Loading...
HomeMy WebLinkAbout040-1232-20-000 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT .E Owner 15kQz_ 'i'VeVI -t Property Address X 7 City /State Via. eg _<d "V l/V Leg Q4 tio Lot ck Subdivision/CSM # v +- o d ,� Sec. , TAN -RAW, Town of 'T_rz,, PIN d SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer �1 Z,& eCkik -,,l Size ST/PC Setback from: House J� t Well P/L Pump manufacturer tIgg A-11 Model P_ `rye+ 5' Alarm location 2��� (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: - Lee -wry Width _ Length Number of Trenches / Setback from: House Well P/L Vent to fresh air intake ELEVATIONS Description of benchmark % `gip, i� Q 7 s T" Elevation Description of alternate benchmark o s ;�� . U Elevation Building Sewer ST/HT Inlet � � ST Outlet PC Inlett'_ PC Bottom Header/Manifold /5�0. Top of ST/PC Manhole Cover Distribution Lines( / 4, Bottom of System Final Grade O /6y, _ O ( ) S u 2c(��l Date of installation / /1°I Permit number � `'/ State plan number D r Plumber's signature License number : ?,2 -7 SS A Date3 ////9 Inspector /Pa 4 Complete plot plan air x Safety and Buildings Division • ,- SANITARY PERMIT APPLICATION 2 01 W. Washington Avenue Wisconsin In r with I H Wi . A m. Code P O Box 7302 Department of Commerce acco d t IL HR 83 05, s d Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 1 1 inches in size. ST r n • See reverse side for instructions for completing this application State sanitary Permit Number 31- 0 6q 4 Personal information you provide may be used for secondary purposes ❑ Check if revision to previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Prop rty Owner Name Property Location V t Q 1 /4 S 1/4,S T oZ 7 , N, R �Q E (or Property Owners Mailing Address Lot Number Block Number a Cit , State )�,�, Zip Code Phone Number Subdivision Name or CSM Number E OF BUILDING: (check one) ❑ State Owned ity Nearest Road Pub lic 1 or 2 Family Dwelling - No. of bedrooms 1] Town OF Vo rIf l eG III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number 1 ❑ Apartment/ Condo 6 Y o ^ le? - o o 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. 3 New 2. ❑ Replacement 3. [] Replacement of 4. E] Reconnection of 5_ C] Repair of an ____ 1 _�_System ________ System____ _________TankOnly______________ Existing System _________ExlstingSystem 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 VMound 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 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 to �d T l y ^ a 4 � 1 Feet .,5 Feet Capacity VII. TANK in Ca allo Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Pl App New Existin strutted Tanks Tanks Septic Tank or Holding Tank X b wo �G+1� 7`¢ ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber Qe s I I ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se age system shown on the attached plans. Plumber's Name: (Print) Plumber's Signatur : No Stam ) M /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zi Code): 46 Q c c, IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing Agent Signature (No Stamps) -� I Approved []Owner Given Initial Surcharge Fee) /" Adverse Determination s X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber Wisconsin Department of Commerce County PRIVATE SEWAGE SYSTEM : Safety and Buildings Division t� ST . CROI X INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar t Personal information you provice may be used for secondary purposes [Privacy L s.15.04 (1)(m)]. Permit Holder's Name: Village 0 Town of: State Plan ID No.: BRAINERD, BRET 8)p CST BM Elev.: Insp. BM Elev v.K.: BM Description: Parcel TMf 1232- 20-000 V Pipe TANK INFORMATION ELEVATION DATA A9800584 ' TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. eptic M16it011 r duo Ben 5hm r Dosing K — �fp� b p✓ u . S D J loc.) Aeration _ Bldg. Sewer 74. 9 1 ZZ Holding St/ Inlet 4 qs• `,� TANK SETBACK INFORMATION St/ Ht outlet TANK TO P/ L WELL BLDG. Air I ntake ROAD Dt Inlet Air e Ic : fi p ,� t/' �',n. NA Dt Bottom 1Z•q� 4 f 7 Dosin " h r i �rj NA Header / Man. 3'77 ,t 00. 8 Aeration NA Dist. Pipe 3 Mr loo. Holding Bot. System E/. �/� ico. tG/oo. PUMP/ SIPHON INFORMATION S ` Final Grade Or Manufacturer Uo� td S Demand S A �,,,I ��, ( q�2 q 7• GL Model Number EPOS 3 GPM Alf" I*; J -�9' 9 TDH Lift g pq Lriction System TDH 13 t Forcemain Length 8a 1 Dia. a Dist. To Well i! SOIL ABSORPTION SYSTEM a • '7`4 TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ( 0 - 3 1 1 DIMEN I N SETBACK SYSTEM TO P / L I BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION T pe O CHAMBER Y , Model Number: SystemADV ` ?2 — IA. OR UNIT DISTRIBUTION SYSTEM 4 " o.IPw0W1^C1 Header / Manifold � Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length � Dia. °� Length 3t� Dia. Spacing 1 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 Topsoil ❑ Yes [] No E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) °�.t �o e 51- LOCATION: TROY 3.28.19,SE,SE 537 TRILLIUM LANE — COUNTRYWOOD LOT 12 b8/9�KJ QPty efpby �. - qq.5� � vo�CQ,� »�.� - We,(( at •lira) i rw�rc..4j'.� (P litt, 4.wky 1d� ,wbvit vttA 2�lcc��ow,�w�p�� PA � W �I� ply✓ a�Ga G�>� o Plan revision required? ❑ Yes ©'No Use other side for additional information. t SBD -6710 (R.3/97) Date Inspector's §ignature Cert. No. Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 i sconsin Tommy G. Thompson, Governor Department of Commerce Philip Edw. Albert, Acting Secretary November 12, 1998 CUST ID No.267341 A7TN.• POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 11/12/2000 Identification Numbers Transaction ID No. 189565 S ite ID No. 163579 SITE: Please refer to both identification numbers, ST CROIX County, Town of TROY above, in all correspondence with the agency. SETA, SE1/4, S3, T28N, R19W Lot 12, COUNTRY WOOD BRET BRAINARD & DANA BRITTEN FOR: Description: MOUND SYSTEM Object Type: POWT System Regulated Object ID No.: 435286 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. 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. Sincerel , DATE RECEIVED 11/02/1998 FEE REQUIRED $ 180.00 P PAGE , POWTS PLAN REVIEWER II FEE RECEIVED $ 180.00 Integrated Servi BALANCE DUE $ 0.00 (608)266-2889, M - F, 0745 - 1630 HRS PEPAGEL @COMMERCE. STATE. WI.US Page of 6 MOUND SYSTEM FOR A BEDROOM RESIDENCE H LOCATED IN THE S E - 1/4 OF THE S E 1/4 OF SECTION 3 , T N, R IQ W, TOWN OF C�toIK COUNTY, WISCONSIN. cor kz of oovt'l '-/ L-J006 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 A PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR �vDSOrV, kJl S�lUI� PREPARED BY WEGEF;tEF:;t SOIL TESTING AND. Oki 40e n I G tv s1E=�v I c �� � ® ,C ®.pv P.O. BOX 74 421 K. RAIN ST. � �..► '� E? 0, W �' �. RIYEIt FALLS. MI 54022 ARTHUR EGER l W 715- 4755-0145 D - WO P Ed..LSYJORTM, W fS. DEPA P M ERNT OVED �® CO MERCE ®I ®��� h�N� DIVISIO AF AN BUIL S SEE CORRESPO ENCE i 87 5C5 JOB NO PLOT PLAN Page L of Scale 1"= SO' S �S• b9 v N 1� DoT tzV-APif T orT � .66 J .�i o'.•� �� S � MAN. zti�vc mow+ tip OF y010 �4 pv C BU<11�Y -� OF �l'D E n- WE ffr Ll�kTT So' F PAZ - I ST Z,S d F ZV- I - reo' ", , NOTES •1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. (Y required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. tank to be % - L 1, 10 / bod gallon capacity manufactured by w1\ ;�>wes'7t�M l � 1Z�`tt\ST � i►vc. 5. Bench Mark tr t izN �pF- . r ` yLr '%Y1 - tL Vb3.9'ou OF s `i'lt F'eh 'iz�osT, 6. Divert surface water around system to prevent ponding at the uphill side. Page.. of Approved Synthetic Covering Rs c 33 Distribution Pipe Medium Sand To Topsoil — H— s � G P - - - -;- F Elev'. 3 -. b % Slope Bed Of 2- 2 %2 Force Main Plowed Aggregate From Pump Layer D l Ft. Cross Section Of A Mound System Using E 1 - 3 z -Ft. F 6-% Ft. A Bed For The Absorption Area G Ft. A Ft. H 1S Ft. Linear Loading Rate = ° ►-S GPD /LN FT, B 63 Ft. Design Loading Rate= 0. /SQ FT j ) � Ft. J Ft. K Ft. A! t erna t n, + • L %S Ft. Force W Z Ft. L 7 ,j tOb a Observation Pipe A W I - - - I• - - - -- -------------- - - --•I �F orce Min o - - -- Distribution Bed Of 2 2 2 Pipe Aggregate I Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area s Page Of 6 Perforated Pipe Detail 0 End View ) Perforated End Cap. �� PVC Pipe Install permanent - marker C at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main Q PVC Manifold Pipe Distri ution Pipe Lost Hole Should Be I Next To End Cap End Cop P 3n Ft. Distribution Pipe Layout S Ft. X I/b Inches Y u $ Inches Hole Diameter !�y Inch Lateral 1 / !�l Inch(es Manifold Inches Force Main Z Inches # of holes /pipe $ Invert Elevation of Laterals Ibb,5 Ft. Place lst hole t �from center of manifold with succeeding holes at 4 b ` intervals. Last hole to be next to the end cap. Combination Sept�i.c; Tank and PUMP CHAMBER CROSS SECTION, AKID SPECIFICATIOUS PAGE _ .S ,OF C� -VE1JT CAP WEATHER PROOF JUMCTIOM BOX H "C.I. VENT PIPC APPROVED LOCKIMG 10' FROM ODOR. rm'Du MAIJHOLE COYER yuCM .huooW OR FRESH LP, +tiARtuIIJG L.148EC.. A IW TAKE- � r tj b NR . 16 CaR.!! � i - `(� Mild. L -- y pips PROVIDE I — - -- NJLE T — T AIRTIGHT SEAL APPROVED JOIWT 84FF��S A I I APPROVED JOIAIT: W /C. - I. PIP�oR Tank construction j WEE• ��PE��� shall comply with -) I ALARM ILHR 183.15 and 83.20 d I t I I i O1J C I I 8 6•-)S I LLEY, FY PUMP J OFF D COWCKETE —' BLOCK 3" APPRo RISER EXIT PERMITTED OULU IF TAWK MAIJUFACTUR6R HAS SUCH APPROVAL gEpptN4 SEPTIC F SPECIFICATIOLIS DOSE p 31. MUMBER OF DOSES: - PER DAy T, M Kj MANUFACTURER: TAWK SIZC: GALLOWS DOSE VOLUME Z lb$ ALARM MAMUFACTURC.R: S �•� S'13tt 4 S IAICLUDING 6ACKFLOW: C►ALLONS MODEL iJUMBER: tS* L-J CAPACITIES: A= INCHES OR L L OO -2 GALLOI,IS SWITCH TYPE: B= Z IWCHES`OK %47 � G�LLOU5 PUMP MANUFACTURER: G 0 u2--b S C- S INCHES OR GALLOUS MODEL HUMBER: D- 9 INCHES OR S' S GALLOMS O O SWITCH TYPE: I`7 MOTE: PU AND ALA M RC TO bbE MIIJIMUM DISCHARGE RATE -GPM INSTALLED OM 5EPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP Off AUD.DISTRIBUTIOIJ PIPE.. 3 •ls FEET + MIIJIMUM mETWORK SUPPLY PRESSUKE .. . . . .... . . 2 FEET + 8O F EET OF FORCE MAIN X !'2T S F Yo►cFRICTIOW FACTOR.. Z ' FEET .= TOTAL.OtIUAMIC HEAD = I FEET Pump chamber DIAMETER ILITEKLIAL. DIMEIJSIOM� OF TAWK: LF-M&TH ;WIDTH ;LIQUID DEPTH BOTTOM AREA — 231= GAL /INCH AS PER MANUFACTURER = Z L % OS GAL /INCH Goulds nkGie— 6 OF 6 Submersible C K Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. tic cover with integral handle • Farms Motor: Available for automatic and and float switch attachment .4 HP, • EPO4 Single phase: 0 manual operation. Automatic • Heavy duty sump g p models include Mechanical points. 1550 • Water transfer 115 or 230 V, 60 Hz, Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant. automatic reset. ■ Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, construction. Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- Solids handling capability: automatic reset. plastic Semi -open design 3 /4" maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING r — • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SP Canadian standardsAssoclation • Total heads: up to 24 feet.. with three prong grounding 0 EP05 Impeller: Thermo- • Discharge size: 1 1 /2" NPT. plug. Optional 20 foot (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F" or "AC ".) rotary/ceramic- stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 j • Capable of running dry without damage to s 30 ! A,P, components. -- Pump: EP05 a • Solids handling capability: c 25 maximum. a • Capacities: up to 60 GPM. _ • Total heads: up to 31 feet. 6 20 I s. y • Discharge size: 1Y2" NPT. z 5 - - — • Mechanical seal: carbon- 0 15 rotary/ceramic- stationary, a 4 BUNA -N elastomers. Temperature: ~ 3 10 ! 104 °F (40 °C) continuous fPOa 140 °F (60 °C) intermittent. 2- -- 5 1 _ 0 10 20 30 40 50 GPM L_ L L 0 2 4 6 8 10 12 ml/h CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 1995 1 VYneonsinDepartmentoflndusuy. SOIL AND SITE EVALUATION REPORT Page 1 of Labor;.rd Human Relations L?',- ,vision of Safety &,Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. 0 dimensioned, north arrow, and location and distance to nearest road. pending APPLICANT INFO RMAATION PLEAS POINT ALL INFORMATION REVIEWED BY DATE PROPERTY OW NE PROPERTY LOCATION GOVT. LOT SE 1/4 SE 1I4,S 3 T 28 ,N,R 19 $(or) W PROPERTY OWNER':S MAILING ADDRESS LOT LOCK Ir SUBD. NAME OR CSM # 1353 Awatukee Trl. " na Country Wood CITY, STATE ZIP CODE PHONE NUMBER UU11T VILLAGE OWN NEAREST RQAD Hudson,*Wi. 54016 (715 549 -6731 Troy r Rd. New Construction Use ( xI Residential / Number of bedrooms 3 (] Addition to existing building (� Replacement ( I Public or commercial describe Code derived daily flow 450 g pd Recommended design loading rate -.4 bed. gpd/ft •5 trench, gpolft Absorption area required 375 bed, ft2 375 trench, 9 Maximum design loading rate • 4 bed, gpd /ft •5 trench, gpd/ft Recommended infiltration surface elevation(s) 100.05 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 99.05' Patent material limestone highlands Flood plain elevation, if applicable na It S - Suitable for system CONVENTIONAL I MOUND AGROUND PRESSURE AT-GRADE SYSTEM IN FILL I HOLDING TANK U= Unsuitable for system 0 S ® U Ms 0 U 10 S 12U ( 0S MU 0S ®U O S ® U SOIL DESCRIPTION REPORT Depth Dominant Mottles Structure GP PL Boring # Horizon P Texture Consistence Bounriary► Roots in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed } 1 1 0 -12 10 r3/3 none sicl 2msbk mfr gw i f . 41 .5 2 12 -24+ 10 r4/4 none sicl Ilfsbk mfr qW if .21 .3 Ground 3 124-31 7.5yr4/4 none scl lmsbk mfr qw na .2I.3 98 % ft. 4 31 -50 7.5yr4/4 c2 7.5 r5/6 scl lmsbk mfr w na .2`.3 Depth to 5 50+ 2.5y7/2 none fract red Limes one n ` n limiting 31� Remarks: Boring # 1 1 0 -10 10 r3 3 none sicl 2msbk mfr c ;1 2 a 2 10 -24 10yr4/4 none s icl 2msbk mfr 1 f . 4€ . 5 :. 3 24 -31 7.5yr4/4 none scl 1 2msbk mfr a na .4 .5 Ground 4 31-60 c2p7.5yr5/8 cl I m na 9W na np n 9 G e.b5 1L w /fra tured li stone Depth to limiting Remarks: CST Name: — Please Print Gary L. Steel Phone: 715 - 246 -6200 'Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page l 3 tabor ?nd Human Relations g _ Of Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COU s u Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but Cro not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or "� U L I. # tt11 dimensioned, north arrow, and location and distance to nearest road. ]'�y pet APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION j VIE1kb V 0 1 995 �( V PROPERTY OWNER: PROPERTY LOCATION ST GiaDtX Richard Stout GOVT. LOT SE 1/4 SE 3 ley N 1 (or) W PROPERTY OWNERS MA!I_ING ADDRESS CK # SUBD. N M # 1353 Awatukee Trl. r 6`;V a l na Count CITY, STATE ZIP CODE PHONE NUMBER VILLAGE 0OWN AD Hudson, Wi. 54016 (713 549 -6731 Troy Twoer Rd. �k* New Construction Use [ x] Residential / Number of bedrooms 3 [ J Addition to existing building j J Replacement (J Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • • 4 bed, gpol(t - 5 trench, gpd/ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate • 4 bed, gpd/0 - 5 trench, gpd/ft Recommended infiltration surface elevation(s) 100.05 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 99.05' Parent material limestone highlands Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for system ❑ S ®U 13S 13 U ❑ S au ❑ S M I EIS ®U EIS ® U SOIL DESCRIPTION REPORT Texture Boring # Horizon Depth Dominant Color Mottles Structure Consistence Boundary Roots GPD /ft I in. Munsell Clu. Sz. Cont Color Gr. Sz. Sh. ITirench 0 -12 10 r3/3 none sicl 2msbk mfr gw If .4 .5 2 12 -24 10yr4 /4 none sicl lfsbk mfr qw if .2 .3 Ground 3 24 -31 7.5yr4/4 none scl lmsbk mfr 9W na .2 .3 98 ft. 4 31 -50 7.5yr4/4 c2p7.5 r5/6 scl lmsbk mfr C4W na 1 .2`.3 Depth to 5 50+ 2.5y7/2 none fractured Limestone n n limiting ff for Remarks: Boring # <__ - >w : > < :< 1 0 -10 10 r3/3 none sicl 2msbk mfr cs 1 .4' .5 Lj 2 10 -24 10yr4 /4 none if .4 €.5 sicl 2msbk mfr 3 24 -31 7.5yr4/4 none scl 2msbk mfr na .4 .5 ee G lI round 9805 4 31 -60 2.5y6/4 c2p7.5yr5/8 cl m na gw na n n ft. Depth to w /fra tured limestone limiting fac�r„ Remarks: CST Name: Please Print Phone: Gar L. Steel 715- 246 -6200 Address: 1554 200th Ave. New Richmond Wi. 54017 10 -27 -95 Signature: Date: CST Number: • STEEL'S SOIL SERVICE Gary L. Steel Richard Stout 1554 200th Ave. CSTM2298 SE4SE4 S3- T28N -R19W New Richmond, WI 54017 MPRSW 3254 town of Troy (715) 246 -6200 ¢ lot #61- Country Wood I N 1 " =40' BM.= top of 1" steel pipe C el. 100' Alt. BM.= top of Steel fence post C el. 103.9' 3 q0 \ ti Gary L. Steel 10 -27 -95 ST CROIX CO UNTY SEPTIC TANK. MAIN'T'ENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM. Owner/Buyer r'G`7 ra %r�� - - r,' S_Y Mailing Address _ X597 r� 1 � �_�/ ��e� Z— ogo ez, gi _ Property Address _ ��_ �2, (Verification required from Planning Department for new construction) �k►�� -., M _ City /State zc'�' Parcel Identification Number e4 - 2 -,Z0 - evvo LEGAL _DE SCRI P TION Property L,oCatlotl - %, '/4, S cc., T ';? Town of Subdivision 1 "&r � _ , Lot # Certified Survey Nlap # _ r , Volume , Page # Warranty Deed # _ 4 ";7 J . Volume Z3 L? , Page # Spec house ❑ yes fd no Lot limes identifiable [ yes ❑ no SYSTE MA I1NTEN ANCIE Improper use and maintenance of your septic system could result in its premature failure to handle: wastes. Proper rr)amte nauce consists of pumping out the septic tank every tluee 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. Ilse property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a rnaster plumber, journeyiiian plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisuosal system is in proper operating condition and/ (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of slu!lge. I /axe, the undersigned have read the above requirements and agree to mabitai).i the private sewage disposal system with the standards set fort)), herein, as set by the Department of Con"erce and the Department of Natural Resources, State of Wisconsin. Cent! cation stating that your septic system has been maintained must be completed and returnee] to the St. Croix County Zoning Offict , xithin 30 d1 s of the three year elate.. SIGNATURE OF A>n>: UCANT DATE OWNE CERT IFICATION 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 property desctibcd above, by virtue of a warranty deed recorded in Register of Deeds Office. r r _ _�� 10 91? SIGNATLT I' APPLICANT DATE Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Departmew. "* Include «ith this application: a staniped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deer)