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Home My WebLink About036-2004-80-000 ST. CROIX COUNTY ZONING DEPARTM'� � AS BUILT SANITARY REPORT �'1 �7 Owner 00 q r -- ! 1 ® ?'�9 Property Address o City /State I c LJ t" S �o �� Dx Z044 Legal Description: r . Lot .27 Block Subdivision/CSM # O -e '/4 5e '/4, Sec. , T 3/ N -R W, Town of PIN SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer W � Size ST/PC / 6 Setback from: House Well `�� PAL 5 Pump manufacturer G o--A.Aa Model W to 3 Alarm location t- Q (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: mrj' Width Length �' Number of Trenches Setback from: House S/ Well /a% ' PAL *Z' Vent to fresh air intake U ELEVATIONS Description of benchmark Tv -" f"e-1 Elevation /dt Description of alternate benchmark Elevation Building Sewer g �' ST/HT Inlet z 3 ST Outlet 8 5 ' 9 `� PC Inlet PC Bottom �' 7S Header/Manifold 5� G Top of ST/PC Manhole Cover Distribution Lines Bottom of System ( ) q 7 Final Grade Date of installation /o? / / Permit n ber State plan number Plumber' s' ture License number Date / A/ LASKI Inspector Complete plot plan Wiscon %in Department of Commerce PRIVATE SEWAGE SYSTEM Count Safe+y and Buildings Division INSPECTION REPORT Count . CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary�rrriiN4 Personal information you provice may be used for secondary purposes [Privacy L s.15.04 (1)(m)]. 1 / 11 i_ NW% Ej5j;�Ajj1 bqj ge [] Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description: Parcel T6x Na_2004 -80 -000 0� /00 1! / Y 3 b TANK INFORMATION I ELEVATION DATA A9800610 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic l•CS'C� 600 Be r Dosing Lv� 6 60 2-75 Jl, :5 Aeration Bldg. Sewer Holding St/ Ht Inlet 134b Z_ TANK SETB ORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic Z a 3 3' Z/0 NA Dt Bottom Dosing Z o _j f (� NA Header /Man. 99 0 C/ li_ 3 0 3. Aera NA Dist. Pipe / 2 2 - F Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer �Q G� Demand r SS 8Z Model Numb 311L 3 Q Y 3 � GPM Z f q / 9 Jo' a TDH Li Friction Syste - Loss s �Z ma TDH HH Forcemain Length `3�> Dia. r � Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH 2 _ 1 h Len th No. Qf Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS L DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION - Ty — peOf CHAMBER Mo Number: System: Z � OR UNIT DISTRIBUTION SYSTEM Header / Mant old Distribution Pipe(s) / �� x Hole Size x Hole Spacing Vent To Air Intake Length I j L Dia. Length �Dia. Spacing lk 36 " 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.) ' 8 % f A ATION : STANTON 1 . 31.17 . 6� 7 SW SE 18 3 OAK RIDGE DRIVE i3 9, 7 D 5 � — � �� s La�9 ( Saµ9 1 s cG�PGKtd O r /- (� , D (tr(i�It 5+� w/t5 5 -lam' v" f a `d ! v !'ic l.A Plan revision requi ❑ Yes ❑ No Use other side for additio / l in rma �b SBD 6710 (R.3/97)/[� Date Inspector's Si ture ert No. VA SANITARY PERMIT APPLICATION 0 E Washington�Ave sion scons►n 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. • See reverse side for instructions for completing this application State Sanitary Permit Nu The information you provide may be used by other government agency programs ❑ Check if re n to evidus Ipp tion [Privacy Law, s. 15.04 (1) (m)]. 1931 oak, /� /d Dr . State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION �c Prop y caner Name Property Location Ok In i w1 /4 1 /4,S 3 T 3 ,N ,R I E W Property Owner's Mailing Address, Lot Number Block Number �? 3 T lo a17 µ City, Stat I Zip Code Phone Number Subdivision Na or SM b II. TYPE OF BUILDING: (check one) ❑ State Owned !t� Nearest Road ❑ Vil age Public 1 or 2 Family Dwelling - N o. of bedrooms Town O n % (� �r,: III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment / Condo 9 / , ' � • & 7Z" 03(o QQ0 _ 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 _ r�( New 2 F] Replacement 3_ ❑ Replacement of 4. E] 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 21 OMound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 F 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. 17 . Final Grade ` Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min: /inch) Elevation #50 .1 3 dowar /, �•� Feet g 9. ?5 Feet VII. TANK Capacity in gallons Total # of an Manufacturer s Name Concrete Prefab. Site Fiber- plastic Exper. INFORMATION Gallons Tanks Con- Steel New Exist in structed glass App. T nks Tanks tic T C c ,S ® ❑ ❑ ❑ ❑ ❑ um Tan 1 DO 1 ❑ 1 ❑ ❑ 1 ❑ 1 ❑ Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (P i ) P mber's Sig atu : (No Stamps) MP /MPRSW No.: Business Phone Number: tv S -J Plumber's Address (Street, City, State, Zip Code): �+ lG �gs J IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fe (Includes Ground ate. . / ate Issued Issui Ag nt Signature (No Stamps) �PP ❑ Owner Given Initial roved Surcharge Fee) �� ^/J� � 1 .Adverse Determination *' X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: arvr� -fit o>tis h.a,c� -2. b �vtc�e�e �`� �ar�t ee— Y SBD - 8.998 (Ro t t/96) DISTRIB non: County, one copy To. Satey & tteidrngs Division. owner, namber Safety and Buildings 1340 E GREEN BAY ST STE 300 /'� SHAWANO WI 54166 ,SCOT I si ■ /'� Tommy G. Thompson, Governor Philip Edw. Albert, Acting Secretary Department of Commerce December 10, 1998 CUST ID No.273085 ATTN.• POWTS INSPECTOR CALVIN POWERS ZONING OFFICE POWERS EXCAVATING INC ST CROIX COUNTY 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 12/10/2000 Identification Numbers Transaction ID No. 196536 Site ID No. 164720 SITE: Please refer to both identification numbers, Site ID: 164720 above, in all correspondence with the agency. ST CROIX County, Town of STANTON SW1 /4, SETA, S31, T31N, R17W ROBERT BARBIAN FOR: Description: MOUND SYSTEM FOR ROBERT BARBIAN Object Type: POWT System Regulated Object ID No.: 439903 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 prior to issuance of the sanitary permit: • On page #1, the entry for "Step 2. D)" shall be changed to 15.96 feet. • On page #1, the entry for "Step 3. E)" shall be changed to 3.2 feet. • On page #2, the entry for "Step 4. A)" shall be changed to 13.3 feet. • On page #2, the entry for "Step 4. B)" shall be changed to 73.6 feet. • On page #2, the entry for "Step 5. 132)" shall be changed to 22.6 feet. • On page #2, the entry for "Step 5. C2)" shall be changed to 49.0 feet. • On page #3, the entry for "Step 7. A3)" shall be changed to 22.5 feet. • On page #3, the entry for "Step 7. A5)" shall be changed to 16 feet. • On page #3, the entry for "Step 7. B 1)" shall be changed to 8. • On page #3, the entry for "Step 7. 132)" shall be changed to 9.32 gallons per minute. • On page #3, the entry for "Step 7. C2)" shall be changed to 16 feet. • On page #3, the entry for "Step 7. D1)" shall be changed to 3 7.2 8 gallons per minute. • On page #4, the entry for "Step 7. G3)" shall be changed to 156.66 gallons. • On page #5, the mound dimensions shall be changed to "73.6 feet x 49.0 feet." • On page #5, the number of trenches shall be changed to two (2) and the trench dimensions shall be changed to "4 feet x 47.0 feet." `• On page #5, the County shall verify that the proposed mound length is perpendicular to the slope. • On page #6, the land slope shall be entered as 11 %. tc+ On page #6, the notations "Bed of 1 /2" — 2 '' /2 " aggregate" shall be changed to "Trench of 1 /2 " — 2 '' /2 " aggregate." • On page #6, the cross section notation shall read "Cross Section Of A Mound System Using Two Trenches For The Absorption Area." CALVIN POWERS Page 2 12/10/98 • On page #6, the Plan View notation shall read "Plan View Of A Mound Using Two Trenches For The Absorption Area." • On page #6, the entry for `B" shall be changed to 3.2 feet. • On page #6, the entry for "C" shall be changed to 12.0 feet. • On page #6, the entry for "B" shall be changed to 47.0 feet. • On page #6, the entry for "K" shall be changed to 13.3 feet. • On page #6, the entry for "L" shall be changed to 73.6 feet. • On page #6, the entry for "I" shall be changed to 22.6 feet. • On page #6, the entry for "W" shall be changed to 49.0 feet. • On page #7, the entry for "P" shall be changed to 22.5 feet. • On page #7, the entry for "R" shall be changed to 16.0 feet. �• On page #7, the entry for Manifold Diameter shall be changed to 3- inches. • On page #7, the entry for "# of holes /pipe" shall be changed to 8. • On page #8, the entry for "Dose Volume Including Flowback" shall be changed to 156.66 gallons. • On page #8, the entry for "C" shall be changed to 9.5 inches (158.3 gallons). • On page #8, the entry for "D" shall be changed to 6.5 inches (108.3 gallons). 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 12/02/1998 ,L, .. ► --c*ti. FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 KEITH A WILKINSON, POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 524 -3630, FAX: (715) 524-3633, M -F 7 AM - 3:45 PM KWILKINSON @COMMERCE.STATE.WI.US WiSMART code: 7633 WORKSHEET - MOUND SYSTEM DESIGN ,Lo"f 9L 7 PROBLEM: pE S.pN• FE�y & g `pG Design a mound system for a z &) L•=� The site characteristics are: Depth to groundwater or bedrock 3.- in. Landslope _� % Percolation rate � �ni . /'n. Distance from dose chamber to distribution system ft. Elevation difference between Dump and distribution system `� ft. Step 1. WASTEWATER LOAD Step 2. SIZE 'THE ABSORPTION AREA A) Area required 3 �Sa `—, /� Z 375 sq. ft. // 4(,� B) Bred or trench length (B) 9 3.E � ��br� - C) Bed or trench width (A) = 4l dL� ft. . `D). Trench spicing (C) Wastewa er load .24 coal /fL /day S ft. tre es t Y Q z =- p 3.7 a Step 3. MOUND HEIGHT i A) Fill depth (D) _ ft. 6) Fill depth (E) D + slope (AJf� p�� ft. C) Bed or trench depth (F) 1 ft. i D) Cap and topsoil depth (G)'= ft. E) a a d topsoil depth (H) c �'� ft. . fen • __ _ __ Step 4. MOUND LENGTH A) End slope (K) _ C D + E 1 + F + H x 3 �a' ft. 3 .� \ 2 ^� {- B) Total mound 1 h (L B + 2(K) z �t, t.� . Step 5. MOUND WIDTH ay� Al) Upslope correction factor = /•� . 7J� A2) Upslope width (J) D + F + C3 (3)(factor) _ (.y ft. �/ 1•.Y3 +13 x,�s B1) Downslope correction factor = 111 5� B2) Downslope width (I) _ (E + F + G (3)(factor) _ �9�� ft. t�83 4. �,S =/9, 71 C1) Total mound width (W) for bed = J + A ? _ 'ft. C2) Total mound width (W) for trenches J + � + (no. trenches -1)(c) + A + I Step 6, BASAL AREA A) Infiltrative capacity of natural soil = 3g41. /ft /day B) Basal area required = wastewater flow natural soil infiltrative capacity sq. ft. . 45 0 4 . ;3 l 5 ea C1) Basal area available for bed for sloping sites = B (A +I = ) J sq.. ft. C2) Base are avail le for trench for sloping sites = J B W " �J + A 3a /�asq . ft. 15 6 � b -9 x rte. 3 sal area available for tr or bed for level ites = B x W = '� sq. ft. t q Step 7. DISTRIBUTION SYSTEM _7A) SIZE DISTRIBUTION SYSTEM II,, 1) Hole size = r4 in. 2) Hole spacing = 3 to in. i 3) Distribution pipe length a _ p. a a - S 4) Distribution pipe diameter IX q in. 5) Spacing between distribution pipes 6) Distance from sidewall to distribution pipe _ in. 78) DISTRIBUTION PIPE DISCHARGE RATE _a3 ft. 1) Number of holes per pipe 2) Flow per pipe GPM Q 3 a i 7C) SIZE MANIFOLD 1) Manifold is , central/ end 2) Manifold length a ft. 1 (v 3) Number of distribution lines 4) Manifold diameter in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate . „L GPM 2) Force main diameter% =.` X' in. 3) Friction loss = 1 C xpoC'S ?' ft. 7E) TOTA( DYNAMIC HEAD 1) Vertical lift = ft. 2) Friction loss = ., 8ft. 3) System head 2.5 ft. ft. Total dynamic head ft. ,�i�n 1 7F) PUMP SELECTION 1) Pump selected will discharge D GPM at /5 ft. total dynamic head. 2) Pump model and manufacturer 3" l y �0 3// 1 ,� . N P 66H W-S 7G) DOSE VOLUME 1) 10 times void volume of distribution lines gal. /cycle 2) Daily wastewater volume 4 doses /24 hrs. = &23 gal. /cycle Ys° A 3) Minimum dose volume a ZS �.,.Q�54c.k /37.5 gal. /cycle � 1H) DOSE CHAMBER 1) Minimum capacity required = 600 gal J Lictns .U: - 0 � ■ ■■ ■■'1..■■■■ ■ ■■ ■■ _ M■■■■■ ■■■■ ■ ■ ■■■■■■■■■■■■ ■■ !■Il ■!!C ■ ■ ■■ ■■ ■ ■■■■■■■■■ ■ U ° � .� ♦ ■ EM ■ I■■■■ ■■■■■■■ ■ MMMM■ ■■■■■■■■ �ll�!1 i1i■ IRE ■■ ■`E■■■■■■ 000 ■■ ■■ ■. ■ ■ ■i ■i ■ ■ ■ ■ ■ ■■ ■■�i ■ ■�■ ■ ■►�1■■■■■ ■■ ■ ■■ ■■ ■ ■ ■■ ■■iG ■e�i■■■■\■■■■■U ■ ■ ■ ■ ■i■ ■ ■■■ ■■ ■ ■ ■■■■ \■■■■►. ■ ■ ■iJ ■ ■ ■ /' ■ ■■ �l N ■IJ■R■1■■■H r1 ■ ■/ ■ ■d■ ■ ■. HEAR �Room ■ MUMENUMMEM ■ ....�.. , ■�� . ■ 1.J■■ ►I■■■■■■ HINEMEEMEMI am MW MEMMEMEMEMMI • ■� MI ■�P�■■ ■■■■■■■■■■■M ■ ■ ■ i■■■ a ■�■■■ ■■■■■■■■■■■I ■■■■ ■■■■ �■IN ■ ■■■■■■■■■■■■■1 ■■■■■ ■■■■■ ■■ ■■■■■ ■i ■■ ■■■ ■■ ■■■ �■■■■■■■■■■■■■■■■■■■■■� ■ ■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ ■I ■■■■ ■■JI MMEEMMEMEMMEMEMEMEMMI ■■■■■■■■■■■■■■■■■■■■i ■■■ NONE ■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■I ■■■ ■■■■■ NON ■■■■■■■■■■■■■■■■■■■■■■M ■ ■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■i Robesr -T .0 t-- 3 5 5:.18 r ca `'\ Pageto Of 1 IU - e� k. k mo rvA— 7 s W at S9 s aw C9 � -SIR; � 7 Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe ASiM C33 Sand _ H G Topsoil - _- - -- 3 E D 1 / � (� % Slop -`, --M Of 2�- 2 %2 Force Main Plowed Aggregate Layer D / Ft. Cross Section Of A Mound System Using E Ft. T t t r-e v\e- � F 3 Ft. by For The Absorption Area C � f4 G / Ft . A_ Ft. H I Ft. Signed: B 7 4t. y License Number: 7 K t. ► 3 3 Date: l �: - 7 - 9 L 7h� -F-t . 7 3, �a J G• `f Ft. of Position t.aa. �P Force Main W 'o - 6 - ft . c.i 4 . D L Observation Pipe g K �. Distribution Bed Of Pipe Aggregate I Observation Pipe Permanent Markers Plan View Of Mound Using - A --- &e-d For The Absorption Area F1 f as tk cJ mot) `7 Su.)Yy3r. 53 31 Perforated Pipe Detoll End View Perforated rr:.. End Cap • t . # , \ y PVC Pipe a Ho>.e �.otote¢On 8otfom { t'' S Are EquollYSpoct►d• • Y' Q S iS + PVC Face Maim} !, Q PVC Montfotd Pipe , ' V D _, t °, pip• ; a t.a�f'Hot� 4ou14 as Ntal To End 'Cop Yt 1 End Cop Distribution Pipe Layout S l P. as 1 t. • i S r • �i1 Vp- X ,„y'InchPS Y 3 Co Inches Signed: Hole Diameter, Inch License Number:. S Lateral ".= % Inch {?�) �'- Manifold " S 3` Date: Force Main " 3 Inchalis # of hol es /pi pe Invert Elevation. Laterals Ft. SE PTIC TANK 8 _PUMP CLAMBE CROSS SECTION AND SPECIFICATIONS Qct a- 3.S � . `t`^ ST 4" CI VENT PIPE 12" MIN. ABOVE GRADE S WEATH ' ? 25' FROM.DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE- WITH CONDUIT MANHOLE COVER W/ PADLOCK S FINISHED GRADE 4" CI RISER WARNING LABEL 6 MIN. �_ — ABOVE G ADE r. --4" MIN. — 7 18" IN. 6" MAX. � r INLET r� WATER TIGHT SEALS GAS. r TIGHT 4" BAFFLE A SEAL 1 A r PPROVED i -�— ALM JOINTS W/ CI CI PIPE r ' PIPE 3' ONTO I SOLID -� B — r ON SOLID SOIL SOIL C RISER EXIT PUMP OFF ELEV . FT. --- OfF D PERMITTED ONLY IF.TANK MANUFACTURER HAS APPROVAL 3 APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS dft SEPTIC / DOSE TANK MANUFACTURER: oa W o sj- NUMBER 'DOSES PER DAY: TANK SIZES SEPTIC GAL. DOSE VOLUME INCLUDING��" 5 �O` DOSE _� GAL. F LOWBACK:. . • T-� ° GAL, , ALARM MANUFACTURER: Sit . CAPACITIES: A = INCHES = 3 CDO GAL. MODEL NUMBER: i al w SWITCH TYPE: B = 2 INCHES = GAL. PUMP MANUFACTURER: S C = T , Y INCHES = . GAL. MODEL NUMBER: lr;X 3 L - 3 885 . - 7 6v SWITCH TYPE: D = INCHES = GAL. REQUIRED DISCHARGE RATE GPM PUMP & ALARM WIRING AS PER ILHR16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE 6 FEET + MINIMUM NETWORK SUPPLY PRESS .�. 2.5 FEET + FEET FORCEMAIN X - FT /100 FT. FRICTION FACTOR . .5 FEET T.OTAL DYNAMIC HEAD = q.o3 FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH' ; WIDTH ; DIAMETER r-- LIQUID DEPTH SIGNED: LICENSE NUMBER: ��Z_ DATE: I c =t- 1/88 p -t CL GOULDS SUBMERSIBLE W EFFLAW SEWAGE* AN fiti +•:irtA i v EP -031 1 }} ` 03MM0311 142 EP0311 1/] Fd+ 115 V EEElumt Pulp 1/2" solids I 256.80 172.10 � 1 , Y,d Subme rs ible ,'�; MODEL EP0311 l V ' Effluent. Pump 41 SIZE %" SOLIDS . �" •'.. METERS FEET y0!'� 25, {�:•• .,• 5 20 t �;i4�;. ... 4 •y ' 'i r _ _ Fti 2 ° 0 0 4 E 12 15 20 24 25 32 30 +0 OPfrl O 2.3 5.0 7.5 m•M. CAPACITY • r. • 'Performance Curve MAMA• rtcT • ' " MODEL 38a5 :% a -- SIZE 3 /4* Solids ' 4 ig` to —, • r , . WE OM -. . t t , is • to I oo Nz t0 >D b ' .q ' '00 00 '10 00 p t00 110 110 OM CAMCRY LLST DLSC. CMNTE031I]. 142 WE0311t. 14 lip 115 Low H 3/4 solids `91.55 329.35 t �l •r +`'" 00UT%T0311M 142 i4E0311M 1/3 VP '115 V Mod N 3%4" e6lids 491.55 329.35' '•'� t iPi:.t }e:7.'...1:1: \ '. j `t., =PVC-OM 11f 142 NE051`iH 1/2 14+ 115 V illali N 3/4" .a6Yids b4:25 '4�.1 i15 . 00MT071211 142 WE0712.4 3/4 11P 230. V High Al. 3/4" {iolida !443.65 565.25 •••••SEE EC1.tCHIrz; PACE lut rEAFCtC•4= Arm sPmricATnCr1S. '';: ''► •' DATE 10%88 Da 30 PAGE O7u Division of Satety ana Buildings ""•" ". • " — •'�_" .. —. _ Page of Bureau of Integrated Services in accordance with s. IL.HR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must County include, but not limited to: vertical and norizontal reference point (BM), direction and • CD percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all information Reviewed by Date Personal information you provide may be used for secondary.purposes (Privacy Law, s. 15.04 (1) (m)). Property C!wner Property Location . Govt. Lot,5 L j 1/4 5 :1 /4,S 3 T 3 ,N,R E (o Property Owners Mailing Address Lot # Block# I Subd. Nalpe or CS # City tats Zip Code Phone Number ❑ City ViItage 1;1 Town Nearest Road I \ OOL K 'NOW IY flow 9Pd Recommended design loading rate ew Construction Use: ,Residential / Number of bedroom Addition to existing building Q Replacement El Public or commercial - Describe: Code derived dal ` i" , pd/f12 ll ranch, gpd/ft +; /p bed g Absorption area required. / bed, h � _trre�nch, ft? Maximum design loading rata/' 1 / bed, 9 pd/tt ! trench, gpd/fP Recommended infiltration surface elevation(s) /4 6 it (as referred to site plan benchmark) Additional desigrvsite considerations A/ Parent material / _ Flood plain elevation, if applicable /v ft S = Suitable for system Conventional —mound In Ground Pressure AT -Grade System in Fill Holding Tank U Unsuitable for system ❑ S U S❑ U ❑ S U 11 S 3� U [Is 9 ❑ s U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPDfftz Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed .Trench G and 4 3 9ft. . 4•. ; Depth to limiting in. Remarks: Boring # Mtl JM O / W. !� Q 0 . N Ground 92-v- Depth to limiting �c Tom. Remarks: CST Name (Please_ Print) ature Telephone No. _ Apress • Date CST Number Td WHOT : TO 866T 00 •F L - ON XHd WOMA PROPERTY OWNER .SeL o b Q r.J avtt_ uC,VKlr t tun KtrVM t Page of PARCEL f.D.i Boring # Horizon Deptn Dominant Color Mottles Structure 2 r .. ,. in. Munsell Qu. Sz. Cont. Color Texture Structure Sz. Sh. Consistence Boundary Roots Bed . Trench 1 � Ground lev Depth to limiting 47 in. ; Remarks: Boring # �. a ll � le c j Ground ei , ; l Y Depth to limiting in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots in. Munselt Qu. Sz. Cont. Color Gr. Sz Sh. Bed .Trench j Boring # t Ground elev. ft. Depth to limiting factor in ' Remarks: Boring # S Ground elev. _-_ft. i Depth to limiting factor - in. Remarks: SSO.8330 (R. 07196) i Ed WdTT : TO 866T 80 'RpW 'ON Xtid WOdd =`x Soil Test Plot Plan Project Name Robert Barbian Shaun Address 835 East 6th New Richmond Wi 54017 C TM #26900 Lot 27 Subdivision Oak Ridge Date 11/24/98 S W IMSE 1/4S T 31 N /R W Township S [] Boring ()Well PL Property Line County S T. C ROIX BM or VRP Assume Elevation 100 ft. Top of Telephone Box', System Elevation 96.65 H R p Same as B Alt. BM Top of Lot Corner Pipe @ 98.5 Oak Ridge Drive 4 157' Property Line l Alt. B.M. * 0' N B. 5' 45' 45' Q 11% 1 e c� ° yyy 33' B -4 407 _.. •2 . 4 - o Pro 3 Bedroom House r 45, B -3 125' Al S' 207' Property Line Ed WdZT:TO 3661 30 !ReW 'ON Xdd W08-4: Wisconsin Department of Commerce SOIL _SITE EVALUATION Division of Safety and Buildings Page of ,Bureau of Integrated Services In ag0'rq0 83.09 Wis. Adm. Code <:,, ,,,•' " "� County Attach complete site plan on paper not less than 8 1/ x'441 nche �d/ n most 4; include, but not limited to: vertical and horizontal re eLence pointtTil r n ands, percent slope, scale or dimensions, north arrow, a location istance to nearest 'roadi Parcel I.D. # APPLICANT INFORMATION - Please Prk( : 1 infor ,"....�! Reviewed by Date Personal information you provide may be used for secondary.pNip�s Property Owner' 1 Location r � r Q ovt. Lot 1/4 5 1/4,S 31 T 31 ,N,R E (or Property Owner's Mailing Address t� Lot f # Block# Subd. Na a or CS # City / Mate Zip Code Phone Number ❑ City ❑ Village Town Nearest Road (' 51 s o) 7 I S) 52 � �� Day r �t 'New Construction Use: ,Residential / Number of bedrooms Addition to existing building ❑ Replacement f� ❑ Public or commercial - Describe: Code derived daily flow ` gpd Recommended design loading rat$ o4 p bed, gpd/ft 'trench, gpd /ft Absorption area required.3bed, ft2 Maximum design loading rat bed, gpd /ft �� trench, gpd/ft ° r 6 6 Recommended infiltration surface elevation(s) 6 ft (as referred to site plan benchmark) Additional design /site cogsiderations A/ Parent material �� Flood plain elevation, if applicable Fu = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank = Unsuitable for system ❑ S J4 U I 9S ❑ U ❑ S &�[ U I ❑ S X:1,U ❑ S 1U ❑ S 5 U SOIL DESCRIPTION REPORT Boren # Horizon Depth Dominant Color Mottles Structure GPD /ft Boring Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground 3 /'eE' r �'Y1 l /� /� /V�/9 t 1• ► 1 ev. Depth to limiting c in. Remarks: Boring # Ground Z Depth to limit ,7 !E ! _ in. Remarks: CST Name (Please Print) � � i ature Telephone No. ..- c A ress Date CST Number Soil Test Plot Plan Pr Robert Barbian Project Name Shaun Address 835 East 6th New Richmond Wi 54 C TM #226900 Lot 2 Subdivision Oak Ridge Date 11/24/98 SW 1 /4SE 1/4S31 T 3 1 N /R W Township Stanton R Boring Q Well PL Property Line County S T. CROIX BM or VRP Assume Elevation 100 ft. Top of Telephone Box System Elevation 96 . 6 5 *HRP as Benchmark Alt. BM Top of Lot Corner Pipe @ 98.5 I I Oak Ridge Drive 0 157' Property Line V Q . R Alt. B.M. 0' N B. 5' -1 ° O 5 11% 45 C" Sloe CD \, 33 ' B -4 40 ' -2 o Pro 3 CD Bedroom House 45' c� B -3 125' 5' 207' Property Line ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 7� r t C" In Mailing Address Property Address ° cQ C (Verification required from Planning Department for new construction) e-, City /State 6 (c? Parcel Identification Number ?o - 000 LEGAL DESCRIPTION Property Location W ' /4, S E' '/4, Sec. T__31N -Rj_�? W, Town of _ nct ' y' EI C'0 ' e 0 _ 0 Subdivision Lot # Certified Survey Map # , Volume , Page # Warranty Deed # 7' 7 , Volume ,Page # 3� Spec house O yes [( no Lot lines identifiable [ yes O 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. Uwe, 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 o ee year expiration date. + IGNA APPLICANT DATE OWNER CERTIFICATION I (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 o rty, described above, by virtue of a warranty deed recorded in Register of Deeds Office. 7 IGNAT F 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 12/14/98 MOONN11:02 FAX 1 715 246 7129 CITY OF NEW RICHMOND Q001 /�o o/ I If fl en i e 0- , �w �' ✓� �Z' 12/14/98 MON 11:02 FAX 1 715 246 7129 CITY OF NEW RICHMOND / 16002 C p efi a L � cl ., che 12/14/98 RON 11:02 FAX 1 715 246 7129 CITY OF NEW RICHMOND U003 rne�"t� /6 �r 2'ZZ£I 3.0 9 e9 S ' 00'001 .00 ! •00'001 ,00'00 I 00 ,£0'89 oa rs �, ,00.011 C ,001001 r e j Q G C Q Q Q 0 O o p ° n fs �n - n `v in n I a ~ 1 t O9 2 d .. 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