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022-2001-10-040
o a-0i ° I . o 0 vy m o a c °o cO N n ti II C c q j rC O E C wO h o c 0 U N (D O a Z C _ N 7 RS LL O N 0 7 'O t d a I'' I 04 w z w co z = o Z 0 M z a m c 0 c C7 m o z a N z E -o O O C O O a a O w z z z N N E ~ N O 1~ a CL O O N N N L O O G IL U N N~ z F H H 7 N ►i 0 0 0 a= z •N is N a a a , w LL 7 0 N m y y v! J U > rn rn } ) L2 00 y O = 3 c O m LL z m o C ~ _ O O M N O H C O O a N 'a E O U T O C C O a f Li U~ c N N E .Y 'O O O~ C o c `y 2 c m ap 00 O N 3 N H N N C N pMj N 'O C N h m U • 7, C f9 pOj C3 N O co L O M Y! m O - z (A cO CQ ~ w. V V~ `y ip 4k G L • G. d I' d d C A U a 2 O U) U 1 Lab °r "arid Duman Kett of I d sty, SOIL AND SITE EVALUATION REPORT Pagel of 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 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. pv S/'%£ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION Uzerfrrf//,OV REVIEWED BY DATE z- 2 S - rs 2- ---pp, T I'At 7-40-Al •re v PROPERTY &&ER: B oy6e5 PROPERTY LOCATION L~,Co~t ti~ t`-k if 4" B'90eW GOVT. LOT VE 1/4 /V,5- 1/4,S 3~_T A? AR Xe E gve~ PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 621(r 2i 4FMAl /PD P'-'> ,'¢CLt i A" CITY STA E ZIP CODE PHONE NUMBER [-]CITY [-]VILLAGE [MOWN TNE.ARES ) ROAD 177 7 /07 S f. AfOL tiJi%v/ $S (4Oiz) -73 g- 35// 'e'1~ti1 44C , C [ J New Construction Use [Jy Residential / Number of bedrooms Addition to existing building N Replacement [ ) Public or commercial describe Code derived daily flow yS~ gpd Recommended design loading rate NP bed, gpd/ft2 •3 trench, gpd/tt2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) 1, ff - ft (as referred to site plan benchmark) Additional design/ site considerations o-'-' • 2- Parent material Y 5CP r V7_f 76 Flood plain elevation, if applicable It or system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK e for s stem ❑ S C>sl U ❑ S O U ❑ S p U O S QU EIS Q[ U ®S ❑ U vTt~ TEST lo-vDi r~o-v s S1/'if~s~4Ty S//f /O.¢-~.f SOIL DESCRIPTION R EPORT ~vI X&,VV 4ST' BDepth Dominant Color Mottles Texture Structure Consistence Bartdary Roots GPD/ft 5#H3rizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ter& es 77- .3 /o y/' Si / , f ,C .fiP ~'S if . N P 3 Ground 6- 0 - /L /0 L 51 Z, f, 56,E fib vqS. If 11 elev. ft 6 a -)y leYje fly ~s' yR 51r 5~ he ~T-I C U.) / f Si - 0 50 D P Depth to yx 5~~7 yi2 S SG •~f, SDK rlvt ' i r limiting factor It /yT a 4v 3 O f 12 Mpf S i~v /?i7o ✓ 5 ~ ©r V74 P ^ O v,' TS ~r{ r t.Pr~O Remarks: e'O/O,ps f rOC147-e f~ wiA lXeM .lDfs 5t.' N07E /~E/osv, Boring # 4P lo ye 4 4- 541f M-110le 66 Lei Z y-/3 / yR '14)'z / .m 4 /e e S l f uP . 3 4 2, Ground e v, ft. /0 Yti' S/y ' Z' s SGl Z,~►, sh,C / -fi . j , S ' Depth to r..... , i lest site t, APF ROVE U limiting fol- a onv nti0 al se.pti syst m. factor adc 2. S • rr I i Remarks: II'I CST Name:-Please Print - E?OMESITE SEPTIC PLUMBING CO. Phone: WS O'NEII: RD., MUDSON, WIS. 54016 u ROBERT ULBRIGHT Zyf>2 Signature: N' N. MASTER PLUMBER LIC, No. 3307 M.P.H.S. WTALLER & DESIGNER LIC. NO, 00663 Date: 3 _ y 2 CST Number: rI E .z~ .4fo ft~s sl~w,:~~ s po%~rs o~ /s y~ 79 oyes iivfiPi~f iv o,v E 44.1N10 13 11 l'ao~s ARE- //Pvc y i~uQr'CrtTr'vE o,c S S~ •r so:L e4So,411y rU/P rep - X if_ 1W16 D ~d rvo T .yam e- S , o L ~ S Cdw rows ~ r i / 3 v NOT /0 r-vA y A4 ~rr r4 ~e- - r` Sir S~ ~~ti /CIO N D S S 7~r''''l. ~ ~G d MireO I U A+M I'VE PROPERTY OWNER SOIL DESCRIPTION REPORT Page of PARCEL I.D. Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourb3y Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench D- /p ,e 3 2 7,17 S"'/ 7,17 ~S ! Ground - /L Zp S j ,S/ Z, f S,6i~ -,e4 qS S .,6 y3fc. 12 -3 ld 5/ S C/ Z Shy-~~ . • S Depth to 1 limiting ~ factor GOv S STS Sr/~;// !3 vF air -r co ~2 w~ v q fov ~o.v s Remarks: Boring # f EZlt Ground - elev. ft Depth to limiting factor Remarks: III; . Boring # . Ground elev. ft. Depth to limiting factor Remarks: x Boring # ri.. Ground elev. < > ft Depth to limiting factor Remarks: con ooon,o nc,n•f~;, 11993 00 c "v ~~0~ ...i"I\ "0lkESITE SEPTIC PLUMBING CO. 655 O'NEIL RD., HUDSON, WIS. 54016 ROBERT ULBRIGHT GS? 0 ly~Z vIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. "INN, INSTALLER & DESIGNER LIC. NO. O0663 i i 3 f3EpRh FtoHE QM f3 oTtoki r= 0bE OF .610106- t r S E. T i' p o f KOVSE El eVht iy 0 = /0/,.5'6 ~STi~1(r rr~'AD~' //fit how 13.,Af 0 WELL 4 ~p z 0 g 30 2.5'(0 , - _ . _ _ _ _ _ - a, W 6 c O 2/3 13Z W E LI~VAI- o 90•.x"0 ' Q~ 000 ' 33 X3,3 p P 3 of -3 5 IS To STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 3AR lEN IF- 13 u E R ZS S ~4 y ADDRESS J~5w ~PiyE~t ~~-Gls GV/'S . Sqo 2. - 2-SUBDIVISION CSM# ' PST VI' .91-4 1141(S LOT # SECTION 35 T 2-eN-R /O W, Town of k'l N-1-3 ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM P)AA) See k-r tct4a ,\12 i t `d ORIGINAL. INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. TOP ot= SFT- N,Ex T "M C'oeUE-R 'FtA& CA, POST'. B$NCHMARK • I E U~ 1 `~'Q = /00-0 ,l ALTERNATE BM: T(?f Of TkA4S4012M)tA- SEPTIC TANK / PUMP CHAMBERHOLDING TANK INFORMATION Manufacturer: Wie,,-e5 *,y6d--Q ~O - Liquid Capacity: /61M • s/• &0 s T 2.5 S•T• Qo0 C . Setback from: Well 70, Pc, House (40 P.C. Otheerp y~ Pump: Manufacturer Model# Jo Size Float seperation 5-6 Gallons/cycle: Alarm Location q&=- SOIL ABSORPTION SYSTEM ~tl Width: 3 R~sLength /d 7 Number of trenches Distance & Direction to nearest prop. line: Setback from: well: House Other ELEVATIONS Building Sewer 161'0 ST Inlet; 160' 30 ST outlet PC inlet 47/ • 0 ' PC bottom 7376 Pump Of f 1~76 ' F0 ' Header/Manifold Z•~~ Bottom of system /d Z' d Existing Grade Final grade ~O yCl /y61/,vD C~~D *Uv~ hoV~V o DATE OF INSTALLAT M G PLUMBER ON JOB: LICENSE NUMBER: 1"- 330 INSPECTOR: /qly` 3/93:jt CG, Oki o ~ n ~ a d O c~ Q ~ W o I ~ ~ a F7 ~ 1 N 1 0 ~ i rc ~ 1 0 Q O ` I a p 1 1 -h , h x~ I 1 .r v 1 1 n 11T ~ ~0 W ~ r V O 7-610 o Ti~~ ~s r~bRHE ' l3 0 I }CATI$ e p KIP isconsi ~INNIC 35.2~~~$d~E 9EWAGE SYSTEM n a rtmen o n us ry, 'W AV County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division WIN ' (ATTACH TO PERMIT) Sanitary it GENERAL INFORMATION -1 non Permit Holder's Name: ❑ City ❑ Village IR Town of: State Plan AUER DARLYNE KINNICKINNIC CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: /Old w - TANK INFORMATION ELEVATION DAT =3:00343 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic /v Jvrl~s Benchmark 101'N' /0(), Dosing g'~OU / ~r l (701 Aeration Bldg. Sewer LI,u 6 1 00,9,3 Holding St/Ht Inlet 6.1 1 © ,Z 'I TANK SETBACK INFORMATION St / Ht Outlet Vent TANK TO P/ L WELL BLDG. AirIto ntake ROAD Dt Inlet ,3 a- cj~J, G 7 Air Septic > S-4) G D a~ S > I S NA Dt Bottom , $ 3 1?, S~ Dosing >IUU~ 7b b &'oi NA Header/Man. a,C{a lod 49 Aeration NA Dist. Pipe Holding Bot. System OL PUMP/ SIPHON INFORMATION Final Grade Manufacturer ~k-bem,. Demand 5Tp,JeC&1-_1 3,-7 lo 1.(.7 Model Number _ G; GPM TDH Lift Friction Syestem TDH Ft Forcemain Length (12 Dia. HH ► Dist. To Well ` SOIL ABSORPTION SYSTEM BED/TRENCH Width (01 Lengt No- Of renches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 30 0 DIMENSI N SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O - ~L]U f model Number. System: I' 1':'-! - 3 1 OR UNIT DISTRIBUTION SYSTEM Header/Manifold I Distribution Pipe(s) I x Hole Size I x Hole Spacing I Vent To Air Intake Length Dia. I~ 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 Bed /Trench Center C Bed /Trench Edges !9 Topsoil ❑ Yes ❑`No ❑ Yes e-No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: KINNICKINNIC 35.28.18.545 3 v ~J2"I C!)' 3. Plan revision required? ❑ Yes ❑ No Use other side for additional information.) SBD-6710(R 05/91) Date Ins ector'sSi-nature Cert. No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 9 r 7 t ey 1 j II C e, LHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY G s,u,wr~w,vs STATE SANITARY PER M3# -Attach complete plans (to the county copy only) for the system, on paper not less than / Ai `T 8% x 11 inches in size. ❑ ciSack if rev revious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S f3 - ©Z '17 3 PROP W ER PROPERTY LOCATION rN~ i~ V AlIV'/a *C- % S 3 S T 2-P, N, R S E or) W PROPERTY OWNER'S MAILING D ESS LOT # BLOCK # a<O PR ! 4. S A&tS CV,f STATE ZIP CODE PHONE NUMBER SU DIVISION NAME OR CSM NUMBER n ~'~I7e ~ syoz~ yz~ s38s Ls~l I" 2,4C l II. TYPE OF BUILDING: Check one) CITY - r NEAREST ROA ❑ State Owned Z LL/1GE k/ ~41.1_ ' ❑ Public IJ 1 or 2 Fam. Dwelling-# of bedrooms - Ill. BUILDING USE: (If building type is public, check all that apply) D'L Z 0®116000 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 8 ❑ Mobile Home Park 12 ❑ Service-Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPP PERMIT: (Check only one in line A. Check line B if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4.0 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 Pressurize stribution Experimental Other 11 ❑ Seepage Bed 21 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ 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. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION goo 2-50 3~ S 1. Z . S' ~O Z Feet 103. s Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holdin Tank 0= Lift Pump Tank/Si hon Chamber VIII. 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: ~ i 241 bR 1?4 &SZ, zo4 3 30 7 715 3a(oA018,` Plumber's Address (Street, City State, Zip Code): IX. COUNTY/DEPARTMENT USE ONL Signatur ❑ Disapproved ita r rmltFee (Includes Groundwater ate ue issuing Age It GU Surcharge Fee) (Approved El Owner Given Initial NJ Adverse Determination ' X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Pib-67) (R.11/86) 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 (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 ,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 then 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; sail 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. SBD-6398 (R.11/88) d SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations August 16, 1993 201 Fast Washington Avonue 1', Box 7969 Madison W1 53707 ULBRICHT & ASSOCIATES ROBERT Ui.BRICHT 655 O'NEII ROAD HODSON WI 54016 RE; PLAN S93-02473 FEE RECEIVED; 180.00 BAUER, DARLENE NW,NE,35,28,18E TOWN OF KINNICKINNIC COUNTY Of `'T CROIX MOUND SYSTEM The Department has revipwed the abr,vp--referenced submittal. Conditional approval is herehy granted for the system plan submittal. All noted items must be corrected the rrav-iew and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters 11_HR 83 and 84, Wisconsin Administrative Code; and is contingent upon (.-omplian(e with any stipulations shown on the plan4. This y~tem has riot boon re-.viewed for the coda requirertiont: set forth in chaptor ILHR 82 or, in chapters 11.118 50-b4; Wisc.o'nsin 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 or) the day the initial sanitary permit expires. The liconsnd 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. Please refer, thown above. Sertion of Private Sewa ga t 6O8j 266_.?889 sBD.7997 i R. 01/91 i r y PROJECT INDEX SH` sFT OWNER : !24R/E•v,=-- Si OE-/P- -71 y~ Cp - 53 3 ADDRESS : /3q3 ~O „a.~ • ~e/ •ile Qe &s IVII . -41;0 2.Z. SITE LOCATION: /l/25- , IVE, .S7G. 35 , TL N, le i` PROJECT DESCRIPTION: ,cT C~po°x edZ1,w y CO.v s TiPv G Tio•~ • Z l^3 t M . 1''~ ~t 0 P OS C'D y S D O / W!f `S`/t 7~~04~ . ~0 T-" ES l' ~--a [7 90 Sd i/S ~'iE' ptaeMi~1,a/E' 8 ~ T v rv10 E12 G~ ~ ~ r4 T ~v W i TvR~~ Li:KES Tv F , 4VD 14 f7`IC-ED X17- T r w t r ?-c s PA 0Sjo llocwD - Sol'/ SAND Lo N ck (2 0 k7 DES/ ~rJ 104,,O/',c36-- A4 72c-7 p- ED PAGE I. PLOT ?LAN VI WS PAGE 2. MOUND CROSS SECTION & SYSTrM PLAN VIEWS PAGE 3. PIPE LATERAL LAYOUT .PAGE 4. DOSING OR SIPHON CHAMBER CROSS SECTIONS PAGE 5. PUMP PERFORMk14C'? SPECS OR SIPHON SPECS I S03--024'73 PLT"~~IBER : pG~ DESIGNER A . ,k {Tpg~RT W. p1160 DATE : F 4F OWN M. KOSOK a WIS. SIGNATURE : PA.~ r . hG.. l o -F S ' - /fit/t1 D~pivE ELEVf4T1p~ S 3 ~ 9q. s~ B3 /od. o~ y /oo, 70 ~ = y ~ /~,po osED Z~.viF4RM To ~ vi ;v 99.60 F-j/4C~'/7~0 E Ar5 0 = 6 x,'s rya G- 1 ~E'.9DE /"~iPopos~ p 2/•u~{~~P~ ' ~P•tD~ - /~-v~+r/ors t/~II~F7re,~ ~,v~~ 13~v /oC~.o P~i~r of yo Ass 1,Vo1os&-,C' sy5725-Al 4u,.dYN- 2y S11 AJD /oZ,O L F, cool,, 2. Q S SP~~ ( G~ coR,v S~w EIZ Sft~~ ou> ~ ~a~ ~c~Q /o/, lh T ~D t' 4~Q G ,a2.~ S93-42.4'3 QeCe-46T v sclf..~3/ S~PTiG T~~K 4r y „lr~'loi~~T f Sy tae w 800 lot - pleec^sr IvEE,'S CONGtC7~-~ td'• O t'u~11 c-~~A►+~iEP~ New ,P~~l+.aa,tiv W/S . z5 i-ot~ of 2" - - 8 3 FORCE MINA o_ _ J $2. X - - - ZP w" r To U~vDi57uR/3 t~ Or Go,P~/ER Gvooo +7 ~e-ucE- /aosr fit 5 TviPE ~le~~nov = /00 -D fPoti EAST yo Gu 1-5 14 VF-R 7- EGEU.q-TioyS T'op of ROCK /D Paget of S TAP o f it I ri T E~ 6 1- 5 Synthetic Covering Distribution Pipe Medium. Sand S y tTEH 1 G EtoVATI00 Topsoil srm = F /o ~.O 3 I E 0 r1 Z % Slope uNt St U Bed Ofr Force Main Plowed ' Layer Aggregate UN~v.P.~-t ToE ww~ D Z' Ft. E Ft. Cross Section Of A Mound System Using F ,~O Ft. ~sqS A Bed For The Absorption Area G A D Ft. PG A,.. Ft. H 1•5 Ft. 01$ l3 Ft. ~M S K Ft. - 3 e~A ti L Ft. (O i ti~ ~ N a GE J Ft Q~ppRZ~'t' j ~ypF,1~ ~3 Ft. orce Main W Ft S 9 3- Q 2 L~ 73 L. - Observation Pipe 't B -•L-- K Distribution Bed Of i Pipe Aggregate Observation ; Pipe Permanent Markers y Plan View Of Mound Using A Bed For The Absorption Area U~ D~L E rGAi~~/; wAsTE~/~W yS~ C r413%f 0 sQ. r2 A-/~F~1- 5/0 ;tip S~T,E ,l3 x ,q t .I G- 7,5- .r Page 3 Of r Vold V o /Vm E woe 25 F1' Pig- Z Uc ioRt:F It4 ,S j Perforated Pipe Wall 2c~J,ei Gti T A-e VAt aAfe VAC U,4 En Vie Perforated End Cap) .i° PVC Pipe 1 . e~°" • Holes Located On Bottom, ~JJJJ Are Equally Spaced R PVC Force Main Q PVC Manifold Pipe , Alternate Position Of Distribution Force Main Pipe Lost Hole Should Be Next To End Cap ~ /9II0~ {OBE' / r end Cap Distribution Pipe Layout P 3c, Ft. y tA>b L,v A/IS R 3 O 89 3' 024 73 SPG XInches Q~►s'n ~~o Y Inches V Ph E~ Hole Diameter ~y Inch p~O~P OWN Lateral Inch(es) Manifold 2 Inches Force Main Inches OCpa 0 ~~Sp # Of ` holes/pipe ~a G~ Invert Elevation of Laterals ~01~5Ft. ~P/4TE ~pR E~cIL ~i4TEh'%}~ ~f, 7t~ y'aQ ~►+,w~.. P1.67 ~ 3UrIOA1 l i54A4,iPy e ~ • ?~oT~~ d~s~~~,3vTip,~ .aiSGti.A~GE q ~~'flvoA°~ - /1E~p . 1;(S67 J f'LI4;hP CHAMBER CROSS SECTIOU AND SPECIFICATIONS )914 le ~f OF 5~ I VENT CAP 'i"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING 7 JUNCTION BOX M.P I,IHOLE COVER 2-5' FROM DOOR, " j (vA(,U~,v(! WINDOW OR FRESH 12"MILT. AIR INTAKE /f "i►T"O, GRADE I 40 MIN. 1 J, tiRA~~ ~ I i le"Mlu. Z,--w a 1 10 rr CONDUIT-- 3~ ' 1 _ PROVIDE ( - INLET AIRTIGHT SEAL I III I ~'1, 7 ~ 5 ~ ~ v I III APPROVED J01►JTS APPROVED JOINT/ A IN KnlA I III W/C.I. PIPE 1J/C.Z. PIPE I I I ALARM EXTEWDIMG 3' I %XTEND(NG 3' '00 4 I ! I ONTO SOLID SOIL OWTO SOLID SOIL B 9 q. ( I ' II 3, ~ z r' 3k I I ON ELEV. FT. I , PUMP ~ OFF D BLOCK LL 'I II~ K %~DDI a ~/EVltfiDAJ 20 RISER EXIT PERMITTED OWL4 IF TAWK MANUFACTURER HAS iS LH APPROVAL i SEPTIC E SPECIFI.CATIOUS S g 3 2 4 3 DOSE TANKS MANUFACTURER: ~jr ~O LIUMBER/OF DOSES: PER DAy TANK SIZE. LGALLOWS DOSE VOLUME /MM INCLUDIMG BACKFLOW~ GALLONS ALARM MANUFACTURER: E MODEL LUMBER : 3) CAPACITIES: A=/_IUCHE5 OR ~ GALLONS SWITCH TYPE: )4a kc L; P. y F 10 A T- L= INCHES OR GALLONS 5. PUMP MANUFACTURER: INCHES OR GALLONS MODEL NUMBER: 1100 Y3- tT fl © INCHES OR ` GALLONS SWITCH fyPE: Q1 L~~~G~ MtR~uR y Flah NOTE: PUMP AMD ALARM ARE TO BE INSTALLED OW SEPARATE CIRCUITS MINIMUM D154HARGE RATE- ~ _GPM [C f~ S ~~GS VERTICAL DIFFERENCE 6ETWEEN PUMP OFF AMD DISTRIBUTION PIPE..~~?j -FEET f J/~ r"1► Gin { P -1- MINIMUM NETV,'A-, t SUPPLY PRESSURE . . . . 2•5 FEL O + FEET OF VORCE MAIN X Jl9 FYoftFRICT1om FACTOR.. FEET -40,A S 2D ~ S Ads. - - TOTAL DyNAMIG HEAD FEET ?ov..~p 91/ 3 f INTERNAL DIMEIJSIONS OF TAWK: LENGTH ;WIDTH iLIQUID DEPTH 4 4NS SEWAGE SYSTEM 'APP VED DEPARTMENT Of IND RY -SOR AND HU 1, ELATIM DIVISI ETY ANU SUI I, T AT &f AF f ` SEE CORRESPON)WRdl y HEAD CAPACITY CURVE 3 7/8 6 1/4 2 MODEL "98" 4 s/e 30 ~ . - _ 8 6 25 I 3 5/8 = 6_20- + + O ' 1v 4 3/16 4- 150 1 1/2-11 1/2 NPT 0 1 2 f 5 0 U.S. GALLONS 10 20 30 40 50 60 70 80 LITERS B0 160 240 0 FLOW PER MINUTE TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING CAPACI'IY 1HEAD UNITS/MIN FEE, METERS GALS LrRS 5 1.52 72 273 10 3.05 61 231 /16 15 4.57 45 170 3 5 20 6.10 25 95 Lock Valve 23, - - J(x J n CONSULT FACTORY FOR SPECIAL APPLICATIONS 4 Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and supplied with an alarm. three phase systems. r, Mechanical alternators, for duplex systems, are available with or • Double piggyback mercury float switches are available for without alarr i switches. variable level long cycle contro SELECTION GUIDE 9 31-024 7 3 1. Integral float operated 2 pole mechanical switch, no external control required. Standard all models - Weight 39 lbs. - 1/2H.P. 2. Single piggyback mercury f!cat switch or double piggyback mercury, float 98 Series Control Selection switch. Refer to FM0477. ; Model Volts-Ph Mode Am s Sim lex Duplex 3. Mechanical alternator 10-007.2 or 10-0075. M98 115 1 Auto 9.0 1 or 1 & 7 - 4. See FM0712, for correct mo«al of Electrical Alternator, "E-Pak". 5. Mercury sensor float switch 10-0225 used as a control activator, specify N98 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 duplex (3) or (4) float system. D98 230 1 Auto 4.5 1 or 1 & 7 r4 6. Four (4) hole "J-Pak", juncti-n box, for watertight connection or wired-in sim- 698 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 plex or duplex operation, 10-0002. 7. Two (2) hole "J-Pak", for watertight connection or splice. CAUTION For information on additional Zoeller products refer to catalog on Combination Starter, FM0514; All installation of controls, protection devices and wiring should be dons by a 9ual - Piggyback Mercury Switches, FMO477; Ek+.,etical Alternator, FMO486; Mechanical Alternator, fied licensed electrician. All el"Ical and salety codes should be followed inolud- FM0495; Alarm Package, FM0513; Sump/Sewage Basins, FM0487; and Simplex Control Box, ing the most recent National Electric Cods (NEC) and the Occupational Safety and 0, M0732. Hearth Act (OSHA). RESERVE POWED DESIGN into the design of every Zoeller pump. - For unusual conditions a reserve safety factor Is ~ RED MAIL T0: P.U. BOX 16347 Manufacturers of . Louisvrlis, KY 40256-0347 SHIP TO: 3280 0~:l Millers Lane 0 Zjjffjjfj01F O. 'A Louisvide, KY 40216 QUAL/7YAWPf ''µ,-E (502) 778-2731 0 FAX ('502) 774-3624 I~ . s ~ FILED g ~AME3 " J 1993,E o 504410 Fsislero eeds« St W1 CERTIFIED SURVEY MAP DAFLYPE AND DEAN BAUER Part of the Northeast 1/4 of the Northeast 114 of Section 35, Township R8 North, Range 18 West, Town of Kinnic{<innic, St. Croix County, Wisconsin. N I14 CDR. SEC. 35, re 8N, R/BW, UNPL A TT ED LANDS NE COR. SE C. 35, T28N, RIB W, 12" IRON PIPE FOUND) I COUNT Y SURVEYOR'S MON.) iD N 90• 00' 00 "E 2633. 32' N L IN E' N£ 114 544. 45' ! 1516.76 1 76' 772.3/' - '544. 437 33.00' 11 772.29' O N90• 0'00"W /3/6.74' O /00' 1~ ROAD SETBACK LINE 11 M APPROVED iI DRIVEWAY W 1 ,l 1 s 7 I~G II ff] DWELL /NG o 2 b I) • W St. CROIX COUNTY W E4 C W ~r z 2 AF#Pehonsivw Plsal oft N SHED I 1 I Zoning sand o o ,\1\-00 i/ i 3 raw*S Com"ot" 3 - GARAGE ~ to h BARN N not roccwdod , N O within 30 days of M N N N a M b • b Q POLE SHED a awoVal data o o r; ° W N •ppfovai shah be m N Q N h RuLOT~I LOT 2 " 10 o 16. 324 ACRES 23. 408 ACRES p 719, 777 SO, FT. 0/. 9; 674 SOFT. ? 16. ACRES EXC. ROAD 22. 823 ACRES EXC. ROAD R.O.W. h R, 0. W. 994, /90 SO. FT. V 701, 809 SO. FT. Q O y 2 yol QI G J Q p 0 Indicates 111 x 24. 11 iron pipe weighing Owner's Address: JI W1 1.13 lbs./lin. Ft. set. 1393 Halo. Drive p #-Indicates fence. r15, River Falls, WI 54022 4JI Q Phone No. 1-715-426-5385 This instrument drafted by La rence 14. Murphy I` Q. QI J :?-,I 2 ZI 77 67' 4' J 544, 45 S 89. 53' 46"W 1316.12' S LINE N Ee1`f~II E 114 N UNPLATTED LANDS 1~~~~~{ • ALL BEARINGS REF. TO THE NORTHLINE S :LAUR CE m j OF THE NE 114 OF SEC. 35, T28N, R/8 W, = 1Ti W MU H O 10 Z ASSUMED N90'00'00"E a JFR9 RIVELS,_ Dated: July 12, 1993 WISC. , F,q ............•C% tdAW by SCALE l 200' , O 50' /00' /50'200' 300' 400' 500' 1 StE•t3T ♦~iLE~ Surveyor h j SHEET '1 OF 2 o ~ a Vol. 9 Page 2671 , Certified Survey Maps Q, St. Croix County, Wisconsin. m ...mss S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ADDRESS 7L37f FIRE NUMBER f / CITY/STATE 'SaZ"Z'" ZIP r" PROPERTY LOCATION: N 1/41 N~ 1/4, SECTION 3r , T Zf N-R w W TOWN OF • , St. Croix County, SUBDIVISION CS f( O ~~C , LOT NUMBER_ L_. Improper use and maintenance e 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 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 system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater 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. 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 stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE : /`mss 7.e...... St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 l', 14 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. Should this development be intended for resale by owner/contractor,(spec house), thenia second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ---------------------------------nn-------------------------------------- - Owner of property 9AR l'~' 13 ,+V e`7 Location of, propertvNV J 1/4 NC 1/4, Section 35 , T ~ N-R_Y_W Township Mailing address 13 M-4`0 Po< Z, Address of site _ ~7 g j ,4/0 R,40~ 65~~ 50 qqlo 111,01,,7 Subdivision name 4_4i. , Lot no. Other homes on property? _yes No Previous owner of property Total size of parcel 16 ` 5 AG`Z S Date parcel-was created Are all corners and lot lines identifiable? _Yes No Is this property being developed for (spec house)? Yes No volumeff a Page Number 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 & 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 references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER.. CERUFIOATION. I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in t e office of the County Register of Deeds as Document No._ 7 ' , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system,; and the same has., been duly recorded in the office of County Register of deeds as Document No. Signature of applicant . Co-applica y,,J) /7 9 Date of Signature Date of Signature 6 SD r 11[GOaO~so OATH -nla ar+os i - OpGUMENT NO. SBAR OF WISCONSIN FORT[ 1- ' WARRANTY DEED REU vet 999w407 sr. a~nccrA. Reed fir Record This Deed, made between Hairy L. f_eskar.---...... MAR 311993 (grantor. half.......... Blot • ana...AaxlYma •lt•a•__Hauax.a.••an•• undl~ided_..ane. Aax..xt:.ktax...QVZn...xgh t...and...as...a.--o i.n..x~nanit ~t kh...QXktaz...g~caltkans ...DAan.A.:..flauer_._aad...Iean.-H.., uer, Ain..3tnd.ivided...ana-half... int"'at,..as...jaint*. Grapt a. ~ W itnesseth. That the said Grantor, for a valuable consideration. _ - . the following described rql esta - is .$.t.. Cx'QiX -s convoya to Grsntee County. state of Wiscousin: - ~ *tenants between'themselves and as joint , with Darlyne R. Bauer TssparatNo:::.. The North-.Half of the Northeast Quarter. (NJ of NEB) +Y . of Section Thirty Five (35) Township Twenty Eight ` (28) North, Range Eighteen Z18) West Q• • _p (It isY intended by the grantees that in the event either Dean '-A. Bauer. or'Jean M. Bauer dies leaving a survivor, as between the two of them, .the survivor shall receive-the decedent`s interest. In the event ofq % the death of Darlyne R. Bauer, her one-hsu=vinteresttshall- go to s Dean A. Bauer and Jean M. Bauer, or t n This ...Jrg..110t bomestead Property- - (Ia} (ie act} , - • - Together with. alt asd singular the insaditamenta asd aPPurtenancss thereunto belonging; And ...RaT yi:... B defeas warrsats that the titL b gt good, iadefeaaibis is fee simple and free and clear of aucumbrsnees eYCept :easements restrictions, and rights-of-way of record, if any, and will warrant and defend the saws. Dsnd this . day of....... .March L) ~~.~rD.C1=1'•.(SEA • ......(SEAL} Y Hai ..fir r...ES,a)ti . _ ' . •waa.n~ _ _ .(SEAL) .............(SEAL) . ~ 0 • • 4!) 2 44 >I[ 1CC"~?ION ACKNOWL19DOYEN? STA E OF WISCONSIN 1:ri3~;`wa. .......County- as. W - before me this - 23td...day et aathoatie .a trr :"ti iy of p l'iaXGh . 19-9.3.: tb. above named _ _ - » HaxrY..L...Zeakar..........: . TMA: MZMBER STATE BAR OF WISCONSIN - (I! sot. 706.06. Wis. State) to me known•to be the Parses who executed the a~bp! iced by S foregoing instrument and acknowledge tl1 same THIS INSTRUMENT WAS DRAFTED eY Gexlord4 `AttogHsY . a....... - - • Notary Public a:Pi, Wis. ....11ye.r._~:R Ea- l![y Comm ion permanent. Tt not, (signatures spay De authentkatsd os acknowledged. Both 19~.ef .I are not necessary.) date:... . a7f•M d tm••~ fa W .•v~IV~. k Vv~ ,dstd woa+ tide dtaara RAT' BAs Of _111_ NUN Stock No. 13001 /ORM !Iw t - lfei s &wow