Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
028-1017-95-000
O 64 p. O ~ I a I 0 N n O ti K C i ~ I O z I C I O LL C O I a I Cl) > Z H n C/) i, ° O L co z 7t 'o I a m N W U) O Q Z d U GOi Z c z to F- ~ N E 72 o *i c O m O O O Q Q U Z Z m 'D co 4) E N N w £ N _ R 0) (D d O (6 w Y (A W d N O ° 75 U) U) U) 0 UO) 0 0 Z CL CL 0. Ma Z m ° N Z rn rn aa) I ~n J U rn rn } M :z z LO 00 N E N C O O ~ ..,3 O ~ a d ~I, ' U y Q~ rjj m I O MO 7 Q C N N N p O O y C C c E (O 00 'Of r m m~ O Q Q_ CL O n n> c E E (h a l 42 O O W 413 L L GF' r c0 N N ~ 7 ~ ~ = N V •A1)1 NO 2' Q O N (A p ~ w I w ~ I v~ (D w E a xt a ` a w m CL u 4) G 0 a 2 0 in uo I r ~ t 9 ' p f E N 02 . SAFETY & RUII~I DERARTMENT O REPORT CAN SOIL, BORINGS AN DIVISION LN4USTRY, LABOR AND PERCOLATION TESTS (1,15): , P.o: Box HUMAN RELATIONS MADISON, WI ~I IIH63.09(1) & Chapter 146.046) { LOCATION: SECTION. OWNSHI UNICIPA~ITY: OT NO : BLK. NQ.: SUBDIVISION NAME:, 4~ 1,2 /T N/R E (o - 4 COUNTY: NER'S BU ER' NA E (LING ADDRESS: t~ol r Ov'~~ Gay- a%%u~~•~ . f~c o 0 USE' DATES OBSERVATIO NO. BEDRMS.: COMM R AL Q S R PT10N: N A N ST } Residence XNew ❑Replace .t r„ RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PR F : S STEM- N-FILLHOLDING TANK: RECOMMENDED SYSTEM:(o tippal) CJS U f S ❑S U [IS U EIS U If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: LFloodplaln Indicate Floodplain elevation. 144n J PROFILE DESCRIPTIONS T I' BORING TOTAL DEPTH TO GROUP DWATER-INCHES CHARACTER "O (SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTM NUMBER DEPTH IN, ELEVATION OBSERVED EST. H TO BEDROCK IF OBSERVED (SEE A08- RV: ON BACK.) I c B 6~ i'•! z °7 1 B- 40-4 s- I PERCOLATION TESTS 4 TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-IN HEST RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. p 1 7 P R D PER INCH P- i. P- P- p AI i P- ' Describe what are t PLOT PLAN: Show locations of percolation tests, sail borings and the dimensions of suitablq soil areas. Indicate sFala or distances. he hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at 411, borings and the direction and percent ; of land slope, I SYSTEM 'ELEVATION 14 ✓ ; i{ . - i -4- - _rv I T 1 f ry 1 y E . ;M ~ . r I 1 cw 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedu a method ~ h, \ rWn Administrative Code, and that the data recorded and the location of the tr sts are correct to the best of my knowledge and ief j 1 NAME (pri,ntl: TESTS WERE GQMPLET 0 o 101 rt ADDRESS: r CERTIFICATION NUMBER: PHONE NUMBER (optional); CS 44 GNAT E: I and Sol Author P r ~I Tester. t o ISTRIBUTION. Ori Inal and one copy aY to . Local rPet 'i D a , Y Owner , T nn ac:, visr%_r-4r1G. • w Parcel 028-1017-50-000 05/07/2007 03:37 PM PAGE 1 OF 1 Alt. Parcel M 12.28.17.89C 028 - TOWN OF RUSH RIVER 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 - BARG, ERIC J ERIC J BARG 2026 CTY RD N BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 2026 CTY RD N SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 34.401 Plat: N/A-NOT AVAILABLE SEC 12 T28N R1 7W 34.711A PT E1/2 OF THE Block/Condo Bldg: SW1/4 BEING LOT 2 OF CSM 9/2484 & EXC CTY RD PROJECT 95-N-2 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 12-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 12/15/1998 593804 1387/182 QC 07/23/1997 1167/639 WD 07/23/1997 1122/170 QC 07/23/1997 488/264 2007 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/13/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 35,000 168,000 203,000 NO AGRICULTURAL G4 31.401 4,900 0 4,900 NO 00 Totals for 2007: General Property 34.401 39,900 168,000 207,900 Woodland 0.000 0 0 Totals for 2006: General Property 34.401 39,600 168,000 207,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 134 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 FILF) MAY 2 91992+► J 484001 JAMES O'CONNELL Register 01 Neda & GFOdX co W1 CERTIFIED SURVEY MAP HAIO D SAM (11 UNPLA rrE0 L&Nps 'art of the SE 114 of S 89.59' 36 "E 880.85' the SW 114 and the NE 1/4 of the SW 114 of Section 12, T 28 N, 0 Indicates 1" x ?4" iron pipe weighing R 17 W, Town of Rush hl River, St. Croix 1.13 lbs./lin. Ft. set. County, Wisconsin. O Indicates 111 iron pipe found. 2 Indicates watercourse Q Indicates Fence J Owner's Address: .T.H. "N" Y. 2026 C.T.H. soil borin for sewers stem 4+ g y k Baldwin, WI 5400? Lor 2 Q h 34.711 ACRES ~I Telephone I 1-715-684-2514 51. z,o// so. Fr. J W 34. 434 ACRES EXC. R04 O R. 0. W. I, 7 00, 82 / $0. Fr. W 2 = O 3 W 2 H Q A POAOVED q y~ b p 0 O ~ h O N e ST. C'R61X COUNTY t 0"Pr i lye Plaening q POND O 2Mw'y'81 PQrk4.4omn*t.o yl ~ Z I ° It nEct ~Awdsd 0 QI J N h Ui~f~7r'~:0/ o a0pC~l~,dats. wl This instrument drafted by. Laurence 'W . 'Murphy enpl.ba~:t~o. ~ o Q 2 ~n-V SCALE / ZOO' SHED 0 50' /00' 150' 200' 300' 400' J S ED OWELLINO U WELL ~ ~ SEPr/C VENTS \5C0/VShZI~~, / .b • GREENHOUSE '1 LAUREN • W ac m Re W / CZ 3 m N90.00'00"W 275.00' 111713 h IV A' FALLS, WISC. QJ i 2 R N 90. 00'00"E 270. 00' •'S x ' m ^ C. S. •0 LAND N o y } o L O r ~ W b { ° e o VOL. Revised: May ?9, 1992 M ^ a PAGE 1918 I urence W. Murphy y x 3 O M M W - - Regi ered Land Surveyor W o C OR/VEWAY a Lor o D ett "'=17=1 h p x ° 2.307 ACRES 9 Page 2184 /00, 483 so. Fr. Certified Survey Maps Q r~ Z. 10'2gCNESEXC °O St. Croix County, Wis. 3 O ROAD R. 0. W. O N90.00'00"e6 09.08'4 b y C 9/,573 S0, Fr, 1 , S L <NE SW 114 339O 270.00' 190 339. /3' 609./3' rj 712.00' _ 270, 00' n, N 90.00'00"E 2642.P ' UNPLATTED L4NOS I%4 COR.SEC. /2,T28N,R17W, "IRON PIPE POUND) SHerr /OP2 0 ,X)daA,1nS pueZ p9,1a'4.sTS8H uTsuoosTM 'Aquno0 xToao •,~S dgdarW .M aouaaneg sdvK Aan..mS PaTJT4-aaO a8ed-T-'TOA QNd'1 • joa,xaq,:~ uoT,4Bq.uasa,ada•1 ~08•1.100 pus aru,4 s ~S 0~6i a,ze uoT,:dTjoesp pus dear sTgq- q-egq- Pus Rquno0 xTo,aO ',~S 3o ra ;:''•'OSiM•''•.• - ~y saoueuTPaO aq~ Pue sa4nls~S uTsuoosTM aq~ JO 4C*gCz aa, dsg0 llVd3A~}i': sPJ009z TaTOT3Jo g4TM 80usp,zo00s WE uoa.zaq uMOgs `c £lL t',~ ° i H M SPusT 9q4 paPTATp pue paSaA•zns eAp I 'Szsg pTo.zsH ',zauMO fldl 8q'4 3o uoTIDDaTP Sq geg4 AJT4,190 Sga.aaq op ',zoAaA,mS pue'T ; : pa,zalsTSaH 4aOAaaznS Pawl pa,zaTsTSaH 'SgdanW •M aouainul 'I `SN0~Si (UTSuoosTM ~ JO 9 uq-S ~~f/11111111 L86T `CT ,zago,4o0 : pa,4ua •paoaaa 3o sluawasea oq. ~oargns SuTaq osTs pus sasodand 'M'0'H uN4l 'H'Z'0 aOJ 309,19g4 ,00'CC ATaagq-noS aqT jano l.uacuasve o'~ 404gns SuTaq 'sa,zos 996•e SuTuTvWOO 'ONINNIMS HO SNIOd aqT O' ~i L*6917 Hu170'L0000 S aouaq,~ :,00'SLe H1100100006 N 8ou941 ! OL'69t M11t061,0000 N aouagl. :auTT pTss uo ,00'SLz Mii00,00006 N anuT,4uoo aouaq~ :pagTJOsap uTaaaq aq o4 Tao,zed aqT jo 'ONINNI S9 HO LNIOd agq. O' ~00'LCt JO aaue'sTp 8 (ZT uOT'VoaS pTes 30 ~/T 4samgVnoS 8TT 3o auTT q,.noS aqq. uo SuT,zsaq paumsse) M,,00100006 N aouaq~ 'FT uoT'oaS pTss JO •z9u,ao0 { /T gjnoS agq- qv SuTouawwOO : sMOTTOJ se pagTJOSap STTn3 a,aOlu 'uTsuoosTM 'A;unoO viojo '~S 'JOAT11 gsnH 3o uMOJ, '~saM LT a3us2i "T~-ION 8Z dT14suM01 'FT uoTTOaS 30 17/T gsaMgqnOS 8q4 JO 4/T ..svaq,~noS OTC uT pageOOT PusT 3o Tao,zed uTeq.zao ..VqL :uOTgdTaDS9G 031 1 d 7dNn 99 fON/lOd 3d1d NObI„l ! SON d 7 'MLlb'N8Z1 'Zl '0 3S W0 b/lS W „N„ 'N'1'O T ONV i//MS 3N/7 SW r M„00 00.00 _ i uW N W 1'•7 oo cLZ w ,oo'LFr $w i• • ~ u ,00'C1Z 3"00,00.06N f13S 3,/ld$ OVOb7/Vb I ,OOF ooz Otl ,00/ ,Ot 0 'ML/b'N6Z1 ,001 s „l 37VOS 'Zl'O3S'bOOhi S O n 3 NO 1 S 3 bV7 j0 3snVO36 NO 11 /SOd n n I' x n&.i NI 13S ION 3d/d NO&I :32 ON ro ~ ti 2 I- y • ~ y n O 2 I` a ,n. ~1 (\•j} 1! 'OS FOl 'OZ/ r y n:t n ~7y S3&OV 1 SL 'Z a 13N a O y A O u 13 'OS 8Ll 16zI A I~ C o O S3&OV 996'Z r ; ~ ti (O b ? a s n Al = 107 0 o y t7 am . y ~ \ Z a ~ M •~as '4.3 'u. /'sqT CT'T SuTgSTaM A edTd uojT 16{7Z x „T saVsOTpul p WOt/S IM 'uTMPTeg ,00-sde 3„00,00.06N e E4noH : MUGGY S# HHNMO S O N V 7 0311 V 7 d vn •uTsuoosTM 'dquno0 xToaO e4S '.1OATH gsnH 3o uMO1 '!:PaM LT aFumd 'gq.,zoN 8e dtgsuMOZ 'el uOT14.09S JO t/T q-saMgTnOS 9q4 3o 4/1 ~SVOT~nOS aq,~ 30 ..avd OHvq QrIOUVH d`dlnI ~AIIAS ~I~3IZ~II0 MMN ~J WiisscconsisinSRN: mRU oflnuI ER 12.28.17.92B CO. RD. N County: i8'borand Human Relations PRIVATE'SEWAGE SYSTEM Safety atd Buildings Division INSPECTION REPORT ST. CROIX ' (ATTACH TO PERMIT) Sanitary Permit No-: G~NERA'L INFORMATION 171480 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: ° ARSVOLD MILTON RUSH RIVERI u," CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 9 /G . ( I d. aS D 028-1017-95-000 TANK INFORMATION ELEVATION DATA A9200253 L 1//9L TYPE /MANUFACTURER CAPACITY STATION BS HI FS ELEV. 7,F u: v mod' Benchmark f /,0, Gv Septic c✓Gc1c ~ ~n Dosing e-~~` g3/, Aerati Bldg. Sewer Holding St/pit Inlet z o/~ TANK SETBACK INFORMATION St/ Ift Outlet 3 ZZ 72' TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake ILL Septic ] ~D /S / NA Dt Bottom 6 Dosing >SQ 3.3 33~ NA J~a~r7Nlan. j,b /oZ, z9~ Aeratio NA Dist. Pipe ~ 3ro<z Holding Bot. System 23 PUMP/ INFORMATION Final Grade Manufacturer Demand Model Number # GPM L' ' r ej 5.~3 TDH Lift~0,~1(0 Friction System ,5' TDH p,S Ft oss Forcemain Length Dia. HHot Dist. To Well >70 SOIL ABSORPTION SYSTEM BED /TRENCH Width /rJ Length No. Of T enches p its Inside Dia. Liquid Depth DIMENSIONS V ~VV DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manu acturer: SETBACK INFORMATION CHAMBER Type Of Mo e System: OR UNIT DISTRIBUTION SYSTEM K /Manifold Distribution Pipes x Hole Size x Hole Spacing Vent To Air Intake Length __L_ Dia. Length y " Dia. / ~Y Spacing Co ~w SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only b ~a Depth Over Depth Over ,a it xx Depth Of xx Seeded/ S x Mulched Bed rrretrCenter $ Bed /Uanch Edges 1Z _ q { A Topsoil R-r ~S❑ No es ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 4 . • y ( . _ ' c-" Lc icy . / l u'`~-E' l,Q. 23 7~'~~LL C1cSC~( . ~t , G~ (./P.Z ~1 r1 ncc ~f f 7 i . Plan revision required? ❑ Yes Q'No _2 Use other side for additional information. tz;:; SBD-6710 (R 05/91) Date tnspedor's Signat re Cert No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: r HR SANITARY PERMIT APPLICATION couWTY 1701L, In accord with ILHR 83.05, Wis. Adm. Code r STATE SANITAR R IT # -Attach complete plans (to the county copy only) for the system, on paper not less than l7/-9101110 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. Qr2 d lG PROPERTY OWNER PROPERTY LOCATION Sec 't/ 41 S ./A T , N, R E (o PROPERTY OWNER'S MAILING ADDRESS LOT # f LOCK # " /v E CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) ❑ State Owned VILLAGE NEAREST ROAD =N OF ❑ Public ®1 or 2 Fam. Dwellin ~1vL C g-# of bedrooms AR EL TAX . UM 111. BUILDING USE: (If building type is public, check all that apply) 412g _ 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 80 Mobile Home Park 12 ❑ Service Station/Car Wash 50 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 511 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 Ed 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 14. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE / REQUIRED /(sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ~a ELEVATION &0 a C! ~a e 1 c 2. 'tip ~GQ~ Feet 0A .70 Feet CAPACITY VII. TANK Site in allons 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 Holdin Tank Lift Pump Tank/Si hon Chamber TS" e VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system sho on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) MP PRSW No.: Business Phone Number: xz~ Plumber's Address (Street, City, State, Zip Co e): Y'` o~ zYw d d; IX. COU TY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued issuing A nt Sig No S mps) Surcharge Fee) Approved ❑ Owner Given Initial - Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS y 1. A sanitary permit is valid for two (2) years. 2. Your sanitary pefFnit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. - 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. _ 5. Onsite sewage systems must be property 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, 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. 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 w ' 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. GROUabWd7E101 -SUACHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used,for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) SANITARY PERMIT APPLICATION ~ouNTY QILHR In accord with ILHR 83.05, Wis. Adm. Code ' STATE SANI ARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ /Zllliiiil 8% x 11 in ches in size. c eck o revfous 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 S Ta r, N, R J E (or PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: Check one) CITY NEAREST ROAD ( State Owned ❑ VILLAGE 111, . ❑ Public to 1 or 2 Fam. Dwelling-#of bedrooms .2 PARCH L TAX NUMBER(b) 4,1 III. BUILDING USE: (If building type is public, check all that apply) D , 1 ❑ Apt/Condo (,J p~ 20 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 1120 Service Station/Car Wash 50 Hotel/Motel 9 ❑ Off ice/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. Ej New 2. ❑ Replacement 3. ❑ Replacement of 4.0 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 3o El Specify Type 41 El Holding Tank 12 El Seepage Trench 22 In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED~(sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION '`J~i~ ,3 -,7 3 100, -?d Feet #D /r ~SFeet VII. TANK CAPACITY Site INFORMATION in allons Total # of Manufacturer's Prefab. Fiber- Exper. New lExisting Gallons Tanks Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted F1 F1 1 171 -T Septic Tank or Holdin Tank % e 7- Lift Pump Tank/Si hon Chamber 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) PRSW No.: Business Phone Number: ~1s 3 ~ --~<oz Plumber's Address (Street, City, State, Zip Code): v S~ l p - C, 26r4- Ap,-e IX. CO NTY/DEPARTMENT USE ONLY ❑ Disapproved S 'tary Permit Fee (includes Groundwater Date Issued Issuing A m Signature Surcharge Fee) Approved El owner Given lnitial Adverse Determination O° 4 V / X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitarytipermit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be gubmitted 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 concern n - ` y g your onsite sewage system, contact your local code administra'tor 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 pystem is t0~be installed, II. Type of building being sbrved. 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'f 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 investigations and establishment of sfandard-s--- - •SBD-6398 (R.11/88) i DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS ' "U$TRY, DIVISION P.O. BO LABOR*AND PERCOLATION TESTS (115) MADISON W 7969 HUMAN `RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: OWNSHI UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: /T N/R E (o , ~e~- 1,2 COUNTY: NER'S BU ER' NA E: MAILING ADDRESS: P USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: I XResidence 3 XNew ❑Replace 7 RATING: S= Site suitable for system U= Site unsuitable for system Y STEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(. tional) r ONVENTIONAL: MOUND: IN_ -GROUND-PRESSURET U S l ❑S GNU EIS 64! EIS CCU &70 If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5) (b), indicate: I~J~ Floodplain, indicate Floodplain elevation: E/ PROFILE DESCRIPTIONS BORING TOTAL D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 1,,2 Lk- A0WO, B-4~ y, d2 0216 d%, /oZ--~. B- .36 la pis - s~6~ B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER JUM" AFTERSWELLING INTERVAL-MIN. PERIODI PERIOD2 PERIOD PERINCH P- ! cu © 3 02 P- A ® 3 P-_1l Ag~ 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. SYSTEM ELEVATION cc>`,~ F I € Z /AJ i i € € E t i F V _01 t E 1 F F 3 I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures a tho ifie n t[aZ At. on n Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and beli pj 01 NAME (print : % TESTS WERE COMPLE t al): ADDRESS: CERTIFICATION NUMBER: 10 0 11 CST SIG RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - 1 R y i 1 INSTRUCTIONS FOR COMPUTING 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; 1 1 MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new r =piacernent system; 5. Complete fl- tability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYS` . ARE RULED OUT BASED ON SOIL CONDITIONS; 0. PLEASE tl abbreviations shown here for writing profile descriptions and completing the plot plan; 7. M IBLE diagram acc-rtely locating your test locations. Drawing to scale is preferred. A f,- used if d- `1 . (l' nark and r .sl elevation reference point are clearly shown, and a, 'rmanent; 9. Cc npl r to boxes ~o dates, names, addresses, flood plain data, per exemp- tion, if ap, 10, rr, ~.h as floc elevation) does not apply, place N.A. in the appropriate box; 1 1 . -1 1 i , form Xe your cup it address and your certification number; 12. M, legible and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTI JTY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soi` S and Textures Other Symbols st - S'+ e {over 10"} SR - Bedrock coh C (3- 10") SS - Sandstone gr - (under 3") L - Limestone *s - - High Groundwater cs and _ Percolation Hate rned s - Sand N - Well fs - Id BAg - Building Is ~d > Greater Than Isl ,n < L Than %l - Silt BI si - Silt Gy - G ry 'cl - Clay Loam Y Yellow sci - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay vv/ - with sic - Silty Clay fff - few, fine, faint I c Clay cc - common, coarse pt Peat mm - Many, medium m - Muck d - distinct p - prominent HWL - High water level, Six general soil textures surface water for liquid waste disposal BM - Bench Mark 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 td obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. L_ ST. CROIX COUNTY WISCONSIN . 4 ZONING OFFICE 4>>~c'' ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - (715) 386-4680 Mar. 18, 1992 Harold Barg 2026 Co. Rd. N Baldwin, WI 54002 Dear Mr. Barg: An onsite investigation of the Harold Barg property, located in the SE 1/4 of the SW 1/4 of Sec. 12, T28N-R17W, Town of Rush River, St. Croix County. This onsite revealed suitable soils at a depth of 26" which meets the requirements of the A+4" rule with an additional 12" of fill. Should you have any questions, please feel free to contact this office. glerelly, ;~4 ~ - James K. f ompson Assistant Zoning Administrator js W-Storiv-Deoa-trnert of Irduslry, - :)UIL Ut~)l.ttlr 1 Ivtt nL.t vrt t tabor and human Relations u log (Attach Soil Profile Location Map - To Scale - On A Separate, Signed Sheet) madrson. -:r Page c nM~ wt lVy. oArE CUPWIMU6,6LO&VIlawl" IN" VOL wre~Ko►YY►ECT FLOOOR/WaE ,+Jf U C~ 999M . crrr atAll W calm anrtaowo.o..e LOCATION IowM , tall/a11C6MMtR DORM loe L. 1/4 L42 114. / CSM! / LOT BLOCK SUBDIVISION Ew _ ateLACE 13- Morton Depth Dominant Color Mottles Structure Llmtting Facier! Lao^gGPD•sq. N. In Munsell Qu. St. Cont. Color Texture Gr. St. Sh. Consistence Roots Boundar Depth Trench Bed Elcv le -11 4 5~ 2 5 r I m -s P (A)Moreton Depth Dominant Color Mottles Structure E - In Munteli u St. Cont. Color Texture Gr. St. Sh. Consistence Roots Boundary LI~DepthFaeted Trench f3v9 d it. = Norton h thin l or - I Depth Do ant Co or Mottles Structure LIrMtlnp iaeterr Laa^gGPaeo, h. tn. Munsell u. St. Cont. Color Texture Gr. St. Sh. Consistence Roots Bounds Depth Trench Bed Elev a h B - I Morton Depth Dominant Color Mottles structure Uetlting Factarl LadngGPDraq. R. In. Munsell u. St. Cont. Color Texture Gr. St. Sh. Consistence Roots Bounds Depth trench Bed Elev = a - Mouton Depth Dominant Color Mottles Structure Llmlting Facted Lad'vg0PD,%4. h. In. Munsell u. St Cont. Color Texture Gr. St. Sh. Consistence Roots Boundary Depth Trench Bed Elev = Additional Remarks: RECOMMENDED SYSTEM TYPE: Other Site features: 5-~ f ► 31AR System Elevation ST Signature o to Signed telephone No. CSt.- CST Name (Print) City State Zip t J.L.H.R. 83.08(2) P R O J E C T INDEX S H E E T Owner: ~tv ~i,PS, -Ii/TUv ct .('Sooty 00 ZS S''~ Address: Site Location: S~ Sw % S.ec. /z t T2 ' AJ, ' 17 G-) TbcvN of U'S It i u IF Project Description: e-r, C_ P0~ x CDv.~l Ty so./s Ale cv }/0"re i4~~-0 c'4!52'V s 7,~°' T i f Page 1. PLOT PLAN VIEWS Page 2. MOUND CROSS SECTION & SYSTEM PLAN VIEWS Page 3. PIPE LATERAL LAYOUT Page 4. DOSING_CHAMBFR CROSS SECTION Page 5. PUMP PERFROMANCE SPECS PLUMBER: AP CP 34?Z DATE: SITE EVALUATER/ DESIGNER SIGNATURE 6hO l n ~ frrl N ~ o ~ 41 o 0 ~ ~ V1 ~d (1 s p n, a 7 n r-L m CLlK ca I-h ° 0 o~ rt IT oa Z \ C ; rr ((~D , mN fOi o cob 9e N to ti 1-4 N w C w (1. I-. o > rr QQ h (D (D ca r4 0- rr ca R. J ~j 70 D) m Qj- Q. U: (D (D +t b w v (D 0 wr*'1 wwm ti (D rt rr ti a (D o (D o w v0+ CD L p r n (D (a J, .7 rr • Ol'rt h ,s- w M ri O w y 'xo 0 (D rt rr-O (D H N p0 Y` I CS O• N w v lo~ \ 9 d R Z v s c y b \ a L a AL v, y Z p mtj r` y i m y f~4~ ~ f I t _ ~ ~ ~ p ~ 'i~ x f ~r ~s 'S ~ ~S 3~ _ r i~ i ' ~f(yT ~"h L. iy' ~ ! .Kf ^ ~ w } Page Z of-~ Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand _ H SYSTEM Topsoil ClevA rio,-) E o . /b O, 3 D 3 u i i % Slope Bed Of %N- 2 Force Main Plowed q 5 U y 'ES % E"~ ~''I O U•u p N,vi;=G,~.-~ 2 2 9/ 3 0 J Aggregate Layer ' } Tc~E G~:vE" ~~~vrlTiU,v 9 9. 9 D E Ft. Cross Section Of A Mound System Using 7 A Bed For The Absorption Area F ~Ft.-7/ p, G ~•0 Ft. A Ft. H /•S Ft. Signed: B ~d Ft. License Number: K / aZ~Ft. L _ Ft. k Date: Ft. Position I Ft. of i Force Main W 3 2- Ft. - L T Observation Pipe, K - 4 A W Distribution Bed Of 2 - 2 2 Pipe. Aggregate I \ Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area PRIVATE SEWAGE SYSTEM Conditionally APPROVED • OF ISIMqUSyfly' LABOR & HUMAN ON OF SAFETY A40 BUILDINGS ?IONS DIVISION ~ SEE CORRESPONDENCE C V Page -3 Of .5 V0149 V O I LIA4 E ,r--O,le 7:! //A5 /I U 1E Perforated Pipe Detoll -&~'el'GA T f e llil c v~ E VA 0 4 7-f "o A-) /EnU Vida Perlorotcd ~ End Cap) PVC Pipe i. • e'er ' Holes Located On Bottom, \ \R Are Equally Spaced PRIVA SE4^J, iL+ E S'r'S` EM onditi®nally i PVC APOP D ~ L Monitota Pipe DEPT. OF INDUSTRY, LABOR & HUMAN R#ATIONS DIVISION OF SAFE`T'Y AND BUILDI~fG~S Ise Pipe SEE CCRRESPONDENCI'L Holp Should 8n Next To End MpNio1D ~f~Q % Distribution Pipu Layout P 7` o Ft. R X y~ Inches Z/ 0 y 76 Inches , Signed: Hole Diameter ~y Inch Lateral Inch(es) License Number: Manifold 2- Inches Date: Force Main 2 In,.tes i' # of` holes/pipe 13 8 Invert Elevation of Laterals /00 Ft. J 71E IL 7~CR 47 VkL C) -r I* i ' I 7or~~ 3urlaj ' lsnk 30 Y. '9401 7 G,P o~ / 11f 74 -,iiP/s lo , "~a ' i _ I i PUMP CHAMBER CROSS SECTIOU AND SPECIFICATIONS P, - -VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING I ' JUNCTION BOX MANHOLE COVER 25' FVOM DOOR. A WINDOW OR FRESH 12"MIIJ. - i AIR INTAKE 7/0 /V GRADE 4° MIIJ. ~ ~ ~ 18"MIIJ. 95atp~o>r' COQDUI7 ~IEI/.~tl cw .1 PRtditi n -r INLET AIRTIG T i I 90.5~~ y l , i APPP`FOOVED J0IQTS APPROVED JOINT N I` 1 A W /C W/ C.I. PIPE (USA, LABOR & HU LATIONS ~C z E EXTENDING 3' O~ DEPT. OF INDUSTRY, LARM EXTENDING 3 i ONTO SOLID SOIL 3 DIVISION Of SAFETY AND ONTO SOLID SOIL B C/~'Z 6t' . I- , 1 S L C SEE CORRESPOIJD I ELEV. FT ` PUMP OFF D D DO~ 6- 4AN vAf BLOCK D 7X- RISER EXIT PERMITTED OUL'J IF TAUX MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPCCIFICATI0klS V G DOSE TAWKS MANUFACTURER: sr 'N P,pEc~tsT y IJUMBER OF DOSES: PER DAy TANK SIZE: 710 GALLOQS DOSE VOLUME. ISo;~_t INCLUDING BACKFLOW: / Z GALLOWS 1_44~L 4 L4pli o , ALARM MANUFACTURER: /Zjof MODEL DUMBER: -D• L V CAPACITIES: A= /G INCHES OR 3 8 GALLOWS SWITCH TYPE: /1/C~( UP © Fl4~^ B = IMCHL5 OR 3 GALLOWS PUMP MANUFACTURER: cqz0c-A top_ C= UICHESOR 1602 GALLOWS MODEL NUMBER: /r~al~'M 'Zy Z71- D= 13 INCHES OR 2-50 GALLOWS SWITCH TYPE: p~~WIllfCK f~~~'~v~y ~/Or+~ MOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 30 GPM INSTALLED ON SEPARATE-CIRCUITS VERTICAL DIFFERENCE BETWEEW PUMP OFF AND D15TRI6UTION PIPE.. 12,7 FEET TAok 9p•EG5 . T -P- MINIMUM NETWORK SUPPL9 PRESSURE . . . . . . . 2.5 FEET CcArll. I O~- ~a P ` FRICTIOW FACTOR.. FEET ~(5(~r ~ S A ~ FEET OF FORCE MAIN Y, / S F Y100 FT. f 7~' 7S TOTAL DIJUAMIC HEAD FEET i (1r 'or IMTERNAL DIMEWSIO"S OF YANK: LEKIGTH G' ;WIDTH ;LIQUID DEPTH • L • o, N ~ W LL ' HEA 115 34 A 'T 110 , 32 105 - 30 ,00 U R VE 95 I} 28 90 26 85 EFFLUENT 24 80 MODELI and a 75 MODEL 189 22 DEWATERING = 70 ,65 V 20 65- Y 18 55-,- 16 50 MODEL 183 O MODEL 14 45 188 11 d 12 40 r 35 10 MODEL 30 MODEL 137, 138 ; SEWAGE and a ,e$ I I Q~. ~ Q 25 l' *f'E9 "JAj4 B 20 MODEL r f , it 15 MODEL 61, 4 1 7 r^ 2 MODEL f{ W 5 53, 55, 57.59 0 GALLONS 10 20 30 40, 50 60 ( To 8Q 9Q 10p 1110 { 21. - - r ^i lJ LITERS 0 80 160 240 320 400 1T ~i T5 I " h s2,' FLOW PER MINUTE 3 r" 70 i U 1 MODEL - W 6 1 55 1B I50 Q 14 i MODEL- 294 p 12 0 J MODEL Q 35 193 - - ~10 MODEL O MODEL - - - d 8 ' 20r 282 - - - - d 15 4 40 ",'MODEL UE~~j ~w 2 8 87.268 - - - ~ri~ o ~l l 3280 014~N#Wj Lone G, IL 10 ' 20 30 40 50 60 70 S0. 90 100 110 120 130 140 -15~ 160 170 180 19-0 P.0• QQX 1047 , ' s- • --T { ~i i - LOubviHi9, Kogf" 40216. . LITER$ 0 ~0 160 240 310 400 460 560 640 720 17 IR, FLOW PER MINUTE i ,r 492"' Cast Iron SerleS CAPACITY ( \ MEAD UNITS/MIN Feet Meters Gal Ltrs. i • Automatic or Non-Automatic. s- i • 'i H.P., 1 Ph., 115V or 230V. 5 1.52 57 216 10 3.05 51 193 • Non-clogging vortex impeller design. 15 4.57 43 163 • Passes '4" solids (sphere). 20 6.10 27 104 • 1112" NPT discharge. Lock Valve: 24.5• • Float operated submersible (Noma 6) mech- anical switch. , 97 series • Automatic reset thermal overload protection. UI listed SC-2225 • Stainless steel screws, guard, handle and arm and seal assembly. • Watertight neoprene' 0" ring between motor and C Slantlartla pump housing. Canadian SB AmC Approval ~ N97, non-automatic, available packayad with a piggyback mercury avadaule float switch. - ' . rn,rrrrr,r HEAD/CAPACITY CURVE I- HEAD CAPACITY CURVE . EFFLUENT MODELS • 1 15- 34 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE 11 EFFLUENT AND DEWATERING 32 105 63.66 SERIES 67.68 97 98 137.138 let 163 166 166 in 1N IM t00 FT. M GEL t.V1: (w Uf4 Gal. Las GaL Urs GEL LIN Gal I" GEL ML Gal I" GEL Lln: Gd l,6t Gal 30 95 5 162 43 163 58 212 72 273 104 394 108 401. 61 231 61 23.1. 56 .120 156 567 166 497 28 10 406 34 128 46 174 61 231. 79 300 100 370 61 231.. 61 231. 58 220 146 90 650 161 672 16 46T.: 19 72.. 35 133 45 }70 64 212 97 344 60 227. 60 227 68 .120 tat f37 146 619 26 85 20 6110 15 57 26 96 36 136 82 310 69 223. 60 227.. 58 220 136 618 40 630 26 7.62'. 8 30 74 260 67 216 50 223... 68 220 120 464 133 603 24 BO 30 VA4.. 66 20. 56 206.. 68 .220.. 90 340 58 220 121 468 127 4S1 75 40 1Rf9 46 174 48 172.. 66 206 76 203 58 220 106 .307 114 431 22 186 50 1524... 21 60 33 126 61 191 68 210 68 220 9o 341 100 378. 70 80 18.29 16 67. 43 181.. 0 136 60 220 71 86D 86 322 20 70 21.34 30 114 10 :.36 62 I87 61 .193 70 266 65 165 ,8 60 80 24.39'., 14 W'.. 0 .170 Za 100 64 ..204 90 2743. 32 121 2 8 37 140 55 100 30.48 16 163 110 3200 18 21 >9 50- Lock Valve: 10.26' 2&76' 23' 26' 1' 66' or M. 116' 81' tf2' t♦ a5 t2 f25-- EFFLUENT & DEWATERING ,0 165 Warning: Model 185 should not be subjected to less than 30 feet TDH. 30- 8 189 Note: For Head Capacity on Model 112, industrial 6 column-explosion proof pump, see FM 219. ,g 161 4 97 188 10 2 98 5 0 5.55.7.59 " ,39 SEWAGE & DEWATERING GALLONS ,0 2o1 30 4011 50 60~ 70 So 90 100 1110 ,2O„0 140;- 160 WARNING: Model 293 should not be subjected LITERS I 60 1760 2 to 320 400 480 560 640 0 to less than 15 feet TDH. I LU 24 SO- TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE 75 SEWAGE AND DEWATERING 22 SERIES 262 266 207 268 282 204 292 20 296 296 70FT. M Gal. Un. Gal. Urs. Gal. Lers. Gal. Urs. Gal. Ltrs. Gal. Len. Gel Urs. Gal. Ltn. Gal. T. Gal. 5 1.52 90 341 128 481 128 484 128 484 130 492 180 681 140 530 198 712 .2 65 10 3.05 60 227 89 337 89 337 89 337 95 360 158 598 124 469 181 685 205 776 15 4.57 22.3 BS SO 189 SO 189 50 188 83 2. 135 511 108 401 130 182 185 825 18S 700 11860- 20 6.10 10 38 t0 38 10 38 33 125 108 101 BB 333 119 150 150 568 18B 838 25 7.82 76 288 68 257 106 401 136 $15 163 580 ,6, 30 9.11 N163 176 340 t21 458 110 530 40 12.19 19 50 169 94 356 115 435 50 15.24 89 337 50 80 18.29 13 58 4e 220 sa 2z3 70 21.34 25 95 45 Lock Valve 18' 21.5' 21.5' 21.5' 28' ' 50 82' 77' 112-40- 35- 10 30 8 293 25- 6 20 4 282 10 282 2 8 262 266, 267, 268 284 284 285 0 GALLONS L 10 20 1 30 401 50 0 70 80 I 80 100 110 120 130 140 10 10 170 180 180 200 210 220 230 I I I I I 1 LITERS 0 0 180 240 32111 400 4S0 560 640 720 S00 880 ,p if I.L.H.R. 83.08(2) Y J. 7 q 9 PROJECT INDEX SFIEET - 1 ' wner: Address: aOk~l c140 IV ~jAL J/.a 401S. ~ite Location: SYr , Sw S.e/z ^r~J ,v 1~17c~~ Tocv~ of c. T bus it ~iuaP, Project. Description: T, G 12d i X CO t~.a TTY .!f/ "W S' 13 1~•~'rr }fc~-<rt ,G '~r~ c~ s tle uc j 110AJ &-lS6-v4//y i V~ VrD i . Page 1. PLOT PLAN VIEWS Page 2. MOUND CROSS SECTION & SYSTEM PLAN VIEWS Page 3. PIPE LATERAL LAYOUT Page 4. DOSING CHAMBER CROSS SECTION Page 5. PUMP PERFROMANCF SPECS PLUMBER: DATE: -L SITE EVALUATER/ DESIGMER SIGNATURE t L ~E OFF' i^: rlV~c,; V i i j e - - - W N H C y LM 0 0 0 N H -U coo 00) 10 m ol 1.0 o 0 \ bv fD. r°s o 10 b ~ N w ~ W (3: 1~+• p y1'j ~ OC f~ fD tp " r7. (D m r t OQ ID 0 a co WEsT DoT' x co co to 77 ° n N C7 w ov m ~ ID ~ f ~~'omv~n jo V m 03 ° c ~ w~nhow 'x•00mr~ (D m l° (D 5 t\ ~F+ o W N ?i / o 'ts 5y .sue, t~ v ~ G O i r. 3 p o t C O a 3\ - Z ` H r~ b y N' v c ,b NZ~i l a a Z Cb ~ ~ y y ~ N 3 177 RECEIVED to J 0 7 UN 1 m U s~ ~~~c v 7 6 OFF' cr T!{~i~'_ y ,IDES At45-T LOT L _ _ _ _ C7 Page of Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand H, S Y5 Topsoil 7EM a ~/evATiO,) , --1r ~ ~ 3 E p r-~-- ~ % Slope Bed Of 2w- 2 Force Main Plowed Su9yESrep Houtip ~N~y''o,F~1 99.30 Aggregate Layer Tom G.:vE F is v.t rlo ,v 9c? '9 D _ Ft. E S Ft. Cross Section Of A Mound System Using F Ft., A Bed For The Absorption Area G 40 Ft. A Ft. H /•S Ft. Signed; B y Ft. License Number: K /d Ft. L w '7 Ft. Date: J Ft. Position T 1-3 Ft. of W 19 Ft. - - - - - Force Main Observation Pipe, j 1 - W Distribution Bed Of 2 2 Pipe. Aggregate I Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area ®NSITE SEWAGE SYSTEM JUN 1 1992 ?MUS 1 i r.c 1lV'S'R4 +J ~ OFFS . _ h. C oE._ SZE F F ` st e _ - Page -3 0f 12- f~/,4c ~~45 ~ ~o~E Perforated Pipa Detail Ri'Gti T f~ U~11 MME i End Viow )PtOwultd End Cap a y' PVC Pipe Jo``ob~ boo Holea Located On Bottom, ' \R Are Equally Spored * T Q PVC L Monilolo Pipe ~C\ DistriDutio~ 7 157' Pipe Hole Spould Be Next To End Mq~~ol % SEE L,t.r PONDEI CE Distribution Pipe Layout P Ft. tJ ' R X y~ Inches y 76 Inches , Signed: Hole Diameter ~y Inch Lateral_ Inch(es) License Number: Manifold 2- Inches Date: Force Main Inches # of': holes/pipe /Z Invert Elevation of Laterals X00 Ft. 0/*.,- C', E %f L l~ I17-ERR 1 / X14 0 4 t,,,,, C) -r • I"oT~ %sT~~;i3uT~o~, ~~scti ~~~cE ~'fr~~- F~~ ~!c'~~vo,P~c 30. E4v ~Op Of S~wtR ROC/C Gff y~,~ ~G/, d 7 7-61P of Te / ~ o RECEIVED JUN 1992 OFF! w, hG ~lvl~i t PUMP CHAMBER CROSS SECTIOtJ WD SPECIFICATIONS P~y£ ~r S -VENT CAP I H., C.I. VENT PIPE WEATHER PKOOF APPROVED LOCKING JUIJCTIOW BOX MANHOLE COVER 25' FROM DOOR, G✓/ lvjVNJA*- 1AAE1 WINDOW OR FRESH 12"MW. AIR INTAKE GRADE C1~1A~ ~IE~/1T/ON I 4" MIh. ~ Q od, COIJDUIT ffll 11~ PROVIDE I INLET T AIRTIGHT SEAL I i I I f I{ I ~%,,IAGE $Yv l Em I I I i APPROVED JOINTS APPROVED JOIN-r/ A INS~~►~ I I I W/C.I. PIPE 1JC.I. PIPE ( M , 1 r" i ~ - , " r :,"'o ~r /I „ I III EXTEUDIMG 3' U LXTENDIIJG 3, /JuO~ ,A ALARM ONTO SOLID SOIL OWTO SOLID SOIL B Q~,'lio I h 7.1 3d r I I oN 3 o IONS I Z Dr i l+r I , LLEV FT. DIWISIVsM o'" ► M a iwJ c; I uiGSj PUMP y OFF i p 'p _SpQ _SpQ .7 SodpQ VA f r g?, 0 RISER EXIT PERMITTED OIJLy IF TANK MAIJUFAGTURER HAS SUCH APPROVAL i SEPTIC E • SPC CIF(CATI0KAS DOSE ANKS MANUFACTURER. " /P STt,60 Ae_`hS l~kJUMBER OF DOSES: PER DAy ' T TANK SIZE: 710 GALLONS DOSE VOLUME G.PaEL INCLUDING BACKFLI / Z GALLONS ALARM MAWUFACTUR•ER: /24.1 MODEL NUMBER: 7D' L V CAPACITIES: A= /G INCHES OR 3 g GALLONS SWITCH TYPE: R1 clpC uk Fla A 7- B= 2 INCHES OR 3 o GALLOIJS I z C = 8" INCHES OR 162- 0 GALLO►JS PUMP MAMUFACTURER: MODEL NUMBER: D= 13, INCHES OR 250 GALLONS SWITCH TYPE: P,"Y/.?AeK 1J~,fe41AY NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 30 GPM INSTALLED ON SEPARATE CIRCUITS /2,A k s VERTICAL DIFFERENCE BETWEEN PUMP OFF AMID DISTRIBUTION PIPE..7 FEET St c + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 5 FEET FAG 1, z /.f FY ~d /lam A 7-sFEET OF FORCE MAIN X 0FT.FKICTIOIJ FACTOR../ FEET + =40A S ~r TOTAL D'3JAMIC. HEAD = FEET INTERNAL DIMEIJSIONS OF TANK: LEIJGTH `O ;WIDTH ;LIQUID DEPTH CC// 892M OIL680 RECEIVED ' J U N '46 1992 orp rIvIS;'Y • nse h" f {~c S D F 5 W F 1' W LL HEA DI ~ W 4 115 ALA I 32110 32 -105- 100- 30 - 95 CUR V ' 28 90 26 85 EFFLUENT 24 80 MODELI L+ and a 75 MODEL 189 r DEWATER/NG = 22 70 185 V 20 65 z 18 60 S-N f D 55 _ j 16 50 MODE 63 L MODEL F- 14 45 168 12 40_ ~ 35 10 MODEL SEWAGE and 137, 138 =MOD EL 8 25 DE~VATERING - 6 20 MODEL 't 15 MODEL 161 ' 4 7 / - 7~ -4 10 - MODEL 1 2 5 53, 55, 57,59 0 GALLONS 10 20 30 40 50 60 70 80 90 100 110 44 75 LITERS 0 80 160 240 320 400 22 FLOW PER MINUTE 70 ;o de - O ~A 60- MODEL - - - 1 65 295 1 I,< _ X13 V 50 d 114 45 MODEL Z 294 p 12 40- a MODEL 35 - F- 10 293 O MODEL 30 284 ~ 251 MODEL - - - I s 8 20 282 1S I ~ MODEL - - - OELLE/P d. 5 _T267,268 ( 1 'b 0 I 3280 Old Millers Len# GALLONS 19 20 30 410_50 50 70 80 90 100 110 120 130 140 15p 160 11 180 180 P.O. Box 116347 Louisville, Kentucky 40216 LITERS 0 80 160 240 320 400 480 560 640 720 (502) 778-2731 FLOW PER MINUTE i Cast Iron SedeS MEAD CAPACITY UNITS/MIN \ • Automatic or Non-Automatic. Feel Meters GaL Lirs 5 1.52 57 216 \ • H.P., 1 Ph., 115V or 230V. 10 3.05 51 193 • Non-clogging vortex impeller design. 15 4.57 43 163 I'; ! + Passes' solids (sphere). zo 6.10 27 104 11 Lock Valve; 24.5' • NPTdischarge. tl s ` 1 • Float operated submersible (Nema 6)*00 `4; anical switch. Olisled Ce1ad 97 series • Automatic reset thermal overload protection. ® SC-2225 • Stainless steel screws, guard, handle and arm and L RECE, seal assembly. JUN n 1992 e Watertight neoprenw t7" ring between motorand Canatl,an Slantlartls l pump housing. ~FP*soe: Aptsov41IVIS Y l ~dyaaaUle i~ N97, nun-autauatic, aveilaDla pacNayad with a piggyback mercury • lloat switch. S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER/ Aq/e 5 oz. ADDRESS oZ o E q- CT// FIRE NUMBER CITY/STATE ~~a ~~✓t~ ZIP6-or 2- PROPERTY LOCATIONS C 1/4, S VJ1/4, SECTION 1A , T.2-9 N-R W TOWN OFhu.Al~~ ci e~✓ , 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 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. 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 te. SIGNED: DATE:. St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 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 Zra 4 , 4,1 A? i l~~C J- 0 Location of property S)~-1/4 SVV1/4, Section /a- , T ~Z N-R Z,~W Township A Z' 4:;: Mailing address 67 Address of site D 3 H CTS.' i~~~ Subdivision name Lot no. Other homes on property? yes / No Previous owner of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes _-2LNo Volume`/-.SS and Page Number 02, 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. ',495~ t S~{ , and that I (we) presently own the proposed site for tsewage 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. 41,g ~j 6 Signature of applicant Co-applicant Date of Signature Date of Signature DOCUMENT No. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA ` STATE BAR OF WISCONSIN FORM 2-1982 • ~ 484654 VOL 955 PALE 1.42 REGISTER'S OFFICE j Harold Barg and,Viola Barg., his wife ST. , CROIX CO., N Recd for Record JUN 151992 011 M conveys and warrants to .....Milto-n--Aarsvol~d•.and.._Dor.othy-_-_-- 8:30 Q. A.arsvald,---husband -a-nd...w-ife->...h.ol d-i-n-g--as nnAA s_ rvi v_or-s.hi_p..mar_i•ta.1.•-_P-roperty...-••••• _ R09islerofDeeds RETURN TO ;I S._•... C..___... O X • the following described real estate in . r......... County, State of Wisconsin: ~ Tax Parcel No: That certain parcel of land located in the Southeast Quarter of the Southwest Quarter (SE4 of SQ, and the Northeast Quarter of the Southwest Quarter (NE4 of SW4), of Section Twelve (12), Township Twenty-Eight North (T28N), Range Seventeen West (R17W), more particularly described as Lot Three (3) of Certified Survey Map filed ' May 29 , 1992, in Volume 9- of Certified Survey Maps, at Page 2484 , as Certified Survey Map No. 484001 i tin ~I j it II This ......is homestead property. (is) ObCO JO ,.f 1 . Exception to warranties: Easements and restrictions of record. .C uN _.....l. 19..9?.. Dated this day of .....................(SEAL) (SEAL) Harold..Bar (SEAL) • (SEAL) * * Vj ola...)3arg--............................. AUTHENTICATION ACKNOWLEDGMENT Signature (s) STATE OF WISCONSIN ss. St. Croix ._County . ur~~ authenticated this day of 19...... Personally came before me this day of ✓N e=--------------•---•-----....., 1992... the above named Harold••Barg and Viola •Ba +i * T. TITLE: MEMBER STATE BAR OF WISCONSIN I (If not . authorized by § 706.06, Wis. State.) to me known to be the person foregoin n rument and acknowled i THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack 7 Q~ F4`~ Baldwin ~..WI_..54002/yd,nl~l~:_l!uc~,~an,~.... '~I Notary Public St..._.CroiX------- --Countb; is (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expira n are not necessary.) date: 19__---•__.) -Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WTSCONSTN Wisconsin Legal Blank Co.. Inc. rnnnr ran i~~~.^