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HomeMy WebLinkAbout012-1077-10-100 v 0 o cn O o C CD �. CD w CD Uj rw cD — 3 - v "1 u o N m° 1 0• 10 •� � £u d d C ,•M O W CD C N O �l c c\ o a m m N N rn rn a m CD cn N N N N O O O O Cn W O "�✓ 7 fA O N N 0 !V C7 CD N (`t O N N C (= O O O Lq � O)',�. CO CO W 0 r to N CO CO CO N 0 c ty O O O �E --1 . § i 3 cr o v o m m -• o N CD D N T -' Gi '6 (D - CD ci C W v N o z z o 0 0 D D o O =5 3 CL N• 0 CD O O O 0 CD N O (3) m c m 3 i,z a 0 * w rn W m C. Z °o C/) 3 m V z CD p W 0. m a o T CD CJ C C as m z N a m 0 3 � C I CD y r 0 i w c CD !' s • O o m D ° a ° A_ O b w d0 y. O O CD b 1 O C ' �, v ST. CROIX COUNTY TONING UCI' A RTM AS BUILT SANITARY RE PORT Owner 7'e ltd I r Address � r� .3G� s `i..., :+ ST c > i 99 City /State ��� �� ,�� *vr /��'C�J, . ''CO 10V o pp G Legal Description:. r ' f Lot _[, _ Block Subdivision/CSM # t t :, . Sec. 3V , T 4A N -RAW, Town ` - PIN # /a - 6 - 77 -/o _ r f> 1 2,a6 SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer ,111,��ulesT Size ST/PC, � /,, 6 Setback from: House /,F Well, l/0 P/L Pump manufacturer ,,1,,e , Model Alarm location 6� (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: ��1� � �, - ' Wide cam, Length f _ Number of Trenches Setback from: House 35 ' Well P/L � Vent to fresh air intake �s ' ELEVATIONS Description of benchmark / A';n ,r Elevation 1,4 Description of alternate benchmark — y , ,,,! T , .1/ Elevation 9S' Building Sewer - • 2r ST/HT Inlet l S'� . ? ST Outlet PC Inlet PC Bottom : / Header/Manifold s _ Top of ST/PC Manhole Cover Distribution Lines 61 ( ) ( ) Bottom of System Final Grade ( ) ( ) ( ) Date of installation Permit number 93W-7 d State P lan number Plumber's signature rG>�` License number — Date — / / Inspector �[ Complete plot plan i 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. E PLAN VIEW z o 16 b I c.� INDICATE NORTH ARROW r 3 :oo Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety Count , 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)( 320270 Permit Holder's Name: ❑ Cit p Villa e Town of: State Plan ID No.: WLODYGA, STEVEN ERR& V p i IE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: I C 012 - 1077 -10 -200 TANK INFORMATION ELEVATION DATA A9800458 / d -y. °' - , TYPE MANUFACTURER CAPACITY STATION BSt_� HI FS ELEV. Septic " �c t� ��" Bench 48 - T 101 V Dosing Aeration — Bldg Sewer �f►S q. Holding -` - -- _......_.__._...__r -- St/ Inlet J TANK SETBACK INFORMATION W Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic /�/ A- � 8 ' �J NA Dt Bottom 1`7 Dosing q}� NA Man. 101 R'-/ ? Ly C,r? Aeration NA Dist. Pipe Holding - Bot. System D1.g� ��.�� 9719-14- PUMP NFORMATION j M htaf Final Grade Manufacturer C o Demand o . w Model Number 0 ,� 37 #/GPM TDH Lift/� to Friction S TDH stem ° � Bt L 4 �a �'' j ... Forcemain Length b o Dia. o Dist. To Well SOIL ABSORPTION SYSTEM ' -7 BED/TRENCH Width �l Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS O DIMENSION SYSTEM TO P / L BLDG WELL LAKE /STREAM EACHING Manu SETBACK INFORMATION Type Of " ,CHAMBER Model Number: System: O 4 1 DISTRIBUTION SYSTEM' Header / M ifold e s Distribution Pipe(s) ! x Hole Size s< x Hole Spacing Vent To Air Intake Length Dia.( Length <=;Q r° Dia. I Spacing f / ,3(,� 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 11 No ❑ Yes E] No COMMENTS (Include code discrepancies, persons present, etc.) 1 9 .. 61 + y_ LOCATION: ER PRAIRIE 36.30.17,SW,SE 1226HI8&iY 63 l0. 7 � &A l @y 1 td' d 5 H ,f" l ' }l i t r 1 e�*' +'�..✓'f� ,.� " t' ' . r �. jF;x .. �r,�l ►GIs "�ti'� Plan revision required? ❑ Yes [:]No 1 - q�q Use other side for additional information. Fid SBD -6710 (R.3/97) Date Inspector's Signature file -� Safety. Division Vhiconsin SANITARY PERMIT APPLICATION 201 6 1Iwashington Avenue Department of Commerce In accord with ILHR 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 8 1/2 x 11 inches in size. r C re s X • See reverse side for instructions for completing this application State Sanitary Permit Number 320 2 , 70 Personal information you provide may be used for secondary purposes ❑ Check it 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 Owner Name Property Location r UG Q �W va - va, S T , N, R/7 E (or Property Owner's Mailing Address Lot Number Block Number le - 18! h VIC City, State f Zip Code T one Number Subdivision Name or CSM Number jvAt. ,u d 11. TYPE OF BUILDING: (check one) ❑ State Owned [I Cit Nearest Road Public 19 1 or 2 Family Dwelling - No. of bedrooms _ ° To w a n OF ' �G ILE 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) �„/_ . 2 0. I .4505 g =040 1 ❑ Apartment/ Condo 00/;Z - jD�? �/D - aaa 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. 54 New 2 ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5_ ❑ Repair of an ------ System ________ System Tank Only 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 X Mound 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. ABSO RPTION 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 � r 7 Feet Oe ;; Feet Capacit VII TANK in Ca gallo s Total # of an P Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name concrete Con Steel glass Plastic App New Existin structed T nks Tanks Septic Tank or Holding Tank (J' Q ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber SD I W !✓G Qa 1 ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) P PRSW No.: Business Phone Number: rZ Q d lS=3 G Plumber's Address (Street, City, State, Zip ode): r IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing Agent Signature (No Stamps) Approved I ❑ Owner Given Initial oo Surcharge Fee) Adverse Determination L�tSO / /6en, X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber • Safety and Buildings 2226 ROSE ST LACROSSE WI 54603 -1905 ,Scone n Tommy G. Thompson, Governor Department of C William J. McCoshen, Secretary September 05, 1998 CUST ID No.267341 ATTN: Rod Eslinger WEGERER SOIL TESTING & DESIGN 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 09/05/2000 Identilicaf on Numbers I Transaction ID No. 145444 Site ID No. 159585 SITE' Please refer to both identification numbers; Site ID: 159585 above, in all correspondence with the St Croix County, Town of Erin Prairie agenc SW1 /4, SETA, S36, T30N, R17W Steven Wlodyga FOR: Description: Mound Object Type: POWT System Regulated Object ID No.: 422851 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Adm. Code. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats. 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. Sincerely, s DATE RECEIVED 08/31/1998 TEE REQUIRED $ 180.00 DENNIS R SORENSON , WASTEWATERPFICIAL I+EE RECEIVED $ 180.00 Field Operations ► 'c" � 9� iALANCE DUE $ 0.00 (608)785-9336, MONDAYS 7:00AM- 3:451INT_', y " l DSORENSON @COMMERCE. STATE. WI L -�� -,` Page of 6 MOUND SYSTEM FOR �RF A 3 BEDROOM RESIDENCE �EIV Ep A UG 3 1 1998 SAFETY & BLDGS DIV. LOCATED IN THE SW 1/4 OF THE SQ 1/4 OF SECTION 36 ,T N, R » W, TOWN OF I.1.1J COUNTY, WISCONSIN. INDEX PAGE 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 FOR S�V �tJ F1M� �� rvOfl vv I.OD` -1 GA OQ LS 12p TA N NQ - t�Q \ E 1�Ps1�1 Y1 , w 1 PREPARED BY I WEGEE�EF2 SQ I L .TESTING AND, cNeN N 4;On(�+ �e e M '...... ~•~ �� F.O. BOX 74 421 K. ISAIN ST. 0 ; , R .IVER FALLS. MI 54012 ARTHUR 1. 715 -i�.r -0165 wEGERER } s � ELLS ORTH. y s � � JOB NO. Z 7 PLOT PLAN • Page 2 of � Scale 1"= y 0 ' I O )1 y V S TV 63 3 ��R1h r f woo � t • I'M 0' Wo I .� SET S hr EL P l PL- w /t8'ki't6.N W1FnZk�ft \` o vA / \\ • S � o� / �`1.� l gzZ ZJu`f'T OW1 c f 8 w- � tihi 2 Y `no rvuT coMPrm - r ok o�slti� -8 `st�-1S Pr2�A . 4 ry Wit 1D R l�a V�T Lzt3T So' F"M - M a unto, rl� v\T x'37 2sf � --wort �`Mvk -. � YSTEM Y SEWAGE S BO - 1�rblcf�gS �O W AjCS_ �`f Gam! L . S rM, CST 1vO ZZ9_ t P¢Z�VP• z 2�o�T FAQ Q oG e� Se E{ww�R� - z � � 4- S -`�►_. nditi®nally C, gIVIS►AN of SAFES`(, °-rk %D eu,��NSs P v/ SPONDEt SE E CORRE NOTES •1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. (Y required) 3. Install 4" observation pipes with approved caps. ( 2 required) 4.-Septic tank to be - t uoo AS0 gallon capacity manufactured by '; 1>R- � T, )AJ c. 5. Bench Mark S � prai) V e - 6. Divert surface water around system to prevent.ponding at the uphill side. Page 3 Of 6 Approved Synthetic Covering ° i G- rrs C. 33 Distribution Pipe Medium Sand = =H_ _��_ �= G Topsoil Ele Z. F v- � 3 E b 1 � % Slope PRIVATE SEWAGE SYSTEM Bed Of 2- 2 %2 Force Main Plowed �'onditionall A ggregate From Pump Layer D \, k-� Ft. tP Cross Section Of A Mound System Using E \•4$ Ft. 9VISIAN OF SAFETY AND BUILDINGS F D . � Ft . -� A Bed For The Absorption Area G \. Ft. _ SEE CORRESPONDENCE A o Ft. H t• S Ft. Linear Loading Rate = Q.S - 1 GPD /LN FT B X11 Ft. Design Loading Rate = o - GPD /SQ FT j Ft. J `I Ft. K Ft. - Alternate Position L 1O Ft. -F-0 w 3 Z Ft. L 7 — r — , Observation Pipe g K 0 •-- -- ----- - - - - -- - - - - - -- -- Force Main W ----------- - - - - -- t s #'TT M M OtAP OS Distribution Bed Of i — 2 Pipe Aggregate I Observation Pipe Permanent Markers (Anchor securely) Plan View-Of Mound Using A Bed For The Absorption Area Page Of b i Perforated Pipe Defoll -1 t End View . ) Perforated End Cap. eA PVC Pipe >e Install permanent marker jj} �a�� s000 at 'end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main PRIVATE SEWAGE SYSTEM Q PVC Manifold Pipe Conditionally Dist ution * AP Pi e Lost Hole Should Be I QIVISION OF SAFETY AND BUILDINGS Next To End Cap ( \ ` End Cap SEE- CORRESPONDENCE P Z 7..5 Ft. Distribution Pipe Layout S Ft. X W- Inches Y 3 b Inches Hole Diameter 11 y Inch Lateral L Inches) Manifold Z, Inches Force Main " _ Z Inches # of holes /pipe $ Invert Elevation of Laterals 9 Ft. 17 1 - %4 , / EPvn Place 1st hole tiB N from center of manifold with succeeding holes at 36" intervals. Last hole to be next to the end cap. _ Combination Septic- Tank and PLFMP CHAMBER CROSS SECTION. ARID SPECIFICATIOKIS ' PAGE S OF b -VEIJ7 CAP WEATHER PILOOF JUIJCTIOLI 80X 4'C.I. VENT PIPC , APPROVED LOCKIMG jQ' FROM DOOR. MAIJHOLE COYER wl'� - .hmDOW OR FRESH wR(ttv11JG L P.eEC.. At1Z IJJTAKE at r Duir s , 6 MM-X . _� .i � �,; u. •"' -. is �. le•Mlu. GRA tL C1 Dal I V y PIPt PROVIDE -- I/JLE T AIRTIGHT SEAL I I �gFFL�S I ', II APPROVED JOIN APPROVED JOIAJT ` I I I W /C.I. PIPE PIPEor- P Tank construction I II I ALARM shall comply with "I II ILHR ()3.15 and 33.20 Is I I ES YS� ts C Q���p�E • 1 OIJ LLEY. FT. - io PUMP 0 CONCR T 91.0 DES pNa u�d Nis 14 3" APPRcwe�-_ FZISER EXIT PERrSiTfEO OIJLy IF TANK MAUUFAGT R � Sev_:G ov ' esr ;&g �pptNG SEPTIC f 15 PEC.IFICATI0IJS TAWK MAU UFACTURCR: IpW£s � `�� T NUMBER OF DOSES: 3.y PER DAy TAWK 51ZL: LOUD / 6SO GALLOW DOSE VOLUME l ALA MANUFACTURER: S• S INCLUDIWG BACK /LOW: l 5 3 GALLOWS MODEL IJUMBER: �k�)' CAPACITIES: A= INCHES OR r*) 6 GALLONS SWITCH TYPE: au Y B = Z- INCHES OR 3Y 4LLOU5 PUMP MAMUFACTURER: GUU S C- q IAICHES OR ,S ' GALLOUS MODEL NUMBER: 3�1 SOS D- 9 RICHES OR NS GALLOUS SWITCH TYPE: 1"1��1Z�U�Z - MOTE: PUMP AND ALARM AAR O BCC 6 MINIMUM DISCHARGE RATE 31•�Y GPM INSTALLED OW 5EPARATE CIRCUITS VERTICAL DIFFERENCE DETWECIJ PUMP Off AtJD..DISTRIBUTIOU PIPE.. S•1:15 FEET + MINIMUM METWORK SUPPLY PRESSURE , , , , . .. . . . . 2.5 O FEET + X35 FEE7 O F FORCE MAIN X �` F � FRICTION FACYOR_. 3•�o FEET 1o0 FT. . _ TOTAL Dy1JAMIG HEAD = 21. l S FEET Pump chamber DIAMETER IMTERAIAL DIMLWSIOWJ4 OF TAIJK: LEM&TH ;WIDTH ;LIQUID DEPTH 3g. 1_ BOTTOM AREA _ 231= — GAL /INCH AS PER MJWUFACTURER - �� . GAL /INCH r Goulds Submersible Effluent Pump 3871 EPO4 EP05 ,. 14 4 4 i � 4 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the ' stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. Available for automatic and tic cover with integral handle Motor: and float switch attachment •Farms manual operation. Automatic • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points. 115 or 230 V, 60 Hz, 1550 Float Switch assembled and � • Water transfer ■Power Cable: Severe d • Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant. automatic reset. ■ Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, construction. Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- * Solids handling capability: automatic reset. plastic Semi -open design 3 /4" maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING 0 Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. Co. Canadian Standards Association Total heads: up to 24 feet. prong grounding E EP05 Impeller: Thermo- • Discharge size: 1 NPT. plug. Optional 20 foot p (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in " F" or "AC ".) rotary/ceramic- stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running dry without damage to s ao h 5GPM, components. Pump: EP05 8 - - -- - - 'L2.5 Fr —- • Solids handling P tY ca abili 25 3 /4" max imum. °a z _ - • Capacities: up to 60 GPM. _ Z'Z''S • Total heads: up to 31 feet. 6 20 • Discharge size: 1IN NPT. z 5 -- - -- - - - -- — r -- - - -- • Mechanical seal: carbon- rotary/ceramic- stationary, 4 15 - — — - i — BUNA -N elastomers. o — -- — - - EP65 — Temperature: ~ 3 10 104 °F (40 °C) continuous _. EPO4 _ - 140 °F (60 °C) intermittent. 2 _ - -__- - -- - �— -- 5 OL 00 10 20 30 40 50 GPM L _L L L L 0 2 4 6 8 10 12 ml/h CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 1995 tWYtsconsin Department of Industry SOIL A ND SITE EVALUATION REPORT Page \ of z- Labor and Human Relations Division of Safety & Buildings in accord with ILHR 63.05, Wis. Adm. Code COUNTY S Attach complete site plan on paper not less than S 1/2 x 11 inches in size. Plan must include, but • C�1 not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or. PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION r EVIWE Y DATE 9 c' PROPERTY OWNER: PROPERTY LOCATION - SC<rV�J f)� � GGVP68T St'`1 1/4 S 1 /4,S36 T 30 ,N,R 1 E PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # SUBD. NAME OR CSM # EAREST ROAD CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®TOWN N `Nt`�►01t.0 �vl s`lots (715) X96- 2� 1 E��N ��Z}'rl Q� vs14 b3 Qq New Construction Use [X] Residential / Number of bedrooms [ ] Add'tiiQn to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate - bed, gpcW '- trench, gpd/ft Absorption area required 3" bed, ft _ ��S trench, ft LWmum design loading rate y bed, gpd/ft • S trench, gpolft Recommended infiltration surface elevation(s) 1 : 11 11 - Z ft (as referred to site plan benchmark) Additional design / site considerations t'16u%\ W /8'x 1�- ED . M w I ML \ Z ' 0- S" P LL Parent material '& L k `N o u zit auk- Flood plain elevation, if applicable M A ft S = Suitable for System CONVENTIONAL I MOUND I IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDINUT NK U = Unsuitable for stem El S RU ®S ❑ U E] S E'cLU El S O U ❑ S au ❑ S U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft B in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ed rends ' �� 1 0 -6 �o�,cL 3 t i - s L 1 Z � s b�c `nti`�� - - s • � A Z 6 - zl, 1.0`1. 3! L y+1U`F} Ground 3 71 30 . S `'l R y L S`1 R- t y s o,� rvt wv\ elev. 0 l 3 • S ft F�!VtO-Q S - Depth to t �2 6 s tiwt Z - S- limiting fact ` lb\J \..0 111v 1s "ou L - ov ) b 6 Lu e Remarks: W PrUG 1Z . Boring # E l Z b - Iw-i tL s 3 1L — - In 1.71 TV= l Y/L Ground S`1Q- 31 elev. OL A ft C3 ?ly Depth to �, eo0.-a n Lws . We VL Z coat limiting factor �U L F'1 R1✓t L�� �U �jL�• D ti= Q(ZO -�' ,/ S hit " s ut Remarks: fJ I'v Vn, oP Lit S tu�M Sot PRA. flL CST Name: - Please Print Arthur L. We erer Phone. 715- 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Fa11s,WI 54022' Signature: _ Z t Date: CST Number: - 6ti ol. �2!�" v� -1 Z -�� . M00576 7 PLOT P LAN Pa Z of .' 7?- SCALE 1 "= , owe ,�, -h'T1! 13Y1 _ • 1%01 oj I II nI Ot • o , /N `�mo�tt p \ g= L tiJul'fbYq OF l'� Y bo ►�0c cA�►ar,-cT e2 ois1U�.8 `t�- �tz"A . W� 1D � � �'T LAST 5 Q � �zu�•1 r� u �r.b_ J i O - 1t�lG�1Zs 13VS21 �u6S. �`j G'FYC�f L . S�Z;, esT 1v0 Z,z_q � 2 C T CST Signature Date Signed Telephone No. CS Wiisconsin DeparhnentofIndustry SOIL AND SITE EVALUATION REPORT Page of Z. Labor and Human Relations Dftlon 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 include, but CPJUl not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or. PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION fy � .1►vpA W\-OOH GA GGVrA SW 1/4 S tr- 1/4,S3 la T 30 ,N,R 1 E PROPERTY OWNER'S MAILING ADDRESS LOT # . BLOCK SUED. NAME OR CSM # 1 g 1$ RV — CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®TOWN NEAREST ROAD 1 'f'>`�'►D><.O hjl Sgms (7157 X96- 2. 16 Ev_ v 'Zf I a 1 b3 QQ New Construction Use [xj Residential / Number of bedrooms 3 [ ] AddWQn to existing building [� Replacement [ ] Public or commercial describe Code derived dally flow \-1SD gpd Recommended design loading rate - 38 bed, gpolft - trench, gpo1ft Absorption area required 3 S bed, ft trench, 11 Maximum design loading rate - y bed, gpolft • S trench, g xVft Recommended infiltration surface elevation(s) q • Z ft (as referred to site plan benchmark) Additional design /site considerations Moy4 �1 /8 "x y�' t ,E . M VJ I M L)M \Z" (Y�F Si"� FI Parent material %0-� o u zit G \^ e_i h-_ Flood plain elevation, if applicable M V) ft S = Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING Fu U= Unsuitable for s stem El S RU ®S ❑ U ❑ S CC ❑ S I R U ❑ S RU [I S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPDIft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rerldl p :� � � 1 0 -6 �ovt.R � l i - s L 1 Z � S �k �r - - , S • � Z 6 - z6 113-1 M 3!L ynv`F1- - S Ground R- as / y 13C o ti.t m `��- - ti�� . elev. ct • S fl fJO'c� frt.0 S - Depth to g G `, t ��2 6 s 4twf1 R Z, h -S- limiting fai wiov d Lo , Remarks: BUG w /U� '�v eh PrVGL>\Z . Boring # 0A toA\?- 3!Z Z Z b - ZZ lw-i It_ 311 - s) - >h u iv - .\.I . S TL 3 -3 Z-S `112 V/L S`1R- 31 s e Ground a� ft t.� •• Lo I uG �ti., tJ � _ !�8 �•��� 'rll `3 � s - S 1 . UIc Depth to SU N, co'P_%xnLw o`c'L ` Z S CTU R. i! C ® t.. L U .limiting factor Z;-) " Remarks: tVW1\J* M w Vni- oPL- J Stu SoI P R.0 t3L CST Name. - Please Print Arthur L. We erer Phone' 715- 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Fa11s,WI 54022 ' Signature: �`� / 9 Vi - Z l' Date: 8 - Z � _ CST Numb 0 0 5 7 6 PLOT P LAN Page Z of SCALE 1 "= 1 1 Jy ��,` PQO ,.- o , ii M S T�`EL P L Pw w /l8�l1�6.N � Q t 0 , /N 1 4 11 t� �►3 y.� At 2 �o rvpc CAk'IPriLT O \2 �i o�slti►� `SYr13 QrtZ� 4 pt'T L5?t,5T S Q' FAw) -I m u u nrp, � `1), r JcRMS SoWxjSS. & f Gi L . Ste, s & 0 zzq 2 ?� - c� a - (715 ) 425 —m h5 M0 0576 CST Signature - Date Signed Telephone No. CST # 08/22/1998 01:27 7157962499 WLODYGA & ASSOCIATES PAGE 02 ('Alt I 1 (4; t;AH_ 1.11)h Mils,1 it-41jus-lity, REPORT ON SOIL BORINGS AND 00)61011 U0.011 A N T ND PERCOLATION (1 5) a0X ;Utjtj HU M i S ION MADISON, W1 63707 N," L 0 U-JR 83,090) & Chaptar 14151 01' ION: siiwl OW Ui `Sw Prari,e _.t_nj W _ ji, 1 4 - MA T Ll 1WA15ffl C•o i x Roger Schwartz '1246 Ify. 1' 63, Baldwin, Wi. 54002 DATES OaSrEAVATIGNS MADE liki" oelw 6,**;* - FAM17 lIfEll al. ATION TESTS. 4-4-91 HA (ING; S- Sit') biliLablu Iu1!y!!!!!1 IN QKJONLIF"K ell SYSTEM: loilliull,d u xal IliCAIII)d if idly i)urtiun of i J as Ila U III Ilia it w 4 Hli Cl� J114ficulu FUJUdillam 064villow It NOT Juiluilud DaiGN HATE; PIJOFII-E DESCRIPTIONS T 121EILig rigot IN .. WA T T E R.IN IT immmi W co N) I hi )Pluldl k p j i�-1 LVAJION — . 921A .l. 13 1 5. Ob 96.73 none 2.25 11. 96.7 :1 jumm 2.00 1.421)1i.sil. 2.501m.iwt. 3.1. 3 4.75 [ 8, 61 fimlle 2.00 .671)1.1. 1.331mi-511. 2.501m.mcit'. u PERCOLATION TESTS 0 - Eptl - I — 0 TIME — - - f - WAV r _MJ P i 11 T E 8 Itlil K _ 1 ( IN WAT01. EVER 4INIMM1 -IL _ , .._. .. -- n�ftEj§v I!j*f'E8y6!AA!N: I .... ....... QQ WNW. 30 ....... 2 00 ILL 30 ........ ;i MH W'. ........ - ------ III (Wei AN: '0144W fiscal 011% ')1 i lliftUiatluil willi, mill ijujilkIp olld LIkU CUMU111ii0116 01 m%Aitill& mail ijava i rt;,&It or 4hii %ill wait, whit liju tin: li3O4) VU 4411VAUJO t4i0l"911M isiAlliti U844J 466 114vil I ( t plot pl .ilmw LIW Uk Jil f,uliutti isod 11 SYSTEM ELEVATION A- till IA 0.0� /'Z� less( R19z' 1!16 41, . .. ..... S 5 1998 7­­ 063 �J_ 60 pip LA 1, List; IlMi j juj&: I )y 4 tjuAE 019 Wil IU616 rupatlad 01% 146 lur1T1vyk14amULIkj0yisle j jkjLL:Uj( j Wj tj l JJ Adsmill"J'LAIVU ctatiu, and that Illu disw sus.:uldlal and the i0catiall ut Ibis W4.10 alts vai'luLl 10 lists Dual L)i wiv limmiudiju and [juliul. _ _j SLUL- I ­7 ' TIOP NUMUC1, T A 441 Nljm(3EI1(aIm 15-246-0200 Avis., New HICIIIjOl'id, wi., 5401 - rs T I I R9 i m4l HIM$ I ltjlj, (h I 4 t 111 I. (uA Ambui sly, hol tV kbVii-N DEPARTMENT OF RE PORT ON SOIL BORINGS AN D SAFETY &BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115 MADISON WI 53707 HUMAN RELATIONS (ILHR 83.0911) &Chapter 145) LOCATION: SECTION: S HIP /6�4Q LOT NO.:BLK. NO.: SUBDIVISION NAME: SW 1 /4 SE !/ 36 /T 30 N /1117 )6or) W I TOWN Erin Prarie COUNTY: OWNER'S / N"E: MAILING ADDRESS: St. Croix Roger Schwartz 1246 Hy. #63, Baldwin, Wi. 54002 USE DATES OBSERVATIONS MADE NO.BEDRMS.: I COM RCIAL DESCRIPTION: IPROFILEDESCRIPTIONS: 1 PERCOLATION TEST S: I kil3esidence 3 n/a iRNew ❑Replace It 4 -4 -91 4 -5 -91 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: IN- GROUND - PRESSURE: r YSTEM-IN-FILL I HOLDING TANK: RECOMMENDED SYSTEM:(optional) El S ®U CAS ❑U ❑ S ®U El EM El ®U mound DESIGN RATE: If Percolation Tests are NOT required DES If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: n/a Floodplain, indicate Fl oodplain elevation: n/a decimal' PROFILE DESCRIPTIONS 46 sag BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WIT ICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH I LEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) .92bl.1. .83bn.sil. .50bn.s.l. 1.83bn.mot. s.l. B -1 5.08 96.73 none 2.25 1.00bn. mot. s. B - 2 4.50 96.73 none 2.00 .58bl.1. 1.42bn.sil. 2.50bn.mot. s.l. B- 3 4.75 98.61 none 2.00 .67bl.1. 1.33bn.sil. 2.50bn.mot. s. &gr. B- B- B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER XXXNM AFTER SWELLING INTERVAL -MIN. PERIOD 1 PERIOD 2 PER D PER INCH P - 1 2.00 none 30 518 9 9.116 5 P-2 2.00 none 30 P-3 2.00 none 30 P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all b e direction and percent of land slope. 8 SYSTEM ELEVATION 99.61 6 , mss . E d i t , E E F� E � � e _ 9 IL i � r � � I ST C 19 � ( ©rpl cr Qj yJ _. ; 171 H — V x,9'4 t . _ E E 7 1 I F _...., .. .. .. E 3 E E �4Q tqoE a D E 3 E I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 4 -5 -91 ADDRESS: CERTIFICAT NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, wi. 54017 2298 IO 15- 246 -6200 CST SIG RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 10/83) — OVER — 00/07/98 11:45 Steve Document ID: dwintui5 -02314 Page: 3 08/b5/98 WED 12:65 FAX 715 386 4686 ST CRI CO ZONING 0 002 - AV ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Ova ,,.Buyer T M2 ng Addrass Pr( nV Address ?� �L�G� /� (Verification rewired from Planning Department for new c0nsttU0ti0n) Cit Mate U) / Parcel Identification Number G' / —/y 7 — �D - oo 1/C- Z-00 L A . DESCRIPTYON Pr( :fly Location k y., v C V., Sec, 3 6 . T N - R-LW, Town of Su Msion Lot # Cc :iied Survey. Map # '5�5-jz-7,f5( , Volume _ , Page # ' Z s6 �; 9 7 X66 W; ranty Deed # �.T 6 Y8 Volume Z 2 _. Page # a 6 . s6'/06j /zV6 Sp. douse 0 yes l no Lot lines identifiable ('yes D no a Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance cot I:; of pumping out the septic tank three years or sooner, if needed by a licensed pumper. What you put into the system can Fact the function of the septic tank " 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 ma r;plurnber, joumeymanplumber, restdetedplumber or a licenscdptanper verifying that (1) the on -site wastewater disposal system is i roper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 loll of sludge. Vw :fro undersigned have head the above requirements and agree to maintain the private sewage disposal system with the standards set 6, herein, asset by the Department of Comas m e and the Department of Natural Ttesaurees, State of Wisconsin. Certification star ; that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office arithina 30 d three year expiration date. Si( ARE OF LICANT DATE ,TU Q` 4 ER CERTWICATION I (we) cattily that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of U dos ribe Dove, by virtue of a wzmwty deed recorded in Register of Deeds Office. SI( A.TURB OP APP CANT DATE Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department• """`" «« elude with this applicatlon: a stamped warranty deed from the Register of needs office a copy of the cerdtted survey rnatp if referenoc is made in the wsmtnty deed �� SS659'�' DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1— UM' WARRANTY DEED ThIS Deed, made between RCKj'ER H. SCHWARTZ and ST C R01 C7 Y., W1 . E. SCHWARTZ, husband we I is FI&VO ......................... ............................... .............................. --------- q. ...........• ............. ................. . . . . .. ............ ............................................... . MAR 11 1997 Grant :1 - ----------- ----------------- ------------------------------------------------------------- i and .... STEVEN..J...WL1VX%...An0 UNP4_4,�. _WWPX�*.k..husband ---------- 11:30 A. .. Mariw..x9mty .............. ..... 4 ► 4 % 0 -- ----- ---- - ..............Iantm - -------------------- * ------- * .... ** --------------- ** ---- ''I ------------------------------•----- ................... ...... ... . ..... . ...... .. ... ... ............ .. .................. 9 'Gr -- __ _ VlVeneth That the said $1.00 . rantqr, for a vpkuable qonsideration ------ !?��] good and va. tiable consideration ...... ­* ------ *** .----------•----- ---- --------- •._--------- - - - - -' conveys to Grantee the following described real estate in ........... Cot-inty, State of Wisconsin: I I Part of the Northeast Quarter of the Southeast Quarter Tam Pared No: ----------------------------------- the Northwest Quarter of the Southeast Quarter and Government Lot 2, all in Section 36, Township 30 North, Range 17 Wost, St. Croix County, Wisconsin, described as follows: Lot I and Outlot I of Certified Survey Map li filed February 20, 1997 in Vol. 11, page 3213, Document 0555781. TRANSF C' Vj $ /03 I. i� This ......... iA.nQt ....... homestead property. ( is) (in not) Together with all and singular the hereditaititents and appurtenances thiertausto belonging; And .... Roger.. H... - Schwartz.. and..Ruth. E._.Schwartz ........ . .. ..... ................................................ ...... warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except it (� and will warrant and defend the -same. Dated this ....................... 10.77-1 ................. day of ........... mi��ry ... .... . ....... ................................ - -------------- -------------------- -------_--- ........ _(SEAV --- - ------- ------ (SEAL) • ----------------- - - -- ---------------------------------------- H__ y � WAR ------ ---------­--- .......... ­ ........... ..................................... .................. .(SEAL) JrL :zy.Lir ............. (SEAL) 1 RUTH E. SC3*UkRTZ -------- --------- ----- ............................ AUTHENTICATION ACXNOWLEDGMBNT Signature(s) ....................... ............................ ....... STATE OF WISCONSIN ss !!�3 —[ C K' , ------ ounty authenticated this ........ of ......................... .. 19__.... Personally came before me this ---- - .day of , i ,7 1 . ...... " V --- I 19J ---------- - — — ----- I:Z� - I --- th e above named ................................................................................ _ # I -% t; P-0 ............. --------------------------------------- .............. ........... ....................... ­ ....................•.•.... ---------- — ---------------------------------------------------- TITLBnMoM dE by O fSCONSIN ....... ........... . thoriz j 706.06, Wis. Stats.) - �1 �` t ...... ---------- — — ------------------------------------ --------- to m. wu 6wn to be the person .... ----- who executed the fore b; 't imi movont and ackpowledge the s — THIS INSTRUMENT WAS DRAFTED BY - -- ----- .. ...... ------ --- ...................... ................ ..... ............. ------------------ --- .. . ..... X ............... I .. ....... .......... .............. ----- Not - Public - -- -------- ...... ...... ------ County, Wis. (Signatures may be authenticated or acknowledged. 4th My -commiss'KIS Is are not necessary.) a,.. =x;n not expirat;)n (I date: _---_--------- 19-- - --- -- I I ­ftmes of ii signing in any capacity should be typed or prin!ed t1ow thpir sianatur- 1 %RRANTY DFIED STATE BAR OF WISCONSIN Wi­­,i. Ier.1 fhnk Co. Inc. FORM No. 1 — 19 %10 11,_ W;. 555'781 CERTIFIED SURVEY MAP Located in part of the NE1 /4 of the SE1 /4, NW1 /4 of the SE1 /4 and Government Lot 2, all in Section 36, T30N, R17W, Town of Erin Prairie, St. Croix County, Wisconsin. N NW1 /4 - SE1 /4 NE1 /4 - SE1 /4 N UNPLATTED LANDS o Z 0 S89 0 45'06 "W 1737.95' H a) Y CL 1_704.95' \ U 1277.93' � �x U) e \ e LOT 1 4' N89 0 45'06 11 E 1310.93' H m South line of the NE1 /4 of the SE1 /4 © \ c LOT 1 AREAS T 11 Acres I R/W \ o — w 175 175 ,068 Sq. Ft Ft y 0 3.97 Acres Excluding R/W 14' 172,890 Sq. Ft. ISLAND NOTE Areas shown on this map do not c include lands lying between m established meander line and c the water's edge of Pine Lake. N Lq ? N \ N CVI / No O M JI H 9 ISLAND �_ 3 0 3 ¢I Hl M a M JI OI / CDI OI IQ o .Po Assumed Elevation I ° z w of Pine Lake on / ¢I >I Jan. 8th, 1997. CVI J / - JI (Dl Elev= 496.18 WI Ln OUTLOT 1— l BENCHMARKS Zi 1.35 Acres / &Z, 59,014 Sq. Ft. 1 Top of 1 iron pi a at �\ 1 / at meander point �D assumed `,} 1 Top of 1 iron pipe at meander K l y w; , point ®assumed Elev*WgI 00 APPRIOVED N SMALL TRACT 950/276 / 655.32' X1,0 AN S89 0 51 1 33 11 W 2621 .28' S1 /4 Corner of \ South l i n e of the SE1 /4 of Section 4Arks Go nit;r a SE Corner of Section 36 Section 36 !-'riot rncf;rdr)d vrithin 3O days of approvei date c?purovai shall be SCALE IN FEET null and void 0 100 200 400 SHEET 2 OF 2 SHEETS VOLUME 11 PAGE 3213 v y CERTIFIED SURVEY MAP Located in part of the NE1 /4 of the SE1 /4, NW1 /4 of the SE1 /4 and Government Lot 2, all in Section 36, T30N, R17W, Town of Erin Prairie, St. Croix County, Wisconsin. . E1/4 Corner of 4- Section 36 N 0 0� .n 3 h Y t\ NE1 14 - SE1 /4 M M N E N O � a M N e— O N O t0 Z 1 10 M -- 65' Z� o PLATTED LANDS v N 0 o r4 33.00' I ¢� Z 3 P H S89 ° 45'06 1737.95' _ J� a LIn a� io 1704.95' n N0003614711W Qi a c1� x ` 1277,93 66.00' 1.00 LLJI Y 0 3 V N89 ° 45'06 11 E 1310.93' a) E-i 33.00 z ¢i Y o M w W S o u t h l i n e of the NE1 /4 of the 1 J� L vl r ,� SE1 /4 of Section 36 m �� 0 ao Z z UNPLATTED LANDS { L OWNER --- - - - - -- - - - -- M { � Roger Schwartz 1246 Hwy. "63" GOV' T , LOT 1 M \ { oo Baldwin, WI 54002 — c { L o � LEGEND E Aluminum County Section Corner Monument Found In {{ o • 1 Iron Pipe Found 0 � N Q Masonry Nail Found at Section Corner 0 1 x 24 Iron Pipe Set, weighing 1.68 lbs. per linear foot N \ L Water's Edge r ~ Established Meander Line 4-+ \ Existing Fenceline _ 3 0 — — — — — — — 75' Waterway Setback Line ": � C4 �o — — Meander line as shown on government township o y plat of T30N, R17W dated May 20th, 1848. ° o 0 Z w ILI U') FILED by } `• Z FED ? 0 1997 KA p 4 i s j e N o DeedS SE Corner of Section 36 SCALE IN FEET VOLUME 11 PAGE 3213 0 100 200 400 SHEET 1 OF 2 SHEETS I�