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HomeMy WebLinkAbout022-1040-20-120 r (D co Q 3 0 O e» M C C ° a p p p ~Eoo N n~ M i MCOY c 0 x c N O N Q 000_0 L C N ? c . . O A: Q N O 1.) Cc '40) '2 O. .O N O ~ -O - a Co (n a O> O c O 0 a O y O :0 N O 6 z c00 C CD 6 ~~Y U. , r- E O _O N O U a E " -0 a c Y a E 0 c E N p Q Uf°~ L) co ~ N z N W E (n = 00 O Z a co v N I c C7 0 z d U m z d' ~ c fA F- r N N aD 0 E c Z5 v c co N y ~ ~ O h 0 Z Z - N V O N ¢ zo N R N m E p O i l6 t d Lr) CL 7v w m Mn 06 d m y U D G CL vOi ~w O N H F- O w. E LL O O O •ti > m a m s 3 p cn N N N U m m~ z O O w W _ E c O 0 O O O an 0. Ln a 4 a p M O O o 0 p w c o N C11 c 7 C r.+ Q E U') F- C O N 7 E CL ® O N O O C O OOi O ..w N N O E L N 7 0 C c C O N c L" W U O N '00 c 0) O >O O N O Y O Y > O Z ~ C!3 \J E W W m a a a w Clo ` E L G C O [_~1 L v a 2 0 in 0 g _10 STC - 104 R~ AS BUILT SANITARY SYSTEM REPORT '`EMO _ MAY 1 1 X995 OWNER ST CP40 r COWNTY ADDRESS l J .t 5 ti SUBDIVISION / CSM#aq,! LOT # SECTION_ I T ,:2 N-R_jj _W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYST l90. vE}? i 2 t I i INDICATE NORTH 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: ~A) 6 Liquid Capacity: ) 0Q Setback from: Well N4-f House Flo' Other Pump: Manufacturer 26cJIty Model# Size Float seperation 10 Gallons/cycle: 7 L Alarm Location 6c.tf- SOIL ABSORPTION SYSTEM Width: Length 3 Number of trenches le.,~t yhau..,f S Distance & Direction to nearest prop. line: 96 Setback from: well: > 5(, House 14o' Other yv~'1 ! rh. / ~ I ELEVATIONS Gt Building Sewer ST Inlet T outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system1 Existing Grade Final grade DATE OF INSTALLATION: S,"` s y z PLUMBER ON JOB: LICENSE NUMBER: Y4611', S 1~3 9 r"INSPECTOR: 3/93:jt ,I~N: KIi13I~K yNNIC 14.2PRIVATE SEWAGE SYSfEMOL RD. J y in epartmen Or In ustr Count : r and Human Relations INSPECTION REPORT ST. CROIX .rety and Buildings Division ' (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 175656 Permit Holder's Name: ❑ City ❑ Village EkTown of: State Plan ID No.: WESTON SUSAN M &DONALD WALZTO IKINNICKINNIC CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 022-1040-40-1'f TANK INFORMATION ELEVATION DATA A9200317 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark c, p(o4* , 0 Dosing 4ei,- Ayq,4P G. 9CJ. Aeration Bldg. Sewer M 0-7. 7f Holding St/ Ht Inlet 7•~~ TANK SETBACK INFORMATION St/Ht Outlet C~ /0 TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom Dosing NA Woods /Man. j.9 Z.9g Aeration NA Dist. Pipe qyz.?g' lda,G~' Holding Bot. System 33.6(0 d/, PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand (2A 1/r /bF, 7l Model Number GPM ul TDH Lift Friction System TDH Ft Loss Fi Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length 3t No. Of renches PI I N is Inside Dia. Liquid Depth DIMENSIONS t~ LEACHING Ma cturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/ STREAM INFORMATION Type O K R M System: OR U -NIT o a Num 1'~'W~..►p------ DISTRIBUTION SYSTEM ~Fe}er/ Manifold ~Distribution Pipe(s)f a ~r x Hole Size N x Hole Spacing Vent To Air Int ~ e IUD Dia. Spacing 1 Length 36 Dia. _ Length 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 /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancie L2~ <~a.~ r L ca .r, 1, _ S 1 __1 FF1 H Plan revision required? ❑ Yes ❑ No Use other side for additional information. 4-, Ici - ~ ~ IVY ✓ SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ~ILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY v.w..,,vn v STATE SANITA PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ~~/~v^'~~ 8% x 11 inches in size. ❑ ch ~k if re~isioTio preJfous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 3q,2-407.2,3 PROPERTY OWNER PROPERTY LOCATION d .4 wi 5W% S,5 %,S /4 To7 ,N,R L6, X(or) W t WeSY PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 912 -t4 S T u y- tv N- CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER "J 0w 1.54014 71S" )741,-?1317 C51- II. TYPE OF BUILDING: (Check one) ❑ State Owned CITY NEAREST ROAD wul~c.~aw.. it.d ❑ Public t or 2 Fam. Dwelling-#of bedrooms PA EL TAX NUMBER( ) III. BUILDING USE: (If building type is public, check all that apply) . as b 10 d ? i b 1 ❑ Apt/Condo 2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ 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. ~ 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 CK Mound 300 Specify Type 41 ❑ Holding Tank 120 Seepage Trench 220 In-Ground 420 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 50 37r- 3)1. 1.2 IV 4- 101.5 Feet ! b Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holdin Tank t 00V l Coo l e e ur c, Ed Lift Pump Tank/Si hon Chamber Acrd go d VIII. 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) MP/ RS o.: Business Phone Number: ~ar u" e 'Yt f 4 -21'3 Plumber's Address (Street, City, State, Zip Code): 104 5 tYvN vT. (Z,, U., (~5 S S<o L IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee (includes Groundwater a Issued Iss ' Agent Signatur tamps) Surcharge Fee) P Approved ❑ Owner Given Initial 4 _ Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1.~.• s~n~ta~ ermit is valid for two (2) years. 2 `r ssanitar 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. ~Q 3 vis to," his permit must be approved by the permit issuing authority. angel I 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"tie-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, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. Il. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water-contamination investigafioris and establishment of standards." t 1-1 rt:: SBD-6398 (R.11/88) `•[";-1 OJ , i';: -rt92E nfs' 9rt --,:J • =0 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), thensa second form should be retained and completed when the property`-is sold and submitted to this office with the appropriate deed recording. ---------------------------------'-I-------------- Owner of property Location of property-NW 1/4 SE 1/4, Section T N-R W Township kihvi~ r i r►vl ( Mailing address Z1111.E St NU~Sa., ►n~i S,+n I k Address of site Fa Cad ~ ll<~ i Subdivision name- hLot no.- iilc" other homes on property? yes No Previous owner of proPertY- Wa Vicr be rc-t hU U n 1A10 l C~ Total size of parcel ___Z • 5 CkC rc-S Date parcel-was created Are all corners and lot lines identifiable? X\ Yes No Is this property being developed for (spec house)? Yes 'X, No volume gSl and Page Number 534- 7 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify,that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the county Register of Deeds as Document No. 462-554 , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. Signature f app cant Co-applica t ~-X15 C/ Z Da 0of Sig ture Date of Signature t j Xy 4 1."S `i `n yi~~1aP'!~ 6 I P 'q. ~ ~V"~ ~ ~7»1~ietie ~ ~+Kpetrrw « E ~t ► tit a ~I' ss - ~ "WAR ~ [ r -rl~ll~: Rt{. W. _..s tf3 ~5+%t~t `tlCt ~ ► brc ":31r~r ~ '~r, f~ 'i~ ~~t Ti I C ,iNIM/1~0 a t ~ ~ I I :+s. •+r.~K.«. +sN~.(t. +r.k~il:.i.a.. e. ~ '1 IIM~P~~1 1~~1~ C whether ,p. 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I ,f of ti 343.,5;3' Wilds N8god~~~~k! L a I 'I • l` J I ~ f Z t: A% il I ~J _ f 5f 1 ~ k S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER Donald Wa l z+o p, S Usan M We_s+o n LUrePni tiddreSS St+e 41,14,eSS ~~J@~• F.-; 11.S W.. ADDRESS.-_212- 14h !i+' t3b5 011 Rd- j FIRE NUMBER 1365 C-k, ~d CITY/STATE VIUd Son h/1 ZIP 5 40 1 ~ PROPERTY LOCATION: NVJ 1/4, 5E 1/4, SECTION T N-R W TOWN OF Kin r6c L n n L , 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 consists of pumping out the septic tank every three years or sooner, if needed by a licensed septic tank pumper. What you put into the system can hff act the function of the septic tank as a treatment stage in the waste disposal system. . St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, 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. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoning officer within 30 days of the three year expiration ate. SIGNED• r~ DATE: 9 St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 r 3 =r a O ~i ° °c rl » G ro orr Q' W N N 3 !Tr 3 rr o O 0 c d N z A w A l DZ n 0 it':3 M Y) 0 ../A-► A L;L F co Lo 0 t/1 N S/ N I d N_ 33 J 7 tij J s ,.J ~ N cn to cn (A G .3 Rt C7 !D ! 0 G .C S c s A o C o Ort. ^C K ^C W n w N VI ~W X O LA O D 0 CJ -Z ^c 1~ ,u co N En 3' Lj (P N c N` On ~ 1 G O r ' O m rC O m r O to m G O x G d [D IF> D O V_ N 4V Arai e~+ ~ r ~ L1 h O r- ~ ~ G m 0 0 G ""c z v N en m !'1 I O 3 ~3 ro (J. G C C m d /D d O 47, o to to N Z to W r T T T T fi j m no c 70 d A O m t2~ /r :3 A N 0 7 CL < m Ll D 0) D O O Q' v or o ,A. En N r+ CL ~ N A J~ LU N c# I b A 0 O 0 -P LA c -n _T :3 %A w A ti 3 70 J G' T a 3 v `o O A A N d v r u :3 z rC N~ d d 7 u o d R O N CP O D C ID 5 = A ~ ET !2~ QO~ Q C,Q 0~ r V) 00 fO L 10 v? -4 co lQ ~ tO C 1 , c z w U1 T.l L Z 0 O O v o r I" vo U:) N J y ,C J v o o, p r.4 ~t'o N N x tQ 5 - z N ~ 26 ® / o 3 ~ ~ X (II HV ~ i Q O L 0 CA. L IGI It ~y O N I I C W N ,1 c 2` I ~ tJ o D ,~Jr ~ tTi ~ I O lV L~`P~i T L-~ T LIEU N I~ MOVE TKE -FART-H. AILPORT EXCAVATING 1042 South Main RIVER FALLS, WI 54022 Y. CARL P. HEISE (715) 425-2175 Owner MOUND SYSTEM FOR A _ BEDROOM RESIDENCE LOCATED IN THE ~f9 OF THE S Ej OF SECTION 1_f_, T_VB N, R_0 W, TOWN OF , lr 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 S We WtSTVw +Ooti 1.' .l2Ton, i Wun56w , W 1 '?I(~ PREP RED BY 'CARL P. HEISE CST-3314 MPRS-337f, 1042 SOUTH MAIN RIVER FALLS, WI 54022 Y` rp f hnYc~~ B ad, 0q(, Cris S92-40"723 'M %U CIA, kC(AT ie MO Sr 5f-- i 19 ft m IrOF- w-1y%'7 AW> M (W Pt, PRIVATE SEWAaS SYSTEM Y11> Conditionally ~ APPROVED OW, OF INDUSTRY, LABOR R HUMAN p~t1pN: opE DIVISION OF SAFETY 0 BUILDINGS SC ~ , r PI SEE C R PONDENCE , or- ~ ,EL.1 , g /n N o Z $ c= NLW 800frM1L Pkw~Cl+a. ~~r W m ~ . f ~ X r STtcl~Fs*c, Pos* p CL.Io0.b 0 i • 1 y j -dA bit _ 4 Z'o s or S1-row,"vtarsh Hay, Or Ai AS,PZ2AVEn Synthetic Covering . Distribution Pipe Medium Sand ( ^j r_ Topsoil F I l; - D 3 / • ` % Slope Bed Of 2- 2 %2 Force Main Plowed Aggregate From Pump Layer / D _LL F-T. E. I.Z FT- Cross Section: W A t<iound System Using F SYSTEM A Bed For The Absorption Area PRNATE SEWAGE G J. 0T-T, C vnditionaily 'A Ft. H B Ft. Ft. it c) Ft ?J1D I jkPP%JE1D REIA 0~. OF INDUSTR`l. u8011 Ilu u o1Nes J Ft . • OIYISION OF SAFE'[` AN AN" K I-0 Ft. as"Wroo ~ CO E NDENCE L ou„~~106 1N i 25 . 1=# . SE W Ft. 1 wt.itil • bservation Pipe-- w ----r - - _ _ _ _ Bed Of z 2'2 Distribution Pipe Aggregate Observation Pipe Permanent Markers Plan View Of Mound. Using A-Bed For The Absorption Area For lcroled Pipe DOIOh f nG Vh-v ~ Gr,larato0 , , . n C Fi• ~ Car,- Pi t E v I o A latoiad Gr. Bottom, O 4rt E cuolly Spaced , i~ Zr I i PVC Vbrc%Woln From Pump Q PVC MoniloIC Flpt l~ • G~tUlovtro►• , E SYgTE1~A Fipt AQ Pp1V ATE S~ Lott Ha►t Should Be . nally 10 End Cop /•,ondit'o tnd COO Nirldbulion Pioe LoVoul O Ns R ~,o P a,tu P NU P- ij ING S_ ~R DE~iCE X AV S~ a 4 SEE CA Hole Diameter Inch Manifold " 3 Inches Force Main " Inches Lateral `f ivq Inch(es) Holes Per Lateral ' ~ Z 12-0* ` „G'' ` iz •3Lo Ib it -;r •u i j 0 _,,_1 Y 7 F i I ~ zoELLE(L N F- W 115- 34 110 32 105* - 30 100 - 95 28 90 26 85 MODEL L UENT 24 80 I N -3nd Qa 75 MODEL 189 ITER/NG =2 165 70 U 20 65--- Z 18 60 55 _ 16 9 50 ODEL 0 163 MODEL H 14 45 188 12 40- 35 10 MODE 30 137, 13 MODEL 185 8 25 V I 6 20 MODEL 15 M DE 161 10 2 MODEL 5 53, 55, 57,59 0 GALLONS 10 20 30 0 50 60 70 80 90 100 11o LITERS 0 80 160 240 320 400 FLOW PER MINUTE i KINNICKINNIC T•28N-R.18W 17 a, ~q iE r /cN SEE PAGE 29 , occ Rn IL- 00 ye "fir • Daniel, ,ar (i/ends J i~ A Beatrice 9 `O ro • Frederick G 4o d N Jac uen Smonson, ,g J Lawrernce L, Jr Hans - n u~ S E.s Haro/ 4es J Lexrl~ eay"rOr'c/ , 6S Ne ne p 7752 efa/ 696a yb P y nte kror,wa/d //6.7/ ftrndd R f u\ b u n 23.2 197s S 199 g n y MLUeC/,F q~ Q //75 ~cV r N/ N 010 33 4 r~~ ,TOSeoh$ v f en 1 • Fredenbk o.v ,7o.sePh e Dee, ne hE//en tl Re/ .rA~er T d Rober/ f /7on~ e G. noaB 9I e .Ba de / ®o • • TdneS 47136- obertF 4 ICkbara. 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Phone: (715)!733011 Leah Gavin, R.Ph. RIVER PALLS: Spruce d Spring Streeh - Phone; (715) 4355701 t f SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 CARL P HEISE Owner: SUE WESTON & DON WALZTONI 1042 S MAIN ST 212 7TH ST RIVER FALLS WI 54022 HUDSON WI 54016 RE: Plan Number: S92-40723 Date Approved: August 17, 1992 Gallons Per Day: 450 Date Received: August 17, 1992 Project Name: WESTON, SUE & WALZTONI, DON Location: SW,SE,14,28,18W 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, 4 GERARD M. SWIM Section of Private Sewage Division of Safety and Buildings PPP039/0009n/15 cc: SUE WESTON & DON WALZTONI X Private Sewage Consultant SBD 6423 IR. u1NU ST. CROIX COUNTY 4. ',.r6 K01 WISCONSIN - Jy~ ZONING OFFICE ~rx ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 June 12, 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 Sue Weston & Don Walztoni property, located in the SW 1/4 of the SE 1/4 of Sec. 14, T28N-R18W, Town of Kinnickinnic, St. Croix County has been conducted. This onsite revealed suitable soils at a depth of 32". This site does require 12" of sand fill beneath the mound for new construction. Should you have any questions, please feel free to contact this office. i erely, ~J ames K. Thompson Assistant Zoning Administrator cj L~ ST. CROIX COUNTY WISCONSIN ZONING OFFICE II """""p" ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 i _ (715) 386-4680 March 7, 1994 Carl Heise 1042 S. Main River Falls, WI 54022 Dear Carl: I I still need AS BUILTS on the following systems: James Ray Repl.Mound Kinnickinnic Dan Koepke New Mound St. Joseph Reney Langlois New Mound Troy Weston &Walztoni New Mound Kinnickinnic Please turn them in as soon as possible. I'd like to get the paperwork finished before the busy season starts. Thanks! Sincerely, cam, Mary Jenkins Assistant Zoning Administrator