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HomeMy WebLinkAbout028-1013-70-000 o O o kl) ~ I C 0 w ~ ~ I o i I N ~ I o I it I I I I I ~ I z° c LL c 0 I I ~ m zt 0 z N Lll O z O L z a m ~ I c 0 z m `Z 3 0 E 0 r~ E ~ o m I • 1\} N O O ~ s I N O Q Q O c_ 0 Z z 0 z N _ M E N N W cn w L C w 4) ui c O Mo No Lo 4) m . 0 ° 00 CD G G a N Q 0 m to m j < v o z > H F H d ) 0 0 0 z o •►V a a a S: o N to 0 CO rn rn } N N M 4 N_ U) 4 4 4 E C', 0 m y Cl N n N C,4 q O C c c a a m H! a c 0 d 0 0 o A 0) o a) (n en 0 w c a a c a) o z: Q V Q (h > c E E M co O W C A L L co L III O N H C N •`xV) °0 N 7 n~ O E E F s O w o O z 2 "7 :--i' to O 03 II C3 " E d 5 dt a d T • a w '0 0 a E ~r-ww L _1 A v O in ci 4 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOQX~7969` ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION M,DI§ W IJ e C7. 11 T 2 8 - R 17 State Plan I.D. Number: jj~~ ❑ CONVENTIONAL ❑ ALTERATIVE (If assigned) Town of Rush River El 200th Holding Tank El In-Ground Pressure El Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Donald Olson 650 NewtonSt Baldwin.- WI E BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: SF..~EL CST REF. PT. ELE Name of Plumber: MP/MPRSW No., County: Sanitary Permit Number: Chris Lickness 6944 S Croix lJ' SEPTIC TANK/HOLDING TA 97-S o' V' MANUFACTURER: LIQUID CAP CITY: TANK INLET ELEV.: TANK UTLET ELEV.: WARNING LABEL LOCKING COVER `d 72 ~ G PROVIDED: PROVIDED: LA{ 1W- /ISO 7J YES ❑ NO YES ❑ NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: [BUILDING- VENT TO FRESH / ALARM: FEET FROM -f- LINE: ! It AIR 1 L : ES El NO /t ❑ YES NEAREST --111101 1'O '6 > ~ 76 Y Y ~ C Illy- DOSING CHAMBER: MANUFACTURER: BED I LIQUID CAPACITY: PUMP MODEL: PUMP/81PHe* MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED; PROVDED: YES ❑ NO FTVES ❑ NO Ei-ye$ ❑ NO GALLONS PER CYCLE: n a PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN., "l FEET FROM LINE: 1 t to AIR INLET: PUMP ON AND OFF '6 17 NO NEAREST I S."O. ~ :1 7~ '5r ~ [e SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENt TH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until C(,ri~.- S the soil is dry enough to continue.) MAIN 34 CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID TRENCHES: MATERIAL: PIT DEPTH: DIMENSIONS V . GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR NUMBER OF _PR ANELL:.._..__ BUILDING: VENT TO FRESH N BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: LINE; J ` FEET FROIIA -1 NEAREST MOUND SYSTEM: a r 7, Mound site owe perpendicular Check the te_xMM ftfTU'fttrrriaferial for -0F SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO 0 meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; wy, G 'e- 9;1t'5_S_ ❑ NO Bi`t`s ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: I EDGES: 2~I_ ~fI ~I rI ' d ❑ YES Eg;~ S ❑ NO lL~'t'M ❑ NO PRESSURIZED DISTRIBUTION SYSTEM;: y BED/TRENCH WIDTH: LENGTH: NO. OF LATERAL SPACING, GRAVEL DEPTH THA lOVE.CO. ER: f TRENCHES' / r`f!/ 11 DIMENSIONS 7160 Let MANIFOLD PUMP MINI LD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIP DISTRIBUTION PIPE MATERIAL & MARKING: ELEVATION AND ELEV.: I ELEV.: , DIA.: E 4V / 3 / PIPES. a. 1~ ,07 a 7 f ~ v~~ ~ GM.sk~ "Irt s~. 4o~ ~sy DISTRIBUTION H LE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION t/ 22~ N VIED PLANS ~~53 ;7 ES ❑ NO 1 PC-- ~ ❑ YES ER' O PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: to ~ COMMENTS: FEET FROM LINE: O ~ ~ / _ _ f( 1 Z. ❑ NO p tC;,Aelff ❑ NO NEAREST. (s7 t~ yN2 ✓ Q rLx~ 1 P 10 t t~ e c)C t` o P svt.~ G S S S c, .,.,1 cQ 1 e~ e ~j C¢ r` 1 v w a~C ~j 0 (i~orn a~ an BIB. v d D , 1,02.06-, 'g7/~ . J" AAtl T, Sketch System on R in in county file for audit. Reverse Side. SIGNA RE: TITLE: SBD-6710 (R. 06/88) IT ®IL R SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY 1S d STATE SANIT Y PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ~4/~ QQ7 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. O 1,32 PROPERTY OW R PROPERTY LOCATION %4 & S 1! T , N, R 1 E (o PROPERTY OWNER'S MAILING ADDRESS 7- LOT # BLOCK # CI-D;, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER h ic1 t ao 7/0-149-49-24 3 x/ 4 ;2 gg' 8 II. TYPE OF BUILDING: (Check one) CITY ,p NEAREST ROAD ❑ State Owned VLLAGE : avf IN„'AA 00 67- Public :911 or 2 Fam. Dwelling-# of bedrooms - PARCEL TAX NUMBER oag lOl3- x -(Yj III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 0 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. ;5 New 2. ❑ Replacement 3. ❑ Replacement of 4.0 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 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 (sV.) (Gals/da /sq. (Min./inch) ELEVATION 7 4 9 7, Feet /tf/I Feet 15 376 CAPACITY VII. TANK # Site in allons Total of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete glass App. Tanks Tanks structed Septic Tank or Holdin Tank t✓R Lift Pump Tank/Si hon Chamber o?K/,;kn VIII. RESPONSIBILITY STATEMENT 7-A-;7 ' - 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's ignature: (No Stamps) MP/MPRSW No.: Business Phone Number: 6/ An e-S 4? •3750 41 Plumber's Address (Street, City, State, Zip Code : IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing A ant Signatu m Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determinationi A91 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 APPLICATION, FOR BAIIITART PERHIT • 9TC-100 This application form Is to be conplntad In full and slgntd by the ownet(t) of the property being developed. My Inadequacies will only result In delays of the ptlMlt Issuance. -Should thlg development be intended for rtsslt by owner/contrsctot,(epec houie), thon a second form should be retained and completed when the property is sold and submitted to this office with the approprlate deed recording. Oyntr 'oE property Location of property f ;F- 1/4r Section V Township Hailing address Address of site aubdivlsion mom Lot number Previous owner of property A-0 I -A A A: Total sera of parcel 9 a_e'tud- Date parcel was created _ _7 ,--'7,S - 79 Are all cornets and lot liner identifiable? rYes _ xo Is this property being developed for resale (spec house)7- to No volume end Page Humber Z) Z- as recorded with the Reglstet of Coeds. INCLUDE WITH THIS APPLICATION Tllit FOLLOVINCI A VAApANTr DRID Which Includes a DOCUHRNT HUNBIR, VOLUNR AND PAOt WLrxsITt, and the BIAL Of TILE MISTER OF DERD8. In addition, a certified survey, It available, would be helpful so as to avoid delays of the reviewing process. It the deed description references to a Cettlfied Survey Hip, the Cattifled Survey Hip shall also be required, PROPIRTY O WER-CERTIFICATION I(ve) certlty that all statements on this form are true to the best of my (our) knovledgei that I (we) am (ate) the owner(s) of the property described In this Intotmatlon form, by virtue of a warranty deed recorded In the office of the County Req(ster of Deeds as Document No. t/ 3 n e2 I and that I (ve) presently own the proposed alto tot rho sewage dlsposal systen (or I (we) have obt■lned an easement, to run with the above described propertr, tar the conettuctlan of sold system, and the Sams has been duty recorded in the 0 1 t I c a at the Coynty Register of Deeds, as Document . 81P signature of owner 8lgnatute of Co-owner M Applicable) / ,7 ,/9x7/ Date of Big-mature Date of Signature II r# x;r a s a~ ~ ifp F no sia D. olsq}~„ d rieet...R- - . _ = . Pr.r,~N .a : r~►M "W **aft is .....$t..:.Csoi~c ....................County. ~ . ; Tax ftv"A me: ; J~ the Mmt)feast Quarles' Of ' the NorthOWt QuaXt W of on, Eleven - (11Tov ship Trelal v ('I . 4"ge sevesiteon Best (ROW)..ist: Ciroft-~ C wnty, • i ibed as follows* Lot One (1) -of Certified g July 20 - 1978 is. Volume. 030, Page 63S, n ' 350256. r < v + IT 110E hanwstead Property- > Bmsssnments and restrictions of record day of October i„ . - (SEAL) Douglas R. Doornink ` 1 I _000V (SEAL) K ly A. Doornink '9: AVTRUNTICATION AC=NOWLSDdNIL-IISI' -r ` Ca) STATE OF WISCONSIN' z - St CtO1 X _ K County. 60000*2W Ob ........do of.......... . Personally came before me this . O tObe'F . to y~- daiw~ _Do as R Doornink s- Doorn i nk . . . !ii'LRI 1 =R STATE R" OF WISCONSIN h7 #ia. Soto.) to me known to he the $ perxon wryw forelgohW instrumM! and ackaookdre Esau } Th~a thtaTaltr 7Maa Rah ar ri 1 rk y - 1leCareack r"' j7 4Qti2 Reuben Uo"niak - Nowy ri;aie S! Croix ' ae ackwswlefted. Both My Commission is permtawnt.(if' a 7A14US"t '2" x cr SEPTIC TANK MAINTENANCE AGREEtIENT St. Croix County OWNER/BUYER¢~~ 0 ROUTE/BOX NUMBER Fire Number d p, . Z ~ CITY/ STATE IP Section T.2 , R..L~W, PROPERTY LOCATION :',f,~f k Town of X11°-°-~J St. Croix County, Subdivision Lot number- 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 licensed 's'e t*ic tank um er. What you put into the system can affect the .unct on o, t e•septic tank as a treat- ment-stage in the waste disposal system. St. Croix County residents-may_ be eligible to recieve a grant for a maximum of 60% of the cost.of replacement 78of a failing system, County that wh_ was in operation prior to-July 9the requirement accepted this program in August of 1980, with owners of all new stems 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, veri- journeyman plumber, restricted plumber or..a licensed pump fying that (1) the on-site wastewater disposal system is in proper nec- operating condition and •(2)•after inspection and pumping essary), the septic'.iaik lessapprothan Certification form w 1 three year'expiration.. y 0 I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with the standards set forth, herein, as.setbyfthe Wisconsin sDepart- •~o' ment of Natural Resources. Certification and returned to the St. Croix County Zoning Office within 30 days of the three year expiration.date. SIGNED u_ DATE z7l^ `V- St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. ENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS t STRY, C DIVISION LABO AN P.O. BOX 76 HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: OWNSHI UNICIPALITY: OT NO.:LK. NO.: SUBDIVISION NAME: s'_Z - V /T~sN/RnE(o R F, B ~~v Eiz- - - - COUNTY: MAILING ADDRESS: GSO N)Tp1~1 ST. S~'•C.~~~k o~sav t3~D~)~ wI syooZ USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: 1PROFILE DESCRIPTIONS: A S: Residence 3 ti A- aNew ❑Replace 10L 9 1 _ o~v S I`~ ~`1 ~-)r1 RATING: S- Site suitable for system U- Site unsuitable for system `fitU"A Stkl C)Q Y-)-I/ CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLOLDING TANK: RECOMMENDED SYSTEM: (optional) os ©u ®s ou [is ®u os u os u o~>uD - 416 If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: -.1 • Floodplain, indicate Floodplain elevation: - PROFILE DESCRIPTIONS BORING TOTAL DEPTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHTSf- TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- L4 pto 011,-1 S (O 0-9N 10`11 3/3 51 , Sbh , to FN cs ~uvr.,~rnzY B- 9 Z I I [ R 316, ~ 4 Ft~vy S I S d1t , c s 80~~ n~l~ R y i B- ~.sLrR 3)y s~ Tlll-, t~- l~T 3O - b6 " B- *o T' B- B- PERCOLATION TESTS } TEST DEPTH WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES r NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD I PER I D 2 PER PER INCH P- P P- 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 g-~•oo ~ ~~°U~ v~zlfl~r i I `I 3 ~ I • a _ )N a I , . I } I, the undersigned, hereby certify that the soil tests reported on this form were made by mein 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: WEGEHEH SOIL TESTING AND _ APIZ1L ()19Ci1 ADDRESS: DESIGN SERVICE CERTIFICATION NUMBER: PHONE NUMBER (optional): cST- 00o S 6 -CIS-L/ZS-o165 P.O. BOX 74 421 N. MAIN ST. CST SIGNATtARE: RIVER FALLS; WI 54022 715-425-0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R, 10/83) - OVER - ` SAFETY & BUILDINGS DIVISION Tommy G. Thompson Governor Gerald Whitburn Secretary State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN SVC Owner: DONALD OLSON P 0 BOX 74 650 NEWTON ST RIVER FALLS WI 54022 BALDWIN WI 54002 RE: Plan Number: 891-40139 Date Approved: April 8, 1991 Gallons Per Day: 450 Date Received: April 5, 1991 Project Name: OLSON, DONALD - RESIDENCE Location: SE,NE,11,28,17W Town of RUSH RIVER 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. Sinc rely, GERARD M. SWIM Section of Private Sewage Division of Safety and Buildings PPP039/0009n/38 cc: DONALD OLSON X Private Sewage Consultant SK V-6123 4 K. 07190) Pa ge 1 of 6 MOUND SYSTEM FOR A BEDROOM RESIDENCE 3 9 LOCATED IN THE SE!/y OF THE NE 1lyOF SECTION T 2-8 N, R 1-1 W, TOWN OF 2.~s" Ptug . sy. C_?-'sly' COUNTY, WISCONSIN. INDEX PAGE 1 of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR OL s0N app 199` GSO r-3Cw-roQ ST. ~3/n~~wfn~ ,w I sYooZ PREPARED BY 0 N~0~°r►~® y' .40 WECEFcEFt SCl I L_ TE,_..-T It V S OS AND ,r D E S I(3 LV E3 L= RI C E • ARTHUR L • W$GF.RER i D9Wt5P ELLSr_ i YVIS. • P.O. BOX 74 421 N. MAIN ST. o~ GI'vER FALLS, MI 54622 715-425-6165 ~~&S IIS Job # °11-19 PLOT PLAN C~ Page Z -of Scale 1"= y'o ' zy, tAT g3 1J ~x S~91. -401 39 F- O ..1 - 8y v a X , ~ t i' C~T t CP n~P Std a b, O o< ~S ~ ate. (9 *-IS ~.-ZS' of z" PvC 1=oRCE nqI •y♦ gl s ITE SEWAGE SYST M OV4S 1M Rt~k ONS RY, 1.Ag0~ AND HO moos, Pt~opu s EU DCPARS~~PN 14t3 OF Dkz_%Lj ~~~ES NpEN Res I DNv ce SEC tyoTg: WELL. l'o it RT L GIST SOS FRu," 135 * ~~+uD PST L.QiN.S T 2S' F=P_q 1 rfN~Ixs, ~fz. r►►LE T~ ' /z.. i L~ To ~ Z,00 ~ S T. C-T•N-`N` So~+ NVE• NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved-caps. ( Z required) 4. Septic tank to be zoo/So gallon capacity manufactured by Lit FSE~PL c.0v ec2E71F PB o~v~rs 5. Bench Mark i~L, Ipo.O' o,.t TuP of t /z'' PVC 1~~PE 15'~ t+I GVi . 6. Divert surface water around mound to prevent ponding at the uphill side. Page 3 Of 6 Approved Synthetic Covering I - 401 39 Distribution Pipe Medium Sand _ H_ ~G Topsoil F Elev _ 017.00 3 E D b % Slope Bed Of 22 %2 Force Main Plowed ONS E SEWAGE SYSTEMggre gate From Pump Layer ~y D \.O Ft. E )-3 Ft. S tion Of A Mound System Using F 0.9 Ft. APPhw V- aw - G 1•a Ft. ch For The Absorption Area QEPARTME INDUSTRY, LABOR AA~tA RELATIONS A S Ft. H N-5 Ft. 0,0 9(N AND lNGS 9( B -1 S Ft. SEE COI9 S ENCE I NS Ft. Linear Loading Rate= 6.0 GPD/LN FT O g Ft. Design Loading Rate=o.30 GPD/SQ FT K 11 Ft. Lc -L Ft. Alternate Position of Force Main W z,8 Ft. L i For J g K M W distribution Trench Of Pipe Aggregate Observation Permanent 1 Markers Pipes (Anchor securely) I Mound Using I Trench For Absorption Area Page Of b Perforated Pipe Detail 40 1 39 0 End View Perforated End Cop) _y PVC Pipe 1 Jo~~obo"cc m- as. Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q E SEWAGE SYST'E~ ~N51T P ~ PVC Forc a ELA~tONS t.A~OR ANO K ►tAws, v ~E att. ' QEPPAN gON Ofr Distribution Pipe ~.n ~NC4 Lost Hole Should Be Next To End Cop Distribution Pipe Layout P 3-4. S Ft. X 3(e Inches Y 3 Inches Hole Diameter )/V Inch Lateral Z Inch(es) Manifold Inches Force Main Inches # of holes/pipe 1Z Invert Elevation of Laterals '0-So Ft. Place 1st hole lb'lfrom tee with succeeding holes at 36'1 intervals. Last hole to be next to the end cap. CohB 1N ~N S~'n c TP~1.~tt. R ~ o PUMP CHAMIJE R CR055 SECTION AKJD SPECIFICATIDUS ' rJA; S OF .8 9 1 VCUT CAP WEATHER PROOF JuuCTIO1J SOX 4"C.I. VENT PIPE APPROVED LOCKIKIG 25' FROM DOOR, AWHOLE COVER diLIDOW OR FRESH 9- JL.L. AiR IWTAKE \x", M y~ Q =T=:z !.b' Iii I Kl . EW qG E SY 0 11jon PROVIDE I --T----~ IMI-It: T -r AIRTIC,HT SEAL i I I I I I VL A~I NS APPROVED JDI A I I I APPROVED JOIU' D N LABOR A I I ( w/C.I. PIPE OR i W/C.-L. PIPE RTME 1NDl4STRY. $ EXTLU01uG 3' EKTCNDIWDCr?~ ION OF AF I III ALARM I II ONTO SOLD OI. ' OWTO $0L-ID SOIL Nfl C~ E I I SEE ~,pRRE I I ou c I CLCY. gg' 33 FT. PUMP --J OFF D CDUCRETE BLOCK Ls L Q~~i .O 3 APPFtc RISER EXIT PERMITTED OKJLy IF TAUK MAiJUFACTURER HAS SUCH APPROVAL ~pOING SEPTIC SPEC.IFICATIOUS f DOSE T^ U MAUUF.ACTURCR: 1.y1ESeR CA1~1C1ZETE ~~u~eTS KJUMbER OF DOSES: 3' 6 PER DAy K TAWK 51ZC: \2 kDO ! SO GALL0US DOSE VOLUME S.S. LL_~C1~O S-ISTC►~5 IIJCLUDIWG 5ACKFLOW: ~Z9 GALLONS ALARM MAR,IUFACTURCR: MODEL KJUMBER: 10~ `~w CAPACITIES: A=IIJCHES OR 3 GALLOI,lS 5WITCH TtIPE: B = Z IWCHES*OR 3Z 3 G( LLOU5 Pump MAUUFACTURER: ZoL-LLB COVt~>RNY C- g IUCHES OR \3-9-P GALLOlJ5 MODEL IJUMBER: D= IKLGHES OR ZS$. I CALLOUS 5WI7 CH TYPE: M twR~~iL~ WTE: PUMP AfJD ALARM ARE TO 6E MIAIIMUM DISCHARGE RATE Z8-0$ GPM INSTALLED OU 5EPARATE CIRCUITS VERTICAL DIFFERENCE 15LTWEIIJ PUMP OFF AuD.D15TRt6UTIOU PIPE.. cl' 0 FEET + MIKJIMUM mETWORK SUPPLY PRESSURE . . . . . . . . 2.5° FEET + 25 FEET OF FORCE MAIN X W41 F;/,,)o,,FRICTI0Ll FACTOR. 0..16 FEET _ TOTAL D'JUkMIC. HERD = IZ.03 FEET ~v J~ P GttAt'18G~R - I►JTE.RUAL DIMLWSIOQJ OF TAUK: LENGTH ;WIDTH ;LIQUID DEPTH goTTDNI AQecq - z31 = - 6RL. / /►.~Cbl o~ AS 1~~Z M?~NV 1=AGTv1~LlZ = - 1__ to 13_ _ uRt. / ~NcH CC W , - -GAE- OF W LL v W HEAD/CAPACITY CURVE 4% 6V MODEL 97 4'/e 30 - 8 4% 25' - t -1b-116NPT W 6 20' ' I 43/,, V m i 15' 4 )2.03 J H ~ 10- 2- - Zg.o 0 US 10 20 30 40 50 60 70 GALLONS LITERS 0 80 160 240 10"/,6 FLOW PER MINUTE TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND DEWATERING CAPACITY HEAD UNITS/MIN 35/,6 FEET METERS GAL LTRS 5 1.52 56 212 _ 10 3.05 46 174 15 4.57 35 133 20 6.10 15 57 Lock Valve 23.75' CONSULT FACTORY FOR SPECIAL APPLICATIONS e Electrical alternators, for duplex systems, are available a Mercury float switches are available for controlling and supplied with an alarm. single and three phase systems. e Mechanical alternators, for duplex systems, are avail- a Double piggyback mercury float switches are available able with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard All Models - Weight 33 lbs. - 1h HP 2. Single piggyback wide angle mercury float switch or double piggyback mercury float switch. Refer to FM0477. 97 Series Control Selection 3. Mechanical alternator 10-0072 or 10-0075. Model Volts-Ph Mode Amps Simplex Duplex 4. See FM0712 for correct model of Electrical Alternator, "E-Pak". M97 115 1 Auto 12.0 1 or 1 & 7 - 5. Mercury sensor float switch 10-0225 used as a control activator, specify duplex (3) N97 115 1 Non 12.0 2 or 2 & 6 3 or 4 & 5 or (4) float system. D97 230 1 Auto 6.0 1or1&7 - 6. Four (4) hole "J-Pak", junction box, for watertight connection orwired-in simplex or E97 230 1 Non 6.0 2 or 2 & 6 3 or 4 & 5 2 pump operation, 10-0002. T Two (2) hole "J-Pak", for watertight connection or splice, 10-0003. CAUTION For information on additional Zoeller products refer to catalog on Combination All installation of controls, protection devices and wiring should be done by a Starter, FM0514; Piggyback Mercury Float Switches, FMO477: Electrical Alternator, qualified licensed electrician. All electrical and safety codes should be followed FM-0466; Mechanical Alternator, FMO495: Alarm Package. FMO513: and Sump/- including the most recent National Electric Code (NEC) and the Occupational Sewage Basins, FM0487. Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 3280 Old Millers Lane Manufacturers of . ( Z ~ OELLE/P O_ P. 0. Box 16347 a Louisville, Kentucky 40216 u Z -2731 a FAX (502) 774-3624 ~ g (502) 778Zl&IrY PUMPS Si=r 1Y,79 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDU DIVISION LA6O ND PERCOLATION TESTS (1151 P.O. BOX 7969 HUMAN RELATIONS \ / MADISON, WI 53707 (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: OWNSHIP UNICIPALITY: OT NO.: BLK. NO.: SUBDI VISION NAME: sE~/tic- ~4 /TzaN/Rn E(o Rvsti \:Z1vFm - - - COUNTY: MAILING ADDRESS: (DSO 1V 1"o/~ S7". ST•~.~~\4 ~o)vh~~ o~so~., ~~Dw)ru ).v~ SyooZ USE DATES OBSERVATIONS MADE NO. BEDRMS.: ICOMMERCIAL DESCRIPTION: DESCRIPTIONS A TESTS: ®Residence 3 IV , P,~_ New ❑Replace IISROFILE L t tC1 CI I RATING: S= Site suitable for system U= Site unsuitable for system `Tftm Psaj oki L)-)--?/ ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) oS ©u ®S ou EIS ®u EIS ®u EIS Zu 12oQIVD - W164 (SPu~Q)tibwnez If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: Floodplain, indicate Floodplain elevation: JV PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- y 6~ °l l.-1 S ~O 0 -9N 1~"lR1/3 si I , Z'VSd>z, In F► , C5 Bu%JA~ kilty B_ 4 "-ZI "1Z)-l P- 3/4 NR~`f S 1 > 5dk, )n F►- es BoU&A-JAJZ y B- TiLL-, vnili,• B- 'Fl -)•s4R s/t~, Rio T• f3T 3ot' B- B- PERCOLATION TESTS } TEST DEPTH . WATER IN HOLE TEST TIME DROP 1 WATER LEVEL-INCHES RATE MINUTES f NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- P- P- 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 q-~•oo 137C 3 r E , wr ~~T~tCH(__1~~ TN ` E ! t v K i ' I F I ~ 7 1 h' ~/y' I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with t ce01m6 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): WEGERER SOIL TESTING TESTS WERE COMPLETED ON: AND Ag-'RtL l) )gCrl ADDRESS: DESIGN SERVICE CERTIFICATION NUMBER: PHONE NUMBER (optional): c s.r ouo s~6 7 t S- ~l2S-o16 5 17.0, BOX 74 421 1q. s , CST SIGNAT RE: RIVER FALLS . WI 54022 715-425-0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R, 10/83) - OVER - DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS I~~S~-~ DIVISION L4,~ ROlti AND PERCOLATION TESTS (115) MADISON BW 539069 HUMAN RELATIONS (H63.0911) & Chapter 145.045) LOCATI N:N SECTION: gTOWNSHIP/M NS }►NICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: SE %E% / /T201111 1 (or 'r-7'S-2' 'S- "e'Ver_ ✓VX " COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: sy-, c roiX D o u o oy ~ 7S0 d i C~C/i : S~~d~ USE DATES OBSERVATI NS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: -7 PERCOLATION STS: 9 _zb 9~ *Residence New ❑Replace I 9- / _97) 3 RATING: S- Site suitable for system U- Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) Ds,~u Ts ou ]s PM as,2u 0s ~u ~ u~Cpl If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5) (b), indicate: NJg ~f1 O Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH I4 ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK,) w/c c d B- 97,97 o Of3z •7,ZC3/sd 1.33Enrr'~•1•33 ns1 •47c~• -7 !?n 13- •67scl B- Z 6.so ~3~69 ~e, 4~ a-f37' •83Blsil~• •Y315'nsil • /./7 Rnsl' z'0 ,lc/• 47 B- Brn s D c W/cc' 01 Q 3 y - S 9 ~S 93 Nom motn-f .s0 • b 7,0/.r;/,. /•zs sll • • 9Z Bnsk ns MB- / c/ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 'A'CWr2 AFTER SWELLING INTERVAL-MIN. P RI D 1 PERIOD2 PER 100 3 PER INCH P_ 2,0" 36 3 3 'Vq p- 7Z yl R 30 :FZ1V 40 Z.o' o r ! Q P-.3 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 9 S- 81 _ ~i I N VLrlrn T 1 i 04 t- r - 1 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: Z~ ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 17/ CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - f 63 24F~or» ~ti~s ~o~e tiole fo ~w✓18r; (vaff P~~pe.~y l,'nc. y puq ooYn, ✓1 '7 8'0 ! ion /Jve. L-3a ~orw i ✓l~ W, ; 5SI00 Z IqZ BZ P3 o i 8,M. - /00,0 3/- 97,87 Bz - 93-~9 V £33-93~ P3 - 9z,o, /;"OpoSCd 1 ~owll O~ 4, 6A I f pi ° a ,c ~M. TZI ~N I -A 27' 39' 30' Sc c . S,'te P~ 5s; a 728 N K 17 w a ~ zoo' House Ste ski N~'~ 0 /35 v~Qw~ Sy O - Scale Sy 13 ;,CENT ENT OF REPORT ON SOIL BORINGS AND SAFETY & B DI LDINGS , , VISION LABOR AN P.O. BOX 76 HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 3707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: OWNSHIP UNICIPALITY: OT NO.:BLK. NO.: SUBDIVISION NAME: sF~/:Jc ~4 /T-8N/R17Eto RvsH ~~v - - - COUNTY: MAILING ADDRESS: f,3E9.-J7bXJ ST, 'Z3 tl\ Dw ))1j w I S y1~ o 2.. USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: OFILE DESCRIPTIONS: q TESTS: ®.Residence 3 N A- PKNew ❑Replace Cl (q I RATING: S= Site suitable for system U= Site unsuitable for system olU S 1 $y 73-Ir1 -Tft I psaj oki Y CONVENTIONAL: MOUND: IN-GROUND PRESSURE: S STEM-IN-FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) EJS ©U ®S ❑U OS ZU DS ®U ❑S ZU ,iI-~ov>v1, If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the ,under s. ILHR 83.09 (5)(b), indicate: LFloodplain, indicate Floodplain elevation: Jv' - PROFILE DESCRIPTIONS BORING TOTAL P H TO R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERV D ST. HIGRYS TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) p B- 4 p (o q l.1 5 !0 30 0-9 N lo`ilZ3/3 51 , Z-V sdk, 1n Cs Zki~j p PIR B- 9 Z 111 -i R 3),, 1 I ~v`1 S 1 S d~ , M F 1- e s 80Utin')h-R L/ i B 21`- ~.s-rZ 3Jy s~ Ti~_t_, B- *01F r-jT BQ) B- B- PERCOLATION TESTS 00 DEPTH . WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 P RI D2 PERIOD3 PER INCH P- P- P- 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 . ~ La~:~,Y's._' r ~ 1~-Ua 1~ ~tU OF i z r , j - . fN ( 0 d L, 1 -4. I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the pro dtires an thods specifie i Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge a b^f. NAME (print): VVEGERER SOIL TESTING TESTS WERE COMPL AND 1Ztl_ [))4C[I ADDRESS: DESIGN SERVIC-E CERTIFICATION NUMBER: PHONE NUMBER(optional): C s'T- 00o s-)6 ~ t S- 42S- o16 5 R- Or BOX 74 421 N. MAIN ST RIVER FALLS; WI 54022 • CST SIGNATyJRE: 715-425-0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHA-SBD-6395 (R. 10/83) - OVER - fL DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS I l Uf-U'TF~(, DIVISION IZABOR HUMAN NDLATIONS PERCOLATION TESTS (115) MADISON W 7969 (H63.09(1) & Chapter 145.045) LOCATI N:N SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: .5 R- I V4,E'14 1T2qN1R1-71(.,(9 ^42"_rX 1 AIX COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: S~• CroiX you oay- /Ji' 7eo /D _§W 6Z,- USE DATES OBSERVATI NS MADE NO. BEDRMS,: 1COMMERCIAL DESCRIPTION: PROFILE -7 DESCRIPTIONS: ERCO A ~J STS: Residence New ❑Replace I 9- / _9Q 9 -zb r RATING: S- Site suitable for system U- Site unsuitable for system r ONVENTIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) cis,Zu 10sou asAu as u osEu Z4 11-t 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: ltJ//Q I1 Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL i DEPTH TO GR UNDWATF_R-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH Mt ELEVATION OBSERVED EST. HIGHES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- / S.o9 97-g7 /1~/cG •~7Z6Is;~-/33[3 rr'r`•/•33 •67J •176n o r~ P, ot3Z ns B- •4 7sc/ A)I r_ B- Z 6.so L9_? 1. ~~r1e Ctu~37' •g3S15J• 438nS;1;1.17 • z-o c/,- •4/7 B- Fans /•0 c s-3 y S 9 ~S 93' ~Dn- b 713 S. • /•zsa srl • • 9Z Bnsl - nscl B- 1.0 / C/ PE _ 9Z,0 PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 4A16#6S AFTERSWELLING INTERVAL-MIN. PERIOD 1 PER O PER INCH P. 3d 3 ~/-q el (9 P. rie 30 S / r o' r r ! Q P- 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 9 81 i I I ~ I 7~ ~ I - ~ I 1 0 't G 1 if zc ~ I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specs ied 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: ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 71 s'-6g~ ~6d CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) - OVER - e'~ i ~{11S ~Or~ Y~OI~ ~p O ~ C33 24"Foy wrier, ONQ ooYrl, ~'U I / O'er X ✓8 . Ba lol w;4 GJ„ 5S/oo L ~qZ 82 93~ P3 0 PZ 8, M . - /DO,O IIOl B~ 97,97 v B3 - P3 - 92•o, o o SC d P ~ Sys1<e m ~~cv, - 9~-~l 1 ~cr.ha/ ~r6= Q1. O am, 2 27' 39' 30'-Y" Se C. P.ss;ble - 728/V KI l~ a ~ ti zoo, Nouse ste ski N~'~ a /35 Dawn By: Inn az Sc a le : l ~o , cs~' Sy 13 OF ~a13 ?4EPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION INDUSTRY, LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969 N WI 3707 HUMAN RELATIONS (1-163.090) & Chapter 145.045) NICIPALITY: OT NO.: BLK. N/0.: SUBDIVIISI/ON NAME: LOCATI N., SECTION: TOWNNSSHIP/M SE 4,61 / /TzSH/R (or /5 LIS~ ~1/~7'• ✓1/1Q N/`/ COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: S~•i / C., eY9/X JD O GL d DY' 17171r.0 Irt~ Old 4Q), USE DATES OBSERVATI NS MADE NO. BEDRMS : 1COMMERCIAL E RIPTIO PROFILE ONS: PERCOLATION o STS: *Residence New ❑Replace I 9 7-9Q 9-Z8 -90 RATING: S= Site suitable for system U= Site unsuitable for system r ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: M-IN-FILLHOLDING TANK MMENDED SYSTEM:(optional) ❑s ,Zu ,Z s au ❑s .Nu Su [Is ~u 17 n Z?Z 0/ / If Percolation Tests are NOT requAir~d DESIGN RATE: If any portion of the tested area is in the AW under s.H63.09(5) (b), indicate: N/9 ffJ O~ I Floodplain, indicate Floodplain elevation: /V PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH r4 ELEVATION OBSERVED ES HES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) /I I B- 41, •,c,/c r- 97- S7 43Z • ` Q~si ! • /•3 3 Can sr ! • /~33 x47, I • • ~7 Lrn B- 7sc~ i W cc B- Z 93,69 Ale';e a~"a-f37~ •8'~Bis~ • •83£s'nsi~• /./7 •.Z~O ric~• . /7 B- Bns /•4 c gS, 9S ~ n e, a C' .~D • b713 s,• • /•z~'6 s,~• • 9Z Bnsl n.rd rB-T / P✓? - 92,0 PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERT D 1 PERT D PERI Q3 PER INCH P- z0.1 erl e- 36 3 P 3 -1119 P- P7 e d S / r 140 / P- 3 Aladd, -30 o V7- el? 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 9 S1 81 5A I J w - , -4 -j I I _ 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: male ~uG✓so - Z9P-7o ADDRESS: 11 CERTIFICATION NUMBER: lO~ FP -HONE NUMBER (optional): CST SIGNATURE: T DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) OVER - 10 B3 24F~o.» ~h%s bore hole, fo Ow✓►er; Wesf P'°Pe' y l'ne. -Douq 7ooY✓1i'✓) 71 -7 Po I /off XPe,. 134 /ol w; ✓I~ id,'. T#00 L jqZ Bz P3 q3' ~ o , B-M. - /oo,o ~ 11D ► ' i►"' ~z - 93.49 " B 3 - ki•93 P3 - 9Z,O, /7~ OP o SC DI Sy,A! M o c V. - VIP 1 ~oa►~ ~ 4r' 6Q J C~ 1-- C ~M TI 27' 39' 30' Set C. s.~e -i~2sN K ~7 w '~oss%b1e i House .Ste SFi l~F~ 204 a a`. /35 D~awr~ Sy rnP az Sc ale : 40 ~ ~ CSC Sq 13 CERTIFIED SURVEY N0. 635 Part of the Southeast 1/4 of the Northeast 1/4 df Section 11, Town 28 North, Range 17 West, Town of Rush River, County of St. Croix, State of Wisconsin, described in Volume I of Certified Survey Maps, page` as Certified Survey No._ 635 350256 ST. CROIX COUNTY UNPLATTED LANDS JI~RyEYORs RECORD N 000 05' 08" W 424.00 m 212.00 212.00 10 .9c 0 +4 zyh ~,Mg 1 A A S r Tm z z' _ i - • 0 C: co C: OZ co -0 z O'V m m 000 0 ~ r o a O r tN ° • 1- O O W O LD o , r D o to D r O r D o m • -D-1 • --i o o 2 C7 0 c C) • -1 ~-I o z - o a M N 0 'm rnv o M m U1 M U) 0_ M to rn o _ o t+ c H' m .f .D •D .Z M •ZD •v z-1 cnm 1` e ~C0- y U) z z n f~14 M ~(p (9~ - f M ti'4 ( is Ac,. Op. 212 00 212.00 W S 000 05' 08" E 424.00 b TOWN ROAD O • r o 0 I a f~+1 D Al M G) I IL = o BEARING REFERENCE TO THE z ~ - EAST LINE OF THE N.E. 1/4 o = OF SECTION 11 T 28 N 0:0 'fiC I~t R 17 W ASSUME BEARING ro0 oo N 000 05' 08" W z o ~ v APPROVE o 0 r-0 V losses1 p n z JUL 19 1978 l 2 ST. CROIX CGS' Y t~ COMPREHENSIVE PARKS FiANNING FILED AND ZONING COM144iTEE JUL 201978 o~ LAM c' Gomm APPROVAL QF THIS MINOR SUBDIVISION SHEET 1 of 2 RMWr of D**4 DOES NOT Comfy, MEAN APPROVAL FOR BUILDING SITE OR SEPTIC . SYSTEM. REFER TO H62.20i Volume 3 Page 635 t q2,5:~L ST. CROIX COUNTY ;k r WISCONSIN 4s 4 y ~ wA 1 r !.y, ^7. a r r ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 April 1, 1991 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation of the Donald & Darlene Olson property, located at the SE 1/4 of the NE 1/4 of Section 11, T28N-R17W, Town of Rush River, St. Croix County, revealed suitable soils at a depth of 30 inches below which seasonable high ground water was noted. This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. cerely) Jame ~-y? stant Zoning Admirdstrator cj