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AS' BUILT. _SANITARY SYSTEK REPORT_
OWNER_ c., eD,u_) TOWNSHIP 5PW/N6 44s,r-2
SECTION/ N T2_T_N-R. L W
ADDRESS k~ti ST.° CROIX CQUNTY, WISCONSIN
SUBDIVISION- LOT LOT SIZE o6 A _
PLAN VIEW ,
SHOW EVERYTHING WITHIN 100 FEET OF.SYSTEM
2vo~-
tA0as g
a.M
;uOD ~Az. ~ ,i'
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s9
wEz~
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T7_G _-__,3
- - - 4~-- INDICATE NORTH ARROW
BENCHKARn: Elevation and description: Alternate benchmark c r 0c ie c x~~l o,~ &-~,t /06.1
SEPTIC TANK: Manufacturer%oZ r ej Jt ,!:,T RRr iquid Cap. ^ o (rdL
Rings used:jS-manhole cover elev:~:~.(_/9_Final grade elev:
Tank inlet elev.:Tank outlet elev.: 21
1 G
No. of feet from nearest road:Front , Side)(-, Rear Ft.l-._
From nearest,prop. line:Front , Side•_, Rear Ft. 11'7'
No. of feet from: Well__,&Building:
(Include this information in the above plot plan)
(2 reference dimensions to septic tank)
PEE REVERSE SIDE
PUMP _ - - - _ -
Manufacturer: ~ o ~r/c= ~'r° t' ~r1 ° T L .quid Capacity: 4~;A-z
Pump Mode 1:,, Pump/Siphon Manufact:..~i~r _Pump Size 1
Elevation of inlet: Bottom of tank elevation
Pump on elev.: 9E Pump off elev.: .i Gallons/cycle:
Alarm: Man.: yt C -t V 2 Switch Type: Ak `i1 . t/P Location A' 5-w ` 7-
Distance from nearest prop. line: Front_, Side, Rear_Ft.
Distance from: Well 136" Building
SOIL ABSORPTION SYSTEM
Bed: Trench: Seepage Pit:
Width: - Length Number of Lines:, Area Built
Exist. Grade Elev. Proposed Final Grade Elev.
Fill depth to top of pipe:
No. feet from nearest prop. line:Front , Side , Rear Ft.
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:
i h'? T7ovf1 r`'~o~
INSPECTOR: nj
.
DATE : PLUMBER ON JOB : r P
LICENSE NUMBER: 6/90:cj
~'t~i `~rrattmrtrELD 14.29~ ~5,A7C~O~ RD . E County:
tabor and Human Relations I`NS,PG9SC~ECTCION" T ~S $TREPORTC
Safety and Buildings Division ST. CROIX
(ATTACH TO PERMIT) Sanitary Permit No-:
GENERAL: INFORMATION
180295
Peri'nit Holder's Name: 9d ~5 ❑ City ❑ Village ❑yown of: State Plan ID No.:
SPRINGFIELD
CST BM Elev.: ' Insp. BM Elev.: BM Descripti n:Sf04i Parcel Tax No.:
ed, 6~7 034-1031-50-000
TANK INFORMATION ELEVATION DATA A92003 q~ Fo;~
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark eat( / 0,6'
Dosing 1. d; . 32
A ` Bldg. Sewer /S, V 911.31
Holding St/,40f Inlet /(,1A 4 /0~
TANK SETBACK INFORMATION St/Xt Outlet '3,R
Verit
irIto ntake ROAD Dt Inlet /6 83,
TANKTO P/L WELL BLDG. A
Septic NA D A I'J. if 00 1;2F
Dosing NA Wmadw / Man. W ?9,eo r
Aer _ Dist. Pipe, '257
Holding Bot. System
PUMP/ $IPI IeN INFORMATION ~Z Final Grade
Manufacturer Z~' Demand
Model Number -o- / 7 GPM
TDH Lift Friction 1 p~ Syestem e TDH J.U Ft
oss
Forcemain I Length Dia. Dist. To /ell 1/
SOIL ABSORPTION SYSTEM
BED/TRENCH Width , Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS 7S DI I N
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: -1 P
SETBACK CHAMBER
INFORMATION Type O e' OR UNIT Model
System:
DISTRIBUTION SYSTEM
ftwitAtr/Manifold Distribution Pipe(s) / x Hole Size x Hole Spacing Vent To Air Intake
SV
Length Dia. Length Dia. Spacing y' t 6
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over / Depth Over ! r rf xx Depth Of „ xx Seeded/ %44ejL +xx Mulched
Be4/Trench Center I g Bed/ Trench Edges 1 ? - 12- Topsoil l~ ❑'Yes o ❑ Yes [moo -
COMMENTS: (Include code discrepancies, persons present, etc.)
.4?, c
LOCATION: SPRINGFIELD 14.29.15.2190, SW,SW, Cdl1.X D.
..~~a
d. - f
c x /f ft_~`y L /.~f'pf "fl t- f~ is Cw T 1 . ' y4 c
14
Plan revision required? ❑ Yes C/ p
Use other side for additional information. P1
SBD-6 ,1 r(R 05/.1) Date Inspector's Signature Cert o
V
ADDITIONAL COMMENTS AND SKETCH `
SANITARY PERMIT NUMBER:
REPT131 SPRINGFIELD ST. CROIX COUNTY ZONING PAGE 1
10/15/92 10:46 REQUESTS FOR INSPECTION WORK SHEETS FOR: 10/15/92 AREA: JT
Activity: A9200375 10/15/92 Type: MOUND Status: PENDING Constr:
Addtbss: SPRINGFIELD 14.29.15.2190, SW,SW, CO. RD. E
Parcel: 034-1031-50-000 Occ: Use:
Description: 180295
Applicant: DUCKLOW, RICHARD Phone:
Owner: DUCKLOW, RICHARD Phone:
Phone:
Contractor. MYERS, LYLE
Inspection Request Information.....
Requestor: MYERS, LYLE Phone:
Req Time: 3131---1-9 omments : `J 100
Items requested to be Inspected... Action Comments Time Exp
00012 FINAL INSPECTION
Inspection History.....
Item: 00012 FINAL INSPkgGTION
1
7DILHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code COUNTY
STATE SA ITA PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than
8 Q
' x 11 inches in size. c I Ion to revious application
r~
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
_
PROPERTY OWNER PROP RTY LOq~TION
~ / rr _ ~ %.W Y4, S -D22, N, R l ~ E o
PRO ERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
✓t..
CITY, ATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
41
~CITY NEAREST ROAD
11. TYPE OF BUILDING: (Check one) ❑ State Owned .VILLAGE S~' ,~/L~ LZ C y
❑ Public 1 or 2 Fam. Dwelling-# of bedrooms,? PARCEL TAX NUMBER(s) 10.1'ro P fr
III. BUILDING USE: (if building type is public, check all that apply) D3~/031,5,
l , a ~i ~g
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7•0 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School '8 ❑ Mobile Home Park 120 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) 1.0 New 2. ❑ Replacement 3.E1 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 Dd 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 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
7 Feet Feet
VII. TANK CAPACITY Site
in alIons Total # of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holding Tank 6 0 I El- LJ I LJ__+_11 I
Lift Pump Tank/Siphon Chamber 4, SZ /~C r~r~`'7
Vlll. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumber' Signa re: (No Stamps) P PRSW No.: Business Phone Number:
Plu r s Address (Street, ity, State, Zip Cod
IX. CO TY/DEPARTMENT USE ONLY
Disapproved Sa 1 pry Permit Fee (Includes Groundwater Date issued Issuing A ent Signa o Sta )
Approved E3 Owner Given Initial Surcharge Fee)
Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-8398 (formerly Plb-67) (R.11/88) DISTRIBUTION: Original to County, One Copy To: Safety S Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a San tary 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 & 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.
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.
Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
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PROPERTY OWNER SOIL DESCRIPTION REPORT Page - of
PARCEL I.D. #
Depth Dominant Color Mottles Texture GrStructureSh
Sz Consistence Bourxfery Roots Bed Tre Bed Trench
Boring # Horizon in. Munsell Qu. Sz. Cont. Color . . .
r, awn-
i\~h4 ry\i
Ground Cx>
elev.
ft.
Depth to _s w •
limiting
factor
Remarks:
Boring #
Ground '
elev.
ft. n f i
C z. .3S
Depth to
limiting
factor
S, 7,~
Remarks:
Boring #
nVi:
yF:
Ground 0
elev.
ft. L 1 31
Depth to `
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page
Labor and Human Relations _ of
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
GOVT. LOT 1/4 1/4,S T N,R E (or) W
PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [fOWN NEAREST ROAD
[ j New Construction Use [ j Residential / Number of bedrooms [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow gpd Recommended design loading rate bed, gpd/ft2 trench, gpd/ft2
Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 trench, gpd/ft2
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design / site considerations
Parent material Flood plain elevation, if applicable ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U =Unsuitable fors stem El S 1:1 U 1:1 S 1:1 U El S ❑ U El S El U ❑ S ❑ U ❑ S ❑ U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer&
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
t:::A•:::::^:•iiii
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
CST Name:-Please Print Phone:
Address:
Signature: Date: CST Number:
-VC
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PRIVATE SEWAGE SYSTEM
C onc~iE~ioI'll Cc
r rr51 `i~~ tt:Jl `rusrrti r~
DEPARTMENT OF INDUSTRY LABOR AND HUMAN RELAIIONS
'1" ISION OF SAFETY AND BUILDINGS 'A - Q~A
r-y
SSEE~~PORRESROA DENC
MOUND DESIGN OR RICUKRD DU OW PROPERTY
LOCATION' OWNER:
SW1/4 NW1/4, SEC. 14, RICHARD DUCKLOW
T.29N., R.15W., TN OF HWY. 63
SPRINGFIELD, ST. CROIX BALDWIN, WI 54002
CO., WI
O
INDEX TABLE
PAGE 1 OF 7 TITLE SHEET
PAGE 2 OF 7 WORKSHEET
PAGE 3 OF 7 PLOT PLAN
PAGE 4 OF 7 MOUND CROSS SECTION
PAGE 5 OF 7 DISTRIBUTION PIPE DETAIL
PAGE 6 OF 7 DOSE CHAMBER CROSS SECTION
PAGE 7 OF 7 PUMP SPECS.
PREPARED BY:
LYLE J. MYERS, MP16219
RTE. 2 BOX 47A
BOYCEVILLE, WI. 54725
(715) 643-2520
SIGNATURE•
s
DATE: S Z"
~ ~ -
S92-,20523
fIONAL WORKSHEET Page 2. Of 7
MOUND SYS I LM II. IN-GROUND PRISSURE SYSTLM-Contlnued-
I. Wastewater Load, Tout Daily Flow =/5OJ 3' -50 gal. 10. Force Main:
Use s. ILIIR 83.15 (3) (c) Minimum Dosing Rate = (z)(9.3~~= / Rpm.
Adm. Code and PROVIDE A DETAILED Diameter = in.
LIS I Of SIZING ON PLANS. 11. Total Dynamic Head:
2, Depth to Limiting Factor = 'S0 ft. System Head = 2.5 ft.
3. Landslope = S % Vertical Lift ft.
4. Distance from Dose Chamber to Friction Loss = 13s~~.8`~J ■ ft
C
Distribution System - ft, pH = tob f
T t.
5. Elevation Difference Between 12. Pump Selection:
Pump and Distribution ■ • 0
System ft. Pump will discharge at least gpm
6. Absorption Area Sizing: at ,A62" ft. total dynamic head.
Area Required ./,•Z _ sq. ft. Pump model and manufacturer. C er
Bed or Trench Length (B) _ ft. V1'lo 7
Bed or Trench Width (A) ■ _ L ft. 13. Dose Volume:
Trench Spacing (C) _ ft. 10 Times Void Volume of
7. Mound Height. Distribution Lines =(Ipx2X3S~(Cl?;)' /°~S[Q gal.
Fill Depth (D) _ /6-0 ft. Daily Wastewater Volume r
Fill Depth Downslope (E) =/.$o6~(s) 7S` ft. 4 Doses In 24 hrs. gal.
Bed or Trench Depth (F) ■ .B3 R. Backflow =((,3$~~•/Gai~■ ~,1 gal.
Cap and Topsoil Depth (G) ■ _Z0„ ft. Minimum Dose = 47z-/S/ gal.
Cap and Topsoil Depth (H) ■ A _50 ft. 14, Dose Chamber:
8. Mound Length: Volume a37P5*390t 17S•Se /SG•0=_ 7Sb gal
ZOO
End Slope (K) *~1~r,83+/.s]3= 87 ft. u:stL/2.Or A(It5)r19 (z)~uq
Total Mound Length (L) ■V-0.)f;0Q)= ft. III. ONVENTIONAL PRIVATE SEWAGE SYSTEM
9. Mound Width: 1. astewater Load, Total Daily Flow = gal.
Upslope Correction Factor■ V S s. ILHR 83. 15 (3) (e) , Wis.
Upslope Width (1) ■/,SA~AD)K ft. Gese 9.0 A Code and PROVIDE DETAILED
Downslope Correction Factor = _ LIST SIZING ON PLANS.
Downslope Width (1) =~7S'{•$~'~ _ L~> ft.1 beJ.3re; 13 `tan 2. Required Septl ank Capacity = gal.
Total Mound Width (W) ■ 9tS"~/3 -r _ ft. ar ' 3, Percolation Rate = min./;
10. Basal Area: 4. Absorption Area Sizing.
Infiltrative Capacity of Refer to Table 2 ch. ILHR 83
Natural Soil = G S pl./mAJday and PROVIDE A DETAILE 1ST OF
Basal Area Required ■ J150=,5X. sq. ft, %5-j- ZING ON PLANS.
Basal Area Available ■`T5x5ti3, sq. ft. Re 'red Area = sq. ft.
11. If Standard Tables from Chapter ILHR 83 Length ft.
are used, Indicate Table # Width = ft.
12. For the Distribution Network, Use Numbers 5.14 In Section It. Number of Tre es =
Trench Spacing =
II. GROUND PRESSURE SYSTEM S. Distribution System:
1. epth to Limiting Factor ■ ft. Lateral Length - ft.
2. Lan lope ■ % Number of Laterals ■
3. Pt:rcola n Rate ■ _ min./in. Lateral Spacing = in.
4. Proposed S em Elevation ■ fl. Distance from Sidewall to Pipe = In.
5. Wastewater Loa Total Daily Flow: gal. System Elevation = ft.
Use s. ILH 3.15 (3) (c) , Wis.
Adm. Code and PR DE A DETAILED IV. SYSTEM•IN•FILI.
LIST OF SIZING ON PL S. FIII in All Items from Section III
Required Septic Tank Capacl gal,
6. Absorption Area Sizing: V. SEPTIC TANK
Percolation Rate = min./in. 1. Capacity = L M2 Area Required - I rl~LI~P~T~r gal
sq. ft. 2. Manufacturer: n &e-CALS
System Length = ft. 3. Show Site Constructed. Tank Details on Plan
Syatem Width = I.
7. Distribution Pipe Sizing: 1 V1. DOSING TANK
Hole Size = /y in, 1. Capacity = 750 gal.
Hole Spacing = z ft. (510") 2. M.lnufaclurcr: 1'Y~ld Ge~PSl~2rYI f•r"d sr.
trileral Length 11. :1, Pump M.tnulaclurer: ZoeLLi4
Lalcial Size in. 4. Pump Modcl: 117
l alPl.ll Spacirstt , A 11. 5. Operating Head= 11.
Di,14oee riont 4idewall to Pipr Is. flow Rate = ~ gpm.
N. Distribution Pipe Disch.oge R.IIv: 7. Show Site Constructed Tank Details on Plans
Number of Hole% 1't.1 I'i sr
FluwPerPipr:1.17,_ Rent. VII. HOLDINGTANK
11. Manifold Sizing: ' I. Capacity = gal.
Type (cenlcl or unit) C.en er 2. Manufacturer:
Length = 3. Show Site Conslructt:d Tank Details on Plans
Diameter = In.
-SHOW ALL INFORMATION ON PLANS-
DLLHR SBD•6761 (R.03/82)
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Cross Section Of A Mound Using A Trench For The Absorption Area
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Medium Sand Fill - JI ° F 6" Topsoil
3 E D
PRIVA E~ SE l G SYSTEw1
Trench Of '2 - 2 Aggregate, Plowed laver
6" Below e,! vere {(4i th D 1.:50 Ft.
Straw, M LW'af YFI2 khetic Fabric
A P X5.7"' E Ft. G /.00 Ft
F .83 Ft. H 1-so Ft.
DEPARTMENT OF INDUSTRY LABOR AND HUMAN RELA 110NS
IVISIOI! OF SAFETY AND BUILDIfdGS~ F~-n%as ~3 a 1(E,,'
OAeer C- PL" 5-jPAACpA&F
S CORR ON DE E c31J iQi 1LT-P~u4i ,
Plan View Of Mound Using A Trench For The Absorption Area
Force Main
J Distribution Pipe 1
Permanent Markers Observation Pipe
W
C B K
\Trench Of - 2z" Aggregate
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L
A So Ft. 11~rU~ Ft. K 12•D Ft.. W -2,;L~ Ft.
B 7S0 Ft. J 9. 0 Ft. L 99,O Ft.
tea,- C-a= C> 3 1P4 44-2% ~++cy = u..~.o 3 /f-i A-oCr4PrI3 -F,
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^ Page 5 Of__
Distribution Pipe Detail For Two Lateral Network
Holes Located On Bottom
Are Equally Spaced PVC Force Main End Cap 7
'Y ' PVC Distribution Pipe
X X
P P
X
* Last Hole Should Be Next To End Cap f
P 35 Ft. Hole Diameter A_ Inch
X S& Inches Lateral Diameter f%z Inch(es)
Y S& Inches Force Main Diameter 2 Inches
# Of Holes/Pipe
Invert Elevation Of Laterals,?, 9F8 Ft.
U ATE SEW AC,E SYSTEM
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HUMA
"°a Y ~ABO`~ AND INGS
INDUSTR Y AP~p BUILD
DEPARTMEN p ~ISION DE SAFET
pEN-
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PAGE LO OF -7
PUMP CHAMBER CROSS SECTIOU AfJG SPECIFICATIOUS
VEIJT CAP
4`C.I. VEUT PIPE
~_T
WEATHERPROOF APFROVED LOCKINIG
25' FROM DOOR, JUMCTIOM BOX MANHOLE COVER
WIUOOW OR FRESH 12"MIU.
AIR INITAKE
GRADE 1
I
1 `J" MIU.
PRIVATE SEWAGE SYSTL 18"M►u.
Co1JDUIT
18"MIN. /
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INLET ; 4 FROM DE
APPFIIL~ A XT-1" T SEAL I I I I
rMENT F INDU STRY LABU RELATIONS SION OF SAFETY AND BUILDINGS
II
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I 1 ALARM
5 • E I*A E PO ENCE i I .
0 ROV ED i ow "
JOINTS WITH
ELEV.FT APPROVED PIPE -_j
3' ONTO PUMP OFF
D SOLID SOIL
COMCRETE BLOCK
RISER EXIT PERMITTED OIJLy IF TAWK MAULIFACTURCR HAS SUCH APPROVAL
SEPTIC E SPEGIFCCATIOUS
DOSE L ^
TAWKS MAWUFACT URER: NUMBER OF DOSES: PER DAy
TAMK SIZE:75 O /GALLOMS DOSE VOLUME
ALARM MANUFACTURER: ~n~~~?YYL INCLUDING BACKFLOW:_ 179.1 _GALLONS
MODEL IJUMBEK: CAPACITIES: A= 5 INCHES OR --37Y' GALLOWS
SWITCH TYPE: - ck -I,V B= IMCWESOR _ 39 GALLOUS
PUMP MAMUFAC.TUR7P,* ;LZZ_ C=- IMt-HES OR /7 -WGALLO►JS
MODEL NUMBER: #97 D = _S_ INCHES OR /36.0 GALLOUS
SWITCH TYPE: yPC'kA" MOTE: PUMP AMD ALARM ARE TO BE.
MINIMUM DISCHARGE RATE-- IR, 7Z _GPM INSTALLED OW SEPARATE CIRCUITS
VERTICAL DIFFEKENCE BETWELU PUMP OFF AMD DISTRIBUTION PIPE.. //"D FEET
+ MIJ.JIMUM NETWORK SUPPLY PRESSURE . . . 2.5 FILET
+ /35 FEET OF FORCE MAIN X _S,k(_0Fj pp fzFRICTIOU FACTOR.. FEET
TOTAL 0131JAMIC. HEAD FEET
IIJTERMAL DIMEWSIONJ: OF TA►JK: LEAIGTH- Z_;WIDTH G7~2~;LIQUID DEPTH 3g~z,
HEAD/ W
115
110
CAPACITY 32 -
32 105- -
CU RVE 39 195
95
28 I
90
26 es -
60 -
EFFLUENT 24 _ _ I I
- MODEL
and p 75 MODEL_ . lei
DEWATERING 22 ,0 165 - I
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0 167 MODEL
F- 14 ,s tee
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10 MODEL
30137,139' - - MODEL
teS
SEWAGE and ° --w
DEWATERING 6 -20- - MODEL
MODEL lei
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4 97
aNC W 2 MODEL
f LL ES 57, 55,
W 57.59
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GALLONS 10 20 30 40 s0 60 70 e0 90 100 110
24 10 _
LITERS 0 60 160 240 320 400
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22 FLOW PER MINUTE
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20 eS -
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Q 29S
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= 16 i
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284 i
° 25
MODEL
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10 MODEL -
- - - - DELtEfr' D.
:Ls 267, 268 3280 Old Millon; Lane
GALLONS /0 20 30 10 SO 60 70 60 90 too 110 120 130 140 150 160 170 /e0 190 P.O. Box 16347
Louisville, Kentucky 40216
LITERS 0 60 160 240 320 400 480 560 640 720 (502) 776-2731
FLOW PER MINUTE
or 119,
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ST. CROIX COUNTY COURTHOUSE
911 Foun#h S-tkeet
Hudson,Wl 54016
DATE: -/(o 4'-;L
TO: FAX NUMBER: (p y' - 0 1~
NAME:
FROM: FAX NUMBER: (713)3£6-462£
NAME:
NUMBER OF PAGES INCLUDING COVER SHEET:
IF COMPLETE AND LEGIBLE INFORMATION IS NOT RECEIVED,
PLEASE CONTACT:
NAME:
TELEPHON NUMBER:
O o O
a
Q~
ST. CROIX COUNTY
U_ WISCONSIN
04m
u~v?,'~tiy3;sx ZONING OFFICE
,r~4x ri ST. CROIX COUNTY COURTHOUSE
- JIM 911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
-IYd
May 28, 1992
Division of Safety and Building
Bureau of Plumbing
P.O. Box 7969
Madison, WI 53707
To whom it may concern:
An onsite investigation of the Richard Ducklow property, located in
the SW 1/4 of the SW 1/4 of Sec. 14, T29N-R15W, Town of
Springfield, St. Croix County has been conducted. This onsite
revealed suitable soils at a depth of 18" below which seasonally
saturated soil conditions were observed. This site will require
18" of sand fill beneath a mound for replacement.
Should you have' any questions, please feel free to contact this
office.,
erely,
ames K. Thompson,
Zoning Administrator
cj
H
• ; z
H
ST C- 105 r
a
SEPTIC TANK MAINTENANCE AGREEMENT o
St. Croix County z
d
9
l H
OWNER/BUYERS e hSz ~c i~Gcc.</
ROUTE/BOX NUMBER eD _:3 Fire Number
.CITY/STATE s ZIP S'~C)J
PROPERTY LOCATION:. 34, f 14, Section Z_, T,2~N, R L-~ W,
Town of , 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 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. Ho
E
I/WE, the undersigned, have read the above requirements and agree En
to maintain the private sewage disposal system in accordance with x
H
the standards set forth, herein, as set by the Wisconsin Depart- Iv
ment of Natural Resources. Certification form must be completed
and returned to the St. Croix County Zoni g yffik* a wi in 30 days
of the,three year expiration date. pp
G:
SIGNED
DATE d - I a -a-
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.
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
Location of property S&) 1/9 /9, Section, T,-19 N-R/iW
Township
p^' 33
Mailing address
Address of site ISUSA~ Al'oGrd aeud ea" r1 d Z
Subdivision name 10 /J
Lot number /UON
Previous owner of property /✓le-l,- Bea GOki
Total size of parcel 3 f Qcr s
Date parcel was created
Are all corners and lot lines identifiable? Yes No
Is this property being developed for resale (spec house)? Yes No
Volume and Page Number 1-i--5G'> as recorded with the Register of Deeds.
I
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and
the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if
available, would be helpful so as to avoid delays of the reviewing process. if
the deed description 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. q .i?'7 /.~w ; and that I (We)
presently own the proposed site for the sewage disposal 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
of he Count Regist of Deeds, as Document No.
ignature of owner Signature of to'-Owner (If Applicable)
Date of Signature Date of Signature
i
I
ooeuMENT NO. WARRANTY DEED i ""ae ""'"vao roe sacosoi"a o•..
STATE BAR OF WISCONSIN FORM 2-1989
487157 Q1 9'.1Q1 OFFICE
x James Evan Bacon and Polly Jane Gropen, ST. CROIX CO.iffl
. Reed for Record
husba.Ild...~Ili~..!ui.fe
*W; 13 1992
at 1:30 P. M
.
conveys and warrants to ...Ri.CharS~..E.....A.UCk19.Mf...d(1G1
Shirley ..A _....D.ucklo-w *...husba nd--and_ Wi f.e
Register of Deeds
.
I. V(... TO
. St...
.....C=oi
the following described real estate in ..................................CountY.
State of Wisconsin:
Tax Parcel No:
I '
A part of the Southwest Quarter of the Southwest Quarter (SW~ of SWk),
of Section Fourteen (14), Township Twenty-Nine North (T29N),
Range Fifteen West (R15W), Town of Springfield, St. Croix County,
Wisconsin, and more particularly described as follows:
j Begirding at the Southwest corner of said Section; Thence
N 00 42151", along the West line of said Section,231.02 feet;
Thence N 90 00100"E, parallel with said South0 line 692.21 feet;
Thence S 00°22'30"E, 231.01 feet; Thence S 90 0010011W, along said
south line 690.84 feet to the point of beginning; said parcel also
described as Lot 1 of CSM filed August _13, 1992, in Volume 9 of
CSM, at Page 252.3 , as Document No. 487156 office of the Register
of Deeds for St. Croix County, Wisconsin.
>KTi.fii(T
_IO . 5
F08
This iS.. nOt......... homestead property.
(is) (wamltx
Exception to warranties:
Seventh August
Dated this day of 19.92.
(SEAL) .....~C.l (SEAL)
ames Evan Bacon
• • .
....................................................................(SEAL) ' 6 Ti,4e.--~ (SEAL)
Poll Jane... Gropen
AUT13ENTICATION ACHNOWLBDOMBNT
Signature(s) STATE OF WISCONSIN
« WAUKESHA County. ss
authenticated this ........day of..... « 19...... P sonally came before me this _ 7 t h..... day of
e~ugust
19,I the above named
J.dmRB..
• P.Olly...Jane ...Gr.Clpe'n
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not ..............................................:..~.u.:~:
authorized by 1706.06. Wis. State.)
~f►own to be the person . 9..... who executed the
{otegoin~ trumant and acknowl ge the sam ,
THIS INSTRUMENT WAS DRAMO eY 2` "~(p R -
Thomas A. McCormack = ~o"•- •
,°,C4riSf. M Rindahl
Baldwin, WI 54002 \ .
. ~A/~ Y M76Li • SU{C' l►O..... Countt. WIS.
(Signatures may be authenticated air ackuowiedgr, k;c . ; 6 ,11hiiessi .n permanent. (If amt, state expirstiou
an not ns MW7.) TC C Bad\'a.~ c April Z 1 19 96 )
'!.seas of saver Wales fa ane awaWty eh=W M CrPW w prwW Mlew taatr .is-tu,r.
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
• . ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
February 22, 1993
Lyle Myers
Rte. 2 Box 47A
Boyceville, WI 54725
RE: RICHARD DUCKLOW MOUND
Dear Mr. Myers;
A follow up inspection of the Richard Ducklow mound revealed two
deficiencies in its construction. The first you are apparently
aware of - the problem with the electrical wiring to the pump. The
second relates to the finishing cap of the mound. It appears that
there is not enough fill on the eastern end of the mound to provide
adequate cover over the mound while maintaining the required 3:1
slope, the fill that is in place was not properly smoothed and
graded after placement, and the mound was not seeded and mulched.
You are hereby ordered to correct these deficiencies as soon as
weather conditions permit this spring - not to exceed May 1, 1993.
Those corrective measures must include placing additional fill as
needed to provide adequate cover and proper finished slope,
properly finish and grade that fill to provide an adequate seed
bed, seed and mulch the entire mound area, and repair the
electrical wiring which serves the pump and alarm.
If you have any questions or concerns which I can answer for you,
please feel free to contact me at this office.
ince ely, ~77 K. /
dames K. Thompson
Assistant Zoning Administrator
cc: Richard Ducklow
file