Loading...
HomeMy WebLinkAbout016-1020-80-050 ~ o ~ I ~ ~ p cs' I m ~, ° I 0 ~ 0.' ~ ~ I ~ ~ y I O 3 ~! 'o ~~ 0 N ~ p ~ C 1 '~I ~ ~ ~ ~ N ~ E 00 O p "~ O C N f6 O d y U ~' ~ > e ycca~ o ~ ~ I ~m a '~ I t c ~ ~ C U ~ _ ~p m ~ N C fOp O ' 0 2 'C C C 0 O Z ~FF C U I 7 ~ ~ D7 N c cam `o ~.. I ~ o ~~ a~ O o c ~ I a ~~c c ¢ mao~ I M Z °m I I H O O ~ ._ ~ ~ E ~ v m I~6 O z ~ ~ ~ c E °~ z d m m~ 3 Ev o I •o c - o Z y -°' ~ ~ ~ o O O v F ~ r- o . I ~a O 3 ~ ~ w I N Z i ~~ ' N ~ ,_ ~ ~ o I z V1 h r ~ i ~ N v1 to N E ocE 'O I O ~ E N O) ~ m M I g ~ o O ~ 0 -~O O N O N ~ i 'O O ~ ' C C ~ L 3 0 'C V) C O I ~ c c O cE.$~ ~ ~ Z ~ I Z I M ~ d C ~ ~ N ~ N a ~ ~ a '~o .~'~. C ~ c I ~ ` L ° r c o a ~ c n - I rn cn ~ ~ w z ~ > o a m 0 ~w °3000 Z ~`N R ~aaa ~, °' c~ I (V O O r O O O Z O 2 c+~ in ~ I ~N, ~ I N N O ~ _ ~ 'O E N d a m~ ¢zin I ~ a a ~ ,. o ~i ~l ~ ~ E y c C O E I O ~ o FO., F- p~ ~ ~ ~ r V d p v ~~ ~ a ~ =~~1 I } d~~I ~ FBI M C N O Y N~ ~~ ~ ~ ~y ~ C~ _ ~ O Z C ~ ~d fn o ~ I - c~ . ~ a ~ ~ ~ ~ a a • ~ c.y!? ~` m I r~ r '~ A ~~ C ° I C Y 7 oa ~ c ~a~ ici ~ 1 ~,. Wisconsin Department•of Comrrrerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO~ERM;eT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. Permit Holder's Name: City Village X Township Hellendrun ,Tom Glenwood Townshi CST BM Elev: Insp. BM Elev: BM Description: ~~~~ ~~~~ ~ f'~ i ~ c7 t TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic 3 ~- Dosing ' Gv,..,,,~- ~O( Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ /~ 0 ~ /~ /l0 ~ / /~ .~ Dosing /~ / ~~ / ~ > ~ --~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~/ (,//~ Demand (~~~ GPM Model Number ~ ~ ~ ~~ TDH Lift Friction Loss System Head TDH . Ft g>$5 ~ ,s(.o 3,~ /10.71 Forcemain Len~t~ / Dia. ~~ t Dist. to well , ` SOIL ABSORPTLI.OvN SYSTEM /(,/f ~- County: St. Croix Sanitary Permit No: 463068 0 State Plan ID No: Parcel Tax No: Sectionlrown/Range/Map No: 10.30.15. STATION BS HI FS ELEV. Benchmark 7. `~- /b7 /~ Alt. BM ~. L /~•Z Bldg. Sewer 7~L /d6~Z SUHt Inlet SUHt Outlet ~ ~ Dt Inlet ` ~ Dt Bottom lz•3 95. l Header/Man. 3,'~ i /a3. `1 S Dist. Pipe 3, `fs /Q3.55 Bot. System /~L/~ ~I • J +-~ ./~ /~V ~ `G~ Final Grade cl D / ~~ S' `~ St Cover ~ Z 1a ~, J~ S .Z. 1dZ ~.J-;~ ~ /d S Z BED/TRENCH Width ~ Length ~ No. Of Trench s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 5' ~ ~ ~ ~ `` '~~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of Systge~ ~ ~Y ~~~ ,p~ / ~ jrlJ / ~ ~~ - /~ N /~ /,/~'/ UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold // Distribution Z j it / x Hole Size x Hole Spacing Ve to Air Intake / Length Dia_ Pipe(s) ,~.; Length `~ Dia_ Spacing~_ ~ /~ i Z ~t! ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over / Bed/Trench Center Depth Over Bed/Trench Edges ~ xx Depth of Topsoil 1 xx Seeded/Sodded xx Mulched ~ ~~ ` Yes No es C No 11 6 ---- COMMENGSnwolodlCit CWIe54013pNW11/4 NW 1/4 p0 T30N R15W NA Lot 1 pection #1: ~/ / I ~ / ~~ ~ InspPerael No. 10.30.15. / 1.) Alt BM Description = C1•..~`.~-~ `~~~~~` `~ ~`~- t~'~`' ~~~ 2.) Bldg sewer length = /~ i '~~ ~~~ ~~~ I t~ : ~, ~~4 r ~ d~~'-T -amount of cover = ~ 'tom c;~~,,~' ~ 4-7 ^~ ~ j~,~ 3 ~G ~G~ ~c<..t, /\ .L~ii.)!c~-~~VJr~drG:r Cwt i~Jl'i C.•JC~- Plan revision Required? Yes [] No ~{ ~ ~ _ • '~ Use other side for additional information. i ~ '~ __________ _____.____ ~ ~_~ SBD-6710 (R.3/97) Date ~~ ~~ ~ InsepGtor Signature ~~~' ~ ,,, ~, ,) n 6~~~~DIb_. , Safety and Buildings Division 201 W W e County ~ J~ ~ ~ ~ . astungton Av . . lox 7162 ,~~a~~,~ Madison, WI 537 7 - 7 Sanitary permit Number (to be filled in by Co.) (~8) 266- 51 (~'~' 3D~ Department of Commerce ~ 0 o • Sanitary Permit Ap tion ~ ~ N to P LD. Ntunber ;, ~ In acr~rd with Comm 83.21, Wis. Adm. Code, fo "on a provide 1(J 6~3 = T~s . ~ c ~. may be used for se~ndary purposes Pti s15. 1 m) -; 7. r , , . J Address (f different than mailing address) - I. Application Information -Please Print All Informatio ' OFF~~F y ` pit/l Proputy Owner's Name Parcel # Block # Property Owner's Mailing Address property 0 ~ ~ ~~ ,~/ `) ' S tion s~ ~'~ ~54 City, Stan ` ~j Zip Code ~ ` Phork Number r. ec .SLS . /. / ~~ `~ / '~ ~/ ~ ~ ~ v J) / \'(ttrcte one) RR~ZE or W T~(/ N: iu. a of Building (check all that apply) ~ ~ j S CSM N i b or 2 Family Dwelling - Number of Bedrooms `'-~ ~; um er ~' /ISp ~~~ ~(o S- PublidCoromercial -Describe Use , State Owned -Describe Use City_ Village hip o ~~ III. T ype of rmit: (Check ody one box online A. Complete line B if applicable) A' System Replatxntertt System TteaUrrendHolding Tank Reptaoement Only Other Modification [o Existing System B • permit Renewal Permit Revision Change of Permit Transfer to New I~st Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS S m: ( txk all that a 1 Non -pressurized In-Ground ound >_ ?A is of suitable soil Mauid < 24 in. of sui~ble soil At-Grade Single Pass Sand Filter Conswued Wedand Pressurized in-Ground Holding Tank Peat Filter Auobic Treatmatt Unit Recirwlating Sand Filoer Recircula ' Synthetic Media Filter Leaching Lhi Line vet ess Pipe Other ex lain) V. Di; tsal/1'reatment Area Information: x S = l •Q IZ ` _ ? Desi Plow (gpd) Design Soil Application Ra Dis Area et]aired sf) .Dispersal Area Pro sf) System Hevati / ~ ~ v. ~.~~ ~ 3- VI. Tank Info Capatxty in Total Number Manafactnrer l Pre Sim Steel Fiber Plastic Gallons Gallons of Uni ~ ~..-/gyp E~~~1 Concrexe Constructed Glass Mew Existing ,Q / f~-. / Tanks Tanks Septic a Holding Tack Aerobic Treatment Unit Dosing lauunba VII. Res onsibility Statemen - the undersign a 'bility for installation of the t'OW1S shown on the attached tans. Plu erne (Print) Plumber' MP/MPRS Nlmb~ejr ~ Business Phone Nu~ ~ _ / ~ i~i U/ //~f~ ~ J '~! b Plumber's Address (Street, City, State, ~ ~ ~ `~ C../ ~ J~%~/`f/ C ~ ~^ //C///// VIII. Coen /De t Use Onl Approved Sanitary Permit Fee ('includes Groundwater Date Issued Lssuing t Signature o Stamps) Surcharge Fee) ~ ~ ~-- ~ en Reason for . 2 ~ ~ IX. Conditions of ApprovaUReasonsfnr Disapproval _ SYSTEM OWNER: ~~'~ Q~1~ ` ~~ C') 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. Attach eompkbe plans (to the County only) [or the systear oa paper not less than 81lt z l l inehea is sine - 1/4S 10 /T 30 ~;~:-~~ ELEVATION 103.8' PLOT PLAN ADDRESS 101 Water St. Woodville Wi 54028 N/R 15 W TOWN Glenwood COUNTY POLK BEDROOM 3 NTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK OUND )OOC SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 of chambers none BENCHMARK V.R.P. Top of Spike in light pole ASSUME ELEVATION 100' liter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. SW corner of property ` Pro 3 Bedroom House ~~~Scale = 1 /4 Tank is to bedded an properly I Huffcutt Combo Grading is to be done to divert run- off away ftom system ~, ~~~~ ,~~~ B.M. #2 / 104.72 T of 102.8' 102.5' ~ B~1 ~_ Slope Please note: contour has 0% Property Line deflection where the mound (not to scale) is designed Property Line (not to scale) Hwy 128 160' / .~ t~ Area 15' below s ste~ ~' Y is to remain SG undisturbed Well is to meet all setbacks found in Comm. 83 c B.M. #1 7 Safety and Buildit-gs Division ~tY C ~ J~ 201 W. Washington Ave. .Box 7162 J iscansin Madison, Wl 537 7 - 7 Sanitary Pe[mit Number (to be fil l ed inby Co.) (~~ ~~ 51 CE~V p ~ ~~ De artment of Commerce 0 Sanitary Permit Ap do sFP ~ Pl I.D Number ~ fo 'on u Provide 2 3 20 In acx~ord with Comm 83.21 Wis. Adm. Code 6 S • 1 p ~ , . maybe used for seoondazy Purposes Pri 515. t m) ST CRO Address r fferent than mai ' ) C ~ address) . /X C I. Application Information -Please Print All Iaformati OFFICE y property Owner's Name Partx~ ~ Block / tt~tlbAiDR,uIV Gt ~ ,-._--. Property Owner's Marling Address Pro Carry. S/tate /, / ~ tip Code Phone Number -~~1e of Building (check all Wat aPP~y) II . ~ S CSM N b or 2 Family Dtvelling - Number of Bedrootos um er \ Publi~/Cotnme[taal -Describe Use State Owned - iksaibe Use 6ty Village ° ~„'l ~pe of t: (Q-eck only one boz oa line A. Complete line B if applicable) A' System Replaoeuoerrt System TrcahoentlHolding Trail: Replacement Only Other Moditicatioo to Bxisting System B. Permit Renewal Permit Revision Change of 1'exrnit Transfer to New List Previous Permit Number sad Dace tsstted Befon; I:xp'uation Plumber Owner IV. of POWTS S eck all that a 1 - Noo -Pressu[zed in-Ceourni cool ~ 24 is of suitable soil Moturd < 24 in. of suitabl4 soil At-Grade Single Pass Sand Filter Cs>ast[trcted Weiland Pressurized in-Ground Holding Tank Peat Filter Aerobic T[satment Unit Reeirwlating Sand Filter Redreula ' Synthetic Media Filter Lracltirrg Dri Line vel ess Pipe Othe r 'n) V.1Di [saUTreatment Area Information: X S =1.0 /Z ' _ .? Desi ow (gpd) Design Soil Application Ra At+ea egairod sf) Disposal Area sf) s ~ - ~ SystemFlevati / ~ ~ v, - ~ , ~3- VL Tank Info ~ Capatxry in Gallons Total Gallons Number of Uni Manofactuttx l~Tf ~,~ ~q.. ydoE~ Crnr«ete Site Consaracd Steel Fiber Glass Plastic Pkw F.~iistiog / Talcs Tacks Septiaor Holding Tank Aa~ic Tteattnwt Unit Dosing C6asnba VII. R oasibility Statemen - the and a responsibility for incfallation of the POWTS shown on the attached Plc. (Print) Plumber' MP/MP~ Number > ~ Phone N mpcr . /~_ / Plumber's Address (Street. City, State. ~ ~ ~'~ L/v/ ~^ / VIII. Coon !De rartment use On! ~ Sanitary Permit Fee (includes Groundwater lhte Issued issaing t Signature o Stamps) Approved ~~ Suroiratge ~) ~ ea Reason for ~ ~' • Z ~ ?~ IX. Conditions of Approval/Reasoosfcr Disapproval _ ~~~ _ ~~ C) ~ ~ SYSTEM OWNER: ~ 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. Att9tL Mnl[ItCIC tNans tr0 tM 4ount~ only) [o[ tM ~m On p7per sloe ~ anan ~Li a a a ma.ca commerce.wi.gov i ^ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD lA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www: c o m m e rce . wi . g o v/s b/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary September 20, 2004 CUST ID No.226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/20/2006 .Identification Numbers Transaction ID No. 1060311 SITE• Site ID No. 689689 Tom Hellendrung Please refer to both identification numbers, Hwy 128 above, in all corres ondence with the aQenc . Town of Glenwood St Croix County NW1/4, NW1/4, S10, T30N, R15W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 981094 Maintenance required; 450 GPD Flow rate; 28 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes.. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1/Ol). • The pressure network is to be constructed in accordance with publications SBD-10706-P(NO1/01} "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment. Systems -Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A cop~of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. ~ p a r., ~.. ~ a~.7... ~'~~c~'~~~~ir~allj~ SHAUN R BIRD Owner Responsibilities: Page 2 9/20/2004 • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual andlor owner's manual for the POWTS described in this approval. • Comm 83.52(I)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 FeeRequired $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 . ° ., Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 09/10/04 ~~ ~ s~ ~Fi <c y 1 ~i~,-. . ~- ~~o ~ ~~~ o~ ~~ Owner: Tom Hellendrung Location:NW1/4NW1/4 S10 T30 N,R15W Lot 1 Hwy 128 Glenwood System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01 /31) Pressure Distribution Manual Version 2.0 (01131) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency 9-11. Soil test CStA'r'F tcpyJ~ Shaun Bird Signature / ~J ~~ t ~a 4~ License number 226 0 pr~i?AFtTMEhT of ~ar,~na~~.cE DIV1S~Gh1 t3F FETY ANG sUt~GthGS ~~~ COF~RES fvDE~SCE PLOT PLAN PROJECT Tom Hellendrunp ADDRESS 101 Water St. Woodville Wi 54028 NW 1/~a NW 1/aS 10 /T 30 N/R 15 W TOwN Glenwood COUNTY POLK SYSTEM ELEVATION 103.8' 3 BEDROOM CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND X)OC SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 of chambers none BENCHMARK V.R.P. Top of Spike in light pole ASSUME ELEVATION 100' filter Zabel A-100 ^ BOREHOLE ~ WELL * H _ R _ P _ SW corner of nrooerty Pro 3 Bedroom House Scale = 1 /4 = 10' Tank is to be properly bedded and provided with lockdown covers with approved warning labels B-3, Huffcutt Combo T Grading is to be done to divert run- off away from system 6-2 l.~ 1037 B.M. #2 104.72 Top of 102.8' Conduit 102.5' Please note: contour has 0% Property Line deflection where the mound (not to scale) is designed B-1 2% Slope B.M. #1 Hwy 128 16 0' Area 15' below system is to remain undisturbed Well is to meet all setbacks found in Comm. 83 Property Line (not to scale) ~~: • .. No Designer Date 4" Observation Pipe Perforated Below Filter Fabric TM C-33 Son d " Tapsoft --'~ ~ r~ ~9'. Stope r Non-Woven Filter Fabric pistriDution Pipe r • ,• Force t++!o~n 6e d Ot t/~- 2 't From Pump Drain Rock flawed LnYer;~ '~ ~ i 'E F f-~ G ,L--.,~ h ~• G Cress Section Of Q Mound'S stee4Usin A ged For Tht Absor lion A p Ft. gJ~ Ft. I ~~~ ~Ft.- • ~ Ft. ft. _ . --- L ft. __ ~~ ~ 'r Ft_ L ~ - ,. ~ Observotion Pipe-~ ._.. K ~ ~---___----- B --•------ r-------------------------------------------- , - . . ~ p ~ ~ Force. Moira -° f -------------- --------------------- f=rom Purnp 3 ~ - ' Li p Distribution Bed Of /Z - 2 ~ Pipe - Drein Rock I 4~~Obt-ervation Pipe ~`~~ Permonent Mocker ~ ra ~S' ~~,,~.o.bv~-.~~,,,c~sP-•iPe or Rods %s~~~- / ~ Plon Viev+ Of Mound Usln A Bed For The Absorption Area PAGE-~ F_-...- ~ CI~Q LOLOIfC On 8o1tOm. EquOtty SOOCee IR9T ttal.s. rtixl' re Gennsc~~ar n Ft . ~~ ~' F#. ...~-~....r~:.w 1 v - - Signed: ~.icense Number: Hate: X ~ Inches r o~2 Inches3 . Hole Diameter _1~ Inch Latera3 ~~" ~___; Inch(esl Manifold cam, Inches .._. _ Force Main c~. inches _____ ~ of hotel/pipe~~„~ Invert E7evatior~ of 1.ateral~,~ir.3Ft... Pes4a~ated ~+Ct Oetaii `TicN A~+O SF£Cir ICATIt?n-c ~£FTZC -LANK ~ P~3!KP Cf.FsMB£R CROSS S£~ t~£ATHERP~F APFRO'JED „ 3452'~t. ABOVE GRADE ~ ~uNCTIQK $4X MANIiOLE COv ER ~,_= Gy v£NT PIPE }~;NI3D~ CR W~1'K Cr3NDUiT w! PADL~K ~ y ~~` FROM D4flR . Hp,~KI}~G LA$E:. FRL;~~= :'"LA irdTAiCE ~re~t~,~c =~~I tBuMiM- .- ~ r_...: _ s , I N'LET ~ji„pp~WED ~ -~'~"" TIGHT ~ ~_ .1t3iAtT'S k1T3i WATER TIGHT ~~ ~ ~PA1. i _ AL?'1 pPPROYED PIP£ B ~ oN 3~~D SOII ~~ i t1PPR#Iy~ C ` dFF ~~ SOLID. ~~PT - ~~ SOIL gZ3~P dI'F £LEU - D ~ APPROV ~ gEDDI~G [TI~tDEg "~A,~v+[K CpNCiiETE P~ 3 ! ~~~~,ll~o SPECZFZCA':YC3N5 J DOSES ?F.R DAY = .~-------- . ~ PFi,Ii'f$ER ~, SEPTIC f DOSE DING ~~ GAL. RER : ,..~..- ~; O :.:~ M E Z ~tC LU T¢,riK I~AI~1'JFAC'T~ CAE • OpSE g yGY$ACiC = TANK S Z Z£S : SEPTIC ~~~~~~~~ ~i L . _ ~! ` ~NCHES DOSE CRFACSTZ£S = A -~--'-' = Z~ GAL. ~! (' ~'''~ 8 = .--~- INCHES ~--- AL~ ~~'tUFACfi3itEA;= ~ ~~ ~~.~ ~,L. lr10DEL ~3lSER ' ^ ~ ,,,j INCHES = ~.1--- ~y•TCH TYPE = ~' C _ GAL- RER ; ~~ ~ ZpCIdES ~. ~~ _ ~~.-` PUISP ~~TFACTt1 '?/ ~ I LFiR 15.23 SiAC Ky-y~;TCH T~'~~ l M W~RI~ as P£A _~~-~ G?!4 ~_ pUt3P ~ ALAR L~ FEET aISCHARGE RATE DgSTRZBU'~iON :'IPE ~~",4.~.{EET REQOIR£D pUtiP OFF ANO .~_ ~Z• ~---"' FEET vER'!'ICAL DIFFERENCE 9£'~EPR£ SURE - ~ FRTCTI4N FACT _ -/~ _.J FEET + M;N;l4`JI"1 HETWQRK Si9PPL.Y ~ ~ I'T! Si3 i3 ~ FT - • ~YNA~iC MEAD ~ FEAT FORCZN X ~-- T£3Tfi~. ~ ~i".~ LENGTH `~~ !/_,-„- QUM' 'SANK: LIQi~ID ~~ FNT£itNf~l• 01MENSIDi~S t3~' SIGNED= _ LFCENSF ~MBwR 4A':'£' it&S TOTAL DYNAMIC HEAD/CAPACITY ' PER MINUTE EFFLUENT AND DEVJATERING 1 °a w s z 0 0 FLOW PER MINUTE MODEL 152 153 I Feet Meters Gal. Liters Gal. Liters 5 1.5 69 i 261 77 2~1 10 3.1 61 231 70 2E;5 15 4.6 53 201 61 2~1 20 6.1 44 167 52 14`7 25 7.6 34 129 42 1~9 30 9.1 23 I 87 33 1;5 35 10.7 -- ~ -- 22 E~ 40 12.2 -- -- 11 ~2 Lock Volve: 35.0 Fi. (11.6m) 44.0 Ft: (13 4mJ 0 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. ~` ' • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 1521153 Series 3 27/ ~, '2 I I 12 1/8 r"v 5 ~/ ~--- 1 --~ sKZOea SELECTION GUIDE O CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed elecWcian. All electrical and safety codes should be followed inc{uding the most recent National ElecVic Code (NEC) and the Occupational Safety and Health Ad (OSHA). 1. Single piggyback variable level float switch or double piggybact. variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. Variable level contol switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. RESERVE POUVERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P:O. BOX 16347 _ Louisville, KY 40256-0347 Manufacturersof.. .~ SHIP T0: 3649 Cane Run Road u ov ZQ _ y. ® Louisville, KY 40211-?961 ,QIGi[7TYwMP9 sNCE ~9/d y d //' (502) 778-2739 •1 (800) 928-PUMP http;/{www.2oeller.com Pf~//Y/! ~0 FAX (502)774-3624 ©Copyright 2000 Zoeller Co. All rights reserved. L41 L1\J D 80 16U L4V JLV - ~. EµT PLAN ~ _ 'S MANUAL 8~ MAI+IAGEM • Pow~'s ov-tNER SYSTEM SPEGIFtCATIONS _ :.. 0 Nwnixt f Bedtoo"'s N~~, ~ ~n~ercial Units ~rnatad flaw (~) ., .~w.,,g~ed x 1.5) posl9n flow tpea~i, ~'~_": - goD App~°n Rate inf[uent/Ef`tlu~t QuafrtY Fatsr ON b Grease (FOG) Bioc!'~m~ OxY9,en Demand (BOOS? ~,~ ~psnded Solids (rSS) Pry ~ttuertt QuafdY BODs) S~emical Oxygen Oemand ( Total Suspended Solids (TSS) Fec~f Cogfortn (geometric mean) Maximum Effluent Particle Size Service Event lnspe~ condtti°n of tank(s) out contents of tanks} Pump fnsped dGspersat cell(s) Clean efituent filter Inspect pumP• pump O°ntrols 8 afattrf rgls and prossure test Flush late Page of O NA _ SeFdc Tarfk caPa""' trA ~bleTank ~r ~ 6 P ^ IVA -_ Effluent Filter (Vlatfufac~~ Effluent I:iiter Modfsl ~ ~ I] t+IA .3 " ~ NA Pump-Tank CaPadtY ~ G~ al .- fl tVA ~ alld Pump Tank Man~cturer r .--~ ' ~ a NA aVd '-, L• .Pump Man~~ ~1.~`"Z~ O AiA aUda fltZ Modal Pump - Protra$t>t+e~~ ^ Peat F7ttar Monthly sver~e ~ nical Aeration o er d W S30 mg/L Q20 rng/L ^ fUlecha ^ bislnfec~ion p th - s ~.,., .... _ ..._--- {4tontrily avet898~' OisPe round (QtaYltY) 0 t round (pr,BSSUr¢ed) ~ ^ In-9 .~und 530 m9 Q gtgrade p Other. 530 mgn- ~ pri ine • 5'i 0~ cfu/100m1 id for doh (non-OOmm"da~}'"r'stewat~ •na diameter ' ~~elTtuenc Y inch f, Vsluas tYP~ for fN~~~ ,~tawater- Service Frequency rap month eat(s) (MaxiRrvm 3_.~--i -- At least once eVetY ua s ane-third (~} °f tank ~ofurne and scum e4 r(s) (M~uctmum 3 yrs.) When combinod sludge onths At least once every O ~- ~ months r(s) At Least once every ^ rronths- (s) O NA Atleast once every ^ months s) O ~°` At least once every O months O year(s) O tVA At feast once every ^ months O year(s) ^ NA As feast once every or~sr- of the followln9 Licenses or CE tNSTRUCTt an ind'rvldual prrying one t,~a~Lafner, Sepra9e 6AIt,IPt1<'EN~ ONrsaf palls shall be made by Sewer POWTS tnsPe~Dr, PO~Sany t or broken of tangy and dupe ~~ f3 to identify mess ~ baq~ up inspea'ito~ Plumber 11Aaster Plumber Resit' on of the tank() for any ins: Master ns must include a visual inspe~ ~ sludge and scum and to check thy, Tank inspecl~ volume of oombin ~ check the effluent levels Servidn9 Opel a~ ~~ or teaks rtteasure'the rsaF cet[(s) shalt »e visually inspect ndin9 of effluent on the idet~Y round surta~• The dispe round surface- The po utatory a~'1O^~• of effluent on the g for any ponding of effluent on the 9 lion of the focal ro9 lion pipes and to chertc uires the immediate notify or more Of the tank Yeiume, th NR in the observe indicate a failing conCitieon and r~eq ante ~' ground surface ~Y a and scum in any tank equals one-third (K) seal of In aarot~d ch. mutation of studg a Septage SenrfGng Operator and dtspo When the combined aecu t ~ponents, and any entice contents of the tank shall be remoYed ~ g Maintainer. 113 yyiscansin gdrninistraWe Code• onents~ped ~ a ~ttified pOWr mecttanicat or pressurized POVYTS come event fihe sefvkan9 of effluent Fli tars, at intervals ~ 12 months or ~f3$S shalt be Pec'f0 of oompleflon of any sefwice other maintenance or monitori~ to the local regulatory authority within 'f 0 days shalt'lx P~ nc~ of painting p~u~ or othef A ~^~ reps trations era trrtent tank(s) ~ d'e p~ if hi h convey' STARTUP AND OPER/4 00~ use of the POWrs check Vea er'sal cell(s). 9 For new amsttuctio~. Pn rocess anNor d ~ ae se acing oPemtOr pnOr to use. chetn-t~1S that may impede the tfea~1es t removed by a sap 9 dey~ have the contents of the tan ( 1 Page ~-_ of--- ~~~. _ ~ .~ / ' ve sutiace. t~canditions are frozen at the infittratii n ~ ~~ the eJCCeSs ~ sot t ti hwater levels. VYt-e i~r ~ s and may result in the Stem sta,{ up shat( not occur vfi ~ above norms t9 ~rl~ding the ~~ ~ removed by a . outa9g' pump ~~ ~Pe~ Deli(s) itt one large dose. of ~e P Q or pOVi/TS Malntatner to Dutv+g ~rvrlu bg disct+a<'9~ aD ~ Tp avoid this situation have the ~n~~ s PtU~ vrasoe a of eti't~ent to the effluent pump tank backup ~ surfer ~ p~ ~-~prt~ to tore normal levels vnthtn the Pump Swain rnanu operating ~ primp Don cells. t)o not drive of pa[k OYeC~ or otherwise disturb or compact, ~ct dri+re or panic vehid~ ovarlanks mound o~-9rede soil absorption area- a ~rmance and Prolong the Gfe ~e ar'e8 ~''i^ t5 feet dawn slope of any im rove th Pe from the wastewater stream rnaY P deg; dental floss; dial Redud~ or-el'uninatlon of the to(fa~nS ~~~ butts; condoms: r~otton swabCNg~ g$soline; greasa~ herbiades; meat of the P01A(T$: arltfibiots~: -b~'Y ump) water, fruit and vegetable Pe ns:.and water softener brine. dslnfeclan'ts: ~ foucidafion drain {sump P des: sanitary naPitins; tampo_ ~; oil; pain8nq P~~' ~~ soaps: sitatl he taken tp Insure that the AgANOON~M~T angrnfy.faken out of service the fot[~nSws~sin Admtntstrative Code: When the POWt'S f2~is andlar is pied ~ oon~Pilance v~ rh. Comm 83.33, and safety abandon and the abandoned Ripe openings seated. system is proP~. ~ disoonrteded disposed of by a Septa9e Servicing Operator. , AQ piping to tanks and p'ds shall shaA be removed and property .. ~,m oont~nts of ail tanks snd P shat[ be ex~VB~ and removed or their covers removed and the void space . giber Pumping, ail tanks and pits fitted with sal, g~ or another inert solid material. to rovide a code GONTiNGENCY Pi:ANd cannot be tepained fife following measures have been, or must be taken, P If the POWTS falls an cempGant replacement ~~' area has been evaluated and may be utilized for the (oration of a repia~on and should not p A suitablet ~~ fep~Cement area should be protected Sri s~~ t~[ines and we11s_ Failure to a~ptyo cks from existing and propo ent area v+n~i result in the need for a new soil and site °evaluation to establish a suite e be infringed upon by required setba at that t[me. protect the repia+~rn ent s~Lems must comply with the rules in effete ment area is not available due to setbackoaf por soil (imitations. Barring advances in PO replacement area. Replaoem a lace ~e failed p01NTS. O A suitable replace be installed as a last resort t n {alone of the POWTS a sod and ology a holding 'tank may a suitable replacement area uPo t area is awaifable a. The ante has not been ev~8lv~ate~,d~tdo identify evaluation must be ~•~•••--- bo ~~ a suitab-e replacement area. if no rep[a g tank may be installed as a last resort to tep~la reconstructed O P ce fatiowing removal of the biarttat at . Mound and at~r'ade soII absorption systems may [ vrtth the rules in etfed at that time. ~ e infiftradve sur#aoe_ Reoonstsu~ions of such systems must ramp Y <cVYARNING» SES ANDIOR INSUFFICIENT OXZ'O~- .i'MEI~i~• TAINKg MAY CONTAIN LETHAL C'ASCiRCLlMSTANCES. OEATH MAY SEPTIC, PUMP AND OTHER'iRF-A DO NOT ENTER A gEpTiC. PUMP OR 0Y'IiER TREgTMENT TANK UNDER T RESCUE OF A PERgON FROM THE INTERIOR OF A TANK MAY BE QtFFICULT OR IMPOSSIBLE. RESUL . ADDITIONAL COMMENT'S POYYTS 1NSTpLL~R r_ Name ~ ~ ~ ` ~'- POWTS MAil~r7"A1NER ~ . Name ~ Ct,~Gl'~ ~' ~ ~'~- Phone ~ / .,s'~--- Phone j ~-- C(NG pPERATOR PUMPER LOCAL REGULATORY AUTHOR SEPTAGE StRVI Agent, ~.~ ~~~ ~ ~~~ ~' Name ~~-- 1~ ~ I Phone l ,~'.' ~ ;~ Phone ' j /r J ^- ~ ~ ~ ~i ~ This dowment rn~ of the Green faire. Marquette and Waushara County Zoning and Sar~lta~c 9t)e~this Qocsrment does not This ooarment was drafted aY the s'nrFs t atu! 83.54(1}. (2! ~ (3}, Wiso~nsin A~dittintsVatN° SMW t?!Ot) the rriin[mum mqu'usma~nts of r3>_ Comm 83.2?12)Nx x~~f) guarantee the periormanoe of the POWTS- Wisconsin De artment of Commerce ~~ SOIL EV LUATION REPORT p A Division of Safety and Buildings Page ~ of n~ acw~uanw wnn wrnrn aa, vv~s. ram. .our County S7~ G!'~ ~ / ~/ Attach complete site plan on paper not less than 8 1/2 x 11 inches in size Plan must ./1 . indude, but rat limited to: vertical and horizontal reference point (BM), diredion and paw l,p, ~ G~~ O °' ~ X04 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ~, ~ ~ / ~ ~~~ Please prln H- - _ ~ R viewed by Date Personal information you provide may be use for sego ry pu 1(PAaa~y Law, 1. 15.04 (1) (m)). ~ 2. '~Q Property Owner roperty Location /~ ° ~ ~'tilr' ~; ~t 1.~1~J4 l ~ ovt. Lot ~1 1/4N/~/1/4 S fQ T3d N R ~ l~,W Prt~pe rty Owners Mailing Address of # Block # Subd. Name or CSM# / D ~ w2 ,~ . ~ ,~ _ ~ City Ste Zip Code...... ~ n .:. ^ City ^ vliage ~ Town .Nearest Road ~eur~~rd' a/3 t~/_5jo2~ vo ~~~ v Cv~ fs' New Construction Use: ~ Residential / Number of bedrooms ___ _'j __ Code derived design flow rate ~~r0 GPD ^ Replacement ^ Public or commercial - nescribe; __ _ Parent material ~~/q ~ l R ~ ~/LL Flood Plain elevation if applicable N /T~ R. General comments and recommendaflons: fi~.Pi - ~~~(/: /o~- 9 ~ yPPe,~V~n~ ~''~~.,~ a C' /~j'd u~~ C'e~ ~ ~RAde ,~L~v. 1 / 1 ~~ # ®Boring t , ' /~~ i1~ _ ~J Q' t~J tJ Plt vwwn+aunaus c~av. •w-Jv u. tmpui w wmm~y iaavi -T.~ n~. Sai ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DffF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Etf#1 •Etf#2 1 0 -/3 ~ --- ~ s ~- . e ~1 # ®~;~ ).nom /J ~.~ t=; L_I Pr; c~rcuna su^acs eeev. ~ ~v~{i n. rlepm to iumm~a raracx v Soil ication Rate Horizon Depth Dominant Cdor Redox Description Texture Stnrcture Consistence Boundary Roots GP D/ft? in. Munseli Qu. Sz. ConL Color Gr. Sz. Sh. •Eff#1 •Eff#2 v- o o L. ~ S ,.S /v~.~o C~ F S 1C .- 6 o- ~- e ~- ,~ ~~ -- v , d e •/~Eff~lu~e~nt #1 =\ BOD > 30 < 2Z0 mglL and TSS >30 < 150 mglL • Effluent #2 = BOD < 30 mglL and TSS _< 30 rrtgll Address Date Evaluation Conducted Teleptane Number ~~~~~v /~~ G.~'e~wlov~~if' dr,•i -~ - ~ ~7/.s=o?~.s t~" 8 ~~yo/3 ,~ . ~.-~ .~ .~ $T CROIX COUNTY _ - 'T N~,`i'~'ENANCE A~gEEl+;~iENT SEPTIC A,NA ;. . - ~ o~ERSHIP CERT~ICATION FORM pwnerBuYer M~~g Addr~ Address , ~' Prop~rtY ~ pig Department or a (Veri cation require parcel Identification NunZber ---'-"' f~ity/State LEGAL. DESCRIPTION /' 'T'own of ~/ ~i S~_--- -o ley/~~~='~-- "`' Subdivision ~ g Page # ~~ ~-6 I S 3 s _, Volume J.~--=-' Certified Survey MaP # ---------- Page # o 9 I ~s-~ o o Volume zS9~ Warranty Deed # es p no Lot lines identifiable . Spec house D ~o failure to haadlc wastes• propez msiate~Ce NAND Wbat you put into the system SY T~ - of your septic sYstcm could result is i~ Pm~ . mod p~psr• improper use sea maim three years or sooner, if needed by ~g out the septic teak every waste disposal system. consists of P~ ~on.of the septic teak as a tceatmoat stage in the ~ by the owner sad by a can affect the fun ~tmeat a certification foam, sii~ ~terdisposal system - s to subruit to St. Croix Zoning Dep r verify>ng that tl) ~ °n-site waste lr3 ~ of sludge. The Prapem' °~ agree nstcictedplumber or alicensed pumpe the septic teak is loss than masterpiumber, journey plumber, if necessary), is in per operating eo~tioa and/or (2) aRer ~pectioa and pumP~ C ~ system, with the standards ~° a to maintain the private sewage dispo ~~ ~ agrc attonent of Natural Rcsourccs, State of Wiscons~~ ~ 0 Uwe, the undersi8'aod have read the aboveoerce sad the Dep ~ to the St. Croix County Zoning set forth, herein, as set by the Departa>eut . taiaed must be completed and return that your seP~ system has been n~ stating lion Gate. / ~ days of the ~ Y DATE gi(}NAl'[JRE OF AppLICAN'T our} knowledge. I (we) am (arc) the owner(s) of EICA'TI~t N fog ~ ~ to the best of my t ~~E~ DER I istcr of Deeds Office. -"" I ~;v~~ certify that all statemen Ofoii ~~ty decd recorded in Reg the property descn~ed ab ve, by virtue / / ~~, DATE ' OF APPLICANT revokedby the Zoning DePar~eat. ****«` SIGNATURE ermit being #tsstt. Any iufarmatioa that is tnis-representedmaY r~Sult is the sanitary P stamped warranty deed from the Register of Deeds office deed lieatioa: a if reference is made in the warranty «* Include with this aPP a copy of the certified survey map U 259&P a91~ STATE BAR OF WISCONSIN FORM 2- 2000 WARRANTY DEED THIS DEED, made between Gerald Mitch and Dorothy Mitch, husband and wife, Grantor, and Thomas J. Hellendtung, Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in Si. Croix County, State of Wisconsin: Part of the NW '/. of NW `/, of Suction 10, Township 30 North, Range 15 West, St. Croix County, Wisconsin described as follows: ot~f Certified Survey Map ftled May 6, 2004 in Vol. 18, Page 4744, Doc. No. 761835. Recording Area ~'659Pa0 IIATHLEEk H. MALSH REGIS?ER OF DEEDS ST. CROIX CO., NI RECEIVED FpR RECQRD 86/15!20@9 12;3fDP1! iiARRANTY DEED E%E14PT It EIEC FEE: 11.88 TRANS FEE: 97.5@ CDPY FE£: CC FEE: PAGES: 1 Exceptions to warranties: Easements, restrictions and tights-of-way of record, if any. Name and Return Address: Edina Realty Titie, Inc. 404 S. 2°d St. -Suite 1 I S Hudson WI 54016 016-10200-000 Parcel Identification Number (PIN) This is n homestead property. Dated this ~ ~ /!~ ~ _ ~~~~~~ * Gerald Mitch Signatures} AUTHENTICATION authenticated this - ~a t~IH . TITLE: MEMBER STATE A ~ dP4~ISCONSIN {If ttot, authorized by § 706.06, Wis. Stars.) THIS INSTRUMENT WAS DRAI^TED BY Peterson, Fram ~ Bergman -Steven H. Bruns 50 East Fifth Street, St. Paul, MN 55101 (Signatures maybe authenticated or acknowledged. Both are not necessary.} 'Names of persons signing in any capacity must be typed or printed below their signature d * Dorothy Mitch ACKNOWLEDGMENT STATE OF WISCONSIN ) COUNTY. ) ss. Personally carne before me this ~ , ~ day of _~c,G/l~, . woe y the above named Gerald Mitch and Dorothy Mitch, husband and wife to the known to be the person(s) who executed the foregoing instrument and aclmowledged the same. * ' Notary Public, State of Wisconsin My commission is petmane (If not, state exp ation date: -s~-~~~ > WARRANTY DEED STATE 8AR OF WISCONSIN FORM No.2-2000 ~' v 76 1 835 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NW1/4 OF THE NW1/4 OF SECTION 10, T30N, R15W, TOWN OF GLENWOOD, ST. CROOC COUNTY, WISCONSIN. OWNER GERALD MITCH 1695 STATE HWY "128" GLENWOOD CITY, WI 54013 SURVEYOR EDWIN C FLANUM NORTHLAND SURVEYING, INC. 856 A HWY "65" / P.O. BOX 14 ROBERTS, WI 54023 NOTE: _ OQ~~ O PLATT-NG ANEEXISTING PARCEL AND ly1 d~~0~ DOES NOT CREATE ANY NEW LOTS. ~ ~f~-_ 170TH STREET _~ ~ 1 ~ ._ r~ 1 ~I ~, 1 1~ \~ ~ VOL 18 PAGE 4744 KATALEER H. REGISTER OF DEEDS ST. CROIX CO.. NI RECEIVED FOR RECORD 05/06/2004 01:15Pt1 CERTIFIED SURVEY MAP REC FEE: 13.00 COPY FEE : 3.00 PAGES: 2 LEGEND ALUMINUM COUNTY SECTION CORNER MONUMENT FOUND m 1"STEEL SURVEY MARKER FOUND Q 3/4" X 18" IRON REBAR SET, WEIGHING 1.50 LBS. PER LINEAR FOOT - • • • • • - 50' BUILDING SETBACK LINE (D.O.T.) -•--~-- 100' BUILDING SETBACK LINE (ST. CROIX COUNTY) ~-= EXISTING FENCELINE ACCESS RESTRICTION NOTE All lots and blocks are hereby restricted so that no owner, possessor, user, licensee, or other person may have any right of direct vehicular ingress from or egress to any highway lying within the right-of-way of S.T.H. 128; it is expressly ' \ intended that this restriction constitute a restriction for the benefit of the public as ~~l j provided in s.236.293, Stats., and shall be enforceable by the department or its `~ ~° assigns. Any access shall be allowed ony by special exception. Any access '.. ~~~ \ `~ o allowed by special exception shall be confirmed and granted only through the `~ driveway permitting process and all permits are revocable. The department of ~ transportation has granted a special exception to Trans 233 for the existing access, ~ ~ \ ~~Q as shown on this map. Additional land divisions, change in use, or future highway ~ i ~ ~~~, projects may require a public road intersection or relocation of the driveway to an ~ i ~\ \ `~~O alternative public road at the discretion of the department. i ~o ~~ ~'~ ~ \~~Cj i \ oa ~ _ ~.\ \ \~~SO~ NOTE: ~o ~ *' ~ 1j `~ CONTACT THE ST. CROIX COUNTY ~j r `~ •• ~jO~~'~,\ `~Q ZONING OFFICE IN REGARDS TO ~,i ~ '~\ •• ~~g ~ti. ~~Q BUILDING SETBACKS. ~ ` ~ o~ `~ 0~ ~ \\~ ~ • \ \'~ t C ` `~ \ \ ` ~I ~ ~ Q \. \ ` ~; ~ ~ \ LOT 1 '•` ~j t , ~ , 7.79 ACRES `~ 1 ~ " \ ai Z ~ w \ 339,240 SQ. FT. ~ ~ ~ ~ \\ \ I a lL ~ ~ ~ \ ~ \\ `\ J ~ W \ ~ `\ \ 3 ~ ~ .\ \ 168.28' 460.00' ' " ° ~ E 628.28 59'46 N89 SOUTH LINE OF THE , in NWl/4 OF THE NW1/4 N ~MpdG1~'CD dLQ~1D~ ` ' 1 ~ OO ~In MC D ~ ~'I OO 4G;]C~G°3~ ~ ~ ~ N W } N O ~~ ------C ~yy-- wQ VZ ~ o 0~~~ / ~ o o ~~ ~/ ~ U LL v °, ° i ~~ W ~O _ Sa / rn U ~ ~ ~ey~ Wisconsin Department of Commerce Diw$ion of Safety and Buildings SOIL EVA~LUATI.~I REPORT ~" "~R• 1. Page ( of u~ec:w~umn;Cmu~ y~~~~';cun. ~.u~e ` Coun C' ( T ~ Attach complete site plan on paper not less than 8 2 x 11s in size Plan must J indude, but not limited to: vertical and horizontal ref percent slope, scale or dimensions, north arrow, and . ence point (BM), direc~ d `i tionNn d~ist~n~ test road. Parcel LD. ~ _ ~-~"~~ Please print all infor a Lion: V '4 ~C~ ~ Review y Date 1X ~U - e Personal information you provide may be used for secondary rpose rigw ~.~"(1 - ~t/~ ~ ~~ < ( / ~ O Property Owner „`, roperty Location ,nw ~ ~~ Govt. Lot 1( ~ !4 S N R E (or Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# ~_ City State ~ Zip Code Phone Number ^ City _ V illage o Neare Road ~ New Construction Us ~ sidential /Number of bedrooms -5 Code derived design flow rate ~~~a v GPD ^ Replacement ~ Public or commeraal -Describe: ___~____ __~. __.__ __- Parent material ~ ~ Flood Plain elevation if applicable _ jl~~~ ft. General conunerrts ~ LL- ~ /n { Jc and recommendations: ~~ ri ~~y / ~ ? ~ O~ / n J ~/~ V j Boring # BOnng --~,~ / Q l pit Ground surface elev,~ ~ ft. Depth to limiting factor ~_ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft in. Munsetl Qu. Sz. Cont. Cdtx Gr. Sz. Sh. `Efi#1 •Eff#2 ~ ~- ~---__- rr .~ :- ~ ~ ~ ~ .D ~~ # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `EfF#1 `Eff#2 • Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 'Effluent txZ = tiw < su mgrs ana i ati < su rncy~ CST Name (Please Print) Si CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Co ed Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ~-- ~~-2j 715-246-4516 PLOT PLAN !(1""" PROJECT Tom Hellendruna ADDRESS 101 Water St. Woodville Wi 54028 NW i/4 NW i/as 10 /T 30 N/R 15 W TOWN Glenwood COUNTY POLK SYSTEM ELEVATION 103.2' 3 BEDROOM CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND )OOC SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 454 gyp{ BENCHMARK V.R.P. Top of Spike in light pole ASSUME ELEVATION 100\' ^ BOREHOLE O WELL *H.R.P. SW corner of property 1 chambers none Zabel A-100 Pro 3 Scale = 1 /4 = 10' \ Bedroom House B.M. #1 Huffcutt Combo Tank Tank is to be properly Hwy 128 bedded and provided with lockdown covers with approved warning labels B - 3, 160' Area 15' below system is to remain undisturbed Grading is to be done to divert run- off away from system B-1 B-2 I~ 103? a B.M. #2 2% 104.72 Top of 102.8' Slope Conduit ,~ ~ Please note: contour has 0% Property Line deflection where the mound (not to scale) is designed 3-4 Well is to meet all setbacks found in Comm. 83 Property Line (not to scale)