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Home My WebLink About030-2037-10-000 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER _2,Eae ADDRESS 13 o, 2j- UBDIVISION / CSM# LOT # ECTION ~T N-R.4,~2_W, Town of > ~fQ~ y ST. CROIX COUNTY, WISCONSIN wail PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~ , CGS Y' y 3~ ash I INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. s BENCHMARK', ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: jzzes Liquid Capacity: Setback from: Well House / Other Pump: Manufacturer a, ✓ Model# Size Float seperation a Gallons/cycle: z, Alarm Location ~,Z 2Lw ;_Z SOIL ABSORPTION SYSTEM Width: Length 9_? 7S- Number of trenches Distance & Direction to nearest prop. line: Setback from: well: t2&2 Housed Other ELEVATIONS Building Sewer ST Inlet. ST outlet 3 7 PC inlet ,262, g/ PC bottom 7-Z Pump Off Header/Manifold Bottom of system Existing Grade/gyp. Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt :iAsTrMU2 ;t.-AW6fl49st§PPH 25.30• OIVA E S ~►GE'SYSTEM , CO. RD County: ,or and Hu n Relations INSPECTION REPORT ;ety and Buildings Division ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: 193440 Permit Holder's Name: ❑ City ❑ Village ❑xTown of: State Plan ID No.: LYNN J ST. JOSEPH CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 030-2037-10-000 TANK INFORMATION ELEVATION DATA A9300101 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark tJ` Dosing q, lob, Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet 91,37 TANK TO P/ L WELL BLDG. Airi to ROAD Dt Inlet Ar Intake 1().03 -'O<8 Septic 7a 5-' A20 / 6d, ~Ll NA Dt Bottom 7 Dosing > S" IdO b r NA Header/ Man. Aeration NA Dist. Pipe c7 !I /;~a,~y Holding Bot. System /0! 9 5 PUMP/ SIPHON INFORMATION Final Grade (3 3. v Manufacturer Demand Model Number f 6 5// f~ h.lt GPM TDH Lift friction ~LA, Systems 5' TDH r-I~' Ft ss mead Forcemai n Length Dia. 3 t/ Dist. To Well 7 a~ i SOIL ABSORPTION SYSTEM BED/TRENCH Width Length 7s No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS T' DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O " / CHAMBER Model Number: System: 11/'J1'4-,'J 130! /4 OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size X Hole Spacing Vent To Air Intake Length Dia- Length Dia. Spacing I SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over [J xx Depth Of y xx Seeded/ Seddv- xx Mulched Bed /Trench Center Bed/ Trench Edges a b Topsoil b Yes ❑ No 21 Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 7,7: LOCATION: ST. JOSEPH 25.30.20.477A,NE,NE, LOT 1, CO. RD. V 5 Plan.fievision r quired? ❑ Yes []"No n Use other side for additional information. o /mil 43 v W I/o SBD-6710 (R 05/91) Date s $ Signature Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: DIHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than Q2 C/ L/ 8'f x 11 inches in size. ❑cn k.f revision to pr ous 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 T , N, R V(or PROPERTY OWNER'S AI ING ADDRESS LOT # BLOCK Z CITY ST TE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II NEAREST ROAD . TYPE OF BUILDING: Check one) CITY ( ❑ State Owned 0 VILLAGE IMN OF RCEL TAX NUMBER(S) ❑ Public JZJ 1 or 2 Fam. Dwelling- # of bedrooms - PA III. BUILDING USE: (If building type is public, check all that apply) f'7 /a 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 Hotel/Motel 9 ❑ Office/Facto 130 Other: Specify IN. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. M 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 Z 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 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./ rich) ELEVATION Feet Feet VII. TANK CAPACITY Site INFORMATION in allons Total # of Manufacturer's Prefab. Fiber- Exper. New istin Gallons Tanks Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank - 0 Lift Pump Tank/Si hon Chamber &A El El El 1 11 L1 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installs on of the onsite sewage system shown on the attached plans. Plumb 's Na a (P 'rtt)) Plum~gna "Q Fs MP/MPRSW No.: Business Phone Number: rS" ber' Address (Street, City, State, Zi Code): S IX. CCWNTYIDEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes 9 rroouunndwater a e ssu/ Issuing ent Sign at (No Sta s) Approved El Owner Given initial t~ D/ p [ .7 Lo Adverse Determination / 000, X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS , 1. A-sar{itary"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 a lice ised- pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your,onsite sewage system, contact your local code administratoror the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose 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 tetst data on a 1151ortn; and F) all sizing information. . I~ 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) ' SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street. LaCrosse, Wisconsin 54603 KO CONSTRUCTION KIM A O'CONNELL RR 1 BOX 105 STAR PRAIRIE WI 54026 RE: Plan Number: S93-40344 Date Approved: May 25, 1993 Gallons Per Day: 450 Date Received: May 24, 1993 Project Name: LUECK, BRIAN Location: NE,NE,25,30,20W Town of ST. JOSEPH County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - NEW MOUND Inquiries concerning this approval may be made by calling (608) 785-9336. Sincerely, DENNIS R. SORENSON Section of Private Sewage Division of Safety and Buildings PPP027/0009n/65 cc: Private Sewage Consultant. SBD-64231 R. O1 /911 n • b b "i o+ Z y G ~ l Q ~ a 44 a a~ 0 +rrrr r rr rr r r r r r r $4 V rrr W to r r r r rr r rr 41 rrrrrr "q r-4 Q 94 rrrrr r \ rrrrs r rr r r r r r rr r r r rrrr r r • rrrr r r V ~ • O 10 .0 rr~~r~~r~~ p^Q\„ vV X11 r.. WO O Uj /cry, ''~•~y~.-~^~ c LAI 44 O +Ik K 414 ht s l! tl. a a PAGE OF-/ G,z PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS VENT GAP 'i*C.I. VENT PIPE ' WEATHER PROOF APPROVED LOCKING MANHOLE COVER ~ JUNCTION BOX 25 FR¢M DOOR, WIWOOW OR FRESH 12"MIN. AIR INTAKE I • GRADE I H" MIN. 18' M I CONDUIT 18"NIN. ~jL~ 11~ PROVIDE INLET AIRTIGHT SEAL I III jEl APPROVED JOUIT A APPROVED JOINTS W /C.I. PIPE. ~?d:+'s~:'~ I III W/C.I. PIPE EXTENDIN(S 3' I I ( ALARM EXTENDING 3' ONTO SOLID. SOIL N4,~~>~ I 1I ONTO SOLID SOIL ( I GN kAseA ENT > OF INDUSTRY, [LA80R.Afd0 Hi11Y1~AN RELATIONS r ul~~i Jl i~U FCT'. ANE, p VIJ''~ U! ti75 • Y~ PUMP OFF 0 SEE i GRRE ONDENCE CONCRETE BLOOK RISER EXIT PERMITTED ONLY IF'TAIJK MANUFACTURER HAS SUCH APPROVAL 8PEC.IFIGAT10MS II, EP'hIC AND )SE TANKS MAIJUF'ACTURER: Kl,~c~S IJUMBER OF DOSES: PER DA:d TAWK' SIZE 9/01) GALLONS DOSE VOLUME: f ~3 GALLOIJS r ALARM MANUFACTURER: ~~,jhe SJic CAPACITIES: A= ~IIJCNES OR ~ CALLOUS `'MODEL NUMBER: 1D/ //A) B= INCHES OR GALLONS -SWITCH TJPE:.~~-~~-~n ✓Cs /f INCHES OR 0AlL0A15 HUMP MANUFACTURER: D- INCHES OR ZY4 GALLOWS MODEL NUMBER: IJOT . PUMP AND ALARM ARE TO BE Q IAJ STALLEO ON SEPARATE CIRCUIT WI'iC.H TYPE: ~„~-1= S S M~VANMIAVA PUMP DISCHARC&L RATE Sto•Ilo GPM ERTICAL,DIFFERENCE DETWEEN PUMP OFF AND DISTRIBUTION PIPE..1 FEET + MINIMUM NETWORK SUPPLY PRESSURE 2.5 FEET + ..,L. _ FEET OF FORCE MAIN X ~/pprtFRICTION FACTOR.......L2LJFEET C~`~G ) TOTAL OIJMAMIG HEAD -LZ Y:~ II-ET INTERNAL DIMEN %ON% O.F TANK: LEAICsTH -;WIDTH ` ;LIQUID DEPTH SIGIJED: LICENSE NUMBER: Performance n e e Efflu'erlt Curves Pumps METERS FEET 90 MODEL 3885 25 so SIZE 3/4" Solids WE15H 70 D 20 WEIOH 60 -WE07H 15- 05H WE 40 34- 10 ti PtX 4 4 20 5 10 0 0 0 10 20 30 40 M~ 70 80 90 100 110 120 GPM c'f- 0 10 20 30 nWh Tom CAPACITY [QGOULDS PUMPS, INC- SBECA FALLS nEW YDFAC 13148 METERS FEET 120 MODEL 3885 35 110 WEISHH SIZE 3/4u Solids 30 100 90 25 8o 70 20 O so ~ WEOSHH 15 50 40 10 30 20 5 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM ~ 1 ~ 1 1 0 10 20 30 fWlb CAPACITY 01985 Goulds Pumps, Inc. ENeco" July, 1985 C3885 Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM Safety and Buildings Division Labor and Human Relations REVIEW APPLICATION Bureau of Building Water Systems Hayward Office La Crosse Office Madison Office Shawano Office Waukesha 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) S48-8614 Fax (715) 634-5150 Fax (608) 267-0592 Fax (715) 524-3633 INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this form together with fees and plans/information. Your submittal must be received at least one working day pr~t a p~ntr fr"t ce where your review was scheduled. Please call any of the listed offices if you need help filling out the form or e n Zt onto submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your reference. 1. APPOINTMENT INFORMATION -if you have scheduled an appointment, fill in the information e quested below to save time: Appointment Date Reviewer Name Plan Identification Number 2. PROJECT INFORMATION If this review is a revision or extension to your existing plan identification number, provide that number here: Project Name ❑ City ❑ Village ® Town Of: County roject Location GOVT. L T 1/4 1/4 T N R or 3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED System Type (check one): System Type t (include new and existing tanks) Up To 1,500 gallon septic tank S110.00 116 - A ❑ At-Grade 1,501 - 2,500 gallon septic tank $120.00 H ❑ Holding Tank 2,501 - 5,000 gallon septic tank $160.00 M ® Mound 5,001 - 9,000 gallon septic tank $200.00 N ❑ Non-pressurized In-Ground (Conventional) 9,001-15,000 gallon septic tank $300.00 P ❑ Pressurized in-Ground Over 15,000 gallon septic tank $500.00 O ❑ Other: Up To 1,000 gallon dose chamber $ 70.00 7D " 1,001 - 2,000 gallon dose chamber $ 80.00 Building Type (check one): 2,001 - 4,000 gallon dose chamber $100.00 4,001 - 8,000 gallon dose chamber $120.00 D ® Dwelling, t or 2 Family 8,001 -12,000 gallon dose chamber $140.00 P ❑ Public Building Over 12,000 gallon dose chamber $160.00 S ❑ State-Owned Building Up To 5,000 gallon holding tank S 60.00 5,001 -10,000 gallon holding tank $100.00 Code Derived Daily Flow gpd Over 10,000 jallon holding tank $150.00 ❑ Check If Replacing Existing System Experimental System (additional one time fee) $300.00 Revisions To Approved Plan 2 $ 60.00 . Petition For Variance: Setback $100.00 Site Evaluation $225.00 ❑ PetitionFOrVarlance Plumbing $225.00 Revision $ 75.00 Groundwater Monitoring - Per Site $ 60.00 ❑ Groundwater Monitoring (other than a proposed subdivision) ❑ Site Evaluation in Lieu of Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring S 60.00 Subtotal:......... / ~D= Priority Review: Enter same amount as Subtotal: MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total Fee: S. SUBMITTING PARTY INFORMATION Telephone No. (include area code & extension) Comp ny Name C~ta Person , ( ) - '291 No. & treet Address Or P.O. Box City, Town or Village, State, ip Code A"41,"J"r h ) 'S 9,2, 1 Aerobic or prepackaged treatment system fees are calculated based on equfualent size septic tanks and dose chambers. 2 Revision fees are not applicable to temporary holding tanks or extensions to existing approvals. NOTE: Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to change annually. SBD-6748 (R. 03/93) OVER Wisconsin Department Labor and Human Relations SOIL AND SITE EVALUATION REPORT Page 1 of 3 Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code r,..•~ ` COUNTY 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. 0 dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Rri.an Lueck GOVT. LOT NE 1/4 ITT 1/4,S 25 T 30 ,N,R20 gra) W N9PEfita~ NERt •MAILINO ADDRESS n/LOT a N Bn/aK # SUnD/aAME OR CSM N CITY,, STSSATE S ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD 110111ton, Wi.. 54082 a75) 549-6940 St. Jose h Co.. Rd. #V New Construction Use (x* Residential / Number of bedrooms 3 Addition to existing building ] Replacement ] ] Public or commercial describe Code derived daily now 450 gpd Recommended design loading rate • 5 be g , g t Absorption area required 375 bed, ft2375 trench, ft2 Maximum design loading rate • 5 bed, gpd/ft2 - 6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 101.30 ft (as referred to site plan benchmark) Additional design / site considerations none Parent material alaci,al drift 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 system ❑ S UU IxbtSS D U D S fRU D S U U D S U D S *RU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft in. Munsell Texture. Consistence BotXfc7ery Roots Qu. Sz. Cont. Color Gr. Sz. Sh. Bed 1 0-10 10 r3/3 none I~. 2/m/sbk mvfr c/s 2/f .5 .6 y~ g/w 1/f .5 .0 t.€ 2 10-35 10 4/ ► none sil. 2/m/sbk mfr Ground 3 35-55 10yr4/4 c~ 10yr5/8 s-sil. 1/f/sbk mfr g/w 1/f .2 .3 elev. 00 4 55-67 10 r4/4 none (very wet Is. ~ 1tt. Y 0/sg mvfr n/a n/a .7 I .8 Depth to limiting factor j 3" I i Remarks: Boring # ff1 0-11 10yr3/3 none L. 2/m/sbk mv.fr c/s 2/f .5 .6 2 2 11-27 10yr5/4 none sil. 2/m/sbk mfr g/w 1/f .5!_. 3 ~ + 27-42 10yr5/4 c2D 10 r5//2 7. r5/8 sil. 2/m/sbk mfr g/w 11f. .5 .6 Ground CLJ) 4 elev. 4 42-55 7, 5yr4/4 55yr5 100.3111. r.5/8 s1. 2/m/sbk mfr na/ n/a .5 .6 Depth to limiting factor 27" Remarks: CST Name: Please Print Phon _ Cary L. Steel e115-246-6200 Address: 1),_.iIe~a_R.ichmQnd~_S~ia...__549~7__ Signature; \ , ? Date: 4-27-93 ~~w CST Number: - - - SOIL DESCRIPTION REPORT Page 2 of 3 Rri an T uPCI• , Structure Roots GPD/tt Florizon Depth Dominant Color Mottles Texture Consistence Boundary Bed Trench In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. l_ 0-1?., 1~ r3/3 none L. 2./in/shk mvfr D /j. Z/1 -D siJ.. ?./m/shk mfr g/w 1./f. .5 .6 ~.r 2. 1?.-2 l.0yr4/4 none sil. 2./m/sblc mfr g/w 1/f .5 .6 It. 4 28-53 10yr5/ r c., 10yr5/6 siJ_. M n/a n/a n/a n/p i n/p /efDepth 3 20-2. 10yr4/4 none to limiting factor Remarks: Boring # E Ground 1 elev. ft. s 4 F7 Depth to ' limiting factor Remarks: ~ Boring # ~ i r...n.., I Ground elev. i ft. l t Depth to limiting factor is Remarks: Boring # j Ground elev. ft, Depth to limiting factor STEEL'S SOIL SERVICE i554 200th-. -Ave j' L. Steel A8"x2bmwJDdw , S.T. 2298 Brian Liteck New Richmond, WI 54017 ~PRSW-3254 NL,!,J, Tv , S25-T30N-R2014 (715) 246-6200 tom of St. Joseph i vo / 7F) PUMP SELECTION 1) Pump selected will discharge ,Z,5-„ GPM at ft. total dynamic head. 2) Pump model and manufacturer 7G) DOSE VOLUME 1) 10 times void volume of distribution lines • -?X-~G ~',iLyX 0 z- iso.88 ,15 9a1./cycle 2) Daily wastewa jr volume Z. 4 doses/24 hrs. ■ gal./cycle 3) Minimum dose volume ■ .r/ 7 deg. 4,de• ~ 9a1./cycle • 9 S~~3a = /93,3 7H) DOSE CHAMBER 1) Minimum capacity required ■ s~=~.s-o _ gal . Licunso ::u:-- Date:e-~ ,~o Q•,~ , ,S I AaX ` mf WORKSHEET • MOUND SYSTEM DESIGN PROBLEM: Design a mound system for a ; The site characteristics are: Depth to groundwater or bedrock -69 3 7 in. Landslope % Percolation rate min./in. Distance from dose chamber to distribution system, ft. Elevation difference between oump and distribution system .,.1--,,Z ft. Step 1. WASTEWATER LOAD o „ gal.' Step 2. SIZE THE ABSORPTION AREA A) Area required sq, ft. B) Bed or trench length.(B) _ 2L ft. '.t C) Bed or tr%nch width (A) ft. D) Trench spicing (C) h . Wastewater load .24 coal/ft2/day B = ft. trend h es " Step 3. MOUND HEIGHT A) Fill depth (D) _ ft. B) Fill depth (E) = D"+ slope (Arxe) ft. C) Bed or trench depth (F) T ft. D) Cap and topsoil depth (G) ft. E) Cap and topsoil depth • (H) ft. :a tin Licenue N,1: _ Uate sp 4. MOUND LENGTH A) End slope (K) = D + E + F + H x 3 = L19,®2. ft. B) Total moun length (L) • B + 2(K) • Step 5. MOUND WIDTH Al) Upslope correction factor 340 A2) Upslope width (J) _ (D + F + G)(3)(factor) _ 0.2.,42 ft. (14 - 7, ~so~ B1) Downslope correction factor • B2) Downslope width (I) _ (E + F + G))(3`)(factor) ft. Cl) Total mound width (W) for bed = J + A + I ft. S t-y 93 C2) Total mound width (W) for trenches • J + g + (no. trenches -1)(c) + + ft. 2 Step 6. BASAL AREA A) Infiltrative capacity of natural soil gal./ftNay B) Basal area required ■ wastewater flow f natural soil infiltrative-capacity ~ sq. ft. C1) Basal area available for bed for sloping sites ■ B x (A + I) = sq. ft. C2) BTW are avail le for trench for sloping sites • B tj + _ sq. ft. C3) Basal area available for trench or bed for level ites = B x W ■ sq. ft. . S a License Xu: Data:, 1 ti 7~tep 7. DISTRIBUTION SYSTEM , 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size ■ 34 Q 2) Hole spacing • in. 3) Distribution pipe length 4) Distribution pipe diameter = in. 5) Spacing between distribution pipes • ~Q_ in. 6) Distance from sidewall to distribution pipe • in. 7B) DISTRIBUTION PIPE DISCHARGE RATE ft. 1) Number of holes per pipe = 2) Flow per pipe ■ GPM 7C) SIZE MANIFOLD F ' 1) Manifold is central/ end 2) Manifold length • . r 3) Number of distribution lines ~Z 4) Manifold diameter 0 in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate • 5,-/,g PPM 2) Force main diameter in. 3) Friction loss ■ '9 =~S qd1 ft. 7E) TOTAL, DYNAMIC HEAD 1) Vertical lift = ft. 2) Friction loss ■ ft. 3) System head 2.5 ft. _ ft. Total dynamic head = ft. Licengg: Date":_, I J -ue< - t , I i ' I 1 i AZ L-z W ~ E " C -CT nJ 1 / yb ' t I O !N LiJ ! AE ?r`i '.NU si;r't 9r,r< s=t_ .'v ja i 5 M ES 1414, 4 SL 3 L& Designer. 'Pat*: t~' ~4 Non-Woven Filter Fabric 4" Observation Pipe Ditlribution Pipe ASTM- G 33 Sond " Toptoll " G Alter. Poe, of -J , - r Force Main E p: \ . Slope Be d Of 2 (Force Main 11 Plowe d Drain Rock From Pump Laye n fill Cross Section Of A Mound System Using A Bed For The Absorption Area F -rte. G A Ft. H A P IT ~JF ai,!`-+±`:+S B 13, Ft.. DEPA . . ra T , J Ft. ` •~Sf '~1 VY~LE.•WtJ~ 13 .I K Ft. Alternate Position of 11,6s- Ft. Force Main W-q Ft. 14 Observation Pipe o W ~o Force Main From Pump o° Distribution Bed Of i2"- 2 1-2 Pipe Drain Rock 1 4 Observation Pipe Permanent Marker STa,3%,%zc %Cz~, Pipe or Rods, Plan View Of Mound Using A Bead For The Absorption Area PAOE_/, OF Z PERFORATED PIPE DETAIL and DISTRIBUTIO PE LAYOUT Perforated Schedule 40 PVC Pipe End 34 .444 Cap ~ - 1®~ / 4 °e 4 ads Holes Located On Bottom Are Equally Spaced End \ - f Cap Schedule 40 PVC Force Main w Last Hole Should Be Next To End Cap Owner's Name: P ~ feet Plumber/ esigner~'s ignatures x -.-?,V inches Y inches Dates1 License No.: Hole Diameter inch SE VvIAGE SY aTE",1 Lateral Diameter ...4;~inch (es) Force Main Diameter inches AP 4 Holes per Lateral a 3 6 D~PA ENT nF I~ t_,~,B J; , AND ' feet. Invert Elevation J 1f~, `t' .2,a.~ •v L1s c ,'.r t ! t L'~)3!.['It "s of Laterals ~~S. to [~i SEE ti~~+r~tlt~SJL~ Page_ of. Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 end Human Relations ''of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code . o COUNTY Aftach'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 OWNER: PROPERTY LOCATION Brian Lueck GOVT. LOT NE 1/4 NF 1/4,s 25 T 30 N,R20 Pbr) W PA9PERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD NAME OR CSM # 1356 State St. n/a n/a n/a CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD 11oulton, Wi. 54082 (175) 549-6940 St. Joseph Co.. Rd. ITV New Construction Use [x* Residential / Number of bedrooms 3 (J Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 5 bed, gpd/ft2 trench, gpd/ft2 Absorption area required 375 bed, ft2375 trench, ft2 Maximum design loading rate • 5 bed, gpd/ft2 •6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 101.30 ft (as referred to site plan benchmark) Additional design / site considerations none Parent material .-glacial drift Flood plain elevation, if applicable n a It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S iaU RS ❑ U ❑ S tRU ❑ S &iU ❑ S 1U ❑ S U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxiary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tmnch ]...,...ti 1 0-10 10 r3/3 none L. 2/m/sbk mvfr c/s 2/f .5 .6 <Y<I 2 10-35 1(}yr4/4 none sil. 2/m/sbk mfr g/w 1/f .5 .6 3 35-55 10yr4/4 c2d 10yr5 Ground 10yr5/8 s:s.il. 1/f/sbk mfr g/w 1/f .2 .3 elev. 100.30 ft. 4 55-67 10yr4/4 none (very wet ls. 0/sg mvfr n/a n/a .7 .8 Depth to limiting factor 3511 Remarks: Boring # 0-11 10yr3/3 none L. 2/m/sbk mvfr c/s 2/f .5 .6 a 2 2 11-27 10yr5/4 none sil. 2/m/sbk mfr g/w 1/f .5 .6 3 27-42 10yr514 c2D 10yr5/2 sil. 2/m g/w 1/f. .5 .6 7. r5/8 Ground elev. 4 42-55 7, 5yr4/4 c 5yr5/8 sl. k na/ n/a .5 .6 100.34. Depth to y o 4 limiting factor 0 27,1 „ r cm Remarks: CST Name: Please Print -6200 Gary L. Steel ` Address: 41 /1-594 200th.,Ava, New Richmond., wi. Signature 4-27-93 Date: 2298 CST Number: PROPERTYOWNER Rrian T.nerlc SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPt~/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench .5 .6 1 0-12 10yr3/3 none L. 2/m/sbk mvfr D/i 27f '`>'`>r<< 2 12-20 10yr4/4 none sil. 2./m/sbk mfr g/w 1/f .5 .6 Ground 3 20-2 10yr4/4 none sil. 2/m/sbk mfr g/w 1/f .5 .6 elev. 99.58 ft. 4 28-53 10yr5/4 10yr5/6 sil. M n/a n/a n/a n/p n/p Depth to limiting factor Remarks: Boring # ~4.>.r Ground elev. ft. Depth to limiting factor Remarks: Boring # h` Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE e Gary L. Steel C.S.T. 2298 Brian Lueck New Richmond, WI 54017 MPRSW-3254 NE%?TE% S25-T30N-R20W (715) 246-6200 town of St. Joseph I .I. Y ~D itcs 1 d 0 u~l rm ~ KqA-- p n~ 74- ivy S TOP Zoo ~ 12~ S~ ~Z tP 12r 5®3Z' 7 7 :9T ih6i 51 T9 1 61U9] Jilli❑ .2a T j QO) 445081 N ° Plot of -woodig"d Nllle Buringe or♦ reforon:ed to the feet N floe of the ME{ of Secti.en IS, ueueee y• let 17 I ..et 18 I lot 19 to beer 500e30'534. IL R- 0 .1 Vu0036'11"E 323.98' - N C_ Yeat lino of the NE} o ■ C s 4 fJ ~ c+ the ME} of Seotlan 25 ■ .i r e, N p fPLyl t'' ■ . b ale a FILED JAN 911989 1 N ~ E ~a r~u+a ocaa+ela< - ~ s iL Of M. VW - ` ry r, ,o Ir w ; p•, N N Y a x ^ Ir n 00 11 r0 r A t M C IJ -n c N M O- N ~ 's r" V ~ ^ •3 r ' " LA ~Q F ° y N fi~ M • N ■ A tm uN / N 7 1 lti7 0.~{ ~ ~ a ~ ■ q t • y a W 3 i $ ~r UN. Iv * t _1 A p T w w y a N ~ 00r oi o top Q a v x I ~ ~ / 'el n i~ Q r 'A c G V wPR !t e °s o o A ~ A b r- r• a ~ Highway AIMtn ■ , W. _ui W_ N !3 ~.T.NI NV" 00036453"W 324 . 07' 300°3C'S~"Y :u~14 .3e'__ L Cast line of the 8E} of Sectlen 25 APPROM Unpletted ler,dr va>_. 7 Page 20616 JAN 31 1989 S1 CRWCOUNry S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ADDRESS FIRE NUMBER CITY/STATE ZIP SS~GSR.~ PROPERTY LOCATION :,4_r1/4 , _1/4 , SECTIO V,2~j__, T.:l.:N-R, 2 W TOWN OF Jac ros/ , St. Croix County, SUBDIVISION _~Sti~ , LOT NUMBER__J_ 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 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, 'restricted journeyman plumber, 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. SIGNE D. cR J&4,eeA DATE: 3 St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 STC-100 This application form is to be completed in full and signed by the owner(s) of the being property developed. An n will only result in delays of the permit issuance Any , lShouldathis development be intended for resale by owner/contractor,(spec house), thensa 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 Location of property 1/4 Sectione::,2<~-, T.~N-R 2r W Township Mailing address Address of site Subdivision name l?~ Y::~=? I Lot no. f other homes on property? _yes-2c_No Previous owner of property _ AL.41& IL Total size of parcel ~~r? ,&n_rr Date parcel -was created Are all corners and lot lines identifiable? -Jr-Yes _ No Is this property being developed for (spec house)? Yes _~(_No volume_1he/ and. Page Number _;;~7 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 CERTIFICATION 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 the office of the County Register of Deeds as Document No. L~ (l , 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-applicant 3--l-1319-13 Date of Signature Date of Signature t- • VOL 10ftnGE 45 I I~ . f nOCUMCIJT NO. WAPr-ANTY DEED TNIs s►„cc IMSERVED POX RtcoROINO OITA 497260 STATE BAR OF WISCONSiN FORM -1982 r l►EG1STERIS OFFICE Ernest-.H.. Betker-.and Lynn. J.. Betker,.... ST.CROn(MVA . Reec'd for Record husband..and..wi-fe APR 12 1993 x.30 conveys and warrawts to Brian W.- Lueck..and. Lisa. -A....Lueck.............................................. husband -and-wife, --hold s.nq--as..survtvorshio--marital dDebt .property .in consideration-of••$23,700.00...... RETURN To V . Brian & Lisa Lueck . 1356 State Street .the following described real estate in S•t•.--C1•'ai,14 ..................County.- -=14 Uff, wI--54II82 State of Wisconsin: TAX Parcel No:.. 030-2037-10 Part of the NE-1/4 of NE-1/4 of Sction 25, T30N, R20W, Town of St. Joseph, St. Croix County, Wisconfin, described as follows: Lot 1 of Certified Survey Map filed January 31,1989, in Vol. "7" of CSMs, ,r Paqe 2066, Doc. No. 445081. Subject to easements, restrictions and rights-of-way of record, if any. 8 3 f This deed is given in full and final performance and satisfaction of the Land Contract dated February 25, 1993, recorded February 26, 1993, in Vol. 994, . Page 542 . Doc. No. 495499 , in the office of the Register of Deeds for St. Croix County, Wisconsin. EBB &Z SW x This .._i.S• ItOt..__ . homestead property. (is) (is not) Exception to warranties: `r Dated this . 9th day of ------April................. . IS93.... _ - ..._(SEAL) +.....-(SEAL) Y-144- . • • --.Er-nest. H... Betker-................. - - ....(SEAL) • _ Lynn- J..-Betker-..... AUTHENTICATION ACHNOWLEDOIdENT Signature(s) _of.._Ernest_.H.._-Bet ker._and STATE OF WISCONSIN Lynn . _Hetker-........................ a& --------------------------------------county. no t a is of r• _____________19__93 Personally came before me thia day of 19 the above named • - f •_ki.l.l.iam_A. i.lber-t---------------------------------------- TITLE: MEMBER STATE BAR OF WISCONSIN ' (It not . authorized by 4 ?06.116, Wis. Stats.) to me known to he the person who executed the foregoing instrument and acknowledge the same. T►IIS INSTRUMENT WAS DRAFTED BY --Wta.iiam--J_--Gilber-t,..Aity . 206 Second St., Hudson WI 54016 Notary public --•--County. Wis. (Signatures may be authenticated or ackm-wtedged_ Bock M,, Commission is permanent.(if not, state espiraticn are not necessary.) date : 19 p-r AgMaE In any I.P-ity ehuuhl br ITp.1 or prim-I W- tb" ST. CROIX COUNTY nt WISCONSIN L Y f1,~ ~ i ' i - ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 May 3, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Brian Lueck property, located in the NE-',NE-I,, S.25, T. 30N., R.20W., Town of St. Joseph, St. Croix County, WI., has been conducted with the assistance of Gary Steel, CSTM# 2298. This onsite revealed suitable soil for onsite sewage disposal to a depth of 33" while meeting the requirements of the A + 4" rule. This site should be suitable for nw construction utilizing a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. Sinc ely, mes K. Zomp on Assistant Zoning Administrator cc: file