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HomeMy WebLinkAbout038-1071-70-000 o o I 0o O v I ~ I r~ N cC y U x O ai Oo Q U C > `C o I om E O Q i C) CC U o Z ` O C LL c C O N ~ = U Z7 co O B O O Q N 00 I M W z m z 0 1 v .9 L z L v a op N C C7 0 C Z ::!~r d Z V' ~ ~ rn F- N N 0 o I N © z z N o L N . m _ w c 06 CL m o o a o a ~y ~ O O O d m •rv -a a a a a N g U N M o us E N v, _5 U 0 o rn o o } co lrry N N r y O U 1 N r` UJ p O LO -C CJ rn y m 4 m I C o (D O O 3 N N C p Q C C (O (O O O L~ O O T o o U p y T.i F- N C J a s C N_ -C In r` 00 U C o o N O C) w F- CD `r °b M m o m E E U ►w ate' o to o `n i~3 ~3 n E m o xt a ` a w r~ c~ £ tU 2 m y 7 ~ o m o I 03 ovi m a m c d 4 00 V ° I h s ~ pq v s ~ -0 I y > s co h I I t N v CD O a o d I ~ p Q N I O a ~ Z E Z = O Z I m m I CL m o O Z a m Z c Z E -2 ch I ~ I 0: c C O O Z Z w z N N 0 J d C a ~g O y m m` ~ m g m rA 0 ra co LO E j 3 3 f E if m It 0 0 0 Z •N LnIL CL CL CL 7 p N N Cl) N J V 12 O2 O? Z M E M 00 0 _ 0 N m co C a V1 g Q Z cn ca li L.i" C I C 7 y 0 ~j O O 3 O cc C V 40. p~ N W O 2 tm m z a M L H Ob ` w lOn r N 'p C O M O Z- Z cn • iii O fn ) at t~ I V ~ I € I 3 3c a a • 0 a m u m ii. E ` c c U IL N V c Parcel 038-1071-70-000 08/11/2005 09:46 AM PAGE 1 OF 1 Alt. Parcel M 17.31.18.299A 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 - WOLF, ERIC LYNN ERIC LYNN WOLF 2167 90TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 2167 90TH ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE SEC 17 T31 N R1 8W N 1/2 SW NW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 40 1 /4 160 1/4) 17-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 05/21/1999 603568 1428/231 QC 07/23/1997 896/350 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 20.000 122,000 159,000 281,000 NO Totals for 2005: General Property 20.000 122,000 159,000 281,000 Woodland 0.000 0 0 Totals for 2004: General Property 20.000 122,000 159,000 281,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 137 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 t AS BUILT SANITARY SYSTEM REPORT OWNER_ TOWNSHIP ~/ar O ~`ac p ~ ~ SECTION T~N-R~ W ~DADDRESS ~ ` / G•-`o ~X ;~/j ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 71 sfc~c~r-% c ~S" r of c 7?' ~ 4&4 16 f J~ ~av IND CATE NORTH ARROW t BENCHKARK:Elevation and description: Alternate benchmark SEPTIC TANK: Manufacturer:~ e~ Liquid Cap. Rings used: 3 Manhole cover elev:/® - 75Final grade elev: /e.Z Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road:Front , Side- Rear Ft.~ From nearest prop. line:Front , Side , Rear _Z Ft. -1~5T e'-72 1 ,7 / No. of feet from: Well zvd C~cll, Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: v WiniU~jp/Siphon Manuf act. Z-e~llr Pump Size Elevation of inlet: --`Bottom of tank elevation f,!- Pump on elev.: A57,~P'ummp off elev.:A : allons/cycle: Alarm: Man.: v Switch Type: filer- ocation Distance from nearest J prop. line: Front_, Side-, Rear,2LFt. / Distance from: Well L ~ ~ [ Building SOIL ABSORPTIODN,,SYSTEIrI J~~ G ~ `t ✓ s ~ ~ ' Bed: X Trench: Seepage Pit: G Width: Length / Number of Lines:- C27- Area Built +4~go' Exist. Grade Elev. Proposed Final Grade Elev. /O,'?, I, Fill depth to top of pipe: No. feet from nearest prop. line:Front , Side , Rear-,X--Ft.2.._5~ No. feet from well: No. feet from building- D HOLDING TANK e 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: 4el"g42:~2 LICENSE NUMBER: ?J l 6/90:cj L >~~rs~r, dartt~r fIrt~d' r IE 17.31. 8.2gg SW BE 90TH ST. PVIVATE S~WdGE tSYSTEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 171509 Permit Holder's Name: ❑ City ❑ Village Ijj Town of: State Plan ID No.: N STAR PRAIRIE CST B Elev.: Insp. BM Elev.: , B M Description: Parcel Tax No.: A 3 &:O eld - Q 038-1071-70-000 TANK INFORMATION ELEVATION DATA A9200271 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St/FR Inlet p 90',(05 TANK SETBACK INFORMATION St/W Outlet a 3(p~ II .Z TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet ' Air Intake (0 3/ ~a Septic 0 Z Z NA Dt Bottom Dosing yG~ 0 NA Header r. z-7 Aeration NA Dist. Pipe /g, Holding Bot. System -Zd Zoo. a PUMP/ SIGN INFORMATION Final Grade Manufacturer s Demand D, Model Number -tk- 63 GPM e. ~'3 Ool TDH Lift LJ.'19~ Friction a(p System TDHg,'-15~Ft Loss Forcemain Length n, H 1, Dist. To Well l~ SOIL ABSORPTION SYSTEM BED/TRENCH Width @@ Leng No. Of Trenches PIT Inside Dia. Liquid Depth DIMENSIONS U 7 DIM I N SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING nufacturer: SETBACK CHAMBER INFORMATION -Ty-Pe-OT- Model Num System:MdA-^X 7 f S-d A4- IVIr OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x HolgSi e Ix Hole Spacing Vent To Air Intake ~~J / ~ tf s Length ('7 Dia. 2 Length-23 Dia. ./-*Spacing ~ OI V x Pressure Systems Only xx Mound Or At-Grade Systems Only p bve Depth Over xx Depth Of xx Seeded / xx Mulched Bed / T#Center ,1 Bed /3Y+7a~ti Edges Topsoil es ❑ No es ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) (,r-14/f~~~~ ll~ 4>- Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05191) Date Inspector's Signature Cert No. ADDITIONAL COMMENTS AND SKETCH e ' SANITARY PERMIT NUMBER: s fl b ~°-SANITARY PERMIT APPLICATION DI.HR In accord with ILHR 83.05, Wis. Adm. Code COUNTY _ STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than El ~a 8% x 11 inches in size. chk f e onto evious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER qc"o 71? +/rrA 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER i PROPERTY LOCATION ` fzd '/a S T , N, R E (o PROPERTY OWNER'S MAILING ADDRESS t , 141 LOT # BLOCK # CITY, STA ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER a 04-Z _0 ITY IL TYPE OF BUILDING: (Check one) El State Owned VILLAGE - a~ r h NEAREST ROA © S ❑ Public 1 or 2 Fam. Dwelling- # of bedrooms I/- PARCEL TAX NUMBER(S) 9Y~ - b3z~ - io 7- ~ III. BUILDING USE: (If building type is public, check all that apply) 01 17 ep mo - 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. New 2. ❑ Replacement 3. El Replacement of 4. ❑ Reconnection of 5. El 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 ZMOUnd 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 415-0 3 i3; 7.,g - Feet - Feet VII. TANK CAPACITY Site INFORMATION in allons Total # of Prefab. Fiber- Exper. New istin Gallons Tanks Manufacturer's Name Concret Con- Steel glass Plastic App. Tanks Tanks structed Septic Tank or Holding Tank Lift Pump Tank/Siphon Chamber tYf1 I El El I El 1 11 1 M VIII. RESPONSIBILITY STAT MENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. I ( Plumber' me (Print): i Plumber's ture: (No Stamp MP/MPRSW No.: Business Phone Number: "~.0011/ Plumb; ' Address (Street, City tats, Zip Code): IX. COUNTY/D PARTMENT USE ONLY ❑ Disapproved San tary Permit Fee (Incl es GrounAwater Date Issued Issuing Ag nt SI re (No Stf%W Approved ❑ Owner Given Initial Surcharge Fee) 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. N_A.saNtgry-permit is valid for two (2) years. 2. Your-sanitar r 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. 4.;' `Aid revisions4to this permit must be approved by the permit issuing authority. 4. ~CKh'es i'6 ownership or plumber requires a'Sanitary Permit Transfer/Renewal Form (SBD 6399) to be 'submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The. septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608,26673815. 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. Chddk orily 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) s(91,test data on a 115 form; and F) all sizing information, _ GROUNDWA'T'ER 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. .t SBD-6398 (R.11/88) 1/~4 ~ fic:t 1 ADDRESS',", 1/41S /T ~MPRS 7 N/R/~ VN TOWN r rye iri UNT Gyro Bird Jr. 3318 DATE ~BEDR00Q CLASS PERC CONVENTIONAL_ IN-G U CONVENTIONAL LIFT MOUND HO ING TANK ND PRESSURE SEPTIC TANK SIZE LIFT TANK SIZE 0 7 9 DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION AREA .401 - .g PERC RATE _,z_ BED SIZE -s ' Benchmark V.R.P. Assume Elevation 100, Location of Benchmark H. R. P. - 0 Borehole Q Well Scale Feet 0 Perc Hole / System Elevation a ~e ~l T 41 1 z, ell I/V1.1 I ~O o _ L - ~/~eZ v / 3 f"° y sb ~ t de a ~ Ply ~ p~O 2s' ~ .AGE SVS~' I t~ S • N X10 E~ HUMPNR Spy PNO 1NC,S At, rc^S pF pF SP Ole- b 1,..r• 3 - OPTIONAL WORKSHEET Y /4 ~-Z t. MOUND SYSTEM II. IN-GROUND PRESSURE SYSTEM-Continued- a$,D$ 1. Wastewater Load, Total Daily Flow gal. 10. Force Main: Use section H 63.15 (3) (c), Wis. Minimum Dosing Rate = " ~Qg Adm. Code aPROVIDE A DETAILED Diameter - JAM, LIST OF SIZING ON PLANS. 11. Total Dynamic Head. 2. Depth to Limiting Factor = l_ System Head = 2.5 ft. 3. Landslope = % Vertical Lift = fL 4. Distance from Dose Chamber to Friction Loss = -~--7 ft. Distribution System - ~ ft. TDH ft. 5. Elevation Difference Between 12. Pump Selection: Pump and Distribution System = ft. Pump will discharge at least g p m 6. Absorption Area Sizing: 2~ n at A If ft. total dynamic head. / Area Required sq. ft. Pump model and manufacturer: _zA -e Bed or Trench Length (B) = ft. Bed or Trench Width (A) _ ft. 13. Dose Volume: Trench Spacing (C) ft. 10 Times Void Volume of 7. Mound Height: Distribution Lines= gal. ` Fill Depth (D) _ ft. Daily Wastewater Volume r f~ Fill Depth Downslope (E) _ ft. 4 Doses in 24 hrs. = gal• Bed or Trench Depth (F) _ 1 ft. Backflow = 3 - aZ 77 Fal• Cap and Topsoil Depth (G) _ ft. Minimum Dose = -2`gal• Cap and Topsoil Depth (H) = ft. 14. Dose Chamber: 8. Mound Length: Volume = 0 gal. End Slope (K) - ft. Total Mound Ler th (L) ft. OK III. CONVENTIONAL PRIVATE SEWAGE SYSTEM . 9. Mound Width: a ? 1. Wastewater Load, Total Daily Flow = gal. Upslope Correction Factor = Use section H 63.15 (3) (c), Wis. Adm. Code and PROVIDE DETAILED U sloPe Width (1) - P Downslope Correction Factor = /•b LIST OF SIZING ON PLANS. Downsto a Width I = ft. . 2. Required Septic Tank Capacity - gal. _ 3. Percolation Rate min./t Total Mound ( ) ~ a- ft.oK Width W 10. Basal Area: 4. Absorption Area Sizing: Infiltrative Capacity of Refer to Table 2 in chapter H 63 Natural Soil = gal./sq.ft./da..~~ and PROVIDE A DETAILED LIST OF Basal Area Required = sq. ft. SIZING ON PLANS. Basal Area Available = rL-101~ sq. ft. Required Area = sq. ft. 11. If Standard Tables from Chapter Length = ft. H 63 are Used, Indicate Table No. Width = ft. 12. For the Distribution Network, Use Numbers 5-14 in Section 11. Number of Trenches = Trench Spacing = ft. II. IN-GROUND PRESSURE SYSTEM S. Distribution System: 1. Depth to Limiting Factor = ft. Lateral Length = ft. 2. Landslope = % Number of Laterals= min./in. Lateral Spacing = In. 3. Percolation Rate - 4. Proposed System Elevation = ft. Distance from Sidewall to Pipe in. - - f t• 5. Wastewater Load, Total Dally Flow. gal. System Elevation Use section H 63.15 (3) (c), Wis. Adm. Code and PROVIDE A DETAILED IV. SYSTEM-IN-FILL LIST OF SIZING ON PLANS. Fill in All Items from Section III Required Septic Tank Capacity = gal. 6. Absorption Area Sizing: V. SEPTIC TANK / Percolation Rate = min./in. 1. Capacity = gal. 141- Area Required = sq. ft. 2. Manufacturer: l y t- e System Length = ft. 3. Show Site Constructed Tank Details on Plan System Width = ft. 7. Distribution Pipe Sizing: VI. DOSING TANK Hole Size = in. 1. Capacity = gal. Hole Spacing = ft. 2. Manufacturer. Lateral Length - I'll. 3. Pump Manulacturer. La feral Si/.c in. 4. Pump Model: Lalcral Spacing fl. 5. Operating Head= ft. Uislance from Sidewall•lo Pipe in. 0. Flow Rate= gpm. 8. Distribution Pipe Discharge Rale: 7. Show Site Constructed Tank Details on Plans Number of Iloles Per Pipe I low Per Pipe 7d gpm. V11. HOLDING TANK 1. Capacity = gal. 9. Manifold Siting: Type (center or ond) ~QY^ 2. Manufaclurer: Length = it. 3. Show Site Constructed Tank Details on Plans Diameter = in. ® 6-1 -SHOW ALL INFORMATION ON PLANS- DILHR SBD-6761 (R.03/82) YSI'I J 1. r'„ i q~ 4,~, i.. :y ,`Y,71eJ,. ,;,ice, ~ iC1 w~ ✓ i F ~i ~ h4ml'o jog -R Page Of Straw, Marsh Hay, Or Synthetic ` Covering Distribution ` Pipe Medium Sand H Topsoil IN" F %4' Slope_ Bed Of 2 ? Force Main Plowed Aggregate ' --From Pump Layer D / Ft. Cross Section OU A Mound System Using E - Ft. A Bed For The Absorption Area F Ft. G 1 Ft A Ft. H Ft. Signed: B L~ 7 Ft. License Nu er:K Ft. L - Ft. Date: ~ Ft. Alternate Position Ft. of Force Main W ~3 a- Ft. L. Observation PUj~TEM B K A~-__ ~r-_.. a Main 0 fir( OEP;~R1~'~ SPTTI N Distribution Bed 0 2 - 2 %a Pipe NpEN Observation Pipe Permanent Markers - S79 } Pion View Of Mound Using A Bed For The Absorption Area I ?a`.~. A~~~ ,,i., . . ~ '.r ~a.,~ .+.Y. ~ pale Q ~.r 1 I I Perforated Pipe Detoil tEnd View i Parfara~ed Eno C°pf . yw PVC pipe Holes Locoted On Bottom, p S Are Equally Spaced A S Q PVC Force Main w 4 PVC Manifold Pipe i I Alternate Position str{ u Of b t n a s Pipe Force Main i I I Lost Noe' Should Be, I To End Go P I ; End Gap Disitrlbution 'Pipe Layout P p23 Ft. X inches Y - 7 Inches Signed: Hole Diameter Inch Lateral Inch(es) License Number: A Manifold 2 Inches,r Date Force Main Inches; gof'. hQ, ~e ~pipe ggpM sElevation of Laterals Ft. DEp^ 06 79 0 CQR~Sp M~ r PAC t GF PUMP CHAMBER CROSS SEC'IOIJ AUD SPECIFICATIOKJS VENT CAP 4"C.I. VENT PIPE WEATHERPROOF APPROVED LOCKING > JUNCTION BOX MAWHOLE COVER ?-5, FROM DOOR - , WINDOW OR FRESH 12"MIU. AIR INTAKE GRADE I `1" MIAJ. p COMDUIT _ IBnMIIJ• ~ INLET PROVIDE AIRTIGHT AI I I * A I N ` tp~10NS B 0 ,TtSi:NT OE INDUSTRY, ulm S *APPROVED f3CPAP DiviSlON Of SAFE oN JOINTS WITH I ELEV. FT. A PPROVED PIPE _ rr 3' ONTO F D SOLID SOIL COLICKETE BLOCK RISER EXIT PERMUTED OIJLy IF TANK MAUUFACTURER HAS SUCH APPROVAL SEPTIC E SPEGIFItATIOAJS DOSE TANKS MAAIUFACTURER: ~-S IJUMBER OF DOSES: PER DA.4 TAWK SIZE: GALLOMS DOSE VOLUME ` ALARM MAIJUFACTURER: V4 V INCLUDING 6ACKFLOW: = f 4 GALLONS MODEL NUM6ER: I,- 5`pv / CAPACITIES: A=. UICHES OR GALLOWS SWITCH TSPL: 5/'AlhAy'QrG'k g=_ _INCHES OR 90 GALLONS PUMP MAAJUFACTURER: ~o e- (e = IUCHES OR _ GALLONS MODEL NUMBER: ~ D- ~ INCHES OR 7IaZ' GALLONS SWITCH TYPE: C't ^y MOTE: PUMP AUD ALARM ARE TO BE MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEREAICE BETWEILI PUMP OFF AUD DISTRIBUTION PIPE.. FEET 2 0 6 "7 9 + MIAIIMUM NETWORK SUPPLY PRESSURE . . . . 2.5 FEE 2 _ ♦ _151 0 FEET OF FORCE MAIN X __.13_F~ a loo FxFRlCTIOAJ FACTOR.- a FEET TOTAL OSUAMIC. HEAD = FEET ILITERWAL DIMEMSIOUS OF TANK: LEIJGTH-7 _;WIDTH ;LIQUID DEPTH 31GUED: LICEMSE AJUMBER: l ~ DATED %°7 . lit ~r~lp J~it HEAD ~r CAPACITY C RVE, TDH W W r' Ab 490 ! TOTS orNAwc "14acrwcay rep w►un 26 ; FATERING11 EFF{.UENT ANO DEsss'-ss "la 24 SEWAGE ANO DEW/o s► s> sl JO t0 N . + t7 >y p % p N 20 163, -t--+--- w - MODEL 165. ~f►` ~f I ror"cvwlrrcl~so+c~w►c,rn►wwswst ` I sew~ot YO ~ 16- ► i sows. to su st aM ~ ~ ~ ~ ~ ONI► OAl py ~ 1 6 !p 10? ~~0 ♦ Ip 14 20 p 1st 1 /s la ' ---+-*'---4' a° • is In ► is 12 4 % 1 30 ► s° as MODEL i I IOCIA Vwlw I tt I' ► ► tl 345' S, 8 MODELS M DEL 4 IMO EL , 2 81 I ~ , EL I ~I S 2 % n M DE MO S9 97 EI, i 27 LITERS 80 160 200 320 400 480 S 0 0 FLOW PER (MINUTE Nov G BUREAU I~ .D aro ok! AtOm Low Po. Box mum MMwAICh 01.. . LoultvNM, K~nlucty ~07t0 N rsrr~I rra-tit y 1 0 I'D o l- S g! 0--' S 98 ,3~ ~ ST. CROIX COUNTY WISCONSIN may} `f 4 r. ,j~` ZONING OFFICE r ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 July 7, 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 Eric Wolf property, located in the SW 1/4 of the NW 1/4 of Sec. 17, T31N-R18W, Town of Star Prarie, St. Croix County has been conducted with the assistance of Byron Bird Jr., CST #3429. This onsite revealed suitable soils to a depth of 24" which meets the requirments of the A + 4" rule, making this site suitable for a mound for new construction. Should you have any questions, please feel free to contact this office. Sincerely, ames K. Thompson Assistant Zoning Administrator DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS 14JQUSTRY,. DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969 N WI 53707 HU RELATIONS (H63.090) & Chapter 145.045) LOCATION: SECTION: WN HI MUNICIPALITY: OT NO.: BLK. NO.: SUBDIVISION NAME: 1/44/0/4 1j g N/R/yE ( f ~~1 ~r•~ - -IV C UNTY: OWNER'S /BUYER'S NAME: MAILING ADDRESS: USE DATES OBSERVATIONS MADE Q eZ. NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: IPERCI()LATION TESTS: Residence - WNew ❑Replace RATING: S= Site suitable for system U= Site unsuitable fo~y m ✓ ~ /O` K/ % ROUND ONVENTIONAL: MOU M. ❑U IN -GE] S PR ~ RE: SYSTEM-IN-FILLHO~LDING TANK: RECOMMENDED SY TEM:(onal) 0S d4 ~ If Percolation Tests are NOT required DESIGN SATE: If an portion of the tested area is in the under s.H63.09(5)(b), indicate G 4 r5 _'47 Floodplain, indicate Floodplain elevation: x" PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) a- 2 ,6 15 a s 5 a- AWW 11 1 B- ,5 6 0 3 g S Are 5 /,%-L- -r- B-3 4 B- ~ 7x 3r ~ S B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 PER10 2 PER PER INCH P- 3 D loZ 7 / P_ 30 P-01 f -7 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. / r d e ~c~ c~ SYSTEM ELEVATION 3 AIM, - ~e N E Lit- ~ i E 3 -71 i 3 I, the un e n this form --a e y 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 l: TESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. - DILHR-SBD-6395 (R. 02/82) OVER i 1 " s INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 ~ To be a cc and accurate soil test, your report must include: 1. Completeascription; 2. The use ses . ; . must clearly indicate whether this is a residence or commercial project; 1 MAXIMUM - ;-nber of bedrooms or commercial use planned; 4. Is this a r -lacement system; 5. Compl -lity rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER S -MS ARE RULED OUT BASED ON SOIL CONDITIONS; 0. PLEASE i t[ -r abbreviations sho~ 1 here for writing profile descriptions and completing the plot plan; 7. MAKE A LE diagram ac t ly locating your test locations. Drawing to scale is preferred. A separate used if des. B. Make sou: chmark and vi cal elevation referei point are clearly shown, and are permanent; 0. Complete i1 priate boxes as to dates, names, plain data, percolation test exemp- tion, if app 10. If the info i-ich as flood -vation) do e N.A. in the appropriate box; 11. Sign the lace your curl 3ress and y( _ir number; 12. Make I pies and distriL lUired. ALL SOIL TESTS MUST BE FILED l=AJITH THE LOCAL A 'THORITY WITHIN : OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS ,)a Rtes and Textures er Symbols Stone (over 10") BR 3edrock cohr - Cobble (3 - 10") SS - Sandstone gr - ravel (under 3") LS _ Limestone ~s - ad H G W - I h Grr,~ ater cs - Sand Perc r (olatio~~ wed s - 11 Sand W fs rod ' Bldg F ildir Is Sand ) _ c 'sl - Loam < _ Le Bn - F s l im ELI B si - Silt. Gy - Gray cl - Clay Loarn Y Yellow - Sandy Clay ' R Red - Silty Cl_ar , mot - Mottles Sandy Clay vv/ with ty Clay fff - fin f c _ corny rn Muck d dis p - p 1-1WL High " el, soil tex / w?ter" i~Jd waste d BM - E k VRP - Vo ti Referem TO1 L:R; c Th is i . r. ..-nitary ;lit. Th, county or the Dell r~r iay request un~7 C`° .,..soil W !%.nce. A mplfte ;"t of !-l'U`s ~ r e (.7 s;'¢g i and a pet 7 t'; the priat I o ~ i t. The sanit_, ; ied osted pi' to the . y construction, II r of REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS E A D DIVISION BOX PERCOLATION TESTS (115) MADISON W153969 L y RELATIONS (1-163.0911) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/If 1ITY: In/a OT NO.: BLK. NO.: SUBDIVISION NAME: Sid 1AW 1/4 17 /T 31 N/rt 8xf (or) W Star Prarie n/a n/a COUNTY: OWNER'S ME: MAILING ADDRESS: St. Croix Eric Glolf 19198 St. Croix Trl. N., Stillwater, 11n. 55082 USE DATES OBSERVATIONS MADE r NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: 1PERCOLATION TESTS: Clesidence 3 n/a New ❑Replace l 5-4-92 5-12-92 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑ S ®U CiiS ❑ U ❑ S ®U ❑ S E U ❑ S CCU mound If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n/a Il Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS Page 11 AnC2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHXX ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B_ 1 4.42 102.40 none 2,42 .42, 10yr2/2, 1., 2.00, 10yr4/3, s.l., 2.00,- 7.51,Tr4/4, mot. s.l. & 10yr5/4, mot. sil. 2 4.83 102.40 none 2.33 .581 10yr2 2, 1., 1.75, 10yr , s.l., 2.50- 6- 5yr4/4, mot. sil., & 7.5yr4/4, mot. s.l.. 3 4.67 100.00 none 2,67 .50, 10yr2/2, 1., 2.17, 10yr4/3, s.l., 2.00- 6- 7.5 4/4 mot. s.l. B- B- B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD PERINCH P_ 1 2.00 none 30 17 8 14 11' 20 P_ 2.00 none 0 P_ none 30 2 13/4 13/4 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 103.00 F! -1 -7 v l _T NQ 77 , n~ I, the undersigned, hereby certify that t iI t 6ts! e rte - n form ere ade by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data re d ar4 e4ocation ot%)~ test s orrect to the best of my knowledge and belief. L NAME (print : "N ti TESTS WERE COMPLETED ON: Gary L. Steel 5-12-92 ADDRESS: CERTIFICATION N MBER: PHONE NUMBER (optional): 1554 200th. Av.e, New Richmond, 17 22 8 7 5- 46-6200 CST SIGNAT DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate, soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a resic'or commercial project; 3. MAXIMUM 'lumber of bedrooms or commercial use planne=l; 4. Is this a r -t- replacement system; 5. Comp.' itability rating }coxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER.'; MS ARE RULED OUT BASED ON SOIL CONDITIONS; 0. PLEASE L 'abreviat:ions shown here for writing profile descriptions and completing the plot plan; 7. MAKE A L- 3LE diagram ac( rtely locating your test locations. Drawing to scale is preferred. A separates y be used if desir ,l. 8. Make sure yo Benchmark and 4 .1 elevation reference point are clearly shown, and are permanent; 9. Complete all )priate boxes as to dates, names, addresses, flood plain data, percolation test exemp- 10. Ii ~ile ')f it Ich as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign t` e form l:rl_Ice your current address and your certification number; 12- Make legible )ies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION, ABBREVIATIONS FOR CERTIFIED SOIL TESTERS rtes and Textures Other Symbols - Stone (over 10") BR -Bedrock cob Cobble (3 - 10") SS - Safl(°'°:one gr - (gavel (under 3") LS - L r< =t tie s HGW - F" Groundwater i - Sand Pere - F col,. pion Rate - 1, 'I Sand W - t" 'i fs _ i Bldg - , Is d ( n - sl - n < - in Bn - B- Loam BI - E Gy t.. y Loam Y SO Sat dy Clay Loam R - F d y Clay Loam mot P:o-.aes ly Clay wi - with y Clay fff few, fine int C; Clay Cc comr.....arse pil Peat mm - Many, r jm rn - Muck d - disth ' p - F of HWL - F level, Six ge -,ral soil textures water A waste disposal BM - _.'k VRP Reference Point TO THE OWNER: This soil test report is the hest step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plai-- fr- ate private sewage system and a permit application must be submitted to the appropriate local z order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any ~ .m3truction. L ADUMUM A&W7 pc: k 4s Polo ~~Ml+lrlss~lAtM _ E±~.wf it -e ,a North 1/2 of iowt5 1/; of Nortbwest Quarter (lltit' of Stotlea 17p Towasbtp 31 Nortbp tame 16 Nast i Y ewr Ar►11. ISO- OF Minnesota 1RiYtF ~z day of March D.1 within and for said Covady, <x Married to Merton L. t 6*40spsrsoa_ described in and who executed the foreaoinp inst:tiavsat R the same as HER live ad and deed. z. iMios ~P 19-ft WAVAIMER MW AM Vuft- q -"@M fi ' wp peMl) .r_. 7 ood- :v. ' poo Orton stilt • O a r3 AYTNiMZt~AT10N ACKNO Gomm SYATIJOPONNOW MO7a+1 .a -:~..r. limp" F p N bir0i Mne. sya.) to me mews t"O'w r+vM IMAFTtd sr , IlliIA&W Tit : Itt" Ntao Avenue- S T C - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ADDRESS J 41.0 /^X 2;~4 FIRE NUMBER CITY/STATE ZIP PROPERTY LOCATIO 1 4 ~1/4 SECTION .Z T_ N-R ~W 1 ,Lcty ra r ri , St. Croix County, TOWN OF 5/ /J SUBDIVISION , LOT NUMBER 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 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 system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater 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. 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 DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix Co Zoning Officer within 30 days of the three year expiraton d SIGNED: I DATE: St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 » . 1 S T C - 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), thensa 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 0 Location of property lG~1/4 .,&/l/4, Section T,,~~N-R /18~W Township .~c e Mailing address f / 4 Gc1 G / { Address of site 10 ~ x C Cf~®~ ~ ~~~i n 5 Yo / 7 Subdivision name Lot no. other homes on property? yesNo Previous owner of property Total size of parcel 4~Go Date parcel-was created cam? /5E y~ Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes No Volume and Page Number 3-.5-0 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 & 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 fice of the County Register of Deeds as Document No. ~ /o , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly record d~jinn ~ the office of County Register of deeds as Document No. Zee Signature of applican Co-applicant Date of Signature Date of Signature i