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HomeMy WebLinkAbout034-1084-20-010 I o I ~ o o ° n c c NO. 4 N m o v ° (O N 0 N O LO O > MOD ap i Q-O UO O Oi 'O C p c w m ~ o I C ca co o `m a~ r- = rn ! '0.0 y m N O p N Ol N X -O U) O ~ y O W C y a N y ~i U N O ` O 0 O D z U C y N C c N m W LL c O J-0 N O N j O N O 7 O O E Q S=am m nm M CL H Lo W E O Z m CY) NC,z am I o z c a ° 4 N N 7 O^/J1 O N y~ y 4) = (I a o Q zcoz c N M yy 10 W - d N o v a O y d J 0 CO N G p a a ~ Lo 3 U) U) 3 3 a a ~ I •N R ~aaaa n o y 0) 0) fA J V rn rn } ~V > rn o 00 Q N - 0 O O v o o E M _ O co 'C m y LL N N y 0 O 'D Q (n f6 L7 O ' N 7 B W N ~j 0 O O C y Iv I N C O O E O N I~ J N I COL U d p 0 w C. d m c o m c co U Y v D • O N U) Y r O z y L °G cm O ~ r (.40 m` a a L `I~i cl ° v 'c r °.2 L) CL 0 U) c) Parcel 034-1084-20-010 11/05/2012 04:43 PM PAGE 1 OF 1 Alt. Parcel 28.29.15.5556-10 034 - TOWN OF SPRINGFIELD Current E ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - KOSTMAN, LEROY E LEROY E KOSTMAN 2926 73RD AVE WILSON WI 54027 Districts: SC = School SP = Special operty Address(es): Primary IPK Type Dist # Description ' 2926 73RD AVE SC 2198 SCH DIST GLENWOOD CITY SP 1700 WITC SP 7070 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.000 Plat: 01 -055-HERSEY VILLAGE& LANDING LOTS 034188 SEC 28 T29N R15W LOTS 5 & 6 BLK 8 VIL Block/Condo Bldg: HERSEY Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-29N-15W Notes: Parcel History: Date Doc # Vol/Page Type 08/14/2003 735493 2362/562 QC 805/15 628/392 2012 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: L~,,st Changed: 08/07/2012 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 3,600 85,400 89,000 NO 10 Totals for 2012: General Property 0.000 3,600 85,400 89,000 Woodland 0.000 0 0 Totals for 2011: General Property 0.000 3,600 99,300 102,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 139 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~vo5/2o GE E I OF 1 Parcel 034-1084-10-000 PA2 04:41 PM F 1 P Alt. Parcel 28.29.15.555A 034 - TOWN OF SPRINGFIELD Current 191 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s)' O = Current Owner, C = Current Co-Owner 0 - KOSTMAN, LEROY E LEROY E KOSTMAN 2926 73RD AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 2926 73RD AVE SC 2198 SCH DIST GLENWOOD CITY SP 1700 WITC 777 SP 7070 SPRINGFIELD SAN DIST #1 I,~ a 4J Legal Description: Acres: 0.000 Plat: 01-055-HERSEY VILLAGE & LANDING LOTS 034188 SEC 28 T29N R15W LOT 1,2,3, & 4 OF BLK 8 Block/Condo Bldg: VIL HERSEY Tract(s): (Sec-Twn-Rng 401/4 1601/4) 28-29N-15W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 841/44 07/23/1997 454/612 2012 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/07/2012 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 7,200 14,900 22,100 NO 10 Totals for 2012: General Property 0.000 7,200 14,900 22,100 Woodland 0.000 0 0 Totals for 2011: General Property 0.000 7,200 34,500 41,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 03 y- /D~~-2o-0/0 ' AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP glf' eAl6 Aey''c i::;, I SECTION_ _T ,2 N-R S'- W ADDRESS - /2 -9 ( ST. CROIX COUNTY, WISCONSIN Lt)lz 50"0. Ul .s yoz7 JJ ~ SUBDIVISION Ad LO LOT SIZE 2q2~ 3 PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM /4/ 1 i z~ / i - 3 D r INDICATE NORTH ARROW BENCHMARK: Elevation and description: i J %crL (Sr_ Alternate benchmark '"!`A.LtL t c1cl~Cicc'~ SEPTIC TANK:Manufacturer: Wc, A(ev rr liquid cap. /T Ar- plzv oa cT' s' Rings used: manhole cover elev: fQ;-. Final grade elev:~}~• Tank inlet elev.: .2.Tank outlet elev.: No. of feet from nearest road:Front !z , Side , Rear Ft.~ From nearest prop. line:Front , Side, Rear Ft. No. of feet from: Well r , Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE r zr PUMP CHAMBER Manufacturer: 71" Liquid Capacity: -6-0-0 c4e- Pump Model: - 2 pump/Siphon Manufact. : ~LPump Size > Elevation of inlet: Bottom of tank elevation f I 3 8 Pump on elev.: .Ly Pump off elev.:Gallons/cycle: _112- G,+L ' '4e Alarm: Man.: ~•J ~'26 Switch Type: Location Distance from nearest prop. line: Front_, Side7<, Rear_Ft. ~ Distance from: Well :3 Building -73 SOIL ABSORPTION SYSTEM Bed: X Trench: Seepage Pit: Width ' _Length f .Number of Lines: Area Built Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe:- _ 36 'f, No. feet from nearest prop. line:Front Side , Rear.~C Ft.,[O ~ No. feet from well :__/_No. feet from building Gi HOLDING TANK Manufacturers- 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: IASPECTOR DATE : L PLUMBER ON JOB : LICENSE NUMBER: !47 If X~ Z 6/90:cj i LOCATION:,SPRINGFIELD 28.29.15.555B,NE,SE, 292ND ST. Wisconsin l epartmentof Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations b7S 5 Safety and Buildings Division INSPECTION REPORT igRon GENERAL INFORMATION (ATTACH TO PERMIT) sanitary t 27 Permit Holder's Name: ❑ City ❑ Village J] Town of: State Pla I . KOSTMAN, LEROY E SPRINGFIELD CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION L` ELEVATION DATA A9200191 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 10C)o Benchmark Dosing Aeration Bldg. Sewer Holding St/Ht Inlet cl-a- TANK SETBACK INFORMATION St/ Ht outlet , S TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic I ' 5 NA Dt Bottom aim - Dosing NA Header / Man. Aeration NA Dist. Pipe e Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade as `lg, Manufacturer Zoe-LIeX' Demand Model Number 2-2- ~-7 //)-"GPM riction System TDH Ft TDH Lift F Loss Head I Forcemain Length ID i a. yj Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of its Inside Dia. Liquid Depth DIMENSIONS I `6 N'© DIMENSIONS SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type O e-` 1, CHAMBER Model Number: System: i_;en . I U L Z S 1 OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length __2±_ Dia. Length,~ Dia jO 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 ed /Trent Cen r Bed /Trench Edges Topsoil El Yes ❑ No ❑ Yes C] No CbMMEN S: Include code discrepancies, persons present, etc.) S ~4 pb! VLF Plan revision required? ❑ Yes ❑ No Use other side for additional information. / f SBD-6710 (R 05/91) Date 1,_ Inspector's Signature Cert. No. t J ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 4 5 r - ~ ,~q 51 1 E 4 DIHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COT (?A~ STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 1-7 / y rJ 8% x 11 inches in size. El 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. PROPERTY OWNER PROPERTY LOCATION ` A '/e S T~ , N, R (or1~0 PROPERTY WNER'S MAILING ADDRESS LOT # BLOCK # CITY ST/ATE I ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER , L .tJ s II. TYPE OF BUILDING: Check one CITY NEAREST ROAD ( ) ❑ State Owned VILLAGE S -T7 _ZTr MM NON W: EPARCEL A NUMBER(b) ❑ Public g1 or 2 Fam. Dwelling-# of bedrooms 111. BUILDING USE: (If building type is public, check all that apply) ®3 C7 TV -,Z Oct v S~r47-A 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 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) 1.0 New 2. ® Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.E] 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 Ibl 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 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE f REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION `7 5 ~Z D Feet 7 h Z Feet VII. TANK CAPACITY Site INFORMATION in allons Total # of Prefab. Fiber- Exper. New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed jj&ja 64J Septic Tank or Holdin Tank Lift Pump Tank/Siphon Chamber -47)01 Fj r_1 E] 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's Signature: (No Stamps) LIWMPRSW No.: Business Phone Number: Eic S r4 if G/ 9 /S~ 6 -e13 1 S T Plu is Address (Street, ty, State, Zip C Ae) >C c IX. COUNTY/DEPARTMENT USE ONLY Disapproved Snitary Permit Fee (Includes Groundwater a e ssue issuing ~igemzig No S urcharpe Fee) Approved ❑ OwnerGivenInitial Advers Determination X. GND IONS OF A PRO AL/RE ONS FOR DISAPP V L: w '0 ..vim SBD-839(3 (formerly Plb-87) (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 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 Sanitary Permit Transfer/Renewal Form (SB7 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. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) APPLICATION FOR SANfTARY 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 z-r~lr~ L Location of Property /Lf,!!` 14SL _ Section -29 , T~ N-R~ W Township Aj6, Mailing Address k!( % 6-j , L se ~1 Asp~~ Address of Site J Subdivision Name Lot Number Previous Owner of property .4o e,7, A i4jsT~ y~f7tJ Total Size of Parcel 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 117 3 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 so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPFRTy OWNER CERTIFICATION I (We) centtiby that att statements on thi,a bonm ahe true to the but ob my (oun) knowledge; that I (we) am (are) the owner (.a) o6 the pro penty des ch i.b ed in this inboAmation bonm, by vixtue ob a wwftanty deed teconded in the Obbice ob the County Reg-i,aten ob Deeds as Document No. z ; and that I (We) pnesentty own the proposed site bon the sewage disp~asaZ system (on I (we) have obtained an easement, to nun with the above da n ibed pnopeh ty, bon the conatnuc ti.on ob said system, and the same has been duty %eco&ded in the Obb.ice ob the County Reg.i,aten ob Deeds, as Document No. < 22 ©y2 ) . SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) 5- DATE SIGNED DATE SIGNED QUIT CLAIM DEED DOCUMENT NO. STATE OF WISCONSIN-FOR1I 11 THIS SPACE RESERVED FOR RECORDING DATA 292002 Tins INDENTURE, Made this 113th _ _ day of -_March__ ST. CROIX CO., %VIS. A. n., 19 68 , between Gloria A. _ Kostman Recd fu 11,~,corcl thi : 23rd- day of LrTi-J D.19-bf' P:30 A part Y of the first part and Le Roy Earl Kostman fh,;..h• of it--eds part V of the second part. R E T U R N TO W I t n e s s e t h, That the said part _ y of the first part, for and in consideration Doa r , Drill & Norman of the sutra of -One Dollar and other valuable consideration New Richmond, Wis. 1t oexxs, to her in hand paid by the said party-_--of the second part, the receipt whereof is hereby confessed and acknowledged, ha S given, granted, bargained, sold, remised, released, and quit-claimed, and by these presents do e8 give, grant, bargain, sell, remise, release and quit-claim unto the said part y of the second part, and to his heirs and assigns forever, the III folhatain. described real estate, situated in the County of St. Croix and State of Wisconsin, to-wit: Lots 5, 6, 7 and 8 in Block 8 and Lot 3 and the north three-quarters of Lot 4 in Block 15 of the original plat of the Village of Hersey, St. Croix County, Wisconsin. r. I, it I i I~I I II' t h To Ilave and To hold the same, together with all and singular the appurtenances and privileges thereunto belonging or in anywise thereunto appertaining, and all the estate, right, title, interest and claim whatsoever of the said part y of the first part, either in law or equity, either in possession or expectancy of, to the only profx•r list-, benefit and behoof of the said part y of the second part, n his heirs and assigns forever. I' In Witness Whereof, the said part y of the first part ha s hereunto set her _ hand _ and seal this 18th day of - April A. D., 19 68_ . SI(;NED AND SEALrU IN PRI:SrNCE OF (SEAL) it Gloria A. Ko tman (Sb,AL) Helen A. Mabie ~ (sr Al.) Alex S. Kosa (SEAL) STATE OF WISCONSIN, ST. CROIX Count Personally came bbelom me, rhi: /E? lay of A. I)., 10,6r above named 611111/iy the to me known to he the person who executed the faire ypuwA-in4j ument and acknowledged fe a Alex S £IOTAkY KOScI This instrument drafted by } - r t j c. Notary Public ST . CROIX County; Wis. Doar Drill &Norman Permanent i- _ 114y Commission (Ii«Ptfrs) (Is) - - - v (Section 59.51 (1) of the Wisconsin Statutes provldb tlaF,~~1I,ISygtNtnents to be recorded shall have plainly printed or typewritten thereon the names of the grantors, grantees, witnesses and notary). QlAT CLAIM I)E1:D-STATE OF WISCONSIN. FORMOW, 11 441 Fdcc 473 H z H • a ST,C-=105 r a H SEPTIC TANK MAINTENANCE AGREEMENT Ho St. Croix County z r~ a H OWNER/BUYER ) 7 ROUTE/BOX NUMBER Fire Number .CITY/STATE /p j._S,) ✓ ZIPsyQ.-OV PROPERTY LOCATION:~'k, Sc 4, Sectiono?V , T,20f N, R~C Town of S_P12I AJ6 '995:-, , 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. 14 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. H 0 I/WE, the undersigned, have read the above requirements and agree Cn to maintain the private sewage disposal system in accordance with x H 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 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. o - N •D rn u'1 7 rn CR Q~ r, to x CL 40 ~1pp Cc a v x o_ F 2 N, %A a: - q~ roc N yr' 7U M t, o \ ar W 4 .Y 4 ~ ) ,n ~ r Jo m 5 a ti v\ e c v a rO E or S y V y .t 0 a Q C/i: J J O C y a' o d ~ v .21 CL ~1 b 41 co (D O r V IU d > C ` .n 4 D H . 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C W Q w G 'O N oC d E a _v z w V N A ••y~ N O Y ~ •N ~ r 0 (O J ,y Y J [ . 40 a oL E E uO 40 C U LA (a r Li 3 I^ w ~N 4 v C J O J O .p 1 V• u v O c ` 1 0 O G7 0 •O u u v z P o 41 O u l~ Q (1 v ~ >t 7 , a O ~ o 0 C C 1d i- l ~ 7 . p.~ N v N ro y Q V w y 4040 c v v o - a tE a E o o 40 ce 1141, a D Q [ v r i + 'J o it C yl Q N[ z La 4 C C «7 C: N M yf pA 0 ~ O 0 0-i O U ro Q> ? 9 C T Q - - - - - tr h r fd -41 ; _11 I _ i Q f - - - i i - - 1 I • ~ J ~ItJ ~ 1J 00 J t~ o i X 4 14 ref i c .Q6 A TANK CROSS-SECTION .Approved Weather Proof - Vent Cap Junction Box w 4„ C.I.--► ~ Approved Locking Manhole Cover With Warning Label Attached Vent Pipe Minimum 12 And Padlock Final Grade 4" Minimum _T7 Approved Joint 18" Minimum later Tight--" >eal ; High Water SPECIFICATIONS Alarm Switch 1 TANK New X Existing 1w a7 Approved Joint Manu a~ cturer• - w/,C.I. Pipe Bind C.I. Tank Size: a. ons Extending 3' - ug _ ALARM manufacturer:S Onto Solid Soil ,,J L`Z~2Ci Model Number: Switch Type NUMBER OF BEDROOMS: GALLONS PER DAY: -ioz cl A--F- G`Z " of Bedding Under Tank 3 ~r S Vic) o t= b r Owner's Name: - Address: t" r P C Sizes .2 rr Le a trip ion: - Ste- o1-2 wnsh Municipality: , 4 PLUMBER/DESIGNER Signature: License NLW( It r: a Date: 2_ HEAD/CAPACITY CURVE SEWAGE and DEWATERING 2a~L~ TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE SEWAGE AND DEWATERING SERIES 267 268 282 284 m 2N 295 FT. M Gal. Gal. Gal. Gal. kft. Gal. kft. Gal. Gal. fAm 5 '112 128 128 130 180 1 V- 10 • 8:05 89 89 7 95 158 15 4.57 50 469 50 63 135 tY 130 151 20 5.10 10 : 38 10 33 251 1 119 138 147 25 7.62 76 S88 106 124 138 30 9.14 43 -463 90 108 129 40 12.19 50 74 107 t 50 715.24 31 17 80 60 18.29 50 W 70 21.34 17 w Lock Valve: 21.5' 21.5' 26' 35' 50' 56' 75' V. 4 80 w 75 -22 , 70 0 65 60_ OD L 8 29 55 ,16 50 14 ODE 45 294 M DEL ! 35 ~10 30 M DEL 8 25 O EL 6 20 15 4 10 - __m ODE 2 216 7, 26 5 GALLONS 10 20 30 40' 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 LITERS 0 80e 160 240 320 400 480 560, 840 720 REPT131 SPRINGFIELD ST. CROIX COUNTY ZONING PAGE 1 05/19/92 13:32 REQUESTS FOR INSPECTION WORK SHEETS FOR: 5/19/92 AREA: MJ Activity: A9200191 5/19/92 Type: CONVSEPT Status: PENDING Constr: Address: SPRINGFIELD 28.29.15.555B,NE',SE, 292ND ST. Parcele 034-1084-20-000 Occ: Use: Description: 171427 Applicant: KOSTMAN, LEROY E Phone: Owner: KOSTMAN, LEROY E Phone: Contractor: MYERS, LYLE Phone: Inspection Request Information..... Requestor: LYLE MYERS Phone: Req Time: 14:05 Comments: Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION REPT131 SPRINGFIELD ST. CROIX COUNTY ZONING PAGE 1 05/19/92 13:32 REQUESTS FOR INSPECTION WORK SHEETS FOR: 5/19/92 AREA: MJ SELECTION CRITERIA INSPECTION DATE - 5/19/92 INSPECTOR AREA - MJ REQUESTS SELECTED - 1 I I~