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HomeMy WebLinkAbout008-2001-90-000 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 3Gl C ADDRESS \Off a OIL SUBDIVISION / CSM# LOT f v SECTION, T,~)~ N-R__& W, Town of r6rc., 6d ST. CROIX COUNTY, WISCONSIN M PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM a~ J lb .~G l COD Gj 49RTH ARROW UU /'IARDICAF l'~W7/~~ 3 Provide setback and elevation nformatio nireverso f this f'rm. ole Provide 2 dimensions to center f epti cove 4 BENCHMARK: J ~b0 0 ALTERNATE BM: (3~(n ®~/~cLSQy ~edt~• SEPTIC TANK / PUMP CHAMBER / HOLDING..TANK INFORMATION l©6o ~ kcx.OR4-G. Tre CcsT Manufacturer: Liquid Capacity: Setback from: WellHouseB..,, jgc' Other Pump: Manufacturer c`"~ Model#_ Size 300 Float seperation 8'_~ t Gallons/cycle: 3 7 Alarm Location CA- SOIL ABSORPTION SYSTEM / Width: Length Number of trenches / Distance & Direction to nearest prop. line: Sc00 f (,tee f Setback from: well: ~--ff'ouse~ ( Other ELEVATIONS Building sewer 00 ST Inlet: 96.5-) ST outlet g6<</( PC inlet 9 V PC bottom 90 . Pump Off 7 Header/Manifold Bottom of system Existing Grade S)3 Final grade I'D DATE OF INSTALLATION: PLUMBER ON JOB: r LICENSE NUMBER: INSPECTOR: 3/93:jt LA i rt l+~f~ 36.28.1CW ATI!SAME OSTEM County: Labor and Human Relations INSPECTION REPORT 'Safety and Buildings Division (ATTACH TO PERMIT) Sanitar snit GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State PI X C ev. 71n7sp. BM Elev. BM Descriptio Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9200443 TYPE /MANUFACTURER CAPACITY STATION BS HI F ELEV. Septic r l_.(( Jfr'6') l 'r' /U/f l Benchmark 3 ,C 3 4~,G~ Dosing I nc , 3-a 4~,~, e, l~ d Aeratio Bldg. Sewer Holding St/ Inlet TANK SETBACK INFORMATION St ;,0( Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake ! 33 3v G7` Septic J NA Dt Bottom Via, ' 71 i Dosing > NA Header/Man. Aeration.- NA Dist. Pipe lJl~. Holding Bot. System p PUMP / INFORMATION Final Grade Manufacturer ~oCYS Demand 9/,~ Model Number 2 ~-7/ t~X GPM TDH Lift (p~ Friction System T D H Ft oss Head Forcemain Length SAD' Dia.. Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PI No. Of Pits Inside Dia. Liquid Depth DIMENSIONS S l DIMENSIONS- TBACK u acturer: SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACBER ~Ma SE INFORMATION Type O /jCHAM e System: OR UNIT - DISTRIBUTION SYSTEM tttesder / Mani o)d Distribution Pipe(s) x Hole Size,/ x Hole Sp Vent To Air Intake Length d~ ` Dia. Length Z(,& Dia. Spacing y e Sp > a~ 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 / Tferch Center ~(1 Bed/ T-reaeh Edges Topsoil ~c ❑-Y C] No E ❑ No OMM NTS_ (Include code discrepancies, persons present, etc.) / OC'AT ON EAU 36 8 L T ry GALLE ` 2 6.546 (~U~ITY B Ca Cl L,c ~f :l / f f t)G r / f f . s"~ ,r 1c Plan re is' n required? ❑,'Pes 0'~o Use other side for additional information. f -V 193 5--~ SBD-6710 (R 05/91 Date Inspector's Si e C No. ADDITIONAL COMMENTS AND SKETCH - SANITARY PERMIT NUMBER: I i a 7 DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY = ST. CROIX STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ a R i 8% x 11 inches in size. LDS. sion to p evious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S93-40592 PROPERTY OWNER PROPERTY LOCATION JAMES O'Keefe NW % SW S 36 T 28, N, R 16 E (or R PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 1250 NORTON APT #3 N/A N/A CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER HAMMOND WI 54015 1(715 796-5205 N/A 11. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned 0 VILLAGE EAU GALLE COUNTY B ❑ Public ❑ 1 or 2 Fam. Dwelling-# of bedrooms-! PA L N M ap III. BUILDING USE: (If building type is public, check all that apply) D,9d 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 40 Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 90 Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4.E] Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ® Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 130 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 (s q. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 450 750 750 .6 N/A 99.83 Feet 3 Feet CAPACITY VII. TANK Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New 1ExIstIng Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Se tic Tank or Holdin Tank 1000 1000 1 MIDW)fCERN PRECAST Lift Pump Tank/Si hon Chamber 750 750 1 MIDWESTERN PRECAS Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) 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 Date Issued Issuing Agent Si m A E] Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 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 ~y the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SP 6399) to be submitted to the county prior to installation. 5. -Onsite X94 v-tge systems mist be property m t;!a led. The septic tar a.(s) must be pt t iF 1: ~i licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code adrriiOistrator 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 n„mber(s) of where the system is to be installed. 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family nwelling. 111. 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: info trmation. Fill in the capacity of every new and/or existin. to sk list the total (7? r; :~~~r~?t er of tanks and ,anufacturer's name, Indicate prefab or site construct,?rf anc. ank material. "(i for all septic. pump/siphon and holding tanks for this system. Check 'a aoprova; lank<i received exa,er==~R.~::al product approval from Dll-HR. Vill. Respors-thility statement. Installing piutnb,:ir is to fill in name, license nt,rn4)er i0ih a rr,l•, i;4; pr,'fix (e.g. MP, etc.), lddress and phone number. Plumber must sign application f, irr. IX. County Department Use Only. X. County.%nefmrtmerit Use Only. Complete ar;'d spPcifica.tions not smaller than 81/2 x 11 inchec -rat+-;t bi <;ut~r , , th~-csunty. The plans roust ~l!cludo tU c ng. A) plot plan, drawn to scale or w, , r,~ tan of holding tank(s), septic tank(,) or other treatment tanks; building water ter service; strearris and IaKes. pump or ~iphor) tanks; distribution boxes; soil td.;on systern ~~r:,i: { t system a. eas; and the location. of the building ser, -,d; 3) horizontal and vi;rtic~: 1=.. f n ~f~rr r < e s; C) complete specifications for pumps and controls; dose volume; elevat•or differences.. fticlCt loss; pump performance curve; pump model and pump manufacturer; D) cross section of the so.'; ab->orption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 416 included the creation cif surchargss-s (fees) for s nurnb r of regulated practices which can effect grcundwater The r;ionies coLectec: thrOUgh these s!. charges of .~i:~ ar s t water contamination lrve 'l;q ions and esta.blishric-i ,f SBD-6398 (R.11/88) APPLICATION FOR SANITARY PERMIT ST C- 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, ("spec house"), then a second form should be'retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .Owner of..Property JAMES 0.'KEEFE. ;Location. of Property NW4 ~L SW 4 Section 36 , T 28. N-RW Township EAU GALLE Mailing Address -l Address of Site,a\, ~v I l eU ..Subdivision Name Lot. Number Previous 'Owner .of Property c I U S Total. Size of Parcel GCreS .Date Parcel was`Created ~I ) 'ire all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes X No Volume*- CA-1 and Page Number q~q_,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- ences.to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION 1 (We) eeA i6y that atZ statements on tii.s 6oAm aAe ;tAue to the best o6 my (ouA) knowledge; that T (we) am (one) the. owneA(s) o6 the pupetity desn,ibed in this inboxmati.on joAm, by vixtue of a waA&anty deed Aeconded in the 064ice o6 the County Reg.isteA o4 Deeds as Document No. 4 ; and that 1 (We) pAesent2y own the proposed site joA the sewage dLspos system (oA 1 (we)- have obtained an easement, to Aun•with the above desuLibed pupexty, 4oA the eonstAucti.on 06 said system,, and the same has been duP.y>neconded in the 046ice o6 the County RegizteA o6 Deeds, as. Document No. y q (I 5 ( ) SIGNA RE OF OWNER SIGNATURE OF CO-OWNER (IF PPLICABLE) J _I 3 DATE SIGNED DATE IGNE , DOCUMENT NO. STATE BAR OF WISCONSIN FORM 16-'19821 THIS SPACE RESERVED FOR RECORDING DATA TRUSTEE'S DEED 491151 Vol 979PACE 418 REGISTER'S OFFICE eorge S o 1 b e r g-------------------------------------------- ST. CROIX CO. as Trustee - -e of of Reed for Record - Novo s 1992 The_ Hazel -B_____Sol berg Fami 1 y: Trust °1 3 M -1-_------.. • NF for a valuable consideration conveys without warranty to ---4aTe-S---A........... O'Keefe and___Amy__K___0'Keefe, husband and wife, RMHitrofD'"' holding as survivorshi_p_ marital __property RETURN TO -------------------------------Grantee, the following described real estate in St..... J;.r D_i_X-------------------County, - State of Wisconsin: ' Tax Parcel No- Northwest Quarter of the Southwest Quarter (NW1 of SWI) of Section Thirty-Six (36), Township Twenty-Eight North (T28N), Range Sixteen West (R16W). i r .a Dated this day of __-NDiJC/111~ee__ •--------------------------------------------------------------------(SEAL) - (SEAL) * _ * -George--- -Solberg Trustee Trustee AUTHENTICATION ACKNOWLEDGMENT Signature (s) • STATE OF WISCONSIN ss. -County. authenticated this day of___________________________ 19 Personally came before me this ._--day of tiJ✓PPP~`,-_-•_••---•---___--P 191? the above named G e o r g e S o l b e l" 9 TITLE: MEMBER STATE BAR OF WISCONSIN (If not, by § 706.06, Wis. Stats.) to me known to be the person . w xecuted the foregoing . trument and acknowl ge the s me. THIS INSTRUMENT WAS DRAFTED BY ti.. Thomas A. McCormack * ho.::"n -C-.. B a l d w i n, W I 5 4 0 0 2 w Notary Public I~ County, Wis. (Signatures may be authenticated or acknowledged. Both My Commisslo>,i iktp rmlj~r>.r► no 'State expiration - are not necessary.) ate. 0 L y~ • 19 P 1 V `t r• 'Names of persona signing in any capacity should be typed of printed below their gnaturc V F a r•`~~ STATE BAR OF WISCONSIN KQ illerCompany FORM No. 16- 1982 Stock No. 13016 Y.I..eYee. Wl..en.ln ST C- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER JAMES O' KEEFE I ROUTE/BOX NUMBER Fire Number CITY/STATE C U? , z IP-S~40ag PROPERTY LOCATION: NW iy, SW 1y, Section 36 T 28 N, R 16 Y-W, Town of EAU GALLE St. Croix County, Subdivision N/A Lot number N/A Improper use and maintenance.of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists 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- me nt•stase,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 s stems agree o t 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 agree to maintain the private sewage disposal system in accordance witfl the standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form must be completed and returned to the kt. Croix County Zoning Off.kce within 30 days of the three year expiration date. S I G N E D ,20 j't~ey - 9~ - DATE' St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-22311 or 715-4,25-8363 Sign, date and return to above address. - -w•••• SOIL:,AND SITE EVALUATION REPORT D I H R in accord with ILIIR 83.05. Wis. Adm. Codo ••MWMIII .I 1 ~T.'/,1Anw.../AwAARM~ COUNTY , Attach complete silo plan on paper not loss than 8 1/2 x 11 inches in size. Plan must include, but not limited to vortical and horizontal roforonco priinl (DM), ditoction and % of slope, scale, or PARCELI.D. 0 (pu,nP_r dimensioned, north arrow, and location and distance to nearest road. DO 8 - Z aaI D APPLICANT INFORMATION-PLEASE PRINT. ALL INFORMATION REVIEWED BY DATE PROPERTY( 4NC-R er: J PROPE~TYLOCATION GOVT: LOT 1/1 1/4,S T .7 $ N,R Ito E (or PROPERTY ONN © "LING ADDR SS 11 } L0~ ~1~ BLOCK N SURD. NAME OR CSM N CITY, STATE T6 ZIP CODE PHONE NUMBER ❑/ICJITY ❑I AM- V LLAGE W/N NEAREST ROAD -U 01,5 13 ( ew Construction Use ( Residential ! Number of bedrooms j J Replacement (J Public or commercial describe Code derived daily flow 45 n- gpd Recommended design loading rate S bed, gpolft2 . trench, gpd/lP Absorption area required -!?ZQ- bed, I12 5 6trench, fit Maximum design loading rate : bed, gpd/il2 . to trench, gpditl2 Recommended infiltration surface elevation(s) 99.4 3 I.c.Ap« C<- dG 13 it (as referred to site plan benchmark) Additional design I site considerations r s.-.-A Lky"Ae,r wpeQ, .~L ob ~~4 X75 "~~~•rQ Sx s- Parent material _ 5,1 f- ~1~ cr • 1 Food plain elevation, it applicable It S = Suitable for system CONVENTIONAV MOU WGROUNDPFIE RE AT-GRADE SYSTEM HOLDING TAN au- f's ❑ S ERr ❑ S WFlLL ❑ S EW Q ,,m Unsuitable tors stem S 19*0 19-S ❑ U ❑ S SOIL DESCRIPTION hEPORT Boring # Horizo Depth Dominant Color; Mottles" Texture Structure GPD/fl Consistence Bourxlay Roots In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ITre 6- 5 '77 .27 Irk ' ~ nil 10 C'-3 lyk -"S-5 kv" 1; tk VV-S, C_ Ground 3 /O- ! O ` E !v g t'~" 3 C S k-J elev. fed t ft. y o 's' 7, s Irv c s 6 .3 "1 R Depth to limiting factor, ,r kl•G w, M • r Remarks: Boring D- /o ye UJ Ground 1 eheo ^ t~' irv ft. Depth to limiting faclor Remarks: CST Name: Ploase Print Phone: Address: M" 5- y74 - • Signature: Dalo: CST Numboc 4 SOIL DESCnIPTION REPORT "OK Boring # Horizo Depth Dominant Color, , Mottles Structure GPD g Texture Consistence Bou-day Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed iTra -311 Ground S` >n l elev. s i c Fad 99.c8 tt. k 9- f . S c s h2~ a-LL) 4L- -7. v K .3 Depth to cy C 3.lL ` t c~ s ~ u limiting factor Remarks t Boring' w Ground ,y elev. Depth to limiting factor Remark's: t Boring # I Ground elev.. ix IL Depth to limiting factor' Remarks: Boring # Ground elev. ft. Depth to 1 limiting ' lactor Remarks: •I ~o V Q: c i- • 2 a'~ 3 n O A2 d y~ J U XIS 0 ~a Iw L J ~ 1 7 yd 71- ~ p 7~.,Drs T _ _ _ _ F _ - t. r, . _ _ - _111 ~ _ _ ~ i 0 ~i Fr, w -r c t C~ b 0 W UQ~ ~ 1 J C')~ f 6A r' ~ H c J ~ P 9p r-4~ 5934x.-.92 ~C Page Of Cross Section Of A Mound Using A'Trench For The Absorption Area GI_ 08d H Ob Medium Sand Fill F - 6" Topsoil 3 3 E D 2~f i~N Trench Of )j" - 2h" Aggregate, Plowed Layer 6" Below Pipe, Covered.With. D Ft. -A*.Synthetic Fabric ~n E I~1 Ft. Ft. k"F . 90 Ft. H Sl Ft. cr re ~•,i i fir. 2W` fod Using A Trench For The Absorption Area Force Main j Distribution Pipe Permanent Markers Observation Pipe A o - W K r`- B \Trench Of J? - W Aggregate I L A Ft. I 9,3 Ft. K .Jp,OSFt. W Ft. B Ft. J Ft. L Ft. License Signed: (umber: Date: 9 -~3 s 934t)~92 - P--''-roRf.TcU Pt P~ G=Y A I L a-?V~. ('~'.PE . P•F V aG' a-NTJSTAI.L C-E-r-HP OEE.fT S `S ,T cut) OF En C}? l hTt;"RAL GAP. Q 1° QUSS LOOK T a-z OQ Or t Q / pvC s,-'FoR.CE t-~ 1~ 11.1 ' PRAT-1 Tau H P "PVC" ' LAT'RALS P~ Act LhS'T MOLE 1.~ ~XT -M FuJ C.liP ~J~S'LR_18u77Oi.1: PIPE 13'+`.-r~uT_ s FT. O T .R r LJ c~~2Al..__ of 1~v1.E$/P 1 PE ' 0,3\3, ELEV. OF lA'TEPl~1-SLR T-=T• ~l pLt~cE ! sr HUGE FRor1 TEE w17}i su cc~1~ G~~' ftr.~ ! uTRV~~s . . LAcST ~pLE ~TO RE 1JEXT To TAE EavD CJ~P- s9340592 9 111 ;o I'! O - - ' PUt`1P CHAMBER CR6S` SEC-10f.; AUC, SPECIFIC IIUD!`: VENT CAP `1~ C.I. vE"!T PIPE WEATHERPROOF APPROVED LOCKIA;(.. j 25' --RO.^1 GOOK JUNCTION BOX MANHOLE COVEF. - , WINDOW OR FRESH IZ"MIU. AIR INTAKE G GRADE I eu. q l Q i 4" MIN. ml Id. COIJDUIT 18"MIN.\ 11~ INLET PROVIDE I AIRTIGHT SEAL I I I ~ I V / r7r APPROVED JOIN-T11 J~L~ µ1ut4 ' i' I I APPROVED JOINTS W/C.I. PIPE III W/C.I. PIPE EXTENDtNCs .3'r`r L~!y° I I I ALARM EXTE)JOIUG 3' ONTO SOLID';501L dra,,;°'}"'` 1 I II ONTO SOLID SOIL :I I !14~ ON ELEV. FT. to ,•rs~t3 a r:`t~ L~.14~ 1~1'`1i( r} r'..~ Ear t~ty I~~= n ~1~1„},:;•.i7 PUMP --J dFr r t1t= a r,iv 1 OFF sraoNVUO.AR':~ ate= ~ . sic, CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL c~C~ CG-_ 1 SEPTIC E SPECIFItATIOUS DOSE A,1 I p Tr AKSMAUUFACTURER: / 'LGt wGS~ev-~ IrfC0J_ klUMBER OF DOSES: PER DAB TAIJK SIZE: `7 O GALLONS DOSE VOLUME ALARM MAAIUFACTURER: / 01 I4LAJ -75~ INCLUDING BACKFLOW: ~s I ~ GALLONS MODEL WUMBER: •Z:• E1-f fee SGS~Pyvl CAPACITIES: A=IMCHES OR ?6 GALLONS SWITCH TYPE: /"I-eYCtcC+ F~OA B= INCHES OR 375 PUMP MANUFACTURER: Q,a C = INCHES OR /IS-7,3 7GALLONS MODEL NUMBER: D= -.131 INCHES OR 201112 GALLONS SWITCH TYPE: k)m_> k rLL,~r ~[oc _MOTE: PUMP ARID ALARM ARE TO BE MINIMUM DISCHARGE RATE6PM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWELU PUMP::.OFF AND DISTRIBUTION PIPE.. ~'71 FEET + MINIMUM NETWORK SUPPLY PRESSUR~~t~ v1). • • • • • • • 2.5 FEET \\S :1 2 + FEET OF FORCE MAIN X .SSFTI,00 ~`TFRICT1o11 FACTOR.. '(02 FEE1~,1SJ = TOTAL OtJUAM IC HEAD = L~$3 FEEl~kk.FkL0 INTERNAL DIMEMSIOMI OF TAIJK! LEt.j(,TH ;WIDTH ;LIQUID DEPTH 5 IGri EL.ICE.Ne;F DUMBER: Z, /S^ DATE:! _5 3 4 f, 1) " 92 Q -1: Submersible MODEL: 3871 SIZE: 3/4 SOLIDS Effluent Pump RPM: 1550 HP: 0.4 METERS FEET 8 25 7 a w ; 20 8 4 0 O 3 10 I- 2 5 1 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m3/h CAPACITY [gGOULDS PUMPS, INC. SC-CA FALLS NEW YORK 13I48 S9t340592 Effective October, 1988 0 1988 Goulds Pumps, Inc. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED IN U.S.A. ST. CROIX COUNTY WISCONSIN Y'31Yk h } ZONING OFFICE " { > ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - (715) 386-4680 i•v September 2, 1992 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 property being purchased by James O'Keefe, located in the NW1/4 of the SW1/4, Sec.36, T28N, R16W, Town of Eau Galle, St. Croix County, WI., has been conducted with the assistance of Bennie Helgeson, CST# 3094. This onsite revealed suitable soil for onsite sewage disposal to a depth of 24" while meeting the requirements of the A + 4" rule. This site should be suitable for a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact this office. I Since ely, James K. Thompson Assistant Zoning Administrator cc: file SOIL AND SITE EVALUATION nEPORT 1 rZ D I L H R In accord with ILI-IR 83.05. Wis. Adm. Code a '1r..rrM.rr./ inr ..rnwaraAw.rw~nrrt COUNTY Attach complete site plan on paper not less than .8 1/2 x 11 inches in size. Plan must include, but Cl~~~ not limited to vertical and horizontal reference point (OM), direction and % of slope, scale or PARCELI.D. R (pwh~r dimensioned, north arrow, and location and distance to nearest road. DO - Zo6 1 -gj O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE , PROPERTYGINNE11 a er : PROPEPTY LOCATION GOVT. LOT W 1/4 SLtj 1/4,S T $ N.R I (o E (or~ PROPERTY ONN S "ILING ADOR SS LOT BLOCK N SUED. NME OR CSM x 't A_ A)A CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE WN NEAREST ROAD S CSI S 05) 7% G" //e- c. r~ . 13'` r. ( ew Construction Use ( Residential I Number of bedrooms .3 j J Replacement (J Public or commercial describe Code derived daily flow gpd Recommended design loading rate a S bed, gpd/ft2 trench, gpd/fl2 Absorption area required bed,ft2 `1676trench,0 Maximum designloadingrate bed,gpdl112 1P trench,gpd/ft2 Recommended infiltration surface elevation(s) 19. V 3 tkppe~- Cn.e- cS B~ it (as referred to site plan benchmark) Additional design / site considerations _ r Sakd~ c uncQer rem d~ 8c.~. i'7 S 13e~~` 7 Parent material Q 0 cr ;1 rT Flood plain elevation, if applicable 41,4 ft S - Suitable for system OONVENTIO MOU INGROUNDPRE RE AT-GRADE SYSTEM IN FH.L HOLDING TAN U =Unsuitable tors stem 11 S 9'[1 I" U ❑ S LKI-tr ❑ S ❑ S ❑ S SOIL DESCRIPTION REPORT Boring # Horizo Depth Dominant Color, mottles= Texture Structure Consistence Bouidary Roots GPD/fl In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Tre 'yk b>,~. a -1d lv tk Y•R32:R• a l:i~! . 10 S b~+C w,.~ ~ Ground O f (u 9- t.I.. 3 C S kvJ t~ I S, elev. s f 13rt: y - v 7.s L~ tucs6 V4 L .2 . Depth to limiting iact Remarks: I 1 Boring # iC0 aye ..£<a c -5 ail Ground elev. h. 1 Depth to - - limiting A factor - p. C-4 S7 Remarks: D~,c CST Name:-Please Print Phon . , r e ~N -72 Address: L/ 74 -7 • Signature: Date: CST Numbor:, w SOIL DESCRIPTION REPORT ` Boring # Horizo Depth Dominant Color; Mottles Structure GPD I1 g in. Munsell Ou. Sz. Cont. Color Texture Gr. Sz. Sh, Consistence Botndary Roots Bed :Trey boy Ground g c elev. eL r 3 dL Depith to y - o .s 112 -,IN c U S , 3 limit factor -0 Remarks: r Boring # . 7 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. (t. Depth to limiting factor -i- Remarks: Boring # +f..yM:.:M~%: r M. Ground elev. ft. Depth to limiting factor i Remarks: r up N V u A um ~ ~y ~ sr 0 0 ~ ~ g V ass ~ ~ d Z --t-. x ~ ej ~d a y _T J L j ~n~