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HomeMy WebLinkAbout006-1065-40-000St. Croix County Planning and Zoning Detail Sanitary Information Thursday, August 17, 2006 at 10:31:54 AM Page 1 of 1 Computer #: 006-1065-40-000 SublPlat: metes & bounds Section: 29 Parcel #: 29.31.16.4526 Lot: TN/RNG: T31N R16W Municipality: Cylon, Town of CSM: 1/41/4: SW 1/4 NE 114 Owner: Wolff, Rod 2174 Highway 64 New Richmond, WI 54017 State Permit: 370358 Issued: 10/24/2000 POWTS Dispersal: Non-Pressurized In-ground Permit: New County Permit: 0 Installed: 10/25/2000 POWTS Detail: Infiltrator- High Capacity Bedrooms: 0 WI Fund: No POWTS Pretreatment: NA Notes Issuer/Inspector As Built Plumber Other F2eguirements Additional Notes Money Owed Kevin Grabau >4/1/00 -Not Required Gustum, Tom 7 acre parcel being used for a machine shop - $0.00 Kevin Grabau Signed Off: Yes house on property burned down before 1991 per a soil repor! still in the active files for Bank of Somerset (foreclosed on property) Maintenance Scheduled Pump Date Pumped 1si Notification 2nd Notification 3rd Notification 10/25/2003 5/21/2004 04/01/2004 5/21 /2007 DEPARTMENT OF INDUSTRY, LABOR AND HUM~jN RELATIONS ~~ REPORT ~~ SOIL BORINGS AND PERCOLATION TESTS (115) ~11.,.~.0911) & Chapter 145) BUILC DIV ~ ::; P.O. BI" \ BISON,' LOCATION: ~ / SECTION: R/ E /T N NSHIP/ NICIPALITY: ~ LOT NO.: -- BLK. NO.: - SU6DIVISION NAME: a / / 6 ( ~ 000NTY: AILING ADDRESS: USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTION E OLAT ON T STS: ,Residence ^New Replace ~^ //'._~ _/ ~ lc.~ < ~ t r 0~1 c.J G QATIAIl.• C= Sion cuir~6lu fnr a ietnm I I- Ciro a ~it~{.In fnr cvetem CON~(l_NTIO~N~ . M~~. ^~ IN-G~fV~PR^ESSURE: SYSTEM-IN-FILL HO~LDING T~ : RECOMMEN~ S~EM:'loptional) ~ _ If Percolation Tests are NOT required DESIGN RATE: ~ If any portion of the tested area is in the under s. tLHR 83.0915)Ib), indicate: r~ Floodplain, indicate Floodplain elevation: /' d r PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATIGN OBSERVED EST. HIGHEST ,) TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK B_ 1 w ~ w /~ ~ ~ / (~r/ /C~.~~ D /~ ~ ~` /~ ~~ ~ a~'7 '.~ ~/~ /~/ a- ~ B- a- ,y _ ,~ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P RI PER INCH P_ Q P- '"' D S/ s P- 3- 7 P_ s P- ~ p_ --- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings-and the direction and percent of land slope. SYSTEM ELEVATION y ~~ ~ o ~' r , d _ z ~" _. ~-._w . ` __ r ~ b ~~ i L '_"''.~~ - •---..... w ~ .~ ~ N _ _ ~_ f _r__~ m .. ~e_ _ - . r ,~ i ~,~.. , ~ c ~ ti „~. _ __ ~ __ __ _ _ ~ ~_._ w. , __~ f ~ ( ; t i ! ~ i 1 . i ~ _ ..,. _~. .~ ,f.... ~, ..,_ .._ .. .. _ 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with. the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (printl: ~ d /`G~ h TESTS WERE COMPLETED ON: ~"~~` ADDRESS: ~ CERTIFICATION NUMBER: PHONE NUMBER optional): Z' ,~ CST SIGN UR - ~~ - i DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) -OVER - Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM ` Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may tie used for secondary purposes [Privacy Law, s_15.04 (1)(m)j. Wolff Rod Cylon Townshi CST BM Elev.:• Insp. BM Elev.: BM Descr/i~ption: ' n I OD .O r ~(9a •~ ~ ~-~.~..~lc ~ra~-t6v. e~ trw~r~.~! TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic S ~ Dosing l~ '~' Aeration Holding TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ZD ~ ~, t r NA Dosing ~ 20 ` `"` " - NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer ~ Demand Model Number "~ GPM TDH Lift 4102 Friction o5 System TDH ~'7r~~t Fortemain Length~,y,3Dr Dia. Z~ Dist. To Well SOIL ABSORPTION SYSTEM ~/ ~ ~ Q ,, ,.. ~horc ELEVATION DATA County St. Croix Sanitary p~rm~t No.: 370358 tate Plan ID No.: 1J~ _ ~f 3Z.o arcel Taz Nn 006-1065-40-000 STATION BS HI FS ELEV. rk m a Ben ch ~:$3 IaS.~3 fSO•t7~ ~ g ~ p ~ t~IftI31VI C~, c~ - ~t Bldg. Sewer (~ `t -3r-e. QS.~(o' St/Ht Inlet ~6.2~ $q•S"~~ St/ Ht Outlet Dt Inlet ~~ Dt Bottom q. ~ ~ . 33 Header /Man. . -~ Dist. Pipe 5 '~OZ q $•2.1 r Bot. System ~'~~ Q(o.~-$ Final Grade ~ f1D • 0 r 0 E Width 3f Lengt r No. f renches S PfT No. Of Pits Inside Dia. Liquid Depth DIM 3 • tMEN I N SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING "`r ure' _S;~ SETBACK INFORMATION Type O t r R e Num er: ~° System: ~ ~S ti ~ ~ ~ ~~ `~^ OR UNIT f ' m ~ DISTRIBUTION SY5TEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length ~' Dia. L th pacing 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.) Inspection #1: IdIZSI ~ Inspection #2: *-t`7' Location: 2174 Highway 64,~:~e~w Ric on~l WI,54017 (SW 1/ NE 1/4 29 T31N R16W) - 293116452B 1.) Alt BM Description = ~~t '"""`(` 5~+~ (.ate ~J~:.~-~~~ 2.3 2.) Bldg sewer length = ~jfl N V 3 -amount of cover = ~ g ~) ~-~-Q~l~-~-(ov Plan revision required? ^ Yes ~ No Use~ot std f r ddi tonal infer tion. - p 2 0~- o t < <o Date Inspector's Signature Cert. No. '~ 2 l ~•`f ¢(y,y ~ i~-j„ ~{ Sanitary Permit Application In accord with Comm 83.21, Wis. Adm. Code a ety "' 'ngs """un ZAt W. Washington Avc. 7302 PO B `~~~ 'T "'' • reverse side for instructions for completing this application ox W153707-7302 M di h n S ~ Personal information you provide may be used for secondary purposes son, a Department of Commerce [Privacy Law, s. 15.04(1)(m)) (Submit completed form to county if not state owned. Attach com lete tans (to the count co onl )for the system, on a er not less than 8-1/2 ~; 11 inches in size. County a ~~ State Sanitary Permit Number ^ Check if revision to previous application - State Plan I. D. Number ' T ro i 3 20 1. A lieation Information -Please Print all Information _ Location: Properly Owner Name i,t / ~1/. ~~~ V V 0 fj P'r_op/cny LocCa~uun ~J •~ // VV 1/4~` I/4, Soc r TJ~ .N, E~I~k ur Property Owner's Mailing Address ~ 6 ~ ~w 3S~~y 1_ut Number Block Number Ci ,State ti s 7 J Zip Code Phone Number bdivision Name or CSM Number ~ , w ds~~ a;~t sy~ ~Z t 7is -ay~-~2a ~ u,t~ II Type of Building: (check one) ^ city • _ PublidCommercial (describe use): /vra e S )t.c.~_ ~'~ n o ^ Village '~TOwn of . O State-owned y o n III Type of Permit: (Check only one box on line A, Check box on line B if applicable) Nearest Road L, w A) 1. J~New System 2. O Replacement 3. ^ Replacement of 4. ^ Addition to Parccl'rax Number ) S stem Tank Onl - Existin S stem !'t9~ ~- $) ^ A Sanit Permit was reviously issued Permit Number t-hm^tsswtd j (. ~~2--t IV. Type of POWT System: (Check all that apply) ~' F~-'-tOD ,f~Non-pressurized !n-ground ^ Mound Sand Filter ^ Constructed Wetland ^ Pressurized !n-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade t ^ erobic Treatment Unit ^ Recirculating ^ Other: ( ~ 3 ~ t K t• is ~~ ,~. V Dis ersal/1'reatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade e~ ~ Required ' Proposed Rate (Gals./day/sq. ft.) (Min./inch) ' Elevation / ~ 8c ~5 7 , 7 /, Z 7. 2 ~ I ao, 3 VI Tank Capacity in Total q of Manufacturer 1'rcfab Site Steel Frber- Plastic Information Gallons Gallons "Conks Cun- Con- glass New Existing cretc strutted Tanks Tanks St ,~ ~So -- `756 ^ ^ ^ ^ u w~ ~ ,Sb O _ -' -rr5 0 rc as .~ ^ ^ ^ ^ VII Responsibility Statement I the undersi ned assume res onsibilit for installation of the POWTS show h the attached Ions. Plumber's Name (print) //1 I ' Plumbe ' ' "gnature (no stamps}: MP PKS ' o. Business Phone Number 3y~ ~ ~ I VW s D• l~us~-ctm ~.a 7(~ ~8 / IiS-l<5~1 Plumber's Address (Street, City, State, Zip Codc) 1~ 13 50 ~ ~ S~~eef ~ ~- u u rn G{J1' S~ 7 S 7 VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) ~S[ Approved ^ Owner Given Initial Adverse Su~ttarge Fee) Determination ~o~o~•S ao o -Z~- i`x. Conditions of Ap royal /Reasons for Disapproval: ~ _ ~,• ~ ' !-•z sy~,,,., ~. ~et~,,~2 s ~ ~ ~- ~ Ste. L ~~- s • ,~~ -~- o~~-P ~ , ` ~ C~'-sir l ~-E-). -mss t.~ C( ~. s ~`~.. ~ C~ ~ ~"t' J Y ~ SBD-6348 (R. 07/00) ,~ `~ s~ + ~ ~ ~scons~n Department of Commerce Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264-8777 www.commerce.state.wi.us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 12, 2000 CUST ID No.227618 ATTN: POWTS INSPECTOR ``~'~ •~' ~ ZONING OFFICE TOM GUSTUM ~r~:°~,`` ~ "- - ~~ ST C129IX COUNTY SPIA N13450937TH ST ,~~~~`~~~~~ r,.. , -'~ 1101 CARMICHAEL RD NEW AUBURN WI 54757 ~,-`' -' °~ "'' HUDSOI*}`WI 54016 RE: CONDITIONAL APPROVAL ~~ ~ ~ ~ ~ ~~~:aG ,r i _ _ PLAN APPROVAL EXPIRES: 10/12/201~2~ ~`, ,~~` ~ `~``r;~~ Gnu a . ,.:,~ , v Or~1Ct~~` rv.tu SITE: `' ,~ r --'~~~i Site ID: 200306, ROD WOLFF MACHINE S~tf}'~___,~.~--~ ST CROIX County, Town of CYI:ON; HWY 64 SW 114, NE1/4, S29, T31N, R16W FOR: ID Nb. 441320 bite ID No. 2003011 '~ Please refer to both identification numbers, above, in all correspondence with the agency. Description: IN-GROUND SOIL ABSORPTION SYSTEM FOR ROD WOLFF MACHINE SHOP Object Type: POWT System Regulated Object ID No.: 766089 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • The plumbing for this project discharges to a private sewage system. The approval covers only domestic/sanitary wastes directed into this system. The Department of Natural Resources (WDNR) must be contacted regarding the treatment and disposal of all industrial wastes, including those combined with domestic/sanitary wastes. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, `- I` KEITH A WILKINSON , POWTS PLAN REVIEWER Integrated Services (715) 524-3630, FAX: (715) 524-3633 , M-F 7 AM - 3:45 PM K W ILKINSON@COMMERCE.STATE. W I.US DATE RECEIVED 10/03/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: ROD WOLFF 1• .. ~ ~~ ~1 ` v~ W L. -" In-Ground Nonpressurized System w/ Lift Station Cover Page Owner's Name Rod Wolff Owners Address 268 Hwy 35/64 Saint Joseph, WI 54082 1.715.247.3209 Legal Description SW'/4.NE'/4_SEC29 T31N_R16W Township Cylon County St. Croix Subdivision Lot# Parcel I D ~ ~f~ Table of Contents pg• a 1 Cover page 2 Plot Map 1~f 3 Drawings/Details ~ 4 Design Calculations ,,,,CC~~ 5£ (A Management Plan and Contingency ~G`- '7 Lift Station Information $ Daily Flow Calculations q Pump Curve Specifications total # of pages: Designer Name: License #: Date: Ph. #: Signature: Thomas D. Gustum 227618 9/28/00 (715) 658-1344,~~jj ~, C~i~~ ~~a~G~ pg 1 of ~ P.O.W.T.S. co~~a~tlo,zatly APFRQV~D DEPARTMENT OF COMMERCE DtYIS10N OF SAFETY AND t3UILDiNG8 ~ ~ . ~~ SEE CORRESPONDENCE 44I3Lo 8 V / V •l --~1~ -H w~-64 --------------------------- --------------------------------------------------- ^ = LEG SOfL END BORINGS UJITH BACKHOE ASTM 3034 B M 1 ~ = ELEV. 1 00.0' - ' Ground Level at Fencepost also HRP $60} or Sch40 ~ 4" PVC Pipe g M2 ~ = ELEV. 91.35' - Slob in Front of Door ~ r 7So SCALE = 1:40 .~8fl Gal / Septic with I ~ ~ ~ pump chamber ~~ vrcll Combo f\ M ~~~''~ ~; ~ 5 ~^°P r ~• 3 B M ~ `~ Forcemain IC is IE i 3~, : ~ 3' x trench using ''~ Hi-Cap Infiltrotor Leaching Chambers- ~ , B2 1 ' \ a v~ 61 100.0' 10 0 ' 00.0 ~• ~-B~M 1 ... .0 ' Contour - ~ GuStum Rod WoMf Plot Plan 4 ~ ''r 1 0 0.3 ' Contour - _ ~ _ Septic 288 Hwy 35/84 10 0 , 6 Contour St Joseph, WI 54082 B 3 Town of Cylon 100.6' SW/. of NE'/, of Sec 29T31NR18W 64 101.4' Contour 10.1.4' -- Repla-cement Area. --- - - --- .......- _-..--...---_ ^ a ~ ,„ 8 7 6 5 4 ~__ 3 1 2 --© 0 Drawings page 3 of Distribution Cell Plan View (Typ.) 2a Qv ~- Length L~ ~6 ~ L~6 ~~~ a o s' a~F ~ 1Nldth A51'A+4 ~Q~~ C7byervatian Ub~ervatlon or 5ch ~t0 ~ ~ ~ ~Ipe plpe pVC I'Ipe Observation pipe w/ Cross-Section elevations at upper cell watertight cap 0 in. Cover 100.30 ft 100.29 ft tea- Additonal Cover Material Not Needed 1 % slope Fi Leaching Chamber H= 16 in W= 34 in I I 97.20 ft W Septic Tank Cross Section I~" fi~41n ~~tll ~In is to be watertight gent ~I~fer ' In by _ ~ o vw - ~~' ~1 „" A51'N4 Bch ~a ~" pv ' 13eddln~ under dank page 4 of Site Conditions Private Dwelling or Commercial c (enter P or C) Slope 1 °~ Total Wastewater for Commercial Faci Depth to limiting f: In Situ Soil absorbtion Max BOD effluent v Max TSS effluent v Attach sizing calculations to plan 0.7~gal/ft^2/day Ground Contour Elevation of System: Infiltration Elevation: Ground Contour Elevation over Center 100.29 ft Limiting Factor Elevation 93.63 ft Treatment and Dispersal Zone 3.57 ft Cover Material Needed 0 in Top of Chamber to Finished Grade 21.07 in Finished Grade Over Center of Cell: 100.29 ft Design Wastewater Flow Design Flow -Commercial Site x 1.5®gal/day Distribution Cell Please choose chamber type: Irrtiitrator Systerns Hi Capacbty Sidewinder • Allowable Bottom Surface Area: 17.14 ft^2 Chamber Approval Stipulations: 862 and 1099 Adjusted Soil Application Rate: 1.2 gal/ft"2/day Absorbtion Cell Area Required: 80.0 ft^2 # of Chambers required: 5 Actual Absorbtion Cell Area: 85.7 ft^2 Total Distribution Cell Length: 3 ~• 2 ~ ft Estimated Distribution Cell Width: 2.9 ft Se tic Tank Minimum Septic Tank Volume: 201 gal Septic Tank Volume Chosen: 7So gal Septic Tank Manufacturer: Skaw Precast Effluent Filter Selected: Zabel A100 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved Rlans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-10567-P (R.6/99). Table 1: System Design Specifications Sanita Permit Number C~m~.~„f Desi n Flow -Peak d Estimated Flow - Avera e d C y Se tic Tank Ca acit al ~s n Soil Absor tion Com onent Size ft 5, ~ T e of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Oaeration Se tic Tank Com onent Soit Absor tion Com onent Desi n Flow -Peak d ~ `t Maximum Influent Particle Size in NA 1/8 Maximum BODS m /L NA 220 Maximum TSS m /L NA 150 Maximum FOG NA 30 Table 3: Maintenance Schedule Se tic Tank Ins ect and/or service once eve 3 ears Outlet Filter Should ins ect once a ear and clean once eve 3 ears Soil Absor tion Com onent Ins ect once eve 3 ears Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank F~. ~ ~~ 9 Management Plan for a Septic Tank and Soil Absorption Component exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. Plantings of deep-rooted trees and shrubs directly over or within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. P~ ~ e~9 Septic, Pump and Dose Tank Calculations page 7 0~ ~ (Lift Station Information) Total Dynamic Head Calcs. Are laterals highest point in pressure system?~y~ If not, list the highest elevation"' 0 Vertical Lift 10.00 ft Friction Loss in the Fon:.emain 4.869 ft Total Dynamic Head (TDH) 14.87 ft Dosage Volume Calcs. Does forcemain drain back to tank?~ Dose: 96 gal Forcemain Volume 30.84 gal Total Dosage: 126.84 gal Tank Information Tank Manufacturer aw recast Tank Capacity sbo gal Tank Gallons per Inch Water Level '14:3 gal/in Bottom of Tank Elevation 83 ft Pump Manufacturer/Model Hydromatic Shef40 Septic Tank Capacity Chosen: o Septic Tank Manufacturer: Skaw Precast Effluent Filter: Zabel A100 Pum Tank Dia ram P 9 Access opening of sufficient size to be provided to allow removal of filter. WaFcrkac~t lacknq cav~er Opening to terminate at or abase '1 Ir~h w~lh warnnq label 9~ u._._. ~I- .t^nrshed Alk~rrnaka~ ~.~, I (7ulld~ I ches Gallons 6aataon Llatlrral par A= 992:4 Z/`/. Z7 Calm 16.28 and 6= 2.0 ~5 Z$. 3 8 :emau iV~L :~O res. C= 8.9 (Z(,. Ly W Hd D= 10.0 1423 ~ y~ eep e ~ Total= or AnFx'Sphon r~e~rE v 3 ra s"o~ C !~ Selected pump requires a minimum operating rating of: 14.87 feet of head pressure at 36 GPM Design Calculations Rod Wolff Daily Flow Calculations Item Quantity Factor (gallons- Sub Total Em to ees 3 13 39 iow uramf r Drains 1 25 25 ~~'"__ ;,~ ~ , SEE ~L~,',~Nv, v',~~v;`vC 91x1 9Pd Total) 641gpd Page 8 of q ~, ~.~r /Motor Unit submerstltle Monad Models SHEF40M1 SHEF40M2 AatoaraNc Models SHEF40A1 SHEF40A2 Nor wer 4/10 FaB Loud s 12 6.5 Motor T Sbadod Polo (4 Pole) R.P.M. 1550 Phase 10 Yolt • 11 S 230 Nertz 60 ahrre 120° F Max. Fluid Tem . NEMA a A lasalotioa Class A Disdrar Siza 1 1/2" NPT Sogds H 3/4" Wei 28 lbs. Power Cord 18/3, SJT1N, ZO' std (30' optional) Mcttlr~~ials of construction Naadle Stainless Steel 00 Dielectric OB Motor Noa ' last kon Pu Ca Cast Iron ~t Steel IlAadwakd Shah Swl Seal Faces: Carbon/Ceromk Seal Body: Aaor~ed Steel Spri~ Stainless Steil Be bws• Barn-N I ' esred Therm lostic U Bear Broaie Sleere B Lower S k Row BaU Bearin bBora Plan Pol ester Coated Steel Fasteaors Stainless Steel legs Eagrseered Tbermoplastk Performance Data 40 E F4 30 ~ 20 10 0 10 20 30 40 50 60 10 GPM Total Head (feet) 10 14 17 Z1 25 28 30 35 (m) 3.0 4.3 5.2 6.1 7.6 8.5 8.8 10.7 GPM (US GPM) 70 60 50 40 30 20 10 0 (liters/sec) 4.4 3.8 3.2 Z.5 1.9 1.3 .63 0 Dimensional Data 3-716• s-:;,e• (,s6.z71 1. All dimensions in inches. (Metric for (ee.42) 5• (,27) international use). saie• ~ 2. Component dimensions may (88.42) vary t 1/8 inch. 3. Not for construction purpose (se~ae2) t~1S2FNPT E unless certified. FLOAT SWITCH 4. Dimensions and weights are approximate. . J'', 5. We reserve the right to make revisions to our product and their specifications without notice. „-~e• to-~,s• (266.92) (258,76) -~ ~ 3.5/8• 2• (5a.e1 (s2.o7) J. © 1998 Hydromafic® Pumps, Ashland, Ohio. All Righfs Reserved. ~~ HYDROMATIC® -YourAuthorizedLocalDistributor- ' '• 1840 Baney Road Ashland, Ohio 44805 Tel: 419-289-3042 fax: 419-281.408] Web Site: www.pentairpump.com oJya srv4 ~ ~~~l~f~ ` SALES OFFICES IN ALL MAJOR CITIES AND COUNTRIES ~ ~ a T `~'~ i ~ ~' , ,u.; - ~ ~ ? Refer to "Pumps` in the yellow pages of your phone directory for your local Distributor $ ~ ~ ~ ~a~^ ~~ Item#: W-02-6680 1198 SM ~O~~MArI(W'~~ ° "°~ ~ .z 'Wisconsin De~artmentofCommerce SOIL AND SITE LUATION Page 1 of 3 Division of Safety and Buildings in accord with Com ~ 05, "Wis. ~m. Code ~•-. `- Gustum Septic Service Attach complete site plan on paper not less than 8'/: x 11 inches in size. P r*ilnwst ~'" ~ `} ° ~ Cbynty include, but not limited to: vertical and horizontal reference point (BM), di and ° percent slope, scale or dimensions, north arrow, and location and distan to•aaearest road. ~ St. Croix ~~:. ~,,.,.; ,~ Parc ILD.# APPLICANT INFORMATION - please print all informa~-on: `` ` ~` `'' Personal information u rovide ma be used for seconds u ses Privac , s -15.04 1 m ' 'ReV ed By Date Yo P Y NP ~ ( Y O (-)~- - _ Property Owner ~roperfy~8le~~riCE Wolff, Rod _ .ovC 1,01: _, n/a S~J` / NE 1/4 S 29 T 31 N,R 16 W Property Owners Mailing Address Lo 1i~ ~IoFk'# .t '• • bd. Name or CSM# 268 Hwy 35/64 ___ _ _ ___ n/a _ a _ N/A City ` State Zip Code PhoneNumber ^ City ^ Village ®Town Nearest Road Saint Jose h WI 54082 715-247-3209 Cylon ~ state Hwy 64 ^ New Construction Use: ~ Residential / Number of bedrooms ^Addition to existing building ^ Replacement ^ Public or commercial describe Machine Shoff Code Derived daily flow gpd Recommended design loading rate •7 bed, gpolft2 .8 trench, gpolftz Absorption area required 0 bed, ftZ 0 trench, ft2 Maximum design loading rate .7 bed, gpdfftz .8 trench, gpdfflz Recommended infiltration surface elevation(s) 97.2' ft (as referred to site plan bendtmark) Additional design /site considerations n/a Parent material outwash plains Flood lain elevation, If a livable n/a ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ®S ^ U ®S ^ U ~ S ^ U ®S ^ U ^ S ®U ^ S ® U SOIL DESCRIPTION REPORT Boring# 1 Ground elev 100.0' ft Depth to limiting factor >80" 2 Ground elev 100.0' ft Depth to limiting factor >so" Horizon .Depth Dominant Color Mottles r T t Structure Consisten Bounda Roots GPD/ft2 in Mansell Qu. Sz. Cont. Color ex u e Gr. Sz. Sh. ry Bed ~ Trench 1 0-7 10yr3/2 none sl 2mcr mvfr as 2f,lm 0.5 0.6 2 7-25 10yr3/3 none is lmsbk mvfr ew lm,lcc 0.7 0.8 3 25-38 10yr4/4 none is lmsbk mvfr cw lm 0.7 '~ 0.8 4 38-46 10yr4/6 none s 0 sg ml cw - 0.7 0.8 5 46-80 10yr5/6 none s 0 sg ml - - 0.7 0.8 r «~' q~- Z ~ 33 • fe 1.4 . fv Remarks: 1 0-6 10yr2/2 none sl 2mcr mvfr as 2f,lm 0.5 0.6 2 6-15 10yr3/2 none sl 2msbk mvfr cw lm,lcc 0.5 0.6 3 15-24 10yr4/4 none sl 2msbk mvfr cw lm,lcc 0.5 ~ 0,6 4 24;33 10yr4/6 none sl 2msbk mvfr cw - 0.5 0.6 5 33-49 10yr5/6 none is Imsbk mvfr cw - 0.7 0.8 6 49-80 IOyrS/4 none s 0 sg ml - - 0.7 ~ 0.8 33•~ G9. ~ Remarks: CST Name (Please Print) Signature: Telephone No. Tom Gustum C~ t 71558-1344 Address Gustum Septic Service Date CST Number Ref # N13450 937th St., New Auburn, WI 54757 4/3/00 227618 1212 .S . ~" .} . ~' .~ .~ •S •S . S~ ,} . ~„ PROPERTY owNER: _w~_Rod _.._ _ _ _ __ SOIL DESCRIPTION REPORT PARCEL LD.# 3 Ground elev 100.6' ft Depth to limiting factor >~. 4 Ground elev 101.4' ft Depth to limiting factor >~. 5 Ground elev 101.4' ft ,z~z Page 2 A of t_3_.. ` Gus-um SeMic Service Horizon Depth Dominant Cokx Mottles Texture Structure sistence Bounda Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Sect ~ Trench 1 0-6 10yr3/2 none sl 2mcr mvfr as 2f,lm 0.5 ~ 0.6 2 6-19 10yr3/3 none sl 2msbk mvfr cw lm,lco 0.5 0.6 3 19-32 I Oyr4/4 none Is 1 msbk mvfr cw 1 m 0.7 ~ 0.8 4 32-44 10yr4/6 none s 0 sg ml cw - 0.8 5 44-80 10yr5/6 none s 0 sg ml - - 0.7 ~ 0.8 Nf- 1 i - ~ ~{O. 8 ~~ KemarKS: 1 0-7 10yr3/2 none sl 2mcr mvfr as 2f,lm 0.5 0.6 2 7-12 10yr3/3 none sl 2msbk mutt cw Im,lco 0.5 0.6 3 12-24 10yr4/4 none` sl 2msbk mvfr cw 1 m 0.5 ~ 0.6 4 24-37 10yr4/6 none s 0 sg ml cw - 0.7 ~ 0.8 5 37-80 10yr5/6 none s 0 sg ml - - 0.7 ~ 0.8 KemarKS: 1 0-6 10yr2/2 none sl 2mcr mvfr as 2f,im 0.5 0.6 2 6-16 10yr3/2 none sl 2msbk mvfr cw lm,lco 0.5 0.6 3 16-25 10yr4/4 none sl 2msbk mvfr cw lm,lco 0.5 0.6 4 25-31 10yr4/6 none Is 1 msbk .mvfr cw - 0.7 0.8 5 31-44 10yr5/6 none Is lmsbk mvfr cw - 0.7 ~ 0.8 6 44-80 10yr5/4 none s 0 sg ml - - 0.7 0.8 Depth to limiting factor >80' KemarKS: Ground - - - - - - _ -- elev Depth to --- - limiting __ _ factor U I ~ I U J ~ ~ -~- J ---------------- ------- ~ ~ ~--H wy_-6 ~--------------- ------------ J ~~ ^ = SOIL BORINGS WITH BACKHOE 360' B M 1 ~ = ELEV. 100.0' - Ground Level ct Fer^°^^°~ ^~°^ uRp ~ l 8 M2 ~ = ELEV. 91.35' - Slob in Frcnt of Do I .~ SCALE = 1 :40 i J ~ ~J ~y ,~,,j' B ~ P 00.0' 0 r (D B 1 00.0 ~ B M 1 B3 ~ ~.6' B B4 __ _ .. .... .._.__ .. .T~1.4' 01.4`. Replacement Area ~. - - .... ~ _ 7 `~ 6 - ~--_ _-~__ ^-~------- 5 C I C IE C~USTUft1 Rod WoHf Plot Plan / Septic 268 ~Y 35/64 St Joseph, WI 54082 Town of Cylon SW/. of NE'/. of Sec 29 T31 NR16W A -~ 2 1 ~' ST CROIX COUNTY SEPTIC TANK MAINTENANCB AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address Property Address City/State Parcel Identification Number ~®6 - / ~ 6 5 = SCE LEGAL DESCRIPTI.-O((N Property Location c5 C~ %,, S ~ '/,, Sec. ~ T ~.~N-R~W, Town of Subdivision _ .Lot # Certified Survey Map # ,Volume .Page # Warranty Deed # t~ Z Q ~ ~ y ,Volume 3 Page # f ~ 7 Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE 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 a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, joumeymanplumber, restrictedplumber or a licensedpumperverifying that (1) the on site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has en maintained must be completed and returned to the St. Croix County Zoning Office within 30 days o the three yeaz exp' date. ~ ~a~~~~~ SIGNATURE OF APPLI DATE OWNER CERTIFICATION I (we) certify that all stat eats on this form arc true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property descn'bed above, irtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APP ANT DATE Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ****** /~ ~ 2 / ~~/ i (Verification required from Planning Department for new construction) ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ` 1543PA~£16'7 Yni. , ~ STATE BAR OF WISCONSIN FORM 2 - 1949 Document Number WARRANTY DEED This Deed, made between Gary H. Baillargeon and Bonnie F. Baillargeon, husband and wife Grantor, and Rodney G. Wolff Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (ifmore space is needed, please attach addendum): Part of S W %, of SE %. of Section 29-31-1 b described as follows: Commencing at SE corner of said SW '/. of SE'/.; thence NO°36'W 75.0 feet to Place of Beginning; thence NO°36' W 1035.2 feet; thence N89°24' W 294.SS feet; thence S I °4'W !035.0 feeet to N line of State Trunk Highway "64' ;thence S89°24'E on said N line 324.55 feet to Place of Beginning. Rewrding Area Name 629959 Y.ATHIEEH H. idAISH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 09-IB-2000 9:30 AM HARRAHTY DEED EXEMDT M CERT CODY FEE: CORY FEE: TRANSFER FEE: 675.00 RECORDING FEE: 10.00 PAGES: I ~' ~ ~>A OGLAND Litz, Estreen & Oglant! P.O. Box 359 1`ludson~ W1 54O1b 1106.1065-40 Parcel Identification Number {PIN) This is not homestead property. p~) (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ day of September 2000 AUTHENTICATION Signature(s) Gary H. Baillargeon and Bonnie F. Baillargeon, husband and wife • Ga Bailla on • Bonnie F. Ba0largeoa ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. County ) ~`+r~i~e~~~ his ~ b~d~ay of Member 21100 0 ~:I'~T~:~.1~fiirSTATE BAR OF WISCONSIN •,o%tjmtj~~tgP6y § 706.06, Wis. Stats.) TTIIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogisad Hu son, W154016 (Signatures may be authenticated or acknowledged. Both sre not necessary.) Names of persons signing in any capacity must be typed or printed below thei Personally came before me this day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. • Notary Public, State of Wisconsin My Commission is permanent. (If not, state expiration date: •) newrc, Irromwtbn Protesawnds ComDmr• Fora a tx, Nn eoa-~s-zost WARRANTY DEED STATE BAR OFWISCONSUV FORM No. 2.1999