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HomeMy WebLinkAbout030-2074-10-000 \ ¥ C) 0 i 2 ' � m . ( \ i k z w c E ) $ 7 � ƒ , m p $ ' 2 § \ \ cu $ / t ) . : } m � ƒ � Ott \ _ ) § ` 3 ) Q ) k \ f . E � CL 2 k 7 E % ■ § ; 0 IL _ 04 2 _\ k_ \ � i\ § § § a a a 0 « « 2 _j 0 �» � cy) 0 2 0 = Q 4_) k § § 'f d \ ± a ) / ) ■ 2 �_ ■ e 8 \/ 2 0 0 0 ® « r §§ m 7 ) 2 2 8 8 8 6 \ k o k r- 2 / 2 § q ° § § \ § § a - CS o G ® $ 8 m {± - m n \ R c § k¥ �� m o 2 f a 2 3 2 « E 2 ) 2 k a ƒ 6 a 2\ o 0 Page 1 of 1 Pam Quinn From: Monica Lucht Sent: Wednesday, March 23, 2005 2:07 PM To: Pam Quinn Subject: Phone Call Hey Pam, Got a phone call from a Marjory Brown. She is concerned that her neighbors Mound system is failing. Apparently, there is 8 -10" of standing water on Marjory's lot. — A (r" )dj� � ww-k�j I did some research and the neighbor, Ronald Mork, had a replacement put in 10/ 1999 from a Conv to a Mound (Brady Utgard). Because of this, it changed the topography of the land and now water is always standing in the spot reserved for Marjory's second septic spot should her first one fail. Hope this makes sense, she kept talking and talking. She would like an inspection done, but would not like the neighbors involved just yet in case nothing is really wrong. Please return her call at: (cell) 612 - 991 -4551. *Also, she requests contact with her, not her husband. 8 (St Joseph, Sec. 26, `��, !.O �^- 030- 2074 -10 -000 Mork, Ronald) l Y�`,. v Monica Lucht Administrative Assistant Planning d Zoning St Croix County " _ monical@co.saint- croix.wi.us L9 V OA �<w J- 715 - 386 -4680 ) tjrz-4� Wa,-VA �2p� O Ae- O � �s 3/23/2005 Parcel #: 030 - 2074 -10 -000 02/11/2005 08:28 AM PAGE 1OF1 Alt. Parcel #: 26.30.20.626 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner KIM L MORK * MORK, KIM L 1369 14TH ST HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1369 14TH ST SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.560 Plat: 1910 - DRECHSLER HGHTS SEC 26 T30N R20W LOT 1 BLK 1 PLAT OF Block/Condo Bldg: 1 LOT 1 DRECHSLER HGHTS. TN ST. JOE. Tract(s): (Sec- Twn -Rng 401/4 1601/4) 26- 30N -20W Notes: Parcel History: Date Doc # Vol /Page Type 10/30/2002 696400 2029/117 QC 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 6339 131,300 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.560 50,000 79,200 129,200 NO Totals for 2004: General Property 0.560 50,000 79,200 129,200 Woodland 0.000 0 0 Totals for 2003: General Property 0.560 23,000 64,400 87,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 120 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 , J � 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)1. 353152 Permit Holder's Name: ❑ City ❑ Village [R Town of: State Plan ID No.: Mork, Ronald I Town of St. Joseph CST BM Elev.; Insp. BM Elev.: BM Description: Parcel Tax No.: U o ,6 030 - 2074 -10 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ! �t �J /L d(�b Benchmark 3,� 03 Dosing Alt. BM Q Aera Bldg. Sewer 7 Holding l -St/Ht Inlet 9 TANK SETBACK INFORMATION ' TANK TO P/ L WELL BLDG. Air i to ntake ROAD e ir Septic 3 3 �SO t NA Dt Bottom /3 Q Dosing 3 3 1 73 NA Header / Man. Al n Dist. Pipe A 51 to(j, o Z 60.03 Hol Bot. System Q 3 - 4 0 • r PUMP/ SIPHON INFORMATION (; Final Grade Manufacturer �- Dnd St cover Model Number d �� ema GPM (y �Lz� Q 3 0 TDH Lift ; v Friction Z3 Syesterr�, TDH Ft Forcemain Length V I Dia. Z /f Dist. To Well SOIL ABSORPTION SYSTEM E TRENCH Width Len / No. Of Tr nches PIT No. Of Pits Inside Dia. Li ie th I EWM ENSIONS DIMEN I SETBACK SYSTEM TO P / L BLDG I WELL LAKE/STREAM LEAC ufacturer: INFORMATION Type Of CHA R Mo e System: 7S - 3� > �S O NIT DISTRIBUTION SYSTEM Header / M nHold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia Z t+ Length 72 Dia- / Spacing N-4- 1/ v 1, SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only r i^ Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes E] No El Yes No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: /p /LI /Qq Inspection #2:(o / *V-ff Location: 1369 14th Street, Houlton, WI (SE1 /4, NW1 /4, Section 26 T30N -R20W) - 26.30.20.626 (� C- 6 P(deste,/ ' you r 0 f ?, -� - 7 (g s:ss� �r &.0 0 xt 'pwr ;� (l5 4 - 4, 14 was ie 44eeGr Uef:(1_rA/ 1eed P-tv P ° Ccc► -ve 4 ye' l c r,, llia.S a 6•.*��, �./ y colt �e ui V e , C3D 6 /// Saw,, 4s kts ` Oo ivi✓l� (t,c/ !� � > 7 P4 Cev�✓ Plan revision required? ❑ Yes [ No Use other side for additional information. L z Z b X SBD -6710 (R.3/97) Dat Inspe is Signature Cert. No- � t ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: e } �.� �. pill. 1 _ �.... :.a " . e � E v� e ° i. a . . ....3' �- .......... �,. ° . 3 . ....... f .... f E � g � s ..- B e � 1 .. w —f-4 4 - fie; i 3 � 1-1 i 3 m�a �.�.... �.m z e e e "E _. } L -- C � u E , } f �. 1 - 1 0 - 1 v m_ f e 3 � } ° E _ _. jw .. . .......... ... ........ 3 a F 3 Y Ms� ., H �.,.. _ _ __..m....._ } } m. �.......,., ;� ". ® ,.:,� -.. m e € t z e F "� F � a e tl __ 14 �. -... m a ° e P J E 6 g E W e. 6 i JJJ � } I V-07-7 °°, aaa. ' F-4 t ( € € € € ( t E ! P PTI: °m g $$ fl - _ Safety and Buildings Division 2 01 W. Washington Avenue Vi scons i n SANITARY PERMIT APPLICATION 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 n� L!! ess`, county than 81/2 x 11 inches in size.". ) • See reverse side for instructions for completing this applic ion' ///'°� State Sanitary Permit Number Personal information you provide may be used for secondary purposes' ❑ Cbelk if revision to previous application (Privacy Law, s. 15.04 (1) (m)]. - Stats: Ian I.D. Number Sr ?n �405b �'- 1. APPLI ATI,ON INFORMATION - PLEASE PRINT ALL INFO Pr9gerty Owner Name M / Lo atiow m F / u T , N, R fier) Property Owner's i>� Iyng 0� Z ` `� Block Number Cit , St at J Zip Co e (�e Num er ubdivlsron ame or M Number II. TYPE F B I DI G: (check one) E] State Owned O it Nearest R d Village Public 1 or 2 Family Dwelling No. of bedrooms Town OF I' S'f: " llJ• III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment / Condo b30+ 2,0-7 (4 — JO _000 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_ Replacement 3. ❑ Replacement of 4_ E] 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 Mound 30 ❑ Specify Type 41 [] Holding Tank 12 ❑Seepage Trench 22 In- Ground Pressure /� t x 42 E] Pit Privy 13 [] Seepage Pit / ( 43 [] Vault Privy 14 E] System-In-Fill = cj �( 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) G� Elevation 3 7 j / ��J eet "-" Feet VII. TANK Capacity in gallons Total # of Site INFORMATION Manufacturer's Name Prefab. Con- steel Fiber- plastic Aper. New Existin Gallons Tanks concrete strutted Blass App. T nk Tanks Septic Tank or Holding Tank Oco Z ❑ ❑ Lift Pump Tank /Siphon Chamber .-- I (L V ❑ ❑ 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) Plumb e gnature: o Sta s) P Business Phone Number: BroLA Uwtrd - a(08, to Plt�ber's dress (Str t City tate, Zip Cod ow Nonl IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved anitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signatu a (No Stamps) Approved []Owner Given Initial Surcharge Fee) Adverse Determination � � I D X. CONDITIONS OF APPROVAL / EASONS FO DISAPPROVAL: sue. �. 4 Q li, AU&AA- & � o cede n SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS ' 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 - 266 = 3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI_ Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber into fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete,specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Safety and Buildings 15837 USH 63 HAYWARD Wl 54843 -8107 . TDD #: (608) 264 -8777 hsconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary August 24, 1999 CUST ID No.220357 ATTN.• POWTS INSPECTOR ZONING OFFICE BRADY J UTGARD ST CROIX COUNTY SPIA 110 KELLER AVE N APT 112 1101 CARMICHAEL RD AMERY WI 54001 -1034 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 08/24/2001 Identification Numbers Transaction ID No. 240557 Site ID No. 178754 SITE• Please refer to both identification numbers, Site ID: 178754 above, in all correspondence with the agency. ST CROIX County, Town of SAINT JOSEPH;, HUDSON 54016 SE1 /4, NW1 /4, S26, T30N, R20W Facility: RONALD MORK, HUDSON 54016 FOR: MOUND SYSTEM, 450 GPD p. Object Type: POWT System Regulated Object ID No.: 485352 Co 11 fill l The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes ° -'` and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in p OF S AFf chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: SEE CORRI 1. This plan action is subject to designer comments on the plan. 2. The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of maximum slope. 3. The area 25' below the downslope edge of the mound must remain undisturbed. 4. On page 2 of 8, lateral spacing is 0 feet. On page 4 of 8, no manifold choice is necessary. 5. Abandon failing system per COMM 83.03(2). 6. Insulate building sewer per COMM 82.30(11)(c). 7. Anchor tank as necessary to negate buoyant forces per COMM 83.15(4)(b). 8. The designer proposes to install a Weeks 1000 gallon septic tank. 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, �` / i DATE RECEIVED 08/05/1999 FEE REQUIRED $ 180.00 ;k N FEE RECEIVED $ 180.00 PATRICIA L SHANDORF , POWTS REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE.STATE. WI.US WiSMART code: 7633 i MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project Ronald L. &Kim L. Mork 3 bedroom residential mound Owner Ronald L. & Kim L. Mork Address 1369 14th Street Houlton, WI 55082 I.T.S. 'ovally Legal Description SE1 /4NW1 /4, Sec.26, T.30N., R.20W. aCOM O RCE DINGS To wnship St. Joseph County St. Croix Subdivision Name Plat of Drechsler Heights Lot No. Lot 1, Blk 1 _S / Parcel ID Number 030 - 2074 -10 -000 557 Plan Transaction Number Index and title sheet Pagel Mound calculations Page 2 Mound drawings Page 3 Pres. dist. caics. and laterals Page 4 ` - ---� TDH and pump tank drawing Page 5 AUG 0 5 Pump performance curve Page 6 1999 Site plan Page 7 Attached soil evaluation report Page 8 " ``�'� i� Designer Brady Utgard License Number 220357 Signature Phone No. 715 - 268995 Date 7/06/99 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats. Personal information you provide may be used for secondary purposes [Privacy Law. s.15.04 (1)(m)]. SBD- 10462 -e (R.05M) Pagel of 8 MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch - pounds Metric Residential or commercial? ' r - '(r or c) (y or n) Replacement system? Creviced bedrock site? n (y or n) Slope 6 % Wastewater flow rate 450 gpd 1703 Lpd Depth to limiting factor 28 in 71.1 cm In situ soil infiltration rate 0.4 gpdtW 16.3 Lpd/m` Contour line elevation 95.5 ft 29.11 m Use standard fill depths? x OR esign epth? in cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center or end manifold a (c e) Hole diameter r 0.25 ,,in o.125, 0.156, 0.1 N, 0.219, 0.2s, 0.281, or 0.313 inch only. Lateral spacing 2.50 ft se 0 lateral spacing for trenches. Estimated hole space 5.00 'ft Not a final calculation. Number of laterals Pump tank elevation 90 ft Outside bottom of tank. Forcemain length 30.0 ft Forcemain diameter 2.0 in 1.5, 2, 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1/8 =0.125 1/4=0.250 SYSTEM SOLUTIONS Inch -pounds Metric &32=0.156 9W=0.281 Estimated daily flow 450 gpd 1703 Lpd 3/16=0.188 5116=0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gpdme 375.0 Ife 34.84 m` Linear loading rate (LLR) 6.00 gpd/ft 74.4 Lpd/m Design width (A) 5.00 ft 1.52 m Cell length (B) 75.0 ft 22.86 m Depth of cell (F) 9.5 in 24.1 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 15.6 in 39.6 cm Basal area required (gpd/infiltration rate) 1125.0 ft' 104.52 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.33 ft 3.15 m Up slope toe length (J) 7.10 ft 2.16 m Down slope toe length (1) 11.30 ft 3.44 m Total mound length (L) 95.66 ft 29.16 m Total mound width (W) 23.40 ft 7.1T,rn Project: Ronald L. & Kim L. Mork 3 bedroom residential mound Transaction Number. Page 2 of 8 r - � MOUND PLAN VIEW observation pipes (typical) J 23.4 ft q A= 5.00 ft 1.52 m 7.13 m '�` B = 75.0 ft 22.86 m ` �-- B J= 7.10 ft 2.16m W 1 - K 11.30 ft 3.44m 1 - K= 10.33ft 3.15m L _ 95.66 ft 29.16 m typ. obs. pipe (anchored securely) I = down slope dimension C = absorption cell (AxB) J = up slope dimension O = plowed area (LxW) K = end slope dimension B" (1W mm) T MOUND CROSS SECTION D = 12.0 in 30.5 cm lateral topsoil G H subsoil cap E = 15.6 in 39.6 cm invert 97.00 ft = F 9.5 in 24. cm elev. 29.57 m F G = 12.0 in 30.5 cm T ASTM C33 H = 18.0 in 45.7 cm D Sand Fill E Sys. 96.50 ft elev. 29.41 m 95.50 ft contour 29.11 m elev. 6 % —.3 slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: Project: Ronald L. &Kim L. Mork 3 bedroom residential mound Transaction Number: Page 3 of 8 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 1 5 Ift 1 1.52 Im Length (B) 75.0 jft 22.86 J m Lateral specifications Number laterals 1 Holestlateral 15 holes Lateral length (P) 72.33 ft 22.05 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 17.48 gpm 1.10 Us Sys. dis. rate 17.48 gpm 1.10 Us Hole spacing (X) 62 in 157.5 1cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) 1 Place X in red 'X" one choice 1 114 in (32 rant ( box of chosen from the options 1 1/2 in (40 mm) x ) x diameter. provided. 2 in (50 mm) x 3 in (75 mm) X I Manifold diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) W" one choice 1 114 in (32 mrr la PI X in red from the options 1 1/2 in (40 ) x ( x box o chosen provided. 2 in (50 ) x I diamet r 3 in (75 ) x 11 4in(100 x Distribution system contains: 1 L _ _, -- LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Laterals centered over the A & B dimension end cap P Last hole drilled next to end cap IE X 3�I Laterals & foroe main of PVC Sch 40 Holes drilled on the bottom of the lateral (per COMM Table 84.30 -5) equagy spaoed e - permanent end marker Inch-pounds Metric Lateral length (P) 72.33 ft 22.05 m Lateral spacing (S) 2.50 ft 0.76 m Hole spacing (X) 62 in 157.5 cm Manifold length 0.00 ft 0.00 m Hole diameter 0.250 in 6.4 mm Lateral diameter 1.50 lin 40 mm Forcemain diameter 2.00 lin 50 Imm Project: Ronald L. & Kim L. Mork 3 bedroom residential mound Transaction Number. Page 4 of 8 TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 5.70 ft 1.74 m Are laterals the highest pant in the Friction loss 0.17 ft 0.05 m system? Yes 'x' here. I x Total dynamic head 8.37 2.55 m If no, what is the highest ele vtion Dose Volume damnstrea n of pump? Dose is > 10 times lateral volume Forcemain drain Lateral void volume 7.6 gal 28.8 L back to tank? CY one) Minimum dose 112.5 gal 425.9 L x Yes Drain back 5.2 gal 19.7 L No Dose volume 117.7 gal 445.5 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather p� warning label and locking device grade levels junction► box ^� grade levels disconnect alternate 4" vent pipe electric as per NEC 300 and outlet Comm 16.28 WAC location 18" (46 cm) min. wall of pump �- approved chamber or outlet jant combination tank A Provide 1/4" weep hole or anti - alarm on siphon device as necessary pump on B Grade levels pump 91.3 ft C - pump tank manhole = 4" (10 cm) off elev. 27.8 m minimum above finished grade D - vent =12" (30.5 cm) minimum above finished grade 90.0 ft Pump tank elevation 3 " (75 mm) of bedding under tank 27.4 1 m bottom of tank Tank manufacturer Weeks Concrete, 800 gal. Pump tank capacity 19.5,gal /in Pump tank volume 799.51gal Pump manufacturer IlSoulds Inches Gallons Pump model number 13885 WE03 H o A 21.0 408.8 '� B 2 39.0 Alarm manufacturer IS.J. Electro systems 0 C 6.0 117.7 Alarm model number 1101 HW a D 12 234.0 Project: Ronald L. & Kim L. Mork 3 bedroom residential mound Transaction Number. Page 5 of 8 Goulds Submersible Effluent Pump s t t C�7 EPO4 387 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. tic cover with integral handle Farms manual operation. Automatic Motor: Available for automatic and 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 automatic reset. preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. ■ EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING '/." maximum. • Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. iP Canadian Standards Associahon • Total heads: up to 24 feet. with three prong grounding • a size: 1'h" NPT. plug. Optional 20 foot ■EPOS Impeller: Thermo - Discharge plastic enclosed design for (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with improved performance. end in "I"' or "AC ".) rotary/ceramic - stationary, three prong grounding plug 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 - * 1 _2. 5GPM components. Pump: EP05 8 • Solids handling capability: 0 7 25 V4 maximum. w • Capacities: up to 60 GPM. s 20 • Total heads: up to 31 feet. • Discharge size: 1 NPT. i 5 • Mechanical seal: carbon- 0 15 rotary/ceramic- stationary, 4 BUNA -N elastomers. o EPOS • Temperature: '' 3 to 104 °F (40 °C) continuous EPO4 140 °F (60 °C) intermittent. 2 5 ' 1 0- 00 10 , 20 30 40 50 GPM L -L 0 2 4 fi 8 10 12 m CAPACITY co 1995 Goulds Pumps Effective May. 1995 PIA71 M ODE L : : M WE 03 H through 1 Submersible Effluent Pump Submersible Sewage Pump OSL ip , a� f w� fy f EffluentPum0 + ? 3 mms FM METH FEET MODEL: 3885 MODEL: 3872 ,m w I o V 26 C.2 ' C 1 w 10 s w w Z IFS S q m 1 ' 1 � y 6 0 0 0 10 10 30 10 60 00 70 U.LOFM 0 0 0 Z 1 °° p 1I M • oFM o w w w so n 1w CAPACITY ° 4:1/1 p.� ,�� °• eGAPACITIf '° pump Specifications Features and Benefits Pump Specif ications Features and Benefits +/ Hp •Glass filled, thermoplastic vortex +/a through 1 + /2 HP •All models feature silicon carbide Up to 75 GPM impeller with stainless steel Up to 130 GPM mechanical seal faces for superior Maximum head to 18' insert and pump out vanes for Maximum head to 123' abrasive resistance and extra " mechanical seal protection. Discharge size 2 NPT p Discharge size 2" NPT long life. • Ru ed Solids: 2" maximum 99 I glass-filled thermoplastic Solids:' /4" maximum • Cast iron semi -open non -clog Motor casing and base design provides Motor impeller with pump -out vanes All motors feature ball superior strength and corrosion All motors feature ball for mechanical seal protection. resistance. bearing construction. • Rugged cast iron volute type casing bearing construction. • Cast iron motor housing for Available in Single and adaptable for slide rail systems. Single phase: 115V efficient heat transfer, strength Three Phase 115, 200, • Corrosion resistant threaded Materials of Construction and durability. 230, 460, and 575V. Cast stainless steel shaft. iron *Corrosion resistant threaded All single phase models Thermoplastic stainless steel shaft. have capacitor start motors. Motor is fully submerged in high Stainless steel quality oil for lubrication • Available in automatic and manual Materials of Construction and efficient heat transfer. models. Cast iron Stainless steel • Optional silicon bronze impeller •CSA listed models available. available. • CSA listed models available. ® underwriters Laboratories All Models are designed for continuous operation and feature stainless steel hardware. ■ Sol/ 06erval &► c os 6 14O&i v» F�nc2 a 0 1369 IV': — ' - � ga :Top c�' Cencrt.�G j rX "3i, Stoop. ssamt. f Clan' = /do.CD� 3 aedredt" d wc((I n# LoCc '� propos /� �,P (off (, ' 81el o f Ada Z 5e�o�► �a,,,(• Prapose Drtcl s /er ffc�/Es, rNs 6w'!d CD SC l If6)Y,/ ¢e..2 B2. 061 ■ st � S .Z '5CA. - 6ea6andonLd 9 sall U ks ,o�� cede • � 1 L 1 Sol 0 L ' S ad t t 9s t B.3 so' 9sSp' �n{va� Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code A.C.E. Soil &Site Evaluations Attach complete site plan on paper not less than 8'h x 11 inches in size. Plan must County include, but not limited to. vertical and horizontal reference pant (BM), direction and St. Croix _ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION - please print all information. 030- 2074 - 10-000 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed By Date Property Owner Property Location Mork, Ronald L. & Kim L . Govt. Lot SE 1/4 NW 1/4 S 26 T 30 N,R aD W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1369 14th Street 1 I Plat Of Drechler Heigh City State Zip Code PhoneNumber City E] Village ©Town Nearest Road 715 -549 -6065 StJoseph i 14Th St. & Co. Hwy. E ❑ New Construction Use: Z Residential 1 Number of bedrooms 3 ❑Addition to existing building Z Replacement ❑ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate - gpolft' - trench, gpdV Basal area required 1125 bed, ft 900 trench, ft Maximum design loading rate .4 bed, gpd/fP .5 trench, gpd/fF Recommended infiltration surface elevations 96.5 at 12" above 95.5 contour. ft (as referred to site plan benchmark) Additional design / site considerations Parent material Glacial till. Flood plain elevation, if a licable NA ft S= Suitable for system Conventional Mound In - Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system EIS 0 U ® S❑ U ❑ S® U ❑ S® U ❑ S® U ❑ S E U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure �„i GPD/ft' Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consisten Boundary Roots Bed Trench 1 1 0 - IOyr4 /2 None A 2fcr mvfr cs 2f 0.5 0.6 2 9 -24 10yr4 /4 None fsl 1 csbk mvfr gs 2f 0.4 0.5 Ground 3 24 -39 10yr4 /4 None sl 2msbk mfr cw If 0.5 0.6 elev 96.95'ft 4 39 -50 7.5yr4/6 None Ifs lcsbk mvfr cw if 0.5 0.6 Depth to 5 50 -78 10yr5 /6 f2f7.5yr5/6 s &gr 0 sg ml - - 0.7 0.8 limiting factor 50' Remarks: 2 1 0 - 9 10yr4/2 None sl 2fcr mvfr cs 2f 0.5 j 0.6 2 9 -20 I Oyr4 /4 None fsl 1 csbk mvfr gs 2f 0.4 ! 0.5 Ground 3 20 -40 10yr4 /4 None sl 2msbk mfr cw if 0.5 0.6 elev 95.87' ft 4 40 -60 10yr5/6 CV.5yr5 /6 s &gr 0 sg ml - - 0.7 0.8 Depth to limiting factor 40' I Remarks: Ground water seepage obsery at 60" low mde. elevation = 9 CST Name (Please Print) Signature: Telephone No. James K. Thompson 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, WI 54020 6/17/99 3602 1051 AWPERTY OWNER: Mork, Ronald L. & Kim L. SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL LDJ 030 - 207410 -000 A.C.E. Soil & Site Evaluations Horizon Depth Dominant Color Mottles Texture Structure sistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -7 10yr4 /2 None sl 2fcr mvfr cs 2f 0.5 0.6 2 7 -16 10yr4/4 None fsl Icsbk mvfr gs 2f 0.4 0.5 Ground elev 3 16 -28 10yr4 /4 None sl 2msbk mfr cw if 0.5 0.6 94.91' ft 4 28 -47 10yr5 /6 f2f7.5yr5/6 s &gr 0 sg ml - - 0.7 0.8 Depth to limiting factor 28' Remarks: Ground water seepage observed at 47" below grade, elevation = 90.99'. Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor i Remarks: i I i I Ground elev i I Depth to limiting factor i i Remarks: os's�d pl � S M q�nra Q ' }s }o /£'z oss♦b 1e4 i ll o£ 1 PV ca ■ �-S: Yr j Ja /s�J7JQ rA j 2 ss L - Ipo-lpuvl� 79095 yr'7 �t.vx�� -»of "Op r7- S O 'S/ 6I FY ° .l' c"> Pu OD f Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Satiety and Buildings in accord with Comm 83.05, W is. Adm. Code A.C.E. Soil &Site Evaluations Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimernsions, north arrow, and locat - and distance to nearest road. parcel I.D.# APPLICANT INFORMATION - p / . pjpq, 030- 2074 - 10-000 ` Personal information you provide may be used for purposes (Privacy Law; $. 15.04 (1) (m)). iewed By Da _ ^ Property Owner toperty Location 20 Mork Ronald L. & Kim L. EQ Govt. Lot SE 1/4 NW 1/4 S 26 T 30 N,R 4 W Property Owner's Mailing Address �' Lot # Block # Subd. Name or CSM# 1369 14th Street sr 1 1 Plat Of Drechler Hei is City State Z' odic r [ City D Village XTown Nearest Road -6065 St.Joseph 14Th St. & Co. Hwy. E ❑ New Construction Use: �t"=Ofbe"ms 3 ❑Addition to existing building Replacement Public o - describe Code Derived daily flow 450 gpd Recommended design loading rate .4 bed, gpd/ft .5 trench, gpd/ft Basal area required 1125 bed, ft' 900 trench, 111: Maximum design loading rate .4 bed, gpolf'tz .5 trench, gpd/ft Recommended infiltration surface elevation(s) 96.5' at 12" above 95.5 contour. ft (as referred to site plan benchmark) Additional design / site considerations t Parent material Glacial till. Flood lain elevation, if a liable NA ft for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank itable for system ❑ S® U N S❑ U ❑ S® U ❑ S® U ❑ S ®U ❑ S M U SOIL DESCRIPTION REPORT Horizon p De th Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 - 9 10yr4 /2 None sl 2fcr mvfr cs 2f 0.5 i 0.6 2 9 -24 l Oyr4 /4 None fsl 1 csbk mvfr gs 2f 0.4 0.5 Ground 3 24 -39 10yr4 /4 None sl 2msbk mfr cw if 0.5 0.6 elev 96.95'ft 4 39 -50 7.5yr4/6 None Us Icsbk mvfr cw if 0.5 0.6 Depth to 5 50 -78 10yr5 /6 f2f7.5yr5/6 s &gr 0 sg ml - - 0.7 0.8 limiting factor 50' Remarks: 2 1 0 -9 10yr4 /2 None sl 2fcr mvfr cs 2f 0.5 0.6 2 9 -20 10yr4/4 None fsl 1 csbk mvfr gs 2f 0.4 ! 0.5 Ground 3 20 -40 10yr4 /4 None sl 2msbk mfr cw if 0.5 0.6 elev 95.87' ft 4 40 -60 10yr5/6 f2f7.5yr5/6 s &gr 0 sg ml - - 0.7 0.8 Depth to limiting factor 40' Remarks: Ground water seepage obsery at 60" low grade, elevation = 9 ' CST Name (Please Print) Signature: Telephone No. James K. Thompson 715- 248 -7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, WI 54020 6/17/99 3602 1051 FROPERT$ OWNER: Mork, Ronald L. & Kim L. SOIL DESCRIPTION REPORT tort page 2 of 3 'PARCEL I.D.# 030- 2074-104M A.C.E. Soil & Site Evaluations Depth sistence Boundary Roots Dominant Color Mottles l Structure GPM? Horizon in. Munsell Qu. Sz. Cont. Color Texture r. Sz. Sh, Bed Trench 3 1 0 -7 10yr4 /2 None s1 2fcr mvfr cs 2f 0.5 0.6 2 7 -16 10yr4 /4 None fsl icsbk mvfr gs 2f 0.4 0.5 Ground elev 3 16 -28 10yr4 /4 None sl 2msbk mfr cw if 0.5 0.6 94.91' ft 4 28 -47 10yr5 /6 f2f7.5yr5/6 s &gr 0 sg mt - - 0.7 0.8 Depth to limiting factor 28' Remarks: Ground water seepage observed at 47" below grade, elevation = 90.99'. Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor I Remarks i I Ground elev Depth to i limiting factor Remarks: o°. ■ Sol O bser� P% A Efelv&6� F'¢ncC N (Adt 4 1 7 a � er: � 8a :Top off' ccncrt.�c j �,Y"3i 'Stoop. A ss cltc� _ /Gro.cD: 1 3 Bed ft„ J � dwcCC ;nB �O !/ Drtcl s /er flc�/Es, r1cJYW, 5 8�1 h a, 9sso' _ t' T. 30 /t. ., li 2 31 ' SE . ena i X�' ; cJ �• ol A -� h v s kQd �9sso .3 ■ ysso" G/i7/9F ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address l 36 7 57 / (Verification required from Planning Department for new construction) City /State fC L Parcel Identification Number /) 3 d LEGAL DESCRIPTION Property Location 515 V4, /V W V4, Sec. T 0 W, Town of Subdivision Lot # Certified Survey Map # � , Volume . , Page # Warranty Deed # _3 4� 00 Volume Xn 72, . Page # Spec house ❑ yes g no Lot lines identifiable yes ❑ 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 wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 Pe three year expiration dat SIGNATURE OF APP ICANT 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 above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE ** * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed DOCUMENT 1.7 WARRANTY DEED *� +•• .E RCSr HY [D .OR R4::O Rf ND D• STATE BAR OF WISCONSIN FORM 2 —lW2 337G1�, i � 4 _ von 7 `Ici _ •.`: �;�iQi ?5 vrr'I � z ST. ! CO., W16, Sandra K. Dwire, a single person Rx''s. for Rt.-oora Mrts 8th �Yay' of Sent A.D. 19 cf! : 00 P F . (ontir)..+nd .rrants to Ronald L. and Kim L. `cork, husband and wife ' the following described real estate in ... -_ _St. Croix ... .- ,County, -- -- - --- - — =_ ' State of Wisconsin: Lot 1, Block 1, Dreschler Heights Tax Parcel No ... .......................... ' in the Tewn of St_. Joseph. A . Tflr'lt�t w� 60 �A i h is homestead property. erty. Is P P (ist (is not) Exc:'ption to warranties: t *h day of �C� em'L,er 19 � �X) Dated thin '( (SEAL) �IfiCC -/ 1 (SEAI.1 Sandra K. Dvire »' (SEAI, :.t AUTHENTICATION ACKNOWLEDGMENT Signature (a) - - - - - -- . -_ STATE OF�E ---- ---------------- -------- ------ ----- -- i s /`% County. ( ss. z authenticated this - - -- day of 19 ... -. Perm illy came before me this _. i(f . -i•ly (I 13 the above name•i -------- - -- c �y andrz x. DwrP _ TITLE: MEMBER STATE BAR OF WISCONSIN (If not. - -- - _ a authorized by $ 706.06, Wis. Stats.) 6 -- to me kno� n to he the rocan u'ro osee:Ited the forte; oin, in trument a—I :wk7.. a ti:(• <: TH,S, INSTRUMLNT A'A -; ::)RAFTED nY - Valley Realty ._.._._ _._ �ttri :ia `f. 31ic`�telflt Rt 2 Box 3130 .. Somerset, - '�.1.- J4025- • nt:: ICW Y..BLiCriP3t.pT t n n �-, R'i . ..-ay be authenticated or ,vkno1 !. l_ed. IL r, t ' 1 ' W lNif3f.T - }rc •:our% nt.. e • �tio s•e not nec"5;ary.) d<(t 1K/YAitY DUE1l }4 - MeN NF.9CiTA �ffG9rarpssK.M [xMv -r, OC'r >e4, :094 •Yams, of per, -.• .i..i n¢ : c ty WA"ANTY DEZi ` -- -irACF . A OF 41:( '%PTN .,. 1.¢.;