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T 0 Her6c>r> • y/zxi /.E Leona`d r2rCf7ar'C2 • v1 � � f !Zo �s e 0 W � Croix QSet Tu tf`e i iinm f (� /QGP f/QttiE � i1V C � o/JSIJi �/ 77 40 berrrue //a Oba/-irr�e / %r^ �. /� � ��� /io e �i b b, .Poba�t f i /an f CR E/•n. Y • ° �y tl y Lorraine gni>¢�7 e /9dx y 2337 • tl f lip /b o ,, � • Mi � m v l a • i /B wic3 T e �r�if cSGt //y irnm • V d b 0 /ay 3 crr/ast f' Richard. 0 < � D Everett � • Y�orotiry E Audrey 99.5 `i\ a 0 Bo !'ete�s 0/7 4 ° FrecL oa j o^ Pob f w tl \ o /z o f Bar6arQ C U nc 3 � � /20 200 � � � � Pa /e- 41•� � b D � .Div'r,.Ernan \� 40 . 40.E E.W 4 Ho / /do i• • N h �l 4 K Dcz/e Susan s. f �Pobert F o Leo.�trrd ere/7ds F/ndecsor7 • /oo • Q Lorraine 4 ,eoberY n7 v f Pair /a 7 1 76S 80 • Wes /ey �� fa /ewit f A /:ce �� 4Doris �Star�daert D /au/er � 0 C /�ffo rG7 f cTect n � y • /4SS Tutt /B � Q �Po dne � � z z o • l ,�'b� f�nde /son . 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S UNOAAY ,3r <TCtn Lero I. - po/745Z .Bra KIG ce cos.�i Ka7i 1 O Friebur 8i f�i 3/ 78 � 9 � o .9•. � y � ,s/eir/ Cur fiiSS, r Tr � .o ouis f /ZO J s .V'� .0 C • ife /err Booth g �rbr�es eo� and tlCTo� a��0� M �a �s � 40 �Wse /sg Krr3a r/ • ie /d �y j 3 tl 7er9en usri, • 3sa 3 o ,ZO 36 Gary t M rie C Cui1iS cT �3 �� CSC tf . eober7` Ll .e ootfi 7/ C 0 Qcot/7 5 P. -y s (/e /.»cc 4.0 do /z/ .• a C 0 �' vw Terye.� CB 0� • • /z o 4EZ Z S Mi //-ors .Be�Gr/Ji. ` ? 0 r� B /2B /'a�f/ • /337 • Rcp b i-t ¢o lq.�, ¢iz'in y�tl i"/Qrtir7sorr 'l /2&1/77 D C Cro by a >a / " w o J LO DD err 40 M s,r97 SEE PAGE 37 cSfC/oix �'our�ty �v /s. ��%��.''� }'�6 d� �"Jn► �•�/j'� �ts�at -r� ��Z. a�- .SL� �c/ 9� .�z p it lQ REPORT OF INSPECTION - INDIVIDUAL SEWAGE SYSTEM San.i,taxy Pexm.i.t 116 7,_ i State Septic - AME Towneh.ip St. Cxo.ix County uC .t.ion Secfii.on "Lot H Subd.ivi.6 ion I_ PT I C TANK Size :�':� 7 (7 gatton.d Numb of eompaxtment4 sr i6•tanee 6nom: Wet Bu.itd.ing / _ 1.2% 6tope H.ighwa.tex i LI MPING CHAMBER Size gatton. -- aiw �:'.�rt tiae n x Mode.. Number O LDING TANK Size ga.E.Eon.a Nu.m ex o "tm - Pumpex x S e•te i.e .tanee jum : Wett B -i td.ing 12% .6tope_ H:ighwa.tex 6 SORPTION SIT ----- -__.._ B'ed Txeneh La.tanee 6xom: Wett, Bu.itding . 12% .6tope H.ighwa.tex BSORP,TION SITE DIMENSIONS r Width o6 txenc.h ' it Requited area it Length 06 each tine it Depth o6 Kock betow .t.it.¢ in Number o6 tined Depth o6 Kock ovex .t.ite in Totat teng,th of tines it Depth o6 •t.iZe betow gxade .in Di.6 tance between tinea it Stope o6 txeneh in. pen 100 D _l Tuiu-4 absu&pt.iun axea .t Type o6 Covex: Papex on A txaW I T DIMENSIONS Numb ex o6 p.i.tb Ghavet axound pi t.e ye4 no Ou.tb.ide d.iame.tex it D•epzh betow .inte•t it Totat abb oxp-tion axea it Axea xequ.ixed 6# NSPECT �- TITLE PPROUED t DATE 19 8 EJECTED DATE 198 SEASON FOR REJECTION I — ' I REPORT ON INSPECTION OF SANITARY PERMIT # (1 Name and Address f Permit Holder Person /Persons at Site (2 )Date of Inspection Name, ress, cense o. o installing Plumber Time of Inspection el — (3)INSTALLATION C SISTS OF: ❑ Septic Tank ❑ Seepage Trench ❑ Dosing Chamber ❑ Seepage Pit ❑ Seepage Bed ❑ Holding Tank ❑ Fill System B ermanen reference Point) Describe: Elevation of vertical reference point: Slope at site: (5)MATERIAL AND DEPTH OF SEWER: (6)SEPTIC TANK: Manufacturer: Liquid Capacity: Tank Inlet Elevation: Tank Outlet Elev: # ft to lot or property line: # ft to well: (7)DOSING TANK: Manufacturer: # of gallons: # of gallon pump set for a cycle gallons; total capactiy of distribution lines gallon; size of pump head; gallon per minute ; horsepower ; brand name of pump and model number Is the warning device installed? ❑ YES ❑ NO Wired? ❑ YES ❑ NO 8 HOLDING TANK: Manufacturer of gallons ; construction ; depth to the cover ft; If septic tank is being used are baffles removed? 0 YES []NO; ft from residence; ft from well; ft from property line. Type of warning device Is the warning device installed? C] YES ❑ N0; Wired? ❑ YES ❑ N0; Locking device on cover? []YES ❑ NO; Diameter of vent and material ; Distance from building to vent (9) SEEPAGE PIT SIZE: # of pits; ft diameter; ft liquid depth; ft to residence; ft to well; ft to property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than seepage pit inlet pipe - elevation ft; bottom of seepage pit elevation ft. (10) SEEPAGE BED SIZE: ft width; ft length; tile depth; li.neal feet tile; ft to residence; ft to well; ft to lot or property line; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches Elevation of tank discharge line entering bed ft. 11 SEEPAGE R H: Total length of seepage trench ft; width ft; tile depth ft; ft to well; ft to ordinary high water mark of lake or stream; ft to edge of slopes greater than 20% falling away toward lakes, water courses or drainage ditches; elevation of tank discharge line entering seepage trench ft. (12) Has sys b insta in a rea indicated on EH 115? ❑ YES [:]NO (13) Has system been installed in floodway? []YES ❑ NO Floodplain? ❑ YES 0 NO DILHR -SBD -6095 N.05/80 Signature of Inspector • y � � �} 1, PLB 6 7 State and County State Permit Permit Application County Per it # for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: An B. LOCATION: % Nli' %, Section a T a N, R_4-27480M W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township 61, N LveeW C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) Variance Single family X Duplex No. of Bedrooms `=� No. of Person D. SEPTIC TANK CAPACITY 4:22:Z2 Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks Prefab concrete Poured -in -Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured -in -Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top No. of Trenches Seepage Bed: Length Width Depth Tile depth (top No. of Line Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land Distance from critical slope WATER SUPPLY: Private X Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than p re s e nt owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared by the Certified Soil Tester, NAME C.S.T. # and other information obtained from 774 S Ale O" (owner /builder). Plumber's Signature 1 44 MP /#11"# ��� 9L� Phone #,J �f $1s .l7 Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. < E� E E t y E F_ ........ � Aa v _ e e .��... � m v e -. �a� m P.m E E i i t � i E 4 E v s E i 3 em a r � k mow. 3 7 d Do Not Write in Space Below FOR COUNTY AND STATE DEPARTMENT USE ONLY n (j Date of Application _ °�a U Fees Paid: State -3S- � Count er , D to 9— oSv — d Permit Issued /Rejected (date) (� Issuing Agent Nam Inspection YesyNo State Valid# Date Recd 1. county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 7/1/78 Smith Plumbing PHONE (715) 265 -4838 GLENWOOD CITY, WISCONSIN 54013 O L w 0 * 0 0 0 3 v 0 d V CD Z m Z �' Z o N c � o �i o o �' 0 o O• l � =r �° c o I 3 c J m m 7 O. m N m —I c. m m O N C fD m_ y O a Q a' y C N Q W W A W m N � A m y �' O. m .� CL o v 3 a O O O O C f f Dl O C1 d O W b O °° 3 a o a i o v �► N I N -Ow rte. cn D ,� a I T� D F 4 u, C D ai w 4 0 '° m CD N 4 o f a I -� o D a IW o o D N O 0 7 O O CD A C�7� O ` C J ..l C J J m z co CD I O OD D G I N C c O O CD N CD M 000 0002i` w cn J 3 Orq N o No v ; y to a Z c =+ D D o I D D o O 0 CD CD CD CD c c W m m EL 13 3 o >_ CD p 2 nn N A z 7 0 fA -4 C ! T D N m 01 CL Z c � S � � W =' D c D 3 _a o CD C ' 1 M C2 0 N C 3 N C ID Z a o a m < m m y w 0 a o m `e o c o a N C ON I I A 0 o b m m A O to 0 oDe FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNE ,4 TOWNSHIP (5�1 G N & o g 4Y SECTION jf /h' N -R 4 ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM e 1 � b o r�dG —7 q .se P hC 11IN K y POMP rhlvK INDICATE NORTH ARROW BENCHMARK: Elevation and description: 4EAA -dr H L St'lAr Alternate benchmark /V A.S 4'Nc� /� M a Y 0 SEPTIC TANK: Manufacturer: v,o�� � Liquid Cap. /o7277 Rings used:�Manhole cover elev:Final grade elev: ' ` Tank inlet elev.: 20 Tank outlet elev.: No. of feet from nearest road:Front Side , Rear Ft. From nearest prop. line:Fr , Sided, Rear Ft. No. of feet from: Well r p j Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE /p C. q�,ao � -;, lo PUMP CHAMBER Manufacturer: � Liquid Capacity: 'Id Pump Model: Pump /Siphon Manufact.: d E"L Pump Siz Elevation of inlet: ��vlq Bottom of tank elevation / /-i Pump on elev. • ,D Pump off elev. „3L Gallons /cycle: / Alarm: Man.: ST l � t - Ro Switch Type: /. j - 't2 ,C,0 Location Distance from nearest prop. line: Front Side, Rear — Ft. Distance from: Well /7�� Building 9 SOIL ABSORPTION SYSTEM Bed:_ Trench: ,,-- Seepage Pit: Width: ,5" Length 7--4 Number of Lines: Area Built -�3 -- Exist. Grade Elev. a Proposed Final Grade Elev. /'0 �"'4/ Fill depth to top-of pipe: No. feet from nearest prop. line:Front Side ;, Rear Ft. No. feet from well: /JoZ No. feet from building 1,E HOI .DING TANK M ufacturer: Capacity: No. of ri s used: Elevation of bottom t Elevation of inle . No. feet a p. I ine:Front , Side , Rear Ft. . feet from: Well , building , est road Alarm Manufacturer: INSPECTOR: DATE: ! //' PLUMBER ON JOB: LICENSE NUMBER: 6 /90:cj I Wisconsin Department of Industry PRIVATE SEWAGE SYSTEM County: La6orand HtJman Relations INSPECTION REPORT $t . CTO 1X Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION 149105 Permit Holder's Name: ❑ City ❑ Village own of: State Plan ID No.: Raymond Ista Glenwood S91 -40480 c Description: Parcel Tax No.: T U v Tsp. ,BM BM ption: f ; - t : ! ( a TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Se tic Benchmark ' Dosing Bldg. Sewer - ---� Holding St /�t Inlet 9„ �?h TANK SETBACK INFORMATION St/ /t Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet ` � Air Intake Septic J''; ► ' ► \ NA Dt Bottom f , f i Dosing (6 : -j < �. NA Man. Aeration NA Dist. Pipe Bot. System PUMP/ SfR440N INFORMATION Final Grade Manufacturer f i J Model Number # 2 � GPM TDH I Lift;��� Friction System ' TDHFt Forcemain Length ' Dia. Dist. To Well SOIL ABSORPTION SYSTE BED/TRENCH Width , Len�tK t No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION �- ! DIM SYSTEM TO P / L BLDG WELL LAKE 1 STREAM LEA Manufacturer: SETBACK CHAMBER Moe er: INFORMATION Type O / .� ! System: '� (,0 - -_ ''rr °° /' OR UNIT DISTRIBUTION SYSTEM�5 Heaelecl y ld Distribution Pipe(s) , x Hole Size x Hole Spacing Vent To Air I i ake Length Dia. ""— Length _;Z� Dia. Spacing %`' ��'`� >5w SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over „ Depth Over xx Depth Of xx Seeded /- 5edoVd xx Mulched Bed /Trench Center � Be4 /Trench Edges ? ' -- / X Topsoil L3,*Ld's ❑ No Yes ❑ No COMMENTS: (Include c de disc"ncles persons present, etc.) � Plan revision required? ❑ Yes n I�o Use other side for additional information. ? 9 SBD -6710 (R 05/91) Date Inspector's Signature Cert. No. SANITARY PERMIT APPLICATION ML HR In accord with ILHR 83.05, Wis. Adm. Code COUN STATE SANITARY PE MIT –Attach complete plans (to the county copy only) for the system, on paper not less than ` 9o� 834 x 11 inches in size. ❑ Check if revision to previous application —See reverse side for instructions for completing this application. STATE PLAN I.D. NUMB I. APPLICANT INFORMATION – PLEASE PRINT ALL INFORMATION. l— PROPERTY OWNER PROPERTY LOCATION I Q L . �/f '/a 4, /! T e,N,R MIRir)W PROPERTY WNER'S MAILING ADDRESS LOT # BLOCK # 1� CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER El !r C N (.�.� D G G� �/� ' f dl� •��� Jam' �` G` II. TYPE OF BUILDING Check one CITY NEAREST ROAD ( ) State Owned VILLAGE . ENs,�s6Od Sf IIA ;, 00, ❑ -# Public [0 1 or 2 Fam. Dwelling of bedrooms _ PARCEL TAX NUMI ER( Ill. BUILDING USE: (If building type is public, check all that apply) �� 7,(.' 1 El Apt/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 in line A. Check line B if applicable) A) 1. ❑ New 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 ## — Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ,® Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 El Vault Privy 14 1:1 System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2 ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) l ELEVATION 5 3 � � -7 �3 , �: Feet f0 , Feet VII. TANK CAPACITY Site INFORMATION in ailons Total # of Manufacturer Prefab. Fiber- Exp New istin Gallons Tanks 's Name C oncrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank o ro Lift Pump Tank/Siphon Chamber 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) MP /MPRSW No.: Business Phone Number: 4 e 2. , P umber's Address (Street, City, State, Zip Code): /' IX. COUNTY/DEPARTMIOff USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater a e ssue Issuing ent Signature mps) Surcharge Fee) Approved ❑ Owner Given Initial _/J/ /� Adverse Dete X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: SBD -6398 (formerly Plb -67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety 8 Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD 6399) to be submitted to the county prior to installation. - I 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 & Buildings Division, 608 -266 -3815. 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 in 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 in ##1 -7. VII. Tank information. Fill in the capacity of every new and /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 DII_HR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County /Department Use Only. Complete plans and specifications not smaller than 8% 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 toss; 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 groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground - water contamination investigations and establishment of standaPds. SBD -6398 (R.11/88) C,C t .SZb2.� s.� !� • w' 9c , P•3 nn C 1 (� IL Q r1 • �t� �+e. �r` 4 s + Ao� L �O..o�� s fi • •� e L o :` � o�.: v } \o~. 1� 0 � J. �o i t� `�.c 1t �j v a �S� Q...q ► � �^Y v 13YL�r� N ti wsww tav�Kt n O rt a 4k �- o k tAi rv% LL wrka N C t L Ot ^Z"lt W ALL Ov .. tt�{ r MIEBER 1818RETE" RT. 2 (Hwy. 10) MAIDEN ROCK, WI 54750.715- 647 -2311 • FAX 715 - 647 -5181 { i --,0,44 w{ _,l3 f fl _ I-0 { i �p64R FN 1 D�N�' c z GO F w { F , = 6y �a sG�► piC AREA 45 Pk, 6E- TAE , wcwas��PE t�E cF TIC mcvNG l tide cp { r - rfty IT SCIPt-1 C c i til .SAN& l ono G A A 3 7 Page — Of Straw, Marsh Hay, Or Synthetic Covering a Distribution Pipe Medium Sand �... _ G Topsoil 3 E . ONSITE SEW b % Slope C on d itio Bed Of 2- 2 ( Force Main Plowed JED Aggregate From Pump Layer A r�%L� i S E •-GTas ion Of A Mound System Using F , Y3 ; UE CORNESP��D A Bed For The Absorption Area • G l A J`' Ft. H , Stned: ,F� �J���G4 B ,,< Ft. License Number: I Ft. Date: Z117 91 J Ft. K /O, Ft. L Ft. W Ft. L Observation Pipe--.,,,, A (�- - - - - -- ------- - - - - -- ---------------------- _ t Force Main W I° -- -- -- -- - - - -- From Pump " M Distribution Bed Of z — 2 i Pipe Aggregate I Observation Pipe Permanent Markers A Plan View Of Mound Using A Bed For The Absorption Area r— - Page — Of _ •' Perforated Pipe Detail `p C 0 hGr C L End View `,, G ) Perforated S1 �rAGOP PVC Pipe Holes Located On Bottom, t Of �`1� +� \ Are Equally Spaced lip, i V6 Or 01 . e Distribution Pipe V Last Hole Should Be Next To End Cop End Cop Distribution Pipe Layout P Ft. P 72 r R 1� S X f Inches Y Inches Hole Diameter Inch Signed: I �� �� Lateral Inches) License Number: M /� �'6 71! Manifold it Inches Date: 6 / Force Main " �2_ Inches r of holes /pip j C) Invert Elevation of Lateral s/0 7 Ft. -116- PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICAI - IONJS VENT CAP Q 9 C.7. VENT PIPE s WEATHER PROOF APPROVED LOCKINIG 2 FROM DOOR, JUNCTION BOX MANHOLE COVER WINDOW OR FRESH I2 °MI1J. I A, I R IIJTAKE GRADE I 'i ° MIN. COIJDUIT -- _ - -- 18 "MIN. ���\\\ ---- -- - - -- I N L E: T P c I - - - -- EWAGf- �TIR �SEAL Vv `� APPROVED JOINT A S I I I APPROVED JOUJT. l�;/C.�. PIPE O jlli o I III W /C.I. PIPE EXTENDING 3' A I II L RM EXTENDING 3' A ONTO SOLID SOIL �jl I I OPJTO SOLID SOI B E►,11� N ftE I I Dµ ,�AN S • ! oN C JB <S l'� ,� STRY , 6U J INV- I ELEV. FT. ��;,�;��i;:�ti+t ISI�N EP UMP OFF D SEE fARaE CONCRETE BLOCK RISER EXIT PERMITTED GIJL`J IF TANK MANUFACTURV-R Ili-',S SUCH APPROVAL .A1> SEPTIC 00 C SPECIFICATIONS DOSE J' TANKS MANUPACTURER: `� UUMBER OF DOSES: l PER DAy TAPIIC S1ZE: ,t GALL0IJS DOSE VOLUME ALARM MANUFACTURER: INCLUDING BAGKFLOW: GALLONS MODEL I.lLIM6ER: �� kJ CAPACITIES: A= � OR.�' �? GALLONS SWITCH TYPE M er e yR y- 13= / INCHES OR GALLONS PUMP MANUFAC L TLIKER: Ze) & /- & C = INCHES OR / GALLONS MODEL NUMBER: 9` D = — INCHES OR y GALLONS SWITCH TYPE S.T 1�crr,�u - r� � MOTE: PUMP AND ALARM ARE TO BF- MINIMUM DISCHARGE RATE )- GPM INSTALLED ON SEPARATE CIRCUITS 2 2. F VERTICAL DIFFERENCE BETWEEN P ❑MP O F D F D B l UTT N PIPE.. �- FEET + MI IKJIIMUM NETWORK SUPPLY PRESSURE , , , , , , , , , 2 . 5 FEET / - _ � � _ FEET OF FORCE MA X ql F 00FT. FRICTION FACTOR.. �� FEET • TOTAL OJIJAMIC HEAD = FEET I Z� INTERNAL DIME-WSIONS OF TANK: LENGTH ;WIDTH / ;LIQUID DEPTH -- /�/ y� SIG'JE D: �'�° � �'�� --'�' / LICENSE IJUMBEP.: ���,�; � � DATE: Q r u r LU .Z ru HEAD /CAPACITY CURVE 4'/e 6A MODEL 97 4 45/6 s 4y 25'— • .. 1'h - 11! NPT W 6 4s /tE 2 15' G 4 J S91 4048 2 5' 1 0 US 10 20 30 40 50 60 70 GALLONS LITERS 0 60 160 240 10 / 11 18 FLOW PER MINUTE TOTAL DYNAMIC HEADIFLOW ►Ea MINUTE EFFLUENT AMID DEWATEa1NG CAPACITY HEAD UNITS/MIN 31,s ' FEET METERS GAL LTRS _ 5 1.52 56 212 10 3.05 L 15 4. I 20 6.10 Lock Valve 23.75' CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available a Mercury float switches are available for controlling and supplied with an alarm. single and three phase systems. • Mechanical alternators, for duplex systems, are avail- a Double piggyback mercury float switches are available able with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1, integral float operated 2 pole mechanical switch, no external control required. Standard All Models - Weight 33 lbs. - HP 2. Single piggyback wide angle mercury float switch or double piggyback mercury float switch. Refer to FMO477. rtes Control Selection 3. Mechanical alternator 10 -0072 or 10 -0075. Model Volts -Ph Mode Amps Simplex Duplex 4. See FM0712 for correct model of Electrical Alternator, "E- Pak ". M97 115 1 Auto 12.0 1 or 1 & 7 — 5. Mercury ensor float switch 10 -0225 used as a control activator, specify pecifyduplex(3) N97 115 1 Non 12.0 2 or 2 3 6 3 or 4 6 5 or (4) float system. D97 230 1 Auto 6.0 1orI&7 — 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired -in simplex or C97 230 1 Non 6.0 1 2 or 2 6 6 3 or 4 6 5 2 pump operation, 10 -0002. 7. Two (2) hole "J- Pak ", for watertight connection or splice. 10 -0003. CAUTION For Information on additional Zoeller products refer to catalog on Combination All Installation of controls, protection devices and wiring should be done by a Starter, FM0514; Piggyback Mercury Float Switches, FMO477; Electrical Alternator, qualified licensed electrician. All electrical and safety codes should be followed FM -0486; Mechanical Alternator, FM0495; Alarm Package, FM0513; and Sump /- Including the most recent National Electric Code (NEC) and the Occupational Sewage Basins, FM0487. Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. 60X 16347 TZ7. Louisville, Mil L Manufacturers of .. . ZAIZZ69" SHIP T0 : 3280 80 Old d M Millers Lane /�46, �r Louisville, TY (5 PUMP9 �N 6939 02) 778 -2731 •FA (502) X (502) 774 -3624 DEPARTMENT OF SAFETY & BUILDINGS IVI�USTRY, REPORT ON SOIL BORINGS AN D DIVISION LABOR ANO PERCOLATION TESTS (115 MADISON, WI 53707 HUMAN RELATIONS (ILHR 83.09(1) &Chapter 145) 265 -4550 LOCA — T I ON: SECTION / : TOWNSHIP! LOT NO.:BLK. NO.: SUBDIVISION NAME: SE I SW x /4 1 15 / �30 N/R 15 W Glenwood — NA COUNTY: MAILING ADDRESS: St. Croix Ray Ista 3042 150th Ave. Glenwood City WI 54013 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PRO I IONS: 1PERCOLATION TESTS: 5) Residence 3 ? NA ❑New Q Replace I 4/26,5/4/91 5/4/91 RATING: S- Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: 1N- GROUND•PRESSURE: SYSTEM -IN -FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) ❑ S ®U FI S ❑U EIS ®U ❑ S ®U ❑ S ®U Mound If Percolation Tests are NOT re uired DESIGN RATE: 4 If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: NA Floodp i Floodplain elevation: NA PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED ES T. HIGP TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 1 53 101.2 No 33 0 -9 10YR 3/3 sil (diffuse boundary), 9 -20 10YR 4/4 sil w/ B occ 5Y 3/3 wk ceint SS fra / r 2)-53 7.5YR 4/4 I dense sl/gr w/ f2f Gy mots below 33 becoming c2d Gy mots below 38 B- 2 74 101.1 No 31 0 -9 10YR 3/3 sil 2 f gr mvfr cs, 9 -15 10YR 4/4 sil 1 f sbk mvfr g , 15 -31 5Y 4/4 sl 1 m sbk mfr gw w/ occ Cy si coats.on peds, 31 -74 5YR 4/6 dense sl massive & resistant B- to knife penetrat on w/ occ gr & If roots & w/ occ 7.5YR 5/4 & 10YR 5/4 s & w/ c2d Gy mots & f2d R -Gy mots 3 68 101.1 No > 0-9 dk Bn sil, 9-16 Hn sil, 16-4U HZEIn si w occ con & occ B_ gr, 40168 R -Bn dense sl resistant to knife penet ation (Gy mottling not apparent in this pit) B. 4 32 99.9 No 28 0 -9 dk Bn sil, 9 -21 Bn sil, 21 -32 R-Bn sl w/ f2f Gy mots B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL -MIN. PERIOD 1 PERIOD PER INCH P. P 11/1 P 1 1 18.8 P- P - - - - - P- ' downsl f P -1 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 borings and the direction and percent of land slope. SYSTE EL EVATION 102.1 Site is unif orm topography sod lawn - soils are struc�ur shit lo abo iveakiy s�tru tur d � _ -.- grading to dense and massive till -;site limiting factor i$ dense till which is rPs14 t ipen'tr#ion i - -� -- j - aliR "maets?�oda te 'finitiori - 0 "bedrbokK__� � I there sufficient Mom to install ' a long and narrow mound if'lot! lines Ore at edge o f mowed sots /field YERIFk.._1Qt_litles__ and iinst 811 �_'_ . 7 ._'_._ kS fr OGmd fDC 3 br �yL.�ps 1p>p� dg of ,Ski bed an t 1011 cpntcilr i Well - location' ands fir needs to 6e veri#ied' pTioT p sy'S e e ign` ✓inst kit nl "— y see attached page 2 for plot plan j n l i 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: Henry F. Grote 5/4/91 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): PO Box 57, Knapp, WI 54749- 0057 3065 665 -2681 CST SIGN RE: 4 ,, DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. page 1 of 2 DILHR- SBD-6395 (R. 10/83) - OVER - DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS IN�iUSTR`Y, DIVISION LABOR AND PERCOLATION TESTS ( 115 P.O. BOX 7969 HUMAN RELATIONS 1 MADISON, WI 53707 (ILHR 83.09(7) &Chapter 145) 265 -4550 LOCATION: SECTION: TOWNSHIP/ LOT NO.:BLK. NO.: SUBDIVISION NAME: SE V4 SW 1 /4 15 /T30 N/R 15 W Glenwood NA COUNTY: MAILING ADDRESS: St. Croix Ray Ista 3042 150th Ave. Glenwood City, WI 54013 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFIL DESCRIPTIONS: TESTS: QResidence 3 ? NA ❑New QReplace 4/26,5/4/91 5/4/91 RATING: S= Site suitable for system U= Site unsuitable for system 111 CONVENTIONAL: MO IN- GROUND - PRESSURE: SYSTEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑ S ®U EIS ❑ U ❑ ] U ❑ S X❑ u ❑ S t Mound If Percolation Tests are NOT required re ] DESIGN RATE: q I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: N A Floodplain, i Floodplain elevation: NA PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 53 101.2 No 33 0 -9 10YR 313 sil (diffuse boundary), 9 -20 10YR 4/4 sil w/ occ 5Y 3/3 wk ceint SS fra / r 23-53 7.5YR 4/4 I dense sl/gr w/ f2f Gy mots below 33 becoming c2d Gy mots below 38 B- 2 74 101.1 No 31 0 -9 10YR 3/3 sil 2 f gr mvfr cs, 9 -15 10YR 4/4 sil 1 f sbk mvfr g , 15 -31 5Y 4/4 sl 1 m sbk mfr gw w/ occ Cy si coats.on peds, 31 -74 5YR 4/6 dense sl massive & resistant B- to knife penetrat on w/ occ gr & lf roots & w/ occ 7.5YR 5/4 & 10YR 5/4 s & w/ c2d Gy mots & f2d R -Gy mots 3 68 101.1 O > 6F - 0-9 dk Bn sil 9-16 Bn si , - - n sl w occ cob & Occ B - gr, 40168 R - dense sl resistant to knife penet ation (Gy mottling not apparent in this pit) B 4 32 99.9 No 28 0 -9 dk Bn sil, 9 -21 Bn sil, 21 -32 R -Bn sl w/ f2f Gy mots B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIOD2 PE RIOD PER INCH P- 94 Nn 90 1 911r� 14/16 14/16 92.9 P No 20 1 11116 1 1116 29 P No 20 1 1 1116 18.8 P- P r• P-2 downslope f m P -1 - P -2 stra' ht lin 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 borings and the direction and percent of land slope. SYSTEM ELEVATION 102.1 _ s _urifo m t pograpsd lawn - sdi ls are well stuclurecy sit loamabveeakLy s ru tur d anl etscodE? taorof, tberokit hits cto i dense dill whch s r s�.s ant to pen trkaior n{9 9 _ i there pis Suff t Cie h t room to install a ling `nd harrbw mbungl if i lot lines are at e ge f rr iowe so /fi ld __CiFI_19.t__lieS.adinss�1�'- t.7 r�Ged_u fO_�g" f c-°�-� i � W�11 loca ion and r nee ""cTs to "be veril�ietl` prior - -- o sy�er� nrin F taT�i�in � r � -- see attached page E 2 for plot plan i Cn € t �{ ry [[ JJ 4 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: Henry F. Grote 5/4/91 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): PO Box 57, Knapp, WI 54749 -0057 3065 665 -2681 CST SIGN RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. page 1 of 2 DILHR -SBD -6395 . 0/83) — OVER — 1 INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use suction must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; S. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS So11Separate* and Textures Other Symbols at — Stone (over 1W) BR — Bedrock cob — Cobble (3 - 10 ") SS — Standstone gr — Gravel (under T') LS — Limestone 's — Sand HGW — High Groundwater cs — Coarse Sand Perc — Precolation Rate med s — Medium Sand W — Well Is — Fine Sand Bldg — Building Is— Loamy Sand > — Greater Than 'sl — Loamy Sand 'C — Less Than '1 — Loam Bn — Brown 'sit — Silt Loam BI — Black si — Slit Gy — Gray cl — Clay Loam Y — Yellow scl — Sandy Clay Loam R — Red sicl — Silty Clay Loam mot — Mottles sc — Sandy Clay w/ — with sic — Silty Clay fff — few, fine, faint 'c — Clay cc — common, coarse pt — Peat mm — Many, Medium m — Muck d — distinct p — prominent HWL — High water level, surface water Six general soil textures BM — Bench Mark for liquid waste disposal VRP — Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A comp lete set of plans for the private sewag system P P 9 Y and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. I � �I STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWN R E / /� Y/ b /1/� ROUTE /BOX NUMBER /7 FIRE NO. CITY /STATE CA N 1'jODd Gam / ZIP '53 Ay PROPERTY LOCATION: . 1/4 Ste. 1/4, Section _ , T 30 N, R Z�'_ W, Town of C1e 4V a 0C , St. Croix County, Subdivision , Lot No. 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 SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning 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 (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I /WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix ounty Zoning Office within 30 days of the three year expiration date. I SIGNED DATE 7 2 St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386 -4680 Sign, Date, and Return to above address I • APPLICATION FOR SANITARY PERMIT 9TC -100 This applic form Is to be complotod In full and signed by the owner(s) of the property being developed Any lnadoquacles will only result In delays of the parm1t Issuance. -Should thle development be Intended for resale by owner /contractot,(spoc houae) than a second form should be retalned and completed when tl)a property is sold and submitted to this office vlth the appropriate deed recording. --------------------- -------- ---------------------------- OYnac oI property _/_� /► o/ `A Location at property 114 1/4, Sectlon T LO V Township D o 41 Mailing address _ A 72 CAe t`/ OG`c>/ r- Address of alto aubdivislon name Lot number Previous owner of property _ 1 ag e- Total size of parcel _ 3 ACge Date parcel vas created _ `" 73 Are all corners and lot lines IdentlflableT Yes _ x N o Is this property being developed for camels taper house)T_,_ M 0 Volume Z1: and Page Number 3 as recorded vlth the Register of Deeds. - - - - - - - - - - - - - - - - - - - - - - - - - - - - r - • w - r w - - - - - - - - - ------------------ - --------- - ------ INCLUDE WITH THIS APPLICATION TH2 FOLLOVINCi A VAARANTr DttD which includes a DOCUHRNT HUMBRR, VOLUM2 AND PACZ NUMBIR, and the SQAL OF T119 R9018THR OF D9BD9. In addition, a certified survey, It available, would be helpful so as to avoid delays of the reviewing process. If the deed description teterences to a Cettlfled Survey Map, the Certlflad Survey Map shall also be required. ----------------------------------------- PROPERTY OWNER CERTIFICATION I(Vel certify that all statements on this form ace true to the best of my (out) Rnowledgel that I (we) am (ate) the owner(s) of the property desctlbed In this lnformatlon form, by virtue of a warrant deed recorded In the Office of the County Register of Deeds as Document No. _�/ �P'G 1,/. j and that f (we) presently own the proposed alto for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said nyatem, and the same has been duly recorded In the oftiee et a County Register of be , as Document No. . 1 919r, uca at Ovnar signature of Co -Owner III Applicable) Date eI 819natuce Date of signature ST. CROIX COUNTY ,! .r WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 LM P" RAAJk (715) 386 -4680 June 74, 1991 Division of Safety & Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To Whom It May Concern: Two onsite soil evaluations were conducted on the Ray Ista property which is located in the NE 1/4 of the SW 1/4 of Sec. 15, T30N -R15W, Town of Glenwood, St. Croix County Wisconsin. On May 14, 1991 an area located approximately 100 feet northeast and upslope of the dwelling was found to have suitable soils for onsite sewage disposal to a depth of 24 ". The second site, located approximately 150 feet southwest and downslope from the dwelling was evaluated on June 7, 1991 in the presence of Gale Smith, CST #1768. This location was found to have 12" of suitable soil for onsite sewage disposal and does meet the requirements of the A +4" rule. Based upon soil morphological conditions, depth to seasonally saturated soil and topographical features, the site northeast of the dwelling is far superior to the second site. Because of this, I strongly recommend that the replacement mound be constructed utilizing the site northeast of the house. If I can be of any further help in this matter, please feel free to contact me at this office between the hours of 8:00 A.M. and 5:00 P.M., Monday - Friday. Sincerely, James K. Thompson Assistant Zoning Administrator cj cc: Ray Ista i E S S A G E ST_ CROIX COUNTY MUEUT&AJSE 911 Fourth Street Hudson, WI 54016 DATE: TO: FAX NUMBER: NAME: FROM: FAX NUMBER: (715) 386-;4628 NAME a,...- r - _ NUMBER OF PAGES ING Covin SHEET: IF COMPLETE AND LEGIBLE INFORMATION IS NOT RECEIVED, PLEASE CONTACT: NAME: T 1EPHONE LIMBER: ST. CROIX COUNTY WISCONSIN i y , ZONING OFFICE ST. CROIX COUNTY COURTHOUSE - 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 June 20, 1991 Division of Safety & Building Bureau of Plumbing P.O. Box 7969 Madison, WI 54707 To Whom It May Concern: Two onsite soil evaluations were conducted on the Ray Ista property which is located in the NE 1/4 of the SW 1/4 of Sec. 15, T30N -R15W, Town of Glenwood, St. Croix County Wisconsin. On May 14, 1991 an area located approximately 100 feet northeast and upslope of the dwelling was found to have suitable soils for onsite sewage disposal to a depth of 24 ". The second site, located approximately 150 feet southwest and downslope from the dwelling was evaluated on June 7, 1991 in the presence of Gale Smith, CST #1768. This location was found to have 12" of suitable soil for onsite sewage disposal and does meet the requirements of the A +4" rule. Based upon soil morphological conditions, depth to seasonally saturated soil and topographical features, the site northeast of the dwelling is far superior to the second site. Because of this, I strongly recommend that the replacement mound be constructed utilizing the site northeast of the house. If I can be of any further help in this matter, please feel free to contact me at this office between the hours of 8:00 A.M. and 5:00 P.M., Mo - Friday. Sincerely James K. T Son Assistant zoning Administrator cj cc: Ray Ista ti �...., 1 s�...� 9c P• Q -S Q s IL Q h ` L -1-w.`�..L ® Z.�� � K p� � �o s.0 •••u� t N.- ire 0'4+ 4 0�►.� �a�o.� - 4' reaCJ�au:� ��V� � �:Qa...a.. s« •ry�1'C 1�0 `` � J.�O StT1.�.c� va�e�0...y ►� V �3 R 0- Le"C \s..1Ci p��oQ L e a gT1i w �C L L e •• .. lro - ar�C�rr► � Cr..nGet� ............. s I , ,ire, -�-� au e�,,ST'� / ?lod le 'W4 OA� 4Z� 0' .� co" he ST. CROIX COUNTY WISCONSIN `,.�• ;;: : *,. ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - _ (715) 386 - 4680 June 74, 1991 Division of Safety & Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To Whom It May Concern: Two onsite soil evaluations were conducted on the Ray Ista property which is located in the NE 1/4 of the SW 1/4 of Sec. 15, T30N -R15W, Town of Glenwood, St. Croix County Wisconsin. On May 14, 1991 an area located approximately 100 feet northeast and u slo a of the dwelling was found to have suitable soils for P P g onsite sewage disposal to a depth of 24 ". The second site, located southwest and downslo 1 approximately 150 feet sou a from the h p dwelling was evaluated on June 7, 1991 in the presence of Gale Smith, CST #1768. This location was found to have 12" of suitable soil for onsite sewage disposal and does meet the requirements of the A +4" rule. Based upon soil morphological conditions, depth to seasonally saturated soil and topographical features, the site northeast of the dwelling is far superior to the second site. Because of this, I strongly recommend that the replacement mound be constructed utilizing the site northeast of the house. If I can be of any further help in this matter, please feel free to contact me at this office between the hours of 8:00 A.M. and 5:00 P.M., Monday - Friday. Sincerely, James K. Thompson Assistant Zoning Administrator cj cc: Ray Ista d ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 May 16, 1991 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation of the Ray Ista property, located at the SE 1/4 of the SW 1/4 of Section 15, T30N -R15W, Town of Glenwood, St. Croix County, revealed 28 inches of suitable soils. This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. Since ely, James K. ompson Assis t Zoning Administrator cj S'['. CROIX COUN'T'Y ZONING DEPAR "I „ AS BUIUF SANI'T'ARY REPORT � IY *Owner -, g N � v ! �4/ /- ti i Address y�o L /�. — /5 f� .4 !/-� �_. City/State v Legal Description: Lot ----- Block Subdivision/CSM It - '�� Sec. , T N -R , Town of G, A/wo 0' ` PIN # SEPTIC TANK - DOSE CHAMBER - HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC / Setback from: liouse Well P/L Pump manufacturer Model Alarm location (BOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location I SOIL ABSORPTION SYSTEM: Type of system: Width Length Number of Trenches Setback from: House Well P/L Vent to fresh air intake I ELEVATIONS Description of benchmark Elevation Description of alternate benchmark Elevation I Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover Distribution Lines ( ) ( ) ( ) Bottom of System( ) ( ) ( ) Final Grade ( ) ( ) ( ) Date of installation Ia /? / ff Permit number 1,2,023 State plan number S, O V' Plumber's signature & , /� g License number 2 - 2- 3 Inspector x n (//� ('omplcic plot plan •r 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. I PLAN VIEW I e W 3Q�! f t o ySe p / 3 A INDICAT NORTH ARROW 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)]. 320236 k gr' NbYAN El City [] Village Town of: State Plan ID No.: 5 ER�;1Vll UU�r;; GLENWOOD CST BM Elev.; Insp. BM Elev.: BM Description: Parcel Tax No.: 016 - 1033 -70 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV_ Septic Benchmark Dosi ng Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Air I ntake ROAD Dt Inlet ir Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. H Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth D IMENSIONS DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type Of CHAMBER Mod Numb System: OR UNIT DISTRIBUTION SYSTEM Header/ Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia- Length Dia. 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 E] Yes 11 No ❑ Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: GLENWOOD 15.30.15.248B,SE,SW 3042 150TH AVENUE Plan revision required? ❑Yes ❑ No L Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. SANITARY PERMIT APPLICATION 201eE.W ahnlgtonAve sion - Vsconsin In acco r d wi th ILHR 83 O5, Wi s . Adm. Code P.O. Box 7969 Department of Commerce Madison, WI 53707 -7969 i Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number 3Z Z 3�a The information you provide may be used by other government agency programs ❑ 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 Propert Owner Name Property Location - 5` 6; va 57 I 1 /3 T „�© . N, R /�> ) W Pro rty Owner's Mailing Address Lot Number Block Number City, Stat Zip Code Phone Number Subdivision Name or CSM Number avow 5 0/ (7/ ) 09 II. TYPE BUILDING: (check one) ❑ State Owned ❑ ity Nearest Road E3 Vil age Public 1 or 2 Family Dwelling - No. of bedrooms Town OFG e o d O III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number 1 ❑ Apartment /Condo : A/9 — 103-7 —;7a 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. ❑ New 2. ❑ Replacement 3_ ❑ Replacement of 4_ P'Reconnection of 5. E] Repair of an System System - - __Tank Only Existing System _________Existing System B) Ig A Sanitary Permit was previously issued. Permit Number 147 /05 - Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 2114 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-Fi I I 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 ( . ft.) Proposed (sq. ft.) (Gals/day /sq. ft_) (Min. /inch) ! Elevation �a - ?)1 j• 2.. / J Feet VII. TANK Capacit g allons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks I b r'-� optic Tank or H-ld mg.Xaak '� ) 10017 r - dee*S 0 11 k.-.1 ❑ 13 Lift Pump Tank ber y. oo I We44 ® ❑ 1 ❑ 1 ❑ 1 ❑ ❑ ONSIBILITY 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) =Mp/� -: Business Phone Numbeer: C PI er's A( dress (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing Agent Signature (No Stamps) CRApproved ❑ Owner Given Initial Surcharge Fee) 4 Adverse Determination i an ` X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL f,�t • �y AXA ;d , Gk 4, - o , SBD -6398 (R.11/96) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber 1 7e 1 Aj is I. H I V6 A41- zz T C � �-.- _. _ _. - �' � -- .� - -- .. --- -- _ - - -- �--- M/� � � - �- �f-� -- - -- -- - - -- ------ - - - - -- - - - -- - -- - - -- - - P c ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the O a Re &4 residence located at: S � ', , -5&) ; , Section Z�5 T .30 N, R &— W, Town of GL ,Al Z-4%® e d Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced: Ja)y -e 1 9 1 0 Did flow back occur from absorption system? Yes X No (If no, skip next line) Approximate volume or length of time: gallons minutes Capacity: Construction: Prefab Concret Steel Other Manufacturer: (If known): Age of Tank (If known): Fy fs "�� Ly ,� .� Erg z Gv .5 7 (Signature) (Name) Please print (Title) (License Number) Date Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR 83, Wis. Adm. Code (except for inspection opening over outlet baffle). Name G �i1�� e Signature 2 2.3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/saw DG Al ,9-e /? e fV o S Mailing Address zz 2 - 1-'6 �t4 !�' e Ir Property Address .S;4 (Verification required from Planning Department for new construction) City /State 6�X e eV w d D de;r 4, Parcel Identification Number 0/40 LEGAL DESCRIPTION Property Location .51�- 1 /4, 5* &/ %4, Sec. , T qQ N -R /� W, Town of e 4 V00 01" Subdivision , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # y 73 2 d 2 , Volume J- , Page # -6 � Spec house ❑ yes no Lot lines identifiable Rr 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 d of the three year expiration date. Q ', SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Q, -4,Q - --.), `Z SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed f* DC, 3U„�iT NJ_ rf s :- .¢ Rc,c1vcn rno p _.....: S an'x � t „� °• 5'+. 1' � tel.: �1.,. rt _ J N . 3 L'i; 'vi c' 1.. C ;A 011 a; ----- - -- 173 LF ra?' � a i t C> e 3kts1 i? .. P eanv;t,;w and n.,rrarts to "3 . a .s� �lid4h4':1i3.8a' ..iZ; & - ..«�r1Y' iSCQ Ship_ �aa.'itml pk.#�. f ""'�� ......._... � '` -s :./ +F ,?�. ..... ............. ...... _ .... ..., .... .... ... ..................... ... .•___. .. .. ... . -. _. _. .... .. -... _..._. ._ _.._. .... R! - r;; +•^+ TG the fo11:,w;;,1; describe,) rez) w..t, in Siuc of 4t i, ^ +zRsi. T'ad t pyg i 'Yr,: ............... . A parcel of property loceat - :A in the East 110,1f (E ; c f Sol)t%?,aa:at , ..art -er (S t) of Section 15 - 30 -15, described as follows: Starting at the SE corner of salt: East Half (KI) of Sout wi—t (SWr), then04 W 530 feet to the point of begi inbig, theuc 1 573 feet, tb,�ooe W 150 feet, th nca S 100 feet, thence W 40 'et, theme S 473 fit, re or less to the canter of a highway, thence E 3.e %;; the centa r of the towr h,ar 190 feet to the point of ft gznridng, This - is hnmesteard prnert_. Exception to warranties: Subject to eonve_-an:7es for highway purposes; reservati -)n of mineral rights; coin -tv and municipal zoning ordinances, easeirealt•s and rights of way of record, if any. Uat'-d this ZQth dac n!' September ' 19 91 (SLAi.) (SEA1I 7 'aymond K., Is _.. _.. (SEAL., (SF:A1.1 AUTHENTICATION ACKNOWLEDGMENT Signature(s) --------------- ---- -- -- ........ -------- - - - -- STATE O^ i�'1 .i'C : •i I ss. - - - --- - -- -••- - --- - --- -•--- ------- -- --•-- --- -- - - -- - 5t. - - Croix ' ..... - -- --------- - Count.. ar:thenticated this ----- - day f .___._. -- - -. y - --- -.- -• 19 _.__ Perso....'.' came before n tt.i? a?�` -�-- . ..__day of nawe segtember l9 .4 ... the ,]}H ce .1 _ .. -------------- ' ------- ------- • TITLE . 'N}FV}HF % STATE; R.tR OF W }SC'O_'\;S1N (If not- ----- ._. .. - - - -- ----- '- - Y authorized b 706. 3 6, Wis. Stag.) ton it n wn to he the , e 1 �,�; o e and a _.nos��:P.t,�, -�:�� 0. r i' iN �TFi,YrN Nl q.- CR aF ED 8Y Fra pis X Rivard } _ - - - -- Glenwood CitY, WI 540 - _ �,at .' runt St. Croix (Signaturt, may be authenticated or r]rkrum!c 3;rcd. R <•' V C-ii are not •Y�s i :,f Der —n,? iq a _. -0-its sh„•.'3 h. I ::n:. -.. •. .. --i. ,' yr WAAR VTY DEE17 STATE •F .a. FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 8/4\1 _JIS ¢ TOWNSHIP GL ti cv ar p� SECTION 0 / N -R _Z J� W ADDRESS L ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM � M /o o 6:A Se, Ph0, ?HNK i 0 �D L1st?. /x 1 v PPMP rAhIK INDICATE NORTH ARROW BENCHMARK: Elevation and description: !2A dr- h t /c 4 %e--d S 2, , f1 re Alternate benchmark ON gAj r F' N4 d M a L//vo/ SEPTIC TANK: Manufacturer: L Liquid Cap. /o—,*70 Rings used: - LManhole cover elev: grade ele Tank inlet elev.: q Tank outlet elev.: No. of feet from nearest road:Front2 Side Rear Ft. From nearest prop. line:Front Sideal, Rear Ft. No. of feet from: Well p L/ r , Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE Z �� r q3.�o i Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: St . Cr oix Labor and Human Relations INSPECTION REPORT Safety and Buildings Division ATTACH TO PERMIT Sanitary Permit No.: GENERAL INFORMATION 149105 Permit Holder's Name: ❑ City ❑ Village own of: State Plan ID No.: Raymond Ista Glenwood S91 -40480 CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: Gz.. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ��� �� �! ? . /i<. -r ' _ ,. Benchmark Dosing Bldg. Sewer Holding St/ ¢(t Inlet ? D TANK SETBACK INFORMATION St/ t Outlet TANK TO P / L WELL BLDG. Ae Intake ROAD Dt Inlet s G l Septic �� (� y1,� NA Dt Bottom z. Dosing NA Man. 05� Aeration NA Dist. Pipe Holding Bot. System PUMP / SAN INFORMATION Final Grade Manufacturer mapd Model Number 9 7 Zf GPM TDH Lift 3 f Friction Sy ad TDH Forcemain Length I Dia. Dist. To Well s SOIL ABSORPTION SYSTE c,_ - L BED/TRENCH width , Lengtts ; No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS _ / DIM SYSTEM TO P / L BLDG WELL LAKE / STREAM LEA Manufacturer: SETBACK CHAMBER INFORMATION Type Of A i .f.. A Moe A e` : System: '�tGt.. %'�. j � OR UNIT DISTRIBUTION SYSTE Header/ a fold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia Length _�I_L Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over . ; xx Depth Of xx Seeded /ieddud xx Mulched Bed /Trench Center Bed /Trench Edges - ' Topsoil f ° ❑ No s ❑ No COMMENTS: (Include c discteppancies, persons present, etc.) 1 1 Plan revision required? ❑ Yes © Q / Use other side for additional information. 9 SRI) -671(1 (R OS/<111 Date InsDector's Signature Cert No . SANITARY PERMIT APPLICATION 7 01L.HR In accord with ILHR 83.05, Wis. Adm. Code COUN STATE SANITARY PE - Attach complete plans (to the county copy only) for the system, on paper not less than ❑ / 41 9m os 8% x 11 inches in size. check i revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMB 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. l- PROPERTY OWNER / PROPERTY LOCATION fC d Z. 2 '/a !.!'/4,S 16 T?e,N,R / PROPERTY WNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE y- ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER C11e At W-' II. TYPE OF BUILDING (Ch One CITY NEAREST ROAD k ( ) State Owned O VILLAGE: eet/ C � -5) 114� _ ❑ Public [0 1 or 2 Fam. Dwelling- # of bedrooms 3 - PARCEL TAX NUMBER( S) III. BUILDING USE: (If building type is public, check all that apply) o / l ! /e Y2 - 7G 1 ❑ Apt/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 in line A. Check line B if applicable) A) 1. ❑ New 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 ## _ Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 210 Mound 30 ❑ Specity Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 El Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 14. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) l ELEVATION 3 ;7 ���� �� Feet Ar . Feet VII. TANK CAPACITY Site in aallons Total ## of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name C oncrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank o s�-G Litt Pump Tank/Siphon Chamber Vill. 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) MP /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. COUNTY /DEPARTM USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater a e ssue Issuing ent Signature mps) T Surc Approved ❑Owner Given Initial Fee) harge Adverse Determination i X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: 0011 C.fl\O /i........ -1.. AI,. C7\ /� /00\ f11CT0101 ITIII�I. /1.:..3....1 .- /...... .. /�.... !`...... T... Cwinw. O O. x:1'1:...... Ili..4n {r... (l,..ner DI.,...I.u• s.SL t P Ar Q X Kati -1 ��..� 9k ./ �C S'► e P•S e { S c \ ail IL Q N (` .Q� ( % �- \mot < l %•O.O C ' ) be a,. I Ea J , (' tt l n N d. ti WSNw 1ati .xh Lft"r LIH it% P fk%o rZ 12 4 i`� Tys•�o+w �� *J l.++1 w tA% r%% L%- PtT�o N L ec ^T1t W leLL O �• l� Ian G V t- Q PA t Ck �S�e .. its -s Q s Mi _ L IL r .Qt (2 b"t- �- s +AJ �► Z Irk K q� �t �a co M-u. s-L oi+ 4�l �O a.e, e � • � e i e :1 100.: v v 13 rL. C t- LeT Lti�►1Ci � ��o ti, IZ,'Q ��Q s�lo.., �.�� *1 �,�� w.T Le�gT1t w� C.. G ,.� z i MIESER 881IRETE RT. 2 (Hwy. 10) MAIDEN ROCK, WI 54750 • 715- 647 -2311 • FAX 715 - 647 -5181 I < i tX 0 �NGS . .. i F pie eRC L5 FE. SEWW THE / pOVVaSC.oPE �.D6E o� Tkf� Mt►�n710 \ .J MOS[ RC MAt" VNDA5'r it6GD N Syst� Ni FLe �. /01 3� M 3 �4eRc fi Norte; Fit eX isl Pil M I' t�N IT moo & A,4 3 �/ Page -- Of — • �l Straw, Marsh Hoy, Or A Synthetic Covering * , Distribution Pipe Medium Sand I � Topso F D 3 ONSITE SEW b !` % Slope py 1 L0 Bed Of %- 2 2 2 ; ( Force Main Plowed E Aggregate From Pump Layer AP"I Ay iL� i IC�1S i ZIP � �• � ` D A gw � S ass ion Of A Mound System Using f A Bed For The Absorption Area � G / A J� Ft. H , Signed: � XJ)4 �,, -G�� B 7 Ft. License Number : I /D `1 Ft. Date: Z11 7 Ft. K jO, Ft. L Ft. W Ft. L J Observation Pipe B K AI.-- - - - - -- ------------------------------------ Force Main W ° -- -- -- - - -- -- - From Pump Distribution Bed Of i - 2-, Pipe Aggregate f Observation Pipe Permanent Markers Plan View Of Mound Using A fled For The Absorption Area Page _ Of •' Perforated Pipe Detoil 0 C' `� 1 ) Perforated End View en 60p PVC Pipe Holes Located On Bottom, �On \� \� +� Are Equally Spaced ?E � Np R.Fo ,,j; V • N Q � Distribution Pipe V Lost Hole Should Be Next To End Cap End Cop Distribution Pipe Layout P Ft. ' P= 72 R S X Inches Y Inches Signed: Hole Diameter —Y-- Inch Lateral 2- Inch(es) License Number: Manifold r Inches Date: Force Main Inches of holes /pipe Iq Invert Elevation of Lateral s /0 ,2,7Ft. -llf- PAGE __ _ - -- r-) F -- PUMP CHAMBER CROSS SECTION AhJD SPECIFIC VENT CAP A 0 4 8 0 `iC.�. VENT PIPE ' -` WEATHER PROOF _APPROVED LOCKING JUNCTION BOX MANHOLE COVER 2 = FROM DOOR, WiNDObJ OR FRESH IZ "MIU. AIR ;t,TAKE GRADE 4" MIN. 18" MI IJ. COIJDUIT -- ---- -_ f8 "MfAI. --- -- INLET w r� 51 SEAL SEW APPROVED JOINT ;.' A �N�1SE .,,17�( /l I I APPROVED J�J11J7 W/ C.w. PIPE C oji tih I III W /C.I. PIPE EXTENDING 3' I II ALARM EXTENDIMG 3' L1TO SOLID SOIL j I O SO ONTO SOLID SOL I �O I H RAND � N L 1�30 N S o ��, . , Is►oN of EP UMP J D S,E.E OFF CONCRETE BLOCK RISER EXIT PEP_M11TED GNLy IF TANK MAIJUFACTURER ItAS SUCH APPROVAL SEPTIC 1'/000 � 5PECIFICATIDMS DOSE TANKS MANUFACTURER: v e �� l� NUMBER OF DOSES: — PER DA-'J TANK �/ SIZE: �J Can l G A LL 0 KI S DOSE VOLUME ALARM MANUFACTURER: S l�C7L�L) INCLUDING BACKFLOW: L GALLONS MODEL HUMBER: �� � CAPACITIES: A 3 ORj - - X"` GALL0u5 SWITCH TYPE: M e�; (� / ��) y B= _ INCHES OR �7 Z— CALLOUS PUMP MANUFACTURER: �49 G� L If' Al C = IMLHES OR / GALLOUS MODEL NUMBER. s 9 1 D= IAICHES OR 0 CALLOUS SWITCH T`JPE: S✓ - z� - r��' MOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATTE )-2 G (( PM )) INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN P[JM�P O A D DISTRIBUT PIPE.. FEE1 + MINIMUM NETWORK SUPPLY PRESSURE . . . . . _ • . . . . 2 . 5 F - ET / + _ FEET OF FORCE MA X v F nOFT. FRICTION FACTOR.. � FEET ' TOTAL DJIJAMIC HEAD = �� -'_ FE`T_ ��• Z1 INTERNAL DIME.W510NS OF TAUK: LENGTH ; \,/IDTH aj 6 Il HEAD /CAPACITY CURVE 4''A 6A MODEL 97 4Y. �I 3D' s 4% 25'- -I- - CQ — 1 - 11 NPT W 6 43/16 = o U_ Z o 4 J � a 0 10' S9 1 —40480. 2 5' I 0 us 10 20 30 40 50 60 70 GALLONS LITERS 0 80 160 240 I 10 FLOW PER MINUTE TOTAL OTNANIC NFADITLOW r[a M/NUT[ EFFLUENT AND DEWATEaa10 CAPACITY HEAD UNITS/MIN 35/16 FEET METERS GAL LTRS 5 1.52 56 212 10 3.05 46 174 1 15 4.57 35 1,33 I 20 610 15 57 Lock Valve 23.75' I CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available • Mercury float switches are available for controlling and supplied with an alarm. single and three phase systems. • Mechanical alternators, for duplex systems, are avail- a Double piggyback mercury float switches are available able with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard All Models - Weight 33 lbs. - 1 /2 HP 2. Single piggyback wide angle mercury float switch or double piggyback mercury float switch. Refer to FM0477. 97 Series Control Selection 3. Mechanical alternator 10 -0072 or 10 -0075. Model I VOHS -Ph Mode I Amps Slmplea Duple: 4. See FM0712 for correct model of Electrical Alternator, "E- Pak ". 97 115 1 Auto 12.0 1 or 1 6 7 N97 — 5. Mercury sensor float switch 10 -0225 used as a control activator, specify duplex (3) N 115 1 Non 12.0 2 or 2 6 6 3 or 4 d 5 or (4) float system. D97 230 1 Auto 6.0 1or1d7 — 6. Four (4)hole "J- Pak ",junction box, for watertight connection or wired -in simplex or C97 230 1 Non 6.0 2 or 2 6 6 3 or 4 6 5 2 pump operation, 10-0002. 7. Two (2) hole "J- Pak ", for watertight connection or splice, 10 -0003. CAUTION For Information on additional Zoeller products refer to catalog on Combination All Installation of controls, protection devices and wiring should be done by a Starter, FM0514; Piggyback Mercury Float Switches, FM0477; Electrical Alternator, qualified licensed electrician. All electrical and solely codes should be followed FM -0486; Mechanical Alternator, FMO495; Alarm Package, FM0513; and Sump /- Including the most recent National Electric Code (NEC) and the Occupational Sewage Basins, FM0487. Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO. P.O. 60X 16347 Z ACILLff O Louisville, KY 40256- Manufacturers ol... Ol o � SNIP T0: 3280 Old Millers Lane Louisville, KY 40216 (502) 7 2731 • FAX (502) 774 -3624 Quourr PUMPS f1*rr /,939 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER / ti Y/ /7 p a'I G /VGA L 57/ ROUTE /BOX NUMBER f FIRE NO. CITY /STATE C.— �N 1,cJ00o' ����}�, Lv / ZIP ' PROPERTY LOCATION: Y,)�_ 1/4 S 6v' 1/4, Section �.� , T 2 N, R ��_ W, Town of ( FleIVL.zi 00'd , St. Croix County, Subdivision Lot No. 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 SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980 with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning 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 (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I /WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix ounty Zoning Office within 30 days of the three year expiration date. SIGNED DATE St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386 -4680 Sign, Date, and Return to above address I OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS INGUSTRY, C DIVISION LABOR HUMAN NDLATIONS PERCOLATION TESTS (115) MADISON W BOX 53707 (IL 83.09(1) & Chapter 145) 265 -4550 I -OCATI N: SECTION: TOWNSHIP/ LOT NO.:BLK. NO.: SUBDIVISION NAME: SE �� SW 1 /4 , 15 / T 30 N/R 15 W Glenwood — NA COUNTY: MAILING ADDRESS: St. Croix Ra Ista 3042 150th Ave. Glenwood City, WI 54013 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMER IAL DESCRIPTION: ESTS: [ QR.s.d.nce 3 ? NA New QReplace 4/26,5/4/91 5/4/91 RATING: S= Site suitable for system U= Site unsuitable for system ONNVENTIONAL: MOUND: IN-GROUND-PRESSURE: r0s STEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) F—IS ®U EIS ❑u ❑S ®u ©U I ❑S ®u 1 Mound If Percolation Tests are NOT required DESIGN RATE: 4 If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: NA Floodp in Floodplain elevation: NA PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO R UNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGRT TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 1 53 101.2 No 33 0 -9 10YR 313 sil (diffuse boundary), 9 -20 10YR 4/4 sil w/ B occ 5Y 3/3 wk ce t SS fra / r 23-53 7.5YR 4/4 I - eavy dense sl/gr w/ f2f Gy mots below 33 becoming c2d Gy mots below 1 8 B- 2 1 74 101.1 No 31 0 -9 10YR 3/3 sil 2 f gr mvfr cs, 9 -15 10YR 4/4 sil 1 f sbk mvfr g , 15 - 31 5Y 4/4 sl 1 m sbk mfr gw w/ occ Cy si coats.on peds, 31 - 74 5YR 4/6 dense sl massive & resistant B- to knife penetrat on w/ occ gr & lf roots & w/ occ 7.5YR 5/4 & 10YR 5/4 s & w/ c2d Gy mots & f2d R -Gy mots 3 68 101.1 No > 68 U-5 dk Bn sil 9-16 Bn S11 - - n sl w occ cob & occ B- gr, 40168 R -Bn dense sl resistant to knife penet ation (Gy mottling not apparent in this pit) B _ 4 32 99.9 No 28 0 -9 dk Bn sil, 9 -21 Bn sil, 21 -32 R -Bn sl w/ f2f Gy mots hpinw B PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL -MIN. PERIOD 1 PERIOD2 PERIOD 3 PER INCH P- P -2 24 No 20 1 11116 11116 29 P- 1 1 1116 18 P- P ' m 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 borings and the direction and percent of land slope. SYSTEM ELEVATION 102.1 - .._ site is uniform topography sod lawn - sails arelwell struc�ure sit �oaamabove Weak y s ructur d grading to dense and massive till -,site limiting factor is dense il wh4ch s r sis�tanttto penetration and meets "code definiltion of. "bedrbok t __ . - _ . _ - ,_ - ._ �_ -- - -_ - - -- there is sufficient room to install , a long and narrow mound if lot)lire i o6 es ire �t edgef we� sotl /fi�ld , VERIFY, lot lines and..insta11,5'__x 75' _rack bed 0R.Ound for. 3_br_0/ upslqpe_. -'.dge of rlocKbe.a onE1Q1y.1- _cpatcur� I Well location and` # br needs; to be verified' "prior to systeif nliff alTdti -6--+ -- , z - TN _..+ - _ '_ `7__. _ see attached page 2 for plot plan a F i , 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: Henry F. Grote 5/4/91 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): PO Box 57, Knapp, WI 54749 -0057 3065 665 -2681 CST SIGN RE: <� DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. page 1 of 2 DILHRSBD -6395 (R. — OVER — • • APPLICATIOH FOR SAHITARY PERHIT 8TC -100 This application form Is to be conplated In full and signed by the owner(s) of the property being developed. Any Inadoquacles will only result in delays of the p:rmlt Issuance. -Should this development be intended for resale by ovnec /contractoc,(spoc houoe)p then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. --------------------------------------------------------------- ---------------- Ovnsr of property __814 yMe/lia� �K 7`A Location of property A, /4 J, 1 14, 8ectlon k T -R T o w•n s h i p _ (��/ e (Y ty d o 4/ Ha l l l n q address _ ,� 7`, � � e � / (.t, 0 6 c� jw / '�� �' •"' o_ Address of alto svbdIvislon ns*e • Lot number Previous owner of property _ _r1le0cVag e, - 7 lee L S C /o ,4� Total mire of parcel , Date parcel was created 7 Are all cotnsrs and lot lines Identifiable? �_ =N o Is this property being developed for resale (spec house) ?__Yes ... x �N o Volvwa 7L- S nd Pais Humber 3� as recorded with the Regletet of Drods. ----------------------------------- - ------- ------------------------------------ INCLUDE VITH THIS APPLICATJOH TIIi[ FOLLOWINCI A VAApANTY DIND which Includes a DOCUHSHT NUNBNR, VOLVHS AND 01105 NVHa[R, and the ORAL Or Till R9019THR OF DRID8. In a ddition, a eertlfled survey, If available, would be helpful so as to avoid delays of the tevleving process. If the deed description references to a Ceitifled Survey Hap, the Csttifled survey Hap shall also be required. --------------------------------------------------------- PROPBRTY OWNER CERTIFICATION tnovledget that 1 1(vve evtll[y that all statements on this Corm ace true to the best of my (our) (we) am (ate) the owner(s) of the ptopetty desetlbed In this lntoc l form, by vlrtue of a warrant deed reco ded In the office o f the County Reglec of Deeds as Document No. presently own the proposed site for the sews e d1 s osa'� J and that I have obtained an ease q P 1 aysten (CC 1 (ve easement, to tun with h the above do?c b ) have a e conetcuctlon of sold system, and the name has been duly cecocded r Inthe [o ol[Ice 4nu County Relstec of s Document Ho. re o[ Owner elgnatute of Co Owner (it A licab PO le ) Date of Signature Date of Signature MRS, 4/ 093 t - - 6 S37o qQ/ � �.� .� rte,- �ee.�,► -� ' 0 07� ,��� - L ,�►� ���y Can 0�1-) T �rl, �E? /� cJ., .0 ce (15T 76, F. le /77 7 O' fie cr he C. C. k ST. CROIX COUNTY ` WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 May 16, 1991 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation of the Ray Ista property, located at the SE 1/4 of the SW 1/4 of Section 15, T30N -R15W, Town of Glenwood, St. Croix County, revealed 28 inches of suitable soils. This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. Since ely, - - - C l James K. omps n rn Assis t Zoning Administrator cj ST. CROIX COUNTY WISCONSIN }'; 'w =�,;�' j ; ; f ; ► �� ZONING OFFICE ST. CROIX COUNTY COURTHOUSE r: 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 w I June 74, 1991 Division of Safety & Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To Whom It May Concern: Two onsite soil evaluations were conducted on the Ray Ista property which is located in the NE 1/4 of the SW 1/4 of Sec. 15, T30N -R15W, Town of Glenwood, St. Croix County Wisconsin. On May 14, 1991 an area located approximately 100 feet northeast and upslope of the dwelling was found to have suitable soils for onsite sewage disposal to a depth of 24 ". The second site, located approximately 150 feet southwest and downslope from the dwelling was evaluated on June 7, 1991 in the presence of Gale Smith, CST #1768. This location was found to have 12" of suitable soil for onsite sewage disposal and does meet the requirements of the A +4" rule. Based upon soil morphological conditions, depth to seasonally saturated soil and topographical features, the site northeast of the dwelling is far superior to the second site. Because of this, I strongly recommend that the replacement mound be constructed utilizing the site northeast of the house. If I can be of any further help in this matter, please feel free to contact me at this office between the hours of 8:00 A.M. and 5:00 P.M., Monday - Friday. Sincerely, James K. Thompson Assistant Zoning Administrator cj cc: Ray Ista d ST. CROIX COUNTY WISCONSIN ZONING OFFICE t ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 � w June 20, 1991 Division of Safety & Building Bureau of Plumbing P.O. Box 7969 Madison, WI 54707 To Whom It May Concern: Two onsite soil evaluations were conducted on the Ray Ista property which is located in the NE 1/4 of the SW 1/4 of Sec. 15, T30N -R15W, Town of Glenwood, St. Croix County Wisconsin. On May 14, 1991 an area located approximately 100 feet northeast and upslope of the dwelling was found to have suitable soils for onsite sewage disposal to a depth of 24 ". The second site, located approximately 150 feet southwest and downslope from the dwelling was evaluated on June 7, 1991 in the presence of Gale Smith, CST #1768. This location was found to have 12" of suitable soil for onsite sewage disposal and does meet the requirements of the A +4" rule. Based upon soil morphological conditions, depth to seasonally saturated soil and topographical features, the site northeast of the dwelling is far superior to the second site. Because of this, I strongly recommend that the replacement mound be constructed utilizing the site northeast of the house. If I can be of any further help in this matter, please feel free to contact me at this office between the hours of 8:00 A.M. and 5:00 P.M., Mo - Friday. Sincerely James K. K. T Son Assistant Zoning Administrator cj 1 cc: Ray Ista 16 14' - 1' 6 -3• 1 18'-4' 12' -8' 8' -8' 8' -2• 8' I �MI15rMO OpttOnal OPTIONAL SUNROOM a BEDROOM 0 NRCNEN ' - ®! 0 ur" un' �(] Master Bath (TILE) in — Co ' --- - - - - -- v 0 Model #2106 j A 0 GREAT ROOM i GREAT Opt. Sunroom 6 �_ -_- BEDROOM \� MASTER BEDROOM LdNING MODEL #2006 2 Model #2006SR Model #2106SR i �i \� 1765 SQ. FT. -- 4' -7%" 14' -8K• , '-8" 10' -8' 1r -4" 1 "DORMER 44' -0• 28' -0" 66' -0' 8 8' ,2 8' 181' 6 3' 14 1' 16 4' Optional 0 0 o I G O udm M i BEDROOM OPTIONAL SUNROOM Model #2116 Master Bath DD Mna 'a MTM 0 '.l_: KITCHEN °N�+ 3 (TILE) Dp 0 ® I, - - 0 v - - - - - , 0 0 m -�' - ^ - GREAT ROOM / GREAT ROOM MASTER BEDROOM ___� Opt. Sunroom a INNING aE.o=ooM Model #2016SR in / M D O EL #2 016 Model #2116n i 1765 SQ. FT, - ,r1• 10' -8" 18'-8• 14 -814 4' -714• 18'-8' '-0"DORMER I 8' -10' I 11' -8 6' -3• 8' -10• - 16• -7" 8' -8" 16' -0" Optional BED Optional O ROOM M r-{1 0 D FAMILY Open Kitchen ' `--LI MASTER I W ROOM Master Bath iArx ° 0 MNrfl �°"°°"' Model #2009OK Model #2109 Model #2109OK / \ I � 8UNROOM SUNROOM MODEL #2009 4 BED ' /L"� ROM qT NRCNEN 2 pNINO 1765 SQ. Ff. ,' \ ` D D O 1r4" 10'-8" 14' -8" 10 16'•0" DORMER 62' -0" 36' -0" 66' -0" 18 8' -8" 16 -r' 8'-10" 3 -3" I I O P tional -- Open Kitchen Lw, 0 0 M rN BEDROOM 8 0 Optional Model #20190K q FAMILY ROOM ®: M BEDROOM M •,•, 0 4 MASTMI 0 Master Bath Model #2119OK F MTN 0 Model #2119 �P i O - - SUNROOM —Room KRCNEN Y WCNEN INNING ,' """GR°°"'� �°;°°''' MODEL #2019 1765 SQ. FT. 101 -8., 10' -8 14' -8 10'$ ir1" 12, -8" 16' -0" DORMER 30' -0" 14'-0" 8 W -0' 11'-2' S -3' 2' -3' 10'-8' 18' -0' 8'-6' 8' -2' y. 8- I BEDROOM MTM ' Optional Master Bath y 2 ® BEDROOM Mr'� M " o Model #2136 0 ^ p A Ma GREAT ROOM KITCHEN / MASTER ^� °'"'° BEDROO MODEL #2036 D . w / 1600 SQ. FT. 5' -734' 12' -1' 11' -7'W' 18' -0' 16'-0' DORMER 29'-10' 13' -10' 6 y y 6' -r 8'-6' 16 10 24' 8.3' 11'4' O r O I MTN BEp1DOM Optional Master Bath % MM,� BEDROOM Model #2166 0 Y " iii O R,TH co p 0 R GREAT ROOM 1 MASTER KITCHEN � � MODEL #2066 BEDROOM /� ��� open 1600 SQ. FT. "" 14' -8' 16' -0' it' -714' ,2'•i' 5'•734' 16' -0' DORMER 46' -2' 30'-2' - - 64' -0' 10' -0' 5' -3" 8' -0' 11' -9" 15' -6" 13'-4 ® . 0 O r_= BREAKFAST KITCHEN U1x,Tr i w MTM BEDROOM HOOK io � i �^�\ B M L — / coma Y t LAPPIG ROOM ROOM MODEL #2039 L- / -- - - J 1706 SQ. FT. l 4' -8" l 11' -4" , I 22'48' I I 12'-0" I 13' <" l -0 — 16- .....,,..mom., 28' -0' 84' -0 13'-4' 15' -6' 11' -9' 8' -0' 5'•3' O 1 00 --- i iz ui� w U. KITCHEN BREFIIBT BEDROOM 7 l C fl NOOK m N /\ SUN MASTER � I BEDROOM I OINIIR3 \` —J a ROOM / uvm ROOM BEDROOM: MODEL #2069 1706 SQ. FT. L - - __j ,3'-4' 1 12' -0' , , 22'-8• , 11' -4' 4' -8' — 16-0' DORMER — 36' -0' 20'-0' 7