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HomeMy WebLinkAbout032-2070-30-050 r 4) °o rY o 3 0 a .. O (A N ti N N 0. O o O_+ N o y c 3 �� 3 0 o £L � 0 GNU U C) N N N N r y O U) CL c Z Y Q 7 = aF� C LL O N y CO 'O O LL M O I Cl) > w Z y N Z _+ 00 Z C) a m M M C C9 O Z W P N E I!. N Ch N N O III N N y N 0 c O I:, N N (D O O OO •� O d = V U N O Ir- O N Q O •a+ N O Z m Z 0 ° o N Z Z o � .j o M d Lo £ O M R ` N O d 'I a O. •R � O N C � o o a N51 Q o ' a U) m w 0 v N Zr- > EI— am ►i, U O O O •N -:5aaa EL 0n M - U m rn rn Z CD 00 v M co (�0 R 0 0 0 C N N N Q _0 M O r 0 O> N rn N (n N O CA O O O O Q N C D7 r .+ O 0 0 3 a) O v a (M ~ l� 4 N O O c N N N N -� y y Vl R O M O I- O n O y m N N y 7 M N N O 0 O (A Z Z w O O N y Cl) 61 N C N (Nfi O 7 LO O y O O • O (n O Z y 0 U) U D'EPART4V1ENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING LABOR&HUMAN RELATIONS DIVISION P.6.BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION MADISON,WI 53707 State Plan I.D.Number: NW 4,,NE 4,Sec. 13 ,T30-R20 ❑ CONVENTIONAL El ALTERATIVE pt assigned) Town of Somerset ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound E 1T HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Jim Russell 116N. Center , Stillwater MN 55082 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: Byron Bird Jr. 3318 St. Croix 13536 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: "YES0 O ❑YES ❑NO BEDDING: VENT DIA.: VENT MATL. HIGH WATER NUMBER OF ROAD: PROPERTY UILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: ❑YES ❑NO ❑YE ❑NO NEAREST—- DOSING CHAMBER: MANUFACTURER: I BEDDING: LIQUID CAPACITY: LIMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: El YES ❑NO I r ❑YES ❑No ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL BUILDING: AIR NLET:RESH (DIFFERENCE BETWEEN FEET FROM LINE: PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: LENGTH: NO.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID BED/TRENCH TRENCHES: MATERIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL BUILDING: VENT LE FRESH BELOW PIPES: ABOVE COVER: ELEV.INLET: ELEV.END: PIPES: FEET FROM LINE: AIR INLET: NEAREST 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 TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEVATION AND ELEV: ELEV.: DIA.: ELEV.: I PIPES: DIA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑YES ❑NO ❑YES ❑NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑YES ❑ O n ❑YES ❑NO NEAREST NIJrc Retain in county file for audit. Sketch System on Reverse Side. SIGNATURE: TITLE SBD-6710(R.06/88) Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER SSQ4/Z TOWNSHIP J_ �2c) -el SEC. Tyo N-R ADDRESS �la,)6116*''ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•LHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM r Ae " 41-Uv v' Gb �� J"r C1 rf� INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used _ sj- (/eolt-_ � v Elevation of vertical reference point: /00 Proposed slope at site: SEPTIC TANK: Manufacturer: C' Liquid Capacity: —e Number of rings used: j Tank manhole cover elevation: Tank Inlet Elevation: Zf2C. Tank Outlet Elevation: Number of feet from nearest Road: Front 10 Side Rear, Z'20 feet m From nearest- property line ° Front,O Side,ORear, ��7 c� feet p/j w Number of feet from: well / building: //] (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE STDE r PUMP CHAMBER Manufacturer: y" e -e AIL— Liquid Capacity: eg-c-,� ,3,Z ' Pump Model: �v^ Pump/Siphon Manufacturer: :22 Pump Size 11.2 Elevation of inlet: / b Bottom of tank elevation: Pump off switch elevation: Gallons per cycler O Alarm Manufacturer: L (J Alarm Switch Type: Number of feet from nearest property line: Front, O Side, Rear,0 Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: Length: Number of Lines: _ Area Built: to Fill depth to top of pipe: Number of feet from nearest property line: Freon/t, Side, Rear,O Ft .L Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT to fc-, 7 /C6 Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: C7� _ y "� Plumber on job: License Number: 3/84:mj i DILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05,Wis.Adm.Code COUNTY STATE PNITARY PERMIT# –Attach complete plans(to the county copy only)for the system,on paper not less than /U�.onp(rgevious 8%X 11 inches in size. Check application —See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION S-er /4 %4,S Tad, N, Rp2© E(or PROPERTY OWN R'SMAILIN9 ADDRE WTI IA BLOCK# /t er �/ TlIA G ill �--� CITf,9TATE I ZIP CODE PH NE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check One) 1:1 State Owned v LLLLAGE S NEAREST ROAD =N QF e 0 7`!T ❑ Public 191 or 2 Fam.Dwelling-#of bedrooms PARCEL TAX NUMBER(S) 111. BUILDING USE: (If building type is public,check all that apply) 7 1 ❑ Apt/Condo A W - -20-7 47/4f 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.54' 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 E1 Mound 30 El SpecifyType 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 PER DAY 2,ABSORP.AREA 3.ABSORP.AREA 4. LOADING RATE 5. PERC.RATE 6. SYSTEM ELEV. 7. FINAL GRADE L{ _ REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION r l _ 6 L 3 250-4�KFeet OO-OOFeet VII. TANK CAPACITY f Site in oallons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- plastic Exper. INFORMATION New istin Gallons Tanks oncret stCon- glass App. Tanks Tanks Septic Tank or Holding Tank -C,� Lift Pump Tank/Siphon Chamber �J.L Vlll. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: Plum is Address(Street,City,State,Zip Code): C t IX. COUNTYfDEPARTMIENT USE ONLY ❑ Disapproved Sanitary Permit Fee(Includes Groundwater Date Issued Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial dr Surcharge Fee) Adverse D t rmination �' 116 Q r X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(formerly Pib-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 accuraft this sanitary permit application must include: I. 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. III. 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. SBD-8398(R.11/88) r • APPLICATION FOR SANITARY PERMIT 3TC - 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 Location of property ,Lt/Wl/4 1/4, Section Township Mailing address Address of site Subdivision name A-116Z Lot number /� �'�4-Previous owner of property Total size of parcel Date parcel was created (%. 2� 17� Are all corners and lot lines identifiable? No Is this property being developed for resale (spec house)? Yes No Volume 9-5/and Page Number ,511-:f-(�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. ------------------------------------------------------------------------------- PROPERTY OWNER CERTIFICATION I(Ve) certify that all statements on this form are true to the beat 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 �gg,dA ��d in the Office of the County Register of Deeds as Document No. y- a ; 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 duly recorded in the Office of the County Register of Deeds, as Document No. ) . Siq ute o Owner Signature of Co-Owner (If Applicable) der /9 Date of Signature Date of Signature !l O vY0019 • N0. WAVAAffff THIS sMCa �MY�Ia w STATZ BAR OF WISCONSIN FORK S—IM 452,15_ �5�n►c,,E5156 . John Howard__Rogness and James Leonard Kuehn � Neco $.± .._ . _.. ...... . .. . ........ . . ..-. .. �+ .......................................................... .. .......... . .. .... . .. . OCT2 $1999 ce.. ... .. ... . .. . .. --- - -- 2:00 P M .... ........ ... .......... .... . -._ . ..._...--.. .. . .. .--------- ----- I _ conveys and warrants to ...-.James A- .Russell-••..... .. . ..... ... ... ..... ....................... ................... .... .... .. - ................ * ►« ; .............................................. ... .. . .----- . _ ._.. . .... .. ......... .... ................. ..........•........ .. -.-. ... ._. -. ... ...-. St Croix County, �I tM leilowing described real estate in ... .. ..... ........... .. . Sts[• of Wiseoasin: '�' (I TaE Parcel No: ................ ; , Part of NW14NE} Sec. 13-T30N-R20W, Town of Somerset, described i as follows: Lot 2 of Certified Survey Map filed May 20,1981 ? �j in Vol. "4", page 1059. jj { €r; t'^ This ......is-.not•- ...... homestead property. dhl)t (is not) Exception to warranties: Existing highways, easements and rights of way of record. Dated this 20th. .. ........ day of October 1y. 89 . £' ...._.. ... pp I (SEAL) ,+t�� '– L _.(SEAL) k ......... ..... . .. ......._.... ...-._.. . ................:_ _....- .. . • ✓John Howard Rosgnesss ........... ............................................._ (SEAL) . ................:. . __.. ..... .. .. James Leonard Kuehn AUTRUNTICATION ACENO W LZD01[sNT Stigaatare(U 1 STATE OF WISCONSIN w� i U. _ ---------------------------------•-•-•••-••........._._...--••-------- - ST. CROIX.....-..- - County. . -.. . autbestleated. ........day of......................... . 19... . Personally came before me this ..AO.....day of October 19. y... the aboer named k :. .......•..•............................................. .........•---- John Howard Rti�rnf•ss and James-Leonard ......................................................... Kuehn _ _ i,. •. w TITLE: YZMBZR STATE BAR OF WISCONSIN (If sot,......................... _ t' authorised by ; 70x.06, Wis. Stets.) to r e known to be the person SF; who ezecut�dllie foregoing inatrumirnt and acknowlkdgq the - 1 k _ THIS INSTRUMENT WAS DRAFTED By S C ` 4 y'�'•. •. Attorney David J. F.streen Uav id J. Fst rc f n �1S3 .t'•0�� 621 Second St. Hudson WI 54016 S t, Cr o i x bounty, Wis. .......... ....•.•...........t......__.._-. .t. ... .-......... _ Notary Public (Signatures essay be authenticated or acknowledged. Both N) f nmmissinn is permanent:(if not, estate e:cpiration .=fi ; C are not necessary.) date: _ , 1A.. .....) ! �lKea1� at pUMaY.mare is any e•pechy should be typed nr printed 1-1— •n.:r —6r,at..r STATE BAR OF WISCONSIN ,! FORM No s— 1992 E •r�. ^, r STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER _�A&IZ: ROUTE/BOX NUMBER ��/l ��� FIRE NO. CITY/STATE //J /i���l7r ZIP PROPERTY LOCATION:,�,/Gc 1/9 � 1/4, Section , T_. 0 N, R o W, Town of � T , St. Croix County, Subdivision , Lot No. 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. 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 ✓f� c DATE St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 (715) 796-2239 or (715) 425-8363 Sign, Date, and Return to above address INDUS TNI , OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O.MADISON WI 3707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) TOWNSHIP/ .: UNICIPALITY: OT NOBLK.NO.: SUBDIVISION NAME: VOCATION—: ll�1 �/ /T pN/R E (o � �, ;e� COUpTY: MA ING ADDRESS: ' r 1. ol r 116, 1.,1- /u/ C-Gn /c r f �► /l r� .s�SOY USE DATES OBSERVATIONS MADE NO.BEDR .: COMMERCIAL DES RIPTION: TS: Residence New ❑Replace RATING:S-Site suitable for system U-Site unsuitable for system . ONVf"NTIaNAL: MOUfJD:❑u IN-GROUND-D�RE: S SaTEM-I®ILL �ING TANK:RECOMMENDED SYSTEM:(optional) . If Percolation Tests are NOT required DESIGN RATE- If any portion of the tested area is in the under s.ILHR 83.09(5)(b),indicate: I z I Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROU NDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIG_HffS?_ TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) 13- Ot Olt 8. 3 o /411V _ to PERCOLATION TESTS TEST DEPTH ] WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER 1=111111111112 AFTERSWELLING INTERVAL-MIN. PERIOD t PERIOD 2 PERIOD PER INCH P. o G <. P. G P. a +e. G 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 howl. 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. SYST ELEVATION r- _ o ! ! I I _ . . , c ,r, a_ �oP. __ _ . ._, -- - T�. O e .............. 7 14 r � . i _ 1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord 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. NAM (print): ITESTS WERE COMPLETED ON: ADDRESS: CERTIFICATION NUMBER: PHONE NUM13ER(optional): 7► .3 7 71Q— c e /G CST SIGN AT RE: • r DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. AP- hit HR_4;Rr),q-tQq(R t0/wn ____–OVER – TDH HEAD CAPACITY CURVE W 4 . •• I TOTAL DYMAwc MtAaZAMC11t reM M+MUT! 26-L&i So! ss-sr.se •� EFFLUENT AND DEWATERING F1 - MAI GAL ciAL aAL 04 s 93 o ERING 10 �' sr SEWAGE AND DEWAT >o s+ e+ 24 `� ,s 1r et e. •o eo 20 27 q s• so 29 • st so 'o M f6 so is —u ` 20 �o � 163 �� -al► -- -- t:.' MODEL LoAW.. .. ♦oTAL D"MOC MlADICWW"PMNWPJSa I`�T r� � s.+t.o•ao acr.MiswNo 16 :` I ` • •u+e• ea se se se fa —1 S Ica 1GQ tJ0 q0_ 10 so. n fS set 20 q !7 tq 14 —�- - -;-t 20 • $3 123 i % 1 —30 so ss 12 - t ss eo • MODEL - f so 10 Lo( 3ow 51 t' t 0 MODELS tl 137, 131 t i 6 _ M�DEL r: . •. IV ODEL 2A4 i 2821 I 4 MO EL • 268 .* '� li '•. M DELS 2 `-. 57 M DE MO EL I i � 59I - 97 207 � a+1 LITERS 60 160 240 320 400 480 S O p FLOW PER MINUTE N�� G, BUREAU 3M Old AMAn law Ab%*ctwm of. . . P.O. Box 16347 i L& O Louavft Konhxk7 40210 ` . (SO2) 778-2731 Q ,Q� 01 /f L - f ,. PLOT PLAN . .PROJECT ADDRESS � a5 6� �h/fir �� kla e.^ . ✓`.S^ /f ll4 1,Ve 1 14 1S�V /Tfa N/ W TpWN a e,-Z COUNTY MPRS Byron Bird Jr. 3318 DATE BEDROOM_I CLASS PERC_�CON VENTIONAL.�(N-GROUND PKESSURE CONVENTIONAL LIFT_MOUND_ HOLDI G TANK � SEPTIC TANK SIZE �-a-� LIFT TANK SIZE f"o d DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION AREA PERC RATE G BED SIZE ,1�X;sar ►► Benchmark V.R.P. Assume Elevation 100' Location of Benchmark ��� * H.R.P. Garr cN cti--� /�� 9� /dd7`�l dS�G•c 0 Borehole Q Well Scale = Feet 0 Perc Hole System Elevation Uent 12" Grndp TYPAR COVERING_ f 2" _ 12" 3' 4 6' D 3' I s" Sewer Hock i 12' �GC '74�2:p �� • r ST. CROIX COUNTY WISCONSIN ZONING OFFICE 3 ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 (715)386-4680 May 7 , 1991 Inland Mtg . Corp . 2035 Rice Street Suite 112 Roseville, MN 55113 Dear Mary: An inspection of the property of Jim Russell , located at the NW-I,, NE% of Section 13, T30N-R20W, Town of Somerset was conducted on November 8 , 1989 . At the time of the inspection, this septic system was found to be code complying for a three bedroom home . Should you have any questions , please feel free to contact me at this office . Sincer James K. Thompson Assistant Zoning Administrator j