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HomeMy WebLinkAbout030-2008-60-100 Q c ~ o 0 69 N ~i d4 N I O A O O)'p O E O (D C O p p m . o C) a o'XEMOO ~ 00°) -o 0 .p U in 0- @ y `O c6 : 0 U ~ _ fn c y L L) U c EUL fl.~ I a? LO ~00 Y N C N C 7 N O c OLJ :E o p ~°3a°i '(o CD C z m O m X N 3 (6 O C -000 7 LL C Co O •V N O)0 O OJ N O W - O. O 00 N C N E <L c U c0 ~ CD rn z o Z2 v O` Z d as 0 v M l a m M~-U) C r°n O c C7 ~ io O z d a U ~ e- w cn m z d o (n F- r N N Z N E -p O M ` E Q,A O O • N'. N O Q 2 z z O w N zz v d c ~ LO m NI U) c CL d O O. cC w C O O C) 0 N N Z LO 0 0 0 z o o •~wl a a a N CL m LO LO 7 O N CO O 0) N N J U rn rn =03 04 LO N O Op p0 ,N N N S Opp E co ° m O C o O p w Q O C ~ N C Q D o ° c c0 U') co i O~ C N C to G.3 0- 0 0 0 V i o Y CL C 'O N N r \ M L N S C E a~ N rn o O _ C N O' N 0 N F- C Q) O O N M N crM) V) co E ~ V O M U) 0 N O Z fn Q ~ ~ ~ w E d i ~ d Xk _p, y d 7 r~• m CL d U N N C r A 0 0- 0 in 00 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ,7,4SO/Y S' ADDRESS 40 Ty s , SUBDIVISION / CSM# p o g 2 LOT # v2 SECTION T,3Q N-RW, Town of pS°E ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM $S x 3 3 Moc/A(n ~ 63x8 13ED G` \ i C' $00 a~ ~oRCe lQDVbL 5x pODL ~ h BlT; lap lUr~cL R~s~i: s~oGY ~ooRv P°°`' 'Cav'vr '000e- INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. y BENCHMARK: ~ f~GL tf'~+ff -5WAF ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: cyeef :5_ Liquid Capacity: Setback from: Well &107,4 House Other Pump: Manufacturer ZD6r/_/ Lvt Modell 9$ Size Float seperation a ~ Gallons/cycle: Alarm Location 97, YC~ © SOIL ABSORPTION SYSTEM Width: p Length (o Number of trenches Distance & Direction to nearest prop. line: (,&$r ~3(30f Setback from: well: -Mot House Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet ,p PC bottom p0`L8d Pump Off 861IVO Header/Manifold Bottom of system ydjy~ Existing Grade Final grade fQa.95 DATE OF INSTALLATION- PLUMBER ON JOB: LICENSE NUMBER: 320J~ INSPECTOR: 3/133: )t ~consin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Per,,,it h I~J ,r's [yt~g~N ❑ City ❑ Village ( Town o : State Plan D No.: CST BM Elev.: JAS Insp. BM Elev.: BM Description: Parcel Tax No.: -19500156 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 3 a$~ Benchmark Septic Dosing 7_610 gelI Aerati Bldg. Sewer Holding stllkft Inlet q^ TANK SETBACK INFORMATION St 41't outlet 5 , ub' 902 , TANK TO P/ L WELL BLDG" Ae rit Intake ROAD Dt Inlet Septic >l~/~~ NA Dt Bottom 9 (~o ' Dosing da NA }4s6et/ Man. y 02/~ (22, Aerat' _ NA Dist. Pipe 27 q9, Holdin Bot. System PUMP)-INFORMATION Final Grade Manufacturer Demand 3 Model Number f I'll - Friction S stem ' TDH Lift 3 Loss 3) He TDH 13, d t -y S ~ Forcemain Length,6(D' Dia. a Dist. To Well '>110t or 91 SOIL ABSORPTION SYSTEM , PIT No. Of Pits Inside Dia. Liquid D th BED /TRENCH Width Length I No. Of Trenches DIMENSIONS ~ DIM N I N LEACHI fact rer SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM INFORMATION Type O CHAMB Model Number: System:,W, 0' OR T DISTRIBUTION SYSTEM /Manifold Distribution Pipe(s) , x Hole Size x Hole Spacing Vent To Aim ntake Length ~ Dia. P Length CPd 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 /enter Bed #Taamt Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: St. Joseph.3-4.30.19W,1W, NW, Lot 2, 60th treet~~ Lr. v Plan revision required? ❑ Yes No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No SANITARY PERMIT APPLICATION coktvf v'■~~■'~ In accord with ILHR 83.05, Wis. Adm. Code 6;r - cu-(-4 STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than a 3 3 L Z 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION % tV%,S 3 L/ T j3(),N,R E(or PR PERTY OWNER'S MAILING ADDRESS LOT # BLOCK # z 1,2,5-2 6 C? T11 .s; - A14 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER OS6 0 4.1.5--q CITY NEAREST ROAD E:I 'Ovan u) /S( II. TYPE OF BUILDING: (Check one) ❑ State Owned 0 VILLAGE : r- 7-f S" J^'. 10 TQWNOF: ❑ Public ~1 or 2 Fam. Dwelling-## of bedrooms PARCEL TAX NUMBER(S) ® 04 III. BUILDING USE: (If building type is public, check all that apply) 630 -16015 _to 1 ❑ Apt/Condo 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. 11;~7 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 Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 M Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ye, yS ELEVATION Feet "d!r Feet. VII. TANK, CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION Manufacturer's Name Con- Steel Plastic New istin Gallons Tanks Concrete structed glass App. Tanks Tanks 960 k E /CS Septic Tank or Holdin Tank 160a O r Lift Pump Tank/Si hon Chamber O S 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 's Signature: (No Stamps) MP PRSW No.: Business Phone Number: Z M21 5" ~1 -lsc~S~ T - lumbe s Address (Street, City, State, Zip Code): _P + IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanity Permit Fee (Includes Groundwater [Date Issued ~ ISaul g Agent Sign ur (No Stam s) - Approved ❑ Owner Given Initial Surcharge Fee) Quo Adverse Determination o X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application. must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% 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, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations October 20, 1994 201 East Washington Avenue P. 0. Box 7969 Madison WI 53707 ULBRICHT & ASSOCIATES ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN S94-04305 FEE RECEIVED: 180.00 DAVIS, JASON SW,NW,34,30,19W TOWN OF ST JOSEPH 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, David Russell, P.E. Plan/Plat Reviewer Section of Private Sewage ORIGINAL (608) 267-3605 i SBD-6423 (R. 01/91) . ULBRICHT & ASSOCIATES CO. X94-04305 655 O'Neil Road • Hudson, WI 54016 Reg. Designers of Engineering Systems 715-386-8185 Private Sewage Consultants PROJECT INDEX DILHR Plan I.D. # S94-04305 Date Oct. 13,1994 Owner Jason & Amanda Davis Phone 715-549-6056 Address 1259 60th St. Hudson, Wis. 54016 Legal Description Tax parcel 030-2008-60-100. Lott. CSM vol.615, pg. 47. SW 1/4, NW 1/4, Sec.34, T30N, R19W. -crx, St. County 5t. Croix Town of C.S.T. Installer Gary Steel, CSTM 02298 Local Authority/ Supervision St. Croix County Zoning Dept. PROJECT DESCRIPTION An existing 4 bedroom home has a ponded failing drainfield (uncertain size). Estimated daily wasteflow: 600 gals. Soil report indicates soils are permiable but seasonally saturated 38". Soil design loading rate: .5 GPD/ft.2 A mound system using 12" of sand fill is proposed. The existing precast septic tank (assumed to be 1000 gal.) will be checked for code compliance by the installer prior to re-use. The tank will be checked for baffle condition, cracks & leaks, etc. A new 800 gal. precast code compliant septic tank will be added in series to provide for a minimum tank capacity of at least 1200 gals. 1 ~a``a~~u~0►unu+uipb C01V49 Pg.l PLOT PLAN VIEWS -a Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS INMM VA Pg.3 PIPE LATERAL LAYOUT Id 8s i GIA$4 Pg A DOSING CHAMBER CROSS SECTION Pg.5 PUMP PERFORMANCE SPECS 'T'his design for installation is based entirely on measurements, elevations, 9fl . landscape conditions (slopes etc.) and soil suitability provided by CSTM 42-2, The accuracy of his specs, as reported, shall remain the sole responsibility of the CSTM. o~v ,v~rs S94-04305 Ivor .9 /3.4tivo,v pc~ / P3, p3 e Z~ . - 30 /3,4c ~/~o E i'TS The Ana Z5 II. below the dowoslope edge 81 111 Ili)1181IN 11111m mull remaia 111isin is 03 L4-)e, as see t6 b e- i'o~~ vlb \ 0~ - T.¢,v,~ ,vEav boo . l~h'~ ltS T 5,7-. T.,l/k 4 APE ' Zl SE 6,(i S Ti%~ /O!J ~ s °`"P - E C, v 'V 7- 1~{~~~~~~ I Poo[. I C y~c~ ~a~Q S cviM pool ela Co mo /ifiv PRA 91e To I 1f -,V07- RE ~'SA,B/E ti&k.) /apo Sax. Piptx,fs7- 5epr%c . 511,411 ~5,95- / y j" .'VATE SEWAGE SYSTEM Conditionally PPROVED PT. OF INDUSTRY, LABOR b HUMAN RELATIONS DIVISION OF SAFETY AND IPJU INGS J lc•llL- /od- C) SEE CORRESPONDENCE . 1 0 5 2 0 p tS ' CP-05S SECTIoAJ OF MouoD ^ wi rti BeD S94-04305 Bev OF ro Aggec- ATE 5 vi sT rt3~-r~o,~ R P i p G- G, rtilckaFSS sysrEM of Tip sort t~ lcvArioo U)Ji FORM ToE H E F 3 MEv. 9 % RAW VIII pIawr. D 'roPsot* 1 VNiFORM 10 °7o SloPE Nh EtEVnT~oa u~r R f3~ 9 7 ~'.5 A6 F T. A Fr. INvERr of 2 1pT 'RA(S ~O FT. F - TOP o F Rock 99 Z_-5- G 40 T. To of / .z y IATEr~A (5 ~9 O~ H FT. P PLA W VIEW OF Mou.uD wi r+t 13E D FvRcS: MAW A 9 Fr- 13 3 Fr I K r -T L T- !o.~ 7 I • 1 FT w '-o T Fr Fr FFAVATE SEWAGE SYSTEV '2ConditionallyPVC. cAPPep To I d(3$ERVATI00 A9lPFIATAPPROVED P p E S DEPT. OF INDUSTRY, LABOR & HUMAN RELATIONS DIVISION OF SAFETY AND BUILDINGS PERMA#J toT MARKERS SEE CORR S O REceumep 13ASAL AReA ` 'DAI'LY whst'E•F'iow - 600 - /2vo Soft- Ix)"Fi lrRATIOE _ • C AQACi"y ' S 4• F . PRoposEb BAsA4 ARe~ (A t z S to rT. 3 o4 5 DISTRIBUrioQ PIPE ?JET-WORK LAyou'r S94-04305 R P F o 0' ~o\ E I~ Fr p ~o \ R/,D Fr INcHE FnR~E MAiti1 /00 Fr. of Z PUG _ IucFJEs VARCA(3LE TOTAL V(9I D V a lu)-i Pi ST^acL /G,7 Gals . H olE Dt*AmeTER INCHES LhTER/4L of I2- Itic lies MArvtFOLv 2_ IN C h} £S Fopce MAw 2. I NCF}ES OF HOI£5/pi m /G MOVE-R"17' ELEVATIok) F7"VATE SEWAGE SYSTEM o F- LATER M S Conditionally APPROVED DEPT. OF IPIDI►5T , JAW 3 WNA KLAM" DIVISION w gaw ANO mm" 'DE TA% L- S M D cAP SEE CO • RemouE- All DRill BoeRs ! y HciES locATEd o,J Bo-rrom EWAlly SPACED T-)1 STRi [3urloN DISchAR C>E RATE poR hRch LATERi L Pl~~R orti S /F, 7 2- GAL / Mil3 . TOTAL 1DiSMBOT1oO 'Di5cl1~R&E FATE FOR NETWOR I;' 3 -7, y~/ GAL/MI-IV. a•5 I MI'MI'MVAA S94 - ®4 3 ~J PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS of S -VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER 25' FROM DOOR, w/4v/4/(ApiA)(! IA13EI WIIJDOW OR FRESH 12"MIU. I AIR INTAKE IE^1 /O Al GRADE I 4"MIN. ml M. 9/D COWDUIr ~l~U~+rl r/v 11~ / Q / PROVIDE I IMLET AIRTIGHT SEAL y 1 ~V I I I i APPROVED JOINTS APPROVED JOINT I'J ~K I II W/C.I. PIPE 1J/C.I. PIPE 'I ~I.~U~ I III EXTENDING 3' EXTEHDIIJG 3 JO / ALARM ONTO SOLID SOIL' 0VJT0 SOLID SOIL D I II B g~ I 1 0" ' C I I ELEV. FT. PUMP -_j OFF y D ~V '1 A~ k 'gE POlA) 6 BLOCK IE vtl f -Y gv55 RISER EXIT PERMITTED (3IJLIJ IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E 5 P C C 1 F It AT 10M S DOSE e~~/~s S~~IJLIMBER OF D05FS: PER DA-4 TANKS MANUFACTURER: TANK SIZE: GALLONS DOSE VOLUME 17 4G7 `tV~L 4 INCLUDING BACKFLOW: GALLONS ALARM MANUFACTURER: MODEL IJUMBER: J)' V CAPACITIES: A= ZO INCHES OR Oa GALLONS SWITCH TYPE: H F-Q t VIQ Fla A T- B = 2- INCHES OR ~a GALLONS MANUFACTURER: ~OEIIEl2 PUMP OR 7 `7 GALgLOMS MODEL NUMBER: D=~~ G INCHES OR ~ G?ALLOMG SWITCH TYPE: MOTE: PUMP AND ALARM ARE TO BE -7J0-GPM INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE ~ S VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 12,6 FEET ANk PUCS + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET EAC(A.__i a~ y~ P 1t -1- /60 FEET OF FORCE MAIN X 7,62- F OoFT.FRICTION FACTOR.. 2,62- FEET CIE: S Zd - TOTAL 09UAMIC HEAD = /7 7z FEET _ N ~tJ ry INTERNAL DIME)JSIONS OF TANK: LENGTH ;WIDTH 07_ -;LIQUID DEPTH A 1-11 PRIVATE SEWAGE SYSTEM Conditionally APPROVED IDEPT. OF ROM OF. WW &W WOM av-r_ I ;Z~ SEE MRE8MMENCE I F YR. 1 'y S94-04305 HEAD/ LL 11S CAPACITY z 110 105 CURVE 3° 85 29 90 26 85 24 00 MODEL EFFLUENT and a 75 MODEL ~\-Si 198 DEWATER/NG = 22 7e 165 65-- z 6o G 55 F 1° 50 MODEL 0 183 MODEL t- 14 45 199 12 40 35 1° MODEL 30 MODEL -137,139' t6S SEWAGE and 25 ttftl of DEWATER/NG 6 20 MODEL ~ 1S MODEL 161 J\ C 10-- 11 4 7 `r MODEL 2 L° { 5 53, 55, - M 57,59 0 GALLONS 10 20 30 40 50 60 70 60 90 100 110 21 ~ LITERS 0 80 160 240 320 400 7s 22 FLOW PER MINUTE 70 , 20 /8 60_ - MODEL Lit 295 -4 ss x /e ~ V so 14 49 MODEL 294 L1 12 40- - i MODEL 3S - F 10 293 0 30 MODEL 284 MODEL 282 _ 4 ~ MODEL OZ ELLf/P Oa► • i 3280 Old NIIMrs Lane GALLONS 1• 24 1s 5o sot 7e so~ 90 100 110 12o 130 140 )5b tbo 1yo 190 11i0 P.O. Box 18347 1 ' ° I 4 4 LoubvlNer Kentucky 40218 11611111 lM 0 M "0 !It !s• 400 490 m 910 720 (502) 778-2731 FLOW PER MINUTE "161' -"163*"-"167*~ "'185",a "189" 188"- Se~f@S HP) (%2 HP) (1 HP) (1 HP) (1'/2 HP) (2 HP) • Automatic or Non-Automatic. • 'h H. P.. 115V, 230V, 200-208V, 1 Ph. or3 Ph., 460V, wales Ts+ fu fa fss fas Mu G.1 ll•f 61' 23, M er I llr. OM llrf GRI lln as 322 i! J+{'-'~ 3 Ph. e ~ rae a~ of zs. as szz 10 305 tea 318 61 "1 a1 291 as 3n • 1 H.P., t'h H.P., 2 H.P., 230V, 200-208V, 1 Ph. or 3 1s .s1 91 3.. as zz, e9 zz, es 322 Ph., 460V, 3 Ph. M ero u mo » z:i a m es 32 z 8C 1225 ?s Zaz i~ ieo s1 ii 59 eta as 372 • Passes 3/a" solids (sphere). 91. as 216 55 Me » zta 9e 31o as 3z: fa .2 19 .a 1). b 112 ss r Ma Is 293 M JJ1 at 31. • 1'12" NPT discharge standard. 5e 153. e1 M 13 175 51 M » 219 13 3,6 1 }a, • 1829 1s 51 q. 181 35 IN 51 216 61 383 Float operated, submersible (NEMA 6) mech- 10 :1N 30 0 3e 3, 1a s, :1a anical switch. eo z. 3e a 53 13 49 .1 Ve 99 t1 .J Je 138 • Automatic reset thermal overload protection, 1 ° 21 a0 Ph. only. iai v.m9 » as er 73 as 110 • Durable cast iron construction. 9 Canadian standards Non-Automatic • 2" or 3" flange available. U~ listed Assoc. Approval Model Yon-Automatic available • 20 ft. UL listed neoprene cord and plug. NOTE: No UL listing for 200-20611/1 Ph. pumps. Mercury float switches are evellable for non-automatic models. rwsuoiiSuiuapa~uirowuiuwwuy, ,UIL ANU 5I It: LVALUA 1 IUN HLI'UH I vage 1 Ot 3 t afar am; 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 y1 Plan must include, but St . Croix not limited to vertical and horizontal reference nt., ire slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dptan to nearest road. 030-2008-60-100 e REVIEWED BY DATE APPLICANT INFO RMATION-PLEASEy"P~;INT A6,"o4p,b:~i~IIATI PROPERTY OWNER: t .',.'11 PERTY LOCATION Jason Davis VT. LOT SW 114 NW 1/4,S 34 T 30 N,R 19 f(or) W PROPERTY OWNERS MAKING ADDRESS ~ "PT # BLOCK # SUBD. NAME OR CSM # 1259 60th. St. na csm vol. 615-47 CITY, STATE ZIP CODE '..PHONE NUMBER ❑CITY OVILLAGE EVOWN NEAREST ROAD Hudson, WI. 54016 (715)549-6056',,-- St. Joseph 60th. St. [ ] New Construction Use Residential / Number of bedrooms 3 Addition to existing building L*Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 5 bed, gpdm2 •6 trench, gpd/ft2 Abscrpticn area required 375 bed, tr2 375 trench, ft2 Maximum design loading rate • 5 bed, gpd/fl2 •6 trench, 9pd/ft2 Recommended infiltration surface elevation(s) 98.45 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material pitted glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S ®U as ❑ U ❑ S E U ❑ S :KIU ❑ S pv ❑ S )MU 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 Tmr& 1 0-10 10yr4/3 none 1 2msbk mfr gw 2m .5 .6 1> X 2 10-20 10yr4/4 none sil 2msbk mfr 9w lm .5 .6 Ground 3 20-33 7.5yr4/4 none sl 2msbk mfr gw if .5 .6 elev. 94.65tt. 4 33-50 10yr4/6 none sl lmsbk mfi na na .4 .5 Depth to limiting Mr Remarks: Boring # 1 0-6 10yr4/3 none 1 2msbk mfr CTW 2f .5 .6 2 2 6-26 10yr4/4 none sil 2msbk mfr gw if .5 .6 3 26-39 7.5yr4/4 none sl lmsbk mfi 9w na .4 's.5 Ground 7.5yr5/2 elec. 4 39-72 7.5yr4/4 97.85h 7.5 r5 8 sl lmsbk mfi na na .4 .5 , Depth to limiting factor 391, Remarks: CST Name:-Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 0th. Ave., New Richmond, WI..54017 Signature: Date: CST Number: 9-8-94 cstm 02298 PROPERTY OWNER Jason Davis SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. x 030-2008-60-100 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxbry RootsGPD/ft in. Munsell Qu. Sz. Cont Color I Gr. Sz. Sh. Bed ITmrch 1 0-7 10yr4/3 none 1 2msbk mfr gw 2m ovx 3 r<:: 2 7-24 10yr4/4 none sil 2msbk mfr gw lm .5 I.6 Ground 3 24-38 7.5yr4/4 none sl lmsbk mfi 9w if .4 i .5 elev. 94.65 c p . ft. 4 38-60 7.5yr4/4 7.5yr5/8 sl lmsbk mfi na na .4 .5 Depth to limiting factor 38" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. j ft. I Depth to limiting factor Remarks: SBD-8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Jason and Amanda Davis 1554 200th Ave. CSTM2298 WIWI S34-T30N-R19W New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246-6200 r % N D'/ 1"=401 A BI.= top of well at el. 1001 (9 CN 41 2 Ja70 ~ xrY O~ 91 t lh~s w 1 g° =e\O i i 100' )15 ( ~ I a .4.01 -4ra 3t1 -ZOO' ~o ~M 5 0 lit r1 ~ ~ Gary L. Steel 9-8-94 40319s: CERTIFIED SURVEY MAP Located in the SW 1/4 of the NW 1/4 and in the NW 1/4 i of the SW 1/4 of Section 34, T30N, R 19W, Town of =a NW Corner St. Joseph, St. Croix County. Surveyed for: v Section 34 James Burton Ono T30N, R 19W Rt. 2, 60th St. NZ PO UNPL_A_T_T_ED_LANDS Hudson, Wi. zc~ S 87'41'23"E 54016 z 6t 501.04' u~ LOT 1 LEGEND lV , N 8- 0, it W `D Z92093 Sq. Ft, including 3 $ County Section Corner Monument a v ~ road right-of-way 0 LV CV 6.71 Acres r~ • 3/4 I.D. iron pipe found 9 N m 290969 Sq. Ft, excluding ;v m o 1"x24" round iron pipe weighing W o c road right-of-way c CO 1.68 lbs. per foot set I 6,68 Acres existing fence t~ IZ ~r 50.62' N O° 57'43" W , d 10.31' N , C 1 ,sue O' Z, d. z ~u, -341 .68' - ~SCALE IN FEET N 89'58'20"W W~ N o Hb :r 351. 99' ss 0 100 200 300 i ~2.59' 0 (1"=2001) u\z Page 575 s N 0 a~ 16.30' z~~ to z p 0 (h &oz i ~i 1.95' m W R S 8958'20"E Z N 8319 90 6.,E 1gso5?07 j 11 I~ 356.60 ' S.'90. E M ' M N 1I ZI I --338.35'-- I ; ; 1 219.75' $ z 0 o HI 4 ~O1 ,,S8 g58R20°E LOT 2 W W I yre75 439058 Square Feet _ including road right-of-way JUL e 1985 0 I LOT 3 10.08 Acres MAN s N a M 0 W N t~ ~ « CU a IM 204683 Sq. Ft. 00,, 437804 Sq. Ft. excluding o~I V 0 , In iD incl. R /W 0 r3 road right-of-way .~ko• z. 4.70 Acres 10.05 Acres .0-1 6 0 r I!' to 189797 Sq. Ft. IU) excl. R /W 6d I 4.36 Acres W1/4 I ~ Cor. W, N 29.62' 462.45' 697.31' 13 89'49'4 "W 3. 1189.38' UNPLATTED_LANDS S 7JJ Corner Section 34 APPROVED Proj. 485 -836 Drafted by H. P. P. JUL 02 1985 ST. CROIX COUNTY COMPREHENSIVE PARKS PLANMMO AND ZONING COMWTW Volume 6 Page 1547 V ^ .W V III L+15T 82Ed 9 9UMTOA xzaTO 'a44911pg TO-TPD ~pQ s~ s2 °I gdasor •qS 3o Umoy aqq 3o papog uMOs 7aq4 A pano.Tddp Aga.zaq ST dew silty n.9 O+i O -Sim ,'a 'uospnH S _ scet-S 986T Z aunt Hosm '3 S3WdP 9TOi~S uTSUOOSTM 'uospnH w- 49a.z4S puooaS LOV '~~~~~;y/S"'"N•»......5~~~~~`,e` 9L£T-S zoAanznS pupa u"SuoosT ~i N07 gosng • S sa r still •39TT9q pup buopu saepun 'abpa oux 112uOTssa3ozd Aw 3o gsaq aqq oq aOUPUTPJO UOTSTnTpgnS Aquno0 xTO.ID '4S aqq pup sagngpqs uTSUOOSTM aq4 3O t£'g£Z aagdpg0 3o SUOTSTnoad aq4 g4TM paTTdwoo anpq I 4pg4 :p@AaAans pupT aq4 3o saTippunoq lOTaa4x9 9q4 3o uoTgequasajda.z go9aaoo pup aniq p sT dew Bons gpgq :Agzadoad pagTaDsap anogp aqq paddpw pup paAanans anpq I gpgq A3Tgaao Agaaaq 'JOKan.znS Pupa UTSUOOSTM p9z94sT5az 'gosnu •S sawpr 'I •dpw pagopgqp aqq uo uMogs sp ApM-3o-ggbTz ppou uMos oq goaCgns buTaq osTp pup 'LO£ abed '£gZ awnTon UT pap.zooa.z Sp anTgpaadoo0 3Ta4OaTS Aquno0 xTojD '4S 04 4uawaspa p94p9uT19pun up oq 4oaCgns buTaq pup '(s9aOP 8V.TZ) gaa3 aapnbs t£8'S£6 bUTUTP4UOo 'buTuuTbaq 3O 4UTod aqq oq V£ UOT409S pTps 3o'b/T MS 9q4 3o auTT gsaM aqq buoTp TZ*OTT M„~S,LToTN 90Uag'4 =,8£'68TT M„Lt-,0,68S aouagP t,Z6'SZL (S,££o0£S sp pap.z009J) S„LO,ZhoO£S @3U@ T4 :,06'9VT (21„00,81, oSLS sp pap.zOD@a) S„L0, LS oSLS 90ua144 ! , 9L' TOV (S„OZ, 6Z oLZS sp p9p.zoO9a) S„8Z,L£oLZS a3uag4 :,9L'88£ M„ZT,TZoZS aouag4 !ZVOT-S aOAan.znS Aq paquawnuow ATsnoTnazd se aoua3 buTgsTxa up buoTp ,b0'TOS (2„0V,0£ oL8S sp pap.zooa.z) S„£Z,TboL8S aOuag-4 :auTT -4saM pTps buoTp ,ZZ'8£t, S„LT,OZoON aouag- 'Teo.zpd pTps 3O au-TT g-4-ToN pa-4uawnuow aq-4 buoTp (,£'£L£ 4saM sp pap.zODGa) ,66'TS£ M„OZ,8So68N aouag4 Ilaojpd pTps 3O auTT 4spS paquawnuow 9q4 buoTp (,00'OS£ g4JON sp pap10091) ,8T'OS£ M„OO,SZ,ON 90u9q-4 :SLS abed 198D, awnTon uT pap.zooa.z Tao-Ted -4pq-4 3o auTT ggnoS paquawnuow aqq buoTp (,£'£L£ 4sPs sp paplooa.z) ,09.9S£ 2„OZ,8S,68S aouag'4 :auTT 4s9M pTps buoTp ,Oi*6ZS (S„LT,OZoON buTavaq 'Ii£ UOT40GS pTps 3o V/T MN aq4 3o auTT 4saM ago 04 paouaia3ai sbuTavaq pawnssp) (144ION Sp pap.zOOa.z) S„LT,OZ,O N aOuaq-. :Ii£ U01-409S pTps 30 a9uaoo V/T M aLT4 4p buTuuTbaq :sMoTTo3 sp pagT.zosap AjaPjnoTgiPd a.zow ' gdasor • 4S 3o uMOs ' M6 Tu ' NO £Z ' t £ uOT 4OaS 30 t / T MS aLI,. 30 V/T MN aLI4 UT pup V/T MN aqq 30 V/T MS aLI4 LIT pagPDOT pupT 3o Taoapd V NOIZdI2I0S2Q STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 'Ong ~R Vi S MAILING ADDRESS ~al LnC ) oS~%Z~~C~L1il / . J`rl~ PROPERTY ADDRESS (lo/cation of septic system) Please obtain from the Planning Dept. CITY/STATE q01(, PROPERTY LOCATION 1/4, 114, Section T N-R W TOWN OF ~T ,72Dle od ST. CROIX COUNTY, WI SUBDIVISION ,t LOT N RYIBER cy PAGE LOT NUMBER- CERTIFIED SURVEY MAP VOLUME 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, joumeyman 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. 1/NlJe, 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 iefl-fie-- SIGNED: - DATE: l~ - - - St. Croix County Zoning Office Government Ccntcr 1 101 Cann clued Road Hudson. W1 54016 I I%`~' S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property ~/1~c~N ~RVI Location of property _s~l/4 AW 1/4, Section T 30 N-Rf9 W Township_ ~ Mailingaddress !2'~ ~d S-r- Address of site _ Subdivision name Lot no. Other homes on property? Yes___V_No Previous owner of property CL&WO Total size of property _ e®, O f" 4c4 s Total size of parcel ~f-T Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes I/ No Volume and Page Number /5~/7 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. 4.2 0 qot , 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. tF2o9 ~ Sig ture o nt o- pplicant ")r 117 VIA, Date '-6f Signature Date of ignature . ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the YC A_50AL DA111-5 residence located at: ,5a)-1/4, 4ZX 1/4, Sec..3~Z T_jt2_N, R_4LW, Town of 571 36 S ,e j0AJ Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced , le/ Did flow back occur from absorption system? Yes No_X_(if no, skip next line) Approximate volume or length of time: gallons minutes Capacity: Construction: Prefab Concrete. Steel Other Manufacurer (if known): Age of Tank (if known): S^ (Signature) (Name) Please Print 1~2/01?_ru.) 32o (Title) (License Number) (Date) Farm to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR-83, Wis. Adm. Code (except for inspection opening over outlet baffle) NameaAfAU,N Se--m/'?iiT Signature -MP/MPRS 3 5/88 ,A_~~ s3a.-3o-t9 3wti~cuc~ly l.b'471. dOCUMENT NO. WARRANTY DEED (I THIS •.,Ci RCSQRYW FOR RUCORDING DATA STATE BAR OF WISCONSIN FORD( 2-1 ?'t19 SOON t 0VPACE r:E-CA3?'FS OFfiCE b'T. CF40(X 004 W M „Glenn-••C Busaes and Ann••C~,_-Bus-ser~•_• - tenants p,~~~ 1br Reawd ft 31st litt~abanc~„and- wife as _oint tL- A.D, 1916 I I -nn 's AL conveys and warrants to *N •hua b and...a nA.. is i tie..ss...au.-Y.t vux s b.i r p...mari.!"al.......... ~sapel~[y. R[T-11- TO the following described real estate in ._St...__C>co.ix .........................County, State of Wisconsin: Tax Parcel No: Part of the SW 1/4 of the NW I/4 and the NW 1/4 of the SW 1/4 Section 3 Township 30 North, Range 19 West, Town of St. Joseph, St. Croix County, Wisconsin, described as follows: Lot 2, Certified Survey Map, dated June 24, 1985, recorded July 2, 1985, in Vol. 6, page 1547, as Doc. No. 403198. i f .IRONS ~d ' 1 ii it II This homestead property. (is) (is not) Ij Exception to warranties: Subject to easements, reservations and restrictions of record. Dated this t........................ day of - I November . 19.-.. 8.6 ..............•-•...-...-----•---•----......----(SEAL) (SEAL) ' HN G....-i}.US.S-ER ..............................•------•--(SEAL) c!V -......(SEAL) ' ANN--C...... US-SSRh.--- - AUTHENTICATION ACKNOWLEDGMENT ii Signature(s) STATE OF WISCONSIN sa. St. Croix .County. authenticated this day of_.......................... 19 Personally came before me this _Iffbb.-day of . November 19 86-_ the above named G l e n n C . B u s s e r and Ann C. Busse r • TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by S 706.06. Wis. Stats.) - - - . to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED B`• STEPHEN J. DUNLAP - - Hudson, Wisconsin Ci4ry i; Public S t C - County, Wis. 1! (Signatures may be authenticated or acknowledged. Both mmi ssion is perma e4. (If state expiration are not necessary.) da s+------- +Ne+H 19 PAULA li Nam.. of D•raono sisah>t is 11S7 eapaelty should be typed or printed below their i NO TRAY °I+f - ' -•C ~ ~ ~-pWASHItiCuT'~ti .:.~"f ~ - _ Illy CummyaMn Ey~.ras .;a^ iS~~l j tIGMIB.rG•tpsA STATE BAR OF WI ON'- FORM No. X- ~psYytfft~O a+......r...r ~IIdN 7 13n~ 002 .