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HomeMy WebLinkAbout040-1239-70-000 I LWisconsin Department of Industry, SOIL AND SITE EVALUATION shor and Human Relations Page of Division of Safety and Buildings in accordance with s. ILHR 83.09,Wis. Attach complete site plan on paper not less than P 1/2 x 11 inches in size. Plan must County , include,but not limited to: vertical and horizontal reference point(BM),direction and ::4, 49 percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.D. `\ R cEi E , APPLICANT INFORMATION- Please print all information. Reviewe Date Personal Information you provide may be used for secondarypurposes(PrivacyLaw,s.15.04 1 (m)). `i,r 2 2 93 P rP ( ) �1r-18 �::� I _ - Property Owner L/�/ Property Location /Sal CRRCC!A y f � L�wptticc to. /vUR/'/r/ (P}�PT.vt-R) Govt.Lot 5E 1/4 I'ttZOPJihIG 5vtC:i;,R E(or)0 Property Owner's Mailing Address Lot# Block# Subd.Nam- �° Ai y3oZ 800rh Avg. !� ls; 4.0 " - Oro 5 City State Zip Code Phone Number `earest Road Riven FA lIs , W I, i slio) , (7/5 ) 5 -9032_ ❑ City LiVillage [[kJ Town eD 'vrny o4A Ge/jC/,t. [k New Construction Use: Residential/Number of bedrooms 3 to Addition to existing building TROY 1 N/� No T PE,p�'!�'T f) ❑ Replacement ❑Public or commercial-Describe: 41g r vor &-6/,,y,ci ,c,.7,0625) y.SO_ Code derived daily flow GP 00 gpd Recommended design loading rate Alp bed,gpd/ft2 , 3 trench,gpd/ft2 Absorption area required - bed,ft2 6-09 trench,ft2 Maximum design loading rate AV bed,gpd/ft2 ' 3 trench,gpd/ft2 Recommended infiltration surface elevation(s) S P .3 ft(as referred to site plan benchmark) Additional design/site co ations 5i7E" /PE "J/7 '' T,eisv (. ?y� -" A-foci-'-'D ✓5ycTL ' -y BZ 4orur n5 s,t,vTi4& N- 5,-L7- se-Dmee ,TS /4- Parent material 6,m 11 �,pY_C,61 y t,// Flood plain elevation,if applicable ft S = Suitable for system Conventional Mound In Ground;7AT-Grade System In Fill Holding Tank U = Unsuitable for system ❑ S Er-U is s ❑ U ❑S ❑ s ErU ❑s ❑ s []'U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 Texture Consistence Boundary Roots in. Munsell au.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench k / D-b my, 3,o- 5./, l.ti,sM 41 Cs z . , s : , G 2- G-/( mye 3/3 — SW/ /fsd r mock es /lc , , , 3 Ground 3 (- /B 0 3/3 s./, 24 £i /A/�/_ cif' /!J' : ,57 •6, 9;cr. ft. 3� 5Q./o ff y/V 7T,s, yh yieQ set- a 4S ehi ,oe — ,J p Depth to — : „ire ,©y/,,2_ I / limiting iactor JF In. Remarks: --SS- So/k . , 13/4/ ,1/'T)/ iee57,'"e7/0.vs' dr- 32. " Boring # - l o-B /OY�Q 3�.1 `/� l.iys�ie /1 !/�/� C �f ^ ' s , ' 2 5-4 l0 yie 3/3 5/1 2-405.4e -7,e es' /-c_ . S ; -6. �G"17 /D///e 1-3 S// 244, hie 4W ' et-0 -- . 5- . ,Go. Ground )2 / 9 eD/e 7 S y2 //G W 41r cf- — — .J) , ►.1 n ev. AO ye 4/2 1 y9, kD ft. Depth to -- _ limiting factor ss ~� 27 In. Remarks: s, Par i'14 L/Ty /6 s7Z'i 7v •os 4 r- ;'.'2 ''' CST Name (Please Print) RO(3E1?r ?,((_ R Signature Telephone No. 7— 1?-6644-21-a04,4-1/9:- 3136-6519-9 Address _ Date CST Number Vlhricht A, Avsnrtatms S '/3 -7& CST !29 e 2- Private Sewage Consultants 655 O'Neil Rd. Hudson,WIs. 54016 40 PROPERTY OWNER SOIL DESCRIPTION REPORT -� /,� • Page of • PARCEL I.D.N 1-oT I f 4 p44-,0 f/° D4,5 Boring # Horizon Depth Dominant Color Mottles Texture Structure G'D/ft2 Consistence Boundary Roots In. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. Bed ,Trench io//,3 s>1 /"5,0k �►f/,e - , 3 2 /5 ioy,e 3/3 .s,/ /74S,S/e 4405e es if ; . 3 Ground `/. • ,C elev. IS-3y /oy,P 3/�/ �� .S// 2�tN!f/� I/9�/ C✓� f�f/ S , i �o %.So ft. l ?f lit* /o,9y/K ��sy/2 y/lo $C 0, 444 ,t,P- N Depth to /jf Y� /�J/T/ limiting factor 3v in. Remarks: 5:51457 4J SS" ,{1R°iyj terjL/T,/ /PE-sTt°/C e,.vs 4 7 33 /if Boring # Ground elev. ft. Depth to • limiting factor In. Remarks: Horizon Depth Dominant Color Mottles Structure Texture Consistence Bounda Roots GPD/ft2 in. Munsell Qu.Sz.Cont. Color Gr.Sz. Sh. ry Bed 1 Trench Boring # Ground elev. — ft. • Depth to - limiting factor in. Remarks: Boring # Ground elev. it. • Depth to limiting factor In. Remarks: SBDW-8330(R.08/95) pc, 3 °fy SCALE ; I = 3o • = /34ck % P'Ts rioNs 13 , i'.go it 3 32_ if,go (33 60/3&5 ,yov vo s/s%. cc/ v . 4)/ ►;-'' s 44&iD -F1 t( / oa , 80 (4 r Tap or 16.2- 34/ .v wdL! o , • 51EEC Piles �, 9p V /3 ss iuhTio.0 = /oo.o • so66ESI'ED U,v jrx,M (eon LIB E 9� 3� L.o LoY 13 Lo lS y jt L pDi r - 74:- ce f Al - 4T S� LOT_ ULBRICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson, WI 54016 Reg. Designers of Engineering Systems 715-386-8185 Private Sewage Consultants SPECIAL NOTES TO THE BUYERS/ BUILDERS, REGARDING SEPTIC SYSTEMS AND SOIL TESTING ON LOTS 48 THROUGH 20 IN COUNTRY OAKS. All of the lots evaluated will require mound type septic systems. With only a few exceptions, the soils across the 1st Addition to Country Oaks had very fine weak textured silt loam in the upper 12" of topsoil (a soil loading rate of .3 GPD/ft2). These low soil loading rates will require larger trench type mound systems by design codes. Trenches can be no wider than 48". It is suggested, to the installer, if a 4 bedrm. home is proposed, some test areas provided may not be lon§ enough for a single 41x125' trench, in which case a wider mound utilizing two tenches 41x 630 may be more suitable. CAUTION: since all of the soil test sites are very heavily wooded, extra careful planning and site preparation is required. Great care will need to be taken in removing trees and brush without disturbing the fine delicate silt loam topsoil. If the site is carelessly disturbed, the Zoning Dept. will reject the site and require costly new testing and designing! Do not allow anyone to drive across or compact or distuyb the topsoil. Consult with the Zoning Dept. Inspectors, a qualified plumber, or designer for advice on how to properly prepare the site for mound system construction. The owners/developers have provided a complete approved soil test area, registered with the zoning office as required by subdivision ordinances. It is difficult to imagine today where a future buyer prefers to build upon a lot. Common sense is used to select a site at this point. If the buyer intends to utilize the test area, careful planning between the oxner and septic plumber (or designer) is very important. Careful planning with qualified designers/ installers is critical. THe final actual size and shape and location of the septic system is dependent on the size and type of home proposed. Test areas large enough for a 3-4 bedroom home has been provided, but a larger home may require new or additional soil testing. The septic system can not be shifted outside of the recorded test area. pg. 4 of 4. STC - 104 AS BUILT SANITARY SYSTEM REP T~~'I OWNER l`' l Z" a 9. n~ cqo!x ADDRESS `2UNiNG 0UFF"C \ SUBDIVISION / CSM# (WIAJW p kt!~ LOT # SECTION- T Z b N-R~W, Town of k o ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM " 50 ~aX(oZ V~ a Ipo~ Q 1 VL- I DIC TE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: 54- OM 71 rc & w +R-c - D ALTERNATE BM: -4-0 P P` C . q (n) A-kAJ IAJ(o L. C-t_ SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: (A) Liquid Capacity: Setback from: Well House O Other Pump: Manufacturer Model# T>~D Size Float seperation Gallons/cycle: 13 -3- Alarm Location SOIL ABSORPTION SYSTEM Width:_ Length 7,5 Number of trenches Distance & Direction to nearest prop. line: ";:>/0 Setback from: well: House >Z✓ Other ELEVATIONS cc~~ Building Sewer j3 LSSTT Inle t: ST outlet: AV PC inlet v PC m (,3.5 Pump Off Z Header/Manifold ft, %7 Bottom of system Existing Grade Final grade DATE OF INSTALLATION: A -I 9 PLUMBER ON JOB: ~ci (oct--& LICENSE NUMBER: A ~ 3 - INSPECTOR: 1(V\, N 3/93 : j t Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 299089 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: PETZ, ROBERT TROY CST BM Elev.: Insp. BM Elev.: BM Description: r /l Parcel Tax No.: 040-1239-70-000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark GU.e0 LC.~/ ~S e,r ~~r Dosing hl,~ Aer n Bldg. Sewer Holding St / IK Inlet j 9c~, k5 T . SETBACK INFORMATION St/ ~K Outlet TANK TO P / L WELL BLDG. V e ntAir Ito ntake ROAD Dt Inlet 17,f5' Septic y J y NA Dt Bottom !,0, Dosing NA +f gar / Man. ,a jG?J , 7 / Aeration_ NA Dist. Pipe 3 TT5 ? a, 7P / g Bot. System PUMP / INFORMATION Final Grade 3Z 1Z Manufacturer Demand 10, 3 Model Number ~Z~o GPM TDH Lift.ol Friction, 2,2 Systerr)2 S-rj TDH 5,6Ft Loss ead Forcemain Length 50 Dia. Fit r Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT-- No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S -7 DIMEN6 I 4 BEACH Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM ' ; C INFORMATION TypeO I Z R UNIT System 40 PM-- S DISTRIBUTION SYSTEM er / Manifold Distribution Pi e(s) ' x HoleSize , x Hole Spacing Vent To Air Intake a. Length .:L ✓fl Dia. Spacing 7 th Di [Len SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over o r + Depth Over " xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center I 0 Bed /Trench Edges 1 2 Topsoil F] Yes [I No I-] Yes El No COMMENTS: (Include code discrepancies, persons present, etc.) but LOCATION: TROY 21.28.19,SE,SE 584 CQUNTRY OAIJ~S CIRCLE LOT 14 e C//I v ,.r.~ r, -r t l Plan revision required? ❑ Yes, to4o 9 Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. i ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: e I i L~iL'■'■■~1 SANITARY PERMIT APPLICATION BSafet an ureau of uilding 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. . C 20 / • See reverse side for instructions for completing this application State Sanitary Perm[iitt NNuumber The information you provide may be used by other government agency programs ❑ Check if revi w~o previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION 9'7- l Property Ow 7r Name P ,.fopert Location 09 PE_~ Z C-1 /4 v4, S Z T Z , N, R E (o Property O ner's ailing Addr ss Lot Number Block Number City, St to Zip Code Phone Number Subvon Name or CSM Number ad 15 II. TYPE F BUILDING: (check one) E] State Owned City n7;; P ublic 1 or 2 Famil Dwellin - No. of bedrooms f T( OF O d 0 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo vT 1 v ' 2 - 7/~ V 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. p New 2_ ❑ Replacement 3. E] Replacement of 4_ ❑ Reconnection of 5. ❑ 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 110 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 ~~_(D Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 3 7.S- AIT Feet /e)2, J'Feet VII. TANK Capacity INFORMATION in gallons Total # of 's Name Prefab. Site - Fiber- Plastic Exper. New Existin Gallons Tanks Manufacturer Concrete Con Steel glass App. Tanks Tanks strutted Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber 60 ❑ ❑ ❑ 0 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber' Name: (Print) Plumber'sS ature:(NoSt s) MP/19PNo.: Business Phone Number: ~Sa ~3 Z 7 K Plum er s Address (Street, City, State, Zip Code): w L L W O't 4- 4 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issue Issuing A ent Sig re (No am s) pproveci ❑ Owner Given Initial Surcharge Fee) Adverse Determination a~~dd /4 4.3 X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) 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 maybe 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: L 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. 1V. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 112 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 Industry, Labor and Human Relations August 27, 1997 6 2226 Rose Street 5 7 La Crosse WI 54603 R~cFiVE~ WEGERER SOIL TESTING, 421 N MAIN STREET c PO BOX 74 RIVER FALLS WI 54022~~~~, RE: PLAN S97-41044 r7~1 FEE RECEIVED: 180.00 PETZ, BOB SE,SE,21,28,19W 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 Department's 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, c Gd M. S Revi ewer Section of Private Sewage (608) 785-9348 SBO-6483 (K. 01/91) Page of 6 GEw~O MOUND SYSTEM - FOR S97--41044, AVG 2 8`OGS p~V • A 3 BEDROOM RESIDENCE LOCATED IN THE 51~i- 1/4 OF THE Sir 1/4 OF SECTION 11 ,TZEN, R 19 W, TOWN OF TEA`-! Sj"• Q-tzoiX COUNTY, WISCONSIN. C-LOT V14 OF' t sT pfDa~T1U covtiT `C OAkS~ INDEX PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN .PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR ~oL3 r~~,o c`ct~t-► ~~E1- z. P .O W •o sally z z 3 rv sr. ditti ri 0 s~ »Q. FA s, s4oZZ Cori Q~ of coM g'jvtNc's A~PPR'iMEN E'f'I v►s►o~ ONpENGE SSE GOFtR PREPARED BY WECEFREFR E3 Q I L TEST I NC AND . IDES I Cwt r3EF Z%l I CE 4x\s• coiv y F.O. BOX 74 421 K. KAIK ST. nrrrHUr+ . RIV9.. FNJ_S. KI 54022 WE D915f 715-SL ,-01 b5 A75 = FCLSWORTH, WIS. ~ L - V1 JA JOB NO. PLOT --PLAN - 6 Scale 1"='SW Page Z of i i eur>~ o~ cF4 ~-q3 3 l0p.p~ 2S G !O / / Ls1,o~ S SIT 30 8.1 ~ e Lq$10 q't3 oUE GaoWvp trv bin QAit `T'RH ITV ~ W o 0fl LWy~'~}. S• eAVy.h~ c } ezs ~ tvd~ - - avL-ot -s+~c _ _ _ _ wEu Im eE flfi LET 50 H M o u► s o R-rup AtT Ll T ZS ' Fro til T-ft ~v h NOTES: -1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z- required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. -Septic tank to be V,)tI W3 gallon capacity manufactured by ~~1,S~R. es~N e,2,~~ ~zuav c~-s >ti ~~c.7- 1 bpo 5. Bench Mark 54Q7~ "CIU Q . 6. Divert surface water around-System to. prevent-.ponding at the. uphill side. Page 3 Of b Approved Synthetic Covering t~sTM c s3 Distribution Pipe Medium Sand _ H_ G. Topsoil F Eled. L 0.0 _ 3 E D 3 6 % Slope Force Main Plowed Trench of 2"-22" From Pump Layer Aggregate Undisturbed D 2- Ft. Soil E Z.3 Ft. Cross Section Of A Mound System Using F Q- 'B Ft. I Trench For The Absorption Area G N•'o Ft. A 5 Ft. H I. S Ft. B -1S-Ft. I S Ft. Linear Loading Rate= GPD/LN FT J \0 Ft. Design Loading Rate= O-3 GPD/SQ FT K \3.5 Ft. L l1) Ft. A+tt,=fta;t Position of Force W 3o Ft. L B K W Distribution Trench Of 2 - 2 2 Pipe Aggregate I Permanent Observation Markers Pipes (Anchor securely) Mound Using I Trench For Absorption Area Page / Of ` Perforated Pipe Detail End View End Cop,) . '1 Perforated bye PVC Pipe Jo~~o ice Install permanent'marker at end of each lateral \ Hales Located On Bottom, Are Equally Spaced End Cap * PVC Force Main Distribution Pipe Last Hole Should Be Next To End Cop Distribution Pipe Layout P 3 ~.ZSFt. X 30 Inches Y 3Q~ Inches Hole Diameter Inch Lateral 114/ Inch(es) Manifold Inches Force Main Z Inches # of holes/pipe t S Invert Elevation of LateralslOb.S Ft. ~Sxl-l7= ~7_SS x Z= 3S.1 GP►~ N h Place lst hole S from tee with succeeding holes at 3 O intervals Last hole to be next to the end cap. Combination Sept3c;Tank and PUMP CHAMBER CROSS SECTIOU AND SPECIFICATIOMS ' PAGE S OF E0 VEIJT CAP WEATHER PKOOF JULICTfON BOX `f'C.I. VENT PIK APPROVED LOCKING -.10' FROM DOOR. \1,'Ik WH OLE COVER wI'M •.ijuDOW OR FRESH AIR INTAKE CowD i i MIfJ. I~ 11 1b l S I~,MIN, 'GRA I o o I I S"/K I Al . \ PROVIDE I fA1LE T AIRTIGHT SEAL I I i I / ~,aFF~rS ~ I I a I v APPROVED JOIW7 A I I I APPROVED JOIW': w/C.T. PIPEOR Tank construction I III W/C.S. rIPE~p' I ALARM shall comply with I II ILHP ('33.15 and 33.20 e I I I ow C I i g~•6~ LLCV. FY PUMP--- ~ OFF D COWCRETE ~ 00 ~ fjLOLK ti 3" APPR- K15CR EXIT PERMITTED 01JLJ IF TAWK MAWUFACTURF`R HAS SUCH APPROVAL SEDINC SEPTIC SPEC.IFICATIDUS f, w~pCT_lboo 005E TAWK MAL) UFACT URCR:w~s WUMBER OF DOSES: L4 PER DAy TAWK SIZE: 1p00 1600 GALLOWS DOSE VOLUME z s ~j ~ r-M S11ST) L4 IS IMCLUDiu& 15ACKFLOW: ~33•Pi GAILphlS ALARM • MAWUFACTUfZC.R: MODEL,WUMBER: 1O1 lA4AJ CAPACITIES: A= 1$ IWCHC5OR 3O~'O GALLOWS SWITCH Tt5PE: M~MCUR-Y 5= Z IUCHES`OR G~LLOUS PUMP MAQUFAGTUREK: (Ms C= 8 I&AHESOR 133'8GALLOU5 MODEL WUMBER. 1~E 4) D= a INCHES OR k33•~ GALLOWS M~Z~IZY MOTE: PUMP AMD ALARM ARE O 6E ~ SWITCH TYPE: 3S MIivIMUM DlSCtiARGE RATE GPM IN5TALLED ON 5EPARATC CIRCUITS VERTICAL DIFFEREAICE DETWEEIJ PUMP OFF AUD..DI5TRIBUTIOW PIPE.. 1 -'g3 FEET + miuiMUM METWORK SUPPLY PRESSURE . . . . . . . . 2.52 FEET y3 FT. + FEET OF FORCE MAIN X , YOFLFKICTIOW FACTOR.. C' FEET TOTAL DtlUkMIC. HEAD = • 1 b •30 FEET Pump chamber DIAMETER = 4 I&ITEKMAL DIMLWSIOfr, OF TAkJK: LEKIGTH ;WIDTH -LIQUID DEPTH 3b BOTTOM AREA - - 231= - GAL/INCH AS PER MANUFACTURER = lb:~Z. GAL/INCH _ . b or b M E40 Series MYM 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 tn W 30 W WL W H 25 8 Z Q H 20 6 J 30 2 15 Q H 3S-1 4 O 10 5 2 0 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE 1101 Myers Parkway; Ashland, Ohio 44805-1923 419/289-1144 FAX 419/289-6658 Telex 98-7443 K3326 7/91 Printed in U.S.A. Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations _ Diviron of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), d' a of slope, scale or PARCEL I.D. # \ 4ctrorrand" i dimensioned, north arrow, and location and distance t4?` rbad' Oy - ~Z3 q ~--IQ APPLICANT INFORMATION-PLEASE PRIN~Xjk (NF RM ON, T REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION ~O$ ~'A~ 1 n C I aBb~#°L jT S;~ 1/4 S~ 1/4,S Z 1 T Z$ N,R all E (o W PROPERTY OWNERS MAILING ADDRESS ~ LOTO X) BLOCK # SUED. NAME OR CSM # _>-2- 3 N . 4 Is-r. ~_A 1 sT PMb1'R w )b Couu1 ~I~s CITY, STATE ZIP CODE /❑VILLAGE DOWN NEAREST ROAD lc►u~lZ ~ Lv/ SVQ, t "5Z n"Zo'-f 12-YonkS CL2u~ [ New Construction Use [>q Residential ( Man Addition to existing building Replacement [ J Public or commercial ti~~ Code derived daily flow '-1S0 gpd Recommended design loading rate bed, gpd/ft2 - 3 trench, gpd/ft2 Absorption area required 3-15 bed, ft2 3-L S trench, ft2 Maximum design loading rate • S bed, gpd/ft2 - 6 trench, gpd/ft2 Recommended infiltration surface elevation(s) LOG I o It (as referred to site plan benchmark) Additional design / site considerations r~ovi.~p w/ S' Y-- Z S ` t# . M Uv , Z ' o F S >,&vb H L t Parent material s L ov 1z "moo W Mt)-;_* Flood plain elevation, if applicable A, ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U=Unsuitable fors stem ❑S OU ®S ❑U ❑S RU ❑S OU ❑S ®U ❑S 211 SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoLrxi3y Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rench t~-I Iz- -z!z si Z~sbk ~i~ a.S ` s Ground 3 ZD-Z(, Z-S`t2 31Y SLC~ Z- Fsbl~ 1n'q~,. CS -4 _S elev. q ft y z6-36 1-S `1tZ 37 --),S s7S3 c1 0 In ~i' ~°-S NP Z Depth to S 36- 1w-12 I;.!3 - ~Sl3i~ - - tvP 1uP limiting factor Z 6 t. Remarks: Boring # 0--1 o `1 IZ z/ Z s i t Z-`~s bl wL`~h a- S 1 • s . 6 pt \ i. >x< C .t::_ Z -7 -Z4 1 O ~1 lZ. 316 Z ~ 3 zo 3 ~•S`1R31c~ ~ St 1 ~Sbt~ cS - ~ -5 Ground elev. 30 - I O `tfz 6!3 LS %\Z Depth to limiting factor J~ 4 Remarks: CST Name:-Please Print Phone: Arthur L. We ever 715-425-0165 V gerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Sgnature: Date: CST Number: 97-2S? 'R AS - 7 M00576 PROPERTY OWNER SOIL DESCRIPTION REPORT Page of 3 PARCEL I.D. # 0 Lj 0 - 1239 - 70 Depth Dominant Color Mottles Structure GRD/ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Bed- Trench 7- 6-18 10 `•t tz 31 G s L Z'F s ~il~ 'FI- cS l 5 Ground `7.S'4(2 31`f - slc1 1 Csblc Ion CS elev. a8.3ft. L/ 2S-33 l~`~~Z~L3' - ~S131Z - - fv~tVQ Depth to limiting factor Z S" Remarks: Boring# 9 : Ground ` elev. _ ft. Depth to ` limiting factor ' Remarks: Boring # i N I i 0 i Ground elev. ft. Depth to d limiting 1 factor Remarks: Boring # Q Ground elev. l I ft. Grath, limiting factor l Remarks: SRn-81301R 05921 PLOT PLAN Page 3 of 3 SCALE 1"= So ' cow~ovrt t?L, q8. o ' i?Lg5 3 LOp.p1 6% ~ 9 Z ~L°l~ S N 41 Zs' PS -1 ~ c L9$b ` ~'M -~L..1.bp,p ON S'p1~ 30' ~ ovF G~~ trv y O116 OAk. 7ILeW iv / W o p ~ Lr~t}, of P~ ~o O atLs av~-o~ -s+~c w~u l'o gE fl'i- LET Sb' ~►~1 M o~M~ 3s , > -0 (715 42~-0169 ) 1400576 CST Signature Date Signed Telephone No. CST # Is w~. =::t LPN o y' I~ • 1 tr°~ a. Y ~ 1°1 ,y 1 y • , 1 r nu _oaKS.. : INT me. 0 41 'al y It pq -1 to! ri w, .,iw r.l l\ •It.•1'1/•• ,1.!!' Ad I.//' ~i~r•~ ~ jj1 111.1•• -44 Ll • , •1 , , ti • Y s1 ! r J/•JI /0•~li1. 11'1 r/r.1J• + JJ• C. ~el,~` 1 a, R Y ^ n• Y• 1 it e. O , ' : • ~ , ~ + • YA ok • O lh t •11'11 r • •••~-'A . ~b 4 i ~t4 • V, + ` y. L41 y to. so, .I1 a ,r 1~__ rlr Ip . ti~P / H h x , Yy ; it .i a--~-~• , d ~ ~ . t,`~• I r w w A~ ~ •J+• 1~ ~ t %h (4 F. nj ° {9 <<► ` r ° ! rTti V 14 r r ; 0 r 1 y ' r 1 a r'1 ' • u) I 1 ,c [ y 10 _JJM_ 7` < t' C q l~ ~ : nw C -67 , Y + + 1171 rl lY. ,r x- tJl•./•lo ` t. D_S 1 •o 1t $ o.• r•' so .4. r.l../l.l. IA 'N kb- Asoo.'d, n 4. 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 ~ ` C".1 ch fry I }petz Location of property-2- 1/4 SE 1/4, Section 21 , T 26 N-RW Township Tr0 Mailing address 22T3 (J Ci Ts - &W_ w► S o2"Z_, g ~ Address of site cOU CIrde- kiyedii~ W1 SyO2-2-Subdivision name c(m C ` fl Lot no . N Other homes on property. Yes X No Previous owner of property L(,lurtnc e- ftwv " .ccQ . Total size of property _ 5_q-_j 0ck es 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 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 Applic (]Z c /D V yCFA_q-- Date of Signature Date of'Signature STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER R.be'f and Chem }Pctz Ili MAILING ADDRESS 223 N - 001- S ~,rc r W Vv ( Sqv Z 2-- PROPERTY ADDRESS 7-& 7 ~ n oa0. ' Ll i'dc- (location of septic syst ) Please obtain from the Planning Dept. CITY/STATE k Vyw (n/ s q012- PROPERTY LOCATION S t 1/4, 1/4, Section 2t T Z dv N-R W TOWN OF (((U~ ST. CROIX COUNTY, WI SUBDIVISION St ActathG'yl 4 IBS 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 pi on da . SIGNED: fgA~Lr - L~~" DATE: la -G~- St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 W, EXTRA PAGE. 001 715-386-8204 553419 STATE BAR OF WISCONSIN r-ORM 2 - 1992 WARRANTY DEED DOCUMENT NO. VOL 2-1 PAGE00 REG167i Jllt'3 OFF 10-1E Ray Gale2,~Robert L. Mackey, Laurence S,CROIXCO.,WI Murphy and Norwood Eckl n i_,_a5_alorllBC%ro par tnershiu urooer ty . S EC 17, 1996 conveys and warrants to Robert retz and Cheryl Petz, dT 12.10 P. M husband and _wife as survivorship ,'K. OWL ' ma r i, t a l property, Reglater of Deees I THIS SPACE nESERVEo Pon nECOADINO DATA NAME AND AF.TURN ADDRF.S4 thr follmving described rral estare in St. Croix County, State of Wisconsin: PARCEL IDE TIFICATION NVMDER 1 Lot 14, First Addition to Country Oaks in the Town of Troy, St. Croix County, Wisconsin. TRA19FItR This is not homestead property. XXI'XXX Gs not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Daird this day of December A.D., 19 96 (SL•AL) (SEAL) L urence Mur h Iorwood Ecklund (SEAL) . (SEAL) EXTRA PAGE. 002 (SEAL) (SEAL) • w AUTHENTICATION ACKNOWLEDGMENT Signature(s) Laurence Muprhy, 5tat.e of Wisconsin, ss, Norwood Ecklund autl:etlticated tl~isdayoL DECenber , 19 County 16954- Personany came befvre.me this day of 19 , th►! above named • Kris.tina Oglapd 'TITLE: MEMBER 51'A`I'E PAR OP WISCONSIN (if not. authorized by §706.05. Wis, 5tats.) to me known to he the person who cxct:wed the foregoing instrument and acknowledge the same. TWIS INSTRUMCNT WAS DRAFTED BY Attorney Kristine Oaland Hudson WI 54.016 Notary Public, County, Wis. (Signatures may be authenticated or nclmowledgcd, Roth arc not My commission is permanent. (Tf not, state expiration date: necessary.) _ , 19 ) ' Names or persons signing In any cspacity should by t)T.ed or printed below their -1gomares. TATC nAR pr -i$C0N1IN wftcnne1n100ahnkro.1-c S 5 WARRANI'1' nrrn Nino No. 2 - 1982 m4woukn01. WIR OCT 02 '97 09:40 715 386 9281 PAGE.01