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HomeMy WebLinkAbout040-1125-30-300 0 0 O 0 0 0 c r ~ o ~ 0 x 6 0 0 y C O ~ N N Q V U.> w r~ ~C Y N ~ O N U ~ p N Z N - C N 0 6 N U LL C (6 O c O Q O O E 3 m Z H w I' E z = °o F E p co C4 Z Z a ) m H (n N O O 6) O 2 ? m o et N Z r N ,It N E hh~~ c ~ m w N N ~ c _2 • ►~1 ON 3 O 67 0 2 Z Z z N ° n ~ m ro d c N t LL p d r w Y c 'n 'n d i N O 0 0 0 `n C G a a j 75 N N Z N> H H H d~ _ o 0 vi O O O Z a iiaaa a O (0 (0 > fn N to J V 0) 0) } 0 70 (M 0) 0 O N _ O O II~~ O O 'O 7 (~y W co Q N N N N Q } 0 C"r O O N 0 (D N s C c C O CO N O 0) o. d O N C> r ~ E_ N N V ,yOy N O i. ~ N O O = 3 N N_ F- co b.~tl N _0 (o O L .0 H 1- % 6j O 6) ~ fJ N E E a6 U • ~,r' O c) I- Y N O Z CA .r V ~ Ed W m a 4k d a T • C~ Q 4a .V d C r~ w E i C `~1 Q U a 0 U-) U v STC - 104 AS BUILT SANITARY SYSTEM--REPORT OWNER , ' DQ~j n ADDRESS_ &",`Z) ey lls SUBDIVISION / CSM# LOT # SECTION T N-R W, Town of ST. CROIX COUNTY, WISCONSIN., PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM .N ` ® j INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: /l s5 ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer:1jj,~d~P_~ Liquid Capacity: Zmar Setback from: Well House .1 Other Pump: Manufacturer poor 077sy`-e adel# Size Float seperation Gallons/cycle: Alarm Location -:SOIL ABSORPTION SYSTEM Width: L : th Num. bet Of r hes Distance & Direction to nearest prop. line: i Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: ~T 7-- 3/93:jt Wiscornin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: y GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI KOEHN, TIM X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: SGZ Q TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark .2,15 o?,/&I Dosing Aeration - Bldg. Sewer Holding St/kK Inlet U/ TANK°S TBACK INFORMATION St / 0(t outlet 9 75 Ventto TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet 91 Septic /,2 NA Dt Bottom Dosing 3 > NA #_eoder-/ Man. q g, 9a Aeration NA Dist. Pipe Holding Bot. System 3 6 ,$Z~ 9d,S~ PUMP / 6401014 INFORMATION Final Grade Manufacturers Demand t ~I Model Number -d I )7 51GPM TDH Liftl~ gay 1 Loss Head - FrictioroDia. Systema TDH)(,04 Forcemain Length3/9 Ca it Dist. To Well > jo! SOIL ABSORPTION SYSTEM BED/TRENCH Width r Length No. Of Trenches PIT o. Of Pits Inside Dia Liquid De h DIMENSIONS V7 DIMENSION . SETBACK G nufadurer SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHIN 2 CRAM a Mo a Number: ^3INFORMATION Type Of 11fA.- ~ >5) OR IT 11 yvtw~c~S ~ em `4~ ISTRIBUTION SYSTEM r~ Header / Manifold , Distribution Pipe(s) x Hole Sizev x Hole Spacing Vent To Air Intake a ` Length Dia- a Length 22, as Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.)* LOCATION: TROY 33.28.19W: SLR; SW; LOT 2. CTH M 9 Plan revision required? ❑ Yes a /No ~ Use other side for additional information. C-) /IX SBD-6710 (R 05/91) Date Inspector's Signatu a Cert No. ADDITIONAL COMMENTS AND SKETCH - SANITARY PERMIT NUMBER: a, SANITARY PERMIT APPLICATION safetyand uii iinggs Water aDivision eSstem ~:LHR Bureau 201 E_ Wa ashang n hington 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 n~O I than 8112 x 11 inches in size. 51> (2 • See reverse side for instructions for completing this application State Sanitary Permit Number The information ou rovide ma be used b other overnment aencrorams _6 C1 y p y y g g y p g E] Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name Property Location 114_SW 114, S 33 Tao , N, R/9 E (or) Property Owner's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number i -aa ( ) Csnn II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ !t Nearest Road . ea aw AL-Jr ❑ village !Q~ ❑ Public 1 or 2 Family Dwelling - No. of bedrooms Town OF IC T,✓ III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 E] Apartment/ Condo C)H C -11 _1)t5 -*3()-30-0 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10E] Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an -----System System Tank Only Existing System ---------Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 Mound 30E] Specify Type 41 ❑ Holding Tank 12E] Seepage Trench 22 ❑'In-Ground Pressure 42E] Pit Privy 13E] Seepage Pit 43 ❑ Vault Privy 14E] System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft_) (Min./inch) Elevation Feet 0 Feet VII. TANK Capacity gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank, q_ 1 ~QIJ / rGt~llJeST~Y ® ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber I 750 fYjir LY..r~ 1:1 El 1:1 1:1 E] VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se age system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: No Stamps) MPRSW No.: Business Phone Number: Ile .'a e• flees Z iSS~FG - 1.~ Plumber's Address (Street, City, State, Zip Code): .Sao : - a IX. COUNTY / DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee (Includes Groundwater ant Signa re (No St ps) A roved Surcharge Fee) pp ❑ Owner Given Initial o, Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To:. Safety & Buildings Division, Owner, Plumber INSTRUCTIONS ` 1. A sanitary permit is valid for two (2) years. 1 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, numh.: r of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all wptic,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 appropria.43 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 smalle- than 8 11:2 x 11 inches must be submitted to the (I)Linty. The plans must include the following: A) plot pian, drawn to scale or with complete dimensions, loc.: Jon of h :>Idin(j tank(s), septic tanks) or other treatment tanks; building sewers, wells; water mains/water service; si reams a d lak ~s; pump or siphon tanks; distribution boxes, soil absorption systems; replacement system areas; and the oca io )f the building served; B) horizontal and vertical elevation reference points; C) complete specifications for p_imos a-(! (:ontrols; dose volume; elevation differences, friction loss; pump performance curve; pump model and pump •Y9aruf<: surer, D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form, and F) I 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 contaminatior: investigations and establishment of standards. ` f SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations February 20, 1996 of CO 2226 Rose Street J La Crosse WI 54603 Cb R.EcuVEO ' WEGERER SOIL TEST I NG F E B 421 N MAIN STREET SYO~X PO BOX 74 CouN~r RIVER FALLS WI 54022 ZONINGOFFIGE- 9 rC, RE: PLAN S96-40048 FEE RECEIVED: 180.00 KOEHN, TIM SW,SW,33,28,19W TOWN OF TROY COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. kd ely, M. Swi Pl an Reviewer Section of Private Sewage (608) 785-9348 SHDA-798718. 10/841 ` r Page of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE / LOCATED IN THE SW 1/4 OF THE SW 1/4 OF SECTION 33 ,TZ$ N, R 19 W, TOWN OF ,T• C12UlK COUNTY, WISCONSIN. INDEX PAGE l'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION: PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE -60 PREPARED FOR QQI~~ d Y~ .~O~S Z S4 SI K3. -,1 N A U E' , 0~ O n2 IISZ L I M N. 5 5 3'7 2 ® OO~,~~OVS L 00 0 O PREPARED BY Fi ®®s~®~i6l9iOp~~ WEGEFZEFR E3 (3 I L TEST I NG ® .~,c®+/S`~ AND . ~y DES I GN SERA! I CE .t X ° ART4UR L. • WEc'9ER F.O. BOT 74 421 K. KAIK ST. ® ' R t ~ Eil:.+"JRTH, ~ RIVES? FALLS. VI 54022 Wis. f 715-42`.--0165 ® p~,,• ~°oi~ ~S I G ly RECEIVED r s, 199(' FEB16IS SAFETY & 8iM. mv. JOB NO. 6 -1 y 6 ' Page 3 Of Approved Synthetic Covering N-t sTwt C- 3 Distribution Pipe 3 Medium Sand Topsoil F Elev. 99. 5 G -J E - tit i~ 3 b 3 % Slope Bed Of 2~- 2 i2 Force Main Plowed Aggregate From Pump Layer D -o Ft. E Z, zy Ft. Cross Section Of A Mound System Using F o.8 Ft. A Bed For The Absorption Area G I. Q Ft. A 8 Ft. H I. S Ft. Linear Loading Rate= l • b GPD/LN FT B y,1 Ft. Design Loading Rate= 0.14 GPD/SQ FT I I Ft. J 1d Ft. K 13 Ft. AlternateQoeition L -1-1 Ft. -ems - rorte-Na4 A W a4 Ft. L Observation Pipe A ( - - -t ----------------------•I Force Main o~ Pust ~T►t~ Distribution Bed Of 2 -2" Pipe Aggregate Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area • Page Of 6 Perforoted Pipe Detoll 0 End View )Perforated End Cop cA• PVC Pipe Install permanent marker l . -4at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main P PVC Manifold Pipe Distri ution Pipe Lost Hole Should Be I Next To End Cop 1l End Cop /J P ZZ_S Ft. Distribution Pipe. Layout S Ft. X 60 Inches y b b Inches Hole Diameter "Y Inch Lateral 1 Inch(es) Manifold _Z- Inches Force Main Z Inches # of holes/pipe 5 Invert Elevation of Laterals 100-7-:5 Ft. sx~.~1~ s.8s x y z3.y G~~ Place lst hole 3d'from center of manifold with succeeding holes at 6o'intervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTION ARID SPECIFICATIDKIS PAGE S OF 6 VEMJT CAP 4' C.1. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE JUAICTIOAI Box 10'FROM ODOR COVER WITH WARNING LABEL ~ , it•MIU. wiMOOW OR FRESH I AIR IMITAKE I GRADE N" MIN. COAIDUIT - - - - - - - - - - - • PROVIDE. I INLET -T AIRTIGHT SEAL I I i I I I I APPROVED JONT A Tank construction shall comply i 11 APPROVED JOINTS with ILHR 83.15 and ILHR 83.20 i I i I ALARM B I II I I i I ON C I i CLEV FT. PUMP-- OFF ~ 0 L~l $3, Vp I COUCKETE BLOCK 3" APPRoVED RISER EXIT PERMIT!' ED ONLY IF TAWK MANUFACTURER HAS SUCH APPROVAL. BEDDING SPECIFICATICIMS DOSE F-I+pwL l p fiST - 9 TANK MAlJUFACTURCR: NUMBER OF DOSES: Y PER DAy TANK SIZE: , SQ GALLOWS DOSE VOLUME z ALARM MMJUFA_CTUKER: S. S• IELQr-'T~tI3 S`iS~~"IS INCLUDIWG BACK/LOW: 1b S'~5 GALLONS MODEL MUMBER: 1Z, CAPACITIES: A= ~b WCHE509 3`2'p GALL0143 SWITCH TSPE: 5= Z INCHES OR 3~' O G( LLOWS PUMP MANUFACTURER: Z o Et.I.~R Car'IP14N G = $ /Z INCHES OR GALLOWS MODEL )JUMBER: 1 3Z Dom l Z INCHES OR Z~4 GALLOWS SWITCH TYPE: w1 CUczY MOTE: PUMP AMID ALARM ARE TO OE -a MINIMUM DISCHARGE RATE Z~'y GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE OETWEEIJ PUMP OFF AUO_01STRIBUTIOLI PIPE.. 1LI S FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . 2.50 FEET + 3 I S FEET OF FORCE MAIN X I ' N S F oo rtFRICTIOM FACTOR.. 3' 6 3 FEET TOTAL OtIUAMIG HEAD - Z~'38 FEET DIAMETER - INTERNAL DIMEIJStokli OF TANK: LENGTH - ;WIDTH _ ;LIQUID DEPTH 3 ~Z BOTTOM AREA 231= GAL/INCH AS PER MANUFACTURER = ~~i.S GAL/INCH _ ~ t. iF f% G: 6OF6 t• 4 3/ it TOTAL DYNANHC HEAD/FLOW 4 7 3/8 W HEAD CAPACITY CURVE PER MINUTE MODEL 137-139 EFFLUENT AND DEWATERING V 6 1/113p SERIES 137.139 Feet Meters Gal Lm 8 5 1.52 104 394 10 3.05 79 300 0 4 3/4 25 a Z 2 3 15 4.57 64 242 ° 20 6.10 36 136 X 6-20- 25 7.62 8 30 ° L 26 7.92 0 . 0 a 1 1/2- - 11 112 NPT o o is 23.y ~ a r ~ 10 2 5 I 12 3/4 0 U.S. GALLONS 10 20 30 40 50 60 20 80 90 100 110 LITERS 1 160 240 320 400 I I 4 80 0 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V or 230V. • Mercury float switches are available for controlling single and three • Electrical alternators, for duplex systems, are available and supplied with phase systems. an alarm. • Double piggyback mercury float switches are available for variable • Mechanical alternators, for duplex systems, are available available with level long cycle controls. or without alarm switches. • Long cords are available in lengths of 15-25-35-50 feet. • Combination starters are available. • Over 1307. (54'C.) special quotation required. Standard all models - Weight 47 lbs. - Yz N.P. SELECTION GUIDE 137/139 Series control Selection 1. Integral float operated 2 pole mechanical switch, no external control required. Model Volts-Ph Mode Amps simplex Duplex 2. Single piggyback mercury float switch or double piggyback mercury float K_E137/13 115 1 Auto 10.4 1 w 1 &8 - switch. Refer to FM0447. 115 1 Non 10.4 2 or 2 & 7 3 of 5 & 6 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075. 230 1 Aulo 52 1 or l &8 - 4. Combination Starter. Refer to FM0514. 230 1 Non 5.2 2 or 2 & 7 3 or 5. See FM0712 for correct model of Electrical Alternator "E-Pak". 200 208 1 Aub 8z 1 & 8 6. Mercurysensorfloatswitch 10-0225 used as a control activator, specify duplex 200-208 1 Non 8.2 2 & 7 3 or 5 & 6 (3) Or (4) float System. 200208 3 Non 4.2 2&4 3&4 or 5&6 7. Four (4) hole "J-Pak", junction box, for water tight connection or wired-in F1371139 230 3 Non 3.0 2&4 3&4 or 5&6 simplex or 2 pump operation, 10-0002. G137/139 460 3 Non 1.2 2&4 3&4 or 5&6 8. Two (2) hole "J-Pak", for Watertight connection or splice, 10-0003. No molded plug Three phase units require a cotdrof witch to operate an external magnetic or combination starter. CAUTION ForuAomgtiononadditionalZ productsrefertoatalogoniolribinationstarter,FM0514;Piggyback All installation of controls, protection devices and wiring should be done by a qualified licensed Mercury Boat Switrdres, FMD477: Electrical ANemator, FM0486; Mechanical Alternator, FM0495; Alarm electrician. All electrical and safety codes should be followed including the most recent National Electric Package, FM0513; and Sump/Sewage Basins. FM0487. Code (NEC) and the Oawliational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO. P.O. BOX 16347 Louisieft, XY40256-0347 Manufacturers of KY40216 Lam ZMVIR p, SHIP TO. 3280 Old O i&ue 1(502) 778-2731 . 1 1 (80216 (800) 928-PUMP FAX (501) 774-3624 Labor and Hurrnan Relations %Iv I L. M Ir L 01 1 C C V A L U A I I U IV ti tC N U i" I I Page 1 of 3 tTiSisian of Safety & 9uildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site, plan on paper ot less than 1f11iry Plan must include, but St. Croix not limited to vertical and horizontalnreference i j, direction slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and +a to no taad.040-1125-30-300 APPLICANT INFORMATION-PLEAS NTL INt°o►T10 REVIEWED BY DATE Awt i~ PROPERTY OWNER: ' OPERTY LOCATION G VT. LOT 1/4 1/0 33 T 28 N,R 19 xiE(or) W PROPERTY OWNER':S MAILING ADDRESS ,a BLOCK # SUED. NAME OR CSM # 20556 Jansin Ave. 2 na csm a e 2017 vol. 7 CITY, STATE ZIP CODE ERr ° ; f ITY ❑VILLAGE JUOWN NEAREST ROAD Prior Lake, MN. 55372 (6 44) 7- 2' 71- Tro Co. Rd. #M ~j New Construc ion Use [x] Residential / Number of bedrooms 3 [ J Addition to existing building I Replacement [ [ Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 5 bed, gpolit2 •6 trench, gpo1ft2 Absorption area required 375 bed, n2 375 trench, ft2 Maximum design loading rate • 5 bed, gpd/ft2 - 6 trench, gptiltt2 Recommended infiltration surface elevation(s) 98.40 It (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 97.401 Parent material limestone uplands Flood plain elevation, if applicable na R S = Suitable for System CONVENTIONAL F MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDWG TANK U= Unsuitable for system D S OU 13 S 0 U [Is ®U OS ®U O S ZU O S 131.1 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 ivnc h 1. 0-7 10yr3/3 none l 2msbk mfr 9w 2m .5 .6 2 7-22 10yr4/4 none sil 2msbk mfr 9w if .5 .6 La Ground 3 22-34 10yr4/3 none sicl lmsbk mfr 9w na .2 .3 98.10 tL 4 34-45 5yr4/6 none sl M na 9w na .3 .4 I*lh to 5 45-60 10yr7/8 none fract red limestone limiting factor 34" Remarks: Boring # 1 0-7 10yr3/3 none 1 2msbk mfr 9w 2m .5 .6 2 A 2 7-20 10yr4/4 none sil 2msbk mfr 9w if .5 1.6 3 20-31 10yr4/3 none sicl lmsbk mfr 9w na .2 's.3 Ground elev. 4 31-42 10yr7/8 none frac red limestone 97.15 It. Depth to limiting bee 31" Remarks: CST Name:-Please Print Gary L. Steel Phone. 715-246-6200 Address* 155 00th. Ave., New Richmond, WI. 54017 l-$=96 cstm 02298 Signature: Date: CST Number: PRMRTYOWNER Tim Koehn SOIL DESCRIPTION REPORT P 2~-°f PARCELLD.# 040-1125-30-300 Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft in. Munse!! Qu. Sz Coat Color Gr. Sz. Sh. Y Roots Bed ITn3nch 1 0-6 10yr3/3 none PS 2msbk mfr gw 2m .5 .6 3 2 6-16 10yr4/4 none ir 2msbk mfr gw if .5 .6 Ground 3 16-28 10yr4/3 none icl lfsbk mfr 9w na .2 .3 elev. 97.001t 4 28-44 7.5ry4/4 none sl M na 9w na .3 . 5 44-52 10yr7/8 none fractured lime tone D90 tD limiting facbr 441, Remarks: Boring # Gnwnd elev. ft, Depth b GnliOng factor Remarks: Boring # Ground elev. ft. Depth bong factor Remarks: Boring # '1 , . X Ground elev. h. D" tD limiting 11 factor I Remarks: w w STEEL'S SOIL SERVICE Gary L. Steel Tim & Rachell Koehn 1554 200th Ave. CSTM2298 WIWI S33-T28N-R19W New Richmond, WI 54017 MPRSW 3254 town of Troy (715) 246-6200 t lot #2-csm page 2017-vol.#7 N 1"=40' BM.= nail inoak tree C el. 100' Alt. BM.= nail in oak tree C el. 99.75, a DAX E" 7 n~~ 95 Gary L. Steel n3O 4409 8 SAM momw 'CERTI FIED SURVEY MAP r~gi LOCATED IN THE SWI/4 OF THE SWI/4 OF SECTION 331 T28N, R19W, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN' OWNED BY: ,W 1/4 CORNER SECTION 33. TOM & SUE .BUR:MOO'D:... (COUNTY MONUMENT FOUND) RT. 3 UNPLATTED LANDS RIVER FALLS, WI N 54022 ~ _ NOR•T.H LINE OF.~THE;S.,W.,-rSW. S890 37 ~ 30 W 13 18. 05 7, 0 • 6' 41., 358.05' 740. 00 220.00' 5' Z• n < J; - M ~ ~ h lb 3 01 , n LOT 2 Mao: Ol M N 7.14 ACRES ~ LOT 3 Z~ . (310, 914 SQ. FT.) ~ O Q ~t ° 7.16 ACRES z a N b (312,077SO.FT.) N °j 3 C3 W E M t0 N37- 25' 33"W S830 35'36"E S 180.00' O 510_•86 ® " y Ny O It - ® - © N9(a fence z 3w 00°'0' C• N ~ LOT I o z 2~ ILI W LOT 4 0(a x N 14.40 ACRES ~ N (627,,4.5.afl S•O;,•FT.Y.i ` Q 4.56 ACRES 3 1L ° 13.19 AC. EXCLUDING ROAD 0 ( 198,722 SO'FT') N W Q• oO N (574, 663 SO. FT.) TO = Z a.~ -aE p•-' 6 N89039' 05"E 681.24' Wes. t W•1- El ADDED_ SEE NOTE: Z y rol ON ON SHEET: ~•w r•, 2 OF 3 ~''3 3 3I 3 ;ERT)Ft D SUR','EY .MA.P F co IT0 VOL. .`i , PG. 1800 m a' n0 66' WIDE ROADWAY 0 N EASEMENT. _ hN 4 N10 (SEE NOTE SHEET 2 N - ~O Q ' - OF 3). •I 66' 0 OM I 0 , z z 2 00. 06' 213:.68 66.0 ' c -N-8-8000'40" E N89 26 40 E 27968 In n _ _ is u _ _ _ ro N89°2T4E 156.14' SEE DRIVEWAY AGREEMENT ro ON SHEET 2 OF 3 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 111 1(~c MAILING ADDRESS goJs6 RC ►Q Q f " ~ r p a PROPERTY ADDRESS 1 Ck !t c,,tx ,(-C"l (location of septic system) Please obtain from the Planning Dept. CITY/STATE el" Fps lam/ I PROPERTY LOCATION .5c-3 1/4, 1/4, Section 3 3T N-R W TOWN OF o ST. CROIX COUNTY, WI SUBDIVISION S YY1 LOT NUMBER CERTIFIED SURVEY MAP , VOLUME _Z, PAGE 01 , LOT NUMBERo Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. alter ° x `t . SIGNED: DATE: % 4' St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 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 t t 9, b e h h Location of property w 1/41/4, Section -33 ,T_,~q N-ley W Township TO Mailing address LL-256- 4ye Address of site (Ed k 'l0 L.~ Subdivision name C S ~M Lot no. ~Z Other homes on property? Yes ANo Previous owner of property l o w1 3 uc wtpod~ Total size of property 7 111 I} C_Ae c, Total size of parcel G Date parcel was created n ` E Are all corners and lot lin46 identifiable? Yes' No Is this property being developed for (spec house)? Yes ~No Volume -7 and Page Number o 1 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Si nature of Applicant Co-Applicant f - / 4L_ i Date of Signature Date of Signature 1 WAkRAWiscons~NTYFDEED 1981 ~a`# (~^y State Bar of ` it'L 1143?_ 32~ REGISTER'S OFFICE ST. CR0 CO„" I DOCUMENT NO_~_- R,,edt Ro=fd Rundle and Cwt Z~E• -R e ` OCT 9 lyy'o 'Clifton A• ~ A. M = S wz a ~3t 8:00 ~ V r Reci~tar d Deeds conveys and w Koehn arrknts tlo'lusband and ~ e ] 0 THIS SPACE RESERVE') fdt REGORDINCi OAT ,LAME ANO RETURN ADDRESS EQUITY TITLE SERVICES 400 SOUTH SECOND STREET _ -St. Croix HUDSON, WI the following described real estate in Cot:nty. State of W iseonsin. (Parcel Identification Number) VolutttP 7, Page 2017, as Doc. being recortded in n, Lot''wo (2) of TWO Survey >P St. Croix County, Wisconsinsin of Ttoy• Register of Deeds Office, 33, -,28N, R19W, Tow No. 440978, Reg 4 of the SW1/4 of Section the 66 foot wide roadwaY ress oft located in the its of ingress and eg ~ Together with rig easement as shown hon said certified Survey 4- qb 30 06 is not hom, This J (wt not). Exception to warranties: 95 Dated this (SEAL) d EAL) s • ACKNOWLEDGMENT AUTHENTICATION STA.M01F WISCONSIN St- ctoix _ County. day of Signatures} 40- r,,„mny came before me this ,19 9 the above named t9 psttber Ce1CO1 E. _ nA- authenticated this - day of A• Rundle a f e. husband and vti 260 • S oho executed the 'T TLE: MEMBER STATE BAR OF WISCONSIN to am am-., to be the Person me Wis. Stats,) iroment and acknowledte (it not, ti0•06, autt:orind by §7 ,a ~ 3 + f.r :rI x a 'vd rav~u ~'+o,o~ D S O , o .w S~ 66 F4 '10 46. zj 4 Q~ryo OR 0 • ~ 2 c~ I fL 'p O , ~ N ~'V O N r `.~,O~rQ ~ ` ,mac ~ rf) Z 0h Nj fj oil b 0 r w b gri ~N W6, 4J a) 04 >i 0 J U) ro / v