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HomeMy WebLinkAbout034-1007-40-000 1 c> > ST. CROIX COUNTY ZONING DEPARTMEN t + AS BUILT SANITARY REPORT Owner I Property Address / f C �— /I � �� / �' j -� city/Stat el C � �, Legal Description: Lot Block Subdivision/CSM #f Sec. T -aN -R —own of S', -mss. Z,. /— _ IN # C ,> d SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC Setback from: House /0 Well P/L ZZ/ o Pump manufacturer A i 'D Model Alarm location T (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM S , 75 Type of system: 4 t r L lie/ Width 2 7 Length ! �Z ? Number of Trenches 1 Setback from: House Well J 2: P!L _� ° Vent to fresh air intake C� ELEVATIONS Description of benchmark Z /' f �i i 0 ' ° /`"� L . y - vation Description of alternate be nchmark f 1/ E6 �• evation /D 3 Building Sewer 3 - ;' - ST/HT Inlet P ST Outlet PC Inlet PC Bottom _ Header/Manifold -Top of ST/PC Manhole Cover 10 .,)- c j Distribution Lines 0 r 33 O ( ) Bottom of System Final Grade Date of installation i / //z J ° Permit number 2 � '% r) State plan number ! �' Plumber's signature , u -may license number Z�f Z y y _ Date Inspector Complete plot plan + r Wisconsin Department of Commerce Count S PRIVATE SEWAGE SYSTEM y ' T. CROIX Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) SanitarP,er it,lyq.: Personal information you provice may be used for secondary purposes [Privacy L , s.15.04 (1)(m)]. ROT , I MF C��W j ,Wt4tj�Tovvn of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel I'3V-4007 40-000 TANK INFORMATION ELEVATION DATA A9800539 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. p. S Bench a ; Aeration Bldg. Sewer cj Holding 4 SVW Inlet /bs•7 (P 5 grl• /7 TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet irl Septic 175 '� 1 r /�/ �,� NA Dt Bottom /07 Ip. qS Dosing r► rf r NA Header /Man. 1 ,8 , 9&0 Aeration NA Dist. Pipe 1495Y6 46 , - 7 Holding Bot. System 1, 1,36o 16 1;)- PUMP / SIPHON INFORMATION Final Grade 3 Manufacturer i �� Demand �� P, ¢ �2. �o� - gjp Model Number - A- 2 ,1 _ 7 D�GPM TDH Lift9&— L oss rictiory4 System TDH Forcemain Length ` �/s Dia. 1 Dist. To Well SOIL ABSORPTION SYSTEM BE EN I N Width p Length No. Of Trenches PIT No. Of Pits Inside Dia. quid Depth DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHIN anufadur . SETBACK CHAM R INFORMATION Type O �oZr ✓ �' CH UNI M umber: System DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. _L_4 Spacing I 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 1 >t' Topsoil [ Yes ❑ No Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: SPRINGFIELD 04.29.15.52,SE,NE 1170 HIGHWAY �I°�'` II °k Iq�, GI°i r�' 1a3'/� - /a �7 4V e %eva>tr/ %D�/ /a- - s% l,Jae cr�� 'G1y y Plan revision required? ❑ Yes ONO /! _ / Use other side for additional information. [ 1 - 7 7 3 SBD -6710 (R.3/97) Date Inspector's Signature Cert. N� Safety and Buildings Division Vis 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 1 than 8 1/2 x 11 inches in size. C 1r01 • See reverse side for instructions for completing this application State Sanitar Permit Num er 3� (I The information you provide may be used by other government agency programs ❑ Check if revision to previo s application (Privacy Law, s. 15.04 (1) (m)]. , I FV T/ (VY, State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N Pr rt wn N e propert tion y wa -1 /a, S - T �� , N, R / E (or)( . � :4L Property Owner's Mailing Addr�s� � Lot Number Block Number Cit ,State t2ip Code Phone Number Subdivision Name or CSM Number II. TYPE OF BLY11EY11 G. (check one) ❑ State Owned ❑ !t� Nearest Road ❑ VII age Public S 1 or 2 Family Dwelling - No. of bedrooms 3 _ Town OF�/ III. BUILDING USE (if building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo °2q' /� 0� ®`3 L ^ ®� 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 gz New 2. ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an T 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 E] Specify Type 41 C] Holding Tank 12 E] Seepage Trench 22 N In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INWRMATION: 1. Gallons Per Day 2. Absorp. Area 3. A rp. Area 4. Loading Rate 5. Pert. Rate 6. System Elev. 7. Final Grade Re wired (CO. ft.) Pro s (s ) (Gals/day /sq. ft_) (Min. /inch) Elevation , L .1 :�; ltd Feet � _4 ,.3 Feet Cap HExistin VII. TANK in Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New strutted Ta nks G�} eptic Tank jm4vyh imji"dnk f �L�f� �� P h tG7 ❑ 0 El ❑ E] Lift Pump Tank owaL tuber ESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) F ber's Signature: (N Stamps) MP /MPRSW No.: BUsiness,Phone Number: Plumber's Address (Street, City, Smote, Zip Code)- / IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee ( i nclude s a Fee) water ate Issue Issuing en ignature (No Stamps) 1 4 A roved v V U surcharge Pee) /�� pp ❑Owner Given Initial U {// Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: bakooiw 5 W,,At pop -54 on h6 v5G y /a , SBD -6398 (R.11/96) DISTRIBUTION: original to County. One copy To: Safety & Buildings Division, owner, plumber I Safety and Buildings 2226 ROSE ST LACROSSE WI 54603 -1905 *iSconsi Tommy G. Thompson, Governor Department of Commerce William J.M en, Secretary April 23, 1998 V r- CUST ID No.267341 ATTN.• Rod Elsinger _.F A WEGERER SOIL TESTING & DESIGN 421 N MAIN ST ,. PO BOX 74 r`'•.� ' 'fi�7�F RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL Transaction ID No. 74989 APPROVAL EXPIRES: 04/23/2000 SITE: Site ID: 141972 St. Croix County, Town of Springfield SEl /4, NE1 /4, S4, T29N, R15W Facility: WALDO ROTT FOR: Description: NEW MOUND Object Type: POWT System Regulated Object ID No.: 13224 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • 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. Adm. Code. • 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. Slats. 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, DENNIS R SORENSON , WASTEWATER SPECIALIST Field Operations (608)785-9336, MONDAYS 7:00AM- 3:45PM DSORENSON @COMMERCE. STATE. WI.US Page of 6 s MOUND SYSTEM FOR A Z BEDROOM RESIDENCE LOCATED IN THE SE 1/4 OF THE NE 1/4 OF SECTION `I , T N, R IS W, TOWN OF SP2lNG FI LT-n , ST. <- COUNTY, WISCONSIN. INDEX PAGE l ' of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR w r� p O R1v1� UtJ t.) A CzUTT RECEI QED APR 131998 SAFE & BCDGS ©1V PREPARED BY WEGEE�ER SOIL TESTING AND. D - \ Ill 1 * 7 4 ES I (3M SEFZ�1 I CE .•••.«•.••• P.U. BUI 74 421 K. KAIK ST. ARTHUR WEGEHER RIM. FALLS. VI 54022 ? D 915 � 715 -42`., -0165 w i w �i S IG1 JOB NO PLOT PLAN Page. Z. of � Scale 1 "= L10' lb" 1 bUp � 1vC e Gl?�U>\l� 1N S D11j, hOPllrZ NL' r Urve OF ' 4v � S A 11z.t I U ��PJ'SuU - tL W °- corv�vvcZ L;L . u 1. l3oT`IUrN OF TteC4 Q. 2,, q Zs, /9 S "lo r f l �� 'r 69 ,CT I � 00 � • 3 I �- LSLlUO y 0 ' B.1 LL 0 � 1011 _ $tea �p 1U OT `Uri ��� CT ONI Z BD�c,Wj s P N �\ STu��D �1tts A-►z�ry_ �V st, Ze of p vc ! v i € u, TE SEWAGE SYSTEM nditi®nally PROVED ` DIVISION OF SAFE AND BUILDINGS SEE CORRESPONDENCE NOTES -1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be Wub 16Sa gallon capacity manufactured by 5. Bench Mark S � PC43p UE 6. Divert surface water around System to prevent.ponding at the uphill side. Page 3 Of Approved Synthetic Covering t)sTM c 3 - Distribution Pip , 9 "0 Medium Sand _ Topsoil F Elev'. 10y - --� D - 3 E b g % Slope Force Main Plowed Trench of k"-2k" From Pump Layer Aggregate Undisturbed D yz) Ft. Soil E _.q Ft. Cross Section Of A Mound System Using F o•S Ft. Trench For The Absorption Area G N•� Ft. A S Ft. H i• S Ft. B SO Ft. I 1S Ft. Linear Loading Rate= - �•Z GPD /LN FT J - 7 Ft. Design Loading Rate= 0.3 GPD /SQ FT K 1 1 Ft. L - 71 Ft. r Tgc i t i nn of FOT^Ce -Main W Z Ft. L Force B K - Main A- -- — - -- — — �� � 'f" OPPaSt� Distribution Trench Of Pipe Aggregate I Permanent- Observation Markers Pipes (Anchor securely) PE� RI'T'E SEWAGE SYSTEM Mound Using I Trench For Absorption Ar P"ROVE[ DIVISION OF SAFETY AND BUILDINGS SEE CORRESPONDENCE Page 1 Of —� Perforated Pipe Detail 0 End View Perforated End Cop. ae�e,a PVC Pipe j Install permanent at end of each lateral Holes Located On Bottom. Are Equally Spaced Q End Cap PRIVATE SEWAGE SYSTEM * ~ PVC Force Main Conditionally APPR OVED Distnautian \DiVi51AN OF SAFETY AND BUILDiN6S Pipe Lost Hole Should Be Neat To End Cap SEE CORRESPONDENCE Distribution Pipe Layout P X 3Z Inches Y 3p Inches Hole Diameter ) J4 Inch Lateral ]I/ Inches) Manifold — Inches Force Main Z Inches # of holes /pipe 10 Invert Elevation of Laterals Ft. 101- 1.1 z \ \. x, Z. = Z 3 - U u GP►"1 Place lst hole 1 S 4 from tee with succeeding holes at 3 0'' intervals. Last hole to be next to the end cap. Combination Sept,;1c;Tank and PUMP CHAMBER CROSS SECTION. AMD SPECIFICATIOMS PAGE S OF � r VEW7 CAP WEATHER PROOF Ju1JCTIOL Box y 'C.I. VEMT PIPC APPROVED LOC.KIAIG 110 FROM ODOR. MAWHOLE COYER ruts wAE�tJ11J`,, L�6L: . - .i,mDOW OR FRESH ALP, IWTAKE i tj 6 FT . - tZ 103 t�'r�id Gam I y�luS��ctlorJ PIPC PROVIDE I - - - -- l/JLE T AIRTIGHT SEAL BAFF��S A I I ( APPROVED JOWT: APPROVED JOI I II W /C.I PIPE-4tH'c W /C. I.W!4 1 ank construction I II ALARM _`�P,��S � � sh 11 (;3 comply 1 and 83.20 1 a I 11 dtit ' fJ I i o co ��►�� I zs FT. - - � �E PUMP -� OFF �NG D IJCRETE f40 CO p Na a1. C� S • o o pLocK RISER EXIT PERMITTED OULtJ IF TAWK MA►JUFACTURCR HAS SUCH APPROVAL DDINQ SEPTIC 5PEC.IFICATI0L1 S E DOS MK MALIUFACTURCR: � � T UUMfSER OF DOSES: 3.3a PER DAy TAWK SIZC: �OVb ! 6S0 GALLOWS DOSE VOLUME If S �` IMCLUDING B ACKFLOW: V3 — GALLONS ALARM MAIJUFACTUILi-R: MODEL DUMBER: �` H"i CAPACITIES: A= �� IUCHC5 OR Z S S CALLOUS SWITCH TUPC• CI��Z 1- ( B = Z IIJCHES`OR 3k4 G6LLOIJS PUMP MAIJUFACTURCR: A\3\ -tDw� T)C _ B PS C= (D I u CF1ES OR ti\�Z GALLOIJ5 MODEL UUMBER: S 1�J Z S D= S INCHES OR ZS S GALLONS SWITCH TYPE: I" 1 �___Ntr_' WOTE: PUMP AMD ALARM ARE TO 15E MIAIIMUM DISCHARGE RATE �3.4g GPM INSTALLED OW 5EPARATE CIRCUITS VERTICAL DIFFEREkicc DETWCEU PUMP Off AIJD.DI5TRI5UTIOU 8•�.S PIPE.. FEET + MIIJIMUM METWORK SUPPLY PRESSURE .. 2.52 FEET + FEET OF FORCE MAIN Y, ` .\S FYo►r.FRICTIOU FACTOR_ 21 Z FEET TOTAL OyWAMIC. HEAD = 1 �. 6-7 FEET DIAMETER - y Pump chamber ILITER1IAL DIMEAISIOMJ OF TAWK: LEAIGTH ;WIDTH ;LIQUID C)EPTH 3 BOTTOM AREA _ 231= _ GAL /INCH AS PER MANUFACTURER = n -"zi GAL /INCH ENGINEERING DETAILS - SW25/33 Performance Data Pump Characteristics 32 Puns /Motor Unit Submersible W Manual Models SW25M1 SW33M1 W z4 LL Automatic Models SW25A1 SW33Al 1/3 HP a x Horsepower 1/4 1/3 g16 Full Load Amps 8.0 10.0 z 1/4 HP r Motor Type Shaded Pole (4 pole) a t. R.P.M. 1550 0 8 Phase 0 1 Voltage 115 0 Hertz 60 0 10 20 30 40 50 60 CAPACITY -U.S. G.P.M. Operation Intermittent Temperature 120 °F Ambient Total Head (feet) 4 6 8 10 12 14 16 18 20 22 24 NEMA Design A 1/4 HP 44 41 36 33 29 26 23 18 12 6 0 Insulation Class A GPM 1/3 HP 47 4S 43 40 37 34 30 26 22 16 10 Discharge Size 1 -1/2" NPT Solids Handling 1/2" Dimensional Data Unit Weight 30 lbs. 3 -1n 5a/8 1. All dimensions in inches Power Cord 18/3, SJTW, 10' std. 4 -1n 2. Cornponeal dimensions may (20' optional) vary ±1 /B inch 1 -1/2 NPT 3. Not for construction purpose 3 -1/2 DISCHARGE unim certified Materials of Construction 4. Diniensiorts and weolTare approximate Handle Steel 3 -1/2 6. Weer v reserve the t o Lubricating Oil Dielectric Oil make rerisans to our products and their Motor Housing Cast Iron speckoiions without notice Pump Casing Cast Iron Shaft Steel Mechanical Seal faces: Carbon /Ceramic Shaft Seal Seal Body: Anodized Steel Spring: Stainless Steel Bellows: Buna -N PUMP 11 -1/8 ON Ins eller Thermoplastic 10 -1/8 9-1/2 Upper Bearing Bronze Sleeve Bearing DISCHARGE HEIGHT Lower Bea Sin le Row Bali Bearin Strainer /Base Plastic 3 PUMP 1/2 < fasteners Stainless Steel OFF W Z AURORA /HYDRONIATIC Pumps, Inc. 1840 Baney Road, Ashland, Ohio 44805 Y (419) 289 -3042 u .n Wisconsin Deparbnent of Industry SOIL AND SITE EVALUATION REPORT Page of 3 labor and Human Relations Division of Safety 8 Buik1rgs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inohas.ici size. Plan must include, but not limited to vertical and horizontal reference it po (�BNF� direction a► % of slope, scale or PARCEL I.D. # in dimensioned, north arrow, and location and dista nt I to nearest road: `. O z, M0 7 y APPLICANT INFORMATION— PLEASE PFUITT IWOR#AT10N T' L I - it PROPERTY OWNER: PROPERTY LOCATION Gffiq-69T --!S e 1/4 QE 1 /4,S y T Z. ,N,R E (o W PROPERTY OWNER'.S MAILING ADDRESS y �Rot,� I L # BLOCK # SUBD. NAME OR CSM # rc; — - CITY, STATE ZIP CODE PHCN, �F1C C I YY []VILLAGE E TOWN NEAREST ROAD F OOD L`thlrWl SU (' l� 7u Q P1Zj1QG Ft D ST)} \Zg kj New Construction Use LA Residential / Number o [ ] Additi( t to existing building I I Replacement [ I Public or commercial describe Code derived daily flow � bJN gpd Recommended design loading rate _ bed, gpd/ft - trench, gpdtft Absorption area required _ SOO bed, ft S u trench, ft Maximum design loading rate _ S bed, gpd/ft? _ \_trench, gpd/1`1 Recommended infiltration surface elevation(s) Z �4. 0 It (as referred to site plan benchmark) Additional design / site considerations l'l0y►vp wl B ' X Ja 3' 3a Z - M I Aj , ►Z" OF S R /vy t-t- Parent material (?) - Flood plain elevation, if applicable Iv A ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM W FILL HOLDING TANK U = Unsuitable for stem El S U �1 S ❑ U ❑ S ®U ❑ S ®U El S ®U ❑ S 90 U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Borday Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 0. U F z z6 Z. S YR V - s i 1 Z-� 3�}r Ground 3 26 -'! C S y2 3) y ) -s L/e. S) 0 6 s c\ c�, W►'�'1- - NS' . Z elev. fL Depth to limiting factor z6" Remarks: Boring # 0 -8 10y�z 313 - s> 1 ZmS� Yn`�h C4" c - -5 -L E gR_Z/Q - 71.Svlz Vt W1�� - 3 2.6 -4 S yIZ 3lcj -h is La S /8 set 0�► m`F>• — Iv1� - Ground elev. K Y4.o It Depth to limiting factor Remarks: TName:— Please Print Arthur L. We erer one 715- 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022 Signature: I Date: _, CST Number. -q. M00576 PLOT PLAN Page 3 of 3 SCALE 1 "= Lq� ' � 2 - - �1, 100 • Z' ON S1�11z1r Le P1r80U1' / G1ZC1t)hA� IN 5 DtA. NON- UVZ NL�CRQS�" Ur+.i� qF 40 SAS it4 FMoU� G Rpvr�� l ^j - Ol.�. 19 8 �o o a � e .3 L I M �� S Cl►�Z $ 1)hs PAZ% - °�o m� Jo Zs' pltt)M W i Ulvt) __ _ - - -- L i L • V i ( 715 ) 425 14 00576 CST Signature Date Signed Telephone No. CST # Wisconsin DepartrnentofIr istry SOIL AND SITE EVALUATION REPORT Page \ of 3 Labor and Human Relations DivvWon of safety & Odk irgs in accord with IL.HR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan nwst include, but mil" • Cj2Alk not limited to vertical and horizontal reference pant (BM), drection and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. o w4 _ ] 0 0 y l3 APPLICANT INFO RMATION= PLEASE PRINT ALL INFORMATION BY._. PROPERTY OWNER PROPERTY LOCATION W M_b0 �1 - S!= 1/41JE 1 /4,S y T 7 ,N,R E( W PROPERTY OWNER' MAILING ADDRESS LOT 4 BLOCK SUBO. NAME OR CSM # _ — CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE RYOWN NEAREST ROAD GLeAQ0b C1rfIIVI Syot�s ( IS)z-bs SpR1nJG Y=IEuD ST)+ �Z$ kj New Conshdon Use [X] Residential / Number of bedrooms y [ ] AdW n to e xistatg building [ ] Replacement [ J Public or commercial describe Code derived dally flow 1 1,D gpd Recommended design loading rate _ bed, gpcW trench, 9PW Absorption area required SOO bed, 11 S b u trench, It Mabmum design loading rate • S bed, gpd/ft2 - �,_ trench, gpolft Recommended infiltration surface elevations) %O 14. 0 It (as referred to site plan benchmark) Additional design/ site considerations X ) Q 3' - e %--). M IAj • tZ` SIN- Ft- Parent material ?1 Flood plain elevation,rf applicable N A ft r s u = Suitabl for system CONVENTIONAL MOUND IW-GROUND PRESSURE AT -GRADE SYSTEM IN FlLL HOLDING TANK = Unsuitable for system ❑ S Q U RI S ❑ U [IS O U [Is ® U 11 S ® U ❑ S OF! U. SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bard3y Roots GPD /ft in. Munsell Chu. Sz. Cont Color Gr. Sz. Sh. Bed tTier6 ' = 0 -9 X0`12 3!3 — sil Z►rl m'�r a, •l Z z6 Z. S y(2 s 1 z� ask wl'�r O- S - s . 6 Ground S ylZ 3) � s yli sJ S c� o,�, Yvl `F1- - NP . Z elev. g oy. ft Depth to limiting factor Z6" Remarks: Boring # -$ 1rz� `III 313 - SLI Ztir - I•SYIZ VlV 3 u S y>z -V( � Is Liz Sly sc1 ��►► ro — I.>> - Ground elev. f oy.o IL Depth to limiting factor Remarks: CST Nme Pfint Ph". Arthur L. We erer 715 - 425 - 0165 Vd eg rev Soil Testing & Design Service —P.O. Box 74 R iver Fa 11s,WI 54022' 98 -�(g oate: 3 -19 9� C ST 00576 PLOT PLA Page 3 of 3 SCALE 1 "= 1 40 rm _ Ptw2ck1- . vi W) - ErL 15G.o' tlN S A►h� �y '�f�'SuU E 6R nvn�� ►iv , LTLtiC1� � Q v N 1 ao � m 0� I iJ I 0 , Zs, 'j ms Rites - o� m { — w- s 715 ) 475 -01 F,5 1400576 CST Signature Date Signed Telephone No. CST # " ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/I3uycr Mailing Address Property Address / 2 O (Vcrificatioa required from Department for new construction) City/State Parcel Identification Number Q 3 LEGAL DESCRIPTION a �ri�K �� a,�v�auriiu �� I4 � J 1.. L/ T �, T �T t 7 ► .. W tr r a T t1 f31 �j ' Subdivision Lot # Cerdf' ied Samey Map # Volume . Page # Wauranty Deed # <7 l Volume page it sPOO house ❑yes ❑ no Lot Imes idcatifiable ❑ yes ❑. no ANCE . of Y uP eoaldnsnh is itsP to dandle wastes. Propermaidcanoe ooasisft of out the =Pic tank eVay g ytas or zoww, if mded a sod as affod&afneti m of the septic tzak -ss.a � pampa° What ynu Pat mzo Hie system stag�c m Sie Rraste dis�,osai- aysr�. . Tw ProPcEtY owe« agcoes to subutit to St. QQ& Zaaing Dq=t mad a eafificafion foan. signed by the ew and by a P .' ya= Plambc; ra' bcWdphnbmwaIi�ocascd Paatpa'v.*.tbat( is I) oa�itovvastcaratcrdiaqposaisystcm is pmlxx operating condition sadloc (2) stter iaspoctioa and pumping neo�y), the septic -tuk is icss than W hH of sludge.. � i+amc read the abarc nxlair� nerd agrae +� �.i^�i� !� b x :, -�:�` � sy vwitir ate+. �4 ad by dw Depaetm ad of O m= omd the Dqurt metrt of Natxuai I : State of Wisooasin.. Cu# cation days. of do G= year Mien date. m� 6e oompkted xad rchrmcd to Me St. ttoix County Zoning Office witbia 30 SIGNATURE OF APPUCANT DATE OVMER:. CERTIR'ICAITQN I ('w) eahfy dint au rtatements on alms form are true to the best of my (our) knowicdgc. I (we) am (are) the owner(s) of the P�'�Y d od above by virtue of a warranty dood recorded in Register of Deeds Office. � A. � Mr APPLICANT _ — DATE �,,� ,��`� 00 Any iafocmadoa that is mis y tugg Department. A n y pscscatod may result in the sanitar•y pout being rcvokrd b the Zo �ssss. •' bdude Frith this appiicatioa: a ctauu od waranty deed fcom, the Register of Deods of icc a copy of the oW feed mrvcy reap if mfcrcaec is made in the warranty deed Safety and Buildings 2226 ROSE ST LACROSSE WI 54603 -1905 I con sin SII ■ Tommy G. Thompson, Governor Philip Edw. Albert, Acting Secretary Department of Comme September 29, 1998 CUST ID No.267341 Rod Elsinger WEGERER SOIL TESTING & DESIGN 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 ;^ RE: CONDITIONAL APPROVALS ` APPROVAL EXPIRES: 09/29/2000 " �,;.:1 ; ti Identification Numbers Transaction ID No. 148656 r - 1 te ID No 141972 SITE: ,. Please refer to both identification numbers; Site ID: 141972 sT CRO�x above, mall correspondence with the couNTy St Croix County, Town of Springfield, ZpNINOOI =F► ��'� a en SE1 /4, NEI /4, S4, T29N, R15W Facility: Waldo Rott FOR: Description: Mound Revision Object Type: POWT System Regulated Object ID No.: 13224 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • 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. Adm. Code. • 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. 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. Sincerely, DATE RECEIVED 09/21/1998 FEE REQUIRED $ 60.00 D NNIS R SORENSON , WASTEWATER SPECIALIST FEE RECEIVED $ 60.00 Field Operations BALANCE DUE $ 0.00 (608)785-9336, MONDAYS 7:OOAM- 3:45PM DSORENSON @COMMERCE. STATE. WI.US • Page of 6 MOUND SYSTEM. /�/ FOR SEP ? �� A Z. BEDROOM RESIDENCE SAF 19 98 Bt pi � LOCATED IN THE SE 1/4 OF THE NE 1/4 OF SECTION T 2 t N, R 1 S W, TOWN OF S\:>2LNG 1 Qg—b , ST. COUNTY, WISCONS INDEX PA GE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER ' PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR CU TS' m s levy ,ZU GL,��WOC1fl �.�'�{� ltil Sy PREPARED BY ����40t w ECGEFQ.EFZ Si7 z L TEST I the 0 , , AND. � _ �� ���� = CE •• ARTHUR L. i WEGEHER F.O. BOX 74 421 K. KAN ST. ELLS�4YORTH, RIVU.. FALLS. KI 54022 • t w 715 - 4 � T �� •'� d z G��4 - TbttS ��- �s i� Z�U���a►U Or- - Y--UPqv "49$q , ",PMUZ:> ®y ru�.W�'' l q98 . JOB NO. y8 Page Z of Scale 1 "= L10' IN s' VA. MitLkz NL�r l.l►v� Uf- 1 4 0 r`e . PwrRe_EL . to uo.o' wv� SP►h -�c �V��(�'SuV� 2S lit. t0� " 19 0 a 00 v tj �•3 � r yi 1 Ntitioy _ ao ►voT �au "►�f)c.T UTZ 3. 8D2w� - Dt sTu�zt3 its A l l'A\j ;V .L �0 8E 1 %T LMT 1 lT ZS ' I�iLtA'9 T K1�12 , e b .kT! hk �1 qan NOTES •1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be Wo61LSo gallon capacity manufactured by `►� `mow ��L�1Zly P2��t - 5'r � i �v e - 5. Bench Mark S 1�'BpUE 6. Divert surface water around system to prevent ponding at the uphill side. Page 3 Of ~ Approved Synthetic Covering Distribution Pipe Medium Sand _ H G Topsoil Elect_ Oy -O 3 E b g % Slope Force Main Plowed Trench of z" -2,1,210 From Pump Layer Aggregate Undisturbed D 1.13 Ft. Soil E \•y Ft. Cross Section Of A Mound System Using F b•'b Ft. I Trench For The Absorption Area G N•� Ft. A 5 Ft. H I- S Ft. B -1S Ft. I 1S Ft.. Linear Loading Rate= J 0 -Z GPD /LN FT J `7 Ft. M Design Loading Rate= o -3 GPD /SQ FT K 1 1 Ft. L °Vl Ft. Position of Force Main -� W L Ft. � L B K iNuitT w �~ �~ Distribution Trench Of Pipe Aggregate f J Observation Permanent Markers Pipes (Anchor securely) t � Mound Using I Trench For Absorpti rea .. �tlt! , t� 9 �' S �, � � gs�E 00RR Page L) Of Perforated Pipe Detail 0 End View ) Perforoted End Cop. b\c�" PVC Pipe o o Install permanent at end of each lateral Holes Located On Bottom, Are EpuoBy Spaced Q End Cop * S PVC Force Main 4 Distribution Pipe Lost Hole Should Be Next To End Cop Distribution Pipe Layout P 3 Ll S Ft. ��S��M X 310 Inches PRi��f E S;�V11AGE SYSTEM _ � Inches C Hole Diameter _ ) !V Inch E13 Lateral I II Inches) Manifold — Inches Force Main Z Inches ,�>.., . _ of holes/ pipe VZ. S t � � �''�` �� Invert Elevation of Laterals \r,�q•S Ft_ VZ x �. �� l y. by k Z _ g _ (� � G P►'�1 Place lst hole from tee with succeeding holes at 3 �`� intervals Last hole to be next to the end cap. Combination Septic; Tank and PUMP CHAMBER CROSS SECTION. AMD SPECIF'ICATIOWS ' PAGE S OF � VEIJ7 CAP WEATHER PROOF JUUCTIOU eox 4'C.I. VENT PIPC s APPROVED LOCKING �:. 10' FROM DOOR,. MAIJHOLE COVER wl'M ., ilUDOW OR FRESH W A(2tVIIJG Ll46EC.. ALP, IMTAKE rO_�DIJIr r _ 5 "MPK. i ZL tO S y " ItJS1��.nor.� P,Pt PROVIDE I IuLET AIRTIGHT SEAL _ I APPROVED JOIUT BgPFL�S A I I I APPROVED JOIIJT: W /C.'I Tank constr i IiI / W/C.I. rIPE P�� shall comply with ALARM _) li Z �LHR i;3.15 and 83.20 6 I 1 PGE 5 I I OIJ v O c��dtitti CLEV. 2(.,_Z PUMPS - -� OFF I COUCKETE D BLOCK o1 5 • o � pttV1S�Q� � , 3.. APPRotiF. EXIT PERMITTED OIJLy IF TAIJK MAIJUFAGTURCR HAS SUCH APPROVALBEODtN4 SE C S P E C. I F I C A T I O Q S SEPTIC f DOSE - 7 bk)eS(�W �T ►DUMBER OF DOSES 3 `O , PER DAy TAI.1K MA►JUFACTURCR: TAUK 51ZE : GALLOUS DOSE VOLUME r ALARM MANUFACTURER: IWCI_UDIW& 5ACKFLOW: S GALLONS MODEL ►DUMBER ��� Hw t CAPACITIES: A= V_ IUCHESOR 3 GA LLO U 5 SWITCH TtSPC: IIJCHES"OR 34 G( LLOAIS PUMP 1 C= 9 I&KHES OR �S GALLONS MODEL UUMBER: SLJ ZS D- 9 INCHES OR �S� GALLO 'gym. z bit b SWITCH TYPE: 1 " I�LCUIZ'� MOTE: PUMP AND ALARM ARE TO 5L MIAlIMUM DISCKARGE RATE z s .c �b GPM IN5TALLED OW SEP CIRCUITS VERTICAL DIFFERENCE DETWCEU PUMP OFF AUD- 1315TRIBUTIOW PIPE.. 81 5 FEET + MIuIMUM MCTWORK SUPPLY PRESSURE , , , , , .. . . . . 2.50 FEET -I" L {0 FEET OF FORCE MAIN X 1 ` 6 ` FYorr.FRICTIOU FACTOR_. C "" FEET TOTAL OtIUAMIC HEAD = 11 FEET Pump chamber DIAMETER = IIJTEKIJAL DIMEWSIOWI OF TAWK: LEKIC,TH ;WIDTH ;LIQUID DEPTH 3 � y BOTTOM AREA — 231= GAL /INCH AS PER MANUFACTURER — �1 O GAL /INCH ENGINEERING DETAILS - SW25/33 All Performance Data Pump Characteristics 32 P1nn /Motor Unit Submersible t— Manual Models SW25Ml SW33M1 W sa LL Automatic Models SW25A1 SW33A1 W 1�3 FI x Horsepower 1/4 1/3 1s Fall Load Amps 8.0 10.0 z t/a HP Motor Type Shaded Pole (4 pole) a R.P.M. 1550 o e Phase 0 1 Voltage 115 Hertz 60 0 0 10 20 30 ao 60 CAPACITY -U.S. G.P k' r Operation Intermittent 1 Temperature 120 °F Ambient Total Head (feet) 4 6 8 10 12 14 16 18 20 22 24 NEMA Design A 1/4 HP 44 41 36 33 29 26 23 18 12 6 0 Insulation Class A GPM 1 1/3 HP 47 45 43 40 37 34 30 26 22 16 10 Discharge Size 1 -1/2 "NPT � � C Solids Handling 1/2^ D Data Unit Weight 30 lbs. 3-1/2 5-7/8 1. All dimensions in inches Power Cord 18/3, SJTW,10' std. 4 -1n 2. Component dimensions may (20' optional) vary± 1/8 inch 1 -1/2 NPT 3. Not for construction purpose 3 -1/2 DISCHARGE unless certified Materials of Construction 4. Dimensions and weotsare approximate S. On/off level adjustable Handle Steel 31n 6. We reserve the right to Lubricating Oil Dielectric 07 make revisions to our products and their Motor Housing Cast Iron specifications without notice Pump (using Cast Iron Shaft Steel Mechanical Seal Faces: Carbon /Ceramic Shaft Seal Seal Body: Anodized Steel Spring: Stainless Steel • Bellows: Buna -N PUMP 11 -1/0 Impeller Thermoplastic 10 -1/8 ON 9-1/2 Upper Bearing Bronze Sleeve Bearing 4 DISCHARGE HEIGHT Lower Bearing Single Row Ball Bearin Strainer /Base Plastic 3 3- 1/2 P I UMP Q Fasteners Stainless Steel OFF cc z c w H AURORA /HYDROMATIC Pumps, Inc. 1840 Baney Road, Ashland, Ohio 44805 Y (419) 289 -3042