HomeMy WebLinkAbout032-2048-10-000
-0 0
G' ~ 3 Oo I
O
m
0 0.
fem.
O ,
O
O~
v
0
0 I
- I
o CO
x
I
CDI
O Y
z c
C _
O O -
LL C co
O O)
C ~ 'CS O
N O c
O d
U
~ M
d
N
E
W ~ 0
z r III a m
M H UUJ)
I
c t7
o z 14 a
U r O
m z d' 'M
!n 4- r O d3 I
c
N N
y _ N_ O
Q
N N L O 9= I O
a) a) c CL
U) r- 14
O 4
~ Q_
O N d o
z m z z o
N r 4.; I
v N d i~ y vi I
a O O a Q>
LO c
n E F H F O
" O O O
a L ~ I
N r2 z N N
Ili N J U! ~ rn rn aNi
C
0
35 ;5
O O E N
O O
T ~
'd N N ~ O
(o m d m r
C o> >
O -O N N
r~ O C C N C
•+l °O d 3 ° r•
Z' (If a 0) C)
N
00 c C:
O er ~ ti O C N N r
Z W O
H N M N Y co (,D
E N M CO
U
• O r (n co 0 N Cn
CC ~
O
~ r I I
CC
a, a
L m
xt ° a r
• ce Q y a c Con c 0 a g 0 v) U
AS BUILT SANITARY SYSTEM REPORT
OWNER ~I u. n ej .&-t V1 ~ I'VlGL Vl. TOWNSHIP s -
,
SECTION, ~ _T ~ ~ N-R / W -
-t1j-
-e, ST. CROIX COUNTY WISCONSIN
ADDRESS
SUBDIVISION LOT LOT SIZE--/ 0 a t ;
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
r
INDICATE NORTH ARROW
BENCHMARK: Elevation and description: Nvn ~
Alternate benchmark
SEPTIC TANK:Manufacturer: &t.o Liquid Cap.
Rings used:72"Manhole cover elev:~Final grade elev: 91'441
Tank inlet elev.:--161 .137 Tank outlet elev.: w.---~
No. of feet from nearest road:Front-)L, Side , Rear Ft../d /
C
From nearest prop. line:Front , Side A', Rear Ft. AV
No. of feet from: Well Building: 33
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
SEE REVERSE SIDE
P CHAMBER
Manufac rer: Liquid Capacity:
Pump Model: Pump/Siphon Manufact.: Pump Size
Elevation of inle Bottom of tank elevation
Pump on elev.: Pum off elev.: Gallons/cycle:
Alarm: Man.: 'tch Type: Location
Distance from nearest prop. line: ont_, Side, Rear_Ft.
Distance from: Well Bull '
SOIL ABSORPTION SYSTEM
Bed: A Trench: Seepage Pit:
Width: / Length Ea/ Number of Lines:-Area Built
..i
Exist. Grade Elev. Proposed Final Grade Elev. 5~7
Fill depth to top of pipe:
No. feet from nearest prop.. line:Front , Side, Rear Ft.Jn'--
No. feet from well: ! No. feet from building ~
HOLDING TANK
Manufacturer: Capacity:
No. of rings used: Elevation of bottom tank:
Elevation of inlet:
No. feet from nearest prop. line:Front , Side Rear Ft.
No. feet from: Well , building , nearest road
Alarm Manufacturer:
INSPECTOR:
DATE : PLUMBER ON JOB :
LICENSE NUMBER:
6/90:cj
L91VI&' -94art SU RS ry ry, 13.30 .19 PRIVd►TE 9 A&RAW County:
Cabor and Human Relations INSPECTION REPORT
Safety and Buildings Division
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
175636
Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.:
BRINKMAN ROLAND & JEWELETTE SOMERSET
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
40- 032-2048-10-000
TANK INFORMATION ELEVATION DATA A9200295
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark 100117 /604
Dosing
Aeration Bldg. Sewer
Holding St/Ht Inlet 3,~ 3 9(0,$7
TANK SETBACK INFORMATION St/ Ht Outlet S 9(o,SS
TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic 33 NA Dt Bottom
Dosing NA Header/ n. 4` ( 7
Aeration NA Dist. Pipe (0,51 ,
Holding Bot. System ,S 93,-2-
PUMP/ SIPHON INFORMATION Final Grade a.~5 9 7. 7 cS
Manufacturer Demand g 7, 9
Model Number GPM
TDH Lift Friction System TDH Ft
oss Forcemain Length Dia. H Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width I Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS DIMENSIONS
SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer:
SETBACK
INFORMATION Type O CHAMBER At OR UNIT Model Number:
System:
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) ! x Hole Size x Hole Spacing Vent To Air Intake
Length Dia- Length j Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center ti Bed /Trench Edge Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepan ' persons present, etc.)
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
DILHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code CO TY
STATE SANITARY PERMIT
-Attach complete plans (to the county copy only) for the system, on paper not less than , e~~0
8% x 11 inches in size. ❑ Check if revision tto previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PRO RTY OWNER p PROPERTY LOCATION
•n grr1 CN vr_5/,:.: '/4 SP'/4, S 13 T50, N, R 19 r) W
PROPERTY OWNER'S MAILING tMRESS LOT # BLOCK #
9 ~..tu-mss 14 0-0- A
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
tjr-15~0/7 If 71r a -53w Alin
II. TYPE OF BUILDING: (Check one) ❑ State Owned ❑ VILLLLAGE NEAREST ROAD
❑ Public 1X1 or 2 Fam. Dwelling- # of bedroomsa PARCEL AX NUMBE ( )
111. BUILDING USE: (If building type is public, check all that apply) 3Q -&Vle -K)
1113r)-19. 1 El Apt/Condo (e7
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: (C eck only one in line A. Check line B if applicable)
rVI
Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an
A) 1. ❑ New 2.
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 Xf Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
1.4 ❑ 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
Sd REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) p ELEVATION
J #3 `(,Q i $ A),/)4. Feet p ! 7 Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks strutted
Septic Tank or Holdin Tank UZ~ 62.x+ wc.
Lift Pump Tank/Si hon Chamber El El El 1 1-1
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (P Plumber's Si ure: (No Stamps) UB/MPRSW No.: Business Phone Number:
Plumber's Address (Street, City, State, Zip Code):
19'6 9~ 0 Aa,-,t- AA-4-i kc4l~m,,%cl cjz~ 5 V D' 7
IX. COUNTY/DEPARTMENT USE ONLY
I L] Disapproved Sanitary Permit Fee (includes Groundwater [Date lysuel Issui g Agent Signature (No Stamps)
T Approved ❑ Owner Given Initial Surcharge Fee) s
~l/v
Adverse Determination O
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety 8, Buildings Division, Owner, Plumber
INSTRUCTIONS Lt
1.
1. A sanitary permit is valid for two (2) years.
2. You't'sanitbry 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
su tted -to the county prior tQ installation. i ,
5. Onside sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed
pumper whenever necessary, usuAlly every 2 to 3 years.
6. If you have questions concerning your,onsite sewage system, contact your local code administrator'or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815..
To be compute and accurate this _sapita~y_permit application must include:
1. Property owner's name and mailing address, Provide the legal description and parcel tax number(s) of
wthere the system is to be installed.
11. Type bf building 66ing 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.
11 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 gailoris, 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 lf'y•;".'.
required by"the-dounty; E)Aoif test data on a 1.15 form; and Fy'aiil sizing informatlofl y
' GRbUNbV*IW'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 thesb u'rcharges are used for mo1nitorirj'g.grogWater, ground ,
'watee, contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
.y • r
APPLICATION FOR GAUITJIRY PTRHIT
• 9TC-100
Thls application form Is to by conplntad in full and Mlgnad by the ovntr(s) of
the property being developed, My lnadoquacles will only result In delays of
the pit talt Issuance. -Should t h I a development be lntended for rttalt by
owner/contractor,(spee houoe), then a second form should be tetalned and
completed vhan the property Is mold and submitted to t h I a o f f I c a v I t h t h a
■pproprlate deed recording.
Ovntr of property ~t)~06+'~G' Q r► hk tinna.~
Location of property .SG 1/4 11/Ir gectlon
Tovnshlp _ .ad -
i
Halling address ~qtQ /jO_ Aug..
Q.u
R C., rn O_n 0
Address of site 5'M
8ubdlvlslon now* A3/►~
Lot number IJl4}-
Prtrlous cvntr of property _ O-,(AM6 1 n►M 4 .
Total size of parcel _ A/V 4.--
e Date parcel vas created a1 ) Sim 7
lira all cornets and lot llnsa Identifiable? Yon No .
Is this property being developed for resale (spec houae)1 Yas No
Yolvt.t 3~ and Page Humber 5 as recorded with the Register
of Deeds.
IHCLUD9 V1711 THIS APPLICATION T112 FOLLoV1HCt
11 VAARAMTY DRID which includes a DOCUHSHT HtMBIR, VOLV?IR XND PAot RLrXlIR, and
the SIAL Or THE RIZOISTHR OF DRKDS. In addition, a certified survey, If
available, would be helpful so as to avoid delays of the reviewing process. If
the deed description tolerances to a Car'tltl•d Survey Hap, the Cattltled Survey
Hap shall also be required.
PROPERTY OVIIER CERTmCATION
I(ve) certify that all statements on this form are true to the beat of e.y (out)
knovledgeJ that I (we) am (are) the owner(s) of the property described In
this Infotmatlon form, by virtue of a Warranty dead recorded In the office of
the County Register of Deeds as Document 1(o, g44 J and that I (Ve)
ptesIntly own the proposed alto for tho sewage disposal syaten (or I (we) have
obt■Ined an easement, to run with the above d a a c r I b a d property, for 1.ha
consttuctlon of sold mystem, and the Name ham been duly recorded In the ottlca
of the coynty eglater of Deeds, as Document no. algnatute of Owner Signature of Co-Owner (It Applicable)
Date of eignatute
. Data of Signature
WARRANTY 9191
DOCUMENT NO. STATE OF WISCONSIN-FORM 9
BOOK 43? P A T E 4 THIS SPACE UMV0 !oR TOOORDMG DATA
287984
Glen Brinkman, single R EGIST&R+b OFFICE
THIS INDEN URE, Made by ST. C R O I X CO.. WIS.
Recd for Record this 21st--
day of-- Aril .---A.D.1967
g'Ta&, o f St. Croix County, Wixonsitn, hereby conveys and warrants at_.~.1}- r!, M
to Roland B. 'rin.kman ande'1~t ~ Brinkman, .
husband and wife
R of s
grantee S 211111 TO
Of St. Croix County, Wisconsin, for the sum of
One dollar a,n(l other valuable considerations
the following tract of land in St. Croix County, State of Wisconsin;
i
Southeast quarter of southeast quarter (SF;-',~- SPI) of Section 13 Township
30 Range 19
i
i
i
IN WITNESS WHEREOF, the said grantor has hereunto set h i s hand and seal this G1 S
day of April , A. D., 1967 .
SIGNED AND SEALED IN PRESENCE OF -yt L A (SEAL)
Q. Glen Brinkman
(SEAL)
f7 q (SEAL)
(SEAL)
1
i
STATE OF WISCONSIN,
St. Croix County. ~Personally came before me, this 21 S t, day of Apr 1 l , A. D., 19~ .
theabovenameO Glen Brinkman, single
to me known to =e the person who executed the foregoing instrument and acknowledged the same.
1 `
NOTARY
SUAL St. Croix
This instrument drafted by Notary Public County, Wis.
i
Wm. W. Ward _ My Commission (Expires) (Is)
name(e o~ -tion 59.31 the (ton, gr he Wes, owitnesses n in St std provides a that all Instruments to be recorded shall have ple" printed or typewritten thereon the
Oran
WARRANTY DERD-cTATE OF WISCONSIN, FORM NO. 9 M. C. siure CO., saWAUK99
288450
I
I
I
STATE OF WISCONSIN )
ss
COUNTY OF ST. CROIX)
Wm. 11. Ward, being first duly sworn upon oath, deposes and says
he is an attorney in the City of New Richmond, St. Croix County, and
i
that he is well and truly acquainted with Roland B. Brinkman.
That Roland B. Brinkman received from Glen B. Brinkman a Warranty
I
Deed dated April 21, 1967 and recorded in Volume 432 page 54 in Aegis-
ter of Deeds for St. Croix County for the Southeast quarter of South-
east quarter (SE4 SE-) Section 13 Township 30 Range 19 St. Croix County.
That said deed was to Ronald B. Brinkman whereas it should have been
I
to Roland Brinkman and thA Ronald B. Brinkman stated as grantee
a
is one and the same person, as~ itoland B. Brinkman and that the reason
for same being; named Ronald. B. Brinkman was a typographical error.
i
Wm. W. Ward
Subscribed and sworn to before me
I
t4 .
thi.j~ f1 day of May 1967.
f
~
C_
Notary Public, St. Croix County, Wis.
My Commission expires
i
giia OFFICE
ST. CROIX CO.. WIS.
Recd for Record this--241h i
day of--.May------- A.D.1967
at 2--15 r-s m.
R ar f~seda
I
i
i
I
BQ(iK 43 3 PA6f 12t
STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix CDUAY
OWNER/BUYER Pro a yxJ &6 1 V1 1~5, vr-, a.v.
ROUTE/BOX NUMBER 0 15a -t-. A-V FIRE NO.
CITY/STATE IVAA3 RIC_ -rn.'Q".d LS-Z.9 'i 0 / ZIP
PROPERTY LOCATION: 5/''1/4/4, Section,
Town of IF St. Croix County,
Subdivision ~Ufd , Lot No..
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
$3000 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 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. Certification form will be sent approximately 30 days prior to
three year expiration.
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 Department of Natural Resources. Certification
form must be completed and returned to the St.Croix County Zoning Office within
30 days of the three year expiration date.
SIGNED
DATE
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
~of,~_ 1
:Industry, 6ZIL AND SITE EVALUATION REPORT ? Page
aps
ding in accord with ILHR 83.05, Wis. Adm. Code COUNTY
plarVon paper not loss than 81/2 x 11 inchos in size. Plan must include, but PARCEL I.D. #
If and horizontal reference point (BM), direction and % of slope, scale or
" arrow, and location and distance to nearipst road.
REVIEWED,BY'~ DATE
:ORMATION-PLEASE PRINM T ALL INFORMATION '
? PROPE 1NNER: PROPERTY LOCATION:
GOVT. LOT .59 114 S C 1/4,S .13T 30 N,R 1 S(or) W
PROPERTY OWNER':SS ILIADDRESS ~OT # LLOCK# UB . NAME OR CSM #
~ +v •
TY' ST TE ZIP CODE PHONE NUMBER CITY []VILLAGE OWN MRESTMAD
-51YO/7 IS 0---40 A-ft
[ J New Construction Use pcj Residential / Number of bedrooms Addition to existing building
pQ Replacement (J Public or commercial describe
Code derived daily flow x}50 gpd Recommended design loading rate__J,_bed, gpolft2 T trench, gpolft2
Absorption area required 1e 3 bed, ft2 5G _ trench, fit Maximum design loading rate , 2_bed, gpolft2 trench, gpol112
Recommended infiltration surface elevation(s) 93, A ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material ei t t e ck o ud W a• S k _Flood plain elevation, if applicable VIA. ft
S - Suitable for system CONVENTIONAL MOUND IN ROUND PRESSURE AT•GRADE SYSTEM IN FILL HOLDI T#NK
U= Unsuitable fors stem S O U S O U S O U 0S U 0S jo U 0S U
SOIL DESCRIPTION REPORT p#%s.fS - OIV C.
Depth Dominant Color Mottles Structure GPD/ft+
Boring # Horizon Texture Consistence Boun Roots
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rends
I Q-l /o • ;Z IR --ILL- 11=216b 51" W. rn
s M 36 io j 2. J:X
Ground 6'Sb 0 S d s m y s" C w * 7
elev.
Depth to
limiting
factor
Remarks:
Boring # S~ S61< s
A o ~a o
C 1.)
41 56K
a B /0 3 0 ,
D a ~w lh, 8
d- 31-5!
Ground
elev. C 7.1 /D -5+G O C GLZI
tort L - -d~7- P7 sR
Depth to
limiting
facto
IV 714.
Remarks:
CST Name:-Please Print Phone: 14 .s 3-F
rS
Address: ,t1~ ylr,~h "Sc., 5 a/
Date: CST Number:
•-FSROPERYYOWNER
Rotar~~1 Q~i~ r,nar. SOIL DESCRIPTION REPORT Pages mt Z
PARCEL I.D. o..• m 4
• Ep -o o v
' fj w J
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence 13purcary Roots
in. Munseil Qu. Sz. Cont, Color Gr. Sz. Sh. Bed Trft
3 ' - k c>, m s
B •3L ✓ 0 3 - S o f sb K Yn C4) 1 w, • y, S
Ground
elev.
Depth to= ` , r . L • f, ,
limiting
factor
~`7 -
Remarks: '
Boring #
Ground
elev.
Depth to
limiting
•factor
• Remarks:
Boring # ,
i .
r p
Ground r
elev.
fL t
Depth to
limiting = i
factor
Remarks: ;
Boring
Ground r
elev.
It.
i
Depth to
limiting .
factor ,
j 7T-71
Remarks:
1-3
,
30 Y-S'
i
I
i ,9a' a i s 3 rte 9 w l
AL
I t
y E` , d►~ Cf i Y1 i CTa f - I
19
t - - - -
! - - j
I ~ r i ~ fi I
54*3
f~CA St2
I
I I I ~ j I I i i I ; I ~ :
I I f 1
: I I f I ~
.51I
' I f
,
I
• ~ I ~ I
r
I
f I i i I I i f
t-
i ; I I ( i i I I I I '
I
!
i
I j j I ~ I
: j} ~ I J } f i 1 I f I
I t I ~
,
' ~ I I I I I ~ j i i
i
- I
I I ' I 1 i I f : i ~ i
I I I ( r ; I I
' I
I I ; `
' t ~ i i ! I 1 , ~ I
- 1- r - t - - r-
~ I I i ! t - I I I I J I I I I '
, I ~ I I I I t
i
, I
:
f a I
I
I I I
I
, I
I
I ~ I
I I I - ! I !
I
I
I I I I I~, I I I I
I I
I I I I
I
I
I
_ - _ I ~ I t I I I
I
i
I '
I
i ,
f
' I ~ I l
I I I I I
j ~ I r I I I I I i ~ i
I
I
~ I
a- ,
I I
~ I
I I i ~ I , 1 I,
I ~ ~ i I C I
I '
i
' I
1
I ~ ~ I
• I _I
I
I ~ I
:
-
1
I
I _ I I I ~ ~ ~ ~
I I
- ~ - ~ - - I ~ ~ : - I - - - I III - I I ~
I I I
aa
''Jv
I 'I
I
, I
I ' I i I
I I I I
I
i '
I I ' 1
• I
!
f rV~i `i Il. is067 I'
I_
I t I I l f f i I r l r
- I I I i
:
I '
-~__cl f >oo - - . ~
:
' I I I
- ; L - {
1
I '
I I I ~
I ~ ~ 6
f ,
I
' l i 1 S I • TT
I i
I ~ -1 ' _i i I of
f I L i I ± i i i I ' ,
~ I~ I I I I~ ~ i I f
` ~ I - ! r t I r
i
I i ~ I I I I ,
• ' i 1 i ! ~ f f i_
I I ' I j _I ! i ~ ~ I i I
I ~ : I ~ I i I j i i ! I
i
1 _ { ' i t t
I I , , it
: I
I
i i
I I
•
1 I I I i I ~ ; I _ !
I_ r r 1
I t ' ,
a
I I I R.
` t
i
I
~I
I ,
j I II
'
i
' I ~ I ~ ~ II I
I
I
II
. I
II ~ I ~ ! I r ; I
I
I :
I
I
I -
T I
I -
~ i
i I
i I I I
r :
I ~ I
J
~ ~ i l ~ I a I I
I I
I
.
~ I II
T ~ 1
I 1 f ' 1
i
CroSS JCC~Iof 01" A rt7 J~SIc'n~
Il n fit Ad46, n a~►'.
X96 • i s`~ _*A ~ .
Ali ,p Fresh All Inlel► And OD►uratlon Plpa
J Approvid Vent Cop
• x Wntmum 12• Above
Final Geed.
20- 42' Above Plpp _ 1• Colt Iron
To Final Grade Vent Pipe
hlor sn Noy Or Synl Mlk Coverlny
I'll, 2• Aggregate
Over Pipe
Olurtbvlion '
Pipe f 0 0 Teo s
8e
F--=1-C6*P4In6 Porloroled Pipe Golor
Terminating At
dollorn Of system
~.Icv•.~ Ion ~ .
SOIL FILL
DISTRIBUTIOI.I PIPE
r APPROVED Sj9T11ETIC COVCR
` o '--MATRIM- OR 9 OF 5TRA4l
2"OFAGGREGA'tE--~~ oRMARSN HAU
E L,EV. OF eje r~yp ter OF ~~2 -2t/2 AG GR CG ATE •p^V^
EET
D15•T-RIP,tJTIOW PIPE TO BE AT LEAST IUCHES BCLOW ORIGIIJAL GRADE
AQU AT LEAST LO IUCHEL BUT LIO MORE THAI) tit INCHES BELOW FIFJAL GRADE
M mmum DaQtH OF EXCAVATE-00 FKO/•'I OKI&WAL 6ftl\K WILL BE _ IMCHES
l"VNIMUM CKMi OF EXCAVATImN F-KOM C'116I11I-JAL 6RAvF- WILL 0E INCHES
SIGUCO:
LIC.CUSC LIUMBCI2:
D ATE
REPT131 SOMERSET ST. CROIX COUNTY ZONING PAGE 1
08/13/92 07:55 REQUESTS FOR INSPECTION WORK SHEETS FOR: 8/13/92 AREA: MJ
A YActivity: A9200295 8/13/92 Type: CONVSEPT Status: PENDING Constr:
Address: SOMERSET 13.30.19.677,SE,SE, 150TH AVE.
Parcel: 032-2048-10-000 Occ: Use:
Description: 175636
Applicant: BRINKMAN, ROLAND & JEWELETTE Phone:
Owner: BRINKMAN, ROLAND & JEWELETTE Phone:
Contractor: POWERS, CALVIN Phone:
Inspection Request Information.....
Requestor: CAL POWERS Phone:
Req Time: 13:08 Comments:
Items requested to be Inspected... Action Comments Time Exp
00012 FINAL INSPECTION
Inspection History.....
Item: 00012 FINAL INSPECTION