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HomeMy WebLinkAbout042-1045-10-000 N ~ 03 I ao m I a a 50 V ` N c ~ I 3 ~ I ti !i I 0 'o I o Z U. c 0 Q v I 3 cr) v Z _ ~ w I co W E Z = 0 z n N w j a m Z o 0zv' o I z d M 0 o c a a w Q 2 zz 0 N z m N ~ ~ C N 'S I c~ d - d m a a r An 0 .0 co a G a D zccmNN E a 0 000 z aa • a i~a IL ui o Co aCi 0 to J V of o°i N N ti~ > = E Q ~I a L 'p co y 0I ~ O ~ dl Q ~ fn f0 °o EE _o 0 c $ Q O 3 4Vi 0 0 u d co L6 N to ~ m c E E 2 `p CO r C ` fD L L A N N L F4 N t N ift j C N m °D O m E E 'eo •Q O I~ N O Z N~~ ~2 ~ CC I a L • CL rr~~ E 'c c r ~1 A c0 ~a~ U) U t STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER r r ADDRESS Z6L, ~ by s . c~J i sl d ~.3 SUBDIVISION / CSM# LOT # SECTION~Z_T / N-R~W, Town of W a V r''~ YN ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I 5a 1 d s Cw phi 9 ~ Y7' 9~1 19,5b INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. d - ~ BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION n Manufacturer: WsztSe r Liquid Capacity: )a-S'6 Se~ry` )G e Setback from: Well House 17 Other Pump: Manufacturer 1g. Model# Size Float seperation /Q,S Gallons/cycle:5 Alarm Location .SOIL ABSORPTION SYSTEM Width: 42 Length Number of Distance & Direction to nearest prop. line: 4f,2,,~ /.Sd i Setback from: well: a// House /*0 Other ELEVATIONS Building Sewer ST Inlet; ST outlet 93, PC inlet a 3-5 1 PC bottom 87.7 Pump Off 0/0 Header/Manifold /6/,4.1 Bottom of system /DOr$ Existing Grade q9~ ~d Final grade /D;k. DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: /5(~3 INSPECTOR: 3/93:jt ~'>:srt>&, • 29.18'VE SEVITA(iE SYSTEM Avenue County: Labor and Human Relations INSPECTION REPORT Safety and, Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary ermito.: Town of: State Plan D o.: Permit Holder's, Name: ❑ City ❑ Village R 4 lWarrpn lev.: Insp. BM Elev.: BM Description: Parcel Tax No.: Za)7~ /0101 7 11.z~b L_ t"I", "b 4 TANK INFORMATION ELEVATION DATA A9400089 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic S~ Benchmark /oyy3 /00, Dosing f ,c e.~ , r ',I J J Io 3,i /00. Aeration Bldg. Sewer a'.4 )Y,?/ Holding St/ Ht Inlet `N./ry TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom / s;-- y Dosing >lo0' NA Header/Man. Aeration NA Dist. Pipe Holding Bot. System /,00,56. PUMP/ SIPHON INFORMATION Final Grade egg /Da.g Manufacturer Demand 6 7-i 98.5/ Model Number GPM TDH Lift Ip~ Friction,," ~ Syetem TDH Ft Forcemain Length /0,) Dia.,5 Dist. To Well SOIL ABSORPTION SYSTEM I renches PIT No. Of Pits Inside Dia. Liquid Depth BED/TRENCH width Length DIMENSIONS DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO //Pit Model Number: System:/"(" p~ CHAMBER OR UNIT DISTRIBUTION SYSTEM ader / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length '3 - Dia- a ` Length All ' Dia. / ~a t Spacing '36~ )40" SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Q 11 Depth Over r xx Depth Of xxSeeded/ Seddezt- xx Mulched X res ❑ N. 11)~Pes ❑ No Bed /Trench Center D Bed /Trench Edges P Topsoil (.0 COMMENTS: (Include code discrepancies, persons present, etc.) Z. 0 LOCATION: Warren.17.29.18, NE, NE, Lot 1, 100th Avenue sT_ T _X- v..2 Se...__%O~ 4 4! IP an revision required. Yes / ❑ No ( Use other side for additional information. {7~ta Cam.it.=~ (o c /o SBD-6710 (R 05/91) Date Inspector's Signature Cert. Nr ADDITIONAL COMMENTS AND-SKETCH SANITARY PERMIT NUMBER: t 41 Odo DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY .e.:~,,..a. 7, G ro Ems S STATE SANIT Y PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than aQ~gj 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPER TY OWNER PROPERTY LOCATION g r w e .e r /Va'/a T g9, N, R r Mr) W PROPERTY OW ER'S MAILIN DDRESS LOT # BLOCK # /D 1- A CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER L o 71r- 7~ • va o 5 pi II. TYPE F' 13 BUILDING: (Check one CITY NEAREST ROAD State Owned ❑ VILLAGE : ILL) 16 99 7i ❑ Public P 1 or 2 Fam. Dwelling~# of bedrooms RCEL TAX NUMBER(5) III. BUILDING USE: (If building type is public, check all that apply) Ir - 0 A1.9 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 50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 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 J p, 00 ® 5~ ~ ~ r 7 140, Wb Feet .16 2 J Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holding Tank 4256 15 e Lift Pump Tank/Si hon Chamber 75 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.. Plumber's Name (Prio Plumber's Signatu . o Stamps) MP/MPRSW No.: Business Phone Number: C gk L wars t S 63 of Y49 - 5/ Plumber's Address (Street, Cl late, Zip Code): / 96 o IX. C NTY/DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Ag t Sign No S ps Surcharge Fee) Approved El Owner Given Initial C7 C~ ~f c0 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 INSTRUCTIONS t a 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, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the' legal description and parcel tax number(s) of where the system is to be-installed. 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. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump . performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 415 form; and F) all sizing information:+ - - - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards, SBD-6398 (R.11/88) Wisconsin 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 Ave. 1053A E. Green Bay Street 401 Pilot Court, Suite C Rt 8,'Box 8072 LaCrosse, WI 54603 P.O. Box 7969 s P.O. Box 434 Waukesha, WI 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) 267-5119 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 planslnformation. 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 have questions on what information to submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your reference. 1. APPOINTMENT INFORMATION -If you have scheduled an appointment, fill in the information requested below to save time: Appointment Date / Reviewer Name Plan Identification Number 2. PROJECT INFORMATION If this review is .a revision or extension to your existing plan identification number, provide that number here: Proje ame Y, r- ❑ City ❑ Village Town Of: County Project Locatio Q 5t~ C r0 GOVT. LOT 114 O 1/4,S /7T / N ,R Q ~ r~ Yti ` br W 3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED System Type (check one): System Type I (include new and existing tanks) UpTo 1,500 gallon septic tank $110.00 - rte= 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 Lr~Ji Non-Pressurized In-Ground (conventional) 9,001 -15,000 gallon septic tank $300.00 P ❑ Pressurized In-Ground Over 15,000 gallon septic tank $500.00 O ❑ Other: UpTo 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 UpTo 5,000 gallon holding tank $ 60.00 5,001 -10,000 gallon holding tank $100.00 Code Derived Daily Flow gpd . • . Over 10,000 gallon holding tank $150.00 ❑ Check If Replacing Existing System Experimental System (additional onetime fee) $300.00 Revisions To Approved Plan 2 S •60.00 ....V. Petition For Variance: Setback $100.00 Site Evaluation $225.00 Petition For Variance Plumbing $225.00 Revision 40 $ 75.00 Groundwater Monitoring - Per Site S 60.00 ❑ Groundwater Monitoring f (other than a proposed 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) Company Name Co tact Person OK') AY& 13 5 tale ~ iT we No. & Street Address Or P.O. Bo , Town or ' lage, State, Zip ode I Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers. z 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 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page/_ of -3 LaboF and Human Relations Division of Safety & Buildings in accord with ILHR 83.05. Wis. Adm. Code COUNTY c Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but . ~ n O not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or ELI D 2 07 dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNE PROPERTY LOCATION L GOVT. LOT N L, 114A) C-C 1/4,S f 7 T 4 of ,N,R f Eyor) W PROPERTY OW R%S MAILING ADD ESS LOT # BLOCK # SUBD. NAME OR CSM # C I Y/ + N A IM CITY, ATE ZIP CODE PHONE NUMBER C]CITY VILLAGE WOWN NEAREST ROAD Z 3 ( 7/517 9- J-zoG L / o o ~fi✓ C b L E-V ' 0 New Construction Use J-A_Residential / Number of bedrooms 3 (J Addition to existing building (j Replacement J J Public or commercial describe Code derived daily flow U gpd Recommended design loading rate ed, gpd/ft2 r trench, gpd/ft2 Absorption area required 3 75 bed, ft2 3 ZS trench, ft2 Maximum design loading rate r n bed, gpd/ft2 , 5- trench, gpd/ft2 Recommended infiltration surface elevation(s) / e vs-0 ft (as referred to site plan benchmark) Additional design / site considerations /V A Parent material N 14 Flood plain elevation, if applicable IV A ft S - Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem I ❑ S SU CRIS El U El S O C3 S lau O S 12V ❑ S 2~U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Bourlrtary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Conl Color Gr. Sz. Sh. Bed Trtrlch Z 7 /D /2 `f/ !✓d /t/G S I Z rn S~ VY1 ¢i2 cc~ l r '7Z Ground -f-5 7,5 'wo /JG O S wel j .8 elev ft. X) VI-11 Depth to limiting factor Remarks: Boring # ' - D /L 3/ /v yt/~ Z m SDJ f 4~ 5 a c o --S/5 ~.S l/ Ground el!~,, ot - fP0 d G G`~ G Depth to limiting factor Remarks: CST Name:-Please Print 1.5 Phon Address: ^s 2.U~ t? ti r /Y, ( L6_17 I Signature: Date: C~SIT Number. f rRPROPERTYOWNEii Rv2 rz,l E SOIL DESCRIPTION REPORT Page of 3 PARCEL I.D. M Boring # Horizon Depth Dominant Color I Mottles (Texture Structure Consistence EkxxcJary I Roots GPD/ft in. Munsell Chu. Sz. Cont. Color Gr. Sz. Sh. Bed ITrendi NO YV~ .Ire 10) 1 I Ground 2V- 3 "2,s"2`~/ /~0 NE I•&' elev., 5 i Depth to limiting factor Remarks: Boring # ti Ground elev. f t. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. tl. Depth to limiting factor i Remarks: s94- 4020' STEEL'S SOIL SERVICE 2- &a 6. Gary L. Steel • C.S.T. 2298 rv ~J 2 New Richmond, WI 54017 MPRSW-3254 j (715) 246-6200 117// L' Y' ~ 111 L Y4~ S l 7 -7~2 9i✓- ~7 kL 12 C, Ned + ,nay I...nr 3e~ S°/Soy N.b'., 100 y- loo' M n-"KgeL 137' 1S2 ~l p-3 Go' mou,w~ 4r4 A--2V a• Z O r y s94- WORKSHEET - MOUND SYSTEM DESIGN 0 PROBLEM: Design a mound system for a y- 0-0 Q- The site characteristics are: Depth to groundwater or bedrock ~ 3,? in. Landslope % n V~LI~2 Percolation rate _ ••y min./,fn. Distance from dose chamber to distribution system /OD ft. Elevation difference between aump and distribution system /0 ft. Step 1. WASTEWATER LOAD = 600 gal. Step 2. SIZE 'T'HE ABSORPTION AREA A) Area required sq. ft. B) Bed or trench length (B) _ scfD ft. C) Bed or trench width (A) ft. D) Trench spacing (C) _ • Wastewa`er load .24 gal/ft2/day B NIJA ft. y -7 -treiceTis Step 3. MOUND HEIGHT A) Fill depth (D) = z ft. B) Fill depth (E) = D + slope (Ay*)-:;:- ft. C) Bed or trench depth (F) _ 43 ft. D) Cap and topsoil depth (G) _ / ft. E) Ca and topsoil depth (H) = //-5 ft. Licanue 40207 Step 4. MOUND LENGTH A) End slope (K) ' (DD++ E) + F + H x 3 /335 ft. gj+/,~x.3 3,3 S- 8) Total mound ength) = B + 2(K) _ ft. Step 5. MOUND WIDTH Al) Upslope correction factor = Y'Y 9 A2) Upslope width (J) n (D + F + G)(3)(factor) ft. 0+,83t-ot3n , s9= ~°.t3 B1) Downslope correction factor = i,1Y B2) Downslope width (I) _ (E + F + G)(3)(factor) ft. Cl) Total mound width (W) for bed = i + A + I /o, .a34 4'* /A 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 y gal./ft2/4ay B) Basal area required = wastewater flow natural soil infiltrative capacity sq. ft. (ice , y - S" C1) Basal area available for bed for sloping sites = B x (A + I) _ ft. $3,3• X r~',r 13,9a~ _ /0?-3 C2) Bas are avail le for trench for sloping sites = B W (J + A sq. ft. C3) Basal area available for trench or bed for level sites = B x W = sq. ft. Sign:L~ License 1%u: {S(03 Date(,~_~ Step 7. DISTRIBUTION SYSTEM 94 402 0 'k 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size in. 2) Hole spacing in. 3) Distribution pipe length 4) Distribution pipe diameter in. 5) Spacing between distribution pipes in. 6) Distance from sidewall to distribution pipe _ in. 7B) DISTRIBUTION PIPE DISCHARGE RATE ft. 1) Number of holes per pipe = _1 2) Flow per pipe 7 GPM 7C) SIZE MANIFOLD 1) Manifold is central/ -td 2) Manifold length = J3, ft. 3) Number of distribution lines = 4) Manifold diameter = a in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate = 69 GPM 2) Force main diameter = .3 in. 3) Friction loss = /`08 ft. 7E) TOTAI DYNAMIC HEAD 1) Vertical lift = . ft. 2) Friction loss = ft. 3) System head 2.5 ft. = oZ1'2-Srft. 4) Total dynamic head = X3,33 ft. ai~n:_ • Licer8E l SSo3.__ - ' v II 0207 1F) PUMP SELECTION '1) Pump selected will discharge 75 GPM at ft. total dynamic head. 2) Pump model and manufacturer 7G) DOSE VOLUME 1) 10 times void volume of distribution lines gal./cycle ( )z oil 9 2) Daily wastewater volume 4 doses/24 hrs. = c?S_ gal./cycle 3) Minimum dose volume a /5cdA iSo gal./cycle (Oc(% =15 0 t t007 - t 26 . ~ CA L--, 7H) DOSE CHAMBER 14 aAL" ?c/L` : yuo 9/d 1) Minimum capacity required = t 7573 gal. License _:u:- / 3 _ Date:_ Af pI cs t- PI wv,- 4 ~J 92 -40207 SGa'~ y0 op- AS. Nr7vi~cV D;ql:k so, i 5o 09 7.5 o a l Pu,rr~,S fit ~o„ k° 10 }:15 ~ ~ /~0 \ 0 ,3. _ mss. r, Ue W a~, E 5 - WIESER P~~.~P T~►lt ® ~ how S xf. y@1 A~ zw SN 1n121?Sw /56__3 s~E r Page-_Of__ - I P,~ye,~ 894m040207 Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand H& G Topsoil-- - j F -1 D Slope Force Main Plowed Layer Bed of Y"-21S" Aggregate Cross Section of a Mound System Using A Bed For The Absorption Area DFt. E Z~ Ft. F 83 Ft. A to Ft. G~Ft. B Ft. H Ft. P l3 -35 tl~`e SY K Ft. I' Ft. io dAw 3 J_ 9 Ft.f~.x3 7` ' ~ W ,33 Ft. 1392 ~ Zan LABOR & NUIMAN RELATIO" ®~~'T. p~ EN®t1S ~F 8AF~1~ BUEl.WtIGS - DIVISi SEE CO PONt)EE AGE Alternate Position of Force Main _ I L I Observation Piped qjr B B Imo---- K -r i A W (o -•I Distribution Pipe Bed of ~"-2~" Aggregate Observation I Pipe Permanent Markers Plan View of Mound Using a Bed For the Absorption Area fc~ V% S 91 pogo 7 Uf' Perforated Pipe Detail End View' )Ntforalsd End Cap PVC Pipe Holes Lot:oted' On 8oftor>,,,,. c Are Equally Spaced ' <Y Q PVC Mwdfold Pipe .x , PRIVATE SEWAGE Sp STEM M Force Alain P ~a~t litio~tc~lfY N: Ntat To ` Distribution Pipe Layout P ; LABOR HUMAN RELATIONS t • 40. S ~IEPT. OF INDUSTRY, ILOINCsi R 3 , DIVISION OF SAFETY ! S ci ~ _aAT . SEE C R S NDENCE X 3(c, Inches. ` Y Inches Signed: -w~..o Hole Diameter Inch Lateral /i Inch(as) License Number: 1 S (0_3 Manifold " Date: Inches Force Main " -3 Inches # of holes/pipe Invert Elevation of Laterals/063 Ft. l pa9c of L I _ r ~ ~ S94 .C_ z t o ro 1 " rt, x n I ,a o ul N op M N M rr P C o fD S rf ~ cS of c - K ro i, - _ N I ~ ~ G r f~D O :3 T~ N P ) rt fD O ~ N• _ Z 3 ~ ' bu I ~ d F~ Q IV x - aK+' rr > w~ l i - r t t", f?01 . fl1t5'i`~YSR~'O ~ g5ui"""',y~5 ! Ulle SSE • _,,,j ~"1 = Fl b PAGE 9 OF ~ PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP 7 07 4'C. I. VENT PIPE WEATHER PROOF APPROVED LOCKING 25' FROM DOOR, JUNCTION BOX MANHOLE COVER WINDOW OR FRESH I2"~IIU• AIR INTAKE GRADE I I Y" MIN. L 16" MIIJ. CONDUIT ;-JOINT/ _ _ A.Te S~~: PROVIDE AIRTIGHT SEAL, onditiO~ APPA e+/ r F- W ' I APPROVED JOl C.I. PIPE. I ~ N1 I i wIC.I EXTENDIM(- g . PIPE ONTO SOLID SG:;. ALARM EXTENDI►JG 3 . l~ ( ONT y I O SOLID SOIL 4R o Ap~pFSa~ pia I I a~>! I I ON J4Y~✓.. I i I I1 CQFjR PUMP SEE OFF CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURCR HAS SUCH APPROVAL SPECIFICATI0KjS SEPTIC AND DOSE TANKS MANUFACTURER: 7SO L/ NUMBER OF DOSES: 77' pER PA-4 TANK :,IZE : - -7 S ~ GALLONS DOSE VOLUME ` ALARM MANUFACTURER: _5,.1 INCLUD!!!C ,C.;FLO~~; GALLONS MODEL NUMBER: - ~D~ LJ st CAPACITIES: A= INCHES OR ~~a' GALLONS SWITCH TtIPC: r• Gk .~b C~8 A INCHES OR ee~~.. it PUMP MANUFACTURER: Oaa 1dS A7~ G= jO'S C=IIJLHES OR ALLOT _LOUS MODEL NUMBER: Z kk'S 0' .ter"// b= ~1 r ~L r D- "'INCHESOR I~i~`0 ous SWITCH TYPE: i NOTE: PUMP AND ALARM ARE TO BE PUMP DISCHARGE RATE 7- GpM INSTALLED ON 5EPARATE CIRCUITS VERTICAL DIFFERENCC DF'1~WECN P MP 0 ANp O15rR16L~10N PIPE.. FEET f M~IQIMUM NETWORK SUPPLY PRESSURE , , 2.5 FEET yS t1 + _d=0_ FEET OF FORCE MAIM X Zt ~F~o►T.FRICTIOU FACTOR.. 6' ko' FEET I~ TOTAL DYNAMIC. HEAD FEET INTERNAL. QIMENSIGNS OF TANK: LENGTH a _7; LIQUID- a DEPTH 31GNED:-ca~.._ LICEWSE NUMBS : -1540 R DATE:-9-6--5.9 -117- 71 r i J DS .SUBMERSIBLE ~ eta : 3 ;ri 1Y. ~r~Lr WI R •i~~ A A ` s r, ii :Y M PS NT PU AND.. EFFLUENT PUM.P.S* s<~ . UWAGE' . Y S94 I Iff 19 11 mmummm MI -402 EP0311 . t / tisr DISC. - - 1/2" solidb Y56.80 172.10 [ .4 aciW P,031i i42 EF03i1 1/] 16~ lls y EEflucnt P~np „s ~ , ssa1~ , . . MODEL EP0311 Effluent: Pump ° SIZE Iii" SOLIDS , 0 ' 1AVMFkS FUT. i x I.x1i y~F~i to 4 20 t. w 1'• e r" . 1 a 1y t r if+~~ t~•. F• 10 ' rtin.. O -7 Z~ 2 -T Pf" 04. w :+s. k r. u• t4~ • 16 20 24 26 32 36 40. t r 0 00 4 6 12 HE GPM 0 2.5 5.0 7.5 MIA) CAPACITY performance 3885 Curve L 1''~''~t s i ~ i [KTi1ts fECT . MODEL 3885 SIZE.'/4" Solid [M i4 1 ♦;r 70 Ki ' 4: -T,9- w[otrl- ir1 ~ u ri I . w[ox to 30 30 ~t• A . to r , °C °o to ao 20 w w )o [o w too too 110 tavtr ei.'1~,'.~•:1 [...~5~t4 ~ .10 30 W/A CAPACITY LIST DISC. +yl"g#i~~ c30()F X03111. 142 WE0311L 1/3 HP 115 V Low H 3/4` solids 491.55 ]29.]5 3/4" solids 491.55 329.35 (OIIUM31114 142 'W-0311M 1/3 HP 115 V. hbd H " solids 704.25 11.1.85 r 03 0.1111 142 WE0511H 1/2 1P 115 V High H 3/4 T ~rt~• y ? 1 CiOUphE0Ti2F} 192 WE071i1i 3/4 HP 2.30 V High H3. 3/4" iolids F443 65_ 565.25 J r elf#~*S&.FCILNDC PACE FM PIRFCRhVS4CE AND SPF?`IFICATI0t1S. ~~jaF• t~ 8 DEPT 30 PASS Olu b~~ti'!I''s~.'t DAB • '10/8 cs7 ~ S FILED JAM E S 0,C 'g 7994 A., 0 p 51.5190 sL C~O4 C ©ws`` i~ , CERTIFIED SURVEY MAP Located in part of the NEa of the NE4 and in part of the SE4 of the NE4, all in Section 17, T29N, R18W, Town of Warren, St. Croix County, Wisconsin. CURVE DATA CURVE LOT RADIUS CENTRAL CHORD CHORD ARC TANGENT TANGENT NO. NO. LENGTH ANGLE BEARING LENGTH LENGTH BEARING BEARING 1-2 A.E. 167,00' 34°38'24" N1401713611W 99.43' 100.96' N0300113611E N3103614811W 3-4 1 167.00' 32059133" S15°07'01.5"E 94.84' 96.16' SO10221454 S31°36'4811E 5-6 1 233.00' 34°38'24" S14°17'36"E 138.73' 140.87' S31°36'4811E S0300113611W area Lot 1 3.12 Acres Inc. R/W UNPLATTED N LANDS 135,966 Sq. Ft. Inc. R/W r 2.85 Acres Exc. R/W North line of the NE} of section 17 100th £ AVENUE 123,995 Sq. Ft. Exc. R/W S88°40.01"E ~ _ S88040' 01"E 495.00 M NE CORNER NI/4 CORNER 10 132.03' 362.971 in SECTION 17 SECTION 17 rn _ 38.99' 110.80 3 363.43' NOTE: Ingress and egress for 'L~ S8803711511E 474.231 1 Lot 1 will be from Access v, jo ~0(1 a I Easement S31 3614811E 129.051 ~ ~O F ~ 5 I r I o APPROVED ~ z rrt LOT I o DoT i M co I< o CERTIFIED SURVEY MAP v a c° 10 1 R1 1 W rt Ir- 9 e ° - VOL. 3, PG. 697 H p: I IC 1 I M S03 0113611W - - I m 111.521 0 0. C) ID - 1 ST. CROIX COWWY Ulm ~m o ~ -66.03 238.171 0 rt 'I I(D L4 N8.804010111W 304.201 ~omprehensiveRdwm o W so m O I m two Zoning and IT 1z ~ 0) 0 0 'r---.71-.S CO~n Attea I C) LOT 2 M 0) a IM 1 N CERTIFIED _SURVEY MAP If not recorded I v - r 0 1w VOL. 3, PG. 791 o s within 30'dayS adY v - - r approval data a N, LOT 2 rt LEGEND 9pproval shaft ne.n R voki Aluminum County Section Monument Found 0 OWNERS ♦ Masonry Nail Set Bradford E Mindy Zuehlke A Nail found 1105 100th Ave. Roberts, Wi. 54023 MATCH LINE 0 3/411 Pinch Top Found 0 (SEE SHEET 2) o Rebar Found Wayne E Carolyn Korbel a°' <n • 1" Iron Pipe Found 1075 100th Ave. Roberts, Wi. 54023 Y' ,~1 s t'.. 1 a' O 111 Iron Pipe Set, weighing 1.68 lbs. per d~ y linear foot ~i;;; • 100' Roadway Setback line Existing Fenceline VOLUME 10 PAGE 2 741 SCALE IN FEET SHEET I OF 2 SHEETS 0 100 200 400 This instrument drafted by Ed Flanum Job No. 93-68 D C~C~~Odf~ g IIR 2 2004 734383 ~.....V VOL 17 PAGE .4582 7,70 X C~JL~TY KATHLEEA H. - WALSH r.. -.,Sll~ r ` "y K- WCF?D REGISTER OF DEEDS _.w...... _ ST. CROIX CO. VI RECEIVED FOR WORD WZ CERTIFIED .SURVEY..- MAP 08/07/2003 8900A11 _ NO LOCATED IN PART OF THE NE1/4 OF THE NE1/4 AND THE SE1/4 OF THE NE1/4 o ~ CERTIFIED SURVEY MAP c 10: y 9 OF SECTION 17, T29N, R18W TOWN OF WARREN, ST. CROIX COUNTY, REC FEE: 13.00 w ` WISCONSIN, ALSO BEING LOTS 8 & 10 OF A CERTIFIED SURVEY MAP COPY FEE: 3.00 U w` ~ RECORDED IN VOL. 14, PG. 4017, AT THE ST. CROIX COUNTY REGISTER OF PAGES t 2 w w DEEDS OFFICE. w Z m NOTE: Lot 10 will share a w wx o SURVEYOR: PREPARED FOR: Joint Access with Lot 1 of u6 p DOUGLAS J. ZAHLER ERIC & CAROLYN LENT CSM Vol. 10, Pg. 2741 w w S & N LAND SURVEYING, INC. 514 CHAPEL COURT Z z 2920 ENLOE STREET EAGAN, MN 55121 _----DETAIL B (NOT TO_SCALE)-----------_ HUDSON, WI 54016 F ~i -66.001-- - ---121:15=-- 253.18 --132.03'--- - co ---142.53'---110.62---- 1^2~24sIM/ Z I ~ 253.15'-t--- - ~ ! NORTH LINE OF THE NE1/4 (S8 37'15"E) --S88°40'01"E 319.15'--~- N 114 CORNER 199TH AVENUE N88°4ao1"W 2631.63 MGJG_°P__144GD r mF2)3 SECTION 17 N88°40DM) - 58840'01 „E 319_17_ (N88°40'09'W) NE CORNER N8 '40'01"W ~ rn 1949.49', N88°40'01 3M.97. SECTION 17 i 6.0 w - `2 ~y"`SEE l V .Q d04 SEE DETAILA I~ I ~o~olJl%llo DETAILS ° I IQ ~o~ ° I MOd° fl4}9 C°PCdo oQ `pow°\~~'a~~°° 3 ° ; I - 4097 IQQ ~1 os tp, I S88°40'01 "E 421.08" m IA ~5~ ° n'5~ j~s I~10 Z I o a 1 I GG~~~ e 1 v ° p- 4i CZ 0) ' rn N C 238.17' S88°40'01 T Z LOT 11 d @ 15:83 ACRES INC. R/W LOT 10 -a 689,754 SO. FT. ` 12.00 ACRES INC. R/W O Ui 15.78 ACRES EXC. R/W , i 522,880 SO. FT. Sn? 687,576 SO. FT. m 11.81 ACRES EXC. R/W (n i V) OP VW 514,525 SQ. FT. g SCG I ti CO- yP DOUGLAS J. Z o i P CO) ZAHLER I o 5-2145 (N89°27'31 "W) H 80 89°27'23"W S. ° '7 -158-58' z Cz`~ - -03 s DETAILA b~-D- _Q~A so oJo,1111Vv (NOT To SCALE) a czd S1a I LEGEND 52 1A C2 . . FOUND ALUMINUM COUNTY SECTION.CORNER MONUMENT • FOUND i" IRON PIPE SET 1"X 24" IRON PIPE WEIGHING 1.13 LBS. C3 J O PER LINEAR FOOT Est .00 m STEEL MASONRY NAIL FOUND A SOIL BORING oo, - - ' - - ' - 12 FOOT UTILITY EASEMENT ME ML OH / 100 FOOT ROADWAY SETBACK W&L. 9 082a n_ j @a SCALE IN FEET 1" 200 ( ) PREVIOUSLY RECORDED 20Q 0 200 THIS INSTRUMENT DRAFTED BY: WILLIAM KANE SHEET 1 OF 2 SHEETS I JOB N0.6060-02 DATE; 08/07/2003 Vol. 17 Page 4582 ' 04 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER M LL xwc) S N E M M CZ MAILING ADDRESS I O to W. ek,&A 9r. \Al1 5 40 z~ ,~0 95 PROPERTY ADDRESS -K" 10 O T-H AV e. C' 7,3~~ . W1 S4vz.-27 (location of septic system) Please obtain from the Planning Dept. CITY/STATE ~ I-;>,'1 , \At i 4<0-?- PROPERTY LOCATION NG 1/4, NE 1/4, Section T 2 9 N-R W TOWN OF ~V P• R~t~"1 ST. CROIX COUNTY, WI SUBDIVISION GSMr LOT NUMBER CERTIFIED SURVEY MAPO VOL, 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. Me, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 This application form is to be completed in full and signed b ~he owner(s) of the property being. developed. .Any inadequacies will only result ,in delays of the pOrmit issuance. ,Should this development be intended for resale by owner/contractor,(spec douse), 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 1 Aim Si.A M , - c1L Location of•property=1/4 h_1/4, Section l~ Z9 ~ TN-R Township Mailing address lo•~c, \14, CLAM S id, 11 OT-5 S; ako -2 / Is, 1 T44 Address of site ® 00 Subdivision name C~SNA 11,1f iU ~ Lot no. other homes on property? yes x No Previous owner of property I~ if) ZutEt► Total size of parcel IZ IC*4_12 Date parcel .was created Are all corners and lot lines identifiable? • ___J~_Yes No Is this property being developed for (spec house)? Yes X No Volume _and.Page Number as recorded with the Register of Deeds. INCLUD'E WITH THIS APPLICATION THE FOLLOWING: WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. certified survey, if available, would be helpful jI o asd ofoav,oid 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. 5154GS , and that I own the proposed site for the sewage disposal system )orr I e(we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded, in the office of County Register of deeds as Document No. r-~tS4(or~- , rM% signature f appli t -a Co-appl pplicant Date of Signature Date of signature. DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2-1982 THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED vT: Croix CO., W1 BRAD Fn D K tv M I ~v 1) Z U6 P-1 L k E_ , i R mo'd' ~br P ad r u-5 3,4ND AtjD WIFE ' APR 1 5 1994 4:15 P• conveys and warrants to _B A R R Y C. M E Y E P P•.) !D r5UE Usti N> AtlJD W (F 5 ~SU2ylyo sHip BMAI?ITAL 2-26) rery RETURN TO the following described real estate in s T, 0-Rol x County, I State of Wisconsin: Tax Parcel No:/ 2 11 19 ZS~ LOT1 pf 6iPTIF/zfD S56"RV9f MdP VOLuM:~-; /D F46G.5 c)7gj L oc4r5 2) /P PA2 i of TH- NE 74 OF TOE NE %4 AtJD IN PART OF THE SE% of THE NE%, Au 1N SECnzw r7) T2g N R 18 W, TOWN oP ~uARkEA-) ST. c)Qvlx cvUAT-,~ wP.Scotisll'U g . o g yv' This 15 NOT homestead property. '1W (is not) Exception to Warranties: Dated this / S day of (SEAL) (SEAL) K u L (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT ~ Signature(s).,..,. STATE OF MSIN- ss. - ~ County. 1~~~ t tZOO -A1N ZgS sainleu6is iiagl molaq paluud jo padAl aq p1noils Ali)edeu Aue M 6Ulu6is suosiad to saweN. ( :alep ( Ajessooeu lou aje uolxe alels 'IOU lp auewied s! uo! s!wwoo (yq 4log pe6pa!mouMoe jo poleo!lua41ne aq Aew sainleu6!S) _ysr ' (lunoO o!Ignd (jeloN w C Ag a31-VHG SHM 1N3 Wfl!l1SNI SIH1 'awes ayy n Q%a~4~ njlsu! ('slelS 's!M 190'90/ § Aq pazpoglne a4l polnoexe oqm 1 l,µM lou ll) OS3N NISNOOSIM JO 8VS 31d1S 839W3 W :31111 N ~ a a ' paweu anoge a4l 61. -Io Aeo swi awe SURVEYOR'S CERTIFICATE I•. Aller"i L. NS'h:~cr~an. ~:y.i~_:t:t_,rc:~cf 6Ji..:c~c>►.►•~ i.r► I. ,„c;f :r cc rti.fy tfr::at I::,y direction c:?f Bar)-/ Me'yel-.; HI-Id i.-., ;J Te.,cr►, ; have surveyed. mapped and described the lanc-I F:rjr _~:.1 t•~h.~. :t reprosente d I:,y this C:ert.ified''Survey Map: t..h:3t t.tlci ~c,:,l..r;, ii.•, bC:,e.tndary of the land parcel surveyed and mapr>ec.I it: follows: A parcel of land located in part. of the NE 1/4 oT the- NEj./,+ mid in the SE1 /4 of the NE1/4 all in Section 17, T29N. R186J, Town of Warren, St. Croix•County, Wisconsin; further de-1--cribt:d a< follows Beginning at the NE corner of said Section t.htence 500-34'40"W, along the east line of the NE1/4 of said section. ' 1.:3.69.92' feet; thence S61-09'•32"W. along the nor•t,hei Ly lir,c. tJ t.c,► 1 . Ceirtifie•d ~:,urvey Map. Volume 8, Page 2303 at. i:he, `_-:,t . (:Y,('-,ix i r. t.frcr7. ,r c r - ur,t.y Re'sgi"t r?r f Deeds Offi_,r 424 . a f r. 1. Si'.1003"33"W . along the northerly line of :i).lCf ,.ot 1 . 2/4.14 1'eG't:: thence S010/t5104 "E . along the wester .l.y .I. i nc; Of a i.c3! i.ot: t , 1,..)0 . 1. fee t_; thence S83,L'32'331 "W. along the nort.h,e, lv I ,;ic ;i:►Id i . 48.40 feet.; t;henc:;c: N77-17'49"W. ~.lonc► t:.f',e: nort:.hel Lir►•.: c::,i parcel of Ltind described ill Volume.' 166.88 'f=eet; thence N18-50'11"E. along the; r•.asterly Zinc c:,t ::r.~C. pti.rcel and alone the easterly. line of a Parcel of l~:,nCI d(e"%ur i1:) cc_f in Volume 869. page 73 at said office. 920.1.7 r h(,:,nc:e S71009'49"E, along the southerly line of said s,ir;:rt eJes_-c:r.ibc-:0 .0, Volume 869, Page 73, 435.34 feet; thence N0:3~U1 "E:. rlur,< '.f,c_~ easterly line of said parcel, 749.72 feet to tnc_: point r! curvature: of a 167.00 foot radius curve. concaves we er l y . whose central angle measures 34038'24"., whose chord bears Nizi-17''.36"W and measures 99.43 feet; thence northerly. along are of said curve 100.96 feet; thence N31036'48"W, alone the northeasterly line of said parcel, 319.31 feet; thence S88k>40'01 "E . alc_,ng the northerly line the NE1/4 of said section. 495.00 fc!et t_<:, thc; point of beginning. ) Above described parcel contains 20.43 Acres ( 869.858 _.eau~~re Feet and is subject: to all. easements of record. 1, also certify that this Certified Survey Map a correct. rr presentat ion to. scale of the exter:.lor boundc:rY ski r\ie ,,/t <J .:er(J described; that I have full,/ complied wilt, L'ht.! k.,arres„t of of Chapter 236.34 of the Wisconsin Statutr!_> --n(JJ t:hc l_an(:t Subdivision Ordinance of t-he County of St. c..:ro.i,: ~I'I :e,7"vcyv!na ._,ncl ma.pp i ng same. VOLUME 10 PAGE 2741 plat) is subject to state and Each parcel shown on this map (plat)' county laws.. rules and regulations ( i e . , wetlands. minimum lot size , access to parcel , etc. Before pe.►rch<:,:_:i na or de ve,lopi nc► any parcel contact. the St. Croix County Zoning Office fo► advice". ST. CROIX COUNTY WISCONSIN L~ ° t ranw~Nrn~ ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 August 18, 1994 Derrick Construction P.O. Box A New Richmond, WI 54016 RE: Septic Inspection for Barry Meyer To Whom It May Concern: An inspection of the septic system for Barry Meyer property was conducted on July 28, 1994. This property is located in the NE 1/4 of the NE 1/4 of Section 17, T29N-R18W, Lot 1, Town of Warren, 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. If you have any questions with regard to the above, please do not hesitate in contacting our office. Sincerely, Mary J` nkins Assistant Zoning Administrator js fr Fly v~ Parcel 042-1045-10-000 01/28/2005 04:53 PM PAGE 1 OF 1 Alt. Parcel 17.29.18.257A 042 - TOWN OF WARREN Current X! ST. CROIX COUNTY, WISCONSIN Creation Date once a Map # Sales Area Application # Permit # Permit Type 00 0 ax Address: Owner(s): * = Current Owner * MEYER, BARRY C & SUE M BARRY C & SUE M MEYER 1095 100TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1095 100TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 3.120 Plat: N/A-NOT AVAILABLE SEC 17 T29N R18W PT NE NE BEING LOT 1 OF Block/Condo Bldg: CSM 10/2741 3.12 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 17-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1091/613 WD 07/23/1997 877/140 07/23/1997 839/518 07/23/1997 734/538 2004 SUMMARY Bill Fair Market Value: Assessed with: 38161 340,900 Valuations: Last Changed: 10/23/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.120 42,800 257,200 300,000 NO Totals for 2004: General Property 3.120 42,800 257,200 300,000 Woodland 0.000 0 0 Totals for 2003: General Property 3.120 42,800 257,200 300,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 214 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 'r Wisco Department of Indust SOIL ANQ EVALUATION REPORT Page L of _,3__ Lr..beC ' ns Divis:pn of afety & Buildings in 7a~ LH 83.05, Wis. Adm. Cod e j COUNTY Att h complete site plan on paper not less than es size. Plan must include, but PARCEL I.D. # 0 not limy e I and horizontal reference poion and /c of slope, scale or dimensioned, north arrow, and location an distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER PROPERTY LOCATION L GOVT. LOT (j L 1/4 tJ C 1/4,S J7 T Z 6j N,R 1 E~or) W PROPERTY OWN R':S MA!i_ING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 14 CI yvi Yv14 N14 12114 CITY, STATE ZIP CODE PHONE NUMBER []CITY VILLAGE ®fOWN NEAREST ROAD b am +51 r, Iv-r, z 3 (715) 7`)` 9 - `[-zoli L 10 07 7` t/ 67 [ New Construction Use [Residential /Number of bedrooms 3 [ J Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow 14-5'0 and Recommended design loading rate ~_bed, gpd/ft2 16- trench, gpd/ft2 AusorpLon area required 3 75 bed, ft2 3 7,5 trench. ft2 Maximum design loading rate __L4 bed, gpd/ft2 S trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations /U A Parent material 4 Flood plain elevation, if applicable /U ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE 7767 TEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S SU CIS 0 U ❑ S 0u ❑ S .au S ❑ S R~U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Gu. Sz. Cont Color Gr. Sz. Sh. Bed Tre & 3 { „w..,',.:• z- z 7 11,/,0 Ji/G' S~ ( Z W! S6 kYl.14 u~ 1 , 7 .5 Ground 3 47- tf 75 L/N/oA2G d .S &P~ Hof ~,4 ~ ,8 elev 9~t. 45'~ d 4 G~ G~ /7c-) IV - ~G r Depth to limiting factor Remarks: Boring # j a 40 Ground elevgd _ &o -ft. Depth to limiting factor Remarks: CST Name:-Please Print /O L. L / ~S Phon!i 1 eE G'` U rty- Address: ^S (p 1 ' Nib Signature: Date: t 8 _cI w PROPERTY OWNER SRjatL,2,( I2TCf2- SOIL DESCRIPTION REPORT Page Z- qf 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color I Mottles Texture Structure Consistence Boundary + Roots GPD/ft I in. Munsell Gnu. Sz. Cont. Color Gr. Sz. Sh. Bed ITrench <3 i a Ground 2V-.3,e elev.,5 i Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # i ~it• Ground elev. ft. - Depth to limiting factor Remarks: Boring # ~k s..;;:: Ground elev. ft. Depth to limiting factor I I Remarks: SBD-8330(8.05/92) a STEEL'S SOIL SERVICE zooms , Gary L. Steel C.S.T. 2298 ~ R L^ 2 New Richmond, WI 54017 IZ /V~ MPRSW-3254 y ( (715) 246-6200 & Y'~ 4 L-- YT -5 J 7 -2,4/- R19 u-) /mod ~ S,212 7L-~ LJ 6 Iooy- pip loo' b~rr-r~ J371 /az~ C~h, Js2 p..3 Go' Yr ° ww A- 3r^~zo~ c9 0't-- Sow. ~wL= DEPAR;i MENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INPUSTPY, DIVISION La~BOR AND HUMAN RELATIONS PERCOLATION TESTS (115) MADISOP.O. BOX 7969 N WI 53707 (ILHR 83.090) & Chapter 145) L CATION: SECTION: OWNSHIP/ham: OT NO.: BLK NO.: SUBDIVISION NAME: N~ ~4 4'~C 1/ -7 /T f N/R d E (o l ~ti '0 COUNTY: UY"S% MAILING ADDRESS: UeI4 k~57 Dios /©a o/3zC;e7- 5 4',01S. s'~o2_3 USE DATES OBSERVATIONS MADE ; NO, DRMS.: COMM R IAL DESCRIPTION: I PROFILE DESCRIP"TIONS: JIFERCOLATION TPT§_1 Residence 20x¢ New ❑Replace I ~vti~ 1I9Y0 lyvv2 27 fa ~lfGry~y si/ S/f~ieE ~~M RATING: S= Site suitable for system U= Site unsuitable for system SCS r ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: rYSTEM-IN-FILTOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑S ©U ©S ❑U ❑S Ell ❑S EU ❑S a tilo uf_)p syST'ecM r I I If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: C G,4s s Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS xti 'bSe,' iA-c_ -P - . BORING TOTAL P H TO R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED H TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) i (~u0Ot~O /a" T3/,-. Lo,,~l /0' ZN-Sy X3/0el-y io.fH 2.o' RA) -Sr B- Ce•Q /00.70 AT 4.0 r 3r 3(0 CKY Sr/. r.( )ffF. °R. o fS AT 3. 0' 2. 10 ' Qr1~rDElj ~v T3,u.S w/ 31i'uvS of fL44 Zk- 20 . DR_"P~0_ B- 51 C p u P De-& p to ET) e / E_A-3 TtCIL Tv Bo lt' vk Exce PT- B-Z &,0 /12.10 3,0 210 P 0D0 Ie "N T_ 3.O' 2 ~uDOCEv .S' 13N-Sy CPUMAGY cc,,.-'t T. 1', .yl'q, aN -sy, .rr~ B. 3 /tT 3,2 ' 3.6 cerA 13 cy I.O~P' L Y. $lecKC ,!'r% ~ T3N• St w B- fff 012-Gy Hors rli 3, O 'r Z . 3 ' 'P%N.- ?,j. S. (1-f o%s r- f 2 A cT u„ 4-!Aj ,t d 7 LO j a. T` .0 r / •83 3N 6y. DfiH .G y ' y. 883 - sy /a,,,ti /Co"'/ B- ("0 3. S fw -e s. IG 3N I s 1.0' r k. 1 oF.~ 5'1 PERCOLATION TESTS w1 f f'f or2-&y, hr° f r > S ' ~r/'P'fcr~.t-c-Q, 4,S, VQ f l'N.t w h f T~ CEMF~t1>S S. DEPTH WATER IN HOLE TEST TIME DR I WAT R V -IN H RAT MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD t 777770MOD PER INCH P. / a 20 1 'i z L is, t Z y 30 ' °r cP l l 19.5 3 Z P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION. 5,fN4~ p(-o7- Pt,v , ~~~~2s E TN O~v SA'TE' UF~i F~ c,q Tio,t~ / 2 O AJ S 5 Zo.v i ,v 6- AAA A-4 109917 C 90 CvU 2O/Al CE 61 I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the pr and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print TESTS WERE COMPLETED ON: HOMESITE SEPTIC PLUMBING CO. Z I D ADDRESS: 650 O'NEIL FO., ON;-NH6-540G CERTI CATION NUMBER: PHONE NUMBER (optional): ROBERT ULBRIGHT Z ~ Z 3. 10L, - ~30 S Yffl. MASTER PitLIMSER hr-- NO 3307 LA PAS- MINN. INSTALLER & DESIGNER LIC, NO. 00663 CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - 1 v L rl) t c 'h i I o ao~5 5 Ij ! ~J V ^C 0 ~o _a e