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
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r \
r N1 u Y ~v 0 Mr,y 7- (3
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l~_ 77
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. . 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 .