HomeMy WebLinkAbout038-1078-60-000
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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER h
*fta %a
ADDRESS
. W 1' y 314 as
SUBDIVISION / CSM# of ~jpti. LOT #
/)A
~
fir'
SECTION If e
Town of
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
✓~y#~'
w I
CSC ~
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions-to,"center of septic tank manhole cover.
1
BENCHMARK: J 00
ALTERNATE BM:
sh he
SEPTIC TANK / 4 TEP CHAMBER / H N
Manufacturer: Liquid Capacity: 4 ISO 10 1 &
Setback from: Well 00 House ~r Other
Manufacturer AAMNAt., Model# r- Size
Float seperation xv- Gallons/cycle: 7
Alarm Location 1'1)
SOIL ABSORPTION SY TEM
Width: to Length 8q. y Number o t~er~4i'2s
Distance & Direction to nearest prop. line:_ - 3rd
f 100
Setback from: well: 1.50 House Other
'ELEVATIONS
Building Sewer 'SST Inlet; ST outlet 13 • Q
PC inlet 7~. PC bottom Pump Of f 107,
Header/Manifold APA4 7 Bottom of system 141
Existing Grade D.Z. Final grade
DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: `r3
INSPECTOR:
3/93:jt
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) SanitaryPermitNo.:
C ~q
Permit Holder's Name: ❑ City ❑ Village Town of: State Plan o.: S
DUGGAN, BRAIN
CST BM Elev. 3 0:78
Insp. BM Elev.: BM Description: Parcel Tax o
Ic4d 60 A 9 4. -0 0- 2- 2- 0-
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic , Benchmark 0
0.,0/i9.9s.
Dosing
Aeration- Bldg. Sewer OS pQ
Holdin St/ Inlet
TANK SETBACK INFORMATION St/ H/Outlet
TANKTO P/L WELL BLDG. Aelntake ROAD Dt Inlet 7,6T
/ LOY
Septic NA Dt 9ottom
Dosing NA /Man. 377/
Aeration- N Dist. Pipe 3~Q6 3,7u 1 3' 3? -41
D Holdi Bot. System IWO
SIPHON INFORMATION °,'b 3 Final Grade
kV- G
'
Manufacturers Demand '
3.03' l t 9~
Model Number "G S MCP e o~ ~ 960 /0, SAS
Friction System,, TDH Ft
TDH Lift
I Loss Head _i,
Forcemain Length U gI Dia. 3 Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH width LengtNo. Of renches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS C~' Q DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Ma rer:
SETBACK
INFORMATION Type Of 19eA_,3- CHAMBER -Model Number:
System: hccc~r d( 5 ?lQi 6, OR U
DISTRIBUTION SYSTEM
Header / ManifoId Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length 36 Dia. °p I,/ Length ~ I Dia. Spacing 36 /
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
Bed/ Tfea= Center Bed / dges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
I
LOCATION. STAR PRARIE 18.31.18.323A SW SE 210T
_1 "z
Plan revision required? ❑ Yes No q /
Use other side for additional information.
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
4
SANITARY PERMIT NUMBER:
wr
D~I~HR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code COUNTY
STATE SANITY PERMIT #
-Attach complete plans.. (to the county copy only) for the system, on paper not less than OR 8% X 11 inches in size. ❑ Check ifr evisidn to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. $ - Q d
PROPERTY OWNER PROPERTY LOCATION
1-4 9k v- k) '/a j ' 46%, S "BLOCK N, R /f r W
PROPERTY OWNER'S MAILING MURtSS LOT # # N~
a ? n4 /-'e C_ 'r
ffY, STATE ZIP CODE PHONE NUMBERS SUBDIVISION NAME OR CSM NUMBER
13YI11 43J &141-
11. TYPE OF UILDIN (Check one) ❑ State Owned CITY + NEAREST ROAD
STq r ha l" to '2),* ❑ Public Al or 2 Fam. Dwelling-# of bedrooms A L TAX N R(
III. BUILDING USE: (If building type is public, check all that apply) f d 7 -r b d
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑-Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1.,hSJ New 2. ❑ Replacement 3.0 Replacement of 4.E] Reconnection of 5. ❑ Repair of an
4 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 43 ❑ Vault Privy
140 System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PR ED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
l~~ !lames O . Feet Feet
VII. TANK CAPACITY Site
in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper.
INFORMATION - New istin Gallons Tanks Concrete lass A .
Tanks Tanks structed g pp
Septic Tank or Holding Tank f
' Si hon Chamber Q pJyr~.
JEE
Vlll. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Prin)t Plumber's Signature: o tamps) 9P/MPRSW No.
Business Phone Number:
T
t h ti
t e r ~,~,~-w+ `563 7 ,S- aY6 -54fs
Plumber's Address (Street, City, Eta! p, Zip Code):
l ar
IX. COUNTY/DEPARTMENT USE ONLY
E] Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Stamps)
~pproved El Owner Given Initial Surcharge Fee)
Adverse Determination
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
i
INSTRUCTIONS
1. rA,,§. tary 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 f?evisiojv%to-fhis permit must be approved by the permit issuing authority.
, Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
sub%itted,to the cou'ht)prior to installation.
5. Onsite sewage systems must bd properly maintained. The septic tank(s) must be pumped by a licensed ;
pumper whenever necessary, usually e,%(p y 2 to 3 years.
6. If you have questions concerning your on "site sewage system, contact your local lode adrriin strafor orthe
State of Wisconsin, Safety & Buildings.Diviaion, 608-266-3815.
To be comoete'a'nd-accurate this.san qy, 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.
Ili. 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.
Vl. 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'f 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),cr eetion of the soil absorption system if.:
,t 'required by ther.cQunty; E)•soij,test data on a X15-Jorm; and^F)4l 'nformation:
GROUhDWATEi~ AURCHANGE
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'`fo,r„m4to 'itur.ing~g(ou.ndwater, grounti_
water contamination investigations and establishment of standards.'
SBD-6398 (R.11/88)
~ J
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
June 29, 1994 2226 Rose Street
La Crosse WI 54603
POWERS, CALVIN JR.
1969 - 185 AVE
NEW RICHMOND WI 54017
RE: PLAN S94-40649 FEE RECEIVED: 180.00
DUGGAN, BRIAN
SW,SE,18,31,18W
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,
Dennis Sorenson
Plan Reviewer
Section of Private Sewage
(608) 785-9336
SHD-114231 R. 01/81)
Wisconsih Department of Industry, PRIVATE SEWAGE SYSTEM Safety and Buildings Division
Labor and Human Relations REVIEW APPLICATION Bureau of Building Water Systems
Hayward Office La Crosse Office Madison Office Shawano Office Waukesha Office
209 W 1st Street 2226 Rose Street 201 E. Washington rove. 1053A E. Green Bay Street 401 Pilot Court, Suite C
Rt 8, Box 8072 LaCrosse, WI 54603 P.O. Box 7969 P.O. Box 434 Waukesha, WI 53188
Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Shawano, WI $4166 Phone (414) 548-8606
Phone (715) 634-4804 Fax (608) 785-9330 Phone (608) 267-5119 Phone (715) 524-3626 Fax (414) 548-8614
Fax (715) 634-5150 Fax (608) 267-0592 Fax (715) 524-3633
INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this
form together with fees and plans/information. Your submittal must be received at least one working day prior to the appointment at the office
.where your review was scheduled. Please call any of the listed offices if you need help filling out the form or hav qu stions on what information to
submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your reference [ rid 0 i1 Q
1. APPOINTMENT INFORMATION -if you have scheduled an appointment, fill in the information requested below to save time:
Appointment Date Rev ewer Name _ Plan Identification Number
- y ,2. Y\ Y) I S. -f- 5 - a y
2. PROJECT INFORMATION If this review is a revision or extension to your existing
plan identification number, provide that number here:
Prof ct Name ❑ City ❑ Village Town Of: County
rai V.%
Project Location G,
GOVT. LOT $ W 1/4 $67 1/4,S T N,R 4~' w Scat Y' ~ ht ~Q:
3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED
System Type (check one): System Type I (include new and existing tanks)
Up To 1,500 gallon septic tank $110.00
A ❑ At-Grade 1,501-2,500 gallon septic tank $120.00
H ❑ Holding Tank 2,501 - 5,000 gallon septic tank $160.00
M Mound 5,001 - 9,000 gallon septic tank $200.00
N ❑ Non-Pressurized In-Ground(Conventional) 9.001-15,000 gallon septic tank $300.00
Over 15,000 gallon septic tank $500.00
P ❑ Pressurized In-Ground
O ❑ Other: Up To 1,000 gallon dose chamber $ 70.00
1,001 - 2,000 gallon dose chamber $ 80.00 .
Building Type (check one): 2,001 - 4,000 gallon dose chamber $100.00
4,001 - 8,000 gallon dose chamber $120.00
D Dwelling, 1 or 2 Family 8,001 -12,000 gallon dose chamber $140.00
P ❑ Public Building Over 12,000 gallon dose chamber $160.00
S ❑ State-Owned Building U To 5,000 gallon holding tank $ 60.00
5,001 -10,000 gallon holding tank $100.00
Code Derived Daily Flow (e L-50 gpd Over 10,000 gallon holding tank $150.00
❑ Check If Replacing Existing System Experimental System (additional one time fee) $ 300.00
Revisions To Approved Plan 2 $ 60.00
itr n For Variance: Setback $100.00 .
IG~
❑ Petition For Variance EIVED Site Evaluation $ 225.00
Plumbing $225.00
JUN 17 IQ94 Revision $ 75.00
Groundwater Monitoring - Per Site $ 60.00
❑ Groundwater Monitoring S► r0 d subdivision)
❑ Site Evaluation in Lieu of
Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring $ 60.00
Subtotal:
Priority Review: Enter same amount as Subtotal:
MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total Fee:
5. SUBMITTING PARTY INFORMATION
Telephone No. (include area code & extension) Co any Name //Contact Per on
O/S) e2 Y!o -'S/ 3_,S c~c~7rS C,a ulh ~ w-~'S
No. & Street Address Or P.O. Box t ( City, Townp~ Village, State, Zi Code
/t uc , Is
r Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers.
2 Revision fees are not applicable to temporary holding tanks or extensions to existing approvals.
NOTE:. Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to change annually.
SBD-6748 (R. 03/93) OVER
:Niscons,: i Department of Industry. SOIL AND SITE EVALUATION REPORT Page 1 of 3
Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05. Wis. Adm. Code
Q COUNTY
C ` 7 r
St. Croix
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, aria location and distance to nearest road. 038-1078-60
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER PROPERTY LOCATION
Brian Duqgan GOVT. LOT 1/4 1i4,S 18 T 31 ,N,R 'Ggor)W .1; F PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
2597 Fernwood Ct. na na na
CITY. STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE EJOWN NEAREST ROAD
Roseville MN. 54113 1 b0Q)633-386Q
[xJ New Construction Use ( Residential / Number of bedrooms 3 [ j Addition to existing building
( J Replacement [ J Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate _1 _bed, gpd/ft2.r_trench, gpd/ft2
Absorption area required 379 _ bed, ft2 _ -179 trench, ft2 Maximum design loading rate C_bed, gpd/ft26trench, gpd/ft2
Recommended infiltration surface elevation(s) 103.00 ft (as referred to site plan benchmark)
Additional design I site considerations na
Parent material glacial drift Flood plain elevation, if applicable na ft
rll_u Suitable for system CONVENTIONAL MOUND IN GROUND PRE5URE AT•GRADE SYSTEM IN FILL HOLDING TANK
= Unsuitable for system ❑ S ®U (7 S U ❑ S ®U ❑ S CCU ❑ S QU ❑ S (aU
SOIL DESCRIPTION REPORT
Boring Depth IDominantColor I Mottles Structure Consistence Botdxiary Roots GPD/ft
1 1;
# Horizon in. 1 Munsell Cu. Sz. Cont. Color I Texture Gr. Sz. Sh. I Bed Trerch
1 1 10-8 10yr-1/2 _i no 1 2msbk mfr
2 8-24 10yr5/4 none sil 2msbk mfr gw if .5 .6
f 2.5yr374____
Ground 3 24-50 5yr4/4 2.5 r4/2 sl M na na na np np
elev.
L02-80
i
Depth to
limiting - -
factor
2411
Remarks:
Boring #
1 0-12, 10yr3/2 none 1 2msbk mfr aw 2f .5
2 2 12-36 10yr5/4 none sil 2msbk mfr gw if .5 .6
3 36-50 5yr4/4 if 2.5yr3/4
I 2.5 r4/2 sl M na na n
Ground
elev.
102.80 ft.
Depth to
limiting
factor
Remarks:
CST Name:-Please Print Phone:
Gar L. steel 715-246-6200
Address: 1554 20 . ave., New-)Richmond, WI. 54017
CST Number:
Signature: C to
4-8-94 cstm229 8
x
PROPERTIOWNER Brian Duggan SOIL DESCRIPTION REPORT Paps 2 of.3
PARCEL I.D. 8 038-1078-60
•
Boring # HorizonDepth Dominant Color Mottles Texture Structure Consistence Boundary Roots G'PD/ft2
~
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I Bed Jrzr)J
3 1 0-12 10 r3/2 none 1 2msbk mfr gw 2f .5 .6
2 12-36 10yr5/4 none sil 2msbk mfr gw if .5 ~.6
Ground 3 36-50 5yr4/4 none S1 M na na na .3 .4
elev.
100.8.
Depth to
limiting
factor
+50"
I
Remarks: _
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
f t.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
S130-8330(R.05/92)
STEEL'S SOIL SERVICE
11;54 200hh- Ave-
e
Gary L. Steel ' Brian Duggan
C.S.T. 2298 SW4SE4 S18-t31N-r18W New Richmond, WI 54017
MPRSW-3254 715 246-6200
town of Star Prarie
bm=toA of 1" steel stake at el 100'
1O9
alt. bm-top of 111 steel stake at el.93.90 c~ <
lot 132+ acres
d ~ ~°~`~0 a-✓' L
FJ Gvl'~ /Q z no
~N
Gary L. Steel
4-8-94
r S94 ~ Y0649
aSQ. U l
WORKSHEET - AUND SYSTEM DESIGN
PROBLEM:
Design a mound system for a,M__,j~ "
The site characteristics are:
Depth to groundwater or bedrock in.
Landslope % df
Percolation rate • 5 mk /tie.
Distance from dose chamber to distribution system ft.
Elevation difference between sump and distribution system 'r3 ft.
Cep , L f uta ~
Step 1. WASTEWATER LOAD ~w gal.'
Step 2. SIZE THE ABSORPTION AREA
A) Area required = ( 60 Soo sq. ft.
B) Bed or trench length (6) 93-3f t.
RQc
C) Bed or trench width. (A) ft•
,D) Trench spicing (C)
Wastewa:..er load .24 gal/ftz/day B = ft.
trE~c ei s
Step 3. MOUND HEIGHT
A) Fill depth (D) _ / ft.
B) Fill depth (E) ■ D slope (A)+P 6f t.
J / + ,e4 X6') J, .36
C) Bed or trench depth (F) _ ~!•3 ft.
D) Cap and topsoil depth (G) _ ft.
E) Cap d topsoil depth'(H) ft•
i;n:
License .Ia: IS~3 _
Step C. MOUND LENGTH
A) End slope (K) = D + E 1 + F + H x 3 ~a~53ft.
/-f- f,83-~ ► ~X
~ mound len C t'
8) Total 5
s + 2K /ills 'If t.
th L B
J 10 ~Step 5. MOUND WIDTH '
Al) Upslope correction factor 96 A2) Upslope width (J) ^ (D + F + G)(3)(factor) 7,3 ft.
C/ -f >>x3x , 8G
Bl) Downsl ope correction factor a°?
B2) Downslope width (I) _ (E + F + G)(3)(factor) _ 12 ft.
C1) Total mound width (W) for bed = J + A + I _ ~S 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 infiltrative-capacity = A? 0 sq. ft.
Cl) Basal area available for bed for sloping sites =
B x (A + I) _ L[ ,7 ysq. ft.
g3.3 X(6 +ll,g ; 14 71, ~
C2) Bas are avail le for trench for sloping sites =
B W Zi + A _ sq . ft.
C3) Basal area available for trench or bed for level
sites B x W = _ sq. ft.
License Wu:
i
Date:
/1 4 0 6 4 9
Step 7. DISTRIBUTION SYSTEM
-7A) SIZE DISTRIBUTION SYSTEM
1) Hole size = X h, in.
2) Hole spacing = 114" in.
3) Distribution pipe length = /d►~ 0.
4) Distribution pipe diameter Q _ in.
= 3
5) Spacing between distribution pipes in.
6) Distance from sidewall to distribution pipe in.
7B) DISTRIBUTION PIPE DISCHARGE RATE ydS' ft.
1) Number of holes per pipe
2) Flow per pipe GPM
7C) SIZE MANIFOLD
1) Manifold is central/ end
2) Manifold length ft.
3) Number of distribution lines =
4) Manifold diameter a in.
7D) SIZE FORCE MAIN
1) Minimum dosing rate = (;.~1) GPM
2) Force main diameter = 3 in.
3) Friction loss = /~Og ft
/6-co
7E) TOTAL, DYNAMIC HEAD ~,,1Q~~er W 5~
0
) Vertical lift 3'Q ft. '
1
a~ J►m`~'~ r
2) Friction loss = ft .
J _
3) System head 2.5 ft. Q'S ft.
4) Total dynamic head C~) ft.
LicersE; Jjrb
f 40649
s~ To,rk,
7F) ON
1) fQp selected will discharge _y ~J.7 at ft.
total dynamic head.
2) 9 del r
and manufacturer
7G) DOSE VOLUME
1) 10 times void volume of distribution lines * ! J~ gal./cycle
A, y' /s --Y/o t15-6
.2) Daily wastewater v~lume : 4 doses/24 hrs. _ gal./cycle
Oz f : /sa
3) Minimum dose volume - Ls2~ gal./cycle
7H) DOSE CHAMBERS N
1) Minimum capacity required = w s T l boo gal.
~'mrlJ~-Siphar
Sign:
Licensc "U:1sd 3
Date:_ 9
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9 -40649
lwl1 '~Fxl& Straw, Marsh Hay, Or
Synthetic Covering
IS~m C 33 Distribution Pipe
.irm\, S a n d
H -~G
Topsoil = - F
3 E D
O % Slope
Bed Of V-23', " Force Main Plowed
2
2
Aggregate Layer
D Ft.
31, Ft.
Cross Section Of A Mound System Using E /i 3
A'Bed F ~ Ft.
For The Absorption Area
G / Ft.
n A Ft. H Ft.
Signed: ems- B 93.1- Ft.
License Number: 1563 K 1 diS3 Ft.
Date: - / - L ,31,Ft.
J 713 Ft.
Alternate Position I A 7 Ft.
Forcef Main W 2_ Ft.
~ I
Observation Pipe--,,\
A
F(•-__---f--------------- ----------------------•I Force Main
w ° - - -
Distribution- e.Id 0f,- 2
Pipe
_,.zAggteg:ixYo-
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Observation Pipe Permanen-t' Mcrk.ers•
.y f f'
Plan View Of Mound Using A Bed For The'Absorption Area •
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Perforated Pipe Detail
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End view t
Perforoled :r
End Cop PVC Alps i
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w sr Q PVC
WN(Old Pips
o~irip~tiolt~,Alt•rnct• Posl1Jon of
Pipe forte Mdln
sa
Loef'HOIe S1►ould Be Neat To End 'Cap
End Cop Distribution Pipe Layout . r
PD,S> Ft.
R
S ANA
Y Inches ~+G
Signed: Hole Diameter V Inch•
Lateral.
Inch(as)
Licens,aIlt tuber; M
Manifold " Inches
~ r r
Date: Force Main Inch.e3 ~f
# of holes/pipe
s Invert Elevation: of Lateral Ft`.. `a
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TANK SPECIFICATIONS,..,
0 I .r
I
/ CONCRETE STRENGTH:,5000 PSI',
REINFORCEMENT:
COVER - #4 REBAR
TANK - 6 x 6110 GA. WIRE MESH
E
DIMENSIONS:
WALL: 21/2", LENGTH: 104" J
BOTTOM: 21/2" BELOW INLET. 51
~ COVER: . 4" MANHOLE:
s
HEIGHT: 67
o _ VENT: 4" CAST IRON HUB
e INLET: 4" CAST IRON HUB
DISCHARGE PIPE: 4" CAST IRON HUB
d MILLER 3" AUTOMATIC SIPHON
AVAILABLE COVERS:
' CONCRETEICHAIN LOCKDOWN
STEEL LOCKDOWN
GALLONS PER DISCHARGE: 279
>r GALLONS PER INCH: 23.81
•f , " WEIGHT: 8,230 POUNDS
- r ,
MODEL WST-1000 'MR11EIER 1000 Gallon Siphon Tank 00HURETE I J
Rt. 2 (Hy 10) Maiden Rock, WI 54750-(715)647.2311
i
Wisconsin Oppartment of Industry, SOIL AND EVALUATION REPORT Page 1 of 3
Lailbr and Human Relations
Division of Safety & Buildings i h 83.05, WIS. Adm. Code
~ COUNTY
Attach complete site plan on paper not le n8 1/ ches in Plan must include, but
not limited to vertical and horizontal refe e~ point (i~n and ° f slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location n istap to nearest road. 038-1078-60
APPLICANT INFORMATION-PLEPRINT ALE I%F~d@*ATIOiV REVIEWED BY DATE
vl
PROPERTY OWNER: COi)NT1i !C y PROPERTY LOCATION
' SING OFFiO
Brian Du an GOVT. LOT 1/4 1/4,S T N,R Vqor) W q-p 18 31 18
PROPERTY OWNER':S MA!I.ING ADDRESS 8 Oj LOT # BLOCK # SUBD. NAME OR CSM #
2597 Fernwood Ct. I(, na na na
CITY, STATE ZIP CODE PHONE ER []CITY []VILLAGE [MOWN NEAREST ROAD
Roseville M. 54113 1 b
[X] New Construction Use [ )j Residential / Number of bedrooms 3 [ ] Addition to existing building
] Replacement [ ] Public or commercial describe
Code derived daily flow 450 gpd Recommended design loading rate . 5 bed, gpd/ft2_:6 rench, gpd/ft2
, ft2 Maximum design loading rate __r1_bed, gpd/ft2__5__trench, gpd/ft2
Absorption area required 379 bed, ft2 trench
Recommended infiltration surface elevation(s) 103.00 ft (as referred to site plan benchmark)
Additional design / site considerations na
Parent material glacial drift Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U ❑ S cau
U =Unsuitable for system ❑ S ®U E7 E ❑ U ❑ S 12 U El S Eau El S 51
SOIL DESCRIPTION REPORT
Boring # Horizon Depth I Dominant Color Mottles Texture Structure (Consistence I Bouncl3y Roots GPD/ft
in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Trttcft
0-8 1 nvr'~./2 none 1 2msbk mfr crw 2f .5 -6
=<v£'` 2 8-24 10yr5/4 none sil 2msbk mfr gw if .5 .6
Elf 2.5yr3/4
Ground 3 24-50 5yr4/4 2.5 r4/2 sl M na na na np np
elev.
1n2f§0
Depth to
limiting
factor
2 4,,
Remarks:
Boring #
1 0-12 10 r3/2 none 1 2msbk mfr aw _9 .6
<2 2 12-36 10yr5/4 none sil 2msbk mfr gw if .5 .6
n' 3 36-50 5yr4/4 if 2.5yr3/4
2.5 r4/2 si M na na na no no
Ground
elev.
102.80 ft.
Depth to
limiting
factor
Remarks:
CST Name:-Please Print Phone:
Gar L. steel 715-246-6200
Address: 1554 20 . ave., Ne Richmond, WI. 54017
Signature: Date: CST Number:
4-8-94 cstm229 8
PROPERTY OWNER Brian Duggan SOIL DESCRIPTION REPORT Page 2._ of 3
PARCEL I.D. 038-1078-60
Boring # HorizonDepth Dominant Color Mottles Texture
i I Structure Consistence Bourdbry Roots GPDift
,
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed (Trench
3 1 0-12 10 r3/2 none 1 2msbk mfr gw 2f .5 .6
2 12-36 10yr5/4 none sil 2msbk mfr gw if .5 .6
Ground 3 36-50 5yr4/4 none s1 M na na na .3 .4
elev. i
100.5.
Depth to
limiting
factor
+50"
i
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
r7l
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
STEEL'S SOIL SERVICE 1554 ?nnt:r, AA.m-
Gary L. Steel . e
Brian Duggan
C.S.T. 2298 SW4SE4 S18-t31N-r18W New Richmond, WI 54017
MPRSW-3254 town of Star Prarie (715) 246-6200
----I
bm=top of 1" steel stake at el 1001 I 60 alt. bm=top of 1" steel stake at e1.93.90
lot 132+ acres
55 4
~ NOD ~ /oz ~o
r
tic,
Gary L. Steel
4-8-94
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
Stt. Croix County
OWNER/BUYER 13psi At P vU (-:2 t.a N o
MAMING ADDRESS 25 91 WOO 0 C; V05CV l UA .c ~ W S& 1 13
92 &&L
PROPERTY ADDRESS -Z 1 o"114
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE N► T, V t 5 4 Cr7_ S
PROPERTY LOCATION 5w 1/4, 1/4, Section T 31 N-R I00 W
TOWN OF OL4-i 0A E ST. CROIX COUNTY, WI
SUBDIVISION LOT NUMBER
CERTIFIED SURVEY MAP , VOLUME PAGE , LOT NUMBER
Improper use and maintenance of your septic system could result in its premature failure to handle
wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed
by licensed septic tank pumper. What you put into the system can affect the function of the septic tank
as a treatment stage in the waste disposal system.
St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost.
of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that owners of all new systems agree to
keep their system properly maintained.
The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner
and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1)
the on-site wastewater disposal system is in proper operating condition and (2) after inspection and
pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum.
I/We, the undersigned have read the above requirements and agree to maintain the private sewage
disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintained must be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year a iration date.
SIGNED:
71-7
L/V
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
STC-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 ,n delays of the pormit issuance. , Should this
development be intended for resale by owner/contractor,(spec
house), thenla 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 P4C'-W j' k,tuu4.Q
Location of'property=1/4 S=_1/4, Section i~ 31
Township St~6
Mailing address 2S•q-t'~-eJV~toa~-
SE V 1 t,t.~,, ~ S l 1 .
Address of site 21~ T`, .50M~'T Sc' wt S+0
Subdivision name
Lot no.
Other homes on property? -yes No
Previous owner of property _ L-UCrl t LA; ~'jA t l~.~t2~c-p N
Total size of parcel
Date parcel .was created -2j
'Are all corners and lot lines identifiable?
Yes No
is this property 10eing developed for (spec house)? Yes , No
Volume ICS-1 and, Page Number 'Lt-o_1 as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEhD 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 for;, by virtu` of a
warranty deed recorded in the office of the County Register'*.of
Deeds as Document No. St I oto 1 , and that I (we)
own the proposed site for the sewage disposal systemorrI e(we)
o
btained an easement, to run the above described property, for
the
recorde stru
in cthenof of said system, of county Registers of adeeds s as Deen ocument
No.IIQtO 1
D/" signature o appli t Co-applicant
`.7-i- 4
Date of Signature Date of signature.
DOCUMENT NQ, STATE BAR OF WISCONSIX. rO1trA 1-» 1886 THIS Or RCk ,tasehVko POX RECOMING DATA
' WARRANTY DI=ED
511061
_ _ .o.1•_1_ ~.7pa-26 REGISTER'S OFFICE
This Deed, made between LU c i l l _e }3 a i l 1 a r .g e o n, ST. CROIX Co,, W1
a s 1 zl g le woman,- Pec'd for Record
f • DEC 2 8 1993
► Grantor,
and...:1:.? an..F.~...Di?S:.ga:n..and...Qil c:a_. A:_..Dugaii, at 10:30. A.~
}iu st~•a.nc . I an..w •f e,...si ~...;1 o int.. t.~T nt s.:
Ammar
Grantee,
{ 'W'itnesseth, That the said Grantor, for a valuable consideration......
-
RICTURN TO
conveys to Grantee the following described real estate in Century 21 Somerset
j County, State of Wisconsin : Box 416
gplllei^se.t, -Wi.. 54025
Tax Parcel No;
The Southwest 1/4 of the Northeast 1/4 and the Northwest 1/4 of the Southeast 1/4 of
i Section 18, Township 31 North, Range 18 West.
The Southeast 1/4 of the Southwest 1/4 and the Southwest 1/4 of the Southeast 1/4 of
f Section 18, Township 31 North, Range 18 West EXCEPT the following:
X. The parcel to Pfluger in Volume 483 on Page 527;
2. The parcel to 1'laillargeon in 'V'olume 483 on Page 5; i
3. The parcel to Monnor in Volume 483 on Page 326;
4. The parcel to Connor in Volume 441 on Page 102.
E
~3 be
This ...__..~.5...Q....,.. homestead property.
(la) (is not)
Together with all and singular the hereditaments and appurtenances thereunto belonging;
And . ...Gx: II t2X
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 aama.
i Dated this day of ...D,ecember.................................. , 19..43..
I
(SEAL) ,.......(SEAL)
Lucille Bailla.
......--r eon
. (SEAL) . . (SEAL)
s
AUTHENTICATION ACKNOWLEDGMENT
i Signature(:) STATE OF WISCONSIN
AA.
ST. CROTx
......................................County.
authenticated this ........day of 19 Personally came before me this day of
December 18 93 the above named
Lucille Rai.llarReon
4
TITLE: MEMBER STATE 13AR OF WISCONSIN
Of not,
authorized by $ 706.09, Wis. State.) to me known to be the person who executed the
'I foregoing Instrument a d acknowledge the same.
THIS INSTRUMENT WAS DRAFTED &Y
s
B.AKK15..Ni!HMAN...-.S .C r
17 • . r~r .....lE . a+r!!a--------------------•----------
NOl~!..K.Gh)I1Q)15.~.. - Notary ublie Wil.
(Signatureia may be authenticated or acknowledged. Both My Commission is permanonj 1
are not necessary.) w
date : .......,rS 19- . Y.•)
*Namca of persons s+;nin` in any capacity ehuuld be typed or prince-4 below their si„naturee.
ST. CROIX COUNTY
WISCONSIN
=4`-_ ZONING OFFICE
Y No N u ■ ST. CROIX COUNTY GOVERNMENT CENTER
,F.. , 1101 Carmichael Road
Hudson, WI 540 1 6-771 0
(715) 386-4680
December 9, 1994
Derrick Construction
P.O. Box A
New Richmond, Wisconsin 54017
ATTN: Mike
RE: Septic Inspection for Brian Duggan
Address: 854 210th Avenue, Somerset, Wisconsin
Dear Mike:
An inspection of the septic system for the above address was
conducted on November 11, 1994. This property is located in the
SW, of the SE, of Section 18, T31N-R18W, Town of Star Prairie, St.
Croix County, Wisconsin. At the time of the inspection, this
septic system was found to be code compliant for a four (4) bedroom
home. Should you have any questions, please feel free to contact
this office.
in rely,
ames K. Thompsol
Assistant Zoning Administrator
mz