HomeMy WebLinkAbout036-1063-50-000
p ° I
Q
4 0
~ I
0
o I
N I
N
O I
C I
0.
~ I
GL I
~ I
~ I
Fr
cu
Z
C
f6
U.
0
O I
C a
E Q
m
~ 'a I
~ w I
E
Z i °0 1
z I
r M w a m
N I- Z
o
C C13
O Z
o
d Z c Z
H r 'a
N M
~ I
C I
t o
O 2 z z O w
r
N C) Z
N ~ N N
R
N E I
m l6
° N N = `
IL c G m c
° 1) I
~vww t G G d E m
Z > F- F- H
~J o 0 T w
0- 0
0 0 z
• zaaa
IL :i :3
tit (D
0m °jM0Cl) ) o
-i L) < o rn y I
N O !7 0
O = E
7 ~
o d Q z in Q I
\j r o o (D a c
p Q
N n co
O o 3 °:3
u a 0 I
V ° 0 E E C
O ~ t o m r
m
G o o aa) rn y a~ v N o
>U 0
• O N !n > O Z 2 Z -7 Sr In
CC
V d
~ a) l4 d
a `aL~
• e~ 0. m .2 d C
r`1v E C C o; :3
r A vat ornV
F
STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER l~ ~1~/C i~ C--n)i~v4rlsc.~tZ
i
ADDRESS '7. Xj, M t4, A) g -r-
i
S noga Flt #41 Ale
t
SUBDIVISION / CSMJ LOT -4/4
SECTION c2I T_,3 LN-R W, Town of S
ST. CROIX COUNTY, WISCONSIN
iPLAN VIEW
SHOW EVERYTHING! WITHIN 100,'FEET.OF SYSTEM
73
2^ , OU
Pu <<
I i \
.01
p
Zia, P_
2• Grl.~r~J
0
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic. tank manhole cover.
@hohho.~lCQf'
BENCHMARK:
ALTERNATE BM:
I
i
SEPTIC TANK PUMP CHAMBER / HOLDING..TANK INFORMATION' ,T
07
Manufacturer: /l'I,n ,~c~►r-,c~ h% 6~srl~k.Li^(aVid capacity: 7 G
S , ,
Setback from: Well Z s-, House Zg ' O other ~
0~"Zt_~'rsz_ ModSt _ Size
Pump: Manufacturer
ry ~ k
Float seperation Gallons/.cycle:
Alarm Location LvS
I
SOIL ABSORPTION SYSTEM'S
treh9hes 6-d c
Width: O~ Length oZ Number of ;
-0 v
Distance & Direction to nearest prop. line:
Setback from: well: /G House /34 Other '
ELEVATIONS
Building Sewer ST Inlet; ST o' tTet
PC inlet 67, 0 tr PC bottom Pump Off
Header/Manifold Bottom of system
Existing Grade Final grade _
DATE OF INSTALLATION: 1D ~93
PLUMBER ON JOB: ~e _3 y✓~,a L° rL 3
LICENSX NUMBER:
INSPECTOR: ) i h'1 777/4->* IPS-00
3/93:jt
LQ b'rI's A*;,rt$WMWQ&ry~?7. 31.17. ATE SEWAGE SYSTEM County:
Labofan&rlurnan Relations
INSPECTION REPORT
Safety and Buildings Division
(ATTACH TO PERMIT) Sanitar r it
GENERAL INFORMATION o s w%
Permit Holder's Name: ❑ City ❑ Village Town of: State Pla o.:
evInsp. B1 ev.: BM Description: Parcel Tax No.:
TANK INFORMATION ELEVATION DATA A9300293
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark f~, CB
Dosi ng
Aerat' Bldg. Sewer v3 / 3,W) ~j 77'
Holding St/0 Inlet .3
TANK SETBACK INFORMATION St/~K Outlet
TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet \ /
Septic > ~5 l NA Dt Bottom
Dosing NA Header/-Man:
Aera i NA Dist. Pipe 0 , ' X ~ Da.
Holding Bot. System
PUM. NFORMATION Final Grade
Manufacturer Demand s,7 rna P
~ 7 3(0 9S
11, Model Number ;6~ ~,p" a6lGPM 3 ~ sy
lo~--'LLW~ ~
TDH Lift Lriction 3' He ema5a TDH PFt
Forcemain Length X ± Dia. Dist. To Well}Job
SOIL ABSORPTION SYSTEM
/ TRENCH Width / Length / No. Of Tr riches PIT No. Of Pits Inside Liquid Depth
5 1 r DIN(EN I
DIMENSIONS
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHI Manufacturer:
SETBACK CHAMBER
INFORMATION Type O R / um
System: ry(<1._112 ~~O "9J R-5 A- OR
DISTRIBUTION SYSTEM
Header/Manifold 'n Distribution Pipe(s) / / x Hole Size x Hole Spacing Vent To Air Intake
Length Did I Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ died xx Mulched
$ed'/Trench Center 4k4l Trench Edges 1, Topsoil IFS" ❑ No g-Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: STANTON 27.31.17.409
Plan revision required? ❑ Yes 2-60
Use other side for additional information. f1 f 5~--
SBD-6710 (R 05/91) Date Inspector's Signat re Cen No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
70ILHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code CO4WY
STATES T Y R T
-Attach complete plans (to the county copy only) for the system, on paper not less than ❑ c .c it evi nt /
8'r4 x 11 inches in size. p iousapplication
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPE OWNER I P PERTY TION ~j
eq o C! '/a d'/4, S,511 T,? N, R I E ( W
PROPERTY OW R'S MAILING ADDRESS LOT # BLOCK #
-3/
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
5 2
II. TYPE OF BUILDING: Check one CITY NEAREST ROAD
( ) ❑ State Owned VILLAGE a O 4
ION Q~:
M ER(
❑ Public N 1 or 2 Fam. Dwelling-#of bedrooms PARCEL TAX NU
III. BUILDING USE: (If building type is public, check all that apply) 036 - 1®co.3
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
40 Church/School 80 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) 1.0 New 2. Replacement 3. ❑ Replacement of 4. ❑ 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 9 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./inch) ELEVATION
/11/, '?0 Feet Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank Zvi ed ~5'12~~Z
Lift Pump Tank/Si hon Chamber AW
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plu er's N e (Print): Plumber's 'gnature: (No Sta nips) P PRSW No.: Business Phone Number:
~ 61 ,2 ~ ~ 3 -2 Sri
Plumb 's Address ( treet, City, te, Zip Cod
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issue jogrig Agent Signature (No Stamps)
Approved Owner Given Initial Surcharge Fee)
~ ~ ~ ~7J
0O`
Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerlyPlb-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 tank(s) must be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 605-266-3815.
To be complete and accurate this sanitary permit application must include:
I. 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.
Ill. 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; (lose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
f
0 ~ 3
l~r1 Ut' t~7~~
^
moo,
~n ( of O rj
/ lo?
Qt
f
W
f s U d
~a & KU
1NDOSt BOR
~,@VttS N 0'F
NJ
y tiz
~U ~
S93-41073
Er-
OCT 0 4 1993
A B L D & DIV.
MOUND DESIGN FOR GAYLE WICKENHAUSER PROPERTY
LOCATION: OWNER:
NE1/4 NW1/4, SEC. 27, GAYLE WICKENHAUSER
T.31N., R.17W., TN OF 317 N. MAIN St.
Stanton, St. Croix Co., WI STAR PRAIRIE, WI 54026
INDEX TABLE
PAGE 1 OF 7 TITLE SHEET
PAGE 2 OF 7 WORKSHEET
PAGE 3 OF 7 PLOT PLAN
PAGE 4 OF 7 MOUND CROSS SECTION
PAGE 5 OF 7 DISTRIBUTION PIPE DETAIL
PAGE 6 OF 7 PUMP CHAMBER CROSS SECTION
PAGE 7 OF 7 PUMP SPECIFICATIONS
PREPARED BY:
LYLE J. MYERS, MP #6219
RTE. 2 BOX 47A
BOYCEVILLE, WI. 54725
(715) 643-2520
SIGNATURE:
y- v
DATE:
'9
I.~ 7 3 Page ~ Of 7
roNAL NVORKSHEET
MOUND SYSTEM II. IN-GROUND PRLSSURL SYSTEM -Continued-
I. Wastewater Load, Total Daily Flow= - t 10. Force Main:
Use s. ILIIR 83.15 (3) (c) Minimum Dosing Rate = °e3 Rpm.
Adm. Code and PROVIDE A DETAILED Diameter in.
LIST OF SIZING ON PLANS. 11. Total Dynamic Head:
2. Depth to Limiting Factor = Ico"e'er 33 ft. System Head = 2.5 ft.
3. Landslope = _ Vertical Lift = 17.0 ft.
4. Distance from Dose Chamber to Friction Loss = J,Vft•
Distribution System = _ a-15 ft. H = --942,77- ft.
5. Elevation Difference Between 12. Pump ection:
Pump and Distribution System = 17•0 ft. Pump 11 discharge at least gpm
6. Absorption Area Sizing: at ft. total dynamic head.
Area Required ft. Pump model d manufacturer:
Bed or Trench Length (8) _ ft.
Bed or Trench Width (A) = ft. 13. Dose Volume:
Trench Spacing (C) ■ A ft. 10 Times Void Volume of . Z~
7. Mound Height: „ Distribution Lines = gal.
Fill Depth (D) = o3O at 47 ft. Daily Wastewater Volume T
Fill Depth Downslope (E) _ °A~ e~j 1. b.1 ft. 4 Doses In 24 hrs. _ gal.
Bed or Trench Depth (F) ft. Backflow = gal.
Cap and Topsoil Depth (G) : I.DC ft. Minimum Dose
Cap and Topsoil Depth (H) _ 1,60 ft. 14. Dose Chamber: 8. Mound Length: 11' , Volume = L1_ gal.
End Slope (K) _ ft. "AA- 4a1.U0
Total Mound Length (L) = 1 QL+ ft. 111. CON NTIONAL PRIVATE SEWAGE SYSTEM '
9. Mound Width: 1. W tewater Load, Total Dally Flow=. gal.
UpslopeCorrection Factor = 5 Us S. ILHR 83.15 (3)(c), Wis.
Upslope Width (1) a 9 ft. LXA4- (D.eso Ad Code and PROVIDE DETAILED ,
Downslope Correction Factor a 1.1.. /Q LIST F SIZING ON PLANS. t
Downslope Width (1) _ l 1.78 ft. tA.4,- La..Ob 2. Required S tic Tank Capacity = gal. ;
Total Mound Width (W) _ 777F ft. 3. Percolation to = min./i
10. Basal Area: 4. Absorption Ar Sizing,
Infiltrative Capacity of Refer to T le 2 in ch. ILHR 83
Natural Soil = 61.170 w./sa.ftjday and PROVIDE DETAILED UST OF
Basal Area Required = 0100 q. ft. SIZING ON PLA
Basal Area Available - 1, 700 q. ft. Required Area = sq. ft. '
11. If Standard Tables from Chapter ILHR 83 Length = ft.
are used, Indicate Table # NA Width = ft.
12. For the Distribution Network, Use Numbers S-14 in Section 11. Number of Trenches =
Trench Spacing = ft.
11. IN OUND PRESSURE SYSTEM S. Distribution System:
1. O h to Limiting Factor = ft. Lateral Length = ft.
2.. Land pe Number of Laterals =
3. Percolate Rate = min./in. Lateral Spacing= In. 1
4, Proposed S em Elevation = ft. Distance from Sidewall to Pipe = in. I
S. Wastewater Lo Total Dail Flow: gal. System Elevation = ft.
Use s. I 83.15 (3)(c), Wis.
Adm. Code and P VIDE A DETAILED IV. SYSTEM-IN-FILL
LIST OF SIZING O LANS. Fill in All Items from Section III
Required Septic Tank C city = gal.
6. Absorption Area Sizing: V. SEPTIC TANK
Percolation Rate = min./in. 1. Capacity = gal.
Area Required = sq. ft. 2. Manufacturer:"K0',5-V4
System Length = ft. 3. Show Site Constructed Tank Details on Plan
System Width = ft.
7. Distribution Pipe Sizing: L VI. DOSING TANK
Holc Size = 'f - in. 1. Capacity = (1 7: gal.
Hole Spacing = i'0if01 6 - ft. 10-t 4ut,e. .Z.1~0 2. Manufacturer.
C17- F
Uileral Length - It. 3. Pump Manufacturer' ~ea i.1
Latrrai Size r In. 4, Pump Mndcl; 137
Metal Spacing t4A it. .5. Operating Head= .70
Di.laoee fi-am Sidewell to Pipe ._.>V in. b. Flow Rate = 113 gpm•
M. Distribution Pipe Dischaege Rate: 7. Show Site Constructed Tank Details on Plans
Number of Holrs Pri Pier
Fluw Per Pipe: _ glint. VII. IIOI. ANK
It. Manifold Sizing: 1. Capacity = gal.
2. Manutrclurer:
Type (untceorunit) A
Lengili = It. 3. Shaw Site Conslruclcd Ta ,tails on Plans
Diameter = in.
-SHOW ALL INFORMATION ON PLANS-
Page Of 7
Cross Section Of A Mound Using A Trench For The Absorption Area
Medium Sand Fill
IIII(D ~I F 6" Topsoil
3 E D
PTrench OfRM99re9ate Plowed Layer
p~s~efil~N'4~ Covered With D J.(,7 Ft. (a0"~Synthetic Fabric
Cme
E I.BA Ft. G 1.400 Ft.
E ;
OV F .-7S Ft. H 1.5o Ft.
Ft.
N11MA►,
Lao
r' U3~t~u
DEPT. OF ow
mv►s
E P NpENCE
SEE a V ew Of ;found Using A Trench For The Absorption Area
2:'Force Main
Distribution Pipe
Permanent Markers Observation Pipe
W
B - •i- K
\ Trench Of 11" - 23-." Aggregate
I
L
L
A ~r, C) Ft. I 1 .).0 Ft. K i.?.0 Ft. W a7, 0Ft.
B 400• O Ft. J I p.0 Ft. L 14.0 Ft.
I
Lr Page S Of~
S7 3 -
Distribution Pipe Detail For Lateral Network
PVC Force Main
Holes Located On Bottom
Are Equally Spaced End Cap
X PVC Distribution Pipe
P
* Last Hole Should Be Next To End Cap
1S 2.5 1 tWM &N0 e l.4t t-,
P 97.50Ft. Hole Diameter 114 Inch
X 4P O Inches Lateral Diameter 1'/a Inch(es)
Y 30 Inches Force Main Diameter a Inches
# Of Holes/Pipe 010
Invert Elevation Of Laterals O~ /.90 Ft.
aw"
s U4
PAGt PUMP CHAMBER CROSS c --~tL GF-1-
ECTIQI•J Akici SPECIFICAT10kiS
VENT CAP IF
Y"C.I. VENT Pin WEATHERPROOF APPROVED LOCKING
25' FROM DOOR. JUNCTION 90X MANHOLE COVER
WINDOW OR FRESH 12'MIU.
AIR INTAKE I
GRADE I
L I
I Y" MIA1.~
COIJDUIT L 18"X1li.
18"MIN.
.
I
IAILET Z0PROVIDE
QR & 1~~ AIRTI"T SEAL I I I
1
I.A f'•p
I * ~ ~ aND~g~T fgA
of
ti • Div _
Ii
AL
ARM
*APP OVED ( I
oN
i ~C~
JOINTS WITH I I
ELEVl .L FT. I
APPROVED PIPE
3' ONTO PUMP
0 SOLID SOIL OFF
LL_ CONCRETE BLOCK
• RISER EXIT PERMITTED OQLy IF TANK MANUFACTURER HAS SUCH APPROVAL
SEPTIC E SPEC IFfCATIOAIS
DOSE
TANKS MANUFACTURER: ~~~eS►'1/ 1! tA QUMBER OF DOSES: PER DAy
TANK SIZE: I GALLONS DOSE VOLUME
ALARM MAIJUFACTUKER: olt INCLUDING SACKFLOW: _-~(0~•86 GALt01
MODEL NUMBER: aA
CAPACITIES: A. aoya IAICHES OR ~•d GAlLO►
SWITCH TYPE: I2fy_re
PUMP MANUFACTURER: INCHES OR -32-D GALLOA
GALLOA
MODEL NUMBER: _ ' 98 C = 9 WCHES OR 5•5-
SWITCH TYPE: /I'/!Y~ ~N D`--7 INCHES OR 1,36- GALLOA
NOTE: PUMP AND ALARM ARE TO BE
MINIMUM DISCHARGE RATE 3 GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE_ - I` FEET
t MINIMUM NETWORK SUPPLY PRESSURE . . 2.50 + FEET OF FORCE MAIN X F~ ~7 FEET
_Lo IoortFRICTION FACTOR.-- /_FEET
TOTAL DYNAMIC. HEAD = ' 77 FEET
IUTERNAL. DIMLWSION>; OF TANK: LENGTH 7-3 -N 1oAto
-;WIDTH -;LIQUID DEPTH 38•`S
L;$µ;d CAP46L-y 2 It S-09011 /RCA
HEAD/CAPACITY CURVE
Q W
ILI
F HEAD CAPACITY CURVE 41a/ 1
ILI EFFLUENT MODELS
,
TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE
34
EFFLUENT AND DEWATERING
I ,
c"_ ~ -
1 r
32 05 SERIES 67.0 07 a 137.130 161 163 166 ts6 W
30 tp0 1N
IT W fiat LUS G.L:6s G.I. In " L►s Gat Lti. Gal Un'. Gel 4ks.... Gel In . fiel lte:
1 52 43 ,63 56 72 x73 104 394 '00 401 6, 23i6f 2.1195
166 :667
28 10 3L% 34 129 46 174 61 211 300 100 370 61 23141 33r161 #n
90 15 467 19 72 36 133 -170 U 242 91 60 277 60 227 146
26 20 81015 57 26 106 36 136 82 310 69 223 60 227 ' 140 -1650
85 26 7.82'. 1 30 74 2e0' 67 jt,6w ZZ3 60
2a0 126 4µ 133 $03
24 80 30 0.f4 66 210: 66 Z4 60 27A W 340. bs 220 121 460 127 "1.
M 1210
75 46 114 46 172 66 206 76 263 6t 220 106 307 114 431.
22 186 60 1624 21 60... 33 126:. 61 101.. 66 210: 68 210 010 ,141 too ,:.370
7 60 10.20 16 67: 43 161 36 '136 64 320 71 2% 66 ...322
20-
70 21.34 =1 62 107 61 100 70 266
165 so 2&36 46 170 b 108 64 204
65 18 60 00 21.43-I
JZ 121. 2 4 37 140
55 100 3046 is 6S 21 `I70
16 163 110 5190'. 7 -20. 4 50 Loek Vefw: 10.26' 2176' 1. 20' 6a' s6' BT 73' 116'.. W' 117
14 45
4
EFFLUENT & DEWATERING S1SX - - - - - 12 35 185 Warning: Model 185 should not be subjected to less
10 than 30 feet TDH.
8 189
25
Note: For Head Capacity on Model 112, industrial
6 20 column-explosion proof pump, see FM 219.
15 ,6,
4
97 188
t0
2 5 98
5,55, 7,59 13 ,39 SEWAGE & DEWATERING
0
GALLONS 20 ,b 101 50 601 70 go 90 120 x,30 ,4° ~,5o i6o WARNING: Model 293 should not be subjected
LITERS 80 160 2±0 320 400 480 560 640 to less than 15 feet TDH.
0
N
Q
lu W
W
2
21 -SO- TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE
75 SEWAGE AND OEWATERING
SERIES 262 2" 267 268 282 2M 292 203 294 295
70 FT. M Gal. Llrs. Gel. Ltn. Gal. LUS. (ial. Ltn: Gal. Ltn. Gal. Lln. Gal. Ltn. Gal Lln. Gal. Ltrs. Gad. Mrs.
20 5 1.52 90 341 12B 484 128 484 128 184 ,30 492 180 681 110 530 t% 712 225 852
10 3.05 60 227 89 337 89 337 89 337 95 360 158 596 124 169 181 685 205 776
15 4.57 22.5 85 _;E'189 50 169 50 169 63 238 135 511 108 101 130 192 165 625 Ills 700
is 0 20 6.10 10 3e 10 3e 10 38 33 tzs 108 401 F68257 119 450 150 568 168 638
25 7.62 76 288 106 401 136 5,5 153 56x1
30 9.14 43 163 90 340 121 158 140 530
5S 40 12.19
18 50 ,89 91 358 115 435
50 15.24 58 220 119 337
SO 60 18.29 13 49 59 223
14 70 21.34 25 %
45 lock VaNe 18' 21.5' 21.5 21.5 26 35' 17 50' 67 77'
12 40
35
10
30
8 293
25
6 20
15
4 282
10
292
2
5
262 266, 267, 268 284 291 295
0
GALLONS 10 20 30 40I 50 60 I 70 80 I 90 100 110 120 130 140 150 160 170 10 190 200 210 220 230
1 I I I I i I I _
LITERS 0 0 160 240 320 400 48u 560 640 720 800 880
ftwnsin Department of Industry, SOIL AND SITE EVALUATION REPORT Pagel of 3
i:al»r-ind Human Relations
Division of Safety & Buildings
. in accord with ILHR 83.05,,Wis. dm(~Code
P 4 0 7 3 COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but Rt Croix
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
Gayle Wickenhauser GOVT. LOT r>E 1/41,Aj 114,517 T 31 N,Rl7 xR(or) W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM #
317 IT. ?fain n a n a n /a
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE EJOWN NEAREST ROAD
Star Prarie WI. 5402.6 (719 24F,-3496 Stanton 20001. Ave.
[ ] New Construction Use [xjc Residential / Number of bedrooms 4 [ ] Addition to existing building
Replacement [ ] Public or commercial describe
Code derived daily flow. 600 god Recommended design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2
Absorption area required 500 bed, ft2 500 trench, ft2 Maximum design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2
Recommended infiltration surface elevation(s) 1(11 - 79, ft (as referred to site plan benchmark)
Additional design/ site considerations rep] arr,ent rannnrl wi th 16" siii tahl P soil r Gni 1 to }-w- rbi apl nl nwPri t O"
Parent material glacial c.rift 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 = nsuitable for system ❑ S F~U CAS ❑ U ❑ S au ❑ S au ❑ S EIU ❑ S aW
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
1 1 0-R 10vr3/3 none L. 2/n/sbh nfr c/s 2/f .5 .6
2 5-17 10yr4/4 none sil-. 2/rl/sbl: mfr g1w 1/f .5
Ground 3 17-28 7.5yr4/4 fif 5yr5/8 sl. 2/n/sbk mfr ,/w 1/f .5 .6
elev.
99.32 ft. 4 21-34 7.5vr4/4 crap 5vr5S1. 1./m/sbl: nfr g/w na/ G 5
Depth to
limiting
factor
17"
J_
Remarks:
Boring #
1 0-7 10yr3/3 none L. 1/f/sbk: nvfr c/s 2/f .5 .6
"<t 2 2 7-10 10Vr4/4 none scl. 1/f/pl nfr .3
3 10-16 10yr4/4 none scl 2/n/sbl. nfr f 5
Ground .5
elev. 4 16-23 7.5yr4/4 cnp 5yr5/8 si. 2/n/sbk: nfr 0 *16
99. 3R.
5 23-60 7.5vr4/4 crhp 5vr4/6 sl. 2/n/sbk mfr a- n/a, .5 ~E3
Depth to J
limiting O NTl
factor
16" Z. ~tNG
Remarks: horiznn #2-nnn-rQnj-12j1U1S in b,- k
CST Name:-Please Print Phone:
Garv T Steel 715-2Ls6-6200
Address:
5 T T P' rlinon(l, T-T 54017
Signature: Date: CST Number:
cstn 229_
PROPERTY OWNERC4,gVJO Je,140h&:~OIL DESCRIPTION REPORT Page 2 of, 3
PARCEL I.D. # r
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GP Tre
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ~r2nd,
1 -12 1 3/3 none L. ?./m/sbk mfr c/s /f .5 .6
" <t
M, 2 12-20 10yr4/4 none sil. 2/m/sbk raft /w /f .5 .6
Ground 3 20-36 10yr4/4 c2p 7.5yr4/6 sil. 2/ms/bk mfr g/w /f .5 .6
elev.
100.7t2 4 36-68 7.5 4 4 c2 7.5 r5/B sl. 1 m/sbk mfr n/a /a .4 .5
Depth to
limiting
factor
Remarks:
Boring #
2
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
r
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring
Ground,
elev.
ft...
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
r
<1-41.07
STEEL'S SOIL SERVICE
1554 299th. Ave.
Gary L. Steel AMAdwXysbaft
C.S.T. 2298 New Richmond, WI 54017
MPRSW-3254 Gayle Wickenhauser (715) 246-6200
NF-WJ%, S27-TKN-R17W
town of Stanton ~
100
ti
3
4r
1
Gary L. Steel_
8-6-93
r
z
H
• 9
ST C- 105 r
• a
H
SEPTIC TANK MAINTENANCE AGREEMENT o
St. Croix County z
d
9
CO H
OWNER/BUYER t9j
ROUTE/BOX NUMBER/ 7 /Zl, -Fire Number/l7
.CITY/STATE S Utz afln'oef_~' -ZIP
PROPERTY LOCATION: C. k, ~'k• Section,?_7 , T:3/ N, Rj_W,
Town of St. Croix County,
Subdivision Lot number
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
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. H
I/WE, the undersigned, have read the above requirements and agree Ln
to maintain the private sewage disposal system in accordance with x
the standards set forth, herein, as set by the Wisconsin Depart- w
ment of Natural Resources. Certification form must be completed
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date.
SIGNED~jC~, ~
DATE 10-
IS- q~
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.
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3
tz:;: end 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 St. Croix
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
Gayle Wickenhau ser GOVT. LOT DTE 1/41Zj 1/4,517 T 31 N,R17 xfr(or) W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
317 IT. stain n /a n n/a
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE DOWN NEAREST ROAD
Star Prarie GTI. 54026 (719245-3496 Stanton 20001. Ave.
[ j New Construction Use [xjc Residential / Number of bedrooms 4 [ ] Addition to existing building
['4 Replacement [ ] Public or commercial describe
Code derived daily flow 600 gpd Recommended design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2
Absorption area required 500 bed, ft2 500 trench, ft2 Maximum design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2
Recommended infiltration surface elevation(s) i ni _ 77 ft (as referred to site plan benchmark)
Additional design/ site considerations rapl arripnt rinnnr' with 1611 Giii tahl P Sni_1_ Gni 1 t-o ha (-hi Gal nl owed t 0"
Parent material Fl a i a 'rift 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 = nsuitable fors stem ❑ S nU CAS ❑ U ❑ S au ❑ S aU ❑ S El U ❑ S CM
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounday Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed TT-w& 10-S IO)Tr3/3 none L. 2/ra/sbl: mfr c/s 2/f .5 .6
at 2 8-17 lOvr4/La none s:.il. 2/ri/sbh mfr a/w 1/f .5 .~3
3 17-2( 7.5yr4/4 fif 5yr5/S sl. 2/ri/sbh rafr
Ground ,/w 1/f .5 .6
elev. .
P9.32 ft. 4 28-34 7.5yr4/4 cnp 5vr5/,„ S1. 3./n/sbl; rlfr Ow na/ L, 5
Depth to
limiting
factor
17"
Remarks:
Boring #
:ss,ccrcc,tin>, 1 0-7 10yr 3/ 3 none L. 1/ f/ sbk ravf_ r c/ s 2/f .5 .6
:t b 7
2. 7 / C
-1C► 0ur4 4 none .~cl. 1 f /1. nfr ~ .3
1
.41
3 10-16 10yr4/4 none scl 2/n/sbl: nfr 1/f 5
Ground • 5
elev. 4 16-23 7.5yr4/4 crap 5yr5/8 sl. 2/n/sbk rafr
99.38.
5 23-60 7.5yr4/4 crap 5yr4/6 sl. 2/ra/sbk rafr cn n/a4 .5
Depth to
limiting jiff
factor
1611 Remarks: horiznn 99-nqn-rant--ix;Iqijs in borina will bp I= W
CST Name: Please Print Phone:
T Steel 715-2L,6-6200
Address:
5 P ' 1 T•T 54017
Signature: Date: CST Number:
S-6-93 cstra 229;'
PROPERTY OWNER C~Av/~Ll~nit~~~11j OIL DESCRIPTION REPORT Page 2 of., 3
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxiay Roots
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed d Trench
't2.... 1 -12 1 r3/3 none L. 2./m/sbk mfr c/s /f .5 .6
2 12-20 10yr4/4 none sil. 2/n/sbk nfr/w /f .5 .6
Ground 3 20-36 10yr4/4 c2p 7.5yr4/6 sil. 2/ris/bk mfr Ow /f .5 .6
elev.
100.76 4 36-68 7.5 r4/4 c? 7.5 r5/8 sl. 1/m/sbk mfr n/a /a .4 .5
Depth to
limiting
factor
Remarks:
Boring #
M
Ground
elev.
ft.
Depth to
limiting
factor
FT
Remarks:
Boring #
M- aye
1" .K
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
.
:2Y
Y4
0.10
Ground
elev.
i
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
STEEL'S SOIL SERVICE
-594 299th. Ave.
Gary L. Steel
C.S.T. 229$ New Richmond, WI 54017
MPRSW-3254 Gayle 4lickenhauser (715) 246-6200
NF%NLa S27-T31N-RIN
town of Stanton
00
5
~v
z
~ Ito ~ ~7
2 OD ~ g ray
rt-`
~o
1
C
~r
Gary L. Steel.
8-6-93
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.
~ G
Owner of property ala.'
Location of property 1/4 / L_1/9, Section . T__3 N-R _W
Township
Mailing address O /Z Itf, 'en tq~iU
Address of site
Subdivision name
Lot number
Previous owner of property
Total size of parcel
Date parcel was created ,1 9,1.3
Are all corners and lot lines identifiable? Yes No
Is this property being developed for resale (spec house)? Yes o
Volume and Page Number /f~Z 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. _-15 l3 9 9 ; 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 dul recorded in the Office
of the County Register of Deeds, as Document No. 3 3 1.
-71
Signature of Owner Signature of Co-Owner (If Applicable)
Date of Signature Date of Signature
DOCUMENT NO. STATE BAR OF WISCONSIN- FORM 2
493 Fa ~ E152 WARRANTY DEED
~ 9 4 BOOT( THIS SPACE RESERVED FOR RECORDING DATA BY THIS DEED, Frank Wickenhouser & Clara REGISTERS OFFICE
3
ST. cROix co., wls.
Wickenhouser, husband & wife,
Reed for Record this- 26_th
' Grantor conveys and warrants to Edward Wickenhouser & Gayle day ofl_)R(M er___A.D.19?2 1
Wickenhouser, husband & wife, at__ 10:00_,__ A
i
Re r f D .rt s~ '
Grantee- _
for a valuable consideration One Dollar ($1.00) and other RETURN TO
valuable consideration
the following described real estate in _St. Croix County, State of Wisconsin:
Tax Key #
i
I' This is homestead property.
I~
I
The Southwest Quarter of Section 22, Township 31 North,
I' Range 17 West and the East One Half of the Northwest
Quarter of Section 27, Township 31 North, Range 17 West. j
This deed is made pursuant to a land contract dated
April 6, 1963, recorded April 9, 1963, in Volume 393,
Pages 245 & 246.
j
b
EXM jT)
Exception to warranties: j,
i
December 19 72 II
i; Executed at New Richmond, Wisconsin this 11th _ day f
- - y - -
SIGNED AND SEALED IN PRESENCE OF -e-~ ~'~~EAL) I~
Frank Wickenhouser
f_C'.4't-z~~t'~t C (SEAL)
- ~j
~I ---Clara -Wickenhouser (SEAL)
II.
1 i
(SEAL) I
I;
I!
Signatures of Frank Wickenhouser & Clara Wickenhouser, husband and wife,
I
- -
li authenticated this ---11-th.-_--- .--day of--.--- ._--DeG@InbtrY_ 9
j
A
~j
Wm. W. _Ward
Title: Member State Bar of Wisconsinmirt):M-12-7
f
STATE OF WISCONSIN
s s.
_ _-County. }
Personally came before me, this-.-.---__--.- day of 19.
the above named-
- _ - -
to me known to be the person- who executed the foregoing instrument and acknowledged the same.
(!Ii
This instrument was drafted by
WM. w• _WARD,__ Atto- ey-_ Notary Public- County, Wis.
i
The use of witnesses is optional. My Commission (Expires) (Is)_- _
if
Names of persons signing in any capacity should be typed or printed below their signatures. HeM .,caroms rrt
WARRANTY DEED-STATE BAR OF WISCONSIN, FORM NO. 2 - 1971 j