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HomeMy WebLinkAbout032-2020-50-200 N o a o I 0 N I `R O I I N a z C _ c~ w U- c C ~ =p fD N 'B i E Q N U ~ CD V ~ z a m I LO IM- Z c c o z z v v a I' c w V ~ r O y 01 z d c O fA F- ~ O O z c ~ -o N m (D M N O CL 0 O y C Ira c O o 2 z H z N z c w~ y c N O L co U) a 'm w U c C 06 N La - C) CD C D o o LO Jr l~ N fn fn fn 0 ? 0 ~7V a 0 0 0 z ° •rv m y a a a CL a~ Cy _ O O N C y 0) 0) (n 0) m 'IT V (0 N p LO Cl) IW~'1 E N T O N 7 C\j L L A N O N N Q } W co C O ° N W N co, C C E r- co 3 O C fl. ns d rn O r N_ p 10 c E a~ N N w NO N N V -C O N L" N o a~ o N F- aa) ao rn N M E ° co E v O O U) > O N UJ O ~ v I V1 y m £ a _2 y a to E i 'C C w j t A v°a~','0Uu ov %L Parcel 032-2020-50-200 05/04/2007 05:06 PM PAGE 1 OF 1 Alt. Parcel 5.30.19.543D 032 - TOWN OF SOMERSET 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 - WILMES, DAVID J, & SUSAN CZECH DAVID J, & SUSAN CZECH WILMES 410CTYRDVV SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 410 CTY RD V V SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 20.010 Plat: N/A-NOT AVAILABLE SEC 5 T30N R1 9W PT NW1/4 SW1A COM W1A Block/Condo Bldg: COR S 1318'E 434.56', N 55 DEG E 885.78 FT N 54 DEG W 1407.61'-POB Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 05-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 739/02 2007 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 194,700 242,700 NO UNDEVELOPED G5 17.010 32,100 0 32,100 NO Totals for 2007: General Property 20.010 80,100 194,700 274,800 Woodland 0.000 0 0 Totals for 2006: General Property 20.010 80,100 194,700 274,800 Woodland 0.000 0 0 I Lottery Credit: Claim Count: 1 Certification Date: Batch 119 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DF.PARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 53707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MXNIQUMITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: 1,9.1 1/4 S10/ 5 /T30 N/R19)Eq or) W Somerset na/ n/a na/ COUNTY: OWNER-S Bli%Fl~S NAME: ]MAILING ADDRESS: St. Croix David & Susan Wilmes 410 Hy. #35/64, Somerset, Wi. 54025 USE DATES OBSERVATIONS MADE No. BEDRMS.: COMMERCIAL DESCRIPTION: IPROFILE DESCRIPTIONS: PERCOLATION TESTS: ~7esidence 5-6 n/a ❑Ne 1~ leplace fl 5-8-92 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOL ANK: RECOMMENDED SYSTEM: (optional) OS EJu 0 S au ❑ S ❑u Cl S ❑u 0 S Du 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: Floodplain, indicate Floodplain elevation: decimal' PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 0-10,10yr3/3, L.; 10-25 10yr4/4, sil; 25-85,- B- 1 85 100.37 none X85 SU-m B_ 2 85 100.37 none >85 0-13, 10yr3/3, L.; 13-33, 10yr4/4, sil;- 33-85 7.5 r4 4 s.l. sbk-m 3 87 100.67 none >87 0-9, 10yr3/3, L.; 9-27, 10yrll/4, sil;- B- 27-37 7.5 4/4, s.l. sbk m B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERI D2 P RO PERINCH P- P- P- P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the ions of su' of area Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location o t plan. Show the surfa a elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION -0i I F i _ i g E ~N nki ? rte... ( - f ~ 4 ) 1 I I { 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): TESTS WERE COMPLETED ON: Gary L. Steel _ _ _ HONE NUMBER (optional): ADDRESS: CERTIFICATION NUMBER r1,9_~_4,&:,:;?6200 1554 200th. aVe.,new Richmond, wi. 54017 2298 CST SIGNATL DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. ,,I ft r~'t'Y., (F'?. {Y,; fii n;•'rfi L 77 A. _ AS BUILT SANITARY SYSTEM REPORT OWNER Qak,_l A3 1`M (LS TOWNSHIP 50 M►1 t r-S SECTION,_T,. ~N-R-17 W ADDRESS 'f~ltl ~w V 3~L ST. CROIX COUNTY, WISCONSIN Sdp-v-n are,:* LA S 5"ft AS' SUBDIVISION &I-A LOT " LOT SIZE All PLAN VIEW N SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 6 a•~ Xr .4 O o• ti co ~S INDICATE NORTH ARROW BENCHMARK:Elevation ~ description: Alternate benchmark SEPTIC TANK:Manufacturer: 1A eA Liquid Cap. b 000 ,r Rings used: 2 Manh4l ` ver elev: rlFinal grade' ~lev• y~ % Y J c r inlet elev.: 81,64 • Tank outlet elev.: ~D`*?/ 4 No. of feet from nearest road:Front , Side , Rear Ft. From nearest prop. line:Front Side , Rear Ft. .No. of feet from: Well j sa f , Building: !A ~ (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE t PUMP CHAMBER Manufacturer: U.t/"L^ Liquid Capacity: Pump Model: Pump/,9jagm Manufact.: Ca 04 dump Size 7.3 Elevation of inlet:)6?Bottom of tank ele,' ation 9t j Pump on elev.:83•~Pump off elev.:-Al allons/cycle: Q Alarm: Man.: Switch Type: Location ear a Distance from nearest prop. line: Front, Side_., Rear_Ft./ Q = • Distance from: Well c2O~ Building 'gw%4y/ SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: i Width: -s Length Number of Lines: Area Built Exist. Grade Elev.-/066307 Proposed Final Grade Elev. Fill depth to top of pipe: No. feet from nearest prop. line:Front,&- , Side , Rear Ft 2w No. feet from well:_020_+No. feet from building /mod HOLDING TANK Manufacturer: Capacity: No. of rings use /--Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front , Side , Rear Ft. No. feet from: Well , building , nearest road Alarm Manufacturer: 1 INSPECTOR: DATE:- PLUMBER ON JOB LICENSE NUMBER: ~S 6/90:cj t 5.3 0.19. 3~ 3 5 6 4 Labor and Human Relations tft4IVA`(~~IAG SYSTEM County: Safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: 180304 Permit Holder's Name: ❑ City ❑ Village ❑XTown of: State Plan ID No.: J, & SUSAN C ECH SOMERSET SrWsev: Insp. M Elev.: BM Description: Parcel Tax No.: 032-2020-50-200.q 9 TANK INFORMATION ELEVATION DATA A92003858) 2w1941 _ L E t5T TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. / 9J Septic Benchmark ii Dosing Aeration Bldg. Sewer Holding St/Ht Inlet '2s TANK SETBACK INFORMATION St/ Ht Outlet . entto TANK TO P/ L , WELL BLDG. V Intake ROAD Dt Inlet o Air Septic 3 NVE) NA Dt Bottom Dosing y~ ( ~I"6 7,3 z NA Header/Uzm_ 7 7v' Aeration NA Dist. Pipe 97, i Holdin t 9"/, Bot. System ' PUMP/ INFORMATION Final Grade Manufacturer Deman 3. (fin Model Number 315 0~' 1,~ a~- E n o ,3 TDH LiftFriction Syetem TDH t Forcemain Length d~L' Dia. a , Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length ! No. Of Tre ches PIT o. Of Pits Inside Dia. Liquid Depth DIMENSIONS /,D DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING nufacturer: SETBACK INFORMATION Type O Q, ,r~. ~~t l r CHAMBER M umber: System: y;u) OR UNIT DISTRIBUTION SYSTEM Header Distribution Pi e(s)/ x le Size x Hole Spacing V it Intake Length 3z Dia. Length V_ Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Syst s Only Depth Over Depth Over xx Depth Of eeded /Sodded xx Mulched '4 Trench Center - sw9Trench Edges c3~ - Topsoil ❑ Yes ❑ o, ❑ Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.)4//`{` 4? / f c+! LOCATION: SOMERSET 5.30 9.513D, HWY,, ,,35/64 cv, . I,Y')/~n,C~'f.J" .~~-f-~.f/ ~jOf"Y~ f / .6'_.~:-;'..ors 0 i Plan revision required? ❑ Yes o Use other side for additional information. - / SBD-6710 (R 05/91) Date Inspector's Signat re Cert. No. r ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code CouN STATE SANITA PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 /h 8% X 11 inches in size. Check i v s re ous 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 \ t W Y/45 w t/4, S s T30 N, R 17 ) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # D /4 l11 PJ n CITY, STATE IP CODfE PHONE NUMBER SUBDIVISION AME OR CSM NUMBER 5 YoaS N1 I 1-\ II. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) ❑ State Owned ❑ VILLAGE :M, ❑ Public1 or 2 Fam. Dwelling of bedrooms -42 AR LT NUMBER(S) 6 ;;_I --0 d .z. a- s o a III. BUILDING USE: (If building type is public, check all that apply) 3.11 1 El Apt/Condo Pal 5 y 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.E1 New Aystem eplacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an 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<71 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) n ELEVATION ?b 0 j cy0: 6 F10 4 5/S J_/ n 4(' Sl Feet ~9 diS 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 _X I Lift Pump Tank/Si hon Chamber / -An i Qa,Qg Kr F1 Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Narint): Plumber's Sig atu : (No Stamps) MP/MPRSW No.: Business Phone Number: Ca:l u 1 kA6 w.~5. J5 6 7/S- S~6 s/.s Plumber's Address (Street, City, Sta e, Zip Code): A's-W s` a IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanita Permit Fee (Includes Groundwater Date Iss e Issuing Agent Signature (No Stamps) pproved ❑ Owner Given Initial Surcharge Fee) vv 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. A sanitary permit is valid for two (2) years. .2. Y60 iirWary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to.installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper-whenever necessary, usually,every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code' administrator or the State of Wisconsin, Safety & quildings 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. 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 tine 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 mate rial.,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 bones; 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. k 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_su'rcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) 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 a,v.Q A m -2 S Location of property _W U,~„1/4 S w 1/4, Section , T :3 N-R_JLW Township , so W't-2.!' Mailing address y/ 1Ww 3-5/6 ~o m e r W -r S 5' O aS Address of site lC,iLm~ Subdivision name I Lot number AI Previous owner of property C 1C'L k1r~Y ~ex -4- Total size of parcel , 3 Q cre. ri,--c Date parcel was created Are all cornersand lot lines identifiable? es No Is this property being developed for resale (spec house)? Yes1_No volume -2,32 nd Page Number s 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 sous 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. a - ; and that I (We) presently own the proposed site for the sewage dfrsP'os~l system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office o the ou y Register of Deeds, as Document No. Signa are of Owner Signature of Co-Owner (If Applicable) Date of Signature Date of Signature I 411 Iw f { ji E i i I i k> 1 1 i t .i Y "IN ds F r . ■iEl 17' z 1 n All vow J}~, • a '3f' t . 1 ` ' wo3fe Rs~'d: for Rrolxd Ihir Xh t rl 'r } 'N W .64 r Vii. fA ~.1 - ..w..~N.N...N-.I. ........»-»w».__ t ........................:may....... { V.: ~ ver Ak~ a ammo y "d estate is ....Stow Laau+.w- • A ` Tax Parcel Not s r Sp °1 cP latyd.located in part of the NWT of the SWk a r 5s T30N,.R1gW,.~lown of Somerset, St. Croy , F Q "t ty; y eansin, f1u•ther described as follows : ^r; at the W 1/4 corner of said Section 5, said corner also being Ihe` ,a the W~eBt line k of this description; thence S00 561 3011 W, along beginling Eat Ofr8id M. ,1318.00 feet to the SW corner of said NWT of the SWk; thence s89.. 531 04 ;aI-Q;.the 'South line of said NWk of the SA, 434.56 feet to the centerline of - 'P H:°1135':&,64". thence N 55°41119"E along said centerline 885.78 feet; thence (?30044401.61 feet,to the Point of Beginning- acribed parcel contains 20.01 acres including Road R/W and is ' tom aa7i:easement for S.T.H. "35 & 64" along southeasterly bounden r 811,,#,~w easements of record. Iowa, i-e-reoorded to correct the legal description.) A : ,3 ~~••~~rr,~~~ 4 f N / ftedur *wd.~ r, r D may FM I &Y .I1 F} 9:30' p homestead propaV. n7 F r a m will se ilti dvsWw do Lseeditameab and appurtenances thereunto isdeiuiibii In abotAs and free and clear of ancumbrsaaa rs restrictions and rights of way of record, if any. and'$afwd the same. ...A1 T11 1 r ih day of G0. ....(SEAI+) ~ Clarice. M. I3rl®e , ` ± r R s" (SEAL) (SEAL) e . • ti wa.TLBSxsto~?IOx ACENOWLNDGXZNT a a .~l■.4•) ....(7 t G+- STATE OF WISCONSIN t SLAP 19..L4 ....-Personally came-before me .this ....._.........dq of 19.....-_ dw above named ! f I(; TUtAi E$ 8TA OF WISCONSIN by ; 706A6 . Wis. $tsb.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INWMMZW WAS DRAMD BY Kn6 Gwv~~!Gc c_~✓ f~9fa~ ~it~'la~ r Notary Public county. Wls. t` (Signatree may be authenticated or acknowledged h NY Commission is permanent (If not, state expiration ) are mot necessary.) date 19......... „1r i" +llM;M of ~aaer ateutas is am eayaaiLr absuld be 01-Aa ar# ^ 3. their slewtarep, WAH,aaM'R HSIHM W WUKXnfM wbxemla Laa~l Hbnvit Qs Ina - ton ST C- 105 a H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County Z d a OWNER/BUYERDd2_4~_Q (A ROUTE/BOX NUMBER yZojAwV Fire Number CITY/STATE_ e~ rS, (,j I.IP 6-i5 PROPERTY LOCATION: /VA) 1L, 5W 14, Section,9 , T_3nN, R _W, Town of S©r7l .0- r-s, , St. Croix County, Subdivision Lot number_AJ/. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 0 E I/WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- v ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days .1 of the three year expiration date. I SIGNED D A'r E Z O 7-2- St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. DEPARTMENT'OF0 REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISO N WI 53707 HUMAN RELATIONS IH63.09(1) & Chapter 145.045) LOCATION: SECTION: ITOWNSHIP/MKX ITY: Ina/ OT NO.: BLK. NO.:SUBDIVISION NAME: 1/4,91,0/4 5 /T 30 N/R19*gor) w Somerset n/a na/ COUNTY: OWNER'S BH RvS NAME: MAILING ADDRESS: St. Croix David & Susan Wilmes 410 Hy. #35/64, Somerset, Wi. 54025 USE DATES OBSERVATIONS MADE NO. BEDRMS, COMMERCIAL DESCR PTION: PROFILE DESCRIPTIONS: PERCOLATION T STS: ®ftesidence 5-(~ n/a ❑New [teplace ( 5-8-92 16-9-92 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIINIL:UND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional) ®S IMOUND CIS ❑U ❑U ❑S oU ❑S RV conventional trench If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n / a Floodplain, indicate Floodplain elevation: n / a decimal' PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, OBSERVED EST. IGHES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 85 100.37 none X85 0-10,10yr3/3, L.; 10-2b1'C-10yr4/4, sil; 25-85,- 2 85 100.37 none X85 0-13, 10yr3/3, L.; 13-33, 10yr4/4, sil;- g_ 33-85 7.5 r4 4 s.1. sbk-m 3 87 100.67 none >87 0-9, 10yr3/3, L.; 9-27, 10yri. sil;- B- 27-87 7.5 4/4, s.l. sbk-m B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERfuu PER INCH P_1 3.50 none 30 1 7/8 7/8 34 P_ 2 3.50 none 30 1 7/8 7/8 3 P_ 3 3.80 none 30 1 5 TT- 5/8 P P- P- 01 PLOT PLAN- Show locations of percolation tests, soil borings and the ions of s of area Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location o t plan. Show the surfa a elevation at all borings and the direction and percent of land slope. / I SYSTEM ELEVATION 96.87 '441 { , I12 119 ! I J I I E i ~ 1 u~ Im,K X10 _I ' . I I I , I . t { I '\4K i 1 r y 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): TESTS WERE COMPLETED ON: Gary L. Steel 8-24-92 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. aVe.,new Richmond, wi. 54017 2298 1 -6200 CST SIGNAT DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILIIR-SRO-6395 (R 071112) - OVER - J 4% r;.. ill°I GDt1LDS SUBMERSIBLE ' ,s* .S1h►AGE AND EFFLUENT PUMPS w re-A ,r,1r EP0311 LIST DISC. Pure 1/21, solids 256.80 72.10 C 115 V Effluent 1 14 ' 311 I 1/ ] HP ' 12 EPO EP0311 Submersible ;r MODEL EP0311 Pump SIZE 3/a11 SOLIDS seat: 1AETERSFEET ~YYa y J 25 pt K 'ell ^ 'y~~tti C~ ~tti fi F l 20 IN, t i 10- 1. t., 2 °o 4 • 72 15 20 24 x• 32 sa 40 r GPM 11 0 2.5 5.0 7.5 m'Jh CAPACITY Performance Curve 3885 t: M(7E)ti FEET • 1 Y > k 7 " MODEL 3885 4r.Y+` zs SIZE'/" Solid r~ kt K~ ' ' 70 20 60 -+7 '4! wE071/- 'xS , L 16 _ - J, W r i,3.y fi 1 I 10 wx w[6x Y 1 _ t( , 0 0 - GMI:,. ( "t 0 10 10 00 40 60 74 70 - 00 00 100 110 110 OP'N 30 e1% 0 . to 10 yJ a , + cArAclTv l}LIST DISC. 0IDUFt,EO7111. 112 HE0311L 1/3 HP 115 V Low H 3/4' solids 491 .55 329,.35 ~k,"d`!r'c . • pal,'RdE0311M 142 ' HE0311M 1/3 HP 115 V hbd H 3/4" glide 491 .55 329.35 '<iF Kati y 1' X 1/2 HP 115 V High N 3/4" 96lids 704.25 47.1.85 r 4a~, ""2 Q~UFS.E051111 142 WE0511N t 'Q7URYE0712ti 142 6E07171i 3/4 HP 230 v High Hd. 3/4" solids 843 65 565.25 ' 1. 'A!t ` " Ya,~•rSF~ FC1I lAwIIY• PACE FCR PPRFCftC NWE ACID SPFXrIFICATiCCLS• k+, X, PAGE Vu $,,y Yt;y DaT 30 DAit 10/88 PAGE OF PLIMP CHAMBER CROSS SECTION AND SPECIFICATIONS y/o 3s VENT CAP •t'C.I. VENT PIPE T WEATHER PROOF APPROVED LOCKING 23' FROM DOOR, JUNCTION BOX MANHOLE COVER WINDOW OR FRESH WMill. AIR INTAKE GRADE ( I `1" MIN. CONDUIT IAII..EI' PROVIDE I AIRTIGHT SEAL ( I i I APPROVED JOINT A ( I i I APPROVED JOINT. W/C.I. PIPE I I W/C.I. PIPE EXTENDING. 3' ( III EXTENDING 3' ONTO SOLID SC!;• ALARM B I I ONTO SOLID SOIL I I I ow 47 'I Put-\P----- OFF 0 CONCRETE BLOCK j RISER EXIT PERMI1fED ONLY IF TANK MANUFACTURCR HAS SUCH APPROVAL SPECIFICATIONS SEPTIC AND 4/ f6o, DOSE TANKS MANUFACTURER: NUMBER OF DOSES: PER I)Ay TANK SIZE: _ of in e GALLONS DOSE VOLUME QD5 +z10 ALARM MANUFACTURER' S .-1 I tl r•.o SyS~2M INCLUD!!!C C;%C4FLO _ a _GALLONS MODEL NUMBER: 161 If-1-0 ~ CAPACITIES: A=INCHES OR (4S1.23"41 GALLONS SWITCH TYPE: r-L,. B =INCHES OR -53,39 GALLONS PUMP MANUFACTURER: C`~ 0Le ~SS INCHES OR l~~GALLONS MODEL NUMBER: 3fsl~S E,p /14 D A INCHES OR14~1 GALLONS SWITCH TYPE: Q-P L, L- NOTE: PUMP AMD ALARM ARE TO BE PUMP DISCHARGE RATE S GpM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE Bi? WEEA! PUMP OFF AND DISTRIBUTION PIPE.. 16 FEET + MIIMIIMUM NETWORK SUPPLY PRESSURE . . 2,5 FEET + ,,D FEET OF FORCE MAIN X 1 & F/ • ' . iooFr.FRICT1oN FACTOR.. ~ 81 FEET TOTAL DYNAMIC HEAT) FEET ' INTERNAL RIMENSIGNC OF TANK: LEAIGTH . -L~;WIDTH ;LIQUID DEPTH 91GNED - dC-J`~JrS~~ _ LICENSE DUMBER. DATE -117- mill PAGE OF CrVSS J~C~1 V('1 Q ` UC17 ~~S 1e el-) 0 fresh Air Inlol► And ODmircifort Pipe LZ -r l~ Approvid Venl Cep S5~ t) Mlnlmwn 12d Aoore flnol Crad• 20. 42' Above Plpp _ 4' Colt Iron To final Geed• Vent Pipe -stash Ito( Or Synthetic Corereny ttln 2' Aypregole Orer Pipe Olurlhrllon V AOyreyorPe(loroted pops below Plpe ~ 0 qlo-1-Coviolifte Tee a Beneath PlyTerminaliny At Balloon Or Sr►tem A:to Ina. ff.c~t c.~..~ Ion SOIL FILL DISTRIBUTIOI.1 PIPE APPROVED SI)ipETIC GOVCR r•, .r o ttlTl:r~ll~l- OR 9" OF STRAW 2"OFhGGREGAIE - > OR MARSH HAj 1.OF .z 2~2 AGGRCGATE ELEV. . j~ D15'rRI5%JTIO1J PIPE TU BE AT LEAST IMCHES BELOW ORIGII.IAL GRADE AWU AT LCASTLO IMCHEL BUT 1.10 MORC THAI) 42 RICHES BELOW FI(JAL GRADE MAXIMUM DEPTN OF F-XICAVATI,00 FKOM OR16WAL 6KAK WILL BE Z2IUC-HE5 rl inuM ©rF rn OF EACAVATION f QOM 0~16IVIAL. GRAPF- WILL BE. ✓ INCHC S LICCUSC AIUMBER: - DAT E : Z2::: A -9 a I t o t IA) I I I I I ~ I , I I I i I . f I 1 I I i I I I ~ i~ ~ ~ I ( ~ ~ I i. 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