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HomeMy WebLinkAbout010-1078-20-100 ~ 0 3 °o I 3 o II v~ I ~ I o c o c a) E c V 3 cu I y o aUi o N r o s c6 i E " m c 0) M CA ~ I vi O I CO E o o c I CL [r C o a E a y vg (D rn C Z ~V Z cY c LL c o y o Y a~ o r 3 I 3 I Q N -a c O N I M y g N z E z E z `m m `m d N co 0. m a M H C7 I O I C C7 y z :!t V7 y. O aoi Z~ C I c z Q) E '2 y a) Cl) I y c I c O O z z p z z N I E z N V N R > > V! R co ~y a a `.3 V No `+4 d m c ~i o! o G G d n a a° G a a E - co ~w Q p ° N N N 3 N N N v Z > FL IL U) Z ~ ° t~l c v c N o 'i o N m rn o rn rn y N J V CO On Z M O } o 0 O U) N (D N N y C O' p t O CO C N co Op y Q CA N y N tT co 7s N d d QI Z Co Q} U) m 41 N V1 N N H O 0 O O N C W C y O C O O a N O N E 00 r- ed0 :3 0) C) O N m o c c c Y rn N l v N€ E y c m a~ v co ~n.0 O CA y c- Q) N L CO N N a+ 'O O Gi O cc COO O N d O V V U I~ .0.. V Z• C t N O) R3 ° N E N °O O y O O 7 v • O M W N O Z N Z z m N 0 Z N Z r~ = € a V v~ d .o € a EL L: a ~ a ~ c c r`I~1 E 2 i Parcel 010-1078-20-100 03/06/2006 05:02 PAGE 1 OF 1 F 1 Alt. Parcel 32.30.16.475B 010 - TOWN OF EMERALD Current K ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - BUECHTER, GERARD J & SHERYL J GERARD J & SHERYL J BUECHTER 1203 220TH ST BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1203 220TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 2.412 Plat: N/A-NOT AVAILABLE SEC 32 T30N R16W PT SW SW BEING LOT 1 OF Block/Condo Bldg: CSM 9/2669 2.412 ACRES (EZ-U-1151/596) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-30N-16W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1088/231 WD 07/23/1997 1088/230 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 80553 142,800 Valuations: Last Changed: 10/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.412 18,000 113,300 131,300 NO Totals for 2005: General Property 2.412 18,000 113,300 131,300 Woodland 0.000 0 0 Totals for 2004: General Property 2.412 18,000 113,300 131,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 107 Specials: User Special Code . Category Amount 010-GARBAGE SPECIAL ASSESSMENT 30.00 Special Assessments Special Charges Delinquent Charges Total 30.00 0.00 0.00 TZ146~ Y_~O~ OZJ/ 1 ~ ILED ti AUG 2 519930- 0 c~• JAMES O'CONNELL 04408 r_ Register of Dods WI CERTIFIED SURVEY MAP MARION AND SUSAN OEJONG Part of the Southwest 114 of the Southwest 1/4 of Section 3=', Township 30 North, Range 16 West, Town of Emerald, St. Croix County, Wisconsin. W 114 COR. SEC. 32 , 7 3O N , R /6 W , ( /q ON O Indicates 1" x 24" iron pipe weighing 1.17 \ PIPE) lbs./lin. ft. set. 3 h PPROVED I N I Owner's Address: W 330 Hillside Circle x J~ a Baldwin, WI '=4003 3 h I UNPLATTED LANDS I a m N CROiX COUNTY O I r. >ahrtsivo Planning Zoning and e (A[ Q( " N 86 3/' 24" E Y.07.71' T1tSr Cbxu ktee J 364.7/' 133' 33' I ROAD SETBACK Q1~'r4t,r'atorded I° II / L/ N E b lhitr 2y T of ~I L f L o r ai dat a W /00 -~`II Q = sttaYl b I~I M 3 i_2. 412 -ACRES - - - - - - - -O rI!q void Q I ` / , Oda S0, FT, N W J 0 . M a6. 4 ACRES EXC. ROAD _ QI ti)77, 7(5 S0. FT. I N i a /oo' It J 6 6' Z N 90° 00'00" W 382.38' w µ r -k 1~ f( C. TH. DD b h h S LINE SW I14 p 419.29' ~ _.2209.49' SW COR. SEC. 32,730 m N 90. 00 00 W 2628.78' S -I14 CORR.~SEC. 32, R16W,I000/JTY SURVEYpR'S MON.)M 730N, R16W, (R/R SPIKE) I UNPLATTED LANDS i LAU N ti This instrument drafted by W P Y o• James 0. Filkins S 713 a RIVER FALLS,.-* J~ 40 WISC. Q Fq v LAND 511.. 4 e Dated: 8-4-1993 61660 0t W W Laurence W. Murphy h Registered Land Surveyor h y Q ¢ Vol. 9 Page 2669 m ~ 3 Certified Survey Maps St. Croix County, Wisconsin. SHEET 1 OF 2 SCALE l" = /00' 0 25" so, /00' 1.70' 200' 300' STC - 104 lCr AS BUILT SANITARY SYSTEM REPORT a N t *4 OWNER 'va y~~ ~w cli7`~Y q • f/_ ADDRESS JJ SUBDIVISION / CSM# # SECTION T N-R W, ro f C~cs.✓ l` ST. CROIX COUNTY, WISCONSIN PLAN V SHOW EVERYTHING WITHIN 100 STEM V\ L a ~ o INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. e ~f BENCHMARK: 574 ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: bj.dwey7e,~- Liquid Capacity: 1ozal9 Setback from: Well 0'r- House 2 3 Other Pump: Manufacturer Modelj# Size Float seperation /v e-r Gallons/ ycle• Alarm Location SOIL ABSORPTION SYSTEM Width: yLeng h Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: 1111_5-,1!R5 PLUMBER ON JOB: , LICENSE NUMBER: INSPECTOR: 3/93:jt C M Wiss -nsin Depiartmentof 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 PeBUECl erkN meGERARD ❑ City village Town of: State PI CST BM Elev.: Insp. BM Elev.: BM Description: X Parcel Tax No.: TANK INFORMATION C/ V ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Cry /d _ Benchmark ID o: Dosing " rr~v '53 °O Aeration Bldg. Sewer Holding St / Ht Inlet TANK SETBACK INFORMATION St/ Ht outlet fem. s° ' 's b /-a 2c' TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 3 /Ur i NA Dt Bottom /(.36' ~5,7S Dosing rasa NA Header/Man. Aeration NA Dist. Pipe X70' /0/'(-3' Holding Bot. System ye iol. PUMP/ SIPHON INFORMATION Final Grade 3.6 0~ Manufacturer Demand Model Number ~ 09,,08 GPM TDH Lift/5-,9-3 Friction 7o Systems; Loss DH.,,j,,-3 Ft Forcemain Length_V-' Dia. Dist. To Well O SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS p ,7 " DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM INFORMATION Type Of _ CHAMBER Mode Number: System:/),)07t~ Y-1 Zoo' 3 ti OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake v Length Dia. a" Length Dia. Spacing _ ya n (o y - 1 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 116 " Bed /Trench Edges /a - 1'6 Topsoil ❑ Yes No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Emerald.32.30.16, SW, SW, CTH DD 5.5- 3 Plan revision required? ❑ Yes Lff im o Use other side for additional information. /S~ ~S ? z SBD-6710 (R 05/91) Date spector' signature Cert. No. ADDITIONAL COMMENTS AND SKETCH t r ' SANITARY PERMIT NUMBER: Safety and Buildings Division v~~€3 SANITARY PERMIT APPLICATION Bureau of Building water Systems 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 12 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs ❑ Cht- if ievlsion to previous application (Privacy Law, s. 15.04 (1) (m)1. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name Property Location d,VCLY41 X1/4 Tii~d 1/4, S T 70 , N, R AerE (or Property Owner's Mailing Address Lot Number Block Number 2 d 7" _T7 r City, State . Zip Code Phone Number Subdivision Name or CSM Number 0 ( ) e_' Q I Itz '040 OV~j II. TYPE BUILDING: (check one) E] State Owned ❑ E Nearest Road ❑ Public 1 or 2 Family Dwelling - No. of bedrooms nge of wr E] a 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1❑ Apartment/ Condo 0 7 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. VNew 2. ❑ Replacement 3. ❑ Replacement of Reconnection of 5. ❑ Repair of an Sys System --tem Tank Onl Existi System ----------T~j' B) ❑ A Sanitary Permit was previously issued. Permit N ber Date sued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ,Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ 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 6G't~ ~ 600 ;-0 /,o _ IM'/ Feet . am Feet VII. TANK Capacity site INFORMATION in gallons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. New Exist in Gallons Tanks Concrete struded glass App. Tayynks Tanks Septic Tank or Holding Tank 4200 r` ❑ ❑ El ❑ n Lift Pump Tank /Siphon Chamber Q c ON VI11. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite s age system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: ( Stamps) MP(MPRSW No.: Business Phone Number: 41,2 Af X, r- owpa Plumber's Address (Street, City, State, p Code): 1,07d s6 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Late sue Issuing A nt Signature (NO m s) A roved Surcharge Fee) pp ❑ Owner Given Initial :t Adverse Determination D X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-6398 (R. 05194) DISTRIBUTION: Original to County, One copy To: Safety & Buililings Division, Owner, Plumber INSTRUCTIONS 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 purnper 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. 1V. Type cif 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 manufac urer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding hanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. V111. Responsibility statement. Installing plumbeF.is to fill in name, license number with appropriate prefix (e.g. MP, etc.), addres$ and phone number. Plumber must sign application form. 1> . CoyAty / Department Use Only. (X. County / Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. 1 SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations October 4, 1995 2226 Rose Street. a. Crosse WI 54603 co WEGERER. SOIL TESTING r` 421 N MAIN STREET PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S95-41211 FEE RECEIVED: 180.00 BUECHTER, GERARD SW,SW,32,30,16W TOWN OF EMERALD 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 1LHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system ha.s 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, I` Gerard M. Swim Plan Reviewer Section of Private Sewage (608) 185-9348 2738R./ 1 SBDA-7907 (K. 10/94) T Page of b i MOUND SYSTEM S95-4121-1 FOR A Lj BEDROOM RESIDENCE LOCATED IN THE Sw1/4 OF THE SW 1/4 OF SECTION 3'L, T30 N, R16 W, TOWN OF EY12J~LD , ST G-JLX COUNTY, WISCONSIN. INDEX PAGE l 'of 6 TITLE SHEET RECEIVED PAGE 2 of 6 PLOT PLAN SEP 14 PAGE 3 of 6 PLAN VIEW-CROSS SECTION 1995 PAM 4 of 6 DISTRIBUTION PIPE LAYOUT SAFEW a SLDGS PAGE 5 of 6 PUMPING CHAMBER • DIV. ' PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR ~ -hVLco c1~bk-r~'R ZZ zz o 17 ST. ~~-O wl lv, L -J) s 4 0 oz PREPARED BY oot ~ A WEC-sEEZEF? SQ I L TEST I NG e AND. 0 : ARTHUR L. 33E~ = Ctti! SIEFZ~1 CE WEGE PR t ELLSVfORTH. F.O. BUT 74 421 K. SAIM ST. s W RIYE:R FALLS. NI 54022 pis-42°~ts5 b ~S I G 10"4' A JOB NO. Cl S-Z$V I PLOT PLAN ` Page Z-of ~ ' Scale 1"= 14Q) S95 A1271 y~ ~a w~~ co~vtuw~ t'1.. 10.1' N FOR-4U~'tivP~ BoT, pF'1~L~vc~s 2 CTS- • 1.01, 1 ~ ~ o ►UOr c4m P M-c T OR CL -t-1 O1S11~R>3 `r1}LS 1~R'. zS. e3 4L 5 I wl~N . ki,jvSN ►ooE`~~pvt i I A ~ I ~ ~ tn, ~ooi 230 ,v I e0 I n i I f ao wti,L ZD SE t'~C ~C~!-sT Sri '~z.~►`~ L-- Z S , 1"ivvt ~p t Rfi AWN Sr ZS' Ft-uj 'rtojjcS. _ _ '14 ? 4+2 . I 1 s-z Iy~t qq'_ 1 ~-~v e.~ e~ 8~", - X00.0 owl S Pi`R.~ ~'L H ereo~r8 6~z.o v►vfl uv r~w>zTN 4~0~ 1-'o s~a~ of pow~Z Pope. SYSTEM p¢iiVATE SAGE LL r L4 r, -.7 Onai 0 - - - soft NPP 'EU ~EJA31®„s & pUMAN OP 1l1D 1 AKA t DE~n~ ptV1StON ' SEE NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. (9 required) 3. Install 4" observation pipes with approved caps. (LL- required) 4. Septic tank to be \ZC~O gallon capacity manufactured by }'11 pw T~l~ 1~3~zeg--tST, Jlve, P l`(~ Tb 3E M11DwL~s`12 u~ N aoo GA L. . 5. Bench Mark STl~- V"MZ0Ue 6. Divert surface water around mound to prevent ponding at the uphill side. Page 3 Of 6 595-41271 Approved Synthetic Covering HSihh C-33 Distribution Pipe Medium Sand H _ G Topsoil F Elev. N \ \ .1 _J E D 3 107% Slope Trench Of 2~- 2~2 Force Main Plowed From Pump Layer Aggregate Undisturbed D N.6 Ft. Soil E \ - 9 Ft. Cross Section Of A Mound System Using F c, -y Ft. 2 Trenches For The Absorption Area G Ft. A L/ Ft. H S Ft. B 63 Ft. C ~v Ft. Linear Loading Rate= q--)6GPD/LN FT I \Z Ft. Design Loading Rate= 6.3GPD/SQ FT J 10 Ft. K \-L Ft. L 8-1 Ft. W L4 -L Ft. L J B K A - - - - Observation Permanent C Pipes ~ rs - - - (Anchor securely) Force - - - - -`~y~- - - - -J Main W DistrWn`ion ~jO~g 2 2Y Pipe Co 0 fie \ 5 Mound Using 2 renches For Absorption Area Page q Of 6 Perforated Pipe Detall 95°41211 End View Perforoted PVC Pipe Install permanent marker End CaD) ZD, at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main i i~ P PVC Manifold Pipe *4 4 )isIri ution Pipe Last Hole Should Be I Next To End Cap End Cap P Z9.S Ft. Distribution Pipe. Layout S L (o Ft. ar°•`~~M X Inches jjY Y 6 Inches ditto ~ Hole Diameter I Inch Y 0-11 n~~s Lateral Inches; Manifold Z Inches ~ ®,~;ti pt Force Main Z Inches TZA- °wrs # of holes/pipe Invert Elevation of Laterals ►01.6 Ft. ~Xl_~l= 1.OZ Kqz-- z 8.0b Gptn Place 1st hole 37?-"from center of manifold with succeeding holes at 6)q'jintervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE S OF C~ VCWT CAP S95-4121i ti"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE 10' FROM DOOR, JUIJCTION BOX COVER WITH WARNING LABEL wwDOW OR FRESH IYINIU' AIR INTAKE I I GRADE i 9 6. 5 I H" MIM. 18' MIJJ. IALE T PROVIDE I e•Ieo AIRTIGHT SEAL. I I i I V APPROVED JOINT/ A T,fOk" bo17St On shall comply I III APPROVED JOIWTS 'with,ILHR 83.20 I I'I % I I ALARM 8 0 RE~'S1~N~ ~ ~ i ti I I ON C w. I I CLEV. $q•S~FT.. 0 t%~ I PUMP-, OFF 2~3• SO COMCKETE 5LOCK T3' APPRQVeD RISER EXIT PERMiT!EO ONLY IF TAWK MAIJUFAGTURER HAS SUCH APPROVAL APPR SPECIFICATIONS DOSE ti-I 101 I~~1 t IJ 1~12f`'Y/1$1; !jv 3. S -L TANK MAIJUFACT UR9 R: NUMBER OF DOSES: PER OAy 22 IL TANK SIZE: oop GALLOWS DOSE VOLUME I ALARM MAUUFACTURE;t: S •S. \LTU" I'V-p S`iST84S INCLUDING 5ACK►LOW: ZOO GALLONS MODEL WUMBER: I k-) 1 NW CAPACITIES: A= \ 6 INCHES OR H Z9 GALLOI,IS SWITCH TSPL: `I~I~ZCL,t~'`t Q= 2 INCHES OR S Z GOLLOfJS PUMP MANUFACTURER: M~~QS' C= 8 ILICHE5 OR ZO a CALLOUS MODEL NUMBER: y-(3 D= \Z INCHES OR 3IZ. GALLONS ~"1~ZCU2 'tvlf'CC.- 1b01 SWITCH TYPE: Y MOTE: PUMP AND ALARM ARE TO DE MINIMUM DISCHARGE RATE '28,08 GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE 5ETWEEIJ PUMP OFF AUD..DISTRIbUTIOM PIPE.. 16•b~ FEET (117. I' + MINIMUM NETWORK SUPPLY PRESSURE . , , , . . , , . , . 2.5o FEET + Z30 FEET OF FORCE MAIN X i1 b1 FYpfTFKICTIOW FACTOR. FEET TOTAL 09UkMIG HEAD = ZZ`$O FEET DIAMETER INTERKIAL DIMEI.JSIOMJ OF TANK: LEkIGTH - ;WIDTH - ;LIQUID DEPTH 38 BOTTOM AREA - 231= - GAL/INCH AS PER MANUFACTURER - Z C-•) GAL/INCH T S95-4121 I w 6 OF M E40 Series M"M 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 to W 30 W IL- W Z 25 8 E 2z.90 Z H 20 6 Q0 W Q 15 Z8,n6 F- % 4 0 F- 10 E" 2 N1 I 5 0 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER MINUTE 1101 Myers Parkway, Ashland, Ohio 44805-1923 419/289-1144 FAX 419/289-6658 Telex 98-7443 K3326 7/91 Printed in U.S.A. Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Lab6; and Human Relations Diyi ion 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 Is D( 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. PQ OP US l~ \'f~t C~Z. APPLICANT INF MATION- LEASE PRINT ALL INFORMATION REVIEWED BY DATE cn PROPERTY OWNER: Z3U'1 qjt PROPERTY LOCATION GLC2. E'r T<~ Z3l~Ce~ GOVT. LOT S w 1/4 S W 1/4,S 3 ZT 3 0 N,R )6 E (or@ PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # \ Z \-I Z7_0 " c-}+ s r. _ ? \Z c1 a u St3`D C_S r 1 CITY, STATE ZIP CODE PHONE NUMBER 32-sy(V []CITY []VILLAGE [MOWN NEAREST ROAD 3~RL\ ►,rV ►~1 SyooZ ('715) 68y-Z997 V-Ze_." New Construction Use Residential / Number of bedrooms ~f [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived dairy flow 61,5 t3 _ gpd Recommended design loading rate - bed, gpd/ft2 0 3 trench, gpolfi2 Absorption area required - bed, ft2 S o O trench, ft2 Ma)amum design loading rate - bed, gpd$ 0. 3 trench, gpd1ft2 Recommended infiltration surface elevation(s) ~ O 1. 1 ft (as referred to site plan benchmark) Additional design/ site considerations ~~C oM wl~►vD M'l~uh1L~ w2 - 4 x 6 3 "T• C-t*t? 3 - "f" . 1 o F S*JUo Fr L-L Parent material S I 1vO~l U. ,N m 'T'1 LL Flood plain elevation, if applicable ' Q • A • ft S = Suitable for System CONVBMONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTBA IN FILL. HOLDING TANK U = Unsuitable for system ❑ S NU [as 11 U ❑ S ®.U ❑ S RU ❑ S ®U ❑ S 14t) SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bou day Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 1 0-L/ ko-ltz 312. s) Z H Y-A arS b,S o.b 1 - S J 1 rn p 1 vn ~v. c s - o. 3 Z q-) to i o -1 y 1V Ground 3 /6-29 5IV 31y - s 1; \ c.Sbk ynotx, t"y O.S elev. tiocZ ft. lJ 29-32 S H 12 3Jy S e ] 0~ YvX ~y. cS - o- Z 1 o y~ s,Y l b S C I o w, r„ Depth to 5 3Z-So S y 1?- 3/ 9F Z actor f Z v~ arb~ facer r2,L ~t. 1' 1'S rio 0-1 S I2 SN^jb Cprers VIN-O" G aTL1n L 0 t_" h G L; N>Pd^i e S Remarks: Boring # O-y lO`1R 3~Z St~ 7,`~o)M Vtiiu c`S o S v. I, ~1T w•~~ ~S 4-1-11 \134Z y/y sil Z~S L 7•S`712 YAD `~Sl~l~ lv►'F~. c y 1 3 Il-Z3 7 S Q Sly ~u~l5/: 'SC-1 R Ground elev. Z3 3y 7 S tit 31y S I cs bk m ~F>^ e s _ °I ot• I ft D 51-11Z 31y c Zp S e 1 C) S 3y-S3 Depth to factlimiting O o-o"► uu S S u H Vn P S U LYU a \'1 y 5 I o `-I u- S h S lbvv rt'TS W"G V 1) GR L c t_tSft u ft fr P t- h E S. Remarks: TName: Please Print Arthur L. We erer Phone: 715-425-0165 Address: egerer Soil Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022 Signature: Date: CST Number: 01 -2- 6 \Z-Z3-°IZ M00576 PROPERTY OWNER $v~ -,tk -~Z SOIL DESCRIPTION REPORT Page?- of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoundEry Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0- l0 R 3/t Sj Z~ ►~h a.5 0 ,S o,6 tl-Z2, kby Q y/ SO Z'Fs16bt tin`h eS o, 5 0,L Ground 3 21-1$ 5 '1 Q 3/ S C C S b ~M`F , C S r) .'2- D..3 elev. 1~ S yR y/( ft. 14 2S-4 S HR o m~y Depth to limiting factor 2S'' Remarks: Boring # s:.::. w•:~::~ ~ o - S t0`1'1Z 3 ~ L ~ 5 1 I Z ~-g ~ V `F ar S O•. 5 n • b Z S-zo Vo -ttz Y ly - s ~ \ sb~ ~s o. i d ,3 3 zo_Z.'1 -).s Iv- 31y - SI Z'FS~k M`Qti eS o,S 'o,L elev. nd 'F 1 ~S y e s/g LJ 27-SZ. S`1 t2. 3/y SC( Ow, q'9.7 ft. Depth to 3" Y toTZLETs l'' tjzz~ N G Roo !i q~JAJ~. limiting ~u` 1¢ I Z s 1 -..Z--> %-W G v cL ~s`ftV A 6 zto S fa~ L T-F Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # n, u` Ground elev. ft. Depth to limiting factor Remarks: SB D-8330(8.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' ti1oT~ : ~tov sue. A>v~ w~u, 7U Q ~`101ZL 11} it IJ s0' was r OF `o 0 0 N A Z ~'-YV CL C 4=u1vQ tz: _ LOT ~-~ti/ E> 1 I 1 / ~o ~uT e-o►~ ~>h cl- I I a oR 1~1STVR~ I I I V L°1.rgp3 .a .ol (n ' ~ IX I l a 'I V I L199 a m o0 tza 99_e I \2" ftsouG G211Wv0 l1J 9 1j t~lOTt'r'}~ Slpl~ OF P~l'Z , 4.0 o l t 1o s~ . A4., aZ- ~y ~z 9Z (715 ) 425-m h5 M00576 CST Signature Date Signed Telephone No. CST # ftconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page Nof 3 L•atmr ared 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 ' Cl~ I'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. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTYOWNER: 3U`-t tT1t PROPERTY LOCATION GL'C2 p~'~L~ ~UCe GOVT. LOT SLAJ 1/4 SW 1/4,S 3 _LT 3 0 N,R 16 E (or& PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK# SUBD. NAME OR CSM # Z \'I Z7_() T[ + 5T-. - - 4;;~:' \-aostso cSr-1 CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE [WOWN NEAREST ROAD 13 L ,iv w1 SqooZ (111S) 681/-Z991 -bt>New Construction Use Residential / Number of bedrooms c j (J Addition to existing. building [ J Replacement [ ] Public or commercial describe Code derived daily flow ku gpd Recommended design loading rate - bed, gpd/ft2 o • 3 trench, gpdfit? Absorption area required - bed, ft2 S o O trench, ft2 Mabmum design loading rate - bed, gpd/ft2 0. 3 trench, gpdfit2 Recommended infiltration surface elevation(s) 101. 1 It (as referred to site plan benchmark) Additional design /site considerations '1P ec oM m%yQD w~ou►w wy'i - 4 x 63' Tyr 1C t~~S - n , f,~ . 1 'o f= saJo Pf L-L Parent material S f fvpy L 14 NM 'TI'LL Flood plain elevation, if applicable t.) • A . It S = Suitable for system CONVENTIONAL MOLIND IN-GROUND PRESSURE AT-GRADE SYSTBN IN FILL HOLDING TANK U= Unsuitable for system ❑ S NU N S ❑ U ❑ S N U ❑ S N U ❑ S O U ❑ S EIU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botnclary Roots GPD/ft in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Trench 1 0-y to-t2 3/Z. - s 1 Z F t~~~ O-S b.S o. y/V stJ 1 v» n wf4~_ C-s 0-1 Ground 3 /b-29 -)-S ye 31y m vi►- dw t~-y 0' S elev. tioc~~ ft. ll 29-3 Z S Li IZ 3/y Depth to S 32-So S `-1 V. 3/ v/6 c I C) limiting loH~ S/Z S facto .r r2 L ~tr~ 1~ TS ~-o Z a b►r s0 k o't S I Z Srotro V)\_~ G n t_ c~ rt s L p Pdv ~ s Remarks: Boring # ; 1 o-y Io~iR 31i s>t1 Z~~~ eft, ~s 0•so.t, Z Z 4-1-f 1\Z)4Q y/y - SO Z'F5) .k 1~.'F~ cg o•S O.L sal 1 ~Sbrt V .fr~ c s n-Z3 S ye 3/Y I".",Q si: & Ground elev. z3-3y S `/R 31y s l cs hk m e S ! q q• 1 ft. S 3Y-s3 5tiQ 3/y cZp lnn'~~. - - Depth to limiting O Conn rN S S r A)- M p~ S U C-YXJ 6 factor ~,ti 5 1u~[Z S12 St4n.u hS C'Ituti+G V nGhL Ct_LSf\vR Pt_ i=$ . Remarks: T Name.-Please Print Phone: Arthur L. We erer 715-425-0165 ress: egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Si nature: Date: CST Number: °iZ--2- 6 M00576 PROPERTY OWNER NF--CAA T<s1Z SOIL DESCRIPTION REPORT Page? of 3 r PARCEL I.D. # 3 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxtary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0- tp 2 3/ t S j) Z a-S o. S u• 6 • Z ~t -zZ ~b `-t 2 y/ _ S1)) Z ~ S byt mph C-5 (3,'S o, L Ground 3 22 Z$ S'1 Q 3/ S C CSb Y►`~~. cS D.Z o 3 elev. 1~-S yR y/6 qA--7 ft. y 2S-4 S yR 3/ o 9- SI >^'►~y ` Depth to limiting factor 2S'' Remarks: Boring # - S' o. 6 o- S ►o`-l~Z 3 l Z S 1 Z f v \A C.) Z S-zo ~o `i tz Y!y - S ) \ `F Sb~ '~'►-F~. es • z d ,3 3 zo_2`t ~Sytz 3/y - S1 Z+VbW M`~~. cS o.S =o.L Ground 1 7S '1 rz S/8 elev. Z-?- S Z S `1 3/ SCI owe y 2 y It. Depth to 3 ►-~otT~ es `~3o N G Ro E limiting ~u`L 2 s ~,01J G v G(.~V fl G= L S factor Remarks: Boring # ik~4Yh. Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground l elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= 3o ' tio~ ~ YNII S E_ R+~~ W 'rt-l. 7l1 Q 102E ~Tt i! N So' LA-Ne's r of r-iov~D . 0 O N n Z ~ENJ C.r; C 1=ulvQ l _ UAT LW Q> I 8j I 5. 1 1 I I 1 1! Z °!p j ~O uoT ~-owt a>!'r ~r I I r oR 1~ISTV28 I~ V l'1.Ipp3 ' ~TF 1 S 1~ lZ I N I ~ I x * I la ? Q I ~•4 ~J $ F ` LL^ 00 IQL99_ 13? 1 - ~L, ►00. 0 Oh! S P11 > zo '0 I 1Z" t~'$OUE G211~,1h►'~ lIJ 9 /J NOR'f}) SlDt. - OF PW-X12. Pole , ~ C fo X10 O t 1 J'> C w , - - e b c aZ- UY \-Z--, 2- (715 > 495-()165 M00576 CST Signature Date Signed Telephone No. CST # r s r ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 January 18, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Marion DeJong property, located in the SW1/4 of the SW1/4, Sec.32, T30N, R16W, Town of Emerald, St. Croix County, WI., has been conducted with the assistance of Art Wegerer, CST# 576. This onsite revealed suitable soil for onsite sewage disposal to a depth of 25" while meeting the requirements of the A + 4" rule. This site should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. inclely, ' X' mes K. hompson / Assistant Zoning Administrator cc: file ST. CROIX COUNTY WISCONSIN t b ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 January 18, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Marion DeJong property, located in the SW1/4 of the SW1/4, Sec.32, T30N, R16W, Town of Emerald, St. Croix County, WI., has been conducted with the assistance of Art Wegerer, CST# 576. This onsite revealed suitable soil for onsite sewage disposal to a depth of 25" while meeting the requirements of the A + 4" rule. This site should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. (ince ely, ;'mesK. hompson Assistant Zoning Administrator cc: file Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page \ of 3 LabL ans 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 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. P Rx~P o S ev> Clams t, APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION G'E:ZN 1r a_' %V c--- GOVT. LOT S1,0 1/4 S W 1/4,S3 Z T 30 N,R 16 E (o IN PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # N z \'-1 2.Zp Tat ST. I-\- \_r~ o s ep C S ►-1 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MTOWN NEAREST ROAD IN l.U~ SyI,OZ (71S) &HV- Z qi -7 V:-- i l-tr-\ c.T !i• D~ New Construction Use pq Residential / Number of bedrooms [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate - bed, glxi/ft2 c • 3 trench, gpolft2 Absorption area required - bed, ft2 S o 0 trench, ft2 Maximum design loading rate - bed, gpd/ft2 0.3 trench, gpd/ft2 Recommended infiltration surface elevation(s) 10 •-t ft (as referred to siteplan , rf o mark Additional design / site considerations 'PE-Vi-n00 r-01;L V P<CU rl..►C.e~ 2e'Ca 0 . h~i1V~j w'Z TRj--!wCKS t-*C.tf 4'4 63 Parent material s ~►.ro~-t \ "J kwt Tn V_~. Flood plain elevation, if applicable ►y - • It S = Suitable for system CONVENTIONAL MOUND T IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S ® U INS ❑ U ❑ S [RU ❑ S O U ❑ S o u ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundaly Roots GPD/ft rum, in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rer& o-y 1Q 4\-e_ >/Z- - st \ Z 'F g~ ~u1'F1~ a,5 0. s 0A. Ground 3 ) b 29 S `f tz 3/ - s l 1 e s b k ~y► v'F>^ w o. ~f o• S elev. L Ob .3 ft y z9_ 3Z 5 'l 2 3)y - %C-1 C~ vh.~y, C S - 0.'Z Depth to S 3Z _So S Y e 31 lo`-tQ S/t SCI Ovv\ V►l~b- limiting v k factor 4 \Z 1 rCR S TO -Z 05 tort S !z SMC~v ~U~75 t~ Lr~r~G vCTR.'T7 l~~ C L.L U kGE ANA S Remarks: Boring # \ o _y t o `-t 2~ 1 i - S 1 ~ Z 9V- wt'F►- a S 0.6 0.5 Z Z y-l"1 lD`12 Y/y - r~\ Z'F 9b1n, v~~t. CS o.S 0.6 3 11-7-3 7.S`1R 3/y -FZA s-3 sc.1 1 `Fs bk In `~N c5 Ground elev. z.3-3y -7•S`?1z 3/ s 1 csblc vnQir 0)°) -l ft. S 3y-S3 S Il2 3/ CZ~ sc-\ Ovn >71 - Depth to l..-,..; . limiting r~ o `t~w S 510 1 rn S17uj 'PURE v, 1~1,~ ~o~t SIz SSA rxjWT5 M,o,uG UtT17-`n Remarks: r. TName:-Please Print Phone: Arthur L. We erer 715 5-&V egerer Soil Testing & Design Service-P.O. Box 74 River Fal Li 4 Signature: ~ Date: Number: d• qZ_ 216y l1-LO-CM M 00576 PROPERTY OWNER QUEC~TLz1Z SOIL DESCRIPTION REPORT Page ?-.of t PARCEL I.D. # z Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxiary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench w3` o- IO~IR 3/Z - Sit Z~9r w1'~I~ a,s a.S o-b ~ttZ y/y - s i 1 Z cS o S o- Ground 3 ZZ ZS SytZ 31y SC` \ CSb12 Tn f~ c-S o•2 0.3 elev. ~.S`1¢Y/6 SCI ~r °t9-l ft. y ZS-yy S X112. 3/ O M rrt u (A 2 s[ Z - - Depth to limiting fZ actor I Remarks: Boring # i \ :J 'yti Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # w' Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) ..f PLOT PLAN Page -S of 3 SCALE 1"= 3<)' r J o~,a O l tyo~: ~yvus~ ~No wtt.L DE 8~ st, FE7U cc- IL ~~ZL L`Lg9~ s Wr Q+3 L1luE A4 z ~ S ~o ►~oT cjy-► O \Z b\ %-TQR, 3 1-Pt i's R \L` ~LWp 3 I ~ I I B.1 ~ I zr ~ r/Zu f V) I co I I~'~ I7I ' fL-fI .LJ I 0 rj - ~ Z 6•i q9'- a o EL- Loo 1z Ulu S P l 1z.E ~ 7 Oulu \ Z " pT1301~ 6(WU ~.l1~ ►N I.X~6iLM SLOE OF 1~,wjep- POSE. ~TeH ~ d L4 C) Z--Z6 y 11,-20-`)Z ( 715 ) 425-o1 65M00576 CST Signature Date Signed Telephone No. CST # V>rsconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page \ of 3 • LaAor aid Human Relations •DVision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ` S-T - C.,\2.u 14 Attach complete site plan on paper not less than 81/2 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. ' R> o S~ Cl. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GCMR Z~ %V L 01\ckTER GOVT. LOT Sw 1/4 5 W 1/4,S3 Z T 30 N,R / 6 E (o W PROPERTY OWNER.-S MAILING ADDRESS LOT L# BLOCK # SUED. NAME OR CSM # Z \-1 Z7_p Thu- ST. - - ~-o P o s V-_rO c s ►--t CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®rOWN NEAREST ROAD 3~Lpwll l J~ SVt~OZ (71%6$y-zgIJ- V-=" ZE .ft`s c.T N•' ~\7 Dd New Construction Use DQ Residential / Number of bedrooms L/ (J Addition to existing building j ] Replacement [ J Public or commercial describe Code derived daily flow 6 y0 gpd Recommended design loading rate - bed, gpolft2 0.3 trench, gpd/ft2 Absorption area required - bed, ft2 S o O trench, 112 Maximum design loading rate bed, gpd/ft2 0.3 trench, gpd/(t2 Recommended infiltration surface elevation(s) 1 QA .-t ft (as referred to siQan r(chmar w~ t o a M+-ta ~ Additional design / site considerations IPI f 00 IwR V NWtW C -e- I2e-Q 0 . z T~vclfErs r~me>f 4 `X- 6 s' Parent material s ftKJ'4 -t \_fa hm T~ ~L Rood plain elevation, if applicable N - ft S = Suitable for system CONIVDMONAL MOUND 7 M-C,ROl1ND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem ❑ S N U ® S ❑ U ❑ S [31 U ❑ s MU ❑ s o u ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure ConsisfiPxhce Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed nohdh I o-y t04h2 j/Z - st \ Z gr '~H ous o, s o.L n Z ~1- t b h o ~t tz - s t l 1 vr, P\ m'~ tr• c S - o- 3 Ground 1b29 7•SYtZ 3/ - SI \ csbk w+v`F~ ~lw o.q o•S elev. t ob .3 ft. y Z9- 31 S 11 2 3 l y - S c I C~ C S - o• Z D e p t h t o S 3z S o 5v?- 3 I i lo 4k S/?- 6 s c I C7 v+, m limiting factor ~Z 2 1 P~Ciz S J-p Z v k 3Z" tn,q 5/z Sft?-V w1kTS A LztvC \JeR_- I r}L C LL U hGe RNU: S Remarks: Boring# t o-y lo`-t231Z. - Std Z ~w W,iI_ a.S o.S o.6 Z Z. y-I-) ko4Q y/y - s11 Z~9bk f~ cS o.S € o.b -).S tz~/6 sc,\ 1 'Fs bk low f/^ QS 3 0-i3 -).S`fP- 3/ 3- Ground 5/ Q l 0 'i R 3/ Z elev. 23-3y S7ii' 3/ s 1 1 CSbx w,v~h cS 0101-1 ft. S 3y-S3 S'Z1Z 3/ CZp 't SC.\ Ors - Depth to tlmiting ~o `l'tHw S SS 1 rn iz-\ Sl~c1 ARE factor , I ~J 1o' r S/ Z SAO 1Y) S 1'rl.oruG U tT0.'n L C F P L' S Remarks: CST Name:-Please Print Arthur L. We erer Phone. 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Si nature' Date: CST Number q'Z_ 2.6y 11 -Z0 -9'L M 00576 PROPERTY OWNER L3vECMT~IZ SOIL DESCRIPTION REPORT Page* of PARCEL I.D. # r Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Bouncl3y Roots Bed Tfertd~ `Ea c. O- 1D R 3/Z Z`~9h w1`ft„ a.s C> o.b w >...;.x- Z. -Z Z lO S t 1 Z 'Q S' 14 Ground ZZ ZS s;vz 31y sC` \ C5 b1•c tin cS o•i o.3 elev. ~•S`?IZ Y14. Sc l ~r oj- ft. y ZS-qq S LM- 3/ stz Depth to limiting factor, ZS, Remarks: Boring # f y'~Z y Z:h} Ground elev. ft. Depth to ` limiting factor Remarks: Boring # C•:~L l Ground elev. i ft. Depth to limiting factor i Remarks: Boring # 3 r TX<.u... x... s 3 Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) j . PLOT PLAN Page 3 of 3 SCALE 1"= 3p r r ,~o v ►v, o [t = \ v S ~ PlxjO wets. To $ E 9 z Y ZV-' c 'T"r z so' w~s1 d Iy F~xr cC - IL FvYwZ<- 3s tur Q,3 ~ e L-11'Vf` m I S ~ wua. n0 ►JOT c~t~hCT~ d lZ O~ 91'l~R~ Tt~ 1 S R R~q t:1,LUp 3 I I I I f l r /~z b1n I n I co I NI uZ• 8•Z ~L 99 7 O *jj t3 -EL-Loo.O'o" SP11iE ,zo°ju Pfbow 6[W~l►.iq IN K)MTA SLOE QF J~:-No R. \~OLE . D ~TC~i In 4Ooft Y 11,-20-°IZ (715)5-0169 M00576 CST Signature Date Signed Telephone No. CST # • t SOIL DESCRIPTION REPORT A. L rte bocison gravelly coarse sand cc operated PROPERTY OWNER' 0.0 I in S. 1s the structure of the horiaon moderate or stung platy? BUYER: 0.0 I C. L the texture of the lioriam surly clay loan, clay loan, silty clay loan or time and structure v"k LOCATION: platy? 0.0 1:5W1/4 _`J' W 1 / 4 ,SEC . ZT . 316 R. 14 D. L consistence stronger than firm or hard, or any co anted class? TW P & P L # 0.0 I- ~ E. L texture sandy clay, clay or silty clay of high clay content and structure massive or weak, or silt CS /PLUMBER: lam and structure massive? I ,L 0.0 r. is texture surly clay tom, clay loan or silty clay loan and structure waive? 0.0 SYSTEM RECOMENDATIONS _Sez lei eeX Is lecture sandy clay' clay or silty clay of low clay content and structure moderate or strop. 0.2 / r-~S a. is texture surly clay loon, clay loan or silty clay loan aid stricture weak? TYPE: ~D'L~iI'i~G 0,2 LIMITING FACTOR: O 1. is texture sandy clay loam, clay loan or silty clay loan aid structure moderate or strop? o.s d~ ••1 l~~ /I U r7 r- 7- J. is texture sandy loan, loan, or silt loan and structure veak? ELEVATION:D•W, ~ 0.4 K. L texture surly loam, tom or silt tom, structure moderate or strop? LOADING RATE: Ilk 0.6 L. L texture fire sad, very tine sand, loamy tine sad, or lorry very tine send? LINEAR LOADING RATE : 1 :5,g r>l cl(ay 0.6 L texture coarse sad or sad with single grain structure? 0•6 * see reverse side DE H RV eve 1• ~C~ <2%0 CONSISTENCE for location of nc tes, eclma eet or common 2-20% I et For SOi l p1tS centimeters (show many m) >20 % oos nl a us apart) units) from top to very friable mutt) very slight bottom of horizon. Slz friable mfr slight B • Norruon Death Dominant Color the J1 <S mm firm ni moderate Mu"cell COL (Munsell medium Z 5.15 mro very firm nit, strong Notation) uses HUBE,, coarse 3 >15 mm extremely firm retell) squeeze between Clev = VALUE and CHROMA. hands For exampple, a gray color Cone OR, S/1) has a hue of ataT" (f1 difficult to see Drv Soll OR, a value of 5 and a distinct (d) readily seen loose dl)) (falls apart) chroma of 1. prominent p conspicuous soft ds) very slight 1 ll I slightly hard ds l) slight-moderate is the ~SI~nns (note In *remarks") hard dh) strong ~j co or w Ic occupies the streaks, bands, spots etc. very hard dv t) squeeze between greatest volume of the hands ' orizon. SSWMP ERCt/92 d:VoproRs%csloM.twp extremely hard (dell) under foot n_ 7 / Honron Depth Dominant Color n In ?Aunlelt 3TRUCMR describes units (peels) that eparate at surfaces of weakness (e.g., 2msbk, , djQg. m, 1 thin pl). Elev a r ~owp~~ r = Wade tructureless 0 no aggregation eak 1 barely observable (abk) (sbk) (gr) moderate Z distinct pods w trong 3 durable pods t, 1z Cr I • gn~Iar. Suhan¢ular. Blocky Prismatic. Columnar ery fine vtj < mm <5 mm < mm the (thin) Q 1-2 5-10 10.20 medium m) 2-5 10-20 20-50 p, ?J t neor.ron otath oomenaniccior oarse (thick) c)) 5-10 20-50 50.100 Om In. Munlell very coarse ve) >10 > 50 > 100 = *$For platy structure, use "thin* for fine and 'thick' for coarse. ha ~ Elev . aty pl) flat, platelike _ a rismatic pr taller than wide -columnar cpr) rounded tops 1---~ .a = locky bk) cubical t y ..angular abk sharp edges •subangular sbk3 rounded edges r99 anular gr) spherical :If- rj•+_ no structure "t • _ 01, -single grain (0) (s sandy texture m -massive (0) m~ finer textures (pr) (cpr)' Il • IHor-son Depth Oomrnan, Colon In Munletl R OT (e.g., 2 vo - LIBE 10 Prefixes - USDA welve divisions go Sand sizes - Etev s= man I • (e.g., Sid, Ifs, geos). eoars-c (cc few 1 < 1 per unit area eo 20 Medium common 2 1-5 per unit area Fine t (n F-1 r man 3 > Very fine Y 5 per unit area 7C 10 (_„Ll,Ir {~h BIZ * ni CLAY 40 t.rarrlly Igo ery fine vf) < 1 mm 1 sqq cra are 60 fine f) 1-2 mm 1 sq cm so medium m 2-5 mm 1 sq dm 50 SILTY t. coarse 1co~ > 5 mm 1 sq dun ANDY cur ~0 CLAY 60 113nUN ARY describes the transition SILTY i3. Horuon Depth Dominant Color elween orizons (e.g., cw). CLAY L AM CLAY 70 In Munrtl~l 30 SANDY CLAY LOAM DI. In LOAM,OCI. 80 20 rupl a < 2 tyre LOAM Elev n Isar C 2-5 cm SANDY LOAM SILT LOAM 90 10 I fA e gg 5-15 cm .44 Iffuse d > 15 cm OASAND SILT 0 o n h 90 so 70 60 50 40 30 20 to 0 ;moot s) nearly aplane .tactnt'"n vavy w waves wider than deep rreEular 1) depth greater than width Texture triangle describing the distribution o •en ` discontinuous of particles which are less than 2 mm in diameter. 111111 ` SST 7 i,~~ a7 04 40t,&-A- ST. CROIX COUNTY WISCONSIN rxXy , a . 5.~} ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET 0 HUDSON, WI 54016 (715) 386-4680 December 4, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Gerard Buechter property, located in the SW1/4 of the SW1/4, Sec.32, T30N, R16W, Town of Emerald, St. Croix County, WI., has been conducted with the assistance of Art Wegerer, CST# 576. This onsite revealed suitable soil for onsite sewage disposal to a depth of 17" while meeting the requirements of the A + 4" rule. This site should be suitable for new construction utilizing a mound septic system having 19" of sand fill. Should you have any questions, please feel free to contact me at this office. Sin erely, ld - ~ ames K. Thompson Assistant Zoning Administrator cc: file s FILED AUG Z b 19930 0 504408 JAMES O'CONNELL Register of Deeft WI CERTIFIED SURVEY MAP MARION AND SUSAN 0EJONG Part of the Southwest 114 of the Southwest 1/4 of Section 32, Township 30 North, Range 16 West, Town of Emerald, St. Croix County, Wisconsin. W 114 COR. SEC. 32, T 30 N , R /6 W, ( P, IRON O Indicates 1" x 24" iron pipe weighing 1.13 \ PIPE) lbs./lin. ft. set. 3 h PPROVED y I Owner's Address: I ? 330 Hillside Circle o Baldwin, WI 7,4007! 3 h UNPLATTED LANDS . ~ I I b N ..CRONE COUNTY O I .r. sahwsli~rs Planning anew, 2 b ~J Z.,oniw, Q 04 N 86 ° 31' 24x. E 397.7/' 4 , 364.71' Z 133' 33' 1 ROAD SETBACK b gliin• of I b LINE 100* f I~ M ; 1 2.412 ACRES r`q*-& void ~I I x%05, 0°53 - SO FT. N J O .v I 1.784 ACRES tXC. ROAD N W Q 1 I N h 77, 715 SO. FT. J Z IN 2 /001 JI N b Q m ~I 6 12 J N 90° 00100" W 382.38' b- o C.T.H. DD h S LINE SW I14 p M 419.29' h 2209.49' A SW COR. SEC. 32,T30 , m N 90• DO' 00" W 2628.78' S 114 CORR.SEC.32, R16W,l000NTY SURVEYpR'S MON.)" 730N, R/6 W, (R/R SPIKE) I UNPLATTED LANDS i sc O Ns/~•,~ ' LAU N i i ti 3 This instrument drafted by = = W P Y•, o • • a a James 0. Filkins 713 > ° RIVER FALLS,•: • J~ • ci WISc. Q` •i LAND 4 ;~t Dated: 8-A-1993 W W Laurence W. Murphy cn Registered Land Surveyor b ? y y Q a Vol. 9 Page 2669 m 3 Certified Survey Maps b St. Croix County, Wisconsin. SHEET 1 OF Z Q O C SCALE a /00' O -or 60'" 100' /50' 200' 300' STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County O WNER/BUYER Ptl-Ecff 7-c-72 MAILING ADDRESS PROPERTY ADDRESS A I M03 MQ 7_/f Sf ,aG (dw, ov WT _atX)A (Vocation of septic system) Please obtain from the Planning Dept. CITY/STATE Pck Q uji A/ W c' . _S VOO A PROPERTY LOCATION 9W 1/4, _S .J 1/4, Section 26k, T_aQ N-R__&_W TOWN OF 't/m&~Ec Iii( ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME, PAGE, LOT NUMBER. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 113 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: .-9- 95 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 -mk el-- "E'A7'-, Location of property.SUJ 1/4 1/4, Section T30 N-R~W -SW Township 'i-mci g(d Mailing address hC r Kl, 1') W Z[... , - 40L?~ ' Address of site ~l (a,©3 do1DTN Ss' Subdivision name Lot no. Other homes on property? Yes >C No Previous owner of property 1"4e4"0A1 ~luitl Total size of property o? q(a /icei3 Total size of parcel 70Y i9Coe,63 Date parcel was created a ff-93 Are all corners and lot lines identifiable? X Yes No Is this property being developed for (spec house)? Yes No Volume, 9 and Page Number - 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.ccO~ 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. atulrh o pplicant Co-Applicant ui4 9" / /C T- ~J Cam- - Q, Date of Signature Date of Signature with respect to conveyances eArmpt u----- w • WARRANTY DEED j 0 STATE BAR OF WISCONSIN FORM 2-1982' ij i s.s4o1 L088PA~ _ 231 REGISTER'S OFFICE ST. CROIX CO., WI Marion P. DeJong and Susan H. DeJong, husband alid wife, holm.-g as survivorship II Recd for Record ----r--i- ata-----Property I - i JUL 2 cJ 994 _----m ; A. 9:40 conveys and warrants to G_erard J _Buechter:._and....--•----------- at /A. I Sheryl---J.ean..B_uechter.,__-husband__and.-.wi-fe-,____________________ holding • as•• surv .yQxshi.p.._marl.tal_.pr_oper.tl!................ - ReodwOfDae I. - - - i RETURN TO • • I I' I it - - - ' County, the following described real estate in St. Croix y, State of Wisconsin: l Tax Parcel No: I Part of Southwest Quarter of Southwest Quarter (SWk of SW4)of Section Thirty-Two (32), Township Thirty North (T30N), Range Sixteen West II (R16W), Town of Emerald, more particularly described as Lot One (1) of Certified Survey Maps filed August 25, 1993, in Volume 9 of Certified Survey Maps, at Page 2669, as Document No. 504408, Office of the Register of Deeds for St. Croix County, Wisconsin. I I j I 1 ` i l ~I j• This __As_-_no-t--------- homestead property. ~ I XOWI (is not) f Exception to warranties: Easements and restrictions of record. I Dated this c:: 4 5 . day of - 1~ 19 93 1 Ii c II ----(SEAL) y- - - - ------(SEAL) I. • ~ (SEAL) ~fY.D.~n - (SEAL) Susan H. DeJong i I. AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN j I~ ,I ss. St . Croix - County. authenticated this ________day of___________________________ 19 Per ally came before me this ~1~-_.day of II Y 1993_ the above named - MarioP eJon-- and Susan H. a DeJong TITLE: MEMBER STATE BAR OF WISCONSIN II autho ized by § 906.06, Wis. Stats.) to me known to be the person Vvvi c ted the forego' instrument a d ac ;Md3ge the swnea _ t v THIS INSTRUMENT WAS DRAFTED BY 1 ' I Ala' f - Thomas A. McCormack S= i j Baldwin, WI 54002 C St Croix ' ~IS. Notary Public - uni#,% j (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration jl are not necessary.) / l4 date- *Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTT DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. FORM No. 2 - 1982 Milwaukee, Wisconsin Q c o -0 0 3 o 3 0 v O p 69 a o0 O O c •E t m o N p0_ N '0 N 3 v p c 0) M of tr _ m '4i p O U E °oM a) C'i CD O X co V C L_ ~ N I ~ 3 I y U a) L 0 i a) y 3 ,p O O E N y L C d O U 0 U) z U n z N C "O O) LL C U. N O w to O p Q 3 Q V ~ M cn w o w o W v 'E 0 p Z a 4) a m N OM > co F U) p O z a co w a7 Z ~ p N H ~ acs z E E T2 N th ~ I 0 c tV O L p L O O p Q Q O O Q Q O w z Z Z Z o N E z ED 'o co N > (n N m CL C4 CL ra ~V! 0) N N d i N v 2 N N O o Goa E v o o a E o H z > uas z H o H FN- c v H a a a a p m rn LO LO 0) 0) 0) (n 01-31, d O O O z O CD N m d to N a) a) Q Z N 7 Q} 6 00 O N C 'd I~NA C co c O O c o N O c E 00 ~ C) LO 3: . 0 a) 0 co 0) :3 0) 0 N ~ a) a E a) a y N 00 N E N E c' at C t~ 'O c o a) a) c o a) N C) C) 7 C) CD a) C> =3 Cl) E N co r- a) co 0 ( ca to E o c N E V y O M W N O In z 00 N O N =7 C1J .r E £ E E ~ E at `m L a a m L: a ti a w rr.~ •7 c° o c y o "1 A Ciao O(n0 Omv r isconsiA Department of Industry, PRIVATE SEWAGE SYSTEM County:ST. CROIX bor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 218880 Pe j4>~ s N~iRION P. ❑ City ❑ Village [X Town of: State Plan ID No.: Emerald CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: A9400164 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header/Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction Syesatem TDH Ft oss Forcemain Length Dia. Hf Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Liquid Depth DIMENSIONS DIMENSIONS LEACHING Manufacturer: SETBACK SYSTEM TO P,/ L BLDG WELL LAKE/STREAM INFORMATION Type O CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Emerald-32.30.16W, SW, SW, Lot 1 Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert No ®ILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY /y-. reiwyu.°sL V~ STATE SANITARY PQRMITAI 93' -Attach complete plans (to the county copy only) for the system, on paper not less than ; pp~~ff8% x 11 inches in size. ❑ Check If revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. D Z) PROPERTY OWNER PROPERTY LOCATION 5W t/a.5 i,() '/a, S T,30, N, R 1 r) W PR PERTY OWNER'S MAILING ADDFWSS LOT # / BLOCK # '330 M i l Slc[~ YG CITY, STATE ZIP CODE PHONE NUMB R SUBDIVISION NAME OR CSM NUMBER y~ oa t^ i>Y` II. TYPE OF BUILDING: (Check one) El State Owned VILLLLAGE NEAREST RO D =N W ❑ Public 1 or 2 Fam. Dwelling-# of bedrooms FPWARCEL TAX . U Ill. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line ,B if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4.E] Reconnection of 5. ❑ 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 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22An-Ground 42 ❑ Pit Privy 130 Seepage Pit Pressure 43 ❑ Vault Privy 140 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 jj ,cue RE IRED (sq. ft.) PROPOSED (sq. ft.) (Gal /day/sq. ft.) (Min./inch) /,j/,/ ELEVATION (p~ ,i !V / Feet 4 3'-2 Feet VII. TANK CAPACITY Site in alions Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic. App Tanks Tanks strutted Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Pr' Plumber's Signa e: o S mpg) MP/MPRSW No.: Business Phone Number: er's Address (Street, City, §tate, Zip Code): rt ~~~r Plumb 1916,91, e IX. COUNTY/DEPARTMENT USE 011111LY ❑ Disapproved SaVry Permit Fee (Includes Groundwater a Is Issued Issuing Agent obSurcharge Fee) XApproved ❑ Owner Given initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: i SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, 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 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 sub(itted 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 Family Dwelling. 111. 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 on 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. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8'f x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a115 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) j SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations May 16, 1994 2226 Rose Street La Crosse WI 54603 POWERS, CALVIN JR 1969 - 185 AVE NEW RICHMOND- WI 54017 RE: PLAN S94-40290 FEE RECEIVED: 180.00 DEJONG, MARION SW,SW,32,30,16W TOWN OF EMERALD 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, 4raerd Sw'" Plan Reviewer Section of Private Sewage (608) 785-9348 3794R/ 1 SBO-6423 (R. 01/91) ` Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM Safety and Buildings Division Lzbor and Human Relations REVIEW APPLICATION Bureau of Building Water Systems Hayward Office La Crosse Office Madison Office Shawano Office Waukesha Office 209 W 1st Street 2226 Rose Street 201 E. Washington pve. 1053A E. Green Bay Street 401 Pilot Court, Suite C Rt 8, Box 8072 - LaCrosse, WI 54603 P.O. Box 7969 r P.O. Box 434 Waukesha, WI 53188 Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Shawano, WI 54166 Phone (414) 548-8606 Phone (715) 634-4804 Fax (608) 785-9330 Phone (608) 267-5119 Phone (715) 524-3626 Fax (414) 548-8614 Fax (715) 634-5150 Fax (608) 267-0592 Fax (715) 524-3633 INSTRUCTIONS:, To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this form together with fees and plans/information. Your submittal must be received at least one working day prior to the appointment at the office where your review was scheduled. Please call pny of the listed offices if you need help filling out the form or ha ip~pugstiin on wh~information to submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for our reference OOJJ~~ (L`?j~ w 0 2 on 1. APPOINTMENT INFORMATION -If you have scheduled an appointment, fill in the information requested below to save time: Appoint ent Date Reviewer Name r Plan Identification Number 2. PROJE T INFORMA ION If this review is a revisio or extension to your existing plan identification number, provide that number here: Project Name. , p q Y`60 Y7 1 'l Q I [3 City ❑ Village Im`Town Of: County 1 Project Location ~/y~ 5~ „C r O ~)C t V_ 01 GOVT. LOT ~ 1/4 5~ 1/4,S 3A T 30 N ,R ~ r W 3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED System Type (check one): System Type I (include new and existing tanks) Up To 1,500 gallon septic tank $110.00 A ❑ At-Grade 1,501-2,500 gallon septic tank $120.00 H Holding Tank 2,501 - 5,000 gallon septic tank $160.00 M Mound 5,001 - 9,000 gallon septic tank $ 200.00 N ❑ Non-Pressurized In-Ground (conventional) 9,001 -15,000 gallon septic tank $300.00 P ❑ Pressurized In-Ground Over 15,000 gallon septic tank $ 500.00 O ❑ Other: Up To 1,000 gallon dose chamber $ 70.00 20 1,001-2,000 gallon dose chamber $ 80.00 Building Type (check one): 2,001 - 4,000 gallon dose chamber $100.00 4,001 - 8,000 gallon dose chamber $120.00 D 8 Dwelling, 1 or 2 Family 8,001 -12,000 gallon dose chamber $140.00 P Public Building Over 12,000 gallon dose chamber $160.00 S ❑ State-Owned Building Up To 5,000 gallon h6k~+C+ti3lVED • . • • • . • • • • $ 60.00 5,001 -10,000 gallon holding tank $100.00 Code Derived Daily Flow 1100 gpd Over 10,000 gallon ae` 199# • $150.00 ❑ Check If Replacing Existing System Experimental System additional one time fee) $300.00 Revisions To APW%iTYIA 8L IDIV $ ,60.00 Petition For Variance: Setback $100.00 El Petition For Variance Site Evaluation $225.00 Plumbing $225.00 Revision $ 75.00 ❑ Groundwater Monitoring Groundwater Monitoring - Per Site $ 60.00 (other than a proposed subdivision) ❑ Site Evaluation in Lieu of Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring $ 60.00 Subtotal: Priority Review: Enter same amount as Subtotal: MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total Fee: /go S. SUBMITTING PARTY INFORMATION Telephone No. (include area code & extension) Com ny Name Contact Person ( )/s) 49`6 5/JS 1 0+~ a4-5 .~nG IaA /a/ H Q/1'S No. & Street Address Or P.O. Box Ciitt J Town or village, State, Zip Code ate. /(/(ucJ IGM~~+'/L,C~ ltJ ,~yd~~ I Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers. 2 Revision fees are not applicable to temporary holding tanks or extensions to existing approvals. NOTE:. Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to change annually. SBD-6748 (R. 03/93) . OVER --fto- wisovwnDepartment of Industry, SOIL AND SITE EVALUATION REPORT Pa9e;.1.;01_: Lob* and Human Reladors tlbn of safety & BWldirgs Ws. Adm. Coda in acco with ILHR 83.05. I94 - 402 ~CLU 1 x . Attaoh.oompiete site plan on paper not less than 8112 x 11 inches in piza. Plan rrroat,ir duQ, twt PARCEL I.04 not limited to vertical and horizontal reference point (BM), direction and % of slope, "a or, dimensioned, north arrow, and location and distance to nearest road. pP,.OQ tJ;s k _~A'1CC? APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIENVEDBY DATE PROPERTY OWNER: aV m qN PROPER LOCATION GOVT. LOT S LJ 114 sw V4,S .3 ZT 's b N.A 16 E (or@ PROPERTY OWNER'S MAILING ADDRESS LOT # ;BLOCK# SUED. NAME OR CSM # \ 1 Z 5 T'• 'P R.c1 P o CS >~1 ILLAG OWN NEAREST ROAD CrrY, STATE ZIP CODE PHONE NUMBER 0CP 6.0 a R btu t-\ltlV 1U1 5~tooZ (CIS) vBy_Zgq~ P Now Constn,diort Use D4 Residential / Number of bedrooms y AdditiQ~n to existing b itl n~ j) Reptaoement (1 Public or commercW describe Ocde delved dallyflow E,u n gpd Recomrnended design loading rale • ' bed, gpdAt2 Q. I,b~rtdl, gpdrh? Absotift area required -bed, ft2 So O trench, 0 ktAmun design taa ft rat bed, gpdM2 vA h"Vw Raoommended InfiN811M sV*8. elevation(s) 1 p l . 1 ft (as referred to sit plan benc>tmarlc Additional didgn / sb oon9fde dons 'V er-oM Mi&Vb WloQh& WA - y c b~'•t trauCt~ ~tS w, r►v . t ~ O t~ ~ Parent material St ►-i0*1 LO ftm 'T1 LL Flood plain elevation, ff apptiCebte lJ n S n Suitalle for flys~fit © MOUND N-0AOUNO PRI;SStlRte AT•ORADE Flu NOL WQ UPI( U n U sriroraysrgm S ICU as O U C~ S i~IU C~ S i81U S' u Q ~u SOIL'OESCRIPTION REPORT Boring # Horizon Depth Dominant Color mottles Texture Structure Consft n* Roots QPD In. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. Bed nxh 6110111111111 . .00.M. ~ : 0-Y 1 D `1 t.2 ~ 1 Z ` S Z 'F 1, `F h ca- S b. 5 0 • Z U- t b o ~l \I Y /v s 1 S l vn p l M c:s Ground 3 ~6-29 ~•5ye 3iy elev. coq. % It y 29-3 Z 5 y i 31y s e t 0», Depth to S 3'z-so $ y 2 I) t ~•S~rtz v/Z Y---~ - Sol w1 lY1 1~ 1 o S I O y of limiting factor I z) '(2 k\~ 17 Z v`F abk fi Q k "S J t Sfrwp p►w~► G e~.n 0~ I. C L" k s r- '10 e. Remarks: Boring 1 0-Y 1 O `1 R *5 h. S Z 1n1 fit„ c~ S 0.5 10.1 6 Ll Z 4-t-I ~S -m Y S.11 2, 5b1t -r^R 0. S' OISiOIL 2 'Z•S 4m Y$ Ground 3 r) -VS S it to a. sl: sc1 ~ `Fsbh ti►+'('y. c S NOV. 9 Z3-3y '1• S yR Vy t s 1 cS>,k MUIfti- as Depth to S 3Y-S3 5`-iQ 31eZp „ Sal O►n Yh f ctor 1 Q !N S S c tin s Q_ - ~ 5 1O'r(lZ; S1Z SNvU hTS PIWruG V "t.*L C-L-QF1vh t Pt- N.IRE S Remarks: T Namo:-Phase Print0n°' 715-415,-0165, Arthur L. 1ae erer • gtrer Soil Testing & __Design Service-P.O. Box 74"River Fa11s,Wi 54022 Sgnthxe ~.pp Date: CST Number: d. °lZ._'L6y 91. M0057*6 PROPERTY OWNER Vkv~.C~4 ,aZ SOIL DESCRIPTION REPORT Page , . p,►RCFt, i.o. Boring # Horizon Depth Dominant Color Mottles •r ~ <8t+vcture Texture'. Conslsbeno9 GPD/ft In. Munsell• Ou. SL Cont Color : Qr. Sz.`Sh. ~!~Y. Roots - mill led lends P, t Z y_zZ, 1~j R y/ Z'FS%bh ri►^ CS. o, S o,~ Ground elev. -521 3 n q- 3/ s c 1 1 ~s as 3 Q.:.~. Ft. 'ZS'-14V --S.- - H M 3) I v -,v ~•S /;L v, S c j © YA y, Depth to Nmltlng twor -T7 Remarks: Boring # _ a, s a Z. s ~z.o ~o ~1 s i ~ ~ ~ sbh ~n~~. _ as . o , ~ n ,3 Ground ?.o.t'1 )-S.4R 3Jy S1 sbk`(1~. 4. '7 ft. Z7. S -Z. S ` it 3! 18 S c1 , Depth t0 3 1r-~'~'~✓ hots u Moo I- C -*-VAjAAM UmftfnQ W tZ S factor. Z G 4 Remarks: Boring # Ground elev. ft Depth to Factor - . II Remarks: oring # round Iev. ft. , epth to mittny cior Remarks: 0-8330(R.M'92) Page PLOT PLAN ~ of 3 41 4 0 SCALE 1"= 30 9.. s ^ A 7 V Y°10RL ~'k`N 50' L.c~"x 1' oR• MOt~D . A DoT L.NV 4r 0o Nor ,~bh"►Pher ~ V.i ~ 94'- ~tL X19 Pus, No1L'f~ SiO~* oG tx'R L . A.L ,may ILIA ' ale . T ianature ate 9n Phone No. 1f VY) a Ir ion P' ~~-JAY'S -51 4v 7 330 -A ~alc~wiv~~ W* ✓rYQOZ S'94-40290 WORKSHEET'- MOUND SYSTEM DESIGN PROBLEM: Design a mound system for a t'°D/14 The site characteristics are: Depth to groundwater or Eck - in' % Landsl ope 3 1 Pcl 6~' Percolation rate Distance from dose chamber to distribution system ft. Elevation difference between aump and distribution system ft. Step 1. WASTEWATER LOAD = - gal' Step 2. SIZE THE ABSORPTION AREA A) Area required boo 1~~pc~/Z ~~,5 S~a sq. ft. B) Bed or trench length (B) SCIO % ~ Q5-ft. C) Bed or trench width. (A) ft. D) Trench spicing (C) _ ate ft. Wastewater load .24 gal/ft 2/day B tre~eT`s~ X2.5 ,3 Step 3. MOUND HEIGHT A) Fill depth (D) _ ft. ft. fC:° ' B) Fill depth (E) = D + slope C) Bed or trench depth (F) 3 ft' D) Cap and topsoil depth (G) --ft' E)' Cap and topsoil depth (H) _ -ft. License S94-40290 Step 4.. MOUND LENGTH A) End slope (K) = D + E>+ F + H x3 = ft. \ 2 B) Total mound length ~L) = B + 2(K) ft. Step 5. MOUND WIDTH ' Al) Upslope correction factor = A2) Upslope width (J) ^ (D + F + G)(3)(factor) ft.. C, C-t i 5341) 3 X, 7 y ; 7, Bl) Downslope correction factor = ~4 B2) Downslope width (I) _ (E + F + G)(3)(factor) _ oZo' jV -j-,g34. p X,_3 X ,l, Cl) Total mound width (W) for bed = J + A + I = tyJA_ ft. C2) Total. mound width (W) for trenches J + + (no. trenches -1)(c) + A + I 3/'S a_0nto~- - -9,5.~ 31,3 Step 6. BASAL AREA = A) Infiltrative capacity of natural soil gal./ft2/4ay B) Basal area required = wastewater flow 6a'D _ natural soil infiltrative capacity = ~ooo sq. ft. C1) Basal area available for bed for sloping sites = B x (A + I) _ ~/A sq. ft. C2) Bas are avail le -for trench for sloping s ,7S B W Zi + A 1 = .11-3 q 3rsq. ft. C Basal area ava°41able for trench or be or ites=BxW= sq. ft. Sign: fo, License 1,:u• Date: Step 7. DISTRIBUTION SYSTEM .94 ' 4 0 2 9 0 -7A) SIZE DISTRIBUTION SYSTEM 1) Hole size = in. 2) Hole spacing = in. 3) Distribution pipe length 3..._~CI• 4) Distribution pipe diameter = _-1=~.• in. 5) Spacing between distribution pipes = ,A- 6) Distance from sidewall to distribution pipe in. 7B) DISTRIBUTION PIPE DISCHARGE RATE ft. 1) Number of holes per pipe 2) Flow per pipe GPM 7C) SIZE MANIFOLD 1) Manifold is central/ end 2) Manifold length ft. 3) Number of distribution lines a 4) Manifold diameter = in. 7D) SIZE FORCE MAIN $D GPM 1) Minimum dosing rate = 2) Force main diameter = in. 3) Friction loss 7 `t. 1E) TOTAL DYNAMIC HEAD 1) Vertical lift = 9 ft. 2) Friction loss = 7ift. 3) System head 2.5 ft. ft. Total dynamic head = f ft. 3:L n : A-a'a Uccrse:~ Date r o: S94-40290 7F) PUMP SELECTION 1) Pump selected will discharge ?0 GPM at ft. total dynamic head. 2) Pump model and manufacturer 7G) DOSE VOLUME 1) 10 times void olume of 1stribution lines = gal./cycle /o ~ 07; 1l X 31 .2) Daily wastewater volume . 4 doses/24 hrs. _ Y.„SD_ gal./cycle 3) Minimum dose~volui gal./cycle ,(X:0~0'iC ,3C~ /So zo5.t 7H) DOSE CHAMBER 15b 1) Minimum capacity required = 750 gal, siga:~~ Licunsc "u:_ Date: a .2a .2 I II D 894- 40290 .mawlph s ` , 1 /6t P) a Y-" X30 i\1 d~ (YCu~~`!'..p ' s w- s w -S.c 3-277 6 -1L W 6a r n , W,'s Sycrb~. 9m Qf-q ld 8 :rnK ice. splke. w. {Juw.a.~Pa-9~¢. -I~~abov~gHOUhd N, Se~o~ vo f/vo 3 w Eo 7~~ G ~-Pf o$ Ue lam f cnA S t Ad \ -r N '4'~ O56 ' ~Qr~ ® x r f0p LJv ionally o ttV p~ b! O BUtL4lt~~ OF 1ti~StR`t S%ASOR T. 10 D1V SPQNSS~~E ! SSE O 38' 'gyp a y ~h CT H, (ln q r~ C) o n Page G OfAO Straw, Marsh Hay, Or S94-40290 Synthetic Covering Distribution Pipe Medium Sand Topsoil H _-o E 3 t ~D i M.1 00, _ Force Main P ,rl S AGAY% Trench Of 2112 Plowed x `Aggregate Layer Co itionaiQy D Ft. ~aF I 1 6 E Ft. 1.3 r LABOR Ng~l1AL t1058s Section Of A Mound System Using F +83 Ft. Dt:PT. Of INOt1STR1(, AND . plvalom OF 2 Trenches For The Absorption Area _ G' I Ft. A Ft. H 5 Ft. SEE R SPONDENCE B &.15 Ft. Signed: C . ' Ft. Ib License Number: I SG.3 K Ft. Date: y--zZ 9 y L , ?.9 Ft. J g` Ft. Alternate Position of Force Main Ft. W Ft. 48 L .J t B K A ` - - _ - - - J C Force's W Observation Permanent Main Pipes Markers Distribution \ ,Trench Of 2 - 2 2 Pipe Aggregate Mound Using 3 Trenches For Absorption Area • ~ l~'et V~~•~ Ole ~ ~ e o r• S94 - 40290 Pogo 7 Qi A ap ditY ' Ft~liS Y,1 Y - . Hly`rJ4A'~ !,rya ` • • Stitt pkPT. Of lND~S QF • BOlt A AD VISION P roled t~rtoll S~ End view' Performed End Cap PVC Pips e~~o woe 41 d+~~ Holey Loteted~On 8olfony ~ s Are. Equally lpoced'` 1 PVC Force Mohr 4 PVC .III Manifold Pipe • ~~5:. :Z :III P tt A ern ate Poeiflon Of Oietr,F•,tlon '.pipe Forc0 Main t" F e l.otf fi01 oul SA 0 B• -n most To Eno 'Cop ~ r~ d En d Cap Distribution Pipe LoYout • P Ft. • A AO • A r. Y Inches ~S f r Hole Diameter Signed: Inch' Lateral ` Inch(es) . License Number:. Manifold p 3 Inches Date: Ft,r. ce Main 64 # of holes/pipe Invert Elevation•,of Laterals)OA 6 Ft. N ~;40`2 rr n ~ O FA W b ft P. R Ar w °a M rct• to rt m to o V r r r r ` + +I +r + rt Ell ^y~ my. IA- t~ c µ v c W ~C~ " br fBIN v ~n nditionc g ,o - It a ^ vo - y~:13~F3S N Df f 4vuS Of SAfEn D~Ft~ DIMS F ~M ~ `yu' S~~ CO ~ 'PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS PAGE OF CWT CAP S94-40290' Y"C.T.. VENT PIPE WEATHER PROOF APPROVED LOCKING 25' FROM DOOR, JUNCTION BOX MAWHOLE COVER WINDOW OR FRESH 12"MIU. AIR INTAKE GRADE I I 7 I y" Mw. L-- IB"MI CONDUIT 11~ . . rA11..E1 m PROVIDE I ~Y~T s4 AIRTIGHT SEAL 1 I APPROVED JOINT pBi • W/C.I. PIPE. A ,rye d it I I APPROVED JOIWI EXTCNDIAIC• 3' elf I III WIC.I. PIPE OWTO SOLID SC:;. ALARM EXTEUOIWG 3' ® I I ONTO SOLID SOIL ~ :.rZTi10~g I C°~ ~B Aga I oN 0 INTR'L. m+p i I rlv s PUMP O F F E C~RRESP COAICRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MAWUFACTURER HAS SUCH APPROVAL SID C.IFICATIOUS SEPTIC AND DOSE TANKS MAWUFACTURER: - 7S0 W Z - IIUMBER OF DOSES: PER DAB T9NK SIZE : - -150 GALLOMS DOSE VOLUME ZC'S.2. ALARM MAWUFACTURER: 5 J E I2c ro Sf~S INCLUD!!!C C;,C!.FLOW: ' GALLONS MODEL WUMBER: sf401 CAPACITIES: A= ~ I,ICHCS OR GALLONS SWITCH TyPC: h tt,r• wi fG A- ZZ.S"i 2 B= Z IWCHES OR ,35.7 GALLONS PUMP MANUFACTURER: Z0r'.3 C= ^IWCHES OR GALLOWS n MODEL NUMBER: '7// SWITCH TYPE: ~3 i07.~ P1~ D' ~ INCHES OR CALLOUS _ IJOTE: PUMP AMD ALARM ARE TO BE PUMP DISCHARGE RATE Gp /~i INSTALLED ON SEPARATE CIRCUITS VERTICAL D1ffEREMC( B~WEEW PLIMPOp F~A~IIp D STIRIBUTIO►J PIPE. + MIAIII•MUM NETWORK SUPPLY PRESSURE . FEET + _l5~ 2.5 S FEET FEET OF FORCE MAIN X 1-117 F7 /OILFRICT101,1 FACTOR., / 77 FEET TOTAL OyiQAMIC. HEAD = 7FEET INTERMAL. QIMEWSIOIJC OF TAWK: a4z fiH Q ;LIQUID DEPTH 7 SIGIcIED; LICENSE HUMBER; DATE: -117- S-94 ~ ,'.'C y fit. Y.~o d! iF'''•' m,40290 GOULDS SUBMERSIBLE r SEWAGE AND EFFLUENT PUMPS r•ti~l;-. r• EP0311 `4 .•;+ih1~+j,§ii, r LIST' DISC. 't:•.;?. f+4;;r{.}1,- ;L.;•+;~ 0DUPEP0311 142 EP0311 1/3 HP 115 V Effluent Pu,p 1/2" solids 256.80 172.10 I '1 , IY{Yi"° Submersible x ~ ~ ' , ; • ~ • Effluent Pump. MODEL EP0311 h k+ °4 • t faereas FEeT SILL W SOLIDS t 1i ; RKjy " x AIR" -4, 1 I F 10 2 i~. 5 Aj. w 0- 0 4 8 12 15 20 24 28 32 36 40 L GPM 0 2.5 5.0 7.5 rnIM CAPACITY J' yt: • 1 ~G Performance Curve 3885 •aa~r••, urrvu FEET • 1 MODEL 3885 SIZE 114" Solid 25 10 10 20. Nw, -WE Lr/" ri t ' r 16 - 40 10 WE R:.. 10 10 30 AO 60 w to 09 90 100 $10 120 am 0. 20 30.Wl% CAPACITY LIST DISC. C3]UFt.'E03111. 142 HPA311L 1/3 HP 115 V Loa H 3/4' solids 191.55 329.35 * r 00LFWE0311M 142 NE0311M 1/3 HP 115 V Mod H 3/4" solids 491.55 329.35 i`++ X051111 142 wE0511H 1/2 !P 115 V High H 3/4" solids 704.25 171.85 r ^ ~ L **:,7t Cf f ' 6 ~~,;r~ 9;; • c7JUPh'EOT121! 142 ti,'E071iH 3/4 1P 230 v High W. 3/4!' solids W.65 565.25 ~~c ~s 4 4 w f w Jjx,'7r` ',•~•I•~~SIE'.FM1..CW N"., PAGE FM PYRFCFI•d7= AND SPECIFICATIONS. Y` ~ 7jyrly~r :M f•.1 DA1088 DEPT 30 RAGE Vu }t . CER I IFIE~D O tNEY MM KVMCN NO SJSM OW" Pert of tha Southwbt I/4 of the Southwest I/4 of Section 3.0 Township 3i North, flange, 16 West, Town Ortm(Qreld, St. Croix County, Wisconsin. W, J/4 Cog. sec.. is. . r4oN ..R Ja w, I/,* Mom OIndicx~es 1" x ?4„ iron pipe werighinc~ 1. i' PJIEJ lb$./lin. ft. set. Owns, I* Address: 330 Hillside Circle c. seidwin ~Wx 54002 1 UNP4 A t rEjO - L ANDS % h " t0 n yl7.7r' v t ,RSA.rI' JJ' 11~. 1 ROAD BEr&ACK w ~ LINE. • 4.4J.! Ac/Res 700, Dos $070, J `Q• ~ q 1.704 ACRES EXC. l4`OAO ~ Pro 715 so. rr. j~ N w Joo• !1 w :00. 00'00" w ist.Je' a ~M sw c0~ R. see. sz.Y'?d , b N too 001 00 " 'W ?is a. re, *'11.4 . C0 c. J12, R/sw,1000Jrrr S41# `qw., MoN.JR tl.o~!, ~r to W, rriN U_NPI.A rre0 RAND ~~rt~~ttirir~~ •N \90 0 • +i s This instrument drafted by W Y C2 S • c James D. Filkina 13 Z r c sl~lvfA RAti:S~.•• ° wrsc. 0rstads 8-4-1993 6001, 'A ° Laurance W. Murphy e Registered Lind Surveyor 'e Vol . q Page 1 ,..Z ' Mi!rt l P i wrl 93urrvwv Maan4t jZTjf rD0Or CjUi'O C4 l ~$p dO motA OZ nr 1, m 0 T? On2~Ca 7~-llt -IC m +9MZ Cori 2--im o+mfU3W00 N w -1 ncooLnmwcz ruo i o m p b 2A-n >-•ID~Zr' I Or- ;o i w om o °sa $~o z 121, "D +0pl-0~ D z' M o (n i o5 oz "m ;c yi C < m l X] G~ O R "4 1 b ►+-i 3 0 z 4/ V co r r- m x m /-o l O D D m' 'A H 0 1. .I'.s D I > n ROCS n oOr-3P Z N Fn ~ 2 < ml C7fn X0 m s ro z a C4 O mm v l -i p< z m l m x m m _ Na O j~l-- -0 m 'J0IbO~' DmI m D 0 o uo-oLn N y L vD 'u` m G <-0, o 0, m N '.-JNto-' as~ NI I m D p X o 00 U Co L-1 Co 4h o o; ° I D I T N W D Im N ~h D Cm D r"- GxJ 01 0 o~ O Cc) 0" m ro z O 13 m :0.t, m°NI Z 0 5?2 I" Z ° s -MI MM C M I m O 1SG+-J c L D au .0, co Co 0,0 m -4 z > - D N D I~ 32 ra f.'• D -l tO .i1 0 ami > 1O O O O D `mom0 m al'n -n 'n -n 00 m :E N- Cl) Y) m m - o -1 a n t l l11 D h z r' O N r0 b Z o r N nJ a4 CO -d Ln W -O+ W 1 ii w un to n) o .b --tn a ~.n ; x m O0!1O i7OWln m a N Ui ~mi' lV -l t~ WWWb ° D ~ x m c m m0 a l ~i> mm x-i0 rO m v p Iq d > 0 Or D D < O y Q D Ito m 33 U) 33. -a , Nv W l n+ - < o VD1 Dj m O < z m0 m z i D Z Op N<i -i m I D j N rn m n, ~ T y co i o <Z '00 ..s M < m m D n T mm O W ru y rJ r n 0 m= p c.. m ~L r m y NO 10 rl c OC -+Z ?'m v I~ mr0 OQ~ r D ° I > O ml, < m m m m 0 1 0004 N I 1 m o - x _ m i.. In Z., l Z ZN O -1 --1 D \ II < I t o O D ! m ~ ~z 90 N D W W Z C m r t,1 I O W e D I M +A T M- LLB i O Otl 'r- cc Z ro O rQl n ,I ~ l 9 i R. 8 93 9J (SHNVH llV 0321V310 SVH N03H0 lilNfl 01l`dA ION) 1d13 03a . ...._I_.._. STC-loo This application form is to be completed in full and signed b the owner(s) of the property being. developed. .Any inadequacies will only result ,.n delays of the permit issuance. , should this development be intended for resale by owner/contractor,(spec house), then 1a second form should 'be retained and completed when the property' is sold and submitted to this office with the appropriate deed recording. 1 G 1 S e I)A LA Owner of property Location Location of property 5v! 1/4 S W 1/4 , Section 32- TN-R_L(!jW Township E Mailing address . '77 lL- -510 ~JAc~w~~1 lc syoo a Address of site 220 Subdivision name. t4, SM Lot no. _ other homes on property? yes X No Previous owner of property j~//~!/~.~! ~pSMAI~I Total size of parcel • y/ Ac4zt~ Date parcel .was created q !'Are all corners and lot lines identifiable? ---L -Yes No is this property being developed for (spec house)? Yes x No volume ~0-7 ' and, Page Number 2L/2- 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 & THE SEAL OF THE REGISTER OF DEEDS. certified survey, if available, would be helpful ~I o asd oioavoid 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 its i-.hln .nform_rO!!i on Fo;-n. '_1y virtue of a warranty deed recorded i the office of the County Registerof Deeds as Document Ivo.__ ~/S 6$S' , and that I (we) own the proposed site for the sewage disposal system orr I e(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 county Register of deeds as Document No. 3Ys-(o8S signre of fifw p cant Co-applicant 7 Date of Signature Date of Signature. ' I i STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ~`I~Izf O tJ ~c71V ~a MAILING ADDRESS ~3O /I-US IOc (i12Cc c4 6ALDW/ I\1 PROPERTY ADDRESS AO 2,2_6 T4 SF (location of septic system) Please obtain from the Planning Dept. CITY/STATE 6AL'ouilf"I 4 &&- syo Oa PROPERTY LOCATION S ccl 1/49 -S (-cJ 1/4, Section 3 L , T '70 N-R l `6 W TOWN OF C_~) ST. CROIX COUNTY, WI SUBDIVISION xx X C SIrI I a~ ~O,/ LOT NUMBER CERTIFIED SURVEY MAP , VOLUME ~ PAGE -2 to 16 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 re med to the St. Croix County Zoning Officer within 30 days of the three year expiration date.,.,. r SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 I DOCUMENT NO. Vnt 242 STATE BAR OF WISCONSIN-FORM It -II LAND CONTRACT Individual and Con mWs + THIS SPACE RESERVED FOR RECORDING DATA ^ 345615 _ _ fir, ;n II CONTRACT, by and between _-HP.-iman s: Bosman. husband ._and_wife, .as._jo_iQt te- .c '..~I~ rt t.- ij herein called Vendor, whether one or more, day t: rJE3C f~•..1~. 1t;1-7.7 h and Marion.-P. . . DeJong . and Sus an H DeJong , . . _ n~ 9:30 -L. ___--hnsband_znd_.w- fe.. as -.joint tenants _ herein called Purchaser, whether one or more, Ja_mes_ 'i C.'+ ~,~,.8 I' WiTNESSETH: That the Vendor, in consideration of the Rayments to be made and the ~~ggt°3rY r~ covenants and agreements by the Purchaser to he performed, as hereinafter set forth, hereby sells and agrees to convey unto the Purchaser, upon the prompt and (ull perform- RETURN TO . , once by the Purchaser of the covenants and agreements of this contract to be by the 1. Purchaser performed, the following described real estate in .._.-S.t. Croix. County, State of Wisconsin! Tax Key N. The West one-half (P7 1/2) of the Southwest (quarter This is _ homestead property. I (SW 1/4), Section Thirty-two (32), Township Thirty (30), Range Sixteen (16), and the Southwest Quarter (STI 1/4) of the Southeast Quarter (SE 1/4) it and the East one-half. (E 1/2) of the Southwest Quarter (SW 1/4), Section Thirty-two (32), Township Thirty (30) Range Sixteen (16), Except beginning i One hundred thirty-eight (138) feet East of the Southwest corner of the East one-half (E 1/2) of the Southwest Quarter (SW 1/4) of Section thirty- two,(32), Township thirty (30), Range Sixteen (16), thence North three hun dred (300)' feet; thence East four hundred fifty (450) feet.; thence South three hundred (300) feet; thence 14est four hundred fifty feet (450) to i. place of beginning. ~I i if I II ~I I) I; together with all buildings, improvements, fixtures and appurtenances, now or hereafter erected thereon, including all screen and storm II doors and windows, attached mirrors, fixtures, shades, attached floor covering, hot water heater, furnace, oil tank and light fixtures I I~ which shall be a part of the real estate. II - II I I The Purchaser, in consideration of the covenants and agreements herein made by the Vendor, agrees to purchase the above it described premises, and to pay therefor to the Vendor at ---their..residenelr_-- the sum or-9ne. hundred _fifty__thousand.-and_no/10.0- t $1 50 _ nnn - 00 ~ Dollars, in manner following at the execution hereof, the receipt whereof is hereby acknowledged, and the balance of =ZAS,,QO.0,00 together with interest on such portions thereof as shall remain from time to time unpaid, at the rate of -7--l/-2--- per cent per annum, until paid In full, as toltows: Said principal and interest shalt be payable ins~m3=.~J nVALL II installments of not less than per....-ln-stal1lilervt___ , beginning on the- 1a9 t day of 19_.18._.._ , provided the entire purchase money and interest shall be fully paid within (10) years from the date hereof. Purchaser further agrees, unless excused by Vendor, to pay monthly payments sufficient reasonably to anticipate the payment of taxes, special assessments, fire and extended coverage premiums and such other insurance premiums as Vendor may require, and Pur- chaser agrees to make such payments to the Vendor and hereby authorizes Vendor to apply the some In payment of such items. I It is mutually agreed that the above interest rate;-may be adjusted at the option of the Vendor on 1/1/83, and at each five year interval thereafter I in the event of the extension of this contract. Said adjustment may not ii exceed one-half of one percent at each adjustment period. It is mutually agreed that this contract may at the option of the Vendor be extended for a period of an additional ten years. It is mutually agreed that not more than $25,000.00 in principal may be paid in any one calendar year, said * ~i 1' Sold payments shall be applied first to interest on the unpaid Mind .,ot lho rate herein specified and then to prinelpat. Any I, amount may be prepaid without premium or fee upon principal at any limte;-and interest shall be calculated at all times on the unpaid balance on the daily rate basissst 1/360 of the annual rate. * amount including those ppayments called for abode. i in the event of any prepaytf(enl, this contract shill not be treated as in default with respect to payment so long at the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is leas than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. i The Purchaser hereby states that he is satisfied with the title as shown by the abstract-tttfs-inearsnseteelRnftttfettl submitted to ,I him for examination; the Vendor agrees to deliver the abstract-title insurance policy to the Purchaser when the full purchase price hereunder shall have been paid. The Purchaser agrees to pay the cost of later continuations of abstract•titie-iwsw•sneet i 1 i, MA'1The Vendor hall furnish the Pu heser thi►ty days pr r to the date of ul 'mate closing, and t Purchaser shall accept as a 1 sufficient ohowin of title, either (1) title insurstx a con fitment for an owne s policy of title inau nee in the sum of the purchase li price, the Purchas r to be named as th assured, to be writs n by a title insure ce company, and gus nteeint the Vendor's title in I the condition colle for by this agree. t, or (2) a merchant ble sbslract showi the Vendor's title the condition called for by this agreement. if An abstract is furnia ed, the Purchaser sh 11 notify the Vendor in writing, of any obj Lions to title within ten (10) days after receipt of uch abstrac- and a Vendor shall then have a ressonobl- a within which to reef fythe title or furnish • title ~ policy as above described. i The Purchaser shall be entitled to take possession of said premises o closing _ AF . In case. 1 possession is to be obtained by the Vendor, he shall have a reasonable tim, after such date in which to remove any occupant. The Purchaser shall be entitled to remain in possession as long as he performs all covenants and agreements herein mentioned on his part to 1te performed and no longer. i CANO CONTIIAr't l~O1V111101 yn CARPOAATIS aTATIt AAR OF MTRCONSIN, FORM NO. 11 1971 vo! The Purchaser covenants and agrees as follows: 1. To pay before they become delinquent all taxes and assessments, now or hereafter assessed or levied against and on the real estate described in this contract and to deliver to the Vendor receipls evident-in 11 due payment thereof. Value 2. To keep said premises insured for fire and extended coverage for at least the sum of $full insurable , to pay the premiums thereon when due, and to comply with voinsuranr•e provisions, if any, in insurance rompanies approved by the Vendor with loss payable to the Vendor as interest may appear, and all policies covering said premises shall be deposited with and held by the Vendor. 3. To keep the premises in good condition and repair. 4. To keep the premises free from liens superior to the lien of this contract, or the rights of the Vendor in the premises. I S. Not to commit waste nor suffer waste to he committed. b. Not to do any act which shall impair the value thereof. In case any such taxes or assessments remain unpaid after they become delinquent, or in case of failure to keep the premises so insured, the approved policies deposited, or the insurance premiums paid, or to keep the same in good condition and repair, free from I liens and waste. the Vendor may cure such defaults, and all sums so paid shall immediately he repaid to the Vendor and shall, unless so repaid, be added to and deemed part of the purchase price, and tear interest at the rate aforesaid. The Vendor hereby agrees that in case the aforesaid purchase price with the interest and other'moneys shall be fully paid and all the conditions herein provided shall be fully performed at the times and in the manner above specified, he will on demand,- thereafter I cause to be executed and delivered to the Purchaser, a good and sufficient Warranty Deed, in fee simple, of the premises above de- l scribed, free and clear of all legal liens and encumbrances, except any liens or encumbrances created by the act or default of the Pur- chaser. and except:: nnnP - - r I The Purchaser hereby covenants and agrees that time shall be deemed to tar of the essence of this contract and in case of default in the payment of any principal or interest when the some shall become due, or in the performance of any of the conditions, covenants, I~ or promises by the Purchaser herein to be kept or performed, and such default shall continue for a period of -_30 days, then the Vendor may, at his option, declare the contract at an end, all rights of the Purchaser under this agreement cancelled, and the amounts paid by the Purchaser hereunder forfeited, the same to remain the Vcndor'n property as rental of said premises and as liquidated dam- ages for the failure completely to fulfill this agreement; and the Vendor shall forthwith and without notice have the right of re-entry; or, at the option of the Vendor and without notice- to the Purchaser, notice being hereby expressly waived, the whole amount of unpaid I~ principal shall be deemed to have become due and payable; in cane such option shall be exercised, the unpaid principal and interest together with ■ll sums which may be or have been paid by the Vendor as herein authorized with Interest on such disbursements ■t the rote aforesaid shall be collectible in is suit ■t law, or by foreclosure of this contract in the same manner as If the whole of said unpaid principal had been due at the time when any such default occurred, and the indebtedness shall embrace, with said unpaid principal and interest, all the sums so disbursed with interest as aforesaid. In case of legal proceedings in enforcement of any remedy hereunder, whether abated or not, all expenses, including reasonable I~ attorney's fees, shall be added to the principal, become due- as incurred, and in case of judgment shall be included therein. Upon the commencement or during the pendency of any action of foreclosure of this contract, the court may appoint a receiver of II the premises, including homestead interest, and may empower the receiver to collect the rents, issues, and profits of said premises during the pendency of such action, and may order such rents, issues, andprofits when so collected, to be held and applied as the court shall, from time to time, direct. .~v~~ All terms, conditions, covenants, N!iA ~'Inties and promises herein shall be binding upon and inure to the benefit of the heirs, legal representatives, successors and assiglia iif the vendor and the purchaser: If not an owner of the property the spouse of the vendor for a valuable consideration joins herein to release homestead rights in the subject property and agrees to join in the execution of the deed to be made in fulfillment hereof. Executed at ,Woodville?, WI4consin -this -Z-Znd-- day of `_D_e_CS'Mber 197-7_. SIGNED AND SEALED IN PRESENCE OF " (SEAL) I _✓1ie i marL _B 3 an (SEAL) Marie Bosman ~9&0?dd 3d (SEAL) arion DeJo I • (SEAL) Susan H. DeJon r • AUTHENTICATION ~I i Signatures of authenticated this day of i' Title- Member State Bar of Wisconsin or Other Party II Authorised under Sec. 706.06 vis. I; STATE OF WISCONSIN St. Croix 1 _ county. es. 1 I; Personally came before me, this 2 day of December 1977 , the above named Heiman Bosman, Marie Bosman, a_r1`on_FD_eJoncr and Susan H. DeJong _T _ tome_known to be the person-s who executed the foregoing instrument and sckne` d the name. This instrument was drafted by Robert G. Walter ROBERT G. WALTER Notary Public Dunn County, Wis. The use of witnesses is optional. My Commission (EeYpYr&) (Is) permanent. r NbM6* kli yf lionik bitting 111 any capacity should be typed or printed below their signatures.