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HomeMy WebLinkAbout032-1012-90-000 N 0 F. y n d n N CD rn O O Cn N O N p O O S O W 0 �C ( ( x O y j • CD N I O CD 3 j j z n CA to 0 ►� lA\ Cl O CD 3 (n J N y Q V N C < 0 0 0 0 d j 3 3 O W O C 0 c O N 3 (A t 7 S p wc�l y�A p CD 90 0 v? Z D m F r 1 0 m � 1D a w C CD O O O d C cc d m to of c o a `c-� @ 1 a c -. o CD N O W" `V N p O CD � !Z! G) l N„ A Cp N � � co co co CD ' n r N (a O 3 v �+ In o OOOo OOOo r• a d CA C I c 0' co W N m C : ) c cn N N y Ot�f N 3 d 3 .. O m a D D o D CD 0 O v O c O a o a s C/) N C N (D CD N • CD CD CD CD to C C C CD N W CD N n EL Z CD m tb -I N O N y O A Z COY 0 a A o z —I cn A T CL C z 00 " 00 '' Cl) U) M z D CD a a m w wd a CD m C Aaf 3 D C D CD Q c m C CD -�' c o ° :E CD 0 CD o ° CD Z EF > N n m y cCoo C � c N O n Ot' S, 3 > > a CD g CD 0 8 x 7 O. � n (D CL I 7=7 m cl o cq O to f X N � ti O O b 7 7 I m 49 O ts► O v w o� o� CD i o C �, Parcel #: 032 - 1012 -90 -000 09/12/2005 11:12 AM PAGE IOF1 Alt. Parcel M 5.31.19.74B 032 - TOWN OF SOMERSET Current I X I 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 0 - ODEGARD, LISA A LISA A ODEGARD 2339 DELONG RD OSCEOLA WI 54020 Districts: SC = School SP = Special Property Address(es): • = Primary Type Dist # Description " 2339 DELONG RD SC 4165 SCH D OF OSCEOLA SP 1700 WITC Legal Description: Acres: 6.000 Plat: N/A -NOT AVAILABLE SEC 5 T31 N R1 9W 6A IN NW SW COM NW COR Block/Condo Bldg: SEC 5; SLY ON SEC LN 1165.52', E 1335.07'S 4 DEG W 1287.6" S 1 DEG W Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 358' TO POB;CONT S 1 DEG W 333.88'S 88 05 -31 N-1 9W DEG W 526.78'TH N 54 DEG W 262.63'N 3 DE G E 97.57'N 79.06'E 747.05 FT TO more Notes: Parcel History: Date Doc # Vol /Page Type 03/10/2004 756288 2524/213 WD 05/20/1993 499375 1010/255 WD 909/206 841/607 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/22/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.000 63,000 135,700 198,700 NO Totals for 2005: General Property 6.000 63,000 135,700 198,700 Woodland 0.000 0 0 Totals for 2004: General Property 6.000 63,000 135,700 198,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 221 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 WiscorLssin Department of Commerce PRIVATE SEWAGE SYSTEM Count y: Safety and Buildings Division INSPECTION REPORT St. Croix T 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)]. 353217 Permit Holder's Name: ❑ City ❑ Village ® Town of: State Plan ID No.: Falkenha en, Stan & Laura. Town of Somerset ZIMC W =T (n #t` CST BM Elev.: Insp. BM Elev.: BM Description: l s Parcel Tax No.: . 032- 1012 -90 -000 Flo TANK INFORMATION ELEVATION DATA a`7: �tl 1-3 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ) O Cro- c'7 � Dosing Alt. BM � 78 fs; Aeration Bldg. Sewer Holding St/ Ht Inlet t ? 3, 2 TANK SETBACK INFORMATION TANK TO P / L WELL BLDG. Air i ntake ROAD Air Septic / 00 l r 6 3 r -- NA Dt Bottom Dosing > /o'er S feso T5 NA Header / Man. Aeration a NA Dist. Pipe r Holding Bot. System + .(po X06 a PUMP / SIPHON INFORMATION Final Grade __P I„Q f8 ewer '- 06 alN Manufacturer Dem St cover /D,6Z 9r .2S' Model Number A r0� 4`PM LF:em aiiftn L 11.�ti friction System TDH ,� t Length �r Dia. N ' Dist. To Well *l a SOIL ABSORPTION SYSTEM Width Lengt No Of s PIT No. Of Pits Inside Dia. Liquid Depth I N 3 oZ DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHI Man urer: SETBACK CHAM�F E INFORMATION Type O ( � r � odel Number: System: Q > 0 - O —" OR IT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipes) x Hole Size x Hole Spacing I Vent To Air Intake �t �,., r u 3 // Length �— Dia. Z Length Jt� Dia. 2 Spacing n SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only �o • (o Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil E] Yes E] No ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) Inspection # 1l / l ta �/ 4spe 1Inction #2: - 'r --- =— � �) _..+ &" t Location: 2339 Delong Road, Osceola, WI (NW 1/4, SW 1/4, Section 5 T31N -R19W) - 5.31.1 4 2 V 1.) Alt BM Description �pM E J 3 2.) Bldg sewer length = TS , - amount of cover = > 'fL N 3.) Contour =(leo S L&+elk & •6o - Plan revs on required? ❑ Yes • �[ No Use other side for additional Information. SBO -6710 (R.3/97) Date Inspector's Signature Cert No. Safety and Buildings Division � $C011S %I1 SANITARY PERMIT APPLICATION 201 ox7302ngtonAvenue Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 w- Attach complete plans (to the county copy only) for the system, o r 13gs Count i than 8112 x 11 inches in size. a • See reverse side for instructions for completing this applicat' r CO r, anitary Permit Number 3 -Z 3' Personal information you provide may be used for secondary purposes �� �� ❑ c ioc if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. = rn or State 0l n I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL R } Property Owner Name 4, oca /4 Sy'= T 11N, R /?,for) W L&ailh Rk V' 40ri4ma, Property Owner's Mailing Address umber .`=� Block Number City, State Zip Code Phone Number Su (CSM Number Ila . TYPE F Village BUILDING: (check one) ❑ State Owned 0 t Nearest R d Public A 1 or 2 Family Dwelling - No. of bedrooms Town of enQ�� & III BUILDING SE: (If building type is public, check all that apply) Parcel Tax Numbers) 1 ❑ Apartment / Condo 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 UrReplacement 3_ ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an System __ System_____ _________TankOnly______________ 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 JkVound. 30 ❑ Specify Type 41 []Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure r f 42 ❑ Pit Privy 13 E] Seepage Pit 3 43 ❑Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate r6 System Elev. 7 Final Grade 0 quired (sq. ft.) Proposed (sq. ft.) (Gals/da /sq. ft.) n. /inch) © � t levation 0 _ � Feet Capacit VII. TANK in Ca allo g Total # of r Prefab. Site Fiber- Exper INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks eptic Tan — ❑ ❑ ❑ ❑ ❑ Pump T.n_01t n bP.r — ❑ 1 ❑ I ❑ 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) Plu 2 7 S5 ature: (No ta ) IL�i : Business Phone Number: -u - Plumber — s Address (Street, City, Stat Zip Code): 110 K6 V6 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing Agent Signature (No Stamps) � ' A roved Surcharge Fee) pp ❑Owner Given Initial ,, ;' �, _ Adverse DeterminationZ_aS "'s X . CONFITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: tV s 'y►� tPrh T ath Gt `hjY ra j /Jt s� q eA� ie J�IrC .►�iht l�4 �7on r 4 C o�IN�fl < 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 count rior to installation YP 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. V1. 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 @nd 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) fora number of regulated practices which can effect groundwater. 11 The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. i 5+&n 4-- LA.V I AIF l KC-VN hQJe #-% P q.C- 3 3 r a� L fo � J S1� x Q I c Qj 42 S ao +' 3 rcIFs C- e- v'►L.... P t� Well �l Io�,53 . II bc Q e% co" r S -1'a r K (3 a 1 Do• 5 3 Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 - TDD #: (608) 264 -8777 isconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 11, 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 Identification Numbers APPROVAL EXPIRES: 10/11/2001 Transaction ID No. 249644 Site ID No. 181552 SITE: Please refer to both identification numbers, Site ID: 181552 L above, in all cones ondence with the agency. ST CROIX County, Town of SOMERSET; 2339 DELONG RD, OSCEOLA 54020 NW1 /4, SW1 /4, S5, T3 IN, R19W Facility: STAN FALKENHAGEN 2339 DELONG RD, OSCEOLA 54020 FOR: MOUND, 600 GPD, REPLACEMENT Object Type: POWT System Regulated Object ID No.: 493226 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes." VE The owner, as defined in 1 ' Statute D. and Wisconsin s. The submittal has been CONDITIONALLY APPROVED. E 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: �t 1. This plan action is subject to designer comments on the plan. -iaF 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. E�- 4. Abandon failing system per COMM 83.03(2). • NOTE: A soil absorption system should be designed as long and narrow as possible. This system has a very high linear loading rate of 9.52 gallons per foot. 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. Sinc DATE RECEIVED 09/21/1999 r FEE REQUIRED $ 180.00 CG'' FEE RECEIVED $ 180.00 PATRICIA L SHANDORF , POWT, LAN 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.WLUS WiSMART code: 7633 r _ _ MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project STAN & LAURA FALKENHAGEN Owner STAN & LAURA FALKENHAGEN Address 2339 DELONG RD. OSCEOLA WI 54020 Legal Description NW 1/4 SW 1/4 S 5T 31 NR 19 W Township SOMERSET County ST.CROIX' i Subdivision Name Lot No."` Parcel ID Number 32- 1012 -90 ov cc's u LUNGS QTY Plan Transaction Number < FSPOhDE NCE Index and title sheet Page 1 Mound calculations Page 2,� L�y Mound drawings Page 3 / Pres. dist. talcs. and laterals Page 4 TDH and pump tank drawing Page 5 PLOT Page 6 PUMP Page 7 SOIL TEST Page 8 Designer BRADY UTGARD License Number 220357 Signature R AA�-t L Phone No. 715 - 268995 Date 9 -21 -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.05i98) Page 1 of 7 Oct -06 -99 02:57P P.03 V , MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. In Metric Residential or commercial? R (r or c) (y or n) © Replacement system? Creviced.bedrock site? n (y or n) Slope 2 % Wastewater flow rate 600 gpd 2271 Lpd Depth to limiting factor 25 in 63.5 cm In situ soil infiltration rate 0.5 gpd/ft 20.4 Lpd /m Contour line elevation 100.5 It 30.63 m Use standard fill depths? x OR 15esign epth? in C�cm Ph" X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center or end manifold a (c or a) Hole diameter 1 0.25 in 0.12 0.158, 0.188, 0.219, 0. Laterals sp 0,281. or 0.313 inch onty. pa g 3.00 Ruse 0 lateral spacing for trenches. Estimated hole space 3.00 ft Not a final calculation. Number of laterals 2 Pump tank elevation 88 It Outside bottom of tank. Forcemain length 1 .0 ft Forcemain diameter 2.0 in 1.5, 2 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS- V8 =0-125 1/4=0.250 SYSTEM SOLUTIONS Inch -pounds Metric 502 =0.156 9= = 0.2B1 Estimated daily flow 600 gpd 2271 Lpd 3/16 =0.188 5/16=0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gPdW 500.0 ft2 46.45 m2 Linear loading rate (LLR) 9.52 gpd/ft 118.0 Lpd /m Design width (A) 8,00 ft 244 m Celt length (B) 63.0 It 19.20 m Depth of cell (F) 1 10.0 in 25.4 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 13.9 in 35.3 cm Basal area required (gpd /infiltration rate) 1200.0 ft 111.48 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) 10.24 It 3.12 m Up slope toe length (J) 8.00 ft 2.44 m Down slope toe length (1) 11.00 ft 3.35 m Basal adjustment made. Total mound length (L) 83.48 ft 25.44 m Total mound width (" 27.00 ft 8.23 m Project: STAN & LAURA FALKENHAGEN Transaction Number. Page 2 of 7 74 A 1 0-6 - y Oct -06 -99 03:02P P_01 MOUND PLAN VIEW observation pipes (tips) J 27 ft :::. A = 8.00 ft 2.44 m 8.231m =: =:.:.: =: : B= 63.0 ft 19.20 m W B J= 8.00 ft 2.44 m I K I= 11.00 ft 3.35 m __:i K= 110.24 ft 372m L _ 83.48 ft 25.44 m typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension =plowed area (LxW) K = end slope dimension 8' (152 mm) T MOUND CROSS SECTION subsoil cap D = 12.0 in 30.5 cm lateral topsoil G " E = 13.9 in 35.3 cxn invert 102.00 ft F = 10.0 in 25.4 cm elev. 31.09 m F G = 12.0 in 30.5 cm T qS C33 H = 18.0 in 45.7 crn D Sand FAI E Sys. 101.50 ft elev. 30.94 m 100.50 ft contour 30.63 m elev. slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media win consist F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The colt H = subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: Project: STAN & LAURA FALKENHAGEN Transaction Number: Page 3 of 7 �D � - 7 I _ _ .. _ ..,. fir►.+ . � ' �w ��► 5w'!y� Ss.c, 5, 7" �lN, R 19 � v r h' � ow w a o` g00 IL Q v 1 Q w 1 3A, s baT.oM P� t.lti � lVG1^'F. .L WIN 0/�t Q 8M s ; .,. s ti �.& prn ao . ov borc.�ole.S c� we11 �� 100,53 63 dc pt.,C. vD. 53 , PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 8 ft 1 2.44 Im Length (B) 63.0 ft 19.2 m Lateral specifications Number laterals 2 Holestlateral 21 holes Lateral length (P) 60.00 ft 18.29 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 24.47 gpm 1.54 Us Sys. dis. rate 48.94 gpm 3.09 Us Hole spacing (X) 36 in 91.4 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) Place X in red X' one choice 1 1/4 in (32 mm) box of chosen from the options 1 1/2 in (40 mm) diameter. provided. 2 in (50 mm) x x 3 in (75 mm) x Manifold diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) X' one choice 1 1/4 in (32 mm) Place X in red from the options 1 1/2 in (40 mm) box of chosen provided. 2 in (50 mm) x X diameter 3 in (75 mm) x 4 in (100 mm) +_ x Distribution system contains: 2 Lateral(s) LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram b clicking in one of the drawings at right and dragging the diagram into this area. ac 9 Y 9 9 9 99 9 9 L aterals centered over the A & B dimension Last hole drilled next to end cap en P VF!oroe rals are identical 14- x —�I Holes drilled on the bottom of the lateral S equally spaced main oonneotion Via tee or oro55 to manifold at any point. Laterals & Force main of PVC Soh 40 • -permanent end marker (per COMM Table 84.30 -5) Inch-pounds Metric Lateral length (P) 60.00 ft 18.29 m Lateral spacing (S) 3.00 ft 0.91 m Hole spacing (X) 36 in 91.4 cm Manifold length 3.00 ft 0.91 m Hole diameter 0.250 pri 6.4 mm Lateral diameter 2.00 lin 50 mm Forcemain diameter 2.00 lin 50 mm Project: STAN & LAURA FALKENHAGEN Transaction Number: Page 4 of 7 �j . C TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 13.40 ft 4.08 m Are laterals the highest pant in the `7 Friction loss 5.18 ft s 1.58 m system? Yes °x" here. Total dynamic head 21.08 ft 6.43 m If no, what is the highest elevation Dose Volume downstream of pump? Dose is > 10 times lateral volume Forcemain drain Lateral void volume 20.9 gal 79.1 L back to tank? ('k" one) Minimum dose 209.0 gal 791.1 L x F �No Yes Drain back 23.5 gal 89.0 L Dose volume 232.5 gal 880.1 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 7� weather proof warning label and locking device grade levels junction box - -� disconnect grade levels y alternate 4" vent pipe electric as per NEC 300 and : ;: E- -a Comm 16.28 WAC location 19'(46 cm) min. wall of pump approved chamber or outlet joint combination tank A Provide 1/4" weep hole or anti - alarm on siphon device as necessary pump on B Grade levels pump 88.6 ft C - pump tank manhole = 4 (10 cm) off elev. 27.0 m minimum above finished grade D - vent = 12" (30.5 cm) minimum above finished grade 88.0 ft Pump tank elevation 3 " (75 mm) of bedding under tank 26.8 m bottom of tank Tank manufacturer MIDWESTERN Pump tank capacity 19.51 gal/in Pump tank volume 800 gal Pump manufacturer IGOULDS I Inches Gallons Pump model number WEOSH o A 23.1 450.5 U) B 2 39.0 Alarm manufacturer LEVELALAM E C 11.9 232.5 Alarm model number DLV p D 4 78.0 Project: STAN & LAURA FALKENHAGEN Transaction Number: Page 5 of 7 . - Goulds - Submersible Effluent Pump 3885 EXluml Pump APPLICATIONS • Overload protection must smooth operation. Silicon can be operated continuously Specifically designed for the be provided in starter unit. bronze impeller available as without damage. following uses: • Shaft: threaded, 400 series an option. ■ Bearings: Upper and stainless steel. • Homes in Casing: Cast iron volute lower heavy duty ball bearing • Farms • Bearings: ball bearings type for maximum efficiency. construction. • Trailer courts • upper and lower. 2" NPT discharge adaptable ■ Power Cable: Severe duty • Power cord: 20 foot Motels standard length (optional for slide rail systems. rated, oil and water resistant. • Schools lengths available). ■ Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals Single phase: CARBIDE VS. SILICON provides secondary moisture • Industry CARBIDE sealing faces. barrier in case of outer jacket • Effluents stems • V3 and Y2 HP —16/3 SJTO Y Stainless steel metal parts, damage and to prevent oil with 115 V or 230 V three BUNA -N elastomers, wicking. prong plug. SPECIFICATIONS * 'h HP —14/3 STO with in Shaft: Corrosion - resistant in 0 -ring: Assures positive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. Locknut on three and oil leakage. /4" maximum. • V2 -1 V2 HP —14/4 STO phase models to guard • Discharge size: 2" NPT, with bare leads. On CSA against component damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models — 20 foot on accidental reverse rotation. • Total heads: up to 123 feet length SJTW and STW ■ Motor: Fully submerged in SP Canadian Standards Association TDH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat I Underwriters Labor'tories carbide- rotary seat /silicon FEATURES transfer. carbide-stationary seat, 300 in Impeller: Cast iron, semi- ■ Designed for Continuous series stainless steel metal open, non -clog with pump- Operation: Pump ratings are parts, BUNA -N elastomers. out vanes for mechanical seal within the motor manufacturer's • Temperature: protection. Balanced for recommended working limits, / 104 continuous 140 °F (60 °C) intermittent. METERS FEET • Fasteners: 300 series 901 1, StaIn12SS Steel SERIES 3885 • Capable of running dry 25 80 wei SIZE 'W SOLIDS RPM VARIOUS without damage to 5GPM components. 70. -wel 20 off 5 FT Motor g 60 , Single phase: i WE07H • '/A HP, 115 V, 200 V, 230 V, ` So 2 _... _. _.._ 60 Hz, 1750 RPM;' /2 HP, a 15 115 V, 60 Hz, 3500 RPM; 'o ao 05 + W EH V2 HP —1'/2 HP, 230 V, a ; 10 30 60 Hz, 3500 RPM. - _ ...... _ • Built -in overload with WEO3l automatic reset. 20' ..,. • Class B insulation. 5 }3�`' .D. r r Three phase: 1 c • ' h HP —1 /2 HP 200/230/ o o ....._...� 460 V, 60 Hz, 3500 RPM. 0 la 20 3 0 60 70 80 90 loo 110 120 130GPM • Class B insulation. 0 1 20 30 m /h CAP ITY 1995 Goulds Pumps ( Ettective May 1995 83885 Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings - - Page of Bureau Integrated Services in accordance with Comm 83.09, W s _� kq m. Code include, complete butnotlimited l to: on erttical horizontal reference inches po point (BM), Pd re'ck`on m , � P f Counsy , �� percent slope, scale or dimensions, north arrow, and location and dis ce to nearest road. Parcel , # O , APPLICANT INFORMATION - Please print all informa bn. ,k ; e" ReweW�d / Date Personal information u p rovide may be used for seconds 7 Yo P Y second 3 1�,04(1)(mfy�G I Property Owner ,Property Location '' Q �= K ovt, �.1/ 1 /4,S T r ,N,R 9 E (ore Property Owner's Mailing Address Lot # "" Block# Subd. Name or CSM# :;k33 vj 4! an City State Zip Code Phone Number ❑ ® Town Nearest Road ❑ City Village n 5Ce.0 l L,,.) S V AA c ) ) a9 39 7 C_-i- I D e j.Q�Rck_ ❑ New Construction Use: Residential / Number of bedrooms Addition to existing building ® Replacement ❑ Public or commercial - Describe: ^� Code derived daily flow —1. b0 , gpd Recommended design loading rate /� i . bed, gpd1ft 1 a trench, gpd /ft Absorption area required 5 bed, ft bC) trench, ft Maximum design loading rate r ' ;c bed, gpd /ft trench, gpd/ft i Recommended infiltration surface elevation(s) 1 :5 3 ft (as referred to site plan benchmark) Additional design /site considerations Parent material V Ep V' 0. 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 ® U ® S El ❑ S 59. U E] S ®U ❑ s RU El i91 u SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft 9 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench I l� o -7 !0 3 / c 2 q6 Q F . s , oZ 7 - 1 1 `1 , KY / :5 0 L d 6�k m G f / 5 Ground 3 14 -3 � 5 1 L am sbk r F,— 0 -v­:p I v 4 , Depth to limiting factor Remarks: Boring # 5 ` s 17 a 7. Ground - � 7 .54 0/9 L m:50' elev. rfb eft. ; Depth to limiting X fa tor fa for in. Remarks: CST Name (Please Print) Signature Telephone No. Address p Date CST Number X10 bta h a.r fCa r1r. �- b -g 1 Z..l 10 PROPERTY OWNER L& ',4 n �G� h OIL DESCRIPTION REPORT Page Z L 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 d -G b1f 3 1Zt 5 2. MFr- 9:5 - j0jK /3 51 1. �mSbk. M Fr- Cw IF .S; ,10 Ground 3 -� D ` t RS t/ 51 L a MSbk ro Fr- G w 9 el -25- ft. ft. 5• O R y f F I F 7, 6 Y/Z VV 41 ; 4 L I r* 6 M F; w to Depth to 5 5 a y F IF 7, S y C L I p 6bk m F, limiting fact Remarks: Boring # 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 # .13 Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R.9/98) 09 -02 -99 08:25 21 7152487839 SUPERIOR AUTO 0 001 Department of Commerce SOIL AND SITE EVALUATION • Dtvislon � Sbfety and 6ufldfngs Page � of Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code Attach complete site plan on paper not less than B 112 x 11 Inches In size. Plan must County Include, but not limited to: vertical and horizontal reference point (BM). direction and -o'% percent slope, scale or dimensions, north arrow. and location and dimance to nearest road. Parcel I.Q. # 3a Ibi .1 - 90 APPLICANT INFORMATION - Please print sU Information. Review Gate Personsi Information you provide may be used for secondary purposes (Prtvacy Law, s. 16 04 (1) (m)). 1 Property Owner Property Location -r e+ c. Qovt. Lo l t.l i/A C� 1I4,S S T ,N,R 19 E (or� Property Owner's Mail" Address v Lot a Biocku Subti. Name or CSM# �k5 Q&- any PIA City State Zlp Coda Phone Number _ - ❑ City ❑ 1/Ulage Town Nearest Road O Sc eoi L,.> -T i S oao ( ) A 1 7 Y-391 7 ❑ New Construction Use: EAResidential 1 Number of bedrooms _,_ .. Addison io existing building ® Replacement ❑ PuWic or commercial - Describe: Code derived dally I)ow gpd Recommended design loading TWO bed, 9po,4t2 1 r . ; L trench. gt doe Absorption area required S C O bed, tt 1. trench, ft2 Maximum design loading rate ( r_ bed, 9pd1W. _trench, tlPde Recommended infiltration surface elevations) O r , _ it (as referred to site plan benchmark) Additional design/site considerations; _... Parent material 10S. 5 ..'r [A G t . €tl 0 ! Flood plain elevation. If applicable ft S = Suitable for system Conventional Mound Ground pressure AT -Grade System In F8l Holding Tank u. Unsuitable for system ❑ s ®u MS ❑ u M- ❑ s L4 u El (� u p s NU ❑ s $1 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominam Color Monies Texture Structure Consis Boundary Roots GPD(tt2 in. Munself Ou. Sz. Cont. Color tar. Sz. Sh_ Bed . Trench Ground 3 J 9- D y I�, 5, L A m s k M Fr— Q . V r V C= , S.• o loon. _ ,t y - �► 8 5. L tin F► -- �� Depth to - amfang _ factor - - - 32--Asrh Remarks: Boling # _ a F 5 b :- 4 ;;; < r; ii < �,,. :� t►>,,t►c. F >r- 3 7,a 7.5 RV y -- ---- _ t.. .� �b tr. Ff- C4 c,., ! or 'S '10 Ground 7 - 5 `l Ry F 5 L . L -y r b VC F, --"" -- • ; [ " Depth to r limiting (agtor a Remarks: EWrm e (Please Print) Signature Teiephor�s Date C ST Number a - n -aw. t I t i I f f 1 t 1 09 -02 -99 08:26 22 7152487839 SUPERIOR AUTO 0 002 �-a� i La►... �� ra t ►c ter. ��vJ�� r -. � . �, .. �. • mow %�� 5w' /y� Sic. 5, T. M a � + r 1 w� i ! row 3i' i aQ of x`• F a ,� d;,.+ 5:10oI' lRad.r '►v �. rR i o 0�Q � g oo 3 bo�o•�. p� t, ��. /uc.n +. .&. hon; �. Q8M sad S .ti Stir..A ptr j ` r tGscL.� cs. t� sc pt %c. • OOCUMENT NO. W ARRANTY DEED TW O "ACa NalaRViD FOR U900 DATA 4993'75 STATE BAR OF WISCONSIN FORM 2—IM L VOL loin"" 255- REGISTER'S OFFICE CHEM M. WAU ANDM, a single person sT. CwOq(�„ WI .................... dfi b d ................................................................................ ............................... MAY 801993 ............................. ............... ,.. ........... ............................... ....... d 10: 1s A. M tonve� and warrants to ....5.`AI...D. EALKFNE#A E AID LAi A �'• t1i13 .............. ............................... ............................................... ............................... ........................................................ ............................... ......................... RaTURN TO . ........ ......... ...... ...... ...... ....... ...._............. ..... .......... ._..._..............__...._.. . . � the followinj described real estate in .........e.. 07 9* ....................Cannty. State of Wisconsin: Tax Parcel No: ........... _ ................. see attached legal description $ N This .. is ................ .... homestead property. (is) (is not) Exception to warranties: easements, restrictions and rights- of-way of record, if any. l Dated this .............. day of .............. ........_........ ..........._..................1 19.93... X•- -- & ..... (SEAL) .......... .. ............................. .........................(SEAL) amAN. WALLAI3DER . ................•--•----......._... .........._.................... ._. ..... .... ......(SEAL) .................. . ............................................... ..(SEAL) • A0XN0WLEDGAdRNT YoL 10l0nGt 256 + Part of the NMI /4 of EiMl /4 of Section 5, To wnship 31 North, Rang It Nest, wn To of Somerset, St. Croix county, Wisconsin described as folloast....r PARCEL At ib That part of Parcel A which Use Nly of the line described' In Parcel dt Commencing at the NW corner of said Qoction f . p !� the Section line 1165.52 feeti thencll°7 "N88OIV' 84.17.40 "M, 1287.63 feet; thence 81 ,6 37' 10 "N�li0 &Winning; thence 81 *10 "M, 400.00 feet; thence $90 tZl O lint/ thence*N1 133.81 feet; thence 807 07 0N.teetj thence US ,1 10 "11, 71.6 feet; thence N3 0 E, 103.12 -feet# then** N2 #40"W, 79.06 feet; thence N88•19•O5 "E, 747.09 feet to the Point of Seg inninN._ P&RC b * t k Commencing at the Point of Beginning of the above doscribodre described Parcel A; thence 81•37F10 "N, 691.86 feet to the Point of isginniing of the line to be described; thence S88 "W 526.76 feet# thence N54.41.51 0 W, 262.63 feet to the centerline of an existing road. PARCEL Ct Private Road Easement dated November 11, 1974, recorded November 14, 1974 in Vol. 0 517 0 , Page 593, Doc. No. 324721. - i i • AS BUILT SANITARY SYSTEM REPORT 4 =DER ,77/_/orA_s , TOWNSHIP EC. T ^ N, R W 0. ADDRESS , ST. CROIX COUNTY, WISCONSIN. _'BDIVISION � /��,�- DEU, , LOT LOT SIZE PLAN VIEW 0 32 / 01 - Distances & dimensions to meet requirements of H62.20 ✓ 7y i SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 33. V1 . � "r ro cater TIC TANK(S) f440 MFGR. CONCRETE '- _ STEEL NO. of rings on cover NO&L— Depth G " DRY WELL ENCHES NO. of width length area 0 no. of lines 3 width J p length area depth to top of pipe 36 7 6 ,4 '.K RATE AREA REQUIRED AREA AS BUILT _ L- sclaimer: The inspection of this system by St. Croix County does not imply complete -apliance.with State Administrative Codes. There are other areas that it is not possible inspect at this point of construction. St. Croix County assumes no liability for item operation. However, if failure is noted the County will make every effort to zermine cause of failure. ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. ' DATE ED _ .71P PLUMBER ON JOB LICENSE NUMBER 33/ 9 RFP�P�T OI' IMSPECTIO11-- I:dDIVIDUAL SM-JAGE DISPOSA, SYSTEM Sanitary Permit J �� • • r State ntic ` 'Z `7 A1 1E r TOWNSHIP t Croix County Sr ^.PTIC T ?i: M fi r �� < . � .size y , � gallons. `,umber of Compartments Distance From: Well _. t ft, 12% or greater slope- f1. r Building ' �/_25 ft, Wetlands f : I1ighwater ft. DISPOSAL -SYST m Tile Field or Seepage Pit(s) r' Distance From: Well ft. 1210 . or greater slope �� ' ft Building f t w 1 Wetlands f FIELD Higtiwater ft. Total length of lines !ft, !lumber of lines Length of each line rQ ft, Distance between lines ft. Width of the f - trench - ft. Total absorption area ' sq. ft. Depth of rock below the in. Depth of over tile in.. Cover -over. rock, Depth of tile below grade in. Slope of . trench ___in Per 100 ft. Depth to Bedrock ft. Depth to ground water ft. PITS Number of pits Out s 'c' diame / er ft. Depth below inlet ft. Gravel around nft: _ . yes no. .Total absorption area sq. ft. 'Square feet of seepage trench bottom area required :square feet of s epage nit area required . • F Inspected by Title':. Approved Date 197. Rejected Date 197 Sri EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION: �' /a,5 %, Section S , T N, R Lr(or) W, Township or Mefti�ty C-05 F Lot No. � , Block No. -�- k4'f & Cn I re,�� County / - � 0 14- �J , J Suv;si Name Owner's Name: - Mailing Address: TYPE OF OCCUPANCY: Residence L / No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT DATES OBSERVATIONS MAQE: SOIL BORINGS - Z - PERCOLATION TESTS 'S�` Z Z - 7' i SOIL MAP SHEET ' SOIL TYPE PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN /IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P 7_3 13 4 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) Z y G - r / Z I' �5 /,C O �' /! z 1,5 .4 , G PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. 615 Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. f N / �u f Al ' I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. Name (print) >r` •.2'� rtifi tion No. Z 8 _- Z", 7 Address c - L Name of installer if known CST Signatur� — COPY A —LOCAL AUTHORITY �___� State and County State Permit # Y Permit Application County Permit # P LB 6 7 • for Private Domestic Sewage Systems County * DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: - /v B. LO ION: '/ �� Ya, Section ! , 5_, TaL N, R-]-�?Z (or) W Lot# - City _ Subdivision Name, nearest road, lake or landmark Blk# Village V Township ,��tj -1 F, C. TYPE OF OCCUPANCY: Commercial V *Industrial *Other (specify) * Variance Single family L- Duplex No. of Bedrooms � No. of Persons C D. TYPE OF APPLIANCES: Dishwasher C/ �ES NO Food Waste Grinder YES ` - ' ISO # of Bathrooms Automatic Washer L- NO Other (specify) E. SEPTIC TANK CAPACITY Z Total gallons No. of tanks * Holding tank capacity Total gallons No. of tanks New Installation Addition _ Replacement _ Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) ,,S Total Absorb Area (p /5" sq. ft. New L—' Replacement *Fill System Seepage Trench: No. Lin . Feet Width Depth Tile Depth No. of Trenches _ Seepage Bed: Length A r Width 1'2- 1 Depth � r Tile Depth 7 j4jll No. of Lines Z Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Z d7n Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared by the C�e ified Soil Tester, NAME l�+r�i _�5-��& C.S.T. # 2_ Z y, and other information obtained from e. 0. +14 A , (eavner /builder). Plumber's Signature ' MP /MPRSW# Phone Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). o H 7 o° C 0 Do Not Write in Space Below - FOR DEPARTMENT USE ONLY Date of Application ri Fees ? Paid: State 6 ' e' L^ Coun y Da Permit Issued /RejeaAad— (date) ' G> - Issuing Agent Name Inspection Yes --,�No Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 L2- state (pink copy) 4. plumber (canary copy) - Revised Date 6/1/76 PLB67 State and County State Permit # Permit Application County Permit # for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mai Address: B. ATION. >' / �f /� Ya, Section T j N, R E (or) W Lot# __'�' City Subdivision Name, nearest road, lake or landmark Blk# Village Towns hip►+ -4 - C. TYPE OF OCCUPANCY Commercial * Industrial *Other (specify) * Variance Single family Duplex No. of Bedrooms No. of Person D. TYPE OF APPLIANCES: Dishwasher _DES NO Food Waste Grinder YES "0 # of Bathrooms Automatic Washer I- YES NO Other (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks d *Holding tank capacity Total gallons No. of tanks New Installation ��� - Addition - Replacement _ Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _ 2) • - 3) . _�i Total Absorb Area <45 sq. ft. New k"" Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length y Width Depth E Tile Dept No. of Lines .,deg Seepage Pit: Inside diameter Liquid Depth Tile Size � Percent slope of land I !v Distance from critical slope I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared by the Certified Soil Tester, NAME r-4,f /Z-7/= C.S.T. # �, �'` and other information obtained from (owner /builder). 386 31&2 Plumber's Signature MP /MPRSW# Phone Plumber's Address Zw PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H 2.20, including well). _ k , �yI �9e . Do Not Write in pace Bel w FOR U E ONLY Date of Application - -Z ids ai : S e e Permit Issued/Re d (dat - 4-7 J I ing Agent Nam xion Yes No Valid# Date Recd ;mty (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 to (pink copy) 4. plumber (canary copy) Revised Date 6/1/76 M