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HomeMy WebLinkAbout004-1085-30-000 ST. CROIX COUNTY ZONING DEPARTMENT — AS BUILT SANITARY REPORT Owner q 6 r Address Cr �! .. 3 b $ . a r" � �na�/ �� � City /State SPr-= V ? A na a �-e� w . r wN Legal Description: 4Q/viNGO FcE Lot Block NA- Subdivision/CSM # '/. 1� . Sec. 2,L, T N -R 1/ W, Town of PIN 00 y /o S..r SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION -35 A?. 15. 5 1 1 - 7,1 Tank manufacturer A i, i &s Size ST/PC / Setback from: House 1 < Well ISo PAL, y ° " Pump manufacturer_ �1 Model Me 3 __.. Alarm location - 16 m e h ¢- (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system• A o u n Width S Length 7._ Number of Trenches l Setback from: House % Q Well P/L f- Vent to fresh air intake Q_ ELEVATIONS Description of benchmark -7o 'e 6 F f e " C c {�o s .� Elevation /QO f Description of alternate benchmark Elevation Building Sewer 7, ST/HT Inlet �' 7. y ST Outlet' 9 PC Inlet Y7, 7 PC Bottom ) C Header/Manifold 9 ' y Top of ST/PC Manhole Cover y �• y y Distribution Lines Q q `l, 41� () q 9, 6 z ( ) Q ?, D Z Bottom of System () 7 9 , 3Y () , 3o () �, 3 y Final Grade O / d 47 e — O /60. 7 O jOG, Tr Date of installation Cllzl F*ermit number 3 77 / i State plan number S 7 "0 3yS Plumber's signature �­o� � License number 2 Z- 76 / Date •r1 78 ' Inspector _ /eo cf ZC f ; we ,- Complete plot plan or Np T't,C /e e A Plan as Arothe the f olio • Two �'1 ew sketch sho wing. S horizontal re fer wi ng ev hoc, alte�ate b ence Points to c g with. '00 p� f enchmar if enter of sepc ofthe system. a pplic a b le �k � anliole cover. PL v iew OW WisZBnsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) SanitaryP V> o.: Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. - 71 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: rIi� U661 K ev- CST BM Elev.: j Insp. BM Elev.: I BM Description: U Parcel Tax No.: 1 DO ( 00, 'i�a o -� Post o 0 4- t o 5 - - 3 0 —0 TANK INFORMATION ELEVATION DATA A- 480 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. eptic w0 Benchm k +� 3�- ►p3 3L 100 Dosin pv1, o �N1 SiL�t �$ l03.8�{ lbb Aeration Bldg. Sewer &46 87. Holding St Ht Inlet fL./S 1 TANK SETBACK INFORMATION St/ Ht Outlet ,-- TANKTO P/L WELL BLDG. Air to I ntake ROAD Dt Inlet ir xo, NA Dt Bottom I� $4G� NA Header/ Man. 8 Aeration NA Dist. Pipe 2 gq.oa Holding Bot. System I s-so 98.ix PUMP / SIPHON INFORMATION uy L l M 33.5 Final Grade Manufacturer Demand - � k W446 1 co q90 �3� Model Number ' GPM Friction S stem TDH Lifti L oss (,►� Hy �. TDH Ft Forcemain Length v Dia. ;)!I Dist. To Well SOIL ABSORPTION SYSTEM BED R Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liqui Depth DIME N I N 7 DIMENSION SYSTEM TO P / L BLDG WELL LAKE / STREAM L CHING SETBACK CH BER INFORMATION TypeO Model Nu r. System�kcJ �Fc l -f �Ttj OR U DISTRIBUTION SYSTEM ew-om -& - pp. Ri Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Lengthl ° y(L U )Dia. Length 13 Dia. c;t Spacing 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 I Yes ❑ No ❑ Yes No COMMENTS: (Include code discrepancies, persons present, etc.) 4u.; r'zp(acej Po -A? a,\ 4, #aA 1� 4�dePU44 4 L (S�') 2 ) -bz1 44A tVvQ rcrk *wCia4wt rv rA W j Plan rev sion tlul�e Q Yes No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature ert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i r N VA � Safety and Buildings Division consin SANITARY PERMIT APPLICATION Po E. Washingt Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County �� than 81/2 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs ❑ Check if revision to previoJs applfcaTwn [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION S 0 17 — 03 Property ner Name / Property Location r t'a 2! 114 A/E' 114, 5 S T.78 r N, R /J E (or W Property Owner's Mailin Address Lot Number Block Numbe 3� 0 8 �i c / t4. C re i X R J AJ City N-7 ode Phone Number Subdivision Name or CSM Number J r` Ve ��c 6 (/.T7 )77Z -Y,0y A14 II. T YPE OF BUILDING: (check one) ❑ State Owned It Nearest Road — 3 p Village Public 1 or 2 Family Dwelling - No. of bedrooms Town OF �2,� v 27 Ill. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 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. Jg New 2 E] Replacement 3_ ❑ Replacement of 4_ E] Reconnection of 5 E] Repair of an System ------ - _______ System__ _________ __Tank Only ________ - ___ Existing System ________ Existing System 8) ❑ 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,ETMound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade 1. /s-- Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation / 3 7 V 3 7 S Z. A/ 1 * 79.Y Feet /fro, g Feet Capacit VII. I NFORMATION in ga llons Total # of Manufacturer's Name Prefab. Con- Steel Fiber Plastic Exper. New Existin Gallons Tanks Concrete structed glass App. Tank Tanks Septic Tank or Holding Tank 1060 MijoJesf -,,I A ,Q ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber 1 " . 0 J `So i f 12 1 ❑ 1 ❑ 1 ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumbe ' e: (Pr Plumber's Signature: (No Stamps) MPRSW No.: Business Phone Number: b us z u 71 76 71J -0 I3Y Plumber's Address (Street, City, State, ZiD Code): _ 13 q - D q 3 7 r s� IV" A u f u r W -1- s 7 S IX. COUNT / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate lisue7d, Iss ent Signature (No Stamps) ILApproved []Owner Given Initial I� .C� 010 Surcharge Fee) !' Adverse Determination ` ap d X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD -63% (R.1 1/96) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber I i I 4 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. 1 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 State 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. I 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. I 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. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect g roundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. I I SAFETY & BUILDINGS DIVISION � A I State of Wisconsin Department of Industry, Labor and Human Relations I i 7 iR.01/Bll r . RESIDENTIAL MOUND DESIGN INDEX AND TITLE SHEET Project 3 bedroom mound Owner Brian Voelker Address 3208 Pierce St.Croix Road Spring Valley 715 - 772 -4614 Legal Description NW NE S35 T28N R15W � 7CEIVED Township Cady County St. Croix OCT 10.1997 Subdivision Name na Lot No. na Sf Parcel ID Number Plan ID Number S97 -03452 (� 9 7 .. 0 5 2 OF....Wi INDEX SHEET PAGE ONE �Q * MOUND CALCULATIONS PAGE TWO THOMAS D. :N MOUND DRAWINGS PAGE THREE GUSTUM Z PRES. DIST. CALCS. & LATERALS PAGE FOUR t / PUMP TANK DRAWINGS PAGE FIVE • � 7 PUMP CURVE PAGE SIX Off••... SIG NEB PLOT PLAN PAGE SEVEN Designer Thomas D. Gustum License Number D1201 Signature Phone No. 715- 658 -1344 Date 10/6/97 Notice: Tampering with this file by unauthorized persons Is prohibited. Deliberate modification will result in disciplinary action under s. 146.10, Wis. Stats. SBD- 10462 -E (R.04/97) Pagel of 7 RESIDENTIAL MOUND DESIGN Eight Bedroom Maximum Complete information in red framed boxes as necessary. (y or n) r n Is the system over creviced bedrock? Slope E4 % Number of bedrooms Wastewater flow rate gpd 1703.3 Lpd Depth to limiting factor 4 in 1 61.0 1cm In situ soil infiltration rate (code) 1 0.6 gpd /ft 24.4 L/m Contour line below the upslope edge of absorption cell 97.4 ft 29.69 m Use standard fill depths? C � OR Designer speed depth in I 1cm Place X in box to use standard depths (f 2, 24, A+4 inclusive) OR specify design flit depth. i Center or end manifold a (c or e) Estimated hole space 3 ft Not a final calculation Lateral spacing 1 0 Ift Minimum dose >= 10 times void volume Use a 0 lateral spacing for trenches. Pump tank elevation 88 ft Outside bottom of tank Number of laterals 1 Force main diameter 2 in Force main length F 8 ' olft Force main actual dia. 2.067 in SYSTEM SOLUTIONS Inch - pounds Metric Cell media "x" one only. Estimated daily flow f 450 gpd 1703 Lpd x Aggregate and pipe Chamber and pipe Absorption cell Design load rate & area 1.2 gpcW 375.0 ft 34.84 m Linear load rate 6.0 gpd /ft 74.4 Lpd /m Design width (A) 5 ft 1.52 m Cell length (B) 75.0 ft 22.86 m ry /� c� Depth of cell (F) 10.4 in 26.4 cm S 97 '" 0 3 4 5 Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 15.6 in 39.6 cm Basal area required (gpd/infiltration rate) 750 ft 69.68 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.4 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.6 ft 3.23 m Upslope toe length (J) 7.3 ft 2.23 m Downslope toe length (1) 11.6 ft Rm m Total mound length (L) 96.2 ft m Total mound width (W) 23.9 ft Project: 3 bedroom mound Plan I.D. S97 -03452 Page 2 of 7 MOUND PLAN VIEW observation pipes (typical) J W= 23.9ft A� A= 5.0 ft 1.52m 7.281 m — O B= 75 ft 22.86 m B K J= 7.3 ft 2.23m I I = T1 ft 3.54m K= 10.6ft 3.23m _ 9 - 21 ft 29.3 m - —� typ. obs. pipe A X B refers to absorption cell width and length (anchored securely) J = upslope width I = downslope width K = end slope dimension Lu 6' (150 mm) MOUND CROSS SECTION T D = 12.0 in 30.5 cm lateral topsoil G H subsoil cap E = 15.6 in 39.6 cm invert 98.9 ft _ - _ \ F = 10.4 in 26.4 cm elev. 130.14 m see note F G = 12.0 in 30.4 cm H = 18.0 in cm 45.6 � D E � ASTM C33 i �� W S ys. 98.4 ft Sand Fill Y elev. 129.991m 97.4 ft contour 6 29.69 m slope Note: Absorption cell media will D = upslope fill depth plowed layer consist of aggregate and pipe E = downslope fill depth or leaching chambers and pipe F = absorption cell depth as specified M Chamber Aggregate G = subsoil + topsoil depth at cell wall at right. H = subsoil + topsoil depth at cell center Designer notes: S 97 0 33 4 5 If aggregate is used, it is covered with code compliant material. era ■ TCJ• .i d M 0� P gP Project: 3 bedroom mound Plan I.D. S97 -03452 Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 1 5 1 ft 1 1.52 Im Length (B) 75.0 1 ft 22.86 m Lateral specifications Number laterals 1 Holestlateral 25 holes Lateral length 72.0 ft 21.9 m Perforation dia. 0.25 in 6.4 mm Lat. dis. rate 29.13 gpm 1.8 Us Sys. dis. rate 29.13 gpm 1.8 Us Hole spacing 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 1/4in/32 mm box of chosen from the options 1 1/2in/4o mm diameter. provided. 2in/50 mm X x 31n175 mm I X Manifold diameter Pipe di ameter Design options Design choice Designer must 1 in/2 mm 'X" one choice 1 1/4in/32 mm None required from the options 1 1/2in/40 mm No choice necessary. provided. 2in/50 mm 3in/75 mm 4in/100 mm Distribution system contains 9 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 ouer the A & 6 dimension end cap P Last hole drilled next to end cap IE X --� I Laterals & force main of PVC Sch 44 Holes drilled on the bottom of the lateral (per COMM Table 84.30 -5) equally spaced • = permanent end marker Inch-pounds Metric S ID "7 • d 3 � Lateral length (P) 72.0 ft 21.95 m Lateral spacing (S) 0 ft 0.00 m Manifold length 0 ft 0.00 m Hole diameter 0.25 in 6.35 mm Lateral diameter 2 Nn 50 mm Number of holes per pipe 25 Invert elevation of laterals P. I ft 30.05 m Project: 3 bedroom mound Condiiionally Plan I.D. S97 -03452 APPROVED Page 4 of 7 DEPARTMENT OF COMMERCE DIVISION OF SAFETY AND BUILD1. SEE CORRESPONDENCE Total dynamic head System head = 3.25 ft 0.99 m Vertical lift = 10.10 ft 3.08 m Are laterals the highest point in the Friction loss = 1.17 F l .N 0.36 m system? Yes 'W here. Total dynamic head = 14.52 ft 4.43 m If no, what is the highest elevation Dose Volume downstream of pump? Lateral void volume = 12.5 gal 47.3 L Force main drain Minimum dose = 125.0 gal 473.2 L back to tank? (Y' one) Drain back = 13.9 gal 52.6 L x Yes Dose volume = 138.9 gal 525.8 L No Typical Pump Chamber layout S9 In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover 7� weather proof wlwaming label and padlock grade levels junction box —oo — levels � grade quick disconect _ alternate 4" vent pipe _ electric as per NEC 300 and outlet Comm 16.28 WAC location 18" (46 cm) min. If , fall of pump ��- appro'Jed chamber or outlet combination joint tank / A 1/4" // weep Grade levels alarm on W hole as pump tank manhole = 4" min. above finished grade pump on B necessary pump tank man. =100 mm min above finished grade C vent = 12" min. above finished grade pump 88.8 ft j vent = 300 mm min. above finished grade off elev. 27.1 m D 3 " (75 mm) of bedding under tank and anchor tank as necessary 88.0 ft Pump tank elevation 26.8 m bottom of tank Tank specifications: Midwestern Pre Cast Pump tank = 17 gal /in Pump tank volume = 650 gal Capacities. Inches Gallons A = 22.1 375.1 Pump manufacturer: lbarnes B = 2 34.0 Pump model number: ISE411 I C = 8.2 138.9 D = 6 102.0 Project: 3 bedroom mound Plan I.D. S97 -03452 p ' o ' � �' � " Page 5 of 7 Conditionally APPROVED DEPARTMENT OF COMMERCE DIVISION OF SAFETY AND BUILTUINNSS SEE CORRESPONDENCE Milt �Y 2q • ? W� X5 011 Q� 1/ rJ B riAh YD¢lktr P�0"�167 :3201 P a rc ,,- $+. Cro r it Ro a j d Ser; Va (I Wl 3 NW Nt 5� c. 3S' 7'a S 0 1 s'% � 654 370 -0'19 A rT of q 0 ACres � m 160 7 d of �!►: s�� rq Gn4, F'c,*,cc. P06 / J Also f he f �; 18a f. cgs c�&uldo,� o• o l -CSo k Di Tah Sca k 1: S97 -03,452 303 � �roPosed �1i S t► rck '� �c �ow _( g, ( / ke' L MpJVta 0 Br- UAj, . l' cur. �u r o P.O.W.T.S. 971 Conditionally r.,' ce. 6 rAP P ROVE - DEPARTMENT OF COMMERCE DIVIrN OF SAFETY AND ;UILDINGS o l \ �-1AX SEE CORRESPONDENCE lffk, ansin'Uepartment of Commerce SOIL. AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in a ante with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 i e n must ' , County include, but not limited to: vertical and horizontal poin •don and .. percent slope, scale dr dimensions, north arrow, / and distance to nearest i�d. Parcel I.D. # ) t C ! FIT i li grt(!S� - APPLICANT INFORMATION - Please p ir%# all in Re 'awed by Date Personal information you provide may be used for seconds y r esaE,r�xr ( • f) .. 1/ Property Owner ,i `:,.. " , rty Location i'tGIf1 ee ti k t� 1 , .,`.. '� vt. Lot Iv w 1/4 AJE 1/4,S T ,N,R /Y f-(o 1 Property Owner's Mail�ing� Address C� �� ` C,�o i K � Lo # B f t � � � u S � Name or CSM# City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road V Vj l5q1407 1 01S - ) 77d- q&/4 Cad ag ® New Construction lase: Residential / Number of bedrooms 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow �� gpd Recommended design loading rate d - 5 bed, gpd/11t gpdhP Absorption area required bed, ft trench, ft Maximum design loading rate © -S bed, gpd/ft - trench, gpd/ft Recommended infiltration surface elevation(s) Q tQa4 GO/V itu l ft (as referred to si a plan benchmark) 1 �r I / / Additional design/site considerations 6.) t o i 5 t t� d i s Tu r D to h 311uG /' C Parent material l O -eSS Flood plain elevation, if applicable IlJ A ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ s ®u (� s ❑ U ❑ s ® U ❑ S (9 U ❑ S 0 u CIS ,0 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munseii Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 -16 16 Yoe 3 a m5bk m QS IP/M D•S :O'lv 5 7 .3 no, 5 1 m r cf P' Ground tl- 11 yQ elev. Y s i 1 i rn.s vw c.+.J 1 S o•� . ` .!-ft. t7 a ,e O� s ,n �r e�J -- 0 .s o.(o Depth to 4-35 v yi2t <v �' �v f rrmsb mnf O -S :6 (0 , — limiting facto in. Remarks: Boring # - t 10`tR -3 a S i m sbk tn0 - 0.s 4S 1 0S a ia- is t Ufa- s 3 Si l fnv�'r cku.� t 1\1P a 3 t5- I jb jz qj Ground t Y4 S V t a 1 D't2 V /ZQ l 5i I 3 < _ in 5 - 0•S , d Depth to limiting factor _Qjp-in. Remarks: CST Name (Please Print) Signature Telephone No. - 7hornas D. GU 5L rrl n 8= 3 qY Address Date CST Number N 1 3yS0 937 S ee �P,u; A v I vi 54757 40 -3 - 91 7 (o 1 li f SOIL DESCRIPTION REPORT PROPERW OWNER rJ O JUG=' Page A of PARCEL I.D.# O04 - 1 6 Bolin # Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots - Bed ,Trench 0 l iom 3 !' OL w, sb k bn S (0 a !l -/q 1 OYee 3 R S 1 a w. o I mod a.l) I n1P ;0•a Ground 3 1 1D YtZ Yl,a i a m S Ik nv c (,J I el V. ft. i a k s. i c — ,S '0-(0 �- � L ��Yi� Depth to 5 ,2 . 5 i ' 5 aish k m 4 •� ; D limiting or Mn. i Remarks: Boring # 13 Ground elev. tL Depth to limiting factor �in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; E3 Ground elev. tt. Depth to limiting factor in. Remarks: Boring # Ground elev. it Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) (/ g Ve PO 3 rah Seri v. Va (i cy WX 3 ry NC 3r 'Ta 8 r9 R ►�v l J N 370 s� P r� O F �Cres T IQ /�'� C� 1 1 d(s f R fl IV � � w I D �- �8 J G i� WCl� S top Q! ce 3 Be)roo - O -- - - - - -- �" R -7 ca, Br 4�c 3 oF3 U-i• 10 %t +5 t13u 11 ;UN rAA . 717 360 4066 - ST CRA C0 Ll1iVl!\Ca t�l.1UU1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Ow -IBuycr A Mai ig Address Ile U'ls �y 76 7 Pro; 'ly Address � Hby y 09 5--1 2 7 (Wrificatioa required from Planning Department for new construction) City Late l 'sv Parcel Identification Number 00 — LOIS',3 I L—El ►A DESCRIPTION Prol fy Location %, 'l,, Sec. T,,, ZN -R-4:Y Town of ' Sub rision Lot # Cer 1:ed Survey Map # . Volume _ . Page # W& rusty Decd # -t 57 L ( o� - 7 Volume I' 6 Page # Spe reuse q yes O no Lot lines identifiable'o yes O no SE E jLh =NANCE ImPmM use and makteaaace of y;oar septic system could resalt isr its pre AUU to handle wastes. Proper maiaLnna= oohs : Of pUMpiag otrt the septic task curry tine+oe yean or if needed by a lioensed pumper. What you put into du system cm; Xt the ftmcti(a of the septic tank as a treatment stage set the was;W disposal system. 7k PrQPWY owM agr= to sabtuit to St. Croix Zoning Department a certification form, signed by the ow= and by a mass :) I mbcr, jouutcyww plumber; restricted pitrmber or a liccnsod pmnper verifying that (1) tie on -site wastewaterdisposal system, is in ;rper opetat n condixion and/or (2) after inspection, and pumping (if necessuy). the oeptic.tank is less than 1/3 •full of sludge. Uwe t oud=i mad have read the above requirements and agree to Maintain the private sewage disposal system, with the standards set f herein. as set by the Department of C nuac oe and fire Department of Natural Resources, State of Wisconsin. CertiAcation stati Iltat your septic tys = has been maintained mass be completed and returned to the St, Ctoix.Couaty Toning Office within 30 days '1e throe eapimtioa date. SIGI .I.ZJRE OF APPLICANT DATE OV1 II CERTIFICATION I (we) tutifY that ail statesneats on, this focus are true to the best of my (our) knowledge. I (we) am (are) the owne(s) of the I perty descr bad above, by of it warranty deed =orded in Register of Deeds Offic4, V "7 S[G .1,'Q1RE OF APPLICANT DATE 044, 'kuy 'dormation that is mis rcpreseatod may tt;sult in the sanitary permit being revoked by the Zoaiag Depatttuent. « «R ««« 00 1 ade with this applitation: a stamped warranty deed fxom the Register of Dads office 4 a copy of the certified survey map if nferenee is made in the warranty deed y VOL 1 X67 PACE 16 D 565 2110 STATE BAR OF WISCONSIN FORM 3 - 1982 � ]Cl ( QUIT CLAIM DFED DOCUMENT NO. REGIST_R'S OFFICE SI nley - D. Voelker and Carol A Voe Husband and ST, C R OIX CO.. W1 Wife an d each iritheir__own right �'d for Record OCT 02 1997 quit- claims to $rjait S. V�_oelker and Karen M VnPlkor_ as ` c V Vo*_'ghi p m arit al prow � i•. 4*30 hr N DNde the following described real estate in St_ Croix ce-imx State of Wisconsin: THIS SPACE RESERVED FOR RECORDING DATA The NW 1/4 of NE 1/4 of Section 35- 28 -15, subject to that NAME AND RETURN ADC cSS certain life estate reservation of Esther Voelker, A /K /A o Esther E. Voelker, A /K /A Esther Emma Voelker, retained in the Quit -Claim Deed by and between Esther Voelker and tr�� Stanley Voelker and Carol Voelker, dated February 5, 1988' Recorded February 3, 1989 in "833 ", Page 227, as Document' number 445172. ,f 004 1085 -3Q PARCEL IDENTIFICATION NUMBER i i i { EE it This is not homestead property. 2 g (is not) Dated day of , 19� (SEAL) _ SEAL) • Stanley Voelker C - Ila (SEAL) (SEAL) Carol A. Voelker AUTHENTICATION ACKNOWLEDGMENT Signatures) Stanley G. Voelker and State of Wisconsin, ss. Carol A. V County authen�c this day of �� 191 Persana7.►1 came before me this day of v 19 , the above named Kenneth N_ Sortedahl II TIT:_E: MEMBER STATE BAR OF WISCONSIN (if not, authorized by §706.06, Wis. Stats.) to me lmc son to be the person who executed the foregoing instrumic -t 3nd acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Kennet --pr Valley- WI 54767 Notary P.bi� ,� _ _County; b1'is (Signatures may be authenticated or acknowicdged. Both are not NI) cc nmts ._m is permanent. (If not, state expiration date necessary.) „- _--- _ -__, -- , 19__.) • Names of txrwns slgnm :any capaaty should by IyFxd ,i printed b low ;heir signal -c; - CLAIM DEED STAFF Form o SCO'��h. W.s:_tirsr+lzga Co. Inc Form No. . - M AVa' 3 19R2 M�nvz.h3e 'Y's !a' ENGINEERING D ETAILS 4 I Perfo Data 32 Pump Characteristics Pump/Motor Unit Submersible P� � Manual Models OSP33M1 0 SP33M2 W 2a sr Q tj V3 HP Automatic Models OSP33A1 OSP33A2 W s Horsepower 1/3 U 16 a Full Load Amps 7.8 4.6 > Motor Type Split -Phase a r R.P.M. 1750 0 8 Phase 0 1 Voltage 115 1 230 0 Hertz 60 0 10 20 30 40 50 60 CAPACIT -U.S. .P.M. Operation Intermittent Temperature 140 °F Ambient Total Head (feet) 4 8 1 12 16 20 24 25 NEMA Design B GPM 1 1/3 HP 60 55 48 39 28 7 0 Insulation Class F / Discharge Size 1 -1/2" NPT Solids Handling s/8n D imensional Data u nit Weight 50 lbs. 3 -7/8 6-3/4 5-1/8 Power Cord 18/3, SJTW, 18/3, SJTW 10' std. (20' opt.) 20' std. 1. All dimensions in inches 1 -1/2 NPT 2. Component dimensions 4 -1/4 may vary t 1/8 inch 3. Not e Materials of Construction r purposes unless certified Handle Steel 3 -3/4 4. Dimensions and weights 5 are approximate Lubricating Oil Dielectric Oil 5. We reserve the right to make revisions to our Motor Housing Cast Iron products and their Pump Casing Cost Iron specifications without notice Shaft Steel Mechanical Seal Faces: Carbon /Ceramic , Shaft Seal Seal Body: Brass Spring: Stainless Steel Bellows: Buno -N 12-1/8 Impeller 7 Bronze' PUMP 11 -314 ON Upper Bearing Single Row Ball Bearing r Lower Bearing Single Row Ball Bearing Base Cast Iron g- 2 -3/4 3 Fasteners Stainless Steel PUMP OFF A AURORA /HYDROMATIC Pumps, Inc. 1840 Berney Road, Ashland, Ohio 44805 (419) 289 -3042 B Piah V oe��Crr ��o`�p14►� 3 �G g P i �t rt c 5+. Croix �o a j d SPA; Va 0 C- w-r 3 N Al 5c c- -?r 7 S'VJ 3701 Q <Ojg7 / /ar� of SID G1 C a Bm-- &I 100 to p of — Gft4, r c+%cc Pos 4 t �so f�c l� R� VI �ro m Sc h Ala PI/c BZ ° I doo =Lso Pud 83 i Cat�cur � r ql - GoA�7 CIALIC �0