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HomeMy WebLinkAbout040-1242-90-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 353280 Permit Holder's Name: ❑ City ❑ Village ❑ TRwn of: State Plan ID No.: Troy Townshi CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 0 ✓^_ 040- 1242 -90 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic (� Benchmark Ov Dosing Alt. BM A n Bldg. Sewer Po 9� O Holdin St/Ht Inlet r 57 D TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Air i to ntake ROAD Air Septic f �Sl W" NA Dt Bottom Dosing 9 / b / Z / NA Header/ Man. l ZIP O' Z•3'L 2. `1'�•� Ae Dist. Pipe Holdin Bot. System q • C> PUMP/ SIPHON INFORMATION�� Final Grade Manufacturer r Demand St cover 3. Model Number �� yp �(o,GPM $ all TDH Lift - 7 L Friction j System, TDH((.�Ft Forcemain Length ?�� Dia. Z" Dist.Towell SOIL ABSORPTION SYSTEM �, E TRENCH Width r Length No. Of krertcfies PIT No. Of Pits Inside Dia. Liquid Depth EN I ! IM SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM -Manuf acturer: INFORMATION Type O �: A M B I / o e Number: System: 3( - 10 IVi¢ O UN DISTRIBUTION SYSTEM (f° Header/ Mapi fiald a Distribution Pip (s) x Hole Size x Hole Spacing Vent To Air Intake Length 'T Dia. Z Length 9� Dia. Spacing 3 // SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of I xx Seeded /Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil ❑ Yes ❑ No []Yes o pp GR COMMENTS (Include code discrepancies, persons present, etc.) Inspec ion #l: - 6 Inspection #2: / 1 ,,., Location: 524 Trillium Lane, Hudson, WI 54016 (SW 1/4 SE1 /4 3 T28n R1r9 J W p ) - n 3.28.19.1238 1.) Alt BM Description = ► p 2.) Bldg sewer length = /S' - amount of cover =22. 1I 3.) contour= Plan revision required? ❑ Yes 2 Use other side for additional information. / "L SBD -6710 (R.3/97) Date Inspector's Sig ture Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: F i 3 s ! Z � E s F ` 3 I 1 L—ANv& V i sconsin Safety and Buildings Division SANITARY PERMIT APPLICATION 2 1 Box Washington Avenue Department of Commerce In accord with Comm 83.05, Wis. Adm. Code 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. C'�ZO I X • See reverse side for instructions for completing this application State Sanitary P Pe� erm mi2 it Number /�T72 Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Own Name Propert Location �N Co t/4 f� 1/4, 5 T Z 8, N, R IF E (orfV Property Owner's IMailing Addr ss Lot Number Block Number l 20 o S7 16S S Aj o?-++4 90 City, State Zi C Phone Num r Subdivision Name or CSM Number p Are[NF a� sf IV SSO 5C7 ( (c6 ) ,�J wo-rs Z M A uD 11. TYPE OF B LDING: (check one) ❑ State Owned r 0 L it y Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms ❑ own OF L.+VS' III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 2-34 1 ❑ Apartment/ Condo — — L — O 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. gNew 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 Mound 0 ❑ Specify Type 41 []Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 8 i x 6 r r , 42 ❑ Pit Privy 13 E] Seepage Pit 1 � 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. A BSORPTION SYSTEM INFORMATION: 1. Gallon 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) q� EI vation Feet > Feet Capacity VII. TANK in Ca gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing strutted T nks Tanks Septic Tank or Holding Tank Z0 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber C�yvl �� ❑ 11:11 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's me: (Print) Plumbe ' Signature: (No ps) MP/ o.: Business Phone Number: Plumber Address (Street, City, State, Zip Code): n e f1 /� -F_ 4 C,cJ IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issue Issui gent Signature (No Stamps) Surcharge Fee) roved Owner Given Initial pp ❑ tr Q' Adverse Determination 3 � X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD -6398 (R. 4/99) DISTRIBUTION: Original to County, One copy To: Safety a Buildings Division, Owner, Plumber r Safety and Buildings ` � PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 I scores n www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary December 08, 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 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 12/08/2001 Identification Numbers Transaction ID No. 282297 Site ID No. 185099 SITE• Please refer to both identification numbers, Site ID: 185099 above, in all correspondence with the agency. ST CROIX County, Town of TROT` SW1 /4, SETA, S3, T28N, R19W Lot: 80, Subdivision: COUNTRY WOOD 2ND ADD GRUNDHOFER CONSTRUCTION CO TRILLIUM LANE FOR: Description: NEW MOUND / DWELLING 600 GPD Object Type: POWT System Regulated Object ID No.: 640570 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. P The following conditions shall be met during construction or installation and prior to occupancy or use: Conj APPI A co of the approved plans, specifications and this letter shall be on -site during construction and o to DEPARTMEI PY pP P s P g o pen DfVfS $ A 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. SEE Inquiries concerning this correspondence may be de to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 12/07/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 ROBERT KANTER , POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (608)261-7735, 8:OOAM - 4:30PM, MON -FRI RKANTER @COMMERCE.STATE.WI.US WiSMART code: 7633 cc: GRUNDHOFER CONSTRUCTION CO INC ' T'lT•L�, S bl- � i ' Y Page of 6 MOUND SYSTEM RECEIVED R A y BEDROOM RESIDENCE DEC 6 1999 SAFETY $ BLOBS. DIV. LOCATED IN THE S W 1/4 OF THE SE 1/4 OF SECTION 3 , T Z$ N, R )9 W, TOWN OF �-Rp� , �, LX COUNTY, WISCONSIN. SOT -�O - - -UF - Uv4JCR -Y •JooD_: ? h _Db[T1tiN INDEX PA GE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED ___vc�.v�. �oF cw�s�,,o►J _ =.emu . )• W.T.S., lition ally ROVE T OF COM E F ING$ NC�' PREPARED BY ESPONDE i WEGEF;tEFZ Sp = L TEST AND. DES Z CGS! l P.O. BOX 74 421 N. KAIM ST. AFTy1.1R L i RIVED FALLS. YI 54022 c tc r* ELL +r %:ArH, s 715 - 425-916) �:�e I YJiS. JOB NO. �q -3 PLOT PLAN Page Z, of Scale 1 "= 4v ' 0 \R31�j t -tpL B•2 PV C �- °15 �-� 'M L3 E . _ �S / o w Ov D_ ►-A. A� CL 3T :.z s p ewt M1.A - fa s ewM�t�cT- .�` I t I •apTs TTTgdn aqq qe buTpuod quanazd o4 punow punoze za4eM aoejzns 4zan n xzew qOU Aq p AgToedeo uoTTeb 05LI oqZ aq oq xueq OT • t (pazTnbaz z ) -sdeo panozdde gpTM sad uoT- enzasgo „V TTe -4sul .£ (pazTnbaz ) • TezaquT goea go pue qe szaxzeuz queueuzzad TTegsul • Z • pagou asTMJeg4o ssaTun suoT4enaTa punozb buT4s rxa aze unnogs suoTqena R 'I 9 E[10 N Page 3 0f 6 Approved Synthetic Covering FfisTw) c 33 Distribution Pipe Medium Sand - H -- G Topsoil -_ - -- F Elev - a`1, 6 ,J 1 E p 3 b Z % Slope M M Bed Of ' 2- 2 i I Force Main Plowed Aggregate From Pump Layer D 1.O Ft. Cross Section Of A Mound System Using E \ A1- Ft. A Bed For The Absorption Area F o•b Ft. G 1. o Ft. 8 F -S A t. H 1 Ft. Linear Loading Rate = Q • S GPD /LN FT B 6 3 Ft. Design Loading Rate= o.�j.GPD /SQ FT j 1 So Ft. J Ft. K 1 Ft. ! o f Position L g 5 Ft. o Force Main W a Ft. L Observation Pipe B K A I - W l ------------- - - - - -- -------------------- I e ..{�} e ,F� - - - - - - -- �Distribution \",- ed Of Z— 2 zPipe Aggregate I Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area Page Of Perforated Pipe Detail 0 End View ) Perorated f J End Cop) VC Pipe 1 Install permanent 'marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S P PVC Manifold Pipe * ti PVC Force Main Oisiri ution 4 Pipe Last Hole Should Be I Next To End Cap End Cop P ZSS Ft. Distribution Pipe Layout S y Ft. X 31 Inches Y 310 Inches Hole Diameter 111 Inch Lateral " )1'Y Inches) Manifold 't Z" Inches Force Main " Z Inches # of holes /pipe 10 Invert Elevation of Laterals � Ft. 1�x�, 1- ► -1,1.7 XL� = Ll.b -4�0 6Pw1 � Place 1st hole from center of manifold with succeeding holes at 3 U f intervals. Last hole to be next to the end cap. - Combination Sept:ic;Tank and _ V PUMP CHAMBER CK055 SECTION AND SPECIFICATIONS ' PAGE S OF VE T CAP WEATHER PROOF JuuC Box 'i C. ' I. VENT PIPC � ra, APPROVED LOCKING _ ' —.10' FROM DOOR, MA►JHOLE COVER wl d I WOOW OR FRESH wARtJ11J� LABEL A R MTAKE t I 1 4 �lltSiCTcT1oN AI?t PROVIDE I - - - -- 1)JLET Lv /)) - I"Gkr GrT' AIRTIGHT SEAL . � I I v 3 grrFLCS APPROVED JOIW7 A APPROVED .1010: I I' ( C.I. PIPE OR I III w /C.I. �IPE°Rf'�C W / Tank construction I II ALARM shall comply with I II ILH11 133.15 and 33.20 8 I OW ELEV. FT. PUKP1 -_� OFF D COWCRETE �Lr`iU, 5,00' 1 BLOCK 3" APPRme� RISER EXIT PERMITTED O►JLy IF TAWK MA►JUFACTURI`R HAS SUCH APPROVAL S SEPTIC f SPEC.IFICATIDQS DOSE �? ` � WUMbEK OF DOSES: 3.43 PER DAB TAWK M ANUFACTURER. TAWK SIZE: GALLO►DS DOSE VOLUME Z ALARM MANUFACTURER: S ��TZD S�1S g INCLUDING OACKFLOW: l`11'y GALLONS MODE -L ►DUMBER: I 1 �w CAPACITIES: A= Z s INCHES OR L� 3- 3 GALLOWS SWITCH TYPE' '� 8 = IIJCHES OR 3 � 3 G(�LLOUS P UMP MANUFALTUR0t: K�ZS Cm 1) INCHES OR ' y GALLONS MODEL NUMBER: D OI INCH �. OO.R lyS'2 GALLOWS SWITCH TYPE: 1" E TLCUZ�-t' iJOTE: PUMP AND ALARM ARE TO bt 2 MINIMUM DISCHARGE RATE L46 GPM INSTALLED OW 5EPARATE CIRCUITS VERTICAL DIFFERENCI: DETWEEU PUMP Off AUD..DISTRIBUTIOW PIPE.. 'I L -3S FEET + M1IDIMUM AIETWORK SUPPLY PRESSURE .. 2.5 0 WEC + ` FEET O F FORCE MAIN Y, y '�� FYoFtFRICTIOU FACTOR_. `' .= TOTAL OyUAMIC. HEAD = 1b FEET DIAMETER Pump chamber y-1 LI IMTERAIAL DIMLWSIOWI OF TA1JK: LENGTH ;WIDTH ;LIQUID DEPTH - - = — G L BOTTOM AREA 231 INCH ' - A / AS PER MANUFACTURER t6, V1 - GAL /INCH ME40 Series M 4/10 HP Effl and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 W 30 IO W. 1A H 25 8 X Z p ►QQ, 20 6 W J 1b:11 2 I 15 J ! �� • 4 0 10 1— 5 2 0 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex 98 -7443 K3326 7/91 Printed in U.S.A. Zrilyiaa rxr r3:4s - FAi Tio 3 6 b 4 b 6 5 ST CRT CO ZONING IA001 Wisco: .sin Department of Industry SOIL AND SITE E V A L U,A' " � I,' O R T Page 1_ of 3 br= and Human Relations 0 ;� f fi r, wisio of Safety & Buildings in accord with ILH R 8 S. Adm. 060 COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches i _ sii . Plan4 '4''1 6616de, but ` St. Croix not limited to vertical and horizontal reference point (BM), direction t;n0 of slope, scale or;,r, }PARCEL I.D.# dimensioned, north arrow, and location and distance to nearest road. _t C ;' s� `� '` �_ end ' REVIEWED BY DATE APPLICANT INFORMATION- PLEASE PRINT ALL INFORIA -TibN PROPERTY OWNER: 6�vt�Dt�NFER.. CpN y �. �i ;: pRQP,_fiRTY tiOCAT ION,,' Richard S X .•GOVT,.LOT_,..W r '1/ E 1 14,S 3 T 28 N,R 19 tor)W PROPERTY OWNE 1':S MAtL"MADDRESS t :$EO SUED. NAME OR CSM # R 0 r^ =�,rF r Second Ad CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE OWN NEAREST ROAD 54016 t5) 549 -6731 1 Troy Tower Rd.. [xJ New Construction Use { xJ Residential/ Number of bedrooms 3 { I Addition to existing building (J Replacement ( J Public or commerdal describe Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, gpd /ft2 . 5 trench, gpd/ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate • 4 bed, gpd /ft - 5 trench, gpd/ft Recommended infiltration surface elevation(s) 97.35 ft (as referred to site plan benchmark) Additional design/ site considerations system el based on contour line of el. 96.35' Parent material limestone uplands Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system 0S ©U [3S O U E3S O U KI S O U CAS O U EIS ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence GPD /ft Boring # Horizon Eouxry Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I Bed Much >> 1 (0 -10 10y r3 3 2msbk mfr cs 1 � 2 10 -27 10 r4/4 none sil 2msbk mf i Ground 3 �27 -38 7.5y r5/4 none sl 2m r mvfr c w na .5� . elev. i 96 ft. 4 1 38-55 10• r7 3 none Fract red Limes c - Depth to limiting factor I 38" 1 Remarks: Boring # 1 1 0-10 10 r2 2 } nnnt sil 2msbk mfr cs 2 2 1 10 - 33 10 r4 4 none Ground 3 33 -40 7.5yr4/4 none sl 2m r elev, 4 0 -57 7.5 r4 4 ncn 97. ft. Depth to 5 7 -60 10 r7 3 none -- limiting 57 for l f i Remarks: CST Name:— Please Print Phone. Gary L. See — dress: 554 200th. - ve. New Richmond WI. 54 017 Signature: - 8 -13 -96 Date: CST Number: T ITLE, S �V E i ' Page of 6 MOUND SYSTEM A y BEDROOM LOCATED IN THE S W 1/4 OF THE SF 1/4 OF SECTION 3 , T Zb N, R )9 W, TOWN OF �-� py , ST• �RU Lx COUNTY, WISCONSIN. INDEX PAGE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -GROSS SECTION: PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR PREPARED BY WEGEE;ZER Sp I L TEST = NG AND. DES I G�1 SERA I CE P.O. 001 74 421 N. KAIM ST_ RIVED. FALLS. VI 54022 NOT Fol- 715- 4�,, -OIbS 1 0 N JOB NO. i PLOT PLAN Page Z. of 6 Scale 1 "= yv ' 0 Zs,v.o� tuo.u' o► �tLiti.► \ -tPL IIZ 1 p / �7 i - cis9S, RT L 2 SZFW1 `TY�1� A2S , C-.9 rN s � �. a ` no Ivor Cnti"�,PircT as 36 ' 0(j I NOTES 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( V required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be t - W61 - 60 gallon capacity manufactured by Wt Lzs �nZ Cu►y c REe , 1>r Lobu fz ' 5. Bench Mark p�3U Vt 6. Divert surface water around mound to prevent ponding at the uphill side. I' Page 3 Of Approved Synthetic Covering F}S7" c 33 Distribution Pipe Medium Sand - H -- G Topsoil - -__- F Elev. D 3 E 1" e Z % Slope Bed Of V— 2 2 Force Main Plowed Aggregate From Pump Layer D 1.O Ft. Cross Section Of A Mound System Using E 1 Ak- Ft. A Bed For The Absorption Area F o•$ Ft. G 1 -o Ft. A 8 Ft. H l -S Ft. Linear Loading Rate= q - S GPD /LN FT B 63 Ft. Design Loading Rate= o. /SQ FT I 16 Ft. J B Ft. K 1 Ft. A! Position L 165 Ft. of Force Main W - aZ Ft. L Observation Pipe �•---------------- - - - - -- ----------------- - - - - -� A I - -t I� - - -- ----- - - - - -- ------- - Feeee+n — - - - - - -- - -- - - -- �Distribution Bed Of 2— 2 2 Pipe Aggregate Observation Pipe Permanent Markers (Anchbr securely) Plan View Of Mound Using A Bed For The Absorption Area Page Of Perforated Pipe Detail 0 End View Perforated End Cap PVC Pipe 1. ors` Install ermanen P t marker at end of each lateral Holes Located on Bottom, Are Equally Spaced 4 S Q PVC Manifold Pipe * PVC Force Main Distri ution Pipe Last Hole Should Be I Next To End Cop End Cap P Z Ft. Distribution Pipe Layout S y Ft. X 3-1,z, Inches Y 3jo Inches Hole Diameter lfy Inch Lateral 1< <y Inches) Manifold Z Inches Force Main Z Inches # of holes /pipe 1D Invert Elevation of Laterals `8. Ft. r, - Place 1st hole 1$ from center of manifold with succeeding holes at 3 & & intervals. Last hole to be next to the end cap. Combination Septic;Tank and V PUMP CHAMBER CROSS SECTIOU AND SPECIFICATIONS ' PAGE S OF VEW7 CAP WEATHER PROOF JuuCTIDKI eon 4'C.I. VENT PIPC APPROVED LOCKING ' -•10 FROM DOOR. MANHOLE COVER wJ '.iIUDOW OR FRESH wARr�tING- P.gEL.. A_R INTAKE r �J�UJSrCT�ilO1J "PIPE 1 PROVIDE I - - - -- IAJ LE T ►�1�t� 11�116ifT Cam' AIRTIGHT SEAL I I II APPROVED JONTE v APPROVED JOIAIT �gFFL�S I A I I ( W /C.I. PIPE�p W /C.I. PIPEOR Tank construction I II shall comply with '! I ALARM I ILHR 8)3.15 and 33.20 8 I I I orJ C ! I S 5 .�s i CLEV. FT PUMP OFF S __J . ` D COIJCKETE cJ.!]O� BLOCK 3" APPRt»eD X- RISER EXIT PERMITTED OIJLy IF TAWK MAWUFACTURER HAS SUCH APPROVAL• SEDDINt, SEPTIC f SPEGIFICATIOQS DOSE TAWK M ANUFACTUR ER: �"���3'sl�rvL (°OU e"%ZZn- WUMbER OF DOSES: 3 43 PER DAB TAWK tOZE: tZOO 0 GALLOWS DOSE VOLUME I ALARM MAWU FACT UR.ER: S .S, �cZSZO SL STt51 INCLUDIAJG 6ACKFLOW: 1'lZ -4 G ALLONS MODEL WUNIBCR: y01 !-1w CAPACITIES: A= ZS IMCHESOK 14 GALLOUs 5WITCH TYPE' M 5 = Z IIJCHESbOR 32 3 GrLLOUS HUMP MAWUFAGTURCR: C 1 � I►JCHES OR � y GALLOWS MODEL MUMBER: �= LIO D= 01 INCHES OR 14i'l GALLOWS SWITCH TYPE: 1"1�1ZCUZLj1 MOTE: PUMP AND ALARM RE TO bC Z MIM IMUM DISCHARGE RATE L4 6 '$ 0 GPM INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEIJ PUMP OFF AUC..DI5TRIBUTIOW PIPE.. )Z FEET + MIIJIMUM WETWORK SUPPLY PRESSURE .. 2 ' S 0 FLET + S FEET O F FORCE MAIM X ���� F Y o fT. FRICTIOU FACTOR �A FEET TOTAL DtiUkMIC HEAD = lb � FEET Pump chamber DIAMETER IJUTERAIAL- DIMEIJSIOM� OF TAWK: LEAI&TH ,WIDTH ;LIQUID DEPTH BOTTOM AREA - 231= GAL /INCH AS PER MANUFACTURER = 1 6= ` .3... GAL /INCH f M E40 Series 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 �j30 10 c L W Z 25 8 f Z 20 6 0Q W J Ib:ll 2 FQ- 15 J O a ~ 1 4.8 o 4 0 10 F- 5 2 0 L — L 0 0 10 20 30 40 50 60 70 130 90 100 CAPACITY GALLONS PER MINUTE 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex 98 -7443 K3326 7/91 Printed in U.S.A. Wiscc; sin Department of Industry S OIL AND SITE E V A L U Ar "RP R T Page 1 of 3 Labor and Human Relations /� 1! + , �'diision of Safety &Buildings in accord with ILHR 8 . 5; :1A�is. Adm hod .'`" ' COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches i siie� Plan' �Vjf f oi6de, but St. Croix not limited to vertical and horizontal reference point (BM), direction �n�i'' of slope, scale or , ;3 PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest roay.— i r. " pendin APPLICANT INFORMATION — PLEASE PRINT ALL INFOR14Ti 'ON 4 REVIEWED Biy DATE PROPERTY OWNER: : PRQPERT`� W A`fl y Richard Stout E 1/4,S 3 T 28 ,N,R 19 &(or) W PROPERTY OWNER':S MAILING ADDRESS 0 N° SUED. NAME OR CSM # 1 Q Add CITY, STATE ZIP CODE PHONE NUMBER ❑CITY OVILLAGE DOWN NEAREST ROAD 54016 f15) 549 -6731 1 Troy Tower Rd. f xJ New Construction Use [ id Residential ! Number of bedrooms 3 ( Addition to existing building J Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, gpd$ • 5 trench, gpdtft Absorption area required 375 bed, ft2 375 trench, ft Maximum design loading rate • 4 bed, gpd /ft •5 trench, gpd/ft Recommended infiltration surface elevation(s) 97.35 ft (as referred to si k) Additional design / site considerations system el based on cont 91 Parent material limestone uplands 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 fors stem OS fl U MS ❑ U IRS ❑ U K) S❑ U C3 ❑ U [IS O U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence BoLlrtdary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trertdl 1 0 -10 10 r3 3 none 2msbk mfr cs 1 2 10 -27 10 r4/4 none sil 2msbk mfr Ground 3 27 -38 7.5 r5/4 none S1 2m r mvfr Qfw na elev. 96 ft. 4 1 3B-55 10 r7 3 none Fractared Lime tone - -- -- Depth to limiting factor 38j Remarks: Boring # 1 0 -10 10 r2 2 nole sil 2msbk mfr cs 2 =" 2 10 -33 10 r4 4 none s ici 2msbk mfr tj if -4 3 33 -40 7.5yr4/4 none sl 2m r m fr Ground elev. 4 0 -57. 7.5 r4 4 n 97. ft. Depth to 5 7 -60 10 r7 3 none F -- -- -- -- limiting factor 57< I I I I T71 Remarks: CST Name:— Please Print Phone: Gary L. Steel — ddress: 554 200th. , . New Richmond WI. 5401 m02298 Signature: Date: 8 - - CST Number: PROPERTY OWNER Richard Stout SOIL DESCRIPTION REPORT Page 2 of _3 M PARCEL I.D. # pending' Lot #80 1 1 %• Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourckvy Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. S Sh . Bed ITwch 1 0 -13 10 sil 2msbk mfr cs if .5 .6 Li 6 2 13 -29 10yr4/4 none sici 2msbk mfr yw if .4 .5 Ground 3 129-4 7.5yr4/4 none scl 2mgr mvf gw na .4 .5 elev. 95 ft. 4 40 -55 10 r7/3 none Fractured Lime tone -- -- -- -- Depth to limiting T 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 factor Remarks: SBD- 8330(8.05/92) s r STEEL'S SOIL SERVICE Gary L. Steel Richard Stout 1554 200th Ave. CSTM2298 SWQSEq S3- T28N -R19W New Richmond, WI 54017 MPRSW 3254 town of Troy (715) 246 -6200 lot #80- Country Wood Second Addn. N 1 " =40' BM.= top of NE lot stake C el. 100' 4Z - l v 5� N Gary L. Steel 8 -13 -96 t r= r';`11, 1 +y� Cl 1: 715' 7:;,753 - , IEL'_CIH F'LIS -IBING F :iE =I ST CROIX COUNTY SEPTIC TANK MAINTEI? ANCE AGREEMENT AND b�ti ?1ERSHIF CFRTtrlc,AIION FOTZJM Gwner/Buye� Mailing, Address \Z ti .� _ �s ` N F- N Property Address (Verification required from Planning Department for new constraction) City/State �. parcel Identification Number L GA Qom TION Property Location .SW r / $� r /,, Sec ?� TN -R_ W, Town of Subdivision � NA Iry o _ , Lot # Certified Survey Map # , Volume I be r'r' Vol=e Q �_. � U ,Page # Spec house CD yes 1 no Lot lines ideritifiable"] yes no -5YS TNTR'N ■eaeLti �d vvu L -f rwttpL #6 uu4 Lac 5C r1C t3 r ,Iii, ,ill If Ill itl firrmrdh[rs fnilns.l■ lt4...11 P � FYGiY thr�r rnrs r7r ,•[,[, if i 1 nu ulna tilt 1_.,.11., yl .Lc rariK as a trs � la4tl I skill in a Ill 1 11111 ]nntirn. trll_il 4t�CLt�td1;r rlr tide aricts dUpe ByAtcnt. mas terpl[dntl;tl, journe yma n ymtnit lu rrrr rn nnhmii is f) " 0 -..l tl. Lelr:nl[nirm a Certraloat[on forum, , -tied b the o� plurl7hrr,restdcted lurnhrrn 1 b Y {t7cr a:1;1 by a p riilur dp[[ n R41 '�`Q + +fti•inrlhrrrr'Iarl,r -r,t, ntn I'i Ill rirr'ilun nP■m[I■a 1L�.1a.., au�'v, �L) dd[Cr insp ection r • ",_•.' p Pimping (if necessary), the septic tank is less that, 1.3 N of sludse. I /we, the undersigned have read the above vi'g Uirementa and A:rae t,•, set rareh IrtiO ,, ,niataltl tL pdivatC sCwagt 111,I,�,sa! system \a;th tilt star dais u,, as sec by the Department Of Commerce and th e Department of Natural Resources State of `Vise r; } sating that your septic sYS1GiR h3A ht-al mainrlinad muse he 4tlSila, slim I i asy; c.f the tLee year expirat date. I c`c[f and rergnletl In the.. St. Cl'br.t Guunty ZORIIfy U11 CC with n ?G 20, DATE c,� �;ERTrFii U ON the n r (we) 0ertify drat all statements on thi.s form are true to dl,; best of m ( our ) l: nmkf P' p- � dGGCI'{IIl•i{ r+l'�nVr, I,� „ .Yta116111 rill reC � 1 lPdKr<, Ill 1 (,}t.) ri rilri l till' o ,�� ;iurr'r [wua aC Y o Qrtlod m fir. i-t— ..f D ° IC ?l of ArrL11 AN'F DATE Any information that is nlLi represented ma result in the sanity ty permit being revoked by the Zoning Dcpar rm—r:; " Inrllrrl� with thlA nj[pll�.11u�,; a 3t3W -7d warranty deep trap, tl,c Register of Lee ds oft;,:r a copy of the certified survey map if reference i� made.. t7 tt,P ',�rranr ,1 -. - .a (J • vij-. 1478PAGE580 STATE BAR OF WISCONSIN FORM 2 - 1998 16=1 15670 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS Document Number ST CROIX CO., WI RECEIVED FOR RECORD This Deed, made between RICHARD O. STOUT 12 -17 -1999 11:25 AM WARRANTY DEED Grantor, EXEMPT D -- - CERT COPY FEE: and _ GIRUNDHOPPR CONSTIRUCTI CO INC — COPY FEE: TRANSFER FEE: 149.70 RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration,. conveys and warrants to Grantee the following described real estate in St - Croi County, State of Wisconsin: Recording Area Lot 80, Plat of Country Wood Second Addition, Name and ReturnAd4Tss Town of Troy, St. Croix County, Wisconsin, / ?419 - 5 16 574 6" M Ck /-, -e /V S� ° � / - 7 040 - 1242 -90 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: easements, restrictions, rights -of -way and covenants of record. Dated this 1 5 th day of December Richard O. Stout (SEAL) (SEAL) (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. S Croix County. authenticated this day of Personally came before me this 1 5th day of Decembe ,19 9 9 , the above named SWE OF WISCONSIN TITLE: MEMBER STATE BAR OF WISCONSIN ERNON J. BAST to (If not, me known to be the perms ►��vho executed the foregoing authorized by §706.06, Wis. Stats.) instrument an acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Janet P. Stout 1353 Awatukee Tr Hudson, Wi . 54016 y c, State of Wisc n n_ is perms t If ot, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) Names of persons signing in any capacity must be typed or printed below their signature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.. Inc. WARRANTY DEED FORM No. 2 - 1998 Milwaukee, Wis. I ' s ' v o IU s s, 1 yo' ~ D -n N / O 0 � w �/ �m Ww - /� V N ' i ce �m Wn .WI H AD X 10 ! (n �— r>7 �� 3 F 3 co N W N / p OD U LID a) co fit/ D _ ) m °�� to 2 0)m -m l cow �! 269 38 • w � \ c ti O OD-7 m N 3 07 25 "F ry m N --4 o n / OD o X Qm W -n ! (� H M c0 N O $ O 44 8 ' !J n D / m W i u VI 8 S07 °3907 "W / r N 29 4.57' I / NO3 ' 160 1 ° 2 "E 1 � 'ice 4 23.43' N N N U O 0 L" M O n O D rn V O N O T� Qn 0 U) 0 \ O I -q m ' I S00 °12'37 "W 958.55' � I 1 445.00' 1 I 373.55' 513.55' 1 220.00' 225.00' 1 �p N A