Loading...
HomeMy WebLinkAbout018-1067-90-000 Ofd- 106, 3-f0-loo 30. Z'. l'. y6YN I IT! -•T,'- STC - 104 AS BUILT SANITARY SYSTEM REPORT l' "rte OWNER-)'e 1- co, ZoNn~~ryX ADDRESS 0?06 eGJ SUBDIVISION / CSM# LOT ,Z SECTION T N-R W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM N -i. `T INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. K ' f BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: &,~18S7~t, Liquid Capacity: Setback from: Well House Other s rate a.-d Pump: Manufacturer scu Model# Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM „g c s 72-7-e Width: Length Number of trenches Distance & Direction to nearest prop. line: /Jes7- vL Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet: ST outlet: PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: 7 PLUMBER ON JOB: LICENSE NUMBER: Z-ee Z INSPECTOR: 3/93:jt .wiscons?'n Department of Commerce PRIVATE SEWAGE SYSTEM CountbT. CROIX Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar~{r it Personal information you provice may be used for secondary purposes [Privacy L , s.15.04 (1)(m)). 9Mx!61e" s 4EARY IM.. Ia 1~age ❑ Town of: State Plan ID No.: tcK ` CST BM Elev.: Insp./BM/l Elev.: BM Description: : Parcel be ga:1067-90-00 0 /S TANK INFORMATION ELEVATION DATA A9700 255/2' TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic c~[nrPS bar~,~ Benchmark 44,( Dosing cr Ae atlon Bld~3, St/oa. Holdin TANK SETBACK INFORMATION St/ TANK TO P/ L WELL BLDG. A,r ntake ROAD Dt Inlet i Septic NA Dt Bottom (oS 1' Dosing NA HaaEl~/ Man. Aeration NA Dist. Pipe Holdin Bot. System PUMP / StOFMINFORMATION /Final Grade Manufkacturreer Demand Model GPM Cam. 30L TDH Friction Sstem TDH Ft oss Forcemngth 5 Dia. " Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH =t,- Length r No. Of Trenches PITS---- No. Of Pits Inside Dia. Liquid Depth DIMENSIONS `f DIMEN I N Manu acturer: SYSTEM TO P / L BLDG WELL LAKE / STREAM LEA SETBACK C MBER Mo a Nu INFORMATION Type O ~z~M N ~J R UNIT System: - I, a171 DISTRIBUTION SYSTEM Weaver./ Manifold Distribution Pipe(s) is x Hole Spacing Vent To Air Intake Length c/? Dia. 0- Length 2 Dia. ~ Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of T ;TS eeded / Sodded xx Mulched Yes ❑ No ❑ Yes 01 o Bed / Trench Center Bed !Trench Edges Topsoil ❑ COMMENTS: (Include code discrepancies, persons present, etc.) % LOCATION: HAMMOND NE E 30.29.17.464 750 160TH STREET LOT 1 Plan revision required? ❑ Yes ❑ No Use other side for additional information. Date Inspector's Signature Cert. No. SBD-6710 (R.3/97) f ADDITIONAL COMMENTS AND SKETCH t SANITARY PERMIT NUMBER: Safety and Buildings Division r.~■~■~■~ 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 Sanitar Permit Number " 913 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 LD. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name c Property Location 1/4, S 3 Q T a9 , N, R E (or) L.- 1Z a Property Own 's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number II. TYPE F BUILDING: (check one) ❑ State Owned ❑ City Nearest Road Public 1 or 2 Famil DwelIin - No. of bedrooms ❑ village -S X [g_ Town OF lliI ®.d eA- Ill. BUILDING USE: (If building type is public, check all that apply) Parcel Tax /NuQm'ber(s) 1 ❑ Apartment/ Condo v ` U /,Q 7u 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. U New 2. ❑ Replacement 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 214 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22.n 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 f l 1Q.5 Feet Q~. -7S-Feet VII. TANK Capacity Total # of r Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank D(J a- ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber fj2 r eA-. J ❑ ❑ ❑ ❑ ❑ 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's Signature: (No Stamps) /MPR No.: Business Phone Number: t0 v ll G 'k 1 9P q/-17 a 47 z Plumber's Address (Street, City, State, Zip Code): D L' rte' IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing Agent Signature (No Stamps) Approved F] Owner Given Initial Surcharge Fee) Adverse Determination 7 IOAat, _aaz,-A~ X. CONDITIONS OF APPROVAL/ REASONS OR DISAPPROVAL: SRO-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Ruildings 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, 608-266-3815. 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. IL 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 W name, 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; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Commerce June 9, 1997 2226 Rose Street La Crosse WI 54603 WEGERER SOIL TESTING 421 N MAIN STREET PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S97-40549 FEE RECEIVED: 180.00 SCHNABL, TERRY NE,SE,30,29,17W 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 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. Sincerel and M. S m Plan Reviewer S fem. Section of Private Sewage (608) 785-9348 - Y SBD-7997 (R.11196) Page of 6 " RECEIVED MOUND SYSTEM MAY 2 : . FOR 1997 A 3 BEDROOM RESIDENCE SAFETY & SLOGS. DIV. LOCATED IN THE NE 1/4 OF THE SE 1/4 OF SECTION 3D , T Zg N, R 11 W, TOWN OF l~ }~N~t~p~y~ , ST• c~UC COUNTY, WISCONSIN. INDEg PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN . PAGE 3 of 6 PLAN VIEW-CROSS SECTION- PA GE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR -)qQ) t6O ST X} N M M Olin I W s4 0.15 PREPARED BY 54 EFZEF2 SO I L IM .TESTING Ily IDES 2 CG14 SEF;tV ICE ~c~ocaw iona I P.O. BOI 74 421 N. MAIN ST_ 0a . RI{TEI: FALLS. NI 54022 m~' O: 715-4255 -0165 ~r nRn+uR L t et q %EGERER TM BLLS is. ~ ~Np~lycE 4 S I 0 GoR ~~oa~NS JOB NO. q'7 -12.D . - - - - - - - - BLOT- PLAN - - - - - - - -Page -ZOf Scale 1"= y0 ' t •y I 3 BDRL1 0 WhvSE r ~O NoT CS3mv-rve OR Y1 p~ST~e~ ht'LS 4 PvC ~ , -Zs C'ti log! - O r 6.2 3y\~ kQ iJnJam' ~1 ti ~ H O~ S_-L5 3 R • NR~ ~°~o 'N uT Zro s G'tQ N a.y tL. l u 3 ~ l., OT ` ~2S^ O a L,vT Z 10 iFL Loo-(,-I' o+•3 l`' 1 Rsy.~ T'LPE LoT s`r*t+~s i tv ~~5~ 1v eF iR'~' Lt~T ZS ~ mow( ►yUv)~~~ ~ I NOTES: •1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. (4 required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. -Septic tank to be M1316513 gallon capacity manufactured by `N1 t O~IIEsT tlU ~2 ci~g7-~ JAJ c. 5. Bench Mark S~ 1~8oVE 6. Divert surface water around system to. prevent-.ponding at the. uphill side. Page 3-0f b Approved Synthetic Covering Prs*7" C.33 Distribution Pipe Medium Sand Topsoil - H E FD Elev. 10S.ZS 3 u b % Slope (Force Moih Plowed Bed Of 2 " -21 12 Aggregate From Pump Layer D 1.0 Ft. Cross Section Of A Mound System Using E \ . 08 Ft. F o•$ Ft. A Bed For The Absorption Area G Ft. A S Ft. H 1 -S Ft. Linear Loading Rate= 0L,(- GPD/LN FT B Li -7 Ft. Design Loading Rate=0.4 GPD/SQ FT I \,o Ft. ti J 8 Ft. K a0 Ft. n L 6~7 Ft. W 3~- Ft. L Observation Pipe A W I - - - I•----- -----------=----------~I Force Main o EIX S PrT P Distribution Bed Of 2«- 2: 2 F Pesos ATE Pipe Aggregate I Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area Page q - of 6 Perforated Pipe Detail 0 End View Perforated End Cap. PVC Pipe od~° Install permanent -marker at end of each lateral Holes Located On Bottom, Are Equally Spaced S PVC Force Main P PVC Manifold Pipe Distriution Pi e Last Hole Should Be I Next To End Cop End Cap P Z Z Ft. Distribution Pipe Layout S L4 Ft. X 34- Inches YSO Inches Hole Diameter Inch Lateral Inch(es) Manifold Z Inches Force Main " Z Inches # of holes/pipe ~.'b Invert Elevation of Laterals10515 Ft. 8x1. 1~. °L.'5 x-~= 37.4y GW, 9 Place 1st hole V8 from center of manifold with succeeding holes at 3b% intervals. Last hole to be next to the end cap. i Combination Septic; Tank and PUMP CHAMBER CROSS SECTIOM ARID SPECIFICATIOMS ' PAGE S OF 6 -YE WT CAP WEATHER PROOF juuCTIOM 5OX 4'C.I. VENT PIPC APPROVED LOCKIMG 1O' FROM DOOR, COVER A'-71V ARIJIWG LPN EL. .dIWDOW OR FRESH ~jMANHOLE A)K INTAKE cor.~pu~r s 0 _LD_ 03 S 5 t I K*RA ~ MIIJ. i ~ 18'MIAI. IWt_ET PROVIDE I ~AIRTI6HT SEAL III v APPROVED JOINT 8Rt=1=~-ES A I I I ( APPROVED JOUITS I I I WJC.I. PIPEv'C w/C.I. PIPEOR Tank construction I ICI .I I ALARM shall comply with ILHR (83.15 and 83.20 e I II I t> oN C I I X00.83 I [LEY. FT. PUMP-~ OFF 0 C0IJGRETE DLOCK 13" APPRwM RISER EXIT PERMITTED OWLy IF TAIJK MANUFACTURER HAS SUCH APPROVAL BEDOIN~ f SPEC.IFICATIOUS SEPTIC DOSE I'11~W~ RjV TJ 'Let SrT^ NUMBER OF DOSES: PER D" TI.1.IK MAIJUFACTURCR: / TAWK 51ZE: `ebb ! 6SO GALLONS DOSE VOLUME t ALARM MAUUFACTUR>`R: S`S'EL ZI,1 S`tS`C IS MICLUDING BACKPLOW: 1310 GALLONS MODEL MUMBCR: IR 0 kALS) CAPACITIES: A= INCHES OR GALLONS SWITCH TYPE: Melt-cu B= Z INCHWOR -=L 4LLOU5 PUMP MANUFACTURER: GOU Lt. S G = & INCHES OR l~ io CALLOUS MODEL MUMBER: 38 - EP O D 1 O INCHES OR » O GALLONS I" I~RCUR-~t' RO 6E~ SWITCH TYPE: NOTE: PUMP AND ALARM ARE _ MINIMUM DISCHARGE RATE 31 GPM INSTALLED Old 5EPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEIJ PUMP OFf A1,10-DI5TRIBUTION PIPE.. 4.aZ FEET t MINIMUM NETWORK SUPPLY PRESSURE ; 2.50 FEET -Z~-~ T X o FzFRtCT1oN FACTOR. FEET + 10S FEET OF FORCE MAIN F TOTAL 09MAMIC. HEAD = 10 30 FEET Pump chamber DIAMETER - 3fl M I&ITERWAI.. DIMLWSIOW~ Of TANK: LEAI6TH - ;WIDTH --~;L.IQUIO DEPTH BOTTOM AREA ` - 231 GAL/INCH AS PER MANUFACTURER GAL/INCH Goulds 6 at=-6 Submersible Effluent Pump 3871 EP04 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. Available for automatic and tic cover with integral handle • Farms Motor: and float switch attachment • EP04 Single phase: 0.4 HP, manual operation. Automatic points. Heavy duty sump 115 or 230 V, 60 0.4 H0 models include Mechanical • Water transfer Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with rated oil and water resistant. automatic reset. Preset at the factory. ■ Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, construction. Pump: EP04 built in overload with ■ EP04 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi-open design 3/4" maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SA Canadian Standardt:Assmia6at • Total heads: up to 24 feet. with three prong grounding • Discharge size: 11h" NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- • listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F" or "AC".) rotary/ceramic-stationary, three prong grounding plug improved performance. BUNA-N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104°F (400C) continuous superior strength and 140°F (600C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running ; . ' C3144 dry without damage to s 30 ~t rs components. Pump: EP05 s - i - - - - -SFr. • Solids handling capability: 0 25 i 3/4" maximum. a - ' - W i - • Capacities: up to 60 GPM. s 20 • Total heads: up to 31 feet. • Discharge size: 11h' NPT. z s - • Mechanical seal: carbon- } rotary/ceramic-stationary, 4 15 ( BUNA-N elastomers. Emsl ` • Temperature: ° 3 10 ~u.3b 104°F (40°C) continuous S:PnA 40°F (600C) intermittent. 2 - - -T-- - - . - 1 5 n'4 1 ~ I 1 0 00, 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m~lh CAPACITY i O 1995 Goulds Pumps, Ina. Effective May, 1995 83871 Wiswnsin Department of Industry, SOIL S I 44N L U A ON REPORT Page of 3 Labor and Human Relations Z~ A7 V Division of Safety & Buildings in cord w 05, W dm. Code COUNTY s, ~pp•~ s~-, cZALX ~iY Attach complete site plan on paper not less th /2 x 1 0 inches fn sSYdrPlan. include, but not limited to vertical and horizontal reference . BM), di % of slope, a or PARCEL I.D. # dimensioned, north arrow, and location and dirt rrC4 o ICE O 18 - 10 ~i1-- `3 O APPLICANT INFORMATION-PLEASE PRI FORMAT I~O,lY'Y REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION 1 ~1Z S C a L GAV FtoT t1~ 1/4 5e 1/4,S 3o T Z-9 NR kZ E (04 PROPERTY OWNER'.S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM If -it0 l6o Yt} sr• I - ~ ZPos c• S,f`~- CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE [MOWN NEAREST ROAD Vyw 1 rs) , L-,) 1 SgatS nis)")46_ S377 ~ \36, O t ST K New Construction Use Residential / Number of bedrooms 3 [ ] Addition to existing building [ ] Replacement [ J Public or commercial describe Code derived daily flow gpd Recommended design loading rate • bed, gpdt2 - tip, gPd#t2 Absorption area required "a~l S bed, ft2 3-1 S trench, 112 Maximum design loading rate • S bed, gpdffll • 6 trench, gId* Recommended infiltration surface elevation(s) 1 o b • ZS It (as referred to site plan benchmark) Additional design / site considerations ~'1 IQ -f ~ 11 18'~ k4 7 ' )3Eb . W1 i tv . t ot=- S Ihs~1D Parent material iPy-t- "NJ t_t . Flood plain elevation, •d applicable 11,3 A, ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN IU HOLDING TANK U = Unsuitable for stem ❑ S ®U 0S ❑ U ❑ S LffU ❑ S ~U ❑ S ®U ❑ S IRU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourdary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed mndh A o-lo ~o`11Z zLZ - sit Ziw► eS , s L Z to zs ~o~~ 3l~ - s 11 Z~ sb►z vn c,~ - , s L Ground 2$-yy --)-s42 L//y s 1 1 ~stik ~S . q , s elev. ti0q_3 f1 4 ~(-S 1 ► o` 1 IZ S 1 L s ` a- 5 /8 S 1 pw~ Yh F t- - - Depth to limiting factor 4 q, Remarks: Boring # , 0-9 L6`-t►ZZLz - SCI 2~s~k wt~- eS - ,S L El 2 9-t.6. 10'1 Iz311. Grst) Z++-tsbk m~~ CLV ~s 3 \g-33 -'-ELI R_ 31 G~-s1 ~eJmk vn y'_ c~ ~4 •S Ground elev. 4 33 S y 10 `t IZ SA Z. s viz s s I 10q.o ft. Depth to limiting facctorr Remarks: • CST Name:-Please Print Phone Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Spnat<xe: Date: 7 CST Numbw. M00576 PROPERTY OWNER S~-~~~QL SOIL DESCRIPTION REPORT Page Of 3 :PARCEL I.D.# O 143 - l~bl - °1b Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 13 7 0 -10 \xpniL Zl2 - si I Z sbk wt'2-S • S • l -Z w Z~ ~o~t~z3IL Gasi l Z~s~k -(i- cw - , s 6 Ground 3 ZI 3S S `L2 31 y s 1 ca s~k YK -~k .5 elev. \t, .13 ft. y 3s-~o S ~-1R 31y n.S Lira sle, Depth to I limiting fa35,, } Remarks: Boring # I a- l 0 l~~-t R z C z s j l Z`Fs btZ wr'~'F- S _ . s• l Z ~0 ZJ, tot-tf?-31(, si l Z~sbk y►,~ft. , s , 3 Ground 2.b 3s . s j 9- 3 /y s I 1 e~S~ k m `fit- ew . 5 elev. 3 S_L S S tZ 3 / S y R s~8 c~~ - } _ Zo3. ft. Depth to } limiting factor 3s-, I Remarks: 61LovNpk/Pf2-M s2~c S ftT SS' Boring # I 13- Ground ` elev. ` ft. i Depth to i limiting factor ` i Remarks: ;,Boring # n t } Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= yO ' O ~O `NoT C11r~~~CT 4Z -t~- t`l-too \ • `O S t'ti lob s z 3z J oN v ~S Zvi O B •3 a ~ g..1 s.q t~ to s 1....oT ~ ~2S^ Lo`r Z- 10 2L LOO.O~ O►J l R-CVJ PIP E h ~T C'ARJU~2 s`T''PC1-rL , ~ ' hJ r Y- 1, 6?4" (715 ) 425 - n 1 E, 5 1400 5 7 6 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry, , SOIL AND SITE EVALUATION REPORT Page \ of 3 Labor and Human Relations 'Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY S-X-. ALX Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference pant (BM), direction and % of slope, scale or PARCEL I.D. S dimensioned, north arrow, and location and distance to nearest road. O 13- 10 61- 4 O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER PROPERTY LOCATION Ggff.- @T 1vE 1/4 Se 1/4,S 3D T 7-9 NR X-1 E (06 PROPERTY OWNER'S MAILING ADDRESS LOT 1f BLOCK # SUED. NAME OR CSM # t60 `iii ST• I - \1 iPoskm 0- CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE [WOWN NEAREST ROAD ~w*j ,s4ols (-)Is) 1°t~_ S3-1-7 ta'j t~:. \ t v 'nt ST K New Construction Use [X] Residential / Number of bedrooms 3 [ ] Addikn to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate -4 bed, gWt? =trench, gPW Absorption area required 3~ S bed, fit 3~ S trench, ft2 Wtmum design loading rate • S bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) ti01r, -ZS It (as referred to site plan benchmark) Additional design /site considerations vJ / etb Y1IIv . 1 ' ot= Sf yp F-JLL. Parent material r0- "~j t_t_ Flood plain elevation, I applicable tV fl , ft S = Suitable for system coNVENnoNAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for stem ❑ S ®U 0S ❑ U ❑ S INU ❑ S oU ❑ S ®U ❑ S ICU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Cons~sbertce Boundary Roots Bed tench d-[o \otIL ZL_Z sit Z~sbk TV eS s Z IrJ ZS 1O tZ 3l~ - s I 1 Z'~Sbiz vh cam, 1 . s L Ground Zs.Vy Wy s l l ~sti►z ~S , s elev. Zoe!-3tL yy-Sl 10% -S1L L_sy w~T+ - - Depth to limiting factor ~`ty Remarks: Boring # , y 0-9 L04 IZ -2-1 -Z - s 1 2. El Z log R 3JL Grst I Z,w, 3 bk w► r CLV ' S 3 ~g 33 Z•S`IR_ 31 Grs1 ~esbk rn~'~, c~ ~4 •S Ground elev. 4%rjq,o ft 4 33 SY 10 `tIZ S~~ ZLS `t2 s/~ j pi,, wt1v- Depth to limiting factor r, Remarks: CST Name:-Please Print Arthur L. We erer Phow: 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022 Signature: L_ n, . t'I -l'2,~ - Date: 9 7 CST Number: M00576 PROPERTY OWNER 5~~~ ~cQL SOIL DESCRIPTION REPORT Page of ? - °I O PARCEL I.D. # O Le - t(W) Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 d 40 M►z z L Z - s i 1 Z, s bk vw., C-S _ • s , l Is JIM Z ~o Z1 tio`t~Z3LL 6rs i Z~s~k y~, ~F►- cw , s . S Ground 3 Z1 3S S `LR 31y s c°_g~1z m C,~ ,q elev. \o4•0ft. y 3S--Lo S yR 3ly -I S Ada S/t; s1 O>~, VK `Fi - Depth to limiting factor Remarks: Boring # I ~-t0 lO`'tIZ z.LZ ~ sj I Z`FsblZ w~~'~. ~g _ , S • ~ , y Z to Z.1, io -t• 2 31(. L 3 Z6 3S 7•S yR_ 3IV - s 1e.S~1Z Yn`~h CLJ • •s Ground elev. 103• ft. 3S_~S S 1Z 3/ •S yR S/8 Depth to limiting factor ~ Remarks: G~y~ $cE SS" Boring # 13 Ground elev. It. i Depth to limiting factor I Remarks: Boring # •;Y t Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) PLOT PLAN ..Page 3 of 3 SCALE 1"= qO ' % ~O NoT Cs~r't~r~C-T oZ p~s~v~Zg ~g H1z~'t~, 2 , ~l"loy ° *vxc, Qp'~ e' B.3 Wq 510 1- cv;, N uT 111 S CJt ~Q s.y t2 tos`! LoT ` ~2 S^ '0 0 LoT Z loo - o ~ o►~ l ~ R-c~►~ ly ~ P E h -L_oT C°zTt"Lr2 tv vs~ 10 WF PVT -tbMT ZS' Flaw( w,oUu>> ~Pj r (715 ) 42~-0169 1440576 CST Signature Date Sign Telephone No. CST # _ tr- - - - o 3 4 - V _ a o ~ p ~ o J4- O wi N# LL: o` n m 'o 1 "E ~T' y' 819q P? M o m m CIO ''r C- . ) 6 _ ~1Sh M 0 U'n C o~ 560049. J-1 cl- a `TA CERTMED' "'SURVEY MAP IV 0q Located in the Northeast Quarter of the Southeast Quarter of Section 30, Township 29 North, Rang West, Town of Hammond, St. Croix County, Wisconsin. s, Prepared for and at the re4est of: NORTHEAST I'ORNER-~~ OWNER: SEC. 30-29-17 Terry and Sheryl Schnabl 740 160th Street (ALUM. CO. MON.) I I 00 Hammond, WI 54015 r- I r . Drafted by. Kristi A. Eylandt cVl I It r` 04 County Section Corner Monument of Record i NI uil 0-1 i I w = N • Set 1" x 24" Iron Pipe weighing MI a minimum of 1.13 pounds per UNPLATTED LANDS of U of ~I I o I linear foot. I ZI Uj I V N J M= Measured As cif ~I I 3'3- `r t R= Recorded As NORTH LINE OF THE NE 114 OF THE SE 114 I of pJl °o 166 o --------N 89'38'54" E 5313.79'-------~ - e I I I N Q W --------N 89'38'54" E 1314.34'------- ~ IL1111'~ 589.34692.00' b TOTAL AREA: LOT 1 oo o 195,750 SF./4.49 ACRES TO . \ AREA EXCLUD. R.O.W.: on I i N LO J 1 186,841 SF./4.29 ACRES 33.00=NNQ 692.00' 0 S 89'38'54" W 725.00'- Lo Cj g o TOTAL AREA• LOT 2 o = 0 195,750 SF./4.49 ACRES ro I I I z N AREA EXCLUD. R.O.W.: : °oN i 33.00, N of rr v 1 186,841 SF./4.29 ACRES I I I d I I QI o I W 692.00' to I ~I o l L" M I ~ - - S 89'38'54" W 725.00' - - : - i I- i W i = z° al 3 I~ LOT 3 I SEPTIC Iw ~IOof I. ji ~o I 1,0329,726 AR A: F. / 30.53 ACRES SHtD- I~ - ~I S Q N AREA EXCLUD. R.O W : O W I iA r cN or 1,304,295 SF. / 29.94 ACRES I I Io N = zl W otss~rsoeyrr O ® 0 1 D z 5c®ti r~~d `o° n l l IN L', or s~6 9 s," WELD : r j W In I I ~ I O p RONALD F. 1 o I I I b JOHNSON I is I ~ r I Z s-t aF 100' BUILDING SETBACK I o I l o° A M E Ft Y• LINE (FROM R.O. W.) I o I I I N Q WIS, / b I N I W dO' <,9 -O160th St. R. O. W.~ ~t+►~o~ mg 33.00. i I iL2 - - - / -S 89'48'31" W 1315.69'------ / R = S 89'48'30" W 3 I )166I I SOUTH LINE OF THE NE 114 OF THE SE 114 n LOTS CSM M I DOE NO._505545 I 7 / VOLUME 9 PAGE 2684 1 / • M CERTIFIED SURVEY MAP Located in the Northeast Quarter of the Southeast Quarter of Section 30, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin. r~ SURVEYOR'S CERTIFICATE :L, Ronald F. Johnson, a Registered Wisconsin Land Surveyor, hereby certify that by the direction of Terry and Sheryl Schnabl, 1 have surveyed, divided and mapped the Northeast Quarter of the Southeast Quarter of Section 30, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin, described as follows: Beginning at the East Quarter Corner of said Section 30; thence, on an assumed bearing along the east line of the Northeast Quarter of the Southeast Quarter of said Section 31, South 00 degrees 16 minutes 04 seconds East a distance of 1310.74 feet to the south line of the said Northeast Quarter of the Southeast Quarter; thence, along last said south line, South 89 degrees 48 minutes 31 seconds West a distance of 1315.69 feet to the west line of said Northeast Quarter of the Southeast Quarter; thence, along last said west line, North 00 degrees 12 minutes 30 seconds West a distance of 1307.06 feet to the north line of the said Northeast Quarter of the Southeast Quarter; thence, along last said north line, North 89 degrees 38 minutes 54 seconds East a distance of 1314.34 feet to the point of beginning. Containing 1,721,226 square feet (39.51 acres). Subject to said 160th Street (a Town Road) along the easterly line of the above described parcel and subject to all easements, restrictions and covenants of record. I also certify that this Certified Survey Map is a correct representation to scale of the exterior boundaries surveyed and described; that I have complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Subdivision Ordinance of the County of St. Croix County and the Town of Hammond in surveying and mapping the same. da r~' 9 R nald F. nson Reg. No. 1186 Dat A & E Land Surveying Telephone # (715) 246-4319 P. o. Box 325 New Richmond, WI 54017 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 e ~r i~ ti ~a6 Location of property_ ,U 1/4 S,e!~' 1/4, Section 70 ,TAN-R_4Z_W Township Mailing address :"?a lg:~©-/ 57- &J" 1.14~ f Address of site Subdivision name Lot no. Other homes on property? Yes__No Previous owner of property - y~ A, Total size of property ltscwr 34 s 3 Total size of parcel _ A-{,,.2 q Date parcel was created y~ ~6 ? ,~j J Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? ___?C_Yes No Volume /o'b and Page Number 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 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. S-1 '74,j7 , 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. 'Signature of Applicant Co-Applicant Date of Signature Date of Signature M STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 7 el .t/,a bl- MAIL NG ADDRESS 1X1'4 l~ T r5/ rn v.~ PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. ~c~ prr d~-0,dd GJ r CITY/STATE 7- PROPERTY LOCATION' 1/41 1/4, Section (J T_ g LN-R W TOWN OF a A, ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER T CERTIFIED SURVEY MAP J3 ad'4 VOLUME /;Z- , PAGE3.4' 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 date. SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 5176977 Vo losbm186 R nW+itarrom" JUN 10 1994 ~t 30" et Sz AA' l WARRAW" DEED (N) IKesretDee[fti MOLTZEN FARMg, INC. ,Grantor, of CLARK County, WISCONSIN , CONVEY and WARRANT to TERRY D..SCHNABL and SHERYL L. SCHNABL, Joint Tenants- County, ST. CROIX Wisconsin, for the sum of THIRTY-FIVE THOUSAND FIVE HUNDRED AND NO/100------------ Dollars (s 35 ► 500.00 the iblkm os tract of land in ST. CROIX County, whOO°'!~rvtOwft; Northeast Quarter of the Southeast Quarter (NEk-SEk) of Sectiom,Thirty-(30), Tovnship 29 North, Fange 17 West. tether with eassrents, restrictions and r1glits-of-way of record, if any. day of Mims ilrs Wd'ssd sal of said Grantor this 3rd 1 SEA JunaF . ,19 94. ` k the pasgws of (SEAL) MOLTZEN F RM , INC., PRESIDENT M~ ECRE'PM-TWEA3fJRER (SEAL) (SM) AtaNtO#LBt1('MEDtT am Ols 'WI NRINrt, COILII f Off' ' •sic e s • s 3i' Jun* ,1994 , ihs scow dn1' of wMldnj .,,N~;t~ d Ida G. i>soltzsn r sssr haos~n to be the perms who executed tM fmVing (or within) ~r Notary Public (.aeiww. wrsconstn ? ~ -