HomeMy WebLinkAbout008-1072-40-000'~*
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Buildings Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provice may be used for secondary purposes [Privacy Law, s_15.04 (1)(m)].
Permit Holder's Name:
h
b ^ City ^ Vi ge w of:
~au ~a~l°e `~`ownshi
et
Jones, Eliza p
CST BM Elev.:
' Insp. BM Elev.: BM Description: t u
~ ao . O 60. O ` b o ~ /'f re.ba~
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic ~„~ P ~ (Sp
Dosing ~? ~'~,~,~ ~j
Aeration
Holding
TANK SETBACK INFORMATION.
TANK TO P/L WELL BLDG. vent to
Airlntake ROAD
Septic 7 3o r ~ ~ - NA
Dosing >'SO' ~ t` ~ 19 ~ NA
Aeration NA
Holding
PUMP /SIPHON INFORMATION
Manufacturer ~ Demand
0
~ Model Number W ~.3 ~(- ~-'~'~GPQM
`~ H Lift ~,~5 Lrictiont tx System ~ S TDH 1'~•`I Ft
Forcemain Length ~Of Dia. Z '' Dist. To Welt
i SOiL ABSORPTION SYSTEM
ELEVATION DATA
county:
St. Croix
Sa n ita ry,P,g~r~ it,No.:
State PIaJJn//IDllNIo`J.:
Parcel T No.:
~~8-1072-40-000
STATION BS HI FS ELEV.
Benchmark ,~g ~~ ~ , 0'
Bldg. Sewer 12, ~~ ~•p, cf r
St/ Ht Inlet ~ 2_~~p ~. 9 $
St/ Ht Outlet ------'
Dt Inlet "--''
Dt Bottom /o.s8 ~ .~a '
Header /Man.
Dist. Pipe
~ ?i.$ S ~G •G 9
/
Bot. System G~ S ~: ~z 9 ~ . o Z,
Final Grade ~#~ S
St cover ,~ it
S
Imo.
r D ~_
BED /TRENCH Width ~ Length r No. Of Trenches PIT N f Pits Inside Dia. Liquid Depth
DIMEN I N s DIMEN I N
SYSTEM TO P / L BLDG WELL LAKE l STREAM LEACHING Manufacture
SETBACK
INFORMATION
Type O -- nn
'
r
~
- CHAMBE
OR UN
Mo a Num
System: Mot~.d` ^'$ oZ•S
DISTRIBUTION rSYSTEM ~.`~`~`-.a~~ ~
Header / Ma if Distribution Pipe(s) M x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. ~._ Length ~~v Dia. Spacing c~ y
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 /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ N I..~~ ^ Yes ^ No
a
/ I
(~~M EE NN (ln I,,d d n e n . o i ~. ~ I~ ~• ~ ay
C1:o3'o'~iT~64U rtltheAvO~"n ulso~vri~g~; ~s~~b~~' gl~~'~W 1/4 25 T28N R16W) - 25.28.16.377A
1.) Alt BM Description = ~'a-"a~'°- °~
2.) Bldg sewer length = t q .o '
~.
-amount of cover = ~G Se-c
3.) contour = ~ ~' ~ . $~ c>~-f'f~ % . ° Z.'88) ~ ~S.C
I~ 12~-' ''~) ~ 5-~- ~8 `~ Suf. c~,r a~.x. ~roc.~.~a~e~ ~^^,".u.,~ .
~~~.
Pla revision required? ^ Yes ~ No I Z
Use other side for additional information. 08 ~S OZ~
SBD-6710 (R.3/97) Date Inspector's Signature Cert. No.
Safety and Buildings Division
SANITARY PERMIT APPLICATION 201 W. Washington Avenue
` ` isconsin In accord with ILHR 83.05 Wis. Adm. Cod P O Box 7302
Department of Commerce a Madison; WI 53707-7302
• Attach complete plans (to the county copy only) for the system, on paper not less county
than 81iz x 11 inches in size. ST CROIX
• See reverse side for instructions for completing this application state sanitary Permit Number
3~oZ(9
Personal information you provide may be used for secondary purposes ^ Check if revision'to previous application
//
[Privacy Law, s. 15.04 (1) (m)]. Z(c ~O ~Z-/~n ~0 C~ WOVBU< 1r~ State Plan LD. Number Site ID 190198
1. APPLI ATION INF RMATI N -PLEASE PRINT ALL INFORMATI N Trans. ID # 309486
Property Owner Name
ELIZABETH JONES Property Location
NE 1i4 SW 1i4, S 25 T 28 , N, R~~16it~(5~~1 W
Property Owner's Mailing Address Lot Number Block Number
530 CTY RD M #39 fit. N/A
Cit~r~VER FALLS WI 'p
Z~4022 Phone Number
(71
x
26
881 Subdivisio N me o ~ber
15 35f~611
+
5
-9 n, ~
II. TYPE ILDING: (check one) ^ State Owned ~ It~ Nearest Road
Public 1 or 2 Famil Dwellin - No. of bedrooms ,~
~ ~ VII age EAU GALLE
Town OF 12TH AVE
III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s)
8-1072-40-0000 Z ~ Z ~? lF - 3 ~ ~~
1 ^ ApartmenttCondo
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 box on line A. Check box on line B, if applicable)
A) 1. ®New 2. ^ Replacement 3. ~ Replacement of 4_ ^ Reconnection of 5. ^ Repair of an
______System ________System_____________TankOnly______________ Existing System ________ Existin~S~rstem
B) ^ A Sanitary Permit was previously issued. Permit Number 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 Pressure , , 42 ^ Pit Privy
13 ^ Seepage Pit ~ ~ 43 ^ Vault Privy
14^System-In-Fill G- ~ po "
'
VI. ABSORPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Pert. Rate 6. System Elev. 7. Final Grade
450 ~/ Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation
375 / 375 NX11iX 1.2 N/A 96.00 ~eet 98.3 Feet
VII
TANK Ca aut
.
INFORMATION in altos
g Total
ll # of
Manufacturer s Name Prefab. Site
Con-
l
St Fiber-
Plastic Exper.
N
i
ti
E Ga
ons Tanks Concrete ee glass App
ew x
n
s strutted
Tanks Tanks
septic Tan wank 1000 1000 1 IIDWESTERN PRECAS Q ^ ^ ^ ^ ^
PumpTa 650 650 1 MIDWESTERN PRECAS ® [] ^ ^ ^ ^
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plu er's Signature: ( t ps) MP/MPRSW No.: Business Phone Number:
BENNIE HELGESON - 715/772-3278
Plumber's Address (Street, City, State, tip Co
W1229 770TH AVENUE SPRING VALLEY WI 54767
IX. COUNTY /DEPARTMENT USE ONLY
^ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuin gent Signature (No Stamps)
Approved ^ Owner Given Initial surcnargeree)
~
~ Z
~O
Adverse Determination ~ 2S Od - w•-
X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: ~~~ ~~,~ ~;~ (~ G a
!-~ ~u:.Sr MOST Htte'{ ~l~ .,y~p~~~.6/C SCI~uF~S ~ase.r.e•~~daa~ Sfl,~i ~/a/q, r~a/ Yar/1~ ,i
SBD- 6388 (R.'11I97) DISTRIBUTION: Original to County, One copy To: Safety & 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 a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit mustbe approved by the permit issuing authority.
4. Changes in ownership or plumber requiresa Sanitary Permit Transfer /Renewal Form (SBD-b399) 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. 4
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608-266-3151.
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.
111. Building use. If building type is public, check all appropriate boxes that apply.
1V. Type of permit. Check only one on line A. Complete line 6 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 for numbers 1 through 7.
VI1. Tank information. Fill in the capacity of every new/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 81/2 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 servile; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
~ ~
~scons~n
Department of Commerce
Safety and Buildings
4003 N KINNEY COULEE RD
LACROSSE WI 54601-1831
TDD #: (608) 264-8777
www.commerce.state.wi. us
Tommy G. Thompson, Governor
Brenda J. Blanchard, Secretary
April 19, 2000
CUST ID No.268093
BEN HELGESON
HELGESON EXCAVATION INC
W1229 770TH AVE
SPRING VALLEY WI 54767
RE: CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 04/19/2002
ATTN.• POWTS INSPECTOR
ZONING OFFICE
ST CROIX COUNTY SPIA
1101 CARMICHAEL RD
HUDSON WI 54016
SITE:
Site ID: 190198, Dorthy Jones
St. Croix County, Town of Eau Galle
NE1/4, SW1/4, S25, T28N, R16W
Facility: Dorthy Jones Proposed Residence
FOR:
Description: Three Bedroom Mound System
Object Type: POWT System Regulated Object ID No.: 658165
Identficati s
Transaction ID N .309486
Site ID No. 190198
Please refer to :both identification numbers,
above, in all comes ondence with the a enc .
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall
be met during construction or installation and prior to occupancy or use:
• A Sanitary Permit must be obtained from the county where this project is located in accordance with the
requirements of Sec. 145.135 and 145.19, Wis. Stats.
• Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with
the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction installation/operation.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely,
~ ~
d M. Swim
POWTS Plan Reviewer -Integrated Services
(608)-785-9348, Mon. -Fri. 7:15 AM to 4:00 PM
j swim@commerce. state.wi.us
DATE RECEIVED 04/11/2000
FEE REQUIRED $ 180.00
FEE RECEIVED $ 180.00
BALANCE DUE $ 0.00
WiSMART code: 7633
Project
Owner
Address
MOUND SYSTEM DESIGN ~~
Residentfa/ Application /~
INDEX AND TITLE SHEET ~9~ q~~ 4 ~~
F~ 1~ F~
Elizabeth Jones 3 bedroom residential mound ~~ ~oOQ
~oV-A
Dorothy Jones vO
~~
2118 Kinzie Ave. °
Racine, WI 53405
Legal Description NE1/4SW1/4, Sec.25, T.28N., R.16W.
Parcel ID Number 08-1072-40-000
Township Eau Galle County St. Croix ,... ~.te1.C ri~Ll~y
Subdivision Name Lot No. i't~°
. ~~~~~
Plan Transaction Number
Index and title sheet
Mound calculations
Mound drawings
Pres. dist. talcs. and laterals
TDH and pump tank drawing
Pump Derformance curve
,~~~CE
~~ ~ of ~ M ~~~p1
~ ~~
DES P~{~ ~,t
~G
Q~~~~ . ~ ~ aOE~
Site plan
Attached soil evaluation report
Designer
Signature
Date
Page t~
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
220292
Bennie Helgeson License Number
~ Phone No.
3/01 /99
715-772-3278
Notice: Tampering with this fi{e by unauthorized persons is prohibited.
Deliberate modification will result in disciplinary action under s. 146.10, Wis. Stats.
Personal infom~ation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
SBD-10462-E (R.05/98)
Page 1 of 8
MOUND SYSTEM DESIGN
;omplete red boxes as necessary. 1000 gpd maximum design flow.
Inch-pounds Metric
Residential or commercial? r (r or c) (y or n) ~~ Replacement system?
Creviced bedrock site? n (y or n)
Slope
Wastewater flow rate 12
450
gpd 1703 Lpd
Depth to limiting factor 31 in 78.7 cm
In situ soil infiltration rate 0.6 gf~ft` 24.4 Lpd/m`
Contour line elevation
Use standard fill depths? 95.0
x ft 28.96 m
OR Design depth? ~in ~cm
Place X in box to use standard d epths (24 and A+4 inclusive) OR specify design fill depth.
Center or end manifold
Lateral spacing
Number of laterals
Forcemain length
c (° ore) Hole diameter
0.00 ft Use 0 lateral spacing for trenches.
Estimated hole space
2 Pump tank elevation
0 ft Forcemain diameter
In 0.125, 0.156, 0.188, 0.218, 0.25,
~'~~ " 0.281, or 0.313 inch only.
5:150, ft Not a final calculation.
84 ft Outside bottom of tank.
~ j n 1.5, 2, 3 or 4 inch only.
2.067 in Actual I.D.
~..-.u~icee~n~ic
SYSTEM SOLUTIONS Inch- ounds
Estimated daily flow 450 gpd
Absorption cell
Design load rate & area 1.2 s~
Linear loading rate (LLR)
Design width (A)
Cell length (B)
Depth of cell (F)
Sand filter
Upslope fill depth (D)
pownslope fill depth (E)
Basal area required (gpd/infiltration rate)
Supporting components
Topsoil depth
Subsoil depth at center
Subsoil depth at cell wall
End slope toe length (K)
Up slope toe length (J)
Down slope tce length (I)
Total mound length (L)
Total mound width (V1n
375.0 ft`
6.00 gpd/ft
5.00 ft
75.0 ft
9.5 in
12.0 in
19.2 in
750.0 ft2
6.0 in
12.0 in
6.0 in
10.78 ft
6.20 ft
15.90 ft
96.56 ft
27.10 ft
nva.c v.r....~ . ~....~.. _ ~.._. -- --
1/8 = 0.125 114 = 0.250
Metric 5132 = 0.156 9132 = 0.281
1703 Lpd 3116 = 0.188 5/16 = 0.313
7/32 = 0.219
34.84 m`
74.4 Lpd/m
1.52 m
22.86. m
24.1 cm
30.5 cm
48.8 cm
69.68 m2
15.2 cm
30.5 cm
15.2 cm
3.29 m
1.89 m
4.85 m
29.43 m
8.26 m
Project: Elizabeth Jones 3 bedroom residential mound
Transaction Number: Page 2 of 8
MOUND PLAN VIEW
27.1 ft
8.26 m
W
observation pipes (typical)
I =down slope dimension C'~ =absorption cell (AxB)
J = up slope dimension O =plowed area (LxW)
K =end slope dimension
MOUND CROSS SECTION
lateral topsoil
invert ~ 50 ft
elev. 29.41 m~
G
subsoil cap
F
'~' ASTM C33 ~
~ Sand Fill E
sys. 98,00 ft
elev. 29.26 m
9li.00 ft contour
28.96 m elev. ~ 12 % --~
slope
A = `S.tiA ft 1.52 m
B = fi5 ft 22.86 m
J = 6.20 ft 1.89 m
I = 15.90 ft 4.85 m
K = 10.78 ft 3.29 m
typ. obs. pipe
(anchored securely)
6" (152 mm)
D = <? in 30.5 cm
E = 19.2 in 48.8 cm
F = 9.5 in 24.1 cm
G = 12.0 in 30.5 crrt
H = 18.0 in 45.7 crrt
D = upslope fill depth plowed layer
E = downslope fell depth
Note: Absorption cell media will consist
F = abSOrptlOn Cell depth of aggregate and pipe with laterals
G =subsoil + topsoil depth at Cell wall centered across Ax6 media. The cell
H =subsoil + topsoil depth at cell center media is covered with geotextile fabric.
Desi ner notes-
Project: Elizabeth Jones 3 bedroom residential mound
Transaction Number: Page 3 of 8
~ _, 96.56 ft
29.43 m
PRESSURE DISTRIBUTION CALCULATIONS
Absorption cell
Width (A) Inch- ounds
5 Metric
ft 1.52
m
Length (B} 75.0 ft 22•~ m
Lateral specifications
Number laterals 2
Holes/lateral 10 holes
Lateral length (P) 35.63 ft 10.86 m
Hole diameter 0.250 in 6.35 mm
Lat. dis. rate gpm 0.73 Us
Sys. dis. rate 23.30 pm 1.47 Us
Hole spacing (X) in 114.3 cm
Lateral diameter
Designer must
'7C" one choice Pipe diameter
1 in (25 mm)
1 1/4 in (32 mm) Design options Design choice
from the options 1 1/2 in (40 mm)
provided. 2 in (5o mm)
3 in {75 mm)
Pipe diameter oesig^
1 in (25 mm) ~,
1 1/4 in (32 mm)
1 1/2 in (40 mm)
2 in (50 mm)
Manifold diameter
Designer must
'7C" one choice
from the options
provided.
3 in (75 mm)
4 in (100 mm)
Place X in red
box of chosen
diameter.
None required.
No choice necessary.
Distribution system contains: 2 Lateral(s)
LATERAL DIAGRAM -CENTER CONNECTION
Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area.
P ~ I end cap ~
~ •
IF ;{-~ I4- xr2 I xr2 ~) Laterals & force main of PVC Sch 40
(per GOMM Table 84.30.5)
Last hole drilled next to end cap
Holes drilled on t he bottom of the lateral, ~ .permanent end marker
equally spaced
Inch- ounds Metric
Lateral length (P) 35.63 ft 10•~ m
Lateral spacing (S) 0.00 ft 0.00 m
Hole spacing (X) 45 in 114.3 cm
Manifold length 0 ft 0.00 m
Hole diameter 0.250 in 6.4 mm
Lateral diameter 1.50 in 40 mm
Forcemain diameter 2.00 in 50 mm
Project: Elizabeth Jones 3 bedroom residential mound
Transaction Number: Page 4 of 8
Design options
x
X
X
x
x
choice
TDH and Pump Tank Drawing
Total Dynamic Head
Operational head 2.50 ft 0.76 m
Vertical lift 11.50 ft ,~1~0~ 3.51 m Are laterals the highest pant in the
Friction loss 1.36 ft . t 0.41 m system? Yes "x' here. ~x
Total dynamic head 15.36 ft 4.68 m If no, what is the highest elevation
Dose Volume downstream of pump? ~--~-"--~
Dose is > 10 times lateral volume Forcemain drain
Lateral void volume 7.5 gal 28.4 L back to tank? ("x" one)
Minimum dose 112.5 gal 425.9 L x Yes
Drain back 24.4 gal 92.4 L No
Dose volume ~ 136.9 gal 518.2 L
Typical Pump Chamber Layout
In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC.
approved manhae cover with
weather proof warning label and locking device
grade levels junction box ~ grade levels
disconnect
alternate T
electric as per NEC 300 and ~` F"- ~~
4 vent pipe Comm 16.28 WAC location 18" (46 cm) min.
~- aPPr°v'ed
wall of pump outlet jant
chamber or
combination tank
A Provide 1/4" weep hole or anti-
alarm on siphon device as necessary
pump on B
Grade levels
pump 85.0 ft C -Pump tank manhole = 4" (10 cm)
off elev. 25.9 m minimum above finished grade
D _ ~t = 12" (30.5 cm) minimum
above finished grade
84.0 ft Pump tank elevation
3 " p5 mm) of bedding under tank 25.6 m bottom of tank
Tank manufacturer Midwestern Precast 1,0001650 gal. Combination
Pump tank capacity 17 gal~n
Pump tank volume 650.25 gal
Pump manufacturer Goulds Inches Gallons
Pump model number 3885 WE03 H o A 19.2 326.4
•~, g 2 34.0
Alarm manufacturer S.J. Electro systems ~ C 8.1 136.9
Alarm model number 101 HW p D 9 153.0
Project: Elizabeth Jones 3 bedroom residential mound page 5 of 8
Transaction Number:
'tc"_ „~ ~
f
Pump Specifications
'~'7 I-1 P
Up to 40 GPM
Discharge size 1'/•"NPT
Solids:'/e" maximum
Motor
Single phase: 115V
Materials o1 Construction
E3rass/thermoplastic
Features and Benefits
• Top suction eliminates
impeller clogging.
• L'orrosion resistant
construction.
•Floa( actuated switch.
i
..ar ~
~• ~:
nlnrns Ern
2~, _ ~
- ODELOVP03
0 6 20 -
= S
U I~~
I
4 ~
z
I~ ,~I
0
a
o s
'~
„~ I,
0 5 IU 15 20 26 ~., UO 35 a0 0.5.GPM
0 2 4 6 B t0 m~A1r
caPacrrY
MEIFO S {E(1
~~ MDDEL:3871
B 70i ~
25 .__... ~. -. -~... ~ _ _i
2 I I
i_ ~
,
o
6 _i _
20 I ..I -
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~., 6 -
:
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16 ___ _..-- _
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EPOS
Z °
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0 2 ~ ~ ~ EP04
6, _i ~ ,
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20.. _. i
'. ~0._.~ 40 50 US. GfTd
0 2 4
-
_C 6 0 IO 72 mb4r
PACITY.Z.3.3pc~p nl;rl,5
ry
Pump Specifications Features and Benefits
°/,0 and'/2 HP •EP04 impeller- semi-open design
Up to 60 GPM with pump out vanes to protect
Maximum head to 32' mechanical seal.
Discharge size 1'/2" NPT • EP05 impeller -enclosed design
Solids:'/<" maximum for improved perlonnance.
• Rugged glass-titled thermoplastic
Motor
All motors feature ball casing and base design provides
bearing construction. superior strength and corrosion
Single phase: 115V resistance.
'Cast iron motor housing for
Materials of Construction efficient heat transfer, strength,
Cast iron and durability.
Thermoplastic
Stainless steel •Corrosion resistant threaded
stainless steel shaft.
•Available for automatic and
manual operation.
• CSA listed models available.
All Models are designed for continuous operation and lecture stainless steel hardware.
~~.(~o~Y
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. '
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• ~l~C/Ct~or~ '~'/ 5'X75' bed.
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Wisconsin Department of Commerce SOIL AND SITE EVALUATION
>' Division of Safety and Buildings in accord with Comm 83.05, W Ls. Adm. Code
Page 1 of 3
AC.E. Soil & Site Evaluations
Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must Coun
~
include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix
-
percent slope, scale or dimemsrons, north arrow, and location and distance to nearest road. Parcel I.D.#
APPLICANT INFORMATION
ti
i
ll i
f 08-1072-40-000
---
- Please pr
orma
nt a
n
on.
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). R Vie By D~t@~
t tips
Property Owner Property Location
Jones, Dorthy_____ __ _ Govt. Lot NE 1/4 SW 1/4 S 25 T 28 N,R 16 W
Property Owners Mailing Address Lot # ( 81ock # Subd. Name or CSM#
2118 Kinzie Ave.
_ ____
_
City State Zip Code PhoneNumber _
[] City [] Village Town Nearest Road
Racine WI 53405 715-426-9881 Eau Gatle 12Th Avenue
~ Residential 1 Number of bedrooms 4 ^Addition to existing building
0 New Construction
Use:
C1 Replacement ~ Public or commercial describe
Code Derived daily flow 600 gpd Recommended design loading rate •5 bed, gpolftZ .6 trench, gpolftz
Basal area required 1200 bed, ftZ 1000 trench, ft' Maximum design loading rate .5 bed, gpolft' .6 trench, gpolft'
Recommended infiltration surface elevation(s) 96.0' at 12" above 95.0' contour. ft (as referred to site plan benchmark)
Additional design 1 site considerations
Parent material Glaciat till. Flood lain elevation, If a livable NA ft
S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank
U=Unsuitable for system ^ S ®U ®S ^ U ^ S ®tl ^ S ®u ^ S ®tl ^ S ® u
SUIL Ut5CK11' 1 IUN KtF'VK 1
Boring#
1;
Ground
elev
93.62' ft
Depth to
limiting
factor
31"
2
Ground
elev
93.04' ft
Depth to
limiting
factor
~F"
Depth Dominant Color Mottles Structure
nsist
C
Bounda
Roots GPD/ft2 _
Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. o
en ry Bed Trench
1 0-8 10yr4/3 None sl 2fsbk mvfr as 2f,lm 0.5 0.6
2 8-25 10yr4/4 None sl 2msbk mvfr cs 2f,lm 0.5 0.6
3
25-3I
7.Syr4/6
None
Is
lmsbk
mvfr
cw
1f :- .e
0.5 0.6
4 31-42 7.Syr4/6 f2f5yr4/6 gr. Is 0 m mfi cw if 0.4 0.5
5 42-74 10yr5/4 fmd7.5yr5/8 gr. sl lcsbk mfi - if 0.4 ~ 0.5
Remarks:
1 0-8 10yr4/3 None sl 2fsbk mvfr as 2f,lm 0.5 0.6
2 8-23 10yr4/4 None sl 2msbk mvfr cs 2f,lm 0.5 ~ 0.6
3 23-36 7.Syr4/6 None is lmsbk mvfr cw if 0.5 0.6
4 36-66 7.Syr4/6 f2f5yr4/6 gr. is 0 m mfi cw if 0.4 0.5
5 66-78 10yr5/4 fmd7.5yr5/8 gr. sl lcsbk mfi - if 0.4 0.5
Remarks: --
CST Name (Please Print) Signa re: Telephone No.
James K. Thompson 715-248-7767
Address A.C.E. Soil & Site Evaluations Date CST Number Ref #
340 Paulson Lake Lane, Osceola, WI 54020 6/21/99 3602 1052
~, PROPERTY OWNER: Tones Dorthy
PARCEL I.
3
Ground
elev
97.87' ft
Depth to
limiting
factor
33"
Ground
elev
Depth to
limiting
factor
Ground
elev
Depth to
limiting
factor
Ground
elev
Depth t
limiting
factor
SOIL DESCRIPTION REPORT ,os2 Page 2 of __ 3
A.C.F.. Soil & Site Evaluations
D.# os-1072- ao-ooo
l
Mottles
Structure
ts
R
GPDIftZ
Horizon Depth
in. or
Dominant Co
Munsell
Qu. Sz. Cont. Color Texture
Gr. Sz. Sh. nsistence B oundary -
oo -
Bed ~ Trench
1 0-7 10yr4/3 None sl 2fsbk mvfr as - 2f,lm 0.5 - 0.6-
2
3
4 7-28
28-33
33-41 10yr4/4
7.Syr4/6 _
_
-__ _ - _
7.Syr4/6 None
-- None --- -
__ - --- -- __ _
f2f5yr4/6 sl
--Is
__- f -
gr. Is 2msbk
lmsbk
---------- -
0 m mvfr-
mvfr.-
--
mfi cs
cw -
cw 2f,lm
lf-
1 f _0.5 i 0.6
0.57' -0: $
y
0.4 0.5
5
41-60
10yr5/4
fmd7.5yr5/8 --
gr. sl ---
lcsbk
-mfi
- _
if
0.4 ~-0.5
_
Remarks: --------- ------------------------- --- -----
Remarks: ----------------------- ------ -- ---_-_ ----
----- ---- -------- --------------
Remarks: -
- -
0
Remarks:
^ so;i
P, E
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KQCine~ tel.
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7';2.8x1., ~?/~/lowcG.J~.~ T.
b~' ~4 u c~a.~c-e,
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~/~
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~ si~¢
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v
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~nck ~ 1-010 0~'
yy~ ~ebordr-~er;~~
Qrow-~d. Assumed
~~s ,
/o? `~S~~ec~
Owit~r/IIuyer ~__ ~ ~~ ~D~1~S
Mailing Address ~_...~.5 3D_~° ~ci m ~k ,3 g _ _ ,~~y~~ ICS / (3 j W r S~-fO 2.a-
Property Address _ ~~~10 ~ a~"~--,,,~~(~. ~,~ob ~~ _ 1~~~~,0 a ---~.
(VBrifiGattuu required fror: i Flaturit~$ Dalsarirnent for new construction) _ _
City/State ~vv<~v~,~~~°L ~1 ..Parcel Identification Number 4~~/D ~~ --`i~G-000_
L~GAX,, bESCItIPTIOhY
F'ro~ez-tY IAG1~Q)a /U~ _ '/~, ~~ '/,, Ss o. s2°l~ 7'~_...~`I-~.../..~w. Towrt of ~c~ awl/~ _.
Subdivision Irat ##
~7"~; ,~~ W~~x~_
Certified Surve Ma # _
Y P -~ / ~-i~5~~~? ~ '~loltube ~; Page # _
~Varraniv Deed # _~f,~o"~yg),~^„ Voltrmtr ~o~~ Page # __, ~_~___..__._
Spec house ~I yes t3 no
I.ot lines identifiable ~ yes ^ no
,i
SYSTE ~F,1~IANCE
ImprapCC use and maintestanceof ytntr set pc aystetn could result in its premature fai]uuc to ?osadle wastos. Prapcr utaiuteaanco
consists of ptuwpins out the septic tank every thrt a yeazs or sooner, if ntaded by a licensed pumper. What you put into t?ie system
ran affect the function of the eeptie tank as a treat anent stage in the waste dispaaal aystam.
The property owner agroes to subxnat to SL ~tQix 7.otuag Qcpa.rlment a cnrtit?cation form. signed by the tnmer and by a
mastetplurnbar, jot>xueymanpltu>zber, restrictedpli unber ar a iiccnae~dpumpor verifying that (I) tltie ors-site wastewaterdisposal systcsm
is in proper aperat~ung condition and/or {2) after in:'pection a,ad puz~sinR {if necessary), the septic tsualc is 18ss than 113 full of alnAge.
Tlwe, tlac uztdersigned have read the above rcquirr: hunts t-nd Agzco to maintain the private sewage disposal Rystcrta with tht standArds
set forth, hereim, as stt by the >~epartmcnt of Cotfi~ taezce null the Depart:aant of Natural FCe&attYCes, State of Wisaousin. t^,et~t~.f~cat~on
slitting that your solstic system has been maintainel I ttmust be completed And cctaraad to the St. (~rdix county Zoning Oise vlrithia 30
days of the three year expiration date.
sIGNd~' OF APFLIC '~-
_ r to / t5o
DATE
OWNE:E2 (:~I.tT~~C TA 1ON .
I (apt) etxtify that all s.tatomants o>z this : Irnrr are txue to the host of my (our) knowledge. I (we) am (are) t1>e owner(s) of
the ptupe,rty described above, by virtue of a watrt 1ty load rtcorde:i tta Rtg;strr of Deods Office.
SIGN,~T'tl OF APPLIC '1'
~i to r gam.
AATf3
...tv.«.r ~y Formation that i:t mis-represented rr rty result in the sanicery ptrmit tseing revoked by tht Zoni:uR Department. ••'~~`""
S'I' CFt~TI~ COUNTY
SEPTIC ":'ANK MAINTL?NANCE AGRE$MI?NT
AND
Owr, ERSHIP CE,RZ II;ICATIpN PnRM
"* Include with this Applicatt~~n~ a sta~nptd warr tnty docd from rho ltegistcr of deeds nftS~~c
a copy of We G rtifled Survey reap if cefarr.ace is rtlade eo the warranty dead
a .f
SEP-89-99 THU I3 C 14 NELSEN-WELEK LHNY jjtJK VEY 1 l1 S"~' r'. U l
MAP OF SURVEY
LOCATED !N TH£ NE li4 OF THE SW fi4 Qf SECT-QN ta, T.taN., R.lsw.,
TONN OF EAU GALLE, ST.CRO/X COUMTr, N'18CON3/N
UNPLArTED LANDS
...........................
EASt - Nesr QUARTER e1NE
~s a>•ta't3'
8 aT't4'ra•E D.e...~, lss. fs' .
>:
1 - _---t.~; _-~-~ s- ---
!
NEST QUARTER CORNER
SECTION t0 -FOUND
I. ALUMINUM A1DNU~ENT
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SfO
SE
Hi i.
BfAA~~tt1NGS RFFERENCfD TO TNF
'
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EAS7
~ NEST QUARTER 61NE. ~~ q
IfASVRFp AS itT"!1' 27"E.
tST.CROIX CQ COORD. Sl'><7FM).Qj W
~ w.
~• $
10T 1 ARFA a;
8.99 ACRES
P17, ITa SO..FT. ~
4.86 ACRFS FXC. R/W
P11, 7PB S0. FT.
SOU7NWFST COI7NER
SECTION P9 -FOUND
f' 1RON PIPf N 8T•7o'~7'
rao. !r
(•~ ~ ~.
N eT•ae' 4a•
160. M'
. t1NPLATTEO LANDS
.............................
- L E(3EN0
0 SET 1' X 24' IROVY PIPE NffGHING
1. 13 LBS. PER LINEAR f00T
I " •POO'
~'
0 100 P00 800
>i9P30A THIS INSTRVAENT DRAFTED BY J1M rFeERHEEr ~ OF ?
SEP 9 '99 16:05
CENTER aF sfcrlav
0
PREPARED FQR:
L /Z JONES
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WEBER
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JAIgJ K NEBER d-lea
NFLSENwFYfR aANO JYRVEr/M0
DATED
17152356611 PAGE.001
i t "y
04/28!60 12:22 FAX 17152467227
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/- p9seel o! lewd Loaaead is tha Ncrthaut L/4 of etu~ ~~nnath C. PletL6aY
sa,tlanwt Ili of i•atiaw ?S, 7mrnthip 2t North. Ran.3e I6 f Rodii. berlu=. BoS.a a Rsv'tiar. tC
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tiros[. Totm of Eau Galls: tt. Ctoia County, Lliaeee+a+n~ i ti! 4loeth lKai.° ttraat
tlRrw lusty daaarit»I sa follors: Coaswnai ~! nt ~ ~aL• 4; sio~lal®a. Yl 3bC'22
Qwster Comas of acid $aceio° ZS: choose touch 87 24 23
sAa.+ aloof chw eaft•vast quat:tar LLy o[ aai8 5actiaa 25.~.~~i..~W- _._...~.~,.~..w~=-j
~.t4.96 feoe tef eha POIN! Olr BSGL1AilIPGi t1+•e°L+. - ~ 1
3 ruc L3°a. tauth 07°24'19"
;'; continui°t cleat aaLd qw ~~
~. 8.ue, 165.16 !Nt LO LAa eanteY Of acid 5"••tion 251 ~3QZt-~~~ '~
4 thanes South OD'C6'it^ lieac, aloof eW nOxLh-south ~^'~a"•"`~ ~,,
qunrcar lia• of +uid 8accier. 25. 1313.92 fewt t° the Tl+t+ .a ndt *«w+ad~ropmy l
eantarlirts of itch Avawa and alas cha southeanc carper (Is) rlsual ~{
oC acid tiaet3taaat 1/4 e[ tiu tostlwaae L/4; thanes. U
North 8T3S'L3^ ~~ oleos acid eaoeaYli.m+. 1b5.1k
lwe; ehsnea+ North Qp'06+26s" fast, l~16.47 foot so q
~ ttir point °[ batlpni°t•
Coneaine 6.99 aena ax 217.371 aquese !•at• 6ubiaac to risht of ray foz 12t1o Avs~M1na as {~
~: ahottn. Alse wbleoe ce aaY cad all addicioual a.soaaeta, risht of vaya oe oeueayae-csa i,
at raaord. j
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7apih.r wah.fl+iMn+n~~^^~ niMa eik ae•t inwta+.
a 1neW+al0M to h+i Aniplo aced trae eM cue at ww~ab~+nrs. weeOe
- C.eeena .wnaro+ ure she sou to na F+e-••9 ~.
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aWtataMaiedtlefs~-d+%.d -~.}M ly ; .~7e.~r F.,P^`. ~~~._,2~. t~+bo~ensiaa ~'.
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SCOS~~
YDl 3.25 PACE ~ ~~
~~
STATE BAR OF WISCONSIN FOFM 3 - 199d
` CUIT CLAiM DEED
.1, ~~j K . ~.~~el.~na~ K.2i .
quit-claims to_~ ~~1'1~ i ~ TOf1PG
t
the bllowing described real estate in ~' - ~i1± X County,
State of Wisconsin:
'~h.~ ~5t 14,5 ~+.~' ~ ~ 1.~. ' !~1 ~ +~ 5w
I~y ~ :fc~~ ~ ~S I rtda N ~ 'Fl1buJ I iev~tl
~cau C~~ , S~ ~ CRoI ~ ~) w;~csn55n
frc d a F;au~
j 'JUN 1 0 1997
'a~ 12:30 P. M ,
f~.,~~t., ~r ~..,:,~ ~
RETURN TO ~~Ip4~ K.7'uc~eS
530 ~-i . m ~13q
floe ~ ~+-~s wl 5Koa.~
Parcel Identification Number (PIN)
8~
x
,,
~M
{
This `~5 ~l~'~ homestead property.
(is) (is not)
Ga~t+ed this ~~_iX'Li ~~ day of Q .19 ~ .
rY-~(,,~~Q ~ ~, S (SEAL) (SEAL)
" E~~Zabeth Iii • ~O~j
_~ (SEAL) --- _ _ (SEAL)
AUTHENTICATION
Signature(s)
at~itrenticated this day of ___ _,19
TITLE: MEMBER STATE BAA OF W15CON~zIN
(If not,
authorized by § 706.06, Wis. Stats.)
'HIS INSTRUMENT WAS DRAFTED BV
ACKNOWLEDGMENT I~
STATE OF WISCONSIN
(' ss.
C~'iD t X County
Personally came before me this `_ ~~ ~ day of
t~, ,n Q_ rig ~9 _ 97 the above named
~~,_ ~.
~~za.~_ r-~-- •. e 5- -
- -- -- t
to me knowrft0 be the person. _~_who executed tt,e I i
fore~gro~ing instr[cu~,m~,ant and~advwwr`I~e th~;sadte.
,+
fit-. ,bt.7`~~il~i