"A.. Ln ar E £ I CAS � a I L 3 CL +� � V C I C 7 A a 2 O N V 0 j Wiscontin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings - — Page of Bureau of Integrated Services in W:Q�Oan q Q : ILHR 83.09, Wis. Adm. Code , Attach complete site plan on paper not less than 1/R)t t 1 in ffize. Plan must County include, but not limited to: vertical and horizon r�igrence poon and `. C r percent slope, scale or dimensions, north arrow and location and distance to nearest Road. Parcel I.D. # APPLICANT INFORMATION - Pleas of qt all l►# fifti ilon. Reviewed by Date Personal information you provide may be used for seco ry�Urpo 1� w s. 15.04 Property Owner ;; , .., ; - erty Location ze_ _ /� N (�� f '' �� ovt. Lot � 1/4� t 1/4,S 3 T 3 0 ,N,R J E 0 Property Owner's Mailing Address Lot Block# Subd. Name or CSM# o city .State Zi�Cod� f (hone Nj tuber ❑City ❑ Village � Town Nearest Roa 5 1 p 'T New Construction Use: ❑ Residential / Number of bedrooms Addition to existing building ❑ Replacement r] Public or commercial - Describe: Code derived daily flow � &17 gpd Recommended design loading rate bed, gpd/ft � a trench, gpd/ft Absorption area required. JrOQ bed, ft _,f-042— trench, ft aximum design loading rate a bed, gpd/fF �• a- trench, gpd/ft Recommended infiltration surface elevation(s) 5 ft (as referred to site plan benchmark) Additional design /site considerations Parent material l Flood plain elevation, if applicable j /-9 ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grad System in Fill Holding Tank U = Unsuitable for system ❑ S U S El U ❑ S El U E3 U ❑ S 4 U ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft Texture Consistence Boundary Roots x in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench LJ Ground 4_) // J 5 elev. 9 7.. /� , y z — /i1 s-i P fJ P. Depth to limiting factor Remarks: Boring # 13 3 ;/_;I/ Ground IVl 4 I IV P , ALI Depth to limiting factor 3-L in. Remarks: CST Name ( Please Print) Si nature Telephone No. Sk ter✓ ') ��� _)) S - q 6-� - --) Ad ress Date CST Number SOIL DESCRIPTION REPORT T PROPERTY OWNER Page of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed , Trench Ground 9 e ev Depth to limiting J in. Remarks: Boring # 13 Ground elev. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) Soil Test Plot Plan Project Name Dean and Debra Fergusson Sh Bird Address 720 S. 11th Ave 7 St. C h a rle s Illinois 60174 CSTM #226900 Lot 2 Subdivision ------ Date 1 NE 1 /4 S E 1 /4536 T 3 0 N /R W Township Richmond E] Boring Q Well PL Property Line County S T. C ROIX IL BM or VRP Assume Elevation 100 ft. Top of Nail with Orange Ribbon in Tree System Elevation 99.5 * H R P Sa as Benchmark Alt. BM Top of Steel Fence Post with Orange Ribbon @ 99.5 150th St. Alt. B.M. 600' o * B.M. 120' 50' % S lope CD B -1 50' 50' -2 0 ' w N 0 B -3 0 r c� 660' Property Line r s Parcel #: 026- 1102 -60 -000 05/04/2007 01:48 PM PAGE 1 OF 1 Alt. Parcel #: 36.30.18.564A 026 - TOWN OF RICHMOND 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 - GOETTE, JEFFERY S & FRANCES A JEFFERY S & FRANCES A GOETTE 1246 150TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 1246 150TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 19.900 Plat: 0764 -CSM 13/3554 SEC 36 T30N R18W PT NE SE BEING LOT 2 Block/Condo Bldg: LOT 2 CSM 13/3554 19.90AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 36- 30N -18W Notes: Parcel History: Date Doc # Vol /Page Type 12/15/1998 593843 1387/270 WD 12/15/1998 593842 1387/269 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/20/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 19.900 87,800 166,200 254,000 NO Totals for 2007: General Property 19.900 87,800 166,200 254,000 Woodland 0.000 0 0 Totals for 2006: General Property 19.900 87,800 166,200 254,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 521 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY ZONING DEPART` AS BUILT SANITARY REPORT Owner Property Address City /State 7 , Legal Description: Lot 2 Block Subdivision/CSM # 1 1 /4 .1 (d 1 /4, Sec. 2( T. 2o N -R W, Town of PIN # 02t, -ldd2 -,4Q Q ,�. $Dr l g, '5-10 Y,, SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer (f Size ST/PC / Setback from: House 27 Well g( P/L O.�O *- Pump manufacturer C� c,. ) J Model F Po 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 - 2 Length /az> ' Number of Trenches Setback from: House e ' Well /of ' P/L /6 • Vent to fresh air intake ELEVATIONS Description of benchmark s 6---' f - e g j fc �' : ;!. 4e Elevation Description of alternate benchmark Elevation Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines () () ( ) Bottom of System ( ) ( ) ( ) Final Grade () () ( ) Date of installation it UP 4 Permit number State plan number Plumber's signature License number 0 ZG� Z 1 � Date /� Inspector 6wr Complete plot plan or I NOTICE: Please provide the following: + • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW soji j a 5l Lo f Z 3 _ I I INDICATE NORTH ARROW I 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 information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 344626 Permit Holder's Name: ❑ City ❑ Village ❑ of: State Plan ID No.: Goette Jeff I Town of Ri chmond ,-) 36O ZZ-2- CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: 6D is 8) .c !e- d-:r ,( � 4*t � aj 026- 1102 -60 -000 TANK INFORMATION ELEVATION DA A TYPE MANUFACTURER CAPACITY STATION S HI FS ELEV. Septic (ZSa Benchmark 3 � 5 it Ob p� Dosing (� Alt. BM � q 22 3f 3 Aeration Bldg. Sewer Holding t Ht Inlet ft In TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Airi to ntake ROAD irl Septic ��� ti Z NA Dt Bottom 340 T1 •gZ, Dosing `` " `` '3 } NA Header /Ma .A �; � 1 2 " .0 3,25—,� Aeration NA Dist. Pipe Holding Bot. System �. ��5 rr p Ot7 PUMP/ SIPHON INFORMATION Final Grade Manufacturer 6 O a k �– Demand St cover ��• �"` Model Number Q� a� GPM y o TDH Lift tike Friction. Ax System TDH Ib,l Ft oss Head o,S Forcemain Length (.13 Dia. Z Dist. To Well cf$ I SOIL ABS PTION SYSTEM 1111111111FW$ W Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN 5 6U — i DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHI M acturer: SETBACK INFORMATION Type Of 1• �) D r / I p } t CR CH AM IT o el Number: System: — 1 DISTRIBUT SYSTEM 3 r 5" Header / Marif OWLQAX Distribution Pipe(s) x Hole Size x Hole Spacing I Vent To Air Intake n 1 Length Dia. Length '1 Dia. � Spacing 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 ❑ jes ❑ Yes ❑ o COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: � /� 9V V? Inspection #2: t/ /its /4e� Location: 1246 150th Street, New Richmond, WI (NE1/4, SE1/4, Section 36 T30N -R18W) - 36.30.18.564A p,�.. ? - ( � z I J �r4a il,�,r.Q to r (k 6 �'" 18 "s&_d _ (}_ 10, p Plan revision required? ❑ Yes $ No -H+l Use other side for additional information. b 3 0 6 0 0s Ll kA_ �[ SBD -6710 (R.3/97) `_-r) ate' j I Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I ° . . e ° e � � s _ -- F � t A ... J, m Maw e `� ��.e . «.-,e �.. ...._. ...w e. �.. _te .. ....<: ,.e �. -- 3 ° p Sry E e e . ° �w t s .......r . ° ,.m. .. , m v im. � .�..._,,, �.„ ...e, . . _ i E .�� ...... ., ._..,.. ..�.........,�, Abe eee., ._ »�° ,.y. _.. .� .�- ,...... , m .. _ ..... .... .. .« ... 4 I x .mePy. a � � e [ i q _ € i 3 � _ .._ A ... ».. . g «. -- , ' i I i ? i x 3 t � i g P ....... om x F 5 3 3 ... .W .e. - .'.... ...........E _„ p e. .aa eery r. �..., ...... a... .. � _ _ _..... .. <e .. � ..; .._... _.. _.. � .....»..�. e r E ,� .,.. as .. . R �.e.. ........ r i v.. eep emm .,., �..� .o. e, ve »m w r �..ess 3.�= : �.«.e... a a F d E d E q - [ v x i Y .... �. e.. .. �.. � ....._: ..,_ .:... em.m vem.m .s m� e e � .......... ..... � <. . � .. r.... .........} . .,. .... E 5 s E t E ° ee mom i S i m x � 4 ....�.., 'A . . i I r_,. m. .._ t W ._ RECEIVED Safety and Buildings Division S�N TARY PERMIT APPLICATION 201 B W. 3 Washin Avenue /f1IU6 13 1999 n accord with ILHR 83.05, Wis. Adm. Code Department of erce ST G Madison, WI 53707 -7302 • Attach co pl IhtG'cSpM� c & u py. only) for the system, on paper not less Co3 than 8 112 x es In size. • See reverse Sid �r s I fcf Completing this application State Sanitary Permit Number Personal information you provide may be used for secondary purposes � C ❑ Check if revision to previous application ( [Privacy Law, s. 15.04 (1) (m)]: 7-Y& `S v T1 Jf State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRIN T ALL INF RMATI N Z z-2— Property Owner Name Property ation 44 1/a � /4, 5 �, T N, RII`i (or40 Property-Owner s M �ing Add�st lot Number_ Block Number City S ate Zip Code Phone Number Subdivision Name or CSM umber T YPE OF BUILDING: (check one) ❑ State Owned `/ I crest Road Public 1 or 2 Family Dwelling - No. of bedrooms 4 � row OF III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 0 - Le — 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 New 2. ❑ Replacement 3. ❑ Replacement of 4 ❑ Reconnection of 5. ❑ Repair of an - 1 " System System System Tank Only -------------- Existing System ________ ExlstingSy!stem B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 []Seepage Bed 21 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: Gam, o l0 0 - t l 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 1 7. Final Grade Required (sq. ft.) Proposed (sq. ft. (Gals/day /sq. ft.) (Min. /inch) Elevation co /.moo J &'60 Feet 6 Feet Ca acit VII. TANK in allons Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks M anufacturers Name Concrete Con- Steel glass Plastic App New Existin structed Tanks Tanks ` 1 91 ❑ � ❑ ❑ ❑ eptic Tank / � �� umpTank / VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's ame: (Print) Plumber's Signature: (No Stam ) MP /MPRSW No.: Business Phone Number: ` r o22( Plumber's Agfdress (Street, City tate, Z' Code): 2 IX. COUNTY / DEPARTMENT USE ONLY / ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent nature (No Stamps) Approved ❑ Surcharge Fee) Owner Given initial � �2 �. � Adverse Determination U X. CONDITIONS OF APPROVAL /REASONS, FOR DISAPPROVA 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. Vl. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information_ Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department.Use Only. X. County / Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. I Safety and Buildings • 2226 ROSE ST LA CROSSE WI 54603 -1905 - TDD #: (608) 264 -8777 www.commerce.state.wi.us isconstn Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary July 20, 1999 CUST ID No.226524 ATTN: POWTS INSPECTOR ZONING OFFICE ROGER L TIMM ST CROIX COUNTY SPIA 3128 20TH AVE 1101 CARMICHAEL RD WILSON WI 54027 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 07/20/2001 Identifica '" tiers Transaction ID N( 23622 Site ID No. 176813 SITE: Please refer to both identification numbers, Site ID: 176813 above, in all correspondence with the agency. St. Croix County, Town of Richmond NEIA, SW1 /4, S36, T30N, R18W Facility: Jeff Gotte Proposed Residence FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 480393 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 07/12/1999 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 - 4:00 PM jswim @commerce.state.wi.us Jeff Gotta - Mound Transaction # Location: NE 1/4 of SW 1/4, Sec. 36, T 30 N, R 18 W Town: Richmond County: St. Croix Date: July 1, 1999 ��++ Owner: Jeff Gotte JU< Address : 1896 142nd St. New Richmond, WI 54017 Plumber: Roger Timm ®V y Signature: License # MPRS 226524 Attachments: 6748 -Plan Review Application SBD 8330 page 1: cover 2: calculations VD 3: p lot plans E NT OE COMBE GS pEF'AR 4: system cross section Fv�s►ar� E s �Y 5: plan view, lateral detail GE 6: pump tank exit detail gPON :� C�jF21�E 7: pump curve S E� page 1 of 7 Sysit ®m Calculations One family residence `, bedrooms Loading rate 0 ° gallons /sq ft per day Depth to ground water ��Z in Depth to bedrock S in Cross slope S`Z % Force main length ft of in Manifold /header length 1V ft of in Drainback �'� gallons Lateral length @ C., ft pf 2 in Lateral elevation k 'Q%.b ft (bottom of pipe) Lateral hole size `` 4r- in @ (00.0 in ( S ' ° f t) spacing holes /lateral, �` holes total Lateral volume is•� g gallons Total lateral.discharge rate x ' 3 ' 4 gpm @ ft head Elevation difference ' 3 � �ti�, ft Friction loss _ n ' Zg� ft @ gpm Total dynamic head �'� 3 ft Pump /sipon 3S gpm @ 1 S ft of head Manufacturer �` ���� , Model #. Dose volume 1 b gallons W ; k 2sb - ., � S"b �.., C. a Lift /si�on tank , g al l ons Septic tank �t�^o gallons Measurement pump on & off �'9 in Height alarm from tank bottom � .n '� in Reserve capacity ` gallons calcs page �- of + J 4 ri p 0 .a r L` i ad LA 0 J. t t o� W4 -4 # 7 I r r V n -t �- J -- I 1, � o sa Cq O r j 1 x � 3 J c .mot ` t d6 �S� • ve �L 3 r � 1 .-�a..,. 1 oi.b 3 M ll 3 1 • �.. V ; A. w. :� , S'•o' Il.d' 1 o A' t - 1 e'c�•o' to• 8� M 9-4 Z•. � ..: u' 1 a�. & 4 ` � ell �; �'� QV�. t.n �p � o1o,�t4.bv..?�a.. •..a.`,1 �.. �Jo�o� -. of b•c.i� b� `}� : l � � .►Q t�wr w.t ++•it,. � • S , S v o w. O�.l�.� O i v o� K `� o �► b I _ Uo II `/ 1 h Yl /� Oh 1 �.1 ��� iiM�F �01•�a��\ la�►t V 0•Dal A \ /// \� \� OAPA 7•Q' . .+ WEATNERPROJF . JLNCYION CIKINCG COVER 40 tt1il�N A ii111CIC or�coYViICIr --�, 4 C.I. INR�S6a .� (a s I2d / OWY N m� I, pID4 3' ro +NoI6waup S�aL 24" I.D. Vf.WT 4 MIN. M,asr • �wciv ' NOX A 30. APPAOVLQ C.X. IW "T SWUM BAFFLES i AL 3' Iowa P 4 ON 1a,+D&ity� W fii.TlOMi �T— (� fiplir�0 , v ow 16 Lev CorvueEr� . SEPTIC I'G TI cost YAWKS MAAIUFACTURCR. WUMAER OF DO&CS: 3 PLK 0^4 TANK SIZE: %z1ro VS-b 6^16joOWi DOSE VOLUME A LARM MAMUFACTUILi►R: S� ° 11JCLUDIQCP 6ACKPLOW: 1 b � 6ALLpNS 101 1�w _ � MODEL t,Il1M1p R �. CAPACITIES: A= wCHCS OR GALLOWS VhLA.6v� ti SWITCH Tura �.�..�� t �����.� am Z w(-"L% OR 3 � Z W►LLOWS PUMP MMJUFACTURCR: � _ C m �' IwCmE5 OR 1 U " W►.LOWS MODEL UUMbER: �$ }y t1�O 00 IN�H OR CA 6. � 2 CGALLOWS SWITCH TUPC: WOTE: PUMP AW ALARM ARE TO OC Na A, 4 INSTALLED OW SE PIRATE CIRCUITS MINIMUM OISGMARtirC a A T C �rM VERTICAL DIFFERENCE DETW991J PUM/ Off` AW 013TR16WTION PIPC.. 00 FEET 1 + MIf.11MUM NETWORK SUPPLY PRCLiURC ........ . . . 2 . 5 FEET i + FCET OF iORCc MAIM X �\" " 0 irrET pp �xiRlC�10y FACTOft.._.�._ - -� Z � "`► TOTAL Oti AMID IKAD s I "� 3 FEET ILITE1tLAAL. DIMLIJ4101JS OIr TAWK: LELwrm w ;WIOTH _� _.; LIQ DEPTH IL M ODEL DVP03 M OD EL Vertical • Pump Su bmersib lq rw GOU LDS � �,. 0 " SI Pump Specifications 'Ii HP METE FEET RS Up to 40 GPM '° MODEL: 3971 Discharge size 1'/: NPT ° 30 Solids: �'� maximum • - -- 26 Motor Single phase: 115V 6 20 Materials of Construction 5- r --4— - Brass/thermoplastic 16 EPA Features and Benefits 3 ,o 0 • Top suction eliminates impeller clogging. 2 6 • Corrosion resistant construction. . q, 10 20 30 40 5 ,�•., • Float actuated switch. 0 2 . 6 6 10 12 aft CAPACITY METERS FEET _ MODEL DVPO3 Pump Specifications Features and Benefits • '/10 and' /: HP • EPO4 impeller- semi -open design Up to 60 GPM with pump out vanes to protect 5- IS Maximum head to 32' mechanical seal. ` Discharge size 1'b" NPT • EP05 impeller - enclosed design 3 10 Solids: 1 /4 " maximum for improved performance. 2 Motor • Rugged glass - filled thermoplastic 1 6 All motors feature ball casing and base design provides 0 0 bearing construction. superior strength and corrosion 0 • 10 16 30 2S 30 U.S.•FM resistance. o z 4 3• .0 e e � � Single phase: 115V .Cast iron motor housing for cAPACm 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 ration and feature stainless steel hardware. o 0 Wisc. kr,.;ir, Department of Commerce SOIL AND SITE EVALUATION Page 1 _ of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Certified Soil Testing Attach complefe site plan on paper not less than 8% x 11 inches in size. Plan must County T! include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location -and distance to nearest road. - - -- - - - -- - - - - - -- - �. Parcel I.D # 026-1102-60-000 APPLICANT INFORMATION - ' w B Pleas r #rat III , iormatwn. -- - - -- - - -- - - - -- - - Perscral information you provide may be used for se nc( Trposes ivacy Law, s. 1g.04 (1) (m)). Re D 3? Z Property Owner Pro rty Location G(-)tte Jeff -- - - -_ -- �' Govts ot_. _ -- _ NE 1/4 SW 1/4 S 36 T 30 N R 18 W _ - _ _ Prc leit Owner's Marlin Address> 1999 Lo i Block # Subd. Name or GSM# 1896 142nd St c0 ST, - -__ - - - _- _- - -__ _ Town Nearest Road City State —. Zi P f rty tchmond 150Th St. New Richmond WI 5 1 �- . New Construction Use: Reside I Qf ms 4 L }Addition to existing building Replacement Public or com scribe Code Derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd /te .5 trench, gpd /ft' Abs orption area required 1500 bed, W 1200 trench, ft- Maximum design loading rate • bed, gpdift' • t rench, gpd /ft' Recommended infiltration surface elevation(s) 101.1 ft (as referred to site plan benchmar instaii Y x 100' rock bed mound on 10 0. f as upslope edge of rock w/ t' sand fill Additional design / site consideration Pai ant material till Flood plain elevation, if applicable NA ft Lu':Unsuitable Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank for system ❑ ®U X S❑ U C7 S U S U ; S X U S; U Horizon Depth I Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft' Boring# in. Munsell Qu. Sz. Cont. Color ! Gr. Sz. Sh. Bed Trench 1 1 0 -4 IOYR 3/3 - st 2 m gr mvfr cs Him .5 .6 2 4 -8 lOYR 3/3 I sl 2 m sbk mvfr cs lm .5 .6 Ground 3 8 -20 7.5YR 4/4 - slei 2 m sbk mvfr , gs If .4 .5 elev - - t -- -- �. - - - -- -- - } - -- -- - 107 It 4 20 -38 ' SYR 4/4 - I set 2 m sbk mfr cs - .4 .5 Depth to 5 38 -55 SYR 4/4 f2d 7.5YR 5/3 SO 0 m mvf - - NP i .2 limiting factor - 38' Remarks: gr and occa sional cob below 8" 1 0 -4 IOYR 3/3 - sl 2 m gr mvfr cs I f%m .5 .6 2 4 -1 O l0YR 3/3 - sl 2 m sbk �., ... � � mvfr cs lm .5 .6 Ground 3 10 -16 7.5YR 4/4 - sicl 2 m sbk mvfr lt� .4 .5 elev - - -- -- -- - -- - -- - - _ -._ _ _.100.1 ft_ 4 16 -29 SYR 4/4 - sell j 1 m sbk mfr s 1 f l j.2 3 Depth to 5 29-42 ; SYR 4!4 c2 7.5YR 5/3 scl 0 m my �� .2 limiting - - -- - -- - - p C N factor - - - - - - - - -- - -- . © -- - 29 " < I Remarks: ------- -__- _----- _------- ____- __--- __ -_ -_ 'X<V CST Name (Please Print) Signature: elqohb e N . ?, I lenry F. Grote 71=66 Address ertt to or Cesring Date- to CST Number Ref # I P.O. Box 57, Knapp, WI.54749 525/1999 222774 1160 i PROPERTY OWNER: Gone, Jeff SOIL DESCRIPTION REPORT F- Page 2 of , PARCEL I.D.# 026- 1102 - 60-000 Certified Soil Testing Depth Dominant Color Mottles Texture Structure onsistence Bounda Roots GP "' Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed Trench 3 1 0 -4 1OYR 3/3 - sl 2 m gr mvfr cs 2flm 5 .6 2 4 -15 10YR 3/3 - A 2 m sbk mvfr cw j If 5 6 Ground — elev 3 15 -42 7.5YR 4/4 - sicl 2 m sbk mvfr cw IM 4 5 99.3 ft 4 42 -55 5YR 4/4 f3p 7.5YR 5/3 scl 0 m mvfi + - - NP 2 Depth to limiting - -- -- -- - -- - - - -- - factor 42 • -- + - - -- - - Remarks: occasion g co 4 0-4 l OYR 3/3 - sl 2 m gr -- - mvfr cs - i I Ff/m t - 5 i 6 2 4 -10 10YR 3/3 - sl 2 m sbk mvfr cs lm .5 .6 Ground 3 10 -15 10YR 4/3 - sicl 2 m sbk mvfr gs lm 4 5 elev 100.1 ft 4 15 -31 10YR 4/4 - sicl 2 f sbk mvfr cw If 4 .5 Depth to 5 3148 5YR 4/4 f2d 7.5YR 5/3 scl 0 m mvfi I cs NP .2 limiting -- `_ -- _ factor 6 48 -50 10YR 8/1 f2f 7.5YR 4/6 fs 0 sg m! 5 ! 6 31" ' t Remarks: a i ' Ground elev I Depth to limitin g factor i i Remarks: r Ground elev ' ' Depth to limiting factor -- Remarks: t I � r ► u JJ v` 3 s � C ' ' qe J r►f M ,J o� I L l 1 l Q- -4- r J d 4 � a ,� d AI- �� Q - j 4 -4 �z F--- J .0 l,� ST CROIX COUNTY . SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer �Lg kC �a Mailing Address Property Address (Verification required f Planning Department for new construction) City/State W arcel Identification Number I (U Z -- 60 LEGAL DESCRIPTION ' ' /a, Sec. T N -RRW, Town of �t Property Location /4,� Subdivision , Lot # — 2- Certified Survey Map # "T ! 2 - , Volume Page # Warranty Deed # 6 q `' ?V 3 , Volume 13 � � . Page # _ a 70 Spec house ❑ yes 0-no Lot lines identifiable Wyes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year ex iratio te. / ! APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described abov by virtue f a warranty deed recorded in Register of Deeds Office. SI A APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.* Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed it ` 4T NO. Debra L. FerquSOnjMjjji4a-n,j.--f/-kta 12-,�-Iq4 1:30 4M CERT COPY FEE: NAVE AN:' IIET�RN AC-URESS of wisconsm LJ Sec. 36-T30N-RI8W described as folluws: Lot 2 of Certified Survey Map recorde in Vol. 13 of Certified Survey Maps, J:- 3554, as Doc. No. 591432, St. Croi.x Countv, Wisconsin. is not -Of-waY Of Easements, rpstrictions and rights oEAL Debra L. Fer.guson (Milits-1) f/k/a Debra L. Ferguson ^ S 01V .+ ,: * RONALD F. JOHNSON D AMERY, Ot 1998 Wis. , p1� �• NO 1 ` °¢�'� 591432 s � ,•� � iaee N CERTIFIED SURVEY MAP Located in part of the Southeast Quarter of the Northeast Quarter, the Northeast Quarter of the Sou arter 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. t ai--N E CORNER "� SEC. 36 - 30 - 18 Prepared for and at the request of: , Prepared by. (ALUM CO MAN) o c 0 OWNER A& E- > m z x o Dean and Debra Fe LAND SURVEYING & CIVIL ENGINEERING 720 South 11th Avenue Phone No. (715) 246 -4319 N a 0 g o St. Charles, IL 60174 a' ' m > 109 East Third Street, P.O. Box 325 �b I c N m N m o Drafted by. Kristi A. Eylondt New Richmond, N 54017 ' JOB -n 8242 I = a; > c III A UNPLATTED LANDS OF 33.00 =�� 11. m N-4 O o c Iz - ---- N89'56'30'E 1316.84' �I mr o � a _ I I� 1283.84 0 DRIVEWAY : � O o Z ° �I N s�z a° Im 2 OI Z A 5 �° LOT 1 1 N � Ha,sE �:I 0 - s� I CA tq SHED BARN '� + y z Vi o m v N WELL : ° I N �? 5 �o ° m c �0 2 o TOTAL AREA: m ka ° z" a Io 652,447 SQ. FT. / 14.98 ACRES v I i # o z c i. �o m AREA EXCLUDING R.O.W.: SHED �I m � I " . D $ 0 0 636,113 SQ, FT. f 14.60 ACRES to I p' t m Q a o to m "t oo ---- 1 - -- N89'56'30'E 5284.21'------- -- N89'56'30 "E 1319.465' �-� > N V 0 3 �� Dm Qpj - N89'56 30 E � 1286.465' ' 3964.745' i "1 6' . �i /� I 1 a! c I EAST -WEST 114 LINE OF SEC. 36 33.00 j ���� �, 3 0 �° --� LOT 2 2 0- 1 CAI N C 1 TOTAL AREA: N d► I I i� o o I °i S 867,047 SO. FT. / 19.90 ACRE w -� v I rto3 w w a g 1 1 Z 1 4 - o I k o AREA EXCLUDING R.O.W. : a• 100' I � I Iz m a j 845,358 SQ. FT. / 19.41 ACRES Ir --33' i= iT m m D 2 33.00 • I I I I j � O 1285.84' I `\� I I 1 j� Lz� NO TH N ul > z I I I 1� N Nmm ! I N89'56'1 6 "E 1318.84' 11 I IM C C-) D ; • 1 I I ' � Im �, o�-n I I Q I I > 0 ��Z� 10 z I LOT 7 z I� � oWm rn Ir \ g ; � I I g rn Z Iz A _ ' y TOTAL AREA: �-,�., I i z a o v ^j I ¢ n� °' 866,638 SQ. FT. / ACRES' °`a 1�'�1 �� Ln : � , v M Z N �w AREA EXCLUDING R.O.W.: wI w -i�7 p : - V 1 844,948 SO. FT. / 19.40 ACRES . ; n I N a °C CA 0 2 4 0 m I I Qp ti 7 Ul (7! z > N a! SDUTH LM OF THE NE 1/4 OF THE SE 1%4'` `. I 2 r z m I I N8956'02'E 1318.22' ncs COtTlrl3INsd I JL ( o m 0 1285.22' : 1 I T I I I '" _ n It not re- ;orded • I ( I 1 I 1 I �Na9TH LINE OF THE SE 114 CIS THE SE 1�4, oprovs 30 o 1 I I I I \ epproval shah bQ 1 I I( i 0 Li Z LOT 4 :rii�1 ancl I Ic '' I TOTAL AREA• _ ' a a ° N °, n A O i U 866,229 SQ. FT. / 19.89 ACRES I -4 � c 3 I> w N w I W � -%,3 °f1 I '� IN 2 AREA EXCLUDING R.O.W.: o 2 • i X o 3 cn 844,538 SO. FT. / 19.49 : i I I f n ID „� I I I .� o o 'Z �! I� 1 I ~'— jc 1 33.00'•: I 1 - ; o -10.5' ti w v 3 i 1284.60' I l o ° coo S89'55'4WW 1317.60' ° : I ► a � � UNPLATTED LANDS OF OWNER I j 4D 10 c - -- a, - - - TO BE SOLD TO LAND OWNER TO WEST N I I i 3 SOUTHEAST CORNER m SEC. 36 -30 -18 (ALUM. CO. MON.) i Sheet 1 of 2 Vol. 13 .Page 3554