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022-1018-95-100
Q c ~ 3 0 O oo 0 0. 0 I I o I 0 0 N O- O w i co Q c 7 N Fy N m U CL O 5D Z Q- C O N LL C N - 0 U N N C B O) Q OU O I M V i' y z pj W 3: E 0 o z y y H cWn a N o I c C7 a~ o z a y Z v 5 o to F- N N Z E •p h~ I O M i o N ~J E N C O Q z z U N z C) a c ,It y N N E IL G w w co C co N d L a D O O III O O d N ~_y~V a O O F~ ~ F- U N Z •N CL CL M (L _ g c 7 O to O N N fA J U I~ rn rn N N N - CO N a y i ~ n. I m N y N Q } Ct~ C U O w 8 0) U) U) 0c) 60 ` U Ai ° Q rn o E to Q O O U O O C C ~ a 0 I N p ~o c c(D a~c! (U :3 04 C ° oo Fp 0 c m w.~ N N C E 0 O L • 7a C Q o o Y _ o N z cn it - L a`, IL m • o CL d II d w y c E `~1 A C~ a l l 0 in o r i Parcel 022-1018-95-100 04/12/2007 10:43 AM PAGE 10F1 Alt. Parcel 07.28.18.108A 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - HELMER, MARK R & MARY K MARK R & MARY K HELMER 949 COULEE TR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 949 COULEE TR SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 12.511 Plat: N/A-NOT AVAILABLE SEC 7 T28N R18W PT E 1/2 OF THE SW 1/4 Block/Condo Bldg: BEING LOT 1 OF CSM 8/2400 12.511 ACRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 917/543 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 12.511 100,000 309,500 409,500 NO Totals for 2007: General Property 12.511 100,000 309,500 409,500 Woodland 0.000 0 0 Totals for 2006: General Property 12.511 100,000 309,500 409,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 142 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 022-1018-95-000 04/12/2007 10:38 AM PAGE 1 OF 1 Alt. Parcel 7.28.18.108 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - HELMER, MARK R & MARY K MARK R & MARY K HELMER 949 COULEE TRL HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 58.600 Plat: N/A-NOT AVAILABLE SEC 7 T28N R18W PT NW SW, NE SW, SW SW & Block/Condo Bldg: SE SW DESC AS FOLLOWS; ALL OF THE SW1/4 SEC 7 LYING E OF THE F OLLOWING DESC LN; Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) COM AT THE NW COR LOT 2 CSM 13/3699 POB 07-28N-18W SW OF SD LN; TH SLY ON THE W LN OF SD LOT 2;TH SWLY TO A POINT ON THE S LN OF THE more... Notes: Parcel History: Date Doc # Vol/Page Type 07/22/2005 801112 2849/31 WD 04/06/2000 620780 1500/551 LC 07/23/1997 866/306 07/23/1997 780/629 more... 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 24.000 3,400 0 3,400 NO AGRICULTURAL FOREST G5M 34.600 86,500 0 86,500 NO Totals for 2007: General Property 58.600 89,900 0 89,900 Woodland 0.000 0 0 Totals for 2006: General Property 58.600 89,900 0 89,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS I'NDUS~iY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. 76 HUMAN RELATIONS N WOI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP UNICIPALITY: OT NO.:BLK. NO.: SUBDIVISION NAME: COUNTY: MAILING ADDRESS: (cs- Zl C_ w) S wl'e-T S`C G~~~K ~~,t~R`~ !-t~L►~tL'~ ~IV~2 - LLS11,J1 SVoZ2 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: ISTMFILE DESCRIPTIONS: A TESTS: Residence 3 1V , QNew ❑ Replace Z Z - 41-Z5-q/ RATING: S= Site suitable for system U= Site unsuitable for system O)U J !TL '13-Y St-xl 0)j L/- Z (/-9` CONVENTIONAL: MOUND: IN-GROUND-PRESS -IN-FILLHOLDINGTANK:RECOMMENDED SYSTEM: (optional) Ds Zu Zs au as Zu ®u os ®u ~o~ti~-6H 6~~~~n If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the y under s. ILHR 83.09(5)(b), indicate: • IN Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- \ S c loo . 1uC) Q Z s E~ l~~c ~E 3 3 B- Z 6`a a8.$ ~o B- 3 S~ q B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DRO I WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P PER INCH P_ 1 I-o ►v~ 30 ~ 1/2, t/ Ib 1'~~~ z8 P- Z 7C~, ).1D 3b \ 3))b l1/)6 t I/S Z7 P- 25 _ZZ 3)) L P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. 99-8 5 ""peb 1tS SYSTEM ELEVATION C ►~-~iti • oi= sh,,jt;~ c DoT `r-gF-I0,t ~F- -L-) eiz~I „A~ E _ e t E I E E 3 I_jz'To 3 1 o 1 3 i a i i s ec, 1, the undersigned, hereby certify that the soil tests reported on this form were me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the to ei cArr ci Vo est of my knowledge and belief. NAME print : AND (O TESTS WERE COMPLETED ON: D-E-SIGN SERVICE ADDRESS: RTIFICATION NUMBER: PHONE NUMBER (optional): P % AnX 74 421 N, MAIN 8T_ O 0 ST o0o s~L --))S- vu'-o/SS O ^ r T SIGNATURE: RIVER FALLS. WI 54022 ,,J. ~.n 715-425-0165 / ~~~U'-r 4 -7 DISTRIBUTION: Original and one copy to Local Authority, Property ~ril Te DILHR-SBD-6395 (R. 10/83) _ E x ~ INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soll Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Standstone gr - Gravel (under 3") LS - Limestone 's - Sand HGW - High Groundwater cs - Coarse Sand Perc - Precolation Rate med s - Medium Sand W - Well Is - Fine Sand Bldg - Building Is- Loamy Sand - Greater Than 'sl - Loamy Sand - Less Than 'I - Loam Bn - Brown 'sit - Silt Loam BI - Black si - Slit Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay fff - few, fine, faint 'c - Clay cc - common, coarse pt - Peat mm - Many, Medium m - Muck d - distinct p - prominent HWL - High water level, surface water Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. r gc,~Lt< ltr, zo' I ~C1J eN - ,v oT P~-~2T`t L 1 N.~ ~ 6y'1 - Ll.. Iza Z' o,u sP11ZL I ~)$OUe-:~ CR-aw t, 1N ~BOUE 6~2,O1v~~ IN 6 rttu~ y-6`'1d ~ °lo 69' v s. z PI e,,L ' G m zj- qg.$ SUt•~3L~ l=oo \Z.. ►~i ut.+K.,~ 1 1 P3 69, 1 1 1 t Cpr1t~RC"T otz 1 ,moo NoT 1 S.3 R~ i NoTL' t` SC lv t3E ()T N--N~sT' ZS' la~T- of w, uu+~,~. Sul It tt sLi ST8M Lr.ERJ. ~-~U • q ,`c3 M'11~111"t U 1~1 QF S VQIL1 - SOIL DESCRIPTION FORM \ (Attach Soil Profile Location Nap On a Soparate Sheet) CLIENT \-r- LINEAR LOADING RATE• l6N PTT 4• to PURPOSE EVP\L V FV_M~ FAR 1. QK) C-ICAJ CT7W SLOPE: 7 D(O OESf.RTPTION BY R~1-1 UCZ L- . LAJ c~ Eg~Z4C-2 ASPECT: DATI T-TI-Nuu Z Z-1 I Qg 1 CURRENT LAND USE: 1,AJ cSo1~7Z L> COUNTY/STATE \Y- CAVTLIYY IAJ J VEGETATIVE COVER t--e+N S BRuSN Se !~V SW ~y Ste" TZ~~i DRAINAGE CLASS: X-)ffUL 1~1E_F~ LOT DESCRIPTION: Aj LOCATION: _TbwK3 C51F Y_IJIkJ IC- lr)AJAIU I C GALLONS PER SO. FT. PER DAY: ~~'SLGl~l 1~T O PARENT MATERIAL(s)/DEPTH SOIL SERIES: F~I>p~PP~ IBS D~)tiDA Q fAi14N' HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS P11 BOUNDARY REMARKS in. moist Gr. Sz. Shp COATINGS ~ G ~ 1 ~o~t~ z!I - Si I 1~F5h mv~~- _CCs 2 7- ~3 Wo'I - 3 / St l 5~1c rn c S 3 ~3 2,(, low 31 ~ - s j I ZTY/ ~ b~ ~ cs 7• S YQ Slf3 ~ L- Z6 .So ~o,l t2 3 l~ v X51 1~ Sbk mush to '17t 6/i mor O ~G - 0-co to,t Ez -Z,/ i - St 1 h m U c~. s Z b- l 0 ioy z 3 - S' z l ►►1 c S 3 \0-26 ll l-I cz 31 - S i 1 Z WIl \6 lzs z6 -'Z1 tio--t z 3 1 - V 'F s `F s b k r I s L{ Z~-68 it-JR. 3 f 6 t v~sl sb ),nv 1;oR.1 N 6 3 - - Z 6- 1Z- 1oti2 313 - sl l Z FPS yn f>, CS 3 12 3$ IoyR 316 S 2 S bk m es 4/ 3S.S~ 1 r3`Z V_ 3 1 V is bk )'T1 U ft, _ I I OTHER SITE FEATURES/NOTES: LIMITING FACTORS/DEPTH: Signature Date CST k I~ ,INDUS OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, , DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N W 5739069 HUMAN RELATIONS (ILHR 83.090) & Chapter 145) LOCATION: SECTION: TOWNSHIP UNICIPALITY: OT NO.:BLK. NO.: SUBDIVISION NAME: slr 1/ swV -T /T-26 111/11,16E (o tctvwiV (C- - COUNTY: MAILING ADDRESS: Lcsr ZL C-UiJD S cAvTz-T S`C G~otx 1`'1►'~l~-`til-L.~L`~ CZ )vGT~)_ - ~_L_S, W1 SyazL USE DATES OBSERVATIONS MADE [®R,siclence NO. BEDRMS.: COMMERCIAL DESCRIPTION: New ❑Replace I TS: 3 L/ _ Z. Z _ c?1 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) aS LSu Es au as Zu os Zu as ®u H(SH 6R(1QAjtkv)Y775TR If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the 1y~ ' under s. ILHR 83.09(5)(b), indicate: • Floodplain, indicate Floodplain elevation: N PROFILE DESCRIPTIONS BORING TOTAL DEPTH R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST77TH-TS TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- SO 100,1 lkjDQt--Z' Z S ~ 3 ~F 3 B- Z ~8 a8. g Zo B- 3 g B- B- B- PERCOLATION TESTS } TEST DEPTH, WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES t NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD P RI D P PER INCH P_ 1 1~lzi ti~ 30 11/$ tllb 11 Z8 P. Z ZU 1.10 3b 1 3,11 1. l'/)6 11/a Z-7 P- P_ PLOT ! 1 Z7 P_ _P_ PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. 7 S ""Pen I\S DQ1RIAJ'bA SYSTEM ELEVATION C y')`tN . o>= sr~~,~~~ c DoT `~t~, OF Dpi UA, ~ ~1z1~1~1 r 1~ _ S I { _T_ _.a_ qz~ I fi 7 1 1 i Ste. ~ I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME print : AND TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST 0 0o S7L ~)S- L/Zf-o16S RIVER FALLS. Wt 54022 CST SIGN~AJURE: 715-425 -0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - 3 `SLOT ~-N~Q _ . x - y - - - ~u aT ~R O P~ TY L 1 ti E BY'I - Ll..11~0 •D ~ oN SPl1z.L l = r'1gov~ GlZou~o 1N 1~140U~ 6(2,Olv~lp 1N B• ~ 69 v S. Z PI EX ~ Serra G ~ ~ su i 1 P3 69• ~1 1} t~~ NoT Lo~~RcT 11 i tAW,JSE 1v I~iG ~)T ~ sr is al~'sr OP w(FI-L sLISTtD9 ffUL"'U. c SOIL DESCRIPTION FORM Attach Soil Prot ile Locatio Me On a Su arato Shoat! \ CL[EHi y-~ELh EER LINEAR LOADING RATE' r'T Q' ~D PURPOSE EVR~- v ~T~s FAR a KI sTI?JUC-77 W SLOPE: /0 DESf.R1P110N BY R RTN'UC~ L - w ASPECT' SO~Tv DATI I Qq CURRENT LAND USE: COUNTY/STATE U\JKJ` Y s IAJ VEGETATIVE COVER: t-L- 1 ~S ~R'U`SN LOT DESCRIPTION: IPT• I:sp LOCATION: ki (51F Yr-'lXJA-j 10- ~cj NaL (C GALLONS-PER SO. FT. PER DAYS C 1 ITT PARENT MATERIAL(S)/DEPTIi SOIL SERIES: I~I~~PPE~ kS D M)KJt>A HORIZON OEPIII MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII 'BOUNDARY REMARKS On,) nnist Gr Sz. Shp._ COATINGS Or = 1 1 O`9lZ Zl I s l 1r, M U F- _ cLS 2 7-~3 ZO~tR 3/ - Sj 5~ h~~~ Gg \1 -Z4D I zmsb~ m cs s Ytz s/S ~ v X51 l~ Sbk mU~~ to 'T>z 6h M07- ~ z6 sQ lo~~ 31~ ~ 0 Y~► G p-~ tio~t~ z!I - st I F h mU~t~ c~.s Z b-~oloytz 3 - s' z 1 ►n L_ cs 3 10-Z6 ~a~-Lcz 37 - si 1 Z~►I.sl~ w>.f~ L4 Z-7 _68 to`t2 3 f 6 1'~ vis1 ~s\b »nv ql_ i( B0-R- AJ 6 3 1 0-,~ ~o~tzz/1 - si I ?`E ti MU~~ ~.s Z 6- 1 Z 1 O'~ R 3 13 - S1 1 Z P ~ Y►1 `F►- C S 3 1? 38 Iotitz 316 s) 1 z >n s ~k m f , es 38rS~ 1 lwl R. 3 /6 1 V FS `F s ilk U 'f OTHER SITE FEATURES/NOTES: s y- z s -q/ 0 00 5 6 np, c 3 of 3 LIMITING FACTORS/DEPTH: Signature Date CST N FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP SECTION_ ZL N-R 1 W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Iv STJ S ic, ~L INDICATE NORTH ARROW y, BENCHHARK:Elevation and description:. Alternate benchmark SEPTIC TANK: Manufacturer: Liquid cap. Rings used: Manhole cover elev: Final grade elev: (Nyz Tank inlet elev.: Tank outlet elev.: VSly i No. of feet from nearest road:Front , Side , Rear Ft.t/,00 From nearest prop. line:Front Side , Rear Ft. r/D0 No. of feet from: Well '100) , Building: D7~ (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE r i PUMP CHAMBER Manufacturer:,_Liquid Capacity: Pump Model: 1ZC Pump/Siphon Manufact.:•~ s Pump Size Elevation of inlet: tc~ Bottom of tank elevation Pump on elev.:191 Pump off elev.:-Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front I Side_, Rear-Ft-1--M Distance from: Well OC)t Building SOIL ABSORPTION SYSTEM Beds Trench:. Width: 1 _Length G" Number of Lines: ~L Area Built Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: No. feet from nearest prop. line:Front LLnal Side , Rear Ft.-~v No. felt ~Fj?m well: Op No. feet from bu lding ZS-3 z HOLDING TANK ►"~l, fvt I" Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of.inlet: No. feet from nearest prop. line:Front , Side , Rear Ft. No. feet from: Wellbuilding , nearest road alarm Manufacturer: INSPECTOR: DATE: 02~ PLUMBER ON JOB: LICENSE NUMBER. 6/9o:cj LOCATION: KINNICKINNIC 7.28.18.108,SE,SW,7,COULEE TRAIL, LOT 1 Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) SanitaryPerm itNo.: 149270 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: HELMER MARK KINNICKINNIC CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 022101895000 TANK INFORMATION ` ELEVATION DATA A9200116 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. 0 Septic Benchmark Zo 3; Dosing Aerationa- 9 1 d g4eweF / (b~,? Holding St/ Ht Inlet ~SSg TANK SETBACK INFORMATION St/ Ht Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet / - 2-Air Intake Septic 100 4 <db-r ~2 7 ~ r.27 ~ NA Dt Bottom i~ 71 p Dosing /ob 160 1- 33' y~3 NA Man. Z'0y_ Aeration NA Dist. Pipe Holding Bot. System 3'O SSA PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand /g, p ~3• ~rS ~Lfts~ Model Number PM TDH Lifts Lriction~9 53 System, TDH0 (`''I Ft Forcemain Length Dia. " Dist. To Well > 'So' SOIL ABSORPTION SYSTEM BED /TRENCH Width J Length No. Of Trenches Inside Dia. Liquid Depth DIMENSIONS DPITN I N SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Man cturer: SETBACK INFORMATION Type O CHAMBER ilea OR UNIT Mo el Numb e . System: C~v DISTRIBUTION SYSTEM U#e" e►J Manifold Distribution Pipe(s) Hole Size x Hole Spacing Vent To Air Intake Length Dia. 02 Length o Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only lc hed Depth Over Depth Over xx Depth Of xx Seeded /Sodded TX 73myu Bed /Trench Center Bed / Trench Edges Topsoil ❑ Yes No es El No -7 - COMMENTS: (Include code discrepancies, persons present, etc.) 41, ~ }c ~~tyJ~}}}I ~1 t ~ r C y a_~c-,j7 &--r S,60. Cot rl-q f r~ Plan revision required? ❑ Yes ❑ No Use other side for additional information. v..~t SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: , , ` a- 0 SANITARY PERMIT APPLICATION - In accord with ILHR 83.05, Wis. Adm. Code COUNTY UN . Croix STATE NITAT -Attach complete plans (to the county copy only) for the system, on paper not less than 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. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S92-40058 PROPERTY OWNER PROPERTY LOCATION Mark and Mar Helmer SE %a SW S 7 T28 , N, R 18 XrAjWkW PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 1450 S. Wasson La., #21 1 CITY, STATE ZIP CODE PHONE NUMBER S>a CSM NUMBER River Falls WI 54022 715 1425-5994 473254 II. TYPE OF BUILDING: (Check one) ❑ State Owned 3 ❑ VILLLLAGE NEAREST ROAD 1:1 Public ®1 or 2 Fam. Dwelling of bedrooms -I R EL AX NUMB R() C Coulee Tra i 1 III. BUILDINGUSE: (If building type is public, check all that apply) 022-1018-95100 Parcel #108A 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 El 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. ® New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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 12. 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 450 376 376 0.40 Class 5 100.3 Feet 99.8 Feet VII. TANK CAPACITY Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber X Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signat re: (No Stamps) MP/MPRSW No. Business Phone Number: Paul R. Cudd MPRSW2739 715 425-2049 Plumber's Address (Street, City, State, Zip Code): 1047 S. Wasson La., River Falls, WI 511022 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved IS Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps) Surcharge Fee) Approved ❑ Owner Given Initial Y5_ 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 w 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 Saniitary Permit Transfer/Renewal Form (SBE! 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, 606-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. 111. 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 Biz 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. S8 D-&398 (R.11/88) State of Wisconsin \ Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN Owner: MARK HELMER BOX 74 LOT 21 CUDDS CT RIVER FALLS WI 54022 RIVER FALLS WI 54022 RE: Plan Number: S92-40058 Date Approved: February 18, 1992 Gallons Per Day: 450 Date Received: February 18, 1992 Project Name: HELMER, MARK Location: SE,SW,7,28,18W RESIDENCE Town of KINNICKINNIC County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - NEW MOUND Inquiries concerning this approval may be made by calling (608) 785-9348. Sincerely, 1-17 N% ERARD M. SWI Section of Private Sewage Division of Safety and Buildings PPP039/0009n/16 cc: MARK HELMER X Private Sewage Consultant SBD-7483 (R. 05/86) Page of 6 MOUND SYSTEM FOR A BEDROOM RESIDENCE LOCATED IN THE SE 1/4 OF THE SVO1/4.OF SECTION -7 T Z8 N, R LS W, TOWN OF ~rci ti L C`cz_l IJ N t C , ST- C t20Lx COUNTY, WISCONSIN. INDEX PAGE 1 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 PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR I-Q5r ~.~v~~z ~LLS,~u~ -5c1ozZ PREPARED BY 4p®10® AND ARTHUR L. i ® V;El: E. ER • a WEC EFZ ER SOIL TESTING ® 0.9.5P • SWORTH, w (s. o ~ I7rES I C-sN SERVICE 1ewj P.O. ST. 3IGN FALLS. MI 54022 715-42"165. ~NN~ F~e-3. l©~ I q'q2 JOB NO. C) 2 - z- PLOT PLAN Page -?-of ~o Scale 1"= 1l0 ' o.$+y►1 c7lt S S, T lvot~_ w 'TO s( rtT LUST 5o ~ PROVED 5 M~ RE _ R ~ 4AR~ StRY . 1 C~ ~ pEPpRSMEN~ VISION ~ ~ ~ NCE q R SEE CQ ~ i ►-»fR LsS T ~Zul~ t?Wt 4 Llhl ~`J V. ~S 8m - LSZ~~ • ! 00.0 Ou s pL1'cer ~OIaE 6Rovw~ ~ti ~ 1y„ Po~Q C~- ttv~s bq' 13 Z ro' Ca 3 Bb" GJ LTV ae C 6-1 c ~ bq. 1~ v Q N p ISS, F°it pie as G by IJoT Cortprter ~RtN P CR blsh► R$ IN 13 NRAM NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be VoOD gallon capacity manufactured by W1 ~ S SL CpN c!. ~ZU~ u 5. Bench Mark S 1'l~ou@ 6 Divert surface water around mound to prevent ponding at the uphill side. T Page 3 Of 6 Approved Synthetic Covering 41 Distribution Pipe Medium Sand N _ G Topsoil . F Elev q9.8 f~ D E " 3 _ ~Ng1TE SEW b o Slope 2 Force Main Plowed ~,J,Uon.a Bed Of ? % mob, Aggregate From Pump Layer JIOyS PIK ED pN MAN KELP D 1, ~ Ft . R TMEN Of INDUSTRY, UILDIN6S SAF k- ~EPAR VISION ss Section Of A Mound System Using E Ft. E PO ENGE A Bed For The Absorption Area F p.'3 Ft. SEE G k-0 Ft. A 8 Ft. H 1-S Ft. Linear Loading Rate= 9.46 GPD/LN FT B L1 Ft. Design Loading Rate=a•40GPD/SQ FT I I (o Ft. J -7 Ft. K 1 Ft. Alternate Position L 6 q Ft. of Force Main W 3 Ft. L J Observation Pipe 0I A - Force Main M M Distribution Bed Of i - 2 2 Pipe Aggregate I Observation Pipe Permanent Markers (Anchor securely) Plan View of Mound Using A Bed For The Absorption Area Page Of (o Perforated Pipe Detail End View )Perforated End Cap.. y° PVC Pipe Install permanent-marker f . • oe~6 ~o at end of each lateral Holes Located on Bottom, Are Equally Spaced IV g PVC Force Main P PVC Manifold Pipe Oistri ution Pi e Last Hole Should Se I Next To End Cap End Cap P Z Z Ft. Distribution Pipe Layout AGE SYSTF-M X 4T Inches ONSITE gEW . Y 4 Inches Ql'LALt~ondi~t, Hole Diameter )Iy Inch Lateral 1 Inch(es) PA 1RELA110%S Manifold Z Inches TAY,R ► 1 114OUS B Force Main Inches DE pzmf 01i' S ON OF - #of holes/pipe h E ' SEE GORE Invert Elevation of Laterals tDO-71 Ft. Place lst hole Zyiffrom center of manifold with succeeding holes at 14 ?"intervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS PAGE S OF VENT CAP 4"C.Z. VENT PIPC WEATHER PROOF APPROVED LOCKING MANHOLE 25' FROM DOOR, JUNCTIOW BOX COVER WITH WARNING LABEL ~ IYM111. WINDOW OR FRESH I AIR INTAKE I GRADE Lit.. al1.5 40 MIAI. - IB' Alm. COWDIJIT-- 10"MIN. ~wAG W LE T ot4slTE S A P VISEAL coli ltW I I ~ I I APPROVED JOINTS APPROVED JOIIJT A I - I III 6plpftov ED a L1~R AND N RELATIOS' I I ALARM A F INQUSTRY , ~ N ( 1 c p~pART1~AtN~ IS10N DF ( I ON ~ I I LLEV. $Z.bB FT.-- Fu E MPS OFF l 0 ~L 81 . ~O COUCRETE BLOCK ApARove RISER EXIT PERMI'RED OIJLy IF TANK MAIJUFACTURER HAS SUCH APPROVAL. BEDDING SPECIFICATIOMS DOSE W%eskM coucu" 3.1 S TANK MANUFACTURER. NUMBER OF DOSES: PER D" TAWK 51ZE : ~ So GALLONS DOSE VOLUME ~ SD, ALARM MANUFACTURER' S'S"- S\-ECTIZA3 SkfSTL15 INCLUDING OACKFLOW: GALLONS MODEL WUM6CR: O1 CAPACITIES: A= S INCHES Olt 300- b GALLOWS 3WITCH TYPE' 5= Z IWCHEi OR 40-1 f4L.LONS PUMP MANUFACTURER: L~~S C - '71 ~Z INCHES OR 152 'y GALLONS MODEL NUMDER: V--) S 0 = \1 INCHES OR 7.60' (o GALLONS SWITCH TYPE: '1n Ma-UJ" MOTE: PUMP AND ALARM ARE TO OE MINIMUM DISCHARGE RATE 2~.b'Oa_GPIA INSTALLED OIJ SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEJJ PUMP OFF A1,10-015TRIbUTIOW PIPE.. FEET + MIAIIMUM'NETWORK SUPPLY PKESSURTE.. . . . . . 2.50 FEET ♦ \ VS FEET OF FORCE MAIW X 1'3'1 F✓Coo rtFRICTIOU FACTOR.. L S3' FEET TOTAL Ot JAMIC HEAD = -n-ZS FEET DIAMETER 80)v h UJTEKIJAL DIMEIJStoLlf OF TAWK: LEAIGTH ;WIDTH -7513~- LIQUID DEPTH BOTTOM AREA - - 231= GAL/INCH AS PER MANUFACTURER GAL/INCH 510 11 v j` 9 k; r CONSTRUCTION FEATURES; Power Cord -Single phase cord is 20 ft. y .Power Cord with TW insulation i n SJ and has molded long on grounding-type plug. Plugs directly into Cord Seal ~ h ~rY~ standard receptacle, requires no control Bushing \ t:- v box. Used with ALC or AWS level controls for automatic operation. Potted =Y Cord Seal Bushing-Cord is potted into steel ' ;Leads Ca _cltorHousing connector with polyurethane resin for leak proof n seal. A cord nut and rubber grommet clamp the 'T cord into the bushing. Cord can withstand a pull ! of 100 lbs. without loosening connection. Motor - Permanent split capacitor-type is oil filled for best heat transfer and bearing and seal lubrication. Operates at 3450 RPM and has built-in automatic reset overload protection. f Mo Housmg~ ~ Motor voltage 200 or 230 volts single phase also qtr 115 volts for 1/2 HP size unit. Pump Shaft Capacitor Housing -A separate housing permits mounting of the permanent oil capacitors. Can Bearings replace capacitors without dismantling motor Motor or pump..:: _ Motor Housing - Cast iron stator is pressed in for Mechanical best heat transfer and alignment. Seal Fasteners Impeller- Bronze, Tornado non-clogging type Has back pump out vanes to protect seal and Motor reduce thrust. Bottom Mechanical Seal - Heavy duty type has carbon Plate I F and ceramic faces lapped to a flatness of one light band. Spring and all seal parts stainless Impeller steel. Rubber seal bellows is Buna N. Volute Case-Cast iron has 3/4° full open volute to pass solids. Support legs provide proper Volute clearance for pump inlet. Case Bearings- Lower ball bearing takes radial and down-thrust loads. Upper sleeve bearings take radial loads and have thrust washer to absorb any up-thrust. Corrosion Resistance-All iron parts are coated PERFORMANCE CURVES inside and out with baked-on epoxy paint. All machined surfaces are re-coated with epoxy after machining. {.~HRES~~ES EF-LU~EpNT,PU k a~~S as PA tFTERS PER Mt a,. 3' 4 l~ N 1 CAPACITY GALLONS PER MINUTE s n l8. og State of Wisconsin \ Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 PRIVATE SEWAGE PLAN APPROVAL Western Regional,Office 2226 Rose Street! LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN Owner: MARK HELMER BOX 74 LOT 21 CUDDS CT RIVER FALLS WI 54022 RIVER FALLS WI 54022 RE: P1an:Nusber• S92-40058 Date Approved: February 18, 1992 .Gallons Per Day: 450 Date Received: February 18, 1992 Project Name: HELMER, MARK Location: SE,SW,7,28,18W RESIDENCE Town of KINNICKINNIC County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires.-, The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - NEW MOUND Inquiries concerning this approval may be made by calling (608) 785-9348. Sincerely,. 1 GERARD M. SWI Section of Private Sewage Division of Safety_and Buildings - PPP039/0009n/16 cc MARK HELMER X Private Sewage Consultant i; f Page 1 of 6 MOUND SYSTEM FOR A ~ BEDROOM RESIDENCE LOCATED_ _IN THE 5~ 1/4 OF THE Sw 1/40F IN. S~ xIOCOUNTYT WISCONS a W, TOWN OF ~cci tJ JJ l Ccr 1 fJ ~1 INDEX PAGE 1 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 PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR l~oT z-i Gc?17D_5_ __~95 jZ1 U Wiz. ~ LL.S ~ iv~_.-S~LoZZ At Po PREPARED BY rr~SO,, ~r's"® W '~7rly % C9 ARTHUR L. e 0 WEGERER e .MIEGEFZEFZ SQ I L TESTING ® g AND a wr' DES I GN SEI-zV I(--I=- 0000 •MN•NN••••Q_ P.- • wL O. BOX 74 421 N. FAIN ST. - _seeo.4SIG11~ RIVER F&U. NI 54022 ~~BBYi14 715-425-0165 ~~3. LOS ! 9' 4 Z , T... rN PLOT PLAN Page Zof Scale 1"= t-10' Liz P" o•S+n~ cam} S S tVo~.: iv E1„L,', ~U 8E F~}T 1.-LAST S Q / FSi(~ Np COIJ ~ S APP QF ►~yDDST Wj, IAA G~ pEpp, RSM~Nj ,~SIBN D SEE CORR NCE Q ~S v BM - ~u~J . 100.0 OU s p~ ~-L~, 1LI ~ot~~ pc 9- C s P- ~EE l4~AS 6~ C..)T~ 81 ~ bet ~ vcz s~ C egos _ o Ave 0o IJor car,p~t~r 0v CAL bISYU R$ -M 13 h _ NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2: install_~permanent markers at end of"each lateral. ( required) 3. Install-.4":observation pipes with approved caps. ( Z required) 4. Septic tank - to be No 00 gallon capacity-'manufactured by 5. Bench.' Mark= - s Pr ove y Page 3 Of 6 Approved Synthetic Covering 9 Distribution Pipe Medium Sand H _ G Topsoil = F Elev. ~T9-8 -lj E D 3 pNSI"~~ SSW /o Slope Force Main Plowed ~QL~LOI2Gt Bed 0 f 2"- 2 2 v Aggregate From Pump Layer ~~jluti5 P i_A~R ~y MAN R D 1 Ft. INOUS~~~ U11.D1N6S OF DEPARS~EN ViS10N E Ft. ss Section Of A Mound System Using EcicE F p. ~ Ft. SEE CO E PO A Bed For The Absorption Area G 1.0 Ft. A 8 Ft. H l- S Ft. Linear Loading Rate= oj•6 GPD/LN FT B Ft. Design Loading Rate= D-gOGPD/SQ FT I t Ft. J -7 Ft. K Ft. Alternate Position L 6 q Ft. of Force Main W 3 Ft. L Observation Pipe--,,\ K A - W Force Main M • Distribution Bed Of Pipe Aggregate - 1 Observation Pipe Permanent Markers (Inchbr securely) _ __Plart View_Of.Mound- Using A Bed For The--Absorptl 'n- _a_:--__.._ Page Of (o Perforated Pipe Detail End View ' Perforated End Cop.) A• PVC Pipe Install permanent marker i. - - at end of each lateral Holes Located. On Bottom, Are Equally Spaced Q S . PVC Force Main Q PVC Manifold Pipe Distri ution Pipe Last Hole Should Be l Next To End Cap End Cap P Z Z Ft. Distribution Pipe Layout W AGE SYg"C~M X u $ Inches pNSITE S LL Y q T Inches ` CDi~~,pILGZ Hole Diameter qty Inch Lateral 1 Inch(es) REI.p►~IO~JS Manifold " Z Inches p••~,^j rN' 1 1M Tay, LAS g~ 1 Force Main z Inches pEPAR~M~ ~,y OE # of holes/pipe h 9E t Invert Elevation of -Laterals 100.3 Ft. Place lst hole -ZW(from--center - of manifold with sucC edi z holes at Ll$ intervals. Last hole to be next to the end..cap. ~ PUMP CHAMBER CROSS SECTION AMD SPECIFICATIONS' PAGE S OF VENT CAP _ % i3 4v c.:[. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE ~ , FROM DOOR JUAICTIOIJ DOX COVER WITH WARNING LABEL - 25 WINDOW OR FRESH 12 lmiu. I AIR IAITAKE GRADE Lam-.-ql S I `i'MIi1. J1 ' 18' MI1J. GOFJDUIT - f 8"M I I~1. p SITE SSW P v~94' IIULET f' A T SEAL I I( ~I . ~ ~~W I III v ~O I I I APPROVED JOINT/ A APPROVED JOI1JTS Ftov I III I ND N al,pjlCl- I ALARM I a ~R tN I I F lNCl1SS~Y &w c DEP TMtNI w I I oN I I LLI- V. $2.08 FT.-- COO OFF D COMCRETC BLOCK 3" AAAR~E RISER EXIT PERMUTED OIJLy IF TAWK MAIJIJFACTURCR HAS SUCH APPROVAL gEpp~µG SPECIFICATIOAIS DOSE . wV~SGR Clal3G~2.E}E - ►WUMBER OF DOSES: 3.15 PER D" TANK MAIJUFACTURER. TAWK :,IZE : -1 5o GALLOWS DOSE VOLUME ~ so, y ALARM MAIJUFACTURGR: S-7- ~L~`C~ftLl SYSTL_-*jS INCLUDING ISACKFI.0- GALLONS MODLL AIUMBCR: CAPACITIES: A= S WCHESOR -100' 8 GALLONS SWITCH TUPE: Yl 5= Z• I$XHEI OR 0.1 Xp'( LLOL15 puN►P PAUUFACTURtR: C = 2)" INCHES OR 1510 "%f GALLONS MOCEL WUMOER: %AXAV_JEE S D= xI IMCHESOR 7,6o.6 GALLOWS 3WITCH TUPE: NOTE: PUMP AND ALARM ARE TO DE MINIMUM DISCHArRGE RATE Z15__01i' GPM INSTALLED OW SEPARATE: CIRCUlT.S VERTICAL DIFFERENCE KTWECW PUMP OFF AUD.01STRIbUT10W PIPE_ ZZ FEET i + MIWIIAWA •IJETWORK SUPPLY E RESSURE 2.50 FEET ♦ ` $ S FEET OF FORCE MAIM X 127_FYoo KFRIRTWU FACTOR. 2-'S36 FEET TOTAL DWA C. HEAD Z3.'LS-.FEET - T.. DIAMETER -7 s. au 37 I l,Zr 11JTERNA{...OIMEiJStOlJjt Of TA1JK: L.EIJGTH_;WIDTH-~'LIQUIOEPTH CONSTRUCTION FEATURES F ovre r C ors S nS phase co FoH'er Cord _ <i;1-ivliEr : luck ..g51. wki Cord Seal i I~ T, . !f rurrrptacl~ 'ecu res no c 'i Bushing i ~ sl o vitii ALC cr AWS Ic'.: ,.'ols operation. Potte Co c: Seal Bushing Cora is po c t o i c'I Leads Capacitor Housing ;or :vith polyurethane rc : E, ~ cord nut and rubber gror r claml t: c o c. Tito the bushing. Cora can wi!,.siand i,,.ll c,f 1010 Ibs without loosening connection. Motor Permanent split capacitor pe is £ ~w .:d for best heat transfer and caring ~:no sea,! '''ibrication.Operatesat3450 RPM and has 1, l:-:(l automatic reset overload section P I F 0Y Motor Housing tc:! voltage 200 or 230 volts sing r. phase a;so Its for V2 HP size unit. Pump Shaft 71 Capacitor Housing A separate hc..s,nq permits ! ;:ng of the permanent oil capa ;:ions Car f., Bearings e L.ce capacitors without dismant ng motor Motor _ Mlloto.` Housing last ;'o^ ha- "f d s eners oL: vanes io P~totcr - 7 r': St. Bottom apical Seal Hea: ' d.,;y' Plate ;i,!c faces lapped oat ,o Spring and all seal , Impe 'ter i o 3 4.c sir i Pc:bber seal „ellows is i Volute Case - Cast iron has ' p ! S pDor' le ^ I .,,,=a 5;e rings LC c al' b z' .t~ Jl lows J.Ppe' " anti ?c .o :hr'.._. I Corrosion Resistance A I.re PERFORMANCE CURVES ~ . lc Jl:t w!lf) ba Kea-on _.C I ..,d surtaces are re-ccalec o>'. hin!ng. WHRE SERIES EFFLUENT PUMPS I CAPACITY LITERS PER MINUTE $T C 57 t(~Of+:.:-: 150 200 250 300,,., - 353: i i , i :.fp y~ xrt I _ 1 Y 01 44 i i" tai 00 a iiyy n`t v 4 r ?f tr ` a 1. f r~ ' '1P a ~F~`'~ s 0 0 20. - 40 60" ~ 80 : 700 't CAPACITY GALLONS PER MINUTE 't t. 2&• o? IN DEPAPZMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INL'USTRY, DIVISION L~sd(~ ANN C P.O. BOX 7969 HUMAN RELATIONS PERCOLATION TESTS (115) MADISON, WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP UNICIPALITY: OT NO.:BLK. NO.: SUBDIVISION NAME: s E 1/ swi4 -7 /Tz8 N/R )6E (o ~~_*j 10_\-'JAjt'j tC _ _T - I . - COUNTY: MAILING ADDRESS: S`7- G~~I LK IL-) ~~-L. wt L'~ ~ 1 u Gy~ LLS 1 w 1 s y 6L USE DATES OBSERVATIONS MADE 7F NO. BEDRMS.: COMMERCIAL DESCRIPTION: PERCOLATION OResidence 3 New ❑ Replace r I L,4: RATING: S= Site suitable for system U= Site unsuitable for system O YU s 1-re 11Y, :S-lm T}iZ11'7 ~S O~U 7 ' Z y-'~1~ CONVENTIONAL: MOUND: IN-GROUND-PRESSU : S TE -IN-FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) ❑S Eu ®S au EIS ZU EIS ®u EIS ®u "uuti,- His H 6 If Percolation Tests are NOT required DESIGN RATE: I lf any portion of the tested area is in the y under s. ILHR 83.09(5)(b), indicate: ~ • A. Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. T TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- \ S o loa . )vDQ EZ Z s 1 C 3 B- Z 6 8 8.$ Z$ B- B- B_ IB. I PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP 1 WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD T PERIOD PER INCH P_ 1 2.o fv~ 30 ~ I/a 11 Ib 1I /L6 z-a P. Z ZU {.~0 3b l 311b 0/16 l I~$ Z7 P- 3 Zo lvp 30 1 3)) z7 P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. 99-8 S "Pr V>ab P~$ ~~-'~2 I.~JDR~ SYSTEM ELEVATION Ct~ or= sA~v~~~ ~'~'°T `r~~►~ of ~a`ti"A~ t s 2 S s 4kmet' r- - 11 - s f/ ; 4 t w -7 1 I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME print : AND TESTS WERE COMPLETED ON: Y_ ZS _c? I ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): cST00oS7L I-)IS- LIZE-0/65 RIVER FALLS; WI 54022 CST SIGNA URE: 715-425-0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. _ ,PILHR•SBD$395 (R. 10/83) - OVER - ~c.pv-c._ VIZ -C~ ' oT ~tzU P~"2TY . L) IJ E %m _ Ll..trio ,D' a,u sPih.L 1 fM1 OU C GIZOUIV 0 1N EL•.99.3 OAJ Spllze g. ~ ~•~OU~ 6~2.oU+~ 1N 6, M(Fe v-6 °Jo 69, - p 8 z PI ep-- q g • 8 s U r `~'t3L~ 1~R.~-A 1 1 P3 69' NOT P R CT '11 NeT~~ 1`}IX~SC Zb t3E ~T t..~z`P~ST" Z. S ~ 'RST O~ W~ Uu+.~l~ , S'-i STL1!'I L~,~, ~L~U . 9 1" I l~ l ►h U 1~I J' 11~ S'1~~v15j _ Z- OF SOIL DESCRIPTION FORM Attach Soil Profile Location Na On a Su orate Sheet) Q•6 LINEAR LOADING RATE- ~~Jl6/J r-~T CLIENT / PURPOS : EV V {~ew L° ~J s~ C T7 W SLOPE: O[ , ~y DES(R_IPIION BY L L,,J GG~ZCR ASPECT: DATI ZZt 1q, r CURRENT LAND USE' S d p L COUNTY/STATE Sr ~Z-Qs X4 (IoQpj { LtJ J VEGETATIVE COVER: $ $R'USN LOT DESCRIPTION: P QI- S~ - S W Ste' 1 T Ni ~I$~ DRAINAGE CLASS: J#J 'r'~JQ CST= ~1A.YLJ 1 0- }IjAJN I GALLONS-PER S9. FT. PER DAY; ~_~L ~ LocAr ION: ITT O PARENT MATERIAL(SVOEPTIJSOIL SERIESt l~l l?~P~~ RS D ~ IIUDA 4y So HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII •BOUNOMY REMARKS in. anist Gr. Ss. Sh COATINGS CLS 2 7-~3 10`iR3/ - Sj Lt g~ lvl~~ - CS 3 13 lo~c ~ 1~ - s j i z m~ bh. h-r c s S Y T2 S! Li L_ Zb so 1~~-tt2 lio 1 v ~s1 ~'FSbk muR~ ID KR 6/~ mor 0 0G ~ o-~ toYr~ Z/I - si 1F ~ mu~~ CA- -S Z b- 10 tpy Z 3 - S Z ►►1 C S 3 10-Z6 ~a~-Lcz 31 - si 1 Z►►1s~ wTf~ - z-l 1o`t q s LA Z'7-68 ~o~t2 3 i6 t~ v~Fsl ~s)b my II 1 0-~ 1o~tz z/► - si I )`f Mu f~ Q.s - Z b- 12- 10`18 3 J 3 - sl l 2, R F, m Fr C S 3 1? -~8 1o~1tz 316 s J Z k7 s 3$.S- 1 O`Z R• 3 /b 1 V S s ~1:_ m U '~h _ 11 OTHER SITE FEATURES/NOTES: 6e OF LIMITING FACTORS/DEPTH: Signature Date CST N J W, SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County r a Ma'rk' R. and Mary K. Helmer P OWNER/BUYER 00 1 Fire Number :3 ROUTE /BOX NUMBER '1'4 50 S TVa s s I.a. to a M CITY/STATE River' Falls WI ZIP 54022 o PROPERTY LOCATION:*_ SW 34, Section_, T_ R_1= 1 Town of 'Kinnickinnic St. Croix County, Subdivision Lot number Improper use and maintenance of our wasteseptProper maintenancesin con- its premature failure to handle sists of pumping out the septic tank every three years or sooner, if needed, by a licens'ed'ste tic tank pumper. What you put into the system can a ect the function of the-septic tank as a treat- ment-stage in the waste disposal system. St. Croix County residents mad be eligible to recieve 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 'sys'tems agree to keep their system properly maintained. The property owner agrees to.submit to St.. Croix County Zoning a certification form, signed by the owner and by a mater 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. y 0 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 Depart- w ment of Natural Resources. Certification form must be comple d •d and returned to the St. Croix County Zonin Offic i in days x of the three year expiration. date. SIGNED DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. 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 Mark R. and Mary K. Helmer Location of Property SE 14 SW 34, Section 7 , T 28 N-R 18 W Township Kinnicki nLic Mailing Address 1450 S. Wasson La., #21 River Falls, WI 54022 Address of Site Coulee Trail Hudson, WI 54016 `-Subdivision Name _.`_"Lot Number Lot 1 Previous Owner of Property John & Carol Feyereisen Total Size of Parcel 12.511 acres„ Date Parcel was Created September 5, 1991 Are all corners and lot lines identifiable? XX Yes No Is this property being developed for resale (spec house) ? Yes XX No Volume 917 and Page Number 543 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTy OWNER CERTIFICATION 1 (We) cvLti6y that aU Statement6 on this 6otm ate true to the but o6 my (oun) hnowtedge; that I (we) am (ate) the ownet W o6 the ptopexty dens n i.bed in the .in6otmat.ion 6o4m, by viAtue o6 a wa,4Aanty deed necotded in the 066ice o6 the County Regi6teA o6 Deena as Document No. 4 7 4 3 4 3 ; and that I (We) ptesentty own the ptopoeed .bite jot the sewage dizpozat (ot I (we) have obtained an easement, to nun with the above ducAibed ptopehty, Got the conattucti.on o6 .chid .6y6tem, and the .dame hab been dut necotded in the 046ice o6 the County Regiatet o6 Deeds, as Document 4 3 SIGNATURE OIL. WNE SIG T OF CO-OWNER (IF APPLICABLE) DATE SIGNED DA SIGNED DOt;UMENT NO. WARRANTY DEED. THIS SPACE RESERVED FOR RECORDING DATA STATE BAR OF WISCONSIN FORM 2-1982 r 474343 REGISTER'S OFFICE.. - OL 917PAGE-5. 3 - ST. CROIX CO., WI John William Feyereisen and Carol Ann Fe ereisen, Recd for Record husband and wife as joint tenants Cf GV 07 ~99~ ABM - - . . 8:30 C~Y nn - - - - - conveys and warrants to --Mark R. Helmer_-and..Mary-_K.__Helmer.,_-__-_ ~ReglsferofDeeds ..husband --and wife..as-.survivorship.. mar ital..prop-erty............ - I RETURN TO 1 M - i the following described real estate in St-,_- Croix.............County, State of Wisconsin: Tax Parcel No: Lot One (1) of Certified Survey Map in Volume 8 of Certified Survey Maps, Page 2400, as Document Number 473254, filed in St. Croix County Register of Deeds Office on September 5, 1991, being part of the Northeast 1/4 of the Southwest 1/4'and the Southeast 1/4 of the Southwest 1/4 of Section 7, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. r ~ r-7 1 This is not homestead property. erty. - - $ (is not) Exception to warranties: easements, restrictions and rights of way of record, if any. Dated this 13 day of - ----5~`..~~- 19----- 9 (SEAL) ' (SEAL) * John William Feyereisen ----.-..(SEAL) 1:C21tuQ, Qix..L.....JP C........._.(SEAL) : Carol Ann Feyereisen AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ss. - ntyahls ~ ar authenticated this ........day of--------------------------- 19...... Personally c me before day i-- S " 19.__9I tteibay4~/~~~"•ed yam.. John, William Fevereisei TITLE: MEMBER STATE BAR OF WISCONSIN Carol Ann Feyereisen _______•••_'~•_p $ (If not, 4 authorized by § 706.06, Wis. Stats.) s to me known to be the person _ ~o oxee%ted;VW foregoing in. ument and ck o I d .tta~ sam/e~ij Frt. THIS INSTRUMENT WAS DRAFTED BY I - • q~ps~•1~`~` Joseph. D. Boles. Rodli, Beska-------------------- & Boles, S.C - Box 138, River- Falls, WI 5-----•4022 Notary Public v, is. (Signatures may be authenticated or acknowledged. Both My Commission is~p/"ermanent. (If not., state `expiration are not necessary.) / Q r date- 19.1...) 'Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. n i?.M N. 2 - 1982 al ST. CROIX COUNTY 7 ~x WISCONSIN ZONING OFFICE Y~X'y ST. CROIX COUNTY COURTHOUSE _ 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 Feb. 11, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite investigation of the Mark Helmer property, located in Sec. 7, T28N-R19W, Town of Kinnickinnic, St. Croix County. This onsite revealed suitable soils at a depth of 32" requiring 12" of sand fill beneath the mound. Should you have any questions, please feel free to contact this office. Sincerely, r James K. Thompson Assistant Zoning Administrator cj = k5 ~axYA;. S FILED SEP 051991► JAk.1:;, J'CONNELL 4'73254 ~K 'L Register of Deeds ' - SL CrOIX Co., WI CERTIFIED SURVEY MAP JOHN AND CAROL FEYEREISEN Part or the Northeast 1/4 of. the Southwest 1/4 and tha,Southeast 1/4 of the Southwest---- 114 of Section 7, Township 28 North, Range 18 West, Town of Kinnickinnic, St. Croix . County, Wisconsin. - N 114 COR. SEC. 7, r 28 N, R 18 W, (COUNTY SURVEYOR'S XON.1 o UNPL A T TED L ANDS b E/W- I14 LI NE 66 42ND AVE. - - - N90100' 0011f 28d: EAST I14 COR. SEC. 7, r 28 N, R/8W, 2393.88' 6• fCOUNTY SURVEYOR'S MON.I ' L - 2605. 22' WEST 114 COR. SEC. 7, T 28 N, 22' R I B W, f COUNTY SURVEYOR'S a NON. J 2 SETBACKLINE 133' h v Owner's Address: SOUTH Of E/W 114 929 Coulee Trail L I N E OI M 2 3 x Hudson, WI 54016 r Phone # OIndicates 1" x 24" W QI W 1-715-425-5084 i 1.13 ron lpipe bs./wen. ft. _e CN Uj a o Oated: July 8, 1991 QI o vl m Revised:: Sept. 5, 1991! o a Q: 4: 4. Z o h ~I i a wh a ~I < r N 90. 00' 00"E 412. 4e' NN 4+ Q m~ a J 0 ; -i W „ SCALE 1"z 200' 0 50' /00• 200' 300• 400' $00' 600' SOIL TEST AREA LOT QI h FENCE \50 0M b 12. 5/1 ACRES ••.w....... I~{ • JI 344, 960 SO. FT. Y Q IZ..4,45' pCRfS EXC. ROAD R. 0. ./LAUREN E 542, E/ • f, ~I a a4z, 123 so. FT.. m f W M HYlo Iwo G~ ~ rr a : a N~!f~IVER FA LS, : I4 z • J . Q F Wisc. Q • u LAND ~5,.•`~ 7gsw. N/S 114 LINE Laurence W. Murphy Registered Land Surveyor ' FENCE 3 9' R This instrument drafted by nw Laurence W. Murphy N 891 51' 47 "W 498.11' r r S I14 COR. SEC. 7, T28N, R is w, UNPLATTED LANDS 12111RONPIPE FOUND) - ,a Vol. 8 Page 2400 ~PpA®~E~ CertiFied Survey Maps St. Croix County, Wisconsin SEP 05 1991 SHEET 10,F2 ST. 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