HomeMy WebLinkAbout004-1048-95-100 (2)I
DEPARIi+Nr OF
LX#JXI,;
HUMAN RELATIONS
REPORT ON SOIL BORINGS AND
PERCOLATTON TESTS (11s)
SAFETY & BUILDINGS
D IV ISION
P.O. BOX 7969
MADISON, WI 53707
HR 83.09(1) & Chapter 145)
USE
RATING: S= Site suitable for system U= Site unsuitable for system
DA oBs VATIO MADE
PROFILE DESCRIPTIONS
/o,/v / 7/
PERCOLATION TESTS
/U' +
TOWNS BLK. NO.lt,SUBDIVISION NAME
,J llICIPALITY
o-/U\, %V+r8 tUR rrf r
AME
/r-P+)[,). I Ii". I STQ57
E+6aen"e
NO. BEDRIVIS.27 COMMERCIAL DESCR I PTION
,U lt nru"* Mpt"""
tvlouN-.trs tr{
lf Percolation Tests are NOT required
under s. ILHR 83.09(5)(b), indicate:
DESIGN RATE
/VA
lf any portion of the tested area is in the
Floodplain, indicate Floodplain elevation N[,
PROFILE DESCR!PT!ONS
S trs
FILLIHOLDIN6 TANKrulm tru
R ECOMMENDED SYSTEM: (optional)
s
BORING
NUMBER
TOTAL
DEPTH IN ELEVATION DEPTH TO GROUNDWATER-I NCH ES
-OBSERVED I CST. HIGFiEST
AR ER
F E VED
TH ICKN ESS,LOR, TEXTURE, AND DEPTH
EE ABBRV. ON BACK.)
B-Y 't{ o 7{.o 3G,,/3
/o" G/ S,'/ 7-s ='ol 5i I )7"8e 8n SCL ?nf mok
B.{3c ?L. a 0r o vr -<-iy 't /o" 8/ s;l ts ?" 6^ S,'1 22 "8n 5;l *^-p or7 14
B.b qf,1 lr tv [o" Bl Sr/ 15 t{"Bn Sr'( 1t"QSil *r,p or7..a.{
(2" R) 8,. scL a/m3/ dla-Aol
B.
B-
B-
PERCOLATION TESTS
TEST
NUMBER
DEPTH
I NCH ES
WATER IN HOLE
AFTER SWELLING
TEST TIME
INTEBVAL.MIN.
R LEV RATE MINUTES
PER INCH
P
P
P /)/L
P-
P
P-
PLOT PLAN: Show locations of percolation tests, soil borings snd the dimensions of suitable soil areas. lndicate scale or distances. Describo what aro the hori-
zontal and vertical elevation ref6rence points and show their location on the plot plan. Show th€ surlac€ elevation at all borings and th6 direction and percent
oI land slope.
SYSTEM ELEVATION
?\*...*(.-.- Pt"l 3lo^( " p*v'..te Sf. -*tC2!\
ttt
l, tho undersigned, hereby certily that the soil teats report€d on this form wer€ made by m6 in accord with the procedures and methods specitied in rhe Wisconsin
Adrnjistrative Code, snd th€t the data recorded end the location of the tests are correct to th6 best o{ my knowledge and beliel.
NAME (orint):
-6")^,.,
) ll - l* ." 0 r-TESTS WERE COMPLETED ON:/o/ /v/ ?/
ADDRESS:
Ro- {,(S"
v
Y^, n s.U t/.,. t,r;;. s v)o7 I eHorue NUMBER (optional)
l7D -ezYCERTIFICATION NUMBER3CrL/"".'H-:-
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
Dl LHR-S8D6395 (R. 10/83)_ OVER -
(
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-
38
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I
ST. CROIX COUNTY
WISCONSIN
ZON!NG OFFICE
ST. CROIX COUNTY COURTHOUSE
9I I FOURTH STREET O HUDSON, W! 54016
(7t s) 386-4680
Oct. 18 , 1991
Division of Safety and BuildingBureau of PlumbingP.O. Box 7969
Madison, WI 53707
To whom it may concern:
An onsite investigation of the LyIe Christopherson property,located in the NW L/4 of the NW L/4 of Sec .2L, T28N-RL5W, town ofCady, St. Croix County. This onsite revealed suitable soils atL3rt which meets the A+4'r rule and will require 23tt of fiIIbeneath the mound.
Should you have any questions, pleaseoffice.feel free to contact this
ncerely
James K. Thompson,Assistant Zoning Administrator
cj
flo^<u 6end
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/
Wrt(Ontrn OeO!-lm.rl Ol lnOUttry.
trbor tnd hurnan Rclltront 5UlL UE5Lnlr I l\.rri .\Lr tv,rr r
(Attach Soil Prolile Location Map - To 5cale - on A Separate, Signed Sheet)" (J lor . ::l
f.lidrton. '".'l 3, ;t"
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Systcm Etcvation
CST Namc (Ptint)
e cSo-^--LLI
Slalc Zip
r^eorrruiiF
City I J
DEPARTM ENT OF
INDU3TRY,
I-ABOR AND
HUMAN RE LATIONS
REPORT ON SOIL BORINGS AND
PERCOLATION TESTS (115)
HR 83.09(1) & Cha pter 145)
USE
RATING: S= Site suitable for system U= Site unsuitable for system
U DIVISION NAMll
DAT OBS VATI MADE
PFOFITE DESCRIPTIONS:
/o,/" / 7/
PEFCOfATION TESTS
/l-rt +
LK. NO.
,U\, %Y+,8 ll/R rtrf r
ICIPALITY
q,
OUNTY:
P+)[r- ll"i^.. I s(ffz
LUffesidence
NO. BEDRT\4S.:27 COMMERCIAL DESCR IPTION :Nlt Iru"* Mpv."
lf Percolation Tests are NOT required
under s. ILHR 83.09(5)(b), indicate:
DESIGN RATE:
/VA
R ECOMM ENDED SYSTEM : (optional)
lf any portion of the tested area is in the
Floodplain, indicate Floodplain elevation
s s[
N[,
PROFILE DESCRIPTIONS
IJStrS
F
S
OLDI TANK:
U
BORING
NUMBER
TOTAL
DEPTH IN.ELEVATION DEPTH TO GROUNDW]ATER.I NCH
T
B.Y 't{o 7{.o 3G,,/3 'f
B.{3L 7L, X ho vr-e-/y 't
B.b 38 ?r,1 Ir t1"
B.
B
B-
HAR R , COLOR, TEXTURE, AND DEPTH
ON BACK.)T BE o K IF OBSERVED (SEE ABBFIV
/o /' €/7-> =^u7 sil ).'7"8d8^ S(L n 7" *t6f
/o " 8/ s; I ts ?" 6^ S,'1 2 > " 8." 5:l *nr to o".,IL
(o,, Bl Sr/ fs Bn t," &a /tf )e or7 . ,qo{
(2,,
PERCOLATION TESTS
Ll
c
TEST
NUMBER
DEPTH
INCHES
WATER IN HOLE
AFTER SWELLING INTERVAL.MIN.
P-
P
P./t/L
P-/
P.
P.
RAT MINUTES
PEB INCH
PLOT PLAN: Show locations oI pe.colation t6sts. soil boringa and tho dimensioni oI suitable soil areas. lndicat€ scal€ or distanc65. Oescribe what aro the hort
zontat rnd vertical elevrtion referen@ point, snd.ahow their locstion on tho plot plan. Show the surface al€vation al all borings and the dir€ction and percen
of land slopo.
SYSTEM ELEVATION
-+
+t++-lH--rf
('.- ?t"l ?lo^()b-
t--l-
--.t-
l-l*_t-F-.*
|-rffir:i:.t.
I tti
l{
-f- --r-+**-_t.*i_A-;lt
Il
I
IIniI_]-]
l, tha underaigned, hereby crrtify that th. soil te.$ rsported on this torm warc msde by me in accord with the procedures and methods specified in the Wisconsin
Administrativ€ Codo, end that tho data recordad and the location oI th. t€st3 ar€ corroct to tho bost of my knowlgdgE and beli6f.
WERE COMPLETED
6 /L/
PHONE NUMBER (optronal)
ON:7/
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tesrer.
AME nt
eSOr-€hnt-<
{lt4 Lr t/(-f ?t3CERTIFICATION NUMBER
DI LHR.SBD€395 (H. 1O/83)_ OVER _
URE
7
SAFETY & BU!LDINGS
D IV ISION
P.O. BOX 7969
MADISON, WI 53707
_---___-_ DROP IN WATER LEVEL-INCHES
PFFlIc)D 1 PE R I(JL' 3
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OWNER
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Town of o
at.a7. 15.113 AsT. cRorx couNTY, wIScoNSrN
PLAN VIEW
SHOW EVERYTHING WITHTN ].OO FEET OF SYSTEM
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1,etback and elevation information on reverse of thi orm.
9\\t5\)
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e 2 dimensions to center of septic tank manhol e cover.
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e
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AI,TERNATE BIiI:
SEPTIC TANX ./ PUUP CEAUBER ,/ EOI,DING TANK INTOru.TATTON/&'6cY)
Manufacturer:t))
Pump : Manufacturer
Float seperati
i-<?E<Liquid Capacity:A*&)
Setback from: WeLL /301 House ,.5?)Other
L Moder#Q>?33 Size #/
callons/cycle:
Alarm Iocation
widrh:4 Lendth Q<r
SOIL ABSORPTION AYSITEU
Number of trenches
Distance & Direction to nearest prop. Iine:)4i)
ST Inlet :
/ oth"t
')
setback f rorn: well:House
EITEVATIONS
Building
Pc inlet
Sewer ST outlet /p.{
Punp ofr S6'{Pc botton
Header/Mani fsld1@lf- Botton of sy sten ds
Exi sting crade Final qr ade 02./2
DATE OF INSTALI.,ATION:
PLUMBER ON JOB:
LICENSE NUMBER:
INSPECTOR:
3/e3.ix
3Dr f
I.fi6A*f0UrirtG&Pdf hant'#8 . L5
Labor arltj Human Relations' isafety and Burldrngs Divrsron
GENERAL INFORMATION
TANK INFORMATION
TAN K SETBACK INFORMATION
PU M P /.S}PH€I* INFOR MATION
SOIL ABSORPTION SYSTEM
( 2e$m0ATE sEWAGE sYsrEM
INSPECTION REPORT
(ATTACH TO PERMIT)
ELEVATION DATA A9200
4
e
Permit Holder's Name
,If'ttrl.rEr d.T tnrrlt gads{,en I City f] Village
nl nt,
fl Town ofx
/n. a'
-CST gffElevI------lnso.6M Elev.:,/D.(P,
TYPE MAN U FACTU RE R CAPACITY
Septic h),zYa ee.o n^*{.l.rfr qrl
Dosing Co.b,na{,7n&^K 6d
Aeration
Holding
County:
ffi
fa
axPa rc
FS
T-.J
ELEV. /BS HISTATION
€,5 /odds. /6Benchmark
?J,i2s'/3- da'!Bldg. Sewer g/.*'/3,6'
--=>11 *
-
r*Dt lnlet
96.9'/tFDt Bottom
/a,s8 IFlrrds / Man 4ss
/&,58 |4s8'Dist. Pipe
??-?q'S.Z/Bot. System
Final Grade
7i.2/'b,z{T€-Iir7a,rn
TANK TO PIL WELL BLDG Vent to
Air lntake ROAD
Septic 7/4?'>//D I 57,*65 /NA
Dosing --NA
Aeration NA^
Holding
Manufacturer )x PM
nd
Model Number )3a
Frictio 4 S lYl/,l/.TDH FtTDH
Forcemain Le n gt Dia. ) "Dist. ro wett> /0D'
@W
.#D / TRENCH
DIMENSIONS
Wrdth /Lenstyy' t No Of nches PIT
oiiliElus'rol,l-r
No. Of Prts lnside Dra I uiquid Depth--t-*
SETBACK
INFORMATION
SYSTEM TO PIL BLDG WELL LAKE / STREAM
CH
OR UNIT
MiluTactr.'rer
\
Type Of nC/A{1 r
System, ,fliaztd )7c01 */@ ,\tA'/&Model Number
Header / Manifold."ns,,ft6-?Distribution Pipe(s)
Lensth e:/k" spa.ng X/Dra
x Holelize ,,/4/
x Hole Spacing/2"Vent To Ar ftake
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
xx Mulched
ft Yes E No
xx Seeded /Sodded
!Yes ENo'":)lil:'n,on", / a'! B' lir:r,l,'u"
o'
/n "rlaDepth Over
Bed/ Trench Center
0cw
8.(l
/**
orHl .,
{b!il
COMMENTS: (lnclude code discrepancies, persons present, etc.)5,'/
LOCATION : CADY . ZL .2I . l, 5 29 7s'@n),/*7 /& ",/'/"-( hL< 'il?7
tr^,b a4a".4A;/,.
o5p,33 d
Plan w4"
Use other side for additional information./PV ?0b atw4g
@
sBD-6710 (R 05/91)
{/4s P,-// lbrQrdd-#fr?lnspector's Stgna re
hbe
Cert No
't^4)
\St / Ht lnlet
DISTRIBUTION SYSTEM
required?n Yes
tr'
--
Eil LHFI SANITARY PERMIT APPLICATION
ln accord with ILHR 83.05, Wis. Adm. Code
-Attach complete plans (to the county copy only) for the system, on paper not less than
8%x 11 inches in size.
-See reverse side for instructions for completing this appl,ication.
I. APPLICANT INFORIIATION - PLEASE PRIIIIT ALL INFORIIATIOIII.
COUNTY
ST. CROIX
application
STATE PLAN I.D. NUMBER
s93-20535
PROPERTYOWNER
JR. GL]II{N IIOVDE
PROPERW LOCATION
NW % Itthl y1, S 2l T 28, N, R 15 E (or@
PROPERW OWNER'S MAILING ADDRESS
7 7 COULEE P.OAI)
LOr #
N/A
BLOCK #
N/A
CITY, STATE
HIIDSOI{ 1,{I
ZIPCODE
54016
PHONE NUMBER(7r5 )
SUBDIVISION NAME OR CSM NUMBER
48927L
ll. TYPE OF BUILDING: (Check one)State Owned CADY
NEAREST ROAD
29OTII STE prOti" E I o, 2Fam.Dwelling-ffof bedrooms 3
lll. BUILDING USE: (lf building type is public, check allthat apply))o</ /o</Y- Qs-/c/)1E2Z3E4E5E
ApUCondo
Assembly Hall
Campground
Church/School
Hotel/Motel
6
7
I
I
trtrtru
Medical Faci !ity/Nursing Home
Merchandise: Sales/Repairs
Mobile Home Park
Otf ice/Factory
10
11
12
13
trtr
Outdoor Recreational Fac i I ity
RestauranUBar/Dining
Service Station/Car Wash
Other: Specify
lV. TYPE OF PERillT: (Check only one in line A. Check line B if applicable)
A) 1.E New 2.
System
Replacement 3.
System
Replacement of
Tank Only
4.Reconnection of
Existing System
5 Repair of an
Existing System
B) E n Sanitary Permit was previously issued. Permit #Date lssued
x
V. TYPE OF SYSTEiI: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
4'l E noloino Tank
42 Z Pit Pri;
€ E Vault ei:vy
11
12
13
14
trtr Seepage Bed
Seepage Trench
Seepage Pit
System-ln-Fill
21
22
Etr Mound
ln-Ground
Pressure
30 E Specify Type
VI. ABSORPTION SYSTEM INFORMATION:
2. ABSORP. AREA
REQUIRED (sq.ft.)
750
3. ABSORP. AREA
PROPOSED (sq. ft.)
750
4. LOADING RATE
(Gals/day/sq. ft.)
.6
5. PERC. RATE
(Min./inch)
N/A
6. SYSTEM ELEV.
99.8 Feet
7. FINAL GRADE
ELEVATION
,02 . 1 Feet
VII. TANK
INFORIIATION
CAPACITY
in gallons Total
Gallons
#ol
Tanks Manufacturer's Name Prefab.
Concrete
Site
Con-
structed
Steel Fiber-
glass Plastic Exper
AppNew
Tanks
Existing
Tanks
Seotic Tank or Holdino Tank 100(1000 1 I4IIESER CONCI-',ETE I,T
Litt Pumo TanUSiohon Chamber 600 600 1 I4IIESER COI{CRETE l.r
VI!I. RESPONSIBILIW STATEMENT
l, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print):
BEiINIE HELGESON
MP/MPRSW No.
32L5
Business Phone Number:
1 7L5 y772-3278
Plumber's Address (Street, City, State, Zip Code):
TTL229 77OTY, AVENUE SPP.II.IG VAI,LEY
..r
1,[ 547 67
IX. COUNW'DEPARTMENT USE ONLY
E npproveo
EE Disapproved
Owner Given lnitial
Adverse Determination
itary Fee
Surcharge Fee)7-/lssuing
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb{7) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
n t-t
DEPARTMENT OF
. TINDUSTRY,
LABOR AND
HUMAN RELATIONS
REPORT ON SOIL BORINGS AND
P ERCOLATION TESTS (11s)
SAFETY & BUILD]NGS
DIVISION
P.O. BOX 7969
MADISON, WI 53707
HR 83.09 (1) & Chapter 145)
DAT OBS VATION MADE
PROFILE DESCHIPTIONS/o/" / rt PERCOLATION TESTS/d+
RATING: S. Slte cultable for sy3tem U- Slte unsultabte for rystem
T
,8 ll Rls{ r
rcr LITY:
a-
NO.BLK. NO.:lli SUBDIVISION NAME:
/) /,1
Pl)u.lg
1".s
l-Uffesldence
NO. BEDRI4S:2T COMM ERCIA L D ESCR I PTI OI\Nillt Eru.* Mpn."
s{s
lf Percolation Tests are NOT requlred
under s. ILHR 83.09(5) (b), lndlcate:
DESIGN RATE:
/VA
lf any portion of the tested aroa is in the
Floodplain, indicate Floodplain elevation N[,
PROFILE DESCRIPTIONS
s trs DS
K
U
R ECOMMEN D SYSTEM: (optional)
DEPTH TO GRMBORING
NUMBER
TOTAL
DEPTH 1N.ELEVATION
-OESERVEDB.Y 'tl o 7{,o 3c"/3 tt
B-{3L ?(", %0ton-<-/y 't
B.b 38 ?f,?tr t Ll"
B.
B.
B.
KN S,URE, ANO D P HTO BED OBSERVED EE ABBRV. ON BAC K.)/o /'7-s =-OZ Si/ ).'7,',eA8n SCL n7 ? mof
/o" g/ sil ts 7" 6^S,'1 e>"6n 5;l ,4)ta o..i . /+,
(o" 4( 5r/ rs tf ''B^ 5t',l, " 8or lt)P ory.Ao{(L,,C
PERCOLATION TESTS
TEST
NUMBER
DEPTH
INCHES
WATER IN HOLE
AFTER SWELLING
TEST TIME
INTERVAL.MIN.
DROP IN WATER LEVEL.INCH-ES RATE MINUTES
PER INCH IPERIOD 1 PEBIOD 2 PERIOD 3
P.
P.
P./)/L
P./
P
P.
PLOT PLAN! Show locatlonr of p.rcolrtlon t€3t!, aoll borlngr lnd tha dimonalont oI auitabl. ioil sreas, lndicrto lcslo or distances. Describ€ what 6r. the hori
zontrl lnd \6rtic6l olavatlon r€f.ranc! polntt and'thow thalr locotlon on the plot plen. Show the 3urfac6 slevation et a boringj and tho direction and percen
of lend rlopa.
SYSTEM ELEVATION
I
I--T--
-.,
I
I
I
€f
I
-l-
I tr
(:
I
-__'_F_---t__
ll
._L_ .I
l, th6 undoElgnod. haruby caatlfy thn tha aoil taatt rcport.d on lhls form w6ro ,nsde by ma in accord with th6 procodur€s and methocts specified in th. WisconsinAdmlnhtBtlva Coda, and lhat thc d!t! racordod lnd tha locltlon ot tho t€3t! .ro corr.d to th6 bast of my knowledga 6nd b€lief.
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nt
e
ETED ON7//q6
t ut/l4 3 ?
ERTIFICATION NUMBER PHONE NUMBER (optional
7
TSI N T
DISTRIBUTION: Original and onecopy to Local Authority, Property Owner and Soil Tester
Dt LHR-SBD6395 (R. 10/83)- OVER -
MAIE.ING ADDRESS:
r'
..*-".+--.-__. l._ ._ _ -
^l-P1 h-
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Ia0or and hurnln Rclttront 5UlL Uc)Lntr r rtJrr .\Lr vrr r '" .
(Atta(h soit Prof ite Location Map - To 5cale - on A Separate, Signed Sheet) ifo,',:l,t;il'rrr,'
DORING
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Lorc^C.GP0'!q n.
f rrnch 8r<t
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LOCAtOa
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tlrtAcISUB0tVtStoH
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Domrnrnt Color
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Qu,3r. Cont. Color Terturt
ttruclurc
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ttructurc
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Llmtll6g Frctorl
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Itructurc
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Llrflllln0 Feclorl
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LorOrng'CPDrq h.
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Hotrton Ocoth
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Additronrl Rrmrrltr:
O
RECOMMENDED SYSTEM TYPE:rnc-ql*.(.
Ottta? trtt lrrturrt:
93_-g o
t9nrtuta
/'c:,/zy / Q r ta t\-t 77)_3p-) x
D-ffiSEm-A--Z Iclcphonc No.
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CST Namc (Ptlnl)
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tb1 F,-irl
PFTiV ATE SEWAGE SYSTEM
C rElcliti*"s t{w
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6t J(,r
HIJI,IiAN RtLAl\ONS
\t .J51 BO ND
\\-DIi\GS
i.\
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DEPARTM
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Tn=.-'. L - t (,- qn
PO ND
sg3- 20535
t/
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a,>lter -Fr Gl*H n.,l €
Page 0f_
Cross Section 0f A.Mound Using A Trench For The Absorption Area
o . ioo, {3
Medium Sand Fill soil ?q goo
Trench 0f ,-2u Z\" Aggregate,6" Below Pipe, Covered t.lith iti:'r D /./2
Straw, Marsh ,Br=Bf*ty.ntt eWe { ECn$rIc
PRi\A i L-btrvur'rs'r,.
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l'lUtv'iAN RtLAll0NS
JILDINGSDE P ARTI\/r t*1,$[,
i],x
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E ),tb
F .80
Ft.
Ft.
Ft.5
Ft.
Ft.
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PI
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s 11_ rt.
lew 0f nd
C RESPO NCE
---- _-
The Absorption Area
Force Main
Observatlon Pipe
:)E
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Permanent Markers
&-t*/ /r'-o-- 17 3 f o'
| /Y,{ Ft.
Trench 0f h' - ?D"u Aggregate
A t
t,J
B
L
K ij Ft.
L _M_rt.
t,I ,9, L Ft.
Li cense
l'lumber:.39r,f Date: L-lL -13Si gned:
J 7,b Ft.
s93- 2053 L
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PHiVATE SEWAGE SYSTEM
(
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LF(S-T btSLE TO BE 'JEX.I-
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sg3- 205S5
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SEPTIC TANK g PUMP CHA},IBER CROSS SECTICN AND SPECIFiC.A.T:C}iS
)
4n c> 25
FRES
I VENT PIPE !2II MIN. ABOVE GRADE 6I FROM DooR, WTNDoW 0R
H AIR INTAKE
WEATHERPROOF
JUNCTION BCX
WITi{ CONDUiT
FINISHED GRADE
PHi V r i$,'!,,',,cr,'.Rr'sER'
ALM
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OFF
INCIlES =
INCHES =
INCIiES =
INCI{ES =
S PER I LI{R
. . g,cl3
2
APPRCV Ef
MAlJiiO LE C CV L
W/ PADI,CCK T
WARI.IING II3E
q'I MIN.
VpPRovED
JOINTS IJITH
APPROVED PIPE3' ONIO
SOLID SOIL
:t z! R I SE3. EX:
PERMITTED O};
I F TANK
I-,1AI.ITJ FAC TUR:3.
HAS APPROVA-
l3v,"v GAr-.
6il M
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IN.
N ffiIIF
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PAF*tftER
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APPROVED
PIPE 3'
ONTO SOLID
SOIL
PRO P
I LHR
OBTANCH
ILHR B3 15(4) (b)
S EALS
S COR R POND CE
BED
PU},1 rymqKsrLEV. :, s,tr.
.15(4) (c) V'l Ac
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SEPTIC / DOSE
TANK I-,IANUFACTURER:
TANK SIZES: SEPTIC
DOSE
DOSE VOLUME INCLUDING
F LOWBAC K :
C= l2
q*tr D = lll
PUMP T AL,ARM hTR I NG A
PROVED BEDDING UNDER, TANK
CONCRETE PAD
SPECIFICATIONS
[ [)c,i ('r-S MJMBER DOSES PER. DAY, 1
/ Ooo GAL.
AAoO GAL.
S ,\. El..{,,s.k'.,FAPAc r rr ES :,s*A I.ARM MANUFACTURER :
MODEL MJMBER:
SWITCH TYPE:
lor f'{
PUMP MANUFACTURER:o.^-[
MODEL NUMBER: 3S1l
SIGNED:
SWI TCH TYPE : f-.-J[<. M ev-c.^v.,
REQUIRED DISCHARGE RATE ffi,,"
Pkor* ('o ru^.L" '5 Poc. 34€<'{-
+ /bo FEET FORCEMAIN X
INTERNAL DIMENSIONS OF PU},IP TANK: LENGTH
/,5y FT/100 FT. FRICTI0N FACT0R
-- T.orAL DYNAMTc HEAD H F E iT 14,83
; WID TH-;AM
2
A
B
30l.9t GAL
l J.6q GAt
/ V,. 8Y G.1i -
l3s. ,13 G!.'-'
VER,TICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTI ON PIPE
+ MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . .
L6.23 (ri
EET
E:T 3.4
F
;
Fw
ET ERDi
LIQUID D-EPTIr
sg3- 20535
L/88
LIC ENS E l.llJl'lBER : -j A I DATE: G - lt" -q 2
A r>no tr.,.\ l. -T H,^..,rr\-
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\_,Effluent Pump
M0DEL: 3871
SIZE: 3l4" SOL|DS
RPM: 1550
HP: 0.4
40 50
r{
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METERS FEET
B
7o
IJJ A
J.I
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25
20
15
10
2
0
5
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CAPAGITY
B 10 12 m3/h
fraaouLDs PUMPS lNc.NlZ sEl€cA FAIrs t€l,t/ \GX t3t48
sg3- 20535
Effsctive Oclober, 1 988
PRINTED IN U.S.A.
I
o 1988 Goulds Pumps, lnc.SPECIFICATIONS ARE SUBJECT TO CHANGE WTTHOUT NOTICE
I
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ttfi6b.o,
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ThNK SPECIFICATIoNS
CAPACITY : I 000i 600 cALLoN
CoNCRETE STFINGTH: 3000 pSI /t1rN.
REINFORCEMETIT 3
COVER: I!4 REBAR
TANK: 6x6/t0 cA. WIRE MESH
DIMENSIONS:
. wALL z 2\" irncrH 2
INLET AND OUTLET BAFFLES: .
BoTToM : 3" TJIDTH s 9 3" O. D.
covER , +" BELOW INLET: 57" O. D.
HEIGHT: 73''O. D, MAMIOLE Z 24" I .D.
INLET AND OUTLETto
oP€-r.rttJ6S
CM
s0z r44dtlOtE_ Rrsens
P#--"4.ff'I5?-tg.*
, *MEETS I{I. D.I.L.H.R. AND
:wEtGHTj , e
H. M.P.C.A. SPECIFICATIONS
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PIJIVIPS
DIM
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PENTONMANCE DATA
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9Va
43/s
51/a
1/a STD.
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1=i-ash
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,,P M05R71ERESHPs/oLDSSoMxAPMUPPMSUEEMSRBLBUPs33SoDoEM 348Lit. No.113.5
'il,0 HP MOTOR
FULL LOAD
AMPS AT 115 V.
6.5
TAL
HEAD
IN FT.
24
22
20
18
16
14
12
10
8
6
4
2
0 10 20 30 40 50 60'
U.S. GALLONS PER MINUTE
74
rh
NOTE:CASTING DIM. MAY VARY * 7A
-il-
HU,,NN
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SEPTIC TNN[.TOIX:IX^T::.t;REEMENT
Ro.utr.lBox
cITY/STATE
NUMBER R
D.-
PROPERTY LOCATION: NW K, NW K, S€CClON 21. ,
Town of CADY '
Subd lvLa lon N/A
o$rNER/BUYrlR cT.un\/DF' Tp
St. Crotx CounEy resldenEs mav b
a maxlmum of 607. of Ehe cogt, of
nhF"ae ln operat, lon prlor to
eccepted thts proBram 1n Augus E
osnero of all new !_EEc[s agree
malntained.
t++Fl re Number
'/. rP 5 4lu ,7
T_2!_N , R 15 -_t.J ,
St. Crotx CounEY '
Uot number Nr/A
e ellglbte t,o rccclvc a Brall! l'or
replacemenE of a falltnB sY.stem'
JuIy 1, 1978. St. Crolx CotrnEY
of 1980, wlt,h the rcqulremenE tlrat
Eo keep t,helr systems ProPerlY
Irnproper use and malntenance of your septlc sysEcm could result 1n
lts premature fallure Eo handle erasEes. Proper malntenance c()ll-
slste of pumplng ouE the septLc tank every tlrree years or sooner r
LE needed, by a l.lcensed geptlc tank pumper. WltaE you PrJt lnto
the eystem can af fect the functlon of ttre sept, 1c tank us a tre:rt-
ment, Btage. Ln the uraste dleposal sy6tem.
The property ourner agrees to submlE Eo st. crolx county 7,on Ing a
certlflcaElon form, slgned by the owner and by a master plumher,
Journeyman plumber, resErlcted pluml>er or a Ilccnsed pumper vcrl-
fylng that (f ) the on-.slte srastewater dlsposul system 1s 1n ProPer
operetlng, condlclon and (2) afEer lnspectlon and pumPlng (ff nec-
essary), the septlc 'Eank 1s less than Ll3 f u11 of sludge and scum.
Certtflcatlon form ritf be senE approxtmately 3O days prlor Eo
three year explratton.
TIUE, the understgned, itave read Ehe above requirements and agre€'
to malntaln the prlvate sewage dlsposal system ln i.lccordance wi th
the etandards seE f ort,h, hereln r 8s set by Ehe W Lsconsln Depar t -
ment of Natural Resources. Certlflcat, lorr form mttst be compleCcd
and returrred to the St. Crolx CounEy T.onlng Of f tge wltlrln 30 d;rys
of the three year explratlon daEe.
SICNET)
D A't' li
St. Crolx County ZonIng Offlce
P.O. Box 96
Hammond, WI 54 01 5
715-7 96-2231t or 715-425-8363
Slgn, daEe and return Eo abovc atltlress.
A-/:./h
.-Er.'.
a
APPLICATION TOR SA}IITARY PERMIT
sTc-100
this appllcatlon form le to be completed ln full and slgned by the owner(s) of the
property belng developed. Any lnadeqr:aeles .will only result ln delays of the permlt
issuance. Sirould thls developmenE be lnlended for resale by owner/conitactor, ("sPei
house'!), then a second form should be retaLned an'l comPleted when the ProPerty ls
sold and subnltteit to thls offlce wlth the aPProPrlaEe deed recordlng'
Owner of: Property GTENN HOVDE JR
propiirty NW k J\}{ .-k, Section 21 , T--rc.-N-4-L5- wLocatlon of
Townshlp CADY
llalJ-lng Address 77 ROAD
HUDSOI{ \4rI 54016.
*h 5f a ,nl n Pa-l(Ld ' 5'4 ? c.7
Address of Slte
SubdtvlsLon Name
Lot Number 1",A
PrevLous Or.rner of Property =
iG?r"=-rF}
Total SLze of ,ParceL ,/y' fl.r.
Date Parce1 was Cfeated ? -?a
[re all corners and lot llnes ldentiflable?v Yes No
Is thls properiy beJ.ng developed for resale (spec house) 1 Yes X No
'1 .
Volurne lSO ara Page Number L"5 as recorded !'lth the Reglster of Deeds'
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A Warranty Deed whlch Lncludes a DocumenE number , vo.lrgmg and PaBe numberr and the
SeaI of the Re Lster of Deeds.In.addlElon, a certtfled survey, lf avallable' would be
helpful 60 Es to avol'd delays of the revlewlng process' If the deed descrlptlon refer-
ences to a Certlfled Survey Map, the Certlfled Survey MaP sha1l also be requlred'
PR{0 PERTY r)[I,NER CERTTFI CATION
o6
o
SIGNATURE OF OWNER SIGNA 0F co-o
6^,tr- z 7 6',Y-
DATE SIGNED DATE SIGNED
E1
EiL)(rr APPLTCABLE)
t
DOCUMENT NO.STATE BAR OF WISCONSIN FORM 1 - 1982 THIS SPACE RESERVED FOR RECORDING DATA
491"475
WARRANTY DEED;* "980t0rt 60 EES|STEB'$ 0FF|CE
sT. cRglx 90., wr
Rce'd for Roeord
Nov1e139l
$I{n#
f
A parcel of land located in the Northwest euarter of the Northwest euarter (NW* of
NW*) and the Southwest Quarter of the Northwest Qualter (SW* of NW*) of Section
Twenty-one (21), Township Twenty-eight (28) North, Range Fifteen (1S) West,
Town of Cady, St. Croix County, Wisconsin, more fully described as follows:
Commencing at the Northwest corner of said Section 21; Thence S 0o00'00'rW along
the west line of the Northwest Quarter (NWl) a distance of 1035.14' to the point of
beginning: Thence Ng0o00'00I'E, 380.00'; Thence S 0o38t13"W, 581.00'; Thente
S 85o50r08rrW, 374.521 to a point on the west line of the NW+; Thence N 0o00,00n E,
608.16r to the point of beginning. Contains 5,14 acres subject to Maple Laneright of way.
t'\
This -.----iS-.-nq!-.- homestead property.(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
This Deed, made between --L;fle--Chris.tophersorli.-a----.-...-sinsle.9-----
--, Grantee,
WitneSseth, That the said Grantor, for a valuable con sideration------
conveys to Grantee the following described real estate in -----St.---Croix
County, State of Wisconsin:
Lot One (1) of Certified Survey Map dated August,13i 1992, recorded September 30, LggT in VoI. g of
CSM at page 2544, BS Document Number 4B\ZZ1,,
described as follows:
RETURN TO
Tax Parcel No:
---.-Nov b.e.r-----, 19. .92 .
-tyle..Christo.on
ACKNO\vLEDGMENT
STATE OF WISCONSIN
ss.
,+
#sffi
Effi
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
all easements, restrictions and rights of way of record.
and will warrant and defend the same.
,1.
(sEAL)
(sEAL)
AUTIIENTICATION
- i yle - - Ch ris-tcr pirer sorrya
*
_- ( SEAL)
---.-- (sEAL)
,1.
Signature(s)
----single--
be.r------, 19-92-
I C'
i_---.B'--Bichardson-----
TITLE:BER STATE BAR OF WISCONSIN
(rf
au by $ 706.06, Wis. Stats.)
THIS IN RUMENT \^/AS DRAFTED BY
ARDSON
w
.Nr_.547.fr7.
County
:::::t:lll :1:: ::::::,T :T ;;; ;;;;; ::ili
to me known to be the person who executed the
foregoing instrument and acknowledge the same.
ROBERT J. RI' -' -' -'Attc,f ii-dy' -af - fd
- - - --Spring--V-aIlBy-,-
(Signatures may be authenticated or acknowledged. Bothare not necessary.)
Notary Public ----County, Wis.M), Commission is permanent. (If not, state expiration
date: , 19--------.)
.Namea of persons eigning in any capacity should be typed or printed below their signatures
TTTAREAN'rw rr!?E:n STATF: RAR OF WISCONSTN\
+
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