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HomeMy WebLinkAbout036-1006-10-000 \ y \ 2 C) j k \ ¥ ( e w 0 \ � . t � A � $ � f I � \ � � I � � ) } � LL ƒ 2 � . � � « $ � � \ E 0 . z . Q u a. n e z \ \ A 7 / @ � D § q o , 2 / 0 7 § Q )k7 )k\ a i > � � � k $ k 2 A a -0 - .. \ k k k a- C •� § E a a \ \ L k k a ) § § = 8 .0 a eo § § § f = E / V) g @ a- 01 ƒ / c = CL a @ E Q 2�\'f 7§ /SI]§� 3 k r 2 7 2 7// \ Lo § \ W -� \ \ \ ) \ \ z $) ƒ 2 \ ■ � l J \ D C E a k�f / 0 a m o J 0 ' C Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety andBuildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: ST IX Personal information you provice may be used for secondary pu rposes pp [Privacy Law s.15.04 (1)(m)]. 344551 Perrp�tQldI�Larp� JOSEPH D & JENNI R CASTANT90 Town of: State Plan ID No.: t1 JS llVK 3�f 1 CST BM Elev. - - Insp. BM Elev.: BM Description: Parcel Tax No.: ,a r 036- 1006 -10 -000 TANK INFORMATION D ELEVATION DATA TYPE MANUFACTURER CAPACITY STAT ON BS HI FS ELEV. Septic �� Bench rk ( ,.M ( gi I tni , 0 ` Dosing �YV( - to - * 6 •`(.3 �aD . o f Aeration Bldg. Sewer A t ` Holding St/ Ht Inlet TANK SETBACK INFORMATION ' TANK TO P/ L WELL BLDG. ventto ROAD Air Intake Septic > ILL T T O - I 2-2 f 1 NA Dt Bottom 4 '9; 5D 95" 3 Z Dosing >35 321 NA Header Man. 57 oo.�s Aeration ,o NA Dist. Pipe Holding Bot. System (Al - PUMP/ SIPHON INFORMATION Final Grade #3 Manufacturer De and Model Number G '� 1 PM TDH Lift t&k Friction ,L System TDH 4.1 Ft oss mea � Forcemain Length ,�� Dia. 34 Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length o ide Dia. PIT No- Of Pits Ins Liquid Depth DIMENSIONS 5 DIMEN I N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type Of f f _ _ Mod Number: System: 0 OR UNIT DISTRIBUTION SYSTEM Header / ylanifold r � Distribution Pipe(s), x Hole Size x Hole Spacing Vent To Air Intake Length � Dia. 2 Length } Dia. � Spacing I `' SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 3.41f / LOCATION• STANT0j,3.31.17.41B,NE,SW 1751 235TH AVENUE IC miiJ 7- T Plan revision required? [:]Yes 9 No f Use other side for additional information. 2- 1 2-Z 9q SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. r _ ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner Tb SAr�\ h -.S S t- LA k Property Address City /State 1 7 J Legal Description: Lot Block I Subdivision/CSM # '/4 StrJ ' /a, Sec. - , T�N -R 17 W, Town of ST�s.. \ a � PIN # � 3, ^ /dd 6 -/ SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer W lam^- Size ST/PC AJD / +ems Setback from: House Z/ Well S 0 P/L Pump manufacturer r Model w >zo 3 1 1 L Alarm location -' (HOLDING TAN NLY) Setbacks: Service roa Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: 62 d nl Width .�" Length ZS Number of Trenches Setback from: House /,Yb Well 9d PAL_ Vent to fresh air intake 4Z-d ELEVATIONS Description of benchmark T 42 6 1 w-�- Elevation /0 Description of alternate benchmark "" Elevation Building Sewer ST/HT Inlet g �,5� z ' ST Outlet Sa, S ,PC Inlet �— PC Bottom W- 3 Header/Manifold / .1 Top of ST/PC Manhole Cover Distribution Lines () lob .15 () ( ) Bottom of System 6o () ( ) Final Grade () / -3 () ( ) Date of installation / / 0 / 7 ? Permi nu ber 5� State plan number a h`t�rs3 Plumber's signature License number e - "? Date c l Inspector Complete plot plan 1 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. 3° � � W a a� Y 7� h � INDICATE NO H ARROW Safety and Buildings 2226 ROSE ST LA CROSSE WI 54603 -1905 V isconsin TDD #: (608) 264 -8777 r .state.wi.us �° mm e Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 30, 1999 CUST ID No.273085 ATTN: POWTS INSPECTOR CALVIN POWERS ZONING OFFICE POWERS EXCAVATING INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 06/30/2001 Identification Numbers Transaction ID No. 234153 Site ID No. 175691 SITE: Please refer to both identification numbers, Site ID: 175691 above,; -in all correspondence withlhe!agency, St. Croix County, Town of Stanton NE1 /4, SW1 /4, S3, T31N, R17W Facility: Joseph Hesslink FOR: Description: Mound System - Three Bedroom Residence Object Type: POWT System Regulated Object ID No.: 477488 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 06/24/1999 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 W coddi633 APPLICATION FOR REVIEW TS N I con sin - Complete all pages- POW 1 �7 artment of Commerce Safety & Buildings Division This page may be utilized for fax appointment requests Bureau of Integrated Services Complete and indicate date plans will be in our office NOTE: Personal information you provide may be used for secondary Complete for confirmed appointments *: purposes (Privacy Law s. 15.04(12(m)]. Not available for POWTS at this time. 1. Private Sewage Submittal 2. Type of Submittal: Transaction ID: System Type New ( ) Groundwater Monitoring ( ) Replacement Previous Related Trans. ID: ( ) Site Evaluation ( POWTS System ( ) Petition (attach form SBD -9890) Appointment Date *: ) At Grade ( ) Experimental Review ( Assigned Reviewer: ) Holding Tank ( )Engineered System ( ) Nonpressureized in- Assigned Office: Ground - conventional *Plans must be received in the office of the appointment no later than ( ) Pressurized in- 2 working days before the confirmed appointment. Ground 3. Project Site Information - Fill in all known information. ( Mound Site Number ( ) erobic System ( ) Sand Filter Number & Street: �/ ( ) Constructed Wetland Legal Description: E S(�ti T 13 'v Ul.l ( ) Other: County ` ( ) City ( ) Village ( ) Town of An 6 Gallons per Day: Q50 Facility Name: (individual and /or b siness n e of Vroject) Building Type (chec oK ne): ` ('N Dwelling, 1 or 2 family ^ ( ) Public Building Facility Address: ( roject address Zip Code ( ) State -owned Building L 6-al .5 4. After plans are reviewed, please: (check all that apply) _ Cali when completed. _ Mail plans to customer 1, 2, 3, 4 Requesting party will pick up Circle customer number from below. Other: 5. Complete the following designer /owner /requesting information. Utilize the check boxes when designer, owner or requesting party Is the same to avoid repeating information. Deli' rieririfo matioiti Custo„ r1 r x � ,, ` Reguestin'?Pa ifdlfferbritth`2n desi nerz Customer,3 First Name Last Name Customer Number First Name Last Name Customer Number o' rS Com y Name Company Name e Mt.Q`fie S CC 4rCx� c• 1 Address O Address J City State Zip +4 (9digits) City �6}a + its) X11 O ( I'c Phone Number (area code) Fax or Internet Phone Number (area code) Fax or Internet 4JQJ G Dl S- "' N Check others if applicable Check others if applicable ( ) Owner ( Payer (K) Requesting party I ( ) Owner ( ) Payer Owner Inforri atian (Customer 2) R x , „ ,,,,.„ Ottier PIbasd�sodcify;,(Customer 4) First Name Last Name Customer Number First Name Last Name Customer Number Company Name Company Name Address Address City State Zip +4 (9digits) City State Zip +4 (9digits) Phone Number (area code) Fax or Internet one Number (area code) Fax or Internet Check others if applicable Check others if applicable ( ) Payer ( ) Payer ( ) Other I ' I MAKE CHECKS PAYABLE TO DEPT OF COMMERCE TOTAL AMOUNT DUE , Attach check here Review code 7633 5I1D -10577 (R.10/98) l I PAGEJ}OF--2- MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE 1 /4OF THE 1 /4OF SECTION 3,lW�i,R�W, TOWN OF ` �n , Srt 0_ i`o►5l COUNTY, WISCONSIN INDEX PAGE IA OF 9 TITLE SHEET PAGE 1 OF 9 WORK SHEET PAGE 2 OF 9 WORK SHEET PAGE 3 OF 9 WORK SHEET PAGE 4 OF 9 WORK SHEET PAGE 5 OF 9 PLOT PLAN PAGE 6 OF 9 PLANVIEW CROSS SECTION PAGE 7 OF 9 DISTRIBUTION PIPE LAYOUT PAGE 8 OF 9 PUMP CHAMBER PAGE 9 OF 9 PUMP PERFORMANCE CURVE PREPARED FOR y'Y Ad- Ake Lo mo��1. s`Y017 PREPARED BY POWERS E CAV TING INC. 1969 185th AVE -44 � Est on.II� co NEW RICHMOND, WISC. 5401? t 715 - 246 -5135 of ppppR "M Sy N cEE c ©AR E„ P .WORKSHEET - MOUND SYSTEM DESIGN PROBLEM: Design a mound system for a �e� co- Q The site characteristics are: Jill Depth to groundwater or bedrock - in.. Landslope - --- % Pd t Z .y . Percolation 1 rate -- �•• --- Distance from dose chamber to distribution system 3M ft. Elevation difference between aump and distribution system /b ft. Step 1. WASTEWATER LOAD t�lj(��r! -*'^ �,,O, gal Step 2. SIZE THE ABSORPTION AREA A) Area required - Tom--' X Z 3 sq. ft. 73 '7.5 f t. B) Brad or trench length (B) 5 3 C) Bed or trench width (A) - Jr ,- S ft. .D) Trench spzcing..(C) w ; ft. Wastewa ter load .Z4 gal /ft /day B - t re- T- ems Step 3. MOUND HEIGHT A) Fill depth (D) - ft. B) Fill depth (E) - D + slope (A)+P) 4 ft. / 0 3X - C) Bed or trench depth (F) - • Ft. D) Cap and topsoil depth (G) -= ft. E) Cap and topsoil depth (H) ft. j.rn: l Step 4. MOUND LENGTH A End slope K = D + E +F +H 3= /J�3 ft. ( ) (. 2 ) x ,83 , X3 B) Total mound le h (L) = B + 2(K) a 9 5/� ft. )S, *d(1043)= Step 5. MOUND WIDTH Al) Upslope correction factor ..� A2) Upslope width (J) ^ (D + F + G)(3)(factor) = 7 . 8. ft. �� = 7,4 Bl) Downslope correction factor = ' B2) Downslope width (I) _ _ 5 (E + F + G) (3)(factor) � f C Oil --?,9 Cl) Total mound width (W) for bed = J + A + I = ev C2) Total mound width (W) for trenches J + � + (no. trenches -1)(c) + A + I _ ft. Step 6. BASAL AREA A) Infiltrative capacity of natural soil = ,_, gal. /ft /4ay B) Basal area required = wastewater flow natural soil infiltrative-capacity sq. ft. #5o q Cl) Basal area available for bed for sloping sites = B x (A + I) _ _.._ `. sq.- ft. C2) as are •avail le for trench for sloping sites = 8 W �J + A�1 = ' a�5 sq. ft. 75)( �(7 g t _ • � aJ C3) Basa area availabl for`trench or bed for level sites = B x W = r 'sq. ft. S i Liconse 11 ,111 : .a�S J__ Step,7. .DISTRIBUTION SYSTEM 1A) SIZE DISTRIBUTION SYSTEM 1) Hole size �� in. 2) Hole spacing a 4 in. 3) Distribution pipe length a �7 kt 4) Distribution pipe diameter = 5) Spacing between distribution pipes in. 6) Distance from sidewall to distribution pipe = N ed in. 7B) DISTRIBUTION PIPE DISCHARGE RATE 37 ft. 1) Number of holes per pipe 4 _A 2) Flow per pipe a .aGPM 7C) SIZE MANIFOLD 1 1) Manifold is ,central/ end 2) Manifold length ft. 3) Number of distribution lines = 02 4) Manifold diameter 3 in. 7D) SIZE FORCE MAIN � y 1) Minimum dosing rate GPM _ . 2) Force main diameter X 49 3_ in. 3) Friction loss ft. 7E) TOTAL. DYNAMIC HEAD 1) Vertical lift . • ft. 2) Friction loss ft. 3) System head 2.5 ft. .= ` ft. 4) Total dynamic head ft. idC0rGC; 7 ` c, s' _ 7F) PUMP SELECTION 1) Pump selected will discharge .�.�. GPM at �jr ft. total dynamic head. 2) Pump model and manufacturer 7G) DOSE VOLUME 1) 10 times void volume of distribution lines cle al. c (� 9 / Y 2) Daily wastewater volume . 4 doses /24 hrs. _ 119 gal. /cycle 430 = /I a, S—" -r-- -_ 3) Minimum dose volume a o a w.? gal. /cycle 3oX.3G� = / /o, 7H) DOSE CHAMBER 1) Minimum capacity required = 6_6D_ gal. Sin•..._.___._ _..�_ __ Licunso - u:_ Pap-5 Date Payer Straw, Marsh Hay, Or • Synthotic Covering Distribution Pipe Medium Sand I % Slope ' Bed Of 2 �For %2 ce Main Plowed Aggregate • Layer D Ft. Cross Section Of A Mound System Using � /,l5 Ft. 'A Bed Fo.r The Absorption Area F . •83 Ft. G I Ft. A .._-S Ft. Ii /.5 Ft. gned: -- B ' 75 - Ft. cerise Number: 53? K /013 Ft. O,rte (v 91 L Ft. j, 8 Ft. Position Z /5 Ft. of Force Main W .-3 Ft. Observation Pipe --,,, A ; — Distribution L 7 2 %2 Pipe egat Observation Pipe t Morkers J Pion View Of Mound Using A Bed For The Absorption Area • Page•, C Psrioralad Pipe Osloii I • End Virw End Cap ) P&rforolld PVC Pips Hogs Located On 90110M, At* Equally Spaced i','' x ••,K e i • n plc. ". / 5 CA� y A Er� OAS fibC'IAr) Lott H OIi St,0`ul'd Os + HIM To End Cap Oitlribmliort Plp$ Layout P .Z. Ft. R S X -. (r Inches Y ,� Inches _ • Signed: _ ilo . _� lt. Dian Inch License Number: aDs37 Lateral Inch(e:) Date: _ F; — Manifold " 3 ' Inche:; Force Main " 3 111c))w N of holes /pipe /9 Invert Elevation of Laterals `y Ft. S EPTIC TANK PUMP CF AMBER CROSS SECTION AND SPECIFICATIONS e c• - - � 4" C•I VENT PIPE 12" MIN. ABOVE GRADE WEATHER PROOF' 25' FROM.DOOR, WINDOW -OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER FINISHED GRADE 4 Cl RISER W/ PADLOCK & 6" MIN. WARNING LABEL AB OV E GRADE --�- -- 4" M I 18" IN. 6" MAX. INLET WATER TIGHT SEALS GAS • � TIGHT i , [ 7AI A SEAL 1 PROVED CI PIPE BAFFLE i ALM INTS 4)/ CI 3' ONTO B PE 3' ONTO SOLID - f - r; ON SOLID SOIL SOIL C I PUMP OFF ELEV . FT. -- n-' OfF ��'t RISER EXIT D PERMITTED ONLY IF. TANK . MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS -• SEPTIC / DOSE TANK MANUFACTURER: »D'D 6�Ldt. -2Ser NUMBER 'DOSES PER DAY: TANK SIZES SEPTIC % GAL. DOSE VOLUME INCLUDING DOSE GAL. FLOWBACK:. .9 GAL. • 1 ALARM MANUFACTURER: g/•ecfiti( CAPACITIES: A = INCHES = GAL. MODEL NUMBER: /p / W SWITCH TYPE: /out B = 2 INCHES = 31 -GAL. PUMP MANUFACTURER: o u�� 5 C = I 3.5 INCHES = GAL. MODEL NUMBER: 3gyg �� F� iii L SWITCH TYPE: rl ac t D = INCHES = GAL. REQUIRED DISCHARGE RATE '�, GPM PUMP & ALARM WIRING AS PER ILHR WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE /D FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . .�. 2.5 FEET + _ FEET FORCEMAIN X ,�FT/100 FT. 'FRICTION FACTOR ( FEET TOTAL DYNAMIC HEAD = 9i FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH ; DIAMETER LIQUID DEPTH F SIGNED: LICENSE NUMBER: X2, -5 7_ DATE: -- 9 i./88 - - P0. C . Goulds Submersible Effluent Pump 3885 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. y g • Shaft: threaded, 400 series an option. r ■Bearings: Upper and 11- following uses: stainless steel. • Homes ■Casing: Cast iron volute .lower heavy duty ball bearing Farms • Bearings: ball bearings type for maximum efficiency. construction. upper and lower. 2" NPT'dischar a adaptable • Trailer courts 9 P in Power Cable: Severe du ty • Motels • Power cord: 20 foot for slide rail systems. rated, oil and water resistant. • Schools standard length (optional m Mechanical Seal: SILICON Epoxy seal on motor end lengths available). • Hospitals CARBIDE VS. SILICON provides secondary moisture Single phase: • Industry CARBIDE sealing faces. barrier in case of outer jacket •'/3 and' /z HP -16/3 SJTO • Effluent systems Stainless steel metal parts, damage and to prevent oil with 115 V or 230 V three BUNA -N elastomers. wicking. prong plug. SPECIFICATIONS • % - 1'/2 HP -14/3 STO with m Shaft: Corrosion - resistant ■ 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. 3 /a" maximum. •'/2 -1'/2 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 Underwriters Laboratories carbide -rotary seat/silicon FEATURES transfer. carbide- stationary seat, 300 m 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 °F (40 °C) continuous 140 °F (60 °C) intermittent. METERS FEET • Fasteners: 300 series so stainless steel. SERIES: 3885 SIZE: ' /l SOLIDS • Capable of running dry 25 80 RPM: VARIOUS without damage to WE1 ...;.__ ..__... _. _... _ _ — --► 5 GPM — — __. _ components. 70 WE1 5FT 20 -- Motor a so Single phase: _ •wE0 • '/3 HP,115 V, 200 V, 230 V, 2 15 5 0 60 Hz, 1750 RPM; /2 HP, z - 115 V, 60 Hz, 3500 RPM; '0 40 W.E0 H INZZ ' /2 HP- 1' /2HP, 230 V, a - - - — -- 60 Hz, 3500 RPM. a 10 . 30 • Built -in overload with VJE03L 20 automatic reset. 5 _ • Class B insulation. 10 �I_ Three phase: _ _ _ T_ • '/2 H P -1'/2 H P 200/230/ o o 460 V, 60 Hz, 3500 RPM. 0 10 20 30 40 50 60 70 80 90 100 110 120 130GPM • Class B insulation. ° it 20 30 W/h CAPACITY Oc 1995 Goulds Pumps Effective May, 1995 83885 Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of 3 Bureau.of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and , C r O \, percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. If APPLICANT INFORMATION - Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location d5 f $ e Govt. Lot �a 1/4 S W 1/4,S '. 3 T 3 1 ,N,R , Or) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# -'2/ o 0 e. � 0- City State Zip Code Phone Number Nea 1 W t .sp 7 (7 S) o? ye -2f ❑ C�j �" ❑Village rest Road Town �3s New Construction Use: residential / Number of bedrooms 3 Addition to existing building Replacement Public or commercial - Describe: Code derived daily flow _ Q gpd Recommended design loading rate bed, gpd /ft •� trench, gpd /fie Absorption area required _3 75 bed, ft 3 7S trench, ft 2 Maximum desi n loadin rate g g _ bed, gpd /ft . trench, gpd /ft Recommended infiltration surface elevation(s) J*g_jYi , 97 - & J84A , fe ft (as referred to site plan benchmark) Additional design /site considerations Parent material _ y 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 __0S ❑ U ❑ S Z- U ❑ S E- U ❑ S ®. U ❑ S ® U P S SOIL DESCRIPTION REPORT Z B Borin # Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench p 3 L ` s ib.C' M r W 6 Ground -3 bye A 2 �5 ) 7 s O S M elev 91.6 ft. /0 m sbk, vn Depth to limiting fac o Remarks: Boring # .-? - D �� s 1 t 5 x rn V G -6� 7 Sit M b < �'}' `` • S to f/ ft. Depth to limiting factor Alin. Remarks: CST Name (Please ) Signatur Telephone No. glU I Y\ 7IS Address Date / _ �^ � CS T Nu m�b�er��� 'j we SOIL DESCRIPTION REPORT Page of 3 PROPERTY OWNER � -G-n � PARCEL I.D.# z Structure Boring 770 Dominant Color Mottles Texture Consistence Boundary Roots Bed . Trench g Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. vR Ground S D r �t. Depth to limiting factor) ;? in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: GPD /ft Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots Bed , Trench in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boring # 3 , Ground elev. n. Depth to limiting factor ' Remarks: Boring # I i 3xs Ground elev. , ft. Depth to limiting factor in ' Remarks: SBD -8330 (R. 07/96) So. \ Q�d i �l.�cL;o� - 7 w a� CO Rd� ads o Dr ► 3 F � �z o 53 7 1 i � a� � I '1 0 A I Wisconsin. Department of Comrherce ITE EVALUATION 3 Division of Safety and Buildings Page of Bureau of Pntegrated Services CW es dnCe with . jL R 83.09, Wis. Adm. Code Attach complete site plan on paper not less tha ht�tifjeDPlan mu at County include, but not limited to: vertical and horizont int (BM), direction and; t f " , C v - p `x percent slope, scale or dimensions, north arrow hd�istanr� p 2 . pu nearQSi r ad. Parcel I.D. # �i APPLICANT INFORMATION - Please GO �l F on. Re e e by Date iRi ` — � Personal information you provide may be used for secoPrivacyaW; v J / Property Owner j �' - •�', roperty Location iA �5 1 S e I Govt. Lot 1 /4��J 1/4,S T 3� ,N,R f, �r) W Property / Owners Mailing Address Lot # Block# Subd. Name or CSM# �! o C C. - City State Zip Code Phone Number ❑ City ❑ village Z Town Nearest Road I t c)t Spa Q i S a y8 .2f?,2 57`" 3$ _ New Construction Use: V<Residential / Number of bedrooms 3 Addition to existing building Replacement ❑ Public or commercial - Describe: N Code derived daily flow Za Q gpd Recommended design loading rate bed, gpd /ft . trench, gpd /ft Absorption area required .375 bed, ft 3 7 2 _, trench, ft Maximum design loading rate _ bed, gpd /ft 1 J trench, gpd /ft Recommended infiltration surface elevation(s) tai Q( 6 97 G ' -flia'A 99A. it (as referred to site plan benchmark) Additional design /site considerations Parent material t 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 Z U ❑ S ®- U ❑ S U El ® U P S SOIL DESCRIPTION REPORT .T 5 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench M -� W Ground elev .S I � Of 53 m �/ 113 6 ft. /o f - ma 7X . s 5 ! m sbk, y'rt Sir Y , 5 Depth to limiting facto in. Remarks: Boring # o -l2 161A 31L / J rn s bk S - 4 st 1 l 5 i< M1 j Grrjoru -0 7 ---' 5I M b < �r c.. S i 4 1 f' ft. Depth to limiting factor -in. Remarks: CST Name (Pleas Signatur Telephone No. q` I Y\ �aw� -rs Ste' _ 715 - CW/b Address Date CST Number 7- 99 I i PROPERTY OWNE ! SSe SOIL DESCRIPTION REPORT �to5 �j 4 Page -- !q t of +3 PARCEL I.D.# Boring # Horizon Depth Dominant Colon Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench M stilt C ► Ground D r' lev. 1 ' Depth to limiting �iU^ fa 0o Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: i Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # E3 Ground elev. ft. Depth to limiting factor in. Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor in. Remarks: ! SBD -8330 (R. 07/96) i � J S:3 T3( N 1 - 7 ai � o CO Ra s 0! r 1( el A I t w 1 lo t; v � 3 0� ^�j � F f ;r ' 7 1.� � ti ST CROIk COUNTY SEPTIC TANK MA N,TENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer _ DS�e�1r� lit-- eSS���v� Mailing Address Property Address _ 1 IS � � � �� c od , Q, ,�� �� �'� OQ (Verification required ( q from Planning Department for new construction) City /State Parcel Identification Number Q -3 k' -100 w _1 LEGAL DESCRIPTION Property Location AtS '' /,, '/, Sec. _ 3 , T N -R W, Town of o Subdivision ( , Lot # Certified Survey Map # _ 3C��0 0 , Volume / , Page # 96- Warranty Deed # � C2 , Volume 3 , Page # Spec house ❑ yes iQ no Lot lines identifiable M 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 licensedpumperverifying 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 the thr year piration date. S GN APPLICANT DATE O ER 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 e property c 'b above, b virtue of a warranty deed recorded in Register of Deeds Office. o G A APPLICANT DATE * * Any information that is mis- represented may resultin 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 l 1315 54 — - - -- _ . -f .... ....... - - - -- - - - - - - -- - - -- -. -. _. - -- ._ _ I 509.24 M Ln to w z .... . >..�.� 657.61 .. . . r . , .,... .. r ................. .... , ....... , , _ .._... ...... - - - - - - - - __ ... .............. ................ T co ,� U M I N 1 m CD M h--+ �T ul U LO Ih- I`^ I 657.44 657.44 165 �_- '�_-- __- __- •_- __ -__-- • rn Z b I° r ro r ry . i -A Z O > U O Q LO F- Oo -- - - - - -- -- z 400 Q� N' r N c Q - N i Z • s ZONIN STO CROIX COUNTY PLANNING & iVr? December 16, 2009 David Libman „mA ReMax 604 Bielenberg Drive Suite 100 307 Code Administra Woodbury, MN 55125 715- 386 -4680 X51- �3S - Land Information &= th Planning RE: Residence at 1751 235 Ave, Town of Stanton, WI 715 -386 -4674 Real Prop At the time of installation (December12, 2009) this mound 715- 3s64677 Croix County and found to be in compliance with the Wisc_ Natural Resources requirements for wells listed in NR 811/812 and as such, is in Reycling compliance with the Wisconsin Department of Commerce chapter 83 and the St. 71- 386 -4675 Croix County Zoning Ordinance Chapter 12 that regulate requirements for septic systems. However it was later discovered that the parcel of land which included the mound system had been split from the existing residence and sold to another party. Vi Therefore to bring his system into compliance the parcels must be combined or an g Y p� p mr easement recorded to allow maintenance and use of the mound system. Included are the inspection report, site Ian, and permit application for the property. I p p p . If you have any questions, please feel free to call me at 715 - 386 -4680. Sincerely, sry v „y Ryan Yard ton Zoning Technician m 4 Sr CRo /X COUNTY GOVERNMENT CENTER 1 10 1 CARmicHAEL ROAD, HUDSON, Wt 54016 715386 -4686 Far PZ@Co.SAw - r- CRo /X.Wl. US WWW.CO.SAINT- CROIX.WI.US 12/16/2009 14:45 FAX ST. CROIX CO. CLERK IM 001 xx TX REPORT s** TRANSMISSION OK TX /RX NO 0227 CONNECTION TEL 916517358246 CONNECTION ID ST. TIME 12/16 14:44 USAGE T 01'21 PGS. SENT 4 RESULT OK ST CROIX COUNTY AA IL PLANNING & ZONING ,�Yy� �tlo.tmYanr.r.m..e.n yurinmmmwMIM11W' M6W '�OII.n....roxmn..aw.,r... -- � � _ YMMMMNprN�WMMdtlItliCYUufuN�µ +.v.'wWrayWMNrv4 rww'na nowemmnrooxuuet u-amr- -�...W December 16, 2009 i David Libman ReMax ,,, 604 Bielenberg Drive Suite 100 CodcAdlninistraa Woodbury, MN 55125 715 - 386 -4680 Landz2f°`.'adon RE: Residence at 1751 235 Ave, Town of Stanton, WI Planning 715- 386 -4674 Re At the time of installation D 0 this �l,n.�op� ( ecember12, 20 9) mound was inspected by St. 715 - 3$64677 Croix County and found to be in compliance with the Wisconsin Department of Natural Resources requirements for wells listed in NR 811/812 and as such, is in .Recy - 386- 4675 compliance with the Wisconsin Department of Commerce chapter 83 and the St. 7�1�5 86 - Croix County Zoning Ordinance Chapter 12 that regulate requirements for septic systems. However it was later discovered that the parcel of land which included the mound system had been split from the existing residence and sold to another party. Therefore, to bring this system into compliance the parcels must be combined or an easement recorded to allow maintenance and use of the mound system. Included are the inspection report, site plan, and permit application for the property, If you have any questions, please feel free to call me at 715 - 386 -4680. =; Sincerely, V " 4d° P %In n Va rri +nn y . STATE AABL E_ OO NSIN FCiHMA 2. . .�7ry�q_ rte. j� -'_ -- t a) 6 't.�++ �r Y Tr+is sv ccEavEDx�w- t�o9wou+c tiwiu► .- 8llda_ i - aka 8i1-da. , _a rlst cZ -, a rfSFc S p.f-i� E irai>~r�ied 'z.r n. - FtT C- m Co W4& 7. ! AWd, for Reid t'wr 15 i b ds'}+ -of a A.D. 19 81 ores andwSor nts- (c►_ftichard A >� esselart -;and v1 IH. DOrrrt:a L P)esselink., husband. and waLfe ag ioInt tenan-t RETURK To thel fof descdt;ed r>nai_@'siZ'.t¢ . :,5't • 5ZtdIX Co un ty, Siaie of Wisconsin: _ _ - Tax Key No. The Southerly 165 feet of Lot One - of Certified Survey Map filed June 27, 7.980, recorded in Volume "4", gage 955, as Document_. No. 364883, being a part of the Northeast Quarter of the Southwest Quarter (NEU of Swh) Section Three (3), Township Thirty -one (31) North, Range Seventee (17) West. r G a ST ER z ; , This iS no t homestead property. (1.) 0s Exception to warranties: Datsd this 7 _ day of December ;9 81 . (SEAL) (SEAL) - Hilda M. Karlstad (SEAL) _ (SEAL) 1 AUTHENTICATION ACKNOWLEDGEMENT Signatures authenticated this _ day of STATE OF WISCONSIN —� St Cr oi x County. Personal,y came before me, this 7th _ day of - - De cember -- - -.19 81 TITLE_ MEMBER STATE BAR OF WISCONSIN —_ the above named (if n. t, _ -- authorized by § 706.06 Wis. Stets.) Hilda M. Kar lsta d This instrument was drafted by -- Re i-nstra . V an Dvk & Need S.C. Attorneys at Law to m known to Fie.the� o e person - -whxecuted the foregoi Ne Richmon Wisconsi 54017 e o , g SirUrr.e.(�t �+ aLknovif ed the same. 'Signatures may be authenticated or acknowledged. Bath are not necessary.) Lsr.�la r7; — iinlAry PubQr, d Di X - -- County, Wis. :i - Names or Pcrso akg ny rao ni4l; in a srify mull be lyood or pr!^:ed below their ea eir slg.la' ur. o.s Idly Commiss3on- ^13 pefri;�nent. (If no.', state expiration date: :i 11- 2 -- -• t9 - Gi47ii0. iTY OE::G -• sfAtE BAR OF WISCONSIN. PROM NO. 2 — (g;'7 ' "'" � Stock No. 13002 5 9 Rat p I Ck .V 14t>. IPA G r p aj" x q5 (. m s x 73 ,.a E! 98- �a 0 0 <s ` a lob 35,.3 5 3` f i r Safety and Buildings Division 201 W. Washington Avenue SANITARY PERMIT APPLICATION *6onsin P O Box 7302 In accord with ILHR 83.05, Wis. Adm. Code � Department of Commerce Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. St t • See reverse side for instructions for completing this application State Sanitary Per n o tN um Nm { er Personal information you provide may be used for secondary purposes C1 Check if Z. to previouslapplication [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFO MATT N q I sa Prop e Owner Name Propert Location r ,Qc A W,14ij 114,5 3 T 3 1 ,N,R E(cl Property wner's Nfailing Address Lot Number BlockNum ber /7- City, Stat L Zip Code TPhone Number Subdivision Name or CSM Number QV ( Al X II. PE F BUILDING: (check one) ❑ State Owned _ it( Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms X v ow9 of 111. BUILDING SE: (If building type is public, check all that apply) arcel Tax Number(s) 3 3 ,�. I 1 ❑ Apartment/ Condo 3( — 1 —' 0 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. ❑ Reconnection of 5_ ❑ Repair of an ------ System System Tank Only 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 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) L Elevatio 7S 9 7 �� L 9 �' Feet /t6, Feet '430 3 VII Capacity gaon IN in ll Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer shame Concrete Con- Steel glass Plastic App New Existing structed Tanks Tanks Septic Tank or Holding Tank 5 T ❑ ❑ ❑ 1:1 13 Lift Pump Tank /Siphon Chamber 6 El ❑ ❑ El El RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for in lation of the onsite sewage system shown on the attached plans. L Plumber's Name: (Print) PI er's Sig ture: o Stamps) MP /MPRSW No.: Business Phone Number: - 7 `I (5 (o - _i5 Plumber's Address (Street, City, S a�Zi�p bode) I c i : IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing A nt Si ature No Stamps) [v]Approved ❑ Owner Given Initial �� Surcharge Fee) / Adverse Determination s / '00 r7 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber FILE JUN 27180 ►� a m of COMM 3 64883 , 61 0 � p Cr* 60 11011F CERTIFIED SURVEY MAP 8 A parcel of land located in the NE- 4 of the SWu of Section 3, T31N, R17W, Town of Stanton, St. Croix County, being further described as follows: The East 200' of the North 400' of the NE4 -SW, � ( recorded in Volume 472, Page 401, Register of Deeds Office). Above parcel being more particularly described as follows. Commencing at the W4 corner of said Section; thence N89 52'20"E (bearings referenced to the N -S quarter section line, assumed bearing N0 47"W) along the E -W quarter section line 2439 .55' to the point of beginning; thence continuing N89 "E along said line 200.00' to the center of said section; thence SO °18'47 "E along the N -S quarter section line 400.00'; thence S89 "W 200.00 thence NOo18'47 "W 400.00' to the point of beginning. Said parcel contains 1.837 acres and is subject to an existing town road over the Northerly portion thereof and also easements and restrictions of record. I, Bradley J. Canaday, registered Wisconsin Land Surveyor, do hereby certify that I have surveyed and mapped the above described property; that such plat is a true and correct representation of the exterior boundaries of the land surveyed; and that I have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the St. Croix County Subdivision Ordinanc"tobact- my essio al knowledge, understanding, and belief. i Bradley J. Canaday GQNs. �i Wisconsin Land Surveyor S -1 �PAW Stevens Engineers, Inc. .L►•� 1409 Coulee Road Date: April 28, 1980 BRADLEY J. Hudson, Wisconsin 54016 A CANADAY Z w S -1462 RIVER FALLS Surveyed for and Owner: Hilda Karlstad ;; yylg ffs Rural Route p i e ,.•!�0� Star Prairie, Wisconsin <-q CENTERLINE TOWN ROAD O too set E -W QUARTER SECTION LINE ___________ ____ ____ -_ ______ Sset M M N 89 0 52'20'�E _2439.55 70 _ N89 0 52'20 "E 200.00' to �1-- .in �. WI /4 CORNER - - ----- - - - - -- - - - - - -- SECTION 3, POINT OF BEGINNING �° 20000, CENTER OF SECTION T31 N, R17W IRON BAR FOUND R/W LINE o a 3 r -- , W r` '0 LEGEND N ° - 5/4" IRON BAR FOUND o I o Q+ _� ° z 1 IRON PIPE FOUND o " N o �' v� cn • o o z co 0 3/4" X 24" STEEL REINFORCING `r 1.837 ACRES I Z ROD WEIGHING 1.502LBS. %LINEAL 1 •' 23 %+rRES >; U; u TO R /WLINE w ir # a: FT. SET m "' z M' a ; o SECTION CORNER MONUMENT 3 w J N, ~ W APPROVED d EXISTING HOUSE ° No w o ON THIS LOT � w �� w w a ° ° to X. 1 JUN 18 1980 Z ° W �; W W m LLh 0, �. n Ir V i > ; ST. CROIX COUNTY � a COMPREHENSIVE. PARKS PLANNING - �p �' a AND ZONING $pM TEE : 1 0, SCALE IN FEET 1 =1 o 0 U) a of 4 I z 50' 0 I00' 200' S 89 0 52'20 "W 200.00' 3 a LD Volume 4 Page 955 0 z SI/4 CORNER THIS INSTRUMENT DRAFTED BY _��� - - - - ° -� r 1431PAGr 336 r STATE BAR OF WISCONSIN FORM 2 - 1998 +644315 KATHLEEN H. WALSH Dgcument Number WARRAN D EED REGISTER OF DEEDS ST. CROIX CO., WI This Deed, [Wade between Richard A. Hesselink and Donna L. RECEIVED FOR RECORD Hesselink, husband and wife, Grantor, and Joseph D. Hesselink and Jennifer A. Hesselink, husband and wife, as survivorship marital property, Grantee. 06 -04 -1999 9:30 AM Grantor, for a valuable consideration, conveys and warrants to Grantee WARRANTY DEED the following described real estate in St. Croix County, State of Wisconsin (The EXEMPT 0 8 "Property'): CERT COPY FEE: COPY FEE: The East 200 feet of the North 400 feet of the Northeast Quarter of the Southwest TRANSFER FEE: RECORDING FEE: 10.00 Quarter (NE 1/4 of SW 1/4), Section Three (3), Township Thirty -one (3 1) North, PAGES: 1 Range Seventeen (17) West EXCEPT the South 165 feet thereof. ALSO described as Lot One (1) of Certified Survey Map filed June 27, 1980, in Volume "4" of Certified Survey Maps, page 955, EXCEPT the South 165 feet thereof. Recording Area Name and Return Address `\ � 036- 1006 -10 Parcel Identification Number (PIN) This is not homestead property. Exceptions to warranties: Subject to all easements, restrictions and covenants of record. Dated this l0" - day of , 1999. I I *Ri and A. Hesselink *Donna L. Hesselink AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) �f ) ss. County) authenticated this , day of Personally came before me this —�� 6" y of _�� , 1� the above named C at^ 4 / ri & - /b4 SS C , /n /c to me known to be the person(s) who executed the foregoing * instrument and acknowledge the same. TITLE: MEMBER STATE BAR OF WISCONSIN Of not, authorized by § 706.06, Wis. Stats.) ;° - THIS INSTRUMENT WAS DRAFTED BY Notary Public, &aee of Wisconsin Ronald L . Siler My Commission is permanent. (If state expiration date: VAN DYK, O'BOYLE & SILER, S.C. Post Office Box 127 ; N ew Richm n W1 54017 (Signatures may be authenticated or acknowledged. Both are not necessary.) r - i