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HomeMy WebLinkAbout018-1027-80-300Parcel #: 018-1027-80-300 04/09/2007 10:32 AM PAGE 1 OF 1 Alt. Parcel #: 13.29.17.2030-30 018 -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 - BOURY, MARTY &TESSA MARTY &TESSA BOURY 2008 90TH AVE BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): ` =Primary Type Dist # Description ' 2008 90TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 3.502 Plat: 3863-CSM 14/3863 SEC 13 T29N R17W PT SW SW BEING CSM Block/Condo Bldg: LOT 4 14/3863 LOT 4 3.502AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-29N-17W SW SW Notes: Parcel History: Date Doc # Vol/Page Type 04/20/2006 823327 WD 10/10/2005 808966 2906/159 AFF 08/15/2005 803511 2867/237 WD 09/04/2001 655765 1713/172 W D more... 7nn7 cl IMMeRV Bill #: Fair Market Value: Assessed with: -- - - - - ------- -- - - 0 Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.502 30,500 61,200 91,700 NO Totals for 2007: General Property 3.502 30,500 61,200 91,700 Woodland 0.000 0 0 Totals for 2006: General Property 3.502 30,500 61,200 91,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Tota I 0.00 0.00 0.00 Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL IN~3RM~TION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Do rnink, Dou Hammond, Town of CST BM Elev: Insp. BM Elev: BM Description: ~ /o~ rte, I GS C TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~~~ ~, I~ Dosing ~b ~ Holding TANK SETBACK INFORMATION TANK TO ~ t P/L W P.~~' WELL BLDG. Vent to Air Intake ROAD Septic ~3~ / N ~ ~ ~ ~ J / J Dosing 135' w'~ , V ~/ '` 5 / `T ..~, Aeration Holding PUMP/SIPHON INFORMATION .~ V Manufacturer Oe~ ~ Demand GPM Model Number n I ~ t ~ ~5 .~ TDH Lift', p (1 s~ Fricti~ L oOs Systemad • TDH~ ~~t G.I Forcemain Length ~ Dia. Z ~~ Dist. to Well Cf\II ARC/1RPTIAN SYSTEM ELEVATION DATA County: St. CroiX Sanitary Permit No: 479431 0 State Plan ID No: Parcel Tax No: 018-1027-80-300 Section/Town/Range/Map No: 13.29.17.203030 STATION BS HI FS ELEV. Benchmark ~j, (o Z /b5. ~ ~ ~ Alt. B ;1 Cow, 15.3 cl~S ~3Z 81dg. Sewer r ~ Q ~ , L Z C7 SUHt Inlet z~.o ~S.~ St/Ht Outiet Dt Inlet _~ 1y Dt Bottom Ze'~~ $ ~ ,57 Header/Man. ~ ~f p ~$ ,7~ Dist. Pipe r - ,~ ~~ `-' 1 ~P Bot. Syste ~ 5Z 7 ~trZ, Final Grade 5 ~ J ct `~ `.,7! t St Cover` ~~ ' ~ r 2 Q 6P BED/TRENCH DIMENSIONS Width / 1,'~`~ / Length / ~' , ~ No. Ofxenches K VVV PIT DIMENSIONS ~_ No. Of Pits Inside Dia. _1 Liquid Depth ~~ SETBACK INFORMATION M TO SYSTE P/L B LDG WELL LAKE/STREAM LEACHING CHA uNER OR Manufacturer. ~~ T Of tem: YPe / ~ ~ ~ B ~ /~ AAA ' ]~ Model Number. '^\ 1'11CTRIRI ITI()N SYSTEM Header/Manifold j , ~ Distribution Z ~ Ti ~ Pipe(s) q s 2 r x Hole Size ~ ~ G 3 x Hole Spacing / 5 Vent to Air Intake Length 2' ~ Dia 7+ ~ Spacing Length 1 ~ Dia 1 C/lll rn\/GR ., n..,...~...,, c..~~e.,,~ n..i.. ..~ 1111ni.nrl nr A4.r:rarla SVC}P_MS Only Depth Over ! f h C t Depth Over es ~ BedlTrench Ed xx Depth of Topsoil ~ xx Seeded/Sodded xx Mulched N er ~ 1 _~ en Bed/Trenc \ g ' _, es L No o J~~ es [~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / Z~''/ 0~5 Inspection #2: / /_ Location: 2008 90th Avenue~ Hammond, WI 54015 (SW 1/4 SW 1/4 13 T29N R17W) NA Lot 4 G~^ 1 ~" ~ Parcel No: 13.29.17.203030 ~~ 1~,-c. Ga ~ ~ _ ~,,,a,: ~,.~ d- ~cc~b 6,n„ P I e ~l a ~,..~5 v ~ 1.) Alt BM Description = 2.) Bldg sewer length = j,[!J' - amount of cover = '~P ------I-----~~ Plan revision Required? ~ ]Yes No Use other side for additional information. ~~~ I O Date SBD-6710 (R.3l97) a ~~ S Cert. No. Safety and Buildin3s Division 201 W. Washlugt~- P.O. Box 7162 Cc~y _ ~% ,~ / ~ n in ~~~Q ~ Madison,llV . 162 Sanitary Permit Numbs (to >x filled in by CoJ {608) 3~1~.. ~~ 3 De artment of Commerce ~ ' Sanitary Permit Applic `/ ~ sire Plan LD. Numbs \I ~ ~ ~ ~ _ f S . /~ . peisoesal Code Wls Adm In accord with Comm 83 21 o , . . . , may be used for secondary purposes Privacy Law s 1 S. 1 xm) Project Address (if different than mailing address) ~ ~ I. Application Information -Please Print AA information ~:> ~ ~' ~~ 20 O~ I Q ~V6 ' Property Owner's Name S~ , GRNG OFFICE ~ l # Lot #_ Brock # ~''xt ° C1r.%~/L'~r /1,~~ yON1 . property Owner's .. Address ~ Property tiara ' .1 ~> ~~~~T' ~ f.: ~~~ ,~,, z' 'r se~t-m ~.~~. m be r Phone Nu Zi p Co d e City, St au f ( ' ~/ - / } ~ / c ,p 1~''a ,~? / ~r l ' l"~'r (f.C~E.L r 4i.s1- +,.~ `t~y 1 ~ ,/ E.;~J" ~T S~L' , 1c ~~~M R ~ I E t~) +~•~ `~ :%~ ll. Type of Bnilefing (check all that a ply) ~-er S ~ ~ . Number or 2 Family Dwelling - Number of Bedrooms * Otil S • ,~,, /,~ ~k /P• 3863 b ~~o ^ PublidCommerclal - Describe Use ^City ^Village~I'ownsbip of : YI ^ Stau Owned -Describe Use ill. Type of Permit: (Check only one bo: on line A. Complete line B if applicable) Q/ - (oZ ~ - &~- 3aa (. ~o3c - 30 A' New System ^ Replacement System ^ TmatrnmUHolding Tank Replacement Only ^ Other iNodification to Existing System B. ^ Permit Renewal ^ Permit Revision ^ Grange of ^ permit Tramfer to New list Previous Permit Number and Dau Issued Before Expiratim Plumbs Owner ' 1V. of POWT'3 s tem: Check all that a S ~ X 9 f • a ~ ~ _ /P ' ^ Non -Pressurized hrt3roundMound < 24 in. of suitable soil ~^ At-Cisade ^ Single Pass Sand Filter ^ Canstrucred Wetland ^ Pressurized ]a-0mund ^ Holding Teak Peat Filter ^ AerobIc'heatarent Unit ^ Recitoulating Sand Fiber ^ Recircula ' S thetie Media Filter ^ Chamber ^ Drl 11ne ^ t9ravel-leu PI ^ Other lain V. DIs nal/I~eatment Ares Information: "~ Deai Flow (gpd) ~~ ~` Design Soll Appllcatim D ~-~ ~•~Sc~ Dispersal Area Required (sf) ~ Dispersal Arm Proposed (ef) (p ~ ystem Elevation ~~~/~ VI. Tank Info Capacity in Total Number Ivlanufachrrer Prefab C 3iu b d C t Steel Fiber Olass Plastic Oallaoa (Tallons of Units oncrete rtrc e ona Now 8xurin~ Tsnln Tadrs Septic or~idoldiot;.T,sdr CL^u v r ' ~t L" ~ ` Aerobic Trcannaot Un& Dniaig Ctmrbcr ~ ~ C i. F. Vll. Res meibW Statement- 1, the an ed, err nsibHi for installation .the POWTS shown oa the attached lane. pirunbsc.s Name (Print) (~ Pi SI M~PI~M/ PR4 Number Business Phone Number Plumber's Address (Street, City, State, Zip (',ode i ~ ' VllL roan /De rat Use . vod ^ D ~P!° ~ ~ ~~TY Permit Fx ' lodes Cirarodwater S Date Issued uing t Signature Stamps) h~ Denial ^ o~r~6V urr.>:arge Fee) ~ ~-~-"'_ ~-L 3! 1.?(. Conditions v sil SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must ali be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. AtaeY eomploa pia.. (a to cower odr) for tLs sysam oa paper not bas than-tin a 11 IaeAa V use _/ SBD-6398 (R. 01/03) ~' rtb }~ took ~qp~.~,~~, - -~~„~ ~~~,~. R771 _ ~a ~e ~ ~ vSM ~O w.N~ ~~ M~+.r-O ,-.7 X11 ( , ~ O 20 ' ~D ~ `o~ c„W ~.pv ~O' 1~,~.~~c ~"i'lrua~-bu~p ~1C~ j~`~r...Ss`s ,~s~ U 1~J..oItL-.Q :~v ~ + ~ `~~w g~, Z•~ ~v~ ly +~~: tip` ~ 3~Y. s:~ sJZ, ¢o ~~~~ ~1: OwTVS~.~4wb1,L ~p ~~O a y ~,a~.~~ ~:~.. = ~~~~ C4z.s Ao 1 ~ ( (1ll ' ~ C ~ e c 6,1~; p « \\` ~''ti fZ~ Z,.i,r ~3a~was5 ~- ~,e.~. ~ ~-v 2 e-o j'~' S i. Z moo. w "~ x q t. Z.' r n a 1c 1 Cq~S ~ ct~1~• (~••e. ~ e~ $ ~p (.. t 4.x.1 ~a,}> commerce.wi.gov i ^ ~scans~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi. gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary August 22, 2005 CUST ID No. 139462 TODD L SINZ T L SINZ PLUMBING INC E5609 708TH AVE MENOMONIE WI 54751-5520 ATTN.' P4WTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIItES: 08/22/2007 SITE: Doug Doornink 90TH Ave Town of Hammond St Croix County SW1/4, SWl/4, 513; T29N, R17W Lot: 4, Identification Numbers Transaction ID No. 1187227 Site 1D No. 703249 Please refer to both identification numbers; above, in alLcorres ondence with the a enc . FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1034761 Maintenance required; 450 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade; System: 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 enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption Corr area. chs. NR 811 & 812c ~:>, • A Sanitary Permit must be obtained from the county where this project is located in accordance with the DEPARTM OF. requirements of Sec. 145.135 and 145.19, Wis. Stats. ~ SEE COF • Inspection of the POWTS 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. Stat TODD L SINZ Page 2 8/22/2005 • _Comm 83.220 A coyv of the avyroved plans, specifications and this letter shall be on-site durine construction and oven to inspection by authorized representatives of the Department which may include local ins ecp tOIS. Owner Responsibilities: • Comm 83.52 Responsibilities. 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. • Comm 83.55 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. All pemuts required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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, `~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Henry F Grote ,Certified Soil Testing ` , R~C~~V _ Ep ~ UG 1 2 2005 Doug Doornink -Mound SAFE ~ ~~'L®~~ GS Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (Ol/O1) Pressure Distribution, SBD-10706-P (O1/O1) Location: Lot 4, CSM SW '/4, SW '/a, Sec. 13, T 29 N, R 17 W Town: Hammond county: St. Croix Date: August 18, 2005 Owner: Doug Doornink Address: 2936 130`" Ave.. Glenwood City, W~54013 Plumber: Todd Sinz Signature: License: MP 139462 Attachments: SBD-10577 -Plan Approval Application SBD-8330 Page l: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 .~ ~~ z~~ s~, l ~s~' T w T+'w o~ cc 9~=,~~RC~ EYq~y ~,GS SP~NDENGE~ ` i ,• Design Criteria ~ L'~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mglL - Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~~' gallons/day hydraulic load Design Calculations In situ designed loading rate n - Z~ gallons/sq. ft. per day Depth to estimated high ground water ~~ Z ~ in. Depth to bedrock ~ ~' in. Cross slope at system ~''° % '"' ""~ Force main length ~ ~ ~ ft. of Z in. ~ ~ . o ~ Manifold/header length 2•~ ft. of ~~ Z in. ~ .Z3 Drain-back ~ ~ ~ ~-~' gallons Lateral length ~ @ ~ ° ` `~ ft. of ~ ~~ z in. Lateral elevation ~ g ~ b ft. @ bottom of lateral ~ Lateral hole size ~ ~ b in. @ ~ ° ~ ° in. ( S` ° ft.) Spacing ~ `i holes/lateral ~ ~ holes total Lateral volume ~ 1b.S"b gallons Total lateral discharge rate ~S o ~ ~ i gallonslminute @ ~' S ft. head Network pressure compensation losses ~ ' ~~ ft. Elevation difference 1 b ` ~ ft. Friction loss ~ ~ ~ ~ ft. @ ~ s gallons/minute Total dynamic head 2o~~b ft. Pump/s~hon 3 4' gpm @ 2-s~ ft. of head Manufacturer ~° e~~ °^r Model # ~ ~ ~ Dose volume ~ ~ ~ ~ gallons Lift/si~hon tank ~~ ~-~~ ~- ~~' ~ ~o - ~ ~-o ~ ~-~ ~ ~r-o gallons Septic tank `' `~ ~' ~ `~`}'° gallons Effluent filter ©`~ ~^~ F ~'' `' ~ ZZ~ ~ 4 ~3~ oK/ '~ -a~ ~ -~ `~ Measurement pump on and off ~ ~ S in. Height alarm from tank bottom- in. Reserve capacity ~ ~s + gallons specs.calcs.res Page Z of g '- Ir . ~~ , ~ O k~ I~ 9p~M~N ~ ••~~b~ ~~ lAy t $ ~ l o L~ - $sv .. 'bu~a~ w S..J~. l~ s ~~ ~ w1 _ O 7.0 ! 1V ~~ ~ ~~~ ~^~Qn M ~a~~~ Ad ~` j~ 1 \\` i ~j~n~f )s`Q l~Z~ ern a\c ~~ A \ A. ~ ar 4yQ $ \ O A A 1~~ ~ Q ~~ ~ Z,J+ ~3ti~~oe:~1 rt v ~' (~ w . 2 ao u' $ i. ~~ .r. ~ .~ ~- T~ szt ~ 3+4- Sw •. g.wo '_ 13-ZR, lbw Z woo ~, `O'F ~,K ~OAI ~ 2uPI (~{ < o t ,2S v~ w s y ~-. .L -,.~~: + ~ S~~.w 1=3 ~: ter.,. ~o~ Zq ~-.~S Ke St1VS~~~n...~..~" ear ~. ~ ~{__~ / ~I SOMV4at 7 4ZN ~'~'°. ~;~_. ~~~.,~ ~, C~Zs 49Ca~l:pN ~~ ~~ $w a ~~~~~~ '~~~8~~ :~'nmrmy2+ n c^. rim -rc~lANla j0~<~C~y _~>`" F C~NO~N ;ign~g I ~~ I ~ ~o...,, ~ g,~ ~ tX i.,, , 1. °t~~~ , ,r 1~ !~. .1 .1 _ (1 4 ~~~ `Oi 1 Ow u Ctl,tZ~ dZ,~.o ~, 4.~eovt 1w.~av~\ c~~w..Q '"f ~y Q 6.v ~~s r ~~.-f V .' 3 0l ~ ~ ~ b" L..~to:~ ~,0~~ q,wQ ~ '_ 3 Avt`, •. 1 ~ ~~ ~~ d r - S ~~ ~ g• ~.6.h~......__ ~ lei o~s.; M es.~ ~~ e. (1~ ~~ i • y kw~,.Sl ~ O = O . S? 3 / , r• 1 Ce. h V ~ ~. t~e- ~_ wS~ ~~, ~ ~ ~, N o~ O ',~ ~ , Q~~ r a.~ ~~ ~~ ~. O ' O ~1,2 II~},b' ~ b' ` ` , 4^ ~ a~ U +~. ~ v C o ~o S 4+r v ._'4: o ti ~.. al l~ ~-O b• i~ ~ o ,.. c~ i~ r o ~ K b S C..~ ~ ~. ~:1-. ~bC I ~~ r ~`~z~~ Pic s~, 4-o / o`~.~..,,1 ~ 2 ~ s ~~ ~ QvL ..~. ~ ~ ~~ I / s ~ s _~ ~'O~ ~ ~"O~ l ~ I w~I`\Y-~-yy\\+~~1~ ~~/~'~~/'/ T~~~'^~C ~ Crµ. }p LAS K4.A ~4raiZ Q` ~I• } Q~4 ~k ~P ~ ~J A.` V ~ ~ ~ w ~eXtC OM T ~~ ~K7Vq,\QM. JJ ' 3! I ~ u ~ D\ [~ O h 1 ~.~ RJv' ~i R.G~~ ~~'' ~ O~ O ~ l :.. ~ V O , J ~~ A O+- l S . ~ l -~~ a y T z~5 ~ i,z~ ~ O ~-~~' ,~, ~ ~ ~.~ .:. b' 1 t ~~` ~s~ ~ J~ ,, ,~; ~i ,. . 1~ ~,~. .., ~X~~ •I • .. ~ ~~ . ~ .,, q ~ ~ -~---~ ~~ 4" Pry ,,.~, 4m P,Q6 s' nv NolstuR~o soles > '4'~ .~. i 24'' _:~, r~axua~ -WCKING COVfiR --~ Cc/A~N ivc .c i48E~C . OvIcK ot•c.o.,~~cT--~ i~wc.s r • ~ rL~ GWKL)VL~ A ~T Sty ~7' L4 S ~l 1i r so, ,,,~ ~FLE ~~~ a a~~ c-~O ram ~z~cT~or~ ~`~ ~"°"~ c.o F~' m'¢'Lt- l4~ A -fir- ON ~ b•s ~z, ~ ~ ar~ I~ I9„ ~1 ~ F oR~~i . i~ h'1n~H WEAT4{ERPRCSJF n .J1lNCTIgN J ~ F,ca ~~wc..o H C~ I 4z" PwlP Co,vC~eE-r~ bcoCK ITT^' ~7/~77~";,~ P vc ~ a~ a o Y6hT, ~ ~~` '-__ _~` ?~ ~ S 41h `' 4 c 3' owT o so~,~ J~~-.o I i X31, ~ 14.E ~~;.~.,_ SEPTIC t SPEC.IFI'CATIOLJS ~ DO 5 E ~ ~ c w ,,,,, Y Tau-S MA-JUPACTURCR: S" , IJUMBER OF pOSCS: PEk C~~ TA-JK SIZC ; ~ ~~ ~ V~ GAf`LOUS } • .OOSC VOLUME q t i ALARr1 /~IMiUFACTURCR: S `~ ~ ~`~-~'v~• o ~ tAJCl.U01NG 6ACKft,OW:v~~~Or~S CAPACITIES A= 24'~ IAJCHCS Ok ~10~ SWITCH TyPC; ~`~~` w`b GAl.~oks 2Q~~ Z ~0~` HUMP r1A-JUFACTURCR; 8= I-JCHES OF GALa.ou1 ~ S ~ ~b ~~ 1S 2 Mood uuMDClt; C • iuC ME 5 OR 4Al.l.o1/f 4.~ 13 4 1 SWITCH TdPf; V"~R.Vw.v w . D ~ INS HE5 OR coRl~ouS IJOTE: PUHP AUO ALARM ARC TO 6C MtIJIMUM OISCMAR(~ RATC ?`s'~ GFK INSTALLED 0-J SE PACtATE CiKt~•~'r$ V[RTiCA~ DIFF[Rf-JCf DfTWCCU PUMP OFI AUO OISTRIDUT101J PIPE.. l~.l+ FECT + MiuIh1UM uETWORK SUPPL.y PFIfCLURE ~ ~ ~ ~ ~ ~ ~ ~ 2~S FCCT a-~~~5 - + ~ FEET OF FORCC MAItJ X 1~3q FT,~/ 1.11 i /IpoFxflttCTlo1J FACTOR.--• FEET ~ ~`S '_~ _ TOTAL. OyAlAMIC NEAR . = 2'0' Rb ____~. FEE r ~• ~ ~a" IIJTERIJAC. DIMEIJ510AJfi 0/ TA1JK~ l.E-~GTH ~, 4 .. 2 ~2' ;W10TH ;I.Ig U IO DEPTH (`.~ y ~ 1 A ~+ L ~ V 0. ZS ~.1 ~~ ' TOTAL DYNAMIC HEAd/CAPACITY PER MINUTE EFFLUENT AND DEWATERING °a w x U Q Z r 0 a 0 CONSULT FACTORY FOR SPECIAL APPLICATIONS o~esoe 0 • Timed dosing panels available. • ElecUical 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 Owik•Box available foPoutdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 152H 53 Serles __ 1521153 MODELS { Control S IecU n Mode1 _Volts•Ph Mode Am a Sim lex Du ex Nt52 t15 1 Non 8.5 1 2a3 BN t 52 t t 5 t Auto 8.5 Included 2 a 3 Et52 _230 t Non 4.3 i 2a3 BE 152 230 1 Auto 4.3 Included 2 a 3 N153 i15 1 Non 10.5 1 2a3 BNt53 t15 1 Auto 10 5 Included 2 3 MODEL 152 153 feet Meters Got. Liters Goi. Liters ~ 5 1.5 69 261 77 291 10 3.1 61 231 ~ 70 265 15 4.6 53 201 61 231 20 6.1 44 167 52 ' 97 25 7.6 34 ~ 129 42 ; ' S9 30 35 9.1 10.7 23 - 87 33 12 ~~ 22~--6~- 40 12.2 -- -- c2 Lock Valve: 38.0 F!. (1' 6m); ac p F; (' z.4~;' 3 27 z- ~' I i~;l _-~- --- i2 t/8 ~ ~ - ---~ ~ I i i f' ~ ~ _ a SELECTION GUIDE E t 53 230 t Non 5.3 1 2 a 3 BE t 53 230 t Auto 5.3 Included 2 a 3 1. Single piggyback variable level float switch or double piggyback variable level fbat switch, Refer to FM0477. o CAUTION 2. See FM0712 for correct model of Electrical Alternator E•Pak. Ali installation o1 controls, protection devices and whiny should M done try a qualified 3. Variable level Control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. All elecMcal and safety codes should bs followed including Ne most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHAI. Or (4) float System. (~ m ~z_ ~ O R~ L7 RESERVE POWERED DESIGN ~ 0 For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 18341 [~'' Louisv8le, KY 40256-0347 L(J • SHIP T0: 3649 Cane Run Road Manufacturers of . /'f p Louisville, KY 40211.1961 QUA[/TY /SUMPS SNCF ~clc ~c9 http://www.zoeller.com PUMP CL/, 021778.2731 ~ 1(800) 928•PUMP FAX !5021 114.3621 ® Copyright 2000 Zoeller Co. All rights reserved. ` "~~ 0 80 160 240 320 FLOW PER MINUTE Y ~r System Management ManagemenC of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, TL Sinz Plumbing, 715-235- 2644, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofmg with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; final settled slope should be 2-3% over the system or 2-3% diverting surface run-off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. "Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 1. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ,- ,ORIGINAL Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Please print all information. iewed By Personal information you provide may be u .04 (1) (m)). Property Owner operty Location RECEI 1523 . Page 1 of 3 Certified Soil Testing St. Croix 018-1027-80-300 _ Date Burch, David VED vt. Lot SW 1/4 SW 1/4 S 13 T 29 N R 17 W Property Owner's Mailing Addre~ ,. , ~, ~ ~, , aj t # Block # Subd. Name or CSM# 1848 69th Ave. .~ ~ t 6.e ~ ~? ^ ^ ~ 4 CSM City State p Co~~ Fhonl~'Nu6aberTY City ~ Village Town Nearest Road Hammond ~ WI ~~~ Hammond 90Th Ave. /' New Construction Use: / Residential / Number of bedrooms 4 Code derived design flow rate Replacement Public or commercial -Describe: Parent material loess over till Flood plain elevation, if applicable General comments and recommendations: install 6' x 104' rock bed mound on 96.7 contour as upslope edge of rock w/ 1.4' sand fill 600 GPD NA Boring # -! Boring Pit Ground Surface elev. 96.7 ft . Depth to limiting factor - 33 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10 10YR 3/4 - sl 1 f-m sbk mvfr gs 1flm .4 .6 2 10-28 10YR 4/4 - sl 1 m sbk mfr gs 1 m .4 .6 3 28-33 10YR 4/4 - Is 1 m sbk mvfr cs 1m .7 1.2 4 33-40 10YR 4/4 f2d 7.5YR 4/6,5/3 Is 1 m sbk mvfr - - .7 1.2 ^ Boring # - ~ Boring /! Pit Ground Surface elev. 95.3 ft. Depth to limiting factor _ 2~in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-4 10YR 3/2 - sil 2 m gr mvfr cs 1f/m om .8 2 ~ 4-14 10YR 3/2 - sil 2 m sbk mvfr cs 1 m `~- .8 3 14-24 10YR 4/4 - sic! 2 m sbk mvfr cs 1 m .4 .6 4 ~ 2 -35 10YR 4/4 f2d 7.5YR 4!6,5/3 sic! 1 m sbk mvfr - - .2 .3 Effluent #1 = BODS> 30 _< 220 mg/L and TSS >30 < 0 g/L 'Effluent #2 =GODS < 30 mg/L and TSS < 30 mgL CST Name (Please Print) Signature: ~ CST Number Henry F. Grote ~ 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 4/28/2002. 715-233-0398 ,4S `'~ ~~ ~- ,~ Property Owner Burch, David Parcel ID # 018-1027-80-300 Page 2 of 3 ^ Boring # -Boring T /j Pit Ground Surface elev. 97.7 ft. Depth to limiting factor 20 Sod Application Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-4 10YR 3/2 - sil 2 m gr mvfr cs 1f/m ~5. .8 2 4-10 10YR 3/2 - sil 2 m sbk mvfr cs 1 m ~5 .8 3 10-15 10YR 4/3 - sl 2 f sbk mvfr cs 1f ~ .9 4 15-20 10YR 4/4 - sicl 2 f-m sbk mvfr cs 1f .4 .6 5 20-24 10YR 4/4 f1d 7.5YR 4/6,5/3 sicl 1 m sbk mvfr - - .2 .3 ^ Boring # -1 Boring ~j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 to ,~ Boring # --~ boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 "Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS <_ 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Certified Soil Testing t ~~ ~ ~ 0.V i~ `J wYC~Y~. ~\ f~p~ i~~~y t$ ~ loZ~-gKV-'bu,7 O 20 40 o~ ~aq„~7 ~~ {. ~-~ I c3 \ i i3. ~ C ~ ~ (os.t,1 Cq'~.~ts ~ cl O ~' ~ Me . 2, a~o ~`' S 1. ~o ....~: ~~ ~_.~o _9 ~ ~ o~ wo.v ( '2~ ~: ~ i ,2~ 0.1 w o ~ ~-o ~ , w~~ : ~9 ,~ 4~, S Fi3 ~.: (q^,\,',- mow,,. ~.S~w Zql te.~~r5 ~~ ~ loU~ 1 ;i-~ S~~ T ~o~v CX,'N,MI`^py C~Z.s _ ~- .~ -~. i y~e Q t •1 ~ ~~?. s S•~°?a ~ `3-r `- \ .# < <~ 4i l ~ 2Z'L ~ a~ Z p~ , K, p~ `'`~'~- 3 e ~ 3 U ^. _.. ~~~ a 08/09/2005 14:47 7152352592 T L SINZ PLUMBING PAGE 02/02 !c6-~)2•P~:: FRI t0:J1 F.~~ i15 J86 ~tf+id sr cttx ru turinc+ ~~~•~+ S'I' CROIX COUNTX SEPTIC TANK MAINTENANCE AQRSEM$rrr AND pWNERST,~' -C-B-R~T_IFICATION J~ORM Mailistg Address ~ -I ~ ~ ~ D ~ '~ ~ ~~~ ~ W~ ~ ~Do goy ~-. „.~..a. v'~ Pfoparty Address (Verification required from PLmuag DePamnent for new construction) „~ l~s~. Parcel Identification Number ~ -~D'~?' -~ Ciry/State w~-~ Zo3~ ' 30~ ~,~, pESC T N ~ .'/•,~~ t/•, SGC. ~.,, T~N_I~? W. Town of , Y~wc~~ property L,ocation~.,.~.,, Subdivis-on ll c Certified Survey Map f¢ (9~~ O ~3 ~~ Volusae Page ~ _ S. Deed # _~, ~ Q ~ ~ ~ ~ -----•~ Volume ~~ ~ Page # ~~. Watx-anty Spec house O y~ ('~no Lot lutes identifiable ~. Yes O no 5YSTE NL~1IVT~NAN~ Lppcoper ute and maiataaanuof your septic sy3tom could result in its pretpature failure to handt~wasce c t?ropcmr m~atryaan ~ consists of puasp+n8 out the aepttc auk every three years pr sooner, if needed by a liaosed pumper caw affect the function of the aeptiC tank u a twatmcnt cage to the waste dtspoaal ~m ~,~ property awacr agrres to submit to St. Croix Zoning 17epartateat a ccrdficatioa fora7. signed by ~ owner aAd by a ttuscerpttunbor, j~cymanplumber, trctrictedplum6a ar a {icensed pt~Per vertfyt~ that (t) eho otreieo sva,roearaberdisposel cystem ~ in pmt operating oonditioa mdlor (2) attw inapoction and pumping (if neces3asY), the acptit tank u toss thaw t/3 full of cludgc• have teed the ebovo rcgnicensents eed agree to maintsip the private sonvagc deposal systsm with tha standards 1/we, t6c undeetigbed cut of Nattural Raourcca, 9tete of Wiseombl Certittcadon cet fortA, herein. as set by the 17op of Co~tnerse lead the DcF'!r~ xun ppd~ within 30 cUtl7aR that Yom scppe rystem bas been eue,itotaiiactl west be eorrtplctcd and rattuned to the St, C~otx County 7.0 ~ 8 day: of the three year expfratioa dace. / r / ~~ RATS SIGMA APpLiCA1V'r QWN>TI2 Ck"R'I?FICATIQN_ our lmowtzdge. I (we) am (are) the owner(e) of t (we) cutSfy that a~bUVirtnce of A wacraaory do d recorded m Register of Aeeds OCf'ice.' t!u property described above, y ~ / r.as' c..~-+~ ~ DATE SIGMA APpt.tCANT' Any urfomtatioa that is mis•ecptrscotedmoy rosult in the sanitary pernut be~E revoked by tht Toning Deparua+cnt. •`• ••• ...... '• tnetude tyftb tbds Application: a atampod ~rarraary decd front ehc Register of Doeds otToe decd w copy of the ceraf+ed aurvcY t'~P if rsferev~ is wsda in t}~e wesnnty _. U 2$ 6 7 P Z 3? BQi351 3 i1 , . State Bar of Wisconsin Form 2-2003 KATHLEEN H. MALSH REGISTER OF DEEDS WARRANTY DEED ST. CROIX Ct).. iii Document Number Document Name RECEIVED FOR RECORD 88!15!2805 02:45PII MARRAHTY DEED i XEi~T # THIS DEED, made between David E. Burch and Bonnie K Burch husband and wife EF ("Grantor," whether one or more), TRANS EE: 141000 COPY FEE: and Douglas J Doornink and Shelley K Doornink. husband and wife CC FEE: ------ PAGES: 1 ("Grantee," whether one or more). Recording Area Grantor, for a valuable consideration, conveys and•warrants to Grantee the following described real estate;, together with the rents, profits, fixtures and other appurtenant t i i S " " R-~a~d J. Estreen w S n erests, n t. Croix County, State of Wisconsin ( Property ) (if more space i e d d l h dd d ~ 3y,3 ~ ocust Street 304 t ~ s n e e , p ease attac en tun): a _ That part of SW '/ SW '/. Sec. 13-T29N-R17W described as follows: t 4 t ~' C"•un1 Certified Survey Map recorded in Vol. f Certified Survey Maps, page 3863 as Doc. No. 623863. St. Croix County, Wisconsin - . olr3.IOn-so-ooo Parcel Identification Number (PM) This is aot homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights-oi way of record, if any. Dated ItQIJ I ~ j G ~ - ~_ ~~~.~ (SEAL) (SEAL ; * *David E. Burch (SEAL) i~~u~ A i 1c_6a ttzl. (SEAL) ' *Bonnie K. Burch AUTHENTICATION Signattue(s) David E. Burch and Bonnie K. Burch authenticated o GAS *Kristiaa Oland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, ~ authorized by Wis. Stat. § 706.06) ~IS INSTRUMENT DRAFTED BY: ACKNOWLEDGMENT STATE OF ) ss. COUNTY ) Personally came before me on the above-named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Attorney Kristiaa Oland Notary Public, State of H~Id~n~Wl 54016 My Commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Botb are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED ®2003 STATE BAR OF WISCONSIN FORM N0.2-2003 • Type name below signatures. INF0.PROTM Legal Forms 800-855-2021 www.infoprofomu.com r~ ~a3 g~~ , CERTIFIED S V RVEY MAP LOCATED IN PART OF THE SW1/4 OF THE SW114 OF SECTION 7 3, T29N, Ry 7W, TOWN OF HAMMOND, ST. CROIX COUNTY, WISCONSIN. OWNER LEGEND RANDY NYHAC3EN JOE DOHMEN ~ 1 `IRON PIPE FOUND 2022 HWY •12" BALDWIN. ~ ~~ 0 1 • X 24• IRON PIPE SET WEK3HINCi W1/4 CORNER 1.13 LBS. PER LINEAR FOOT N ~ SECTION 13 . • . _ • • ~~ 100' ROADWAY SETBACK LINE ~ RAILAOAO SPIKE FOUND ~ ~ c~apan~o a~ao~ • SOIL TEST ~' ~ ~ Q~a~o ~~r_o~~~~ ' NORTH LINE OF THE SW1/4 OF THE SWi/4 ~ ~ ~ S89°39"25"E 657.54' ~ c,~ 33.00' : ~~ a 16 8' ~ PROPOSED SLED ~ -• DRNE LOT 7 ~ ~ l A141 3 0 2000 - ~ APPROVED ~ ~ AREA INC. RNV ~'~~ ~, ST. CROIX COUNTY `y' I ~ 285.948 SOREFT. ~ " ~ `~ Suf. ~ ~~y~~ 6.238 ACRES ~ ~ , •~~~ ~r (~i~ MAY 2 5 2000 ;• 271.831 SQ. Fr. `~ ~ -~ • A If not roooroau vnu un u; as of •• S89°2T54"E 657.73' appfpVal dit0 aPP~al Shalt be nWlandv~NQ 33.00' ~O i~ PRNATE DRI ~ i i~ ~ i~ i~ i i ~;~ a~ ~ LOT 2 ~ ~ A ~~ ~~ i i + ~ ~ i ° ~' ~ AREA INC. RNV 389'2T54 E 235.49' i °° i ~ (~ ~ ~ ~ 5.444 ACRES -+ ~ ~ ~ ~ + i ~ i io 0° i ~ ~ 280.699 SO. FT. 1..0T 4 i ~ ~' ~ AREA INC. R/W ~~ ~ ~ °° j ~ AREA EXC. RNV 3.502 ACRES i ~ i i~ ~ 5.972 ACRES ~ 152.513 SO. FT. i i o i0 i~ ~ 260,122 SO. FT. ~ i G~ i ~ ~(((~~~ , 1 P P06E0 ~ AREA EXC.R/W i~i~ j--i ~ ~ ~* 3.324ACRE3 Jet i il'7'1 g/i 144,774 SO. FT. AREA LOT 3 3.202 ACRES ~~ ~ LOT ~ 139.491 SO. FT. ~ PORNE AREA EXC. R/W ro ~ g g . $ ~ r+~~1 1 8,4800 SOR FT. ~ ~ • . • T54 ~ • .04' $ S1/4 CORNER ~~ ~ ,gi' 235,43 SECTION 13 SW CORNER to N89°2T54"W SECTION 13 ~ 8. 1974.1 T STEEL SURVEY MARKER FOUND 9QTF-I AV~~1~~ SOUTH LINE OF THE Swt/4 VERIFIED LOCATION WITH WITNESS MONUMENTS OF RECORD ~ap~~o ~_---- O~'MG`JCD L3S7 ©4G;lC G~3~ SCALE IN FEET 1' ~ 200' 200 0 200 400 THIS INSTRUMENT DRAFTED BY EDWIN FLANUM JOB NO.00-35 DATE 5-25-00 Vol . 7 4 Page 3863 ' isconsin Department of Commerce SOIL AND SITE EVALUATION :fin of Safety and Buildings Bureat~of Integrated Services in accordance with C~-~9,^.Ws. Adm. Code ,;: Attach complete site plan on paper not less than 8 1/2 x 11 inches in si ~ must ~ ~~~~ include, but not limited to: vertical and horizontal reference point (BM dKe2fion a~ ~ , ~. percent slope, scale or dimensions, north arrow, and location and di ~~'to nearbst tam ~ ~~ ,__ . APPLICANT INFORMATION -Please print all inform~afion. ~ ~, Personal information you provide may be used for secondary purposes (Privacy'(auu; s. 15.04 (1) (m)}:. ,,~-:i 1~2 Property Owner p~p~~y t~dfi®n 7j~ ~ Gavt. Lot ~.~^~ Property Owner's Mailing Ad ess ' dot.#,; Idc o~c~oz z. ~w1,t ~z City State ip ode Phone Number ~~~.- ~ Gvi i~f'6o.Zi c ~ Page ~ of ynty _ cel I~D. # by Date r I ~ City , ^ Village Town ,N,R l 7 E ( ) W 'JO(J~ ew Construction Use: residential / Number of bedrooms ~ Addition to existing building ^ Replacement ~/ Public or commercial -Describe: / Code derived daily flow 7 ~G gpd Recommended design loading rate! ' Z bed, gpd/ft2~.? trench, gpd/ft2 Absorption area required 7 S bed, ft2 -3? $-" trench, ft2 Maximum design loading rate ~' 2' bed, gpd/ft? `' ~ trench, gpd/ft2 Recommended infiltration surface 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 System in Fill Holding Tank U = Unsuitable for system ^ S~U ^ U ^ S ~U ^ S~~1 ^ S ~- ^ S U Boring # Ground e ~ft. Depth to limiting ~ctor ~_in. Boring # (~ Ground 1. ,v. Depth to limiting c r ,.,~~in. Remarks: CST Name (Please Print) Address SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles re T xt Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color u e Gr. Sz. Sh. ry Bed ,Trench 0- O ~ 3/z ~.~i ~, .~ 8- ~ C'~ 1 L rn~~ ~.-i dpi ~ ~ ~ Remarks: ~ "~d ~-~Z c~ L~'~' i S , a a U~ / ~~ L ~~~~v /l 1 yJ~ /~ :~~ 1.~~ Q /,!/-'~ Date ~~/n/ Telephone No. ~ls ~~~ PROPERTY OWNE S ~/G~'Z/l1~/~ SOIL DESCRIPTION REPORT PARCEL I.D.# Boring # 4~ Ground 71e ~ft. Depth to limiting factor ,3~in. Boring # ~~~\ ~`~ ' Page of w Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda R ots 2 in. nsell M u Qu. Sz. Cont. Color Gr. Sz. Sh. ry o Bed , Tre nch 0 ~ J v -" /z ~ ~.~ / ~~ -6 13 ~ ~ -S Remarks: Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. tt. Depth to limiting factor in. Boring # Ground elev. ft. Depth to limiting factor in Horizon Depth Dominant Color Mottles T xt Structure nsist C B d R t GPD/fit in. Munsell Qu. Sz. Cont. Color e ure Gr. Sz. Sh. o ence oun ary oo s Bed ,Trench Remarks: Remarks: SBD-8330 (R.9/98) ~~ ~ . - '~ Soil Test Plot Plan Project Name Joseph Dohmen Shaun Bir Address 2022 Hwy 12 Baldwin Wi 54002 C #226900 Lot Subdivision ------- Date 2/26/00 S W 1 /4 S W 1 /4S ~ 3 T 29 N/R 1 ~ W Township Hammond Boring O Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Telephone Box System Elevation 97.9 *HRP Same as Benchmark Alt. BM Base of Telephone Box @ 97.6