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HomeMy WebLinkAbout040-1242-20-000 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page i of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.0 I "f COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in j 4~*Ian mus clude,it3eiv not limited to vertical and horizontal reference point (BM), direction J °of sl4o, ta1,±E Or PARCEL I.D. endin dimensioned, north arrow, and location and distance to nearest ro ~•.r' p APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE rPROPERTY OWNER: R ; PRO[yEWOY LOCATION x 0 Richard Stout GOVT. LOT ~ SE J/4SE 1/4,S 3 T 28 N,R 19 for) W PROPERTY OWNER':S MAILING ADDRESS LOT BLOCK# , Sk18D. NAME OR CSM # 1353 Awatukee Tri. 73 P Co CITY STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®f OWN NE Hudson, WI. 54016 (115)549-6731 Troy Tower Rd. j New Construction Use [X] 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 .4 bed, gpd/ft2 .5 trench, gpd/ft2 Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate -._4_bed, gpd/ft2_trench, gpd{,t2/ Recommended infiltration surface elevation(s) 109.96 ft (as referred to site plan benchmark) 9 1 Additional design / site considerations system el. based Parent material limestone uplands Flood plain elevation, if applicable nn ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for s stem ❑ S MU ®S ❑ LI ❑ S -f7 U ❑ S EI U ❑ S (aU ❑ S IaU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bourtcliy Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends 2 11-27 10 r4 4 none sici 2msbk mfr if .4 .5 Ground 3 27-41 7.5 r4/4 none scl 2msbk mfr :7 na .4 .5 elev. 109.46 ft. 4 41-60 10 r3 3 247.5 r3 6 scl 1csb1i: mfr na na .2 .3 Depth to limiting factor 41" Remarks: Boring # 1 0-8 5 2msbk mfr CS 2f .5 .6 2 8-21 10 r4 4 none sicl 2msbk mfr Cw if .4 .5 3 21-47 7.5 r4/4 none scl lcsbk mfr gw na .2 .3 Ground 1.O4146ft 4 47-50 1.0 r3 3 c2d7.5 r5 6 scl lcsbk mfr na na .2 .3 Depth to limiting factor 47" Remarks: CST Name:-Please Print Phone: Gar L. Steel 715-246-6200 Address: 15 4 200th. Ave New Richmond WI. 5401.7 m02298 Signature: Date: 8-14-96 CST Number: 're PROPERTY OWNER Richard STout SOIL DESCRIPTION REPORT Page 2 of3 PARCEL I.D. # pending Lot #73 Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Cu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 1 0-12 10 r3 3 none 2 12-22 10 r4/4 none sici 2msbk mfr Ground 3 122-40 7.5 r4 4 c2d7.5 r5 O scl lcsbk Mfr 9w elev. 107.05 ft. 4 .0-55 10 r7 4 Fractured Limestone Depth to limiting factor 40" Remarks: Boring # ri{ti}. Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # rs Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Richard Stout 1554 200th Ave. CSTM2298 SE4SE4 S3-T28N-R19W New Richmond, WI 54017 MPRSW 3254 town of Troy (715) 246-6200 lot #73-Country Wood Second Addn. N 111=401 ~y BM.= top of ROW survey stake C el. 100' loo \tp GAry L. Steel 8-14-96 ST. CROIX COUNTY ZONING DEPARTME AS BUILT SANITARY REPORT 1 ~ , s ~ y: b~ n tip, Owner r ~;0 r Address City/State ~ '/CP r, Legal Description: Lot 73 Block Subdivision/CSM # 2 _ 0z) y y. ~ 1/I ..JG, Sec. TAN-RAW, Town of PIN # d -1?~I 19, 123 I SEPTIC TANK DOSE CHAMBER HOLDING TANK INFORMATION: etback from: House Well P/L Tank manufacturer A-21t- Size ST/PC )aoQ Pump manufacturer Model Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: Width S Length 7 S Number of Trenches Setback from: House /1-4 5"' - P/L Vent to fresh air intake ELEVATIONS: Description of benchmark r 110~ Elevation 1/1, /5 Description of alternate benchmark Elevation i Building Sewer v k35- Inlet 4/9 ST Outlet A 3S PC Inlet 6,515- PC Bottom S.S Header/Manifold Top of ST/PC Manhole Cover Distribution Lines 3 , ~c ( ) Bottom of System 1~, ,s ( ) ( } Final Grade ( ) ( ) ( ) Date of installation ID 31Permit number o State plan number _ ,5 ~f Oao~.S Plumber's signature License number AV, 7M/ Date Inspector /aid'" compkte plot plan s 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 40 tom ' A ~ n\ i INDICATE NORTH ARROW yViscon}iri Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary 9Permit No-: 9100 Permit Holder's Name: ❑ City ❑ Village ~Cj Town o : State Plan ID No.: STOUT, RICHARD TROY CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: r t#- IZ4 040-1242-20-000 TANK INFORMATION LEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic & L16/,4--ZL /oop d Benchmark U. Dosing nol, Arl. (vim et Aeration Bldg. Sewer .35 1 v, g Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake 6,S5 ,p 6 Septic NA Dt Bottom Dosing NA Header/Man. 55' ,G Aeration NA Dist. Pipe ,(0 5 lo7, S Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction Systerrl y TDH 4' Ft oss 10 Forcemain Length Dia. Head 22++D~~ist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width Len9S,h I No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / 5 i DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER v d OR UNIT Model Number: System: M X70 1,Y:5 DISTRIBUTION SYSTEM Header / Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length +Z Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Ic[/ i Depth Over xx Depth Of xx Seeded IS xx Mulched Bed/ Trench Center I Bed /Trench Edges Topsoil Jf a,/Yes El No Yes E] No qff COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: TROY 3.28.19,SE,SE 542 TRILLIUM LN CNTRYWD 2ND ADWT LOT 73 c T cis L Zc vt. r13 '1 S w.7>-~ .P O e~ a I& GL.tv t T Al" t Plan revision required? ❑ Yes Ff No W 4W3 I Use other side for additional information. ZO ~3 SBD-6710 (R 05/91) Date ector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION 201eE. W and shnlgtonAve'sion Visconsin In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Department of Commerce Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size- 31 , • See reverse side for instructions for completing this application State Sanitary Permit Number pq / /Da The information you provide may be used by other government agency programs ❑ Check it revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION d Pr erty Owner N e Property-Location ° lie 1/61/4's c7 T , N, R/q (or Property Mailing Address Lot Number Block Number City, State Zip Code Phone Number Su ivision Na a or CSM Numbe L (7 ) II. TYPE F BUILDING: (check one) F] State Owned 'j it( Nearest Road VII age Public Eli 1 or 2 Family Dwelling No. of bedrooms Town OF ad - 111. BUILDING SE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 Apartment/ Condo ~D _ / a a 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. It~f 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 kMound 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 LV~~ Required (sq. Pro osed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) _ Elevation 7 Feet Feet VII. TANK Capacity acitns Total # of Prefab. Site Fiber- Plastic Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass App. New Existing structed Tanks Tanks Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ 124- ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber _ VIII. RESPONSIBILITY STATEMENT V I/ I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plu is Signa re: (N St m ) fMVMPRSW No.: Business Phone Number: P Lumber's r r s (Stree ity, State, Zip ode): V& IX. COUNTY / DEPARTMENT USE L ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issued Issuing A nt Sig ture ( St s) AA /pp Surcharge Fee) / pp ❑ Owner Given Initial a~~ 16/oQ/~7 Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6M (R 1 tom) 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 exisi:ing 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 into 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. SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Commerce October 3, 1997 15837 USH 63 Route 8, Box 8072 Hayward WI 54843 UTGARD PLUMBING & HEATING PO BOX 221 AMERY WI 54001 RE: PLAN 97-10225 FEE RECEIVED: 180.00 STOUT, RICHARD SE, SE,3,28,19W TOWN OF TROY 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 Departments stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, eroy G ansky Wastewater Specialist Senior Field Operations Bureau Ijansky@commerce.state.wi.us (715) 726-2549 Fax (715) 726-2544 Voice SOD-7997 (R.11/96) RESIDENTIAL MOUND DESIGN INDEX AND TITLE SHEET P.O.W.T.S. Project RICHARD STOUT Conditionally Owner RICHARD STOUT APPROVED DEPARTMENT 0 MERCE Address 1353 AWATUKEE TRL. Divisio Of SAFETY AND SUILDINCs= HUDSON, WI. 54016 ENCE Legal Description GOVT LOT SE 1/4 SE 1/4,S 3 T 28 ,N,R 19 W Township TROY County ST. CROIX Subdivision Name COUNTRY WOOD SECOND AD Lot No. 73 Parcel ID Number 97X2 Plan ID Number 97-10225 - 25 INDEX SHEET PAGE ONE MOUND CALCULATIONS PAGE TWO MOUND DRAWINGS PAGE THREE PRES. DIST. CALCS. & LATERALS PAGE FOUR PUMP TANK DRAWINGS PAGE FIVE PUMP SPECIFICATIONS PAGE SIX SITE PLAN PAGE SEVEN Designer BRADY UTGARD License Number MP 7456 Signature 4~-~L Phone No. 715-268-6995 Date 09-16-97 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result In disciplinary action under s. 145.10, Wis. Slats. SBD-10462-E (N.OWA Page 1 of 7 RESIDENTIAL MOUND DESIGN Eight Bedroom Maximum Complete information in red framed boxes as necessary. (y or n) n Is the system constructed over creviced bedrock? Slope 6 % Number of bedrooms 3 Wastewater flow rate 450 g p d 1703.3 L p d Depth to limiting factor 40 in 101.6 cm In situ soil infiltration rate (code) 0.4 9pd/ft 16.3 Um` Contour line below the upslope edge of absorption cell 109.46 ft 33.36 m Use standard fill depths? C~ OR Designer spec 'd depth 0 in cm Place X in box to use standard depths (12, 24, A+4 inclusive) OR specify design Hit depth. Center or end manifold (c ore) Estimated hole space 4 ft Not a final calculation. Lateral spacing F-O"ft Minimum dose 10 times void volume Use a o lateral spacing for trenches. Pump tank elevation 100 ft Outside bottom. Force main length -10-5- 1 ft Force main diameter 2 in Force main actual dia. 2.067 in SYSTEM SOLUTIONS Inch-pounds Metric Cell media "x" one only. Estimated daily flow 450 gpd 1703 Lpd x Aggregate and pipe Chamber and pipe Absorption cell Design load rate & area 1.2 gpd2 375.0 ft` 34.84 rn (Linear load rate 6.0 gpd/ft 74.4 Lpd/m Design width (A) 5 ft 1.52 m Cell length (B) 75.0 ft 22.86 m Depth of cell (F) 9.7 in 24.6 cm Sand filter Upslope fill depth (D) Zft2 in 30.5 cm Downslope fill depth (E) in 39.6 cm Basal area required (gpd/infltration rate) 104.52 m2 Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.4 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (Fn 10.4 ft 3.17 m Upslope toe length (J) 7.1 ft 2.16 m Downslope toe length (1) 11.4 ft 3.47 m Total mound length (L) 95.8 ft 29.20 m Total mound width (W) 23.5 It 7.16 m Project: RICHARD STOUT Plan I.D. 97-10225 Page 2 of 7 MOUND PLAN VIEW observation pipes (typical) T I W = 23 5 ft A A = 5.0 ft 1.52 m 7.16 m O B = 75 ft 22.86 m B K J= 7.1ft 2.16m 1 I = 11.4 ft 3.47m K = 10.4 ft 3.2 m L = 95.8 ft 1- 1 29.2 m typ. obs. pipe A X B refers to absorption cell width and length (anchored securely) J = upslope width 1 = downslope width K = end slope dimension ILU 6" (1Wmm) T MOUND CROSS SECTION D = 12.0 in 30.5 cm lateral topsoil G N subsoil cap E = 15.6 in 39.6 cm invert 111.0 ft Fa - 9.7 in 24.6 cm elev. 33.83 m see note F G = 12.0 in 30.4 cm D E ASTM H = Min, 45.6 cm C33 sys. 110.5 ft Sand Fill elev. 33.68 m 109.5 ft contour 6% 33.38 m slope Note: Absorption cell media will D = upslope fill depth plowed layer consist of aggregate and pipe E = downslope fill depth or leaching chambers and pipe Aggregate F = absorption cell depth as specified NChamber G = subsoil + topsoil depth at cell wall at right. H = subsoil + topsoil depth at cell center Designer notes: If_o_regate is used, it is covered with code compliant material. Project: RICHARD STOUT Plan I.D. 97-10225 Page 3 of 7 PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 5 ft 1.52 m Length (B) 75.0 ft 22.86 m Lateral specifications Number laterals 1 Holestlateral 19 holes Lateral length 72.0 ft 21.9 m Perforation dia. 0.25 in 6.4 mm Lat. dis. rate 22.14 gpm 1.4 Us Sys. dis. rate 22.14 gpm 1.4 Us Hole spacing 48 in 121.9 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 in/25 mm Place X in red '7C" one choice 1 1/4inr32 mm box of chosen from the options 1 1/2in/40 mm diameter. provided. 2in50 mm x 3inM mm X Manifold diameter Pipe diameter Design options Design choice Designer must 1 in/25 mm 'X0 one choice 1 1/4in/32 mm None required. from the options 1 12in/40 mm No choice necessary. provided. 2in50 mm 3in/75 mm 4in/100 mm LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Laterals centered over the A & B dimension end cap P Last hole dhlled next to end cap ~F X--3I Laterals & force main of PVC Sch 40 Holes drilled on the bottom of the lateral (per COMM Table 84.30-5) equalig spaced a► permanent end marker Inch-pounds Metric Lateral length (P) 72.0 ft 21.95 m Lateral spacing (S) 0 ft 0.00 m Hole spacing (X) 48.0 in 121.9 cm Hole diameter 0.25 in 6.35 mm Lateral diameter in mm Number of holes per pipe 19 Invert elevation of laterals 111 ft 33.72 m Project: RICHARD STOUT Plan I.D. 97-10225 Page 4 of 7 Total dynamic head System head = 3.25 Ift 0.99 m Vertical lift = 10.20 3.11 m Are laterals the highest point in the Friction loss = 0.93 0.28 m system? Yes "X" here. Total dynamic head 14.38 4.38 m If no, what is the highest elevation Dose Volume downstream of pump? C~ Lateral void volume = 5.6 gal 21.2 L Force main drain Minimum dose = 112.5 gal 425.9 L back to tank? ('Y' one) Drain back = 18.3 gal 69.3 L x Yes Dose volume = at L No -14 E, Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per COMM 83.20(3) WAC. approved manhole cover weather proof wNvamina label and padlock grade levels junction box grade levels quick disconect alternate a' vent pipe electric as per NEC 300 and - outlet COMM 16.28 WAC location 18" (46 cm) min. wail of pump 0 approved chamber or outlet combination joint tank A 1/4" weep Grade levels alarm on hole as pump tank manhole = W' min. above finished grade pump on B necessary pump tank man. =100 mm min above finished grade C vent =1T' min. above finished grade pump 100.8 ft vent= 300 mm min, above finished grade off elev. 30.7 m D 3 " 75 mm of bedding under tank and anchor tank as necessary 100.0 ft Pump tank elevation 30.5 m bottom of tank Tank specifications: HUFFCUT Pump tank = 14.29 gal/in Pump tank volume = 600 gal Capacities: Inches Galloons A= 24. 1J 95+4-8- 3t Pump manufacturer: ZOELLER B= 2 28.6 Pump model number: N98 C= a-2v. L, 439 8- 13-7. D= 6 85.7 Project: RICHARD STOUT Plan I.D. 97-10225 Page 6 of 7 pf~6E ~ ~ 3 7/11 6 1/4 OF HEAD CAPACITY CURVE MODEL "98" 4 6/8 . 30 e a y 25 3 5/6 + + _ 6 4 VtG 4 15 S 1 10 1 t1 1/2 NPT Z S 0 GALLONS 10 2 JO 40 SD I 0 70 80 I{~ so 160 240 0 FLOW PER MINUTE. WTAL DV%MW WAQf LOW FM tttrane prLLJelrr a+0 G1lWrtwrO CAPACM 12 HEAD UNITZA" MT IIKTIM GAIT Uric 0 1.W n 273 ...4 1o 3.05 at 231 1s 457 45 00 - 3 S/16 1 20 • 10 2s so La" ve" 23' CONSULT FACTORY FOR SPECIAL APPLICATIONS .:.:tl lcdl anernators, for duplex systems, are available and • Mercury float switches ere available for ConUOflmg single and +.,ttled with an alarm. three phase systems. wCal anernators, for duplex systems. are available with or • Double piggyback mercury float switches are availaUle tur u,,.ut didrm swltCh1jS. variable level "cycle colirols. SELECUON GUIDE 1. Irltspra11ba1 apelated 2 POW ffWJ "wd ewack no amr.w►cL-U%A 14%1...red Standard ail models - Welght 39 ibs. -'/7 H.P. 2 Smigie pvay>ackmercuryAM~WhwdOUQN~WCkMUILury.11'Ad ye ha1Na Cwred .Sel1eG110t1 which. Ndw to FM0477. .,1r1 Ydta•PA Mode _ _61 a Du OX 3, ki.L'lun"allmn,i3r 10.W?2as 100075. 115 1 AuW 9.0 1 at 1467 - 4. G" Fi40712. Ito corre a mo" or EhmAr t Aaeuaks, "t 1',.k" 1I~-- 1 206266 5. Mer"o senora noel wAvrh 10.0225 used as s owwol acuv4tur, ~,-C,ty W 1 Auq 4.5 1 a 1 4 7 dunks (3) or (4) Ik a1 eyoWn. a FoLe (4) hole "J•Pak«. jwwction Oot for wralelLpfM oorlnec11a1 w w.,ad u, yun 7dU 1 Nat 4.3 24M 2 i 6 2 0(4 4 5 P1a of 'J-- operebm 10-0002. 7. Tww (4 More -J Pak". rot vodeoA 4 corwmK eon or spbce CAUL IUN ...n.~trs. on ttl~lae.al 7awrew yrod.rc>r tear btaligaGelaD~lellall lteArbt,flet~l A; A.!'"'att"Olt U1 CQak-Qti. IxUtK140n draru.H and ti -V ~h*-14 W 4u by • Vw1, w Mercury ".I+re-+0(e. FWeTJ; EY.LSlca1 AIMa.era, FtApret{: YecaYrrel AaarllAlor, lye hAAnwA aNctr.c ft AN abC OGAI •nd wisryr c04•0 rrhoWW Lr 44.....ed 11111ud a... Aws Yrr kaQa. I iA11b13; 8,wpl86tage Ysauu. Ft104N; erne /1raOMi1 Gslyd aft wp I" w.arrl .rc~nl N44w.N IIKJeK CaM tNL C.) .n4 tn. U..0( .j-1-., b a.ry •nd L' MOM Ad t"Mki. RESERVE POWERED DESIGN For ullusual conditiom a reserve safety factor is ef1gineered into the design of every Zoeller pump. P_Q am im47 l0' rp758ars7 Narwtactwers of 7!7,X / 1 L"~ >t~ 07 /n=oz-al C" 4461> JAM M - 1 11 ZAII~s o - pt 53-ras ys~ s -S - l9 y, r T qo P t1cr7" 73 r 1-111~ - (l J006 - 6,00 r j ~ r \ r N1 u Y ~v 0 Mr,y 7- (3 > ~ ~=f4: ~ ~"d w Kam. c. l~_ 77 ; -7 3 . . I~t.,or and Human Relstbns ~ • • • • • • • ~ • • • ~ • • • • ~ • • • • . ~ . • . • -a- t)ivision of solely & Bd1&res in accord with ILHR 63.05. We. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plait must include, but c not limited to vertical and horizontal retererae point (Bldg, 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 Richard Stout GOVT. LOT SE INSE 1/4,S 3 T 28 N.R 19 AXor) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK A SUBD. NAME OR CSM e 1353 Awatukee Tri. 3 - CITY STATE ZIP CODE PHONE NUMBER C CITY pYilLAGE OWN NEAREST ROAD Hudson, WI. 54016 (715)549-6731 Troy Tower Rd. 1 New Construction Use (Xl Residential / Number of bedrooms 3 t 1 Addition to existing building (1 Replacement ( 1 Public or onrrmerdal describe Code derived d* Clow 450 gpd Rerxomrnended design loading rate --.1.4 bed. M M2_ .5_bertch. gpollt2 Absorption area required 375 bed, N2 375 bench, R2 Maximum design loading rate -,9--toed. gpd*-,S_Imnch, MW Recommended Inlitbadlon surface elevation(s) 109.96 R (as referred to site plan benchmark) Addill" design / site considerations system el. based on contour tines of tat _ t nR _ CIA , Parent material limestone uplands Flood plain elevation, it applicable na It S - Suitable for solar COMYERMIAL MOUND N•CROIIMD PRESSURE AT-GRADE SYSTBA {INN FILL HXD14G TANK U a unsuitable to stem ❑ S Eau MS O U ❑ S cu 0S IOU D S QU ❑ S CCU SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Liolves Texture Structure Consistence Bo4nv1lrit Roots GPD/tt in. Munseri Qu. Sz. Cont. Cola Gr. Sz. Sh. Bed T w-o- t - .4 .5 Ground 3 27-41 7.5 r4 4 none scl 2msbk mfr na .4 .5 elev. 1.46 R. 4 41-60 10 r3 2437.5 ° .3 Depth to ~ i limiting factor 41" Remarks: Boring # ~s zat - r L>::•r 1 1 .5 .o ~s :3 t 'f 2;;. 2 a-21 2 t 4 4 none sici 2msbk mfr w if .4 .5 Groclnd 3 21-47 7.5 r4/4 none scl icsbk mfr w na .2 € .3 44.16 ft 4 47-5 Joy b na .2 .3 Depth to smiling laclw 47" Remarks: St Name:-Please P+int plgrre: Gar L. Steel 715-246-6200 ddnss: 1 200 h. me Nenr R hmond WI 54017 m02298 Signawre: n Oats: CST Number A . - n /I - IOPERIYOWNER K ctturd 51'out SUIL NtbIAIINIIU14 IMPUltI ACELE.D.#~ pending Lot #73 Depth Dominant Color MoVes Texture Structure Consmance emrdwy Roots GPD/tt )ring # Horizon in. Munseli tau. Sz. Cont Color Gr. Sz. Sh. Bed Tech 3 .g 1 -12 `2 c} 2 12-22 10 r4 4 none c pound 3 2-40 7.5 r4 4 c2d7.5 - ~v. 05 n. 4 40-55 10 r7 4 Fractured Lim?stme '-p b Ang i ~s Remarks: )ring # 'ound il. 3pth to :lor S Remarks: firing # r Qw M N. IL p1h to Itirlg Remarks: ring A ,und i. it to ing x Remarks: STEEL'S SOIL SERVICE teary L. Steel Richard Stout 1554 200th Ave. CSTM2298 SEhSEk S3-T28N-Ri9w New Richmond, WI 54017 MPRSW 3254 town of Troy (715) 246-6200 lot #73-Country Wood Second Addn. N )y+3~ 1"=40' q BM.= top of ROW survey stake @ el. 1001,,1. r E l ti I 3r . v GAry L. Steel 8-14-96 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAILING ADDRESS ~jc;~ Aiucx-E~~eQ ~tr( , (~~Co PROPERTY ADDRESS .5"r ya T~ ~i u.» ahL (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION Z-D 1/4, 1/4, Section, T_2_~ _N-R_j 7_W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION ~G- ffYS~~~(1L LOT NUMBER_ CERTIFIED SURVEY MAP , VOLUME , 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 date. SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 • 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 QA"aO 8 5,163 t Location of property ~E 1/4 S 1/4, Section 218 N-R 1°! W Township 'JLI)a Mailing address Address of site 59.? subdivision name &14&44 (a2 L-,jL 1 ~ fr Lot no. -7?,_ Other homes on property? Yes.. J~_No Previous owner of property 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 1( No Volume 121-0 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. , 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 tau • 31 03 F ~ ' i 73 ?2 2.62 ACRES 3 j ` 33 114.340 S0. fl. 2.03 ACRES AA.571 30. FT. i i g g t 's Avi 350.00, 641.91 ss4 3s"1s' w 74 3.45 ACRES 1 1 150,362 g0. Rf 1 1. " w STATE BAR OF WISCONSIN FORM 2 - 1982 5~~9fi WARRANTY DEED DOCUMENT NO. n e t bje_t_--1.--- Sing It P__U4 - Sit- erhoi3s~, _hushanri_an~ i an-_-ea-ah -them--a!~za__iad.iv.i_dual_~i JAN 2 8 1997 La g ac-ix.y T - ~tl 11:45 A.; conveys and warrants to _._$LG~28rs~_Q_,--,~ - - t~,~. -I LF ,7~ ftsyist.~r ut iad~tia - ',j THIS SPACE RESERVED FOR, RECD-1004G DATA NAME AND RETURN ADDRESS the following described .Fall estate in St. Croix County, F , k r4, Yt ~ Y' i CCe State of Wisconsin: ~Lt~4 r PARCEL t~_T TIFICATION NUMBER (See Attached Exhibit "A") T-tis deed is given in fulfillment of that certain land contract between the parties hereto dated June 2, 1995, recorded June S, 1995, in Vol. 1124, page 496, Doc. No. 529718, in the office of the Register of Deeds for St. Croix County, l,Tiscon--in. F '!k is not _ C17 This ij homestead property. 111~SiA~ (LS not) - Exceptionto warranties Easements, restrictions and righCs of way of record, if any. Dated this -___.1Ztb ---------.--day of Tanuary -,A.D., 19 97 -6 ,---Delbert L. Singe-rhouse_ - Bernie H. Singerho .:e _ (SEAL) AUT HE:N1 ICATION ACKNOWLEDGMENT Signature(s) - St ize of Wisconsin, ss St. Croix - - - Cottnt . authenticated this day of _ 19---_- Personally came before me this day of a❑ u-ta y , 19 97 , the alxnt r•anud Le- ert -in erhouwe and - rernie H. Singer;louse, husband TITLE MEMBER STATE BAR 01 WISCONSIN __-ani Wl fe_L--.__-__ (If not Brind 1 Pouf',, not, - - authorized b • S'(j0,t1i , ~SStats) Notary Pub -r:, r 1 ig me k is _o be the p?r sa?r _ who executed the forcgt•ing Si lit of ~lti r? AS*?: it rd) act-n. ?ei rt e . Ire TH!SI^,STPUNIENT'.NASDRA=TEt)SY L A t t o r n- v K r i. s t i n g 0 g 1 a n:? VOL 1220 01148 EXH,'BI ° "A" N1/2 of SW1/4 of Sec. 3, T28N, R19W, EXCEPT that part thereof lying northerly of town road (Tower road). SE1/4 of SW1/4 of Sec. 3, T29N, R19W. All of SE1/4 of Sec. 3, T28N, R19W, EXCEPT that part thereof lying northerly of town road (Town Road), and EXCEPT Certified Survey Map in Vol. 8, page 2130. Subject to right-of-way of town road (Tower Road) along the northerly side of the entire tract described above. 'c a Sb d a .