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Wisconsin Department of Industry. SOIL AND SITE E V A L U AT1.Q•" E PORT Page \ of 3
Labor and Human Relations { ~t~
fivision of Safety 8 Buildings in accord with ILHR 83 VV4dm• Code COUNTY
a s a~ d ST. C Czo IX
r
r Attach complete site plan on paper not less than 8 112 x 11 inches i sizei Plan `n'vpstinclude, but CEL 1.0. # d ~D /',z9- 30
not limited to vertical and horizontal reference point (BM), direction o of slo~ `st=ale or
dimensioned, north arrow, and location and distance to nearest ro r
VIEWED BY DATE
APPLICANT INFORMATION-PLEASE PRINT ALL INFOR A N E
PROPERTY OWNER: PR ;•,:fON
I ti Z,5
C . M1 - BH E pmM l~ ?J113 \ S So- L Z W,' 1m 114,S T N,R l 9 E ( W
PROPERTY OWNERS MAILING ADDRESS Otr ✓ BD NAME OR CSM #
-1.10 N. v-l VvtIQ S T. Gl_ UNeZ. SfR W 1'rt~1~(17ON
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE (MOWN NEAREST ROAD
RLU21L L S, W I S oL?- (71S) Ll-a- -4 ► 6 t p Soo LANE CtUrrD
[XJ New Construction Use.[y1C] Residential /Number of bedrooms [ ] AddttiQn to existing building
j j Replacement [ ) Public or commercial describe
Code derived daily lbw Vz,e gpd Recommended design loading rate ° •y bed, gpd/ft2 - trench, gpolft2
Absorption area required S c 0 bed, ft2 S4 C' trench, 9 Maximum design loading rate O --S bed, gpd)V a• Ie trench, gpolft2
Recommended infiltration surface elevation(s) l oy'L • Z ft (as referred to site plan benchmark)
Addifional design/ site considerations R.l~!Mh" m %VD W10J%Xb 11,U/ g' X 6 3 01 a 1% M W - -L , 0 F 51v►tD Ph Lk
Parent material SL'o ~w'1 ~vT J111•l. ';Z:iot,Owl it Rood plain elevation, d applicable N -A . It
re= uitable for systeCONVENTIONAL MOUND IN GROUND PRESSURE AT GRADE 5YST8~I W FILL HOLDING TAM(
U ❑ S ® U
SUnsuitable fof stem I Ca ❑ S U ®S ❑ U ❑ S ®U ❑ S ®U ❑ $ ®
SOIL DESCRIPTION REPORT
Depot Dominant Color Mottles Texture Structure Consistence Boundary GPD/ft
Boring # Horizon in Munsell Qu. Sz. Cora Color Gr. Sz. Sh. Roofs Bed rencch
Z'F-Sbq Y, V. e S o ,s v. 6
vz~ -I it- V CS o. S o.l
- S 1~ I Z 'Fsbvr wt err -
Ground 3 \%-zI __)QS`1R- V/6 - Sc~ 1wt 5bk m 'Ft- CS - o.Z o_3
elev. LS li R - -
10~Iq.I ft. t{ -n 3 f~ `lR 8 (3
Depth to
limiting
factor
Remarks:
Boring # m'Fv. 0 S o. S o. 6
o_-7 lwi R 31 i - st ~
Z Z -2Z Zoy%I- 5113 - S) 2.0.6
3 Zz-3 5`I\ZYI s~I 1~+t Sb12 m`fh cg - o x:0.3
Ground
elev.- to~tz LS BR
1045.1 ft
Depth to
limiting
factor
3$''
Remarks:
T Name:-Please Print Arthur L. tde erer Phone. 715-425-0165
~
44
egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022
Signature: Date: CST Number:
G y-3oZ- s8 /-30 -9'S M00576
PROPERTY OWNER a-( E - sCWQ(-TZ SOIL DESCRIPTION REPORT Page Z- gf 3
PARCEL LD.#
•
Boring # Horizon Depth Dominant Color Mottles Texture StructuSrehConsistence Boundary Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. . Bed d Trench
>tN~i
o-Lo
` 1 ~~`1R 3!z Stl 2 Sbk m`~~. cS o.s o.6
3
:>~;.>4~;•.:K<.. Z to ZS ►0 7 ~ ~!!3 s z' I 2`Fsbk wr~►- cs o, s u. 6
Ground 3 ZS-~f3 S~JR S// S~ 1 cSblZ w,v•F.~ c o.V o.S
elev.
ll)~lS.3ft. u3- 1~`IlZ 8(3 LS 6R
Depth to
E
limiting
factor
E
Remarks:
Boring #
h0.` `\'.{,•fi:P
E
E
Ground `
elev. `
ft.
Depth to !
limiting
factor i
1
Remarks:
Boring #
, i
kEll
i
}
E
Ground
elev.
ft.
Depth to I
limiting i
factor I
E
E
Remarks:
E
Boring #
ti
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
PLOT PLAN Page 3 of 3
SCALE 1"= 140 '
Lod' (,1 - - - - -
- --7
D f~
7
w
~Q c0►ri'%'j t EL, 1011S,Z r
u1 RoT. pF IM L. IrAq-7. Z t
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~SI ~I zSI 1
~Lio4.S 3 ~
13.3 1
r~-
t d Q ~ sTti►ttes
1 ~ s n1t~q .
1
1
1
eon-,.•-t.,w ~
1 $9 , , .
vol u'R U'tY ta+-'S e>-1 EST
~Z1- eL, IM 3.48
S cap L i 11 C lZ-u~ p
NOTE: House to be at least 25' from mound.
Well to be at least 50' from mound.
For a 3 bedroom home, design mound with a 6' by 63' bed.
,p 9,y-3oz- sa
1- 3o-°lS (715 ) 42,5-nf A5 M00576
CST Signature Date Signed Telephone No. CST #
VED
STC - 104
AS BUILT SANITARY SYSTEM REPORT I PI? 19__
ST CROIX
COUNTY
ZONINGOFFICE
OWNER 31I
ADDRESS33t SOG IN Q
Elyc~San li✓l 5gof (o
SUBDIVISION / CSMf C, IUV CZ J! ~f r~ N~G LOT ;
SECTION I (o T a t -N-R_11 W, Town of Tk VV
ST. CROIX COUNTY, WISCONSIN vocz)
Ila 3
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
a' a Uoo y~l Sep"
a,
oPour, 8oayp) Pu~,~
rY Y '
MjbH Qt 00
ov~~ o~~l~fi 13Aff)e
3o_Sx DUI
r WrA 15 {o to G ~v D thou I. b
s
N
ppop
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
a 1
BENCHMARK: UZ G -Pe~ Y111 tit flA )V V' 166- V (~/~`~~•`7~~,
ALTERNATE BM: rloo eltt/cchoK lvl Ofil V~ UCWG(~~/D~~ Z(oo) J
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION
' yn) PMMP Gl~
Manufacturer: W2e~S Liquid Capacity: SeAp 100
$OUyp)
Setback from: Well HouseSc Other Per, p" 33
Pump: Manufacturer ~c~ e I Q K Model# I la 3 Size
p:a
a Float seperation Gallons/cycle:
D 9 Alarm Location NOy S'-P
SOIL ABSORPTION SYSTEM
Width: 3(j. 5 L7')Length o 5-Number of trenches I
Distance & Direction to nearest prop. line: (5
Setback from: well: N~ i N House I Other
ELEVATIONS
Gj~ Q
N ~ C.uwr~e Building Sewer ST Inlet; Q 1 . U Y ST outlet 1
ru K. C►'1 PC inlet 4 a PC bottom Pump Off 88,
0410
Header/Manifold 10 .G3 Bottom of system 103.4 45eD filet PPa
Q-h'141-eV- IUO.O
Existing Grade Final grade
DATE OF INSTALLATION: a s 9
PLUMBER ON JOB:
LICENSE NUMBER: 3 Yy y
INSPECTOR: 1 l
3/93:jt
1NisconsirYDepartmentofCommerce PRIVATE SEWAGE SYSTEM County:
Safety and Buildings Division
INSPECTION REPORT ST. CROIX
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
Personal information you provice may be used for secondary purposes [Privacy L , s.15.04 (1)(m)j. 289478
f J..Gitu" ~ Village Town o : State Plan ID No.:
lt{VY' ,597- 20?z7
CST BM Elev.: Insp. BM Elev.: BM Description: Six» o yL#~r Parcel Tax No.:
'10,15W o 3 . t/g- T/,, 42 >c r, w,e.?-t L G/ xas rs7,s qrv\ 040-1229-30-000
TANK INFORMATION ELEVATION DATA A9700294
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
ep is
- -c_ Benchmark /0,/8891 i oy3 Vb
vc4 r C, , ,11
D sin Vlr,-c k s, 4~csz7 11.251f"11 g,04 , /OY/, _ f 1d 41.; Vi-
Aeration Bldg. Sewer M 7Y)
Holding * Inlet eZ37 `/•?,A /02/0 -17
TANK SETBACK INFORMATION 044 Outlet !037- 3-7 1W E 2I`L
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet 03717 ~1 ,7 10 Z5.6r
Air Intake
Septic 30' 30/ {q5 NA Dt Bottom lpt~i 21 /02Z•P;.
osing ~j Cj NA Header / Man.
Aeration NA Dist. Pipe 051- 3 ~5, /01/Y:
Holding Bot. System 657- q ( 10c,/7. 4/(;,l
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer LDe m//a nd tOY4,2' 7.
Model Number ~GPM I~ja~c ~I~o °I .`~3 103 133
TDH Lift 2 25 Friction q6 System2 TDH31.6j5R _ K ~j•0~ 1037-.37 t33 !J3
Forcemain Length Iq p~ Dia. Dist.To Well na PC cci-vGf/ 1037-371 7.5~ 1OZZ-0
SOIL ABSORPTION SYSTEM 2'O
TRENCH Width Length 5-' No. Of Trenches PIT No. Of Pits Insi a Dia. Liquid Depth
13E
-ENSIONS 7 7 - DIMEN I N
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manu c rer:
SETBACK
INFORMATION Type O CHAMBER Mod umber:
System: "cx,,. 7)0 r2 OR UNIT
DISTRIBUTION SYSTEM
Header /Manifold Distribution Pipe(s) r x Hole Size x Hole Spacing bent To Air Intake
Length Dia. 2~ Length 72 S Dia. 1 rZ Spacing 3 S r / bZ~~ ~7 L S~
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of , xx Seeded/ Sodded xx Mulched
Bed/ Trench Center Bed /Trench Edges (I I ~ ( Topsoil Yes ❑ No Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: TROY 16.2 8.19 , NW , SE 331 SOO LINE ROAD LOT 5 $
Ali,
1
cY~^^ iwC4 , ~/6M C.P v :gig f F > 4, t fr « , .
01
blowmm 11-1Z-97 j~1 ~(-z5-1~
Plan revi n required? ❑ Yes No r~
Use other side for additional information. I Ls- lot 7
SBD-6710 (R.3/97) Date Inspector's Signatu e
roue
SANITARY PERMIT APPLICATION Bureau ofBuilding WaterlSystems
201 E. Washington Ave.
In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 8 112 x 11 inches in size. _
• See reverse side for instructions for completing this application State Sanitary Permit Number
(Fq -4oRA
The information you provide may be used by other government agency programs ❑ Check it revision to previous applicatio
[Privacy Law, s. 15.04 (1) (m)]. State Plan LD Njer_
1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION v-J-v
Property Owner Name o
MAj ~4tj Propert Location p
(Z ~W1/4 ' 1/4, S TAU , N, R 17 E (or)
Property y0wnerIs Mailin Address Lot Number; Block Number
A I TO _Rn e~,
City, Sta a ) p~ Zip Code Phone Number Subdi ion Name or CSM Number f~
II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Cityy Nearest Road
❑ Village
❑ Public 1 or 2 Family Dwelling - No. of bedrooms Town of R OL Soo L)111 C
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 90-000
1 ❑ Apartment/ Condo r I'Zo ` 1-qOS T -
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. 5<New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. Q Repair of an
System System Tank OnlyExisting System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21,®'Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy
13 ❑ Seepage Pit 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elev tion
00 oh Od a • y 1 O V ^-a Feet 0 Feet
VII. TANK Capacity
in gallons Total # of Prefab. Site Fiber- Ex er.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con- steel Plastic p
New Existing strutted glass App.
Tanks Tanks
Septic Tank or Holding Tank 's - 1a00_ P w'--f 021 A
Lift Pump Tank /Siphon Chamber it - 80(3 weQtfl ~ ~ El ❑ E]
VI11. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number:
Sou m e e-- au 3yv 1 IS J3 - 9 ca~~
Plumber's Address Street, City State Zip C/o~ e):
1070 AAZITO ij W °)s ( no) 6
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (In`ludescroundwater Date Issue Issuing gent Si ature (NO a gjpsj
A /
jApproved f-1 Owner Given Initial 0¢1 Surcharge Fee)
Adverse Determination GD O
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD-6398 (R. 05/94) DISTRIBUTION: original to County, one copy Ty: Safety & Buildings Divi ion, Owner, Plumber
INSTRUCTIONS -
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and,Buildings _Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
It. 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
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 isto 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; Q 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 P) 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.
BILL MARTYN
4 BEDROOM RESIDENTIAL MOUND DESIGN
PLAN ID# S97-20827
REVIEW DATE: JULY 28, 1997
PLAN REVIEWER: TOM BROWN
PROPERTY LOCATION: PROPERTY OWNER:
NW'/SE% SEC. 16, Bill Martyn
T.28N., R.19W., Tn of
Troy, St. Croix County, WI Hudson, WI 54016
Pcl.# 040-1229-1123
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 PIPE DETAIL
PAM. PAGE 7 OF 8 PUMP CHAMBER CROSS SECTION
Cone PAGE 8 OF 8 PUMP SPECIFICATIONS
ATTACHED SOIL EVALUATION
IW ROVED
DE 8ff OF OWN=
RECEIVE D
PREPARED BY:
SEE CO ONDENC@ JUL 2 4 1997
Jim Boumeester
10 7 0 Hwy. 35 N. SAFM di &M. aV,
Hudson, WI 54016
(715) 386-9020
SIGNATURE : / ,OU410MPRS # 3404
DATE: 2 `
4
WORKSHEET
ABSORPTION AREA SIZING
1. Daily wastewater load 600 Gpd
(4 bdrm) (150 gal/bdrm)
2. Depth to limiting factor 2711to limestone bedrock
3. Land slope 2%
4. Infiltrative capacity
of soil at system elev. 1.2 gpd/sa- ft . ASTM C33 med. sand
area required 500 sg.ft.
bed length (B) 75.0'
bed width (A) 7.0'
MOUND DESIGN
1. Mound Height: 2. Mound dimensions:
fill depth (D) 2.0' end slope (K) 13.0'
((2.0 +2.14)/2+.75+1.5)3=12.96
downslope fill depth (E) 2.14' total length (L) 101.0'
2.0 + (2% X 71) (75.01) + (2 X 13.0) =101.0
aggregate depth (F) 0.75' downslope width (I) 12.5
(2.14+.75+1)(3)(1.06)=12.37'
cap and topsoil depth(G) 1.0' upslope width (J) 11.0'
(2.0 +.75+1) (3) (0.94) =10.58'
cap and topsoil depth(H) 1.5' total width (W) 30.5'
12.5' + 7.01+ 11.0' = 30.5'
3. Basal Area:
Basal area required 1,200 sa. ft.
600gpd./0.5gal./sq.ft./day per CSTM = 1,200
Basal area provided 1,462.5 sq. ft.
(75')(71+12.51) = 1,462.5
Linear loading rate 8.0 gal./linear foot
600 gal./75' = 8.0
PRESSURE DISTRIBUTION NETWORK
1. Distribution pipe sizing:
Lateral length 72.5'
Lateral size 1 M11
Lateral spacing NA"
Sidewall separation 21"
Hole size 1/"
Hole spacing 60" (ist hole at 30" from manifold)
Holes per lateral 15
Dist. network discharge rate: 35.10 gal./minute
(2 laterals)(15 holes/lateral)(1.17gal/hole)
2. Manifold sizing:
Location End
Length NA"
Diameter NA"
3. Force Main:
Diameter 2"
Length 150'
Flow rate 35.10 gal./min.
Friction loss 3.08'
(1501)(2.05ft./100ft.) = 3.08 ft.
4. Total dynamic head:
Min. supply pressure 2.50' .
Vertical lift 19.17'
friction loss 3.08'
Total dynamic head = 24.75'
5. Pump selection:
Manufacturer Zoeller
Model number 163
Discharge rate 57+ qpm @ 24.75' TDH
6. Dose chamber:
Manufacturer & capacity: Weeks concrete 800 gal. nominal
liquid depth 41.0" @ 19.5 gal./inch (799.5 gal. actual capacity)
Sizing:
A) One day holding capacity 21.00" = 409.50 gal.
B) Alarm setting 2.00" = 39.00 gal.
C) Dose volume + flow back 9.00" = 175.50 gal.
150.0 +(.164)(150')= 174.60
D) Reserve storage 9.00" = 175.50 gal.
TOTAL 41.0" = 799.50 gal.
/30.97 p~ . a f 6
' /,2o OB . (~ropose.d I, 2DO~o-Q.
Proposed wa-L 5¢ p~~ c to nK
d o ProPosc d
Pte.
P
t b" ,
Propo-se.d ' 3edroon., o Scs Qe= / =30
• (.rcm.Q.~.d prbo.
sc~uc'e
5,27 $Z,
f iso' otz"
ell,
GJ
a 1
■ 1 d ~
1 68 G CoU1r
1
of 'yj wkvselS' fee.
T-r
sAl 1 or' T-cy,
43
d 1` 1
1~ ~ 1
TI)
` 11
Vf
of
l,
a ( o lo C- u r ✓ey
iys 33
k o
r Gy
-A tbv na~t b a~X 7o-,o off'
vey r►t~Xv ECev' = /0 V6. 7,2'
~~XJ t4`Ke ~o4d
Page E Of $
Synthetic Covering
Distribution Pipe ihver6 e(c&I;=/ovt'7'
Medium Sand
6" Topsoil H-
u
Slope
Bed Of 2- 2 %2 Force Main Plowed
Aggregate Layer
(6" Below Pipe)
D 2.00 Ft.
E Z.14 Ft.
Cross Section Of Mound System
Fo.7SFt.
G /.to Ft.
A 7.0 Ft. H Ft.
B -7So Ft.
K /3.0 Ft.
L /v/0 Ft.
J Ft.
I ~zs Ft.
W 30.5' Ft.
Observation Pipe
B K
i
. A I - _
I•----- kForce Main
W ° - zNs~. yOPdG
Distribution LBe i«- 2'z
Pipe egate
Observ ation Pipe t Markers
Plan View Of Mound
Page_~, Of 8
Distribution Pipe Detail For A Two Lateral Network
End'Cap
P S
PVC Distribution Pipe
2"PVC Manifold Pipe ~ Holes Equally Spaced
On Bottom
X.
* Last Hole Should Be Next To End Cap
IY
P%.9. Ft.
S 3.6' Ft.
2''P✓G Force Main
Xlnches
Y~_Inches
Hole Diameter_ Inch
Lateral Diameter Inch(es)
Manifold Diameter o2 Inches
Force Main Diameter inches
i Holes Per Pipe /-15'
Invert Elevation Of Laterals 1-0Y7,7 Ft.
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS pg. 7 °-P T'
VENT CAP
M
,l. V.E NT
N1_ I -j WEATHER PROOF APPROVED LOCKING
>
10' FROM DOOR JUAICTION BOX MANHOLE COVER WITH PADLOCK
- ,
WINDOW OR FRESH 12"MID.
AIR INTAKE i Warn'ing Label
GRADE
I ti" MIN.
CONDUIT--/
IMLE T PROVIDE I
Ap'p'roved Joint AIRTIGHT SEAL I I
I I
APPROVED JOIAIT A I III APPROVED JOIWTS
I
ALARM
B I II
I ~ ON
ELEV
PUMP-~_
~ OFF
D
COUCRETE FLOCK
RISEFWftIQ,S&Ly IF TANK MANUFACTURER HAS SUCH APPROVAL
SPECIFICATI0MS
MANUFACTURER: -LLJ.¢d¢ 5 WMBER OF DOSES: 4 PER DAB
SEPTIC TANK SIZE: p
PUMP TANK SIZE: aQ DOSE VOLUME: /SOfo?" =1740 GALLONS
ALARM_ MANUFACTURER: _ S-J 1 tro Systems CAPACITIES: A= -2/01WCHES OR GALLONS
MODEL NUMBER: 101 HW B= a•d IAICHES OR GALLOWS
SWITCH TYPE: Mercury (e d cwM -rw 9.0 IMC14ES OR IA~ GALLOWS
HUMP MANUFACTURER: ;lot -tr D= QQNICHES OR 176S GALLONS
MODEL NUMBER: ~ ~ NOTE: PUMP AND ALARM ARE TO BE
SWITCH TYPE: .__..__Mercury - INSTALLED OW SEPARATE CIRCUITS
PUMP DISCHARGE. KATE 571wt.24JSxftpM
/p
VEKTICAL DIFFERENCE BETWEEN PUMP Orr ARID DISTRIBUTION PIPE.. /9/7 FEET
+ MINIMUM NETWORK SUPPLY PRESSURE . . . . . " . . . _ . 2.50 FEET
+ /S0 FEET OF FORCE MAIN X_FT .3.U8
_2p 0:5 /OFT FRICTION FACTOR.. , FEET
TOTAL DYNAMIC HEAD = ~Y-LSFEET
INTERNAL DIMENSIONS OF TANK: LENGTH ;WIDTH ;LIQUID DEPTH
GALLONS PER =NCN 5
Obbw boor)" w C ok'Otm-,
brogan to Am~ ~ tAl. to "'A 't'.3-4
HEAD/CAPACITY CURVE
EFFLUENT DEWATERING TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE
iE°:i 1 t 6344
SERIES 6749 M 1371139 16114161 163/4163 164/4165 194/4186 196141M IM41N 169/4169
•tl FT.'ss,18R's" GAL YR2:: GAL `3;7ki GAL "1.1YE':. GAL GAL #I:yRf'r'i GAL i:::~7R GAL GALF.....E' GAL:, GAL ':'`f73!
103 6 ~ fi:o'1i62 47 '1 a: 72 • 97 ti y; Gi.
106 N 61 f: M .:'~66•%:: 156 r.•. IN 10 u 61 79 100 :i.....:? N .:.33''s 61 6 N f` 149 •':r' 151
15 isle 19 45
%i170:
J?:`. }`Tl 91 6o `>!3< 60 '£&7Y€# y,`% 693m'' 142 a; :.t.o 144 sli1!'
93 20 16 24 .
60 xilfti~i~
112 59 SO 139 140
,'AQ 25
74 u S7 x;;;23&#: N a.jl> 126 133'i302
30 64 66 :>r'168:::i: 68 90 96 121 "y,..•:` 127
P" .:aa:n;;:
f:":i 48 aS
.:'166'... 74 N #26:~ 104:. :i 114
E#ilt':
:e:;.:::.o ::;c
60 ..'I:7• ;;:t•>:::. :.;::t••.." 21 69 88 90 i : 100
60
s:::ci:•>::: to ::i::<:61:i<. u 36 %33d" 69 i"r:72Qi 71 u
75- TO
10 62 ~ 61 70
i?i?E?II2:;':; 186. 30
70- 4188 so #:24:36
f.
14 i
a
x
2 37
90
a
65 +ao>
i 6 x
16 •r,
21
110 3a:OQ
eD
7
Loa viM: 1934' 23' 28' 66' 66' 8T 73' 11s 91' 11
55 NS r
0 15 WARNING: Model 185/4185 should not be subjected to
50 less than 30 feet TDH.
>`•<':< 4s NOTE: For Head Capacity on Model 112, Industrial
[ 'x < 40 column-explosion proof pump, see FM0219.
'185,4185..
is JO s'
".25 189,4189 `
%
161,4161
15
,0 169.4188
~ ee
S 42 41
SJ.55 }
.57,59 1]7.139
U .S.
GALLONS 10 JO 40 50 60 70 ' 80 90 100 110 120 30 140 50 160
x"1{1:
.:.d:i:3::: aSOi#: SKBl13
0 FLOW PER WAR -
r, 4
SEWAGE Ot DEWATERING TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE
>xia
75
SERIES 262 266 267 268 2=4282 284MM 29214292 29314293 2W4294 2951!294
i~?i 0 FT.
°:;#?1<R? Gel. ifi1FIF> Gal. Gal -,Gal. 4y1'i> Gal. iYE> GaL Gil.I:b!1.. Gel.
ti11!1f. Gall;.` Gal#ilq
331y : 5 b ::1: 90 E 4j 125 a >(is 125 3i 128 : 130 > 160 (z 133 198:::# 'E 224
10 E ?2;~06;i 60 " ag N 7? 09 mx 95 159 ` R> 116E ►'s 181 205
o
>
15 223 GEE? 60 f11Hi so E?;19`i 50 83 •
. 134 100 # 130 i .R 165:?;: 185 :
20
0.f., 10 10 #i 10 d7Az 33 3. `gEif
106 83 119 :iRF6' +so' 168
D 25 76 66 106 136;:6!6 143:
x #4:.:. 30 p : 46 ?!y4: 90 y11E: 121, 140
45
U
10
:42x9:.
50 2~ W
o
t
2.
60
48
,:320 e9>:
60 !lk3
3s
t >au::
70 :;11:71:
293.5293 Lock WM: 18' 21.61 21.4• 21.5' 28• 35* 39• 40• or 7r
>:::::zs
a[ zo WARNING: Model 293/4293 should not be subjected to
282,4282 less than 15 feet TDH.
'?3 1 S
94,4284
0
262 92.4292
288, 67, 66
294,4294 IR295.4293 os,4sos
U.S. GALLONS 10"! .
.030 40 50 as 70 ao 9o too 110 120 130 140 so 160 7018o 1 3oD 310 =401
oo 21 220 2S 240 z50 260 270 80 290 330 370 380 390 400 10
x7i .
...................::::::.~:::m::v.~:\v.b\ln~.::~:::.:v.\~\?::::>4:N;}w:::::::111111;:::.~:.~::Pr`U::::::n,vl,:\\. .......n............, \ ..........[R:!:.....................
........n.7.4Q...
................:..~n:~:::: \v:::::mx~l\l~•.v~b:: ~::•n:.v::4i~i::::::.:::::•.::.iii:::: ^::.v: v :l,
FLOW PER WNAE
SK553
°11Y1°"."-.'--_- ' JVIL. MIIV VI1 a-•r~a-v l~Yr v...
Labor and Human Relations - -
- Pivision of Safety & Buildings
in accord with ILHR 8
00 trQde;J/ COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches i Plan , but / ST- C-Cz-O I X
not limited to vertical and horizontal reference point (BM), direction a of slob or CEL I.D. # Q b f -
dimensioned, north arrow, and location and distance to nearest ro ~N
APPLICANT INFORMATION-PLEASE PRINT ALL INFOR N TV IEWEDBY DATE
ST CF;Oi
PROPERTY OWNER: P LON
C• M• B~(E 1~~'TJ1J \ S S C L Z 1/4,S I b T Z8 N.R 19 E( 4W
PROPERTY OWNER'MAILING ADDRESS brelV BO. NAME r -0 L12.~Sth'Tl0►J t1Pr00(170N
-l LD IV . >h I~tl~ S
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD
'RLUL3'SC. GVU.5,kJI S t. L7- (71S) IIIS- 8 t 61 p Y Soo 1.1N~ RC1hD
(xJ New Construction Use. N Residential / Number of bedrooms tf Add>bQn to existing building
(I Replacement [ I Public or commercial describe
Code derived dally flow b,~ gpd Recommended design loading rate o -y bed, gpdAt2 - trench. gpd!(t2
Absorption area required S110 bed, ft? S°o trench, fit Maximum design bading rate Q -S bed, glxW a- L trench/ gpolft2
Recommended infiltration surfaceelevation(s) loyZ- Z ft (as referred to site plan bendunarlQ
C) >ti . Z ` F s?WD F t t .
it I% Y
Additional design /site considerations R ~twt F}~D 1MtX>k~ w / ,5 K 6 3 `
Parent material S~ ovT f li .Oo~.ur~ l flood plain elevation, 'rf appli cable N •A ft
S = Suitable for System CONVeMaNIAL MOUND IN-GR"O PRESSURE AT-GRADE SMEM IN FILL HOLDOIG TANK
U=Unsuitable for system ❑S 0U - ®S ❑U []S ®U- []S 0U ❑S IOU ❑S IOU
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consisw= Bourtd3 y Roots GPD/ftin. Munsell tau. Sz. Cont Color Gr. Sz. Sh. Bed rertdt
1 0-7 10r"IR 3 lZ si Z'Fsb~t C S ° S v.6
xl Z-1~ ~o~t R Y!3 - sl l 2'~`sbk wi ~fl ~s - o- S o-L
Ground 3 M-21 7-S`1R Y!` Sc) W1 Sbh "i 'FI- CS - o•Z- ° 3
elev.
loQq.l ft. tf Z7-j `'lR $ !3 - LS VV,
Depth to
limiting
factor
Z7'I
Remarks:
Boring # m~~ Q S o, S o. 6
o.-l loy R 312 1 St ~ Z~Sbh
z Z -)-ii Nw-I1Z Y!3 s~ ( Z'~Sbh Y►I~I~ CS o.s 0.6
3 ZZ3 5`71ZW Sc~ IV4S~1T 'ki ~-S - d•Zo.g.
Ground
elev. Ls @ R - - -
WIS. I ft
Depth to
limiting
factor
3$"
Remarks:
T Name.-Please Print Phone:
Arthur L. We erer 715-425-0165 I
e erer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022
Sgnature: Date: CST Number:
q-302--S8 1-30-95 M00576
PROPERTY OWNER a4 t!!- - 3CWJ4,-TZ SOIL DESCRIPTION REPORT Page Z pf_ 3`.
PARCEL I.D. #
Depth Dominant Color Motfies Texture Structure Consistence Baxifty Roots GPD/ft
Boring # Horizon in . Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
o-LO ~t~"lR 3!t - S~f Z Sbk v~`~1~ CS o.S o.6
SO 3Wr NM Vi,- 0-S
Z ~b zs
Ground 3 ZS-q3 S Li R V/ S 1 C 3 VE 1M V` j- c~ 0• V ts • S,
elev.
OyS.aft. 43 1v `1~t 8 t3 LS 6 VI
Y
Depth to
limiting
factor
}
Remarks:
Boring #
I
Ground
elev.
It.
Depth to I
limiting
factor
i
i
Remarks:
Boring #
I
i
v,.~.. nY
Ground
elev.
ft.
s.
Depth to
limiting
factor
F-T-
Remarks:
Boring #
E
i
i
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
4 PLOT PLAN Page 3 of 3
SCALE I"= 110 '
' trod' S8 WY S~
LoY 61 - - - -
7 rt
M m
c vtt kTL.lags.Z. r
RoT-Ur-bm ZL.IbVZ.Z t
g.l
1
B-3
bo N oT aw~t p
~ c ~ L sTvR
1 is
1
1
0 1
B .Z 3S
CL i.04 S
vRUIYStE1~-
e glut- tL. IM 3.LL$
o~ \t'~E'.o1~1 PIPE
S cp L L IJ E, 1~-VAc'l7
NOTE: house to be at least 25' from mound.
Well to be at least 50' from mound.
For a 3 bedroom home, design mound with a 6' by 63' bed.
(715 ) 42.5-0165 M00576
ei r1++n f7..n.. Talanhnna Mn CST 1
50 ~<p 51 2.124 AC I
j a~ v) 92,539 SF 3
_52_ I
°
Z I
S 89°11' 23" E 5232.71' F. O ME -LOT-51 I
/ EXISTING 40' WIDE POWER LINE EASEMENT
2639.98'-
°11' 23#1 E 1 66. 81 •••••205.50"••••••••• S 89°1
....................................................................131.979........ 73.53' _36.71 t......
10~-- - ~ 210.24' -
o
60
2.397 AC
104.419 SF
a
`p
S 6 ,Lp~ • a~,
S 89°11' 23" E ~+'a$
272.09' 0 57
2.000 AC
87.116 SF
58
°
tea' 2.151 AC
CT 93.695 SF
61 s
2.110 AC °v' ~•~9
91,922 SF
F EASEMENT FOR ASEbENTS FOR 5 8 e /
DRIVEW SHARED
DRIVEWAY SHARED ~o BY LO SY58
WITH LOT 63
ti
6be kZ Opp
63
2.003 9AC LOCATION SKET,
/ i /
s
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.
---------------------------I
Owner of property
Mac twj
Local ion of property 1/4 1/4, Section TAN-R /f W
Township Mailing address l-_,'n1 E
Address of site
Subdivision name 6z"l A" J~~rz~iQnJ itiU~ Lot no. S~
Other homes on property? Yes No
Previous owner of property E, eAAj,s ~ j4,1jZ
Total size of property, ciCl'~5
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 1a.9 and Page Number as recorded with the Register
of Deeds:.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRAIJ'I'Y 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'Gl (we)
obtained an easem t, to run the above described property, for the
construction of sa d system, and the same has been duly recorded in
the office of th County Register ot.. Deeds as Document No.
Signature o Appli~
t Co-Applicant ,
C-1~
7
I~.It ~ c)i Date of Signature
, a
S'I'C - 1115
SEA'TIC TANK MAINTENANCE, AGItVEIMENT
S1. Croix County 1
MAiI.ING ADURI;5S _ 33-4- i~1 tr? T /i
PROPERTY ADDRESS -3.31 ~t~r, 1_/A1E- 6,4 -
/ (location of septic system) Please obtain I.loin the I'lanning; Dept.
PROI'ETTY LOCATION ~ 1/4, 1/4, Section N-It L
TOWN OF j ST. CROIX COUNTY, 1\11
SUBDIVISION_/(> ~/e 1"1~n "~'Hc[cl`ti,,;/ll LOT NUMBER
CERTIFIEDSURVEY MA1' , VOLUME , I'AGE , 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.
'Illc properly 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 dial (1)
the on-site wastewater disposal system is in proper operating condition and (2) aficr inspection and
pumping; (if necessary), the septic lank is less than 1/3 full of sludge and scum
I/We, the undersigned have read the above requirements and al, ;rce to maintain the private sewage
disposal system in accordance with the standards set forth, here's, as set by the Wisconsin DNR
Certification slating that your septic has been maintained must he con ileled and rctunlcd Io the St Croix
Comity /.oning! Officer within 10 days of the three year expiralion d; c
X SR NI.
un n
"I lilm11,441111111" l )icl 011
1 iovclnrn1-111 l rnlcl
1101 1':111111charl (toad
111111"(111. NVI '141116 11/93
C~STATE BAR OF WISCONSIN FORM 1 1982
.5.►61.G40% WARRANTY DEED.
DOCUMENT NO. ( VOL PAS PAGE 4n ! AEGISTER.S 0. I',1
ST. CROIX~yC~TY., W1
1 I ~iM~i Mf FrOCnK ~ This Deed, made between C. M. Bye, individually; JUN 3 0. 1997
Dennis R. & Sandra C. Schultz Revocable Trust, ! I+
Dennis R. Schultz & Sandra C. Schultz, Trustees, 9:30 AM
both with full power of sale or encumbrancing , Grantor,
and William F. Martyn & Pamela K Martyn, as 909tsr ~ or Deeds
survivorship marital property
i
Grantee,
THIS SPACE RESERVED FOR RECORDING DATA
Witnesseth, That the said Grantor, for a valuable consideration i
NAME AND RETURN ADDR SS
conveys to Grantee the following described real estate in St. Croix I! R04_~~
County, State of Wisconsin: I PO 13
040-1229-30
(Parcel Identification Number)
Lot 58, Glover Station 4th Addition, in the Town
of..-Troy, St. Croix County, Wisconsin.
TRA •E r
$15
FEE—
This is not homestead property.
(is) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And CM Bye, Dennis R. Schultz and Sandra C Schultz
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except
municipal and zoning ordinances, easements for public utilities,
and building restrictions of record,