HomeMy WebLinkAbout024-1010-60-100 CROIX COUNTY ZONING DEI'AR
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AS [iUli,T SANITARY
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Legal Description: F, •
1 Lot __� Block A14 Subdivision/CSM # / '
S ec. -�—, T,2 9N -R12W, Town o
SE PTIC TANK — DOSE CHAMBER — kI DIN K INE 1N /7, .538
Tank manufacturer j p<.O Size ST/PC /tLn //� detback from: House, Well —"' P/L >5 10
Pump manufacturer r Model _ /�}') C
Alarm location �
(HOLDING TANKS oNLY)
Setbacks: Service road Jl) Vent to fresh air intake YQ 1 Water Line AEI-
Meter location 1) 6
Alarm location �
SOIL ABSORPTION SYSTEM:
Type of system: CON IM Width -- i_ Length Number of Trenches
Setback from: House Well - "- P/L
:2.E Vent to fresh air intake > ,SO
ELEVATIONS $(�
Description of benchmark C 1 5 4- R AA PVC Q00e Elevation
Description of alternate benchmark D7c. Elevation 113 1
Building Sewe ST/HT Inlet ST Outlet- PC Inlet
"T op f PC Bottom l ? /r!p Header/Manifold P,4,0 of ST/PC Manhole Cover l d 5. b
D istribution Lines { ) /n3 k(D O ( )
Bottom of System( } Z. 7 { ) { )
Final Grade
Date of installation 2�� ['crnut nu ber ,� 36 State plan number
p� Plumber's signature License number pate/Zj!�ji /
Inspector
cmMiele plot plan H
NOTICE: Please provide the following:
A plan view sketch showing everything within 100 feet of the system.
Two horizontal reference points to center of septic tank manhole cover.
/ - Show alternate benchmark if applicable.
PLAN VIEW
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° bon P c
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INDICATE NORTH ARROW
p pp p pp-
ST'. CROIX COUNTY ZONING I)H:I'AR
e�
AS I3UII,T SANt'I'ARY RCI'UR'I'
Owner
Address
City / Statc``'
,:2c;? Sr c ,, k
Le gal Description: {
Lot � _ Block 4),4 Subdivision/CSM # '7
Sec. ' 3 , TN -RL2W, Town of edsaa
PIN #
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION:
Tank manufacturer
14 j p r S1Ze ST/PC /� / /� C$etback from: House Well -- P/L >5 0
Pump manufacturer �_ Model _M t- Li
Alarm location
(HOLDING TANKS ONLY)
Setbacks: Service road —_&A__ gent to fresh air intake A0 Water Line /t»
Meter location k t
Alarm location n �_
SOIL ABSORPTION SYSTEM:
Type of system: Width —Z .i_
Setback from: House Well Length
g q • U Number of Trenches
_, p/I, _ "'� j Vent to fresh air intake > „S"o
ELEVATIONS:
Description of benchmark C 0 f .M p f f�
Description of alternate benchmark Elevation
i'ffh. Elevation I / 7• a ,
Building Sewer / , ST/HT Inlet ST Outlet-
1D3 � --
PG Inlet
PC Bottom I Header/Manifold Top of ST/PC Manhole Cover M a l ' a l
Distribution Lines
Bottom of System
Final Grade
Date of installation �._ &p ermit nu ber �S'� State plan number �� 0
t�
Plumber's signature License number Date/ 9 8
Inspector 1
Complete plot plan K
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
4LIIPV(-
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b boo P,
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Z0 '. 2
INDICATE NORTH ARROW fi
I
ST. CROIX COUNTY ZONING DEPART
AS BUILT SANI'T'ARY REPORT °
e:
Owner
Addre
City
/State
Y .,
Le
r
gal Description:
Lot ____L_ Qlock iU Subdivis1on/CSM
Sec. ', TaN -RJ2W, Town of PIN # Ij
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION:
Tank manufacturer Size ST/PC ��1 /w etback from: House Well P/L >5 0
Pump manufacturer Model (Y) � 4�
Alarm location
(HOLDING TANKS ONLY)
Setbacks:
Service road
�l) '>� _ Vent to fresh air intake YU Water Line /l) A-
Meter location () A
Alarm location
SOIL ABSORPTION SYSTEM:
Type of system: Width 2 7 `�
' —� Length -- G --- Number of Trenches
S
etback from: House __ Well P/L 3 2 Vent to fresh air intake >
ELEVATIONS 6q
Description of benchmark C f AA PVC P (AF
Elevation
Description of alternate benchmark 6X. Elevation
Building Sewer / ST/HT Inlet /� ST Outlet - — PC Inlet
"Top P��m -� -- �� Header/Manifold of ST/PC Manhole Cover
Distribution Lines O _ Z0 3 +bG
Bottom of System(
Final Grade ( ) A 5 ( ) ( )
Date of installation 9 ' ermit nu ber g0 State plan number
Plumber's signature &41; License
e numbcr � Datc� /Z� / $
Inspector
complete pinl plan
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
� e �
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4L PV e!
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d / S 4-
INDICATE NORTH ARROW
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY GOVERNMENT CENTER
NIIN.N6 1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 -4680
January 14, 1999
Roger Nelson
122 East Summit Ave
Ellsworth, WI 54011
RE: 1998 AS -B U I LTS
Dear Roger,
complied a list of as- builts that need to be filed for systems that I have inspected for you
in 1998.
The following as-built(s) are needed:
Permit Holder Township Permit # Lot Inspection Date
Jeff Liddle Pleasant Valley 315806 1 8 -28 -98
If you have questions regarding a particular septic system that you have installed, please
don't hesitate to call me. This list dose not include systems that Jim or Mary have inspected.
Please note that the Zoning Department will not issue sanitary permits in 1999 to plumbers
that have not submitted all 1998 as- builts to the Zoning Office. Please make sure that the
as- builts are complete and legible.
Sincerely,
0 0d Es gr C/
Assistant Zoning Administrator
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Coun
FSafety 9nid Buildings Division Yt . CROIX
fifi INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitl-116 "o.:
Personal information you provice may be used for secondary purposes [Privacy w, s.15.04 (1)(m)].
IDDLE, & MARY RCity tI aft❑ Town of: State Plan ID No.:
CST BM Elev.: Insp. BM Elev.: B D escription: V H L Parcel Tax No.:
PUG
TANK INFORMATION ELEVATION DATA A9800194
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV_
eptic / � y j�j(� Benchmark ,
Dosing C ��
u. e) t,4 a-
Aeration Bldg. Sewer 3• l ��
Holding t 4t Inlet Z
TANK SETBACK INFORMATION S � Outlet
TANKTO P/L WELL jBLDGj. Ai rI to ntake ROAD Dt Inlet
Air ) 00 NA Dt Bottom /6,-3z
NA Header/ Man.
Aeration AA Dist. Pipe !l 7 j /•� 1a.3.
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand $f mt ?•7
Model Number 3 GPM #tig /Scfg /5 a 1�
TDH Lift ,j Friction (/ System, TDH 7, ,S/Ft Head
Forcemain Length Z Dia. v ;L Dist. To well
SOIL ABSORPTION SYSTEM �'
BED/TRENCH Width i Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DI I N 7� DIMENSION
SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING REZ,ifa cturer:
SETBACK CHAMBE
INFORMATION Type O S' �, /, OR UNIT Mo a Num
Sy er:
stem `(
DISTRIBUTION SYSTEM
Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length I Dia. � Length � Dia. � Spacing st • 30
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.) 0.) V.— / D/ p _ (00_/00
LOCATION: PLEASANT VALLEY 7. 2 8.17 , NE , NW 1531 CTY RD N Q_ Z 8 7 3
® U J
Plnre � , � -F �
vis require Y ]o
Plan ❑ es �
Use other side for additional information. F7
SBD -6710 (R.3/97) Date Inspector's Signature Cert. No.
Safety and Buildings Division
SANITARY PERMIT APPLICATION 2 01 E. Washington Ave.
Visionsin 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 8112 x 11 inches in size. S- -- C46
• See reverse side for instructions for completing this application State sanitary Permit Number
�S0V
The information you provide may be used by other government agency programs ❑ Check revision to previous application
lPrivacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N
Property weer Name j OLE � Property Location / � T N � (o de
4 v4, S R E r
Property Owner's � �� Mailing Address" f Lot Number Block Number
City, ate_ �( Zip Co T Phone Number Subdivision Name or CSM Number r P6 �Q
(��yt ✓ t�f L2 ( —�--- ez t I a l 7
11. TYPE F BUILDING: (check one) ❑ State Owned ❑ it� earest Road
❑ VII age
Public or 2 Family Dwellin - No. of bedrooms JL Town OF e O
III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash
5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT (Check only one box on nine A. Check box online B, if applicable)
A) 1. K New 2 ❑ Replacement 3_ ❑ Replacement of 4_ ❑ Reconnection of S. ❑ 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 21ound 30 E] Specify Type 41 ❑ Holding Tank
12 E] Seepage Trench 22 ❑ in-Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14 ❑ System -In -Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gall ns 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 /sq. ft.) (M'nZ !inch) Elevation
L- Feet l�5 7F eet
Capacity VII, TANK in allo s Total # of Prefab. Site Fiber- Exper-
INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
New Existing structed
Tanks Tanks I
,
Septic Tank or Holding Tank �� & -/ e_0 ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber ❑ 1 ❑ I ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of tffi onsite sewage system shown on the attached plans.
Plumber ame: (Print) umb s Signatur t s) MP /10'0WjW - Rb_: Business Phone Number:
v
Plum rs Ac dress (Street it , State ,Zip C de)•
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater ate ssu Issui g Agent Signature (No Stamps)
Approved F] Owner Given Initial Surcharge Fe e)
Adverse Determination ea�b �S
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD -6398 (R.11/96) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
Safety and Buildings
2226 ROSE ST
LACROSSE WI 54603 -1905
Visconsi Y P Tommy G. Thompson, Governor
Department of Commerce William J. McCoshen, Secretary
April 24, 1998
CUST ID No.267341 A7TN.• Rod Elsinger
WEGERER SOIL TESTING & DESIGN
421 N MAIN ST
PO BOX 74
RIVER FALLS WI 54022
RE: CONDITIONAL APPROVAL Transaction ID No. 74988
APPROVAL EXPIRES: 04/24/2000 �---
0. �.
SITE:
Site ID: 5490 .
` 1`p
St. Croix County, Town of Pleasant Valley ` f
NEIA, NWI /4, S7, T28N, R17W `O
i .. _ .
JEFF LIDDLE Sr
FOR:
- +, c pou
Description: NEW MOUND
v
Object Type: POWT System Regulated Object ID No.: 13221 ' ,� . 011F/CF
The submittal described above has been reviewed for conformance with applicable Wiscon ' dtrdrlis e
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. When making an inquiry or submitting additional information, please refer to
Transaction ID No. in the regarding line.
Sincerely,
r�
r �
DENNIS R SORENSON , WASTEWATER SPECIALIST
Field Operations
(608)785-9336, MONDAYS 7:OOAM- 3:45PM
DSORENSON @COMMERCE. STATE. WI.US
,t e
Page of 6
MOUND SYSTEM :.
FOR
A 3 BEDROOM RESIDENCE
LOCATED IN THE NE 1/4 OF THE Nw 1/4 OF SECTION - ,T N, R » W,
TOWN OF COUNTY, WISCONSIN.
INDEX
PAGE 1 'of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
PAGE 3 of 6 PLAN VIEW -CROSS SECTION,
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PA GE 5 of 6 PUMPING CHAMBER
PAGE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
J �� A+�� 1�PC12�( LIDbLC
l S F0 sTlm SIT" PPT * I
RIUeZ. Htt-s, w► sy0 Z RECPF1irr)
APR 13 1948
SAFETY
PREPARED BY
W FEE GEERER E3 C3 2 L -r E E3 T I NC ,Q►N
AND.
DES = CGN
��Ns�,�
SEf�V = CE } •�
APTHUR L.
P.U. BUI 74 421 K. KAIK ST_ WECEREA
D -975 P
RIVEF FALLS. KI 54022 ELLSWwtOR7i1,
115 - 44 -010 ,3
,s ��e ✓
JOB NO_
98-S-
Page z of �
Scale 1 "= yp'
oZS m' - ra
h
h �
� S
1
emu- - M OF. PIT LFksr s Cl F"M k'ffltN
V f umor ZS' P - &, Tf17k7
W
_S
J
J PRIVATE SEWAGE SYSTEM
Conditionally
r
R 0 V E D
$S y`pVC_"
"tirJ. \A?, 1, coW IVISIQN OF SAFE! AND BUILDINGS
SEE CORRESPONDENCE
ri IS oV Z "pU e
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NOTES
-1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install permanent markers at end of each lateral. ( Z. required)
3. Install 4" observation pipes with approved caps. ( Z required)
4. -Septic tank to be \ our J bO b gallon capacity manufactured by
w �Iml . Cz*-,i ctz �IZO u crz W LPcT- 1 ri C)
5. Bench Marks S�F f�80V�
6. Divert surface water - around systein to. prevent . ponding at the uphill side.
Page � Df
,
Approved Synthetic Covering
�s�M C 33 Distribution Pipe
Medium Sand _
Topsoil -"_H _ G
F Elev'_
' I -
E'
e
Slope ,
(Force Main Plowed
Trench of k "- 2 -2" From Pump Layer
Aggregate
Undisturbed D A. Ft.
Soil E \,\A 5 Ft.
Cross Section Of A Mound System Using F 0.8 Ft.
I Trench For The Absorption Area G 1 Ft.
A S Ft. H t• S Ft.
B __) S Ft.
I 15 Ft.
Linear Loading Rate= 6-0 GPD /LN FT 3 '7 Ft , _
Design Loading Rate= o•3 GPD /SQ FT
K 1, Ft.
i
L �I Ft.
Position of Force Main W Z Ft.
L
Fopee
B K �rnR
W
Distribution Trench Of
Pipe Aggregate
1 Permanent
'Observation Markers
Pipes
(An Pipes securely? TEM
OE SYS
S
Mound Using 1 Trench For Absorption Areal'`.;,.
AND
Se e co
Page Of l
Perforated Pipe Detail
0
End View
Perforated
End Cop `_y' PVC Pipe
1.
ooc
Install permanent
at end of each lateral
I
Holes Located On Bottom.
Are Equally Spaced
Q End Cop
P �1
* PVC Force Main
Dis t n0ut ion
Pipe
Last Hole Should Be
Next To End Cop
Distribution Pipe Layout p 36.2.S Ft.
G�SgS1�M X 3� Inches
P
s� � a lly Y 3o Inches
0 ,011 Hole Diameter i � Y Inch
C� Lateral '/y Inch(es)
0? Y GS „
W Manifold — Inches
D
t�' l �, D „
Spar tiP Force Main Z Inches
G� # of holes /pipe \ S
RR ESPONO � N - 3: SFt.
ee Gp Invert Elevation of Laterals 10
s ee V).SSx Z= 3S.113 GPri'I
4
Place 1st hole from tee with succeeding holes at 3 d 4 intervals.
Last hole to be next to the end cap.
I f
Combination Sept c;Tank and
PUMP CHAMBER CROSS SECTION AMD SPECIFICATIOMS PAGE S OF 6
-VEL1T CAP WEATHER PROOF
JuMCTIOIJ 80X .
ti C.I. VEMT PIPE I r,,j APPROVED LOCKING
M 000 MAWHOLE COVER F•Vftl�
I
-.1 O FRO R..
_ Z wA(tNIIJG L.l4gEl..
'.JIIJDOW OR FRES H
AL_IIJTAK E S
i 1j I
6 N PrX . q r
I
•� 'i MIIJ.
N1 N,
�CaRll
b oS $ I
( 18 MI
. �. u.
4I"S0Ct'D0FJ PIPt PROVIDE { - - - --
IAJLET AIRTIGHT SEAL
3RFF��S A I II APPROVED JOWI:
APPROV I I W /C.I. PIPEI*PUc
t
'lank construction I Ill ALARM
A00 comply with I 11
n ;3 .15 and 33 .20 ° ( I
co I f ow
o I
FT-- _J
y OFF
0 Co CRETE
BLOCK
3" APPRdx_
RISER EXIT PERMITTED OIJLy IF TA MAMUFACTURCR HAS SUCH APPROVAL BEDpttvG
5PEC.IFICATIDL.IS
SEPTIC f WL.p�_1%00
DOSE Wit esm ,,� � IJUtAbEK OF DOSES 3 , y3 PEK DAI
TAlJ1C MAr•.lUFACTUSZCR:
TAWK SIZC X000 GALLOAIS D05E VOLUME
RLARN /KAUU FACT URCR:
s S ��`rRV vTmis IMCLUDIAI 6ACKFLOW Z J' '� GALLONS
MODEL UUM6ER: LOL tiW CAPACITIES: A= 1 b IMCHES OR GALLOU5
5WITCH TJPC' "gyLCUQ �f - B= Z ) IWCHES OR G�LLOUS
PUMP MAUUFACTURr.K' ZS .r C= g IUCHES OR X33. � GALLOUS
MODEL NUMBER: SR� MC r `F� D= g 114CHES OR t33 -� GALLOUS
���1ZCC1}L� MOTE: PUMP AMD ALARMM ARE TO TTO 5L
SWITCH TYPE: -
MIAIIMUM DISCHARGE RATE 3S ' 1 Z GPM IN5TALLED ON 5EPARATE CIRCUITS
vuTICAL DIFFEREUCE CETWEEIJ PUMP OFF AI,ID- 015TRIBUTIOIJ PIPE.. 6 FEET
+ m1ki IMUM NETWORK SUPPLY PRESSURE .. 2.50 FEET
+ S FEE7 OF FORCE MAIM X F� OFT_FRFCTIOAI FACTOR. - o' FEET
TOTAL Dy1JAMIC HEAD = q-3b FEET
DIAMETER
Pump chamber
I1JT1_RLIAL DIMLW510W� OF TAWK: LEQ&TH — ;WIDTH ;LIQUID DEPTH
. BOTTOM AREA 231= GAL /INCH
GAL /INCH
AS PER MANUFACTURER
I •
b6/l 9Li�£�i
: ( TOTAL HEAD IN FEET PPIGE �, a F 6
— —
O cn o cn o c o
o O
O
O
N
O m
O
D �
D w
c� o N
H O D
cl� D
� o r
Ul
H
O
Z N cn
� 3 u m
m o
Z
3 O �
H J fTl
Z O
C C
CD O
m
0
W
N
O
c0
O
W
O
O
O
O — N (A P. cn 0) v m (D
I 'I TOTAL HEAD IN METERS
V&Mft* Department of Industry, SOIL AND SITE EVALUATION REPORT Page
Labor and Human Retatans
Wi on of safety m Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST'• ��
not limited to vertical and horizontal reference point (B", direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to ad.w G
' R IEWED BY ATE
APPLICANT INFORMATION PLEASE PRIN ilkiiORMATION',, i y�
PROPERTY OWNER: V t o A L pt ..° nn PR ERTY LOCATION
_JL ' .AIL- 91 Y .1� 1/4 (�1�v1
T6\ /4,S T Z� NR t'2 E a
tit S - OFF Ilk 1F')t - U L�C��t
PROPERTY OWNER' MAILING ADDRESS LOT* BLOCK # SUBD. NAME OR CSM #
.
CITY, STATE ZIP CODE % ~ NUM13EIRPOIX 11C . 13VILLAGE ®TOWN NEAREST ROAD
R1UL -NZ_ wtu, LW S(102Z '\A Xs) gzxu , �1"
[>.New Construction Used] Residential / I *bepotbedrooma. [ ] AWWQn to eAsting building
j ] Replacement [ ] Public or commer i ctbd 1
Code derived daily flow q SO gpd Recommended design loading rate bed, gpd/ft S - trench, gpd/ft
Absorption area required 3 bed, ft 3 trench, ft Matdmum design loading rate S bed, gpolft2 a. 6 trench, gpd/ft
Recommended infiltration surface elevation(s) L01. O i it (as refer, ed to site plan benchmark)
Additional design /site considerations 1, 1ovxJb- w/ S'Y'1 s ' 'TTLZ v C tf - M I +u n-ju «` o f - R L L,
Parent material LoZ:sS oU >`Q. GLr1 C tt - '"\A- Flood plain elevation, if applicable _ It
S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem [Is o u ®S 01.1 O S [O u [is ®U ❑ S ®U Os U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rerdt
WWI •S •�
l
o - 1C`•t2 31 L Z`F sb�c M
Z 1?— z.y loo `i 2- 3/y — si Z-- 3)k yn �f- CS • S
Ground 3 ZV -19 S P_ 3/y �-S `� s /S S1 C. � Kq-1-
Q S ft. 1 4 %9 -(4 7 S X12 y/ '� G1- Sc1 �Sb� Yn �t- — Z . 3
Depth to
limiting
factor
Zy ,
Remarks:
Boring #
Z Z ) 6 -Z9 l o-1 1Z 31y — s i ` Z S b>t yvt �1- 0- 1 1 b`� • S € • 6
3 29 So -1.S`IR VIV Still S/S ov, vn �� Nom: • Z
Ground
elev.
% Q0.o ft
Depth to
limiting
fam
Z q�
Remarks:
CS T Name:— AeasePrint Arthur L. We erer Ph0i1e: 715 - 425 -0165
egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022
Signature ��// Date CST Number:
-l� off, 9 E3 -57 3- 3) — cam M00576
PROPERTY OWNER ``t�\2E SOIL DESCRIPTION REPORT Page of 3
PARCEL I.D. N C
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botxcry Roots
GPD /ft
in. Munseii Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
3 3 I 1 L Z` saw w► ` ` n F� C L j t- s• L
3 ! _ — , Z `F S �k '01 T1- • S
Ground 'C-IS • Z
elev.
�t O ft.
Depth to i
limiting
fac r� M !
i
Remarks:
Boring #
l
., i
Ground
elev.
ft.
F
I
Depth to {
limiting
factor
Remarks:
Boring #
13
i
i
Ground
elev.
ft.
Depth to
limiting
factor !
i
Remarks:
Boring #
Ground
elev. `
ft.
Depth to
limiting
factor
Remarks:
SBD- e330(R.05/92)
• . PLOT PLAN
Pa 3 of
SCALE 1
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CST 9
Signature Date Si . ned Telephone No. CST #
9
Nhsaonsinpepartrnentoflndushy SOIL AND SITE EVALUATION REPORT Page _1 _of 3
Labor and Human Relabons
DivWon of saf ty & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but S'"• CZAIJC
not limited to vertical and horizontal reference point (BM). direction and % of slope, scale or PARCEL ID. #
dmensioned, north arrow, and location and distance to nearest road. G
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION IEWEDBY DA
t
PROPERTY OWNER: V t ia L A L v DD LV PROPERTY LOCATION
r6 - �m = 7�-PF R lW " A'N? U DU LE 1`J k:-; 114 1 14,S -? T Z1 ,N,R t7 E
PROPERTY OWNER - S MAILING ADDRESS LOT # I BLOCK # SUBD. NAME OR CSM #
Z �S V%S` 'M sj T k -
CITY, STATE _ ZIP CODE PHONE NUMBER []CITY []VILLAGE ®GOWN NEAREST ROAD
1?_ - ee L _- r'Lu, WI S L(O ZZ ( it c 7 o t 2.S I C`Ttt' 1 `J
pg. New Construction Use Residential/ Number of bedrooms 3 [ J A" to e*ting building
[� Replacement [ j Public or commercial describe
Code derived daily flow 4 Sp gpd Recommended design loading rate bed, glxW St trench, gpd/ft
Absorption area required -3- bed, 9 3 - IS trench, ft Maximum design loading rate ° S bed, o, 6 trench, gpolft
Recommended infiltration surface elevation(s) - V� 3.O c ft (as referred to site plan benchmark)
Additional design /sit- considerations f'1ov w/ S'x "1 S ' TSZDNC h • M i ny ) w,vh., �Z ` o Sl)ki R LL
Parent material 1--.o1'CsS 0u-1i_ZZ Gi_A--& LkL ~S1 \A- Flood plain elevatim if applicable N• t) _ ft
S = Suitable for system CONVENTIONAL. MOUND W- GROUND PRESSURE AT -GRADE MnM IN FILL HOLDING TANK
U= Unsuitable fors stem 0 S 0 U ® S [I U ❑ S [O U ❑ S 9U ❑ S ®U O S U.
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consisten Y Roots GPD /ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmnch
o _iz t0`t2 31 - L
3!y sl 3)k n, ��- es 1 • s
Ground 3 ZY - S Y 2 3/y � ) - `'11Z S St C-, cS�{� m`�t C k� - . Z •3
R S it 1 4 39 -(4 b 7 -S Lt 2 Sc1
Depth to
limiting
VIM
Remarks:
Boring #
1 � b -) � �`-t R- 3 ! 3 � L z� s b1� �,•'F C w 1'� . S • 6
Z Z A - Z 9. lo"I 1�_ 31 , \bi • S • 6
l
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Ground
elev.
1n o•o ft
Depth 10
limiting
factor
Remarks:
CST Narne:- -Please Print Phone:
Arthur L . We erer 715- 425 -0165
egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022
Soubim C"
8 -S Data' CST Number:
v"1 `) 9 � M00576
PROPERTY OWNER SOIL DESCRIPTION REPORT Page ' Z of
PARCELI.D.O
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Tnench
3
b -�� 1�ytiz 3► _ L Sbyr M"Pr, Cam, V� , s •L
lip
3 Z�- `7 `1 I 'S i c)
— N Z
Ground �l2 S R �// -�. S yR Sl p,
elev.
`t -A, o ft.
Depth to
limiting
factor .
Remarks:
Boring # ;
Ground
elev.
ft. `
Depth to
limiting
factor
Remarks:
Boring #
13
Ground
elev.
ft.
Depth to
limiting
factor
f
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(8.05/92)
PLOT, PLAN Pa 3 of
SCALE 1 "= y0 '
5
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g8 -S�
3 31 -95 ( 715 l 425 -oi 65 Is 05Q 76
f �
CST Signature Date Sign Telephone No. CST #
V1 /Vl /177J V0. 41 !1 "JL f,7!lJ,7 IVCLSVIV t'"LVIYIIJ 11Yla h''(- S�.lt'. bl
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
p OWNERSHIP CERTIFICATION FORM
Owner/Buyer jgw �A02_4
` -
Mailing Address
u
Property Address j �, T" P. Il e
(Verification required from Planning Department for new construction)
City/State Parcel Identification Number
LEGAL DESCRIP ff((
Property Location / (/� 'I/ %, Sec. , T, "N -R (7 W, Town of
Subdivision , Lot
Certified Survey Map # , Volume °� , Page # -3 yLIS
Warranty Deed # 7 , Volume
4 2z _ , Page # - 44-q
Spec house C yes P9 no Lot lines identifiable 11 yes C 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, restrietedpiumber 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
dA ree ar Aate, on d
APPLICANT DATE
OWNER CERTIFI['sTIQTY
I (we) Certify that all statements on this form are true to the best of my (our) knowledge. I (we) ant (are) the owner(s) of
the AA S des c. 'bed v , by virtue of a warranty deed recorded in Register of Deeds Office.
OF APPLICANT pr
"'•'• Any information, that is mis copresented may result in the sanitary permit being revoked by the Zoning Department. '•• "'
Include with this application: a :tamped warranty deed from the Register of Deeds office
3 copy of ttte certified survey map if reference is made in the warranty deed
r
FORM NO. 985-A +� l
^ �FtC�YI�r
Stock No. 26273
5'78562
CERTIFIED SURVEY MAP NO 3445
VOL UME 1 PAGE 3445
PART OF THE NORTHEAST 1 4 OF THE NORTHWEST 1/4,
SECTION 7, TOWNSHIP 28 NORTH, RANGE 17 WEST,
TOWNSHIP OF PLEASANT VALLEY, ST. CROIX COUNTY, W.
PREPARED FOR
VIOLA LIDDLE
518 MARCELLA CT.
NORTHWEST CORNER RIVER FALLS WI. 54022
SEC.7, T28N, R T77���� �r��+ T ' NORTH 1/4 CORNER
FND.ST. CROIX CO. SURVEY MARKER UNELMED L & NO SEC.7, T2814, R17W
RESET BY ST. CROIX CO. SURVEYOR FND. ST. CROIX CO. SURVEY MARKER
RESET BY ST. CROIX CO. SURVEYOR
NORTH LINE OF THE NE 1/4 — NW 1/4
- - - -
---------- Ln
1437.14 495.20 L0 ,SS - - - - --
d
S 89'30 09 E POINT OF BEGINNING
NW CORNER ____ _ l F
NE 1/4 — NW 1/4 iRo BUILDING SETBACK --
GOVERNMENT CORNER (AS NOTED)
• SET, 3/4 "X24" REBAR
WEIGHING 1.502 LBS.
PER LINEAL FOOT.
LOT 1
LOT AREA
0 653,401 SQ. FT.
(15.00 ACRES INCLUDING R /W) Z
1 4 ( 6 1 N18 SQ FT. I 4 0
A i t2 (14.49 ACRES EXCLUDING R /W) A, O Q
N d CK
W i Z O N p w i W
N
E'I� \Z [�) ONE
Z 00 Ll, l j " 3
0
Go
Z
O
a
W
V) Y �� `EE NN.
F
� r o �
m m
CRY 4tc—
ir E R 7k
i GARTM
SW CORNE r l
u • ,
NE 1/4 — NW 1/4 N 89
- 495.20
w =" % l $
I
SOUT i- LINrOF THE NE 1/4 — NW 1/4
UNPLUIER L�;NO S
„ UR
SCALE:1 =
200
0' 100' 200' 400' THIS INSTRUMENT DRAFTED BY PETER J. GARTMANN
CEDAR CORPORATION
604 WILSON AVENUE
MENOMONIE, W154751
(715) 235 -9081 PAGE j OF x'
Vo1.12 Page 3445
E40 Series M"M
4/10 HP Effluent
and Drain Water Pumps
Performance Curve
MODEL ME40 EFFLUENT PUMP
CAPACITY LITERS PER MINUTE
0 50 100 150 200 250 300 350
40
12
35
10
W N
30 �
H 25 8
20
15
O J
4 11
10 O
f-
5 2
0
0 10 20 30 40 50 60 7 BO 90 100 0
CAPACITY GALLONS PER MINUTE
F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805 -1923
419/289 -1144 FAX 419/289 -6658 Telex 98 -7443
K3326 7/91
Printed in U.S.A.
I