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HomeMy WebLinkAbout032-2092-90-000 I Q o ° a 06 o o I N o~ I N iII ~ ~ I a~ o s ° m rn T O C '~O 000 y O O U N CL Q y N N -Y O >>N C Z U> c LL C d f6 O O U O) E COp d' Q°X 3 M ~ N 0) W O a III O` Z v M W ~I d m N I- Z o c 6, o_ z v , N M Q m U O • ~1 a c m Y Z Z O O . m z N I~ J ~T d a C lC £ N E ~ H ~ Y I y N a w 0 C-4 T r_ C 0) _ H a) O \ o N ~aaa a E B LO L O N ! N CD G) 0) (n' o o'o o a co Q. U) v I Q cn ❑ N U) 00 c O O M ° U N (D d E co Q1 * i-i m ~ a C .0 O V p of y c c N N m ro N v 00 E ~ c_ • ~ m O N N O C E U N O N co C7 N O z CC :ii E 'A E m ` U m EL IL • a m 2 m rr`1~~1 E c c ~1 A 0 a2 l0U)L) 1 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS ?-,-71 SUBDIVISION J CSM# LOT SECTION __G;,~T,a!LN-R_Z~_W, Town of Ir f ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 00 FEET OF SYSTEM, ~T ~7,r J/O ,B,wi 3 o~ I ~t i I INDICATE NORTH ARROW Provigese~tback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: _ ALTERNATE BM: i i a SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: Setback from: Well House Other Pump: Manufacturer Modell Size l Float seperation C2~ Gallons/cycle: J'7/ Alarm Location /2 ,4, SOIL ABSORPTION SYSTEM / Width: Length Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House Other ELEVATIONS Building Sewer ST Inlet. ST outlet ?Z ZI PC inlet PC bottom Pump Off Header/Manifold Bottom of system C} _ Existing Grade 9 !22 Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: ,Z2;-9 INSPECTOR: I1 3/93:jt Wisconsin D%partment of Industry, PRIVATE SEWAGE SYSTEM County: Laborand Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI GERMAIN, MICHELLE X CST BM Elev.: Insp. BM Elev.: BM Description: set Parcel Tax No.: 1,50, J, TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI Fk' ELEV. Septic Benchmarks 10D J4r✓ I / O, Dosing Aera 1 ` Bldg. Sewer Holding St/ Inlet 2,321 91 TA K SETBACK INFORMATION St/ Outlet 275 9/. TANK TO P/ L WELL BLDG. Veritto Air Intake ROAD Dt Inlet 7(f Septic >50 25 ,~gA NA Dt Bottom a~ ?7.0 Dosing >,5-0 ' r3 3 ! NA Feder/Man. Aeratiow NA Dist. Pipe O S' a, 27, -2 Holding Bot. System -5-0 PUMP/ SIPHON INFORMATION Ph I Final Grade Manufacturer Ccw< gs Demand o-,C 3 ct1e Model Number (v 6-<Q f/I f{ 16 GPM TDH Lift I Friction ' System TDH ~Ft 9,q Loss 3.~g mead GJ~ Forcemain Length, / Dia. Dist. To Well'>,~ j 'L.) 1 1 L71 1 T SOIL ABSORPTION SYSTEM BED / TRH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liqu DIMEN I N `t~` DIMENSTOMS- SYSTEM TO P/L BLDG WELL LAKE/STREAM L ING Manufactur SETBACK CHAMBER /few Mo INFORMATION Type Of System: OR UNIT am h, ti J U >50~ DISTRIBUTION SYSTEM Header / MnifoldDia /I Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length a . / Length V~ Dia. Spacing ' SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only c~ 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.) I LOCATION : Somerset. 24.31 19W „NE, S Lot, 6 , 80th Street / ~~r.✓ C d+ V i Plan revision required? ❑ Yes ❑ No 149/ Use other side for additional information. 1~ A ~1 SBD-6710 (R 05/91) Date Inspector's Signature Cert No. L ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I SANITARY PERMIT APPLICATION v COUNTY In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ z 8% X 11 inches in size. Check if revision 16 previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPER OWNER PROPERTY LOCATION N, R (o r& t/4, S. n:BLOCK PROP TY OWNER'S MAILING ADDRESS LOT # # CI STATE ZIP CODE PHONE NUMBER SUBDIVISION NAM OR SM NUMB II. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) State Owned VILLAGE E~ TOWN OF: ❑ Public ,01 or 2 Fam. Dwelling- # Of bedrooms Z PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) - 90 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. V1 New 2. ❑ 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 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 420 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./i ch) ELEVATION Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank j - -1 r7 Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber' Na (P ' t):\ Plumber' Sig to : NOS ps) MP/MPRSW No.: Business Phone Number: PI er s Address (Street, City, State, Zip Code): r / -s-,,/ A, d. a~ IX. UNTY/ EPARTMENT USE ONLY ❑ Disapproved Sa nary Per it Fee (Includes Groundwater ate Issued Issuing ent Si at re (No ) I~Surcharge Fee) ;(Approved ❑ Owner, iven Initial ~ W ry Adverse Determination d loe 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'h 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) f SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations April 25, 1995 2226 Rose Street La Crosse WI 54603 K 0 CONSTRUCTION KIM 0 CONNELL 308 MIDPINE CT STAR PRAIRIE WI 54026 RE: PLAN S95-40274 FEE RECEIVED: 180.00 GERMAIN, MICHELLE-LOT 6 NE,SE,24,31,19W TOWN OF SOMERSET 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. Sincerel Gerar . Swim A Plan Reviewer Section of Private Sewage (608) 785-9348 8202R/ 1. $8DA-798718. W941 WiscorAi6 Department of Industry, PRIVATE SEWAGE SYSTEM Safety and Buildings Division Labor and Human Relations REVIEW APPLICATION Bureau of Building Water Systems Hayward Office La Crosse Office Madison Office Shawano Office Waukesha Office 209 W 1 st Street 2226 Rose Street 201 E. Washington Ave. 1053A E. Green Bay Street 401 Pilot Court, Suite C Rt 8, Box 8072 ' LaCrosse, WI 54603 P.O. Box 7969 P.O. Box 434 Waukesha, WI 53188 Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Shawano, WI 54166 Phone (414) 548-8606 Phone (715) 634-4804 Fax (608) 785-9330 Phone (608) 267-5119 Phone (715) 524-3626 Fax (414) 548-8614 Fax (715) 634-5150 Fax (608) 267-0592 Fax (715) 524-3633 INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this form together with fees and plans/information. Your submittal must be received at least one working day prior to the appointment at the office where your review was scheduled. Please call any of the listed offices if you need help filling out the form or haveseyt~ons pn what * fg,cmatio ri to submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your reference. l1VV..11 55 1. APPOINTMENT INFORMATION -if ou have scheduled an appointment, fill in the information requested below to save time: Appointment Date Reviewer am Plan identification Number p c 2. PROJECT INFORMATION If this review is a revision or extension to your existing e plan identification number, provide that number here: Project ame City [-]Village ® Town Of: County Project Location GOVT. LOT 1/4 I 1/4 T X R or YQ 7' , 3. APPLICATION FOR FEE COMPUTATIONS FEE SUBMITTED System Type (check one): System Type I (include new and existing tanks) Up To 1,500 gallon septic tank $110.00 A C-] At-Grade 1,501 - 2,500 gallon septic tank $120.00 H F1 Holding Tank 2,501 - 5,000 gallon septic tank $160.00 M Mound 5,001-9,000 gallon septic tank $200.00 N Non-Pressurized in-Ground(Conventional) 9,001-15,000 gallon septic tank $300.00 P Pressurized In-Ground Over 15,000 gallon septic tank $500.00 O Other: Up To 1,000 gallon dose chamber $ 70.00 70 _ 1,001 - 2,000 gallon dose chamber $ 80.00 Building Type (check one): 2,001 - 4,000 gallon dose chamber $100.00 4,001 - 8,000 gallon dose chamber $120.00 . D Dwelling, 1 or 2 Family 8,001 -12,000 gallon dose chamber $140.00 P Public Building Over 12,000 gallon dose chamber $160.00 . S E] State-Owned Building Up To 5,000 gallon holding tank $ 60.00 5,001 -10,000 gallon holding tank $100.00 Code Derived Daily Flow. C-0 gpd Over 10,000 gallon holding tank $150.00 0 Check If Replacing Existing System Experimental System (additional one time fee) $300.00 Revisions To Approved Plan 2 $ 60.00 Petition For Variance: Setback ..AEA s 100.00 Petition For Variance a Site Evaluation $225.00 , Plumbing APR-.2- $225.00 Revision $ 75.00 Groundwater Monitoring - Pe '(..y.a.KM. W.60.00 Groundwater Monitoring (other than a proposed subdivision) Site Evaluation in Lieu of Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring $ 60.00 Subtotal: % Xo - Priority Review: Enter same amount as Subtotal: MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total Fee: 5. SUBMITTING PARTY INFORMATION Telephone No. (include area code & extension) Comp an Name Conta Pers n No. & Street Address Or P.O. Box City, Tow or Village, State, Zips ode Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers. Revision fees are not applicable to temporary holding tanks or extensions to existing approvals. NOTE: Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to change annually. SBD-6748 (R. 03/93) OVER Wisconsin, Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Labor, and Human Relations Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code -v - COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches iize. 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. 3~"~©f~ ' 90 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT 1/4 1/4 S T N,R P'lor ) PROP RTY OWNERS MAILING ADDRESS LOT # BLOCK # SUED. NA E OR CSM # (/1 C12 e CI TATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAR ST ROAD [~Q New Construction Use Residential / Number of bedrooms [ j Addition to existing building j J Replacement Public or commercial describe Code derived daily flow .;Z~ gpd Recommended design loading rate gybed, gpd/ft"ZQ_trench, gpd/ft2 Absorption area required bed, ft2. ~>s' trench, ft2 Maximum design loading rate moo2 bed, gpd/ft2,/- , trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable Ve~ it 7SU==SUUnisuitable table for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK fors stem ❑ S ®U [ES ❑ U ❑ S ®U ❑ S QU ❑ S O U ❑ S ® U 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 Trenctn _ ~a hJ Ground 7CI elev. ft. Depth to limiting factor Remarks-, Boring # _z2 vo_~114:2 v 7 _2 3-d Ground s C elev. '41 21 L2 a ft. Depth to limiting factor Remarks: CST Name =-Please Print Phone: Address: Signature: Date: CST Numb r: < PROPERTY OWNER ,,~Z1~~~E SOIL DESCRIPTION REPORT Page,--': 2, of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bwidriy Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Ground s~6~8 elev R4 ft. Depth to limiting factor Remarks: Boring # %g? Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # {4 Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) AGO ~o s ' CCCl11 X y 1 47 96 78~ i - fps ! 0f A0 895-40274 WORKSHEET - MOUND SYSTEM DESIGN PROBLEM: Design a mound system for ag The site characteristics are: Depth to groundwater or bedrock ~p in, Landslope _ x Percolation rate Distance from dose chamber to distribution system ft. Elevation difference between Dump and distribution system ft. Step 1, WASTEWATER LOAD W x gal.' Step 2. SIZE THE ABSORPTION AREA A) Area required = esq. ft. B) Bed or trench length (B) 97 ft. C) Bed or trench width (A) _ ft. D) Trench spicing (C) AWastewater load .24 coal/ft2/day B ft. t renceis Step 3. MOUND HEIGHT A) Fill depth (D) _ ft. B) Fill depth (E) • D +6 slope (A)+P) ft. /2, 0,v (y)) / /Z C) Bed or trench depth (F) _ ft. D) Cap and topsoil depth (G) ft. E Cap and topsoil depth (H) a - ft, Ni~;n: Step a. MOUND LENGTH S 9 ` A) End slope (K) _ CD + E + F + H x 3 = 1~; ft, 2 ) 16 J , ~,83t`7,PxS 8) Total mound len h (L) ■ B + 2(K) • Step 5. MOUND WIDTH Al) Upslope correction factor - A2) Upslope width (J) (D + F + G)(3)(factor) ft. B1) Downslope correction factor ■ 82) Downslope width (I) = (E + F + G`)(3)(factor) _ ~2 ft. 14 93 C1) Total mound width (W) for bed ■ J + A + I ft. 7, a C2) Total mound width (W) for trenches ■ g (no. trenches -1)(c) + A + I ■ ~.L~ ft. Step 6. BASAL AREA A) Infiltrative capacity of natural soil ,1~ gal./ft2/day B) Basal area required ■ wastewater flow = natural oil infil r tive-capacity sq. ft. C1) Basal area available for bed for sloping sites = B x (A + I) sq. ft. C2) Basal-area,-avail le for trench for sloping sites ■ B W- J+A1 ft. *T 92, 7s 4:;72-y- `7.e ~ 5- C3) Basal area available for trench or bed for level ry r sites B x W■ sq. ft. al(,n: License W. Data: 9 4 0 2 7 Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size = IA/ in. 2) Hole spacing = in. 3) Distribution pipe length tw,f 4) Distribution pipe diameter = in. 5) Spacing between distribution pipes = 2 in. 6) Distance from sidewall to distribution pipe = in. 76) DISTRIBUTION PIPE DISCHARGE RATE _ ft. 1) Number of holes per pipe = 2) Flow per pipe = GPM, 7C) SIZE MANIFOLD 1) Manifold is central/ _ end 2) Manifold length ft. 3) Number of distribution lines = 4) Manifold diameter 0_ in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate = ~f GPM 2) Force main diameter = in. 3) Friction loss = 7 ft. 7E) TOTAL DYNAMIC HEAD 1) Vertical lift = ft. 2) Friction loss = 7 ft. 3) System head 2.5 ft. _ ft. 4) Total dynamic head = ft. Licerse; 1 ,~C _4 _ ZIU274 L14C Ile 7F) PUMP SELECTION 1) Pump selected will discharge.. GPM at ft. total dynamic head. 2) Pump model and manufacturer 7G) DOSE VOLUME 1) 10 tip*s v~/G'i~) ~~rrqq1Vme of distribution linesL gal./cycle 2) Daily wastewater ~ -svol;= me = 4 doses/24 hrs. .4a-gal ./cycle / 3) Minimum dose volume gal./cycle 7H) DOSE CHAMBER 1) Minimum capacity required j-,o -7svyr/ _ y gal. r Lic~,nsa Uate S-9-5_--4-0-2 -7 4 S nc, ditto COOT s + a &1k P1.9 o • DOW JI-2 - ~ - to - 90 9 YB r~, .y8, 90 Lai r "TANK OW i-,,AL $Em<- YANK rq~ Jpa5G S95-40274 Oesigner~Rate' Non-Woven Filter Fabric 4" Observation Pipe Distribution Pipe ASTM- C 33 Sand r G Alter, Poe. of Topsoll IL Q_ Force Main E b i ~ 11 S~ % Slope ~ Bed Of 2 t Force Main Plowed Drain Rock From Pump Layer Cross Section Of A Mound System Using A SW For The Absorption Areo F - ~ ND~~~,E ~.c✓~/ G KES~ A F t. B g37S Ft. IFt. J~ Ft. K Ft. #+evfra-te Position of L i 3s- Ft. Force Main W Ft. 14"Observolion Pipe e -K to Fe~c e-~r4eiTM FA~ W C 7- 3 0 Distribution Bed Of t/z z Pipe Drain Rock 1 N 4 Observotion Pipe permanent Morker Pipe or Rods, Pion View Of Mound Using A Bed For The Absorption Areo PAGE~OF1~ PERFORATED PIPE DETAIL and DISTRIBUTION PIPE LAYOUT S95-40274 Perforated Schedule 40 PVC Pipe End Cap oe y gat n a~00 i Holes Located On Bottom Are Equally k Spaced End \ \ Cap ~C 4 Schedule 40 ~ PVC Force Main ~v Last Hole Should Be Next To End Cap Owner's Name: p -14;' feet Plumber/d igneir.' ignatures x inches y _./j inches Date: Hole Diameter inch PR4\!ATE E SE G nallby Lateral Diameter inch(es) Condit: N?PVk()V0 Force Main Diameter :,~2 inches 3tflFlS & ggA1' Holes es per Lateral u8~ w ate. aF ~N 's u aL~~~~~~s p feet. Invert Elevation W~ of Laterals Page of 1,22. ro r r ~ ~ w ho ~ M i .v 1✓ 1 p ~ co° rt a r• M M O I C N II ~ (A l4 b W w ~ j IA go s C rMi, 0) m N M 0 :j N ` w r' r I rt a rt o rt M w L a a a PAGE OF1lL PUMP CHAMBER CROSS SECTIOM AND SPECIFICATIONS 40 9 e = 2 • 4 VENT CAP 'i*C.Z. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTIOAI BOX MANHOLE COVER ~ 25' FR¢M DOOR, WIWOOW OR FRESH 12"MIU. AIR INTAKE I , GRADE I y0 MlN• 18' MIIJ. COAJDUIT L"- 18'PIIN.~ N4r, ms INLETO'~'~ ~c PROVIDE Coll ditl[( r 'to, TIGHT SEAL I I I f V D I APPROVED JOINT A I v S~QNg I II I APPROVED JOIWTS W/C.I. PIPE © OaN REvX I I I W/C.I. PIPE r~1 ~S • I EXTENDIW(3' >k ~,p~N f II EXTEM01UG 3, I I ( ALARM ONTO SOLID SOIL OA170 SOLID SOIL B OF ~ I w' if~1 1s E c W I GN 0 C N i. I A I OR - Er l. g • $ . PUMP--, Orr r 0 CONCRETE BLOCK RISER EXIT PERMITTED OQLy IF -TANK MAWLWACTURCR HAS SUCH APPROVAL SPEC, IF ILAT I OUS CPT1C AND _ GSL TANKS MANUFACTURER: WMBER OF DOSES: .,.PER DAy TAWK CIZE: G LLOMS DOSE VOLUME: GALLONS ALARM MANUFACTURER: CAPACITIES: A-. ,-,2 `7_IWCHES OR -4-23- GALLOQS MODEL NUMBER:. r~ 7 B= ~ IUCRES OR -32 GALLOWS SWITCH TYPE: _44 2 C=INCHES OR 71 GALLOWS PUMP MANUFACTURER: D- _INCHES OR ZZ_ GALLOQ5 MCMEL NUMBER: NOTE. PUMP AND ALARM ARE TO BE INSTALLED ON SEPARATE CIRCUITS SWITCH TYPE: 1Z , PUMP DISCHARGE. RATE. GPM /C 5C.14, t P;r► (mim. VERTICAL, DIrv ERENCE bETWEEN PUMP OFF ARID DI 1 T N PIP C.. 8l7 l0 E., FEET ♦ MINIMUM NETWORK SUPPLY PRESSUR~~E//. . . . 2.5 FEET ♦ . AQ_ FEET OF FORCE MAIN X _L_ -F ooFLFRICTMIQ FACTOR..FEET r TOTAL. OytiAMIC. HEAD - .r~. FEET IAJTERNAL, DIME SIONS OF TAIJK. LEA] H GT 'WIDTH -;LIQUID DEPTH 5IGNED: LICCUSE DUMBER: ~ 5~9 DATE: O /~~c z l~ o f~ /bl, I U b ni c,~~ Performance Curves - Pumps METERS FEET 40274 - 90 MODEL 3885 s9 25 SIZE 3/4" Solids WE15H// 70 = 20 WE10H 60 , - WE07H 15 50 WE05H 40 10 WE03 30 20 WE03L 5 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM L i 0 10 20 30 m'/h CAPACITY MGOULDS PUMPS, INC. seccA FALLs N w Yom i 314P METERS FEET 120 MODEL 3885 35 SIZE 3/4" Solids 110 WE15HH 30 100 90 25 80 70 20 60 O 50 WE04 15 40 10 30 20 5 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM Li~~ 0 10 20 30 m'/h CAPACITY 01985 Goulds Pumps, Inc. Etlectiye July, 1985 C3885 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _,Z_ of~ Labor and Human Relations VItion 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. C 4902 - ~D APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT 1/4 1/4 S T N,Ror~ PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # D CI TATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAR ST ROAD New Construction Use Residential / Number of bedrooms .3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow. ' k-122 gpd Recommended design loading rate ed, gpd/ft2 trench, gpd/ft2 Absorption area required 375 bed, ft2;-;~5- trench, ft2 Maximum design loading rate ,gibed, gpd/ft2_e~~2 trench, gpd/ft2 Recommended infiltration surface elevation(s) 9S', ft (as referred to site plan benchmark) Additional design / site considerations Parent material A~'L 6 a L,'-~/l Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S ®U [ES ❑ U ❑ S IOU ❑ S J~) U ❑ S ®U ❑ S RU SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Botr-day Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tw& ,S h~ _ `rte`/'y - Ground "'e dZZ s elev. ft. Depth to limiting factor Remarks: Boring # Ground e~le~v/~ _ y L ft. S - Depth to limiting factor Remarks: CST Name:-Please Print Phone: Address: 14 Signature: Date: CST Numb r: PROPERTY OWNER, SOIL DESCRIPTION REPORT Page,-~2 of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. 222t Color Gr. Sz. Sh. Bed Tnich w. 'EK All~ s" Ground 3 AbO A1,4 enle,v/., yy ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor F-T Remarks: Boring # 4 .;tiff Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) J Z x ~f i low, 79 G J~o )Yl 02 i ~gcr~s,~o l~,~14lc/L 0 or ' Lor PI 03a-aoga - ct STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MAILING ADDRESS 21 b PROPERTY ADDRESS O r7 (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION 1/4, 5 C 1/4, Section T 31 N-R 9 W TOWN OF 24 , ST. CROIX COUNTY, WI SUBDIVISION .l iA!D Q JA LOT NUMBER ~9 ~ncc1~ CERTIFIED SURVEY MAP , VOLUMEIOQ3, PAGE y9s , LOT NUMBER a Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, Wl 54016 11/93 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 --T L441440AX Location ofppropertylV,9 l/4 545 1/4, Section _,T 3/ N-R W Township Mailing address 370 Address of site aoa~7 Subdivision name Lot no.Gov~ a Other homes on property? Yes No Previous owner of property - i 9✓~ Total size of property !).Cis Total size of parcel 1,11.60-1 Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? --><.,_Yes No Volume 10. 53 and Page Number ~AcjS 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. ap Q(2~ 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. 5 a.o9aq Signature of Applicant Co-Applicant i .1. 00' Olt •4'i ro M rolr °LIN N w i a 99'If-: t} 'b1 009'6 s! „B,6 ab w + ro ~ ~ °se Mely'Nn b p, X g po 8 i4 p p 6i 00 )49 •°o M„rO,LrJLBN fJi 1} 009'691 N v 0 0 r '61 J .d`. oonlr _ Mwro,lr.tlN iJ '61 /00'll / g x9 g 00O19 M°90tr°LIN 00•IIi - ' - •s?~i O, C6 Oo'oez oovez is 0 •mo `S. ON 7J'b~ !96'££/ 1} tit . 66S I£I -~{'bt /g6'£S1 '1} 'bilk ~ L z u _ b v v v Oa ~ Q~ ry Onui m 8 A AI t A6 •e a 009 d O G z o °s 00'91 0 /049 t 133 X11 S;''0'ru -7m „ O,LL JLBN ,A ilN~N7f1'bZ NOlLJ3S ~/~`~J 30 1✓! 35 ~0 td3N&W 3N ~d'03i'►/I3C 9N/7 ZOO-TOOZ M831D AIMI00 $ CO:rT 66/TT/80 DeeuMENT NO. WARRANTY DEED t,ns s►A<e nrsrnvco von ncco.osma oATA r STATE BAR OF WISCONSIN FORM 2-1982 52099 vot ~,093rasE4~~ - - - ST. CROIX CO., M Richard. H...Hansea.and..Jane. A...Hansen....................... Ree'dfbrR .ord .....11-TA 1?d..and..w.: e 1994 SEP S: 50 A at M conveys and warrants to ..MiC}Ie11e..K...Yana S~....d..QT)e-tilaIf interest.. and.. Ri chard .0.... Stout.. and..Janet-.D.... Stout............ P99sW of Deeft hustl nd.and.wife....a..one-half interestA..as .Tenanta.......... ..in.COlml»n RETUIIM TO the foilowing described real estate in .-....Ste..CtOiIX•,-,.-,-„••-,-•-••--.,County, - State of Wisconsin: Taz Parcel No:............ Lots 4, 5, 6, 7 and 8, Block 2, Hansen's Turtle Lake Hills First Addition in the Tows of Somerset, St. Croix County, Wisconsin. ,I This .....1S,.t10t........... homestead property. (ia) (is not) Exception to warranties: easements, restrictions and rights-of-way of record, if any. Dated this day of ...,:(~1. t,{.. i.'.._._ 19 94 . ~tt~...........(SEAL) (SEAT.) Richard M. Hansen J A. Hansen _ --.---......(SEAL) ..(SEAL) AUTHENTICATION ACSNOWLEDOMENT Signature(s) .....Richard M. Hansen,__ STATE OF WISCONSIN Jane A. Hansen ss. St. Croix • .....................County. authenticated this ...day of..~t. L45 19.x.`.} Personally came before me this ................day of 19........ the above named . Kristin Ogland ..Richard M. Hansen, Jane A. Hansen TITLE: MEMBER STATE BAR OF WISCONSIN (If not, S authorized b - 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 Kristina Ogland AttorrieKy it--L-a-~r a . _ Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: •Nsmes of persons silrnin¢ in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Mark Co. Inc FORM No. 2- 1782 Milwauk►p, Wisconsin