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Wiscgnsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.:
GENERAL INFORMATION
Permit Holder's Name: ❑ City ❑ Village ❑ Town o : State PI
LARSON, JOEL AND DARCY X
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: r
10 A AI
n5
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ~k 2,110 Benchmark
Dosing 14
Aeration Bldg. Sewer
Holding St/ V inlet
TANK VTBACK INFORMATION St/ bt Outlet p/ r
Vent
TANKTO P/L WELL BLDG. A
irl to ntake ROAD Dt inlet 79
Air l
Septic ~ _,Z) 7-773 /Y / NA Dt Bottom 3Vi g7, /,2
Dosing 5-v' 3 WO' } NA Heada+=-/ Man. ~j G`
Aeration NA Dist. Pipe 4/
Holding Bot. System ,A6'
PUMP /SIPHON INFORMATION Final Grade
Manufacturer Demand r 3.~' moo'
o + a,,E 91
Model Number S3 37 P
TDH Lift I Friction System 5)11 DHg,O'Ft
ss 01
LO mead I
Forcemain Length 7 Dia. P Dist. To Wela
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length / No. Of renches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 5 161) DIMENSIONS
SYSTEM TO P/L BLDG WELL LAKE/ST LEACHING Manuact
SETBACK
INFORMATION Type O nL--- / 3 CH I r
System: rmOL" OR UN
DISTRIBUTION SYSTEM
4!9~ r/ Manifold N Distribution Pipe(s) , „ x Hole Sizex Hole Spacing Vent To Air IrJtake
Length -At Dia. Length ~ Dia. Spacing - 4, y ~pQ
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over ~i Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center O Bed / Trench Edges Topsoil (p es ❑ No es ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: Hudson.24.29.19W, SW, NW, Lot ?9, McDiarmid Circle, (oo, co
~ Plan revision required? ❑ Yes Rl~o I
Use other side for additional information. /(P
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
1
ADDITIONAL COMMENTS AND SKETCH t
SANITARY PERMIT NUMBER:
I
it
i
inn SANITARY PERMIT APPLICATION Safety and Buill ng Water Sn
Bureau o of f Building Water System
201 E. Washington Ave.
In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969
Madison, WI 53707-7969
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 81/2 x 11 inches in size. 64
• 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 ❑ Check it revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number
1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION
Property Owner N e Property Location
O UJM 1/4, S T , N, R /c7 E (o c
Property Owner's Mailin ress Lot Number Block Number
Ci y St t Zip Code Phone Number Subdivision Name CSM Number
5 ( ) l
Ill. TYPE F BUILDING: (check one) ❑ State Owned ❑ ity Nearest Road
❑ Village
Public 1 or 2 Family Dwelling - No- of bedrooms- Town OF R)o -7
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
1 E] Apartment/ Condo OC90 /cw ~o
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining
4 ❑ Church / School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash
5 ❑ Hotel / Motel 9 ❑ Office/ Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable)
A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5, ❑ Repair of an
------System System Tank TankOnly ______________Existing System ________ExlstingSystem
_
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 > Vlound 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
_
Req ired (sq- ft.) Prop sled (sq. ft.) (Gals/day/sq. ft.) (Min inch) Elevation
1 Q6 b Gv 0• I~a,s Feet $.7s Feet
VII. TANK Capacity gallonTotal # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App
New Existing structed
Tanks Tanks '
Septic Tank or Holding Tank ( 000 W t ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber So 0 I W Q-Q ❑ ❑ ❑ ❑ ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) n Plumber's Signature: (No Stamps) MP/MPRSWNo.: Business Phone Number:
U 4 - q&,Iz
Plumber's Addre (St eet, Cit , State, Zip Code):
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved S nitary Permit Fee (Includes Groundwater ate Issued Issuing Ag nt Signature o S raps)
A roved Surcharge fee)
pp ❑ Owner Given Initial ~ py~,Ge ~
Adverse Determination oCJ J 5`
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SOD-6398 (R. 05194) 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 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 hcense.d pumper whenever 1
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.
Ill. 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 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.
i
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNERS I `t ~n-x)T4q ~NKSW
ADDRESS Lot. ~9 SUe -
SUB DIVISION / CSM# ~,_K'►aG e LOT Q9
SECTION _Ta_N-RI_W , Town of n U DS 0 IJ
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
Q3-S x jai Nom; SeP-ti C
MOUND u ele 1S fifer
i ~pffl~
TQQ Nt~
5'x lob go0541 PV ,,P
IqQ)
11000 3101 se~j
ua~
1
N
INDICATE NORTH ROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tan}; manhole cover.
BENCHMARK: Idb O~ SfiA h U - /OD I 0
ALTERNATE BM: 51A6-- S k (A f f90 r-\
SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATIOP
Manufacturer: Scp?~c. I~Ua
e 2 kS Liquid Capacity: $00 9A
Setback from: Wello\j(R So' House 'V, 18' Other CX)
S
Pump: Manufacturer c72IIQ Model# ' i&PA Size
ai-y
Float seperation a Gallons/cycle: -Alarm Location d 2 foal
SOIL ABSORPTION SYSTEM
Width: J 3 , 5 Length IQ Number of trenches
Distance & Direction to nearest prop. line: q, FAA
t
Setback from: well:0Veft 1Gb House 1 Other
cover, 9 S(P
ELEVATIONS o
Building Sewer ST Inlet. 98.. ST outlet / ~o~
PC inlet I PC bottom-3. (L_ Pump Off g
Header/Manifold 9 _ Bottom of system _ g~
Existing Grade Final grade dd
DATE OF INSTALLATION: Cp' ~~p
PLUMBER ON JOB:,
LICENSE NUMBER: 3W/
INSPECTOR:
3/93:jt
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
,o,~T,~a'f Human Relations
•".sion 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 St. Croix
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. 020-1294-20
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
Greenwood Enterprises, Inc. GOVT. LOT W 1/4 NW 1/4,S 24 T 29 AR 19 f(or)W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
1416 Third St. 29 na phase 2 SunR]d e
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE EJOWN NEAREST ROAD
Hudson, WI. 54016 (715)386-3674 Hudson
(New Construction Use ( Residential / Number of bedrooms 3+ [ J Addition to existing building
] Replacement [ J Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate np bed, gpd/ft2 - 3 trench, gpd/ft2
Absorption area required np bed, ft2 -375 trench, ft2 Maximum design loading rate _Ep-bed, gpd/ft2 .3 trench, gpolft2
Recommended infiltration surface elevation(s) 102.5 ft (as referred to site plan benchmark)
Additional design / site considerations system el I based on contour line of 101.5' el.
Parent material limestone uplands Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable for system ❑ S S]OU I taS ❑ U I ❑ S K ]U ❑ S flu ❑ S I U ❑ S ® U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed T
1 0-9 10yr4/3 none 1 2msbk mfr gw if .5 .6 S
j=< 2 9-25 7.5yr4/4 none si 2mgr mfr gw if .5 .6
Ground 3 25-34 10yr4/4 c2p 5yr5/8 scl lmsbk mfr gw na .2 .3
elev. 4 114-51 7.5yr4/4 none sl lmsbk mfr gw na .4 .5
102.2 ft.
Depth to 5 51-70 7.5yr6/8 none fractured limestone
limiting
factor
25"
Remarks:
Boring #
>,\1 0-9 10yr4/3 none 1 2 1 mfr gw if Inp .3 6
2 2 9-16 10yr4/4 none sicl 2 1 mfr gw if np .3
3 16-26 7.5yr4/4 none is Osg mvfr gw na .7 .8
Ground
elev. 4 26-43 7.5yr4/6 none scl lmsbk mfr gw na .2 ` .3 ,
102.2ft.
5 4 -60 10yr7/4 none fractured limestone
Depth to
limiting
fac% "
Remarks:
CST Name:-Please Print Phone:
Gar L. Steel 715-246-620
Address: 1554 200th. Ave., ew Richmond, WI. 54017
Signature: Date: CST Number:
...1 5-11-95 cstm 02298
PROPERTY OWNER Greenwood Ent. SOIL DESCRIPTION REPORT Pag 3
PARCEL I.D. # 020-1294-20
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence GPD/ft
mI I IBourdary I Roots Bed iTrench
in. Munsell Du. Sz. Cont Color Gr. Sz. Sh.
31 -11 10yr4/2 none 1 2fpl mfr gw if np
2 11-22 10yr4/4 none sicl 2msbk mfr gw if .4 j.5
i
Ground 3 2-47 7.5yr4/6 none scl lcsbk mvfr gw na .2 i.3
elev. i
100.0gt. 4 47-62 10yr7/4 none fract red limes one
Depth to
limiting
factor
47"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
1
A
Y
STEEL'S SOIL SERVICE
Gary L. Steel Greenwood Enterprises, Inc. 1554 200th Ave.
CSTM2298 SW4NW4 S24-T29N-R19W New Richmond, WI 54017
MPRSW 3254 town of Hudson (715) 246-6200
lot #29-SunRidge phase 2
N
40'
= top of SW lot stake C 100 el.
~ I
Kok I
/ r
o N -(ou. YL
n/ !o X50
Gary L. Steel
5-11-95
r
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ilk t~
31 too oo*
$'I 3A 6 C~
40,
'59"
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SAFETY & BUILDINGS DIVISION
201 E. Washington Avenue
P.O. Box 7969
Madison, Wisconsin 53707
State of Wisconsin
Department of Industry, Labor and Human Relations
November 3, 1995 1340 East Green Bay Street
SUITE 300
Shawano WI 54166
BOUN)I~R & SONS EXCAVATING
JIM BOLMEESTER
.p
1070 HWY 35
HUDSON WI 54016
RE: PLAN S95-31531 FEE RTMMEID: za 180.00;
t,ARSON JOEL R T a
SW,NW,24,29,19W
TOWN OF HUDSON 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 besed
on chapter 145, Wisconsin Statutes,,,,-and chapters ILHR 83 and 84, Wisconsin
Administrative Code, and is continent upon compliance with any stipula►tibhs
shc~m , can the plans. This systemha.s not been reviewed for the code .
requirements-set forth in chapter II,HR 82 or in chapters ILHR 50-64; Wisawsin
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,
Ross J. Fugill
Wastewater Specialist
(715) 524-t~4 7:45am 4:30pm'
3GIG .w
SUDA-6928 (R. 1W94)
7F
JOEL R. & DARCY J. LARSON
4 BEDROOM RESIDENTIAL MOUND DESIGN
PLAN IDS 895-31531
REVIEW DATE: NOVEMBER 2, 1995
PROPERTY LOCATION: PROPERTY OWNER:
Lot 29 SunRidge II, Joel & Darcy Larson
SW1/4 NW1/41 SEC. 24, 1806 Chestnut Dr.
T.29N., R.19W., Tn of Hudson, WI.
Hudson, St. Croix 54016
County, WI.
INDEX TABLE
PAGE 1 OF 9 TITLE SHEET
PAGE 2 OF 9 WORKSHEET
PAGE 3 OF 9 WORK SHEET PG. 2
PAGE 4 OF 9 PLOT PLAN
PAGE 5 OF 9 MOUND CROSS SECTION
PAGE 6 OF 9 DISTRIBUTION PIPE DETAIL
PAGE 7 OF 9 PUMP CHAMBER CROSS SECTION
PAGE 8 OF 9 PUMP SPECIFICATIONS
PAGE 9 OF 9 ATTACHED SO PRI T RUMANOE SYSTEM
he z9M fish
PREPARED BY: APPROV I pw U
Jim Boumeester DEPARTMENT OF INDUSTRY. LABOR AND Hi1MAN RELATIONS
1070 Hwy. 35 N. DIVISION OF SAFETY AND BUILDINGS
Hudson, WI. 54016
(715) 386-9020
SEE/CORRESPONDENCE
SIGNATURE NVY~~ a MPRS # 3 4 0 4
DATE : U 't-?l
°3'~=~~°3Y531
V Ck9k a C, P 9
WORKSHEET
ABSORPTION AREA SIZING
1. Daily wastewater load 600 Gpd
(3 bdrm)(150 gal/bdrm)
2. Depth to limiting factor 25"
I
3. Land slope 5%
4. Infiltrative capacity
of soil at system elev. 1.2 gpolsq.ft. ASTM C33 med. sand
area required 500 sq.ft.
bed length (B) 100'
bed width (A) 5'
MOUND DESIGN
1. Mound Height: 2. Mound dimensions:
fill depth (D) 1.0' end slope (K) 10.5
((1+1.25)/2+.75+1.5)3= 10.13'
downslope fill depth (E) 1.25 total length (L) 121'
1.0 + (.05% X 51) (100) + (2 X 10.5) = 121'
aggregate depth (F) 0.75' downslope width (I) 11.0'
(1.25+.75+1)(3)(1.18) = 10.62'
cap and topsoil depth(G) 1.0' upslope width (J) 7.5'
(1.+.75+1)(3)(.875) = 7.23'
cap and topsoil depth(H) 1.5' total width (W) 23.5'
11' + 5'+ 7.5' = 23.5'
3. Basal Area:
Basal area required 1200 sq. ft.
600 gal./0.4gal./sq.ft./day per CSTM = 1500
Basal area provided 1600 sq. ft.
(100')(5'+11') = 1600
Linear loading rate 6.0 gal./linear foot
600 gal./100' = 6.0
ti
IPA 3oF9
PRESSURE DISTRIBUTION NETWORK
1. Distribution pipe sizing:
Lateral length 47.5'
Lateral size 1 i"
Lateral spacing NA
Sidewall separation 30"
Hole size 411
Hole spacing 60"
Holes per lateral 10
Dist. network discharge rate: 23.40 gal./minute
(2 laterals)(10 holes/lateral)(1.17gal/hole)
2. Manifold sizing:
Location Center
Length NA
Diameter NA
3. Force Main:
Diameter 2"
Length 30'
Flow rate 23.40 gal./min.
Friction loss .33'
(301)(1.10ft./100ft.) _ .33ft.
4. Total dynamic head:
Min. supply pressure 2.50'
Verticle lift 6.0'
friction loss 0.33'
Total dynamic head = 8.83'
5. Pump selection:
Manufacturer Zoeller
Model number 53
Discharge rate 36+ gpm @ 8.83' TDH
6. Dose chamber:
Manufacturer & capacity Weeks 800 gal. concrete
liquid depth 42" @ 19gal./inch
Sizing:
A) One day holding capacity 21.25" =403.75 gal.
B) Alarm setting 2" = 38.00 gal.
C) Dose volume + flow back 8.25" =156.75 gal.
150 gal. + (.164 X 301)
= 154.92 gal.
D) Reserve storage 10.511= 201.50 gal.
TOTAL 42" = 800.00 Ital.
595-31531
y°-pq
PRg ATE' SEWAGE SYSTEM
c0 ~`IOnall y
~ U
APPROVED
t C) . DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS ~
DIVISION OF SAFETY ND BUILDINGS o c
LA E C0RgESP~CNDEN
to
_
In
\ W,
N \ \ 4 ■ I"
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31531
C'~-c~e id ~ rC ~o
Page 5 Of 9
Cross Section Of A Mound Using A Trench For The Absorption Area
_ H
Medium Sand Fill -l1 ° F 6" Topsoil
3 E D crrade elev. = 101.5'
Trench Of ' 2 " A re ate, Plowed Layer
6" Below P~ AJV# fe~W@f SYSTEM D 1.o Ft.
Straw, Marsh Hay~Or Syntheticjabric
(„ondi sonalj E 1.25 Ft. G, 1.0 Ft.
APPROVED F 0.75 Ft. ~ H 1.5 Ft.
DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
DIVISION OF SAFETY AND BUILDINGS
Plan viea Q Eun"d l gNREfrench For The Absorption Area
2Force Main
Distribution Pipe
Permanent Markers Observation Pipe
W
L B ~ K
\ Trench Of - 22" Aggregate
I
L
L - -
A 5.0 `t. I 11.0 Ft. K 10.5 Ft. W 23.5 Ft.
B 100.0 Ft. J 7.5 Ft. L 121.0 Ft.
S95-31531
Distribution Pipe Detail For Two Lateral Network
Holes Located On Bottom
Are Equally Spaced PVC Force Main End Ca~
IY X X PVC Distribution Pipe
P
V""\ P
X
* Last Hole Should Be Next To End Cap 7
P 47.5 Ft. Hole Diameter 1/4 Inch
X 60 Inches Lateral Diameter 1i_ Inch(es)
Y 60 Inches Force Main Diameter 2 Inches
# Of Holes/Pipe 10
Invert Elevation Of Laterals 103.0 Ft.
PRIVATE SEWAGE SYSTEM
Co.ditionally
MUM
A'P"VED
DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
DIVISION OF SAFETY AND BUILDINGS
I
r..
S E ORRESPONDENCE
I
895-31531
PAGF 7 GF 9
PUVP CHAMI;ER CROS5 SECTIOU AUG SPECIFICATI0k15
VEAIT CAP
y"C.I. VE!JT PIPC
WEATHERPROOF APPROVED LOCKIAIG
fr I
15 FROM DOOR, JUDCTIOU BOX MANHOLE COVER
WINDOW OR FRESH 12"MID.
AIR IAITAKE
I
GRADE
I `i~ MI►J.
PRIVATE SEIe!~~TE~ - -
IB"MID. --*1 A
itiana
INLET AL I II
III APPROVEDE,
1 -7,
* DLPA TMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS I I
I
DIVISION OF SAFETY AND ILDO GS ( I I I
I I I ALARM
B ~ I II.
g~ CQFI VSKONDENCE I
C 4~ APPROV I I ON
.
JOINTS WITH ( I
ELEV. _ 97.0 FT. APPROVED PIPE
3' ONTO PUMP OFF
D SOLID SOIL
CONCRETE BLOCK
Elev95.79'
RISER EXIT PERMITTED OIJLy IF TANK MANUFACTURER HAS SUCH APPROVAL
SEPTIC f SPEC.IFICATIOIJS
DOSE Weeks Concrete 4
TANKS MANUFACTURER: IJUMBER OF DOSES: PER DAy
TANK SIZE: 800 GALLOIJS DOSE VOLUME
ALARM MANUFACTURER: S.J. Electro Systems IDCLUDING 6ACKIFLOW: 150.0 GALLONS
MODEL IJUMBEK: H.W. 101 CAPACITIES: A= 21'' INCHES OR 403.75 GALLOWS
SWITCH TYPE: Mercury 8= 2 INCHES OR 38.0 0 GALLOWS
PUMP MADUFACTURER: Zoeller C = 8Z1 INCHES OR 156.75GALLOUS
MODEL DUMBER: 53 D--10-Ir INCHES OR 201-5 0GALLOUS
SWITCH TYPE: Mercury MOTE: PUMP AND ALARM ARE TO DE
MINIMUM DISCHARGE RATE 23.40 GpM INSTALLED OM SEPARATE CIRCUITS
VERTICAL DIFFEREDCE BETWEEU PUMP OFF ADD DISTRIBUTIOM PIPE.. 6.0 FEET
+ MINIMUM NETWORK, SUPPLS PRESSURE . . . . . . • . . 2.5 FEET
+ 30 FEET OF FORCE MAID X 1 .10 F/pO FT,FRICTION FAC70R.. 0.33 FEET 8
3
Y
TOT = 8.83
AL Dy1JAMIC HEAD FEET
IDTEKUAL. DIMEWSIONG OF TANK: LEKI&TH ;WIDTH -;LIQUID DEPTH42 @ 19
gal/in(
51GFJE D: 4W O
LICEIJ E AJUMBE
5 R f DATE:
Page 8 Of 9
W
.
W W HEAD CAPACITY CURVE 6v.
I.- LL
"53-55" SERIES 4%
25- 1
e
TOTAL DYNAMIC HEAD/ 4%
FLOW PER MINUTE
EFFLUENT AND DEWATERING e
HEAD CAPACITY +
20 UNITS/MIN 11/z _
W 6 -
FEET METERS GAL LTRS 43/16 111/2 NPT
5 1.52 43 163 0
V 10 3.05 34 129
15 4.57 19 72
Q 15 19.25 5.87 0 0
Z 4
O
10
8.83 1
O
l- 2
5
915/,e I
Li 11
0
US 10 20 30 40 50 3Y=
GALLONS -361P 04
LITERS Q 80 160
FLOW PER MINUTE
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• Piggyback Mercury Float Switches • Available with special cord lengths of 15',
available. 25', 35' and 50'.
• Variable level long cycle systems • Alarm systems available.
available. • Duplex systems available.
Standard cord length - automatic 9 ft
Standard cord length - nonautomatic 15 ft
SELECTION GUIDE
M53/55 SERIES Control Selection I. Integral float operated mechanical switch. no external control roquired
Model Volts-Ph Rhode An Sin ex Duplex 2 Singkpiggybackvrfdeangle:ncrcuryfimtsnttchordoublepiyyybeckmercuryflost
M53/55 115 1 Auto 8.0 1 or l &7 - switch. Refer to FMO477_
N53/55 115 1 Non 8.0 2 or 2 & 6 3 or 4 & 5 a Mechanical alternator 10..0072 or 10.0075,
D53/55 230 1 Auto 4.0 1 or 1 8 7 - 4. See FL4-712 for owed model of Electrical Alternator. -E-Par
E53/55 23o i Non 4.0 2 dr 2 dr 6 3 or 4 L, 5 S. Sensor mercuryfloat switch 10-0225 used asacorard actima, with E-Pak (3) or (4)
Moat system-
53 Series - Wt 23 I bs. -.3 H.P. 55 Series - Wt. 25 lbs. -.3 H.P. 5, Four M hale -.1-Pais . function box. for watertigM connection or wke" simplex or
duplex operation. P/N 10-0002
7. Two (2) hole 'J-Pak". function box. for woortfgM connection or splim PM 10-0003.
For information on additional Z-Ber products refer W agtog on Combination Starter. FM0514; . CAUTION
P
noor 'ggyback M"K Fioat Switd-. FM0477- Electric.' After U. FM04M MechankW Afters- All Nwa4Uon of controls. Protection davlces and vdr" should be done by a qi al
(~FL40732.AlartnPadxag4FMOS1 Sump/$ewapsgsdns,FMp{t47;rys rp( noensedeNchictoLAllekckkWandsooty eodasahouldbefollowedinaddltbntothe
moat reoad National Electric Code (NEC) and the occupational Safety and Health Act
(OSHA)-
RESERVE POWERED DESIGN y 5 - 1
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
MAIL M PA. BQX 16N7
Lpfrbm*. KY40156,aU7
~O ~~~Z~~ O- M Manufacturers of... p
SHIP T0: 2280 Old ttahm Lade
LOUfiwQo. KY40216
Z Z /
® (504 778-2731. 1(800) 928-PUMP QUALITY PUrt/PS ~.VCE I~3t!
FAX (502) 774-3624
Wisconsin Department of Industry, SOIL AND SITE E V A L U A7 ION REPORT Page _L of _a_
Labor and Human Relations
Qivision of safety d 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 St. Croix
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. 020-1294-20
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
Joel Larson GOVT. LOT SW 1/4NW 1/4,S 24 T 29 N,R 19 f(or) Wy
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # S IBD. NAME OR CSM #
315 Pleasant St 9 na hase 2 Sunrid e
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE nOWN NEAREST ROAD
Roberts WI 54023 (715)749-3368 Hudson McDiarmid Drive
I~ ] New Construction Use ( X] Residential / Number of bedrooms 4 ( ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate np bed, gpd/ft2 - 3 trench, gpd/ft2
Absorption area required np bed, ft2 375 trench, ft2 Maximum design loading rate -PP bed, gpd/ft2 . 3 trench, gpd/ft2
Recommended infiltration surface elevation(s) 102.5 ft (as referred to site plan benchmark)
Additional design/ site considerations _ system el. based on contour line of 101.5' el.
Parent material limestone uplands Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem [IS ®U ®S ❑ U ❑ S ® U ❑ S ® U ❑ S U ❑ S ZI U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounid Roots GPD/ft
in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Trench
1.> 1 0-9 10 r4/3 none 1 2msbk mfr if .5 .6
2 9-25 7.5yr4/4 none sl 2mgr mfr gW if .5 .6
Ground 3 25-34 10yr4/4 c2 5 r5/8 scl lmsbk mfr 9W na .2 .3
elev.
102.2ft. 4 34-51 7.5yr4/4 none sl lmsbk mfr gW na .4 .5
Depth to 5 51-70 7.5Yr6/8 none fractured limestone
limiting
factor
25"
Remarks:
Boring #
1 0-9 101 r4/3 none 1 lfsbk mfr if 0.4 0.5
2 2 9-16 10yr4/4 none sicl 2fsbk mfr 9W if 0.4 '0.5
3 16-26 7.5yr4/4 none is Osg mvfr gW na .7 .8
Ground -
elev. 4 26-43 7.5 r4/6 clf 5 r5 8 scl lfrsbk mfr na .2
102.2 ft.
Depth to 5 143-60 10yr7/4 none ractur d limesto e
limiting 3
factor
43"
I
Remarks:
CST Name:-Please Print Michael R. Van Wey Phone: 715-386-9020
Address: 1070 Highwa 35N Hudson WI 54016
signature' Date: CST Number:
1040/95 003447
PROPERTY OWNER Joel Larson SOIL DESCRIPTION REPORT Page 2 of 3
PARCEtL, 020-1294-20
D. 8
Boring# Horizon Depth Dominant Color Mottles Texture Structure Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed :Q
1 0-11 10 4/2 none 1 2fcr mfr if 0.4 0.5
3
2 11-22 10yr4/4 none sicl 2msbk mfr gw if 0.4 0.5
Ground 3 22-47 7.5yr4/6 none scl lcsbk mvfr 9w na 0.2 0.3
elev.
1U .Oft. 4 47-62 10 r7/4 none fracturb-d limesto e
Depth to
limiting
factor
47°
Remarks:
Boring #
Ground
elev.
ft. I
Depth to
limiting
factor
i
Remarks:
Boring #
Ground
elev.
ft. -
Depth to -
limiting
factor
Remarks:
Boring #
E3
Ground
elev.
ft.
Depth to
limiting
factor
Remarks: _
S6D-8330jR.05/92)
Joel Larson
4"A co SY /u r z
-lac'. o
1
C9
i
S95-31521
W4sconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of
Labor and Human Relations
Division of Safety t£ 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. #
dimensioned, north arrow, and location and distance to nearest road. 020-1294-20
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
Joel Larson GOVT. LOT SW 1/4NW 1/4,S 24 T 29 N,R 19 )(or) W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM #
315 Pleasant St 9 na phase 2 Sunrid e
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE EVOWN NEAREST ROAD
Roberts WI 54023 (715)749-3368 Hudson McDiarmid Drive
] New Construction Use [ X] Residential / Number of bedrooms 4 Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate nP bed, gpd/ft2 - 3 trench, gpd/ft2
Absorption area required nP bed, ft2 375 trench, ft2 Maximum design loading rate -EP bed, gpd/ft2 - 3 trench, gpd/ft2
Recommended infiltration surface elevation(s) 102.5 ft (as referred to site plan benchmark)
Additional design/ site considerations system el. based on contour line of 101.5' el.
Parent material limestone uplands Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U=Unsuitable fors stem ❑S 0U ®S ❑U ❑S ®U ❑S ®U ❑S $]U ❑S X1U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouindary Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
~.:?•ti•4ii~zti:
1 0-9 10 r4/3 none 1 2msbk mfr 1f .5 .6
2 9-25 7.5yr4/4 none sl 2mgr mfr 9w if .5 .6
Ground 3 25-34 10yr4/4 c2p 5yr5/8 scl lmsbk mfr 9w na .2 .3
elev.
102.2ft. 4 34-51 7.5yr4/4 none sl lmsbk mfr gw na .4 .5
Depth to 5 51-70 7.5yr6/8 none fract ed limestone
limiting
factor
25"
Remarks:
Boring #
1 0-9 10 r4/3 none 1 lfsbk mfr if 0.4 0.5
2 2 9-16 10Yr4/4 none sicl 2fsbk mfr 9w 1f 0.4::0.5
3 16-26 7.5yr4/4 none is Osg mvfr 9w na .7 .8
Ground
elev. 4 26-43 7.5 r4/6 clf 5 r5 8 scl lmsbk mfr na .2 .3
102.2 ft.
Depth to 5 3-60 10yr7/4 none ftactured limestone
limiting
factor
43"
Remarks:
CST Name:-Please Print Michael R. Van Wey Phone: 715-386-9020
Address: 1070 Highwa 35N Hudson WI 54016
Date: CST
Signature: 10/10/
95 003447r
i~
i
PROPERTY OWNER Joel Larson SOIL DESCRIPTION REPORT Page 2 of 3
PARCELI.D.# 020-1294-20
...r
Depth Dominant Color Mottles Texture Structure Consistence Bouixlary Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmrich
<3 1 0-11 10yr4/2 none 1 2fcr mfr 1f 0.4 0.5
u>;«<=.<=ti<< 2 11-22 10yr4/4 none sicl 2msbk mfr gw if 0.4 0.5
Ground 3 122-47 7.5yr4/6 none scl lcsbk mvfr gw na 0.2 0.3
elev.
100.Oft. 4 47-62 10 7/4 none ractur limesto e
Depth to
limiting
factor
47"
Remarks:
Boring #
w
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
t'
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
Joel 'Larson V
-Pr
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d
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SUNRIDGE
_
-VOL. 5-OF-PLATS
1 ~ PAGE 71 10
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STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNERIBUYER 611PLC4 L S
MAILING ADDRESS e'^' s 3
PROPERTY ADDRESS
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE kt
PROPERTY LOCATION 1/4, ' V Q,` Section, T _2-j' N-R_ Z~L7_W
TOWN OF /cST. CROIX COUNTY, WI
SUBDIVISION __S'L i c{ e Z" LOT NUMBER
CERTIFIED SURVEY MAP , VOLUMIu 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 1/3 full of sludge and scum.
I/We, the undersigned have read the above requirements and agree to maintain the private sewage
disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintained must be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year expiration date.
SIGNED:).
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, W1 54016 11/93
LUV
. V
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 -70 C( '4L Location of propertyC7 1/4 1/4, Section ,T,~ N-R / ~W
Township Mailing address " rte C~ ~f PC s,w4 S :
~~~~'f? LL's ~7
Address of site
Subdivision name 5lln~, ~~Ia P. Lot no.. c
other homes on property? Yes__ No
Previous owner of propert Gam[ z ! C101t2~Qnv~c`
Total size of property, , 9_j`. 27
Total size of parcel
Date parcel was created cv
Are all corners and lot lines identifiable? _x__Yes No-
Is this property being developed (spec hou
!oX Yes , No
Volume and Page Number 3Q - 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 a 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 he office of the County Register of
Deeds as Document No. S3 6 S2 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 22offic/[e/~ of the County Register of Deeds as Document No.
Signs re f Applicant Co-Applicaht
V, LJ
Dat o ture Date of signature
i
i'STATE BAR OF WISCONSIN F04t%1 1 - 1982 ;
,,3OF 5 WARRANTY DEED
DOCUMENT NO 1128PAG_1V0 rT r
- - C
4 ,
JUN 9 9 1595
This Deed, made between Greenwood Enterprises, In . ,
I a Wisconsin corporation 12:15 P.'.; ~I
Grantor,
and Joel R. Larson and Darcy J. Larson, husband
~ II
_ and wife as survivorship marital property
Grantee, (0
Witnesseth, That the said Grantor, for a valuable C9-. ll rato~~ Of On - THIS SPACE RESERVED FOR RECORDING DATA
_I
dollar and other good and valuable consideration NAME AND RETURN ADDRESS
conveys to Grantee the following described real estate in St. Cro" j
Joel R. Larson
County, State of Wisconsin: 1806 Chestnut Drive
Hudson, WI 54016
(Parcel Identification Number)
Lot 29 of the Plat of SunRidge II, filed i4 the Office of the Register of Deeds for I~
St. Croix County, Wisconsin, on August 1, 1994 in Volume 6 of Plats, at Page 17, as II
Document Number 519723.
is not
This homestead property.
*0 (is not)
Together with all and singular the berediameum and appurtcoseci s thereunto belonging;
And " ses. Inc G-reenwoodEnterp warrants that the title is good, indefeasible in fee simple and free and dear of encumbrances except f i
easements, restrictions and reservations, if any, of record
and will warrant and defend the same. j
Dated this
dad of June
Gree wood Enterpr' es, In Greenwood Enter , Inc.
(SEAL) (SEAL)
lutich- its president • r Rusch. i secretary
(SEAL) (SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(k) James E. Rusch, its president STATE OF WISCONSIN
ss.
*y~ ST- CROIX County.
hi " " 41ay of Ttp , 14_9 Personally came before me" day of
AD2 June , 1995 the above named
L A. Murray - Mary R. Rusch. its secretary
• E MEMBER STA rl
(If not,
authorized by §706.06, Wis Scats) to me known to be the person who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Lois A. Murray, Zilz and Estreen
621 Second Street -
Hudse-,z> WT 54.0-3-66 Notary blic County, Wis.
(Signatures may be authenticated or acknowledged. Both are nee MT commission t~ t. (f not, state expiration date:
necessary.)
' 'Names of persons signing in any capacity should be typed or printed below thick sipasm
WARRANTY DEED STATE MR OF stseoNSIN Wisconsin Legal Blank Co., Inc.
F'ot.M N6111. I - zts2 Milwaukee, Wis. II
I.