HomeMy WebLinkAbout018-1027-80-200I
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Parcel #: 018-1027-80-200 04/09/2007 10:31 AM
PAGE 1 OF 1
Alt. Parcel #: 13.29.17.2030-20 018 -TOWN OF HAMMOND
Current X ST. 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 -KRUPA, DONALD R & ANN MARIE L
DONALD R & ANN MARIE L KRUPA
2004 90TH AVE
BALDWIN WI 54002
Districts: SC =School SP =Special Property Address(es): ' =Primary
Type Dist # Description " 901 200TH ST OR
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 3.202 Plat: 3863-CSM 14/3863
SEC 13 T29N R17W PT SW SW BEING CSM Block/Condo Bldg: LOT 3
14/3863 LOT 3 3.202AC
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
13-29N-17W SW SW
Notes: Parcel History:
Date Doc # Vol/Page Type
10/13/2000 631672 1550/298 WD
04/27/2000 621948 1505/613 WD
07/23/1997 769/402
07/23/1997 702/01
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/24/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.202 29,600 193,600 223,200 NO
Totals for 2007:
General Property 3.202 29,600 193,600 223,200
Woodland 0.000 0 0
Totals for 2006:
General Property 3.202 29,600 193,600 223,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 09/2612005 Batch #: 05-16
Specials:
User Special Code
Category
Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
sconsin Departmenzt of Co~n~rce PRIVATE SEWAGE SYSTEM
Safety and Building Division
' INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
'ermit Holder's Name: City Village x Township
Kru a, Don & Ann Hammond Townshi
:ST BM Elev: Insp. BM Elev: BM Descript'on:
o v' io U ~ /~--, ~/
TANK INFORMATION
TYPE MANUFACTURER CAPACITY
Septic -
l
6~
Dosing
c..r/
~-/0~~
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD
•
Septic \ b ,
! ~~ ~~
Dosing
,, /
Aeration
Holding
PUMP/SIPHON INFORMATION
Manufacturer /`;_ U L ~S GFI~ nd
Model Number ~~ ~1 ~ ~ I •~
TDH Lift Friction Loss SVystem,HeacV TDH Ft
Y r `7
Forcemain Le nt~-, Dia. tr Dist. to Well
SnIL ~46SORPTI~N SYSTEM
ELEVATION DATA
county: St. Croix
Sanitary Permit No:
404927 0
State Plan ID No:
Parcel Tax No:
018-1027-80-200
STATION BS HI FS ELEV.
Benchmark OLr...a~ •
Alt. BM ~
N wCor• ,• o
Bldg. Sewer
0.3
` 7- g~
SUHt Inlet
io~~
y~ Ys
SUHt Outlet
Dt Inlet
Dt Bottom
/ -s7
~I 3.7
Header/Man.
s~~
,~z. ~
Dist. Pipe
g~ ~-
s•~
ozro
Bot. System ~. 63
Final Grade
St Cover
-~
G..~~
o . ~'~
ltftl.'~'fi'1n/ti- -Qd~ C.¢:~LQ 7.3 / O d L ~ 6
U -f •3S )l /
BED/TRENCH Width Length ~ No. Of drenches PIT Dl[1AENSION s Inside Dia. Liquid Depth
DIMENSIONS ~ ~ ~ ( ~~ /X_
SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LE H G Manufacturer:
RMATION
NF CHAM OR
I
O Type Of ystem:
ZD t
/~O,
~N IT Model Number:
O
DISTRIBl1TI~N SYSTEM
Header/Manifold ~
Distributi
n
o x Hole Size i
x Hole Spac
ng Vent to Air Intake
r~ '
~
~ ~ ~
S
i
-7 Di
/ /
~
Len th Dia ac
n
Len th
a
~
SDIL COVER v Prcem~ro Rvc4amc only YY Mnund Or At-Grade Systems Onlv
Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched
Bed/Trench Center ~ ~ ~, eA,
Q W Bed/Trench Edges Topsoil
~ Yes °<~~~ No
~_! Yes ~;i, No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #~~5 /~~ Inspection #2: ~ / (~ /~/ J~
Location: 2004 90th Avenue Hammond, WI 54015 (SW 1/4 SW 1/4 0 T29N R17W) NA Lot 3 /„~ Parcel No: 13. 9.T7C203C20
1.) Alt BM Description =
2.) Bldg sewer length =aft
~,/ i
- amount of cover = 1
~ ~" ~ . is.~ ~ %• I °8.25
3.) Contour = ~p0.90 ~S^o`
1/LC' rz -~ ~ Q o I'n-5~~~'a~' _ _ - - _ -- __ _-
Plan revision Re uired? ~t~ `/ I __
Use other side for additional information. a r`3 ~"~' ~ - ~~t!yr.•`____. _ _ ~"I ~~i _____
Date Insepctor's S nature Cert. No.
SBD-6710 (R.3/97)
j Safety and Buildings Division ~n~' ~
- ~ 201 W. Washington Ave., P.O. Boz 7162 ,S ~«^a <
` jS~~~S~~ Madison, WI 53707 - 7162 Site Address ~~
De artment of Commerce L~0 's- S3/ v d ~~ ~~`
Sanitary Permit Number
Sanitary Permit Application / ~~~~-~.
In accord with Comm 83.21, Wis. Adm. Code. personal information you provide Check if Revision 0~ 3
ma be used for ses Privac
I. Application Information -Please Print All Informatio State Plan I.D. Number -T~jl Js , ~ D
~r l
Parcel Number Dl ~ _ !D~ '~ - 8D ~ 24 Q
property Owner's Name MAY 1 7 2002
?~~~ N ~ u' ~' Location
property Owner's Mailing Address ST. CROIX COUNTY Property ~
ZONING OFFICE S-~ ~ S'~; S T o? N, R ~7
~` 's ~ Lot Number 3 Block Number o703 ~- °2 (
City, Star Zip Code Phone Number
~'..- ~~ Sub ' ' 'an Name CSM Number'
, I 3g~
II. Type of Building (check all that apply) ~ ~,~ rty
^ 1 or 2 Family Dwelling -Number of Bedrooms ~ r illage
^ pablic/Commercial -Describe Use ~, ~ ~~ ~ wnship
^ State Owned (/ ~ X 7 ~~ /N4Lli-~d G~~• ~'~ j / ~Z~ ` arest Road
III. Type of ermit: ( only one box on line A (numbering scheme for internal use)• Complete line B if applicable)
A For County use
1 ~ew 2 ^ Replacement System 3 ^ Replacemem of 6 ~ Addition to
~ Tank Onl E . stem
Permit Number Date sued
B. Check if Sanitary Permit Previously Issued ~~~ 2 2 ~ oZ~ ~''
Iv. Type of Permit: (Check all that apply)(numbering sc eme is for internal use)
44 ^ Non -Pressurized In-Ground 2ound 47 ~ Sand Filter 50 ^ Constructed Wetland.
22 ~ pressurized In-Ground 41 ~ Holding Tank 48 ^ Single Pass 51 ~ Drip Line
er
45 ^ At-Glade 46 ~ Aerobic Treatment Unit 49 ~ Recirculating 30 ~ Oth
V. D' 1sa1/Treatment Area Information: Grade
Design Flow (gpd) Dispersal Area Dispersal Area Soil Apphcaaon Percolation Rate System Elevation Final
Required proposed Rate(Gals./DayslSq.Ft.)(Min./Inch) Elevation
n sift[ Sa / 0.5- ~ v~~ ~~~ ~ ~ /d ~~ .~
le--
.~~
1 Fiber Plastic
Total Number Manufacturer Prefab Site Stee
VI. Tank Info Capacity ~ _ cted Glass
Gallons Gallons of Tanks ~S Co~rete Consttu
New Existing ~dU2-- ~ l~/Q
Tanks Tanks
Septic or Holding Tank - ~~0 / ~Q ,~j e lr
Dosing Chamber 1 r
nsib ' for ' tion of the POWTS shown on the attached plans.
- the and ed, asstnne respo ilrty .
tatement erg
VII. Responsibility S I, Business Phone Number
Plumber's Signature /MFRS Number
Plumber's Name (Print)
1
~~~ ~ Q~ ~ ~
R
u a J'
~, G~~'a m Scl~ ~ X
Plumber's Address (Street, City, State, Zip Code) l
1-21' ~~ .sc: - fC 1 .~ old
VIII un /De artment Use Onl
Sanitary Permit Fee (includes Groundwater Date Issued ent Signature (No Stamps)
Approved ^ Disapproved Surcharge Fee) _
^ Owner Given Initial Adverse /~ 5D ~ ,`) ~ D G~ j~ G;~~~
Determination `~j
IX. Conditions of Appr`ovaUReasons f'or_Dis/approval ~ ~ ~ ._,yt,~„„c(
z
t!~~jGrt~Pi ~ G~ 0
Attach complete plena (to the County ody) for the system on papa not less than S1CS x 11 lochs In size
cR11~~4R t'R (1.5/011
' Safety and Buildings Division County may,
_ ~ ~ 201 W. Washington Ave., P.O. Box 7162 J L • C1~~ ~ x
~sconsln Madison, WI 53707 - 7162 Site Add
r
ess
Department of Commerce h~~`• o~/ z i 7 ~ n 3 a ~~` - e
"
~T Q`~1 .
Sanitary Permit Applica ' ~ , ~,,
~
' Sanitary Permit N~92~-
In accord with Comm 83.21, Wis. Adm. Code, personal
you provide
~`y' ^ Check i Revision
ma be used for secon ses Privac La i (m) •.~
I. Application Information -Please Print All Information ~ F~~~U `4~-~
(/ State Plan I. .Number ~'~~
Property Owner's Name ~. ~ .~
j - Parcel Number
~ ~ inn °~ ~r ~;
~~~Z '~ 13, a~ . 17 a~ ~ - ~.o
;
Property Owner's Mailing Address -'' '. '. ~ ' ~?'~
~
t Property Location B/ ~ ~~ ~ y ~.,
fy'D . ~0~
~/'
`~
I ~ p
SW 'k SIIJ'.4; S ~ ~ T .Z I N, R J7
City, State Zip Code ~ uliiyei Lot Number Block Number
~ i YeY' ~a i{J / ~
~ ~ ZZ, ~/`~' ` ~~ ~ ~`'~ ' ~ n Name / ~ SM Numbe
~
8b3
3
, ~
bz3
8b 3
P
II. Type of Building (check all that apply) Gt3 ~rs ~~.~ ,
1 or 2 Family Dwelling -Number of Bedrooms ~ 7 ~
^ Public/Commer ' -Describe Use
~ ~T.ownship
^ State Owned ~1~7td~+'~'
•~ ~
x~-~ ,~,..,,~ ~. ~- pit = t-a C,z« rest Road
III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable)
`~' 1 ~ New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use
S stem Tank Onl Exis ' S stem
B • ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued
LV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) aE -~dD
44 ^ Non -Pressurized In-Ground 21~ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland
22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line
45 ^ At-Grade 46 ^ Aerobic Treatment Uttit 49 ^ Recirculating 30 ^ Other
V. Dis ersal/Treatment Area Informat ion:
Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate ystem Elevation Final Grade
Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation
~15D ~r~ ~~d ~. o /o~• o log: ~
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallows Gallons of Tanks Concrete Constructed Glass
New Existing •
Tanks Tanks
Septic or Holding Tank ~ _
Dosing Chamber ~ O l
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber'sName (Print) 's Signature M~A-4PR8~~lumber Business Phone Number
~~u~ c.s. 5+cinGr _ a a 515.1 7/~ - y2~-SSyS~
Plumber's Address (Street, City, State, ip Code)
o i~5`~+ £~• i is Z' Sal 0 2Z
VIII. Count /De artment Use Onl
~, Approved ^ Disapproved Sanitary Permit Fee (includes Gtoundwater Date Issued Issuing gent Signature (No Stamps)
^ Owner Given Initial Adverse rcharge Fee)
~
`
Determination ~
'~ ~
IX. Conditio of ~~ppproval/Re~so for Disa pr val ~ ~ /1 A _ n_ / A ~~
1 s~,•.~Ks wuua,~C'~ tnna~~ op GoJ(}~C.2, e~dlao bYdCJI S
p
1
,
~
.
_.--- ~~~
Attach complete plaac (to the County only) for the system on paper not less than 81/2 x 11 inches in size
SBD-6398 (R. OS/O1)
~4
a ~ ,
~ ~
iscons~n
Department of Commerce
Scott McCallum, Governor
Philip Edw. Albert,~t~g~esre,~ry
Safety and Buildings
4003 N KINNEY COULEE RD
LA CROSSE WI 54601-1831
TDD #: (608) 264-8777
www.commerce.state.wi. us/sb
www.wisconsin.gov
November 28, 2001
CUST ID No.267341
~1 ~~~~~ f
o / RfCE1VE~ `~~
;..~ 1
ARTHUR L WEGERER
WEGERER SOIL TESTING & DESIGN SERVICE
PO BOX 74
RIVER FALLS WI 54022
CONDITIONAL APPROVAL
PLAN APPROVAL E~iPIitES: 1 1/213/2003
A777V.~ POWTS Inspector ~ DEC p 5
ZONING OFFICE ~' S~M~IX O~~
ST CROIX COUNTY SPIA f
1101 CARMICHAEL RD c5~,~~~ /'
HUDSON WI 54016 /` ~ ~--' \
r---. -
j laentification Numbers
Transaction ID No. 691897
Site ID No. 639274
SITE: ~I Please refer to both identification numbers,
Don Krupa - 90 Avenue
St. Croix County, Town of Hammond above, in all cones ondence with the a enc .
SWI/4, SWI/4, S13, T29N, R17W
Subdivision: Lot No. 3 of CSM in Vol. 14, Pg. 3863 !,
FOR:
Description: Three Bedroom Mound System
Object Type: POWT System Regulated Object ID No.: 82315
The submittal described above has been reviewed for confornjance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIOIr1ALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for cort-pliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
General Approval Conditions:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the
"Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P
(R 6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems"
SBD-10573-P (R 6/99).
• 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.
• 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/instal lation/operation.
Owner Responsibilities
• A copy of this letter including instructions and information regarding proper use and maintenance of the
system must be given to the owner and each subsequent owner upon completion of the project.
• 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.
` ~ ARTHUR L WEGERER Page 2 11/28/01
Owner Responsibilities Continued:
• The activities relating to evaluation and monitoring mech~rlical POWTS components after the initial installation
of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a
registration issued by the department as a registered POWh'S maintainer.
• 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. i
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..?-s 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 tot a 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, 7:15 am - 4:00 pm
j swim@commerce.state.wi.us
Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
WiSMART code: 7633
'~
TITLE SI3EET Page 1 of `2
MOUND SYSTEM
FOR
A 3 BEDROOM RESIDENCE
This plan has .been prepared in accordance ~1ith the Mound Component
Manual SBD-1057 P and the Pressure Distribution PTanual SBD-10573-P
CCc. blgq~ CR. 6144
LOCATED IN THE S1~J 1 /4 OF THE SW 1 /4 OF SECTION l3. , T Z~. N, R T7 6d,
TOWid OF _ 1,-~fYY~.1Vv~ 0~1~. ST'. C~-Utz( COUNTY, WISCONSIN.
INDEX
PAGE l of 7 TITLE SHEET
PAGE 2 Of 7 SYSTEM rIA~dAGEMENT PLAN
PAGE 3 of 7 PLOT PLAN
PAGE 4 of 7 PLAN VIEW-CROSS SECTION
PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT
PAGE 6 of 7 PUI.IPING CHAiTBER CROSS SECTION
PAGE 7 of 7 PUMP PERFORi4ANCE CURVE
PREPARED FOR ~~
- :~iv~Z BLS, ~I---goo? ~~ ~~Opy
- ~O~
so~~
PREPARED BY •
kIEGEE=HER SOIL .TEST = NG
AND . •
. DESIGN SERVICE
P.O. Box 74 421 N.ifain St.
River Falls, WI 54022
Phone 715-425-0165
Fax 715-425-6864
P,~,~y T.S.~I
Conditions Y
Rov~o
~~ ~ T pf COMMERCE ~
p;PA OF SAFETY AND BUILDIN ,
pIVIS.ON
SEE GOFZRES DEriCE
P
1~ • ~1
Ar~T~KJIJ ~
i)£15P
EIIS''; 0.'.iC•~ j
N ~~. ~rT ~ (~tiq~ ~/ y~~
%~~ 4. .~ L~ ~ ?1
{~~?"~~9~6 GPc~ffin~a~~
It-z6-ol
JOB NO . d ~ -~O Z
Mound System Management Plan page Z: of ~
Pursuant to Comm 83.54, Wis. Adm. Code
Segti_ c T?nk
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the
septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. Theo erating condition of-the septic tank and
outlet filter shall be assessed at least once every 3 years by inspection. Th ou et filter shall be cleaned as necessary to
ensur r ation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that
ay slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if
the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The -
septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of
the tank, If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise
the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in
the tank. The addition of biological or chemical additives to enhance septic tank performance is generally rtot required.
However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and
Buildings Division.
Puma Tank
The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to
verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution Svstem
No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound
shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic
(other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the
infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather
installations (October-February) dictate that the mound be heavily mulched for frost protection.
Influent quality Into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may
not exceed maximum design flow specified in the permit for this installation.
The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each
lateral be flushed of accumulated solids at least once every 18 months. When a pressure testis performed it should be
compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is
required to maintain equal distribution within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for.effluent ponding. Ponding levels shall be reported to the owner,
and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring.
Geieral -
This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its'
component manual [SBD-10572-P (R.-6/99)j arid local or state rules pertaining to system maintenance and maintenance
reporting. -_ -..
No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and
pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as
POWTS components. .
Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access
openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed
unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall
be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component.
Continaencv Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the
system in proper operating condition.
If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be
immediately repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired
or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption
and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper
operating condition.
Questions about the operation or maintenance of this system should be directed to:
The County Zoning -Office at ~ `Zl~- 3a6-~6QQ ~ ST'. Z°-~UC
The system installer at _ Z LS - 3~6- 3t2,J 3 C-£~'U!~(j-y-L~ -
The tank manufacturer at FsD~-3'L.S~-fi~LS6 LV1,~~1(Z
The. effluent filter manufacturer at ~OI~-- Z-2.,J ~ ~~~(.Z_ ZI'~13~,
The pump manufacturer at '- - --~-~~- - - -~
' PLOT PLAN
` , ' Scale 1 "= S 0' •Page 3of ~
~/
,~
~ N~u~ 10 3.0' ~ ~
~"'l Or ~ -r.~i ~ r
- .-~ q ~ ~ /~UC_
---~: CUO.p'-orv YoP a~ ~~PVtuG __S16N__pc~sT: - --- - - - -- ------
_ ---~
NOTES:
1, Elevations shown are existing ground elevations unless otherwise noted.
2, Install 4" observation pipes with approved caps. ( Z required).
3 . Septic tank to be t0op / 65o gallon capacity manufactured by
~ t ~~lZ CU~I ~-2~1~- w _ 1800 ZP~-~3~Z- F=t ~.`i'~--SZ.
4 . $ench mark S : Ste- ~oV
5. Divert surface water around s stem to
y prevent ponding at the uphill side.
Page ~ Or ~
Approved Synthetic Covering
AST~i C33
Medium. Sand
Topsoil .L
-~~ E
3
'.(~ % Slope
Distribution Cell of
'" to 22" Aggregate
z
stribution Fipe
-~G
F Eles~. tO~_Q
D
b
Force Main
From Pump
CROSS SECTIOiJ OF A MOUND SYSTEM
Linear Loading Rate= ~ -0 CpD/~~ FT
Design Loading Rate=O;3~GPD/SQ FT
Position
or
Force Main
~- L
A ~, Ft .
B ~S Ft.
I 1 Z Ft.
J ~ Ft.
. K `~_ Ft.
L ~ ~ Ft.
Flowed
Layer
0 \ •O Ft.
E t - 3 ~Ft.
F 0-g Ft.
G O-S Ft.
H ~_y F'
t.
w ?~ Ft.
I
~} ~ -Observation Pipe
$ I i K-
~ _._'_"__'----_-- ----_- -_----7 ~-AcCtss
- 1 Q _ + ~3o x
A ~ ~~6 H ---~t -
~Oistribution `---Cell of %" 1 ~~
z to 2 z ~ .
Pipe ~ aggregate
Observotion~ Pipe
(.l-nchcr securely)
PLAN oIET~T OF A MOUND SYSTEI4
,~ ~ Distribution Pipe Layout
Pace S of ~
Place the holes at the bottom of the distribution pipes
. at'equal spacing.~8emove all burrs from the pipe and holes.
Extend the end of each lateaI up with the use of long tum or 4f ° filing to a point withia six '~
inches of the final ~-ade. Te.~inate the ends of the late.-aIs with a valve,~threaded cap or
. threaded pIu~. Provide acz;ess from final made for the vaIye; threaded caa or threaded plus. "
T`-t p. ~ cr L LZfls s s~~-`n~ -v
pvC ~ • ~~aC ~vC
Laterl-~ ~ Martiiold ~ Later!
x x I x x ~ xfZ x!Z ! x i x I x ~ x [
• Lateral Length -`P ~ L.aterl~Leneth _ 'P ~
~LZ?-N V \E.~ ---
P --'
a- -
rM~~~
n ,. ~..-.
~-- --
I-- Z=n Qc~ n,~
~ r~cc;ys sox
-~
- --a
P 3-~ Ft. ~ Hole Diameter I ~~, Inch ~~ -~"
5 3 Ft. ~ Lateral ~ ~ InchEes)
. X Z y Inches Manifold _~ Inches
"- - Force Main " 2 Inches
~: .
~ of holes/pipe
Invert Elevation of.LateraTs 104-5Ft.
• ~ .. 1°1 XL1.~.[l = `Z.~~k~= 31.16 5t~i .
. .. _. ~ - Combination Sep.t~.c~.Tank grid '
' ~ PU'MP CHAMBER CRO55 SECTiOtJ ANO SPECIFICATIOIJS ' ~ PAGE ~. OF ~
j:~
° or cann~ce SOIL AND: TIQN
~; . ~ .ot ~
_ services in axordan _
.. .. 8 ~ ~ dm. Code
•t~~~`OIR } s eftet~ Of1P~rf^^le~ ttrerl 8 7/2 X it 1nCtr \
r pl/I fl0~ Mltif~6d ilk UBfiICB~ 8ttd flOtlaD ~M TI7Y~.T ,`~
~
. .
t i~Op@, eCele Or dim r eiro C81iOn
. .. : ~
- "' ,+„~'
'
~
"
` 'x r ~
~ P 1 D. -cr u
.
r
~jl
APPLICANT INROR N - Please /t ~
~ . I
•ltlZ~~ ;-~ ~ ~ :a_
+~~-.
~~y~..~ w~ / C V~ .
a
.~
Property pwner -,« .... _ .,.
,.,.E , f ~ .:~ +.1;.:
Property Owner's M ~ ,~ fl
sting Address "x"` ~ _. ~/¢'- ~ ~~ z ~ . - ~
:
W
G
- .. .
.
~; ~~~ J ,E~_~ # -~ Subd JVame or
:. ~ :., ,
, ZP ~~ e Number
~ [] qly Z <^ VilrS~}8 i TCWj1` ~ J
(
.,
ew Constructbn Use• residential / Nwnber of bedrooms ~ ....`.~ . ` : -~ ~ .~~,`-• ~ '•.: ~ .
^ Replacement Add~tton to existing buiidiriy:; _ -
^ Public or comm
i
l
.
erc
a
. Describe :
Code derived daily flow
~~
d
_
_ gp
Absorption area required ~~S' bed, tt2 -3TS 2
trench
fi Recommended design baring rate 2 'bed,
/ g"'~-t~• 9P~
,
Re~mrnended IrtflltraUon surface elevaUan(s} ~~ ~ Maximum design loading rate ~ L bed, 9pd~_...~_trenett, gpolit~
R~ddltlone! destgn/sfte considerations ft {as referred to site plan benchmarlt)
Parent material
Flood plain elev8tion, (f applicable -~ ~ ~
S Suitable for system
U = Unsuitable far system COn~na~
.S Mound
~S
U 1rrGround Pressure
[] S ~ AT-Crade gym ~ ~ T k
9
- . U ~ S ~,U ^ S
;~U ^S ,~U
SOIL DESCRI PTION REPORT
Boring # Horfzon Depth Dominant Color Moores Structure
#~pZ in. Munsell Qu. Sz Cont Color Sexture Consisience Boundary
Gr. Sz. Sh. Roots GPD/ft2
b
d
T
~
~ ~ e
.
ry
'/2 -~ 3
~
~
~ s
~~-
a..~
- s~,-ts
a . ~' ~ ~"`~' s
Ground
elev. 3 ~ o' ~
~ ~
- c,..J
s/
~ ;,
S
,~
Depth to - '
limttlng
faC.ar
-n7'1~ fn.
,.. .
Remarks:
Boring #
:;~~i~ ~ - ~ ~ 3 ~ / „-1 ~
Ground ~ / ~ i{/ 1° ~ j/P
fin.
i
Depth to ;
Gmiting ,
~~ rLm
~
. Remarks:
Narne (Please Print)
/ ~ Signature
r _ phone ~•
Sete
~ ~d-~ ~ ~ _ s f 1•
d U ~ ~ z ~ Date CST Number
y a ~ fi oU
Wisconsin Department ofi Commerce
Divisian of Safety and Buildings
Bureau of Integrated Services in ac
ACtach corr~lete site plan on paper not less than 8 1/2 x 11
include, but not limited to: vertical and horizontal referenc
percent slope, scale or dimensions, north arrow, and locati
APPLICANT INFORMATION -Please print
Personal information you provide may be used for secondary pu
Property Owner
J ~~ ~~ ~z
Property Owner's Mailing Address
SOIL AND SITE EVALUATION
cordanc `I i ~Cbr~m 09, Wis. Adm. Code
t ! ,-' ~ '~
inr~h~s.j-Y`size. PJ~a m t ~ ~, County
e piotrif;(6M), ~SCttbP1~ ~
gn':and distan e`t8'nearest road. .' Parcel LD. #
...
-. ~ ~~ -- Old
`s.i ~ c ~~.~~
`,information; r.. ,~:~ . :-~, Revi wed by
e~ (Pnv~cy Law, s;~9.~ ~ ~m . ~7 / ~
- Property~l/r~cat' n
,: ~
Page of
~vz ~ _ ~ ~
Date
.2-
,S ~ T ~ ,N,R / 7 E
ubd. Name or CSM#
City State Zip Code P ne Number ty ^ Village Town Nearest Road
^ Ci
New Construction Use: residential /Number of bedrooms ~_ Addition to existing building
^ Replacement ~ ^ Public or commercial -Describe:
Code derived daily flow -~~ gpd Recommended design loading rate ~ 2 bed, gpd/ft2~trench, gpd/tt2
Absorption area required .3~5 bed, tt2 37s trench, ft2 ~ Maximum design loading rate r. Z bed, gpd/ft2 ~ Z trench, gpd/ft2
Recommended infiltration surtace elevation(s) ~ ft (as referred to site plan benchmark)
Additional design/site considerations
Parent material Flood plain elevation, if applicable ft
S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade Systemrrin Fill Holding T k
U = Unsuitable for system .S ~S _ ' U ^ S ~ U ^ S ~U ^ S ;tom U ^ S ~U
SOIL DESCRIPTION REPORT ~¢~ i~ ~~ (?.ooo ~----y
Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench
I -oZ ~ 3 L s - ~ ~- a,,-~, - s ~, ~
Remarks:
~ i 0 ~ 3 .S~ ~ ~ r s ;, -~
~ ,
Rcm~rl~e•
l
Name (Please Print) Signature _ Telephone No.
Address Date CST Number
SOIL DESCRIPTION REPORT '
PROPERTY OWNER Ja ~ ~ ~~~ ~ Page o~~
PARCEL I.D.#
Boring #
Ground
/ v~te,~
Depth to
limiting
fac
~.
Horizon Depth Dominant Color Mottles
Texture Structure
Consistence
Bounda
Roots 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench
0/ c~ ~3 z S~ s~ ~~' - ~~
a ~y ~ s - w ~~' ~~`,-~
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Boring #
Ground
elev.
ft.
Horizon Depth Dominant Color Mottles Te
t
re Structure istence
n
C Bounda Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Color x
u Gr. Sz. Sh. o
s ry Bed ,Trench
Remarks:
Depth to I
Limiting
factor
'n' Remarks:
SBD-8330 (R.9/98)
~~ ~ ~ Soil Test Plot Plan
Project Name Joseph Dohmen Shaun i
Address 2022 Hwy 12
Baldwin Wi 54002 CS #226900
Lot Subdivision ------- Date 2/26/00
S W 1 /4 S W 1 /4S 13 T 29 N/R 1 ~ W Township Hammond
[~ Boring 0 Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft: -~ Top of warning sign post ~ p ~,,,~, I
r---„
System Elevation 103.2 *HRP ~~ n-e_ ~ ~~,
Alt. BM -Top of Telephone Box @ 100.3
02/22/02 16:17 FA% 715 ~8B ~46o HUDSON PHYSICIANS
I-IUD50N
FHY5ICIANS
y
..
,,
,~~
~^ L ,'
~.w. a~,' ~ ~.
1. ~ /
N
. : wt '. „i
DATE: ~' ~
'~~ ` ;;
402 Wisconsin Street
Hudson, WI 54016
715-386-5880
651-436-5053
15-3 86-3460
ATTENTXON:
FROM: HUDSON' k'HYSICIANS CLINIC
NAtti~ OF SENDER: ti I ~ ~ u ~
DEPT,PHONE EYT: h,~rr,•r~Q /I ~r~n -- -
v
CO:~~L'~iEVZ'S: ~ 9
c.rvsl< #.~
3~6~~ 8a
Number of pages including this cover pager
__ _lf you do noL receive ~Il~f t_h,~p~e~.pleas~otify us immediately at thi~s_r~~~r~.5-38b-5880_
En. 3 ~ 2 or =i65. '
CONFIDENTIALI?Y tiTOTICE: The da~cument(s) accompanying this facsimile transmission
may contain confidential information intended only for the use of the recipient reamed above. ff
you are not the intended recipient, you az~ hereby notified that any disclosure, except its direct
delivet}• to the intended recipient, is strictly prohibited. If you have received this transmission in
error, please notify us immediately by telephone and return the original message to us at the above
address via U.S. Postal Service.
~tle are receiving during regular business hours.
1-±; n
02/22/02 16:17 FA% 715 386 3460 HUDSO'Y PHYSICIANS fdjoo2
FEB-22-z0ma FRI 14`:56 ID:ST'EINER rLUMd ~ ELEC TEL:71S 4Z5 aOlB P:02
s~r c~on~ cro~w.Qlt~Bt~N,r
sic rartx MwNTBrr~
arm
OWN$RST~' CBRTII~ICA1'ION FORM
OwaezBuycr `~.
MSllttl$ Addt+ess ~ •
~~
Proptuly A n ~~ from 81a~j for aeov coos
~/..~,,~ ~nivu~ hl~ Pat~x1 Ydentificatioa Number O ~ ~ ~ ~ 02~• ~ ~ ~ ?A'O
ca;~s~te ~~
. ~T3.2~ . 1~ . 203 ~- Zo
~rar_ sue. DRSc'R~~rrox
~p~Y Location ~ '/•, S; yw Sec. ,,~., T `~' -~~ w~ Town of
Lot # 3 -
3ubdirri~ion
/~ _p~~ 38to3 ,
~ Sas~rcy Map # -,. Volume
1 (p7 0l Volume ~.~- .Page #
Ware'sotY Deed #
e es ^ e3o Lot lions ~~pti$8ble ~-Y°a ^ nu
spec bona ~ Y
~ ~ could;esolt in its preana~te failtan to haadia waat~s• peOp~ ~nle~paoce
ace and memteae~aneeof Your ~ °rof aooaer. if needed by a lleeaaod Pamper Wit Y°n put mto the dam
ooaaiab of p~8 aat tbue t+°ptie n~Ir ~O~ m file wa`'te d~P~11'I ~'
ua affcet the 5mcdon of the septic tank as a treateoeau s~ •
s aeetlfl~ ~~. b3- the owner and by a
'[fie peoPedY °w°Cr a~e:es ~ submit to St, t~oix Zot~t; tb4t (1) then ~m wasbwat~~PO°st system
mastQrplaaybet', jonrmaymaaPl°m°'b'~' ~reetrdplumber of a IiceasadpvIDa~
opeeadna mnditim ana/°s (2) at6er iaspeed°n sttd put~8 Cd' ~ ~ saphe tank ie less thsa I/3 fu11 of sludHe.
is is prepee tbn candarde
is and a~eee m eaaia~m ~ ~e ~~° ~°ml ~ wl1>e CertiGcadtoa
j/ae, the aesieealguod have Read the aboveor ~ ~ of Natural Resoun:a, mate of Wi6eon8offiee within 30
set forth. ~~• as sex by ~ ~~~ must be caa~letied ~ tetianed to the 5t_ Ccou C°tmty ?~
~~$ tlnt Y~ ~c ~ data.
dsy-s of the ~ y~ ~• ~ Z
G'~ DATB
1ZJRB OF AP CANT
pWNli'lt t~TR"IC-w`ITON e I we am are the owacKg) of
I (we) cudiy- that all statements on this Poem ace true tp the best of ~ of Deeds O ( )
th perry abb. by virtue of a ~vaeeanty deed e+ecordad is Rogis
/ (SZ
DA I3
SI ATURB 4F APPLI *.e~~~
way indoanation tbat is ee:is-rapeaaeeted may result is tlu sanitary Peamit beuiB ezvolced by the ZoetmB Depatdnent.
~i~~~•
st lleitionC a• stamped WBS~~Y deed ~ ~ filer Of DeOds O~~
Iaclude w[t)e this app ' a ~'PY of the oetdsad stin-ey map u ~feteaee is made ie< the waceaaly d~eod
~a~al~ae~a 16: a8
.'
ooeueuut iwma.r
7153815188
Vel, ~s~
WARRANTY b$~D
Thh Oa.d, made behwean RAN[['7Y A
,t3~nbor.
AND DCiI~A[,b R ffitUFA and ANN MA~IF 1'~ K3LUPA
HUDSON ATHLETIC DEPT
Ic p~EE it 6 ~sH
~~~se~rvzxaca~ueeui
~~
lo-spa-eocoo s:ao ~n
EtiE'MM 1 ~
IFl1' 0061 ftG~l
lld and w1~e, a#;3uvivC[thip itlsarital P~AmtY, . QraMee. ~ ~FEfr 99.A0
Fff: 10,00
Yti~rreaalh, Thal the said COrailta; t'or a wwaDte aoneidera0on Of one a l
ate0ar and alher vaiwbk tonlidwatbn, conveys to Cranlae tM fWlawhld
dOcerlbOd laal OittdO in St. Croix qty, SraOa OIY4laoanein:
'~ [S N4T ~ro;toeao Y• roan.
7oQalher with a0 alw stn8uda- 91e MrotlAmaQnb and appurlenenea WESTCiM13IN CREDIx 1110i~
dlefsunW+ IYebngirlp; Md Orerdpr avorane0 ~ me 1M10 is goad Pit) >!•OR 388 _.. ~f
Ind~~R~le ~+ ~ elmpk eh0 ir~.r and ciwar of alt encumbranC+6a exoepe i<1'fILB F~,.~S 'F12 54172T
~AtRliifiti. COYM18t110, end rsYlrietion5 of rmprd,
end wl0 warrant sntl aeTe+10 910 Oa+tfB.
A PAR~1.OF LAND LOCATED IN ~',p,RT 4F T1iE 8W IM OF ~
THE SW i!~ 4F SE4~ION I3. T29N,R37W, TOWN OF Ole-iu27-80-2oD
I3AMMCIND ST. CR0i3i CUUNTY, Wl$+OQp+-SLN F~'~„R DfiBGRtBBp AS. Y.QX' 3 QF THL
CERTIFIED ~URVEY MAP FiL$1~ IN VOLUMILa Z 4, PAGE 3$63. A$ DOCUkIBNF NL11~BE1:, 433$63.
taeced the do ~ . >ra
~~ ~~~ ~~
.`RANI?Y Al IY~iGEN
AUTHENTICATIrHI
s~AaenUlxAed 9ih „~ dar oT
~ynaw
rya^nrpdW nem~
't1T1,E: IAF,t~ABE,,R 9TAYta @AR 4F ~~N
~(I( aot,
OHOfOt~iB 0r g70e.De, tNk. Statr.} •.,.~
'r'wfi Ma;TRUMEU'f WNS agnr-ep er
Ro6ect F, WaII
ACKNOW6fDON~IT
STATL OR~Efi~~
COUNTY dry
1t ~ RANDY ANYIiAQ~Ett+i~~ , ~
W ms kn~ p b4 u+e pmanp) aAlo aMewrad the iorepe:g
..d rde~etetedw >he eame.
YO ~ Ni~
er pen eeee ~j,~
~etery PtlAlc ~~~ T w ; • ~
`Wn+e~ d~elOnlnD h emr •f4a,fy~i{v ~
6eweaema.+Aa•s+an.i"w. ay ~~D.'~',a
~H-~ tlwwt[T-.~
PAGE 02
to
ZoZ'C.'~'
13.2 . ~
CERTIFIED SURVEY MAP ~ r X03 -tea
~ y` es~, ~
LOCATED IN PART OF THE SW1/4 OF THE SW1/4 OF SECTION 1~ T29N, R17W,
TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN. .
OWNER `r '
RANDYNYHAGEN 1! ~~~ LEGEND
JOEDOHMEN ~ •
2022 HWY 12' 1' IRON PIPE FOUND
BALDWIN, WI 54(X12 /
W7/4 CORNER O 1' X 24' IRON PIPE SET WEK~HINO
N ~ SECTION 13 1.13 LBS. PER LINEAR FOOT
I
W~~ ~
1 ~
C I
~m~
~p ~
yyT
~ 2>7
TTi~mm
b~~
Qi n IB
m
~~O
~ ~ ~APPFiOVEd
ST, CROiX COUNTY I
Planning 7n~,,,. ~~ ..~.- ~~-~,~..
MAY 2 5 2000
If not reooroaa wuhnt Ju aay of
approval date approval shall be
null and void
' 100' ROADWAY SETBACK UNE
~a~o 11 /~~•a~D ~ „ ~D~ m RAILROAD SPIKE FOUND
0~~11Cy~D\U[3Z7 OQC11C'G°3~ • SOIL TEST
NORTH UNE OF THE SW1/4 OF THE SW1/4 ~
33.00'
PROPOSED
DRIVE
I~
.•
•
ao3 e
LOT 1
AREA INC. RNV
8.564 ACRES
285,946 SO. FT.
AREA EXC. RNV
6.236 ACRES
271,631 SO. FT.
~
m ~ ~ F-LED 2
~1A1' 3 0 200
~~
~ Am 0 -
KA1HLFpy~WA~ 1
m
~ C~
~ ~
~
...... . IZ I ~ 0103 - td
~~ ~~ ~ ~
~;~ ~; ~ LOT 2 $
a °~ ~ AREA INC. R/1N S88°2T54'E 235.4
I ~ Ig ~ Irn N 8.444 ACRES
~ ; ~ ~ ; 280,699 sca. FT. LOT 4
I r3 I ~ ig ~ ~ AREA EXC. RAN IY AREA INC. R/W
I I~ I I 5.972 ACRES ~ 3•~2 ACRES
`~ i i~ z PROPOSED 260'122 SO. FT. ~ 152,543 SO. FT.
I-I Om DRNE ~ AREA EXC. RAN
I tr I~ im '~ ~ 3.324 ACRES
~nS~^O ~nQ^ Im~ ~ • ,85,~a5ggEi ~ ~ 144,774 SO. FT.
I ~;/!/ I V(/ I -I
• . r18T p2125 o c
AREA INC.TRAN A o?03L' :Z(~ ~ o?o3G 3~
139,491 SO EFT. PROPOSED~'~T ~ ~
I ro ~ DRIVE $ ~ m
AREA EXC. RNV . ~ ~ . ~ ~ .
2.720 ACRES ~ ~ •
118,480 SD. FT. •
~_ J33 ~ • 89°2T54"W ~ • 5.04' ~"'
~~11~~.. 38 .61' •
SW CORNER 2~•~~
SECTION 13 ~ ~ •~
STEEL SURVEY MARKE~'i FOUND 2754' 58.0 '
:RIFTED LOCATION WITH WITNESS 90TH AVENU 6
MONUMENTS OF RECORD
M nMf?[~5~i'r ran n_ n nrlnca
~ V
lO0
I~
I
I~
I
y t~
"' l~p
In 1
I o0
I~
w I
~i iQo
I I
~~ I
I~p I
I I
I
~V
V"~
S1/4 CORNER
_ SECTION 13
N89°2
1974.1T
SO OF THE SW1/4