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HomeMy WebLinkAbout038-1012-95-100 ~ 'O C. O p 6c) h ~ d ~ O � I ti p N � O E O8 �,n O N O CCD, y c z N d„ Oawcmo v� 8 C O N R 0 � t J � v! I + N �— C tl 0 0- O O 'es m o n a) O rn rnU p E U n•- ���� w d O O x 'J .. rn v rn w = C � fA Vl f0 7 N f0 y O� C•W C Z C 3 cC O C N O C LL c 0-6 m N LL 7 2 E c � 0 O Vl'2 O O E l6 CL—— N Q a ►L-U rnow � fh z N O o a O € C M O a m M d O Z v N d Z O U) c to F- E o r+J E I `o m I n C c (D O N 0 0 0 •N LO 'O t R N III. O Q Q O !t w O N 0 z z z ° N Z � C M O +� E C M LO E LO�i N D (D a �o p c 0) fn U) j d N.00. Fy • � aaa a IU !1i N J U p rn rn } V : M cp 0 0 C CD L q c = Q 0 0 E N N N r lf) m o a (O O 01 N ' u- W Q (A Q �. O O O O 3 N C C� O F- C O O O d 3 'r O N_ V rrO In "� N N N V d O O O O l N M N >p N E E ry v 4� ` L L C O co CD O • i�+a O O fn > O Z Ml i U� O � I a a L a • C D E .2 m c r`I�l E c r A 0CL2 '; o vci . 62 1 579 VOLO PAGE 5181 REGISTER OF WALSH RECEIVEDXFOORR�EtECORD CERTIFIED SURVEY MAP 4)3/27/20% 0235OPK Located in part of Government Lot 1 of Section 3, Township 31 North, Range 18 CERTIFIED SURVEY MAP West, Town of Star Prairie, St. Croix County, Wisconsin. REC FEE: 13.00 COPY FEE: PAGES: 2 W. line of the NW-1/4 ca 44 O1 E 3020.01=- O'D --I z s stO D A "D �NO744O1E T � � IO1. � ° pv 1471.42' N01 44 01 E s io ' o. rn n ' �o. ,fit 1111 °c �°� " o �° o °m �� °� I I a o•� �` D x x Ck Q i'n cnw Ly�i 3 ac.,� o� m o �� V �3 ��„ � �O .N•• °ac l a � H cam•--o o zj- � r_ L A .?���3 cb n c�i a :3 oo c v ym \IIQ� .•• �� <1) a an° rt rn \ QQ En n 9 a m rn o o �m ° m 9S 91 \�i o �� 3 f °�• Q' \ (4 N i N� r�*i n o > > w-' �2 �� mva 'ao a cxo CIL mvOrr1 c0 w °cx ° L1 !v a \°6 fog �0 0 -I z ; m Y s I n o o Q o O 1� \wok •A.p ° nom' �n ns v w m N P r� O Z `� oo� rn o �� Z o o ,+ m n o o m �' Oo "o v I' �O °o o ° n > N Ii\C� " IA p �� o m 5- in c M -V o L m �° c3e \�: o o.Z 4s 1 a a lb o tJ' o\v/, I�Iv w 1� v_� m Ni �P 00 m vo0 DC \ /-� iD cn ° ov G')m �+ C o- o C \ V cD 1 :« a H oa� o y �allo tb jQ PO O j Q o Ir°1*>: N W oQv C3 -V VIA -�° c o o1 n �. 1��b' Do C a N (D d y N y < Lo- =n O O J N S N �p fD 3.I'•'.� O O IN tO m 0i _ ti '< ° 3 3 T-2 cr na, cc)33 �3��m ,• w y° N v� rrj n� � o a cn� x. a � Q' �_'w 3 oom ° •cc„0< �+ S1 m rtx o �3 �3 a 652 ni' �me CL T'° > v3 cry `3J Ow v m a' > > �ro wrtf n 4885, -w o.o n a9 rc`DO �n °.� a N a n o � I InIrCUIm / ?. C to to ° m ' �Q m 4 JOB # V4057SU188 ti a ny Prepared by. o Consulting Group, Inc. 0 • Phone No. (715) 246-4319 Prepared for and at the request of: II m Fax No. (715) 246-3830 JACK HIRSCH P.O. Box 325 2372 West Cedar Lane a New Richmond, WI 54017 New Richmond, WI 54017 _ Sheet 1 of 2 `�• `cxi Grafted by. Michael H. Lyrtskey 1 of 2 Vol 20 Page 5181 4 FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER . G(lO TOWNSHIP Z9r PZ'7'9 4~ SECTION __T N-R_LeW ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION/ LOT LOT SIZ PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM t a Of INDICATE NORTH ARROW BENCHMARK:Elevation and description: !~~,r_ALL Ad Ay1raki-rL /w i Alternate benchmark SEPTIC TANK : Manufacturer: Liquid Cap. J&r,6 29= Rings used:%?'Manhole cover elev:F% Final grade elev: Tank inlet elev.: 9~ Tank outlet elev.: I No. of feet-from nearest road:Front Side , Rear Ft. gB" From nearest prop. line: Front , Side , Rear ~O No. of feet from: Well 0 ''l- , Building: _-Z b (Include this information in the above plot plan) (21,eference dimensions to septic tank) SEE REVERSE SIDE Y Y Q PUMP CHAFER Manufacturer: C 92, Liquid Capacity: Pump Model : Pump/Siphon Manuf act.: Pump Size /V 10, Elevation of inlet: a Bottom of tank elevation p h$ Pump on elev.:=Pump off elev.:~_"'Gallons/cycle : / Alarm: Man.4&Jg(A cK/+ Switch Type:&4,,14,.j Location Distance from nearest prop. line: Front Side_, RearK.Ft. 60 Distance from: Well ~ r fi Building' SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: Length Number of Lines: Area Built, Exist. Grade Elev. Fj i Proposed Final Grade Elev. _ Fill depth to top of pipe: Sd No. feet from nearest prop. line:FrontSide , Rear Ft. No. feet from well:/W No. feet from building HOLDING TANK , Manufacturer: ph"pacity: No. of rings used: Elevation of ottom tank: Elevation of inlet: No. feet from nearest prop. li e:Front , Side , Rear Ft. No. feet from: Well , ilding , nearest road Alarm Manufacturer: I INSPECTOR: DATE : /9%'' - / PLUMBER ON JOB : LICENSE NUMBER: ~~lld~.J~ ; 6/90:cj t ~ DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION PIS ~VI 5 707 State Plan I.D. Number: 1 VI,, ec.3,T31-R18 nn ONVENTIONAL ❑ ALTERATIVE (It assigned) Town of Star PrairL0 l Cardinal Dr . Holding Tank ❑ In-Ground Pressure El Mound . n NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECT ON DATE: Warren W. Wood Rt.2 Box 109, New Richmond WI- N, BENCHMARK (Permanent reference point) DESCRIBE IF DIFFERENT ROM PLAN: REF. PT. E T PER PT. E .:S / 37~ /J~O 9 7, Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: i ,g Gar Steel 3254 St. C 4902 ~d~. SEPTIC TANK/HQWNNG-TAN (ice' _ 0 OIL? 1 MANUFACTURER: LIQUID CAPACITY: TANK INLE TANK OUTL I WARNING LABEL LOCKING COVER GY~L / , , 9 ; / PR~OVIDED~: PROVIDED: 7 IlJ~ES ❑ NO ❑ YES -du BEDDING: VEIdTDIA.: V£#T MATL.: HIGH WATER UMBER OF ROAD: PROPERTY WELL: ILDING: VENT T FR $H CAD, ALARM: FEET FROM LINE: t AIR INL ,71/F Es' NO NEAREST y50 ❑ YES 0 YES DOSING CH/RAMBER. 9. ,',/L, tL = ' MANUFACTUR BEDD G: LIQUID CAPACITY. PUMP MODEL: PUMP/SWW"K TURER: WARNING LABE LOCKING COVER PROVID PROVI ❑ YES O , E~3 GOc~~ S ❑ NO ES El NO 44 1 KX 4 - ~ GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: ILDING: VENT TO FRESH FEET FROM LINE: / I AIR I T' (DIFFERENCE BETWEEN// t) zl_ + if / A. PUMP ON AND OFF bl YES ❑ NO NEAREST 5:50 ~ 9~~ Y9 LENGTH: DIAMETER: MATERIAL AND MARKING: SOIL ABSORPTION SYSTEM. Check the sol moisture at the depth of plowing FORCE j// or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN phi t 1 d V& /r~T/n-(~ - the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TEEN LENGTH: TNO.OF RENCHES: DISTR. PIPE . MAT R &INSIDE A.: # PITS: LIQUID IDEPTH: DI DNS G AVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: FEET FRO0 NEAREST MOUND SYSTEM: = C ?6,5721 Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW w ❑ YES C O / meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; G ( ES ❑ NO QY5S- ❑ NO DEPTH OVER TRENCH/BED DEPTH OVERT ENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER:/,/ EDGES ~t N ❑ YES CvOS ❑ NO ❑ NO PRESSURIZED DISTRIBUTION SYST - A WIDTH: LENGTH: OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: BED/TAENGW I 1 TRENCHES: DIMENSIONS (p MANIFOLD PUMP MANIFOLD DISTR. PIPE - MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.; ,Szl ELEV.: DIA.: ~i ELEV.; S PIPES: DIA.: ,C(J~l ` M 5~_ JI ELEVATION AND G ~2 116 .2 DISTRIBUTION t HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION I +1 Q r U ❑ T - APPR,OyED~ YES~EEMo ( •1 ES U6 NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: DING: COMMENT: FEETFROM LINE: - L'?YES ❑ NO EP-YES ❑ NO NEAREST S0-41 r[~ic /1/b Montk42 C~' 10 4v( (r'. a-r (..,v-.f' 1 1- p~ wag 0 /X- ~ 7L) A M tai in county file for audit. Sketch System on , Reverse Side. IGNATUR . TITLE: SBD-6710 (R. 06/88) G SANITARY PERMIT APPLICATION 75ILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 ✓ 9 8% x 11 inches in size. Check if revision to prey us application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. - Q PROPERTY OWNER PROPERTY LOCATION Warren W. Wood NE y.NW S 3 T31 , N, R 18 (or) W PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # R.R.#2, Box 109 2 n/a CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER New Richmond, Wi. 154017 715 248-7300 n/a 11. TYPE OF BUILDING: (Check one) El State Owned ❑ E:I VILLLLAGE : Star Prarie NE68TCl1na Dr. Q14=14 QF: ❑ Public ®1 or2 Fam. Dwelling-# of bedrooms 3 PARCEL TAX NUMBER(S) O~p._ !Oldd~~ ~I gU*'C'~C~ c~7O0 111. BUILDING USE: (If building type is public, check all that apply) ~ 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. ~Iew 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.E] Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ 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 (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 450 375 375 1.2 24 96.20 Feet 97.70 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 x Weeks Lift Pump Tank/Si hon Chamber X Weeks VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for install ion of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's i ature: (NOS mp PRSW No.: Business Phone Number: Gary L. Steel 3254 715 246-6200 Plumber's Address (Street, City, State, Zip Cody):;. 1554 200th. AVe., New Richmond, Wi. 54017 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued issuing gent Sign re No Sta s Approved F-1 Owner Given Initial Surcharge Fee) O~ 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 permit may be renewed before the expiration date, and at the time of rarewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner'-, name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - - - - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) APPLICATION FOR 9AI(ITARY PERMIT • 9TC-100 This oppllcotlon form Is to be conplntad In full and signed by the ownet(s) of the property being developed. Any Inadequacies will only result In delays of the pttnilt issuance. -Should this development be Intended tot resale by owner/contractoc,(spec houos), thon a second form should be retained and completed when the property Is sold and submitted to this office with the appropriate deed recording. Ovntr•oI property Warren W. Wood Location of property 1/1 ~/4s sectlon -3 T3ir•R 18 Y -Star Prarie Tovnshlp Halllnq address R.R.#2, New Richmond, Wi. 54107 Address of site R.R.#2, New Richmond,Wi. 54017 Subdivlslon name n/a • Lot number 2 Pcevlous ovner of property John Peterson ' Total size of parcel 2± acres ' Date parcel was created 2-11-91 Are all cotnsts and lot lines Identifiable? -„Yea xo Is this pcopetty being developed fog gesalQ (spec house)? x as Mo volume 893 and Page Humber 08 ~ as tscotded with the Register of Deeds. INCLVD9 WITH THIS APPLICATION VIE FOLLOWING VAARANTT D¢ID which includes a DOCUMENT HUMBERp VOLUNR AND PAGE RVxerR, and the 99AL or THE R9010TXR OF DEED9. In addition, a eettitled survey, It available, would be helpful so as to avoid delays of the revlewlnq process. it the deed description references to a Cettllled survey Hope the Cattltled Survey Hap shall also be required. PROPERTY OVH ER CERTIFICATION I(Vs) certify that all statements on this form are true to the best of my (our) knovledgel that I (we) am (ate) the owner(s) of the property descclbed In this Information form, by virtue of a Warranty dead recorded In the office of the county Register of Deeds as Document No. 466382 and that I (Vat p esently own the proposed site for the sewage disposal system (at I (ve) have btM19matuto an easement, td tun th the above deeccibed propeetr, tot the tlon of s d w tam, an a same has been duly recorded In the office oV ty Reg star of D s Document No. 10 of Ow er slgnstute of Co-Owner III Applicable) 3l ~ Date of signature Date of signature a, DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1--1982 THIS SPACE RESERVED FOR RECORDING DATA i 4~6382 W.7PAY D II - ~ - REGISTER'S OFFICE This Ledp made between John L. Peterson and Cyn t i a ST. CROIX CO., WI etersonhusb_arid---aria--wi-fe........... ReC'd for Record - - - Grantor, FEB 121991 D1 and-----Warren--W.---Wood 9:00 AMA CA7 - - ..Grantee, R0913t0►Of s Witnesseth, That the said Grantor, for a valuable consideration--____ conveys to Grantee the following described real estate in _.S-t A._.Cx'Q1X------- RETURN TO County, State of Wisconsin: L Tag Parcel No See attached Schedule "B". I~ I"F r• ' i This .__nD_t---------- homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And------ rantor - - warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except municipal zoning ordinances and easements of record and will warrant and defend //the same. Dated this ----------------------'r-!~k day of •-February........... 199.1.__. (SEAL) (SEAL) John L. Peterson - - - -(SEAL) --(SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature (s) Of John _L_. Peterson STATE OF WISCONSIN and Cynthia M. Peterson ss. County. / authenticated this &r!'-day of_____FebrUary ~ 19 _91 Personally came before me this ................day of " 16 37r_ - r 19.__..... the above named G . E. Norman _ TITLE: MEMBER STATE BAR OF WISCONSIN MEW - X to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY BAKKE NORMAN SCHUMACHER SKINNkR & WALTER S.C. -ew--_RIc mond•,__.W_L..... _4.(11.7__•----------- Notary Public ------------•---------------•-----------.County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date - - / -1 F 73 • Namua of nrrsuns +ligning it, srny calincity shuuld be tyired or printed below their Ilignutures, ~ J `,WAMA•IV Y DRED STAT1•; IIAlt Or WlgroNsIN Wi,~nnaln T,N•ot~lhnl• n r STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/WHM Warren W. Wood ROUTE/BOX.NUMBER R.R.#2, Box 109 FIRE NO. n/a CITY/STATE New Richmond, Wi. Zip 54017 PROPERTY LOCATION: f76-114 rlb.J 1/4, Section 3 , T__Z (_N, R__LY_W, Town of Star Prarie , St. Croix County, Subdivision n/a , Lot No. 2 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 $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper 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. Certification form will be sent approximately 30 days prior to three year expiration. 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 Department of N ural Resources. Certification form must be completed and returned to the St. of County Z ning ffi within 30 days of the three year expiration date. SIGNE 7 p y DATE -3/f o t J St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 r (715) 386-4680 Sign, Date, and Return to above address DEPARTMENT OF REPORT ON SOIL BORINGS_ AND SAFETY & BD UILDINGS 'INDUSTRY, IVISION 7969 LABOR AND PERCOLATION TESTS (115) P.O. BOX 3707 HUMAN RELATIONS MADISON, WI 53707 (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: TOWNSHIP/ LOT NO.: BLK. NO.: SUBDIVISION NAME: NE 1X4NW ~4 3 /T 31 N/R 18*qor) W Star Prarie 2 n/a n/a COUNTY: OWNER' AME: MAILING ADD ESS: St. Croix Warren W. Wood R.R.#2, Box 109, New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE TESTS: NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION QrResidence 3 n/aniew ❑Replace 13-11-91 13-12-91 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) I❑ S ®U I , ❑ U ❑ S ®U ❑ S RU E] S ~U mound. 7- If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the n/a under s. ILHR 83.09(5) (b), indicate: n/a Floodplain, indicate Floodplain elevation: ddecimal' PROFILE DESCRIPTIONS page 3 Am1)2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH1W ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 5.25 95.90 none 2.25 .83bl.1. 1.42bn.s.1. 3.00bn.mot.s.l. B- 2 5.17 95.90 none 2.00 .6761.1. 1.33bn.s.J.. 3.17bn.mot. s.l. B 3 5.26 92.90 none 2.34 .67b!.J_. 1.67bn.s.l. 2.92bn.mot. s.l. B- B- B- decimal' PERCOLATION TESTS NNUTMER DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES AFTERSWELLING INTERVAL-MIN. PERIODI PERIOD2 PERIOD 3 PERINCH none 30 11 1% 2 2.00 none 30 2,4 2.00 none 3U 2 11) 2 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 96.20 surface el. of bed area 95.20 E o, P-.-~s~ 3 - , 3 f E i T E E ~aF P ,k., e 3 : 3 ~ i o E i e r w 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 3-12-91- ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, Wi. 54017 2298 171W246-6200 CST SIGNAT LIX DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. R-SBD-6395 (R. 10/83) - OVER - 3 l u~ i f T Y DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISO N WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP/QTY: LOT NO.:BLK. NO.: SUBDIVISION NAME: NE ~/NW '/4 3 /T 31 N/R181(-,) W Star Prarie n/a n/a n/a COUNTY: /BUYER'S NAME: MAILING ADDRESS: St. Croix Warren Wood R.R.#2, Box 109, New Richmond,Wi. 54017 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: OResidence 2-3 n/a tRNew ❑Replace 2-18-91 2-19-91 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: JI SYSTEM-INS~-FI1ILLHOLDINGTANK: RECOMMENDED Y TEM:(optio I) ❑ S ®U E4S ❑U ❑ S ®U ❑ S EiU ❑ S ®U mound 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: n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 3 AmD2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH= ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 6.09 98,00 none 3.42 .75bl.1. 2.67bn.s.l. 2.41bn. mot. s.l. i B-2 7.33 98,00 none 3.33 .83bl.1. 2.25bn.s.l. 4.25 bn. mot. s.l. 3 5.99 95.50 none 2.08 .50bl.1. 1.58bn.s.l. 1.33bn. mot. sil. B- 2.58bn. mot. s.l. B- B- B- PERCOLATION TESTS decimal TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER MDOOM, AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PER PER INCH P_ 1 2.00 none 30 212 2 15 P_ 2 2.00 none 30 2 1 3/4 1 3 / 47- 17 P_ none 30 z 114 u 24 P- P- PP 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 99.00 f E L eg, ZVI _.a_ 40 ~ 31!!1= ~ ►°_j ~ - _ w_ _ . _ - - _ ` ~ I - - p4- 100 T3 ALP, lot- 2 ~ t^- OZi f E E 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 2-19-91 ADDRESS: CERTIFICATION NUMBER: JPHOAE NUMBER (optional): 1554 200th. Ave. New Richmond Wi. 54017 2298 70-246-6200 CST SIGN E: N -_4 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - t TO'_ ,t L ~ STEEL'S SOIL SERVICE 1-554 200th. Ave Gary L. Steel x9B8ckkAHxxaAkciYe C.S.T. 2298 New Richmond, WI 54017 MPRSW-3254 (715) 246-6200 Mound System for Warren W. Wood NE-4 NA, S3-T31N-R1814 Star Prarie township, St. Croix County pages #1----------plan approval. application #2---------- St. Croix County verification of soils #3----------soil data (115) #4----------plot plan-plan view #5----------work sheet #6----------system cross section #7----------pipe lateral _layout #8-----------dosing chanber #9----------pump curve Gary L. Steel Gib 9 fillisconsidDepartmentofIndustry, QNSITE SEWAGE SYSTEMS Office of Division Codes and Application Labor and Human Relations Onsite Sewage Section Safety and Buildings Division 201 E. Washington Ave., Rm. 141 PLAN APPROVAL APPLICATION P.O. Box 7969, Madison, WI 53707 (608) 266-3815 INSTRUCTIONS: Please fill in all applicable data and submit this form with plans. Plans will not be reviewed until all fees are received. The reverse side of this form describes most of the required plan information. Further requirements maybe contained in the Wisconsin Plumbing Code, which can be purchased from the Department of Administration, Document Sales and Distribution, 202 South Thornton Ave., P.O. Box 7840, Madison, WI 53707, Telephone (608) 266-3358. Plan Number Previously Assigned 1. PROJECT INFORMATION (Type or print clearly) Name of Submitting Party (plans returned to same) Project Name Street Address, P.O. Box #E or Rural Route Project Address or Legal Description 1554 200th. Ave. r1E-1iNI-A, 3.3-T.31-R18W. City or Village State Zip Code City ❑ County New Richmond., Wi. 54017 Village ❑ of t>i, Prare art's . 'Croix Telephone No. (include area code) - - - Town s Designer Name o Owner sane as above Warren W. Wood Telephone No. (include area code) Telephone No. (include area code) 715-246-2146 office 248-7300.home Street Address, P.O. Box #E or Rural Route Street Address, P.O. Box #E or Rural Route R.R.#2, Box 109 City or Village State Zip Code City or Village " `State Zip Code New Richmond Wi:j 54017 2. APPLICATION FOR: ❑ Experimental fkMound System ; , D Holding Tank New Construction ❑ large System ❑ Conventional Gravity System, ...J:; ❑ Groundwater Monitoring ❑ Replacement ❑ At-Grade ❑ System in Fill ❑ Petition for Variance ❑ Revision ❑ Pressurized System ❑ System in Flood Plain (attach SOD-6698) ❑ Other Alternatives , 3. FEE COMPUTATIONS (include existing tanks) FEE SUBMITTED FOR OFFICE USE MAKE ALL CHECKS PAYABLE TO SAFETY & BUILDINGS DIVISION. a. 750- 1,500 gallon septic tank $ 50.00 50.00 + b. 1,501- 2,500 gallon septic tank $ 60.00 C. 2.501- 5,000 gallon septic tank $ 80.00 d. 5,001- 9,000 gallon septic tank $100.00,: e. 9,001- 15,000 gallon septic tank $1150.00 f. Over 15,000 gallon septic tank $250.00,,f,,- 9- 500- 1,000 gallon dose chamber S 30.00 30.00 h. 1,001- 2,000 gallon dose chamber $ 50.00 i. 2,001- 4,000 gallon dose chamber $ 70.00 ` j. 4,001- 8,000 gallon dose chamber $ 90.00 r k. 8,001- 12,000 gallon dose chamber $110.00 1. Over 12,000 gallon dose chamber $ 150.00. , i. M. 500- 5,000 gallon holding tank $ 30.00 n. 5,001- 10,000 gallon holding tank $ 55.00 o. Over 10,000 gallon holding tank $ 10000 x p. Revisions $ 20.00 Ma e q. Groundwater Monitoring - Per Site $ 32.00 a° (other than a proposed subdivision) r. Petition For Variance: Setback $ 25.00 Site Evaluation $ 50.00 r Subtotal: 80.00 s. Priority Plan Review: Enter same amount as Subtotal Total Fee: 80.00 SOD-6748 (R. 04188) NOTE: Fees are pursuant to Wis. Adm. Code, Chapter Ind. 69, and OVER + are subject to change annually. (n j 1 - 401 00 ST. CROIX COUNTY Tr WISCONSIN c. r4 ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - (715) 386-4680 March 13, 1991 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Warren W. Wood property, located NE% of the NW, of Section 3, T31N-R18W, Town of Star Prairie, St. Croix County, revealed suitable soils at a depth of 2 below which seasonable high ground water was noted. , a mound. This site should be suitable for Should you have any questions, please feel free to contact this office. Sincerely, Thomas C. Nelson Zoning Administrator Js h`4 ' F a DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 HUMAN RELATIONS • (ILHR 83.09(1) & Chapter 145) LOCATIOSECTIO TOWNSHIP/ LOT NO.: BLK. NO.JS UBDIVISION NAME. NF 1/4 W 14 3 /T31 N/R 18 fAor► W Star Prarie 2 n/a n/a COUNTY: OWNER' AME: MAILING ADDRESS: St. Croix Warren W. Wood R.R.#2 Box 109, New Richmond, Wi. 54017 USE DATES OBSERVATIONS MADE NO. BEDRMS.: CO R DESCRIPTION] PROFILE ON TESTS: Imfiesidence 3 n/a k5tNew =Replace 1 3-11-91 3-12-91 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND TE N-FILLOLDING TANK: RECOMMENDED SYSTEM: (optional) DS ®U iiIS ❑U ❑S ®U ❑S EU H❑S gU mound F rcolation Tests are NOT required DSIGN RATE: Iany portion of the tested area is in the r s. ILHR 83.09(5)(b), Indicate: n/a Floodplain, Indicate Floodplain elevation: n/a ddecimal-' PROFILE DESCRIPTIONS page 3 AmD2 BORING TOTAL DEPTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTHW ELEVATION OBSERVED EST. I H TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 5.25 95,90 none 2.25 .83bl.1. 1.42bn.s.1. 3.00bn.mot.s.1. B- 2 5.17 95.90 none 2.00 .67bl.1. 1.33bn.s.J.. 3.17bn.mot. s.l. B 3 5.26 92.90 none 2.34 .67b1-.I. 1.67bn.s.1. 2.92bn.mot. s.l. B- 13- decimal' PERCOLATION TESTS IEST DEPTH WATER IN HOLE TEST TIME DROP LEVEL-INCHES RATE MINUTES NUMBER AFTER SWELLING INTERVAL-MIN. PERIOD t PERIOD PER INCH P- 1 none 30 12 1 1 2 p- 2 .00 none z z 74 P- none 30 i5 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 locatlon on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 96.20 surface el. of bed area 95.20 d (Y1- f ~ Per J. i P! t~t4eK~ E A I__ I 9 z t1j, Pei put ~G~ 8 N e p 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: Grirv L. Steel_ 3-12-91 ADDRESS: CERTIFICATION NUMBER: [PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, Wi.. 54017 2298 71 2.46-62 CST SIGNAT f71STRIfiUTInN 0iq,oal ,n one copy tt? (orb, Autho.ity, Property ON ner and Soil Test gr. (_)ILHR SPP P395 (ft_ 10/83) L ~t +~om y~,i 1y Zt ~ w 11 ~ I ) ~n~O ra M' ~ ~ _ / J.3 Boo tipC I, oo©'3,qt . / J ` ~0 JA u n' DIY 1 Arv1 b,s,-1 S ~r~ b5+ I e ?"N"E A r-S, 6 25 F►t . $El~+~M - 5, , 'r~~: ertov'r~U bivST '~En►~aw 'b kle sip WAD'S S\ISTSM , p~S1~E SE " ~oR Aro QE~p,~~ CJ~~f V j nG IN, r -C - 57 r -OPTIONAL WORKSHEET 1. MOUND SYSTEM 11. IN-GROUND PRESSURE SYSTEM-Continued- I. Wastewater Load, Total Daily Flow = 0 gal, 10. Force Main: 14 Minimum Dosing Rate = d7 - gPrn R 83.15 c Use s. ILH (3) ( ) In. Adm. Code and PROVIDE A DETAILED Diameter z 11. Total Dynamic Head. LIST OF SIZING ON PLANS. oo System _Z•S ft. 2. Depth to Limiting Factor It. ° eq. Head = Vertical Lift = ft. 3. Landslope = --L-- x Friction Loss ■ ' Z ft. 4. Distance from Dose Chamber to 9 z ft. Distribution System ■i_ ft. TDH ■ 12 S. Elevation Difference Between . Pump Selection: Pump will ll discharge at least 13 a/~ tDm Pump and Distribution System ■ ft. 1 at JA 47. ft• total dynamic head. 6. Absorption Area Sizing: au k b YOS Area Required = sq. ft. Pump model g(td~aQuYcturef: Bed or Trench Length (B) ■ ft. v1 C~. Bed or Trench Width (A) ■ ft. 13. Dose Volume: Trench Spacing (C) ■ It. 10 Times Vold Volume of 4 gal. 7. Mound Height: Distribution Lines ■ Fill Depth (D) ■ ft. 1, Dally Wastewater Volume+ .11 ■ gal• Fill Depth Oownslope (E) ■ it 4 Doses In 24 hrs. • _.3.1 T_- gal. Bed or Trench Depth (F) = ft. Back(low ■ -11,6, J--- gal. Cap and Topsoil Depth (G) ■ ft. Minimum Dose = Cap and Topsoil Depth (H) _ 1.6 ft. 14. Dose Chamber. 00 gal. a. Mound Length: Volume ■ End Slope (K) Total Mound Length (L) ■ ~ ? ft. Ill. CONVENTIONAL PRIVATE SEWAGE SYSTEM 9. Mound Width: 1. Wastewater Load, Total Dally Flow ■#I• Upslope Correction Factor Use S. ILHR 83.15 (3) (c) , Wis. Upslope Width (1) _ ft: Adm. Code and PROVIDE DETAILED Downslope Correction Factor ■ LIST OF SIZING ON PLANS. Downslope Width (1) = j ft. 2. Required Septic Tank Capacity ■ Total Mound Width (W) ■ 3 ft. 3. Percolation Rate ■ min./In. 10. Basal Area: 4. Absorption Area Sizing: 83 Infiltrative Capacity of Refer to Table 2 in ch /ILHV Natural Soil = gal./sq.ftjday and PROVIDE A DETAILED I t l Area Required= ~ sq. ft. SIZING ON PLANS. Basa Basal Area Available ■ sq. ft. Required Area = sq. ft. = 11. If Standard Tables from Chapter ILHR 83 Length ft. are used, Indicate Table # Width = It. 12. For the Distribution Network, Use Numbers 5-14 in Section It. Number of Tren es ■ Trench Spacir ■ ft. 11. IN-GROUND PRESSURE SYSTEM S. Distrib/ralSpacing item: 1. Depth to Limiting Factor ■ R, Latgth = ft. 2. Landslope = as y~ NuLaterals ■ 3. Percolation Rate = Z y` min./in. /ST = in. 4. Proposed System Elevation = 4 ft. tance from Sidewall to Pipe ■ in. Sl S b gal. tem Elevation i ft. S. Wastewater Load, Total Dal Flow: Use s. ILHR 83.15 (3) (c) , Wis. Adm. Code and PROVIDE A DETAILED IV. -FILL LIST OF SIZING ON'PLANS. tems from Section III Required Septic Tank Capacity ■ 000 gal. 6.' Absorption Area Sizing: V. SEPTIC TANK ' Q p p Percolation Rate ■ min./in. 1. Capacity ■ gal. 2. Manufacturer: t p- Area Required sq, ft. System Length : a;V7 ft. 3. Show Site Constructed Tank Details on Plan System Width = _--0 ft, 7. Distribution Pipe Sizing: \ VI. DOSING TANK gal Hole Sire = /4 in. 1. Capacity = Hole Spacing = fl. 2. Manufacturer: K 5' Q Lateral Length - ._1~ ft. 3. Pump Manulaclurcr: Lalcral Silo in. 4. Pump Model: L.ilcral spacing 11. S. Operating Head= it. 0. Ilow Ralc_ gpm. IH.LUtee I shirw'111 fit 14110 io 8. Disiribullon Pipllic o Ukcbargc Role: e: 7. Show Site Constructed Tank Details on Plans /G II Number of I lules I'cr Pipe 1 low I'cr Pipc Rpm, VII. IIAI.VING I ANK 9. Manifold Sl/ing: 1. Capacity = gal. ype (collet or und) 'A t 2. Manutaclure , Length = 3 _ It, to Constructed Tank Details on Plans Diameter = 'ice In. -SHOW ALL INFORMATION ON PLANS- D1LHR 540-6761 (R.03/1171 j aI -wow Page + Of Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand . a Topsoil F J~ E D /O % Slope Bed Of 2 (Force Main Plowed Aggregate Layer D _L_ Ft. rUri ti i ~I'D v' Kilt VA la' o v~ cps r e ~d' S i d E, E N Ft. Cross Section Of A Mound System Using -L-- -A Bed For The Absorption Area F . X75 Ft. . TEM G L_ Ft. A A_ Ft. H / Ft. Signed- Wo B Ft. License NumO K ~L Ft. Date: - L, Ft. S%CNS Ft. ~Pgo4l ANC NU C~IS~"Y Y l7. Ft. pEPAFSri«tit~ ri pF I W Zz Ft. E SEA observation Pipe-- J g K - J A I Force ce Main W - Distribution Bed 01 2 iZ Pipe Aggregate •I . Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area . i 1 9 40 Page 2 Of q a~. Perforated Pipe Oeloll [ad Vier )POrforeled / and Coo PVC Pipe a`see Holes Legated On Bottom. Are Equelly $"god ' Lott Hole Should Bi ' Most To EM Coo Distribution Pipe Layout P YS-Ft. 5 X .3 6 Inches Y ._.6 - Inches Hole Diameter Inch Signed. Lateral ."1 1V7- Inch(es) License Number: Kati sa) 3z.S/-L Manifold v- Inches Force Main " Inches Date: SEWAGE of holes/pipe NSVTE o p Invert Elevation of Laterals ~ Ft. LA10A AND G5 tNC~~SiRY' ND DCPaFtTid;}:=~ 0 '1pN Of t`►dARE NCE E 1'n("I CF PUMP CHAMBER CROSS SECTIOIJ AMD SPECIFICATIONS VEMT CAP j 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MAIJHOLE COVER ~ 25' FROM DOOR, 12"MIU. I W N~'^~~►~ I4,~b~E.. WIMDOW OR FRESH AIR INTAKE I GRADE I y" MIN COAIDUIT-- 18" M I N. \ %l IMLET 11ES~~PG P VIDE I I ` - „ti: ONS ~ (SIT SEAL p0\pV. V ~ a I ( I APPROVED JOINTS APPROVED JOIIJT :A ;,Q~Y~ III W/C.I. PIPE W/C.I. PIPE S4P i I' ALARM EXTENDING 3' EXTENDING 3' PNp ONTO SOLID SOIL OWTO SOLID SOIL a ~pOR I 1 rtM S 4Y A I I oW C ~~pp,R y p~~ I z o 60 LLEV. FT. SEE PUMP __J OFF D CONCRETE BLOCK RISER EXIT PEKm7rED OWL4 IF TAIIK MAMUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFI.CAtIOAJS DOSE ' 1, ~J IC S (NUMBER OF DOSES: R DAy TAWKS MAIJUFACTURER: e PE TANK SIZE' 800 GALLONS DOSE VOLUME INCLUpIWfs bACKfLOW: GALLONS ALARM MAWUFACTURCR: MODEL UUMSER: CAPACITIES: A= INCHES OR GALLONS T PE: ` L = Z~ .~j •1B -INCHES OR GALLONS SWITCH y y PUMP - MANUFACTURER: (n r) a C` g " .Z C G .s IIJCNES OR 1- CALLOUS MODEL NUMBER: IA? e: 0-3 - D=1'2. INCHES OR 2Z 9 GALLOWS SWITCH TYPE: MOTE: PUMP AMD ALARM ARE TO bE MINIMUM DISCHARGE RATE-6PM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEW PUMP OFF ARID DISTRIDUTIOW PIPE.. A, 6 FEET + MIAIIMUM NETWORK SUPPLY PRESSURTT,E//. , . . . 2.5 FEET ♦ FEET OF FORCE MAIM X Z ~L F/oo FtFRICTIOW FACTOR.. " •~t FEET TOTAL 09UAMIC. HEAD = -u-I f 2- FEET INTERNAL DIMEMSIOMS OF TANK: LEKICsTH _Yj"-;WIDTH Z Z ;LIQUID DEPTH I 51GUED: LICENSE NUMBER?uJ37_S! DATE:,ZZ/7-4/ f Submersible Effluent Performance .,,curves Pumps' 891-40 00 MODEL 3885 •o SIZE 3/4" Solid 20- swo so ~a Io E°3 o 0 0 10 9o 30 Io so w ro so 00 100 110 too ow I ~I i iI I' i i I i i Tommy G. Thompson SAFETY & BUILDINGS DIVISION 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 GARY L. STEEL Owner: WARREN W. WOOD 1554 200TH AVENUE ROUTE 2 BOX 109 NEW RICHMOND, WI 54017 NEW RICHMOND, WI 54017 RE: Plan Number: S91-40100 Date Approved: March 22, 1991 Gallons Per Day: 450 Date Received: March 19, 1991 Project Name: WOOD, WARREN W. Location: NE,NW,3,31,18W RESIDENCE Town of STAR PRAIRE 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. x This approval is for the following components only: - NEW MOUND Inquiries concerning this approval maybe made by calling (608) 785-9348. Sincerely, A t/ GERARD M. SWIM Section of Private Sewage Division of Safety and Buildings PPP039/0009n/23 cc: WARREN W. WOOD X Private Sewage Consultant SBD-6423 (R. 071901 - - - - ' ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE z` 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 March 13, 1991 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Warren W. Wood property, located NE4 of the NW4 of Section 3, T31N-R18W, Town of Star Prairie, St. Croix County, revealed suitable soils at a depth of 2' 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. Sincerely, Thomas C. Nelson Zoning Administrator js