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HomeMy WebLinkAbout034-1034-95-100 I o H ~ ~ I c a, ° I a I ~ U O 'O N c a O E •o N I x I 4 ~ in ~ ~ rn I dY CD c~`a m~° E V z U. C N c ° o o ~ 10 ~cs E o Q I I 3 m v ° Z ~ I LO w E ~i O° z a m o I o z !t m z c z m ° I ° c •*y o ° M Q m _ U li O Q z z N z d N y E I m ° m U a I - m N -0 Q r. J co U O 2 N i O O O co O D N m O H f' H T a O ~ C7 ~ ~ ~ d ~ z I w O O O o m _0 CL a. a. Lo U) n J ° u ~ rn rn } I ° ° °o N co O E N O O 7 M 0 m LO o N ° c Y N H ~ I '~j 00 0 c y c ~l Q o c c E co 0 'D (n w a) Lo n G O N "O O 'O N O O o j M M= O of c ! a~ N IL- H a N r- • $ o °v ra N E E r co U O O !n III W N O 4 (n a. #t a ti a r `~1 D U a 2 0 0 Parcel 034-1034-95-100 09/19/2007 04:26 PM PAGE 1 OF 1 Alt. Parcel 15.29.15.240A-10 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - EICHER, ROBERT P & KAREN M ROBERT P & KAREN M EICHER 3092 CTY RD E GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 39.000 Plat: N/A-NOT AVAILABLE SEC 15 T29N R1 5W SE SE LESS 1A SE COR Block/Condo Bldg: 39A ADD'L HIST 716/228, 965/ 432 433 & QC-1000/409 (EZ-U-1132/457) EXC PT TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) CTY HWY PROJ 15-29N-15W III Notes: Parcel History: Date Doc # Vol/Page Type 04/25/2000 621841 1505/294 WD 07/23/1997 1072/555 PR 07/23/1997 1072/552 WD 07/23/1997 1044/354 QC 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 25,400 253,950 279,350 NO AGRICULTURAL G4 22.000 3,400 0 3,400 NO UNDEVELOPED G5 2.000 350 0 350 NO MFL BEFORE 2005 OPEN W7 13.000 22,750 0 22,750 NO Totals for 2007: General Property 26.000 29,150 253,950 283,100 Woodland 13.000 22,750 22,750 Totals for 2006: General Property 26.000 15,650 210,950 226,600 Woodland 13.000 11,700 11,700 Lottery Credit: Claim Count: 1 Certification Date: Batch M 529 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 y` 1 iITARY SYSTEM REPORT ~a OWN l A~" wp i lA,a r TOWNSHIP ADDRESS , ST.••CROIX COUNTY, WISCONSIN SUBDIVISIgN X.Ow'=~_X.OT SIZE Ile) 4!!:; ~"a SNOW VIRYTHINGi WI"1',hilN 100 FEET OF .SYSTEM i b Of s00, t INDICA E NORTH ARROia BBNCIIItARK:Elevation and description: a Gr decc Alternate benchmark hue- SHMIC TANK ~M4nufa~aturer a, rluid CaF..~ '~~r~ E' I'i! l~~ Sf•-~ 1 Rine ~$Gdt„.LRanhole caovor elevi.Finel d ie ®l,v: +Nhk id(At aleV. t..,, Tank outlet elev.:,, No, of feet from nearest road: Front Side r.r Rear Ft. From nearest, prop, line:Front,_„_,, Side IF Rear Ft.•y wo. of feet from: Well suildin': (Include this information in the above plot plan) (2 reference dimensions to septic tank) ; SEE REVERSE SIDE 1 .ter ♦ r_-+.Lr~_f.. . . ! t 1 ~ , '_:i fi 1 . le PWI CRAM= ManufaoCurers iP'S7Y iquid capacity:._! : ZDe-r.[ - 2 Pun L Pump Model: #..r.,.pump/Siphon Manufact. p size______ Elevation of inlet: /M 4g Bottom of tank elevations Pump on eleve t tap off elev.:/dLUGallong /cycles Alarm: man. s..: Switch Type: 5 S _Location Distance from nearest prope line: Front, Side, Rear_Ft.. Distance from: Well &n 1A) Building.,,._. 1 _ SOIL APORPTION SXST Bed: Trench: Seepage Pit: ' Width: 9 s- Gngth L -Number of Lines:-_Z--Area Built-L- Exist. Grade Elev. Proposed Final Grade Elev. "r Fill depth to top of pipe: 12,-? No. feet from nearest prop. line: Front , Side , Rear Ft. Noe feet from well: o. fast from building r,;?t HOLDING TANK Manufacturer: capacity k No. of.rings used:_Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front , Side , Rear Ft. No. feet from: Well building nearest road ,q Alarm. Manufacturer: INSPECTOR: .J ire %-"040Sej / r S' PLUMdEk G'1 DATE s ..s....~..:'' r 6/90:c1 4 ti ♦ } ly Wisconsin Caiepartmentof Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX i Safety and Buildings Division Sanitary Permit No.: GENERAL INFORMATION (ATTACH TO PERMIT) Permit Holder's Name: ❑ City ❑ Village X Town of: State PI o.. EICHER, ROBERT CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 7~0•~ /"l• dlJ~ 5a.ne a s TANK INFORMATION ELEVATION DATA/a f-A00i'maTYPE MANUFACTURER CAPACITY STATION BS Ht FS ELEV_ Septic L QS -6 OS4 Benchmark a' bzz ' Dosi ng kj. 3,30' OD, 6,S- i Aerati Bldg. Sewer , Holdin St /~14 Inlet Z{, 57 Z ? TANK SETBACK INFORMATION St/,~g Outlet Y, Z(a ,-5-9 vent to ? c, 417 7 TANK TO P / L WELL BLDG. Air Intake ROAD Dt Inlet (y, O r(~ , Septic >S6 0 NA Dt Bottom 3a Dosing 50 3 / > $O NA LIr! Man. Aeration NA Dist. Pipe Hill Bot. System PUMP /.SINFORMATION Final Grade Manufacturer errand Model Number 3 TDH Lift.2 Friction Systell TDH I ~ Ft Head Forcemain Length (0~ Dia. ~ Dist. To Well ~J SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N / DIME -54111l N I ACH adurer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LE LE A INFORMATION TypeO ne i 3 O NIT Model Number: System: /d. DISTRIBUTION SYSTEM Header / Manifo d Distribution Pipe(s)x Hole Size x Hole Spacing Vent To Air Intake am- Length Di Length~S? V Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of Jxxxx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.)--FAA LOCATION: Springfield. 5.29.15W, SE, SE, C unty Road E~ y,~3 Q Q cwt &M 3010 .S z l =tuPlan revision required? Yes Use other side for additional information. /D 17 LAIL-L91 Date Inspedo Cert No. SBD-6710(R 05/91) ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: f SANITARY PERMIT APPLICATION Safety and uillngWater Sn Bureau o off Building Water System 201 E. Washington Ave_ In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County St'. than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State sa it Permit Number The information you provide may be used by other government agency programs E] Check it revision to/ previous application [Privacy Law, s. 15.04 (1) (m)]. State PISI erro n 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION U!I 99 Property ner Name Property Location r1/4 e 1/4, S rT , N, R IS"E (oilCg) l -r- C t- s Property Owner's Mailing Address Lot Number Block Number ,-3092- I City State , Zip Code Phone Number Subdivision Name or CSM Number j II. TYPE OF BUILDING: (check one) ❑ State Owned o CIty Nearest Road vi Ie E] Public 1 or 2 Family Dwelling - No. of bedrooms _3-- Town OFSp/Z "Od L- Ct C III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) ~ _ - s- v 1 f-1 Apartment/ Condo 116- C7 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/ Mote[ 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. gNew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an -----System --------System Tank OnlyExisting System ---------Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit A7 t92f4pZ`- 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) Q Elevation Feet Feet VII. TANK Ca in gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank ae A) ® ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ( /iJG ® ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber' Name: (Print) Plumb is Sig ture: (No Stamps) 14p,"PRSW No.: Business Phone Number: 1 25 . Plu 00 er's Address (Street, Cit , State, Zip Co ) r J-) IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater E ate Issued Issuing Ag nt Signature (NO S mp Surcharge Fee) Approved ❑ Owner Given Initial $._,-2, 6~51%e VX// Adverse Determination 1 X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to Counly, One copy To: Safety & Buildings Di-,ion, Owner, Plumber INSTRUCTIONS ' 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a 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 and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers through 7. i VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for a!l 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 wi Ch appropriate prefix (e.g. MP, etc.), address and phone number PI )mber must sign application form. IX. County/ Department Use Only X_ County/ Department Use Only. C:o mr-lete pans and spec ificatiO is nol smal!Fr than 8 112 x 1 1 inches m .st No s i " ~itteu t: th, : ,nty. The plans must IUd' the fUi ( W A) plot Jan, (i. aVdn LG Scale or with comp!ele loco tl 'i1 . ~ie)idimt tank(sj, septic `n C"lh "r pie=": "I~'n! to.n i~I r! ;1 jSewer S w211'S; Watermaln;- vice; Str!; ,'d iak,BS, pump or siphon un r uXCs; ~•~_~rption systems; replacement S,sle' tl3e io. z,l the building served; lZ s d yPr ~i., E afe"en~e pJVntS, Q tolS; d. Se vOIUme; _,..'.i on "er_nces, 'rl tl c: i✓`.'.;mp performance curve, pump'71 ;.''urnp fT ;`ns J~. .'.ier, D) cross section cYt the soil i30orptio,n system if ed by lihe county, L) sc~l !E?3 -dai.a on a 1 orm, ar d _ill sizing Infornlatlon. 44 - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) fora number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. I ,s _ a l n i' J NON G 'Jo .l ~ Guy ~D/ _ _ i - (Jes L`.. ` C. a cf-0 S S C 1 crr Pe r_ Lk JkA I 4 .II l A re ~.t, tll-c lie go q,4 R<l 13 r-\ S- d el) l ~M= Lt lo o0' St,~C~ V'l~ /~V J✓G vJI- j~g'e1 c A V E u (l I OF li "USTflY, LABOR b HUMAN RELATIONS MVISIGN OF SAF Y AND BUiL rDGS O /f SEE CORRESPONDENCE Q. 7S'10 all I 141-dc"le e rli Prc C¢ J j The area 25 n. belo the downsiope edge i ~,Avk Soil Absorption Syst must amain undist rboO. pvc /01:10 iwa i /THS D. :N .S (3ea Iruo.r~ - GUSTUM ! Z 1?01 OFS~G NEB 5S9-02599 P~9c2oF~ AT-GRADE SYSTEM CALCULATION WORKSHEET Owner's Name: K6 ~e Parcel Tax Number : a 3q /D3'/ -`l Sr Legal Description: S , T2 N, R_j rE or W Lot Number: NA , Block Number N A , Subdivision/CSM Name: Town of: 1 ► i ~ 0 , S/. C i X County, Wisconsin At-grade Structure 1. t/D#'inches. Limiting Factor Depth 2. /-I-_ percent. Land Slope 3. gal/day. Daily Design Flow Rate (DDFR) 4. 0 gal/ft2/day. Design Loading Rate (DLR) DDFR 5. 1706 feet 2. Effective Absorption Area (EAA) = DLR = A x B 6. feet. Effective Absorption Width (EAW) = A 7. 1 feet. Effective Absorption Length (EAL) = B = EAA EAW DDFR g. 3-7~ gal/ft. Design Linear Loading Rate (DLLR) = EAL 9. q s feet. Total Aggregate Width = A + C T 10. /1,s feet. Finished Width (W) = A + C* + D + E** 11. /30 feet. Finished Length (L) = 2(I) + B 12._ feet. Finished Height (11) = F + G 13._ feet. 1/6 B ) ) Observation Well Locations 14. feet. 1/2 B ) 15. s;1 Texture of Soil Cap Material. Notes: * C is 0 if the slope is 0%, otherwise C is 2 ft. On level sites, substitute another D for E. Plumber/designer Signature: License Number: Date: 7L 1 /7 S95-02599 Page / of 8 At-grade System Pressurized Distribution Network Design 16. Distribution Lateral Sizing. inch. Hole Size feet. Hole Spacing feet. Lateral Length inch(es). Lateral Diameter Cr- feet. Lateral Spacing 11,9 feet. Lateral Invert Elevation 17. Distribution Pipe Discharge Rate. Number of Holes per Lateral gpm.. Flow Rate per Lateral 2 Total Number of Laterals 3("~, S gpm. Total System Flow Rate 18. Manifold Sizing. Manifold Type (center or end) V feet. Manifold Length If only a tee fitting is used as the manifold, the manifold /U A inch(es). Manifold Diameter * length and diameter may be reported as not applicable (NA). 19. Forcemain. inch(es). Forcemain Diameter 30 feet. Forcemain Length J d, gpm. Minimum Dosing Rate (system flow rate) gallons. Forcemain Liquid Capacity 20: Total Dynamic Head (TDH) Calculation System Head 2.50 feet Vertical Lift - D feet Friction Loss - / y feet TDH - 1667 feet I S95-02599 Page .Sr of i Owner's Name: Plumber/designer Signature: fl,_,g Date: 713119s- License Number: P{201 L 5' B > I o IrC Ic lMca % n I W A Per to an e 0 ~ ~ rS . 01 -0~~. O~_ Ivy! R Cli ~iii.esf MVIS N 0 SAFE'rYL,AND BUILDING >Y Y I 1/6 B n,r SEE ORRE PQNUENCE 1/6 B 1/2 B A = ft E _ ft ft 1/213 = ft B = ft F = r 59 ft L = 130 ft 1/613 = a6 ft C = Z. ft G = 2-" ft W = ft D = V -7 ft H = _ 7 ft yd it t! rr Fabric Distribution Lateral Observation „ , 7~1 , ",000~ Soil Cover T eII G j) H C 611 Notes H is measured from > ~ 51 directly below the lateral to D A C E finished grade. Plan View and Cross Section of Wisconsin At-grade Unit with a Single Absorption Area on a Sloping Site 5_p2599 Page ~ of PERFORATED PIPE DETAIL and DISTRIBUTION PIPE LAYOUT l Perforated Schedule 40 PVC Pipe End Cap , .4a. y- Holes Located On Bottom Are Equally Spaced i- End Cap 4 Schedule 40 PVC Force Main 3fi+ 1!S'rFSY, LAROR & HUMAN RELATI0,143 Last Hole s E iN OF SAFETY AND BUILDINGS Should Be Next To : sJ End Cap CORRESPONDENCE: Owner's Name: o(,2r^~C hr.^ p 5~~,33 feet Plumber/designer's Signature: x inches 7y y -=aches / Date: License No.: -D12.0 1 Hole Diameter _ inch Lateral Diameter 2 inch(es) Force Main Diameter z inches 1-3 Holes per Lateral 9 7, 9 feet. Invert Elevation of Laterals 595-02599 Page 7 of ~ g PUV%P CHAMFER CR655 SEC'IOIJ ANG SPECIFICjrIOI!c i VEWT CAP 4"C.I. \~E",!T PIPE WEATHERPROOF APFROVED LOCKINIG t TT7 JUNCTIOW BOX MANHOLE COVEF, WINDOW OR FRESH U. I I,t14R.Ain Labe I AIR INITAKE GRADE I 4" MIN. COUDUIT 18"MINI. ~11 INLET PROVIDE I T AIRTI&HT SEAL I III I I III ~ ! APPROVED JOINT A = Ir' . ( (I ( APPROVED Jolt W~C.I. PIPE I III W/C.I. PIPE .1 EXTENDING 3' I I l l ALARM EXTE►JDINIG s al.°°'T~ Y, O►JTO SOLID SOIL LR.~'fl S HUMAN BC, auPaS I Ouro SOLID s~ D _ i5N OF SAFE AND BUILDINGS ' I I ow f i ELEV. g9.9 FT--O- SEE COARESPONDENC UMP OFF G D. > CONCRETE BLOCK 3 heel !ng RISER EXIT PERMITTED OWLy IF TAIJK MAIJUFACTURER HAS SUCH APPROVAL SEPTIC f SPEGIFI*GATIous DOSE TANKS MANUFACTURER: 1 Rt-rt fi? 6,5 CUMBER OF DOSES: PER DAS TANK SIZE: ;1 O GALLOWS DOSE VOLUME ALARM MANUFACTURER: -w 1 Elec ~cv INCLUDIMG DACKFLOW: GALL MODEL WUMBER: 10 1 CAPACITIES: A=-2 7 INCHES OR GALL SWITCH TYPE: Mc~CI'/~/ ~q 5= _ Z IIJCHES OR GAIL PUMP MANUFACTURER: R. nc5 C = G INICHES OR IdZ GALL MODEL WUMBER: S& q-11 Da _L IMCHES OR 78 GALL SWITCH TYPE: f~1CwGw NOTE: PUMP AMD ALARM ARE TO DE MIWIMUM DISCHARGE RATE 3O.S GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFE&E-MCE DETWEELI PUMP OFF AUO DISTRIBUTION PIPE.. FEET + MINIMUM NETWORK SUPPLY PKEcS~S~URT,E~. , , , , . . 2.5/C7 FEET + 20 FEET OF FORCE MAIN X .~!LF/po►t,FRICTIOu FACTOR.. '/7 FEET TOTAL DyWAMIC. HEAD = / _l/- 0. FEET IMTERWAL. DIMEWSIOM% OF TAWK: LES.i(3,TH S,~ Ih1 ;WIDTH ;LIQUID DEPTH 9 51GI,JEDLICEOSE NUMBER: j'!Zo! DATE: S95--02599 S95-02599. PERFORMANCE CURVES, BARNES S.T.E.P. PUMP MODELS 52, 102, MODEL E202 APPLICATION: TOTAL HEAD MET. FT. In normal pressure sewer systems the effluent pump is in- 42 10 _ stalled in a basin on the discharge side of the septic tank. 130 In new home construction, the septic tank contains a pump insert section which allows the pump to be installed in the 3s 120 tank itself. 110 Usually a home has its own pumping unit, but it is feasi- 30 100 r ble to discharge two homes into a simplex system or 44Z -J, I I I I I - W several homes into a duplex system. Design layout of the 90 pressure system would depend on location and topography 24 eo s of the individual lots. 70 A INSTALLATION: 16 60 Ell- Barnes Effluent Pumps can be installed by one of three so - i methods: (1) the stationary system, for areas having 12 40 shallow frost lines; (2) the rail system, or (3) the flex hose system, where deeper frost lines exist (refer to drawings 30 below). All can be furnished in a duplex arrangement. 6 20 - Fiberglass basins can be furnished in almost any size (con-a _11 tact Barnes for detailed information). 10 A control panel can be installed at the pump basin or in Up MN: 10 20 30 40 60 60 79 side the dwelling, as can a visual or audio high water alarm. LITER. Power costs to operate Barnes Effluent Pumps are much PEP MIN. 37 76 113 151 166 227 264 less than for any major appliance normally found in the home. PERFORMANCE BARNES PUMP EH 31, SE 411. SE 421 SERVICE AND MAINTENANCE: TOTAL HEAD MODELS MET. FT. It is recommended that, in most cases, a pressure sewer system be owned, operated and serviced by the local sewer authority. A sewer district should be formed if none exists is - so in the area. Maintenahce personnel would receive training to repair and rebuild pumps locally. Spare pumps would be kept on hand to replace pumps needing servicing. The home owner 12 40 - would receive a monthly sewer charge to cover cost of operating and maintaining the system. g 30 BASIN INSTALLATION SYSTEMS 6 - 20 Union Connection System' 3 10 I r-4-1 Rail System Flex Hose U... AL. System ` ERM l0 20 3o eo so so 70 60 60 loo llo lso LITERS PER MIN. 75 151 227 302 376 454 F PERFORMANCE MODELS 52, 53, 54, 102, 103, 0• _ TOTAL HEAD MET FT. 90 za 80 S 70 - - is -60 +11 f i FH f- t y~ 50 F _ 12 40 30 8 20 At left, a cutaway view of a 1000-gal. fiberglass intercep- for tank fitted with a Barnes effluent pump. It illustrates 10 use of the flex hose system, utilizing an S. T. E. P. series gDF g pump. Recommended for most new residential installa- LLS, GAL. tions (see picture on back of this flap). la 20 3 40 ao eo 7o w 90 LRER8 L. PER MIN. 75 151 227 302 SOIL AND SITE EVALUATION REPORT Page of in accord with ILHR 83.05, Wis. Adm. Code COUNTY jjD1LHR OPONAWN 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. n dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWS BY DATE r PROPERTY OWNER: PROPERTY LOCATION ` / e GOVT. LOTS e 1/41/4,S/6- T N,R /j l* W PROPERTY OWNER MAILING ADDRESS / LOS BLOCK # SUBD. NAME OR CSM N _ ITY, STATE ZIP CODE PHONE . NUMBER []CITY []VILLAGE [MOWN NEAREST ROAD New Construction Use KI Residential / Number of bedrooms [ ] Addition to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow ! gpd Recommended design loading rate.. bed, gpd/ft2 .~trench, gpd/ft2 Absorption area required //`2.5' bed, ft2 I ~ID trench, ft2 Maximum design loading rate .,.2_bed, gpd/ft2,./, trench, gpd/ft2 Recommended infiltration surface elevation(s) 4. 9,0 ft (as referred to site plan benchmark) Additional design / site considerations Parent material Ci N C 4 ,L. r"11,4 Flood plain elevation, if applicable ft S = Suitable for system CONVENTI AL MOUND IN -GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING T K U= Unsuitable for s stem D S IIIU S U ❑ S J U ®S ❑ U EIS 5aU IffS SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trerxh /44 FR lom V? iiyC~.{GGround ;~v ^52 5` 6 /--5- _ M L Gv . 6 elev. ~'-Z ft. -7 of /'P N Depth to limiting f. facto Remarks: Boring # f 161 a I F ..s As 3 W 74" -6- V R s J-_Ial .4ZIY- /veil - NF N Ground elev. qft. Depth to limiting factor q Remarks: .2 - Z!~ em e '-'e d S Nd CST Name -Please Print ,4 .S Phone: .2 Address: 92' ~2 w X70 ~L eN w o d a/ G/. 1-7- /i o/ Signature: Date: CST Number: PRO dt-lER e-1-? t' eE., 4 '4e ' SOIL DESCRIPTION REPORT Page ~of~ PARCEL LD. 0 -3& /0 9// Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Cons'stenoe Boundary Roots Bed Trench v -le 14? 0 Y13 A 5 6._ - S s M z s l 6 Ground 51- 1 VP /V elev. 99Kft. Depth to { limiting factor i Remarks: Boring # wmi Ground elev. ft. Depth to limiting ` i factor S Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # I Ground elev. ft. Depth to limiting factor Remarks: : I -a Zi; - - - - I i IV, tof .0 k. I , ~ I I 'r 67 14Z I _ - 7 ~ 6 Wc/ - -44 A147 10 i I I - ~.-r- - - _ - i --r- --1 - i r I I I i I - I I I I II I I I i i I ~ I I I i_ - I I - I STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Q6i ; C 4,6;P C T MAILING ADDRESS 36 9e2 z Z., ! t.S PROPERTY ADDRESS cS J~ Z N (location of sep is system) Pease obtain from the Planning Dept. CITY/STATE (4o t5g) t W&O E) G 01-S PROPERTY LOCATION S o!~ 1/4, S& 1/4, Section T~_N-R_JS_W TOWN OF CS?/"" )a 4 &-t- E) ST. CROIX COUNTY, WI SUBDIVISION - LOT NUMBER CERTIFIED SURVEY MAP , VOLUME&& PAGE , 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 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 a ira i n date. SIGNED: DATE: s~ ~JS St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 f • S T C - 100 a' . 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 a ; G tC~ Location of propert 1/4_S-_1/4,Section /S__,TfF2_N-R_5~__W Township _,~jZd, xJd le'57c, Mailing address .3 092- 61 n e z Zr-rj v S i Address of site 3001 Z Subdivision name Lot no. other homes on property? -Yes No Previous owner of property Total size of property 1,"9 4 Total size of parcel Ac A6::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 le ? p- and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No.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. igna ure of App scant Co-Applicant 7/ 1,3 /SOS' Date of signature Date of Signature 77 DOCUMENT Nc. ,STATE BAR OF WISCONSIN FORM 5-1eft TNIs •rACC M984MV90 FOR ACCORDING oarA PERSONAL REPRESENTATIVE'S DEED 46, 51,5062 1 ii i j~ ST. CO.e WI +j Kendra Christine Hankins • _ I Reed lbrR3cwd I - i as Personal Representative of the estate of I APR 6 1994 Helen S. McMinnr a[k(a Helen Shirley McGee a/k/a 10:001, iC. II Helen............................ Benson ("Decedent"), for I IltdDfefit I for a valuable consideration conveys, without warranty, to .......Raltert..P_.._Eichex..and..Karen..M....Eichor....Husbamd_amd.Xi f ei i - cr; Grantee, i~ RCTURN to the following described real estate in U.,.01~RiX........................ Connty, I1 t ~ ~ 11 State of Wisconsin (hereinafter called the 'Property"): it The South One-Half (S}) of Southeast Quarter (SE}) of I. i Section Fifteen (15), Township Twenty-Nine (29) North, Tax Parcel No : Range Fifteen 15) ) West, St.Croix Count Wisconsin, County, feet of I II EXCEPT the South 208.5 feet of East ~I i Southeast Quarter of Southeast Quarter (SEISE}) and t EXCEPT part_ of Southwest Quarter of Southeast Quarter f (SW} SE}) described as follows: Commencing at South quarter jI (S}) corner of said Section 15; thence East 988.12 feet along fA the South line of said Southeast Quarter (SE}) to point of l beginning; thence East 332.52 feet; thence N 0°30'50" W 1309.97 feet; thence West 332.52 feet; thence S 0°30'50" E r 1 1309.97 feet to the point of beginning. I' Northeast Quarter of Northwest Quarter (NE}NW}) and Northwest i Quarter of Northeast Quarter (NW}NE}) of Section Twenty-Two (22), Township Twenty-Nine (29) North, Range Fifteen (15) West, St.Croix Co., WI ii I" is is is Personal Representative by this deed does convey to Grantee all of the estate and interest in the Property which I i; the Decedent had immediately prior to Decedent's death, and all of the estate and interest in the Property whit i the Personal Representative has since acquired. ; Ii Dated this 444.................... day of . 19-1.4.. 1 is .................(SEAL) SEAL) Kendra Hankins I •Personal Representative Personal Representative i evWIPW-2 meow ova spinis, r, Acknowledgement cOi_o¢"o state Of of of On before me. C arT72 SS Notary Public. PersonaltV appeared ~ 4 personGlly known to me (or proved to me on the basis of satisfactory evidence) to be f` O Y the person(s) whose name(s) is/are subscribed to the within instrument and ack- s = = J~ nowleaged to me that he/she'they e,xacuted the same in his/her/their authorized ? 'fv : capocitVies~ and that by his/her/ their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. % •.ti t t WITNESS my hand and official seal. y (This area for official notarial seal) Signature T QnAi,= Y . ATTENTION N O T A R Y : Nthough Me information requested below is OPTIONAL it ouki p r e v e - r . t ulent attachment f this certiticate to another docume t. ~ t~ THIS CERTIRCATE MUST BE ATTACHED Tale or Type of Document At TO THE DOCUMENT DESCRIBED AT RIGHT: Number of Pages Date of~D~oc~~i" ment `nauc! -4 6iY R-1100 (Rev. 9/92) n Signer(s) Other Than Named Above _~Vt - r. atwie nww yr w. •a. Stock No. 13005 FOdM No. S-11U82 S2 4NGRI~ar t. w yrs., ,