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040-1129-60-000
r '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 A IS~ 15707 state Plan I.D. Number: 5~+' 4 i ec. 34 , T28-R19 ❑ CONVENTIONAL ❑ ALTERATIV(If assigned) Town of Troy . Rd. T ❑ Holding Tank ❑ In-Ground Pressure ou nd CO G r 7 B NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTICFN DATE: -~~9U/s. Jerr Pechacek Rt . 1 Prescott WI 54021 7 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. E CST RE . ELE ' ~J. ` olTr/Y'+ o e5~ ~i T/ /nR /7 G%I'Il?l r>L~G ,S Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Paul C. J. Steiner 6780 St -Cr ix 128708 M 0~6• SEPTIC TANK/ x.38 - 9 .3 ' i MANUFACTURER: LIQUID CAPACITY: TANK IN V.: TANK OUT /WARNING LABEL LOCKING COV PROVIDED: PROVIDED: LL/ J l~l9. R~ YES E:1 NO ❑ YES NO A13~ BEDDING: VSW DIA.CYf!: MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL / BUILDING: VENT TO FRESH ALARM: FEET FROM NE: AIR INLET: E] YES yJ NO - - C4 ❑ YES NO NEAREST -4111- i e-A DOSING CHAMBE 51 S' MANUFACTURER: BEDDI LIQUID CAPACITY: PUMP MODEL: PUMP/{B"P"eN MANUFACTURER: WARNING LABEL LOCKING COVER 300 Oj :55 PROVIDED: YES ❑ NO PROYES ❑ NO /Np e~0 El YES NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELD. BUILDING: VENT TO FRESH (DIFFERENCE BETWEE FEET FROM LINE: Z / AIR INLET: t PUMP ON AND OFF 7~ t I ~5 ` Ll!fYtS ❑ NO NEAREST "IO L~ OIL ABSORPTION SYSTEM. Check the oil moisture at the depth of plowing FORCE LENGTH: / DIAMETER: MATERIAL AND MARKING: 1 s or excavation. (If soil can rolled into a wire, construction shall cease until MAIN t/p0 N 5 Gi( 0 pV~ the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: LENGTH: E SPACING: COVER INSIDE DIA.: # PITS: LIQUID DEPTH BED/TRENCH R NCHES' MATERIAL: PIT DIMENSIONS GRAVEL D FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. N PROPERTY WELL: BUILDING: 'FRESH BELO S: ABOVE COVER: ELEV. INLET: ELEV. END. PIPES: FEET FROM LINE: ffJLET: NEAREST MOUND SYSTEM: s-re- -I)- Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; V b<", /c4r s; / ❑ YES NO YES ❑ NO DEPTH OVER FRENCH/BED DEPTH OVER CH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: p, EDGES: a b & ❑ YES %NO YES ❑ NO YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: DIMENSIONS TRENCHES: 4 MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTIP PIP M/~TERIAL & MARKING: ELEV.: ELEV.: / DIA.: rl ELEV.: C-71 ✓6 PIPES: DIA.: CCu.• AEU f~ ELEVATION AND 7, I lP.~ J Tw(` d aCe(o~ DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: V RTICALLIFTCORRESP0NDST0 INFORMATION 11 APPROVER PLANS d.s. r e8. 2$GOn y YES ❑ NO Ides. zP 9 ES ❑ NO-Tn1"10 11.(2 PERMANENT MARKERS: OBSERVATION WELLS: iAREST MBER OF PROPERTY WELL, BUILDING:, - ET FROM LINE,r COMMENTS ~ QvCa ❑ YES NO YES ❑ NO -10 -0 150 -_970 v Re in in county file for audit. Sketch System on Reverse Side. SIGN URE: TITLE: SBD-6710 (R. 06/88) SANITARY PERMIT APPLICATION couN Q11LHR In accord with ILHR 83.05, Wis. Adm. Code STATNIT Y PERRMJT~~/ -Attach complete plans (to the county copy only) for the system, on paper not less than ~jj((j)~~((,, QQ~~%% 8% x 11 inches in size. 1:1 checkEif revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. 9WaJ PROPERTY OWNER PROPERTY LOCATION JERRY PECHACEK SE % SE S 34 T 28 , N, R 19 R (or) W BLOCK# PROPERTY OWNER'S MAILING ADDRESS LOT # RT. , CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER PRESCOTT, WI 54021 715 262-5115 I1. TYPE OF BUILDING: (Check one NEAREST ROAD ) El State Owned )IM TOWN OF: I TROY Count Rd. M ❑ Public 01 or 2 Fam. Dwelling- # of bedrooms 3 PARCEL AX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 34/ iy 6- y 3 A 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. L] New 2. .Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.E] 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.) PROPO~SDED (s q. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION ID 3 71' a 9'j, 9 Feet V Feet VII. TANK CAPACITY in allons Total Site # of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank 1000 1000 1 WEEKS X Lift Pump Tank/ ' r 750 750 1 X VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plum 's Signature: (N S mps) MP/MPRS WNe : Business Phone Number: PAUL C J STEINER C MP#6780 715 425-5544 Plumber's Address (Street, City, State, Zip Code): RT. 5, 65 E. WOODRIDGE DR., RIVER FALLS, WI 54022 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater a e ssue ssuing Agent Signature (No tamps) >~Approved ❑ Owner Given Initial Surcharge Fee) S- ~lZ-9 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 a Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber id 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'/s x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with con;piate dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; veils; water mains/water service; streams and lakes; pump or siphon tanks; distributdon 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 (4ifferences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross sectic:n 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 toonitoring groundwater, ground- water c:ontarnination investigations and establishment of standards II SBD-6398 (R.11/88) APPLICATION FOR SANITARY PERMIT STC•100 This application form is to be completed in full and signed by the ovner(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 ownec/conttartor,tspec house)r then a second form should be retained and completed when the property Is sold and submitted to this office with the apptopziate deed recording. Owner -rrwwr-ww - wr rww---wr-w--rw---rwr - - - - - - r- of property JERRY PECHACEK & CAROL PECHACEK Location of property _•,~„_l/1 SE /1, sectlon 34 -R__V Township TROY Mailln9 address RT. 1, PRE:COTT, tali 5402. Address of alto RT. 1, PRESCOTT, WI 54021 - • Subdivision name Lot number - - Ptsvlous owner of property Mabel Rohl, Martha Rohl & Melva Raasch Total also of parcel Date parcel was created SFPT_ 26th, 1986 Are all corners and lot lines Identifiable? _Yes _,_Jto is this property being developed lot tesalo topea house)?es x o Volume wand Page Number _ as recorded with the Register of Deeds. •--------r------•----------------•-•-----•----•-- INCLUDE WITH THIS APPLICATION THE FOLLOWINGS A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUMi AND PAGE NUMStR, and the REAL OF THE REGISTER OF DEEDS. In addition, a cattllled survey, if available, would be helpful so as to avoid delays of the reviewing process. It the deed description references to a Certlfled Survey Map, the Certlfled Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I(Va1 c.rtity that all statements on this form are true to the best of wy tout) Rnovledgel that I Eve) am (ate) the owner(s) of the ptopetty described In thls lntotmatlon fotm, by virtue of a warranty deed recorded In the Office of the County Reglstat of Deeds as Document No. 417377 j and that I (val ptesantly own the ptoposed alto for the savage disposal system (or I (we) have obtained an easement, to tun with the above described property, tog the consttuctlon of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. 417377 /1119r~ftuio of owner Signature of Co-owner III Applicable) Dale/61 signature Date of signature 1A V, s r x f r~ ~4 ..1 ~Sohls. Martha !A.. , Mesa, as tat.ants in coaew}~« All~~l. r ' . -i ti t 3...~Fn.#~illP.., P!?7CtY.. :1 .........fi.............,..........::..... TW* !M mW Hraater. for a Tie eonsWWrobsa...... e IIION04 66 loMearf~ duet" Few 8161ft in st.....croi x........ asruom To Joseph D. 301AW ' of Visonsi.: Rodlf, eeslcar i 603004 stew of Is" located in the Southeast of Section 34, T28N, R19M, f r ititrg at a point on the South l of 680 feet East of the Southwest co` d ot daatb6ast Quarter of said Section, the Wit, thence "North 23.06' E a distance of 65.9 t of 110.2 feet, thence South a distance of 22 of "id Section, thence: Nest along said sectio *060008 of M.0 feet to the point of beginning, the South iMMrrM 4s sl now being used for public road. 4" is'900ft in satisfaction of the land contract bpi ir~asxw M Est li• 1980 in Volume 615, page 548 as doCn : 9 i Iapd mct was amended by an Addendum recorded 1fi' T1l, purge 605 so document number 404839. V"moor vift as WA tie harodkonemia and a"art alma s Ummeme ft Mlmovi- `'i _w7AilMIF~"#v ifr" Is tme d~npk and free &M elm ofd dkV4 - ~ • eta?;'3c~ " is WN"t oo -48fw do sane. or.i filth..... qty or Septeier . 1 Rohl Martha Rohl ..a. (SEAL) Melva ~r t STAT! Wii i F Pierce o' tk_ mpaosolww~jftb. ..4afr s[ 11...... pwoooaUy mama boom me Ws .......1? of r~ - September tse aaai w, Mabel Rohl,. Martha ~iohlr ~frr Y « Melva Raasch M k MMrM &A" OF WISCONSIN { 4M.N. Sts4) to no !<s"e to be the person 1 t r *"W aRMrco sr ?l S rneY...CLIAW.. prbr~ reet Dow xAto(ay ~lfrlic War +i sir selcowteti. - . Lam. Jr ♦ _ • H z . , cn H a STC - 105 r r a H SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County z d a OWNER/BUYER JERRY & CAROL PECHACEK ROUTE/BOX NUMBER RT. 1, Fire Number CITY/STATE PRESCOTT, WI ZIP 54021 PROPERTY LOCATION: SE k, SE 14, Section 34, T 28 N, R 19 W, Town of Troy , St. Croix County, Subdivision , Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper 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. y 0 I/WE, the undersigned, have read the above requirements and agree Cn to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- b ment 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. n S I G N E D DATE 1,ZZ4Z St. Croix County Zoning Office P.O. Box 98- Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. ®iDUSTTME irOF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS 1~4DUS'TRY, CC DIVISION N LABOR-A P.O. BOX HUMAN REDLATIONS PERCOLATION TESTS (11J) MADISON WI 53707 (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: TOWNSHIP/ [OT NO.:BLK. NO.: SUBDIVISION NAME: SE ~ SE ~ 34 /T 28 H/R 191 (o w Troy COUNTY: MAILING ADDRESS: St. Croix Jerry Pechacek Rt. 1, Prescott, WI 54021 USE DATES OBSERVATIONS MADE NO. BEDRMS.: 1COMMERCIAL DES RI: PERCOLATION ROFILE DESCRIPTIONS: EST ®Residence 3 ❑New ®Replace I 4/12/89 5/10/89 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL 0LDING TANK: RECOMMENDED SYSTEM: (optional) ❑S X❑U ©S ❑U ❑S ©U ❑S ❑U ©S ❑U Mound If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5) (b), i ndicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIG T_ S TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 92.24 see sheets B-2 97.72 B-3 93.83 B-4 92.95 B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES' AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P_1 22 None 30 min 1 1/16 15/16 7/8 34 P- P_ 2 22 None 30 min 1 1/4 1 1 P- -3 22 None 30 Min 1 9/16 1 7/16 1 3/8 22 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 95.80 Scc~/~ 1 re Aores _ _ ho Ins -41 _4 SA t , f a x _ ,ATM r I rt i } m ( I (J t ( D I I 1 j I, the undersigned, hereby certify that the soil to s rep ed on this form were mad by m in accord with the pro ce res and meth ds specified in the Wisconsin Administrative Code, and that the data recorded and the ovation of the tests are correct to the best of my knowledge and belief. NAME print TESTS WERE COMPLETED ON: Paul C. J. Steiner 6/1/89 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): Rt. 1 Box 138, Bay City, WI 54723 #3074 (715) 594-3032 CST ATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil ester. M DILHRSBD-6395 (R. 10/83) - OVER - L y s 'e k INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: • 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 8. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Standstone gr - Gravel (under 3") LS - Limestone 's - Sand HGW - High Groundwater cs - Coarse Sand Perc - Precolation Rate med s - Medium Sand W - Well Is - Fine Sand Bldg - Building Is- Loamy Sand > - Greater Than 'sl - Loamy Sand < - Less Than '1 - Loam Bn - Brown 'sil - Silt Loam BI - Black si - Slit Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay fff - few, fine, faint 'c - Clay cc - common, coarse pt - Peat mm - Many, Medium m - Muck d - distinct p - prominent HWL - High water level, surface water Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. ST. CROIX COUNTY WISCONSIN rhr'`IM ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386.4680 May 17, 1990 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Jerry Pechacek property, located at the SE4 of the SE4 of Section 34, T28N-R19W, Town of Troy, St. Croix County, revealed suitable soils at a depth of 14 inches. An additional 10 inches of sand should make this site suitable for a mound. Should you have any questions, please feel free to contact this office. Sincerely, Thomas C. Nelson Zoning Administrator cj Serry -pe ehaee.k j., yot~m elev. 95.x' 1~ ot~ : /1+~ ou ~d was moves( r~ , Q~ter ~a E l-i nE~ were e6t- 4~ (ishecl o n si tz, V r+ L L 3?• 5 -Be NSxl Q~ C°'~' ,ohs I~ TliE Arm& ?-5 ~ gE-w►,j . 1hp~'~R~.E tv ~ ~'Ct~E FOUND I.IWS`~ REMAIN SSE ~ ~ LL J /bGOgl\ -?Limp Cha•►ila'r Sip+rc- I►t~dN da 'RiE EXiS7ll~f~s 5~'jlC, RZNkr- f KOST phoremo J AS Pt; 1 v- 8Z,30(liN f:brz a $=I ~ 9402 39 aF ~tt~ 6L-~.ow Ttt£. PRI'~E wAY eV. n ~Gt io Sepl',c out let J~',?rgp' ;Ca le cover Ever Q~ ~o+fomo~ s~diny an house /00' give war RreQ ail flit wso to t1 Pechacek Page 3 of 7 Cou vi~-1 M MOUND SYSTEM FOR JERRY PECHACEK RT. 1 PRESCOTT, WI 54021 INDEX Page 1 of 7 ...........:..........Index Page 2 of 7 ......................Calculations Page 3 of 7 ......................Plot Plan Page 4 of 7 ......................Lateral Layout Page 5 of 7 ......................Cross Section. Page 5 of 7 ......................Plan.View Page 6 of 7 ......................Pump Chamber Page 7 of 7 ......................Pump Curve, Located in the SE 4 of the SE 4, Section 34 , T 28 N, R 19 W, Town of TROY , ST. CROIX County, Wisconsin. Prepared by Paul C.J. Steiner Steiner Plumbing & Electric,Inc RT. 5, 65 E. Woodridge Drive 402 39 River Falls, WI 54Q22 i Master Plumber e #6780 Date: Page 1 of 7 CALCULATIONS STEP 1: Absorption area: 150 gpd/bedroom X 3 = 450 gpd. Table 4: 450 t 1.2 = 375 square feet required. Use 50 ft X 7.5 ft bed Use X ft wide X ft long 4 laterals, each 24 ft long., 1%Z manifold, 5' spacing between laterals. STEP 2: Table 5: 1z " diameter laterals, '-A_" diameter holes at 60 " spacing between holes. STEP 3: Table 6: 6 holes/lateral, 14 gpm discharge rate per lateral. 14 gpm X 2 = 28 gpm total discharge. STEP 4: Table 7: 1-2 ° diam. manifold, inlet at center of 5.25 foot long manifold. STEP 5: Design dose volume is 150 gal/dose at a rate of 3 times per day. Min. dose volume must be at least 10 X distribution pipe volume. Table 10: 12 diam. pipe= •064 gal/ft X 100 = 6.40 X 10= 64 gal. STEP 6: Table 8: Dosing rate = 28 gpm. STEP 7: Table 9: Friction loss in 2" diam. force main, 501 long; 28 gpm= 1.54 in 100 feet. S 919OO 402 3 9 ELEVATION DIFFERENCE FRICTION LOSS .62 HEAD 2.50 5.12 TDH page 2 of- 7 I O~ U VA i , S We,m Elev. 95.8' JJ Oie- : Al au Ind wc>5 rnow-4 CL li+Vle Tvom 10041'on 6,1 E4-115 Q- ter Lof L t nes W ere- est- Q~O l ish c, cl d o s i i-e- -~10,L' FM Ior+k LL S~~N PG's S 3 7• ~ , ~ _ N5`-cE a~~~ Cnn ~ Sys ~ N , FNO s I "ME ARE& 25 BE-WVJ MOUND LAVS"C REMA►~ O~pARjtA`--~, t `ON Ot ~ ~ ~ T5.0V1JD15Tt)~6~b . SEA ~RR~S LL \ 750 csa I )cn ~-}aus~ 160o 5,11\ 7uW,p Che6ti,6,- J K ` 501W As Fm- tL w 9~.m (2) RZNrve i:RcsY" P tou AS ILN~ $-4,3cOX6) rVR IK SEM S90-40239 'vF "PIeE. BMW pRt~E I~AY • Sca le P, _ 30 ' !I ~ $M ~BO *Or►% 6~ s4-54do f cu sG loo Pechacek Page 3 of 7 Cvu v1~~ M Page 4 of 7 LATERAL LAYOUT Perforated Pipe _Detait_ 0 nd VI w PEnd Cop i' PVC Pipe ae~~°e Holes Located On Bottom. Are Equally Spaced PVC Force Main From Pump P PVC Manifold Pipe Distribution Pipe Lost Hole Should Be Neal To End Cop Distribution Pipe Layout P 24 R SEVyAGP SYSTEM S 5.25 ONS~TE ' d itionalfA X 5_._ ~o Y , 5 A vtove Hole Diameter 4 Inch .,Pp l '-2 Inch(es) t~~U~irA6~~ lateral AND 1.~_ Inches ptPARIMit tJ Manifold - " ~HC,E I Force Main Inches SEA E Force Main Holes per lateral 6 `.y(~ r,_4U239 t`7 V CROSS SECTION Page 5 Of 7 . Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand _ H G Topsoil - 5ys+em ~I~~: 3 I E I~ D yam. 0 o p e 0\4 COOP. At@6d Of 2"2 Force Main Plowed Rti A99re gate From Pump Layer RANOH S PR~M~ty? N app ~~C~ Cross Section Of A Mound System Using F E- Z.2 pEP ~p~1R~' A Bed For The Absorption Area SEE G 1.0' A 7.5 Ft. H 1.5' PLAN VIEW B 50 Ft. 120 Ft. - J 10 Ft. 7 K Ft. K;- 112-9 t=t. L SQ- Ft. L='15.8 R. Force Main W 37.5 Ft. L Observation Pipe 7 8 K A L---------------------- L---- ----------------------.I 3.2. w ° - j-------- Distribution Bed Of I Pipe A99regatS90 4 0 ~ 3 Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area PUMP C11AHHFR CROSS SECTION AND SPF.CTFICATIONS Vent Cap Weather Proof Approved Locking T Junction Box Manhole Cover 4" C.I - 12" Min ' Vent Pipe , Final Min Grade , 18" Min . • Conduit: 18" Min ,k PG Approved Inlet ES~~ Joints w/ 014 C . I . Pipe Extending Approved 0 pN5 S1 3 Onto Joint w/ pt1~ G I Solid Cro C.I. Pipe y A Extending jR~ 31 Onto ~Nws5 S o l i d PRZMgE - N ©~NtJti i t bA l a r m Cround Opp ~R~S ' i On B Pump A4 111,4 Off Concrete Block' D M SPECTFICATIONS TANK Pump 90 402 39 Manufacturer: WEEKS Manufacturer: MYERS Tank Material: PREFABRICATED CEMENT TI o d c l N u mb u r: SS 4 M Tank Size: 750 Callona Switch' Typo FLOAT Total Dynamic (lead: F CAPACITIES Pump Discharge Rate: 28 CI Total Daily Effluent: 450 Callor A 21.3" or 362 Gallons Number of Uoucs : 3 Per Dc a 2 " or 34.04 Gallons Dose Volume:' 194 Callor C 11.5" or 194 Ca llons Notes : 1. See pump curve for p• " or 158 Cnllons additional performance Total Tank information. Capacity Required - 750.04 Gallons 2. Pump and alarm are to be installed on separatq circuit ALA AUH au per ILIIR 16.19 MAC. Hnnufneturer: LEVEL. ARM Model Number: D Switch Type. FLOAT Page 6 of 7 500/4 Page 7 of 7 Features, Pump Impeller is recessed Powerful 4/10 HP Motor is Rotary Shaft Seal has carbon Micro Switch (SS4 A) has per- "Tornado- type - operates oil filled for good insulation and and ceramic faces for positive manent magnet on switch arm for completely out of volute passage lubrication of bearings and seal. seal. Body is stationary, prevents activating switch. giving full opening for flow of Overload protection built-in, has string or trash from winding ABS Plastic Operating Switch liquids and solids. no starting switch or relay on seal. (SS4 A) has steel follower molded Motor Housing is heavy cast mechanism. Switch Housing (SS4 A) is into top for activating switch magnet. iron, epoxy coated. Stator Is Thrust Washers and Sleeve completely sealed from sump presseid in for perfect alignment, Bearings are oil lubricated for liquid, easily removed for best heat transfer. smooth operation, long pump life. replacement if needed. Dimensions t ccw`. ~ r `M1,. SVI'IT~ Q~e is Performance Curve ' cMAipT1r fJTEAt3 Pf:a . u p _ 4( 25 24 22 20 777 #19A D 1, 3 Is 944PACYr 16 ,t 12 - 1L 6 + i I I - _ 0 5 10 15 :J Z5 30 35 40 45 50 55 69 9 ` cA~ciTx Accessories Performance Table Myers offers a wide selection of accessory items for use with the SS4 pumps: adjustable level controls, wet sump controls, alarm Total Feet 2 4 6 8 IU 12 14 16 l8 20 22 controls, electrical control boxes and switches, heavy duty check valves, polyethelene and fiberglass basins, etc: Hood Meters 61 122 1.83 2 44 3.05 3.66 4 21 4.88 5,49 6.10 6.11 Gallons Per hour 300 3,600 3,450 3,30u 3,150 2,900 2,550 2,250 1,800 1,300 660 L-] liters Per Hour 13,625 13,625 13,058 12,490 11,923 109A19-652 8,516 6,813 4,921 2,498 1100 Performance Capabilities C3 Q ❑ Capacities to 60 GPM 227 LPM Heads to 24 feet 7.32 meters Pump Down Range * 4 to V2 inches 101.6 to 114.3 mm Am °~'a~ t a t°I Solid Handling Capability Y4 inch dia. solids 19.1 mm dia, solids _ ? Li quids Handled Fresh, draina a effluent waste water Intermittent Liquid Temp. 150°F 66°C Motor Yio HP ,I Electrical 115/230 V., 12.0 Amps, 14). 60 Hertz e to Dischar a 1% inch 38.1 mm 'Automatic A4odal, (manual pump vanaole wim swNCh). Check vaalves• MYGM F E Myers Co., Division of McNeil Corporation Ashland, 011 44805 (419) 289-1144 Telex 88-7443 A State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 STEINER PLUMBING ELECTRIC INC. Owner: JERRY PECHACEK ROUTE 5, BOX 65 ROUTE 1 RIVER FALLS, WI 54022 PRESCOTT, WI 54021 RE: Plan Number: S90-40239 Date Approved: June 7, 1990 Gallons Per Day: 450 Date Received: May 30, 1990 Project Name: PECHACEK, JERRY - RESIDENCE Location: SE,SE,34,28,19W Town of TROY County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - REPLACEMENT PETITION - REPLACEMENT MOUND Inquiries concerning this approval may be made by calling (608) 785-9348. Sincerely, i GERARD M. SWIM Section of Private Sewage Division of Safety and Buildings 4PP039/0009n/29 cc: JERRY PECHACEK X_ Private Sewage Consultant SBD-6423 (R. 08/88) State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION j 201 E. Washington Avenue 1 June 6, 1990 P.O. Box 7969 Madison, Wisconsin 53707 i } i i Jerry Pechacek Route 1 Prescott, WI 54021 Petition No. S90-40239-P Dear Mr. Pechacek: Re: Jerry Pechacek - Residence Onsite Sewage System SE,SE,34,28,19W River Falls, St. Croix County, WI The petition for a variance requested to section ILHR 83.23 (1)(d) of the Wisconsin Administrative Code was considered on May 31, 1990. The petition has been approved. The rule requires that a mound system site shall have a minimum of 24 inches of suitable natural soil. The variance requested was to install replacement mound system on a site with 14 inches of suitable natural soil. All of the data and statements submitted on behalf of the petitioner were considered. This variance is specific to the subject petition and cannot be used for any additional modifications. S' erely, Richard Meyer, Archite Director, Office of Di is on Codes and Application (608) 266-3080 RM:GMS:0360r cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls Thomas Nelson, Zoning Administrator - St. Croix County Paul C. J. Steiner SSD~6928 (R 10/87) I'I State of Wisconsin \ Department of Industry, Labor and Human Relations I 4 SAFETY & BUILDINGS DIVISION RE: Plan Number: S90 - 4 323139 % . 4 % I } h 01- ~ JL$ 1990 ° - ~ QtilyonFR1C~ SBD-6423 (R. 08/88) State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 `l+~' , Madison, Wisconsin 53707 K--TM ON !'(E 'd MR 1;:ectIon IL+i;; {I (J1, iis. A(I;: ioce. PETITION, PL i ITIuIiEi:: JL=rr y Pic fa.:e", tOU%r' i 'f'ig aCoAt, All ut)ILi)I'a~. iifi 11 er1C %GifSit' :>i'`f:)yi t,lV Y fdlf:i. :1t. C•r"':)iY C,!.ty, 15iI A t;'.UUi1d SystC.. 5'1`Ge I 4iiV of 'L L: i r c h''s 'J f Su l t:s -)i C rl ci i u (-d i s t,-J I. rew.-est5 'li) install a reel acertent inches of suitable PIa.Jral scl l PEII EIIi+I l Jliif ilLi;l : 1. fiUti i i ; •IS t"'s~;it i tCi1v 14 inci,,cs an6 not lit IL {se. w i-r1iG! an!_; l`})11: f 3tci'LeS tiIat rJ 'c''2t of UCCe. ya 1)1C is !le (i~..e i) fUl'u toje L Crf sartu 'b;'as 'a St ( 3 f U%{~ i.i th l rout o exi sti rl ~ acceptable so i~w.1 f 6 i - trio rcqu i rte' ,i f~G_'t;i,- Uf. accepta : i soi f regUi r°r:.'~ iertt. CrCR ii iEN 1 S: i. fhc, exi 5 ti ny i Ut corl,''_d ti ons pr went the rlound frc.;s'. i n" ;ie5 i " c i+ ni e_-r and fiarro( jer. They i riC I tC:t rie;ir ;;.v i.)r_?porty I i nes to tiio north and east, an xf stir; sneri Just '.Fast Of tr?^ site , and trio Sept i _ syst&-; Coriiii r e 3 a coir,pounc si op ;;r N l e : i r~ctl ! soot of the site. „✓t„.f„ , , ~ , TEi~:~se icrctrc ~~it+.lc. area left for a lonri aiic li:irro:~1 Usinn. The rwainder of the I'A ±7i:is SIopo- fi sr .utat!,n Eirv iZ~ilfs as we11,. , i iie '~i ti: factors ar ' also iienti oned 'by Leroy sa'(p5ky, P.~i.L., in-Ili 5 'p'i1 I!, in5Pection report. lie agree , that ti;e :.oil cot,,dit.icm s are suita)ie 'i1r a 'i')i!J 'rlit + a var I i,iC 1?, J.S doers Toni fli:Isop, , St. i ro,ix ounty w,iiiG Aci,linistrato r, 4,JhO fu 6 1 0 l t i,. s i l riv 5`i i C;a l Uil . I SBD-6928 (R. 10/87) State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 Oq lit`sr' i`.~?U J. alt,_-r-,,ta;ivc~ r;ou ci be a holding tank or othor off-iot s./stir . 1 h proposed ourr(l s ystei,~ trri,i;. urovi'_e an iOequace r)edns of effluant ptwifiC tion an(: provent the use of a ;1J i:dil trtiiC''± til? :,r StateS iS a Yiabie IN. a i tr r•riati ve only :r;►` u i i other possi) i l i ti es 6iUv : :)ee , C'xhaust/e . ,«dG is`CIaDATli l;: Approval. Pre ar- (i i)_ Gera ro ) Svii n Jnsito t v C- ;Q Dy: JfXi?~ er, rivi .°,~t r:rAr;t } 1 t n,., i r eer - `;uF er•vi st)r site PIanl?lat <ev iew ~ iCf)drt ileyFer, 3 rec to'Y' Ch ;Ce of aiv:S10n 1Gt:sLS ar're ,'Ipl)II , Catti;n SBD-6928 (R. 10/87) ST. CROIX COUNTY r WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - (715) 386-4680 July 10, 1990 Jerry & Carol Pechacek Rt.l Prescott, WI 54021 Dear Mr. & Mrs. Pechacek: I am writing to update you on the progress of the installation of your replacement mound and to inform you of a concern I have about that installation. On the morning of July 10, 1990, I received a request from Paul Steiner that I be present at your property to inspect the beginning steps of the mound construction. Upon arriving at the site I realized that a sanitary permit for your mound had not been issued by our office, and that in fact, we had not received an application for the permit from Mr. Steiner. State statutes require that a sanitary permit must be issued before construction of an onsite sewage disposal system can begin. Because of this I had to stop construction of the mound until a permit can be issued. While I was at the site I discovered another potential problem. State Code and proper mound design require that a 25ft. wide area which runs along the lower edge of the mound never be disturbed. The proposed location of your mound would extend this prohibited disturbance area approximately 15' onto your neighbors property, and that 15' is currently and will most likely continue t e--*disturbed A the future by Agricultural production. It is feel in that(ny disturbance of this area for agricultural reaaarl' WL1il not-adversely affect the ability of the mound to function properly nor will it decrease its life expectancy. You should be warned however, that other activities in this area (such as the construction of a driveway or building) could cause these problems. Please keep this letter for your records. If you will date, sign, and return the enclosed copy, I will issue a sanitary permit, provided everything else is in order. The mound can then be installed as it is designed. If you do not wish to have the system installed as designed, further work will be required to redesign the mound, reapply for state approval and apply for a sanitary permit from this office. You may wish to discuss the costs associated with this with your plumber. Please be advised that it is the intent of this office to enforce the terms as set forth in violation notice 90-V-86, dated June 19, 1990. It is my sincere hope that this matter can be rectified quickly and with a minimum of difficulty. If I can be of any help in clarifying this matter, please stop by our office at 911 4th St., Hudson or call me at 386-4680. Our office hours are 8:00 A.M.-12:00 A.M. and 1:00 P.M.-5:00 P.M. Sincerely, ~i c~ Ames K. Thompson Assistant Zoning Administrator cj signature: S~ Date: eDCG~ -YL I. in CV, -S C P v►~ ss~ v.~ e ~ fps<p~~ 9 a- SOIL DESCRIPTION FORM f (Attach Soil Profile Location Map O n e _Soparste Sheet) CLIENT: Jerry Pechacek LINEAR LOADING RATE: USPOSE• Home SLOPE: DESCRIPTION BY: Paul C. J. Steiner ASPECT: DATE: 4/11/89 CURRENT LANO USE: COUNTY/STATE: Troy - St. Croix/Wisconsin VEGETATIVE COVER: i LOT DESCRIPTION: SE 1/4, SE 1/4, Sec 34 T28N/R19W DRAINAGE CLASS: ! LOCATION: GALLONS PER Sp. FT. PER DAY: ! PARENT MATERIAL(s)/DEPTH: SOIL SERIES: Ugr iji9 umber # 1 ' HORIZON DEPIH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII BOUNDARY REMARKS in. moist G Ss. Sh . COATINGS 0 0-12 10 YR 2/1- 12-19' 10 YR 3/2 19-29 10 YR 4/6 29-36 10 YR 5/6 f2d 'slw/gr 0 sg- 1 36-40 10 YR 5/4 fld slw/gr 0 sg' 1 r' 40-50 75 YR 5/8 m3p cl 0 m Mott. at 20" 011ER SITE FEATURES/NOTES: # 2 SOIL Q ' HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS P11 BOUNDARY REMARKS in. moist Gr. Ss. Stop. COATINGS 0-7 fill sil 2 of sbk ml . 7-20 10 YR 2/2 - sil 2 f sbk mfr 20-44 10 YR 5/3 flf sil 2 f sbk mfi 44-60 75 YR 5/4 tlf is 0 1 gr ml 10 YR 5/6 60-68 10 YR 6/2 m3d cl 0 1- m mvfi f Mott. at 14" 1., OuER SITE FEATURES/NOTES: I Borin Number #3 ! HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS P11 BOUNDARY REMARKS in. moist Gr. Ss. Sh COATINGS 0-9 10 YR 2/1 sil 2 f pl ml 9-15 10 YR 3/2 sil 2 f pl mfr 15-60 '10 YR 4/4 f3d sil 0 m mfi 60-72 10 YR 5/8 c3p cl - m mvfi Mott. at 16" O ER SITE FEATURES/NOTES: LIMITING FACIORS/DEPTH: Signature Date CST 0 orinq Number 1 HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS1 PORES ROOTS P11 BOUNDARY REMARKS On.) moist Gr. Ss. Slip. COATINGS " 0-10 10 YR 2/2 sil 2 f sbk ml 10-16 10 YR 4/2 sil 2 f pl mfr 16-30 7.5 YR 5/3. flf sil 0 - m mfi f 30-50 10 YR 5/8 c3p cl 0 - m mvfi Mott. at 16" 3ti9 HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS Pll BOUNOMY REMIUS in (mist) C Ss. Sh COATINGS •r 011ER SITE FEATURES/NOTES: HORIZON DEPTH MATRIX COLORS MOTTLES .TEXTURE' STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS P11 BOUNDARY REMUS 1 901st) Cr. S:. Sh -COATINGS I 011ER SITE FEATURES/NOTES: Boring Number . HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES RODIS P11 BOUNDARY REW►RXS i in moi t Cr Ss. Slip. COATINGS , i 0111ER SIIE FEATURESMOIES: