Loading...
HomeMy WebLinkAbout022-1015-10-100 o ~ °CD Q ° O °n a ~ c 4 I 06 O C N x X N d N N LO 3 O O L N rn°O L R, 01 N O c Q N L 64 C O w 3~5o N O U y •O+ L F- f6 D. N Fr O ~ C N ~ 2 V N O '00 j O T O c N LL 9 C 0 8:CC; Oo 'D z N N O N L c 7 (0 f0 N N V > O LL O O U > N O 50 co W X I III E Q > N U N 'O O N O O U C CC6 . U O co N 3 E O z w O N Z a E ° 00 a m y w N F- W ~ N co c C7 .0 0 o z 'd' 5q 95 - •7 0 N 2 N ~ 0) F-- ~ w r m CO N c N C O m c c w c0 C O F1r C C> C) •PV V L c U U) m V N N 3 O o 3U 4= 0 0 O o Q Q o a 2 z z zo z 0 0 N N a CC: 0) E 41 ~i o rn m m 06 CL a ?~i N U') M O L v o o a E > FL LL . ►~.i ~ I' a a a 7 O y O rn rn aa) O 'O O O O O F~V O N O m N _II'~ d Q}~e o d ~ c I LO e 7L^O j O 3 cn w O O O O c c 0 N h O O " 0 m U O CL CL c a O N N N N U N C 0 C Y (n O O O N N 4r p U y 000 agy L F- "O p CO m E (0 CD F- F- c o I.y N N C O O N E E t6 U d c6 'co, 0 0 Y 0 z N cA it It .Q L a a CL @ U N r C (L 0 00 % Page 1 of 1 Pam Quinn From: Monica Lucht Sent: Tuesday, April 22, 2008 9:25 AM To: Pam Quinn Subject: phone call Hi Pam, I had a call from Pam and she needs to talk to either you or Ryan. She would like to build an accessory structure with plumbing, toilet, etc, but doesn't want to hook to her existing septic system. She'd like to know her alternatives. Her number: 715-381-3891 Thanks, Monica Lucht Administrative Secretary St. Croi,~ County PCanning OT, Zoning 715-386-4680 4/22/2008 Parcel 022-1015-10-100 04/22/2008 11:20 AM PAGE 1 OF 1 Alt. Parcel 06.28.18.87B-10 022 - TOWN OF KINNICKINNIC 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 - DEUTSCH, JOSEPH D & PAMELA J JOSEPH D & PAMELA J DEUTSCH 555 90TH ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 555 90TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 1.501 Plat: N/A-NOT AVAILABLE SEC 6 T28N R1 8W 1A S 208'8" W 208.8' OF Block/Condo Bldg: SW NW ALSO PT LOT 2 CSM 15/4166 COM W1/4 COR SEC 6;TH S 88 DEG E 208.78'POB;TH S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 88 DEG E 79.42';TH N 00 DEG E 340.95';TH 06-28N-18W SW NW S31 DEG W1 51.98'TH S 00 DEG W 208.78'POB Notes: Parcel History: Date Doc # Vol/Page Type 06/07/2002 681116 1906/217 WD 08/31/1998 586158 1353/186 WD 2008 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.501 30,000 169,200 199,200 NO Totals for 2008: General Property 1.501 30,000 169,200 199,200 Woodland 0.000 0 0 Totals for 2007: General Property 1.501 30,000 169,200 199,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 208 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 y 0 lU 11 STC - 104 ' ' ~ AS BUILT SANITARY SYSTEM REPORT Y 'i uNT OWNER II// ~ COUNTY Y ZC NG OF ADDRESS SSA ~DOJ-7- +`yT~ SUBDIVISION / CSM# - LOT # SECTION_j_TN_R Ag W, Town of ~~jvivr[ f,tiv^ctC ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM S1~ 3 ~~mr*r , 2o' "tcN y,AslESur 1 I \ ~ ~ X41 \ q) f \ \ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provi-de 2 dimensions- tocenter of septic tank manhole cover: BENCHMARK: ?0A) ®~i O / -r ALTERNATE BM: -T SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: GyF_,~,GS Liquid Capacity: Setback from: Well ~ s0 House Z5- ~ `ems Other Pump: Manufacturer gym,,, Model# w~ v 3 L Size 'Z /A Float seperation 91 Gallons/cycle: /lo Alarm Location 1A5Af1v7- 1 SOIL ABSORPTION SYSTEM y x y~' Width: Length Number of trenches 2 X y 9 Distance & Direction to nearest prop. line: Setback from: well: > 6a House yS~ / Other - ELEVATIONS Building Sewer N ST Inlet: 5f ST outlet: 533 PC inlet F5-, ~F9 PC bottom Pump Ofof/ 3y Y Header/Manifold !3, /on .`I' Bottom of system JI;e 3 Existing Grade Final grade DATE OF INSTALLATION: 31- PLUMBER ON JOB: i LICENSE NUMBER: 3 ~9 INSPECTOR: 3/93:fit. Wiscdf'sin Depirtmentof 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, 268680 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: PALMER, KAREN KINNICKINNIC CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 9 ,a- ~Z /G!. Gd e a ,s /0 TANK INFORMATION ELEVATION DATA A9600385 ff ZZ ~G TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic c e Benchmark 5 q ((.v,C49 _qgZ Dosing ss Aera ' Bldg. Sewer C~' ei St / Inlet r Holdin f Oyu 7 TANK SETBACK INFORMATION St/,O Outlet S. 30' 97.E ' Vent 9S, I TANK TO P/ L WELL BLDG. Air Ito ntake ROAD Dt Inlet 6.6o' Air Septic ) 5-0 > 1 NA Dt Bottom 11,31' 91, 1? 1; Dosing ,>,no > 5D )z --23 NA Header 1112,45 Aeration NA Dist. Pipe Hold' Bot. System ~ PUMP / INFORMATION Final Grade - c. rA tap 0I4' S,.-r, Manufacturer G(~ 38gs Demand /N4, ~vic Lvvk+' FJ3.L CPM Model Number to ro, TDH Liftg,87 Friction Systema ,5() ! Loss TDH Ft Forcemain Length Dia. F~ Dist. To Well >6D SOIL ABSORPTION SYSTEM ide Dia. Liquid Depth BED/TRENCH Width ` i L i~ ' No. Of drenches PIT No. Of Pits ;anu DIMENSIONS o~ iR r: SYSTEM TO P/ L BLDG WELL LAKE / STREAM ER INFORMATION TypeO -17 1.6 (00 System: yKcv.-_,j S ^ y5 a rl Model Number: /4- IT DIS TRIBUTION SYSTEM r /Manifold Distribution Pipe(s) x Hole Size f x Hole Spacing Vent To Air Intake rpra 10 It e, y /s-erg Y Length Dia. a' Length 7`O Dia. I~' Spacing ~ 55 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: KINNICKINNIC.6.28.18W SW, , TOWER RD V Plan revision required? ❑ Yes to Use other side for additional information. /0 "Pa2 SBD-6710(R 05/91) Date Inspector's Signatur Cert No. SITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: t f' Safety and Buildings Division vp`j~A OANITARY PERMIT APPLICATIA 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 1/2 x 11 inches in size. !Z. if znax • See reverse side for instructions for completing this application State sanitary er /it umber The information you provide may be used by other government agency programs ❑ Check it revision to previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan I. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION 5~~ - 03 7.30 Property Owner Name Property Location W1/4 114,5 T p N,R P'E(o Property Owner's ai121 ddress Lot Num er Block Number _IX .57 City, State ~•Z Zip Code Phone Number Subdivision Name or CSM Number ~Oeemr u. 15 W/A/V I&Ajoo II. TYPE OF BUILDING: (check one) ❑ State Owned VN'~Jcel ityy Nearest Road illage ❑ Public 1 or 2 Family Dwelling - No. of bedrooms- own OF 1Gv III. BUILDING USE: (If building type is public, check all that apply) Tax Number(s) 1 40" 1 ❑ 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. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1 ❑ New 2. 1Z Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an _____System________System___ Tank Only______________ Existing System .........Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 W1 Mound 30 ❑ Specify Type 410 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: ystem Elev. 7. Final Grade 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate L-~Vls` Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 3 Elevation eet D ~0 d Feet F VII. TANK Capacity Site INFORMATION in gallons Gall tons a ks Manufacturer's Name Conc ete con- Steel glass Plastic Appr New Existing strutted Tanks Tanks Septic Tank or Holding Tank A /pod YI VT ❑ ❑ El ❑ El Lift Pump Tank /Siphon Chamber ❑ ~ 1:1 ❑ ❑ VIII. RESPONSIBILITY ATEMENT I, the undersigned, assume responsibility for installation o he onsite sewage system shown on the attached plans. Plu ber's Name: (Print) Plu ber's Signal No S ps) 17 7PRSW No.: Business Phone Number: PI mber's Ad ress Str et, City, State, p Code): u~ IX. COUNTYf/DEPARTMEN'r USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issue Issuing gent Signature (N ps) Approved ❑ Owner Given Initial Surcharge Fee) a0(7~~ O Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6396 (R. 05194) DISTRIBUTION: Original to County, One cnpy To: Safety & Buildings Div, ion, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5_ Onsite sewage systems must be properly maintained. -The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 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 nd specifications not smaller than 8 112 x 11 inches must be submitted to the county. The plans must include the follAing: A) plot plan; drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) of 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 Madison, Wisconsin 53707 State of Wisconsin September 27, 1996 ULBRICHT & ASSOCIATES ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN S96-03730 FEE RECEIVED: 405.00 PALMER, KAREN SW,NW,6,28,18W TOWN OF KINNICKINNIC COUNTY OF ST CROIX MOUND SYSTEM PETITION FOR VARIANCE TO CODE SECTION ILHR 83.23(1)(d)2.a 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 ILHR 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 ILHR 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 of the statements and supporting documentation included with the petition were considered. Since your request is similar to other petitions approved by the Department (e.g. S94-03852), the petition is approved. The petitioner requested permission to install a replacement mound system on a site which has mottled soil three inches beneath the "A" horizon. This petition approval is granted conditionally with the understanding that all of the petitioner's statements included on the variance application form and any other documents submitted to the Department will be carried out. This variance is specific to the subject petition and cannot be used for any additional modifications. All permits required by the city, village, township or county shall be obtained prior to installation. SBD-5324 (R. 09/88) SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin ULBRICHT & ASSOCIATES Page 2 September 27, 1996 PLAN S96-03730 Inquiries should be directed to me at the number listed below. Please refer to th an number wn above. S' c ly, Peter E. Pag Plan Reviewer Section of Private Sewage (608) 266-2889 7573L/ 2 SBD-5524 (R. OWN) ULBRICHT & A410CIATES CO. 655 O'Neil Road -,Hudson, WI 54016 Reg. Designers of Engineering Systems 715-386-8185 Private Sewage Consultants PROJECT INDEX DILHR PLAN ID # S96-03730 DATE Sept-27,1996 OWNER Karen Palmer PHONE '715-4254-17R& ADDRESS 555 90th St. Hudson, Wis.,_54016 LEGAL DESCRIPTION Tax Parcel #022-1015-10-000. 1.0 Acres. Meets and bounds description. ~ ~ ~ SW 1/4, NW 1/4, Sec.6, T28N, R18W. -03730 TOWN OF Kinnickinnic COUNTY St. Croix CSTM Dave Fogerty CSTM3233 LOCAL AUTHORITY/ SUPERVISION St. Croix County Zoning Dept. PROJECT DESCRIPTION: An existing older 3 bedroom home has a failing inground system, condemned by St. Croix County Zoning for surface discharging. The system is sited in seasonally saturated soils. Estimated daily wasteflow: 450 gals, Soils in the one & only small replacement area are seasonally saturated at 11" to 20". One of the backhoe pit areas, as verified by Wis. Commerce Wastewater Specialist Leroy Jansky, only has "A" plus 3 inches of unsaturated soils. The upslope areas of the replacement area meets the "All plus 4 inch rule, with up to 20" of unsaturated soils. But because of only "A" plus 3 inches at the proposed toe of the mound system, a petition for modification is required. Soil structure predominantly in the upper 12" of soil is fairly good (with the exception of some random thin platey bands caused by farm tractor activity years ago). Loading rates otherwise in the upper 12" are .5/ .6 GPD/ft2, but as recommended by Wastewater Specialist Leroy Jansky, a very conservative design rate of .3 GPD/ft2 shall be used. A trench type mound system using 25" of sand fill is proposed. The installer shall chisel plow the site deeply, from 8" - 12" inorder to disrupt any thin bands of possible platey structure. ELEVATIONS OF "STEPPED" TRENCH LATERALS SHALL NOT BE CHANGED WITHOUT APPROVAL OF DESIGNER ! P9.1 PLOT PLAN VIEW~y Pg. 2 SYSTEM CRO$, SFqT '"9 -SYSTEM PLAN VIEW SPECS. Pg.3 PIPE L'ATERAi, LA I7(J~' Pg.4 DOSING CHAMBER Pg . 5 PUMP PERF-QVM1 ALL NON-CONFORMING ~Ag A~ TREATMENT% TANKS SHALL BE ABANDONED PROPERLY FOR ILHR 83.03(2). i r G 20 % %A G=mm com = '°$z° - z -+Z r--- - cza o o sat ;K -n M 0 CO) 0 -51 M ~rZ ~ 0 ~ II r O FL w w 1 ~ i ~ w i ~ I o P 4 Zl ~ - ~ I v3vca~ ~1 ~ccrs-°°v~ --4 m O ~~x ~y o ` O N03c~~ S96-03730 oa G, b a c Co C, l oCi~Omv (1 ~I 1j vm-ye~r50 Submersible Effluent Pumps 3885 AVAILABLE CERTIFICATIONS ETL LISTED SUBMERSIBLE PUMP Q CLASS I AND 11 DIV. 2 AND CLASS III DIV. 1 AND 2 ETL TESTING LABORATORIES, INC. CORTLAND, NEW YORK 13045 61086131480 CANADIAN STANDARD ASSOCIATION sli PERFORMANCE RATINGS (gallons per minute) MODELS WE0511H WE0511HH Series HP Volts Phase Max. Amp. RPM Solids Wt. (Ibs.) ti~rlei WE0512H WED712H WE1012H WE1512H WE0512HH WE1512HH WE0311L 115 9.4 N0. WE0311L WE0311M WED532H WE0732H WE1032H WE1532H WE0532HH WE15321M WE0312L WE0312M WE0534H WE0734H WE1034H WE1534H WE0534HH WE1534HH WE0312L 230 4.7 HP %3 %3 '/2 3/4 1 t Y '/2 1'/2 WE0311 M '73 115 9.4 1750 56 RPM 1750 1750 3500 3500 3500 3500 3500 3500 WE0312M 230 1 4.7 5 100 70 80 90 106 - 60 - WE0511H 115 13.0 10 80 65 76 87 102 112 56 84 WE0512H 230 6.5 15 60 57 72 84 100 108 53 82 WE0532H 20030 3.4 20 36 45 65 79 95 105 48 77 WE0534H Y2 460 3 1.7 60 -.25 25 59 74 91 100 45 75 WE0511 HH 115 13.0 30 50 67 85 96 40 72 WE0512HH 230 1 6.5 35 40 61 79 92 35 70 WE0532HH 208,/230 3.3 S 40 26 52 72 86 30 67 WE0534HH 460 3 1.65 3/4, 45 10 43 64 80 25 64 WE0712H 230 1 10.0 N 30 54 73 18 60 WE0732H Y4 208/230 5.4 3500 55 17 42 65 12 58 WE0734H 460 3 2.7 6 30 54 3 54 WE1012H 230 1 12.5 70 65 16 40 51 WE1032H 1 208/230 7.0 -70 5 26 47 WE1034H 460 3 3.5 75 14 43 WE1512H 230 1 15.0 tvi 4 40 WE1532H 208/230 9.2 90 33 WE1534H _ 460 3 4.6 100 24 WE1512HH 1 %2 230 1 15.0 e0 110 15 WE1532HH 208,/130 9.2 t20 5 WE1534HH 460 3 4.6 metal parts, BUNA-N elastomers. METERS FEET • Temperature: 1600 F (71 ° C) 90 maximum. ' - l - ! - MODEL 3885 ' • Fasteners: 300 series 25- 80, ' i SIZE 3/," Solids ~ stainless steel. • Capable of running dry 70 wEt_ without damage to 20 wE1 1 i components. o so...._. , I 5GPM I 1 Motor: LU wEO 5 FT • Single phase: 1/3 HP, 115 or a 15 50 - , 230 V, 60 Hz, 1750 RPM; o wEO H E '/2 HP, 115 V, 60 Hz, ao i... 3500 RPM;''/2 HP through 10 WEQ yw 1'/2 HP, 230 V, 60 Hz, 30 2- RA rfe r f,~ TOP OF TOP f I r~T~ R S /b/. 9f /oo • f5- 7,t'F~L ToP of, P, or- s ys T 6/&v - loo, 30 Page Z Of r ?,Pe v tti /9 Straw, Marsh Hay, Or yv~r~~-I /0/, 30 Synthetic Covering Distribution Pipe , TP '4 Medium Sand Topsoil H 3 E D E % n ---_-1 a v!U 1 fDRf'1 ~T~~~Gc Slope Trench Of 221i i2 Force Main Plowed z , ~y o Aggregate Layer Undisturbed 2./ 5 - sail `AVM ~M1 ° E D 2•3 Ft. l2 Cross Section Of A Mound System Using F - eZ Ft. Trenches For The Absorption Area G /0 Ft. A Ft. Z T/'&ua, H 5~ Ft. TiPE~Gt!c 13 y Bz1 9 Ft. S (3 C' /1nL 2y , K 13 Ft. L 7y Ft. 596-03730 J /D Ft. Alternate Position of Force Main I / 7 Ft. W 57 Ft. L GON T4 ve % J K ~q.20 A r - . C / (01o Nr _ _ _ _ Ira 7g_ 2-0 T~PFv q ~Duf-Dv~ W Observatio _ - reE I L~'.vE Pipes - _ _ i Distribution Trench Of ~ - 2 I LATERALS NUST NOT BE INTERCHANGED WHATS EVER! . Pq • 3 o4 5 Di5TRl f3uT1 oA3 Pipe "a Tw oR k LAyou r S0 96 c) ` eJ O Total Volume of Network 8.5 gals. R Z \A. M A a Z F °'-o 0 OSIJ z o\E d4i p 46 Fr /e 151 R Z 28 Fr FoRce IUAI'Q Trench "A" X Wcge FT TRENCH "A" 21, Pvc VRRI'ABLE TOTAL. VOID VoIvNe 8.2 6A15. 'PIST,NPi cft TRENCH "B" X 5 `J ~1V 5 NOI~ ~~f4NETE(~ 1/4 Pic t-5 1 1/2 INc I{~S MAW1=0L,D 2 Fopce- MAW I~C~tFS 2 II~GI{ES 47:' °F HoIES I / R P E 13 Trench "A" -tUvERT E LEVATroo or l~oi~s 11 Trench "B" OF- L ATE IN 5 101.80' _ 100.80' trench "A" trench "B" (DER Fc~R f4TE D Pi PE' -DE T^ L- EuD cAp . C-L) ReMoUE- All DRill 13uRR5 y PUMP CHAMBER CROSS SECTIM AND SPECIFICATIONS P,41C g of S -VENT CAP 4'~C.I. VE~JT PIPE WEATHER PROOF APPROVED LOCKIMG JUNCTION BOX MANHOLE COVER 25' FROM DOOR. W/ WAXA)IA) 1AA6 WIUDOW OR FRESH 12"MIU. AIR INTAKE I fJE U 17~On/ GRADE I 4"MIN. ~ I 18" MI IJ. CONDUIT x - f~i~UA~~v q O, PROVIDE I 111 INLET AIRTIGHT SEAL I I i I IpE I III APPROVED A INy AANK I I I APPROVED JOINTS W/C.I. PIPE JOINT tA 1 I III W/C.I. PIPE EXTEHDIIJG 3' no I II ALARM EXTENDING 3' OIJTO SOLID SOIL- B pq. b I 11 ONTO SOLID SOIL 5 0 (y ) I I Oti q1, ~o c I I ELEV. FT. ' ppt") 6- PUMP OFF D ~.D BLOCK ~/EViifiod RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC SPEC IFICATIOUS • DOSE TAMKS MA"LIFACTURER: WMBER OF DOSES: PER DA-4 TANK SIZE: loo o GALLONS DOSE VOLUME ALARM MA"LIFACTURER: S•T. ~JE=4-rR0 IRICLUDIMG BACKFLOW: GALLONS MODEL NUMBER: /O/ #40 120 yoCT CAPACITIES: A- 1,5,- INCHES OR 3~0/0 GALLOUS SWITCH TYPE: /I'f~/eLUR y /O4 7- B = ,2Q INCHES OR TO GALLOUS PUMP MANUFACTURER: GoV L 0 C = INCHES OR ~Iroo GALLONS MODEL NUMBER: 36095 w 5 FC03Lr p_ 25 INCHES OR s,5'00 GALLONS SWITCH TYPE: P~ggYgi,-k MEp«Ry MOTE: PUMP ANp ALARM ARE TO BE MINIMUM DISCHARGE RATE 35 GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AMD DISTRIBUTION PIPE.. /0 FEET fiAA.)k S(SECS + MINIMUM NETWORK SUPPLY PRESSURE . . . • . . . • Z.5 FEET EAC.G~ I 50 FEET OF FORCE MAIN X ?•o'~F/ 0oFLFRICTIOM FACTOR.. FEET = TOTAL DyNAMIt HEAD = 13,-5 FEET R UN . 0 d lk cr ,yy '~I t• ~ ;i II V. ( 1 it DOCUMENT NO. I SABAR OF WISCO`\_I-N FUR -NI 3--198 ~I TMI A_E RESER':E7 FIR RECORDING DATA _ QUIT CLAD DEEO t Sr rJl CO., W! - - ..TERRY__LF _.PAW4ER, alkla TERRY _ L.- P}1I.M)~~t.____________-__ i Rx d for R=,.j j quit-claims to ---KAREN-- J-•--PALMER SAP 2 6 1994 EP - A i -----------I WSWut Dftds I the following described real estate in St.-- Croix County, II -=1j Ij S*a.e of Wisconsin: Er R TO u I I ~ Tax Parcel No: - I I Parcel 87B Section 6, Township 28 North,Range 18 West 1 acre: South 208 feet 8 inches of the West 208 feet 8 inches of the SW Quarter of the North West Quarter. I~ uPT li I' j THIS DEED GIVEN PURSUANT TO THE TERMS OF A JUDGMENT OF DIVORCE ENTERED IN If THE CIRCUIT COURT FOR ST. CROIX COUNTY, VISODINSIN BETWEEN THE ABOVE-NAMED PARTIES, CASE NO. 94FA54, ENTERED AUGUST 16, 1994. I' 11 i• j; I' i. I This ie............ howestead property. i~ (is) (is not) 11 Dated this ----•------11: day of A W it4 . 19 -(SEAL) ilud - - (SEAL) A.. •Terry Lee Palmer a/k/a Terry L. Palmer I - - - ---(SEAL) - ......(SEAL) I AUTHENTICATION ACKNOWLEDGMENT Signature(s) SPATE OF WISCONSIN St. Croix ss. ...............County. auther_ticated this --------day oL 19------ ,personally came before me this O day of _A64jP2Aff 191 __,the a.~ose named Terry - Lee. -Palmer Yalmor - - - - TITLE: IdEIyIBEI; STATE BAR OF WISCONSIN - - (If not 6T authorized by § 706.06, Wis. StatsJ --'-r- ~ „ , a*er mown to be the persarr; ' to the." li 810. 1n3/+~rame fln CX y~~T, r , THIS INSTRUMENT WAS DRAFTED BY b ~I • • ^J ~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION 1 Alka,~nd Furman Relations Page of 2 11 &a;; of Safety and Buildings • in accordance with s. ILHR 83.09, oonm% 'O Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County f include, but not limited to: vertical and horizontal reference point (BM), direction and ft- n 0010 ~hh. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all information. Reviewed b to Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ST CF401X Property Owner Property Location ZQUINOOFME 1, , ~/ff(~,~/ ~L/yr~ Govt. Lot f 114',vo 1/4, N rE (or)o Property Owner's Mailing Address Lot # Block# Subd. Name or CS 575-, City State Zip Code Phone Number Nearest Road t -v--r- o (7is) JS- 7286 ❑ city ❑ Village C~ Town o w 2 v. ❑ New Construction Use: ❑ Residential / Number of bedrooms S Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow ~ 0 gpd Recommended design loading rate ^ bed, gpd/fe - trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate - bed, gpd/ft2 --trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site considerations WOZA-ryK T~iy.LrS ~,QE p/1lGy e PTRCN. Parent material ©-rGS Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ❑ S (Z U El S 0 U El S 0 U El s ❑ U El S 0 U S El U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure 7f~AU GPD/ft2 Texture Consistence Boundary Roots L in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 44 /JD Z / - S 3 S sL C 4B)k All F l2 C S c o r Ground IVJ 1) I f- ; S el v. 3 - s 57L I F- I < 114 L 17-5 YLLft. - /a / L ,lY SSzvF ~A / FI S o s' Sg - Y 6 S Ty I~TtI~ /=yak 11 L - - - ` Depth to limiting factor Remarks: Boring # jrtEF_ a'r / t:::h S G o S z L ~-~o /o - T M sr~ c 33. r= R G S - 3~ - 6 z (1 3 -52- FSte' /c Al F/- J?-1 eGround - z S' - ~f S L ©S G Ik L 4 elev. ~Lft. Depth to limiting factor 97in. Remarks: #-3 Jr~7 ~t r=- CST Name (Please Print) Signature Telephone No. l/TA) T/ r 36J G Address Date CST Number SOIL DESCRIPTION REPORT - f PROPERTY OWNER Page !G Hof PARCEL LDI • y Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed 1 Trench Ground elev. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) Wisconsin Department of Industry, SOIL AND SITE EVALUA Labor and Human Relations is Page of Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. m. Code Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and -5 C IAL-^ 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 information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location ~ Govt. Lot Sw 1/4Nw 1/4,S ~ T N,R E (or~ Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# ssr ~y~ sr- - - City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road #&fO sio t ) ?6 rr~ r v ❑ New Construction Use: ❑ Residential / Number of bedrooms 3 Addition to existing building Z Replacement ❑ Public or commercial - Describe: Code derived daily flow S~ gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/112 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site considerations &:W-S2?~ i1 Parent material (h/. S NmT 7 4-T" C,JI Drew D.4 V s~ Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ❑ S m U Z S ❑ U ❑ S JZI U ❑ S 0 U ❑ S Q) U [Z S ❑ U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench -AA S 1 Ground S 2=4- /M l- L Ss L fib S O' elev. eft. V o -6 Depth to S 39 /O-S PS SL L7 /v .:7 !3 F - - 5, limiting factor in. SIL Remarks: -46~ S" (4110'70 Boring # /o - z tL C f~ fi~,S .2 2- o~ is - f r ~ L Cs 3 0 L 17- --s~ L - /YI CS •7 Ground t ~/-y S_ [ S/ X I L elev. 3 2- V7-53 - SL 114 L - .S Depth to limiting factor in. Remarks: 3- w Z - r r CST Name (Please Print) Signature Telephone No. 4vsr) 3. De< E 4 7- 1 7 p-3G~ G Address Date CST Number r~6 x / 3 o c i2 T3 GAL yc~ 2 3 l~ f 6 23 ~PIL DESCRIPTION REPORT PROPERTY OWNER 77 • Page 'of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure 2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground , elev. ft. ' Depth to limiting , factor in. Remarks: Boring # Ground elev. ft. ; Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) leo ~ !I ~ I ~ ~sfrc ,cv ~ ' sysf~M i I F o r i i ~N s ~ Q 1 m ~ a .ems -f r ~ ~ n 1 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAILING ADDRESS Tr5- ~'D rf r PROPERTY ADDRESS S2MjgW (location of septic system) Please obtain from the Planning Dept. CITY/STATE f~Gl~d/f/ - d A/' PROPERTY LOCATION.S'ec) 1/4, i!!!4-) 1/4, Section, T 2 f~ N-R_Z2e_W TOWN OF LG'lil/ilXXK . --rA-1i642C ST. CROIX COUNTY, WI SUBDIVISION , LOT NUMBER CERTIFIED SURVEY MAP /VINE, 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 a completed returned to the St. Croix - County Zoning Officer within 30 days of the three year iratio ate. SIG DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 0 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 Location of property SW 1/4 O&lA/ 1/4, SectionT_,g~N-R1y W Township Mailing address _57N'j " h~crlX~! sYo~G Address of site Subdivision name Lot no. Other homes on property? Yes p--- No Previous owner of property ZrZ Total size of property Total size of parcel << Date parcel was created Are all corners and lot lines identifiable? t/~es No Is this property being developed for (spec house)? Yes Infdo volume IM 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. 2/ -3 t re pplicant Co-Applicant E.9/20/1996 14:38 715ij~-2549 S&E CHIPPEWALLS PAGE 01 State of Wisconsin Commerce FAX' Safety and Buildings Division 13 East Spruce Street Chippewa Falls Wl 54729-2543 Date ~~ZO 1996 Number of pages Including cover sheet . To: ST. r-/d jx (u. 2=01ji#06 From: LekcJ c)A :S: Phone Phone Fax Phone Fax Phone 715-726-2549 REMARKS: ❑ Urgent For your review ❑ Reply ASAP ❑ Please comment J ~ M Tt~-c,N.Ps cnJ ~ U~~~- FoG~ . Leroy G. Jansky, WWS - 13 `Fast Spruce Street labor,and H Human Relations Wisconain uDepartrnent of rnan Industry, INSPECTION Chippewa Falls, WI 54729 Safety & Buildings Division REPORT janskle@mail.state.wi.uS E.Mail Bureau of Building Water Systems (715) 726-2549 Fax 1"sPi3nber: 18, 1996 .(715) 726-2544 Voice Name P emises a~tner -Residents A /70, , ZM 18W inntc~nnic coCroix Masts mrMt~Y,"S 3289 Master Plumber Firm Name grid Address Plap i.Q.• No. ~v IVtt Box 130 Sanitary. Permit No. Robert, WI 54Q23 NA Journ a F er ~iT TM 3233 "Cefr° ti e ~am el and ipso~e ~ UlbriCht, D. Fogerty - - ~-*Ad owner :Name actress I~aren Palmer Estimated Daily Flow: 450 gpd --S--- - - H f... ' ih , I f - -i 7- SOI & i ig811 et9rfi~i 1@ F a 1 On¢ tem-iTt6y~-ipst.aHe(* ba0ed loR-the-h1 heS le I o s _ft ewe I if i t rat r n. wp sail s -r vi wl h t ' e _f61104 result - IM A r . .a r#in94 2+f` -r~isblc..+~ht'aw - - - - A 01 110Y6t 3/2((0 9ro 5/ (4Q% j Sit, ~2rrtsblc~v d , Ow 1 11-15" 1P Y 514 Si 2 sb dsh, /c1 f 1 p 5%6 mot - - - - - 1 l si '~ts , . fii Oct 7. R 5i3 and-5/6-mot: - ;1 4- 5,16.. 1 k -I l - l - _ C 33 -40° .5 3V4. s , 1. sb~ Or. _.1m .d SYR 46 rn afitd 5P3 Otr t Of U! rat" ~ t1tl 8yS I ••N' --I j l I Sys _3..9- ch ~ I T )MO 4" 10 X312. 2f-rrfcr, ~nfr as, I I i - I ; p pa I o as - ;I;- _ - - - 14 it mbk m cw ! j i- _711 k, wj red se ra large 10Yt 6/3 u areas -A W j s I ( ' .i.._.. So I d io at his sits ar or. a. Ina ly suita le oTn g ' d mc~un system dt~e to the silallc[w an UP ff ir>t~rriat~a •priy'ties gntdi ittstatiect ati - immi we I st ct r 1 a d s o "ao 4*. 1 r.to he,. rn Cnnmer,>t`_The-, pe shpu! ' ho ' o I r o m nt aw t o rnou d site, ev§n Ouririg f a he s )m - - as- !e o t~ Llk ge 1SLf -more Derm le m il- c9nc~ Qt?&.__ Th I at.~ ope - ins't y . tp n ng ~helmound to, i statl,ec; as r p lope as i. , , ~itil' ed~t+a abgor tk)4-a ea.--Two th F1PnChes;~n#k n4* m Id u adAcy~u e basal:a *t t' '----M'- --y--T .....J~.. --i----~--- - I______:.__i_.. i , .._1.. I.__.' thereare angriest"ior~regardrng'thisa~epnrt;. pt~asex;Or~tactme: 09%20/1996 14:38 715-726-2549 S&B CHIPPEj*. ALLS PAGE 02 ~vy jC11"my V YYYYV " 3 East Spruce Streat 'Wisconsln Department of Industry, INSPECTION Chippewa Falls, Wi 54729 Labor and Human Relations Safety a Buildings Division REPORT lans1de@mai1.sWe.wi.us E-ma11 Bureau of Building Water Systems (715) 726-2549 Fax Ir5IRftr 18, 1996 (715) 726-2544 Voice N e of.Premi calmer - Wesidence 1 ;e8$,° I nn i c Cirir` c . Voix "MPe"9oge"W. O9 289 Master Plumber Firm Name and-Address n I.D. No. Box 130 Robert, WI 54023 Sanitary Permit No. Dave-°ogeryr`.13233 breSentiOtrl and ncegse rl~nCi. D. Fogerty oyper's Na~e 4nd Address Karen a mer Estimated Daily Flow: 450 gpd Hudson W! 54016 Use: Replacement - Residential ; , , j - - - ' - .40 r . i - - r j ; r ; - t , Page Zof Signature of Responsible Licensed Person (only one needed) Check allSignatur f Plumbing Consul nt/Priv=wage C9nsultant _ - t.ooiA~ tr, /1.0/z A14 i , 13 Fast Spruce Street Wisco Department of Industry, INSPECTION Chippewa Falls, All 54729 Labor and Human Relations Safety & Buildings Division REPORT danskle@mail.state.wi.us E-mail Bureau of Building Water Systems (715) 726,2549 Fax InspecRe►phtfimber 18, 1996 (715) 726-2544 Voice Name Premises Ad or D n n ~r~j /~Townsh!ip, a almer Residence l r t , %n 1 F31f11 i41r'1ifCKlrtrric county , Croix Master%mger.N,amme~a„,'AfiQf4~r,5 Master Plumber Firm Name and Address Pla .p. No. 3289 Box 130 i iY tviC'1'G Sanitary Permit No. Robert, W1 54023 NA Journe PIgmber/Soil Tester GSTM 3233 Lice P're~ent:s Name ~i)ompsone 8 Ulbricht, D. Fogerty Owner's Name and Address Karen Palmer Estimated Daily Flow: 450 gpd Hudson. l 540416 - t nsite S04's +r#ve-igation l) die3t rrtis e if a repl4 eriient m6und sy~ssteni rn t inst3iied based of the htgnest itV of 15 et 'ohal sCI1'*@t;jratl6n i s6tl its were revie~w 40 with the It31f:JWEnC, fe~lJltS;__ , , - ...0~ Vet i .J R /'~r. Slf 3f7ftici -1h, as Ail 04-W" 10Y 2 slit 24l par0M to 2f-r► s6k, c1h,, dom.. ' R 514 [40l~s I, 7mcbit, si, ow 1 f. _ 0 J 6~,k,' INS ~`nr, ,wlc + f ul r 5r i r1ot. a~ . J Wit, w!rn3d 7.5 YS;t any! X76 rnot. sT_ ~ o ~ NIG 9C .3-24 4 4/00 ! 5 YR 4/6 and 5l3 Mot. E i ~ tmatect of orse6uttvec[aysi ITcre Is S t Irictes x_ £ . U ~~I T_ I 04" 10 z-r-mcr, r?'1I as' _ r sll, ;tpi t-artrty rr~ f ~tlsb tnfr,ijw . iflYR 312 ~rd.1,0Y!? 1514 sit -'mfr; ~ 111-207 . 1AYR, 51-1 Sa_2rn1_i!* runt c* . fj d, 0, R x,14 s, l tnsok. mvfr wl', several large i OY 603 reduced areas i ! E _ r' Et ct~~ a~sta4t ,dtF.{rBt3Or`s rS-20 3 , c i caridi"Ucns at this site ark on,y inarginal!y stAtat !C for an above g'r,ue !"Tond system due to the chaI~~w i Pjid u 11Ct; ti left a properly cfestgn ; en tail<wc1 art _ E dte :.t I to sea~Ur'ia i~ atul;~at i i GWI id-tiu ts. r-ica4v-,vcr , IT is "st,cy u n aint0jf1,P d rr~ s to i!I fig ,tiory deRuatefy to rT,~-a# at~ri ~Is~r~ ~tewat try the ~w+rc~nt~ent The. weii st uctured sail san d Slopqi Sh6ul p6-rrit ho izont--i d~ l.t i nnovi::%ment avia'; from the r-nourid site,! ever -Iuringg rivnes of seasonal wetness near the oottbmr of the ";A horizon at 4 -1. E 411OU a OUld-be lacer ~ Far Up, slope as possibie to take advantage of -hort~- rnieatle-sail CCarldMons. h~ retn ai rtf at;ieast one lane xree rney„help to allowing the rriound to of- installed as far by slope as possible *Ire I hWtype desitgn shuutdbe utlb,?P ; to tma»nizie-thy; basal absorption area:- .Two outhree trenches within the moun o3 uld ensureiardequate basal area __M ~ please contact me. it there are any questions r ~arding this rep ort. Page- of Signature of Responsible Licensed Person (only one needed) Signatur Plumbing Consult n Priv ewage C sultant Check all Original: Copies o: ( that apply ss0w619 ztR.oem) District, ODILHR Plumber 0 Own ®Count ocal`ll sp. then Leroy . Jansky, VVVVZ> 13 East Sp a Street yWirtime nt of In INSPECTION Chippewa Falls, Wl 54729 Labor-and Numan Relations REPORT ianskle@mail.state.wims E-mail Safety,& Buildings Division (71 S) 726-2549 Fax Bureau of Building Water Systems • r 1 r 18, 1906 (7151) 725-2544 Voice N e of Premi g,qr~p~, 7g p in /To as 1 t31X calmer - esidencB reg W eUb° , 1N te Pl ber N s Master Plumber Firm Name and Address n I.D. No. M~ver "Poge, 9 1289 Box 1 30 Sanitary Permit No. 'ILA Robert, W1 54023 Jo rneym Plumber/S 'I r censed P rso ' me(s and Lic ber tave;M og erty,If 3233 ~resem ~'iom~asc~n, a~ric#, D. Fogerty Owner's Na a nd Address Karen.Palmer Estimated Daily Flow: 450 gpd - Hudson, Wl 54016 Use: tie lacament -Residential , r , P s~ . 7 i , e ~t : n ~ i i c ILL t4o T- r ; , F E 4 Page of ZP Signature of Responsible Licensed Person (only one needed) Signatur f Plumbing Consul t/Priv galewageC nsultant (Check all Original Copiesto: (thatapplyl snow-a,sztR oereal DistPict' 0 DlLHR grPiumber 0 Ow e Coon Local Insp. Other