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DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING
LAB 1UMAN RELATIONS DIVISION
OR
LAB BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION
W1 State Plan I.D. IS Number:
5707
1 , ec.29,T28-R18 El CONVENTIONAL El ALTERATIVE (If assigned)
Town of Kinnickinnc
Libert Rd. l~ Holding Tank ❑ In-Ground Pressure Mound
NAME OF P MIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
John Hart 11922 Nortonia Ave. St. P=1MN: 19 .i13 9
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV..
~4l t r
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: i
Carl P. Heise 3378 St. ix }
SEPTIC TANK/
MANUFACTURER: LIQUID CAPACITY: TANK INLE 1 V: TANK OUTLET WARNING LABEL LOCKING COVER
I / PROVIDED. PROVIDED:
92,41 /~~~s YES ❑No ❑YES NO
BEDDING: VeKT DI VeRq MATL.: HIGH WATER NUMBER OF ROAD: LINE: T WELL: BUILDING: VENT FRESH
C ,a , G . d ALARM: FEET FROM LINE: AIR INL T
11
E9tf ❑YES O ❑ YES NO NEAREST
DOSING HAMBE : /
MANUFACTURER: BEDDI - LIQUID CAPACITY: PUMP MODEL: PUMP/S ANUFACTURER: WARNING LABEL LOCKING COVER
~ PROVIDED: _ PROVIDED:
-1 NO
X) ❑YES ENO G: 1 'D C-~' c, ❑v'fi 5 ❑ NO L~1'E T FRESH
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT NLET
(DIFFERENCE BETWEEN FEET FROM LINE:
PUMP ON AND OFF L~YtJ ED NO NEAREST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing =MAIN LENGTH: DIAMET ~R: MATERIAL AND MARKING:
or excavation. (If soil can be rolled into a wire, construction shall cease until I 5(-C,yO ~~(JG
the soil is dry enough to continue.)
CONVENTIONAL SYSTEM:
DISTR. PIPE SPACING: COVER INSIDE DIA.: fE S: LI QUID
BEDITRENCH W TRENCHES:MATERIAL: P TH:
DIMENSI GRAV EPTH FILL DEPTH DISTRPIPE DISTRPIPE DISTR. PIPE MATERIAL: NO. DISTR. Nl7MES~O.F, PROPERTY : BUILDING: VENT TO FRESH
FEET FROM AIR INLET
BE PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: •UNE:, „.,T.,,_ -yn_-,
NEAREST 3q ' MOUND SYSTEM: w..,, ' n c e) = ,
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
❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED.
SOIL COVER TEXTURE: PERMANENT MARKERS OBSERVATION WELLS;
Lw £5 ❑ NO ~ NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OSODDE D: SEEDED: MULCHED:
CENTER: EDGES: (t
Z.YES ~❑NO ❑NO
PRESSUR ZED DISTRIBUTION SYSTEM: z { ' • x
WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER,
BED/TRENCH / TRENCHES: 8
DIMENSIONS U U ~ f
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING:
E~LEV.:Q f ELEV.: DIA.: / /l J PIPES: DIA.:
ELEVATION AND / ( l t p 2 E V t 5
DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIA : VERTICAL LIFT CORR PONDS TO
INFORMATION Jq r r [ ^'r tE] NO APPROVED PLAYES ❑ NO
PERMANENT MARKERS: LLd OBSERVATION WELLS: NUMBER OF PROPERTY, WELL: I BUILDIN(
COMMENTS: FEET FROM LINE:
Lpffs ❑ NO~ NO NEAREST
r•
y
91
l ' et in in county file for audit.
Sketch System Ron
Reverse Side. SIGNAT E: TITLE: rl
SBD-6710 (R. 06/88) ` i
A
p1.ICATION CovNTY
ITARY PERMIT #
TARP pERt83 05, VO . Adm• Code
SANS th 11-HR STATE SANr, a ~ application
In accord WI ~
than ❑ Ch eck 1i revIs~on to Previous ~ tem, on paper nOt less STAT PLAN I.D• NUWIBER~
only) for the Sys ~ county copy ~j
tns (to the application. (or) W
_Attach complete p a this R 1
size for completing INFORMATION. C ATION
a1/2 x 11 Inchesiae PLEASE PRINT ALL PROPERTY L r q
BLOCK #
for instructions G'/a w
-See reverse pT10N- IV
APPLICANT INFORM LOT #
T.~ OWNER NAME OR CSM NUMBER
PROPER 0'y RE T ROAD
^ AILING A-00 SUBDNISION N 1pRES
TY OWNER'S U NUMBER L
PROPER r p ri t PHONE ~r
ZIP CODE ❑ VINAGE . , C `
CITY, STATE • ned LTAX uMeE q9
~ State Ow AR
r' INC*: (Check one) 9 # of bedrooms- - 1 v nsl Facility
OF gU1LD llin a Recreatio
TYPE Dwe
it. la1 or 2 Fam ►I that apply) 7~ -6 0 ❑ Outdoor
k all rantlBarlDining
public pub 1c, chec 1
tYP sh
e is e 11 ❑ Restau station/Car wash
P
ING USE: (If building INursin9 Hom service
111. BUILD Medical Facili Sales/Wairs 13 specify
1 Apt/Condo 7 Merchandise. Other:
Hall ❑ a Park
200- Assembly So Mobile Hom
of as
round 5-CA Repair rn
te
3 CamP9 /School 9 ❑ Office/Factory applicable) Existing sY
4 ❑ Churchif ReConnectiOrt
5 ❑ Check
Hotell mote, n lineA• line B 4 Existing
only one i ❑ ReplaCen1ent of
(Check
PERMIT: 3. ly Date Issued
IV. TYPE OF ❑ Replacement Tank on
2
ew system
permit# Other
A) 1 system Previously issued. 41 ❑ Holding Tank
permit wasExperimental
p sanitary only one) 42 13 Pit privy
B) Check Distribution ecify Type
E OF SYSTEM' ( 30 ❑ sP 43 13 Vault Privy
V. TYP pressurized
r.Zed Distribution 21 Mound
Non-pressu ❑ In-Ground
11 ❑ Seepage Bed 22 FINAL
Trench Pressure 6 SYSTE
C3 M ELEV. 7. ELEVA
12 ❑ Seepage Pit RATE
seep .
In-Fill PING RATE 5' ~NlinC.linch) ~ 1? Feet Q
13 C3 System- 4. LOA
14 M INFORMATION 3 ASS01 ~Rp. AREA (GalsldaYls(V n') -91 SYSTE OSED (act- Fiber- plastic
ABSORPTION pBSORP. AR _A) PROP Site steel glass
VI. PER DAY REQUIRED (sq• 7 prefab. Con-
t .GALLONS 3 75 Name oncret strutted
CITY # of Manufacturer ' s
alons Gallons Tanks +
450 CnP istin
New
VII. TAN aMAT10N Tanks Tanks 1 e 5~,~ c
INFO 0 cc, lans• b
0 the attached P Business Phone Num
Tank stem shown on
tic-rank or Holdin Chamber sewage sY MPI R S Q S
T of the onsite
pum Tankls hon
NSIBILITY STATEN^gibility for installation NO Stamps)
ature: l
Vlll. RESPO assume resP plumber's sign
1, the undersigned, A J ,V(i ~ '~t
b's Name (print): nature lNo S~`m
plu Of' s Sig
f L t S ; Code S. ) issuin Ag
r( City, State, Z P ssue
heir s Address (Street, Cj"t . . U N Water
~ 1ncludeeed
fee t F Groue )
plum TA w USE 014 permit Surcharge
q (DEPARTMENT sanitary
~'/I
IX• COUNTY ❑ Disapproved `"G S
Owner Given Initial EASONS FOR DISAPPROV AI-.
Approved ❑ Averse term►n ion
X, CONDITIONS OF APPROVALIR
One Cop- TO Safety Buildings Division, owner, plumber
DISTRIBUTION: Original to county
oib 87) (R• 11186)
1. A sanitary 'NSrRucrjpNs OMNI
2. Permit is v
Your sanitar slid for two
criteria in the permit (2) Years.
3. All WisCO may be r ene rev- - nsin Adm►n st wed before the ex a
4. Chang ns to this Permit alive Code expiration
es in must be will be a date and
submitted toOwnership or plum approved PPlicable, at the time 5' re
Cnsite sev, ber by the Per
Pum age syse county prior to install quires a Sanitary issuing authorit me of renewal anY new
6. If You er whenever nec SMust be properly m Y Permit Transfer/Igen w
State have question rY, usually every 2 The a► Form (SBp
of Wisconsin s concerning our ry onsite 2 to 3 septic tank( 6399) to be
Safety & Years s) must
To be complete and accur Build yings')ivision,e
age 11 608-26d. stem, contact be pumped by a licensed
Property
er' ame to this sanitary Permit 3815. Your local code administr own s ^ application ator or the
Where the system and ►nailin must include.
II. TYPe of is to be ► , 9 addr
buildin ailed. ess• Provide
111. Buildin 9 being served. the legal description
IV. g use. If buildin Check onl scription and .
eYPe of permit. Che g type is Public Y one and com 1 Parcel tax nu
Pair. ck only one i ' check all a Pete # of bedroom tuber(s) of
1. Type of system. in ►ine A. Complete line Bail boxes that aPPlyf 1 or 2 Family Dwelling.
V1. Abs r
Check aPPro
VII. Ption system inlor Priate box de Permit is for tank r g•
Tank information. Mat►o^. at pending on eplace
tanks and Fill in th ovide all ►nf system ment, reconnection,
man a ormation type. or
eX Ptic, Pump/sipho~urer's ^a me achy of every new and/ requested ►n #1-7
Perimental and holding tanks prefab or existin
Vlll. Product 9 tanks for or site con.str g tank list the
Responsibility statement approval from D1LHRthis system. C uct t total
IX. k'iP, etc.), address . Installin heck exPe imentank materia9alCloons, number of
X County/Department and Phone nuberup ber is to fill in al approval only mPlete for all arne, County/pePartment Use Only • lurnber must sign application iber with
appropriate auks received
Complete form. prefix (e.g.
Pans Plans and
must inc►ud specifications
i^g tank a the follo not smal►er
holdstreams (s) septic wing; A) Plot Plan, 834 x
and lakes; pun ank(s or 1 inches
areas; and the tap or siphon pother treatme~trawn tO 1scale or withmust be submitte
co^i location tanks; tanks; buildin complete di d to the coup
Plete s of the building served,- 9 sew men
Pert°rmanc specifications Of for served; B distribution boxes; soil ewers; Well
C) s; water sions,loc ^ o~ he
required a curve pum Pumps and ) horizont absorption mains/ ter
by the county, E model and pump dose voa/ a lu nd vertical elev systems; rep►aceaer service;
soil test data onP manufacturer; p me; elevation diffe on reference merit system
a 115 form; and F crow section of renceS. frict on loss: the all sizing informal on. absorption system p
183 Wisconsin ~igpUNpwA~A sVACMARGE
gulated practic ct 410 h included the creation urchar
eswhitan effect
ur°nies collected groundwaterges (fees
er onie throe )fora number of
contamination inve gh these surcharges
st►gations and establshare used for
merit of standards. eds. in9 groundwater,
ground-
A 11/88)
INMEW -
APPLICATION FOR SANITARY PERMIT
STC-100
This application form is to be completed in full and signed by the owner(s) of
the property being developed. Any inadequacies will only result in delays of
the permit Issuance. Should this development be intended for resale by
owner/contcactog,(spec house), then a second form should be retained and
completed when the property is sold and submitted to this office with the
appropriate deed recording.
Owner of property.
rP7 er y e „IVE'/4, Section ;22r-• T •)t ~.w
Location of pir
Township O
Mailing address 441
Address of site -
lubdivision name
Lot number -
Previous owner of property Ujilmpr
F
Total size of parcel 20,So cLeAjLp CABS l 13 0
Date parcel was created ~or~L 26+~ Ia~lO
Are all corners and lot lines ldentlflablet as 0
Is this property being developed for resale ('spec house)? as ' P0
Volume fnd page Number „4Q-5'„ as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION TITS FOLLOWINGS
A WARRANTY DEED which Includes a DOCUMENT NUMBER, VOLUME AND PA02 NVMBlm, and
the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if
available, would be helpful so as to avoid delays of the reviewing process. If
the deed descclptlon references to a Ceitlfled Survey Map, the Certified Survey
Map shall also be requited.
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 (ate) the ownet(s) of the ptoperty described in
this Infotmation form, by virtue of a watranty deed recorded In the Office of
the County Register of Deeds as Document No. ; and that I (We)
presently own the proposed site for the sewage disposal system tot I (we) have
obtained an easement, to run with the above described ptopetty, tot the
consttuctlon of said system, and the same has been duly t orded in the office
of • u Pty Register of Deeds, as Document No.
l tugs of Owner Signature of Co-Owner (11 Applicable)
5--9-90 s- 9- 90
Date of signature Date of Signature
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 16-1982 THIS SPACE RESERVED FOR RECORDING DATA
TRUSTEE'S DEED
457958 ~ 869 .PAGE
• PAGE _ 5 REGISTER'S OFFICE
----R...... ..---Alexaxtdex..Fidel -ty_._Company--------------------------------- ST. CROIX CO., WI
Recd for Record
as Trustee of APR2 61990
W .J.met:•.-Xounggren_,Familx_..Trust and - _ - at 8:30 A. IM
Delo.Xe_S__X9~>Z?ggran__Famly..Trust.....................................
Regiderof Oeedi
for a valuable consideration conveys without warranty to
._..John.-A-,--.Har•t_.and_.Diane_-L..Hart, husband and
wif a _ as..s urvivorship--marital---prope_r__ty__
RETURN TO 7e VAJ 14 Q < r
1927- Ne97-on1 iH Ade
--------•----------------Grantee, T *')g u Mni Sf/LC--
S
the following described real estate in .._St.:._.. C.><Q_?[X County,
State of Wisconsin:
Tax Parcel No:
The N 685 feet of the NEk of the NEk of 1
Section 29, Township 28 North, Range 18 West,
Town of Kinnickinnic. Subject to existing Town Road right-of-way of
110th Street across the Easterly 33 feet, more or less, thereof.
r
This parcel contains 20.5 acres, more or less, including Town Road
right-of-way and 20.0 acres, more or less, excluding Town Road
right-of-way.
Subject to easements of record.
I
I
I
Dated this ._....24th-•----------------•--------_.... day of Apri1_..........._.. , 19__ 90.
I WI YOUN GREN FAMILY TRUST D ES YOU GGREN FAMILY TRUST
:..1 - - (SEAL).:-,... ------.(SEAL)
jj • __R._-_V._ Alexander. Fidelity-- Company . R. V. Alexan_ der- Fid_ elity Company
Trustee Trustee
I
ii
( AUTHENTICATION ACKNOWLEDGMENT
Signature (s) STATE OF WISCONSIN
ss.
li
--••••------Pierce----•----•..County.
authenticated this -.......day of 19 Personally came before me this ...24th._..day of
pr il......__. 19.90_- the above named t'
------...R-.---y- R.-r--F.idal.ity
a
Gomp-an-y-.....................................................
TITLE: MEMBER STATE BAR OF WISCONSIN
I (If not,
authorized by § 706.06, Wis. Stats.) ..t gip.
to me known to be the person w:4) executle
foregoi g instrument and acknowledg the same)
THIS INSTRUMENT WAS DRAFTED BY ` , L1
-ahu-)
-
Karen M. Engel *
' r Falls WI 54022 - y
Pier _county Wis,
Notary Public
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If state - ex lratJon,:•'
are not necessary.) ~ 7
date: J4I~[x_ .'(t: 79__
'-~r[
I~
•Names of persons signing in any capacity should be typed or printed below their signatures.
STATE 13AR OF WISCONSIN
H.GMillerC xnparry ~ FORM No. 16 - 1982 Stock Noe 13016
M~;aauYe<, W~a[en[In
STC - 105 H
SEPTIC TANK MAINTENANCE AGREEMENT
w
St. Croix County 'J
r
w
OWNER/BUYER - o
ROUTE /BOX N ER Fire Number :j
d
ZIP C3 ZQZ_ Ct
CITY...
/RTATE m
MS'S
ATION:.'N.F Section , T N, R R. W,
PROPERTY LOC
Town of rnn'-rnnir, St. Croix County,
~ _
Subdivision Lot number
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes. Proper maintenance con-
sists of pumping out the septic tank every three years or sooner,
if needed, by a licensed septic tank Pumper. What you put into
the system can the .unction o the-septic tank as a treat-
ment 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 of a failing system,
wha.cT as 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 County Zoning a
certification form, signed by the owner and by a mater plumber,
journeyman plumber, restricted plumber or.a licensed pumper veri-
fying that (1) the on-site wastewater disposal system is in proper
operating condition and .(2) after inspection and pumping (if nec-
essary), the septic tank is less than 1/3 full of sludge and scum.
Certification form will be sent approximately 30 days prior to
three year expiration.
H
I/WE, the undersigned have read the above requirements and agree °
to maintain. the private sewage disposal system in accordance with
the standards set forth, herein, as set by the Wisconsin Depart-
ment of Natural Resources. Certification form must be completed ro
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date.
SIGNED
DATE 7SL 9'D
St. Croix County Zoning Office
911 4th St.
Hudson, WI 54016
386-4680
Sign, date and return to the above address.
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INdU,STRY, DIVISION
LABOR A P.O. BOX 76
HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707
(1-163.090) & Chapter 145.045)
LOCATION: SECTION: W TOWNSHIP 1-H-WAI IT" LOT NO.:BLK. NO.: SUBDIVISION NAME:
Ile
L '/4 AVM 2 R 18 (or) n
)J A
Ki n) J~ C'
COUNTY: OWNER'S YER' AME: LINFG ADDRESS:
ST, Cr 192 oR A A us S7 P
USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS:
.Residence P j XNew ❑Replace ? - 2 2 - Q -q-2~ _ Qv
RATING: S= Site suitable for system U= Site unsuitable for system J 9
ONVENTRU AL: MOUND: IN-GROUND•PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional)
ros 1S ❑U DS ICU DS ZU DS 0
U M ou %12
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: lFloodplain, indicate Floodplain elevation: NA
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED ES IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B- SCrtu y,.*-, 2 3 0-I I ' Vk9..1S 11 - 23 13 n LS w/motrj+S at 23
a,,T `1 25-48 road, 5 s 'r` v.-rCJ( a+ 46"
SItIrA.'d uttd 0-if VA. n LS 1) - 2G bLS 26-50 &Y Bn nA
B-2 5o q5 ,~4 at 0 26 Lo.t)t of E6.
NoN Q 6 - i o ' Qh LS I a- 29' BH LS 2q-54 Lrr3i. mvA9
B- 3 4 4 R 7. l 4 14 w ,t-k i t f r"o ttlrs a.-t 44
0_ q OkOn IS q-25 0h15 25.-45" 8h yn14a
B-9 45 g4.GA No e 2 Is frf T"JULs 't N
B-~ ~0 R7.3I N 0A) 0-10` 011On LS )0-24 13, 15 24 -40"LtG.
A S W,`F ffl , ' V&rk- yv►9'11/r3ngy
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH
P- 1 o -C 30 W& I `/1' 1/1, 24
P- O d O 1314, 1•/(i /
P_ 0 I r5 110
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 7. 31
"
e~
91M.4H R
tL7 134 ~i ttyv p wtv svM►G 1
' I(( i I € w~~ if
DAJ
'7 /V
-4
lit
9 .34 4
'L o
~ ( L
T
' i
t ' ~ l i ? - ~FC q
I l
!1 S "f l er ( € !
1, 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:
C-C,rl ? e~ 1- 2G- 9o
ADDR. SS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
042 5 (`tic," S7 ti~e.r LJV 40 CIS -g '1
CST SIGNATURE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) - OVER -
INSTI UCTIONS FOR COMPL.FTING FORM 115 - SBD - 6395
To be a and accurate soil test, your -1st include:
1. Cornpl scription;
2. The us- Orly indicate whether this is ~sidence or corm { :.ject;
3, MAXI 1U1 'rooms or cornmercial red;
4. Is this a -ystern;
5. Compl ing boxes. A SITE IS iBLE FOR A HOLDING TANK ONLY IF ALL
OTHER S _ RULED OUT BASED C_- ~L CONDITIONS;
6. PLEASE Lions shown here for ofile descriptions ar 'c ap ing the plot plan;
7. ",1AK am accurately locatin test locations. C3 preferred. A
if desired;
>r _ id vertical eleva` nce point art c':: ermanent;
9e axes as to dates, i---es, floor p,' i 5 test exemp-
f
oo.' pl,;'n, elevati. it t ipply, place Iv.A. appropriate box;
11. r address x i'ficdtion Mirnber;
12. act distribA s re(tuire(~ IL TESTS MUST LED tNITH THE
WITHIN ~ F CO ~ N.
EVIAT1-, , FOR CERTIFIED SOIL ~ ®ea~
-id Textures Other Syr
16,.) BR Bedr
- 10") SS S
1„) LS - Li,
- t° ter
reed 5 - v
~Id
- rn - t
Bn
- Gy G
C - ye,ilow
Ln.irrt Red
_oarn - Mottles
C'ay fff f v,
CC
t, - mm r d
p
sr
3M - P nc
VRP - Vert I
TO "
is the a t:-ClUest
rivate
I r c ier to
ark t
t
I MOVE THE EARTH
AILPORT EXCAVATING
1042 South Main _
RIVER FALLS, WI 54022
CARL P. HEISE (715) 425-2175
Owner
MOUND SYSTEM
FOR
BEDROOM RESIDENCE
LOCATED IN THE W"4 OF THE Nr-'14 OF SECTION 2R ,T_ZIN,
RJB_W,TOWN OF iCtiyr~ey 1~:•ra.'~'u i ST. CtZyi~, 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:
.Tp~1N WAFT
192.2 No?Tow%A Ayr
SL PA U L fA; NUJ 551 Ig
Prepared By:
-YC~ ZVU,
Carl P. Heise
CST-3314 MPRS-3378
1042 South Main Street
River Falls,WI 54022
~a~e 2 ~0
PLOT PLAN of
130 ~ '
Ilk ~
J oo aQ o ~ pc,~ ~ gL.'Sq
pa P2
55 T
C o~ 6~ti4-t~dh. L~ 43
II9 13° 000 n14 a-4
QM-sPIh r i N
45' ° Pow E R 'pap-
100.00,
~l, wr;LL
~ PGE fi ~Dy~l
0,•
Q3J
A OEQP Gd~Lt
5Eti
21ACRE PARC EL
NDIES
N
BM- POV BLE NEA V ED SPIKE IN POWER POIE ~SSU1~1E EL. 100.00 '
IN S7-ALL WILSERS COX, COM QI NAT 104 TgNK 1000 GA-L ,_5 C P71C
600 GAL PUMP CIJAIJ13t-1r
i
o
i
~y I
i
3
~ I
I
~(~Gr✓ OF.
St'row""Morsh Hay, Or
Synthetic Covering
Distribution Pipe
Medium, Sand
Ts~ -3 v r G ' It -n A
Topsoil
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%
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2 % Slope
Bed Of Z~- 2 %2 (Force Main Plowed
From Pump Layer
Aggregate
D ! .'0
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GESYST~M Cross Section Of A Mound System Using . Fr
SWA A Bed For The Absorption Area G -r,,
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Pipe Aggregate `
1
Observation Pipe Permanent Markers
Plan View Of Mound-Using A -Bed For The Absorption Area
Per for Di ed Pipe Defoll
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MANI FOLD D1A_' 2 "
---FORCE MAIN 2"
_ NOTES PER LATrERAL = G _
1~oZE-S A_GTNG s* HOLE 24 .7.2-_120= L68''-_2116 -264
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SEPTIC TANK 8'PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
4" CI VENT PIPE 12" MIN. ABOVE GRADE 8 WEATHEl0 1..W25' FROM DOOR, WINDOW OR R PROOF" ~
FRESH AIR INTAKE JUNCTION BOX APPROVED
WITH CONDUIT MANHOLE COVER
FINISHED GRADE 4" CI RISER W/ PADLOCK 8
6" MIN. WARNING LABEL
ABOVE GRADE 4" MIN.
18" IN. 'S X. ~~►k
INLET
~ L ►
T GAS- '
TIGHT i ►
4~~ FLE A SEAL 1 APPROVED
CI PIP
; ALM JOINTS 4l/ CI
i v--
3 ONT 0 B PIPE 3' ONTO
0N 5 L` ~ ON
S 01 ~m SOLID SOLID SOIL SJMP OFF ELEV. 44 FT.
OFF RISER EXIT
D PERMITTED ONLY
85,4 IF TANK
MANUFACTURER
3" APPROVED BEDDING UNDER TANK HAS APPROVAL
CONCRETE PAD
SPECIFICATIONS
SEPTIC / DOSE.
TANK MANUFACTURER: W.TES E R CONC NUMBER DOSES PER DAY:
TANK SIZES: SEPTIC l pp p GAL. DOSE VOLUME INCLUDING
DOSE 00oo GAL. FLOWBACK: 125.95 GAL.
ALARM MANUFACTURER:
yECToV, CAPACITIES: A = _Z o INCHES = _24.LILGAL.
MODEL NUMBER: _Dl V
SWITCH TYPE: CLLRGU Q-y B = 2 INCHES = _ 2 3.(~ GAL.
PUMP MANUFACTURER: ZoSL_Gp Co C = 1~_ INCHES = I3 0 GAL.
MODEL NUMBER : j q17
SWITCH TYPE: MERCwfty D = ? INCHES = 4 GAL.
REQUIRED DISCHARGE RATE .QS GPM PUMP & ALARM WIRING AS PER ILHR 16.23 WAC
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . . 11,4 FEET
+ MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . . 2.'S FEET
+ F
?8 EET FORCEMAIN X .1.3g FT/100 FT. FRICTION FACTOR . o.FEET
TOTAL D =
YNAMIC HEAD 1,5 FEET
INTERNAL DIMENSIONS OF'PUMP TANK: LENGTH i:4'tuf; WIDTH WONt ; DIAMETER
3 q -Pq
LIQUID DEPTH I
8 2 Zr
, 51 As 'p r- K M.4h' ~a2 G•R ~'aro.tC~.p.r~ctu2iz~,
SIGNED: Np LICENSE NUMBER: {V P6-~9R DATE: 2
1/88
State of Wisconsin ` Department of Industry, Labor and Human Relations
PRIVATE SEWAGB PLAN APPROVAL SAFETY & BUILDINGS DIVISION
Western Regional Office
2226 Rose Street
LaCrosse, Wisconsin 54603
CARL P. HEISE
1024 SOUTH MAIN STREET Owner: JOHN HART
RIVER FALLS, WI 54022 1922 NORTONIA AVENUE
ST. PAUL, MN 55119
RE: Plan Number: §90-40135
Gallons Per Day: 450 Date Approved: May 10, 1990
Project Name: HART, JOHN - RESIDENCE Date Received: May 9, 1990
N 9,28,18W
Town of KINNICKINNICK CountyLocati:on: ST CROIX
ROIX
The plumbing plans and specifications for this project have been reviewed for
compliance with applicable code requirements. This
approval 145, Wisconsin Statutes and the Wisconsin Administrative Code. heeplansCareter
stamped 'conditionally approved', This a
any stipulations shown on the laps. pproval is contingent upon compliance with
items
All that All permits required by the city, village, township orrcounty dshmust be .
all be obtainedd
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 permit is obtained, it will expire the day the initial sanitarlf a sanitary
y permit expires.
The Section of Private Sewage has reviewed these plans for pri system
requirements only. These plans have not been reviewed for thevcodesrequirements code
set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the
Wisconsin Administrative code.
This approval is for the following components only:
- NEW MOUND
Inquiries concerning this approval may be made by calling (608) 785-9348.
Sincerely,
GERARD M. SWIM vt
Section of Private Sewage
Division of Safety and Buildings
4PP039/0009n/24
cc: JOHN HART
_X_ Private Sewage Consultant
SBD-6423 (R. 08/88)
ST. CROIX COUNTY
WISCONSIN
~'r Aar r t:;~ . ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
- - (715) 386-4680
May 4, 1990
Division of Safety and Building
Bureau of Plumbing
P.O. Box 7969
Madison, WI 53707
Dear Sir:
An on site investigation for the John Hart property, located
at the NE4 of the NEk of Section 29, T28N-R18W, Town of
Kinnickinnic, St. Croix County, revealed suitable soils at
a depth of 25 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.
Sincerely, ,s
Thomas C. Nelson
Zoning Administrator
cj