Loading...
HomeMy WebLinkAbout036-1067-50-000 z m 0 p 60 N G M a O C N (D N ` ~ 0 p ~a (0 w C C O i _Q (n ~ N fr C N N O N p t2 0 co C z o a~i . ca o = c z c N II' Li c E o E m a Q -p w 3 3 Cl) ~ o z w E z Q o z a a~i Q, w a m N I- Z C 0 c C7 co o z .N.. o 'd z E '2 Cl) p v ~i C I C O © ~ z z z w N -7 n £ E N H m Y LO O. (O (O H d p C p 0 0 G G a N C N i~ E > fA N v) U E N O ~Vyyu _ N N ~►i 'I; E 0 0 0 d 0 Z o O 1v m L a a a a U N O N Q) 0 0 vJ J U Z rn rn o y } p 0 n > O N O O O N W ao (o I. O 'p m y w33 N 04 OD Cl O O IAN/) C Y O W C O Q y = n N O y O L" ~O III ..o+ C co , m O Q O r ` ❑ C E Y V (no n~ Q c y a j N LOr O C O n _ !3k 00 w 04 -0 ~ 0 m p ui O Na ('Cco 0) i O N (n Q N O N Z fn m a • a m m `IV E c c ~w 9z C.) IL 0 U) 0 Parcel 036-1067-50-000 06/21/2007 08:29 AM PAGE 1 OF 1 Alt. Parcel 29.31.17.437E 036 - TOWN OF STANTON 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 - KVAM, MARK & TERESA M MARK & TERESA M KVAM 1598 200TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1598 200TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 10.000 Plat: N/A-NOT AVAILABLE SEC 29 T31 N RI 7W 10A IN NE NE E 394.26' Block/Condo Bldg: OF N 1105'OF NE NE Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 29-31 N-1 7W Notes: Parcel History: Date Doc # Vol/Page Type 10/23/1997 567336 1272/123 WD 07/23/1997 1082/155 WD 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/17/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.000 35,000 177,900 212,900 NO Totals for 2007: General Property 10.000 35,000 177,900 212,900 Woodland 0.000 0 0 Totals for 2006: General Property 10.000 32,000 177,900 209,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 128 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 STC - 104 AS BUILT SANITARY SYSTEM REPORT i OWNER ADDRESS SUBDIVISION / CSM# LOT # SECTION T~N-R / 7 W, Town of Z-1)- A i ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF "SYSTEM "ji /cam ' oil INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. K II I BENCHMARK' 24 aZ ' ' ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: _1 Liquid Capacity: Setback from: Well i~% House Other Pump: Manufacturer Model#~ Size Float seperation Gallons/cycle: Alarm Location - SOIL ABSORPTION SYSTEM Width: Length4 Number of trenches Z Distance & Direction to nearest prop. line: Setback from: well: Housed Other ELEVATIONS Building Sewer ST Inlet. ST outlet 91,ge/ PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade a~sL Final grade lt~l~ DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt Wiscor*n Department of industry, PRIVATE SEWAGE SYSTEM CountyST. CROIX Labor afrd Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 218927 Pt6too b Nar~ TONIO E] City Village Town of: State Plan ID No.: STANTON 036-1067-50-000 CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: A9400212 /.rc TANK INFORMATION ELEVATION DATAs C TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic od ,W Benchmark o2,SV" A~,1d. Dosing ld) L~ ~ f 0.3'21 ~ `0~, 2a Aeration Bldg. Sewer Hold' g St/ Inlet _'20 TANK SETBACK INFORMATION St/ I)( Outlet p' TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet C} Air Intake /0 Septic ~~G> 3 NA Dt Bottom 8 O Dosing NA ktjW / Man. ^ ! ~j. 3 Aeration NA Dist. Pipe Bot. System 3 3 ' 4 g, v PUMP / ijiBiMFORMATION Final Grade Manufacturer Demand / 6'f'140 Model Number Vq b ~ 4/ GPM TDH Lift .11 Lrictio System TDH W7 Ft Forcemain Length Dia.Dist. To Wellj/5^o 71 SOIL ABSORPTION SYSTEM BED/TRENCH width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1 D11 Ma urer: a~u4 SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACH Mode Number: q ~ INFORMATION Type 0 6- c , CRAM Systemyt)~Z/.> r;~ ~a D /moo` 13,: NIT DISTRIBUTION SYSTEM i Header / mamfold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake z~ Length Dia. Length t~ Dia. 1 Spacing 6 " SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of l xx Seeded /~prJded-- xx M Iched No Bed /Trench Center Bed /Trench Edges 1~ Topsoil I - I'll 51"Yes ❑ No es El COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: STANTON 29.31. ~-7.437E,ME,NE, 2(~~THSTREET P Plan revision required? ❑ Yes [?(No Use other side for additional information. SBD-6710 (R 05/91) Date r` r s ignature Cert. No. l . ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code COU 61 STATESANITA PE MIT# -Attach complete plans (to the county copy only) for the system, on paper not less than 8% X 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLA I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPE O NER PROPERTY LOCATION t/4 r1Z t/4, , N, R tl(Or PR PERTY OWNER'S m AILING A DRESS OT # BLOCK # f I CI STAT ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NU BER 7/7 11. TYPE OF BUILDING: Check one) CITY NEAREST ROAD ( ❑ State Owned ❑ VILLAGE : ❑ Public 1 or 2 Fam. Dwelling-#~ of bedrooms _5' ARCELTAX NUMB R(S) III. BUILDING USE: (If building type is public, check all that apply) c" s(~-- leC17^,s-r 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 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. ~ 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 ,0 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./'nch) ELEVATION Feet 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 " 6 L -1 -1 El F1 I Lift Pump Tank/Si hon Chamber ^ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installa Ion of the onsite sewage system shown on the attached plans. Pl[umbejs Na (P 'nt)'. Plumb 's S' n re: p MP/MPRSW No.: Business Phone Number: A ` lumbers dd ( reet, ity, tat , Zip Code): ,n - IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanit ry Permit Fee (Includes Groundwater ate Issued Issuing A o Stamps) Approved El Owner Given Initial Surcharge Fee) Adverse Determination . CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS t 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. *c 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399)AD 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: r: 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. Ill. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) Wisdoos n Department of Industry, SOIL AND SITE EVALUATION REPORT Page _4of ..2 Labor 1,W Human Relations, UjAsion``6bf 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 s;z 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 PROP RTY OWNER: PROPERTY LOCATION GOVT. LOT 1/4 N,R E (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLO # SUBD. NAME O CSM # t C j , At I 'Von CI TATE ZIP CODE PHONE NUMBER CITY V LLA E [MOWN NEAREST ROAD New Construction Use [X] Residential / Number of bedrooms ( ] Addition to existing building [ ] Replacement [ J Public or commercial describe Code derived daily flow r~ gpd Recommended design loading rate 1_bed, gpd/ft2 trench, gpd/ft2 Absorption area required bed, ft2 _ trench, ft2 Maximum design loading rate 4, bed, gpd/ft2~trench, gpd/ft2 Recommended infiltration surface elevation() ,9`-~ ft (as referred to site plan benchmark) Additional design / site considerations Parent material ~G 4,6,E _z ~S'' S.4- , Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem ❑ S [O U 0 S ❑ U ❑ S ® U ❑ S 0 U ❑ S 19 U ❑ S [A 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 en - '9 Ground elev. 9g'~2_ ft. _ 'V14 9 Depth to limiting S fact - - f ell Remarks: Boring # c iz_ Ground elev. A410 A//Q ft. Depth to limiting factor „ Remarks: CST Name:-Please Print / Phone: Address: ) , Signature: / Date: CST Number I- 9_/~ 4_1 PROPERTY OWNER, SOIL DESCRIPTION REPORT Page of . 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 Trench Ground elev. ft. Depth to limiting y fact Remarks: Boring # Ground elev. h. Depth to limiting factor Remarks: Boring # ti Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) icy ,~n1ia,/~ /V. /Oh- SEc T3//~'-7~ 1,5 78 ~usLs O ~ / 6jo fl , 1 \ o i n5 / o 7 ~ s1rlst Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Aelations Division of Safety.& Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Jn0mu(st;inQudP,but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROP RTY OWNER: PROPERTY LOCATION GOVT. LOT 114 N,R E (or) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLO # SUBD. NAME 0 CSM # t , CI TATE I ZIP CODE PHONE NUMBER CITY V LLA2 E MOWN NEAREST R?~Ap (Xj New Construction Use [XI Residential / Number of bedrooms >j (J Addition to existing building [ J Replacement [ ] Public or commercial describe Code derived daily flow er gpd Recommended design loading rate 1_ 2 ed, gpd/ft2 trench, gpd/ft2 Absorption area required, bed, ft2 ,-?75" trench, ft2 Maximum design loading rate y(,2_bed, gpd/ft2trench, gpd/ft2 Recommended infiltration surface elevation() ft (as referred to site plan benchmark) Additional design / site considerations Parent material 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 2 U 0S ❑ U ❑ S ®U ❑ S 13U MS o u ❑ S au 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 Trench Ground L elev. ft. Depth to p limiting .S fact - P P Remarks: Boring # 1Z -2.- y4a;.; • ' 7 7 je Ground elev. A&o A//0 j ft. Depth to limiting factor „ Remarks: CST Name:-Please Print Phone: Address: Signature: L/ 'I-14A L Date: CST Number- , 411Z PROPERTY OWNER SOIL DESCRIPTION REPORT ' Page ,;~Z of y~ PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tram Z ra: ,2 go Ground elev. ft. IvId Depth to s St'~~ limiting factor Remarks: Boring # \r1"*-\oi 1w, Ground elev. ft. Depth to limiting factor Remarks: Boring # r t Ground elev. ft. Depth to limiting factor T-1 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) i I 1 ,20e Alf i i l~ ! ~ ~ II ~ i I I ~ i ~ I i I I I i ; ~ I i J ~ I , I C✓ ,E i , I II I + ~ I I I ~ ~ I I I I I, I _ I I 1 i I I I I ~ j ~ ~ I i i ~ I I I ' 83• ~ ~ I I i i y; I ~ I I i IN G 0 I I v LIP I I t I ! j i I I i ISP4"40fA10- -t - dJ , ~ 135 O I I ~c.7 +.C.~izwp .5--5!49/'7 - t t-r`'~o✓✓ r t ± - f - - . - . I I ' I _ I w I i rs is~a A)z4a ! 8 I ~I sue./ ~ ~ - - - I I - Lp fl~"S IA STR t r -4- t - Ff I1lV ~ i I I i_ r 1 h t- ~ r is 0 B 3 i ' c' ~ I f 1' 1• O I s r I I 39 I , WORKSHEET - M Y S 9 4 4 0 6 0 0 MOUND S STEM DESIGN PROBLEM: Design a mound system fora The site characteristics are: Depth to groundwater or bedrock in. Landslope % Percolation rate d-4 min./in. Distance from dose chamber to distribution system ft. Elevation difference between aump and distribution system .4?e. ft. Step 1. WASTEWATER LOAD gal Step 2. SIZE THE ABSORPTION AREA A) Area requlred ■ -~S'O 415 T sq. ft. B) Bed or trench length (B) = 9,,~-ft. C) Bed or trench width (A) ft. D) Trench spicing (C ` Wastewater load .24 gal/f t2/day B = ft. r k X Lre'ic e1 s Step 3. MOUND HEIGHT .A) Fill depth (D) ft. B) Fill depth (E) ■ D t slope.(AY4) ft. C) Bed or trench depth (F) _ ft. D) Cap and topsoil depth (G) _ •,~f~ ft, E) Cap an topsoil depth (H) _ ft. ~,i~n• Licanue N11: t~qy~ d r Jt • Step 4. MOUND LENGTH A) End slope (K) _ CD + E/+ F + H x3 ~D• ft. 2 ) rTZ/1 - - x S r )4,,P3 t7t; B) Total mound len th (L) B + 2(K) ft. ~3. - //39s Step 5. MOUND WIDTH Al) Upslope correction factor 7 A2) Upslope width (J) (D + F + G)(3)(factor) _ 3 ft. , 9 3~- (3) (,97) 2 Bl) Downslope correction factor 62) Downslope width (I) _ (E + F + G)(3)(factor) ft. 6,4 74,83.4 67) C/, 63) ; 8i 87 Cl) Total mound width (W) for bed . J + A + I =ft. C2) Total mound width (W) for trenches ; J + + / (no. trenches -1)(c) + A + I = ft. Step 6. BASAL AREA A) Infiltrative capacity of natural soil ■ gal./ft2/day B) Basal area required = wastewater flow natural soil infiltrat ve apacity = sq. ft. -~s / , C~ - 15-0 Cl) Basal area available for bed for sloping sites = B x (A + I) sq. ft. C2) Bas are -avail le for trench for sloping sites = B W (J +A I = sq. ft. T11 C3) Basal area available for trench or bed for level es B x W sq. ft. Sign: , .~2 A. License Wu Data: foal 64~ 01 ;Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size = in. 2) Hole spacing = 16 in. 3) Distribution pipe length = #~,~'•t' 4) Distribution pipe diameter ■ in. 5) Spacing between distribution pipes in. 6) Distance from sidewall to distribution pipe = in. 76) DISTRIBUTION PIPE DISCHARGE RATE ft. 1) Number of holes per pipe ■ .1fL. 2) Flow per pipe = 1~.Z.. GPM 7C) SIZE MANIFOLD 1) Manifold is _ central/ end 2) Manifold length ft. 3) Number of distribution lines ■ 4) Manifold diameter in, 7D) SIZE FORCE MAIN 1) Minimum dosing rate = 3 GPM 2) Force main diameter ap_ in. 3) Friction loss 90 aI _ / ft. 7E) TOTAL. DYNAMIC HEAD 1) vertical lift = ft. 2) Friction loss z ft. 3) System head 2.5 ft. _ ft. Total dynamic head ft. sign: Ucerp, Date 0 J, Lq)4-40600 16,5416 7F) PUMP SELECTION 1) Pump selected will discharge , GPM at ft. total dynamic head. 2) Pump model and manufacturer , 7G) DOSE VOLUME 1) 10 times void volume of distribution lines = gal./cycle 2) Daily wastIwa.~rr vol Z. 4 doses/24 hrs. _ gal./cycle 3) Minimum dose volume = _ gal./cycle 7H) DOSE CHAMBER 1) Minimum capacity required = Sic- 7,. c gal, Sign; Licvnse I:u: Date. 01 S94m4O6OO Designer' Paf a..* Non-Woven Filter Fabric 4" Observation Pipe - Dittribution Pipe ASTM- C 33 Sand / N ~ Alter, Pos. of Toptoll r Force Main % Slope Bed Of 2 = Force Mo in Plowe d Drain Rock From Pump Layer r D E Cross Section of A Mound System Using A Bed For The Absorption Areo F --+g3• G `S A F t. W . a• a ~us~R 'sar a _ B 9?, 7--5- F t . clv boo j A q Ft. 5?,3 Ft. K jo• / Ft. Alternate Position L 1p.CL Ft. of Force Main k' Ft. L 14~Observotion Pipe e -K mA(fi - o Force Main w V) .IL From Pump F 3 00 Distribution Bed Of Pipe Drain Rock 1 4 Observation Pipe Permanent Marker Pipe or Rods. Pion View 01 Mound Using A Bed For The Absorption Area PAGE_1~_OFZjQ S94m40600 PERFORAtED PIPE DETAIL and DISTRIBUTION PIPE LAYOUT Perforated Schedule 40 PVC Pipe End Cap e - ~~°e 4 ~ay9~'a i Holes Located On ~~ti Bottom Are Equally k " Spaced End \ ;z Cap 4 Schedule 40 PVC Force Main Last Hole ISS Should Be - ,A~r1'j~~'SpE Next To End Cap 1` btu Owner's Names p feet Plumber7., gner' iqn u es x_ inches y inches Dates License No.: Hole Diameter ~ inch Lateral Diameter inch(es) Force Main Diameter e;V inches ,/2 Holes per Lateral O Z feet. Invert Elevation of Laterals Page of • a cn a lD b A ~ rt W fD A W :nn 'Ilk 0 M O M S fD o tft ~ b ~ ro a 0 LZ +-+r r r __++r (D It o° O Q r+ Ifi d Z7 STSY~ AW 513'al" + Y~i :qn or SAE k a a c~ .,r 'A i PAGE OF ~L.LL PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS , 94 w 4060 0 VENT CAP M*=. VENT PIPE APPROVED LOCKING WEATHER PROOF JUWCTIOU BOX MANHOLE COVER ~ 25' FRAM DOOR, WINDOW OR FRESH 12~MIU. AIR INTAKE I GRADE ( ( `I~ MIW, I !`L,,,,~~. • CO►JDUIT ~ WAIN. - IAILET. S 5,S S ,u PROG ITESEA I I 'y'~ r ART H L I I I V ~~~~t.. I III APPROVED JOINT A ~ I ( I) I APPROVED JOIWT~ W~ .PIPE `~,'~•t' I III W~em. PIPE I I ( EXTEWOIUC, 3' CXTCNDIN~S 3' ALARM ONTO SOLID SOIL B F e`." I i ( ONTO SOLID SOIL Ati ~ ' ,-r S~~ v I I GN p1 S 6 D~ gpF~ • I. I PUMP p~IF SAS ~ COWCRETE BLOClt RISER EXIT PERMITTED OIJL9 IF TAWK MAULWACTUP.S.R HAS SUCH APPROVAL SPECIFI.CATl0US CP-hC AND _ OSE TAWKS MAWUF•ACTURER: h2z KIUMBER OF DOSES: PER DA.4 TANK LIZE : RA^ GALLOWS, DOSE VOLUME: / IZS:CL ALL Mtn . GALLO►JS ALARM MAWUFACTURER: ~F_r! n ~?~Y? CAPACITIES: As,~_IWCHES OR ..~L GALLOW5 MODEL 1JUMBER:_.,~~%✓ B=~._INCHES OR GALLOWS SWITCH TYPE: Cs~_INCHES OR GALLOUS PUMP MAWUFACTURER: 1 D■~INCHES OR 7'l° GALLOW5 MOREL WUMBER: jjEQ,.?)1m - -?xetz;_ MOTE. PUMP AND ALARM ARE TO BE INSTALLED ON SEPARATE CARCU ITS PUMP DISCHARGE. RATE ~ GPM , L; , ~ Ct r~ n~. h; . VERTICAL, D1hYERENCE BETWEEN PUMP OFF AND OISTRIBUTIOW PIPE.. ,l3,D FEET + MIWIMUM WETWORK SUPPLY P-R~E/S~SURE, 2.5/ FEET + _L^ _ FEET OF FORCE MAIN X ~c.ca~F/oo FtFRICTIOW FACTOR.,.,.. FEET CI I / TOTAL Dy1JAMIC, HEAD = ...L,~~ FEET t~ -42 ~ LIQUID DEPT H INTERNAL DIME SIONZ OF TA LEIJCYTH `;WIDTH l/ 51GNE0: LICEWSE DUMBER: ~2L~,Gr._ DATE: r'~tG ~ /Dot /G Performance Z"~ b ni f f I U A. / /0 Curves P~ ~l 'lfr~l S METERS FEET S •y 4"40600 90 MODEL 3885 25- 80 SIZE %4 Solids WE15H 70 20 WE10H 60 WE07H 15 WE05H 40 10 30 WE03 20 WE03L 5 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM 0 10 20 30 ml/h CAPACITY ~GOULDS PUMPS, INC. sew FADS dew roarc i3",, METERS FEET 120 MODEL 3885 35 SIZE 3/4" Solids 110 WE15HH 100 30 90 25 80 70 20 60 F~- WE05HH 15 40 10 30 20 5 ~ 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM L 0 10 20 30 m'/h CAPACITY 01965 Goulds Pumps, Inc. Effective July, 1985 C3885 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County I r OWNER/BUYER iI 14e/7l0 MAILING ADDRESS 5Z9 O C Q~ QG/ C O `U PROPERTY ADDRESS I ! O a-0 6W1 Aix A,),' UWCA rn 0 ►t..l' (location of septic system) Please obtain from the Planning Dept. CITY/STATE /V O I~ /f/ 0- A &70/17 Y . AJf 50'9'51 n PROPERTY LOCATION /1271/4, 111,5:114, Section TT W TOWN OF J~~ 012 ST. CROIX COUNTY, WI SUBDIVISION 4111f LOT NUMBER I! CERTIFIEDSURVEY 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 expiration date. SIGNED DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - loo 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. '//0 Owner of property 70- l!`(7 !Location of property 1/4 N 4, Section ,T:31 N-R W Township A_ Or 74-0)," Mailing address Address of sitel5 0'9-4/ ZX M ® 5 l Subdivision name R Lot no. other homes on property? Yes No Previous owner of property OIT~ Total size of property lp Total size of parcel o 0- PS / V Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes Z-'No Volume lt'094'f~17_ and Page Number 1515 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. --5-/jam and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. , Signature of Applicant JC Applicant Date of Signature Date of Signature DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RCCORDING DATA 'STATE BAR OF WISCONSIN FORM 2 - 1982, i 517681 1082PAGE 155 j VOL _ John H. Hirst and Cherrill R. Hirst husband afi d w i f e , Rlerc" di tar Record - I - - JUN 9 1994 onvevs and warrants to Antonio Rosillo and Cynthia L. I rt i Lawhorn-Ro-s i 1104 hu.s.k . . ? _ ..nd.. .-.,n.- - - - - - d.. w. if. ; RETURN 'r0y ,he following described real estate in St• CrolX County, - - - ;tate of Wisconsin: Tax Parcel No: (See Attached Exhibit "A") ~4,4 This is ---n.Qt---- homestead property. XXX (is not) Exception to warranties: Easements, restrictions and rights-of-way of record, if any. ~411~ ,J fated this - _ _ day of _ r . . _ , 19..94 - (SEAL)-- / _ . . (SEAL) John H. Hirst .......(SEAL) EAL) Cherrill .R.. Hirst AUTHENTICATION ACKNOWLEDGMENT Signature(s) ._JOhn__H. H STATE OF WISCONSIN ss. County . uthentieated this ~ 3sy of-19 94 , , . _ n + ' P< so- -lly r.<.r.,c. bcfa e m-, ..l i dny of - u'L 19 the above named . Kristina Ogland 'ITLE: MEMBER STATE BAR OF WISCONSIN (If not, _ authorized by § 706.06, Wis. Stats.) to me known to be the person who executed the person who executed the foregoing instrument and acknowledge the same. 11115 INSTRUMENT WAS DRAFTED BY - - --MorA-ey---al..I'-auL-----------••--------------•---- Notary Public CountyWis. ;ignatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration not necessary.) date: nine in any capacity should be typed or printed below their signatures. y - VOL 1082PAGE 1.56 EXHIBIT "A" Fart of the Northeast Quarter of the Northeast Quartc!r. (NEB; of 1VL.t) of Section Twenty-nine (29), Township Thirty-one (31) North, Range Seventeen (17) West, described 85 follows: COM111(...rlcing aL the Northeast corner of said Section for the point, of beginning of the parcel herein described; thence on an assumod bearing of South along the East line of said Section 29, 1105.00 feet to in iron pipe; thence N89°22140"W, parallel Co the North line of said Section 29, 394.26 feet; thence North parallel, to the East line of said Section 29, 1105.00 feet to the North line of said Section 29; thence S89122'40"E alone said North line 394.20 teet to point of beginning. Subject to Township Road right-of-way along the=! Northerly 33 feet of the above-described parcel. St. Croix County, Wisconsin. r ~ wiscZl. Kin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings I ith 83.05, Wis. Adm. Code 1 ~p COUNTY 1r , Ian must include, but Attach complete site plan on paper not les a 1/2 x 1~lnches i~.. not limited to vertical and horizontal refer int Ctibn an d,0 slope, scale or PARCEL I.D. # dimensioned, north arrow, and location stance'to ndar`e'st road.. 036-1067-50 REVIEWED BY DATE APPLICANT INFORMATION-PLE RII 1j,,W'CL W.FOAKATIC119, PROPERTY OWNER: 10ROPERTY LOCATION GOVT. LOT NE 1/4 1/4,S T N,R 17 xk(or) W PROPERTY OWNER':S MA!IING AD9~ESS F J LOT # BLOCK # SUED. NAME OR CSM # 1591 200th. Ave. GUb 3 H+~n~ na CITY, STATE ZIP CODE P ❑CITY ❑VILLAGE MOWN NEAREST ROAD 2jggjAQnj . WT - 94n 17 (71q 246-6787 200 th- Ave, New Construction Use [ Residential / Number of bedrooms 3 ( ]Addition to existing building [ ] Replacement ( ) Public or commercial describe wily flow 450 gpd Recommended design loading rate _bed, gpdift2_y5trench, gpd/ft2 Absorption area required 1-75 bed, ft2 X75 trench, ft2 Maximum design loading rate __4_bed, gpd/ft2^r;trench, gpd/ft2 Recommended infiltration surface elevation(s) 1 nh _ 1 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material = ; ttPr1 gl ar-i a 1 c7ri ft Flood plain elevation, if applicable na It A2 S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK ❑ S Ceti E] SU E] S lIl ❑ S )ER U & S ❑ U U = Unsuitable fors stem 11 S Eai.i SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Baxidary Roots GPD/ft Boring # Horizon Munsell Qu. Sz. Cont Color Gr. Sz. Sh. I Bed Trends .......1.. _ none 1 2msbk mfr aw if -5 .6 2 9-16 7.5yr4/4 none sil 2msbk mfr 9w if .5 .6 Ground 3 16-3 7.5yr4/4 none ob. 1 Osg mvfr 9w na .7 .8 10e15.83ft. 4 38-45 7.5yr4/4 c2p 5yr4/4 cob.l Osg mvfr gw na .7 .8 Depth to 5 45-62 )5yr3/4 none sl M na na na .4 limifing factor 3 " Remarks: Boring # 2?? 2 12-1 7.5yr4/4 none sit 2msbk mfr 9W if .5 .6 3 19-36 7.5yr4/4 none ob. Is Csg mvfr 9w na .7 .8 Ground p elev. 4 36-61 5yr4/4 2.5 r4/8 sl if r mefi na na .4 105.83 ft. Depth to limiting factor Remarks: CST Name:-Please Print Phone: Gar L. Steel 715-246-6200 Address: 1554 2 , t . Ave., New./Richmond, WI. 54017 Signature: - Date: CST Number: L_ 5-9-94 I-Q*M990A PROPERTY OWNER J & C Hirst SOIL DESCRIPTION REPORT PageW of:, PARCEL I.DA 036-1067-50 I Depth Dominant Color j Mottles Structure I GPD/ft Boring # Horizon Texture Consistence Bounclary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I Bed ITrer& 3 1 0-10 10 r4 2 none 1 2msbk mfr if .5 j.6 2• 10-23 7.5yr4/4 none sil 2msbk mfr gw if .5 .6 i Ground 3 23-39 7.5yr4/4 none sl 2mgr mfr gw na .5 j.6 elev. 4 39-45 7.5yr4/6 none f s Osg mvfr gw na .5 ~.6 103.4.3- ft. . Depth to 5 45-6 7.5yr4/4 c2P 2 2.5 5ry4/2 r3/6 sl mgr na na na .5 .6 limiting factor 4511 Remarks: water at 45" Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor I Remarks: SBD-8330(8.05/92) . may. STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 John & Cherryll Hirst New Richmond, WI 54017 MPRSW 3254 NE4NE4 S29-T31N-R17W (715) 246-6200 town of Stanton N 1"= 40' BM= top of 1" steel pipe at el. 100' w/marker pipe Alt. BM.= top of DNR Waterfowl 'rw Z~ . Production Sign post at el. 94.23 lot= 10 acres 10 VI/ Av ~Ou~ zz o' 1 N 6\s / . 6-:3 D 1 98, Gary L. Steel 5-5-94