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HomeMy WebLinkAbout040-1081-10-110 / ¥ D0 § � jk ® k o \ k § f c § `O0 / k\a a # f § §f/ a m 0 ) & £ &oq § ' 7p2 �\{ oe9c= 2m�A 0 3]- e § E+2 § U. 582\§ ) k2 » 2228 < E i n � » f £ . % i .! ■ § / k 0) • 2 § p z a ■ ) B z k \ ) « z 2 7 Q) z E ! r � \ � % ) Q kzz e . } 2 g 0 .. § ) E ~ / CL § m \ 2 m ■ G R 9 ' ? o o a 6 / \j � \< ■ U)z > § § _ 3:§ G ). -� 4i a a a k g B CL � LL c U) Q ƒ 0) � z Wait- \ \ \ 6 2 ] o o \ § Cl- 0 ° @ o ■ c E § Cl CL : c = � � / 2 _ k j . ■ _ \ \ / / f o ) / k 2 \ . ® k 2 0 M I — a « � 11 ; a » E� ' � � a § k J a 2 o 0 0 . Parcel #: 040-1081-10-110 07/06/2005 01:52 PM PAGE 1 OF 1 Alt. Parcel#: 21.28.19.320A10 040-TOWN OF TROY Current X ST.CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): "=Current Owner * ANTHONY F&ANNE B JILEK JILEK,ANTHONY F&ANNE B 604 CHINNOCK LA RIVER FALLS WI 54022 Districts: SC=School SP=Special Property Address(es): '=Primary Type Dist# Description "604 CHINNOCK LA SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.153 Plat: N/A-NOT AVAILABLE SEC 21 T28N R19W 2.152 AC PT NE NE LOT 1 Block/Condo Bldg: CSM 8/2123 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 21-28N-19W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 1009/486 WD 07/23/1997 847/435 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/20/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.153 50,800 306,500 357,300 NO Totals for 2005: General Property 2.153 50,800 306,500 357,300 Woodland 0.000 0 0 Totals for 2004: General Property 2.153 50,800 306,500 357,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 140 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form - STC - 104 • I AS BUILT SANITARY SYSTEM REPORT i OWNER IP 11q TOWNSHIP SEC. T aLN-R19 W ADDRESS ST. CROIX COUNTY, WISCONSIN Pty SUBDIVISION LOT LOT SIZE , PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM x r6` Se, �iC ' ybr 10 a� t Ana�n 0 x INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used �if�'R 10 e 1 Elevation of vertical reference point: Proposed slope at site: J /p SEPTIC TANK: Manufacturer:/'(7CtJe5' ( /t°N StLiquid Capacity: _ ��0 Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,©Side,O Rear, O .7, D t £/--,t From nearest property line 4Front,0 Side,0 Rear,O Number of feet from: well �� building: 6 g (Include this information of the above plot plan)( 2 reference dimensions to SEE REVERSE SIDE I " PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer. : Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear Ft. Number of feet from well: ��++ Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM r r /yf04 k d Bed: n i/5 Trench: r � Width: Len th:_ Number of Lines: oC Area Built: !� Fill depth to top of pipe: i Number of feet from nearest property line: Front, O Side, © Rear,O It .9 Number of feet from well: 150 Number of feet from building: � z2 (Include distances on plot plan). SEEPAGE PIT 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 Plumber on job: License Numb;-,r: 3� 3/ 3/84:mj 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 41 State Plan I.D.Number: Nm L'�'1VN2 ' 28, 19W ❑ CONVENTIONAL El ALTERATIVE (It assigned) Town of Troy El Shinno k Holding Tank ❑ in-Ground Pressure Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTIO AT : Paul Sylla 565 Cty Tk M 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 Wang 3231 St. Croix 119540 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: ❑YES ❑NO ❑YES ❑NO NEAREST—� DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: P PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: 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: 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. NUMBER OF PROPERTY WELL: BUILDING: VENT TO 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 I 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: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: ELEVATION AND 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 ❑NO ❑YES ❑NO NEAREST—� Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: SBD-6710(R.06/88) Zoning Administrator Thomas C. Nelson SANITARY PERMIT APPLICATION In accord with ILHR 83.05,Wis.Adm.Code coin DILHR STATE SANITARY PERMIT# -Attach complete plans(to the county copy only)for the system,on paper not less than ❑ / 19 J.F. ' 0 , 8%x 11 inches in size. chec if revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION.PLEASE PRINT ALL INFORMATION. P OP R NER PROPERTY LOCATION 1 Z—q Gam% '/a,S o9 Tr?P, N, R :` E(or W PROP �Ty O ER'S," I G DD S LOT# BLOCK# CITY,STATE //� ZIP,CODE' PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 11. TYPE OF BUILDING: (Check One CITY N EST ROA l ❑State Owned VILLAGE: d pp�� �nhoc 414h ❑ Public M 1 or 2 Fam.Dwelling-#of bedrooms! PA EL TAX NUM ER ) Q�O_ `0G/ _/U l/U III. BUILDING USE: (If building type is public,check all that apply) aD X410 0 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. CaNew 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 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 PER DAY 2.ABSORP.AREA 3.ABSORP.AREA 4. LOADING RATE 5. PERC.RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) x ELEVATION W1 "' �(p , as ��v 9g` ( ' Feet lot Feet VII. TANK CAPACITY Site in gallons Total #of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank (sD ( CQS Lift Pump Tank/Siphon Chamber SU VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. PI ber'a Name(Print): PI Is Signature:( Stamps) MP/MPRSW No.: Business Phone Number:� ",L� �T 39-3 r 0 4� f�5? Plumbs ' ress(Street,City,S te,Zip Code):Ee% IX. COUNTY/DEPARTMENT USE ONLY Disapproved S ary Permit Fee(Includes Groundwater Date ssue Issuin gent signature INS Stamps) Surcharge Fee) Approved ❑ Owner Given Initial Adverse Determinationi / < 0 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 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-6398(R.11/88) ' I APPLICATION FOR SANITARY PERMIT I STC - 100 This application form is to be completed in full and signed by the owner(s) 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 f� Location of property 1/4 /V/C' 1/4, Section C2 , T O N-Rj Township Mailing address - ziC_ G0 Address of site 4/l � Subdivision name `` Lot number Previous owner of property Total size of parcel Date parcel was created Are all corners and lot lines identifiable? _Yes No Is this property being developed for resale (spec house)? Yes ,X No Volume 5'0 and Page Number ? 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 deed recorded in the Office of the County Register of Deeds as Document No. 3--y1 r9 !; ; 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 dily recorded in the Office of the County Register of Deeds, as Document No. 3 �1 3 ) , �K- Signature of dwner Signature of Co-Owner (If Applicable) 7-j9 -S7 Date of Signature Date of Signature 300 DOCUMENT N0. 8TA�'$ t�AI{ OTC WISCON8IIQ 00*9 i ' WARRANTY.DEED' _80tl� !1� pAtF3$8 THIS SPACE-NEStAVED*FOR RECORDING,DATA. 324593 titGISTERS OFFIC E THI ED m Richard Bjerstedt. and Norma CO., WIS. . rstet, usband . and wife, Recd for Record this_.' Grantor' ° day ot.Ifett__qr._&D.19_74 and Paul M. Sylla and Patricia S lla t..-_jlO_ A. M.' husband and wife, as joint tenants Grantee, W i toes e et h, That the said Grantor fora valuable consideration Reelst r of Deeds j conveys to Grantee the following described real estate in St v Croix County, RETURN TO State of Wisconsin: I 'i The S� of SEk of SWk, Section 16; also the A of NEk, 10 Section 21, excepting a strip of land 5 rods in width Off TaxKeytt I the E side of the NEB of NEk; also the NEk of NW's, Section 21, This is homestead property. f except a tract of land described as follows: Commencing at a point on the S line of the NEk of NW14 of said Section 21, at, the intersection of the highway running Nally through said NEB of NWk of said Section, thence E 7 rods, thence N 7 rods, thence W to the highway and thence SEly along said highway to the place of beginning, said exception containing 1/2 acre more or less, also except .commencing at the SW corner of NEk of NWk of Section, thence E along the S line of said NE"% of NA of Section 21, approximately 13 rods to the highway running NWly through the said NEk of NWk of Section 21, thence Nally along said highway to the intersecting point of the W line of ` said NEk of NWk of Section 21, thence S along said line to the point of beginning; all in 28-19. The above described premises contain 13T acres, more or less. Except those p parcels heretofore released by Warranty Deed recorded 7-17-72 in Vol. 486, page 453, and Warranty Deed recorded 10-3-72 in Vol. 490, page 105. (OVER) i Together with all and singular the hereditaments and appurtenances thereunto belonging or in any wise appertaining; And----Richard Richard Bjerstedt and Norma Bjerstedt ---- ---------- — warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. EXEMPT i I Executed at___River Faa,1s; Wisconsin _._ this day of November 119 74 II SIGNED AND SEALED IN PRESENCE OF e4e(SEAL) ichard Bj sted II (SEAL) II —— Norma B erst t (SEAL) ----------------------- —----- (SEAL) I Signatures of_—Richard Bjerstedt and Norma Bjerstedt � — ---- authenticated this day of_ November 1974 V it C. M. Bye Title: Member state Bar of Wisconsin or Other Party Authorized under Sec. 706.06 viz. '•I STATE OF WISCONSIN l County. Personally came before me, this _ day of 19 r the above named —_ -- -- to me known to be the person_ who executed the foregoing instrument and acknowledged the same. l 1. < This instrument was drafted by C. M. Bye, Attorney Notary Public County, Wis. River Falls, Wisconsin. The use of witnesses is optional. My Commission(Expires)(Is) Names of persons signing in any capacity should be typed or printed below their signatures. NGMnhrowrWV WARRANTY DEED—STATE BAR OF WISCONSIN, FORM NO. I 1971 State of Wisconsin \ Department of Industry, Labor and Human Relations / PRIVATE SEWAGE PLAN APPROVA—T SAFETY&BUILDINGS DIVISION 3 `? Fast ;iashin,,,'or :;, . I;.,.� P-0, Box 7969 acfison , Wisccln-- "70' u; r ,.T- . T..�:-L�5 �;1� , �).�ner �-'1RK S.�.L,t 1ROuTE i . ioy 1,25 565 CTY TR %V R1. RIVER F: 1 ._ . `C? RE: Plan Number: S89-40181 Date Appro.----d. .3ilrie 1.9S9 G.1IlUI1s Per Laa. . - I - -- Date P.a-:.: re E. Jun 32 Pro, et-t Name; S'l-:LLA. MA R R 'S OE"',_F Location '« .NE .2, .24 TL*vn v� TROY ( unty: 1;T ^OTC, The f a 2 i1TF1f);n T TJ!aI?` 11!i i _ ti ',t;l'?ti8 t�.'I" t�±1: C?I''J'.P,CL h�V° i:1oa2: ?`• .1 `:' f ci: it - - t tJJi'J. iarlce wi ti -13)1 ]L':' i de C .r,tu;re111ent_s . This approt'a IS .) .sr:t:i )2 1. 5 M.sconsin 4tat,stes _r. ? the Wisconsin Administrative Code. The plans a F. s tamped 'Con y it.if'I1;31 iti i r1 11'=}�E?C :)129 F3i3pr"J -al is contingent I1pon comp Iiance :ti i any 6tipulations shown ui,� the 1psins, All items that are noted mist be All permits I'equilt' by 1-b e eL+ '. :'illage. township or counter Shall be ob*'ained 7P r: f0 CsJi1StTti =5I , i= t . ]�.k'. s )J1lmi,er responsible fi.r this r• - shal t keep one set f ,ti?;t l .:] rile flep,artmen- 's approval s_-mp at thc- constriictiovi sit,-. -,-Se ,s1' il;'. .h,,.Ill notify the appropriate yi-Ispeciar heIi i nspec,t ions -cal,] be dllc'do. will rnum :ti 'Mitt.' -approved c?!, if .t d, ' ? it -tiai Sant ^-',- ii U. .;e p iris fcI' .e 6•"ti...i::=Y_Te_Il1.S !`i1.` .it• ;: . : _.... i;1s.'G i]i1 _ %it ___ i'.'c'.."Nietj foI __- ... at,,.�,. r.,r,.. , ., qrT T} .. , ':, c :FI• al n - T f3 r In Dic,siotl Ci „zt=_. anti Cr_ . MARK SYL. ..i SBD-6423(R.08/88) 589 - 40181 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 - (715)386-4680 June 20, 1989 Division of Safety and Building Bureau of Plumbing P.)0: ,Box ',7;9.69. M-Aaison, "1, 53707 Dear Sir: An on site investigation for the Mark Sylla_property, located in the NE4 of the NE4 of Section 21, T08N-Rl9W, Town of Troy, St. Croix County revealed suitable soils at a depth of 2.50 feet, below which seasonable high ground water was noted. This site should be suitable for a mound system. Should you have any questions, please feel free to contact this office. Sincerely, ' Thomas C. Nelson Zoning Administrator TCN/j rs S89 - 40164- of - Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand G Topsoil --- F 3 u , ONSITE SEWAG ope ' e,,jjtj,,,&a _ 'Bed Of .I 2 Force Main Plowed f� Layer r1 Aggregate D 1.0 Ft. t "cGt AND t11;l AAN R[LASIec _L- ,,,, t�ht'.1 " ` ass Section Of A Mound System Using E •5 Ft. DEPARTtti�t�� v; � D`. c,• �Y AND LOIN F .7 Ft. wh. ' ed For The Absorption Area ES+r`iIND-NCE G 1.D Ft. EE A D Ft. H _ Ft. Signed: IVY B L� 7 Ft. License Number: K (O Ft. .Date: L jlqjl�q L �Z Ft. J 10 Ft. Alternate Position T Ft. of Force Main W2. Ft. — L I, Observation Pipe J B K AL---------------------- ----------------------- I•----- --------------- ----------------------•i Force Main W ° — -------��Distrlbution 2Bed Of M— 2 '2 Pipe Aggregate Observation Pipe ---Mark Plan View Of Mound Using A Bed For The Absorption Area S89 - 40181 Bulletin CL2.1A July 8, 1983 • For Homes GOULDS • Farrps ^ 0 Trailer courts Model 3885 • Motels (Supersedes Model 3870) • Schools • • Hospitals Submersible • Industry EHluenlPump Effluent Pumps • Effluent Systems Pump Specifications anywhere effluent Solids Handling Capability to 1/4 or drainage must be Discharge Size disposed of quickly, 2° NPT. Semi-Open Impeller quietly and efficiently. 3 vane design, threaded on shaft Three pl asa units use impeller locknut to prevent accidental 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" Munn-*.' resistance. p Mechanical Seal Ceramic vs.Carbon sealing faces,stainless steel spring and Buna N elastomers. Maximum Temperature 160°F. 1/3, 1/2 H.P. 60 Hz - �' Capable of Running Dry Single Phase 115, 230 Volt. without damage to components. YSTE►V! Motor Specifications Q K'r1'S *%� Motor Fully Submerged in high grade turbine oil for permanent lubrica- Sin Pha e 0 V hree tion of bearings and mechanical seal and S , Ph C7"V�fii. efficient heat dissipation.Motor sealed from ' environment by rugged cast iron enclosure. Bearings a 11sS Heavy-duty all ball bearing construction. tt3 r �• �M�� RE�A Stainless Steel Shaft ,s��tU�iNY. LABOF; pEPARTME AND � Series 300 stainless sleet for corrosion i A D DINGS resistance.Threaded shaft. htEN E AFL t Single Phase Units All single phase units have built-in thermal overload protection with automatic reset. 80 Three Phase Units Overload protection in starter unit.208-230 or 460 volts.Threaded shaft 60 Hz operation. H 70 Power Cord w Water and oil resistant. EpoAy seal on motor end 60 acts as a secondary moisture barrier in case of Q damage to outer jacketing.Corrosion resistant z 50 gland nut U Single Phase Units Q 40 HP.models equipped with 15' of 16,3 Z SJTO with 3-prong grounding plug 1., 1, 1 H P Q 30 models equipped with 15' of 14'3 STO power Q cord. H OF 20 SPECIFICATIONS ARE SUBJECT TO CHANGE 10 WITHOUT NOTICE. 0 0 . 10 211 . .30 40 50 60 70 80 90 106 110 120 u GOU LDS PUMPS, INC. GALLONS PER MINUTE SENECA FALLS NEW YORK 13148 III S89 - 40181 Page Of { Perforated Pipe Detail 0 End View Perforated End Cop a�+ PVC Pipe e �aese° Holes Located On Bottom, s. Are Equally Spaced X, j� PVC Force Main Q Distribution Pipe Lott Hole Should Be Neat To End Cop Distribution Pipe Layout P Ft. R X 36 Inches Y 34 Inches Signed: 6JL" H ole Diameter Inch 9 Lateral _f Inches) License Number: 3 Manifold Inches Date: 0 Force Main '/3 Inches x # of holes/pipe_! ONSITE SEWAGE SYSTEM o Invert Elevation of Laterals Ft. A P U i�f(',!l1it F11�I G IAf�L�i^T{'t�/ I AP.1R P1,1.0 tlt<y,Ar4. hrl ^r,!lAl� IV'!SON { !.DINGS AD SEE CORRESPONDENCE "� i STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWN /BUYER ROUTE/BOX NUMBER � � /� FIRE N0. l � CITY/STATE_ goer` 5 1A ZIP PROPERTY LOCATION: /v t 1/9 � 1/9, Section , T2aN, R-4-1—W, Town of //'D , 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 NAY 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 277 St. Croix County Zoning Office St. Croix County Courthouse 911 9th Street Hudson, WI 54016 (715) 386-9680 Sign, Date, and Return to above address ST. CROIX COUNTY WISCONSIN kip r i ZONING OFFICE ST.CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 (715)386-4680 June 20, 1989 Division of Safety and Building Bureau.of Plumbing P,'b: Bo�t ,Z969 Mddisan; �[�TT 53707 Dear Sir: An an site investigation for the Mark Sylla property, located in the NE4 of the NF}„ of Section 21, T08N-Rl9W, Town of Troy, St. Croix County revealed suitable soils at a depth of 2.50 feet, below which seasonable high ground water was noted. This site should be suitable for a mund system. Should you have any questions, please feel free to contact this office. Sincerely, Thomas C. Nelson Zoning Administrator TCN/j rs DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS INDUSTRY:, c DIVISION BOX LABOR HUMAN NDLATIONS PERCOLATION TESTS (115) MADISON,WI 3707 (H63.09(1)&Chapter 145.045) LOCATION: SE9TION- OWNSHI UNICIPALITY: T NO.:BLK.NO.: SUBDIVISION NAME: 1 F 1 MN/R - E(o W C,Q NT E R S NAME: �`' ' �r 1 Q ar F4 USE DATES OBSERVATIONS MADE NQ B : CO M R T O : R Residence C J 'UNew ❑Replace RATING:S-Site suitable for system U-Site unsuitable for system i OI S ®U• MLRS.E1U IN Ga S QU -©U L ❑SG�U .RECON�Qsu WSTEM:(optional) If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL GROUIN DWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST.MMTUT7 TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B- 4�.DU 91 .SV b 3r t►� Irs�� 6 k(�h r � s; 4) b 6liF s, B- -- AS,) Br, S W rF,h,e Qtr r .AN ee s. 3. 00 94Sa Us Q'-60 B 6/k s7rae i4ce A B- S W !ne Nr k K:, Ad v ws B- , 5 ov f bd �, 1g1 .�vgnst W �l • s� u�tlire B- PaeT I C w 'snethAe 4�•y5' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PER INCH P- .3 J P. f 3 P- P-. P- P- PLOT PLAN: Show !cations of percolation teats, soil borings and the dimensions of suitable soil areas. Indicate sale 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. q SYSTEM ELEVATION 19 a gv' re t Po - _ a c l .......... �dQQ� �F i�no�k 1.4ne I,the undersigned,hereby certify that the soil tests reported on this form were maNa 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. NA (print)- TESTS TESTS WERE COMP npt,a 4,14 n �7�JJ/ • 7 A D •� � � � � t � � C' / . CERTI�I Ti N MBER HONE NUMBERIopti W. CST SIG DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD6395(R.02/82) —OVER— USTMI NTOF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS DUSTRY, DIVISION P.O.BOX 7969 AgOR HUMAN RELATIONS PERCOLATION TESTS 115) MADISON WI 63707 (1-163.090)&Chapter 145.045) E : OWNSHIP UNICIPALITY: OT NO.:BLK.NO.: SUBDIVISION NAME: 1 F 1 TD�N/R - E (o W -- C UNT WNER BR'S NAME: M I j S 121i e0- P411S ; USE DATES OBSERVATIONS MADE NO.B COM R T O : PROFI [COResidence 'QNew ❑Replace S L �' Fit RATING:S-Site suitable for system U-Site unsuitable for system OrOS T®U•IMOUND:2S Q� IN-GROUND�� S SaE ©�L a�G���TANK:RECOfu/� 14 �t ySTEM:loptional) 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: Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED HE TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) ( 1 .5 0 a F .3r de) 4 Sao B I IS it l)44 1 r N 6/L 4 B- I ASO k S W ,F;n Qr�k' h Harc��►N e� B- ic . DO ort,5v 9 .s'v 9�s99USi . oB t 0161h SINN ar ),5j B- Ili WIE18C Wk 8A AtrJ kayjers B- oo 7� ,qo 1! 11 B- , o f� S w Pc�r l i 1-t S 'me l tdA e 4 7"7,5' PERCOLATION TESTS EST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PER INCH P i :3v P 31e P 3 P- t 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. q SYSTEM ELEVATION i rel. - 1 U? 1r1. v c a __._ a_ e._ AV,0.__IA._ - - S tN T-77 - __ ' all _L �d e. `s1 i�n•0�� `.ane I,the undersigned,hereby certify that the soil tests reported on this form were make 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. NAME(print): TESTS WERE COMPL ED 0 5/ 'V ADDRES , -^ /n'tU J ." v�CERTiff TI N MBER PHON;NUMBER(opti rwl): � INS /r• v/✓/ v+S' S' CST SIG /1 DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395(R.02/82) —OVER— L S89 - 40181 *N&Ak SY110 Nc`/y nc/� Se,c 2i TagN I�i►`1w Troy ioon5kip S4 Cro7x co 0 F-}C IJr, N I �r, �r 3 �ec�fp m ( �? L. �c i t U.�� 1 l)V✓1 �(i redIC1f e 14' 1060 Sri c �¢^k g0+ f It,Is s B tyl I O 0 3 C1i„nbe r �o�` Tr Lad tb }�� 5'1013 c1 r�a,rk cr T ONSITE SEWAXPYSTEM �U&) (V d 1p T;,1ENT OF INWSTRY, LABOR AND RELATIONS S' SEE CORRESPONDENCE g U Q, S n r10 C L a n t, r'v\ i�j-)K . 331 X89 - 40181 PAGE OF PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS VENT CAP_T`i"C.I. VENT PIPC APPROVED LOCKING ? 25' FROM DOOR, JUNCTION BOX WEATHER PROOF MANHOLE COVEK WINDOW OR FRESH It"MIN. I AIR INTAKE I GRADE I I y'MIIJ. t' I8"MIW. CONDUIT L-- -— __ WAIN. —————————— IN1 F:l" PROVIDE ( —_-_-- N ON SITE SE 122" rlEM APPROVED JOINT Am t' I I I= APPROVED JOINTS WIC.2. PIPE. L..yt�r' 9W�• "�t 3e; �rt'd I III W/C.I. PIPE CXTENOIAIG 3' ;F ALARM EXTENDING 3' � OUTO SOL ;ID SG ' ,r t 4 � ` B � �_ r a �`, I 1 I ONTO SOLID SOIL I I oil DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELAT� � Df' S4O3d OF SAFETY A GUI INGS —1 OFF 1 D SEE CORRESPONDENCE `7 CONCRETE BLOCK *� RISER EXIT PERMIlrED OWLy IF TANK MANUFACTURER HAS SUCH APPROVAL SPEC.IFIGATIOA.IS SEPTIC AND , —� DOSE TANKS MAWUFACTURER: m (�_J�.I-l"��e�� r Q\t NUMBER OF DOSES: PER DA3 TANK SIZE : _ S 7 GALLOUS DOSE VOLUME 111.5 r�t�' S S2� 3", py(a ALARM MANUFACTURER: I r+k ��Pr"r INCLUDING BACKFLOW: y q� GALLON Vl MODEL ►DUMBER: �� 361p Z CAPACITIES: A= INCHES OR-364 SWITCH TYPE: I a B= — INCHES OR --(jj$8 GALLONS (� PUMP MANUFACTURER: S C=__1ZINCHES OR /32 GALLOWS C MODEL NUMBER: �� (-O3 D INCHES OR ��GALLONS SWITCH TYPE: MOTE: PUMP AND ALARM ARE TO BE PUMP DISCHAR&E KATC 3 7. GpM INSTALLED ON SEPARATE CIRCUITS r, VERTICAL DIFFERENC[ BfgmWCCU PUMP OFF AUD DISTRIBUTION PIPE.. FEET ' + 14OL111MUM NETWORK SUPPLY PRESSURTE�. . . . . . . . 2.5 FCET ♦ __15—FEET OF FORCE MAIN X z'33 F�,O FxFRICTION FACTOR.. ;S FEET TOTAL DYNAMIC HEAD = FEET IWTERAIAL DjM NSIOIJS OF TANK: LEMCsTH l0 7 ;WIDTH ;LIQUID DEPTH 91GIJED: LICEMSE NUMBER: DATE -117-