Loading...
HomeMy WebLinkAbout016-1070-70-000~~v .`, Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m11 Permit Holder's Name: ^ City ^ Village ^ own of: Glenwood Townshi T BM Elev.: ~0 •c7r Insp. BM Elev.: 1T0. (`~' BM Description: C g~1 =~ P- y3~Y a TANK INFORMATION TYPE MANUFACTURER CAP ACITY Septic ~ ~~We- / Zwl Dosing ~ ~(~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic ~ /rip ~ ~ lc~,' "~ ~ ---, NA Dosing > r,yo ' ~ r ~ < << ~.~j NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer ~ ~~ (~ ' C Demand Model Number ~~'r- C..~ p a°l.l GPM TDH Lift Lrictiono ~~, Syetem~ S TDH ~o•32Ft Forcemain Length p r Dia. Fa rr Dist. To Well ), f,~' SOIL ABSORPTION SYSTEM ~ ELEVATION DATA County: St. Croix Sanitary Permit No.: 363889 State Plan ID No.: Parcel Tax No.: - 7- -00 STATION B HI FS ELEV. Benchmark .`1`~ Alt. BM BIdg.Sewer ~Q $ ..33 ~Q~, (~' St/Ht Inlet CA (S. qZ-}3' St/ Ht Outlet ~ ~-~ ..---- Dt Inlet Dt Bottom ~~~ ~ .a~( 89•al ~ Header /Man. Dist. Pipe ~-~ IZ-31 `7l0.0~, Bot. System ~'~ ' 3 `~S. 1 ~~ Final Grade St cover (`D. 20 `l8.2.gr3 ~~ l~~ a~ ~° ~o.2z. 98.2 B~ / ENC Width ~ Len th ~ No. f renches PIT No. Of Inside Dia. Liquid DIMEN I N ~ °~ ~ DIMEN I N SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING ufac INFORMATION Type O ~ CHAMBER Model Num System: h11. ~1r3'a ''^'93 al[p OR DISTRIBUTION SYSTEM Header / Ma i I u ~ ~ I Distribution Pipe(s) ~ ~ ~ "-" x Hole Size I a I x Hole Sp ~ ing I Vent To Air Intake Length Dia- Length ~! Dia. 2 Spacing /if 4 g 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 Bed /Trench Edges Topsoil Y s ^ No Yes No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection~'#1't~~/o3/oa Inspection #2: a& /o~Q/op Location: 2943 130th Avenue, Glenwood City, WI 54013 (NE 1/4 NW 1/ ON R15W) - 33.30.15.494B 1.) Alt BM Description = ~ aviacl 3 ~ ~~ ~ .~ i ~~ c/~ 8~ 2.) Bldg sewer length = -~ &~, 3 crc~, 2.0~ C,o,,,~O~,.r -amount ofcover = ~ ~ , a ` ~ G~v-Cr- {~ ~B Ic~ q 5 3.) contour= 9'f•2!-ax 11o.~K,wY~}M~=Ilo•9`~' J „r '. $o ''{'~ ~. ~~ ~4 - I ~ 1>^.~a.1le~ ow ~ 1 ~ c~ S'f'~5 i ~ . 5, ~ S 1 Plan revision required? ^ Yes [~ No Use other side for additional information. SBD-6710 (R.3/97) 08 z ~ ~ Z Date Inspector's Signature Cert. No. rAi'~Lf7R Zg~3 l ,o`er ~-~ SANITARY PER ~4 ON In accord with ILy~I~ ,Wis. ~m ~ ' Q' ,~ c> ~4. GA ~. F r 1"-- - Safety and Buildings Division Bureau of Building Water Systen 201 E. Washington Ave. P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) fo>r'systerr~r notre~s county -than 8 1iz x 1 1 inches in size. ' ~: ` ~~ • r.r~ r ~ • See reverse side for instructions for completing thll; application ~ ~ ~~~ ~ State Sanitary Permit Number ~ ;, f; sr coax ~ f ~6 3 ~`j The information you provide may be used by other government age cyp?ngrams C~NTy ~~` ° ~ Check if revision to previous application (Privacy Law, s. 15.04 (1) (m)]. ~ /'~.LC)~tt~4C3UF State Plan LD. Number I. APPLICATION INFORMATION -PLEASE PRINT ~~,.. ~ ~' Property caner Name --~; ~ n~ ~oc~tion 1i4 j T~ S 4 ~ R ~ N ~E (o~ C ~-/ .~ ~/~t-/> ~ , - iLJ I 4 ~ ~ .S Prope y wner's Mailinq_Address '~ Lot Number Block Numb C ,State ~ Zip Code Phone Number Subdivision Name or CSM Number II. TYPE B ILDI G: check one) ^ State Owned ~ ~ qtly `` ~ Vo~ag ~ ~ Nearest Road '~ ~ ^ Public 1 or 2 Famil Dwellin - No. of bedrooms OF L~ ~ v~ III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) ~~. 30. ! ~' i79~ /~ J,. Y Y f ~ 'i ~ 'r~ ~ 1 ^ Apartment /Condo 2 ^ Assembly Hall 6 ^ Medical Facility/ Nursing Home 10 ^ Outdoor Recreational Facility 3 ^ Campground 7 ^.Merchandise:Sales/Repairs 11 ^ Restaurant/Bar/Dining 4 ^ Church /School 8 ^ Mobile Home Park 12 ^ Service Station /Car Wash 5 ^ Hotel /Motel 9 ^ Office /Factory 13 ^ Other: specify tV. TYPE OF PERMtT: (Check only one box on line A. Check box on line B, if applicable) A) 1. 'New 2_ ^ Replacement 3_ ~ Replacement of 4_ ^ Reconnection of S_ ^ Repair of an _____System ________ System _____________ Tank Only______________ Existing System _________Existing System B) ^ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 1 1 ^ Seepage Bed 21~Mound 30 ^ Specify Type ~ 41 ^ Holding Tank 12 ^ Seepage Trench 22 ^ In-Ground Pressure ~ ~-7~ 42 ^ Pit Privy 13 S Pi ' X ~ ~ 143 P l i V eepage ^ t `' /j r vy ^ au t 14 S I Fill '~ ~ ~ n- ^ ystem- Mgi,~,,,, , ~T ~ VI. ABSORPTIO SYSTEM INFORMATION: 1. Gallons Per Day .Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Pert. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) ( als/day/sq. ft.) (Min./inch) Elevatio ~~ ~C7Cs t- r ~ 5~ 3 Feet , ~ Feet Vtl: TANK INFORMATION Capaaty in gallons TOtal # Of Manufacturer s Name Prefab. Site con- l Fiber- Plastic Exper. N E i i Gallons Tanks Concrete stee glass App ew x n st strutted Tanks Tanks Septic Tank or Holding Tank ,~~~ ;~ ! ~ ~--~ ^ ^ ^ ^ ^ LJft Pump Tank /Siphon Chamber ~~)(,) ~J~:. ~ ~ '~ ^ ^ ^ ^ ^ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumb 's Sig tore: (No Stamps) P MPRSW No.: Business Phone Number: .~ e2 ~~~~i 7 5 = , y3 _,~5~ o Plum er's Address (Street, City, St te, Zip Code): ,,~9 IX. COUNTY /DEPARTMENT USE ONLY ^ Disapproved Sanitary Permit Fee ('ndudesGroundwacer ate Issue Issuing Agent Signature (NO Stamps} Approved ^ Owner Given Initial Surcharge Fee) ~32 ~ ~ ,',.~~.,11 5 Z V \ Adverse Determination Zl~ U X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: ~~~~ pL~ ~~~ G > SBD-6394 (H. OS/94) DISTRIBUTION: Original to County, One copy To: Sutety & fluilJings Divrfon, Owner, Plumtkr INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide tree legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one online A. Complete line B if permi±: is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depe,.ding on s~~stem type. VI. Absorp'ion sp~stern information. Provide all information requested for n;,~mber 1 though c. VII. Tana: inforrn:~tion_ '=il in the capacity o. e`~~er:~~ '~~evv/or existing tan's., list the tota' gallons, number of tanks and ;rran_~factu~er'S .~ ~?~, indicate prefa~~ <2;s ~.c~nstructEd and tar:k ~Yl«terial. Com~piF~te for all septic, pump/siphon and I,oldi~ig tur~~;~, fog ! `tis systern_ C~eck er:F _~ -~~tal appro~,~al only ~f ~=~r~f-;received experimental product approval from DI~HR V111. Responsibility statprnert Installing plumt~vf- isto fil4 in name, licerne number with appropriate prefix (e.g. MP, etc.), address and pl;one rn.!i~ber. ?lumber muss si,_n application form. IX. County /Department U~~e ;?nly. X. County i Department Use manly. i =.3r~CriS n01 ,' ~~ •~i ~ `, ._ X I 1 ``ilCd ... ,~ ~£) S~ [. x::I"Cti'd't~ t'lt' COUnty. The plans mUSt .- ._ . _ . , r , ... ~__ - , oU~ ~ ~ ;~a~ ~. _i;a-~~~ ~ .a ~r : ,,. v~,cr~ c~,,~r~ r~ _ _ ;~nsi ~ ~ .'o~~~ z~f boldingtank(s}, septic _ , .~ - - __°r r~ ~~~.. s~ vi~~ ~ ~,~s and lakes; pump or siphon ,,. _ ,,. -'~,< <,•, •,I: - _.,; _:~~; .~u t; i1;a±i~un of the building served; t. .. _'.i `~-a"rip^, andC~;r~ir;;is;dosevolume; ,~ -, ,r,,, _,. _ r ;; u ~ o, .., ~ ~r~..+~;,turt~r~ D; Cross section r. _ , { ~~ ~: ~ ~ - ~ >q sue, . _U~_~ ~ .. n , _ .._. ~ t,,~ sip ng information. GR®UWDWATER Sl_~'~,Ct-9ARGE 1 g6? Vii 5~. on< r `.~_t ~' ' ~~+_!uded the creation of surcharge; (eesj ~nr a number of regulat~c= +~-~:ctices which Can effeci rrounuv:r ~::; T};~ ;n~:~,ies c:zilecte_' tr.r :.~, -; _i~~ae >~~rci~arges are used for tin .,t.,ring ~;rcun~;3water cor~~_amination investigations and es!as,;ishmer7,. o` star~ciard~ j a ~ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary May 15, 2000 CUST ID No.22461'7 LYLE J MYERS E1556 ST RD 64 BOYCEVILLE WI 54725 RE: REVISED CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/15/2002 ATTN.• POW7S INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD H[JDSON WI 54016 SITE: Site ID: 191431, Michael & Carol Myers Proposed Residence St. Croix County, Town of Glenwood NE1/4, NW1/4, S33, T30N, R15W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 661587 Identification-Numbers Transaction ID No. 314515 Site ID No. 191431 Please refer to both identification numbers, above, in all correspondence with the agency. " The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • 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. CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit approval if submitted to the issuing agency on or after July 1, 2000. Note: There is a otp ential for a law suit that may delay the effective date of the code so this status may or may not change. • The changes made to this plan on 5/12/00 by this reviewer were acknowledge and approved by the system designer. A copy 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.. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. LYLE J MYERS Page 2 5/IS/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, erazd M. Swim POWTS Plan Reviewer -Integrated Services (608)-785-9348, Mon. -Fri. 7:15 AM to 4:00 PM jswim@commerce.state.wi.us DATE RECEIVED 05/02/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 BALANCE DUE $ 0.00 WiSMA~T code;'7633 MOUND SYSTEM DES[GN Realaendal Applicadat INDEX AND TITLE SHEET Pro)ect Owner Address '~~~ ~ ,~ FO ~~ ~o ~~~ o0 0~~ 1?ia~r ~ bedroom septic O, ~~r~ae~ & Gael Mvers 617 Syme Ave.~ ~~~ 4 ~;_~G~ertw~aood°~it~-,t~TI 54013 Legat Description NE 1 /4 NW 1 /4 S 33 T 30N R 15W .~•S' Township .Glenwood. -- - - County 3t. Croix P'~,'ti0nally Subdivision Name NIA Lot No. N/A v~D c Part;Bi ID Number _ pEPARjM~F6SF1/~/1 gel. ~,Jl. Ptan Tramaction Number - _ w Index and title sheet Page 1 Mound tslculetions p~ 2 -- Mound dna-Mngs Psge 3 . _ Pres. dirt. ceics. end laterals Page 4 ,..:..- TDH and pump tank drawing Page 5 Plot Plan Pages . ~ ump CuN9 Page 7 -~--•--•~.~.-~..-..rte.. Designer :" Lyle J. M ers License Number 224617 Signature` :. Phone Na. (715) 643 2520 Date ~ 2 ~70c~c~ Notice: Tampering rvlth this 11ie by unauthorized persons is prohlWtad. ONlberate modifketlon waif recruit in dlsclpllnsry itction under c. t~6.1t1, Wls. Stats. Personal information you provide may be used fior secaxiary purpose6 If'ri+scy t.aw, 5.15.04 (i Km)J. 3BD-104G'1-E (R.os+ssi Page 1 of 7 MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch-pounds Metric Residential or commercial? r (r or c) (y or n) ~n Replacement system? Creviced bedrock site? n (y or n) Slope 12 Wastewater flow rate 600 gpd 2271 Lpd Depth to limiting factor 25 in 63.5 cm In situ soil infiltration rate 0.6 gpd/ft2 24.4 Lpd/m2 Contour line elevation 94.3 ft 28.74 m Use standard fill depths? x OR Design depth? ~in ~cm Place X in box to use standard depths (24 and A+4 inclusive) OR specify design fill depth. Center or end manifold Lateral spacing ~(c or e~ Hole diameter 0.00 ft Use 0 lateral spacing for trenches. 0.25 In 0.125, 0.156, 0.188, 0.219, 0.25, 0.281, or 0.313 inch only. Number of laterals Forcemain length Estimated hole space 1 Pump tank elevation 25.0 ft Forcemain diameter 4.00 ft Not a final calculation. 87 ft Outside bottom of tank. 2.0 In 1.5, 2, 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1 /8 = 0.125 1 /4 = 0.250 SYSTEM SOLUTIONS Inch-pounds Metric 5/32 = 0.156 9/32 = 0.281 Estimated daily flow 600 gpd 2271 Lpd 3/16 = 0.188 5/16 = 0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gpd/ttZ 500.0 ft2 46.45 mz Linear loading rate (LLR) 6.00 gpd/ft 74.4 Lpd/m Design width (A) 5.00 ft 1.52 m Cell1"ength (B) 100.0 ft 30.48 m Depth of cell (F) 10.0 in 25.4 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 19.2 in 48.8 cm Basal area required (gpd/infiltration rate) 1000.0 ft2 92.90 m2 Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.90 ft 3.32 m Upslope toe length (J) 6.30 ft 1.92 m Down slope toe length (I) 16.10 ft 4.91 m Total mound length (L) 121.80 ft 37.12 m Total mound width (W) 27.40 ft 8.35 m Project: t'A(flE Z o~ `1 MOUND PLAN VIEW 27.4 ft 8.35 m W observation pipes (typical) I =down slope dimension =absorption cell (Ax6) J = up slope dimension ~ =plowed area (LxW) K =end slope dimension MOUND CROSS SECTION A = 5.00 ft 1.52 m B = 100.0 ft 30.48 m J= 6.30ft 1.92m I = 16.10 ft 4.91 m K = 10.90 ft 3.32 m typ. obs. pipe (anchored securely) 6" (152 mm) subsoil cap D = 12.0 in 30.5 cm lateral topsoil G H E = 19.2 in 48.8 cm invert 95.80 ft F = 10.0 in 25.4 cm elev. 29.20 m :: :::::::::::::::::::: F G = 12.0 in 30.5 cm T ASTM C33 H = 18.0 in 45.7 cm ~ Sand Fill E sys. 95.30 ft y `~ elev. 29.05 m 94.30 ft contour 28.74 m elev. 12 % -~ slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F =absorption cell depth of aggregate and pipe with laterals G =subsoil + topsoil depth at cell wall centered across AxB media. The cell H =subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: Project: Transaction Number: Page 3 of 7 L _ 121.80 ft 37.12 m PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 5 ft 1.52 m Length (B) 100.0 ft 30.48 m Lateral specifications Number laterals Holes/lateral Lateral length (P) Hole diameter Lat. dis. rate Sys. dis. rate Hole spacing (X) Lateral diameter Designer must "X" one choice from the options provided. Manifold diameter Designer must '~C" one choice from the options provided. 1 25 holes 98.00 ft 29.87 m 0.250 in 6.35 mm 29.13 gpm 1.84 Us 29.13 gpm 1.84 Us 49 in 124.5 cm Pipe diameter Design options Design choice 1 in (25 mm) 1 1/4 in (32 mm) 1 1/2 in (40 mm) 2 in (50 mm) X X 3 in (75 mm) X Pipe diameter Design options Design choice 1 in (25 mm) 1 1/4 in (32 mm) 1 1/2 in (40 mm) 2 in (50 mm) 3 in (75 mm) 4 in (100 mm) Place X in red box of chosen diameter. None required. No choice necessary. Distribution system contains: 1 Lateral(s) LATERAL DIAGRAM -END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Laterals cenkered over the A & B dimension Last hole drilled nexk to end cap ~~ ~~~ Holes drilled on the bottom of the lateral equally spaced Laterals & Force main of PVG Sch 40 (per COMM Table 84.30.5) • =permanent end marker • Lateral length (P) Lateral spacing (S) Hole spacing (X) Manifold length Hole diameter Lateral diameter Forcemain diameter Inch-pounds Metric 98.00 ft 29.87 m 0.00 ft 0.00 m 49 in 124.5 cm 0 ft 0.00 m 0.250 in 6.4 mm 2.00 in 50 mm 2.00 in 50 mm Project: Transaction Number: Page 4 of 7 TDH and Pump Tank Drawing. Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 7.90 ft Friction loss 0.37 ft Total dynamic head 10.77 ft Dose Volume Dose is > 10 time Lateral void volume 17.1 gal Minimum dose 171.0 gal Drain back 4.4 gal 2.41 m Are laterals the highest point in the 0.11 m system? Yes "X"here. ~ X~ 3.28 m If no, what is the highest elevation downstream of pump? ~s lateral volume Forcemain drain 64.7 L back to tank? ("x" one) 647.3 L Yes 16.7 L No Dose volume 175.4 gal 664.0 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with '7~[] weather proof ~ warning label and locking device grade level's I I junction box -~ ~ grade levels 4" vent pipe -`I I electric as per NEC 300 and ~I Comm 16.28 WAC wall of pump chamber or combination tank A alarm on pump on B pump 87.9 ft C off elev. 26.8 m ~` D Tank manufacturer Pump tank capacity Pump tank volume Pump manufacturer Pump model number Alarm manufacturer Alarm model number dis onnect c y ~:~ alternate ~- outlet ~ ` location 18" (46 cm) min. ~' approved outlet joint 3 " (75 mm) of bedding under tank Aidwestern Precast combination 21 gal/in 00 gal Myers ME 40 ~ A '~ 8 S J Electro ~ C HW 101 'p D Provide 1/4" weep hole or anti- siphon device as necessary Grade levels - pump tank manhole = 4" (10 cm) minimum above finished grade - vent = 12" (30.5 cm) minimum above finished grade 87.0 ft Pump tank elevation 26.5 m bottom of tank Inches Gallons 19.7 414.6 2 42.0 8.4 175.4 8 168.0 PACE 5 of 7 - FROM NORTHLAND PLUMBING, INC. ~~ U 4 r/ } ~~ ~y C~ -ham ,~~ 4 ~. \ 1 ; 1 1 ~.. l~ ~a IY~ FAX N0. 715-643-2520 r, ~,:. ;, U ~ -, ..y „ y ~;, May. 12 2000 09:32AM P1 j ~. ~ ~t 1.;, '-- ; i'v ~~l!~ 4 ' ~ ~l ~~ m . b ~' 4 ~a ~ Ca +{ rb i~ ~- ~.` , ~ ra. G~ ~+ _..~ b ~~ ~ r, ~. ~c_ ~ ~.. o ' ""~ ~.+a (~`~^ `J } ~., I of ~ ~_. ~~ S~ ~-' z;~ ~~ n+ ~ ~, h , 1'Ti ~ ;in ~ f f~l ~ ~~ ~ SS}~ ~~ „ ~ r- ~~ SS1 2 ~~ tS/d~~. ~ 4"-1 ~~ ~-`~ / 2'1.0' -~ ~ h „,~ s ---- --- ~~~~ --------- fir--.-.~.-_~.-• f •~~o?d~ ~,~~ ter' ,~~ l ~au~C-' 1 ~M. ~-- - -- ._....._,.. -----~ j t ~---1 ~v~ ~, ,~ Z ~~ ~~ ~Ld.~ ~ • ~ 1 .iI ~~ ~^ '~'IJLC. jlF. i+ 9 1 ` ~• If Ppt V E ` °~ 7 ...._........,~.~_....1.......~.....y...~...,_~)._~_~_.. _ .., _, _.._ _ ... . 6.. t J !!.. ~ ! ll,E ~~ A(.So SEA /lDp`1..~~TI t(. 3'/sYCC~E - Performance Data :~ ~. Pue1 /Iwotor ulf Itisesd IMod~k sNEF4oR11 sl~F4agil~ Astsetolic Riotisls SNEf10A1 SHEF40AZ N 4/10 Fsl foal i Z ~ Mlehr i Sialod Pak (4 Pole) ~~ 1SS0 Piss 1® ~ 113 2310 Vert: 60 ~ 120° F Mox.l4sid i NEMA A Yrselef~n ass A ~ ~ 1 1 2° NPT s~ a s/4" se ee. Pwnr Card 18/>, SJTIw4 20' ad. (~' optWeal} Mots~~w~ s ~Qf ~pin~t~ru~tioln taides: 5 ~~ Wst Ira cost tree Stefi S Medroeia>I Sledt Swl Ssd Faas: carba/Coraesk sod tioiy: Anostlzad stool stela~s:steel stk ~ sl Stair ss StN ~ ~ ~ Di 1. Aq dimensions in inches. (Metric for imernatienal use). 2. f.omponem dimensions may vary s 1/8 inch. 3. Nat for comtrudion purpose unless certified. 4.Oimensions and weights are approximate. 3. We reserve the right to make revisions to our product and their spedHcations without notice. ._ _ .. -_ - ;,~,rs . ;:: ,...~.. I I'J ®1998 Hydromafic° Pumps, Ashland, Ohio. AI Rights Reserved, HYDR0~41ATIC ® -Your Authorized local Distributor - ~ . • 1840 Baroy Road Ashland, Ohio 44805 Tek 419.289-3041 Pox::? 9-281.4081 ~ ~~ Web Site: www.pentairpumptgn "n q, ~. ~'` SALES OFFICES 1N Ali tiIAJOR CITIES AND COUNTRIES / ~~ C ~~ , Refer ta., inth~ yellow page of your phase direcbry for year local iksin~s+or '$ ~} /G J""" ~ 1 ~~ `'`'~_' ItamB: W02-66801198 SM ~! .w ~ ~. ,. ..~ 't ~ x, a, ~,Sa. .. rt, ;a.<~ 4wx " -a - - „- .. 40 30 ~ za 10 0 10 70 30 40 50 b0 10 GPM 1'orol Haad (fast} 10 14 17 31 33 28 ~ 30 35 (m) 3.0 4.3 S.3 b. l 7.6 8.S 8.8 i 0.7 GPM (NS GPM) 70 b0 50 40 30 30 10 0 (liters sac) 4.4 3.8 3.3 3.5 1.9 i.3 .63 0 o~ f~Y ~- -~,R.; ~ Q,l yrs. f~'v+ P1~~ ~` ~ f1 gin. ~F_ ~ _.. _ . .~;~.~,~.~d i ;. _ .. , poR~ MAIN . __ . 1 ~. ....; ._ .. _ . ~Z~~Boo t~-c.. ...... _._... _.._. ._ MwwESr~N ~ .... .. _ od.~_S ....... _ . PRECAST - ~ coMgtNartoN _.~ T~-~tK ... .:. _ ... __- -- ~. ._.. _..___. .. _'..... .. .. ._ ~. 4'~ SAt~cTARY SEu~E~- ~. _ ~: . DR.wEwAy Pr.Poseo~.. . ---- ~- a.dr~ (,Zoo ~•, -~o ~ _.. C 3 ofkt aY~ , ~ ~ ~ .. . _ ... ~ g Jh ~ E'L /00,.0' ?: p a F .~/y k P'~~ M~ r kc .. __ _ ~ ~,~ :8rn = ~~ ~ 9P~ q ~ Tap. o. F ~r ~ r~aK ~°,~~ .. .. jj -, _. / -~ ~ 1 ~~ I .~f 91.9' `-.~rqy. 3 ' YS. ~~~ ~ Deg ~ ,- S ~~ ~ ., ~ N 1 V c. ,t'D zs7~/9 ~! ~~ 8 M Y v r v ~~ ~. ~„ r " Wisconsin Department of Commerce SOIL AND SITE EVALUATION llrvision ot~afety and Buildings in accord with Comm 83.05, Wis. Adm. Code '~~ Page 1 of 3 Gustum Septic Service Attach complete site plan on paper na less than 8'/ x 11 inches in size. Plan must County include, tart not limned to: vertical and honzontal reference point (BM), direction and St. Croix percent Slope, scale or dimernsions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION P '~ 1~ih ~ ti t°a ~ - ->f > ~rma on. ( iP Personal information you provide maybe ry purposea~Pfiracy_Law, s. 15.04 (1) (m)). R ~ gy Date S- 22 -ZBQD Property Owner ,`~ ;i ~CC~~~~ '. ` Property Location 15 W 30 ~ M ers, Mike & Carol _ C ~;~ N,R Govt. Lot n/a NE 1/4 NW 1/4 S 33 T Property Owner's Mailing Address _'°~ „ ' ' ~~59 ~ ~ ~~ ' - Lot # Block # Sutxl. Name or CSM# ~ ~ 1 ? 1 ~ ° 617 S e Ave. ~ --a n/a n/a N/A t~ ~ Zip Code316 ~ mbar ' City S ^ City ^ ~Ilage ^Town Nearest Road Glenwood Cit 4013. 1 ~ Glenwood ~ 130Th Ave. ~~ ~ aid rooms 4 ^Addition to existing building ^ New Construction Use: ^ Replacement ^ i~oht ascribe Code Derived daily flow 600 gpd Recommended design loading rate •5 bed, gpd/ft2 •6 ~~-, 9Pd~ Absorption area required 1200 bed, ft~ 1000 trench, ft2 Maximum design loading rate .5 bed, gpolftz .6 trench, gpolftz Recommended infiltration surface elevation(s) Mound along 94.3' contour. '~ ft (as referred to site plan benchmark) Additional design I site considerations BM # 1 = 100.0', BM #2 = 98.9'. Part of 20 acres Parent material glacial til Flood lain elevation, if a liable n/a ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ^ S ®u ®s ^ u ^ S ®U ^ s ®U ^ S ®u ^ s ® u SOIL DESCRIPTION REPORT Boring# 1 Ground elev 95.5' ft Depth to limiting factor 2 Ground elev 91.9' ft Depth to limiting factor 25" ~- Depth Dominant Color Mottles Structure n C si t Bounda Roots GPD/ftz Honzon in. Munsell Qu. Sz. Copt Color Texture Gr. Sz. Sh. on s e ry Bed Trench 1 0-10 10yr3/3 none sil 2msbk mvfr as 2flm 0.5 0.6 2 10-17 10yr4/4 none gr. sil 2msbk mvfr cw if 0.5 ~~ 0.6 3 17-25 7.Syr4/4 none gr. sl 2msbk mfr cw - 0.5 0.6 4 25-29 7.Syr4/6 none gr.ls lmsbk mvfr cw - 0.7 0.8 5 29 35 7.Syr4/4 o3~j,5y~+jg/1 gr. sil 2msbk mfr - - 0.5 0.6 Remarks: 1 0-9 10yr3/3 none sil 2msbk mvfr as 2f,lm 0.5 ~ 0.6 2 9-14 10yr4/4 none sil 2msbk mvfr cw if 0.5 0.6 3 14-25 7.Syr4/4 none gr. sl 2msbk mfr cw - 0.5 0.6 4 2534 7.Syr4/6 c2-3 10yr7/1 7 SyrS/8 gr. scl 2msbk mfi - - 0.4 0.5 Remarks: CST Name (Please Print) Signature: Telephone No. Tom Gustum ~!~~~d~ 715fi58-1344 Address Gustum Septic Service Date CST Number Ref# N 13450 937th St., New Auburn, WI 54757 7/2/99 227618 1111 PROPERTY OWNER Myers, Mike & Carol SOIL DESCRIPTION REPORT PARCEL LD.# 3 Ground elev 91.9' ft Depth to limiting factor 34' ~ ~ ~ ~ Page __2 of 3 ' r.~.~....,. c.....:.. c...,.:, Horizon Depth Dominant Color Mottles Texture Structure nsistence Boundary Roots GPDIft~ --- in. Munsell Qu. Sz. Cont. Color ~ ~ ~ - - Bed ~ Trench 1 0-11 10yr3/3 none sil 2msbk mvfr as 2f,lm 0.5 0.6 2 11-15 10yr5/3 none sil 2msbk mvfr cw If 0.5 ~ 0.6 3 15-27 10yr4/4 none sil 3msbk mvfr cw - 0.5 ~ 0.6 4 5 27-34 34 0 7.Syr4/6 7.Syr4/4 none c2-3p 10yr7/1 7.gy~/g gr.ls gr. sil Imsbk - 2msbk mvfr ---------- mfi cw - -------- -- - - ------ _ -- - 0.7 0.8 -- ------- 0.5 ~ 0.6 Remarks: Ground elev Depth to limiting factor Ground elev limiting factor Ground elev Depth to IimiGng factor Remarks: ~~ V ~ ~~ ~ _ ~ ~~~~,anr! ~aro~ ~y«-s ~+P~~h ~ I ~ 6i7 sr~,t ~~~- ~ Cf~n~~~ Cs~y ~.~,s'~o~3 ~ (~ ~E ~~1 S« 33 r3a ~ ~ is~1 ~~~~~~P 7a~n ®~' Gkr~ ~.~ ~. ~~ ~.,.~qy. 3 __ -~ ,. ~t/aod s Pr~PaSrc/ ~"~ 'Qed lb~~~» ~, ~« S~Md~ ~1 aM 1 i~ L ~ t Z`~ ~ ~ ' ~~ f00~0' 'f ~ oF3,/9`r ~r~a rNlarkcri' ~'.Z BM ~~1-- ~~~~ ~.Z fs'n'I = EL g~~ y ~oP o F 3!Y ~~ .~~e~n f ~~~ ~' ~©:`~ /g~r~~-gS ~~ lac l~ ~r©°L ~~ `LZ76~y ~/~~ PQ~~3oF3 ' v ST CROIX COUNTY SEPTIC TANK MAINTEiv'ANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM s OwnerBuyer ie/~~~ Mailing Address (~l ~ ~ ~l~l~/r~! ~~~ Lt!// Sf d/3 Praperty Address ~ ~ ~3 34'`r v~ { ~ ®/ {Verification required from ,lPlanning Depa ent for new construction) . City/State ~~ ~ :,~ ~, U~Parcel Identification Number ~C~yf^~O~7G~ LEGAL DESCRIPTION ~ Praperty Location ~ '!~, l/G~ '/4, Sec. ,~_, T.,~4 ,_N-R,..,~.,~,..W, Tawn of G ~~ n u/orx~ Subdivision ''~~ , L,at # ---~ Certified Survey Map # .Volume ,Page # Warranty Deed # --a 8 jf~S`~ Volume ~3~ ~- ,Page # ~g`~Z . Spec house ^ yes ~ no Lot lines identifiable ~ yes ^ no ~2~ ~~ SYSTEM MAIlVTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification farm, signed by the owner and by a masterplumber, jouraeyrnanplumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping {if necessary), the septic teak is less than 1/3 full of sludge. Uwe, 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 Commerce 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 Zoning Office within 30 ys of the three year a piration date. /dam SIGNA OF APPL ANT DATE 4 WNER CERTIFIGATIOhC I (we} certify that alt statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of th property descn~bed a ve, by virtue of a warranty deed recorded in Register of Deeds Office. • ~/ /~ GNA A PLi ANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the wan3nty deed ,. c .~: ~,~ - r' t'' ~i.Ali 't-A:.,~,i~ .~i~ii1^ ~;~,; F;?R~I i - Iv:,1 I' .~~lOJ3 , Pf:RSI)y.>i. RtIR[tiL~,i:~11~'[:'S phl~l) Joyce Gi llis_ . _ _ _ _ .. _ __ __ . __ _ ..-_ ,. hrsti t Reprr uat~:r ~ tine :,ta:r u( _ -- ..Hazel C. Aebly_ ajk/a_E~azel _Aebly___ ------___-- _ _- - __- ----._ _- __ _ - _- - - ,.:~;.. ...t, ~ l t~.:,, Michael__J Myers _ . , I 1 ~.',u hli ., r.~ ~. f 1 ,t,n and C3ro1 _J,_.Myers-, _hus5and and__wife as survivorship, __ ___ marital. property ------ --- - ~ St Croix ~:,,t.:~t~,: t . ; \~ 5 t.;:n Ix lr.;: a;~c'.. c n•'r~txn~°) ~; .t `Ji,''X i.~.. ''.tai JUN 1 S 1998 ~. 9:30 A ?~1 ~ ?OCR-f {1r.. Of 1ABQ1 x r~,t5 ~PAC£ R $r R`v'CC ~~~ n£Cii~:'.,IN,i CaTA NAME ~'•D %:£'UFN qDr FFSS Francis X. Rivard P.0. Box 410 Menumuuie WI 54751 016-1070-70 ___ _____ _ ~~HC£~ r.~£N "'~~ICa P.CN Nt-;Ste>£R ' The Fast One-half (EZ) of the Northeast Quarter "iNRFE (NF's) of the Northwest Quarter (NWT), Section Thirty,•~(.a~), Township Thirty (30) North, Range Fifteen (15) Nest. ~RpNSFER ~ o FEE c ?: .• A ~4 ~: :* ,, ~~ ~ :, ii .._ C tt • :., l C ..tiC .trt { .t ~ - [ Sri' - ~ Z 11 Y t elf' t a.t t.n ..«llat ~~ ' P . rn h t r' ( '. t ie • ll ana n - ct r 't?' ~ . ,. - _ < k .. . ,il r { r t ~. : ,r,ur ,, ^. ..b. ,~ ic:,.ii. t.:~1 ~.t ; f r -taa a~ d .merest in [h 1 ~,, i It .l: .~ nc. f7fi iCnt l,1 -. :...7 ~:liY ~er'~ ,ctrcti the P~ ~r,: '~ t .' . ~~. ~ CL~-~ ~ 98 l ------ • ` _~ ~ / ~ _ ~ ~. ' J/ " ~ ~ ~ f iSEU ~ b- v~-_ __ ~ r ~__ .__ 15~.1L. __- -`__ ~' a ~ .' - / o~yc Gillis..--- .- ---- ( (~ t ~r a,u kc:rcxt ~ ---- ~- - ---------- i ~~r~.:,~..{ Nct~rr :nt.ut~~e t ACK:~O~l'LEDG!~tEVT `' AL'TiIENTiC:\IiOti . Joy Ce Gillis State of ~~'isconsin, - ,,, ._ . ~,, - t,,... ---- --- -- -, .: _- --_- -------- ---- ~t 001X-_,-~ut.nt~~. ; "~ r "'b,. _ - 98 ~ -- - ~~ P_ I J~,a{i~ c.+:n~ :~rEca~ me this _ -- ~p / ul _ i.r ahtt~r tt.m:eu ----- l~_ 98.. May _-- -- ---- ,. - Francis_X._Rivard---_..------------- -- _ _~Jayc~-G-i-hl~--- ----- ------~ , .; - . ", tltL[ 't1t~ltiFR tii,aik: G.~R ~`F \ 1t1~ ti1ti ---- -_------------,.__ tf t - --- --- _-_ ----- ~ _ .,.,t;t, rr_~ti ~~ : ith : n, tt ., ti,. ~ J; ~ -- •,, t, , who rtciutid thr I~u tiU ~ ' to nt~ ivu.~• t~~ .,..h~ ~xrx n _ ,• same ~ ~ r . trotnt ;;n,• d a_hn~~lcdge tV ~ • ~ ~'~ lj iYS. HIMLNr i~... :':~ ~iC_'--_,~ r ~fl-.~~~_..-~~=!'s ... _.- --- _.- if /ji~1JC~1~ ~r - . ?~ Fran~~is X. Rivard ~-~_ -~-• Janice M. Caress-Hanson _~_.__ '~~ ~- - _ __ _ ___--_ ___ _-_-__-- -- nie WI 54751 M ~ r ~ , uu~ \~ls ~ ta,, r ::, t ~. -_ St____Croix _- - encxno