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HomeMy WebLinkAbout038-1038-95-100 1 I STC - 104 AS BUILT SANITARY SYSTEM REPOR ~U O OWNER =C~ r ADDRESS A)941i.~ C t SUBDIVISION / CSM# LOT # SECTION_ _S 3/ N-R__&jW, Town of Ck. ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM a 6 ry- = q3, 7s a r L Lrc L.0 j INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: Setback from: Well C5House -31 Other p Pump: Manufacturer C Model# Size &f{,'I Float seperation Gallons/cycle: 6S Alarm Location - SOIL ABSORPTION SYSTEM Width: Length Number of trenches r Distance & Direction to nearest prop. line: Gl~ /6 Setback from: well: /=:~_5 House 3'0 Other ELEVATIONS Building Sewer ST Inlet. 9~.?, S~ ST outlet PC inlet PC bottom 1ST Pump off Header/Manifold Bottom of system Existing Grade Final grade/03, - DATE OF INSTALLATION: PLUMBER ON JOB: 611 LICENSE NUMBER: INSPECTOR: 3/93:jt Wisconsin Department df Industry, PRIVATE SEWAGE SYSTEM County: Lam: and HAirtan Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Permit Holder's Name: ❑ City ❑ Village Town o : State Plan o.: NIRMAIER, JOSEPH CST BM Elev.: Insp. BM Elev.: BM Description: star- Parcel Tax No.: 16<::) ~ .~lc ~c-tJ r~ TANK INFORMATION EL VATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r6;: a~ Benchmark /vyaZ Dosing t y ~ISU o Aeration Bldg. Sewer H F olding St/Ht Inlet 7a. TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet a 7 Air Intake Septic >5 __31' Y~ S NA Dt Bottom 15 94 j Dosing NA Header/ Man. a~~ /D 1 Aeration NA Dist. Pipe Holding Bot. System 3 ' 3.6S PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand 51r,"k, 6 "t 7-31 1) Model Number 3 g g j 4~3s6"GPM TDH Lift Friction /,o g, System2 ~ TDH /7,1 Ft Loss Forcemain Length Dia.3FHi-. Dist. To Well _w6 SOIL ABSORPTION SYSTEM BED /TRENCH Width Length I No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Q3.'ZS ' .21 DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manu acturer: SEl BACK INFORMATION Type Of CHAMBER Moe Number: System: ph 4" -/0' OR UNIT DISTRIBUTION SYSTEM H der / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length ~5 Di a. 02 " Spacing " a SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sechfed xx M Iched Bed /Trench Center Bed /Trench Edges 0? Topsoil aWrs ❑ No Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Sta Prairie.8.31.18W, NE, NE, 100th Avenue -y~ l.>rv Ch c A Z ~l 2 d '7 Plan revision required? ❑ Yes ❑ No Use other side for additional information. 5 SBD-6710 (R 05/91) Date In pector' `Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: F ~ R ~LHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY , STATE SANITARY PERMIT -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 LP,LAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. ~?T - 4'-OZ, 7.3 PROPERTY OWNER PROPERTY LOCATION joS e 1 F- rnc~ 12.'-- /U % AJV%, S S T3/ , N, R f r) W PROPERTY OWNER'S MA ILINDDRESS LOT # A/A BLOCK # 'y Cc, rp 'A CITY, ~oSTCC ESL//[[ ZIP CODE PHONE NUMBER SUBDivis N NAME OR CSM NUMBER tVA (,j 1-5f6 l _11e4 71 A2A II. TYPE OF BUILDING: (Check one CI - NEAREST ROAD ❑ State Owned VILLAGE St to, (vl Ada J-Q, ❑ Public ~1 or 2 Fam. Dwelling- # of bedroom PAR AX NU BER ) Ill. BUILDING USE: (If building type is public, check all that apply) 0319-103 Sr' ! J tQ 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 80 Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory .13 ❑ Other: Specify IV. TYP OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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 M Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42,E] Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION Feet /03-5 Feet VII. TANK CAPACITY Site INFORMATION in allons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. New xistin Gallons Tanks Concrete structed glass App. Tans Tanks Septic Tank or Holdin Tank Goo Lift Pump Tank/Si hon Chamber S-D L1 1 1:1 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. P mbettr's Nam ZI t): Plumbber's Signatu : (N St ps) 0P/MPRSW No.: Business Phone Number: NT "JA-Y`'-t I ~ 1 ( Plu ber's Address (Street, City,te, 1p Code)- . IX. COUNTY/DEPARTMENT USE ONLY 9 1 ❑ Disapproved Sanita Permit Fee (Includes Groundwater a e ssue Issuing Agent mps) Approved ❑ Owner Given Initial rcharge Pee) Adverse Determination p~•~(J 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 t } 1. A sapit~ry permit is valid for two (2) years. 2. 4 ~Your'sani{tary 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. a 3. All revision's o-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 submit~ed to the county prior-to installat oT. 5. Onste 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 8 Buildings Division, 608-266-3815,_, Tq pe~conoetgrand accurate this,sen;itary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in tine 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 cu(ve; pump model and pump manufacturer; D) cross section of the soil absorption system it ".'required by.tlie county; E) -soil test data on a 145-form; and F) all sizln" • ) g informatib'n: 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) 3 SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations July 11, 1994 2226 Rose Street La Crosse WI 54603 POWERS, CALVIN JR 1969 - 185 AVE NEW RICHMOND WI 54017 RE: PLAN S94-40673 FEE RECEIVED: 180.00 NIRMAIER, JOSEPH NE,NE,8,31,18W TOWN OF STAR PRAIRIE COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, t erard Swim Plan Reviewer Section of Private Sewage (608) 785-9348 4757R/ 1 SHD-64231 K. 61 /911 ti Wiscontih Department of industry, PRIVATE SEWAGE SYSTEM Safety and Buildings Division ;'iaborarsa Human Relations REVIEW APPLICATION Bureau of Building Water Systems • Hayward Office La Crosse Office Madison Office Shawano Office Waukesha Office 209 W 1 st Street 2226 Rose Street 201 E. Washington Ave. 1053A E. Green Bay Street 401 Pilot Court, Suite C Rt 8, Box 8072 LaCrosse, WI 54603 P.O. Box 7969 P.O. Box 434 Waukesha, Wl 53188 Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Shawano, WI 54166 Phone (414) 548-8606 Phone (715) 634-4804 Fax (608) 785-9330 Phone (608) 267 t 19 Phone (715) 524-3626 Fax (414) 548-8614 Fax (715) 634-5150 Fax (608) 267-U5: 2 Fax (715) 524-3633 INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this form together with fees and plans/information. Your submittal must be received at least one working day prior to the appointment at the office where your review was scheduled. Please call any of the listed offices if you need hel- filling out the form or have ue r ns,gn what'founaon to submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the rc.,ne s;Lle for your reference. k a d~ yt 7 1. APPOINTMENT INFORMATION -If you have scheduled an appointrn, rI e information requested below to save time: Appoint nt Date Reviewer Name JPlar~lsqentification Number 2. PROJECT NFORMATIO If this review is a re vi ion or extenswn to your existing f& plan identification n her, provic,e tli Project Name C !.y Village Town Of: County To .5 -e 10% 'r ry-1 lieu Project Locati n ,,~~/r~G C/ p e t C V-0 QX GOVT. LOTRUC- 1/4 /Vr% 1/4,S 3 T N,R ~6r/ W ~~0.1^ 1 1j~C~ i Y"1 `P 7 3 APPLICATION FOR 4. FEE COMPU FEE SUBMITTED System Type (check one): System Type t (inch. ::c ;;r;d existing tanks) S~ Up To 1,500 gallon sept c tank $110.00 ,/4^ A ❑ At-Grade 1,501 - 2,500 gallon septic t:11,k $120.00 H ❑ Holding Tank 2,501 - 5,000 gallon se;;!.;. " . $160.00 M Mound 5,001 - 9,000 gallon A $ 200.00 N Non-Pressurized In-Ground (conventional) 9,001 -15,000 gallon sc.;,,.; . $ 300.00 P ❑ Pressurized in-Ground Over 15,000gallonsc; $500.00 O ❑ Other: Up To t,000gallon dose ci,:............... $ 70.00 1,001 - 2,000 gallon r $ 80.00 Building Type (check one): 2,001 - 4,000 gallun d;;,:. r $100.00 4,001- 8,000 gallon Liu_ r $120.00 D Dwelling, 1 or 2 Family 8,001 -12,000 gallon uot> $140.00 P Public Building Over 12,000 gallon dc.,-...r $160.00 S ❑ State-Owned Building Up To 5,000 gallon hc!.!Ir r . $ 60.00 4,50_ 5,001 -10,000 gallon $100.00 Code Derived Daily Flow gpd Over 10,000 gallon h:;................ $150.00 ❑ Check If Replacing Existing System Experimental System (ad!I,. ;.me time fee) $300.00 Revisions To Approved l .:r . . $ 60.00 Petition For Variance: $ 100.00 ❑ Petition For Variance `on $225.00 l . $225.00 1 V®.......... $ 75.00 Groundwater Monitc:; i. $ 60.00 ❑ Groundwater Monitoring (other than a Q}W;N 2 ❑ Site Evaluation in Lieu of Groundwater Monitoring Site Evaluati Bt~ X75` Q'er Monitoring $ 60.00 Subtotal: Priority r same amount as Subtotal: MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILD:.: ;a Total Fee: . 5. SUBMITTING PARTY INFORMATION Telephone No. (include area code & extension) C any Name Connta Person c )/g > y6 Si-s-S 6 w e ►~s u 7nyr .fir Lam: is A"S -T~l No. & Street Address Or P.O. Box 1✓ ur village, State, Zip Code ~ S~ ~ .,rzaJ rr~ o~2al_ f- a t Aerobic or prepackaged treatment system fees a /calculated based on equr. and dose chambers. 2 Revision fees are not applicable to temporary holding tanks or extensions to NOTE:. Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to qy SBD-6748 (R. 03/93) OVER ~~111110 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page /,-of 3 - Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code . ° (ry .`n y.. COUNTY p r Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. ! Plan must include, but x 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 Q I GOVT. LOT 1/4 1/4,S T _3/ N,R IS (or) W PROPERTY 0 NER':S MAILING ADDRESS LOT BLOCK # SUBD. NAME OR CSM # ti ja I rU CITY, S ATE ZIP CODE PHONE NUMBER 9 ❑CITY ❑VILLAGE ,~FOWN NEAREST ROAD 1 and W.t 5-1o 17 WY) oyk- //C SYar New Construction Use [ ) Residential / Number of bedrooms - ( J Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 3 trench, gpd/ft2 Absorption area required bed, ft2 5 o trench, ft2 Maximum design loading rate bed, gpd/ft2- trench, gpd/ft2 Recommended infiltration surface elevation(s) /01. 9'v~~'rerVc~ ft (as referred to site plan benchmark) Additional design / site considerations. M _Or-k h4 . Parent material iPtle'l A 14 C 100 d r Flood plain elevation, if applicable N/~ A ft S = Suitable for system CONVEN I AL ND IN-GROUND PRESSURE AT-GRAD SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem 1:1 S U S❑ U ❑ S U ❑ SU ❑ S U ❑ S U P-1. 14hd19 SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Tmrch 41 59 Ground G 2/7-0 S/ 35 5b k h cV elev. ft. o-YB Depth to limiting - fact I Remarks: Boring # 0 z s,~ 1 .3 _5 1~1 3 2- MJ 3 06 _51 k Ground elev. i eft. - Depth to limiting O ~ ~r Remarks: CST Name:-Please Print Phone: Address: _ R 'e-5 ( 4 4161; y 17 Signature: Date. CST Number: t,~ i - 9 i s3 PROPERTY OWNER SOIL DESCRIPTION REPORT Page of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence GPD/fr Bourxfary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tw& I d fS o Ground G -yU 7~5 R JPIL / 3.5 sb k GI h / ~ Z elev. ~4,f~5ft. Depth to limiting factor ?4CL Remarks: Boring # y'x Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. - Depth to limiting factor - - - - Remarks: SBD-8330(8.05/92) P t'Ia 1 Jb52~ ` yn 1 h 1fY~ U It r DDnn / a Pte' 5+9 r b y r .Q 676 0 y' Qom' .2(; - lp~~'. i i r CuO m p,r?S ~ 1S 1c, rVN sy WORKSHEET - MOUND SYSTEM DESIGN 0 Q PROBLEM: 2 Q, Design a mound system for a The site characteristics are: Depth to groundwater or bedrock -30 in. Landsl ope % --.Percolation rate Distance from dose chamber to distribution system _'ft. Elevation difference between aump and distribution system 8 ft. Step 1. WASTEWATER LOAD = ~`5o gal.' Step 2. SIZE THE ABSORPTION AREA y~ t A) Area required PCI J .37.5 sq. ft. B) Brad or trench length (B) A4)* 3'-7S' ft. ft. C) Bed or trench width. (A) m ~ D) Trench spicing (C) Wastewa :er load .24 (;al/ftz/day B -ft. rrel F Fe s Step 3. MOUND HEIGHT A) Fill depth (D) Q f ft. B) Fill depth (E) - D + slope (AY#) _ ft. C) Bed or trench depth (F) e f~3 rt. D) Cap and topsoil depth (G) ft. E) C ;and opsoil depth (H) _ ~~S ft. Step 4. MOUND LENGTH A) End slope M D + E) + F + H x 3 1lft. 1112.+ , V3 -t-i, s x3 - I Z 1 B) Total mound le g (L) = B + 2(K) ft. X3,75-}- L(/o, 17)"1/~,° Step 5. MOUND WIDTH ' Al) Upslope correction factor = 32-- A2) 5 Upslope width (J) (D + F + G)(3)(factor) = 7,8 ft. C/-r.13.4 J)X3 Y 9I s' 74 B1) Downslope correction factor = 3 /9o = l/o B2) Downslope width (I) _ (E + F + G)(3)(factor) = t. ly Cl) Total mound width (W) for bed = J + A + I ft. 7 _ y. i C2) Total mound width (W) for trenches = J + + (no. trenches -1)(c) + A + I t. -9 X 0 + i+ C), al, b Step 6. BASAL AREA A) Infiltrative capacity of natural soil = 3 gal./ft2/0ay B) Basal area required = wastewater flow natural soil infiltrative-capacity = /sue sq. ft. 4So + •3 = ISa C1) 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 + A sq. ft. J as 83,75 C3) Basal area available for trench or bed for level sites = B x W = sq. ft. License Wu: 1 _ Data: 1=7_.~ -To 5 P P 1 r r+n a G _ _,3 1 Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size_ in. 2) Hole spacing in. 3) Distribution pipe length a_ in. 4) Distribution pipe diameter in. 5) Spacing between distribution pipes in. 6) Distance from sidewall to distribution pipe in. , 7B) DISTRIBUTION PIPE DISCHARGE RATES ft. 1) Number of holes per pipe = 2) Flow per pipe GPM 7C) SIZE MANIFOLD 1) Manifold is central/ end 2) Manifold length = b_ ft. 3) Number of distribution lines = a._ 4) Manifold diameter 3 in. 7D) SIZE FORCE MAIN r 1) Minimum dosing rate = 40 GPM 2) Force main diameter . 3 in. 3) Friction loss = o'R 1!Q ft. 7E) TOTAL, DYNAMIC HEAD 1) Vertical lift ft. 2) Friction loss ft. 3) System head 2.5 ft. _ 2,-S ft. 4) Total dynamic head = l~ S $ ft. Sign: ro Licer,~i; )SLR _ t4-n 4L I it C I 7F) PUMP SELECTION 1) Pump selected will discharge 71) GPM at ft. total dynamic head. 2) Pump model and manufacturer Girls _wro 311L %,ftP 7G) DOSE VOLUME 1) 10 times void vol me of distributio lines = gal./cycle /o Y , oqt x .2 X yS,) 2, br 2) Daily wastewater volume 4 doses/24 h ~ . _ /~~•5 gal./cycle Y36 4 'Y _ 3) Minimum dose volume = 160 gal./cycle 7H) DOSE CHAMBER /S 'J 3 1) Minimum capacity required 75 o gal. Licunsc :'u: 156 Da-te ~l O t FI) Q Y.\ Pam. s 9 ~o s-e~ l~ A NJ r m a~ .e r s..,. S' T3l -l~w `a 4 ~ 6 ~ ~ J L_y ~ s'f'gr \ ~u1V'~~@ Mato 1 ► /~l ~/+~`OY~ c~ Gt1l ~ y`d S f ~G r o ~ X G'b~ ~ .2S Sd` 6S ~ / ~~lr+ aS' .a h % D 75zaj L) 5C-rRC 'TAti K Or,,,~e 3 e~ o KQ-~^r'1 I ~ ~ In' 1 P.+a~ ~ ~ ~ / r; r x . w a . ; • .rt? q .Y k •::a~` /OZMP IAII P ~ u t, \ 7s o 1-5 Ph l r m 4 t er Faye of oSe 4 7dyel, Straw, Marsh Or - Synthetic Covering As i~#fZ z3(~)~b) Distribution Pipe Medium Sand - Topsoil % Slope Bed Of 2~- 2 %2 Force Main Plowed Aggregate Layer D / Ft. ~i Cross Section Of A Mound System Using E I2 Ft. A -Bed For The Absorption Areo F t,$j►t. Ft. A_ Ft.ak.i0 Ft. F Signed: g Ft. 19 ?Soo ytpNs License Number: 1,S .3 K &,L7 Ft E II~~ I Ft. ^ STRY. 1J`B0R Q uA► ttaDO AN Date: - / J 7, g p ~tT ~ %SIGN OF Alternate Position T 4 Ft. COR ASP t4 ' ` 0a of W Force Main Observation Pipe g K c, I A ~,Force Main W Distribution Bed Of 2~- 2 2~ Pipe Aggregate I Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area NIA-raj e ~ z1~o c~ c M&J RE Ch h?ands tJjr Syo~7 Page? 0:' 9 Perforated Pipe Detail n End View Per(Ora tId End Gap y' PVC Pipe Holes Located On Bottom, t Are Equally Spaced t; O.5 r'roa tea t) l~V$~~ • pta0 Ell N~ S Lost Mole Should Be • L Next To End Cop C ?Y Distribution Pipe Layout P_ Ft. RNIA SV X o2 Y Inches Y Inches Signed: - Oa .A.;, Q.-I-141 Noe Diameter Inch Lateral Inch(:) License tlumber: ~S Manifold .3 InchL-!, Date: L - /~"9tJ Force Main 3 Incho; # of hol es/pi pc ca3 Invert Elevation of Laterals/4?, Ft. pagd8of •rt W w °t+ \ 0 x n 01 N p 0 v k En Z, l~ ,°w1 b+~ ~ ft n r• C O I fD `J ft M N N I n rt N N ft O LC N rt O p F+. e~ • } _ 1 Iv T\ I1 L d f'S P~ N• tr w 0 11 rt O rt a v _ x la rt iw . a 1~ N qy1 G r e ,r--. • ' PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS PAGE OFt._ • S w 1 4- 4 0 17 03 VCWT CAP `I E'3. VENT PIPE WEATHER PROOF APPROVED LOCKING 2S' FROM DOOR, JLIUCTIOM BOX MANHOLC COVER WII+IDOW OR FRESH 12"MIU. AIR INTAKE GRADE I I Y ' M I IJ . CONDUIT IB"MIIJ. 10"MIN. Ti F, 0A 111 fAIL.F:I' _ar PROVIDE 7 s AIRTIGHT SEAL 410s~~,°`.~ ~I I ~vf APPR.O'✓CD JOINT A yys' I I W/ C. I. PIPE.''' APPROVED JOI CKTCNDIhIG 3' I III W/ Ca. PIPE OQTO S01.10 Sc:;, I II ALARM EXTENDI)JG 3' ! B „e ai M ag{ISaS I I ONTO SOLID S HUB, ,,...gym a +~1DUSTRY, >LpB08 'l.~t ~ T> U` Sam will S I I oN tStUt~ + ~ ' I qlp SEA GCNRBE PUMP OFF COIJCRETE BLOCK •X- RISER EXIT PERMITTED ONLY IF TANK MA),JUFACTURCR HAS SUCH APPROVAL 5PCC.IFICATIOMS SEPTIC AND ' DOSE TA►JKS MAUUFACTURER: IJUMBER OF DOSES: PER QA- TA►JK 'AZC: ~JS-~D-• GALLOLIS DOSE VOLUME ALARM MAIJUFAC-rURCR: G SYSt3~,.~ INCLUD!':C 3,C':FLOW: _ GALLOIJS'I MODEL ►JUMBER:._ZQL_Zf ~ CAPACITIES: A= ~3 SWITCH TyPC: P'-lc- +V ou W\ INCHCS OR ~Q• GALL0w5l. uJ..r R. B= 9 IIICHESOR 35,7 PUMP MANUFAC.TURC GALL0415' C = MODEL ►.IUMBCR INCHES OR GAL<_0W5 : SWITCH TYPE: D INCHES OR SdPGALLOUS' NOTE: PUMP AfJD ALARM ARE TO BE PUMP DISCHARC.C KATC ~D GPM Ag IN5TALLED ON SEPARATE CIRCUITS VERTICAL DIFFERClJCC D~WCCA1 a OFF gFUD OISTRI5UTIO)J PIPE.. / 7i -I- MINIMUM NETWORK SUPPLY PRESSURE FEET / ~ F ft 7 2.5 FEET + EET OF FOR fO F CC MAIN X orr.FRICTIOIJ FACTOR.. FEET TOTAL OyNAMIC. HEAD FEET IMTERNAL RIMEWSIONC OF TANK: LEMGTH ;WIDTH;LIQUID OEPTH S I G Icl E D: a&n LICE.IJSE )JUMBF-R: DATE: /s 9y -117- ryA~ i 1 ~?:P+~,1,* v • 1 . f ~ F ~ r ~ J'-?'1'da"(a~• `3dr« 7 f~ v. ~ y ~41r ni a ~ y Ytpt ~ GUt1LDS .SUBMERSIBLE ~ . , SEWAGE' 'AND EFFLUENT PUMPS k ' EP0311 S' y ~r1G4 y , L ST DISC. " 1/2" solidb 256.80 172.10 =jPrP,0311 142 EP0311 1/] F3~' 115 V EEflumt Purp ~Subtnersible . MODEL EP0311 Effluent:, Purim p• SIZE 'A" SOLIDS G N' DETERS FEET ~1 t 25, t ~,i . ~ty'F 4r ~ ~ kt i ~tiR . l j a 20 r e ~0 ~~{ri{?1'~~~r~k1• x 57ft jr< 1~. ;1 15 S.4,K~}}r ally O 10 ri of klvtr+'.f 2 r e' fvAfrti~r r x: i~,3,r1.v 'X 5 p • 00 4 S. 12 . . 76 20 . 2/.. 21 32 36 40. GPM 0 2.5 5.0 - - 7.S m'/A CAPACITY •M ~ lvJ Performance 3885 am Curve UCT"S FEET MODEL 3885 t•rM M SIZE 3/4" Solids (!w. `K p,~ 20 ;'so WE0 ~klfa WLMH 30 W[ox _ ~C 7 f 10 Al , t. t . O 0 eo [o ~o' 00 w 100 1~0 1m ovM R'h yam' a 10 00 00 40 30 ~A^ ~r K..e; w o . 10 CAPACITY G 7 } LISC DISC. { * ' ,x 1TF ,q 0Xlt,E031111 142 WE0311L 1/3 HP 115 V Law H 3/4' so11As 491.55 329.35 p~rlri GOU136TO31114 142 'WE0311M 1/3 W 115 V hbd H 3/4" solids 491.55 329.35 ¢ x Syr 3/4" sbllds 704.25 7.I.BS `i0` wy,~r a r : QxlPtiri0511J1 142 W 11H 1/2 ffP 115 V lilgh H 1 1, ,;r~ CDIJPfvE0712tI 142 0712Ff 3/4 1P 230 V Mqh W. 3/4" solids 843.65 565.25 r t w f. . ,~.4x" -!'~►•••SF~•,FCUIGWING PACE FCR PER1YlAfA4= A!•>D s'FxIFICATICYIS. PAGE 07u y'7sL., • • L1AT t; 10/88 DEiy r 30 J Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _ of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION I t, GOVT. LOT ~f/ 1/4 ~/,F 114,SS T 3~ N,R ~*(or) W PROPERTY 0 NER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # alyo A.) 1A #J/ti A)w CITY, S ATE ZIP CODE PHONE NUMBER q ❑CITY ❑VILLAGE.MTOWN NEARES`ROAD WZ ~ O/7 ()~)o?~/k` .$7'ar a rt~+Q , n*~~. New Construction Use ( ] Residential / Number of bedrooms - [ ] Addition to existing building j ] Replacement ( ] Public or commercial describe _ Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 tench, gpd/ft2 Absorption area required bed, ft2 5oo trench, ft2 Maximum design loading rate bed, gpd/ft2 ~j tench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations M ©u Ird Parent material ~f~q I a C i a,I Flood plain elevation, if applicable ft S = Suitable for system CONVEN I AL ND IN-GROUND PRESSURE AT-GRAD SYSTEM IN FILL HOLDIN NK U= Unsuitable fors stem El S U S❑ U ❑ S U ❑ S kU ❑ S U ❑ S U P.-a. 3 t4hda SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed Trwa ' o-7 s i 5 l i3 /0),9 45 5:6k PA j h c~ A / Ground /41W 4 / 3-S 3b k elev. M ft. Depth to limiting factor Remarks: Boring # 4. 6-1A 3 30 -A Z Ve Y-& >16 S/ A"rl- Ground elev. 9 ,S ft. Depth to F limiting ; CtOr, Q C- L Remarks: CST Name: Please Print Phone:? Address: ~ r Ct/!S S 6 ~ Signature: Date: CST Number: w i 6 ~9z s3 77PROPERTY OWNER SOIL DESCRIPTION REPORT Page _of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD/ft in. Munsell Qu. Sz. Cont. Color Consistence Bo~xr Roots Gr. Sz. Sh. Bed Trench s s 3~sb C/ Ground G -d 7,S R / 3 rs s~ k cl h elev. ~Sft. .1 r Depth to limiting factor Remarks: Boring # t Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) o/ SA P ' v 1 o~ P/6t #o/a v c YYI ~a 06! C ! Sa rrv ~v~~ .Q. ~~cavrnxshe) C~ ~ .5' Ya, ~ 7 ~ ~ ' Ili i i / yo AI ryar-k, f 'I 0 a.m a AL/~~ CERTIFIED SURVEY MAP A parcel of land located in the NW! of the NW-,` of Section 9, T31N, R18W, Town of Star Pr4irie,.St. Croix County, Wisconsin. OWNER N NW CORNER OF Joel Nirmaier BEARINGsARE REFERENCE SEC. 9-31-18 1111 N. Knowles Ave. TO THE WEST LINE OF THE N New Richmond, WI. 54017 NW114 OF SECTION 9-31-18, ca ASSUMED TO BEAR SOUTH. c :r 1 UNPL_AT_TED LANDS ,10 POND I EAST 740.80' o'F~ o Pl7.la' 523.57' 0+~o{ SCALE I"= 200 \ i I HOUSE SH D w 96 0 50 100 200 400 Z 20' 00 Sal LEGEND i - \PRI~EWAY D County section corner monument of record. IZ I i w'I `Ott z ,~Z~ch o Set 1"x24" iron pipe Jr- m N -l' tAST 354.39' CO) weighing 1.68#/lin, ft I D A o~ I Z m 01315.DO.. et Found 3/4" iron pipe. m jm c + 1 v, IC x+Fence C". C :r rn ~D C w s s RC~ria.' is . , mm rn y \ IV SEi, 1 820'3q"W DETAIL ~ W 01 1y j0i i' ' IZ A C IQ t 0`O) V+ i l1B4 Icn -loth •A, O i N 43032'2 "W "s r - '4+a.av.re S83051'34"W62.52 I~ ~y H i 2 86,00 4303 '25"W ~ 10 x,59 126.17 r -4 Icn = VOL.381 P. 212-217 c v0 C (TOWN ROAD DEED) 100 -10 * I ml O II Z: y C m ~ ~I OD W ~ m ~e Z r I n ti0 >E O 2. v (71 R m• ~ a a 3333' 191.97' b N 89°49'31" W W 1/4 CORNER (REC. AS WEST) SOUTH LINE OF THE NW I14 OF THE NW I/4 SEC. 9-31-IS UNPLAT TED LANDS LOT AREAS LOT NUMBER AREA INCLUDING R/W AREA EXCLUDING R/W LOT 1 100,121 sq. ft.(2.299 ac.) 87,121 sq. ft. (2.000 ac.) LOT 2 513,740 sq. ft.(11.794 ac.) 508,803 sq. ft. (11.681 ac.) DETAIL '~•20,~'W 1~•~lNE y - PROPERTY LINE ` 1 S83.54'34"W M B 86.00 4 EXISTING CENTERLINE N 43°32'25"W 188.69' This instrument was drafted by Paul M. Gibson. STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER J)e- r Y-Y) a 1 e 'v- MAILING ADDRESS v2I 7 0 f` C aa4 I pro * 5t- t 'I S 4y PROPERTY ADDRESS r-~ V~"' (location of septic system) Please obtain from the Planning Dept. CITY/STATE -/lAt~ (Aj z. _Sr y d / PROPERTY LOCATION 1/4, #V)5_ 1/4, Section T -3f N-R I~W i TOWN OF _maIy.A R r-c,~ 1 M-R 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 expiration date. SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 l ti A S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property 6'2, N i r m a 1 e Ire Location of property IUD 1/4 Ne 1/4, Section _ ,T_,31 N-R W Township Mailing address `a/-~16 CI Z 5 5' o Address of site / *--s4i. 4,,) S yap Subdivision name Lot no. Other homes on property? Yes_)!~__No Previous owner of property A( Y' YY1 & i W- rTotal size of property _ 'd Iq9 0r- a -+--4 Total size of parcel 99 QGra4A Date parcel was created 5- Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? Yes 2!~ No Volume A039 and Page Number /529 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. SQ Ly 5S , 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. Sign ure of A licant Co-Applicant Date of Signature Date of Signature THIS NO. STATE BAR OF WISCONSIN FORM 1-• 1982 SPACE RESERVED FOR RECORDING DATA i ' S®6'4SS W((~~ARRANTY DEED VOL 103 PAGE r.~cis-1-11- I Rolf H. Tiedemann a/k/a yi ` 1•. ~a This Deed, made between Rolf Tiedemann and Ilea©.:A. Tiedemann RecQfarRecafcf OCT 11993 Grantor, 8:30 A. and. T ._._h.0M-aS...Ni_rma.ie.r..and-._ U.iZ.ab.0t~--N rmaier Ell t:4 . • pr^lstet M [k!eCS~ . Grantee Witnesseth, That the said Grantor, for a valuable consideration...... ReruRN 70 - conveys to Grantee the following described real estate in County, State of Wisconsin: Tax Parcel No: Lot 1 of the Certified Survey Map recorded in Volume Y of Certified Survey Maps on Page 2560 as Document No. 490857, being a part of the Northwest 1/4 of the Northwest 1/4 of Section 9, Township 31 North, Range 18 West. This warranty deed is given in partial satisfaction of that land contract between Rolf H. Tiedemann a/k/a Rolf Tiedemann and Ilene A. Tiedemann, as Vendors and as Grantors, and Thomas Nirmaier and Elizabeth Nirmaier, as Purchasers and as Grantees, dated August 7, 1990, and recorded in the St. Croix County Register of Deeds Office on August 14, 1990, in Volume 878 of Records on Page 344 as Document No. 461348. I~ IRANMEA This 1S not homestead property. s- 'i (is) (is not) EM Together with all and singular the hereditaments and appurtenances thereunto belonging; And...... Gx_an.t~o T warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except municipal zoning ordinances and easements of record, any liens or encumbrances created by act or default of the Grantees. and will warrant and defend the same. Dated this -----•-----------------2/•-----•----•..._. day of 5.Q-P. _~?Ill?.~x•-•-------------••-•---------•---- ~~-~1l,~TrsZ~(SEAL) (SEAL) * ..._RQ. f_..H.. ~a.edemann-------------------- ~d~mann------------------ a/k/a Rolf Tiedemann - (SEAL) (SEAL) * AUTHENTICATION AC \NE LEDGMENT Signature(s) •-__-e! t........................ STATE OF WIS.l'1 ~v lk Ti ~•a~ g9. i rr s~.,.... cx Q ~,].County. authenticated this 2...day of........ 4pr........... 19.7:3 Personally ore me this ................day of Septeber 1993.__ the above named - Ro 1 . Ta ~n a/k/a Rolf Ti.....ed............................ _ Tiedemann Il ne A. Tiedemann TITLE: EMBER STA BAR OF WISCONSIN (If . authoriz § 706.06, Wis. State.) to me known to bon S--_•-- who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY BAICICE..Qq_._. Ri Ne - ----w i.chmond WI 54017 Notary Public f-= - County, Wis. - i (Signatures may be authenticated or acknowledged. Both My Commission is permanent. I hot; state expiration are not necessary.) date- I 19......... ) *Names of persons signing in any capacity should be typed or printed below their signatures. , ' ,"J0004NT No. (STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED not I MPAGE 1.59 - ^ This Deed, made between Thomas Nirmaier and - • ZeG'cS for Rcocln7 El-zabeth--N-irmai_er_,___husband__and--wife,-------___ - OCT 1 1993 Grantor, , and---- JIose_ph__D_.___N_i rmai_ex__-az?d_-Dawn--D,_. Nirmaier,........ st 8:30 A. husband---and__Y_1_e_,__as__-sur_vvQrshp-_mari_ta_1__________- -p-roper-tX--------------------------------------------------------- - Grantee, Witnesseth, That the said Grantor, for a valuable consideration. - _ RETURN TO conveys to Grantee the following described real estate in St-._--- - IQ.~•Y_-__ County, State of Wisconsin: Tax Parcel No- Lot 1 of the Certified Survey Map recorded in Volume Y of Certified Survey Maps on Page 2560 as Document No. 490857, being a part of the Northwest 1/4 of the Northwest 1/4 of Section 9, Township 31 North, Range 18 West. rRANKER FEE This -S_- o-t-------- homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; - warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except municipal zoning ordinances and easements of record and will warrant and defend the same. Dated this C day of - SepteJi)bez - , 19---9---. (SEAL) ~tC,g--~------------------- --------(SEAL) - - Thomas Nirmaier ----------------(SEAL) -----------------(SEAL) Elizabeth Nirmaier Ii AUTHENTICATION ACKNOWLEDGMENT Signature(s) _f\BAR _s__Ni,rmader--and---- STATE OF WISCONSIN Elizabeth Nr SS. St. Croix -County. - - of_. authenticated this __AUgUS_t 1993_ Personally came before me this :~yV )__--day of Sept_emb_er------- , 19__3__ the above named ~h~rrtas-_Nirmaier__and--- * E' NorF1_zabeth__Nirmaier TITLE: MEMBER AR F WISCONSIN (If not- - authorized by Wis. S ts.) to me known to be the persons-__________ who executed the foregoin instrument and a nowleJdgf the sane. THIS INSTRUMENT WAS DRAFTED BY ,1C JLG~ BAKKE NORMAN, S.C. S t r=~han i e--A , e s_ no New Richmond, WI 54017 Notary Public _______St.__Croix------------- County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (if not, state expiration are not necessary-) date- Janua1Ty---5-s------------------, 19-9-7--.) -Names of persons signing in any capacity should be typed or printed below their signaturcflV`A,7 ~r ft~ •US'tate of Wisconsin WARRANTY DEED STATE BAR OF WISCONSIN ~Y Wisconsin Legal Blank Co. Inc. , FORM No. 1-..1982 Milwaukee. Wis.