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Wisconsin Department of Industry, SOIL AND SITE EVALUATION 1 3
L Labor and Human Relations Page of
Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis.
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. #
030-1019-10
APPLICANT INFORMATION - Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
David J. & Julie A. Waldroff Govt. Lot SW 1/4 NW 1/4,S 5 T 29 N,R 19 x4x) W
Property Owner's Mailing Address Lot # Block# Subd. Name or CSM#
398 River Road 3 Proposed CSM
City State Zip Code Phone Number El Nearest Road
Hudson WI 54016 ( ) City El Village St. Joseph I ® Town Trout Brook Road N
® New Construction Use: (3 Residential / Number of bedrooms u b Addition to exishng building
❑ Replacement ❑ Public or commercial - Describe: T; `t
~7 P,
Code derived daily flow N/A gpd comm ed desi~jf 4j$ ing rate 1 ' 2 bed, gpd/ft2 trench, gpd/ft2
Absorption area required 125 bed, ft2 125 trench, ft 2/ i Maximim 4fesign loading rate 1 2 bed, gpd/ft2 1. 2 trench, gpd/ft2
Recommended infiltration surface elevation(s) ff,,%s referred to site plan benchmark)
Additional design/site considerations 4;" Ilk
Parent material glacial till ood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In- - nd Pressure AT-Grade System in Fill Holding Tank
U = unsuitable for system ❑ S ®U ® S ❑ u ❑ S f U ❑ S ® U ❑ S ®U ❑ s ® U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2
9 Texture Consistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
1 1 0-10 10yr3/3 None 1S lfcr mvfr as 2f 0.7 0.8
2 0-27 10yr4/4 None *gr.lS lfsbk mvfr cw 2f 0.7 0.8
Ground 3 7-36 7.5yr3/4 None *Si 2fsbk mfr cw if 0.5 0.6
elev.
98,5-Lft° 4 6-48 7.5yr3/4 m/d 7.5yr4/6 Si 2fsbk mfi gw 0.5 ~ 0.6
5 8-10 7.5yr3/4 M3P 7.5yr4/6 Si Om vfi 0.3 '0.4
Depth to
limiting
factor
3 6" in.
Remarks: *15% gravel & cobbles
Boring #
1 -10 10yr3/3 None 1S lfcr mvfr as 2f 0.7 0.8
2 2 0-22 10yr4/4 None gr.1S lfsbk mfr cw 2f 0.7 0.8
3 2-35 7.5yr3/4 None Si 2msbk mfi gw if 0.5 0.6
4 5-92 7.5r3/4 10 J/3 yr
Ground Y M2P 7.5 r 4 / 6 Si Om me f i 0.3 0.4
elev.
98.74ft.
Depth to
limiting
factor
-Min. Remarks:
CST Name (Please Print) 1 i ture.F j Telephone No.
Michael R. VanWey 715-386-9020
Address Date CST Number
1070 Hwy 35'N., Hudson, WI 54016 5-3-97 344
W<
PROPERTY OWNER Waldroff, David SOIL DESCRIPTION REPORT Page 2 of 3
PARCEL I.D.# 030-1019-10
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
3 1 0-11 10yr3/3 None 1S lfcr mvfr as 2f 0.7 ,0.8
2 1-16 10yr4/4 None gr. 1S lfsbk mfr w 2f 0.7 -0.8
Ground 3 16-2 10yr4/4 None Sil msbk mfr w if 0.5 ' 0.6
elev. r
2d 10yr5/3 Si 2msbk mfi gw 0.5 0.6
102-49f t. 29-3 to 7.5yr4/4 3
5 31-8 7.5 r3/4 f2d 1~0 r5 3 & S1 m mefi
Depth to 0.3 ;0.4
limiting
factor
31 "in.
Remarks:
Boring #
*NOTE: Several borings evaluated throughou property. Profiles of
reported due to si i arit to Orin s
1 '
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Boring #
Ground
elev.
Depth to
limiting
factor
in. Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
SBDW-8330 (R. 08/95)
• ~ • LI
v) d
sca
a
~s
A
NOTICE: Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
PLAN VIEW
o~
C1P ?ten
73 ~
o'
INDICATE NORTH ARROW
ST. CROIX COUNTY ZONING DEPARTMENT `
AS BUILT SANITARY REPORT
Owner Sd~ ~@ M Ru Q R
Address 1 2taw tob
City/State t#) f ON i s c S y ON
Legal Description:
Lot Block Subdivision/CSM #
'/.S W %a NW, Sec. -j-, Taj N-R_ftW, Town of S - 051 i, PIN #
SEPTIC TANK - DOSE CHAMBER - HOLDING TANK INFORMATION:
Tank manufacturer ¢ekS Size ST/PC I-)III ~ Setback from: House ~V Well 7S~P/L-;> SU'
Pump manufacturer Zoe ~tL Model 53
Alarm location t45p5-imXT R
(HOLDING TANKS ONLY)__ Setbacks: Service road Vent to
Meter location
Alarm location
SOIL ABSORPTION SYSTEM:
Type of system: (AU\.QJ Width S Length IUy' Number of Trenches
Setback from: House > I OO Well 7 I cu' P/L? [ b n' Vent to fresh air intake 7 1 U
ELEVATIONS:
Description of-benchmark NU C u~Ng S ~ ~ ~~~o
Elevation
Description of alternate benchmark Elevation
Building Sewer ST/HT Inlet $~'S ST Outlet PC Inlet gU •3 (o
PC Bottom '7 L - Header/Manifold Top of ST/PC Manhole Cover
Distribution Lines 8`I • oho j S N ~v~ ousJb ( )
Bottom of System ( ) V 3 ( ) ( )
Final Grade g 5. (o ( )
Date of installation 8 /a /9$Permit number State plan number 1 y 10 87
LPI.unmber's signature License number o a~ ~O~ Datea /T81 95
spector :y, M S UF.~
Complete plot plan
Wistonsin 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 299072
Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.:
HEMAUER, JODENE ST. JOSEPH
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
~ ~ ~ aS r~ 030-1019-10-000
TANK INFORMATION ELEVATION DATA A9700391 /Z- P4f
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic S 24Cej Benchmark
Dosing of ~J CnA&t . A, , L$ c?O,(l27
Aeratio Bldg. Sewer
Holding St/kIf inlet ~z ? 10.S-t
TANK SETBACK INFORMATION St/Of Outlet / oZ'
9 9L' p
TANK TO P/L WELL BLDG. Ventto Air Intake ROAD Dt Inlet / D._% -0 f Septic Sd • 1104- NA Dt Bottom 2-3, SZ 76.76
Dosing S-Q 9Q 96 ' NA Header/ Man.
Aeration NA Dist. Pipe /6. Zz, 9 y 06 ~
Holding Bot. System 7 If 93, 16
PU GIMN"FORMATION Final Grade 45'-(06~
Manufacturer Demand
Model Number a- -,.5- 3 GPM
TDH Lift•310 t Lrictio.n 2 Systema- TDH/O.i9 Ft
oss
Forcemain Length Dia. HDist. To WOO
SOIL ABSORPTION SYSTEM
BED /TRENCH Width r Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS l L0 DIMEN I
LE ur
SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM
INFORMATION TypeO)'7 AMBER o er:
System: -K-&-d >S0 OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) „ x Hole Size x Hole Spa sing Vent To Air Intake
Length Dia- Length 4 ~ Dia. ~ Spacing 44- * ' G Q i6Z
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over per'„ xx Depth Of dt xx Seeded /Sodded xx Mulched
Bed /Trench Center ~a Bed /Trench Edges I ` Topsoil ~p es ❑ No ®'~es ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: ST. JOSEPH ~.29.19.80A,SW,NW 1159TR0 BROOK RD N
64 /v-
& CsT id. /9. - /410. `(__V7° ae 6;* 111;
Plan revision required? ❑ Yes E.P is2lnspector'sSigngture Use other side for additional information. SBD-6710 (R 05/91) Date Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
u^ Safety and Buildings Division
v~■~nra 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. 5t. QD
• See reverse side for instructions for completing this application State Sanitary Permit Number
01? 17 q The information you provide may be used by other government agency D 1 0-k
y y y programs ❑ Check it revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION /O&
Property Owner Name Propert Location
JO e Lo ern u-el! 5L4 1/4 Rk 1/4, S T a g , N, R j 9 E (or) W
Property Owner's ailing A ss ` Lot Number Block Number
Ci f
tat Zip F Code Phone Number Subdivision Name or CSM Nu ~ yn ea 3 O,
11. TYPE OF BUILDING: (check one) ❑ State Owned ❑ cit~ S 1oje Nearest ,.,Tad
E] VII age L Rpe
❑ Public 1 or 2 Family Dwelling - No. of bedrooms own OF oU~ t
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 5- a 9. /Q 8q4
1❑ Apartment/ Condo 030-109- 1060 /00
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 online B, if applicable)
A) 1. 5kNew 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
11E] Seepage Bed 21 KMound 30 ❑ Specify Type 41E] Holding Tank
12E] Seepage Trench 22E] In-Ground Pressure 42E] Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14E] 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
V /as a 11 a 1-0) Feet Feet
VII. TANK Ca
in galloacitns Total # of Prefab. Site Fiber- Plastic Exper.
INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass App.
New Existing strutted
Tanks Tanks
Septic Tank or Holding Tank ' l d v U Or ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber - O~ ❑ ❑ ❑ ❑ ❑
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 nature: (No Stamps) MP/MPRSW No.: Business Phone Number:
r+~ urn c-dln 3 VOY ls_ '96~b.
Plumber's Address ( treet, CityY, State, Zip Co e):
(6 b ~ 11 N uD.Sahi M r c - SWI(o
IX. COUNTY/ D ARTMENT USE ONLY
(Includes Groundwater ate Issue Issuln A e t SI ature (No S S
E] Disapproved Sanitary Permit 9 9 9 p
Surcharge lee)
Approved ❑ Owner Given Initial J
Adverse Determination CJ
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber
r
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.
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 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.
S97-41087 RECE/VE
SEP _ D
JODENE L. HEMAUER SAFETY, 21997
4 BEDROOM RESIDENTIAL MOUND DESIGN & BLOBS. DIV
PLAN ID# S97-41087
REVIEW DATE: SEPTEMBER 5, 1997
PLAN REVIEWER: GERRY SWIM
PROPERTY LOCATION: PROPERTY OWNER:
SWI W14, SEC. 5, Jodene L. Hemauer
T.29N., R.19W., Tn of
St. Joseph, St. Croix Hudson, WI 54016
County, WI.
Pcl.# 030-1019-1000
INDEX TABLE
PAGE 1 OF 8 TITLE SHEET
PAGE 2 OF 8 WORKSHEET
PAGE 3 OF 8 WORK SHEET PG. 2
PAGE 4 OF 8 PLOT PLAN
PAGE 5 OF 8 MOUND CROSS SECTION
PAGE 6 OF 8 DISTRIBUTION PIP
PAGE 7 OF 8 PUMP CHAMBER CRO
PAGE 8 OF 8 PUMP SPECIFICA'4 1 l goly
ATTACHED SOIL EVALUATI AppRo)[ED ID
rvoor CotWERCE
SAf E iU►LWNGB
OF
is
PREPARED BY: ONDENCE
SEE COR
Jim Boumeester
1070 Hwy. 35 N.
Hudson, WI 54016
(715) 386-9020
SIGNATURE:irnaa L~fX~L~.1~~C9 ~MPRS# 3404
DATE:
WORKSHEET
ABSORPTION AREA SIZING
1. Daily wastewater load 600 Gpd
(3 bdrm) (150 gal/bdrm)
2. Depth to limiting factor 29"
3. Land slope 11%
4. Infiltrative capacity
of soil at system elev. 1.2 gpd/sq.ft. ASTM C33 med. sand
area required 375 su.ft.
bed length (B) 100.0'
bed width (A) 5.0'
MOUND DESIGN
1. Mound Height: 2. Mound dimensions:
fill depth (D) 1.0' end slope (K) 11.0'
((1.0 +1.55)/2+.75+1.5)3=10.58
downslope fill depth (E) 1.55 total length (L) 122.0'
1.0 +(11% X 51) (100.0')+ (2 X 11.0) = 122.0'
aggregate depth (F) 0.75' downslope width (I) 15.0'
(1.55+.75+1)(3)(1.51) =14.95'
cap and topsoil depth(G) 1.0' upslope width (J) 7.0'
(1.0 +.75+1) (3) (0.75) = 6.19'
cap and topsoil depth(H) 1.5' total width (W) 27.0'
7.0' + 5.0'+ 15.0' = 27.0'
3. Basal Area:
Basal area required 858 sq. ft.
600gpd./0.7gal./sq.ft./day per CSTM = 857.15'
Basal area provided 2,000 sq. ft.
(100')(5'+15.0') = 2,000
Linear loading rate 6.0 Ital./linear foot
600 gal./100' = 6.0
PRESSURE DISTRIBUTION NETWORK
1. Distribution pipe sizing:
Lateral length 47.5'
Lateral size 1 M"
Lateral spacing NA"
Sidewall separation 30"
Hole size Y411
Hole spacing 60" 1st hole at 30" from manifold)
Holes per lateral 10
Dist. network discharge rate: 23.40 gal./minute
(2 laterals)(10 holes/lateral)(1.17gal/hole)
2. Manifold sizing:
Location Center
Length NA"
Diameter NA"
3. Force Main:
Diameter 2"
Length 30'
Flow rate 23.40 gal./min.
Friction loss 0.33'
(301) (1.10ft./100ft. ) = 0.33 ft.
4. Total dynamic head:
Min. supply pressure 2.50'
Vertical lift 7.00'
friction loss 0.33'
Total dynamic head = 9.83'
5. Pump selection:
Manufacturer Zoeller
Model number 53
Discharge rate 35+ gpm @ 9.83' TDH
6. Dose chamber:
Manufacturer & capacity: Weeks concrete
800 gal. nominal
liquid depth 41.00" @ 19.5 gal./inch (799.50 gal. actual)
Sizing:
A) One day holding capacity 21.00" = 409.50 gal.
B) Alarm setting 2.00" = 39.00 gal.
C) Dose volume + flow back 8.00" = 156.00 gal.
(600gal./4 doses per day) + (.164) (30') = 154.92 gal. minimum
D) Reserve storage 10.00" = 195.00 gal.
TOTAL 41.00 = 799.50 gal.
TO o~ 8
1-4
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1 S~ MA
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Page 5 Of
Cross Section Of A Mound Using A Trench For The Absorption Area
As i tin G _ H
Medium Sand Fill ° F 6" Topsoil
3 E D 7s ccrtbcu.
Trench Of '2" - 2 Aggregate, it `7~ Sk i'F Plowed Layer
6" Below Pipe. Covered With D Ft.
Straw, Marsh Hay Or Synthetic Fabric
E Ft. G Ft.
F 0. 7-5- Ft. H S-O Ft.
Plan View Of ;Mound Using A Trench For The Absorption Area
Force Main
Distribution Pipe
4, Permanent Markers Observation Pipe
-47
O - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .
W l10
_
B I K
\ Trench Of - 22" Aggregate
I
I L
A S.D Ft. I /S. O Ft. K Ft. W Ft.
B U, ().y Ft. J 7 6 Ft. L 6 Ft.
Page (0 Of_$
Distribution Pipe Detail For Two Lateral Network
Holes Located On Bottom
Are Equally Spaced PVC Force Main End Ca:,P/?
H- X X PVC Distribution Pipe
P P
X
* Last Hole Should Be Next To End Cap
P e17s Ft. Hole Diameter k5l Inch
X 60 Inches Lateral Diameter rya Inch(es)
Y 6o Inches Force Main Diameter a Inches
# Of Holes/Pipe /D
Invert Elevation Of Laterals /03,-'~ SFt.
np ? o-F8
PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS 1'~d
See ILHR 16.19
VENT CAP For Electric
`1~ VENT f r-T WEATHER PROOF APPROVED LOCKING
> 15' FRCM GOOR JUNCTION BOX MANHOLE COVER WITH PADLOCK
- ,
WINDOW OR FRESH 12"MID.
AIR INTAKE Warning Label
GRADE 1
I ti" MIN.
L-- 1B'MIW.
CONDUIT
18"MIN.
F INLE T PROVIDE I
Approved Joint AIRTIGHT SEAL i III
APPROVED JOIWT A I III APPROVED JOIWTS
i III
I I I ALARM
B I II
I I
I oN
I LEV = G.as' I 1
I
PUMP --J
OFF
D
See ILHR 83.1'
CONCRETE FLOCK
ELEK = gS,Q~ for 3" bedd i nc
RISER EXIT PERMITTED CGIJL9 IF TANK MANUFACTURER HAS SUCH APPROVAL
(In SPEC-IFICATIOMS
MANUFACTURER:-- C'l-e:~_e_ WtABER OF DOSES: 4 PER DAy
SEPTIC TANK SIZE:
PUMP TANK SIZE : ~G~~ ~n DOSE VOLUME:/s0+'/.902 = ~sy9a GALI_OPJS
ALARM_ MANUFACTURER: S-J F l` . ro Systems CAPACITIES: A= a /'D INCHES OR GALLOMS
MODEL DUMBER: 101 HW B=_2.0 INCHESOR 3"_GALLOU5
SWITCH TYPE: Mercury ~
C= Y CINCHES OR J541- 4? GALLONS
PUMP MANUFACTURER: ICJ D=W-6)_INCHES OR /9S. G? GALLONS
MODEL NUMBER: NOTE: PUMP AND ALARM ARE TO BE
SWITCH T:IPE: ._Mercury INSTALLED ON SEPARATE CIRCUITS
PUMP DISCHARGE. RATE ~'St GPM
d 3. ~b curl / u;1^de d Awn.
VLKTICAL DIFFEKENCE BETWEEN PUMP OFF AND DISTKIBUTION PIPE.. 7.60 FEET
+ MINIMUM NETWORK SUPPLY PRESSURE . . . . . _ . . . 2.50 FEET
+ 30 FEET OF FORCE MAIN X _L•=/_FYoFT.FKICTI0M FACTOR- 0.33 FEET
TOTAL DYNAMIC HEAD = 9'F3 FEET
INTERNAL. DIMENSIONS OF TANK: LENGTH ;WIDTH ;LIQUID DEPTH
GALLDN5 PER =NCH 195
HEAD/CAPACITY CURVE
N
w EFFLUENT DEWATERING TOTAL DYNAMIC HEADICAPACITY PER MINUTE
z
53-65
SERIES 57-69 98 1371139 16114161 16314163 16514165 15514155 18614186 I M41U 15914169
7+
np FL : :MGAL LTR' GAL LTR GAL :LTR ' GAL LTR' GAL LTft GAL LTRGAL LTR - GAL tiR` GAL LTR GAL LTR
d7 105 5 1.52 43 <163 72 Z73 93 362 106 401 " 61 271:. 61 231 58 220 155 667.' 155 w
10 3.05 444 ~100 `124 61 231 79 299 100 376 61 23161 2441 $D Y 148 I' 151
30 15 4.67 19 72 45 170 64 242 91 344'.'. 60 2244.: 60 227. s6 220, > 142 ' 537'. 145 6U..
95 20 6.10 25 95. 36 136 62 310II 59 2231. 60 227 56 136 .,1 ' 140
28-- [25
8 30 74 Z80: 57 276 59 223 58 220 126 441: 133 503:
90 65 UIS 55 208. 58 226..: 90 3A0 Se 1I1 1t7 481
12P M
26 B5 46 47446 17255 20a75 261 105 30 114 431
33 i155t 19,58 219 56 220 90 141100 379Bo 15 S7a3 16i 36 {a6 56 2" 71 10 45 32275 30 114 10 3652 197 51 49170 265
z2 aBBfi 14 53 45 410 26 16654 201u 70 65. 12 2 t` 37 140:'.
65 416 10010.48 It 66 21 79
_ 60 1101'71,00 7 26 8 IV
1e Lock Vale: 1925' 23' 26' 56' 66' 6T 73' 115' 91' 112'
163.
16 55 "6 WARNING: Model 185/4185 should not be subjected to
90 less than 30 feet TDH.
4 4 NOTE: For Head Capacity on Model 112, Industrial
z 40 column-explosion proof pump, see FM0219.
185.4185
]5
t1) -
30
0 189,4189
6 20
161,1tfi1
15
. A. N = 9.8~ ,66.41ee
2 98
5 42 4 SJ.55 137,1 449
a 57,59
U.S.G~L~O~vs 10 20 JO 40 So 60 20 BO 90 100 110 120 JO 140 50 160
UTERS K t60 240 320 400 4A0 560 6411 $K8113
0 FLOW PER MINUTE
35=G1.B1K.
W SEWAGE & DEWATERING TOTAL DYNAMIC HEADICAPACITY PER MINUTE
22 - SERIES 26t 266 267 268 28214282 2"4264 29214292 29314293 2944294 29M4295
70 - FT. M. Gal Ltr[ Gal.Lhs: GaL Ltm Gal. Lin Gal. LLrs Gal. LM GaLlUtM Gal. .L1A: Gal. L,n Gal. L",
20
65. . 5 1;52 90 ]11 :.12d 464.: 128 484128 464: 130 492 180 :-641 133 507 196 .742 225 862:
10 396 60 227. 69 337: 69 317 89 317 % 360 158 1696 116 439 : 181 666 205 775
16 D 15 4.67 22.5 96 S0 169 50 169 50 189 63 238 135 511 100 174 130 .:492 165. 425 185 700
55 20 6:10 10 38 10 38. 10 38 33 125. 106 401 33 321 119 436 150568 168 636
51) 25 7.82 76 tea 66 230 106 -401 136 -515 153 6e0
W 30 .9114 : 43 .163 46 1174 90 340 121 166 140 $ao
u
= a5 40 1419 : 26 :91) 50 166 94 356 115 435.
z 12- °Q SO ,524 58 221) 89 337
}5 so 4629 144 49 59 223
o t0 70 21.74 25 95
JO Lock Valve: 16' 21.5' 21.5' 21.5' 26' 35' 39' 5a 52' 7T
6 _ 293.4293
75
6 20 WARNING: Model 293/4293 should not be subjected to
262.4262 less than 15 feet TDH.
5
4' - 84,4284
10
2924292
5
2 710
266, 67, 68 294.4294 295,4295 05,4441)5
D
U.S..GGALLONS 10 2030 40 50 8I 9
0 1°01110 120 1130 140 I______I750 160 Ir 701B0191 , 200 2101 I20 230 I40 250 ~26D 271) IBp 29° 300 }10 S 0 SSO 340 350 3 370 380 139D 4DO 410
4 .81) 160 240 320 400 . IBC 5gp 6w ....720 600 : 08D 46}00 1040. 1120 1200 128° 1360 44440 t53D:.
FLOW PER MINUTE
SK553
'Wisconsin Department of Industry,
SOIL AND SITE EVALUATION
Labor and Human Relations Page 1 of 3
Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis.
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. #
030-1019-10
APPLICANT INFORMATION - Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
David J. & Julie A. Waldroff Govt. Lot SW 1/4 NW 1/4,S 5 T 29 N,R 19 VW W
Property Owner's Mailing Address Lot # Block# Subd. Name or CSM#
398 River Road 3 Proposed CSM
City State Zip Code Phone Number [:1 Nearest Road
Hudson WI 54016 ( ) City ❑ Village ® Town Trout Brook Road N
;q
® New Construction use: ® Residential / Number of bedrooms u Addition to eicis~irq building
❑ Replacement ❑ Public or commercial - Describe:
Code derived daily flow N/A gpd mm ed de~ng rate 1 ' 2 bed, gpd/ft2 1 ' 2 trench, gpd/ft2
Absorption area required 125 bed, ft2 125 trench, ft 2/ 1.12 12
Maxi m 91 sjgn loading rate bed, gpwft2 . trench, gpd/ft2
Recommended infiltration surface elevation(s) 6j rn_ _ L9 as referred to site plan benchmark)
Additional design/site considerations
Parent material glacial till ood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In- nd Pressure _ AT-Grade System in Fill Holding Tank
U = Unsuitable for system ❑ S ® u ®S ❑ U ❑ S U El S ®U ❑ S ®U ❑ S ® u
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
1 1 0-10 10yr3/3 None 1S lfcr mvfr as 2f 0.7 ; 0.8
2 0-27 10yr4/4 None *gr.1S lfsbk mvfr cw 2f 0.7 0.8
Ground 3 7-36 7.5yr3/4 None *S1 2fsbk mfr cw if 0.5 0.6
elev.
98_-5-Lft• 4 6-48 7.5 r3/4 m/d 7.5yr4/6 S1 2fsbk mfi gw 0.5 : 0.6
5 8-10 7.5 r3/4 M3P 7.5yr4/6
Depth to S1 Om of i 0.3 0.4
limiting
factor
36"in.
Remarks: *15% gravel & cobbles
Boring #
1 -10 10yr3/3 None 1S lfcr mvfr as 2f 0.7 0.8
2 2 0-22 10yr4/4 None gr.1S lfsbk mfr cw 2f 0.7 0.8
3 2-35 7.5yr3/4 None y S1 2msbk mfi gw if 0.5 0.6
10 r5/3 &
Ground 4 5-92 7.5yr3/4 M2P 7.5 r4/6 S1 Om mefi 0.3 ' 0.4
elev.
98.74ft.
Depth to
limiting
factor
35"in. Remarks:
77
CST Name (Please Print) / i turef Telephone No.
Michael R. VanWey 715-386-9020
Address Date CST Number
1070 Hwy 35 N., Hudson, WI 54016 5-3-97 341VI
Waldrof, f , David SOIL DESCRIPTION REPORT
PROPERTY OWNER Page 2 of 3 ,
PARCELI.D.#f 030-1019-10
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots Geplft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
El 1 0-11 10yr3/3 None 1S lfcr mvfr as 2f 0.7 ;0.8
2 1-16 10yr4/4 None gr.1S fsbk mfr w 2f 0.7 :0.8
Ground 3 16-2 10yr4/4 None Sil msbk mfr w if 0.5 '0.6
elev. r
102.-99ft• 4 29-3 to 7.5yr4/ 2d 105r5/3 S1 2msbk mfi gw 0.5 :0.6
Depth to 5 31-8 7.5 r3/4 f2d 1~0 rr4 3 & S1 mefi 0.3 :0.4
limiting
factor
3 On.
Remarks:
Boring #
*NOTE: Several borings evaluated throughou property. Profiles of
reported due to si i grit to orin s
13
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring #
13
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in. Remarks:
SBDW-8330 (R. 08/95)
v ~ q
vl a
3~ ~ o
~ oz
a ~
a
0
3 oa
562723
THIS INSTRUMENT DRAFTED BY ED FLANUM JOB NO. 97-58
plan pue Ilnu o BEARINGS ARE REFERENCED TO THE
8 3q pays ItAojdc'ra
WEST LINE OF THE NW1/4 OF SECTION
D alep IaAOidde 5, ASSUMED TO BEAR N00'31'17"E
rn )o sAvp OE Ullf l! ,r,
0 2 CA p J a i K> N P6lSlWGU IOU )I
°~°j ~ c~ c~j a~eluu!u±o;~ 3i:,;l; l
r O
;0 0 m D N; Z me pitsa bt tvJ 7;':
D o -V ZK Duluuel<.i or, c!~F►uaa a x~~ O
8 z > mz m -n00
o
O CZ
o N m Cv p o o~ ~p RAW
o >>No m Lb, C6 1111 h
° -n--j ::I
N1
(33A0'NddV
= o
z z
z
UNPLATTED LANDS
33 33' TROUT BROOK ROAD WEST LINE OF THE NW1/4
S 00'31'17" W 763.09' • A N 00.31'17" E
O I: 445.00' V 318.09' 1902.09' tnz
z 412.00' w 1730.29' 318.29' n
S 0031'17" W a ~ o
;0 (0 00
Z;D
W
Z -,j t°DO j > . (A> . . 00 . . I D ut mA
rS 100 1m O tn;u cnm h O IQ I O IO c/]~
I~ v n~ y z Im I r y~
.An
.X --I Ln
. IX 1 4
Im ~
< 00 m m
1 I m -A rn
;0 o o
D I Ui O1- N 00'39'03" E 443.03' Iq -0I O I I ~
I z 1> - 412.00' - I 1 D I 4h. n y
31.03 316.17' v p I -
I~ N 0'39'03" E 347.20' 95.83' I 00 rn "m h o I O ~ cp H
11 o O tO- 0 z
in lo 46 -1 33'I33' IF -ID 1 1 On On y O (0
1O
'I ;0 ;0
~v IrnlZlm zI nm ON W 10 ACC U1
N I fI -lo 74 z im Or 1> Oy lx tv
C3 8 ~I I 1°P io 1~
-4I i m IZ
I In Ir
Io I lo cTI S 00'44'15" W
I r N Ln I. 4
D N I I O 418.81' 269.06 cn -"J
0 I J (0
-cn' I Ln
I N 00'44'15" E 687.87'
I y
I I I Z I O °
1 00 Irlo
N 00'34'46" E N I If CA - m 95.83' 00 I co~ N L
CID
Ln -0
0 °y ~ I0 Icy
to o rnn L"
A P I~ I< In Ir !T J rnm NT I- h
8 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 3-
04'eN~ fleMAWCK
Local ion of property SW 1/4 NW 1/4, Section TD7 N-RR~_W
Township Sfi. ~fe, _Mailingaddress //,Ty irpid
5C, C}
Addressof site /`JU rya oo n.r+
c~.
Subdivision name Lot no. 3
Other homes on property? Yes No
Previous owner of property Pv < Wa)-76-9~ff
Tota l s i z e o f 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 ✓ No
Volume /Aiyand Page Number ~(3 $ 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 (ate) the owner(i) 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. 563, ,3 7n and.that I (we) presently
own the proposed site for the sewage disposal system or 'fl (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 o.E. Deeds as Document No.
4 gn r of Applicant Co-Applicant
I~.~t (it i~rr►:~t 11-0 1)at.~ of Signature
ti'l't'- 1115
-SETTIC TANK MAINTE'NANC , AGREF.MENT
St. Croix Counly
OWNER/IlllYl?It -SNR Ne ~empuRlz
MAILING ADDRESS
PROPI'sR'1'1' ADDRESS -M-5-17 I f o ('o
(location of septic sysicm) incase obtain (ions the I'lanninl; Dept.
CI'T'Y/S'I'A'1'1,,
PROPE..RTY LOCATION 5~..~ 114, _ 1/4, Section I' o~ N It '
TOWN OF ST. CROIX COUN'1'1,, %VI
SUBDIVISION /y7 _ LOT NUMBER _
CERTIFIEDSURVEY MAI' , VOLUME PAGI , t,Ol'NumirIt
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 (lie runction 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 maxintunt of 60% of the cost
of replacement of a failing system, which was in operation prior to July I, 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.
1lrc properly owner agrees to submit to St. Croix Zoning a certification Colin, signed by the owner
and by a mater plumber, jounteyntan plumber, restricted plumber or a licensed pumper verifying that (1)
the on-silt wastewater disposal sysicm is in proper operating condition ;Ind (2) allcr inspeclJon and
pumping (if necessary), the septic tauk is less titan I/) full of sludge and scum
/We, the undersigned have read the above requirements and al, ;lcc to m:+inl:►in the private sewage
disposal system in accordance with the standards set forth, herein, as scl by the Wisconsin DNR
Certification stating that your septic has been maintained must be colnpleled :Ind Ictuln(d to the St Croix
County Zoning 011icer within 10 days of the three year exPi it n da
tilt;Nla)
DATE
%t ('tt►rn 1't►on1N• l.t►ning ( )111((
1i►wClmtu~nl t'rnl(I
1 101 1'arm►(I►:a I ltu:ul
111111-ct►tl. Wl '00111 11/'~~
4W 4,1
563370 STATE BAR OF WISCONSIN: FOR%, 2 - 1482
Ua~ V WARRANTY DEED
DOCUMENT INC. VOL 19- 55 PAcf 4 Q
-~1
Val
David -"aldro F-f_ and .jul -e_A, Valdrof if T-- - I+•~ a t+ +
husband ar-l-wif ~7 1997
_ AUG
F'j.0 10:15 A. m
i! conveys and warrants to -J4dene HPmal pr a gym]a--- -
person,
THIS SPACE RESERVED FOR RECORDING DATA
NAME AND RETURN ADDRESS
the follo%0ng described real estate to - ¢*vc.-~cvr~c---- - County.
A HUDSON
State of Wisconsin: M1DAMERI 2nd SU*M
Hudson WI 54016
r
PARCEL 'DcNnFiCAT:ON NUMBER
II
ii
Part of the SW1/4 of NW1/4 of Section 5, Tm-iship 29 North, Range 19 West,
St. Croix County, Wisconsin, described as follows: Lot 3 of Certified
Survey Map filed July 22, 1997, in Vol. "12", Page 3301, Doc. No. 562723.
SUBJECT TO a 16.5 foot wide trail easement as shwon and depicted on said ,
Certified Survey Map.
TRA NSFL
homestead property
This i~ ri0~
'i (ts not)
Exception to warranties Easer.vnts, restrictions and rights-of-way of record, if any.
A.D., 14
Dated t day of -illy-
(SEAL)
4
i . _ David J. Waldroff lie A_Waldroff
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
!I
~
Signature(s) David J. Waldroff, S[AtC of Wisconsin,
II
_ ss
Julie-A. Waidrof f - o" - Count),
j' authenticated this 19_97 . T-NrTalI..v came bea`~re me this day of
the above mated
TITLE' NIENIBER STAT i )F W ONS • i
•
~1 (If not. - * - . -
authorized by §706 Lo ar sTk--%- n to lx the person who execute the foregoing
. ~.im y
`
~ I~ • m(.. r~_--✓nt Ind ackno~c(l3,gr-#
0
THIS INSTRUMENT WAS 0 dI~hIF9i0sla!~ 1 ~L~-~