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C4 J. `y m a :ii a L: a 7@ 'o ~l a. G C C w C A U a E O co U t STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER J&A C G cc' ADDRESS Ir SUBDIVISION / CSM# LOT # ~ . ~ SECTION 9_T -?0 N-R W, Town of 5-7- ja ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM c ^ , m/" i `0 V \4 (Y i INDICATE NORTH ARROW i Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. z BENCHMARK: xl p 7/i L' k r; r ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: W~ i &ee ,d Liquid Capacity: ?~2 ct e, Setback from: Well 5d .,vl, House ~6' ' Other Pump: Manufacturer ZoClic r Model# / ) 7 Size Float seperation r-5 Gallons/cycle: o-Z,./ Alarm Location ~66 v,s 'e-, SOIL ABSORPTION SYSTEM Width: c" Length 4 ;9 Number of trenches 7 Distance & Direction to nearest prop. line: S D 4- Setback from: well: House '2e' Other ELEVATIONS Building Sewer ST Inlet: ST outlet: PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade fl/~2 7~~` DATE OF INSTALLATION: r PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 11,41 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: s Saety nd Human Relations INSPECTION REPORT S X Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) nitary Permit No.: 26859 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: COE, JULIE ST JOSEPH C~~CJCJJ~ CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 5-o 26 TANK INFORMATION ELEVATION DATA A9600298 3 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark _ 0, 30 SO ' Dosing C* ,gyp 116, 30' Aeration Bldg. Sewer Holding St/ Inlet TANK SETBACK INFORMATION St/,0( Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA jkWader / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. Dist. To Well hi SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Di;. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO CHAMBER Moe Number: System: OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing N 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: ST JOSEPH.29.30 19W, NE, SW, HIGHLA D VIEW_ o a O-P r lsinrequised° Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. 1 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: E em .r_ m Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water System: 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. S ` era l • See reverse side for instructions for completing this application State Sanitar Pe it Number 1;:7?/q The information you provide may be used by other government agency programs heck it 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 V1, & 1/4 1/4, S T N, R E (or Property Owner's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number 1 y,~ t►a..rj .S ( > II. PE F BUILDING: (check one) ❑ State Owned p ityy sfP Nearest Road ❑ village Public 1 or 2 Family Dwelling - No. of bedrooms -tL own OF III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)f,/'~ 1 ❑ Apartment/ Condo o 30- 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 Exlsting 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 ❑ 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 d'6d .,5'dfj vl 11g 9' Feet S, Feet VII. TANK Capacity Site INFORMATION in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Aper. New Existing Gallons Tanks concrete structed glass /apR Tanks Tanks Septic Tank or Holding Tank a 4d 1 B S / ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber s I J& c jjeS7'-c / 91-A 13 ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: o Stamps) P PRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code / G `c d 4)" J IX. COUNTY / DEPARTMENT USE ONLY ❑Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue ui AgentSignat (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) / I Adverse Determination r iQ~6 X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-6398 (R. 05194) DISTRIBUTION: Original to County, One copy To: Safety & Ruildings 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. SAFETY AND BUILDINGS DIVISION 2226 Rose Street ` LaCrosse, WI 54603 jsconsin Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary November 12, 1996 2226 Rose Street La Crosse WI 54603 WEGERER SOIL TESTING 421 N MAIN STREET PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S96-41512 REVISION TO PLAN S96-40886 FEE RECEIVED: 120.00 COE, JULIE NE, SW, 29, 30,19W TOWN OF ST JOSEPH 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. - The approved changes will become an addendum to the plans previously approved. All other portions of the installation shall conform to the original approval. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, (erard M. Swim Plan Reviewer Section of Private Sewage (608) 785-9348 SBD-5524-E (R.07/96) File Ref: , r ~ 4 15 1 2 Page ~ of 6 MOUND SYSTEM RECEIVED FOR N O V - 8 1996 A ~ BEDROOM RESIDENCE SAFETY 8, BLDGS. DIV. LOCATED IN THE NE 1/4 OF THE SVJ 1/4 OF SECTION Z°l ,T3D N, R 1 ~W, TOWN OF sT-~s~>N , S~'• ~-iX 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 -PAGE 5 of 6 PUMPING CHAMBER ' PA GE 6 of 6 PUMP PERFORMANCE CURVE 5 PREPARED FOR p ¢Al t 0 C ~ L) 1 w . s P~p~1-z-A Lli~e bl - . ` eon ONO ST Ppvu k-, "IV s S 1 ► r ~~~V~ OF S E~ PREPARED BY WEC3EE;t ER SC] I L TEST I hiG ~~~~®*~~'~~!►~o AND .5,: DES I C31M SE=-:F W I CE ARTIWR L. 4'1 1'J_3e5t'R F.U. BOX 74 421 K. KAIM 5T. RIVET FALLS. Vi 54022 ® - E4 EK'OATM,. 715-425-410 .i T~i'ts PLPc~I 1S R R~Futs)wQ of ?~_tN tT 536-yasab, ales ~SIGIZA$ -~~9(cl ~sQb ~►.6-gt~ JOB NO. ~6-I S Z PLOT PLAN Page- of 6 Scale 1"= ~4()' ~3w~ - .10 0 . o' ~ ►v ' t PE tour 14-:11 6 .19 r..~ ~'Sz i t21~2 4 \ P Y' B . 3 o S ~1\O- 10 of T y"P~ r M ~ t N @DRr1 ~.~as \ p~S~vtig T1f1s Rt? ~aA . HUVS~ 8•Z ~3 Co+~l`tuvR 9 13o11-pr-t 8«~ t2~ti. 1\3 ~ i W)ourvtj fl~D AT ~~r 2.S r~~ 7Y1~ks ZL'J E NOTES: -1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( y required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. -Septic tank to be 1200 gallon capacity manufactured by 'f-'11'jw ~ LR1~) P1 SST, 1,, c-, - -FYhv~r_ Tp hE M ►`~~S W j Nno 6rK . 5. Bench Mark S~ R-t3o,j2 6. Divert surface water around systeinto prevent-ponding at the uphill side. _ Page 3 Of Approved Synthetic Covering SST" C.33 Distribution Pipe Medium Sand _ H _ G Ml r-! Topsoil = F Elev. 1~3.g 3 E " ' a -7 % Slope Bed Of 1''-2.;-2 (Force Main Plowed Aggregate From Pump Layer D 1.O Ft. E 1 • s~ Ft. Cross Section Of A Mound System Using F o • g Ft. A Bed For The Absorption Area G ~.a Ft. A 8 Ft. H 1. S Ft. Linear Loading Rate= 9 - S GPD/LN FT B 6 3 Ft. Design Loading Rate= o.~ .GPD/SQ FT Ft. J -7 Ft. n KFt. ~~t~v Position n L $S Ft. "IIT W Ft. L " bservation Pipe B K A I - - - I•----- r Force Main Distribution Bed Of 1, a- 2 2 Pipe Aggregate I Observation Pipe Permanent Markers (Anchbr securely) Plan View Of Mound Using A Bed For The Absorption Area Page _q Of Perforated Pipe Detail 0 I End View )Perforated VC Pipe End Cap P Install permanent marker -4 at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main P PVC Manifold Pipe Disiri ution Pi e Last Hole Should Be I Next To End Cap End Cap P Zq'y Ft. Distribution Pipe Layout S Y Ft. X Inches Y 6 y Inches Hole Diameter Inch Lateral Inch(es) Manifold Z Inches Force Main " Z Inches # of holes/pipe 6 Invert Elevation of Laterals HL4. Ft. t, Place 1st hole 3 Z from center of manifold with succeeding holes 4 at 6 (1intervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTION AND SPECIFICATIOAIS PAGE S. OF Io VCUT CAP 4'C.1- VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE 10'f ROM ODOR JUUCTIOU BOX COVER WITH WARNING LABEL ? , IL~MIU. WIIJOOW OR FRESH AIR INTAKE GRADE I , eu 1 1 I y M. • ~ 18' MIIJ. COIJDUIT i8"MIAI.~ 1ULCT PROVIDE I ~ AIRTIGHT SEAL ( III ~ I II v APPROVED JOINT/ A Tank construction shall comply I I~j APPROVED JOINTS with ILHR 83.15 and ILHR 83.20 I II I I I ALARM e II ,i I I oN C i - - - ADZ.. o I LLEV. FT. PUMP OFF 0 EZ 1 I O COMCKETE BLOCK 3" ApPRoYED - RISER EXIT PERMITTED OIJLy IF.TAWK MAIJUFACTURER HAS SUCH APPROVAL. gEppINQ* SPECIFICATIOKIS oosE `M~ UtiJ~S1~RN Pp~$ TANK MAINUFACTU0.ER.. IJWhBER OF DOSES: 3 © PER OAy TANK 512E : GALLOWS DOSE VOLUME z S.~ • ~LQZ)7Lp Ste! S`1 l'l S INCLUDING 6ACKFLOW: 2-Z GALLONS ALARM PAUUFACTU.RGR: MODEL NUMBER: \O ~ ILW CAPACITIES: A= ~ b INCHES OR y~6 GALLONS SWITCH TYPE: ~Z~AZ 9 = Z INCHES OR .SZ 06LLOL15 BUMP MANUFACTURER: -Z C, 11-7 zz MODEL NUMBER: D= `Z INCHES OR 3`Z' GALLONS RMA R£ TO 6E SWITCH TYPE: MOTE: PUMP AND ALARM ' MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEIJ PUMP OFF AIJD_OISTRIbUTION PIPE.. 1Z' 90 FEET + MINIMUM NETWORK SUPPLY PRESSURE 2.50 FEET -F 'IS FEET OF FORCE MAIN X t ' F . ,FRICTI0M FACTOR. 2 ' `1 FEET TOTAL OtIIJAMIG HEAD = 2 - 07 FEET DIAMETER INTERNAL DIMLWSIOIJe OF TAIJK: LEWGTH ;WIDTH _ ;LIQUID DEPTH BOTTOM AREA - 231= GAL/INCH AS PER MANUFACTURER = Z 6 ~3 - GAL/INCH Wiscols±.n 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 FREED St. Croix 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 d dimensioned, north arrow, and location and distance to nearest road. 7~94^ t~ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION DATE PROPERTY OWNER: PROPERTY LOCATION Brian & Julie Coe GOVT. LOT NE 1/4 SW 1/4,S 29 T 30 N,R 19 f(or) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 41 W. Sandra Lee Dr. 13 na Highland Hills phase II CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE -OWN NEAREST ROAD St. Paul, MN. 55119 (12)731-1612 St. Joseph Co. Rd. #E [iq New Construction Usepc] Residential/ Number of bedrooms 3 [ J Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate __.L4 bed, gpd/0 .5 trench, gpd/ft2 Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate • 4 bed, gpd/ft2 - 5 trench, gpd/ft2 Recommended infiltration surface elevation(s) 113.90 ft (as referred to site plan benchmark) Additional design / site considerations system el.based oncontour line of el. 112.9' Parent material pitted glacial drift Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL MOUND 7IN-GROUID PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S C ] U ®S El U S C U jo S-OU E3 S CCU ❑ S U U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Baxtdary Roots GPD/ft Boring # Horizon in Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. Bed Trl~& 1 0-12 10yr4/3 none sil 2msbk mfr cs 2f .5 .6 2 12-25 10yr4/4 none sicl 2msbk mfr gw if .4 .5 Ground 3 25-39 7.5yr4/4 none sl 2msbk mfr gw na .5 .6 elev. 4 112.9 ft 39-72 7.5yr4/4 c2d 7.5yr5/6 sl 2mgr wfr na na .5 .6 . Depth to limiting factor 39 Remarks: Boring # 1 0-10 10yr3/3 none sil 2msbk mfr gW 2f .5 .6 '...2.. 2 10-19 10yr4/4 none sicl 2msbk mfr 9W if .4 .5 3 19-65 7.5yr4/4 none sl lcsbk mvfr na na .4 .5 Ground elev. 112.7 ft. Depth toFI limiting factor ST INTY Remarks: CST Name: Please Print Phone: zON Gary L. Steel 715-24 Address: 1554 200t t. Ave., Ne Richmond, W I. 54017 Signature: Date: CST Number: 8-6-96 cstm 02298 PROPERTY OWNER Brian Coe`/ SOIL DESCRIPTION REPORT Page ~f _ PARCEL I.D. # Cs7~'}" `Z I7 / Q Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-10 10yr3/3 none sil 2msbk mfr gw 2f .5 .6 2 10-33 10yr4/4 none sicl 2msbk mfr gw if .4 .5 Ground 3 33-50 7.5ry4/4 none sl 2msbk mvfr na na .5 .6 elev. 111.0 ft. Depth to limiting factor +50" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Brian & Julie Coe 1554 200th Ave. CSTM2298 NE 4SW4 S29-T30N-R19W New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246-6200 lot #13-Highland Hills phase II N 1"=40' BM.= top of NE lot stake C el.100' 100 ,4- Zg zg' rl.12- Gary L. Steel 8-6-96 a j P~,E 6 a 1= i, ~ W HEAD CAPACITY CURVE TOTAL0 MMICNEAD/FLOW 4 3/4 7 3/8 PER 11MKUTE NDDEWATERING If 6 1/8 4 MODEL 137-139 EFFLUENT 30 SERIES 137-139 Feet Meters Gal. Urs 8 5 1.52 104 394 ° -r j 25 10 3.05 79 300 0 4 33/4 0 15 4.57 64 242 - 0 6.10 36 136 = 6 2025 7.62 8 30 ° 26 7.92 0 0 a Y 15 0 1 1/2" - 11 1/2 NPT 4 0 Z~ 08 0 10- 2- 0- 5 12 3/4 U.S. GALLONS 10 20 3,0 40 50 60 7o 80 90 100 110 LITERS 80 160 240 320 400 0 FLOW PER MINUTE I I 4 1 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V or 230V. • Mercury float switches are available for controlling single and three • Electrical alternators, for duplex systems, are available and supplied with phase systems. an alarm. • Double piggyback mercury float switches are available for variable • Mechanical alternators, for duplex systems, are available available with level long cycle controls. or without alarm switches. • Long cords are available in lengths of 15-25-35-50 feet. • Combination starters are available. • Over 130'F. (54'C.) special quotation required. Standard all models - Weight 47 lbs. - Y2 H.P. SELECTION GUIDE 137/132 series Control Selection 1. Integral float operated 2 pole mechanical switch, no external control requkw. Modal volts-PIS Made Amps Simplex Duplex 2. Single piggyback mercury float switch or double piggyback mercury float M137/139 115 1 Auto 10.4 1 or1 &8 - switch. Refer to FM0447. N137/139 115 1 Non 10.4 2 or 2 &7 3 or 5 & 6 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075. D1371139 230 1 Auto 52 1 on &8 - 4. Combination Starter. Refer to FM0514. E137/139 230 1 Non 52 2 or 2 & 7 3 or 5 & 6 5. See FM0712 for correct model of Electrical Alternator "E-Pak". `H137/139 200.208 1 Auto 82 1&8 - 6. Mercury sensor float switch 10-0225 used as a control activator, specify duplex ' H37/139 200-208 1 Non 82 2&7 3 or 5 & 6 ` )137/139 200-208 3 Non 42 2 & 4 3&4 or 5&6 (3) or (4) float system. ` F137/139 230 3 Non 3.0 2 & 4 3&4 or 5&6 7. Four (4) hole "J-Pak", junction box, for water tight connection or wired in • G137/139 460 3 Non 1.2 2 &4 324 or5&6 simplex or 2 pump operation, 10-0002. ` No molded plug 8. Two (2) hole "J-Pak", for Watertight connection or splice, 10-0003. Three phase units require a control switch to operate an mdemal magnetic or combination starter. CAUTION For irdor ationonadditionalZoellerproductsrefertocatalogonCombinationstarter,FMO514;Piggyback All inslalla(ion of controls, protection devices and wiring should be done by a qualified liceaced Mercury Float switches, FM0477: Electrical Alternator, FM0486; Mechanical Alternator, FM0495; Alarm electrician. All electrical and safety codes should be followed including the most recent National Ekdric Package, FM0513; and SumtafSewage Basins, FM0487. Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 LOUISVO, KY40256-0347 Manufacturers of SHIP LTO. 328o av mars OUISV rre, KY40216 Lie ~NL/1rPlNI~! ~NLr~ /~i7 I (502) 778-2731. 1(800) 928-PUMP FAX (502) 774-3624 3 8I ~L L3ZS I 27 i I - ~ ZS 7 q^o Safety and Buildings Division 011LHR 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 ~y n % than 8 1/2 x 11 inches in size. t ~y j • See reverse side for instructions for completing this application State Sanitary Permit Number o~(pU J ~0 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.D- Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name Property Location C: 1r41/4, S Tad , N, R E (or) I~ C'oe Property Owner's Mailing Address Lot Number Block Number 3 City, State Zip Code Phone Number Subdivision Name or CSM Number ST ( - ) 4. .,rJ 4~6 ' 6; s7 d 11. PE F BUILDING: (check one) ❑ State Owned ❑ City rest Road ❑ Village , Public 1 or 2 Family Dwelling - No. of bedrooms Town OF _ o / ~ III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo d„ ?0 -a0 f4-- 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 online A. Check box on line B, if applicable) A) 1. 1-9 New 2. ❑ Replacement 3. ❑ Replacement of 4_ Recon ti f 5_ pair of an -----System --------System Tank Only E _ _9 Ys _xistingSystem B) ❑ A Sanitary Permit was previously issued- Per u er ate Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Di n rimental Other 11 E] Seepage Bed 21 JO Mound 30 E] Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-GrountPssur 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/da /sq. ft.) (Min./inch) Elevation Ge Q 125-1.7 1 v'~ 2 4: L__1A //3- Feet r Feet VII. TANK Ca in gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Exist in strutted Tanks Tanks Septic Tank or Holding Tank ,6® ` Y 19- El 0 ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber r t E1 1:1 1:1 El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Business Name: (Print) Plumber's Signature: (No Stamps) PRSW No.: Phone Number: Plumber's Address (Street, City, State, Zip Cod 7l/ c IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanl ry Permit Fee (Indudes Groundwater Date Issue Issuing A nt Signature No S) AA/roved Surcharge Fee) pp ❑ Owner Given Initial a d~ j Adverse Determination O /G6 d T X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: S8D-6398 (R. 05/94) DISTRIBUTION: original to county, One copy To: Safety & RuiWirigs Divni on, Owner, Plumbar 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 oply if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of-surcharges (fees) for a number-of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations August 6, 1996 2226 Rose Stre La Grosse dj 4 1 CF1' WEGERER SOIL TESTING s. 4F.J + d i'9 421 N MAIN STREET PO BOX 74 w..° ST CR?CkX RIVER FALLS WI 54022 RE: PLAN 596-40886 FEE REGEIVED: .00 COE, JULIE NE,SW,29,30,19W TOWN OF ST JOSEPH 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. Sincerely, erard M. im Plan Reviewer Section of Private Sewage (608) 785-9348 SBDA-7997 (H. 10/94) - _ s Y9~m40 18 6Page of 6 MOUND SYSTEM ` FOR A AUG '5 BEDROOM RESIDENCE 19* sAFErra mss. LOCATED IN THE N~ 1/4 OF THE SVJ 1/4 OF SECTION Z°~ ,T:3~) N, R 1 jW, TOWN OF sT~s~~N , St'• C2o1X 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 PAGE 5 of 6 PUMPING CHAMBER ' PAGE 6 of 6 PUMP PERFORMANCE CURVE M PC's C~ ~ J • np1, PREPARED FOR 100 v wL~~ CoE o ~,t~~'as ST'1~1'~1JL; r-REV ss1l ~ sc~•V~' off' a~~~s~o~►► SQpNp~NG E 5~G PREPARED BY IaJE(3EiZER !E;Q 3E L TEST 2 htG ~~i AND- ® y`a Ce')P- j~y® z~ES = 3j-=RW X cE ARTHUR L. F.O. BOX 74 421 K. KAIK ST. _G_n r'9PR i RIVE? FALLS. NI 54022 1 a S„OSRTH. 715-425-0165 01 JOB NO. ~6 -18 Z PLOT PLAN Page Z. of • Scale l"= k4z tv T uujt of 3 r Le- UT . a~ JLaQJ ~ , V $Z. d\ x.1,13 2 a~ Jj~'' '25 8'~~~- - FTl ..116.5 dtJ `tOP OF 3.(,i H1 GH \ v; ` r ~ \ M d 'N l1 T cam P kcr d►~ ` is must- ax~G~ Ncs -L`Co .Be: f'T Ac1v~ ~ 155sPr~Z' 2.S ~ ( -f' ~ 9 . r p --n O'er H (3 i ~ gnu. \v0•o s7fi~ S f i i C.OVNN NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. required) 3. Install 4" observation. pipes with approved- caps. ( 2 required) 4. Septic tank to be \20o gallon capacity manufactured by µ~flwes` t~ 4Ci-QCA-ar, INC. ~v~"'LP ` ~ 'so 8E- t0oo Gff - YlLbwetTegij 5. .Bench Mark SE-E- Pto ue? 6. Divert surface water around mound to prevent ponding at, the uphill side.,. Page 3 Of 6 Approved Synthetic Covering S}S-7" C- 33 Distribution Pipe Medium Sand H _ G Topsoil . F Elev. 3. 3 E - b 3 % Slope Bed Of z*- 2 i2 Force Main Plowed Aggregate From Pump Layer D 1.0 Ft. Cross Section Of A Mound System Using E Z`1 Ft. A Bed For The Absorption Area F o.8 Ft. G 1.o Ft. A 8 Ft. H 5 Ft. Linear Loading Rate= q _ S GPD/LN FT B 6 ~ Ft. Design Loading Rate= p,y.GPD/SQ FT j Ft. J Ft. K 1~3 Ft. L ~3 Ft. ~f W 3 Z- Ft. L j Observation Pipe A -----•i 0 - z - Force Main - of PDT)~D Distribution Bed Of 2p- 2: 2 Pipe Aggregate Observation Pipe Permanent Markers (Anchb= securely) Plan View Of Mound Using A Bed For The Absorption Area page _q of Perforated Pipe Detail 0 End View Perforated End Cap. PVC Pipe Install permanent marker j ' ,ore at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main P PVC Manifold Pipe Distri ution Piee Last Hole Should Be Next To End Cap End Cap p Zq. y Ft. Distribution Pipe- Layout S Y Ft. X G Inches Y y Inches Hole Diameter Inch Lateral Inch(es) Manifold Z- Inches Force Main Z Inches # of holes/pipe Invert Elevation of Laterals 1114. Ft. 6 x\ -v-) -~.qZxq = z.g.o~. G aY-l tr Place 1st hole 3Z from center of manifold with succeeding holes u at 6 intervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTIOM ARID SPECIFICATIOMS PAGE S- OF D VEWT CAP 4"C.I- VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE f - r-f 10 FROM ODOR JUUCTIOAI BOX COVER WITH WARNING LABEL , 12~MtU. wINDOW OR FRESH ( - AIR UJTAKE GRAS i y"MIAI. 16' MIIJ. CONDUIT !Q PROVIDE I IIJLET ~ AIRTIGHT SEAL I I v APPROVED JOIMTf A Tank construction shall comply I lij APPROVED 4010S with ILHR 83.15 and ILHR 83.20 ill ALARM e 'I II I 1 I ON C i i - 102.o I LLEV- FL PUMP-~ --j OFF 0 L EL 1 COUCKETE DLOCK 3 APPRWEc RISER EXIT PERMITTED OIJLy -IF TANK MAWUFACTURI`R HAS SUCH APPROVAL. gEDplµ4 SPECIFICATIOMS DOSE )j \3 W UMBER OF DOSES: 3' PER DAB TwuK MAtJUFACTURER: TAMK :,1ZC: O GALLOWS DOSE VOLUME z GALLONS ALARM S -y 7~ INCLUDING MAMUFACTUR ~R : MODCL IJUMB6R: AS_L CAPACITIES: A= 1 WCHE509 x/16 GALLOIJ5 SWITCH TYPE: I~ ~2~J12 `C g = Z INCHES OR 'S~ G~LLOIJS PUMP MANUFACTURCIt: Z0 QI..L(12 (Z-0' C= 8112 UCHE5 OR ~z GALLONS MODEL NUMBER: l3~ D- lZ INCHESOR GALLONS SWITCH TYPE: MOTE: PUMP AND ALARM R TO b£ t MINIMUM DISCHARGE RATE Z8- C35 GPM INSTALLED 01.1 5EPARATE CIRCUITS VERTICAL DIFFERENCE OETWEELI PUMP OFF AUD_DISTRIDUTIOW PIPE.. LL y0 FEET + MIUIKUM NETWORK SUPPLY PRESSURE . . 2.50 FEET + 1IS FEET OF FORCE MAIN Y, t F 0oFLFRtCT10k1 FACTOR.. Z' D FEET TOTAL DtIIJAMIC. HEAD FEET DIAMETER 36 INTERLIAL, DIMEIJ5tOkl i of TAUK: LEWD TH - ;WIDTH ;LIQUID DEPTH 2 BOTTOM AREA - 231= GAL/INCH AS PER MANUFACTURER - Z 6, Q GAL/INCH HEAD CAPACITY CURVE TOTAL DYNAMIC HEADIFLOW 4 3/4 7 3/8 PER MINUTE MODEL 137-139 EFFLUENT AND DEWATERING L 6 1/8 30 SERIES 137-139 Feet Meters Gal. Ltrs 8 5 1.52 104 394 ° 25 to 305 79 300 0 o 4 3/4 0 15 4.57 64 242 - J a 20 6.10 36 136 = 6 20 25 7.62 8 30 o ° r 1 ` .Ol 26 7.92 0 0 i 15 'o 1 1/2" - 11 1j1 NPT o 4 1o Z~ 08 2 5 I 12 3/4 0 U.S. GALLONS 10 20 30 43 50 60 70 8,0 9,0 100 110 LITERS 80 160 240 320 400 I I 4 0 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V or 230V. • Mercury float switches are available for controlling single and three • Electrical alternators, for duplex systems, are available and supplied with phase systems. an alarm. • Double piggyback mercury float switches are available for variable • Mechanical alternators, for duplex systems, are available available with level long cycle controls. or without alarm switches. • Long cords are available in lengths of 15-25-35-50 feet. • Combination starters are available. • Over 130°F. (54*C.) special quotation required. Standard all models - Weight 47 Ibs. - Y2 H.P. SELECTION GUIDE 137/139 Series Control Selection 1. Integral float operated 2 pole mechanical switch, no external control required. Model Volts-Ph Mode Amps Simplex Duplex 2. Single piggyback mercury float switch or double piggyback mercury float M137/139 115 1 Auto 10.4 1 ort &8 - switch. Refer to FM0447. N137/139 115 1 Non 10.4 2 or 2 & 7 3 or 5 & 6 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075. D137/139 230 1 Auto 5.2 1 on &8 4. Combination Starter. Refer to FMO514. E137/139 230 1 Non 5.2 2 or 2 & 7 3 or 5 & 6 5. See FM0712 for correct model of Electrical Alternator "E-Pak". 'H137/139 200-208 1 Auto 8.2 1&8 6. Mercury sensor floatswltch10-0225 used as a control activator, specify duplex -1137/139 200-208 1 Non 82 2&7 3 or 5 &6 (3) or (4) float system. * J137/139 200-208 3 Non 4.2 2&4 3&4 or 5&6 7. Four (4) hole "J-Pak", )unction box, for water tight connection or wired-in *F137/139 230 3 Non 3.0 2&4 _?&4er5&6 simplex or 2 pump operation, 10-0002. G9 460 3 Non I 1.2 2&4 ~ 3&4 or 55 No o molded plug g, Two (2) hole "J-Pak", for Watertight connection or splice, 10-0003. * Three phase units require a control switch to operate an external magnetic or combination starter. CAUTION For informationon additional Zoeller products refer to catalog on Combination starter, FM0514; Piggyback All installation of controls, protection devices and wiring should be done by a qualified licensed Mercury Float Switches, FW477: Electrical Alternator, FM0486; Mechanical Alternator, FMO495; Alarm electrician. All electrical and salety codes should be followed including the most recent National Eled; ic Package, FM0513; and Sump/Sewage Basins, FM0487. Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Louisville, KY40256-0347 Manufacturers of . OELLEf' Oi SHIP T0: 3280 Old , Mfflers Lane Q Louisvillele 0216 16 /Z,..,~~_,./7_.. ~ fN~. / Af (502) 778-2731 ~ 1 1 (8 (800) 928-PUMP 4~ ~ !~~'ID~ s7~ /~7t1 FAX (502) 774-3624 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Plan must include, but Attach complete site plan on paper not less than 8 Wneareroa to vertical and horizontal reference of slope, scale or PARCEL I.D. # not limited dimensioned, north arrow, and location and d' APPLICANT INFORMATION-PLEAS T k REVIEWED BY DATE PROPERTY OWNER: sa, t LOCATION Jo Ann Persico/Bruce Peter JOPERTY VT. LOT NE 1/4 SW 1/4,S 29 T 30 N,R 19 1 (or) W PROPERTY OWNERS MAILING ADDRESS T # BLOCK # SUBD. NAME OR CSM # #328 Co. Rd. #F 13 na Hi hlaND Hills base II CITY, STATE ZIP CODE P E NUMM" []CITY []VILLAGE MOWN NEAREST ROAD Hudson, WI. 54016 77~ St. JOse h CO.RD. E Ict New Construction Use [xIc Residential / Number of bedrooms 1 [ ] Addition to existing building j I Replacement [ I Public or commercial describe Code derived daily flow 450 aDd Recommended design loading rate • 5 bed, gpd/ft2 - 6 trench, gpd/ft' Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 113.95 It (as referred to site plan benchmark) Additional design / site considerations na Parent material glacial till Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for s stem ❑ S tRU 06 ❑ U ❑ S ®U ❑ S ®U ❑ S ®U ❑ S ® U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence BOtI'try Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rte ii;Yvti:hti: 1 1 0-10 10 r4/3 none 1 2msbk mfr Cfw 2f .5 .6 cry:f 2 10-28 10yr4/4 none sil 2msbk mfr gw if .5 .6 .gN Ground 3 28-66 7.5yr4/6 flf 5yr5/6 sl 2msbk mfr na na .5 .6 elev. 112.25 ft. Depth to limiting factor 28" Remarks: Boring # 1 0-10 10yr4/3 none 1 2msbk mfr 9w 2f .5 '•..6 2 2 10-18 10yr4/4 none sil 2msbk mfr gw if .5 .6 3 18-27 10yr5/4 none sil lfsbk mfr gw na .2 .3 Ground fif elev. 4 27-75 7.5yr4/4 5yr5/6 sl 2msbk mfr na na .5 .6 112.25 ft. Depth to limiting factor __7 27" Remarks: CST Name _Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 20 (?Ph. Ave. N 9w Richmond, WI. 54017 Signature: Date: CST Number: I- ~~~j t 6-23-94 cstm 2298 PROPERTYOWNER Persico/Peterson SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Ba -d3y Roots GPD/ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed ITrench 1 0-9 10yr4/3 none 1 2msbk mfr gw 2f .5 .6 3 2 9-30 10 r4/4 none sil 2msbk mfr 9w if .5 ~.6 Ground 3 30-55 10yr5/4 c2p2/5yr4/6 sil lfsbk mfr na na .2 j .3 elev. 113.15 ft. Depth to limiting factor 30" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # i•: \i•.tid: Y::•: Ground elev. ft. Depth to limiting factor F-F Remarks: Boring # Ground elev. ft. I Depth to limiting i factor I Remarks: SBD-8330(R.05/92) PROPERTYOWNER rci5lw/ ro~ci5~li SOIL DESCRIPTION REPORT Pagel of J PARCEL'I.D. # Boring # Horizon) Depth Dominant Color I Mottles Structure GPD/ft in. Munsell Ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundazy Roots Bed iTrerx~ 1 0-9 10 r4/3 none 1 2msbk mfr gw 2f .5 .6 :x 3 2 9-30 10 r4/4 none sil 2msbk mfr if .5 .6 c2p Ground 3 30-55 10yr5/4 2/5yr4/6 sil lfsbk mfr na na .2 .3 elev. ' 113.15 ft. Depth to limiting factor 30" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Highland Hills phase 11 1554 200th Ave. CSTM2298 lot #13 New Richmond, WI 54017 MPRSW 3254 NE4Sw4 S29-T30N-R19w (715) 246-6200 t town of St. Joseph N 1"=40' BM= top ofSE lot'.stake at el. 100' ~q0 teq kty IZZ` w, 10C~'+ z6' Gary L. Steel 6-23-94 STC-105 SEPTIC 1'r-1NK NI.AMENANCE AGREEMENT St. Croix County OWNER/BUYEIt_ MA) CLING ADDRESS I-►1 L~ U ( . -______T_ - PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATF,~5~~`' - - - _ - PROPERTY LOCATION h~1c _ 1/4, S~ 114, Sec:tionT.~ _;q-R_B__w ST. CROLX COUNTY, W1 TC?VVN OF SUBDIVISION OT NUMBER CERTMEDSURVEY MAP _ VOLUME. PA GI~ V LOT NUMI3ER___~___ 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 syste.,in. 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 prof*ram in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained- 71ae property owner agrees to submit to St. Croix Zoning a certification forth, 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 neces::ny), the septic tank is less than 1/3 full of sludge and scum. Me, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the smdards get forth, herein, as set by the Wisconsin DNR. Certification stating that. your septic has been maintained crust. be completed and returned to the St. Croix County Zoning Officer within :30 days of the three year expiration date. SIC, 414 St. Croix County Zoning Office Government Center 1101 C".a:rmichael Road 11/93 Hudson, NVT 54016 Ki 711-0t1d Zr :f,t3 9551: 0TC-loo 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. N__^ JM__________________.....- Owner of property IS-If ~_~.--~~►y~ Location of property/j \1-/ 4 ~SNf,__.'1/4 r section, T '20N--R 16) W Township Address of site Subdivision name . Lot no. Other homes on property? Previous owner of property1._. Total size of property 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 S and Page Number 1_0#_GZ as recorded with the Register of Deed 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 requirFd. PROPERTY QWNER CERTIFICATION -1 (we) certify that all. statements can this form are true to the best of my (our) knowledge that I (we) an (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the offioe of the County Register of Deeds as Document No. ~ %0 .1 and that I (we) presently own the proposed site for tl-iP 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. Si tore of Applicant: Co-App icant Date -of Signature of Signature _l 3" -I " Ic,~ i-!y Lt7:H,0 96. h1: I WARRANTY DEED [)ocumey Number STERMr+%-' ! ST. C1OIX CTY., W ~E,o1E~ 70T 1186 627 + JUN 2 7 +°9f Return Address at 10:30 A. Fa; s:er of seeds Parcel I.D. Number: { 44 14- 4 t W_ Highland Hills, a Partnership, conveys and warrants to Brian G. Coe and Julia C. Cook-Coe, husband and wife, the following des _ ; ;bed real estate in St. Croix County, State of Wisconsin: Lot 13, Plat of Highland Hills in the Township of St. Joseph. St. Croix County, Wisconsin. This is not homestead property. Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this day of 1996. Highland Hills, a Partnership (SEAL) --(SEAL) ).Jo Ann Persico, individually and as Power of Attorney for Bruce Peterson and Roger Ruelin SER ACKNOWLED :MENT TF(STATE OF WISCONSIN ) COUNTY ) 1 Cc n Personally came before me this day of 1996, the above named JoAnn Persico, individually and as Power of Attorney for Bice Peterson and Roger Ruelin, to me known to be the person(s) who executed the foregoing instrument 3ix1 acknowledge the same. Notary Public 1 County, WI My commission expires - ~'Alice Joy Connors Notary Public State of Wisconsin THIS INSTRUMENT WAS DRAFTED BY: Attorney Kristina Ogland Hudson, WI 54016 41 • 4i B; N O Oo OD c o O 0 LOT 18 LOT 19 m m 3.15 ACRES co 3.15 ACRES 137,265 SO. FT. m 137,217 SO. FT. O 'J ~ N °4 01 CD cv_ N87°07'59" E - - - - _ 16.38' 47, e7,. 27 _ 100 00 e" - N 87 °07' 59° E 284.62 - 1 7 2e N87° 07' 59"E 301.00' w 1 a - - W 301.0 N 0 \ 76 47,27" 2 2I S87007'59"W , i 53.98 - 10 .00, W - - -247 02 I z i m I w I I I O ( N LOT 15 I 50' , 64' N V 3,05 ACRES I I O I 132,902 SQ. FT. I w0 z I m O° W 0 a I N I o I m m `-'LOT 14 N I z m U I p 3.00 ACRES m LOW ' 130,727 SQ.FT S89°16'22"W 496.79' AREA NOTE- NO IMPROVEM 0 I D SHALL BE CONSTAO O (D I BELOW THE ELEVAT LOT 13 N 1 OF 1950.0 ON LOT 1 cNO 3.02 ACRES 131,713 SQ. FT. -N 1 1 60.70 1 5 0 1 v 1 1 N -4 ti 89.7 19 374.30 w 460.00 N84030'03 "E w PUBLIC / IS - W 2 .'W THE n