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018-1060-30-100
r { J'` ; ST. CROIX COUNTY ZONING DEPART 3 AS BUILT SANITARY REPORT CO Owner L a v) tg_ I - ef-ew5' Q 1-) C 91k9 j9~ i " Address 2 d G h zoy, U lh , Sz! t NG°pFCity/State y)~ r ei c- s ~cF Legal Description: z Lot Block Subdivision/CSM # N E 'I SF,, Sec. !~L, T29 N-R-W, Town of a rn m a i► d -PIN # SEPTIC TANK DOSE CHAMBER HOLD' ING TANK INFORMATION: Tank manufacturer Mdu/Yst' V~mi1- Size ST/PC /000/W Setback from: House 0 6Well P/Li Pump manufacturer Zo e 1(eV Model 3 Alarm location NORTH W6,97- CORTEIQ OF &S E M E-Al7' (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: MOUND Width G Length ~ Number of Trenches Setback from: House 5S Well PAS Vent to fresh air intake ELEVATIONS: lo c D m Elevation / Description of benchmark Description of alternate benchmark Elevation P.)At /Pen Building Sewer&'1` D MO ST/HT Inlet S.T6nt}ct V- D PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover rjcCw Distribution Lines( ) o uriba ft, Bottom of System ( ) q q 0 rdof P WOO Final Grade ( ) 7~,Co/ ( ) ( ) a.N t PvM s feet 7'OH ahd ;L$ GPn~ 011 ReplaCe ear ~ Date of installation Permit number State plan number jl~ 03_5-/ Plumber's signature License number NXP 7 Date Inspector Gh-#-/~ Complete plot plan t /e I) We j~ o F { ovse MOWUV HIWOX alVDICM ~OV rzo J M 9.5 0o S~~~J a fe_ a r; d 1 1 Qrdp~tr tlwn )Qt- T110-it M3IA NVrlcl •alq~otldd~ jt `xreuzgouaq aluuiolp A&ogS tanoo alogMui 3pMj 311das jo IOIuao of sjuiod aollonjoi 1uluozuog om jL uza~s~Cs oqj jo 1003 001 ultPIM Sul LIOna Sutanogs g34031s Main uu1d V :Suimopoj aqj apjnoid aseald :HjIZOU iisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor-and Human Relations INSPECTION REPORT ST. CROIX 'Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 289336 Permit Holder's Name: J ❑ City ❑ Village ED] Town of: State Plan ID No.: PETERSON, LANCE HAMMOND CST BM Elev.: Insp. BM Elev.:, BM Description: n Parcel Tax No.: 018-1060-30-100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Benchmark Septic md,_ W(-=4j l L Dosing 6 ~ ~ v ac a n; ~ 7' 3,73 Aeration- Bldg. Sewer Holding St/ FX Inlet TANK SETBACK INFORMATION St/ IW Outlet Vent TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Dt Inlet Septic NA Dt Bottom ),3 L Dosing NA Header/Man. Aera NA Dist. Pipe Holding - Bot. System a 3 3 _ r PU P / SIPHON INFORMATION Final Grade Manufacturer Demand 6 7 Model Number GPM TDH Lift Friction System TDH Ft 7 7 oss Head Forcemain Length Did. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DI DIMENSIONS G cturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM INFORMATION TypeO CRAM Mo e System: OR IT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) " x Holesize" x Hole Spacing Vent To Air Intake Length Dia. Length Dia.4 Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Teed/ epth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HAMMOND 2, n6.29.17.,NE,SE 730 200TH STREET LOT 1 60 <<y loll n~ rPlan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION 201eE. W and sh nlgton Ave ision Visconsin In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Department of Commerce Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. S,+ C tv • See reverse side for instructions for completing this application State Sanitary Permit Number aC6P&36 The information you provide may be used by other government agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N S tt a3s'- Property Owner Name pert Location L. C P f, 1-7 44 YE- 1/4, S ~tj T 2 , N, R (or W Property Owner's Mailing Address ~ ~ ~ t e_n ~ ~ Lot Number ' Block N,urr}ber I - - Jl~ City, 6SateL. Zip Code hone Number Subdiv i n Name or CSM Number ~'t00'~ ( ) tip 3 If. TYPE F BUILDING: (check one) ❑ State Owned ity Nearest Road Public 1 or 2 Family Dwelling - No_ of bedrooms o Town, OF a-P- III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) t 1❑ Apartment/ Condo O 10 ~D~ 0. f D 0 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 E] 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 online B, if applicable) A) 1. X New 2. ❑ Replacement- 3, ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System______System_____________TankOnly______________ 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 21XMound 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 LJ fl Req~ red (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) q E evation / (J c~ 3 . 2 Feet Feet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- steel lass Plastic A New Existing structed g pp Tanks Tanks /~,h Septic Tank or Holding Tank lf/v t El El El ❑ El r) IN 1~ 1 Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu ber's Name: (Print) Plumber's Signature: (No Stamps) P/lyl P SW No.: Business Phone Number- ru , is ag' Plumber's Ac dre (S eet, i ate, Zip Cod IX. COUNTY /DEPARTMENT USE O LY =Owner oved Sa ary Permit Fee (Includes Groundwater ate Issued is uing Age (Signature (No amps) rcharge Fee) Approveiven Initial rDetermination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-63M (R.11/96) DISTRIBUTION: Original to County. One copy To: safety a Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be 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, 608-266-3151. To be complete and accurate this sanitary permit application must include: L Property owner's name and mailingaddress. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in narne, 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. Complete plans and specifications not smaller than 8.1/2 x 11 inches must be submitted to the county- The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; repl"acement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; Q complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; `E) soil test data on a 115 form; and F) `all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can ' effect groundwater. y The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations May 21, 1996 2226 Rose Street La Crosse WI 54603 WEBSTER PLUMBING & ELECTRIC N3659 CTH C ELLSWORTH WI 54011 RE: PLAN S96-40357 FEE RECEIVED: 180.00 PETERSON, LANCE NE,SE,26,29,17W TOWN OF HAMMOND 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 ILHR 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 ILHR 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. Sincerely, erard M. im Plan Reviewer Section of Private Sewage (608) 785-9348 SBDA-7997 (K. 10/84) m C~~~~D P~~NS Fog L. WE- f£?UI?SaP ' 035 7 Prevtooy iy C)WPhJ by 446, 00 P 6TFR500 ~ J v,,R% c F k o w e owner o `..8 ®4 0 3 5 1958 coin i R of 7 NO W Ih W15r, yyoo z. I~Kh Rt~rw ~a1c, JJP~w~ 2 C ?eriY Swl n+, 6g y -;-7 31 (Keti P-ek-66-1) 71r - 6~~-'f 9l9 C Lahct fnwv1) Ra h PIJ%A) +o ~_3pga (-71 VJ650v- ~jv~cc aJ G Pajf- OSUPC6 W15 "Oil P ~ 2 W0(4 Avwr 5"t1 [V°llUur," gyoc'C A(~iti lalel,~k✓ LST I1a2- OF MOJhd C,v°S5 SecHoh 3 P~9t ~~an I~i ru/ of Jhoon~ E %jY p .SpSec 2-~ L ~acgN) !A co ,6,,4604 T Tun1 IN W TvwAOpm0y"ID Pa9~. ~ pew) l . a c T C TI prsNa6"r°h pir Gnu h or- S, P~ r- r cures f lot- P6 P 10 MUCEALMI WEBSTER r D-1185 ` ELLSWORTH R9SCONSIN , r PRIVATE SEWAGE SYSTEM Conditionally DEPT. OF IMDUSTRY, LABOR'& HUMAN RELATIONS DIVISION OF SAFETY AND DINUINGS a. SEE ESPC3NDE-;*6C.E FCL3 e- 2 0 NCV7 I 1996 ~~~ppW►wur►urye4 Irrfor~ sl►ef ~r ~v~,e.e ~e~ev~vn S NISN032L% NWOMS713 s S6WO MLSMM N311Y 330H8 -ice ~qe wrq 3y)(0, 4 SO p" )Ion ry0eipe»►ntutnna~U~ DePi I , to L,►icHV. Pc for 2.3 3 fevi-- J0 Cq JSj0 t, 20f 2 S' P,n DtOCWc-. Dose CI 04er fo PINl vtloa PIK For'ct w,R4r9 2 El,e.,at+on $elwm) FvmP off pia Drsty3oki►l I5/ sy,f{s,., H?4 2• Sr R8546nol► Wb- 99OVI P 375F~ vcv ticle LIP- IS•o ► Qed t eqN 62•r'=13 Fv1cNo•1 Lo53 2, Ll i 8er1 upitt, 6 - -A P,mp at-,Aaryt- 2 8(;fm- af- 0 O TpJ rlooha 4.efjI~r`i)1 p fA j•-' ,:-D Zoeller m0el 137 wll) a6c4cto~ ~ 34Om%t 2or TvIJ F: s1) E ~►,•ar! 77 ~.rll 3ry~t+ Zf Gem ~r 17 7D~ F7 - (2 -4 a 14 8e) DePtl~ o.7g= F 94- to ► 61•7 Ca and t -,r I.DO= 6 1F p,,„p of F rs elevskd l~ralw r~►ti 819 ►M l 97Y~ar~rtuuJ P P ~ Cif aha Ivp so)) ),sOc M Dose- uol'tila 10 t+hes veJJ vsloykc d►s'lylLohpn pj C : $ IIo~ Eha s ropy ~o,oo:K ~y y ra765 , ' Dc"Ill wmcwa**- NOW Total L t4jv)\ $2 SD - i1qo4F1sq : j5pllov) OFSt OPg CoRkWnot) 0.95 M,hi~►~~ dose = 125-plloy J PsL dFC wTDTN 1•0 ' ()own slop.- Corvecl-►IN 1107 Tad I1 Cpv" `ixa`flm 6~, = ~ 1000 650 MiaW.slrA recas' Down st. re WOO o Q f TPq T.#Al ,JOH, ~F'~''~ ~otG'1er n,od°) 137 to arsclw7t y~-~ 1-0 wom"I C-Irvitl g38~r2 YF TM < 171 elOANA a peoce Is 12• l PUAp of >61, ga5q Re vived 2 f~ eh m~c' q 7 may u 5~d WC, I hv,ilgylt t oo ~ Fr I pllol 5crk- ,•e~ua►*~ t1~`E 51* c \/I AA 401, s P (Law 5.41 l-gtcw,l It ~F~ 30.25 p L 60-6,4 1 $ pgal j 31 1 l's ~~acw911 pipe- Page3 Cfi I Straw, Marsh Hay, Or ay Synthetic Covering D tribution ip 473,S7- Medium Sand 6" Topsoil F J 1 E '1 0 u o ~u1SunewGOAV Slope ,a y Bed Oi 2• 2 Force Main Plowed BRUCE ERti WEBSTERR an Aggregate Layer D-1195 ' - ELLSWO = (6" Below Pipe) 4°tscoNS .f D O Ft. E Ft. Cross Section Of A Mound System Using A Bed For The Absorption Area F Ft. G (.0 Ft. Ft. A C Ft. H &es. Signed: B 61•5 Ft. License Number: K I0 Ft. Date: L B~.S Ft. J Ft. I Ft. W Ft. - L- Observation Pipe-.......... A Force Main Distribution Bed Of z°- 2 /2N Pipe Aggregate •l Observation Pipe, Permanent Markers j ®r Plan View Of Mound Using A Bed For The Absorption Area Page LLOf COMBINATION SEPY:IC TANK/PUMP•CHAMBER (No Scale) 4'10--Vent Pipe with Approved Locking Manhole Cover Approved Cap, +25' . From With Warning Label Attached Buildings Weatherproof Approved Warning Label Junction Box . Vent Cap 12 Minimum Final Grade 6" Minimum 4" Minimum i 6': Maximum ' 4n PVC , Quick 18" Minimum Insp. Pipe Disconnect 1/4" Weep Ho l e LJ 1~ NUCE ALLEN = I WE63TER I * 0.1195 i A ~SCCOONS01 d _ ;.:4 Al arm Q~ On L~l i *APPROVED Off 6' :5;g r7 7° JOINTS WITH APPROVED PIPE D .3' ONTO Conc. Block SOLID SOIL .3 of Beddi nq Under Tank te: Pump and Alarm Are On Separate Circuits Number of Doses: i Per Day Gallons Per Day/foFDoses: - l ons p Volume of Backflow:.......+~Gallons ank Manufacturer: M 1' IT tn/ pra Total Dose Volume: =~Gallons nk Si ze-Septi c/Pump : IDOo 5v combo a ons arm Manufacturer: '.eJe I del Number: O L, V Capacities: A 21 inches or 3~ 2 Gall ons itch Type: M 6RCVRX + B=i nches or 3 2 Gall ons mp Manufacturer: Z O E-L't,S R + C_$inches or rZ 7 Gallons - 17 del Number i + D__LQ,i nches or 159 Gallons nimum Di scharge Rate: GP9 Total q I_i nches or C S-o Gal 1 ons Feet j6..15 ertical Difference Between Pump Off and Distribution Pipe: .7 7 5 inimum Required Supply Pressure:.... a Feet Feet of Force Main x 1, Friction Factor/100 Feet: +eet ~LInch Diameter Force Main u Feet Total Dynamic Head:... - - . i eternal Tank Dimensions: Length Wilth; Liquid Depth ~J Signature~r /Jw'~ MIM W*:z License Number Date I , . vyc v ~ ur" Lateral Di tribution Pipe~Detal,l For A.Fo Network ~N Alternate Position Of End Cap, Force'Main %V P %V % PVC Force Main P1~C Distribution Pipe P Holes Equally Spaced PVC Manifold'Pipe' On Bottom + * X X i.. im6+elt,~n%Ho 1 e 'Shou 1 d Be t End Cap e 1SCON Y > BRUCEALER; P`_ Ft. WEeSTER ELLsw S~ Ft. RTH B78CON31N ``\e X 6 , 5inches Y Inches Signed: Hole Diameter Inch License Number: Lateral Diameter Inch(es) Date: - 1' t / Manifold Diameter Inches Force Main Diameter Inches / Holes Per Pipe. qqq Invert Elevation Of Laterals Ft. HEAD/CAPACITY CURVE f4cl, 09 Cr w HEAD CAPACITY CURVE Ma EFFLUENT MODELS C. T I I I TOTAL DYNAMIC HEADICAPACITY PER MINUTE 34 A- EFFLUENT AND DEWATERING I to.- ~s - 142-1111 to 32 L $FINE,$ 117-118 97 137-130 let -1 143 '42 FTS Ill. 04L Lirs QAwLn4 GA UM, 04 '1" In I Ola. I" Lk% -Oak -I-. Old. I.W.4 Gal LVS 30-- 6 1.62 43 in! $4 Zia ?a JIJS~ 104 13" to$ L40% 61 231L it 23t 64 =0 166 507 'S6 547 95- 10 106 34 1" 48 174 #1 931! " XO 100 :376 61 231, 41 231 611 no 144 6w;151 672 '5- 26 00 227 $4 =0 1411 S37 1-5 $0 go- 4.57. 19 a-!tJ33 46 ..ffto: 64 A42 91 344 94!1 34 43SL n .:310 " W3. w IS 220 138 $15, 1-0 SW 'o- 6 -'30. 74 20 61 lie 2z3 =0 11% 4541 13J 5M 26 26 85 02 IS .246 U US, 54 220 90 340 3; 220 21 456 127 441 110- 30 171 24. N 20111 7111 2W 54 220 1 106 1 114 1 so- - 40 4 .1 75- file 174 M 191 S4 219 S11 60 16,24 21 00 33 126 .2201 90 341 WD 379 86 ST. 136 64 =0 ?1 20 9S = 22- -77 Is - 43 Nu " 40 1429 zo-- 70 21.34 30 114 to 34 S2 1971 $1 1931 70 M 00 24301 14 63 204 32 12t 2 91 3? 140. go V.43 1 0- A N to ad 1 21 79 100 =4 to- 1 7 20 163 110 32,06 4w so- L"k Yoke: 111.25' n7v ar w mr ?3' ;IV 75- - 1 1 12- 22- EFFLUENTA DEWATERING ; , Warning: Model 185 should not be subjected to less 35- than 30 feet TDH ?-L4A6~k r`1,P6KJJ 107- 30- 8: 75- 189 Note: For Head Capacity'on Model 112, industrial column-explosion proof pump, see FM 219. 161 X 4 106 SCO 9a 13 139 wM GE & DEWATERING 0 n GA 31 Ill 201 3,0 ".0 so 601 70 Bo I go too lu.2011130 1-0 150,60 o el 293 should not be subjected ss than 15 feet TDH. to le ITS:" qrp .240 ioe G 14 Uw, I T-- I -T 2li TOTAL DYNAMIC HEAOXAPACITY PER MINUTE SEWAGE AND DEWATERING 22 70. FT M* Cal. Lits. Gal Lim Gal Lim Gal -Lits. Cal. Lus Gal LI'S -!!a. Lis _SQ L Gal. tva.* Gal Lim I rGl -L- 6 -1.52 90 34i 126 age 128'464~ 128 4" 130 402 160,660 140's". 1% 142 725 852 4" .431- 10 .3.051. 60 227 $9337, Ill 331 331 95 360 154 5" 124 469 .411 iss 7 5 "ll 20 05 "ll Is 4.57 22.543 so 4" $olmlif) 50:139 63 ?311 13S 511- '06401 130 491 _I0 62S 185 700 1 to .6.10 10.36 10 111 to.* 36 3:14 123 too 40i 68 333 119 450 so S68 - 66 636 25 7062 76 2041o _64 257 1 401 -'36 515 f53 540 30 9wI4 43,163 At Mile 90 121 458 110 $30 .7. T i to So Ifill 3W 115 435 SS. 40 .121s, . I = - 55 69 331 4 50 15.24:;., 13 9 59 273 So - 60. 1111211 ?S 911 TO 11.34 2v t 4S Lock val.0 is, 14 2 --40- 3S - 30--- 293 N, 4 - - 20- zzz:* 292 262 264. 267. 26111 284 29 1 I I I - S 0 1 iC 6; I I I GALLONS 111 20 30 40 90 100 110 120 13'0 140 ISO 160 ITO Igo 190 2;0 2 1'6 120 230 10 11 4 sz; 4320 ~72200 "7 goo 680 LITERS 0 go, :;L'. -.640.1 240, io 160. b ' u L4 P 0171 0 LA o rormmx A P 6-6 o - a -a. P ~v H 00 vP IA0 -Mel 0 it in ^~7 o 3 od I V 4+ e~ ►0 0 7 O ? 11 X N 0 C N 2G S o~ ~ s proposed lot tint ru taSL mm C0 ~o 'V C2 rurrrrw~, "Zp ►n►1#11131% M ro -b -b -I bd o-1rooro ZQ) ~R n n w mo 9,3, ? n ro 's ~ ~ ~ •r ~ 7 vq+077 o~~=°~ Seale in Feet ro 0 10. 0304 ro® l l rD Ul 10 ft downslop g foot t~psta . a g. n C~ ~0 ® f+ 0 ro o t,D 0 0 % M c ltili~.iNlh•~r o l :A --i -i t/) to p o C7 (u © O O -[7 S-_ -5 c L7 - U1 :5- ~T 0 r0 Q m m m x h ' P P P tfi tit Ut ~ p O0 :5 n ~I In C+ D ro 3 n r6 `l 0 3- x :3 R) c+ 3 rp C 7 113 cf, f O 10 ft ~ --_.__nstopQ ~ o y~ X foot --p-to L. T. F an nom 1+ N Q ~ ~ t 7o" T}k~ ,Flo U C 4~ 10 _ Ft dowrrs(Ope 4 Q 4 4 foot upstope a 0 o G t0 a Wisconsin Department of Industry, SOIL AND SITE E V A L U AT I O WR;EP UR T Page of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, WIS ,~df11 COde COON Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan;Wlust include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL LD. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION ! R VIEWE9 Y DATE PROPERTY OWNER: PR EAY L TtOP a , q © V GOVT. 0 1/4 - .1 S TZ ! N,R j 7 (or W PROPERTY NER':S MAI G DRESS LOT # L Cf< SVIDC , OR CSM # 175'"ems oqd CITY, STAT ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD Zvi Wi, gOOa-L (7/5T694.273) a A vemU [ New Construction Use [ Residential / Number of bedrooms [ ] Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow. gpd ~40 on 3PdI~facommended design loading rate ' z bed, gpd/ft2 trench, gpd/ft2 Absorption area required375 _ bed, ft2 trench, ft2 Maximum design loading rate _L bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) SNIT 13.5 "-r6 S"re '7- 6 ft (as referred to site plan benchmark) Additional design / site considerations 84 63 ✓z 5o4' 1, v t 1 2 N S r /'ot'~t Sife- Parent material L o e$5 e s Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRAD SYSTEM IN FILL HOLDING ANK U = Unsuitable fors stem El S VU 49 S 1:1 U ❑ S flu E3 SU ❑ S $ U ❑ S 11111111H SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounclary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 0-10 H N 312- si 1 2 f d C 0 S' 0 6 [0-3( 7 SYR LIA S),/ 2 F4tr r, C 1 0,5 o-G Ground 3 31-9 S d YA 6J .1 2 t 4 t' r- L S t t" D, q o'S y l k ft. n 5 rR d F I F l srolg 1 Fr - 11F - Depth to limiting factor 40 Remarks: Boring # 3 -10 { X. K-K 2 i- yR d s. I 2 F Fr s i o,s- o C 51 `l b ~;,SYAPsl8 ~c1 2 ~qqdh v' - - Ground elev. 1 ft. Depth to limiting factor Q Remarks: CST Name:-Please Print 11 Pone: 7/5) 5(~ 3080 Address: 365(9 U Rocid C, Elkwoa:h 9 -Jo r/ Signature: Wt : CST Number: C 5 TM Me ~ PROPERTY OWNER SOIL DESCRIPTION REPORT Page r_of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxiary Roots GPD in. Munsell ()u. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 312- 1 15-1-1 ?JyR 4/4 Ground 3 ~1 ^3X t X` A 51 C elev. -6 ~'YR~~ c1 ~-FGIIf ►1,Fr Depth to ~0 bV S YR y /6 ST fi C z ~V limiting factor yo Remarks: Boring # - r D-to 9-5`1 R 3l2- 2 c s z~ o.s' :::::.y 2 iv-~7 7-s;) jr ~s a~a6 Ground elev. 10-15- S'Yg 6 L ft. Depth to limiting factor 40 Remarks: Boring # 1 p-to 9,St'R 3/ 2-- s I L c s ~-4 d~S' 04 Ground 3 32-V y b 5 i~ c 1 A yv, rv- c q v ft. S~ l~ f /D F-~ •S~'~~ C 2 t'46 1~'~ Depth to limiting facto 4- Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) zv~ k V r~ ~ I t ~~~00oz0p~ csj-uooav 4 :E 0 C C S :7 T G 4 m 4 2- P Q P Ul U i lei Q G ~ 7 11 Q. 4 4 rQ 9 to ~ f4 3 -Qr, Q G} FI J M c r, ~t ccnt.a Fee .n a} 1 0 l7~ f ~ { td proposed tot tine N 11 o ru ( ~4 I~ V o S Scats in Fe I i .a 0 V~ 00 VI tz, G- 0 ~ t+ n ~N q I°0a_0 D f - T I u~ -3 VI ~E -3 ~r G J G r Py 4 - " l% -n 1 1 / n n n n T7 ; n z si- R't t F 5 41 t ~ 1 rt' i 6R~~ iii yr 'ui V E o ti t; ri r-rr ~yyr rI =1 s + + n i~ Imo { r r p. -(3 n p = Q 14 Q to S2 d tj r'9 0 ~-y ct i!t tt n 1 I nm ri f z Q 0 I o o ( / ro, i~ if ~ r C:) cn cot proposed toy tine - 5 ru r -o t s- s w~ = a~ ' ; r 1 G iG n g b. f F7 51'~~t: IP e_ T 8 _ / yx ro ° ~C5 +t -h -I w ~ ms's ~o t D n n f 11 nQ-h T~ n o7 OD 1 f" D ~ i &eY~fy )r' fjf/f 1 1 J Scale in Feet 0 40 10 20 30 r { 0 s~ 1 r-Y Foot L4P pe 0 T z 0 ('D t Ti ~ ~ j~ n ro s- r K 1 1 77 FILED SEP 2 4 1996 M-MLEEN H•WALSH Be~CroixCo. WI S 6 549928 ~r w UNPLAi TED LANDS 0 - 0 0 m :J CD u N00011'25"E 186.75' r m ro ° rt A~ i xis - ~ f 1i MS O ff fh vn s Q o 0 0 ti r' C r„ (D r' 0 N ~ Ir T ~ w- r- cn z it 00 co 0 jr- ct %0 %0 p a -I oo ob -I to ~m o a a p to in, 0 C7 Q ° 10 W co a c~D W co W N _ N m m N O -I O. N ct x ct ~ l0 1-n T N rn N N ~ S N N C/1 r c I H C I~ X, jU O • 0 V) ~ 39 N a o• - °o m c z x - a y N O 7 E O O F 7 C %0 cr X -0 cn we C-) I) ODD I K -hO O c O 7 ar M rt_0 O K c ~ x O n N d n m P) 7 7c N j a to c" rr cr O 0 O ° O O W CA :E x dr a 7 O j ` Wool 811611W > > 186.76' ° ' c . , SURVEXOR'S CERTIFICATE I, Allen C. Nyhagen, registered Wisconsin Land Surveyor, hereby certify that by the direction of Ken Pederson, I have surveyed, mapped and described the land parcel which is represented by this Certified Survey Map; that the exterior boundary of.-the land parcel -surveyed:•and• mapped is described as follows: A parcel of land located in part of the NE1/4 of the SE1/4 of Section 26, T29N, R17W, Town of Hammond, St. Croix County, Wisconsin; further described as follows: Commencing at,:the E1/4 corner of said Section 26; thence S00011125"W, along the east line of the SE1/4 of said section, 1069.37 feet to the point of beginning; thence continuing S00011125"W, along said east line of the SE1/4, 186.75 feet, thence S890451 0311W, 41.2.01 feet; thence N00011125"E, 186.75 feet; thence N89045103"E, 412.01 feet to the point of beginning. Described parcel contains 1.77 Acres (76,941 Sq. Ft.).' Above described parcel is subject to right-of-way for Town Road (200th Street) and all easements of record. I, also certify that this Certified Survey Map is, a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 'of the Wisconsin Statutes and the Land Subdivision Ordinance of the•County of St. Croix in surveying,and mapping same:' Bach parcel shown on this map (plat) is subject to State, County'and Township laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and appropriate Town Board for advice. , Vol. 11 Page 3161 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 LahC-e. f eizy'so h Location of property. KIF_1/4 SE 1/4, Section 2 E T 2,'/N-R 17 W Township &Mmohd Mailing address Address of site 7 3QA :~-O()A Sty-e e r A A,/y w✓f Subdivision name M"v►or "bdmsdo~ Lot no. Other homes on property? Yes No Previous owner of property hue'Soh Total size of property x.77 Total size of parcel . 7 7 !3 9 Date parcel was created Mevc4 7 Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes X_No Volume_ and Page Number 31`1 a1recorded 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 references 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. 5'q 6 g g , 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. S,5'6'6 8 g Signature of Applicant Co-Applicant 2~ 199 mzi,4 f 7 Date of Si nature Date of Signature STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER L aP%ae. Pees o h MAILING ADDRESS 110 F 10 V'th& - ~ef_ 5jWj!j J'Y t~ 5 WO,~ PROPERTY ADDRESS 730 X(/ `1 v fr e:q- S n Owl-, (location of septic system) Please obtain from the Planning Dept. CITY/STATE & 1) W,, C0 ti PROPERTY LOCATION 1/4, 1/4, Section 2 T N-R_j7__W TOWN OF 44 m2dh ) ST. CROIX COUNTY, WI SUBDIVISION -w, e _P t 5161 0 LOT NUMBER CERTIFIED SURVEY MAP , VOLUME L' PAGE LOT NUMBER 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 expiration ate. SIGNED: ~ DATE: A 7 St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 ~JJ6GSS STATE BAR OF WISCONSIN FORM 2 - 1982 RRANTY DEED DOCUMENT NO. YeL1»7PAPI:- Kenneth C. Peterson and Louise E. Peterson, ST.CROIXC.`l,Wl iMaad i11Ctf to husband and wife, holding as survivorsh~-__ maritalprrnperty MAR 13 1997 conveys and warrants to Lance A. Peterson and Anissa at 9:30 A. M K. Peterson, husband aad wife, holding- as A L'_ -1., survivorship marital propert-, tbpls* tot 096L4 ?7wS SPACE RESERVES FOR RECORDING DATA %AWE AND RETUnN ADDRESS the following described real estate in St. Croix County, Thomas A. McCormack State of Wisconsin: 990 Hillcrest St. Baldwin, WI 54002 PARCEL IDENTIFICATION NUMBER Part of the Northeast Quarter of the Southeast Quarter (NEk of SEk) of Section Twenty-six (26), Township Twenty-nine (29) North, Range Seventeen (17) West, more particularly described as Lot One (1) of Certified Survey Maps recorded September 24, 1996, in Volume 11 of Certified Survey Maps, Page 3161, as Document No. 549928, office of the Register of Deeds for St. Croix County, Wisconsin. This is not homesteaJ property. (is not) Exception to war-anties: Easements and restrictions of record. Dated this day of e( 0- kJ A.D., 19 97 (SEAL) (SEAL) Kenneth C. Peterson (SEAL) P (SEAL) Louise E. Peterson AUTHENTICATION ACKNOWLEDGMENT i Signature(s) State of Wisconsin, ss. St . Croix County. authenticated this day of .19-- Personal came before me this day of a'x~ , 19 97 the above named Kenneth C. Peterson and Louise f E. Peterson TITLE: MEMBER STATE BAR OF WISCONSIN _ (If not, authorized by §706.06, Wis. Stats.) to me known w be the persons who executed the foregoing instru artde t same. ~ •c . • THIS INSTRUMENT WAS DRAFTED BY .I w • •m Ot7p PAS FOR L 01VcP- PET~RSOP S76 ~ 035 7 P(ev&jSlr C)wP6lJ by ~rbtv KC-0 PETFRSDOJ a~rv~p%of 6pie owner S96-40357 1gt~(IJ 0 Cpv»~ Roo 7 T V Bylaw jh G/ISG Yy00z PIKh Rt\/~rw ~af+c,, JJP~4.~ 2' I)5 - 69y -X731 CKe, Pekwai ~7trrY SWIM, 7 I~ 6~ 919 C Lghc,r Pew3el, P1114) fa 'wucc ad G Nil secffoh OF mojhd Solt ova ~vahro'C.'55 P~9t 3 G o Jhooa~ N E'w Sp` Src2-s pi" Vim f dc~h2 fitie tCp.r~binR~ldh ,A Tuh T o~ I N ~ II ~ Tvwn of Pa~~ g pew) ,,It Pa pnMad~r°h P'P~ Gna o~ S'T, C RO C BRU g 10~ W ATEL ,a``i - D 1195 ; Y ISCONSlN ; r c IVATE SEWAGE SYSTEM ConditionallY RECEIVED t~~~~.az MAY 1 41996 0@1'. OF 1?~4 NT~f SAFETY i Div, SAFETY 6 81DGS. DIV. SEE RECEIVED S E P 2 3 1996 w ST GFiO X COUNTY ZONINGOFFfCE ~ ~T j% P~, e 0 Mal work SLe,f ~r ~v~►~ f~de~~h ~1SC~NS1~.,,✓ BRUCE ALLEN { WEBSTER D-1195 ' ELLSWORTN WISCONSIN d4. ~q ~opd 38j( q5-o p)lov) fie, ww r~~ Dept to LNIIL Actor 2.3 3 410- 0 Lq~dslopt. 20 P iYo/ M,,Wm^ Ors h, R,, PIa-cwc-,- Dose C64er fo prslv{dvttoa Foect mqJn ElcuaNon Sefwtm Pomp off qha Drs)YAwool ISM srkf" HtO a-V l0546T'100 Wj~ REQUIMP 375'1F~ VC, ti,fe L+Ff- ls.o Be) Lehf)h 62.5-~,- D f„i cNon Loss 2 `f , w volt') 6 -A Puw~A yi,os}- df5c6r1q- 2 s(;fm' 0.f- ~6 Tpi moowa 44rjj,r~ poll NfA D = D 0eller m&del 13 7 1N►I~ alse~,a+~-~ 3`I GPh+T Tl7~ F sl ~ v pry, DoN/n sl°P e j-" E y►,•?+.I 17 v111 drycs.-.~~' 6M 1+t' 17 ?D~ i-7-(1.9i z•s)t Ca and f- f 1,00=6 iF Popp OFF- is effv,kd isr~lev►I,ga~l9n, ) 97►~,ar4cuce~ ~ P ~ C Y Rha ,vp so►► 1,50C M Doses 901,nie ~ha S [oft ~Q,OO:K 10 f+hcs v•,^d v~io*c 61S?Y1(► h0" f1 r - $ttlfo~ Dw~ly wa6kwukr Plow ~oaF(oq t Ispiloq jy.: 1676 I Total Leptal~h 92•SO=L UPs~oPJ CoRR6.=o>v o, 957 Mrhi dose = 12~~-gllo~ PSL #PC wTDTH q,o = I'C D°whs(,rt co.recffl, 1.07 (..p, D r ~ 1006 I6 SD M/)w•-slerA PrccRSr CDC IrlaaA-~a,, Tati ~ Qown 5{•re W+d T-+Al wrdt~, ~S' zo~~l~ rhodtl 137 to alscL7t >~.~GIMa~-Z TAI W-1#10,1 C1p'Wf t7 z $T 12 TC' TDq 17~ e k~Ah►~ 2i relict j5 rufif of n), / q 6asgl Rvtv fred i d ,L „eh mor}~ 5t,~ 00 g~ 6e 0 6~s~ I hV44 611 ( Fr `11s vlio~ sr~lti re10h,' 1+~`E $ItG ihA Holes s ~t~ 5.4~ P _ La+e~,l ~f~, e 30.25 ~wr w,1 s1.*e i IY L w4rl,q I 5 pq,17 3) ~ed~w9ll pip- I's Page3 oft ? _,y~ 9511 I Straw, Marsh Hay, Or a5 _ Synthetic Covering ASTM C.33 D• tribution ip q3, 5-" Medium Sand ~'oohr•r' ~e.~.~ _ H G , 6" Topsoil _ F E - - u Slope 00 ~COtnaI~aBed Of 12 2 %Z Force Main Plowed N°~.~ Aggregate Layer eRUC (6" Below Pipe) 0 WEBS ER ' D Ft. F _ D-11958 ) e E Ft . ELLSWORTII a { t'SCONSIN :j Cross Section Of A Mound System 'Using F Ft. A Bed For The Absorption Area G [.0 Ft. A C Ft. H I•,~ Ft. Signed: B•~ Ft. License Number: K 10 Ft. L Ba.S Ft. Date: Ft. I ~(2 Ft. W - Ft. L Observation Pipe K A Force Main ---------------------~I Distribution Bed Of Z- 2 %2M Pipe Aggregate . I w Observation Pipe, Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area Page__~ Ofj COMBINATION_SEPtIC TANK/PUMR•CHAMBER (No Scale) 4" f K-Vent Pipe with Approved Locking Manhole Cover Approved Cap, +25' • With Warning Label Attached From Buildings ti Weatherproof Approved Warning Label Junction Box Vent Cap 12" mum Final Grade 6" Mi mm 4" Minimum 6': Maximum Kick 18" Minimum Insp Pipe nect 4" Weep NOW v`~~~gWmY►rugirrP 1 l e r~ BRUCE ALLEN WEBSTER ~ - I q = D-1195 I ELLSWORTH Alarm Y.ISCONSIN IGIA 1 *APPROVED Off JOINTS WITH APPROVED PIPE D 3' ONTO Conc. Block SOLID SOIL 1-H .3 of Beddinq Under Tank te: Pump and Alarm Are On Separate Circuits Number of Doses: 1 Per Day Gallons Per Day/ ofi -Doses: WZGal l ons M Volume of Backflow:.......+ I'fGallons ank Manufacturer: 1' 1~ * fMrad- Total Dose Volume :........=~Gall ons nk Size-Septic/Pump: 100165-0 com6v Gallons arm Manufacturer: a Jr t A ym odel Number: OLV Capacities: A 21 inches or 332 Gallons itch Type: M 6RCQRY + B=i itches or_ 3 2 Gall ons mp Manufacturer•_ Z.O E-1.L,F R + C % inches or rZ 7 Gallons del Number: 117 + D__LLi nches or j S Gall ons lnimum Discharge Rate: Total ~I inches or C5-o Gallons erti cal Difference Between Pump Off and Distribution Pipe: `1'5,,Feet inimum Required Supply Pressure: OL Feet OFeet of Fgrce Main x 1, Friction Factor/100 Feet: + 2• Feet LInch Diameter Force Main Feet's` g° Total Dynamic Head:...= I/r eternal Tank Dimensions: Length Wjth C b ; Liquid Depth J II I~~ Si gnatureatwt4, License Number Date Distribution PIpe;'DeMtai I For A.„Four. Lateral Network F ~ . .:•.End Cap:/ Alternate Position Of Force Main P z' PVC Force Main ~,pVC Distribution Pipe Holes Equally Spaced PVC Manifold Pipe On Bottom 3~. ~~a~grituunanryri~ii4 X WEBS W95 S X i ' ELLS J ` Y,9SCONSIN X T * Last Hole Should Be End Cap p50o2F Ft. S 2#Y Ft. X 6 Inches r Y Inches Signed: Hole Diameter Inch License Number: MM G Lateral Diameter Inch(es) Date: - 1'►~/ ~1 I~ Manifold Diameter Inches Force Main Diameter Inches l Holes Per Pipe. t~ Invert Elevation Of Laterals L_L°.~ Ft. y HEAD/CAPACITY CURVE y Ct~ Il, l y~ W HEAD CAPACITY CURVE (fur W EFFLUENT MODELS ('1t~ C 115- TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE J4 - EFFLUENT AND DEWATERING 11 o tsw {ERIE{ a74i0 97 M 177•139 lot 163 Ito Iss 166 IM 149 j= 105 t00 FT. M. Gal L96 Gal_19s: Oat InI Gal un GA Lt9 Gat lsr WL.LIM Gat Lys. OM Ls,. Or Lys 'b.!. L61 30 f 1.62 U 11q! N 212 »!731' 1w .304 Ip X401 tl 7.11 of bl N 220 166 567 ISS 567 9s- 10 106 34 129 4 174 61 "1, » 300 100 :376 61 23k. 61 231 64 220 tab 680; 151 672 90- 16 4.117. 19 .21: 36 1133:. 46 •.110: w 't142 01 344 w 727 b 227 s• 210 1(E S37 -5 Sag 26 ' 20 610 1i 'i,►7•. 0 ':90!! 3e 4506, a :310. u f23.: 60 W s. 220 136 615 140 630 26 e5 26 7.02 1 •'.10:. 74 2110 or 214 u 223 5o 220 th 4" 133 Wa 30 9.14 w .2N. to 20{. M 220 90 340 St 220 1121 ass 1127 NI It ac 40 1219 4e 176 46 172 66 206 76 2u So 220 tos 397 119 sat IS- 21 60 33 125 61 191 54 219 St 220 9o 341 too 379 22 3.~ 70 166 60 60 1624 %29 I6 ' A 43 ,.161 36 136 60 120 711 269 IS 70 21.34 30 114 10 36 62 197 51 193 /0 26S 20 6S 40 2136: 14 N 45 170 20 106 54 104 IBS p 77.43 121 2 t 37 140 10 ac 100 34Y is w 21 ro 16 55 - - 163 110 3200' 7 la s 30 yp- loch 1161,4: 1126' 2172• 2Y 211• N' w or 73' IIr 111' 112' _ 14 75- EFFLUENT & DEWATERING Warning: Model 1.85 should not be subjected to less A%K t1'P 6s31 10 j'- than 30 feet TDH. J(Zfl-pfc~O5lwf Q~4 30- 75- 169 Note: For Head Capacity'on Model 112, industrial 6- 12- column-~,,laolff' t plclof pump, see FM 219. 1S N 4.. 1 s , 97 . « sf t°- 2 s K I OROt'E ~~~a. 96 r1a.a.[16 •L s,ss. 7,59 13 39 3 p119~ S' AGE & DEWATERING ° v 10 20 b a40 So 60 70 eo 90 100 Ito 120 130 1 1~~~j( ~~6aa del 299,- should not be subjected GA S WA 40 1150 160 4 5; ~sosa{71t ERS. 66;•11':',?~eQIZt^':•0'?'~ to less than 15 feet DH. ,t?.+_ 1 ,Z,' SIGI1~..~~,,. ebb- • cc . _ 'A/nAA". , r-r-1- 1 1 - - J 21 ' 10 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE SEWAGE AND DEWATERING 7S 22 {ERIE! tit 16 211/ 266 212 214 292 293 214 295 70 FT , M' GU. L1es. Gal LIM Gel. l1n Gal. LIM WI Lln. Gal Lln Gal {1rs. Gal. Ltn. Gal "Is Oai Ltn S -1.52 90 341 128484 126 '661 123404. 130 492 too 660/40'530, 19s 742 _ 225 $52 20 10 . 3.031. $0227 09 737 89 331' 99 237 95 360 156 896 R4 469 a1 6a6 _705 m 6S 1S 4.37 22.544 50 4911 Soh») 50:169 63 236 135 511. %06401 170 491 _ 165 62S 66 100 20 • 6.10 ' 10,31 10 '30 10'.70 33.125 106 401 58 333 119 450 Iw 566 !66 636 16 60 2S •7.62 - - 16 296, w 257 196 401 - I)6 515 157 560 30 • 9.14 43 163 47.111 90 390 q1 aye 140 $30 SS 40 •'12.19. 5 It 50 199 _9a 356 115 435 16 50 15.24:'.r • ' r' • ; a ; fxl, _56 220 69 337 1 13 49 59 223 SO 60 1{.29. 1'• 25 95 I N io 91 14 . vat.0 U' 21.5 111 S• 21.5' ?6' 3S' U_- 50' _51 T7 1 -k 2 _40- 35- I 30- 293 L I • 14S 6 20 15 2~ - 1 10 292 2 - 5 262 266. 267, 266 266 294 295 0 GALLONS /0 20 ~0 4050 670 60 to 100 100 110 120 120 140 150 160 110 160. 190 200 210 220 27011 t';- %1'4005„T~ , t,11J'Y+360ait'h?:.tI., :610 S00. 160 i., X210. ;A, • 11. r,r(.,v..C+,a~'q•i~~,a!, :,~+I'1~iV1•.Y•.'111'SL .4i, ~•;G' {t~. . . LITERS 0 10 ,160• t•. 320 • u n?03C IPA 00 a 'T 4 _7 it CD Ce 3 N 2%= p am nJ 2 -h I z _ 1 4 O x CD C to -M m Ul CAD ° eat kd ; proposed lot line 1 N V o %o ' •v. 1 J`0`aa~auw~um~~uiu,,~ .a A01 .01 Hal .........1 ION 7 IM v -+s -+-1 -I bd ~o t1o~O13 ~om -14 ci Q-it M -3 W 3C -3 A ~ 1 Y W Seale in Feet ro 0 la 0040 ro ® l l Cl cn ft d°wnstope 9 foot Opstope td C- m 0 C~ ® 0 C No ( : ® nu ro CD rp Oti y~~ . ~ '3' 'mod 49 i w "~s 4~ ~ ~ ~ .u ~ VOsconsinDepartmentofIndustry, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Relations Division of Safety Buildings in accord with ILHR 83.05'.01s, A&q. 'Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in sfiP: an mu clude buf 1- C Y ) not limited to vertical and horizontal reference point (13M), direction a 94 sld actal9 gr PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road, + 1REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORM4'IFI6N PROPERTY OWNER: ® PRC,'4R ;.~t ATION . v \4' GOVT t„ jjiW 1/4,SZ T; ! N,R' 7 (or WJ NIP 4ey PROPE TY NER':S MAI NG /DRESS BLOC NAME OR CSM # CITY, STAT ZIP CODE PHONE NUMBER E OWN NEAREST ROAD ; ,7 Ikll, yoo (7lsT 6s4 ;-7 3) a a _ New Construction Use ( Residential / Number of bedrooms _ (J Addition to existing building [ J Replacement Public or commercial describe Code derived daily flow gpd ~40 o it 3 Bd kCOmmended design loading rate ~ ' _'-bed, gpd/ft2 trench, gpd/0 Absorption area required sue- bed, ft2 trench, ft2 Ma)amum design loading rate „1LLbed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) S&A 93•S a.rtti Sire, q . 6 It (as referred to site plan benchmark) Additional design/ site considerations 1 J ylepd 8063 3 Av r So A 5I tam ~j►~~s l~ 219) E A.- A.,;" Parent material L o tS5 e s Flood plain elevation, if applicable ft 46 S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRAD SYSTEM IN FILL HOLDING TANK U ❑ S e u ❑ S 91U U= Unsuitable fors stem El S MU 40S ❑ U ❑ S 1rU El S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots G P D/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 10.31 9,~rR q A s;' 1 qd~ r, C_ I o Ground 3 31 -9 V 5- 1 Y/ 1 6/w C/ rp) 1 I v.,J 6-5- elev. t. o-5'a 5rR 6 V F I srNg 1),C1 lagt~ r.) A- - I Depth to limiting factor 40 Remarks: Boring # 7.3 J I I) r 2 U' U-6 wn u-r R y d 2 rA Fr c s 1 Ground elev. %q ft. Depth to limiting factor' I j Remarks: CST Name: Please Print Phone: 7/ 5 1 5-9 3 0 90 Address: 3650 v el/swodla 4 ~a 1 Signature.~ te: CST Number: r~ /99°, C 5 T/11 mP/9o PROPN'MOWNER SOIL DESCRIPTION REPORT Page-,2-of l PARCEL I.D. # Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft _ in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends 2 -2•sYR 14 64 Ground 3 ~1-3X $it C V elev. y 9!•~ f t. J° Ya S YR C C. Depth to 5 0 6U 5-Y9 y /6 I SrR rig c I z (-r+ (v limiting factor q Remarks: Boring # • -lam/ Ifs 312- f CS - L-"Ukli 2 t 0 ')-7 Y~ ~6 Si C' ad G S t- U, Q 6 3 27-qQ 5- Ground s; 1 Fib vh S elev. ql-luft. Depth to limiting factor 40 Remarks: Boring # p f10 x,517? C 5' ~o'3Z •FYR 6 s11 ~~l r, 1 p' Ground 3 32- Yz r 4 s cl 2 d In., Fe- c s 2~ o, o, elev. Depth to limiting facto Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: 3BD-8330(8.05/92) i 4 r 3 Of O Q VI VI p O F w nw_ M. Y I ct ci- -t> Scde in Feej_ a 0 V O N o 4+ 6 by s2,5 bec, as . r proposedto-t tine ~rb0u m.. ro ~ N V ~ r o 'r Scote in Fee '0 Q O i U U 0 a IT w Q o W N UI -a -ts -a w o~tvo~v h3Mo3' V N n~ -e,3 ^o o v to -3 to -f ~C+o~ o°Z OOQ.