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HomeMy WebLinkAbout026-1041-40-100 i °C o 3 C; o O N y M 0 O~ C O O ~ N O va'' ~ I I N N 'O N w O y O N C z L ` LL co O 3 -0 a Q U I M d' I N w Z E Z = °o Z a m Cl) z 0 O Z d o v ~ ~ I w o t/1 H z -21 Cl) l ~ C l~l c N 0 C) O Z Z o N Z U') c c PO CN c N N E > c ~i to C « U L .0 o ! D d aa) 6 2)Z •N ~ !maaa CL Z M Cl) 1~ 7 O N U) V y 0) 0) O Z Q N f~ ~ L _ co W c d d P .2 Q 41 Q ~ ~ O H IIJ 0 c e c =3 C, ~i O D H C U d p ` L N -0 7 W /J l~0 N C ° V O C N C O Cl) 7 O _ «U C E _N G Y d Z C N • ~ N t? Q C) O C O U O J O Z Fr2 U) v~ d R I € IL L 2 r- 41 r- A c~(L !ovici i STC - 104 AS BUILT SANITARY SYSTEM REPORT A OWNER I ► ~ ADDRESS O Lo ~tiynb e~l~y~d wt* kj So rner~s~T ~y a a-S SUBDIVISION / CSM# au~Q U1 ~ LOT # T SECTION _T 0 N-R_J_~r W , Town o f- )Q't- m o f1 ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM tl4~ 3p3 7 1600 rz RECEI ED ~o 311 SEP 2 1993 co 3 ST G ix 000 , INDICATE N RTH RROW 9 y If Provide setback and elevation information on reverse o this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / Manufacturer: WQ`~Syz~ Liquid Capacity: Setback from: Well 70 House Other Lo 'E o 3 I I L Pump: Manufacturer Model Size P Float seperation Gallons/cycle: Alarm Location -:SOIL ABSORPTION SYSTEM Width : Length 93, 7s Number of trenches Distance & Direction to nearest prop. line: Setback from:. well: House Other ELEVATIONS Building Sewer g3Fev ST Inlet. 9,2•~~ ST outlet PC inlet /r 405 PC bottom 57, 85 Pump Off $g, S 5 Header/Manifold , SS Bottom of system 1.~ Existing Grade 7 Final grade DATE OF INSTALLATION: PLUMBER ON JOB: C~y;,r~. ~10 w Q rS Y%. LICENSE NUMBER: INSPECTOR: 3 / 9 3 : j t -s ' LOQMiAl pa rEA1QHMNtdy,14.30.18 . FRR& MA SN19WmTURE, n . Labor and Human Relations INSPECTION REPORT SMe~,ty and Buildings Division (ATTACH TO PERMIT) sanity nni GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village Town of: State AMP SWAP, Insp. BM Elev.: BM Descripti Parcel Tax No.: e26 1:041-40 00e TANK INFORMATION ELEVATION DATA A9300170 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft oss Head Forcemain Length Dia. DiSt. To Well SOIL ABSORPTION SYSTEM BED/TRENCH width Length No. Of Trenches PIT No. Of Pits Inside Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer- INFORMATION INFORMATION Type O CHAMBER Model Number: System: OR UNIT DISTRIBUTION 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 Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: RICHMOND 14.30.18.200B,NW,NE,LOT j!LAVENrM, 157TH AVE. t r 1. o } .la, : j e .ti q V Plan revision required? ❑ Yes ❑ No ~ 18 R3 Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: .e~ vas _ A DIL R SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATES ITARY PERM # -Attach complete plans (to the county copy only) for the system, on paper not less than 8/ x 11 inches in size. ❑ Cfieck if revisionvious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER \ PROPERTY LOCATION %4, S j T N, R t E (or PROPERTY OWNER'S MAILING DDRE LOT # BLOCK # Al CITY, STATE ZIP CODE PHONE N MBER SUBDIVISION NAM R CSM NUMBER II.4 TYPE OF BUILDING: (Check one CITY NEAREST RO ❑ State Owned ❑ VILLAGE : { 15Z ~11 A V K2 =N QF ❑ Public ~ 1 or 2 Fam. Dwelling-~# of bedrooms PARCEL TAX : III. BUILDING USE: (If building type is public, check all that apply) Q r _ ^ I O L( 0 1 ❑ Apt/Condo VJ 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 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. X New 2. ❑ Replacement 3. ❑ Replacement of 411 Reconnection of 5.E] 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 430 Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ~j ELEVATION T 3? ~1 37~ Al. A (`5' Feet V, Y Feet VII. TANK CAPACITY Site in gallons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank QZn7 Lift Pump Tank/Si hon Chamber SIP 17 5D Vill. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installatio f the onsite sewage system shown on the attached plans. PI ber's Name (PPeZAX.,_~ Plumber's Sig ature• (No Stamps) ~/MPRSW No.: Business Phone Number: I; ic, i s 3 Yre 5/ Plumber's Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater a Issued Issuing A %nt Srt~=) ❑ Approved ❑ Owner Given initial Surcharge Fee) -7-12 . 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 t ~ INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Yqur 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 uwriership or plumber requires a Sanitary Permit ?'ransfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewn-e sy:;!t.rns must be properly maintained. The tank(s) must be: pumped by a. licensed pumper whenever necessary, usually every 2 to ° years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the - State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include:- _ A 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. Vl. Absorption system information. Provide all information requestr.d in ##1-7. Vli. Tank information. Fill in the capacity of every new and/or ex;sl+rrt wank, list the total gallons numter of tanks and Y~anufacturer's name. Indicaia prefab or site cons3,~.: and tank material. Gomr.iete for all septic, pump/siphon and holding tanks for Ills system. Chp- lr ~ ~,erime:ntal approval only if tanks received experimen-a' product approval from C)FLHl 1. Vlil Pesponsibility statement. Installing piumbgr is to fill in :rr ;irt {rse number witn arproprr!lte prefix (e.g. MP, etc.), address and phone number. Plumber must sign app, i(.iJ,on form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and speciflcations.not SIT,ar!ar than 8'/2 x 11 it the mast be ~,ubrrittcd 'o thc. ocunty. The pica s mu-;, ioc;;a(Je the tollowing: A) plo s`;-!-,, draw"1 to scale complete ~Itx~c„?n; rc, F4c3'tion of hold g tank(s) or other t',.:.Ament tanks; bU.' i. vers' wells; waaier mni s 'Hater service; strear7is and lakes; pump or siph(.,,(r tariKs distribution boYC : ~rhsoiption systesris -ui~a- emert system areas: a:.. "hr :ocati )n of the bui ``art r B) horizonta -•rtical elevation -:4,_7r,>nce points; C) complete specifications for pumps ar.d cortrols; dose voiuned:--, ?ievation differences; triction 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_ GROUNDW* ER SURCHARGE 1983 "Jiscon=_.ir; Act 410 included the creation u_ swc Hart(?? - (1c,-s) for a number of regi-i '_:.tr d p -,:`ices which can e ect g-oundw. ei, The `~s ,:;-y ected Orrough t'.ese surcharges are used for : ionitorir .^ro!. rldwatc: gr~ an ;J . water contarYiirl,AilOn in-estitgations and establishment of stan'lards r SBD-6398 (R.11/88) Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEMS Private Sewage Section Labor and Human Relations 201 E. Washington Ave., Rm. 141 Safety and Buildings Division PLAN APPROVAL APPLICATION P.O. Box 7969, Madison, WI 53707 Bureau of Building Water Systems (608) 266-3815 INSTRUCTIONS: Please fill in all applicable data and submit this form with plans. Plans will not be reviewed until all fees are received. The reverse side of this form describes most of the required plan information. Further requirements may be contained in the Wisconsin Plumbing Code, which can be purchased from the Department of Administration, Document Sales and Distribution, 202 South Thornton Ave., P.O. Box 7840, Madison, WI 53707, Telephone (608) 266-3358. 1. PROJECT INFORMATION (Type or print clearly) Plan R view ppointment Date Plan Identification Number 7 9 659 7 N e of Submittin arty (plans returned to same) Project me Street Address, P.O. Box # or Rural Route Project Address or Legal Description APO"' /kOL tre. T30 .)V.- City City or Villa State Zip Code City ❑ County. ,5-S/p/ Village ❑ of Telephone No. (include area code) IF& -5/ 3S Town ICh YYI OdaII 5+, "dtX Designer Name f Owner 7 E >9II eve Telephone No. (inc de area code) Telephone No. (include area code) . Address, P.O. Box Street h or Rural Route Street Address P.O. B x or Rural o* o Route 4010 r„b'w/'t City or Village State Zip Code City or Village State Zip Code S o.DS 2. PPLICATION FOR; ❑ Experiment Mound System ❑ Holding Tank New Construction ❑ Large System (over 8,000 gpd) Conventional System ❑ Groundwater Monitoring ❑ Replacement ❑ At-Grade ❑ System in Fill ❑ Petition For Variance Revision: In-Ground Pressure ❑ ❑ ❑ System in Flood Plain (attach SBD-6698) ❑ Other '3. FEE COMPUTATIONS (include existing tanks) FEE SUBMITTED FOR OFFICE USE MAKE ALL CHECKS PAYABLE TO SAFETY & BUILDINGS DIVISION. a. 750 1,500 gallon septic tank $110.00 hfO b. 1,501- 2,500 gallon septic tank $120.00 C. 2501 ; 5,000 gallon septic tank $160.00 d. 5,001- 9,000 gallon septic tank $ 200.00 e. 9,001- 15,000 gallon septic tank $ 300.00 f. Over 15,000 gallon septic tank $ 500.00 g. 500 - 1,000 gallon dose chamber $ 70.00 7O h. 1,001- 2,000 gallon dose chamber $ 80.00 1. 2,001- 4,000 gallon dose chamber $100.00 j. 4,001- 8,000 gallon dose chamber $120.00 k. 8,001- 12,000 gallon dose chamber $140.00 1. Over 12,000 gallon dose chamber $160.00 M. 500 - 5,000 gallon holding tank $ 60.00 n. 5,001- 10,000 gallon holding tank $100.00 o.~ Over 10,000 gallon holding tank $150.00 p. Revisions $ 50.00 q. . Groundwater Monitoring - Per Site $ 60.00 (other than a proposed subdivision) r.. Petition For. Variance: , Setback $100.00 Site Evaluation $225.00 Plumbing $225.00 s. Experimental System (additional fee) $ 300.00 Subtotal: t. Priority Review: Enter same amount as Subtotal Total Fee: go NOTE: Plan reviews should be scheduled prior to submittal. You may contact one of the offices listed below. Hayward Office LaCrosse Office Madison Office Shawano Office Waukes~ a Office 209 W 1st Street 2226 rose Street 201 E. Washington Ave. 1053A E. Green Bay Street 401 Pilot Court, Suite C Rt 8, Box 8072 LaCrosse, WI 54603 P.O. Box 7969 P.O. Box 434 Waukesha, WI 53188 Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Shawano, WI 54166 Phone (414) 548-8606 Phone (715) 634-4804 Fax (608) 785-9330 Phone (608) 267-5119 Phone (715) 524-3626 Fax (414) 548-8614 Fax(715)634-5150 Fax(608)267-0592 Fax(715)524-3633 SBD-6748 (R. 05/92) NOTE:Fees ate pursuant to Wis. Adm. Code, Chapter ILIIR. 2, and OVER . are subject to change annually. WORKSHEET - MOUND SYSTEM DESIGN PROBLEM: Design a mound system for a 2 r r7 The site characteristics are. V 11 Depth to groundwater or bedrock Sa in. Landslope G ~0! ? Percolation rate .'...3 • Distance from dose chamber to distribution system ft. Elevation difference between sump and distribution system ft. ~.r 5o • Step 1. NASTEWATER. LOAD = gal.- Step 2. SIZE THE ABSORPTION AREA ti A) Area required sq. ft. j , B) Bed or trench lengthy (B) ft. C) Bed or trench width (A) _ ^.y. ft. • ! D). Trench spacing (C) Wastewa ter load .24 gal/ft2/day B = ft. trenches -NzL Step -3. MOUND HEIGHT A) Fill depth (D) _ ft. B) Fill depth (E) = D + slope (A)+P ft. C) Bed or trench depth (F) _ 18 ft. D) Cap and topsoil depth (G) ft. E) Cap and topsoil depth'(H) _ ft. Nipn: Id, Zicenc~e i~U:.,_ I-S Step 4. MOUND LENGTH n:7 ~t ry A) End slope (K) CD + E +F+H x3= S 3`~~,•/' ` am--~ . 5 J )t 183f7, X-3 =/0 °S B) Total mound length (L) B + 2(K) = ILL ft. 93,~st a&o,)= l 3 5 Step 5. MOUND WIDTH Al) Upslope correction factor = 97 A2) Upslope width (J) (D + F + G)(3)(factor) _ got 3 ft. • C /t.83 (3)( X97,. 8 3 ~ B1) Downslope correction factor = '40 B2) Downslope width (I) _ (E + F + G)(3)(factor) _ t. Ao 3) Cl) -00 Total mound width (W) for bed J + A + I ft. I. C2) Total mound width (W) for trenches J + + (no. trenches -1)(c) + A + t. g,3 i0, s_ Step 6. BASAL AREA 'y A) Infiltrative capacity of natural soil 3 941./ft2/day B , Basal area .01 required = wastewater flow natural soil infiltrative• a acity /-sue sq. ft. SD 13 ~1~ff . /S5 'i C1) Basal area available for bed for sloping sites = B x (A + I) _ sq. ft. C2) Bas W are Ja+aiil le for trench for sloping sites = 1171,4 q . ft. YJ 93,75 ~,3t 1J = !/~/,k7s C3) Basal area available for trench or bed for level sites = B x W = sq. ft. Sign: License P Date: S 0 , l~~s~ 1 a 3 Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM r 1) Hole size = in. 2) Hole spacing = a in. 3) Distribution pipe length = in. 4) Distribution pipe diameter in. 5) Spacing between distribution pipes = D in. 6) Distance from sidewall to distribution pipe = in. S~3340.4.)7 7B) DISTRIBUTION PIPE DISCHARGE RATE ~ ft. 1) Number of holes per pipe„ 2) Flow per pipe 7 GPM. 7C) SIZE MANIFOLD 1) Manifold is central/ _ end 2) Manifold length ft, 3) Number of distribution lines 4) Manifold diameter = 3 in, 1 7D) SIZE FORCE MAIN 1) Minimum dosing rate GPM 2) Force main diameter ,-3 in. 3) Friction loss = p~ ft. 7E) TOTAk DYNAMIC HEAD 1) Vertical lift = g ft. 2) Friction loss 076 ft. 3) System head 2.5 ft. oar S ft. 4) Total dynamic head ft. Sign: License Date:-_- ~ of 7F) PUMP SELECTION 1) Pump selected will discharge ?D GPM at /a ft. total dynamic head. 2) Pump model and manufacturer G ohs P 7G) DOSE VOLUME S 9 4 0,49 7 1) 10 times void ovolume of disXrioutionlines = gal./cycle 09~ s 2) -Daily wastewater volume : 4 doses/24 hrs. _ gal./cycle 14 3) Minimum dose volume L.:K SS gal./cycle 76 7H) DOSE CHAMBER 13 1) Minimum capacity required = ScrD- 7Sd gal. ~ar O' N siga; License '.'u: -/S Date:- i J ! I - - I ! ! -Pa- 1_1_1_-- - .00 Nil 1J I ' ' I ' ! 1 o f U 1, PLY z Es I t. ~ I fy1S / SE JS4 Let- - - - I _ - - - - ! I I ~ I ' i LI`~~ l e F' Page 006 Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe -Medium Sand Tops J r - _ r 3 Bed Of 2 Force Main Plowed Aggregate- Layer k< D_LFt. Dt SAFE""'. ion A Mound System Using A zS ~ E dY Ft. N ENCE-A `Bed For The Absorption ATea F Ft. G Ft. n A ~ Ft. H h.S- Ft. Signed: ~s B_ Ft. License Number: 56,3 K /bj Ft. Date: 3Z.51 3 5L 11Y Ft. TT- f~,3 Ft. Alternate Position Z 1~ Ft. of Force Main W 303 Ft. L Observation Pipe i3 K W ~ Force Main Distribution Bed Of _2 2 12" Pipe Aggregate 1 Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area 1 PAgo. q /D • Perforated Pipe Detoll S934099.7 n End View Pertoraled End Cop PVC Pipe Rio woe , 0+~~ Holes Located On Bottom, s Are Egyally Spaced t;. • ` IT. ~b R:: tip' ~1~xC F. Q ~T~t, 1t c+tr i ` . i A 5 d , Lotl Hole Sh" OUT Reet To End Cap ' L-- a;. r - Distribution Pipe Layout P 7S Ft. a I ~ T RL S X -QY_ Inches Y PVT Inches Signed: Hole Diameter - Inch Lateral Inch(es) i i✓n~ Manifold Inches Date: , p > I Force Main " 3 Inches # of holes/pipe a.3 w. Invert Elevation of Laterals g2ia•3 Ft. ~aT- W~us 1N1~~ y lyisii~ta aF GEE R S c N - 1 N ~ MM~ ~ 'V Sal,440 % N O A O ~ N M N ft K I ~ N rt a N N O. i rMt1 tit r ftiD' - ~ n M ~ - N o a SYBTEM t~' a ly ~ ~F~t~ arc ,A mg) ~,Sa 5~ 3 PAGE OFD `Pl1MP CHAMBER CROSS SECTION AAJO SPECIFICATIOUS VENT CAP ~ 'i"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING 25' FROM DOOR, JUMCTIOU BOX MANHOLE COVER WINDOW OR FRESH 12"MIU. S 9 34 0.4 9 AIR INTAKE I GRADE 1 - 10"MIN, - - - - - - - PRPVIDE I _ AIRTIGHT SEAL I III V APPROVED JOINT WI C.I. P I PE . QF e±yR:;wTlt t , I III APPROVED JOINI CNDINIC- 'lPr. 3' ISI431I sps -.Ty I III W/C.L PIPE C /C ONTO SOLID SC::. I I I ALARM EXTCNOIAIG 3' B I ( ONTO SOLID SOP eKH • i'+. I I C S i I ow 'I I I I1 PUMP r OFF 0 CONCRETE CLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC AND SPECIFIGATIOUS ~ c DOSE TAIJKS MAQUFACTURCR:-LAS.US6e - IJUMBER OF DOSES: _.-_4--PER pAy TANK SIZE: - 7SD GALLONS DOSE VOLUME ALARM MANUFACTURER:_S ESP i INCLUC!!!-- Z.;C!.FLOW; A3/,S GALLONS MODEL QUMBER: ,l0/ -q I CAPACITIES: A= o3 INCNES OR 41104 ' CALLOUS SWITCH TtIPC: I G B-- INCNES OR 3's47 GAILOAIS PUMP MANUFACTURCR: -G Os q - /DI C = INCHES OR (O ~ GALLOfJS MODEL NUMBER: 3r 3 f P D' INCHES OR GALLONS SWITCH TYPE: Mehe IA ~ NOTE: PUMP AMD ALARM ARE TO BE PUMP DISCHARGE KATE J Gp ej/ INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERCNCC 15 1:u PUMP OFF ANp STRIBUTION PIPE., - FEET + MINIMUM NETWORK SUPPLY PRESSURE 2,5 71~ T~ FEET S + Z~ - FEET OF FORCE MAIN X i~F/ . ioo ILFRIGTIOAI FACTOR.. ~ 76 FEET TOTAL DYNAMIC. HEAD = Jlfc2. FEET INTERNAL RIMENSIDAJC OF TANK: LEAIC,TH ;WIDTH /jla ~ -V--;LIQUID DEPTH SIGfVED: LICEMSE HUMBER: _ 45/4- -117- OATE~ . .A. h Y. ..G t) ~b.S '.-SUUMERSIPLE. ~ ; 4: •S 1 AG 'AC ID:. EFFLUENT PUMM' EP0311 ~a• •x• . " LIST DTSIC. , t v GO. 3i1 142 FP0311 tat 11S v Etflumt pwr ~olidb 2S6:E0 17z.10 r Fti , , . • 7t ,S a M 1 a AEf#luent, Pump ¢ M' tj 04,9 7 . DEL OLDS SIZE ~AE7'!R2 FELT. 1:• . 30 . ~s } Vii', c •141 rEiQ}; '?:t: t < 10 t F.t fa h 6 Tr i 2 L tt Y# 0. 00 4 r 14 .20 2V :28 02 " 06 46 ' ; ?t i!!:d';+i:+• ~ ' r~ i ' - - a ,GPM . t 0 73 Wl/q QAPACf7v \t: 1 ~ L J ~ tti . -performance Curve '~~y); t+:. ,o 3885M00EL 3885 ~~4 ' - p SIZE.3/1" $011d ' ~~r,{ ,S 1 w worn r: ta•tt I T* WCOJL 30 ,•~i ` 0 • ` • • t y. •.T. ~ e w 00 00 q ' /0 too 1p • too orw ~i C~u.'4•% ' a w m !O IMA "Acffv t'r1Y••tw~ LI8T DISC. OOMT0311le 142 WC0311L 1/1 HP 115 V tCt► H 3/N ttollds 91.SS 729.35 i. "'C lvw-ko31'1M . 142 ' HE0311M 1/3 HP 115 V. Mod ft: 3/4" Solids 491.55. 329.35 3/40 :,sblida 704.25 j r r it \ t r .;GOIJFNi0511N •142 Vi60511H :1/2 315 V High A `1 •Kis IE0112N ' 112 NE0713ti -.3/4 -HP 230 V High H3:. 3/4• solids !{43.65 565.25'9 a " fls: =,Lt•Pa ~FCaLICWI?1G P!•CF IM P1RF'Sftl•W= Iota SPW rICATTCM- 10%88 CEhT 30 PAGE OIu. :'i . w. .r~• W scgnsin Uspartment of Industry, SOIL AND SITE EVALUATION REPORT Page of .3 Labor and Human Relations Division of safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code r COUNTY S`f. G I-c 1 a( Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNE~ PROPERTY LOCATION L All ip GOVT. LOT NA) 1/4 Ne 1/4,S T 30 . ,N,R jibr) W PROP RTY OWNER':S MAILING ADDgESS LOT # BLOCK # SUBD. NAME OR CSM # O!c la rt ~t / N/ Phi II, .C a Ue.~'t u.Ne. CITY STAT eY•g,,mT ZIP CODE HONE N MBER ❑CI []VILLAGE MOWN NEAREST ROAQ w sy ~Ghm /S 7.$ A . New Construction Use [ ] Residential / Number of bedrooms 3 [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow ~5b gpd Recommended design loading rate bed, gpd/ft2-, ay trench, gpd/ft2 Absorption area required bed, ft2 /5 ao trench, _ft22 Maximum design loading rate bed, gpd/ft2 ~3 trench, gpd/ft2 Recommended infiltration surface elevation(s) > ff ft (as referred to site plan benchmark) Additional design / site considerations + fviw erta Parent material We Y Flood plain elevation, if applicable ft . S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S vg u cgs ❑ U ❑ S X U ❑ S U ❑ S U ❑ S I w 16 ,7g$ 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 Trench B /5-a6 s r y S/ b k mv3 , s 3 Ground C li640 7,S h S /S f k m sli G 5 1 / elev. 9gft. C yfs-~y ~S- S/G S~i-Is a s h* m~~ G S 1 - Depth to limiting factor C22 Remarks: Boring # s • 3 Q-/7 /o t v s,! 56 1 C_% ~,s' w S ,5bk m~ cs a , 3 <a 17-,)-3 Ground.... a a3'yU 7. ~k 5 S - l 5 3 SDK M► c S 1 y elev. C' `f0-~S 7,S r 5 s°ht; C ov ►►Ifr C5 ( g ft. to r;l y5_40 71 5s _ S 1 S ►►1 GS Depth 1 - y limiting c 3i 7a 45/ 4Q 1 rntl~f G 5 • factor - 7A C`/ 7a-Fy .5i- a- s fs/ 1 to rnot~f- &s l Remarks: CST Name: leas Print Phone: Address: / w c.;. c'~ M o (j s~ o Signature- Date: CST Number: w ~ - s -9.3 .ss PROPERTY OWNER SOIL DESCRIPTION REPORT Page of PARCEL I.D. # Y Depth Dominant Color Mottles Texture Structure Consistence Bourclay Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench IV, t!! rh a s 3 r3 n-13 Ift ,15 d? 75 r -YJV S f.5m 3. C 5 '3 Ground C -S 7,,5 1 4 6 53 no; cs l , 3 ele V.1 ft. v. y C S Depth to , limiting factor ~0- Remarks: Boring # MIN ft' E Ground elev. ft. Depth to limiting factor Remarks: , Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # 4...... < Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) ~ I I I I . ' Or loo /.►~rv 1 1- y0 1 I D ' I I I I ; , r I I I I ~j~ t /~I I ~ I I I I ~ I 1 I / } l i I I I I ~ ~ '?r _ + a a, ~ r I j ~ I I ' I ~ ~ i t ~ I I ~ I I O,- ~/II**{.ir lei I~-$ I I i ' j j I ' ' I I j , I I i ~ ~ I ~ I ' -t r- t ~ I I I ~ I I I I I I I I I - i.__ ~ I I I I ~ t ~ I 1 ' : 16-4 1 I I l i l~ l , I ~ I} -I j I I I I I I- - ~ Y 8cLA_~ ! + i i { I I I I t 1 I I I I i I ~ I ~ I a _ I I I I ; ~ f i I_ I , I ~ I ~ I i I i~ I t I i i { I I } I I ' I ' I I I ~ , ~ , I I { I I I I f I I r- I j I I i I I I ~ I I I l ~ - III 1 I ' - I I ; I I ~ ; I I I I I I , I i 1 i I I ' Olt - - 4L I I I I I I , ~ i ' I ~ i I I I - I , T ~ I .._I. , I I ' j I I { - j + F - I - - - - + ; - } - -a !Je, L. 157 I I I I ' I I I ~T 1 I 1 _ I T-A I _ _ - _ . - - - t--- - t- I ~ I I ~ I ~ r i I I I l I I I ( ~ ~ I j I I 1 II_ I t I 4-4 - - - - } - r -l-~-- L- r I L i I I i I I - - - } - _ _ - i - - - I --I - - i-- ' J_ I, ' I I I ~ ~ 1 i I I , ! I f. _ i , I - ~ I i I I L I1 - L - = - --E - - - ; i r f I i I I I I I r I I I i I I I - - 1 r- = - { } ; I 1 I I ~ 'I - t : 1 i I I ~ ' I I ~ 1 i ~ 1 ~ 1 I~ I ------t ---L-----~--- I II I I I ~ : , I i I I , 1 I I I "T T- I I I I I i I i I ~ I ~ I I ~ I I ~ ~ ~ t I I , I I I I f C 1 ~ T Al I -A, ~ I i I I II I j 1-- -i- --t--- I I - 1 I 1- 1 ~ I i I LA, I I I i I ~ ~ I I I I I 1 I I I ~ I _ - - T-I - - I I I I ~ A-11 i KI - t - - - - -.r_ l- L - - I - - --1 - - - - - t 1 -rt t Wisconsin. Deparanent of Industry, SOIL AND SITE EVALUATION REPORT - Page Of Lr':or and Human Relations D~OWn of Safety 3 Buildings in accord with ILHR 83.05, Wis. Adm. Code • COUNTY st 0 ix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but PARCEL I D # not Hated to vertical and horizontal reference point (EIR, direction and % of. slope, scale or z dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALLINFORMATION IRE?WEDS a JA 0 A - PROPERTY OWNE~ , PROPERTY LOCATION , GOVT. LOT NW 114 /V s 114.5.7 T 3a . N,R /8 , w PROP VTY OWNER' S MAILI G ADDgqESS LOT BLOCK # SUED. NAME OR CSM # ; Ot'o ~r,lo.' ,nl1 h, II, .C K ~ CITY STAT erS4'r ZIP COD~Fy HONE N MBER []CI []VILLAGE MOWN NEAREST ROAM New Construction Use [ ] Residential / Number of bedrooms 3 Addition to existing building ` L ] Replacement Public or commercial describe Code derived daily flow 'el5t) gpd Recommended design loading rate bed, gpd/ft2 trench, gpd1ft2 Absorption area required bed, ft2 5 ao trench, ft2 Maximum design loading rate bed, gpdM2 f trench, gpo Recommended infiltration surface elevation(s) S ft (as referred to site plan benchmark) Additional design / site considerations V 01 Parent material tw Flood plain elevation, if applicable WIA- -It- S - Suitable for system CONVDMo MOUND KGROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U- Unsuitable for stem ❑ S .4u cgs ❑ U ❑ S W U 0 S U IDS B(U IDS fit! , akf. 7-5B SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bmrdary Roots GPD/ft in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed rends 0-15 D S/ 5k M Cs 3 :3 P41 r9 51 tQ5 Ground C (,-it0 7, 5 r 5 /5 f'rt ~i C'S Y elev. %Sit c yfs- ay z s' r G 5+js Depth to limiting factor 4 i Remarks: Boring # 0-/7 /OX). z sty/ S6 c s. s 3. 15 a -'3 "),s' t YZ2 s 4,1154k Mil cs a ' 3 -#0 7,.ryh 5 'S I s 3 sjK YA f' c S i Ground elev. . YO-Y-5 7. S r _rIAI s-r~ C t~ rqf r cS [ 4- : $ girt 5 S ' s m s; y Depth to $c limiting 3 S yr .5A i• Yildl;?' factor r- s era-~ 7, s b tv% 4 i d-$ - , Remarks: CST Name: eas Print Phone: pis Addres3 / w `5'26 A Spnature• „ Date: CST Number; N PROP.ERIYOWNERf_ SOIL.DESCRIPTION REPORT pageof PARCEL I.D.t - i Boring# Horizon Depth Dominant Color. Mottles texture Structure Consistence GPD/ft In. Munsell r- OU. Si. Cont Color Botrx3aty Roots Gr. Sz. Sh. Bed with "1S S / s c s 3 .3 8 -a 7 .Ground Gti "s 7,S ,.':5 d s 3 S n► cs> .1,~ 3 elev... Depth too,, limiting ' ; _ • nor; ~ 1 Remarks: Boring # f ^v i t;SfL Ground r•. 1 elev. ft I Depth to , . limiting factor . 4• , L11 Remarks: Boring own= t Ground elev. ft. Depth to limiting _ factor , . . < _ .:c•s Remarks: , . , Boring # , • Ground ' . , r elov. Depth to limiting factor f Remarks: eJ _ I -o fir. i t 404 PC D - - i _ SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER 5 1/0 ADDRESS:- O 1 l \04 ~~_FIRE NO: LOCATION:~fJ 1/4, t)o 1/4, SEC.- /TT.3,N-R_ZI_W, TOWN OF: )6_~ m.Qrc~ 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 ro ram in August P g of 1980, with the requirement that , owners of all new systems agree to keep their system properly I; maintained. The property owner agrees to submit to the St. Croix County w Zoning a certification form signed g by the owner and by a master ,r plumber, journeyman. lumber► restricted plumber or a licensed P pumper verif in that 1 the on -site wastewat Y g ( ) er di sposal 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 4 expiration date. SIGNED: _~~r~c I. - DATE: ~'St. Croix County Zoning Office 911 4th St. " Hudson, WI 54016 I Z I I STC-100 This application form is to be completed in full and signed b the owner(s) of the property being developed. Any inadequacies will only result in delays of the development be intended for resale byt owissuance. ner/ ontr chtor,i(spthis 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. Owner of property ~ 1 6 Location of property A)bj 1/4 NF 1/4, Section - T_30 N-RIk W Township Eli 1-failing address S 5 -/0 - Address of site ~ -S 7 Subdivision name Lot no. Other homes on property? yes_ No Previous owner of property - y ^I- Total size of parcel S Date parcel was created VY1 193 Are all corners and lot lines identifiable? -Z-V_ Yes No Is this property being developed for (spec house)? Yes No volume /D and Page Number 37 as recorded. with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WA-111U ITY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE. SEAL OF THE REGISTIR OF DEEDS. certified survey, if available, ;would be helpful I o asdtoiovoid 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 CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I we am the property described in this information f(are) the owner() orm, by virtue sof oa warranty deed recorded in the office of the County Register of Deeds as Document No. ~99 . own the , and that I (we) presently proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described rt, for the construction of said system, and the same hasp been duly recorded in the office of County Register of deeds as Document No. Signature of ap~ll~aant~A Co-appl cant Date or Signature Date of Signatur 4 IWANTYRI-D 9926 7 vot PAGE REGISTER'S OFFICE ST. CROIX CO., WI Grantors; Patricia A. and Philip M. LaVenturet Rec'd for Record Wife and Husband MAY 181993 - _ to 2:15 P , M conveys ard warrants to Bernadette L. and Eugene J. L'Allier, Jr., Wife and Husband, as joint tenants. &KVIAA Reg~br of D" RETURN TO the following described real estate in St. Croix County, State of Wisconsin: Certified Survey May Vol. 9 Page 2605 Tax Parcel No: Land 'Located in part of the Northwest one-quarter and in hart of the Northeast one-quarter and in part of the Northeast one-quarter of the Northwest one-quarter of section (14) fourteen, Township (30) thirty North, Range (18) eighteen West, Town of Richmond, Lot (1) one. (A (5) five acre parcel) F EXEMPT This 1S not homestead property. (is) (is not) Exception to warranties: Dated this ! day of 19 3 Gh~//!// A e~(SEAL) - (SEAL) ricia A. a enture Aat (SEAL) (SEAL) , Ph lip M. LaVenture AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. lloIIV" County. ~~pp authenticated this day of 19 A rsonally came before me this__ day of 19 913 the above named ri C, ii TITLE: MEMBERS?ATE BAR OF WISCONSIN (II not, authorized by § 706.06, Wis. Slats.) 'kndwp to be the p rson f who executed the THIS INSTRUMENT WAS ORAFTEO 8v~' • , 'fltxeSgtno,IT►9~rtumenl an aCkno ledge the same. - fat` r ~ r ~~Rt "i . is f~1 i1. may •e : gtJ .tar b County, Wis. (Signatures ma be authenticated or acknowledged nth i~ssio are not necessary,) is permanent. (if not, state expiration 19 r ' Names of persons s,oninn m nn ems. CO lell '71e le';' Q 49'7119 SURVEY Ily CERTIFIED MAP Located in part of the Northwest one-quarter of the Northeast one- quarter and in part of the Northeast one-quarter of the Northwest one-quarter of Section 14, Township 30 North, Range 18 West, Town of Richmond, St. Croix County, Wisconsin. OWNER LEGEND Phillip & Patricia LaVenture 0 Found 1" Iron Pipe 1035 HWY. :64 New Richmond, Wi. 54017 o Set 1" x 24" Iron Pipe weighing 1.68 pounds per linear foot NW CORNER Fence line NE CORNER SECTION 14-30-18 SECTION 14-30-18 CO. MON. NORTH LINE OF THE NW 1/4 NORTH LINE OF THE NE 1/4 EAST 2643.01' WEST 2643.01' NI/4 CORNER j EAST 330.37' H 2312.64' SECTION 14-30-18 $ Zy Bearings are referenced (FALLS IN AG-LAND. `4 w o-+ NO MONUMENT) to the East line of the &Z 1p=y+ Northeast Quarter ';0 assumed to bear UNP TATTED LANDS m f= - - - N00°47'59"W 1C - o 1Z N89048'30"E 416.65' -1 1Z 0) M x IZ SCALE 1 11 = 2001 I~ 3' m a Ir is it N =MINI 1Z 200 100 0 200 ~D Z 204 LOT I SHED ID "t 8 x 0 g o 1--1 M 0 0I~ TOTAL AREA 0-~ , e y (A 2,17 ,8 11 SQ. FT. W N N,C 0 .4 5.000 AC. 13s A X Im to -4 1 v p 10 E V4 CORNER ',S EXCLUDING R/W m z SECTION 14-30-18 Ir ao 200,385 SQ. FT. ID N m p 4.600 AC. m A ID 1Z a Ir 0 1Z I N - 1Z N Z 10 _ @I~JLQINO SET@ACB- DRIVEWA 1 1n A 10 ~O 100' FROM R/W WI R/w ' 4. this instrument was drafted by; ' S89.13'01W 416.91' Douglas J. Zahler _ 157TH AV_E. _ -e _ S89048'30"W 85.85 S331.09' SOUTH LINE OF NE I/4 OF NW IM SOUTH LINE OF NW V4 OF NE 1/4 1 UNPLATTED LANDS COUNTY GENERAL NOTICE Each parcel shown on this map is subject to State and County laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office for advice. CJ OF ws0a o, ` ~IL~N 3 h~ ~HLAS 'R 00 N 0 " R 0 71993 ► * S-2145 " H C c7 AP sue. n. is JAMES O'CONNEs 4 H WIS. IJ~ H R < Q R69tst6r of Deed ? Q 16 < . SL Cro►x CG•, Wt dip p w g SUFN I< 0AZ_ VOLUME 9 PAGE 2605 Parcel 026-1041-40-100 07i08i2005 09:22 AM PAGE 1 OF 1 Alt. Parcel 14.30.18.2000 026 - TOWN OF RICHMOND Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * DALLIER JR, EUGENE J & BERNADETTE L EUGENE J & BERNADETTE L DALLIER JR 1354 157TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1354 157TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 5.000 Plat: N/A-NOT AVAILABLE SEC 14 T30N R18W PT NW NE & PT NE NW Block/Condo Bldg: BEING LOT 1 OF CSM 9/2605 5 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 14-30N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1010/39 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/30/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 54,000 192,100 246,100 NO Totals for 2005: General Property 5.000 54,000 192,100 246,100 Woodland 0.000 0 0 Totals for 2004: General Property 5.000 54,000 192,100 246,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 222 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00