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HomeMy WebLinkAbout036-1009-95-000 Form- S T.C - 106 ► AS BUILT SANITARY SYSTEM REPORT 1 IL OWNn. TOWNSHIP SEC. T N-R _LZW ADDRESS ST. CROIX COUNTY, WISCONSIN ' SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to sweet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM zm .7 •....,1 ILA'... i • L/1/.~ i ' . . .t lehl? I • . y~ Sri &ZA INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used r: f• Elevation of vertical reference point: Proposed slope at sites SEPTIC TANK: Manufacturers -'•f ,r~Z~L Auid Capacity: _ '•''•i•Numbet of rings used: _ Tank manhole cover elevations • Tank Inlet Elevation: Tank Outlet Elevations Number of feet from nearest Roads Front,OSide feet G Rear, O . • • . SC.~D From nearest-property line s • Front.0Side0Rear,0 feet Number of feet from: well , -'~J1,1- '-building: - (Include this information of..the above plot plan)( 2 reference dimensions to septic tank) SEE, REVERSE SIDE PIMP CHAMBER Manufacturers squid Capacity: . i Pump Model: Pump/Siphon Manufacturers Pump Sise Elevation of inlet: 44 Bottom of tank elevation: A9 Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: /~.,ec~C/~„ .Number of feet from nearest property line**:*.-. Front. O Side, Q Rear, O Ft4~' 1 nli 'Number of feet from wall: Number of feet from building: (Include di,tances.on plot plan). SOIL ABSORPTION-SYSTEH., Bdd r ' Trench: Width: • ~ t Lenith: ,`••Number of Lines:_ Area Built: 7S _ Fill depth to top of pipes Z'~ Number of feet f f,,Number m nearest property line: Front, O Side, 0 Rear,O It :t_S-OrJ of feat from well: 41 N or of feet from building: H ? (Include di lances on plot plan). SEEPAGE PIT Size: Number of pits: Diameters Liquid depths Bottom of seep age pit elevations Area Built: t Has either a drop box O or dint*ibution box O been used on any of the above soil absorbtion sytems? (deck one). HOLDING TANK Manufacturer: Capacity: Number of'.rings used:•_ Elevation of bottom of tanks • Elevation of inlet: Number of feet from.nearest property lines front, O Side, O Rear, Oft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: c' s~a Inspector:. Dated:Plumber,on•Jobs J J t License Numbers 3/84 ::o j ' SAFETY & BUILDING DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR LABOR & I UMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION 9 SOg ll 53307 State Plan I.D. Number: 4, 4,Sec.4,M-R17 El CONVENTIONAL El ALTERATIVE (If assigned) Town of Stanton C El R H Holding Tank El In-Ground Pressure ~ Mound - INSP CTIO D TE: M AE OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: ~ a7 90 - QY' - ~ SS, ~r Paul S ortelli Rt.2 New Richmond, I 54017 ,j(Permanent reference point) DESCRIBE IF DIFFER~EN FROM PLAN: EF. P . E rC T REF. PT. EI,E 9 r BENCH MARK EJ, YY . 1 rc..~ ~ ~z~•;i G~'~ ,Ylu.~,~ , oti^, ~ coq( ~I e v' = ~ / ~ / Name of Plumber MP/MPRSW No.: County: Sanitary Permit Number: Calvin Powers Jr. 1563 S SEPTIC TANK/HOLDING TAN : 5, 50 5, o 7 8 9, a3 r MANUF TUBER' LIQUID CAPACITY: TANK INL E TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER J L PROVIDED: PROVDED: 01 vr2 (.5 l cnct , cI . / ! / ! E ;*ES ❑ NO ❑ YES IY4 BEDDING: YF3lT DIA.: MATL.: HIGH WATER NUMBER OF R AD: PROPERTY WEL BUILDING: AER NLOT 'FRESH 1 .6 p , ALARM: FEET FROM LIN IE7 C' E: 66 J ❑ YES Ca. 4 ❑ YES NEAREST DOSING CHAMBE : . 8 f ti, , -,e a-,~ "xi 9 MANUFACTURER: BEDD LIQUID CAPACI PUMP MODEL- PUMP/3IF118N MANUFACTURER: WARNING LABEL LOCKING COVER { PROVIDED: PROVIDE ' ❑YES E~'IGO IU '~i 3S35- WaCam. C [~VES ❑NO ES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: !EET MBER OF PROPERTY WEL BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN It FROM LINE: AIR INLET/ Is - PUMP ON AND OFF Ia5 4 (~T ❑ NO AREST? NGTH: DIAMETER: MATERIAL AND MARKING: SOIL ABSORPTION SYSTEM. Check the soi moisture at the depth of plowing FORCE / J 1F_- or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN l9 3 5~ U ~C ys the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH R INSIDE DIA.: # PITS: LIQUID PIT DEPTH: WIDTH: LENGTH: TRENCHES: G: !No. OVE DI ENSO 1 GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DIST9. PIPE MATERIAL: DISTR. NUMBER OF PROPERTY WELL T TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: Of PIPES: FEET FROM LINE: :AIR 2 NEARES MOUND SYSTEM: 5 25 c,~. ZO A~' ' //1 11 c all 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 c in that it ON REVERSE SIDE. SHOW ❑ YES [910 meets the criteria for sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: P RMANENT MARKERS: OBSERVATION WELLS; L/1L1!~, V [ONES ❑ NO RTES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/8E{; DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: Ir !r CENTER: EDGES: I I It S 2- - / ❑ YES /allO ES ❑ NO C+~'fE~ ❑ NO- PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: DIMENSIONS Ll / 9 TRENCHES: Y tj,4 6" / 11, MANIFOLD PUMP o MAN OLD DISTR. PIPE MANIFOLD MATERIAL: N07-DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV ELEV.: , DIA.: ELEV.: PIPES: DIA.: ELEVATION AND !T- a/.5~ BUD S.., •4Ol~[~i DISTRIBUTION HOL IZE: HOLESPACING: DRILL CORREC LY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO r INFORMATION 11 APPROV~D PLANS ^I, t- a4'1 C~'~ES ❑ NO '9e" C ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: / FEET FROM LINE: / 'ES El NO I>i S ❑ NO INEAREST>10 C r I u e in in county file for audit. Sketch System on Reverse Side. ISIGNARE: TITLE: SBD-6710 (R. 06/88) SANITARY PERMIT APPLICATION 7 DJLHR In accord with ILHR 83.05, Wis. Adm. Code couN STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than El CIZZr5evision to previous application 8% x 11 inches in size. 0-1 -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPE 7 O NE PROPERTY LOCATION '/4 '/4, S T3 , N, R 17 f~(orm_) XU "g PROP TY OWNER'S MAILING ADDRESS LOT # BLOCK # ,~,2 Z. I ZIP C DE PHONE NUMBER SUBDIVI 10 NAME OR CSM NUMBER CI , STAT j91e, ?M -9 ` III. TYPE OF BUILDING: (Check one) ❑ State Owned VILLAGE NEAREST OAD f ❑ Public ®1 or 2 Fam. Dwelling- # of bedrooms PARCEL X MB p~:, l 6 Z~ I 111. BUILDING USE: (If building type is public, check Z11 that apply) / 0 1 ❑ Apt/Condo C~ 2 ❑ Assembly Hall 60 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~ New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 0jMound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 L! In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 140 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 Feet Feet VII. TANK CAPACITY in allons Total # of Prefab. Site Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App, Tanks Tanks structed Septic Tank or Holdin Tank o F- I Lift Pump Tank/Si hon Chamber. Vlll. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation th onsite sewage system shown on the attached plans. Plumber's me (Pri PI is Sign ure: OS PSI) MP/MPRSW No.: Business Phone Number: ~~Z_j --A ~2 P,_ 1 -1 9,6 ec Plumber's Addr ss (Street, State, Zip s : i , I COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes rroun Water a e ssue Iss ing Agent Signature (No Stamps) 1P Approved ❑ Owner Given Initial ! `L J Adverse Determination X. CONDITIONS OF APPROVAUREASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber i 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. 11. 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) 1 s ~ _ r 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/contractor,(spec house), then a second form should be retained and and submitted to this office with the completed when the property is sold appropriate deed recording. I a-2z' Owner of property -P"~' J -S J[> 6 , Location of property ~`1/4 , ~ 1/4, Section, T / N-R2,>_W Township Mailing address ►1 K Z12 ~ Le- Address of site 6/74-1_. Subdivision name Lot number Previous owner of property w QY Total size of parcel V0 Ac t--~ Date parcel was created Are all corners and lot lines Identifiable? es 0 Is this property being developed for resale (spec house)? Yes 0 Volume Zf~and Page Number 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, wuld 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 d ed r cprded in the Office of the County Register of Deeds as Document No. ~ ~h 0 ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have II'L 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 a Count Register ofDeeds, as Document No. ) r_r i SI nature Owner Signature .of Co-Owner (If Applicable) Dame of 8 nature Date of Signature 45..ane►°r.; _ - nr. :'N ~:i~~. ,,ht ~Yi'?yN'~"3'`~. DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1988 TRIO SPA" R=IgRvKO rQlt RFWROIpa PMT* WARRANTY DEED y - 80 ox 745PAGE J8Q ~ . !"RS OFFIA ' This Deed, made between Wayne I r.. a and Ruth RE@i15Y "e1 t•••••• ST CROIX CA WWM Ir1e~ husband and wife as oint _enant .._._....~_..------------------------.s_3 . RK'd for Record ft Grantor, day of July A.D. l and 11- PQ ' e.~. i._4-44 .JQ.&A...Z..._.&~Q~ t 12:73 "pr" . 1~„~6. V p- las1t.al...gr_apaxty Grantee, O I Witnesseth, That-the said Grantor, for a valuable consideration------ II One dollar and other valuable consideration . conveys to Grantee the following described real estate in S. t C ro_.-ix RETURN TO County, State of Wisconsin: Paul Sp.ortelli i Tax Parcel No:..... The SEf of the SWi of Section 4-31-17. TRANSFER Subject to recorded easements, reservations, and 0 0.*01 0 rights of way. FEE I~ This i_s no___t homestead property. f (is) (is not) II Together with all and singular the hereditaments and appurtenances thereunto belonging; And Wa ne-_ Irl 11 I r_1. q - - warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except no exceptions and will warrant and defend the same. I Dated this . --••------1st.,-•---•--•----•--•--- day of -------•----------------July.------------------------------------ 19.8 6... I (SEAL)... (SEAL) W yne Irle . . (SEAL) (SEAL) * Ruth Irle „ ( AUTHENTICATION ACKNOWLEDGMENT i Signature(s) Wayne__Irle__and___Ruth-------- STATE OF WISCONSIN , Irle as. autheCated-Ahis - 1 a f- -.--J --uly 19.86 Personally came before me this -•..•..•....day of the above named - - - « Eric J. undell TITLE I MEMBER ATE BAR OF WISCONSIN - authorized by § 706.06, Wis. State.) to me known to be the person who -executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Eric J. Lundell Box 157 .r................................ New Richmond, Wisconsin 54017 Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) ) ! date: , 19 ~f -Names of persona signing in any capacity should be typed or printed below their signatures. ~I STATE BAR OF WISCONSIN ~!M H CMillorCortpsry M FORTH No. 1--1982 Stock NQ. 1$DD1 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ROUTE/BOX NUMBER o~ - FIRE NO. CITY/STATE (-v ZIP ~7::E~d 7 PROPERTY LOCATION: 1/4 5z 1/4, Section , T IA, R_ W, Town of T a , St. Croix County, Subdivision , Lot No. 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-4k 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 sgt 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 eie c~ DATE g St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI -:_54016 (715) 386-41480 Sign, Date, and Return to above address x DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY,' DIVISION LABOR AND PERCOLATION TESTS (115 P.O. BOX 7969 HUMAN RELATIONS W1 53707. (H63.09(1) & Chapter 145.045) ® s 40;U 805 LOCATION- SEC T ON: TOWNS IP/ ALITY: LOT O.: BLK NO.: SUBDIV ION NAME: /T ~ N/R (o COUNTY: OWNE BUYER'S NA E: MA LIN ADDR SS ) USE DATES OBSERVATIONS MADE NO.BEDRMS.: 1COMMERCIAL D RIPTION: PROFIL S: PEffCOLATION STS: li Residence ' New ❑Replace _ g _ y_ O RATING: S- Site suitable for system U- Site unsuitable for system . ONVENTI NA MOUND: iN-GROUNDUR S N-FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) LDS ®U CAS ❑U DS RU . :r I ❑S DU ❑S 12E rr~e,uJ If Percolation Tests are NOT require DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO R UNDWATER mizzi CHARACTER O IL WITH HICKNESS, COLOR, rMTURE, AND DEPTH NUMBER DEPTH K ELEVATION OBSERVED S 1 HE TO BEDROCK F OBSERVED (SEE ABBRV. ON BACK.) ♦ '7 t - s : . W of f o c 't c t l~mtittl~ Nei r.'v ~d . 6 7 e6, A Ur r ~ 90'gr i PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP N WATER LEVEL-INCHES RATE MINUTES t' NUMBER INCHES AFTER SWELLING INTERVAL-MIN. I D PER INCH P. ~D .3 t-s f. P- K -9.0 1A Aft Jr, 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 hors- zontal and vertical elevation reference points and show their location on the plot plan. Show the su~r~{fa~ce ql ation at all borings and the direction and percent of land slope. Qom-/S SYSTEM ELEVATION 4_ WIZU 61-4 I A: 71 .E o r - _w .Sze v f 1, the undersigned, hereby certify that the soil tests reported on this form were m e by a 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 co rest t the best of my knowledge and belief. NAM prin TESTS WERE COMPLETED ON: ADD; !r CERTIFIC TION N MBER: PHONE NUMBER (optionalF G J = ✓ - CS GNATUR 4 / DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester x DILHR•SSD-6395 (R. 02/82) - OVER - j Pag ~jtSt.row, Marsh Hay, or 9 ~ A Coverin Synthetic 9 D S' y Distribution Pipe ' Medium Sand;t~ Topsoil'-- - - r, 3~i „ _J.! C F- ®T4~~. .016wed" Of _ a 2 Force Main 4 Layer y' egate _ F~C1-A1i~iSa 4 ,~4!t,{a?t D' Ft, y. Ff.l pA n Of A•.Mound System Using -,R S Ft F taD Be, For The Absorption Area ft. SEt : ` A Ft. H Signed: BFt. L4ense Number: K Ft. L Ft. ;y Rate: - -,9 Ft. ' µ Alternate Posr'ition I 1R Ft 'Of W-2~~.... Ft. Forge :Ma in Observation Pipe Main i k ,or! rwe Distributiom Bed O,f 2 - i Pipe Aggregate Observation Pipe Permanent Mprkers L Pion View Of Mound Using A Bed for The Absorption. Area PAgQ^z v J Perforated Pipe'-Detail I r7 C~4r~ )Perforated "'Via End Gap ' PVC Pipe 0°0-e Holes Located On Bottom, t Are Equally Spaced r' D'S Nji frolI Lost Halo Should Be Neal To End Cop Distribution Pipe Layout P Ft. R W S X Inches Y Inches Signed: Holt' Diameter 1L-J- Lateral Inch( r:) License Number: Manifold " Inches Date: Force Main _ Inches # of holes/pipe Invert Elevation of Laterals~,/,~ Ft. I d b vi 3 1130 -4 ;rnk 3.71S 1. b A O .d a C ~ r. 44 1~~ ++++r+ w a~ r A W r.,. r r++ s.. O O N N a d 41 a m w O O U R sO d' y m N m U m m PAGE OFl1L PUMP CHAMBER CROSS SECTION AND SPECIFICATIO^IS VENT CAP S ~ P E O an A ,,L U ~ye,~„•~,~~ 4"C.I. VENT PIU WEATHER PROOF APPROVED LOCK > JUMCTION BOX MANHOLE COVER 23' FROM ODOR I G , WINDOW OR FRESH 12"MIU. AIR INTAKE I GRADE I y.. MIN. ~ 16"MIfJ. COWDUIT _ 4 - - --frg; 16"MIN. 1 (AJI-. F. l' PROVIDE I 11 TIGHT SEAL I III ~ J~ v APPROVED JOINT aa~ 1' • ,0'Af~ (9 ~ ,,1j I I I APPROVED JOINTS W/C.I. PIPE t "a I III W C.I. PIPE EXTENDIAI( - 3'~ I`"~~~! I I I ALARM EXTENDING 3' ONTO $01.10 SC.:. B I I ONTO SOLID SOIL ' I ow Cp PUMP-1 --j OFF 0 L CONCRETE BLOCK RISER EXIT PERMITTED ONL`J IF TANK MANUFACTURER HAS SUCH APPROVAL SPECIFICATIOUS SEPTIC AND DOSE TANKS MAWUFACTURER: NUMBER OF DOSES: PER PAJ TANK 51ZC: GALLONS DOSE VOLUME ALARM MANUFACTURER: C' INCLUO!'!:, :;%C!;FLOW:-,GALLONS AM34 3 , f ~a~-s . MODEL NUMBER: CAPACITIES: A--\ _IMCNES OR, &GAALLLlO-N(.S~ SWITCH TYPE: 13= B = N INCHES OR LL0A1'j LS' PUMP MANUFACTURER_ 1 C C=/_INCHE5 OR y~ GALLONS MODEL NUMBER: l~eC_ D--z_INCHES OR_GGE:~-/-GALLONS SWITCH TYPE: T:1 - MOTE: PUMP AUD ALARM ARE TO BE PUMP DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE Bj'_lj-+IEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET + MINIMUM NETWORK SUPPLY PRESSURE , , , . . _ , . , . • 2.5 FEET ♦ FEET OF FORC F7 E MAIN X ~YpFTFRICTIOU FACTOR.. FEET TOTAL OUM - ` l AMIC HEAD - FEET IMTERNAL. gIMEWSIOM T NK: _LZTtVTH GO ~//.?indl t%~ ,WQ-TH LIQUID DEPTH SIGNED: LICENSE AJUMBER: - DATE: -117- ~4x i, 4. Cdr - P 1 q'4Y" ~ 4 rY~^ I n "~S,k, L .ti OUr,DSUMERSIBiE - 1 SE VA E 'ANU EFF.U Et ' PUMP ,n " r(~y') q may(/ f J ;E ~P0311 n i~ 4 112"` lfd5 Z . a 1wt T~; a wwwoi11 112 EP03f1 i; 1/3!P ' '115 V gQ 7Stf11~ent 4t le +~4 1 ~ i,. Mr 0, Al Su e lb vawu, MODEL Ef?11 r s 4 E*fifiuent Pump A Y ~,t y h 'lnetrt~acr SI 3/e"S(LIAS._` Rs } 25 h s F'" ~ • ~ rL .y11AV. P Y S ~tr , , ~ ' d t ( r eti a _ yf G,C FyC ,~S K,g A o ~ ~ Fr .,r~?~: ~ ~ JZ ' ~ , .t',~ i..r K' ~ r t a -~CL ~ ts.~ r. ~ q't+~ A ~'x IJ 1 it i ; K 4C', c J.~ 111 t 4 v b tz 7 Ql~` f `y~'f _ ,to E~ ,~r~,]]'//T'~ i 4c`~'r< ~ ~ gp s T y1~ ~ 7 - ~+.wiY tY ~ .x: 3 s±4 y ~ " fJ'. V ~ 4 p9. r® b a~:: ~vrlf ~ 1, ~ { 't ~ .i i. Y /ErrM;ry'~✓t 1J 'T VA, L I'A' V VIM, I- 4t4, T h1 - i ~ C FF"F`ttit"` ' 1 Je- a P 4' l ip Ft R~ tt• i -1 r 1~ ti , 1FT' F f %!f'k.F u F~' T"u ~ dY1•'(t~ ~ + =F:. ~ x 0.f ,;rr ~ ~'F rZ~ ~,~k,S 1 ` r i k w JO ` AA 14 70 074 r si 44~F1 i ik Xw X ~F d ~x •~it yf f a sty ti rr' r,t g0t1PWfX1311t. X45 ww IL %113 Low I! 5r ids ~ 3 r ~ ti sY ~ Grd~ o ~ + ~R .?6xnt rr :•m[JFM+E0311M b3 YffA 1M x 1I3' ~P~'°~MJ~' V~ bbd d a~+~ A' lids k sa'' 11H 1q N£0 113 112 kP N t 4" lids' ` r 09.~~r• . w db3idtt t11W}l{'„3:l/7~ _ 4M rlr!V 2H f ~~,ili"' ~P'~ SY ~"'}'(~1 ~ L Y f ~ 1. hi Cr i~ ' ru-/•AX°= Pxrl~* t. S „1Y ` 'Y~+~ 4° ~Y k try "s it 1F r. " x + h'r 9:.~1~ t { y "Y" ..4y rit r ry. J.. 3"a t ~ ~ ~t° ~ ~t,r It ~ 2 1 pR~~Y~ .a ~ 4 >f• , r 4, 1 Jt ri. 1 Y F, W E„ 4 Y r.. _ _+.w".~" r .2IMt .GJ fst~': r ~•,r S90-4O0S5 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 April 23, 1990 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Paul Sportelle property, located at the SE4 of the SW,, of Section 4, T31N-R17W, Town of Stanton, St. Croix County, revealed suitable soils at a depth of 2.3 feet below which seasonable high ground water was noted. In addition bore hole number 1 had a single pocket of clay loam that was mottled. It is my opionion this will not influence this system in an adverse way. 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 cj APR v I ST. CROIX COUNTY WISCONSIN ~~rt ZONING OFFICE 1,4 ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - (715) 386-4680 w April 23, 1990 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Paul Sportelle property, located at the SEk of the SWk of Section 4, T31N-R17W, Town of Stanton, St. Croix'County, revealed suitable soils at a depth of 2.3 feet below which seasonable high ground water was noted. In addition bore hole number 1 had a single pocket of clay loam that was mottled. It is my opionion this will not influence this system in an adverse way. This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. Sincerely, ~j Thomas C. Nelson Zoning Administrator cj f I i I - yl- I ' ~ i I I I I I I , - - I i ` I I I- Arl I _ ~ ~ ' I ' I - - ~ ----tom ~ I IY i ' fi ~ ~S I i i , , I ~ ~ + t I I , _ I f I I ~ I ; I ~ I I I I , I ;AS FE* V i 1 I I ~ i I i ~ ~ I I I I • I i L I I _L I I I I I I I I i-- I I I ~ I ~ I I II _ I I I I , --may ~ I. ~ _ ~ - - - - ; - - -r-- 1 i I ~ I I I i ! ! i ~ I 'ISO I I i - I _ - I t I I , I I I _ I I_ I _ I 1 i I I I ' { f ' i ~ I I~ I I I I I I I I I i I f I I I I ' , i I i ~ I I WORKSHEET - MOUND SYSTEM DESIGNr 008.5 PROBLEM: Design a mound system for a The site characteristics are: Depth to groundwater or bedrock z:,2 9- -;zn - Landslope'"` Percolation rate APR 3 U 19go min./in. Distance from dose chamber to distribution sy= Di'I. Q_ ~t• Elevation difference between Dump and distribution systern ft. Step 1. WASTEWATER LOAD gal.' Step 2. SIZE 'THE ABSORPTION AREA A) Area required - -;8-01,g ft. B) Bed or trench length (B) C) Bed or tr?nch width (A) ft. ,.h 0) Trench spacing (C) Wastewater load .24 (aal/ft2/day S - ft• t r- 7) E ems Step 3. MOUND HEIGHT A) Fill depth (D) - ft• B) Fill depth (E) - D + slope ft. C) Bed or trench depth (F) _ m J -ft. D) Cap and topsoil depth (G) _ ~&2 ft. E) Ca d opsoil depth (H) = ft• iFn:~ S/ n'Z'// ova Step 4. MOUND LENGTH E7 go 40 U 5. A) End slope (K) _ CD + E + F + H x 3 ft. 2 ) B Total moue le th L = + Step 5. MOUND WIDTH A1) Upslope correction factor A2) Upslope width (J) ^ (D + F + G)(3)(factor) _ ft. , 83 Y?) = ySS B1) Downslope correction factor = B2) Downslope width (I) _ (E + F + G)(3)(factor) --t. Cl) 7L /L Total mc+und width (W) for bed J + A + I ft. C2) Total mound width (W) for trenches 9 J + ~ + (no. trenches -1)(c) + A + I f Step 6. BASAL AREA A) Infiltrative capacity of natural soil = gal./ft2/4ay B) Basal area required = wastewater flow natural soil infiltrative cap ity ft. Cl) Basal area available for bed for sloping sites = B x (A + I) = sq. ft. C2) Bas are avail` le for trench for sloping sites B W - ~J + A J - sq: ft. Basal area available for trench or bed for level site = B x W = a sq. ft. a 1 j";1 License 11:u: Uar : Step 7. DISTRIBUTION SYSTEM, 7A) SIZE DISTRIBUTION SYSTEM 40 1) Hole size S 7 in. 2) Hole spacing = in. 3) Distribution pipe length a = in.^ 4) Distribution pipe diameter in. 5) Spacing between distribution pipes = t~2_.in• 6) Distance from sidewall to distribution pipe in. 7B) DISTRIBUTION PIPE DISCHARGE RATE ~ft. 1) Number of holes per pipe = 2) Flow per pipe GPM 7C) SIZE MANIFOLD 1) Manifold is central/ end 2) Manifold length a r•Q_ ft. 3) Number of distribution lines a_ 4) Manifold diameter _ in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate GPM 2) Force main diameter - 3 in. 3) Friction loss ft. 7E) TOTAL, DYNAMIC HEAD 1) Vertical lift = _p ft. 2) Friction loss = ~ft. 3) System head 2.5 ft. _ Cy~ft. Total dynamic head ft• i,icer )a to rah c 7 7F) PUMP SELECTION S90-40085 1) Pump selected will discharge GPM at 1~. ft. total dynamic head. 2) Pump model and manufacturer 7G) DOSE VOLUME 1) 10 times void volume of distribution lines gal./cycle /0 x S-2, S 2) Dai Y wastewater vv lume 4 doses/24 hrs. _ gal./cycle 3) Minimum /dose volume /cycle 1H) DOSE CHAMBER 1) Minimum capacity required = s-~_750~?/~~✓~ gal . Licunoc ::u:~ Date _ - DEPARTMENT OF REPORT ON SOIL BORINGS AND X& BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) ~.0. BOX 7969 HUMAN RELATIONS ;DISON, W1 53707 (H63.09(1) & Chapter 145.045) SECTION: / TOWNS IP/ LITY: LOT O.: BILK. N,O.: SUB IV ION NAME: LOCATION- T N R (o COUNTY: OWNE BUYER'S NAME: MA LING ADDRESS USE DATES OBSERVATIONS iNADE' NO. BEDR MS. SCRIPTION: PROF LE S IPT ONS: PEA7MTATION TESTS: 1COMMERCIAL ~ `Residence xNew ❑Replace 20 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: IN-GROUND-PRESSURETos YS EM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(optional) ❑S ®U RS S Zu ©U ❑S 2U d2&_aA If Percolation Tests are NOT require DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER4+#e"eS CHARACTER O IL WITH -THICKNESS, C LOR, TMTURE, AND DEPTH NUMBER DEPTH m, ELEVATION OBSERVED EST. IGHEST TO BEDROCK F OBSERVED (SEE A BRV. ON BACK.) 0 s f - -7.2 51 (A1)4 o,, to i All" B- T. 13- 13- B_ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INePrE-S` AFTERSWELLING INTERVAL-MIN. PERIO 1 PE I D2 P PERINCH P_ P- .Op. 3e, ry0 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 surfacg~,gl ation at all borings and the direction and percent of land slope. SYSTEM ELEVATION ~A~~.✓t~ 'J -Al E , ~ I I i i l!` 4 ' /_/9 E I i I o E I 3 I, the undersigned, hereby certify that the soil tests reported on this form were m e by a 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 co rect t he best of my knowledge and belief. NAM prin TESTS WERE COMPLETED ON: AM: CERTIFICATION NUMBER: PHONE NUM ER (optional): C J CS G ? TUR 6 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 5395 To b a ci ~ and accurate soil test, your report must imdude; 1. Oomph c iption; 2. T' i must clearly whether this is a I-commercial project; r.,nber of bedr, commercial use plan 4. replrwi+ went r (I; 5. it y rating xes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL ;TEP RU: 1 T BASED ON SOIL( JDITIONS; the abb for writing F criptions and completing the plot plan; cnIPr Iccating y--r- auons, Drawing ` scale is preferred. A ~r -k ~;rl v-ti, _.I € lovatior po*nt are clearly rd a -:ent; ate boxes as to elates, nary, ~ flood plain data, percolation teexemp- 1L. # -lain, elevation) ,;)ly, A. in the appropriate box; 11 . rt address ar,:.tior, -12. :pies an(' as rec„uir(; ? FOIL TEu.': 'JST BE FILED VViTH THE L . R ITY V11ITh, 30 DAYS C : i~-TION. P ~-"IA' 9R CERTIFIED SOIL TESTERS Textures 0, _ ols i 1B") 1Q"; i i (jy - ;art? i Hks- I V I TO THE OWNER: i Th co St - rtt7ll;:.. srrr3i . _ 4.: I