HomeMy WebLinkAbout036-1069-60-000 r
VisconslOn Department of Commerce PRIVATE SEWAGE SYSTEM y:
Safety and Buildings Division Count
INSPECTION REPORT St. Croix
GENERAL INFORMATIO (ATTACH T PERMIT) ) Sanitary Permit No.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 353168
Permit Holder's Name: []City ❑ Village [],Town of: State Plan ID No.:
Town of Stanton C = T�.s.am I'd #
CST B lev.; Insp. BM BM Description: Parcel Tax No.:
O lUv v e_4 036-1069-60-000
TANK INFORMATION ELEVATION DATA aq, a 14 17, ejgS4
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic P ��(�p Benchmark 0 Z C6 0 Z Q
Dosing Alt. BM J
A Bldg. Sewer VID4 5 /v •88 q9 ��'
Holdi St /Ht Inlet $'.gY q'7. -- }
TANK SETBACK INFORMATION
TANK TO P/ L WELL BLDG. Air I to ntake ROAD
Air
Septic 1 r ' NA Dt Bottom 12 S 9 t3 r
Dosing / � 1+ "� f NA Header/ Man. �. 3 02. c Z
Ae Dist. Pipe q . 3 0
6 , 3
Holdi Bot. System 5.3 5-.7 let. 3.;
:- PUMP/ SIPHON INFORMATION Final Grad —4w-
Manufacturer Demand St cover 1 ( •� } f
Model Number s 184M f C 5 fob -es 10
n Q� TDH Lift 7 7 3 9 Friction .7 System a,S TDH I(• 4ZFt ead Loss ` C Forcemain Length Dia. Ff 2 " Dist. To Well 6K
S L ABSORPTION SYSTEM t,a
BE TRENCH Width Length , No. Of PIT No. Of Pits Inside Dia. Liquid Depth
EN I N S Lai lakkAlt I DIMENSION
SETBACK
SYSTEM TO P / L I BLDG WELL LAKE/STREAM LEACHING Ma cturer: INFORMATION Type O CHAMBER
_.. � o e Num
System: 1 , t vD 5 J� OR UNIT
DISTRIBUTION SYSTEM
Header / Manifold Distribution Pipe(s) u �, x Hole Size x Hole Spacing Vent To Air Intake
Length � Dia. Length -I Dia. 2 Spacing 1/ f u a %
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/Tr nch Center Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS (Include code discrepancies, persons present, etc.) Inspection #I: /a %i /?f Inspection 9 If 7
/:, Location: 1548 Highway 64, New Richmond, WI (S 1/4, SW 1/4 ec . 29 T31N - R17W) - 29.31.17.448A
�t•i � � �ieri �, �G��S
11
Plan revision required? ❑ Yes K No
Use other side for additional information.
SBD -6710 (R.3/97) Date Inspector's Signature Cert. No.
r
Safety and Buildings Division
Itis SANITARY ERMIT APPLICATION 201 B Wa hi
Department Department of Commerce In accord with ILHR 83.0 5 , Wis. o e C Madison, WI 53707 - 7302
• Attach complete plans (to the county copy only) for the syst `�o i''paper ot less" my
than 8 1/2 x 11 inches in sizes
" ' la "
• See reverse side for instructions for completing this appl L 9 41 anitar y
Permit Number
r� 3
Personal information you provide may be used for secondary purposes k if revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. ~ . -t ST CHOIR j . Ian I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL R
Property Owner Name Propert Loca {
Ar/ 0- 011W4- \ -- a.115 Zq T , N , R 7
Prope y Owner's Mailing Addr ss, f er Block Number aVU
Cit , State_ % I Zip Code Phon�N�� er Subdivision Name or CSM Number
R c 1 ) b
II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Ity age Nearest Road
Public 1 or 2 Family Dwelling Vil - No. of bedrooms Town of
III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) O aCl �3 , ��. -{&
1 ❑ Apartment / Condo 6,2-o— '�� l too _Oc
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______________ 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 ISMound 10 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In- Ground Pressure g � x 42 E] Pit Privy
13 ❑ Seepage Pit t �Se�! 43 ❑ Vault Privy
14 ❑ System -In -Fill o(.,� ,5
VI. ABSORPTIONS EM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. jyjWnjEly 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation
CL/ W Feet Feet
VII. TANK Capacity
in gallons Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Exist in structed
Tanks Tanks
Septic Tank or Holding Tank — = I I I M L ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber — F500 60fn bo I Fy I ❑ 1 ❑ 1 ❑ 1 ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plu is Si ature: M �� �P � p R 900 flu.. Business Phone Number:
Plum tier's A r ss (Stre , Cjt ,State, Zip Cod
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved S nitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stamps)
'�1pp roved
E] Owner Given Initial Surcharge Fee)
Adverse Determination
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
� G��►� � hl� �t-q 2� sn `fib � w�•
SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumbe
Safety and Buildings
10541N RANCH ROAD
HAYWARD WI 54843
TDD #: (608) 264 -8777
Visconsin www.commerce.state.wi.us
Department of Commerce Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
October 05, 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: 10/05/2001 Identification Numbers
Transaction ID No. 249645
Site ID No. 181553
SITE: Please refer to both identification numbers,
Site ID: 181553 above, in all correspondence with the agency.
ST CROIX County, Town of STANTON; HWY 64, NEW RICHMOND 54017
SETA, SW1/4, S29, T3 IN, R17W
Facility: BRUCE DILLEY HWY 64, NEW RICHMOND 54017
FOR: MOUND, 600 GPD
Object Type: POWT System Regulated Object ID No.: 493228
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
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:
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. DI
3. The area 25' below the downslope edge of the mound must remain undisturbed.
4. Maintain well and waterline set backs per COMM 83.10(1) and 83.14(4)(a).
5. The proposed pump is at its limit with the proposed total dynamic head. If upon installation, the tot a?'_ SEE CUR
dynamic head increases, the proposed pump will be inadequate.
• NOTE: A soil absorption system should be designed as long and narrow as possible. This system has a 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.
S erely, DATE RECEIVED 09/21/1999
FEE REQUIRED $ 180.00
/L FEE RECEIVED $ 180.00
PATRICIA L NDORF , P TS PLAN 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
i
MOUND SYSTEM DESIGN
Residential Application
INDEX AND TITLE SHEET
Project BRUCE DILLEY
Owner BRUCE DILLEY
Address 1548 HWY 64
NEW RICHMOND WI 54017
Legal Description SE 1/4 SW 1/4 S29 T31 NR 17 W
Township STANTON County ST.CROIX
Subdivision Name Lot No.
Parcel ID Number '
uF
4 F E
i
Plan Transaction Number ;�E'SPOND lLI)jNCS � Index and title sheet Page 1 ENCE
Mound calculations Page 2
Mound drawings Page 3l�%
Pres. dist. calcs. and laterals Page 4 /
TDH and pump tank drawing Page 5
PLOT Page 6
PUMP Page 7
SOIL REPORT Page 8
Designer BRADY LLTGARD License Number 220357
Signature Phone No. 715 - 268 -6995
Date 9 -7 -99
Notice: Tampering with this file by unauthorized persons is prohibited.
Deliberate modification will result in disciplinary action under s. 145.10, Wis. Slats.
Personal information you provide may be used for secondary purposes [Privacy Law, s.16.04 (1)(m)J.
SBD- 10462 -E (R.05/98) Pagel of 7
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) , .. .J Replacement system?
Creviced bedrock site? n (y or n)
Slope 4 %
Wastewater flow rate 600 gpd 2271 Lpd
Depth to limiting factor 50 in 127.0 cm
In situ soil infiltration rate 0.4 gpd /ft 16.3 Lpd /m`
Contour line elevation 100.0 ft 30.48 m
Use standard fill depths? X OR Design depth? in cm
Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth.
Center or end manifold (o or e) Hole diameter r - 0 -3 2 - 61 in 0.181, 0.156, 0.188, o 0.25,
0.281, or r 0.3 0.313 inch only.
Lateral spacing 3.00 ft Use 0 lateral spacing for trenches.
Estimated hole space 3.00 ft Not a final calculation.
Number of laterals 2 Pump tank elevation 89 ft Outside bottom of tank.
Forcemain length 120.0 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 5132=0.156 1/32 = 0.281
Estimated daily flow 600 gpd F 2271 Lpd 3116=0.188 5/115=0.313
7/32 = 0.219
Absorption cell
Design load rate & area 1.2 gie 500.0 ft` 46.45 m
Linear loading rate (LLR) 9.52 gpd /ft 118.0 Lpd /m
Design width (A) 8.00 ft 2.44 m
Cell length (B) 63.0 ft 19.20 m
Depth of cell (F) 10.0 in 25.4 cm
Sand filter
Upslope fill depth (D) 12.0 in 30.5 cm
Downslope fill depth (E) 15.8 in 40.1 cm
Basal area required (gpd/infiltration rate) 1500.0 ft 139.35 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) 10.48 ft 3.19 m
Up slope toe length (J) 7.60 ft 2.32 m
Down slope toe length (1) 15.80 ft 4.82 m Basal adjustment made.
Total mound length (L) 83.96 ft 25.59 m
Total mound width (W) 31.40 ft 9.57 m
Project: BRUCE DILLEY
Transaction Number: Page 2 of 7
PRESSURE DISTRIBUTION CALCULATIONS
Absorption cell Inch-pounds Metric
Width (A) 8 d ft r 2.44 Im
Length (B) 63.0 ft 19.2 m
Lateral specifications
Number laterals 2
Holesilateral 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) IPlace X in red
from the options 1 1/2 in (40 mm) Ibox 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 by clicking in one of the drawings at right and dragging the diagram into this area.
Laterals centered over the A & E3 d imension Last hole drilled next to end cap en
P
r1ateraWls Wentioal IF X-3I Holes drilled on the bottom of the lateral equally spaced 3
nnection Via tee or oross to manifold at any point. Laterals & foroe 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 in 6 4 mm
Lateral diameter 2.00 in mm
Forcemain diameter 2.00 in mm
Project: BRUCE DILLEY
Transaction Number: Page 4 of 7
MOUND PLAN VIEW
observation pipes (typical)
�J
31.4 ft q" A= 8.00 ft 2.44 m
9.57 m B = 63.0 ft 19.20 m
W I -- B J= 7.60 ft 2.32 m
I K 1= 15.80 ft 4.82 m
K= 10.48 ft L1.2m
L _ 1 8396ft
25.59 m typ. obs. pipe
(anchored securely)
I = down slope dimension = absorption cell (AxB)
J = up slope dimension p = plowed area (LxW)
K = end slope dimension 6" (152 mm)
T
MOUND CROSS SECTION
D= 12.0 in 30.5 cm
lateral
topsoil H subsoil cap E = 15.8 in 40.1 cm
invert 101.50 ft F = 10.0 in 25.4 cm
- - - - -- -- - - - - -- .. , ...
elev. 30.94 m F G = 12.0 in 30.5 cm
T ASTM cis H = 18.0 in L4ncm
D Sand Fill E
Sys. 101.00 ft +
elev. 30.78 m 100.00 ft contour
30.48 m elev. 4 % —�
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: BRUCE DILLEY
Transaction Number: Page 3 of 7
TDH and Pump Tank Drawing
Total Dynamic Head
Operational head 2.50 ft 0.76 m
Vertical lift 11.80 ft 3.60 m Are laterals the highest point in the
Friction loss 4.60 ft 1.40 m system? Yes " X' here.
Total dynamic head 18.90 ft 5.76 m If no, what is the highest elevation
Dose Volume downstream of pump? u
Dose is > 10 times lateral volume Forcemain drain
Lateral void volume 20.9 gal 79.1 L back to tank? ("x" one)
Minimum dose 209.0 gal 791.1 L x Yes
Drain back 20.9 gal 79.1 L No
Dose volume 229.9 gal 870.3 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 proof warning label and locking device
grade levels junction box grade levels
disconnect g
alternate
4" vent pipe electric as per NEC 300 and :;: E-- outlet
Comm 16.28 WAC location 18" (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 89.7 ft C - pump tank manhole = 4" (10 cm)
off elev. 27.3 m minimum above finished grade
D - vent = 12" (30.5 cm) minimum
above finished grade
89.0 ft Pump tank elevation
3 " (75 mm) of bedding under tank 27.1 m bottom of tank
Tank manufacturer MIDWESTERN
Pump tank capacity 19.51 gal /in
Pump tank volume 800 gal
Pump manufacturer IGOULDS Inches Gallons
Pump model number EP05 c A 22.2 433.5
.c B 2 39.0
Alarm manufacturer LEVSLALAM C 11.8 229.9
Alarm model number JDLV p D 5 97.6
Project: BRUCE DILLEY
Transaction Number: Page 5 of 7
r
Bruce Dilley
SE'SA S29- 731N -R17W
town of':Stanton
N
loll
Em,= top cf concretf, slab by building S el. 100.00'
A1 BM. 1:.11p of concrete floor of building by side door C el. 104.00'
ti
ao
, boo
Klds
Submersible
Effluent Pump
3871 EPO4
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 Motor: Available for automatic and and float switch attachment
• Heavy duty sump • EPO4 Single phase: 0.4 HP, manual operation. Automatic points_
• Water transfer 115 or 230 V, 60 Hz, 1550 models include Mechanical
• Dewatering RPM, built in overload with Float Switch assembled and ■ power Cable: Severe duty
automatic reset. preset at the factory. rated oil and water resistant.
SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and tower
115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing
Pump: EPO4 built in overload with construction.
• Solids handling capability: automatic reset. ■ EPO4 Impeller: Thermo -
3 /4 maximum. • Power cord: 10 foot Plastic Semi -open design AGENCY LISTING
r • Capacities: up to 55 GPM. standard length, 16/3 SJTO with pump out vanes for
mechanical seal protection
• Total heads: up to 24 feet. with three prong grounding . Qp CarfafHan Sbnbrb AssWatioa
• Discharge size: 1 12" NPT. plug. Optional 20 toot ■ EP05 Impeller: Thermo- end numbers
(CSA listed mode!
• Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for d i " to or " del
rotary/ceramic- stationary, three prong grounding plug improved performance. )
BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged
• Temperature: thermoplastic design provides
104 °F (40 °C) continuous superior strength and
140 °F (60 °C) intermittent. corrosion resistance.
• Fasteners: 300 series METERS FEET
stainless steel. 10
• Capable of running t
dry without damage to s 30 -[ GPM
components.
Pump: EP05 s zs FT q�
• Solids handling capability: 0 25 t 7
3 /d' maximum. a z
w
• Capacities: up to 60 GPM. _ __ _ __ _
• Total heads: up to 31 feet. s let
• Discharge size: 1 NPT. z 5
• Mechanical seal: carbon- 0 1�
rotary/ceramic- stationary, 4 1
BUNA -N elastomers. t 1 • b2 •'� A
• Temperature: 3 10.
104 °F (40 °C) continuous ePOo
140 OF (60 intermittent. 2
r-_
1 I
0 00 10 20 30 40 50 GPM
0 2 4 6 8 10 12 M
CAPACITY
7 1995 Goulds Pumps Effeclive May. 1995
I
83
UVIL AMU 51 1 t CV ALUA 1 {VIN! KCI•VK 1 r34ta ± of �
U r'Urnert !tr? itions
Dfv:a.. of Sa/sr,� d Il ift inps in wwrd with ILHR 83.05, Wis. Adm. Cods --��•
Aawk oomplota iw:j plan on paF:er not less than 8 1/2 11 inches in size. Plan moat include, but St. G >_
not Ike ted'to Y l and horizontal ralerence point (9M), direction and % of slope, scale or FPARCEL 1.0. A
dimetr rioned, r or tH tarow, and k cation and distance to near" road.
APPI,''CANT ' fNF(IRMATION.- PLEASE PRINT ALL INFORMATION IEWE0t1Y 01U'E
PIze ERTYOVWt:i:, PROPERTY LOCATION
Ft: uCe D: 11 _L .. +� GOVT. LOT SE 114 SW 114,S 29 T 31 .N,R `' fti0r) W
P ERR' OV9 rk S MAILING ACORESS V LOT +t 9L OCK• SUBO. NAME OR CSM i
b V _ _ a
�, na 20 acres
CIT1 ST T PHONE NUMBER CITY QVILLAGE 0 NEAREST ROAC��
1+b ? ' VC)utr,)rad, W1. a4 1 ( 71 246 - 3668 4
pq ?; ,m Cords n c:il m use :) Residerael ! Numter d beftodns 4 (} Addition to eldstitr4 Wilding
l J I: �plat�emdert (J Pvblid;.orcontmerd9atdesatbe _
Cad: derived dial ], I taw 600_ gpd Recommended design loading rate .4 bed. gpd0 •5 VuvICh, gpt: A
Abso pbon area iQ1 iked Ot ! bed. � 5 bent► 11 Maximum design loading rate 14 bed. 00dift .5 bw1ch. gp
Rw nmendei I it Ilir ;atlon sdrr�oe etevadorl(s) 100.95 K (as referred ID site plan benchmark)
Add; md OW;n I iiteoonWerad,wo asystEOOt e l. based an contour line of el. 99.95'
Par( t mater I s r7 acf al drift Flood pWn eleVatkn if applicable na �.
E C
ma r1lENT1ONAL M UWO nJ GROUND PRESSURE AT•Gg1►DE SYSTEl1r (N ILC F�: t rtguutt�it. k :: (stem Q S a U S Q U S Q U ®S Q U Q
S 2o J
SOIL DESCRIPTION REPORT
� • Depth Durninant Color Mottles Structure 1
Boring f. Horzu fn. Mvnseti Qu. Sz Copt Color' r Texture Gr, Sz. Sri. BPD Consistence BWXUY Root; - Aed +erldt
1 _ 0 -8 10yr4/3 none 1 2csbk mfr f t _.5
F 2 8 -27 7.5yr4/4 gone sicl 2csbk mfr gw if .4 .5
3 27 -88 5yr4/4 none scl 2csbk mfr na na �.4 ;.5
Gtdxsnc ,j-
elev _
Depm II
factor
j
Rer1 zrl , : i s
r.
Boring r 1 �. ' D-8 10yr9/3 none 1 2msbk mfr 9w 72f .5 .6
z 2 t .2 - I 6-24 10yr4/4 none sicl 2csbk mfr gw If .4 .5
3 24-54 5yr4. /4 none scl 2csbk mfr 91W if .4 - .5
Gmunu - - --
elev. 4 54-84 2.5y4/6 none Biel lcsbx mfr na na .2 .3
98 ._.
+84 L
IimiUtr.) i
.:
Remarks
CS', Name:-- ?tr:n,! t Print G i y L. Steel Ptaac: 715- 246 -6200 ..
AI su: M A ''. ) New Richraond, WI 54117
Sig Data 6 -12 -99 CSTNtunber tic2298
TO 39VJ dd9r LS bS :OZ 666T/ST/60
ppop�';�Fq_ ;7irr Di113y SOIL. DESCRIPTION REPORT paw
Boring # Honk ri i epth Darr inartt Color Texture 3truCture J in. 6Aunselt. Ou. Sz. Cant Color. Gr, Sz. Sh.
1 l0 yr3 /3 Wane 1 2m$Yatc mfr gv 2f 2 1 i • -26 10'yr4/4 ram, sicl 2msbk �r gw if Grand 3 , -5D 5yr4/4 rANMI scl
2csbk mfr gw if
t ` 65 tc 4 K -65 5yr4/4 c2p 7.5yr5/8 scl 2csbk mfr na as . 5
i kmiDng ,..
Dep to
facba
Boring
i
G*jM
-
tt
00010
tam
boring # .
Ground
wv.
fdCAtr _
RemartcS .
Boring #
-
elgv.
NO to
tam
CO 39dd vd9r Z9 rS:OZ 6661/9Z/60
I
ST'EEL'S Sorg sERwcE
Gar} Steel Bruce Dilley 1554 :1)dth Ave.
CST1 _ New Richmond. , (41 54017
SE'�54� S29 T31N -R176i
MPR ,W -32:)" town ot'.Stanton (715
N
of :_ 401
fit. = top c concrett slab by building ® e1. 100.00'
All SM.- t t ip of cor crete floor of building by side door el. 100.00'
kir
A e ,
g, A o k
Gary L. Steel
6 -12 -99
ZO 3Jhd hdJC LS bS :OZ 666
, Wisconsip Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Hjman Relations
Division of S fety &Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix
not limited to vertical and horizontal reference point ( r ct oar % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and dista �� -- (50 "� '' IEWED BY DATE
APPLICANT INFORMATION PLEASE P It �4LL IN4DRMA1t�Tl,
PROPERTY OWNER: 1i PERTY LOCATION
Bruce Dille . LOT SE 1/4 SW 1/4,S 29 T 31 N,R 17 fdpr) W
PROPERTY OWNERS MAILING ADDRESS _ � # BLOCK # SUBD. NAME OR CSM #
1548 h . #64 7�p Qp� 'ST C laOl x na 20 acres
CITY, w Ri C IT
Richmond, WI . 5417 Stanton GE [TOWN NEAREST ROAD #64
.'
1:4 New Construction Use [x ] Residential / Num d 4 [ ] Addition to existing building
I ] Replacement [ J Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd /ft .5 trench, gpd /ft
Absorption area required 500 bed, ft 500 trench, 11 Maximum design loading rate .4 bed, gpd /ft .5 trench, gpd /ft
Recommended infiltration surface elevation(s) 100.95 ft (as referred to site pla rk)
Additional design / site considerations system el. based on contour line of el. 99.95' - 'C_S,.e_,A a,- B ��
Parent material g1 ac•i a 1 rlri ft- Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable for s stem EIS ®U EIS D U I ® S ❑ U ® S ❑ U EIS f l U ❑ S lR U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bmiclaly Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends
<' 1 0 -8 10yr4 /3 none 1 2csbk mfr cfw 2f .5 I .6
2 8 -27 7.5yr4/4 none sici 2csbk mfr gw if .4 I.5
Ground 3 27 -88 5yr4/4 none scl 2csbk mfr na na .4 .5
elev.
98.7
Depth to
limiting
factor
+88
Remarks:
Boring #
1 0 -8 10yr4 /3 none 1 2msbk mfr 9W 2f .5 .6
2 2 8 - 24 10yr4 /4 none sicl 2csbk mfr 9W if .4 .5
3 24 -54 5yr4./4 none scl 2csbk mfr 9W if .4 .5
Ground
elev. 4 54 -84 2.5y4/6 none sicl lcsbk mfr na na .2 1 .3
98 ft.
Depth to
limiting
factor
+84"
Remarks:
CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200
Address: 1554 200 e. New Rich and WI 4017
Signature: Date: 6 -12 -99 CST Number: m02298
PROPERTYOWNER Bruce Dilley /�, SOIL DESCRIPTION REPORT Page 2 •of 3
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 -10 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6
2 0 -26 10yr4 /4 none sici 2msbk mfr gw if .4 .5
Ground 3 6 -50 5yr4/4 none scl 2csbk mfr gw if .4 .5
elev.
99-.-G5ft. 4 0 -65 5yr4/4 c2p 7.5yr5/8 scl 2csbk mfr na na .4 .5
limiting s
factor
50"
Remarks:
Boring #
Ground
elev.
ft. —
Depth to -
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
4 factor
Remarks:
SBD- 8330(8.05/92)
n
STEEL'S SOIL SERVICE
Gary L. Steel Bruce Dilley 1554 200th Ave.
CSTM2298 SE4Sw4 S29- T31N - R 17w New Richmond, WI 54017
MPRSW -3254 town of'.Stanton (715) 246 -6200
i
=40
BM. top of concrete slab by building @ el. 100.00'
` Alt. BM.= top of concrete floor of building by side door C el. 100.00'
-�
0-1— 45
b
A V o
V
Gary L. Steel
6 -12 -99
I
ST CROIX COUi�
SEPTIC TANK MAINTENANCE AGREgmbl'T '!o 44 om
AND
OWNERSHIP CERTIFICATION FORM
Owi -- /Buy : ,..� e F Gt/
Mai n.g Ac d v ;s / S / 8 ��' y G Nfw �, ��,� -� .. ti ,o 6J I
Pre, -Ir•ty A : , �(.a ; a ;s � S � � �w G V A/fw c ,m �,.�r/, &-)i 5'_
(Verific ition required froin Planning Department for new construction)
City Sate ��� N�! (rvi s Parcel Identification Number 3 (9 — 10 (0q - 16D _DO�
LEI A D IE,� it ; RIPTIOI 4
Prol -Ay Loc ;:r ; an ' / <, - ' '/., Sec. q� T l N -R 1 �l W, Town of
Sub ivisior , „•,. _ , Lot # 1
Ceir ified Eij t -i ey Map # Volume , Page # M .,
Wit ranty .IJ t! d # 5 �' �` "1 . Volume d b . Page # 3 S
Spt, house I yes Pd nc Lot lines identifiable* yes ❑ no
SY: F : 'i!�, ; :�; INTENAI4CE
Imp ry i ::= use and ma: atenance of your septic system could result in its premature failure to handle wastes. Pm per n:.;,.: rtenance
cons ;t:; of pull g::i 3g out the s ;ptic tank every three years or sooner, if needed by a licensed pumper. What you put into system
can; Tect the f ipri tion of the septic tank as a treatment stage in the waste disposal system.
The 'pi I;li: orty owner tgrees to submit to St. Croix Zoning Department a certification form, signed by the owns: a a d by a
mas,i rplumb!�.t . ; , urneymanp lumber, restrictedplumber oa a licensed pumper verifying that (1) the on -site wastewaterdisp.: ! system
is in groper o, % r•': 7ng condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1. 13 full , i sludge.
l/we the un&r: ij; ned have re A the above requirements and agree to maintain the private sewage disposal system with tl;:: ; :andards
set f - di, here, „s , set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. C, : i ification
state ; that yow !; .ptic systeir has been maintained must be completed and returned to the St. Croix County Zoning; Offics: ithin 30
days A the thin Year expirat on date.
r /
G1 , A.TUIU 1,,. L, CAt ft DATE
0V S ER 1 ::'U i : TIFICA?'IO
i I (w itify that at statements on this form are true to the best of my (our) knowledge. I (we) am (are) the c v ier(s) of
the l o, erty :Ie.:,r, ibed above, by virtue of a warranty deed recorded in Register of Deeds Office.
r
ATURI c 0D Il DATE
Any ir.,` : imation tha s- represented may result in the sanitary permit being revoked by the Zoning Departmf:
** I elude v Ir ::his 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 NO. WWANTY DEED 'Nla eRAC2 RESERVED FOR RECORDING DATA
STATE BAR OF WISCONSIN FORM Z — UU
48 5034 von 956 PAU1345
REGISTER'S OFFICE
GAY L. COOK and NANCY JEAN COO GraatiQr�, ..................... � "EC�OIXCQ"
... .....-- • .. ................ . .• -- .... ..... ............_. ............................... a; R.c�d�lxRecad
...... ...••-.....--•. ......................... -.. - -- ...... .........- .....- •- •------ - - - - -- JUN 2 31992
.... .. ..... ........ .......... ........ ............. ...............-•...
..... .........
DIXIE- LEE._Ii........ a 10:20 A. M
...
_.. ISENER...0 nmarried ..persons..holding..an.. joint..teanta, -----
...... Gzante s ...... ......................... ..........................................................
... ............... ...... •--- •---- .....--- •• - - - -•- ........................ ....................- ••-- -• -• -• o
........ ........................................................ .. ..................................... $ 0Z ........ ............ ......_...._... ............... ..............
............................... I............. RETURN TO —_
.. ...................... ............................................. ............................... ....... .
the following described real estate In St...iCroiu ............ County,
(� State of Wisconsin:
TaxParcel No: ..............................
E! of SEh of SW'h of Section 29- 31 -17.
Ch A,
$ �a0 ,
I
TOGS HEX WITH aid SUBJECT TO reservations, restrictions and easements f �
of recor e f any.
I
ir
......... :,:mes'.:.ad property.
ON (is not)
f Exception to warranties:
ON
-&k 5 F
Dated this . .......... aZC_._..----- ... . % OTV .Tote , 19..42...
'k *= - ,�'
A��(/ (SEAL)
* i..•. - ------- - _. ... ._GARY L. COOK
__ -. . ...... .... ........................................ J
NNS• , ,
(
- - -- -- -- --- .....~' 16 � • - -- ?� J . ...... ...... _
NOTAiRY � `'
AUTHBNTI ON S* ACHNOWLISDGURNT 1
g tore s ;J t. SI �• STATE OF WISCONSIN
lens () •--------------- - - - - -- • '• r
•�L x �:; •• ,r
r Vf .,•.•...•• ,St, ta.
a
ei 7rf WIS r�rt'*• . .�T..-- GRQIS----------- •• - - - - -- County.
authenticated this ........ day of ............... ..... �1!!.°; �9 ...... Personally came before me this ................ day of
-- - - - --- --- ---- --• ---- 19 .... 9 the above named
--- --- --- --- -•-----• - -- ........................................................
--- •-- -- ----- -- °•----- --- - -• ............................................................
• Gary L,. Cook and Nancy Jean Cook
•----- --- - - - - --
TITLE: MEMBER STATE BAR OF WISCONSIN
-- ---•- ----- -•-•._...--•- -• - -• •-•-- • . .............. ..•--• -- ••••.....
(If not . ................... ......... .............................
' .......----°---------------•--••--••-----•-•-----•--••-•------•--•--•----•--•--
authorized by ¢ ?06.08, Win. Stets.)
to me known to be the person B ........... who executed the
I foregoing instrument and acknowledge the same.
I THIS INSTRUMENT WAS DRAFTED BY
Attorney C. Lundeen •-•---••••---------------------•----.... .........- •--- •-- .._..--- - - -... -- - - -...
-----•-----•-------•--- •---- ••----- -------- •- - - - - -- ...........................
MUI,i;E, PORTER 3 LUNDEEN, S.C. '• ------------•-•----------------------------------------------••-----------
...110- _Second.. Street ...Hessen.,_- Wi;cons.in_.... Notary Public ------- .................CouTity, Wis.
(Signatures may be nUVt�1tica:.'d or acknowledged. Both My Commission is permanent. (If not, state esp +ration
are not necessary.) date: . . .. ............... 19
• Names of persons slanlns In any eapacity should be typed or printed below their sionatures,
WARRANTY DRICD 27-ITs WAR O! Wr9rnN.7- Wisconsin Legal Blank Co.. Inc.
90'"74 Na. It — .482 Milwaukee. Wisconsin
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