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HomeMy WebLinkAbout040-1234-20-000 }\ /a \ K 0 \ /$ f§ § //_ 0 g §2) E§ / £ 2{ 2 &!/ JE \ � &« E@ § E <\ I) \ f E = 2: m «�, � ( E) a �t2E ° -c___ z °moac » °°2 : S ) foa E7o8 LL 66 m =tt } ) 2 a �Qbc!= J ) U) ch m 0 � z CD E co .. o z k $ n / } 2 2 / E z § « m ® 2 ( \ o Q \ z z \ .. ) 0 \ ) / 2 3 j o § o a E\ \ k G m m m := o ° �\ \ § \ Z C IL LL - a. \ a a a a. ; S = a) $ $ ƒ � . $ \ 5 \ k \ _ �/ � 2 \ = % � % a § %\ ] a § \ [ * - 3. 5 ) @ m / / > §k . E 2\ f ƒ2 Cc - 6 CO § 1 \ \ g § n e° m n o z_ e ■/ 2 . � q) m ^ ) C q CL a § k v� 2 �3 2 J Parcel #: 040 - 1234 -20 -100 02/17/2005 03:31 PM PAGE 1 OF 1 Alt. Parcel #: 03.28.19.1168A 040 - TOWN OF TROY Current X; ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' = Current Owner HAUBRICH, KURT P KURT P HAUBRICH ROBBINS GERI J ROBBINS GERI J 544 TRILLIUM LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description ` 544 TRILLIUM LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: 0213 - COUNTRY WOOD 1ST ADD'N SEC 3 T28N R19W N1/2 SE1 /4 LOT 31 Block/Condo Bldg: LOT 31 COUNTRY WOOD FIRST ADDITION 2AAC EZ -UT- 1473/21 ALSO PT LOT 30 DESC AS COM Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) SE COR LOT 30;TH S 72 DEG W 03- 28N -19W SE 202.79'POB;TH S 72 DEG W 72.17 ;TH N 00 DEG E 7.38 ;TH N 72 DEG E 49.76';TH S 88 more Notes: Parcel History: Date Doc # Vol /Page Type 12/12/2002 702110 2079/98 WD 09/11/2001 656285 1716/368 WD 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 27946 307,900 Valuations: Last Changed: 07/22/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 72,600 235,900 308,500 NO Totals for 2004: General Property 0.000 72,600 235,900 308,500 Woodland 0.000 0 0 Totals for 2003: General Property 0.000 66,000 217,800 283,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 040 - 1234 -20 -000 02/17/2005 03:31 PM P 1 OF 1 Alt. Parcel M 03.28.19.1168 040 - TOWN OF TROY Current 1 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 2 Tax Address: Owner(s): ` = Current Owner RETIRED HAUBRICH " HAUBRICH, RETIRED Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 544 TRILLIUM LN SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.400 Plat: 0213 - COUNTRY WOOD 1 ST ADD 'N SEC 3 T28N R19W N1/2 SE1/4 LOT 31 Block/Condo Bldg: LOT 31 COUNTRY WOOD FIRST ADDITION 2AAC EZ -UT- 1473/21 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 03- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 09/11/2001 656285 1716/368 WD 09/28/1999 611079 1459/212 WD 2004 SUMMARY This parcel will not get taxed. It exists soley Assessed with: f for parcel history tracking purposes. Valuations: Last Changed: 02/11/2003 Description Class Acres Land Improve Total State Reason Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2003: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY ZONING D AS BUILT SAN GARY $i , _ Owner Property Address cC S y4f 10-: City /State Legal Description: Lot _ Block — Subdivision/CSM # ,G t/4 3�41 '/4, Sec. 3 , `l<'.,,N - RAW, Town of r� FIN # y SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: manufacturer Gri . 0 Size ST/PC / Setback from: House �_ Well f:2- P/L Tank m a S fZ /�7 Pump manufacturer Am (,ezy) Model 4 Y Alarm location Ag,* r (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: f1? RAID Width Length 43 Number of Trees Setback from: House , 7/ Well P/L Vent to fresh air intake 7 / .A .�F ELEVATIONS Description of benchmark ZOP df' 7& 461,C.e Elevation �GtO•d Description of alternate benchmark Elevation i Building Sewer �. 47 ST/HT Inlet 90. J,�' ST Outlet_ PC Inlet PC Bottom 3 Header/Manifold 9,X13 / Top of ST/PC Manhole Cover `-- Distribution Lines Bottom of System () P 7. s () ( ) Final Grade Date of installation /-��/ ermit numbe State plan number Plumber's signature License number 2� /! fJ Date U-1� Inspector O mil/ Complete plot plan � 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. tA/ PLAN VIEW S INDICATE NORTH ARROW I Wisconsin - Deparfinent of Industry, SOIL AND SITE EVALUATION. REPORT Page ` I - of Z Labor and Huidari Relations Division'of Safety & Buildings in accord with ILHR 83.051 "Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81 12 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference poi q � a�� nd % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and.location and . r{�'p�aearerst road.. . O APPLICANT INFORMATION -PLEA T AL IblgRMATION, BY SATE / f PROPERTY OWNER 0ROPERTY LOCATION �T N E 114 SW 1 /4,S 3 T'L8 ,N,R 19 E PROPERTY OWNER : MAILING ADDRE • U T # BLOCK # SUBD. NAME OR CSM # COUNh WOc CITY, STATE ZIP �, R CITY []VILLAGE ®'OWN NEAREST ROAD CZL l,aS GJ 0IZ w S ll t '� - MAW 14 New Construction Use Residential t r ki* y [ J A" lo existing building [ ] Replacement [ ] Public or commercial describe Code derived daily now bon 0 Recommended design loading rate `� bed, gpd/ t — trench, gpdM Absorption area required S v 0 bed, ft2 &0 trench, ft WArrium design loading rate 5 bed, gpd/ft L b trench, gpW Recommended infiltration surface elevation(s) ° t — 1 • S ft (as referred to site plan benchmark) Additional design / site considerations *-*N D\-) ►, h %+U /`d'X b3 eD . Wt" IH UM 1 - z,' OF Sfv Ft u Parent material 1~0 ASS O\J )� b U_ Flood plain elevation, if applicable ft S = Suitable for System CONVWnONAL "NO IN-GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem O S RU o S O U O S O U O S Lou O S 91U Cl S (RU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Cor4stence Boundary Roots GPD /ft in. Munsell _ Qu. Sz. Cont Color Texture Sz. Sh. Bed Twich _•_"' } y +: Z 9 -i.6 -1, ` V y b-4 -- S i) 2 wf sbk mvf1'- c S 1 S < 6 Ground 3 - 1 csbk M elev. q , - 1 - Z ft. Depth to limiting factor � Remarks: Bodng # Nul�T ' �v G S3oCc.► n�G Lv -S L U I I Ground elev. CS zZ \.b c QL U P SQL I ri It Depth to limiting factor Remarks: CS T Name PleasePrint Arthur L. We erer 715 -425 -0165 3 gerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI 54022 Sgnatwe: Date: r CST Number. 220254 f P Z of Z PLOT PLAN g I �� ►�O cow,p 02 ( D �sM� �E'l� ri�zcl9 m g3 � � %-LA,) J 8 $i �I to oc ytiOvc �.too� F.M• 30 c r S 2 � 6.y J fit„ D lam Z • I C I K htl R1 A16 S a4 ZA D / " ST - It Z Z 1180 N3 DER �sct �LotzT S - — . 99 -104 ( 715 ) 4 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: ST CR IX Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 338969 Permit Holder's Name: ❑ City ❑ Village N Town of: State Plan ID No.: STOUT, RICHARD TROY CST BM Elev.: Insp. BM Elev.: BM Descriptio Parcel Tax No.: d0 db 19 6 , 040-1234-20- TANK INFORMATION LEVATION DATA A9900222 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark �" ,2_ $ tl2,5 Dosing Ae lion Bldg. Sewer d, 7 fb. f - 7 Hold dt /Ht Inlet TANK SETBACK INFORMATION � et TANK TO P/ L WELL BLDG. Airi to ntake ROAD D t Air I Septic /tju/ Ir , r -;t( NA Dt Bottom 3 Dosing y�o0 �S I l NA Header / Man. '� 3, ( f'' Z y Aer A Dist. Pipe 4 3.b4 It L0 &4' If 0 z Holding Bot. System * '3� b/ PUMP/ SIPHON INFORMATION �rcd Final Grade Manufacturer G Dema cl G -99 Model Number r V' G M y 4k a - TDH Lift Lrictio 3 SystemZ � TDH.�,�t Forcemain Length 7.0/ Dia. FF�ii « Dist. To Well S ABSORPTION SYSTEM ED TRENCH Widt Len th No. Of Trenches p T No. Of Pits Inside D Depth EN 1 N DI SYSTEM TO P / L BLDG WELL LAKE/STREAM LE Manufact SETBACK urer: AMBER INFORMATION Type of Y 1 Model er: System: > too �(j j 0 OR UNIT DISTRIBUTION SYSTEM v• +- s Header / M r%ifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. / Length 2 Dia. r r F Spacing / r 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 E] Yes El No ❑ Yes [] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION• TROY 3.28.19,NE,SW 544 TRILLIUM LN — COUNTRYWOOD I LOT 31 elf Sfe� 44 elepl Plan revlsl� req Ired? ❑ Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: # x.. F e E a e a m_. � .,,.p m f „ . a r L e e m a P e �i . . a ....' m m� e am e. .. .. w e w e e E ' x 3 s # a m } t, 1 E t � . F .ee � ................. z ..,, ., „ ..w. ,,,,_ ,,., ..... x .._., x . { .,. _s ........ ..... . _ y .,. .,......, . E # ... .,. .,.,,. S d __.. a a mgmmmm« .....;. -.,— g.., .,. ,# m.. � � _m ------ , _«.a , e✓ Y� , e e eee m� e E i eeae� mi ...e --------- t 3 s i I # 9 Z 4 # e -- -- .„ee e4 _ � m® mme e eee , m m. ,.. ee .. — e_me eee p e(m a i x a 4 s 6 a 5 3 — 5 t Safety and Buildings Division Vi s cons i n SANITARY PERMIT APPLICATION 201 W. Washington Avenue In accord with ILHR 83.05, Wis. Adm. Code P O Box 7302 Department of Commerce Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. S • See reverse side for instructions for completing this application State Sanitary Permit Number Personal information you provide may be used for secondary purposes E] Chec revise n to previo pplication [Privacy Law, s. 15.04 (1) (m)). State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION Property Owner Name Property Location Z S A 6747- 1A 14,S T ,N,R E OW V Propert y wner's Mailing Addressy/ Lot Number Block Number W 3a — /*. 3 City, State Zip Code Phone Number Subdivision Name or %#A-Nt fff"r 11. TYPE OF BUILDING: (check one) ❑ State Owned o !t� Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms ❑ Town OF 7 X& G III BUILDIN USE: (If building type is public, check all that apply) Parcel Tax Number(s ?). Z6 . 19 .'I L.8 1 ❑ Apartment/ Condo e 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 [1 Outdoor Recreational Facility 3 E] Campground 7 E] Merchandise: Sales/ Repairs 11 E] 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 - __SystemSystem Tank Only 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 VrMound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 2 In- Ground Pressure 11 , 42 ❑ Pit Privy 13 E] Seepage Pit C C! 04 /�E11 /fE) 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) Elevation 1� 410 I S p Feetj Feet VII TANK in Capacity gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing structed T nks Tanks Septic Tank ir H - Z ?,fQ ❑ ❑ ❑ ❑ ❑ Lift Pump Tanr4iiab,. IGIRapAlilerl -- /¢7am J ❑ 1 ❑ I ❑ I ❑ ❑ V IIIIII . RE SIBILITY STATEMENT I, the undersigned, assume responsibility for installation of t e onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: o Sta ) P No.: Business Phone Number: G� Plumber's Address (Street, City, State, Zip C de): 61C A790 P O A f OZ O DEPARTMENT USE ONLY Approved ❑Ow ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing A n i ature No Stamps) Surcharge Fee) ner Given Initial Adverse Determination Su r X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL• SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative. Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper Whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the,5tate of Wisconsin, Safety and Buildings Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose.volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- i GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. 0 n °l Yvi � o C 0 I b t : �_� N � W v I !v �I j.�rLGa.M►� LiU n Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264 -8777 Vhsconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary May 20, 1999 CUST ID No.267341 ATTN: POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN ZONING OFFICE 421 N MAIN ST /'� , ST CROIX COUNTY SPIA PO BOX 74 ;�' �," t._`: s �;�., 1101 CARMICHAEL RD RIVER FALLS WI 54022 4 '' '' ! ,IUDSON WI 54016 RE: CONDITIONAL APPROVAL �! APPROVAL EXPIRES: 05/20/2601 '' Identification Numbers x.V Transaction ID No. 226598 Site ID No. 172747 SITE: ` _Ck' Please refer to both identification numbers, Site ID: 172747 above, in all correspondence with the agency. ST CROIX County, Town of TRO WoQQ )) Y NE1 /4, SWI /4, S3, T28N, R19E RICHARD STOUT COUNTRY WOOD I FOR: Description: MOUND SYSTEM FOR RICHARD STOUT Object Type: POWT System Regulated Object ID No.: 469228 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. 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. I Sincerely, DATE RECEIVED 05/13/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 KEIT A WILKINSON, POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 524 -3630, FAX: (715) 524-3633, M -F 7 AM - 3:45 PM KWILKINSON @COMMERCE.STATE.WLUS WiSMART code: 7633 j ` Page of 6 MOUND SYSTEM FOR A BEDROOM RESIDENCE LOCATED IN THE 1/4 OF THE S W 1/4 OF SECTION 3 ,T Z' N, R L7 W, TOWN OF cI xuK COUNTY, WISCONSIN. L-O T 31 O F= VeD "A y ' Z 19" INDEX PAGE 1 'of 6 TITLE SHEET SAFM 8 81QQ$, OIV PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW +CROSS SECTION : o F wog m c> PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER C gx5l, SE,r,Ttorr `'SPEGs. PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR ���Swo�ZTH, I.v► 5�{oIJ PREPARED BY LEI EG E EVER S Q = L TESTING re�"a�03!"BBK�r AND. s�` ��'a DES I Get SERV I CE ��,..N......., .-P' ? P.U. BOX 74 421 K. KAIK ST. ARTHUR L i y� i WEietER = N.O.W.TS. RIVER FALLS. KI 54021 t os,s • Conditionally ELLa: 715- 4�.r-0165 s. s APPROVED .6 DEPARTMENT OF COMMERCE 0 0� t � S j y "T1 DIVISION OF SAFETY ANDIIILDINGS ESE CORRESPONDENCE JOB NO. . PLOT PLAN Page L of Scale l �b tv OT C.a►"1 ►YcT' 02 i t� ni IN N/ B:Z J � Ov N to OF O>vc S 8ol nF ae�� n f f \%-`. -0 3F INT u2f 50' RIUkl MVNI*z% _ I NOTES -1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. required) 3. Install 4" observation pipes with approved caps. ( 2 required) 4. -Septic tank to be \. - Liao !'15p gallon capacity manufactured by W ITS 2lZ , 5. Bench Marks _%n tt t2 Noo o' av `M_ePtt dKjE' M L 48.6 Rr MS 91 air ` SIGN 6. Divert surface water around systek to, prevent .ponding at the uphill side. Page 3�f Approved Synthetic Covering t�sTw1 C- 33 Distribution Pipe Medium Sand ToTopso = H— - _ ^_ i= G P - -- F Elev - 9 . S — E p 3 � - b 3 %Slope - Bed Of 1 2 2 z (Force Main Plowed Aggregate From Pump Layer D Ft. Cross Section Of A Mound System Using E Ft. A Bed For The Absorption Area F o- 8 Ft. G 1•o Ft. A $ Ft. H 1 -S Ft. Linear Loading Rate =q.S GPD /LN FT B 63 Ft. Design Loading Rate= V�" .GPD /SQ FT j lNa Ft. i 5� Ft. K Ft. :a ?-�� Position L g S Ft. of Force Main W 3 Z Ft. L Observation Pipe $ K A I - I� - -- -- ------------------ - - - W -•I o �------- - - - - -- fer-ee— AA�e+� — - - - - - -- - - - - - -- �,Distribution Bed Of 2 "- 2 2 Pipe Aggregate I Observation Pipe Permanent Markers (Anchbr securely) Plan View Of Mound Using A Bed For The Absorption Area Page y Of 6 F Perforated Pipe Detail 0 End View Perforated End Cop. �` PVC Pipe a s Install permanent - marker at end of each lateral Holes Located On Bottom, Are Equally Spaced S P PVC Manifold Pipe II 'I PVC Force Main �I + Disfri ution Pipe Lost Hole Should Be I Next To End Cop End Cap P 30 Ft. Distribution Pipe L ayout - S Y Ft. X X18 Inches Y L18 Inches Hole Diameter � Inch Lateral 1 Inches; Manifold Z Inches Force Main 2 Inches # of holes /pipe B Invert Elevation of Laterals 98 -0 Ft. Place 1st hole _2 W ( from center of manifold with succeeding holes M at L g intervals. Last hole to be next to the end cap. Combination Sept4 cz Tank and I PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS ' PAGE S . OF to - VEIJT CAP WFATHEK PROOF JuliCTIOIJ 90X 4'C.I. VENT PIPC APPROVED LOCKIMG � 10 1 FROM DOOR. MAIJHOLE COVER LVi�I . wA 1.111J6 6E '.JIUDOW OR FRESH R A!K IUTAKE S� coraputr " _� !� be G °r,ld, GRA I - - - - Ib�/'lIA1. y�v.►svtor.� PIPt PROVIDE l id -- -- IMLET — AIRTIGHT SEAL APPROVED JO11JT: _ APPROVED JOIIJT �aZFF��S A I I I w /C.z. PIPE OR . Tank construction i ill w /c.z. PIPE�wC shall comply with ALARM ILHR ()3.15 and 33.20 a I 1 I I Ow c I I CLEY. FT. PUMPS _ -� OFF D COUCRETE Z�U - )8 . o o BLOCK 3" APPROvtE KISER F_XIT PERMITTED OWL'd IF TAUK MAUUFACTURCR HAS SUCH APPROVAL, BEpOtNC SEPTIC f SPEC.IFICATIDKJS 005E WUMbER OF DOSES: � ` PER D" T�.U�C MANUFACTURCR: TANK :,IZE: `z_SD VISO GALLOWS DOSE VOLUME z ALARM MLAUUFACTURCR: S `� ` 2Q SkS`T 11S INCLUDILIG BACKfLOW: �� GALLONS MODEL DUMBER' CAPACITIES: A= � IUCHESOR L /03'3 GALLOLIS SWITCH TyPC: B= 2 IIJCHES OR 3 Z. 3 G�LLOU5 PUMP tKA1JUFACTURER: G (>j �—D S C. IUCHES OR T°13' b GALLOWS glas �,Eo N � 1Z -O MODEL IJUMBER: D� InICHES OR GALLONS SWITCH TYPE: 1 "�J C�SZy' MOTE: PUMP AUD ALAMARE TO BE 2 MIMIMUM DISCHARGE RATE GPM IN5TALLED OW SEPARATE CIRCUITS VE DIFFEREIJCE DETWEEU PUMP OFF AUD_DISTRIBUTIOW PIPE.. 1 q -33 FEET + MIIilt1UM mETWORK SUPPLY PRESSURE . , , , . . , . . . . 2.50 FEET T• + FEE OF FORCE MAIN X Z 7� F YOFLFRICTIOIJ FACTOR_. 3 ' 8 y FEET .._ . TOTAL OtIUAMiC HEAD = 25. 7 FEET DIAMETER Pump chamber IMTERAIAL DIMEW510kli OF TAUK: LEAIGTH ;WIDTH ;LIQUID DEPTH �..— BOTTOM AREA - 231= GAL /INCH AS PER MANUFACTURER = 1b. U' GAL /INCH oOT 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. • Shaft: threaded, 400 series an option. following uses: p ■Bearings: Upper and • Homes stainless steel. m 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 a Power Cable: Severe duty • Motels standard length (optional for slide rail systems. Power cord: 20 foot y rated, oil and water resistant. • Schools ■ Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals lengths le phase: available). CARBIDE VS. SILICON provides secondary moisture Single le • Indust g Industry •'/3 and Y2 HP —16/3 SJTO CARBIDE sealing faces. barrier in case of outer jacket • Effluent systems with 115 V or 230 V three Stainless steel metal parts, damage and to prevent oil prong plug. BUNA -N elastomers. wicking. SPECIFICATIONS • 3 /4 -1' /z HP —14/3 STO with ■ 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. ` ► Y4 maximum. • Y2 - Yz HP —14/4 STO phase models to guard N�.r • 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 reverGe rotation. length SJTW and STW ■ Motor: Full subme in SP • Total heads: up to 123 feet 9 y Canadian Standards Association g _ TDH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat U� Underwriters laboratories carbide -rotary seat/silicon FEATURES transfer. carbide- stationary seat, 300 n 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: recommended working limits. 104 °F (40 °C) continuous Protection. Balanced for 140OF 0 C) intermittent. METERS FEET • Fasteners: 300 series 90 -- stainless steel. SERIES 3885 • Capable of running dry 25 80 SIZE: /SOLIDS wEl5H RPM: VARIOUS without damage to - _._.__.._ _...__...; __. __ _.._.._ _; �. 5GPM components. 70 WEIQH € 5 FT Motor J _ ° a 60 Single phase: _ - wEO►i I .._.. • '/3 HP, 115 V, 200 V, 230 V, 15- 50 ` I i € E 60 Hz, 1750 RPM; Y HP, z -... _ �._ _. _ _ -.- _- 115 V, 60 Hz, 3500 RPM; 0 4 N(EO '% HP —1'/2 HP, 230V, a 60 Hz, 3500 RPM. ° lo 30 • Built -in overload with WEO 1 € i automatic reset. 20 5 ; • Class B insulation. Three - phase: 10 •'/2 HP —1'/2 HP 200/230/ 0 0 ! 460 V, 60 Hz, 3500 RPM. 0 10 20 30 40 50 60 70 so 90 100 110 120 130GPM • Class B insulation. o io 20 30 m CAPACITY Pf 1 005 MA 1'4e Pm—e 1— ea.....;..., RAC.. IQQr Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Laborand Human Relations Divisiop of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must inclugt�btttt E , , St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, sc�op .? I '' PAKEL I.D. # dimensioned, north arrow, and location and distance to nearest road. ndin BY DATE APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION f RE PROPERTY OWNER: P TY LQQATION, Richard Stout G t OT N E -- N "'SS �T. t ,S 28 N,R 19 1 (or) W PROPERTY OWNERS MAILING ADDRESS LO BLOCK# ;� D. NAME 0 # 1353 Awatukee Trl. 3 W unt CITY, STATE ZIP CODE PHONE NUMBER [:]Cl L It`J c � NEAREST ROAD Hudson, WI. 54016 (715) 549 -6731 � Tower Rd. [ New Construction Use [x] Residential / Number of bedrooms 3 44t dition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate . bed, gpd /ft • trench, gpd /ft Absorption area required 375 bed, ft 375 trench, 111: Maximum design loading rate • 4 bed, gpd /ft2 - 5 trench, gpd/ft Recommended infiltration surface elevation(s) 103.60' ft (as referred to site plan benchmark) Additional design / site considerations system el. based oncontour line of el. 102.60' Parent material limestone uplands Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem 1 ❑ S KI U ®S ❑ U ❑ S M I cis ®U cis ®U I CIS ® U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 -13 10 r3/3 none sil 2msbk mfr cs 2f .5 .6 2 13 - 10 r4/4 none sicl 2msbk mfr if .4 .5 Ground 3 28 -44 7.5 r4/4 c2 7.5 r5/6 sl lcsbk mfr na na .4 .5 elev. 10 3.05 ft. Depth to limiting factor 28" L I Remarks: Boring # 1 -12 10yr3 /3 none sil 2msbk mfr cs 2f .5'.6 2 2 12 -27 10 r4 4 none sicl 2msbk mfr CjW if .4.5 Ground 3 7 -36 7.5 r4 4 none sl lcsbk mvfr C1W na 1 .4.5 elev. 4 k 6-50 7.5 r4 4 cld7.5 r5 8 sl lcsbk mfr na na .4 , . 5 10 3.05 ft. Depth to limiting factor 36" Remarks: CST Name: — Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 54 200th Av , New Richmond, WI. 54017 m02298 Signature: Date: CST Number: 5 -15 -96 1 PROPERTY OWNER Richard Stout SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # pending Lot #31 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bou rxlary Roots GPD /ft in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 —11 10 r3/3 none sil 2msbk mfr cs 2f .5 .6 2 1 -27 10 r4/4 none sicl 2msbk mfr crw I if .4 .5 Ground 3 7 -35 5 r4 4 none 51 1 elev. 10 ft. 4 k5-55 7.5 r4 4 f1d7.5 r5 6 sl lcsbk mfr na na .4 .5 Depth to limifing facto 5 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # {{ u4E . Ground elev. ft. Depth to limiting factor Remarks: Boring # 44 •t••••••jtt••••a Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) 3 STEEL'S SOIL SERVICE Gar L. Steel 1554 2 0th Av e. Y Richard Stout 0 CSTM2298 NE4SW4 S3 T28N - R19W New Richmond, WI 54017 MPRSW 3254 town of Troy (715) 246 -6200 lot #31- Country Wood l N 1 " =40' BM.= top of 12 pvc pipe C el. 100' top of marker stake C 103.2' psi - q 3 j0 33 0 1� GAry L. Steel 5 -15 -96 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND - p OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address Property Address Z x4z o ft4 LA) (Verification required from Planning Department for new construction) City /State /AcrDS_ �. C,/,r 5 Parcel Identification Number ©. KO - /- LEGAL DESCRIPTION Property Location , 4�- ' /4, sGel 1 / a, Sec. — T -R W, Town of Subdivision Lot # 3/ Certified Survey Map # , Volume , Page # Warranty Deed # , Volume / / L , Page # V9 Spec house ❑ yes no Lot lines identifiable yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 8 nt .l ihtl "r+l ru' WARRANTY DEED , <. „r •l u U 'O'AT : IIAR OF Wl: t;tr hOK1I - tOH3 ' 4469,11 REGISTER'S OFFICE ST. CROIX M.., VA DELBERr L. SMUERHOOSE and HERNTE H. STNGEMiOt S , Nei ttopacod husband and wife, and each in their own individual right and capacity J U N 3 1996 at 12:15 1 P. • unvvya ail ,ti :Irrants to RIUMD O. 5'1 a resident of the Town of St. Joseph, RegisuKNDeeds IL St. Croix County, Wisconsin for $1.00 and other good and valuable consideration Ir „ err. Richard 0. Stout 1 1353 Awatukee Trail he fiX mmi , dewaibvl rt;al estate in _St. Croix _..Carrot Hudslrn W! 54016 ~late of Wisconsin Tax Parcel No: -_ .. .. ........... Lots 16, 17, 19, 2"l, 25, 27 and Outlot 1, Plat of Country wood, 'n the Town of Troy, St. Croix County, Wisconsin. i AND AIM Lots 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 43, 44, 45, 46, 47, 48, 49, 50, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 6 68, 69, 70 and 71, Plat of Country Xood First Addition, in the Town of Troy, St. "roix County, Wisconsin.< AND 1 1I.30 Any other 'uts, outlots and other lands described in that Land Contract dated June 2, 1995, recorded June 5, 19c5, in Vol. 1124, Page 496, Doc. `o. 529718, in the office of the Register of heeds fur St. Croix County, Wisconsin, EXCEPT those lots, outlots and other lands previously convr;•d by deeds from grantors to grantee AND EXCEPT public roads and any other portions dedicated to the Town of Trey by said plats of Country Wood and Country Wood First Addition. Together wir.h and subject to easements, covenants, reservations and restrictions sho%in on said Plats or otherwise of record, if any. ihLs geed is given in full and fin i performance and satisfaction of that Lard This is not h mll; stead property, Contract recorded in Vol. 1124 Page 496 +is) (is not) Doc. N 529718, Transfer prepaid. F:xceptiuu t., warranties: F bE 96 Uated thl; day of ( L - �-�_. I'J • Delbert L. Singerhouse Bernie H. Singerhouse / : L i AUTHENTICATION ACKNOWLEDGMENT w Signature(s) - ...... _. - .. - - - STATE OF WISCONSIN --- - -- ----- ..- --- ST. CROIX C ss. - ounty. f authenticated this _day Person.,!!; rave before rite this day of 19 9 6 t.,e above named -. _. .. z � s' ...... Me h >i.. ingzr Ouse and TITLE.: !IIF.hIBER STATE RAR OF I � *� YISCONSIN ^�. � �r,� S�figPrhouse, (If not. -.. ���tt .:�ii� Wife authorized by § 706.06, Wis. Stag.) * to file tSnifa;tl?,1u the per"on S whu csecutvd 0•e $. � 1 fureout(y i4s6kd14n4 and nrkoowledgc the a Ine, i y j Tilly IN rRUMENT WAS DRAFTED 6'Y Alliam J. Gilbert, Attorney 206 Second Street Hudson Wt 54015 % `�. t~jOL (�E o`er: r_ � L�,.• ,5 � i' ( 715) 381 -1603 ..... r Notary Publim ,St Croi ('ounty lV'is. (Si;;natttres I ey be authenticated or aaAuorvledg,,I. Ruth My Cmumi >s,In "is lnrnt,uunt.(II not, :,tat.• r.II,:Illn arc not ncceanaa.) I .� 'Nurncy of prraul•i +igninv; in nny l,.y,,.ci[y >!... 1!! l,. tp „ 1 r 7.l illh.1 L. -t•lw ; . r 11 f � I )N '1 14 OF THE SW I/4, PART OF ALL IN SECTION 3, T28 N, i �O T � —I L11 nr UN --- �I —A a � i 2 9 r -.I RY �M S86 055'47 "W 530.58' moon 33' 33' 1 T L 0 0 30 I � o 1 � h h �I 2.92 AC. I I M 127,104 SO. FT. 3 L j N col N I � �I rn ae I $ O C 1 9 r I 1 O V 616 L . 6 1 31 -/ \` 2.40 AC.� 1 ` 104,514 Sd FT. ` 1� \ 2.33 AC. EXC. ESMT. \ 101,582 SO. FT. ,�•� , \ 5 3,� le 32 2.39 AC. 04, 058 SO. FT. 32 AC. EXC. ESMT. / I, 068 SO. FT. 7 � f / LEGEND r;J ALUMINUM COUNTY SECTION CORNER MONUMENT Vxc� 2" IRON PIPE FOUND