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HomeMy WebLinkAbout040-1248-20-000 r ST. CROIX COUNTY ZONING DEP N ENT �l A/00 w�c AS BUILT SANITARY REPO Owner R0 N Property Address 270 2'Vj6VA&WR V C T• ry City /State tl Pfo y All J`4rd/ Co Legal Description: Lot Z Block Subdivision/CS Troy v \ V t /4 t /4, Sec. �, T 28 N -R W, Town of T�D,� •/��/�2 2 2 20 /l,� 6/fsr V-2- SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION 1yjp4UEST& 1 �t " �� /L V l� ' > S D Tank manufacturer �e'L�fST Size ST/PC / Setback from: House Well PAL Pump manufacturer AaY4WS Model AeF ' IEb Alarm location Zi(lS /9 (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location P/C 190* � 13s �o � ",e,�,�r�. = 93� •So SOIL ABSORPTION SYSTEM TOT�¢L• �� i�T - 2-- - � 6 .7_ � 3 5 cv,P Ue� Type of system: �?oU,vP Width S Length / OV Number of: fenekes Aar. Setback from: House � Well "� P/L � 4 3 Vent to fresh air intake. ELEVATIONS Description of benchmark o/ ! of 7VA) El�`C- /�Ox- Elevation Description of alternate benchmark 60Fi°M E'D 5'1:011 G-- Elevation plleer'T"ZY �fi DOS f . SH AW,&- . y� Building Sewer y o b ?s ST/HT Inlet �7/• ST Outlet 7� Z� PC Inlet ! 3 � 7 �lO PC Bottom 13 S.1 D Header/Manifold Top of ST/PC Manhole Cover P • "�' ff� o�� fep . (7-6�° Distribution Lines () () ( ) Bottom of System () fy3 Final Grade Date of installation / / Permit number 3 5'3/20 State plan number 2 y SS/f/O Plumber's signature �� License number Z 75 Inspector ee 6 ' SDf/y 7 Complete plot plan � ��0Uz2_��sy ORIGINAL 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. PLAN VIEW 77 >9�3 INDICATE NORTH ARROW �s� s ---------, I ll �\ PeoposEl SCAGE % �! - 30 .�-� o vti D sYSr O � 0 aS � � U t or W 0 , w PIC' /31 w s/sti : T °p Or- or • 3 ��� pvc P�!^� , �' ��- 873 • 2 Tad c Z- s k3 Asgiion solm must lomill 11 10, L304 .8 110 U LT TO P o f a '' r @ 17 9y 3. 51 i� ME40 Series mvem 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 10 N W 30 tL W H 25 8 E Z 20 6 J Q 15 J t- H 4 0 5 2 f 0 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE F.E. Myers, A Pentair Company • 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. Wisconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM 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)). 353130 Permit Holder's Name: ❑ City ❑ Village Q Town of: State Plan ID No.: Town of Tro CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: e "' ju/ � 040 - 1248 -20 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Ae e!660110%. d2 � I Benchmark Z� q 2 � Dosing l C I f Alt. BM y 4, Aera ' Bldg. Sewer it � 9 Holdin St /Ht Inlet ANK SETBACK INFORMATION St/ Ht outlet TANK TO P/ L WELL BLDG. Air Intak to ROAD Dt Inlet Air Septic �__ �� ? NA Dt Bottom l A 3 d �► Dosing (,or 11-10( -4 30 ' NA Header / Man. rr0 � 2. Z cl Y3- 6- NA Dist. Pipe 2 "4 H �ng Bot. System 3. 30 Z PUMP/ SIPHON INFORMATION (I Final Grade Manufacturer Demand St cover 3.G 9Y Model Number /�� 35 GPM yl,( Z MZ q 8 TDH Lift, Friction r � SystemZ TDH (� GZFt Forcemain Length - t Dia. FFii Dist. To Well g + ! 9yz y SOIL ABSDRPTION SYSTEM Width , Length r No. f renches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS CD D SETBACK SYSTEM TO P / L I BLDG WELL LAKE / STREAM :g u acturer: INFORMATION Type o f t Moe ber: System: oZ.3 15 2 OR UNIT DISTRIBUTION SYSTEM Header/Ma of Distribution Pipe(s) t r x Hol e ize x Hole Spacing Vent To Air Intake d Length Dia. Length Dia. 1- Spacing O tr SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil ❑ Yes E] No ❑ Yes El COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #V!' /it /79 Inspection #2: ff y � Location: 270 Turnberry Court, Hugspn, WI (E1 /2, Section 24 T28N- W) - 24.28. .1284 74 �i (' k �d /�z �►ti Sqi '9VZ .o Sc..�.�( . l/�t U ' Sa� , 4S - La 4lo ve 9r� s� 10C 5`6' 1 _AaW� L boy. 4 p D Ate > l� 0 cover Ip.. IS" 1q ::�d 4 Plan revision required? ❑ Yes ❑ No / ti Use other side for additional information. SBD -6710 (R.3/97) Date Inspect Signature Cert. No. Si 7r 4 PPAe:rs : 2740 7VtAJ /3 c V , . &UDSa - 40 . X y� Safety and Buildings Division SANITARY PERM I 201 W. Washington Avenue NO scons i n In accord with ILHR P O Box 7302 � i1t Department of Commerce Madison, WI 53707 -7302 =, ,- • Attach complete plans (to the county copy only) for the y's_iim, on paler nc�f -s I:oir ty C9�r.1i than 8 1/2 x 11 inches in size. € = r /` • See reverse side for instructions for completing this appltcation ��OUfS! Spa Sanitary Permit Number O tJ \NG 1 3 0 Personal information you provide may be used for secondary purposes Z yl.. ChecR71 revision to previous application [Privacy Law, s. 15.04 (1) (m)]. `\ t� State Plan I.D. Number I. APPLICATION INFORM -PLEASE PRINT ALL INFO z y SSf 4�D Pro y Owner Na t� Property Location 1/4 1/4, S 2 T 2 , N, R20 E (orlD Property Owns Mailing Address ,>, Lot Number f2 Block Number City, State •7 � ✓j `+� rQ v p � Z. Code Phone Number Subdivision Name btr Ia 3i� /i'lO s 20 I; )73/• 21 Y � 11 . TYPE ILDING: (check one) ❑ State Owned ❑ it Nearest Road Public or 2 Fam ily Dwelling - No. of be drooms - y own o f 7 I Ill. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) z l Apartment/ /Condo Y o • l2 4 1 �2y ❑ p 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. MY e�w 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 Pressuriz Distribution Experimental Other 11 E] Seepage Bed 21 ound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure / T 42 ❑ Pit Privy 13 ❑ Seepage Pit / 43 ❑ Vault Privy 14 ❑ System -In -Fill 9efz• Z) 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. /i qL1 Elevation " Z ` r ' Feet 1f Feet Capacit VII TANK in Total # of r Prefab. Site Fiber- Exper. INFORMATION gallons Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin strutted Tanks Tank Septic Tank or Holding Tank 12.00 (' 7 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber/ ❑ 101 ❑ 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) Plumber's S' nature: (No Stamps) P /MPRSW No.: Business Phone Number: go 8 uG�Ri Z��3 �S � 3�G •B/�S Plumber's Address (Street, City, State, Zip S e D / e(t P 0 . J (� f U P 1 0 } IX. COUNTY / DEPARTMENT USE e E ONLY •G �J ❑ Disapproved nitary Permit Fee (Includes Groundwater Surcharge fee) D ate I ssued Issuing Agent Signat re (No Stamps) , gA pproved ❑ Owner Given Initial ID _cl \ Adverse Determination 7 X. CONpITIONS OF APPROVAL �REASONSFOR DISAPPROVAL: � SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber Safety and Buildings jr PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 fisconsin www commerce state wi us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 10, 1999 CUST ID No.226375 ATTN.- POWTS INSPECTOR ZONING OFFICE ROBERT W ULBRICHT ST CROIX COUNTY SPIA 655 O'NEIL RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identification Numbers APPROVAL EXPIRES: 09/10/2001 Transaction ID No. 245440 Site ID No. 180446 SITE: Please refer to both identification numbers, Site ID: 180446 above, in all correspondence with the agency. ST CROIX County, Town of TROY E1 /2, S24, T28N, R20W Facility: RON KREISEL 270 TURNBERRY CT, RIVER FALLS 54022 FOR: Object Type: POWT System Regulated Object ID No.: 490264 MOUND / DWELLING 600 GPD 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: • A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sinc ly, ` DATE RECEIVED 09/03/1999 FEE REQUIRED S 180.00 FEE RECEIVED S 180.00 JAMES B QUINLAN , POWTS PLAN REVIEWER BALANCE DUES 0.00 P.0 Integrated Services Coil, (608)266 -3937 , d JQUNNLAN @COMMERCE. STATE.WI.US WiSMART code: 7633 APPI DEPARTME cc: RON KREISEL :PASIONof SJ SEE COR P� ULBRICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson, WI 54016 neg. Designers of Engineering Systems 715 -386 -8185 Private Sewage Consultants PROJECT INDEX SEP 3 c ecv" r S QI t1PyS V DILIIR Plan I.D. # Date Aug.31,1999 Owner Ron Kreisel Phone c/o 651 - 731 -2345 Address 2508 Snowberry Circle, Columbia, Mo. 65201 - .. _..... . Legal Description Lot 42, Troy village, PIN 40- 12482- 24 -28 -20 -1284. E1 /2, Sec.24, T28N, R20W, Town of Troy. Town of Troy County St. Croix C.S.T. James D. Filkins CSTM03988 Installer Local Authority/ Supervision St. Croix County Zoning Dept. PROJECT DESCRIPTION New construction, for a proposed 4 bedroom home. Estimated daily wasteflow: 600 gals. Per site /soil evaluation, soils are permiable (.5/.6 GPD /ft2) but seasonally saturated at 40 ". A long narrow mound system, curved to match the slope and contour, shall be installed using 12" approved sand fill. Highly recommended: install a Zabel filter in 1200 gal. precast septic tank (Midwestern Precast Co. Memononie, Wis.) and provide an approved above ground locking manhole cover for servicing convenience. M.T.S. £td07 ?ay UIbdcht & A$ a Y E D Hudson a Rd. 540 Hudson, Wig• 18 IT OF COMMERCE .FETY taNOUIIDINq 44 / S ZZ 3 Pg.l PLOT PLAN VIEWS DESPONDENCE 1 1 p .3� 15s Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS 0 Pg.3 PIPE LATERAL LAYOUT Pg.4 DOSING CIIAMBER CROSS SECTION Pg.5 PUMP PERFORMANCE SPECS 1111s design for installation is based entirely on measurements, elevations, landscape conditions (slopes etc. pp 1 ?�e accuracy of his specs, as reported, ) and soil suitability provided by CSTM _;I d 4 of the CS111. shall remain the sole responsibility Any use of this POWTS design by any licensed plumber, or any related unlicensed parties or persons (excavaters, laborers) shall not be construed as an assumption of responsibility by the designer for the workmanship, construction, placement, substitution or selection of any components not specified, or any assumptions by the plumi-er that any unspecified components are state approved or proper, or the effects of poor judgement if working under adverse damaging weather conditions (wet /frozen soils) by any such parties or persons. e5- s l� �#/ N ov D oT- 4o�,V,E /� p ` ` �t/o /� �Oc�S� M OS T Z/,57 S?44E: / 30 � syST o xx y 1� \ • yS ,r NEW / .2.00 OF f � 0 P /G. sErRY �, i 3fy„ fvc P, wfd�c x/73 5 I-, P/ff 4i )4 ,ZIP I u n' )11, tolow the i1 slop file of the M Asgiion $MIN must IIMIII Iftw. 3 . o � � ���v�tT /OAS ' F n //o , rop of a 8 /73� 13 1 9 3.5 � _ ��.c �, = rya •��l r CRO55 S EG TIC» OF MO -~ wi rti BB Dto F % ro � 'D I ST (t i (3 u T % nA) y Ay9Qt Gr , r k i c k-,,3 G- s 3 Pip N �-• s ysr OF TOP SoiL EIe-vArioA3 U0 FO Toe _ u _ 9�3, o E RRT�O `` ME17. �3) 5AL) , I • /q piowmc> TopSoi % 5oPE (^oRcE uu FORM 3' y o 1 MAW � I �VAT�o0 Uu VER f3ED 9 / FT. E, 11 Fr. INVERT' of 2 IAT£RA(S ' �i y 3 , so F ,8( FT 0 • Top o F Rock �T j - �Co G � FT. H /,S • Top 8 ° F �- IATERAIS �y3,� F T, ('LA VIEW OF MouK)D -- Wi r4 13E o F T. L Fr W -------- - - - - -- - - -j i 1 g FT k '�_ 1 T /� Fr W r_ o W 2- Fr rn � BE! 0 o f f " To PVC CAPPED ti 0135eR A 9 31��g hTE Pipes PP-QM AJtjuT MARKERS 'DAB REG2UiRED BASAL. hREA _ y h5T -5011. 10 lrRAT1uE / C ApAci ty 5 4. Fr. PRoQoseb (3ASM APeA = B ( A + _ Sdt. FT. or..V IA5 - 1* 7 ,t13uT'10 AJ PIP ►JErwoRk TO TA L. V cq L u M G o f L A T 2 A L✓ -t y�g-�Rtt3uTlaN .� LATERAI• - eov C AP riX' ! 1 -F T Ta Y c P UG F oR E M L Asr V�o s N , fie "F 1tT Tel t .o t) CAP VOID Vojo)A FO :2 FT'. .�uuE.Rr � I�vAr�o� dF Z FoRcE MAW �y3.so PERFoRArED PIPE DETAi L Q � N oles It�ciAT o� ' rl r3OTroM SHAII BE I VAP A(3LE y E goN llh/ 5PACeD. Y t) s rN". 1 p 9�0 r HOE D� 0NK = Tr- R L ATERA R N /A L IN �� MAN% FoLE) X ImcHE5 n 8 r-oRce MA�k 4:1=- or- (iolc5/ p ; p E�. Zs D15TRi u �3 Ttoti DISC"ARvE RATE PER LATE - RAL. zy�,2S 6 A I f M i A3. t VT AI. 1)15GI1AR bE PATE "ertk)OR k GA i, �I PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS p '4JE `f of 5 -VENT CAP 'i "C.I. VEFJT PIPE WEATHER PROOF APPROVED LOCKING JUAICT.IOU BOX MANHOLE .COVER P-5 ' FROM DOOR , t1l 41,4,0 (1 1 A AC � wlNDow OR FRESH AIP INTAKE f �F t,49 10n1 GRADE I `"MIM. i COIJDUIT I-- \ ---- - - - - -_ slE6' PROVIDE I - - = -- ��> IIJLE T _ AIRTIGHT SEAL r rn1 I I I V A,PPR OVED JOIM'T IA y I V I I APPROVED JOIIJTS W /C.I. FIFE IN �at�K�,rn I III W /C.I. PIPE � I II EXTENDIAIG 3 EXTEPJ LAR DIAIC+ 3 �0 D I 1 AM ONTO SOLID SOIL `1 1JT0 SDt1b SOIL q 1 I. � / � C 3 3 I I I I I ow g c LLEV. FT - -� 2 �� ' PUMP - OFF WSE ,3 0ve /yOxE OF 00 k !'��" 1 (, I BLOCK S�t.Vlp RIStR EXIT PERMITTED OIJI -4 IF TANK MANUFACTURER HAS SUCH APPROVAL. SEPTIC E ,� y� , SPF-CIFI'CATI0US DOSE �S P�ST TANKS MAMUFACTURER: — WMBER OF DOSES: PER DA-4 2 ov TAMK SIZE : /Oro ,�,Ge�A,,LLOMS DOSE VOLUME /0 ALARM MAULIFACTURER: (f�� �� `" ? INCLUDING BACKFLOW: y /O /� GALLONS MODEL NUMBER: I L, CAPACITIES: A= /`�' IIJCNES OR !J GALLONS SWITCH TYPE: F70 S W <� Z- IMCHES OR 50 GALLON 8= PUMP MAIJUFACTURER: ZoE� �En. _ C =S�_L— INCHES OR 2 GALLONS MODEL MUMBERn 9 r j 'I`"� - / Is U -- D = /31/0 INCHESOR 3 ' a l- / � — GALLONS SWITCH TYPE: P1 / C � JY ,6~ rr - 4 - MOTE: PUMP AND ALARM ARE TO BE MIMIMUM DISCHARGE RATE . 5 GPM INSTALLED ON 5EPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AUD DISTRIBUTION PIPE.. -7, FEET - rAA* !MEC — S + MI"IMUM METWORK SUPPL9 PRES . . . . . . . 2 . 5 FEET EAC� pf J{ "' + �_ FEET O F FOR MAIN X �' F YoFT.F RICTION FACTOR.. 1 ,52 FEET TOTAL DYNAMIC. HEAD — 16, 7 FEET `( IAITERNAL DIMEIJSIONS OF TA"K: L- F-M&TH ;WIDTH • ;LIQUID DEPTH 1 ZOLLER EFFLUENT PUMP MODEL 98 IWAb CAPAC11" CUnV 1e- M ODEt. $—� I JS /e 1e_ e 1 J /11 r♦ 1/2 -I1 1/2 wl ,��MLIaNS _ Ill 2 0 5 - —_ so _ )_ 0 so 11A 1 . , FLOW pen Mlllul !10 E ilrlur Nr AWe tWwAtIft" ' htN tArACny t2 . ►Itt wlun� GAIe I.rne !/ el 11 1,) I to / 91e » leek v elvo J 5 /li CONSULT FACTOny FOp SPECIAL APPLICATI Eklclrlc/n ehemelor� for duplex systems, ere available end ONS Ir;ppled wAh on alarm. a Mercury float switches are available for conlrotling stogie and Aledtenlcef sAernetae, Idr chrplex systems, ere evelleble with q e three phase systems, wlhoul Ne►m IwAche�. Double piggyback mercury 11081 switches are available for vallable level long cycle controls. 81 6nde t d all mode ls_W e � h190 lbs. - r�, II t, t,r. ,.1 I ELI CT1014Ouloll N tell. I � _. _ a no w ep•let•d Z Pd• nreh•nled •wlteh, to •M•tn*1 ea wol, "d ied. Model Control 9.1•etlon !. eingb plppybsck m•retn soy Switch a double p meteury, lee ii%� hµ 1ll Am e — ---- - _ •witch, n•1•r b FMON1 3. �ImeleN _ bupleK Mkedhonlemahernelot t 1000112 1.6_, I a _ _NII _ 111 L 11 _ 1 1_ _ -- - 1. hoe FMtl11f, "' "'"c! rr rl r'r..eVicaeM.rMIOr, 91__ 200 ' - 2 e. mote E Pek -- —__I _ Auto 24Li $. o+Y an•a now owneh 10 0"s EN 9 130 1 Hon �- 4 _ ._�1 a 1 s l duple■ 1 er ( Wait elrrt•n, N • control aeAvdq ,p•cl►r 1 >! 2 1 ! a 1 1 1 !•1 hcd• "J Pei, ". lonnbri pull a duP1•• eMr•tler% too o;' l eonnod im or wlrod h olm• /. •rs (>7 hey - J P•h", ter wy�rtlef /.otrl•._....A /pl{p/ 46m,* M N/e.w tree» try ARM r•►w b t•!• V Mr�/ ►t1e11 tbc4kr M.rn. a r lo," ►v hanktl ilx.�4„ 00, lo, iEla odlg r, 1} a AM hrl•n•Ileq N egl, �AU110N .»• • e..ln� IMbMi;.ne A;m n.1 Me.�••J • �� • t M M ��n4 v&lnd •Mrla it• den. ►y � M•■ C.i,.sd 1 .•4k•1 • M e M • •bM r•••nl N•11•n•1 tl•e4{. C 'tY eed.• •br vW ►. le1•.,•4 U04. "••N% Ad (09101 !N M«I end b [ •euptlsw•1 ed•Il •M pESEf VE POWFOED DESIGN .� For vnttsutal conditions A ► enlely Iaclor to do Inee►e • 9 d Into t Ile design of o41Y Zoeller pump. Moo � /� / M�II IQ r.U. dOX 16311 �. 100 411847,11 :0 1�►�►�tr. Kr #0756 0,147 Maqu /acfulers of.. . #NIP 10: 3180 014 Arnett cant 1OL 1,; K/ 40; % - rAr soz) Ill 367 Qat1i� r /vs wbsconsu+ ntof industry. SOIL AND SITE EVALUATION REPORT Page L of 3_ Labor and Human Aoiauoru , oivision of Satsty & 8wldngs in accord with ILHR 83.05. Wis. Adm. Code COUNiY Attach complete site plan on paper not less than 8 1!2 x 11 inc in size. Plan must include, but ST. CROIX not limited to vertical and horizontal reference point (8 Ir toe�rJ f scale ale or PARCEL I.D. 4 dimensioned, north arrow, and location and distant n I road: /,s APPLICANT INFdRMAT10N— Pt.EASE PR L INF iill�T10P1Yi R IE>n1E08 DATE 1 i PROPERTY OWNER: P LOCATION E 1/2S 24T 28 NR 20 W TOM RUEMMELE & JOHN AND BARBI 4 mm a E f GOT. LOT 114W 1/2S 19T 29 NR 19 4(4I W PROPERTY OWNF.R':S MAILING ADDRESS T Ch, �� LOT4 at66itt SUB0. NAME OR CSIA tt 260 COUNTY ROAD F r± Z C �V X �� 4 TROY VILLAGE CITY, STATE ZIP CODE N IC/ �` ILLAGE OWN MVRA189-02Y REST ROAD HUDSON W 54016 — Y ( 2 0X"ZT bQ New ConsMi tion Use �K j Residential / Number Fiarf m 4 ( Addition to existing building j ] R eplacement ( j Public or commercial d escribe Cade derived daily flow 600 NO Recommended design loading rate 604 bed. gpd/ft = trench. gpd/tt Absorption area required 5;V bed. ft2 r trench, tt Maximum design loading rate 12 ✓ bed, gpd/ft O. G trerich, gpdM Recommended infiltration surface elevation(s) BY DESIGNER ft (as referred to site plan benchmark) Additional design / site considerations o TES m/t/ P,E Patent ntatetiaf G m�5 5 j/L L oL o �/ /! Flood plain elevation, ii applicable N/A ft S = Suitable for system CONVENTIONAL MOUNO IN GROUND RESSURE AT -GRADE SYSTEM IN FILL HOLOWG TANK U = Unsuitable for stem I C2 S 1$U I S ❑ U ❑ S KU I Q S f"U C3 S IR ❑ S 9U SOIL DESCRIPTION REPORT Bonng # Honzon Depth Dominant Color I Mottles Texture j Structure Caws tsttay Roots I GPOitt� in. I Munsell f au. SL Cont. Color I Gr. Sz. Sh. Bed ITrerx7t " 17 3' Al 0 -12 10YR 3/3 - -- sil 2msbk mfr law 2vf 0.5 0.6 A2 12 -19 10YR 5/3 - -- sil 2msbk mfr as lvf 0.510.6 Ground B1 19 -40 10YR 4/6 - -- sil 2msbk mfi Icw lvf 0.5 10.6 elev. 94 ft. B2 40 -60 7.5YR 4/4 ' f 1f 5YR 4/6 sl lmsbk mfr I RW Ivf - -- — Depth to B3 0 -64 .5YR 5/4 m3p 5YR 5/8 sc 2msbk mfi las lvf - -- - -- Grtating later R 4 -68 OYR 8/3 1 - -- lms t - -- - -- - -- -- - -- ' - -- 40" I 1 1 Remarks: Boring # A 0 -10 10YR 3/3 I - -- I sil 1 2msbk I mfr as 2vf 10.5:0.6 10 B1 10 -32 10YR 4/4 - -- sil 2msbk mfr cw 1 1 v t B2 32 -54 7.5YR 5/4 - -- sl lmsbk mfr Icw 1vf 0.4 0.5 Ground elev. B3 54 -58 7.5YR 4/4 m3p 5YR 5/8 sc lmsbk mfi cs lvf - -- - -- 94 tt, R 58 -62 lOYR 8/3 I - -- lmst - -- - -- I - -- _ -- - --- oepm to limiting t 54" Remarks: F Na m er-Rens Pr int JAMES D. FU NS Phone: (715) 425 -7831 OGDEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER FALLS, WI 54022 Danc l 7 CST CSTM03988 PROPERTYOwNEA SOIL OESCAIPTION REPORT Page Hof _ 3 PARCEL 1.0. x Depth Dominant Color I Wtues (Texture I Structure Consistence l8otrtoaylRocts P O Horizon in Munsell Du. Sz Cant Color Gr. Sz. Sh. Bed Trerrrt Boring # _ 12 l OYR 3/3 - -- sit 2msbk I mf r di 2vf 0.5 ,0.6 IN 1 12 -35 IOYR 4/4 1 sil 2msbk mfr cw 1vf -f 0..5 `0.6 B2 5 -48 IOYR 5/4 - -- I gsl lcsbk mvfr as lvf 0.4'0.5 Ground elev. 8 -50 1OYR 8/3 lmst - -- - -- --- --- - -- 94 tL Oep to — limiting Remarks: Boring # I 4 I I Ground elev. ft. 000 to limmtng factor Remarks: Boring # Ground I I I I I elev. tt. I Depth to limiting tastor I I Remarks: Boring # I Ground elay. ft 090 to l ifting I I Remarks: s8p�30fR.Ot310Q) f ; PAGE 3OF3 SITE PLAN ©� ¢3 SCALE: 1" = 40' 943. 7-x' ❑ I Lor ¢ z � i o 0 sc D ` � x. O �o'vrr�irY � X73 _ J NOTES: PROVIDE MINIMUM OF 1' SAND BETWEEN BOTTOM OF BED AND EXISTING GROUND. MOUND TO BE A MINIMUM OF: 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. OGDEN ENGINEERING CO. JAMES D. INS, CSTM03988 Civil Engineers & Land Surveyors Go 113 W. Walnu 715) 425.7631 Fall w l 54022 DATE: ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHI CERTIFICATION FORM /� / Owner/Buyer L tC c o- "EN1 � Nj S Mailing Address 2 � � y CI oac'e ,CZy—UM Property Address ��O FL) C-() (Verification required from Planning Department for new construction) City/State TPOV , LO I Parcel Identification Number 12 • 1Zj-P2 -24 • 20 . 12BI- LEGAL DESCRIPTION Property Location - - Sec. 2 T-2--a—N -R 20 W, Town of Subdivision TaUZ V (LLd,(2 Lot # Z . Certified Survey Map # . Volume , Page # Warranty Deed # �� 'A ` 1 Volume Page # 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, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal 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. I/we, 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 ys o the three year a iration date. � q SIGNATURE OF APPLICANT DATE OWNE CERTIFICATION I e) •er 'fy that all s tements o s form are true to the best of my (our) knowledge. I (we) am (are) the owners) of e prope d scri abo virtue of ty deed recorded in Register of Deeds Office. V 3 T1 S TURF O APPLICA DATE * * * * ** Any informa ' t 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 I _ • KATHLEEN H W SH }� REGISTER OF DUDS } STnit om or wine )ij rnntA 2 —1999 wx ' �• cun �o - = = - • — W AttT1ANi Y btCU_ _. ! r 1 to _ -• - RECEIVED FOR licv t 0�1 1999 9><34 y I , Y I � p ct is a t � o i t', 'tom r a i 1 L o 1: - - - -- ----- • - - -.., .- -- - - -._. __.-. wAIiIY DEED __ -- CERT COPY FEE r 1 Cl Inc a and w;+nlilt, 1t# �_.. - • - - -•- ... _... __..._._._._— C OPY FE E D l I Koalcenia Homes, ; TnG. NGI F E 1 10 4� . ••7 MASS 3 tl n I r7inwhin rf milrrd trot estnln hr _.. __a •�• Crrf� x - - �� _UOruUy - -- ' $ nl 1 Wiscops111: f1FIMI To j 1 � 2 of tiht3 T oC. 'Prciy V i 11 nqn in thr3 Town of � ;St.: Croix Colnity, wirconsin. 79 Koot nia homes, Inc* I ' • , 1 75 iEton Road I ' Wt7�od tury# M 55X25- S 1 1 J .cil: to i v r larationti of Covcrnants, Gmditi"na at 1 Qstrictims f or 'P rot' Villrgr_► r, 'P c.cirdrel I . V . 1 241 i Poaq ?56 lis Pod. No. 559964, ant! 40- 1'202-24. 28.20. 1284 1 ( b�i qw a�aticm of nol t Courso coven -tttn, 1 enli I T c i t 1 ones alit) C,asrnlents t recorded i tt Vol- 1 ! { P t 301,:ai; T - Na • 559909, -'k ll as; ttppcaring is the `• ; ' i n iC43 of. t:he Rectis of 17tllpdit for St. rro ' ' C t l;ty► VI Rf:0 116irl, A lld . Wier rE nsementr+, : j r ., ;�tmtrictions And reRervatioTls of ' 1 } r o�rd, or in 19.ae, and obligations contained he Parchasii Agreement for'thie lot. i ! I 1 • :'� • I 1 , Is Ilot ' 1 a : _ _,.,_• -� 1►oltlrslnntl plopelly, I i : (IS) (IA not) , S D cwptlon to W81141111e9: ' t I b 11 Id `_ 6th} - - - -- tiny of —... Augu ,IA 9 (SEAL) ,� ! , • th M. C vi t •.� _ jtt :i { {� oy 1evei6pment' Corporation } (SCAI-) !AL t ' AUTHENTICATION A In I t ti(a) „___ —_ _� G TAl E OF 4 - trnndy JJ ► . A H r IICAICdti>fa— ,,,, tiny of -~' ,•~— .t9,�.,— T'Cr9onn on beloto IM Uds 60 L_ �tf�y } } Au gus t In 99 Mgsb a rwm0 I ' nt }; Tr j T El MfcM[tEP 81AIE, 6Afi or WISCONSIN I i t�Mi '- - -- -.. .... .. to Inn known to be p son wfi0 bd j 1 Ixill,ad {�y 6 10n,96. Wws Rintc.) lolopop+ 111 ehulnrinl ) And no d 11W slime. i 1 s Waimikirm maxi onnrtEn ny , I i M Y ' DEVE L OPMENT CClRf'ORA'PIdN w , ! __ _ -- Nnlmy row _ And a (,`0tM1t t3 (517' aloe met' bo AlltlionllCnlnd or ncinlowlnilyr;3'OOI�► Grp Ilol M 4301" nlas1o11 1 mxnent. 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