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DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING
LABOR&HUMAN RELATIONS DIVISION
P.O.BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION
MADISON.WI 53707
State Plan I.D.Number:
SFI,NV,iS25,T28N-R]-8`d CONVENTIONAL ❑ ALTERATIVE (If assigned)
Town of Kinnickinnic ❑ Holding Tank ❑ In-Ground Pressure
❑ Mound
A DER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
I
Mark Helling P.O. Box 305, River Falls, WI 54022
BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.:
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number:
Thomas A. Wang 2860 ST. Croix 119473
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: w. LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED:
❑YES NO ❑YES 97 NO
BEDDING: VENT DIA.: VENT MATL.: IGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH
ALARM: FEET FROM LINE: AIR INLET:
❑YES ❑NO ❑YES ❑NO NEAREST
DOSING CHAMBER:
MANUFACTU ER: BEDDING: LIQUID CAPACITY: P PUMP/SIPHON ANUFACTU ER: WARNING LABEL LOCKING COVER
M ' 9 PRO IDED: PROVIDED:
Y v" ❑YES NO ?� [YES ❑NO 1'YES ❑NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
(DIFFERENCE BETWEEN /�L' FEET FROM LIN��1 /fit AIEUN e
PUMP ON AND OFF DYES ❑NO NEAREST—I► '7'
r 75 /
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AyD MARKING:
or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN / ✓ '�7/J
the soil is dry enough to continue.)
CONVENTIONAL SYSTEM:
BED/TRENCH WIDTH: LENGTH: NO.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID
TRENCHES: MATERIAL: PIT DEPTH:
DIMENSIONS
GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO'DISTR I NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH
BELOW PIPES: ABOVE COVER: ELEV.INLET: ELEV.END: PIPES: FEET FROM LINE: AIR INLET:
NEAREST---11111"
MOUND SYSTEM:
Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM
slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW
YES ❑NO meets the criteria for medium sand. ELEVATIONS MEASURED.
SOIL COVER I TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS;
DYES ❑NO EXYES E�'NO
DEPTH OVER TRENCH/BED I DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED:
CENTER: I � C
EDGES: / a
l ❑YES ENO '®YES ❑NO 'Fel YES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER:
TRENCHES: *e /
DIMENSIONS 7-S,G G
MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING:
ELEV: ELEV: DIA.: ELEA PIPES:, DIA. � J
ELEVATION AND s db 2 y0 LV / XL
DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO
INFORMATION / APPROVED PLANS
(� I EYES ❑NO YYES ❑NO
PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF IPROPERTY WELL: BUILDING:
COMMENTS: FEET FROM LI p
El YES ❑NO EYYES El NO NEAREST f l'W es-
Sketch Sketch System on ��Retal county file for audit.
Reverse Side. IG �,.� TITLE:
SBD-6710(R.06/88) ° � Zoning Administrator
DILHR SANITARY PERMIT APPLICATION
Id with ILHR 83.05,Wis.Adm.Code COUNTY
— n accord `�C o/X
STATE SANITARY PERMIT#
-Attach complete plans(to the county copy only)for the system,on paper not less than ❑ fQ, y3
8%x 11 inches in size. c eck if revision to previous application
—See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER
1. APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION. 119199-OlVa-38
PROT OW R PROPERTY LOCATION
r �` S '/4 ,E%,S TP t�, N, Rl E(or)W
PROPERTY OWNER'S MAILING ADD SS LOT# BLOCK,#--,
6k `�
IJ1°SA j ZIPCO5E, IPHONENUMBER SUBDIVISION NAMORC$MNUMBER
II. TYPE OF BUILDING: (Check one) CITY NEAREST ROA
1:1 State Owned ❑ VILLAGE O S
❑ Public ®1 or 2 Fam.Dwelling-#of bedrooms PARCEI TAX NUM ER( k W0— ,070��
'�h /�1+1�► KJ�
III. BUILDING USE: (If building type is public,check all that apply)
1 ❑ Apt/Condo o�
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home ❑ 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
IV. TYPE OF PERMIT: (Check only one in line A. Check line Bit applicable)
A) 1. ❑ New 2. Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.❑ Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit## — Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 W Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1.GALLONS PEFJaMY 2.ABSORP.AREA 3.ABSORP.AREA 4. LOADING RATE 5. PERC.RATE 6. SYSTEM ELEV. 7. FINAL GRADE
d Loll .),5 0 RE UID(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION
v b/ Feet Feet
VII. TANK CAPACITY Site
in allons Total #of Prefab. Fiber- pp.
INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App.
Tanks T anks structed
Se tic Tank or Holdino Tank 06 n
Lift Pump Tank/Siphon Chamber, o L° t QS7�
Vlll. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plum er's Name(Print): PI er' Signature:(No S m s) MP/MPRSW No.: Business Phone Number:
b4x q aid gas 99s�
1516mber's A dre s(Street, ,Sta(ejZip Code.
o.2P
IX. COUNTY/DEPARTME T USE ONLY
❑ Disapproved Sani ry Permit Fee(Includes Groundwater a e ssue rz"Signature(No Sta ps)
IEP Surcharge Fee) L,—
Approved ❑ OwnerGivenInitial /I�, ov _ �RCI h
Adverse Determin i n `� �O v
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398(formerly Plb-67)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safety&Buildings Division,Owner,Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the 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 & Buildings Division, 608-266-3815.
To be complete and accurate this sanitarypormit application must include:
1. Property owner's name and mailing address. Provide the 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.
Ill. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers;wells; water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
.1
SBD-6398(R.11/88)
State of Wisconsin ` Department of Industry, Labor and Human Relations
PRIVATE SEWAGE PLAN APPROVAL SAFETY&BUILDINGS DIVISION
Office of Division Codes and Application
201 East Washington Avenue
P.O. Box 7969
Madison, Wisconsin 53707
i
THOMAS A WANG Owner: MARK HEI._l_ING
1009 1/2 W. MAPLE: AVENUE: P.O. BOX 305
RIVER FALLS, WI 54022 RIVER FALLS, WI 54022
i
RE: Plan Number: S887:04838 Date Approved: December 29, 1988
Gallons Per Day: 450 Date Received: December 20, 1988
Project Name: HELL: MARK - RESIDENCE Location: SE,NE,25,28, 18W
Town of KINNICKINNIC; County : ST CROIX
The plumbing plans and specifications for this project have been reviewed for
compliance with applicable code requirements. This approval is based on Chapter
145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are
stamped 'conditionally approved' . This approval is contingent upon compliance with
any stipulations shown on the plans. All items that are noted must be corrected.
All permits required by the city, village, township or county shall be obtained
prior to construction. The licensed plumber responsible for this installation
shall keep one set of plans with the department's approval stamp at the
construction site. The installer shall notify the appropriate inspector when
inspections can be made.
This approval will expire two years from the date approved or if a sanitary
permit is obtained, it will expire the day the initial sanitary permit expires .
The Section of Private Sewage has reviewed these plans for private sewage system code
requirements only. These plans have not been reviewed for the code requirements
set forth in Section ILF•IR 82 for general plumbing or in Chapters 50--64 of the
I
Wisconsin Administrative code.
i
This approval is for the following components only:
i
.-- REPLACEMENT PF"TI.1•'ION !
- REPLACEMENT MOUND
Inquirie concerning this approval may be made by calling (608) 266-2889.
Sinc el
i
R PAG-L..
Section of P ate Sewage
Division of Safety and Buildings
PPP013/0009n/ 2
cc: MARK HELLING
_Private Sewage Consultant __County UW..SSWMP _ Plumbing Consultant
Owner _Plumber Environmental Health
SBD-6423 (R.08/88) _ _
APPLICATION FOR SANITARY PERMIT
STC - 100
This application form is to be completed in full and signed by the owners) of
the property being developed. Any inadequacies will only result in delays of
the permit issuance. Should this development be intended for resale by
owner/contractor, (spec house), then a second form should be retained and
completed when the property is sold and submitted to this office with the
appropriate deed recording.
-------------------------------------------------------------------------------
Owner of property 0�'� pt-/x//�
Location of property Y 4� 1/4 IY2� 1/4, Section �` � , T N-RI—F W
Township tl,*A�Zj'fz'h I0
Mailing address _[ 0 kY-
6'0 F4
Address of site '61
Subdivision name
Lot number
Previous owner of property tel- &e,4 �44,�j/17
Total size of parcel 'k
Date parcel was created
Are all corners and lot lines identifiable? e< Yes No
Is this property being developed for resale (spec house)? Yes No
Volume and Page Number Q l as recorded with the Register of Deeds.
---------------- -------------------------------------------------------------
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and
the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if
available, would be helpful so as to avoid delays of the reviewing process. If
the deed description references to a Certified Survey Map, the Certified Survey
Map shall also be required.
---------------------------------------------------------7---------------------
PROPERTY OWNER CERTIFICATION
I (We) certify that all statements on this form are true to the best of my (our)
knowledge; that I (we) am (are) the owner(s) of the property described in
this information form, by virtue of a warranty ee ec rded in the Office of
the County Register of Deeds as Document No. 5�/� ; and that I (We)
presently own the proposed site for the sewage disposal system (or I (we) have
obtained an easement, to run with the above described property, for the
construction of said system, and the same has been d y recorded in the Office
raal Register of Deeds, as Document No. �� 0 0
) .I/A UJ4-a
Signatu a of Ow er Signature of Co Owner (If Applicable)
Da o Sig ature Date of S' nature
k
................ f .. { ............. ... •Graw6mr,
ntrd .- .ilelldc.8.- �+q-•and-Kate..L---He11irq+..B .m&
l :as•Joint wants- _........ .. .. _ . ..:.....-.. .................
• .... . .... . ..... ........... ..
••- Grantee,
........................ ........... . .. .. — —
Witn9iB@M TLat'tha said Ograntor, for a valuable oowideration-..... �
($65,000.00)-_•-Dp11aYS - "srua"TO BOX 166
Vou"ya to Grantee the following described real estate is _----St.cVoix.............
RIVER FAtj$
Ow aty, State of Wisconsin: �
of the Northeast Quarter
it of the Southeast Quarter „
( ) of Sectim Twenty-Five (25), Tmiship TwentY-�Pascal No: ..............--- }�`
fully descr
(28) North, � Eighteen (181 West. loose
as fio2]Aws: Lot Two (2), on that certain Certified Survey ,
r p;Sated pW uary 27, 1981, and recowded in Volvos "4" of
C*tifW survey Maps,on page 1046, on 3-31-81, in the Office
of the pegister of Deeds for St. Croix Co mty, Wisconsin.
This --- ................. ... homestead Property. x
(is) (is not) ;
Together with all and singular the hereditaments and appurtenances thereunto belonging: s
Aad...-.._ Neumarm and.. Nelzoann
that t e :tie is good, indefeasible inn fee simple and free and clear of encumbrance except 3
l�+estrictions, and rights-of-my of record, if any r�
.will warrant and defend the same.
this E.JZhth day or r
(SEAL)
�
y �
��s M
F .
AUT9=NTICATION AC=NOWLgDGI[sNT �
STATE OF WISCONSIN
. ,
.. ..
PI F ou x
ss.
this ........dad of ... . . __- 19 Personall• came before me this __Htb dr¢
the abate`
-
husband--and.Wlf @.... _.-.. -..-.._,
11 STATE BAR OF WISCr)\S[` _ .. _ _..-.. . _- $
( i1! 5tata.)
to me known to be the person -
' ' ," foregoing instrument and aekaawle'�a r';
STC - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
\
OWNER/BUYER Q r Y(—e C ( �,
ROUTE/BOX NUMBER P O `&S K G FIRE NO. 5�OPC9
CITY/STATE ���C�V (-�Cll (N i\� ZIP
IN
PROPERTY LOCATION: 1/9 1/4, Section , T�N, R-/--? W,
Town of �� L�/��1�`I �� , St. Croix County,
Subdivision Lot No. �1
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 SEPTIC TANK PUMPER.
What you put into the system can affect the function of the septic tank as a
treatment stage in the waste disposal system.
I
St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of
$3000 of the cost of replacement of a failing system, which was in operation
prior to July 1, 1978. St. Croix County accepted this program in August of
1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their
systems properly maintained.
The property owner agrees to submit to St. Croix County Zoning a certification
form, signed by the owner and by a master plumber, journeyman plumber,
restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal system is in proper operating condition and (2) after
inspection and pumping (if necessary), the septic tank is less than 1/3 full of
sludge and scum. Certification form will be sent approximately 30 days prior to
three year expiration.
I/WE, the undersigned, have read the above requirements and agree to maintain
the private sewage disposal system in accordance with the standards set forth,
herein, as set by the Wisconsin Department of Natural Resources. Certification
form must be completed and returned to the St.Croix County Zoning Office within
30 days of the three year expiration date.
SIGNED
DATE
St. Croix County Zoning Office
St. Croix County Courthouse
911 4th Street
Hudson, WI 54016
(715) 386-4680
Sign, Date, and Return to above address
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
DIVISION
INDUSTRY, G
LABOR AND PERCOLATION TESTS (115) MADISON WI 3707
HUMAN RELATIONS
(H63.09(1)& Chapter 145.045)
LOCATI'/V'14 SE_QTI0%Tft (0 1 TOWNS !��NICIP 'ITY: ' LOT NO.:BLK.NO.: SUBDIVISION NAME:
COUNTY: E YE NAM; M LWIG ADDRESS: Q
USE DATES OBSERVATIONS MADE
NO,BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DES IPTIONS: ER O 10 TESTS:
�esidence ❑New:�'IRJ:Re place. /D /�
RATING:S=Site suitable for system U=Site unsuitable for system
CON�VENTIAL: MEND:❑� IN-GR❑OUNDP®URE: SYaSTEM-IN❑FILLHO�LDING TANK:RECOMMF,,NDF,�SYSTEM:(ogtional) e
If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the
under s.H63.09(5)(b),indicate: I I Floodplain,indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-FNEH+ES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
2� , 5'0 s i rkr?� a f�
rx K14r Bhk�° Strue �tPC
B- o f e l S Q �/.a� �.DO I l Ne
B- n • 33 ,4� �si D s �,W ff u rvq A6 S n9
B- lkq Sltud ah_644 e f-rws.t nto
oj.606 1!5 1, s
, 00Int w us *o1s_ P LN
PERCOLATION TESTS
TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATER INCHES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERT D 1 PERI D 2 PERIOD
P- / O 3
P_ 3 6
P- r D 6 '�
P--
P-
P-- _
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
9
SYSTEM ELE TION V_Z� C
L v <
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' p eat ' i € I
1
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ptill
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I,tfie undersigned,hereby certify that the soil tests reported on this form were Tlade by me in-lcord with the procedures and methods specified in the Wisconsin
Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief,
NAME(u TESTS WERE OM L TfD ON:
I&A q .3 /� /6 ADDRESS`. p /� J CERTIC ON UMBER: PH��C ` s( tional):
D �. ll(U c° L "� f d� r`TJ
CS TUBE:
DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SBD-6395 (R.02/82) —OVER —
INSTRUCTIONS FOR COMPLETING FORM 115- S61 - 6395
Tn be a complete and accurate soil test, your report must inolude:
1. Complete legal description,
2. The use section must clearly indicate whether this is a residence or commercial project;
3. MAXIMUM number of bedrooms or cormercial use planned;
4. Is this a new or replacement system;
5. Complete the suitability rating boxes.A SITE lS SUITABLE FOR A HOLDING TANK ONLY IF ALL
OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
S. PLEASE use the abbreviations shown here for writing Profile descriptions and completing the plot plan;
7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A
sef>arate sheet may be used if desired;
d. Make sure your benchmark and vertical elevation inference point are clearly shown,and are permanent;
9. COMplete all appropriate boxers as to dates, names,addresses, flood plain Bata, percolation test exemp-
tion, if appropriate;
10. If thc informatiorl (sut:h <1s flood plain,elevation)does not apply, fflace N.A. in the approw iate box;
11. Sign the form and place your current address and your certification number;
13. Make legihla copies and distribute as reetuired. ALL SOIL TESTS MUST BE FILED WITH THE
LOCAL .AUTHORITY WITHIN 30 DAYS OF COMPLETION.
ABBREVIATIONS FOR E TIFIED SOIL TESTERS
Sail Separates and Textures Other Symbols
—
S(')11(' (over 1 0") RR — Bedrock
cobhl"� ( 3- 10") SS -- Standsio'ne
Gia vel fWider 3"', t_S Limeston
s — Sa€7d F1C3V! — High
and P erc -- P'tcol;ation Rate
(Fi Jn-" Sand x'i1
is F 't�e Sj,id Bldg Er4 'eE rEca
(r _. Loamy. `'amd G lei Tl°'<)n
Than
Loarn Rrt .._. R�if�llil
S,. -- S t,, L �trt b — tt Silk
t+y --- Gx ay _
i 1a�= L.t31 y i*leais
cicl _� Silly Ci `
t_raarr� rit:�1 — ( , ears
f
t,i — (lr(zrt;Ic C7 _.. t7rSttit€ii .
€i``r L l Iigh lr.i f
. Six X?;id CC'S .,1sf£2 is vv,'---
_.
hql id t-43st discaosal I'1M ( nch Ma:k,
TO THE OWNER:
:
ThiS 5l?il test rePOrt is the first strip in recur illp a sanitary l:errntit. Thu,county or the Department it ay request
verification o-r this soil test in the f el<:i prior to t)e;rtnit issuance. A €ornplete set: of plans for the private
.ge systern and a permit a;#ic.a'tion mus, b e submitted ,ca the aPoror--rime: local a!wh i'ity in order to,
t'blo,t1 a pormit The-`a+-I t`t,lary tsPrmit ni€1st he ohtame(i an(i th mart of any c"ons:o-t.if"tion,
State of Wisconsin \ Department of Industry, Labor and Human Relations
SAFETY&BUILDINGS DIVISION
December 27, 1988
201 E.Washington Avenue
P.O.Box 7969
Madison,Wisconsin 53707
Mark Helling
P. 0. Box 305
River Falls, WI 54022
Petition No. S88-04838-P
Dear Mr. Helling:
Re: Mark Helling - Residence
Onsite Sewage System
SE,NE,25,28,18W
Kinnickinnic, St. Croix County, WI
Section 145.24 (1 ), Wisconsin Statutes, and s. ILHR 83.09 (2) (b), Wisconsin
Administrative Code, allow the owner to petition the department for a variance
to the installation for a onsite sewage system to replace an existing onsite
sewage system at a site which is not in full compliance with the siting
standards in the administrative rule. The system design proposed should
protect the waters of the state from contamination. If this system becomes a
failing system or contaminates the waters of the state, this variance shall be
rescinded.
The petition for a variance requested to s. ILHR 83.23 (1 ) (d) of the Wis.
Adm. Code was considered on December 22, 1988. The petition has been
approved.
The rule requires a mound system site to have a minimum of 24 inches of
suitable natural soil .
The variance requested was to install a replacement mound system on a site
with 15 inches of suitable natural soil .
All of the data and statements submitted on behalf of the petitioner were
considered. This variance is specific to the subject petition and cannot be
used for any additional modifications.
45ice eIy,
card Meyer, Archi e t
Director, Office of vision
Codes and Applicat'on
(608) 266-3080
RM:PEP:3246e
cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls
Thomas Nelson, Zoning Administrator - St. Croix County
Thomas A. Wang, Plumber
SBO.6928(R.10/87)
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Perforaled Pipe Detail DEC 2-0 1988
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End View
Perloroled
End Cop PVC Pipe
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O Hobe Located On Bottom,
,r Are Equally Spaced
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Alternate Position 01
Pipe Force Main From Pump
Lost Hole Should Be
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End Copt Distribution Pipe Layout P 37 ,
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Signed: 'i �� �a,�,p Hole Diameter t Inch
Lateral � 1 2 Inches)
License Number: Manifold a. Inches
Date: Force Main 2_ Inches
ONSITE SEWAGE SYSTEM
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DEPARTMENT OF I Y, LAURA AN LATIONS
DIV SAF
SEE CORAESP DENCE
Page — Of ..._
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Straw, Marsh Hay, Or ate DSIOfI
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Synthetic Covering vry
Distribution Pipe
Medium Sand
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Topsoil ---_ F
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Bed Of 2r— 2 %2 Force Main Plowed
Aggregate Layer
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Section Of A Mound System Using E a3, _�Ft.
Cross Sec y
A Bed For The Absorption X15 Ft.
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Signed: B 75, (o Ft.
License Number: =! `,J` � ��.'�� K _ Ft.
Date: �IS�� L > Ft.
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Plan View Of Mound Using A Bed For The Absorption Area
j OM SMAGC SYSTEM
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DEPARTMENT OF 6 Y, R M TIONS
Dl SAF AN
SEE GQRRESP , QEN� .
1
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Bulletin CUM
July 8, 1983
• For Homes GOULDS
• Farms
• Trailer courts Model 3885
• Motels (Supersedes Model 3870)
r
• Schools • ' Submersible
• Hospitals Effluent PUMP Effluent Pumps
• Industry —
• Effluent Systems Pump Specifications
anywhere effluent Solids Handling Capability to
or drainage must be '22" NPTr Size
disposed of quickly, Semi-Open Impeller
quietly and efficiently. 3 vane design,threaded on shaft.Three phases
units use impeller locknut to prevent accideulal
back-off.Pump out vanes on backside of impeller
for protection of mechanical seal.
Casing
Volute type for maximum efficiency.
Stainless Steel Fasteners
Heavy-Duty Solids Handling Series 300 stainless steel for corrosion
Dependable Capability to 3/4" i� resistance.
Mechanical Seal
Ceramic vs.Carbon sealing faces,stainless steel
i
spring and Buna N elastomers.
•--- -- Maximum Temperature
1/3, 1/2 H.P. 60 Hz iso�l F. Ir.CEI Y E
Capable of Running Dry
Single Phase 115, 230 Volt. ¢ without damage to components.
!, Motor Specifica0E50,Q 0 1QPI-'
1/2, 3/4, 1, 1I1/2 H.P. 60 HZ Motor Fully Submerged
in high grade turbine oiVVCM l }.
Single Phase 230 Volt. Three tion of bearings and, echa i al sea dnji_,.
Phase 208-230, 460 Volt. f efficient heat dissip�ui6datoe seaWdtlidfdl l.•vr.r
environment by rugged cast iron enclosure.
Bearings
Heavy-duty all ball bearing construction.
Stainless Steel Shaft
Series 300 stainless steel for corrosion
CF0l j� �y resistance. Threaded shaft.
�/ JY Single Phase Units
All single phase units have built-in thermal
90 overload protection with automatic reset.
Three Phase Units
80 Overload protection in starter unit.208-230 or
460 volts.Threaded shaft 60 Hz operation
70 Power Cord
w Water and oil resistant. Epoxy seal on motut end
LL 60 acts as a secondary moisture barrier In case of
Q damage to outer jacketing.Corrosion resistant
= 50 gland nut.
�? Single Phase Units
Q 40 H.P. models equipped with 15' of 16 3
Z SJTO with 3-prong grounding plug. t. 1'_ff P
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models equipped with�1 1A �,„STO power
30 cord. i n
O 20
SPECIFICATIONS 4LTSL9JE@T�IANGE
10 WITHOUT NOTICE. v
IN n1ut�1'"
0 0 10 2G . .30 40 50 60 70 80 90 106 110 120 [eq. GOU LDS PUMPS, INC.
GALLONS PER MINUTE SENECA FALLS NEW YORK 13148
ST. CROIX COUNTY
WISCONSIN
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ZONING OFFICE
ST, CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON,WI 54016
- _ (715)386-4680
November 14, 1988
Division of Safety and Buildings
Bureau of Plumbing
P. O. Box 7969
Madison, WI 53707
Dear Sir:
An on site investigation for the Mark Helling property located in
the SE 1/4 of the NE 1/4 of Section 25, T28N-R18W, Town of
Kinnickinnic, St. Croix County, revealed suitable soils at a
depth of 1. 25 feet, below which high groundwater was noted.
This site should be suitable for a mound system.
Should you have any questions regarding this subject, please feel
free to contact this office.
Sincerely,
r k-\j,
Thomas C. Nelson
Zoning Administrator
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