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HomeMy WebLinkAbout016-1071-60-100 Q o ~o N 0. Cl) C r~ 0 o 7 N O O C = O N r Z C E 3 o~ i N a I -2 E N O U -0 N O c Z w co N LL o 72 c - v CF) co 3 E Q co B M Ip > E 7 (n O z - d y m co W a co F- cn co c O o z d Z d c o N N (D z i_7 M I c • N O O ~i c p cu 0 Z Z o Cl) C 6 N c O ~l ~ R E y N c V LrI N R L C m vi c C) 0 N N C O C) 0 > C G N O O O 1 CL a N N z I U F f' H Y ~y U O O z 3 0 0 0 d z o o N c a a a E g C7 7 O fn Q Cl) Cl) N fA U p rn rn r- :7 rn U') 0) p *040 O N N N C M lC') [L CQ N m Q m O O p C 1' ~ W C I E N N 00 O G p p I- O a) c v) 0 IL 0 0 0 U? E O O- c p N N N V L ^ O C N E O_ 112 LO O O CO - Z t D,S M In 0 C) 7. CO C0 m m a N O E U y o co C9 o z H cn r d a V ~ • a. a d y c ' 0 0, r f STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER r ADDRES r9 4 3 SUBDIVISION / CSM# LOT SECTION. T_XN-R_A5-_W, Town of ST. CROIX COUNTY, WISCONSIN ' PLAN VIEW SHOW EVERYTHING WITHIN 100/FEET OF SYSTEM woo f E f r° N~ # INDICATE NORTH ARROW - rov de se ask of this form. an e ev' aion In orma ionn o rem rove e z dimensions to center of septic tank manhole c° er_ BENCHMARK: 1 eu r{4 4 l1 Rv C P Law P ALTERNATE BM: 00~-J(N et 5l/4 !j u ry f,)y. SI d C V l`N/ ~i s, d SEPTIC TANK / PUMP CHAMBER / HOLDING_TANK INFORMATION Manufacturer: vu Y t,`i b k -e ep-.Liquid Capacity: voo v Setback from: Well Sr A House Other Pump: Manufacturer Modell Size I~ Float seperation 4. Gallons/cycle: '3 Alarm Location v V -f- SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: w-a ~ Q ~v na Setback from: well: House t-~ 1 Other ELEVATIONS Building Sewer ST Inlet: ST outlet C` PC inlet Q,)-PC bottom / u r Pump Off Header/Manifold 7, 3;7- Bottom of system- ~ Q7~ Existing Grade y,5 •P2- Final graded / Z 5 DATE OF INSTALLATION: ct r PLUMBER ON JOB: LICENSE NUMBER: co INSPECTOR:- WIN, 3/93:jt • L~paQ)j~y, 33.30.15 PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sa n ita ry Pe rm it No.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: A111 IGLENWOOn T BM lev.: Insp. BM Elev.: B Description: Parcel Tax No.: 6;1_5 J4le--- 016-3071-60-IDO TANK INFORMATION ELEVATION DATA A9300310 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic =S C X r, Benchmark , 0_Z yl SZ~ D-~d~ Dosing 1L .v,1 Aerati n Bldg. Sewer n StInlet Holdi / TANK SETBACK INFORMATION St/,Ot Outlet :!S TANK TO P / L WELL BLDG. AirI to ntake ROAD Dt Inlet Qb 9 Air I Septic ) G~ 7 NA Dt Bottom s, & Dosing >100 > 16) ]/G?j NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP 7tIPHON INFORMATION Final Grade Manufacturer em+ rid 103,.E Model Number ~S~G ,95 la, y7 / TDH Lift 1 L~ Friction oGj System .o TDH ( Ft H oss n, Forcemain I Length Dia. / Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width , Length No. Of Tr riches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS </7 DIMENSI N SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACH Manufactur INFORMATION Type O , CHAMBE Model Num er. _ U System: T ti 1 ~ gtiDISTRIBUTION SYSTEM Header/Manifold „ Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake ~ Length Dia. Length ~ Dia. ~ Spacing 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 BWTrench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: GLENWOOD.33. 30. 5 /J) /'V i 44e 61 i C~l t'f7 kit O ,Ci,C~ Plan revision required? ❑ Yes to / Use other side for additional information. W / SBD-6710 (R 05/91) Date Inspector's Signatu a Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: r SANITARY PERMIT APPLICATION 701.1-1A COUNTY ^ In accord with ILHR 83.05, Wis. Adm. Code S7-(f no STATES RY P IT # 'Attach complete plans (to the county copy only) for the system, on paper not less than ❑ (E y 8% x 11 inches in size. k i re son t revlous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER EPROPERTY LOCATION t/a '/a, S T , N, R. (or OPERTY OWNER'S MAILING ADDRESS BLOCK # d - 0_-o h CITY, STATE ZIP COD PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 11. TYPE OF BUILDING: (Check one) ❑ State Owned VILTML AGE : &e -e /A w NEAREST ROAD =RF TAX N NUMBER(S) ❑ Public S1 or 2 Fam. Dwelling-#of bedrooms a PARCEL III. BUILDING USE: (If building type is public, check all that apply) ~ l - ~jQ 1 ❑ Apt/Condo 20 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 70 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 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.0 New 2. 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 Experimental Other 11 ❑ Seepage Bed 21 [S Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 140 System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 17. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) G~ ELEVATION 41-5-0 3 S 3 / Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks glass Plastic App oncrete structed I F Tanks Tanks Se tic Tank or Holdin Tank /O e.V ! d 1 7 Lift Pump Tank/Si hon Chamber _ e 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 Sig ature: (No Stam ) FM P/MPRSW /o.: Business Phone Number: 4 e Plumbers Address (Street, City, State, Zip ode): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ZDate ssue Issuing Surcharge Fee) JAApproved ❑ Owner Given Initial D S . /S Adverse DeteI'minati n 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 t INSTRUCTIONS r 1. A sanitary permit is valid for two (2) years. A 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 6D8-266-3815. 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 systE!m. 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 ;:olding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water strains/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 rnodel 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 nnonies cul!ected through these surcharges are rasod for monitoring groin idwater, gr(,m)(11- wator contamination investigations and establishment of standards. SBD-6398 (R.11/88) SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations September 7, 1993 2226 Rose Street La Crosse WI 54603 ART WEGERER PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S93-40918 FEE RECEIVED: 180.00 HOWARD, NANCY SE,SW,33,30,15W TOWN OF GLENWOOD COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. s to the plan number shown above. Sincerely,D ~J * th p S7- , t ~x Gerard Swim K Plan Reviewer Y Section of Private Sewage.' (608) 785-9348 1791R/ 1 SBD-6423 (R. 61/8l) Page of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE 4 l~ LOCATED IN THE SE 1/4 OF THE SLU 1/4 OF SECTION 3-2-1, T 3 0 N, R 1 S W, TOWN OF ~L ~.~Wpp~ ST• C2a!!C COUNTY, WISCONSIN. INDEX PAGE 1'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR }v c l`'N w tnz-D clI 112~ L sr pruE. )Ue ~R~ 7- !_rj-tz.E ~ ~ rv s s~ zs PREPARED' BY ®~~a~t~caaeaop~~ WEGEE:ZEF-Z SOIL. .TESTING -scolvs/ "k-610 AND. DES = GN SEFZV I CE s : nRn+uR . Z WEGERER woRWOR ru srH. P.O. BOX 74 421 M. NAIU ST. RIVER fxLS. VI 54021 • 115-425-0165 , •'~.NN••• 4' JOB NO. 3 - S ~c ~PSP?2~Xlti-~ PLOT PLAN 6 WALL ~O"--U, Page -Z of ' Scale 1"= SW 409 C Tb 0E ~fL31~1ti~f~--1)~ 1`~OlJSE LCIoFy~ 6S or- U"pvc- Serves O1JTFiV(,L LlAy@ h RUC ( T ~ J oo 1'~nT coriPpflcT G ¢v~,~ N(1S. e-X I-T'nN G I P oR D\i`1UR$ C'L 1'0 ~i. 3 ' TtCp 1k /1-tovk S To / q s ? I S _Pr(2 1A ' Zq PvC 1 of 4 1 • x S I ' . ~1 ~w►- L~L• loo-OoN / 1 ~ ~ L'~~ GH 3/V4 IJ 1H. 1~V C ba c 1 69' 1 0 HPPLE PlPlr w/Ltl`R1 N~xTl~ l o I 61 y4~~R ~•6'ltl6tl WaoD 1 I~' i i-=e "\J c•C P° ST. OF 1 1 1 POST UD- 103.$' I I ~1 I 1 I ~ 1 x ~ ~S ~ 7Y~ B`1 6 Yom, eL9S~ e!n~ SYS v eoNlvv~~ It ® Bo~TO►t of QL~ cn~SXyiW,YL IL LsL °1 ~L v `rI L I ~,O•W• Ll~v~ tv~ ST Luv of 38 FM . i- P~'tz ~Jt 0-3 m 1 1U Z 9 0 Tr} s T'. NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be »oi,-) gallon capacity manufactured by ~-~l w sl~sw >*>\r(-?caSr e PQnP C ftl-16L2'0 8tr -)SO fit. "IpweSTOW. 5. Bench Mark SZ, PtBovkz 6. Divert surface water around mound to prevent ponding at the uphill side. Page 3 Of 6 Approved Synthetic Covering 0 ( w Distribution Pipe Medium Sand Topsoil o F Elev. Ok O 3 E 0 iti D , b r*14 Slope Bed Of 2- 2 (Force Mbin Plowed ~l;,T6iY, LABOR & Aggregate From Pump Layer ,j N OF S Q D \,Q) Ft . S`NC'E Cross Section Of A Mound System Using E S Ft. a o.~ Ft. A Bed For The Absorption Area F G 1,t Ft. A 8 Ft. H 1.5 Ft. Linear Loading Rate= 9. (GPD/LN FT B Ll I Ft. Design Loading Rate= o.g GPD/SQ FT I ) 6 Ft. J 7 Ft. K 1) Ft. L 69 Ft. F;,T-e,- W al Ft L 7- K J Observation Pipe-~ f 8 K A I - - - W Io ---------------------~I Force Main Distribution \,,,Bed Of 2"- 2 2 Pipe Aggregate I Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area Page Of Perforated Pipe Detail v 40 9 .1 End View Perforated End Cop. `ode `i I Pipe Install permanent marker ~o~ Soo at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main P PVC Manifold Pipe w Distri ution Pipe Last Hole Should Be I Next To End Cap End Cap P Z Z Ft. Distribution Pipe Layout S Y Ft. "SYSTEM X LJ B_ Inches VS Inches sr Hole Diameter Inch Lateral Inch(es) lolls Manifold Z Inches B9 ~ '•.5 ~d Force Main Z- Inches C- k' # of holes/pipe Invert Elevation of Laterals°1~•5 Ft. Place lst hole from center of manifold with succeeding holes at q3" intervals. Last hole to be next to the end cap. 4 ~ PUMP CHAMBER CRO55 SECTION AND SPECIFICATIONS ' PAGE S OF (o r PE VENT CAP q 4` C.I. VENT PI WEATHER PROOF APPROVED LOCKING MANHOLE 10 ' FROM DOOR, JUMCTIOU BOX COVER WITH WARNING LABEL wiN00W OR FRESH I2'MILI. AIR MTAKE I GRADE 4 6 `i' MIN. il!'MIW. CONDUIT Q__ WAIN. oPjtOVIDE INLET t i1AIGHT SEAL I I i l APPROVED JOINT A "Tank const~rl4crUoi~ shall comply I III APPROVED JOINTS with approved with ILHR,° BJ.15 ,ainct"TUR 83.20 pipe extending I i l ALARM 3 feet onto a .;;.'x,s I II solid soil. I I ON Both sides of c Y LpB0 tank . usse 'Safes AHI, r C L E V. el-29 F T. DI F~ ISiilt1 of Pump-, OFF v1 }e # i.l D rC?E LT1. BIB. S C0IJCRETE 5LOCK 3" APPRWE RISER EXIT PERMITTED OWLy IF TAWK MANUFACTURER HAS SUCH APP.ROVAL• ISE00 I NQ SPECIFICATIOUS DOSE I~t ~D►Je s'iLctN P2NG9ST T^NIKS MANUFACTURER: ►JUM9ER OF DOSES: 3"S PER pAy TANK WZE: _2 S2 GALLONS DOSE VOLUME ALARM MANUFACTURER' S'-'. ILet RD S`YJT&1S INCLUDING, 6ACK/LOW: GALLONS MODEL IJUM6CR: » NW CAPACITIES: A= 14, INCHES OR 3 \2'O GALLONS SWITCH TYPE: Y-1 Q7Z C-u 'R Lf 5= Z INCHES OR 3 9- O G6LLOIJ5 PUMP MANUFACTURER. 2-Cl f*LQe% C*n P15 'V`1 cm -7 INCHES OR \z) 6. S GALLONS MODEL NUMBER:- Q7 D= 1S" INCHESOR 3032' GALLONS SWITCH TYPE: NOTE: PUMP AND ALARM ARE TO 5E MINIMUM DISCHARGE RATE Z~`08 GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE OETWEEIJ PUMP OFF ANO.OISTRIBUTION PIPE.. _1 2) FEET + MINIMUM NETWORK SUPPLY PRESSURE 2.50 FEET ♦ yS FEET OF FORCE MAIN X `'31 F jOPxFRICTION FACTOR.. D. 61 FEET TOTAL Dy1JAMIC HEAD = Imo' a3 FEET DIAMETER - INTERNAL DIMEWWOWJ OF TAWK: LEW&TH ;WIDTH - ;LIQUID DEPTH Z:I BOTTOM AREA - - 231= - GAL/INCH AS PER MANUFACTURER = ~OI:S GAL/INCH W~W nr~GE G o~ 6 : LL 10- • HEAD/CAPACITY CURVE cia s;< MODEL 97 a5,e 30'- 45A 8- 25'- 20' - - t 43/ - 1'/z - 11'/z N P T 6 W ,e V m Z 15' 04 1 19 O 10' x S-93-40- 2- '9 5, oa I 0 US 10 20 30 40 50 6) 70 GALLONS LITERS 0 80 160 240 1011/,6 FLOW PER MINUTE TOTAL DYNAMIC NEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING CAPACITY HEAD UNITS/MIN 3s/t6 FEET METERS GAL LTRS 5 1.52 56 212 _ 10 3.05 46 174 15 4.57 35 133 20 6.10 15 57 Lock Valve 23.75' CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available • Mercury float switches are available for controlling and supplied with an alarm. single and three phase systems. • Mechanical alternators, for duplex systems, are avail- • Double piggyback mercury float switches are available able with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard All Models - Weight 33 lbs. - 1/2 HP 2. Single piggyback wide angle mercury float switch or double piggyback mercury float switch. Refer to FM0477. 97 Series Control selection 3. Mechanical alternator 10-0072 or 10-0075. Model Volts-Ph Mode Amps Simplex Duplex 4. See FM0712 for correct model of Electrical Alternator, "E-Pak". M97 115 1 Auto 12.0 1 or 1 & 7 5. Mercury sensor float switch 10-0225 used as a control activator, specify duplex (3) N97 115 1 Non 12.0 2 or 2 & 6 3 or 4 & 5 or (4) float system. D97 230 1 Auto 6.0 1or1&7 - 6. Four (4)hole "J-Pak", junction box, forwatertight connection or wired-in simplex or E97 230 1 Non 6.0 2 or 2 & 6 3 or 4 & 5 2 pump operation, 10-0002. 7. Two (2) hole "J-Pak", for watertight connection or splice, 10-0003. CAUTION For information on additional Zoeller products refer to catalog on Combination All installation of controls, protection devices and wiring should be done by a Starter, FM0514; Piggyback Mercury Float Switches, FM0477; Electrical Alternator, qualified licensed electrician. All electrical and safety codes should be followed FM-0486; Mechanical Alternator, FMO495; Alarm Package, FM0513; and Sump/- including the most recent National Electric Code (NEC) and the Occupational Sewage Basins, FM0487. Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. !O OLZZL O' 3280 Old Millers Lane Manufacturers of . P.O. Box 16341 • Louisville, Kentucky 40216 (502) 778-2731 • FAX (502) 774-3624 QUAL/TY PUMPS SiVCE /,93y . e Page of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE SE 1/4 OF THE SW 1/4 OF SECTION 33,T30 N, R IS W, TOWN OF LW p p~ , ST- ~-Qa t~( COUNTY, WISCONSIN. INDEX PAGE l 'of 6 TITLE SHEET PA GE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR Z.4 3 0 CAVr.~Yy fl PREPARED BY Q~ec~~ec~se~~,~ WEGEEZEFR SO I TESTING`~~~~.''+~,'~ ♦O'4s AND . a~'b I3ES = C1V SlEFtV I CE .4 ARTHUR L. WEGERER ~r • D375 P P.O. B0 74 421 K. lSAIN ST_ T 6LLSWORTH. RIVET MIS. YI 54022 S .t W 715-4,25-0165 ♦ ~•NN...••• tia ~ s j G ~ E~' a~' T Fop" u ONSTRUCTION 0 JOB NO. q 3 - ~.S Jc pSPPtZUX1~-~ PLOT PLAN Zof 6 w L W oN Page Scale 1"= -SW 3 Bow 1 C Tb 6E t3►~y~~-D \~v V s E L~ ror- V6S' OF V rr PV C. Se4AM UvTFIK.L.. L! AJe -r j avc j oo ►~oZ- cAnP~T G 2.V\jh~ Nutt' tTX lSl~N G 1 P O(2. D\s'NR$ cn. 10 3 r Tt0Jk,TritvkS Im aS 2 T I S_r~tt q "P"Ptow et ~S t c0\~tT, ys' of Z`i PUG 1 ' F•~' 1 of 1 1 ~31~-i - L~ loo • 0 o►v 1 ~ 1 \r, 11*1GN 3114 °1J11H-PVC 6~0 1 69' 1 SUPPLE PIPE w/ Lr}TN N-Z wTIT) l o' / 69 ' rye 4' V-11 Pl X1.6' M6H woos ! 1 i pe"i c• C` Po Sr. 11 P a F POST L'~-. 103.$' I I ~1 I 1 1 g / g.2 z5~J ~ 3l Te,~t 8.1 o I/ 'tom, ~t 9 5 ~ eA N1vv~~ ~~t , `=t 6.0 / $~~ToM OF 4L~ t ~9 • ~ o.w. LlNe 1u>?`KC~ST LuvC of 38 RZ . t lorlr2c.CSt Try • el - 1 /4 ~ i~ O - 3 7V1 ~ I v z 9 v n+ sr: NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be IOUp gallon capacity manufactured by 1A\~1,.1 T>sT~ l~\Z~3GjSI` Pi p C-tf tm3R TO 8kE7 -7 S0 64-t. "ItbWeSTwN. 5. Bench Mark SZ, PI'8uv~z 6. Divert surface water around mound to prevent ponding at the uphill side. Page 3 Of 6 Approved Synthetic Covering Distribution Pipe Medium Sand - H G Topsoil F Elev. 011.0 D 3 E % b 6 % Slope Bed Of 2- 2 %2 Force Main Plowed Aggregate From Pump Layer D \,Q) Ft' . Cross Section Of A Mound System Using E S Ft. A Bed For The Absorption Area F C~,a Ft. G 1. o Ft. A 8 Ft. H 1.5 Ft. Linear Loading Rate= q. ~ GPD/LN FT B Ft. Design Loading Rate= o.q GPD/SQ FT I 1 ~o Ft. J 7 Ft. K Ft. 'tea-+c°~~-vTr $ L G9 Ft. Te,=ee-Maim- W 3) Ft L_ Observation Pipe--,,\ $ K A I - - - W o j Force Main Distribution \,,,Bed Of %2N- 2 2 Pipe Aggregate Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area Page -1 0f Perforated Pipe Detail 0 End View )Perforoted End Cop PVC Pipe Install permanent marker ~o~s~oo at end of each lateral x - Holes Located On Bottom, I Are Equally Spaced Q S PVC Force Main P PVC Manifold Pipe Distri ution Pipe Lost Hole Should Be I Next To End Cop End Cop P ZZ Ft. Distribution Pipe. Layout S _Y Ft. X LJR Inches Y V8 Inches Hole Diameter ?!y Inch Lateral Inch(es) Manifold Z Inches Force Main " Z- Inches # of holes/pipe Invert Elevation of Laterals °t).5 Ft. v Place lst hole Z from center of manifold with succeeding holes at q It intervals. Last hole to'be next to the end cap. PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE S OF (o VE1JT CAP 4'C.Z. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE 10' FROM DOOR. JUNCTION DOX COVER WITH WARNING LABEL wIM0OW OR FRESH I2'MIIl. AIR IIJTAKE GRAOE 46 # 4' MIN. ~ Ie' MIIr. COWDUIT PROVIDE I INLET AIRTIGHT SEAL III APPROVED JOIN A Tank construction shall comply I II( APPROVED JOINTS with approved with ILHR 83.15 and ILHR 83.20 I III pipe extending ALARM! 3 feet onto e ( I solid soil. I I ON Both sides of C tank. ~~aa~~~~cI CLEV. ,.l FT. PUMP,, OFF D LSL S CONCRETE 6LOCK a3" APPR(wEi RISER EXIT PERMI'TT'ED OWLy IF TAWK MANUFACTURER HAS SUCH APP.ROVAL• 13E1)OIN~ 5PCC.IFICATIOtJS DOSE . I~l I bIj r?S'T y,) PST 3. S TANK MAIJI}FACTURER. NUM9ER OF DOSES: PER OAy TANK SIZE: 2 so GALLONS DOSE VOLUME t S.J. ITL.Q-cnD S,-fjT1&13 INCLUDING DACK►LOW: \3b'S GALLONS ALARM MANUFACTURER: MODEL HUMBER: » 1 HW CAPACITIES: A- I~ 1NCHE5 OR 3 «'O GALLONS SWITCH TYPE: o,~ CrUT2.y g a Z INCHES OR 3 O 4LLOL15 PUMP MAIJUFACTURCR: ~.LLJS.Z CO" P 19 kU`9 Ca -7 INCHES OR 16 6' S GALLONS MODEL NUM15ER. q-7 D- IS 11 INCHES OR 3cs?-. GALLONS SWITCH TYPE: L""11Q-UWY MOTE: PUMP AND ALARM ARE TO eE MINIMUM DISCHARGE RATE ~`~8 GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE OETWEEIJ PUMP OFF AMD-DISTRIbUT10N PIPE.. '12) FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . 2.50 FLET ♦ ys FEET OF FORCE MAIN X 1' 31 F~o FtFRICTIOtV FACTOR.. D• bl FEET TOTAL OtMAMIC HLAD = Imo' a3 FEET DIAMETER - IIJTERAIAL DIMLWSIOAI~i OF TANK: LENGTH ;WIDTH ;LIQUID DEPTH?" I BOTTOM AREA - 231= GAL/INCH AS PER MANUFACTURER = ~"I - S GAL/INCH W n~~t G o~ 6 HEAD/CAPACITY CURVE 4ie 6' MODEL 97 45/e 1 30' _ m 6 45/e 25'- -F - 1'h - 11% NPT O W 6 20' 43116 _ 0 a Z 15' G 4 1 H X0.93 FO 10' x - 2 0 US 10 20 30 40 50 60 70 GALLONS LITERS 0 80 160 240 1 10"/16 FLOW PER MINUTE TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING CAPACITY HEAD UNITSIMIN 35/16 FEET METERS GAL LTRS 5 1.52 56 212 10 3.05 46 174 15 4.57 35 133 20 6.10 15 57 Lock Valve 23.75' CONSULT FACTORY FOR SPECIAL APPLICATIONS e Electrical alternators, for duplex systems, are available . Mercury float switches are available for controlling and supplied with an alarm. single and three phase systems. a Mechanical alternators, for duplex systems, are avail- . Double piggyback mercury float switches are available able with or without alarm switches. for variable level long cycle controls. SELECTION GUIUE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard All Models - Weight 33 lbs. -'/2 HP 2. Single piggyback wide angle mercury float switch or double piggyback mercury float switch. Refer to FM0477. 97 Series Control Selection 3. Mechanical alternator 10-0072 or 10-0075. Model Volts-Ph Mode Amps Simplex Duplex 4. See FM0712 for correct model of Electrical Alternator, "E-Pak". M97 115 1 Auto 12.0 1 or l &7 - 5. Mercury sensor float switch 10-0225 used as a control activator, specify duplex (3) N97 115 1 Non 12.0 2 or 2 & 6 3 or 4 & 5 or (4) float system. 097 230 1 Auto 6.0 1or1&7 - 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in simplex or E97 230 1 Non 6.0 2 or 2 & 6 3 or 4 & 5 2 pump operation, 10-0002. 7. Two (2) hole "J-Pak", for watertight connection or splice, 10-0003. CAUTION For information on additional Zoeller products refer to catalog on Combination All installation of controls, protection devices and wiring should be done by a Starter, FM0514; Piggyback Mercury Float Switches, FM0477; Electrical Alternator, qualified licensed electrician. All electrical and safety codes should be followed FM-0486; Mechanical Alternator, FM0495; Alarm Package, FM0513; and Sump/- including the most recent National Electric Code (NEC) and the Occupational Sewage Basins, FM0487. Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. OL ~~L / 1 01 3280 Old Millers Lane Manufacturers of . ® O P. 0. Box 16347 • Louisville, Kentucky 40216 (502) 778-2731 • FAX (502) 774-3624 QUaurr PUMPS SiVCE sy Labor aidDepartment lonsons Industry, SOIL AND SITE EVALUATION REPORT Page I of 3 Labor and Human gel Rela,'' - Ivision of satery a Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but Ste' lx not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. O l 6 - l Ol - 6 - LlJ O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT S E 1/4 SW 1/4,S 33T 30 N,R V S E (ois PROPERTY OWNER':S MAILING ADDRESS y LOT # BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE 14TOWN NEAREST ROAD 6~~lvwpup C.L`r4 wl SLlok3 hlS) zr,s _ 4u 6g vL~i~uoo J1 b D I/ [ ] New Construction Use [J(] Residential / Number of bedrooms 3 [ ] AddiiQn to existing building [,X Replacement [ ] Public or commercial describe Code derived daily flow Ll S 1D gpd Recommended design loading rate o. y bed, gp(W trench, gpd1ft2 Absorption area required S1 S bed, ft2 37 S trench, ft2 Maximum design loading rate o • S bed, gpol00.6 trench, gpd1ft2 Recommended infiltration surface elevation(s) °1n. O ' It (as referred to site plan benchmark) Additional design / site considerations F~1ou►.i AkJX'M 8'X 4h' &M - "W . 1 r OF Sfio Fi,-u S = 16 Parent material L o N~S s o U N-Z.NZ -DLL Rood plain elevation, if applicable N • A - ft S = Suitable for system CONVENTIONAL MOUND IN•Cl"D PRESSURE AT-GRADE SYSTEM IN RLL HOLDING TANK U =Unstftle for stem ❑ S ®U EIS ❑ u ❑ S Qlu ❑ S (RU ❑ S [NU ❑ S MU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Batxlory Roots GPD/ft in. Munsell Chu. Sz. Cont Color Gr. Sz. Sh. Bed r~rierd .t [ 1 0-8 to`-tlz 31z- - Sj Z FS~k h CS zu~ o.S o•6 Z'~S ~1r tin 'F h c S 1 u o• S o, b Ground 3 1$-~~ ~4 `112 3l~ - S`1 Z'FSUk ~'i c S - o S o. b elev. C Z S ASR CIS•3ft. y Z~-y0 LO 2 3./C 'EttoLl Q Eli S1~ Ow, Y~`FI~ cs - Depth to S yoSS t0`>2 3/~ br s 1~~k YA limiting ~S w fac~r~ ~i 6 S13-90 )01f /Z 6/3 5 puTS - Remarks: Boring # D-8 tib` 1 2 312 - S h 2'~Sdk Yn ~h C- -s 2u`~ o-S ;u 6 Z.. Z 8-L'1 10`x2 31V - S 1 J ZfSbk >n~h cS ~u~ '0-S o- 6 Ground oY 2 3/L S l Z ~S bI~ yn 'F ~S - 0• S 0. elev. a-39 L p'-! 2 3/~ l S Y R S/16 g L 1 O w` ~ c S Depth to S 39-s . I o Y 12 3/G S c li miting 'ki S 5% tZ "p►g S A/eS factor 7,$° Remarks: T Name:-Please Print Phone: Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: G13-x75 8- 18-~3 M00576 PROPERTY OWNER `-•~►vOR SOIL DESCRIPTION REPORT Page ?-of 3 PARCELI.D.# Olb-1~~~" 6y-lOb Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed T g, \ O- $ 1O`-L2 3!2 S~ \ Z,'~5bk m'~1- eS 2uT o,s 0.6 &-Z-1 1 v YfZ 3/6 S i l 2 ~'sbk ►x`~H c s hi f o, S u• ~ Z Ground 3 z,-7 -S3 10.18 3A. C'~j.S`fe 5193 sl elev. q 5 ft. Depth to limiting ' factor' Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # i 1 Ground elev. ft. Depth to limiting factor Remarks: Boring # yyGround elev, ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 ~P~cwxlnl~l~ ►"tt'~otz wdL lu SCALE 1"= 30 -!oo "-U 3 B~~ 1 I t j U v S E T s yu OvYr (-L u A,_ P T t b o un ~ I dR D1s~vR~ T l qS ~ Tt~ ~ S_~-~ i I S 1 W't+IGtN 3/ywt). hvC / 0 69' Pl P~ w/ Lt? RI f~~xT to / o b/c 69 ' Q ~I ' ~ I q 4. b' FtlGtl WOOD I ~ F E'er! c C Po ST. -INP a F POST Cam-. 103.$' cQ3 43) 3 l' 7 S q~ TY~ B o Tro~~ L.-L 9 5 3 y ~ eio Nlvv~Z ~~t , ~ b . o O / B~ Tp►~ of 13%~ `A rJ 1 ~ ~ l ` 2 U'n 1, L L"RS r\f 9-1 q:)-J7 ~.o.w. ~.-tve t,~ T U.wL of 38 tro . i- 1z)tYRc(x-L o . YVI i Tv Z 9 CJ T~} sr. '313 _ 115 8-- ~-8-`13 ~ 715 ) 42.5-n16 5 i~00576 CST Signature Date Signed Telephone No. CST # SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER- ADDRESS : _ Z 230 g7 --FIRE NO. LOCATION. ~ s-- -_l/4 , 6V ' 1/4, SEC. 3 3 T L QN-R TOWN OF: L L ooZ T ST.•CROIX COUNTY SUBDIVISION: LOT NO. 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 septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant to help with the cost of the replacement of a failing system, which was in operation prior to July 1, 1978. St Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to the St. Croix County zoning a certification form, signed by the owner and by a master plumber, journeyman. plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating 'condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification from 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 with the standards set forth, herein, as set by the Wisconsin DNR. Certification form must be completed and returned to the St. Croix county zoning officer within 30 days of the three year expiration date. SIGNED: I. DATE : St. Croix County Zoning Office 911 4th St. _ Hudson, WI 54016 STCrloo 't'his application form is to be completed in full and signed the otti~»cr (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, s ec 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. -rra.arr-Wrr.rrrrrarrrrrra.rr--- rrrrrrarrrrr rrrrr-r.r--------- owner ofproperty Location of property,~F,1/4, SW 1/4, Section's -R TAN 4 W ,Township 4 - c7 Q)c~~r/ Nailing address a q a© G ~ wooal _ a Address of site Subdivision name Lot no. other homes on property? yesNo Previous owner of property _ 414 •4 n C -Y A0 W rvAd- Total size of parcel, r Date parcel was created; :.re alp, cornoss and lot lines identifiable?_Yea in thin property being developed for (spec house) ?_Ye$ _ K NO volume nd Page ,number"- as recorded, with the Register of Deeds: c DOCUMENT NO. WARRANTY DEED TNIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 F y 500852 -~n Fa Ct;=~iCE s"~lSl ~F6E _ CO. ! Y') Nancy...Hoyrard,-.a.-$ngle-.persot}.. ecord 1993 P. M conveys and warrants to .lames-J-..Manor__and..Nancy_L,.._Manor........• .--husband.-and. -wif e,. _as. -survivo rship--marital. property.......... egister or Deeds MTK@I%VA.Lhk` =a eEIrjet-S r'y 219 North Mair Street • = , the following described real estate in ......St. Croix ......................................County. Myea F 816 URiiC048ii1 51622 State of Wisconsin: 93 L / Tax Parcel No: parcel of land located in the Southeast Quarter of the Southwest Quarter (SE} of SW}) Of Section Thirty-three (33), Township Thirty (30) North, Range Fifteen (15) West, described as follows: CmMming at the South quarter corner of said Section 33; thence North 890 54' 08" West, 1252.45 f--et; thence North 00 08' 25" West 341.85 feet; thence North 220 29' 30" East 49.85 feet; thence North 10 04' 32" East 521.36 feet; thence North 150 52' 05" West, 122.42 feet; thence East 199 feet; thence North to the North line of the southeast Quarter of the Southwest Quarter (SE} of SW}); thence Easterly, along said North line, to the Northeast corner of said Southeast Quarter of Southwest Quarter (SE} of SW}); thence Southerly, on the East line of said Southeast Quarter of the Southwest Quarter (SE} of SW}) to the point of beginning. SIIMECr TO County Highway DD right of way, and the following perpetual easements for ingress and egress over and across the following described premises: DESCRIPTION CCNTDOM CU REVERSE SIDE TRANSFEh This is homestead property, (is) (is not) I Exception to warranties: FEE Dated this `---s• day of ....June................. 19.93- -•---•---------------•-..._----.....-•---.(SEAL) v - - - .(SEAL) --ancy-Howard (SEAL) ------.(SEAL) ♦ AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN St. Croix authenticated this County. day of_.......................... 19...... Personally came before me this . ~...----day of J1I1P..---------------------- the. named Nancy--HnWarsi-...................... a. ' TITLE: MEMBER STATE BAR OF WISCONSIN - 4 (I! sot, ` ~:---'i authorized by § 706.08, Wis. Stata.j . r s - ....i - to me known to be the person w4~ exec tl i-r foregoing instrument a Rd ack wledgFe'4)le slitlw4, , THIS INSTRUMENT WAS DRAFTED BY - SIT/,*~,. Reinstra, Van Dyr & Needham, S.C. G 2U1 Z.. South-Rnowles~Averiue;""$ox"-T77'-•-•'""'"' 9ud_Xey..G,.__ei$ar..---- (Signatures may be authenticated or acknowledged. Notary Public _.___-St.-_ - County_ _ _ , Wis. are not necessary.) Bed. Both 'MY Commission is permanent. (If not, state expiration date:.. 11126. 95 19---•-----) ♦Names of persons shminQ In say Capacity should be typed or printed below their signatures. I WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. f FORK! No. a - 1982 Milwaukee, Wisconsin ,9C 101CFAU 1216 DESCMPTIdN CQMMLTM nrM REVERSE SIDE: 1• The South 60 feet of the East 204 feet of the above described premier. 2• Cammncinq at the South quarter corner of said Section 33; thence North - 541 08" West, 1252.45 feet; thence North 00 081 25" West 341.85 feet;; thence North89220 29' 30" East 49.85 feet; thence North 10 04' 32" East, 521.36 feet o the ginning; thence North 150 52' 05" West, 122.42 feet; thence East t 199 feett~thence hbrth to the North line of the Southeast Quarter of the of said Section 33; thence Easterly, aIo'er said NOS Southwest Quarter (SE' of SW}) feet, more or less, to a lam, 66 feet; thence South 360 to the Point of Beginning point directly past of the point of Beginning; thewe Westerly Li l ` ttl ~ ! W E C E Ft E Ft E 3C3 I L TEST I r4 C3 F.O. BOX 74 421 N. MAIN ST. AND RIVER FALLS. MI 54.022 ` I7 [=-!E3 I C-s .j S E R `t! I G E 715-425-0165 ATTN: .S 64 DATE CC: SUBJECT: WE ARE ENCLOSING THE FOLLOWING ITEMS: NO. OF COPIES DESCRIPTION 1-2-A C b T5 , -1 U t= P L6,1,- j~~LA Iv 8 A SENT TO YOU FOR THE FOLLOWING REASONS: ❑ FOR APPROVAL ❑ APPROVED AS SUBMITTED INFORMATION DESIRED [j'FOR YOUR USE ❑ APPROVED AS NOTED ❑ RETURN COPIES NOT APPROVED ❑ FOR REVIEW AND COMMENT ❑ 2l~LJ~}'~IJy ~U `~~11 S S (T-P- C3),-- 1!~l)vrv~~ i~ t~ S S 1~ ~ 1=p1Z ~L~yt ~v O'v S ~ , ~ ~ cg- l tij )mil r1/U012 C)►~1 ~un; C C G H -A S WEGERER SOIL TESTING AND DESIGN SERVICE p 93 4j ' 1 1~ ~ ~ CY/n ' •7 v L S c- t~~t v S S S. "iA.JG P6- Z 'TW~ )U e-4j k)U('Q)S 2lJ)T-ftkJ -T-~fe X17 \ZL~i ~v S Du t ~ s ~v~ E 2 3~ ca~;,~~-t ~J D ~'U ~L ,vim z~ T F -TYh S 1-4 S i~ RgJ l iti u crU ~-t0v 1~u t 1- IUO~v J~x.p Chu S t fi~ S 77 L L t "W-) 14lv c- CyL~ Q u L S)-) .s ~ il-"45 -M Wisconsin d Department Industry, Labor and Human Relations tions SOIL AND SITE EVALUATION REPORT Page of :~S - Dhftion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but S-7 ' C" ~Z-U LX not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. O 16 - I Ol J - 6O -LO O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION N3 K"" J-~% W Prre'b GOVT. LOT S I 1/4 S W 1/4,S 33T 30 N,R S E (o,@ PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # a 11y 1 Sl s1- A-v e . its - - - CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE (MOWN NEAREST ROAD F61LkwT L - )4A.) Ss a-L s ( ) v~~ oon c. T- ( ) New Construction Use Residential / Number of bedrooms 3 AddiitiQn to existing building JX Replacement Public or commercial describe Code derived daily flow L1 SO gpd Recommended design loading rate (3-4 bed, gpd/ft2 - trench, gpd/ft2 Absorption area required 3-1 S bed, ft2 3-7 S trench, ft2 Maximum design loading rate 2 - S bed, gpd/ft2 0 , 6 trench, gpd/ft2 Recommended infiltration surface elevation(s) C11. ID ft (as referred to site plan benchmark) Additional design / site considerations "ov►"p lU"N 8 'K 14-7' It ft - M tau , ) r OF Spy' p H k_u. _ = 16 Parent material L 'Z~ t=s s G Q N-Z%-t- T uu Flood plain elevation, if applicable N • A - ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable for stem ❑ S ®U EIS ❑ U ❑ S Au ❑ S [9U ❑ S IN U ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch 1 0 - 8 Zo~t z - zU G.6 € xh Z $_t$ 10`tR31Y Z sbk 1J cS lug O•S O.b % 1n h Ground 3 1~-2.7 ~0 `112 3/6 - S'1 2 'FSl,k p. S o. 6 elev. C Z ~.s'7R s~8 gS•3ft. y Z.-~_y0 LO`1fZ 6 afo~tz 6!Z S 1~ Ow, `F i^ CS - - Depthto 5 yoSS l~`92 3/L ~l Gh S J ti~~k m v'~t~ ~S - limiting Zfactor SS-60 )C)V/Z 6/3 oVVI s puTS Remarks: Boring # 1 o-a io~-12 31Z - s Z `~sbk Y\,l C_ 5 2u\' o.S u 6 Z> Z 8-n to~tz 3 - , 1V S~1 Zfs~st e- S lug o•S o 6 - z$ l oL? 2 3/1_ S, j Z_-FS bh h1 'F c-S - 0• S 0- Ground L .5'f R S/ib elev. 2.~-3 9 t o L1 R 3/(, q~. 3 ft. Depth t0 S 3q- S 1 O Y2 S t ~ C~~ Vn 'FN C S - - - li mmrtiecju ~S S% * 1z 'pry. S Aje factor . _T Remarks: T Name:-Please Print Phone: Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: G13-l7S 8-L8-~3 M00576 PROPERTY OWNER SOIL DESCRIPTION REPORT Page -Z- ot PARCEL I.D.# 016-IO~l- 6v-loo Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botxary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends ~ o- 8 ~~~-ctZ 312. - s~ 1 2,~Sbk vvt.~~ eS Zug' o•s o.6 ti:.. "3 Z ~_Z1 lu~tQ 3/6 sib Z~sbk wt~~, cs Iv~ o.S o•~ Ground 3 Z-7-53 IOYfz ~~.Sye 5l9a S1 elev. °►S•~ ft. Depth to limiting factor ) Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # womom~t Ground elev. ft. Depth to limiting factor. Remarks: Boring # iM1•.. • •yi; `~.`~~fi Ground elev. ft. Depth to limiting factor Remarks: S13D-8330(8.05/92) ~S a • PLOT PLAN Page 3 of 3 rv ~ ►v c~{ 1~ w P~-~D ,k PPCwXI'-,~~ SCALE 1"= 30 Plfize~t if G)L - jn,l- 6D - too l`wv S E I s2>•v~12 ovl'~,tc.i Ll~yp oo +~uT c.or~P~T ate. a~ps~vcgzs l s3.3 r~1 I 1 1 1 o~q ~ I 1 1 \0" 'it G H 3/t/'` 1J 1 N_ hU C 0 69' 1 Pl P~ w/ Lit rN I~~xT lU l o 69 y'' ~~A X1.6' 1tlG}I WOOp / I I i or DUST L'TL. 103.$' I I 1 ~ / g.2 ,1~1t i 3l V~PPUZ 7"s go Tz B~1 o Trz~j eL 9 S ~j / B~~'fo+-t OF W ~ 1 I ~p f U`f"1LL`r'y L"RS FAT 1~. I.I.- J. LlN ft >v~"Kt~ eST LUO (--z- OF 3~ he . i- 1--') P'2 c- e L ,c ~ - 3 ~ 1 Tb Z90 r>+ aT. 9'3 _ 1-15 d. 87 (715 ) 425-0165 M00576 CST Signature Date Signed Telephone No. CST # .Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of :?s -abor 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 8 1/2 x 11 inches in size. Plan must include, but S'T' C 1)C not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. O 16 - l t31 - 60 to a APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION t(4N" L`\-p W A'SZ,D GOVT. LOT S tr 1/4 S W 1/4,S 33T 30 N,R 1 S E (oia PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE jMOWN NEAREST ROAD F-6uj8sT L r-~n, Ss ozs ( ) vL~ooo o-` " D D " ( ] New Construction Use (JcJ Residential / Number of bedrooms 3 [ ] Addi6ij~i to e*Iing building IX Replacement [ J Public or commercial describe Code derived daily flow L1 S13 gpd Recommended design loading rate o. y ~ bed, 9Pd/tt~ trer>ch, gpdAt2 Absorption area required S bed, ft2 S trench, ft2, Ma)dmum design loading rate O S bed, 9pd/ft2 0.6 trench, gpdtft2 Recommended infiltration surface elevation(s) C'1- • O ft (as referred to site plan benchmark) Addifond design / site considerations kwrA 8 'X t4-7' am - " w . 1 r o F ss fw Fit-%- 37.= 16 Parent material \_o VS42 o u `Z 'DL L Rood plain elevation, if appficablo N• N- It S = Suitable for system CONVENTIONAL MOUND MROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TALC U =Unsuitable for stem ❑ S U ®S ❑ U ❑ S CCU 11 S U [I S U r, S ~I U SOIL DESCRIPTION REPORT Bodrg# Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouncily Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bird It nch `jt 1 0-8 toy-tCz 31Z - si z fsbk cS zo o.S o•6 kti Z -1$ 10 `t v- 31Y - '%11 Z'FS'bW W1 I^ CS I u ~ o• S o' Ground 3 lg_2~ 1p `1 R 3~{, - :S 2 ~SUk ~'n ~1~ c g - o S o. 6 elev. G'Z S ~R s/8 q S. 3 ft. 4 Z~-y0 IZ Ll fL .3/6 $ ro wit 6l Z S 1 ~ O~ m`FI~ cS - - Depth to S yeSS toy2 3A_ limiting _ .r fac~tl SS-60 . JoKlZ 6/3 ~c1/ 5 puTS Remarks: Boring # D-~ ~O`1 (Z 3f -a - S 1 2 FSbk yvi C_-3 2v`(' o S 'V 6 131- n31V cS 1u' o. S -'L& I O Lf Z 3/L - S 1, Z F S b (Z rvt T N CS - 0 S (3 Ground ~ l'F ~•S`tRS/~ elev. 2$-39 t 0Ll R 3/6 s L 1 cwt`f c S q~..3 fL Depth to S 39- s t o if P_ V4. s 1 nm r~ `FI. c s - - _ li miting -0kJ V S S% * tZ"Ar H- S AJeS factor 7_16 Remarks: TName:-Please Print Arthur L. We erer P. 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: d, 93-175 8-18-`13 M00576 ~ r PROPERTY OWNER FlCC ~ SOIL DESCRIPTION REPORT Page Z'of' 3^ j PARCELI.D.# olb-f~7~- 6y-1o0 Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GP-D-M Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr..Sz. Sh. Bed Trench v. 6 si l Z sbk m~►- eS Zug' o,s v. 3 Z Ft-Z1 1uLt1Z 3/6 SLI Z`~Sbk rn`~!^ cs lu~ o,S o•~ Ground 3 Z7-S3 IO YR ~L -j.SKe Sly elev. 5 ,'1 ft. Depth to limiting factto~r~ Remarks: Boring # Ground elev. ft. Depth to I limiting factor i f Remarks: Boring # '~~4kktii?.v. f i Ground elev. i ft. Depth to limiting factor Remarks: Boring # ; 1 Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) 1 a PLOT PLAN Page 3 of 3 rv~w ~y "-cs whp,D Y,~ -jNTr~ SCALE 130 PrmcTL 0l6_ ln,l_ L' O.-140 ~ d1Z D1s~vR,g I /L~l. °lS ~ T1-? i S-~rw . I g.3 1 1 1 / z_4„ 1 o~ 1 ~w► - t?L trio. 0 dV 1 t*I G N 3/y 4 1J 1 H- PU C r 69' 1 PIPS w/ LPtTN ►v~xTTO / o b/c 69 QeF y " Ll l ~l. 6' 1tlG}I kJOOp I t=E~U tr P~ ST. -T% P a F I I 1 'DUST LsL. 103.$' g.2 1~1~ 1 ~ gZ 3 - c~ 4 31 VlrpPIE 4i ~'ZL~c~ S q? o Il Trams tt q S 3 y ~i 8u~'TO►t OF t3ktt~. ~..ow• Live Ivt?v C T- Luce of 38 Fm . t- l-z' ►t' L C- F)4 - o - 3 7v~ 1 ly Z 9 v r>+ sr. e- L8- 93 q~ _ 115 715 ) 425-0165 M00576 CST Signature Date Signed Telephone No. CST # a ' PLOT PLAN Page 3 of 3 N-) f,~ ►v e.4 ht-v w h-ti D ~c'PCU~X1►-,~T~ SCALE 1"= 30 t~Ifi~et GI 6- in-)l_ bo -loo W'c1.L ~Ll G1~1 oN 3 B~~ ~ 1 5 Xyv u s ~ b o ►~n r ~ otz. ~LSlv~s gRtT • 1 .3 r~1 i i o~q S 1 / I ~~•,i _ 100.0 dv 1 ms i GN 31y4 1J 1H- 1~V C bu 69' Pl P~ L►'t TN NrrXT Tr 69 I~ E 4'' ~ i ~ ~l.6' ~ttGtl wooer ' ~ I ~ i DUST Lam. 103.$' + I I ~ I I Z i B. 1 `t~9~ 3 I a. ~ PU lZ I IY ~s ~ ~ B•1 o l~ ~t 9 5 ~ y v' eo~lov~Z q6.O / 8u`s'~ p►1 of °\'l . p U Ill \Z.Q~•LJ. L.liyg >ut~ST Ll,ty ~ of 38 I1-c . tl~ rY2 ~ C't o . 3 Y~ 1 Td Z 9 v 1'rF s 1`. (715 ) 425-0165 M00576 CSTSignature Date Signed Telephone No. CST #