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HomeMy WebLinkAbout002-1026-90-000 i ~ 0 3 °o I o ao 0 o o o O y o L N O 0' °p cn N rn obi c_ r O q c a U j 'X ZS N O O O N O y N O Z O O C y 0 pp C Z U u) 7 .L. LL c ~ ~Y m I O E Q U o _ co ~ H a. Z r 0 m M 0 O 2 c0> o I FZ- r N Z E ~ co C I, C U O j Z Z o N Z c co N L co U V) CD CL (0 O O LO 20 d ad. U) m O G a 4) N O N N N > U w O a 4 J Z O •N N 7~ O N 11V v a a a a 8 rn rn 0 o N yi N J U y rnrn a } f0 o 0 yo L_ N E ''O O O 7 y ~ N m C N N N O) d d Q } Fn c 7 w O 0 C y E cc 'a E O o O O m w O o a p O o 0 c, A rn o o r € O N N cn 0 0 y V O) co N C ` O p N 40. 16 > Y O H O H w n 10 CV N '0 CO M r p C L O m U O Z 2 Z=3 22 fA O ~ L a c a E ` 'c c r A c0 a2 '',0 mv Parcel 002-1026-90-000 12/18/2006 10:51 AM PAGE 1 OF 1 Alt. Parcel M 13.29.16.190 002 - TOWN OF BALDWIN 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 O - CRONK, Al & JOAN M (LE) TR Al & JOAN M (LE) TR CRONK 967 260TH ST WOODVILLE WI 54028 Districts: SC = School SP = Special P s): * = Prima Type Dist # Description * 2586 110TH AVEcf~ L K-- SC 0231 P 11700 WITCWIN-WOODVILLE AREA /l_~ S Legal Description: Acres: 40.00 lat: N/A-NOT AVAILABLE SEC 13 T29N R1 6W SW NW TOWN BALDWIN Bloc Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 01/23/2006 816992 EZ-U 01/24/2001 637284 1578/255 QC 01/24/2001 637283 1578/254 TD 10/13/1997 566862 1270/115 CSC mor 2006 SUMMARY Bill M Fair Market Value: Assessed with: 153496 Use Value Assessment Valuations: Last Changed: 10/25/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 29,200 173,400 202,600 NO 00 AGRICULTURAL G4 36.000 5,900 0 5,900 NO 00 UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2006: General Property 40.000 35,200 173,400 208,600 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 14,300 121,400 135,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 510 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 45.00 Special Assessments Special Charges Delinquent Charges Total 45.00 0.00 0.00 Parcel 002-1027-30-000 12/18/2006 10:47 AM PAGE 1OF1 Alt. Parcel 13.29.16.193B 002 - TOWN OF BALDWIN 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 O - DOORNINK, DOUGLAS & KELLY DOUGLAS & KELLY DOORNINK 130 WILLOW CIR BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 935 260TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 11.000 Plat: N/A-NOT AVAILABLE SEC 13 T29N R16W CR; S COM SW COR; TH Block/Condo Bldg: N 47 RDS;TH E 37.5 47 RDS; TH W TO POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 13-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 01/27/2005 785972 2738/385 LC 01/23/2005 817001 EZ-U 01/24/2001 637284 1578/255 QC 06/27/2000 625429 1522/59 WD more... 2006 SUMMARY Bill Fair Market Value: Assessed with: 153500 Use Value Assessment Valuations: Last Changed: 10/25/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 16,800 1,000 17,800 NO 00 AGRICULTURAL G4 9.000 1,800 0 1,800 NO 00 UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2006: General Property 11.000 18,700 1,000 19,700 Woodland 0.000 0 0 Totals for 2005: General Property 11.000 7,200 1,100 8,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch M PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 . 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Hol' y /arc.-son a ~ n d /yya s IJa,.rd F 4/ ~ -13 n Y)<'NSy R c N o ' BcrC-,F vii `F Ao tl~ o ~j mum § r,EQ ~N~ jj l 0 v\\ l h G/'oiro h U U V F/J/0E6 4 i~¢: he ton 6~ ' /7s LE uGMc/ ,aEwa>id t 157 LAL QW g ov oc,E serh Q eu krn e %C v. S •,o s J dy v C R bt B TN w• b 0 V IIF,, /6 _ ~5 p K9 d F-° acne BC r Y . 75• FtJ ~ • s ~ WQ• ' -6 ~J J R K Erson ~ Ld ~ F C¢ro¢r en 1515x. ^ ~ C'r 0 s a~ m ~ 0';rC~ W d 7`01i~ (U a 4s Q pz ca/t k< s Lorca. fism Al. V 0p0,3 `'~CO~' h'e~/on C.8 r>a e.:. " ,4.f?. _ , ti~ wro/i Gson Hchre hof G Y c'<jc :bU,y,:: 0 ! 01• .By °n D 0 .9O Hans h.r • x G.EB ~ T/'4St / ~ dhy H¢~eson ~ 3/ ba k 6 ° _ o roe Jr9ch _ re ho 3 vo oK~ iTa/nes 4 • X10 J\ f o h / e tiry W 63 p eay w _~a e ri /r n " b s Se// WO / yd (/amide o y~ u) Fed rL 9 thur T V' L`. F C¢ro/e• ,.'=--7 UeGga h rzo o V nsan Kos> BB 0~ /oo / o/sa0 T /s 60 l e"r' Z L /b C. C/985 • v 60 R ce~nd cT~ e~enne w 9 s ~'aI ems. rf%r- 9s x CPU 6/~ I/yc p 74 y° i/ h~u^oe- i5'1c¢d Ja o °C~' .4 " a%x EU/¢ ~r• SEE PAGE 21 •so C¢ PBr stcro:x eo~nryws f We'll cover 1 all for you. NELSON'S 't SUPER VALU REALTY WORLD- South ldwi awin, Wisconsin 54002 Countryview Realty YOUR COMPLETE SUPERMARKET Route 1 Woodville, Wisconsin 54028 KET Full Line of Groceries, Meat, Produce, (715) 684-3871 Dairy, Frozen Food and In-Store Bakery. STC - 10 4 C AS BUILT SANITARY SYSTEM REPORT OWNER ✓A ADDRESS SUBDIVISION / CSM# LOT # SECTION~T 2 N-R_Z_6 W, Town of Gc~,W e n ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM tTl 5 ~ o 10 t' P ~ y INDICATE NORTH ARROW 1 Provide set ack an elevation information on reverse of this form. Provide 2 imensions to center of septic tank manhole cover. STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS SUBDIVISION / CSM# LOT # SECTION T N-R W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 6 INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. t BENCHMARK : Tie L e~~ ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION i Manufacturer: aC Lw-~~ - Liquid Capacity' Setback from: Well_ _ y House edO Other Pump: Manufacturer Model# Size- Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: 3 Length leg Number of trenches Distance & Direction to nearest prop. line: /fc . ~6©! Setback from: well: L~ House X00 Other ELEVATIONS c~ Building Sewer 3. / ST Inlet: Oi~) ST outlet PC irr-rke PC bottom cz" 3CJ Pump Off Header/Manifold Bottom of system di (l Existing Grade 7 ,4 Final grade !5 DATE OF INSTALLATION: PLUMBER ON JOB: C. `j /Q 1 S e~ ~Z LICENSE NUMBER: 7-~j~L~Gf INSPECTOR: P t9~ 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor an¢HumanRelations Safety and Buildings Division INSPECTION REPORT ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 284305 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: CRONK, AI BALDWIN CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 002-1026-90-000 V r/ ♦l+ 'V [~+I C C.`~ L., ~ ✓ ~ - e.'4s,l TANK INFORMATION ELEVATION DATA A9700075 7 0 7``~` TYPE MANUFACTURER CAPACITY STATION BS HI fS ELEV. Septic n ~re o_S_ Benchmark 74 a ion /G1J Dosing f'I - ! -O. 3 tea, OS c rn , ~ ct...c r~ C7 ~ S~ Aerati n Bldg. Sewer ~2 Holding St/ Inlet ~Z6Z' 9., T SETBACK INFORMATION St/Ht Outlet `z Vent TANK TO P / L WELL BLDG. AirIto ntake ROAD Dt Inlet - Septic ~,0-;7 >ZS 1,3 ' A NA Dt Bottom ~j Dosing NA FMan. 3 9 3' Aeration NA Dist. Pipe 3 3 99,z - Holding Bot. System cl'Si~ 4T.-W/ PUMP/ StRlI"INFORMATION Final Grade Manufacturer Demand Model Number GPM w a" . Lift Friction System f.0, TDH TDH Ft L Hy -L _L Forcemain Length Dia. " Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S S_ DI N I SYSTEM TO P / L BLDG WELL LAKE/STREAM L G Manu a . SETBACK CHAMBER Mo INFORMATION Type Of , r?G, _30 , System: ~~c 14 OR U DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) / x Hole Size x Hole Spacing Vent To Air Intake E9 Length Di Length 3Oyy Dia. Spacing t l SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 1, ( s~ F- r,. 4,- v,.- e. ~1, = q 4/,19 ' LOCATION: BALDWIN 13.29.16.190,SW,NW 260TH STREET _.r l ! G -77 l~JT~`~lan'revlso required? ❑ Yes ~o p Q Use other side for additional information. / / SBDf-67101R 05191 / J Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Pe Fed rry)it Number t 7- 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)]- State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Propert Owner Nam Propert ocation / 1/4 6f1/4,S T ,N,R/4I E(or W Property Owner's Mailing Address Lot Number Block Number 7,4 4,v t City, ate Zip Code Phone Number Subdivision Name or CSM Number 01 LaJm r` ,S'- ~ 46 ) II. TYPE OF B DING: (check one) ❑ State Owned a Nearest Road M To ill Public 1 or 2 Family Dwelling - No. of bedrooms Town OF U~ls/i~! Q Tti ST III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s),. 19 0 1 ❑ Apartment / Condo 00 .2 r ®2 ® 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2. OReplacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ___---System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 f4,Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation q ~7 33 7 /ff Feet Feet Ca acit VII. TANK in gallons Total # of r Prefab- Site Fiber- Plastic Exper INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel New Existing strutted glass App- Tanks Tanks Septic Tank or Holding Tank fr` ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ 1 El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber' ign ture: o Stamps MP/MPRSW No.: Business Phone Number: C Plumber's Address (Street, Ci y, tate, Zip Code): IX. COUNTY/ DEPARTMENT USE ONLY ❑DlsappfOVed Sani ry Permit (Includes Groundwater Date Issue issuing Age SI9natu s 0 rcharge Fee) roved E] Owner Given Initial Fe Q~ Adverse Determinati 2\-111/pp on (J X. CONDITIONS OF APP OVAL / REASONS FOR DISAPPROV L: _ es:~7- 07 SBD-6398 (R. 05/94) DISTRIBUTION: Original to county. One copy To: Safety & Buildingsniw.ion, Owner, Plumber INSTRUCTIONS ' 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: 1. 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 lino? 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 experiments' product approval from DILHR. VIII- Responsibility statement. Installing plumber is to fill in )ame, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX- County / Department Use Only. X. County/ Department Use Only. Con-iplete plans and specifications not smaller than 8 1/2 x 1 1 inches!-,lust be submitted to the ; -inty. The plans must ;w-;ude foilowing: A) plot plan, drawn to scale or with cornpiete di -rrensions. location of rid ding tank(s), septic r~a1-!n ~...,nbuilding se~~ ers; ^r(_I!<, n-,ter! see, (e, ,t e„r,is I:~kes; purnp or siphon rt>~,. > o , sci l : ,orption sVst>>ms; reply E! :s; iii_ the building served, C' Cl• r;ic~ _-U~,!1S IC•` 1 .u _ r ~rJiS; dOSe'IOIUm+_°2i ;,~)!2 1C, Ctl ?n .l:;-i ; Cros; section t?r ,',o I -stiSCrptlo-. } :ter,t It ~ 4Yy the county; ~cil L iiu _=rt 1 .5 .or?~l, aS~,i ~ sizing Informatlon_ GROUNDWATER SURCHARGE 1986 ''d'~lisconsi n Act I10 im--luded the creation of surcharges (fees) for a numaer of regkilated p!ai ti(,,~s which can effect groundwater The collected through these surcharges are used for monitoring groundv,/ate! ~:--ontam: tio! I investigations and estarl)hshment of standards. r f SAFETY & BUILDINGS DIVISION is State of Wisconsin Department of Industry, Labor and Human Relations March 31, 1997 2226 Rose Street La Crosse WI 54603 WEGERER SOIL TESTING 421 N MAIN STREET PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S97-40160 FEE RECEIVED: 180.00 CRONK, AI SW,NW,13,29,16W TOWN OF BALDWIN COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters Comm 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter Comm 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sin ere , 12 7 G rand M. S m O Ian Reviewer Q G~~~~ tJ Section of Private Sewage (608) 785-9348 VQ~ A 9 5 SHDA-7887(8.10/84) L Page of 6 RECEIVED . MAR r g 1997 MOUND SYSTEM !l DIV. 3 FOR ~ 4 6 0 SAFETY & BUGS A BEDROOM RESIDENCE , LOCATED IN THE SW 1/4 OF THE NW 1/4 OF SECTION 13 T29 N, R 16 W, TOWN OF 31~L~W1N Sl'• ~-CZ.OIX COUNTY, WISCONSIN. INDEX PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER ' PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR Ft i c R-o N 1~ ZS$C, ~tl~ X1.1 ~vE woo~vill~, LtiI 5t4 Qs 7,t PREPARED BY WEGEFREF:Z SQ I L "TEST I NG N®`~sn AND. a ICONS, 13E=-E3 I GtV SEF;ZW I CE + ~'••"'••y 1='ia'NkTE SEWAGE SYSTEM P.O. BOX 74 421 K. 11NIM Si. WEGER R ~~J WEGERE itiona 1,~ RIY ? MLS. VI 5M et~SWIOATH . nditionall. J 715-475x0165 Wis. ® SIG14 IMAM" M. Op Ii4DUSTRY. LABOR >1< HUMwuiou -"'~NNR Sam . E SEE JOB NO. ~7- 6 9 i . w Y'?~ ~ ~3'~ ~~A. iw K'i it ~jM} ' fY ` ~ - Er l•.I vs .e ."f e ~ rl 1 ~ ~ ..*t ~ _ „ _ Z.. i , ww ~r PLOT PLAN Page M of 6 scale 1"= 40' ~c~STu G ~k J TA►v1zS ~ ~E R$ t~f:►~ 01v!~--_ RS 4Tt CtWF. ~ 30 ~ of fCtR~4t~D Y g m ~ ~}ovSE 0 0 ~ • 1 F~ ~IC~.ST1N C ~ v ~ g6~q by N , 3° a 3 o (V . o t. pN.~tV 10 "1 IF I EL 1b 3°l0 L,L of c ! 2 ` v ~ o r~oT ~~'►PRz-T ~ ,B 1 ost ~~slvr'z.t3 `y cow`te q04' C3o1TOrI of 1t~~vcb4 s,L . 98.3 ' NOTES: -1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install•4" observation pipes with approved caps. ( : required) 4. -Septic tank to be ♦b00l65o gallon capacity manufactured by W1 t Ow FsT ~ ~t~T 5. Bench Mark ! - e1. ~oo.vo'C sPt ue zgllftsmyE GROjAaD 3obtA- O►~k 'MkS,. 6 m* L- eL °19 0$' ON A/e," l:itG sE 1 PtTLMYE 61z~ 61y Pat-e- 6. Divert surface water around system to_prevent-pondi.ng at the uphill side. Page 3 Of 6 Approved Synthetic Covering 1~3TM c 33 Distribution Pipe Medium Sand _ H_ Topsoil F Elev. X18.3 3 E b 3 % Slope Force Main Plowed Trench of i"-22 " From Pump Layer Aggregate Undisturbed D \-01 Ft. Soil E x.05 Ft. Cross Section Of A Mound System Using F o.~ Ft. 1 Trench For The Absorption Area G Ft. A S Ft. H I- S Ft. B -►S Ft. I 1 S Ft. Linear Loading Rate= b,OGPD/LN FT J \O Ft. Design Loading Rate= . 3 GPD/SQ FT K 1 3 Ft. L 101 Ft. -AJ=twaaa4e Position of Force Main W 30 Ft. L ~ ~ force B K Main A „ W Distribution Trench Of 2 - 2'2 Pipe Aggregate 1 Permanent-/ Observation Markers Pipes (Achbr securely) Mound Using 1 Trench For Absorption Area Page Of Perforated Pipe Detail 0 End View End Cap. )Perforoted PVC Pipe Install permanent-marker at end of each lateral Holes Located On Bottom. Are Equally Spaced Q End Cap * PVC Force Main Distribution Pipe Lost Hole Should Be Next To End Cop Distribution Pipe Layout P 3y' S Ft. X 3 Inches Y 3t, Inches Hole Diameter 1~y Inch Lateral 11fY Inch(es) Manifold Inches Force-Main Z Inches # of holes/pipe lZ Invert Elevation of Laterals 98.8 Ft. 1u_o4x z= zg-od 6f." 4 Place lst hole ~a from tee with succeeding holes at-_W' t Wr intervals.. Last hole to be next to the end cap. I - Combination Septic;Tank and Pd-rAP CHAMBER CROSS SECTION ARID SPECIFICATIOUS ' PAGE S OF 6 WEATHER PROOF -VENT CAP JUNCTIOU BOX 4'C.I. VENT PIPC APPROVED LOCKING 10' FROM DOOR.. MANIHOLE COVER 1%.711, 1 Ai1MDOW OR FRESH wARIJIAJG L-ABEL. AIR IMTAKE co►aDu~T r - tj IN. Ez- go) j i F-T-el • _ 11~ PROVIDE I INLE T AIRTIGHT SEAL I I I • ~ RFF~~S ~ I I I I APPROVED JOIWT A I I APPROVED JOIWTS WW/C.1. PIPLaR Tank construction /C.I. I'IPE~P~C shall comply with - ( 1 ALARM ILHR 133.15 and 83.20 d I II I I ON C I I 89.15 I LLEK FT. PUMP 1 OFF D CONCRETE L OLOCK 3" APPRwer RISER EXIT PERMITfED OIJLy IF TANK MANUFACTURER HAS SUCH APPROVAL. IUDDINQ SEPTIC f 5PEC.IFICAT10MS 2MIMMEMM DOSE N~\D1J~`112N '~,VLQW-' WMBER OF -7 DOSES: PER DAy TANK MANUFACTURER: TANK sIZC : ~0T0 I SO GALLONS DOSE VOLUME r ALARM MANUFACTURER: S'S ~U.tp S`~S~•1S INCLUDIU6 OACKPLOW: X53 GALLONS MODEL NUMBER: CAPACITIES: A= lg INCHES OR 30~ GALLOWS SWITCH TYPE: I" I;- Cz 8= IWCHES"OR 14 G~ LLON5 PUMP MANUFACTURER: Z.(Zse-Z..L-E-TL QZ' C= 16JCHE5 OR S S GALLONS MODEL NUMBER: 9 a O= 9 INCHES OR S3 GALLONS "e)-LOyR Y 'TfC`" = 6 ~1 b SWITCH TYPE: NOTE: PUMP AND ALARM ARE TO BE MIIJIMUM DISCHARGE RATE-Z-8-012S GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEILENCE DETWEEN PUMP OFF AUD..DISTRIBUTIO►J PIPE.. q ~S FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . 2.5 0 FEET x_61 FL 3.30 + ZOS FEET OF FORCE MAIN! X /0FLFRICTION FACTOR.. FEET TOTAL OyWAMIC HEAD FEET Pump chamber DIAMETER 38 ti IIJTERIJAL DIMLIJSIOLl f OF TAIJK: LENGTH ;WIDTH --.;LIQUID DEPTH BOTTOM AREA 231= GAL/INCH AS PER MANUFACTURER = t~•~ GAL/INCH . rn l7- O oF-~j W HEAD CAPACITY CURVE 3 7/a 6 1/4 t MODEL "98" 30 4 5/6 - a- 25- 3 9 I - / 5/8 6 20 a 0 15 4 3/16 0 4 l4 8S J 16 O 10 1 1/2-11 1/2 NPr 2 5 0 U.S. GALLONS 10 20 30 40 50 60 70 60 LITERS 1 80 160 240 0 FLOW PER MINUTE TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENT AND DEWATERING CAPACITY 12 HEAD UNITS/MIN FEET METERS GALS LTRS 5 3.52 72 273 10 3.05 61 231 33 15 4.57 45 170 3 5/16 20 6.10 25 95 r . Lock Valve 23' CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and supplied with an alarm. three phase systems. • Mechanical alternators, for duplex systems, are available with or • Double piggyback mercury float switches are available for without alarm switches. variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required Standard all models - Weight 39 tbs. -'/2 H.P. 2. Single piggyback mercury float switch or double piggyback mercury. float 98 Series Control Selection switch. Refer to FM0477. Model Volts-Ph Mode Am Simplex: Duplex 3. Mechanical alternator 10-0072 or 10-0075. M96 115 1 Auto 9.0 1 or 1 & 7 - 4. See FM0712, for correct model of Electrical Allemator, ^E-Pak". N96 115 1 Non 9.0 2 or 2 & 6 3 Or 4 & 5 5. Mercury sensor float switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. 098 230 1 Auto 4.5 1 or 1 & 7 - 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired4n sim- E98 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 plex or duplex operation. 10-000?- - 7. Two (2) hole "J-Pak", for watertight connection or splice. or Information on additional Zoeller products refer to catalog an Combination Starter, FM0514; CAUTION rigwback Me-my 9wdches, FMO477; Ekctricd Alternator. FMO486; Medtanical Alternator. Afied N installation dle controls, , N electrical and safety stiould be followed devices and wiring should be done by a qwd- 'M0495; Alarm Package. FM0513; Sump/Sewage Basins, FMO487; and Snlplex Control &w iag the most recent National Electric Code (NEC) a the Occupational Safety and i M0732. Health Ad (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.0? am 18347 Loullfdb, KY 4025644 Manufacturers of . . SW TO. 3200 Old 1101iia Law ® ZZY-IM-ff TZ7. LptdslMs, KY 40210 Qu~~i~r/ as SAvzr Aff At (504 778-27319 1(800) 828-PU6fP FAX 7743824 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT - Page / of Laboeand Human Relations 3 - Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but Sr /X not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 6.0 a APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION C (r~i GOVT. LOT 1/4 '1/4,S 3 T C N,R E (o W PROPERTY OWNER':S MAILING ADDRESS LOT BLOCK # SUED. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VI"GE OWN NEAREST ROAD [ J New Construction Use [0' Residential / Number of bedrooms [ J Addition to existing building m4eplacement [ ] Public or commercial describe Code derived daily flow 'gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required t bed, ft2 trench, ft2 Maximum design loading rate > bed, gpd/ft2 y C trench, gpd/ft2- - Recommended infiltration surface elevation(s) ZS . ft (as referred to site plan benchmark) Imo- n x Additional design / site considerations Ed" 'e Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND P9ESSURE AT-GRADE SYSTEM IN FILL HOLDING TAIL U = Unsuitable for system 1:1 S I~ 2t El U E:1 S ®'U ❑ 2'I ❑ ❑ ®U M10 SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 5bk ' c) jk Ground J 3$ U -7, S- yg faz v~ S~ L 5~k - I Y , S elev. ~oYft. Depth to limiting factor; F5 r`G.U~ Remarks: Boring # i -3 CL S f~ 7, 7-/P s Q Lj . y , 5-3 Ground / o IC elev. -`l~ I O y I2 7 c 3 tl~ S V~ S r t v ?,-49-L ft. Depth to limiting factor r 1S ~ Est ~ Remarks: CST Name:-Please Print Phone: c, ~2 ~Socti ,,,11 (7~S 7~~~-376 Bcv\v\ 1--le Address: w t a 9 -770t AO S i ti of e W 5-9767 Signature: Date: CST Number: -/v-% ~aoC 9 PROPERTY OWNER i 6-0m SOIL DESCRIPTION REPORT Page c of -3 PARCEL I.D. # GNU -l C~~ ` Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots ed TT in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench tit4, (V4 t-c Ground 3 Iy-I$ t]yP, ~ k -C c.j elev. ft. 3 5- /Z 51- . sir / p y rC I u f 3 Depth to limiting factor /q Remarks: Boring # , C)- g CA U Y12 b /DyR C~ 7 E Ground le Depth to limiting factor Remarks: Boring # Ground 3 _ u elev. - y ) O io y r 7, s Y P, S < < A 19 ft. Depth to limiting fact Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) f s P , Lo Vol .c1 r , n m (A W 1 o ro -a P I W `o rri r m r N .d Q 7 -T o P ~cr-o k 0 r ~ w ~ r S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/ contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property (Location of property S W 1/4 At W 1/4, Section 13 , T N-R t(6 W Township Mailing address ,c, CFO Address of site G~ t~G,2g' Subdivision name Lot no. Other homes on property? Yes No Previous owner of property Total size of property a.--, Total size of parcel ~G Cte~ Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes No Volume ?07 and Page Number x4?7 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description referencE:s to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. 6616 , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. &0 it- (~p , Of"~."/ 6~02tx Signature of Applicant Co- plicant -lo- ~7 9-/D- 97 -3 Date of Signature Date of SianatiirP STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. xoix County OWNER/BUYER MAILING ADDRESS 2/dJP PROPERTY ADDRESS 5G117 (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION 5 W 1/4, Ar W 1/4, Section 1,31 , T 9 N-R 6 W TOWN OF ~ a t d w l vt ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUMEI 6-, PAGE Q51 , LOT NUMBER oa 3 4 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year iration dat SIGNED: DATE: 5;1 17 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 r{ I ~ II WARRANTY DEED fM15 SPACE RESERVED FOR REGORGING DATA DOCUMENT NO STATE BAR OF WISCONSIN FORJI 3->< 4'7886'7 VOL 933P REGISTER'S OFFICE - - 3T. CRON CO., W1 Recd for Record - cf F E B 0 51%Z 11:10 A. M Myrt]. ? Blank cunvi~s and warrants t tel. CXonk and Joan (rank, husband and V Wife as joint tenants. Register of Deeds cty. _ y. the folllnvir.,; described real estate in St. Croix Cuu . , i State of Wisconsin: ;vt # Tax Parcel No- South Half (S 1/2) of the Northwest Quarter (NW 1/4), Section 13, 'Iship 29, Range 16. f~ This is _ homestead prorerf. (is)(is not) Exception b. warranties: Ja y e l9 92 Ditto- I till, dav 'f (SEALi (SEAL) Myrtle Blank iSEINLP AUTHENTICATION ACKNOWLEDGMENT S of Ayrtle Blank STATE OF WI:~VNSIN i;;natu re (s) tit - ~ . • - _.County. d3\- Ot authentic ej t) dab of - J 19 92 P• r care before me this 19--. the above name i • John ._NeStingen - TITLE: MEMBER "'ATE BAR OF WISCONSIN - (If not, - authorized by 3 706M), Wis. Stats.) to me knw.vri '-~'-e t :c per-on - who executed the