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HomeMy WebLinkAbout032-2094-20-000 c o m m 0 . cs � c v 3 m m I K m 3 •Z' O w (n o n W O O N O O � W O Q' !€; N N W _a O M Co O OD cl c A C ! O O O - (D (D (D n NO 0 ^ O c x i o y 0 0 0 3 o r 7 0 ru c� 0 0 N N D O d m (n N r,rt D (o d O (D tit CD N Q. w j W C � W S' N O 3 (oo ° N (n I i Nj 0 0 (D C) 0 0 W w O N � � CD N co co a o CD 0 0 0" I I Z cn r3. N aQ y y N cn m CC) M C) O o CD m CD m co r a N .. O A p Ca Z Z C/) o D j O= O O i Q N N N 'n 7 T • O O) n J CD (D C /y,� O N Qr ` O "O N C N N O Q (D CD O A Z (D c _ A n a A z 7 CD f W (D w v a Z 0 A ZJ 3 ^' z m Z * N (D A (D .Or. Q cl ' O r E m 5 o C D N T N C O O Z G. o = Q o_ F o m o Z N O O =3 N � N 3 N N (D N u (� S O_ N Q R' r N d `e O d tj 7 N S C O N CL b (D I o � m 7, o O 0 < November 17, 1998 Pat Wolf 2159 36th St. Somerset, WI 54025 RE: Note to the file (Lot line) On August 14, 1998, 1 inspected your septic system that was installed by Joe Stang. The inspection revealed that the house, septic tanks and a portion of the drain field are on or over the lot line. The lot line of concern is the south lot line for lot 2 and the north lot line for lot 1. Not a problem when both lots are owned by the same owner. The owner has no intention of ever selling lot 1, however if lot 1 is sold, the owner will be required to correct the problem. To correct this problem you have two options available. The first option involves recording an affidavit in the register of deeds office. The second option involves resurveying the lot line to establish a new lot line between the two said lots (the new survey shall comply with the minimum lot standards). i November 17, 1998 Pat Wolf 2159 36th St. Somerset, WI 54025 RE: Note to the file (Lot line) On August 14, 1998, I inspected your septic system that was installed by Joe Stang. The inspection revealed that the house, septic tanks and a portion of the drain field are on or over the lot line. The lot line of concern is the south lot line for lot 2 and the north lot line for lot 1. Not a problem when both lots are owned by the same owner. The owner has no intention of ever selling lot 1, however if lot 1 is sold, the owner will be required to correct the problem. To correct this problem you have two options available. The first option involves recording an affidavit in the register of deeds office. The second option involves resurveying the lot line to establish a new lot line between the two said lots (the new survey shall comply with the minimum lot standards). AFFIDAVIT being duly sworn, states under oath that: 1. He is the owner of the following described parcel A and parcel B. 2. Parcel A and parcel B, having been conveyed by separate deeds created two independent parcels. A portion of parcel B created Lot 1 of Certified Survey Map recorded in Vol. , Pg. , leaving the remainder of parcel B as a separate parcel. By combining parcel A and parcel B one contiguous parcel results. 3. Neither parcel A or parcel B may be separately conveyed without the approval of the St. Croix County Planning, Zoning and Parks Committee. 4. The purpose of this affidavit is to notify the public of the combining of parcel A and parcel B into a single parcel. Parcel A: Parcel B: Dated this day of 1998. Owner Subscribed and sworn to before me this of ,1998. Notary Public My commission expires State of Wisconsin **'4 ? r2i �. �?� f..i• . * ) r qtr' i j K _ 300' 300 "> ° 54:73 2.00 294.5 3 d 9 J 7 Cft LOT 6 LOT ;t <;k 921. g o 243A ,� `D 92 4t �~ NE // { r R nk ME f a r OD Ry ., 6 t ry •�� 247 D 24. 242 A • ` Q . � �', ' ` .. � �•. p� A i L OT t 24'2D ,9.19 242 C ' 284.1 ib 242 6 ♦4 ST. CROIX COUNTY ZONING DEPARTMENT.' AS BUILT SANITARY REPORT Owner c !j Address 9 S c ,' Ts - - g co gax1'9'98 City /State 1 1 T Legal Description: Lot 2 Block � Subdivision/CS '/4 S�� '/4 ! ' - , Sec. ° , T ' i N -R IW, Town of = '� ,° ° r . - -- PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer Size ST/PC 1. ; - /11` � 'O Setback from: House ,?�_ We11 � P/L Pump :manufacturer Model Alarm location 1­ :, 4 j c - q (HOLDING TANKS ONLY) x Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM r Type of system: � 0 / �. Width Length / Number of Trenches Setback from: House Well 's P/L Vent to fresh air intake ELEVATIONS Description of benchmark'' i � �'� Elevation Description of alternate benchmark t c _ �, " . 5 ? Elevation i Building Sewer �, ? , ST/HT Inlet ST Outlet PC Inlet PC Bottom Header/Manifold 1 Top of ST/PC Manhole Cover Distribution Lines Bottom of System O 9s Z O O Final Grade Date of installatio / Permit umber 30 State plan number --�— ;. Plumber's signature License number - Date Inspector Complete plot plan Wisco Department of Commerce PRIVATE SEWAGE SYSTEM ' Safety and Buildings Division Count y ST CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitaryfeirrda!3: Personal information you provice may be used for secondary purposes [Privacy L I , s.15.04 (1)(m)]. Permit WOLFE , PAT Nam E�C6t& &Vl Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Descript n: Y f Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9800031 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic rTj� Benchm 3 NL �1j3 c� /B� Dosing '�- /CGS 0bb ld� S� Aeration Bldg. Sewer '7- 7 cd3 -�Z Holding At Inlet /o.� TANK SETBACK INFORMATION St/ Outlet 11 C - g2. 972 TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet 1 D , 7 AR 7 a- Air Intake Septic A l 9p 7 NA Dt Bottom /q.2, ,1 ing u ' 3 NA Header /Man. ? •oS 6 - ?57 °f & ' 7 Aera Ion NA Dist. Pipe On. - 7- [ Holding Bot. SystemTZ PUMP/ SIPHON INFORMATION Final Grade g, Manufacturer a ( Dem e7F. Model Number GPM TDH Lift Friction 35 System TDHk: ,S4yt Forcemain Length (�� Dia. FFiia Dist. To Well SOIL ABSORPTION SYSTEM o'�• BE / TRENC idth Length No. O renches PIT h DIME N �� DIMEN SETBACK SYSTEM TO P/ L BLDG WELL LAKE / INFORMATION Sy to �, _(, �Df ' -t DISTRIBUTION SYSTEM Header /�j � old t I Distribution Pipe(s) � r Length r Dia. 'f Length Dia. -9 Spacing AL SOIL COVER x Pressure Systems Only xx Moung Depth Over Depth Over xx Depth 01 Be /Trench Center Bed /Trench Edges I Topsoil COMMENTS (Include code discrepancies, persons present, etc.) LOCATION: SOMERSET 17.31.19,SW,NE 2159 36TH STREET ��L-} . � � 1 +� �j bl aL fi - �n�•c(.��,,, G�� lol dc� S,e�r,�e -� P ired? Yes Ej No Use other side for additional information. b SBD -6710 (R.3/97) Date Inspect 's Signature Cert No. V i s con s i n SANITARY PERMIT APPLICATION 2 01eE. W and s h n il g dt o ng A v e sion 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 Countys C 2 c than 8 1/2 x 11 inches in size. t " • See reverse side for instructions for completing this application State Sanitary Permit Nu ber 3 The information you provide may be used by other government agency programs L ❑ Check i revision 0 �� to previous application [Privacy Law, s. 15.04 (1) (m)]. r� /� ! 2/_ � h `T State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N Property Owner Name Property Location y= WJ0 c 5 / 11.), 114NJ,6 1/4, S l '? T 3 / , N, R 7 -E (or W� Propert Owner's Mailing Add ss Lot Number / Block Number I ?J Cit State Zip Code Phone Number Subdi' ' ign N me or SM � tuber J h v c. ' 1101 5 - 5 ) 2 L (G f2 ) 4 t y6 • Ul�t3 1 e_ 4 �` e_ We, v ws II. TYPE OF BUILDING: (check one) ❑ State Owned o !t Nearest / -d Public 1 or 2 Family Dwelling - No. of bedrooms ❑ Town OF S40?mn e-JZe e, � l ie;ch Lolls- 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1❑ Apartment/ Condo / 7 3 /. /?, q °q 0 1 U 3 2 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility. 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2_ ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5_ ❑ Repair of an System _ System 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 - 'd 30 E] Specify Type 41 E] Holding Tank 12 N 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/ ay /sq. ft.) (Min. /inch) QS �r Elevation '� 6 - 0 `? 5 — o r ` Feet QQ 2, Feet Capacit VII. TANK i Ca allon n Total # of r Prefab. Site Fiber Exper. INFORMATION 9 Gallons Tanks Manufacturers Name Concrete Con- Steel glass P lastic App New Existing structed Tanks Tanks Septic Tank or Holding Tank 0,©0 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber VD ' 1:1 El El El 1:1 Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility f r installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumb s Signature• ( tamps) MPRSW No.: Business Phone Number: Plumber's Ac dress (� treet, City e, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY by / pp ❑ ❑ Owner Given Initial Disapproved Sani ary Permit Fee (Includes Groundwater ate I ssued Iss ing Agent Signature (No Stamps) A roved Surcharge Fee) rrr""" ` Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD -6396 (R.11/96) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber 19 C. w N 6 116 �L 4.; /4 L ,2 C L/ +. G 4,� J�'1, � �r st !o r- y Y L v 0 3 l,✓uc. 1,�,, ll c �✓, s- �� 2 12e re tr A cl Cl ov Caw ►� �� S�Yh e 4Scf i 1i E PUMP CHAMBER CROSS SECTION ARID SPECIFICATIOIJS ' PAGE OF VENT CAP 4 VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE JUNCTIOW BOX COVER WITH WARNING LABEL 10' FROM DOOR. 12 "M11J. WINDOW OR FRCSH 1 AIR INTAKE 1 GRADE y " MIN. • � � IB'MIN. CONDUIT 18 "fKIAJ.� ---- - - - - -- PROVIDE I - - - -- IMLET _T AIRTIGHT SEAL I I v APPROVED JOI A Tank construction shall comply 1 Iii APPROVED JOINTS with ILHR 83.15 and ILHR 83.20 ALARM 8 +1 II ( r ON C -- - q3.�� I LLEV. FT. PUMP -'� � OFF 0 J O CO 15LOCK I APPRWfL RISER ER EXIT PERMITTED OIJLJ IF TAWK MANUFACTUR HAS SUCH APPROVAL gE0D SPECIFICATICIMS DOSE µtlDw� 1 `CCI IJUMBER OF DOSES: 3'�, PER DA4 TAAlK MAUIUFACTURCR: TANK SIZE: 1000 GALLONS DOSE VOLUME I S,S.� � � Sf � INCLUDING BACK / LOW: 1 69 &ALL.ONS ALARM MANUFACTURER: MODEL NUMBER: ISM 1 A " CAPACITIES: A= ' INCHES OR y!6 GALLONS SWITCH TYPE: 'Mq Cy2je� B = Z INCHES OR - S-- G6LLOL15 PUMP MANUFACTURER: Zo C a b �Z IUCHE5 OR 1 �_ GALLONS MODEL NUMBER: S3 D- INCHES OR GALLONS 5WITCH TYPE: 'I'1�1Z MOTE: PUMP AND ALARM•ARE TO bE 1 MIWIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE CETWEEN PUMP OFF ..015TRIBUTIOIJ PIPE.. x FEE + MINIMUM NETWORK SUPPLY PRESSURE .... . .. .. . . • 2.50 FEET + 3 FEET OF FORCE MAIN X F YpfxFRICTIOU FACTOR.. o ' 83 FEET TOTAL 09UAMIC HEAD = 6 0 6 FEET DIAMETER II INTERNAL. DIMEIJSIOW� OF TAWK: LENGTH — ;WIDTH LIQUID DEPTH 3g Z BOTTOM AREA 231= GAL /INCH AS PER MANUFACTURER = Z 6 0 GAL /INCH _ 3 15/166 5/32 " W HEAD CAPACITY CURVE 4 5/8 "53 - 57" - "55 - 59" SERIES 1 1/2 -11 1/2 NPT zs TOTAL DYNAMIC HEAD /CAPACITY F / - PER MINUTE EFFLUENT AND DEWATERING 3 15/16 6 50SERIES ° Ft. Meters Cal. Ltrs. 4 1/16 x _U 15 5 1.52 43 163 Q 4 10 3.05 34 129 Z O 15 4.57 19 72 ti 10 Lxk Vo1re: 19.25' I I O 2-- - s 10 1/16 0 U -S. GALLONS 10 20 30 40 50 I 3 3/32 LITERS 0 80 160 FLOW PER MINUTE SKM SKM CONSULT FACTORY FOR SPECIAL APPLICATIONS • Variable level Float Switches available. • Available with special cord lengths of • Variable level long cycle systems available. 15', 25', 35' and 50'. • Alarm systems available. • Duplex systems available. SELECTION GUIDE Standard cord length - automatic 9 ft. 1. Integral float operated mechanical switch, no external control required. Standard cord leng - non - automatic 15 ft. 2. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0447. M53155 and 57159 Series Control Selection 3. Mechanical altemator'M -Pak' 10 -0072 or 10 -0075. Model Volts Ph I Mode Amps Sim x Duplex 4. See FMO712 for correct model of Electrical Alternator, E -Pak. M53155 d M57 /59 115 1 to 8.0 1 or 1 8 7 — 5. Variable level control switch 10 -0225 used as a control activator, with E -Pak (3) or N53/55 8 N57159 115 1 Non 8.0 2 or 2 8 6 3 or 4 & 5 (4) float system. 8 057 230 1 Auto 4 1 or I 87 E53/55&E5 /59 230 1 Non 4.0 2 or 2 8 6 3 or 4 8 5 6. Four (4) hole J -Pak, junction box, for watertight connection or wired -in simplex or 2 pump operation, P/N 10 - 0002. 53 Series - Wt 22 lbs. 57 Series - WL 27 Ibs. 7. Two (2) hole J -Pak, junction box for watertight Connection or splice, 55 Series - WL 24 lbs. 59 Series - WL 30 tbs. P/N 10-0003 CAUTION For information on additional Zoeller products refer to catalog on Combination starter, FMO514; All installation of controls, protection devices and wiring should be done by a qualified ftyback Variable level Float Switches, FMO477; Electrical Alternator, FMO486; Mechanical licensed electrician. All electrical and safety codes should be followed including the most ANemator, FMO495; SunpSewage Basins. FMO487; and Sin* Phase Simplex PumpConbollAlarm recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). Systems, FM0732. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO. P.O. BOX 16347 Lwisvft KY 4M%.0347 Manufacturers of. . Z r SHIP TO. 3649 Cane Run Road Louisvft KY 40211 -1961 Q�uurrla SAXT 1999 - PVMP !O. (504 778 - 2731 ; 1(800) 928 -PUMP FAX(502)774,W4 Wisrorysin Department of Industry SOIL AND SITE EVALUATION REPORT Page of Labo? 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 1 n:usze f include, but not limited to vertical and horizontal reference point (BM , 'on anoi % of sl'o a or PARCEL I. . # dimensioned, north arrow, and location and distance t est rd� APPLICANT INFORMATION PLEASE PRINT NFOR`NFATI69' " REVIEWED BY DATE PROPEW OWNER: PROPER ATION 'r`OVT. L 1/4 1 /4,S T AR V(or& PROPERTY OWNEPI�8 MAILING ADDRESS ,^� # CK# SUBD. NAME OR CSM # CITY, STATE ZIPCODE PHONE NU E C ILLAGE ®TOWN NEA ST ROAD New Construction Use Residential / Number of bedrooms [ ] Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate : bed, gpd /ft gpd /ft Absorption area required �y-� bed, ft , trenchh, ft Maximum design loading rate �� bed, gpd /ft gpd /ft Recommended infiltration surface elevation(s) 9Z ft (as referred to site plan benchmark) Additional design / site considerations Parent material _ - Flood plain elevation, if applicable ft t itable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK suitable fors stem ®S ❑ U ZS ❑ U I ®S ❑ U 0S ❑ U ❑ S O U ❑ S ® 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 Trench Ground 7 — elev. ft. Depth to limiting factor Remarks: Boring # .Ground / elev. ft. Depth to limiting fact Remarks: CST Name:— Please Print Phone: / 9 A ddress: ) Signature: ` Date: _ r CST Number: �_ -e-"- A/ '� • . �b /DssJ AIX 7 T.�1/1�,3t'/9w le,�ZJOIAX eW G�S7`h�o�3r� ' �t cep 0 x� f ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer �u t L41/0 r Mailing Address a q6- S /C y 1 d it .e w � y✓! 5 - 6 - u Property Address 2/ 5 ^ � = 3 (Verification required from Planning Department for new construction) City /State Parcel Identification Number c j 2 LEGAL DESCRIPTION Property Location - w '/4, � ' /., Sec. T_jLN -R_jjW, Town of .5 41 c If -CCE Subdivision L 4 M r,� d r, w s , Lot # Certified Survey Map # . Volume 2 ` Page # Warranty Deed # Volume Page # �l Spec house ❑ yes 9 no Lot lines identifiable ❑ 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 masterplumber, journeyman plumber, restrictedplumberor 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 the three year exp' on te. IGNATURE OF APPL A DATE OWNER CERTIFICATION I (we) certify that all statemelxt# on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of pe esc bed bove, by of a warranty deed recorded in Register of Deeds Office. 0 �- / /r / 31 SIGNATURE OF APPLICANT 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