HomeMy WebLinkAbout022-1020-50-100 ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT
Owner
Property Address L4 D S (e e ol
City /State I V--Vj4 n S
Legal Description: \ '
Lot Block Subdivision/CSM # V U a 3 3
s W t /4
N L , Sec. �, TAN -R Ik'i N' W, Town of K tiN
t/4 PIN #
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION:
Tank manufacturer 0 - "kS Size ST/PC 4 " / $dU Setback from: House Well sV PAL, a � ,
Pump manufacturer n k � A R - Model S3
Alarm location T 1,
(HOLDING
Setbacks: Service road Vent to fresh air in a er ------ ---...
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
���► ��} a3xiDt U
Type of system: M b u �1'o Width Length I u o Number of Trenches
Setback from: House I y X Well 1 P/L t Vent to fresh air intake
ELEVATIONS
Description of benchmark f4 iM 1 h Elevation Oy
Description of alternate benchmark Elevation
Building Sewer ST/HT Inlet 1 1 5 - ST Outlet a PC Inlet S
PC Bottom T l a Header/Manifold Vy 31 Top of (S'I C Manhole Cover 4
Distribution Lines () 11 3 1 B e 4 m A h Y S L 6 V
�n �` �p�P Icp�I 0►J�
Bottom of System
Final Grade () l y S-0
Date of installation / / Permit — number State plan number
Plumber's signature ���rv^'�\ l� License number DX) VA Date
Inspector
Complete plot plan e
NOTICE Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
PO)
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INDICATE NORTH ARROW
Wiiconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division
INSPECTION REPORT ST. CROIX
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary3irojtNq.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 2 ii // 11
Permit Holder's Name: ❑ Cit ❑❑� Villa e Town of: State Plan ID No.:
HAHR, CHARLES & LAURA KI kCF IC
CST BM Elev. Insp. BM Elev.: BM Description: Parcel T c IR._1020-50 -100
TANK INFORMATION ELEVATION DATA A9800258 "9
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic : 'rt..�... / `J� Benchmark
Dosing
Aeration - -..._�
--- ..� Bldg. Sewer
Holding �,,•'" St /J� Inlet
/d 7
TAN.W<ETBACK INFORMATION St /)A Outlet
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic 414- NA Dt Bottom
Dosing } 7, ° NA / Man.
Dist. Pipe
p . r
Aeratio
Holdi �"
�g „�� _...e.,_._- Bot. System
PUMP.JNFORMATION Final Grade
Manufacturer Demand �` ° ° S. - 1
Model Number GPM
TDH Lift Friction System TD H Ft
Forcemain Length Dia. Fi Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIM NS
SYSTEM TO P / L BLDG WELL LAKE / STREAM 1EACH11NG Manufacturer:
SETBACK CHAMBER \
INFORMATION Type O iVlodel Number..._ _
System: OR UNIT
DISTRIBUTION SYSTEM
Header/manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. 2� Length Dia. Spacing A
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: KINNICKINNIC 8.28.18,SW,NW 460 SLEEPY HOLLOW ROAD
/ � ^t -� ,� t'1�;1 � iYr? 6 / J :l.i.s�C 0 .� ,�� u� ��'tc.•ri���,,r %�i , , �,�a �,, iii: c ,t':' .,�:.
i required? E] Yes ❑ No
for additional information.
R) Date Inspector's Signature Cert. No
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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Vis SANITARY PERMIT APPLICATION 20 E Washiin nA °e �
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 8 112 x 11 inches in size. •J"� 2"
• See reverse side for instructions for completing this application State Sanitary Permit Number
The information you provide may be used by other government agency programs El Check if r�visio o previous application
{Privacy Law, s. 15.04 (1) (m)].
State Plan I.D. Number
I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N 'l/
Pr erty Own r Name Propert ` Location
1 �a NG(I / U) 1 /4,S S 8 T a8 , N, R /8 E (orw
PrgpQr#y owners Melding Address Lot Number A Block Number
Ci tat Zip Code Phone Number Subdivision Name or CSM Number
10 S ( ) o 3
II. TYPE OF BUILDING: (check one) ❑ State Owned !t( Nearest Road
Public 1 or 2 Family Dwelling - No. of bedrooms Town OF / ' 1
III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo 00A _ /OA o ` 5 " /00
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_ ❑ Reconnection of 5_ ❑ Repair of an
______ System- _____ -_ System l�r_ ____ _______ Existing System ________ Existing
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 21.4g3Aound 30 []Specify Type 41 []Holding Tank
12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy
13 []Seepage Pit 43 ❑ Vault Privy
14 ❑ System -In -Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade
1� Req red (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min.AQch) Eleyatio
(0 V b t o o S b 0 0 1 , 3 Feet 06' d Feet
VII. TANK Capacit g allon s Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturer Name Concrete Con Steel glass Plastic App
New Existin structed
Tanks Tank
t _ I A00 1 W -t El ❑ 11
iftPumpTa /S am er $Olt ( S 11 1111 1:1 0 ❑
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 Sta ps) MP /MPRSW No.: Business Phone Number:
Plumber's Address (Street, City, State, Zip Code):
1090 js�" IX. COUNTY / DEPARTMENT USE ONLY
nppp���s [] Disapproved Sanitary Permit Fee (includes Groundwater ate slue Issuing Ag nt Sig re (No Stamps)
///���
Approved []Owner Given initial �I S urcharge Fee)
Adverse Determination V
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SB13439 I (R 11M) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
i
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
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
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 o the State of
Wisconsin, Safety and Buildings Division, 608 -266 -3151.
To be complete and accurate this sanitary permit application must include:
I. Property owner`s name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
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 1/2 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.
----------------------------------------------------------------------------------------------------
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
i
Safety and Buildings
2226 ROSE ST
LA CROSSE WI 54603 -1905
Nv l' isconsin Tommy G. Thompson, Governor
Department of Commerce William J. McCoshen, secretary
June 18, 1998
CUST ID No.222904 ATTIC• POWTS INSPECTOR
JAMES W BOUMEESTER
1070 HWY 35 N
HUDSON WI 54016
RE: CONDITIONAL APPROVAL
APPROVAL EXPIRES: 06/18/2000 Identification Numbers
Transaction ID No. 89180
Site ID No. 10416
SITE: Please refer to both identification number`s,
Site ID: 10416 above, in all correspondence with the agency.
St. Croix County, Town of Kinnickinnic
SW1 /4, NW1 /4, S8, T28N, R18W
JOE & LORI OKANE
FOR:
Description: Mound
Object Type: POWT System Regulated Object ID No.: 26305
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Adm. Code.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation /operation.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sinc rely,
DATE RECEIVED 06/17/1998
FEE REQUIRED $ 180.00
RD M SWIM, POWTS PLAN REVIEWER FEE RECEIVED $ 180.00
Integrated Services BALANCE DUE $ 0.00
(608)785-9348, MON - FRI, 7:15 AM - 4:00 PM
JS WIM @COMMERCE. STATE. WI.US
RECEIVED JOE & LORI O' KANE
4 BEDROOM RESIDENTIAL MOUND DESIGN
g � D GS DIV. REVIEW DATE: JUNE 20, 1998
SAFETY & PLAN REVIEWER. GERRY SWIM
PLAN IDS► - X180`4'
PROPERTY LOCATION: PROPERTY OWNER:
SW%.NW' Sec. 8, T.28N., Joe & Lori O'Kane
R.18W., Tn of Kinnickinnic, 400 North Robert Street
St. Croix County, WI St. Paul, MN 55101
Pcl.# 022 - 1020 -50
INDEX TABLE
PAGE 1 OF 8 TITLE SHEET
PAGE 2 OF 8 WORKSHEET
PAGE 3 OF 8 WORK SHEET PG. 2
PAGE 4 OF 8 PLOT PLAN
PAGE 5 OF 8 MOUND CROSS SECTION
PAGE 6 OF 8 DISTRIBUTION PIPE DETAIL
PAGE 7 OF 8 PUMP CHAMBER CROSS SECTION
PAGE 8 OF 8 PUMP SPECIFICATIONS
ATTACHED SOIL EVALUATION
PREPARED BY:
Jim Boumeester
1070 Hwy. 35 N.
Hudson, WI 54016
(715) 386 -9020
SIGNATURE: , MPRS# 3404 Credential #222904
DATE • , 1998 P.O.W.T.S.
Conditionally
APPROVED
DEPARTMENT OF COMMERC
DIVISION OF ETY AND B ` INGS,
EE GORRESP ENGE
WORKSHEET
ABSORPTION AREA SIZING
1. Daily wastewater load 600 Gpd
(4 bdrm) (150 gal /bdrm)
2. Depth to limiting factor 25"
3. Land slope 3%
4. Infiltrative capacity
of soil at system elev. 1.2 gpd /sg.ft. ASTM C33 med. sand
area required 500 sq.ft.
bed length (B) 100.0'
bed width (A) 5.0'
MOUND DESIGN
1. Mound Height: 2. Mound dimensions:
fill depth (D) 1.0' end slope (K) 10.0'
((1.0 +1.15)/2 +.75 +1.5)3= 9.98
downslope fill depth (E) 1.15' total length (L) 120.0'
1.0 +(3% X 5 1 ) ( 100.0 1 )+ (2 X 10.0) = 120.0'
aggregate depth (F) 0.75' downslope width (I) 10.0'
(1.15 +.75 +1) (3) (1.10) =9.57'
cap and topsoil depth(G) 1.0' upslope width (J) 8.0'
(1. 0 +.75 +1) (3) (0.915) = 7.55'
cap and topsoil depth(H) 1.5' total width (W) 23.0'
8.0' + 5.0'+ 10.0' = 23.0'
3. Basal Area:
Basal area required 1,200 sq. ft.
600gpd. /0.5gal. /sq.ft. /day per CSTM = 1,200
Basal area provided 1,800.0 sq. ft.
(100')(5' +13.0 = 1,800.0
Linear loading rate 6.00 gal. /linear foot
600 gal./ 100' = 6.00
PRESSURE DISTRIBUTION NETWORK
1. Distribution pipe sizing:
Lateral length 47.5'
Lateral size 1 % if
Lateral spacing NA"
Sidewall separation 30"
Hole size 1 /, "
Hole spacing 60" jist hole at 30" from manifold)
Holes per lateral 10
Dist. network discharge rate: 23.40 gal. /minute
(2 laterals)(10 holes /lateral)(1.17gal /hole)
2. Manifold sizing:
Location Center
Length NA"
Diameter NA"
3. Force Main:
Diameter 2
Length 30'
Flow rate 23.40 gal. /min.
Friction loss 0.33'
(30 ( 1.10ft. /100ft. ) = 0.33 ft.
4. Total dynamic head:
Min. supply pressure 2.50'
Vertical lift 7.00'
friction loss 0.33'
Total dynamic head = 9.83'
5. Pump selection:
Manufacturer Zoeller
Model number 53
Discharge rate 34.0 Gqpm @ 9.83' TDH
6. Dose chamber:
Manufacturer & capacity: Weeks concrete 800 gallon
liquid depth 41.0" @ 19.5 gal. /inch (799.5 gal. actual)
Sizing:
A) One day holding capacity 21.00" = 409.50 gal.
B) Alarm setting 2.00" = 39.00 gal.
C) Dose volume + flow back 8.00" = 156.00 gal.
(600gal. /4 doses per day) + (.164)(30 = 154.92 gal. min.
D) Reserve storage 10.00" = 195.00 gal.
TOTAL 41.0" = 799.50 gal.
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Page S Of$
Cross Section Of A Mound Using A Trench For The Absorption Area
_ _ H
Medium Sand Fill � 1 0 F 6" Topsoil .�(�,/ ,02
3 E ID o
Trench Of '2" - 22" Aggregate, Plowed Layer
6" Below Pipe. Covered With D /, 00 Ft.
Straw, Marsh Hay Or Synthetic Fabric
E /, /S Ft. G 40 Ft.
F o. 7-5' Ft. H /. SD Ft.
Plan View Of Mound Using A Trench For The Absorption Area
Force Main
Distribution Pipe I
Permanent Markers Observation Pipe
A o ---------- - - - - -- - ------------ - - - - -.
W
r B K
I
\ Trench Of - 22" Aggregate
L �—
A S.b Ft. I /O.O Ft. K /o,o Ft. W X3.0 Ft.
B lco.o Ft. J 8.o Ft. L 1.7.o.0 Ft.
raye to vi
Distribution Pipe Detail For Two Lateral Network
Holes Located On Bottom
Are Equally Spaced PVC Force Main End Cap
I I
Y X X PVC Distribution Pipe
P P
X
* Last Hole Should Be Next To End Cap
P q7 - Ft. Hole Diameter Inch
X 6_ Inches Lateral Diameter If'�, Inch(es)
Y & 0 Inches Force Main Diameter .2. Inches
# Of Holes /Pipe /O
Invert Elevation Of Laterals / a , 3 Ft.
_ P5
PUMP CHAMBER CRO55 SECTION AND SPECIFICATIONS
See ILHR 16.19
VENT CAP For Electric
ti" ScJ.'aV E NT
WEATHER PROOF APPROVED LOCKING
�! 15' FRCM DOOR, JUNCTIOAI BOX MANHOLE COVER WITH PADLOCK
WINDOW OR FRESH 12 "MIU.
AIR INTAKE i Warning Label
GRADE I
`1" MIAI.
CONDUIT
INLET PROVIDE I -_ - --
Approved Joint AIRTIGHT SEAL
APPROVED JOINT A I I APPROVED JOINTS
I
I I I I ALARM
B I II
I 1
I i ON
✓.
tLF
r/T
I
PUMP � -'�
� OFF
D
CONCRETE BLOCK See ILHR 83.15
95.37 for 3" bedding
RISER EXIT PERMITTED OULH IF TANK MANUFACTURER HAS SUCH APPROVAL
8PECIFICATI0MS
MANUFACTURER: �'��� (!a//e-re,& IJUMBER OF DOSES: 4 PER DAy
SEPTIC TANK SIZE: q
PUMP TANK SIZE: gU� gQ QQ p ti"� oosE voLUME lctin:nnWyk: /S pL GALLONS
ALARM MANUFACTURER: S -.1 ro Systems CAPACITIES: A = 2/.0 INCHES OR y • GALLOWS
MODEL HUMBER: 101 HW B= 2 • 0 INCHES OR 39. GALLONS
SWITCH TYPE: — Mercury C= 8 • 0 INCHES OR 'p /St'o. GALLONS
PUtAP MANUFACTURER: ���'✓ D /0. INCHES OR /95.0 GALLONS
MOUEL NUMBER: df S3 NOTE . PUMP AND ALARM ARE TO BE
SWITCH T'dPE:._._Merc INSTALLED ON SEPARATE CIRCUITS
PUMP DISCHARGE RATE .2-3• Sl0 GPM Min;YAL rr% /'eQW.
VL KTICAL DIFFERENCE BETWEEN PUMP OFF AND 015TRIBUTION PIPE.. ' 700 FEET
f M'"IMUM NETWORK SUPPLY PRESSURE , . . . . . . 250 FEET
+ 30 FEET OF FORCE MAIN X � 10 F YoFCFRICTION FACTOR.. 0 - 3,3 FEET
TOTAL DyJMAMIC HEAD = 9.83 FEET
INTERNAL DIMLWSIONS OF TANK: LEAIGTH ;LIQUID DEPTH
GALL005 PER =n► L -. 5
py.80,108
HEADICAPACITY CURVE
' EFFLUENT & DEWATERING
TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE
53-65 $749 $749 98 1]7/1]9 16114161 16314167 16SI416S 18SI4US 186711K /84t1K /41/4119
]+ -
n - FT, at, GAL LTR GAL (LfR;: GAL :LT K GAL OW: GAL LT* ij GAL LTR % GAL ltR: GAL LTR GAL iLTR: GAL - LTR'
;77 f S 1.52 43 ::167 72 ,x373 ?; f] ]62 ' 106 101:.:
'00 f0 3:OS 3• 1129 it ? %3]1 `: 79 299.;'. 100 it 211 t1 271'.: St it 141 <: 151 -.
15 4.67 19 .�72 45 :?170 64 347 91 341::: 60 227 w 237 K :330 142 ;::677 :. 113 N!`
95- 20 't,,0 23 9! % 176 S 12 310 : 39 .737 w 227 SI 176 110
28 '.. - IS 7,i2 S 30 74 7w::i. 57 216 59 223.":.: 58 ;220 126 . li484;; 173 S07'
90 30 9:14
6S 146.; SS 206 64 220 :: w 310:: K 1214 177: btu
I6 t0 ' 1119 - K 171::. K .472 u 2K :': 75 2d`. ss ..110::; 105 .`::;39t; 114 U1:
SO S i 21 M i 77 . 12S :' S1 K 319'<.: K 10
2{ w w 16:39 .. .
q 161.: 76 S• 1iD:': 71 »:2s9: is 321:
- ) 70 71;34 ]0 114 - f0 ><;'- 62 ,197.:1 51 197 70
7 4,
{156 w 71:36
70 .,` 11 63.::: 43 170> 28 >t06 -- 64 ;E loss'
27.43 l' .:
65. : 32 f31 2 ::. 1. 37 140:
u :: :.:.: .: t
i 65 +16 100'30:41 >: .:i:> N
Lech _ 79
.. .. . . _.
o e... 6a 110:i>i1A0
j V&Fn: 192 K K
5' 23' 26' ' ' a 73' 115' 91' 117
55 6!.
S.t 5a 6 WARNING: Model 185/4185 should not be subjected to
less than 30 feet TDH.
+5 NOTE: For Head Capacity on Model 112, Industrial
i2 i0 column - explosion proof pump, see FMO219.
1e5,41e5
35
e9,4169
d 25
6 20
61!161
IS
i h 1ee.41w
{2 4 53.55 1!7.1!9
5),39
...:.:.:..
V.s. uttws 10 7o W 50 60 >D eo 90 too ilo 120 30 110 50160
uTEas
_ 4D9. ae0 ` � < >�•o, slcslu
0 ROW KR MNUTE '-
3 t 6,P rA ro idfJ
SEWAGE & DEWATERING TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE
)5
22 SERIES 262 266 267 268 28214262 2644264 292/4292 29314293 29414294 2951429S
)o - FT '.M. Cal Uitf Gal tk1 Gal Ovis: I. t.tn - Gal. tV Gal. Ltis:. G+1 ttiti.. Gal tL.a. Gal 12is Gal. Lp7
5 s 1;52 w 3U `: 121 464:': 128 411 177 464 130 .443 180 411 1]7 50>:: 196 >0 . 225 W
D 10 - OS w 227:x:
89 3J72 $9 377;: 89 3]7: 96 760 1S& 96K 116 {M` 181 6K I05 77ti.
to 1S 4Ji7 223 16 w 109;; so 105': so 189: 63 378 135 611 100 J76 130 W1 165 675 tK ,700.
» 30 6.64 10 ]iii 10 361 10
f6 I6! 73 12S 106 '.401 83 312!. 119 430:! 150 360 16S.:6 36
so 76 261 66 270:' 106 136 :416 153 680
i Sa +5 30 '9.14 s] 167 46 174:: w J49: 121 :/E6 110530
'? 40 12.11 ..
_ 26 90: SO 169:: 94 ]S6 115 133
p 7 7
40 w 152
S6 .. 110 $9 377
j t o » - - w 1829 13 :69 59 :223
v 3D 70 23 95
e 797..)9! Lock Vahre: it' 41.5' 21.5' 21.5' T6' ]s' 39' SO' 62' )r
75 _
WARNING: Model 293/4293 should not be subjected to
7e7. - lVthan t TDH.
__ - - -
N -044 767 797.
0 -. 794.{794 295,4295 •05•+{D5
U SCRSM l ON$ 10 201 �D.�. }p - - � _ IU eU� 9U 10011 to I)01130 1 +050 160�)O,ap 19 700 ]1 770 2 7 {0 1X1 760 710 !ID ]90 bD 7 ] 330]{ ]SD 7 !!0 Sao 790 {DO
0
- + 1 - __ I - .-- .. - -I° I - __ -I -- I 1"_
D e0 ,eD 7 w 770 {DO +eD 360 6+0 720 6w ee 9w 104O
„70 1700 1260 1360 ,110 1570
$tog, f•IR 1Mµ/11
SK553
LWisconsin : d HumanRe tofI use, SOIL AND SITE EVALUATION REPORT Page 1 of t
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
.. COUNTY
St. Croix
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. 022-1020-50-100
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
Joe & Lori O'Kane GOVT. LOT SW 1/4 NE 1/4,S8 T 28 N,R18 5(or)W
PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM #
400 N. Robert St. 9 na csm vol8 - page 1337
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE JgOWN NEAREST ROAD
St. Paul, MN.. 55101 1(809 950 -4666 Kinnickinnic I Coulee Trl.
[X] New Construction Use Residential / Number of bedrooms 4 (] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow 6 0 0 g pd Recommended design loading rate • 5 bed, gpd/ft • trench, gpd/ft
Absorption area required 500 bed, ft2 500 u2_Ich, ft Yaxi,i�u,,, desigri'ioauitig iaLe • 5 bed, gpdrft • 6 trench, gpdjft
Recommended infiltration surface elevation(s) 102.95 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material g round moraines Flood plain elevation, if applicable na It
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for system 1 13 S M U I ]E1 S ❑ U ❑ S 49U 1 ❑ S MAI ❑ S ®U ❑ S M1
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trertd
; 1 0 -13 10 r3 3 none 1 2msbk mfr CIV 2f .5 .6
- X
2 13 -2 10yr4/4 none sil 2msbk mfr gw if .5 .6
Ground 3 29 -4 7/5yr4/6 none sl 2msbk mfr gw na .5 .6
e
02 .ft40 4 40 -6 7.5yr4/6 c
1 q : ;W//9 sl 2msbk mfr na na .5 '
Depth to
limiting
factor
40"
Remarks:
Boring #
1 0 -12 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6
2'Y 2 12 -23 10yr4 /4 none sil 2msbk mfr gw if .5 .6
wti..
CIQ
3 25-33 7.5yr4/4 5yr5/8 dvl lmsbk mfr gw if .2 .3
Ground
elev. 4 33 -5 7.5yr4/6 2.5yr 5 scl 2msbk mfr na na .4 `.5
10 2 . 4 Qt.
Depth to .
limiting
factor
_'
✓
25" rt.
Remarks:
CST Name:— Please Print . Phone.
Gary L Steel
• X - 6
Address: d
4 th. Ave. New Richmond, WI. 54017
155 0 s
Signature:
A�0 Date. ! '',�� CST Number:
7 -13 -9 - - cstm02298
PROPERTYOWNER Joe O'Kane SOIL DESCRIPTION REPORT Page-2of 3-
PARCEL I.D. #
022 - 1020 -50 -100
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence �Bo rivy Roots GPD /ft
in. I Munsell I Qu. Sz. Cont Color I Gr. Sz. Sh. I I Bed !Trench
3 1 0 -12 10 r3/3 none 1 2msbk mfr gw 2f .5 .6
=` ='> 2 12 -23 10yr4 /4 none sicl 2msbk mfr gw if .4 1 .5
Ground 3 23- 7.5yr4/4 none scl 2msbk mfr gw na .4 .5
eev. C2
101 30 ft. 4 36-60 5yr4/6 5 P 5/8 sicl M na na na lip Alp yr
Depth to
limiting
factor
3
Remarks: -
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev. 1
ft. �
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel ,Joe & Lori o' Kane 1554 200th Ave.
CSTM2298 SW4NE4 S8- T28N - R18W New Richmond, WI 54017
MPRSW 3254 town of Kinnickinnic (715) 246 -6200
lot #9- Sleepy Hollow
N
1 =40'
BM =top of mid lot survey stake at el. 100'
� S
r y i ,
Al _
Id 1
bz�
Gary L. Steel
7 -13 -94
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer I. V /&S ,,/ a k w V Q t/rc �T A� �' N
Mailing Address - `f 1� e 4�- t- v t1 i -► �a /ls W-�� j �� 0
Property Address 5 - ePy / w
(Verification required from Planning Department for new construction) U
City/State Parcel Identification Number 0 ..5 0 / 6 0
LEGAL DESCRIPTION '
. i T/
Properly Location %, y., Ste, T ' � N - 41 - W, Town of A; n n i ; e ;t'
Subdivision Lot # � . .
Certified Survey Map # Volume c . page it o 33
Warranty Deed # _ .�'�3 �o Volume (� . Page # S 3
Spec house 0 yes P,( no Lot lines identifiable yes 0 no
SYSTEM;1Vi4RMNANCE
kWop rmea ndmaintenanceofyoursg3ticsystemcouldresaitinitsIremptf faffnretohaadlewastcs .Propermaintenaaee'
consists of pumping oat the septic tank every three y= or sooner, if needed by a licensed pumper. What you put into the system
can affect: &c function of the septic tank - as a ftatment stage in the wade disposal systm
11e property owner agrees to submit to St. Croix Zoning Department a certification faun, signed by the owner and by a
maxt= phaziber. jotrneymanplumber, rest ictedpluml=or a licensed pumper verifying that (1) the on -site wastewaterdisposal system
is in Proper operating condition and/or (Z) after inspection and puuq=g.(if necessary), the septic.tank is less than 1/3 full of sludge.
Uwe, &c undersigned have read the above revirtments and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by fire Department of Commerce and the of Natural Rasp
stating that your tic t �: State of Wisconsin.. Certification
uP has been maintained must be complded and returned to the St. Croix.Couaty Zoning Office within 30
days 1 'o a
SIGNATURE F 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 owners) of
the property described above, by virtue of a wamanty deed recorded in Register of Deeds Office.
SIGNAMW OF APPLICANT DATE
« « « « «« Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. « « « « «s
«« 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
!TATE BAR OF WISCONSIN FORM 2 - 1982
5 6 j� WARRANTY DEED
UOCUMENT NO. VIL V-1t -
bT. CRC .
Alta M. Monk a sin le person, Keith S. Kenned i eaamrlta�r,.
eri, Fenn husband and wife, it EG 31 .99EI
}
9:00
conveys and warrants to (ttarl s Hat1r �ty„� • (�
husUand end wife, A� survivorship marit l '
i nomw %A Dow"
!I Ii THIS Sr'ACE REStRVEO FOR RECOADoRG DATA
NAME AND RETURN ADORE
St Croix County, it cet (,Ct. `(C{
State of Wisconsin' (
1, the following described ml estate in &0 ' J , �(1
jj 00 U J`T O t
I
I 022 -1020 -50
PARCEL IDENTIFICATION AJWSER
(See Attached Exhibit " A R' )
T NOFER
s
This ` is not homestead property,
(is rat)
Exception to warranties: Easements, restrictions and rights -Of -way of record, if any.
5 I
y
Dated this 13� — day of December A.D., 19
(SEAL) . (SEAL)
- Alta M. Monk
Ceith S. Kenned j
^ f (SEAL)
`I (SEAL)
j Keri Kennedy - ' —
I
AUTHENTICATION
ACKNOWLEDGMENT
j� II
State of Wisconsin, �
j Sivature(s) u•
St. Croix County I II
authenticated this day o[ 19� Personally cattle before the this _ �7 day of
the above named j
`Leith Kennedy and Ke ft • ennedy
TITLE: MEMBER STATE BAR OF WISCONSIN —
(If trot, „ who executed the fore to
l authorized by §706.06, Wis. StatO .'�,.� jo rat: known to be the person .�_ g° g
4iir(ent and acknowledge the saute..
THIS INSTRUMENT WAS DRAFTED BY A �W
Attorney 0 l and
L County, WIS.
F
,t son WI 54016 ,. � L Nc��iytPu --
Hudson I4 ��'3
i � Com pion is pe rmanent . (if ncx, state expiration date: j
(Signatures may be authenticated or aclo3owed. BtitJt+3� not M) 1
' Names of pervxts signing m any capacity shoold by typed or pnnted beiow- their signatures. i .. Wi�s:c~ Leo et2i Co. t++e
STATE BAR OF WISCONSIN I,�., -, We
?i
WARR.�'<TY DEED Form No. 2 — 1982
iI
t a
4,i 1 4
Vot 121.5 PAck 5*40*
Part of the East 1/2 of Northwest 1/4 and the West 1/2 of Northeast 1/4 of
Section 8-28-18 described an follows: Lot 9 of Certified Survey Map filed
March 22, 1991 in Vol. 8, Page 2337, St. Croix County, Wisconsin, Together
with the right of ingress and egress over the road right of way as shown as
OutlOt • 1 • of Certified Survey Map filed March 22, 1991 in Vol. 8, Page 2329,
St. Croix County, Wisconsin.
4
1V $iillw
4*
7� .
10 A
A.
I?
. lm
CERTIFIED SURVEY MAP
LOCATED A
IN
TED
THE NE1/4 OF THE NW1 /4, THE SE1/4 OF THE NW1 /4, THE SW1 /4 OF
THE NE1 /!,
AND THE NW1 /4 OF THE NE1 /1, OF SECTION 8, T�BN
COUNTY, WISCONSIN R18N, TOWN OF KINNICKINNICK ST. CROIX
C.S.
LOT 2 C.S.M. — LOT 1
�•�
ASSUMED BEARING REFERENCED TO THE. �� —^
NORTH LINE OF THE NW1 /4 OF SECTION OUTLOT 1 _ _ -•�
8 WHICH BEARS S88834'57 "W N
N
of
SCALE IN FEET v v w
0 W
i
c °
LEGEND O 200' 400' G w x
H
ST. CROIX COUNTY SECTION CORNER W En
MONUMENT, FOUND.
• 1" IRON PIPE, FOUND.
F N
c 1 "x24" IRON PIPE WEIGHING 1r H H
1.68# /LINEAL FOOT, SET. ° „sj
r N ^+ H a
co a +l - ? z
in
� V m y °��y • h
Z N [N•� ' .-I o `o a Vpz71
cn \ V • CON
Go d l
.9 1 In .41
r4 r4 'V N c W
:c v ^i
N i
H 4 M wl
r Q M d C 1
p u o o
u N rl
v � W
� 3
L0.' �.. O „•,
W 01 N -A n
H W • v
W awl O 14 W W W m
I. NO °02'51 "W 391.45' NO ° ,07'11 "N 416 z
�.
N .12'
" SO °34'11 "W� 1422.80'
.WEST
LINE
OFTI•
r•+ iC NE1/4 OF THE NW114 AND THE
WEST LINE OF THE SEIA OF THE NWI /4
UNPLATTED
LANDS
:c
co
N This Instrument drafted by James T. Swanson
0
c°i t:
NH
I '
SURVEYOR'S CERTIFICATL
I T. "Swanson, Reg istered I h T." S wa gistered band Surveyor, hereby certify that
ave su rv e yed , , divided and mapped this certif
NEl /9 and the NW1 /4 ied Survey Ma ed
xn the N£1 /4 of the NW1 /4, the SE1 /4 of the NW1 /4, the SW / 0 £ the NE1 /4 of Section 8, T28N, R18W
Kinnickintiic, St. Croix Count , Town o f
�
ing at the North 1/4 corner OfsaidcSectiond8; thenceaS88*34'5711WCommene-
(Assumed bearing referenced to the North line of the NWl /4 which bears
• S 9 34 1 57 11 W) 1318.62' along the No
1422.80' along the West line o rth line of said NW1 14; thence 50 034111 1.w
line of the SE1 14 of the NW.1 /4f thence1N88 °15t55''NW1/4 and the West
Of beginnin then ° � �� E 21.40' to
9, ce NO 07 11 W ,, the point
thence S74 °95'02 "E 416.12 , thenee�NO °02'51 "W 39 1.45 '
.20 �. thence Southerly 5
3 1 `
1572
radius curve concave Easterly whose chord bearsS0 °42'26 "EQ349. 04;00'
thence S88 15 55 W 1520.65' to the point of begi
This parcel contains 20.001 Acres, more or less,bein 871 ua .,236 S
Feet, more or less. S re
Subject to easements record.
I certify that I have made
such sur
land divis
Survey Map by the direction of the owners of said land, a
that r such e map
is a.correct representation of all the exterior boundaries of the land
surveyed and the subdivision thereof made, that I have fully complied
with the provisions of Chapter 236 of the Wisconsin Statutes and the
Subdivision Regulations of Ki Township and St. Croix County
in surveying, dividing and mapping the same.
Date: December 26, 1990.
miuuinru���� James T. Swanson S -1482 Job No.
� Ogden Engineering Co. 90 -1872
113 W. Walnut Street
JAMEST. x River Falls, Wisconsin 54022
SWAN
s•t4ez OWNER AND SUBDIVIDER 4
FINER FALLS. Robert Richter
wis. O�� 1152 Riverside Dr. N.
v �.� Hudson, Wisconsin 54016
S UFI non
CURVE DATA TA BLE
CURVE RADIUS ARC_ CHORD CHO10) CENTRAL 1ST AND ZND
NO. LENGTH LENGTH LENGTH BEARING ANGLE BEARINGS
1 -2 633.00' 352.58' 348.04' S0 0 42 1 26 1 % 31 ° 54'4 " ' "
S S1� 14 58 W
S16039'50 "E