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HomeMy WebLinkAbout006-1008-95-100 n N O v 0 C c ° n 3 \ 1 O 3 o m uN, o o A m o N• m 3 0 CD o o Lo cp oo N A O. Z a y N^" _ o N c N fp O i 90 N co l 11 (D Co pWj f'n O CL 0 o ° (D co o -0 O 0 o n w o rn c m $ i ° o Q, ! o O to O (n m ? C OD N N (3 N ~ ~ N N 3 0 o N) N) N - A N W-ft p O O CO p 4 a. CO CD OD co En N NCI' N rr C a a 3 v_ O O O = O Ott N rn f a co .vov(n CD m n CL M N ZZ9 JI' O D D 0 3 = Ne OS ° l'V • (D 1 O N l~ 0- N j A N J w fD O Oro m a c 3 O d 0_ y f D O Q 0 (D N 3 m D) x Cl- ° 7 O C I A Z n C fa 7 N w N O, 0 O~ N A G) 7 =r N 0 C1 N Q fD (A W A 0 x o0 00M m, CD (D a'(xD~ a 3° Z m 7 O. O A ova 0 m _v 0 3 N O G tll A O. (D I w ~ 3;'oCN a (D S F =.a Q. o c c. _ aa' m N D) C i =oc Z o y o 0 o (D (nn O N .0. 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CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - WUSTERHAUSEN, JOHN A & FERN L JOHN A & FERN L WUSTERHAUSEN 2284 CTY RD H DEER PARK WI 54007 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 2284 CTY RD H SC 0119 AMERY SP 1700 WITC Legal Description: Acres: 22.430 Plat: N/A-NOT AVAILABLE SEC 4 T31 N R16W SE SE THE S 1000' OF E Block/Condo Bldg: 1010' EXC E 2 RDS Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-31N-16W Notes: Parcel History: Date Doc # Vol/Page Type 09/05/2002 689283 1968/149 WD 08/14/2000 628114 1534/190 WD 07/23/1997 799/389 2005 SUMMARY Bill Fair Market Value: Assessed with: 90 138,000 Valuations: Last Changed: 07/26/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.430 25,000 84,000 109,000 NO UNDEVELOPED G5 16.000 11,200 0 11,200 NO Totals for 2005: General Property 22.430 36,200 84,000 120,200 Woodland 0.000 0 0 Totals for 2004: General Property 22.430 36,200 81,000 117,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 09/15/2005 Batch 05-13 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 TOWNSHIP SEC .TN-R/,/ W OWNER ADDRESS ST. CROIX COUNTY, WISCONSIN; SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H63 -EVER 'RING WITHIN 100 F1?E't OF SY TE'14 -lyj - - - { pus I di o f or, th~ A roe j ALF •h BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: Slope at site: SEPTIC TANK: Manufacturer: quid Capacity: Number of rings on cover Ta c manhole cover elevation. Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER J Manufacturer: Jai / , / Number of gallons -YE Number of gal. pump set or a cyc e-;25:,3 gallons; to a c pacity o distribution lines 7 Q'3 gallon: size o head; gallon per minute horsepoweran name of pump and model number ; Type of warning device N,(Ev f~,fr HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover Type of warning device SEEPAGE PIT SIZE: --Number o pits feet diameter feet liquid dept seepage pit in et pipe-elevation frAUAIJO bottom of seepage pit elevation feet. S£-E BED SIZE: number of lines__,~_wA th leagth4;~etile depth, SEEPAGE TRENCH: widt length/ RE 7t RE S BU LT 7_ PERCOLATION RATE ' SEA RE U INSPECTOR -DATED PLUMBER ON JOB LICENSE NUMBER X /yb5 BUREAU OF PLUMBING ON, WI 53707 ❑CONVENTIONAL DALTERNATIVE SlalePl- ID.Numbcr iy Holding Tank O In-Ground Pressure 4 Mound HI a-9-J) 7r©-3 NAME ( iFHM- '40ER JADURESS OF PERMIT HOLDER- INSPECTION DATE ~ M B NCH MARK IPeunenent rell"11- porllll DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF PT. ELEV. Nann.• ul urohnr MP/MPRSW No, Coumv Sanitary Palma Number: SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TANK INLET ELEV. TANK OUTLET ELEV WARNING LABEL LOCKI C V PROVIDED. PRO E 1,~L)aa2_.~ pop ❑NO S NO BEDDING YES VENT nIA. VENT MATE HIGH WATE J-_.. NUMBER OF HDAU. PROPERTY WELL BUILDING. VEN TO FRESH E ALARM LINE V AIH 1 LET FEET FRgM. Q L_JYES JNO I Y pD ft f DOSING CHAMBER: MANUFACTUHF. Ii UEUDING LIgU117 CAPACITY PUMP MODEL F'UMP/SIPHON AWARNING LABEL JLOCKING COVER PROVIDED: PROVIDEDPv "r~'I 1 ES 0 YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: ONAL OF DRUPE HTY WELL BUILDING V NT TO FRESH (DIFFERENCE BETWEEN C FEET FROM LINT 0 u AIRa / i R1 ADC PUMP ON AND OFF) 10 YES ❑EFORCE ZW__LEN SOIL AB SORPTION SYSTEM. Check the soil mosture at the depth of plowing GTH 1111^111111 MATERIAL AND MARKING or excavation, (If soil can he rolled into a wire, construction shall cease until 7 5 y ~p the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WID71I LENGTH LWI F PIP G~ COVER INSIUE DIA it PIT LIQUID OWTHENCH H CHES MATERIAL' PIT DEPTH HAVE L DEPT 1 FILL DEPTH UISTFI PIPF STf PIP ISTR. PE MATERIAL NO. DISTR. NUMBER OF P P T L. BUILDING. V NT TO FRESH OF I.OW PIPES ABOVE, COVER ELEV IN T LEt PIPES FEET FROM N AIR INLET' 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- YES___ CJNO meets the criteria for medium sand. TIONS MEASURED. SOiLCOVER 1 UHf PERMANENT MARKERS OUSEHVATIONWFLIS YES ❑NO -P_' ES _ ONO (it Pill OVf.II 1HCNf11 BEO DEPTIi DVEH iNENCHIU .PTH Oil TOPSOIL SODDED SEEDED MULCHED t'1N1fF1 EDGES U ! ❑YES O ES ❑NO YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. NO. OF LA ERAL SPACING GRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVEH BEQ/TRENCH / "f RENC1IES: tz,4~~lgslnNS V G 3 3 MANIFOLD PU MP MANY OLU DISTR PIPE IMANIFOLD MATERIAL./ JNO DISTR. DISTR PIPE DISTRIBUTION PIPE MATERIAL d MARKING ELEV ELEV IA ELEV PIPES DIA.. ELEVATION AN 1 q p1 DISTRIBUTION _IId' l qo' 7 J ! /z / / ~v ~ 5( v ATION r101LC SIZE HOLE SPACING DRILLED COHRECTLV COVER MATERIAL: VERTICAL LIFT CO ESPONOS TO APPROVED p PLANS < J~i 1Y l__JNO / ES ❑NO COMMENTS: PERMANENTMARKERS. OBSERVATION WELLS: NUMBER OF P L P RTV WELL. BUILDING. FEET FROM I 1 S t ~I q~ G ~'/I YES ❑NO YES ❑ NO Z/ I►~L I~l(I % ~(7~3.77 teo 109 phi ~I Z T, Id - 11 71 /O.O I 5i S ~~5 D y `~1 C~')Ak O L ~i I Sketch System on ~a-eoitgt~file for audit. Reverse Side. DILHR SBD 6710 (R. 01/82) ~..3 • .,Y ~ AGE S fY)ARK CeitOTT 1 N `cp R R! Box 9 7 S S C 'k, sec. ~ iDe e e- P69 K , w Is c-o T 31 N,, R 16W cly r Lv 11 Fence 5 a: 6ay\c. p) qr*l 16 J, I~ sad ~ ~ y Ginro / r N1,3, /D el) 3 I: . s c io L, I~LUM®ING , anditiona~ i 13A ~-'t~ (E) APrl%jV'm m 4c~cfi DEPARTMENT OF INDUS f , LABOR AND HUMAN RLIP ELATIONS-d Ost DIVI ION OF SAFELY AND f3lJILDINGS ~ J 5 H E O looo ~ `41 i S C~~REUPONDENCE _ wl STf~~~ n y t ti ooo~a~ 14 L V I n 0 LA/ el ~ f Pc p~ ~ 93 f) e L, Pl c.hmond,,W/sc, r` rnP is~3 , - - / gam- I _ z . p 1113 , ' r HouSE MIAR 2 21082 82 607 03 DEPARTMENT OF APPLICATION ~ SAFETY & BUILDINGS "1ND&T,RY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8'/z x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must be included. ~Oh~ D~ Mailing Address: Property M Property Location: '11 l -City, Vigage o Township. County: S C N o ` So '/a 50%4S ` /T3 N/R or) W X o Lot Number: Blk No.: Subdivision Name: Nearest Road /Cake or Landmark: State Plan I.D. Number: TYPE OF BUILDING /v Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family *State Approval Required. 13 1 TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER 01666 Al MANUFACTURER: We r%5 EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New ❑ Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit '7 ]N Alternative (specify) t) t . ) ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): ERPrivate ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Nam f Plumber: Signat MP/MPRSW No.: Phone Number: Cd (I IA' C-J Q r W-<14J1 r15 -372--r,5 Plumber's 77 Name of Designer: 3 2-1 G 11 COUNTY/DEPARTMENT USE ONLY Si na u of Issuing Age Fee: Date: Z.APPROVED Sanitary PerrmiitZ-N~u'mber: f "~7 a ❑ DISAPPROVED i? 9L N Reason for Disapproval: Alternate counsels) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHRSBD-6398 (N.03/81) f, State of Wisconsin ` Department of Industry, Labor and Human Relations Please Reply to: SAFETY & BUILDINGS DIVISION r- Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Plan Identification Number _j 8 9 Re: PRIVATE SEWAGE SYSTEM ONLY The Bureau of Plumbing has reviewed plans, site survey information and installation details for the constru alternative private sewage system to be installed at the above-mentioned location. The plans and specifications were prepared by and and received for approval on The soil and site evaluation was conducted by . ~•+a 4. x~ The site meets the soil and site requirements specified in chapter H 63, Wisconsin Administrative Code, for the use of `r . i The proposed system is fora rro ` 4 Wastes from the building will discharge to a gallon capacity septic tank which will discharge to a-,LLB'-gallon capacity pump chamber from which a pump having a capacity of `Y(7 gallons per minute against a total dynamic head of 7S feet will discharge through a 41 inch diameter pipe to the soil absorption system. It is of utmost importance that the system be installed in complete accord with the plans and installation details and the conditions of approval contained in this letter. The licensed plumber responsible for the installation shall notify the county inspector when the installation of the system will commence so that the county inspector shall be able to inspect this installation. The installer shall not deviate from this approval and shall follow the directions or orders issued by the appropriate local or state authorities. In accord with ch. 145, Statutes, and ch. H 63, Wis. Adm. Code, the plans and specifications are approved contingent upon compliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. The architect, professional engiineer, registered designer, owner or plumbing contractor shall keep one set of plans bearing the stamp of approval of this department at the construction site. If the installation of this system has not commenced within two years from the date of this letter, this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions, examination oversight, construction or any damage that may result in or after installation and reserves the right to order changes or additions should conditions arise making this necessary. This approval is based on ch. H 63, Wis. Adm. Code, requirements. It shall be necessary to obtain and fulfill the permit requirements of the county in which this installation is to be constructed. Failure to obtain county permits will automatically void this acceptance. cc: OWS By: County Other T Enclosures lo;►~r . _ 3 mes Sargent, B Irector DILHR-SBD-6159 (R. 7/81) SBD, 6678 M/81) (Ptb 1006) Ye a STA TE,OF W# f @*twlr And Return Upper DlvlsM al:40,11 1 i' Portion Of T~is Form BUREAU ~ ~ 201 E_ WASHING' AY%~ Any Return bpop, P.O.-,BOX 79E _ N1Af~ MADISON, W1 53707 l soa-ass-ssls DATE: O3{22/3Z IONIAG 198Z PROJECT:. OFF14 Ce l i of , Mark - Residence `V SE,SE,4,31,16W Tn Cy1on -Powers Cement Products St. Croix WI R.R. #3 New Rjcomond, WI 54011 PLAN ID. #2-OE1103 DETACH HERE Cel1©ti, Mark - Resipence 82-00703 PRESJECT NAME PLAN ID. # . . This is:to acknowledge receipt of your plans and specifications for th® above-indicated pro*t. -5T.~4 s Preliminary review indicates the required fee is JT d Fee Received is $ Underpayment -Please submit the additional fee. ❑ %Overpayment Refund forthcoming, Plan accepted for review. Plans being returned. No fee has been remitted. Plans submitted with no fees will be Additional information required. SEE$tt. held in abeyance. 1. Plan Submission ❑ Complete data relative to anticipated Additional information shall be submitted in duplicate un- ❑ 2 .copies of PLB 60 enclosed'. less specifically noted. ❑ Deed restriction required '(1 copy).: , ❑ Plans not clear, legible or permanent. ❑ Condominium declaration. (1 copyf All information submitted shall be signed, dated and sealed or stamped in accord with Section H 63.08(2) (a) Wisconsin Administrative Code. ❑ Affidavit enclosed. IV. Holding Tanks ❑ Profile of holding tank showing venir,"Mitt , 0 .fin, manufacturer if precast. Complete cortstruti~t+►:r i. 11. Pressurize Distribution Systems (Mound or In Ground Pressure) site constructed. Application for use of an alternative system signed by owner ❑ Holding tank agreement signed by owtxer 3r#xRal o and notarized. (1 copy) government (sample enclosed). ❑ County onsite required (1 copy). ❑ Design calculations ❑ Reason for installing holding tank, soil.ui> * ,5)ts~t+t n for pressurize distribution. ❑ Soil boring & percolation from county (1 copy). test data. rat" Cross section of system. ❑ Pipe lateral layout. ❑ Plot plan showing location of hokiing anceS to any building, wells, water piping, Mire p Plan view of system. ❑ Plot plan. course, lot lines, swimming pools, -allerYiQe rid ❑ Verification of Exception Status Form by County. (1 copy) Etc. Provide benchmark with elevati64 ref878 00*' 11. Private Sewage Disposal Systems° , V. Lift Pump ❑ Ground slope with 2' Contours in entire area of soil absorp- ❑ Calculations for total lift pump discharge, head aitd ja n tion system extending 25' on all sides. pumped per cycle. ❑ Elevation of permanent reference point (benchmark). ❑ Size, length & depth of force main. ❑ Location of area suitable for replacement system - provide ❑ Detail & model of pump or automatic siphons includim soil data. size, pump curves, drawdown and average flow rate GPM. ❑ Plot plan showing lot size and all lateral distances from- ❑ Cross section of lift pump tank, showing pump(s) or ; sewage disposal system to buildings, lot lines, well, water siphon(s). course, swimming pools, water service piping, Etc. Construction detail of septic, holding or lift pump tank if site constructed or tank manufacturer if precast. VI. Systems In Fill (Fill must be placed prior to,pla[a s 6*J*J0 . ❑ Construction detail and cross-section of soil absorption ❑ Total area filled (fill to extend 20' heyond`4 60 iiii~f system. before side slope begin). r: . ❑ Soil boring and percolation test on 115 completed by cer- ❑ Depth and type of fill.: tified soil tester (1 Copy). ❑ COPY of onsite report by county or ojst Ict stiff, y - J ~/P'i eti+ yy~~ ! . _ d ~>x r fi f is * x o kin ti~ t {g is _h ~ -j~f„s ~i r wY`rx• ~ gg t~- an W, oily. `~1,3 ~Y~~ "~1 S ir.r a 7t 'S ~ 3'r~S° ~t~*2` ¢ - gy g } :1~ ~ r~ ¢~e-- ~ ,.y ..ti _ '•Rw~~g„er•~'; # t °ri~ k :'~!l~~~t i-•. 7 i.~}+,'>; s F Ell, low a s vi a "Pf h ~ fie, ~ f r-~ ~ .r„: - '~'..d. a~ .yr. r~.,~ ./s ~~y s•~~aq~~•~ .fir f r a ~ t.t="TC'. ::.Y4 aL .~1s7 { ,~y+A.7' ~F<~; r !fw C.li'. + "1 s. {FUS 7 7, 77 r- w z r j~~ a c 2C. Wr e ~ Std .r _ r r~`.( ier ~r!r7i :l,i tar Kv` 3i4F , t),"*'F t'?~*k~iCs ,ad J! r J;yn 'I hi 1:0,11 y'+'-" . ' L~Z~G~ _ ~ 'j: ° ~;ti 'fpy 1~ Tt.' d C~f•~ , { ~t~~~, ` t 's 3~" t st ajs~F g A Fia}a i T E` 3 1 atop. - 44 e t kA.e H' 3d .:i r# i T 1UY.r ,",t~~t r f6 S 75 31 ;,,.vF$xfFt_: r i~~ f dl icy <fi"{f-~'^~ t! .~.1. 7IU i fi kttt ~'ic{ ("Ld,h x )lr3t,rt S. „ l i3 s +v+,~ _ 4 -M ~;~il ~ t J'1~'';u~ a''. l~ .+j>~r~ t ~ k:.{~t3~ 2 ~ ` j . M S~ pf - :~-1 r~ ~"z ~@sa"'"~r(1 'i>rr~ et S~~ ft~.:~Wtr s ` ~ 1L - .{,k4~ ~ >_t Fte o r;~t it x kky h" ~ r R) ~Al a ~`,~.yTf. ~ ri 3,,}+ ~~9'~ ~r4.`•x^:; ~,~t i,r` ds tit#~ .Q X3 UW ::L r~ Rai;#~ YS`i YJ.~ alef~ s 1 A t ~ 14 ale- 1'r ` f6+f ~ I+ t~: F f-1`t Ti#1 1 e1~i$ to ~ '.F*i'C+I ~'•+Kj, ~t F ~ '"s'USaN s jf i a~ '+$s~` _ N S °z3 _ as ~o vo"Pan win., "two" Tr 11v~i .A'1 ~''.~evl: ,i. 1- f _.~bkif - • `N` 1< s 7 f5 . a, r'•1L S. 19 1 14 { Jos; r_`~i? ~ fR ~ 7~ 4Sr1ty ~ 3Si.. ~ ws`'•t ~"w~ t~ n: x. t ,f - _ Kl d~f z. WON ITS;- 1 - .'F.' WORKSHEET - MOUND SYSTEM DESIGN ~I PROBLEM: Design a mound system for a The site characteristics are: Depth to groundwater or bedrock in. Landslope % Percolation rate` min./in. Distance from dose chamber to distribution system ft. Elevation difference between pump and distribution system "~,Lft. J SteP 1. WASTEWATER LOAD 9 ■ ) +I'~` gal. 1 Step 2. SIZE THE ABSORPTION AREA A) Area required , - sq. ft. B) Bed or trench length (B) _ >~1♦ ° ft. C) Bed or trench width (A) ■ _ ft. D) Trench spacing (C) _ Ngstewa r iQgd .24 gal/ft2/daY z 6 E 4~:-D ft. f trenc es NI AR 2 2 10-82 Step 3. MOUND HEIGHT rn r AY. Fill depth (D) ■ ft. B) Fill depth (E) D + % slope (A) ft. :0 t C) Bed or trench depth (F) d _ ft. D) Cap and topsoil depth (G) ft. ,Cap and topsoil depth (H) ■ ft. Y - 8200703 fit, ~:~C~r t.~ ~ S c:. Step 4. MOUND LENGTH A) End slope (K) _ ID + ~ E1 + F + H x 3 = ft. C,3 + B) Total mound 1h9 h (L) = B + 2(K) _ ft. Step 5. MOUND WIDTH + t Al) Upslope correction factor = ~0 = p~- A2 U slo width D + F + p pe (.J) s ( G)(3)(factor ft. ( 14 431- ~.}x3x r _ ~~y9 B1) Downslope correction factor = ~_D 82) Downslope width (I) _ (E + F + G)(3)(factor) ft. ()t,$3- f) x I = F C1) Total mound width (W) for bed = J + A + I ft. -1<1 q C; t C2) Total mound width (W) for trenches = J + 2 + (no. trenches -1)(c) + A + I ft. 2 , Step 6. BASAL AREA A) Infiltrative capacity of natural soil =r~ .77 2 2 1982 gal./ft2/day B) Basal area required = wastewater florr~pt~7 c~ natural soil infiltrative capacity =~q $ sq. ft. 450 C ..'I - 4+yci.,,f- 0 1 C1) Basal area available for bed for sloping sites = B x (A + I) sq. ft. C2) Basal area available for trench for sloping sites = B W; J + A _sq.ft. i C3) Basal area available for trench or bed for level + ~'~7 s Y_, s sites B x W ■ ~q. ft. x a3 14 3 7,50 8200703' Fck + S Step 7. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM 1) Hole size _ in. 2) Hole spacing = in. 3) Distribution pipe length = 372 in. 4) Distribution pipe diameter in. 5) Spacing between distribution pipes = 3,. in. 6) Distance from sidewall to distribution pipe = 4 in. 76) DISTRIBUTION PIPE DISCHARGE RATE ft. 1) Number of holes per pipe = 2) Flow per pipe = GPM 7C) SIZE MANIFOLD 1) Manifold is central/ end 2) Manifold length = 3 ft. 3) Number of distribution lines 'q 4) Manifold diameter = - y z in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate = is X ear;: Ll,f` GPM u 2) Force main diameter = MAR 2, 2 A in. I f~Q2 3) Friction loss ft. t % 7E). TOTAL DYNAMIC HEAD 1) Vertical lift = ft. 2) Friction loss ft. 3) System head 2.5 ft. n , eft. 4) Total dynamic head 1,4 8200703 CIO 7F) PUMP SELECTION 1) Pump selected will discharge ~ GPM at ft. total dynamic head. 2) Pump model and manufacturer 04 A -C y14 p 7G). DOSE VOLUME fftt 1) 10 times void volume of distribution lines 7 gal./cycle 2) Daily wastewater volume : 4 doses/24 hrs. gal./cycle 3) Minimum dose volume = ! -gal./cycle 7H) DOSE CHAMBER 1) Minimum capacity required gal. /DDS - aP 3/3 //8~ i MML PLUMBING 0,K~LtLO,ta~ APP DEP 'K VED ARTMENT . OF INDUSTRY, LABOR AND D! I HUfA SIO AN R N OF EL SAFETY AND BUILDINGS ATIONS EE CORRESPOND NCE 8200709 r 'o k~ 4 CPI ~ j r f f i 1( Q 4N- . /,Y 0, r~ i v PLUMBING Olt, fENT Of AND DEPART t~ h s ` D(Vi ION SAFErY$AND~BUILDINGS - 8200703 , r RJRRi~...PC1NDEI~CE s W rt h 1 M P UMBIN " ot Q f PPD AM an DEPARTMENT OF INDU r D DIVISION OF`I OR aN0 H MMA N RELATI Q DINGS DNS oo~o f- vc..` Qn 'VAR 2 P ; y. .o PLUmaINO A P r DEPARTMENT ~F INDUSTRY DJVJSrOIy OF LABOR AND SAFETY A D HUMAN RELATIONS BU1tDINGS E 10 r `'JNDENCE • M ell W oe ci` 0 - +r 9, 2 J 200703 ci I ra 1 Pat ~t~ 4 f. - c V ~ I 1po SO f,,,-6,z 50 &/D ~ PLUMBINQ i oo yti 41 Conaitiona Pu~P ARTMEN 'a, f 1 gi ©f T OF INDUSTRY ~ApOR AND H PPRO 75,/ 7 DIVISION OF SA1 ETY AND BUILD NG RELATIONS -0 8 2 J " 8200703 WISCONSIN DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING, PLATTING & FIRE PROTECTION POST OFFICE BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of St. Croix Location SE 1/4 SE_ 1/4 S 4 T 31 N, R lT 6?m W Town or Municipality CXion Street Address R.R. 1, sox 97 Deer Park, WI 5 007 Lot No. Block Subdivision Landowner's Name: Mark Cellotti The application for this site is to serve a: ❑ new construction use. ® replacement system use. If this is a NEW CONSTRUCTION USE, the alternative private sewage system is to be included as: ❑ part of the 3%/5% limitation. This is number of the applications made through this office. ❑ one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. an individual lot for which a sanitary permit was issued but was later ruled unsuitable due to new or changed soil criteria established by the department. . ❑ a lot that meets the site criteria for a conventional private sewage system. If this a REPLACEMENT SYSTEM USE, the mound is replacing: x ❑ a.failin9 conventional soil absorption system. ❑ a holding tank that was installed and in use prior to February 1, 1980. U a privy that was installed and in use prior to February 1, 1980. I certify that the above information is true and accurate to the best of_my know,ll6dge. i Name Thomas C Nelson nature Title A6sistant Zoning Administrator Date March 3, 1982 J STATE OF WISCONSIN-DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS ✓ DIVISION OF SAFETY & BUILDINGS - BUREAU OF PLUMBING P.O. BOX 7969 - MADISON, WI, 53707 APPLICATION FOR THE USE OF AN ALTERNATIVE SYSTEM Location: Township sziR&kkk)t: SE 41 SE S 4 T 31 N/R16 AROCTO W C lon Street Address: Subdivision: County: R.R. 1 Box 97 St. Croix Landowners Name: Mailing Address: Mark Celloti R. 1, Box 97 Deer Park, WI 54007 I (We), the undersigned, hereby make application for an alternative system on the above-described premises. I recognize that the above premises are not suited for a conventional private sewage system. If approval is granted. I agree to have the system installed in conformance with the Bureau's approval of plans and specifications. I further understand that an alternative system is more complex in nature than a conventional private sewage system and as such will require detailed inspection during construction and monitoring after the system is put into use. I agree to permit both county officials charged with administering county sanitary ordinances and Bureau employes or other authorized persons to have " access to the above described premises at any reasonable time for the purpose of inspection the construction of or monitoring of the system. I further agree to either personally or by my agent contact the proper county official to arrange the time and date to begin construction of the system. I understand that this application does not permit me (the applicant) or my agent (the contractor) to begin installation. If the system is approved, the Bureau will send the applicant a letter of approval which authorizes construction of the alternative system after all necessary permits have been obtained. I agree to give notice to any.subsequent buyer that an application for an alternative system has been made and if installed, that the premises are served by an alternative system and further agree to give the buyer a copy of this application. The Bureau accepts this application subject to this understanding and subject to all the conditions and obligations set out in this application. Signature of Applicant Date STATE OF WISCONSIN Subscribed and sworn to before me SS. COUNTY OF This day of 19 Notary Public, State of Wisconsin My Commission Expires: DILHR-S BD-6413 (N. 05/81) Rev. 9/78 REPORT ON SOIL BORINGS AND PERCOLATION TESTS WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES P.O. BOX 309, MADISON, WISCONSIN 53701 LOCATION- %a,_S~'/a, Section,T,N,RE (or) Township or Municipality Lot No. , Block No. County Owner's/Buyers Name: 99 R_/ l0 Irle vision Name _jc Mailing Address: Au l s-~ 1 7 Q TYPE OF OCCUPANCY: Residence X_No. of Bedrooms -3 COMMERCIAL EFFLUENT DISPOSAL SYSTEM: NEW -REPLACEMENT X ALTERNATE SYSTEM OTHER DATES OBSERVATIONS MADE: SOIL BORINGS Zk~ A-i PERCOLATION TESTS 9 n~+~ S41 SOIL MAP SHEET J N NAME OF SOIL MAP UNIT PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P- l ► t ! I) M. to P- J 1 f( P % g ~f R P- P- P- SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES - CHARACTER OF SOIL WITH THICKNESt, COLOR, NUMBER INCHES TEXTURE, MOTTLING AND DEPTH TO BEDROCK / OBSERVED ESTIMATED HIGHEST IF OBSERVED IN INCHES B- If W B- ;7,2 ty 12 ka B-too Z& q- y ~ .x B- d Azitee, / fi 6- PLAN VIEW (Locate percolation tests, soil bore holes and suitable soil areas.) Indicate on the plan the' location and square feet of suitable areas. Indite number of square feet of absorption area needed for building type and occupancy 0. Ilia .sad Indicate scale or distances. Gi ` rizontal and vertical reference points. Indicate slope. 40 1 i C> fTe h i < W N ~ - m_ a SL_ e 't _ • o 'Z 7r !C! It C P 9 ~ O T i ]p'. ,t -C o _ s , N` " Y ~ 1 i 4a~ ~ I 'Ti ► ,V ( i~ x t At, - - on- . aO - pppp _ y - c, I, the undersigend, hereby certify that the soil tes reported on thl'form were made by me in rooedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. y Name (print) Certification No.!~ t Address Name of installer if known -Local Autho i CST Signa r k ti.,a•, ST. CROI X COUNTY 44 WI SC ON S I N d 'j>`~` X75 4'cy4~ ZONING OFFICE 796-2239 F- HAMMOND, WI 54015 March 3, 1982 Division of Safety and Buildings Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Mark Celloti property located at the SE4 of the SE34 Section 4, T31N-R16W, Cylon township in St. Croix County, revealed suitable soils at a depth of 24 inches, below which seasonable high ground water was noted. This site should be suitable for a mound system. Should you have any questions, please feel free to contact this office. Yours tr Thomas C. Nelson Assistant Zoning Administrator TCN:sl