Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
038-1059-10-200
CD O 3 00 o ~ 0°Go). Ov) a) ao q' n `o otSo ° ~ ~ m II O p N 0 30 C N vc~o` Cad N o yV~( Y y U C fi' a) E O N N O L w a cL E m 3a ( _ N L (D ~L o f 0wm 0- c E 0) CO (D N c ON E E c N W a) 3 a) 00 L aa)i a) dy 0~ O.d o a) a z z Ec0) E N LL C= f0 (D O U y N LL o o a) rn'D w 3 ~00 a) m o a y N Q Q •iC7 oW ct co co N M O M Z y z N co O _ O O Z ~ y d d d M w a m a m z o I - O z c c O 0 a~i z d o ° c z c c _ E E ~ M I N y ~ N N N 0) .1 .1 4) co m ° 0 ° N d Q' co a) N a) O a) O ~1 C a) O O N Q E N Z m z Z m Z z r r C ~i cn r~ m n m N cc > to O ip c6 N A ` U N s O v G Orr a a y O O a c~ a) m N o L 3 O o~ H N o zN> E as L ° a 33 z°~ 0 0 0 000 • a m a a m m v a 3 I ~ I 3: Z° n N Z rn 0) ay) ) J U U rn M Q) rn 0) } o ~i o o O _ O E N O T O 7 Iw O CL C m ml C (OD 7 U v a-' ¢I ziZ V 9 d o F N y N N c E rO o o O N C C C o CD 0 '0 C C C a' p p 10 d a :2 04 C*4 c N C ~ C C C C a) Q) c (D v C 75 . Lo v I` co ` ..2 N O O N ate.Q) co ° a cn N y m a~ ° Z c °c ao M m va) CD :3 OD ° O N O O Co O N° (0 fn • O U) I O N O Z N Z O N O Z Z v v~ d cc € a d Li. 1, CL 2!' CL w~ E c°'i c c 3 I 4)0C A V a l O U) V O l 5 O CO) 0' 0 co 0 3 c d `i1 c > > ° ° ° a # c T (D 3 I m 3 3 I X 0 m m obi vN, O o o l ° 3 c N- is QD r-i =r CD , Oq m° CD ai rn N I m Z N o CL L- C- m CD CD 00 C1 61 7~ 7C N I O N w CD En 40 oc°c o0 > > CD o I CD ' CD ~ ~Db ray O1 CA Ul N N 3 Q. Q; O ° r Syr y o sNe H CD ° f ~~yr7Cj C I C~ <p S O V m 3 U) CD ~ y D ° of DN aa3 CD cn= N W C. W n > cD' a o o i ° r. c 3 0 D CO < I O 10 00 ! l~ O 0 r- CA N o c m co coo o- O 0 n 1 ;x N _ N N ~1 z CD M 19 M 000 0001 C) A o v A N N= O c N N N S F r3 N fA N Q O N N CD 131 G O o W G n lri o CD ° N a l A rn z m C) C) a; H 0 g 3 m I 3 ~ CL I w p v O D CD j I O D D 0 CD 0 ~ ~ I 5• p can • y ° Z CCD I c CD CD -4 (a :3 `rye ~A N c N C (D (D CD 3 --1 CA z 'a O N O y A A .O° O . 0 a A v 0' I z -1 C~ I W M P C s z 3 o 3 a X o °o cn w m m I ~ I v .PV °m I CD 0 007 n CCDD I S COm ° a cc CD N ID G v o mN)W COD ai m c C,- c z a I ~.~fD o n 0 =~fD ° BCD a N N v CA p~'mN N Q(n O CD O O Q CD _ C) K r 7 I N 7~ .C O N 7 O N L7 Q - m CD CD 0 N 7 N A v N S CD CD 0 Cp 3 CD N X 'O ° CD v Q CD. Wd o =r co 3 Oo C CD CD O co c0 w m °0 0w N~ m N c n N tU O a m 9 I CL a m m v I a N b o o CD i CD A o O ~ .R 0 F parcel 038-1059-20-000 06/09/2006 08:01 PAGE 1 OF I F Alt. Parcel 14.31.18.257 038 - TOWN OF STAR PRAIRIE Current [XI ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner 0 - WALLRICH ESTATES INC WALLRICH ESTATES INC 4505 WHITE BEAR PKY#2200 WHITE BEAR LAKE MN 55110 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 3962 NEW RICHMOND SP 7060 STAR PRAIRIE SAN DIST #1 SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 14 T31 N RI 8W NW SE SANITARY Block/Condo Bldg: DIST.+++ Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 02/03/1999 597010 1400/538 WD 02/03/1999 597009 1400/537 WD 02/03/1999 597007 1400/535 QC 07/23/1997 911/230 more... 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 40.000 100,000 0 100,000 NO Totals for 2006: General Property 40.000 100,000 0 100,000 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 100,000 0 100,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _17_ of Labor ar-! Human Relations -cr Riv hivn of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 038-1059-20 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: Thomas A. Otteson PROPERTY LOCATION Wall Street Village Mobile Home Park GOVT. LOT NW 1/4 SE 1/4,S 14 T 31 N,R18 Nfxor) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 4505 White Bear Pkwy. ste. 2200 na na Wall St. Village Mobile Home P rk CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE J-OWN NEAREST ROAD White Bear Lake, MN. 55110 (12)426-9737 Star Prarie Co. Rd. "C" i New Construction Use [ ] Residential / Number of bedrooms [ ] Addition to existing building j ] Replacement JK ] Public or commercial describe Mn i 1 e hnmPpa rk Code derived daily flow 300 gpd per trailer Recommended design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2 Absorption area required 429 bed, 112 375 trench, ft2 Maximum design loading rate .7 bed, gpd/ft2 .8 trench, gpd/ft2 Recommended infiltration surface elevation(s) area A= 881-901-92, It (as referred to site plan benchmark) Additional design/ site considerations area B system el.= 881 911 96.51 Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem RIS ❑ U R1 S ❑ U ®S ❑ U ®S ❑ U [R S ❑ U ❑ S [211 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 Twich 1 0-13 10yr4/3 none 1 2msbk mfr cs 2f .5 .6 13-22 10yr4/4 none scl lfsbk mfr gw if .2 .3 Ground 3 22-32 7.5yr4/4 none is Osg mvfr gw if .7 .8 elev. 92.86ft. 4 32-10 7.5yr4/6 none co s Osg ml na na .7 .8 Depth to limiting +f~~4" Remarks: Boring # 1 0-19 10yr3/3 none sl lmsbk mfr cs 2f .5 .6 2 2 19-26 7.5yr3/4 none is Osg mvfr gw if .7 .8 BEEN 3 26-94 7.5yr4/4 none m s Osg mvfr na na L.7 .8 Ground L~7_ 91ely. ft. 11 Depth to limiting C +9411 Remarks: cA~ FF<G CST Name: Please Print Gar L. Steel Phone: 2 Y 715-246 Address: 1554 200 Ave., New Ri hmond, WI. 54017 Signature: Date: CST Number: 7-9-96 cs m 02298 PROPERTY OWNER Thomas Otteson SOIL DESCRIPTION REPORT Page-Z- of_5- PARCEL I.D. 038-1059-20 Boring # Depth Dominant Color Mottles Texture Structure Consistence Ba rdary Roots GPD/ft r22-28 in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench -15 10 r4/3 none sil lmsbk mfr w 2f .2 15-22 10yr4/4 none sil lmsbk mfr gw if .2 .3 Ground 10yr4/4 none sicl 2msbk mfr gw if .4 .5 elev. 81.70ft. 4 8-36 7.5yr4/6 none scl lmsbk mfr gw if .2 .3 Depth to 5 6-94 7.5yr4/6 none m s Osg mvfr na na .7 .8 limiting factor +94" Remarks: Boring # 1 -12 10yr3/3 none sl 2csbk mfr rw if .5 .6 4 2 2-22 7.5yr4/4 none sl 2csbk mfr yw if .5 .6 3 2-116 7.5yr5/4 none m s Osg ml na na .7 .8 Ground elev. - --§6.83 ft. Depth to limiting factor +116" Remarks: Boring # r27 0-6 10yr3/3 none sil 2msbk mfr 2f .5 .6 ti'....5.... -24 10yr4/4 none sil 2msbk mfr gw if .5 .6 24-45 7.5yr4/4 none co s Osg ml gw na .7 .8 Ground elev. 4 5-89 7.5yr4/6 none m s Osg mvfr na na .7 .8 78.8 ft. Depth to limiting factor +89" Remarks: Boring # 1 -12 10yr3/3 none sil 2msbk mfr gw if .5 .6 2 2-20 10yr4/4 none sicl 2csbk mfr gw if .4 .5 3 0-110 7.5yr4/6 none m s Osg ml na na .7 .8 Ground elev. 99.95 ft. Depth to limiting factor +110" Remarks: SBD-8330(R.05/92) PROPERTYOWNER Thomas Otteson SOIL DESCRIPTION REPORT Page of ppRCl,p, 038-1059-20 Gary L. Steel CSTM 02298 Depth Dominant Color Mottles Texture Structure Roots GPD/ft Boring # Horizon in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence BO iUy Bed Tmnch 1 0-6 10 r3/3 none sil 2msbk mfr 2f .5 .6 17 v 2 6-14 10yr5/4 none sil lmsbk mfr gw if .2 .3 Ground 3 114-24 5yr4/6 none is Osg mvfr gw if .7 .8 dev. 4 24-64 7.5yr4/6 none d D. co s Osg ml 9w na .7 .8 95.7 It. eta 5 64-10 7.5yr4/6 none co s Osg ml na na .7 .8 Dep limiting factor +104° Remarks: Boring # 1 -16 10yr3/3 none sil 2msbk mfr gw 2f .5 .6 8 2 16-33 10yr4/4 none sil 2msbk mfr 9w if .5 .6 3 3-51 7.5yr4/6 none ms Osg mvfr 9w na .7 .8 Ground elev. 4 hl-118 7.5yr4/6 none co s Osg ml na na .7 .8 94.2 ft Depth to limiting faclor 8+1181, Remarks: Boring # 1 -6 10yr3/3 none sl 2fgr mvfr 9w 2f .5•..6 9 2 -16 10yr4/4 none sl 2fgr mvfr gw if .5 .6 3 16-60 7.5yr4/4 none b co s Osg ml 9w na .7 .8 Ground elev. 4 0-69 7.5yr4/6 none m s Osg mvfr gw na .7 .8 89.7 tt 5 9-10 7.5yr4/4 none co s Osg ml na na .7 `.8 Depth to imitirg ~r +104" Remarks: Boring # 1 0-10 10yr4/3 none sl 2msbk mfr 9w if .5 .6 10 2 10-30 7.5yr4/4 none ms Osg ml gw if .7 .8 3 30-60 7.5yr4/4 none c co s Osg ml gw na .7 .8 Ground elev. 4 160-120 7.5yr4/6 none ms Osg ml na na .7 .8 9!it Depth to limiting factor +120" Remarks: eon "Onto neiaM PROPERTY OWNER Thomas Otteson SOIL DESCRIPTION REPORT Page of 71- PARCELt.D. 038-10-59-20 Gary L. Steel CST,M 02298 Boring# Horizon Depth Dominant Color Motlles Texture Structure Consistence Bounday Roots GPD/ft in. Munseil Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmndh 1 0-10 10yr4/3 none sl 2msbk mvfr gw if .5 .6 vi 1 2 10-25 7.5yr4/4 none ms Osg ml gw na .7 .8 Ground 3 25-51 7.5yr4/4 none Co s Osg ml gw na ..8 elev. 99.10ft. 4 51-12 7.5yr4/6 none m s Osg ml na na .7 i.8 Depth to limiting factor +120" Remarks: Boring # Ground elev. ft Depth to limiting factor Remarks: Boring # i Ground elev. ft. Depth b limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting faCt4r Remarks: wnn nnnwrn ru wv» Wall Street Village Mobile Home Park NW4SE4 S14-T31N-R187n of St Pra ie 111=601 aL. S teel BM.= top of 1211 pvc pipe C el. 100' CSTM 02298 Alt. Am.= top of 1211 pvc pipe @ e1.83.10' 90 BPI 1 f ~ Z 12 • x / f ice' ~ . STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 16h? U $5arj ADDRESS -0 a 410, SUBDIVISION / CSM# LOT SECTION T N-R_ W, Town of r ~a L-P ST. CROIX COUNTY, WISCONSIN 1-7 A PLAN VIEW SHOW EVERYTHING WITHIN 100 EET. EM~Q-S~ - a A , j2 ~ - rya i r INDI ATE NORTH ARROW Pr&vide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: bd_g Liquid capacity: ?56b4c;?(j!vj Setback from: Well 7OZ) House ,2 Other Pump: Manufacturer [,t (yy-_ Model# LA. /l Size Float seperation Gallons/cycle Alarm Location- SOIL ABSORPTION SYSTEM Width: ~o? Length Number of trenches Distance & Direction to nearest prop. line: /1 ,,2,W, Setback from: well: -211D House Other ELEVATIONS Building Sewer ST Inlet ST outlet : S PC inlet 71 PC bottom Pump Off g ,.5~ ,l Al-- Header Manifo / / q9% Bottom of system Q,,g 9t Existing Grad Final grade - 8~ DATE OF INSTALLATION: `C PLUMBER ON JOB: LICENSE NUMBER:' INSPECTOR: 3/93:jt a1borandDHu~manRelationsdustry, PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 268639 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: TOM OTTERSON/WALL STREET VILLA ESTAR PRAIRIE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9600341 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic a as Benchmark ,76' G` /00. o Dosing Aeration Bldg. Sewer Holding St/ Inlet ql G TANK SETBACK INFORMATION St / Ht Outlet q!, 7 s TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet rl Septic S, / / NA Dt Bottom Dosing 7.9 , 64 NA Header / Man. Aeration NA Dist. Pipe r ; Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Q Model Number 8S b GPM TDH Lift Friction p I~ System TDH (o qq Ft Loss Head Forcemain Length.~0r Dia.^ Dist. To Well x7001 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O 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 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 El Yes El No E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STAR PRAIRIE.14.31.18W, NE SE _CT~,~_CC_~_ _ ~arQ 709 = 1~ 9 6 _z_ 4a= ~3 ' Plan revision required? ❑ Yes ❑ No _ Use other side for additional information. I q,/ / SBD-6710 (R 05/91) Date Ins e S nature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: awn Safety and Buildings Division v~iLri SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. S1 - L - cnz • See reverse side for instructions for completing this application State Sanitar Permit Number O&F63cl The information you provide may be used by other government agency programs ❑ Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number ' 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION S r(.- Pro b6.~ ert Owner Name Property Location 0 ilUjZ 1/4s7 1/4, 5 T N, R leer ) W Property Owners iling Address Lot Number Block Number 4-S 6 -P W Pk, Z100 I City, tate Zip Code Phone Number Subdivision Name or CSM Number GU JI-6 IAN S5110 ( C I. TYPE OF BUILDING: (check one) ❑ State Owned ❑ C!tyage Nearest Road , . ❑ vill Public 1 or 2 Family Dwelling - No. of bedrooms ~ Town OF Ian \ r c III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 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 )9 Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel / Mote[ 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 Do Seepage Bed 210 Mound 30 E] Specify Type 41 ❑ Holding Tank 12 eepage 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) 094,s . Elevation 3r~a 4r~r k 5-OS-0 qt's Feet 90`/CO' Feet .0 Pf ,7 VII. TANK Capacit in gallons Total # of Prefab. Site Fiber- Ex er. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- strutted Steel glass Plastic App Tanks Tanks Septic Tank or Holding Tank 1,9 41S &D 42 L (,V LA_:: ® E] ❑ ❑ El Lift Pump Tank /Siphon Chamber 0D0 i X ❑ 1:1 E] ❑ 11 VIII. RESPONSIBILITY S ATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: Print) Plumber's Sig atu e: No Stamps) rMPRSW No.: Business Phone Number: CJ -/563 ?lr RA LIE Plumber's Address (Street, City, tate, zip Code): C IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (lndudesGroundwater Date Issue Issuing Agent Signatur N t ps) IS/Approved Surcharge Fee) pp I ❑ Owner Given Initial 7 a-tv ~_fr. Adverse Determination IX. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05194) DISTRIBUTION: original. to County, one copy To: Safety & Buildings Division, Owner, Plumber , INSTRUCTIONS Y r~ 1 . A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe 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 nurriber(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. Ill. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc:), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. lndustry, abor aad ;rd Human rtmeynt Relations of industry, Labor L PRIVATE SEWAGE SYSTEM 4 Safety and Buildings Division REVIEW APPLICATION Bureau of Building Water Systems Hayward Office La Crosse Office Madison Office Shawano Office Waukesha Office 209 W 1st Street 2226 Rose Street 201 E. Washington Ave. 1340 E. Green Bay Street 401 Pilot Court, Suite C Rt 8, Box 8072 LaCrosse, WI 54603 P.O. Box 7969 Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Suite 300 Waukesha, WI 53188 806 Phone (715) 634-4804 Fax (608) 785-9330 Phone (608) 267-5119 r, Phone (715) 524-3626 Fax (715) 634-5150 Fax (608) 267-0592 FShawano, wl 54166, Phone ax (715) 524-3633 Fax (414)(414)548-8614 INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this form together with fees and plans/information. Your submittal must be received at least one working day prior to the appointment at the office where your review was scheduled. Please call any of the listed offices if you need help filling out the form or have questions on what information to submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your referenclq 1. APPOINTMENT INFORMATION -if you have scheduled an appointment, fill in the information requested below to save time: Appoint ent Date Reviewer Name Plan Identification Number r t~ S~ ► S - o p (o 2. PROJECT I ORMATION If this review is a revisio or extension to your existing plan identification number, provide that number here: Project Name X0"'. kk E] c, e City E] Village Town Of: County Project Location GOVT. LOT 1/4 CIAE~ 1/4,S T N R r W 3. APPLICATION FOR 4. FEE COMPUTATIONS System Type (check one): FEE SUBMITTED j System Type t (include new and existing tanks) A At-Grade Up To 1,500 gallon septic tank $110.00 1,501 - 2,500 gallon septic tank H E] Holding Tank $120.00 2,501 - 5,000 gallon septic tank . $160.00 M E] Mound 5,001 • 9,000 gallon septic tank • • • . $200.00 N Non-Pressurized In-Ground (conventional) 9,001 -15,000 gallon septic tank $300.00 . _ P Pressurized In-Ground Over 15,000 gallon septic tank $ 500.00 . 1 O ❑ Other: Up To 1,000 gallon dose chamber $ 70.00 1,001 - 2,000 gallon dose chamber $ 80.00 Building Type (check one): 2,001 - 4,000 gallon dose chamber 4,001 - 8,000 gallon dose chamber ' ' ' • ' ' $100.00 D Dwelling,lor2Family $120.00 8,001 -12,000 gallon dose chamber $140.00 P Public Buddin Building Over 12,000 gallon dose chamber , $160.00 S State-Owned Building Up To 5,000 gallon holding tank $ 60.00 Code Derived Daily Flow q 5,001 -10,000 gallon holding tank $100-00 gpd Over 10,000 gallon holding tank $150.00 ❑ Check If Replacing Existing System Experimental System (additi $300.00 Revisions To Approved Plan $ 60.00 Petition For Variance: Setbm..:'. 5.10s, . , , $100.06 ❑ Petition For Variance Site Evaluation $225.00 $J j SL'.. INV, ' $225.00 Revision S 75.00 ❑ Groundwater Monitoring Groundwater Monitoring - Per Site $ 60.00 other than a proposed subdivision) ❑ Site Evaluation in Lieu of Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring $ 60.00 Subtotal: 7 Priority Review: Enter same amount as Subtotal: MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total Fee: 5. SUBMITTING PARTY INFORMATION Telephone No. (include area code a extension) mpany Name ( ) Contact Person L I No. & Street Address Or P.O. Box ~ ° t V i Vt 1 Dv... VA +qC09 tilt) It Ci , Town or Village State, Zip Code c~ of I Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers. 2 Revision fees are not applicable to temporary holding tanks or extensions to existing approvals. NOTE: Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to change annually. The information you provide may be used by other government agency programs (Privacy law, s. 15.04 (1) (m)I. SBDW-6748 (R. 09/94) OVER . \ r ' f ate' 4 09 0 6 .11 Q' ~ , ` titS t r~ ~kAIa~r~ IU'$s ly sl -I to ~ ~{'.t.r Phcir~• / 11 1 60 l^, ~ ~~0 I.S~S (uh~c $oo,r ~~y _SYS'[EM Conn On al . V 1pM~ ~o sw l ~ ` R P ~®E~CE SEE ~ Toy i~ Pap ~ ~ ~ 6 Scat Q I'~ ~o 5 \ s ~ r %Aj ~Q6 mQRs~ 1563 l y ° 17a-~e 7-a a -9b 014 r b f ~i _ 3 LoWf,ra fir.Ia- kv- rnri ssiio 9 6, Now, 40cq IF - C•,roSS Sec~10n p~ A Sys -ems 06-4 Fresh Air Inlets And Observallan Pipe • Approved Veal Cap Alinimam I2' Abor. 15 y~ E SEWAGE SYSTEM Flnal Grade } . ,•CoN ken Conditionally 20- 42' Above Pipe Kim To Final Gtade Vent Pipe ManA Ha r S PnlMe lle'Covedn 414. 2App1e1141e O L4w a HUMAN, RELATIONS I Oret Plpo Oliirlbullon of mum. 9wLm Pipe 0 0 0 0 Too DIVISIAM OF k • Lr 6!Ag reealeBb Pipe ° Perloraled Pipe Below ° c i RE Sp N E Bolcom of Sri n 5 .501E FILL . DISTRIBUTIOIJ PIPE • APPROVED S19PETIC COVER " ~"'MATIR14 OR 9" OF STRAW 00 AG Q9EGAlE OR 1AARSH KAy •E3 _1 ?4,S e ° ~,OFlZ-212 AGGREGATE MCV. of FEET _a "h"s 3 3 0ISTRI5UTI0 J PIPE TO BE AT LEAST IUCNES BELOW ORIG10AL GRADE AQU AT LEASTLO I►JCRES BUT.1,10 MORE THAW 42 INCHES BELOW FINAL GRADE P"uMUM ©SPT4i OF EXCAVAT100 FROM OKI&WAI 6RAVA.WILL BE. INCHES !'UI'll MUM 9EPT-H OF EACAVATI0N F.ROM. 01ki41WAL 6~gpE WILL, BE INCHES SIGIJEO: LIGEIJSE LJUMBER: 1.56.,..3 a DATE: 7- aZ0 -cl~y AUG-09-1996 10:00 P.02 rZ. tiI 1 f 1 ' A -I--} I , I ~ i 1 f t-- , f 41 k4A 1 i f I I ; ; ` j I ~ F ~ ~ . j- I; I l r ( I I I L -J , 1 YA C. . V11,10 lick; I i i 11-7 T-tl - . j . ...f... - 1. C.... - PUMP CHAMBER CROSS SCeT10~ Au0'SPECIFICATIOUS' VCiJT CAP r' 'f"C.Z. VEMT PIP[ ~ ~ WCATNCK PRoOI~ PROIRL CICIAIG LS' IrIROM DOOR, JUUCTIOIJ e0X nAmwLC COVER wlNOow OR FRESH It•Mlt!• Alit INTAKE GRAD[ I •1' JM1U. CouOUIT IWAIW. IIJLE T :PROVIDE I AiRT16NT SEAL APPROVEO JOIAIT A wIc.z. PIPE , . Io~Z I II w ca. PipeOlu EXTEMOIN6 3' idall it'y I II ALNtn EXTEWDJUG .3 OUTO 60L10 SOIL d I 11, ONTO SOLID $01 ou n I I rR. ION ELEV. ~ FIE DENT. .O;= IN Y'• WLWOS b 0f1-?x ...J Ca~IS PUMP . orr D ~ S'EE _C SPONIDENCE COIJCKETE BLOCK 3a AP • KISCR CXIT PERMITTED OIJLy IF TAWK MANUFACTURER HAS SUCH APPROVAL 8[041 SEPTIC I SPEGIFICATIOAJS • j DOSE ' TAWK MA)JUFACTURCR: IJLIIr►8ER QF DOSES: - j PEP. D" TAIJK SIZE • - r--?X~ • - G GALLOUS. DOSE VOLUME LARA MAMUFACTURCR: klowe'l. IMCLUDIIJG 6ACKFLOW.0 CrALLONS /KODCL IJUMBCRS CAPACITIES: As 3~ta IIJCNES OR 5-. 33,_ ,AILOyS j SWITCH TZIPC: t7-./16 j PUMP MAWUFACTURCR: ar9~..~,d~ 8 a~IWCMEs OR CALLOIJS_ C a3 : IMCHES OR _ 9 GALLOUS MODEL MUMBER: - ~lf.~"~ 7i{ P• L 3//L D• INCHES 04GALIOIJS j SWITCH TYPE `?EZm~L.5' e u ►11~ l1 U~,OTc. PUAP ALID ALARM ARE TO et MINIMUM DISCHARGE RATE 80 _CPP /,V. INSTALLED OU SEPARATE CIRCWTs VERTICAL DIFFERENCE BETwCEU PUMP.OFF Au pISTRIDUTIOm PIP . ~ E)o- FEET C7 + MIWIALIM NETWORK SUPPI.V PRESSURE 2.5 . . . FEET ~'Y + _ rv FEET OF FORCE MAIM X ooftFRICTIOU FACTOR. ._c Q_ FEET TOTAL DUMAMIC HEAD FEET Ire IIJTERIJAL DIMEIJSIOIJZ OF TAIJK: LE1~IC,TH *"';WIDTH. _,,*;LIQUID DEPTH' . It F~ T A : j}~fiN t SEWAGE -F FLUENT PUMPS k" + • r r S96-40906 EP0311 n v t.:. LIST DISC. GDUPFP0311 142 EP0311 1/3 HP 115 V Effluent Rnp' 1/2" solids T55.80 172.10 ~.,.Submer ible r 1t , •tR Effluent., MODEL EPM11 rr+ . Pump.' R F°, PAMRS SIZE SOLIDS 25 +T~~ K 1 20 ; X- P" 11 6 ~ r y. ~K 15 i. C rQ . t 4. K .'i:11 Y Z - - - - r 7 ~'2 Hx 't' 6 yu; t 'f{4s9 0 00 4 6 12 16 20 24 26 32 36 40 « J , GPM 0 2,5 5.0 7.5 m'/h, CAPACITY I: d t •Pedbrmance is F R Curve t$5 q` pt777 MLT[Rt I[R L'•~ - - MODEL 3885 a b SIZE 1/4" Solid ' F at ~~a K!t ~ .s1 i ~o 6t it'He - , i -S, ++~">S 4~ to wi - 1+~i 30 A +g-- w to AM-1 I I I 0 10 20 00 40 . 60 EO )0 E0 •0 t00 110 120 orm 0 b 20 20W-At • 4 QAPAC"T } 15, ?z, zzzz LIST DISC. "f~.Rf` QJUPM3111. 142 WE031116 1/3 HP 115 V Low H 3/4 solids I<g1.55 329.35 ' C~1.~wE0311M 142 WE0311M 1/3 HP 115 V Mod H 3/4" solids 491.55 329.3S •'00i 1P511H 142 14E05111i .1/2 HP 115 V H1.gh H 3%4" kl'ids 704.25 47T,8S y a 11 + QOUPI+'E0~12H 142 M71M 3/4 HP 230 V High Hd. 3/4" solids 043.65 565.25 } . 5T +3, °I •w1'rrSiE P0E1X r4G PACE FOR PERFi~NY1NCE ADD SPECIFICATfOt14. 'DATE . '3058 DkITf 30 PAGE D1U : ' S l~ c 40 0 ' 7Se 1 i _ ! ~+svrww4' ~1-S06 ; i 0 Irk .5,1 fu I yI~ 5? p x: r , : I i I I : : F i ~ I i 1 i ~ I f I I- I 1 ' i I i 1 ~ I I i i I I I I i I i i : i I I i I I i ' I i i i f I I 1 : i i • • Pl b. 60 cr • i 1/78 PROJECT DETAIL DATA SHEET s~ o 9 6'0 4 Q NAME OF BUSINESS ku A r'¢ e e tlQ. o- I rC.Li'ii' o ~I LEGAL DESCRIPTION ctI . S S~.C. 3 JV j2 `g OWNER 0 m 0-t So v` MAILING ADDRESS Wa )IJl ZIP S~ t l t~ A ECT ENGINEER, pr-S ADDRESS cl (4C[ - ) g 5~ti }}-"p~ LU OR DESIGNER IJ-e (clw~anc~l ZIP S~c(O/~_ TELEPHONE NUMBER 1. Check appropriate building usage(s) and fill in the information requested opposite each usage listed. Please consult Section H 62.20. Existing building New-building Addition O Apartments and condominiums Number of bedrooms ( ) Assembly hall Seating capacity Bar Seating capacity # of meals served Bowling alley Number of lanes ( ) With bar Campground and camping resorts Number of sewereTsites Number oX unsewered sites Total number of sites ( ) Camps . . . . . . . . . . . Day use only. Number of persons Day and night Number of persons ( ) Catchbasin . . . Number ( ) Church . . . . . . . . ( ) No kitchen Number of persons • ( ) With kitchen Number of persons O Dance hall Number of persons O Dining hall. . . . . . . . . . . . . Number of meals servce daily d ( ) Dog kennels . . . . . . . . . . Number of enclosures O Drive-in restaurant . . . Inside seating capacity Car-service Number of car-spaces Dump station . . . . . . . . . . Number of-A ump stations r Employees ( total of all shifts) . Number of empldydes ( ) Hotel ( ) Motel ( ) Cottages . . . . Number of units with 2 persons per-"unit Number of units-iwith 4"'persons''per unit ( ) Medical and dental office bldgs. Number of doctors, nurses,-.medical,-staff Number of office personnel--` Number of patients Mobile home parks . . . . . . . Number of sites JA S e QA % o Nursing homes . . . . . . . . . . Number of beds Parks . . . . . . . . . . . . . Number of persons ( ) Toilets ( ) Showers Restaurant . . . . . . . . . . . . . Seating capacity ( ) Dishwasher and or disposal? ( ) 24-Hour service O Retail store . . . . . . . . . . Total number of customers ( ) Schools . . . . . . . . . . . Number of classrooms _-FT Meals ( ) Showers ( ) Self service laundry . . . . . . Total number of machines Service station . . . . . . . . . . Number of cars served dairy Swimming pool bathhouse . . . . . Number of persons ( ) OTHER . . (Specify) . . . . . . COMPLETE OTHER SIDE 2. Indicate whether the:'follow`ing,facilities are present. Floor drain yes no•, Number of drains Food waste grinder -yes no•-.1G- Dishwasher - yes no - Automatic clothes washer yesno Number of clothes washers 3 SO 3. Septic tank capacity 41 Holding tank capacity r' Septic or holding tank manufacturer W ~•ec 4. SEEPAGE TRENCHES:- total.-square feet width of trenches 1'ength`of- trenches depth number of trenches SEEPAGE BEDS: total square feet S I y Q 195 P(width t length of bed (p` depth ~(o SEEPAGE PITS: " total square feet outside diameter depth below inlet total depth from top to bottom of pit Signature erson completing form: FOR DEPARTMENTAL USE ONLY Address jQ tog - Telephone Number 1_5 (o I.115 Date 7- aQ ~p moo, 07/29/~193966 10:34 60/8-785t-9330 "~FETY AND BUILDINGS PAGE e1 7 WATEP C.A~ CL"L ".TYON WORKSHEET Information Needed for Water Service 96-40906 SIzIng i' Demand of building in gallons per minute. Z• Low pressure at main in street (or at external pressure tank). 3, Difference in elevation frpm main to • control valve).etFx (or external pressure tank tnb, ilding 4. Size of water meter (if applicahl~). S. f 30 Developed length from main to-m etar-(or external pressure tank~~ h ~,t~;n~ I You Must First Find the Available Pressure After the Water Meter (or at building control valve). To obtain this pressure, you must: 6. 1-61 Find pressure loss due to friction in inch water service ~ . 7._ 463 Find pressure loss due to elevation, building control valve). Multiply the difference in elevation a .ressp s ; a i to 8. A) Find pressure lass due to meter. from 'S--3 1 9• Subtract the loss due to friction S manufacturer or A~YW,4), 76 loss ~ due to meter (Step 8) from the ] n a n in 6), p essurue (oor tow a r+ess (Step 7), and toss -%606Pae) ,Z pressure tank). This calculation is the available pressure A~e at external at the building control valve), This answer is entered in i ne 13, below. or "10rmation Needed for Water Distribution Sizing Using the following formula, find the pressure available for uniform loss (p.s.1/100 of pipe) WHERE: - AFB--( F +D+~E)x]QO A. Pressure available for uniform loss ~q(p•s.i./100l of pipe). B• •~~~Available pressure after water at internal - ffigmr {at the uiI in ontrol valve or low ressure 8M% tank)._ (See item 9-above},-- - - Pressure needed at controlling fixture. D. Difference in elevation between... pressure tank) and controlling fixture in feet (buil _ xi .4 control valve or internal w. Pressure loss due to water softeners, water treatment devices instantaneous water heaters and backflow preventers. Conventional water heatrslo not have a pressure loss. y of F. . '2 0 Developed length from orate • tank) to controlling fixture ink#ef (1~ frol va]v or internal pressure With pressure available for uniform Ios go to applicable table for distribution sizing. SBD-6479 (R-08/88) c S 9-6 4 r E-PHASE DUPLEX TECHNOLOGY TYPE 122 Type 122 control panels are single-phase, ft! a Outdoor alternating pump control systems. The Rhombus Type 122 control panel is designed to ° alternately control two single-phase pumps in residential and commercial water and sewage systems. The alternating action equalizes pump wear. In addition to the alternating pump control, this system provides - override control should either pump fail. If an alarm rr condition occurs, an alarm switch activates the audio/ visual alarm system. Common applications include lift stations, pump chambers, sump pump basins, and irrigation systems. TYPE 122 FEATURES Model Shown 1221W114X Float Switches (optional) - complete package assures quality of entire control/alarm system. UL Labeled - ENTIRE control system (panel and switches) _ meets and/or exceeds industry standards for safety. ° Installation Instructions - complete step-by-step instruc- tions are included for easy installation. o 2 YEAR LIMITED WARRANTY - ensures commitment to customer satisfaction. 0 Q Enclosure - comes with removable mounting flanges. o 011 Cl Choice of Nema 1 - engineered thermoplastic for indoor use, or Nema 0 - weathertight engineered thermoplastic for outdoor use. © Magnetic Motor Contactors - control the pumps by ° switching both electrical lines. © HOA Switches - offer manual control of the pumps. Q Control Circuit Board - provides control and alterna- ALARM PACKAGE (OPTIONAL) lion of pumps. Q Alarm Beacon - large red light provides 360' visual check of © Green Pump Run indicator Lights alarm condition. Schematic/Widng Diagram ® Alarm Horn - loud horn provides audio warning of alarm' condition. Q Terminal Blocks ® Horn Silence Switch - exterior switch allows alarm horn to be Q Control ON/OFF Switch silenced. Alarm resets automatically after alarm condition has been resolved. Q Control/Alarm Fuse Test Switch - exterior switch allows testing of horn and light to m Circuit Breakers (optional) - provide pump disconnect. assure proper operation of alarm system. t t TYPE 122 FEATURES OPTIONS AVAILABLE - Select the options your application All Type 122 control panels include 12" x 10" enclosure, 120V requires, then refer to the option pages. The option pages will control circuit, magnetic motor contactors, pump run lights, HOA provide details and specific numbers needed to complete your switches, terminal blocks, fuse, and control on/off switch. model number. Panels ordered with an option or multiple MODEL NUMBER ORDERING INFORMATION options may require larger enclosure sizes. See sample at bottom of page to help complete your model number. Please call the~~c Afsrdiln4dff9ungyour model number. 1~ V 1 2 2 0 10 Ifl❑I H 9 1 1 TYPE 122 -J OPTIONS ALARM PACKAGE SEE OPTIONS PAGE FOR MODEL NUMBERS 0 - no alarm package ❑ Alarm Beacon ❑ Remote Devices 1 -alarm package-includes silence & ❑ Alarm Bell ❑ Deadfront test switches, red light, horn and ❑ Alarm Horn ❑ Lockable Latch alarm float ❑ Alternate Beacon Color ❑ Pilot Breaker ❑ Red Beacon With Guard ❑ Lightning Arrestor ENCLOSURE RATING ❑ Flasher ❑ Surge Protection I - Indoor (NEMA 1) ❑ Manual Alarm Reset ❑ Overload Protection W -Weatherproof (NEMA 4X) ❑ High and Low Alarm Indicators ❑ Overload Reset Through STARTING DEVICE ❑ Auxiliary Contacts Door 1 magnetic motor contactor ❑ Low Level Cutout ❑ GFI Convenience (redundant off) Receptacle PUMP FULL LOAD AMPS ❑ Pump Failure Indicators ❑ Main Disconnect ❑ Seal Failure Indicators ❑ Lead/Lag Selector If pumps do not have integral overload protection you ❑ Thermal Cutouts Switch must specify overloads as an option ❑ Thermal Cutout Indicators ❑ Separate Lag and Alarm 0- 0-15 FLA ❑ Power-On Indicators Functions 1 -15-20 FLA ❑ Anti-Condensation Heater ❑ Alternate Float Switches 2-20-25 FLA ❑ Elapsed Time Meters 3-25-30 FLA ❑ Event (Cycle) Counters Subject to change 4-30-40 FLA F1 Pump Control Timer without notice. 5-40-50 FLA ❑ Delay Timer PUMP DISCONNECT 0 - no pump disconnect 1 - N/A 2 - through door fused (fuses not included) r 3 - through door non-fused TECHNOLOGY 4 - circuit breakers FLOAT SWITCH APPLICATION RHOMBUS TECHNOLOGY P.O. Box 1619 • County Rd 6 YurKR Two 20' pipe clamp floats are standard. For alternate float switches Detroit Lakes MN 56502 USA. see the option pages. Designate H or L for all floats ordered. 218-847.4786 - Fax 218-847-4801 H - pump down/normally open a division of S.J. Electro Systems, Inc. L - pump up/normally closed 1003349 - Printed in USA X - no alarm or control floats SAMPLE: MODEL #1221 W114H7A11 C1 9F ' 122 [1] W❑1 [11 4 H 7A11C19F TYPE I L MISCELLANEOUS OPTIONS ALARM PACKAGE Separate Lag/Alarm Functions ENCLOSURE RATING REMOTE STATUS DEVICES STARTING DEVICE Nema I Panel With Alarm PUMP FULL LOAD AMPS Indicator Light and Horn PUMP DISCONNECT POWERED AUXILIARY CONTACTS FLOAT SWITCH APPLICATION Alarm - Normally Open ~Pyi► E~",(aa 6 4090 a . w►RRsw I5G3 DY44 ~Pwlpwo T SE Sec. !lo". t 77 x477 .I ' Vl ~ c V, b. I -L Ir a. 0 _v_ Ir pavv, rv C 50 sue- T.~~ - l ~w S96-40P BITUMINOUS OR PLASTIC CEMENT SEALANT TRAFFIC-RATED CASTING: -E- RIM EL. NEENAH R-44t?W/ TYPE B MACHINED LID. - REF. PLANS OR EQUAL. (APPROX. WT.=330 LBS.) c I SANITARY MANHOLE LIDS SHALL BE SELF- o Z, T`SEALING Wi CONCEALED PICK HOLES. 6 - 12 to ADJUST FRAME TO GRADE WITH 2" TO 4" THICK 27" DIA. ' PRECAST CONCRETE RINGS. RINGS SHALL BE REINFORCED WITH WIRE MESH OR *3 STEEL BARS. ~n2 STEPS: MANHOLE STEPS CONFORM TO ASTM C478 AND SHALL BE CAST IRON OR APPROVED STEEL REINFORCED POLYPROPYLENE. 5" FOR 48" DIA. 48 OIA, UNLESS OTHERWISE MANHOLE: SHOWN OR REO T. BY PIPE SIZE SEE MANHOLE SPEC. PRECAST CONCRETE AND REINFORCEMENT SHALL CONFORM TO ASTM C478. JOINT MATERIAL CAST-IN-PLACE CONCRETE AND REINFORCEMENT SEE SPEC) SHALL CONFORM TO CONCRETE SPEC. CONE TOP SECTION SHALL BE USED ON 48" ` DIA, MANHOLES. UNLESS MINIMUM HEIGHT CONDITIONS REOUIRE FLATTOP. FLAT TOP SECTION MAY BE USED ON MANHOLES 60" BENCH SLOPE - DIAMETER OR LARGER. TO BE I"/FT. PIPE SEAL (SEE SPEC) J O INVERT EL.-REF. PLANS 12" THK. (POURED) I~ 3 STONE CUSHION REOUIRED UNDER BASE 6" THK• (PRECAST) ON WET SUBGRADE. STANDARD MANHOLE eM24 N OT 10 SCALE 5.9 - ' I I I i I ~ 13 I I I _ i ,p { I I I II i I i ; I i i, I I e - - I j I - - - i - j a up - -f-- vv.r .'..ter v. • r r..~rv ..v.~ v.r.. » Labor and Human Relatjons l± ; 4 xr Di,►ision of safety a Buildings in accord with -ILHR 83-05, Wie Adm. Code i T 4. '4. Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, !wt- ~ 1 S :.,`Crp ix _-not limited to vertical and horizontal reference point (04, direction and of slope, scale, or PARCEL I.D. # M f _:(j _ . K; dimensioned, north arrow, and location and distance to nearest road. 038-1059-20 ;-APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION - REl/}EWEDBY--_.7 ...BATE PROPERTY OWNER: Thomas A. Otteson PROPERTY LOCATION Wall Street Village Mobile Hone Park GOVT. LOT NW t!a SE ' tl4,3 ,14 T 31 ,N,R18x6t(a) W'' PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK SUED. NAME OR CSM # a 4505 White Bear Pkwv . ste. 2200 na na Wall St.'Villa a Mobile Hoare 11 CITY, STATE ZIP CODE PHONE NUMBER l7ICiTY MILLAGE 'OWN NEAREST ROAD White Bear hake, MN. 55110 612)426-9737 Star Prarie Co. Rd. New Construction Use [ : ] Residential I Number of bedrooms Addition [ 1 to existing building (j Replacement (c l Public or commerdal desaibe Mari ~ a Ana rir Code derl ►ed daily flow 300 gpd per trailer Recommended design baling rate 7 tred, gpoltt2~,_trerlch, Absorption area required 429 bed, 1112 375 trench, 112 „ Maximum design loading rate .7 bed, gp~2 g .8 Ge Recommended infiltration surface elevation(s) area A- 081-901-921 ft (as referred to site plan I be! 4 x.hmark) rt, . t Additional design / site considerations --area H system el.= 88, 91 96.5 x Parent Mateo outwash Flood plain elevation, If applicable ` " na ` . , ~ ft S ■ Suitable for system OONVENTIONAL T MOUND IN-GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK i U= Unsuitable forsystem ®S O U F ❑ U ®S ❑ U ®S O U ®S - o u 0s [R U > $OIL DESCRIPTION REPORT Z. _ ,.Y ' Depth Dominant Color Mottles Structure c4nsftnce rGPD/ft 'Boring # Horizon In. Munsell qu. Si. Cont Color Texture Bwnckky Roots Gr. Sz. Sh. Bed ranch - 10yr4/3 none , 1.„, 2msbk , . . mfr--,-- . _ cs 211. ,.:5 .6 13-2.2 10yr4/4 nonelfsbk mfr gw if -02 .3 ;Ground 3 ,n 22-32 7.5yr4/4 none a 1 1s Osg myfr : gW a - if 7 .8 _ 2 86 it 4 32-10 7.5yr4/6 none 5 Y cos Osg ml 9 :7 .8 Depth to F limiting t ; a • i 1 . 1 t 4'^Yi ~i:J ....Remarks: , Boring # s. 1 0-19 10yr3/3 none .~>,>.-a, < sl lmsbk . mfr ' cs 2f.5 , .6- 2 19-26 7.5yr3/4 none . is. . Osg. nrrfr , gw -if 7 .8 3 26-94 7.5yr4/4 none m s Osg mvfr y na'..., na *7.. .8, LL Ground 911T. Depth to e 6miGng k +941, factor Remarks: - - i ) xwa3 T Name:-Please . . Print Phone: . Gary L. Steel " 715-246-6200 ress' 1554 200t.17.. Ave., New Ri hmond WI. 54017 Sipnauue: Date: CST Number: 7-9-96 Cstm 02298 ravrVnr r vanan r rv■v 141-6 v■a r ~ w••+ ~~w-+v" _ vMr~' ~rvvau■ U1 PARCEL I.D. x 038-1059-20 Depth Dominant Color Mottles Texture Structure Consistence Bouxbry Roots GPD/ft Bodrt9 # Horizon in. Munsell Qu. Sz. Cont Cola' Gr. Sz. Sh. Bed n 1 -15 10 r4 3 none sil lmsb Mtr__ 9w 2 5-22: 10yr4/4 none sil' imsbk mfr' gw " if .4 .5 _ sicl 2msbk mfr gw . 3 2-28 10yr4/4 -none Ground , . . 3 elev. i f - .2 8x1.70 It. ' 4 8-36 7.5yr4/6 none sci lmsbk mfr gw ? ne m s Osg mvfr na 8 5 6-94 7.5yr4/6 none 9 7 . i - Depth to • limiting facto • ' +94" . , Remarks: ;Boring # 1 -12 10yr3/3 none si 2csbk . mfr gw i 4 2 2-22 7.5yr4/4 none si 2csbk = mfr'., gw 1f . .5 3 2-116 7.5yr5/4 none m s Osg ml na' na .7 .8 Ground 'elev. . 56,x. Depth 10, E Doi" l factor +116" _ , . , ; Remarks: Boring # 1 6 10yr3/3 none sil 2msbk mfr 2f .5 ' 6 2 -24 . , 10yr4/4 none - sil 2msbk _ mfr..: gw if - .5 } .6 g nil yw na .7 ` .8 3 4-45 7.5yr4/4 none co s Osg Ground. t 4 5-89 7.5yr4/6 none, m s Osg mvfr na na .7 .8 el 78.8ev. ft. I Depth to - I inviting . . U1ctor +89n' . Remarks: Boring # 1 -12 10yr3/3 none sil 2msbk mfr, if 75! .6 1f 5 2 2-20 '10yr4/4 none sicl 2csbk mfr gw 7.5yr4/6 none m s Osg ml na na .7 1, ,8 30-110 s Ground;.. elev. 9.95 5 Depth to _ limiing • +110" . Remarks: ; SBD4MR.05102) PAWKLOC VJG-lV77-LV w Gary ML. Steel CSTM 02298 r. V ` W Depth Dominant Color Mottles Structure ' GPD/ftZ Sorfng a Horizon ..w> Texture,. CofsiSl9nlp9 8arxiey Apo Bed n3nd1 in. Munseq Qu. Sz. Cont. Cokx Qr. Sz. Sh: 1 -6 10 r3 3 7 none ail 2msbk Room • 2 14 10yr5/4 none ; ail lmsbk . .fir gw If . Q.2 .3 G>ntx~d 3 : 14-24. 5yr4/6 .."none, 180ag mvfr gyr .~f .7 8 ' 4 2444 7.5 r4/6 Wane d)' co s Os m1 9R Y r 9 gw na •.7,.8 b 5 ' 64-104 7.5yr4/6 none co a.- Osg mi na na 1Mbv tow Remarks: m . , _ Boring 4 l . , -16 10yr3/3 none ail . 2msbk mfr- gw 2f _ .5 .6' ; 8 2 16-33 10yr4/4 none ail . 2msbk s mfr _ - 9W if .5' :6 3 3-51 7.5yr4/6 none ms Osg mvfr gw na .7 .8 Gmtmd 4 1711 7.5yr4/6 none co s Osg ml... ra rM .7 .8. 92 f Do b i 8 a ,,,.<..,-a ,a.,.<.,, •-H .,-v. :•-re w. . .<L..,y,... - • Boring #f : 1 -6 10yr3/3, none sl 2fgr mvfr gw. 2f .,5. i •6 I 9 2 -16 .10yr4/4 none sl 2fgr mvfr gv if .5 - .6 3 16-60 7.5yr4/4 none co s Osg ml gw na' .77 .8, Ground ` rev. 4, 0-69 7.5Yr4/6 none m a Os g g mvfr 9w'.__... na .7 ; i .S 89.7 R 5 59-104 7.5yr4/4 none cos Osg ml na;_. na .7. .8 , OWM b , fw 1tv +104" } Remarks: Soong # f.6 1 10 10 y r4/3 , . none _ sl . 2msbk - mfr w 9w if .5 10 2. 10-30 7.5yr4/4 none ms Osg mi gW - if .7 ~ 3 30-60 7.5yr4/4 none co s Osg ml 9w - na .7_ .8 Ground I 4 0-12 7.5yr4/6 none _ ms Osg ml, . ria na } .7. .8 C9 __,9__% Do* b firnilfi0 Remarks: Plitll HlltJIMNt:H ,.l"MAM woM5VIA UUIL MOUHIP I IUN HLFUK 3 i PARMLID, P 038-10-59-20 Gary L. Steel CST,M 02298 Depth Domfnant Color » Motlles Texture Structure x. Roots GPD Bed wch Boring Horizon In. Munsell Ou.Sz.Cont.Color Gr. Sz. Sh.' Coriso . 1_. 0-10 . , 10 r4/3 none 'M si 2=bk mvfr V .6 2 10-25 7.5yr4/4 none mss Osg ml g, na, .7j Li 3 25-51. 7.5yr4/4 _.none. Co S Osg M-. .7: .8 Ground dw. 99.10 4 51-12 7.5yr4/6 none cn s Osg . ml na na 0-71 .8 Do b ~atitg f Oo { Remarks: . 4 w . i+ Ground _ 61611. . 4. f L - , w b g . x,* bar _.....v ..,.,n,-..m.._.,..»u~..,.,;.,o,.. a 9>w:. n..,r. , ....awxxz .~..:cwe•..,ixr. Remarks: - 13, Ground 618v. ; _ R Depth b rr 4 _ . Remarks: goring # Oiz' . . ' W_MW f. ' S96-40906 n of St Pr to NW°YbL•% 514-TJIN-Rl::;72r N 141=601 L. S teel BM.- top Of 1k" pvc pipe 0 el. 1001 CSTM 02298 Alt. Am.= top of lk" pvc pipe ® el.83.10, . .01 ,~t~ w ~ ,,,,rte •..~'f ~ M ."f. ~ ( ,~Tfb ti.~y i y jo x pi /too Ooo Vi -w-o -Am wwwwwow 1 ~ Q i i *1911986 09:26 608-785-9330 SAFETY AND BUILDINGS PAGE 03 r~ b"'J l,11 &J5U 2S DIVISION Mate of Wisconsin ~ECENY Department of Industry, Labor and Human Relatio August 19, 1996 2226 Rose Stree °U La Crosse WI STCROY COUNTY '?ONINGOFWCF ti CALVIN POWERS 1969 - 185 AVE, NF.W RICHMOND WI 51017 RE: PLAN S96-40906 FEE RECEIVED: 240.00 WALL STREET VILLAGE MPH-SYSTEM B NE,SE,14,31,18W TOWN OF STAR PRAIRIE COUNTY OF ST CROIX NON-PRESSURIZED IN-GROUND SYSTEM The Department has reviewed the above-referenced submittal. (:nnditional approval is hereby granted for the system plait 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, Wiacnnsin 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 approval does not include plans for.the general plumbing systems or sewer piping leading Lo the RPrt.1n✓hn1AinE tank that may bo roquired for this project. See section ILHR 82..20, Wis. Adm. Code, to determine if plat submittal and approval is required. 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 nnt.ify fho appropriate inaveoto! "h&n -n, bw v.r l.._ All permits required by the city, village, township or county shall be obtained prior to installation.' ~xua-7ov►~R iau► f ' Q:3/19/19136 09:26 608-765-9330 SAFETY AND BUILDINGS PAGE 04 PAZ` 'TY MUMOINiCBDI'%rIeI02V State of Wisconsin Department of Industry, Labor and Human Relations CALVIN POWERS Page 2 August 19, 1996 PLAN S96-40906 Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerel , erard M. Sw Plan Reviewer Section of Private Sewage (608) 785-9348 6604R/ 2 ST CROIX 04-OA-TWO'# tM..Ww, Y• . STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER • w41 ,~C~-.y.-s ori- - `t. ( I S t- j ` I k ch~n 04 -rror MAILING ADDRESS 'VS Of (A D60 S PROPERTY ADDRESS (location of eptic system) le e d 0n from he Plana ng Dept. CITY/STATE Oki) PROPERTY LOCATION/ 1149 5,1/4,. Section T -3/ N-R_lk W TOWN OF S`ta r. Q 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 stan dards 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 yew LexpratSIGNED: DATE: 9- G _ St. Croix County Zoning Office Government Center 1101 Carmichael Road - Hudson, WI 54016 11/93 GI V7 I r DOCUMENT NO. , STATE, BAR OF WISCONSIN FORM 3-1982 THIS SPACE RESERVED FOR RECORDING DATA QUIT CLAIM DEED o 4'22451 v% f 91►tic-O- REGISTER'S OFFICE ✓ II Terry L. Myhre. j ST. CROIX CO., WI - - - Rec'd for Record AUG 4 61991 quit-claims to ....Thomas A. Otteson - Ct s:so A M - - Regrsrerof~eeeh the following described real estate in $ ...t....._-C rO-i X County, State of Wisconsin: RETURN TO I~ See attached Schedule "A". Tax Parcel No: i i This quit claim deed is given in conjunction with and to support two land contract assignments bearing even date with this deed. I D 0040 This s Tlot.... . homestead property. (is) (is not) Dated this - d of August - 19.9-1- - . ------(SEAL) y / Terry byhxe JA5AL) .(SEAL) -------•------...........(SEAL) k AUTHENTICATION ACKNOWLEDGMENT Signature(X) QL TeTI'y_ L,__jlyhTe________________STATE OF WISCONSIN ss. County. authenticated this STf-day of---... USt-...----, 19.9.1 Personally came before me this ----------------day of 19 the above named G. E. Norman - TITLE: MEMBER STATE BAR OF WISCONSIN >t - - IYtlidEl~hrX6~~sX~6'XsX~'tYt to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY BAKKE, NORMAN, SCHUMACHER, SK'rNNER---&---WA-LT-ER-,--.S-;-C------------ New__Richmond,.__WI__.- 5401.7 Notary Public County, Wis. it (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) - 19 date: ) i !~I _ i I~ I~ QUIT CLAIM DEED STATE BAR OF WISCONSIN w ..in LPgai nlwnk Co. Inc. SAFETY & BUILDINGS DMSION State of Wisconsin Department of Industry, Labor and Human Relations lvla 'r h 8, i 9 l Pr,-N,ntc- =,ewage Se:•c;t:i.4::n U". East: Spruce Strec~; ("Iii 'rpel : F-a1,L*T-X54729 p 4 ~ Georirr-- flF'iYi r ?dew H rhmord W1 54 1 E 2^t ~ ` tip, ;i l) e ar Mr. L'e'an. He Wall p , .~LI'ee't V1_~.~cir,t-- 'town o 3t r Pr-~ , t , i t-oj-. , cot.ttlt_v ,.r ~x 1 SJ,. F 1 it i AF feet- yortr rr quest reigard hn ; of ~7r°nt.:it , r,r, 1C, ~ tlho y ill Ujrl h(,Me pact" `Sites wlthii-) till.' G;a! r i vill.ac:e complex, hr.l eve the 1'r_J1 ; c 1; would apps-y. 15 t:itt:'ts Rpd estAinat.ed l acl :1r>; 150 + ?°>U = 5250 e; minitnurtl 'ht? iC "tni =is I :aauid rec- nm+ nci three- '000 s4 t.rknks in ?~it,t7 duplex purf1pirr1, !lrj;ripmee,t. the tank size wr+tlci be : t>.,ro~;.imatel 1600 to Min'tinuvi absorption av-,'gregat- a-ve~t 't!'r,ing i'F°,``t hes wou.i be sq, ft. c;wf vo:: 7"~ l~ )L; Id i Co11t°c1 `:•t'Id ,.t E's ± ri ini? for 15.0% capacit-, Th.1 1"ouIL cl iii 3:11 I_5 - i L. i)~, -1 1 . J ft. trenches t 81:3u S':,. ft. t. Only P" tr.e=rte it :s LE, iii use at any t ;rnt 1lil.S a_f. J.ows manage-ment J Qie (~Gndinv, tit ,,Ur. (;"vc te: t-t•enche-, att°e spa d 6 f# f1,pa i°t.. 1 17er1ndiFa on sr) iccrnditiorrs tope t'I'a'1 y, anci 0tlif:-: r Si tc= conctd-t lon-, . fc,i;ir• at- As ( 2 primai.~ ztnd > rep r of 1.1:3 ft.. r)y 1ti ) ft. s~<,t.rici 1,. ,,_fired for ti tt:.n;:.ht #-.cr bed, 01~ wi.1!, n~,w.d to get soil testing completed when ';peati-ier• cortl,t'i.ti.ons -+e riri t P7a i,`d on t`. t'. results Of ti-te So:1l. ,~inl ;umhe:r of utii'--s mi etlcl) a vilumber or ci6-:ii9ne '.;;all i ;rStPrn to 11-1c et 1r1i11itrium code., -:4.~,,trlart or his-; le_-•r st ~fioa r -i:: s >t. i ` the owner' f {1.1Ce1 e"". 1: have 3tt C;F''::;t.e i ~ The Cit'S it.:nee mu-,t t1hm i'~- the pl.an'•i to 11re; DILHIt for r::,S(Iet 6" tilt, c ,uYity call is!~ ;l Ie:.'d t, ill-""(, t.."i-tE appro a. l_ i.^ of){:, ':L i, ne:'i:' BBQ70071R. 011011 SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations March 8, 199-1 Wall Street Vi 1.La e pag ' . If yott are interestr.~,J ire a,ddi,t•:i.; tzat co ie ?.t•iformation or de .i.f~n critert A., you can order a code hook- frcrr1 t~c~ nm~~nt Sales using a. MasterCard or Lis: Gard and catl im4 1-8{)0--!10'ti_S,,',LF:' . If you have any questions ref;ardi.ng Lhis nt~3t.L~ t-)A.ecl?e contal_-t me as'. soon as p(l,ssib.~-. Si Stt r`IE .j N / _4 , aeroG Jansky W stste, er Spec iLtl.iLst,e, nic .t 715) 7~E: _',543 ic, { 715) i ak -x'3.19 FA cc: St , Cv,l) i x 1'o(:ttlty Zonl.ng SBM7007 (R. 01411 L 0~~m - - - - - - or" o /77 a + 0 w 0 0 cn 0 0 N 0 0 L~..yI C C D) O d C d O Pvj m (D 3 t lD CD M (D ' C • 3 m 3 m 3 d 3 3 Z .••I N O -1 2 S N O A O (n o o p N m p w N ° v l o N o o p ? w C • a m m 00 = 3 0 ro 3 0 m cAO m CD Z N oA cn Z a o o ~n l -V Z n v m n o m m M 5 v cn c 3 O U N v CO :3 N N p~ N ; 00 O CD 7 C7 " O FD. N O O CD C) fD 0 ~ O N n Q --I ~ n 0 ° 0 ! CD 0 D oo 7 fA 9 O M N CD N En CD N CO N_ 7 O d m o m 2 m A D w G° 3 N M O 3 N N a CD N CD N Q7 co W O • - p~j i:z. 14 A rn Z CD W (N\O A o O CO p p CO (O ca) O co O N CD L O 00 00 O O N A A o 3 S CD 0 0 o A o o o cn o p o = aQ 0 3 y N N CL N N CL C 3 N N 30 v v D D n a O O n rT D O 7 CD (D L "ID' •y0 CD d 'o O N m ci 'yp a N 0) < N < y 3 W 3 (D m (3 O D D O a D W o n l ZD co Z O m O a O a CD 0 =r "d @ 0 A q CD CD A N CD N ! • N O CD N O CD Cl) CD v (D CD N V CD N C C co CD C N CD CL n m m 3 0 3 3 D 3 "D D D «a p 2 m ui O rn C N C C) J M I•' a m A z 3 W M ca '0 W m w A 3 I a a z 3 0 o » cn 0 00 0 3 3 M CO 0 N y p A y '6 y O N N A CD 00 o N 3 D 3 = D CD c\n -I D :*o 0 (D CD 0. m 3 =r c, j~ CD ~ :E y m o ~ v o NN a ~ (U N O. 3 n fn y fl. p p ~ - p O N n NN <y p T CIL ~nnON z a s° z o oCD~7 z a CD N p 2: 0 7- CD - > CA p O N CA LT g 0 CD (D Cp O O a o 3 CL =r CL 0) 0 CA x~ a m CD scD v m 3 3 CD 4~, CD CD CD N CD O co N ? j' to N n N N x' d 3 N° ti S N O S c A ~o rn x °N cru* - nN•o O M .p-.N ll + N V CD p p_ S O 7 fi p N CD O N 3i N O BCD n0_ S0C- (D (5' a ~tnt w C GC - Np (0 CU CD N -1 •O O N CVD m- Cn fi < C/) O I 0 0 o b °p CD CD CD N o O o 0 0 0 a O CD p CD C) CD 0- C) n I ° ti ~ ry Q c v °o. ~o ry p oe» I ems.') e4 a) H A. o _ Q) C (9 (0 a) rC O U O ~ •C N O © NOM N D M L 2. M C Co O a) o E m E 0 CL 8 N = N CL Oy O N a) Z a O N O aci~>U E .0 0 C U af0 c c z O O y ~N LL O N r C O N 0 3 r EN t _ U co N CD L I E d H a) of J (n U N ~ CL v m > N 0>0 U) i O z r M W d co I- z c o I o z :!t c Y 1- m z d' ° c o fA t- o CD z c E o N ( O ~`]n (0 (D _~V 7 CL N N • N N N O d O O a) Q z m z N z d LO E c N •i a - co (n CL M (D CD N 01 i a) N O O O c ~ O G G d L y A N N E C, E v~ m m d 3 0 o 0 d N N O O O • ►ra (D z CL z (\1 O O N U N N N N J U co 0) M O o :7 77 In Lo 00 Q) CD w r r N O O O L U "o N (D ~ _ m N C 1►J °(0 F' o N N rn o o o a) c c rn o 0 an N L C ~ N ~ ~ N C C ~ N N C) 7 • ~y O W 4. y O -7 O 7 ~ ro O O 04 ID L ~ 00 M O v'i CO N N U • O (n O O N U) cO ~ rr 1~ `r w w m ~ 'i y a A 0 a 0 U) 0 r v O 4 0 I 3 0 h O va v Ch (D y a L I O C p0 I G 00 N 3 S N O > O vMO O> '.70- N C € O N N y0 N O ~ N L a N ~2 way yc~a I '3a ~--yap a a Co m 0 0 ow o o_ Q CL c o I ~ C C O N O U i 'j> N N 0 0 a; a v, o = 0.-- am o a) wr- m oomLVEcc LL' o U)' D 6 C N N f0 3 - ° c, 2 ~9 S oOa CD m y fp O ¢ X04 v) aw ~L N 3 N ~ N z b; co ~o CO 1 m d z z m Cl) v LU (L Z 0 o Z v ° v ~ c w r IX « m Z 2 c Z F- r U) N O I .C 7 C L_ i~Opp O N c ° U z m D z Y c co co I d c N M I N l0 L d d U G G a o I N Q O U) V1 w Z a> 3 6 1 0aaoa. u, E L N J V 3 rn rn 0 z p CD E ~ ~ N T V y N d ¢ } (n N 04 7 U) l~1 ~r N q O O N N C E c~ LL E 0) 7 o C) C) O N h y C 'O N N (D U O O 'fp C O N C j Iq O r o. M H N c N r r F~1 cb M c`o 4) co 0 w N U A •O ~ O r fQ O N r/~ m m ~ a I U EL a _1 A cia2 oinci I STC - 104 AS BUILT SANITARY SYSTEM REPORT ~ QG 42 OWNER l Y-1) 6t 11.SJ?N SAC Azt ADDRESS 4,565 L,3 O tl ~ ?.CD L 4"" -3~3116 SUBDIVISION / CSM# y LOT # SECTION _LZ_T 31 N-R W, Town of 7 q ST. CROIX COUNTY, WISCONSIN 1 - VIEW ltd THIN 100 FEET OF SYSTEM N ~ ~ loo ~S 3 ~h I I i INDICATE NORTH ARROW Provide set ack and elevation information on reverse of this form- Provide 2 dimensions to center of septic tank manhole cover. Y BENCHMARK: Ib i v P 1P ►p-Q ~O~ ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: l~I Dan.., Liquid Capacity: ~,560 'Vo?6W Setback from: Well 76D House S-5 Other Pump: Manufacturer Model# 16 / Size Float seperation °I 3 7 Gallons/cycle: Alarm Location (QSl"LY~t~y~ 1 SOIL ABSORPTION SYSTEM Width /02 Length /O Number of trenches Distance & Direction to nearest prop. line: Setback from: well: 7'fb~ House,,;j5 Other ELEVATIONS 961? . Building Sewer ST Inlet. ST outlet 9A,65 PC inlet 4?6 9 Z1 ` di~3 PC bottom 85 , 9 Pump Off -97 li Header/Manifol 9T• Bottom of syste Existing Grade/ Final ,grade: DATE OF INSTALLATION: Qv PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: SAS Human Relations INSPECTION REPORT ST. CROIX SaiRty and Bbildings Division Sanitary Permit No.: GENERAL INFORMATION (ATTACH TO PERMIT) 268638 Permit Holder's Name: city Village Town o : State Plan ID No.: TOM OTTERSON/WALL ST VILLAGE TAR PRAIRIE CST BM E ev.: Insp. BM E ev.: BM Description: Parcel Tax No.: ice, UU 5 TANK INFORMATION ELEVATION DATA A9600342 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ~$o Benchmark nd-S Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto Air Intake ROAD Dt Inlet Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Gist. Pipe - 77-: ; - Holding Bot. System t PUMP % SIPHON INFORMATION Final Grade `Manufacturer-„ Demand ModelItimber' GPM " ' Ericion ~ystem "i 'LOSS TDH Lift lNead TDH Ft sJ : #orcemein- Length Dia. Disf.~,ro well , tSO1L'BSORPTION SYSTEM ra BED FRENCH Width Length,, No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth -6015-ASI(ONS DIMENSIONS SETBACK SYSTEM. TO P / L BLDG WELL LAKE / STREAM LEACHING Manufacturer: INFORMATION Type o CHAMBER Moe Number: . _.v. , System: OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hoe Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL;COVER, x Pressure Systems Only xx Mound Or At-Grade Systems Only roed0th Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched / Trench Center Bed / Trench Edges. Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STAR PRAIRI-E.14.31.18W, NE, SE, CTY CC a C gR 7 06 Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: tabor an j Human Relations INSPECTION REPORT ST. CROIX Safetl and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 268638 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: TOM OTTERSON/WALL ST VILLAGE STAR PRAIRIE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9600342 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark od S ' Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift l Lriction System~,l TDH Ft Forcemain Length Dia. Head Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM INFORMATION TypeO CHAMBER Model 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 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 h Bed /Trench Center Bed /Trench Edges Topsoil E] Yes ❑ No E] Yes El No COMMENTS: (Include code discrepancies, persons present, etc.) r , LOCATION: STAR PRAIRIE.14.31.18W, NE, SE, CTY CC 0 r 1 lrow 7 °o Plan revision required? ❑ Yes ❑ No o, Use other side for additional information. 1-5 SBD-6710 (R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: } t Safety and Buildings Division ~•$i=ii"~ SANITARY PERMIT APPLICATION Bureau of Building Water Systems 201 E. Washington Ave. In accord with ILHR 63.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 .0 Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. S 1, C r'V k • See reverse side for instructions for completing this application State Sanitary Permit Number ~Q ~ 369 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 !5 1' - - 925 Property Owner Name ,~.1. Propert Location WCA I / &4 1/4, S J T 3 , N, R /for) W Property Owner's Mailing Address Lot Number Block Number 4SO W hAL IPKV City, State Zip Code Phone Number Subdivision Name or CSM Number G.1 S S b C.S n-- _ II. TYPE OF BUILD G: (check one) [j State Owned ❑ Icy Nearest Road ❑ VIl age Public 1 or 2 Family Dwelling - No. of bedrooms >,1- Town'OF hot r ce C G III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) d3&- /b5°~ - o-2b 1 f-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. t 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 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 U 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. 17, Final Grade Re wiir/ed (s q. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 9 Z ` Elevation 3bdD 5/ T a, Y ,$„a o P!f ,7 9 / Feet 93 - Feet VII. TANK Capactt in 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 5e~ 02 w~✓ r~g ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber . Qeo l.ffy. a~1 LQ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Pri Plumber's Sign :.(No Stamps) PV/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, Sta, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issue Issuing Agent Si n e o Stamps) ,""""Approved E] Owner Given Initial I V. 5 -'-'urcharge Fee) lJ -r 7 J'- f G Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SHO-6398 (R. 05/94) DISTRIBUTION: Original to Cour.ly, One copy To: Safety & Buildings Divr 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 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,Iocation 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. 0(`x/19/1996 09:23 608-785-9330 SAFETY AND BUILDINGS PAGE 01 , SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations August 19, 1996 2226 Rose Street La Crosse WI 54603 ~ctxar A CALVIN POWERS lyby 18b AVE ZONING NEW RICHMOND WI 54017 RE: PLAN S96-40905 FEE RECEIVED: 240.00 WALL STREET VILLAGE MPH-SYSTEM A NE,SE,14,31,18W TOWN (M? STAR PRAIRTR COUNTY OR ST CROIX NON-PRESSURIZED IN-GROUND SYSTEM mho nor*rtmont. ham roviowoel t.hA ahnvw-rpfPrannp~ n~~hmiM.t.a.l. 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 $4, Wisconsin Administrativo C,odo, and is contingont upon oomplianoo with any atipuXationc gbnwn on the pl.R.ns. 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 approval does not include plans for the general plumbing systems o sewer piping leading to the septic/holding tank that may be required for this project. See section ILHR 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. This plan submittal approval will expire two years from the approval date, or if a Qanitary pprmif is nht:ainpd, Tla.n aprirnva.l will eypirp nn the clay 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, townrhip or county rbxll be obtained prior to installation. pages ► Post-ItIm brand fax transmittal memo 7871 F f Te SZ-: «c>r Co„ Froth co. co. i Dept. Phone x c4z d SUDA-79K OR, W00 ft/10/1000 07:20 000 705 7000 oArCTY AND DUILDING0 r Aac 0^c SAF'ETY' B d~TIL~JEPICv~ iJl V1~1lJ1V State of Wisconsin Department of Industry, Labor and Human Relations CALVIN POWERS Page 2 August 19, 1996 PLAN 596-40905 Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, e Gerard M. 8 mw Plan Reviewer Section of Private Sewage (608) 785-9348 6604R/ 2 cc: ST CROIX 890a•7NM 411, 1 ~ Wisco•,,mv-..,,J,_rtmentof industry, PRIVATE SEWAGE SYSTEM Safety and Buildings Division Labor bnd Puman Relations Bureau of Building Water Systems REVIEW APPLICATION ' ;iayward Office La Crosse Office Madison Office Shawano Office Waukesha Office 209 W 1 st Street 2226 Rose Street 201 E. Washington Ave. 1340 E. Green Bay Street 401 Pilot Court, Suite C Rt 8, Box 8072 LaCrosse, WI 54603 P.O. Box 7969 Suite 300 Waukesha, WI 53188 Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Shawano, WI 54166 Phone (414) 548-8606 Phone (715) 634-4804 - Fax (608) 785-9330 Phone (608) 267-5119 Phone (715) 524-3626 Fax (414) 548-8614 Fax(715)634-5150 Fax(608)267-0592 Fax(715)524-3633 INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this form together with fees and plans/information. Your submittal must be received at least one working day prior to the appointment at the office where your review was scheduled. Please call any of the listed offices if you need help filling out the form or have q,u~estions on what information to submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your referenlJ J 6 - 4 i l 9 0 1. APPOINTMENT INFORMATION -if you have scheduled an appointment, fill in the information requested below to save time: Appoi ent Date Revi wer Name Plan Identification Number S,1 s 6" -4 2. PROJE FORMATION If this review is a revisi or extension to your existing plan identification number, provide that number here: Project Name ` E] City E] Village Town Of: County CL Vt S \ ~Y1G`. sc~ Project Location GOVT. LOT /VF_~ 1/4 !i; 1/4,S T 31 N,R I e< r W tc k f\" ~ro 1 3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED System Type (check one): System Type I (include new and existing tanks) Up To 1,500 gallon septic tank $110.00 A ❑ At-Grade 1,501 - 2,500 gallon septic tank $120.00 ~ H E] Holding Tank 2,501 - 5,000 gallon septic tank $160.00 ~lolJ r M n mound 5,001 - 9,000 gallon septic tank $200.00 N Non-Pressurized In-Ground (Conventional) 9,001 -15,000 gallon septic tank $ 300.00 P Pressurized in-Ground Over 15,000 gallon septic tank $500.00 O Other: Up To 1,000 gallon dose chamber $ 70.00 1,001 - 2,000 gallon dose chamber $ 80.00 'r Building Type (check one): 2,001 - 4,000 gallon dose chamber $100.00 4,001 - 8,000 gallon dose chamber $120.00 . D Dwelling, 1 or 2 Family 8,001 -12,000 gallon dose chamber $140.00 P Public Building Over 12,000 gallon dose chamber $160.00 S State-Owned Building UpTo 5,000 gallon holding tank 1~i^ / $ 60.00 5,001 -10,000gallon holding to ....L%0 $100.00 Code Derived Daily Flower gpd Over 10,000 gallon holding t 1+ $150.00 Check If Replacing Existing System Experimental System (a ne time fed su $ 300.00 Revisions To Approved Plan _2 ...~i $ 60.00 Petition For Variance: Setback $100.00 Petition For Variance Site Evaluation $225.00 Plumbing $225.00 Revision $ 75.00 Groundwater Monitoring Groundwater Monitoring - Per Site $ 60.00 (other than a proposed subdivision) Site Evaluation in Lieu of Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring $ 60.00 Subtotal: Q. _ Priority Review: Enter same amount as Subtotal: MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total Fee: 5. SUBMITTING PARTY INFORMATION Telephone No. (include area code & extension) Poop mpany Name Contact Person (-t 1-50 .3 S4 ka 5, -A.5 1 No. & Street Address Or P.O. Box 5 r City, own or Village State, Zip Code 1 +t t t I Aerobic or prepackaged treatment system fees are calculated based one ivalent size septic tanks and dose chambers. z Revision fees are not applicable to temporary holding tanks or extensions to existing approvals. NOTE: Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to change annually. The information you provide maybe used by other government agency programs IPrivacy Law, s. 15.04 (1) (m)I. SBOW-6748 (R. 09/94) OVER 9 l20 AV Q- ~ ` ~'r~ bw'fiw► ~ F.r. 371 . S96-41905 ~q9 q 13 l ~r /d P, W-1 4 soft LA "W 4PO e Scat 1= E looe 5 ~ t s ~ .01 4A I mPRs~ f 56 -pir o" 1 7z ~ I ~ 3 OS Lo r Gu PAC E At,~v ,.].fLtA ~..A m CJ CJ , Op CrUSS See~IOn 0~ a Sy5 A&la-zl, A . fresh All Inle16 And Observation Pipe "409 ►Ilnimum 12' Above Approved Veal Cap O 5 final Grade 20- 42' Above Pipe 4' Cael Iron To final Grade Vent Pips I.lorrh Hay Or Synlhelle Covering 4la 2' Agpreg'ale Over Plpe 01itrlbullon -Teo s Pipe o 0 0 0 1 6' Aggregole i Beneath Plpe ° Pulaalod Pips Below -Coupling Terminoting At Bollom of Srilem . ~I n k 1 ra cl t . ~w« .'I•~ i ~~t:J•• ton ~'"T ~ ~~%ji~.~ .SOIL. FILL ' DISTKIBUTIO►J PIPE APPROVED SifW iETIC COVER P'1ATj!PjM. oR 9" OF STRAW 2" A~GR GA'iE j OR MAKSH MA.`.!' y W _q; fo~.OPAGGREGATE ,p 0_/ FEET 71 All 98~.. DISTRI5UTI01J PIPE TO BE AT LEAST --A- IN'CHE5 BELOW ORIGINAL GRADE AUU AT LEASTLO INCHES BUT.. L110 MORE T14AN 42 KICKS OELOW FINAL GRADE i nally 5 INCHES MMUM MN OF FXCaVAT100 FRoM .oRl~r~ e~ +~ltLL N NIMUM grf T-H OF 1EXCAVATioN fAO/A. CA14.1 SAL INCHE S I G• ~ # HUMAN ~~npNS 111Y, IJ►~ ~iL11 SIGWEO: g9d7t' 510 i t S 04CE L LICEIJSE IJUMBER: g/RS~ See UR ~ND DATE: i AUG-09-1996 10:01 P.03 , . t I , I I I I I i ~ I r... I -I I I ► ...1 . I I j I ~a I ~ i. f.__L., I--r 41 I ' , -i I I 1 i ~ I I \ I I I I ; I l I J- I I I , I 1r~, ; 1 ! 4-1 I ~ C i l l ~ ~ I _ ••,s ~ ! Ip _ t ~ Ic I; f ~ j' `t n I I I~ I 1 I !s Ito , I ; ~ I ~ S I I II , ' I 1 I i I I_._TI I __I t. i , _ ' i ~ _ ..-1.._ I ~ Iv I _ . ; • j j . I I , 1 I ! y I ~ I ~ I I ~ T~ i I I 41 ~ _ I __.r... ..T.- j 1. _ I t__; .-.j...._t... .I I.....-;. I I I ! C j II ! ; I , I I ; 1 I ! i I I i i _1 ( I , - 1 - f-. I .~_..L • 1 h~ MVAG I I r I a1~ I! E >a ' O D it I Hu AN Er~►r!toe, 1 pari ~ ..IIf+~D B1~101 ~ as I I ; ! ; I i i I I ~ I I I ~ ; I- • ~ ! 1 1 I 1 I I I I ~ TOTAL P.03 w ai~ 51 I~-~ f PA&C • PUMP CHAMBER CROSS SCeTIOI~ ANO' SPECIFICATI VC WT CAt 0905 `I'C.I. VENT PIP[ WCATHCK PROOF APPROVED LOCKING Ls' FROM DOOR, JUIJCTIOU Box hIAMHOLC COVER WINDOW OR FRCsH IYMIIJ. AIR INTAKE GRADE , y MIN. 10'Mi1J.. I cowoU1T Ib'KIIJ. lx'vo IFROVIDE MLET 4 ' • 6 y AIRTICPHT $CAL. APPROVED JOINT A fire F a~$jo I III APPROVED JOINTS w/c.=. ?In y ~Rg I III w/C.t. PIPE EXTENDING 3 r,. yt Rte' I I i EXTEIJDIIJ6 3' k UNP G5 ALARM OUTO SOLID t01L e 4 .11 s t,~,t>t ONTO SOLID SOIL . OtI I ou ELCV. FT. ~SPONO~~ be FL.G' PUMPS S~tc G Off j CONCRETE BLOCK •i RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL 3"APPRoVEp ~BEOO11Aij SEPTIC E SPEC. IFICATIOUS OOSC r I TANK MAIUFACTURER.. 1 - NUMBER OF DOSES: pER pA,y j TANK SIZE ~ GAL.LOUS DOSC VOLUME 5 ALARM MANUFACTURER: A=L4~6 IWCLUOIN6 OACKfLOw: GALLONS MODEL NUMDCR: We...LOLA.,f ,W5- CAPACITIES: A s -1310 INCHCS OR )GALL.OtiS SWITCH TAPE: b=$INCHES OR GALLONS- -PUMP MANUFACTURER: (S C IWLHES OR q/;- CALLOUS ! MODEL NUMBER: 3 ft-C- .11P.. WOO~rAV- D• INCHES OR -~WGALLOIJG SWITCH, TYPE: UOTC: PUMP AND ALARM ARE TO OC MINIMUM DISCHARGE RATE- GP/~/d' INSTALLED ON SEPARATE CIRCUITS 5'~ VERTICAL DIFFER[UCE DETW[EN PUMP OFF AND FEET t MINIKUM NETWORK SUPPLY PRESS RE 2.S T,/........... FEET i ♦ . ~ FEET OF FORCE MAIN X dr, F/poFtFRICTIOU FACTOR. FEET TOTAL .DYNAMIC HEAD = FEET j INT/ERAIAL DIMEWS101JL Of TANK: LENCaTH -WIDTH ;LIQUID DEPTH ...L.. F , f GOULDS SUBMERSIBLE ti ~ az . 4~ t SEWAGE AND EFFLUENT PUMPS !y I<h EP0311 9 f LIST DISC. C37t1PFF0311 142 EP0311 1/3 HP 115 V Effluent Pulp 1/2" solids Y56.80 172.10 3 r: tth2tt Submersible Effluent Pump . MODEL EP0311 METERS 25 FEET SIZE SOLIDS s 20 d' fi i,t ~ 15 ~kaA , 4 't 10- O 0 00 4 • 12 1s 20 24 28 32 36 40 GPM 0 2.5 5.0 7.5 m1/h CAPACITY i Performance Curve 3885 wctr~la nn • i 25 - - - MODEL 3885 fF eo . SIZE 3/4" Solid 20 YI ~ ~ WE07H.... . J ~ b 603H 7? 10 30 wE{\1, 20 wfox - r 10 0 0 . O 10 20 30 40 60 60 ' 70 eo YO 100 110 120 or" 0 10 10 30 nr4h Y CAMCITr LIST DISC. COUNE03111. 142 WE03llL 1/3 HP 115 V Low H 3/4' solids '491.55 329.35 i g 001P1+'E0311M 142 WE0311M 1/3 HP 115 V Mod H 3/4" solids 491 .55 329.35 yd 1 OOUPMr0511H 142 IIE0511H 1/2 HP 115 V High H 3/4" solids 704.25 411,85 _ s + CUJP6rE0712H 142 WE0712H 3/4 HP 230 V High Md. 3/4" solids 843.65 565.25 tea; •w►p+rSE£ FULL.041W, PAGE FM PERFC HANM AND SPUCIFICAT OM. p41E 10/88 DErr 30 PAGE 07u .ri PTb #60 1/78 + t .4T1 °T F'fi~; 4 y ,r r. PROJECT"DETAIL'DATA SHEEP S.L7* / , 9 0 NAME OF BUSINESS •c. Y`cc cI~ r; LEGAL DESCRIPTION tE S S s ' T2 tJL) i OWNER C2rn ('_Tf.Q soMAILING ADDRESS L450S5 L0~ ►4 alear* LCL A) ZIP i~sl1 Y ; , t;_, &RCHUECT, ENGINEER, cR~ ~ b vo ~Q I t - ADDRESS ' (q (o ~S PL BE R DESIGNER nn N i'C: vino kaz I P 01 TELEPHONE NUMBER -1 ~5 - oZ _V Io - S 1~5 1. Check appropriate building usage(s) and fill in the information requested opposite each usage listed. Please consult Section-H 62.20.' Existing building Newb,ui~d.in Addi ion i, O Apartments and condominiums Number of,.,bedrooms O Assembly hall . . . . Seating capacity ( ) Bar . . . . . . . . . . . . . . Seating capacity # of meals served Bowling alley . . . . . . . Number of lanes ( ) With bar Campground and camping resorts . Number of sewerea s tes Number o;9 unsewered sites Total number of sites ( ) Camps . . . . . . . . . . . . Day use only Number of persons Day and night Number of 'persons Catchbasin . . . . . . . . . . . . . Number O Church . . . . . . . . . . . . . . . O No kitchen Number of persons O With kitchen Number of,persons ( ) Dance hall Number of persons w ( Dining hall . . . . . . Number of meals served daily ( ) Dog kennels Number of enclosures O Drive-in restaurant Inside seating capacity, " Car-service Number of car spaces ( ) Dump station . . . . . . . . . Number of,dump stations ( ) Employees ( total of all shifts) Number of employees ( )Hotel ( )Motel ( )Cottages .Number of units,w;i th T persons _ per.-unit v~ Number of uniti'with 4 persons per unit O Medical and dental office bldgs. Number of doctors, nurses;. edical.staff Number of office personnel Number of patients Mobile home parks . . . . . Number of sites Nursing homes . . . . . . . . . . . Number of beds Parks . . . . . . . . . . . . . Number of persons ( ) Toilets ( ) Showers Restaurant . . . . . . . . . . . . . Seating capacity ( ) Dishwasher and/or disposal? ( ) 24-Hour service Retail store . . . . . . . . . . . . Total number of customers Schools . . . . . . . . . . . . . Number of classrooms 77 Meals ( ) Showers ( ) Self service laundry . . . . . . . . Total number of machines ( ) Service station . . . . . . . . . . Number of cars served _daiT - Swimming pool bathhouse . . . . . . Number of persons ( ) OTHER (Specify) . . . . . . . COMPLETE OTHER SIDE 2. Indicate whether the following`.facilities are,present. Floor drain yes no Number of drains 'Food waste grinder yes no _ -77 Dishwasher Automatic clothes washer yes no Number of clothes washers 3. Septic,tank capacity U -4 so Holding tank capacity- Septic or, holding, tank manufacturer 4. SEEPAGE TRENCHES : total square feet` width of trenches length of trenches depth number of trenches (SEEPAGE BEDS: total square feet S 1 d ?s width length of bed 0 depth SEEPAGE PITS: total square feet outside diameter ` depth below inlet' total depth from top to bottom of pit Signature of son ompleting form: FOR DEPARTMENTAL USE ONLY Address _ lq(v9 l~S~'^ /'t v~0, ~e a ' r~► w« r►a to-1- Zip 5S4017-' Telephone Number 1-e> St le < / 3 S . . Date 7- aQ -q(p I - - - - - - - - - - - - 42 S, 00 r-> 96-409 rAA- 05 IN's Cc) C59 3//4 w d s T 'wig 4 4~11 760 I I ~ I i 07/29/1996 10:34 608-785-9330 SAFETY AND BUILDINGS PAGE 01 WATER CALCULATION WORKSHEET Information Needed for Water Service Sizing 1• ~I Demand of building in gallons per minute. Z. Low pressure at main in street (or at external pressure tank). 3. Difference in elevation from main to wow (or external pressure tanLtQ.h~ild~ing control valve). 4. Size of water meter (if applicable). i S. .3t7 Developed length from main to- er-(or external pressure ank ta-b uitd;ng ontrol valve)., - , You Must First Find the Available Pressure After the Water Meter (or at building control valve). To obtain this pressure, you must: 6. +31 Find pressure loss due to friction in -.L inch water service. Find pressure loss due to elevation, 7. orLjexjtjgMm building control valve). Multiply the difference in elevation by al .re4-p.S tank to 3 s.i. t. 8. Find pressure loss due to meter. (from manufacturer or AWWA). 9.~ Z' Subtract the loss due to friction (Step 6), loss due to elevation (Step 7), and loss due to meter (Step 8) from the low main pressure (or low pressure at external bo6Part ,Z., pressure tank). This calculation is the available pressure aftep (Or at the building control valve). This answer is entered in Line E, below. Information Needed for Water Distribution Sizing Using the following formula, find the pressure available for uniform loss (p.s.1/100' of pipe) A=B-(C+D+ x100 WHERE: F A. ' Pressure available for uniform loss (p.s.i./100' of pipe). RAvailable pressure after weter-ane (at the uil in control valve or low ressure__:..__...._ at internal Dresm ra tank),__(See--item--4;-above}: --c. +d~ pressure needed at controlling fixture. D. -V!: Difference in elevation between-VF&NE3RRZ4- (bu;I~din control valve or internal pressure tank) and controlling fixture in feet J x ,4s E. pressure loss due to water softeners, water treatment devices, instantaneous water heaters and backflow preventers. Conventional water heaters usually do not have a pressure loss: F. ...Developed length from goer (b. trot valy or internal pressure tank) to controlling fixture in feet x I.S. With pressure available for uniform Ios go to applicable table for distribution sizing. S13"479` (R. 08/88) E-PHASE DUPLEX AL, "kUnum TECHNOLOGY TYPE 122 Type 122 control panels are single-phase, I x alternating pump control systems. The Rhombus Type 122 control panel is designed to alternately control two single-phase pumps in residential and commercial water and sewage systems. The alternating action equalizes pump wear. In addition to the alternating pump control, this system provides override control should either pump fail. If an alarm f ` Y condition occurs, an-alarm switch activates the audio/ visual alarm system. Common applications include lift stations, pump chambers, sump pump basins, and irrigation systems. Model Shown 1221 W1 14X TYPE 122 FEATURES Float Switches (optional) - complete package assures quality of entire control/alarm system. M7 UL Labeled - ENTIRE control system (panel and switches) a - meets and/or exceeds industry standards for safety. - - - ° Installation Instructions - complete step-by-step instruc- tions are included for easy installation. o 2 YEAR LIMITED WARRANTY - ensures commitment to ° customer satisfaction. ° 0 Enclosure - comes with removable mounting flanges. o 11 D n Choice of Nema 1 - engineered thermoplastic for - , indoor use, or Nema 4X - weathertight engineered thermoplastic for outdoor use. © Magnetic Motor Contactors - control the pumps by switching both electrical lines. © HOA Switches - offer manual control of the pumps. 0 Control Circuit Board - provides control and alterna- ALARM PACKAGE (OPTIONAL) tion of pumps. m Alarm Beacon - large red light provides 360' visual check of © Green Pump Run indicator Lights alarm condition. Q Schematic/Widng Diagram ® Alarm Horn - loud horn provides audio warning of alarm' condition. © Terminal Blocks ® Horn Silence Switch - exterior switch allows alarm horn to be O Control ON/OFF Switch silenced. Alarm resets automatically after alarm condition has been resolved. 0 Control/Alarm Fuse m Test Switch - exterior switch allows testing of horn and light to m Circuit Breakers (optional) - provide pump disconnect. assure proper operation of alarm system. TYPE 122 FEATURES OPTIONS AVAILABLE • Select the options your application All Type 122 control panels include 12" x 10" enclosure, 120V requires, then refer to the option pages. The option pages will control circuit, magnetic motor contactors, pump run lights, HOA provide details and specific numbers needed to complete your switches, terminal blocks, fuse, and control on/off switch. model number. Panels ordered with an option or multiple MODEL NUMBER ORDERING INFORMATION options may require larger enclosure sizes. See sample at bottom of page to help complete your model number. Please call the factory if you need help building your model number. ,22 a H TYPE 122 OPTIONS ALARM PACKAGE SEE OPTIONS PAGE FOR MODEL NUMBERS 0 -no alarm package ❑ Alarm Beacon ❑ Remote Devices 1 -alarm package-includes silence & ❑ Alarm Bell ❑ Deadfront test switches, red light, horn and ❑ Alarm Horn ❑ Lockable Latch alarm float ❑ Alternate Beacon Color ❑ Pilot Breaker ❑ Red Beacon With Guard ❑ Lightning Arrestor ENCLOSURE RATING ❑ Flasher ❑ Surge Protection I - Indoor (NEMA 1) ❑ Manual Alarm Reset ❑ Overload Protection W -Weatherproof (NEMA 4X) ❑ High and Low Alarm Indicators ❑ Overload Reset Through ❑ Auxiliary Contacts Door STARTING DEVICE ❑ Low Level Cutout ❑ GFI Convenience 1 - magnetic motor contactor (redundant off) Receptacle ❑ Pump Failure Indicators ❑ Main Disconnect PUMP FULL LOAD AMPS ❑ Seal Failure Indicators ❑ Lead/Lag Selector If pumps do not have integral overload protection you ❑ Thermal Cutouts Switch must specify overloads as an option ❑ Thermal Cutout Indicators ❑ Separate Lag and Alarm 0- 0-15 FLA ❑ Power-On Indicators Functions 1 -15.20 FLA ❑ Anti-Condensation Heater ❑ Alternate Float Switches 2-20-25 FLA ❑ Elapsed Time Meters Subject to change 3-25-30 FLA ❑ Event (Cycle) Counters without notice. 4-30-40 FLA ❑ Pump Control Timer 5-40-50 FLA ❑ Delay Timer PUMP DISCONNECT 0 - no pump disconnect 1 - N/A <./ttt m- 2 -through door fused (fuses not included) 3 - through door non-fused TECHNOLOGY 4 - circuit breakers RHOMBUS TECHNOLOGY FLOAT SWITCH APPLICATION P.O. Box 1619 • County Rd 6 Two 20' pipe clamp floats are standard. For alternate float switches Detroit Lakes MN 56502 USA see the option pages. Designate H or L for all floats ordered. 218-847-4786 • Fax 218-847-4801 , H - pump down/normally open a division of S.J. Electro Systems, Inc. S= L - pump up/normally closed 1003349 • Printed in USA X - no alarm or control floats ' SAMPLE: MODEL #1221 W114H7A11 C1 9F [1] [W] [1] [1] [41 [H] 17 A 11 C 19 F TYPE L MISCELLANEOUS OPTIONS ALARM PACKAGE Separate Lag/Alarm Functions ENCLOSURE RATING REMOTE STATUS DEVICES STARTING DEVICE Nema I Panel With Alarm PUMP FULL LOAD AMPS Indicator Light and Horn PUMP DISCONNECT POWERED AUXILIARY CONTACTS FLOAT SWITCH APPLICATION Alarm " Normally Open Labor P-d Huinap Relations • ^ • r v • • r r . n v n • • v . • • • v . • • Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (EIR, direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 038-1059-20 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: Thomas A. Otteson PROPERTY LOCATION Wall Street Village Mobile Home Park GOVT. LOT NW 114 SE va,S 14 T 31 ,N,R18 -Mor) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBO. NAME OR CSM # 4505 White Bear Pkwy. ste. 2200 na na Wall St. Village Mobile Home r] CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD White Bear Lake, M. 55110 612)426-9737 Star Prarie Co. Rd. "C" [x] New Construction Use ) Residential i Number of bedrooms [ J Addition to existing building j) Replacement [ j Public or commercial describe 4{abj i e rcme pa r z Code derived daily lbw 300 gpd Per trailer Recmmmended design loading rate .7 bed, gpol(t2 .8 trench, gpollt2 Absorption area required 429 bed, ft2 375 trench, a Maximum design loading rate .7 bed, gpolft2 •8 trench, gpdfit2 Recommended Infiltration surface elevation(s) area A= 881-901-921 ft (as referred to site plan benchmark) Additional design / site considerations area B system el.= 88' 91' 96.5' Parent material outwash Flood plain elevation, if applicable na ft S - Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT GRADE SYSTEM IN Flit. HOLDING TANK U=unsuitable fors stem ®S ❑U K]S ❑U ®S ❑U ®S ❑U ®S ❑U ❑S C$U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxhy Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed tench -1 10yr4/3 none 1 2msbk mfr cs 2f .5 .6 2 13-22 10yr4/4 none scl lfsbk mfr 9w if .2 .3 Ground 3 22-32 7.5yr4/4 none Is Osg mvfr gw, If .7 .8 92.86 ft 4 32-10 7.5yr4/6 none co s Osg ml na na .7 1 .8 Depth to limiting + i Remarks: Boring # 1 0-19 10yr3/3 none sl lmsbk ..mfr cs 2f .5 .6 2 2 19-26 7.5yr3/4 none is Osg mvfr gw if .7 .8 3 26-94 7.5yr4/4 none M .S Osg mvfr na na .7 • i .8 Ground 91.3 ft. Depth to limiting factor +9411 Remarks: . T Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200 Ave. , New Ri hmond, WI. 54017 Signature: Date: CST Number. 7-9-96 cstn~ 022-98 rnvrame Vaar.6H vvv-W%.-A a~vw vrvvau■ aav~~ Sara 4. GaO~W-~ PARCEII.D.# 038-1059-20 Depth Dominant Color Mottles Texture Structure Fr Bour~y Roots GPD/ft. Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed mr& aw 2f .2 1 15 10 r4/3 none sil, lmsbk 2 5-22 10yr4/4 none sil lmsbk gw if 2 .3 3 2-28 10yr4/4 none... sicl 2msbk mfr, gw if .4, 5 Ground ev. - .2 .3 81 70 ft 4 8-36 7.5yr4/6 none scl lmsbk mfr gw: if Depth to 5 6-94 7.5yr4/6 none m S Osg mvfr na na .7 .8 limiting i factor ~ Remarks: i Boring # r _ .5 ..6 1 -12 r 10yr3/3 none si 2csbk mfr gw if 4 2 2-22 7.5yr4/4 none sl. _ 2csbW~.A mfr yw. if 3 2-116 7.5yr5/4 none m s Osg ml na• na .7;.} .8 Ground , . , w, elev. Depth to F.., fimitfng +116" v, s Remarks: n9 Boti # 1 -6 10yr3/3 none sil 2msbk mfr.' aw. r 2f .5 .6 g 2 -24 10yr4/4 none sit 2msbk mfr gw 1f 5 } fi 3 4-45 7.5yr4/4 none co s Osg ml yw na 7 1 .8 Ground - 4 5-89 7.5yr4/6 none m s Osg mvfr na na 7 .8 elev. 78.8 ft _ _ , IWth to . i 1tMiting ` factor +89" ' Remarks: Bonin # 1 -12 10yr3/3 none sii 2msbk mfr if .5 '.6 ` 6 2 2-20 '10yr4/4 none sicl.._. 2esbk mfr gw if 14:...5 3 0110 7.5yr4/6 none _ m s Osg m1. na . . na 7 , 8 Ground . `elev. 89.95 it... { ?..D" m.,, litrriling 77, c +110" } Remarks: a k `'s _ 8D-8330(R.OSM2),F M 2 _ PARCB.Ul wo-tv~y-cv Gary-L. Steel CSTM 02298 _ r.LLr.. Depth Dominant Color Mopes structure ` Gpl Boring Horizon in. Munsell Qu. Sz Cora Color 'f8 ture . Gr. Sz. Sh: CArsisIllce BOU1C ly Hoots r--.2 nrnch -6 14 r3 3 none sil 2msbk mf f 2 -14 10yr5/4 : none sil lmsbk ,a mfr. 9w-= if .3 Ground 3 14-24 5yr4/6 none is Osg mvfr gw if .7 .8 4 24-64 7.5yr4/6 none . co s Osg ml 9w na .7 .8 95.7 ft DOO b 5 64-104 7.5yr4/6 none-- co B. Osg ml na na .7 8 Wing a +10419 Remarks: _ . _ _ _ BorinG► 1 -16 10yr3/3 none sil 2msbk mfr gw 2f -.5 .6 8 2 16-33 10yr4/4 none... sil 2msbk mfr gw if 05 06, 3 3-51 7.5yr4/6 none ms Osg mvfr gw na -.7 .8 Gmmd elev. 4 1-11 7.5yr4/6 none co s Osg mi na na .7, .8 94.2 ft Dqffi to b*ng - +11811 r.. . Remaft: Boring # 1. -6 10yr3/3. none s..... 2fgr mvfr , gw,.., 2f .:5 i .6 9 2 -16_ I0yr4/4 none sl 2fgr mvfr gw if .5.. .6 3 16-60 7.5yr4/4 none b co s Osg ml gw na .7 1.8 Ground ems, 4 0-69 7.5yr4/6 none m S. Osg - mvfr gw na 7:1.8 89.7 ft 5 69-104 7.5yr4/4 none, co,s Osg, ml na na .7; .8 DqM Mang +104 Remarks: Boring # 1 -10 10yr4/3 none si. 2msbk mfr gw if .5 .6` Li 2 10-30 7.5yr4/4 none ms Osg ml gw 1f .7 .8 3 30-60 7.5yr4/4 none c .co s Osg.._ ml gw., na .7 .8 Ground 9~9 - 4 ~~12C 7.5yr4/6 none ms Osg ml._ _ na na _.7 .8 C. [**1D &Tft lector +124" _ :a Remarks: eon 044#Wn ARAVA - 1sLUt 4iMiP iVAi Pit1'uN ! Face pf.r_ i mwa- , # 033-10-59-20 Gary L. Steel CST,M 02298 I eorind 0'' -i zon Depth Dominant t Color ~ noe Bounday Roots GPD/ft ~ Texture ' Gr. Structure in. n Chu. Sz Bed nrch /ti. 1 0-10 _10 r4/3 none' sl 2ms,b c mvfr , 1f .5 ~ .6 2 10-25 7.5yr4/4 none ms Osg ml na., .7. 1 8 3 25-51 7.5/4 none r GrounO Y cos 0s9 , , 9w, M. i. _ .7 r .8 I 9. _ _ 10tt 4 51-12 7.5r4/6 none F n y m_s Osg°' na na '7Y .8 ' *Ong f +12011 LEI - ><:.ss:-,.:~.~x:rw r.'n; +AS>*se;:rwvn' ua..-.a.,..i.t-:., x a'.•x;a.r.:,-....:mdmw•d~.myoxs.•; ::_.....r..,;.:-f xx..:e.:aims,,,""«,.~ _ Remarks: Boring # : : ,..:•.;.•k ::.SX' : -:t',.•'43eiKgs'yi•$fi n•+ilPK'Y~ad~t7Y!^~: =.:,._j'N•.YkkJ•:'iATi'.tk ui. y.iltn9+.RF.^' ^MM1,Wfi+4 "w,~.X.",ik 9pl. ~,'rA.rl. Y i f 13" no- '...r ~ ..n, w _f! . ♦ GMUW M,1ry~ 5 Vim/- - - ,:A . \ M1 Ovib fa ,iMM i 1~y :BLit ` R 17- i :A.r::&~ .l.kLr:: rA••^:ua0..;vas++niiac•.~~3':._a'.,++..w,r:~5.ar .:.r.,::..n:nzu,r•, R:;"5u Aa: a-•ie~~: 2s~.. a... ,^>ax2:~.sClw.•. ,.ruaa ;~:r~ ~ Remarks: Boring . , n . , . • tiw. : t+, t: u: . {'•a+3Kmii^: . Fi M. w' e4 r / W 1 s.,. , i I Grotxxt I Do 16 , I Remarks Boring w w, a, K.. . ~r wA 1~ , . _ U, E_ : . t Depth io _ bcu ' f l 7 ~ {fit ` Remarks:. , , . _ > ,k., . _,x..~..:.. _ . inn -.^,n ^c Ma . •;%4 l Nw aN 514-TJ1N-R1::W n of 5t Pr le 1°=601 S96-40905 Gar L. Steel BM.= top of 1h" pvc pipe ! el. 1001 r, CSTM 02298 Alt. Am.= top of 1k° pvc pipe 0 ei.83.101 w f /1 3 w3, 1.1 /n° o f i..~. .r.r. BM 00 • .rte ~ • ~ 1 d1o lool, Am WON wmpom woo • In . ~~r $Qqr Tfi,W ssi~o BMA r4 i 1 a w~RtiSw f 5G3 1 7 ao-9G f ° iv S E Sec, 1 f9 t i f CJ~ P c i r ~ I i I 4-4~ t i I S t I I I i l I ~ ~-I ~ p I~ ~ I t S~ I t . I Il It i ( I~t I ! _C 34 I s I ftl- A I t I I__ ° v riC -sc yc --Fs./._ Jew S96-40965 mRtZ~~ • 15 6-3 BITUMINOUS OR PLASTIC CEMENT SEALANT TRAFFIC-RATED CASTING: RIM EL. NEENAH R-"Z?W, TYPE B MACHINED LID. REF. PLANS OR EOUAL. (APPROX. WT.=330 LBS.) X I SANITARY MANHOLE LIDS SHALL BE SELF- SEALING Wi CONCEALED PICK HOLES. V -12" ADJUST FRAME TO GRADE WITH 2" TO 4" THICK DIA. i PRECAST CONCRETE RINGS. RINGS SHALL BE REINFORCED WITH WIRE MESH OR 13 STEEL BARS. n. STEPS: MANHOLE STEPS CONFORM TO ASTM C478 AND SHALL BE CAST IRON OR APPROVED STEEL REINFORCED POLYPROPYLENE. 48" DIA. 5" FOR 48" DIA. UNLESS OTHERWISE MANHOLE: SHOWN OR REO'D. BY PIPE SIZE SEE MANHOLE SPEC. PRECAST CONCRETE AND r. REINFORCEMENT SHALL CONFORM TO ASTM C478. JOINT MATERIAL CAST-IN-PLACE CONCRETE AND REINFORCEMENT SEE SPEC) SHALL CONFORM TO CONCRETE SPEC. CONE TOP SECTION SHALL BE USED ON 48" DIA. MANHOLES. UNLESS MINIMUM HEIGHT CONDITIONS REOUIRE FLATTOP. FLAT TOP SECTION MAY BE USED ON MANHOLES 60" BENCH SLOPE DIAMETER OR LARGER. - TO BE I"/FT. PIPE SEAL (SEE SPEC) • O INVERT EL.-REF. PLANS 12" THK. (POURED) 3 STONE CUSHION REOUIRED UNDER BASE 6" THK. (PRECAST) ON WET SUBGRAOE. STANDARD MANHOLE G24 N OT TO SCALE 5.9 y: • STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER . (,J I S t +J u MAILING ADDRESS SAS D S W P1~•w- P K y ~tf a 00 J S f PROPERTY ADDRESS (location of septic s tem) Please tain from the Planning Dept. CITY/STATE m• PROPERTY LOCATION/ e 1/4, 5fo_ 1/4,, Section T N-R~W TOWN OF A r. Pewv~-•~. 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 :k 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 undersigndd 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 yew expirat' n d . SIGNED: DATE: 9 - G -C - St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 ' , . 11/93 ti ' 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 ofproperty_,&f_1/4- _S 1/4, Section W Township _2Zwr U_ Mailing address ` I a, -'~S6 S w1 le ko, ~t . ov c:~~lu%t=e P-~- Ia ~T/1~1~ sS//O Address of site Subdivision name Lot no. Other homes on property? Yes_No Previous owner of propertlYl Total size of property _ Total size of parcel Date parcel was created /9 g/ (7 Are all borners and lot lines identifiable? yes No. Is this property being. developed for' ('spec house)? Yes X No Volume and Page Number -c5Z_,?0 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. / ;~S , and that I (we) presently 1 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. Signature o pplicant Co-Applicant Date of Signature Date of Signature