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HomeMy WebLinkAbout008-1075-60-000` Wiscc~:in 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)j. Permit Holder's Name: ^ City ^ Village ^ Tgyvn of: L num Jason Eau Galle Township CST BM Elev.: ~ Insp. BM Ele~ : BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Yk~~~~~ P~a~S ~" a0o 6S0 Dosing ~ ~~-eta-~ `~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. vent to Airlntake ROAD Septic }~t7U' a,~~ --~ NA Dosing }dap ~ " 3~' r NA Aeration NA Holding PUMP /SIPHON INFORMATION ~~ cb ELEVATION DATA County: St. Croix Sanitary Permit No.: 353386 ate Plan ID No.: ~s ~.~~ ~ 29g65~ arcel Tax No.: STATION BS H1 FS ELEV. Benchmark ~ / • ~S /p~• ! D D Bldg. Sewer ~ 2-y0 90• Z a St/ Ht Inlet j2_qp 89• ~-o St/ Ht Outlet --- -- Dt Inlet Dt Bottom ~b•SS 86,pb' Header /Man. ~-~~ 4, ~ Dist. Pipe i-S $ `~`~ ~ y Bot. System 3;~-'D~ ~9. /o Final Grade s ~~ es`" ~ ~,w~ q lS.1Z ~ sue- - - 9E#7' TRENCH Width r / Length ~ No. f T enches PIT No. Pits Inside Dia. squid D th DIME J 7"s I DIMEN I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHI nu acturer: SETBACK CH ER --- INFORMATION P ~ (s0~ ( ~ r ~ ~---• R UNIT um er: Sy em: O p DISTRIBUTION SYSTEM Header / Mani old ""' ` Distribution Pipe(s) / ~• 3~'~7 ~• ''~b x Hole Size ~ r" x Hole Spacing ~ ~" Vent To Air Intake ~~ Dia. Length Spacing Dia. Length ~ i 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 ^ es No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1:S Z'S,~ Insp ion 2:os"~Y Location: 149 250th Street, Woodville, WI 54028 (NW 1/4 SW 1/4 26 T28N R16W) - -Lot 1 1.) Alt BM Description = jord~~Q-~-- ~+~"~OtK-~'~® norms ~,r~~~-~• ,. . ~,Q~,~ 2.) Bldg sewer length = ^- Sa • D ~ -amount of cover = w'~ ~. ~ ? `~ 4 ~ ~jb"~ °~ ~'"~ `n`"r'7 / °' ~'~` • (p~3.) contour=3.sJ, Q~.O~~i~~n. e~e~ufi~v~w"e~~~ .'il ~o ~a ~ Cb~,.faw~~~ k.)~,~Q . iSSdow, l~'{~tc~y^-IJ¢.,JQ'aln Plan revision required? ^ Yes ~ No Us65other side fob additional i~fo`rma ion. ~~' ~' t' ~ ~~S 7,~ SBD- 7 R.31~~1 ~ ~~ quo tnsp or's ignature Cert. No. l~ 5~ t,at~ , oo p~.. P~ g~,~e ~r~ SOIL AF~•~j11q~TION SYSTEM + H~13~IS aNV S1N3WW0~ IVNOlllaa~d `~SC011S%11 SANITARY PERMIT APPLICATION Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Safety and Buildings Division 201 W. Washington Avenue P O Box 7302 Madison, WI 53707-7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 vi x 11 inches in size. ST CROIX • See reverse side for instructions for completing this application State Sanitary Permit Number ~ ~ 3386 Personal information you provide may be used for secondary purposes ^ Check if revision to previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number SITE ID .187652 I. APPLI ATION INFORMATI N -PLEASE PRINT ALL INF RMATION RANS ID 2 65 Property Owner Name Property Location JASON LYNUM NW 1i4 Sj,,] 1i4, S 26 T 28 , N, R 16 E ) W Property Owner's Mailing Address Lot Number Block Number 7 ~ City, State Zip Code Phone Number Subdivision Name or CSM Number WOODVILLE WI 54028 (715)698-2856 620390 . T PE B ILDIN (check one) ^ State Owned ^ Ity Nearest Road Public 1 or 2 Famil Dwellin - No. of bedrooms 3 ^ village EAU GALLE Town OF 250TH STREET III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 2 9 y 0 8-1075-60- 00 1 ^ Apartment /Condo . ~ 2 ^ Assembly Hall 6 ^ Medical Facility/ Nursing Home 10 ^ Outdoor Recreational cility 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 _________Existln~S~stem 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 0 ^ Specify Type 41 ^ Holding Tank 12 ^ Seepage Trench 22 ^ In-Ground Pressure ~ ~-~ 42 ^ Pit Privy 13 ^ Seepage Pit e ~ ~S I 43 ^ Vault Privy 14 ^ System-In-Fill ~ Q, f VI. ABSORPTION YSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Pert. Rate 6. Sys lev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 9`~•~ Elevation 450 375 375 1.2 N/A Feet 102.69 Feet VII. TANK INFORMATION Ca aut in allons g Total # of Manufacturer s Name Prefab. Site Con- St l Fiber- Plastic Exper. N i ti E Gallons Tanks Concrete ee glass App ew x n s strutted Tanks Tanks Septic Tank or Holding Tank 1000 1000 1 MIDWESTERN PRECAS ® ^ ^ ^ ^ ^ Lift Pump Tank/Siphon Chamber 60 ^ ^ ^ ^ ^ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum is Signature: (No St ps) MP/MPRSW No.: Business Phone Number: BENNIE HELGESON 0292 715/772-3278 Plumber's Address (Street, City, State, Zip Code): W1229 770TH AVENUE PRING V LEY W 47 7 IX. COUNTY /DEPARTMENT USE ONLY ^ Disapproved S itary Permit Fee pndudesGroundwater ate ssue Issuing Agent Signature (No Stamps) Approved ^ Owner Given Initial SurcnergeFee) S ~ ~ z 3 - 'fl'z~ Adverse Determination - . r X. CON~TI/ONS OF APPRO / REASO (N~,,S~gF~O~ R DISAPPROVAL: ~s~w~.L~ ~ ai'~ ~~ -.lv. ,Jl.~~b / hN N^A.tJ~-~ IS S~tl~~ea~~~ `Y'EN ~0. ~ I i i /,' i I r ~ CJ ~, 6398 (R.11/97) iH, <o~ t & wWi s Division, Owner, Plumber ~. ~S 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 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 septictank(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 and Buildings Division, 608-266-3151,, 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 on 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 for numbers 1 through 7. VII. 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 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 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. w ~ ~ ~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 March 09, 2000 OUST ID No.268093 BEN HELGESON HELGESON EXCAVATION INC W 1229 770TH AVE SPRING VALLEY WI 54767 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/09/2002 ATTN: POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 187652 St. Croix County, Town of Eau Galle NW1/4, SW1/4, S26, T28N, R16W Facility: Jason Lynum Proposed Residence FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 650486 Identification Numbers Transaction ID No. 299655 Site ID No. 187652 Please refer to both identification numbers, above, in all corres 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, ~ erard 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 02/29/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 BALANCE DUE $ 0.00 WiSMART code: 7633 MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project Jason Lynum 3 bedroom residential mound Owner Steve L num v (~S Address 175 250th Street Woodville, WI 54028 o n W on ~1y Legal Description Ntn~~1/4'Sti'~~1/4, Sec..~6 T.?8t~,, R.1 W. Cnfzd O~VE~? Township Eau Galle County St. Croix ~~ L~:T Of CO~nMi--RLDIN Subdivision Name Proposed CSM Lot No. Parcel ID Number prt of 008-1075-60-000 Plan Transaction Number Index and title sheet Mound calculations Mound drawings Pres. dist. talcs. and laterals TDH and pump tank drawing Pump performance curve Site plan Attached soil evaluation report Designer Bennie Helgeson License Number Signatur ~` Date 2/01 /00 SEE Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 220292 Phone No. 715-772-3278 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats. Persat~ infomialion you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. RECEIVED Page 1 of 8 SBD-10462-E (R.05/98) - ~~ ~ ~ s ~nnn SAFETY & BLDGS DtV~ MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch-pounds Metric Residential or commercial? r (r or c) (y or n) I~ Replacement system? Creviced bedrock site? n (y or n) Slope 5 Wastewater flow rate 450 gpd 1703 Lpd Depth to limiting factor 24 in 61.0 crri In situ soil infiltration rate 0.6 gpd/ft` 24.4 Lpd/m` Contour line elevation 99.4 ft 30.30 m Use standard fill depths? x 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 c (c or e> Hole diameter 0.25 in o.1zs, o.1ss, o.1s8, 0.218, o.2s, 0.281, or 0.313 inch only. Lateral spacing 0.00 ft Use 0 lateral spacing for trenches. Estimated hole space 5.00 ft Not a final calculation. Number of laterals Pump tank elevation 84 ft Outside bottom of tank. Forcemain length 175.0 ft ~ Forcemain diameter 2.0 in 1.5, 2, 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1/8 = 0.125 1/4 = 0.250 SYSTEM SOLUTIONS Inch- ounds Metric 5/32 = o.15s 9/32 = 0.281 Estimated daily flow 450 gpd 1703 Lpd 3/1s = 0.188 5/16 = 0.313 7132 = 0.219 Absorption cell Design load rate & area 1.2 9P~ 375.0 ft` 34 84 m1 Linear loading rate (LLR) 6.00 gpd/ft 74.4 Lpd/m Design width (A) 5.00 ft 1.52 m Cell length (B) 75.0 ft 22.86 m Depth of cell (F) 9.5 in 24.1 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 15.0 in 38.1 cm Basal area required (gpd~nfiltration rate) 750.0 ftz 69.68 mz Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope tce length (K) 10.25 ft 3.12 m Up slope tce length (J) 7.30 ft 2.23 m Down slope tce length (I) 10.70 ft 3.26 m Total mound length (L) 95.50 ft 29.11 m Total mound width (W) 23.00 ft 7.01 m Project: Jason Lynum 3 bedroom residential mound Transaction Number: Page 2 of 8 MOUND PLAN VIEW 23 ft 7.01 m W observation Pity (h~Pi~) I =down slope dimension =absorption cell (AxB) J = up slope dimension ~ =plowed area (LxW) K =end slope dimension MOUND CROSS SECTION ~ subsoil cap lateral topsoil ~ H invert 100.90 ft elev. 30.75 m ~: ~:~:~:~:~ ~:~:~: F ASTM C33 y Sand Fill E sys. 100.40 ft W elev. 30.60 m 99.40 ft contour 30.30 m elev. ~ 5 % -~. slope A = 5.00 ft 1.52 m B = 75.0 ft 22.86 m J = 7.30 ft 2.23 m I = 10.70 ft 3.26 m K = 10.25 ft 3.12 m typ. obs. pipe (anchored securely) 6" (152 mm) D = 12.0 in 30.5 cm E = 15.0 in 38.1 cm F = 9.5 in 24.1 cm G = 12.0 in 30.5 cm H = 18.0 in 45.7 cm D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F =absorption cell depth of aggregate and pipe with laterals G =subsoil + topsoil depth at cell wall centered across AxB media. The cell H =subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: Project: Jason Bynum 3 bedroom residential mound Transaction Number: Page 3 of 8 ~ ~ 95.50 ft 29.11 m PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 5 ~ ft 1.52 m Length (B) 75.0 ft 22.86 m Lateral specifications Number laterals 2 Holes/lateral 7 holes Lateral length (P) 35.75 ft 10.90 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 8.16 gpm 0.51 Us Sys. dis. rate 16.32 gpm 1.03 Us Hole spacing (X) 66 in 167.6 cm Lateral diameter Pipe diameter Design options Design choice Designer must '~C" one choice from the options provided. Manifold diameter Designer must '~C" one choice from the options provided. 1 in (25 mm) X 1 1/4 in (32 mm) X 1 1/2 in (40 mm) X X 2 in (50 mm) x 3 in (75 mm) X Plpe dl~eter Design options Design choice ~,~ 1 in (25 mm) _ 1 1/4 in (32 mm) 1 1/2 in (40 mm) 2 in (50 mm) 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. i 4 I~ ~ _-~ I~ Last hole drilled next to end cap Holes drilled on t he bottom of the lateral, equally spaded cnd cap ~ x/2~, Laterals & foroe main of PVC Bch 40 (per COMM Table 84.30-5) ~ =permanent end marker i Lateral length (P) Lateral spacing (S) Hole spacing (X) Manifold length Hole diameter Lateral diameter Forcemain diameter Inch-Hounds 35.75 ft 0.00 ft 66 in 0 ft 0.250 in 1.50 in 2.00 in Metric 10.90 m 0.00 m 167.6 cm 0.00 m 6.4 mm 40 mm 50 mm Project: Jason Lynum 3 bedroom residential mound Transaction Number: Page 4 of 8 TDH and Pump Tank Drawing Total Dynamic Head Operational head Vertical lift Friction loss Total dynamic head Dose Volume Dose is > Lateral void volume Minimum dose Drain back Dose volume 2.50 ft 0.76 m 15.80 ft 4.82 m 0.88 ft 0.27 m 19.18 ft 5.85 m 10 times lateral volume 7.6 gai 28.8 L 112.5 gal 425.9 L 30.5 gal 115.5 L 143.0 gal 541.3 L Are laterals the highest point in the system? Yes "X" here. ~~ If no, what is the highest elevation downstream of pump? Forcemain drain back to tank? ('k" one) x Yes No Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhoe cover with ~(~ weather proof n .~- vuaming label and locking device grade levels junction boot -~ 4" vent pipe electric as per NEC 300 and Comm 16.28 WAC wall of pump chamber or combination tank A alarm on pump on B pump 85.1 ft C off elev. 25.9 m D Tank manufacturer Pump tank capacity Pump tank volume Pump manufacturer Pump model number Alarm manufacturer Alarm model number disconnect ~_ 3 " (75 mm) of bedding under tank Midwestern Precast Combo. 1000/650ga1 17 gal~n 650.25 gal Goulds 3871 - EP04 o A c B LevelArm ~ C DLV 'p D grade levels alternate outlet kocation 18" (46 cm) min. ~~ appr~ ~ outlet joint _ Provide 1/4" wcep hde or anti- siphon device as necessary Grade levels - pump tank manhole = 4" (10 cm) minimum above finished grade -vent =12" (30.5 cm} minimum above finished grade 84.0 ft Pump tank elevation 25.6 m bottom of tank Inches Gallons 17.8 303.3 2 34.0 8.4 143.0 10 170.0 Project: Jason Lynum 3 bedroom residential mound Transaction Number: Page 5 of 8 I ` i Pump Specifications '/3 H P Up to 40 GPM ~ Discharge size 1'/4" NPT " Solids:'/6 maximum Motor Single phase: 115V X918' Materials of Construction T-p,~ Brass/thermoplastic Features and Benefits •Top suction eliminates impeller clogging. ` • Corrosion resistant ~ construction. .: - •Float actuated switch. METERS FEET 7 25 _._._,_ _. __.._ _. ~ ~ ~ MODEL DUP03 6' 20. ~ ~ __.{ oa , s ~ V 75 . ~ ~ 4 __I... .. .. :......_. _ ~ 4 i ~ > 310 I 2 ~ ~0 6 ~ _ u~ o _! ' r . _.._l_ ~... J 0 5 10 15 20 25 30 35 40 U.S.GPM 0 2 4 6 B TOm'mr CAPACITY METER S FEE T _ '° ~ i - MODEL: 3871 9 - 30 ~~ _'. .. 6 _ f ~_ , , ' 25 - -- 1._... _ }. i _, ;. 7 i o ~ 6 20 _ _ - _.i. _._. _~ S v 6 .- ~ ..- ~ ... G T6 _.. ~ 4 I EPOS } ~ I ; 0 I --I 1 I( i _ . _ -L, _ 1 1~,D i _ 2 5, _ ., .. ._1 ~ .. EP04 ~, ,. ~..__. , o - a ~ ---10 ---~ - Z __'- ,a _ ; u _ o 4 50 us.cvn 0 2 6 0 10 12 m~fir CAPACITY _ Pump Specifications ~~~ifr~'anr~rBeneftts~r r ~ ~~ "/~o 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'/z' NPT • EP05 impeller -enclosed design Solids:'/a" maximum for improved performance. Motor • Rugged glass-filled thermoplastic All motors feature ball casing and base design provides bearing construction. superior strength and corrosion Single phase: 115V resistance. Materials of Construction • Cast iron motor housing for Cast iron efficient heat transfer, strength, Thermoplastic and durability. 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 feature stainless steel hardware. P~ ~~~~ /, 320 _ __ __'~' zys'~ prod -1'(ownd 4-E z3 x 9ss' w, YaC 62 ~' - - ~ s'X~s'g~a~.L [xad~ X10 - 1 '-~_ ,, ~& ~ z~~ s~rect 1 proh:bi~td '--1 /~ /a ~ ! .L7i5{krban~ l ~ reQ _ ~ g3 ~-~- ^ __~_ __ ^ ~~ .B~-,~c -~~ ~ l~a; / ; n dace nf~/e ~Q e. ass k.,, ~d e ie~: = icao.GO' ~~ ~± p Je. ~I~or~ce /l~ie:n Pro posed ~/~ 3 b.ed~tx~•>-~ /'Cs,alancQ ^ X0,'1 Q;sRrUa~,~ P. ~ ~ ~t /a-~rorl ~~ ~s~`^~ ~ I fence/,na• ~e ~ / s '~- ~v posed , c~o~Gav ~•.P. ~F•Se,~.NO R/.Q. Cor»b;na.~,'d» s.r./pC. bk: cd;,~ se~ec: ©PRoP. (~ wner~ S~E.cve Ly ~u.rt /~ ,ZSD~StreL~ (.c~cLd JiY(e~ [..~ 1, 550,18 Ca ~i~ ,Cod / ot~' ~0!'opased C'5,~~ /ic,~r~/s y .SeC.z6,7,t8it, 10'8 %~O,f Wiscogsin Department of Commerce SOIL AND SITE EVALUATION `, Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Page 1 of 3 - A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'/2 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 dimemsions, north arrow, and location and distance to nearest road. - - - - _ Parcel LD.# 008-1075~i0-000 APPLICANT INFORMATION - Please print all information. --- - ------------ you provide ma Reviewed By Date Personal information y be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Steve L~num, Buyer_lason L~num Govt. Lot NW t/4 SW 1/4 S 26 T 28 N,R 16 W Property Owner's Mailing Address Lot # 'Block # ; Subd. Name or CSM# 175 250th Street 1 Proposed CSM J __ __ __ City State Zip Code PhoneNumber _ : City _ Village /Town Nearest Road - Woodville WI 54028 715-698-2856 _ Eau Galle 250Th Street ^' New Construction Use: -_' Residential / Number of bedrooms 3 -'Addition to existing building Replacement _ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpolftz .6 trench, gpolftz Basal area required 900 bed, ftz 750 trench, ftz Maximum design loading rate •5 bed, gpolftz .6 trench, gpolftz Recommended infiltration surface elevation(s) 99.4' at 12" above 98.4' contour. ft (as referred to site plan benchmark) Additional design / Slte COnSlderationS Mound site maintained as far south as possible to accomodate buyers desired parcel size and proposed lot line Parent material loess over glacial till ~ Flood lain elevation, if a licable 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 t u ~ S ~~ u I ~~~ S ~' u ~~~ S~~ u SOIL DESCRIPTION REPORT Boring# 1 Ground elev 98.04' ft Depth to limiting factor 27" 2 Ground elev 97.04' ft Depth to limiting factor 24" P ~ D Do Color ~' Structure e B d ~C t Roots GPDIftz Horizon in Munsel Qu. SMCont. Color , Texture Gr. Sz. Sh. onsts enc , oun ary ; - -- -- Bed --- _ Trench 1 0-6 10yr4/3 None ' sil 2fcr mfr as 3f 0.5 0.6 2 6-12 10yr4/4 None sil ~ 2fsbk ds cs 2f 0.5 0.6 3 , 12-27 7.Syr4/6 None sl , 2msbk ds cs 2f 0.5 0.6 4 27-36 7.Syr4/6 f2d7.5yr5/8 sl ~'~, 2msbk ' ds -_ gw 1 f 0.5 0.6 5 36-40 7.Syr4/6 m2d7.5yr5/8 sl ' 2csbk ' dsh gw - 0.5 0.6 - - ~ 6 40-56 -_ _ 7.Syr4/6 f3dd75~5 g s( Om dsh - - NP 0.2 Pre Remarks: Horizon #3: Many si coats observed on ped faces. ___ 1 0-7 10yr4/3 None sil ' 2fcr mfr as 3f 0.5 0.6 2 7-12 10yr4/4 None sil ! 2fsbk ds cs 2f 0.5 0.6 3 12-24 7.Syr4/6 None sl 2msbk ds cs 2f 0.5 0.6 4 24-30 10yr4/6 f2d7.5yr5/8 sl 2msbk ds gw 1 f 0.5 0.6 5 30-48 7.Syr4/6 / 2md7.5yr5/8 ~~ ' scl till Om dsh gw - NP 0? Pre Remarks:. Horizons-#3 & 4: si coats observed on ned faces. CST Name (Please Print) Sign re: ~` / Telephone No. James K. Thompson- / ~ 715-248-7767 --- - _ --- ---- --- f Address ~1,C.E. Soil & Site Evaluattons Date CST Number Ref # 340 Paulson Lake Lane, Osceola, I 54020 l l/21/1999 3602 1132 PRQE'ERTY OWNER: _steve Lynum, Bayer: J_as_on Lynum _ SOIL DESCRIPTION REPORT PARCEL' I.D.# 008-t075~0-000 3 Ground elev 96.87 ft Depth to limiting factor Ground elev ~~N~n ~„ limiting factor Ground elev Depth to limiting factor ~~s2 Page_? of 3 D [' F Snil Rr Site F.valuatinns ' ri H Depth ~ Dominant Color I Mottles I T ~ t Structure Consistence Boundary' Roots ~! _ GPDIftZ o zon in. ~, Munsell ~, ex ure Qu. Sz. Cont. Color ~ ~ Gr. Sz. Sh. ~ , i Bed Trench 1 ~' 0-7 ~I 10yr4/3 ~~~ None ~~ sil ~~~ 2fcr j mfr as I 3f 0.5 0.6 _ - -- --- -, I -_ --- _ - 2 ', 7-10 10yr4/4 None i sil ~~ 2fsbk I ds - cs - - 2f _ - 0.5 0.6 3 10-26 ', 7.Syr4/6 ~ None sl ~ 2msbk ~ I ds - cs ', 2f '~, 0.5 0.6 4 ' 26-31 ', 10yr4/6 @d7.5yr5/8 I sl lcsbk ds gw If 0.4 0.5 5 31-50 7.Syr4l6 2md7.5yr5/8 ~i scl till ~~ Om j dsh gw - ~ NP 0.2 Pre - - ' j II ~~~~ - - ' -- - - ---- Y----- ,- '~ - - - ~ KemarKS: i _ ~ __~ - - ~ -- - -- - - i ~ i - ----L-- -- -- -* _-- --- i I ~ -- y T- I --- I -- L - .- ,...- -------~ I - - - t i I __ -- - - Remarks ~ ~ Remarks: GrOUnd elev Depth to limiting factor i -; -- i zso~ ~~.~~ ,2 yS' az lTO' -~ (vG0 ;± _~¢.nc~ rvla~K~ S,o~K2~ i n al ou 6 /2 /~'la/~/e ~'e 2 . C~wne.r~ ,S~cv~ C-y ~ u ~ /~ ,2SD~.S~ee~ Gt'cP~Ji~e~ ~..~/, 55/018 /, 3,Z0 ^ ~~ 83 ^ s~ /off L.~c~~~ gat ~ of~~~ase~ es.,, /lWYS/.SuJ y ~5eC.26,T. ~iL, .Q. /(o cJ; T. off' ~n u Gdf,Fe, ~. ~iX ~o.i !~/. (~. 3of3 p, ~ Fence%n~ J! cn~.Q ~ ~ ., ~. e /f ~~ . Wisconsin Department of Commerce " Division of Safety and Buildings SOIL AND SITE EVALUATION in accord with Comm 83.05, Wis. Adm. Code Page 1 of 3 A.C.E. Soil & Site Evaluations Attach canplete site plan on paper not less than 8'/: x 11 inches in size. Plan must County include, but not limited to: vr~rtical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION P/ f ti n " 008-10750-000 - orma o : ~, ease p ! hin ~ _ es (Privacy Law, s: 15:@4 (1) (m)). Personal information you provide maybe used for seco eviewed B Dt ~ o `~~ ~ ` Property Owner ~ r a f G~~ ~ Prope Location _ L Steve L um, Bu er: Jason L um Govt L NW 1/4 SW i/4 S 26 T 28 N,R 16 W Property Owner's Mailing Address ^ ~`~` !~ ~ `~ ` ~~® Lot# Block # Subd. Name or CSM# - 175 250th Street ~ 1 .~ Proposed CSM City State Zip e ~ PhoneN [~ City{ ^ Village ^Town Nearest Road Woodville WI 540 ~ 5~~ I Eau crane ~ 250Th Street ^ Residen I pin 3 ^Addition to existing building ^ New Construction Use: ^ Replacement ^ Public or co Code Derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/ft2 .6 trench, gpolftz Basal area required 900 bed, ftz 750 tr h, ft2 Mai' u design loading rate .5 bed, gpd/ftz .6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 99.4' t 12" abov 98.4' ~ntour. ft (as referred to site plan benchmark) Additional design /site considerations Mound site m tamed as far south as possible to accomodate buyers desired parcel size and proposed bt line Parent material loess over glacial 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 ~ u ^ S ®u ^ S ®U ^ S ® U SOIL DESCRIPTION REPORT Boring# 1 Ground 98.04' ft Depth to limiting factor 27~ 2 Ground elev o~ nee a Depth to limiting factor -~~ Depth Dominant Color Mottles Structure Consisten Bounda Roots GPDIft2 Horizon in. Munsell Qu. Sz. Cont. Color Texture ~ Sz. Sh. ry Bed ;Trench 1 0-6 10yr4/3 None sit 2fcr mfr as 3f 0.5 0.6 2 6-12 10yr4/4 None sit 2fsbk ds cs 2f 0.5 ~ 0.6 3 12-27 7.Syr4/6 None -~sl 2msbk ds cs 2f 0.5 ~ 0.6 4 27- 6 7.Syr4/6 t2d7.5yr5/8 sl 2msbk ds gw if 0.5 0.6 5 36-40 7.Syr4/6 m2d7.5yr5/8 s 2csbk dsh gw - 0.5 0.6 6 40-56 7.Syr4/6 ~f3dd~~5/g sl' Om dsh - - NP 0.2~ Remarks: Horizon #3: Manv si coats observed on ped faces. 1 0-7 10yr4/3 None sit 2fcr mfr as 3f 0.5 ~ 0.6 2 7-12 10yr4/4 None sit 2fsbk ds cs 2f 0.5 ~ 0.6 3 12-24 7.Syr4/6 None sl 2msbk ds cs 2f 0.5 0.6 4 24-30 10yr4/6 t2d7.5yr5/8 sl 2msbk ds gw if 0.5 0.6 5 30-48 7.Syr4/6 2md7.5yr5/8 scl till Om dsh gw - NP ~ 0.2 ~ Remarks: Horiwns #3 & 4 si coats observed on ped faces. CST Name (Please Print) Sign re: Telephone No. James K. Thompson e 715-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson Lake Lane, Osceola, 54020 11/21/1999 3602 1132 PROPERTY OWNER: Steve Lyuum, Buyer: Jason Lynam SOIL DESCRIPTION REPORT PARCEL I.D.# 008-1075-X0-000 3 Ground elev 96.87' ft Depth to limiting factor ~ ~s2 Page 2 of 3 A CR Snil Rr Site Evaluations Depth Dominant Color ~~ Structure sistence Bounda Roots ~~ Horizon in. Mansell Qu. Sz. Cont. Color Texture Cx. Sz. Sh. ry Bed ~ Trench 1 0-7 10yr4/3 None sil 2fcr mfr as 3f 0.5 0.6 2 7-10 10yr4/4 None sil 2fsbk ds cs 2f 0.5 0.6 3 10-26 7.Syr4/6 None sl 2msbk ds cs 2f 0.5 ~ 0.6 4 26-31 10yr4/6 f2d?.Syr5/8 sl lcsbk ds gw if 0.4 '~ 0.5 5 31-50 7.Syr4/6 2md?.SyrS/8 scl till Om dsh gw - NP ~ 0.2Pre KemarKS: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor a . J' z~~ ~,re~t RyS~~ a l70' ~~ - ~~~ S ~~ X3,20 - (~, 3of3 ~ 8~.. s'~ lops '~ ~~.. ,B. ~ ~ro~e a~. wt ~w~e Posh r~-t evrne,~o •F' {1~osed `~ ~± in aloe 6/•e /~'la~/e ~'e e w er' S~cvf ~y nun ~~5 ,2so~ S~ree~ Gc~c~d vi~ei t..~ /. S~,/OZ8 P. ~- • Eft /a.~on -~- EX%s~'^~ Renee/,na. ,i ~ „ ~. ~QQ: Locu~i~ ,~o~/ of~i`goased ~~~ nc~Y~/suJ y, .~ec.z6,T..~t, ,2. /(o u~; T. off' ~u C~t, ~ . CroTX ~.~ v~/. /,320 ~~ ~. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer JASON LYNUM Mailing Address 175 250th Woodville, WI 54028 Property Address ~ 2 ~ 'E"~ (Verification required from Planning Department for new Parcel Identification Number 008 1075-rn-nnn City/State LEGAL DESCRIPTION Property Location ~_ '/a, SW `/~, Sec. 26 , T 28 N-RAW, Town of EAU A . ,li' Subdivision ,Lot # ,~ (aacc~» nt~b~er ~ d . ~ Certified Survey Map # ~ b 3 cl ~ ,Volume ~__~ page # Warranty Deed # <L~ ~ ~~ ~ ~ ,Volume ~, Page # --~-' Spec house O yes [~ no Lot lines identifiable yes ^ no SYSTEM MAINTENANCE 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 a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The propcrty owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumber or alicensed pumper verifying that ('1)~the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural.Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 day of the thre year expiration date. ~~5~ SI A1'URE OF PLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to die best of my (our) laiowledge. I (we) am (are) the owner(s) of th roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office. y,a SIG TURF OF AP ICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I Steven M. Lynum and Peggy quit-claims to Jason M. Lynum tenants and not as tenants described real estate in St Wisconsin: ''~~~. ~.~~UPAGE334 A. Lynum, husband and wife, and Tracy L. Gregg, as joint in common, the following Croy County, State of ~f "Steven M. Lynum ~Peggy m and Return Thomas A. McCormack 1020 10"' Avenue PO Box 2120 Baldwin, WI 540021 008-1075-20 .P~ {Parcel Identification Number) Part of the Northwest Quarter of the Southwest Quarter (NW '/ of SW '/) of Section Twenty- six (26), Township Twenty-eight (28) North, Range Sixteen (16) West, Town of Eau Galle, St. Croix County, Wisconsin, more particularly described as Lot 1 of Certified Survey Map, filed March 31, 2000, in Volume 14 of Certified Survey Maps, at Page 3820, as Document No. 620390, office of the Register of Deeds for St. Croix County, Wisconsin. TOGETHER WITH a non-exclusive easement for ingress and egress from the North line of the above-described property over and across the West 66 feet of said Northwest Quarter of Southwest Quarter (NWT of SW4) and over and across the West Half of the Northwest Quarter This is not homestead property. Dated this ~ r1a) day of , 2000. AUTHENTICATION Signature(s) authenticated this day of , 19^ 620C~SS KATHLEEN H. WALSH kEGISTEk OF DEEDS ST. CkOIX CO., WI RECEIVED FOR RECORD 04-04-2000 3:15 PM OtIIT CLAIM DEED CERTPCOPY FEE: 8 COPY FEE: 2.00 TRANSFER FEE: RECORDING FEE: 10.04 PAGES: 1 ACKNOWLEDGMENT STATE OF WISCONSIN ST. CROIX COUNTY P rsonall~l came before me this ~~ day of 2000 the above named Steven M. Lynum an Peggy A. Lynum to me known to be the person(s) who ovocnfarl fho fnranninn inefrumanf and acknnwlcrfno fhra ~~o l