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040-1035-90-100
-0 0 !C O 0 0 0 0 ~ O Fn O w R a0 II N N ~ O O C ~ 3 C M O O c O N O N "ry N > > O m f0 N _ N f6 i C ti y> XY c ~p W C a N U M c co O N Q 'Z3 O y N y N ' N a o cm to m Y m (D C a M v i;s o c m N (n A 0 C N H U d 0 Ali N N L ! N O 0 p U O : U a N a Z a Z c C c c aai 3 m 0 u m LL O cO V O U. c T 0 N N N 0 a~a v c C C N Q-,4 -0 4) *0 Q Q w° O M p ! 3 CL > y z y Z = O O ~ ~ O c O Z a C a co W a m a m co H Z m a I O z c w c O N G1 2 N C c 91 4) (D :3 CD 3 N O N 0 •7 0 j m Q1 Vl N 0 O O O ( • N Z5 N N N N Iz - O (D a O I a O (ms,~m C'4 o ! O O 'vz ~z z0mz o - N Y zzCD 4i U) E E a> 4) 0 v O. a+ O O a w = y m a~ y m a~ v'coa a alb U 0) U) U) 0 LO cn U) (n z(0> m` FL 7 OO a► - 000 O • R ~aaa ~o.aa IL N ~ '9 a N O N I OD M M y y O M co l~il M J C~ NV O O } OOi OOi O V N O a Z O O N 0 0 _ Z tj~ 0 Y M Y O 0 N C> C> N 0 CO C'4 o o o co °o m m c v in (n (D L dl Q A (n Q 6 ~ Q C/7 O 00 CL .9 N .9 d O y y y N 1~ O O O y U) c .p Vl C 1~ O O _ O E O O O Z to O> iv to O 16 V N c c 0 d 3 N c U a 0 6 0 0 ~'L rn Sr 0 Y N C C M aai N N N f0 N m 0 N N N v ~O M O O V ` 7 7 C ` co N = 7~ M f` O_ H c n a N N 'O Z a0.. ..O V 00 co y M~'~I d N lC O Y 7 E S L ` a0+ 7 2 E L W I^T, o o H (n LO O z y a a g (n C7 m O z N 2 H U) t E v v, w ~c € a a L: CL rrww• a d, d c d d c Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 561067 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Swarbrick, ChriSto her & Michelle Troy, Town of 040-1035-90-100 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No ®0 08.28.19.115D10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark / 2~v Z ~j d2,~~ Dosing VjZ Alt. BM Q- y a Aeration Bldg. Sewer b b "WO 0 '11 Holding St/Ht Inlet f TANK SETBACK INFORMATION St/Ht Outlet 7.1 1 76, "L TANK TO P/L WELL BLDG. Vent to Air Intake ROAD nlet s V11- 7,0e q s. Se tic p > S T ? ~ / ~ 3 / r✓(12.1~'~'(.< P111 ottom t l 61J" 7,11 Dosing He~Lgr/ an. S Aeration D3!_ i e ~✓h G ?s7' 0 Holding Bot. System I PUMP/SIPHON INFORMATION Final Grade T1 Seu44' ~A - s Z. 15-loo • D Manufacturer Demand St Cover GPM 2' ~-►`s~ 3, 3D 17 cPS Model Number TDH Lift Friction Loss em Head DH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM 6 -Z / elk BEDITRENCH Width / Len th No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 13 `"1 r SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM ACHING Manu ctur INFORMATION HAMBER OR 4 y ~ 64 Type Of System- Z5 UNIT Model Number: DI IBUTION SYSTEM j`J ~1 _ y ns eader/ anifold Distribution r x Hole Size x Hole Spacing Vent Air Intake I r/ Pipe(s) 917 / Length~_ Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bedlrrench Edges Topsoil Yes No 0 Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 1 / /20 G Inspection #2: / / Location: 428 Red Brick Rd. Hudson, ,WI'54016 (NE 1/4 NW 1/4 8 T28N R1 9W) NA Lot 6 Parcel No: 08.28.19.115D10 1.) Alt BM Description = 1 'f" Of 2.) Bldg sewer length = ,f'iy,t'O'i h) f& q I A4 n - amount of cover = Plan revision Required? ❑ Yes W/No Use other side for additional information. SBD-6710 (R.3/97) Date Ins tors Si nature Cert. No. ~rma~r~T County Safety and Buildings Division St. Croix $ , 201 W. Washington Ave., P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) pa Madison, WI 53707-7162 r Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this fort to the appropriate governmental unit Na is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats. Same 1. Application Information - Please Print All Information Property Owner's Name Parcel # Christo her & Michelle Swarbrick 040-1035-90-100 Property Owner's Mailing Address Property Location 428 Red Brick Road Govt. Lot City, State Zip Code Phone Number NE _ ~NW ''/4, section 8 (circle one) Hudson, WI 54018 715 xxx-xxxx T 28 N; R _ 19 E or W II. TytYe of Building (check all that apply) Lot # VW or 2 Family Dwelling -Number of Bedrooms 4 6 Subdivision Name Block # 0 Public/Commercial - Describe Use Na 0 City of 0 State Owned - Describe Use CSM Number 0 Village of CSM Vol. 17, Pg. 4567 0 Town of Troy III. Type of Permit: (Chec :one box on li A. Complete line B if applicable) A. 0 New System Replacement System TreatmentMolding Tank Replacement Only 0 Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued 38542 issued 8/12/83 ✓ Before Expiration Owner IV. Typ f POWTS System/Component/Device: (Check all that apply) on-Pressurized In-Ground 0 Pressurized In-Ground 0 At-Grade ~j0 Mound ? 24 in. of suitable soil 0 Mound < 24 in. of suitable soil 0 Holding Tank 0 Other Dispersal Component (explain) 1 ~e U!~ ❑ Pretreatment Device (explain) V. DispersaUTrestment Area Information: 42 Infiltrator "Q4 Plus" Standard chambers & 4 endca s, Baer ML3-916 effluent filter Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sfl System Elevation ✓ 600 Gpd 0.70 Gpd/Sq. Ft. 857.15 sq. 8. ✓ 860.40 Sq. Ft. ✓ 94.00' VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units V New Tanks Existing Tanks U H rn w0 a Septic or Holding Tank W I.250-NM Na 1,250 1 Wieser Concrete X Dosing Chamber I F-1 VII. Responsibility Statement- 1, th undersigned, ume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's gnature i MP/MPRS Number Business Phone Number James K. Thom son Q»~ MPRS 30021 715 248-7767 Plumber's Address (Street, City, State, Zi e) 340 Paulson Lake Lane, Osceola, WI 54020 VIII. oun epartment Use Only Permit Fee Dat I sued ssuing Agetn 1gn re pproved 0 Disapproved $ _ O~ \ 0 Owner Given Reason for Denial 5 . 1 3N I)L C I tNI ~sQfwNprrR: oval/Reasous for Disapproval O 1. Septic tank, effluent filter and dispersal cell must lm serviced _/maintained as per management plan provided by plumber. 2. All setback requirements must be maintained Mass for the system and submit to the County only on paper not less than 81/2 x 11 iucbes in size SBD-6398 (R 11/11) r County Safety and Buildings Division St. Croix ° 201 W. Washington Ave,, P.O. Box 7162 Sanitary Permit Number (to be filled in by Co.) Madison, WI 53707-7162 ~y1(Kid,1 Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit Na is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04 Stats. Same L Application Information - Please ation Property Owner's Name Parcel # Christopher & Michelle Swarbrick 1W 3 0404035-90-100 Property Owner's Mailing Address - 1 GOov Property Location / SA / U 428 Red Brick Road j ca City, State Zip Code Phone Number *_t _ Section 8 3L? 3 14 (circle one) Huds , WI 54016 715 xxx-xxxx T 28 N; R 19 E or W IL pe of Building (check all that apply) Lot # 1 or 2 Family Dwelling - Number of Bedrooms 4 6 Subdivision Name Block # /,J ❑ Public/Commercial - Describe use Na ❑ City of ❑ State Owned - Describe Use rCSM Number ❑ Vilw of Vol. 17, Pg. 4567 0,' own of Troy III. Type of Permit: (Check on one box on line A. Complete line B if applicable) A' ❑ New System Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number d Date Issued Before Expiration Owner 38542 issued 8/12/83 IV. T of POWTS System/Component/Device: (Check all that apply) Non-Pressurized In-Ground ❑ Pressurized In-Ground At-Grade ❑ Mound > 24 in. of suitable soil ❑ d g ;244,,*n ofsuitable soil r1{l f ` off/ ❑ Holding Tank ❑ Other Dispersal Component (explain _ retrea ~ vi explain V. Dispersal/Treatment Area Information: 42 Infiltrator " Pills" Standard chambers & 4 end s, Baer ML3-916 effluent filter Design Flow (gpd) Design Soil Application Rate(gp f) Dispersal Area Required (st) Dispersal Area Proposed (sf) System Elevation 600 Gpd 0.70 Gpd/Sq. Ft. V 857.15 sq. ft. ✓ 860.40 Sq. Ft. 94.00' VI. Tank Info Capacity in Total # of Manufacturer B Gallons Units New Tanks Existing Tanks or- w V in H A Septic or Holding Tank SA432-044R 1,000 1,320 1 & 1 Wieser Conc X Dosing Chamber VIL Responsibility Statement- L the ndersigne assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's ignature MP/MPRS Number Business Phone Number James K. Thompson MPRS 30021 715 2448-7767 Plumber's Address (Street, City, State, Zip L~dffe) 340 Paulson Lake Lane, Osceola, Wl 54020 VIll oun /De artment Use Only Approved ❑ Disapproved Permit Fee Date Is ued Is tng Agent Si ❑ Owner Given Reason for Denial IX. p'p® *"rova1/R.easons for Disapproval ~A"!uxe/,~ ~t S 1. Septic tank, effluent filter and dispersal cell must be serviced / maintained as per management plan provided by plumber. S ~S 3f 3. 3 3 V Ct.~ V!/ 2. All setback requirements must be maintained as erapplicable code/ordinances. Attach to complete plans for the system and submit to the County only on r not less than = ll2 :11 inches in size SBD-6398 (R. 11/I1) ut le: Cli.ri~bo/o~s/d ~ic.Le/(c 5w4r6ejc.k X128 Re l A-ick.QC(. U ~I E,lu..ds o~+, ~.Jl. s5'4~b O LvE G, Gsot 17/j/C67 nr yy~~.~Y sec, 6, T18r( , 6a 1~ ,C~ Tod aF~s k o . o or oy, So ^ co ~O - i 35-9 at ~o~ ~JeS~ CoC new^ of 3 Sew x~' Ylo apprcci4(c slope 5ys4-cm a.,YR. wcudcd grKs~y sW~w` yy, S! L J ~ur'deq FX.'sf.'n~c /8',r~G'd,'s/~c~.scf pr,p,sed d,vers~~~-roe. 41 63 ,.yid 1o-me ~t 5•t nns~c~4bl ~r~ScP~a by.~Kw1 Baca {~.~tt . Spy rreconncc 10 ML.3 CA~Ju'1''4 Tobcco/A+~sCd 3k „lehn4aaAJe 6abcbwr y 46.rd---d Alta, EXis ~n~ ~ ~ a.rQ [ Q ,Qcs~cltnC.e EX~sti' 3 Well VI) v- 3 C~s~ bor~^ 64. 3 y u• c o' Conventional POWTS Index & Tilte Sheet Project Name: Swarbrick 4 bedroom Replacement Conventional POWTS Owners Name: Christopher & Micelle Swarbrick Owner's adress: 428 Red Brick Road, Hudson, WI 54016 Site address: Same Project Location: Subdivision: Lot 6, CSM Vol. 17, Pg. 4567 Legal Description: NE1/4 NW1/4, Sec. 8, T.28N., R. 19W., Tn. of Troy, St. Croix Co., WI. Parcel ID 040-1035-90-100 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Dispersal Cell Sizing Calcualtions Page 4 System Cross Section Page 5 System Management Plan Page 6 Filter Specifications Page 7 Septic Tank Cross Section Page 8 Parcel map Page 9 Septic Tank Maintenance Agreement Page 10 Waranty Deed Attachments: Soil Evaluaiton Report Mater Plum :r lRested Service: James K. Thompson, Dept. of Comm. Credential #30021 Signature: Date Page I Of 10 i Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/0 1) Conventional POWTS Index & Tilte Sheet Project Name: Swarbrick 4 bedroom Re lacement Conventional POWTS Owners Name: Christopher & Micelle Swarbrick Owner's actress: 428 Red Brick Road, Hudson, WI 54016 Site address: Same Project Location: Subdivision: Lot 6, CSM Vol. 17, Pg. 4567 Legal Description: NEI/4 NWI/4, Sec. 8, T.28N., R. 19W., Tn. of Troy, St. Croix Co., WI. Parcel ID 040-1035-90-100 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Dispersal Cell Sizing Calcualtions Page 4 System Cross Section Page 5 System Management Plan Page 6 Filter Specifications Page 7 Septic/Filter Tank Cross Section Page 8 Parcel map Page 9 Septic Tank Maintenance Agreement Page 10 Certification for Utilization of existing septic tank Page 1 I Waranty Deed Attachments: Soil Evaluaiton Report Mater PI ber Restri ted Service: James K. Thompson, DSPS Credential #30021 Signature: Date: Zlz~~ Page 1 Of 11 Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) ■ So,l e dQ/lcn 6'0~ /o, ,A made el eN ut(e: ~c ¢~2310 6 ri s{ae~0/.sld ~ic.(e/(C Sw4r•6ejc,K 428 Qed At-iCX le . U ~I 14u-ds a", ~ s5<,3,b O Lv~ G, Csrt 17~~1567 nC Yyn~.t/'St.Sec., 8, ~'ZSii•, k/9~,Tn. of irvy, Sf crv;,tCe jF no q peecio-6(e $lore -~h-r'o~c~4. s~s•Ec.» a.~t. wuk(~d $ ~"Ks~y Sw:wG r P~,P°sed a7stsv S~•E ~ coY,c~c~3.Lo8°r ~w'deh EX.'s~~y /S,rjG d,'spcrsG~/ 6.2. P~ o/ 401y Lets ~IaiJf. ee!/. T~r(v/ /tom tve.s~>~cr ■ .~rl~ U/~' ProPoscd d,versiw~ L~e~ G, 83 , sp' ss~ S6'n4/ -0 Pos din ~ c ~e And, Et'iS ~i/rq ~ ,Pts~c/tnu ~ EX,3~ 3 well 7 q ~ 0 3 t ce ~ ~ n its 3 ~ w c O1~ QD 8r•~ ~ ~Cp a. a/ SWARBRICK_ DISPERSAL CELL SIZING CALCULATIONS 1. (4 bedrooms)(100 gallons estimated flowxl.5 design factor) = 600.00 Gpd desi n flow 2. Infiltrative capacity of native soil = 0.7 gp/sq. ft. 3. Absorption area required: 857.15 sa, ft. 4. Absorption area as proposed: 860.40 sa. ft. (42 chambers total) Infiltrator "Quick 4 Plus" = 20.00 sq.ft. EISA per chamber, Infiltrator "Quick 4 Plus" end cap = 5.10 sq.ft. EISA 857.15 sq. ft. - (4 endcapsx5.10) = 836.75 sq. ft. 836.75 sq. ft./20.00 = 41.84 chambers required Number of trenches: 2 Cad 21 chambers per trench Trench width: 2.83' Trench length: 86.00' Trench spacing: 9.00' on center Total system area w/ 9' center spacing: 12.00'x,86.00' Pg. 3 of I D Soil Absorption System Cross Section - 91770 ft 4" Schedule 40 Final Grade PVC Vent Pipe With Vent Cap ft Leaching Chamber 9s(0 ft System Elevation .2. 03 ft G.o ft Soil Absorption System Plan View 86 ft ft { G a . ft Leaching Trench 1 Vent Or Observation Pipe Chambers 4" Dia. Trench 2 Header Leaching Chamber Specifications Manufacturer And Model EISA Rating .20•Usq ft per chamber Soil Application Rate 0•7 gpd/sq ft ~w gpd Design Flow - C9 • 7 Soil Application Rate -,P-0-0 EISA 8,0~ Chambers 2 rows of Z~ chambers each. Page of Conventional Septic System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with SPS 382-384 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10705-P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St. Croix County Zoning Department at (715) 386-4680. Septic Tank Septic tank servicing mechanics comply with SPS 383.54(lxe). Septic tank to be located within 150' of service pad, with bottom of tank to be 515' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Tragic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within, and above the system and will promote frost penetration during cold weather months. Cold weather installations (October-March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L, TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on a two-year schedule by use of diversion valve. Effluent to be diverted from new cell to old Drainfield at 2 year anniversary of new system installation. Old drainfield to be utilized for a 1 year period. Effluent dispersal to be alternated between systems on a three year rotating basis thereafter. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Pg. 5 of 1 D R oNs~. GRAVITY FILTRATION •sr.ESr. 2 0 08../TM Low Pressure/Gravity Filtration Order # Model # Description List Price EFB-ML3-916 ML3-916 Residential Effluent Filter 176.84 See Catalog Section (4) for Effluent Filter Alarm Switch! LOW PRESSURE/GRAVITY FILTRATION MODEL: ML3-916 & ML3-932 DESCRIPTION: The ML3-916 and ML3-932 are gravity fed, natural flow filters designed to be placed in line with standard single home residential and commercial application septic treatment systems. Both filter models aid in the operation and longevity of Advanced Treatment Units, pump tanks, and drain fields alike by removing solids and semisolids from the progressive waste stream in order to reduce particulate and organic overloading of the downstream treatment components. It's unique use of a large "Quiet Zone" to reduce flow velocity and high filtration inlet flow area help to reduce the opportunity for many solids to be forced through the filtration steps and beyond. FEATURES AND APPLICATIONS ■ Gas and high velocity vertical flow diverter plates. ■ Two velocity reducing "Quiet Zones". ■ Three distinct levels of sequential filtration. • High Level/maintenance alarm receptacles. ■ Cartridge easy maintenance access and alignment handle. • One optional 3/4" support pipe to reduce stress on the outlet pipe. • Single Home Residential. ■ Multi-Home Cluster Systems. ■ Pre-filtration for ATU'S. FILTER SIZEING.IN GALLONS PER DAY • Small and large business septic applications. • Large and small scale industrial septic applications. Model Application <300 300-600 >600 CBOD5 CBOD5 CBOD5 ML3-916 Residential 2750 2000 1500 INSTALLATION AND OPERATION The ML3-916 and ML3-932 are each to be assembled with standard ABS/PVC plastic Commercial glues to septic tank outlet pipes or adapter of standard 4-inch Schedule 40 PVC. ML3-932 /Industrial 2750 1875 1500 Each filter is to be assembled such that the filter cartridge can be removed for regularly scheduled maintenance cleaning as dictated by the system's design. An optional 3/4 inch schedule 40 PVC pipe can also be assembled into the lower support SPECIFICATIONS receptacle to reduce the moment stress otherwise placed on the outlet pipes from the weight of such filters. ML3-916 ML3-932 The ML3-916 and ML3-932 both received clarified effluent from the clear zone of a septic tank by way of the lower inlet of the filter case. Clarified effluent enters the Primary Filtration Size (in) 3/161h 1/20"' "Quiet Zone" where dense solids reduce in velocity and fall back into the septic tank. Remaining solids that make their way into the filters undergo three progressively finer Secondary Filtration Size (in) 1161h 1/26m filtration steps before entering to yet another small "Quiet Zone" to allow denser solds Tertiary Filtration Size (in) 1/161h 1132" d again to "slough" back into the tank during rest periods. This design is aimed to ensure that only solids smaller than the tertiary filtration step can continue on to the Total Weir Length (ft) 236.49 248.93 next steps of the treatment process. Settling Area (in2) 527.63 555.40 Outlet Size 4" SCH 40 4" SCH 40 Materials PP/ABS/PVC PP/ABS/PVC Revised 2-15-11 ~g.6-110 D Z N 724„ 86" ;D m m r. 53" D z z r c m m D N 0 n~ C A m 0 UP 52" / N \ m 4" CAS m m P O A m N 0 1 .1 I m m 3 47 4 0 o 0 < < y a m m m N o m D UP 49" 4° CAS `i Ei N N J 11 TI O 0 O x> A 50 r 0<0 z 0 ir O- m z 0 cor- om> N << D ~ f -n N ~o ;u 0 D m~ r x A C7 x D Z 0 m C D 0 -i r x C Z Z ~ O to r r D D 'o z n0 Z x o o m mi m Z 0 Z ypZ 0 gr(X) r,n 0>- ;o F4 m x- m D 0 oc0 o o Z D~Z f?1pr0Z~T1Z0 ~~O C (v m0 n m N DMZ D MOO m>p - =--lo.. ANN co j s~ zZ = N z Dpi I m Jm~00 owm~xm~ m CNT1 0 m vm Dmi DDS nNir~p?~Np prvN n D ~k r 0 00 D N (n (n (n O \ s 04 0 00 O D O (7 ~ 91 N m co I m r. Ln o Z n -Tl v n N L-nz{ 0 UI : C N0~ Dr W, 00. O(A n -v 0 0 C-7 -0 Z Jm D mDm M0 U) CO -0 v ;u D .-(7 r a o D -Zi n~ C D ~p \ 2rD n z o m O H 0 -0 0 Z Ado OJO vDi 0 O m D D O O ~1 O :U -i 0 Z m< ~ r D r v Im 0 (n ° D (/1 cmn W N v o ' o p z 0 0 co m A A N N Ar A r (/1 O O m m m X C Z r 0 n r T~1 A N m 0 \ m W1250-MR MIEGER COIICAETE DRAWN BY: SME SREVE: 1/4"=l'-O" PRE-POUR: ~ SEPTIC MANUAL W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: JANUARY 2012 DATE:. POST-POUR: REVISED JAN. 2012 800-325-8456 FILE: M1250-MR Pi. 7o,49l0 D z z N D M r*i > AS z 58 REQD N c V) D 4,. -Tl n 50" N m 48" z " D O r ~ r O O K UP 47" 1 D 4" CAS 43„~ o I~ x < 3„ _ 51" I II CD m I II II D UP 45" L N 4" CAS I e~ n I 46" N ~ N m .Z7 m C - m n D '^1 N z ~ N D I N m D r n p rZ Z < Z D > o ~ o c mi mi m D ~N n z o .-.I UD C) > mrmm mmy0 ODN Lf) cm x '-M 0 Z o > 2c~io Nr,o =00~o5z< °Z CC ~ ~ ~ n co A mOp mDp -4o=-a0~ cn C r c Oz C) 0) 0 XV) ~-N+°i mZLn ~N Zz = N z ~ NiZm nDm Co w mrr*t°oc C,, r7-1 N O m D M, D 1 Cu!--+p ' a n z co 0 D OD N mm(z viN ° oDp v n 2 , o ° Nm-I DD a) pUQ Tl ~ Z C) o c n n c D Mmr- I r N p a a v ;o p ;o Z r morn NW _0 D c o D C -t N \ D m o A ? r< -n D "aM r D Z =rZ r0 O z a o O H v i~ DA%o coo N m -Di m ;Q Z D p C -t O -9 0;Q -1 z Gl r D v r 0 (n v. m j D V) N 't N m X I j o 0 O E5 _0 A ~D n rri l/1 ~ 0 0 m r m 7J C C) Z r ° 0 m O z I D H m N r m \ T~ W320-MR MIESER 00l1CAETE DRAWN-BY:- SME SCALE: 1/4"=t'-0" PRE-POUR: REV. NO. SEPTIC MANUAL W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: JANUARY 2D12 DATE: . 3/6/12 POST-POUR: z REVISED JAN. 2012 800-325-8456 FILE: W320-MR 7o rl/ 2320 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimernsions, north arrow, and location and distance to nearest road. Parcel I.D. 1035-90-100 Please print all information. R sewed y Date Personal Wormatim you provide may be used for secondary purposes (Privacy Law, s.15.04 (1) (m)). S'~U 13 Property Owner Property Location Christopher & Michelle Swarbrick Govt. Lot NE 19 NW 1/4 S 8 T 28 NR 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 428 Red Brick Rd 6 CSM Vol. 17, Pg. 4567 City State Zip Code Phone Number City _]Village 1e Town Nearest Road Hudson WI 54016 Troy Red Brick Road J New Construction Use: 0 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD J Replacement I Public or commercial - Describe: Parent material Glacial Outwash Flood plain elevation, if applicable Na General comments and recommendations: Site suitable for conventional POWTS dispersal cell with 0.7 gpd/sq.ft./day loading rate. Proposed infiltrative surface elevation to be 94.00'. Boring # -j Boring vi Pit Ground Surface elev. 99.70 ft. Depth to limiting factor >113" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots PD/W in. Munseli Qu. Sz. Cont cow Gr. Sz. Sh, `Eff#1 `E 1 0-8 1Oyr3/2 none sil 2fggr mvfr cs 2fm1c 0.6 0.8 2 8-24 10yr414 f3d 7.5yr5/8 sit Icsbk mvfr a 2flmc 0.4 0.6 3 24-32 7.5yr4/6 none Is 0sg ml cw 1vf,f 0.7 1.6 4 32-113 10yr5/6 none s Osg dl - - 0.7 1.6 Redox. eatures observed in created by compaction of horizon during instalftion of original system and are not indicative of high ground water. 2] Boring # J Boring 0 Pit Ground Surface elev. 100.15 ft. Depth to limiting factor >115 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *E01 *E 1 0-12 10yr2/1 none sil 2fggr mvfr cs 2fmc 0.6 0.8 2 12-22 1Oyr4/4 none scl 2f&msbk mvfr cs 2fmc 0.4 0.6 3 22-32 10yr4/4 none Is Osg ml cw 1vf,f 0.7 1.6 4 32-115 1Oyr5/4 none s Osg dl - - 0.7 1.6 * Effluent #1 = BOD5> 30 < 220 mg/L d TSS >30 150 mg/L ` Effluent #2 = BOD S30 mg/L and TSS <30 mg/L CST Name (Please Print) Sig ure: CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluation Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, W154020 4/24/2013 715-248-7767 Property Owner Christopher & Michelle Swarbrick Parcel ID # 040-1035-90-100 Page 2 of 3 a Boring # - I Boring J Pit Ground Surface elev. 100.10 ft. Depth to limiting factor >119" in. Soil Application Rate Horizon Depth Dominant Color Redox De ptbn Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-6 10y3/3 none sir 2fggr mvfr cs 2fmc 0.6 0.8 2 6-20 1Oyr4/4 none Sid 2f&msbk mvfr cs 2fmc 0.4 0.6 3 20-26 1Oyr4/4 none Is Osg ml cw lfmc 0.7 1.6 4 26-119 1Oyr4/6 none s Osg dl - - 0.7 1.6 ❑ Boring # Boring J PH Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # J Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 S.30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07100) A.C.E. Soil & Site EvaluMms r4.dc e l eN :S ca le: /0 5wu br jc K A 1128 Ad SS~G~b 0 V 14"1OVI, L V. O Lv6 G, C,s~ IT~S~sG7 Tn. of t roy, sf.Crb;XCo /2cj ~o~0-io3S-9o-icy no vprccto oie 6190e try ro~c~~ sYs4.cm Owu. w4odcd it BrK"Y sit Cell, T.rl// /t~,•ve~u~,~acc tic cv'.f. Eri3,~'nq ~ ~ c r/ ~Pcs,alstiu ~ 9 0 r r Eysti'..~ 3 we.rl 7 q - ~clC ~ 3 ~c5i 1 c •o' ~,Pe~ e,-,~ ~Poad 7 3 1 7 4 1 VOL 77 PAGE 4567 KATHLEEN H. WALSH-- REGISTER OF DEEDS ST. CROIX CO.. WI RECEIVED FOR RECORD 07/23/2003 10:00AM CERTIFIED SURVEY MAP CERTIFIED SURVEY MAP err r,L i5.0° LOCATED IN THE NE 1/4 OF THE NW 1/4 OF SECTION 8 AND COPY FEE: 4.00 THE SE 1/4 OF THE SW 1/4 OF SECTION 5, ALL IN T28N. R19W, PAGES: 3 TOWN OF TROY, ST. CROIX COUNTY. WISCONSIN, BEING ALL OF LOT 1, CERTIFIED SURVEY MAP. VOLUME 3. PAGE 659. N 1/4 CORNER POINT OF . \ SECTION 8 BEGINNING \ T28N, R19W \ S 89°07.00" W 1327.66' 441RED BRICK ROAD q~ 1 '7\ \ \ \ Y \ HUDSON, WISCONSIN 54016 NORTH LINE OF THE NE 1 /4 OF ? C'C+ 3 THE NW 1 /4 FSS, 2i0 4_ Sys. r v t 0- LOT 6 IN. I S 1/4 • - - CORNER $ I SECTION 8 i lip \ T28N. R19W ~I C4 P) Omit N, ~ \ \ \ < \ O I iO ri = ° \ 3 ~I 3 ~ I Np< 00 LOT 7 9 \'~x . W I U < 8M Z o ~ g' Z qp ~ r° ^ I c OVc ~I Z w i N I N n9Zp~ a/X CCU`D \ I N N A,%' FO /A(A rE .~^~Y 3 ° I EX/Sr//NG SEPr/C I < < 2 "'~e H I vi o 3 ;:g> - Ile/ w~jy~n t3 ` 1 vio< n ~a~pon~aOrs -I'i z 3i 4i dyad shaiiof ° Lc--:, c-n d % I ff 40 ACC .~-c C Es 4le .30 - 42e cy 1_1~* CL Cu 'i \s.rp / /+z A., N C? s?4 N N LLS p W O CV 1- SHARED DRIVEWAY \ \ N N EASEMENT (SEE ~ok\ \ z < o LEGEND NOTE 2 ON PAGE 2) \ \ COUNTY SECTION CORNER MONUMENT, \ ALUMINUM CAP, FOUND. z N \ m L /~01 1 1/4" IRON PIPE, FOUND. Sc•"Z..1~'L Zoo _ -to- 0 1.68#„LINEAR FOOT. SET. 1GH1 EA-GL- -3-4 SCALE IN FEET BUILDING SETBACK LINE, 50' -UNLESS OTHERWISE NOTED. O 50 100 200 300 (R'-) PREVIOUSLY RECORDED INFORMATION. THIS INSTRUMENT DRAFTED BY JEROD A. FINK PAGE 1 OF 3 Vol. 17 Page 4567 f 8 ocW ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Christopher & Michelle Swarbrick Mailing Address 428 Red Brick Road, Hudson, Wl. 54016 Property Address Same (Verification required from Planning & Zoning Department for new construction.) 040-1035-90-100 City/State Parcel Identification Number LEGAL DESCRIPTION Property Location NE '/4 , NW 1/4 , Sec. 8 , T 28 N R 19W , Town of Troy Subdivision Plat: Na , Lot # 6 Certified Survey Map # , Volume 17 , Page # 4567 Warranty Deed # $97501 (before 2007)Volume , Page # Spec house OyesMao Lot lines identifiable (lyes[]no SYSTEM MAINTENANCE AND OWNER CERT EICATION 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 pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bed 4 SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) IIIIlI Illl! lull l!!Il lull !!l!i llll llllll llll l!!l State Bar of Wisconsin Form 1-2003 * 8 9 7 5 0 1 1 WARRANTY DEED 897501 BETH PABST Document Number Document Name REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between Jon J. Byl and Wendy K. M husband and wife 06/09/2009 11:45AM WARRANTY DEED ("Grantor," whether one or more), EXEMPT 1 and Christopher Swarbrick and Michele Swarbrick, husband and wife REC FEE: 11.00 ("Grantee," whether one or more). TRANS FEE: 834.00 Grantor, for a valuable consideration, conveys to Grantee the following described real PAGES: 1 estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Recording Area Croix County, State of Wisconsin ("Property") (if more space is needed, please attach f addendum): Name and "Davl . Estreen That part of the Northeast Quarter of the Northwest Quarter (NE 1/4 of NW 1/4) 304 Locust Street of Section 8, Township 28 North, Range 19 West described as follows: Lot 6 of Hudson WI 54016 Certified Survey Map recorded in Volume 17 of Certified Survey Maps on page 4567 as Document No. 731741, St. Croix County, Wisconsin I , S 040-1035-90-100 Parcel Identification Number (PIN) This is homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: easements, restrictions and reservations, if any, of record. Dated (a 51 Of' O q s (SEAL) (SEAL) 5~v U *Jon J. Byl *Wendy K. Byi (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Jon J. Byl and Wendy K. ByL husband and wife STATE OF f~SC v~ ) authenticated on ) ss. ~E4' c n( '4 COUNTY ) *Kristina Oeland Personally am efore me on to S~'G Q 14- TITLE: MEMBER STATE BAR OF WISCONSIN the above- d 6n:• 115 rj s. (If not, to me to be the person(s) ha-kecutgd-*, fore ing authorized by Wis. Stat. § 706.06) instrum d acknowledged the same: r THIS INSTRUMENT DRAFTED BY: Kristine Of-land. Estreen & Oeland Notary Public, State of 13 C D VI4a'` 304 Locust Street, Hudson, W154016 My Commission (is permanent)-ftxttles: (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 ' Type name below signatures. INFO-PROT" Legal Forms 800-655-2021 www.infMmforms.com 1 of 1 a • R AS BUILT S*NITARY SY4T%I REPORT ervc► pp TV - SEC.~T~ON-R W OWNER L_` C NSH~P V, ADDRESSF~ &,V l S11 Xa bUNTY, WISCONSIN. .SUBDIVISION LOT LOT SIZE PLAN VIEW 161 Distances and dimensions to meet requirements of H63 SHOW EVERYTHING WITHIN 100 FEET..OF SYSTEM 1 1 °9s e 00 t e 4 S }i~ y/ at N r 4hk rr*`w SAX bTL C l k s1~0 BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point:- 9:0 H -Slope at site: 3 6 SEPTIC TANK: Manufacturer: au Liquid Capacity: I00b. Number of rings on cover :Tank manhole cover elevatiolp Tank Inlet Elevation: Tank Outlet Elevation't~.: PUMP CHAMBER Manufacturer: Number of gallons Number of gal. pump set for a cycle gallons; Total capacity of distribution lines gallon: size of pump head; gallon per minute horsepower ;brand name of pump and model number 'Type of warning device HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover ; Type of warning device SEEPAGE PIT SIZE; Number of pits feet diameter feet liquid depth seepage pit inlet pipe-elevation bottom of seepage pit elevation feet. i SEEPAGE BED SIZE: number of lines width ' length tile depth SEEPAGE TRENCH: width length PERCOLATION RATE AREA REQUIRED AREA AS BUILT 1 INSPECTOR ~2 2fi'L~G~- ~~-q l V2 DATED ~C V PLUMBER ON JOB LICENSE NUMBER t DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 C CONVENTIONAL ❑ALTERNATIVE State Plan I.D. Number: (If assigned) ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Glenwood Gray Box 571, Hudson, WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: NE NW, Section 8,T28N-R19W,Lot 1-J.Zappa Sub.Town of Troy O' Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Richard Hopkins 1059 St. Croix 38542 SEPTIC TANK/HOLDING TANK: MANUFACTURE LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER ^ D PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM. I LINE: AIR INLET.. _E FR D FEET FR J_ YES ❑NO ❑YES ❑NO INE RESOM A® Y DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF L NE ERTV WELL. BUILDING: VENT FRESH AIR INLET. (DIFFERENCE BETWEEN FEET FROM PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE FNr,l H DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: LENGTH- NO. OF ID, STR. PIPE SPACING. COVER JINSIDE DIA #PITS. LIQUID BED/TRENCH TRENC I M IAL' PIT DEPTH. DIMENSIONS ((J6~ fff 1//~~ GHAVEL Ut PTH FILL 15EPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: N NUMBER OF PROPERTY WELL BUILDING: V NT TO FRESH BELOW PIPES. ABOV COVER. ELEV. INLET ELEV. END: PIP ter, LINE: AIR / 93~ /y^ A Jf FEET E FROM I {J NEAREST J MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to, make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES ❑NO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED. SEEDED. MULCHED. CENTER. EDGES: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH. NO. OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING. ELEV.. ELEV.: DIA.. ELEV.: PIPES. DIA.. ELEVATION AND DISTRIBUTION VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL: PLANS. ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE: ❑YES ❑NO ❑YES ❑NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. TITLE: SI AT DI LHR SBD 6710 (R. 01 /82) 0 witconsln APPLICATION FOR SANITARY PERMIT DILHR COUNTY 1nDUST UNIFORM SANITARY PERMIT # nDUSTRY,LR80 LABOR 6 HUTRn RELRTIOnS +al./C 7 -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROP TY OWNER MAILING ADDRESS -~/e y6 PROPERTY LO A N N~ V WrI~eOM F.. /WF1/4 /4, S , TA , N, R /4~ It (or) W TOWN OF: LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, L E OR LANDMARK STATE PI,,4N I P. NUMBER on e,4 &I c I/(J/'/ TYPE OF BUILDING OR USE SERVED IV, ^ 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS PERMIT IS FOR A: EJX New System ❑ Tank Replacement ❑ Repair Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. X Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank ❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit, Is On File, Permit # •g issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: 14Z e- ee et, IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): C j ,a~~ Private ❑ Joint ❑ Public 1, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signat /MPRSW No.: Phone Number. i c a (7/S'j -2 Sy Plumbe ' Address: Name f Desi ner: w e gy Ai~ COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved iWI.I!'>•O~~ / Qom,/ r1 Y 3 El Owner Given Initial 0, Approved Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 f ' To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government.unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); I I 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. Form - S T C 100 Owner of Property Location of PrAp~rty Section T,~ N R W Township-e 1/ Mailing Address Subdivision Name _4 Lot Number Previous Owner of Property- Total Size of Parcel _ C./rre Date Parcel Was Created Are all corners identifiable? -0-1~yes No Include with this application one of the following: 0--Certified Survey Map wed .Land Contract, or .Other Vagal Document which describes the property 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 lace) the owner(s) of the property described in this information form, by virtue of a warranty deed reco~r'd~e1 d in the Office of the County Register of Deeds as Document No.-3,T6 - ; and that I (we) presently own the proposed site for the sewage disposal s stem or I (w y l 8) 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 is er of y eg t Deeds, as Document No. I SIGNATURE OF OWNER IQNATURE OF COOWNER (IF APPLICABLE) Zj o ; DATE SIGNED DATE SIGNED I i _Tdp CERTIFIED SURVEY M' 7• e. LEGEND 0 INDICATES I" IRON PIPE FOUND ` O INDICATES I X24 IRON PIPE WEIGHING \ 1 13 LBS./LINEAL FOOT SET N 890020VE 132707.. ti'3 SECTIO LINE s \ LOT NQ AREA TO R.O.W. AREA TO C.Slrl. MONUMENT AT THE. NW CORNER OF 1 5.536 ACRES 5.805 ACRES S ~ 2 2.319 ACRES 2.508ACRE SECTIQN 8,T28N,RI.9W may' ` 3 2.025ACRES 2.214 ACRES 4 2003ACRES 2.265ACRES s'~ r z w (D 3 LT1 io3s~~\ W =OD ? '°s 1- 9' 0 <u N A °1' • 9 Nil~ ~ h P'L 1 ~ ~ 1 LOT 2 J l • \ SW55.40•E /d ° • ~ 18.38 i LOT 3 o w 250 LOT 4-° N SCALE IN FEET 0 Ct 200 iod 0 200' S4~c}~ CURVE DATA TABLE Q RADIUS CHORD CHORD AR TRAL N CURVE NO 1-3 748256 S5403621 "'E 349.60' 349.63• 2°40 38 \ 1 -2 S53°4501"E 130.52 130.52 0°59 5e• 2-3 S550052d'E 219.10 219.11' 1°4040• 4-5 550.00 N69047'5dw 94.74 94.82 9°524d: 6-7 58300 N70°16061M 109.93 110.10 10°49 1 2 4P T , Ar r registered land surveyor, hereby cerrify: That in full compliance with the provisions of hapter 23'-)•34 of the Wisconsin Statutes and the provisions, „ the St. Croix County Subdivision Ordinance and under t::e direction 0f J3Me3 Zappa, owner of said land, I have surveyed divided, and trapped said parcel of land, that such plat correctly reprosents all exterior boundaries and the subdivision of the lz:nd' surveyed; and that this land is. located in the SEk of the SVl4 of section 5, and the NEJ of the NJ of section 8,tT28N, R19W, Toren of Troy, St. Croix County, Wisconsin, C0=..*nct-:i3 at -the Northwest corner of section 8; thence aCl>tJ02E the S ( ection line 1327.07' to the Northwest C; M 1 ►d$9 ~ , L of the NWj of section g being also the c. , be~ « oft rrr~cr point of bmA ,.I.rli;ing; T pence ;a~~" t 3F"W 1.84' to the southwesterly line of T -2:eYico 53 1 5 +02"E along said line 1035.081; 4 t, . .r.~wncr„e 3 "?F*; 9 Pi:.i' rya;. I. 49,63' along the arc of a 74$2.559 t.c t. .s so Y ose 1 onB U Z•a~+, iris ci:,;.-ve v"-•'Lch is concave northeasterly and whose 16-381; ,a chord he:..rs ::+35t21"E 349.601, thence S55 554 342.16' to the centerline of an existing town ra&d; thence N64.5lt 30"W along said centerline 1104.261 ; thence r.crt`.^•riMaterly 94•$2' along the arc of a 550.0Oradius curve wlni chY t5 concave soutbweeiterly and whose long chord he 94.701 to the 'West line 'A' ;,0.ct1c)r A; thence NO.58138"W along said Forty line 66,9.4~' to the point of beginning. t;o Town Road right-of-way over the southwesterly 7 ~h vr6C,L a` c,•~"~, ; g are James and CatYerine Zappa August, 197 aa.4t, C/ --w this 3rd day of _ : Arthur L. +~eg rer h R.L.S.No. 5-963 x'•. Dittloff Eng. Co. ',i.:; i~~; rn CTI0 CLAUSE ►u r-.-;: t ~.areby restrict Lots 1,3&4, in .that no owner, 4;3a.r r.or licensee, nor other person skali leave any r; cil: sct vehicular ingress or egress writk i ounty Trunk dkown on tbia map; it being exp: e551 ; intended • riC.ion skall constitute a restriction !`Jr aka ooblic according to Section .236.`-%3, '4isccnsir, i ill be enforceable by tke County ~%hway Commission. _ Signed i . , 7%. olvva- SE//EW ; 1~,kES 3 G'~l~GciNF DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, , C DIVISION LABOR AND P.O. BOX 76 UMAN RELATIONS - PERCOLATION TESTS (115) MADISON W1 3707 . H (H63.090) & Chapter 145.045) A1W LOC TI N: SECTION: TOWNSHIP/MUNICIPA ITY: OT NO.:BLK. NO.: SUBDIVISION NAME: Nk % I /T ZyN/R 19 f (or IRV Tin ZAP P)+ COUNTY: - OWNER'S/BUYER'S NAME: MAILING ADDRESS: sf• c/2d /X rs,(E,v kJ oa p ,K P. D ~o ,-11Wv 44) V1_5 Sy~i~ USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: I'PFFRO_FILE DESCRIPTIONS: OLAT N TESTS: Residence 3 A/Ilf- A'New ❑Replace sc.5 7y s1fTTR_c,2oAM w,oz, vim. Vls~~,o RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: IMOUND:ZS IN-GROUND•PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ZS ❑ u x S o u IS ❑ u EIS [Nu EIS a u e0N1EAWe4hf1_ BA E - 61,57 $'0. F7-. 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: Ito- PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER- S CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 0 '11?1 ,10V'AV-,`'cY ? ' IYa. . s~ rte. B- 3 9, 0 9~•~Y 9 6 y 7A.v" S%t 9Z' /7 B- 9,3 / l 240- ' OX- l/Ex y CS , '67'ok ~v L, Z 17 "AA,;- 4-, -33 4A), sue, B-, j' v 96y' Ito-- > a ' a-, S3, r 4.v cs . B - FT" PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PER D PER INCH P- 93 6 Z " o L L r Io-Af P- v/ s N i ss P_ , P_ 1 Ile- 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. /~aTTo~► a~ AEP <5x^,-4 V fr/eA/ X411 //,E- ~x~9oTL y Fr. SYSTEM ELEVATION Ar266& q- hoiA)7 _19-77, 1 e`1e~~T%v~_ d E ( S ~ E A 3 Mq, _ ,p. y t j ` i F ~ I S 1( I ~ € j 7 ( i i t 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): TES S WERE COMPLETED ON: /Pohar Z1144e 'c 4 7- 6 - I `I fi3 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): T- 3 ouf~L Uf~Jo.J 6- /.1 ✓fS=6z 3d' -ey C SIGNATUR DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - L t INSTRU11TIONS. COMPLETING FORM 115 - SRD - C, To p orate soil test, Ycnrr report must include: ndicate r this is a re corm p, ect; 3, On: G use planned,; 4. yr ; , A IS SUITABLE FOR, OL.DIN TANK ONLY IF ALL ED OUT DON SOIL CONDIT[ 6 L )r vvriting profile des( id completing the plot plan; :u tr.iy icscatirag your test Ioeatior vincg to scale is _r>>ferred. A vertical elevation lef ice point are clearly shovvn, an4 a rn:nent; is to dates, nan' s, es, flood plain data, percolation ' >st exernp- ood Alai", r } do r-, y, -lace N.A. in the appropriate box; 11, ur current fc n J yor, ~fic ior.,number; 12, tribcate as qu'ired. ALL. SOIL TESTS..MU.ST. RE FILED VVITH THE . ITHIN 30 DAYS OF OOMPI i_ - m_ a -D SOIL TESTERS Cthe BR SS y Thar i;c - ay fCf c CC P1 MIT) d P H kNI L BM - VRP I r R.EPORT ON SOIL f30RIN&S A, PERCOLATION TESTS IIS ~o f d,M SvA-P1111-r1e v PLo r P L AM PROTECT r. D. ~r- pArE HOMESITE TESTING CO. RT.3, O'NEIL ROAD BOB ULBR1('.j,~ riUinSONt WIS. 54016 e5T ~.S- 02 YeZ IMPOSED "wsE moor L1E 25r" ea,~ MO~tE "oAf .9LL TEST ~,PEgS, pRo poSE O we a M osr me- 5o Pt o~ ~yo per' FAM" ALL- TEST }~~E'~fS. X _ }OE G. a "Ip O,@ 514tv'E/tA6E5 L 6E r row t~ fe- ~pr /0 0. Q1 IN q r 1 9o` ~V~ A;& pit RP/;Pa X . 336 /fop 1 Phone 715-386-5802 • SFRIEALTOR HOME MARKETING CONCEPTS PRESENTS PROPERTY ADDRESS: COUNTY RD. # FF PRICE: $18,000.00 # 1-6 LOT SIZE: 5 ACRES This lot offers a view in all directions, plus an ideal location for a SOLAR ENERGY HOME. Excellent location for Twin Cities commuters too. 2 minutes driving time from the 11th St. I 94 exit. k L-X i t I r~ r evW5ci}I :7, j ~s ! o f y ~l ~ ~ h1 655.39 S 53°15 02 T H. - fF" - F ,CO 10-35 08 00 P 3 ~O ~t~G N 1 m O ad $ in m Z d N G N 00 a 2 pt 1ti 1 60, 0~ 9~ 4 Tj 14 252 11' 250.00 340.00 'Z u'_ 50.00 35213 N 64°51'30'W _ 1104.26' REDBRICK R~A~ h Lt/ d ° Cf y , !-;Y M 0 cr\ --;,-C-,04 C-000 L 92 t i i~-c, -7-0 ST. CROIX COUNTY 351154 SURVEYOR'S RECORD II, CERTIFIED SURVEY MAP FILED AUG 24 1978 o, A44a 0, 00 of , 9 L LEGEND 0 INDICATES I"IRON PIPE FOUND O INDICATES I"X24" IRON PIPE WEIGHING \ 1.13 LBS./LINEAL FOOT SET N 8900202'E 1327.07 SECTI LINE \ \ \ C.S.M. MONUMENT AT LOT NO, AREA TO R.O.W. AREA TO THE NW CORNER OF mss' ` 1 5.536 ACRES 5.805 ACRES SECTION 8,T28N,R19W cp 2 2.319 ACRES 2.508 ACRES 3 \ ` 3 2.025ACRES 2214 ACRES C 6s \ \ 4 2003ACRES 2.265 ACRES F 3 S3 \ N Z Z 9 s \ 30 Z m M X502 ,Ty\ x ~ F v LL LOT 1 ./0 \ 0 3 3S p9 \ w -co \ Z M $ J OD s2 \ \ \ 0 ? \ N O \ \ 3 \14,4 o~ of /c~yg ~~j\ © a'1~ h ~ r' ~ • ©~ago2 z LOT 2 s~ozd~~Q \ b \ S55055'40'E \ Nv~ ` 18.38' LOT 3 \N6\os \w 2S LOT 4 SCALE IN FEET \ ~io4 ss 44 o M 200' Iod 0 200 \ `eR~ck 3 g04~~~ N CURVE DATA TABLE `~4p 523' Dm, g' - t'xJ CURVE RADIUS CORD CHORD AR CENTRAL 1-3 748258 S54°3621"E 349.60 349.63' 2°4038" 1-2 S 5304601"E 130.52' 130:52 005956' 2-3 " S55°05'20'E 219.10' 219.11' 1°4040' 1 F 4-5 550.00' N69°4750W 94.74 94.82 9°5240; L 6-7 583.00 N70°16'06'1N 109.93 110.10' 10°49'12' Volume 3 Page 659 o~ -se.~_on