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HomeMy WebLinkAbout032-2092-30-000 °p U3, m a~ h 0. O ~s O O N O X O c~ y .n o r o v Op. 7 a• a ~ > c o c 3 C ° p c D - ) ul O c0 O f N 3 c ~-p 0 p as C Z p _ M N N O U. c U J O ?i - -o m 23 > 7 rA (6 O 0,- Z E~ 3 Cl) v Z N CD W i' C Ft U) C Z W a m N F- Z c 0 O z v v N a z a p ~ z Ui E ~ ~ M ~ N ~ O t~ ~ C •oV N O = O d d O M zz . 0 J Z N > N t A E £ N f i C N a w p o i O N ` 1 O O a a 1- c Y 04 E f6 E S °M° LO FN- F a U) w • a a a N IL j y c N to J U! E m 0) Z 0 :z :z -0 U) o o to (D N O O c O E n > d o m C) N O n N C °o $ co o p E r0 o F- c a rn 00 co o l " O fq c C3 6 _ N_ v 2 O~ O y - E- C y C ~ O N M E N +O. 3 ~ Ct y O f6 t0 U • 7a M d• O a_ y„ O N U) d N 0 Z N Z L V ~ I E N Vl y to L a d ~ a CL E L c j c 3 ~ A U a m 0 U) V Wi0ft,sin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _L of PFabor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT & 1/4 S - 1/4,S T N,R E (or PROPERTY OWNER':S MAILING AD RESS LOT # BIL K # SUBD. NAME R CSM # S CITY STATE ZIP CODE PHONE NUMBER ❑CITY V LLAGE (TOWN NEAREST ROAD ( New Construction Use N] Residential / Number of bedrooms [ ] Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow S`G gpd Recommended design loading rate bed, gpd/ft 2 trench, gpd/ft2 Absorption area required _ bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 , trench, gpd/ft2 Recommended infiltration surface elevation(s) 92-V ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable ft _ 46 r=Uunisui able for system CONVENTIONAL MOUND 717NGROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK S ~U s stem ❑ S NU PS ❑ U ❑ S RU ❑ S JZ U El S [$I U El table for SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Elcundwy Roots GPD/ft Boring # Horizon in. Munsell Qu. S Cont. Color Gr. Sz. Sh. Bed Trench Ground 44~ elev. 'lye ft. Depth to limiting factor All Remarks: Boring # 1,19- X,!5- VA' 1114 Ground elev. _ 2&ft. yK' s B Depth to - limiting S_!~e _ _ factor s Remarks: CST Name:-Please Print Phone: Address: ✓ J Date: CST Number: Signature: L~Z' 7- PROPERTY OWNER SOIL DESCRIPTION REPORT Page ~ot`! PARCEL I.D. # V Depth Dominant Color Mottles Texture Structure Consistence BoundEvy Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 01 4 - 3 s'yt's'8 Ground elev. AS. 2j ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) - I I ,44 I i i 41 1-- i I I I ~Q- I I I ~ ~ ~ ; I I ' I ~ 1 1 li I I u l I ~ ~ ~ 1 I f I I t i r 1 I - 77- ' j I 1 I i i I I - - - - - - - - - - - - - - - : 1 ' : i I i : i I _ L - _L ST. CROIX COUNTY WISCONSIN ~;r: `'tl t s ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET 0 HUDSON, WI 54016 - (715) 386-4680 May 24, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of lot 3 of Turtle Lake Subdivision, located in the NE;SE;, S.24, T.31N., R.19W., Town of Somerset, St. Croix County, WI., has been conducted with the assistance of Kim O'Connell, CSTM# 2344. This onsite revealed suitable soil for onsite sewage disposal to a depth of 28" while meeting the requirements of the A + 4" rule. This site should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. Sinc rely, ames K. Thompson Assistant Zoning Administrator cc: file ST. CROIX COUNTY WISCONSIN ZONING OFFICE y } ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - (715) 386-4680 May 24, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of lot 3 of Turtle Lake Subdivision, located in the NE-'.SE,, S.24, T.31N., R.19W., Town of Somerset, St. Croix County, WI., has been conducted with the assistance of Kim O'Connell, CSTM# 2344. This onsite revealed suitable soil for onsite sewage disposal to a depth of 28" while meeting the requirements of the A + 4" rule. This site should be suitable for new construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. S lamesK. , Thompson Assistant Zoning Administrator cc: file 2 °p6 9 ~9 O O ~ O O o " 01 e M U ~ N I► LL O ti o • W O p9 10 / o L N 00'OLb °o h w a' Z y 3 Z9°I N ; W O O J co o O y 2 2 LU " ° OD ° tm M a ~ oA9 /`-gyp/ 00 'OLb 3 O „bZ,Z9ol N h o i O 2 3 w 00 H ~ O M C f~" I b W ZO 2 M N Z ~ - 9 h W O A9 2 /moo U o /p ~ y 69 00 'OL b 00 3 N 3,00,09 of N O O ~w y 3Z~ W ~Wx N N ro M 40 = O 2 M a 0 "Q U 4°' S, 3 Z 00'1£0 30 3„B3,L£°I N•. Q cf) 00'861:.... W (SOOM 01) 00'ZLZ U 3 3 e h m 3 „8Z, L£ °1 N _ ti ~ of v~`•;•,~..• e°' 0.3 ~ 0 2 LL. Z; (So02/ 01) fi/I '3S "-4 0 to 001861....1 Z w J - 00*IEE 3„eZ,L£ol N y 3 d' N :a_ o M N Z ill Qi - ro Z 4j! T_ M O o W 2 p o oa, M w,U. V J! -n o O \ W 2• o0 po oa, W co cr) O' 00'OLb Q U. 0 00 3 „99,20 °Z N lu 0 Z M. N. 00'OLb J --o0 .3„99,00 °Z N LL W Z 100 hh O co °o o `tiro th W W o ` N V. . 1 s ✓ Form- STC - 104 AS BUILT SANITARY SYSTEM REPORT SEC. p2~ T 14 _Z9 N-R _W OWNER LoD62 AL13"r- TOWNSI lP 50 ADDRESS 778 Jps Ty,4(1,ST. CROIX COUNTY, WISCONSIN SUBDIVISION /ffusLOT 3 LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•I.H.R 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~ NlauNo Brl C ~L. /00.0 0~ - 83x'Z7~ QAS~ i 6x 63 ago, oR ~I I a 800 C. A c /Opo G L S~ ~v J O X7,12 INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used ~~STEL L ~~~E Le, 7- ~%g/lx le /L Elevation of vertical reference point: /QD,f) Proposed slope at site: ~O o SEPTIC TANK: Manufacturer: ( geA- `S Liquid Capacity: 1644 Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: (Q~ Front Iw Side, Rear, O goo feet From nearest property line Front, Side,® Rear, O 30 feet Number of feet from: well l building: / br (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE ~ c PUMP CHAMBER Manufacturer: Liquid Capacity: &a0 Pump Model: Pump/Siphon Manufacturer: ~Qel-e- /t Pump Size HP. Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Z6,8S- Gallons per cycle: Alarm Manufacturer: LC(/&=I Alarm Switch Type: c~CG~~T FZ10 Number of feet from nearest property line: Front, O Side, Rear10 Ft. Number of feet from well: f Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: x Trench: 326 Width: Length: Number of Lines: _ Area Built: t Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side,(( Rear, 0irt. Number of feet from well: Number of feet from building: Z ?O (Include distances on plot plan). EEPAGE PIT ize: Number of pits: Diameter: Liq 'd depth: Bottom of seepage pit elevation: Area Bui I Has either a drop O or distribution box O been used on any the above soil absorbtion sytems? (Ch k one). HOLDING TANK Manufacturer: Capac Number of rings used: vatio of bottom of tank: Elevation of inlet: Number of feet from nearest p perty line: Front, O Side, O Rear, 0Ft. Number f feet from well: Numb of feet from building: Num of feet from nearest road: Alarm M ufacturer: Inspector: Dated: Plumber on job: License Number: O}~ 3/84:mj Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: L9bor4nd Auman Relations Safety ?nd Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Permit Holder's Name: ❑ City ❑ Village Town of: State PI RJEW04 ALBERT, TODD CST BM Elev.: T nsp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA _ uJ,lZc TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto Airlntake ROAD Dt Inlet 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 Loss System TDH Ft 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 DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O CHAMBER Moe Number: System: OR UNIT DISTRIBUTION SYSTEM j eader / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake ' Len to Dia. Length Dia. Spacing IL 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: SOMERSET.24.31.19W, NE, SE, LOT 3, 205TH AVENUE , r r t. C - Gz GJ~ c • o r , ''l r~ Q C, vi u y1j / ~ -cz-~'~: r> (2L 9-12 'rN O , ?~7,GLe.f~~-✓~..= Lz1k%`l'• PJrevlslon rec~~? No lase other side for additional in ormation. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH F } ~ z SANITARY PERMIT NUMBER: 8 QG'.%1~ . G' SANITARY PERMIT APPLICATION COUNTY r.~~l`Ir!lln In accord with ILHR 83.05, Wis. Adm. Code 67- 0961 1~_ STATE SANITARY PERMIT ~ -Attach complete plans (to the county copy only) for the system, on paper not less than ,7 Lb) 8% x 11 inches in size. 1:1 Check if revision to papplication -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 'ZLoa A 1, flag 7: '/4 5&=1/4,S T N,R E(o W PROPERTY OWNER'S MAILING ADDRESS COT # BLOCK # dr m 3 444 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER i` 304-670 u 74,6 s A 4,01 r1a IV II. TYPE OF BUILDING: Check one) CITY NEAREST ( State Owned VILLAGE 71/f R TOWN OF: SQ=seF7'j ❑ Public O'1 or 2 Fam. Dwelling-#of bedrooms PARCEL TAX NUMBER(S) 111. BUILDING USE: (If building type is public, check all that apply) 9,2 1 ❑ Apt/Condo 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 in line A. Check line B if applicable) A) 1. 9 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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 UK 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) ELEVATION Q 5- Feet 10 A Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber QV /CS VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plum Signature: (No Stamps) MP/ RSW No.• Business Phone Number: ` S 6s Plumber's Address (Street, City, State, Zip Code): 594 CIALtg4 v e C o IX. COUNTY/DEPART ENT USE ONLY P❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Stamps) ^ Approved ❑ Owner Given Initial Surcharge Fee) CK Adverse Determination !gg /v) 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 • t 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. - 111. 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 July -14, 1995 201 East Washington Avenue P. 0. Box 7969 Madi'san WI 53707 ULBRICHI & ASSOCIATES ROBERT ULBRICHT 655 1D'NEILL ROAD HUDSON Wl 54016 RE: PLAN S95-02214 FEE RtC 1VED: 180.00 ALBERT, TODD NE,SE,24,31,19W J TOWN OF SUMMERSET COUNTY Of- >T CROIX MOUND SYSTEM The Department has reviewed tt?e 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 ii on chapter 145, Wisconsin Statutes, and chapters IL.HR 83 and 84, Wisconsin k Administrative Code, and is contingent upon r_ompliari(e with any stipulations shown on the plans. -phis systgk.,',4,4s not been reivlewed for the code requirements set forth in chapter 11.HR 82 or, in chdpters ILHR 50-.64, Wisconsin Administrative Code, This plan submittal approval will expire two years ir(}rn the approval date, or if a sanitary permit is obtained plan approval will expire on the clay the initial sanitary permit, expires. Ths;, license-d 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 -list ed below. Please refer to the plan number shown above. Sint rely, nn th Stiemke Plan Reviewer Section of Private Sewage ORIGINAL (608) 266-8230 7; 00 to 3:45 Mon. thu Fri SBDA-7887 (K. 10/94) - 0, BRICHT & ASSOCIATES CO. 655 O'Neil Road - Hudson, WI 54016 Reg. Designers of Engineering Systems 715-386-8185 Private Sewage Consultants PROJECT INDEX DILHR Plan I.D. # S95-02214 Date July 14,1995 Owner Todd M. Albert Phone 715-386-5161 Address 1609 Pinewood Ln. Hudson, Wis. 54016 Legal Description Lot 3, Turtle Lake Hills Addition. NE 1/4, SE 1/4, Sec.24, T31 N, R19W. Town of Somerset County St.Croix C.S.T. Robert Ulbricht CSTM2482 Installer Local Authority/ Supervision St. Croix Cty. Zoning Dept. PROJECT DESCRIPTION New construction. For a-proposed 3 bedroom home. Estimated daily wasteflow: 450 gals. Soils are very permiable in the upper 3611 (.7 GPD/FT2) but seasonally saturated at 27". A long narrow mound system is proposed. Recommended: Set septic tank manhole over outlet side and provide tank with a zybel filter for maximum effluent quality. P g .1 PLOT PLAN VIEWS CN Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS Pg.3 PIPE LATERAL LAYOUT Pg.4 DOSING CHAMBER CROSS SECTION Pg.5 PUMP PERFORMANCE SPECS ~SI G14 raana~a Any use of this POWTS design ky any licensed plumber, or any related unlicensed parties or persons (excavaters, laborers) shall not be construed as an assumption of responsibility by the designer for the workmanship, construction, placement, substitution or selection of any components not specified, or any assumptions by the plumber that any unspecified components are state approved or proper, or the effects of poor judgement if working under adverse damaging weather conditions (vet/frozen soils) by any such parties or persons. S.95 - 0 2 • L i TuRT[.Lc L/4 k~ 0 y PGA s~s~~ PR~v NIS v ally o w N corid, ~ttio N p~ONpp ~ EsP = ~ ~ py~°3 "Io4 --w Z ,b y X40 Z ~ N p n i . .9 1 ~ b ~ - 1 i 1 0 r. N O 1 I O J ti\ 0 0 b02' r- RI ACROSS SECTION eF MOUAjD wi rte 13i OEo OF % ro 1 1+ AilegSATE ~ISTRi(3uT~oN G-, Tkickar•ss pipto6- sysrEM OF TaP Sort EIEVh1'ioo VOi FORM Toe a /84. 3I> L 1'A) E 9 MED . 1 pf SA" Sol' M' f UU 1 FOR1~ % SIopE, FORCE EIEVATIo,J Uu~Ei~ Mhi~ Rep 99 30 ' FT. 1-3 t= r. lmv6R•r of / y IATERA (S /a°• FOOD F • ~Z FT' 101.12- • Top o F R o ck FT. H /•5... FT, • dp OF IAJERAIS /0 o.9y PLA M VIEW of MousiD wi rti 13E D FoRm MAW CP Fr• Co3 Fr. K F r I• a - i L P3 k -,-I a T 3 r r o Y w 27 Fr- PRiVATE SAG-~^'~9xrbA Conditionally B D v ~F y ~ 'Ill c Tb 1 PVC A ED PP LlATIONS o (35ERVhTtON A 99 E5 h • ®p INDUSTRY, LABOR I BUp` IR P t p r=5 DIVISION OF SAF s1:E COB SPONCENCE PERMA,j EAuT M /te KERB R E G2 V i R e D 13A5 A L h R r; h ~AI't- y tv h s rE' Fto w J~'" D - (v ~L 501L, ~a~clr~nT1~E , 7 sa, Fr. cAfAciry PRo?05P-v BAsM B (A + S 95" 02 21-1 - G3 % + /3 7 C Sat. r- T. L - - - - [ .l •s y (~c~ 3 0 -F 5 - ~rSTRi f3uTi o~ PIPE N E Tw OR k LAyoo-F o r~L .~/£7'~vart'K liolvti c D.(S R MAO% 0 \ ~ St l o Fr \ \ 3.o Fr X IN cNEs FoRcE MM& y~ Z,2,~ Fr. f pvc IucN S 0 VAR,*A(3LE TOTAL. vdlD VdiuMr; 3(, 9 a~ 'Pi ST^acim G S W olE DiAMETER yy i~cN~S L.hTER/4L " 2- ipc lies MA01FOLD00 2 i,~ c f♦ ~ s Fopce MW 2- IN GSS IuCI~ES. PIP VPV 1~fo~DS pi m /G Gond INVERT CLEVAT100 roNS o F L A TE RA l S, s~U'j / D O • ~'D P 1Aa~~ b N e r~ rN~~ • rvrsroN of D~N~E ORRE~pGN E 'D E TAi 1- J AJD c AP PE R fzo R ATE P P r P m r • RemouE All DRill Buj?R5 \ Y , HoIE S 10CATEd o,J BoTT'OM SW Ally S pAcE D . 1)(5M BurtoM D►Sc hAR CY-E RATE' FOR EFRch LATER i L N P, C)T S If. 72- GAL l TOTAL 1) STRiBOT100 V5cH^R&E RATE FOR 1VETWOR K 3~• ~y G.A.L/MIA). a•5 f MI•01 MUM l} kh !'7 i L .1 • PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS PA16- of 5 -VENT CAP , 4"C.I. VEHT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER 25' FROM DOOR, t1l41 All06 IA13E~ WIIJDOW OR FRESH rILI. I AIR INTAKE I t7/On/ GRADE I y"MIIJ. TB"MIIJ. CONDUIT-- 3Coi/ '9• / PROVIDE I IN LET AIRTIGHT SEAL I I I f I i I v I I I APPROVED JOINTS APPROVED JOINT A INy~I~t~K~r~ I III W/C.I. PIPE w/ C, 1. PIPE /~0~ I II EXTENDING 31 EXTENDIJG 3' ALARM S ONTO SOLID SOIL B 1y ~5 I II ONTO SOLID SOIL 3y' I I oN ' c I I ELEV. FT 1 PUMP OFF I ~ D 1•~ N k `gE PPIA-1 6- I BLOCK RISE=R EXIT PERMITTED OWLS IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFICATIONS DOSE ~tJEEKS 1d vC- 'lt 'o • WMBER OF DOSES: PER DAy TANKS MANUFACTURER: TANK SIZE: 1417e GALLONS DOSE VOLUME 37 /o* 7 L~UEL ~ ~ ALARM MANUFACTURER: INCLUDI"G BACKFLOW! GALLONS OD MODEL IJUMBER: '~L1 L CAPACITIES: A=/y6 INCHES OR 3'/ GALLONS SWITCH TYPE: /L/~QLUR FlOi} B= 2 INCHES OR GALLONS PUMP MANUFACTURER: C= 9 / INCHES OR 1,97 GALLONS MODEL NUMBER: Y2- 4r (-~S V D= 13 1/ INCHES OR GALLONS SWITCH TYPE: 6,y &1,4- M,P~vey 7 MOTE: PUMP AND ALARM ARE TO BE INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE //0 GPM 23-47 - -r S~fC 5 AA)k VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . 2.5 FEET 6A ((A- 4-:- FEET OF FORCE MAIN X 2.G2F/oFLFRICTION FACTOR.. S y / FEET tgoA S L0'5' TOTAL DYNAMIC. HEAD = 3~ FEET INTERNAL. DIME."SIONS OF TA"K: LE►JGTH ;WIDTH -;LIQUID DEPTH PRIVATE SvWA~''E SYSTEM COnditiOnaiiy AN RELATInN Y LABO HUB Of 1NOUt SAF p BUtL01N6 plVtSiQN $EE CORR SPONDENCE S95-02214 P esm~5 HEADI 2 11S CAPACITY 32 t10 32 10S 100 - CURVE 30 95 2e 90 26 8s I I ' EFFLUENT 2+ MODEL and a 75 MODEL 189 DEWATERING x 22 70 185 85- Q z 18 6055 F 16 s0 MODEL o 163 MODEL F- 14 45 188 12 35- S 10 MODEL 30 MODEL 137, 139; 185 SEWAGE and ° 25 DEWATERING 6 20 I MODEL 15 MODEL 161 4 7 - 10 a MODEL ri 2 5 53, 55, - 57, 59 0 e0 GALLONS 10 20 X30 40 S0 so 70 80 90 100 110 21 LITERS 0 60 180 240 320 400 75 22 FLOW PER MINUTE 70 t 20 5 ~ I to 60_ - MODEL 29S 55 V so 14 4S MODEL 294 n 12 +0 3s MODEL F 10 293 MODEL 30 O 284 e 25 MODEL - - a 1 e 20- 282 / I 10 MODEL ' 15 r fizz R O. 2 e 267, 266 _ I ~ ' 0 1 3280 Old Millers Lone - I I I ~ GALLONS 10 2a 30 10 so 60 I 70 , so 190 100 1110 120 1 30 140 180 170 180 180 P.O. Box 18387 I I -1 TI-,~-I I i Louisville, Kentucky 80218. LfTills a so 160 240 320 400 490 560 640 720 (502) 778-2731 FLOW PER MINUTE is a 61 - 1f43 165 185"- 188"-k189" Sedes (%2 HP) (%2 HP) (1 HP) (1 NP) (1 %2 HP) (2 HP) • Automatic or Non-Automatic. - ecarea m 143 ras .n in u, • 'h H.P., 115V, 230V, 200-208V,1 Ph. or 3 Ph., 460V, „ GN Lt's O„ 1,,, G.1 L,rs 0.1 L", G., 3 Ph. e , 5= ,06 b1 e, 23, e, 23, ee 3zz ,0 3os ,oo ms e, z3, e, 231 es 3zx ~(~~nruYd • 1 H.P., 11/2 H.P., 2 H.P., 230V, 200-208V, 1 Ph. Or 3 s .s. " W =z, ee e1 Iz= Ph.. 460V, 3 Ph. zo e,o e: vo s' 223 eo zz, es 3:z is rsi is ieo s, za 59 m es 322 SC 1225 • Passes 3/." solids (sphere). 30 1,, es 216 ss M se no so 3.0 es 322 .o 0219 .s n. .e m ss M s 2e3 es 311 e3 31 . • 1'/=" NPT discharge standard. W 152. 30 '25 '9' " z1+ 13 =,6 „ z9= so z9 IS v 43. ,a, x IN sr ne 67 zs3 e Float operated,. submersible (NEMA 6) mech- re ;11 3. 30 n. 10 3e 31 ,M 67 z,e e0 2-M U s3 U H -Q ne anical switch. • Automatic reset thermal overload protp.ction, 1 'a'e ao Ph. onlY -vm- M as e,~' ,3 es no only. • Durable cast iron construction. ea-dlan sta0dards • Uo listed Assoc. Approval Non-Automatic a 2" or 3" flange available. arsilable Model Pictured • 20 It. UL listed neoprene cord and plug. NOTE: No UL listing for 200-208V/1 Ph. pumps. Mercury float switches are available for non-automatic models. ti It. J a - i y Wiscensin Department-of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 : Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83 Wis. Adm. Code ,5 /r,- Al ,,'c--SS: 767 2oS dk hue ~ 7- COUNTY r Attach complete site plan on paper not less than 81/2 x 11 i ze. Plan de, but G~D, x not limited to vertical and horizontal reference point (BM), d' and % of slope, PARCEL I.D. # dimensioned, north arrow, and location and distance to ne r, road. 032. 20 72. ,3d APPLICANT INFORMATION-PLEASE PRINT AL I N14,T164 'o REVIEWED BY DATE PROPERTY OWNER: fPR0 TY L ON 7.0 r? aL=te T- LOT 1/4 1/4,S Z7 T 31 N,R ~ I Vg) W 1AW -PROPERTY OWNERS MAILING ADDRESS L # # SUED. NAME OR CSM # /6 0 9 3 ` TuM46- • ~//S ~9lDA~ 73ov CITY, STATE ZIP CODE PHONE NUMBER ILLAGE N NEAREST ROAD v ,fo,J w/. 5" Slo/G (7f$) 3 Q4 - a~E sE' ~oS YY4.. [ New Construction Use [ Residential I Number of b6drooms 3 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow "20 gpd Recommended design loading rate • 7 bed, gpd1ft2 trench, gpd1ft2 Absorption area required .37. bed, ft2 375-trench, f:2 ximum design loading rate 7 bed, gpd/ft2 trench, gpd/it2 Recommended infiltration surface elevation(s) SAX- . 3 I~9 3 G ~ It (as referred to site plan benchmark) Additional design I site considerations St•TE SUs ~A1/E' eau LK 1::~/Q /16u vP 7146' SYS7,26AI Parent material SC$ ~O " y/~iy/ mvTc~~ s4~o5 Flood plain elevation, if applicable 14-***" It S = Suitable for system CONVEWIOMV M~OU~s- IN-GROUND PR~ssURE AT-GRADE SYSTEM IN Fl~,L HOLDING TANK U = Unsuitable for system ❑ S N CC'S ❑ U ❑ S C~' El S C~ r ❑ S C~'CJJ SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed tench yip 313 s 2 AN sd,F S S 3f L 0~- 30 /o yof Sl3 /s 14„ a& CS tf .7 • f Ground 3 36' yG /O yet' 7/`-/ - 52V 12C S/ S- C9 S 4.1,9 4-5 17' . ~ • do elev ft " (o /O it° -;y2- ,Q 40 f/ • / Al 99-~ /Avie Depth to ' limiting factor s~ J! f Remarks: SA ro-40+mD :f r 46 Boring # I /0 yip ,313 _ ~s• Z/a, She ds. S 4 /0 9 y/3 s s . ~ ~ .c s/ ,4, shy A" Q --3 io y e 3131 z Ground / CS . S. s elev. s 11 /d YR 31 y 7GZ JE- Sf Sdr{~ M+7'~i 99.25_ft. O -67 loyje ~/If amp) Sq. Depth to limiting factor st Remarks: CST Name: Please Print F0 Q Ep r ?4L Q P t C I Phone: 7i. 3 P6 . P1, f Address: Associates '7-y- %6- 7_ CSrAt zy~'Z Signature: Private Sewage Consultants Date: CST Number: 465 O'Neil ~•O~'~ Hudson, Wis. Rd. 54016 peo~~-~ ry %s v~y u~~~p y " ~b /~~~GtlL1`~_ .4 ft70/Cr~E-T j'l>~/~ 21pte- 5 ,f7Ce_e_ 15 /v l Zt v ~'fo~M 4_1V yX,1tf 0©0%L, „ Ol° t PROPERTY OWNER TODD 4113 ER ~ SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. #E 032- ' 2-01 Z. -3 O Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bwxl3y Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tnch o-iZ 16MR3 777 4. sd~ S S 3F- • 7 i. /J -.L7 f13 /s / ~s s 3f •11 -8 Ground 3 7 -3 /o y s/ S. S Je- C-S l-f .00 - 1 .'9 vie 51 elev. 10 vie C 14 Depth to limiting factor ,z7 SSS Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # 'y < Ground elev. ft. Depth to limiting factor Remarks: 00M 000/110 ^CR171 Z os°' vE . o - 1 z - - - o &IV GoT Ni 13, 9y oy ,/32 3 W.v1-jC-o1p,A-I 9% 30 So~~E: / _ ✓~D Svy~ES1'Fv ~1ov~l7 ,e~Fc~ho~ P~'TS sysrE'.e-► ~ lc vet-r~v,~ w/ 3 7y o = ~x •s r.,~ f y,P.~vE s t"D 100-3o' LOT 3 yea' A41 7f ioo -0 ~ o 110 L9 f 9 r 32y~~ lL I 3 y gj ~ ~ ~2 209 II ( I Z!a i~oi~°~9 f 30' o 3 ~y _ _ . .cam di o 3~1D 13 z ~1-~ NHS \ n DoT ~ r y'll J sEr. aF 3/4„ ~ l PUG P~~-~ 3 of N 87°5705W - N 870 57' 05° W---1329.51--- P U B L I C A ~250.00 ` Op® 963.51....... Opp 220.00 O 66.00 %90 20( op ~0 ~c 0 40r, N W NO uj - 42 NM I~ z g o 1412000 sq. ft. N 1~lo~ o o p UC J t,~ P ~4 gc9 ~ I5.h 0,>,o i 000 fit, f' 8 p 82,750 .'ft. l ° i N -tV oa, 6 A° 40 +t ~ sr r, R 1...8/,=8600', b ' ~ ELEV;=855..5 3C7 E V :F 860.Q MEAN SEA l\ z V` n y Y J • ~i r 'Of 44- ebb' \ N 87°57'05"W 1,329.65.- l: N 87° 57'0,5" W---1329.51 P U B L I C p 250.00 220.00 66.00 'g%0 ---963.51....... 0 ......0 0 20c --266.C 900 0000 000 0 $ $ 9 . 9 W ho° W O N h O ° 2 cv O W W N 2 00 ^ h ~ 141,000 sq. ft. 2 a g o 00 00 Cli N a 2 1 , 0 a a 10 Aso 000 I ~ S 9 0 'N`°g o `o~a2gR 182,750 sq. ft. S, o c N 00> . u► 20 .0 . R~ 00 E Ise 40 N ~ N % 8J ~0 ,t 2 ~I cr 0 o'h TER ELEV.=8600, y ER ELEV.=855.3 ' 30 : °D~ tr,': 150. 34 ELEV. = 860 0 \ 0: 81) 0 O S., MEAN SEA ~~1c. 4T } STC-105 SEPTIC TANi< MAIN1'I~,NANCF, «Gt2F;l~:MI?N'1' St. Croix County OWNER/BUYER `T G 017 l~. F Ll3~T MAILING ADDRESS ItoO 019Et,:004 t-AME 6-3 ko_ lyeX P01:7- /,~UOSo.✓ C+i/ SyDO(~ PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE S0ME25ET- tj I PROPERTY LOCATION /~C 1/4, rtl tJ 1/4, Sectioo T 31_N-RW TOWN OF 56ME125A5~ ST. CROIX COUNTY, WI SUBDIVISION u)4N9ENA T(Jk-rLE GAVE AILt.._S LOT NUMER 3 CERTIFIED SURVEY MAP A(Z& VOLUME A/ , I LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by lictensed septic tank pumper. What you put into the system call affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents ill.-IV he eligible to receive t,,rnw for n mnximum of 60% of the cost of ruplucelltent of it liiiling sy:cleni, %vhie-i1 in (l)ci4iliou 1,> Inl~, I, 19/8 ';l r'nunly accepted tni program in August of 1980, with the requiremeuz. ,hat owners of all new systems agree to' keep their system properly maintained. The property owner agrees to submit to St. Croix Zowf..,> n certification form, signed by the owner and by a treater plumber, journeyman plumber, restricted piu1<:.~: or a licensed pumper verifying that (i) the ern-site wastewater disposal system is in proper operas. ",ol ditior and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full and scum. the undersigned have read the above requirerr.f s; -.n,''Agree 'o maintain the private sewage disposal stem in accordance with the standards set fort;;, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be com.plet-M and returned to the St. Croix 'County Zok.ing Officer within 30 days of the three year xpiratmn date. SIGNED: DATE: St, ICro,ix, County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 ,.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 7-off) ALI3 Z' Location of property Jj6 1/4 1/4, Section ZY ,T 31 N-R Iq W Township Son1E2SE'r Mailingaddress &o9 0i4EwoofJ t.AnlE Pc. yox gag Poo,5Q&1 r tvi 5Y6t( Address of site ? i ;205 Subdivision name h~~NSE,f/S rveTG.E z4wE Illa- Lot no. 3 Other homes on property? Yes t,~ No Previous owner of property 14L 4 i N E S Total size of property S/ 2 4~,eEs Total size of parcel 4!2 AC~e S Date parcel was created :F1111A1 Are all corners and lot lines identifiable? -/-Yes No Is this property being developed for (spec house)? Yes No Volume ;Z/ and Page Number N5 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. S~lT3' , 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. Signature of Applicant Co-Applicant Date of Signature Date of Signature r _ II ry V r '+GrQC7~~ STATE BAR OF WISCONSIN FORM I - 1982 WARRANTY DEF,D 1?A1,13 15 VOL DOCUMENT N0. Reed for F.sc Alan P. Hines and This Deed MAY 1 1995 , made between i l Sharon T. Hines, husband and wife . i 11:30 A..;I Grantor, Todd Michael Albert and -mrr: I I, Grantee, Witnesseth, That the said Grantor, for a valuable consideration THIS SPACE RESERVED FOR RECORDING DATA ~I NAME AND RETURN ADDRESS conveys to Grantee the following described real estate in S t . Croix I Heywood & C a r i , S . C . County, State of Wisconsin: P. 0. Box 2 2 9 ,Hudson , W I 54016 Lot 3, Block t'1", Hansen's Turtle Lake Hills First Addition in the Town of Somerset, St. f 2! Croix County, Wisconsin. TOGETHER WITH an easement for ingress and egress described as follows: Commencing at the NW cornerR of O u t l o t 1 , Block "2", H a n s e n' s Turtle Lake (Parcel Identification Number) Hills First Addition in the Town of Somerset' thence N87057'05" W 66.00 feet; thence S2002'55" W 75 feet; thence S87a57'05" E 66.00 feet; thence N2002'55" E to the point of beginning. This easement is subject to the terms and conditions of the Roadway Maintenance Agreement recorded in Vol. 1010, pages 45-48, Doc. No. 499271 EXCEPT as follows: The Grantees herein, their heirs, successors and assigns shall be responsible fox the maintenance of the first 75 feet of the above described roadway easement as more fully set forth in Paragraph No. 4 of the above mentioned Roadway Maintenance Agreement. However, said Paragraph No. 4 is hereby amended to read;"The cost of maintaining the remaining 125 feet, in the event of such extension, shall be 'borne solely by the owners of Parcel 1. The owners of Parcels 2 and 3 shall have no responsibility for maintaining! this addition 125 feet". In all other respects said Roadway Maintenance This is not homestead property. A gg r e e m e n t shall remain in full force a n d Xia)X (is not) e T T e c t. Together with all and singular the hereditaments and appurtenances thereunto belonging; And Alan P~, Hir, s and Sharon T HinPa, hushnnd and wife warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and covenants or record, if any. and will warrant and defend the same. / May 19 95 Dated this day of (SEAL) (SEAL) * * ALAN P. HITNES (SEAL)S (SEAL) SHARON T. HINES i ~I AUTHENTICATION ACKNOWLEDGMENT Alan P. Hines and Sharon STATE OF WISCONSIN Signature(s) ss. T. Hines, husband and wife County. authenticate of May 19 9 5 Personally came before me this day of 19 the above named ti amuel R. Cori TITLE: BE ATE BAR OF WISCONSIN j (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 INSTRUMENT WAS DRAFTED BY Heywood & Cari, S.C. by Samuel R. Cari P.O. Box 229, H u d s o n WI 54016 Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: necessary.) 19 ) 'Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc.