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HomeMy WebLinkAbout032-1076-70-100 o O M 01 ry 4 CO C C.. O M � N O O ojf I � n I i' rn O CL c z (D a o o 0 3 (n z c o m a) . (6 to L N LL C C 7 O O N O _ (3) L y N I Q 3 :3 .N N B W O L E Q J L H a) N Li W O o z N H z d m 0 C C9 O Z a Z d C O W I— r a) z E - a N M , v I C • * VA c O O O Q Q O 2 Z Z o Z N N M I £ C M l W C N O) N y ca N � fl. 10 a V C O T O1 L .0 vi O O O O a N Z N > 3 O U— N ►+� E2 0 0 0 a s z o l Z ►�. a U) N ao rn � oN� u, fA -j U - o rn rn a) m ^v ^ N a) I O W n ' U o a) M 'O d >- 66 O N m q V) .) O 00 O E N c L _ += o E O O Q co U N o L M m 'O N O (6 O) O) _� N C: C 'E 'E L" O a) O LO R W LU 7 N h CO O a) • L N M E 3 t? U O O UI Lo O O N E co M O N R (nl .r .� E E m M is EL a w E w .c c :: c rr �� o L = `on A L) (L 2 1 0U) i Id o ° P"( , - co f 9 �0 FILED g 5 0 1998 ► 11 KATHLEEN H.WALSH JUL _ 8 19�$ Register of Deeds 5`76056 \3 St. Croix Go.,WI >� N j SURVEYOR'S RE 0 CER TIE.IED SLUR VE Y MA R Located in the Northwest quarter of the Southeast quarter of Section 27, Township 31 North, Range 19 West, Town of Somerset, Wisconsin. USA. St. Croix County Owned by: Bill/,Rita Lawson 0 - denotes 1"X24" iron pipe weighing 1.68 19d;7 60th St. pounds per lin. foot set. Somerset, Wi.54025 • - denotes iron pipe found. - 1" IP. (R) - previously recorded information. Bearings referenced to the North -South 1/4 North quarter corner Section line, assumed to be S00 00'41"W. Section 27 - 31 - 19 (County monument found) . _ UNPLATTED LANDS I LU :j S 89' 11 ' 33 E (S89 °lI'40' E! 520.78' 172.31' 348.47' — — • U I $ (172,60 W I I o u o a c� LL ® 7T 2 O 0 LOCU �t o m 324, 703 Square feet �I �I Z (7.454 acres) 3 QI ,t I to °z o co v • ai o I Lo ( cn w o O / P Z /lJ ° O t ati �O GAR f r - S 66.05' ake N 89* 11 "W • / 1589 °11'40 "E 66.01'! S ky gy p, 178.96' r..,)t •- >rw.,q n'i lid of W I N 89'11'34 "W —� -- 6 ' I 410.30 ' I ie �M►r3 and Vold 0 o n UNPL ATTED LANDS South auar e ST. CROIX COUNTY ZONING DEPARTM q �' - �. , AS BUILT SANITARY REPORT � Owner UU AA I a yr au%So Address" City /State 1 Legal Description: "" Ffce *� Lot Block Subdivision/CSM # '/. LL&%. , Sec. , TaN -RjjW, Town of c PIN # kD 2 6^ - I SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC /2" / 7 from: House Pump manufacturer _� o,�1eg` Model 3/� yz / ► V - Well G 91 P/L Y0 Alarm location mss_ v e (HOLDING TANKS ONLY) Setbacks: Service road V to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: _�1[] 6 txy\cJ, Width 3p , 5" Length /- Number of Trenches a Setback from: House Well J IS P/L SO Vent to fresh air intake ELEVATIONS Description of benchmark hI a Jl u� �Y� o o Elevation F-/ / Qo Description of alternate benchmark Elevation Building Sewer / of . k ST/HT Inlet 17, ST Outlet 9 7. 3 ; 1, PC Inlet 9 7. 3 z PC Bottom 93 ' ° �" Header/Manif ol / , Top of ST/PC Manhole Cover /01 83 Distribution Lines Bottom of System () / • 3 - 5 Final Grade ( Yo--3 j r O 3 z 7S O Date of installation / 6 / 9 8Per number ' 3 /-585 State plan number �� 0.5 Plumber's signature License number �-2©S - 7 Date -/ 41 Inspector 9< Complete plot plan �+ Wisconsin Department Commerce PRIVATE SEWAGE SYSTEM c ount Safety and Buildings Division y: ST . CROIX • INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary31�5�t33 Personal information you provice maybe used for secondary purposes [Privacy La s.15.04 (1)(m)). Permit Holder's Name: El Cit ❑❑ Villa e w Ton of: State Plan ID No.: LAWSON, WILLIAM SC�+iERSE CST BM Elev.:. Insp. BM Elev.: BM Description: Parcel Tax No.: �� or TANK INFORMATION ELEVATION DATA A9800247 TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic �� Z Benchmark oW� �, SU DS•S ©d Dosing e�� 7� ��/l �•(-. �bS•4 l�� Aeration - - Bldg. Sewer 9111�� Holding St /Ht Inlet 1711 2 171 TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. ventta ROAD Dt Inlet Air Intake Septic (��� �� NA Dt Bottom Dosing ; 1 NA Header / Man. Aeration NA Dist. Pipe Holding — Bot. System �6 y • Jd PUMP / SIPHON INFORMATION -75- f� Final Grade Manufacturer Demand Model Number I L 7t' GPM TDH Li ft c Lriction , l Syetem� 5 TDH 12. q( rt Forcemain Length �ZV Dia. Dist. To Well SOIL ABSORPTION SYSTEM E M Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth MEN I N DIMENSION SYSTEBLDG WELL LAKE /STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O C Model Number: Systerrilv Z(j� - OR UNIT DISTRIBUTION SYSTEM Header /Manifold �, Distribution Pi s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia Length 7� Dia. ��.2 Spacing l � � � r J. a �;• 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.) 06vL4wf 5.2- S• �P� 5,11 71z�t8 LOTION: SOMERSET 27.31.19,NE,SE 1923 COUNTY ROAD I Joo'� r Plan revision req ired? �C) Yes J?}-No i Use other side for additional information. SBD -6710 (R.3/97) Date Inspector' ignature Safety and Buildings Division Visconsin SANITARY PERMIT APPLICATION 201 E. Washington Ave. 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 81/2 x 11 inches in size. S r • See reverse side for instructions for completing this application State sanitary Perm Number The information you provide may be used by other , , government agency programs A 7 [Privacy Law, s. 15.04 (1) (m)J. � n,�/ _T 5 ` ' S �yy� ,�1 ❑ Check if revision to pr sous application / 1,5 C /T (i1 • o/ t' State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATI N 2s (Q Property O ner Name Property Location d r� 1 /4 5 E 1/4, S T 3 , N, R` EW) W Property Owner' Mailing dress Lot Number Block Number o . City, State Zip Code Phone Number Subdivision Name Aq CSM Number t,� O ( 7 is ) Nft I1. T E F BUILDING: (check one) E] State Owned - ❑ It� Nearest Road Public 1 or 2 Famil Dwellin - No. of bedrooms ❑ VII age C+ /1 n own OF rh.Q eS 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) E] Apartment/ Condo Q7. 03a-- /o��- �O -000 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 - - - - -- E] y Existing TankOnl Existin System Q Existin S stem ---------------- - - - - -- ------------- - - - - -- - -------- - - - - -- -son y stem 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 1 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.) (Min. /inch) Elevation 0 I s°° 7 . N P r /01- Feet l q ,9 Feet VII. TANK Capacity INFORMATION in gallons Total # of Manufacturer's Name Prefab. Site Fiber- Ex per. New Existin Gallons Tanks Concrete Con- Steel glass Plastic App T nk Tanks strutted Septic Tank or Holding Tank I M 1 50 Lift Pump Tank /Siphon Chamber a I El 0 1 ❑ 1 13 1 13 Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for inst ion of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) nPber'sSignat e: (No amps) rmP7/MPRSW No.: Business Phone Number: In -5 S Sl S Plumber's Address (Street, City, State, Zip Code): ct IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing Agent Signature (No Stamps) (Approved ❑ Owner Given Initial Surcharge fee) Adverse Determination $ iv 0 X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: WD-639s (R.11/96) DISTRIBUTION: Original to County. One copy Td: Safety E Budding% Division, Owner, Plumber VAASafety and Buildings PO BOX 7162 SCO��,� MADISON WI 53707 -7162 Department of Commerce Tommy G. Thompson, Governor William J. McCoshen, Secretary May 15, 1998 CUST ID No.273085 CALVIN POWERS POWERS EXCAVATING INC 1969 185TH AVE NEW RICHMOND WI 54017 RE: CONDITIONAL APPROVAL Transaction ID No. 81605 APPROVAL EXPIRES: 05/15/2000 SITE: Site ID: 8503 ST CROIX County, Town of SOMERSET NE 1/4, SE 114, S27, T31N, RI 9W WILLIAM LAWSON FOR: Description: REPLACEMENT MOUND, 600 gpd DWELLING Object Type: POWT System Regulated Object ID No.: 21173 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(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 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, ryw am5� DATE RECEIVED 05/14/1998 FEE REQUIRED $ 180.00 RYAN M BOEBEL , PLUMBING PLAN REVIEWER 1 FEE RECEIVED $ 180.00 Integrated Services BALANCE DUE $ 0.00 (608)261-8504, M -F 0745 -1630 RBOEBEL @COMMERCE. STATE. WI.US P W.T.S Condition r A Q � Rod' EPARTIMENT OF ON1SlON OF SAF N SE CORRESPG - r S.ac WORKSHEET -MOUND SYSTEM DESIGN PROBLEM: 8160� Design a mound system for a The site characteristics are:'�� -- Depth to groundwater or bedrock. in. { Landslope % Z Percolation rate Distance from dose chamber to distribution system l ft. Elevation difference between sump and distribution systern ft. • 4 Step 1. WASTEWATER LOAD gal. Step 2. SIZE THE ABSORPTION AREA A) Area required = (Coa • ` - so sq. ft. B) ' AWor trench length (B) _ �, ft. C)!1 or tr_!nch width (A) _ S ft. D) Trench $pacing (C)` 1� F = / nr Was`tewa ter' 2 load .24 gal /ft /day B = ft. if trenches Step 3. MOUND HEIGHT A) Fill depth (D) _ 0?/ N rs h1 (1Ti ft. B) FiIl depth (E) D + slope (AJ'f� ,�.� ft. C) Bed or trench depth (F) _ ,63 ft, D) Cap and topsoil depth (G) _ f _ ft. E) Cap n ops it depth (H) l� ft. i�n ED AERCE License N u:.... C). -7 aU1LDtNGS DENCE Step 4. MOUND LENGTH A) End slope (K) _ [( + E1 + F + H x 3 ft. B) Total mound 1 ( = g + 2(K) ft. Step 5. MOUND WIDTH Al) Upslope correction factor = A2) Upslope width (J) n (D + F + ' G )) \ (3)(factor) _ � ft. Bl) Downslope correction factor = ✓✓ � B2) Oownslope width (I) _-(E + F + G)(3)(factor) Cl) Total mound width (W) for bed . J + A + 1 3 ft: 30;s -tV 1 - 7 , 5r �s C2) Total mound width (W) for trenches J + + (no. trenches - (c) + A + I ft. Step 6. BASAL AREA A) Infiltrative capacity of natural soil = 3 _ = gal. /ft /day B) Basal area required = wastewater flow natural soil infiltrative - capacity o� sq. ft. Cl) Basal area available for bed for sloping sites = B (A +I) n� r 'V sq. ft. C2) Bas are avail le for trench for sloping sites B = ... �J+ W ) sq. ft. a DD C3) sal ®a available for trench or bed s tes = B x W = for level Sign: ft. License I�'u:_ •S3� D ate: —S �8 lu ?31 - gLJ Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size = in. 2) Hole spacing =� in. 3) Distribution pipe length_ i 4) Distribution pipe diameter = % in. 5) Spacing between distribution pipes = C in. 6) Distance from sidewall to distribution pipe =_ in. 18) DISTRIBUTION PIPE DISCHARGE RATE ` ft. 1) Number of holes per pipe / 2) Flow per pipe GPM 7C) SIZE MANIFOLD 1) Manifold is central/ ___ end — 2) Manifold length a 3" ft. 3) Number of distribution lines 4) Manifold diameter = .3 in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate n 4 GPM 2) Force main diameter =. in. 3) Friction loss = /X0 ya � /1 ft. 1E) TOTAL DYNAMIC HEAD 1) Vertical lift = 8 ft. 2) Friction loss = ft. 3) System head 2.5 ft. c9S ft. •r 4) Total dynamic head = J,�,�3 ft. aign. Licen Date:-- f (Aj 11 of T,? _�9w .. •s c 1'Y12 r S ¢T 7F) PUMP SELECTION 1) Pump selected will discharge - GPM at / ft. total dynamic head. 2) Pump model and manufacturer .: W15 L 7G) DOSE VOLUME 9d xis � io 1) 10 times void volume of distribution lines gal. /cycle tom — 2) Daily wastewater volume . 4 doses /24 hrs. s / gal. /cycle 3) Minimum dose volume /yo'�y AW L 51 AA 3 _.____ — gal ./cycle / So�'' 711) DOSE CHAMBER a D/ 1) Minimum capacity required 9 al. I � Sign • \..u� � i Licunse Date S -- 5 — 9� i L - . ..... ------ L- .._ -t ..... ...... ----------- 7 (j 7777:1 I - !_ _ I I I -� I I I I i , a .) S or Page .le Of Straw, Marsh Hay, Or Synthetic Covering / 4 S TM CZ3 _ _ Distribution Pipe Medium Sand - �1� rr^� r - Top s 9ll G ---- y , � - % Slope Bed Of 2"— 2 %2 Force Main Plowed Aggregate Layer .D --/ Ft. Coss Section Of A Mound System Using E Z Ft. A Bed For The Absorption Area F _t Ft. G / Ft. Ined : r A _ S Ft. H /LS Ft. B _ /av Ft. sense Number: �.2� S3 K 16, Ft. ,e: ,5' - 5" L o, Ft. J Ft. Alternate Position Ft 17 S of Force Main W 30.5 Ft. } Observation Pipe--,, K A I o -- - -- -- - -- - -- -' -- - - - - -- i -- I Force Main Distribution Bed Of 2 2 '2 y Pipe ( Aggregate Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area N E — S r- 13/ —I 7LO Page S.Lt Pertoraled Pipe (]atoll 0 End View Perloraled End Cop \e PVC Pipe 0�` o r e Holes Located On Bottom, ' Are Equally Spaced VC-7 At �J i _ � r Lacl Hole Should S Neal To End Cop Distribution Pipe Layout P Ft. R S 4 X - 34 InchPS Y ' Inches Signed: Hole Diameter �_ Inch License t {umber: a I le) s3 Lateral " /i Inch( s) Manifold Inches; Date: - $ —S — � � Force M a i n 3 I } 1e; N of holes /pipe / 7 Invert Elevation of Laterals /01,9 5Ft. SEPTIC TANK 6 PUMP CLAMBE CROSS SECTION AND SPECIFICATIONS 4" CI VENT PIPE 12" MIN. ABOVE GRADE E WEATHER PROOF' 25' FROM, . DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE-- ---- -- WITH CONDUIT MANHOLE COVER FINISHED GRADE 4" CI RISER W/ PADLOCK 6 6" MIN. WARNING LABEL ---� ABOVE GRADE �— 4" MIN. 18" IN. 6 MAX. INLET WATER TIGHT SEALS GAS- ` TIGHT i 4 11 , BAFFLE A SEAL 1 � APPROVED CI PIPE --f-- i ALM JOINTS W/ CI 3' ONTO B i PIPE 3' ONTO SOLID I f i SOIL C � N SOLID SOIL PUMP OFF ELEV . FT. 1— Off Est RISER EXIT D PERMITTED ONLY IF TANK MANUFACTURER 3" APPROVED BEDDING UNDER TANK HAS APPROVAL CONCRETE PAD SPECIFICATIONS dft SEPTIC / DOSE TANK MANUFACTURER: /. Z7 C U ASL-� NUMBER 'DOSES PER DAY: TANK SIZES SEPTIC / aSO GAL. DOSE VOLUME INCLUDING DOSE __ 750 GAL. FLOWBACK: GAL. ALARM MANUFACTURER: 5T 'f /•e. tr• lc $yAQAPACITIES: A MODEL NUMBER: _ INCHES = b AL. SWITCH TYPE: /-r B = 2 INCHES = AL. j PUMP MANUFACTURER: I e"`�'° C = MODEL NUMBER: �� INCHES = ��� GAL. 3S �5 w 3//� �/� SWITCH TYPE: ��oc�i D = �_ INCHES = 2 GAL. REQUIRED DISCHARGE RATE y0 GPM PUMP 6 ALARM WIRING AS PER ILHR 16.23 VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE a FEET + MINIMUM NETWORK SUPPLY PRES URE . . . . . . . . . 2.5 FEET ,$ + FEET FORCEMAIN X FT /100 FT. FRICTION FACTOR . 1 / - 7 FEET TOTAL DYNAMIC HEAD = U, FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ^ 10 _ ; WIDTH � ; DIAMETER LIQUID DEPTH SIGNED: LICENS • E NUMBER: a2 537 DATE: 5 - S- 98 1/88 ' " GOUL.D 4�JBi�.cD, Y SEWAGE* ARID EFFLUENT PUMPS t � 1.Y • Lisr DISC. ^ 2�=t >i +� ; t* OOUPEFO311 142 EF0311 1/3 FT 115 V Effluent 1/2" solids = M1 1 ` r �1TP 256 80 172 10 �,� �.,, , s + ..:.,.submersible 1 ff�UCCi: �urr] MODEL EP0311 p r Y' MISTERS FEET SIZE 3 I8 SOLIDS i � •'' ' e�;'� r a 1s F ' ti 0 00 4 8 12 18 20 24 28 32 38 40 GPM 2.5 SA 7.5 m'/h CAPACITY 1.G Performance ' Curve G i 90 1 MODEL M eo SIZE' /4" Solids 7 WE07M.... .. so ;"Yi Wt OSH .. a i0 x 1. •'�; 0 '0 20 00 ,a - eo 00 20 q 100 110 • 170 O r•w ' CAMC LIST DISC. Ccx1NFA311J. 142 VM0311L 1/3 HP 115 V In++ H 3%4' e9103 ` 91.5S 329.3S CCx.R�70311H l42 'HEO]11M 1 3 �fS` j1r•i. c.1; / IIP 115 V pod H 3/4" solids 491.5S 329.3S OJI1PhZOS1L1 142 WE05 - hii 1/2 I4+ 115 V High H 3/4" .e61ids 204'.2S 4 .1.8S 1 Cx7lJP+dE0712H 142 rW S0712i 3/4 FOP 230.V high M. 3/4" oolids 8.43.65 56S.2S y +' ' •• "" SEE FMI.04IW. PALE FM PEI1FCRh1 V= AND SPI=FICATIMIS. IRATE 10/88 DEPT 30 PAGE D7u ITL R T & 83-05, Wi!3. Adm. C(d OUNC;y Mnch COmPkN) iii a r1an nn pnPfi P(A ?! 8 112, 1 in in" but St. CrCiX nol limited to voitical and hori7ojjj,-.jI j -p rr�nco ' wint di (13M), PARGEL dirm)o!�ionad, north arrow' rection and % of slop�?, sca!s or -Z , and Ioca�ton and dktanco to noarost road. 032 M CANT INFO RFAA TION-PLEASE PnINT ALI. INFORMATION REVIEWED BY -'r+, ;T—E -- -_ F ROPERTY OWNER: FROH-ATYLOCATION GOVT. LOT NE 1/4 SF, 1 27 T 31 19 :F: V1 R, ERTY OWNER -S MAILIt;G ADDR­ SUB, LOT # SLOC,� NAME OR CSM 4 1917 Co. Rd. I Ila ria na P - . --=— it' Somerset, KI 5402 CI 1 (57_ ).R f rl� IT -- jNFAREST ROAD P4 4 , � , V ]VILLAG2 15FO�V�4 . 5 L: � Nt 'NIG! A�L j ....... 71'.5)247-3242 CC). Rd."!" ............. New Construction Use (.x) Resid 4 � 3,f no - - ---- [ ) Addition to existing building____ Aep!aceinont Public of conirrercial desc Cc derived daily n 600 9pd Recommended design loading rate 2 bed, 2 •3 2 gpd/ft trench, gpdift Absorption area required nP bed, ft __500 tren ch, ft2 Maximum loading rate design .2 bed, gpd/jt .3 trench, g pd/ft2 j — Recommended infiltration surface elevation(s) — AAdditional design ! site considerations --_ I�Ll - 3 5 I ----ft (,as referred to site plan benchmark) __qhs� t ba sed on Parent material - _pitted a 1.5 cLr.j f t --.-----Flood plain elevation, it applicabfo ng CONVENTION r PRESSURE A S -- Fu'lable for system �L M. 0 U N,D '' 7 G D E ' - 4 TANK f o r s ystem 0S M U E9 S 0 U SYSIELM N -!LL HOLDI� ❑ S ��� ❑ S El C) S tj 0 S c4u SOIL DESCRIPTION REPORT De th i 0 mnant Color MOMS Structure polft Boring :# Hori7on Texture Gr. Sz. Sh. Consistence in u. z. Cont. Color I 30 u r cbfy HorizioTn (foot t7 ' L Munsell Q S C ep in- ed ;Tre 0 0-1 _ 0 10 r 3 1111 _none 2msbk- -PL 2 none sici icsbk mfr .2 i 3 f3round 3 23-36 5yr 4/4 none sicl I lcsbk -if .2 1 .3 r -TW L t 4 36-60 5yr 4/4 none scl m " - nC) Depth to 7 limiting tor 36" Re,Oarks: Bering # 0-10 3 1017 nn 2 2 10-? j 7. 4 ------- S i CT Icsbk Pif r 2 none 24—J4 5yr 4/4 Ground none na na na np np cloy � -- -- — : — i 00. 41ii5 Depth to limiting factor 24 Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th./Av Ne w R j mo d. WI 54017 ' Signature: Date: 10-2-97 CST Number: m02298 ------ - - -- - 1U Curinc r "i-11rizon Depth Dorninant Mott�,s ructu in. MUns Cu. - Sz. Cont. Co!or Texture St Sz. re Consistonce QDi-d&y Roots Gr. Sfi. . ....... . Bed nong C, -?0 -2-- --LO-y—r no s ic.. —LMq-b-kc mfr r If .4 C "Ou n d 3 _.2D-37 .2 �3 4 37-55 none sic na na na _ IlfnibL g factor 3T Remarks: Boring m Ground Depth, lirfliting factor Remarks: B oring # Ground elev. D to factor Remarks: kring # . ...... .... 3round lev. �epfti to niting V , I or YI e 1554 200th Ave. S' 2 7-T3 I N-R19 Richmond, WI 54017 tol'111 0I. S C (715) 246-6200 in Birch tree Q) el. loo Alt- 1. corner of cement slab by house el. 103.70 J )31 OT Gary L. Steel 10-2-97 Wisconsin Department do g ns ndustry, Labor and Human Relations SOIL AND SITE EVALUATION REPORT P 1 of 3 — 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 ( =c, d % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dicta t nf@ �I q? 032- 1075 - APPLICANT INFORMATION - PLEASE P NT ALL INFpRMATION \ REVIEWED BY DATE PROPERTY OWNER: P PERTY LOCATION Will Lawson T =G -T ,� ; GO r. LOT NE 1/4 SE 1/4,S 27 T 31 N,R 19 f (or) W PROPERTY OWNER':S MAILING ADDRESS " 'a LO # BLOCK # SUBD. NAME OR CSM # 1917 Co. Rd. I 'P �, ST CRO;x na na CITY, STATE ZIP CODE MHO CITY ❑VILLAGE �]rOWN NEAREST ROAD Somerset, WI. 54025 9 5 Somerset Co. Rd. "I" [ ] New Construction Use [x] Residential / Nu; r dr 4 [ ]Addition to existing building ( Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate • 2 bed, gpd /ft •3 trench, gpd /ft Absorption area required np bed, ft 500 trench, ft Maximum design loading rate • 2 bed, gpd /ft .3 trench, gpd /ft Recommended infiltration surface elevation(s) 101.35' ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el 100.35 Parent material pitted cflacial drift 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 system ❑ S L� ®S ❑ U ❑ S CCU ❑ , CCU ❑ S CCU ❑ S MU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench <..._.l.' 1 0 -10 10yr 3Z3 none 1 .5 .6 2 10 -23 7.5 r 4/4 none sicl lcsbk mfr gw if .2 .3 Ground 3 23 -36 5yr 4/4 none sicl lcsbk mfr gw if .2 .3 elevl0l fit. 0 4 36 -60 5 r 4/4 none scl m na na na np np Depth to limiting factor 36" Remarks: Boring # 1 0 -10 10 r 3/3 none 1 2msbk mfr yw:. 2f .5 .6 2 10 -24 7.5 r 4/4 none sicl lcsbk mfr gw if .2 .3 Ground 3 24-84 5 r 4/4 none sicl m na na na np inp elev. 1 Depth to limiting factor 24" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th./Avie., New Richmond. WI 54017 Signature: Date: 10 - - CST Number: m02298 STEEL'S SOIL SERVICE Gary L. Steel CSTM2298 William Lawson 1554 200th Ave. MPRSW 3254 NE4SE4 S27 T31N -R19W New Richmond, WI 54017 1 town of Somerset (715) 246 -6200 N 1 " =40' BM.= nail in Birch tree C el. 100' Alt. 1. corner of cement slab by house C el. 103.70' 31, � 3f Co "' Gary L. Steel 10 -2 -97 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer , rnn Y ��� 1 � a � �� S Mailing Address Cq 1 - 7 pa- Property Address (Verification required from Planning bepartment for new construction) City /State .l, 51 S4(05 Parcel Identification Number - LEGAL DESCRIPTION Property Location ''/4, $ '/4, Sec., TLN -R W, Town of no �5� Subdivision N �} , Lot # Certified Survey Map # 7(oC 5 SO , Volume / , Page # Sj Warranty Deed # S (o `7 _� , Volume f R 7 �— , Page # Spec house ❑ yes 1� no Lot lines identifiable X! 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 septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the , ee year expir on date. Q O SIGNATURE OF-APPLICANT DATE OWNER CERTIFICATION 1 (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 abo , by virtue of a warranty deed recorded in Register of Deeds Office. jj -- 1 lam/ 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 y co 3�o vd Q'o 9 FILED NJAILI, 3 0 1998 ► tt KATHLEEN H. WALSH Register of Deeds 57605t� V St Croix CO..WI 1� N CER T I EI ED S UR V E Y IWA R Located in the Northwest quarter of the Southeast quarter of Section 27, Township 31 North, Range 19 West, Town of Somerset, Wisconsin. USA. St. Croix Counter Owned by: Bill /R.ita Lawson o - denotes 1 "X24" iron pipe weighing 1.68 19Q2' 60th St. pounds per lin. foot set. Somerset, Wi.54025 0 - denotes iron pipe found. - 1" IP. (R) - previously recorded information. Bearings referenced to the North -South 1/4 North quarter corner Section line, assumed to be S00 00 Section 27 -31 -19 (County monument found) . UNPLATTED LANDS I z S 89' 11 ' 33 E (s89 0 11'40 "E) 520.78' _ o i o 172.31 348.47' (172.60') W (n a to �®77 2 i C) p to N O I p m 324,703 Square feet 3 �I ° (7.454 acres) a Q o i z ,t I a i ti p I MAR 1 0 GA _ f'2©k.A ;:;e.ir 0 ---- S89-11 '34"E 66.05' oa N 89'11'34 "W 0 178.96' Of not �cnffj 0 (589 "E 66.01') 9a N 89' 11 ' 34 "W pjj -- — — smrow:as date 410.30 ' SWOVW sh" be 6 6' f A and void 0 � (D o M I UNPLATTED LANDS o z South quar ex corner Y ►*�� ST. CROIX COUNTY - WISCONSIN ZONING OFFICE "" ST. CROIX COUNTY GOVERNMENT CENTER ,,. 1101 Carmichael Road Hudson, WI 54016 -7710 ��---� (715) 386 -4680 SEPTIC INSPECTION / WATER TEST REQUEST FORM v\, Please specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure that entry can be gained. ❑ Idater (VOC's) - $?85.00 X -eptic _$5 -0.00 Water (Nitrate & Bacteria) 45.00 ❑ Nitrate & Bacteria rJ' Water (Lead Concentration) 21.00 retest $15.00 Owner: /��,� r P / W �qq _ Requested by: 1 1,001-5 Address: Iq � 3 Co ,T - Address: I I T Sa yn f" efi W T ZIP 0.2 So V0 e I,-5 , 6 -t W, - ZIP — ,�� f Telephone If: ( ) Telephone W: ( ) 2 � �7 3 >Y > �( 3 _a g ( address (Fire If & Street) : 1 q.2 3 C n of T Location:& F, h, Sec. - 2Z, T V N, R W, Town of So m er S e 77 Realty firm: Lock Box Combo: Closing Date: 0 3A — /07( o -70 - 000 27.9 /9. 38 /A 1, TO BE COMPLETED BY PROPERTY OWNER * PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM* Water sample tap location: 5 F— 5 c de 4 -F 10 Is the dwelling currently occupied? IZ Yes ❑ No If vacant, date last occupied: Age of septic system: q V _ S a �/ �O u121P S ' Septic tank last pumped by: q q y Date: I C/ q5 Previous Owner's Name(s): Have any of the following been observed? ❑Y ®N Slow drainage from house. ❑Y 13N Sewage Back -up into dwelling. ❑Y RN Sewage discharge to ground surface or road ditch. ❑Y ON Foul odors. _ Other comments relative to system operation wo y k-s I certify that the above information is complete and true to the best of my knowledge. OWNERS SIGNATURE : _, ?J i � � DATE: 7-q /4qy - �17 1/94 1- NJU - c.� - 177 r 1C • GJ, .� rmuri wr L- " i i u 1 - (1�G4 (Jb=>w F'. iaz • w Job Office Phone POWERS Horne Phone 2464525 246 -5135 CEMENT PRODUCTS NEW RICHMOND, WIS. S4017 DAT CUSTOMER ADDRESS — CITY & STATE �- Septic tank_ .—$ Installation Dry Well Digging — $ Manhole Rings $ Backfilling --- • Pipe: Cast S $ Extra Dirt $ --- Orangeberg - 4 KO - 't Rock ' S - $ .2 y� TOTAL / S All accounts due in 30 days. Date Started Discount of if paid in 30 days of completion of job. ILLUSTRATION' ' Z ® zo as rcpt ►•A by tae vVtstoaan Ltn law. CaW in w. ne •caner, rNt vrapns er a•rap•Mrs q+vhnbp 40ar a mafrW k Or Mesansh uctlen •n errwr s 1!n mar •w 11•t+ .i9�R en arrn•rk IanA i•a erNdb9 :If M+ R•H_ Tnase •rMtka a N•ri *+fly. b aaahbn to +He undarslyn•A, yr� tne+a who mMrad a rl th ftr! •+veer or ttwa• e'`r+I erode vrll re elMe rtoNc c h•o�n trtese rho urnhn Ydor or m+R.r+its +er i Reee•sl �l•a.a dq►IA y coCy of eat noMCe received b v b menp ape 1•nder, N snr. 1 ptrr•• a coavwaR rIM t+r! er•nw ■ b IM Iapeir, N • mr, fe :!!flat all petentlat lien elainank are auM vab- TOTAL P.02 08/29/97 FRI 13:28 [TX /RX NO 99841 ST. CROIX COUNTY WISCONSIN `L ZONING OFFICE Noun, ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road ' — Hudson, WI 54016 -7710 (715) 386 -4680 September 30, 1997 Bill Lawson 1917 C. T. H. Somerset, WI 54025 Dear Mr. Lawson: On September 17, 1997, I visited the property owned by Muriel Wegge located at 1923 C. T. H. "I" to collect a water sample, and to evaluate the septic system. The water sample was submitted to Commercial Testing Laboratory, Inc., for analysis of the bacteria and nitrate content. The report furnished by the lab is enclosed. The area indicated on the drawing showing the septic system was inspected, however there was no conclusive evidence showing the existence of the septic system. It was also indicated on the application that the residence has been vacated. Therefore, should the system be failing, it most likely would not be evident at this time. This allows the possibility of hidden defects in the system not discoverable at this time. I cannot warrant or guarantee in any way that this system is functioning properly, or will do so in the future. Should you have further questions, please contact me at the above number. Sincerely, Mar enki Mary ns Assistant Zoning Administrator CC: File COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715 -962 -3121 800 -962 -5227 FAX - 715 -962 -4030 ST. MIX COUNTY ZONING OFFICE REPORT NO.* 48561/01 PAGE 1 ST.CROIX CTY GOV.CTR REPORT DATE* 9/25/97 1101 CARMICHAEL ROAD DATE RECEIVED* 9/18/97 HUDSON, WI 54016 ATTN* THOMAS C. NELSON OWNEfi* Muriel Wegge LOCATION: 1923 C.T. H "I ", Somerset COLLECTOR* M. Jenkins DATE COLLECTED* 9 -17 -97 , TIME COLLECTED* 1*15pm ti SOURCE OF SAMPLE* Outside; faucet DATE ANALYZED:9- 18-97`` TIME ANALYZED!,,._�*.0 m COLIFM :hiFCC* 0 %100 ml I e ' ' 'e ` IfNI. BacteriotogicaLly SAFE J ti (NITRATE -N* 0.7 ppm -,,4 ve 10 ppm exceeds the recommended Public Drinking Water Standard. d , CoLiform Bacteria /100 mL Nitrate - Nitrogen, mg/L LAB TECHNICIAN* Pam Gane WI Approved Lab No. 19 < Means "LESS THAN" Detectable Level Approved by* PROFESSIONAL LABORATORY SERVICES SINCE 1952 cc 3 ° °coP� Pd f 9 �0 FILED g 5 U 1998 ► > > KATHLEEN H.WALSH JUL ' 8 1998 Register of Deeds 576056 1 � St. Croix Co.,W1 >� ST. CROIX COUNTI' SURVEYOR'S RECQRD N C ER T I E I ED S UR V E Y MA R Located in the Northwest quarter of the Southeast quarter of Section 27, Township 31 North, Range 19 West, Town of Somerset, Wisconsin. USA. St. Croix County Owned by: Bill /Rite. Lawson o - denotes 1 "X24" iron pipe weighing 1.68 19077 60th St. pounds per lin. foot set. Somerset, Wi.54025 10 - denotes iron pipe found. - 1" IP. (R) - previously recorded information. Bearings referenced to the North -South 1/4 North quarter corner Section line, assumed to be S00 00'41"W. Section 27 -31 -19 (County monument found) . _ UNPLATTED LANDS I LU W — S 89'11'33 "E /S89011'40 " E1 �i u 520.78' 172.31 348.47' U I I $ ( 172.60') W W I �+ c0 uo 0 0 � �� N LL ®7T •' 2 cn 0 324,703 Square feet 3 Z! ti ° (7.454 acres) Q� o � Z J1 0 M O v� o CU - _ 0 rn� W o � ° o O � Q O GA r V / H4E > 26 S89 °11'34 "F 66.05' o p 0 N 89 11'34 W fS89 °11'40 "E 66.01') 5ph �p 178.96 of W I N 89'11'34"W 6 410.30' � c I I sq►si :kid v and o� UNPLATTED LANDS Z