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Parcel 038-1066-50-000 01/06/2006 07:49 AM
PAGE 7 OF 1
Alt. Parcel 16.31.18.286A 038 - TOWN OF STAR PRAIRIE
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 - MOZELEY, WILLIAM E & CINDY J
WILLIAM E & CINDY J MOZELEY
2141 100TH ST
SOMERSET WI 54025
* =
Districts: SC School SP Special Property Address(es): Primary
Type Dist # Description * 2141 100TH ST
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
AVAILABLE
Legal Description: Acres: 10.130 Plat: N/A NOT
SEC 16 T31 N R1 8W PT NW SW N/K/A LOT 1 Block/Condo Bldg:
CSM 8/2228 10.13 AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
16-31 N-1 8W
Notes: Parcel History:
Date Doc # Vol/Page Type
12/19/1997 570161 1283/592 QC
12/19/1997 570160 1283/589 TI
12/19/1997 570160 1282/589 TI
07/23/1997 922/346
more
2005 SUMMARY Bill Fair Market Value: Assessed with:
119120 205,000
Valuations: Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 10.130 72,700 128,800 201,500 NO
Totals for 2005: i
General Property 10.130 72,700 128,800 201,500
Woodland 0.000 0 0
Totals for 2004: '
General Property 10.130 72,700 128,800 201,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 204
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP -V 4LIA'iS
SECTION---/e/c TES/ N-R -22_W. oZS
ADDRESS "T. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT,,LLOT SIZE
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
s ,
1
INDICATE NORTH ARROW
BENCHMARK: Elevation and description: cos/~0-
Alternate benchmark a
SEPTIC TANK:Manufacturer:Liquid Cap. Rings.used:-LManhole cover elev: Final grade elev:
Tank inlet elev.: Tank outlet elev.:
No. of feet from nearest road:Front_.Z , Side , Rear Ft.,f_~9O
From nearest prop. line:Front , Side , Rear, Ft.
No. of feet from: Well Building: (Include this information in the above plot plan)
0 (2 reference dimensions to septic tank)
SEE REVERSE SIDE
1
I
PUMP CHAMBER ,
Manufacturer:_ -Li4uid Capacity:
Pump Model: k2f6- 1,4 Pump/Siphon Manufact..: s Pump size I
Elevation of inlet: Bottom of tank elevation
Pump on elev.:_pump off elev.: Gallons/cycle:
Alarm: Man.: - Switch
Type: Location J
Distance from nearest prop. line: Front_,, Side_,, Rear X Ft.
Distance from: Well Building/
SOIL ABSORPTION SYSTEM - J?~ou,/✓b
Bed: Trench: Seepage Pit:
Width:-Length Number of Lines:--2-Area Built,37~'-
Exist. Grade Elev. Proposed Final Grade Elev.
Fill depth to top of pipe:
No. feet from nearest prop. line:Front
Side,, Rear Ft.,qr,
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
LOCATION: STAR PRARIE 16.31.18.286A,16,NW,SW, 100TH
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor a d H~uman Relations
INSPECTION REPORT ST. CROIX
'safety and Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No.-
INFORMATION 149298
149298
Permit Holder's Name: [I City [I Village] C] Town o : State Plan ID No.:
SORENSON, ROGER D & CINDY J STAR PRAIRIE
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No..
' _:fee 0381066500002
S,z ^A9 0149
TANK INFORMATION ELEVATION PATA
TYPE MANUFACTURER CAPACITY STATION BS HI F ELEV.
i
Septic Benchm
Dosing g0J /
Aerat' n" Bldg. Sewer
Holding St/ bW Inlet
TANK SETBACK INFORMATION 4 St/,Ot Outlet w732'
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake ~Vi• O~
Septic NA Dt Bottom
S ' NA Header / AAarr 6~
>7
Dosing
Aeration NA Dist. Pipe u'
Holding Bot. System
PUMP/ SH*IGN INFORMATION Final Grade
Manufacturer 611C~ ~Bgs Demand ,r, r _ s'f
Model Number GPM
TDH Lift Z,OS Lriction System tPO TDH 11 q6'
It
oss l-ead 1.
Forcemain Length (D/ Dia. 2 Dist. To Well
SOIL ABSORPTION SYSTEM
$E$'/ TRENCH Width / Lengt r No. Of Trenches PIT "f Pits Inside Dia. Liquid Depth
DIMENSIONS
DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/ STREAM LEACHING Manufacturer:
SETBACK
INFORMATION Type CHAMBER Moe er:
System: a ~YrO! >50 OR UNIT
DISTRIBUTION SYSTEM
Header / Manifol Distribution Pipe(s) x Hole Size x Hole Spa ~g Vent To Air Inale
Length i Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Seclded- xx Mulched
No
/Trench Center p~ Aed /Trench Edges - c Topsoil es E] No es El
U Z ~p ~p
COMMENTS: (Include code discrepancies, persons present, etc.)r
C-1 6
-
Plan revision required? C] Yes No
Use other side for additional information. /
SBD-6710 (R 05/91) V" Date Inspector's Signature Cert No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
c~ c~?-~1~~~ ~ ' C~a lido
~'L R SANITARY PERMIT APPLICATION couNTY
In accord with ILHR 83.05, Wis. Adm. Code
STATE SANIT ERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than I 7 a)w
8% x 11 inches in size. ❑ Check If revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPE TY OWNER PROPERTY LOCATION
tl~ "5-e `S '/4, S / T3 , N, R J E (Oro
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
1
CITY. STAT% ZIP CO E PHONE NUMBER SUBDIVISION NAME O CSM NUMBER
I 1 - I( _7
i ell
II. TYPE OF BUILDING: (Check one) CITY NEAREST ROgD
❑ State Owned ❑
10 42
VILLAGE * ❑ Public ®1 or 2 Fam. Dwelling-# of bedrooms -5 PARCE
L AX NUM ER(
111. BUILDING USE: (If building type is public, check all that apply) ---0 a A,,4
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 110 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. tKNew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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 0 Mound 300 Specify Type 41 El Holding Tank
12 El Seepage Trench 22 In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 12. 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
A "I Feet eaieO Feet
VII. TANK CAPACITY Site
in allons Total #of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holdin Tank
Lift Pump Tank/Siphon Chamber A1,1A 0- F1
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumbe 's Name (Print): Plumb 's gnature: (No SFa MP/MPRSW No.: Business Phone Number: I "All
71
P m s Address (Street, City, State, i Code): _
t
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued ing Agent Signatur o Stamps)
rVT e~ Surcharge Fee)
(dJ Approved ❑ Owner Given Initial
( Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary perrnir may be renewed before the expiration date, and at the time of reneiti :l any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All.revisions to the permit must be approved by the permit issuing authority.
4 Changes irr ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (;iBEi 6399) to be
submitted to the county prior to installation.
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be purnped 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 8i2 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)
,t
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
PRIVATE SEWAGE PLAN APPROVAL Western Regional Office
2226 Rose Street
LaCrosse, Wisconsin 54603
KIM A O'CONNELL Owner: ROGER SORENSON
RR1 BOX 105 1821 WINDING TRAIL RD
STAR PRAIRIE WI 54026 NEW RICHMOND WI 54017
RE: Plan Nmber: S92-40139 Date Approved: April 2, 1992
Gallons Per Day: 450 Date Received: April 1, 1992
Project Name: SORENSON, ROGER - RESIDENCE Location: NW,SW,16,31,18W
Town of STAR PRAIRIE County: ST CROIX
The plumbing plans and specifications for this project have been reviewed for
compliance with applicable code requirements. This approval is based on Chapter
145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are
stamped 'conditionally approved'. This approval is contingent upon compliance with
any stipulations shown on the plans. All items that are noted must be corrected.
All permits required by the city, village, township or county shall be obtained
prior to construction. The licensed plumber responsible for this installation
shall keep one set of plans with the department's approval stamp at the
construction site. The installer shall notify the appropriate inspector when
inspections can be made.
This approval will expire two years from the date approved or if a sanitary
permit is obtained, it will expire the day the initial sanitary permit expires.
The Section of Private Sewage has reviewed these plans for private sewage system code
requirements only. These plans have not been reviewed for the code requirements
set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the
Wisconsin Administrative code.
This approval is for the following components only:
- NEW MOUND
Inquiries concerning this approval may be made by calling (608) 785-9348.
Sincerely,
6 ,//4/001J 1.
GERARD M. SWIM
Section of Private Sewage
Division of Safety and Buildings
PPP039/0009n/15
cc: ROGER SORENSON X Private Sewage Consultant
SBD 61231x.01/911
WORKSHEET - MOUND SYSTEM DESIGN
F , PROBLEM
Design a mound system fora
The site characteristics are:
I`
Depth to groundwater or bedrock's ra.*
i
Landslope %
Percolation rate _ rein./in.
Distance from dose chamber to distribution system « ft.
Elevation difference between Dump and distribution systeto ft.
w
Step 1. WASTEWATER LOAD gal.'
Step 2. SIZE THE ABSORPTION AREA
A) Area required S!~ , ~37~~ sq. ft.
B) Bed or trench length (B) ft.
C) Bed or trench width (A) a 'y =rft.
D) Trench spacing (C)
"a Wastewa .er load .24 (3al/ft2/day b r f'~•
Y s treIE eT~ s
Step 3. MOUND HEIGHT
A) Fill depth (D) ft.
Ei Fill depth (E) D + slope (A)+P)'s f+ ft.
C) Bed or trench depth (F) Ift.
D) Cap and topsoil depth (G) ft.
E)J Cap and topsoil depth (H) _ ft.
'r
i
Step 4. MOUND LENGTH
i
A) End slope (K) _ CD + E) + F + H x 3 ft.
2
B) Total mound lengthl~L) = B + ?_(K) Zft.
61
Step 5. MOUND WIDTH
-
Al) Upslope correction factory
' A2) Upslope width (J) (D + F + G)(3)(factor) _ ZS; ft.
B1) Downslope correction factor
B2) Downslope width (I) _ (E + F + G)(3)(factor) _ ft.
Cl) le, ~7 -7
Total mound width (W) for bed = J + A + I ft.
C2) Total mound width (W) for trenches =
,r
J + + (no. trenches -1) (c) + A + I_ „3 f*_.
Step 5. BASAL AREA
A) Infiltrative capacity of natural soil gal./ft214ay
B) Basal area required = wastewater flow
natural soil infiltrative capacity 4~0,flj sq. ft.
C1) Basal area available for bed for sloping sites
B x (A + I) _ .N~i... sq. ft.
+1
C2) Bas are avail le for trench for sloping sites ■
Bx FW J + A
1 = sq. ft.
J
j C3) Basal area available for trench or bed for level
sit s = x W = sq. ft.
LZ,
Li-ccnse
,t
Step 7. DISTRIBUTION SYSTEM
7A) SIZE DISTRIBUTION SYSTEM
1) Hole size = in.
2) Hole spacing in.
3) Distribution pipe length in.
4) Distribution pipe diameter in.
5) Spacing between distribution pipes = l> in.
6) Distance from sidewall to distribution, pipe ~ in.
7B) DISTRIBUTION PIPE DISCHARGE RATE ft.
1) Number of holes per pipe • ,
2) Flow per pipe L. GPM
i
7C) SIZE MANIFOLD
1) Manifold is central/ end
2) Manifold length a ft.
a_
3) Number of distribution lines
4) Manifold diameter - in.
I 7D) SIZE FORCE MAIN
1 ~ r
1) Minimum dosing rate = GPM
2) Force main diameter = in.
3 Friction loss ft.
7E) TOTAL. DYNAMIC HEAD
1) Vertical lift = ft.
2) Friction loss l.: ft.
3) System head 2.5 ft. ft.
4) ~otal dynamic head f t .
Ucerge
gape- y oi' /d
. i
7F) PUPIP SELECTION
1) Pump selected will discharge; GPM at .f_ ft.
total dynamic head.
2) Pump model and manufacturer
I
7G) DOSE VOLUME
1) 10 times void volume of distribution lines gal./cycle
2) Daily waste ater lurpe 4 doses/24 hrs. &,Z-~° gal./cycle
3) Minimum dose volume gal./cycle
574" 9
-J
7H) DOSE CHAMBER
1) Minimum capacity required gal.
i
.
License .;11:::_ `
Date:_,
9-
f'"
/u,;o `mot:}~,e~, kil'</✓.r /GM,
ONSITE SEWAGE
A IIFIU
R IOi~S
PI Ar'
CEFARTNKHT OF iNiIUSTRY. LAIR D AND
GS
!VISION OF
f
SEE Cow
r'
the do vnstope edgo of the
,,Is area 25 ft. below ,In undisturbed
Sot, Absorption System must mm
2121 1'
Page -vl-Of LQ
• ~c (=tom ~ c^~~~-~scJ.;
Straw, Marsh Hay, Or
Synthetic Covering
Distribution Pipe
Medium Sand
c
r ,
Topsoil - ~
_ I
%o Slope
Bed Of 2'- 2 %2 Force Main Plowed
Aggregate Layer
D /,D Ft.
E Ft.
Cross Section Of A Mound System Using
'A Bed For The Absorption Area F ,83 Ft.
G , p Ft.
A ~ Ft. H Ft.
Signed: - .13 c r Ft.
License Number: ~?S9' K Ft.
Date: ' L Ft.
29r>>2 Ft.
Alternate Position /D R Ft.
of
Force Main W3 Ft.
L
S Observation Pipe
g ~ K
i
1TE SEWAGE SYSYEM \ Force Main
W pNS
Distribution. U
2
Pipe NWIhV%
P
p,Np HUMAN RE1.AT10
I
Observation ip INDUSTRY, rkers
0EPARTtv1lrNS V SIGN QF
SEE CORRE
Plan View Of Mound Using A Bed For The Absorption Area
Page 7 4
Perforated Pipe Detail
n
End View
Perforated
End Gap PVC Pipe
j Holes Located On Bottom,
Are Equally Spoced
t
J
X
,Qrna
a,
r
~
r~("~ A,5 rbG'fio~9
E
Last Hole Should Be
Next To End Cop
i
Distribution Pipe Layout
P Ft.
R
S 9
X Inches
Y ZO Inches
Signed: Hole Diameter ► Inch
Lateral Inch(
License Plumb r
QNSITSEV1t - Manifold Inches
Date: Force Main InC)IJ.5
v ` iOna # of holes/pipe g
A lftw%mft 0
IMF VhW Invert Elevation of Laterals ,8 Ft.
RELATIONS
DEPARTMENT OF INDUSTRY, LABOR AND WIAMAN NGS
I ION OFfSAFETY
/r Ma"
SEE CORRE E E
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PAGE L OF
A PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS
)C/r'N 41til'
VENT GAP
'i"C.I. VENT PIPE •
WEATHER PROOF APPROVED LOCKING
JUNCTION BOX MANHOLE COVER
25' FRCM DOOR,
WINDOW OR FRESH 12"MIU.
AIR INTAKE
GRADE. I
y"MIN.
18"MIU.
*tTjw
is•ntl`I. ONSITE SEWA
L ~ III
INLET F
r-T ~ ROvt _T A r
APPROVED JOINT A , I.ASpR AND HU" RELATIONS I III APPROVED JOIWTS
W~C.I. PIPE DEPARTMENT OF hlDUSTRY ~ I III W/C.I. PIPE
IMSIQN I II EXTENDING S
EXTENDING 3' ALARM
ONTO SOLID SOIL BE i II ONTO SOLID SOIL:
I
GN
C
~u~r<P car F ~ i.>~U . = ~frv . ~ _ _ 1
• PUMP OFF
D
CONCRETE BLOC4t
RISER EXIT PERMITTED ONLY IF TANK MAULWACTURER HAS SUCH APPROVAL
SPECIFICATIOPIS
EP-('IC AND
SE TANKS MANUFACTURER: NUMBER OF DOSES: PER DAJ.
TAWK% 'JZE : .SLLI ' GALLONS DOSE VOLUME: GALLONS
ALARM MANUFACTURER: ~.~..//,~GiX"+ ~ CAPACITIES: A= 2j _IUCRES OR S/GALLOUS
MODEL NUMBER: 1~/ ~~L~ B= INCHES OR GALLON5
.SWITCH TYPE: C= IWCHES OR-~~ GALLOUS
PUMP MANUFACT LIRE R: (v ~u/a/s` D= INCHES OR Sr~GALLOUS
MODEL NUMBER: k - Gt-l=r7_ f~~. NOTE: PUMP AND ALARM ARE TO BE
bWITCH T9PE:INSTALLED ON SEPARATE CIRCUITS
PUMP DISCHARGE. RATES GPM
VERTICAL. DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. l FEET
+ MINIMUM NETWORK SUPPLY PRESSURE . 2.5 FEET
+ 111,C- FEET OF FORCE MAIN X _-_lJ_FYopxFRICTI0M FACTOR.. Z, FEET
TOTAL DYNAMIC. HEAD = FEET
11ITERNAI. DIME SIONS OF TAAIK: ENGTH ;WIDTH -;LIQUID DEPTH
SIGNED: - - LICENSE NUMBER: ~ ~ 2~ / DATE:--l-L2
UD11J~:RSIDL.E clL,~'~w.
1 t
GtJLDS S
lY
DY t
7
I 1+41 r~ y.,.. y•~~ F
EF NT PUMPS .
t SgWAGE AND Vi/
won= t • • LGi
P~ r
EPQ311
6 LIST DISC.
1 x <
1/2" solids 256.80 172.10
t~4:r~r1, 41t ' =YPFP0311 142 EP0311 115 V Effluent Pimp
r
anYryy~ Submersible . t
MODEL EP0311
Effluent:, Pump .
r r r`~rt1'~ MEreRSeT SIZE '/a" SOLIDS
,ti ..5. 25
I~ik it~." 1 t t
1 aC. A?.7
N a,yt~ 4 i~1L ~ i
5 v
s .4~yY t ! ' ''a
V. 7
~+'~w_31.7j'~~ ~,i, rr~' `(•.kf . aG.Fr~,
a y G GO 4 e 12 10 20 21" 28 32 36 40.
GPM
p 2.5 5.0 7.5
CAPACITY
r
Performance
Curve 3885
zap.. ~'9;.~,/E[T
ff,,,,,, M[7E/1f
MODEL 3885
SIZE 3/40 Solid
f7~ ~4 r
~t~'r ~ A~ j ~ >D I
WE07M-
T4
~r•#1 y s 16 !0
Cu ff b WEMH
~ L
10
00 wco>l-'
• 1- - - ' -7
t a'K 10
N"t4" 0 00 10 00 JO '0 . 60 60 70' 60 00 100 110 100 OPY
$x"'• i
yti.,•,~ '
s r
4 + 4 • 0, CAPACITY
4 LIST DISC.
4 :"G it
+ 491 .55 329.35
~ cloUR.E0311I. 142 trEO311L 1/3 HP 115 V Law H 3/4' solids
; r r 3/4" solids 491 .55 329.35 '
•.Ard"r+1 O~l7t+'E0311M 142 W£031 1M 1/3 HP 115 V tbcl H' ',t wr
3/4' oolida 704.25 '471.85 r;
Vii' 41. y11 (XA1PKi0S11H 142 WEOSIIH .1/2 1ip 115 V High H
L * ,r , 3/4" solids 84).65 565.25
p~t7FhE07121i 142 V401i2H 3/4.t~ 230 V High W. z _
, 'r yas U.* ='.FOI.GCWjW, PAC£ FM PERFCFII- ~ AND SPECIFICATIONS. "f
DEhT 30 PAGE D7u
si ' DAZ 10/68
I)EPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILOIN(
INDUSTRY, 1 DIVISION
P.O. BOX 7969
LABOR,AND PERCOLATION. TESTS (115) MADISON, WI 53707
-FIUMAN RELATIONS
(H63.090) & Chapter 145.045)
LOCATION: E ION. TOWNS HIP/M WPAMNI-k Y: LOT NO.: JBNO.: SUBDIVISION NAME:
NW W 1/4 16 . /T31 N/R 181 (or) W Star Prarie 1 n/a n/a
COUNTY: OWNER B ME: MAILI ADDRESS:
St. Croix James Raboin jr. 2107 100th.st., New Richmond, Wi. 54017
USE DATES OBSERVATIONS MADE
NO. OR : COMMERCIAL DESC 10 I ROFI NS: 1PERCOLATION T :
)9*esidence 3 n/a 4ew OReplace 4-26-90 4-27-90
RATING: S- Site suitable for system U- Site unsuitable for system
ro ONVENT NAllL: OOU~UNrrD: IN-L HOLDING TTAANK: RECOMMENDED SYSTEM:loptional)
S Qe lid ❑U ❑ S gU ❑ S ❑ S IN mound
If Percolation Tests are NOT required DESIGN RATE: II any portion of the tested area is in the
under s.H63.09(5)(b), indicate: n/8 Floodplain, indicate Floodplain elevation: n/a
decimal' PROFILE DESCRIPTIONS page 11 AmC2
BORING TOTAL DEPTH TO GROUNDWATER-INCH ES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH ELEVATION gSERVED 1 H TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B_ 1 5.74 100.38 none >5.74 .58b1.1. 2.58bn.s.1. 1.25bn.hard s.l. 1.33bn.s.1.
B- 2 5.24 100.38 none 2.41 .58b1.1. .58bn.s.si1. 1.25bn.s.l. 2.83bnmot. S.1.
B 3 5.25 98.92 none 3.25 .75b1.1. 1.08bn.s.sil. 1.42bn.s.1. 2.00bn. mot. s.l.
B-
B-
B-
decimal' PERCOLATION TESTS
TEST ~~~~ppT~}}II~ WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER 7SJ~Gi 4 AFTER SWELLING INTERVAL-MIN. Rl~i_ P t~l PER INCH
P. 1- none 13/4 Z 2 2.00 P• 2 _27 U none JU 314 518 518 48
p. none 30 21-4 2 2 15
P•
P-
0
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori
7ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all horings and the direction and perrent
nt land slope.
SYSTEM ELEVATION 101.38
5,~q ICI= pi ri-oKc-,c- e o c' ' z
IlN
1, Ihr, undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and me,lltods specified in the Wrscnmin
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 4-27-90 _
ADDRESS. CERTIFICATION NUMBER f988 N. Shore Dr., New Richmond, Wi. 54017 2298 7157246-6200
CST SIGNAL g /l
a., v Q
DIST IIIHUTION: Ornl,nal artrl...w toov to Local Aulho,ny, Property O,vn^r and Still Tesler
'M "Jill I:ar., Ill OVr H
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
4--ABOR AND PERCOLATION TESTS (115) MADISON, W 7969
HUMAN RELATIONS
(H63.090) & Chapter 145.045)
LOCATION: SECTION: TOWNS HIP/M Y: LOT NO.: BLK. NO.: SUBDIVISION NAME:
NW 1/fW 1/4 16 /T31 N/R 181 (or) W Star Prarie 1 n/a n/a
COUNTY: OWNER'S/B ME: MAILING ADDRESS:
St. Croix James Raboin jr. 12107 100th.st., New Richmond, Wi. 54017
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS:
F~~esidence 3 n/a 363iVew ❑Replace 14-26-90 4-27-90 11 RATING: S= Site suitable for system U= Site unsuitable for system
tLL HOLDING TANK: RECOMMENDED SYSTEM:(optional)
CONVENT ONAL: MOUNrD: CN -G ROUND R ~U S IN-FI
❑ S 991 C-~ ❑ E] S gd I S tau ❑ S ~ mound If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s.H63.09(5)1b1, indicate: n/a I Floodplain, indicate Floodplain elevation: n/a
decimal' PROFILE DESCRIPTIONS page 11 AmC2
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH ELEVATION OBSERVED ES HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B. 1 5.74 100.38 none >5.74 .58bl.1. 2.58bn.s.l. 1.25bn.hard s.l. 1.33bn.s.l.
B 2 5.24 100.38 none 2.41 .58bl.1. .58bn.s.sil. 1.25bn.s.l. 2.83bnmot. s.l.
B 3 5.25 98.92 none 3.25 .75bl.1. 1.08bn.s.sil. 1.42bn.s.l. 2.00bn. mot. s.l.
B-
B-
13-
decimal' PERCOLATION TESTS
TEST ~~~~J~~~~~J}iI" WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER 747UIFfE25 AFTER SWELLING INTERVAL-MIN. PERIOD t PERIOD P PER INCH
2. 00 none 13/4 1 z z 20
P
P- -T .-Off none 30 314 518 518 48
PP.3 Z.UU none 30 V4 2 2 1)
P.
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION 101.38
iq3
S bal
~~u4Sk' ~ aj ~4,
® I,k
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 4-27-90
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (option;],).
988 N. Shore Dr. New Richmond Wi. 54017 2298 715 46-6200
CST SIGNAT / -
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DIL.HR SBD-6395 (R. 02/82) - OVER -
ST. CROIX COUNTY
^"r
~Y
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
` 911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
Mar. 16, 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 James Raboin Jr. property,
located in Sec. 16, T31N-R18W, Town of Star Prairie, St. Croix
County. This onsite revealed suitable soils at a depth of 29"
requiring 12" of sand fill beneath the mound.
Should you have any questions, please feel free to contact this
office.
Sj cerely,
James K. Thompson
Assistant Zoning Administrator
js
03 S p e~~ .Scsa~ 0~'~7- 3SS8
J
Volume 5, Page 1314
66, East-west 1/4 line of Section 16
(Recorded as S89041108"E, 668.851) v
N8904110811W 668,84'
635. 84 ,
33.00' so
N M ~
C) Co
C~ C; LOT I C
cD c0
1.0 LD LD
441, 208;SSq. Ft.
10.13 Acres Including R/W
! ~.,1 I 417,933 Sq.. Ft.
_ wf 9.59 Acres-Excluding R/W. o
N LOT 1
C CO to 441, 208 5q. Ft.
0 N 10.13 Acres Including R/W
N
M 417,933 Sq. Ft. M
v~ M 9.59 Acres Excluding R/W
ri
N890531 32"W 668. 75' 57' w
Co 6 3 1 . 31 ' _7
w ° 3 7. 4 4' v
Z (fj 3. T ° -1. {c 0) -10(1) • °.fTIC7-+~ =a0;>'8 " QC} 0-4 ~ m xmDCwamal
m Anrm° h=OCx~
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R.
91 DATA PROCESSING
SEPTIC TANK MAINTENANCE AGREEMENT ~
St. Croix County N
a~
OWNER/BUYER ri
. r-
0
ROUTE/t'OX NUMBER Fire Number o
d
6EJ /Gry'n..F~+~ q '
CITY/,STATE ZIP
PROPERTY LOCATION: Section N
Town of St. Croix County,
Subdivision_ Lot number a
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes., Prover maintenance con-
sists of pumping out the septic tank every three years or sooner,
if needed, by a licens'ed' 's'ep t'iF, tank um er. What you put into
the system can a ect t e'.unct on o• t e •s-eptic tank as a treat-
ment'stage in the waste disposal system.
St. Croix Count residents maybe eligible to recieve 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 'sys't'ems agree to keep their system properly
maintained.
The property owner agrees to.submit to St.. Croix County Zoning a
certification form, signed by the owner and by a mater 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
I/WE, the undersigned have read the above requirements and agree 0
to maintain the private sewage disposal system in accordance with d
the standards set forth, herein, asset by the Wisconsin Depart- ar
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
911 4th St.
Hudson, WI 54016
386-4680
Sign, date and return to the above address.
APPLICATIONFOR SANITARY PERMIT
9TC-100
This application form is to be completer] in full and signed by the owner(,') of
the property being developed. - Any Inadequacies will only result in delays of
the patmlt Issuance. -Should this development be Intended for resale by
owner/contractoti(spec houae)p then a second form should be retained and
completed when tha property Is sold and submitted to this office with the
appropriate deed recording.
,Owner of property ~L-1 z,l 6
Locatlon of property ~1/4 SGj 1/!, section
Township _ f _"r
Mailing address /RQ/ '6 k'i""Jg 7,a.~
Address of site
Subdivision nasH_
Lot number
Previous owner of property
Total site of parcel ~f1,2 t;
Date parcel was created
I
Are all cornets and lot 11nes ldentlflable? s■ No
If this property being developed for resale (spec house)? Yes Mo
Volume nd Page Number as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION TII>: FOLLOWINC:
A WARRANTY DIND which Includes a DOCUMRHT NtrHBUR, VOLUHS AND PAGR NUHa[R, and
the $SAL OF THE RSOISTRR OF DERDS. In addition, a certified survey, it
avallable, would be helpful so as to avoid delays of the reviewing process. If
the deed description references to a Ceitlfled Survey )tap, the Certified Survey
Map shall also be required.
7---------------------
PROPBRTY OWNER CERTIFICATION
I(ve) certify that all statements on this form are true to the best of my (out)
knovledgel that I (we) am (ate) the owner(s) of the property described In
this information form, by virtue of a warranty ,cy red ec cried In the Office of
the County Register of Deeds as Document No. 'Y7S~R~% I and that I (We)
presently own the proposed alto for the sewage disposal system (or I (we) have
obtained an easement, to run with the above described property, for the
construction of sold pystem, and the same has boon duly recorded In the office
of t e County Register of Deedss as Document No.
ature o Owner SIgna
t f Co-Owner (If Applicable)
C." 01
a~~ _ 6
3 ay ?2-
Date o signature Date of Signature
DOCUMENT NO. w r TNI. MACS IK.Snvso Von IIICDIIDINe DATA' l X
STATE BAjLOF WISCONSIN FORK 2-IM
4'75684 VOL pp .7UPOit 346
REGI$TER'$ ia
.JamesM, Raboin,. Jr. ST. CMIX CO., WI
R'd for Remd
of NOV13 1991
L11:30 A. M_
conveys and warrants to Roger _..D $o.rensgn . and Cindy J • I V
Sorenson, husband..and_.Wif.e._. ~aloftOFDDash
I
the following Ae:utlbed real estate in St. Croix
. ...County,
i
i~ State of Wisconsin:
~ Tax Parcel No:
Part of the NWk of SA of Section 16, Township 31 North,
Range 18 West, St. Croix County, Wisconsin described as
li follows: Lot 1 of Certified Survey Map filed June 21, 1990
in Vol. 8, Page 2228, Doc. No. 459776.
!j
I
is riot hnn,natead hmhert•:
(is) (is I t)
r: e,t,rnr, t,. - arra.. tie, easement.: rr :,crl: in:: ri:~ht : ~f-v.uy
o:' record,
Ih:le, I ti day of iIOVeiII;;.- 19>1 I.; Y A L) ~S EA L,
~ames M. Raboin, Jr .V
(SEAL) ISEA1.)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) James tn. Raboin, Jr. STATE; OY WISCONSIN
O V emb er ] (bunts.
tuthenticat Ahia - day of 19 1 r r" •wlly canoe be'nre Inc this day of
__/..r/ Z r~IL C'L 1:1 the above named
Kristina Orland Lundeen
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by ; 706.06, Wis. Stat.,,)
la mr, kn•c r. M be the pi-olt wbu ew"cuted the
C.,n:_inr n_I..,nu•nt ^il ark no~clodrr Ilu• x.un.
-insraumcnn was nrenr~eo nv
rl 1, 1 nn
)Sign❑U; m.. ,t' he .nitlr Ilr.,tcJ r aekl ~clyd..n It,dh VIc r',,,, t i.. I! nnl a.U. o~1 r:t un
are not o ~s:vy.I 19 .1
dut,-
•N.- .f n, r-,.. ,n i,-, i...WARRANTY DEED STATE. DAR OF WISfONSIN Wisconsin Legal Blank Co. Inc.
FORM N., ■ I~s2 Mowaukee. Wlscoruan