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HomeMy WebLinkAbout032-2042-60-000 0 \ , g m ,!, ; ■ ° M \ 2 ƒ � �f «■ x z z o�_ \« o O = 0 0 0 �,: o w �. $ « } i \ / \ k ( § § §) $ A k \ 0 \ § i § d§ 2; k/ R « 0 ƒ/ 2 O a CL ( ro to ° m e ¥ W 2 k' m J $ E " \ § 2 \ o j \ e g — (D 7 § \ \ Z ® \ \ R / (D k k \ 0 r ® 00 00 n ■ o c /\ a 0 0 0 ( j �- 2 3 z R § o o > « � v v \ \ & D , ■ � £ % §\� w \8 � 2 2 { { z = z § §/ s 0 E S j § 7 & \ 7 � ƒ \ �. � 2 q S ; ƒ \ [ � , g A 3 y ) k / � � a [ � � § ) « d C (D § o � CL 2 \ j \ \ 2 \ » z2± > J .50 § � \ \d \ % JCL \ §§ \ � \\ � ( CL §« / � � � ®k 0 CD A § ft � \ 0 \ � \ This instrument drafted by Fran Bleskacek Proj. No. 90 -11 -191 CERTIFIED SURVEY MAP Located in part of the SWh of the SWh of Section 11, T30N, R19W, W Town of Somerset, St. Croix County, Wisconsin. To N d � c LEGEND . o s W & Aluminum County Section Monument Found 4 ' C. • } Iron Rod Found o � N d 0 0 . 1 x 24 Iron Pipe Set, weighing 1.68 lbs. per linear loot C. o v �+ m c o b 4 J OWNER 1 ; ,° o Nark Fagerland -+� WI /4 CORNER OF 1215 Second Street m H SECTION 11 Hudson, WI 54016 3 C�O��tiV(•t�: r v S U- ^, i T ED LANDS DS VI NORTH LINE OF THE SWI /4 OF THE SWI /4 N89 0 37'04 "W / N69 °37'04 "W 620.05' 620.85' N01 °11'35 "E S01°II'35 "W �0 191..39' 192.3 D�� D� TEMPORARY. CULlOE�SAC K L , (To be removed upon extension of road.) ' 4 N42 °41'38 "W 66.00' en W «)1 97 Acres n = V)I s c 'J JJ-A0 too oA ti"' j 10.13 Acres LL LEI <I a iv bib 3 in 2 in °\ 0 1 ,� N 10 k N89 °28'55 "W LEI L LIjI., ° 3 D� �a �0 4, P / `655.79' 3 Ll{I F —I Z ` O� QJ , O� ED W u N X14 / �' D� /2 , r P ao c <i 7 3 y O �O 2 / POND 1 LLI �- 8.95 Acres (Inc. R/W i• J rl - Z W �_ —'I -71 O P 8.56 AcreslExc. R /W N / 2 � t0 I �.84 Acres Inc. R 10 � mn Z / W `� 140ti� e �/ 9.41 Acres Exc. R/W � r ST. CROIX COUNTY ZONING DEPARTMEN � 9 AS BUILT SANITARY REPORT RECC Owner / !? �•z Glr/yr' � h �'� "'� Property Address ,,'— 7� -�� OCT 2 6 1998 City /State 117,f - won ���- . o /� _� ST CROIX <� WNTV ZONINGOFFICE Legal Description: Lot Block Subdivision/CSM # Tom /a ' /a, Sec./ TAN -RW, Town of # SEPTIC TANK — DOSE CHAMBER — HOLDING TANK INFORMATION: Tank manufacturer eN 6 Size ST/PC, 14 ie Setb ck from: House Well P/L Pump manufacturer Model E Alarm location (HOLDING TANKS ONLY) Setbacks: Service road fresh air intake er Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: G7 Width /-2 Length _ Number of Trend. es Setback from: House :2 0 d Well &V PAL �_ Vent to fresh air intake 9 v r ELEVATIONS Description of benchmark Elevation / o Description of alternate benchm ek Elevation Building Sewer 9 /21 / ST/HT Inlet ST Outlet / 6 i / PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover = Distribution Lines Bottom of System( v () ( ) Final Grade ( ) - () ( ) _- Date of installatidO Perm number 7 5 State plan number A Plumber's signature '� ` License number � Date Inspector Complete plot plan wis�c onsin Department of Commerce y: SaTbt PRIVATE SEWAGE SYSTEM y and Buildings Division Count INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 320275 fi%R ON, VINCENT ❑SO1�+IaSE'�'e Town of: State Plan ID No.: CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: a(9 032 - 2042 -60 -000 TANK INFORMATION ELEVATION DATA A9800463 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. eptic W 6 ? jv / Bench � I • v Z p ,6� 6U Aeration Bldg. Sewer Holding �y Wib Inlet TANK SETBACK INFORMATION (Pf¢t Outlet 4 �6 • oa- TAN O P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake G Septic j Z 8/ 0L NA Dt Bottom j I. S o �• a 0 osing b ��/ ��' NA Header / Man. Aera ' Dist. Pipe Bot. System PUMP/ SIPHON INFORMATION 0 Final Grade y. 5'- C 7 ja Manufacturer --7 'Q 0 >Demand �J p �/ .G Model Number p '36) GPM TDH Liftg 5/ Friction / — Syetem� TDH/ /• Ft Forcemain Length L oss r Dia. H " Dist. To Well S ILABSORPTION SYSTEM 415 BE ENCH width r. Length No. Of Tre PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Z— nches DIMENSION SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING rer: SETBACK INFORMATION Type O CHAMBE Model Nu r: : a - •I Syste - DD OR UNIT DISTRIBUTION SYSTEM Header/Manifold i� Distribution Pipe"' ( x Hole Size x Hole Spacing Vent To Air Intake Length _YL Dia - Length -[ � Dia. `'f • Spacing G I / sC 1 09ST Z7 zQC� r SOIL COVER x res u xx Mound Or At -Grade Systems Only Depth O r Depth Over xx Depth Of d / Sodded ed Bed /Trent B !Tr es ❑ No [I Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) '7.35 el z /Ie 5 r LO OC CATION: SOMERSET 11.30.19.640,SW,SW 1161 70TH STREET — LOT 1 �/�e✓ ems`! gerwI� - 7e G31 a4 �. 6vllcl �� - 1)v�a- - h Plan revi Ion required? ❑ Yes Use other side for additional information. SBD -6710 (R.3/97) Date Inspect s Signature Cer SANITARY PERMIT APPLICATION Safety and Buildings Division % 6consin 20 1 E. Washington Ave. Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 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. +- C (,D ) • See reverse side for instructions for completing this application State Sanitary yP Permit N The information you provide may be used by other government agency programs E] Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. ( State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N —�— Property Owner Name Pr perty Location o ,ar'rr 1 a /a, S T 3e), N, R E (or Property Owner's Mailing f ress Lot Number Block Number i City, State ` Z de J `hone ;umber Subdivision ameorCS Number I ll. TYPE F BUILDING t � (check one) El State Owned � Ity Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms Vllw9 of 6 O Ill. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 [] partment /Condo /l. 30. 1 - Co /o� O,a - - c 60 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�ew 2. E] Replacement 3. [] Replacement of 4_ ❑ Reconnection of 5 E] Repair of an ______ Sysstem ________ 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 1�e*age Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure + c 42 E] Pit Privy 13 E] Seepage Pit (Z x t g 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 . Feet 6 Feet VII. TANK C pacity INFORMATION in gallons Total # of Prefab. Site Fiber- Ex er. Gallons Tanks M anufacturer's Name Concrete Con- Steel Plastic p New Existin strutted glass Ap � Tank I Tanks �eP>I� -erenk ❑ ❑ ❑ ❑ ❑ Pump Tank ipHalTth�iRber vQ Yoe ) ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility forjpstpliation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's %n ur No Stamps MP /MPRSW No.: Business Phone Number: Plumber's ddress (Stree Cit State, Zip Code): IX. COUNTY DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stamps) N Approved ❑ Owner Given Initial // Surcharge Fee) Adverse Determination <�6 / 80 9 Z9 gg X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD -639e (Rt 1196) DISTRIBUTION: Original to County. One copy To: Safety 8 Buildings Division, Owner, Plumber PLOT PLAN PROJECT Vincent Harrinaton ADDRESS 530 Hiah St. New Richmond Wi 54017 SW 1/4 SW 1 /4S 11 /T 30 j N/R 19 W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE9 /28/98 BEDROOM 3 CONVENTIONAL IN- UND PRESSURE CONVENTIONAL LIFT X)OC HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE800 Gallons DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE <30 ABSORPTION AREA 1 176 BED SIZE 12'X98' BENCHMARK V.R.P. Nail in Tree ASSUME ELEVATION 100' ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark VAT SYSTEM ELEVATION 93.0 12" GRADE 620' Prope Line TYPAR COVERING 12" . 3' 6' 0 3' " SEWER R K 12' Well o� • w 30' Easement Vent Road P ro 3 B -5 0 , fD B e d room Ouse 0' B -2 12'X 98' Bed 6' T 30' 100 B-3 T 18 50' 5 ' 150' B -4 482' 55' -1 20' M. 60' 240' Property Line 656' Property Line PUl"1P CHAMBER CROSS SEC T IOIJ ArJG :;PECIFICA'Ff0Q5 /-� VEN CAP C Lam WEATHERPK001 APPROVED LUC' JUNCTION BOX I MAnJHOLE COVEF. l� AIR IIJTA GRADE I I y„ MIN. COQD UIT -- 18 "MIN. ----- --- - -- INLET PROVIDE - -__— �" AIRTIGHT SEAL * A I III I III ALARM *APPROVED 6 I II I I *APPROVED I I oN JOINTS WITH CLEV �r WT. APPROVED PIPE 3' ONTO PUMP -� J OFF D SOLID SOIL CONCRETE BLOCK RISER EXIT PERMITTED OQLy IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFICATIOUS DOS /�� TA1JK5 MA►JUFACTUiZER: (� — NUMBER OF POSES: /-- PER. DAy TANK SIZE: GALLONS DOSE VOLUME o ALARM MAIJUFACTURER: INCLUDING 5ACKFL0W: GALLONS MODEL ►DUMBER: CAPACITIES: A QL IUCNES OR v GALLOIJS SWITCH TYPE: -'S — �(,� B = a, INCHES OR O GALLONS PUMP MANUFACTURCR: �LA _ Q C= _INCHES OR GALLONS `1ODEL NUMBER: D =INCHES OR GALLONS SWITCH TYPE: i lbw /A � NOTE: PUMP A►JD ALARM ARE TO DE MINIMUM DISCHARGE RATE _S-D GPM INSTALLED OA1 SEPARATE CIRCUITS VERTICAL DIFFERENCE 15ETWEE1J PUMP OFF AND DISTRIBUTION PIPE.. / FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . —_. FEET + FEET OF FORCE MAIN Yl/"� FACTOK.42;? FEET TOTAL OyIQAMIC. HEAD = FEET IUTERUAL_ DIM S NS of UK. LEKIGTH _;WIDTH iLIQUID DEPTH SIGIJED: LICENSE NUMBER: C) 0 SG DATE: r � J Goulds Submersible Effluent Pump ,t � E PO4 3871 EP05 APPLICATIONS • Fasteners: 300 series Foy submerged in high a Motor Housing: Cast iron stainless steel grade turbine oil for for efficient heat transfer, Specifically designed for the lubrication and efficient strength, and durability. following uses: •Capable of rur;ning dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • • Effluent S nt systems components. available for automatic and tic cover with integral handle Motor: and float switch attachment • Farms nanual operation. Automatic • Heavy duty sump • EPO4 Single phase: OA HP, oodels include Mechanical points. • Water tlansler 115 or 230 V, 60 Hz, 1550 Moat Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with ,reset at the factory. rated oil and water resistant. automatic reset. ■ Bearings: Upper and lower SPECIFICATI • EP05 Single p�lase: 0.5 HP, FEA heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, _ construction. Pump: EPO4 built in overloud with j EPO4 Impeller: Thenllo • Solids h'LIndlulg capability: automatic reset. ,Mastic Semi -open design 3 maxirlulnl. • Power cord: 10 foot AGENCY LISTING with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SP Canadian standards Association • Total Heads up to 24 feet. with three prong grounding plug. Optional 20 foot plastic enclosed desig ■ EF05 Impeller: Thermo- • Discharge size: 1'/2•' NPT. P g• P (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with n for end in "F" or "AC ''.) rotary /ceramic- stationary, three prong grounding plug improved performance. BUNA -N elastonlers. (standard on FP05). r Casing and Base: Rugged • 1?nIper:irrir� there loplastic design provides 1�•i "i i U Cj G0iltInUOLIS Superior Strength afic 140 "F 1601 intermittent. Corlosion resistance. • Fa�'enl , 300 series METERS FEET, stainless steel. 10 • Capable of running I j dry without damage to 9 30 -- _._..... _ ;_ -_ __. __. _ _��•- -5GPM c0IllpOnents. I �25FT Pump: EP05 8 25 • Solids handling capability: °a nlaxinlunl w Capacities: u z p to 60 GPM. 9 6 20 — -- 1 -- -- — • Total heads: Up to 31 feet. • Discharge size: 1'/2" NPT. a • Mechanical seal: carbon o 15 - -- _.. -- • - ...:_.. - - - - -i rotary/ceramic-stationary, � 4 � - -- BUNA N elastomers. o - -- — — - — ____._ EPOS ^- • Temperature: 3 to 104 (40 ° C) continuous EPO4 140 °F (6VC) intermittent. 2 1 i I 0L 0 1 _..._. -..._ 1 :..__._. t. 0 20 :.) 40 50 GPM c 2 t 6 8 10 12 ml /h CAPACITY r; 1995 Goclos i Inc. Ellective May, 1995 B3871 DEPARTMENT OF REPORT ON SOIL BORINGS AND S AFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115 P.O. MADISON WI 53707 HUMAN RELATIONS 0LHR 83.09(1) & Chapter 145) LOCATION: SECTION: TO N � /MUNICIPALITY: LOT NO.:BLK. O.: SUBDIV SION NAME: 1 / '/4 / T N/R (or) W 1 014 Al OI COUNTY: O ER'S/BUYER'S NA MAILING ADDRESS: Nd USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCI L DESCRIPTION: ROFI LE DES CRIPTIONS: PERCOLATION TESTS: ©Residence ®New ❑Replace Q �Z RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN- GROUND - PRESSURE: N - FILLHOLDING TANK: RECOMMEND D SYSTEM:(optional) D S ❑U ®S ❑U D S ❑U ISYSTEIVI-I ❑ S Z ❑ S ©U & If Percolation Tests are NOT required DESIG RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: i PROFILE DESCRIPTIONS s BORINGI TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SIDIL WITH THICKNESS, COLOR, TEXTURErAND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- Z g s ' a Al B- ti s B- 3 �' s 9 B- a / - s/ / B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIO 2 PERIOD3 PER INCH P- 1 P- 2 71 / P_ P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and toe direction and percent of land slope. ' 01 IP 3 9,YR SYSTEM ELEVATION E _8 9 E .rte _ r � _-+a _•� S n � i i E � E ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address 3 0 1'11 SI Property Address // –)() " /-, z Gtl L (Verification required from Planning Department for new construction) E City /State , W parcel Identification Number 39 & � � — 4 A:> 1 LE GAL DESCRIPTION / Property Location �(�[/ /,, � y,, Sec. !/ , T N -R e y W, Town of Spey 74 at . — T Subdivision , Lot # Certified Survey Map # 7` �7, /�j , Volume , Page #��. Warranty Deed # ����f� 99 Volume ,Page # _i�� Spec house ❑ yesi Lot lines identifiablec�es ❑ 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 re the above requirements and agree to maintain the private sewage disposal system with the standards set forth, here' set Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating th our s c stem has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days o he thre r expiration date. SI INA O APPLIC DATE OWNE CE: I ION I certi th all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro rty cr ed ove, by virtue of a warranty deed recorded in Register of Deeds Office. N F PLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 2 o 30 V' FfLED � This instrument drafted by Fran Bleskacek Proj. No. 90 -11 -1 OCT 0 B loni ®- 9 JAMS^ O'CONNELL 474396 Z, Register of De^ds St. Croix CO., WI 0 CERTIFIED SURVEY MAP Located in part of the SWa of the SWh of Section 11, T30N, R19W, Town of Somerset, St. Croix County, Wisconsin. W N�N LEGEND L N Aluminum County Section Monument Found o c •" Iron Rod Found N N .G 111 x 24 Iron Pipe Set, weighing 1.68 lbs, per linear foot 41 y ° n Roadway Setback Line y NOTE A 75 foot building setback must be ^° maintained from the edge of pond. 1 ♦ °°i � c • f r'� �LLcP1 o _ OWNER 10 w <n S -i 4' 07 cn o Mark Fagerland t ielD�JFd « °3 d CO -kt WI/4 CORNER of 1215 Second Street `� \VI' °a a SECTION 11 OD "' Hudson, WI 54016 »w•• ° "�,�c �' APPROVED N o inl��� nTT�=n /\ DS °_ 0 JiVl LA I 1 _D L_i -A iVL/. OCT 0 1991 ° - - - - - - -- — - - - -- 11 CJA)IX �.uUjgjY NORTH LINE OF THE SWI /4 OF THE SWI /4 �MPWHENSIVE IAlZK3p�y� N89 0 37'04 "W / N89 °37'04 "W AND ZONING COMM11� 620.85' / 620.85' N01 ° 11'35 "E J Sol ° 11'35 W 191..39' 19 2.33 TEMPORARY. CUL -DE -SAC' (SEE DETAIL) ' K J 4 �� i N42 °41'38 °W N H (l)I 66.00' to W UI - L •' o v)I c�l _ c O^ ��:' . a LEI �T I a N 69h • pA %b to o � I --J I 3 O orn : • s0. 9 g �� w < I N89 28 55 "W — W L 1 o 10 0 �q 0 R 655.79' ►_ LJ _I W 3 325 a o �0� y b'�QP 0 0v � C ' 330.21' ) .58' W LLiI F_ I z't y°1 QJ + W o - I C-4 C t ' _ J <f u_I W o i O 4 0 •� POND o f- �1 LZf _71 a� Z W I O P; Nix N _�1 3 U) 'W N � M M to C o / � w O � —