HomeMy WebLinkAbout038-1066-50-130
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Parcel 038-1066-50-130 02/10/2006 02:46 PM
PAGE 10F1
Alt. Parcel 16.31.18.286A-30 038 - TOWN OF STAR PRAIRIE
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
07/29/2004 00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - KOENIG, LUKE P & KIRSTEN A
LUKE P & KIRSTEN A KOENIG
2131 100TH ST
SOMERSET WI 54025
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 2.550 Plat: 4800-CSM 18-4800 038-04
SEC 16 T31 N R18W PT NW SW LOT 2 CSM Block/Condo Bldg: LOT 03
8/2228 NKA CSM 18-4800 LOT 3 (2.55 AC)
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
16-31N-18W NW SW
Notes: Parcel History:
Date Doc # Vol/Page Type
12/16/2004 782632 2716/063 WD
07/29/2004 770229 18/4800 CSM
07/23/1997 875/128
2005 SUMMARY Bill M Fair Market Value: Assessed with:
119122 170,100
Valuations: Last Changed: 10/05/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.550 34,800 132,400 167,200 NO 05
Totals for 2005:
General Property 2.550 34,800 132,400 167,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch M
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
\\\\\\111N.II,IN/HJI/I
\-27
Z7
S-24?4 7 7 0 2 2'9
. CLEiiF. i.ll04
~'y Vui VOL 18 PAGE 4800
KATHLE std H. WALSH
St FIN REGISTER OF DEEDS
I/„,I„nn1 ir.m ST. CROIX CO.. WI
CERTIFIED SURVEY MAP RECEIVED FOR RECORD
e7/29/2ee4 e3sA8Plf
Located in port of the Northwest Quarter of the Southwest Quarter of Section 16,
Township 31 North. Range 18 West, Town of Star Prairie, St. Croix County, Wisconsin; REC = 1 (J~j
being Lot 2 of a Certified Survey Map recorded in Volume 8 COP 3 `f
Page 2228 in the St. Croix County Register of Deeds Office. PAG . ~,a. 7 j]
A special exception use permit is required for the disturbance of slop u
20X or greater not identified on the approved plat or CSM. This pe L`C ;r
Is applied for through the zoning office and is reviewed through a pub U t J i
fn hearing process by the St. Croix County Board of Adjustment. I
af°o WFST 1/4 CORNER LO-7 1 ST. C I, I;~j
o SEC. 16-31-18 CERT/F/ED SURVEY MAP SURV (1':1'$ pc"~' Q
N (FOUND P. K. NA /L, - NO TH 2228 = WR/F/ED WTH 77ES) VOLUME- - - 8 PAGE -
r_3 S 89'53'32" E 668.75'
100' BUILDING 631.31
SETBACK goo o too
LOT
2
TOTAL AREA: GRAPHIC SCALE
SCALE IN FEET: 1 inch = 100 feet
330.158 sq. ft.
7.58 acres
3
a v
Imo' AREA EXC. R-0-W: in
Z lO 311,917
acres ft O
7.16
C) NOTE; The parcels shown on this mo is subject to State, County and N
C) v rn I t Township laws, rules and regulations i.e. wetlands, minimum lot size, access i
10 C N I to parcel, etc.). Before purchasing or developing any parcel. contact the St.
fIn = Z I oix County Zoning Office and the appropriotep"~LM8 advice.
O I ST. CROIX COUNTY
Panning Ze onq a"A WV*$ GcnH,inee
JUL 2 9 2004
O if not rowreso wiDrin 30 days of
~L approval date approval cha11 be
A
O W ~8~p FJ- null and void
in EXISTING vn
m rn c i 461.70 FENCE Do
J I N 80'29 5 0 420.59 SHED S in
N N 1 IC
w 1.11 WE TANK I~
DRIVE LOT 3 I~
Olt HOUSE
0 I~
33'I~ TOTAL AREA:a~ rn I~
cp J110.998 sq. ft. SEPTIC
co C"~ 2.55 acres COVER C)
I~
OD _ SEPTIC AREA EXC. R-O-W: iD 10
COVER 103.029 sq. ft. w l~
41.87' 2.37 acres
I -511.05'- --626.79'--
469.18' 157.61' _
S 89-54'05" W 668.66'
N SOUTH L/NE OF THE 1VW 1/4
5'OU7HNEST CORNER Of- THE SW 1/4
a+_ Sr
C_ 16-31-18 UNPLA TTED LANDS
' (FOUND ALUMINUM LEMUR:
COUNTY MaWMENT)
lio- Section Corner Monument
BEARINGS ARE REFERENCED TO THE WEST LINE OF THE of Record
Prepared by. SW 1/4 OF SECTION 16. TOWNSHIP 31 N., RANGE 18 W. • Set 1' x 1B' Iron Pipe weighing
1.13 pounds per linear too '
Y WHICH IS ASSUMED TO BEAR S00100'03"E
I~ Cm"&V Group /nG O Found 1.25' Iron Pipe
Prepared for and at the request of.---~r - Existing Fence
Phone No. (715) 246-4319 Don and Kathy Wholl _ _ . Buildin Setback Line
Fax No. (715) 246-3830 2131 100th Street 9
Somerset, WI 54025 1 DO' from R-O-VI)
(100'
P.O. Box 325
New Richmond. WI 54017 Drafted bp. Mike Quackenbush,
Sheet 1 of 2 JOB # W1057SU163 S
Vol 18 Page 4800 94
`pb,
.._//0 17
.ad' ~f -/o
11,L 571 1112
4597'7G
CERTIFIED SURVEY MAP
Located in part of the NW; of the SWk of Section 16, T31N, R18W,
Town of Star Prairie, St. Croix County, Wisconsin.
„ Certified Survey Map in
I I Volume 5, Page 1314
N 'C
3 N
r W Corner of 661 East-west 1/4 line of Section 16
Section 16 --\I (Re
corded as S8904012411E, 668.851) v
N89O41108"W 668.84' 2.5'
a Uj~• 635.84'
0 so'
33. 00'
L iJ
N U
y G
r1w
L
JUN,? I
10 ~,J z1990#a,
3C M
o -D
co 14
O N I -
0. 3C
° LOT 1
U0
O L O
441, 208 Sq. Ft. 0 B
OWNER 10.13 Acres Including R/W =
I v> 4
James M. Raboin, Jr. E'I I 417,933 Sq. Ft.
41
u WI
9.59 Acres Excluding R/W N
Route 1 O
V QC II N
Somerset, WI 54025 0 0. LoI
'O 1 rht n' 'C I
bi NIM rI
w N8905313211W 668.75' 57'
-01 s w
1 W EO 631.31' v
F-37.441 N
Al 0 th c" - cpI
c Li W O oN n
LEGEND 0 N 0 C'
„ o o o
000 f I I °
County Section Monument - V)
Aluminum Cap Found
O 1" x 24" Iron Pipe Set, weighing ( - 1-
1.68 lbs, per linear foot
to
c°
• 1" Iron Pipe Found C LOT 2 co
LO LO
; ic~ LO
"----R- Existing Fenceline 441,156 Sq. Ft.
I 10.13 Acres Including R/W
I
414, 946 Sq. Ft.
9.53 Acres Excluding R/W
~A 41.8 71 2P'_
i I 626.79
" q p I I N89o54'05"E 668.66'
South line of the NW} of the SW} of Section 16
w Unplatted Lands
Oro o
N O
C) f APPROVED
N I
SCALE IN FEET HH 2 1 1990
P11111 III % QE =IX COUNTY
0 100 200 400 (Xv1 PAW PLANNtNC
~ W~ Cq`AMfITEE
SW Corner of
Section 13
This instrument drafted by Fran Bleskacek Proj. No. 90-31.
VOLUME 8 PAGE 2228
a 21?
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, DIVISION
LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 76
HUMAN RELATIONS
N WI 53707
(H63.09(1) & Chapter 145.045)
LOCATION: SE TION: TT0OWNSHIP/ LOT NO.:BLK. NO.: SUBDIVISION NAME:
NW %W/4 16 /T31 N/Ik8 r) W Star Prarie n/a n/a
COUNTY: UYER'S NAME: MAILING ADD ESS:
St. Croix Dan Whall 11423 Hazle Ct., Hudson, Wi. 54016
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ER OLATION TESTS:
esidence 3 n/a i, ❑ Replace I 7-16-90 7-17-90
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional)
❑S E] U ®S ❑U ❑S EJO ❑S ®U ❑S mound
Funder 7s. tion Tests are NOT required DESIGN RATE: It any Portion of the tested area is in the n/a
63.09(5) (b), indicate: Floodplain, indicate Floodplain elevation:
decimal' PROFILE DESCRIPTIONS page 11 AmC2
BORING TOTAL D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH I LEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-1 6.50 103.35 none >6.50 .50bl.1. 6.00bn.s.1.
B-2 6.25 103.35 none 3.75 .75bl.1. 3.0 n.s.l. 2.50bn.mot. s.l.
B 3 5.25 101.90 none 2.25 .58bl.1. .42bn.sil. 1.25bn.s.1. 3.00bn.mot.s.l.
B-
B-
B-
decimal' PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER fttft AFTERSWELLING INTERVAL-MIN. P RIOD 1 ERIOD 2 P R INCH
P_ 2. 00 none 30 J- 2 2
P_ none 30 2 1 2 'z
P- 3 2.00 none 30 5/8 513- 48
P-.
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION 104.35
-
F
E
g~~ I
.
t
t
~
s60,
3
.4
_too _
E
_
;
T
3
E
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print : TESTS WERE COMPLETED ON:
Gary L. Steel 7-17-90
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
1554 200th. Ave. _ New Richmond, Wi. 54017 8 15-246-6200
CST SIG URE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
DILHR-SBD-6395 (R. 02/82) -OVER -
WSTRUCTIONS FOR. COMPLETING FORM 115 - SRO -
To be a corn accurate soil test, your report must include:
1. Complete leg gin;
2. The use section .;i ly indicate whether this is ~,nce or commerci
3, MAXIMUM number of kar,l oms or commercial r i
4. Is this a new or replacerm t T'
5. Complete the suitability rati A SITE IS SU. E FOR A HOLDING TANK ONLY IF ALL
OTHER SYSTEMS ARE RUI BASED ON SOIL'- ONDITIONS;
6. PLEASE use the abbreviatior re for writing profile descriptions and completing the plot plan;
1. Al, A LEGIBLE diagram a( ly locating your test locations. Drawing to scale is preferred. A
sheet may ht, rrrr.,l if r'-
8. sryour benchma ,I I elevation reference point are clearly shown, am' sir e permanent;
9. all xes r.:Ines, addresses, flood plain (Iata, per ~ St exemp-
the irfl rm~i flood plai m) does no ry, place N.A, in they ap. )riate box;
-I the fo it, current.nd your C tion number,
leg 'I distribute -ed. ALL TESTS MUST BE FILED WITH THE
,)CAL A 11THIN 30 DAl )F COMPLE!
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
S. and Textures Symbols
)[w (over 10") BR Bedrock
coh - Cobble (3 - 10") SS -Sandstone
gr - Gravel (under 3") LS - Limestone
s Sand HGW - High GroUndwater
coarse sand Pe:rc -Mlation Rate
Medium Sand _
s Fine Sand l
is Loamy Sand Cxr,s1 - F_ndy Loam - L
? - I yam Bn- Bro, ,
c, Loam BI Black
sr Gy - Gray
cl _ Y - Yell
sc,i - ry Loam R - Red
sicl Loam mot - h'
Sc - )y w1 -
sic _ ffrt i me, faint
cc i~n, coarse
rnIT - -y, mediurn
rn < d ct
P ominent
HWL - High vvater level,
Six general soil textures surface vvater
for I1gnid waste disposal BM - Bench Mark
VRP Vertical Referer
,e..
_ ni, TIT- county inrnt may request
A r vate
}
it
DEPARTMENT OF
INDUSTRY, REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
DIVISION
P.O. BOX 76
LABOR AND PERCOLATION TESTS (115) MADISON WI 3707
HUMAN RELATIONS
(H63.09(1) & Chapter 145.045)
LOCATION: PECTION: TOWNSHIP/ LOT NO.: BLK. NO.UBDIVISION NAME:
~W ~ 31 N/R 8xf (or) W Star Prarie 2 n/a n/a
COUNTY: MCNXPV~ NAME: MAILING ADDRESS:
St. Raboin jr. 2107 100th. St., New Richmond, Wi. 54017
USE DATES OBSERVATIONS MADE
NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROF E D SCRIPTION3: IPERCOL TESTS:
lz esidence 3 n/a ®New ❑Replace 4-26-90 4-27TIO
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL: MIN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional)
MU - EN ❑S ~U S ❑U ❑S ❑S ❑S mound
If Percolation Tests are NOT required DESIGN RATE: If an
n/a any Portion of the tested area is in the n/a
under s.H63.09(5)(bl, indicate: Floodplain, indicate Floodplain elevation:
decimal' PROFILE DESCRIPTIONS page 11 AmC2
BORING TOTAL ELEVATION DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTHM. OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-1 6.17 97.35 none >6.17 .75bl.1. .92bn.s.sil. 1.50bn.s.l. 1.00bn.hards.l.
B-2 6.33 99.55 none 2.50 1.08bl.1. 1.42bn.s.sil. 1.83bn.har s. .w occ. mot. .s.
2.00bn.s.l.
B-3 6.59 99.55 none >6.59 .67bl.1. 1.17bn.s.sil. 4.75bn.s.l.
B-
B-
MB-
decimal' PERCOLATION TESTS
TEST D PTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PER PER INCH
P- 1 2.00 none 30 21'2 2 15
P- 2 2.00 none 30 13/4 12 1'z 20
P ?.00 none 30 2 12 122
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 horn
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 101.55
✓,-A-~ - -
7z: 1P -
i
o- e
I j3i+
k I - f ► t
a I
i
I i
t
Ur _ 1 E '
~j el
,
F
,
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print): TESTS WERE COMPLETED ON:
Gary L. Steel 4-27-90
ADDRESS: CERTIFICATION NUMBER: ONE NUMBER (optional):
988 N. Shore Dr., New Richmond, Wi. 54017 2298 r1'5-?J,6-6200
CST SIGNA /
,Off
ef 1, 711 j
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester, v~
DILHR-SBD-6395 (R. 02/82) - OVER -
I•
ppl-
INSTRUCTIONS AI COMPLETING FORM 115 - S BD - _
To he a corn--'3~te urate soil test, your report must include:
1. Compl
2. Th ly indicate whethe- ris is a residence or commercial project;
3. M, ij hedrooms cornmer use planned;
4. Is this ment syste 1;
5. Corr y rating b( A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL
OT,;Er SYSTEM ~ RULE[ BASED ON SOIL CONDITIONS;
B PL rse i' tions here for writing profile descriptions and completing the plot plan;
7. L d'.rgram ply locating your test locations. D=-~~wing to scale is preferred. A
if (if
8, mark an ' elevation referee point are c' shown, e permanent;
9, n date ho., J:.tes, names, flood ply, test exemp-
tit
10. If q (such as f' elevation) do i ~pply, place I.. c,)iiate box;
11 place your 3ress and you tion numl
12 c =pies and di `Ji recfuiied. ALL AL TESTS ~ BE FILED WITH THE
L0 ~L~AL. HORITY WIT[-: i ~YS OF COMPLETION.
ABBREVIATI,.- FOR CERTIFIED SOIL T .'-RS
Sail Separates and Textures Other Syr
Stone {over 10"# BR Bedr~
- Cohb(r (3 - 10") SS San
r Caravel (under 3") - LimF
ms's Sall H Nigh C, water
ras - C„ F - Per(
med s - R i Well
fs - Fri Buildi 9
Is - Lc - Gr pan
sl - Sandy Lutm Les TI ,6,,
l Loam - Brown
"0 Silt Loar r Black
Si - Silt Gy Gray
1 - Clay Loam y Yellow
Sandy Clay Loam R - Red
Silty Clay Loam mot - Mottles
C - Sandy Clay "'v/ - with
a
sic - Silty Clay - few, fir,
`c. _ Cl y (7ommc )
tit - P- , 'I - Many, n
1 - distend
prom
r- .
} - Nigh vv
< xturc;s surfa, ,
sal M - Ber7ch I
VRP - Vertic2 Iit-it
OWNER:
n,. tt,u ~}~>r,., ~ , r>=~~uest
f VAR
k DEPA114MENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING
LABOR & HUMAN RELATIONS DIVISION
P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION
MA ISO 1 53707
NW,Nk.,Sec. 16,T31-R18 (ifasgned) Number:
Town of Star Prair ❑ CONVENTIONAL ❑ ALTERATIVE /
1 h St. G Holding Tank ❑ In-Ground Pressure Mound
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPEC 10 ATE, /
D Whall 11423 Hazle C H dson WI
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: R F. PT. LEV.: CST F. PT. ELEV
O
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number:
Do avin Schmitt 20 St. Croi 128R84 -LSEPTIC TANK/ NG+Af4K;Ad o < le P-,/ , 103- / 2 ' S
MANUFACTURER: LIQUID CAPACITY: TANK INLET EV.: K OUTL ELEV.: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
4k4 61lfz7 t Tod YES ❑ NO ❑ YES NO
BEDDING: *&+T DIA.: Uk= MATL.: HIGH WATER UMBER OF ROAD: PROPERTY WELL, BUILDING: VENT T FRESH
C• v. C., p . ALARM: rFEETEAREST FROM LI E: AIR INLET:
YES ❑ NO ❑ YES NO /t 38 L rl4
DOSING CHAMBE ~b/X'=
MANUFACTURER: BEDDING: LIQUID CAPACITY: UMP MO EL: PUMP/SlPFI9N MA WARNING LABEL LOCKING COVER
PR~OV9W PROVIDED'
Q YES ❑ NO '/Z 2 e.,✓ 0 YES ❑ NO NO
BUILDING: VENT TO FRESH
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL
t9l
(DIFFERENCE BETWEEN I I FEET FROM LINE: ! AIR INLET:
PUMP ON AND OFF 1.1CJ ES ❑ NO NEAREST-~ 95 to S±
t SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of LENGTH: DIAMETER: MATERIAL AND MARKING:
plowing FORCE / tYL- `I
t or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN t/
a the soil is dry enough to continue.) ~>r2SU1? 0-
0-
yq3~ WIDTH: LENGTH: NO.OF DISTR. PIPE SPACING: COVER INSIDEDIA.: #PITS: LIQUID
BED/TRENCH
DIMENSIONS TRENCHES: I MATERIAL: PIT DEPTH:
GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO STR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END. PIPES: FEET FROM LINE: AIR INLET:
NEAREST----
MOUND MOUND SYSTEM:
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.
3,SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS;
/
q / b r- -5) P9 ❑ NO YES ❑ NO
DEPTH OVER TRENCH/BED DEPTH OVERT NCH/BED ]Z7 S OF TOPSOIL: SODDED: SEEDED: MULCHED:
CENTER: EDGES:
YES Lk<- C~❑ NO ~ ❑ NO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH WIDTH: LENGTH: NO. O LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER:
TRENCHES:
c DIMENSIONS J(0
MANIFOLD PUMP V MA IFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING:
ELEVATION AND ELEV.: I ELEV.: 1 DIA.: t ELEE PIPES: DIA.:~~~
DISTRIBUTION H LE SIZE: HOLE SPACING: DRILLED CORRECTLY: + COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO
INFORMATION if II APPROVED PLANS 7 1
r 36 [RtYES ❑ NO )'n 1~ O
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
YES ❑ NO YES F-1 NO NEAREST-- LINE: 1 -Z~d f
~.•(~Q.SCS/ .~L3'~-`.f~.•?...P_E i O)`1 G'l,Z~„~_i i•• ~ 4r•~~~ c,..[~ (,.i-G:'<-tc , 1C'...,2\J ~`.r.t ..Xj~r'~`.
c~
Sketch System on Re ain in county file for audit.
Reverse Side. E: TITLE: /
SBD-6710 (R. 06/88) + i
f"_
C~ILHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code cou
STATE SANITARY PER IT
-Attach complete plans (to the county copy only) for the system, on paper not less than ❑ i~ 9-C/
8% x 11 inches in size. if rev on to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROP E OWNER PROPERTY LOCATION
L L Y4 Y4, S 1,6 T3 , N, R / E (Or
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
11- c
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
L.j el
CITY NEAREST ROAD
Ii. TYPE OF BUILDING: Check one
( ) State Owned VILLAGE : OO T
❑ Public V'X1 or 2 Fam. Dwelling4 of bedrooms PARCEL AX NUMBER()
III. BUILDING USE: (If building type is public, check all that apply) ~G/„ /4 /
1 ❑ Apt/Condo OC U w r l
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. N New 2. ❑ 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 6 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
5- Feet 1676 ,3L~Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks strutted
Septic Tank or Holding Tank K I 16c" -1 / - s
Lift Pump Tank/Si hon Chamber e)
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumb 's ignature: (No Stamp /MPRSW No Business Phone Number:
Plu ber's Address (Street, City, State, Zip Code):
GL c~ E ~ S O
IX. COUNTY/DEPAR ENT USE ONLY
Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Stamps)
pproved ❑ Owner Given Initial C~~r Surcharge Fee) _
-Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of 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 onsrle 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.
Vlll. 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 81/2 x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
• APPLICATION FOR SANITARY PZRMIT
8TC-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 got resale by
owner/contcactoc,(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 _ D,4w W/4- zL
Location of propetty Jy-aLi/4 S(& Me Sectlon T~LJI•R •Y
Township ~5IAY? /~WA12'(
Mailing address q' 3 ff~zEL C T
Address of ■its T~ ST_ r~l n rx= T /,/~i'
sebdlvlslon name IVA
Lot number
Previous owner of property ~i423oy, 9,/?.
Total miss of parcel ~f AC/'E S
Data parcel was created _ r7e_WA/E / q ~O
Are all corners and lot lines Identifiable? on
o
is this property being developed for tangle tepee house)? as 0
Vol"" $~and Page Number ..as recorded with the Register of Deeds.
r--------r----------------r----r----rr----r---r--r---r-r-------------r,•-•r,••--•
INCLUDE WITH THIS APPLICATION TITS FOLLOWINGS
A WARRANTY DRED which Includes a DOCUMENT NUMBER, VOLUME AND PAOR NUMBRat and
the ORAL OF THL REGISTER OF DEEDS. In addition, a recoiled sncvey, It
available, would be helpful so as to avoid delays of the tevleving process. It
the deed description references to a Cestifled Survey Map, the Certlfled Survey
Map shall also be required.
PROPERTY OWNER CERTIFICATION
I(ve) certify that all statements on this form ate true to the best of or level
Knowledgel that I (we) am (ate) the owner(s) of the property described in
this lntotmatlon totm, by virtue of a warranty deed recorded In the Office of
the County Register of Deeds as Document No. 4y&_' /R-9 t and that I (we)
presently own the proposed site for the savage disposal system lot I (we) have
obtained an easement, to tun with the above described property, tot the
construction of sold system, and the same has been duly recorded In the OEtlee
et t Count Register of eds as Document No. _~~I.
gnoture of Ownet Signature of co-Owner tit Applicable$
't~'of 119natute Date of Signature
Y^ -
DOCUMENT No. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA
STATE BAR OF WISCONSIN FORM 2-1982
464189 l ,i%-= PACE REGISTER'S OFFICE
Jr. 1~~ ST. CROIX CO., WI
_-..James--M-._•Raboini•and_-_LuAnn_ _-K. _Raboin, Recd for Record
husband-..and•_wife----- • JUL V 3 1990
at 11:55 A. Mn~
-
conveys and warrants to _---_Danl.el..N.---Wha ll_._a171d_.Eat.hl eCI7
R_-.-Whal-l,___hu-sba_nd---and__-wife ---as--_ mar-i_ta1__.............. Register of Deeds
sur.vi_vorship _..prop-ert.y
RETURN TO _
_ _
the following described real estate in _~t• Croix_________________County,
State of Wisconsin:
Tax Parcel No:
Lot 2 of Certified Survey Map filed in Vol. 8, Page 2228,
Document No. 459776.
Wy_
This 1-s..not....... homestead property.
(is) (is not)
Exception to warranties: easements, restrictions and rights-of-way of
record, if any.
Dated this --------------E L--~ day of June-----............................................ 19.9.0....
----(SEAL) -`C4- 111- - I !1ti,:-----(SEAL)
ames M. Raboin Jr. #LuAnn K. Raboin
(SEAL) - -.-.-..(SEAL)
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) STATE OF WISCONSIN
ss.
St. Croix County.
I
authenticated this ________day of___________________________ 19 Personally came before me Jis day of
June VV
_ 19-------- the above named
- Jame_s__M_...Rahoin-,-••LaAim .K.... aboin
TITLE: MEMBER STATE BAR OF WISCONSIN j
(If not,
706.-- IA.
authorized ed by § 706.06, Wis. Stats.)
to me known to be the ersoif~_ d the
p
foregoing instrument and a'a ie sa
THIS INSTRUMENT WAS DRAFTED BY
-
Kristina Ogland Lundeen \ '~a~`•••
"-----Alice-Joy`._Co- rigl - PVB-- - 4- I
Attorney at Law
Notary Public --------St . c----
Y, Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. ex i tion
are not necessary.) date: July 12 197.•.)
.Names of persona signing in any capacity should be typed or printed below their signatures.
WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc.
L FORM No, 2 - 1982 _ hI a. •...L W;..
SEPTIC TANK MAINTENANCE AGREEMENT rt
St. Croix County
OWNER/ BUYER L ~
" o
ROUTE/ BOX NUMBER '1".Y 3 ZCL t . % Fire Number d
CITY/STATE ZIP r
PROPERTY LOCATION:Section, T_N, R,j_W,
Town of 57AI? St. Croix County,
Subdivision Lot number.
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes. Prover maintenance con-
sists of pumping out the septic tank every three years or sooner,
if needed, by a l'icen'sed •s•eptic tank pumper. What you put into
the system can attect the .unction o, t e septic tank as a treat-
ment-stage in the waste disposal system.
St. Croix County residents may be eligible to recieve a grant for
a maximum of 60% of the cost.of replacement of a failing system,
wh c 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 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 o
to maintain the private sewage disposal system in accordance with
the standards set forth, herein, asset by the Wisconsin Depart-
ment of Natural Resources, Certification form must be completed .d
and returned to the St. Croix County Zoning Office within 30 days
of the three year expiration date. 7
SIGNED
DATE
St. Croix County Zoning Office
911 4th St.
Hudson, WI 54016
386-4680
Sign, date and return to the above address.
i
,DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTRY, CC DIVISION LABOR
P.O. BOX HUM N REDLATIONS PERCOLATION TESTS (11J) MADISON WI 53707
(H63.090) & Chapter 145.045)
LOCATION: SECTION: P/WWOMPOW: LOT NO.: BLK. NO.: SUBDIVISION NAME:
NW 011/4 16 /T31 N/1k8 Ixor► W Star Prarie 1 n/a n/a
COUNTY: UYER'S NAME: MAILING ADDRESS:
St. Croix Dan Whall 11423 Hazle Ct., Hudson, Wi. 54016
USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESCRIPTION:
I:
PROFILE ONS: 1PERCOLATION TESTS
esidence W New ❑Replace
3 n/a 7-16-90 7-17-90
RATING: S= Site suitable for system U= Site unsuitable for system
CONVENTIONAL MO UND DU I
-GROUND-PRMU : S STE -IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(optional)
TN
H--] El U i as ❑U ❑S [Is ®U ❑S mound
[unPde,'r7H63.09(5)(b), f lation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
indicate: n/a n/a
Floodplain, indicate Floodplain elevation:
decimal' PROFILE DESCRIPTIONS Page 11 AmC2
BORING TOTAL LEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH I OBSERVED EST. HIGH-EST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
13-1 6.50 103.35 none >6.50 .50bl.1. 6.00bn.s.l.
B-2 6.25 103.35 none 3.75 .75bl.1. 3.00bn.s.1. 2.50bn.mot. s.l.
B 3 5.25 101.90 none 2.25 .58bl.1. .42bn.sil. 1.25bn.s.l. 3.00bn.mot.s.1.
B-
B-
B-
decimal' PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER AFTERSWELLING INTERVAL-MIN. p _glOO.1- --F!r D3 RtQ R INCH
P_ i._ none - --1'z 2
- -
P_ 2 2.00 none 2 z z
P- 3 2.00 none 30 + 578 518 40
P-
P-
P.-
PLOTPLAN: 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 104.35
r f
I i C
1 I ~ i ~ f
gyp:
f ;
I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print : TESTS WERE COMPLETED ON:
Gary L. Steel 7-17-90
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional):
1554 200th. ._Ave_ New Richmond, Wi. 54017 8 1/715-246-6200
CST SIG URE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.
i~ti_444 -sPU- : VIA.iDI'M O~LR
ST. CROIX COUNTY
,x , k r WISCONSIN
ZONING OFFICE
~ST. CROIX COUNTY COURTHOUSE
z ^ 911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
Aug. 3, 1990
Division of Safety and Building
Bureau of Plumbing
P.O. Box 7969
Madison, WI 53707
Dear Sir:
An on site investigation for the Dan Whall property,
located at the NW 1/4 of the SW 1/4 of Sec. 18, T31N-R18W, Town
of Star Prairie, St. Croix County, revealed suitable soils at a
depth of 28 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,
James K. Thompson
Assistant Zoning Administrator
cj
Mound system
for
Dan Whall
NWySW4 S.16-T31N-R18W
Star Prarie, twonship
St. Croix County
pages
#1----------plan approval application
#2---------- St. Croix County verification of soils
#3----------soil data (115)
#4----------plot plan-plan view
#5----------work sheet
#6----------system cross section
#7----------pipe lateral layout
#8----------dosing chamber
#9----------pump curve
Don Schmitt
0o C;f ~ SYSS~M
~ PG
586 Valley View lE SE .
Somerset, Wi. 54C1~
MPRSW 3205 10NS
8-2- 0 ~\pZ
r~rQ`! ~ ti~ t3.
ir~ALSPGN~GN
GG
s S90-20"700
ST. CROIX COUNTY
Tr
` WISCONSIN
~r s~,tk
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
- (715) 386-4680
a
Aug. 3, 1990
Division of Safety and Building
Bureau of Plumbing
P.O. Box 7969
Madison, WI 53707
Dear Sir:
An on site investigation for the Dan Whall property,
located at the NW 1/4 of the SW 1/4 of Sec. 16, T31N-R18W, Town
of Star Prairie, St. Croix County, revealed suitable soils at a
depth of 28 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,
James K. Thompson
Assistant Zoning Administrator
cj
S'90-20'700
DEPARTMENT OF SAFETY & BUILDINGS
D
INDUSTRY, REPORT ON SOIL BORINGS AN DIVISION
LABOR AND C P.O. BOX 7969
HUMAN RELATIONS PERCOLATION TESTS (115) MADISON, WI 53707
(H63.090) & Chapter 145.045)
LOCAT O : TOWNSHIP/ IT O.: LK. NO.: SUBDIVISION NAME:
NW % / 16 ~T31 N/R~ 8 EX") W Star Prarie 1 n/a n/a
I
COUNTY: •S M ADDRESS:
St. Croix Dan Whall 11423 Iiazle Ct., Hudson, Wi. 54016
USE DATES OBSERVATIONS MADE
NO. B : O DESCRIPTION: ❑Replace I T -
Msidence 3 r n/a wNew 7-16-90 7-17-90
RATING: S- Site suitable for system U- Site unsuitable for system NV9R ~O~ S gU lM® Q -LOLD NG TANK: RECOMMENDED SYSTEM: (optional)
U(ill OS r0S®U_j0S[!Nj mound
If Percolation Tests are NOT required r7 RATE: 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 11 AmC2
BORING TOTAL DEPTH T GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTH 1 LEVATION OBSERVED EST. HIGWES-T- TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-1 6.50 103.35 none >6.50 .50bl.1. 6.00bn.s.1.
B-2 6.25 103.35 none 3.75 .75b1.1. 3.00bn.s.1. 2.50bn.mot. s.l.
13- 3 5.25 1101.90 none 2.25 .58bl.1. .42bn.sil. 1.25bn.s.1. 3.00bn.mot.s.l.
B-
B-
B-
decimal' PERCOLATION TESTS
TAT DEPTH WATER IN HOLE TEST TIME DR N WATER LEVEL-INCHES RATE MINUTES
NUMBER AFTERSWELLING INTERVAL-MIN. PAR INCH
P..l._. none -1~ ZV
P. none 30 2
P. 3 2.00 none 30. 3/4 518 5113 48
P-
P- 1
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. -
Z
v
u o
V ~Nt ~ ,,,107 '0 S
I
J
7Z
o v~v ~ G Pv
~ y
` d41
4 13J
1
I a
~o
'L
~ Q
Nuw GoT
C oR~/p~
C-RAWYAle- FOR'
3 //,4ZGE c T. 586 VActoy view 7-R
N 4695 olv GU/.
Sr~OtL t/C~NSE' #3.ZOg"f
9110 S90-20'700
7I0NAL WORKSHEET
MOUND SYSTEM r- 11. IN-GROUND PRESSURE SYSTEM-Continued-
1. Wastewater Load, Total Daily Flow= pl. 10. Fora Main: M rsl, z
Use s. ILHR 83.15 (3) (C) Minimum Dosing Rate = Spin.
Adm. Code and PROVIDE A DETAILED Diameter In.
LIST OF SIZING ON PLANS. 7 11. Total Dynamic "sad:
• ' System Head : 2.5 ft.
2. Depth to Limiting Factor ft.
3. Landslope = % Vertical Lift ft.
r0~ ft.
Friction Lou
4. Distance from Dose Chamber to
Distribution System = fL TDH ' ft.
S. Elevation Difference Between 12. Pump Selection:
Pump and Distribution System ft Pump will discharp at least 7- _ i Pill
6. Absorption Area Sizing: at 7, / 2 ft. total dynamic head. ,
Area Required sq. ft. Pump: land manufacturer: A?
Bed or Trench Length (B) = ft.
Bed or Trench Width (A) = ft. 13. Dose Volume:
Trench Spacing (C) = ft. 10 Times Void Volume of
7. Mound Height: Distribution Line= pi.
Fill Depth (D) ft, Daily Wastewater Volume
Fill Depth Downslope (E) _ tL 4 Doses M 24 hrs. gal.
Bed or Trench Depth (F) _ fL Backflow = -T= W
Cap and Topsoil Depth (G) _ tL Minimum Dose go.
Cap and Topsoil Depth (H) _ ft. 14. Dose Chamber:
S. Mound Length: Volume gal.
End Slope (K) fL
Total Mound Length (L) _ rs" 11 fL 111. CONVENTIONAL PRIVATE SEWAGE SYSTEM
9. Mound Width: n 1. Wastewater Load. Total Daily Flow = pl.
UpslopeCorrection Factor = t31~ Use s. ILHR 83.15 (3)(C), Wis.
Upslope Width (1) _ ft. Adm. Code and PROVIDE DETAILED ,
Downslope Correction Factor = ,14 LIST OF SIZING ON PLANS.
Downslope Width (1) _ / Z- tL 2. Required Septic Tank Capacity = pl.
Total Mound Width (W) = Z 9 fL 3. Percolation Rate = min4in.
10. Basal Area: 4. Absorption Area Sizing:
Infiltrative Capacity of Refer to Table 2 in ch. ILHR 83
Natural Soil = pl./sq.ftjday and PROVIDE A DETAILED LIST OF
Basal Area Required= sq. ft. SIZING ON PLANS.
Basal Area Available = $q. ft. Required Area = sq. ft.
Lenath = t.
11. If Standard Tables from Chapter ILHR 83 f
are:"used, Indicate Table # d Width= t.
12. For the Distribution Network, Use Numbers5.14 in Section 11. Number of Trenches =
Trench Spacing. ft.
1. IN-GROUND PRESSURE SYSTEM. S. Distribution SysW
1. Depth to Limiting Factor = ft. Lateral Length = iL
2. Landsiope Number'of Laterals ■
3. Percolation Rate = 'V C4 min./in. Latltril Spacing = in.
4. Proposed System Elevation ft. pistance from Sidewall to Pipe = in.
S. Wastewater Load, Total Daily Flow: pi. System Elevation = ft.
Use s. ILHR 83.15 (3)(c), Wis.
Adm. Code and PROVIDE A DETAILED lal SYSTEM4N-FILL
LIST OF SIZING ON'PLANS. Fill in All Items from Section III
Required Septic Tank Capacity ■ pl.
6. Absorption Area Sizing: V. SEPTIC TANK
Percolation Rate = R min./in. 1. Capacity = o777- gal.
Area Required sq. ft. 2. Manufacturer:-...- - -
System Length = r" ft. 3. Show Site Constructed Tank Details on Plan
System Width = ft.
7. Distribution Pipe Sizing: , . VI. DOSING TANK
Hole Sire = in. 1. Capacity = r gal.
Hole Spacing = ft. 2. Manufacturer.
Lateral Length - ft. 3. Pump Manulacturer.
Lateral Site • In. 4. Pump Model:
I..slrrrl Spacing ~ ft. S. Operatinx Head=
DiNlance. from sidowrH .161 Pigs ° ;►1`, 6. Flow Rats = 37, it- fpm.
M. Distribution Pipe Discharge Raw 7. Show Site Constructed Tank Details on Plans
Number of l lohx Per Pipe
Ilow Per Plin /g.r•'z gym. VII. 1101.1)INGTANK
9. Manifold Siting: 1. Capacity = Sal.
r
Type b"seror eml) z ti C 2. Manufacturer.
Length = _1q ' ft. 3. \-Sbow_Site Constructed Tank Details on Plans
Diameter _ -2-4
-SHOW ALL INFORMATION ON PLANS- S90-20700
D1LHR SOD-6761 (R.031821
Page Of _
Straw, Marsh Hay, Or
Synthetic Covering
Distribution Pipe
Medium Sand
Topsoil G
3J~ E D
ALI _7=
% Slope
Bed Of d -2 g Force Main Plowed
Aggregate Layer
D Ft.
Cross Section-Of A Mound System Using E ~ Ft.
A Bed For The. Absorption Area F Ft.
G Ft.
A Ft. H Ft.
Signed: zxllmar
B Ft.
License Number.: 31o K Ft.
Date: 8 8 - 90 L 4 ✓ Ft.
Ft.
T 12- Ft.
I W Z,,, Ft.
L
07
observation Pipe-.,,,
B K
r
: Force Main
Distribution Bed Of 2
Pipe Aggregate
'I
Observation Pipe Permanent Markers
Plan View Of Mound Using A Bed For The Absorption Area.
S90-20700
Page Of
.
Perforated Pipe 0*1011
0
A View
PafaeNe~ .
Eel Cep PVG Pipe
~ ~ tteNs Leeeted On Bottom,
E Are Eowl1y Spaced
List Hole Should Be
Neat To EM cep
Distribution Pipe Layout P Ft.
S 3
X .3(,';1 Inches
Y Inches
Hole Diameter Inch
Signed:
Lateral " ~VZ Inch(es)
License Number: 30.5 Manifold " Inches
Date: t-.ZA - go Force Main - Inches
# of holes/pipe,
Invert Elevation of Laterals 'd •t•
S90-20'00
a '
Y
• PAG1 GF
PUMP CHAMBER CROSS SECTIOIJ ARID SPECIFICATIONS
59.0-20'700
VEUT CAP
ti"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKMIG
JUAICTIOAI BOX MANHOLE COVER.
25' FROM DOOR
WINDOW OR FRESH IL"MILT. I R
AIR INTAKE
GRADE I
I `I" MIAJ.
~ IB"hCIN.
CONDUIT _ _
INLET PROVIDE ( T AIRTIGHT SEAL II V
APPROVED JOINT A i III APPROVED JOINTS
W/C.I. PIPE I I I ( W/C.I. PIPE
EXTENDING 3' I (I ALARM EXTENDING 3'
ONTO SOLID SOIL B I 1) ONTO SOLID SOIL
I
I I ON
ELEV. r'^ FT.
PUMP -1 OFF
+ r
L o .
CONCRETE BLOCK
RISER EXIT PERMIWED OIJL4 IF TANK MAIUFACTURER HAS SUCH APPROVAL
BEPTrC`E S P E C- I F I'CAT I OM S
DOSE
TANKS MANUFACTURER: `-A L0 IJUMbER OF DOSES: f PER DAU
TANK SIZE: GALLONS DOSE VOLUME
ALARM MANUFACTURER' IMCLUDING SACKFLOW: GALLONS
MODEL NUMOCK: Nf CAPACITIES: A-...L, INCHES OR GALLONS
SWITCH TYPE. - " t'~°`A D a INCHES OR GALLOUS
PUMP MANUFACTURRER: 70w C- (a INCHES OR,/.- y, GALLONS
MODEL NUMBER: 0. /2- INCHES OR GALLONS
SWITCH TLIPE:/.ir
MOTE: PUMP AND ALARM ARE TO DE
MINIMUM DISCHARGE RATE 4/4/ GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET
+ MINIMUM NETWORK SUPPLY PRESSURE/.. . z•5 FEET
+ FEET OF FORCE MAIN X f it R~ I
ioo FLFRICTIOtJ FACTOR... FEET
TOTAL DyNAMIG HEAD = ~7, FEET
INTERNAL DIMENS►OW9 OF TANK.: L-~H 0 ;WIDTH -;LIQUID DEPTH -L
SIGILIED: k2 1, 0 LICENSE IJUM6ER: M43 DATE:~~~P
yCj W
YFI W
HEAVI
115 -
32 110
32 105
30 100
cCkUR VE 95 -
28
90
EFFLUENT 24 - MODEL
and 75 MODEL 189
DEWATER/NG = 70 185
20
~ 65-
Q
Y 1° "
o ss 50-
MODEL
163 MODEL
H 14
45
d
12 40-
35
10 MODEL
_ MODEL
-137,139' 185 it
SEWAGE and
DEWATER/NG 6 26 - - - - MODEL
15 -MODEL _ 181
4 97,
10
ri 2 MODEL
IL 5 53, 55. - -
i 57,59
0
GALLONS 10 20 30 40 50 60 70 80 190 1001110
24 - rr-
75 LITERS 0 80 180 240 320 400
FLOW PER MINUTE
70
20
18 so_ MODEL
Q 295
W 55
Z 16
V 50
Q 14 MODEL !
45
a 2w
p. 12 40- -
J 38 MODEL
H 10 293
O 30 MODEL
284
' - is- MODEL S90-20700
- I-
6 20 262
i
15
2 10 Zg-
6 MODEL Z, It u
2 267, 268 -
0 32SO Old NNIm Lem
GALLONS 10 20 30 40 50 60 70 80 90 100 110 120 130 140 i50 160 170 180 A0 P.O. Box 16347
LouisrlNe, Kentucky 40216
LITERS 0 8o 160 240 320 400 480 560 640 720 (502) 778-2731
FLOW PER MINUTE
Form - S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER DAA1 W#A LL TOWNSHIP SEC. T 2 L.,N-R~-W
S T, ST. CROIX COUNTY, WISCONSIN
ADDRESS 7-1-1
(E T L o
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I•LHR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
c»
0
Pn(U,' t
I-4~
qo
C9 0
IT,
Cls
. DSO, /off.
INDICATE NORTH ARROW
BENCHMARK: Describe the vertical reference point used
Elevation of vertical reference point: lot),0 Proposed slope at site:
SEPTIC TANK: Manufacturer: u/LL-~fj~S Liquid Capacity: 14/IO
Number of rings used: Tank manhole cover elevation: 10_3,6
Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front, Side Rear, O ,50 feet
From nearest property line Front 10 Side A@Rear 90 feet
Number of feet from: well `J&)building:
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
Manufacturer: UJAL; A'SLiquid Capacity: ~(J(~
Pump Model: ! 3 Pump/Siphon Manufacturer: ,z g-e-Z Pump Size
Elevation of inlet: Bottom of tank elevation:
Pump off switch elevation: 9 0,6- Gallons per cycle: /V, q, L/
Alarm Manufacturer: A iv Alarm Switch Type: dce:p y
Number of feet from nearest property line: Front, O Side , Rear, 4 Ft.
Number of feet from well:
Number of feet from building: /~JQ
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM /-1,06IVO
Bed: X Trench:
Width: Length: V, Number of Lines: Area Built: 32
Fill depth to top of pipe:
Number of feet from nearest property line: Front, O Side, Rear,O Pt O~jf
Number of feet from well:n t
Number of feet from building: yp`
(Include distances on plot plan).
SEEPAGE PIT
ze: Number of pits: Diameter:
Liquid the Bottom of seepage pit elevation:
Area Built:
Has either a drop box O or stribution box O been used on ny of the above soil
absorbtion sytems? (Check one).
HOLDING TANK
Manufacturer: Capac
Number of rings used: evation of bottom o tank:
Elevation of inlet:
Number of feet from n rest property line: Front, O Side, Rear, 0Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
arm Manufacturer:
Inspector:
Dated: L02 L Z2 Plumber on job:
License Number:S
3/84:mj