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Home My WebLink About002-1074-30-100 ti ~ p °Fn- I vi av ~ c a 0., o I a w ~ l`. o I O ~ N N ~ > I v ~ ~ E I ti L 3 w 3 o z ~ I C: 0 LL O N _ N CO N Q o> 5 I 3 CO ~ I z t~a W : H I °o z I a, N w a co N F Z O I p Z d I', U w O m Z d' c Z N M N I .N _0 = O c O Z Z O w N Z C14 d N N N E I L a a m o c L O~ L d C N O° 0 0 a m N y~ _ C U 75 ~~1V1 Z > F- F H :L- O a o V • ~ ro C) a L 7 p V1 LO LO m to J C) ~ rn rn ~ ~•~1 3 N_ N_ ~ ~ N co cm = d wi " ~ y 'a m N is> ~ U) N Q > J? o C O M W Q C N a N C O co C> r 04. O N 0 C w U IL 0C'j O C, Q 'E CO C E a) C N L s.Y 3 N C of 3 I- rn • >a ° (N f0 p a N O a N O E m O N C0 i m Z- Z~ ) O w V ~ ed I 3 a ` a w ~~Iwv ` c c ~1 A UaOinti r IL onsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page \ of 3 r and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code r COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST. 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. ~12-4 u Std C-- S. H . APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION 171 )--1 wf QO L- GOVT. LOT n1~ 1/4 SF 1/4,S Z9 T Z`1 N,R 16 E (dc w PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK If SUBD. NAME OR CSM # . 3-10 1~tLLst D~' CIRc Lrr - - t~t~os~ c-S r-f CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE [TOWN NEAREST ROAD 'F- f t -t'ki113)W1 S14 lloZ 1715)68y-2.?312:~ NaT-V tjIN Z30 Tkf ST. ( New Construction Use (~Q Residential / Number of bedrooms ? ( ] Additign to existing building [ ] Replacement Public or commercial describe Code derived daily flow ? gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/9 Absorption area required ' bed, ft2 ' trench, ft2 M Wmum design loading rate o • S bed, gpd/ft2 0. L trench, gpd/tt2 Recommended infiltration surface elevation(s) SW ~jtYM ON Pk 6(! -1 ft (as referred to site plan benchmark) Additional design / site considerations ' Parent material S hN";Z44 L u I I-A T 4 Flood plain elevation, if applicable t-3- IN, ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for stem ❑ S ®U [WS ❑ U ❑ S &JU ❑ S O U ❑ S OU ❑ S OU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ftin. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ranch 4 ><s o-a ~oKCZ 31Y S i, Z ce~b~ mph CA- s - a•S o• b Z-ty tioti.Q 31re g L~ z ~s~k w,fh cS o. S o. b Ground 3 1~-30 -S `1 R 31y 1 S Zm S lbv-, elev. >n •FM d- s ~ Zm S bk - - ~o~l • o ft. 4 30-~.2. -)-s Ly e alY -ttz- 6 !z. s v Depth to S y 2- (y S H, i2 Y l y ~ ~ O w, 1~ i - limiting factor Sk-TU 'i~U►`l 30 " Remarks: Boring # c'- 5 o. S o, 6 3, t-1 rz- Z~ FU c vh Ground elev. 3Z_S7 S'iR 14 /V Q 61t s1 or--, o b. 8 ft. Ll S `~T Depth to G 3 Z limiting , .r ~t PI/ factor k } Remarks: a t t: T Name:-Please Print Phone: Arthur L. We erer 715-425- ergerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 540,22 Signature: Date: CST Number: q3-116 6-11-q3 M00576 PROPERTY OWNER 801, SOIL DESCRIPTION REPORT Page 2- o''s PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench U 4. o--7 1o~-►Q 3dy - s1I ZC4sk VI-L 0-b h~ 4\ Z ~,_LZ ~~~-fc~ 3~6 - s~ 1 z~sbk v~~~, ~s ~ o.s o•6 Ground 3 12 -35 S `t R 31 S C S1~K vn v~1^ eS elev, loZ.6ft. y 3S_S8 S`'tR yly M LIZ VVI Depth to limiting factor 3S" L I Remarks: Boring # y Ground elev. ft. Depth to limiting factor Remarks: Boring # U Ground elev. ft. Depth to limiting factor Remarks: Boring # i, Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 ~ r SCALE 1"= 50' I r 0 `s D MI g.2 8.1.4 Z.30' \ A ° t=ort w,ov~,~ B~-Nt..tou.o' a., %,qtr" DIN P%J v- P'Pt-- ►J~X.T 1'O puw~R Po~~~ gyn.. 1141 6 L~ _ V*L, l0 2 . o ON is l.. e`(TU C Fe1J dAj' I titis~~R~oR Z.'J'rtsoua w e S T 5 D~ ~J C?~ POw C~12 COL!'. r ~ X- t~-cT S S T1T~'1 L CJ ~-P~T~ l1 ~v , D 4 M +~v S r ulv $ F}l1~ ~ ~ EZLuIym lU ~F ~ s1ZM l lu pv~Z l►~ G wibUkip STS l G N. 1~ t_0 rv G , N f'n~~Vi J wiUVlvtl \S p_ CA LvD~. M ~~-o~ SL ?p ~3~ RT L~sT z.s' t=~~ri w,ou~p , a tAJ Lu_ N SV L t °t 3 -116 (715 ) 425-0169 M00576 CST Signature Date Signed Telephone No. CST # v s STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER / f k11 `2o / ADDRESS ~ e14, SUBDIVISION / CSM# LOT # SECTION T W, Town of l~G /0C, ' ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM R` lV c a INDICATE NORTH ARRO1q Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. s BENCHMARK: ~G`, ~✓~q ~f ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION ~w e t r v G~ Manufacturer: Liquid Capacity: n. a Setback from: Well-04 House Other Pump: Manufacturer 2011e r? Model# Y Size `C_,. Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM l Width: Length '2 s Number of trenches Distance & Direction to nearest prop. line: / 6 .Z. Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet. j 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: 3/93:jt Wisconsin 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.: GENERAL INFORMATION of: State PI Permit Holder's Name: ❑ City ❑ Village l lx BOL, TIM X CST B lev.: Insp. BM Elev.: BM Descriptio LParcel Tax No.: /00- C16 7~-elz`001(11 CCA-C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION S HI FS ELEV. Septic Z2L ✓uX 5-C_e f-`,-, hlecg,~ Benchmar o'Z Dosing Aeration Bldg. Sewer Holding St/K Inlet ,7 TANK SE ACK INFORMATION St/ Ht Outlet Vent TANKTO P/L WELL BLDG. Airito ntake ROAD Dt Inlet yj Air Septic /C~i 3 a NA Dt Bottom ~(o I'-2 Dosing NA *IBgaiMMan. G cG Aeration A Dist. Pipe Eio lri~' Holdin Bot. System 3 / PUMP/ -INFORMATION Final Grade Manufacturer Demand Model Number p TDH Lift Fnctior>r, 9~ ' System TDH i9 -,~Ft Forcemain Length S' Dia..? " Dist. To Wel - SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. ept DIMENSION DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACHING acturer: SETBACK CHA R INFORMATION Type 0 jjA,,r- Moe Number: System: tV c• t O NIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacinp Vent To Air)ntake Length Dia- Length ~ Dia. Spacing !t 75 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/T -C-enter Bed/Tr9Tk4rEdges Topsoil ❑ Yes V k6- ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) ~ LOCATION: Baldwi.n.29.29.16W, NE, SE, 230th Str.get, Lot_ 1 id,:791 " cle Plan revision required? ❑ Yes ~VOO 4:2 -1 Use other side for additional information. SBD-6710(R 05/91) Date Inspector's Signature Cert. NO. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: j v~=a~ri i SANITARY PERMIT APPLICATION BuSafetyreau o oand ff BuilBuildin ng Waater Systems teri 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. 9. &-&~ • See reverse side for instructions for completing this application State Sanitary P Number 0~ The information you provide may be used by other government agency programs ❑ Check if revision to previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name Propert Location Tim Bol NE 1/4 SSE 1/4, S 29 T 29 , N, R 16 K(or) W Property Owner's Mailing Address Lot Number t Block Number 340 Hillside Circle LoT City Sit tin, Zip~gc1e02 ( (lane ;umbr4-273 Subdivision Name or CSM Number II. TYPE OF BUILDING: (check 4one) ❑ State Owned ❑ ity Nearest Road 3 p village ❑ Public [n 1 or 2 Family Dwelling - No. of bedrooms Town OF Baldwin 230th. St. 911. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 610 2 - / G ? G~ - > (J O 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel / Motel 9 ❑ Office / Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ® New 2. ❑ Replacement 3_ ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued- Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ® Mound 30 ❑ Specify Type 410 Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade 450 Re red d (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 375 1.2 108.8 Feet 110 Feet VII. TANK Capacity in 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 X 1000 1 Midwestern] ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber x 650 1 Midwestern ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) r P/MPRSW No.: Business Phone Number: Joe Stang MP 6646 1-715-698-2266 Plumber's Address (Street, City, State, Zip Code): 506 Willow DRive WOodvillerp WI. 54028 IX. COUNTY /DEPARTMENT USE ONLY (Includes Groundwater Date Issue ssuin A nt Signature (No Stam ❑ Disapproved Sa ary Permit Fee Surcharge Fee) g Approved ❑ Owner Given Initial IG/G/ Adverse Determination °P~ad0 d X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: Safety 9 Buildings Divrion, 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- 11 . 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 a// 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 it-, 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. >r (Y`lp;et~ _Jldni ar.;~, s, _i Fii1jt1Cris noL smaller "than 8 1/2 x 1 inches must be sut-,i littej I: e ~.-nty. The. plans must t~ti n4Nl~ a^V1 plot i) ar, ijrawn ~J-, ccale or 31r~ ;jrn~l tank(s), septic u; b ..Iding yF , ors, n _ . e, .;ir. r I~ pump or siphor, sCll ar 31011 systems, reral4_, j~tzt rcI a ''.h- Iv-: a the huildrno, served; OOirlts, ,t," ._'.s, (rich T; . rror"n rrC' Cu e <lr r 11it r, 1'. r =r _;j c_i on it iyC) sc; ~.dat Jz!;-(j {r)[orr-nation GROUNDWATER SURCHARGE 1 n,-~, '!,`;sconsir, Act i--icluded the creation of su+charges (fees) for a number of reg-:`fated practices which can effect groundwater- The mo: -r-ollected thro these surcharges are used for monitoring grc° .,~.-vvat,e, _ontarrin tl~;r, inve.tigations and establishment of standards. i SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations August 18, 1995 2226 Rose Street La Crosse WI 54603 STANG PLG 506 WILLOW DR WOODVILLE WI 54028 RE: PLAN S95-41012 FEE RECEIVED: 360.00 BOL, TIM NE,SE,29,29,16W TOWN OF BALDWIN COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, is Sorenson e Wastewater Specialist Section of Private Sewage (608) 785-9336 SHDA-7887 (R. 19/84) i S95-41012 TIM BOL RECEIIIED 3 BEDROOM MOUND DESIGN PLAN ID# S95-41012 AUG 1 4 1995 SAFM & BLDGS• DIV PROPERTY LOCATION: PROPERTY OWNER: NE1/4 SE1/4, SEC. 29, TIM BOL T.29N., R.16W., Tn of 340 Hillside Circle Baldwin, St. Croix Baldwin, WI County, WI. 54002 INDEX TABLE PAGE 1 OF 7 TITLE SHEET PAGE 2 OF 7 WORKSHEET PAGE 3 OF 7 PLOT PLAN PAGE 4 OF 7 MOUND CROSS SECTION PAGE 5 OF 7 DISTRIBUTION PIPE DETAIL PAGE 6 OF 7 PUMP CHAMBER CROSS SECTION PAGE 7 OF 7 PUMP SPECIFICATIONS PREPARED BY: Joe Stang MP# 6646 506 Willow Drive Woo ville, WI. 54028 (7 ) 698-2 6 SIGNATURE: L v DATE : Page ~ Of-2-- WORKSHEET S95-41012 r MOUND SYS I Lh1 11. IN GROUND PRLSSURE SYSTEM-Continued- I. Wastewater Load, Total Daily Flow= gal. 10. Force Mam:~5,3 y Use s. ILHR 83. 15 (3) (c) Mininsum Dosing Rate = Rpm. Adm. Code and PROVIDE A DETAILED Diameter 9 in. LIS L OF SIZING ON PLANS. 1 1. Total Dynamic Hud: 2. Depth to Limiting Factor = a S ft. System Hcad = 2.5 ft. 3. Landslope = s Vertical Lift f v 4. Distance from Dose Chamber to Friction Loss = a~~ft.•~' di>cenneC~ _ Distribution System = ~;ek / /Q ft. TDH = _ /#.-f'3 ft. 5. Elevation Difference Between 12. Pump Selection: Pump and Distribution System = 1:5, t. Pump will discharge at least 7 gpm 6. Absorption Area Sizing: at - 1ft. total dynamic head. Area Required = 375 sq. ft. Pump model and manufacturer: ~OP.t;[fl 98 Bed or Trench Length (B) _ _5_ ft. Bed or Trench Width (A) = -5-. ft. 13. Dose Volume: Trench Spacing (C) ft. 10 Times Void Volume ofJ 7. Mound Height: Distribution Lines = (fo)(7k+x•o 4 = - gal. Fill Depth (D) ft. Daily Wastewater Volume r Fill Depth Downslope (E) _ i ssrs~)' _ a ft, 4 Doses In 24 hrs. = c/-go ' - ~ gal (9• Backflow = (//O~(O,/foy) _ AL Oy gal. Bed or Trench Depth (F) . _ ~ ft. /3d•Sr{ gal. Cap and Topsoil Depth (G) _ ft. Minimum Dose y, t iy Cap and Topsoil Depth (H) _ /•S ft. 14. Dose Chamber: ~e>Jeye. XL i► 8. Mound Length: r 1 / / Volume =°V ~ 3f /O _ 5O gal. End Slope (K) z S r. St ,S 3 : D. °2S ft.Gtse rF" 2" '1► Total Mound Length (L) = j5~<L(7a(rl)] 27. ft, 111. CONVENTIONAL PRIVATE SEWAGE SYSTEM 9. Mound Width: S 1. Wastewater Load, Total Daily Flow = gal. UpslopeCorrection Factor = _g ' Use s. ILHR 83.15 (3) (c), Wis. Upslope Width (I) {/e•75,/x3J~,g75> _ 7• ft U_-,e 9.0 Adm. Code and PROVIDE DETAILED Downslope Correction actor : LIST OF SIZING ON PLANS. Downslope Width (1) _ ur•~f1~~°~~I'~ /0' ft. eAst 2. Required Septic Tank Capacity = gal. Total Mound Width (W) =b'+StD ft. 3. Percolation Rate = min./ 10. Basal Area: 4. Absorption Area Sizing: Infiltrative Capacity of Refer to Table 2 in ch. LHR 83 Natural Soil = 0,4 gal./sq.ftjday and PROVIDE A DETAILED T OF Basal Area Required = sq. h. SIZING ON PLANS. Basal Area Available = lSrrr~~s1S~= sq, ft. Required Area = sq. ft. 11. If Standard Tables from Chapter ILHR 83 Length (t. = it are used, Indicate Table # Width = 12. For the Distribution Network, Use Numbers 5-14 in Section It. Number of Tren es = Trench Spaci = ft. 11. IN-GROUND PRESSURE SYSTEM S. Distribution S tem: 1. Depth to Limiting Factor = ft. Lateral ngth - ft. 2.. Landslope - % Numb of Laterals = 3. Percolation Rate = min./in. Late aI Spacing = in. 4. Proposed System Elevation = ft. Di ante from Sidewall to Pipe = in. 5. Wastewater Load, Toul Daii tow: gal, stem Elevation = ft. Use s. ILHR 83. (3) (c) , Wis. Adm. Code and P VIDE A DETAILED IV. SYST M-IN-FILL LIST OF SIZI ONTLANS. FII n All Items from Section III Required S tic Tank Capacity = gal. 6. Absorption rea Sizing: V. SEPTIC TANK Percol Ion Rate = min./in. 1. Capacity = gal. L~ Are Required = sq. ft. 2. Manufacturer: CY/ C(L'u S~4/7'1 KCAS rrs r~,a.L~tAZ stem Length = ft. 3. Show Site Constructed Tank Details on Plan yatem Width = ft. 7. Distribution Pipe Sizing: VI. DOSING TANK &SO gal. Hole Size = in. 1. Capacity = Hole Spacing = O it. 2. Manufacturer: JC n~0~1 Laileral Length 5 It. J. Pump M4nulicturer: r?r Laletil Size in. 4. Punrp Mnrlcl: 96 1 .rlr1.11 %pacinlt It. 5. Operiling Hcad= 11 Di.lanee fioni Sidawatl to Pipe in, 6. Flow Ratc = gpm. M. Distribution Pipe Di.ch.llge R.ttr•: t 7. Show Site Constructcd Tank Details on Plans Number of Huh` 1'tr PiI - ia,j L Flow Per Pipe 171r Kpm, V11. IIOI.DING I ANK g al. Manifold Sizing: I. Capacity = Type (LCntr ur cnd) /l4- 2. Mmul,tcturcr. Lengili = It. 3. Show Site C %trucicd Tank Details on Plans Diameter = in, -SHOW ALL INFORMATION ON PLANS- o 3' V-) -t7 v 3 C o n o o v> ~ o V 4 .J a ~1 y o 3 clo CQ (Yi L O Cl o I! S ~ 4 v , T ~ <L tip a n p ~ tl S3 ~ ~ n Q S95-41012 Page 41 Of 7 Cross Section Of A Mound Using A Bed For The Absorption Area (I S-' rN C- 3_~, S.AW3: ~ _ H Sand Fill ~1 F 6" Topsoil Beal elt~ f0 6 e- 10.q. s. 3 E D n-F,W eLt~ = /07,5 Trench Of '2" - 231" Aggregate, Plowed Layer 6" Below Pipe. Covered With D /•O Ft. Straw, Marsh Hay Or Synthetic. fab sic E / as Ft. G / O Ft. F 75 Ft. H /.5" Ft. r, ` .hw PlairView Of Mound"-1 i Tf~ench For The Absorption Area 3 Distribution Pipe Permanent Markers Observation Pipe ~de, Frct A; '7i A -10 W B K I ded Of 112" - 2i" Aggregate ~-ll A S O Ft. IFt. K 11.:5 Ft. W a2~ 0 Ft. 8 75:0 Ft, 1 8.0 Ft. L 970 Ft. Page b 0f_j S95-41012 Distribution Pipe Detail For Two Lateral Network Holes Located On Bottom Are Equally Spaced End Cap 2 o?ap,✓.G PVC Distribution Pipe -1W X P F-a-r'ee, r0,4~t * Last Hole Should Be Next To End Cap Fi~~~ lir>~._ RT c P Ft. Hole Diameter Inch X 60 Inches Lateral Diameter Inch(es) Y 30 Inches Force Main Diameter o? Inches # Of Holes/Pipe In Invert Elevation Of Laterals /o9 oS Ft. r ~ rt .•V v I ' S95-41 Page--6-Of _7 COMBINATION SEPTIC TANK/PUMP CHAMBER- (No Scale) 4" Cl Vent Pipe with Approved Locking Manhole Cover Approved Cap, +251 With Warning Label Attached From Buildings ~ Weatherproof Approved _ Warning Label Junction Box Vent Cap Oinimum Final Grade 6" Minimum 4" Minimum 6" Maximum Quick 4" C.I. ' 18" Minimum :.,Insp. Pipe Disconnect 1/4" Weep Hole Baffles ~ A Alarm B ^✓f; On ~f) J *-APPROVED Off 6' JOINTS WITH APPROVED PIPE D 3' ONTO I L_ Conc. Block SOLID SOIL ]:~U] 9z.o, 3" of Beddi nq Under Tank-/ (r_FF Jose . Note: Pump and Alarm Are On Separate Circuits Number of Doses: Per Day Gallons Per Day/ of Doses: S Gallons n Volume of Backflow:....... + g,o Gallons ,s.~ n+6i„a~n Total Dose Volume Gal l ons Tank Manufacturer: 1yj; doa4errn lgeco Tank Size-Septic/Pump: /,app/asp -Gallons Alarm Manufacturer: 5 CLerErrm S►. r ~ Model Number: i0/ Nub Capacities: A inches or 301o Gallons Switch Type: + B._inches or 3_q_Gallons Pump Manufacturer: + C_ inches or & Gallons Model Number: + D /o,zinches or 7 Gallons Minimum Discharge Rate: t.Q~ I..),- GP9 Total = 38.251 nches or 6,50 Gallons Vertical Difference Between Pump Off and Distribution Pipe:Z;r 5 eet Minimum Required Supply Pressure: + Feet //D Feet of Force Main x aka Friction Factor/100 Feet: + o. &S Feet r,? Inch Diameter Force Main Total Dynamic Head:...= Feet 0\.'?) Internal Tank Dimensions: Length Width Liquid Depth 3VV @ /7,0 /;17 1 HEAD/CAPACITY CURVE 1 O N ~ • Q W - ~ HEAD CAPACITY CURVE ~y - 4 1 0 1 W U. ~ EFFLUENT MODELS IS95 2 31 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE 110 EFFLUENT AND DEWATERING 05 6336 32 SERIES 67 d9 97 96 137-139 161 163 166 lab t66 1N IN I00 FT. M. Gal Ltr' 13a1 Ut Gal Lts Gal. Urs Gal Lts Gal Lts Gal Lts. Gal Lta. Gal Lts. Gal 'Lta. Gal Lts. 30 5 t.62 u -163 66 212 72 ,273 104 394 106 .401 61 231 61 231 6a 220 166 587 156 .597 95- 28 IO -3.06 34 129. 46 .174 61 23t 79 300 100 379 61 -231 61 231 68 220 148 660 161 672 90 15 467 t9 - 72. 36 13J 45 170 64 242 91 U4 227 60 227 68 220 142 637 145 649 26 - 20 410 15 57 26 96 36 t36 82 -310 69 223 60 227 58 22A 136 -.615 140 6J0 BS 26 .7,62. 8 30 74 260 67 210 69 223 69 220 128 484 1JJ 60.1 2480 30 R14 . 66 2" 66 :206 68 =0 90 '340 64 120 121 468 127 "1 w 1219 75 _ 46 171 IB .172 66 206 76 283 68 220 106 J97 111 '.431 22 186 60 16.24 21 50 3J 125 61 191 68 .219 68 220 90 341 100 379 70 - 60 1929.. 16 67 q 161-`. 36 X136 6a 220 71. 269 86 322 20 70 21. 14 65 165 - - ]0 1f1 10 -]8 >u .197 61 193 70 266 60 21.38. _ I4 13 45 170 28 106 64 204 18 60 90 27.43 >2 121 2 8 37 140 55 100 30411 I8. 21 79 16 163 110 3z 00 7 26 a 30 50 Lxk Va1w: 19.26' 23.76' M. 26' 66' 66' 67' n' 115' 91' 112' t IS 12 EFFLUENT &DEWATERING 35 165 X Warning: Model 185 should not be subjected to less ° than 30 feet TDH. 30- 8 25 1B9 Note: For Head Capacity on Model 112, industrial column-explosion proof pump, see FM 219. S 161 1 97 188 10 2 5 98 5 7,59 13 ,39 SEWAGE & DEWATERING 0 GALLONS 10 ° 30 40 50 60 70 80 90 100 110 120 130 140 ,50 160 WARNING: Model 293 should not be subjected LITERS 80 160 24 . 0 320 100 480 560 610 ° to less than 15 feet TDH. W 24 80 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE SEWAGE AND DEWATERING 75 22 294 295 SERIES 262 266 267 268 262 294 &4r,2 70 FT. M Gal Llrs. Gal. Urs. Gal. Lln. Gal. Ltm Gel. Llrs. Gal. Llrs. l. Urs. Gel. Urs. 20 5 1.52 90 311 128 IB•/ 128 484 128 184 lb 492 150 661 % 712 225 652 10 3.05 60 227 89 337 89 337 89 337 95 360 158 5% 81 685 205 776 15 457 225 85 50 189 50 189 50 189 63 238 135 511 65 625 185 700 18 60 20 610 10 3B 10 38 10 38 33 t25 106 WI 50 568 168 636 25 7.62 76 288 68 257 106 401 136 515 153 580 30 9.14 43 163 47 176 90 340 121 458 140 530 5$ 40 12 19 16 5 t9 50 te9 91 356 115 435 50 15.24 50 60 18.29 58 220 89 337 t7 19 59 223 14 70 21934 25 95 45 Lock Valve 18' 21.5' 21.5' 21.5' 26' 35' 42' SO' 62' 77' 12 40 35 10 30 8 293 25 6 20 15 4 282 _ 10 292 - 2 - 5 262 266, 257, 268 284 294 295 0 GALLONS 10 20 30 40 50 60 70 80 I 90 100 110 120 130 140 150 160 170 180 190 200 210 220 230 LITERS 0 80 160 240 320 400 48U 560 640 720 800 880 ,Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human PAI;IfLions Division of Safety 'vEp in a r i ILHR 05, Wis. Adm:-Code 5 v 1012 COUNTY x AAIIrr ST- C Attach completAUSplin4n not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and ho~I reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimension"" brrg~oand location and distance to nearest road. ~ ~ p u s~~ c. S. H WW., ggSS n REVIEWED BY APPLICANT INFORMARN"WEASE PRINT ALL INFORMATION DATE PROPERTY OWNER: PROPERTY LOCATION -17 11,-1 W1 1-1 Q IJ L GOVT. LOT N~ 1/4 S!` 1/4,S z9 T Z9 N.R I tiz, E ( PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 3~p 1~ tLLSt DL C1~LCL_E - - PtZ~t~os`~ `S r--t CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD @~LO V11J, 1 S4 UO ~ (71S)68y- 2 ~3~ el-~w Z3QN TN ST. New Construction Use pQ Residential / Number of bedrooms ? AdditiQn to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow ? gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required ' bed, ft2 trench, ft2 Maximum design loading rate S bed, gpd/ft2 o. L trench, gpd/ft2 Recommended infiltration surface elevation(s) SeEz~ tiuT>; ~r~ ? ;ia ft (as referred to site plan benchmark) Additional design / site considerations t Parent material S ~►.~~-t ~ ~ N--t-1 T t Flood plain elevation, if applicable rv - A - ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE 7 TAT-GRADE SYSTEM IN RLL HOLDING TANK U = Unsuitable f❑ S IO U [w S ❑ U ❑ S ®U E U ❑ S 0U ❑ S MU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench o-a ~o~t~ 3!y - Si 1 Z ceLb1~ rn h CA-s - o•S o. b -1y tiZi '--t Q 3/(- - Std Z ~Sbk )nFh cS o.S ~.b Ground 3 l y 30 S `1 R 31 y - S Z m S 1~K wt v c S - o S 6 elev. 1oN.~ft. y 3o-~LZ S `iR 3)y i `t2 6lz -S 2- $bk 11~v C-s - - Depth to S 4 -L, S L-I~2 Y / y ~ ~n 1y o m 'm ~ i limiting factor S N'Tj U ►v 3 0` Remarks: Boring # c,_ S Z Z $-~3 10`"Q Sib - s1l ZSbr< m« cs o.~ o 3 ~3 -3 S 1 2 3/ y - S \ c tj~ vn v "c g o•, y o S Ground Z t V-1 elev. y 3z- S-7 z sl o w,`ct - - \0..6 ft. Depth to ~f S Pl\ y ? limiting factor 3 Z Remarks: CST Name:-Please Print Arthur L. W e e r e r Phone: 71 5- 4 2 5- 016 5- egierer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: ~lr~ut ~`y~=~''~•~` L:~3- l1b 6 II-u 3 M00576 PROPERTY OWNER O SOIL DESCRIPTION REPORT Page? of, ,3 PARCEL I.D. # , Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxxtary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer>c~ 1 0--7 toga Sly - s11 ZC*`bk V,, ~s - o.s ~•b Ground 3 12 -35 1 S `i R 3 l y S C ShK w~ v~H cS elev. ft. y 3S-Sa S`1 R Y l y F t Utz L JZ s I Depth to limiting factor 3S Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # AMA Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) X95®4191 3 r PLOT PLAN Page of 3 - SCALE I"= 501 I i i I I I~I^ VI I N ~ I i D' M I 1" 40 g.2 B•~ a 2.30 S o l=~R r-~u~l~p B~-~t.100.0 ON %"btIGI4 ~ bits. PVC PtP~-- titTXT ~O 1~UW~ pul.Q~~ .3.3 6 L~~_~Tl., IOZ.Oorv / tTl. l01 I L~1,t`CTtt C F~a-is, ~ti Su~.AT~Q 2. I~HOVC ~U-~ GR ovrvo 1lU w esr s o oc- LX•t'YCT 311TIDI-I Lv~R f~~~v, p►M~vSlU1vS ADD ~ZtsU 't-lulu 1U 3F ~~lzlZMllUOtN ;Z~,v2lF~G w10U1jp S l G N. U) ~u G , IJ Pt' IZbW r-~pur~,~ \S RICAVl►~ ~vD~D, M VMUSL 1U RT L"sr 2S' H~~ r-,outip, a WL``_ N SV/ I/ X13 - ll~ 6- 1\-`~ 715 425-01 n5 1400576 CST Signature Date Signed Telephone No. CST # STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNERBUYER Tim Bol MAILING ADDRESS 340 Hillside Circle PROPERTY ADDRESS 7~0? a30 a v_. (location of septic system) Please obtain from the Planning Dept. CITY/STATE Baldwin, WI PROPERTY LOCATION NE 1/4, SE 1/4, Section 29 T 29 N-R 16 W TOWN OF Baldwin ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME AGE 4, LOT NUMBER l o `mot' 70o`t 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. UWe, 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 ex iration date. SIGNED: tv' DATE:" ~J 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 Tim Bol Location of property Ne 1/4 SE 1/4, Section 29 ,T 29 N-R 16 W Township Baldwin Mailing address 340 Hillside Circle Baldwin, WI. Address of site 7407 02 30 10 56- . Subdivision name e5m /0 . g?d Lot no. Other homes on property? Yes x No Previous owner of property Total size of property Total size of parcel Date parcel was created 0e e- 92 z~ i 3 Are all corners and lot lines identifiable? x Yes No Is this property being developed for (spec house) ? Yes x No Volume 10 anti Page Number 3 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. ' / O ~ ~ (I , 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. c~ Signatur of Applicant Co-Applicant Date of Signature Date of Signature } n 532932 \--van voi_ 1136PAGL610 I S~{Oa P` - t r~-cam- Q-u u 5_ a, I q 5 k • 3 ~c cl rD5m Aotr e, /-o of aV- +-i ~ C~ - ~U-rce m C;rj- a a vg93 :Vo111011 1 0 4.4 o a ` LA7 I c1K _ 1 ~ _ c @a 99 VPbCdiorF ' . JJ ^ ~'Yi AUG 2 3 199 V S-S 41* $40. 13 • \ / 0 8 FILED L OCT221993® 1 JAMES O'CONNELL 507729 g ~erf sc Deeds CERTIFIEDSURVEY MAP Located in part of the NEa of the SE4 of Section 29, T29N, R16W, Town of Baldwin, St. Croix County, Wisconsin. m "J. ~o W m ~,(n vi ~ • to R F N ~7 ~ ~ 0 0' E1/4 Corner o 't m T m , Section 29 UNPL Ai i ED LAND -7 m m O U) n m o 0 0 m $ o 0m 0 N9600'00°E 442.75' °o 00 Q ortrr 410.26' o - 32.49' o m ! 6 6' T I~ 4.50 Acres Inc. R/W ; I~- ~fU Z 196,028 Sq. Ft. Ixc. R/W v rt I> 0 0 i~ If- I-I O 0` I> I-I 0 0 0 1=I I-I Ir~~ 4.19 Acres Exc. R/W C6 0 I~ (-I IC~' O 182,404 Sq. Ft. Exc. R/W rn O Irj rrj w ~ I C7 a ni _ LOT I I-I 4 1 TO -n 4 IN N ifs I> > _ J If~l I 0 -4 I C_, u'- i -I I U I r» I cf, I m a • D o w nm o 29.05' 413.70' z o S90°00'06W 442.75' Ni t0 m N L NIP n ^ 3 3' 33' Ln I-I L r I I ED LANDS' N (n ~ W V 0- LEGEND 8W O OWNER SE Corner Aluminum County Section Warren C Linda VanRanst Section 29 i Monument Found 730 230th Street Baldwin, Wi. 54002 O 111 x 2411 Iron Pipe Set, weighing 1.68 lbs. per linear foot 1001 Roadway Setback SCALE IN FEET 0 50 100 200 VOL. 10 PAGE 2702 1 SURVEYOR'S CERTIFICATE I, Allen C. Nyhagen, registered Wisconsin Land Surveyor, hereby certify that by the direction of Timothy and Terri Bol, I have surveyed, mapped and described the land parcel which is represented by this Certified Survey Map; that the exterior boundary of the land parcel surveyed and mapped is described as f o 1 1 ows : A parcel of land located in part of the NE1/4 of the SE1/4 in Section 29, T29N, R16W, Town of Baldwin, St. Croix County, Wisconsin; further described as follows: Commencing at the E1/4 corner of said section 29; thence S00O00'00"W, along the east line of SE1/4 of said section, 66.00 feet point of beginning; thence continuing S00o00'00"W, along said east line, 442.75 feet; thence S90000'00"W, 442.75 feet, thence N00o00'00"E, 442.75 feet; thence N90000'00"E, 442.75 feet to the point of beginning. Above described parcel is subject to right-of-way for town road (230th Street) and all easements of record. I, also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described;.that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Statutes and the Land Subdivision Ordinance of the County of St. Croix in surveying and mapping same. Y2 t.y V 41 q ~it pprr w [ ,Fb ~+rr.cT its Ng~. Each parcel shown on this map (plat) is subject to state and county laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning office for advice. VOL 10 PAGE 2702 0 WARRANTY DEED THIS IPAG[ e[1[RVaD roe e[COnoIMO DATA DOCUMENT NO. " STATE BAR OF WISCONSIN FORM 2-1982 51,099G 1057PAIA .123 t Y14 5 - - REGISTER'S OFFICE ` Warren Van Ranst and Linda Van Ranst, ST CROIX CO., WI Iluaband. and.-wife. Recd for Record y ~ I DEC 7 1993 i 1 . A: M .0 conveys and warrants to Y 10 Rol,-..husband. and.-wife............... {Y I~ !gs@atrf of t - acrttwN r . . r. a .I ' St: Croix County. - - - the following described real estate in State of Wisconsin: ~ Tax Parcel No: Part of Northeast Quarter of Southeast Quarter (N^, 1/4 of SE 1/4) ' Township Twenty-Nine North (T29N), of Section Twenty-Nine (29), p ,y II Range Sixteen West (R16W), described as follows: Lot One (1) of Certified Survey Map filed October 22, 1993 in Vol. 1110'•, Page 2702. NSFEh } FEE J. ..4 This . --...i 3.. Apt homestead property. ri Qt9~ (is not) Exception to warranties: Easements and restrictions of record. i Dated this /rr- - . - - . day of . . . . . . . . ,1993. ~Vv4.._ • II ...._..(SEAL) LL`t!h0..-._ C (SEAL) - Warren Van Ranst t II 1.) _ - --(SEAL) . . . . (SEAL) Linda Van Ranst li AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN }ar I Signature(s) s- SS. St . Croix - -••--••--•-•--•----•.----County. i I authenticated this day a!.......................... 119 Personally came before me ,phis day of r; O^tS 19.7_..- the above named Warren Van Ranst and Linda - Van Ranst r# TITLE: MEMBER STATE BAR OF W ISCONSIN .I (If not, authorized by 1 708.08. Wis. State.) to me known to be the person 9 who uted the foregoing i e and acknowledge the a 1 THIS INSTRUMENT WAS DRAFTED BY '`!4 Thomas A. McCormack o . Baldwin, WI 54002 Notary Public S - - pert CTO (If - ix t, _.-_sta County, (Signatures may be authenticated or acknowledged. Both My Commission is Permanent. It not, state es Iration ( . are not necessary.) 19 date: z - sNames of persons signing in any capacity should be typed or printed below their signatures. Wisconsin Legal Blank Co., Inc. I982 Milwaukee, Wisconsin r 3 WARRANT! DEED STATE BAR OF WISCONSIN - FORM No. 2