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HomeMy WebLinkAbout038-1163-80-000 I ~o o6 a I I o I ° I o I ~ I i ~ I I ~ I ayi I z LL C O 3 I I ~ a>'i o I Z y I Z a m o o c z aoi z o cn~~ E Z -o N M C ~ I O 0 Z z w 0 6 c -0 N Z w~ N N ~T 10 > V! R LO c .Y O y N ` 0 O b1 N N o o U co O O d a Z o 3 p fA O O c o (n J U U) m 0) a) rn z 04 (N Iw m N N Q O ON k~5 Lo O O O (D co C n (p y a - a~ p Q Z (A m 1~ O OD U O o N w U) V) c r.+ O O N N N O O' N aa) c c u d °o o f W ^ N N N v M Cp C O C N N C cD w ° y Q1 N 7D " (I -4 C6 ~ 4. N~ .F~+ v 'O V C N C6 C') 0 V) Cl) -C co Cn F- CD z yzz ~cn • O O r~+ I C/~ y R ~ d • Rt CL m d a c rr`Iwwv W E c 3 inC~ aal 0 `~1 A 0 Parcel 038-1163-80-000 02i10i2006 11:08 AM PAGE 1 OF 1 Alt. Parcel 30.31.18.772 038 - TOWN OF STAR PRAIRIE Current IX' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - SCHULTZ, WILLIAM F WILLIAM F SCHULTZ C - SCHULTZ MARK A SCHULTZ MARK A 1928 RIVER VIEW LA SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1928 RIVER VIEW LA SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 2.126 Plat: 0227-CRESTVIEW ADD SEC 30 T31N R18W LOT 8 OF CRESTVIEW ADD. Block/Condo Bldg: LOT 08 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 30-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 09/22/2003 740702 2415/339 WD 07/01/2002 683171 1920/386 WD 07/23/1997 929/635 07/23/1997 893/137 more... 2005 SUMMARY Bill Fair Market Value: Assessed with: 120013 235,300 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.126 32,700 198,600 231,300 NO Totals for 2005: General Property 2.126 32,700 198,600 231,3000 Woodland 0.000 0 Totals for 2004: General Property 2.126 32,700 198,600 231,3000 Woodland 0.000 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 211 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges 00 Total 0.00 0.00 / DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION siA ISON 153707 State -Plant .D. Number: t 'SON St, , Sec . 30 , T31-R18 ❑ CONVENTIONAL ❑ ALTERATIVE (If assigned) Tonw of Star Prai ' Holding Tank El In-Ground Pressure Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: IN$pEC~ION-0~TE: Fil Q~~r~-'// a 77 Robert Thell n I 54LO25 77/2 BE CH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. LEV.: CST REF. PT. ELE`./?. ~QVd/ l Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: iCalyin 1 l SEPTIC TANK/HOLDING TANK: v o r4O. . -r 3 S MANUFACTURER: LIQUID CAPACITY: TANK INLET TANK OUTL WARNING LABEL LOCKING COVER / PROVIDED: PROVIDED: e,C, o Q, . 9a 96,5 ~n YES ❑ NO YES ❑ NO BEDDING: VENTDIA.. V&NT-4AATL.: HIGH WATER NUMBER OF ROAD: PROPERT WELL: BUILDI VENT TO FRESH C,v~// ALARM: FEET FROM LINE: 3/ AIR INLET, ❑YES NO NO NEAREST~133 O DOSIN CHAMBER: o • . ,8s L<1- MANUFACTURER: BEDDING: LIQUID CAPA PUMP MODEL: PUMP R R: W RNING LABEL OCKING COVER r' PROVI D: PROVID D: PC ❑ YES NO / 0 EC73 (N- G YES ❑ NO ES ❑ NO GALLONS PER CYCLE: UMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: f AIR INL PUMP ON AND OFF QQ. ES ❑ NO NEAREST >5"D SOIL ABSORPTION SYSTEM. Check the s II 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 the soil is dry enough to continue.) -3 / Cfe~ e Pit- CONVENTIONAL SYSTEM: WIDTH: R. PIPE SPACING: COVER INSIDE DIA.: - ;PITS: DEPTID BED/TRENCH TRENCHES: MATERIAL: PIT DIM NS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTRNUMBER OF BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END PIPES: FEET FROM LINE: AIR INLET: NEAREST MOUND SYSTEM: Mound site plowed perpendicular Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM sloped mound systems to make certain that i ON REVERSE SIDE. SHOW DYES ❑ N meets the criteria for medium San ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMA AR S: OBSERVATION WELLS; S ❑ NO ERr ES D NO br~lll), DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES. " /off E:1 YES [~i- ES ❑ NO 6;;4S ❑ NO PRESSURIZED DISTRIBUTION EM-1,9( 7 , o~'I/j, WIDTH: LENGTH: NO. LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: ED/TRENCH I / TRENCHES: [';)tB MENSIONS MANIFOLD V.: ELEV•: DIANIFOL«DISTR. PPE MACN'I~OfLG ~Q RI PESSS~ DIATR~ PE DIS TION PI~~~ IAL~~~KING E E LEVATION AND C/// STRIBUTION H LE SIZEHOLE PA ING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS T FORMATION -APPROVED PLANS ES ❑ NO ❑ YES E; tNO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: I YES ❑ NO YES ❑ NO NEAREST 1_? o:p 50. 3.? 5 aid ac cl. t~5' 19" 1 etain county file for audit. Sketch System on Reverse Side. SIGNAT E: TITL ` n2 O SBD-6710 (R. 06/88) ' R SANITARY PERMIT APPLICATION OIL CIn 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 ~ 8% x 11 inches in size. c eo r is n 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 OWNER PROPERTY LOCATION S /j/ 2T ~Z~_/,z '/a '/a, S T3 , N, R E (orW -SZ PROP /TY OWNER'S MAILING ADDRESS LOT # BLOCK # CI , STATE ZIP CO E PHONE NUMBER SUBDIVISION NA OR CSM NUMBER II. TYPE OF BUILDING: (Check one) CITY NE EST ROAD State Owned ❑ VILLAGE ❑ Public 01 or 2 Fam. Dwelling- # of bedrooms 3 PARCEL TAX . UM III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ~ New 2.E1 Replacement 3. ❑ Replacement of 411 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 Feet Feet VII. TANK CAPACITY in alIons Total #of Prefab. Site Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumb is me Z-i PI bar's Sign Lire: o rmps) MP/MPRSW No.: Business Phone Number: 6 je Plum 's Address treat, City, te, Zip Code): 3 - / IX. COON /DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Approved Surcharge Fee) ❑ Owner Given Initial ~ 4,6 I Q(w o[ Adverse Determination 11 1 X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/86) 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. Ili. 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, purnp/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; water mains/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) 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) h r A 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 completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property- Location of property 1/4 5 F 1/4, Section , T 3/ N-RW Township Mailing address Address of site Subdivision name -y c; Lot number Previous owner of property Total size of parcel /q yfl Date parcel was created AF Are all corners and lot lines identifiable?; _Yes,,~,- o Is this property being developed for resale (spec house)? Yes No Volume La2 and Page Number -5ct 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 recorded in the Office of the County Register of Deeds as Document No. ; and that I (We) presently own the proposed site for the sewage disposal system (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. L._ Signature of Own Signature of Co-Owner (If Applicable) Date of Signature Date of Signature A ~ S , ~ V~ ~ i ~ + R y-~- ..A ,Yr Y - ~ I - ~ , . ~ ~ e', J DOCUMENT No. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA 45S172 STATE BAR OF WISCONSIN FORM 2-1982 69-4 REGISTER'S OFFICE ST. CROIX CO♦, WI ---Lestrer--R.---Mar-teT.l---_ Recd for Record MAY 0 2 990 at ..11.15 A. conveys and warrants to Rob.er.t__.and.aharQ.u_jq•-TheU-------------------------- Re91 erof0d RETURN TO the following described real estate in -St. Croix -------------------County, State of Wisconsin: Tax Parcel No:.............................. Lot 8, Crestview Addition to the Town of Star Paririe, St Croix Co., 1-isc. This deed given in satisfaction of that land contract dated the 18th day of January, 1989 andlredorded as document No 444946 in Book 832 on Page 469. FEB E:xmaT This __s__not__----- homestead (is) (is not) Property. Exception to warranties: Easements and covenants of record hated this 10th Aril day of - -----p iZ----------------------- (SEAL) ~i . ------(SEAL) G1 - Lester- 11I _.rlartel - - - .----.~~~,1,,~--__ - - -(SEAL) - ------(SEAL) ~~t Sh 1_.----- AUTHENTICATION ACKNOWLEDGMENT Signature (s) STATE OF WISCONSIN -St. -Croix SS. County. authenticated this day of__-_-_.__•__ 19. 10th A_Pggonally calve before me t - - - 19 the above named Lester H Martell " _ TITLE: MEMBER STATE BAR OF WISCONSIN (If not 706 ed b 06 , Wis. Stats.) authoriz § , y to me known to be the person who executed the foreW trument /an acknowldthe same. THIS INSTRUMENT Wq5 DRAFTED BY Sharon Beebe ~omerset_,__1aJs.c = Not:n•y Public St . Croix . (Signatures may be authenticated or acknowledged. Both My Cotamisslon is permanent. (If not, stateoexpira`tion are not necessary.) date: Feb.-- _1-3.y 19.9-- ) "Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2-_ 1982 Wisconsin Legal Blank Cu. Inc. Pl iIW a'aLIukee. Wis. of, STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ROUTE/BOX NUMBER FIRE NO. CITY/STATE ZIP PROPERTY LOCATION: 564~ 1/4 5.1 1/4, Section 3C_ , T N, R-L2-1W, Town of ~5 ~ L'_ - _ , , St. Croix County, Subdivision r'.'-&" , Lot No. .y 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. I 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 i , form, signed by the owner and by a master plumber, journeyman plumber restricted plumber or a licensed pumper verifying that (1) the on-site lumber 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 n, u i DATE 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 15EOAIITMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS - INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969 HUMAN RELATIONS N WI 53707 (H63.090) & Chapter 145.045) LOCATI SECTION: T' OOWNSHIP M11141GIP 6 TY: OT NO.: BLK. N SUB IVISION NAME: I? I 1/4 30 / /9/9 elor I 8 C LINTY: OW 'S 'NAME- MAIU~Rj ADDRESS: _ USE DATES OBSERVATIONS MADE N0.6EDRMS: COMM R A D S [[~i6Residence New ❑Replace ILEDESCRIPTION STS: RATING: S- Site suitable for system U- Site unsuitable for system MIS VEN I I NAL: MOUND: IN-GROUND-PR , ESS S STEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) DU 1AS DU DS ®U DS ®U DS DU If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate- Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS nCle, BORING TOTAL ELEVATION PTH TO GROUNDWATER- CHARACTER OF 5U IL WITH THICKNESS,-COLOR , TEXTURE,-AND DEPTH NUMBER DEPTH 411 - OBSERVED HE TO BEDROCK IF OBSERVED' (SEE ABBRV. ON BACK.) B- 91 > - / B- B- B- PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. p -ERIOR p PER INCH P- P - P- _44a 46" VIZ 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 a { I i i f ' if i I I I GG r "r fS'd ~v ~0,~ Uic kJ I, the undersigned, here y certify that the soi tests repo ed on this form were made by me in accord with the procedures and methods specified in the isco/ns Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. I NAME int • TESTS WERE COMPLETED ON: 9- 2il AADEYR ,fS S: CERTIFICATION NUMBER: PHONE NUMBER (optional). CST SI.GPA URE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - WORKSHEET - MOUND SYSTEM DESIGN 1 PROBLEM: Design a mound system fora 3 ~E~~DAm aurE • ~~r r.~rr~.rrrrr.• The site characteristics are: Depth to groundwater or bedrock in. Landslope Percolation rate. Distance from dose chamber to distribution system 3Q_ ft. Elevation difference between sump and distribution system ft. Step 1. WASTEWATER LOAD k 3 = gal Step 2. SIZE THE ABSORPTION AREA A) Area required sq. ft. B) Bed or trench length (B) 9~~ft. C) Bed or tr2neh width (A) _ ft. D) Trench spacing (C) Wastewa`er load .24 gal/ft2/day B ft. I trE'1C 1 s Step -3. MOUND HEIGHT A) Fill depth (D) ft. B) Fill depth (E) = D + slope (A4) ,t'C'7$ ft. C) Bed or trench depth (F) 83 it. D) Cap and topsoil depth (G) _ o ft. E) C and topsoil depth (H) _ ft. n _ Idcanue •-tte • ~S'~911.. ~I•rl Ifjr • A Step 4. MOUND LENGTH A) End slope (K) = D + E/+ F + H x 3 ft. C--2 B) Total mound length (L) B + 2(K) ft. x -A ~ 60 Step 5. MOUND WIDTH q > Al) Upslope correction factor .t.-.,~ A2) Upslope width (J) ^ (D + F + G)(3)(factor) ft. 83~+-/) `3),9'7) _ 8. 35 B1) Downslope correction factor =.3 B2) Downslope width (I) _ (E + F + G)(3)(factor)ft. Cl) Total mound width (W) for bed=J+A+I ~ft'. C2) Total mound width (W) for trenches 90 40 14 s J + ~ + (no. trenches -1)(c) + A + I ft. T Step 6. BASAL AREA A) Infiltrative capacity of natural soil = 4,2 g4l./ft2/day B) Basal area required = wastewater flow ' natural soil infil rate. opacity = 4 LOS, sq. ft. Cl) Basal area available for bed for sloping sites = B x (A + I) _ sq. ft. C2) Bas are avail11 le for trench for sloping sites = B W Q + ~J //Slsq. ft. C3) Basal area available for trench or bed for level s tes = B x W = sq. ft Sign: License i:u:. /,S- Date :l,~~Q- 9~ of Step 7. DISTRIBUTION SYSTEM 1A) SIZE DISTRIBUTION SYSTEM 1) Hole size in. 2) Hole spacing = in. 3) Distribution pipe length ..P7' 4) Distribution pipe diameter in. 5) Spacing between distribution pipes in. 6) Distance from sidewall to distribution pipe in. 1B) DISTRIBUTION PIPE DISCHARGE RATE ft. 1) Number of holes per pipe = c2z 2) Flow per pipe c-2 GPM 7C) SIZE MANIFOLD S90-40148 1) Manifold is central/ end 2) Manifold length a ft. 3) Number of distribution lines = 4) Manifold diameter in. 7D) SIZE FORCE MAIN 1) Minimum dosing rated GPM r 2) Force main diameter in. 3 3) Friction loss = ' glo ' 30 _ ft• 7E) TOTAL DYNAMIC HEAD -1) Vertical lift = ft. 2) Friction loss = •asf t• 3) System head 2.5 ft. _ 2 ft- 4) Total dynamic head Jign : / Date 7F) PUMP SELECTION 1) Pump selected will discharge -GPM at J_ ft. total dynamic head. 2) Pump mod 1 and manufacturer s ~?~1 7c- ~-JFn z//~ 7G) DOSE VOLUME 1) 10 times void volume of distribution lines gal./cycle xv, 2) Daily was ewater volu 4 ose /24 hrs. _ (1 c-gal./cycle 3) Minimum dose volume a r-gal./cycle © - 0%CW.." 7H) DOSE CHAMBER 1) Minimum capacity required = Sao -7sagg/,,;,~ gal /--~Wwlro .,890-40148 Sien: Lick;nse All is T J 1? S _ - i - - - - - Igh I ~ I Eca ~ I N EN _ - I I I ~ , --i - J - - -1--- I I I I I ~ I S 9 "i I /.9 -t- 1- - > o 0 L -1- - r---- i - - -L- -4 -1 - rt- - - - ,1- - - ' .it'd e6 "'•t y ~ + • ~ ~ ~``{yi`r i , , ` a , y., it QoO.c~•T Via. ~ 1t~p c `,shy Straw, Marsh Hay. Or~ z 9~~s pRC"'F Sinthetig CoK,eriny Nk- ,pisributin • P1~,. k MMff f Medium y :Sand,; - Topsoil :op 9e,;Ot Force :Moin YUF t. j: E ~ Tt A 1, 1 „ Cf~ ss S ctiow,Of A Mound System 4l A4 Fors. Thl sorption'ATea 4, rY ~aa r" 4 1~ ~ J:f~' 1 $'QA++' t tr ~ A.g 1; Fy t~„~ y~q, • A ; Tt Ft_ ;t fy'~e C r . '.6 r woo- L F b Alt rnatyR •PosAtion F+ , Fi;. F e or Ma E w KYSz2Y Obserya,ti n. Pi q 717 TY. .^'¢y. W f +Y K Ar~~3':-1 r~ , ~ ~ '•Y 1N~."t'_r. {~~4 ~b~ ~ 1 tf'R~ r•* j.,'f3 r ~ N F 4,13- ij 1. pINC R y < 5014. G~ ~ - - - - i i~~ ~ N,pENCE r e Fot Ma~- YE iZPc ES . Oisibution• ed Of z s r F e . 'r . _ • - 'z ~V ' ipe ' A I'9req.0.1 •f~ Ir,ey YY k Observgtion Pipe , Perimaiient''Markers! yNt ; f6 i { i s S, Sb#:. i5 {;i fl3' t x11 K ~ 'x7 - f ~ y1 ~ ~ ~v Asa r~ f r 'w• a Yt t -'W t r 5,~ t 1 a~ pt ,y~ 4' 1~ - L j5 c c ?~yq.,~ w~ •F"hi,. 4w :Qf` Mountl Usi.n Q l e 'For Tha Qbsorpt on Are cz~,, < 1an vi ~h R ~ yy ^i~!• ~r ~s T Y,~} 9 ~J ' S Y I L '1 Pd90 Z0_?' drgEeer ,C11 Perforated Pipe Detail End View Perforated End Ccp PVC Pipe Holes Located On Bottom, Are Equallvaspoced t ~ S~St F.~,,5SEA _ poL .3 , „fro h / } R 0 S )Cetr U S nds r;b4 Goo p~SN~EN~ SON ~F O~NGE ~E G4R~ Lott Hole Should So N% Neat To End Cap Distribution Pipe Layout P Ft R S X Inches y Inches Signed: ( Hole Diameter _Inch Lateral Q_ Inch(-s-) License Number: ~ rK Manifold " 3 Inches Date: 9- Force Main 3 Inchu; #of holes/pipe tong Cod Invert Elevation of Lateralsg!?3 Ft. r O N A _ O O N b Cq° rt _ N N N i fD A rt w A z ~ ow ~N tt Fro{ C to N to 11 ~ C to b ro - ft t9j d 48 ft `may -_o NO d K SYSTEM . pNS TE SEWAGE - IONS ~,~OR AI~O HU REL. PART1rll:s~ j G= = ~ OE sV sOti S~+a ~ NCE SEE OORRESKN •a a 4 PAGE -9 OF-/,a PUMP CHAMBER CROSS SECTION AUD SPECIFICATIONS _7~ M"C.I. VENT PIPE r7 WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER ~ 23' FROM DOOR, WINDOW OR FRESH 1"MILL. AIR INTAKE I GRADE I I `i"MIN. A&I 18" MIN. CONDUIT-- Ib"KIN. A AE ONSI7 rJmv ESEAL I I! V rNL.ET U~~~La I III. APPROVED JOINT A i.Y I I I APPROVED JOINTS W/C.I. PIPE. ' I I I W/C.I. PIPE EXTCNDIAIC" 3 TI I III ALARM EXTENDING 3' ONTO $01.10 SG:;. APP4L" 1 _ ~JP,AtJD 1~ I I ONTO SOLID SOIL. ~s ~ D J= f- J VIL.~'s v t'r Ur 5 ;r I ON ENCE f COAiiESPO PUMP OFF D CONCRETE CLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL i i SPEECIFICATIOUS SEPTIC AND DOSE TANKS MANUFACTURER: c IJUMBER OF DOSES: PER PAU TANK : IZE :.1 Z/GALLONS DOSE VOLUME ALARM MANUFACTURER' C INCLUD!!:;.:AC::FLOW: / GALLONS MODEL IJUMBER: CAPACITIES: A= -3 OR GALLONS SWITCH TYPE: B= INCHES OR GALLOWS PUMP MANUFACTURER: C,- -L-_INCHES ORI#IZt 19 _L GALLOWS I i MODEL NUMBER: Y_r D- INCHES OR28efli GALLONS SWITCH TYPE: NOTE: PUMP AND ALARM ARE TO BE PUMP DISCHARGE RATE 6PM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE B19-wCEN PUMP OFF AND DISTRIBUTION PIPE.. _ 84 FEET + MINIMUM NETWORK SUPPLY PRESSURE, ~T,. . . . . . . . . . . 2.5 FEET + 3 6 _ FEET OF FORCE MAIN X i9f! FiioorTFRICTIOIJ FACTOR.._-_lo_tS_l FEET TOTAL Dy1JAMIC HEAD = ~FEET INTERNAL RIMEWSIO OF TAUK: LENGTH ;WIDTH ;LIQUID DEPTH SIGNED: LICENSE HUMBER: ~~G 3 DATE:,. - [l/ -117- ~t ' t17i'rlri i7":d ~ • ' ~r GQt1LDS :SUB? RSIBLE ~ SEWAGE` 'AND EFFLUENT PUMPS. " 16 4 ~EP0311 Y. L= DISC. 1/2 solids 256.80 172.10 a . d j a15; Y O:i{ 07UPEP0311 142 E80311 1/3 FII7 " 115 V Effluent Puna yk t 7c'~t Ds~lt ~►;.5•:, Submersible ~Y~ MODEL EP0311 Effluent: Pump . SIZE 3/e' SOLIDS { OWMRS FEET 4 yJ Z. ~sft k t M ¢ 20 F ?p~ X i 10 Y s S' fM t ` JA S 0 00 4 6 12 16 20 24 28 32 36 40 GPM Y' 0 2.5 5.0 7s MYn, .rs CAPACITY r, s s i6 i Performance Curve 3885 1~ ' MtTERf ~ccY MODEL 3885 • • 3;'`~; a n SIZE'/4" Solid S --A I 1 -1-17,77717- To !0 1 _ t.. 4 ye it . w 36 ~ WEOSYI A' w,{ } s w Wt k~ WEOTL w '01 10 { Y 00 , l0 10 30 60 60 70 s) Ip loo 110 120 - , arm 40 20 30.WAI r o: 4 t CAPACITY - Y> r~. L= DISC. 4' solids 191.55 329.35 1 Got WE03111. 142 wE0311L 1/3 HP 115 V Law H 3/ r. 3/4" solids 491.55 329.35' r GOLT A311M 142 WE0311M 1/3 HP 115 V Mod H r , e ke 5 0" 4il.....ti po17F37c0~111i 142 WE0511H 1/2 HP 115 V High H 3/4" solids 704.25 471.85 4. QJl1p4iE07121} 142 WE0712H 3/4 HP 230 V High H3: 3/4" solids 843.65 565.25' ~ #P* PAGE FM PERF0447NCE AM SPE IFICATIOIIS. PAGE 0~ I11►TE Was DEPT 30 7u. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION. SECTION: u p~ TOWNSHIP/M~i6~Al_ITY: OT NO.:BLK. N ]SUB IVISION NAME: N/ f. (or - COUNTY: OW /BUYER'S NAME: MA L ADDR SS: USE - DATES OBSERVATIONS MADE NO. BEDR : I OMM R A DESCRIPTION: IbZ- STS: Residence New ❑Replace - p± I RATING: S- Site suitable for system U- Site unsuitable for system ONVENTI N L: MOUND: IN-GROUND R URE: US EM-IN-FILLHOLDING TANKRECOMMENDED SYSTEM:(optional) OS oU (IS DU OS ~U ®U DS ©U If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate' Floodplain, indicate Floodplain elevation: PROFI E DESCRIPTIONS J"1_40 Z BORING TOTAL DEPTH TO GR UNDWATER- CHARACTER OF SOIL W H T C N SS, COLOR, E- URE, AND DE TH NUMBER DEPTH In ELEVATION OBSERVED ES IGHE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- / - 13- ld4 - - - B-3 - - Z, 2 -2 B- B. PERCOLATION TESTS EST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD RI D PER INCH P- ZO A412,114 -32 P P- 44a A/2' P-. P- P- _ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION IWO& Al-40 r _ -t 4~4 . ` i X i _ _ `G y~ JSO ~O JO,~ (U. L NJ I, the undersigned, here y certify that the so tests repo ad 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. i NAME int TESTS WERE COMPLETED ON: AD S: CERTIFICATION NUMBER: PHONE NUMBER(optional)- S3' CST S UG A UR : DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. j DILHR-SBD-6395 (8.02/82) - OVER - i ST. CROIX COUNTY 'k WISCONSIN ZONING OFFICE r r ~~'J' ' ST. CROIX COUNTY COURTHOUSE - 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 May 11, 1990 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Robert Thell property, located at the SW4 of the SE-, of Section 30, T31N-R18W, Town of Star Prairie, St. Croix County, revealed suitable soils at a depth of 2.16 feet below which seasonable high ground water was noted. This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. Sincerely, Thomas C. Nelson Zoning Administrator cj Form - S T C - 104 i AS BUILT SANITARY SYSTEM REPORT ''"OWNER': ' 1 TOWNSHIP. SEC. T f~W ADDRESS ST. CROIX COUNTY, WISCONSIN 5- s rf/r A Jr LOT LOT SIZE ! SUBDIVISION PLAN VIEW • , Distances and dimensions to meet requirements of ILHR 83' i SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ' ; : 110 ~ ~ ~ ; a ~ . : t• a s. l; ~ • t ~ 1 , " ! • 69 t lit Air w C: r INDICATE NORTH ARROW BENCUMM: Describe the vertical reference point used Elevation of vertical reference point:_ 11&= Proposed slope at site: r SEPTIC TANK: Manufacturers ,a•~ r j~~~~~~~ ~ uid Capacity: /-il z~ '•'••'•Numbet of rings used: _ Tank manhole cover elevation: / • Tank Inlet Elevation: JAf Tank Outlet Elevations el"N Number of feet from nearest Road: Front,O Side, / Rear. O • r feet From nearest• property line s Front,OSideWRear,0 - feet Number of feet from: well. buildings • (Include this information of..the above plot plan)(2 reference dimensions to septic tank) SEE. REVERSE SIDE PUMP CHAMBER Manufacturer: T Liquid Capacity: %Pump Model:-AJPA Pump/Siphon Manufacturers LZ< Pump Size Elevation of inlets Bottom of tank elevation: Pump off switch elevations 9 Gallons per cycles. Alarm Manufacturer: Alarm Switch Types •Number of feet from nearest property lino:'. Front9 O Sidap O Rears O Ft. ' 'Number of feet from wellt_ Number of feet from buildings_ (Include dietances.on plot plan). SOIL ABSORPTION • SYSTEti Bdd:• Trenchs Width:_ • • t , • Lengths ' -.-Number 'of Lines:-..... Area Built: Fill depth to top of pipet f,,~~,, ' Number of feet f~om nearest property lines Front, O G Side, Rear,01t. w~Number of feet from wells N 'ber of feet from buildings (Include di Lances on plot plan). SEEPAGE PIT Size: Number of pits: Diameters Liquid depths Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytemsl (deck one). r HOLDING TANK Manufacturer: Capacity: Number of'.rings Used:. Elevation of bottom of tanks Elevation of inlets Number of feet from•nearest property lines Front. O Sides O Rear. OFt._ Number of feet from well: Number of feet from building: Number of feet from.nearest roads Alarm Manufacturers ' : d Inspector:. Dated: Plumber on fob: f License Numbers < i IJ /84:ii i:'