Loading...
HomeMy WebLinkAbout030-1008-95-100 ro 7 ST. CROIX COUNTY ZONING DEPART; AS BUILT SANITARY REPORT Owner [)ANai:� G f M K Address G r �4 /1 City /State Nc4 `) s e.v . 1'. i S yo rG hagal 1)8scripUous ' It 1, Lot NA Blook _44& Subdivision/CSM # = - 1 /4 &E '/4 ffy&, Sec. 3 , TAN -RAW, Town of s rt go eaw PIN # D 30 1o�B- 9s SEEUC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer Ul ee& `S Size ST/PC A&d l ao Setback from: House -LJ Well Pump manufacturer Model / 3 7 Alarm' location fib" s OLDING TANKS ONLY) ,_, Setbacks: a Vent to fresh air intake Water Line Meter location Alarmlocation SOIL ABSORPTION SYSTEM t Type of system: /Y& m o Width 9 Length _ Setback from: House � 56 Well �Y_ P/L ,T' Vent to fresh air intake 36 ' i ELEYATIONS Description of benchmark o d F 5'� z e r -5'7A& 2= Elevation /on , 6 Description of alternate benchmark eL r 6, Sro1,vg- - Elevation Y , 78 Building Sewer l ` 7 ST/HT Inlet 2 a z ST Outlet ` PC Inlet 5 '73 PC Bottom . S Header/Manifold �d % .�.2 Top of ST/PC Manhole Cover f 3 Distribution Lines (I) A0 1, 1 2- (2) 441, ( ) Bottom of System (J) fd o• Y3 (2) (DO. 93 ( ) Final Grade (1) /02, 71 (z) /0 2. 7.;;-'- ( ) Date of installation / Permit number 3D 7 7 G G State .plan number `r Plumber's signature - License number 22 7!Z/ Date Inspector ZIUL*� Complete plot plan or msccrsin Department of Commerce PRIVATE SEWAGE SYSTEM EPlan CROIX Safety and Buildings Division INSPECTION REPORT Sanitary INFORMATION (ATTACH TO PERMIT) 6 Personal information you provice may be used for secondary purposes (Privacy LmKs.15.04 (1)(m)). .: P r Id ❑ �r�y �❑ 1�jTown of : �, k e6h CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Ta® (0:- 1008 -95 -000 10 from Ur )K AAA ¢t A9800155 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. eptic g QV� F 5. S� I o5 O c7 Dosin Aeration Holding TANK SETBACK INFORMATION L �J • . ventto ROAD Dt Inlet TANK TO P/ L WELL BLDG. Air Intake ' / "1 7 NA Dt Bottom <� Septic Q� S� • �p �<� Dosing If �G' NA Header / Man. Aera NA Dist. Pipe 5. 37 Hol I Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer e-*/— Demand Sf, C� (' �✓ Model Number 3-7 3 ��- TDH Lift Lriction' Sy Ste m� TDH S t Forcemain Length &Q, Dia. HH p Dist. To Well SOIL ABSORPTION SYSTEM D / tN11111(! No. Of Pits Inside Dia. Liquid Depth BE gL h No. Of Trenches pI I N DIME LEACHING SETB / L BLDG WELL LAKE / STREAM CHAMBER Mo el Number: INFO/ OR DISTRIBUTION S YSTEM x Hole Size . x Hle Spacing o Vent To Air Intake Header / Manifold _ I Distribution Pi s PI Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Depth Over Yes El No Bed /Trench Center Bed/ Trench Edges Topsoil ❑Yes ❑ No ❑ COMMENTS (Include code discrepancies, persons present, etc.) Co L CATION: ST. JOSEPH 3.29.19.44A,NE,NW 1181 CTY RD I !°i 7 988 /Op.s 1, .44 • 41, -1 K5 Sys. e vo fib w�Ld 9 C/ GI A4^ �;Yta ('`� v f�a 00.5 3 Plan revision required? E] Yes Rye Use other side for additional inform tlon. AQ� ert. No. Date Ins ctors Signature SBD -6710 (R.3/97) Safety and Buildings Division SANITARY PERMIT APPLICATION 201 E. Washington Ave. ♦ � ■sconsin In accord with ILHR 83.05, Wis. Adm. Code P.O. Box Madison, Wl WI 53707 -7969 Department of Commerce Attach complete plans (to the county copy only) for the system, on paper not less County / than 8 1/2 x 11 inches in size. State Sanitary Permit Number See reverse side for instructions for completing this application ?50 , 7 - 7 e information you provide may be used by other government agency programs E] Check it revision to previous application rivacy Law, s. 15.04 (1) (m)]. I' S j Cfy Ad. State Plan I.D. Number APPLICATION INFORMATION - PLEASE PRINT ALL IN F RMATION opert Owner Name Property Location 1 /4 1/4,S 3 T , N, R E (or W operty wn Mailing Address Lot Number Block Number — State 0 Zip Code Phone Number Subdivision Name or CSM Number l7 f� r Q ( ) T YPE F B IL ING: (check one) El State Owned !.Y Nearest Road vilage Public 1 or 2 Family Dwelling - No_ of bedrooms Town 0 57, l id = 1. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) AAn 1 ❑ Apartment/ Condo 3 1q' IO o ® a S-'1 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ p 11 Restaurant /Bar /Dining Merchandise: Sales/ Repairs ❑ 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify V. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1 New 2. ' ❑ Replacement 3_ E:] Replacement of 4. E] Reconnection of 5, ❑ Repair of s Existing System Existing System ' - - - -- sy stem -- - - - - -- System ------------- Tank Onl - - - - - -- Y------------- - - - - -- g - ------ - - - - -- B) - ❑ A Sanitary Permit was previously issued. Permit Number Date Issued I/. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 MMound 30 ❑ Specify Type 41 []Holding Tank 42 C] Pit Privy 12 E] Seepage Trench 22 ❑ In- Ground Pressure 43 ❑ Vault Privy 13 ❑ Seepage Pit 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. Elevation Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) 9 y Feet ,S® 7S 9 Feet d VII. TANK Capacity Site Fiber- Exper. in gallons Total # of Manufacturer's Name Concret ete Con- Steel glass Plastic App INFORMATION New Existin Gallons Tanks structed Tanks Tanks ❑ El ❑ ❑ ❑ Septic Tank or Holding Tank x 00 « S ❑ ❑ El ❑ El Pump Tank /Siphon Chamber x a Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu is Si nature: (No Stamps) MP/ Business Phone Number: Plumber's Name: (Print) 9 I/1! P umber's Address (Street, City, State, Zip Code): i- IX. COUNTY / DE ARTMENT USE ONLY Dis a p p roved S pitary Permit Fee (Includes Groundwater ate Issued I ing Agent Signature (No Stamps) 11 pp Surcharge Fee) Approved ❑Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: DISTRIBUTION: Original to County. One copy To: Safety a Buildings Division, Owner, Plumber SBD -6398 (R.11/96) Mme. '°76 1 � far S3 T29 R 19F REcF�� S4 3 e`OSS 0 /t/ Work Sheet pag I Soils Report Page 2 plot Plan pag 3 System Cross Section page 4 pipe Lateral Layout Page 5 Dousing Chamber Page 6 p Curve Page 7 PREPARE� �� DONAWN L. SCHMI TT 586 VALLE 54025E SOMERSET 715 -54 -6651 Wp,SW 221741 p,Q. vnally co,t a ED 8 M APRIL, 9,199 � ? Y �of %t9jA S pP PRSME� Eb y �� S N►s`o Npr- CE S�� G�RRE Page f_ NONAL WORKSHLET _ I1. INGke1U:.11 {'kl.`'sUkf. SYSTEM - Continued• (,( MOUND SYSfLhI /�J _ _r� grl IU. Farce h1r+n 37i 7 q h,u+ +um Dos+ng Rate = 1. Wastewrtc 1. + +Jd, total Daily Flow= � in. Use s. TLIIR 83.15 (3) (t::) 114,,meter- Adm. Code and PROVIDE A DETAILED � 11, lntai Dyn.imt: Head: � 5 ft. LIS 1 OF SIZING ON PLANS. r1 fT Svs;cm head = /� ft Depth to Lim F iting Factor = -"" ficti al Lift = ft. 3. Landslnpe = Friction Loss = ft. 4. Distance from Dose Chamber to I DO ft '1 DH = Distribution System = lJ 12 Pump Selection: 1 tpm 5. Elevation Difference Between ft Pump will J discharge at least 1 Pump and Distribution System = - a t ft. total dynamic head. 2 6. Absorption Area Sizing: ? 7 sq ft. Pump model and manufacturer' Area Required = ft Bed or Trench Length (B) = ft 13, pose Volume: Bed or Trench Width (A) = 10 Times Void Volume of gal. ft Trench Spacing (Cl ■ Distribution Lines= 71 7, Mound Height: ft Daily Wastewater Volume + S_ gat. Fill Depth (D) = ft. 4 Doses In 24 hrs. _ gal. Fill Depth Downslope (E) ■ ft. Backflow = cal. Bed or Trench Depth (F) ■ ft Minimum Dose = Cap and Topsoil Depth (G) = ft. 14. Dose Chamber: o 0 al. Cap and Topsoil Depth (H) = Volume = S. Mound Length: End Slope (K) _ f t. 111, CON NTIONAL PRIVATE SEWAGE SYSTEM gal. Total Mound Length (L) = 1, W ewater Load, Total Daily Flow = 9, Mound width: Use . ILHR 83.15 (3) (c) , W' Upslope Correction Factor = • ft Adm, ode and PROVIDE DETAILED Upslope Width (1) ■ LIST O (ZING ON PLANS. al. Downslope Correction Factor ■ ft. 2. Required Sept, Tank Capacity ■ min./in. Downslope Width (1) = ft. 3, Percolation Rate Total Mound Width (W) = 4. Absorption Area Siz 10. Basal Area: Refer tO Table ch. ILHR 83 Infiltrative Capacity of ' tg•/s4.ft./day and PROVIDE A DE ILED LIST OF Natural Soil = 4 s sq. ft. SIZING ON PLAN �• ft. Basal Area Required = sq. ft. Required Area ft. Basal Area Available ■ Length = ft. 11. If Standard Tables from Chapter ILHR 83 Width = are used, Indicate Table # Numbe f Trenches = ft. 12• For the Distribution Network, Use Numbers 5.14 in Section I1. Tre Spacing = S. Dist, ution System: ft. 11. IN-GROUND PRESSURE SYSTEM ft. ateral Length ■ 1. Depth to Limiting Factor = r� x Number of Laterals ■ In. 2. Landslope = J min. Lateral Spacing = In. 3, Percolation Rate = Distance from Sidewall to Pipe = 4. Proposed System Elevation = iit System Elevation S. Wastewater Load, Total Daily Flow Wis. cal• Use s. ILHR 83. (3) IV. SYSTEM-IN-FILL Adm. Code and PROVIDE A DETAILED Fill in All Items from Section III LIST OF SIZING ON-PLANS. / gal. l' . +• Required Septic Tank Capacity ■ V. SEPTIC TANK cal. 6. Absorption Area Sizing: a min. /in. 1. Capacity = Percolation Rate = z-� � sq. ft. 2. Manufacturer. _ Area Required 3. ShoN 5 ise Constructed Tank Details on Plan ft System Length = f�.. ft. System Width = V1. DOSING TANK goo gal 7. Distribution Pipe Sizing: I e f 1. l al+acity = W S in. Manufacturer: Holc yiic Holc Spacing = II. 1, Pump MJnulaE I..atrrA Length in. 4. 1`umt• Aludcft It. 1 .+legal Stir f It :• Off: rune Held= a gpm. 1 .114•1.11 \pacing 1•. I I,... R.ur = a. S _ m. 1)9,Llticr 1441111 \idrwell to Ville 7 . yhON \+Tr t'onatrucicd Tank Details on Plans g. 1)i�UlhuUOn 1'ipr Di�ah•ugc R.un: . Nun,br, nl Pro 1'ipr VII. 1101 VI 1 r gpn,. _ ......---- -".`..-- �•' -- -- cal.. .. _ low Prr '1. Manilald \wing. h/J w .tine+. 1 YI „ ( „,a•, o. rnd) - 1 +,,.,. _ on.Iructed Tank Details on Plan I1. 1 rnl lh _ u) 1)IJnu•,r, SIIOW ALL INFORM AT ION ON FL ANS - Dit IIR till) 1.161 (N II t;A:I vvlxvmm�- up"Ou ,UIL AIVU JIIC CVMLU14IIVI-4 nCrVn1 icH#jtl 1 UI 3 Labo!,drod truman Relations a6 C � Division of •Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code _ COUNTY a1(� St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plp' 'rr►Vstt ON e .bdf'r \ PARCEL I . # not limited to vertical and horizontal reference point (BM), direction and %9fs�o�e; scale or dimensioned, north arrow, and location and distance to nearest road. �' '? p endin g Jam.., . IEWED BY DATE APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATI - bR/ PROPERTY OWNER: ; PRORCRTY WW I""' 9, - Steve Hennin �,GOVT. LO : ,,; . va ,S 3 T 29 N,R 19 fir) W PROPERTY OWNER':S MAILING ADDRESS T #UB E OR CSM # 1182 61st. St. s Z 4ii� e CITY, STATE ZIP CODE PHONE NUMBER NEAREST ROAD Hudson, WI. 54016 (715)549 -6094 117 s " [x ] New Construction Use [ xJ Residential / Number of bedrooms 3 [ j Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate . 5 bed, gpd/ft trench, gpd/ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate _ bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(s) 99.40 _. ft (as referred to site plan benchmark) Additional design / site considerations system el based on contour I ; no of el AR an Parent material limestone uplands Flood plain elevation, if applicable Da ft S = Suitable for CONVENTIONAL MOUND IWGROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for sstem - S U ®S ❑ U ❑ S ®U ❑ S C -jU ❑ S RI U E3 Q U system O Xj SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Roots GPD /ft t 3oring # Horizon Consistence Bot�r�dary in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends :<:. 1< 1 0 -12 0 1 2 12 -34 10 r4/4 none sit lcsbk mfi lm •2 .3 Ground 3 34-651 7.5 r4 6 none cos os • 8 elev. 19.6 ft. 4 65 -80 10 r7/6 Fratured L' ston - ---- - -'- - - - -� Depth to limiting factor 65" Remarks: Boring # 1 J -9i -6 1 0 -14 10 r2 2 non :, x 4..; 2 14 -31 10 r4/3 none sil ON 3 31 -42 10 r4/4 none lfs os Ground elev. 4 42 -55 10yr7 /6 Fractured limestone -- - - - - -- -- - - - - -- - - ---- ---- -- -- 3 9.6 ft. Depth to limiting factor 42" Remarks: CST Name: -- Please Print G ary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. New Richrrynd, WI 544 54017 Date: CST Number: m02298 Signature: 9 -24 -96 STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. Steve Henning New Richmond, WI 54017 MP SW 3254 NE' S3- T29N -R19w (715) 246 -6200 t N 1 " =40 ' EM.= top of SE lot survey stake C el. 100 Z Z 1 30 � N �1 P . ,1 2 � GAry L. Steel 9 -24 -96 gril = T of SE L& 7 -5U 5T,4 Kt EL. /00.00 ® PRpp05c10 w Elc- PRo Pos� O pRoPoscD p�l� Ew � µflusE N DO 6 AL S.% — g o o 6 j tL, Pc P aJ �F 2cE MAI �J J a �u c 0 H 8a 13 1- Q � 3 0 1 r ID A gm - ,5ouTl* fkOOPee7 LINE Ud � CpNTOU� Cr ry [ �L. �8o Ll .80 Be �L• 99. 1 /0 g =To o r S F LOT Sue ,)E 5 - , AKA. L, 1W.00 D(;Awr►U DeALOi P. ml- G % y RD V F") T,e, INL -5- VOZS Page _I Of _7 Straw, Marsh Hay, Or Synthetic Covering 33 Distribution Pipe �►Sttul � ' Medium Sand _ H _ G 6" Topsoil �___- _ - F I N p 3 E e 4% Slope Bed Of 2- 2 1 2 Force Main Plowed Aggregate Layer (6" Below Pipe) D f Ft. • E ).,3 Ft. Cross Section Of A Mound System Using � Ft. A Bed For The Absorption Area F F Ft. A Ft. H Ft. Signed: B Za Ft. License Number: _ K Z& 5 L 6 Ft. Date: .S Ft. I . S Ft. W,2 7_Ft. L Observation Pipe ( -------------------- t ---------------- - - - - -- - A ( I Force Main W — ' q 10 Distribution Bed Of 2 - 2 i Pipe Aggregate . I Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area Page f Perforotea Pipe Detoil 0 i End View Perforated PVC Pape End CoP) o�6 iI. Holes Located 00 Bottom, ( 1 . 3 Are Equally Spaced Q distribution � Pipe Lost Hole Should Be Next To End Cop L� Ft . Distribution Pipe Layout P / FpRtB /"fMN ' S 3 X —1-(2 Inches Y 3 (, Inches / Hole Diameter � Inch Signed: Lateral r Inches) 7 y� Manifold _ Inches License Number: �- Force Main Inches Date: #of holes /pip Ft. Invert Elevation of Laterals Pu,t \P CHP,t ^.BAR CfiV�� SEC`10'� Ali 5°ECiF ICl rid VFK!7 CAP APPROVED LQC`.' ^.1 C.• �MAI•IHOLE COVEF, y ° C.Z. �E• "�T PIPE WEATNERI BOY' 1 I W1WA�lN /Nb �.AILL ,lU1JCTION BOX l 17 "flIll VIIh.IU� uI , il t I t b It I y" MIW- AIR IMTAKE GRADE L_- COQDUIT w_ II V PROVIDE AIRTIGHT SEAL I I I IAILET —T I I i APPROVED JOItJTS I W /C.I. PIPE I I I EXTEWDING 3' APPROVED A JOIN? I II ALARM ONTO SOLID SOIL W/C.I. PIPE I ! I EXTENDING' 3' I 1 OWTO SOLID SOIL D I I ON I I PUMP FT OFF ` `� t:LEV. — D COWGRETf BLOCK RISER EXIT PERMITTED OWL4 IF TAWK MAIUFACTURER HAS SUCH APPROVAL SPEGIF It- A - fl IOIJS � PER DAM SEPTIC E NUMBER OF DOSES: oosE TAWKS MANUFACTURER Q ©� — CoALL0US DOSE VOLUME GAU ON5 INCLUDING BACKFI -7 .3 t. +5- TAWK SIZE: y v n r � I T - h V b COMS WCHES MANUFACTU B RER: CAPACITIES A =_ 2 11JCHE5 OR MODEL ►D GALLOWS r C ' _INCHES OR 1.11= - SWITCH TYPE: C= GALLONS P =p MANUFACTURER: D - -L�-- -INCHES OR l�� MODEL WUMBER NpTE: PUMP AUD ALARM ARE TO C INSTALLED ON SEPARATE CIRCUIYS SWITCH TYPE: o L.f GPM MINIMUM DISCHARGE RATE_ FEET VERTICAL DIFFERENCE BETW£EW PUMP OFF ANO DISTRIBUTlOW PIPE•; 2 5 FEET MIAI{MUM NETWORK {- SUPPLY PRESSURE FEE � F/ RIC -T1ou FACTOR. loo ►T F + � FEET OF FORCE MAIN X ` FEET TOTAL D9UW'G HEAD . l� -- ;LIQUID DEPTH IMTtpMAL. DI WSIONI: OF TkUK: _ I � / � 7 DATE Y4p ZJ� -- _ LICENSE ►DUMBER: SIGf`1E0: 7 o` 7 HEAD/CAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 185 should not be subjected to less than 30 feet TOW TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING 53-55 1115— DO— not _44. L 40 00. 44 44. iss 561, 469 70 106 401 fit gat fit 231 82 310 74 28dis 5 i f46::. 5 46 171 N w 50 152k 2 LL 60 8 30 111 is 10 :A;!;] 52 ' i181 70 14 :63 54 so :: iiA : .a 37 1:1 32 AAf 2 go 34-- - i7W7 20 i8 11 110 a2.oii ; 112' 105 L ak Vol": 21' 19.25" 2 26' 56' 6" 87' 7 32 100 30 95 28 90 26 85 24— 80 75 86 22- 70 20 65 165 18 60 0 16 55 163 50 14— 12 40 185 35 10 30 189 25 6 20 161 15 188 4 10 98 5 42 3,55 13 .139 57,59 0 1 1 1 ( ) t . U.S. GALLONS 10 20 30 40 50 10 70 80 90 100 110 12 LITERS 80 160 240 J/v ­ 480 560 640 0 FLOW PER MINUTE Note: For Head Capacity,on Model 112, industrial column-explosion pr000f pump, see FMO219. Wisconsin Department oflndustry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Lab&.and Human Relations 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. Pl�rt`mUstnafuderblt PARCEL I.D. # not limited to vertical and horizontal reference point (BM), direction and % gf'slo5e; scale or e dimensioned, north arrow, and location and distance to nearest road. IEWED BY DATE APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATtQ - 1 e r PROR, faTy LbG T(ON PROPERTY OWNER: 1/4 .S 3 T 29 N,R 19, Henning for) W Steve He , GOVT.l.0T v 1� •,.. 1 PROPERTY OWNERS MAILING ADDRESS � T # $Ll� sCC # B4�. +1 E OR CSM # 1182 61st. St. v. i end NEAREST ROAD CITY, STATE ZIP CODE PHONE NUMBER . ` S ° Hudson, WI. 54016 (715)549-6094 [x] New Construction Use [ xJ Residential / Number of bedrooms 3 [ ] Addition to existing building I I Replacement ( J Public or commercial describe /ft trench, gpd /ft Code derived daily flow 450 gpd Recommended design loading rate . 5 bed. gpd -�- Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate r __ bed, gpd /ft2 - trench, gpd/ft2 � sur o ft (as referred to site plan benchmark) tieccmm�nd� enf .cation s .r.2 e 99.40 _._ Additional design / site considerations system el. bas Flood plain elevation, if applicable na ft Parent material limestone u lands S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem t7 S Kc ii ®S ❑ U ❑ S �] U OS f U EIS RIU ❑S QU SOIL DESCRIPTION REPORT Structure Roots GPD /ft Depth Dominant Color Mottles Texture Consistence Baxx Y Bed Trench Boring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ..::� 1 0 -12 10 1 1 lm .2 .3 2 12 -34 10 r4/4 none sil lcsbk mfi Ground 3 34 -65 7.5 r4 6 none cos os f r CrW . elev. - - - -- - - -- - - - -i- Fratured L' es ------ --- - - -- - 9 9.6 ft. 4 65 -80 10 r7/6 Depth to limiting factor 65" Remarks: Boring # 1 0 -14 10 r2 2 non 2 14 -31 10 r4/3 none sil 2m 3 31 -42 10yr4 /4 none lfs os Ground - - -- -- elev. 4 42 -55 10yr7 /6 Fractured Iimesto ----------------- ------ - - -- 9 9.6 ft. Depth to limiting factor 42" Remarks: Phone. 715- 246 -6200 fAdd Name: -- Please Print G L. Steel 54017 1554 200th. New Rich nd WI 340@I CST Number: m02298 Date: 9 -24 -96 ature: R STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. Steve Henning New Richmond, WI 54017 MP SW 3254 NE4NW4 S3- T29N -R19w (715) 246 -6200 t N 1 =40' BM.= top of SE lot survey stake el. 100' N 1 a� 4T �\ N 4, 0 6 -` GAry L. Steel 9 -24 -96 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer .4 Z CS`C A Z /,A' Mailing Address 2,0 6e �y_ W-J - 5 &14 Property Address 126 T 921,9 AQ At 401', ti ZQ14 (Verification required from Planning Department for new construction) \n City/State &W S A, t0l Parcel Identification Number D 30 - 1006 " : - LEGAL DESCRIPTION Property Location � V4, ,4!L '/4, Sec. 7 T�N -R_,2 W, Town of 7,Z V&AW-- Subdivision Lr4/7e5 Lot # Certified Survey Map # . Volume . Page # Warranty Deed # S61 V6 f . Volume Page # 7�_ Spec house ❑ yes 0 no Lot lines identifiable Wr yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof your septic system could result m its prematurafailure 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 masterphmiber, journeymanplumber, restiictedplumberor a licensedpumperverifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumpmg,(if necessary), the septic tank is less than 1/3 full of sludge. 11we, 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 of the three year a iration date. oo n v, Z / l S TURF OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described aboin by virtue of a warranty deed recorded in Register of Deeds Office. / /91 SI ATURE OF APPLICANT DATE 4 * * * * ** 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 Dads office a copy of the certified survey map if reference is made in the warranty deed • t. S • S Ek N LAND SURVEYING • HUDSON , WISCONSIN 54016 ( 715) 386-2007 James Durning ' 7217 County Road Woodbury, MN 55125 Part of the NE4 of the NW's. of Section 3, T29N, RI-M Town of St. Joseph, St. Croix County, Wisconsin; lying east of C.T.H. "I ". Ilk Corner of Section 3 o� N os . N I 10..42' 1 Ile ZSo4Z'43n '6 6�13 .ng NIS 53 11 E ;h 173.74' Q 1" = 100 175.20' / 1 u _ . 4 r � MAP iog . N32 "E a. .h >: 29.52' © a 0 29.62' La frf N • O .'G' � r t w LEGEND 1 o 0 1" x 24" Iron pipe set, weighing o 1.68 lbs. per linear ft. c 2" Iron pipe found h , Fr W Aluminum County Section Monument Found $89 27 "W 208.44' V C3 6 N O 1n N CD I i . c