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HomeMy WebLinkAbout036-1081-60-200 W, ST. CROIX COUNTY ZONING DEPARTMENT _ AS BUILT SANITARY REPORT Owner ©o Address City/ �5,u State �1 Legal Description: c pio �. Lot_ Block YA Subdivision/CSM # S Y4 �� �, f Sec.3 Vol T 3 N- —L R.�W, Town of _ �— PIN # 'f T;p� SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer V. s-e. - Size ST/PC Imo/ � Setback from: House X— Well Pump manufacturer k AS Model UCa 141P p/L, Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Meter location Water Line Alarm location SOIL ABSORPTION SYSTEM: Type of system: hN _ Width a(2L _ Len I t -- Number of Trenches Setback from: House 74 Well P2 /L Z Vent to fresh air intake ELEVATIONS: Description of benchmark a C Description of alternate benchmark Elevation Elevation //.a.0 9 Building Sewer ST/HT Inlet L" / ) ST Outlet � �' � PC Inlet PC Bottom Header/Manifold lC� L , / Top of ST/PC Manhole Cover _Z—Na z- Distribution Lines ( ) —L �', / () ( ) Bottom of System( ) ��� () () L'o�u� /0 �� l Final Grade ()� () D ( ) Date of installation (�Pinil number 307(0(0 State plan number Plumber's signature t '',,,_, `�- a '� ` License number Date Inspector /t g Complete plot plan * * Wiaoonsin Department of Commerce - SafetyaAdBuildingsDivision PRIVATE SEWAGE SYSTE County$T. CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) SanitarsP��iet: Personal information you provice may be used for secondary purposes [Privacy L , s.15.04 (1)(m)). Met: 44 P�r�itHolde� shame: [l jg [] Town of: State Plan ID No.: CST BM Elev.: Insp. BM Elev.: BM Description`•�,l,Y`•I'V1V_ Parcel ' 1 I i� , o 2 � 1081- 60 -000 TANK INFORMATION EL VATION DATA A9800053 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic t LS C (2S Benchm r� I I, q ! /l9 /Dc� Dosing ID Aeration Bldg. Sewer Holding St /Ht Inlet 9'•70 TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P / L WELL BLDG. Air l to ROAD Dt Inlet Air Intake Septic / OV 3 3 —/ NA Dt Bottom /�•�� 7. $7 Dosing rj ►i 4t - ` Ll S ' NA Header /Man. S'W � D �P • 4 Aeration NA Dist. Pipe Holding Bot. System J D PUMP/ SIPHON INFORMATION p J Final Grade Manufacturer D man M IGO odel Nun*er D GPM TDH Li ft. Lriction � $ysterr TDH/ 1 t r%cc Force main Length 351 Dia. F � Dist. To Well F J SOIL ABSORPTION SYSTEM BED THE W D Of Trenches PIT No. Of Pits -inside Dia. Liquid Depth DIM I N DIMENSION SETBACK SYSTEM TO P/ L' BLDG WELL LAKE/STREAM LEAC G Manufacturer: INFORMATION Type O CHAM R Mod Nu er: System: �� —• OR UNIT DISTRIBUTION SYSTEM Header / fold a Distribution Pi e(s), r x Hole Sije rf x Hole Spacing Vent To Air Intake Length Dia. Length -/--l— Dia. l �� Spacing �r 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 es / D G Bed /Trench Center '� I� Bed /Trench Edges Topsoil I?/ Yes ❑ No Yes E3 No COMMENTS: (Include code discrepancies, persons present, etc.) a cA'4 /77 /ayZr • ��, LOCATION: STANTON 32.31.17.501,NW,NW 1511 HIGHW -1. AGf, sm — &Omory bf ve; 011 Z) It rw of w�v.ei4c. s �v a. • Le.i- w �. d ✓ • :.�.., ct v o� -1 s .t� f, ati +�� e..�.a� cn (JK +u.. -o( o-4.^ S w s •F al°' ""`S �n.. •{-rw a re itit.. �s .� c.� i a vy� U 0i 14� ��a Plan revision required? ❑ es o � � R Use other side for additional information. SBD -6710 (R.3/97) Date Inspe is Signature ert. No DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY 57" STATE SANITARY PERMIT # –Attach complete plans (to the county copy only) for the system, on paper not less than p 8% x 11 inches in size. ''' ,,�Ilnnn ��/ , / ❑ � /5// -Hv y y . & y Check if revision to pre ious application -See reverse side for instructions for completing this application. / / n/ R, STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 5 7 - 0 6 a I q P ERTY OWNER PROPERTY LOCATION AAJ % 63 %4, S .3 a T - 3 / , N, R 1 1"or) W PROPERTY O R'S MAILING ADDRESS LOT # BLOCK # Isis Syr � CITY, KATE ZIP CODE PHONE NUMBER SUBDIVISION N AME OR CSM NUMBER Ah :;" S - 7 Y6 -N s U d /2 3 W 8 El - ] II. TYPE OF BUILDING: (Check one) ❑State Owned CITY AGE NEAREST ROAD ❑ Public1 or 2 Fam. Dwelling –#� of bedrooms PAIIGF=L TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) �j 6 – `Q g l 60 — A00 1 El Apt/Condo J 2 • 3 /. 1 7. 50/ 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 in line A. Check 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 # — 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 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2, ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE / REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) ELEVATION CO S Cn S &-D I /, �a AJS, 3 Feet Y5 Feet VII. TANK CAPACITY Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- plastic Exper. INFORMATION New ua tsttn Gallons Tanks Concrete stCon- glass App. Tanks Tanks 21 + Septic Tank or Holding Tank J 5b W Lift Pump Tank/Siphon hon Chamber 7 U tJL"4ly� Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Nam rint): Plumber's Signa re. o Stamps) /MPRSW No.: Business Phone Number: e r' -Tr Cam._ r s �3 pis a - /S Plumber's Address (Street, City, State, Zip Code): 19& /8S __ d i IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date ssued Issuing Agent §ignature (No Stamps) F K Approved ❑ Owner Given Initial 00 / Surcharge Fee) Adverse Determination i fed �Y X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb -67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber PRIVATE SEWAGE SYSTEM Department of Commerce • Safety and Buildings Division REVIEW APPLICATION Bureau of Integrated Services Hayward Office LaCrosse Office Madison Office Shawano Office Waukesha Office 209 W. 1st St. 2226 Rose Street 201 E. Washington Ave. 1340 E. Green Bay St. 401 Pilot Court, Ste. C Rt 8, Box 8072 La Crosse, WI 54603 P.O. Box 7969 Suite 300 Waukesha, WI 53188 Hayward, WI 54843 - Phone (608) 785 -9334 Madison, WI 53707 Shawano, WI 54166 Phone (414) 548 -8606 Phone (715) 634 -4804 Fax (608) 785 -9330 Phone (608) 266 -3151 Phone (715) 524 -3626 Fax (414) 548 -8614 Fax (715) 634 -5150 Fax (608) 267 -9566 Fax (715) 524 -3633 INSTRUCTIONS To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this form together with fees and plansrnformation. Your submittal must be received at least two working days prior to the appointment at the office where your review was scheduled. Please call any of the listed offices If you need help filling out the form or have questions on what information to submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your reference. 97 ®2 y j Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1)(m)]. 1. APPOINTMENT INFORMATION - If you have scheduled an appointment, fill In the information requested below to save time: Appointment Date Reviewer Name Plan Identification Number r q 1 *1 2, PROJECT INFORMATION If this review is a revi on or extension to your existing Ian identification nu bar, provide that number here: Project Name County p [J City ❑ Village EXTown of Project Location T` GOVT. LOT IV 1/4 N 0/4,S T N,R 94r) W , I r" O h • 3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED System Type (check one): System Type' (include new and existing tanks) A ❑ At -Grade Up To 1,500 gallon septic tank .............. :'$110.00...................... Q H ❑ Holding Tank 1,501 - 2,500 gallon septic tank .... ............................... ..$120.00...................... M Mound 2,501 - 5,000 gallon septic tank .... ............................... ..$160.00...................... N ❑ Non - Pressurized In -Ground (Conventional) 5,001 - 9,000 gallon septic tank .... ............................... ..$200.00...................... P ❑ Pressurized In -Ground 9,001 - 15,000 gallon septic tank .... ............................... ..$300.00...................... 0 ❑Other. Over 15,000 gallon septic tank .... ............................... ..$500.00...................... Up To 1,000 gallon dose chamber . ..............................$ 70.00...............:...... 7 D r.. Building Type (check one): 1,001 - 2,000 gallon dose chamber . ..............................$ 80.00...................... D, Dwelling, 1 or 2 Family 2,001 - 4,000 gallon dose chamber ............................. ..$100.00...................... P ❑ Public Building 4,001 - 8,000 gallon dose chamber ............................. ..$120.00...................... S ❑ State -Owned Building 8,001 - 12,000 gallon dose chamber ............................. ..$140.00.....................: Over 12,000 gallon dose chamber ............................. ..$160.00...................... //� Up To 5,000 gallon holding tank .... ..............................$ 6FJ EC JV " Code Derived Daily Flow (ot�D gpd 5,001 - 10,000 gallon holding tank ... ............................... .$1000.00...................... Over 10,000 gallon holding tank .................................. $15UP ... ... 7..'9 ❑ Check if Replacing Existing System Experimental System (additional one time fee) ............ S ($300.00 ................... Revisions to Approved Plan ........... ..............................$ 60.00...................... Petitions for Variance: Setback.,",­­­­ ..$100.00. ................ ..................... ❑ Petition for Variance Site Evaluation ........................ .$225.00............:........, Plumbing .. ............................... $225.00.................... Revision ..... ..............................$ 75.00...................... ❑ Groundwater Monitoring Groundwater Monitoring Per Site $ 60.00 ...................... other than a proposed subdivision) ❑ Site Evaluation in Lieu of Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring ..........$ 60.00 ...................... Subtotal: ................... Priority Review: Enter same amount as Subtotal: ................... MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total Fee: ................... Iqcr 5. SUBMITTING PARTY INFORMATION Telephone No. (include area code & extension) Co ny Name Contact Person �1 15 Q Co — _ L. ^ t -a l i� - Ac CLU lt!�1111etl 1 S P2 ", .0, No: 8 Street Addre s or P.O. Box �ti City, Town or Village, to Code v s Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers. Revision fees are not applicable to temporary holding tanks or extensions to existing approvals. NOTE: Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to change annually OVER ---� SBIM748 (R. 07/98) _ Gar. Coo WORKSHEET -- MOUND SYSTEM DESIGN PROBLEM: �t Design a mound system for a G Hood v-'-^'e. The site characteristics are: Depth to groundwater or bedrock _ in. Landslope _ % Percolation rate 5__ m9 P J / t Z Distance from dose chamber to distribution system ft. Elevation difference between aump and distribution system g_ ft. Step 1. , WASTEWATER LOAD =, Y,ap,.,.` 2 g .' Step 2. SIZE THE ABSORPTION AREA A) Area required = dodo -` �� 2 = sq. ft. B) Bed or trench length (B) _ / of % ft. 1 C) Bed or trench width (A) = S s ft. �. r' :D) Trench spicing..(C) Wastewa er load .24 gal /ft /day B = A) A' ft. tren ems —— Step 3. MOUND HEIGHT A) F i l l depth (D) = i/g ~ ft. B) Fill depth (E) = D + slope (A)+P) IOft. 1 + 09 C) Bed or trench depth (F) _ , 83 rt. D) Cap and topsoil depth (G) _ ft. E) Cap and topsoil depth -(H) a f,S' ft. .. . � r1S fly �� _ ,• / . w Step 4. MOUND LENGTH S Y o 17 A) End slope (K) _ �D + E1+ F + H x 3 : D. ft. C �� �•�s . X3- B) Total mound leng h) B + 2(K) ft. /W Step 5. MOUND WIDTH Al) Upslope correction factor = `� A2) Upslope width (J) 0 + F + G)(3)(factor) _ .6' ft. �l - f ' $ - r 0 3 A , 7 ti = 44 f0� Bl) Downslop4 correction factor = B2) Downslope width (I) _ (E.+ F + G )(3)(factor) _ _ ft. C/, St,83t1 x3 x 1. - Cl) Total mound width (W) for bed . J + A + I = 0�5,. -aft. &,'7+ 25t13,4 :a53 C2) Total mound width (W) for trenches = -'- J + g + (no. trenches -1)(c) + A + I ` ft. 2 � i i Step 6. BASAL AREA A) Infiltrative capacity of natural soil 5 _g4l. /ft /day B) Basal area required = wastewater flow natural soil infiltrative - capacity = A260 sq. ft. Cl) Basal area available for bed for sloping sites = B x (A + I) _ - sq. ft. C2) Bas are -avail le for trench for sloping sites = B W ~ ( + A l = A�� sq. ft. C3) Basal area available for trench o bed for level o sites = B x W = sq. ft. Sit', _ License i;u D ata : C - 5S 9-�- -- L L R caw r Step 1. DISTRIBUTIUN SYSTEM /jQ 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size = in. 2) Hole spacing ' _� in. 3) Distribution pipe length = 2_in. 4) Distribution pipe diameter =_ in. 5) Spacing between distribution pipes = _ in. 6) Distance from sidewall to distribution pipe = 2 in. 7B) DISTRIBUTION PIPE DISCHARGE RATE ft. 1) Number of holes per pipe ! 7 2) Flow per pipe = 020 GPM 7C) SIZE MANIFOLD 1) Manifold is x central/ r end 2) Manifold length 3� O ft. 3) Number of distribution lines 4) Manifold diameter = -3 in, 1D) SIZE FORCE MAIN 1) Minimum dosing rate = GPM .� 2) Force main diameter =. 3 in. 3) Friction loss = -S�� ��'9 , ft: 7E) TOTA DYNAMIC HEAD 1) Vertical lift = �� ft, 2) Friction loss = ft. 3) System head 2.5 ft. _ a+s ft. 4) Total dynamic head = la ft. �ic0r sc of /o S /S7 6 5Y 1'7 7F) PUMP SELECTION 1) Pump selected will discharge GPM at ft. total dynamic head. 2) Pump model and manufacturer w F- 3111 7G) DOSE VOLUME 1) 10 times void volume of distribution lines = qa gal. /cycle 2) Daily wastewater volume : 4 doses 24 hrs. ■ /� gal. /cycle 3) Minimum dose volume = �6 jf "g .,3�8XA,J9. gal. /cycle 7H) DOSE CHAMBER 1) Minimum capacity required = 5 gal, I Sign: l ice n zc Date isi ©r■■■■r- ° = � '' 4 • � � /1111■ ■ _ ■ .' ., ,�� rr�nr �rrrr r rrr�t ! _ irr�� . _ . ,err �. ,, .•. ■rrr rrr�rr�r�r�rrrrr rrrrrr�r ir��rrrr��• 11111 �'�■ Irr ■■rrrrrr - . •rrr�rr■ rrrrrrrrrrrrrrrrrrrr. �s���rrrr■ Irrrrrrrrrrrrrrrrrrrrrr !��._. ���rr Ir 1111 MOrr 11111 ■ 111 ■ Ir 1 11111 ._ _, _ _ _ e��■ 1111 rrrrrrrrrrl ,,.. �Irr■ Irrrrrrrrrrrrrrrr�r■rrrr _ .,. , , , . 1�1 /rrrrrrrrrrrl.�� rr■ rrrarrrrl� mi .�•�rrrrrrrrr�r�u■ I► `� ■■ rrrrrrrrr /I�;'�C:S ► :�!����rrr� rrr' ■�i�i;'ii9 ' 111111,,.„ / /:►►1� . , `ir�rrr■ ■ \� ►� rrrrrrr _ , �r• • 'err �rrrrr ■ ■ ■ \rrrrrrrr�i�:3S� ■ ■■ Ri ffis 11111 rrrr rrrrrrrr■ 111111 rrrrrrrrr■ rrrrrrrrrrrrrrrrrrrrrr rrr r��1l�rrrrrrr ■� rr�c\ rr rrrrrrrrrrrrr�■ ■ ► \rrrr�l ■rrrrrrrrrrrrrrrrrrr T■ ONE rrsr■r, rrrrrrrrrrrr■rrrrrrr MEN ■ \Irl► \r� rrrrrrrrr ■ rrr�A�m��ir rrrrrrrrrrrrr rr ....-- i�rrrrrrrrrrrrrrrrrrr■ rr ■I)i�....�r....i irrrrrrrrrrrrrrrrr ■r rrrr r\1rIE::d • • �rl�rrrrrrrrrrrrrrrr rrrrrrrirrrrrr�i■ rrr rrr rrrrrrrrrrrrrrrr�■ rririrrr irrrrrrrrrrrrrrrrrrrr�� ■ rrrrrrrrerr rrr ■ ®�.�.rrrrrrrrrrr■ rrr r ■■ rrrrrrrAl�lE�r�i,ii�r 11111111 rrrrrrrrrrrr■ r■ ��rr�sa������rm. rrrrr■rrr �l�Irrr�� ►r��rr- i��rr��rrr�ir�rrir� rrrrrrrrr ■0Ir /;�\�rrrrrrrrrrrr 111111 •�- rr■ rl1r�� �• rr rrr !,�! r rrrrrrrrrro rrr!!,� r�, /� /; / rrrrrrrrrrrrl� 1111 /� /:�■' / ■�r►�rrr■ ■ 1111 �iM /i /� rrrrrrrrrrrron Ir � ,,�- �� ■ ■ ■ ■rrrrrrrrrrr ENO rr/ rr /.�►�� , �,�!!'� ■1r ■ r-�irr■rr■■■■■ ■o r 11111 rrr, i��■�rrrrr ■■rrrrrrr� Irrrrrrrrr,�rrrrr■ M Irrrrr ■rrrrrrrrrrrrrr■ ■�rr■■■■rrrrrrrrrrrrrrrrrr■ � ■rrr. qr 1 N .: Page 0f IS /S �jF.lu� � • - N 1�1c• c9 W i p�? Straw, Marsh , Or Synthetic Covering ' Distribution Pipe Medium Sand N Tops i f — %Sl !� G ���� • ,.� --�- �! ope --f - I • We Of 2 % Force Main Plowed Aggregate • Layer D Ft. Cross ection Of A Mound System Using . . E 4 J L Ft. • A or The Absorption : Ari3o .` F , $3 Ft. G / Ft. A S Ft.. H 45 Ft. Signed: LL�A'-% B Ft. License Number: /IS 6.3 K IQ 7 Ft. Date: 9--5 9 ) L 1 4-S/ Ft. d .��• . Ft, Position Z /3 -6 Ft. of Force Main W ;tl 3 Ft. .L s Observation Pipe -� _B w - - -- - --- -; - - -- - -- �� Distribution Bed. Of ?»— 2 %2 Pipe Aggregate Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area Ay' coo 1\ .• �srs �, 6y • 1'11�,J'iC c-hrn ��d k4 NO Perforated Pipe Oetail Ena yi•.r Perforated End Cap PVC Pipe Hoge Located On Bottom, Are Equally Spaced f . X U L rC ns r;oc rya,) 4;41 Last. Hole Should Be - — •• �: .,{: Ne :t To End Cap Distribution Plpe Layout P Ft. R S X -3s'o Inches Signed: Y 3 � Inches ��--� Hole Diameter 1/4 Inch License Number: IS (03 Lateral " /i_ Inch( s) Date: — 5 — 7 Force Main 3 Inch; # of holes /pipe Invert Elevation of Laterals /OYi8 Ft. N rt rt En rN rt N rt w rt v \ J •�. .r `�"'� ti's• L f� Y ��•� , �' i d � n � W - A rt d 0 m S EPTIC TANK 9 PUMP CLAMBE C ROSS SECTION AN SPECIFICATION Gawyct-;ok. 4" CI VENT PIPE 12" MIN. ABOVE GRADE 6 /U� EATHER pd�j0trur Sy0 /7 25' FROM _DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER t1 W/ PADLOCK 6 FINISHED GRADE 4 CI RISER WARNING LABEL 6" MIN. ABOVE GRADE ­ _, 4" MIN. 18" IN. 6" MAX., INLET I' WATER TIGHT SEALS T GAS. ` f TIGHT i r.. 4'� BAFFLE A SEAL PROVED CI PIPE ALM INTS 4l/ CI 3' ONTO B ON PE 3' ONTO SOLID , LID SOI L , SOIL PUMP OFF ELEV . qE FT. — C C OFF RISER EXIT D RMITTED ONLY TANK ANUFACTURER 3" APPROVED BEDDING UNDER TANK HAS APPROVAL CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE WeiseR TANK MANUFACTURER: 7 - 5 0 NUMBER'DOSES PER DAY: TANK SIZES SEPTIC /a,50 GAL. DOSE VOLUME INCLUDING DOSE 2S0 GAL. FLOWBACK: /90 GAL. ALARM MANUFACTURER: S1 F1��,. c Sy S*WCAPACITIES: A = p, INCHES = I AQ* o y GAL. MODEL NUMBER: SWITCH TYPE: float B = 2 INCHES AL. PUMP MANUFACTURER: �dS C = / o?, Q INCHES GAL. MODEL NUMBER: ••p �� SWITCH TYPE: D = INCHES = Sr812., GAL. REQUIRED DISCHARGE RATE � (Q GPM PUMP 6 ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . . /lD oW FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . .�. 2.5 FEET + FEET FORCEMAIN X FT /100 FT. FRICTION FACTOR . . ,y/ FEET T.OTAL DYNAMIC HEAD — "FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH 4 ) 0 WIDTH 5,2... • ��ER LIQUID DEPTH S IGNED: _ LICENSE NUMBER: 1,56L3 DATE: 1/88 4'r r te, OOULDS SUBMERSIBLE .i ' o y F S AND EFFLUENT PUMPS { Il , �. win DOC. EP0311 WJPEP0311 1142 EP0311 1/3 HP 114 V EffluWt Pump 1 /2" solids 256.80 172.10 grip+;' . Submersible Effluent:. Pump. MODEL EP0311 • Ai�a �' r 4 ME FEET SIZE ]/5" SOLIDS !AtE•1:i 4 • c t �- 2 — • O 0 0 4 0 12 16 20 24 28 02 Je 40 GPM 0 2.5 5.0 7.3 W/A. CAPACITY �G `,r{.. -Perform Curve 380".5 +wiz : .. MODEL 3i1a85M SIZE' /4" Solid w WE. » go oe _ m so w + '40 a a 10 w ro goo no +m ' tin• em%emr LIST DISC. OXWE031U. 142 HE0311L 1/3 HP 115 V tow N 3/4' solids 91.55 ]29.]5 , 311 142 142 WFA311H 1/3 HP 115 V Hod i 3/4" so lids 491.55 329.35 & ,r• OJmPMrrmilH 142 WE05'fm 1/2 HP 115 V High H 3/4" .d�llda X04.25 4'x.1:85 .' OOMT071211 142 VE0712H 3/4 HP 230. V High 11d. 1/4" aolida $43.65 56$.25 {S s •eep *= FMIAHIM PAGE FAR Pmrgwn E Mc W=FICATI0H3. ;�y r " Mn 10/88 OFhT 30 PAGE D7u Wisconsin Department Industry Labor atld Human Relations SOIL AND SITE EVALUATION REPORT Page 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 t inches in size. Plan must include, but St. Croix not limited to vertical and horizontal refe c8 0 ]�I '�ir 'on and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and locatio tance o nea�st d. 0 36 - 1081 - 60 APPLICANT INFORMATION -P E P " NIF F TION R EW D TE PROPERTY OWNER: `"( PROPERTY LOCATION G ary Cook - y ;� GOVT. LOT NW 1/4 NW 1/4 32 T 31 N,R 17 ft (or) W PROPERTY OWNER':S MAILING ADD BLOCK # SUBD. NAME OR CSM # 1515 Hwy 64 t. • ° '� ° na na csm CITY, STATE Z [- ❑VILLAGE FLffOWN NEAREST ROAD ki New Construction Use Pc I Residential // u r of bedrooms 3 [ ] Addition to existing building I I Replacement [ I Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, gpd /ft •5 trench, gpd /ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading, rate • 4 bed, gpd /ft - 5 trench, gpd /ft Recommended infiltration surface elevation(s) 105.30 ft (as referred to site plan benchmark) Additional design/ site considerations system el. based on contour line of el 104.30' Parent material Pitted glacial drift Flood plain elevation, if applicable na ft r S = Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S ®U ®S ❑ U ❑ S ®U ®S ❑ U ❑ S ®U ❑ S ® U SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Structure GPD /ft 9 Texture Consistence Boundary Roots In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed jTilench 2 .5 .6 2 10 - 10 r 4/4 none sicl 2msbk mfr 9W if .4 .5 Ground 3 24 -48 7.5 r 4/4 none sl lcsbk mfr na .4 .5 elev. 106 ft. 4 48 -78 7.5 r 4/4 none scl lcsbk mfr na na .2 .3 Depth to limiting factor *78" 1 Remarks: Boring # 1 0 -13 10 r 3/3 none 1 2msbk mfr qw 2f .5 '.6 2 .... - mfr qW if .4 .5 Ground 3 24 -49 7.5 r 4/4 none sl lcsbk mfr qW na .4 ; .5 elev. 1 4 - cl I m na na na n .2 Depth to limiting factor 49" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Ae.. New Rich nd WI 54017 Signature: Date: CST Number: m02298 8 -20 -97 STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Gary Cook New Richmond WI 54017 MPRSW 3254 NW4NW4 S32- T31N -R17w (715) 246 -6200 t town of Stanton N 1 " =40' BM.= top of 2" pvc pipe C el. 100' Alt. BM. == top of steel post @ el. 106.5' 7/0 o` r m � 00 ' Lt d � �pp` Gary L. Steel 8 -20 -97 f ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer &O.R:y L_ t! o'o y_ Mailing Address S t S P\nr y G n 4 t'jEw Property Address v {-�w 4 (Verification required from Planning Department for new construction) City /State g-tiv Din a oaa Parcel Identification Number LEGAL DESCRIPTION D Property Location 124 /4, "\" Y4, Sec. �17�, T �? I N-R W, Town of Subdivision Lot # Certified Survey Map # 5 - 7q' ( , Volume 1i , Page # '1 Warranty Deed # 4Q--- 4 59 o Volume q SS , Page # j Spec house ❑ yes no Lot lines identifiable Xyes ❑ 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 Lhree 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, 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 W isconsin. 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 three year expiration date. &?a4u 4` &rk 3 /'/ . // gy GNA OF 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 pr erty described abo , by virtue of a warranty deed recorded in Register of Deeds Office. 3 9 8' SI A 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 '74649 8 FILED MAR 0 9 1998 L K W ALSH kister of D 2, St. Crolx CERTIFIED SURVEY MAP Located in part of the Northwest Quarter of the Northwest Quarter of Section 32, Township 31 North, Range 17 West, Town of Stanton, St. Croix County, Wisconsin. Prepared for and at the request of: OWNER: Go Cook NOTE: The parcels) shown on this map is /are subject to State, County and mo New Ric is y nd, . WI 54017 Township laws. rules and regulations ( i.e. wetlands, minimum lot size, access New hmo to arcel, etc.. Before P ) purchasing or developing any parcel, contact the St. Drafted by Krlstl A. E&ndt Croix County Zoning Office and the appropriate Town Board for advice. NAR7H 114 CORNER NORTHWEST CORNER SEC 32 -31 -17 SEC. 32 -31 -17 S. T H. ' (1 /RAN PIPE) T.N. (1'IRON PIPE) -- - - -- NGYPnyUNEOE IHENW I14 ---- - - - - -- - - - - -- - — - - - -- -S 89'55'14' E 2602.50=---- - - - - -- - ` _ --S 89'55'14' E 387.57' -- S. T.H. "64" is Zo I f N 8 9"58 '4 9' E 373.79' I `a I— — — — — — I— — — — — — — — — — I SEE DETAIL FOR \ IN R.O. W. \ S. JOINT DRIVEWAY \ � /- t $ 64 " 1 I EASEMENT \ 1 t BLDG .S E78ACK � J .. ............................. r Co V TOTAL AREA to 1 198.345 SO. FT. a 1 4.55 ACRES r LQL1 to I AREA EXCLUD. R.O.W. r `� m 174.428 S0. FT. CSM f Q UNe4.AT.�.D IAR S I I N ' — VOLUME 11 PAGE 3020— 3 r 4.00 ACRES 3 ; QE�E6 _ I" LOT 2 N N ,� � it M Z g „ 97977' M r T i j PROPOSED j � y c3 RONA LA F. o UNPLA.1 NDS I to I MOUND r ROHM . o 1 I I r s—t1Be Z , o OF OSIER l N SYSTEM AMii:RY Su N 89'55'14" W 250.57' WEST 114 CORNER UNELAT OLIARM 1 ' SEC. 32 -.x-17 OF OWNER - - - - 34 3.22 1 - - - t (ALUM. CO. MON.) - 209.15' - - 134.07'-'i - NOO'33'34'W ' - -' APPRI OVE 63.39' 1 t � MAR 0 9 '98 � � \' � N $' . C;KW CUUNTY p C.a(ipur�alwtalw Planning 3 /V r • J Zmiiq and P*** 66mmittee + 1