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Home My WebLink About028-1043-20-000 -0 0 M Q a 4 0 V i N N I C ~L N z C U. C O 3 I ~ I N M ~ w E ~ v E z ~ I co a co M F- z o c o z z v 4= avi Z ~ c ~ z ~ m I 5 43 I c II 1 0 Z Z Q E z w N C - E N io E V N H C) 0 (D U) CL C d H d` N N O Cl) E o o a E N ° ago X000 • m ~aaa y n. m o N ~ M 0) } to J U Ci CN 0) LO 1\~ 0' N N O O~ O Q E N N O CO j O O 7 = r N N O m y c N p) O O c~0 y Q M Q O 0) 7 r O O°~ co Q1 C N tl a° 0° O r N N C CL C -O N N N N M > CO C N E st (D r- '5 04 n T O) ~O Iq ° CO N CO d N- H C (D ~ co N y C to " (:0' O E to U O cL6 = ) U a Z z: cn 0 E v M a ~t a d • '1 a d m a c ~`-Iwkj E c r 0 A CLt !OmC~ Wr..onsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page \ of 3 Labor and Human Relations Division of Safety & Buildirgs in accord with ILHR 83.05, Wis. Adm. Code COUNTY S-r. CAW Attach complete site plan on paper not less than 81/2 x 11 iNh"size Plan must include, but not limited to vertical and horizontal reference point (BM) Alijoc" and %of , scale or P CEL I.D. # dimensioned, north arrow, and location and distance t aTi~rt ad: +p`L Y~~~ ! I APPLICANT INFORMATION-PLEASE PRINT1NF\O~RflA,T10N o~ I DBY C! ATE PROPERTY OWNER: ROP ATION 610W. ft E 1/4S~ 1/4,S35T ZS N,R 17 E(a PROPERTY OWNER'.S MAILING ADDRESS LOTJ K # SUBD. NAME OR CSM # 1g69 Orr CITY STATE ZIP CODE PH MBER ❑2g- ILLAGE NrOWN NEAREST ROAD ~R~Dfvtl~r Gv1 S~fooZ I _3 s ~tuN1 c`am' [X[ New Construction Use [JQ Residential / Number of bedrdeais~ _ -~3 [ ] AdditiQn to existing building j ] Replacement [ j Public or commercial describe Code derived daily flow AS0 gpd Recommended design loading rate bed, gpcW 3 trench. gpN1 Absorption area required 3"1 S bed, 112 3l S trench, ft2 r Maximum design loading rate Cl s bed, gpd/ft2 0 - 6 trench, gpolft2 Recommended infiltration surface elevation(s) C l S It (as referred to site plan benchmark) Additional design/ site considerations "V-" I-J/ 5 `x -1 S "-nze V c-tt - "IN , I 'oZ F S R~►~p ELL Parent material SL L` b1wtk4_0T 4VQR T1%..L Flood plain elevation, if applicable IV- A - It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem ❑ S NU Cos ❑ U ❑ S ®u ❑ S ®U ❑ S [2, U El S 021u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tre & ~:y ,h 10~i\Z31Z ZW,Sdk yyyiF- q,S - o.s o.6 Ground 3 22-33 u 1Z sl - s I 1 wt s bk vh eS - o -4 O- S elev. q6-3 ft 33 49 )o-i 2 06 -1oSLy 2 S/1, FA '1A U+1 es - - Depth to 5 X19 ~8 }o y IL 6/y s1& S wx v - - - limiting factor, 5 ~ lrzfv I P'0 1 blv tiro 1~1. " . W ht e Remarks: Boring # <.:.>3 0-10 tu~2 31Z S L Zwl 3bh ynf~ ' a.s - o• S? u. h vn 1- S ~,S 6 3 z6-~l3 ~o~f2s/6 ~-~.SvR sly `~s o~► ynvj - Ground ) q:0 ft. 3 S fv u`l~~ S `S 1~T Depth to limiting factor Remarks: CST Name:-Please Print Arthur L. We erer Phone: 715-425-0165 erer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 ge Signature: CIS _32 y- Z Date: O CST Number: ZS, S M00576 ~ PROPERTY OWNEReC-3 tk-LSUND SOIL DESCRIPTION REPORT Page? of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxky Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench o-~ log-~,\Z 3/Z - Si I Z►h sbfZ "1.`~h ~-S _ o.S o.b 3 Zm Sb1t m `F►- tS o•S o. b Ground 3 Z$- 6D s t .5 y R SISb c pw~ elev. ft. Depth to limiting facztorr~ N Remarks: Boring # 3 ~6.3b ~Ll`t2sty c ~.S`tQ s~f3 c I Vie. bk w► fit' _ - i- Ground elev. ci 6 -Z ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to - limiting factor Remarks: Boring # i i Ground elev. ft. Depth to limiting factor Remarks: SRn-A33n(R Or,/PP) PLOT PLAN Page 3 of 3 SCALE 1"= I-I O' ~ ~ 4 h~ i To ~s 4 0 2gZS:'r 8w'I -~T1 100.0' ON O PC'N VV ~vpr~p 6k b}16H 3/y"DIF?. • Pv ~ PLPN ~ B'3 i / o~ A i / LTL- °l6 3 i i ~ MIN $'Zo e:L g~ - l S 111Z~q hS~ BE E}T LN ST ZS s F CJVI YI6V11&. << _ L,j LL L so c, s-32q-Z oh JO- LS'- °l S (715 ) 425'-0165 1400576 CST Signature Date Signed Telephone No. CST # Wi-sconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division of Safety & Buikirgs in accord with ILHR 83.05, Wis. Adm. Code COUNTY SC Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but Ste. C XZO not limited to vertical and horizontal reference point (Blue, direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION w f.-EeT M Z 1/4 S E 114,S3S T Z 8 N,R 17 E (ar PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY STATE - ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD bhu6mpr W) SVOOZ- c)Iq 6814 -3gt3 PQ New Construction Use [JQ Residential / Number of bedrooms 3 Addikn to existing building T [ ] Replacement [ ] Public or commercial describe Code derived daily flow 'A50 gpd Recommended design loading rate bed, gpolft2 ° • I trench, gpd/fl2 Absorption area required 3-15 bed, ft2 3Z S trench, ft2 ' Maximum design loading rate o- S bed, gpd/ft2 0 - L__trench, gpd/ft2 Recommended infiltration surface elevation(s) ~l 8 . S ft (as referred to site plan benchmark) Additional design / site considerations "Mx-,p 5 rx 7 S ~`T1Z Ott - In I N . 1 's 1f S A~•ip ELL Parent material S? L`C`Q S~1wl T Oy~R Tt\-t- Rood plain elevation, if applicable IV- A - ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE 7T SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem [Is ®U 10S ❑ U ❑ S O U ❑ S 0 U O S EZU S [$U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Baxxiary Roots Bed rer>rh { "v`hf`> I o_ lO~i\Z 31 Z - si I Zw►S a, s - tz'.S o, 6 - S -L V/ Ground 3 22-33 1 la -1 R sk - s I 1 wt s bk Yv1'k C-S - o • y 0.5 elev. %3 ft 33 9 )o,c 2 618 s y R s ~S c~`^=► 'AA U'~- c S - Depth to S X19 ~8 yo tz 6/14 . s '-rQ SIP, ~s wt 'f _ - - limiting factor 3', 5 ~ s lrc /v t F: Pk L11 J D/v \rV 1~1. ' . w kz e Remarks: Boring # 1 O-l~ t m~ _ wx= . S€ U. ~i ~2 312 S ! ( Z S bh ^ a-S p na Z Z Z6 10`1tizv/3 _ St ( Z~s bk`F1- CS 3 1643 1t,,4ksA .3141z sli, ~s o~n yn v - - Ground 3 S ` ti~ S ` S 1~T q,;p ft. Depth to limiting factor Z6" - Remarks: CST Name:-Please Print Arthur L. We erer Phone 715-425-0165 Vd: egerer Soil Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022 Signature: S 3 Z Date: CST Number: Z 1025- 9 S M00576 PROPERTY OWNER ~'PCYV~~LSUN SOIL DESCRIPTION REPORT Page Z_,of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tier Lt N-L Ft ~h o . S ~ 3 Z 9-Z8 10`7 R 3/ - sr J ZM Sb1t `F►- t - o.S o. b Ground 24-f L R 3! ~ l s a s d s 9- ow, wt h s -I . S LIR SA elev. °1aLft. Depth to limiting i factor Remarks: _ Boring # O-~ 14~1R 3(Z - Sl) ZM3WZ C..S _ O•S Z q-u l01 `zvli - st 1... sbh VVL14 e% - o,s o.6 3 ?,~•3b 1l~`t2Sly C~.S`-tt2 s~t3 C \c9bk w. Ground elev. a6-Z. ft. Depth to limiting factor Remarks: Boring # i Ground elev. ft. Depth to limiting factor Remarks: Boring # i i Ground elev. ft. Depth to limiting factor Remarks: can ~~gnrra nsrn~ Page of PLOT P LAN 3 3 SCALE I"= HID' Iz y 1vl 1 Tv 4 `O rr) k-- . 96 ? ~•4 Z ER Zs-`T yv O'ni;m co PVC P~P~ J ~L `19 3 W~bvOOll ltl `o a~ / LLg6 3 i Z .~,v~,na 8.z o- ~o r~uT CO~r-►pRcT 6R ~s~1ZR ~}ovSE BE ~}T ~-kElftST ZS' F Owl lov Cis-3Z~{-Z l0- Z5-~ S (715 ) 42.5-016 5 M00576 CST Signature Date Signed Telephone No. CST # ' 9 ~O STC 104 RECEIVED- AS BUILT SANITARY SYSTEM REPORT Jl!L24 195 " - ST CPDX. _ OWNER COJNTY ZONINGOFRCE ADDRESS ~a~dluJ.',✓ J SUBDIVISION / CSMW LOT` SECTION T N-R W, Town of ~pg~ ~,'llG,r ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTE gal id ~o lJ~ v~ f ~~o J U INDICATE NORTH ARROW' Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: a `77P ry~ v SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: ,4x,5.7`-- Liquid Capacity: f~~co r Setback from: WelllA~- House (J Other t Pump: Manufacturer A e-k- Model# 5:9 Size Float se eration ,X l G.d P Gallo s/cycle: Alarm Location f~~ w SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line:_ ' Setback from: well : _~House /ODD- Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: 1ge-- A LICENSE NUMBER: INSPECTOR:- 3/93 : jt Vv`isconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. OROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Town o : State Pla %tP Permit` er~ALa_T. HARR. Y J XARE1~7 El City 11 village 14 CST BM Elev.: / Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ~C✓G<~ SC 1 /~«Cc<S~ ad6 Benchmark 3' "z ' SSA' Cd7' Dosing (JAu, 6,~~'(, 3.DJ /GlJ,So Aeration Bldg. Sewers Holdin St inlet TANK SETBACK INFORMATION St/y(t Outlet y; Vent TANKTO P/L WELL BLDG. AirIto ntake ROAD Dt Inlet Septic 96 ' ~A NA Dt Bottom a, 0 Dosing ri ~i > 90' NA gg#dw /Man. s.), o fry, Aeration NA Dist. Pipe S Holding Bot. System PUMPI INFORMATION Final Grade Manufacturer Pp emand Model Number .-27 -GPM TDH LiftGj I Lriction® j(p System; 4) TDH 0 Head Ft Forcemain Length Dia. ~ r Dist. To Well > /c'D~ SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION S S DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACH )VIalTufacturer: SETBACK . INFORMATION Type O CRAM Moe Number: System: V r OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) „ x Hole Size x Hole Spacing Vent To Air Intake Length Dia.I 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/Tr nchCenter Bed / Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 4` LOCAT-tali; RUSH DIVER. 35. Z8. 17w . wo. SE . TH YY fns! ^ J ~j w f 1 Plan revision required? ❑ Yes No l1 Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signat re Cert. No. ADDITIONAL COMMENTS AND SKETCH ~v SANITARY PERMIT NUMBER: 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 8112 x 11 inches in size. Cool • See reverse side for instructions for completing this application State Sanitary Permit Number 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 Property Owner Name Property Location aarr 1i4 1/4, S Tay , N, R f~ E (or) -1 V&.v I VW Property Owner's Mailing Address Lot Number Block Number / I 9r, 9' C City, State Zip Code ~hone Number Subdivision Name or CSM Number ) IAJ II. TYPE r F BUILDING: (check one) ❑ State Owned ❑ ity Nearest Road ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms 3 Town OF u ✓ c/-CC, )e4t Ill. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) /,1213 1 ❑ Apartment/ Condo W,~ 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. 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 Kound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 -Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 1~/ O 06) .STO t d~- 9qr C) Feet Feet VII. TANK Capacity gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank Zo-ad ,Q P rJ ® ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber lv Sd 7 t L ❑ ❑ ❑ -1 El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se age system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Sttamps)/~ P PRSW No.: Business Phone Number: /Ij I t Sc, sv c~% G 2- 7/ 5- .38' - 31-a Plumber's Address (Street, City, State, Zip Code): 7O S'G aL d.✓ IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sani ary Permit Fee (Includes Groundwater ate Issue Issuing A nt Si nature (No S ps Surcharge Fee) ,*Approved ❑ Owner Given Initial ~ 7 Adverse Determination ' X. COND IONS OF APPR VAL / REASONS FORPISAPPROV L "7 n- SOD-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. 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 8 112 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. I SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations February 7, 1996 2226 Rose Street 10 La Crosse WI j 1 (b , i RECEIVED WEGERER SOIL TESTING F E~ 2 1,9 90 421 N MAIN STREET l._. PO BOX 74 .D ST CH`)L\ COiINT'/ RIVER FALLS WI 54022 j ZOlviNr3pcFi~,'~ , '6 RE: PLAN S96-40033 FEE RECEIVED: ° 18 DANIELSON, BARRY NW,SE,35,28,17W TOWN OF RUSH RIVER 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 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 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. Z ;Sincerely 1 Gerard M. Swi 1~ - Plan Reviewer Section of Private Sewage (608) 785-9348 3558R/ 1 SUDA-7997 (K. 10/84) I J Page of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE NW 1/4 OF THE SE 1/4 OF SECTION 3 S , T ZS N, R t7 W, TOWN OF \iSly 17LUL~R , S-r, GR.Ut1( COUNTY, WISCONSIN. INDEX PAGE 1 *of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT M PAGE 5 of 6 PUMPING CHAMBER PA GE 6 of 6 PUMP PERFORMANCE CUB. ~ PREPARED FOR ~ era ~ 1~~ ~G5 )il'K l.D VJ .A1 , Iti b X10 Ga~~ PREPARED BY . ~~~Rre~I`0"BQ0( WEGEE:ZER SQ X L. TEST I NG AND a: ART DES I Ghi SEF?V I CE R. i F.O. BOX 74 421 K. KAIK ST. RIVEF, FALLS. YI 54022 tv 715-425-01b., , ~o®~ ~ REGE °d®e~cta~~ JAN 3 1 1996 ~P~rv . Zz, t 99 h SAFEjY & B1-fl~~ D~~' JOB NO. 6 -13 PLOT PLAN Page z of 6 Scale 1"= WO' o~ ~ eL loo 5 -19 RC. ~ 1 \~v f3+ L-L R9 Not l.hr~~T ' ~ ~ - ola, b1 sTv\~.R z ~ 'f'tt L s t49z~9M1 . A ~ s 40 , G~ u .p ON SP\h~ 2 ` "IbUtz G ROL^-)b k ~N ~Z"o~ia..TRcsa x 3 ~~\ZM1 ~ W~TLL ovs~ / ~~Ls1,q 3E SlTP~1.C 1`rCn~c. Page 3 Of 6 Approved Synthetic Covering ~sT c 33 Distribution Pipe Medium Sand _ Topsoil F Elev. .O p - 3 E b 1l"~ % Slope Force Main Plowed Trench of -2"-2-2" From Pump Layer Aggregate Undisturbed D \-O Ft. Soil E \-5 Ft. Cross Section Of A Mound System Using F 0•b Ft. I Trench For The Absorption Area G ~ -z, Ft. A 5 Ft. H I- S Ft. B --)S Ft.* I 1 S Ft. Linear Loading Rate= 6•o GPD/LN FT D Ft. Design Loading Rate= p.3 GPD/SQ FT K 1), Ft. L °l1 Ft J4T vas LOPG EbcG or nz.G~ucl4 W 2-1 Ft. L Force B K Main A- - - W Distribution Trench Of 2 - 2 2 Pipe Aggregate l \ ",Observation Permanent Markers Pipes (Anchor securely) Y1ovr~ 1,S Cdty ~U'r. vas~ol~t , Mound Using I Trench For Absorption Area Page i1 Of 6 x- Perforated Pipe Detotl End View Perforated End Cop PVC Pipe 1. u Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q End Cop * S PVC Force Main Distribution Pipe Lost Hole Should Be Next To End Cap Distribution Pipe Layout P S Ft_ X Inches y 14 Inches Hole Diameter IA/ Inch Lateral Inch(es) Manifold Inches Force Main Z Inches # of holes/pipe 1 O Invert Elevation of Laterals 01?-SOFt. \OX 1.11 = 1l_-) X L L3. y GP" Place lst hole from tee with succeeding holes at 14V If intervals. Last hole to be next to the end cap. Combination Septic~Tank and PUMP CHAMBER CROSS SECTION ARID SPECIFICATIOMS ' PAGE S OF 6 e to b~ WEATHER PROOF -VE►JT CAP ~s JUIJCTIOA! 90>< •a; 3 Y'C.I. VENT PIPE ~ APPROVED LocK1AJG lO' FROM DOOR. MA►JHOLE COVER >NI .JIMDOW OR FRESH t'"ARNt►•1G LPtBEI. AtR _INTAKE S coraDutT /j I MIIJ. . I ~ I e• h111J. 11` _ PROVIDE I T '-]-AIRTIbHT SEAL JIME~ I I II I I I III v 3 +~FFL~S APPROVED JOINT A I III APPROVED JOIIJTS III W/C.I. PIPE,4tPvc W/C.I. PIPEaR Tank construction I II ALARM shall comply with I I I ILHR ('33.15 and 83.20 e I t I OIJ C I X0.83 LLEK FT. PUMP-~ OFF D CONCRETE C) L bLOLK 3" ARPRovIeA RISER EXIT PERMITTED OWLtJ IF TAUK MANUFACTURER HAS SUCH APPROVAL. B6ODINKj SPECIFICATIOAIS SEPTIC f DOSE M~Ow Rly P+_Z G 3.76 TANK MANUFACTURER: IJUMbER OF DOSES: PER DX4 TAWK SIZE. /623 GALLOWS DOSE VOLUME t S S ~TRU S~ -3„j 5 INCLUDING OACKFLOW: )16 GALLONS ALARM MANUFACTURER: MODEL WUMBER' 101 C4 L"d CAPACITIES: A= )6 INCHES OR 30GALLONy SWITCH T!JPF.: "'-RCV~'L - 5= Z IUCHES"OR 3 _L 4LLOU5 PUMP l''IAMUFACTURER: Z13 E-1-L-L-~-t COI~►~RNY C s S ILICHES OR "3to GALLONS MODEL IJUMBER: S`7 D- ~D INCHES OR "_(D GALLONS j`1 ~1Z~C2-y MOTE: PUMP AND ALARM A E TO bE 6 SWITCH TYPE: MIIJIMUM DISCHARGE RATE Z3•q,3 GPM IN5TALLED 0M SEPARATE CIRCUITS yERTICAL DIFFEREMCE DETWEEU PUMP Off AUD-.DISTRIBUTION PIPE.. 8'67 FEET + MIAIIMUM METWORK SUPPLY PRESSURE 2.50 FEET + 100 FEET OF FORCE MAIM X ,'IS F>1/00FT.FKICT10" FACTOR. 1-15 FEET TOTAL DIJUAMIC HEAD = 1Z 3Z FEET Pump chamber DIAMETER 3$ ~I ILITERLIAL. OIMLW510W~ OF TAIJK: LEM&TH ;WIDTH ___=;LIQUID DEPTH BOTTOM AREA 231= GAL/INCH AS PER MANUFACTURER 1-7.0 GAL/INCH 4'/e 6% HEAD CAPACITY CURVE 45/8 CC W W w "57" - "59" SERIES I- LL W 4% 25 1 Y2 NPT 4 Rj 20 I 6 Q I w x U ~ 15 Q z 975/16 } 4 \Z. Z 3 J Q O 10- 3'/32 U '13.40 2 5 TOTAL DYNAMIC HEAD/ FLOW PER MINUTE EFFLUENT AND DEWATERING HEAD CAPACITY UNITS/MIN 0 FEET METERS GAL LTRS US 10 20 30 40 50 5 1.52 43 163 GALLONS 10 3.05 34 129 LITERS 0 80 160 15 4.57 19 72 1~ FLOW PER MINUTE 19.25 5.87 0 0 CONSULT FACTORY FOR SPECIAL APPLICATIONS e Piggyback Mercury Float Switches *Available with special cord lengths of 15', available. 25', 35' and 50'. e Variable level long cycle systems *Alarm systems available. available. a Duplex systems available. Standard cord length - automatic 9 ft. SELECTION GUIDE Standard cord length - non-automatic 15 ft. 1. Integral float operated mechanical switch, no external control required. 2. Single piggyback wide angle mercury float switch or double piggyback mercury 57/59 SERIES Control Selection float switch. Refer to FM0477. Model Volts-Ph Mode Am Simplex Duplex 3. Mechanical alternator 10-0072 or 10-0075. M57/59 115 1 Auto 8.0 1 or l &7 - 4. See FM0712 for correct model of Electrical Alternator, "E-Pak". N57/59 115 1 Non 8.0 2 or 2 & 6 3 or 4 & 5 5. Sensor mercury float switch 10-0225 used as a control activator. with "E-Pak" D57 9 230 1 Auto 4.0 1 or 1 & 7 - duplex (3) or (4) float system. E57/59 230 1 Non 4.0 2 or 2 & 6 3 or 4 & 5 & Four (4) hole "J-Pak", junction box, for watertight connection or wired-in simplex or 2 pump operation, 10-0002. 7. Two (2) hole "J-Pak", for watertight connection or splice, 10-0003. 57 Series - Wt. 27 -.3 H.P. 59 Series - Wt. 29 -.3 H.P. CAUTION For information on additional Zoeller products refer to catalog on Combination Starter, All Installation of controls, protection devices midwbftshould bedone byaqualified FM0514; Piggyback Mercury Float Switches, FM0477; Exectrical Alternator, FM0486; Mechani- licensed electrician. All electrical and safety codes should be followed Including the cal Alternator, FMO495: Alarm Package, FM0513; Sump/Sewage Basins, FMO487: and Simptex most recent National Electric Code (NEC) and the Occupational Safety and Health Act Control Box, FM0732. (OSHA). RESERVE POWERED DESIGN - For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Louisville, KY 40256-0347 Manufacturers of . TO. 3280 Old O ZZ7ZZLZ9- 01 SH IP Louisville, KY 401216 Lane (502) 778-2731.1(800) 928-PUMP QUALITY PUMPS SNCE ly3,y FAX (502) 774-3624 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labpr and Human Relations Division of Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/~ x 11 inches in size "N . must include, but ST. ~ lX not limited to vertical and horizontal reference poi tBM), direction and % of.s4e, scale or PARCEL I.D. # dimensioned, north arrow, and location and diste to nezrest road D ZS - l l~ ~l 3 - Z.O APPLICANT INFORMATION-PLEASE P -`,'ALL,.JNFORMATIO. N REVIEWED BY DATE PROPERTY OWNER: ca PROPERTY LOCATION 1~ S , a N W 1/4 SE 1l4,S 3 S T N,R E (or PROPERTY OWNER':S MAILItG ADDRESS Lt?1 BLOCK # SUBD. NAME OR CSM # CITY, STATE - ZIP CODE PH ITY []VILLAGE [WOWN NEAREST ROAD aNL\*Nk l/Ut 1-611' s oOz cols t k.-N S R1 [ J New Construction Use [>q Residential / Number of bedrooms 3 [ j Addition to ebsting building jtQ Replacement [ J Public or commercial describe Code derived daily flow to M gpd Recommended design loading rate - bed, gpd/ft2 0.3 trench, gp 2 Absorption area required 31S bed, ft2 ~ S trench, 112 Maximum design loading rate S bed, gpd/ft2 Q~- trench, gpW Recommended infiltration surface elevation(s) 9. of • O ft (as referred to site plan benchmark) Additional design / site considerations V'tuUt~ ~p t-J / S ' Y. -IS ' T' ZLQkj -U. T-) t fv O F- S f%A-l J=i LL Parent material S S1~1ti1 E Flood plain elevation, if applicable ti- P\- ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN RLL HOLDING TANK U= Unsuitable for s stem ❑ S [RU [7S ❑ U ❑ S MU ❑ S M U ❑ S ®U ❑ S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends t ► o_tZ 1~~►2'5 /i - st Z~ sdk m~'w aS - o•S c-L l Z tz-2S ~O`1Ry/3 - st 1 z SbIR w ,k L5 o. L 3 Ground S-y0 \-%31_1 R- V/ 3 S Z►h 9 k Vn 6 b o , l l~ `1 tZ b! 3 _ 5 Cw.^ rn ~ e S - 0-S elev. 9q-oft. ~ yo--IS tfs 1 nw\ V'~~ i Depth to 0-0v~ ~ ~hi-abS D H 4 1ti V h 1 b `1 (Z 6~3 ft 10 `2 2 SA. limiting factor Remarks: Boring # O-l0 t0`12- 3 )Z - st ZmSb1z `~1- S o. S o. Z Z to-ii to Q Y/3 - s t 1 Z s bk w► cs _ e• S 6 3 ZZ30 lt)4tz sic - ~S o s9 r-1,, 1--S - lo. S 0. L Ground elev. 313-4J ~.S y 2 V& s 9 M ~S _ ..b, g o. 6 C) S-3 ft. Depth to S U!-6 S limiting factor y Remarks: CST Name:-Please Print Arthur L. We erer Phone: 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: M00576 PROPERTY OWNER iCIV` ,S p►~ SOIL DESCRIPTION REPORT Page z-•:of 3 ' PARCEL I.D. #I 02.6- 10 q3 - Zo Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tnfi 0~1 10 2 3/Z ZVI' o, S o- L Ground 3 2S-3y to,, R.-7/z - ~s o s 1 c o.s o. 6 elev. Z loc.Sft. 3y-Sy lu ~(Cz~f S Lt2 518 s 17 y., -,A Depth to limiting :?s 14 factor Remarks: Boring # w 0-10 ~O'-f.2. 3 ! 2 ou S o. 5 o. y 2 to-31 t~~+zZ316 sit 2.•`Fsbk ~g - ' v. s 0.6 Ground 3 31-S b 10 `ti tZ. 3!6 cZ IZ VA. s 1 c>>,, vti `F►~ - - elev. - CAD ,oft S Qu Rl G UV G `t Ll D lh/ I F S 0 Depth to t ST?/V G~ OJ F=t EL Cd"'► P L w~ 04 C~ limiting to Y`'1 tK/ cl~ O-C v\Z S < 3 ' v, tTu~ty - b NZ A-' Aj lS si = SttT)U LLL f.ttL tZw S C-0 S) P%.,) Remarks: Boring # Y ssL . Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: sgn-asso(P oSiQ?~ PLOT PLAN Page 3 of 3 o, . ~~~,o, a•3m~ 'iy Y A~~ l L-L 5 ~ f I 13. Z I `Do~v tfL .19 ri ~ v ON SP\1 / Z 1~ e 0 U G tz l STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ~Qyrv 7Cth1 e/Sow - MAILING ADDRESS ~9 v yy Ea lo%) r.. W_r., Yo0a PROPERTY ADDRESS SICJ- M F_ (location of septic system) Please obtain from the Planning Dept. CITY/STATE s lnc PROPERTY LOCATION N W 1/4, S F 1/4, Section 3, T_,29_N-R_17__W TOWN OF ,12 US h 4Z-~ ~l c r ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME PAGE , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date.. SIGNED: Z ire ~GG,1.~JS ti DATE: 21 21-91, St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 8 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 p/190, ~V-Alefy /00/VPZ S-1 / / Location of property NL 1/4 S r_ 1/4, Section 3 S T Z ~N-R,__) 2_11 Township Mailing address 9G g G~ Y Y }G~U~ItI !.✓is S/uv~ Address of site -Y&g Subdivision name Lot no. Other homes on property? Yes No Previous owner of property Total size of property 3 9 4c4cs Total size of parcel 3 9 *ce-CS Date parcel was created ~-TS / / - -20-9-1- Are all corners and lot lines identifiable? _~Yes No Is this property being developed for (spec house) ? Yes No Volume ~5-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 n t ffice of the County Register of Deeds as Document No.3 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, -forthe construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Signature of Applicant Co-Applicant Date of Signature Date of Signature Ti DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECOOMING DATA STATE BAR OF WISCONSIN FORM 2-1" 438914 aoaK 815 a% 189 - - - REGISTER'S OFFICE ST. CROIX CO., WI I vin-.Kjorstad,..a.singl+'.. man-,.. awl.hlic.ole...L.. Merx.iAtaa........ WO fW ROCOM :....................................::....:::......::..........::.....I....::..................: JUN 9 1988 conveys and warrants to As3xxy...1....AaI}.eSOn..end.-((aen•-B- of 11:00 A M t~ Danielson.,-husband aad.wife-,-.as.survivorship..marit.al....... property., d 0 RETURN TO the following described real estate in ...........St...... Croix County. State of Wisconsin: _ Tax Parcel No: North Half of Southeast Quarter (N&I of SE(b) of Section Thirty-five (35), Township Twenty-eight (28) North, of Range Seventeen (17) West, St. Croix County, Wisconsin, except the West 210 feet of the North 210 feet of the N5 Northwest Quarter of the Southeast Quarter (NW1k of SW ~O of said Section Thirty-five (35). This Deed is given in fulfillment of a certain Land Contract between the above parties dated April 1, 1976 and recorded in the office of the Register of Deeds for St. Croix County, Wisconsin on April 7, 1976 in Volume 535 of Records, at Page 498, as Document No. 332323. This -_-A4. not:..--•--....• homestead property. -(is+ (is not) Exception to warranties: Dated this I.St-.......................... day of June 19---8$-. (SEAL) ----(SEAL) {.,[..._-.y... _ vin kjors-ad . (SEAL) }.S.C~'CJI:..( -)'tic _'C.-(SEAL) Zicole L. Merrim ' - AUTHENTICATION ACKNOWLEDGMENT Signature (a) STATE OF WISCONSIN ss. - St . Croix County. authenticated this day of 19...... Personally came before me . t,}aja 1st-------day of June e 19 the above named Alvin Kjorstad a single man' and Nicole L. Merriman • TITLE: MEMBER STATE BAR OF WISCONSIN (If not. authorized by 1 706.06, Wis. Stats.) to me known to be the person S who executed the foregoing instrument and acknowledge the same. ruin ~uareu urur w~a ne~rrrn ev ~ ~ ~ - n i I ~ -