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HomeMy WebLinkAbout012-1072-20-000 Q c I ° I 3 0 1 0 g o ~ © t) " (6 o C Q cN Ca a) H T U ~ m I s 0 E a) N a c z3 U. - a) _ O O -0 3 N q ow I V ~ Z can w O 7 £ 0 o 0 d co M F- U) O v O Z d N O a~i Z c Z N F- r- j a co c • •rJ ~ ~ o c cu O o Q Q ~ I O Z Z o y v ! L2 y c O E N CO t N 1 v1 a w N C O ~ w m a~ ~ 2 0 1 m 6 O G a E N 0 p c M fA fn 3 o j C H H H a_ co N E 0 0 0 Z o 0 m (L CL 3 O'' C O O > 0) rn } 0 L ° O O CD C) C2 04 CD E Q ^1 0 N co vl d 0 1-t -6 00 m a) ~y o d q } o r-I n+i O 3 c a c °O p N O C E CD 0) :1 0) O L+ N N~ N C tCn Q CL m 0 ❑ N E d C -6 N L N Y ( E N co I- I~ f0 co . O 0Y C O N Or p d h L~2 N -0 F- r- N FBI N M C X CO 0W O E €q3 U • O PA') W J N O z N Z i5 U) ..a a, a xt ° a w • G. m .2 a y c r~ c r A 0 a 2 0 in 00 Parcel 012-1072-20-000 04/05/2007 10:59 AM PAGE 1 OF 1 Alt. Parcel 34.30.17.522 012 - TOWN OF ERIN PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - GROVE, KEVIN T & JULIA L KEVIN T & JULIA L GROVE 1842 120TH AVE HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 1842 120TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 40.116 Plat: 3614-CSM 13/3614 SEC 34 T30N R17W PT E1/2 OF E 1/2 OF THE Block/Condo Bldg: LOT 1 SW 1/4 NKA LOT 1 CSM 13/3614 40.116AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 34-30N-17W Notes: Parcel History: Date Doc # Vol/Page Type 04/30/1999 602311 1423/074 WD 07/23/1997 1064/265 WD 07/23/1997 930/277 07/23/1997 771/96 more... 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/07/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.116 31,700 390,400 422,100 NO PRODUCTIVE FORST LANDS G6 3.000 9,600 0 9,600 NO MFL BEFORE '05 CLOSED W8 35.000 112,000 0 112,000 NO Totals for 2007: General Property 5.116 41,300 390,400 431,700 Woodland 35.000 112,000 112,000 Totals for 2006: General Property 5.116 41,300 390,400 431,700 Woodland 35.000 112,000 112,000 Lottery Credit: Claim Count: 1 Certification Date: 12/04/1998 Batch 519 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 W14-in Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY y Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or vp~ dimensioned, north arrow, and location and distance to nearest road. REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION PROPERTY-eWtdER: er PROPERTY LOC IPON' _ GOVT. LOT 1/4S 1/4,5,•3 T,- 7 CE (or)k PROPERTY 0 N ':S MAILING DR LOT # BLOC # SUBD ' A E OR CSM # '7 &.AJO CITY, TAT ZIP CODE PHONE NUMBER ❑CITY ❑VILLA OWN WR AD / (7451 4 / .n 17- >fi New Construction Use Residential / Number of bedrooms [ ] A ` ` ilding j ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate - S' bed, gpd/ft2 • L trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate . S bed, gpd/ft2 L trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) on Additional design / site considerati Parent material frRA. 11 1W.- S CroNS ~u~ wM for lood plain elevation, if applicable ~IA ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable fors stem ❑ S CRU ~'S ❑ U ❑ S 9U ❑ S 12 ❑ S 9'U ❑ S ISkj SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. SAh' . Bed Tmrch 0-1 to 2- 5' I- jayft 5-13 Ground 3 1-` 0 y9 s G r- $ pn 5A y Cid - 5 elev.. 3 /0 YX S /1 4'1,( Tyg. -51r-i S_ h"5 L.4y 7 _ . 3 Depth to ~1- `p Sye yd 51 ~~'I~ 6; tt, It limiting factor 2_ Remarks: Boring # 1 61-10 /0)10 3/1 kk~ Ground y _ • , S 1 S :4k t0 y 9S` ~t l~ = Axe 30140 , s z~ sy s z s I sla v . y Depth to limiting fact „ Remarks: CST Name: Please Print , GN G Phone: G/ 71,% 3f,eLc~ Address: Signature: ~ / Da : ~6 S Number: PROPERTY OWNER SOIL DESCRIPTION REPORT Paged S~, A PARCEL I.D. # , Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft Consistence Bourxiary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground 3 /y-Zt ` /P y 5 C /~lb /.N s~~ vJ ~A- oeptnto $_40 7syn j y,,c~ Sr wss,l~ 13 Y12 limiting facto Remarks: Boring # 4440 Jx. Ground elev. . ft. Depth to limiting factor FT Remarks: Boring # 4.k:::.~ Ground elev. ft. Depth to limiting factor Remarks: Boring # 4•. i Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) ~o P e81 • g~ 0 a N i~ Ak Dice v /=,e" ee- V /nxS ~iMo►s o~~ /l ap~ $v.nG i 3 S ~ J~ o IV STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER Cplff,k+ tgiNDVS LkX ADDRESS SUBDIVISION / CSM# LOT # SECTION T ~ N-R_LJ_W, Town of LE I N EZAI P- 1 ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM d~lx laa - _ _ _ _ MOUNO 115 ~x IbU IfNc.~ I~) - 800 5n~ RMP Crl,. y8, ~ iaao9pl Spy}; O Nose e rv1at,e S 110 me i~ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. 1 BENCHMARK: RO hl I Ug~j = U J , U ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: W ~S Liquid Capacity: lao o Setback from: Wel1GQe( SUS House a 9 01`6 Other Pump: Manufacturer 2Ue i 1eP- -Model S Size Float seperation Gallons/cycle:- 159 Alarm Location IN " CJtj j y, -:SOIL ABSORPTION SYSTEM Width: Length Number of trenches SA IUD' Distance & Direction to nearest prop, line: _ over Sp' Setback from: well: House OVF 10 other ELEVATIONS Building Sewer ST Inlet, 4 a . 4 ? ST outlet PC inlet 1 CIS PC bottom ?J-? .I y Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: ~QI I PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt BENCHMARK: KoN I = 0 U ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer:. U) 2e.K5 Liquid Capacity: Sao o Setback from: WellGQe(Z SO' House o1`6 Other Pump: Manufacturer Zoe l Ie12 Model#_ 9 S Size Float seperation Gallons/cycle:_ Alarm Location- N ~jU fig= SOIL ABSORPTION SYSTEM Width: Length Number of trenches 5r , too, Distance & Direction to nearest prop, line:- OV e 12 501 Setback from: well • bVCf, S~ House OVF other ELEVATIONS -7 V Building Sewer ST Inlet. 9 4 T ST outlet PC inlet 1 MI5 PC bottom-S-?.-)V Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: ~0 1 9 PLUMBER ON JOB: LICENSE NUMBER: -3 q`) INSPECTOR: 3/93:jt ' Wis onsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT SrpJ. OIX (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION 268673 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: LUX, MARK & MELINDA ERO PRAIRIE CST BM )Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: I re TANK INFORMATION ELEVATION DATA A96010377 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. e'{ Septic s 6 zGv Benchmark 5- Dosing Ae Ion Bldg. Sewer FHOIding, St/ Isf Inlet TANK SETBACK INFORMATION - St/Vt Outlet 11, 211 74zl' TANK TO P/ L WELL BLDG. Aier Intake ROAD Dt Inlet Septic )fir 0 NA Dt Bottom K7,711' Dosing ' (4 NA H fMan. Aeratio NA Dist. Pipe x,* Z r C,v.3 Holding,,.- Bot. System 6.1 PUMP/ SIPHON INFORMATION Final Grade ~ G NO Zr Manufacturer o ~ errandM r Model Number 9g VhjpM TDH Lift Lriction~,,51 System Sp` TD' H l9~Ft 16 Forcemain Length Dia. I Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH N Widths i Lengtl~i l • No. Of Tfenches No. Of Pits Inside Dia. uid Depth /W / DIMEN I N SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHIN urer:_ SETBACK INFORMATION Type O n&,,..- CHA R Moe Number: System: n( ~p UNIT DISTRIBUTION SYSTEM a, Header /A yJ ^ Distribution Pipe( x Hole Size// x Hole Spacing Vent To Air Intake Length CA-0 Dia. 1! 4 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: ERIN PRAIRIE.34.30.19W, E, SW, 120TH AyENUE fit..i ~~lf. k) ~lc, ca` cr; 'E' 1 r' S, Z2 )l y='1 6 ~ ~~LCi~-tom /d'7('~ GZ,,•Crrr`+~ G.`~ ~(~4.yY~,O ~ '~r.1,~ ;r!'•,.~.~"Y1~ f l VV G U dl CJl_ /Q14, it 1 I, , L ~y 1 k { Fh n.~- . Plan revision required? C:] Yes Q-At>5 Use other side for additional information. lQ D8 SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: a IIIr~ Ili"~iilrs Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems 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. 0 See reverse side for instructions for completing this application state sa~ ry Pm~t Nu ber 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 INFORMATION S 9 - 90 Pro rt y Owner Na e / L_ IUY ~Pro ert Location tr'li F14 0A,5 ~ Teo N,R / E(or)W - ale Property O ner's Mailing Address Lot Number AM Block Nu 7'0% A Cit , tate 7-B Zip Code Phone Number ubdivision Name or C M Number VV 49_4= -4 1(7,1512W-5712 II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Caty Nearest Roa~d^ ❑ Village ~J Public 1 or 2 Family Dwelling - No. of bedrooms Town OF III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 0/--,a - /a rr~9 - A0 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. ew 2. E] Replacement 3. Replacement of 4. E] Reconnection of 5. Repair of an __System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 In-Ground Pressure 42 Q 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 Re9u'red sq. ft.) Prop ed (s ft.) (Gals/day/sq. ft.) (Min./inch) _ Elevation i~~ r 08 5 VII. TANK Capacity .~S Feet Feet INFORMATION In gallons Total # of Manufacturer's Name Prefab. Site Fiber- Ex per. New Existin Gallons Tanks Concr a Con- Steel glass Plastic APp Tanks Tanks strutted Septic Tank or Holding Tank 1 a ()(,1 , Q ❑ ❑ ~ 1-1 ED Lift Pump Tank /Siphon Chamber ?00 L- 1 El ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Na : (Print) Plumber's Si nature: (No Sta ps) MP/MPRSW No.: Business Phone Number: 111j_-316 -&Q,9 6 Plumber' Address ( treet, city, state, Zi Code): IX. COUNTY / DEPARTMENT USE ONLY W ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing A nt Sig ture (No mps roved Surcharge fee) Pp ❑ Owner Given Initial jG0 Adverse Determination U r 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 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. 11. 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 r) 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. 596,s41190 6 yy , MARK & MINDY LUX SAtr~-f~V 4 BEDROOM RESIDENTIAL MOUND DESIGN `EY& e PLAN ID# S96-411906. REVIEW DATE: Sept. 23, 1996 PLAN REVIEWER: Gerry Swim PROPERTY LOCATION: PROPERTY OWNER: SE;SW;, SEC. 34, Mark & Mindy Lux T.30N., R.17W., Tn of Rte. 1, Box 99 Erin Prairie, St. Croix Hudson, WI 54016 County, WI. INDEX TABLE PAGE 1 OF 9 TITLE SHEET PAGE 2 OF 9 WORKSHEET PAGE 3 OF 9 WORK SHEET PG. 2 PAGE 4 OF 9 PLOT PLAN PAGE 5 OF 9 MOUND CROSS SECTION PAGE 6 OF 9 DISTRIBUTION PIPE DETAIL PAGE 7 OF 9 PUMP CHAMBER CROSS SEN PAGE 8 OF 9 PUMP SPECIFICATIO PAGE 9 OF 9 ATTACHED SOIL * 'GNAT WOT, o , PREPARED BY ~ Jim Boumeester ~p~1s G~ 1070 Hwy. 35 N. Hudson, WI 54016 per' d►ds` lob (715) 386-9020~R. s SIGNATURE: 'rna i,'Yv~e_t?~ PRS 3404 DATE: WORKSHEET ABSORPTION AREA SIZING 1. Daily wastewater load 600 God (3 bdrm)(150 gal/bdrm) 2. Depth to limiting factor 26" 3. Land slope 4% 4. Infiltrative capacity of soil at system elev. 1.2 gpd/sq.ft. ASTM C33 med. sand area required 500 sq.ft. bed length (B) 100.0' bed width (A) 5.0' MOUND DESIGN 1. Mound Height: 2. Mound dimensions: fill depth (D) 1.0' end slope (K) 11.0' ((1.0 +1.2 )/2+.75+1.5)3=10.05 downslope fill depth (E) 1.2' total length (L) 122.0' 1.0 + (4% X 51) (100.01) + (2 X 11.0) = 122.0 aggregate depth (F) 0.75' downslope width (I) 11.0' (1.2 +.75+1) (3) (1.14) =10.09' cap and topsoil depth(G) 1.0' upslope width (J) 8.0' (1.2 +.75+1)(3)(.89) = 7.88' cap and topsoil depth(H) 1.5' total width (W) 24.0' 8.0' + 51+ 11.0' = 24.0' 3. Basal Area: Basal area required 1,200 sq. ft. 600gpd./0.5gal./sq.ft./day per CSTM = 1,200 Basal area provided 1,600 sq. ft. (100')(5'+11.0') = 1,600 Linear loading rate 6.0 gal./linear foot 600 gal./100' = 6.0 PRESSURE DISTRIBUTION NETWORK 1. Distribution pipe sizing: Lateral length 97.5' Lateral size 1 Lateral spacing NA" Sidewall separation 30" Hole size Hole spacing 60" (1st hole at 30" from manifold) Holes per lateral 19 Dist. network discharge rate: 22.23 gal./minute (1 lateral)(19 holes/lateral)(1.17gal/hole) 2. Manifold sizing: Location End Length NA" Diameter NA" 3. Force Main: Diameter 2" Length 60' Flow rate 22.23 gal./min. Friction loss 2.25' (601)(3.75ft./100ft.) = 2.25 ft. 4. Total dynamic head: Min. supply pressure 2.50' Vertical lift 12.00' friction loss 2.25' Total dynamic head = 16.75' 5. Pump selection: Manufacturer Zoeller Model number 98 Discharge rate 34± gpm @ 16.75' 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)(601)= 159.60 D) Reserve storage 9.00" = 175.50 gal. TOTAL 49.0" = 799.50 gal. ■ b-3 Sole / 3o' ~~ropose~d 600 aP. O ~Jkm(JC,itiG~mb ; *--PCOP05ed 200 c~aQ 0 5¢ ~o~; C ~+nlC• LDes4- CeC (?ne is r)earesi~ r~roposed Proo. Lane o-'80.4ene~a~eeL. y bedroom Propase.d ~o M0-/t!9 #(;17C/ u X is 3 7 Ro IV•&6 St'~5! sA-m/ See. 3~I T. 30/7 ~ar~z~•-~~ re•Ferenee (~o; of and 17 cJ., T. of' Er; ~ e~ aQ.nJ,"'L K: %"irar) p;pcSzE. ~t• C fOiX ~'o•, cJ~. T00 Or p,pe ro Car, ~lc~ L:ne Sao 9A . / r ~0?0 ~iF r/e . Page ~ Of Cross Section Of A Mound Using A Trench For The Absorption Area Medium Sand Fill _J1 ° F 6" Topsoil 3 E D Trench Of 2" - 22" Aggregate, Plowed Layer 6" Below Pipe, Covered With D D Ft. Straw, Marsh Hay Or Synthetic Fabric E Ft. G Ft. F O•Ft. H 5~ Ft. Plan View Of Mound Using A Trench For The Absorption Area force Mai Distribution Pipe Permanent Markers Observation Pipe W B K I Trench Of li" - 22" Aggregate L - - A Ft. I O Ft. K Ile Ft. W .2 Ft. 8 160.0 Ft. J &0 Ft. L /X.O Ft. Page (o Of 9 Distribution Pipe Detail For Lateral Network PVC Force Main Holes Located On Bottom Are Equally Spaced End Cap X PVC Distribution Pipe P * Last Hole Should Be Next To End Cap ! First hole to be3o" from manifold end of bed P 975- Ft. Hole Diameter Inch X 60 Inches Lateral Diameter lya Inch(es) Y .30 Inches Force Main Diameter ,2 Inches # Of Holes/Pipe _o Invert Elevation Of Laterals 97.20 Ft. PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS See ILHR 16.19 VENT CAP For Electric q'VEKIT WEATHER PKOOF APPROVED LOCKIKIG 15' FROM DOOR. JUWCTIO" BOX MAWHOLE COVER WITH PADLOCK WIKIDOW OR FRESH 12"MID. AIR IMTAKE i Wareing Label GRADE I `i" MIKJ. IB" MIW CONDUIT 18"MIKI. \ `I 111 IK1LE T PROVIDE I - - - -Approved Joint AIRTIGHT SEAL APPROVED JOIAIT A I I I APPROVED JOIWT! I III I I I ALARM e I II I I , I I Ow c I I FL E✓. - `L 1 PUMP---- OFF D / COKICRETE BLOCK See ILHR 83.1! for 3" bedd i n• ELE I/ = 8~, aQ RISER EXIT PERMITTED OIJLy IF TAUK MAULIFACTURER HAS SUCH APPROVAL SPECIFICATIOUS MAAIUFACTURER: ~-JQels conCre-& 1J UMBER OF DOSES: 4 PE:R DAy SEPTIC TANK SIZE: aQ PUMP TANK SIZE: 1900 a0 DOSE VOLUME: Mill = /,9.100 GALLONS ALARM_ MAMUFACTURER: - CAPACITIES: A=~2_LIUCHES OR '10-f GALLOkJS MODEL NUMBER: 101 HW 3.~ B=~-IAICHES OR --VOO GALLOWS SWITCH TYPE: _ Merc/u/ry C=- _IWCHES OR 1~Z GALLOWS PUMP MAWIFACTURER: -_Zoed~ Ar- D=_9 mr-HES OR 17S, GALLOWS MODEL IJUMBCR: oi70 KIOTE: PUMP AND ALARM ARE TO BE SWITCH TYPE: - Mercury IUSTALLED OM SEPARATE CIRCUITS PUMP DISCHARGE. RATE x3.10-GPMI ,.C-Ck red VEKTICAL DIFFEKEMCE bETWEEM I-IJMP OFF ARID DISTRIBLITIO" PIPE.. 6?.00 FEET + MIAIIMUM METWORK SUPPI_9 PRESSURE . . . . . " . . . . • 2.50 FEET + (20 FEET OF FORCE MAIM X 7 F%o FT FRICTIO►J FACTOR.. Ls FEET TOTAL DYNAMIC HEAD = 6 FEET r IMTERMAL DIMEMSIONS OF TANK: LENGTH ;WIDTH LIQUID DEPTH 4I/0 GALLONS PER =NCH 19 50 0 o 9 HEAD/CAPACITY CURVE >r _ EFFLUENT &DEWATERING TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE ;W t 1 _ S3d5 SERIES 5739 96 137/139 16114161 1614163 1694165 1694165 106/4166 MOSS 16914189 n FL M: GAL LTR GALITR GAL LTR GAL LTR GAL LTR' GAL CTR GAL LTR GAL LTR GAL LTR GAL 17R J2 105 S 1.52 43 163 72 273 93 3$21 106 441. 61 231 61 231 58 320. 155 667. 1SS 587 100 10 105 la 129: 61 231 79 299 100 Sri 61 231 61 231 56 - 129 146 1S1 7i 15 4,67 19 72 45 1T0 64 242. 91 344 60 227 60 227 $d 220 142 S37 145 549 95 20 GAO 25 93 36 136 82 310 59 223 60 227 58 136 / 140 FJO 28 - 25 742 0 30 74 260 57 216 S9 227 51 220 126 -464: 133 H3 90 30 9.14 65 246. 55 206 S8 220 90 340. 58 729 121 :.4... 127 461: 26 es 40 12.19 46 47446 172 SS 296 75 383 SS 226: 105: 397 114 431. SO 1514 21 $0 33 125 51 191 se 219 54 220 90 341 100 379. 21 e0 60 1659 15 57. 43 : 161-. X 136 SS 120:'. 71 209. as 322 75 70 171.34 30 114 10 30 S2 191 S1 193 TO 265; 22 186. 70 M 24.36 14 63 45 470 2r, 406- S4 204 1,56 i 90 .17.4) _ 20 65. 32 171: I 0 37 145 65 116 100:.30.45 11 21 79 z 110:72,00 7 r.~. 1 >o LOtk whit: 19.25• 2r S6' 66' 8T 7T 115• 91' 112' O 55 166. 6 WARNING: Model 185/4185 should not be subjected to 50less than 30 feet TDH. 4$ NOTE: For Head Capacity on. Model 112, Industrial 12- 40 column-explosion proof pump, see FM0219. ,es.l,es J5 l0 JO e 89.4169 ° 25- "L N 5 7 -10- to- 41 < 2 s 9e 12 53.55 1]7,,39 57,59 U.S. GLL s 10 JO 40 50 6O 70 60 90 100 110 120 30 140 50 160 U b0 tw 210 400. 4!0 SKBIt] FLOW PER YNUTE 3 tG. r?n(. W SEWAGE & DEWATERING TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE 7s 22: SERIES 262 266 267 266 26214262 2W4294 29274292 2914293 29414294 2994295 70 - FT. M Gal. LtM Gal. Lts GaL LtM fGal. LCS Gal. LVS. Gal. Lkr9:. Gel tt-.' GaL 1;119: Gal. Ws Gal. L". 20 : 5 S 142 90 341. 126 484. 126 464; 126 464.: 131 492 160 .661: 133 .503 196 .742 225 SS2. 10 3.06 60 227 89 337 89 337 89 337 95 .360 158 696 116 439 101 666 205 IM 1e ° 15 4,67 22.5 ;.{6 SO 199 50 119 50 189 63 236 135 611 100 378 130 49Z 165 625 185 700. 55 20 6.10 10 38 10 w 10 36 33 125 106 401 43 322 119 -430 150 368 166 15 tJ6 50 25 7:52 76 2&S 66 250 106 401 136 516 153 680 i 11 45 30 9.4 43 163 46 174 90 340 121:.465 140 530. 40 12.19 26 H 50 119 94 356 115 433 i 17 40 SO 1514 58 .220 89 337 ° 60 {629 t 1Q 35 U 19 69 223. 0 70 51.34 25 95. 3o e 293.4793 Lock wive. 18' 21.5' 21.5' 21.5' 26' 35' 39• SO' 62 TT 25 20 WARNING: Model 293/4293 should not be subjected to 262.4252 less than 15 feet TDH. s 4- 261 '0- S. 2 762 297.1297 5 766 67, t294.4294 295.4795 05,1105 U.S. GALLONS 10 70 ]0 40 0 0 0 90 100 110 120 110 50 ,60 701870 1-11 240 750 I26° 270 60 790 3W 3,0 3J0 330 3401 350 .1601 370 3801,590 400 410 0 50 i60 210 370 400 400 560 640 720 600 660 960 1040 1120 1200 1280 mao 1140 152D.,. FLOW PER WNUIE SKS53 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT J Pa Labor and Human Relations ge J Of 'Division 1'afety & Buildings in accord with ILHR 83.05, Wis. Adm. Code S96 ` ~~~90 COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, tut + ~`y not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. it dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PRO RTY9YVf . u er' PROPERTY LOCATION GOVT. LOT 'j 1/4'~b✓ 1I4,S3 yT Q N,R 1 7 cE 0067 PROPERTY N S MAILING D LOT li BLOCK X SUBD. NAME OR CSM tt CITY, TAT ZIP CODE PHONE NUMBER []CITY []VILLAGE'~OWN NEAREST ROAD / ( ~ n / 2 1~A New Construction Use Residential / Number of bedrooms [ J Addition to existing building ] Replacement [ J Public or commercial describe Code derived daily flow ~v0 gpd Recommended design loading rate • S' bed, gpd/ft2 trench, gpd/ft2 Absorption area required bed,112 trench, ft2 Maximum design loading rate . S bed, gpd/ft2 . ` trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site cortsiderati Parent material tee.., S+Cro Qµi ~ ~e C plain elevation, if applicable ft S = Suitable for system CONVENTIONAL D W-GR UND PRESSURE AT-GRADE SYSTEM IN FlLL HOLDING TANK U=Unsuitable for stem ❑ S N U ~S ❑ U ❑ S U ❑ S ~ U ❑ S ~tl ❑ S SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bourtctary Roots Bed renctt L S Z w,1 ~r C v~ ►r,~ S G Ground 3 l- OY~ S G vrr 4~i~ r C f~ - y s elev. H ~~-314 ~s~ / sY S~ ~"~S,C /"r - €.S Depth to 31 " 60 SY~ y6 ~t Z S S l1'//I S; w r ` . 3 limiting factor , 2 Remarks: Boring # tr . ~ . G 1 61 /0 Ore 3 d lw• t S 3 a C~ v S G 3 r"=~~' aYi s~ iura~ / c~ .y S Ground l~ - AC Y y s 1 rv ~~7t' w. s~k v - . Y ~ , s 3~ ~ , S ~ 2, sy s L S ~ #slr~ ~ , 3 •y Depth to limiting faC-~ Remarks: T Name:-Please Print ~G`(G Qh / ,e Phone' y/~ 3s'` G„L~ ress: 3 S N ~G'l o~itl ltJ ~ ~~o/L / Signature: /1 / / Date: / 4 f s- CST Number ~ ~ ~ 7 PROPERTY OWNER SOIL DESCRIPTION REPORT Page _2- of _-3 PARCEL..;. t Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Roots GPD~t2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Ground 3 /y-z~ /D Y 5 6 / s~~ v vJ oeptnro R-40 Tr Y,1- d S yY7 S/ Ass,k /r✓ 3 Yj? 51-Y limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # ;F yi.•a Ground elev. ft. Depth to limiting factor Remarks: Boring # xzg s> - L MA Ground elev. j ft. I i Depth to limiting facto - - Remarks: goo, a N ,O ~o` ~Q f,~oy. p~• h -rat v s1 !a~ 1'4 AAS A" o o 3 S T C WS SEPTIC TANK MAINTEINANCI? AGRP,F.MI•WY St. Croix County OWN1?IZ/131YI?iZ ~ MAll,ING ADDRESS -1 0.7 2o. i _ I'ROPEI2"1' ADDRESS ~8~~ (location of septic system) Please obtain from the Planning Dept. CI'T'Y/SPATE. PROPEIR"ITY LOCATION 5E 1/4, J 1/4, Section TOWN OF Z--g;,? Pwrrl e. • ST. CROIX COt1N'fl', WI SUBDIVISION /f' 4 LOT NUMBEIR CERTIFIED SURVEY MAI' , VOLUME , PAG E LOT NUMI3EIZ Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proi-ter 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 I, 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/\Ve, 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 Cell ificattoll slating that your septic has been maintained must he completed and returned to the St Croix County toning ORicer within 30 days of the three year expiration date I ~n r1-: tit Croix t'ounly /.c,rling ()lliee i l iovernnrent Cenler 1101 t';umrch:ri l Ru;rd I luds„rr. I ',1111(, I I/`1 t u - ivv 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 Location of--propert 1/4 Seal 1/4, SectionAI ,T_N-RW Township A: P-",j a Mailing address Address of site Subdivision name A1,4 Lot no. other homes on property? Yes__ X_No Previous owner of property (J ~eG o r u ~a^ Total size of property /~S; 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 114,,~ and ° Page Number _6o3 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. j3A1.5j?Z 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 i?l the office of the County Register of Deeds as Document No. Signature of Applicant Co-Applicant _ gnature Da of /Signature Dateof g ST. CROIX COUNTY WISCONSIN ZONING OFFICE ION ■ r~~~b. ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 i ADDITION TO DWELLING AFFIDAVIT PropertyOwner(s): C /r O Z 1// A111 Property Mailing Address: C5! / /7/,,'//-5 71 Property Legal Description: Lot# CSM/Subdivision SC 1/4 SW 114, Sec. 2q ,T30N-R~W, Town of Zrlr1 r~i~~~ . As the owner of the above described property, I certify that the following information regarding the proposed addition is complete and true to the best of my knowledge. Original total size of dwelling: b~Cf~cwrrs (Sq. Ft.) (Sq. Ft-) Size of proposed addition: beAr-o©m-- Age of existing septic system: I have attached a plot plan showing size of dwelling and proposed addition, location on lot, and location of septic system and well, with distances given to dwelling and addition, and to lot lines. If the total remodeled area constitutes an increase in excess of 250 of the "total gross area", an existing system evaluation is required. Sizes shown on this document may be verified by county staff through building permit records held by the township, and by on site inspection during construction. Si ned: 41l~'3G Notary Public g Subscribed and sworn to before me this date: Date: 4/0'~t, /9 n, p1 M. q , County Approval: Date: NOTAIQ~, ~51 commission expires: y PUBLIC ? zaoo FOF W%SGO FAX ST. CROIX COUNTY ZONING OFFICE 1101 Carmichael Road Hudson, WI 54016 (715) 386-4680 DATE: TO: Fax Number. Name: FROM: Fax Number: 386-4686 Name: Number of Pages Including Cover Sheet: IF COMPLETE AND LEGIBLE INFORMATION IS NOT RECEIVED, PLEASE CONTACT: NAME: TELEPHONE NUMBER: v +'PI7~U]vw f' State Bar of Wisconsin F-- 3 - 1982 i! 53455011,. WARRANTY I)E'€1<) II DOCUMENT NO. 1142PA5r_M- - REGIM S OFFICE SE CROIX CO, W! PAdd for Reoad _ Gregory E. Myer a/k/a Gre lamer, and --visa D. er, a sa Mier, hust~and l OCT 4 1993 -P•.. M It 1:00 ``&k conveys and warrants to Mark L. Lux and Melinda S Luxes i awlw.,, . (,t j husband wi ft., _ Plsyltttrr of Deeds I. _ rMS SPACE RESERVED FOR RECORDING DATA NAME ANO RETURN ADDRESS $a„k Na.~ 14~s - 3ST v5 600's I! the followin8 described real estate in St • Cro3 as w ~ ~ W1 ly County, State of.Wiscoosin: - (Parcel Wenfaatioe Number) f~ The Northwest Quarter of the Southeast Quarter (NW114 of SEL/4); and the East Half of the East Half of the Southwest Quarter (E1/2 of E1/2 of SW1/4); and the Southwest Quarter of the Southeast Quarter (SW114 of SE1/4), all in Sec. ii Thirty-four (34), Township Thirty (30) North, Range Seventeen (17) West, St. didix County, Wisconsin. ! x ii ,I ly Th5 is KKKOC "nt homestead P Exception to wam. nties; Easements, restrictions and rights-of-way of record, if any. I 1 ctober , 19 95 . II Dated this ~ °I O (SEAL) (SEAL) &CCkk~ ~ka Greg& Myer I • - (SEAL ) _ (SEAL-) • Lisa D. Myer, a/k/a sa Myer I - AUTHENTICATION ACKNOWLEDGMENT I STATE OF WISCONSIN „ { Signature(s) St. Croix a - Casty. I 19 rsanlly came before me this day of authenticated this day of 3 ~ PecLObelr 19._-9J- the above name..d Grwory E. _M mr • -aLI5L-8 G-=9 -*e-i4-- - - - and Lisa D. der. Lisa_ TITLE: MEMBER STATE BAR OF WISCONSIN husband wife, - i (1f not, who executed the authorized by §706.06, Wis. Stats.) to me known to be the persoo S--.-- I for g mst meat and ackno ledge _ ~ THIS INSTRUMENT WAS DRAFTED BY :1 c,~_