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Home My WebLink About040-1221-30-000St. Croix County Planning and Zoning Thursday, January 05, 2006 at 11:03:34AM Detail Sanitary Information Page / of I Computer 0: 040-1221-30-000 SublPlat: Country Oaks Section: 21 Parcel #: 21.28.19.1074 Lot: 3 TNNM: T28N R19W Municipality: Troy. Town of CSM: 114114: SW 114 BE 114 Owner: Hadeen, James 220 County Oaks Road River Fab. WI 54022 State Permit: 218970 Issued: 10/07/1994 POWTS Dispersal: Mound Permit: New County Permit: 0 Installed: 10/07/1994 POWTS Detail: NA Bedrooms: 0 WI Fund: POWTS Pretreatment: NA Notes Issuer/Inspector As Built Not determined Yes Jim Thompson Signed Off: No Maintenance Scheduled Pump Date Pumped 10/11/2000 1Olt 112003 10/15/2002 10/15/2005 s P, Plumber Other Requirements Schumaker. William 1st Notification 2nd Notification 3rd Notification 04/01/2004 Additional Notes Money Owed this is another lot 3 that was previously owned by $0.00 Bob DeLeo, who had a mound installed in 1992 on Lot 3 of CSM 8/2312 at 208 Country Oaks Drive. Separate lots/mounds -need installation date HEDEFN, Jim NWI4, SE4, Sec. 21, ,353 Nicole, 02 T28N-R19W Town of River Falls, WI 54022 Troy, Lot 3, Country Oaks Address Site: 220 Country Oaks Road Permit No.: 218970 10/07/94 William Schumaker New System - Mound Avjio/'� �'-vZ�nut . e0 ' ?-s- 9y Parcel #: 040-1221-30-000 01/0512006 10:59AM PAGE 1 OF 1 Alt. Parcel #: 21.28.19.1074 040 -TOWN OF TROY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner JAMES E & TWYLA A HEDEEN 0 - HEDEEN, JAMES E & TWYLA A 220 COUNTRY OAKS RD RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): • = Primary Type Dist # Description ' 220 COUNTRY OAKS RD SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.309 Plat: 0207-COUNTRY OAKS SEC 21 T28N R19W PT SW SE LOT 3 COUNTRY Block/Condo Bldg: LOT 03 OAKS 2.309 ACRES Tract(s): (Sec-Twn-Rng 40114 1601/4) 21-28N-19W Notes: Parc - ate Doc # Vol/Page Type 07/23/1997 1085/318 WDD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 103755 332,200 Valuations: Last Changed: 07/22/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.309 66,000 253,700 319,700 NO Totals for 2005: General Property 2.309 66,000 253,700 319,700 Woodland 0.000 0 0 Totals for 2004: General Property 2.309 66,000 253,700 319,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 212 Specials: User Special Code Category Amount Total Special Assessme0nts Special Charges Delinquent Charges TOO U St. Croix County Planning and Zonin Wednesday, Apr!! 20, 1005 a1 11:06:10 AM Detail Sanitary Information Page 1 of Computer 9: 040-1221-30-000 Sub/Plat: Country Oaks Section: 21 Parcel tit: 21.28.19,1074 Lot: 3 TN/RNG: T28N R19W Municipality: Troy, Town of CSM: 114 114: SW 114 SE 1/4 Owner: Hedeen, James 220 County Oaks Road River Falls, WI 54022 State Permit: 218970 Issued: 10/07/1994 POWTS Dispersal: Mound Permit: New County Permit: 0 Installed: 10/07/1994 POWTS Detail: NA Bedrooms: 0 WI Fund: POWTS Pretreatment: NA Notes Inspector As Built Not determined NA Signed Off: No Maintenance Scheduled Pump Date Pumped 10/11/2000 10/11/2003 10/15/2002 10/15/2005 Plumber Other Reouirements Schumaker, William 1 st Notification 2nd Notification 3rd Notification 04/01/2004 Owner: DeLeo, Bob 220 County Oaks Road Riv ails, WI 54022 State Permit: 180280 Issued: 10101/1 POWTS Dispersal: Mound County Permit: 0 Installed: POWTS Detail: NA POWTS Pretreatment: NA Notes Ins�ctor As Built Plumber Other Reouirements Not determined NA Schumaker, William Signed Off: Additional Notes Money Owed looks like original permit not Installed - check both 50.00 in archives soil report still in active files, will put with perk Pirmtt: New illedrooms: 0 Fun Add i onal Not Money Owed $0.00 b" La1prerdItuiwRelations avIL N1vu a11e GVALUAIIUN KtHUMI DrvrlonotSafety aBulldirps in accord with ILHR 83.05, Wis. Adm. Code -Lv i#- 3 "-�oQAJ7,e y o t x-5 (,ti Pf To,e 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 dimensioned, north arrow, and location and distance to nearest road. 60eiA.) 6-5 APPLICANT INFO RMATIO N-P LEASE PRINT ALL INFORMATION. ( -y-Is_ _. rage / of _-,� COUNTYSr e A4& -X PARCEL I.D. / Ou sfm- bQiFi�tT�o� 7 REVIEWED BY DATE PROPERTYOWNER:`CLt 4/. MuR P NY PROPERTY LOCATION GOVT. LOT 41A/ 1/41/0 2/ T 2 f ,N,R (9 E (o4'LO PROPERTY NER:S MAlll ADORE fu 302 ple ttt A LO r BLOCK+r SUED. NAME OR CSM I i ,/TD/1 f4,'11 louv7,P O�,fS I ,ST—ATE Fyt (f S �/. ZIP COD PHONE NUMBER f032- OCITY []VILLA GE Q]fOWN NEAREST ROADS1C T,Po covr rQy o,,.rs ,pp . 14 New Construction Use It I Residential / Number of bedrooms 1 J Addition to existing building I Replaoernent ( ] Pudic Of commercial describe Code derived d* flow GO1) gpd Reconrnended design loading rate N L bed, g;d ' 3 Ir--h, gpdAt2 Absorption area required bed, ft2 trench, g Maximum design loading rate 'U� bed, gpddt2 3 trench, gpolft2 Reconvnended infiltration surface elevation(s) ft (as referred to site plan benchmark) / Adaillonaldesgn/SOwrrsiderations �t�Sr'o-v fort O.t }T� — W5-f- TRFN ".0E 06' vp . Parent material <S i v PZ - 5.OL Q 5,1-Flood plain elevation, if iable ti It aPPI. S ■ SUltade for syslem U: Unsuitable for CONVENT04AL ❑ S au MOUND R S ❑ U IN -GROUND PRESSURE ❑ S ®U AT -GRADE ❑ S U SYSTEM IN FILL ❑ S R)U HOLDING TANK ❑ S ® U Boring # 10 Ground elev. It Depth to lintiting tom N Boring # Z Ground elev. ft. Depth to limiting factor ,, -1 SOIL DESCRIPTION REPORT Horizon Depth in. Dominant Color Munsell Moores Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft Bed Tmrdi a /ore 3 3 7777777 s ,e 7-7 e 5 z f .G /U Yid f 3 S / it SA& ,rr F,� � s Z f -2-, 3 2. 13 c - 3 lor� s/ �. 2..IS Yie s Shy' �r►,��e s /�f , s . Remarks: p-y /01ie -1/3 — S•/ 2,M 5hr C 5 2- 4. = ` • G 13 -30 10V/e ��y — S'/ ? �►,, she A•.f�e 30 �s Y� y s i 2 - s (� - /, f, A,, �►, v f, — � . 3 v 1 s�, �� • 'S ': c ` VA;'. 4' i�. PROPERTY OWNER G, /�7UiPP(/ SOIL DESCRIPTION REPORT PARCEt.IAl 1-19 40 vv7-0'4 y aAe5; Page Z Of 0 Boring # 3f Ground elev. Depth to limiting fa zg Boring # Ground elev. ft Depth to limiting factor Boring # A Ground etev. fL Depth to limiting factor Boring# [wag Ground elev. IL' Depth to limiting faclor Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consisteie BohrYlary Roots GPD/ft Bed Trench D-i7 /OYX 3 3 S�/ 1 f, sde nr CS zf 2_,s ioye y/ s,� J,m, pc �,fR cs zf Np .3 I3, S Mk ,,, -FR C s /v f , r- „ G ' /iSo 'ZcjAv S i /O V;(�-- Remarks: —5o,y5 S,fT v.P.,t 77Z Z> If T Z/0 " — 5 0 " Remarks: SBD-6330(R.05/921 GD T 3 �MrtTok SOgD HOMESITE SEPTIC PLUMBING CO. 656 aNEIL RD., HUDSON, WIS. 5Will ROBERT ULBRIGHT • wo. MASTER PLUMBER LIC. NO.3307 M.P.R.& MtNN. RtSTALLER 6 DESIGNER LIC. NO.00003 So• <dT 5c'41-E : / "' 30 " E L E V AT1 GNS 'B '13 qi/ ' 13z. q.s. -7 y , T33 �5-HY 5utIESTED Hou-uD SySrcM EICVATIoy 9S- Apo up I. GD 1p $3 ion , 7l5E -reeve,(` Ti%e= Mov.•-lp Sys rf-41 = FOR 5/owP�`+��1/3r�i� �eeS7V1r-ricvs . -- --- ,�. 33 i2y • ` P�ov� PAD f r S, F . 6oT coR�i2 Toioa, A Qe 0 s v c STC - 104 AS BUILT SANITARY SYSTEM REPORT SUBDIVISION / CSM( LOT $ 3 SECTION 62 T_ 2ZEN-R_�e W Town of_ Ti�tr ST. CROIX COUNTY, WISCONSIN PLAN vu SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 6Y INDICATE NORTH A.R40W Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of sept is tank manhole c<n c BENCHMARK: ALTERNATE BM' ,.i "k, e a s / /.S' SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Liquid Capacity: IoZdd ti Setback from: Well 2G House /O Other Pump: Manufacturer Z o /ley Modell_ Size_ Float seperation 4;�_ -//' Gallons/cycle: imp Alarm Location , w t G 41930 W\".b16l.Al+Q%01;m4'l-09 Q*VTI Width: � LengthZ&�) Number of trenches Distance & Direction to nearest prop. line: G � r, oui Setback from: well: House ,5• Other Building Sewer PC inlet Header/Manifold Existing Grade ELEVATIONS ST Inlet ST outlet PC bottom Pump Off Bottom of system Final grade DATE OF INSTALLATION: S PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:)t BENCHMARK: s01 ,►� eaS �� ALTERNATE SM• SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: �yj,�1es%�,N�/ Liquid Capacity: /�?/Jr) Setback from: Well 2G House /O Other Pump: Manufacturer z o «/ltY Model# f7 Size_ Float seperation_ er„ y Gallons/cycle: !`d Alarm Location /-1 a, s cZ SOIL ABSORPTION SYSTEM Width:---? Length4�1_ Number of trenches Distance & Direction to nearest prop. line: G' ' Motu Setback from: well :.:�QD ' House Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: --vxlf, - PLUMBER ON JOB: LICENSE NUMBER: m Q _f;F7,-Z INSPECTOR: 3/93:jt ' Wisconsin D4oartment of Industry, Lahr an6-Human Relations Safety And Buildings Division GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) P s NaM City []Village [R Town o : r Tro CST BM Elev.: Insp. BM Elev.: BM Description: /Cd . & ' I /Ov. cz/ �mP a's TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic u / Dosing c Aeration — Holding TANK -SETBACK INFORMATION TANK TO P/ L WELL BLDG. Ventto Air Intake ROAD Septic A/" NA Dosing NA Aeration A Holdi PUMP / SIPHON INFORMATION Manufacturer Demand y0 MI GPM Model Number " % TDH I Lift a,� Friction �� Loss S stem 7DH Forcemain Length58 Dia. Dist. To Well SOIL ABSORPTION SYSTEM r L ELEVATION DATA ounty:ST. CROIX Sanitary Permit No 218970 State Plan ID No.: Parcel Tax No.: A9400358 S aL r STATION BS HI FS ELEV. Benchmark O . Js7 ' Bldg. Sewer St/off Inlet 27,27 St/yf Outlet 13,fit! 276,7 Dt Inlet 3 9a' Y-S' Dt Bottom F,3, P7 4AeadeFI Man. Dist. Pipe 5. z r = 3 t27 evl' Bot. System z Final Grade BED/TRENCH Width , Length No. Of enches PIT No. Of Pits Inside Dia G DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING urer: SETBACK INFORMATION CHAMBER Type / r', d E_ M e Num r: System: 'a,, /73� OR UN nKTRIR11TInN SYSTFM HesiWlvlanifold N Distribution Pipe(s) q / I x Hoe Size r x Hoe spacing Vent To Air Intake Length Dia c1 Length_ Dia. Ik Spacing� � 66,1 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/Sodded I 1 xx Mulched Bed/Trench Center Bed/Trench Edges Top ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Q .28 NN SE. Lot / JF9� 77- 4L Plan revision required? ❑ Yes U No Use other side for additional information. EERI %�_' Inspector's SBD-6710(R 0"1) Date ector'sSignat ire l Cert No I ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: -/ '_ = \ SANITARY PERMIT APPI ICATIAN In accord with ILHR 83.05, Wis. Adm. Code ' —Attach complete plans (to the county copy only) for the system, on paper not less than STATE d-T�l`7i0 8'f2 x 11 inches in size. ❑ Ctled if revlslonbprwiowappliution —See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION ,' < X %a, S A / Ta Jr, N, R ! E(orig PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # ddl�G T2 3 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER VWAi7vd 11. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLAGE NEAREST ROAD v.o ❑ Public ❑ 1 or 2 Fam. Dwellin bedrooms g of PAR EL TAX NU Ill. BUILDING USE: (If building type is public, check all that apply) d',e!Q , /;2 2l --3 1 ❑ ApVCondo 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. ® 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 LK 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 51 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/aq. ft.) (Min./inch) �� /} ELEVATION GOd QoG 0.0 7/r v Feet AMS Feet VII. TANK CAPACITY in Ilona Total #of Prefab. Site Fiber- Exper. INFORMATION New Gallons Tanks Manufacturer's Name Concretestrutted Con- Steel glass Plastic App. Tanks Tanks Septic Tank or Holding Tank 12god i(M44,dJgP_-w7egA,1 17U ==E Lift Pump Tank/Siphon Chamber Q J ' VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) M /MPRSW No.: Business Phone Number: /44'aa S w Plumber's Address (Street, City, State, zip Code): IX. COUNTY DEPARTENT USE ONLY Approved El Disapproved ❑ Owner Given Initial Sanitary Permit Fee (Inc`cudes Grhargeoundwater d� O� as u issuing nt big ature (No m Adverse Determination 4;PZ X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SB116398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety 8 Buildings Division, Owner. Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-2W3815. To be complete and accurate this sanitary permit application must include: I. 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 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. Vt. 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. Vill. 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 it 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 11188) SAFETY A BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations September 16, 1994 ULBRICHT 6 ASSOCIATES ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN S94-03926 HEDEEN, JIM NW,SE,21,28,19W TOWN OF TROY MOUND SYSTEM 201 East Washington P. 0. Box 7969 Madison WI 537 FEE RECEIVED: COUNTY OF ST CROIX 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. S1 cerely, James Quinlan ORIGINAL Plan Reviewer Section of Private Sewage (608) 266-3937 SUD44=1 U.OIIY11 0 3 Avg MO ULBRICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson, WI 54016 715-386-8185 Reg. Designers of Engineering Systems Private Sewage Consultants PROJECT 1II0EX DILIIR Plan I.D. 1 594-03926 Date Sept_1611994 -- Owner Jim 1ledeen, Twyla Hedeen Phone 715-42.5-8297 Address 353 Nir-.ole, Apt. 2, River Falls, Wis. 54022 Legal Description Lot 3, Country Oaks Subd. NW 1/4, SE 1014, Sec.21, T2911, R19W. Town of Troy C.S.T. Robert Ulbrich-, CSTM2482 Local Authority/ Supervision PROJECT DESCRIPTION County St. Croix Installer St. Croix Cty. Zoning Dept. New Construction, for a 4 bedroom sized home. Estimated daily wasteflow: 600 gals. Soil limiting factors per reports (1-4-93 and 9-9-94): one of three backhoe pits in new mound system area �as a soil infiltrative rate in the top 12 inches of .3 GPD/ft . This wilt require the use of a trench -type mound system using 12" sand fill beneath system. A trench typA system is also r.eaommendpd because soils at a depth of 32" are massive with poor permiability. Proposed: install a mound system using two trenches each 31x841. RECEIVED Pft . 1 PLOT PLAN v i CWS SEP j 6 1V Pg.2 SYSTEM CROSS SECTIONS 6 SYSTEM PLAN M Y & BLOGS. `"w " a"tl"u'y� `gC ON�l Pg.3 PIPE LATERAL LAYOUTMWVL Pg.4 DOSING CHAMBER CROSS SECTION Pg.5 PUMP PERFORMANCE SPECS ' '� rJOUL N r 04 ORIGINAL GoT # 3 y (*A,T.09 SOAP ) OAKS P f-. -Y EDtNU LATIONS A F um. Of INDUSTR AND TIDING DIVISION CS 4 � SEE Gam, yESPONDENCE We l l sue �2 0 y 13�D,PM$ I vl al 4I NEW /lbo 1 ja r NEW /000 �,.Q • (� sp, coT � 56141C: PI 30" • r /3,4 C/rffoF �Ji'TS ELEVATIONS I g67, -7 , /,y 9G.0y 50tIESTeD MOUAJP 5 ysrtM 61EVPTTrov 9 '7. 0 ' ze,5E /ouy X/, Wew Tye Mov-.vp Sys rf-41 — Fooe Th lk ion* 141 w b* �NI id Allll ow dq 894 _j 3926 33 ro fly z A r S.E. LOT cvRns�ie rop OF /.)a D ` iao, O pt. l C+ 5 a j V Medium Sand Topsoil 2 % Slope 4 Undisturbed Sall Synthetic Covering PAN ►�vtf E 1 �/^ I i. Sys7,LtM cC/cv,+rtaAi 97.0' Distribution Pipe D Trench Of f- 2 ' Force Main Aggregate Cross Section Of A Mound System Using Trenches For The Absorption Area A 3.0 Ft. SYSTEM ELEVATION 97.0' 8 84 Ft. INVERT ELEVATION 97.50' 25 Ft. TOP 1 1/2" LATERAL 97.64' K _14Ft. TOP OF ROCK 97.82' L 104 Ft. J 8_ Ft. I 12 Ft. N38 _Ft. -L J K C _ _ _ _ _ _ Force Q- — — — — — — ° ° Main W `- Observation Permonenl� Pipes Markers 5�.40 / C STtfL �itiPS) I THREhOED �'/0 2' Trench Of 2 - 2 ANcIelpED I,vyp Aggregate Mound Using Trenches For Absorption Area -1 RF-a 0/.. �9sAG i9iPci¢ k145fe flko DEFT. OF INDUSTRY, LABOR 8 HUMAN RELATIONS DIVISION OF SAFETYiI)ND BUILDINGS, G/D -> AI 600 . G/D/f� L 2000 SEE -CORRESPONDENCE- " 3 92 6 50. MV posE v -7"-04(t. f34S1W f> e,6 -- _- / A l I l 2- vN I Fopm D 1.0 Ft. E 1.3 Ft. F .8o Ft. G 1.o Ft. H 1.5 Ft. 84 x (38 _ 8 .- 1.5 \ 2646 sq.ft. ) I� . ::) 0-t 5 DSTRIf3uTIoA1 PIPE IJETwoRK LAyou7" FoRce MAiN 25 Fr. of. 211 pvc TOTAL VOtID VOIUhe 4.1 GA15 H o;grteTE(2 LhTEPAL u 1/4 I"CHE5 1 1/2 INc 1}e5 Fr Fr X 60—_ INcNE5 Y 24" VARY hR' t- / 'Di ST^,i c a MAoIFoLt,> 2 I�cKEs FopcE- MAIN " uc SYSTEM 2 INCHES �Ofo'' IE 99``j?i m 16 I.uVERT ELEV>'1T10►J APPROVED o f LATEIN S CE^T. OF INDUSTRY, LABOR & HUMAN RELATIONS 97.50' ()IVISION OF SAFETY AND BUILDINGS . eu p cAP SEE CORRESPONDENCE hTE D pi PEE -DE TAi +� ' Remove- mi 1TRill BURRS • Hobs IocATEV 0,3 BorroM ) EgUAlly SPACED DiSTRiBuTIoN 'DtschARCsE RATe FOR EAch LAT'ER,,1L P6R 0T15 18.72 GAL/Mi1J. TOTAL l7iSTRiBOT100 'Di5cVJ^R�E RATE FOR NET WORK 37.44 GAL/Mj,V, a' J` M iNI'McJ M 4"C.I. VENT PIPE P 5' FROM DOOR, WINDOW OR FRESH AIR, IAITAKE 1'VADE er- T/On/ 96.0' 4.0' �l611.+n eti � 92.0' DLE rju_LE�r -- I APPROVED JOINT w/C.I. FIPE ZATENDING 3' ONTO SOLID SOIL CLEV.90.O' FT. f/EvAr PUMP CHAMBER CROSS SECTIOM ARID SPECIFICATIOUS f,41E I of S VENT CAP WEATHER PROOF APPROVED LOCKING JUNCTIOU BOX MANHOLE COVER 12'MIU. Wl (V IIW106- 1AAEI I I GRADE 4' MIN. v IB' MIN. CONDUIT-- --------- PROVIDE I !J ----- T — - L---- --- AIRTIGHT SEAL APPRO1G1 ,NS�RNl� ' I I i W/C IVPIPEED 01A1T5 A \ ALARM E%TEUDIUG 3' p ONTO SOLID SOIL B 88.70' iI 3.3' I I oN c I I I ' pump--,- --1 OFF D 1.3' ` I BLOCK 88.45' RISER EXIT PERMITTED ONL4 IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFICATIOUS DOSE TANKS MANUFACTURER: Wieser Concrete CO. IJUMBER OF DOSES: 4 PER DA3 TANK SIZE: 1000 GALLONS DOSE VOLUME INCLUDING BACKFLOW: 160 GALLONS ALARM MANUFACTURER: Level Alarm ro_ MODEL ►DUMBER: D.V.L. CAPACITIES: A= 16 INCHES OR 400 CALLOUS SWITCH TYPE: Mercury Float B= 2 INCHES OR 5.0—GALLONS PUMP MANUFACTURER: Zoeller C0 6.4 INCHES OR 160 GALLOUS MODEL NUMBER: 98 1/2HP 115V Dw 15.61AICHESOR 390 GALLONS SWITCH TYPE: Piggyback Mercury Elnat NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 40 GPM INSTALLED ON 5EPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE..7.5 FEET -rAA* SPCCS . } MINIMUM NETWORK SUPPLY PRESSURE✓,. . . . . .. . . . . 2.5 FLET E/IC(n o� �} P 4- 25 FEET OF FORCE MAIN X 2-fi2_F/oo►r.FRICTIO►.I FACTOR.._ -AS FEET �U11IS 25 A TOTAL 091DAMIC. HEAD c 10_6Fi FEET J INTERNAL DIMEIiSl4#I, Qf`Tyk"M :ii"�Tn" 104" ;WIDTH FIR" ;LIQUID DEPTH 39 Conditionally "'PJ11ED C._PT..OF INDUSTRY. LA30A & HUMAN RELATIONS !VISION OF SAFETY APO BUILDINGS, l ^26 a' SEE CORRESPONDENCE 1 1/2-11 1/2 NPT o FLOW PER MINUTE y Tana DTNMM rlulnitow PER WWII[ 11fuRNT AND DlwAl 11104 CAPACITY HFAO UXIT7/MIN FELT METEM 0ALS LrRs e 1.52 72 Y73 10 105 el nl 15 e.57 e5 110 20 6.10 2e e5 1.osk Velve Via• CONSULT FACTORY FOR SPECIAL APPLICATIONS —f . 3 5/a . 3/16 16 • Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and , Supplied with an alarm. three phase systems. • * Mechanical alternators, for duplex systems, are available with or •Double piggyback mercury float switches are available for ` .without alarm switches. variable level long cycle controls. Stanriarel all mnrlalw _ tY-t..w. r�� ,• a .. W 8erlee _ - - - --- - - Control Selection on Model VpNe-Ph Mode Am film Du x MSe Ills t e.0 1 a A _ — Doe 123o , Auto LS 1 « 1 i 7J. — 'E9• 230 1 Non ..S 2 0f. R Q 3 or e i a 'Fw kdameUon on eedllblW ZoeW PrOd:Clt flier to cueke an Cembkv.bon S1er0, FMO514; Pippybw* MOMy 9wIld FMOe77: Elactncal M twnaw, FMDeae; MucMldcal Aaerrwor, Fkg739. MWO: A mm Peckapa. FMX17 111%worS.w.De IWine, FMOee7: and 9w0n Coneol •ae, �t , SELECTION GUIDE 1. Yfleyal 11Da1 operated 2 Pole tneefler" awitch, no exterrW conical requked. 2 81rg1• PIMback ffwcury Ileac eA fth or double plapybeck mercury. noel errRah. Mler to FMOe77. 3. MschWkW attemalDr 100072 at 10.0075 .. Bee FMO712, for 420rre0 Model Or Electrical AllerrWor, "E•Pak". 6. Mwoury rnsor flow winch 1002n3 iced as a corwol activator 4wity duplex (3) of (d) flow ftvWm. & FosN,(e) hole "J-Pak klrlodon boa, W widegtWo connection a wtred-In sim. -Plex at duplex 0perwlm 104 M 7. Two ra hole "J-Pak". Oar welwV owection or eploe. CAUTION All kleutesoon or ca oo* peNO•ea deNwa alld wheal shoeld be don. by a eu.IL Ned Maned Nearia" Act eieeYieel and acidly eades ekwM be lonow.d N.c1"a- M le" WAN reeela a N*UMW Ekwk Cede OUC) fly 11W Oo P.Uon.I SAWY .nd 1leakk Ad f011114 RESERVE POWERED DESIGN C llr y ,�d ►AQ For unusual conditions a reserve safety factor is dfigineered into the design o ovary Zoeller pump. l: aM7c ra'F ' Sax It 7 Q Lali7riet. KY10756.0317 Manufacturers of ... (ZID Z Jf/Tsru� ra ueo of �wlers cape w w lt(W) t0ur�,#k,xrdG Queei�rAwvs.fwe!'AMY 778.273I • FAY 002) 77I.362I To 11F16-lowl- it E7O.4eT olc-- /-41 93 " 5 f,%F_ e57- f LaborWisoonsinMHu anmelationdusay, SOIL AND SITE EVALUATION REPORT Labor and Human Relations Division of Safety & suiia gs in accord with II WA R-1 n5 wic Aram Ptlo Page / of Z CW Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, txwt 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: f/ .N 3 TWIG/4— PROPERTY LOCATION GOVT. LOT 440 1/4 SE 1M,S 2/ T 2P ,N.R /7 E (offjW' PROPERTY OWNERS MAILING ADDRESS 3 3 yi2- LOT 4 3 I BLOCK 4 SUBD. NAME OR CSM of Cov�7- o f 5 CITY, STATE ZIP CODE PHONE NUMBER E A//S fit//, ,Sypzz (7i� 1Zy-�1f ❑G7Y []VILLAGE N ?�Po NEAREST ROAD rorr [ 'New Construction Use [ 'Residential I Number of bedrooms Addition to existing building [ J Replacement [ J Public or commercial describe Code derived daily flow CoOO gpd Recommended design loading rate bed, gpd4t2 trench, gpW Absorption area required 5�V bed, ft2 SdV trench, It2 Ma)dmum design loading rate S bed, OW G trench, 9pdjtt2 Recommended infiltration surface elevation(s) S,;&& z- It (as referred to site plan bertdtmark) Additional design / site considerations 5 u e7 r(3/E- fo,P /av , !/�j rPOkl �1ov uD Parent material SC 5 PZ - S. � T -%L2�, zr.c/7'f ovE/p Flood plain elevation, if applicable A1* ft ' S : Suitable for system U = Unsuitable for stem CONVDMQNA} ❑ S Gail D Q ❑ U IN4RDIMND PR�RE ❑ S 1Wi7 AT�WDE ❑ S 0 1� SYSTEM -IN f� ❑ S C� HOLDMIG TAN( ❑ S Egir Boring #t 13 Gfound slew. yl,1/It. ID60 ID lam SS/ Boring # 13 Dept to brg faC SOIL DESCRIPTIAN RFPART Horizon Depth in. Dominant Color Munsell Motlles Qu. Sz. ConL Color Texture Structure Gr. Sz. Sh. Constslence Bou cl ry Roots GPD/ft B� fertdt o - /7 /o / �- Si/. 2 f s6� ,, f.P 4?5 3 f , 5 G- 1 )-31- /O / y :51 2 nr.r i4e 7,i f.P C's / )� 312 'Go 1 141/xfoRF s/ a, d SG/ TD Gvi v S 7�X7 4,S t 75 e F. 3, dl s/ /�► .P vfiP 4 Y ! 5 S' l,e y G SyR 51 Remarks: �2 C�/ TE.t' TUB / s ,LJ.y S SS/ UE . PM mm MV29j, M M Remarks: :—Please Print T O f3 E R T— V I—G /P "C 4 GSS d'�t/ L X'D - //Up o.j G>i. Suo/4:�' Plane: 9 �- y�CocsT,N-2 ye), Date: CST Number: I PROPERTY OWNER SOIL DESCRIPTION REPORT PARCEL I.D. I Ground elev. —It. Depth to limiting facto( Ground slew. It. Depth to limiting factor Ground elev. It. Depth to limiling factor Boring # 13 Ground elev. It. Depth to limiting facia Page of EWE WE 111MMEWIN SWEDEN EMMEM INIMMEMEN 11M WE Remarks: Remarks: Remarks: Con 0q*^10 ^CM7l L o T # 3 (*A JJOR so1w COWrky 0,4Ks .!'ESITE SEPTIC PLUMBING CO. ,)'NE!L RD . HUDSON, WK. 54016 2S/�Z 11 RORERI LILRRIGIiT 11{^, M.'-TEi PLUMPER LIC. NO 3..V7 M P.R R. ' �"' II'" I 1LLE.R A DESIGNER LIC NO lK>A(li I3� 175', -7 sutIEsTED Nou-uD 5 y6rtM tuhtroQ 9 -7. o ' 74'5E /ouy x4e,,c'ac.J 7 /W MoVNv 5/5— Fve s/ow ,f'E'S7Tir-T,bv5 , c a lIQ y�e 3 ay sy' 33 i2y 4 SO, L0T Akav�- �ED A T SE. LoT COR&WR top of /0 o Labor and Human Relations '' J U I L A N U, I I t t V A L U A I l U N H t N U H I Division of Safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code 1,01' * 3 COUAJ'r P y o r /rs �H To,ci � Attach complete silo plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or t dimensioned, north arrow, and location and distance to nearest road. &,mj,J 6-5 APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION I s i� PagLof COUNTY r C 0�x 50-6- v.�.firrr�o� REVIEWED BY DATE PROPERTY OWNER:L9v�E� C� !(!• MU lZ p h{ y v4/N — I ryrrlAlJ• a-cA" J-- Imo—TS PROPERTY LOCATION GOVT. LOT VAI 1/4 fE 1/4,S 2/ T 2 f % E (o� PROPERTY o�NER':S MAILI AODRE�s lv 3 0 Z. �O isL A u4 ,N,R LOSS a BLOCK t SUBD. NAME OR CSM 470/1 tv/g l0!/uTiP O��S CI ,STATE ZIP COD PHONE NUMBER r�t-R Fit (JS lv/, S 2L (?/SI 415- t03Z ❑CITY ❑VILLAGE (TOWN NEAREST ROAD T'eo e'eVA,rRy 01WS PD. (}� New Constfuclon Use Jc I Residential I Number of bedrooms I J Addition loexisting building (J Replacement I J Public or commercial describe Code derived daily flow GD D gpd Recommended design loading rate N bed, gpdrft2 �trench, WW Absorption area requited bed, ft2 trench, 112 Maximum design loading rate Al+ bed, gpd/(t2 •3_trench, WW Recommended infiltration surface elevation(s) it (as referred to site plan benchmark) Additional design / silo Considerations I)CS t'fYti foA! /0.1 'f Wsf- �F,.. cla. rYAE 1A1 ov vp . Parent material -<S QL - 5cL aS,� S� 'yE UTS Flood plain elevation, if applicable �(/� It S e Sutade lot system U- UnsuAat fas stem CONVENTIONAL MOUND ❑S ®U (as❑U IN GROUND PRESSURE ❑S ®U AT -GRADE EISIOUEIS SYSTEM IN FILL RJU HOLDNG TAN( ❑S ®U i BOflflp � 13 Ground elev. 9lr , 0 It Depth to limiting factor w Boring M z.. Ground elev fs It. Depth to limiting facto I() SOIL DESCRIPTION RFpORT Horizon Depth in. Dominant Color Munsell Mottles Cu. Sz. Cont Color Texture Structure Gr. Sz. Sh. ConsisIence BouClary Roots GPD/ft g� It 1d1 f�3 S�/ it t, SbK ,nF,! .75 z f .2 .3 3, I8- w /00 Y 511 Z. f, 516,t A"-j(P s f S G 3 /0 fX s/ �./v-A c 1-60 /o YX G/( G, 1. Vp , s TI Remarks: 0-y /cant -1/3 s•/ Z,M sloe rmi,'4�e c 5 E - /3 13 -30 /b k '//3 / 06e ��y — s�/ /, f sb,C 1, �►,, sh,C rM-Y',< ,,.t��e '73 s M, if , Z ,S' j . 3 f . G rtemarlcs: un•••,�W6I&SJTlff36fVMfMINGCQ vr/r ivwkMitiyMe— /i/r T Name: —Please Print Pie ROBERT ULBRIGHT ,/S 3d� rP — Pln Address: NIB MASTER PLUMBER LI . NO, Signature: '7j n _ , J 7 , / . Date: CST Num r'opl PROPER7YOWNER %, MU,(,/ 1/ SOIL DESCRIPTION REPORT - PARCEM.# LOt-# 3 - .44 Kok - Cd atir�r 0.�,�s Page Z 01 � Remarks: SoyS Boring M Remarks: Boring # r--r Remarks: Boring # r`-�J- Gnwnd elev. IL' Depth b smiling lam Remarks: M-8330(R.0SM2) c s�T v�P.r a 4 r y0 "- 5 0. .3 ,6 MA7CM oO/NT 1Q 1�� J` 17 OI 2.008 ACRES B7, f 7 / 50. f7. � a 1 w , � 1 N1 371.J0 f" M 1 0 L_OT 2 `" '1 100, R (R. O. W. DATA) }- w 1 1 R /0+29•42'83"/ _ ��r � _l o w �•• R/RAD. r /270./3'/ l �1 ^ a 2.002 ACRES ime. rrmp. CUL- 0!. *AV R /ABCs 907. I3'/ _ • i ai 87, /9f so. Pr. w 1. 13/ ACRES lXCL. 7lNr. fYL:Ol-SAC R/CNORD D/S7.r Bd I.13'1 1 O f •+ IY, S7d Sq. //. R/CMORO BEAR. + N/O• df'39'wl R (2 DATA) LOT 3 R/,6r 29. 32'42'/ r1 ` (/�1 �j .��w• •10�00 Pi R/RAO. r 1243. 13'1 R/ABCs 81 /. OJ'/ I R/CHORD R ICNORD BEAR.+ N10.42'58 WJ STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County NCdee-v OWNERIBUYER MAULING ADDRESS 3 S 3 AL " Cox Q PROPERTY ADDRESS ZLO (location of septic CITY/STATE Please obtain from the Planning Dept. PROPERTY LOCATION AIAJ 1/4, Se 1/4, Section 9 / , 7' a F N-R %9 W TOWN OF Ter..✓ , ST. CROIX COUNTY, WI SUBDIVISION Lrooy?'C4b eloAg LOT NUMBER 3 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 matey 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. St. Croix County Zoning Office Government Center 1101 Cannichael Road Hudson, WI 54016 SIGNED: DATE: -- 11 /93 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 /et Dteef'I Location of property,&A/ 1/4-T€1/4, Section ;2t N-R Zp W Township 4-- „ Mailingaddress X"'d.« F.c el'y Address of site._ �2,2 d Go,',,c�jW e.4-4s /P.01 Subdivision name irg,( Wrv',' �A(g Lot no. Other homes on property? Yes -No Previous owner of property Total size of property .2 Total size of parcel ZO- Date parcel was created Are all corners and lot lines identifiable? n_Yes No Is this property being developed for (spec house)? Yes Y, No Volume Id M and Page Number as recorded with the Register of Deeds. ------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. Vila , 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. 92Cls// C Si na ure of Applicant Date of Signature Co -Applicant Date of Signature