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HomeMy WebLinkAbout030-2076-70-000 c ��d c I � o � 3 � -9 v, Z o w r Q- C O O l' D1 W • -' fO d N C O N y � y N N O O O O d 7 7 I T W rn 0 N N ! j N o ° o °_' f 0 o w y a 7 p v I C .o" r7 m CL CL �j � 7 ^>3 ° c —� ood <° A fD 4 p (D f° N OD cn OD OD � M O I s l 3 � 000 * m' I H• 12) ai = v h 3 � ooc j C) "V C D N O � 7 N O d ° �. _ s A A A A Z O N y O N N° '.. Z Z K O D D o 0 0 0 m O a s a rn rn ° Ham• I m I v y CD cn I � CD I :I J rn A Z M A 2 O I !I CD m m j o °ND CL Z 0 _ A O .^.' it Z N 3 I U! Z N A ii 0. W r L .� d F -n 4 N S 0 Q OD O CD Z Q O N N o N N N N i A 7 N V o � o � `D o C ) o C) Q a t. 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 W V v �b 0 �e G Z �b INDICATE NORTH ARROW ti Wisco Department of Commerce PRIVATE SEWAGE SYSTEM Coun '§T. and Buildings Division '§T . CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitarl5 iYtr Personal information you provice may be used for secondary purposes [Privacy L s.15.04 (1)(m)]. Permit Holder's N m t Town of: State Plan ID No.: LACASSE, l.l�n1. ��' y g�� CST BM Elev.: Insp. BM Elev.: BM Description: Parcel &312076 -60 -000 100 . (,® 1 Do .6, a I Att, la , 5e - , 630 -606 TANK INFORMATION ELEVATION DATA A9800111 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. p 1ac;. Se tic r .draes recA.s`' IQtib Benchm ° r Z 94 /00 Dosing [ om 6o G S-co AQ. IIA4* s /Do .lot Aeration Bldg. Sewer 7.7,Y- 1 I59 - : - 7 Holding 6D* Inlet TANK SETBACK INFORMATION Cs; Outlet A�ls TANK TO P/ L WELL BLDG. Ai, i to ntake ROAD Dt Inlet Air yVl � Septic fw ��° Ze NA Dt Bottom Dosing NA Header/ Man. Aeration NA Dist. Pipe 105,b3 TX CoO. Holding Bot. System IOS6 PUMP/ SIPHON INFORMATION Final Grade Manufacturer ( -- 70 - L(4 Demand O Model Number EIPD x8 '�GPM &^A as 57 , a .6 , 100 TDH Lift�D.y Friction System, DH 1 ;.3 Ft Forcemain Length 3 Dia. a k Dist. To Well SOIL ABSORPTION SYSTEM (D EQWTRENCH Width Length I No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth N I N DIMENSION SETBACK SYSTEM TO P/ L I BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION TypeO CHAMBER stem: S 1 ,� / N ��. Mode Num er: y ril OR UNIT DISTRIBUTION SYSTEM Header / Manifold N Distribution P e s) �, �M x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing ,/ n SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth Of J�Stecled /Sodded xx Mulched Bed / Trench Center '� , - 1 Bed /Trench Edges Topsoil s ❑ No ❑Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 41414$ 6 0' Z"" tf, � ge 3 LOCATION: ST. JOSEPH 26.30.20.650,5E,NW 1 14TH STREET AL*- illm ` 16 p 6 � ` octgc �tOL ^G�6 G �1 lit �'tJOi�{. `� �C (.V !✓. Lio q 1 Plan revision required. ❑ Yes IA No A Use other side for additional information. ►�v,,vy PjA- SBD -6710 (R.3/97) Date Insp oil's Signature SANITARY PERMIT APPLICATION 201 E. W shin *sconsin Code In accord with ILHR 83.05, Wis. Adm. Coe P.O. Box WI 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 1/2 x 11 inches in size. c rQ X_ • See reverse side for instructions for completing this application State Sanitary Permit Number 3©77/S" The information you provide maybe used by other�.9overnment agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. / h Q' 141 f* C f __J/0 � f) State Plan 4 000-7 . N mber I. APPLICATION INFORMATION / - ccc P P L EE ASE PRINT A INF RMATI N tL+r 3 Property Owner Name Property Location � W /_ 5'_1/4 1/4,5 T 30 ,N,RaeE(or))O U t Property Owner's Mailing Address Lot Number Block Number 1,2 2 m- / 6 City, State Zip Code Phone Number Subdivision Name or CSM Number II. TYPE BUILDING: (check one) E] State Owned it� Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms 3 Town of rTOS� li 7T III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) a"G a o. t9 1 [] Apartment / Condo ' �� ' V ' -0 26 — a 0 � 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 online B, if applicable) A) 1. CaNew 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5 E] 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: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4_ Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq_ ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation 37 5 32 `'/ 41, l 3 Feet pj . 7 Feet Capacit VII TANK in gallo s Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- steel Plastic New Existin structed glass App. Tanksl Tanks Septic Tank TRk . , p d E 1:1 El 1:1 0 El Lift Pump Tank {Sip4iew�#arnber V 5 1 tcj a ❑ ❑ ❑ ❑ ❑ 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 (N Stamps) P PRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY E] Disapproved Sanitary Permit Fee (includes Groundwater ate Issued ` Issui gent Signature (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) � Adverse Determination tOD 7 9� l( X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: S11111.6396 IRA tom) wsrnttstmaf: Original to county, one copy To: safety a NuMogs oivrslon, owner, Pkwd r SAFETY AND BUILDINGS DIVISION 2226 Rose Street N visconsin La Crosse, WI 54603 Department of Commerce Tommy G. Thompson 23- Jan -98 William J. McCos� ,' seb ft / \ We erer Soil Testing & Desi g 9 9 Richard La Casse r J� 421 N Main St PO Box 74 River Falls WI 54022 ` Uti'j fi �4 1J 0, I LA CASSE LOTS 9 & 10 Plan ID 9820073 SE,NW,26,30,20W � i Municipality of St Joseph Inspector: Leroy G. Jansky County of St Croix (715) 726 -2544 Private Sewage plans including the following element(s): MOUND 450 gpd 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(2)(e), Wisconsin Statutes, is responsible for compliance with all code requirements. This plan action is subject to the conditions listed on the following page(s). 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. All permits required by the state or local municipality shall be obtained prior to commencement of construction /installation /operation. This project is under the supervision of a state inspector. As inspection concerns arise feel free to contact the state inspector at the number listed. The inspector for this project is listed above. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Please refer to Plan ID number listed at the top of this page when making an inquiry or submitting additional information. Sincerely, &ard Swim POWTS Plan Reviewer (608) 785 -9348 SAFETY AND BUILDINGS DIVISION 2226 Rose Street LaCrosse, Wisconsin 54603 \*hs C onsin Department of Commerce Tommy G. Thompson, Governor William J. McCoshen, Secretary Page 2 20073 - 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. Slats, prior to installation. - 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. SBD- 5524 -E (R.07/96) File Ref: r Page 1 of 6 MOUND SYSTEM FOR A'' 3 BEDROOM RESIDENCE LOCATED IN THE SE 1/4 OF THE NW 1/4 OF SECTION Z N, R Z-0 W, TOWN OF S't-, �iSt4H , S't CWJIyC COUNTY, WISCONSIN. Ci,oTS q a tp OF - D2ie - 5Q.HL !\� \G�4TS gv��l��siuyv> 3Loc�r 'L INDEX PAGE 1 'of 6 TITLE SHEET 9 ` tl PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION PA GE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR QAk 1 z p w. L A C- N- R_ \2.Z O `sc►vc� U �� L1`CJ`1 \kUpSv �V1 5�{U!� RECEIVED JAN 16 1998 PREPARED BY SAFETY & BwbS. Dw WEG ER: FcER SCI I L TEST I t-4 (3 AND ®�a,302e + ti4C�:�o DES I[ (3M SF=FZV ICE ��`�'..�r,y P.U. BUI 74 421 K. MAI ST..• 0 T.s- RI FALLS. V1 54022 e ' ARTHUR L. LL P � Wer,�Fif_R i a lly 715'42`•, -0165 3 D -s is P C IV ; [LLS'MORTH z � W15. P R� -�:.� .h......... �, pil Am OF C �S I G 1 �$ JOB NO. 98 —U8 - R PLU'1' PLAN ' Page Z of E, Scale 1 "= 4C ' r W , O o" Ibq_-�5 I 3 ao�z� o 30'0 L-L Pv C - -- Q C7 S3.Z 2 S ' GTE- ' 4S' of 1 ({ g.3 I i k tip ►uf�' Ccl`IPRC:.0 � - t f !: o*�ov�Z �_T1.. 9 el. 3 ' OF �1 1W.3' wL1JL TO 3E frir LVA-tir So' - Lom m0kAA) nr_h RT ``LAST Z,S FU 1 _1'(1jft. - s'_ NOTES '1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. (4 required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be 1�)uu /6So gallon capacity manufactured by ►►'��Ow�'t� �2EcPCsr, Iw c, 5. Bench Mark 3w1- E1,. , Loo.o' oy _Top ot- 2 "pvc 'PI \--- (P- Pita \3M - L - L Loo . 64 " oN N fig L LN EL" �1ZAT� , L/ 6. Divert surface water around system to prevent ponding at the uphill side. Page 3 Of b Approved Synthetic Covering: C 33 Distribution Pipe Medium Sand G Topsoil = - -- -- F Elev b • 3 —J I p b Z % Slope Bed Of 2�— 2 Force Main Plowed Aggregate From Pump Layer D \-C3 Ft. Cross Section Of A Mound System Using E \ •\� Ft. A Bed For The Absorption Area F 0.`a Ft. G \•v Ft. A `3 Ft. H 1.5 Ft. Linear Loading Rate= 9 . GPD /LN FT B q1 Ft. Design Loading Rate= o:y.GPD /SQ FT I \�. Ft. J ? , Ft. K ND Ft. - of -_ _. L b ' Ft. Forcp Ma — _ W 3Z. Ft. L - J- 0 �+ Observation Pipe -� K A W Io - - -- --------- - - - - -- Force Main DP W S 1 E ��1vU Distribution \,,Bed Of Pipe Aggregate I Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area Page L) Of 6 Perforated Pipe Detail 0 End View ) Perforated End Cop �" PVC Pipe Install permanent marker at end of each lateral Holes Located On Bottom, Are Equally Spaced S PVC Force Main i i P PVC Manifold Pipe Distri ution Pipe Lost Hole Should Be I Next To End Cop End Cap P Z Z Ft. Distribution Pipe Layout S _� Ft. X 4 `d Inches Y u Inches Hole Diameter ) IV Inch Lateral I Inches) Manifold 2 Inches Force Main " Z Inches # of holes /pipe 6 Invert Elevation of Laterals -8 Ft. bX �X) - ).UZ X. qr ze.0� 6Pm Place 1st hole Zy4 from center of manifold with succeeding holes at `45" intervals. Last hole to be next to the end cap. Combination Septdc; Tank and PUMP CHAMBER CROSS SECTION AMD SPECIFICATIOUS ' PAGE S OF to VEAJT CAP WEATHER PROOF JUIJCTIOAI BOX 4'c.I. VENT PIPE APPROVED LOCKING —10' FROM DOOR, MAAIHOLE COVER moiV MUDOW OR FRESH ItiP►RNIIJG ALR IAITAKE cor,uu�r 6' — IAILET PROVIDE i - - - -- AIRTIGHT SEAL I I APPROVED JOIAIT A I I I APPROVED JOWT: PIPEOV'm Tank construction I I W/C.I. PIPE°KF"c shall comply with I II ALARM ILH;; (83.15 and 33.20 a I 11 I 1 I I Ow C I I LLLK X8.33 FT I PUMP OFF D CONCRETE 5LOCK RISER EXIT PERMITTED OIJLy IF TA►JK MAIJUFACTLIRER HAS SUCH APPROVAL BEDDINQ.=. BEDDIN4 SEPTIC E 5PCGIFICATI0t.1S DOSE TAWK MAIJUFACTURCR: �N A ST AIUMBER OF POSES: 3 `S PER DAy TAWK SIZE : , dub 1 6SV GALLOAIS DOSE VOLUME t ALARM MANUFACTURER: �` a- 1tQ SL1 S h7 IAICL - UDING OACKFLOW: ° (,ALLOWS MODEL ►DUMBER: hew CAPACITIES: A= WCHES OR 30IO GALLOIJS SWITCH T�IPC: - "ka_�V2_Y B = Z IWCHES OR 4 G(�LLOA15 PUMP MA{JUFALTURfR: GOVL-�S C- g 11JCHES OR GALLOIJS MODEL ►DUMBER: _ 3 S� I ��aL{ D- 10 INCHES 0R GALLOAJS SWITCH TYPE: _�1ZC1JR�( MOTE: PUM AIJO ALARM RE TO BC 6 MWIMUM DISCHARGE RATE !`d-Oob GPM INSTALLED OM SEPARATC CIRCUITS VERTICAL DIFFERENCE DETWEEAI PUMP OFF 4 I , 10.015TRIBUTIOU PIPE.. FEET + MImIMUM METWORK SUPPLY PRESSURE . , , , , , , , , , , 2.5 o FEET + ys FEET OF FORCE MAIM X F Ynorr.FKICTIOU FACTOR_. O• -Z FEET TOTAL Oy1JAMIC. HEAD FEET Pump chamber DIAMETER — I I IIJTERIJAL DIMLWSION� OF TAUK: LENGTH ;WIDTH — ;LIQUID DEPTH 3 BOTTOM AREA — - 231= GAL /INCH AS PER MANUFACTURER GAL /INCH • Goulds SubmerSbl, - - e� = r Effluent =Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems components. damage to heat transfer. ■ Motor Cover Thermoplas- • Homes p tic cover with integral handle •Farms Motor: Available for automatic and g and float switch attachment • • EPO4 Sin manual operation. Automatic Heavy duty sump Single phase: 0.4 HP, points. • Water transfer 115 or 230 V, 60 Hz, 1550 models include Mechanical • Dewatering RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. • Solids handling capability: automatic reset. ■ EPO4 Impeller. Thermo - 3 /4" maximum. • Power cord: l0 foot plastic Semi -open design AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO with pump out vanes for • Total heads: up to 24 feet. with three prong grounding mechanical seal protection. 0 Canadian StandardsAmdaation • Discharge size: 1 NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for (CSA listed model numbers rotary/ceramic- stationary, three prong grounding plug improved performance. end in "F" or "AC ".) BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running l dry without damage to s 30 — a components." Pump: EP05 a — -- - -- -- •Solids handling capability: o 25 4: 3 /a' maximum. a 7 W i • Capacities: up to 60 GPM. -- • Total heads: up to 31 feet. S2 6 20 • Discharge size: 1 NPT. z 5 • Mechanical seal: carbon- 0 15 IS-6' rotary /ceramic- stationary , BUNA -N elastomers. 4 • Temperature: 3 to - - -- — - - -- — - - -_ - 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. 2 5 ! 1 1 f 0 0 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m °/h CAPACITY ®1995 Goulds Pumps, Inc. Effective May, 1995 o.." - Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM); di4otion and- % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. ' 030.- 2976 - APPLICANT INFORMATION- PLEASE PRaNT ALL INF*RMATf REVIEWED BY DATE f �. PROPERTY OWNER: 1 ` y ` ERTY LOCATION Richard LaCasse . LOT SE 1/4 NW 1/4,S 26 T 30 N,R 20 ]E (or) W PROPERTY OWNERS MAILING ADDRESS _ BLOCK # SUBD. NAME OR CSM # 1220 Oakwood Ln. ST CP,01X - 2., Drechsler H ts. CITY, STATE ZIP CODE rPFfONE OFRCE ITY ❑VILLAGE 2FOWN NEAREST ROAD Hudson, WI. 54016 T 5 9 -5693 St. Joseph 14tb. ST. []] New Construction Use M Residential / Num r6cin 3 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .4 bed, gpdA 5 trench, gpd /ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate • 4 bed, gpd /ft •5 trench, gpd /ft Recommended infiltration surface elevation(s) 100.90 ft (as referred to site plan benchmark) Additional design /site considerations system el. based on contour line of el. 99.90' Parent material Rtrtz tPrrar p 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 s stem El FJ �S Cl U ❑ S ®U ❑ S ® U El S 9 El ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bou ck3y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -14 10 r 4/3 none sl lcsbk mvfr qw if .4 .5 2 1 14-34 7.5 r 4/6 none sl lcsbk mvfr qw if .4 .5 Ground 3 1 34-60, 7.5 r 5/4 c2p7.5yr 5/6 sicl M na na na no .2 elev. 1 Depth to limiting factor 34" Remarks: Boring # 1 0 -17 10 r 4/3 none sl lcsbk mfr QW if .4 .5 =`' 2 2 17 -36 7.5 r 4/4 none sl lcsbk mvfr if .4 .5 Ground 3 36 -44 7.5 r 4/4 2d7.5 r 5/6 sl lcsbk mvfr qW a .4 .5 elev. 4 1 44-60- 7. 2 7.5 r 5/8 sicl M na na na n .2 1 00.1 ft. Depth to limiting factor 36" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ave. New Richmond WI 54017 Signature: Date: 10 -9 -97 CST Number: m02298 STEEL'S SOIL SERVICE Gary L . Steel Richard LaCasse 1554 200th Ave. New Richmond, WI 54017 MPRSW 3254 SW4NW4 S26- T30N -R20W (715) 246 -6200 town of St. Jospeh lot #9- Drechsler Hgts. N 1 " =40' BM.= nail in Elm Tree C el. 100 Alt. BM.= nail in Elm tree C el. 99.80' system lotcation may or may not be as shown as permanent lot lines have not been established do x� TO 4 ` a �74 F Gary L. Steel 10 -9 -97 Wisoonsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and 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 11 inches in size. Plan must include, but St. Croix 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. 030- 2076 -70 APPLICANT INFORMATION- PLEASE PR�NT"A - L 11I TION REVIEWED BY DATE PROPERTY OWNER: ��` n PROPERTY LOCATION Richard LaCasse 'LC GOVT. LOT SR 1/4 lqW 1 /4,S 26 30 ,N,R 20 X (or) W PROPERTY OWNERS MAILING ADDRESS! ' LOT # BLOCK# SUBD. NAME OR CSM # 1220 Oakwood Ln. 10 r ; larechSler H ts. CITY, STATE ZIP 0 PHGN OM J - ❑CITY []VILLAGE EFOWN NEAREST ROAD Hudson W 54016 -5693 St. Joseph 14th. St. [xNew Construction Use[ x] Reside i�t /'pl�rrlber o r [ ] Addition to existing building [ ] Replacement (] Public or c ial s r' Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, gpd /ft .5 trench, gpd /ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate gi bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 100.00 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 99.00' Parent material stream terrace Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE I AT - GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S ® U [3 S El [__1 S ® U ❑ S ®U ❑ S ® U EIS RI U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITirench .................. ........1 1 0 -15 10 r 3/3 none sl 2m r mvfr qw 2f .5 .6 2 15 - 39 7.5yr 4/4 none sl lcsbk mvfr gw if .4 .5 Ground 3 39 -55 7.5yr 5/4 c2 7.5 r 5/6 sicl M na na na no .2 elev. 99 ft. Depth to limiting fac Remarks: Boring # 1 0 - 10 r 3/3 none sl lcsbk mvfr qW 2f .4 .5 .............. . 2 17 -35 7.5yr 4/4 none sl lcsbk mvfr 9W if .4 .5 3 35 -50 7.5yr 5/4 c2p7.5yr 5/8 sicl na na na na np .2 Ground elev. 9 9.6 ft. Depth to limiting factor 35" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Avediew Richmon WI 54017 Signature: Date: 10 -9 -97 CST Number: m02298 STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Richard LaCasse SE 4NW4 S26- T30N -R20w New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246 -6200 1 lot #10- Drechsler Hgts. N 1 =40' BM.= top of 2 11 pvc pipe @ el. 100 Alt. BM.= nail in Elm tree @ el. 100.60 system location may or may not be as shown as permanent lot lines have not been established 11►'' ti A ? ` Gary L. Steel 10 -9 -97 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer �i �y►� _,Q �,4ss� Mailing Address / 2- 2_y 0 l�yar j�yt, /19,r Property Address /_? S? / (Verification required from Planning Department for new construction) j 3d -.2 6 - Q5 City /State _ ,l f E .fJ /Q Parcel Identification Number 4; 9a .. QG' 7 6; _ /d LEGAL DESCRIPTION Property Location 6 ' /4, _A L2 '/4, Sec. 26 , T 3 N -R Z.Q W, Town of Subdivision 5 e_ 2 j 61t S , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # SG �� 9�i' , Volume C;,t 77 , Page # A1a D Spec house ❑ yes 13 no Lot lines identifiable ltd' yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your tic sy tem has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 the thr ear piration date. SIGNATLIkIff OF APPLICANT DATE OWNER CERTIFICATION I (we) certi y that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the prope d sc . d ab e, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURtOf APPLICANT bATE * * * * ** 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 Lots Three (3), Four ( 4)M A, P 6 OF S U R V E Y Drechsler Heights, located In the East Half Sout east Quarter a and Nor (t a 0 a ll In o Section Block (2). Township Plot of North. Range 20 West, Town of St- Joseph. St- Croix County, Wisconsin. A N °° • LOT 1 Prepared for and at the request of: , 3 �d N— — BIII Pyszka I — — — — — Edina Realty w at LOT 2 I I (61 430 -7559 I 09 1� M -N 86'57'46" E 239.37' OWNER: ' I b -EAST 239,74 ® Leon M. and Betty J. Rlemenschnelder II W r 1356 15th Street U X xa I o , 3 4I 3��� r / Houlton, WI 54082 t7i,c 1, w 11 R� 3 ? r�, / (PER DEED VOL. 716 PAGE 13) 1 II o: 20,106 SD fT. J `; o _U.- ?• G / Drafted by. Kristi A. Eylandt � I R- 204.95' N TN T Ld N8 - M- SB9'52'27'W 204.88' O Count Sec Corner Monument ? W � i ° b 4 �` of Record �m a 17,028 S4. Fr 1" x 24" Iron Pipe weighing o MIN— f i a minimum of 1.13 pounds per v► = 6i 1I 0=17740 Op / linear foot m I I/ / O Found 1/2" Iron Pipe I I MsS89'51'S4 "W 177.23' I G Found 1" Iron Pipe M - Measured As i t o rn 5 N N f R= Recorded As 15, *dl so. FT. ; I v g ' a: I LOT 5 ;33333 N III R- 170.08 Z ,n - v b i cv .t N d dx i M- SB9'50'40"W 169.93' 1 1 — — — — - Z oobNON inN cV rn I h I I Wz�� Ui vi J In a ! a 15.28�O. fT. I � I i LOT 8 Omzo W 33333 o WWI R-169.95' I I I �x �` r o N o o a i M-S89'52'45 "W 169.73' 1 1 0 p o E Q` �c°4�na°v in N �- m I � - - - -- O 4 v V` I ':tbhlo'a�'�r a ° ,rn `1I b° I I 1 1 r -1 ' C roll I. ° I WI I OT Za O vltnv►Inln� I uo 15,168 SQ, i7, 1 � ° 1 >1 I 0 N L - oO9 v Q• 4. Z2. -M I. to _1 corn N W a C !+ I. 1, t-" o r I R =169.83'VI V � Iva t-gm= u� <u�M N N I M�S89'54'S3 "W ' N p1 I - __ �z O E v O M I 169.54 I Y1 Y 00 z F a `m bNb4rb, p i l l ' 1 io 3�1 I VUa = .. • -•-oNO m i i �N Q Oi � �IWI133 01 2X1�Z� m'a, 3 3 1 1 1 II o: 15,250 So. FT. 1 ° q >I I n LOT 8 I. U O Z v` IY '�1n3b33 I I I o OI o_„_0 01 V< R0 9 J o F J - o 00 0 4n 2 I I R =169.70' ...11 1 cr 1 b b J I In a 5 c o z0n:tE4. -P J 1 I N I6I F - - --I- Zv -:LiLU y 1 ' 0 o in in n 1 M =S89'S7'02" W 169.35 v v m On. -ONM I I ' N N2 mI O &Q I ;n- n I io 1 11 n 0 o N N I� Lb1 bo I Y � I °: �NIpI�I, 0 o 0 N fn Ut n N I �, to I 16,9255 So. FT. I $ I al I I LOT 9 R 6 h ,, °: I I OI I �� d '0 �� ° ���, °� y n 'r? N i7 �p ao I .f � Ir t rt., N V N r, * ri n o t k) R 169.56' n 0) in u I. 2 t M-N89'59'26 "E 169.13' I O may CC 0 o o ., io W h j ' (q * . I I ;n . i c w o a' N l; o� t � y 1 : o 10 n a' I 60' I 1 W � y : �+ .a a I` �0 6 1 n l ,,. N N a7 1n .- 0 p 16, 912Sq. rr ir) In 0;; N c� i i R -WEST 17188' I � a n.ra.rar�