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HomeMy WebLinkAbout036-1059-80-000 -0 0 Q c a) o 0o O m N 0. 0 O O ' N ti N h I I 0 O z C L LL =O C ~ 'O a) ~ E Q U M 7 N E z I' d a i CL m N 1M U) 0 o z m o in FZ- Z E 72 ~ww M c Q 0 Q Q L) Z Z o N Z N C ~ ~ C • ~ ~ N 7 m E _ N n l0 06 O d w" Y c (n CD m N .a U a) u' o a E h a~ tn N y z •N E a a a d U M M M, 7 3 N } ZV! Z n 'D 0 0 0 ((O N a) N_ N_ O E C) 3 M V O 7 N M co m ~ d Q } {p 7 00 O O ~ ~ VI C O O co c: O O 0 ~ 0 0 0 0 i 00 CO H a) •E a c[L o O C) 0 N N N N O ,U.) a~ o c v N M O O N co qty` C-iz D ~ F- C N L A C • 7, M 'n z y O Es U y, O N fn 'I !n O Z - Z L9 fn .r d W CL 7 O i (L • ~ a d .V d y *Aliw 1 E i C C 7 _1 A 0 a 2 0 U) U STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS ,tlet✓ W,'clA`il6,,rof 19oS ~O~ SUBDIVISION / CSM# LOT # SECTION. T N-R W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 7 \(v . _ 1sb P e N, I INDICATE NORT ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. 1 BENCHMARK ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING.-TANK INFORMATION Manufacturer: jyf iG'~GJ~ S Liquid Capacity: e"V a Setback from: Well T6 " f House r - Other Pump: Manufacturer _ZeAke-y Model# 97 Size Float seperation 9" Gallons/cycle: 6 2 Alarm Location 46'A-5,L ':SOIL ABSORPTION SYSTEM Width: Length y9 Number of trenches l Distance & Direction to nearest prop. line: G' Setback from: well: Sd House Other .Si{e~ ELEVATIONS Building Sewer ST Inlet: ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: ~ 3/93:jt rv s i+`~i'r aTtrrt~c~r`~t r st y.25. 31.17.&1dj tVA SYSTj16 County: La4orand Human Relations INSPECTION REPORT Safety and Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 193436 Permit Holder's Name: ❑ City ❑ Village own of: State Plan ID No.: CSTBM Elev : 111T1 I STANTON Insp. BM Elev.: BM Description: Parcel Tax No.: r - a C 036-1059-80-000 TANK INFORMATION ELEVATION DATA A9300097 w, TYPE MANUFACTURER CAPACITY STATION BS HI FS ESeptic Benchmark Dosing i A eration Bldg. Sewer Holding St/Inlet TANK SETBACK INFORMATION Stl. lK Outlet TANK TO P/ L WELL BLDG. Ae Intake ROAD Dt Inlet 7/S Septic NA Dt Bottom Z 3/' S~ Dosing ~5b~ p'S NA I/Man. Aeration NA Dist. Pipe JI' SS ' Holding Bot. System Co 0 ~J S p-~ PUMPI INFORMATION Final Grade Manufacturer Demand 7W 69' -2~ Model Number t' ~ GPM TDH Lift Lriction System TDH Ft Forcemain I I Length Dia." Dist. To Well 1 [ SOIL ABSORPTION SYSTEM ~y BED/TRENCH Width Length / No. Of Trenches PIT Inside Dia. Liquid Depth DIMENSIONS 0 DIMENSIONS i SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manu urer: INFORMATION TypeO ! CHAMBER Mod-el Number. System: In", j• OR UNIT DISTRIBUTION SYSTEM Seri Manifold r Distribution Pipe(s) x Hole Size„ x Hole Spacing Vent To Air Intake i Length Dia Length : ~ Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed/ Trench Center Bed 4T+eAeh, Edges ff Topsoil (O es ❑ No Et-fe-s- ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION. STANTON 25.31.17.,383B,SW~SW, HWY. 64 Al -Ij J ~ if Plan revision required? ❑ Yes to p~ Use other side for additional information. py~ d 9 SBD-6710 (R 05/91) Date Inspector's Signat re Cert. No. ADDITIONAL COMMENTS AND SKETCH r SANITARY PERMIT NUMBER: IL HR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code N t .ai.nwt ws v~ I, STATE SAN Y PER I # -Attach complete plans (to the county copy only) for the system, on paper not less than / ?5 C3 8% x 11 inches in size. ❑ check i revision to previotYs 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 5-4,1%, S 3- T.3/ , N, R E (orWAl ROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # T _A ,o? 2 CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) El State Owned ❑ VILLLLAGE NEAREST ROAD O A.1 ❑ Public K1 or 2 Fam. Dwelling-# of bedrooms 3 PARCEI Ax NUMBER(S) .41 III. BUILDING USE: (If building type is public, check all that apply) 1 d LEI Fdr 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. El 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 ® 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) p J~-r Q ELEVATION 324 3 ?a a (J X-0 / Feet 9~i • g~ Feet VII. TANK CAPACITY Site in gallons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank / < Q Lift Pump Tank/Siphon Chamber (f a Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) 1&;MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): /U 7d -S-G. ti`-#f- <A ~Z OC IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuin Agent Si Approved ❑ Owner Given Initial Surcharge Fee) 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 ~ i 1. ry. sanitai~r permit is valid for two (2) years. , 2: lbursanitarypermit 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. c All,reyisions to,tfkis permit must be approved by t1e permit issuing authority. 4. t- 6hanoes in •ownership or plumber requires a Sanitary Permit Transfer/Renewal Foam (5139 6399) to be submitted to the county prior to installation. 5. Onsite sew.< e systems must be properly maintained. The s?~;ti- tank(s) must be pumped i 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, 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 b$ installed. II. Type of or.lilding being served. Check only one and complete of bedrooms if 1 or 2 *:amity 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 replacE-ment, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. Vt. Absorption ~;ystem information. Provide all information requested in #1-7. VII. Tank infor:.:ation. Fill it the capacity of v,~rv new and/or existing , 3 ,k, Mist the tuial u ilco rs, number of tanks and r°sa!ufacturer's name. Indicate prefab or :site constru( <=nd tank rr.atef ia:. l.q ,,:eta for all septic, purl:p/ phon and holding tanks for this system. Check e: me ital appro,.ai one,.;'arks received experime ;tq! ,-oduct approval from DILHR Vlll: Responsibility statement. installing plumber is to fill in name, 'Fr,,..,sp number with a ~roprirrce prefix (e.g. MP, etc.), address and phone number. r issmber must sign app i,--t=ors farm. IX. County/Department Use Only. X. County/Departrinent Use Only. Complete plans and specif;catior riot smaller than 8% x 11 m0:st be SLA r1tt~(Ld _ The runs n,~-- i-ilide the following: Dian, draw , to scat! -with corrplf~M ' i C -flop of holding t- u4t'El septic tank(s) or iWf er tieatment tanks: bu; wers, we"S; c jd a°r service; strearlt, ^ pikes, pk)rnp or siphon aq~Ka dlstrthution boxy= ' r~ absotolion systP(w- r4 ,,=Ivr)ert syst•?m areas wlcation of the builusnrq ed: R) horizontz. ' Iuci; elevalir'r C) complete sp•=cofications for purnps anti controls; dose vc .lrr, •,ievatlon differenceu frtc!-)n loss; pump performance curve; pump model and purnp manufacturer; D) crass section of the soil absor )tion system if required by the county; E) soil test data on a 115 form; and F) alt sizing information. GROUNDWATER SURCHARGE 1983 Wisconsir. Act 410 included the creation of surcharges (fees) for a number of regulated proc"ces v0,;0- can P.ffe.ct groundwater. The 1 0!,C i tl'C-Se SUs charge:, are tjserl for rTliln:torir'.;: QrC;t10v,13i~' ;Ycunu Vraln, ro tc+Olt;,ation lnvf-'.`= ,gdtions and establiS!`o -t.:i o' Standards- SBD-6398 (R.11/88) Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 Latter and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code r. COUNTY S T • cA-;_"u t k Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. O 3 b - 1 r3 SQ - k 0 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION V` SO-tA k&R GOVT.LOT SVQ 1/4 SW 1/4,SZST 31 N,R 1'2 E(or)@ PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # \kouye 3 \,I U it Z $ 8 - - CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE PWOWN NEAREST ROAD Nov %IQjV,~, Lt1I svon (GIs) Ltl6.sisf s~til-ot~ &.'t. N , by [ ] New Construction Use (~Q Residential / Number of bedrooms 3 [ ] Addition to existing building D4 Replacement ( ] Public or commercial describe Code derived daily flow 4% gpd Recommended design loading rate Q • `-I bed, gpd/ft2 trench, gpd/ft2 Absorption area required 3') S bed, 112 1S -15 trench, ft2 Maximum design loading rate 4 S bed, gpd/ft2 0.6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 9 S. C3, ft (as referred to site plan benchmark) Additional design / site considerations Z~ Mk5ub Moll +jb w/ e'k 4 ~ ' ft~ , tl~i ►y uM t' O 23hub FILL Parent material 1-is L S S out G ~>~e tpt rl%.L Flood plain elevation, if applicable fU • h - It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable for s stem ❑ S RU [As ❑ U ❑ S WU ❑ S ®U ❑ S i U ❑ S ® U SOIL DESCRIPTION REPORT Boring Horizon Depth Dominant Color Mottles Texture Structure Consistence Bour>daly Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trerxh D-6 3 C2, sl 1 Z h M Fh S 2v p.$ O.L Z 6-~01 ~O`il2 Y! - st] Z jlb>t `ih`F1, cS l~F 0,3 p.I. Ground 3 114- Z$ SL m -31Y s l C~ d Vh 1,, c s - o- ~1 O-S elev. G6-o ft. Ll zg S L I tZ ~ ~ y - s 1 0 -ah~; - - Depth to I iru S d>v S limiting factor Zg N Remarks: Boring # ;::<::< 1 0. S l b y Q 31 i - s t Z 91- m Z- ~ L,)- 3-1z- Z' Z 10 LIZ. V/ - sly Z S dk m M c g l ~f ~ S 0J. 3 ZZ_z7 S Li X 3) 3) Z ► s bk h, o. L Ground _ elev. y Z,7-&b S lilt 31y S cll. S ft. Depth to limiting factor' y .r Remarks:' . 1 i T Name:-Please Print Phone: Arthur L. We erer 71 - 65 egerer Soil Testing & Design Service-P.O. Box 74 River Fa ~A022.'-- Signature: cud 4 3 , 6 3 Date: -L1-93 M00576 PROPERTY OWNER %C-Lk 1`cPcR SOIL DESCRIPTION REPORT Page, Z of PARCEL I.D. # 0 3 6 - l O S9 -~S'O • Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Baxxiary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Twich 1 0- S to ~t Q- 3 !Z S` Z h m c, a., g Z- S a A. Ground 3 Zz-3Z S LItz- 31S Z w m UFk ~S - S u.6 elev. a ft. L/ 3~-6y S 4 P- ~1 - g 1 o w, mfr- - Depth to C ot~ ~u S w Vz. C C N`N~ t'f[2 S. limiting factor Remarks: Boring # NO' Os, jjjj Ground 0 F ` S elev. ft. - y,~ !`J lv 0 1N ~2 1 • Depth to limiting factor Remarks: Boring # wm~ Ground elev. ft. Depth to limiting factor T--T Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' oIlk N~Sr Uric, of 3 rrz3te ta~C-UL 5' FC-K/ c o ~ AO ~i aG _ gh - . goo"3 ' o,~ ~.L q Z S G3 • ~ GiC~ ~ Ge G h izq GE ~-'-cAO R. • ~Z. tea ~ 69 , '~Mo ux~ / \ 3 wt' " 1 9y Tk~►ls B -I xtiL t-L 9 ovTFkt,C, ~ ~ V D CzLzP 'il l'Cidi f 16o x) 0r cor1P vr-T o ~ J ~1S'N~ZB CIS kRNA J H 3 0 L4-'13 ( 715 ) 4 .5-0165 _ M00576 CST Signature Date Signed Telephone No. CST # vYsconsin 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 ' S ~ , C.Z.u t k Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # o S~ - O dimensioned, north arrow, and location and distance to nearest road. 03 6_ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION .N" So tj k&R GOVT. LOT Sk) 1/4 Stv 1/4,SZST 31 N,R 1'7 E (or)® PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # ♦Q Uv`C 3 v3 U u Z58 - - CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD "eAj C~►ct{r~c~, wt 5yon (GIs) w4 stsi s`~-P~su~orJ S ."r. N . 6y [ ] New Construction Use [X Residential / Number of bedrooms 3 [ ] AdditiQn to existing building pQ Replacement [ j Public or commercial describe Code derived daily flow 4316 gpd Recommended design loading rate o • `-I bed, gpd/ft2 trench, gpd/ft2 Absorption area required 31 S bed, 1t2 ls -15 trench, ft2 Maximum design loading rate n S bed, gpd/ft2 0.6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 9 5. O ' It (as referred to site plan benchmark) Additional design / site considerations ~t M k5ub Mtw lib w/ e 'Y- 4 ' &ft . MUa) y uH of:` S1dub F/ c. L . Parent material l,.o L S S oveR G %_Ne tW k_ rl%.L Flood plain elevation, if applicable N - N - ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN IF HOLDING TANK U= Unsuitable fors stem ❑ S [R U INS ❑ U ❑ S WU ❑ S NU ❑ S R U ❑ S all SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure consis~ GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Bogy Roots Bed re & 4 0-6 ~v Q- 3 tZ. - sit Z. 'r h ^M'Fh cs zwc o.S e.L Z 6 ~9 o~R Y! S) Z'Fsb tic Yh F~ ~S !uf o. o.! Ground 3 lq- Z$ SL1(Z- -31Y s l C~ b vv, 1., c S - o o-S elev. G 6 o ft. L/ Z$ ~o S b EZ ! y - s l o >w,-~~ i - - Depth to C-00, "rro IV S L C.~ Cfv 9 limiting factor zs N Remarks: Boring # h_v ~.v 1 o.S lbyt2. 31Z Y\,l~~ c5 zu~ 0.510.1- , h~ 10 Lit, V/5( _ s1 Z 'FSdk Y, cg lvF u S o v. Z m p bk ~ ~`FL. CS C~-S a L Ground 3 Zz _2~ S t7 r,,- 3) elev. Z7 - 68 S 11 iZ / S h >h `~f- )►r ~J _ - - 2.-Sft. Depth to S w tz c. Lam) r T. limiting factor Z7 N Ft 'I Remarks: CST Name:-WeasePrint Phone: Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: C" , Date: CST Number: _4 93- 63 y-Ly-93 M00576 PROPERTY OWNER SCL{ f~1~R SOIL DESCRIPTION REPORT Page 'Z of l O S9 -~O PARCEL I.D. # 03&- Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerxh b• S a 6 3 ! o- S to~tQ 3!Z - S~ ` Z h YY, CL- Z S-Zz 1v`iR ~5~ 2 sbk cS l~~ o.S c.C /Y Ground 3 Zt - 32 S Litz. 3! S Z 9 m S C~' S u elev. a1,16 ft. LI 3t_6Y S a~ ~l - S 1 0 ~ti mfF-~, Depth to CdAj 'MLOU S t-./ V2 L Ce-M'! ~'1I2 S• limiting factor Remarks: Boring # - ~F'1 O Val Gt/ 1~S Nu V ! aV O l . Ll M ! hJ Pev Ground::: 0 F elev. - lv Uv 1'Z L ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 SCALE 1"= 30 ' g t~~ s r ux,6 aF 3 rvttz~ P cUL s' Fv c~ A0 f1. qG Q►1 ' tTL. L00. Oof s : G~c~PCG6 G"^6E FLWP-. / 69V--,twiny R \ \ ',~UE 3 1D0J cC N L IV O 69. ~ O• W ` tL g t 8 ~~s'iu~ZB YttiS MzHA \ / J i 0 I-- J 0 i (715 425-0165 M00576 CST Signature Date Signed Telephone No. CST # I~ SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Northeast Regional Office 1053A East Green Bay Street P.O. Box 434 Shawano, Wisconsin 54166 WEGERER SOIL TESTING PO BOX 74 RIVER FALLS WI 54022 RE: Plan Number: S93-30278 Date Approved: May 19, 1993 Gallons Per Day: 450 Date Received: May 11, 1993 Project Name: SCHAAR RUTH Location: SW,SW,25,31,17E Town of STANTON 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: - REPLACEMENT MOUND Inquiries concerning this approval may be made by calling (715) 524-3627. Sincerely, 10 1j KEITH A. WILKINSON cb Section of Private Sewage <,r"g a Division of Safety and Buildings 3PP032,✓0009n!41 cc: Private Sewage Consultant C9G sun-6423 (R.01/91J Page of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE SW 1/4 OF THE SW 1/4 OF SECTION ZS T a I N, R 1-) W, TOWN OF N If ST- CL2A EX COUNTY, WISCONSIN. INDEX PAGE l 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PA GE 6 of 6 PUMP PERFORMANCE CURVE SYSTEM RELATIONS DEPARTMENT OF lNt}USTRY, LsiBOR ANUILDHU% INGS DIVISION OF SAFEEW AND SEE CORRESPONDENCE PREPARED BY ~g®08l6/i~ WEGEI:RtER SOIL TESTING Sc AND. ~.O,~A®~® I.3E13 I Chit SERV ICE o ; • Si ° ART`iUR L. P.O. BOX 74 421 K. BRIM SI. $ ~o-q,PR = RIVE. FALLS. MI 54022 + = EUSWGRTH, 1 wrs. 715-425-0I65 ~L •~~os yes I G 11 NNMK S-4 93 ti -302,78 JOB NO . q3, 63 PLOT PLAN ° Page Z- of (o Scale 1"=30 gy o~2 N ~ r u)uE of 3 n-ctz-~ ppr~c-uL s JN //X At FC4v cF S Q•~ G.h'It-PC GS Grc?-^66 AFL. o\ \ \ \ 69 V-15 uW~ R . c \ \ \ 3 8'fl'RJ" ~ ILA \ vc ~ 9 ~ h' a Q~t ~y5 sevT~c TKulc O e'369~ .O' l 5' W L-L C) l"9~-lSl]1UG `HMItS 10 @E \ 6,frFM.L Rg*1oUeD. t~t KI 0r 0-% KT a~s~vza ntrS Mai j n Su.~~`F e ~r O 11 C C~ Z~ z J r H ONSITE SEWAGE SYSTEM g~ 1~1Pe L-(tA,G Wvq~1Z 0t-UUtaWoty, ArrROVE Q 40" DEPARTMENT OF INDUSTRY, LABOR AND H N RELATIONS DIViSION OF SAFETY AND BUILD! S SEE CORRESPOND CE NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( '-4 required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be ~Ooo gallon capacity manufactured by In 11~) w STS 1~1 P Ziff Ch 151r R•. u 5. Bench Mark S "ouE 6.-Divert surface water around mound to prevent ponding at the uphill side. Page 3 Of b Approved Synthetic Covering Distribution Pipe Medium Sand _ H _ G Topsoil = T- I F Elev . ohs • C7 3 E p , b 7 % Slope Bed Of 2r- 2 (Force Main Plowed Aggregate From Pump Layer D 1 - 0 Ft. AGE SYS'CYbM E 6 Ft. ~g~'~ SEW ss Section Of A Mound System Using A Bed For The Absorption Area F o- 8' Ft. G 1.0 Ft. TIOVED A 8 Ft. H 1.5 Ft. Linea WyWA ~ "s B (l7 Ft. D T> T 3 p *ND~u~~S4 FT I l to Ft. ID 11V a Ls~ ~ ~ • J 7 Ft. ~•-r -,nRRESPONDENCE K 1) Ft. L 69 Ft. Far- W 31 Ft. L + Observation Pipe K B FA Force Main Distribution Bed Of 2" - 2 2, Pipe Aggregate I Observation Pipe Permanent Markers (anchbr securely) -W270 View Of Mound Using A Bed For The Absorption Area Page Of b Perforated Pipe Detoll 0 End View Perforated End Cop.) PVC Pipe Install permanent marker at end of each lateral m-- a' Holes Located On Bottom, Are Equally Spaced S PVC Force Main Q PVC Manifold Pipe 4 Distri ution Pipe Last Hole Should Be I Next To End Cap End Cop P ZZ Ft. Distribution Pipe Layout S Ft. QNSITE SEWAGE SYSTEM X 1/8_ Inches e " Y X18 Inches IV ® Hole Diameter )I!f Inch AP-PRO, ?IONS Lateral Inches OEPARI'MENI ,v INDUSTRY, LABOR AND HUMAN i~ELA " ulviSiGN OF SAFETY AND BUILDINGS Manifold Z< Inches Force Main Z Inches # of holes/pipe 6 SEE CORRESPONDENCE Invert Elevation of Lateral s OIS. S Ft. Place 1st hole V4" from center of manifold with succeeding holes at qe intervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTIOM AMD SPECIFICATIOUS PAGE S OF ` VEIJT CAP 40C.I. VENT PIPC T WEATHER PROOF APPROVED LOCKING MANHOLE 2S' FROM DOOR, JUAICTIOIJ BOX COVER WITH WARNING LABEL WINDOW OR FRCSH IY141U. AIR INTAKE I I;RADE I k ER, 9 t `I' MIN. I D MI IJ. COWDUIT-- j v PROVIDE { - - IAILE T AIRTIGHT SEAL I I i I j 6 "K B A S tr'L~G~i~jn .5 c UI III APPROVED JOIINT A I I APPROVED JOINTS C' awe w i-in L. 14 fL $3. rS I III w f-k pproved P r _ I ' I ALARM P;~,e sr x`ttnd e cx _eQ L its V3. 20 3'0,1(-o ~WAQE SYSTEM i Oki So ~ 88.,(Z 1 LLEV. FT. PUMP OFF OR GONIJCRETE DLOCK tam o+OEPARTMEN 0~ ~ AN "U L p RI$ER EXIT MITfE I,~..iF~TJCGIK MAtJUFACTURCR HAS SUCH APPROVAL-IgEppl" GQR~ES~,QNp>yN P E G I F I G AT I O-K! S ...~~~LLL - TAME S ~D ►'-Itpwt?5`tL~u P'~+tST TANK MAUIUFACTURER: NUMBER OF DOSES: PER DAy T^WK bIZC : 1 S O GALLOWS DOSE VOLUME `36. S ALARM MANUFACTURER' S•S_ LL~C Q 3`1STIEM S INCLUDING OACKFLOW: GALLONS MOD¢L MUMBCR: ~'k1N CAPACITIES: A- WCHE5 OR 331' S GALLOAIS SWITCH TUP9: Y 1eTtckj1ZY B= INCHES OR 4LLOL15 PUMP MANUFACTURER: z Off- G ~~`f G = IAICHES OR 136' S GALLONS MODEL UUMDEQ: 211 D- INCHES OR 331.5 GALLONS SWITCH TYPE: ~'IEIZCULuf NOTE: PUMP AND ALARM ARE TO OE MIMIMUM DISCHARGE RATE a&.(32, GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEELI PUMP OFF AUD..DISTRIBUTION PIPE.. ~'O$ FEET f MwIIMUM NETWORK SUPPLY P1 3S, URE 50 .F ET t FEET OF FORCE MAIN X FYo fr.FRICTIOU FACTOR-2::2L' ACTOR.. FEET 11y _ io, > l lj TOTAL DtJWAMIC HEAD - FEET DIAMETER ~4 ~4 l~ IAITERAIAL DIMEIJS►OWJ OF TAWK: LF-M&TH 6ITop ;WIDTH S'"I2 10P ;LIQUID DEPTH LIS 's , 14 BOTTOM AREA 231 - GAL/INCH AS PER MANUFACTURER X9.5 GAL/INCH WLU p> ae 60 W U- ~ LL HEAD/CAPACITY CURVE 4% 10 .4 6'' MODEL 97 4% . 30' 8 a~, 25'- o - 1'h - 11'h NPT a 201-- 4: /,6 C 6 W m U z 15'- 0 4 ~a. 1p.31 O 10' Z6. 2 5'- , 0 us 10, 20 30 40 50 60 70 GALLONS LITERS 0 60 160 240 1011/16 FLOW PER MINUTE TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING CAPACITY HEAD UNITSIMIN r. 315I/16 FEET METERS GAL LTRS 1 5 1.52 56 212 10 3.05 46 174 15 4.57 35 133 20 6.10 {5 57 Lock Valve 23.75' CONSULT FACTORY FOR SPECIAL APPLICATIONS e Electrical alternators, for duplex systems, are available • Mercury float switches are available for controlling and supplied with an alarm. single and three phase systems. e Mechanical alternators, for duplex systems, are avail- a Double piggyback mercury float switches are available able with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard All Models - Weight 33 lbs. -1/z HP 2. Single piggyback wide angle mercury float switch or double piggyback mercury float switch. Refer to FM0477. 97 Series Control Selection 3. Mechanical alternator 10-0072 or 10.0075. Modal Vohs-Ph Mode Amps Simplex D~Pkx 4. See FM0712 for correct model of Electrical Alternator, "E-Pak". M97 115 1 Auto 12.0 1 or 1 & 7 - 5. Mercury sensor float switch 10-0225 used as a control activator, specify duplex (3) N97 115 1 Non 12.0 2 or 2 & 6 3 or 4 & 5 or (4) float system. D97 230 1 Auto 6.0 1 or 1 & 7 - 6. Four (4) hole "J-Pak", junction box, forwatertight connection or wired-in simplex or E97 230 1 Non 6.0 2 or 2 & 6 3 or 4 & 5 2 pump operation. 10-0002. 7. Two (2) hole "J-Pak", for watertight connection or splice, 10-0003. CAUTION For information on additional Zoeller products refer to catalog on Combination All installation of controls, protection devices and wiring should be done by a Starter, FM0514; Piggyback Mercury Float Switches. FM0477; Electrical Alternator, qualified licensed electrician. All electrical and safety codes should be followed FM-0486; Mechanical Alternator, FM0495; Alarm Package, FMO513: and Sump/- including the most recent National Electric Code (NEC) and the Occupational Sewage Basins. FM10487. Safety and Health Act (OSHA). RESERVE POWERED DESIGN e5 7 For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. t. 3280 Old Millers Lane Manufacturers of . © OZVZM-ff 01 P. 0. Box 16347 • Louisville, Kentucky 40216 , (502) 778-2131 • FAX (502) 774-3624 ~10YW ry PUMPS ' II i i I ~I 1 S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER... SC "aaf/ ADDRESSi' FIRE NUMBER CITY/STATE'' -e 4, Ill i aJi -.0A1 ZIP ~lD f PROPERTY: LOCATION:-54/ 1/4 ,5L✓ 1/4, SECTION, T~3 1-N-R-=W TOWN St. Croix County, SUBDIVISION LOT NUMBER!L-e1--- Improper use and maintenance of your septic system could result Vin" its premature failure to handle wastes. Proper maintenance. consists of pumping out the septic !tank every three ,ears 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 600 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. Th'e property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, ;journeyman, plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary); the septic tank is less than 1/3 full of sludge and scum. j! 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 dompleted'and returned to the St. Croix C Zoning Officer within 3,0 days of,the three year expiration e. i SIGNED: DATE: St. Croix.co. Zoning Office 911 4th St. I4udson, W11154016 I;S T C - 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 Na 7/ .Sc 4a a r Location of property57W 1/4 S'G✓ 1/4, section T N-R_L? W Township !'j'~ts~✓ 7'-~~/ i Mailing address 6/4 4o; Address of 'site L Subdivision name Lot no. Other homes on property? yes ,"C No Previous owner of property 4'e-et Yu m 11n Total size of parcel ci- a_ y, f Date parcel, was created Are all corners and lot lines identifiable? Yes _,OC_No s this 'property being developed for (spec house)? Yes V- No Volume-5'S'-/hand Page Number as recorded with the Register of Deeds., ' - INCLUDE WITH THIS APPLICATION THE FOLLOWING: A,WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER THE SEAL OF THE REGISTER OF DEEDS. In addition, a c'ertified' 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 fice of the County Register of Deeds as, Document No. 2 ii Q 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. _ *S*na'ture of applicant Co-applicant Date of Signature Date of Signature i 1 t1Ul I l;LA1M Utcu 344 694 VOL 5~b FA~ETHIS SPACE RESERVED FOR RECORDING DATA j REGISTERS OFFICE BY THIs~D~E D,' Neal A. Krumm & Jean A. Krumm, ST. CROIX CO., WIS. h tand and wife, and James G eurkink and 27th Rose Ann Geurkink husband and wife, Grantor, Rec,d. for Record this quit-claims to Elmer E Schaar & Ruth Schaar, day of June A.D. 1977 husband and wife, ct 8:30 A., Grantee_ for for a valuable consideration One Dollar and other , valuable consideration Y"IstK of Dews i the following described real estate in ST. CROIX County, State of Wisconsin: RETURN TO I~ All that part of the SW 1/4 of the SW 1/4 j of Section 25, Township 31 North, Range 17 West, Town of Stanton, St. Croix County, Tax Keya Wisconsin, more fully described as all that part This is homestead property. of said Southwest 1/4 of-the Southwest 1/4 lying Westerly of a line 389.84 feet Easterly of right angle to the West line of i~ said SW 1/4 of the SW 1/4 and lying Southerly of a line described as beginning at a point on the West line of said SW 1/4 of the SW 1/4 a distance of 2436.98 feet from the West 1/4 corner of i said Section 25; thence South 88° 22' East a distance of 390.00 feet. This deed is given to correc the description contained in a Warranty Deed dated 9/15/5 recorded 9/17/56 in Volume 333, Page 23, St. Croix County Register of Deeds office. it F F4 EXEMPT Executed at New Richmond, Wisconsin this 27th day of May 19 77. SIGNED AND SEALED IN PRESENCE OF (SEAL) Neal A. Krumm I _ (SEAL) a p, A. Krumm I~ i (SEAL) s Geurkink III j ? (SEAL) i ose Ann Geurkink I; i Signatures of ii authenticated this day of 19 . ~i li ii Title: Member State Bar of Wisconsin or Other Party j Authorized under Sec. 706.06 viz. (i jf{ I STATE OF WISCONSIN l St. Croix County. I ss. Ma 7• 27th May Personally came before me this day of 19 the above named Neal A. Krumm, Jean A. Krumm, James Geurkink & Rose Ann { Geurkink j' to me known to be the person 3 who executed the foregoing instrument and acknowled the same. j I! This instrument was drafted by Avonne Kuhn I IREINSTRA & VAN DYK S.C. St. Croix i~ Notary Public County, Wis. ,,New Richmond, WI 54017 The use of witnesses is optional. My Commission (Expires) June 1, 1980 Names of persons signing in any capacity should be typed or printed below their signatures. QUIT CLAIM DEED-STATE BAR OF WISCONSIN, FORM NO. 3 - 1971 t ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - (715) 386-4680 April 30, 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 Ruth Schaar property, located in the SW;SW,, S.25, T.31N., R.17W., Town of Stanton, St. Croix County, WI., has been conducted with the assistance of Art Wegerer, CSTM# 0576. This onsite revealed suitable soil for onsite sewage disposal to a depth of 24" while meeting the requirements of the A + 4" rule. This site should be suitable for a replacment mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. Sin6erely, s Thompson Assistant Zoning Administrator cc: file