Loading...
HomeMy WebLinkAbout020-1052-90-200 ry o m ci v p °) N 0 v a ° I h ° o N N O C i � I I I � I � � 1 o� I z � I z LL c 0 Q J 3 ° 0 Z y 0 O z r d d N o. m O O Z c o Z 1 o to F- c z � M I N 0 . 0 •N o CL 0 O o Q w fD Z F- Z N z co A c 0 1 O • . E N �1 C R d 0 CL w C O d M O = d L a 76 N 0 CL co 0 Z> j N N y I N 000 zo •N �aaa a I g m' J U o rn 0) ' \) N 0 4-- 0 N N O E O M L O m N CL t N N ) in m I O N O p tl! C E O N 0 C d1 c 3 N In N ~ m E t0 0 N N W C 3 N 0 y 7 N N �+ O M M M • O L O N 2 (n M O Z c '•'s 2 W € I I a`+ € a g U a L` • a m ._ 0 d c E o c c o y o `• 0 ; '3 0 1 rn A r Uiconsin u a entofMdustry ; SOIL AND SITE EVALUATION REPO � Labor ar,! M1 Relatar►s REPORT Page of � Division of safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ST, �iP � Attach complete site plan on paper not less than 8112 x 11 inches in size. Plan must include, but I 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 GOVT. LOT 5,E 1/4 1/4,Sa T- ,N,R ljv E (or) W PROPERTY OWNER-S MAILING ADDRESS LOT # BLOCK # SUBO. NAME OR CSM # 1 /'9 / tl fFC o 73 S Lev • 8 CS.�I �E,c�Or ;J 6- CITY, STATE ZIP CODE PHONE NUMBER OCITY VILLAGE MWN NEAREST ROAD ffvlJS'o v 4,� /S. Syrps G (7i 3S'6 - 9 TAca(3 S LA J ]gNew Construction Use [! (Residential / Number of bedrooms y (] Addition to existing building ( ] Replacement ] ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate - 7 bed, 904 6 - 0 0 trench, 9pd111 Absorption area required ?-6- 7 bed, ft 7�a trench, ft Maximum design loading rate bed, gpd/B ' trench, gww Recommended infiltration surface elevation(s) SCE �� 3 It (as referred to site plan benchmark) Additional design / site considerations �'����� �D — Z"E TAe� ES u'/ D,PejC� QaX G�iST.f'� Trcz�� Parent material `..� S -- Eti1-11"7 G-S f=lood plain elevation, if applicable ti 11 It S= Suitable for system M S � 2 S 0 U 21S O U EssuRE �ATGE u sYS Q U O S� TqW U = Unsuitable fors stem Er SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bmidary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. B fit3 0 -/ /D+ "I? 1 // S o, nN, sb�C w of k C5 4 , ? Ground elev. 95 fL Depth to limiting WAX _ Remarks: Boring # 3 i5 ©yrF' /s �',S uf Cs - 4 /o /W a/y / s D, �,, s�k �► of s 3t . 7 Ground 73 �y yy 6 /lE' L-1 / ce - ---- -- C 5 0'C 1 elev. ft. y� 9 10 0 s/ s "M s Depth to -- - 1 limiting factor -��`— Remarks: CST Name:• -- Please Print O T '�C 7-- Phone: 7j✓!_ —3 96 �5 Address: (Q 5S S4 %/- % 3 CSTdl z z/f' Z Signature: r� -'t��` / �-� Date: CST Number: f' OR � -�... Q • This test site AP P140VED ; At for a converttiOrW SePtJc systems Gv lAiPo L f- �— PROPERTY OWNER SOIL DESCRIPTION REPORT Page =of PARCEL I.D. # LD 1 '# Depth Dominant Color mottles Texture Structure G = 2 Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz, h. Roots Bed Trench 3 2--F s bX nM -,C - / aYle 313 - sl 1 z.f, 5h4 rr,,, P— 5 Ground 7, 5 Yle r elegy . Depth to �'� - 9 /o y,� s/ Umiting factor,, Remarks: /�/ 20,✓ i — S f�P'�'� //Y ,�do�5 o %` „ r Boring # 3 - LS /o Ye 3 3 S/ 2. -f; 5 3 f o 5 < 5 • G f3z z -�/p ©rR 3 (.P 1S 2 ,f, �6,� n�vf�E' 3 f- C5 , f,8 Ground �z. ft, ; Depth to limiting 6 Remarks: Boring # .M Sik rw, WF 2 .' 3 49 - 7 ` ' 0 ' I -e Ground v ` elev. �o, zZ ft Depth to finting i Remarks: i ZD ,�} i;$ mock „ f o - R� Boa 13 Boring # _ ,i . Ground elev. ft. Depth to limiting factor Remarks: OWN 0nnn10 ne.nrn J All I @ I r 7 l,(J /itJ�OL r ) POPERTYOWNER ' �� SOIL DESCRIPTION REPORT Page— Of 3 r PARCELI.D — je O T 79; Boring # Horizon Depth Dominant f' ' '" ' ''vlottles Texture Structute ` C6r>sist�enoeY Roots GP -2 In. Mansell Qu. Sz. Cone Color Gr. Sz: h. Bed tenth 3 0 y /a / 3/3 1 15 Z.f 6 A& „ 5 f • S .6 Ground ' /32 � y 7, yr y/e .�"��” /s Q, 6, fR elev. - ez .5'yif' Depth to Cz 4 limitin Remarks: V;?,O,✓ Boring # El 73 , 3 -z5 /a ye 31 2.'F sb 3 R2. zs -y io ►l2 3 lQ �S z,f s6,� Vie a cS , , 8 Ground elev. C YO 16, s je ,� o, M-t , � f1. r y ft. Depth to limitin factor .z�le" Remarks: Boring # �l / a . ? • 6 �. �w► , S b,� iw, of 2 �'s 3 4� 13 )-11-60 Sys y 4 S , ,w, n+-►,e es _4? Ground /D y/2 SU .S, n•�t S ..,.� . ? �� elev. _ f0. 2L ft' s Depth to limiting i factor fl? Remarks: K5 " s yif'.tU�7/ Boring # t 1:3 1 Ground elev. ft Depth to limiting factor Remarks: can noo)n,c ACM%1M JARM to W I� G kA �Sr I N Q vjj 0V W W T 1 .,t Ln rn W � ` RT rT - MTh is �inatruaert drafted by Fran Bleskacek Pro j. No. ?, 4-53-193 , Bearings are referenced to the south i �+ line of the'SE} of Sectiotr 20, assumed n O 1 I to bear 589 } x T N ID 0 10 UNPLATTED LANDS Ip) Ivi m r ' WCST t,INE OF PARCEL I O C- ' IN VOL. 47s� PG. 299 r .° 0 � 70' 66 O N O OOo46r 4Y`"EE 497.9 ' @ "' °' H 0 484188 33.00' z ` O Sv QQRWlN �'ROK {-< p fi 55' , 60 c+ I- rt 0 00 2 M al l 0 G M w . 1p; - Hocst Un a 10 11 _ %DM I . e N —� rr•nr y x N _ a� w "1. r � N 1 t7 �Shtd Shtd I N 1111 rt `y � e 0 !?] O 1 y O A 4 bbb r O C r•+ w 'n ►•• rt W tj la I p t . r. ►+. C 4 r ., T 1 12 c _ N h' v -n v 7 in CM O M IU) 0 ,.r M co) 0. I-•i . y e� ® _ 400 496.81 s rr o 0 V ►(, Cn IM Ir $ _ 463.81' 33.00' l A c ,: Nh N X I p + O o w ro N r I- o - r t,I. O a I'" Iz ru j w o ww :,': �; as la Ir °-m 400 14 "W 486.47' (W m. �! g' 4113.47 :33.00' rt fi _ : y o r' ,� N O 01 t! 10 10 I-h 1m0 W W - I C)I IN x M 400037'14"W 486.13' _ I(ll r X. ' n N 453.13 33.00' a -C ' ': • r Q N p ,.e �' FII V1 1 r rt to e W (D SAC 70' r I U) 0 En sic a. tri IC �f : O 33.00 p Sr I IL 452. G? i N.• Q �^ N00 14" W 485.87' 0 I rs ►� ( "00 12" W 486.39') t _ g M '. H .I ° LOT I Iz ^ v` N � C •$ ill J C; L • tI VOL 6, p N (t7 A� H ;e d_ ,•. O 0 A 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' 0' n ,JdFTN OQoO+�?s`f Zr.�E j L PLAN VIEW lv.�sEP �',a�IcQrr� ��s�Pv%a7iav � G{•9ti/rrrt �cwv..� /.vAA.�1y 4 s " G' J' s 3 ,(/Q oxL 5 g Vt, A f - N 1 ) OF4 4m LJELL i - , ,v4 4�• �� � � gu c�v,N4, A41 6 C t r. &k - &�gra 4,4 p `fit rtLc� INDICATE NORTH ARROW Me 1.k /JE.vcKrN.6PK• ?o� of <ouYN EST h0 1,ef� L'dP ST. CROIX COUNTY ZONING DEPARTMENT 4 " AS BUILT SANITARY REPORT Owner 6wca Address —501a City /State A40501J Legal Description: Lot "7 i 0 Block Subdivision/CSM # 1 0 L 'h �-f '/, J�L Sec. 20 , T -'F N -R /9 W, Town of _Ai 4050,- l PIN # o�c� - is Sa -Sv •boa SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer W c�S�Q Size ST/PC /���o Setback from: House fC' P/L i9S 's Pump manufacturer 6, u 4,o s Model W r v 0s/' Alarm location Setbacks: Service road Vent to fresh air intake --� Water Line £� V. DuTLA Q - £ ti. 1o .qq SOIL ABSORPTION SYSTEM � ,vrV&r Tic t4 Type of system!f- A6010k � Width 3 /�.?. �` Length Number of Trenches Setback from: House �o g Well P/L I yVw Vent to fresh air intake ELEVATIONS Description of benchmark Elevation o Description of alternate benchmark &7TO 1 6 S, 4N4 Elevation 1_o 7. gr' Building Sewer 40 ST/HT Inlet /o2. 1 7$" ST Outlet PC Inlet lo.? oS' PC Bottom �Y '7T" Header/Manifold /ol. Top of ST/PC Manhole Cover /05. g3" ioS Z3' Distribution Lines Bottom of System (A) 10 :5 - , lo ' (�) /o�/_ So' (c) /dy. 00 Final Grade Date of installation 3 83151 Permit number State plan number PInmber's signature G License number ��Y S Dated / b��� Inspector Complete plot plan or wisdi nsin Department of Commerce PRIVATE SEWAGE SYSTEM Safetyand Buildings Division Count��, CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) SanitarjNrgi" -: Personal information you provice may be used for secondary purposes [Privacy LXVV, S.15.04 (1)(m S Permit�lgld is r ��SCOPAL CHURCH 4[ft� *iIIage ❑ Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel 0320a- =1052-90 -200 cd Scfir e TANK INFORMATION ELEVATION DATA A9800533 3 z TYPE MANUFACTURER CAPACITY STATION 85 HI FS ELEV_ Septic GUP � ��rQs� 3 Benchmark 10 Dosing / 02k) 7 Z AeratioIT Bldg. Sewer Holding --- St /J$e Inlet 6Z.-�S' TANK SETBACK INFORMATION St/ Outlet idz.W' Vent TANK TO P / L WELL BLDG. Ai Intake ROAD Dt Inlet Septic >4/0 ' / jps 25%y t114- NA Dt Bottom 71 Dosing 5 gyp / 3 3 NA Headed._ Aeration _ - -. -- NA Dist. Pipe Holding- Bot. System PUMP / SWfIDWNFORMATION Final Grade Manufacturer Go- �� Demand Model Number 3,� 7 GPM TDH Li i0 0 4 Friction st oss TDH Ft H Forcemain Length f p Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length i No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS '3 S DIME SYS TO P/ L BLDG WELL LAKE / STREAM LE Manu urer: SETBACK CHAMBER INFORMATION Type O .� nn cle Mo e System: CCin U /Sd X08 ) I f OR UNIT DISTRIBUTION SYSTEM Header / Distribution Pipe(s) 'on C 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 S s I Y Y Y Depth Over Depth Over xx Depth Of x Seeded/ Sodded xx Mulched Bed /Trench Center Bed / Trench Edges Topsoil E] Yes E] No ❑Yes [3 No COMMENTS (Include code discrepancies, persons present, etc.) LOCATION: HUDSON 20.29.19,SE,SE 502 COUN`Y ROAD UU- Plan revision required? ❑ Yes [Q Use other side for additional information. 3 I zY l SBD -6710 (R.3/97) Date Inspector's Signatu a Cert. No. i • r Safety and Buildings Division SANITARY PERMIT APPLICATION 201 E. Washington Ave. I 6consin In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Department of Commerce Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 vi x 11 inches in size. o • See reverse side for instructions for completing this application State Sanit P Number I The information you provide may be used by other government agency programs El Check if revision to previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION aF AFY Property Owner Name Property Location r �� f� 1/4 ` re v4, S � T �,Z y , N, R /y E (or W Property Owner's Mailing Address Lot Number Block Number a ` � 4 l L /diva LP i City, State Zip Code Phone Number Subdivision Name or CSM Number Q 7 ("/ ) _ ,) t4 i 7 II. TYPE L ING: (check one) ❑ State Owned !t Nearest Road 11 Village Public Q 1 or 2 Family Dwelling - No. of bedrooms Town OF c7y 7A cII III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) a 0- A Q • /A. !n 7 n C — .0 1❑ Apartment/ Condo Ao a w 7 y 7 G 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) 1 A) 1. R 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 Number 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 Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 7. 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/da y /sq. ft.) (Min. /inch) Aos l? ioa �� Eo r °n 6.�� icv.os Feet �eet Cap acity VII. 'TANK in gallons Total # Of Prefab. Site Fiber- Exper INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing structed Tanks Tanks Septic Tank or Holding Tank g ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ® 1 ❑ I ❑ I ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's S* nature: o Stamps) MP /MPRSW No.: Business Phone Number: Plumbe s Ac dress (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Issuin Age t Signature (No Stamps) l y6 [1�Approved ❑Owner Given Initial .,, /,,,, Surcharge I /� Adverse Determination Fee) (` X. C NDITIONS OF APPROVAL / REASONS FUR DISAPPROVAL: Otl � G�1W1 4LQ.vv ✓b 2✓ r 2Scri- ' T� W�,eo wrr . SBD -6398 (R.1 1/96) DISTRIBUTION: Original to county. One copy To: Safety & Buildings Division, Owner, Plumber Safety and Buildings - - -�� 1340 E GREEN BAY ST STE 300 ! ? { SHAWANO WI 54166 '\ Vhsconsin Tommy y G. Thompson, Governor L Philip Edw. Albert Actin g Secretary Department of Commerce (err s r , October 19, 1998 x� ��{� h�if9r9 ` CUST ID No.267341 'ATTN.• POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN -_ _`. ` \�� ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 10/19/2000 Identification Numbers Transaction ID No. 182785 Site ID No. 16230 SITE: Please refer to both identification numbers, Site ID: 162307 1 above, in all correspondence with the agency. ST CROIX County, City of HUDSON; 824 4TH ST, HUDSON 54016 Facility: ST PAULS EPISCOPAL CHURCH 824 4TH ST, HUDSON 54016 FOR: Description: NEW CONVENTIONAL SYSTEM FOR ST PAULS CHURCH Object Type: POWT System Regulated Object ID No.: 431512 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. NOTE: This approval does not include review of any plumbing upstream of the septic tank, including the grease interceptor. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 10/14/1998 FEE REQUIRED $ 230.00 ROSS J FUGILL , WASTEWATER SPECIALIST FEE RECEIVED $ 230.00 Field Operations BALANCE DUE S 0.00 (715)524 -3626, RFUGILL @COMMERCE. STATE. WI.US r DOSED CONVENTIONAL SOIL ABSORPTION'SYSTEM Page 1 of 8 for ST.PAUL'S EPISCOPAL CHURCH LOCATED IN THE SE 1/4 OF THE Se 1/4 OF SECTION Z O , T n N, R 1q W, TOWN OF U1V , S1 ltRwX COUNTY, WISCONSIN. titers 7 �8 OF C°SM \) L. q P9: t I: INDEX PAGE 1 of 8 TITLE SHEET PAGE 2 of 8 PROJECT DATA PAGE 3 of 8 PLOT PLAN PAGE 4 OF 8 PLAN VIEW PAGE 5 of 8 LEACH CHAMBER PAGE 6 of 8 GREASE INTERCEPTOR PAGE 7 of 8 PUMP CHAMBER PAGE 8 of 8 PUMP PERFORMANCE CURVE PREPARED FOR ST.PAUL'S EPISCOPAL CHURCH P O.W.T.S. 824 4th STREET Conditionally HUDSON, WI 54016 APP ROVED DEPARTMENT OF COMMERCE CMSIO SAFETY AND 43111LOINGS ....Ld PREPARED BY -- �^- -- ---� SEE COR ESPONDENCE WEGEE:RE SQ I L TEST 11 C3 AND DES I (StV SEE��1 I CE lScolvS� F.O. B0I 74 421 K. KAIK ST. r' RIVEF. FALLS. MI 54022 ARTHUR L 715- 4225'0165> WEGEREA = D -915 P ESW uswoRT». w � wrs. ` `vIG�� tC),�_ JOB NO PROJECT DATA PAGE Z of 8 This d66ed conventional- -in- ground system will serve a proposed church with a kitchen, 175 people, 6 Sunday school rooms,6 floor drains and 2 employees. The proposed trenches with high capacity leach chambers at 0.8 gpd /sq ft will provide suitable absorption area for 2250 gpd of effluent. ANTICIPATED WASTEWATER 175 people at 7.5 gpd ------------- - - - - -- = 1312.5 gpd 6 floor drains at 50 gpd ---------- - - - - -- = 300 gpd 2 employees at 20 gpd ------------- - - - - - = 40 gpd SUBTOTAL = 1652.5 gpd 2250 gpd - 1652.5 gpd = 597.5 gpd which provides approximately 1 00 d for each gp h (Sunday School room) which is well beyond the actual amount generated by these rooms. MAXIMUM WASTEWATER ANTICIPATED IS 2250 gpd. SEPTIC TANK 2250 + 750 = 3000 gal. min. capacity required. A 3000 gallon Midwestern Precast, Inc. septic tank will be installed. PUMP CHAMBER A 1000 gallon Midwestern Precast, Inc. tank will be installed with duplex pumps and controls to alternate the pkimps at each cycle. GREASE INTERCEPTOR A 1650 gallon Midwestern Precast, Inc. grease interceptor will be installed for kitchen waste only and will discharge to the building sewer upstream of the septic tank. - I / l NV.., tub:. pv v�,p 6` 0 3' 1r�_y�1- In S.b�i iNlo �EL �rvv. fit, 1Z4.95 d 3' W--. �oS.oS lOs -�ZI 1 NV . LOA. 3Z j - 1fJ\) V-L. 1I)q_S8 0 3�" Itov C1, %(4- (2 tuu.� u� c t- Ivv. fit. l�� - 7 0 3' y" pv e Tu.E►� climes �v a� 3' x ��z . s wl �a v►�rrs of - �R c` `! f S l D EW � n�b� L,�cCN �- tt"P�M Q �TS2 Z3`1 1 rJ � L�IZh'1v1 c �`'i,�C�� S , 1►� r. . I r M' �iGs S OF g rrww N V/ nl m W T W co C n r II L `4 L lJ2AUj ctf y O °- C'J v N n N N j E E 7 5 c t x C) co { N �y -0 In t U -C �- r r cd -0 (n .-- N I A > Q C to Q 4 C _p l CL = W a ti c- U I j O a . {:� 4 , (n e O i ` Q a x j U- � L i *0 fj ci 0Z v o a) a s to u) .3 IL L a< n - E � n h .43 CJ - c� m I �Y ti o r0 M p ar.: r cr) m N I w CO ' s u LL a »3 �s OF 8 C `r=� x 6 x � % 7% S x 3x �`C'�►.�h�'� �� 1bSO GYrt.. �pWNST�Tzti P�ZT: - 1�i C. & epprOva4 dfaas resat Include reviow of �rPPROV�D Tfl�k. emy pl�rrbhng a C, C' f r s 3t�i Code to detem,42n whether Platt Submittal and a Woval is required for that plumbing. L�3rin.l y "x 6" l.fj��'•L d.1_ CoU� -S VMM Z4wr w LClk Q� " G CLLR s rtpPnavea Sbwr y " pU C. gut 4 P V C f • Z4`DtR f'1i�Nt�U��S w/ laC.h.ltJT- C_oU�tS i 1 ULQV L!VyC1= b OvTLCTT p -3g • 3 �` PrPP aov�D 8�ou iNC CZci3 S $ QrC t0 ►v PUMP CHAMBER CROSS SECTION AMD SPECIFICATIONS" ` PAGE -OF 8 VCWT CAP 4'C.L VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE JUIJCTIOAI BOX COVER WITH WARNING LABEL 2� 10' FROM DOOR. r F MW. . WWDOW OR FRCSH AIR IJUTAKE GRADE I 4 MIN. 1 W MIN. CONDUIT �" — PROVIDE { - - --- INLET AIRTIGHT SEAL II v APPROVED JOIN A Tank construction shall comply I I A PPROVED JOINTS with ILHR 83.15 and ILHR 83.20 ( { ,lon$i I I ALARM 8 Install duplex alternating controls vith.the ahem syst" being incorporated into the, duplex controls vbich vill'.be activated in the event of pump failure. I I ON O simultaneously witching the resuining peep to I { dosing on each cycle. CLEV. FT. PUMP --�. "� �tjTl� pvW� pS r OFF 0 O0 COMCKETE bLOCK IV RISER EXIT PERMITTED DULY IF TAWK MAWUFACTURI`R HAS SUCH APPROVAL gEppl SPECIFICATIOA.IS 005E 1JU . MBER OF ooscs: 3.5� PER DAy TANK MANUFACTURER. TANK WZE : G O GALLOWS DOSE VOLUME t A LARM MAMUFACTURER: S S S`1 INCLUDING 5ACKFLOW: b b3 GALLONS MODEL NUMBER: . I2 hW CAPACITIES: A= Z IUCHE50R SZ GALLOIJS SWITCH TUPE: INCHES OR S Z G( LLOLI5 PUMP MANUFACTURER: ,<N U Z � rl� J C a c S � J ' Z IUCHE5 OR � b GALLOWS MODEL NUMBER: 3 $Z D = _ INCHES OR 23 GALLONS SWITCH TYPE: MOTE: PUMP ANO Al AR AR£ 70 bC� 1 MIWIMUM D15CHARGE RATE SO GPM INSTALLED OW 5EPARATI< CIRCUITS VERTICAL DIFFERENCE OETWEEN PUMP OFF AM0,015TRIBUTIOM PIPE.. \x''15 FEET + MINIMUM NETWORK SUPPLY PRESSURE .. .... FEET + ' FEET OF FORCE MAIN X fl 6 - F Ypt T .FRICTIOU FACTOR. O - V2 FEET .� TOTAL. DyIJAMIL HEAD = \ Y1 FEET DIAMETER INTERIJAL DIM6IJSIOIJ� OF TAIJK: LEIJGTH ;WIDTH ;LIQUID DEPTH BOTTOM AREA - - 231= - GAL /INCH AS PER MANUFACTURER GAL /INCH Goulds Submersible Sewage Pump 3872 APPLICATIONS Motor FEATURES ■ 0 -ring: Provides positive Specifically designed for the • Single phase: %z HP, 115 ■ Impeller: Glass - filled sealing. Easily replaced following uses: thermoplastic Full -Vortex or 230 V, 60 Hz, 1550 RPM, during maintenance. • Residential sewage systems built in overload with design with pump out vanes in Stainless steel fasteners. automatic reset. • Dewatering for mechanical seal protection. • Water transfer • Power cord: 10 foot ■ Casing GENCY LISTING Anywhere waste or drainage standard length, 16/3 SJTO Rugged 9 and Base: disp of quickly, with three prong grounding 99 glass - filled SR Canadian Standards Association must be dis p q y plug. Optional 20 foot thermoplastic design quietly and efficiently. length, 16/3 SJTW with provides superior strength three prong grounding plug. and corrosion resistance. SPECIFICATIONS • Fully submerged in high ■ Motor Housing: Cast iron Pump: grade turbine oil for for efficient heat transfer, • Solids handling capability: lubrication and efficient strength, and durability. 2" maximum. heat transfer. ■ Motor Cover: Thermo- • Capacities: up to 75 GPM. plastic cover with integral • Total heads: up to 18 feet. Available for automatic and handle and float switch • Discharge size: 2" NPT. manual operation. Automatic attachment points. • Mechanical seal: carbon- models include Mechanical m Bearings: Upper and lower rotary/ceramic- stationary, Float Switch assembled and heavy duty ball bearing BUNA -N elastomers. preset at the factory. construction. • Temperature: ■ Power Cable: Severe duty 104 F (40oC) continuous rated oil and water resistant. 140 F (60 intermittent. • Fasteners: 300 series stainless steel. METERS FEET • Capable of running dry 8 without damage to i components. 7 20 5GPM O 6 Q 25FT U W i 5 15 a Z _......._....._....._._ ......__._ .� —.. __.......__.. __...._. _ ___. _ 0 4 �� J 10 ` l 3 O 1- 2 5 i i 0 00 10 20 30 40 15oj 60 70 GPM L J- i 0 2 4 6 8 10 12 14 16 m /hr CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 1995 13 8 3872 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page — of Labor artd Human Relations 'Division of Safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x +er im size. Plan must include, but St. Croix not limited to vertical and horizontal reference poi A�f?dire aijd-% of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dist pCiR tpfiearest r64d ;� 020 - 1052 -90 -200 N \ �$ APPLICANT INFORMATION PLEASE Pf1h -'� AL L IFQ TI N' � REV4�WED BY 9 DAT f( PROPERTY OWNER: t , t, P PERTY LOCATION r� St. Paul's Ep iscopal Church ;n ' ' fr 'q i G . LOT SE t/4 SE 1 /4,S 20 T 2 9 ,N,R 19 { (or) W PROPERTY OWNER':S MAILING ADDRESS t , - `. ST �'� C?Ix 1:D # BLOCK # SUBD. NAME OR CSM # 824 4th. St. courvTti ,:7k8 I na csm vol.9 2678 doc.504961 CITY, STATE ZIP CODE PHON rGE ,: CITY OVILLAGE [MOWN NEAREST ROAD Hudson, WI. 54016 " ``ll' 8 - €' Hudson Cty. Rd. "W" (x] New Construction Use[ ] Residential / Number 6 s [ ] Addition to existing building I ] Replacement [ 21 Public or commercial describe Church, 175 people, 1 classroom, 2 emp. 6 floo drai Code derived daily flow 2103 gpd Recommended design loading rate .7 bed, gpd /ft gpd /ft Absorption area required 3004 bed, ft 2629 trench, ft Maximum design loading rate .7 bed, gpd 1ft .8 trench, gpd /ft Recommended infiltration surface elevation(s) 100.05 ft (as referred to site plan benchmark) Additional design / site considerations trenches spaced to code 3.25' below surface el. Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for stem RI S ❑ U [is ❑ U a s ❑ U �s ❑ U a U ❑ S 6c1 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourx3ry Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerxh 1 0 -12 10yr2 /2 none 1 2mgr mfr gw 2m .5 .6 1 2 12 -24 10yr4 /3 none ob. cos Osg mvfr gw if .7 .8 Ground 3 24 -90 7.5yr4/6 none ms Osg ml na na .7 .8 elev. 10 ft. Depth to limiting factor +90" Remarks: Boring # 1 0 -16 10yr2 /2 none 1 lcsbk mfr gw 2m .2 .3 2 16 -28 10 r4 2 y /3 none tob. cos Osg mvfr gw lm .7 .8 3 28 -90 7.5ry4/6 none ms Osg ml na na .7 .8 Ground elev. 1 03.3 ft. Depth to limiting factor +90 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Aivp.,New Richmond, WI 54017 Signature: Date: 9 -9 -98 CST Number: m02298 PROPERTYOWNER St. Paul's Episcopal SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # 020 - 1 052 -90 -200 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bou day Roots GP D /ft ........... . in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench ..... 1 0 -17 10yr2/2 none 1 2mgr mfr gw 2£ .5 .6 2 17 -22 10yr4/4 none ob. co s Osg mvfr yw 2f .7 .8 ... ............. Ground 3 22-120 7.5yr4/6 none ms Osg ml na na .7 .8 elev. 10 ft. Depth to limiting factor +120 Remarks: Boring # 1 0 -14 10yr2 /2 none 1 lcsbk mfr gw 2f .2 .3 4 2 14 -35 10yr4 /4 none sil lcsbk mfr gw 2f .2 .3 3 35-140 7.5ry4/6 none ms Osg ml na na .7 .8 Ground elev. 10 ft. Depth to limiting factor +140" Remarks: Boring # 1 0 -18 10yr3 /3 none 1 2mgr mfr gw 2f .5 .6 2 18 -28 10yr4 /4 none cob. co Osg mvfr gw 2f .7 .8 3 28-140 7.5yr4/6 none ms Osg ml na na .7 .8 Ground elev. 1 09.7 ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) I STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 St. Paul's Episcopal Church New Richmond, WI 54017 MPRSW -3254 town of Hudson SE %SE% S20- T29 -R19W 715 246 - 6200 a a ( ) lots 7 - csm vo1.9 -pg. 2678 N 0 3 1 " o3 =40' l BM.= top of SW survey stake of lot #8 @ el. 100' Alt. BM.= top of SE survey stake of lot #8 C el. 02.90' oo' 73� '414, ti m Gary L. Steel 9 -9 -98 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer St. P aul's Episcopal Church Mailing Address 894 F n i i r t h R t r P a t Property Address 502 County Road UU, Hudson, WI 54016 (Verification required from Planning Department for new construction) City/State Hudson W l Parcel Identification Number. 20 LEGAL DESCRIPTION Property Location s '/4, S E ' /a, Sec. 2 0 . T 29 N -R 1 9 W, Town of Hudson Subdivision . Lot # Certified Survey Map # 5 0 4 9 6 1 Volume 9 , Page # 2678 569296 1280 194 Warranty Deed # 5691 1 6 Volume 1279 Page # 15 7 Spec house 0 yes ® no Lot lines identifiable ® yes C1 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 masterplumber, 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 days I f the three year expiration date. ID SIGNATURE OF APPLI — 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 propqty described above, by virtue of a warranty deed recorded in Register of Deeds Office. 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 /V i) 5600295 STATE BAR OF WISCON'51N � AW 2 — 1982 v WARRAN'rY DEED iI DOCUMENT NO. Ro Router o. M il l e r > e REGISTrFF9 �QF g and .K -atherine - J. Miller, i .�hv.sb.and_. and �otif��_.. li. y_ �r���r is�k- __E.,.__.�utks: S cRO co., WI Ric d for Ravard — thei At o n y- in- Fc �cj_ DEC 0 2 1997 conveys and warrants to C. R. Hackworthy, II, a married person II - - - -- — I l IIIIS SPACE RESERVED FOR RECORDING DATA �_— NAME AND RETURN ADDRESS �i the following described real estate in __-. ^ _a t • Croix County, _ I, C. R. Haekworthy, II State of Wisconsin: I 216 Soruners Landing Road N. Hudson WI 54016 l l 020 - 1056 -00 PARCEL IDENTIFICATION NUMBER Part of the SW4 of SW4 of Section 21- 29 -19, and part of the SE4 of SE4 of Section 20 -29 -19 described as follows: Lot 1 of Certified Survey Map filed July 30, 1985 in Vol. 6, page 1555, Doc. No. 403919. TRANSFER This I na t homestead property. Xbox (is not) Exception towartanties: easements, restrictions and rights -of -way of record, if any. November Dated this day ul A.D., 19 9 7 (SEAL) x��y � �� �� OA (SEAL) Frederick E. Buttke, Attorney -in- « fait for Roger 0. Miller and (SEAL) Katherine J. Miller (SEAL) AUTHENTICATION ACKNOD Et1T Signature(s) , — State of Wisconsirfy�>;' Z authenticated this day of 19 Personally came before me thi day of November , 19 the above named F`rarlr-rir -k F._ Rut_t.krm Attorney —in —Fart for Roger 0. Miller and Katherine J. Ti FLE: MEMBER STATE BAR OF WISCONSIN Miller, (if not, authorized by §706.06, Wis. Stars.) to me known to be the person who executed the foregoing i� instrument and acknowledge the same. - 1111S INS I Rl1MEN1 WAS l)tiAl =1 El) !3'P Attorney Kristin Oqland Hu dson, WI 54016 - -- Notary Public, County, Wis. 1 (Signatures may be authenticated or ac'knowlctigcd. Both are not kiy commission is permanent. If riot, state expiration date: I ecessary.) •Names of persons signing to any capauiy should by typed ur pi it below their signal tat es. \VARRAN [1' DLLD STA1 L RAR OF WISCONSIN Wisconsin Lag d Blank Co., Inc. Pun❑ No. 2 - 1982 Milwaukee, Wis. �N 'DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2 -1962 WARRAN i , DEED - - - _ -.- VOL tpACE3i_ REGIS E 'S OFFICE 5T. CROIX C O., WI Res'd for R499rd � hus ba n A e3 11 DEC n 2 1997 conveys and warrants to C R L iack vvUr) LIX z- g_.Y+'14.VY tej� _ 2 :15 P Man Re sthr of Not RE I C. , NACKvVDRrHy 317 N. the following described real estate In _ SF .Crolsc — County , b!Saj t u ( syo L State of Wisconsin: Tax Parcel No: -20-10529- Part of the SE of the SE of Section 20 -29 -19 described as follows: I_ot 7 Of' CerLif ied Sul•vey Kip f i led SepLend)ct• 2, 199.1 in Volume 9, Pale 2678, Document No. 504961, except the west 38' thereof. Also, the west 38' of Lot 8 cif the Certified Survey 14ap filed September 2, 1993 in Volume 9, Page 2678, Document No. 504961. T AgSFER This + homestead property. s not Exception to Warranties: �� Nwr�7 ► ►L�� Dated this ___- _ _ .._._.__ __.___ _. _ duy of ._ _ (SEAL) ___ -- �h ymas N_ Ctxlcb , (SEAL) ( i �- I (SEAL) Q AUTHENTICATION ACKNOWLEDGGvtENl?­' ► t� va Ca : O . Signature(s).— _ - -_ STATE OF WISCONSIN) County. , L U e " authenticated this.-__ day of. _. 19 Polsonall 19 ��— camp boforo 1110 this. day of 1 _• . the abov na e TITLE: MEMBER STATE BAR OF WISCONSIN -- --- ------- - - -- —_ (If not, to me known to be the person who executed the authorized by § 706.06, Wis. Slats.) I reg n i t a o dg the same. THIS INSTRUMENT WAS DRAFTED BY I o icy � 1 �F � X tl .�, �. L— Notary Public ' County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission Is permanent. (if not, state expiration are not necessary.) date: 4Q �) 'Ijamos of persons signing in any capacity should bo typed or printed boluw Iholr signatures. NTF 2260 WARRANTY DEED STATE OAR OF WISCONSIN Nelco Forms, P.O. Box 1075, Green Bay, WI 54305 -1075 Form tio. 2 -- 1982 569116 vot 1 79PacE`35"7 STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED DOCUMENT NO. ! i John Wi ndol f f , RMSYf R'S' OFFICE r ST. CR c()., 1W1 - - - - - - -- Na v 26 1997 conveys and warrants to C. R. Hackwor II, a r. married person, �a{, 3 00 P _----- "---- `__ Ru imfar of Doods THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in St. Cr _ County Y'f� tTtilJ� �SCr© tfJ '4-_ r 1KC' ;i State of Wisconsin: i —1 so. I k uDn 'li)1 b4pI(o 02 0_- 10 5_3_ -60 PARCEL IDENTIFICATION NUMBER ^ Part of the SE4 of the SE4 of Section 20 -29 -19 described as follows: Lot 8 of Certified Survey Map filed September 2, 1993 in Vol. 9, Page 2678, Doc. No. 504961, EXCEPT the West 38 feet thereof. TRANSFER FEE ii This 1S riOt homestead property. (is not) Exception to warranties: easements, restrictions and rights -of -way of record, if any. Dated thi day of November A.D. ly 97 (SEAL) (S EAL) * h n Windolff _ (SEAL) r t N Ni . (SEAL) II 7. I, AUTHENTICATION ACKNOWLEDJMEQ+T+ uj ` Signature(s). _ _ State of Wisconsin, �� . •��, �` Cou t authenticated this day of Personally came before me this day of '! November 19 97 the above named _v - v�_ -- J ohn W i ndolf f 1 __ . a _ si ngle Berson, I : TITLE: MEMBER STATE BAR OF WISCONSIN (If not, -- — -- 'I authorized by §706.06, Wis. Slats.) to me known to be the person _ who executed the foregoing � inst 1111 nt and aklio� dgc t e sat le. T FIIS INSTME RUNT WAS DRAFTED BY i U N ��� Attorney Kristina and 1 III��� Hudson WI 54016 Nutacy Public, County, Wis. (Signatures way be authenticated or acknowledged. Both arc Ilia uuuissiun i puuluneut. (lY 1101, state cxpirutiun �l.��jjtr. necessary) Names of pemons signing in any Capacity should by typed of panted brio" lhrir vgnautres. L- SIAII: BAROF WISCONSIN Wisconsin Legal Blank Co. Inc. WAKRAN "rY DL[D Farm No. 2 -- t982 Milwaukee, Wis ' 1 ! „' 27 '98 03 :36PM AT &T 9015PF ` t11 !{ 1 P.2 �` i �I »H ,►act K1te�fe ,e. aacee.•r• .+T� , .•, y ! OQCUMEt4 No. I VM STATE BAR OF Wlsco"1s1-d TO wAaA�x�' E RS[ 505829 r...CIST. _Z v ...c � { t k .. ..... .... , i :h0c'0 tier Rea" .......�4�ln �1n�Qlff _.. __ ..................... .......................__ .. _ ..._. . . SEP 2 T 1993 ............................ ......................::ati;+ii 'oT — •• .�..... ... at 8-30 a .t. Q� �� HiiBfon Congre9 tenveys and orarr.nea w ;: Jeh Crdll' S tnesses ' tW.GrpoT t� .." «— N �. ta.�i '11 (*" a ............... ....... ...... - _..; ............... ......... ....... 'St. .rr A.... .., L M described folsoveins de real 4 tste In . u Stab of Wismnsia: Tam 1''ssraal l+io:... _�.... _...— .......•., That part of the Southeast 1/4 of the SW40e 1/4 (SE1 /4 of SEl /4) and the Southwest 1/4 of the Southeast 1/4 (911/4 of SEi /4) of Section 20, Township 29 North, Range 19 West described as follows: Lot 6 of Certified Survey Map filed Sotebber 2, 1993 as Docunienk No. 504961, EXCEPT the West 38 feet thereof: ALSO the West 38 o feetof 5Lot 7 of Certified Survey Map filed September 2, 1993 as DoC s� ;r t� �i This S ROt .. ......... homestead property. ( (is To Exception to v►arssatka 1 16th_ day of ............. ._...P... ......•_.. D&Ud this .....,..............(SEAL) ......... ......... .................ISEAL3 ............. .... John Wi (SEAL) ...... ..... ...... (SEAL) .......... . ................. • ... .................................................... .... .......... ........ .. A9111131I1fTICATION AC19NOW LSDa"N' STATE of WISCONSIN Sieestm(s) .......................... ..... ..... . .. •- -................... _.._....... _ as. ---- ••- •.... -_..� ..CI��X..... Cants• ........... ..... ........................._ .....�...._..... this __1. t ........day at 7l. -- -- Persoaslly Coale befog an .. -.... 93 th. aae•. ..sb� ............ . oaao•d tte.ta this ........ 4011 September ................ i'_.._.... ............... . ......_.. � ....._.........._..._ ... ,1obn Ylinst�lff _....�...�..._.. TITLE: MEMBER STATE BAl; OF WISCONSIN _ _ ._ .... fit mk _... __.. ,. .... • °....... _ ... ..... . . __— ,.. h. the oeeson .. who exeet the tir:Hwrit�ad by 706.96. w� a�a'�, a : ...., — -- >,dS kao-k�di= t he TAI! IlIaTR1lM {MT WAS DIRAfTICO aT i ch Att�i ney. alt •.L 1,�i11 i am J.. ch St. Cro .. ex 4 , t ,_. .. - - - ��ry pltblie - ....... ....1:ludsQn,_.1s1 sconsl n. 5�401�.....-- ,u;t talc *oe, � _� � (GIVILictm may He outhentkated or aci OwledgW' Bats �r Cammiasien to pert.. tr bra !Wt ow"Ba _ �I61e: ........... ' i - -'— eon e.a.. �r �e •leeilf V say bta-lb •�"IM t+e t►p•d Y � . • �e�1r I �i•!oR •ie L•s �I p RlrT7 DZiD S AT yt1Rr/ so � }l..... r. �. I Wi •` ..s"] W J cc CL J m X a 3 - _An r:Z� � J a � r ll� v d � � � � a 2 \ d; l � s �j 0 � \ l rl 94 \ d O rl � o LV J 1 r ' l LL 0 a O N �I n (-I 2 11 S �7