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HomeMy WebLinkAbout012-1074-00-000 rC o ° I ~n p ° ao a 0. 0 I 0 N X M ~ s 0 E 0 •o I 4 L o I o c ~ I r N ~ 0 o Z C _ 7 m ti LL C O 2-0 0 C m O Q `r' E co z w w ! E <n 0 v £ z° a d LO H d m N 0 z d' a v CD Z c ~ F r ~ N I E 0 E 3 QA o m I v cc c N O 0 co ~ L O SD m N 7 0 .2 w O N O Z Z Z o N 0 U) M1~ N d d O 06 CL m 0 5 o 0 a` -0 m d ~ C. O CL CL O O IL :2 L 3 o to co M to LO U rn rn is o o o ;a N E ° LO co N N a) co Q ~ v7 m O 7 . N c V) U) Q ~l ~ ~ N p C E 00 0) C) c CL a) C) T) m i2 10 :Z Q I c E m 0 Lo r-- tFy p m V - L C7 -7:1 N IL co r- 00 LO O N ca m E U O M W M N 0 N Cn O ~ W ~t Q N a O E E d C t A U a 2 O 0 in T t yvise;.,nsii, Department of Industry, SOIL AND SITE EVALUATION REPORT Page of _3 Lab6t,and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. Q-~ dimensioned, north arrow, and location and distance to nearest road. oZ QUe) ~ APPLI ANTI RMATION-PLEASE PRINT A L INFORMA ON REV! D e DATE ~I . ROPERTY WN : PROPERTY LOCATION "G VT. LOT / k) 1/4S 1/4,S3 S T 30 N,R / -7 JEQor) W PROPERTY OWNER'-.S MA!I.ING ADDRESS LOT # BLOCK # SUED. NAME OR 2 E 12- z W ~v~ /V~ Cr CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAG OWN NEAREST ROAD urvt r'~E ' 337 ro/ZJc9F-y-'S-ie_4 r&?- ,4= 'K New Construction Use [-Residential / Number of bedrooms [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow !%(P2 gpd Recommended design loading rate bed, gpd/ft2 , trench, gpd/ft2 Absorption area required 3 75 bed, ft2 37S trench, ft2 Maximum design loading rate bed, gpd/ft2 j S trench, gpd/ft Recommended infiltration surface elevation(s) ft,(as refe ed t site plan benchmar Additional design / site considerations -4 o 1 Parent material Flo&J plain elevation, if applicable Ally ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem 10 S J4 U J24 ❑ U ❑ S ❑ S ~fft U Os -2u❑ S K-U 'RU SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bouindary Roots GPD/ft Boring # Horizon in. Munsell Gu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmr& h'` Z - a r~ s a n-+ s c3rS ~i t /26 o si lv ~ Ground . Z `f ~N S/ a m r 1 5 li t. 60 7, 5y2 s~ m r Y7 41- A yva , t5_1 Depth to limiting factor Remarks: Boring # 44 51-1 li~' 3 6K A /jQ 19 C/1 -7 r Ground elev 9-.5 '7 ✓G z 1' ~5 2 5~' s'/ 1 M. N,~ C" 51 Z rt. Depth to f ; limiting / factor Remarks: CST Name:-Please Print Pl~one- Address: 2DCJ z / Signature: Date: SCST Number: 3 ZZ c~' XK PROPERTYOWNc`~2Cy2S SOIL DESCRIPTION REPORT Page Z -i, PARCEL I.D. # Boring # Horizon) Depth Dominant Color I Mottles (Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Mmnch Ylt, 3...... Z -z mss/ S~/ s,o ac) Ground Sp -6'y2 4 elev6s ft. Depth to limiting factor Zfj/ Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # ii\8k.vv yi'E Ground elev. f~. Depth to limiting factor Remarks: Boring # fii4:\ii'fi• Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) ,r STEEL'S SOIL SERVICE Gary L. Steel C.S.T. 2298 --7rs r7 Z 117 x-12 New Richmond, WI 54017 MPRSW-3254 (715) 246-6200 A)W .5 5 3-5- r c-4/ h 'Coe ol Vol 1 ~D ~ is• 350 ' ~M r ~IS~CcF/ 1(~- & l3 Z A-~--E Z' I ®b , 1/0 ~0 L r • ST. CROIX COUNTY WISCONSIN ZONING OFFICE r x ■ M x ■ a ■ r...i ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 J January 27, 1994 Mr. Leonard Litzner 12812 Welcome Ln. Burnsville, MN 55337 I Dear Mr. Litzner: An onsite soil investigation of your property, located in the NW,SEh, S.35, T.30N., R.17W., Town of Erin Prairie, St. Croix County, WI., has been conducted with the assistance of Gary Steel, CSTM# 2298. This onsite revealed suitable soil for onsite sewage disposal to a depth of 28" 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. QSincere y, J es K. Thom son ssistant Zoning Administrator cc: CST file Vsconsin. Department of Industry, SOIL AND SITE EVALUATION REPORT Page - of Labor and Human Relations fY Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan onpaper 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. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION - GOVT. LOT 1/4 1/4,S T N,R E (or) W PROPERTY OWNEIT:S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLqN NEAREST ROAD New Construction Use (J Residential / Number of bedrooms (j Addition to existing building j j Replacement Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/1112 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, 9pd/ft2 Recommended Infiltration surface elevation(s) It (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM N FILL HOLDING TANK U = Unsuitable fors stem ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourd@ry Roots GPD/ftin. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed tend? Ground 5,' 1 elev. It _ ZO S; ~2 wi. S i v~ r Depth to limiting factor l Initial: Date PROPERTY OWNER SOIL DESCRIPTION REPORT Page_ of. k PARCEL I.D. # Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon Texture Consistence Bourbary Roots in. Munsell Qu. Sz. Coat Color Gr. Sz. Sh. Bed reach .....y,. 'Y »aeoe.'tivt Ground elev. ft. Depth to limiting factor Remarks: Boring # Nom,.>€ y -Y Ground elev. ft. Depth to limiting factor Soil pit locations z ~ 3 rx ST. CROIX COUNTY WISCONSIN \ M, N • N * move ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road - Hudson, WI 54016-7710 (715) 386-4680 November 17, 1993 Mr. Len Litzner 12812 Welcome Ln. Burnsville, MN 55337 RE: Soil Report, Len Litzner Location: NW; SE',,S.35, T.30N., - R.17W., Tn. of Erin Prairie, St. Croix Co., WI Certified Soil Tester: Gary Steel, CSTM# 2298 Date of evaluation: 11/09/93 Dear Mr. Litzner: After reviewing the above described soil report, it has been determined that an onsite soil verification must be conducted in conjunction with this office as allowed by s. ILHR 83.06(4)(a) WI Adm. Code. The purpose of an onsite soil verification is to verify soil suitability for onsite sewage disposal. The verification may result in a different size or type of septic system than that shown on the soil report. As a result, neither sanitary nor building permits can be issued for this property until the soil verification is completed. nce ely, J es K. Thompson ssistant Zoning Administrator CC. CST file AS BUILT SANS TC ITARY 104 SYSTEM OWNER / A "C' s ADDRESS Cv ) 4i C e S t S t SUBDIVISION / CSMI LOT SECTION s~ T 3 N-R 12 W, Town of L n Pe q I'/? C ST. CROIX COUNTY, WISCONSIN PLAN VIER SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM N o l.✓ a ! l Az Lh's L ~v ~ i. ~V INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. L,t _ lUU , BENCHMARR• S p ~ ` LLB L`'L ALTERNATE BM: t ) 12 14 pt, r C 4 h l U 1 SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: w e-S b e ^K Liquid Capacity: )G O U Setback from: Well House ~S Other Pump: Manufacturer e- /z Model# 5~_.3 Size Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width: S~ Length ~ S Number of trenches Distance & Direction to nearest prop. line: -30 Setback from: well: House 1 I Other p ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet q? , `/L' PC bottom ~ q 2-`7 Pump off ~s , q Header/Manifold C/ Bottom of system C/ 6 • S-~ Existing Grade < S' Final grade d f DATE OF INSTALLATIO PLUMBER ON JOB: O-C LICENSE NUMBER: INSPECTOR: 3/93:jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labora uman Relations INSPECTION REPORT ST. CROIX Safety and nd Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No_ Permit Holder's Name: ❑ City ❑ Village []-Town of: State PI BOLDT, BRAD PRAIRIE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Benchmark ~ Septic e(_1 0 Cl~ Dosing CL d. 0~ Aeration- Bldg. Sewer Holding _ St/ Inlet TANK SETBACK INFORMATION St/ Outlet TANK TO P/ L WELL BLDG. VAe Intake ROAD Dt Inlet i Septic NA Dt Bottom ps 951d~ Dosing NA Headers Aeratio NA Dist. Pipe Holding Bot. System PUMP / INFORMATION tG / Final Grade Manufacturer De and ;j~, /Ca )c r 10 3. d,2v 69 Model Number S3 GPM = ` q 7 d TDH Lift Friction -GTE) System TDH (P t Forcemain Length Dia. a'' Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width, Length No. Of Trenches IT No. Of Pits Inside D' epth DIMENSION S DIM SYSTEM TO P/ L BLDG WELL LAKE /STREAM Manufacturer: SETBACK LEA AMBER C^ INFORMATION Type O , Moe Number: ~Q~' System: IY~~ ,cl ~ORUNIT SYSTEM Header /4dj Distribution PipeO ! , x Hole Sizx Hole Spacing Vent To Air Intake Length Length Dia. Spacing J 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 /.Ts § eh Center Bed dges Topsoil C] Yes ❑ No ❑ Yes ❑ No 1 COMMENTS: (Include code discrepancies, persons present, etc.),.; 'i< LOCATION: ERIN PRAI IE. 35.30.17W SW SE. 2OOTH STREET { - - / J 7 ' Plan revision required? ❑ Yes No Use other side for additional information. (p SBD-6710 (R ,05/91) ~j Date Inspector's Signa ure Cert. No. / ADDITIONAL COMMENTS AND SKETCH t SANITARY PERMIT NUMBER: SANITARY PERMIT APPLICATION Bureeaau of u of Bildi uildiningWatergsDivinitSy Bur stem 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 Co than 8112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary P rmit Numb r aa38 The information you provide may be used by other government agency programs ❑ Check it revision to previou application [Privacy Law, s. 15.04 (1) (m)]. State Plan LD. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Pr erty Owner Name Property Location t/ 0( S jAA ,S&- 114, S Sr T d , N, R /1.&( r) W Pr pe ty Owner's M fling Address Lot Number Block Number ~6 r = rstr City, State Zip Code Phone Number Subdivision Name or CSM Number ,},i/dam, L✓s s-y~r,~ c~,~- > X3/9 II. TYPE F B ILDING: (check one) ❑ State Owned ❑ City Nearest Road -13 ❑ Village t 4t ❑ Public or 2 Family Dwelling - No. of bedrooms Town of ~ l / r' r .2 SC III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment / Condo d 12 ` / U s` i U 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. p.P rev 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 round 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 S. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) a Elevation Cl C~ 95- 3 S' / G S Feet W, S~Feet VII. TANK Capacity gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks/ Septic Tank or Holding Tank 4~ / &J C 7 d w a $c LK ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber (y ~U ! ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibilit for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum er's Signature: N mps) PRSW No.: / Business Phone Number: Plumber's Address (St City, State, Zip Code ~_06 w,WGw 0.,? k/0 d vi, r<e ~r s 5 IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signat a (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) _ Adverse Determination 01) I,_ I X. CONDITIONS OF APPROVAL / REASON FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for 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 10 x 11 inches must be submitted to the ccunty. The plans must include the following: A) plot plan, drawn to scale or with cornolete dimensions, location of :7c iding tank(s), septic tank(s) or other treatment tanks; building sewers; well,,; water mains/water se ,-'.e stre,ir)s ~ n., laki~s; pump or siphon tanks; distri>>ution boxes; soil absorption systems; replacement system areas; and the locution (f the building served; horizontal and vertical elevation reference points; Q complete speci fications for pumps aria %ont-ols; dose volume; elevation differences, friction loss; pump performance curve; pump model and E-'ump manuf4c`urer, D) crosssection of the soil absorption system if required by the county; F) soil test data on a 1 15 form; and F) al 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. I SAFETY & BUILDINGS DIVISION I I State of Wisconsin Department of Industry, Labor and Human Relations March 21, 1995 2226 Rose Stree La Crosse WI WEGERER SOIL TESTING x y:~,Y 421 N MAIN STREET PO BOX 74 ` Me.J fir` RIVER FALLS WI 54022 ti. RE: PLAN 995-40156 FEE RECEIVED: 180.00 BOLDT, BRAD SW,SE,35,30,17W TOWN OF ERIN PRAIRIE 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 roust 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. Kr M. S Plan Reviewer Section of Private Sewage (608) 785-9348 7839R/ 1 SHDA-7997 (R. 10M) ~ I Page of 6 MOUND SYSTEM S95-40156 FOR A 3 BEDROOM RESIDENCE LOCATED IN THE SW 114 OF THE SU 114 OF SECTION 3S ,T 30 N, R I'l W, TOWN OF N-4. yN \;?.Ps112-1E . ST. c-U lLX COUNTY, WISCONSIN. INDEX PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN .PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR RECEIVED --6io NF~~~eC~T s1r• %iN\-OwlN, IA JN S40oZ MAR 2 0 MJ SAFm i am. W. ~ PREPARED BY a~g1~t0~gy~ WEGEF;t ~R SO I L TEST I t14 (33 AND. CSC opis r¢e DES = GtV SEFRW I CE ~o° ~r•••• tiff ~ ~a F.O. BOX 74 421 K. KAIK ST. _ ARTHUR L. • WEGERER Z = RIVEF. FALLS. NI 54022 0.315 P ~ EISVJUgTH, 715-4-25-0Ib5 : t wrs. 00 ''a~ylr sIG11 z-z4_~s JOB NO. G S - 3 3 y RAM Via ?W.18 A V133Ae ~I PLOT PLAN age Z of Scale 1"= q C), 401 56, t~ot-> ~~o~s~ lv F3~ ~T LAST ZS' L sT o~ MWAJ16 wet t So' <zlNo J)-r L%ST ZS " O N e ,e et_. a v c r-2s,_~.3 z 'moo r.~nT cusHPRc'T'1 02 DISTURB ~ TY4- Ls N%" A 3p o r; N 9s I C'1. 9~ 3 1 4 u t? I Of s - Z $ . ~ - goo, o ~LLR3 - 3t"~~`~ ~ ON spttz~ 2441~'8c1UC- GROUwN ,S'~ ~IC~• OPctt $t-1 t+ Z _ gS.9S on, 3PItt.~ 3o'I ''tzk)UG (S Ro vAJQ Itv 116 Q IPA ort~ 'tom s ""Me3r UNE ow ~ h-c~~ P rrt. fit. , o n 3 g ~F IA19~ST8Y, E~'C'1 phi U~• p~VIS S~tE . P2I uRlI _ TUO, b. _ -TWA C0(~E~ ~o a L-,oct~u r~1 S~-N1' C~a N NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be %%rjAS0 gallon capacity manufactured by zWe3ll` m "V-2kcl~-sr, tlyc 5. Bench Mark SW~ "raw.- lam- L-Pc1J 6. Divert surface water around mound to prevent ponding at the uphill side. page 10f Approved Synthetic Covering 595-40156 Distribution Pipe Medium Sand HG Topsoil F Eiev'. q S D _ 3 , b S % Slope 8*4 Of i = 2 %2 (Force Main Plowed Aggregate From Pump Layer Undisturbed D \-0 Ft. Soil E 1.tS Ft. Cross Section.Of A Mound System Using F o•8 Ft. 1 Trench For The Absorption Area G o Ft. A S Ft. H 1- S Ft. B --)S Ft. I S Ft. Linear Loading Rate= 6.O GPD/LN FT J B Ft. Design Loading Rate= u.3 GPD/SQ FT K `O Ft. L q S Ft. Position of Force Main W Za Ft. L B K tv4eia A - - w Distribution Trench Of 2 - 2 2 Pipe Aggregate Observation Permanent J Mark Pipes (Anchor securely) C a 10 Mound Using I Tre UForr A i&~ a 4F pF ~ES~ti ~G~ ti Page q Of b Perforated Pipe Oetoil S95"40156 0 End View )Perforated End Cop) ey" PVC Pipe 1 . 'a once asp Install permanent-marker at end of each lateral I Holes Located On Bottom, Are Edaally Spaced III 4 End Cop * PVC Force Main Distroution Pipe Lost Hole Should Be Next To End Cop Distribution Pipe Layout P 34. S Ft. YE SV4 ~,G~ SYST~~1l day"d X 3~ Inches Y Inches i , Hole Diameter Inch Lateral Inch(es) 8CS t 1 Manifold Inches of Sik? Force Main 2 Inches i # of holes/Pipe 12 Invert Elevation of Laterals 97,00 Ft. ►U-byK2__ GP" 'vsi*L- Place lst hole 1%4 from tee with succeeding holes at 3b' intervals. Last hole to be next to the end cap. Combination Septic Tank and CIFIST 9 5. 401 k6OF 6 PUMP CHAMBER CROSS SECTION AIJO SPE VEWT CAP WEATHEK PROOF JuQCTIOIJ b0X 4'C.I. VENT PIPC APPROVED LOCKING -"10' FROM DOOR, MAWHOLE COVER w►'M wARr.~I>JG L.tKgEl. wiuDOW OR FRESH 12"MIU• AIR INTAKE co,,pu~r `{r MIAJ. fj R-1 t GRI1 1 18' MI W. 18"MIAI. PROVIDE I INLE T AIRTIGHT SEAL I Iii v 8►aPF~~S A ( I ( APPROVED JOIWT. APPRO I I I W/C.I. PIPEo KI?' jt T` ^PEOR k construction I III EXTEUDILIG 3' ALARM 0 S ONTO SOLID &OIL a .I II CXTCA#plt 1and183.20 6 I 1 uT.-fimtlb°'saIL. o 83.15 f~ r ~►~ao~: C i I ua `'y B~9ILt9l16'+~$ S6. y.Z DF 111 ~BSYA`l,S CLCK FT.--4- PUMP --j DEjq, OFF i9til►s1 t4lD C0UCRETE G 87 SCI 9LOCK FT' APPAv -13 RISER EXIT PERMITTED OIJLy IF TAWK MAWUFACTURC.R HAS SUCH APPROVAL BE001N(l SEPTIC SPCCIFICATIOAIS f TASUK MAMUFACTURGR: lHkbWe5Tlt2.1J C' WUMbER OF DOSES: 3.qy PER DAU TANK :,IZE: \tNM / 6S0 GALLONS DOSE VOLUME r S S S`[~ t S INCLUDING 6ACKFLOW: GALLONS ALARM MAUUFACTURER. MODCL WUMBER: CAPACITIES: A= IWCHESOR 3~b CALLOUS SWITCH TtIPE' F~1M WW"1 - z IWCHES"OR G(►LLOUS PUMP !'IAUUFACTURCR: Cm 7 IUCHES OR "9 GALLOI15 MODEL NUMBER*. S3 D INCHES OR `b, GALLONS SWITCH TYPE: ~~CUIZr MOTE: PUMP AUD ALARM ARE TO BE MIAIIMUM DISGNAR6E RATE Za•e$b GPM IN5TALLED OW SEPARATE CIRCUITS VERTICAL DIFFEICENCE DETWEEU PUMP OFF AUD--DISTRIbLITIOU PIPE.. s$ FEET t MINIMUM NETWORK SUPPLY PRESSURE 2.50 FEET T- F O ~L~ 30 F FORCE MAIN X ~'b~ 00 FI.FRICTI0A1 FACTOR-. FEET + FEET O "-S6 FEET - TOTAL Dy1JAMIC HERO - Pump chamber DIAMETER 8~I ~ (WTERMAL. DIMLW5101JP OF TAAIK: LEM&TH;WIDTH ---;LIQUID DEPTH BOTTOM AREA - 231= - GAL/INCH AS PRR MANUFA_C_TURER ~~1.0 GAL/INCH f _ Pt's 6F 6 ~F ~ ~ LU w ' _ - 4ra HEAD CAPACITY CURVE 61/4 : W W LU "53-55" SERIES 45/e 25 O TOTAL DYNAMIC HEAD/ ( 4% FLOW PER MINUTE EFFLUENT AND DEWATERING e CAPACITY _ , Q 20 HEAD UNITS/MIN 1121/2 NPT Q 6 FEET METERS GAL LTRS 43/16 = W 5 1.52 43 163 10 3.05 34 129 _V 15 4.57 19 72 15 19.25 5.87 0 0 } 4 95~4015+6 Q ~~.Sb• lo O H 2 Z12 5 915/16 I El Al 1 7 US 10 20 30 40 50 33/6 GALLONS I IF LITERS 0 80 160 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Piggyback Mercury Fioat Switches • Available with special cord lengths of 15', available. 251, 35' and 50'. • Variable level long cycle systems • Alarm systems available. available. • Duplex systems available. Standard cord length - automatic 9 ft. Standard cord length - non-automatic 15 ft. SELECTION GUIDE M53/55 SERIES Control Selection 1. Integral float operated mechanical switch, no external control required. Model Volts-Ph Mode Amps Slln x Duplex 2. Single piggyback wide angle mercury float switch or double piggyback mercury float M53155 115 1 Auto 8.0 1 or 1 & 7 - switch. Refer to FM0477. N53/55 115 1 Non 8.0 2 or 2 & 6 3 or 4 & 5 3. Mechanical alternator 10-0072 or 10-0075. D53/55 230 1 Auto 4.0 1 or 1 & 7 - 4. See FM-712 for correct model of Electrical Alternator, "E-Pak" E53/55 230 1 Non 4.0 2 or 2 & 6 3 or 4 & 5 5. Sensor mercury float switch 10-M5 used as acontrol activator, with E-Pak (3) or (4) float system. 53 Series - Wt. 23 lbs. -.3 H.P. 55 Series - Wt. 25 lbs. -.3 H.P. 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in simplex or duplex operation. P/N 10-0002- 7. Two (2) hob "J-Pak", junction box, for watertight connection or splice, P/N 10-0003. For information on additional Zoeller products refer to catalog on Combination Starter, FM0514; CAUTION Piggyback Mercury Float Switches, FM0477; Electrical Alternator, FM04K Mechanical Alterna- All Installation of controls, protection devices and wiring should be done by a qualified nator, FMO495; Alarm Package, FM0513; Sump/Sewage Basins. FMO487; and Simplex Control licensed electrician. All electrical and safely codes should be followed In addition to the Box, FM0732 most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Louisville, KY40256-0347 Manufacturers of . SHIP T0: 3280 Old Millers Lane DO_ Louisvine, KY40216 (502) 778-27319 1(800) 928-PUMP QL/AL/rY AA/P9 Flh'Cr Iff Y FAX (502) 774-3624 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page I of 3 abop and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ST C kZ. 11C 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 %tof slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and.distance to nearest roast. 0 1 Z,_ 03-15 -ZA - V V30 APPLICANT INFORMATION-PLEAS'°PRINT ALL INFOIRMATION•-REVIEWED BY DATE PROPERTY OWNER: 00PERTY LOCATION St.W 1/4 'S 4F 1/4,S 3S T 30 N,R 1-1 E(or( PROPERTY OWNER':S MAILING ADDRESS OT # BLOCK # SUED. NAME OR CSM # CITY, STATE ZIP CODE PRONE NUMBEft [-]CITY [:]VILLAGE ®rOWN NEAREST ROAD $l~l ~1-jIN~1,U 1 SL(OOZ C 6$`i! 3t '"S E2tN Pl~Al1Zt~ D4 New Construction Use [ Residential / Number of bedrooms 3 [ j Additi n to existing building j ] Replacement [ J Public or commercial describe Code derived daily flow ~1 S D gpd Recommended design loading rate - bed, gpd/ft2 0 3 trench, gpd/ft2 Absorption area required 3"1 S bed, ft2 315 trench, ft2 Maximum design loading rate o 5 bed, gpd/ft2 0, 6 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations w/ S'x'l S' TRH ctj - tr-)t tJ . or- S A&X, F- L Parent material Lti tjs ~s du Liz Tl Flood plain elevation, if applicable N - A - ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for stem ❑ S ®U [as ❑ U ❑ S EaU ❑ S [MU ❑ S 9 "U ❑ S IOU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botr>d3y Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed tench tio -Ivt z 1z - sit Z~Sbk w,~~. a-s - 0.5 0.6 x 5 0. Z ~ - Z Z 10 `'L tz. L/ ~ y - sit a., s - o Ground 3 2.Z -3 0 S Y i 3 /y - s J Z vh 31,yz rv~ -F V' C S - O. S o. b elev. C\ S`tR YIG 9`l-aft y 30.53 -S`1t2 Sly 10 ybt s/Z -S scl Depth to limiting factor 30 Remarks: Boring # 1 o-n to~ttz z/Z - Sl` Z~sbh a,s - o.su.L ' rUi Z $-22 `ttz ~fl y - S l J Z s ~k w►'FI, ct-s o.S O.L 3 2- Z-3y ~,S `1V 31y - S 7 0-shk M0- _ o.q o.S Ground S `1 2 4/6 elev. y 3Y-sn s kR 3ey o y2 sl2 SJ-sc1 +ti. w, ~Ft- - - 93.5 ft. Depth to limiting factor Remarks: CST Name-Please Print Arthur L. We erer Phone. 715-425-0165 40 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: 9 3_ 2 3 Date: Z -1 6- 9 CST Number: PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z of .3 PARCEL I.D.-I 0 Z - 101 S - ZO - t 00 Depth Dominant Color Mottles Texture Structure Consistence Bouncla Roots GPD/ft Boring # Horizon in Munsell G1u. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .>f':«<: o - $ `1 z l 2. s t ` Z `F Sb1~t m `f tr Q, S - b .5 0. 6 O' S u 6 10 -t R. y/ 51 Z F 5bk r>1 'FI- CL -s Ground 3 z q 3 1. S j tz 3 !y - S` Z C. S elev. S`itz 4/6 S~-SC.I 1 csblt 4n •tCH LfR 3!Y Zd1 lo`tRslL _ of4•~ft. 33-~(3 Depth to limiting factor 33 Remarks: Boring # k•.y L i Ground elev. ft. Depth to limiting factor ILI Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # ti Ground elev, ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) • PLOT PLAN Page 3 of 3 a i: BQt~D Q1,LL~T SCALE 1"= y (3 l~1C~ o\"L_ Io~S-20-IVo ►vIWM \Atjj s se 'Tt B~ ~--r LLz~ 5 r Z S' LS)N-s T %3 F 3) Te . t to . 5p` N V Cn Q H V ~t,.qy L i bo r.~ur e-o►~pt~c'T1 02 DISTURB ~ I -r* l 5 Ct lsA __1__. f I I I I ~ 9S S o I / qs' r / 3L d), a I 'R3 ON 51011zL ZY I'MMJE G12OVti!'p - tTt. °1S •9S o)u SPIRt= 30'' \~C3uuL ~fzourup Ilv 16`'►~/N- orl4c `t-2~T S X331' ~IIU~. 4F Lc~ 1~IgRcrEL In o.3wi~ l~vt• UoCPrn wt1 S\zLvr C. lA N 3 - 3 (715 ) 425-D1 (,5 2400576 CST Signature Date Signed Telephone No. CST # STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNERMUYER 1~ Cd t St- v ~l l MAILING ADDRESS PROPERTY ADDRESS f,Ad gee k (location of septic system) Please obtain from the Planning Dept. CITY/STATE 914 ' `t ti✓` S PROPERTY LOCATION S~w 1/4, 1/4, Section, T 3 U N-R W TOWN OF G n "h /P i 2 C- ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUMEL 1 PAGE 41? 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 o%viler and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. UWe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR Certification stating that your septic has been maintained must be completed and returned to the St Croix County Zoning Officer within 30 days of the three year expiration date SIGNED: 1 l% J4 DATE: - r - - St. Croix County Zoning Office Government Center 1101 Cannichacl Road I 1 Hudson, WI 54016 i S T C - 100 This applicatidn 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 624 Cl /3 v Id 6 Location of property.s ~1/4 S G 1/4, Section 2 T r U N-R.12 W Townshipek'l h Mailingaddress (PlU e-V lea /V t' -L W S S-~(vG t__ Address of site'do_g ' 2 OD 13g, Q s t/oo ? Subdivision name Lot no. Other homes on property? Yes C~ No Previous owner of property Total size of property 2 0 Total size of parcel 2 Date parcel was created Are all corners and lot lines identifiable? yYes No Is this property being developed for (spec house)? Yes 6-'No volume 1// y 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 gffice of the County Register of Deeds as Document No. 57-?5-61411 , 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 offic~ of the County Register of Deeds as Document No. S"2s-G 949na ur of Applicant Co-Applicant x &i Date of Signature Date of Signature it ' DOCUMENT NO. STATE BAR OF WISCONSIN FORM 3-1982 j THIS sr.cc Rcscnvcn FOR wccowolna oArA f I QUIT CLAIM DEED I~ !L 525~9~ ~ i; 7EG I4~~_= 'S OFFICE X CO., WI Record j Gary. A'---Boldt............................. FEB 3 1995 • I! quitclaims to .__Bradley R,-••Bolat_.ana-.sill~:e--Jo• Bolat, I at 10:00 A. M 1'rfe,,,.~. tr,~araw, -.'husband---and -:..ife-------------•------. Re ter of Deeds it I the following described real estate in St:..... K.O.IX County. _ State of Wisconsin- RarVRN TO Bradley R: Boldt West one-half (112) of the Southwest one-quarte 610 Hillcrest St.llll (1/4) of the Southeast one-quarter (114) of iBA!d_win,,_WI 5400 Section 35, Township 30 North, Range 17 West - III subject to a perpetual easement for ingress and egress ovex the East 66 feet of the West Tax Parcel No: one-half (1/2) of the Southwest one-quarter i (1/4) of the Southeast one-quarter (1/4) of Section 35. II f ~ I II i I This 15•-L10 homestead property. ~I (is) (is not) ~d 1 Dated this day of 19.5. .....(SEAL) -f.... . .........(SEAL) 1 I ' Gar A. Boldt (SEAL) . -------....------•..•---.............------........(SEAL) • • I AUTHENTICATION ACBNOWLNDUMENT I Signature(s) _ STATE OF WISCONSIN as. --I------- (J~ . ..........County. authenticated this ay Of. _ _ _ Personally came before me 1 .4C_.day of , I 19. the above named TITL . A EMBER STATE B R OF CONSIN (If not, r £~lf'z authorized by § 706.08. Wis Stata) ! ,:-Z. I to me known to be the person ?►o OEt foregoing instrument and acknowlec*jUe THIS INSTRUMENT WAS DRAFTED BY Pi: WPM Notary Public his. l (Signatures may be authenticated or acknowledged. Both My Commission is permanent. i if not, ~tion are not necessary.) p date: 'G~' F 19.••_•---•) QUIT CLAIM DEED vTATF. FIAR OF WISCONSIN W--,`:in Lrq.I Blank Co. I- F-ORM r I March 15, 1994 Mr. Tom Nelson St. Croix County Zoning AdminE:strator 1101 Carmichael Road Hudson, W.I 54016 Dear Mr. Nelson; The Erin Township board was approached by Mr. Leonard Li'tzner, regaarding the rezi_inement of .6 acres of agricultural land to ag--•residental for the purpose of a driveway access. and a home site. The location was in the NW1/4SEI/4, S.35, T.30N., R. 17W. , Erin Prairie Township. Upon hearing the request and a discussion period the Board had a l.nanimiwu vote to deny the request citing three main objections; 1 The property was creating a sei:::i»nd acesslr fight of way across ag land when one was al'r'eady provided with the property purchase. It also raised question to future use of such acess to develope other "lots" at a later time, which is in direct conflict with the Townships fig Preservation status. 2 The request did not prove that the only pert::able location was outside the original property owners bounderies and ....h»wn a i._iinvienience 'r'ather than a hardship or hazard. 3 The Township stands firm that in trying to maintain its Ag Preservation status and keep the better classes of soil in thier currant usage, we will not compromi',::ie our position to rtlaE;e pri:=T:,ertJ.es perl::atJ:i.e or able to cievel._pe by this very kind of request. Mr„ L.itzner was advised of his right to appeal this decision and suggested to speak with the County Zoning Office for more information. before filing his request and paying the filing feed Thank: You - , -11 ~ 4 /1 - -10 Stephen M. Br oct• pah l er D Erin Town Ch-airman ~ 1691 I ty= Rd. Ira 0 New Richmond, WI. 54017 Parcel 012-1075-10-000 11/05/2008 01:17 PAGE 1 OF 1 F 1 Alt. Parcel 35.30.17.541 B 012 - TOWN OF ERIN PRAIRIE Current X 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 - BOLDT, BRADLEY R & BILLIE JO BRADLEY R & BILLIE JO BOLDT 1198 200TH ST BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE SEC 35 T30N R1 7W 20 AC W 1/2 OF THE NW Block/Condo Bldg: 1/4 OF THE SE1/4 INCLUDING PERPETUAL EASEMENT AS DESC IN 871/100 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 35-30N-17W Notes: Parcel History: Date Doc # Vol/Page Type 01/18/2008 867435 WD 09/22/1997 565626 1265/082 LC 08/19/1992 487339 964/297 WD 05/18/1990 458701 871/100 LC more... 2008 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 11/07/2005 Description Class Acres Land Improve Total State Reason MFL BEFORE'05 CLOSED W8 20.000 64,000 0 64,000 NO Totals for 2008: General Property 0.000 0 0 0 Woodland 20.000 64,000 64,000 Totals for 2007: General Property 0.000 0 0 0 Woodland 20.000 64,000 64,000 I Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00