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HomeMy WebLinkAbout040-1092-50-000 � j$ § $ r ® 0 2 � \ � o � § � $ � $ � � ] � ; 2 / % 2 2 7 5 ( k # � ƒ 2 w § � z � ' e � « \ w CL M � $ E § ƒ \ k / 7 ) k 7 7 � -� 2 i / 0 ] I k k - } N CL k � �\ § k 2 ) � / 8 � � ) _ ■ � � _§ k & & & k k a a a Z CD 4i # LL ; o m ; m § ƒ Q2 0) a R \ / \ _ \ E § ca j . c � CL .2 /gy f :F-_ §f 0�k : LO [ ) § § '2 k k § \ o) c o: 0 & a r— 75 - @ / / 3 f f ° � � k � / �R k o 2 -1 ) 2 \ � � k ■ E k B f 2 0 M CL 0 $ v ' l Parcel #: 040 - 1092 -50 -000 11/01/2005 09:52 AM PAGE 1OF1 Alt. Parcel M 24.28.19.371 B 040 - TOWN OF TROY Current X'' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner BRIAN J & SHELBY A KIESLER A 0 - KIESLER, BRIAN J & SHELBY A 897 CHAPMAN DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description * 897 CHAPMAN DR SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.900 Plat: N/A -NOT AVAILABLE SEC 24 T28N R19W PT SE NE 1.9 AC BEGIN E Block/Condo Bldg: LN SEC 24 1907.1 FT S OF NE COR W ALG CEN LN TN RD EXT 160 FT, S 523.3 FT, E Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 160 FT N 523.3 FT TO POB 24- 28N -19W Notes: Parcel History: Date Doc # Vol /Page Type 08120/2001 654316 1703/169 WD 07/2311997 492/203 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/20/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.900 48,400 171,500 219,900 NO Totals for 2005: General Property 1.900 48,400 171,500 219,900 Woodland 0.000 0 0 Totals for 2004: General Property 1.900 48,400 171,500 219,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 118 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 c l o � 3 m o d �1 j c o rr I U) 3 ` z p _ c C') 3 `� 0 0 3 I o c Q a, o ° co 3 0 w °O • ID C\ CD .�. '1 fD O N 3 j "` T 3 �. N j 0.4 N c 3 OS ~ N O C \ C y N V= :3 CO p p O Q d 3 0 O I p 0 7 p 7 p �y� O 'O N C- 7 f0 9 R CD °'3 `° � g ° w�� 3 D o CD A+ 0 p e o c Ul c co m y a4� I m N CL c 7 CD > y CD C O s I a loo 3 3 r N CD W A I O O N p L O O A �1 CD y co co Ol (Oa CO w co N y p C N I J V N 3 !T Q O p O o 0001 AO 0003'1• c D n c < m CL virncn`m IN0 x 3 �ncn�nm o w D o' cg 9 I p o' y m T G 0 r = M O. CA O y l O1 N < I n 1D A f 0 N m 3 CL Z ^! o z Z$ �n I O Z z' 0 O Si D D N I D D o N a w l v O a° �+ CD �• CD !mil c c z CD I n o 0 CD -I N v I A z o I CL C N Z W Q, � z c m CD CD w Z m CL m I i a a : �crn�+'yv a C CI) p I V f0 Z 7 Ul (7 Q' 'O =r N n W (O C 01 0 Z1 N C =r CD -4 o a I v o a "� z a y . N fD N a�� O y I cn 1p sY CO O O 3 OD CD N 3 a A E CD = ( Q < cc N O b 7 S I N y 0 R C 0'R 7 P� O fD (G 0 C m cn O CD a I 9'D O N ti C I 7 0 7 _ O H � � C I O w O I O D0 1 c I o 0 o ° ° °o ti J � ` ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT ! Rrc Owner Property A ess eA , 04,1 i , D sr cs, -, City /State 1j; COUNT, O1+IING O� =F; Legal Desc ription: Lot Block ub sion/C M # V,, Sec T -R - W, Town of t ` PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer /�� > Size S� //�'l�, etback from: House .2 P Well �� P/L Pump manufacturer Model 1 Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM o , f I Type of system: Le gth Number of Trenches Setback from: House Well P/L Vent to fresh air intake ELEVATIONS Description of benchmark _�, l?� ���G Elevation d Y/ Description of alternate benchmark Elevation � r Building Sewer �� >�� ST/HT Inlet 6 ST Outlet F d "t ` PC Inlet PC Bottom 6 �� Header/Manifold l> Top of ST/PC Manhole Cover �� J Distribution Lines Bottom of System O ZG a Final Grade ( ) O ( ) Date of installation P /i4ermit n ber �77 State plan number ,Q - -- Plumber's signature 46 �9 ! -/ License number C2 ?W Y Date Inspector LLA14 Complete plot plan Q • NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW L .. ti i3a.5 c )96 S / ,MM 4b1) 5� \ Ii es's Mot' �l — 1,bi)01cc( Piomf I w ),9b INDICATE NORTH ARROW Wiaeonsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT St. C✓'o i x 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)]. 36'77je8 Permit Holder's Name: ❑ Ci g L , y ❑ Village Town of: - State Plan ID No.: 1d Q L�brla,� Ta c4 72098 CST BM Elev.: Insp. BM Eiev.: BM Description: Parcel Tax No.: ! oo' IDOL T v of C nor f -wa 4oJ� yy. moo -/ off - s0 - TANK INFORMATION ELEVATION DATA A TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Se eptic ✓ al mi u f �Z�d Benc m"'�a 9• 101?-1 Ae /cam orati � u� t ?r f ( DUO - P S A. a, 2•S e14.f. l2 c� 47./ Aeration Bldg. Sewer tx Holding St /Ht Inlet `�9.f• 10.37 9i .23 TANK SETBACK INFORMATION St/ Ht Outlet (o.$ %T T TANK TO P/ L WELL BLDG. ve I to ROAD Dt Inlet t��ro. Airintake IQgS O O•?S P Se tic ;C-7 7pf NA Dt Bottom - 1�•35 VS . 2-5 - Dosing a - 7p* �-� c.(2 NA Header / Man. l a°t 6 3•!07 /OS' 9 Aeration NA Dist. Pipe 3. G( /-Os: Holding Bot. System 0.6r. PUMP/ SIPHON INFORMATION Final Grade q. 'V& Manufacturer C CUW Demand Model Number 3,n I q> , 6S jV *.&,pGPM !oc r,� � ° r• G � O°j.� TDH LiftZp, friction U.. System 2 � TDH3a.5Ft Forcemain Length (61 Dia. Z,• =W,11 SOIL ABSORPTION SYSTEM BED / M ength ��� No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION SETBACK P/ L BLDG WELL LAKE/STREAM LEACHIN rer: INFORMATIO CHAM ?j?� o ZS °) `z -- a Num er: OR UNIT DISTRIBUTION SYSTEM Header /Mani old Distribution Pi e(s) P x Hole Size x Hole Spacing -Vm, To Air Intake Length y Dia. Z+ Length 30' Dia. 2 Spacing - S SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mul Bed /Trench Center �Z� �$ Bed /Trench Edges Topsoil �'S P Yes E] No ❑Y COMMENTS: (Include code discrepancies, persons present, etc.) $97 CAstVWan b1,-. t, MOOKA "e, moved IS -C-I- 4 'F�w_ evsf loe eauSe +I%+e: 4r cwks c"pPt 4k+- sal w«lrex &4w C�rwG� Ov �/' �f' � -Floe c ��, ♦ewe. are.^ , 3� I �.s+.. per w � t ( b e � cpla� - � � .pv�n w� �� f�•e w L-lo,, ld - -�-�� I � /f ' o � kt�...aas�,. fie. svt PG.,.» wash f- lie thov9h . "//f0e � s�'�S i! Provi�,G � ✓w. w�rva.. Plan r vision require Yes ❑ No Use other side for additional information. L5-i7 1b f SBD -6710 (R.3/97) Date Inspector's Signature ert. N Safety and Buildings Division 1*6 PERMIT APPLICATION 2 01 E. Washington Ave. 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 (' Cdb� than 8 1/2 x 11 inches in size. J • See reverse side for instructions for completing this application State sanitary Permit Number y p y y g agency programs ❑ vi ion t� Ko.. application The information ou p ma be used b other g a enc ro rams Check if r (Privacy Law, s: 15.04 (1) (m)]. State Plarry.�_ Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION (G /� Propert wn Na ropert gp ti Tp on i © f 1/4 /4,S �Y �,N,R E(o W Property O nQr'uVlailin d �ss 114 � � P r Lot Numbe� Bloc Numb ! < St to ti Zip C nn Phone Number Subdivision Name or CSM Number U l y 11. TYPE F BUILDING: (check one) ❑ State Owned o C it a '?' N a st Road Public 1 or 2 Family Dwelling - No. of bedrooms Town OF Ill. BUILDING USE (If building type is public, check all that apply) arcel Tax Number(s) 1 [] Apartment / Condo I e' 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. Replacement 3. ❑ E] 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 Number 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 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 Requi d ft.) Prop ( ft.) ,(Gals/ ay/ ft.) (Min. 'n ) �' Ele ation ? s eet , $Feet iclt VII. TANK in a allo Total # of r Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturers Name concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank @o44@WiagZaak .7b� 1:1 El 1:1 1:1 1:1 1:1 Lift Pump Tank ❑ 1 ❑ 1 ❑ 1 ❑ I ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sews a system shown on the attached plans. Plu en's Name: (Pri t) Plu ignature: (N S mps) /MPRSW N Business ho N r. tt,� U 7 Plum berAs A(cl ss tr )et, City, Lta o Code r W IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued I Agent Signature (No Stamps) Approved ❑ Surcharge Fee) Owner Given Initial a�+ �,.� oo / (:10 Adverse Determination 6V G. X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: cr �/++ �+ - McLv\ i iw 5A%%1liw mve revl&.Ge. -v,v►k jiiWjJ. r- �W. �Ay K. SBU -6398 (R.1 tom) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber 1 SAFETY AND BUILDINGS DIVISION 2226 Rose Street Nvisconsin La Crosse, WI 54603 Department of Commerce Tommy G. Thompson, Governor 08- Dec -97 William J. McCoshen, Secretary TOM WANG BILL LEONARD WANG EXCAVATING 1432 120TH ST NEW RICHMOND WI 54017 BILL LEONARD Plan ID 9720982 SE,NE,24,28,19W Municipality of TROY Inspector: Leroy G. Jansky County of St Croix (715) 726 -2544 Private Sewage plans including the following element(s): MOUND 600 GPD 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(2)(e), Wisconsin Statutes, is responsible for compliance with all code requirements. This plan action is subject to the conditions listed on the following page(s). 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. All permits required by the state or local municipality shall be obtained prior to commencement of construction /installation /operation. This project is under the supervision of a state inspector. As inspection concerns arise feel free to contact the state inspector at the number listed. The inspector for this project is listed above. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Please refer to Plan ID number listed at the top of this page when making an inquiry or submitting additional information. Sincerely, t ✓\, Gerard M. Swim POWTS Plan Reviewer (608) 785 -9348 SAFETY AND BUILDINGS DIVISION 2226 Rose Street LaCrosse, Wisconsin 54$03 isconsin Department of Commerce Tommy G. Thompson, Governor William J. McCoshen, Secretary Page 2 1) 7 2Q Z, C: 520 - A Sanitary Permit must be obtained from the County where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats, prior to installation. - Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats. SBD- 5524 -E (R.07/96) File Ref: r � RESIDENTIAL MOUND DESIGN INDEX AND TITLE SHEET Project Bill Leonard J B� 999 Owner Bill Leonard U�; Address 897 Chapman Dr. River Falls, Wisconsin 54022 Legal Description Se, Ne, Section 24, T28N, R19W -� S P• ' pally Township Troy County St. Croix ('� Subdivision Name Lot No. vEa ZMENj f ' MME DINGS Parcel ID Number ►t1N SAF ()EP A � 1 Plan ID Number S97 -20982 EE ORRE NpENCE S INDEX SHEET PAGE ONE MOUND CALCULATIONS PAGE TWO MOUND DRAWINGS PAGE THREE PRES. DIST. CALCS. & LATERALS PAGE FOUR PUMP TANK DRAWINGS PAGE FIVE Pump Curve PAGE SIX Site Plan PAGE SEVEN Soil Test PAGE EIGHT Soil Test Site Plan PAGE NINE Designer Tom Wang License Number 3231 Signature A Phone No. 715 -425 -9958 Date t L - ) , 4 'L `! / Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stets. SBD- 10462 -E (R.04197) Page 1 of MOUND PLAN VIEW / observation pipes (typical) W 28.7 ft A7 A= 8.0 ft 2.44m 8.75m — — B= 63 ft 19.2m T B - K J= 6.9ft 2.10m 12� 1 = 13.8 ft 4.21 m K = Ljj1 jft 3.38 m L = 85.2 ft �I 26.0 m typ. obs. pipe A X B refers to absorption cell width and length (anchored securely) J = upslope width I = downslope width K = end slope dimension s° (150 mm) T MOUND CROSS SECTION T D = 12.0 in 30.5 cm il b suso cap lateral topsoil G N E = 19.7 in 50.0 cm invert 105.5 ft " _ F = 10.4 in 26.4 cm elev. 132.16 m see note J y F G = 12.0 in 30.4 cm H = 18.0 in 45.6 cm % i D E ASTM C33 sys. 105.0 ft / � W Sand Fill elev. 32.00 m 104.0 ft contour 8 % !� 31.70 m slope % Note: Absorption cell media will D = upslope fill depth plowed layer consist of aggregate and pipe E = downslope fill depth or leaching chambers and pipe F = absorption cell depth as specified ex Aggregate G = subsoil + topsoil depth at cell wall at right. Chamber H = subsoil + topsoil depth at cell center Designer notes: If aggregate is used, it is. covered with code compliant material. Project: Bill Leonard Plan I.D. S97 -20982 Page 3 of RESIDENTIAL MOUND DESIGN Eight Bedroom Maximum Complete information in red framed boxes as necessary. (y or n) n Is the system over creviced bedrock? Slope 8 % Number of bedrooms 4 Wastewater flow rate ffi gpd 2271 Lpd Depth to limiting factor in 6 1.0 1cm In situ soil infiltration rate (code) 0.5 gpd /ft 20.4 Um Contour line below the upslope edge of absorption cell 104 ft 31.7 m Use standard fill depths? C � OR Designer spec'd depth in cm Place X in box to use standard depths (12, 24, A+4 inclusive) OR specify design fill depth. Center or end manifold c (core) Estimated hole space 3 ft Not a final calculation. Lateral spacing P Minimum dose >= 10 times void volume Use a 0 lateral spacing for trenches. Pump tank elevation 85 ft Outside bottom of tank. Number of laterals 4 Force main diameter 2 in Force main length 110 ft Force main actual dia. 1 2.067 lin SYSTE.M SOLUTIONS Inch- pounds Metric Cell media "x" one only. Estimated daily flow 600 gpd F 2271 Lpd x Aggregate and pipe Chamber and pipe Absorption cell Design load rate & area, 1.2 9pd/ft2 500.0 ft 46.45 m2 Linear load rate 9.5 gpd /ft 117.8 Lpd /m Design width (A) 8 ft 2.44 m Cell length (B) 63.0 ft 19.20 m Depth of cell (F) 10.4 in 26.4 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 19.7 in 50.0 cm Basal area required (gpd /infiltration rate) 1200 ft 111.48 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.4 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 11.1 ft 3.38 m Upslope toe length (J) 6.9 ft 2.10 m Downslope toe length (1) 13.8 ft 4.21 m Total mound length (L) 85.2 ft 25.97 m Total mound width (W) 28.7 ft 8.75 m Project: Bill Leonard Plan I.D. S97 -20982 Page 2 of PRESSURE DISTRIBUTION CALCULATION Absorption cell Inch - pounds Metric Width (A) 8 ft 2.44 m Length (B) 63.0 I ft 1 19.2 Im Lateral specifications Number laterals 4 Holes /lateral 10 holes Lateral length 30.1 ft 9.1 m Perforation dia. 0.25 in 6.4 mm Lat. dis. rate 11.65 gpm 0.7 Us Sys. dis. rate r4 g. gpm 2.9 Us Hole spacing 38 in 96.5 cm 6 Lateral diameter Pipe diameter Design options Design choice Designer must 1 in/25 mm P/ac "X" one choice 1 1/4in/32 mm X box from the options 1 1/2in/40 mm X diar provided. 2in/50 mm X X 3in/75 mm X Manifold diameter Pipe diameter Design options Design choice Designer must 1 in/25 mm X' one choice 1 1/4in/32 mm X Plac from the options 1 1/2in/40 mm X box provided. 2in/50 mm X x diar 3in/75 mm X 4in/100 mm X Distribution system contains 4 lateral(s) LATERAL DIAGRAM - CENTER CONNECTii Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram i. Force main connection via tee or cross to manifold at any point. • Fx1241 identical typical 7 E P end cap S • •- IF — X4IEx1erals & force main of PVC S ch 40 Last hole drilled next to end cap _ per COMM Table 84.30 -5) Holes drilled on the bottom of the lateral. anent end marker equally spaced Inch- pounds Metric Lateral length (P) 30.0 ft 9.14 m Lateral spacing (S) 4 ft 1.22 m Manifold length 4 ft 1.22 m Hole diameter 0.25 in 6.35 mm Lateral diameter 2 in 50 mm Number of holes per pipe 10 Invert elevation of laterals 105.5 ft F32.05 m Project: Bill Leonard Plan I.D. S97 -20982 Page 4 of rl� o X00 �( x. I Total dynamic head System head = 3.25 ft 0.99 m X Vertical lift = 19.40 ft 5.91 m Are laterals the highest point in the Friction loss = r' 3.85 ft 3 2' 1.17 m system? Yes "X" here. Total dynamic head = 6.50 ft 8.08 m If no, what is the highest elevation Dose Volume downstream of pump? L...� Lateral void volume = 20.9 gal 79.1 L Force main drain Minimum dose = 209.0 gal 791.1 L back to tank? ('k" one) Drain back = 19.2 gal 72.7 L x Yes Dose volume = 228.2 gal 863.8 L No Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover weather proof w /waming label and padlock � grade levels junction box grade levels quick disconect alternate 4" vent pipe electric as per NEC 300 and outlet Comm 16.28 WAC location 18" (46 cm) min. wail of pump approved chamber or outlet combination joint tank � A 1l, weep Grade levels alarm on I hole as pump tank manhole = 4' min. above finished grade pump on B necessary pump tank man. =100 mm min above finished grade A vent = 12" min. above finished grade pump 86.1 ft C vent = 300 mm min. above finished grade Off elev. 26.2 m i D 3 " (75 mm) of bedding under tank and anchor tank as necessary 85.0 ft Pump tank elevation 25.9 Im bottom of tank Tank specifications: Midwest Precast Pump tank = 12 gal /in Pump tank volume = 1000 gal Capacities Inches Gallons A= 52.3 627.8 Pump manufacturer: JGould B = 2 24.0 Pump model number: 13871 C = 19.0 228.2 D = 10 120.0 Project: Bill Leonard Plan I.D. S97 -20982 Page 5 of • 1 0 MODEL 38 Su bmersible • i GOULD5 Y.. 1. F is k' pp �w Pump 1" 1 /3 HP x METERS FEET Up to 40 GPM 10 MODEL: 3871 Discharge size 1 "NPT 9 30 Solids: fie" maximum _ Motor 7 25 Single phase: 115V Materials of Construction 5 20 Brass/thermoplastic 5 ,5 Features and Benefits > 4 EP05 *Top suction eliminates a 3 10 impeller clogging. s 2 E PO4 • Corrosion resistant I 5 construction. � ° - p 0 10 20 30 40 50 U.S GPM • Float actuated switch. 0 2 4 6 8 10 12 ON CAPACITY METERS FEET T 25 MODEL DVP03 Pump Specifications Features and Benefits ° 5 20 4 /m and 1 /2 HP • EPO4 impeller- semi -open design 5 15 Up to 60 GPM w n cal o vanes to protect Maximum head to 32' 3 1G Discharge size 1 NPT • EP05 impeller - enclosed design Solids: 3 /4" maximum for improved performance. � 5 Motor • Rugged glass - filled thermoplastic All motors feature ball casing and base design provides 0 ° bearing construction. superior strength and corrosion ° 5 ,G ,5 zo 25 u.s.sPm Single phase: 115V resistance. ° 2 CAPACITY 6 8 10m316r Materials of Construction • Cast iron motor housing for Cast iron efficient heat transfer, strength, 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. LA d os f CA)wLO 4 2 \J� � ! O it '� C� 13 c, h C11 O •'l O J C r es B,I) ' C rc;�y �o .Wisconsin Department,of Commerce SOIL AND SITE EVA AU ,1 "� Page 1 of 3 . Division of Safety and Buildings in accord with Comm 83'05 is. Adrn Code'.. Environmental By Design Attach complete site plan on paper not less than 8% x 11 inches in size. Plan mu ` (� include, but not limited to: vertical and horizontal reference point (BM), direction ;' j, S!1.tJ Coun percent slope, scale or dimensions, north arrow, and location and distance to n arE road Paroel t St. Croix APPLICANT INFORMATION - Please print all information. ✓ - i "'`? A Personal information you provide may be used for secondary purposes (Privacy Law, s. 15. ((m)). gT C ROtX ev Date G Property Owner Pro edy Locati�ryNINGOFFICE ,,`�' BILL LEONARD Govt. SE 1/4, 'NE �'/4 S 24 T 28 N 19 W Property Owners Mailing Address D Lot # I B1 1 00 _ k�£ ­ Naifie or CSM# 0 0 �f 7 C!, fn r - - City State Zip Code PhoneNumber ❑ City Village ZTown Nearest Road R l J 2(L.T1L Lj I sloa K innickinnic i CHAPMAN.I)R New Construction Use: Z Residential / Number of bedrooms 4 []Addition to existing building Z Replacement ❑ Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate .5 bed, gpd/ft .6 trench, gpolftz Absorption area required 1200 bed, ftz 1000 trench, ftz Maximum design loading rate 5 bed, gpd/ft 6 tr ench, gpd/ft Recommended infiltration surface elevation(s) 104 ft (as referred to site plan benchmar Additional design / site consideration Parent material rESIDUAL sANDSTON Flood plain elevation, if applicab ft S= Suitable for system Conventional Mound In - Ground Pressure AT - Grade S y stem in Fill Holdin g Tank U= Unsuitable for system EIS M U I ® S❑ U I El ®U ' ❑ S® U ' ❑ S ®U El ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ftz Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots ;Tr 1 1 0 -8 10YR4 /4 - LS 1MGR MVFR CS IF .7 i .8 2 8 -22 7.5YR4/6 - LS 1MGR mvfr gw if .7 .8 Ground 3 22 -28 10yr6 /8 - s osg ml gw - .7 .8 elev 101.69 ft 4 28 -32 7.5yr4/6 5yr6/8 fs Osg mvfr gw - na na Depth to limiting factor 28" Remarks: 2 1 0 -10 1Oyr4/4 - Is lmgr mvfr cs if .7 i .8 2 10 -30 10yr5 /6 - Is lmgr mvfr gw if .7 .8 Ground 3 3043 10yr7 /4 - s Osg ml gw - .7 .8 elev 104.54 ft 4 43 -45 7.5yr5/8 - s Osg ml gw - .7 .8 Depth to 5 45 -46 2.5yr4/8 5yr6 /1 fs Osg mfr - - np np limiting factor 45 " Remarks: CST Name (Please Print) Signature: Telephone No. Thomas C. Nclson 715- 246 -2454 Address Environmental By Design Date CST Number Ref # 1432 120th Street, New 'chmond, WI 54017 5/1/98 MO2605 % PO PERTY 6WNER: BILL LEONARD SOIL DESCRIPTION REPORT ® Page 2 0 3 .PARCEL I.D.# Envimnmental By Desi Depth Dominant Color Mottles Structure GPDr Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. �o nsistence l Boundary Routh — Bed !Trench 3 1 0 -8 10yr4/4 - Is 1mgr mvfr gw if .7 .8 2 8 -29 1Oyr5 /6 - is lmgr mvfr gw 1f .7 .8 Ground elev 3 29 -34 10yr7/8 - s Osg ml gw - .7 .8 102.38 ft 4 34 -35 2.5yr4/8 5yr6 /1 s m mfr - - na ! na Depth to limiting factor 34" Remarks: 4 1 0 -7 10yr4/4 - Is 1mgr mvfr Cs if .7 ; .8 2 .7 - -30 10yr5 /6 - Is 1mgr mvfr gw if .7 .8 Ground elev 3 30 -36 10yr7/8 - s Osg ml - - 7 .8 104.70 ft Depth to limiting factor I f I I f f Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor I I I Remarks: 3 J� loo Pp� d r f e - 1' 2 s N e_ 1 0 ��i... -� 7 ro N` r i x Co • X a r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM L Owner/Buyer & kemd' ' J Mailin g Address / l �Dr Property Address f�rR J �' LI`� (Ve required from Planning Department for new construction) City /State Parcel Identification Number i LEGAL DESCRIPTION ti � Property Location 1 / a, 1 /4, Sec. 1 , T C0 N -R � W. Town of CJ Subdivision , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # U , Volume Page #d Spec house ❑ yes N no Lot lines identifiable 1a yes ❑ 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 of the three year expiration date. o� tu 2z�eA4 z SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. 1 (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE 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 t WARRANTY DEED. —To Husband and Wife as Joint Tenants FORM 399 (Revised) a c. PRIER co.. 3.3596 Thi Indenture, Made this ....... 3 day of ------- .... ------ October _ -- in the year of our Lord, one thousand nine hundred and ....... seventy -two . between.... ....Alvin E. P echacek and - - - Donna M. Pechacek, husband and wife, . ... ...... ........ •• - - -- ............................. _................................................. ......... -------------- .-- ..--- .._----- -- - - -- ----------- - - - - -. - - - - -- .............................................................. ............................... -... .........-...-...---•------------ --......-- •.part.1e.......of the first part, i and ................. William K. Leonard and Janet K. Leonard, ----------- -- ---- ---- - -- --- --- - . - - - -- --------- -- --- ........... of. ...... . ...... .......... River Falls, Wisconsin, I .... - -- - husband and wife, as joint tenants, parties of the second part. Witnesseth That the said sum of � , part. 2S. .....of the first part, for and in consideration of the su j - Thirty -seven Thousand Two Hundred Fifty__ ($ 37,250..00 - - - -- - ). ..- --- -.. - -- - - -- . ----- . - - - - -- -.Dollars, i i to ._..thQm.........in liand paid by the said parties of the second part, the receipt whereof is hereby confessed and i; acknowledged, ha --- ve given, granted, bargained,. sold, remised, released, aliened, conveyed and confirmed, and by I� I these presents do._. -_._ give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said parties of the second part, as joint tenants, the following described real estate, situated in the County of .... .... _. - ,I and State of Wisconsin, to -wit: I; C Part of SEk of NEk of Section 24 -28 -19 described as follows: Commencing on East line of said Section 24, 1907.1 feet South of NE corner thereof; thence N 89 21' W on centerline of Town Road extend- ed 160 feet• thence S 0 06' W parallel with said E line 523.3 feet; --thence ___S 89x,.21, feet...to_said__East._line;. thence. N_0°..0.6'_Ea.st_.on _ .. said E line 523.3 feet to place of beginning. I'. 'i i, jV d ii I� l V i sconsin SANITARY PERMIT APPLICATION 2201 E w snn e� ° " P.O. Box, In accord with ILHR 83.05, Wis. Adm. Code 969 Department of Commerce Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County 1P than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number 30 C Y The information you provide may be used by other government agency programs E] Check it revision to previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION t�/Y.liv�cdl Propert wn ,1 Nape r r prope L tion i ( Da' r S r Td �` , N, R' / E (o�W. Property n r' ailin ress Lot Number Q . / / , I t{ ` Blo Numhar I I rl A St to Zip �� �1 Phone Number Subdivision Name or CSM Number II. TYPE OF B ILDING: (check one) ❑ State Owned !t� N a st Road [I Vil age Public 211 or 2 Family Dwelling - No. of bedrooms rows of D � Q % AoZ III. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1. ❑Apartment/ Condo 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 online A. Check box online B, if applicable) A) 1. E] New 2. �j Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5 ❑ Repair of an System ___`____ System ___ __ __________ ___ Tank Only Existing System stem 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 P Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 E] Seepage Trench 22 E] In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit: 43 ❑Vault Privy 14 ❑ System -In -gill 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 j� Requi d(s . ft.) Prop sm+ o ( ft.) (Gals/ a s 4 ft.) (Min. 'n ) Ele ati n. (� l� ,UFeet Feet VIL. TANK paclty INFORMATION in gallons Total # of Manufacturer's con Prefab. Fiber- plastic App - New Existin anuacturer s Name Gallons Tanks Concrete Steel glass App: strutted Tanks Tanks `x Septic Tank o , r�e�it+g iar►k b� /' ❑{ 1:1 1:1 1:1 El 1:1 Lift Pump Tank &phe r� a,.,ti� &I i (r JL s 2 F.'.f I ❑ I ❑ I ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility fo installation of the onsite sews a system shown on the attached plans. Plu er's Name: (Pr t) Plu ignature: (N $ IDS) /MPRSW No Business.Pho N b '7 . rte Plumb i fis' A \ c dr ss Street, City, to , Z Code IX. COUNTY / DEPARTMENT USE ONLY / ❑ Disapproved Sanitary Permit Fee (tnct"cles Groundwater ate ssue �yguriim Signature (No Stamps) 16 pp Approved / Surcharge Fee) ` \� O wner Given Initial �t^ ,..� ao l � .l � S ' Adverse Determination �V 7 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: -(.fm 4o wee apt e�CS-�i��4 k ,c tom. 'tS 1e,% - ��natn «Oc�allov�s , Ih5{u11,e * 0 w v5+ r 4y 4uAk117WjJ.,r u-rcd�„}c.