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HomeMy WebLinkAbout036-1034-20-100St. Croix County Planning and Zoning Wednesday, September 14, 2011 at 2:58:30 PM Detail Sanitary Information Page 1 of Computer 0: 036-1034-20-100 Sub/Plat: 40 acres Section: 15 Parcel k: 15.31.17.219C Lot: TN/RNG: T31N R17W Municipality: Stanton, Town of CSM: 1/4114: S 1/2 NW 114 Owner. Paper, Deena M. 2155 170th Street New Richmond, WI 54017 State Permit: 363942 Issued: 06/30/2000 POWTS Dispersal: County Permit: 0 Installed: 10/172000 POWTS Detail: POWTS Pretreatment: Notes Issuer/Inspector As Buik Plumber Kevin Grabau >4/1/00 - Not Required Powers, Calvin Grabau/Sonnentag Signed Off: Yes Mound 24" or more suitable soi Permit: New NA Bedrooms: 4 NA Other Reauirements Maintenance Notification Notification 04/012004 Scheduled Pump Date Pumped 10/172003 5232004 523/2007 1022/2010 1022/2013 WI Fund: No Additional Notes Money Owed $0.00 I 09/14/2011 02:50 PM PAGE 1 OF 2 Parcel #: 0364034-20-1 OO 036 -TOWN OF STANTON Alt. Parcel #: 15.31.17.219C ST. CROIX COUNTY, WISCONSIN Current lication # Permit # Permit Type # of Units Creation Date Historical Date Map # Sales Area App 01/12/2011 00 0 O = Current Owner, C = Current Co -Owner Owner(8): Tax Address: O - PEPER, DEENA DEENA PEPER 2155170TH ST NEW RICHMOND WI 54017 Districts: SC = School Sp = Special Type Dist # Description Sp SCH WITC IST NEW RICHMOND Legal Description: Acres: SEC 15 T31N R17W PT SW NW & SE NW BEING (NJ/2 OF Sjt2 OF NW INC 220C)& INC 36 034 30(220B1034�0 100 Notes: RETIRED 2011 FOR 2012; CORRECTING DEEDS FOR 898416 & 911764; TAKES ALL PARCELS (2 9B) 0 034 20-100 (2 9C) 30-000 036-1034-40-000 (220A) & 036-103440-100 Property Address(es): ' =Primary 40.000 Plat: N/A -NOT AVAILABLE cr... kjnnndn Bldo: Tract(s): (Sec-Twn-Rng 40114 160114) 15-31N-17W Parcel History: Vo1lPage Date Doc # 02/11/2010 911764 06/19/2009 898416 D4/23/1997 558360 1234/490 Bill M. Fair Market Value: 2011 SUMMARY Use Value Assessment Assessed with: Valuations: Land Improve Class Description C Acres 5.000 45,000 285,000 RESIDENTIAL G1 G4 45, 00 6.100 0 0 AGRICULTURAL AGRICULTURAL FOREST G5M 10.000 15,000 Totals for 2011: General Property 61 100 66,100 285,000 Woodland 0.000 Totals for 2010: General Property 61.100 71,400 0 321,900 Woodland 0.000 Lottery Credit: Claim Count: 0 Certification Date: 12/0411998 Specials: Category User Special Code Last Changed: Total State 330,000 NO 6,100 NO 15,000 NO 351,100 0 393.300 0 Type QC QC WD 04/2812011 Reason 10 10 10 Batch #: PRGRM es Special Assessments Special Char .00 Total 0.00 0 Amount Delinquent Charges es Parcel M 036-1034-20-100 09114/2011 02:50 PM PAGE 2 OF 2 Notes: cont. (220C) FOR NEW PCLS (NORTH PT) 036-1034-20-300 (219D) 6 (SOUTH PT) 036-1034-20-400 (219E) TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic 2 Dosing Holding TANK SETBACK INFORMATION WlsoonsAmDepartment ofCommerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ❑ City ❑ Vi lage ❑ T6wn of: Peper, David Stanton Township CST BM E ev : Insp. BM Elev.: BM Description: v� c GI FVATIAN nA' TANKTO P/L WELL BLDG. Ventto An Intake ROAD Septic >260 ' yl� — NA Dosing $400 i ��/ S ' NA Aeration NA Holding , �. w..Au u.rArf �I LTrA►1 rZ/Iwo r r err r. VVv .... v.....r�..v.� Manufacturer 5 �{ Demand Model Number 2 •SGPM TDH Lift Friction LossZead S stemZ � TDH12,ZSTt Forcemain Length g-r Dia. 3 ft Dist To Well SOILABSO TION SYSTEM County St. Croix Sanitary Permit No.: 363942 State Plan ID No.: Parcel Tax No.: 036-1034-20-000 4 STATION BS HI FS ELEV. Benchmark o' /041. 0 p Alt. BM t u Bldg. Sewer Ali_ 'I,L St/Ht Inlet 3 2- -.9k Weil Dt Bottom 13 - Z 16. Header/Man. l'W.s! i,73 /00.Ido Dist. Pipe /" 4, too. Bot. System �N' t Final Grade St cover 3. YD / / qt a ) .�-I 9.(ae ) BED/7REIQCW Width Length No.Of Trenches PIT No. is Inside Dia. Liquid Depth z LAKE/STREAM SYSTEM TO P/L BLDG WELL LEAC -Manufacturer: SETBACK CHA ER Mo m r: INFORMATION Type ) 2 �� I -� OR UNIT System: tLcu r%ICTRIRI ITInW cVSTFM Header I Manifold r Distribution Pipes d x Hole Sae x Ho a Spacing I Vent To Air Intake Length Dia 3 r I Length _jZ Dia Spacing I I ��� �( cnu rn►rcR . orncc,.ro Cvctamc nnlv xn Mound Or At -Grade Systems Only Depth Over Depth Over Depth Ot xx SeededlSodded xx Mulched Bed I Trench Center Ix Bed /Trench Edges psoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) l S' 1 ot� Ins �a # 1: 1 / 00 Inspection #2: /n l !mil D v Location: 2155 110fl- 5*4ft4 1 New Richm nd, WI 54017 (S 1/2 NW 1/4 15 T31N R17W) - 153117219A 1.) Alt BM Description = i+y 0 f ki /ar k��+l*r-�a � �a- 2.) Bldg sewer length = I. i -amount of cover = *P yZ" 3.) contour = S G Pllll ���� M. n/revisiwon'Fegou red�"� Yes No Use other side for additional inform tion. SBD-6710(R.3/97) Date Inspector's Signature Cert No X 1,+- -70 A SANITARY PERMIT APPLICATION sconsin Department of Commerce In accord with Comm � • a • e Attach complete plans (to the county copy only) for th m, otypaW6it than 8 V2 x 11 inches in size.1ljjE Safely and Buildings Division 201 W. Washington Avenue P O Box 7302 Madison, WI 53707-7302 Sanitary Permit Number • gee reverse srueIUFurs.ruL.wn1wrw1.1W.Vi.1.y.,.„ w,....�rr/ 39�Z 0 s Personal information you provide may be used for secondary purpos 3T Check a revismn io prev uus application [Privacy Law, s. 15.04 (1) (m)l HQ'A State Plan I.D. Number <� z I. APPLICATION INFORMATION - PLEA E PRINT R 7RS �A Prope er N me Pro Jt Location can e 114,5 J' T 3 1 ,N,R i 2=W Property Owner's Marling ASirdr` ss Block Num er �� City, State Zip Code Phone Number Subdivision Name or CSM Number p III. TYPE - F BUILDING: (check one) ❑State Owned't ❑ Village NeaStRd �^ S -76 171 Public 1 or 2 FamilyDwelling- No. of bedrooms Town OF 111. BUILDING SE: (If building type is public, check all that apply) Parcel Tax Number(s) /S 3�. I -7. a lCIA G3ur� 34 as 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 S ❑ Hotel / Mote[ 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable) A) 1.NeW 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an _ __System --______System---__ ------ Tank Only_____________ ExistinQSystem-_---___-ExistinclSystem 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 9Mound 30 ❑ Specify Type 41 ❑ Holding Tank r Z 42 ❑ Pit Privy 12 ❑ Seepage Trench 22 In -Ground Pressure ) 43 ❑ Vault Privy 13 ❑ Seepage Pit t 14 ❑ System-In-Fill1& 98. 0 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 Elevation Required . ft.) Proposedsq. ft.) (Gals/day/sq. ft.) (Min./inch) pp 1 7. /D), Feet Loco -TOV JC r Feet VII. TANK INFORMATION Capacity in gallons Total Gallons # of Tanks Manufacturer's Name Prefab Concrete site Con- steel Fiber - glass Plastic Exper App New Existin strutted Tanksl Tank )�0 ' prS ❑ Sep icTank HeVdengTerilp Li PumpTan /Si r V SPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. PI ber's Name: (Print PI ber's Signat re: Stamps) IMPRSW No : Business Phone Number: s13s 1 v : o.S Plumber's Address (Streej,Gity, tate,ZipCo e). �., S IX. COUNTY / DEPARTMENT USE ONLY Disapproved S taryPermitFee t'^`' OeSGrouoaw.ter slue IssuingAgentSignature(NoStamps) rate A roved sarcn.ryeree)pp ❑ Owner Given Initial 3e�S dD30' Adverse Determination X. CONDITI INS OF APPROVAL / REASONS �FQR�DISAPPROV/AL: SBD-6398 (R. 4199) _.. - ...,..... — INSTRUCTIONS 1. A sanitary permit is valid for two (2).y i. 2. Your sanitary permit may be renewgftjfor�.l0'1piration d� a„atnd at a time of renewal any new criteria in the Wisconsin AdminquativeCodewill beapplicable. , Rt - 3. All revisions to this permit must befploveWthgpettiit issuftputhority. q- Charxjes.inownership or -plumber requires a Sanj4iiry Re�imit ,4 fer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly rri�;gtin�d! Tf1 ptic tanks) must bepumped by atiCensed pumper whenever necessary, usually every 2 to 3 years. 6 Ifyocr•h44e1quesMns concerning your onsite sewage system, contact your local code administrator or the State of Wistohsirt, Sefetjrand Buildings Division, 608-266-3151. - • „ , To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DIIHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g MP, etc.), address and phone r)Vmt)jr._ Pfiumbgr m_ JA-sigtt.application form IX. County/Departmentuse-Only. X. Vunty / Department Use Only. Complete plans and specifications not smaller than 8 112 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes, pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if'required by the county; E) soil test data on a 115 form; and F) all sizing information GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. , Parcel #: 036-1034-40-100 os/2o/2007 02:21 PM PAGE 1 OF 1 Alt. Parcel #: 15.31.17.220C 036 - TOWN OF STANTON 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 0 - PEPER, DAVID & DEENA DAVID & DEENA PEPER 2155 170TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description SC 3962 NEW RICHMOND SIP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A -NOT AVAILABLE SEC 15 T31N R17W PT SE NW BEING PT N1/2 Block/Condo Bldg: OF S1/2 NW 114 ASS'D/W 036-1034-20-100(219C Tract(s): (Sec-Twn-Rng 401/4 1601/4) 15-31N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1234/490 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 036-1034-20-100 Valuations: Last Changed: 07/1511999 Description Class Acres Land Improve Total State Reason Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 036-1034-20-100 06/20/2007 02:21 PM PAGE 1 OF 1 Alt. Parcel #: 15.31.17.219C 036 - TOWN OF STANTON Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner DAVID & DEENA PEPER 0 - PEPER, DAVID & DEENA 2155 170TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 15 T31N R17W PT SW NW & SE NW BEING Block/Condo Bldg: N112 OF S1/2 OF NW INC 036-1034-40-100 (220C)& INC 036-1034-30(220B Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 15-31 N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1234/490 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Description Class Acres RESIDENTIAL G1 5.000 AGRICULTURAL G4 46.100 AGRICULTURAL FOREST G5M 10.000 Last Changed: 04/16/2007 Land Improve Total State Reason 25,000 319,800 344,800 NO 6,100 0 6,100 NO 10,000 0 10,000 NO Totals for 2007: General Property 61.100 41,100 319,800 360,900 Woodland 0.000 0 0 Totals for 2006: General Property 61.100 38,900 319,800 358,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12104/1998 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 isconsin Department of Commerce June 29, 2000 CUST ID No.220537 CALVIN W POWERS JR 1969 185TH AVE NEW RICHMOND WI 54017 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/29/2 REt 1vED t\ Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 Too 0: (608) 264-8777 www.commerce.state.wi.us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary A77N.• Rod Elsinger ZONING OFFICE ST CROIX COUNTY 1101 CARMICHAEL RD HUDSON WI 54016 ID No. 326683 he ID No. 195259 SITE: o ,i11 lease refer to both identification numbers, Site ID: 195259, David Pepper ST Cf�B bove, in all correspondence with the a ency. St Croix County, Town of Stanton S1/2,NW1/4,S15,T3IN, RI7W 6` ZOW"GoF ` FOR: \' S Description: New 4BR Mound, 2-Trench De ' L Object Type: POWT System Regulated Object 1D No.: 671115 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 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. Adm. Code. • 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. Slats. CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit approval if submitted to the issuing agency on or after July 1, 2000. Note: There is a potential for a law suit that may delay the effective date of the code so this status may or may not change. 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. CALVIN W POWERS JR Page 2 W29/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, 4.=�R-. Sorenso'- n Wastewater Specialist (608)785-9336 dsorenson@commerce.state.wi.us cc: DAVID PEPPER DATE RECEIVED 06/23/2000 FEE REQUIRED S 180.00 FEE RECEIVED $ 180.00 BALANCE DUE S 0.00 WiSMART code: 7633 NVisconsin Department of Commerce June 29, 2000 CUST ID No.220537 CALVIN W POWERS JR 1969 185TH AVE NEW RICHMOND WI 54017 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/29/'2002 safety and Buildin94 4003 N KINNEY UUULEE RD Ua CROSSE WI 54601-1831 TDD 1i: (508) 264-8777 www.commerce.atate.wl. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary AT7N: Rod Elsinger ZONING OFFICE ST CROIX COUNTY 1101 CARMICHAEL RD HUDSON WI 54016 JUN .10 2W SITE: ^1; ST CROIX Site 1D: 195259, David Pepper d"� ZO�kTV hMGOFFrCE St Croix County, Town of Stanton SI/2, NW1/4, S15, T31N, R17W g FOR: & L Description: New 4BR Mound, 2-Trench Design Object Type: POWT System Regulated Object ID No.: 671115 Transaction ID Site ID No. 195: Please refer to above. in all cor 326693 t numbers, the amend The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED- The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • 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. Adm. Code. • 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. CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit approval if submitted to the issuing agency on or after July 1, 2000. Note: There is a potential for a law suit that may delay the effective date of the code so this status may or may not change. 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 cortunencement of co nstruet io n/in stal I at ion/operatio n. CALVW W POWERS 1R Page 2 6129M Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, is R Sor 14 n Wastewater Specialist (609)795-9336 dsorenson@coffLmerce-state-wi.us cc: DAVID PEPPER DATE RECEIVED FEE REQUIRED S 190.00 FEE RECEIVED S 190.00 BAi.ANCE DUE S 0.00 1. PAGE-t$OF--t MOUND SYSTEM FOR AIIBEDROOM RESIDENCE LOCATED IN THE^S 11017 THEN %01/40F SECTIONj.5,T 3jI,R-L W, TOWN OF ,-sl (�—�COUNTY, WISCONSIN. PRIVATE SEWAGE SYSTEM Conditionally INDEX PAGE IA OF 9 TITLE SHEET PAGE 1 OF 9 WORK SHEET PAGE 2 OF 9 WORK SHEET PAGE 3 OF 9 WORK SHEET PAGE 4 OF 9 WORK SHEET PAGE 5 OF 9 PLOT PLAN PAGE 6 OF 9 PLANVIEW CROSS SECTION PAGE 7 OF 9 DISTRIBUTION PIPE LAYOUT PAGE 8 OF 9 PUMP CHAMBER PAGE 9 OF 9 PUMP PERFORMANCE CURVE APPROVED oPRP �0 OF WIRY AND BUILDINGS 13710 10 nn N 7 (�J PREPARED BY SEE CORRESPONDENCE P��OW��E}RS C TING C. Cam" aaoS37 1969 185th AVE NEW RICHMOND, WISC. 54017 715-246-5135 ft, 1/0N s�� 2 3 ?440 41,810,0 /114 137to nna►o11� Q,.,� N-P-,J WORKSHEET - MOUND SYSTEM DESIGN �3 2 6 6 PROBLEM: ` Design a mound system for a roo �, o The site characteristics are: Depth to groundwater end+dlek S in. Landslope _ 8 x Percolation rate _3 _ min./in. Distance from dose chamber to distribution system a ft. Elevation difference between Dump and distribution system _(� ft. Step 1. WASTEWATER LOAD ■ 4 - 6.=- gal.' Step 2. SIZE THE ABSORPTION AREA A) Area required (off /• a- .5 sq. ft. B) Bed or trench length (B) /.Is /z 4 r s- GAS ft. t. C) Bed or trench width (A) _ ft. 4,• 0) Trench'spacing.(C) Wastewater load gal/ft2/day B . ft. LreacTicsrCO 3 R Step 3. MOUND HEIGHT A) Fill depth (D) ■ I ft. . B) Fill depth (E) D + � slope (A)t�� % t ,C t. C) Bed or trench depth (F) ■ +93 ft. D) Cap and topsoil depth (G.)== E) Cap and topsoil depth*(H) ■ ?.,lci:nC;O ia: -- ft. ft. I Step 4. MOUND LENGTH �t • 3 2 6 6 A) End slope (K) ■ rD + 1+ F + HI x 3 aK ft. k7A B) Total mound le (L) ■ B + 2(K) a 'gam 'tt g9'3 Step 5. MOUND WIDTH Al) Upslope correction factor ■ _ �8D A2) Upslope width (J) m (D + F + G)(3)(factor) ■ ft. (l f.83f I) 3 a , P - Bl) Downslope correction factor ■ ��'3� P B2) Downslope width (I) (E + F + G)(3)(factor) - t � ' ,.iA+J3 + 3 x 1.3z 7 �� s C1) Total mound width (W) for bed ■ J + e + T ,eft. C2) Total mound width (W) for trenches ■ ,3 J + + (no. trenches -1)(c) + A + I/■ ft.14 � Step 6. BASAL AREA A) Infiltrative capacity of natural soil ■ ITzr 3 gal./ft2/4ay B) Basal area required ■ wastewater flow natural soil infiltrative capacit ■ a OC)U sq. ft. , Gay 3 Cl) Basal area available for bed for sloping sites ■ B x (A + I) sq.-ft. C2) Bas are •aval le for trench for sloping sites ■ B-..J + A1 ���,,Ssq. ft. (Lz�g.��� 49+ C3) Basal arekr avar►able for trench or Ded for level sites ■ B x W ■ sq. ft. l 1 Q(X%.3 , b 'ik0PP P(— fae 37 q Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size ■ 2) Hole spacing ■ 3) Distribution pipe length = 4) Distribution pipe diameter = 5) Spacing between distribution pipes = 6) Distance from sidewall to distribution pipe = 7B), DISTRIBUTION PIPE DISCHARGE RATE_ ft. 1) Number of holes per pipe = 2) Flow per pipe GI M gr) 7C) SIZE MANIFOLD 1) Manifold is central/ end 2) Manifold length c1 ft. 3) Number of distribution lines 4) Manifold diameter = 1 3 in. 7D) SIZE FORCE MAIN r 1) Minimum dosing rate = ai�'S GPM 2) Force main diameter 3 in. 3) Friction loss ■ lox ^,�3� a ft� 7E) TOTAL, DYNAMIC HEAD 1) Vertical lift c L ft. 2) Friction loss = a3ftl-L" 3) System head 2.5 ft..= ft. ft. 4) Total dynamic head ■ , 32668 3 7F) PUMP SELECTION 1) Pump selected will discharge .S D GPM at »-Sft. total dynamic head. ump model and manufacturer 3 g 8 S cv Eo3 �I L Q, ,W, Pk 7G) DOSE VOLUME 1) 10 times void volume of strjjbution lines ■ 2) Daily wastewater volume 4 oses/2r■ r : 4 S. 1 3) Minimum dose volume �J.K 30 `f. 711) DOSE CHAMBER 1) Minimum capacity required ■ /%Yi agal ./cycle 11/0 gal./cycle /fgal./cycle 750 gal. David eQQ¢� Page 6 Of C. traw, Marsh Hay, or Synthetic Covering Distribution Pipe Me1um Sand H G .� 1 E f�> D 1. Trencl�of"-2 Force Main Plowed Layer f% of Slope Aggregate Undisturbed Soil Cross Section Of A Mound System Using 2 Trenches For The Absorption Area D Ft. A `F Ft. E:Y�ft.E-Z.lo� B Ft. F , S 3 Ft. C LIC Ft. G Ft. K �iS" Ft.IM' IZ.4' H_—Ft. L •$3rrS Ft. Lr$1.3� J (e I Ft.r=%-Is WFt.0 = 44.3' Alternate Position Force Main L J AL _ _ _ ----- f Observation W Pipes distribution . Pipe I Permanent Trench of V-2Y' Aggregate Mound Using JL Trenches For Absorption Area - i Perloraled Pipe Deloll End Vih.r /perforated End Gap(, i' PVC Pipe Hoke Located On Sollorn,. �. Are Equally Spored S4. +r <1 Q / PVC • Manifold Pipe • Dowd, Ilion AIwssd.4 Position Or s, 1,ipe Force Main p•.' Loaf Hole SAould Be r .. Heal To End Cap End Cop -� Disiribullon Pipe Layoul P : JI Ft. S X Inches Y Inches Hole Diameter A Inch Lateral " Inch(as) Manifold "_ inches Force Main Inches ! of holes/pipe 11 Invert Elevation of Laterals Ft. . Pa90 3. 326683 SEPTIC TANK S" PUMP CHAMBER CROSS SECTION AND SPECIFIc:A'i'iu'4b I ate, ' 4" CI VENT PIPE 12" MIN. ABOVE GRADE S WEATHER PROOF v JUNCTION BOX APPROVED 25.' FROH.DOOR, WINDOW OR WITH CONDUIT COVER FRESH AIR INTAKE W1NPOLE ADDLOCK& FINISHED GRADE 4" Cl RISER WARNING LABEL 6" MIN. ��_4n MIN. ABOVE GRADE n� 18" IN. 6" MAX. � `• c� 2 C ( 3 INLET I u '\WATER TIGHT SEALS I GAS. ; ' I �" TIGHT i �� I" BAFFLE _� A SEAL _}_ ALM APPROVED JOINTS 4J/ CI CI PIPE B ON PIPE 3' ONTO 3' ONTO -� i � SOLID SOIL SOLID SOIL PUMP OFF ELEV. ��$FT. C I ' OfF fr RISER EXIT PERMITTED ONLY D IF TANK . MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE w�Qs��s _ 3`�°i. �o^nb� NUMBER DOSES PER DAY: , TANK MANUFACTURER: J��o�7 TANK SIZES: SEPTIC DOSE VOLUME INCLUDING GAL. FLOWBACK: DOSE GAL. CAPACITIES: A = 30,7 1NCHES = S _I GAL.. ALARM MANUFACTURER: a9 MODEL NUMBER: B 2 INCHES = •�} GAL. SWITCH TYPE: iO GAL• PUMP MANUFACTURER: C = /a. L INCHES = • MODEL NUMBER: D INCHES = ��• x GAL. �+-- �- SWITCH TYPE:- REQUIRED DISCHARGE RATE 5e GPM —S PUMP E ALARM WIRING AS PER ILHR 16.23 WAC //-- FEET VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET + MINIMUM NETWORK SUPPLY PRESSU E . . .. '�• -� FEET + FEET FORCEMAIN X S FT/100 FT. •_• � FEET _ DYNAMICFACTOR T.OTALFRICTION READ INTERNAL DIMENSIONS OF PUMP TANK: DIAMETER LENGTH �_i WIDTH DIAMETER ` �5l LIQUID DEPTH I GGulds Submersible Effluent Pump r C�7 3885 M' 326G33 APPLICATIONS • Overload protection must smooth operation. Silicon `_ , can be operated continuously Specifically designed for the be provided in starter unit. • Shaft: threaded, 400 series bronze impeller avattable as an option. ja4oati-,. without damage. ■ Bearings: Upper and following uses: • Homes stainless steel. ■ Casing: Cast iron volute . tower heavy duty ball bearing Farms . • Bearings: ball bearings type for maximum efficiency. construction. • Trailer courts upper and lower. • Power cord: 20 foot 2' NPT discharge adaptable for slide rail systems. • Motels • Schools standard length (optional -m Mechanical Seal: SILICON • Hospitals lengths available). Single phase: CARBIDE VS. SILICON • Industry • Effluent systems • % and 'A HP —16/3 SJTO CARBIDE sealing faces. Stainless steel metal parts, with 115 V or 230 V three BUNA-N elastomers. rong plug SPECIFICATIONS Pump • Solids handling capabilities. % maximum. • Discharge size: 2' NPT. • Capacities: up to 128 GPM. • Total heads: up to 123 feet TDH. • Mechanical seal: silicon carbide -rotary seat/silicon carbide -stationary seat, 300 series stainless steel metal parts, BUNA-N elastomers. • Temperature: 1040F (40°C) continuous 140OF (60°C) Intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry. without damage to components. Motor Single phase: • 'r5 HP,115 V, 200 V, 230 V. 60 Hz,1750 RPM; 'A HP, 115 V, 60 Hz, 3500 RPM; 'r4 HP -1''A HP, 230 V. 60 Hz, 3500 RPM. • Built-in overload with automatic reset. • Class B insulation. Three phase: •''A HP —1''A HP 200/230/ 460 V. 60 Hz, 3500 RPM. • Class B Insulation. • %-1 % HP —14/3 STO with bare leads. Three phase: a %-1'14 HP —14/4 STO with bare leads. On CSA listed models — 20 foot length SJTW and STW are standard. FEATURES ■ Impeller. Cast Iron, semi - open, non -clog with pump - out vanes for mechanical seal protection. Balanced for METERS FEET ■ Shaft: Corrosion -resistant stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. ■ Motor. Fully submerged in high-grade turbine oil for lubrication and efficient heat transfer. ■ Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, ■ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. ■ 0-ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS SP Canadian$tandardsAssoclaeon UL Underwriters Laboratories all...........MEN "MMWWnWMMMMWMMM .. MENEM go . ME MMr i'=RW1\Mi\n�M ���ONE�M� !■■■��■■■\��■■\�■■■■MEMO �.SL.■■:.'■■Fit 1110SEE ONE ME QC■ ...®�. ' \ir: !�■■\�\■■■\\■■►EEO■�■� OGPM 0 to 20 30 math CAPACITY 0 1995 Goulds Pumps EIIecl" May, 1995e3885 wisconsla Department of commerce SOIL AND SITE EVALUATION Page I of IL Division of Safety and Buildings Bureau of Integrated Services In accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches In size. Plan must County Include, but not limited to: vertical and horizontal reference point (BM), direction and I E percent slope, scale or dimensions, north arrow..vhd location and distance to nearest road. Parcel 1.D. # APPLICANT INFORMATION - Please print al! Information. Reviewed by OS vale personal IMormallon you provlde may be uses for seco^djry purposes (Privacy law, s. 15.04 (1) (m)). Property • Property Location aj Govt. Lot S i ails WW114,S /,- T3) .N.R / 7 E (00 Property Owner's Malting Addy — -- lot a BlodtN Subd. Name or CSM# frT 31 1 4:2 Iy State ZIP Code - Phone Number ❑ City ❑ Village Town Nearest Road S T (✓ 5-*/7 ( o— Lw&•.Xr0 /%D New Construction Use: 3 Residential / Number of bedrooms Addition to existing building ❑ Replacement (:)Public nr commercial • Describe: Code derived daily flow CoOD gpd Recommended design loading rate " bad, gpd0Z trends, gPdRt2 Absorption area required — _bed, ft2.1,00 french. ft2 Maximum design loading rate X?_ _bed, gpdte ,_ _trench, gpW Recommended InfiRratlon surface eievation(s ire' 9 Sip 0 it (as referred to sRe plan benchma(k) Additional designhtte side tion --... Parent materiel _-_ _--- _ Flood plain eleveflon, M applicable tt S SuitaDle for system I..."r.o,, ",.,. .� �� ---- - --- S u a unaWtable for system ❑ S ®u ®s ❑ u ❑ S ®u ❑ s L3 tr ❑ S O u ❑ u Boring # ML MLil iss Ground elev. /411h. Depth to limiting d In. Boring # 0 Ground Depth to limiting "It' . SOIL DESCRIPTION REPORT Horizon Depth In. Dorninant Color Munsell Mortise Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Bad Trench / b-/d -- c c 1 1 ic 2 Remarks - mum Z�m. nornar rw. - .ST Name (Please Print) =na Tele�ne NO. Address AA Date CST Number �7 /� Sr f}pLYd (i wi s'yc?ot q PROPERTY OWNER PARCEL I.0.1 SOIL DESCRIPTION REPORT Page ._Z- of y-? - Ground elev. 9Zo-Zn. Ground elev. 16 Cft. Boring 8 13 Ground elev. _ft Depth to limiting factor in. Boring # Ground elev. --ft. Wodron Depth . in,Gr. Dominant Color Munsell MOM03 Ou. Sz. Cont. Color Texture re r. Sz. Sh. z. Consistence Boundary Roots GgpM12 Bed .Trench Remarks: , Z • ,3 of Q/. au/ fF f , Z r 3 ,ltil y 1SF W c /3 s, F MtrR Remarks: Remarks: Depth to limiting It�yl factor _in. Remarks: SBD•8330 (R. 07196) s'� Nwys�.tT'��uR�7w Sia•rTor�, �a' � �� 5 die, 7-0 7 -� ��► a�% %�/c �.�Zc �M � boo 11 i �,h Z cf�• Z. , 0 326683 Aff IWO ` J 4 p O Z wisconsiD Department of Commerce SOIL AND SITE EVALUATION Wsion df Safety and Buildings Pegs of Bureau of Integrated Services in accoldanpe with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 X19-k. yT in size.' PkW t County include, but not limited to: vertical and hortzontal4sti oe reclibri S T percent slope, scale or dimensions, north anowr end• to road. Parcel I.D. If APPLICANT INFORMATION - Pb: pint ruAio3f�n. Reviewed by Date �wt1 Pe,sorrel inlomreson you w� �y be used ai rposes t . s. 15. )). 6 --so — ZaCU Property 0V �, rty Location Lot S z,M4 W /1/4,S 15 T31 ,N,R ! 7 E (oqo Properly Owner s Haling Add 4 _ - Lot # Blocks Subd. Name or CSM# �__y__ IM State Zip Code Phone Number I El city El village E] Town Nearest Road .,- 1 G/s i SSb i7 i ()/J' L�/L 36 �b S7'a..Y n I / %D T --j New Construction Use: 3 Reskientlal / Number of bedrooms y Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow DO gpd Recommended design loading rate / Z_bed, gpcL* ! Z trench, gpd* Absorption area required — bed, ft2_&SZO trench, it Nt dmum design loading rate - bed, gpdfft2!-__Z.—trench, gWP Recommended Infiltration surface ekwadon(s� ' 0 it (as referred to site plan berlcbvnerk) Additional design/sites Parent material Flood plain elevation, if applicable it S Suitable for system u = Unsuitable for system 1 ❑ s ® u ®s ❑ U ❑ s ® U ❑ S ET-d ❑ S o u ❑ S �!l U Boring # [3 Grand elev. /own Depth fo Itmitlng 3 Boring # 11 Ground elev. 0/102-fL Depth to 0n11 nC01%01071^k1 DCDADT Horizon Depth in. Dominant Color Munsell Mottles-- - Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Rootsr8edch L`L IC Remarks: mm '," E ®® Of In. Remarks: CST Name (Please Print) Telephone No. 2/f26 V-4 5 7 Address Dots CST Number .777 /Va lest -no'o1-00 ZZlg7( PROPERTY OWNER —Ajftfn SOIL DESCRIPTION REPORT PnRCIM l.D.# page Z T Boring # a Ground elev. 9Zo-]-R Depth to knftV trr. 3ti Boring # 13 Ground /oft Depth to nmlung n. Boring # 13 Ground elev. _ft Depthlo limov factor _in. Boring # 13 Ground elev. _ft Depth to f nmrong as® o.. •:E ®,. ��� ©M . I ice= Remarks: / 0-a > >IR.arn C /`FsaK A#V L bjQ 7-sVVY cL vF aK ray oi4 / lie lyeglAv s L 1 wAQK MIfIf aw 64l5V'q1'Y �FS*e L /3 S, f- � h► FR Remarks: Horizon I Depth I Dominant Color Mottles Structure Bound Roots du in. Munsell Gu. Sz. Cont Color Tere Gr. Sz. Cor�ater>� Sh. Bed Tre�h Remarks: factor _in. Remarks: SBD4= (R. odes) 1 St Nw431S31W17w SA-n-'r4 f� l ISM+ Z 9m,Z' 'a 2.2N7/ fry yam' o' Owner/Buyer Mailing Address Property Address _�- I City/State ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM ,A v�' (Verification required from Planning Department for new LEGAL DESCRIPTION Parcel Identification Number O 3 to ( n 3 sta o Property Location_ 'i/ AL\P '/4, Sec. IS, T_aLN-R_L:TW, Town of _ Subdivision Certified Survey Map # . Volume Page # Lot # Warranty Deed # -5 R't%� 1.1 . Volume 1,401 . Page # �—. 6 Spec house O yes [P no Lot lines identifiable IX yes O no SYSTEMNANCE 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 wastewaterdisposal 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 sta ' that our septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 s of the three expiration date. GNAT(JRE OF APPLICANT DATE OWNER CERTIFICATION we) ce tall statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of he pro_ described abo by virtue of a warranty deed recorded in Register of Deeds Office. / ! y / t7zy'c) 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