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HomeMy WebLinkAbout042-1074-30-100 0 3 0 0 d a o `c to) 0 0 N n I N ~ d I r j I I 0 c z L c ti 0 Q M zt y z y oho W S Z = O rn Z a m N F- Z 0 O I O Z a m Z 0 fA I- N Z E -E N Cl) N • N N C O 7 w O Z Z Z N Cl) l0 "Its N C N N ~ N d w w y c lD _y N ` N _ O O O O a -0 > N h w Q o cc., o - Z 2 -N > Zo • ~aaa CL 3 o U I y rn rn O tq J U a O rn rn Z .o rn m o m - c a m q } u) co _ co O O y C E O CAS C O d > p T M O L CL C a O V ~ -p N O O C Q: n N OU - d -p W ~ N N N - O O N E R v co Y N C •O y~y O N 2 N O Z cA U) v~ d ~o € a ~~t a `ate • e'a a d d E ` c rr`1wV 10 IL U) 0 ` _ . G4,4,112 dLv v r.L . - 104' T- a F 3 40 44e_. Wisconsin Department of Industry, SOIL AND SITE EVALUATION Page / of 3 Labor and Human Relations Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 8 112 x 11 Inches In size. Plan must County 5-jor- C~v/ X Include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # -A f 36 f _S • ,r f. 9 3a APPLICANT INFORMATION - Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ' Property Owner / /lEv 'Pwolaosev Property Location c 11 2 AQV 06vti Govt. Lot NW 1/4 ✓V46 1/4,S T / N,R /049 E (or(D Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 12-2-1 /1w y, T T Atle l oF' 2 444- city CS State Zip Code Phone Number Nearest Road RoQER i S S4ofto (76 ) Nf - 397 ❑ city v la Gown I.{ w y. T T- ew Construction Use: esidential / Number of bedrooms 3 _ Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd/f? trench, gpdff12 Absorption area required 375 bed, ft2 315 trench, it 2 Maximum design loading rate bed, gpd/fi2 trench, gpd/ft2 Recommended infiltration surface elevation(s) .Sae 3 - t O o' G O ft (as referred to site plan benchmark) Additional design/site cons fions SSE Ge.c~ /U/~D ~OU~l7 w s ` X 1 S Parent material s ~°g GD~M SED/~r~,vTS OvEriZ Flood plain elevation, if applicable vl,4--- n 0 S Suitable for System Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank u Unsuitable for system El s U O'S ❑ u El S L ❑ s a'ul ❑ s La'Q El S C~'>T SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 In. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench -io 10ye3iz - 104,A-f 1'56& /14,11~i~ Z V-151 10,e 3141 4.y 2- fs h/ s • y • S ZF4 Ground 3 /0 /e Y 7 SL 7~.5 p~ ~i~ CS . • S elev. . 3 Depth to 7 -7 P -2 •s yn C 2 Sc L / f s .e 7 2: limiting factor L~In. SS 5 Remarks: Boring # ( O-// /o Y,, 8 3 /a-- Lo4.4-I /7eAk Am die S Y z 1 i o rle 3151 SZ_ stile /t~*; 10A, 7e-' ; . . 3 9- o Y 5 L /-/c . ~S er- ,c Ground 7.5 y/e G SC L S~i ~/2 a r • !2J- , ' 3 elev. ft S - L VIC5 (f • :.5 Depth to W / `i t .S/L CLi¢ 74 limiting factor SS S • YL-in. Remarks: CST Name (Please Print) Signature Tele hone No Ro Q e2T- 241 b R ot'kT 30. S' Address Date CST Number 3-I1-er7 csTiy 2 y~Z • SOIL DESCRLPTION REPORT 2 3 PROPERTY OWNER al4 yn/.l' Page of PARCEL f.DI T 4F 3 4 S Boring # Horizon Depth Dominant Color Monies Structure 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 3 a:8 / o YR L o~}rt f s k- 10 Z YO- 3 S L f s6-e of , 4;. S Ground 3 20 -3 /0 YX %400 Ls 1 elev. S 7. frt. -y %Y S16 3 Lh I s ye y , Depth to limiting 41 factor Gj~' s%GT G i¢Y N Chin. ~ Jf s / Remarks: Boring Ground elev. ft. , Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Structure G D ft2 Texture Consistence Boundary Roots In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring Ground elev. ft. Depth to limiting factor 'n' Remarks: C Boring # Ground elev. n. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) orl N - v ~ ~ vLpi ` ~ ~ ~ o b\ p Q P to N of / n im ao 0 T N w N • h C O oho - ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT LL~b, M Owner ~c~.8• Property Address y, City/State ~ s g o ~ ~ ;,vuN~FF1~ r+NO Legal Description: Lot Block Subdivision/CSM # 5 9 /P3 Nw 1/4 N E 1/4, Sec. X7, T_!?jLN-R /8 W, Town of L3 PIN # ° ` ' - o ° SEPTIC TANK DOSE CHAMBER HOLDING TANK INFORMATION: Tank manufacturer W.-A-e- Size ST/PC / 8 Setback from: House ~9~ ~~gWell>>OO~ P/L9.17 I / Pump manufacturer Model 78 Alarm location B c A-`t- (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: ry? • Width a -7 Length 9 Number of Trenches I Setback from: House -IN Well moo P2 8 Vent to fresh air intake Yq ELEVATIONS: Description of benchmark !:232 4~ Jay - " ` Elevation Description of alternate benchmark Elevation I ~ZS 88 Building Sewer -7 7,,P/P- ST/HT Inlet 9 1~ t a ST Outlet 9 4,, 7 5J PC Inlet 2'6_,_71 PC Bottom J- o Header/Manifold N I . Top of ST/PC Manhole Cover Distribution Lines )6/, ;L3 ( ) Bottom of System / o c, L-o ( ) Final Grade 10A.? ( ) Date of installation Permit number ~,O f 3 7 State plan number S 77 Plumber's signature License number i9,7'7 7 I v Date .9 //67 r~ Inspector Complete plot plan Or f 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 Co T ~ 1 I!I ~ ~ 3 9 w.~~.ks s~ _1 - 94 Se.P +~'c ~ ~ ~k.S F INDICATE NORTH ARROW S I , Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM CountyST. CROIX Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitartmlp Personal information you provice may be used for secondary purposes [Privacy L , s.15.04 (1)(m)]. jyT t 6der's r~ D [ { illage Town of State Plan ID No.: CST BIM Elev.: Insp. BM Elev.: BM Description: Parcel _t?4"2a-;1074-30-000 TANK INFORMATION ELEVATION DATA A9700190. TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing , i 2_ IJ_ ~G y j r- Aeratio Bldg. Sewer Holding St/yft Inlet TANK SETBACK INFORMATION St/ Outlet 5 TANK TO P / L WELL BLDG. VAenntoake ROAD Dt Inlet 7 Septic U NA Dt Bottom Dosing NA dam/ Man. Aeration NA Dist. Pipe 753 /6 1 22 Bot. System Holding PUMP / INFORMATION Final Grade Manufacturer Demand Model Number C/' S ' FPM ~1yn Z; Friction Systerry,TDH/~ //~Ft TDH LiftLoss ead O, I I Forcemain Length .3d Dia. c2 Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width Length No. Of T enches PIT No. Of Pits Inside Dia. Liquid Depth -DIMENSIONS DIMEN I Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM LEA CHAMBER -Model Number: INFORMATION Type O OR U System: M, y1,4 DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing 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 Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: WARREN 27.29.18.416B,NW,NE 1263 CTY RD TT LOT 1 yY Plan revision required? ❑ Yes EPNo Use other side for additional information. Date Inspector's Signature Cert No. SBD-6710 (R.3/97) ADDITIONAL COMMENTS AND SKETCH F SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION 20Safety and 1 E. WsBnlgtonAve'sion NVISCOnSin D epartment of Commerce 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 893`? The information you provide'may be used by other government agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INF RMATION Property Owner Na ~ Prope ocabon r1 G /t at kc~ 'L- f - '1,1 0/4 rt XY Y"1'4, S -Z 7T ! r N, R /8 E (OQ" ) Property Owner's Mailing Address Lot Number / Block Number S City, to Zip Code Phone Number Subdivision Name or CSM Number rFfs 4 y ® 3 (7 r s) 7-s-,7-3797 S- -53 Y6 3 II. TYPE B 1 ING: (check one) ❑ State Owned El it Nearest Road Public Lff 1 or 2 Family Dwelling- No_ of bedrooms 3 ~ Vown of o- ['Tug T % III. BUILDING USE: (if building type is public, check all that apply) Parcel Ta Number(s) 1 Q Apartment/ Condo 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. TYPWOF ERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. 2. Q Replacement 3. Q Replacement of 4. E ],Reconnection of 5. Q 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 Pressuriz d Distribution Experimental Other 11 ❑ Seepage Bed 21 found 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 ,41 5-0 & p~D Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft_) (Min./inch) f Elevation; /00,60 Feet 102.40 Feet VII. TANK Capacity in gallons Total # of r Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer s Name Concrete Con- Steel lass Plastic ANew Existing strutted g pp Tanks Tanks Septic Tank or Holding Tank /coo C /'Q Lift Pump Tank /Siphon Chamber 50 r© VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (NM MP/ PRSW Business Phone Number: a 715---7yg- Plumber's Ac dress (Street, City, State, Zip Code): ~cv a E/' f . G21 ' ®Z IX. COUNTY / DE ARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Age Signature No Stamp Approved ❑ Owner Given Initial rcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: i SBD-8398 (R.11/96) 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 existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County / Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 isconsin Madison, Wisconsin 53707 Department of Commerce Tommy G. Thompson, Governor William J. McCoshen, Secretary June 3, 1997 ULBRICHT & ASSOCIATES ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN S97-01226 FEE RECEIVED: 180.00 MILLER, RICHARD NW,NE,27,29,18W TOWN OF WARREN 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. Sin erely, Jams Quinlan Plan Reviewer Section of Private Sewage (608) 266-3937 3377R/ 1 ORIGINAL SBD5524 (R.07/96) IS 9-7 - 01226 • 655 O'Neil Road • Hudson, WI 54016 • 715-386-8185 RECEIVED PROJECT INDEX iJUN 0 2 1997 SAFETY& BLDGS DIV DILHR Plan I .D. fi S97-01226 Date June 4, 1997 Owneh Richard Miller Phone 715-749-3987 Address 1221 Hwy. TT, Roberts, Wis . 54023 Legal Description Lot 1 , CSM 558463, Vol . 11 , Pg. 3247 . Part of existing Tax arcel # 04 -1 74-30-000 ( 40 acres owned by Stan Mi er NW1/4, NE1 , S27,T29N, R18W Town of Warren County St. Croix C.S .T. Robert Ulbricht CSTM 2482 Installer Local Authority/ Supervision St. Croix County Zoning Dept. PROJECT DESCRIPTION New construction. For a proposed 3 bedroom home. Estimated daily wasteflow: 450 gals . Soils are permiable ( .4/.5 GPD/FT2 ) but seasonally saturated at 32" as evidenced by mottling. A long narrow mound system using 12" sand fill is proposed. *R' e5 \\\\11111tllllllpl//1/4/ ED D PT. OF INDUSTRY, LA R S, FIt9MAN RELATIG 9S 1•DIVISION OF SAF ND mums _ •. RO w• l ` .. _ ULBAICHT TA4 = p$160 W1 HUOaON. � SEE CORRESPONDENCE ••»••• '°40;' 4. tSIG� � /i ummontotal\�\\�� Pg.l PLOT PLAN VIEWS Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS Pg.3 PIPE LATERAL LAYOUT Pg.4 DOSING CHAMBER CROSS SECTION Pg.5 PUMP PERFORMANCE SPECS This design for installation is based entirely on measurements, elevations, landscape conditions (slopes etc. ) and soil suitabieas The accuracy of his specs, as reported, shall remain thesoleded by CSTM of the CSTM. sponsibility Any use of this POWTS design ty any licensed plumber, or any related unlicensed parties or persons (excavaters, laborers) shall not be construed as an assumption of responsibility by the designer for the workmanship, construction, placement, substitution or selection of any components not specified, or any assumptions by the plumber that any unspecified components are state approved or proper, or the effects of poor judgement if working under adverse damaging weather conditions (wet/frozen soils) by any such parties or persons. cN N 01 -il ---t --I , _....3...-__ l• N --, Nk> Ni .-,i> c-3, t C 6\ p Q 0 i i' r `^ w N. N ... --i N. / \ N e - � w e • to c��oC.c • css / \1.... us o 0r Cl'o Zm g,m N�`07 ear coo �ti 1=fv CO �, e 0 - 1 m n 1 ® • �r 's,� Q / A n 5) r-. =. N ....,„ , 5 o � y V \ \ ems. • --. . 0 ,.V3 • 0 N 0 / tk, A -, _.... __, ,, ,, 4.-; o _ 0 ,..„ , . 1 , „.... , .'. r. t . „ , _.. .,,, , , , , (-N . -„ , i / e �� r \) / tel ,...J / 1 -!\sb inG / Ili m -, -- s_.2 • f .111 1 o � � c IN III o . eA H o 4. o z (lhic o re 0 ,....ri:-\--„) )1, k C) -- 7_ — pq 2 of S CROSS SECT I0,J OF M000D wi Tti BED oeo of % ro I 1- y /i 2 55Qr5ATE Di STRi(3uT‘o,J G THi cka Fs s Pip "`' SYsrEM OF Ycp soil t IEVArioo Vui FORM ToE ,I, ►, H u, /04 . 6o L I',ki E 3 I► F Th� o,,c ,, I Rm.° `I MEo• le • • • -1-3) : `/li 1111 111 /li �/// PIowED To p sot' �- -______ uu FoRM (a 70 SIopE FORCE I EUATIO4, UK,DER MAia BEP 79. 6, 0 ' .v /, 0 F r. I — E L E v A r I o►J S r ' E. /.3 Fr. ' • INvE.Rr of /y 1ATERA ( s /D/ /o F . go FT• ' • Top OF Rock /O/ yo /. 0 FT. , G � / Top OF y IATERAIS /6/. 2' 1--I kb' FT. • I PLAN VIE- ,V OF MouioD - wirti 13ED C.---,v r,P,9--L FoRcE mAbi A S Fr. I. L _______ - --- • I B 7 I- Fr -- 1 K io F T I. 4 -- -I L., 96. Fr , . 0 I k w I. __ - -- -- -- - ---' 1 FT krI - a I T 'V F ,- oVI I W 27 fr Bev OF '/z'' To - " PVC_ cAppep d(3SERV/TIO,.) R 9912E5hTE PipEs PERMA,J euT MARKERS REc2ufREO 13AsnL. hr2th _ TAILy t)hsra• Flow - VfO _ y'� S011. 10'fiI1 AT)% E cA�PAciry •' S 54. Fr, PRoposEt, B, sA-( ARef = (3 )( ( A + I ) 76. g ( c i_ W ) = , /6/V / sad, FT. ' /Q 3 of s V°/o IUD/r f c Foi 35 r o F 2 PUG FaPCt'_ MAW S.71/ .-Qs - /4 t /4s r 401E Perforated Pipe Detail z 1, k/61i r Foe vAl v-',E ev/I( u4ii l'oA.) 0 End View Perloroted End Cop) - PVC Pipe 1 . • �a;,0 Goo0b U)' p'° Holes Located On Bottom, • Are Equally Spaced Q 1,1 PVC Force Main r P Distribution Pipe Lost Hole Should Be Neat To End Cop End Cap Distribution Pipe Layout P 3� Ft. I —7074_L Uo/UA1.� X 3� Inches Y ig Inches Ne 7,Ok /� 6 S ' Hole Diameter 4y Inch Lateral rt ijf Inch(es) Manifold Z Inches Force Main " 2-- Inches # of holes/pipe /3 Invert Elevation of Laterals /8/'/° Ft. • D%STRit3Oi-tO+J DtSct-jA RGE RATE FOR CAC R . L. ATER Al_ , OTiS rp . . 2- -7 /.5. z / dtt-e/ M fni • • T0Tht_ "DiS1-Rt130rioi1 DtSGHARGE RATE FOR kle Two RK 3o• v . _ 3 � pi,.,..) 6) 2 . 5 MINlMV,i MEAD i PUMP CHAMBER CROSS SECTIOIJ AND SPECIFICATIONS /9/1E I OF 5 (- ___VENT CAP 4"C.I. NEWT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER 25' FROM DOOR, T- to/(ijrfR,4)406-- 4//3E/ WINDOW OR FRESH 12"MIU. AIR INTAKE /� kvili0n/ GRADE \ I �1/<�J��_ 4!, 1 j `i°MIN. „b vle • I IB' MIN. /0/.0 1 f COMDUITf \��\�� � ��-.—__ _ h l' v� — c/Emn oti I T-r \ , ` ----- INLETI Ia ^ ----- a AIRTIGHT SEAL I I 9�/. 30 ' I p E I I I ' APPROVED JOINTA Y A K I I APPROVED JOINTS 1J/C.I. PIPE IN 1 P fOVI III W/C.I. PIPE EXTENDING 3' 60- OI II ALARM EXTENDING 3' ONTO SOLID SOIL B -I(/ I I ONTO SOLID SOIL iI° (r3.'; Ib OM ELEV. FT. • 1 __II:. J� i , PUMP-� OFF aL �p i D 11 -Se- a,(ANK D �� 1 BLOCK--1 �JtN%�?U�`'�pewit f ,�5AL'O X RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL /{ } SEPTIC E __SPECIFICATIONS DOSE IvEE'S TANKS MANUFACTURER: �^'�� • IJUMBER OF yyD_OSES: ` PER DAY TAMK • SIZE : ��� GALLOMS DOSE VOL(I/ E Co L. (7E(_ Al-Ag2M. CO INCLUDING BACKFLOW: ` Zc ALARM MANUFACTURER: GALLONS MODEL IJUMBER: li, L' CAPACITIES: A= /� INCHES OR San GALLONS SWITCH TYPE: Me RW Ry Fie?hT" B= Z INCHES OR /40 GALLONS PUMP MANUFACTURER: ••1Ze&--7/�� C= (O.3 INCHES OR /2 GALLONS N C/ MODEL UMBER: / D `2-t-ft D:=/6.7 INCHES oR 335 GALLOMS SWITCH TYPE: PIy5Y3 Vic "1' 4vXY Ili NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 35 GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 2 7 FEET ���� cpecS + MINIMUM N LY ETWORK SUPP PRESSURE 2.5 FEET EACCt 11I 0C- ,} P-itu + 35 FEET OF FORCE MAIM X ?'bs EX°FT.FRICTION FACTOR.. • 70 FEET 'Ur I S Z U ?IS.. _ TOTAL Dy1JAMIC /7' 9 HEAD = FEET /P p fi X0 INTERNAL. DIMEMSIONS OF TAMK: LENGTH ;WIDTH " ;LIQUID DEPTH ' • HEAD CAPACITY CURVE 3 7/e s 1/4 30— MODEL "9t3�' 4 5/8 e 25 • -� 1 3 5/8 4 4 15� it e ''��r 4 3/15 11, z 10—. 2 '. _ qN\ I 1/2-It 1/2 NPT • S• —, • • • o ) 1 ' U.S. GALLONS 10 20 30 40 o 80 70 e .•uTERs — sa 160 240 0 FLOW PER MINUTE PIM.— ill • TOTAL OYNAMIC HEAD/FLOW PEN MnNTE EFFLUENT ANO DEWATEniNG • CAPACITY 12 HEAD UNITS/MIN FEEL METERS GALS (MS ii.lilik ., LH : 72 1 ei 231�1 45 170 e.to 2s 9s •� OM , __ pi 3 5/16 . • ' CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators,for duplex systems, are available and • Mercury float switches are available for controlling single and supplied with an alarm. three phase systems. •♦ Mechanical alternators, for duplex systems, are available with or • Double piggyback mercury float switches are available for •• `. :without alarm switches. variable level long cycle controls. I .I I li '' , i, SELECTION GUIDE '' 1•,lr egral float operated 2 pole mechanical switch,no external control required. • Standard all models-Weight 39 lbs. - 1/2 N.P. 98 S_'rlbi 2. Single piggyback mercury float switch or double pljgyback mercury,float Control Selection switch.Refer to FM0477, Model volts-Ph Mode Amps Simplex Du lex 3. Mechanical alternator 10-0072 or 10-0075. M98 115 1 Auto 9.0 , 1 or 1&7 — 4. See FM0712,for correct model of Electrical Alternator,"E-Pak". N98 115 1 N4rt 0.0 2 or 2 S 8 4 5. Mercury sensor float switch 10-0225,used as a control activator ,pacify 098 230 1 Auto 4.5 1 or 1&7 — duplex(3)or(4)float system. • i 1 ' f98 230 1 Non 4.5 2 O. Four,(4)hole"J-Pak",junction box,for Watertight connedlon or wired-In elm- . ., 1 .. 4T.2&6 ;_ 3 or 4 d 5 .. . pies or duplex operation, 10-0002, ' 7. Two(2)hole"J•Pak",for watertight connection or splice, • 1 For Information on additional Zoeller products refer to catalog on Combtnrdlon Starter,fM0514; CAUTION Piggyback Mercury Swrlchee,FM0477;Electrical Alternator,FM0488;t•,uchankal Anercator, fl Iterrneend.t{or1 to wt an.. Pr.I•cirl I end safety and whiny shoul 1►.doll oY a qwd- FM0495:Alarm Pac age,FM0513;Bum ll.d t,..moor reca k Nat Aa Flaclrio od and t should a followed Sat tyNud- FM0732. D73.v.e0.Basins.,fM04e7;and Aimpl.x Control Bmr, ley Ih.Act ( SHAI, National Flom-trio Cod. (NEC)(N and /M Oocuparloeal Safety and Health (OSHA( • RESERVE POWERED DESIGN • For unusual conditions a reserve safety factor is neered into the design of we,ry Zoeller pump. { 'Z • MAIL TO:P.O.80X 16347 L a7iwil+^,KY 40256'0347 Manufacturers of... • O tflf//EA7 ji7 SHIP 70:3280 0 ,Millers Lane 11 IOl'lV�ili',KY 4fi216 if_ QUA!/7r PU4/PS SNC!/9.�9 (502)7/8-2731 '• FAX(502)774-3624 G q,~ t~ dl v v-r-z Lvi} yvE' 0i %/e;2 - P> % or 3 ,lam ,F Wisconsin Department of Industry, SOIL AND SITE EVALUATION / 3 Labor and Human Relations Page of Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 Inches In size. Plan must County Include, but not limited to: vertical and horizontal reference point (BM), direction and s C~Poi percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all Information. Reviewed by Date Personal infonnatlon you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ' Property Owner Property Location L eA 1449 Govt. Lot NA) 1/4 ~1G 1/4,S -2 . T 2 / a N,R Af E (orE Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# , z 2- i 11tvY. T T P4R fF 4PoP-0Jr P 2 '4' cs tit City State Zip Code Phone Number Nearest Road RO6ERi'5 W 1. SyOI(o (76 ) 71Yf • 397 El city v la e Down t w y. T T-- ew Constructlon use: esidential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived dally flow y7 gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required 3 15 bed, ft 2 3-15 trench, ft 2 Maximum design loading rate bed, gpd/ft trench, gpd/tt2 Recommended infiltration surface elevation(s) S,¢Q 3 ' 100-&o tt (as referred to site plan benchmark) Additional design/site cons tions VS- Parent material J`'GS 60 GD~M SED!'fr~>~TS av> Flood plain elevation, if applicable 0 S Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank Unsuitable for system ❑ s [jru' 1~1 'S ❑ U ❑ s 13-u- ❑ s r R'1'1-- ❑ S [V ❑ s 19-T SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 Texture Consistence Boundary Roots Bed , Trench In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Z 4,A4 11C51 L 10M 3 ,4,-f 2 fs 6,_' /su > s f • y ' • s elev. Ground V5_- io le v 2K fsd-C ~s • • S 19 att. I /vJ . ~ Depth b •S Pe C 2 - Z , • 3 limiting factor q/__In. 555 Remarks: Boring # ( O-// /o %ve 31.1- LOfAj ~fSlJr~ Am 7-^X Z / / O r/e 3/ sZ. 3 9- o Yle Y L /f ,mss ~•c• . y s Ground / 7.5 YR z $c c s~ viz a _ Z ' 3 - _f f- Lj eleve ,_5 _ , VFS l f - - ' s 7.y 0 T27' Depth to limiting `ji' $/L factor ys s • Y~tn. Remarks: CST Name (Please Print) Signature P'71 Tele hone No Po s e P-T- 2 l b ~e / S• 3 lG oD Address Date CST Number ....t-a-. - I~-•1 ►/1 / C✓ 7//-/ 2 ~A • J PROPERTYOWNER &14YAI'L 114'4 1. SOIL DESCRIPTION REPORT 2. ' Page of PARCEL LD.# T OF 3 D ,4 Ge.e S Boring # Horizon Depth Dominant Color Mottles Structure p In. Munsell Texture Consistence Bounds Roots Qu. Sz. Cont. Color rY .a3 Gr. Sz. Sh. Bed , Trench 3 • I a ~8 /0 YR 31 1,f M ► f S kt -Fie e s f- . y ; . S Z YR 3 S / fs6 cs /vf ►4' . S Ground 3 loyle elev. S7~6LO-rt. -y /oY S/ M..3 A LV Y,e G S "Vllq Depth to I limiting 141 factor s , Remarks: Boring # ~t Ground , elev. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mobiles Structure We In. Munsell Qu. Sz. Cont. Color Texture Consistence Boundary Roots Gr. Sz. Sh. Bed ,Trench Boring # Ground elev. -_ft. Depth to limiting factor in. Remarks: Boring # Ground elev. N. , Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) N CPJ ohm?. OL q a as mo ~ . N ~ N w N / G ~ bM t 4.4 A° O r o0 ® O V1 N1 Ilk O w ec 0 c~ ZA w f o w. o tf'~ a O Q 55846.3 CERTIFIED SURVEY MAP LOCATED IN THE NW 1/4 OF THE NE 1/4 OF SECTION 27, T29N, R18W, TOWN OF WARREN, ST. CRO I X COUNTY, WISCONSIN. PREPARED FOR RICHARD MILLER NOTE: BEARINGS ARE owned by: Stanley Miller REFERENCED TO THE NORTH LINE OF THE NE 1 ,,4. (hEASURED AS N89°22' 53'E, ST. CROIX CO. COORDINATE SYSTEM). N 114 CORNER OF SECTION UNPLATTED„LANDS NE CORNER OF SECTION 27. (COUNTY SURVEYOR'S 27. (CAST ALUMINUM NAIL FOUND). MONU&ENT FOUND). u NORTH LINE OF THE NE 114 ~r.Tr.H. ' T7" r RAS N89-28' W N 89°22' 53'E N 89°22' 53'E 300. 00' w S 89022'53'W 701.99' 1660.36' F - - - a N 89° 22 53-E 300.00' ro ro p2 $ y :C 8 :C .Z ....................HIGHWAY BUILDING V :r :r ;n O SETBACK LINE :m LOT I .5 ACRES w $ l 1023375 $0. FT.) w :r 2.07 AC. EXC. R--'W p 77 TROVITD :z (90, 000 So. FT. : v N :v 'N 'cnAPR 1 a 'W ST. CROIX COUNTY A } Comprehensive Planning t Zoning and S 300. 00' Parka Committee S 8.9"22'.5.3"W 300. 00' K FILED g not rewkhfn 30 days of approval date APR 2 8 1997 P approval shall be KATHLEEN K WRM null and void BegisterciDtf MMA.TTMI.AN M GL Cr* Co' VIA STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER tdor-(9 C-D' Me I l e r- MAILING ADDRESS /3 ~ I e © T f Ro LC r PROPERTY ADDRESS 10-(43 C, 7-/q (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION 1/4, 4 1/4, Section iL 7 , T N-R 8 TOWN OF _ E ^L. ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP S' S $'YVOLUME PAGE. OT 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: C~ . DATE: (O^ I St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 '.y [7 ci ~ - 1V~ 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 2fcn~.o i Af r Location of property &I 1/4 X1/4, Section % 7 T ;k 7 N-R /9 JW) Township IF/I Mailing address , a.::' -"T Ael" Address of site j -3 I-Y '7-7- Subdivision name- Lot no. Other homes on property? Yes X No Previous owner of property aY P S, M; 11,,-r Total size of property C~l ,35 c ~ Total size of parcel Date parcel was created (n-/ '7 Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes J~L_No Volume -Wq( and Page Number 6'7(o 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. Sal/ / 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. (.tl Signature of Applican Co-Applicant 9 Date of Signature Date of Signature 561151 VOL 1246Pac296 STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED DOCUMENT NO. 1 - IRECIISTER43 OFFICE ji Wayne S. Miller and Kathryn A. Miller, ST CROIX CTY., WI j husband and wife, as sure vorship marital property JUN 18 1997 J Richard W. Miller and Lisa K. 1~ conves and warrants to A 8:00 A. M Miller, husband and wife, hold ng as .k td&4k survivorship marital property " Regleter of Deeds THIS. SPACE RESERVED FOP. RECORDING DATA NAME AND RETURN ADDRESS the following described real estate in St. Croix County, State of Wisconsin: PARCEL IDENTIFICATION NUMBER Part of the Northwest Quarter of the Northeast Quarter (NW4 of NE4) of Section Twenty-seven (27), Township Twenty-nine (29) North, Range Eighteen (18) West, Town of Warren, St. Croix County, Wisconsin, more particularly described as follows: Lot One (1) of Certified Survey Maps dated March 7, 1997, and recorded April 28, 1997, in Volume 11 of Certified Survey Maps, Page 3247, as Document No. 558463, office of the Register of Deeds for St. Croix County, Wisconsin. ~FEE C This is not homestead property. Xc (is not) Exception to warranties: Easements and restrictions of record. Dated this 1:7 day of TV Wj_ A.D., 19 9 7 w (SEAL) / (SEAL) •Wa ne . Miller (SEAL) (SEAL) j t .Kathryn A. Miller AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, ss. St. Croix County. authenticated this r day of , 19 Personally came before me this day of DESCRIPTION A parcel of land located in the NW 1/4 of the NE 1/4 of Section 27, T29N, R18W, Town of Warren, St.Croix County, Wisconsin, more fully described as follows: Commencing at the N 1/4 corner of said Section 27: Thence N89°22'53"E along the North line of the NE 1/4 a distance of 701.99' to the POINT OF BEGINNING: Thence continuing N89°22'53"E along said line 300.00'; Thence S00°37'07"E 341.25'; Thence S89°22'53"W 300.00'; Thence NO0°37'07"W 341.25' to the point of beginning. Contains 2.35 acres (102,375 Sq.Ft.) subject to C.T.H. "TT" right-of-way over the northerly portion as shown. Also subject to any and all additional easements, right- of-ways or conveyances of record. SURVEYOR'S CERTIFICATE I, James M, Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St.Croix County and Town of Warren Subdivision Ordinances and under the direction of Richard Miller, I have surveyed and mapped the above described parcel of land and that this map is a correct representation of the boundary thereof. Dated this •1' day of 1997. James M. Weber S-1804 NELSEN-WEBER LAND SURVEYING NOTE: The parcel shown on this map is subject to State, County and local laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St.Croix County Zoning Office and the appropriate Town Board for advice. NINIZ ~~yGON JAMES M.1 Z= • WEBER