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018-1047-10-200
-0 C, o m o o p w, c O O o o N (D E N ~ 0 C O 0~! a p o. y0 E 3 w NzY O' c C rn X c as M *tz 14 ~ o rnma ow N O co 0 O O o N 0) N O d 0 16 ) Q )o H a c Z N Y a c 76 LL O a y O N 3 a E QE a Q a~ 0Q (n I M Z y U) 0 CD 0 N H z a co ~ I o z a a fA F- E o E `o o c 61 0 0 0 N • a R m c°~ 7 rU'- w N 0 Q Q - i+ o a 2 Z O Z o Z o Z I w N 10o r- N A _ y ~ 10 N CL > C. ay~+ p d O_ Mn c O 0 a c E Q o E U) U) to E Z to > E H H al H • =a a aa a !mil v v 7 O d) y C) 0 O Q N 0 0 a 7 O 00 N m y O CL O 9 0) Q U) m CI o 7 w 0 O O C 01 y C O N a O N U O 01 7 LO rn O V' ~i M~ 'I N C U1 U d O O0 O V M~ d C CD O NN 7 O O C 5 O C 00 00 f0 b O o) E Mco y ` Z L N v M ty~' H oo N E M 7 E~ c s • r, f0 Q~ O Vl O E y U N O N 2 Q O Z y H r2' (n . V a ~ ~ =E I v1 m € a EL I L: IL CL -6 2 i `IV r+ v c E 0 R o 3 '.4 0 t A U a 0 U) 0 o °CD o ~ °v3 I CD h o w ~ c 1 Q) Q) 0 N I N N v ~ I I I 3 ~ I R ai ~ I v z 0 I c ii c o Q v M v N z iii E ~ g z r' y y I c~ FN z a co o E z g 0 r U) a z° E M C C • C L O 0 Z Z O z N 0 s I` N ra N y 00 N OI O O O 'I O C~ w C O H d O ' O rG ra Z Lo > o 3 3 E if H O c z •N Eaaa 1 CL E U) c J o U y rn rn z Q C) o 0 O I w o o E :3 Q) 'a cn a~ o~ ~ ti ¢ Yin m I o ado U O U) U) O C N N C N -0 O E N C E In O O M~ N C y U d p r E C N_ o al V w o €o~°' ►-i cy E E 0) C r) co ` m O N O E R U O N 2 ¢ O z z: (A O C/~ w # M a EL 1 O CL d .2 s c • a m U - C E ~ o 3 O rw A ti CL Oaio r l Parcel 018-1047-10-200 03/22/2006 05:12 PM PAGE 1 OF 1 Alt. Parcel M 21.29.17.330-D 018 - TOWN OF HAMMOND 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 - ARMAGOST, JAMES L & JULIE A JAMES L & JULIE A ARMAGOST 841 170TH ST HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 841 170TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE SEC 21 T29N R17W PT NW SW BEING LOT 5 OF Block/Condo Bldg: CSM 10/2718 5 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 21-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1064/44 WD 2005 SUMMARY Bill M Fair Market Value: Assessed with: 90455 259,500 Valuations: Last Changed: 10/19/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 36,800 177,700 214,500 NO Totals for 2005: General Property 5.000 36,800 177,700 214,500 Woodland 0.000 0 0 Totals for 2004: , General Property 5.000 36,800 177,700 214,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 60.00 Special Assessments Special Charges Delinquent Charges Total 60.00 0.00 0.00 • From: Julie Armagost Sent: Friday, September 09, 2011 10:19 AM To: Cary Oehlke Subject: Happy Friday!!! Hi Cary- Hope all is well with you!! I have a quick question my pump on my sewer system went out a couple of day ago. They came out and pumped it out and then found out that the pump quit working. The guy that I called to come and fix it said that I should check with your office to see what model and make of pump we have in our system??? Does that sound like a question that would make sense??? I am clueless with this kind of stuff!!! Thanks!! Julie • • STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER lei/~YJ~PJ ADDRESS ~7o t~-5 SUBDIVISION / CSM# Ud~ Ali 2 7 J& LOT # S SECTION 7/ T o2j N-RW, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Wed t~-ell fo /~owti-l 3 f / '!v ~tol o i 19M INDICATE NORTH ARROW Jf• Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. r e J/ BENCHMARK: /ror Yl ALTERNATE BM: Cotnfr SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: ~r f;f Liquid Capacity: /Dbo ~4 Setback from: Well ' House C/{p Other Pump: Manufacturer Zae//-C.- Model# Size Float seperation ~1,,✓ Gallons/cycle: Alarm Location r-i J tA" 35 } SOIL ABSORPTION SYSTEM Width: 3 Length /aS Number of trenches Distance & Direction to nearest prop. line: CvL../A IY" Setback from: well: 1? House IV Other ELEVATIONS Building Sewer ST Inlet ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system /07,/ Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt LQgAvMl,;rtM W,Ptty21. 29.17W NV A WW6i19ME REET County: .Labor and Human Relations INSPECTION REPORT Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: 99 Permit Holder's Name: ❑ City ❑ Village IR Town of: State Plan ID No.: TAMES IRAMMOND T M Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: le~o, 018 1047-1Q- _ A94~0ff013 'AJ TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark - Dosing Aerati n Bldg. Sewer Holding St/ Inlet TANK SETBACK INFORMATION St/ F Outlet TANK TO P / L WELL BLDG. Ve Intake ROAD Dt Inlet - Septic >Sb © ~,4 NA Dt Bottom Dosing NA Man. S 5~z JdAs#M 1,07,69 Aeration - - - - Dist. Pipe 1670 Hol - Bot. System a 7 D PUMP / NFORMATION COY Final Grade Manufacturer De land 12 Model Number GPM TDH Lift (9 Lrictio System TD ,jb Ft Forcemain Length ~g Dia. p_// I Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width i Length / No. Of Trenches P No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 11191 DIMEN I N SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING anufactu SETBACK INFORMATION TypeO CHAMBER pd8el Number: System: O So, ~o +tl OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Make Length ia. Length _qb Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched _A94-f'rrench Center /,JP affl;~fTrench Edges /~7) - Topsoil es ❑ No 0-YLS-5 ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: H OND.21.2 .17W,NW,SW, OT 5,170TH STREET f C-v ~ - ~ , ' ~ ~ ~ /r ~ ...r--~ , {JAI f S c" 5 ~ _fiu~ ~ Plan revision required? ❑ Yes LJ'No / Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. DILHR SANITARY PERMIT APPLICATION co • In accord with ILHR 83.05, Wis. Adm. Code • QP0 STATE SA19T Y PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ~ 9 99 s q 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. _14136.1 PROPERTY OWNER PROPERTY LOCATION -TA /n5 1'h'I S J- u✓ Y. S L3 S aZ I T N, R 7 (or PROPERTY OWNER'S MAILING ADDR(YS LOT # BLOCK # 414- CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER .5 0 /S A4 et e-05 M 1/a 0-01 11. TYPE OF BUILDING: (Check one) ❑ State Owned VILLLLAGE NEAREST ROAD =N RF: 0-6 7b 4465 ❑ Public J91 or 2 Fam. Dwelling-# of bedrooms 3 AARCIEL N III. BUILDING USE: (if building type is public, check all that apply) 018 „ `Q(11 _ /0 -~QO C330 - D 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~ New 2. ❑ Replacement 3. ❑ Replacement of 4.0 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;& Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 430 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 1~ REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION r1 j' O /11 SZ/ / .It 6 /67, 1 Feet 16* / 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 Holding Tank 111e.) I / 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's Name (Print): Plumber' Signature=~~ MP/MPRSW No.: Business Phone Number: Plumbs s Address (Street, City, State, Zip Code): l 21 f~ 04 a~ z~s s1~ ~7 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued issuing Agent Signs mps) - Approved ❑ Owner Given Initial Surcharge Fee) ~ (Q 9~- Adv rsa Determination o 0 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) 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 re'ievial any new criteria in the Wisconsin Administrative Code will be applicable 3. All revisions to this peraJt must be approved by the permit issuing authority. 4. Changes in owneirship or plumber requires a Sanitary Permit Transfer/Renewal l`oi l D 6399) to be submitted tc; ;he c... trnty prior to installation. 5. Onsife c ,-.~=,e systems muss be properiy maintained. The s ,..0ic tank(s) ^ . st !_y a licensed pumper 4Ahenever necessary, usually every 2 to 2S years. 6. If you have questions concerning your onsite sewage system, contact your local code adriinistrator 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. 11. Type of building being served. Check only one and complete of bedrooms f 1 or 2 Farnily 'Dwelling. III. Building use. If building type is Public, check all appropriate boxes that app!'.;. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank: replacement, ,econnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in 01 7. Vil. Tank infor rriation. =ill in the capa(Jty of ry new and/or existin,,.' :a h zt t! :e total rat ' -Limber of tanks and manufacturer's name. Indicato prefab or site constru,~te, ; ta,l,r rnaterial Cm .'I ?or a!i septic, curt;p/siphon and holding tanks `r this system. Check ezf ir;,t;^ X31 ';pprovai o ` ::irik~- received expo,,!,. ;-tai product approval from DI! J,;(: Vlll, Responsibility statement. Installing plumt-c r is to fili in name; Eir e,-,>e nurnbe with wDormpri tte prefix (e.g. IVIP, etc.,, address and phone number. Plumber must sign appl;cati.-)n firm. IX. County/Department Use Only. X. County/Department Use Only. Comp's*te plans and specifications not -,nl filler than 8% x 11 IPC"Ps mU:st be `Ubmit ed t, ~ tt,{~ COL-)ty. The pans .•a include the following. A) pici t Jan, draw-i to c. r v,ith. co:-VE ,i - c t'o*; of hc_ddi afikis), septic.'Lank+,s) or other ,eat?nent tanks. i titr b4 k: n s iter service, strearri~ ,,od lakes w)Ur71p Or Siph(.'n tank- ;Strihution boxes s-, ow)r' r -ew ~y$tem area : of-a `:-ie loca!ion of the building st5r;.,;~ horizontal -is r, C) complete specifications for pumps and controls; dose volume; ~ vst urn c rfierences f~ a io;s, pump performance curve; pump model and pump manufacturer; D) crross section of the so 'l at- or system if required by the county; E) soil test data on a 115 form; and F; all suing information. - - - - - - - - - - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a nunrJor c- regu!ated practices which can effect groundwater. The monies collected thre!.gh :;i`se V+ rcha „es are used for maniteri ;i c' wwf;:~r contamination ins es?i'?aoi ris and estai liSfltii r:± of itandarr's } SBD-6398 (R.11/88) S~3 41361 Jim Armagost - Mound S93-41361 Location: NW 1/4, SW 1/4, Sec. 21, T 29 N, R 17 W Town: Hammond County: St. Croix Date: December 10, 1993 Owner: Jim Armagost Address: 1085 3rd St., P.O. Box 471 Hammond, WI 54015 Plumber: Roger L. Timm Signature: License # MPR 3224 Attachments: 6748-Plan Approval Application 115 I ~ I page 1: cover 2: calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve page 1 of 7 System Calculations S93 41.361 One family residence 3 bedrooms i Loading rate gallons/sq ft per day Depth to ground water in Depth to bedrock 8 ~O in Cross slope _ % Force main length koro ft of Z. in Manifold/header length NA ft of in Drainback Ar gallons Lateral length 21 @ S q•°ti ft of ~L in Lateral elevation ke3. b ft bottom of ( pipe) i Lateral hole size in @ ~L in ( s•2- ft) spacing %L. holes/lateral, Z 4 holes total Lateral volume gallons Total lateral d.i.scharge rate Zg '°g gpm @ Z ft head Elevation difference ft Friction loss ft @ Z gpm Total dynamic head Q ' 3 ft Pump/si*on 4< gpm @ 11~ ft of head Manufacturer Model # qVI Dose volume gallons Lift/si~Aon tank C-0 gallons Septic tank , \ gallons Measurement pump on & off in Height alarm from tank bottom 1i'•~ in Reserve capacity 3 3 Z + gallons talcs page Z of S93 41361 • _ \~'1 ~►w •t i 1~~0 ) 1 1 bye tV W - S\N. Z.\' Z~, 1~ W ~owy; wwa+e~+~ Q ~ ) C 5~' ~ S+bvtr~ . \`4 11.E i L/4 i }e~ .y 270 ~.a 16 R/ w t P c ' I Lip S2-~ nn I S.w S~ a '~l +o OW..th ~ wa~i f SEWAGE SYSTEM I P y ( I 0 LABOR NUMAH RELATIONS II DEPT. OF INDUSTRY, D •g' +•<< 4 DiVISI 7 OF SAFETY D BUILDINGS GZ N w ~ T SEE C R E PONDENCE W Q bH.1~►+et : ~ ~ ~ ~e~1kv.V~ aX.~.~. H _L t . ( Lob' :1 i~`:f'W, 1v•~,'4- ~e~,.i.w.:~.~K s' o.~....i 3 a~ Sze-~.v%o, c~osi S ~:o.~ S93 41361 ai t ~~Ji~ Ow / Z 3 V. oe.\ IC& , , 06V Q4D V. AI-VV • 1 / ILI- 0 9 1.o WC \ 1 M tt w.. S1 \ b s..bco: Sa..a \ QAJ 1 O.v `.w, 1 01..1 ~~j ~m I 1~ - z~.3 SEWAGE SYSTEM + ronditiont lly Unrla`VED `T. OF INDUSTRY, LABOR & WMAN RELATIOUS t3I iSi OF S ,FETY 0 BUiL' "Us U f S 9 3 413 61 y ,r t c~ 3.0' 2 11.1' 192.5 C.-Ls 3 ~ 14s.te~ L s ~ O. Q ~'~O AN (O Y V ~ 1 1 T Q/V ~ l w. H•• ~S1/.`~ ` ~y 4~w TC 1 T :.1.~ ~ ~.~\1'(`'~~ W. p. 4., Pvc cr.~ o =Q.~..,.~~:~.. N u~rQ.: ~ a+ o~v .►~.1 ~ Q.r Z . to ' a ~ c o., ~ c i it c ~.1c ~ Z-" 11L P~~ s..~ 4v - I ~ I Sa.a ' 1\q.Sj ~ • vif" ~AQ- X co..,.O t0%._ -Q- La lc2.S„ 1 s X. L ~~-Q : z 4. U, ~9, LL" O~ 'T. OF INDUSTRY, LABOR 1i HUiAAFi F .n€ 36 VISI OF SAFETY AN i1.3bim'' r SEE CO E N sc; • S 9 3 4 1 3 6 1 MA,N W EATNERPROOF I.OCKIWG COVER t JicUNLTIaN Gc/A~nvW6 4/IQE~ QUICK DIOC4IV1CT-\ Cr 4., c.z. INavECnrnovFK,Nv 11R.~,, ~I ~ ~ ~ mod' .s. vlv~ 3' 0 NDISTuReED Sot L. 24" I.D. I 4 C.L. SELDW MANUCILE V>+NT MIN. } fAC4 7- fA4 r I ~~W4-D 1 ~PDROVLO A«~ C.X. PtG 1t~Y . Jb>~tT'g I- vim ALa 19•. C t x C >✓e~ , . jai D ~ ` T. plVlal~ QP S PUMP t?l CoNcRcr~ I:-- >rFV, 41,64 'se co 6LoCK SEPTIC E SPECIFI'CATIOFJS DOSE TAWKS MANUFACTURER. WMBER OF DOSES: 4. PER DAB TAAIK SIZE: k GALLOUS DOSE VOLUME ALARM MANUFACTURER: IMCLUDING BACKFLOW: 1 Z GALLONS MODEL ►JUMBER: Vk`'' CAPACITIES: A= IWCAES OR 3Iz.1 GALLONS SWITCH TYPE: `O 8= L INCHES OR Z4'~ GALLOAIS PUMP MANUFACTURER: } a4- C- C= INCHES OR tt GnLLO1J5 MODEL >\IUMBER: ~ g D- ~ 11.iCHES OR ~9 GALL01J5 SWITCH TYPE: MOTE: PUMP AND ALARM ARE TO BE MIAIIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL OIFFEREAICE BETWEELI PUMP OFF AA10 DISTRIBUTION PIPE.. ~P~3~/ FEET + MIAIIMUM METWORK SUPPLY PRESSUR7,E~. . . . . . . . . . , 2.5 FEET + FEET OF FORCE MAIN X I %4 FYFRICTIOU FACTOR.. I'~4 FEET Q, ~ y- 100 fT. TOTAL ObWAMIC HEAD = `¢'39 FEET 39, WTERIIAL. DIMEWSIOIJG OF TANK: LEKIGTH 4 1` ;WIDTH ;LIQUID DEPTH 1 (a L t9 F 'T } .'111/ ~ ri:~: } T 3.J Av • •:}u•Ln 1 f . vl :Y.:;C:n..::::..:..:.:...::v.:;•..:.'Uv'4-.,:..:::::+.;:rv'.x.::{.:n}.:~::::::::::::: 893 41 6 HEAD/CAPACITY CURVE TOTAL DYNAMIC HEAOXAPACITY PER MINUTE EFFLUENT and DEWATERING EFFLUENT AND DEWATERING WARNING: Model 185 should not be subjected to less than 30 feet TDH. 34 s2 1 TOTAL DYNAMIC NEAD,CAPACITY PER MINUTE EFFLUENT AND DEWATERINO 100 3333 50 95 SERFS 57-30 06 137-139 161 167 165 165 166 11111 _ 160 28 F7. M Gal L66 G61. L06 Gal. LUG Gd LIn GY. L06 oY L6• U L66 WI. L66 Gr V, Od Ua 3 1.52 43 163 72 273 104 301 106 601 61 271 61 271 S9 220 155 S6/ 153 517 26 10 3,03 31 121 61 231 70 700 100 776 61 271 61 271 51 220 14 S60 151 $72 15 437 11 72 45 170 61 242 91 544 60 227 60 221 70 210 162 S3/ 143 610 26 R0 20 6.10 25 13 36 136 62 710 50 223 60 227 56 220 IM SIS 140 530 75 2S 7.62 1 30 74 260 57 216 50 223 SI 2" 126. 161 133 S03 22nl 30 0.11 65 216 SS 206 56 220, 00 310 56 _ 220 121636 127_ 111 70 40 1211 45 171 46 172 SS 206 75 263 54 220 105 797 114 431 _u 20 50 111,24 21 60 37 123 51 161 S1 210 16 220 10_ 341 100 370 3 60 11,21 15 37 17 161 36 136 51 220 71 20 65 N 0 16 70 21.11 30 111 /0 35 52 117 51 113 70 266 j S5 b 2130 11 53 45 170 26 106 $4 201 0 16 W 27.43 _ 17 121 2 1 37 110 100 .SRN 1/ f6 21 70 11 15 110 3200 7 21 / 30 12 LM V61R 1623• 23' 21' 56' 16' 87 73 11!' 61 119 a To- 11- 6- '161 1 16e 1G 2 HEAD/CAPACITY CURVE ! 6 T4N- 3e le u SEWAGE and DEWATERING 10 2ao 10 60 50 6 240 7G 602090 100 11 1201 1105Q50 160610 WARNING: Model 293 should not be subjected to 0 FLOW PER LNNUTE less than 15 feel TDH. TOTAL DYNAMIC HEADXAPACITY PER MINUTE SEWAGE AND DEWATERING OERIEO 262 288 267 261 202 206 202 203 211 211 608• FT. M. Gal Ln Gal Los Gal Ln Gal Ln Gal L16 Gal Ln Gal Ln Gal Ln Gal Ln Gal Ln Gal Ln 5 1.52 90 341 126 184 128 484 128 461 130 492 180 611 140 530 196 742 ?25 852 400 1514 10 3.06 60 227 89 337 69 337 89 337 ;0 360 158 598 121 469 181 685 205 116 350 1325 16 1.57 22.5 86 50 189 SO ,a89 50'.1,89 238 135 611 106 101 130 0.92 165 626 185 700 300 1136 .Of - 20 6.10 10 38 10 10 33 Alk 106 401 80 333 119 450 150 568 168 636 250 916 v 25 7.62 93 76 286 68 257 106 401 136 515 153 $80 200 757 l0 30 9.11 169 47 178 90 310 121 168 110 530 150 568 20 5 - 40 12.19 ` 5 19 50 189 91 356 115 435 16 50 1521 58 220 89 337 5s 60 1829 13 49 59 223 16 4 S6 70 21J1 25 96 Y " a5 Lo6IIVaW 18' 21.5' 21.61 21.6' 26' 35' 42 50 62 77' 40- 40- 5 Y la o 291 6 1! 6 10 762 Iy 6 7R~ 10_ 7 767 291 - 5 166. 67, 6 296 795 0 U.S. GALLONS 10 20 70 60 50 60 70 60 00 1;01110 120 130 110 150 160 1701101 700 21 ]70 ]30 710 750 260 210 80 290 300 f10 370 3,10 J.350 16 710 310 300 100 111 LITERS 0 00 160 210 320 100 6a0 360 HO 730 ON U0 960 1060 1110 ,700 1760 1160 IL.0 1570 FLOW PER LaN17,E i II 40 o~ ~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page -4-- of 3 Labor and Human Relations Dvisibn 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 St. Croix 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 Jim Armagost GOVT. LOT NW 1/4 SW 1/4,S 21 T 29 N,R 17 XFX" W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1085 3rd St. PO Box 471 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE OWN NEAREST ROAD Hammond, WI 54015 (715) 772-3216 Hammond 170th St. X] New Construction Use [ X] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .4 bed, gpd/ft2 •5 trench, gpd/ft2 Absorption area required 1125 bed, ft2 goo trench, ft2 Maximum design loading rate • 4 bed, gpd/ft2 •5 trench, gpd/ft2 Recommended infiltration surface elevation(s) 107.1 ft (as referred to site plan benchmark) Additional design/ site considerations install 3' x 125' rock bed mound on 10r ,.l ns upslnhP PrigP of rnek hart Parent material loess over till Flood plain elevation, if applicable NA ft S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable fors stem ❑ S E ❑ S ❑ U 1:1 S ®U El S ©U ❑ S U El S fil U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench sl 2 m sbk mvfr as 1m .5 .6 1 0-9 10YR 3/3 - 2 9-19 7.5YR 4/3 - sl 1 m sbk mfr gs if .4 .5 Ground 3 19-40 7.5YR 4/4 - sl 1 c abk mfr gs - .4 .5 elev. 106.8ft. 4 40-70 7.5YR 3/4 f3p 5YR 5/2 scl 0 m - - - NP 0.2 Depth to limiting factor horizons 2 & 3 have o casional gr & cob 40" Remarks: Boring # 1 0-9 10YR 3/3 - sl k'yt ~4i 4 2 2 9-30 7.5YR 3/4 c2d R-Gy scl . ;I.; Ground r, elev. 110 ft. C- 1 v Depth to _ limiting factor ~q. 911 Z`r `F r Remarks: CST Name:-Please Print Phone: Henry F. Grote 665-2681 Address: PO Box 57, Knapp, WI 54749-0057 Signature: Date: 12/3/93 CST Number: 3065 PROPERTY OWNER Jim Armagost SOIL DESCRIPTION REPORT Page of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 1 0-7 7.5YR 3/3 - sl 2 m sbk mvfr as if .5 .6 3 2 7-40 5YR 4/4 - sl 1 c-m k Ground 3 40-45 5YR 5/6,5/8 - s 0 sg ml as - .7 .8 elev. w/ 111 band of gr @ 4 105.4ft. Depth to 4 45-51 7.5YR 4/6 - s 0 sg ml as - .7 .8 limiting tigh due to poor sorting 45-47 w/ gr & 7.5YR 3/ sl factor > 86" 5 51-86 7.5YR 4/4,4/6 - cs 0 sg ml .7 .8 W/ occasional gr & cob Remarks: Boring # 1 0-6 10YR 3/3 - sl 2 m sbk mvfr cs if .5 .6 4 2 6-13 7.5YR 4/3 - sl 2 m sbk mfr cs if .5 .6 3 13-52 7.5YR 4/4 - sl 1 c abk mvfr aw - .4 .5 Ground n places 13-30 w/ boundary dipping at abo t 30 degrees elev. 106.0 ft. 4 52-60 2.5YR 316 f2d 5YR 5/2 scl 0 m - - - NP :.2 Depth to in p es 3 -60 duet erratic boundary limiting factor 30" horizo is 2 & 3 have gr and occasional cob Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) 1 ~'~w I lew~ ~t~-~~~o't ~'ey iVw-Sw.'i.~-tq-1'3w q i •t~'M '~o !ei s4c ev w ca Lip SI i G'~ N w T'r ~ g 3 (r7p W 1 11 f wdt i-u V(.' }~iwK ~.-v►t „nw.'T tow n.p ~ ~ L ~►OT ~ ° iw1 `i 1'~h/~ ~Dw F 1 O? XJ~•( W: ~ ~vl 1~ S o. a.~. a3 ~ ~ v P S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWN ER/BUY ER r ADDRESS /d 3 y-7 ( FIRE NUMBE CITY/STATE Giin~tc ~ U/ ZIP PROP'ERTY LOCATION: UW1/4, S W 1/4, SECTION Z1 , T_2:JN-R /9 W TOWN OF_ f , St. Croix County, SUBDIVISION_ C5M 1 iD LOT NUMBER. Slam-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 a 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 Co. Zoning officer within 30 days of the three year expiration date. 4_1 ) SIGNED: DATE: St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 STC-100 *.This application form is to be completed in full and signed by fthe owner(s) of the property being developed. Any inadequacies will only result ~n delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), thenia 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 krr►,e acs 7 Location of • propert1/41/4, Section T aS' N-R l=7 W Township Mailing address Address of site subdivision name-CSC ) 7a ~ a7/8" Lot no.__;_ .5~ other homes on ro ert p p y? ves= .No Previous owner of property din Total size of parcel Date parcel -was created 'Are all corners and lot lines identifiable? Yes _______No Is this property Oeing developed for (spec house)?_Yes XNo Volume fbkand.page Number =T 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 & 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. Slob , 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 County Register of deeds as Document No. S gnature ap li ant C -app cant Date of Signature Date of Signature ' r ' II I THIS SPACE RESERVED FOR RECORDING DATA III DOCUMENT NO. I STATE BAR OF WISCONSIN FORM 1-19821 ~ A ANTY DEED ' 512800 Y'OL~~PAGE 44 REGISTER'S - OFFICE This Deed, made between -Annabelle D. Hanson. alkla-..•~ S1'. CROIX CO., W1 11 Annabelle Hanson.--a widow,: by-.Evan--Hanson her Power o R'dfor !?e~c;d - l Attorne - Grantor, FE B 7 1994 - and- _.JaMeS-1._--Ama Qat__and_ Julie_.A.__-Army osi .-husband--------- ! 12: 30 _ F. and-..wife.-a-s--Birvi-vo~rship--marital- -propertty----}-------------- i~ d M - - Register of Deeds - Grantee is Witnesseth, That the said Grantor, for a valuable consideration_.___~ I, Qae_Dollar_.grad--other- -good-and. valuable- --consideration---------- ~ RETURN To__, _ conveys to Grantee the following described real estate in _,St.,_XXjCLi C______________ County, State of Wisconsin: j' Tax Parcel No: Part of the Northwest Quarter of the Southwest Quarter (NW-4 of SAO of Section 21, Township Twenty-Nine (29) North, Range Seventeen (17) West, Town of Hammond, St. Croix County, Wisconsin described as Lot 5, CSM Vol. 10, Page 2718, Document No. 511120. j i homestead property. This _..1---not (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; warran s that the titleairst good, indefeasible in fee simple and free and clear of encumbrances except easements, I' tl j restrictions, reservations and covenants, if any, of record, and highway rights-of- j way. ji s and Dated will this warrant and defend Y the T-- me. day of G"= j~jrif 19 y II C 101-.1 ------------------------------(SEAL) ~V---------- ~ .(SEAL) -Annabelle-D._-Hanson-by_._-_--..___-_----- Evan Hanson her power of Attorney (SEAL) (SEAL) j - - it AUTHENTICATION ACKNOWLEDGMENT j Signature(s) Evan Hanson STATE OF WISCONSIN 1 / , yl`f --------------------------------------County. authentica i _ __day of___ 9.4 Personally came before me this ________________day of 1 ~I 19 the above named ~I ward F. Vlack i TITLE: MEMBER STATE BAR OF WISCONSIN ~I (If not, authorized by § 706.06, Wis. Stats.) it to me known to be the person who executed the foregoing instrument and acknowledge the same. I' THIS INSTRUMENT WAS DRAFTED BY Edward _ . F _ Mack, _ .DAVISON_ _ & - _VLACK . 200..E..--Elm,_St,.,.__Rivex._Falls,__WI_.__54022.. Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: ---------------I 19--------•) -Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Lecal Blank Co. Inc. FORM N. 7 - IgR2 -