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HomeMy WebLinkAbout022-1016-10-100 I ~ o m o ~ 0 M ~ i c O C ti w W vi 3 I a~ Q I~ °Q t~ E o m 3: cn (D O C Z ° C Q N j a c O~ N O 0c o a a N I I ~ c 0` N N a ~ a 0 d I U U O O C f9 C 7 fA O > V c p C j > N o y E 0 C 0 V- C O Fr caowm N U) a U) C a 0 3oEoN c z E1~-uw) > CE o 7 m O - U U. c 2 TO~ g- ow in = to O N C O N C Q O .t. O N z z U v 3 M z E m z o C ~ v co i 0 a m co H z N O zzN y 11. r N co d Z a c C H r E p CL 7 ~ N w a 3 s 3 c z =C) I ~ y I N N a a p _ M m m co c o a I Q o o to cn m v z.-> 1) 2 33 °-00 R a a Da c 1(4! 4! 0 co -1 0 1 i 0) m o 2 z N ~.0 wo )a m Q z in n 7 N ~l ^i O~ t y C CL m a) 0 N c co o U co U ° N Lo z N C N o O N E C-4 CD O Y M N o z C FO- O rid d a = dt EL L: a • Cd a d .V 0 `N E c A 0 a. ,0U)LO) Parcel 022-1016-10-100 11/23/2004 10:23 AM PAGE 1 OF 1 Alt. Parcel 06.28.18.94B 022 - TOWN OF KINNICKINNIC Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): * = Current Owner * SHAW, DANIEL P & JEAN R DANIEL P & JEAN R SHAW 3332 LOWER BRUSH VLY RD CENTRE HALL PA 16828 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 W ITC Legal Description: Acres: 2.500 Plat: N/A-NOT AVAILABLE SEC 6 T28N R18W PT NW SE BEING LOT 1 CSM Block/Condo Bldg: 11 /2977 2.5 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1163/372 WD 07/23/1997 1161/85 WD 07/23/1997 1139/28 WD 2004 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/11/2003 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 2.500 400 0 400 NO Totals for 2004: General Property 2.500 400 0 400 Woodland 0.000 0 0 Totals for 2003: General Property 2.500 400 0 400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 022-1016-10-000 11/23/2004 10:07 AM PAGE 1 OF 1 Alt. Parcel 6.28.18.94A 022 - TOWN OF KINNICKINNIC Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): * = Current Owner * SHAW, DANIEL P & JEAN R DANIEL P & JEAN R SHAW 3332 LOWER BRUSH VLY RD CENTRE HALL PA 16828 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 W ITC Legal Description: Acres: 35.500 Plat: N/A-NOT AVAILABLE SEC 6 T28N R18W NW SE EXC PT TO CSM Block/Condo Bldg: 11/2977 EXC PARCEL AS DESC 1163/312 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-28N-18W -7-f xlq~ Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1163/372 WD 07/23/1997 860/388 07/23/1997 497/05 2004 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/11/2003 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 34.500 4,900 0 4,900 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2004: General Property 35.500 5,000 0 5,000 Woodland 0.000 0 0 Totals for 2003: General Property 35.500 5,000 0 5,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 t 0 AUG 2 5 6% c~ ST.. CROIX COUNTY SURVEYOR'S RECOR 5:89 FILED £ AUG 2 3 1995 ► 9.. %I~Iss'ier of Deeds CERTIFIED SURVEY MAP fxCo.,WI JO ' JOSEPH P. AND JOSEPHINE T. BAZDELL ~f N Part of the Northwest 1/4 of the Southeast 1/4 of Section 6, Township .28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. W114 COR. SEC. 6, r z e m, R /B w, UNPL A T TED LANDS E "4 COR. SE C. 6, rp8 N, /COUNTY SURVEYOR'S MON.! R/BW, /COUNTY SURVEYOR'S TOWER RD. , - E1W /.4 LINE - 988 N O N. S 89 45'42"E 5307. B8 M 330.00' b p ?.58 /989. 30' M FN 89.45'42"W 330.00 W l O P 1001 `j L (~A~'J 2 M Q O J O ~ p O ROAD SE7BACKL/NE O ' q W LOT l S~ 3 W ` q 2.500 ACRES O N V I p R Q /08, 900 S0. Fr. . J O 2.2SO ACRES EXC. ROAD R.O.W. N O O 98,0/0 SO. Fr. O QI W ~ a h J q Q Z ~ J Q W m b N 89. 45'42 "W 330. 00' W UNPLA TIED LANDS Q h SCALE / /00' OIndicates 111 x 241► iron pipe weighing 1.13 lbs. / 0 25' so' /oo' /so' lino' ft. set. 300' 400' Dated: July 14, 1995 ~1: r a This instrument drafted by Laurence W. Murphy Owner's Address: 951 Tower Road j•LAUR .••C Hudson, WI 54016 eRoVEQ ` rn _ W MU P E ALLS • ~ • AUG 2 3 3 1 qwisc. JQJ F~ •LAND •S Vol. 11 Page-2977 CROIX COUNTY Certified survey Maps . omprehensive Plannic Laurence W. Murphy St. Croix County, Wisconsin. Zoning and Registered Land Surveyor Parks Committee If not recorded within 30 days of approval date SHEET 1 OF 2 ,soproval shall bo 00 rnA & void Wisronsin Department of Industry, PRIVATE SEWAGE SYSTEM County: /eyan Human Relations INSPECTION REPORT ST. CROIX arety and d Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Permit Holder's Name: ❑ City ❑ Village X Town of: State PI n o.: BAZDELL, JOE CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Vent irito ntake ROAD Dt Inlet TANKTO P/L WELL BLDG. A Ar 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 System TDH Ft Loss Head Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION S I SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O Moe 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: Kinnickinnic.6.23.18W, NW, SE, Tower Drive Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: + ^a;~ Safety and Buildings Division ~•■a.r■■~ SANITARY PERMIT APPLICATION Bureau of Building Water System: 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County . than 8 112 x 11 inches in size. r 17L • See reverse side for instructions for completing this application State Sanitary Permit umber a '75 The information you provide may be used by other government agency programs ❑ Check if 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 me Property Location GA _5,E1/4, S T , N, R E (009 Property Owner's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number II. TYPE F BU LDING: (check one) ❑ State Owned ❑ city Nearest Road I Public 1 or 2 Family Dwelling -No. of bedrooms ° Town of i ~u/~/` ,✓`C~ III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo O oGC;Z 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. tew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an tem 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 211 *ound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 212 ❑ 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) d 61- Elevation Feet 1 o*Feet VII. TANK Ca in gallons Total # of r Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin structed Tanks Tanks wrr eptic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ S Lift Pump Tank /Siphon Chamber X / -6 e 1 ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum Ignature: (NOS mps) MP/MPRSW No.: Business Phone Number: r o" 3 31 e 21 -r--.2 -6k761 Plumber's Address (Street, City, Sta ip Code): - ~1 b J V IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature ( tamps) Owner Given Initial Surcharge Fee) XApproved ❑ /J Adverse Determination X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD-6398 (R. 0"4) DISTRIBUTION: Original to County, One copy To: Safety 8 Ruildings 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. 1 All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to-installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending cn 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 exisi:ing 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 SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations August 2, 1995 1340 East Green Bay Street SUITE 300 Shawano WI 54166 BIRD, BYRON JR 896 68 AVE AMERY WI 54001 RE: PLAN S95-30782 FEE RECEIVED: 180.00 BAZDELL JILL NW,SE,6,28,18W TOWN OF KINNICKINNIC 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, Keith Wilkinson Plan Reviewer Section of Private Sewage (715) 524-3627 SHOA•0920 (R. 10194) a SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations August 2, 1995 1340 East Green Bay Street SUITE. 300 Shawano WI 5,4166 BIRD, BYRON JR 896 68 AVE AMERY WI 54001 RE: PLAN S95-30782 FEE. RECEIVED: 180.00 BAZDELL JILL NW,SE,6,28,18W TOWN OF KINNICKINNIC 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 chapter:; 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, Keith Wilkinson Plan Reviewer Section of Private Sewage (715) 524-3627 sauA•e928 (x. 10/84) PLOT PLAN PROJECT Joe Bazdell ADDRESS 951 Tower Road Hudson Wi 54016 NW 1/4 SE 1/4S 6 /T 28 N/R 18 W TOWN Kinnickinnic COUNTY ST. CROIX 7/13/95 BEDROOM 3 MFRS BYRON BIRD JR. 3318 DATE CONVENTIONAL IN-GROUN PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND )000( SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE 800 Gallon HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 375 BED SIZE 8'X 47' BENCHMARK V.R.P. Base of Fence Post Orange Ribbon ASSUME ELEVATION 100' ❑ BOREHOLE (DWELL -H.R.P. Same as Benchmark SYSTEM ELEVATION 98.9 Property Scale = 1/4' = 10' 500' Note: Area 25' Below System Will Remain Undisturbed B-1 4% Note: System Will Be Slope Installed Along the Contours Note: Dose Tank will have * approved warning label d M. B-2 B-3 mock down cover ❑ SYScJl pGE pNSITE SEW Note: Septic Tank T Note: Tanks Will Be Cover will have Properly Bedded ~Ic 4 ; Rfi ~IOWS r.p4 N6 N IMMA t3ElA So Label Approved Warning up p1NGS Pro 3 Bedroom p PARTMEh' :'Y~5~iGf SAFE ~~0 401` House DN ~Eg~NpENCE Vicjl 1e loc~~F;> SEEGO 895-3 U 782 Neighboring Driveway "=mow c Designer No . Date -map;..~ Non-Woven Filter Fabric 4" Observation Pipe Perforated Below Filter Fabric ,Dislribulion Pipe i ASM C-33 Sand . nqW~. {H G -To o(I F . D c - E 1 7. Slope - Bed Of j~- 2 Force Main P 10 Drain Rock From Pump ' Layer ONSITE SEWAGE: SYS T EM E _ Cross Section Of A Mound *System Using A Bed For The Absorption Area F G A Ft. K ATIONS . REL DEPARTMEN"i. 1"".DUSTR. U06 AN ED B / Ft. Ja ~ ~►-t.w DIVISIO~i OF SAFETY AND BUILDINGS I o2Ft. 12u.i r-~' OO ^rr,, J Ft. Op&RISPONDENCE ---K.. Ft. r L E7.6 Ft. Force Main W a°• Ft. D ;4:'Observoiion Pipe-",, o A ' W fo ---TDistr p ib ution Bed Of %2~- 2 Pipe Drain Rock I 4 Observation Pipe Permanent Marker Pipe or. Rods S95-307 82 Plan' View Of Mound Using A'Bed For The Absorption Area PAGE OF i `te Pages Of Distribution Pipe' Detai 1 For~'A Four Lateral Network i ~ ;N tit` End Cap : Force Main fir, w 1 . P PVC Distribution Pipe Holes Equally Spaced PVC-Manifold Pipe M, On Bottom LLn X X y _ X 2 _ * Last Hole Should Be Next To End Cap 1Y.;.. _ Poe)pI.J~Ft. VvI n X36--i.nches .a~. ~ • ~ G,, l, _ Y b Inches T •I N Si9ne. Hole Diameter Inch ~.r. License Lateral Diameter Inch(es) ' S - n r ` 71, 1 1 Date•. AND HUMAWKWU 1-YAW Manifold Diameter dInches 30R DEPARTMEN' t,. Y'AND BUILDI . DlVl1C3N ~r. Force Main Diameter Inches Holes Per Pipe_ `SEE COi gpONDENC, Invert Elevation Of Laterals 9 + Ft. f VAGh GF I PUMP CHAMBER CROSS SECTION ANG $PECIFICATIO►J5 y I~ . VE WT CAP I 'i"C.I. VENT PIPE y WEATHERPROOF APPROVED LOCKING i FROM DOOR JUMCTIOW BOX MANHOLE COVER , WINDOW OR FRESH 12"MIU. AIR INTAKE GRADE I `1" MIW. i l• 19" /SCI IJ. ONSITE SEWAGE - - IB"MIN. All INLET x I I ( 13(A I I I pot uCj~ 3SIRY, LABOR gDILDiNGS * r~AJJTMTEENT y DIVISIGfd OF SAFELY AND I I i y I I ALARM SEE COR 'ES NDENCE *APPROVED ( ON JOINTS WITH I ELEV.l FT. APPROVED PIPE 3' ONTO Pump- OFF o SOLID SOIL CONCRETE BLOCK ;S ► ~RISER EXIT PERMITTED OWLy IF TAWK MANUFACTUREg HAS S H APPROVAL S rr rt . AFpr~vr c(nz l 'o2~crcti. Cal1.s SEPTIC E k"K us` as vrsr k-,t 1= SPECIFICATIONS J CK-flow =`l, l9u.l~vns DOSE TAWKS MANUFACTURER: (DUMBER OF DOSES: PER DAy TAWK SIZE: X00 GALLONS DOSE VOLUME ALARM. MAWUFACTUILER: ~Itl/ INCLUDING BACKFgLOW:-GALLONS MODEL IJUMBER: CAPACITIES: A=~ IAICRES OR `5 O GALLONS SWITCH TYPE: t! g a INCHES ORS-/'v_ GALLOL15 PUMP MANUFACTURER: y r C=INCHES OR ,aO GALLOUS MODEL ;DUMBER: Du INCHES OR -10 GALLONS SWITCH TYPE: I~•`UIG &'1 rr_'-'/ jOTE: PUMP AMD ALARM ARE TO OE MINIMUM DISCHARGE RATE 2SPA INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AWD DISTRIBUTION PIPE.. FEET ♦ MIIMIItAUM NETWORK SUPPLY PRESSURE ~ . . Z•5 FEET 89 ♦ ZI' FEET OF FORCE MAIIJ X2' ~ f oo yT.FRICTIOW FACTOR. FEET V 782 TOTAL DYNAMIC. HEAD = FEET ILITERNAL. DIMEWSIONC OF TANK.: LENIGsTH ;WIDTH ;LIQUID DEPTH 77 DA-rE 91GIJEOi LICEMSE MUMBE : JX 4 , \11 C :•::::::;•:.,.w4::.awh•. ~::f ude• tf: ry::.,.::.,,•:s{.;dwRU: n'sYa. v ...aaT6At•+o±:•::•.,,,,,v.,. t*sv:•+.•:.vfia,.S:o:Sii.CfiSC:x;:2:::io.'.ft27::fiJ:'bfa:a:HLstavsa✓u."r' ..a:.,\d.::'«<•R?S:v':::.iIS:::: HEAD/CAPACITY CURVE TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT and DEWATERING EFFLUENT AND DEWATERING WARNING: Model 185 should not be subjected to JI less than 30 feet TDH. 11 32 , TOTAL DYNAMIC NEADXAPACRYPER MINUTE EFFLUENT AND DEWATERING I oo~-3s !0 SFR[8 67-39 96 177.179 95 161 167 165 163 116 168 189 28 R. M CA L44'. G.L LU, GW. lug. GA 14. GIL Lh4` 04t Lt. 04L Lb, GL Ll.. G41 U. G.I. Lt, 90 S 1.52. 43 163 : 72 271 t04 394 106 401. 61 231 61 271 58 220. 153 567 155 .547 26--87,- 10 3,074 179: 61 231 79 3W 100 >374 61 2711: 61 271 58 2205 148 $60 151 $72 15 4.62 19 ?12 45 170 64 342 91 :344:: 60 227:; 60 -227 56 .220. 142 .537 145 549 74 50 20 6.10 25 -_9$ 36 136'. 62 X31 V: 59 2260 :217 56 1220>. 136 51$ 140 1530 75- kl~ 25 762 5 :30I 74 260 57 216 511 X223 54 220 128 481 133 503 22 186 30 9.14 65 ,246 53 206 M .220 90 340 58 220 121 456 127 UI i 70 40 1219: 46 171 46 172. 55 206 75 283. M 220. 105 .397 111 431 V 20 65 50 18.24 21 90 33 125 51 191 58 219.: 58 220 90 341 100 379 Y333 165 60 : 1629., 15 57. 41 161. 36 136 54 220. 71 268 85 32 o Ia 5 j 70 21.34 30 ill 10 38> 52 197. 51 193 70 NO. 0 55 10 2436. 14 5 53 45 -170; 21 .106 54 204 16 50 90 32 121 2 6 37 140 1oa : ia4d:: 6 'c4` 21 79 4 45 110 :3200'. 7 28 6 70 11 10 B VdK 19.25' 27' 26' 56' 66' -0'1 78 115' M' 112' / 3 5 ]0 L , 10 189 ~•+v L15 8 15 Gs/ - -LO 6 t5 4 186 10 2 98 HEAD/CAPACITY CURVE 5 1 1 IS .139 0 SEWAGE and DEWATERING 10 20 JO 40 50 60 70 80 90 100 I10 120 130 110 +50 160 80 180 240 720 400 460 s6G 6.0 WARNING: Model 293 should not be subjected to 0 FLOW PER MINUTE less than 15 feet TDH. TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE SEWAGE ARID DEWATERING SERIES 262 266 267 266 262 284 292 293 294 295 105• FT. M. Gal Lag Gal Ln Gal Len Gal Ln Gal L13a Gal Ln Gal Lts Gal Ln Gal Lt $ Gal Lt$ Gal Lag 5 i:i:>i590 :841: 128 >484> 128 481'1 128 ''484f' 130 192 180 681140 530196 742 225 '1852< 400 1514 10 'i 3 Db';., 60 22789 33789 89 337:1 96 3E9,: 158 598.: 121 469 181 685: 205 ' 776350 1325 f 4 15 ii 4,57 22.5 85 50 189 50 18911 50 18963 2381` 135 611`. 106 401 130 492. 165 626 185 700 300 1.136 ZO ;:;::::.6.J Gi?: 7! 10 38 10 38 I' 10 38 33 125 ` 106 40188 333>s 119 4501 150 > 568 168 , 636 250 946 22 25 76 288 68 2575' 106 40.1136 '515' 153 580 200 757 0 30 BRA.:; 43 163 47 178 90 340 121 468 140 1530 150 ` $68 20 5 10 ::12,19 5 19 50 189 94 356 115 1435, 'a 50 ;1524 ;I 58 '.220 89 337.. ss 60 ::18?9.:> . . 13 -49 59 .:.223 16 3 50 70 `2154' 25 95 " .s LockV&o 18' 21.5' 21 S' .5' 26' 35' 42' SO' 62' 77' 40' + 40 12 Y 35- 8 2 10 O 30 793 e 75 6 70 Is 282 7e4 to -Mal 7 267 792 5 766.6. B 791 79S 405 0 U.S. ONJ.ONS 10 20 30 10 50 60 70 BO 90 100 110 170 130 140 50 160 +701e019 200 21 270 7J0 NO 750 260 770 80 790 300 310 3f0 330 34350 36 J70 380 390 400 413 LITERS 0 !b 160 740 370 400 450 560 640 770 600 880 960 1040 1170 1700 1260 1360 1440 1570 FLOW PER MINUTE Wisconsin Departmnt of Industry, SOIL AND SITE EVALUATION REPORT Page _ of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY F Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but 4. C not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PAR,C•«E~L I.D. dimensioned, north arrow, and location and distance to nearest road. V -to APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION jot- GOVT. LOT 1/4,5F'1/4,S TpZ~5 ,N,R E (or PROPERTY OWNER':S MAI1G ADR ESS LOT # BLOCK # SUBD. NAME OR CSkq CITY, STATE ZIP CODE PHONE NUMBER CI ❑VILLAG OWN NEAREST ROAD New Construction Use b4 Residential / Number of bedrooms _ ~7 [ ] Addition to existing building j ] Replacement ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required,. bed, ft2"trench, ft2 Maximum design loading rate ',gybed, gpd/ft2 /trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site nfsiderations Parent material h t ra.c.t~- i r) Flood plain elevation, if applicable Al ft S = Suitable for system CONVENT1 AL M UND IN-GROUND PRESSURE AT-GRADE SYSTEM I FILL HOLDING TANK U= Unsuitable fors stem ❑ S I I S❑ U ❑ S U El S U El S U El S _4LJ SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trertdt 0-1 0 , 3 z lo',y4q rjD"~_~ -4 Ground ~i v f' 5Y j r- l14 1l'4 /V Depth to limiting Remarks: Boring # J7/ h\,{, 03 Av -31-2- 1400 Ground r -S y Iv v ~ 9~z ft. Depth to AVO Q 199 limiting n Remarks: CST Name:-Please Print j~ Phone: 6 > ~c~ r Address:f Signature: r Date: , SST mber: PROPERTYOWNER Jnf,~r~ ~-f~(n SOIL DESCRIPTION REPORT Page _of~ PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence r~N Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench TT L . .vv o-. d r S a -S Ground C" Y N ~t~ I q lI~ ft. Depth to limiting or Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # y+fi Ground elev. ft. Depth to limiting factor FT Remarks: Boring # n.: })k~.}t Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) f Soil Test Plot Plan Project Name Joe Bazdell Byro Bird Jr. Address 951 Tower Road Hudson Wi 54016 C M #3479 Lot Subdivision Date 7/8/95 NW 1 /4 SE 1/4S6 T 28 N/1318 W Township Kinnickinnic Boring ()Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft.Base of Fence Post Orange Ribbon System Elevation 98.9 * H R P Same as Benchmark B-1 4% Slope 0' d r * . M. 36 B-2 50' -3 30' 03 Bedroom House Driveway STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAILING ADDRESS PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION 1/4, /Mr 1/4, Section :!55'TW r ST. CROIX COUNTY, WI TOWN OF SUBDIVISION LOT NUMBER ^ CERTIFIED SURVEY MAP VOLUME ----,PAGE- __rLOT 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: r' St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 i 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 .1 af's _e Location of property,~~1/4 1/4, Section ,T N-R _W Township Mailing address'✓`^/ © ~r 9d, r. Address of site Subdivision name Lot no. Other homes on property? Yes__,<_No Previous owner of property ,,Z e~,& 42~ ,--d"%~~"iC GoIG 5~ Total size of property S~ 7~~_ CS Total size of parcel p Date parcel was created / ~ L ( 1 Are all corners and lot lines identifiable? __,,K _Yes No Is this property being developed for (spec house)? Yes _/No Volume I~LD 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.7 Vie,- , 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. gna re Appl ant Co-Applicant Date of Si nature Date of Signature ~~-THIS i►AC[ Rgs[RV[D FOR R[COROINO DATA DOCUMENT No. STATE BAR OF WISCONSIN FORM 1-1982 > WARRANTY DEED • b6OPAAL" -554 - REGISTER'S OFFICE ST. CROIX CO, M This Deed, mace between ...j aQn.ar .•E.,,Tr ebold_-- I and.F.lor.ence-A.,..T.xisbQ~,d., ..h~l band„and--wife......... Reed for Record J0 , Grsn...=, JAN 0 5 '1300 and ...ios.eph..PA...Ha.ztdell...e~sl-.Josephine„T.,,,,Bazdel__,, 8:30 husband. and..wifIa..-aa_................ pr.opert.y of~AM Grantee, Witnesseth, That the said Grantor, for a valuable consideration...... R[TURN TO conveys to Grantee the following dese~'bed real estate in .S.t.•..-CrQiX........... A{{pmIV (,8W li County, State of Wisconsin: L_ 113 E Elm_St. NW-k of SEk; SWk of SE C; NEC of SWk, and - River fatty, Wr540Z2- SWk of NWk, all in Section 6, Townshi? 28 North, Range 18 West, exce v ,per No ppting S 208 8 of W 208 and N 170' of W 512' of SW. of NWk of Section 63, T28N, R18W, Kinnickinnic Township, containing 157 acres more or less. II (This deed is given in fulfillment of that Land Contract dated April II 23, 1973, recorded April 25, 1973, in Book 497, Page 05, as Doc. No. f 315707, Register of Deeds office, St. Croix County, Wisconsin.) FEE i` is not This homestead property. i; (is) (is not) I I is Together with all and singular the hereditaments and appurtenances thereunto belonging; And..... Leonard-gEoo.__Tr•iebold and Florence A. Triebold p . - I' warrants that the title is d, indefeasible to fee simple and free and clear of encumbrances except easements, restrictions and rights of way of record, if any, i and will warrant and defend the same. Dated this 2..th-•--------- day of ----.._......Dec.embe-r-- 19-$9.... (SEAL) (SEAL) • -Leona-rd...E..Triebold---- I1' (SEAL) • • -Fl.orenc.e_A.,_.Tr.iebol-d. AUTHENTICATION ACKNOWLEDGMENT Signature(s) •Leonard E. Triebold and STATE OF WISCONSIN SS. _.Florence--A...Tri...--- d------------•-----•---•----• county. authenticated,thi 2A0ey of mbeT,_,-, 18,89 Personally came before me this ................day of 19.--..... the above rained • a TITLE: MEMBER ST TE BAR OF WISCONSIN (If not . authorized by § 706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INTMUMENT WAS DRAFTED bV C~ L' GaylordZ Attorney - - - Rive-- Fa1-- 54022 Notarv Public County, Wis. f (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (if not, state expiration are not necessary.) date: 19 _ .l •Nalnes or persons signing In any capacity should be type,l or printed below their si[ratur- -aTAT WISCONSIN Stock No. 13001 NMfTt•e► FORM RM Me. w 1 - 1983