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HomeMy WebLinkAbout008-2009-12-000 a' ° 3 o I as o ~r 0. 0 n o o ~ N .a 0 N N N u a E t N n n y Q CO U U m N ~ U ~ N N 0 Z E 7 m ~ °0 LL C p ~ g 0 ° n o x Q M R' a~ Z N c0 Z'I 0 0 Z 0 Z m d N W a co Z 0 o U o z ? .0 d Z "7 C 0 U) a) z E 72 0 N M E `o 0 N L C U • _0 m 01 0 Q Q N 0 z z o Z 7 N E N N N N " A L C O CL M E I LO W d 0, ~ O p O D a E Q) N ~ ~ ' ci H H F a J w N I o a x 0 0 0 Z° •N R oaaa I o 0 0 U) N fA J U O) O) 0 z '0 N "WAWA N U O N O E n O O N 7D m U) n. O L co N ra In (b N 7 w ~r 0 C Ip N ' co c ol, N~ c co a U~ CU w 0) ai d E C CD N L 05 3 N Li N Op co OO N 7 0 W Y 0 "0 H c~ (p • ?a ° f0 m N p N O E L O O W Z N O Z Z1=5 tUo w E t L - 0 m y Q a Q T E c c 3 r A U a rL O N V l Parcel 008-2009-12-000 03/28/2007 01:14 PAGE 10F 1 Alt. Parcel 01.28.16.579 008 - TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 04/13/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - NELSON, PAUL R & JANIS PAUL R & JANIS NELSON 2693 60TH AVE WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 594 270TH ST SC 0231 BALDWIN-WOODVILLE AREA 596 270TH ST SP 1700 WITC Legal Description: Acres: 3.360 Plat: 10/057-WHITE PINE MEADOWS LOTS 1-12 008/05 SEC 1 T28N R16W PT NE NE (EZ-U-1115/184) Block/Condo Bldg: LOT 012 WHITE PINE MEADOWS ('05) LOT 12 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 01-28N-16W NE NE Notes: Parcel History: Date Doc # Vol/Page Type 12/29/2006 841603 QC 04/13/2005 792070 10/057 PLAT 03/31/2005 790959 2774/460 WD 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.360 25,200 148,400 173,600 NO Totals for 2007: General Property 3.360 25,200 148,400 173,600 Woodland 0.000 0 0 Totals for 2006: General Property 3.360 25,200 148,400 173,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference point ABM), direction and % of slope, scale or dimensioned, north arrow, and location and 0*at'ce toineafestroad. APPLICANT INFO RMATION-PLEAS°PRINT ALL INFOR" TION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Paul R. Nelson GOVT. LOT NE 1/4 NE 1/4,S1 T 28 N,R 16 if (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 2693 60th. Ave. na na na CITY, STATE ZIP CODE PW0N 'N []CITY []VILLAGE EUOWN NEAREST ROAD Woodville, WI. 540 & . (71 S 4 Eau Galle 270th. St. ( New Construction Use Residential,l Nu er of bO 3 [ J Addition to existing building or* j~ Replacement [ ] Public or wmrte4des~i6e Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, gpd/ft2 •5 trench, gpdtft2 Absorption area required 375 bed, ft2 375 french, ft2 Maximum design loading rate • _4 bed, gpd/ft2 .5 trench, gpo1ft2 Recommended infiltration surface elevation(s) 104.80 ft (as referred to site plan benchmark) A ft bona! design ! site considerations contour 1 ine=103.80 Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for system ❑ S ® U ® S ❑ U ❑ S ® U ❑ S ® U ❑ S ®U ❑ S MU SOIL DESCRIPTION REPORT Depth Dominant Color Motlles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 1 1 0-12 10 r3/3 none sl 2msbk mfr if .5 .6 2 12-27 10yr4/3 none sl 2msbk mfr gw if .5 .6 Ground 3 27-37 10yr6/4 none f s Osg mvfr 9w na .5 .6 elev. 104.1 ft 4 37-60 10yr7/4 sandstone re idumm Osg mvfr na na np np . Depth to limiting factor 37 Remarks- Boring # 1 0-11 10yr3/3 none sl 2msbk mfr gw if .5 .6 2 2 111-38 10yr4/3 none sl 2msbk mfr 9w if .5 .6 3 38-60 10yr7/4 sandstone res dumm Osg mfr na na np 'np Ground 104. 1 ft, Depth to limiting factor 38" Remarks: CST Name:-Please Print Gary L. Steel Phone. 715-246-6200 Address: 1554 200th. e, , New Ri ond, WI. 54017 Date: CST Number: Signature: 12-8-94 cstm 02298 PROPERTY OWNER Paul Nelson SOIL DESCRIPTION REPORT Page 2_of 3 PARCEL I.D. # Boring # Horizon Depth I Dominant color Mottles Texture I Structure Consistence Botirbry Roots GPD/ft in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. Bed ITMnch 1 0-11 10 r3/3 none sl 2msbk mfr if .5 .6 3 'XI €<~ia«« 2 11-2 10yr4/4 none scl 2msbk mfr gw if .4 j .5 r Ground 3 27-3 10yr44/ f2d 7.5yr5/6 scl 2msbk mfr gw na .4 j.5 elev. 102.3ft. 4 33-5 10yr7/2 c2p 7.5yr5/8 sandst ne resid mfr na na np ~np= Depth to limiting factor 27" Remarks: Boring # Lei: \k$a\~i'r'r'rv Ground elev. ft. Depth to limiting factor Remarks: Boring # ~w Ground elev. ft. Depth to limiting factor Remarks: Boring # hVivhvvKii::.. Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel Paul R. Nelson 1554 200th Ave. CSTM2298 NE4 NE4 S1-T28N-R16W New Richmond, WI 54017 MPR4SW 3254 town of Eau Galle (715) 246-6200 N 1"=40' BM. = top of 1" steel pipe C el. 100' w/ marker Tl Y G . Alt. BM.= top of 11, steel pipe C el. 100.86 w/ marker lot 55 acres 1 ti r Coe #10ie,/d T1 eEff . a 1215 I z~' ol 611 tc Gary L. Steel 12-8-94 41~~ 490e 'p'r/woo /o goo 5~.1~°331 CERTIFIED SURVEY MAP Located in part of the NE 1/4 of the NE 1/4 of Section 1, T28N, R16W, Town of Eau Galle, St. Croix County, Wisconsin 60TH AVENUE NE CORNER OF SECTION I, NORTH LINE OF THE NEI/4 U N P L A T T E D LANDS I" REBAR FOUND OF SECTION I WEST 1977.14' w WEST 330.00 WEST 350.00 w w N 1 /4 CORNER "L _ - - b WEST 330.00 ~ W OF SECTION I, - - - - - - - - I"REBAR FOUND I 1 C 0 m W N 1z 0 Z I C: o o SETBACK HOUSE z w Ir A (LINE _ I - - -ID-U! - - - - W-1~ m 1-0 r aZao m Uf~D i~ N I D 0 3 2~ ~1 POLE SHED ~ - I ro m r m 1-1 m SEPTIC- tp I i nmi ° z W I M TANK I I I oo_ 1--i m W -4 (D c0D I~ W 41 CCL El GARAGE W 1M m CD nM I 0 J;11 (A IC) mim ~r (DRAINFIELD 0 1 0 Zm ID fc~1 SHED AREA 0 IF n m m m I z m m IQ WELL ID A z J ''nnmv z i- Ao co EAST 330.00 ?m UNPLATTED LANDS LEGEND E 1/4 CORNER OF SECTION I, O - 3/4"X 30" REBAR, WEIGHING 1.502 LBS./LINEAL FOOT, SET I"I.D. PIPE FOUND 00 SCALE IN FEET PARCEL CONTAINS 9 0 50 100 200 2.50 ACRES INC. R/W 108,900 SO, FT. 11 OWNER 2.25 ACRES EXC. R/W 5 JAN 3' 98,003 SO. FT. JAMES O'CONNELL CLAYTON FULTZ Register of Deeds 3821 IRONWOOD CIRCLE SL Croix Co.,WI SIERRA VISTA, ARIZONA 85635 ~ N DRAFTED BY APPROVED, opmOHM!>lN0 BRADLEY CANADAY eaA N CA Gomprehtmsive' planti(r Zonkig and • 5U 'f not record4ki 'tat within 30 day (cf approval d6tn VOLUME 10 PAGE 2721 approvaxi sh&fso ni.ill & vi)O v r O STC 104 AS BUILT SANITARY SYSTEM T u ~`O d' OWNER P AV ADDRESS aZ 6 2 3 (~D l ~j /,2 u e Z M SUBDIVISION CSM# LOT SECTION T 2,2N-R4_W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF YSTEM w -AMC 1 1 r„S~ P Pat /ago INDICATE NORTH ARROW -1 "S Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. c ~ f BENCHMARK: S17 ALTERNATE BM: Tf/< 99 SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: r"-SCE Setback from: Well k D_ House 2, 2 Other Pump: Manufacturer Mode # Size lj Float seperation Gallons/cycle: Alarm Location u 7-i Z-,/ SOIL ABSORPTION SYSTEM Width: Length. Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House Other •/°~"'s~-~a/G ELEVATIONS Building Sewer ST Inlet. ST outlet 70 PC inlet PC bottom ?-;2- Pump Off s ~s Header/Manifold Bottom of system Existing Grade ~3, Final grade DATE OF INSTALLATION: (m PLUMBER ON JOB: /S LICENSE NUMBER: INSPECTOR: J-/ API 3/93:jt 4Y. --1-- 7% 6'A N W J w r TOTAL DYNAMIC HEAD FEET/ 0 HEAD CAPAGM CURVE METERS 0 4% DE 39 CAPACITY GALLONS/LITERS 0 30' CAPACITY - + 1'l'h HEAD UNITS/MIN 0 00 _ NP F ET METERS GAL LTRS T 8 5 1.52 104 394 5'3/32 0 25 10 3.05 79 300 0 w 15 4.57 64 242 = U 20 6.10 36 136 1 a 6 20 25 7.62 8 30 } ~(J 26 7.92 0 _ 0 o J a 15' r r 4 10' 2 5 12~/ I 60 80 90 100 110 0 40 50 70 U.S. 10 20 30 q GALLONS 240 320 400 LITERSI 80 160 , 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 phase systems. • Electrical alternators, for duplex systems, are available and a Double piggyback mercury float switches are available for supplied with an alarm. variable level long cycle controls. • Mechanical alternators, for duplex systems, are available • Long cords are available in lengths of 15-25-35-50 feet. with without alarm switches. • Over 130°F. (54°C.) special quotation required. • Combination starters are available. Standard All Models - Weight 47 lbs. 1/2 H.P. SELECTION GUIDE back merlcurequired. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external ry float 137/139 Series Control Selection 2. Single piggyback mercury float switch or double piggy switch. Refer to FM0447. Model Volts-Ph Mode Amps Simplex Duplex 3, Mechanical alternator "M-Pak" 10-0072 or 10-0075. N 137/139 115 1 Auto 10.4 1 or 1 & 8 3 or 5 & 6 4. Combination Starter. Refer to FM0514. D137/139 115 1 Non 10.2 2 or 2 & 7 _ 5. See FM0712 for correct model of Electrical Alternator "E-Pak". E137/139 230 1 Auto 5.2 1 or 1 & a 3 or 5 & 6 6. Mercury sensor float switch 10-0225 used as a control activator, specify E137/1 9 230 1 Non 5.2 2 & 2 & 7 duplex (3) or (4) float system. *H19 200-208 1 Auto 8.2 1 & 8 3 or 5 & 6 7. Four (4) hole "J-Pak", junction box, for water tight connection or wired-in 11337/17/13 39 200-208 1 Non 82 2& 7 'J137/139 200-208 3 Non 2.2 2 & 4 3 & 4 or 5 & 6 simplex or 2 pump operation, 10-0002. 'F137/139 230 3 Non 3.0 2&4 3 & 4 or 5 & 6 g, Two (2) hole "J-Pak", for Watertight rtight connection or splice, 10-0003. 'G137/139 460 3 Non 1.5 2&4 3&4or5&6 No molded plug CAUTION Three phase units require acontrol switch to operate an external magnetic or combination starter All Installation of controls, protection devices and wiring should be done by a qualified . licensed electrician. All electrical and safety codes should be followed Including the For information on additional Zoeller products refer to catalog on Combination starter, most recent National Electric Code (NEC) and the Occupational Safety and Health Act FM0514; Piggyback Mercury Float Switches, FM0477; Electrical Alternator, FM0486; (OSHA). Mechanical Alternator, FM0495; Alarm Package, FM0513; and Sump/Sewage Basins, FM0487. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 3280 Old Miners Lane Manufacturers of . 0~~~~~ O. P. O. Box 16347 p „ LOU►SY►I►e, Kentucky 40216 uf[irr PUMPS fNCE J (502) 778-2731 4 Wiscoifsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State Pla NELSON, PAUL R. X CST BM Elev.: Insp. BM Elev.: BM Description Parcel Tax No.: TANK INFORMATION ELEVATION DATA ;!9j; TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. SepticS e C~ z l) Benchmark 1d , ~ Dosing I Aeration Bldg. Sewer 67/ Hold' St/ Inlet 9 TANK SETBACK INFORMATION St/ Outlet TANK TO P/ L WELL BLDG. ventto ROAD Dt Inlet i) Air Intake Septic ESQ NA Dt Bottom 3 ~7 Dosing NA JVlan. ' Aerati NA Dist. Pipe a• /0-2-, 27/ Holding Bot. System ' S~ O PUMP AiMtIDWIMFORMATION Final Grade Manufacturer ~y errand Model Number GPM TDH Lift 1( ,93 Friction jS System's TDH 5 Ft Forcemain Length ~ ' Dia. Dist. To we SOIL ABSORPTION SYSTEM BED / AWidth o, Length/ No. Of Trenches _ No. Of Pits Inside Dia. Liquid Depth DIMENSIONS c0 DIMEN I N n ufaaurer: SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEACMMG SETBACK INFORMATION Type O CHA R Mode System: NIT DISTRIBUTION SYSTEM Header / M//aapnifold Distribution Pipe(s) x Hole Size// x Hole Spacing Vent To Air Int Length Dia i /i 21-: Length 3d Dia. Spacing '/d 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 (J-No- ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) c~ J fL~OC-,gATION: Eau Galle.1.28.16W, NE, NE,, 270tJ1 Street , A- 4" s may} / . ; U J X u. ~,W ~~'iL.G2l tT~.,"~ g?i!/«.r: -/LjGL4:G; y Gf ~..YY1 C-'Sri ✓ Plan revision required? ❑ Yes b 4o O Use other side for additional information. SBD-6710 (R,,,05/9_1) Die Inspector's Signature Cert. No. , ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than !,/J{ p^(831 8% x 11 inches in size. ❑ Check if revision td previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNERn PROPERTY LOCATION 4 /"r 40'4 4 U /1 Al t-'- a /~/S l T N, R/ to E (or) PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE / ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER dtl A mal 6 e L II. TYPE OF BUILDING: (Check one CITY NEAREST ROAD State Owned iiig 1 VILLAGE : Lo.+ G~-~ 2 7O T~ 7- TOWN]Public Q 1 or 2 Fam. Dwelling-# of bedrooms PARCEL TAX NUMBER(S) E III. BUILDING USE:. (If building type is public, check all that apply) d O F l4 C70 ~2 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 80 Mobile Home Park 12 ❑ Service station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. Lp New 2. ❑ Replacement 3.E] Replacement of 4. ❑ Reconnection of 5.E] Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 DK Mound 30 El Specify Type 41 El Holding Tank 12 ❑ Seepage Trench 22 In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 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 ©Q ~0 ® lj vZ IV A_ 0 1Y,11 Feet l06 Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holdin Tank .Z (cr2 le El _F _L 171 F1 I r_ Lift Pump Tank/Si hon Chamber . / + Ag R FJ El EJ I El 1:1 Vlll. RESPONSIBILITY STATEMENT I, the undersignet , assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: ( o Stamps) MP/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): X 9o T4 6 1-r 6 ,sLL & IX. LINTY/DEPARTMENT USE ONLY jpd Disapproved Sanitary Permit Fee (Includes Groundwater Date ssue Issuing Ag nit Signature (ij1d Sta Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination a 5~._ aCJ X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: I SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber -J INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the 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 & 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 Famiiy Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending cn system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/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. Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; close volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) f f SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations February 13, 1995 2226 Rose Street La Crosse WI 54603 WEGERER SOIL TESTING 421 N MAIN STREET PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S95-40067 FEE RECEIVED: 180.00 NELSON, PAUL R. NE,NE,1,28,16W TOWN OF EAU GALLE 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. &erardM 1 m Pl an Reviewer Section of Private Sewage (608) 785-9348 7564R/ 1 SHDA-7987 (R. 10/84) ' n Page ~ of 895-4006P7 MOUND SYSTEM FOR RECEIVED A y BEDROOM RESIDENCE ~gg5 FEB - g- ~~~y & BLDSs. Div. LOCATED IN THE NE 1/4 OF THE NE 1/4 OF SECTION ,T-7-8 N, R 16 W, TOWN OF t ku GprL,C , ST- C-Q~t11X 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 I i i PREPARED FOR Avg, 6 g3 60'M PREPARED BY WEGEF;ZEF2 SO I L TEST I NG B ®4~,~ ~ A AND escoly ARTHUR L DES = GtV SCR V I CE s.~' ~ s F.O. BOX 74 421 K. KAIK ST. WEGERER RIPER FALLS. KI 54022 s = a swoon, s VW& sy~V~'gl GI`t~' ~N lam F~3. -7, L R cj S JOB NO. 9Z% - PLOT PLAN Page Z of 6 Scale 1"=30' EXIT oS SI{0w" S95-40067 ::_RT l-i~`ftST 2S ` 1=~1~1►1 •T`I~J!u1rcS. _ 1J 0 cn O 32' os i II ~ I I ( I ~ ~,tJ~ 8.3 '2s, f i~U ~ P. Fe. I I I I gv~^ ~ I 1 I y'PI, IS, +rf?~ O Z ~r r 32• ~ >"or cow►Pk~T ~ ~ T~t3 ►g'Rfi?R. ecY.,rUvrt ~TL. ~03,~ ~.x,~,5~,a Qu1' OF 31 . A 6SK~ em - LWL tpo•0, o,~ loll Ot= sreEL Pt PE w/r9 A R.Ir.L too•166' o►~, Z'OP of I" ST*VL V-,Wr l1W a of PtP~ W~ ~R rR_ (5•Z9 fSMe pAe:m 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 1 Zoo gallon capacity manufactured by ~lIpWEST N ~ G}sT.11uC. ~vY'►P 1' B~ i►'iiDw~S1Z~tN 1000 Gott ~Ckwk 5. Bench Mark See- Q e"t 6. Divert surface water around mound to prevent ponding at the uphill side. Page 3 Of Approved Synthetic Covering Distribution Pipe F~ST~''1 3 3 Medium Sand _ H _ G Topsoil F Elev. ) Oy • O -3 E D b Pf°,VATE SEWAGE SyS~4 Slope Bed Of 2~- 2,2 (Force Main Plowed Conditionally Aggregate From Pump Layer D 1 Ft. DEPT. OF I~YL►USTR BOR HElFlAN REf ATiON E 1 • Ft. DlYdSIGN F SAF AN ;LDIK~S dross Section Of A Mound System Using F o.% Ft. A Bed For The Absorption Area % G 1.0 Ft. SEE COFt NDENCE A 1b Ft. H \-5 Ft. Linear Loading Rate= q-S GPD/LN FT B 63 Ft. Design Loading Rate= o. y GPD/SQ FT j Io Ft. J b Ft. K 1A Ft. 4term 4o Position L 8 S Ft. of Force Main W 37- Ft. L Observation Pipe 8 K 01 A - I Distribution Bed Of z"- 2 z Pipe Aggregate Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area 895-40067 Page Of Perforated Pipe Detail 0 End View Perforated PVC Pipe Install permanent marker End Cap) . k at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Face Main Y~'f~B~ll f PVC V "A Manifold Pipe *r ~ ~ ~ 4, ~ RE1.AT1flNS Distrl utian TST llILD~NGS Pipe 1101. OF t FESY A I Oil! 95E0 Lost Hole Should Be Next To End Cop NpE~GE End Cap ~ $E ORR P 3© Ft. Distribution Pipe_ Layout S I- Ft. X Li b Inches Y u Y5 Inches Hole Diameter Inch Lateral 1 lJy Inch(es) Manifold Z- Inches Force Main 'Z_ Inches # of holes/pipe g Invert Elevation of Laterals 113S-30ft. N Place 1st hole Z4 from center of manifold with succeeding holes 11 at Ya intervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS PAGE S OF 6 VENT CAP S95-40067. -i"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE 10'FROM ODOR, JUMCTION BOX COVER WITH WARNING LABEL ~ WIIJDOW OR FRESH 12 M1U. I AIR UJTAKE I GRADE I 7 H" MIN. LL l~5 # I 18' MIIJ. CONDUIT-- 19"MIN. ~h c,~Y9AGE SYST VPROVIDE I - IAILE T k FO- = g:~ ! io IYXTICPHT ;SEAL APPROVED JOIAIT A T Q)IgA stru 11 comply i I I APPROVED JOIUTS with approved Wihsr w LHR 83.20 I III pipe extending R"JA1,4 g I I ALARM 3 feet onto d "LpgDR R tiK~ib 1%. ( 1 solid soil. DF OF tKOlls OF FEn ( I ON Both sides of c alvls f I tank. CLE1f: gS.tZ F7 OR Iy0Et1GE PUMP --i OFF 0 c' y.0 CONCRETE 5LOCK APPI2oVED RISER EXIT PERMIITEO ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL gE,OO1µG SPECIFICATIOAIS DOSE TANK MANUFACTURER: M 1~~)2Wj ~ 7 ST NUMBER OF DOSES: 33$ PER OAy TANK SIZE: 0 00 GALLONS DOSE VOLUME 1 INCLUDING 5ACKFLOW: GALLONS ALARM MAfJLIFACTURER: S'S' )ELeCI'U SWTE"r'IS P%OOEL NUMBER' CAPACITIES: A= 6 WCHE5 OR q < GALL.OUS SWITCH TYPE' y~1 cUR Y . 8 = Z INCHES OR S'Z Gf LLOLJ5 PUMP MANUFACTURER: Z0 C' Lk- e, PA1PAN`( C ■ -7 WCHE5 OR , b Z" GALLOWS MODEL NUMBER: q.i2s D- ~3-1IZIMCHES OR 3S I GALLONS SWITCH TYPE' wIC12eu1-i e. Y MOTE: PUMP AMD ALARM ARE TO DE 1 MIUIMUM DISCHARGE RATE -L GPM INSTALLED ON 5EPARATE CIRCUITS VERTICAL DIFFERENCE OETWEEU PUMP OFF AU0_0I5TRIBUTIow PIPE.. N0'18 FEET + MIAIIMUM NETWORK SUPPLY PRESSURE . 2.50 FEET + 2S FEET OF FORCE MAIN X Z'~q f oo fLFRICTION FACTOR. 0'6$ FEET . = TOTAL OyWAMIC HEAD = 3 ' 3 b FEET DIAMETER ,r INTERLIAL DIMEI,15101 i OF TANK: LENGTH _ ;WIDTH -~';LIQUID DEPTH 3 S IZ' BOTTOM AREA - - 231= GAL/INCH AS PER MANUFACTURER = Z G:o GAL/ INCH _ HEAD CAPACITY CURVE 3 7/8 6 1/4 MODEL "98" 30 4 5/8 -1 8 6 2 3 5/8 = 6 20 + -I- U O Q 15 4 3/16 4 )3 .3b 0 10 3~. ~y , 1/2-11 1/2 NPT 2 5 S Vq5fis40® 0 U.S. GALLONS 10 20 30 40 50 60 70 80 LITERS 80 160 240 0 FLOW PER MINUTE TOTAL DYNAMIC HEAD/FIAw PER MINUTE EFFLUENT AND OEWATERINO !i 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 III 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 GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard all models - Weight 39 Ibs. -1/2 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 Am 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 S. Mercury sensor float switch 10-0225 used as a control activator, specify D98 230 1 Auto 4.5 1 or 1 & 7 - duplex (3) or (4) Boat system. 6. Four (4) hole "J-Pak". junction box, for watertightoonnection or wired4n sim E98 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 Alex 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 Combutabon Suer. FM0514; All installation of controls, protection devices and wiring should be done by a qula h Piggyback Mercury Switches, FM0477; Ebdrical Alternator . FMO486: Mechanical Alternator. fied licensed electrician. All electrical and safely codes should be followed includ- FM0495: At- Package. FM0513; Sump/Sewage Basins. FMO467; and Simplex Control Box, ing the moat recent National Electric Code (NEC) and the Occupational Safety and FM0732. HeaNh 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 ZA11ZM TZ7 LwWWs, KY 4WIS fie, Ky 4025"W Manufacturers of... SHIP M. 32W Old Aff5w Law ® (502) 778-2731 a 1(800) 9284'UMP QawmrriiMVS ~'yvcE sm, ~WisconsinDepartment ofIndustry, SOIL AND SITE EVALUATION REPORT Page 1 of J~abor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, WIS. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Paul R. Nelson GOVT. LOT NE 1/4 NE 1/4,S1 T 28 N,R 16 i (or) W PROPERTY OWNERS MA!t_ING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 2693 60th. Ave. na na na CITY, STATE ZIP CODE PHONE NUMBER ❑CITY F]VILLAGE (MOWN NEAREST ROAD Woodville, WI. 54028 (715 698-2443 Eau Galle 270th. St. ()4 New Construction Use Residential / Number of bedrooms --3- 9 ( ) Addition to existing building Replacement ( ] Public or commercial describe CHWW.) I D - /C -9 N gy 6-IJAV 5YZ- Z Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, gpd/ft2 .5 trench, gpd/ft2 Absorption area required 375 bed, ft2 375 trench, ft2 Maximum design loading rate • 4 bed, gpd/ft2 .5 trench, gpd/112 Recommended infiltration surface elevation(s) 104.80 It (as referred to site plan benchmark) Additional design / site considerations contour line=103.80 Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for svstem O S ® U ®S O U EIS ®U O S O U I OS ®U 0S M SOIL DESCRIPTION REPORT Depth Dominant color mottles Texture Structure Consistence ' Roots GPD/ft Boring # Horizon in. Munsell Glu. Sz. ConL Color Gr. Sz. Sh. Bed ITrerrh 1V 1 0-12 10 r3/3 none sl 2msbk mfr w if .5 .6 a;:» 2 12-27 10yr4/3 none sl 2msbk mfr gw if .5 .6 Ground 3 27-37 10yr6/4 none f s Osg mvfr gw na .5 .6 elev. 104.1 ft. 4 37-60 10yr7/4 sandstone re idurrmt Osg mvfr na na np i np Depth to limiting factor 37" Remarks: Boring # 1 10-11 10yr3/3 none sl 2msbk mfr gw if .5 .6 .2..... 2 11-38 10yr4/3 none sl 2msbk mfr gw if .5 .6 3 38-60 10yr7/4 sandstone res dumm Osg mfr na na np np Ground elev. 104.1 ft. Depth to limiting factor 38" - I I I A Remarks: CST Name: Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th. ve, , New Ri ond, WI. 54017 Signature: - Date: CST Number: 12-8-94 cstm 02298 '•,yERTYOWNER Paul Nelson SOIL DESCRIPTION REPORT Page of PARCEL I.D. N Depth Dominant Color Mottles Texture Structure Consistence Iftncbry ( Roots GPD/it Boring # Horizon in I Munsell Cu. Sz. ConL Color I I Gr. Sz. Sh. Bed jTmnch 1 0-11 10 r3 3 none sl 2msbk mfr if .5 .6 3 I 2 11-2 10yr4/4 none scl 2msbk mfr gw if .4 I.5 . yr Ground 3 27-3 10yr44/ f2d 7.5yr5/6 scl 2msbk mfr gw na .4 j.5 elev. 102.31t. 4 33-5 10yr7/2 c2p 7.5yr5/8 sandst ne resid mfr na na np np Depth to limiting factor 27" Remarks: Boring # Ground elev. it. Depth to limiting factor Remarks: Boring # y •S Ground elev. ft. Depth to limiting factor T77I Remarks: Boring # Ground elev. it. Depth to limiting factor Remarks: SBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Paul R. Nelson 1554 200th Ave. CSTM2298 NE4 NE4 S1-T28N-R16w New Richmond, WI 54017 MPR4SW-3254 town of Eau Galle (715) 246-6200 1 N 1"=40' BM.= top of 1" steel pipe C el. 100' w/ marker -.K/ 4,V G . Alt. BM.= top of 11' steel pipe C el. 100.86 w/ marker - lot 55 acres r V/ ~G 1 2~~S~aPB `4OU A /J ~vyAOY'OI4 RE j7 r V 1`7a 3F,- , z 1 s~Gary L. Steel 12-8-94 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAILING ADDRESS f h Y+ y -e S`- yQ ;fig PROPERTY ADDRESS 1 y 270,S/ (location of septic system) Please obtain from the Planning Dept. CITY/STATE Lo a Gr y L L-e tz') S S^ e'-Z PROPERTY LOCATION 1/4, 1/4, Section T 2 N-R_W TOWN OF ~o 40 CA t6-e, ST. CROI K COUNTY, WI SUBDIVISION AL LOT NUMBER CERTIFIED SURVEY MAP , VOLUME , PAGE LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating conditioq 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 requi en and to aintain the private sewage disposal system in accordance with th,e standards set forth, here t by the Wisconsin DNR. Certification stating that your septic has been maintaine must pl and returned to the St. Croix County Zoning Officer within 30 days of the three y exp' i at . r SIGNED: DATE: ~s St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 8TC- 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 /'4 (J L /U,.- [ c o4 Location of property AI~E 1/4 IV~--- 1/4, Section T _2.,LN-R W Township e ,*v Mailing address '2'6!92 - .1,O 7 4A-v .c 000c(t,:LLa Address of site 1411 Subdivision name / Lot no. Other homes on property? Yes No Previous owner of property A' - ~.1 i L 7~- Total size of property Total size of parcel Date parcel was created 3 Are all corners and lot lines identifiable? x Yes No Is this property being developed for (spec house) ? Yes -_No Volume 1616 7 and Page Number S~ 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. 21 L and that I (we) presently own t e proposed site for the sewage disposal system or I (we) obtai ed an easement, to run the above described property, for the const uction of said system, and the same has been duly recorded in the ffice of the County Register of Deeds as Document No. 7 Signature of Applicant Co-Applicant Date of Signature Date of Signature I; DOCUMENT NO. jl WARRANTY DEED THIS Sp.ACa R[SLRVZD son RLCORDINO DATA STATE WISCONSIN FORM 2-1982; j V r,~e 5.43 ; R~.GtS1iER'S OFFICE S7 CROIX CO W1 II Anna..,.... ultz~..oxme lY.. Ann3.. Jane-t te.. H~.i.ie?n r............ I I Ra;'d for R-^rd a/k/a Anna Hellerman and Clayton•_Fultz,t_.a/k/a I I Clayton-•C. _-Fultz~ MAR 7 1994 d Janis R Nelsol, 8:10 4. conveys and warrants to at ..pau>r._Rs~YI4Q)?d..Ne~sA)2_.dA..._ I " ~A M ii a/kta .Janis.-Ruth. Nelson,..husband.and. -wife.,..as..siurvivoxzb1p. marital..property,..-..................................................................... ►41~0eQg f~ RETURN TOi ii the following described real estate in S...t...Croix ................................County, State of Wisconsin: Tax Parcel No: NE 1/4 of NE 1/4 and E 1/2 of NW 1/4 of NE 1/4 of Section 1, Township 28 North, Range 16 West, St. Croix County, Wisconsin. CFAlSFEh Q F~ This ls homestead property. (is) (is not) Exception to warranties: Subject to easements, reservations and restrictions of record. 'i I Dated this 3 day of al + "r o 19...94.. I - . .....................(SEAL) x ISEAL) ANNA J. FULT , formerly a Janette •Ile-llenman,--a/.k/-a_Anna..He irman..._ ..................(SEAL) k- .~t.~~~ ..........(SEAL) CLAYTO'k FULTZ, a/k/a Clay on C. Fultz AUTSSNTICATION ACHNOWLEDOMENT ~ I Signature(s) STATE OF WISCONSIN as. li t St----.---•----County. i authenticated this day of 19...... Personally came before me this day of March .........................I 19-94.. the above named Anna JFultz formerly Anna Janett.................... t................ Hellerman, afk/a _ Anna Hellerman, and 4 . TITLE: MEMBER STATE BAR OF WISCONSIN - ---Clayton Fultz,. ark/-a-.Claxton C Fultz, (If not. authorized by 4 706.06, Wis. Stats.) to me known to be the person s......_... who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY ....••••....ST~RI3~N.,1....almw................................. Q p . HIlS~S9Aa..3"I SGOI) n..-----....-•• Nota a t._'C ESTES.. .County, Wis. (Signatures may be authenticated or acknowledged. Both My er 00t, s to expiration are not necessary.) date: Q01lNnc...__ 19_~LpJ AAP '~11i N EXPIRES JUNE t{, IYle sNsium of persons signing in any capacity should be typed or printed below their signatures. WARRANTT DEED STATE BAR OF WTSCONSTN Wisconsin Legal Blank Co., Inc. FORM No. 2 - 11082 Milwaukee, Wisconsin