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HomeMy WebLinkAbout024-1001-90-200 v m 1 a 4 n I e o i N ~ I ° 7 2 c' •a I ~ E CL I c m 'a I ( I z° cc I c _ 3 f0 E I LL I <1 -0 Cl) z E ~ ! p I Z I cc) H m U) I o 0 ~z/ Y ~ r III d Z ~ C z N H r ~ I c I ~W c L 0 z z O N ~ d c I M y N m lA d d 01 CL t o O. r O c LO v G G a N -0 E~ U) co U) E E C=) zM> v0 0 r °.i- zo I •►v oaaa 'a O to ca N wJU 2rnm_ } m A m o r N II' M n M - Q E L~ N 0 0 7 ' N _ m a I O r y 0 (D p ! U) 7 `'4 O ° H w a w c ° T f0 ° c c E O O U N 0 0 0 d °O °O CD co rn CL CL C N E E c a~ LO I 6.a o r N 0~ L L Y ~7 N N C r 7L1 w co F- CCD 73i v v y > o • ~ o o a J N O z W '9 =s in Q v Y a y o, - a I r`I0 r~+ CL i Z. t A t0 a~ 0 aiL) i STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER -z ` ADDRESS SUBDIVISION / CSMI_ Ll /~?f Sq LOT 3 SECTION T eSN-R_Z7_W, Town of_ ST. CROIX COUNTY,. WISCONSIN PLAN-VIEW.. SHOW EVERYTHING W SySTE ,Q . 0 10 I INDICATE NORTH ARPOW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. `BENCHMARK: l /ic ~Orn e. h vy v irari~cJ ALTERNATE BM: "o. :SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: LjiP,~er Liquid Capacity: D"X,60v Setback from: Well House Other Pump: Manufacturer_ (Q;4 jaj :Modell &0a K// Size .spa Float seperation/ Gallons/cycle: /6'2 Alarm Location SOIL ABSORPTION SYSTEM Width: Length rro ' Number of trenches / Distance & Direction to nearest prop. line: 7' /do Setback from: well: ~Sr House y~G ""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: 2 7 - PLUMBER ON JOB: LICENSE NUMBER! INSPECTOR: 3/93:jt Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM y Safety and Buildings Division Count INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) SanitarxPggnjt:pq.: Personal information you provice may be used for secondary purposes (Privacy L , s.15.04 (1)(m)j. Holde IE NaMCHARD 9PNb ,Vi~lzpe T,gwn of: State Plan ID No.: v~L CST BM Elev.: !tl Insp. BM Elev.: BM Description: vtiL Y Parcel x_:1001-90-200 c) , ] & TANK INFORMATION ELEVATION DATA A9700243 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic _ Benchmark GCJ ~ ~ mac. r . Y „ Gv,GG . Dosing Aeration. Bldg. Sewer Holding St/ Inlet TANK SETBACK INFORMATION St/ Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic i y714, NA Dt Bottom S0 Dosing NA r / Man. Aeration NA Dist. Pipe 5 ''s Holdin Bot. System ?y PUMP/ SffP INFORMATION Final Grade Manufacturer Demands, Model Number GPM TDH Lift Lriction System SQ' TDH Ft Forcemain Length Dia. H Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT - Nq. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE / STREAM CHING urer: SETBACK CHAMBER INFORMATION TypeO j7t,c!,. Moe Number: System:,: / OR UNIT DISTRIBUTION SYSTEM Header/ Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia./ ! Length Dia. Spacing 4Z 1 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 E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) WC4TION: PLEASANT VALLEY 4.28.17,SW,SW 1716 CTY RD Z LOT 3 /'J• C' ^ , r~~~f Plan revision required? ❑ Yes ❑ No Use other side for additional information. Il SBD-6710 (R.3/97) Date Inspector's Signature Cert No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION 201eE.W and sBnigtonA ewsion N46onsin In accord with ILHR 83.05 Adm. Code P.O. Box 7969 Department of Commerce , Wis. Madison, WI 53707-7969 0- Attach complete plans (to the county copy only) for the system, on paper not less County 1 than 8 1/2 x 11 inches in size. ~T- C r x/ 0 See reverse side for instructions for completing this application State Sanitary Permit Number 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 RMATION Prope ner Name Pr pert Location i C S' 0/4 1/4, S C/ T . N, R Property Owner's iling Address Lot Nurrrb~r Block Number L Z~ City, State Zip Coe Phone Number Subdivision Name or CSM Number 4~a 1(7j.5)&7q 5150 i~ II 1 II. TYPE F BUILDING: (check one) ❑ State Owned o ityy ea rest Road ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms Town of Z. III. BUILDING USE: (if building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo ~a - Q® -too 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. p5 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 21 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) 97. Elevation 1?6 ( , 2 Feet ILY> Feet VII. TANK Capacity gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank ay ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber f 1 wolim ® ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage..system shown on the attached plans. Plumber' ame: (Print) Plumber's ignature: (No St mpS) MP/MPRSW No.: Business Phone Number: r Cy 1 / jYbJMJ 11 6 2 2WV Plumber's A dress (Street, City, State, Zip Code): l ` c ~.7 IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater assue Issuing Agent Signature (No Stamps) Surcharge fee) Approved ❑ Owner Given Initial Adve rse Determination I X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R 11/96) DISTRIBUTION: Original to County. One copy To: Safety & 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: 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 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 tank; 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 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. S97-40734 AFc Richard Lovelien - Mound F~ 597-40734 SA~~TY~ ~ A ~99~ COGS O/ v Location: Lot 2, Jon Hanson CSM SW 1/4, SW 1/4, Sec. 4, T 28 N, R 17 W Town: Pleasant Valley County: St. Croix Date: July 11, 1997 Owner: Richard Lovelien Address: 209 University Street Elk Mound, WI 54739 Plumber: Rog r Timm Signature: kzf", , L~1~ License # MPR 3224 Attachments: 6748-Plan Review Application SBD 8330 page 1: cover 2: calculations 3: plot plan 4: system cross section" 5: plan view, lateral detail 6: pump tahk exit detail 7: pump curve IP.0 '.'Oita Cott lItIp ~O pMN'~1~,p►N~`' page 1 of 7 0 P ~ ~ ~oN oNO~N~~ EE G~RR System Calculations One family residence 3 bedrooms Loading rate gallons/sq ft per day Depth to ground.water Z 8 in Depth to bedrock in Cross slope 4~ % --w Force main length ft of in Manifold/header length hiA ft of in Drainback A.'~ gallons Lateral length @ g °•,0 ft of in Lateral elevation -kvft (bottom of pipe) Lateral hole size in @ 60.0 in f t) spacing "q holes/lateral, holes total Lateral volume gallons Total lateral discharge rate 2•Z•Z3 gpm @ ft head Elevation difference ft i Friction loss o Zg ft @ Z~ gpm Total dynamic head ft Pump/si04on 212 gpm @ > > ft of head 1'g-A-Z Manufacturer'' Model # Dose volume ~1 Z gallons Lift/si'pbon tank gallons Septic tank gallons Measurement pump on & off in Height alarm from tank bottom in Reserve capacity 31b + gallons talcs page Z of ' ~:J~,,.~ 4-S a~,}r~c~a Lo v2. `:o•"- 1 ~o~ ~~1a~ Sw~Sw-4-L.o-~'?w S'K1 ``..Q,A T •.~JS ..~p.o 7' `c-~ u.w•. '1 L.•t d.. v 0~ 1.~ ( ~ zw' .NC► c'iTK L1L~AA ~ (0" %%zoloA Q-1 6-40) \ L+., Qck Z (l ; s,,~c~, Iwo -bop xs, irvra~, a..iti t o ~MN l3M ( ( P,2i t' ~L Q. Q.b oti a •i ~ , I e t- Y o~ a-vo► v. w. N~ 9.1 104.0, 4L (M'`//' to 21 `Catty-..~X~ kLovk a- J S ts. w► vo S S ] a 0- ov% ` 0. Vt ~~t ~\Ow %NNI tQw, / a.T., b ~opaa~~ Ct,~.z M~a~ ~ b s..~aco:1 3 lot 4. C e Cv...~.5 ~I f M R~ 6 t ~ •o .o % CA Y.'. t S T er\ a... ~O d.1. ( cg ~r : u., ~ ti1.IX ~ ur 1 L G.A. t O~„~: v a.~. '1- o \i: v. ate" ~/~r „ V C_ e. w. Ob S G~1, v -1+ Oy R \ \ S 40 o o } ~r o~1~ ` Q 01, ! V a~tr. / ~ arl• G~.•~ ~ air ~a ~ • ~ ~ ~ ~ o r.•. 0~.~ o ~ ~r u c.. lc b Sj-ov~ ~.►s:. r. z" P-L I ~.p I ~.O' I S•c~' l 5•o I N ( ~ ~ ( .yam " /1 ~4 q) ~ o ~ ..-F Q.~. co..~. a.~.. ~01 ' o : ~ ~ b o • o a~ r•-~ (r• o ' s o~ ~ WEATl1ERPR00F JLNCTWM LOCI(lMG COVER ~prt wAw'ouAa AJWWC. OACK OlStoyv~ 4" C.T. 11"Pu "Oftu" 7 DIPi. X wolbTummo SOL. ,240 t.D. ~ ViIJT ~Iv MgMIl01F ~ , tIN. ~r oPra Q A ca. Pw r zbw'S BAFFLES 3' owo 'IFS a 2" IWD1s1VIR8. cTlow~ _'1`__ 'T'_ pN GwYwo P+1a*IP p Cowt~earE . 1-1Q,,,,, = 6~oC~[ EPTIC SPEGIFI'll I4TIQU )St. ANK 1AAMUFACTuRGIt: IJUMOER OF OOicS: PER D" \ ~►•ria - li ••a~ TAIJK SIZE: GALLOWS DOSS VOLUME ALAR A^mUiACTYR,CR: 1T ~~a~ IIJCLYOIN4 SACKICON/: I Z bALLONS P%oDcL LIUMOCR: ° ~w CAPACITICS: An 1S'~ WCAES OR 3110' GALLONS SWITCH Ty1[: 8a INCHES OR -NT'r GALLO4IS ,AMP MALIUFACTURCR: G. IhAmES OR GALLONS MODEL I,JUMOCR: 3 g}Z' 1 J )w ~o INCHES OR ` "*6 OALLOM6 SWITCH 'rWPC: 0Tr: PUMP AUO ALARM ARE TO SC MIIJIMUM OISCNARfrC KAT[ ~3 6111 INSTALLED ON SEPARATE CIRCUITS virKrICAL DI/F[QEQU OETW[CUI PUOV OFF AMC 04TRIbUTION M►C..FEET 1411U 'IUM NETWOItK.. S0FPj.V .otcssURE.............~?= MET / POET OF FORE[ AMU X 1~-/~/EFVtICT" FACTOR... FEET Z~ 14.•3 - TOTAL OyWAMIC 14CAD s FEET 16" TERNAL DIMEAJ16IONG OF TAWK: LEN(&TN ;WIDTH j LIQUID DCPT H t' w IF ~ 016 Goulds „ slawaga Pw a. - 3872 APPLICATIONS Motor FEATURES Specifically designed for the • Single phase: t/2 HP, 115 Impeller: Thermoplastic following uses: or 230 V, 60 Hz, 1550 RPM, Full-Vortex design with pump built in overload with out vanes for mechanical seal • Residential sewage systems • Dewaterin automatic reset. g protection. • power cord: l0 foot • Water transfer standard d:10 length, o 16/3 t SJTO Casing and Base: Anywhere waste or drainage with three prong grounding Rugged thermoplastic design must be disposed of quickly, plug. Optional 20 foot provides superior strength quietly and efficiently. length,16/3 SJTW with and corrosion resistance. three prong grounding plug. Motor Housing: Cast iron SPECIFICATIONS • Fully submerged in high for efficient heat transfer, Pump: grade turbine oil for strength, and durability. • Solids handling capability: lubrication and efficient Motor Cover: Thermo- 2" maximum. heat transfer. plastic cover with integral • Capacities: up to 70 GPM. handle and float switch • Total heads: up to 18 feet. Available for automatic and manual attachment points. • Discharge size: 2' NPT. operation. Automatic Power Cable: Severe duty models include Mercury • Mechanical seal: carbon- rated oil and water resistant. rotary/ceramic-stationary, Float Switch assembled and BUNA-N elastomers. preset at the factory. 0-ring:'Provides positive • Temperature: sealing. Easily replaced 104 pF (400C) continuous during maintenance. 1400 F (600C) intermittent. Stainless steel fasteners. • Fasteners: 300 series METERS FEET stainless steel. • Capable of running dry 8 without damage to components. 7 20 5 GPM - - - - a 4---2. 1 5 FT V 5 15 >Z 4- O 3- O 2- 10 5 1 ~ 0- % 10 20 30 40 50 60 70 GPM 2 4 6 8 10 12 14 16 M-/hr CAPACITY I%3-0-* C2 O c } lJ V ^ a, ©1994 Goulds Pumps, Inc. Effective May, 1994 13 B3872 Wisconsin Department of Commerce ND SITE EVALUATION Page 1 of _-2-- Division of Safety and Buildings th Comm 83.05, Wis. Adm. Code Attach complete site plan on paper not I size. Plan must County include, but not limited to: vertical and ri; 'ntal reference p direction and St. Croix - percent slope, scale or dimemsions, o arrow, ambbla ion a eljs nce to nearest road. Parcel I D # 024-1001 90-200 APPLICANT, INFORMATION'- P/eases I infor n. Personal information you provide may bused for seconds Reviewed B Date Y Y b r)! PyrPoI ivacy s. 15.04 (1) (m)). Y y s t a _ 1.. Property Owner piA Property Location Lovelien, Richard Govt. Lot SW 1/4 SW 1/4 S 4 T 28 N,R 17 W Property Owner's Mailing Address ..Lot # Block # Subd. Name or CSM# 209 University Street 2 Hanson CSM 11/3090 City State Zip Code Phone u y Villa a XTown Nearest Road Elk Mound WI 54739--116479-5230 Pleasant Valley CTHW Z New Construction Use: X Residential / Number of bedrooms 3 Addition to existing building Replacement [ _i Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate -2 bed, gpd/ftZ .3 trench, gpd/ftZ Absorption area required 2250 bed, ftZ 1500 trench, ft2 Maximum design loading rate .2 bed, gpd/ftZ .3 trench, gpd/ftZ Recommended infiltration surface elevation(s) 98.2 ft (as referred to site plan benchmar Additional design / site consideration ~nstal14' x 95' rock bed mound on 97.2 as upslope edge of rock w/ V sand fill Parent material glacial till Flood lain elevation, if applicable NA ft uitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank [U:=SUnsu ita ble for system x U S" U S: U S U U U Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ftZ Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0-4 10YR 3/3 - sl 2 m cr mvfr cs 2flm .5 .6 2 4-13 IOYR 3/3 - sl 1 m sbk mvfr cs if/m .4 .5 Ground 3 13-20 10YR3/4 - sl I msbk mfr cs If .4 .5 elev 97.2 ft 4 20-37 7.5YR 4/4 - sl 1 m sbk mfr gs 1 f .4 .5 Depth to 5 37-67 IOYR 4/6 c3d IOYR 6/2 sl 0 sg dl - - .7 .8 limiting Note: this report is supplements to the teel repoftTo-r Jon Hanson, /22/96 factor 37" Remarks: anomalous pit; no tight till; use Steel loading of 0.2/0.3 gpd/sq ft for design 2 1 0-3 IOYR 3/3 sl 2 m cr mvfr cs 2flm .5 .6 2 3-10 IOYR 3/3 - sl 1 m sbk mvfr cw if .4 .5 Ground 3 10-25 1OYR 3/4 - sl 1 m sbk mfr cs if .4 .5 elev 96.9 ft 4 25-28 7.5YR 4/6 - sl 1 m sbk mfr cs 1 f .4 .5 Depth to 5 28-41 7.5YR 4/6 f2f l OYR 6/2 sl I m sbk mvfr cs - .4 .5 limiting 6 41-64 5YR 4/4 c2p IOYR 6/2 sl 0 m dvh - - NP NP factor _ 28" Remarks: horizon 6 is effective BR by resistance to penetration; very tight; poorly sorted till; monolithic NOW CST Name (Please Print) Signature: Telephone No. Henry F. Grote 715-665-2681 W1 54749 Address ox napp, Date CST Number Ref # 7/7/97 222774 126 10%0% ~..w4ch 14 ~M sib ~ .off z. sin • 1w 6taw bK~~Ot ~ T L ' cr w Ck. Wisce:ls,in Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of'_ L€Jbbo~ arid Human Relations pivision~ 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 St. Croix 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. pending APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Jon Hanson GOVT. LOT SW 1/4 SW 1/4,S 4 T 28 N,R 17 :k(or) W PROPERTY OWNER':S MAILING ADDRESS OT # BLOCK # SUBD. NAME OR CSM # , I~` ~0 9 U 1748 Co. Rd. #Z --r 3 na csm endin (1J CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [fOWN NEAREST RO Hammond, WI. 54015 (80Q 525-9872 pleasant Valley I Co. Rd. #Z k] New Construction Use [ Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .2 bed, gpd/ft2. . 3 trench, gpd/ft2 Absorption area required np bed, ft2 375 trench, ft2 Maximum design loading rate .2 bed, gpd/ft2 .3 trench, gpd/ft2 Recommended infiltration surface elevation(s) 100.45 ft (as referred to site plan benchmark) Additional design/ site considerations system el based oncon tour ling of R1_ gg _ 49 Parent material glacial drift Flood plain elevation, if applicable nA ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem ❑ S O U Ci S❑ U ❑ S 9kU ❑ S NU ❑ S ® U ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-12 10 r3 3 none 1 2msbk rnfr if 9 -6 1 2 12-28 10yr4/6 none sicl 2msbk mfr gW if .4 .5 Ground 3 28-48 7.5yr4/6 c2p 7.5yr5/8 sicl M na na na np .2 elev. 99.65 ft. - Depth to (b limiting factor 281, Remarks: IC}tiarrC N~ _r N Boring # 1 0-8 10yr3/3 noneJV ' 2msbk mfr gw if .5 `:.6 2 2 8-27 10yr4/4 none sicl lfsbk mfr gw if .2 .3 3 27-55 7.5yr4/4 c2p 7.5yr5/8 sicl M na na na np .2 Ground elev. 99.65 ft. Depth to limiting factor Remarks: " CST Name: Please Print Gary L. Steel Ph e. 715-246-6200 Address: 1554 00th. Avl--- III Richmond, JAq. 54017 Signature: Date: CST Number: : 7 4-22-96 cstm 02298 PROPERTY OWNER Jon Hanson SOIL DESCRIPTION REPORT Page ~of--3-- PARCEL I.D. # pending ; Y Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoundEry Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench = 1 0-9 10yr3/3 none 1 2mc;bk mfr 9w if .5 .6 ` 3.' 2 -25 10yr4/4 none sicl 2msbk mfr 9w lf .4 .5 Ground 3 k5-48 7.5yr4/6 c2p 7.5yr5/8 sicl M na a na np .2 elev. 98.55 ft. Depth to limiting factor 25" Remarks: Boring # gar; Ground elev. ft. Depth to limiting factor Remarks: Boring # 4 Ground elev. ft. Depth to limiting factor Remarks: Boring # rain-':::.. Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) ~ i STEEL'S SOIL SERVICE Gary L. Steel Jon Hanson 1554 200th Ave. CSTM2298 SW4SW4 S4-T28N-R17W New Richmond, WI 54017 MPRSW 3254 town of Pleasant valley (715) 246-6200 lot #2-CSM N 1"=40' BM.= top of NE lot stake @ el. 100, ~ '6 r : s b ~ ~v : Al 124-\ ~~fl 32 a Qt\ Gary L. Steel 4-22-96 8 FILED 1 APR 3 0 1996 L KATHLEEN H. WALSH 2 Register of Deeds SL Croix Co., WI 542945 u) CERTIFIED SURVEY MAP LOCATED IN THE SW 1/4 OF THE SW 1/4 OF SECTION 4, T28N, RIM TOWN OF PLEASANT VALLEY, ST. CRO I X CO. , WI. PREPARED FOR: JON HANSON NOTE: BEARINGS ARE I REFERENCED TO THE SOUTH 1 LINE OF THE SW 1/4. (ASSUMED BEARING) UNPLATTED LANDS ROVED NORTH LINE OF THE SW-SW S 89°51' O1"E 1281. 11' 7"' pf ;T , CROIX COUNTY y 1 011 p. Lhensive Plannk Z Zoning and /n, I Parks Committee n ~ y r z LOT I Y not recorded z m m v, 27.63 ACRES wanin 30 days of N approval date . i ( 1, 203, 733 SO. FT. ) 27.20 AC. EXC. R--'W p rovat shag be c,) iy p ( 1, 184, 703 SO. FT.) no cil & void p ^l :z APPROVAL OF LOT 4 ....T :Z DOES NOT CONSTITUTE A y APPROVAL 'OF A BUILDING o p :r co~ SITE (I HL 83.03). ;m j,n N 90 E 600. 00' N 90°00' 00"E 000,001, 01 300.00' 300.00' 300.00' W ~r p Z !D :Z :N N N y cn y ~ LOT 2 W_ LOT 3 LOT 4 Ch 4. 13 AC. (0 ~ 4. 13 AC. 4. 13• AC. ca 179, 958 S0. FT: c0 179-956 SO. FT. • L" W c0 co ( 179,948 SO. FT.) p 3.79 AC. EXC. rt~ J. 79 AC. EXC. c0 m cO 3.79 AC. EXC. M EXISTING HOUSE RiW R,,W 164,957 SO. FT. rn 164,957 SO. J~6 164,950 SO. FT. M Q I O S0DRIVE O 0 0 6.020 ~o 300. 00' 30000' 299.97' 0 314L 62' - N 90190' 00"E 300. 01' 300. 00' 299.97' 314.60' 1313.61' 1 -S - 33.0 _ - 66. 02 -0. - - - N90° 00' 00" W 60' SW CORNER OF SECTION 4. ,C. T. H. „ , Z,° N 90000'00"WW 12 8 S 1i4 CORNER OF SECTION (COUNTY MONUMENT FOUND) SOUTH LINE OF THE SW-SW 4. (COUNTY MONUMENT FOUND). NOTE: UNPLATTED LANDS LOT 4 DOES NOT HAVE A SUITABLE SITE ~~`!►lORdQm¢y~ FOR SEPTIC SYSTEM UNDER CURRENT CODE O~G0 ~Sy DESCRIPTION A parcel of land located in the SW 1/4 of the SW '/4 of Section 4, T28N, R17W, Town,,of Pleasant Valley, St.Croix County, Wisconsin, more fully described as follows: Commencing at the SW corner of said Section 4: Thence N90°00'00"E 33.01' to the point of beginning: Thence N01'15'59"W 1363.32'; Thence S89°51'01"E 1281.111; Thence S01°14'53"E 1359.961; Thence N90°00'00"W 1280.60' to the point of beginning,, Contains 40.03 acres (1,743,595 sq. ft.) subject to C.T.R. "Z" right-of-way over the southerly 50' thereof. Also subject to any and all additional: easements, right-of-ways or conveyances of record. SURVEYOR'S CER'T'IFICA'T'E I, James M. Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St.Croix County Subdivision Ordinance and under the direction of Joi-j,. Hanson, I have surveyed, divided and mapped the above described parcel of land and that this map is a correct representation of the boundary thereof. 0 Aj Dated this day of 91996. .0 'o r s, JAMES M. James M. Weber S-1804 WEBER NELSEN-WEBER LAND SURVEYING SPRING1VALLEY f Wis. }fit ti U R1 ftust" NOTE: The parcels shown on this map are subject to State, County and Town 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 the appropriate Town Board for advice. 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 L Gtar~~rcie ~n Location of property ; Lc 1/4 5,, cj 1/4, Section , T ZS N-R_L7_W Township Mailing address T Address of site 171(=, --y -e subdivision name ; d?c~j,~ Lot no. Other homes on property? Ye C No Previous owner of property ~3oY1 cyt '8~. Total size of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes C No Volume r~~6 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 ffice of the County Register of Deeds as Document No. Z5q- , 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 nat f Applicant Co-Applicant Date of Signature Date of Siqnature STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER l,~zs L~s~~ me MAILING ADDRESS > PROPERTY ADDRESS f Z (location of septic ystem) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION 1/4, S C,,J' 1/4, Section T --2-8' N-R_ /'Z-W TOWN OF 1_21ee ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP 4 , VOLUME t 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 d e. SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 /0. VOL 19- 40Pm449 559789 STATE BAR OF WiSCONSI% Fo1t r - 1482 WARRANTY DEED r' DOCUMENT NO. I" CO.. Vd t.~tiataAta i Jon M. Hanson and Kelly J. Hanson, 1xisbard and wife, - . MAY 2 2 .199+ `r - ,pd 1:00 P. M conveys and warrants a, Richard M lovelier and Patricia S.i•1r.- 'k L~J.k ~Ly Lovelien, husband and wife. as surv~~'oes~ip f+wt~~Liid1 marital property, - THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS, Y r the following described teal estate in S REAM e, State of Wisconsin: X00 SOU SECOND STREET , HUDSON, W154016 , 024-1001-90-200 ~ PARCEL IDENTIFICATION NUMBER R: y Lot 3 of Certified Survey Map filed April 30, 1996, in Vol. 11, page 3090, Document No. 542945, being a part of the SWI14 of the SW1/4 of Section 4, T28N, R17W, Town of Pleasant Valley, St_ Croix County, Wisconsin. i, A a This is not _ homestead property Ot (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. May 97 Dated this O day of _ AD, 19 at. (SEAL) / (SEAL) 4~~ • Jon M. Hanson Kelly son (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT State of Wisconsin, , Signature(s). ss. St. Croix COU y authenticated this day of ly_ Personally came before the this day of r; - j - 19 97 . the above named Jam M Hanson and Kelly J. Hanson, .W _ husband and wife TITLE: DILMBER STATE BAR OF `IISCONSIN ' _ Brenda Poulin (If not, authorized by 5'lki0+. Wis. Stats.) Notary Public yI Me m to be the person _ executed the foregoing State of Wisconsiv rsa t//and ac/kn/owledgeme. ~.o .,crou. •it wee noee TCn aV //.f.n.n ~