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HomeMy WebLinkAbout040-1239-30-000 rsT T z S � ST. CROIX COUNTY ZONING DEPARTME4,1 AS BUILT SANITARY REPORT ' rr Owner WV7 Address 5 OUIL l City /Stat 04 Foels Z — COUNTY 1 2,06jG OFFICE Legal Description: Lot /D Block Subdivision/CSM # 72 ® -/t S Sec. �, T21N - R�W, Town of - 7 - A0I✓ PIN # yyV ll 3 3 • 3 SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer / �- ^� Size ST/PC ldIp Setback from: House /-Z Well > ' P/L > -S � Pump manufacture_ r_ Model Alarm location /N SIV E: - ?-- (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: Width 3 Length d 7 Number of Trenches 2 - Setback from: House /D S' Well y/ey P/L 27- Vent to fresh air intake > Z S ELEVATIONS Td of lvleoE yn4 r .2 ,f T . IV 4,1 /04 . d Description of benchmark 7�9/ OF `4/ Elevation f f 4" Description of alternate benchmark 4 TtVA Elevations/ 14 Gv�✓ . Building Sewer ' Inlet = ST Outlet PC Inlet d" / All PC Bottom V- Header/Manifold Top of ST/PC Manhole Cover Distribution Lines( 5 70 () ( ) Fl Bottom of System Final Grade Date of installation 9 // � - Permit number 3/6 State P lan number D Plumber's signature License number Z 2� 3'2 / Date / / Inspector Q ! `� %y d' `'• �C5 IQL Fss e��� ORIGINAL Complcte plot plan } 0.E C O v <Q l 8 ozm � ST- (W\ a �pD f D to am ` , mit O \n c ^,. 0 I C1 A lv^\ eN tiZs o Q \ It = � < N w mC.C, o oo --Nr1o) i) vc """t5---.6 , 1.0 i ) ' N N Q1 .7' --4--)t 1 _-'' .- , % k< VI ,- .- kr . -- t.: - - i 7, 4: s ,- N_ G \ \ -- o ,._ k\ .,, do .. /`) fl \.,. \:::, ,, 0 . ,I.- r t -- ,,, ct .1., Nmo � a 4k. ' c,0 -.1 u, ,., (\cn U.) . - , \ I , — , c k. O a . tl 4, rt, „ , Ni o >c, , ,,,, Y l', MODEL DVP03 MODEL Vertical • Pump EPO4 '1 Submersible • DVP COW D 4 I -ter 9 Pump Specifications % HP METERS FEET Up to 40 GPM 10 -- -- -- — MODEL: 3871 Discharge size 1 1 14' NPT 9 30 Solids: 3 /6 ' maximum Motor 25 Single phase: 115V It = 6 20 Materials of Construction _ Brass /thermoplastic 5 ,5 Features and Benefits > ^ EP05 • Top suction eliminates a 3 70 impeller clogging. 2 E • Corrosion resistant 1 5 construction. jo 0 00 10 20 30 40 50 US. GPM *Float actuated switch. 0 2 4 6 a 10 12 "PAW CAPACITY METERS FEET 25 - -- - -_ -- - ------- - - - - -- Pump Specifications Features and Benefits MODEL DVP03 0 6 20 — _..____ __. _.._ _ _ Vie and '/2 HP • EPO4 impeller- semi -open design 5 Up to 60 GPM with pump out vanes to protect 15 -- - - -- - Maximum head to 32' mechanical seal. 4 Discharge size 1'/2" NPT • EP05 impeller - enclosed design 3 10 roved -- -- - — -- Solids: 3 /4" maximum for improved performance. 2 5 Motor • Rugged glass - filled thermoplastic ' All motors feature ball casing and base design provides ° ° o s - - 10 - -- 1s 20 2s 30 35 40 US.GPM bearing construction. superior strength and corrosion Single phase: 115V I 0 2 4 6 s 10m3Amr • Cast iron motor housing for CAPACITY Materials of Construction efficient heat transfer, strength, Cast iron Thermoplastic and durability. Stainless steel • Corrosion resistant threaded stainless steel shaft. • Available for automatic and manual operation. • CSA listed models available. All Models are designed for continuous operation and feature stainless steel hardware. , "11 11 1 1 111IMin Department Commerce PRIVATE SEWAGE SYSTEM Count ' Safety and Buildings Division Y: INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 315812 Permit Holder's Name: TR Y❑ Village Town of: State Plan ID No.: LSON, BRENT U CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: (00 to I I v Z" srol., Qlbe, 040 - 1239 -30 -000 TANK INFORMATION U ELEVATION DATA A9800200 TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic i9 191 :? Bench RS • , ?S & 100 Dosing - 2 1-05-Qq S• Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet 3 88.a Ventto TANKTO P/L WELL BLDG. Airintake ROAD Dt Inlet 3 Septic 1 00 1 �d+ Z 1--Y4 NA Dt Bottom Dosing I00' D ' Zo NA Header /Man. /oA- 2 Aeration - Dist. Pipe 2.11 4 ?? -72 Holding Bot. System PUMP / SIPHON INFORMATION ��o Final Grade Manufacturer w � Demand _„ Model Number CPd 5 3n GPM &-A — f 4 e �•O /DZ•S � 9 TDH Lift 1 S 1( Lriction2� $yste 5' 1 TD f., t Force main Length /U7 Dia. Z Dist. Towel SOIL ABSORPTION SYSTEM BED R NC width Length t No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N �7 � L l Z DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM EACH76,1 Manufactur INFORMATION Type O , , C Mo r. Syste . d� ZZ ldS 7 OR UNT DISTRIBUTION SYSTEM Header / Mani old � Distribution P e(�? x Hole Size x Hole Spacing Vent To Air Intake ., '/q 46.E Length � Dia. 2 Length � Dia. 2 Spacing (Z SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodced xx Mulched Bed /Trench Center Bed/ Trench Edges I Zn Topsoil 6' JX Yes ❑ No ,0 Yes ❑ No COMMENTS: (Include code discrepancies, P-L onITRY sent, etc.) 5�s' �y �--+ eo" �ur LOCATION: TROY 21.28.19,SE,SE 51 C OAKS LANE Z, Gkcwf awl s - fv, sir Ited u G, lds . oS- 5�,pPl, .p v�rP e 9- l f7 - 4 . ,r J � .o L'rw o : - -�. i X71- o . 97, 9 Plan revision required? ❑ Yes ❑ No Use other side for additional information. l 3 SBD -6710 (R.3197) Date Inspector' ignature Cert. No. SANITARY PERMIT APPLICATION Safety E w shn Ave. NN Lconsin P.O. Bo 7969 Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County 5T than 8 1/2 x 11 inches in size. • See reverse side for instructions for completing this application State sanita�aP Number The information you provide may be used by other government agency programs ❑ Check if revision to previous cation [Privacy Law, s. 15.04 (1) (m)). State Plan I.D. NuTber I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION 2 9 Y 0 Pro caner Name Propert }� cation �i p y e�� O /sD�V 1/4 ?L 1/4, S V T � , N, R `q E (or W0 Pro p Owner's Mailin Address ` �. Lot Number D lock B Number 'Ajrl W � f� � � City, tate 6�Po z PV Zip Co le ( h 30 um r Subdivision Name or CSM Number eemV7%V O *r S siy& 11. TYPE F BUILDING: (check one) E] State Owned !' E' !t T-/"'� A NearesttRooact /s y COUti D� G Public 1 or 2 Family Dwelling Village - No. of bedrooms Town OF 111 BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 0 1 E] Apartment/ Condo 7 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. [New 2 E] Replacement 3. E] Replacementof 4_ E] Reconnectionof 5. E] 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 21AMound 30 ❑ Specify Type 41 ❑ Holding Tank 12 []Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑Seepage Pit 43 ❑ Vault Privy 14 ❑ System- I n- Fi I I VI. ABSORPTION SYSTEM INFORMATION: 101,5 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Re ulred (sq. ft.) Proposed (sq. ft.) (Gals/d sq. ft.) (Min. /inch) ©rJ, �� Elevation (� b !/ Feet Feet VII. TANK Capacity in g allons Total # of Prefab. Site Fiber- Ex er. INFORMATION Gallons Tanks Manufacturers Name Concrete con Steel Plastic p New Existing structed 91ass App. Tanksl Tanks Septic T l30d / ✓7.l ❑ ❑ ❑ ❑ ❑ umpTan ipherl{+le+wber / El El 1:1 1:1 1:1 Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) MP /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): AA' IX. COUNTY / DEPARTMENT USE ONLY t / E] Disapproved Sanitary Permit Fee (includes Groundwater ate ssue Issuin A e Sign ure (No Stamps) ('Approved []Owner Given Initial v Oz7 s char Fee) j r ' \ Adverse Determination ! hP y S X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: St B (Rt t196) DISTRIBUTION: Original to County. One copy To: Safety a Buildings Division, Owner, Plumber SIB + i• Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 N*isconsin Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary May 15, 1998 CUST ID No.259518 4. ULBRICHT &ASSOCIATES 655 O'NEIL RD LO HUDSON WI 54016 RE: CONDITIONAL APPROVAL Transaction ID No. 78820 APPROVAL EXPIRES: 05/15/2000 SITE: Site ID: 7405 ST CROIX County, Town of TROY SETA, SETA, S21, T28N, R19W BRENT OLSON FOR: Description: MOUND SYSTEM Object Type: POWT System Regulated Object ID No.: 18149 Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters Comm 83 and 84, Wisconsin Administrative Code. This system is not reviewed for the code requirements set forth in chapter Comm 82 or in chapters Comm 50 -64, Wisconsin Administrative Code. This plan submittal approval will expire in two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. The following conditions shall be met during construction or installation and prior to occupancy or use: • On page 3, P = 82 feet and X = Y = 82 inches. 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. Since ly, DATE RECEIVED 05/15/1998 FEE REQUIRED $ 180.00 E4 PAG L OWTS PLAN REVIEWER II FEE RECEIVED $ 180.00 Integrated Service BALANCE DUE $ 0.00 (608)266-2889, M - F, 0745 - 1630 HRS PEPAGEL @COMMERCE. STATE. WI.US ULRRICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson, WI 54016 Reg. Designers of Engineering Systems 715- 386 -8185 Private Sewage Consultants PROJECT INDEX O I.D. # 7ffz 0 Date DILHR Plan Owner % OI e, , J Phone Address 9 337 �1��.vE� T9v �p ----- CO !•_ Legal Description Town of County T. C.S.T. Ro/3&�er I",PL Installer 7j Local Authority/ Supervision 224 37.5 PROJECT DESCRIPTION It A v CD,v S 7xv c7 v . Ao,e S 9 7- /5 /4" s', • z � ,�. ye . Soi /,$' ��'�C S�i¢J'a,J.¢ < < � -S'/9� T�fit �t �� a-�- 2t Y/W G- S,�,� �•'l/ . CORRECTION NEEDED �o.w T.S. SEE CORRESPONDENCE Conditionally l A PP ����rv�� ROW D OE MENT CO RCE T 15 1 ss �,��e s� DNIS F - F AN UIIA I G$ Go `� P e p �f� and evildin®S �b1\0 Se41 SEE CORRESPON NCE 94 \ i37 37n Pg.1 PLOT PLAN VIEWS '/ 1 Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS Pg.3 PIPE LATERAL LAYOUT Pg.4 DOSING CHAMBER CROSS SECTION Pg.5 PUMP PERFORMANCE SPECS I \ -f .rA o co 0 os _ t b o �+ t M. m -,.\ c:. 1; E frl .( J \\\ . (1 s7 1/4 H es r V1 \ \ \ pJ 1=211 CVO \ <- \ �\ `�`�. „ Y \ `\\\ \\\ CA \` \\\\ \• \\ Z 0 \ �.. x G \ \\\` 11 Rq 1 • •, Lc \ ‘ \ \ ?p \ �0 \ \`\ \ Ili N 1 _ \ ''''A5 NJ <)S to \ 'f" ' \ . 0 I ., c o fr o m n 1) M o U I1 � m . t --- rn � 11 W 1 \ I 1 p (o N - 0 C. W o ei ) ....„ 1 o � 00 i f° Page ::: Of sysrE,t4 Synthetic Covering e7Et'4T/OAI �./0 Distribution Pipe Medium Sand Topsoil �_ N` --- _ a ___I_I — �i {- D \ �\ • E VN i foisem il Z % Slope Trench Of Z"- 211 Force Main Plowed Layer Aggregate �� �� Undisturbed D "9 Ft. Soil E /• '" Ft. Cross Section Of A Mound System Using F . ?et, Ft. Trenches For The Absorption Area G /•0 Ft. MI VE t? 7— oI .2 " 14 7elel 69 , c/c A 3 Ft. H l• 5 Ft. B gy Ft. /) 4,4 T 7P,9 C K /O Ft. L /0 / Ft. �D f of /O<K cI 1• MI6 J S Ft. I /g Ft. W 5/y Ft. r L _, el >< J I B , 314 K A —- - - - _ = ---I / - -- - - -i- - - - - --I Force 1 — — — — — • — — — — o . Ma(n W \-- Observation Permanent Pipes Markers (1/ " 5 . 0 ) \ ( EL &VS) , VG I THiPE40to (9/d � Trench Of 2»- 2li~ Z /o Aggregate 11A)64to/PeD w/o Mound Using Trenches For Absorption Area • • RE a v%/� v ,iiioVviv /34s'.9 L /I/(2-4- = 194/1 y ii45/? {/ou3 S0,4 ,A) le I7A'tT/UE 64/i9C%// t er-6) G/p ' . 3 G/o/(74 Z �� so. Fr. Meo POSE O 7,f'I-N G4. /34Site 4,Pt'/— - ( 5/e(EU 5./'7e5) 'it/ ( 4) - T 4 A ) .gYx _ + 30.)..� Pc) . 3 o-f 5 — D%STRif30Tiok3 p► pE 1OetwoRk LAyour �oT.G UD/a-'-ice o f /V-TCUDA° 27 YWS _ P \pp �o ,n\ �T 5 Fr x wale, FORCE MAI'1J Fr• ls0 of- PUG IucNES VARi h(3LE TOTAL VOID U IONS � 5 GAIs CORRECTION NEEDED SEE CORRESPONDENCE H olE m'AmETER INCHES L- TEPA Z" INcf}ES MAIJIFOLD " 2, INCfiES FopcE- MAIN " Z IIJCI1ES OF HvIES/ pi PE /3 1ouER1- ELEVATIOO of LATEIQh15 9 610 'DE TAi L- •"'D cAp PER FoR ATE D P' PE • RE 1ouE MI BuRRS Y • HolEs IocATEt o,v 13ot-row ECQVAllY SpACEv DISTRi BuTiotO DISChA(2C>E RATE' FOR LAT`ER,o L PE;R 0-rt' S /C* 2- 7 GPIL / k4i'iLN . TOTAL 1Di5TRiBOTioo Di5ci-PNIR FATE Eo, NET woR K 3U . T Z-- 6-q4-0MI",o , e �•� / Mi�NI�MUM PUMP CHAMBER CROSS SECTION AND SPECIFICATIOUS P,4 le S -VENT CAP 4 "C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING 25' FROM DOOR, JUNCTION BOX MANHOLE COVER W WINDOW OR FRESH (v,4,(,u/A)&- 1A13E� 12 "Mlll. •• AIR INTAKE p (,,17 Al GRADE 4" MIM. IB" MIN. 9� CONDUIT - - �IEv , 4n oti INLET PROVIDE I - - -- AIRTIGHT SEAL I I APPROVED JOINT A i Nti i I APPROVED JOIWTS W/C.I. PIPE �V� ) I W/C.T. PIrE EXTEMI)ING 3' .� I I ALARM E%TEm6ING 3' 6p O►JTO SOLID SOIL B 0 I - 1 r II ONTO SOLID SOIL yo ON �' ° C - ELEV. FT-- __� 2 I PUMP -� OFF 2/SE' 3 ow , 2 y �lOiPE' eF K '�EDOI� 6- D � BLOCK S�N� RIStR EXIT PERMITTED DULY IF TANK MAIJUFACTURE:R HAS SUCH APPROVAL SEPTIC E SPEC.IFI DOSE Mi�IU�STN Pilll� TAIJKS MAWUFACTURER: (DUMBER OF DOSES: 2 PER DA-4 TANK SIZE: y�G�A�LLOAIS DOSE VOLUME 3� S ��jj ALARM MANUFACTURER: �'Cy �9I INCLUDING BACKF / LOW: `� GALLONS MODEL HUMBER: Q � y L ' CAPACITIES: A= /y INCHES OR A��V GALLOEIS SWITCH TYPE: __�/� J�IO/� T 21 8 = �D INCHES OR 2 GALLONS PUMP MANUFACTURER: � `✓ v �C= ' IfJCHES OR ✓ GALLOAJS MODEL NUMBER: M y0 y��o D= / INCHES OR 2 Z GALLONS SWITCH TYPE: _P�1 /B�eX a Flo 4 77- NOTE: PUMP AIJD ALARM ARE TO BE MIMIMUM DISCHARGE RATE 30 GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE / FEET �AA)k SPfC y/ - MINIMUM NETWORK SUPPLY PRESSURE . , , , . , , 2. FEET EAC(A, � + FEE O F FOR MAIM X 1 F /oorT.F RICTIOU FACTO �' F E E T tt4 IS ZS `CC YA is TOTAL DYNAMIC HEAD = Z 3 FEET INTERNAL DIMEIJSIONS OF TANK: LENGTH mod`_- :WIDTH CO / . :LIQUID DEPTH 1o1 lii 111 IM I •� • -• a • • -• • c• • - w �aa. �rR" � � w �4` a � •_ - 1 •• — 1 1 r� sr �< •1 • _ • • • 1 • s Wisconsin Department Industry SOIL AND SITE EVALUATION Labor and Human Relati ons Page � of Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size, Plan must Coun A Include, but not limited to: vertical and horizontal reference point (BM), direction and - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Par ON . If �- APPLICANT INFORMATION - Please print all information. Re C ROIr Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner n AL/ �/ \ Property Location ! f`• - , o L 4WR 6 5 �• 1Vt , (P'Ver..V - R ) Govt. Lot SE 1/4 � 1/ ,S/ ,R 1 9 E (or 0 Property Owner's Melling Address / Lot * Blockll Subd. Name or GV 9 900 4(F. /0 1 4WV X t W — CovuT,Py 0 .41-5 City State Zip Code Phone Number R+ De Q f A 11S W 1 Sy0 , 2Z •�/5 , _ 9 0 .32 El city ❑ village C�Town Nearest Road Cov O 0 New Construction Use: Residential / Number of bedrooms 3 t0'�' Addition to existing building NIP NOT ❑ Replacement ❑ Public or commercial - Describe: /t/ /jP r, ,V bT ,P ?gyp yc��c� Code . derived daily flow (p 00 gpd Recommended design loading rate bed, gpd/fl trench, gpd/f1 Absorption area required bed, ft 3 1 0 trench, ft ti �— 9 Maximum design loading rate bed, gpd/fl ' trench, gpd/ft Recommended infiltration surface elevations) _P 4 , 3 ft (as referred to site plan benchmark) Additional design /site co ations PE4 vi,P� • ZF e,04& T YPs Parent material Flood plain elevation, if applicable It S = Suitable for system f Conventional Mound In- Ground Pressur AT-Grade -A System In Fill Holding Tank U = Unsuitable for system El [R in ❑ U El S 1 El I U I ❑ S UK ❑ S [; rU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots GPD /ft2 Bed ;Trench a - 1 2 - sD ,1? J13 Si� f's�,� n��;e C S' 2-f Ground c3 .� S /O y Z S S� 4W 79/ 3 elev. 70 L�ft. Depth to — limiting factor 3 3 —in. ; 05 Remarks: Boring # 1 0 /0, 3/3 Shvt 10Y 3/ �% S 3/ Ground.... 1(o' 3 � a y S.� 1 � 6� n,n � C /vf • Y , S elev. Depth to limiting factor 3� 32--in. Remarks: SS..S • - CST Name (Please Print) Signature R f � �„� T .. _ L Telephone No. Address r` u(r' Vv� 715 386 - 61635 Date rsr ar.... k— PROPERTY OWNER SOIL DESCRIPTION REPORT Page of PARCEL I.D.M 40 7-- /0 Boring # Horizon Depth Dominant Color Mottles G D/ft in. Munsell Qu.Si. Cont.Color Texture Gr.Sz.Sh. Consistence Boundary Roots P 3 : Bed ,Trench l D-2 /o yg 3/3 Si/ /;,s6,e- 41174,e '�s -1 , 3 Z 7/ - /or4 3/ S,/ / es,C .74,e es- _ ' , 3 Ground /s-.1T, /°y 3/'/ L , 5 elev. 3 / 3 //e 7 // Z�W► F,jE' �Yy1 / �,s . �o 9 7..�ft. 4-6- //aj S/ /7'se,e- .�,�;� — , �l , S • Depth to limiting • fac or In. Remarks: Boring # • Ground elev. -_ ft. Depth to limiting factor In. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Si.Cont.Color Gr.Sz.Sh. Bed , Trench Boring # Ground elev. ft. Depth to - limiting factor in. Remarks: Boring # Ground elev. fi. Depth to limiting factor in. Remarks: SBDW-8330(R.08/95) • w � _I \. 4' L. '0� R f� � C \ j . N • (11 \ . fi b to A, V oR ) \ 0 0 1' C.b U ./ • ) (-* % QI o N s . ., r Ai o a ti w fri t --:-= 11 Tv w In l (N N o °o N i o `I iN t' / --I w ) ...., o 0 ULBRICHT & ASSOCIATES CO. 655 O'Neil Road - Hudson, WI 54016 Reg. Designers of Engineering Systems 715-386 -8185 Private Sewage Consultants SPECIAL NOTES TO THE BUYERS/ BUILDERS, REGARDING SEPTIC SYSTEMS AND SOIL TESTING ON LOTS #8 THROUGH 20 IN COUNTRY OAKS. All of the lots evaluated will require mound type septic systems. With only a few exceptions, the soils across the 1st Addition to Country Oaks had very fine weak textured silt loam in the upper 12" of topsoil (a soil loading rate of .3 GPD /ft2). These low soil loading rates will require larger trench type mound systems by design codes. Trenches can be no wider than 48 ". It is suggested, to the installer, if a 4 bedrm. home is proposed, some test areas provided may not be lonig enough for a single 4 trench, in which case a wider mound utilizing two tenches 4 63 may be more suitable. CAUTION: since all of the soil test sites are very heavily wooded, extra careful planning and site preparation is required. Great care will need to be taken in removing trees and brush without disturbing the fine delicate silt loam topsoil. If the site is carelessly disturbed, the Zoning Dept. will reject the site and require costly new testing and designing! Do not allow anyone to drive across or compact or distuyb the topsoil. Consult with the Zoning Dept. Inspectore, a qualified plumber, or designer for advice on how to properly prepare the site for mound system construction. The owners /developers have provided a complete approved soil test area, registered with the zoning office as required by subdivision ordinances. It is difficult to imagine today where a future buyer prefers to build upon a lot. Common sense is used to select a site at this point. If the buyer intends to utilize the test area, careful planning between the owner and septic plumber (or designer) is very important. Careful planning with qualified designers/ installers is critical. THe final actual size and shape and location of the septic system is dependent on the size and type of home proposed. Test areas large enough for a 3 -4 bedroom home has been provided, but a larger home may require new or additional soil testing. The septic system can not be shifted outside of the recorded test area. pg. 4 of 4. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer 'BRIE t 01_5o Mailing Address 833 A-r A v6' SD GN Property Address 5 9 - )— G � � ' Aqt (� (� �+ Fil ((�' "'2— (Verification required from Pla ning Department for new construction) 1 City /State Parcel Identification Number LEGAL DESCRIPTION Property Location S '/4, S9- ��/4, Sec. _g�L, T _2_f&_ N -R13 W, Town of Subdivision _ eo�Ki � O A ,Lot # A Certified Survey Map # / , Volume , Page # Warranty Deed # , Volume / Z / , Page # 2 82 Spec house El yes I� no Lot lines identifiable Byes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. —, SNATU OF APPLICANT DATE 511 .51 /�'8 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 property des a warranty deed recorded in Register of Deeds Office. � Oj .511.5/ AnRE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Inchide 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 0 554652 STATE BAR OF WISCONSIN FORM 2 - 1 32 WARRANTY DE(E�DQ DOCUMENT NO. VOL J P � L 1 /.J� -- Ray Galep, Robert L. Mackey, Laurence ST AOiwRoad U MtjrDhv and Norwood Ecklund, as partnership proyerty, — Ali 2 0 1997 conveys and warrants to Rrent K , Olson and -TnriX L. ¢ 10:30 A. Olson, `husband and wife, as survivorsni marital Property, 'dretue�ca THIS SPACE RFSEM40 FOR RECOROIND DATA NALrE AND AVURN ADD- ESS - - -- the following described real estate in St. Croix Caew+tf r F G t Sta• if Wisconsin: WI — FL IOENTKICAMN NUMBER t } Lot 10, First Addition to Country Oaks in the Town of Troy, St. Croix County, Wisconsin. TRANSFER • t This is not homestead propery. XMXX (is —) Excei:tlontowanantles: Easements, restrictions and rights -of -way of record, if any. Dated this. 17th _dayof January A.D., 19 9 1 (SEAL) (SEAL? La rence Murp No�odEc _ (SEAL) _ (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signatures} Laurence Muprhy, State of Wisconsin, ss. { County. Norwood Ecklund _ authenticated is 17 h day of Ja nuary __ 19 9 1Plmsomully came before me this day of 19 , the above named Krist* a Ogland TITLE: MEMBER STATE BAR OF WISCONSIN — (If nor. - -.— — - authorized by 1706.06, Wis- Stam) to n,e knomm to he the person who executed the foregoing InstnKnenc amd acicnome dge the same. •A 'A .' t` L �'tiY 1 Al 1 4 / ,1 , r01. 306 Q an Q ~ v. c� v, a ®n I ` O 00 Lc y -- - - •r eT, ` 1 y I Ll 'A Q rz Q1 '�i 1 zz rh