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Home My WebLink About002-1026-80-000a~~ a'' i~ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division , INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ermit o er's ame: City Village Township Stoffel, Ron Baldwin Township ev: nsp. ev: escnphon: f ANK INFORMATION ELEVATION DATA ep is M~ +QC.r. ~ C7C0 osing ~lL_ R~ • ~Ss' eration o ing TANK SETBACK INFORMATION ent to it nta e ep is ~ / CO ~ '!~) ~ " ~- osing ~ t~ ~ a4 > Igo' > !~~ eration o ing PUMP/SIPHON INFORMATION anu acturer ~ eman ~Q~~L ~ GPM o e um er 3~~ SrtcF ~}o i riction oss ystem ea t orcemain engt { ia. t{ ist. to e ~ ••~ ~C JVIL L'~1:1~Kt' 1 IVIV 5Y, I tM DI S i t t eng~ t o. renc es o. i s nsi a a. iqui ep ~ U anu ac urer: INFORMATION CHAM ype f ystem: ~ f ~~ IT o e um ~ er: UIJ I KICSU 1 IVIV JT, I tM ea er an Z ~t ism ution y Pipe(s) .{~ t~ x o e ize I 4 x o e pacing It en o it nta e Length Dia Length T10 Dia Z Spacing /~ _• JVIL I:VVtK x Pressure Systems Only zx Mound Or At-Grade Systems Only ept ver ep ver xx ept o xx ee a xx u c e BedlTrench Center Bed/Trench Edges Topsoil Yes ~ No ~ Yes ® No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~' / Ig / ~ Inspection #2: y---/--~- u ~~~-~I Location: 979 260th Street New Richmond, WI 54017 (NW 1/4 NW 1/4 13 T29N R16W) NA Lot Parcel No: 13.29.16.189A 1.) Alt BM Description = ~~qR ~ . 2.) Bldg sewer length = v ~~ - amount of cover = 3.) Contour = 10'~(,,Q} f• uu~~ww,,pp .. S~ ~~o. _ _ P~a Previsbn Req ~ 0 Yes 1~ No ~ (g ~ ~ /I~- Use other side for additi nal information. l J C , C~J~ ~C Date n ~ Ins ct S ; 'nature Cert. No. SBD-6710 (R.3/97) ,e,~~11 ounty: St. Croix anitary ermit o: 363843 0 fate an o: ar ax o: 002-1026-80-000 ection own ange ap o: 13.29.16.189A enc mar 1•s~ ~o3•roa' 1.3r 13.8Z' g. ewer a t ne 1(•Io to ~o~-{ ut et ~(.~9 ~ 103.9Q n et o tom -9•0o q~.~}t ea er an. is . ipe q•`E3 oS•~`fl o. ysem ~O'ID (og.p}' ma ra e '"'~ia x.,:11 lye e,7r [ 8 -1. t over ~~r~ ~. Wisconsin Department of Commerce ' PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Parcnnal inf~rmatinn v~u orovice may be used for SeCOndaN nurnoset fPrivarv I aw c 1 ~ na /t v.,,n Permit Holder's Name: ^ City ^ Villa e ^ own of: . toffel, Ron. Bal~wm Township CST BM Elev.:- Insp. BM Elev.: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic tit i ~ We ~ ~e/~ •e-l~. ~ S'~`- t5ts'D Dosing IM ( ~ , "`. Aeration Holding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG, vent to Airlntake ROAD Septic ~ , ,~~ ,r , ; ~ ' ~. _~ :' ' __ NA Dosing r~ ~ ~~~~~f ~' I ~~ > /~ ~ NA Aeration `\ _ NA Holding PUMP /SIPHON INFORMATION Manufacturer ~- r-,' ~ Demand Model Number GPM TDH Lift Lriction ~ Systema 5 H TDH Ft Forcemain Length ~' Dia. ~" Dist. To Well SOIL ABSORPTION SYSTEM ELEVATION DATA Coun ~`t. Croix Sanit~ry~Qrmjt No.: State Plan ID No.: Parcel Tax No.: 002-1026-80-000 STATION BS HI FS ELEV. Benchmark . ~ ~ p 3, ~o ' Alt. BM ~~ 3 ~-- Bldg. Sewer St/ Ht Inlet f~, /o' St/Ht Outlet ~~ ' Dt Inlet Jt-"',~f7 Dt Bottom R , 0(.1 Header /Man. q., ~ D Dist. Pipe ~' 3 Bot. System ~es.o~ p, Jar L Final Grade S oyer Width I Len th e N f Trenches PIT No. Of Pits Inside Dia. Liquid D th DIMEN I N DIM N 1 N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING u a SETBACK INFORMATION Type O , i ,. CHAMB Model Num er. System: , 7 ~y ^ `~ ~ ~ ' - _ OR IT DISTRIBUTION YSTEM Header / Ma N Distribution Pipe(s) ~ / V r ~ x Hole Size u r x Hole Spacing " Vent To Air Intake r~_ Lengt Dia. ~ Spacing ` Length Dia. ~ ~ ~ SOIL COVER x Pressure Systems Onty xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded l Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil Yes No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspecciori #]: 0/18 /~ inspection ~L: / / Location: 979 260th Street, New R~jhmond, WI 54017 (NW 1/4 NV~' 1/4 13 T29N R16W) - 1329.16.18 1.) Alt BM Description = ~~~- '~'l. ~'' ~~ `, ~~.~.....- Y 12 ~ ° 3 = ~ ° T' 2.) Bldg sewer length = s. I ~ ~' ~ (~ !~ ~" ~ I (. p' -amount of cover = Z~ 3.) contour = ~ ~ C~ J ~ ~ ~ Plan revision required? ^ Yes ^ No Use other side for additional information. SBD-6710 (R.3/97) Date Inspector"s Signature Cert. No. _~_~_ ~~i~iirs q - , r ... . ---~ /, Safety and Buildings Division ` SANITARY PERMIT APPLICATIOI'~l Buree~~uotBuiCdingwatersystems - i n 2Q~ E§. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code C~.O. Box 7969 -~~ libladison, WI 3707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less count ~- ~p ~., than 8 trz x 11 inches in size. j' ` ' • See reverse side for instructions for completing this application state $anltaryPEr r The information you provide may be used by other government agency programs ^ Check it revision to previous application (Privacy Law, s. 15.04 (1) (m)]. Z ~ 6~` ~ C /N R`c~~~ ON- P State Plan I.D. Number ~ ~ ~ 1. APPLICATION INFORMATI LEASE PRINT ALL INFORMATI N _ 1 125 / ~ Pr ertyOwnerName /~j~~ ,/ _ .J s"'~ 7~^'fit.Z ,~11VY ...,116' ~ Propert L ation ,~. /vtUt /4 ~~ t /4, S C3 ~ , N, R E ( W Property Owner's Mailing Ad ress ~ Lot Number Blo Number ~~ C~it/y, St `e ~ ~ Zip Code Phone N~~ r _ r Subdivision Name or CSM N er ~ G G /V [L D ~ ( l ~ ) II. TYPE OF BUILDING: (check one) ^ State Owned ~ city ~,~,, `` ~) ~~ ~/ ~ V wg o Nearesrt Road ' ~ L S~ ~ Public 1 or2 Famil Dwellin - No. of bedrooms .~`~ "~ FC o Q~ Q( ~~ . ~~J~ ~1 9 III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) ~ 3.2Z ~, /~ ~ ~ ~ ~~ ~ " _~ 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 [J 4f#"rce /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_ ^ Replacement of 4. ^ Reconnection of 5. ^ Repair of an ______System________System_____________TankOnly_______________ExistingSystem ________ 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 1 1 ^ Seepage Bed 21 Mound 30 ^ Specify Type 41 ^ Holding Tank / , 42 ^ Pit Privy 12 ^ Seepage Trench 22 ^ In-Ground Pressure ~ 13 ^ Seepage Pit _ 43 ^ Vault Privy 14 ^ System-In-Fill ~ ,,~ ~ VI. ABSORPTION SYSTEM INFORMATION: Z t 7. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Ra e 5. Perc. Rate 6. System Elev. 7. Final Grade Reggu~~lred q. ft.) Pro osed (sq. ft.) Gals/day q. ft_) (Min./inch) Elevation / ~ ~ ~ S ~ ° ~ ~ 3 ~ S 7 YFeet 1 ~ Feet Capacit VII. TANK in gallons Total # Of Prefab. Site __ Fiti~-- Kper. INFORMATION Gallons Tanks Manufacturer's Name ConcretE `~'~ app . New Existin Tanks .Tanks ~ f Le ~(a~v-- s ~l- ` eptic Tan Tank ~~ -""'~ Qw ) ~ ~ ~-~ ,,) Gtt Pump Tank er S~ `~ ~ j /'U ~~t~ ~ r ONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system show ~~ ~~ ~e(«s~s{~~J ' ' Plu ber Name: (Pant) Plumb s Sig ure: (N Stamps) P/ PRSW No.: S-/~, ( .~..~ ~te.. s ®2.z y~ i IQ~F aw,,PS ~~ , Plum er's Address (Str Ci ty, St e, Zip Cod ee t s ~ ^ Q IX. COUNTY /DEPART ENT USE ONLY ^ Disapproved Sarritary Permit Fee (Includes Groundwater ate Issue Issuing Agent Signature (No Stamps) `,Approved ^ Owner Given Initial -- Surcharge fee) Adverse Determination 3Z $ , o d -3_2~j ~;,,_,~ X. /CONDITIONS OF APPROVAL / REA~NS FOR DISAPPROVAL: . ~ -(- e . - t1' c,~,~-~ wu-~ .a.~~cc re~tl~tS~-. `~-o (K~Q.~ ~ `(~.9~---- ~ ~ ~ -- e c~l,~ ~- ~`- `~2t~~ Se~ ~-/D~e S c~ t~'c~ ~ ~~'c~,~'lp-.~ l5 _ t ® S8D-6398 (R. OS/94} DISTRIBUTION: Original to Cnunl y, One copy To: Safety & RuilJings Divrion, Owner, Plumtkr INSTRUCTIONS r ~ ~ ' 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. 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 i. 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 materiai_ Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County i Department Use Only. X. County;' Department Use Only. Compler~c~ glans and specifications not smaller than B 12 r, 1 1 inches must be submitted to the county. The plans must inciude the following: A) plot plan, dra~~n to scale or wiih compiete dim;-r-sior~;, ; cation of holding tank(s), septic :arlkis) o .>!~~er t.reatment isinks; bu.+uing sewers; wells; ~.Naier mains/vti.~,~:. _ s,-< <t .~'~s and {akes; pump orsiphon ,' ~,Y~~ s~~il <<',?~,or~:F;:~rr systems; replacement system ~~~>, .. err : I~,c4~tion of the building served; Ir.v ,~~_ion ~~: ence points; t.; cornplet~ say . ,. ,., _ ~, icy ~. ,:~;s and c~.~:roL>; dose volume; • • -_ ;- _.ion io-3s; o > :~~ ,performance c:~rve; pum r~ ! ._r .:' ~;ur,~N ~~<.,nufacturer, D) cross section :; :: x,. ...;..•;, - ~:,;:m if ssqu~~ ~v ~y the county; soi! tESt d,:~ <~ ' ~ .1 `~~:rr~ . <ar;d F) all sizing information. ~! GROUNDWATER SURCHARGE 1983 Wisconsin Act 41u included the creation of surcharges (fees) for a numbc--~ <~,f r~,r;lated practices which can effect groundwater. The monies ca!!ected through these surcharges are used for monitoring gro~~~<Jwater contamination investigations and establishment of standards. ~ ~ -scons~n Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www. commerce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary Apri128, 2000 OUST ID No.227618 TOM GUSTUM N13450 937TH ST NEW AUBURN WI 54757 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/28/2002 ATTN: POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: ST CROIX County, Town of BALDWIN; 260TH ST NW1/4, NW1/4, 513, T29N, R16W RON STUFFEL & JUDY TRAYNOR -RESIDENCE FOR: Description: MOUND SYSTEM Object Type: POWT System Regulated Object ID No.: 660912 Identification tubers Transaction ID N 12 Site ID No. 191181 Please refer to both identification numbers, in all c -.~e~"'-n 'Z~ with the a~ *~~ ~ ~` ;~ .,~, r , ,., ~~ ~~ ~~_ sr max ~~ ,~- ~,.,.UO~,r~n, ~~ The submittal described above has been reviewed for conformance with applicab ~di ~on~'IftSA-~ and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. ~ ~v.~as chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code re e~t$.L A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letter ad. Sincerer/ -y DATE RECEIVED 04/26/2000 _ FEE REQUIRED $ 180.00 ~,~ ~; ~; FEE RECEIVED $ 180.00 P TER E PAU`'$L , PO S PLAN REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266-2889 , M - F~ 0745 - 1630 HRS PEPAGEL@COMMERCE.STATE.WLUS WiSMART coder 7633 cc: STUFFEL TRAYNOR . ~ ~ ~scons~n Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www. commerce. state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary Apri128, 2000 CUST ID No.227618 TOM GUSTUM N13450 937TH ST NEW AUBURN WI 54757 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/28/2002 ATTN.• POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: ST CROIX County, Town of BALDWIN; 260TH ST NW1/4, NW1l4, 513, T29N, RI6W RON STUFFEL & JUDY TRAYNOR -RESIDENCE FOR: Description: MOUND SYSTEM Object Type: POWT System Regulated Object ID No.: 660912 Identification Numbers Transaction ID No. 312848 Site ID No. 191181 Please refer to both identification numbers, above, in all correspondence with the agency. The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead, Sincerely,.' i ,~ ,. ~i PETER"E isAGEL , PO~+~I'S PLAN REVIEWER II Integrated Services f,/// (608)266-2889 , M - F, 0745 - 1630 HRS PEPAGEL@COMMERCE. STATE. WLUS DATE RECEIVED 04/26/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 BALANCE DUE $ 0.00 WiSMARTcode: 7633 cc: STUFFEL TRAYNOR 11AE3ttND SY~TE~A DESIGN. Residential Application INDEX AND TITLE SHEET Project 3 Bedroom Mound Owner Ron S#uff~el and Judy Traynor Address 2036 Hwy 64 New Richmound WI 54017 715-246-5659 Legal Description NW NW SEC 13 T 29 N R 16 W Township Baldwin County St-Croix Subdivision Name N/A Lot No. N/A Parcel ID Number 022-1026-80 Plan Transaction ,Number ~~" (~ 'g `-'~ g Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 Pres. dist. talcs. and laterals Page 4 TDH and pump tank drawing -page 5 Plot Plan Page 6 Pump Curve Page 7 Designer Thomas Gustum License Number Signature ~ Phone No. Date 4/19/2000 RECEIVED APR 2 4 2000 SAFETY & BLDGS. DIV. P.O.W.T.S. C~nditionully APP OV D DEPA ENT OF.~OMM CE D1201 715-658-1344 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats. Personal information you provide may be used for secondary purposes [Privacy l..aw, s.15.04 (1)(m)]. SBD-10462-E (R.05/98) Page 1 Of 7 MOUND SY~?'EM DES16N Complete red boxes as necessary. 1000 gpd maximum design flow. .Inch-pounds Metric Residential or commercial? r (r or c) (y or n) l.~ Replacement system? Crevtced bedrock site? n {y or n) Slope 3 Wastewater flow rate 450 gpd 1703 Lpd Depth to Limiting factor 26 in 66:0 cm In situ soil infiltration rate 0.3 gpdfft2 12.2 tpd/m2 Contour line elevation 104.0 ft 31.70 m Use standard fill depths? x DR Design depth? C~in ~cm Place X in box to use standard depths (24 and A+4 inclusive) OR specify design fill depth. Center or end manifold ~(~ o<n> Hole diameter Laterat spacing O.IIO ft Use 0 lateral spacing for trenches. Estimated hole space Number of laterals ~ Pump #ank elevation Forcemain length 35.0 ft Forcemain diameter 0.25 in o.12s, o.1ss, o.1sa, o.21a, o.2s, 0.281, or 0.313 inch only. 3.00 ft Not a final calculation. 94 ft Outside bottom of tank. 2.0 In 1.5, 2, 3 or 4 inch only. 2.067 in Actual I.D. SYSTEM SOLUTLONS .inch- ounds .Metric Estimated dai#y flow 450 .gpd 1703 Lpd Absorption cell Design -load rate 8~ area 1:2 gpd/ftZ 375.0 ftz Linear loading rate (LLR) 4.79 gpd/ft Design width {A) 4.00 ft Cell length (B} 94.A ft Depth of cel# (F) '~:6 in 34:84 m2 59.4 ipd/m 1.22 m 28.65 m 24.1 cm Sa~:fillaer Upslope fill depth (D) 12.fl in 30.5 cfrl Downslope fill depth (E) 13.4 in 34.0 crrl Basal area required (gpd/infiltration rate) 1500.0 ft2 139.35 m2 Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in .30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope tce length {K} 40.05 ft 3.06 m Up slope toe length (J) 7.70 ft 2.35 m Down slope toe length (I) 12.00 ft 3.66 m Total mound length (L) 144.1U ft 34.78 m Total mound width (W) 23.70 ft 7.22 m Project: 3 Bedroo~:Adaund Transaction Number: HOLE DIAMETER CONVERSIONS 1 /8 = 0.125 1 /4 = 0.250 5/32 = 0.156 9/32 = 0.281 3/16=0.188 5/16=0.313 7/32 = D.219 Basal adjustment made. Page 2 of 7 MOUND PLAN VIEW 23.7 ft 7.22 m W J 0 B I observation PIPS (h~Pi~) ,A A = 4.00 ft .1..22 m B - 94.0 ft 28.65 m J = 7.70 ft 2.35 m K I = 12.00 ft 3.66 m K = 10.05 ft 3.06 m L ~ _ .114.10 ft Imo- 34.78 m I =down slope dimension =absorption cell (Ax6) J = up slope dimension ~ =plowed area- (LxW) K =end slope dimension ~IAOUND;:~{~S SECTION lateral topsoil invert 105.50 ft ----- -- ----- elev. 32.16 m sys. 105.00 ft elev. 32.00 m G H AsTnn c~ '~' ~ Sand Fill E 104.00 ft contour 3T.7D m elev. 3 % ~~ slope typ. obs. pipe (anchored securely) 6" (152 mm) D = 12.0 in 30.5 cm E = 13.4 in 34.0 cm F = 9.5 in 24.1 cm G = 12.0 in 30.5 cm H= 18.Qin 45.7 cm tope frB =depth picvued layer E = downslope fill-depth Note: Absorption cell media v~ill consist F =absorption cell depth of aggregate and pipe with laterals G = Sub50i{+ tppSOil-depth at CeH WaN centered across AxB media. The cell H =Subsoil + topsoil depth at Cell Center media is covered with geotextile fabric. -Deli er notes: The Site must be care#uAy chisel plowed to a depth of 14" to break up-the existing platy structure. A weak to moderate very fine angtalar blocky structure is anticipated after plowing. subsoil cap F Project: 3 BedroorntlAs~d Transaction Number: Page 3 of 7 'PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Width (A) Inch- ounds 4 ft Metric 1.22 m Length (B) 94:0 ft 28.65 m Lateral specifications Number laterals 2 Holes/lateral 15 holes Lateral length (P) 45.92 ft 14.00 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 17.48 gpm 1.10 Us Sys. dis. rate 34.96 . gpm 2.21 Us Hole spacing (X) 38 in 96:5 cm Lateral diameter Pipe diamf~er Design options Design choice Designer must 'aC" ane choice from the options provided. Manifold. diameter Designer must '~C" one choice from the options provided. 1 in (25 mm) 1 1/4 in (32 mm) 1 1/2 in (40 mm) X X 2 in (50 mm) X 3 in (75 mm) X Pipe diameter Design options .Design ctwice Place X in red box of chosen biameter. ne required. choice necessary. 1 in (25 mm) 1 1/+t in (32 mm) 1 1/2 in (40irtm) 2 in (50 mm) 3 in (75 mm) 4 in (10Q rrnn) Distr~ution system contains: 2 Lateral(s) LATERAL DIAGRAM -CENTER CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. I P , I end cap ~ • • IE }~ ~ IE x12 ' x1231 Laterals & Forae main of PtilC Soh 40 .Last hole drilled next to end. cap [per COMM Table 84.30-6J Hales drilled an t he baxtam aF the lateral. egwlly spaced • =permanent end marker Inch- ounds Metric Lateral length (P) 45.92 ft 14.00 m Lateral- spacing (S) 0.00 ft D.00 m Hole spacing (X) 38 to 96.5 crrJ Manifold length 0 ft 0.00 m Hole diameter 0.250 in 6.4 mm Lateral diameter 1.50 in 40 mm Forcemain diameter 2.00 in 50 mm Trans~ctiorr Number: Page 4 of 7 + ~ ~ TDH and Pomp Tank Drawing Total Dyrtamie Head Operational -head .2..50 ft 0.76 m Vertic~i Lift 10.7D ft 3.26 m Friction loss -0.72 ft 0.22 m Total dynamic head 13.92 ft 4.24 Dose Volume Dose is > 1U times lateral volume Lateral void volume 9.7 gal 36.7 L Minimum-dose 112.5 gal -425.9 L Drain back 6.1 gal 23.1 L Dose volume 118.6 al 448.9 L Are laterals the highest point in the system? Yes "X" here. If no, what is the highest elevation daumstream of pump? Forcemain drain back to tank? ("x" one) x Yes No ~jtpical i~nmp-Cfiamber -Layout In combination vup~h Mate approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole comer with ~~ weather proof n ~~` vuaming label and locking device grade Ievelsl_ junction box --~ 4" vent pipe ~ I electric ~ per NEC 300 and ~1 l Corrxn 16281NAC vuatt of pump chamber or canbination tank A alarm on -pump on B pump 94.8 ft C off elev_ 28.9 m D Tank manufacturer Pumptank capacity Pump tank volume 3 " (75 mm) of bedding under tank disc`onn'ect y_ Pump manufacturer Hydromatic Pump model. number osp 33 o A '~ B Alarm manufacturer S~J Eiectro ~ C Alarm model number 101 'p D Project: 3 Bedroom-~Mlound Transaction Number: ~~~4~ ~/-~/~ grade levels alternate . outlet location 18" (46 cm) min. a~ approved ~ outlet joint Provide 1!4" weep hole or anti- siphon device ~ necessary Grade levels -pump tank manhole = 4" (10 cm) minimum_above-finished grade - vent =12" (30.5 cm) minimum above finished grade 94.0 ft Pump tank et~ation -28.7 m bottom of teak Inches Gallons 24.9 477.8 2 38.4 6.2 118.6 6 115.2 Page 5 of 7 ~, ~ - i TDH and Pt$mp Tank Drawing Total Dynamic Head - Operational head 2.50 ft 0.76 m ' Vertical Lift 10.70 ft 3.26 m Rrelaterals the highest point in the Friction loss 0.72 ft 0.22. m .system? Yes °x' here. Total dynamic head 13.92 ft 4.24 m If no, what is the highest elevation Dose Volume downstream of pump? Dose is > 10 times lateral volume Forcemain drain Lateral void volume 9.7 gal 36.7 L back to tank? ("x" one) Minimum dose 11.2.5. gal 425.9 L x Yes Drain back 6.1 gal 23.1 L ~No Dose volume 118.6 gal 448.9 L ~~~~~ In comb' ation rMith state approved treatment tank. Tank construction as per Comm 83 0(3) WAC. approved ole cover with weather proof (~'~ warning I and locking device grade levels 1~~- box ~ 4 vent pipe ~ I \ 'electric as per NEC 300 and "1 l \ Comm 16.28. WAC aerall of pump chamber or combination tank disconnect levels alternate 1- outlet location 18" (46 cm) min. ~~ aAproved outlet joint f A ,~/ alarm on ' pump-on B pump 94.8 ft off elev. 28.9 m~ D Tank manufacturer Pump tank capacity Pump tank volume 3 " (75,rhm) of bedding under tank Pump manufactur Hydromatic Pump model nu osp 33 o A '~ B Alarm man acturer S8J Electro c ~ C Alarm m el number 101 'p` D ~. Trarlsaction Number: ~ w4 ~ -~~ ~~ Provide 1/4" weep hole or anti- siphon device as necessary Grade levels - pump tank manhole = 4" (10 cm) .minimum above finished grade -vent = 12" (30.5 cm) minimum above finished grade Pump tank elevation battorn of tank Inches Gallons 3.3 395.4 34.0 7.0 1.18.6 6 102.0 Page 5 of 7 Wisconsin Department of Industry, Labor and Human Relations Divist'an of Safety 8 Buildings Page ~ of ~ Boring # ~ ~~:> "z ~< w~~~. ~~ ..~:~~ Ground elev. ZoZ.Sft Depth to limiting factor gib" Boring # .> ~:;t Ground elev. lu~ft Depth to limiting factor 3 ~ `t SOIL DESCRIPTION REPORT Horizon Depth in Dominant Color Munsell Mottles Q S C t C l Texture Structure Consistence Bot.ntdaly Roots GPD/ft . u. z. on or o Gr. Sz. Sh. g~ Trer><tt o - `~ t0 `t 2 X12 - s ~t 1 2 _' ~ s b k w~-~- 4. S - • S - ~ Z $-l0 LO`1R4/~3 - S•)~ `` nn `T P~ Wr'~h a,S -' t~P 3 1 n -zo l d tt R y !3 - s t) Z'~Sbk v~ ~ ~-S - - s , (~ y zo •Zb -~ sH ~ 31 Y - s ~ l ~,s~t-z w~ vim' ~S - . ~ . s S Z6 -3 ~S'~~Z ~jy ~.S~t 1 1 0 ~ - RemerLe• 1 0-~0 ~o~ (~ 3 t z ~ si 1 z~ s b1~ w~.~- a. s - . s • ~ Z to _ ~~(. ~ o k c~.... y L~ - s t ~ 1 ~ ~~ 1 m't'1- ass -- >vP ~ . 3 3 ~~} _ a ~ LU `-l R ~ L3 - s 11 ZM s b k vn'~-. eg -- . s :. ~ ~ 31-~0 ~ •S`7R t{l(7 1 ~-1 S`12S1~ S1 ~~1 yvt T1- ,n~`y ~=;_ I~,;,~ n A, r' ~~ - : '~ :j ' Ali ~, ~ g~ tiemarlcs: ~ ~, '°G' Name:-Please Print Phone: '`~ Arthur L. We erer 715-42 ~H5..°~ gerer Soil Testing & Design Service-P.O. Box 74 River Fa11s,WI ~+'6; iture: ? - ~ ~ _ (~ ( Date: CST Nt 220254 1 SOIL AND SITE EVALUATION REPORT in accord with ILHR 83.05. Wis_ Arim t^.nria COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST ~ C~ 1X• not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # / 3 . Z dimensioned, north arrow, and location and distance to nearest road. ' b ~Z- 1 O Z6 _ 9Q APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION R DBY DATE h~ 2 PROPERTY OWNERS PROPERTY LOCATION R.OiJ S~ r p'(nJD ~uD~ T~4~f lJ d2 66tr-Ft@T N''J 1/4 ~~1 W 1/4,S ~3 T Z- °Z ,N,R 1 ~ E ( !W PROPERTY OWNER':S MAILING ADDRESS • ZO ~ ~, ~~1 ~~ LOT # - BLOCK # - SUED. NAME OR CSM # - CITY, STATE ZIP CODE PHONE NUMBER -v~ Z~~~1~~ l+~l s~~~1 (-1tS) Lib"-S 6S9 ^CITY ^1/ILLAGE ®fOWN ' ~ ~ ~ NEAREST ROAD Zl l ` i - ~ ~~ l t sT. ~ New Construction Use ~] Residential ! Number of bedrooms 4 [ ] AddiliQn to existing building ]Replacement [ ] Public or commeraal desaibe Code derived daily flow boo gpd Recommended design loading rate - bed, gpd/ft2 • 3 trench, gpolft2 Absorption area required ~ JO bed, ft~ S J~ trench, ft~ Maximum design loading rate N P bed, gpd/ft2 ~ 3 trench, gpd/ft2 Recommended infiltration surface elevation(s) t o 5 . o , ft (as referred to site plan benchmark) Additional design / site wnsiderations -'1ovt~p w/S `Xlop~ ~Ctf • C S ~.~ ti c~T~ c.~rJ 1~r'~-~ ~ Z> Parent material S~L`Sy Std 1w1~vT 4'veCt Gt._p~eLt~-C_ ~7~~ Flood plain elevation, if applicable t~l . A - ft S =Suitable for system U =Unsuitable fors stem CONVENTIONAL ^ S ®U MOUND ®S ^ U IN-GROUND PRESSURE ^ S ®U AT-GRADE ^ S ~ U SYSTEM IN. FlLL ^ S ®U HOLDING TANK ^ S ~'U ~~ i PROPERTY OWNER S`CUr~F~1.//~'Ct~'l'`11V01~ SOIL DESCRIPTION REPORT PARCEL I.D. # ~Z _ 1OZ6_ gp Boring # 3 Ground elev. toy! -4 tt. Depth to limiting fazto~r ,, Boring # :~ ~~< Ground elev. f t. Deplh to limiting (actor Page Z of 3 Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Bou~a,y Roots 2 ~-ZO lo`-ltz yf3 s; i Z~sbk ~ri~~ cs 3 2D -~-U' L 0 `i R y l3 - ~ s ~ \ ~Sb 1Z lvr v -F~., C S y zg ~b --1 .S `112._ 3!y ~,S`1,~2, SIB sJ 0~.,-~ Vvt ~1- nemarKS: G P D/ft1 Bed Tn~c . S • C, • s .~ ~~~ , S ^ 3 . •4 -~ ~ s rv-uaT g- ~ ~ ly ~r `t-o B v ~~~S h/G p L ! v~ z ~~ VuL~ ~ ti~ o~~ ~ ~~z-~t ~x~~. ~ u~{Z LOCH S Zk1eYV ~ 1 S CI (~(1' ~ Uw) 6 , f i rsernarres: Boring # .~;> .., ,.:. .. i~:~i't ...: - i i Ground _ `.. elev. Depth to limiting factor Remarks: 3oring # .::. :::. it :::• :. ~. :.. +k {:.: around i elev. fl. )eplh to imiting actor Remarks: _ ,n o-~-~n~n .,~ „ „ PLOT PLAN SCALE 1"= ~l0 ' !1J i -H ~ ~ Y I i O N) ~-- ~ s , ~ I ~7^~~ ~ ~ ~ I I $w~ ! ~ i ~ . • .~ a~' - a~ I t~-t, do z s i i I 1 ~~ `NOj CAY~~~r 012 i A ~ ~S~v R.8 ~R1't.S ~'R-~~ Zy I i ~__ zs__ 3°~° ~1.wy `F ~wt~-l- ~L~• ~J~.a' ;1.~ 'tuPoF 10`'Fi1GFF, 3/y `DIR. ~'VC~1.P~-W/Li~-N t3 r~l t#- Z - L1.L'~1 , l l~ 3 . U' G ril N Pr1 L S ' Nf3uU E, G1~ u M~ 11J 1~U W N"St t~ t,.~ . ~J ` ~. ~ k 'l 4 y W 1 a N wu.TL V ~~ ~.oP~~ vJovp~ q ~'_ ! 8 I _ zzoZSy ~; ~c . ~2 ~~~,,,,, `~, __ z ) . - ~' ~` _( 715 ) 4 2 5 - n ~i ~ 5- CST Signature Date Signed Telephone No. CST # , Page 3 of 3 i LZ.I.u~{ Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page ~ of ~ labor and Human Relations Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code - COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST - C~ 1x not limited to vertical and horizontal reference point (BM), direction and % of slope scale or PARCEL I.D. # , dmensioned, north arrow, and location and distance to nearest road. ~ v O'Z- 10 Z-6 - 90 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNERS PROPERTY LOCATION ROTA S~ ffi%~D J uD~ T~f\~-i lJ 02 6e1f1'-t@fi N''J 1/4 1~1 W 1/4,S 1 ~ T Z ~1 ,N,R l ~ E (oF W PROPERTY OWNER':S MAILING ADDRESS • ZO ~ to ~In~-'L b~ LOT # - BLOCK # - SUED. NAME OR CSM # CITY, STATE 21P CODE PHONE NUMBER Nt1.J Z~.~4`rTY/~,~JI S ~f v1.'1 (~tSl Z~C1, -S 6S9 CITY ~1/ILLAGE ~Jl'OWN ' ~~~r NEAREST ROAD Z~ ~ ~ ~ ST. ~ New Construction Use p~J Residential / Number of bedrooms 4 [ J Addition to existing building [ J Replacement [ ] Public or commeraal describe Code derived dairy flow X00 gpd Recommended design loading rate - bed, gpd/ft2 • 3 trench, gpd/ft2 Absorption area required Sy0 bed, ft2 Sot, trench, ft2 Maximum design loading rate N P bed, gpd/ft2 ~ 3 trench, gpd/ft2 Recommended infiltration surface elevation(s) ~ 0 5 • o ft (as referred to site plan benchmark) Additional design /site considerations t'lovt'.~p w/S'xlo0` yeti . ~ S ~,~ r..- c~`t-t_ ~~ ~~-~ ` Z> Parent material _St L`~-r Std 1'~'c~vT o°~,~~ G 1.r1•c..Lf~(... ~"71.L Flood plain elevation, if applicable ti . A . ft S =Suitable for system U=Unsuitable fors stem CONVENTIONAL MOUND ~ S ®U ®S ^ U IN-GROUND PRESSURE AT-GRADE ~ S ®U I B S ®U SYSTEM IN. FlLL ^ S D U HOLDING TANK ^ S ®'U SOIL DESCRIPTION REP(1RT Boring # ~~ ~' ~~ti f:; ~N;r Ground elev. \oZ. Sft Depth to limiting factor L h Boring # {. Y ~:. ax,w $, 1 ~~ 2° Ground elev. 10`x. ! ft Depth to limiting factor 31 `~ Horizon Depth in Dominant Color Munsell Mottles Ou Sz C nt C l Texture Structure Consistence Barn-ay Roots GPD/ft . . . o or o Gr. Sz. Sh. Bed Trerxft o - v 1v ~. tz 312 - s'L ~ Z~ sb k w~.-f,.- et, s - • S . ~ Z $ -t 0 1 O`1 R y [3 - S'1 ~ `'~ P ~ Wi'F'r- ~t,S -' 1.~P •• 3 3 l ~ -Z.0 L 0 `-t IZ y ~3 - S,t) Z'FSI~ Lr 'r~ l-'r ~''--S . S • (o ~ ~ Z.6 ~ S`~ IZ 31 y - s l l ~S\,1Z 1vl v'~'i^ LS - , ~ r s S Zb-3 ~S~L6Z Sly ~~.S~Itzs1~ s 1 ow, n1~~ - • ~ ,~ Rom~r4e• ~ 0-10 t0`i~.3LZ _ sl1 Z'~Sb~ ~~- 0.S - ~S •6 Z 10_\~(. tp`.t~`--y ~3 - Si 1 1 `F \~l Yn'~. ~S -- ~p ` -3 3 t~-aI Lp~-l.R: ~L3 - s11 Z.M sbk mom.. ~g ._ , s .6 ~ 31-40 ~ •S`1 R ~l6 ~~~Sk(zS1g s 1 ~~ Y"1~- - - ~ ••~ Remarks: ;STName:-Please Print Phone: Arthur L. WeQerer 715-425-0165 ' L~ergerer Soil Testing & Design Service-P.O. Box 74 River.Falls,WI 54022 •' . Signature: ~ JJ~~~ Date: CST Number: ~a~~`~u~ ~~12~P~~., ~~-tst -~_z~ ~1j 22054 PROPERTY OWNER 5~~~'1.~TC'ttt-/iy01~ SOIL DESCRIPTION REPORT PARCEL I.D. # C~j2. _ IOZI,- 80 Boring # Ground elev. log[-U ft. Depth to limiting ta~cto~ ,, Boring # Ground elev. ft. Depth to limiting factor Boring # x c::: :.< ::::: Ground elev. tt. Depth to limiting factor 3oring # >; around elev. f t. )epth~ to imiting actor Page Z of 3 Depth Domin t C l Horizon in. an o or Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr Sz Sh Consistence Botx~clary Roots GPD/ft . . . B d o B ti e Trench _ o~2.3/z _ siI Z`Fs~k `'vt`f1r` ~. S ~ ,s ~~ 2 $ -ZO l D `-t iz Y [3 ~ s i I Z~sbk yri'F~- ~S , S , 3 ?o ~ 60`~IR y!3 - s I \~Sb1z lvr V~>^ CS ~ ~~~ , S y z$ 31, --i.S`11Z3/y ~.S`~,~25~~ s~ O~-, ~vt~l- - ~~.y I ncu~ain5: rlemarKS: i j i r ~. I. Remarks: i . i rsemarres: _ `~~ oar •rnif~ •'.r ~,. ,~ __ _._ PLOT PLAN SCALE 1"= `l0 ' ~ ~i~ O 1~ - N ~ i I O ~I N~ i ~~ r-- '-S ~ I ~ ~/ ~ I ~~ ~ ~ I $v~'~-I ~ i ~~ •rs ~ ate' q 8.1 I ~ I ~~ozs ~ I i i i ~O `NO'r CS~i'lGtt*~~ 012 ~ ~~ tt-z 1 i !__ ZS-- Page 3 of 3 ~~ ~~~~ - ~, cosrsvv~., ~t,.= ~~y. p' Q ol'Nwl o~'CSZC~,, C1~( • L'1.. lv S .O' 3°~0 83 ~. ~.O y, 4 ~.~ b~-1 _ ~~-CV. 1'J U.3.:IJ 'RAP OF 1Q" H1ul~, 3ly~~iR. PVC ~[P~ W/L~ ~3w11~ Z- ~~ . 1.03. ~' Gril NP-1L S'ta3oUE G~ut~lp 1-J 1'c~w~'2 ~~(1L` . ~~1-u~se 1v ate, a-,- ~~-R~r Zs ' F,~~-c:~ ;~^ c'~x~c:. - - - v~toup`-~ q~-181 ~ ZZOZSy ~ v ~ Z.. > ~ . ~ Z ~-~t~,.~.t ..-7, v. ~~,~ ,_ rl ~f (715 ) 4 7 5 - n 'I n S CST Signature Date Signed Telephone No. CST # i ', ', _ __ _. _ _ , _ ~ -- - -_ ~1 - - -- V 1_! I ~- ~- i --1 _~ .~. v _~_1. ..._.. _~ ~i ~ ~ _ ~ -J-1--a, ... ..I _~' I I ~.- ~ -__i~ ~_ , __ I ~__ ,_. --~-- - - --- ____ _ _,~_i -- -+-__+--~ i - -- L 0 r+~- - +-~ I ~ I ~ ~ i-; ~ ~ ~ it __ ....___ .._.. _l__ 1..._.___~ ~ I r~l --~--~- -~ -1- -~ ~ i i i ~' ~I II ~~ F - - _' =1 I ! I 11 r pump Characteristics M~ Mewls OS-33M1 OS-S3M4 bteentk Me/sk OS-33A1 Q4-33A4 Hen~pewu ~ /g FeN leek Ae>rs l.A 4.6 Meter Type Spilt-Mien R.-.M. 1750 Mns. a __._ ~ vlt.~. its sso mot: ~ ~~ letere~ineet T~Nrre 140°F Aw,bieet NEMA Desire R ~~~ Oas F ~N ~ 1.1/4' N-T Seals Nee S/j. ~ YII~ SOM. ~~ Car/ 1~/3. S1iYll, lr~.ti c40' erta Ito S. S11W ~o~:t~, Materials of Construction "~ st.el +M ~ oi.~trk o~ 'ANN HwsiM Gst MM ~ ~! Gst Mee '~ Stal Seel has: I.erMe/GrMek ~ ~ k St ii~les i St«I Ieee-N "'per Irene iMK EMI SMOIe Rew W Reedq eMtir ~~! Sigle Rew IeN Ieeriig ~ Gst Mee aleesrs SteMless Sbel V Performance Data ~:~• u 0 f°. e 0 CA/ApTY•U.S. C.-.M. Total NNa (feet) 4 8 12 16 40 24 ZS G'M 1/3 M!' 60 ~ SS 48 39 48 7 0 AYRORA/MYpROMATIC P~rn~pa, lee. R 1840 dassor Road, Ashbnd, Ohio 44805 • (419) Z89.304Z i ~~ -~.. ~Q e 70~' . Wisconsir? Department of Industry, D SITE EVALUATION Labor and Human Relations ~ ~ I ,.~ ~ Page ~ of Division of Safety and Buildings ~ 1~1 CO a~l~ V1~1 s. ILHR 83.09, Wis. ~ ,/;`~ Attach complete site plan on paper not less th 2 x 11 i } Pla~i'm, t County include, but not limited to: vertical and horizo to ference point~(B~~rectioiti an percent slope, scale or dimensions, north arr d login d~listance to n~a.. road. parcel LD. # APPLICANT INFORMATION -Plea pint 11 motion. ~~',; ~;. R view b r Dat ;.., ,. Personal information you provide may be used for seco ry~}3yrpo~aves~fCl6v, s..~l`5.04 ) (m)). /a ~ c-~ Property Owner •. ~r~ --.----; ~' ~'~~ Property Location G ' ~~ ~ I l ' ` Govt. Lot ~ 1/4 ~1/4,S T~ ,N,R w ~Y) W ~' Property Owner's Mailing Address¢ Lot # Block# Subd. Name or CSM# S/ O f City State Zip Code Phone Number Nearest Road ~.. (,/~,..) ~ ~y~~ ^ Ciry ^ Village ~ Town„ ® New Construction Use: ~ Residential /Number of bedrooms ~ Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow ~~ gpd Recommended design loading rate ~ L bed, gpd/ft2i_Ltrench, gpd/ft2 Absorption area required ~" bed, ft2~~trenc ~ft2 Maximum design loading rate bed, gpd/fl~~ r trench, gpd/ft2 Recommended infiltration surface elevation(s) ~D ~.. ~ ft (as referred to site plan benchmark) Additional design/site considerations Parent material GL It{ C / A L ~/ ~~ ~ Flood plain elevation, if applicable Q//f ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank u = unsuitable for system ^ s IR1 u ®s ^ u ^ s ®u ^ s ®u ^ s ®u ^ s ® u Boring # ~w Ground pl v- ~~~[. Depth to limiting fa or ,~in. Boring # ~- Ground elev. ~~ft. Depth to limiting f c or .in. SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles T Structure n ist nc C nd B Roots GPD/fit in. Munsell Qu. Sz. Cont. Color exture Gr. Sz. Sh. o s e e ou ary Bed ,Trench ~ o-~ 3 _ Sid ~ R S -,S'~.6 .~'' ~- - .? 6 .t w - , + s s M3 / S6 ~ R ~- -- A~ A fA Nd S Remarks: ~ ~' 7`~ R S-~ G P h g .~ / N ~L,i ~o R. ~ ~ - I ~ -~ L a~~fk - !v ~v~ ~..5" - s s~~ `s ~ w -'- ~ 5' .~" P P S C l M vFt -~ ~ ~ Nk /Vd , Remarks: CST Name (Please Print) Signatur ~ Telephone No. Address ~ Date CST Number BaN~~ d ,C~oNfe 1`AUs~~°~ DESCRIPTION REPORT PROPERTY OWNER / ~j . PARCEL I.D.# ®la.Z -~~JeT D " Od "' ~Q ~ , Boling # 3 Ground elev. /on. Depth to limiting fact r ~in. Boring # Ground elev. tt. Depth to limiting factor in. Boring # ,' Page ~ of Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench ~- s s ~ ~- s ~ ~ a6 - Se 2 w v~ ; S - ~ ,-.f s e V s - ~ ~ ~ ~ ids Remarks: Remarks: Horizon Depth Dominant Color Mottles T t Structure n i n C t B nd R t GPD/ft2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. o s s e ce ou ary oo s Bed ~ Trench Ground elev. tt. Depth to limiting factor in. Boring # Ground elev. ft. Depth to limiting Remarks: factor in. Remarks: SBDW-8330 (R. 08/95) T - - -- --- - - --- - -..- --- - -_ __ G - ~ -- t~- - - --- --- - - - - - -- - -- -- i -, - - - -- I - -_ - - - - - - -- - --- - -- - - i ' I ___ -- -- -- - --~ --- _, -- -~ - -- - ~ e _ _~ -- - - - - ~ - - -- _ __- - --- - - - , ~ ' o A -- ~ __ ~- - i r i - - -- - __ / ,~ D - - ~ --- --~ -- - ~ ~ --- - I t -- --- ._._ - --- I - - -----~ __ ~ _ _ ~ ~ ~ - - - _ - -- -- - - ~ __ L 1 I - - --_ ___ ---- -- - - - - - __ __- --- - - -- -- -- --- ---__ __ - - -- I - --- --- _-- 1-- - ___ _ _ - -- -- - i ~ ~ I - ,-- ~ ~ ~ - --_ _ ;- ~ ~--- -- ~ -- -- -- - --- - --- -_ - --- - - --- -- -- - - -- ) --- -- --- -- -- - ~_ __ -- - -- 3 - -- - --- --- _ - - --- ~ - _ _ __ ,- -- ---- -- - a -- --- -- - - - ~-- - - - __ I_- ---- -- fi = --- - -- - -- ~ -- ~ -- -- - ~~ _ o -- -- - -- - ' -- ;--- - - j-- - -- _ -- - ~ ~ °~ - - _ ~ -- --- - _ - ~-- ~-- ~__ ~_ __ ~__ l_ _ __ ~ - I--- - ----- - ,-- , -- _- --- -- - i r~ i ~,' . ,; ~~'~ ~ '~ `_" ~ ~ ST CROIX COUNTY ~ SEPTIC TANK MAINTENANCE AGREEMENT AND OWN/E~R~SHIP CERTIFICATION FORM OwnerBuyer _ /~,~ ~ (O ~-'fz=~ ~ ~1 c9 ~' / ~ dvL Mailing Address __ ~J3~ ~~~~--sue Property Address 7 7 (Verification required from Planning Department for new construction) U City/State /V ~-zc~ Lit ~ r--b",,~ n) D GtJ 1 Pazcel Identification Number c~~ 2 - r C~ ~ 6 ~~ c~ LEGAL DESCRIPTION Property Location~ttJ '/., %4, Sec. /-3 , T~N-R ~d W, Town ofcl~/~tz-D cep Subdivision ~~- Lot # - Certified Survey Map # ~ ,Volume ,Page # ~~~~5-Y '` ~D Warranty Deed # ,Volume 7" .~ Page # ~D Spec house ^ yes ~no Lot lines identifiable ^ 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 masterplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on-site wastewaterdisposalsystern 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. _ ~ eh~~~~~-~ l SIGNATURE OF AP CANT DATE OWNER- CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the. owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APP ANT 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 . . DOCUMENT NO. . VOL 1~~.~PACE6~n STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED Karl M. Ulferts and Katharina G. Ulferts Family Trust, by Dine M. Bonte. Trustee convey a~~ warranrc r„ Ronald L. Stoffel and Jodee T., TaylorL single persons as ioint tenants _ the Following described real estate in St. Croix County, State of Wisconsin: ~a 600154 KATHLEEN H. WRLSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED Ffft RECORD 03-26-1999 10:00 AN EXEIPT {DEED CERL COPT FEE: COPY FEE: TRANSFER FEE: ~9.5D RECDRDING FEE: 1D.00 PAGES: 1 _ TRIB SPACE RESERVED FOR RECORDING DATA _. NAME A RETU ADDRESS ^`• W `+CC - A~ T.M. Abs ract & Title /~~ Services, nc. L° ' 239 E. LaSa le Ave. Barron, WI 4812 The Northwest Quarter of the Northwest Quarter of '"~ 002-1026-80-000 Section 13, Townshi 29 North of Ran a 16 West PARCEL IDENTIFICATION NUMBER p S vo d -io~S"~ qo-oat (in the Town of Baldwin). The South one-half of the Southwest Quarter of the Southwest Quarter of Section 12, Township 29 North, of Range 16 West (in the Township of Baldwin). ~2 ,2-~ - ~~ .. Ida g hb tT'+~~4c~`~ 5 ~;~~ r This is not homestead property. S2~i (is not) Exception to warranties: highways, easements, and restrictions of record. ~,Q , /Yt r, .LC N Dated this / ~ ~ day of Fly , A.D., 19 99 Karl M. Ulferts and Kaharina G. Ulferts Karl M. Ulferts and Katharina G. Ulferts ~ n ~ _ (SEAL) Family Trust ~ By- -~^~dSl ~ . ~ BY~~~/r~r~ 'I!Tf7~ (Seal) Ronald C. Bonte, its Trustee Dine M. Bonte, its Trustee F~ (SEAL) AUTHENTICATION ACKNOWLEDGMENT '.~ Signature(s) State of Wisconsin, ss. it 'I ~~ eE'pzX County. .~'. I~ authenticated this day oC , 19_ Personally came before me this ~- day of I j =F~e~bi e~ ,i 3~~+~' 1`~ , 19_Q~, [he above named li I, ii Dine M Bonte as Trustee of the '; Karl M Ulferts and Katharina G. ~I i ~ ~~ TITLE: MEMBER STATE BAA OF WISCONSIN U r •~ '' (If not, Ronald ~ 1G e~ , !i authorized by §706.06, Wis. Stats.) to me known to, be tfSe' son - y~o executed the foregoing i ~I ins[rument andljAq~ led~~l~e same „r, ~~ A, THIS INSTRUMENT WAS DRAFTED BY ~~ L~' r - '~[~G ~~- Y '! ii ~, is Mark 0. Dobberfuhl/LIDEN ik DOBBERFUIIL, S.C. # \ ''' "~ ~~ ~,. ~v~ 1 ~:~ 425 E. LaSalle Ave. , Barron, WI 54812 Notary PGblic, '` i ,. Countyy, Wts !~i (Signatures may be au[henticated or acknowledged. Both are not My commission j3. >t~pf~not, state expiration dace: necessary.) I'h 1)(715) 537-5636 - :~~~•) ~ • Names of persons slgmng in any capaary• should be typed or prtmcd below their signamres. STATE BAR OF WISCONSIN w„rorrsr+I~IBIenk Co.Irc. WARRANTY DEED Form No. 2 - 1982 M~'°~' w~' • • • W W IL r 12-`l2 3-7/8" 6-5/8" (168.27) (x8.42) 5" (127> l .All dimensions in inches. (Metric for international use). s 7/s" 2. Component dimensions may (x8.42) ~~~~ vary ± 1/8 inch. t 3. Not for construction purpose unless certified. 3-7/8" - DISCHARGE (98.42) 1-1/2" NPT 4. Dimensions and weights are approximate. FLOAT SWITCH S.We reserve the right to make revisions to our product and their specifications without notice. 11-3/8" (288.92) 10-3/16" (258.76) 3-5/8" (92.07) I,-,~ HYDROMATIC® 7 ,_ Shef40 Performance & Dimensional Data • C Hydromatic Pumps warrants to the original purchaser of each Hydromatic Pump product(s) that any part thereof which proves to be defective in material or work- manship within one yeaz from date of installation or 18 months from manufacture date, whichever comes first, will be replaced at no charge with a new or remanufactured part, F.O.B. factory. Purchaser shall assume all responsibility and expense for removal, reinstallation and freight. Any item(s) designated as manufactured by others shall be covered only by the express warranty of the manufacturer thereof. This warranty does not apply to damage resulting from accident, alteration, design misuse or abuse. If the material furnished to the Buyer shall fail to conform to this contract or to any of the terms of this written warranty, Hydromatic Pump shall ~~ FIYDROMATIC® MANUFACTURER EXPRESSLY DISCLAIMS AND EXCLUDES ANY LIABILITY FOR CONSE- QUENTIAL OR INCIDENTAL DAMAGES FOR BREACH OF ANY EXPRESS OR IMPLIED WARRANTY ARISING IN CON- NECTION WITH THIS PRODUCT. INCLUDING WITHOUT LIMITA- TION, WHETHER IN TORT, NEGLIGENCE, STRICT LIABILI- TY CONTRACT OR OTHERWISE. Some States do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you. This warranty gives you specific legal rights, and you may also have other rights which vary from State to State. • NOTE: PUMP MUST BE REPAIRED BY AUTHORIZED HYDROMATIC REPAIR CENTER OR WARRAN- TY WILL BE VOID. IF REPAIR CENTER IS NOT AVAILABLE, RETURN PUMP TO PLACE OF PURCHASE. -Your Local Authorized Distributor - 1840 BANEY ROAD ASHLAND, OHIO 44805 U.S.A. Tel: (419) 289-3042 Tel: (419) 289-8224 (Parts Distribution Center) Fax: (419) 289-8058 (Parts Distribution Center) Web Site: www.pentairpump.com replace such nonconforming material at the original point of delivery and shall furnish instruction for its disposition. Any transportation charges involved in such disposition shall be for the Buyer's account. The Buyer's exclusive and sole remedy on account or in respect of the furnishing of material that does not conform to this contract, or to this written warranty, shall be to secure replacement thereof as aforesaid. Hydromatic Pump shall not in any event be liable for the cost of any labor expended on any such material or for any incidental or consequential damages to anyone by reason of the fact that such material does not conform to this contract or to this written warranty. ALL IMPLIED WARRANTIES, INCLUDING THE IMPLIED WARRANTY OF MERCHANT- ABILITY AND THE IMPLIED WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE, ARE LIMITED IN DURATION TO THE SAME EXTENT AS THE EXPRESS WARRANTY CON- TAINED HEREIN. Some States do not allow limitations on how long an implied warranty lasts, so the above limitation may not apply. v~ytY svs~~, orgy, a~ '• a 4 • Item #: W-03-408 1198 7M Part #: 5625-408-1