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HomeMy WebLinkAbout036-1003-70-000 -0 0 O e°a O ~i Q^ 00 ~ I ao I i N a N y y Oy Oyi I ~ I V O C Z 7 LL c C O . i-5 C N E a U I Cc C7 QN W w £ U I' O v o z ~ ;I y y I N~zjl ° co w o c C7 a~ 76 O Z n G o m z :z (A F- N cu Z E o r~ o au i 04 I'', 7 Q co Q Z Z N z N y C ~i N y c N d O C _ w V O Ip d ~ O N O ° L a a n Z j 3 F- F- FN- V) ? o 0 0 0 d a z •►V M a a a v, CL g `m ' o CO pCD rn rn a fA U rn rn ;0- m o o Q O co N N r N } E L = d M <p CO Cl) U) a) N N 'C Q (6 C ~ 7 00 0) +d ° N C O O O E © 0 =1 (O (O W y ° O O U O - O CL C N N co ci ~ o c C, 2 E co `V1 O C) o ~.I CD co C y M 0~ <E .OC 10 • 7' O O (n W O (n EL N a • a y _V d C E i C C 7 `~1 A U a O in 0 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER d L -ekrv ADDRE J S 3S ~~?1L Y' a r ~ ~ . SYOc 7 SUBDIVISION / CSM# N1.A_ LOT # SECTION, __,~_T 3 / _N-R_L7-W, Town of n+m~ 'YIN. A. $1. 17. 30 6 ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EV RYT NG WITHIN 100 FEET OF SYSTEM V V 4 row' `°C X040 INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: SEPTI TANK / PUMP CHER / Manufacturer:~X~Sfin5Joao P&"P+- F- - Liquid Capacity: 14ooA...14ku i Setback from: Well S 3 House /y Other Pump: Manufacturer ok~s Model# Jelr5 Size Float seperation Gallons/cycle: Alarm Location ►mMvrZ3a.3X :SOIL ABSORPTION SYSTEM Width: Length 3 Number of trenches i t Distance & Direction to nearest prop. line: /Da 7~o N o Setback from: well: 10d House //y Other ELEVATIONS Building Sewer ST Inlet; 9~. O ST outlet 97- PC inlet 95, 9 PC bottom 9/.7 Pump of f 7 Q,e Header/Mani.fold 1,00,0S_ Bottom of system g9~$ Existing Gre-ode Z406,2' Final grade /00.9 DATE OF ,ZN8tALLATION: 6 ~D 9~ .PLUMBER ON JOB: LICENSE NUMBER: /S63 INSPECTOR: 3/93:jt I~s~t 'i l iartr+ t l~itk ~C . 2, T31N- %7&4?SffA6ySYSTEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division ST CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 93477 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: E ev.: Insp. BM Elev.: BM Description: Parcel Tax No.: -Alf r TANK INFORMATION LEV y TION DATA A9300140 6 a 9-4 3 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ttr-D Benchmark , I Dosing i 4-e, d-b Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Ventto TANK TO P/ L WELL BLDG. A i Intake ROAD Dt Inlet . /7 Septic 7.2 5" ?3 NA Dt Bottom ll. U Dosing >a o NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer d Demand Model Number O -36 AO GPM TDH Lift I 10( Lriction If A Syetem~~~ TDH ~S ,q Ft Forcemain Length ado Dia. HDist. To Well t>~! SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS dj' I DIMEN I N SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type CHAMBER O Model Number: System: 160 ) 1 q I I a o' OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake I ~I Length Dia Length ~1 1 Dia. 44 Spacing ~ a4 u I SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over 0 xx Depth Of q xx Seeded / 5add2rt xx Mu ched No Bed /Trench Center I~ Bed /Trench Edges Topsoil 4 [./es ❑ No Yes E, COMMENTS: (Include code discrepancies, persons present, etc.) V LOCATION: NW,SE,SEC.2,T31N-R17W (235TH AVENUE) tu3E z c i ' ~ ~ ~ ~ ~ r : i _J ► r Plan revision required? ❑ Yes E~No ° Use other side for additional information. d F v' s SBD-6710 (R 05/91) DBt Inspector's Signature Cert. No. t ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ~II.HR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY C STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than P? 3 Y2 0 8% x 11 inches in size. ❑ Check if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBS 9, < 59 3, / D 1. APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION. S PROPER WNER ff PROPERTY LOCATION Ol NW%a SIC%,S T3 N R I Gbr PROPERTY OWNER' MAILING ADDRESS LOT # BLOCK s ;.3lh V .9- N CITY, STAT ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMB R rar w *1160 (L- 042. II. TYPE OF BUILDING: (Chet one) ❑ State Owned 0 VILLLLAGE : NEA S elIN ❑ Publ(c X 1 or 2 Fam. Dwelling- # of bedrooms PARCEL TAX N MB ( ) III. BUILDING SE: (If building type is public, check all that apply)(], /0 03 -20 1 ❑ Apt/Gondo 2 [:1 Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 El Outdoor Recreational Facility 30 Campground 7 El Merchandise: Sales/Repairs 11 El Restaurant/Bar/Dining 4 El Chur h/School 8 El Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF P RMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New; 2. P 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-Pressufized Distribution Pressurized Distribution Experimental Other 11 ❑ Seep Bed 21 N Mound 30 El Specify Type 41 El Holding Tank 12 ❑ Seepge 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./inch) ELEVATION 14 IS00 d 15? *_1 C- Ar . a N 100,Feet /OWD. 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 4 Lift Pump Tank/Si hon Chamber a~L- leQQ I I F] I F1 0_ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Nam Print): Plu er's Signs re. o S mps) //MPRSW No.: Business Phone Number: ccjv,-.. n# l ~~5 Plumber's Address (Street, City, State, Zip Code): V C14--11, -e- N 41-0 h4A IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing ent Sig a Z;~ 1 4_4 Surcharge Fee) c Approved El Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved 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 tanks must 6e -PumPe-d by a 14ensed pumper when necessary, usually every.2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or'the State of Wisconsin, Safety 8, 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 numbe'r(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 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'contaminafion investigations and establishment of standards. - F SBD-6398 (R.11/88) L ~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page L of ,3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code I COUNTY Attach complete site plan-on paper not loss 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. E~ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY GATE PROP RTY OWNER: PROPERTY LOCATION r :'5CL v p l GOVT. LOT AJUJI 1146 1/4,S T 3 N.R f 4W W PROPERTY NER':S MAILING)j~DDR SS LOT fl BLOCK # SUBD. NAME OR CSM # ass a s - N CITY, STATE ZIP CODE PHONE NUMBER 0CfTy V LAGE OW NEARES RMD a ( ) 4 ~2 Q- r oQ r r/OD -7 [ J New Construction Use Residential / Number of bedrooms [ J Addition to existing building Replacement (J Public or commercial describe Code der'ived daily now ~~0 gpd Recommended design loading rate bed, gpd$ • 3 trench, gpd/ft2 Absorption area required bed, 112 /-5 M trench, 112 Maximum design loading rate bed, gpd$ ,3 trench, gpd1ft2 s Recommended infiltration surface elevation(s) r_ft (as referred to site plan benchmark) Additional design / site considerations Y`n 6l~ -4% Parent material fA Flood plain ele lion, if applicable Y17/4' . ft S =Suitable for system CONY I M ND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable fors stem ❑ S S O U O S I&U ❑ S 4 U D S MU ❑ S 93U SOIL DESCRIPTION REPORT P S -fFs . , Depth Dominant Color Mottles Texture Structure Consistence Roots GPD/ft Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bajxbry Bed Trench ` D-(o~ o / ~l I ~s m g 3 3 3 f fbK m ►3 .B 6-3J,. /ov R Ground - 31-50 /O k' S lO elev. ' 7 It. ' I Depth to t limiting j lactor 1 Remarks: Boring # ( 3 ! .3 3 01 5 13 414 Ground elev. Z.-2• It. Depth to limiting i , factor Remarks: CST Name:-Pleasfl Print / Phone: -51 3S Addiess: Signature: - _ _ Date: 1 ' _ yo CST Number PROPEFrNOWNER ~zJo IJ SOIL DESCRIPTION REPORT Page-01-of -3 PARCEL I.D. Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence 8ouxl<ry Roots GPD/ft In, Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench Ground 1< 5 I ' a elev. ft Depth to limiting factor Remarks: Boring # Ground elev. Depth to I limiting I factor Remarks: Boring # t'Ground i elev. IL 4 Depth to M i limiting factor N,..... , . _ ' Remarks: Boring # t Ground elev. 1.. It Depth to limiting . . facto Remarks: .98D.8330(R.05/92), `i I CAU K .I. ; _ Oka - AVO 60 I n , ~~jw[ I ~ 1 ~ j I. ~ rrr i I I , ~ I I I ~ i' ' I f I UIN I i f I ' I ~ f If I Ii ' I I I I I j l l i ( I ~ 1 i i I , I , 1 i I 1 i I ! ~ i I ; f , i I ' - I I I . , 1 ' V 6IK....Q._I_..._ • I I I. I r _ i+ I I i I j i I I I I i{ i I I I I I f,, T 01` E,,, - - - Pte., ✓a cl. ;51 1 I astT o\cl c~ r. -J. j-1 •t I I 1 , . I { 1 • ..I f ION I • I E I I , - I _ r. 2w, r I II , ~ - I I ! I I _ I ; 1Kk ~ . S. ~E i si ti I ,5c.~r:l;a~f~S~S I.iU I - ' ---r---- I - ! I I - t. I--- - t - I . Cti; .....AiNO~.;.~c: sal I . iR - aiC• r5t t~1~_ ( ' - . I coc • f ST. CROIX COUNTY C, , fNn~ yT~ WISCONSIN l a w R. ~i ~T'h r, A. d r F.F~ p ` r7 ZONING OFFICE `'F7 ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 October 6, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: A onsite soil investigation of the Carry Eastvold property, located in the NW1/4 of the SE1/4, Sec.2, T31N, R17W, Town of Stanton, St. Croix County, WI., has been conducted with the assistance of Cal Powers, CST# 531. This onsite revealed suitable soil for onsite sewage disposal to a depth of >56". Extereme limitations exist at this site which are associated with the very dense nature of the soil and the poor structure encountered below 26". With this in mind, it is recommended by this inspertor that a replacment mound septic system having 12" of sand fill be installed rather than a subsurface system. Should you have any questions, please feel free to contact this office. ( Sincer'ely, T J s K. Thompson ssistant Zoning Administrator JVisconsin•DepartmentofIndustry, PRIVATE SEWAGE SYSTEMS Private Sewage Section Labor and'Human Relations 2011. 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. Plan Review Appointment Date Plan Identification Number 1. PROJECT INFORMATION (Type or print clearly) S60 .5 - W 09 Name of Submitting Part (plans returned to same) Prj t Name o\~' Street Address, P.O. Box # or Rural Route Project Addr s or Legal Descn tion 6 E0- /isSS a3S~ pe r urv' lt~~ City or Villa e. , State Zip Code City ❑ County 4) e. C) n S yQ Village ❑ of Telephone No. (include area code) -S S Town Jt] S ~4 Sf. Crid ~X Designer Name of Owner C r !j eq, t u \ c~ Telephone No. (include ar a code) Telephone No. (include area code) Na Street Address, P.O. Box # or Rural Route Street Address, P.O. Box # or Rural Route City or Village State Zip Code City or Village State Zip Code Q.► R'* -r $ DD ~ 2. APPLICATION 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 b. 1,501- 2,500 gallon septic tank $120.00 C. 2,501- 5,000 gallon septic tank $160.00 d. 5,001 - 9,000 gallon septic tank 8200.00 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 S 70.00 71 h. 1,001- 2,000 gallon dose chamber $ 80.00 i. 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 gallonholding tank S 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 S 60.00 (other than a proposed subdivision) r. Petition For Variance: Setback $100.00 Site Evaluation 5225.00 Plumbing $225.00 S. Experimental System (additional fee) $300.00 Subtotal: t. Priority Review: Enter same amount as Subtotal Total Fee: ~o y NOTE: Plan reviews sh4ld be scheduled prior to submittal. You may contact one of the offices listed below. Hayward Office LaCrosse Office Madison Office Shawano Office Waukesha Office 209 W 1st Street 2226 rose'Street 201 E. Washington Ave. 1053A E. Green Bay Street 401 Pilot Court, Suite C Rt 8, Box 8072 LaCrosse, WI 54603 P.O. Box 7969 P.O. Box 434 Waukesha, WI 53188 Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Shawano, WI 54166 Phone (414) S48-8606 Phone (715) 634-4804 Fax (608) 785-9330 Phone (608) 267-5119 Phone (715) 524-3626 Fax (414) 548-8614 Fax (715) 634-5150 Fax (608) 267-0592 Fai (715) 524-3633 SBD-6748 (R. 05/92) NOTE:Fees are pursuant to Wis. Adm. Code, Chapter ILHR. 2, and OVER . are subject to change annually. G q r ~Q 5~ V o l C) VVI ~ ~ . Q~2a~~a rk Lc9 t S yoo l~ WORKSHEET - MOUND SYSTEM DESIGN PROBLEM: Design a mound system for a 3 bed d oy~ The site characteristics are. Depth to groundwater or bedrock ?~s in. Landslope _ % G Pale Percolation rate Distance from dose chamber to distribution system ~z0 ft. Elevation difference between sump and distribution system Ao-ft. Step 1. WASTEWATER LOAD = 3 P~,A4 X 1500,,4 gal Step 2. SIZE THE ABSORPTION AREA A) Area required = ISO ~ a q--D/f-j s- 37$ sq. ft. B) Betror trench length, (B) _ 3'7.5 'f 3Ift• C) Bed or tr nch width (A) ft. Trench spacing. (C) Wastewater load .24 gal/ft 2/day B 'U ft, trek ems i Step 3. MOUND HEIGHT A) Fill depth (D) = f ft. B) Fill depth (E) = D + slope (A)+P) ft. C) Bed or trench depth (F) _ $3 ft, D) Cap and topsoil depth (G) _ ft. E) C and topsoil depth (H) ft. License 17U • _ l $ (03 _ i Step 4. MOUND LENGTH A) End slope (!C) _ CD + E1+ F + H x 3 ZD,Ift. B) Total mound length (L) = B + 2(K) _ ,f1•ft. .93, 7S t ~4.(16, -/)s, 9s Step 5. MOUND WIDTH ' Al) Upslope correction factor A2) Upslope width (J) - (D + F + G)(3)(factor) _3 ft. t33 t-!) (3) 97~ ' ~j- 3s B1) Downslope correction factor B2) Downslope width (I) _ (E + F + G) (3) (factor) Cl) Total mound width (W) for bed = J + A + I = ft. C2) Total mound width (W) for.trenches = - ' 5f t. J + + (no. trenches -1)(c) + A + I 3D'- i. Step 6. BASAL AREA A) Infiltrative capacity of natural soil gal./ft2/day i B) Basal area required = wastewater flow natural soil infitrativq- capacity = wr' da sq. ft. Cl) Basal area available for bed for sloping sites = B x (A + I) _ A~L sq. ft. C2) Bas are avail le for trench for sloping sites = B W (J + A sq. ft. 9311 4,50 11 MY7S C3) Basal area available for trench or bed for level ~sites = B x W = - 2 ~ sq. ft. Sign:! ro pS~ 5 4~ q rya _ License I~'u :--/S 7 Date: ____1 q3, 7S X 3D,3' (s, 3f- ) Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size = in. 2) Hole spacing in. 3) Distribution pipe length a '_9 4) Distribution pipe diameter = oZ _ in. 5) Spacing between distribution pipes D in. 6) Distance from sidewall to distribution pipe in. 7B) DISTRIBUTION PIPE DISCHARGE RATE ft. 1) Number of holes per pipe = 3 = a 2) Flow per pipe GPM, 7C) SIZE MANIFOLD 1) Manifold is central/ end 2) Manifold length O ft. 3) Number of 'di stri bution lines = 4) Manifold diameter = 3 in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate GPM 2) Force main diameter = 3. in. 3) Friction loss = ft. 6 o d~17 7E) TOTAL, DYNAMIC HEAD 1) Vertical lift r ft• 2) Friction loss ft. 3) System head 2.5 ft. _ ft. 4) Total dynamic head ft. n aLd~&L Licence: Date __._l b ~!a } r~ 7F) PUMP SELECTION 1) Pump selected will discharge GPM at ft. total dynamic head. 2) Pump model and manufacturer G cam, Ids a d~e.I 3&85 t-i ~0 51111 )fP 7G) DOSE VOLUME 1) 10 times a void Volume of distribution lines = o. Agal./cycle X ~ , 09.2 K a ( v s~~ Y-2, Ar 2) Daily wastewater volu - 4 doses/24 hrs. _ / gal./cycle S'~ ; -Y, a y 1►ti, 12, S 3) Mini um dose volume ~al./cycle ' &4A.4 back, C'4-6 c) car.. . ZIB 9~), 3~ 7H) DOSE CHAMBER 1) Minimum capacity required = .hod - 75d°'~' gal. Fs~ Sao plc~In, N License "u: IJr(et3 Date: J0-/~--7 cK U ar ~a S v vl d • Page fZ Of Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe a Y Medium Sand + a Topsoil - y i Bed Of 2 2 !2! Force Mai n Plowed Aggregate Layer ,"ON8 D / Ft. s S~ n Of A Mound System Using F i~3 Ft. gm;;i 8 E / d Ft . Bed For The Absorption Area G Ft. CQ4~~ A 7 Ft. N Ft. Signed : cL -T c' c~r~~ • B 9 j 75 Ft. License Number: 15(c~,3 K '/0,/ Ft. Date: 7~-- L Ft. ~.3 Ft. Alternate Position /g Ft. of W OA3 Ft. Force Main L i Observation Pipe--,,\ J 6 ~ It i A ~ Force Main W ~ Distribution ~\.,,Bed Of 2 i2» Pipe Aggregate I Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area J.' C G r ra C.~ S V page Z q~ /D Perforated Pipe Detail 0 End View )Patforoted End Cop PVC Pipe ei~O ~o+ Hates Located On Bottom, c Are Equolty SpoCed P r C? DIS r;N 66 1) L ' . . Lost Hole SAould B• _ Nest To End Cop Distribution Pipe Layout P Ft. R QA S if, X Inches Y AIA Inches Signed: ~i~ ~j-~..Q.,, Hole Diameter Inch Lateral " a IncM Licensep* SEWAGE Manifold " 3_ Inches Date: _ d(Za ~i l lly Force Main " .3 Inchon # of holes/pipe.73 R.& mom WJ ED Art- I I ELAXIONS Invert Elevation of Laterals & Ft. Dt pi. OP INDUSTRY, LABOR & AND 1 8U1N RS IV►SION OF SAVM SEE COBB P D NCE y i j t, 1 page of n i w trt n n ~ ~ to G FO ~ A 0 n to r ' to ~A 0 En (D rt n rt w c o rt o M ' W d rt O ~ C-0 ^ rt \J ~ yo ~ c 0 goo ° A0 - ° p _ ti .a i CJ ,t N j d r w r• w! ~ x ~ F A rt O i '.N !y t't _ 1w .1 PAGE A OF /00 ~ LJMP CHAMBER CROSS SECTION AND SPECIFICATIONS ~ G wy a. VELDT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE COVER 'Z5' FROM 0o0R, JUNCTION BOX 's WINDOW OR FRESH 12"MIU. I AIR INTAKE GRADE I `I"MIN. pNATE SEWAGE " IIJ. Con ' ion~'DUIT-- to"nlti. dtt rN1..~T E I ~ HT P IG ~ SEAL I I I V OF INDUSTRY, U►a0R >I< HUMAN R I I APPROVED JOINT A DIYI N OF SAFETY AND BUILDING I I I I I APPROVED JOINT: W/C.I. PIPE III W/C.I. PIPE EXTENDING 3' EEJ I 11 EXTENDING 3' j ONTO SO1.10 SG:;. CORRESP0 ALARM B SEE I I oNro SOLID so14 I I I ON c I I 'I PUMP OFF 0 CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL 3PEC.IFIC. ATIOIJS SEPTIC AND DOSE TALIKS MANUFACTURER. WMBER OF DOSES: PER I)AM TANK SIZE : - GALLONS DOSE VOLUME 2I '$C) ALARM MANUFACTURER: INCLUD!!! . :AC!.FLOW: GALLONS MODEL NUMBER: tO 3`a / 'CAPACITIES: A=_IUCHCS OR ~ GALLONS SWITCH TyPC: _ ~4•pt-1 11`1 &,X A= 3i,1 B= INCHES OR GALLOIJS PUMP MANUFACTURER: G01IA-S 19" CINCHES OR `~GAL~O MODEL NUMBER: D INCHES OR _ GALLONS SWITCH TYPE: m4 u4. r NOTE: PUMP AMD ALARM ARE TO BE PUMP DISCHARGE RATE U GpM ` INSTALLED ON SEPARATE CIRCUITS 3e181. M ~M~ •1 VERTICAL DIFFEKELICC Djl'j-WC[:u PUMP OFF AMD DISTRIBUTeoM PIPE.. FEET + MINIMUM NETWORK SUPPLY PRESSURE 2.5 FEET X~1j77 OeFT. p + ~``O FEET OF FORCE MAIM X oFTFRICTIOU FACTOR., ar / FEET Zr~ CMI~~,I TOTAL DYNAMIC HEAD = ~'S FEET 14+5kim-) 01 A. INTERNAL. RIME.WSIONC OF TANK: LENGTH ;WIDTH ;LIQUID DEPTH SIGNED: LICENSE NUMBER: DATE: -117- a4zi , lC 'r.b'kT S t X17. ~ +C; 4; t + if 1 t a w J G(}ULDS.SUG EHs a ; ~ ;:•,SEWAGE 'AND EFFLUENT PUMP EP4311 r y .x ~ t• ' . LIST q10 1/2" so11ds Y56.80 17Y , p~pPEP..0311 1!2 EP0311 1/] }p 115 V Effluent PLTV yeti. t~• t k L~; MODEL. EP0311 a 'ti 7 c. Effluent:, PuMp SIZE 3/e" SOLIDS p P ti i} rR • METERS FEET. w t 25 20 rR''.~ca~e.~TT 7' . 'a.? 1 S Y 10 { I u 7. r i,~~j j•j: f r 4 2E 32 36 40. 07 O 12 p 16 ..2t. GPM °11 r 0 2.5 ¢0e - 7S m'/A t CAPACITY L Ire •c; Performance 3885 Curve X", " MODEL 3885 ~..•N-' n SIZE.3140 Solid ' i~;A. JJJF 70 17~ 4 t 20 k 50 16 i Sla N[OSM~ •^R, 40 20 wto tpp t 10 k•A•~Fr~ S - 0 0 W 70 00 00 100 110. 170 GPM 0 30 40 bo 30 w/. 1 0, CAPACITY +w LIST DISC. ti p~UR,E03111• 142 }1E0311L 1/3 1p 115 V Low H 3/4' solids 491 .55 ]29.]S rk `cl i" 3/4" solids 491.55 329.35 , r ti* .k}'~°;a1r ; ` p~l,P}.E0311M 142 WE0311M 1/3 HP 115 V. Mad H' r a'.k 3/4" •iblida 704.25 41.85 j7 'w1r •ry'f DO(1PhcO511N 142 ViE0511H 1/2 HP 115 V High N 3/4" eolidq 843.65 565.25 k..: L,. ~1 a Gpl> E0712tt 142 H 071214 3/4 HP 230 V iliGh W. xA 11x r AND SPEXrIFICAT1CNS .X ° 1r•••SFS.F~ILi1ING PAGE FM PEFiF~7tb~ PAGE 07u 7~ > < 10 . MT 30 L1nTE S i ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the 01 a.rti 6 residence located at: ~ -s 5: 1/41 Sec. T 3 /N, R -/Z W, Town of 1/ 4 Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced ® / 99.3 Did flow back occur from absorption system? Yes_Z_No (if no, skip , next line) Approximate volume or length of time: Seo gallons minutes Capacity: Construction: Prefab Concrete- X Steel Other Manufacurer (if known) : rb Wars C~Nb Age of Tank known) : i.5 yrs (Signature) (Name) Please Print F s PRS / s~ (Title) (License Number) (Date) Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR-83, Wis. Adm. Code (except for inspection oing o--v77--er outlet baffle). Nameowers .J1~. Signature MP/MPRS 5/88 CERTIFIED SURVEY NO. Part of the NW-I,, of the SE4, Section 2, T31N, R17W, Town of -Stanton St. Croix County, Wisconsin I UNPLATTED LANDS TOWN - ROAD _ ro EAST 614.09 TRAVELED WAY NOT CENTERED ON 2000.01 to 33.01 EAST _ 33.00 N. LINE OF SE I/4_ CENTER OF ego 581.08 E I/4 COR. SEC. 2 SECTION I Jj, T31N, R17W I ,ri I JJ o n ~O ip LOT.I n 12 193,269 SO. FT. M ~I') 4.44 ± ACRES I _ I Ae 0 I p A\ O.D. si ° 59 0 to 90 613.15' 3 890 57 36" W J6 W ey° b5 _j 580.14' of (0 WI I 00• 060 o 0 0W W X: r W m LOT 2 ° a U) . F• H Q O zl a r+l,ci 192,974. SQ. FT. v pd.~0 • ' 3.43 +ACRES " Z: ~\~C U. W (n . I Q• ¢ z K o Z• z l I _j _ z o O 0 O Q• O p \10 e9O mF-Fz J• z~ 'I 61 i~, p• ° Y W' O: F 90 612.31' S 890 55' 13" W W• mI e9° 579.30' 02 Y2 90 °e _j; LEGEND a' ZI ru 11/4" x 30" ROUND IRON ROD J. _ _ Z. a ; I LOT 3 to M WEIGHING 4.17 LBS/FT. 3I _ to z: 192,710 SQ. FT. N o h I O M 4.42 + ACRES M h • W I rn J N O W O <>1 ro e9 SCALE F I Z p I y 5a 5 1" = 200' M 90 611.4E S 890 52' 51" W Q I ego 578.45' ~p 200 100 0 200 O ° a5 ~ceea~:~~ij, Q : I I Olt . ( O nlo° p LOT 4 s/ °Oo 192,446 SO. FT. `0` G .'N Z: I 7 I in • m to 4.42 ± ACRES i JOHN F. o: = KLOVNING ° S-1085 1~ o0 52 e9 MENOMONIE, 10, -9'.~.. WIS. O o 19 577.60' 16' 3J, S 89° 50' 26" W - - - 610.61' SOUTH LINE OF THE ~O, O•••~~"""••~•'•~(/ 66 SW COR. OF THE . NW 1/4 OF THE SE 1/4 opi, I NW 1/4 OF TH~ UNP L ATTED LANDS. , 0 SE I/4 •oeoaa WEST LINE I I OF THE SE 1/4L44 I, John F. Klovning, registered land surveyor, hereby certify: That I have surveyed, divided and mapped a part of the NM, of the SE-14, Section 2, T31N, R17W, Town of Stanton, St. Croix County, Wisconsin more particularly described as follows: Commencing at the East 4 corner of said Section 2, thence West 2000.01 feet along the North line of the SE-1, of said Section 2 to the point of beginning; Thence S 00° 52' 59" E 1292.04 feet; Thence S 89° 50' 26" W 610.61 feet to a point on the West line of the SE-14 of said Section 2; Thence N 01° 02' 05" W 1293.77 feet along the West line of the SEy,of said Section 2 to the Center of said Section 2; Thence East 614.09 feet along the North line of the SE4 of said Section 2 to the point of beginning. Said parcel contains 17.71 acres more or less. That I have made such survey, land division and plat by the dirction of Calvin Powers. That such plat is a correct representation of all exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provisions of Chapter 236 of the Wisconsin Statutes nd the subdivision regulations of the County of St. Croix and the Town of Stanton, in rveying, dividing, and mapping the same. S 9 N LAND SURVEYING HUDSON, Wi. 386-2007 NAME The First National Bank of New Richmond 109 East Second St. ADDRESS New Richmond, WI 54017 DESCRIPTION Part of NWa of SEa of Section 2-31-17 described as follows: Lot 1 of Cetified Survey Map filed in Volume "l", page 202. Cary D. and Bonnie L. Eastvold PLAT DRAWING N This is not a complete Land Survey EAST 235TH AVE 614.09' -Qverh.eadL-Ele_ 581.08 Bum Tele-.- ! - - ! I ' r., tl 00 s co m N N ! L ~ deek to M co 3 N o house garage C a~ o Uj z w m 580.14' S8905713611W 613.15' The Location of improvements on this drawing are approximate and are based on a visual inspection of the premises, the 16t'"dimensions are taken from plats and deeds of county records. This drawing is" for informational purposes only and should NOT be used as a complete Land Survey. First National Bank of New Richmond has agreed to waive these-requirements of A-E7.02, A-E7.03, A-E7.04, A-E7.05 (1 - 5), AE7.06 (l)-(5), and A-E7.07. The purpose of this paragraph is to comply with A-'E7.01 (2). Plop No 92-01-373 4' `~'R..t+•st ti's%:v. i Drawn By B R B "`;~1.•I_r i..`,~ w~' Date 9/28/92 Scale 1" = 100' ON, ST. CROIX COUNTY WISCONSIN aN~.ry 93 . + 73K~f ZONING OFFICE r y y ST. CROIX COUNTY COURTHOUSE ru~ 911 FOURTH STREET • HUDSON, WI 54016 - (715) 386-4680 October 6, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: A onsite soil investigation of the Carry Eastvold property, located in the NW1/4 of the SE1/4, Sec.2, T31N, R17W, Town of Stanton, St. Croix County, WI., has been conducted with the assistance of Cal Powers, CST# 531. This onsite revealed suitable soil for onsite sewage disposal to a depth of >56". Extereme limitations exist at this site which are associated with the very dense nature of the soil and the poor structure encountered below 26". With this in mind, it is recommended by this inspertor that a replacment mound septic system having 12" of sand fill be installed rather than a subsurface system. Should you have any questions, please feel free to contact this office. Sincer ly, J s K. Thompson ssistant Zoning Administrator Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _ of Labor and Human Relations Division of Safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but 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 / ~ Ow PROPERTY OWNER: PROPERTY LOCATION _ lr(cl GOVT. LOT y (,J 1/4 )E1/4,S 77 T AR 1- W PROPER OWNER':S MAI ING DDRESS LOT # BLOCK # SUBD. NAME OR CSM # CITY TATE ZIP CODE PHONE NUMBER [-]CITY ❑VI GE N NEAREST ROA ~Ct /iL S 007 ( ) rrYt n~ [ ] New onstruction Use [ esidenbal /Number of bedrooms [ ] Addition to existing building eplacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system ag DITEl L MOUNDI IN GR_ 0~1DI9 PU ESSURE AT-G2-S- R 41 U S❑YSS M IN FU--j H❑OLS NG TANK - 2D I U =Unsuitable for system 0-~ ❑ [3-S ❑ 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 Tre & k 0-3 1/ G - lea~~C; 14 4 3 0 r S 1 C- Ground /U ) 5 15✓~ W~r/ elev. ft. Depth to lco( m S h l~ limiting sso factor , _yV d A Remarks: Boring # J a x) ~r7 Ground / elev. ft. Depth to limiting factor Remarks: CST Name:-Please Print Phone: i Address: Signature: Date: CST Number: PROPERTY OWNER SOIL DESCRIPTION REPORT Page of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ~Cjv}}\\ti'•4} w:. Ground a elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # \•ti Ground elev. ft. Depth to limiting factor 71 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) ~w. Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page- Of'Labor and Human Relations ~ Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 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.O. dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROP RTY OWNER- PROPERTY LOCATION r, ~Qs`~"v Ql GOVT. LOT 114s 1/4,S T -3 N,R f 4M W PROPERTY GfWNER':S MAILING DDR SS LOT # BLOCK # SUED. NAME OR CSM # ~~ss 6 s CITY, STATE ZIP CODE PHONE NUMBER ❑C ❑V I.AGE OW NEARES ROAD y Q,, r rOD7 ( ) ~Q (J New Construction Use ~cJ Residential / Number of bedrooms [ J Addition to existing building Replacement • [ J Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/112 trench, gpd/ft2 -k Absorption area required bed, ft2 trench, 112 Maximum design loading rate bed, gpd/ft2 trench, gpd1ft2 Recommended infiltration surface elevation(s) it (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable _44m* ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U ❑ S J) U ❑ S f ~(U ❑ S W U SOIL DESCRIPTION REPORT + Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouriclary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trta'tctt ~r 0r6. o - 71 l r s m g 3 N ~ SbK d h Ground 131-30 /o R S f ~r *5/1 6; 1 to elev. IL i Depth to limiting _ factor I 1 Remarks: Boring # _ /P ! 5/ 3 ~,i h 5 / 72Y aY4 Ground elev. It. Depth to limiting , factor T Remarks: CST Name:-MeasflPrint AV t Phone: r Address: L Signature: Date: ,A,' - R9 CST Number: C,:2 PROPERTY OWNER Ca ~'j 3a~~ SOIL DESCRIPTION REPORT Pageaot -3 PARCEL I.D. / Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots QPDitt Boring # Horizon in Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench s d-b D - 3 Q*-I ' Ground S; 5 K- I 9 elev. tt ~ Depth to limiting facto Remarks: " Boring # Ground r elev. , IL limiting t factor Remarks: Boring # ` ` I f r • i Ground t E elev.. +s i Depth to... , Irififing factor i . . . . 7. I (3 Remarks: i.Boring # Ground _ , elev. ' ~ _ _ _ . _ _ . Depth to • . , , _ , _ ' limiting . facto _ { Remarks: ;SBD•8330(R.05/92),.." , _ • ! hri ► ~a5i cJlo\c.~ ( ~ ---i/U,u't'~~f ~ ~s,ci~ T.~ I iC AV -5s; j t I j, ! I ~ I ~ ~ II I i I- a _ - I- __-l - - - - - - - - - I I ! r f t+ I ~1 ► ~ 1 t~ t f. i I I I I I I~ I ~ I I I i i I I I I I I i I ~ I I I I i I i I I_~ I t r I} I f i I, 1 y I _I I I I i i 1 ~ 1 ~ ' I I_ , I 3 ,a I I I i ~ , I t I. ~ ID I I r I I ; I I I , I l I I I i -lo i I i ~ I ( , ~ i I Il I I ~ - I I I ~ i i I I i I I I I i ; 1 I i 1 i i -Amp I ~ I I ~ I I I _i.. ' I I ' 1 ~ 1 I I i I ~ ' ~ ~ I i I , I I i I I I i I i ! I f t I ~ 1 -f-- i State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION ONSI TE VERIFICATION REPORT 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 1. Are the soil and landscape features accurately reported on the Soil Description form? YES NO If no, provide further description. 2. If for new construction, could the development occur without an at-grade system? YES NO _s, .gnat otner type of sewage disposal system could be used? 3a. State the name of the installing plumber: b. Has this installer received written directives or orders regarding previous construction of at-grade or mound type systems? YES NO If yes proceed to 3d. c. If this installer has not previously constructed at-grade or mound type systems, have they attended a University of Wisconsin training session on at-grade systems? YES N4 d. If the answer to 3b is yes, or if the answer to 3c is no, the installer must include a written agreement to attend a preconstruction meeting with DILHR and county staff, and receive onsite construction supervision by DILHR and county staff. Fees for this supervision will be charged in accord with s. Ind 69.14 (1), Wisconsin Administrative Code. This supervision may also be required for subsequent installations. County Official Signature ate Property Location and Owners Name DI LHR•SBO.5524 429')K ST C- 105 r t > SEPTIC TANK MAINTENANCE AGREEMENT O St. Croix County z a to OWNER/BUYER 6~,yD-ERs~ydW44 vld ROUTE/BOX NUMBER GMs. 03s`~~Ygve Fire Number CITY/STATE De"r- agrk Iffl ZIP .54007 PROPERTY LOCATION: NW 14, SE k, Section, Town of c54AV1 dA/ St. Croix County, SubdivisionQStK,W 1, 4 ..DOa, I.ot number 1 Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into i the system can affect the function of the septic tank as a treat- ment 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 systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 0 E I/WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- v ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 clays of the three year expiration date. SIGNED L 9;,79_& D A'r E 611 .3 St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. i APPLICATION FOR SANITARY PERMIT 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), 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 Q r E d~d an &"1*'e_-1 Eas~vol Location of property _1/9/9, Section o2 , T 3 1 N-R-ZW Township S~A n~o i✓ Mailing address t~'SS ~3 5 A,,10- De r- Address of site &Cme qs ( dye Subdivision name J'/'K. - ~O Lot number Previous owner of property ( .Total size of parcel o^x-~` Date parcel was created In Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house)? Yes _N0 Volume and 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, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description 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. 331e60• ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office ,of t County Register of Deeds, as Document No. Signat a of Owner Signature of Co-Owner (If Applicable) _ &//y/ R3 Date of Signature Date of Signature DOCUMENT NO. STATE BAR OF WISCONSIN- FORM 2 K WARRANTY DEED 1i ~ i! j THIS SPACE RESERVED FOR RECORDING DATA i 318 5 von 534 F40E 3` BY THIS DEED, Calvin W Powers a k/a Calvin W REGi*T NS 00 1 1 Pnwers, Tr and Ph 11 iS A Powers, husband and ET: CFtC)1X CO., WIS. Wi fr-y a.-, joint tenants., Reed for Re=d tfisa_ §th _ I Car day of ~far'chA.D.197~ j Grantor conveys and warrants to y D. Eastvold and Bonnie 30 L. Eastvold, husband and wife, as joint tenants, at......8s A.. M• eglster of De s Grantee S for a valuable consideration RETURN TO the following described real estate in St. Croix County, State of Wisconsin: Lot One (1) of the Certified Survey Map recorded Tax Key # in the St. Croix County Register of Deed's office This is not homestead property. in volume one (1), of Certified Survey Maps on Page 202 as Document No. 330707, being a part of the Northwest quarter (NWk) of the Southeast quarter (SE~4-) of Section Two (2), Township Thirty-one (31) North, Range Seventeen (17) West.. This Warranty Deed is given in satisfaction of that Land Contract dated January 9, 1976, and recorded in the St. Croix County Register of Deeds office on January 15, 1976 at 8:30 A.M. in volume 533 of Records on pages 21-22 as Document No. 331097. FEE Exception to warranties: Executed at--New Richmond, Wisconsin this 2nd day of a h 19 76 SIGNED AND SEALED IN PRESENCE OF (SEAL) Calvin W. Po s. N/A (SEAL) Phyll s A- Powers N/A (SEAL) (SEAL) Signatures of Calvin W Powers and Phyllis A. Powers authenticated this 2nd day of March 19 76 ' ee G. E. Norman Title: Member State Bar of Wisconsin er Gther-Party Amttmriiaed andzt-9ez-?e&.06-v'iz---------------- STATE OF WISCONSIN N/A sS. County. Personally came before me, this N A day of 19_, the above named N/A N/A to me known to be the person- who executed the foregoing instrument and acknowledged the same. N/A This instrument was drafted by DOAR, DRILL, NORMAN & BAKKE New Richmond, Wisconsin 54017 Notary Public N/A County, Wis. The use of witnesses is optional. My Commission (Expires) (Is) Names of persons signing in any capacity should be typed or printed below their signatures. N.GMi1.trCpffl WARRANTY DEED-STATE BAR OF WISCONSIN, FORM NO. T - 1971 ' L l Wisconsin Department 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 COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE I PROP RTY OWNER: PROPERTY LOCATION ( ;CL V, ; s:L 1^ v 0 Fi GOVT. LOT 1/41'1/4,S ? T 3 r N,R 1 4MW PROPERTY NER':S MAILING ADDR SS LOT # BLOCK # SUED. NAME OR CSM # less C, s AA Arj4_ Aj /A CITY, STATE ZIP CODE PHONE NUMBER OC OV LAGE OW INEARESIROAD ` -ea- r cn w iEOa'7 ( ) 4 [ J New Construction Use UCJ Residential I Number of bedrooms 3 [ J Addition to existing building Replacement (J Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2 Recommended infiltration surface elevation(s) it (as referred to site plan benchmark) Additional design / site considerations Parent material Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM All FILL HOLDING TANK U= Unsuitable fors stem 0 S O U ❑ S ❑ U ❑ S ❑ U ❑ S f) U [IS ❑ S MU i ~ tp SOIL DESCRIPTION REPORT r, Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in Munsell Du. Sz. Cont Color Gr. Sz. Sh. Bed Trench 16-31 3 f fbK A i 9 Ground C 3150 /o elev. _W,2ft ; Depth to I limiting factor i Remarks: Boring # io „S 3 1 ~ 3 _a - 5/ 3 ~ ~l h 5 l 6 9 Ground elev. n Depth to limiting factor 4 l Remarks: CST Name:-PleasflPrint j Phone: _~y~_S13S /u n c~ Address: Signature: ` Date: X99 16 CST Number. 0.. 07 - Z, t PROPERTY OWNER SOIL DESCRIPTION REPORT Page Ct- of -3 PARCEL I.D. Depth Dominant Color Mottles Texture Structure Consistence Bo~xdaty Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont• Color Gr. Sz. Sh. Bed Trench 1AA JV- At 1 5 ~ ` Ground K . elev. ft. 's Depth to limiting factor Remarks: Boring # Ground , elev. Depth to ` limiting ' factor ' 1 Remarks: - i Boring # i. 4 i fGround elev. i , Depth to limiting factor » j Remarks: .Boring # L i . Ground elev. , } Depth to.~ . X limiting factor Remarks: ,SOD 8330(R.05/92) I I I I e i /71 /j i Tc I0. rI I 'a►~I j.5 ! A- ----I - - } T -T I I f I I I t-- f - - I - + - 1,4 , I I I i "I ~ i i I I f ! I - I t- 1 ~ r t I { f i I ~ t I I ~ I I _ ~ + I I I i I I E I I I i , I , I I ~ rt E I I I- { I I 1 a. 1 I y MAK- KTh + r 1 r- I i : I I . I I ~ ~ : I i I I ! i i t - - I f - i I I ~ I I , , ~ I I I I I i r t I I i I t ` t I t , i i ~ ' , I ! . 1 I ~ I - 1 I i I I t ~ a 7 ~ I i ~ i r i I 1--- I r I - I I i ~ I I I ' l 1 ~ I r I r ~ i ~ f - ~ 1 f I I ~ i ~ a ~ ~ I -r I I I I ! I- I 1 I I I ' I I - - L - I I i T ~ I I I I- ' ~ I ~ i i i I I I I r__ t t r I ! ~ l I r _ II - I I ~ I i r I I I I 1 -1 T ~ j - 33UYU7 p `..330707 9 10 1 Pit ED CERTIFIED SURVEY NO. 2 2 STCROIXCOUNTY SURVEYOR'S RECD MC 181975 Part of the NW-1, of the SE-1, Section 2, T31N, R17W, ow 0,cotoec w, Stanton, St. Croix County, Wisconsin ~R ~ ap, +n UNPLATTED LANDS t' TOWN-ROAD ~ EAST 614.09 TRAVELED WAY NOT CENTERED ON 2000.01' t° LINE OF SE 1/4 e 33.01' EAST q3 CENTER OF 1919. 581.08 Et/4 COR. SEC.2 SECTION I s?, T31N, R17 W 0I ?Jr LOTi m 193,269 SO. FT.I M I'n 4.44 + ACRES 0 A~ 010, M c 59 O M 90 613.15' S 890 57' 36" W W z J 19yo 560.14' yg J a m W I 00, O yO O N _O W yIi- I ~9s 90 ~ w~ O ~ N . S HH3 IM'nI~ LOT 2 aO W0 192,974 SO. FT. v O• 0 v3: 0 J ^ ^ 4.43 ±ACRES Z: ~\~=a LL W K Q Z• / 1 J• W20 Q : ZO ( I rJ tr O 6 199. m = M J: wl in 91 1j, p: mr~-z o p 10 Uj. 0. F 90 612.31' S 890 55' 13° W 196 LLI. W I 199. 579.30' F-. uI 02, LEGEND . ~e Q• I p 90 F-• J: 0 Z: 11/4" x 30" ROUND IRON ROD 0- 3I; Ir- LOT 3 WEIGHING 4.17LBS/FT. 192,710 SO. FT, a a WI0 rnIM 4.42 + ACRES m J N O o o eb G~ 3 33 199 SCALE ~ 5A °,p, I.. , 200 /1Z 11 ( j 40 611.46' S 890 52' 51" W Z • 19go 578.45' ~1 200 100 0 200 0 ' Q: I 0J10 0 "1' a~~0~11/0~0IP9 n I 19 2 4406 D. FT. ~O Z • in m v • f k ~s I rn I in 4.42 + ACRES • JOHN F. ' o 0: Z rn KLOVNING 3 19 S-1085 r MENOMONIE, I 0° ~ 119 ~ ~ = e` 19 577.60' t6' 3s ~.9 wI$. O s S 890 50' 26" W - - - 610.61' SOUTH LINE OF THE O••••~"""••~•'•~ ooh 66' NW COR. O TTEEUNP.LATTED LNDS NW I/4 OF THE SE 1/4 suia SE 1/4 ....A...... WEST LINE OF THE SE 1/4~ I, John F. Klovning, registered land surveyor, hereby certify: That I have surveyed, divided and mapped a part of the NW-1, of the SE4, Section 2, T31N, R17W, Town of Stanton, St. Croix County, Wisconsin more particularly described as follows: Commencing at the East 4 corner of said Section 2, thence West 2000.01 feet along the North line of the SE-1, of said Section 2 to the point of beginning; Thence S 000 52' 59" E 1292.04 feet; Thence S 89° 50' 26" W 610.61 feet to a point on the West line of the SE4 of said Section 2; Thence N 01° 02' 05" W 1293.77 feet along the West line of the SE-14 of said Section 2 to the Center of said Section 2; Thence East 614.09 feet along the North line of the SE-14 of said Section 2 to the 1 point of beginning. Said parcel contains 17.71 acres more or less. That I have made such survey, land division and plat by the dirction of Calvin Powers That such plat is a correct representation of all exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provisions of Chapter 236 of the Wisconsin Statutes`' and the subdivision regulations of the County of.St. Croix and the Town of Stanton, in surveying, dividing, and mapping ~the same. ~ Volwne 1 Ya~;e 2G2 Dated this % da'y of (%r'i,~iei2 1975 ( ~nf 330708 CERTIFIED SURVEY NO. 203 SURV Y, R'S RECORD Part of the NW-1, of the SE-14 of Section 2, T31N, R1 , Stanton, St. Croix County, Wisconsin NORTH LINE OF THE SE 1/4 _TOWN ROAD• • UNPLATTED. LANDS TRAVELED WAY VOT•CENTERED EAST 1307.05', 0 ON N. LINE OF THE SE 1/4 692.96 -`~p~ _ E 1/4 COR. SEC. 2 0,/ ~p T31N , R17W O O/y 09 0 WEST LINE OF THE NW 1/4 OF THE SE 1/4 3 2 0 / 0 g 20 TED DEC 181975 cn~ - - - WM o• CONNELL 1-+ o• seembt of Deeds z • 0 t ; m » Orela Campy, J • r 0 v Z' ° N I a ~ o W N Q I N I W. O r J: N LOT I N F- = Z Z ° 872 134. SO. FT. 20.02 ACRES± J• LL y W W : _ d. • w F-: Z' y 5: 'W Q . 1U N m J; - 0 LEGEND 0 O W I O 11/4" x 30" ROUND IRON ROD WEIGHING 4.17 LBS/FT 4 • RAILROAD SPIKE O 0 G O 0 SCALE 44 y~ 1„ -200, JOHN F. F KLOVNING £ S-1085 0 loo 200 4 00 r MENOMONIE, t 1 % •v~•j.+ WIS. e -0. ,~A '''N...... ••~O~v yR Y9. 34.78' p 16' / SE COR. OF THE NW 1/4 OF THE SE 1/4 ,~~sOO$U R z =x- 9r--Y-x-X-x-x658.06' r-x-z _ Oa l~ - - S 890 50' 26 " W T SOUTH tiNE -OF THE -N-W 4/4 T x OF THE SE 1/4 UNPLATTED. LANDS. I y- I, John F. Klovning, registered land surveyor, hereby cIr ify: That I have surveyed, divided and mapped a part of the NW-1, of the SE-1-4 of Section 2, T31N, R17W, Town of Stanton, St. Croix County, Wisconsin more particularly described % as follows: Commencing at the East 4 Corner of said Section 2, thence West 1307.05 feet along the North line of the SE-1, of said Section 2 to the point of beginning; Thence S 00° 39' 36" W 1290.12 feet; Thence S 89° 50' 26" W 658.06 feet; Thence N 00° 52' 59" W 1292.04 feet to a point on the North line of the SE4 of said Section 2; Thence East 692.96 feet along the North line of the SE-1, of.said Section 2 to the point of beginning. Said parcel contains 20.02 acres more or less. That I have made such survey, land division and plat by the direction of Calvin Powers. That such plat is a correct representation of all exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provisions of Chapter 236 of the Wisconsin Statu and the subdivision regulations of the County of St. Croix and the Town of Stanton, in t surveying, dividing, and mapping he same. C~J Dated this ©f- day of 1975 Volume 1 °age 2C3 i