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HomeMy WebLinkAbout002-1086-60-000 -0 C) So o 03 h ~ 00 ~M M Y 0 M ~ tl O N O it O ICI tl o"i I N O O O Z C 7 (6 C U. O C ~ 'D CD E Q U M a v ~ Z O z d m 04 w ! a m M U) c 0 co O Z o N H S ~ E Z 72 N Cl) N C _0 L O C 0 O O ~ Z Z o N E Z 41 - N lot r II N ~ > CL a 2 % m 0 ° N W 41 -C O ° D a m N j f/1 A fr co) Z E N o 3 3 o N ~ O O O Z •►y ~IL IL IL CL ~i C N ~O 0) a) -1 v 3 m 0) a) rn z '0 N N O - 0) 0 ca 2 00 O O ° a Q a m z U) Q Q N d 00 3 (D to ^i O ° O y C ° U c a~i v, m rn CD 0 0) W co C DI U w~+ '=O ° I~ N 0) +0 ~ O~ m III J N O Z G~ `2' Cn v~ d R ~I € a 3 a L CL • cq a m .2 m E L c c r A U a m 0 N o Parcel 002-1086-60-000 05/03/2005 03:37 PAGE 10F 1 Alt. Parcel M 34.29.16.499C 002 - TOWN OF BALDWIN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner " LYBERG, ROBERT A ROBERT A LYBERG 668 250TH ST WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 668 250TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 4.310 Plat: N/A-NOT AVAILABLE SEC 34 T29N R16W LOT 1 CSM 3/734 COM NE Block/Condo Bldg: COR SEC 34;TH S 1530.2 FT; TH S 89 DEG W 33 FT TO POB; S 89 DEG W 471.28 FT; S Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 394.81 FT; TH E 471.25 FT; TH N 400 FT 34-29N-16W TO POB Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1121/604 WD 07/23/1997 753/403 07/23/1997 7071626 2004 SUMMARY Bill Fair Market Value: Assessed with: 42691 104,400 Valuations: Last Changed: 11/02/1999 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.310 11,800 58,400 70,200 NO Totals for 2004: General Property 4.310 11,800 58,400 70,200 Woodland 0.000 0 0 Totals for 2003: General Property 4.310 11,800 58,400 70,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch 510 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 45.00 Special Assessments Special Charges Delinquent Charges Total 45.00 0.00 0.00 s Jftconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of '3 Labor and Human Relations r 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 5 t C-~~X• 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. v0 Z.- L 0 SE, -__GO APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Ru3~MT $Lz7t C. GOVT-LET SN~F 1/4 NE 1/4,S iq T 19 N,R I ( E(MOW PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # L, 65 ZSO TEf ST. - CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE (MOWN NEAREST ROAD wD~DV~~IF W1 SyOzB S)69a-2,S-)6 8~~~w~►~ ZSO1t? sT. [ ] New Construction Use N Residential / Number of bedrooms 3 [ ] Addition to existing building j~cl Replacement [ ] Public or commercial describe Code derived daily flow 'A SO gpd Recommended design loading rate o y bed, gpd/ft2 - trere, gpolft2 Absorption area required.. 31 S bed, ft2 trench, ft2 Maximum design loading rate __,o - S bed, aDd/ft2 0 J, trench, gpd/ft2 Recommended infiltration surface elevation(s) 1 1 S ft (as referred to site plan benchmark) Additional design / site considerations KA~ w x< q*-)' t3qb , 1-l t 1V , Z. ` o F S-f\ ~ 1-1 !_L. Parent material s L ov E_sz S1 T I \_k Flood plain elevation, if applicable N P\ - It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U Unsuitable for s stem ❑ S O U INS ❑ U ❑ S OU ❑ S IRU ❑ S fd U ❑ S MU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botxxaly Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends I o. t1 lo~tz 3tz Sit Z`FSbk mfg cS - o-S o b 1u`-lh 316 S1] Z`~Sbk mfh cS o•S O.b Ground 3 11-30 3•S `iR 313 - S c" wt M QH GS 0-3 o.y elev. F l 100 _Z 303~- _71.S`111 313 ~•S`tR s!g s' O'n miF- - - Depth to limiting factor Q ~ Remarks: Boring # ~ 1D~2 312 St, Z~S~k 'FH CS _ O•S o- rv 0.6 Z Z $,1~( 1~~It2 316 - s1~ Z~S~k Yn-~v cS - o•S 0•b 3 ►y ?0 LO `12 31~ c .'S `t 12 Sig, S t 5 Z ~s bk ~t^ : c S ' ` = - - Ground elev. Zo -4 I •S `t 2 313 't 99-5 ft Depth to limiting factor I~ Remarks: CST Name:-Please Print Phone: Arthur L. We erer 715-425-01.65. egerer.Soil Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022 Signature _ _ = - - - t)ate ' _ -GST Numt 1 °15_182` b Z°t-`3 M00576 a... 3', PROPERTY OWNER L`13 ~Z G SOIL DESCRIPTION REPORT Page Z. Of PARCEL I.D.# ~oZ-- 1U8~i- 60 li. Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed T :::..Is.k 0-8 \b`1~Z 31z. StI Z`~-Sbk ~►`E1. c - 0.5 0- Z $-11 t~~tZ~16 - sj1 Z`Psbk m~~ cS o.S u.L, 3 - S~ pv►•~ ~~4r cs a_3 o.y Ground 3 l~-1Z 1.S14P- 31 elev. In •g ft. y 22.-30 • S y R 313 G . S y lZ S 1$ S 0,-,,, v►n 'F~ - ^ Depth to limiting factor y Remarks: Boring # ,~:t~~ 'tiu 3 PCQO\ \~L`T'S 1Va S u~ __f~W k~~S CAF ~g Ground Svl L S f~- 1 U, 2- d Q LI PU G ►'~/PCS elev. L S r~ ft. Depth to V o L L ~yv O L U l~J v f ctorg G l L 1,J\. S eU1V ) )0 f C_O j l Remarks: 'I Boring # r (k Ground elev. ft. , Depth to limiting factor Remarks: Boring # Ground . elev, ft. y Depth to . limiting factor Remarks - - - PLOT PLAN Page 3 of 3 SCALE 1 G 2~~L T ~ tD No. ~ Z - X086 - 6 u _ _NUT~~oDE Cn~P~`>!NG , 1 13 i~ co~~~,rz . 49 _ 5 ' Ij e oa B~~U 1r4 1. S, 2 ~o ,vot- cor-~~~n-ter ~2s,., irt4gs j o~Z olslvczs 3 ' T I S 4 / / ~L l00 Z c7 i Qr"I -ET1..• ~DU.p ON LPn`21 ~st~ 'S1Z~. L~ ARoPoS~ 11 ovSE Dtbbu X660 e 19 -L ct5 (71 5 ) _ 4 2 5-= 5 I~Q 5Q 7 6 CST Signature Date Signed Telephone No. _CST # v. STC - 10 , 4 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS ao. SUBDIVISION / CSM# LOT # SECTION T N-R W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM l"DO t- S r INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. • A BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: ,ey, ' Liquid Capacity: Setback from: Well House Other Pump: Manufacturer Z,~ c y model #~7S'_ Size y Float seperation Gallons/cycle: Alarm Location 04 q - (1 ~ SOIL ABSORPTION SYSTEM Width: Yength Number of trenches Distance & it ction to nearest prop. line: Setback fr 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: 3/93:jt Wisconsin Department of industry, PRIVATE SEWAGE SYSTEM County: Labor aria Hudian Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: ~ GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village C] Town of: State Plan D No.: LYBERG, ROBERT R Raldwin CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic - / Benchmark tod, P;r 106r Dosing Aeration Bldg. Sewer [Holding St/ Ht Inlet 9q, P ,I' TANK SETBACK INFORMATION St/ Ht Outlet Vent irito ROAD Dt Inlet TANKTO P/L WELL BLDG. A ntake /7.Q~' 9'4.a~y Septic NA Dt Bottom la, 35" Q0.3~ ` Dosing >~o• a?S- NA Header/Man. o s/,a5 iba. rz Aeration NA Dist. Pipe a~' Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade 7 ja 3. a ' Manufacturer Demand Model Number 99 a< GPM TDH Lift 11,131 Friction ,Sg' Systems r' TDH /c ,V Ft oss Forcemain Length 130, Dia. Ha " Dist. To well>dS ' SOIL ABSORPTION SYSTEM BED/TRENCH Width Length , No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 8' 7 / DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type Of CHAMBER Moe Number: System: 66 ` 'c5c~' i✓lA OR UNIT DISTRIBUTION SYSTEM " Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. t Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only F epth Over Depth Over xx Depth Of xx Seeded /Bedded- xx Mulched ed / Trench Center g Bed /Trench Edges ~a Topsoil - [Yes ❑ No 13 Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Baldwin.34.29.16W, SE, NE, 250th Street Plan revision required? ❑ Yes E~No Use other side for additional information. /D 0q , SBD-6710 (R 05/91) Date In a or's Signature Cert. No. ASTIONAL COMMENTS AND SKETCH , SANITARY PERMIT NUMBER: I Safety and Buildings Division 14ANITARY PERMIT APPLICATIA Bureau of Building Water System: 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. :5~_ . ~-f I • See reverse side for instructions for completing this application State Sanitary Permit Number a 5/o~~ The information you provide may be used by other government agency programs ❑ Check if revision to previou 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 1/4 ,U19- 1/4,Sjlfl* T.I-Ct , N, R E (or)~W Property Owner's Maili Address Lot Number Block Number Q 7'?' 5- City, State Zip Code Phone Number Subdivision Name or CSM Number'. j r II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ City Nearest Road ❑ age 2 S® 7.- ~ E] Public 1 or 2 Family Dwelling - No. of bedrooms ,3 Town of _ 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) -,x ` Id _~rO 1 ❑ Apartment/ Condo 0 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. jR 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 2119 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation y 4 Feet G.3<~ Feet VII. TANK Cag in gallons Total # of Prefab. Site Fiber- Plastic Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass App. New Existing strutted Tanks Tanks Septic Tank or Holding Tank Qv~ / iQ yr ® El El El El El Lift Pump Tank /Siphon Chamber `~C f s7" ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se ge system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: o Stamps) P PRSW No.: Business Phone Number: 44'/lAill c4 ZY Plumber's Address (Street, City, State, Zip Code): t. IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved San ry Permit Fee (Includes Groundwater ate Issue Issuing A nt Signature o Stam s) Approved E] Owner Given Initial ©2 rr~90, Surcharge Fee) s Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6396 (R. 05/94) DISTRIBUTION: Original,to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS g. 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 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 orefix (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 1/1 x 11 inches must be submitted to tl-,e ,:aunty. The plans must ~ucf t llowir,g: A) plot plan, drawn to scale or with complete dirnens, : location of holdinc, tank(s), septic _rmenttan ks-; 6!_i:Idingseviers, wells, watermains/vvaters ;-.e, orer s~fiJ iak(s, pumporsiphon - ia . is 6,u: on;,.oxes; soil absorption systems; replacement system a as, ~ _i e (ora1_or f Lhe'building served; 7 ~_l and verhCdl el >V,1r otl eFr4~nce points, complete w vu hCcft ~ iJr p:~ri, -1 (Onl ols; dose volume; differences; friction loss; pump per formanre ~_urve; pum,, model ar , .^-p m.:~ D) cross section of soil absorption .y:,tern if required by ti;e I-) soil test data 4 1:r , 6r, sizing information. - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (`ees) for a number of reg,lated pra tices which can effect groundwater The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations B s July 5, 1995 2226 Rose Streek, J O La. Crosse WI 3 f r e WEGERER SOIL TESTING } ' S 421 N MAIN STREET PO BOX 74 RIVER FALLS WI 54022 ~rF RE: PLAN S95-40786 FEE RECEIVED: 180.00 LYBERG, ROBERT SE,NE,34,29,16W 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. Si ®r, eSw' Plan Reviewer Section of Private Sewage (608) 785-9348 1439R/ 1 SRDA-7W7 (R. Iww) • • Page of 6 • MOUND SYSTEM S95 1040786 FOR A 3 BEDROOM RESIDENCE LOCATED IN THE Sfr 1/4 OF THE 1VEsl/4 OF SECTION ' q T -?q N, R 16 W, TOWN OF 3 wLN S'T • CCtDLX COUNTY, WISCONSIN. INDEX PAGE 1 *of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION, PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR Ro~~T' t.~Q~ZG 6U S zso ~ sr. wUc~wt~t✓E,wl 5~1oz.f3 RECEIVED JUL-3iM SAFETY & BLDGS. DIV. PREPARED BY ~~~~4gb@'v@EQ9~g~~ WEGEF:;t ER SOIL TESTING 0 AND, DES I Gi~i SrIERV I CE ~'tir pip, ARTHUR L. M ' WF.GERER F.O. BOX 74 421 K. KAIK ST. P 5LLSWORTH. RIVER FALLS. VI 54022 $ wc5. 715-4~ ~♦~osQ 6-30-9 S JOB NO. 9 S-) q z PLOT PLAN • Page z- of 6 • Scale 1"=q0 « - - S95-40786 ~ ~o r~o, ooZ _ 1p$6 -6 u uv 'C~'t S 1'nu.~ ~ ~ NOS' C.oDE ~ti"LPLylr~G , ` ~3 ~ 9 "1kjTV ,z k1., 9.4.5 11'x', or- B~~D DO Not Coy-L1~PrLT 2S; Lf1~245 o~Z DLslvtz.~ , ~y' a. Z I 9 / ~LL00 ~ ~ ~ ~yPUVE ByP~~1~ Q i 160 OF Z4 PVC n 2l V \'Lv P~ 11 14 5 ~U C \~1 P~ w( 30 OF L{,(PVC ~p~•nhlJ H-ovSE _ a~ s ~a w ~.m 3 x-- LIP 665 r.. , sea-vie 1. SoUT-A UivL OF Y IBC. 1~~2 NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be \oob/ESC) gallon capacity manufactured by 1~l L l~ w 1E J 1 0-" ;k's L i.j 5. Bench Mark SLR f~30UE 6. Divert surface water around mound to prevent ponding at the uphill side. • Page 3 Of S95"40786 Approved Synthetic Covering c~s~ c 33 Distribution Pipe Medium Sand G Topsoil F Elev. 1p~, S E D 3 ' r z - % Slope ~i " Bed Of i«-2 z Force Main Plowed f Aggregate From Pump Layer ~ Taq- of %033TRY,SA D 51;r- D Z_ o Ft. Cross Section Of A Mound System Using E 2.3Z Ft. EC ~ A Bed For The Absorption Area F o, 8 Ft. G Y. 0 Ft. A 8 Ft. H 1.5 Ft. Linear Loading Rate= q•5"7GPD/LN FT B W1 Ft. Design Loading Rate= o,y GPD/SQ FT j 1 Ft. J 10 Ft. K 13 Ft. !tea atQ Pn~~~}inn L 3 Ft. F-QV4"aan W 3 Ft. L d Observation Pipe 8 ° K ~ A I - - t I•----- ~I Force Main Distribution Bed Of --2,1" " Pipe Aggregate I Observation Pipe Permanent Markers (Anchbi securely) Plan View Of Mound Using A Bed For The Absorption Area Page 4 Of Perforated Pipe Detail 595-40'786 0 End View Perforoted End Cap1 { PVC Pipe Install permanent marker at end of each lateral Holes Located On Bottom, Are Equally Spaced IQ S PVC Force Main to / A Apr y PVC `s' Manifold Pie s° "u g HU r' S yx Distri ution + i'+' ~g1% OLD _reV Pipe ehit'.~irte`. Last Hole Should Be ( g Next To End Cop ~ .S V End Cap P Z Z Ft. Distribution Pipe_ Layout S Ft. X 1l$ Inches Y V3 Inches Hole Diameter Inch Lateral Inch(es) Manifold Z' Inches Force Main Z Inches # of holes/pipe Invert Elevation of Laterals ~OZ.O Ft. 6 x = 1, o Z x y~ Z,g . 0 8 GPr~1 'TUB L li Place 1st hole from center of manifold with succeeding holes at ~~I~intervals. Last hole to be next to the end cap. ombination Septic-*Tank an • PLIM~HAMBER CROSS SECTION AMD SACATIOWS ' PAGE S OF VEWT CAP SCg►~KjXK 0() 786 JuuCT B ~JJ 4'C.1. VENT PIPE APPROVED LOCKING '-•lO' FROM DOOR, MANHOLE COVER >N► WIMDOW OR FRESH wARNI>JG -Pr9El. A ; IMTAKE S ca~pulr c >J _ I mu. GRA I I 18' MIW. - 18~1'IIAI. \ I UJLET PROVIDE AIRTI6HT SEAL I i') 1 I ~ tyFF~~S APPROVED JONT A I I I ( APPROVED JOINTS I I ( w/C.I. PIPE~~C W/ ~ C.I. P1PEaR Tan. construction I II L , .sha°~ 1 comply with I I A ARM I ZLHR <`3.15 and 83.20 B i i orJ *0' ± IiS1~3S ptt J3<B ~;i: e. LLEV. 211-7-9 FT. -_J * ~~E,tSSTiC(, PUMP OFF . ,T • 'r.nx ltd F S . D COUCRETE BLOCK E G 13" ADPRwE RISER EXIT PERMITTED OWLIJ IF TAWK MANUFACTURER HAS SUCH APPROVAL gEDpI SEPTIC f SPECIFICATIDUS DO TAWK4j SE MANUFACTURCR: ~~I~DW~ p C~sT NUMBER OF DOSES: 3' 8 PER DAy TAWK :,IZE : IMCN /1-50 GALLOWS DOSE VOLUME z S S E~_ S"la-vial's INCLUDING BACKPLOW: 1 Ll y• S GALLoNS ALARM MA►,IUFACTURCR: MODEL WUMBER: lOl NW CAPACITIES: A= l8 IMCHES OR 3aO 0 GALLOyg SWITCH TyPC: " E~Ic JC~ B = Z IWCHES'oit 3\ GQLLOAIS PUMP 1,kAWUFACTURCR: Z oE-UL eR C = 8 J IZ I►ICHES OR S GAL.LOUS MODEL MUMBER: D- 911 INCHES OR t"S GALLOAIS Y'J ~ZC~1R-Lf MOTE: PUMP AMD ALARM ARE TO BC b SWITCH TYPE: MINIMUM DISCHARGE RATE Oa GPM IN5TALLED OW 5EPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEAJ PUMP OFF A►JO..0I5TRIBUTIOU PIPE.. FEET + MIAIIMUM w[TWORK SUPPLY PRESSURE . . . . . . . . . 2.5 o FEET + FEET OF FORCE MAIN Y, `'~1 F ,,,T.FKICTIOU FALTOR_. Z" FEET TOTAL OtIWAMIC HEAD = 15.1 °I FEET DIAMETER Pump chamber = 3 a INTERAIAL. DIMLWSIOWJ OF TAk1K: LEM&TH ;WIDTH ;LIQUID DEPTH BOTTOM AREA - 231= - GAL/INCH AS PER MANUFACTURER = 1-1.0 GAL/INCH LJ L e- HEAD CA ITYCURVE 31 6 1/4 Pfd 6 OF 6 E' ~v ' MO "98" tJ 5g 40786 30 J 8 e 25 3 5/8 = 6 20 } U O a 4 3/16 0 15 J 4 o t0 2~, 08 1 1/2-11 1/2 NPT 2 5 0 60 U.S. GALLONS 10 20 30 40 50 70 80 LITERS 80 160 240 0 FLOW PER MINUTE TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING CAPACITY 12 HEAD UNITS/MIN FEET METERS GALS LTRS 5 1.52 72 273 10 3.05 61 231 15 4.57 • 45 170 3 5/16 ' 20 6.10 25 95 Lock Valve 23' CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and supplied with an alarm. three phase systems. • Mechanical alternators, for duplex systems, are available with or • Double piggyback mercury float switches are available for without alarm switches. variable level long cycle controls. SELECTION GLIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard all models - Weight 39 lbs. - '/z H.P. 2. Single piggyback mercury float switch or double piggyback mercury, float 98 Series Control Selection switch. Refer to FM0477. Model Volts-Ph Mode Amps Simplex Duplex 3. Mechanical alternator 10-0072 or 10-0075. M98 115 1 Auto 9.0 1 or 1 & 7 - 4. See FM0712, for correct model of Electrical Alternator, "E-Pak". N98 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor float switch 10-0225 used as a control activator, specify D98 230 1 Auto 4.5 1 or t & 7 - duplex (3) or (4) float system. 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in sim- E98 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 plex or duplex operation, 10-0002. 7. Two (2) hole "J-Pak", for watertight connection or splice. CAUTION For information on additional Zoeller products refer to catalog on Combination Starter, FM0514; All installation of controls, protection devices and wiring should be done by a quali- Piggyback Mercury Switches, FMO477; Electrical Alternator, FMO486; Mechanical Alternator, fied licensed electrician. All electrical and safety codes should be followed includ- FM0495; Alarm Package, FMO513; Sump/Sewage Basins, FM0487; and Simplex Control Box, ing the most recent National Electric Code (NEC) and the Occupational Safety and FM0732. Health Act (OSHA). RESERVE POWERED DESIGN r For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. Z MAIL To. P.O. BOX 16347 Louisy", KY 40256-0347 O Manufacturers of. T 80 Old Millers Lane Louisville. KY 40216 QUIL/TY PUMPS fhVC1 /y,?9 (502) 778-2731 • 1(800) 928-PUMP FAX (502) 774-3624 Wigconsin Departrr•.ent of Industry, JVO 1 L AND SITE EVALUATION FO 0 R T Page 1 of 3 Labor and Human Relations 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 S 1 C _Z_Q Xx 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. 1,0860-_60 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION R~3F T L~-18E~CG GOYT-t:eT SN~j- 1/4 NF 1/4,S3q T Z9 N,R 16 E(ocwD PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # _ L' 65 Z so '1~1+ CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®fOWN NEAREST ROAD wboOVY~_LR WI Sq OZS f~lS)698-2, S-) 6 IN ZSO'N Sr. [ J New Construction Use pQ Residential / Number of bedrooms 3 [ ] Addition to existing building j~ Replacement [ J Public or commercial describe Code derived daily flow Ll SO gpd Recommended design loading rate o• y bed, gpd/ft2 - trench, gpd/ft2 Absorption area required 3-1 S bed, ft2 3~ S trench, ft2 Maximum design loading rate o__ S bed, gpd/ft2 r ~ trench, gpd/112 Recommended infiltration surface elevation(s) %O S it (as referred to site plan benchmark) Additional design/ site considerations )--wJ w / S 'Y- V,-)' e ~?b , M f ►v . Z ' OF S-P~> 1=-f L_L_ . Parent material S I Lw~ ov QR S1 T L Ll Flood plain elevation, if applicable t-' • k- It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem ❑ S O U INS ❑ U ❑ S 19U ❑ S [RU ❑ S [RU ❑ S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Body Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmr& x [ oyll l~`L1L 3jZ - 51~ Z`FSb~ v"~ es - o.S o.~ N Z 11-t-j ~u `-t ►Z 31~ - SO Z`Fs bla m f~ cS - o. S U- b Ground 3 1"t-3o 1-S`11Z 31~ - 5 C Ql~ CS - a3 0,y elev. loe Z-ft. 3o J- R 313 Depth to limiting factor Remarks: Boring # p 0_8 1o~a 31 Z sly Z'Fs~k M'FH CS _ U•S . 4 '.o.b Z" Z g~1y 113t11 316 slJ ZFsbk rn'~~ c-S - o•S 3 ty Zo L+J `I R 3~` c~'1 •'S `i R sly S l Z'Fs blrc "►'t Ground °t~ 5 ft Depth to limiting factor _L LL Remarks: CST Name:-Please Print Phone. Arthur L. We erer 715-425-0165 Wdress: egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: - Date: - CSNumt- °iS -1°1Z b -Z.°l- gS M00576 z r PROPERTY OWNER L`13ZG SOIL DESCRIPTION REPORT Page?- of , PARCEL I.D. # Z- - 10 8 b - O Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounfty Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trendi o.; 3+ 1 0 -g \p `t~z 31 z 1 s t 1 Z`~ s bk ~►'Ei,. - 0-S .><< Z g_11 tZ 31~ S Z`~ Sb~ miv- cS Ground 3 ~~-2Z 1.S`t2 3l3 S~ >~E^ cs _ 0.3 v+cf. elev. ft. y zz-3o ~•S yR 313 c ~.S`ili s1$ Depth to limiting factor ZZ' Remarks: Boring # ~,>w>~.:c~ 3 gaol Z~t`S-s Na S u~ ~ w~ s aF Nlosv-lb MUV S \Z L l S f 7 L Ground elev. le S ft. Depth to ~U Q- 'An 13~j 0 L L C Urv \l L ~ U iU U limiting E-1- G I L `-0 LtJ V S COAJ SW PUA-b r 0- 01) factor II Remarks: Boring # :i f Ground elev. ft. Depth to limiting factor I( I Remarks: Boring # Ground elev. ft. Depth to r limiting factor Remarks: - - - ` PLOT PLAN Page 3 of 3 SCALE 1"= '40 ' n ~o r.~o, oo Z _ ~.pg6 - 6 u uv S t'CRl,~ ~ ~ t~uT c~~F cov~PLy1NG , ~ ~ ~ I cokjvv fit_ q4' _ 5 ~4r, of 8~~ 2 `Jo rvoT C~>"1.1~Pre.r ~ ~-t,ggs wt DIsTvct& 3y' 8. L T~ l S A tZ.-~'R -~i i i t!6. \ I N a ~'~P1N ~ V 9~Pin1~ I O V7 QY"t lOp•p ON 6" \-}tGH 3W I)IA, ~V C \~tp~E w( I ~ wet f 3 %rwit m t~R.oPos~ ~ N-ovSE Otbou 4-668 / sewn.e „oo(( ou TFfiLL ~ 8 Soul?t t_t►vt; 0 Y Ft 0-. F`Nkce. cls 95-19? 6- (.715 ) 4 5 -o.1 6 5 14005 7 6 CST Signature Date Signed Telephone No. CST # r' -35 347CERTIFIED SURVEY MAP 734 Part of the Southeast 1/4 of the Northeast 1/4 of Section 34, Town 29 North, Range 16 West, Town of Baldwin, County of St. Croix, State of Wisconsin, described in Volume 3 of Certified Survey Maps, page,_ 734_as Certified Survey Number 7 34-.• r °8 9 Q~NE SEC 54 29N RR16W FILED ° NOV 22 1978 h' JAMS C± NW R/R - • 6% 0WX caway N o p Mj e • • O 5890 22. oe W 471.2$• • H .ObO ~ 33.00• ~ ~ av• APPROVE p: APPROVAL Or'• T1;iS MINNOr SUMVISICN ; W - DOES NOT M..APJ APP.OVAL FOR N_01I 17 1 3 :'6; 8UILDIN07 --'-.Ti-. On SEPTIC SY JEM. REFER TO H62.20 ST. C:20<X : O' . COMPdEH'N$iV_' PL':; z Z: -r~.p~rt•r,, LOT I AND ioNING coy ,i ncc_ : . BEARING REF. TO THE EAST 4.31 ACRES LINE OF THE NE 1/4 SEC 34 TRAILER °o T29N R16W ASSUME BEARING m HOUSE p C). NORTH LEGEND x 3/4!x30" IRON ROD Z, c 3~ WEIGHING 1.502 L$/LF SHrDS • Z SCALE 25 0 50 100 BARN • HOU .900 I • Ob Do 0ob • 0 0 ~ EAST 471.25• ~33A0 • • UNPLATTED LAND I, THOMAS G. KUESTER, Registered Land Surveyor hereby certify that I have surveyed, divided and mapped a part of the SE -14 of the NE ,_.o..i~4ecti on 34, T29N, R16W, Town of Baldwin, County of St. Croix, State of Ia.S~Coflsin, more particularly described as: Commencing at the Northeast corner of Section 34; gGo111 Thence South 1,530.20 feet; Thence S. 89 22 0811 W., 33.00 feet to the point of be9innin9;S Thence continuing S. 89622' 08" W., 471.28 feet; Thence South 394.81 feet; W. S-13d5 Thence East 471.25 feet; lmnk M Cr.• Thence North 400.00 feet, to the point of beginning. 07 O 1 Said parcel contains 4.31 acres, more of less. ee~'~ ti.~~M•,.•• -L~. -VIA That I have completed such survey, land division and plat by the direttion of•Glenn Malcein. That such plat is a correct representation of all exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provisions of Chapter 23.6 of the Wisconsin Statutes and the subdivision regulations of the County of St. Croix and the Town of Baldwin in surveying, dividing and mapping the same. DATED THIS SDAY OF Q c]`.- 1978. vv o Volume 3 Page 73;1 I r~ STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OV;NER/BUYER. ROBERT LYBERG MAILING ADDRESS 668 250TH STREET, WOODVILLE, WI 54028 PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE WOODVILLE, WI 54028 PROPERTY LOCATION SE 1/4, NE 1/4, Section 34 , T_ _Z2 16 W TOWN OF BALDWIN ST. CROIX COUNTY, WI - SUBDIVISION LOT NUMBER CERTIFIEDSURVEY VOLUME 3 PAGE 7> f~ LOT NUMBER_ Improper, use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: ` DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 STC - loo This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property ROBERT LYBERG Location of property SE 1/4 NE 1/4, Section 34 T 29 N-R 16 W Township BALDWIN Mailing address 668 250TH STREET, WOODVILLE, WI 54028 Address of site SAME Subdivision name e: Lot no. Other homes on property? Yes~No Previous owner of property dQoa3er~ ~fy Total size of property Total size of parcel 4'. 3 f Date parcel was created .!!~j r 1-, ;9;2,'7 r Are all corners and lot lines identifiable? be Yes No Is this property being developed for (spec house)? Yes _,Nj~_No Volume 5-1 and Page Number OJ 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. 4/68$17 , 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. iCo-Applicant s''// Date of Sianaturo nat. of Sirinlat"tiro 'A 1 t DC5UMENT NO. WARRANTY DEED • 71115 SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 528954 VOL1PRrE 04 - Thomas E. nxm pson and Shari L. ~*llen-Thompson, husband Roc'u _ MAY 15 1995 and wife,--indiyidually and each in their own right I ut' 11:55 A. 1 -si_ng3'~ •1 Ebert -A. Lybera~_ -lfiari conveys and warrants to - . - - J _ all of the Cantors' one-half interest in t 1 I TI . Hugh H. Cowin • P.O. Box 106 - t: 121 - ix Hudson WI 54016 the following described real estate in County, --1--______.__ State of Wisconsin: 002-1086-60 Tax Parcel No: A parcel of land located in part of the SE4 of the NE4 of Section 34, Township 29 North, Range 16 West, down of Baldwin, St. Croix County, Wisconsin, described as follows: Lot 1 of a Certified Survey Map filed November 22, 1978 in Volume 3 II of Certified Survey Maps, at Page 734 as Document No. 353470 in the office of the Register of Deeds for St. Croix County, Wisconsin. I 1 hD~ S~ FEE is not This homestead property. (XX (is not) Exception to warranties: TOCETHER WITH AND SUBJE T TO anv other easements, covenants, servations or restrictions of record, if any, but this shall not be deemed to extend any such other recorded encumbrances beyond the term established bv_ law therefor. Dated this ....5/.~~./.S_.. day of X995 . - - _ _ S EAL) - (SEAL) Thomas E. Thompson l - - - - - - - - (SEAL) 5 - 1--l-1-1--l - - -(SEAL) Shari L. llen-Thompson - - AUTHENTICATION ACKNOWLEDGMENT Signature(s) Thorms E. Thonpson and Shari STATE OF WISCONSIN L.11 -Thompson as. 41 /ly ----County. authen ted > l.. y of .....Y 19._95 Personally came before me this day of 4 19...••--- the above named Z~ Hu H. Gain TITLE : MEMBER STATE BAR OF WISCONSIN (If not- authorized by § 706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Atty Hugh H. Galri 430 2nd St., Hudson, WI 54016 Notary Public ---_Coprity, Wis. natures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration t necessary.) date: signing in any capacity should be t~ -wintod below their signatures. -ifg BAR of wiscoNsm Wisconsin Legal Blank Co., Inc. f'ORM No. 2 1932 Milwaukee. W'sconsin