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HomeMy WebLinkAbout004-1052-95-000 ~ -0 °o I h ~ Q °u> I ao I ! I ~r o o C I 1 G I 0 Cl) N m C E e c E _ I CL a z ~ c 3 m ~0 I LL C to E d •L E Q m W v o r y Lo _ W E 00 d m N F- (A O O z ? (n o a~i z c z '2 ~ m I O C O O O m Q z z z N d C N C E A N N R M w C 0 0 O IL FN- H N X000 z •N a a a o o N rn rn ~y h-j V m rn rn ~l in CD 00 0 0 coo o 0 n M co ~ N N Y N d Q Q N N cc) c © O il; N C O N N 0 O O O c O O C Lo L6 o c E r aoi 4 ~ I cl) L 0 o F- c 5 ao O ~L O W co a t7 L V *6 N F- C fU • 7a O N 0'- m~ O z In (n tC O ~ cwt v C~ d R a r,`IV a cyi ,C c 4) c r A V a 2 l 0 v) 0 ST. CROIX COUNTY r - WISCONSIN s ZONING OFFICE 777 ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 April 30, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Merton Lamb property, located in the SE;SE;, S.22, T.28N., R.15W., Town of Cady, St. Croix County, WI., has been conducted with the assistance of Bennie Helgeson, CSTM# 3094. This onsite revealed suitable soil for onsite sewage disposal to a depth of 36" while meeting the requirements of the A + 4" rule. This site should be suitable for either an At-Grade or a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. Since ely, ames . Tho pson Assistant Zoning Administrator cc: file STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS SUBDIVISION / CSM# LOT # SECTION__Z,~_T96 N-R__Iff W, Town of a a. 0119.16. ;31;Lf ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ! l r N . & 'Ll . o` er (e, v~ INDICATE NOR Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. 1 BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION sy Manufacturer:_AMi1.)0J< &-t 'G"/`«t~- Liquid Capacity: '75y Setback from: Well House 3--? Other Pump: Manufacturer Model# 3971 Size Float seperation Gallons/cycle: /G~ 37 Alarm Locatio -s- SOIL ABSORPTION SYSTEM Width: Length /®/S `00e Number of trenches r Distance & Direction to nearest prop. line: 77 r ~ 7S Setback from: well: House Other _1 ELEVATIONS Od V Jr' ~ Building Sewer 9 7 ST Inlet; -7y ST outlet 1v..~9 PC inlet 8 3,3 5- PC bottom Pump Off 861-93 Header/Manifold 91.3 Bottom of system )r Existing Grade Final grade y9 I DATE OF INSTALLATION: PLUMBER ON JOB: I LICENSE NUMBER:l INSPECTOR: d fwd I 3/93:jt r s r`s' anm~l~t~f nd2 y,28.15.354VRIVXTE'5EWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: 193448 Permit Holder's Name: ❑ City ❑ Village ❑XTown of: State Plan ID No.: BUCHAL, GREG CADY CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: /eo • 004-1052-95-000 TANK INFORMATION ELEVATION DATA A9300107 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark p /go, 6 ` Dosing Aeratio Bldg. Sewer Holding St/~d inlet . 2 D 71/' TANK SETBACK INFORMATION St/ Outlet 6~ ~O Vntto TANK TO P/ L WELL BLDG. Ae Intake ROAD Dt Inlet 11,31 Septic NA Dt Bottom s B`s. 7/ Dosing 9~ NA ~ 9 .37 Aeration NA Dist. Pipe ' Holding Bot. System PUMP/ StIRMON INFORMATION Final Grade Manufacturer (3JA Demand 0,4'-sr. .ti. v CLJ Model Number t GPM TDH Lift L4 Friction System t oss Head Forcemain Length ia. " Dist. To well 7 e~ SOIL ABSORPTIO SYSTEM BED/TRENCH Width t Length t No. Of renches PIT is Inside Dia. Liquid Depth DIMENSIONS DIME 1 N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING ~facturer: SETBACK CHAMBER INFORMATION Type O N 8~ / 1-4 Mode System: 41_a- OR UNIT DISTRIBUTION SYSTEM 44aa:her/ M n fold 1,/ Distribution Pipe(s) , x Hole Size r~ x Hole Spacing Vent To Air Intake 6 Length Dia. Length Dia. Spacing _?t Y 3 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over It xx Depth Of xx Seeded /3eddtd- xx Mulched Bed/ T+epAh Center Bed/ Tre e4q Edges Topsoil - QA-gs ❑ No E] Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) - GVL_ Wr- ~i.... LOCATION: CADY 22.28.15.354, SE, S.~E,, 310 H STREET 1 ;;o ~z" P& Ion equired? ❑ Yes o Use other side for additional information. SBD-6710 (R 05/91) Date In ector's Signatu,eN Cert - No. ` 1 ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY EEC ~ ST CROIX STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ /Q 3 LI LIk' 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. S93-20287 PROPERTY OWNER PROPERTY LOCATION GREG BUCHAL SE Y4 SE 1/a, S 22 T 28 , N, R 15 E (or W BLOCK # PROPERTY OWNER'S MAILING ADDRESS LOT # 214 310TH STREET N/A N/A CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER WILSON WI 54027 715 772-4452 N/A II. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) State owned VILLAGE : CADY 310TH STREET OF: MB ) ❑ Public ❑ 1 or 2 Fam. Dwelling-# of bedrooms 3 A LTAX 111. BUILDING USE: (If building type is public, check all that apply) 004-1052-95 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 80 Mobile Home Park 120 Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.0 New 2. ❑X Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experim,, tal Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ~/5pecify Type 41 El Holding Tank 120 Seepage Trench 22 ❑ In-Ground AT GRADE 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 450 7_11-0 75'a N/A '90' Y Feet • Feet CAPACITY VII. TANK Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank 100 100T- 1 ml western recas F LiftPum Tank/Siphon Chamber 75 750 1 Midwestern Precast-. R-1 VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Sta ps) MP/MPRSW No.: Business Phone Number: BENNIE HELGESON 3215 715 772-3278 Plumber's Address (Street, City, State, Zip Code): W1229 770TH AVENUE, SPRING VALLEY WI 54767 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate issued Issuing Agent Signature (No Stamps) Approved ❑ Owner Given Initial W Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11188) 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 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 (SBr) 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; close 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, ground- water contamination investigations and establishment of standards. 9 SBD-6398 (R.11/88) f APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Shduld this development be intended for resale by owner/contractor, ("spec house").,.then a second form should be'retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - Owner of Property ' GREG BUCHAL Location.of Property SE ' SE ;4, Section 22 T 28 N-R 15_ _ W TowcishiP CADY Mailing.Address 214 310TH STREET WILSON, WI 54027 II Address of Site. Same ..Subdivision Name. Lot.Number Previous Owner.of Property Menton and Verah Lamb Total: Size of Parcel 80 Acres .Date Parcel was`Created Not Known !ire all corners and lot lines identifiable? X Yes No Is this property being developed for resale (spec house) ? Yes X No volume' 986 and Page Number 237 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and page number, and the Seal of the Register of Deeds. In,addition, a certified survey, if available, would be helpful so-as to avoid delays of the reviewing process. If the deed description refer- en.ces.to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTV OWNER CERTIFICATION 7 (We) eeLa6y that att .6tatement6 on thi.6 6oAm ane tmue to the but o,6 my (ouA) hnowtedge; that I (we) am (are) the- owner(s) ob the pn.opWy duck bed in th,i.6 in6ohmation Jonm, 'by viktue o6 a.wa.veanty deed Ao.eoAded in the 066iee ob the County Reg.i,6ta o6 Deed6a6 Document No. and that I (We) pte6ent y own the pnopo.6ed d.c to bon the sewage dZ6posa .6 ~ y._6__e.m (ox I (we)' have obtained an eaaement, to nun•with the above dedvLibed pAopaty, 6oA the constAucti.on o6 6a.i.d system, and the dame had been duty Aeeonded in the 064iee`06 the County RegisteA o6 Deeds, as. Document No. 493000 SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) .lr ~3 L~ z;,) 3- ,:DAT.E SIGNED DATE SIG,ZED rc ~A ~uL iy+ t{M " "Atllx r # ; Xl+n yn~ 7 Y Eh7 k ~ f a tid7 R : : YY s t.ti 4- rxn.. 44 MENT NO. WARRANTY DEED THIS SPACE REiERVED rDR RECn RDIN6 OocU DATA .G>v FORM 2-1982 STATE BAR OF WISCONSIN 43000 VOL - St. CROIx CO., WI Merton Lamb and Verah U isa--Lamb, husband and R'e'd for Record wife al DEC17 M i i • 11-20 +tJCQ re -.or Biichal ._._and Conveys and warrants to G.- 9..-..~ . 114stMayF0" 1..aura...J~ LsRaT NATtOi+IAL WK_OLHUN A . . RE MCI tth St. . . Baldwin WI 54002 - the following described real estate to ..$t....CrG X-•--•••-•••••••••..County. State of Wisconsin: ' Tax Parcel No: South Half of Southeast Quarter (St of SEi) of Section Twenty-Two (22), Township Twenty-Eight North (T28N), Range Fifteen Nest 0150, St. Croix County, Wisconsin. i i V.00 f, ;y This -S homestead property. (is) (%"Igx Exception to warranties: Easements and restrictions of record. Dated this 15th day of December 1992... (SEAL) _ _ .......(SEAL) Merton Lamb .............................................(SEAL) li .'t p (SEAL) - C~ - Verah- Louise...Lamb AUTHENTICATION ACKNOWLEDGMENT Signature(ii) . - STATE OF WISCONSIN as. $t..._.Cr_01X___.-_......County. authenticated this day of 19.... Personally came before me this _..15th_.... day of TeCentber 19.92.._ the above named - . Mer_t_an.._L-a_mb...an.d__V_er_.ah-.Lou'1!m..Lamb TITLE: MEMBER STATE BAR OF WISCONSIN .....................................................S* ~iir,*li 40 (It not. - • aphorized by ~ 706.06, Wis. Sta'3.) to me known to be the person ~.tlti'~eC'}E~ ~e . foregoing instrument an ackn It kgf the same. •a Z_M THIS INSTRUMENT WAS DRAFTED BY € N 0 T A R y , ' Thomas A. McCormack - . K~ l w " /'-u R L i-G 1---- Baldwin, WI 54002 Notary Public.._S.t.•.-..QrOi.. County w =i My Commission is permanent. (1k~ ..a„te,, t (Signatures may be authenticated or acknowledged. Both ) are not necessary.) l CU 4 OF W15 date: ..+~IieNauae•• -Names or persons Eftaint In any pDkit7 should be bD•d or printed below the`.r Eitnatures. Wisconsin Legal Blank Co. Inc. WABRANTT DEED STATB BAR OT WISCONSIN FORM No. t-- 1982 Milwaukee. Wisconsin I ST C- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER GREG BUCHAL ROUTE/BOX NUMBER 214 310TH STREET Fire Number 214 CITY/STATE WILSON, WI 7.1P 54027 PROPERTY LOCATION: SE Z, SE, Section 22 T 28 N, R 15 __W+ Town of CADY St. Croix County, Subdivision- Lot number Improper use and maintenance.of your septic system could result in its premature failure to handle wastes. Proper maintenance con- gists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment.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 systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, Journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three-year expiration. I/WE, the undersigned, have read the above requirements and .1gree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Offki:e within 30 days of the three year expiration date. SIGNED 1) ATE May 11,_1993 St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-2235 or 715-4,25-8363 Sign, date and return to above address. f SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Northwest Regional Office 209 West First Street Route 8, Box 8072 Hayward, Wisconsin 54843 HELGESON EX W1229 770 AVE SPRING VALLEY WI 54767 RE: Plan Number: S93-20287 Date Approved: May 27, 1993 Gallons Per Day: 450 Date Received: May 25, 1993 Project Name: BUCHAL, GREG - RESIDENCE Location: SE,SE,22,28,15W Town of CADY County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - REPLACEMENT AT GRADE SYSTEM Inquiries concerning this approval may be made by calling (715) 634-3026. Sincerely, I STANLEY E. AVIES, JR. Section of Private Sewage Division of Safety and Buildings PPP200/0009n/25 cc: Private Sewage Consultant SHD-6423 (R. 01/91) 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 Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but Er not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCELI.D. # dimensioned, north arrow, and location and distance to nearest road. 00 -Y06A -F.5 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION r e L v. 1 GOVT. LOT S E 1/4 1/4,S_?? T D 8 N,R / S E (o W PROPERTY OWN ':S MAILINGADDRESSS LOT # BLO ( SUED. NAME OR CSM # re e - C TY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE WN NEAR STT~~OAD [ j New Construction Use [Ctlesidential / Number of bedrooms _._3 [ ] Addition to existing building [replacement [ ] Public or commercial describe g Code derived daily flow LSD gpd Recommended es loading rate G bed, gpd/ft2 trench, gpd/ft2 Absorption area required 5`U bed, ft2 trench, ft2 Maximum design loading rate . bed, gpd/ft2 - trench, gpd/ft2 Grp^~l 61c~ _ Recommended infiltration surface elevation(s) FO-41 (ALA fir Z;S- (as referred to site plan benchmark) Additional design / site considerations e 7. x/co Parent material Si f avv~- f/ Flood plain elevation, if applicable ,/U4 ft HOLDING TANK S = Suitable for System CONVENTIONAy MOUND IN-GROU5F7 A~T GBnDE El S SYSTEM IN FIL [I S U = Unsuitable fors stem 1:1 S P'l 9?-b U 1:1 S L'A'S 11 SOIL DESCRIPTION REPORT AT- 6WDE 1,0A0 I M Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed i tiyCrg4,~4tiS4^f ~.}\vt:\4{~d , C U lWk -5 as h1{:friGi~n:} ~ ~ a/ S a l ~ iU Ir ~ l C v Ground 3 d 1 5 s b S -EcSft.f Z/0--6 10 . r 4 -7-511k S i s bk V4 t~ a Depth to 5 L 10R -C S .2 c s~ k' M 4 limiting factor Esfi N•~.~ Remarks: Boring # -r' I/ S i o? Vy"CL- C' c'-~ t 3 I 3 w. ~.J Ground- y v J' c s bk ov~~ I u y f 3 AYR I ft. yc o 7.~7R 51 P' S lr►~ - dY~ qLL Depth to limiting t factor --T '-It4h FT T Remarks: s`' c 'y9 CST Name:-Please Print Phone: /Y Address: LA) ,7 -7 C~-T- v I- r~ Vc~l ignature: e: Number: ~ 9~ 3 ~ PROPERTY OWNER ~Yeq d-~u-~~_ SOIL DESCRIPTION REPORT Paged 3 PARCEL I.D. # 00 - /D 5 - `7 5 Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Baxxiery Roots Bed T rch 0. Ground' O d V k 7S)tl c, 6~k ur I S° aJ 7-5-yd BeleGft. Depth to limiting factor , Remarks: Boring # 4YV V V 6~ o g l L11-1 "s . .•wv4'k.~ s is Ground 44 3 ;o + elev. ft. . J R d- 7. SYK I c_ s 41 gL~L Depth to limiting f tr Remarks: Boring # pp~v tir{ k:ii•:J}.:~ Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) u~kos✓ ~ V 0 Ova i3+~ StbP`~ Ci3 `1 11 ~ 1 es eV / 0 ~.h. a- vp. P. tv0. oz, -~1(`LJ LvJCa~ pi ATe.' 'En, -1 Ele., • 9vy e i L okl~Olf ! I B:) D I 'taJ p ~ (v be ii. r"`(opooo.~ u , ~Q F.l l ~d D / ' 1ooo G..( 5eN, F. a V- / I Nome j d.M s U R. kbo.6o pp ^ i ~ i i Dr Q w. k~ PRIVATE SEWAGE SYSTEM Conditionally Sole AM Ift APPROVED DEPT. OF IN RY, LABOR 3 HUMAN RELATIONS DIV OF SAFETY A BUILDINGS 2 0 Z 8 rz SEE RRESPONDENC Owner's Name: lre . ' Plumber/designer Signor ure : IKI = y ----Date: 6-19 --f 2~ License Number: L - 5' B > 5' I C gy > 51 21 OF ' = W G° ®Q A .~0 " O O > 5 ~ F 1/6 B - 1/6 B 1/2 B A= J.5 ft G= ft B = _I UD ft H = ft W = /mil- S ft D = . S ft I = ft B/2 = SC? ft F = S ft L = 110 ft B/6 = ft Fabric Distribution Lateral Observation 12,E\~„ , \--Soil Cover Well / X >5' A -2' >51 Fig. 8a. Plan View and Cross Section of Wisconsin At-grade Unit with a Single Absorption Area on a Sloping Site 5913- 202.0 6,17 VLF 1~~ G= OF t~A - ~jq - ~C:j- - a, P;R TLoORA-MZ Pr PE 0= * A) L T-Emr-CM-NT Sa) E-?V~ PiP.E Na CJh a ~ ~„it~r; .-IiJSTgLI 1~E2HA,J~J i HatR,Y~"'fZ AT CUD OF eI1 CH Lr:'rL"S2AL ~uD tAP Q ~}c~LES W.^./aT~'J O,J 30T-0h Cr Q ' s-^FoR~C.E H R !,J • FRO~'1 Tau h P "pNC' ' l-ATt"SthL3 PACE LAST WOt--- t lEx.T -m EuD CAP "D~S'33i1$u77CIJ: PIPE .:~3R!yo'w-~ P 7 1 FT. 1,,E SEWAGE SYSTEM X c3~ ,N -r),nditionally y ~a R m. ® # sTRY, LABOR & HUMAN RELATIONS - I F SAFETY BUILDINGS 1=ottcE r~ A,u : ~c v pp- • 11JV . ELel (OF LA'1~~ L-S . ~ ~ PT- ORRESPONDEN E : ; :k: p~:ACE t sr ...NU ~ " 1=Rd'1 TEE w1 ?N SU CC-MM G HDLE--S L~sT t to~E 7o Re r exT- To T}f e E;`1 D C-0%-P. ~ ~ 20287 PAGE OF PUMP CHAtARVA' CROSS SECTION AND SPECIFICATIONS V`EAIT CAP • 40 C. X. VENT PIPE WEATHER PROOF APPROVED LOCKING 25' FROM DOOR, JUIJCTIOAI BOX MANHOLE COVER WINDOW OR.FRESH 12"MID. AIR IAITAKE GRADE 41, y" MIIJ. . ~ 18" MI IJ. IJDUIT-- _ 11 INLET.: OVIDE I LA/ RT SEAL I I 1 I 1~ R I APPROVED JOINT A b ~1\1~P~\N I (I I APPROVED 101uT; W/C.I. PIPE.. 8pR qrU F EXTENDIAIG 3' I I I W/C.T. PIPE 8 I I I' ALARM EXTENDIWG 3 ONTO SOLID aU1L NGti I (I ONTO SOLID SOIL B nF~ • ~p to _aOf~ I I c RQ'' I I ow PUMP OFF D CONCRETE BLOCK RISER . EXIT PERMITTED OUL4 IF TAWY, MANUFACTURER HAS SUCH APPROVAL PTIC AND SPEGIFICATIOUS SE TANKS MANUFACTURER:?ns~r.. cr ~T~~ • IJUMBER OF DOSES: PER OAy TANK bJZE GALLONS DOSE VOLUME:- 2~ . -~7 GALLONS ALARM MANUFACTURER' rIQ tv~,. ` -•-~-w~ S CAPACITIES: A= /1(-- IIJCHES OR _ 0 GALLOUS MODEL UUMBER: IN H w B= ~Cj INCHES OR _ 37.5' GALLOAIS SWITCH TYPE: C=- .S INCHES OR - 15 •,3 GALLOUS (jUMIp MANUFACTURER: -CT 5 D- 5 INCHES OR -251322 GALLOUS MODEL MUMBER: 75 97 / NOTE: PUMP'AUD ALARM ARE TO BE SWITCH TYPE: r~ INSTALLED ON SEPARATE CIRCUITS PUMP DISCHARGE RATE VERTICAL DIFFERENCE BETWEEN PUMP OFF ARID DI RIBUT $T ION PIPE.. -'Lel) FEET + MINIMUM • NETWORK SUPPLY PRESSURE . ?;s' .71C T + FEET OF FORCE MAIN X Z-222 t ~ yo FLF.RICTION FACTOR. 3 ET TOTAL PUMAMIC. HEAD = (2KD FEET 0 IIJTERAIAL D / 7~~ IMEAI l S OATS OF TAAIK. / LEI~IGTH ~•-~-----,WIpTW -L , . -;LIQUID DEPTH y L, SIGNED' LICENSE )JUMBER: S- DATE: ~^/c'43- MODEL: 3871 Submersible SIZE. 3/4" SOLIDS P 0.4 Effluent Pump H HP: : 0.4 1550 .r~rit fa:a~ 5Y5~E METERS FEET ©al ly _ 1 8- 1 lea 25 _ - I R ~LAeo W ST pip g ,V 1 a 1 W 6 20 _ ~ RRE 15 } O 4 I ~ J - F- 10 O r I 2- 5 1 0 00 10 20 - 30 0 50 GPM 0 2 4 6 8 10 12 m3/h CAPACITY [gGOULDS PUMPS. INC. SBC<A FALLS NEW YM 13148 -20287 4 Effective October, 1988 0 1988 Goulds Pumps, Inc. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED IN U.S.A. AT-GRADE SYSTEM CALCULATION WORKSHEET Owner's Name: ,~~~-i I Parcel Tax Number: ~Legal Description: S , T ~ N, R E-or( W'') Lot Number:, Block Number Subdivision/CSM Name: y/- Town of: ` Cz C~~7 C-) • ~ County, Wisconsin At-grade Structure 1. inches. Limiting Factor Depth 2. percent. Land Slope 3• 50 gal/day. Daily Design Flow Rate (DDFR). 4. ,.6 gal/ft2/day. Design Loading Rate (DLR) 5. U feet 2. 'Effective Absorption Area (EAA) = DDFR A x B DLR 6. -7..5 feet. Effective Absorption Width (EAW) = A 7. -SOU feet. Effective Absorption Length (EAL) = B = EAW EAW 8. gal/ft.. Design Linear Loading Rate (DLLR) = DDFR _ EAL $YS~~M 9. feet. Total Aggregate Width = A + C'* PG` PEE SEW 10. pR~~ t ally feet. Finished Width (W) A + C* +.D + E** o 11. feet. Finished Length (L) = 2(I) + B Co. j~ON 12. ,^1 'Finished height (H) = F + G Hu~pN CGS 1.Ae~R & 0 BV+tp\t1 13. feet. 1/6 B ) ~ F1F ~N SpF~Sr ~ • Observation Well Locate s lok~ 14. S C feet. 1/2 B ) ~~~~~C)CIG " 15. S i' • Texture of Soil Cap Material. Notes: * C is 0 if the slope is 0%, otherwise C is 2 ft. On level sites, substitute another D for E. J Plumber/designer Signature: t r License Number: < Date: S-20287 Page of ~e C Ci At-grade System Pressurized Distribution Network Design 16. Distribution Lateral Sizing. inch. Hole Size 3 feet. Hole Spacing feet. Lateral Length inch(es). Lateral Diameter feet. Lateral Spacing q L2 feet. Lateral Invert Elevation sEW AGE gYgTEM pR6VA~ 17. Distribution Pipe Discharge Rate. n dltiUWally Number of!holes per Lateral Co m.. -Flow R gp ate per Lateral Ov. ED npNE q a~ & NO A % Total Number of Laterals • of sn'~ gpm. Total System Flow Rate 18. Manifold Sizing. SEE ~P~pQN~ C E'Yt Manifold Type (center or end) feet. Manifold Length * * If only a tee fitting is used as the manifold, the manifold rr inch(es). Manifold Diameter * length and diameter may be reported as not applicable (NA). 19. Forcemain. inch(es)., Forcemain Diameter go feet. Forcemain Length Minimum Dosing Rate (system flow rate) s~ gallons. Forcemain Liquid Capacity 20. Total Dynamic Head (TDH) Calculation po System Head = feet Vertical Lift = feet Friction Loss = feet TDH = 3 3 feet, 02 Page of