HomeMy WebLinkAbout030-2075-80-000
DEPARTMEttr OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING
LABOR & HUMAN RELATIONS DIVISION
P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION
r SOj~VyJ 5307 m
4, ec 26 r 130-R20 Sfast Pgned)Numben
41
Town of St. Joseph El CONVENTIONAL El ALTERATIVE_
Co. Rd. E ~J Holding Tank ❑ In-Ground Pressure ound 7'! a
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: NSPECT109 DATE:
Tim McPherson 1368 14th St. Houlton WI f<s
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: ( RE V.: CST REF. PT. O
1e-- 66d q~ a
Name of Plumber: MP/MPRSW No.: y: Sanitary Permit Number:
Wm. Schumaker 6382 zLst. crotx- 1288493
SEPTIC TANK/HOLDING TANK: D' ovC a-&4-40
MANUFACTURER: LIQUID CA ITY: TA INL EV.: OUTLET ELEV.: WARNING LABEL LOCKING COVER
-17 Y ( PROVIDED:CS 0 ❑ YES
BEDDING: VENT DIA.: VENT MATL.: HIGH WATER UMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH
ALARM: I LI / AIR I T'
FEET FRO
❑ YES O El ? LDI
YES NEAREST~
DOSING CHAMBER: b . e3' = / r V 6' -/tom 3'o 60•
MANUFACTURER: BEDDING: CAPACITY: PUMP MODEL. PUMP/ MANUFACTURER: WARNING I - 9 PROVIDED. PROVIDED:
❑YES O ~d # e~ ~❑NO @ 1HE ❑N 99X
GALLONS PER CYCLE: UMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
(DIFFERENCE BETWEEN 7 - ` FEET FROM LINF~~/ 7/ AIR INL
PUMP ON AND OFFS Iota ❑ NO NEAREST
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: / DIAMETER: MATERIAL AND MARKING: Q
or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN If - / p/f 911, 17
v
the soil is dry enough to continue.) q10
CONVENTIONAL SYSTEM:
BED/TRENC WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID
MATERIAL: PIT DEPTH:
NS
GRAVEL DEPTH FILL DEPTH DISTR PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY SH
BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: FEET FROM LINE: AIR INLET:
NEAREST
MOUND SYSTEM: 35
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 5&-d -Pro--
meets the criteria for medium sand. ELEVATIONS MEASURED.
SOIL COVER TEXTURE: PERMA,NNE,NT. MARKERS: OBSERVATION WELLS;
Z<6 ;J' ICES u NO CAP' E] NO
DEPTH OVER TRENCH/BED DEPTH OVER /BEC~ DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED:
CENTER: EDGES: j1 l lf;t
Z O ❑ YES kt O LM'ES ❑ NO RI-YESO NO
PRESSURIZED DISTRIBUTION SYSTEM: 3 & 100 i
Fj0:
-OW/TRENCH WIDTH: I LNO LA RAL f(IN GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COV
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTIOfN~ PIPE MATERIAL & MARKING:
ELEVATION AND ll ELEV.: ELEV.: DIA.: ELEV.: / + PIPES: DIA.: r 1/ • ~ P, , / C
' (?'iK 17 DISTRIBUTION HOL 12 HOLE SPACING: DRILLED CORRECTLY: '!Il COVER MATERIAL: / VERTICAL LIFT CORRESPONDS TO
INFORMATION j !I I A ~ APP }Q~(W PLANS - ~ ~ ~
C~ EftDES ❑ NO T G'~ 'Ir V It ❑ NO
PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
COMMENTS: - FEET FROM LINE: j /
~'Yt5 L~ NO ZkN ❑ NO NEAREST lD
Sketch System on R i 'n county file for audit.
Reverse Side. SIGNATU : TITLE:
SBD-6710 (R. 06/88) ✓~Ye~ jr
DIL R SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code COUNT
STATE SANITARY ERMJT
-Attach complete plans (to the county copy only) for the system, on paper not less than ❑ ~ n [T~
8% x 11 inches in size. C I r is on to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NU
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 6 - G
PROPERTY OWNER PROPERTY LOCATION
;r- '/a S AC T.W, N, R .44 E (or
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
P Y7% 3 t- ,o a.C o
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
Ail a A 7r'oAl L!/ l ~ 'y4 $-Y ~
'ff
II. TYPE OF BUILDING: Check one CITY NEAREST ROAD
( ) State Owned VILLAGE : co 41 '
❑ Public RJ or 2 Fam. Dwelling-# of bedrooms 3 PARCEL TAX NU BER(
Ill. 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 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. ❑ New 2. DZ.-Replacement 3. ❑ Replacement of 4.0 Reconnection of 5. ❑ 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
3 OVy ,179 Feet 0 r/ ?Feet
VII. TANK CAPACITY Site
INFORMATION in gallons Total # of Manufacturer's Prefab. Fiber- Exper.
New istin Gallons Tanks Name oncrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Hold in Tank C}00 at
Lift Pump Tank/Si hon Chamber V_ 0 El 1 1:1
VIII. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installation of the onsite sewage system show on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No mps) PRSW No.: Business Phone Number:
- ra_~,_T_1P_ 3ore 3~2
~I
5 / e. "'I , ),Y4 1 -
Plumber's Address (Street, City, State, Zip Code):
Ade-
IX. COUNTYIDEPARTM NT USE ONLY
Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuin Agent Signature (No Stamps)
AApproved El Owner Given Initial Surcharge Fee)
Adverse Determination Q / r V
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 renewal 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's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
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'h 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; watE!r rnains/water service;
streams and lakes; pump or siphon tanks; distribut'on boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) hDrizoiltal 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 SANITARY PERMIT
i
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/contractor,(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 L= Aimee, sow
Location of property 5,'1/4 ftM/1/4, Section , T-RY
Township 7- 7evjge-4
Mailing address 134F A),-
Address of site S<i,.ot ~G~~
Subdivision name
Lot number
Previous owner of property
Total size of parcel
Date parcel was created 4yz t/ 2 ?G'
Are all corners and lot lines identifiable? as X No
Is this property being developed for resale (spec house)? Yes 0
Volume -6"Y'~` and Page Number G as recorded with the Register of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, 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 description references to a Certified Survey Map, the Certified Survey
Map shall also be required.
PROPERTY OWNER CERTIFICATION
I(We) certify that all statements on this form are true to the best of my (our)
knowledge; that I (we) am (are) the owner(s) of the property described in
this information form, by virtue of a warranty-deed ~e co d 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 (or I (we) have
obtained an easement, to run with the above described property, for the
construction of said system, and the same has been duly recorded in the Office
of the County Register of Deeds, as Document No.
Signature of Owner Signature of Co-Owner (If Applicable)
Date of Signature Date of Signature
L
FIX
02,
a _ : C., ~ a1a~ ~aLs---- i gt. Cites
_ Reed for
k-lntv
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Of
Wtl~sciQ(►iron for the sum *Crum" M
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y,•,r,,.......eww•.«i...r County,
tract aE Lod to
f
:tom 1/4 of Nort2>erest 1/4 of Section 26-30-20 droll' "N
Est a pert co the North line of the $autheast 1/4 of MIA'
M ~ in feet `ipt of the northeast vorrer of said 4uticC4i'
1 to ti» »st line of said OArter a disterm of A4 f181ti
4 1-
t+itt tit line of said ouxter 82 1/2 feet, thsnoe 1161
"J l ourten 264. fern thence fist 82 1/2 fist a1+a1q _
pug ater to the place of beginWM9•
;
Of lied loeated'in
Also a parcel.
=oord
y 1/s4 of the Ncctbweat .1/4 of Section 26-30-20. 7 9
&w=ibed as follow: Irot 1 of BICOM 2 of
tare Ugt 141.43 feet of the South 231 feet.
4 Y 'F'EE
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- hand-j.
Y k" > ~ _ i~d xMtoc.J L. ha .SR. hereunto •et..
U)Mir--_...... ift& sm~
1.. _ A. D., 19 C.
1:'=ands C• A~iiti~+ a
4016M °J.aawrari M PUMU SCE or
a ' QtY Personall came before me, this l st day of Hovr+nsbp. )L
_ Barbara J. isubel
c
ably wow
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. ai •to be &e`,ptrson # e=64gd the foregoing ~n ent ra :
Ter riua
1 rims n►•* 3 Notary Public, ....,9~..cD~.1L
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mix Ut oxwraw~ ("Otto
STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER T~ A71 i ~ /D erso~
ROUTE/BOX NUMBER 1:3C
l L~~c---- drJ FIRE NO.
CITY/STATE i,~To.~ G~J e` ZIP T~Q
PROPERTY LOCATION: 5,i!5_114 W Ltl 1/4, Section T 3d N, R 6Ld W,
Town of --57-7-,o -I-,P -A , St. Croix County,
Subdivision , Lot No.
i
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 Natural Resources. Certification
form must be completed and returned to the St.Croix County Zoning Office within
30 days of the three year expiration date.
SIGNED C ~v~9 . c ~~~~-..Q.b~
DATE L/ 9 0
St. Croix County Zoning Office
St. Croix County Courthouse
911 4th Street
Hudson, WI 54016
(715) 386-4680
Sign, Date, and Return to above address
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
LABOR T AND P.O. BOX 7969
L PERCOLATION TESTS (115)
HUMAN RELATIONS MADISON, WI 53707
(H63.0911) & Chapter 145.045)
LOCATION: SECTION: TOWNSHIP Y: LOT NO.:BLK. NO.: SUBDIVISION NAME:
SE 14NW1/4 26 /T30 N/R20*(.0 W west part St. Joseph n/a n/a n/a
COUNTY: OWNER' S NAME: MAILINQ ADDRESS:
Croix St. Tim McPherson 368 14th. St., Houlton, Wi. 54082
USE DATES OBSERVATIONS MADE
PER O ATION TESTS:
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFI DESCRIPTIONS
16-22-90
Residence 3 n/a 1:1 New ~teplace ( 6-21-90 RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-FILLHOLDINGTANK:RECOMMENDEDSYSTEM: (optional)
❑ S a CAS ❑ S ®U ❑ S E4U ® S ❑U mound. with variance
If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the n/a
under s.H63.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation:
decimal' PROFILE DESCRIPTIONS page 41 BxD2
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH7CQC ELEVATION OBSERVED EST. HIGHEST TO BED IF OBSERVED (SEE ABBRV.ON BACK.)
B- 1 5.09 96.96 1.92 1.67 1.00bn.s.1,67b1.1.1.42bW9A:1. 2.00bn.mot.s.1.
B_ 2 3.91 96.96 1.25 1.25 1.00bl.1. .83bn.mot.sil. 2.08bn.mot. s.l.
B- 3 4.66 98.72 2.08 1.58 .83bl.1. .75bn.sil. 1.08bn.mot. :l. 2.00bn.mot.s .1
B- 4 3.50 97.41 1.00 1.00 1.00bl.l. 2.50bn.mot. s.sil.
B_ 5 2.67 98.72 none 1.17 .67bn.s.l. fill .50bl.1. 1.50bn.mot. s.l.
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER I AFTERSWELLING INTERVAL-MIN. PERIOD 1 PER OD2 PERIOD 3 PER INCH
p- 1 1.67 none z 1 30
P- 2 1.67 none 30 12 14 4 24
P- 3 1.67 none 30 z 4 k 24
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 th surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION 100.82 ~se__
I
i
~ ~ _ 1 e I
f 1
S e-4n F, 7F
k
E
E
sue; ~ : ~ ~ _ 6
E
N't
AS3
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t .
I, the undersigned, hereby certify that the s 'lateyi repd on this for6t made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorde ago4he locafttion of them t`s a correct to the best of my knowledge and belief.
NAME (print): TESTS WERE COMPLETED ON:
Ga L. Steel 6-22-90
ADDRESS: CERTI~Ij~r5$ ~zlO NUMBER: PHONE NUMBER (optional):
988 N. Shore dr., New Richmond, Wi. 54017 -715-;46-6200
CST SIGN
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) -OVER -
r ~ v
INSTRUCTIONS FOR ~ VL.ETING FORM 115 - S BD - 6395
To 5(> a amplete and accurate sail test, your report must inclUde;
1. Cc T legal descript' n;
2. The use! ;t' 7 must I indicate whethe ~ is is a resit' ~r commercial project;
3, MAXII-1U _ li cowl use plannef"
4. Is this a r m;
5= Compl~ : ing boxes. A .s SUITABLE FOR A HOLDING TANI ! IF ALL
O°[HE E RULED OUT ON SOIL CONDITIONS;
6. Lions shown hei ruing profile descriptions a : completing the plot plan;
c l, accurately I g your test I rations. Dr, to scale is preferred, A
us =d if desired;
>k and vesti+ n Ieferer dare permanent;
<es ; add I test exemp-
!ood plai J;>^s r the appropriate box;
~Jr CLM,ent ,ur c
di.tribute ALL T ;T BE FILED WITH THE
L -I THIN 30 C COMPILE.- _!N.
[VIATIONS. ~_,ERTIFIE SOIL Tea .S
1 tures Othe -<frnbols
I
10") BR
1011) Ss
- 3") LS
s H G Vl!
cs - C Pert
deed's - w -
is
t Bldg
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y L mot
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ay f[I fir,
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SAFETY BUILDINGS DIVISION
Tommy G. Thompsop
Governor
Gerald Whitburn
Secretary
State of Wisconsin
Department of Industry, Labor and Human Relations
PRIVATE SEWAGE PLAN APPROVAL Office of Division Codes and Application
201 East Washington Avenue
P.O. Box 7969
Madison, Wisconsin 53707
HOMESITE SEPTIC PLUMBING CO. Owner: TIM MCPHERSON
665 ONEIL RD. 1368 14TH ST.
HUDSON, WI 54016 HOULTON, WI 54082
RE: Plan Number: 590-02980 Date Approved: November 1, 1990
Gallons Per Day: 450 Date Received: November 1, 1990
Project Name: MCPHERSON, TIM Location: 1368 14TH ST.
Town of ST. JOSEPH 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.
i
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:
- REPLACEMENT PETITION
- REPLACEMENT MOUND
SUD-6423 K.07/901
Tommy G. ThoWpaon
Governor SAFETY BUILDINGS DIVISION
Gerald Wbitburn
Secretary
State of Wisconsin
Department of Industry, Labor and Human Relations
HOMESITE SEPTIC PLUMBING CO.
Page 2
Inquiries concerning this approval may be made by calling (608) 266-8230.
ncerely,
KENNETH STIEMKE
Section of Private Sewage
Division of Safety and Buildings
PPP016/0009n/ 2
cc: TIM MCPHERSON
r_Private Sewage Consultant -County _UW-SSWMP -Plumbing Consultant
-Owner -Plumber -Environmental Health
suu was H. o~rom
r
4 .
State of Wisconsin ` Department of Industry, Labor and Human Relations
SAFETY & BUILDINGS DIVISION
201 E. Washington Avenue
Novei;iber 1 , 1990 P.O. Box 7969
Madison, Wisconsin 53707
9
co "eo;G-
N r
Tiil McPherson 401/
1368 14 th Street D
Houl ton, MI 54032
Plan 1.0. No. S 9th F/cF
,)ear t1r. ilcpherson: It
Z
Re: Tim McPherson -Residence
0nsi to Sewage System
1363 14th Street
Town of St. Joseph, St. Croix County, 1,41
Your petition for variance to sections ILHR 33.23 (1)(a) and (1)(d), Wisconsin
Administrative Code, has been reviewed.
The rules being petitioned require a mound system site to have a minimum of
24 inches of suitable natural soil and shall riot be installed over a failing
conventional systen.
The variances requested were to install a replacement hound system on a site
with 12 inches of suitable natural soil and partially over a failing
conventional systmn.
'The following co i-,ients were made in the petitions analysis:
1. In reviewing the petition, it was noted that the request wias similar to
other petitions accepted by this department under petition numbers
S39-03304, S39-0331<, and S90-0C072.
2. There will be 36 inches of soil over the exi sti n system.
3. iiased on the precedent established by the previous petitions, this
petition for variance is being processed as permitted by 14isconsin
Statute Section 101.02 (G)(9).
Departmental Action: Approved.
This approval is granted with the understanding that all of the petitioner's
statements and any conditions of approval cited above will be carried out. ~
s
Prepared by:
etn t ti eri +e
Plan Exariiner
0nsi to Sewage Section
(608),266-8230
SBD-8928 (R. 10/87)
- - - - - -
State of Wisconsin ` Department of Industry, Labor and Human Relations
SAFETY & BUILDINGS DIVISION
Tin McPherson
201 E. Washington Avenue
Pare 2 P.O. Box 7969
November 1, 1990 Madison, Wisconsin 53707
I
Reviewed )y:-
an oc wez er, , S
Environmental Engineer - Supervisor,
Onsi to Sewaape Plan/Plat r;evi ew
/
Oetoartiriental Signature: ,f /j _ { Date: 17
Richard flever, Architect--
Director, Office of Division Conies and Application
K, S: 4121 g
Eric.
cc: Leroy Jansky, Private Sewage Consultant - District 6, Cnd ppewa Falls
Thonias Nel son, Zoning Adr;rinistrator - St. Croix County
SBD-6928 (R. 10/87)
+e. I TommyG. Thompson SAFETY & BUILDINGS DIVISION
Governor
Gerald Whitburn
Secretary -a:
State of Wisconsin
Department of Industry, Labor and Human Relations
PRIVATF SFl~i!± Nl AN l'tf PkR 1VNl 01i it „t 4 i k i::,! mv% J"I APP! it it ;uh
_ 201 P , i ' . t. W, Y t t t i y1.1) Cl , v..: =.i
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HOMF_SITF ,FPTiC Pi tfMBING CCI, tlklll!'.r : I iN MQ ill kS6N
665 ONF l i Rn. t A6A 14TH AT,
HUDSON, WI 14016 rybl TON, W "5468.7 i
, It
M
RE: Plan Number: 590-02980 flak Approved: NoveMhei 1gg6
,
Gallon% Per Ray: 456 60EV Rprelved: Novemhur 1, 106
Project Ndrne: MCPNFRSON, TIM 1 "tai in"i 1A68 14TH ST.
Town of ST. 30SEPH i;uulrLy: ST QRuln
The plumbitry piano and %pe*cii-iral-inns tar thin {rr'ujer i hover been reviewed lot
compliance with appiic.ahir code tvgnir=nL%. Tftk ni,i.rnvai 1% laved on Chapter
145, Wiscomin Sta ur.% and the Wi%crtnnita ridmini%Liai ivv Code. The i.rl-arr^.:, Mira
%tamped''condit.innally ,approved,. Thi% :apprnvai k tu"hirayrtti "pun e,ompilanfe will,
any Sti}tulat.1011% lhtlwr! cin LhU pla"%.. r;ii ii= Vol. .:ic nuied nnlQ he t.ctrrel-ieel.
All permit, required by i-hV city, villaaye., telean%hiP rya t no"Ly %ball by onr,Anpli
pr ior° Lo c onstrue t. an: The ~l it en%ed_itlratrri;e,:r rei;l.niWhiv i ni Kin Wid i iaLlun
thdi t keep one ter Of 1.1ton% With ena' cie`pat r,bM . . ppi:§`.'ii( 4.,111P gat. iii(-`
r.ran°sir!-lci:ir~►t %lie. The inKA11ve %nali nutiiy thr .ei;.inpi kkv irsrpot tni whet)
ln•11n i lont can he nmdr.
Thi% approval wi l i e>xpi i u two yp ai 1 relict i hc, dai r si l.i oved nt i i .r %An i l.ta `
permit is obtained, ii will vxpiip We Day k v ir!iii,.rf %.rteriAly it-nili r'x.Ar%
The Section of Pi lvate Kwaye h4% eetvieutud t_hv%p pion% ies!_ pr ivate: WWaye, <.y0101n coder
requlrN`{ri itto only. Tr1e%e hia"% hdVV nU1. hVVn rVVI.'4JaA 1M i11t` um, evq"~Sti'rtwpl.t
1
ne :1'~.,1t',y~(irf 16tt t 1CSrl Ii~ir: i ~~7rli qe~rle`r.a l rll i~l)WiIF't~tijk1ar;1 r1 L.ii.r(SCIt?t 't r1 S,'1 , T hl'
Wiscomin Adminini.rat iv'ie code.
feria, approval in fur Lhe iollowiny r:ompuneni nniy
RFPI AC:EMFNT PFT ITiuid
REPLACFMENT MOUNtt
SUD-6423 i K. 07/801 e,
F SAFETY & BUILDINGS DIVISION
Tommy G. Thompson
Governor
I
Gerald Whitburn
Secretary
State of Wisconsin
Department of Industry, Labor and Human Relations
Hi'mfsii't' 'f ~i'ic Pi 1 mr,iNt-j (,ft.
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intiuit ir•<. t:t~rrr.tYrniny t.h'is niri~i t~va 1 rn,~y i;tti nt<~tcit by tai i final l6ton} t:r~ n ~aCr_
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iiivi{.ic;rr ui :',~titrr.y ;trttr ttitrilt.iirrrr<.
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SHD-6423M.07/901
890m029$0 I.L.H.R. 83.08(2)
P R O J E C T INDEX SHEET
Owner: C,S/Z
Address: /3Co~
o u L.To.J , w I s. S, v e Z.
Site Location:
s~% ,law '/y _Qc. Z, 7 F0 A) ao 6.0 TOw-J of St, ?oJ~~
5+. C(~..p~'X coves T/
Project Description:
3 13e[~RM , N-o~ ~sTiMfiT€fD v~i-i~~/ ~v~s-fE-Lv~t7€.~ Fl sv = `fSO~,Q',
~EUe~I SOILS S~-~4Sv,Jr41fY S,tTTE[v If T
r3U-r uC,-p( P>=)PMirfaL e-
5VSTE,y i'S ~12or0SE , RT o ./~GlJ.vO ~3~fS'~J~
AWE-
Ti T/0~ Gd~p ~UDii c~1 i~D•tJ i S NBC€SS~`2y
P pos ~-o Zc s z
~aU.vl~
Page 1. PLOT PLAN VIEWS
Page 2. MOUND CROSS SECTION & SYSTEM PLAN VIEWS
Page 3. PIPE LATERAL LAYOUT
Page 4, DOSING CHAMBER CROSS SECTION
Page 5. PUMP PERFROMANCE SPECS
PLUMBER:
M/0 G3~2
DATE: 1~/~ SITE EVALUATER/ DESIGMER
SIGNATURE HOMESITE SEPTIC PLUMBING CO.
655 O'NEIL RD., HUDSON, WIS. 54016
ROBERT ULBRIGHT Gsr i~~Z
sJiS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S.
MINN. INSTALLER & G SIONER SIG, NO, 00963
S,Bp-02980
R
U1 y
Pa~S IA
i
005 n P~Qw N 1 ti
V v~ S x`4, 1
r
D^
~p~ p~O~ S O~O~N GAkyE Pi.v T Pts I b
u y
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rn\
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j~~~ _ _ - f,4 sr mar L • R, a
to ~
14
7
sr- r -
~,P~VEL
01
b
O N ~ ~
L ~
~ o ~
.
S 90 " 0 2 9 8 0 Page Z Of S
Synthetic Covering
Distribution Pipe
Medium Sand
H 5 y STEM
Topsoil ~a ErEVknoN
_11 E o
u `
2- % Slope
Bed Of 2 av Force Main Plowed
Aggregate Layer
D Z Ft.
145Cross Section Of A Mound System Usin E 2,2 Ft.
Ppfc, 9 F --75 Ft.
s$ A Bed For The Absorption Area
ON G Ft.
Ls
A Ft. H ~•S Ft.
oM
. ~ G B ~ Ft.
No~S~`pg PNO G~~~ K , Ft. 13
tM~ OV`S~QNOF S EN~~ L Ft. 90
0,< ` SppN~ / 2 Ft.
EEG~a~ T 16 Ft.
S
Force Main W Ft.
L
J i3 K
A 1'O~ 0f3 r-AV4Tiov pi~ es o
4 Puc
W l =
N
Distribution Bed Of 2
'i~
Pipe Aggregate
Permanent Markers
• S~E~L Roos
Plan View Of Mound Using A Bed For The Absorption Area
029 8 0
Page 3 Of .6-
• V 0/ D A /v,44 46- 225 FT of Luc FoR«
Y10e l~ s r /~0/E Perforated Pipe Detail
u 667' F~ v~cv~rE '
o 101,50
~~,vi•fo lD
End Vie-
Perforated
End Cap?. ~ PVC Pipe
eye e
• Joo```o~c Holes Located On Bottom,
Are Equally Spaced
R
Q
► PVC Force Main
7
i7
PVC
Manifold Pipe
Alternate Position Of
Distribution Force Main
Pipe
Lost Hole Should Be
Next To End Cap
End Cop Distribution Pipe Layout P 3 O Ft.
R 3 Fr
P
X . InchPS
AEv~~~s Y Inches
WAN Hole Diameter Inch
Signed: Lateral / Inch(es)
Lice n~, Manifold 2 Inches
Date Opp Force Main Inches
~E . # of holes/pi pe
Invert Elevation of Laterals /0/`32-Ft.'
ICI 5 TR,'1JV r1OA 101'5eX 4,e E k,?TE Fdk e4 Kok 14 TER A/
'pew- DT j 5 Z
A -7 'Vr
• 7o r~r ~
y~~v
i'f
S190-02980
PAGE OF '
PUMP CHAMBER CROSS SECTION -AND SPECIFICATIONS
VE WT CAP
4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKIPJG
_ff JUNCTION BOX MANHOLE COVER
25' FROM DOOR,
7 . . 12"MIU. Ga!! A/w/ lvf~
WINDOW OR FRESH , I
AIR INTAKE
ADS ~~EV~►T/o~v GRAD I y"MIPJ.
~s~ I 19"Mlu.
Q
INLET Q rf. PTI IDS - L f i I i I
fl
,0' E ~E \V\S\0 LNG r I III
APPROVED JOINT 0 A qN~ ( I I APPROVED JOINTS
Q ~p~I ~0 I III w/C.I. PIPE
J C.I. PIPE
`~p 17` ( II EXTEW01MG 3f
EXTENDING 3' CJ~•~+ ALARM ONTO SOLID SOIL
ONTO SOLID SOIL ~~rJ Si~Elop ~ II
I
ya'` 3,3) ' I oW
c
ELEV. FT. 1 PUMP
I OFF
s ~
~p a ~ D i3.8
A~K o~ COMCRETE BLOCK
4
RISER EXIT PERMITTED OWL4 IF TAWK MANUFACTURER HAS SUCH APPROVAL
SEPTIC E 5PECIFI'CATI0K1S
DOSE
TAWKS MAMUFACTURER:.ME't'o~s~~r Cvi C WMBER OF DOSES: PER DAU
TANK SIZE' -7S 0 GALLOkIS DOSE VOLUME /So C
INCLUDIMG OACKFLOW: /J GALLONS
ALARM MANUFACTURER: LP L 44py
MODEL NUMBER: 1) V CAbACITIES: A= /Z INCHES OR 200 GALLONS
SWITCH TYPE: Pt'E B= INCHES OR 3 7 GALLONS
PUMP MANUFACTURER: z0,6~'41 n . C= '0 INCHES OR 2 GALLONS
MODEL NUMBER: r D= INCHES OR CATIONS
SWITCH TYPE: /e~r NOTE: PUMP AMD ALARM ARE TO BE.
MINIMUM DISCHARGE RATE J00 GPM INSTALLED OW SEPARATE CIRCUITS
VERTICAL DIFFERENCE BETWECU PUMP OFF AND DISTRIBUTIOM PIPE.. 9-.0 FEET -rAok SPECS . 1
2.5 FEET EAG~~
+ MIIMIIMUM WETWORK SUPPLY PRESSURE . . . . . . . . .
+ ~L FEET OF FORCE MAIN X 7` 20 FYo FxFRICTIOM FACTOR.. Z:05 FEET t-40r `C.
r4~S•
TOTAL ObWAMIC. HEAD 3 5 FEET
INTERNAL. DIMEWSIOWS OF TAWK: LENGTH ;WIDTH ;LIQUID DEPTH
SIGNED: LICEWSE )DUMBER: DATE:
l
u I ~i 1 C~ 'rc
tv
E cc
~HEADI F¢ W
11
5
1`* A DA
CITY 710
32 105 -
CURWIF 30 100 - 1
85
28
90
85
EFFLUENT 24 80 MODEL
and a 75 MODEL 189
DEWATERING = 22 70 165
V 20 65
} 18 60
55 _
• O 9 16 MODEL
V 0 14 163 MODEL
45 188
12 40_
35
1o MODEL
30 137, 139 MOLE L
a /1 95
25
SEWAGE and
DEWATERING 6 20- MODEL
15 MODEL _ 161
4 97
u¢Mi 2 MODEL
5 53, 55,
> 57,59
0
GALLONS 10 20 30 40 50 BO 70 8o 90 100 110
24
75 LITERS 0 80 160 240 320 400
22 70
FLOW PER MINUTE
20 18 60- MODEL
Q 295
W 55
Z Is
V 50
Q 14 MODEL
2 294
p. 12 'w- I -
T
J MODEL
Q 35 293 - - - - -
C 10 MODEL _
H 30 - - - -
284
8 25 - - - -
MODEL
6 20 282
15
10 MODEL -
- ZffAfZIZJff
2 5 267, 268
° 1 -17 1'-7 3260 Old Mal.►s Lane
GALLONS l0 2ll 30 40 50 60 70 80 90 100 110 120 '130 140 i50 160 11 180 190 P.O. Box 1047
Louisville, Kentucky 40216
LITERS 0 80 160 240 320 400 480 560 640 720 (502) 776-2731 v
FLOW PER MINUTE
i
'97" Cast /non Series
HEAD CAPACITY
UNITS/MIN
• Automatic or Non-Automatic. Feet Meters Gal. Ltrs.
5 1.52 57 216
t • 1h H.P., 1 Ph., 115V or 230V. 10 3.05 51 193
r,CU • Non-clogging vortex impeller design. 15 4.57 43 163
2. sphere). zo 6.10 27 104
0 1'/z" NPT discharge. Lock valve: 24.5
0 -F1ipat operated submersible (Nema 6) mech-Sism
anical switch. 97 Series
• Automatic reset thermal overload protection. ~L listed SC-2225
M~Ma
• Stainless steel screws, guard, handle and arm and
seal assembly.
• Watertight neoprene "0" ring between motor and
Canadian Standards
pump housing. C Assoc. AOpioval
~ available
N97, non-automatic, available packaged with a piggyback mercury float switch.
State of Wisconsin ` Department of Industry, Labor and Human Relations
SAFETY & BUILDIN,..S DIVISION
November 1 1990 201 E. Washington Avenue
P.O. Box 7969
Madison, Wisconsin 53707
Tim McPherson
1368 14th Street
Houlton, WI 54082
Plan I.D. No. S90-02980-P
Dear Mr. McPherson:
Re: Tim McPherson - Residence
Onsite Sewage System
1368 14th Street
Town of St. Joseph, St. Croix County, WI
i
Your petition for variance to sections ILHR 83.23 (1)(a) and (1)(d), Wisconsin
Administrative Code, has been reviewed.
The rules being petitioned require a mound system site to have a minimum of
24 inches of suitable natural soil and shall not be installed over a failing
conventional system.
The variances requested were to install a replacement mound system on a site
with 12 inches of suitable natural soil and partially over a failing
conventional system.
The following comments were made in the petition analysis:
1. In reviewing the petition, it was noted that the request was similar to
other petitions accepted by this department under petition numbers j
S89-03304, S89-03318, and S90-00072.
I
2. There will be 36 inches of soil over the existing system.
3. Based on the precedent established by the previous petitions, this
petition for variance is being processed as permitted by Wisconsin
Statute Section 101.02 (6)(g).
Departmental Action: Approved.
This approval is granted with the understanding that all of the petitioner's-
statements and any conditions of approval cited above will be carried out.
..Prepared by:
em e
Plan xaminer
Onsi to Sewage Section
(608) 266-8230
ss"928(it iow)
v ►
State of Wisconsin ` Department of Industry abor and Human Relations
SAFETY & BUILDINGS DIVISION
Tim McPherson
201 E. Washhglon Avenue
Page 2 P.O. Box 7969
November 1. 1990 Madison, Wisconsin 63701
Reviewed by: _
am7 oc we er, ,
Environmental Engineer - Supervisor,
Onsite Sewage Plan/Plat Review
Departmental Signature: Date:
Rt-chal-d L. -Meyer, rc Uin Director, Office of Divi Codes and Application
KS:4121g
Enc.
cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls
Thomas Nelson, Zoning Administrator - St. Croix County