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HomeMy WebLinkAbout040-1103-25-000 H ~ O v> 0 V a� a� �- •a I a � a N M a D R On N m c..- O y a�.O O O �O�pQ.7- N O W d 0 N O `-' U U N E N_ rn O C Y m p C u! N _ C m �6 a) 0_ C 00 n N m coi uwC ;�?oa'� d O X O Y a `O w O c N H OL O O O d' 3� N O U a Eo -°3 € U) 0 00) ' Ow c o Q. a Z M cM € C Z c , c _ c _ a _ o a� a> CO m 0 7 m m O O m p N`-' ch LL CO �r0. 7O a� LL c0 p X00 Uaffl N N fU0 C a 3 C a N O C._ N ! c 3 a ot� O1 3 Q mamma-j m t U N -T N Z y H Z E £ V .j O` °z° a m a m N H Z I I N C C9 a L O Z a c :� c 'w c ! 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CROIX COUNTY, WISCONSIN f-I u Soo 2 Z y1 SUBDIVISION LOT / LOT SIZE " )V PLAN VIEW Distances and dimensions to meet requirements of I•IHR 83 I� SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ((V^� v , PE 01- T T)L�ti IQ E(P I I c T 14J 1"Lf_T o f 6 t O E Y i ST 03 G- 6 U+Lt T OF O L L2 &?O S 7 i,_�G— U Roo TAN/,- 10,13 SL T /rJ INDICATE NORTH ARROW 5 X12 i E S - � Q���P.M . {��-r,E- �� �}v i►E�S �� �� I�ov�m..Q, P BENCHMARK: Describe the vertical reference point used Se T- $ tPI ST O F�O U,-)L) i Elevation of vertical reference point: 100,6 Proposed slope at site: T �a N€W SEPTIC TANK: Manufacturer: quid Capacity: Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation:. Number of feet from nearest Road: Front, XO Side,Q Rear, 0 > �S feet was r From nearest property line Front,0 Side,0 Rear,0 feet Number of feet from: well 12-6 building: U (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer. C'QtiG�.�-� y Liquid Capacity: � 0 Pump Model: /37 Pump/Siphon Manufacturer: 20611 Pump Size /V2- 2 � i Elevation of inlet: x'3 ' 3(o Bottom of tank elevation: I �- 3 r Pump off switch elevation: / �' �y Gallons per cycle: 1� Alarm Manufacturer: L L G � Alarm Switch Type: M GV n / T- kwEsr 2 T,/ Number of feet from nearest property line: Front, O Side, O Rear,0 Ft. Number of feet from well: 2 Number of feet from building: 0 (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: (11 Lenith: Number of Lines: _ Area Built: Fill depth to top of pipe: 2 W ES T Number of feet from nearest property line: Front, O Side, © Rear,0Pt f Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: , Liquid depth: Bot of seepage pit elevation: Area Built: Has either a drop box or distribution box been used on any of the above soil absorbtion sytems? (C eck 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, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector• Dated: Plumber on job: License Number: ;�3 HOMESITE SEPTIC PLW481MG CO. 655 C'NEIL RD.,HUDSON,WIS,54016 3/84:mj ROBERT ULBRIGHT WIS. MASTER PLUMBER LIC.NO.3307 M.P.R.S. "'NN :1STALLER&DESIGNER LIC.NO.00663 I A c o X11 ; Z `�► G $ � � � � � -t 11 4Z ry n � a h � o �: N-� rn �► SI ry 0 h It ZIP O �e 1 pr - o f �� � m m � o � � L � y o 0 K o y o 70 - 1 O o� �► � o � � R1 b �► i 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 �.,YA{1�41N,WI 53707 p State Plan I.D.Number: JJJI y 'V sec. 2 6 2 CJ 19W (If assigned) Town of Troy NVENTIONAL ❑ ALTERATIVE Lot 1 Radio Rd ❑ Holding Tank El In-Ground Pressure Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTI DATE: David O'Malley Route 3 Radio Rd River Falls WI 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: Robert Ulbricht 13307 St . Croix 119539 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY- TANK INLET ELEV.: TANK O LET ELEV.: WARNING LABEL LOCKING COVER 0_ / _ W) �� ./ PROVIDED: PROVIDED: tfn7p � �i'1 1 `7,T• SV fad YES ❑NO ❑YES JAO BEDDING: VENT D .: VENT MATL.: HIGH WATER NUMBER OF ROAD: P WELL-,,j BUILDING: VENT TO FRESH C / ALARM: FEET FROM ��� INEyJ AIR IN1 FT ❑YES NO ( ❑YES NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER / PRO IDED: PROVIDED: YES ❑NO 900 �� 7 GllG2 YES ❑NO DYES ❑NO GALLONS PER C CLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PRNO�PECRTTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN ! t% YES ❑NO NEAREST--- LI^ / �Z 'D� AIR ISLET: PUMP ON AND OFF 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 �✓�' T J the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF DISTR.PIPE SPACING: COVER PIT INSIDE DIA.: 0 PITS: LIQUID TRENCHES: MATERIAL: 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: N 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 ;Z YES ❑NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER I TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; VYES ❑NO DYES ❑NO LIEERTRENCHIIEI DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: 7SOD�DED- SEEDED: MULCHED: / EDGES: li O ES O VY ES ❑NO UKYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: Q /TRENCHES: DIMENSIONS Q 6/ — y MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEVATION AND ELEV.: ELEV.: ELEV: J PIPES: DIA/ DISTRIBUTION HOLE SIZE: HOLE SPACING. DRILLED CORRECTLY: COVER MATERIAL VERTICAL LIFT CORRESPONDS TO INFORMATION ( APPROVED P NS 7 9 YES ❑NO YES E]NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE,Gn� AYES ❑NO YES ❑NO NEAREST—* �O � / / Sketch System on Retain in county file for audit. Reverse Side. SIGNATUR TITLE: SBD-6710(R.06/88) Zoning Administrator Thomas C. Nelson SANITARY PERMIT APPLICATION In accord with ILHR 83.05,Wis.Adm.Code COUNTY DILHR . STATE SI TIY MIT# –Attach complete plans(to the county copy only)for the system,on paper not less than //`(1j 3 8%x 11 inches in size. ❑ Check if revision to previ us application –See reverse side for instructions for completing this application. STAT PLAN I.D.NUMBER I. APPLICANT INFORMATION–PLEASE PRINT ALL INFORMATION. S O 3 PROPERTY OWNER or PROPERTY LOCATION ftj ,IVW'/a Al 6%, S 2-6 T 1� , N, R � E(or W PROPERTY OWNER'S,MAILING ADDRES LOT# BLOCK# J910 R041P R SUBDIVISION NAM O CSM UM ER ,ST ATE ZIP CODE PHONE NUMBER p 2112— 'Cif 2 II. TYPE OF BUILDI : (Check one) ❑State Owned VILLAGE; T Q �j� A o AD ❑ Public 1 or 2 Fam.Dwelling–�#of bedrooms— PAR LT NUMBER ) ��qJ0_//4r (f7 III. BUILDING USE: (If building type is public,check all that apply) 104'd l ` 0 1 ❑ Apt/Condo l 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. ❑ New 2.�Replacement 3. El Replacement of 4. [1 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 12.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) e ELEVATION 600 (� 100' t0 A7 / �O Feet Feet VII. TANK CAPACITY Site in Total #of Prefab. Fiber- Exp . INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App. Tanks Tanks strutted Septic Tank or Holdin Tank Lift Pum Tank/Si hon Chamber S VIII. 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:(N Stamps) MP/MPRSW No.: Business Phone Number: RoR�72T' ?�LRRirc� I 33a 7/3 3, G��� PI u dress(Stjee,C� a Z iCode): �� Y IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved §@Itary Permit Fee(Includes Groundwater Date Isaued ss ng gent wgna a(No Stamps) Approved ❑ Surcharge Fee) Owner Given Initial _ Adverse Determination 00 t X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.11/89) 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. t 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 accutate 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 mohitoryr g groundwater, ground- water contamination investigations,and establishment of standards. SBD-6398(R.11/88) APPLICATION FOR SANITARY PERMIT 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 Location of property L� 1/9 �1� 1/9, Section 214 , T ZI N-R �/ W Township Hailing address 3 Address of site Subdivision name CCj Lot number Previous owner of property. N Total size of parcel .2-,'C) Date parcel was created Are all corners and lot lines identifiable? /` Yes No Is this property, being developed for resale ( ec ous A Yes `No Volume � +-i—.and Page Number 3 as recorded with the Register of Deeds. Z INCLUDE WITH THIS APPLICATION THE FOLLOWINGS O 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 Z� 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(We) certify that all statements on this form are true to the best of my (out) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty de d rec ded in the Office of the County Register of Deeds as Document No. L ; 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 County Register of Deeds, as Document No. ) . S gnatute of Owner( Signature of Co-Owner (If icable) Z l Date of Signatu a Date of Sign re C7 S O Z • .��t- i.. ea+d6-..........•..................... .................... � ............................................... .,; �t.::....: It..9�.a�t.�.. lCll.�lr...$��4�!!S!P.:►..�A!lE�d - . ............................... t ... ... ....•----•-•-..._......_.......................................... . w AbdbMUb& .21"the am Beater.fee a Vahm"o0oolderatift...... n r aanngs Y asanba tie fdiawlas isaarilad reai estate is ..11t,G>F4.ft..... . .... ssn�w 1e�,Ad*T•f!a Craft, 941stil d Wha..w: Po- a►t'f r V' Ta:Pwad Xo:.._.............� A parcel of lead located in the Northwest Quarter of q do tortLaast Quarter of Section 26, Township 28 Borth, Asap It Vast* Town of Troy. St. Croi:t County, Wisconsin 1 Mribed M foLlors: Lot 1 of Cert if Ind Survey flap filed Jas t3. t9Al, is Yol. A. Palle 2112 as Document lumber fr the office of the resister of Deeds for St. _ 0mix County. Miaconsin. Isis TNs .. �.. . ... bissalsad property. d David 0 Malls ............................�s�s;....................... ....,.. A, UM aB and the bueditmenta and a urtenanew tberaunto And.... •..Amt. .p. ���t�!.. ................ Y twsrMIM tbt IMa tWa Ia sa4 inddraaible in fee sirs* and free and clear of oerumbrancea ascot MssMats, eovemsts and restrictions of record, if any, ' , F SM W wane"and ddend the ssa+e. �` nrllad tris ..............5.40..._........... ........ day of ..-.. .._ June. _... ._. . ....... I9. � ...... ...... ... .... . . - . Crn ;Ruth r 01 Milley ............................................. ..... .... _.. . I....... ...-.. . . (SEAL) . ............... ...... . •.......- ... . _ n.,`I . .o�rl ,► ` AOTUNUTICATION ACSNOWL111DOMENT ; �pa41n(s) .......... STATE OF WISCONSIN ............................................................... ........... Skx..G>tiQi7L-.. Couaty. a& $; audantioldewl this ........day of... _. 19....- Personally came before me this .!!�►�. ... . y - - -...Jne... • 1989... 60 0 - ....... - .. .-....-- naea� k ..-- DayidepM!�!i ` Ruth Olal - s S L .. •.-t� :. T TITLE:MEMBER STATE BAR OF WISCONSIN anihorised by 1706-06.Wis. State.) to me knOvn flo!Le tl*-prMMgj6 X who eiteeuirad j forP���inR tf�l f the ,' tM/a lN471"UMEN7 WAS OFSARCO 9Y • .Y. orst , • w F.41r-4rm-29,•hdsmr--Mi.-.54016 ... . ti, :. �otH-; l�,hlie _ foomAsm'"I be wathoatiented,or sdlnowledged. linth He ('ommissien is perrosaeTlt 1 errs ') date: f g al 0 Mi"Wo 01110ofto to ow Baps W sliuld be tsu 4 or Rtb0A below tlww,#icr4as&", � a. � 'r"'^'3" r'7 1,..�`.,,L�'a.. riy,-y'.tc`U .. NUMBER V I 1 LETTER OF NOTICE OF VIOLATION -� Certified Mail/Return Receipt Requested Q DATE: I I Q I LOCATION: _LYt- l f / L VIZ,a Dear r y (9 As required under the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of Article � ,Q of the ST. CROIX COUNTY ZONING ORDINANCE, -S of the WISCONSIN STATUTES, and/or 3 of the WISCONSIN ADMINISTRATIVE CODE. The violations noted are �6AA�L� Tvt ei and the following actions should be taken by The first violation is noted as having occurred ZG 'r4J and any penalties provided for in the ST. CROIX COUNT ZONING ORDINANCE shall be applicable as of that date. Please feel free to contact this office, for we are available to assist you in clarifying this matter. Yours truly, THOMAS C. NELSON �✓ Zoning Administrator TCN:rmc r cc Town Clerk District Attorney 9V ru-4 �y . NUMBER 89-V-19 LETTER OF NOTICE OF VIOLATION Certified Mail/Return Receipt Requested DATE: ti June 5, 1989 David O'Malley Apt 21, Heritage Court LOCATION: Mk Section 2, T28NT-R19% Twon of Troy Wasson Lane River Falls„ WI 54022 Dear Mr. O'Malley As required under the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of Article 15.04 of the ST. CROIX COUNTY ZONING ORDINANCE, 145 of the WISCONSIN STATUTES, and/or • • ILHR 83 of the WISCONSIN ADMINISTRATIVE CODE. The violations noted are failing septic system as evidenced by effluent discharging to the surface of the ground. and the following actions should be taken by Contact a certified soil tester and have • percolation test taken. Have a licensed pluthber obtain permits, design and install • system according to the results of the percolation test. The first violation is noted as having occurred June 2. 1989 and any penalties provided for in the ST. CROIX COUNTY ZONING ORDINANCE shall be applicable as of that date. Please feel free to contact this office, for we are available to assist you in clarifying this matter. Yours truly, l THOMAS C. NELSON Zonin g Administrator TCN:rmc cc: Town Clerk District Attorney NUMBER LETTER OF NOTICE OF VIOLATION Certified Mail/Return Receipt Requested DATE: LOCATION: Dear As required under the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of Article of the ST. CROIX COUNTY ZONING ORDINANCE, of the WISCONSIN STATUTES, and/or of the WISCONSIN ADMINISTRATIVE CODE. The violations noted are and the following actions should be taken by The first violation is noted as having occurred I and any penalties provided for in the ST. CROIX COUNTY ZONING ORDINANCE shall be applicable as of that date. Please feel free to contact this office, for we are available to assist you in clarifying this matter. Yours truly, THOMAS C. NELSON Zoning Administrator TCN:rmc cc: Town Clerk District Attorney ST. CROIX COUNTY WISCONSIN # ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 - - (715)386-4680 July 7 , 1989 Division of Safety and Buildings Bureau of Plumbing P. O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation of the Dave O'Malley property located in the NW 1/4 of the NE 1/4, Section 26, T28N-R19W, Town of Troy revealed suitable soils to a depth of 2. 3 feet, after which seasonal 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, Thomas C. elson Zoning Administrator TCN:sma ST. CROIX COUNTY WISCONSIN ZONING OFFICE `+rr ST.CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 (715)386-4680 July 7, 1989 Division of Safety and Buildings Bureau of Plumbing P. O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation of the Dave O'Malley property located in the NW 1/4 of the NE 1/4, Section 26, T28N-R19W, Town of Troy revealed suitable soils to a depth of 2.3 feet, after which seasonal 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, Thomas C. Nelson Zoning Administrator TCN:sma � �' �. DER r.�.N.R. fl3•o8 (2� Y PROJECT INDEX STT!.;FT OWNER T1.3 ADDRESS. i��D/I> /'J ��b�iE� �/���5� �/S• .S�yD 2 Z �i5- 425- _ SITE LOCATION: � . � �' w . Sr, G•o i x Cav.� ry PROJECT DESCRIPTION: ,#,v 1�7-X I'S 7_1W G- SySTf'� r-04 A- S y /.�,e�P�t°.H. �E'" rv,� %s p �� v s �; x �v.�7 y A",-V6- O!q -1, w� °„SOI Aviw � ��� tiC xiSTitiG- Sf/S`/ �! A.5;dG &p SST boa �s - PAGE 1 . PLOT PLAN V T.."WS PAGE 2 . -MOUND CROSS SECTION & SYST?;M '!?T;l°JS PAGE 3. PIPE, LATERAL LAYOUT PAGE 4. DOSING OR SIPIiON CITTAMBTER, CROSS ".' CTT;)TTS PAGE 5 . PUMP PERFORMANC SPEC; OR SIPII01T 3i L i) ``0: ,AESITE SEPTIC PLUMBING CO. PLUMBTM: CbJ O'NEIL RD.,HUDSON,WIS.W16 SETT', 7'7T;kTjTJ.A.T7M, / DESIGNER ROBERT ULBRIGHT 'VIS.MASTER PLUMBER LIC.N0.3307 M.P.R.S. WSTALLER&DESIGNER LIC.NO.00663 HOMESITE SEPTIC PLUMBING CO. 65S O'NEIL RD.,ALIDSON,WIS.54016 i 1 / �J ROBERT ULBRIGHT _ M DATE: WIS.MASTER PLUMBER LIC.NO.3X7 M.P.R. . t *!v.jpSTALLER&DESIGNER LIC.NO.00663 AL SIGNATURE: . c;asr Iron bens - "139" Bronze Series* HEAD CAPACITY .� UNITS/MIN � 1 Feel Meters Gal. Ltrs. • Automatic or Non-Automatic. 5 1 52 104 394 10 3 04 '79 300 • IX,H.P, 1 Ph., 115V,200a208V or 230V. 15 4.57 64 242 • H.P.,3 Ph.,200-208V or 230V. 20 6 10 36 136 25 7 62 6 30 • Non-clogging vortex impeller design. : • Passes''o inch solids(sphere). Lock Valve 26' • 1 Sr" NPT discharge. Canadian Standards • Float operated, submersible (Nema 6) mech- UL listed C Assoc Approval anlcal switch. available - • Automatic reset thermal overload protection. -1 137 Seden SC-2225 • Stainless steel screws, bolts, guard, handle and '^A 138 Swlee SB-1115 arm and seal assembly. •••�• 'Bronze motor and pump housing,switch NOTE Nu UL listing for 200-208V/1 Ph. case,base and impeller. pumps. Mercury float switches are available for non-automatic models. t „../ to F I- LL W 115 1 110 %ofJol 32 105 CURVE 100 85 28 90 28 85 EFFLUENT 24 80 MODEL and 4C 75 MODEL 189 DEWATERING = 22 70 ,6$ V 20 65' Z 19 60 It Y 55 _ H 16 50 ODEL 0 183 MODEL F- 14 45 168 14 40_ 35 10 MO EL 30 MODEL 137, 39 165 SEWAGE and a 25 DEWATERING 6 20 I MODEL 15 MODEL _ 161 4 7 10 MODEL W uLLWi 2 $ $3,55, 57,58 0 GALLONS 10 20 30 40 50 60 70 80 90 100 110 24 75 LITERS 0 80 160 240 320 400 22 FLOW PER MINUTE 70 20 18 MODEL Q 295 W 55 -- = 18 r V 50 G a14 45 MODEL 294 - J 35 MODEL ( I�- 10 293 rt— — 0 MODEL e - --- - 284 l y„r D E J t. 4 I� MODEL 8 20- 282 15 4 MODEL O -- — - 2 5 267,268 0 -' - 3280 Old Allow Lane GALLONS 10 20 30 40 50 60 70 60 90 100 110 120 130 140 15D 180 170 180 190 P 0.Box 16347 Louilaft Kentucky 40216 LITERS 0 80 160 240 320 400 480 560 640 720 (602) 778-2731 FLOW PER MINUTE i 4 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER !/ V / i A- ROUTE/BOX NUMBER � � / `�0/y /"7/� FIRE NO. CITY/STATE ZIP 54r-02- 2-- PROPERTY LOCATION NO O 1/4 /V Ae7 1/4, Section 2-6e , T N, R_ff_W, Town of 'r-a , St. Croix County, Subdivision Lot No. ICJ I. Improper use and maintenance of your eptic s stem c �d result in its premature failbre 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 $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, - have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as- set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNEDX DATE_ St. Croix County Zoning Office St. Croix County Courthouse 911 9th Street Hudson, WI 59016 (715) 386-9680 Sign, Date, and Return to above address I'J OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUST DUSTRYY,, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (ILHR 83.09(1)&Chapter 145) LOCATION: SECTION: TOWNSHIP/°""""^'^^"T LOT NO.:BLK.NO.: SUBDIVISION NAME: ,uw�/ ,v�1/ 2-6 /TS N/R IqE (or W' 7,eo y �,�s7 ��T 2 esm PeAAP1'j6--- COLIN Y: OWNER'S BUYER'S NAME: MAILING ADDRESS: ve USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: E OLATION TE,STTS: Residence 3 �. %New ❑Replace �t1.,,_D .2 .• I? ScS 9� Stews fis s f,��" —_ R__vT���oa�tcQ��t-/& RATING:S=Site suitable for system U=Site unsuitable for system rONVENTIONAL: MOUND: 1 IN-GROUND-PRESSURE:ISYSTEM-IN-IILLIHOLDING TANK:RECOMMENDED SYSTEM:(optional) ❑$ ©u ©$ ❑u ❑$ 1U ❑$ X❑U ❑$ R1 �lovv� syJ T�� If Percolation Tests are NOT required DESIGN RATE: q GGy f S•� S If any portion of the tested area is in the under s. ILHR 83.09(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 EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- ��o 5 O Ic �fl� z 3 3. • G{, R a - -f s w 14 N;' OF " 6feM4.;_' ED B- r ' , •3 1 33 ' � S . Ts- Cie. S B-// �2.S ' '0 4 1 O Q•f . A o'-f S ' .P3 ' Af• Q,o. 5"' T s' I. 33 ' OR-4a. S 2.p . B- 7 S�o �� •13 3. o �, -F+ 0- ,� 5' B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD 3 PER INCH P- P_ P- L 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. ff �O Of � � / fr 5��f� SYSTEM ELEVATION / E E a . E a r 3 3 _ _ �1 4 r ' N I f {(a ti+ r• -T-- ..,, Vim.._, f........,. s � Em i i } A _ . . E — �d E ___ .. �_ _ . .x_ I,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. NAME (print): TESTS WERE COMPLETEN� HJMESITE S:=PjIC PLUMBING CO. (/d_jw""`` 3 ' ! ON WIS.54016 ADDRESS: ROBER1 ULBRIGHT CERTIFICA11ON NUMBER: PH NUM R optional): MASTER PLUMBER LIC.N0.3307 MY.R.S. Z yd''L_ -'? d MINN.WSTALLER&OESIGNER LIC.NO.00fib3 CST SIGNATURE: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHRSBD-6395(R. 10/83) —OVER — INSTRUCTIONS EAR COMPLETING FORM 115 - SR - 6395 . To be a cornolele and a€-Lgate Soil t;'St,yr>Ur report 111ust illClUde. 1. Complete leggal descripi_ion; 2. The rase section must clearly indicate whether-this is a residence or commercial project, 3, MAX I IL1M number of 1,ier-1rooms or commercial use planned; 4, IS, this a new or replacement System; 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; B, PLEASE r.4(' the abbrevia;ioras Shawn here for writing prefile descriptions and completing the plot plan; � 7, MAKE A LEGIBLE diva.arsa accurately locating your test locations. Drawing to scale is preferred. A � separate sheet may be cased it desired; B. Make sw e your be rich mark and vertical elevation reference point are clearly shown,and aie permanent; B. Complete all appropriate boxes as to dates, names,addresses,flood plain data,percolat iora test exenlp- bon, of appropriate, 10, if the, information (such as flood plain,elevation)does not apply, pl,:)ce N,A.in the appi opriate box; 11, Sign the forrn and place your current address and your certification number; 12. Make legible copies and distribute as required. ALL, SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures tither Symbols st - Stone (over 10") BR Bedrock cob Cobble (3- 10") SS Sandstone gr _ Gravel (under 3`°) LS Limestone *s - Sand HCaW - High Groundwater €.s - Coarse Sand Perc Percolation Rate reed s - Medium Sand X11 - Well Is Fine Sand BlOg --.. Building Is Loamy Sand > - Greeter Than sl - Sandy Loam < Less Than l Loam Bn Brown s l Silt Loam BI Black si Silt Gy ..... Gray "cl - Ciay Loam Y - Yellow scl Sandy Clay Loam R Red sicl - Silty Clay Loam inot - Mottles sc Sandy Clay w,I with sic - Silty Clay ffl: - few, line,faint kc ___ Clay cc - common,coarse pt - Pea t min - Many, nsediurn in --_ Muck d - distinct P ..._. prominent HWL - High water ievei, Six general soil textures Surface water fear liclaic3 waste disposal BM - Bench Mark VRP Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit.The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary pert-nit must be obtained and posted prior to the start of any construction. Lai ��/t�tJ . pole Brea woo9 r ' 30� ' 10 /00 -0 OF v 4y' }ivty:L31TE SEPT1 SON W S1 0,NEII RD.,�� ROGER i ULBRVGHT WIS• M,P-R-S- MAASTER PL &$c- GN R U CNO.00663 p?tNN.IW M. A 9 -� 0137 � Page Of'� 1' Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand H _ -�G Nl Topsoil i a ^ I/O tv Vo/o tiG I-0tP /UU y�' of �/L fo��� >�i v = 31 y/s . a 9 -' 01371 page3 Of 2r I, i I Perforoted Pipe Detail End View Perforated End Cop) \e t PVC Pipe 1 o �e Holes Localed On Bottom, Are Equally Spaced R •f X ? 3" ON SEWAGE SYSTEM �^r PVC Force Main P m 4 Q PVC Manifold Pipe DEPARTLIEN T 0` ' RELATIONS 'i DiU,vi�Y �1 Vr�l.y.•`f il?�J.%:ui .i� 1r�u Oistribulion Pipe 17 LQQ Lost Hole Should Be _��++W 'E Next To End Cap )ONDENCE �? End Cop Distribution Pipe Layout P Ft. R S _ 'l X 8 Inches Y "'�' Inches Hole Diameter 5� Inch Signed: Lateral Inch(es) License Number: Manifold Z- Inches Date: Force Main 3 Inches # of holes/pipe Invert Elevation of Laterals/0/'/O Ft. //1 14 AA Q�S7 jP!/3 %i0 v is4Gl��P6E= /P97E 2�► /��Pfi� ��Po.�-� �fi�'s �`� 2 7 • 7off� P/5 7WI;da7-1o,) Di57 GA4;6 7r PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP 4"C.I. VENT PIPE APPROVED LOCKING JUNCTION WEATHER PROOF BOX MANHOLE COVER 25' FROM DOOR, 4)61 A/3EI WINDOW OR FRESH 12"MIU. AIR INTAKE gl?ADe T/O A/ GRADE I `INMItiI. J� I Imo_ COIJDUIT -- -------_.-- 4 8 \`��� ----- -- -- PROVIDE INLET I I ----- �� AIRTIGHT SEAL� I I �APPROVED JOINTS APPROVED JOINT A %J/C.I. PIPE `�0�{O�1 I' I� I III EXTEWDIMG 3' i_XTENDIM& 3' ALARM ONTO SOLID SOIL OuTO SOLID SOIL B �r�KSl��loa I I oN 90-L ; I - ELEV. FT. 1 PUMP--, --� � OFF , A)i v>+Yf a C0IJCRETE BLOCK RISER EXIT PERMITTED ONL`J IF TANK MAMUFACTURER HAS SUCH APPROVAL SEPTIC E SPEC.IFICATIOIJS DOSE 61)-5611'S CO-J6-V? 1-lAl60Ue,-5 TANKS MAIJUFACTURER: f� WtABER OF DOSES: PER DA`J TANK SIZE : V U o GALLOWS DOSE VOLUME s-, INCLUDING BAGKFLOW GALLONS ALARM MANUFACTURER: L.&!!cl MODEL NUMBER: d' ()' L CAPACITIES: A= Z Z INCNES OR too GALLOWS !tit SWITCH TYPE: E p(UP `� �O A7'S g= Z INCHES OR 3G GALLONS PUMP MANUFACTURER' 3 INCHES OR / GALLONS MODEL NUMBER: 13 7 Ya- H, D,=�' � INCHES OR /76 GALLONS SWITCH TYPE: s�yl3n.�t MOTE: PUMP AND ALARM ARE TO BE INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE— �Z GPM S VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE../n / FEET -rAK)k ��GS + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET EAC, 1 0 �} + �00 FEET OF FORCE MAIN X F opTFRICT101JFACTOR.�' as FEET t'(OAls �Q. Z TOTAL DYNAMIC. HEAD = g• S FEET. Yovti0 iD INTERNL.A DIMENSIONS OF TANK: LEN ;WIDTH 77 jLIQUID DEPTH � . .A I SIGNED: LICEMSE HUMBER: DATE: I E. 7 -77) -1 D:71,7, . 0 v I m a 0 a I 0 o 0 o0 qb 0 0 N � 3 �o '0 Y � I U y O._ y " 0 p� CD `.i h CD co 0 O V E a) ID r Z c Q co C — 7 m yya) I c 3 Q)i 3 0 CD 0 y aJ E Q 7 Cl) 0) � CL I I IL m co H Z O O z !t V � Z- fn I ! 44) z E -o N Cl) (D I a) 0 • IV '0 L � z z O � O N _ Y z �i E (D N 0 CL a N +� a) 0 co N H d 0 0 O o I, o G C a .° o bap Z .- > • yaaa CL L 0) 0) U m co } n co O E 0 0 o o m c a 't) 'C N N O) fn o N C O r V) C .. _ d CO O Lf) Q FF30 a) C C a C) l v it O 0 C a) a) C 0 p) W _ I..i N T .�.. 7 E E C r CD o • N F- O O Z 0 FD— H fn M m a is d ..r �` M State of Wisconsin \ Department of Industry, Labor and Human Relations SAFETY&BUILDINGS DIVISION June 20, 1989 201 E.Washington Avenue P.O.Box 7969 Madison,Wisconsin 53707 Dave O'Malley Route 3 Radio Road River Falls, WI 54022 Petition No. S89-01371-P Dear Mr. O'Malley: Re: David O'Malley - Residence Onsite Sewage System NW,NE,26,28,19W Town of Troy, 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 an 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 June 16, 1989. 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 14 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. Sin erely, c and eye Arc Director, Office of Divisio Codes and Application (608) 266-3080 y RM:KS:388le cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls \;Komas Nelson, Zoning Administrator - St. Croix County S8D-8928(R_10,87) State Of w1SCUIlS111 Departure nt of Industry, Labor and Human Relations PRI VA1 k St:WAGE NC AN AP SAFETY SAFETY&BUILDINGS DIVISION �ift 'It.r� nt Iiiui '� i,�rl i.i_i�!e�• anal 'Ul �tipiir ;-itin�� r I ;r , i. �d�ishirlyt� iavenur> I'. i7• i;u,; i�tti'3 MJ0i c,ri, W ;rk)n- in -,3 f O W_sI t �f.Pt II-, PLUMBING (:0. 655 0'Nf It Rti. OwHer : CA,t 1, 'h9eaLLf:Y IlIJD`aON, W1 ")4016 <I , 71 RAOI(I RI). It i of R I rll t. 6�I 540;2 RE: Plan Number: S89-01371 Ga 1 onp; Pw,r i,�,l t e Approvr�rl. ,7une 1 DdY• h�(i , 198 J 1'rolc'r' t� Name: 0°M/il tEY, i)l1Vf. ti�,I` Received : Jude 16, 1989 Irwn o�f ikt)Y I ti inn: Rl . ;�, fees kvice i vod Criiap t R!AHO ROAD ( PI"iar i try R��v ir�w) : Y : I t R(1Ih 60.till the h1ornbisig plsn,, apd I compliance, with apf�lirahl �ri�odcaitri`rns Iur th-i5 PI ��?E' 1. ti tv;� In-en reviewed for f4'�, Wi,,c'on,>in tatlatf"; and thl. lujrr,lrlr.rjt°. . Ihis .�Il,proval is h��,r�� stamped 'ri,inrlition,ill 4is� nrtsin rldmini0r,o iv( `J r'rl I;h�3p#rr `�' ahPrcaveil ' . ifta ; ; ,ri�V,il 9� � �� ilr3. Ihr-� pl�tn3 arF� any stit)(] !dt !on,, `,hown on thi plan > . f! i ` I I (in lrid r" I item ( h'iI nl uLion corrlpl 'I an(v wI It A1 I I:rr�rmik; r'erauirr'd by ttli� , ,rc nut_ed Irl�.a-, I k>�� rorre,�twr-1. trr ipr to i:onstr-turf ion. if)�, vi I i,,gr� tr��rri ,hit; ,�, r,ur,Iy `.hal ! Lfc- ohtaipa�d sh<u ! i ke(:�fj ope sr�t of 11�In��, 1 it ��n:<<1 I� 1u�ril,r r l r i ) I wiilt ihi-� dep,�rtrrsr°nf �!'rl�' 11. 1r till i1ii .; irl"tailatiori construr, tion site. dhe ir7`�1a1 €er trap rrr�lir ul�t,rr.v�� l �,tarriLi a1 file insue( tion _._In t)(, rn,.udr� Y tlir �L;I:rit ,r kitt> iri�,pE�r i:or when lhi is appr )V<j I wi i i expire twc, Rermif is Obtained, yr:�ar`, f! tilil Ihi ,lair ,itptovr�t.1 nr will r,x re thr,, <1,i fjl(l ipiti � l � �ipit,ir_ if i y Itue �ccti )p of PrivatF 5ew,ucr� Y tit°rrl�lt t:xtiirr>; . r`egLi 'I nirrnfS �'rn1 1 ha rr�viewetl thr�. �, t• lari , r�r Y• plans have poi 1),,n rE�viewk�it idrr �ar�vatty� ,,� Sf`t forth in �,r:�ction ItfiR 8;' _wag ., sYstern Cr:de Wisconsin /ldroinistrativk� c�urtE� yenr�ra1 pIuuih1n�J ,ir in (lia ,tt�r � oo�� rr 'auirr,rriF�tlt ; 1 to of f he this approval is for the ii:,llrlwinrl crutrlLrc.,nent` rirll y -- RfPI ACE MtNI Pt I�ITlON - Rf.PI.ACtMEN( MOUNL) Inquiries concerning thi,, cpproval may he rrl�icte Ily rallip,i � ti(iI ebb-.1y_,i. SBD-6423(R. 08/88) 4. State of Wisconsin Department of Industry, Labor and Human Relations ffUMf S f If j jG H 1JM6 I N Cli. SAFETY i3t�E 1 &BUILDINGS DIVISION incereiy, l .�4 t✓ MIS 0JIWAN �ecti0n rat Priv�lte .>ewayr� flivi fnn r,f Sdfejy and Tsui iciin��q PPPOF2J( oogn/1�i - Cc- OAVtr, O'MAtI f;y +'rivafie .Sewarlr CansU I Cant ��ttrit � ~' _.._ y iUrnh ing I,nr�sr.r ltar!t ; I)av(lb r i _-.i iurnl ,'r rlv irmillient,l alth r c; SBD-6423 (R.08/88) ST. CROIX COUNTY k WISCONSIN ZONING OFFICE ST.CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 (715)386-4680 June 13, 1989 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Dave O'Malley property, located in the NWT of the Mk of Section 26, T28N-R19W, Town of Troy, St. Croix County revealed suitable soils at a depth of 14 inches, below which seasonable high ground water was noted. This site should be suitable for a mound system with a variance. Should you have any questions, please feel free to contact this office.. Sincerely, Thomas C. Nelson Zoning Administrator TCN:rims DFPARTMENTOF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS DIVISION INDUSTRY, LABOR AND PERCOLATION TESTS (115) MADISON WI 3707 HUMAN RELATIONS LOf / (ILHR 83.09(1)&Chapter 145) eS11j 'p6,uQ(,J6— ^ LOCATION: SECTION: TOWNSHIP�L-FfY: LOT NO.:BLK.NO.: got/ A) 1/ aC. /TraN/Rlq E (or)W -R o/- etsT ��g 7- of COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS: 1k� 3 ?Aoia P �ivii F1 0j , L4)15 5*90 2Z USE Z DATES OBSERVATIONS MADE NO.BEDRMS.: C DESCRIPTION: PROFILE DESCRIPTIONS: ER OLATION TESTS: Residence ❑New Replace I TV,yE Z— l f 4 f TV-11 E- � / RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) DS DU DS U Ds ®U ❑s ❑Eu ®s ❑u /� Lll&)P - G�� �/'� If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the 14— under s. ILHR 83.09(5)(b),indicate: G l'/f s S Floodplain,indicate Floodplain elevation: �f� PROFILE DESCRIPTIONS /N ICI-.yxIC -AE--L-7_ BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) -6y. Si ugh ysy. B- 5,0 fG•26 p oie-(,y. kofj I•d'3 oy.Qa, S,1 w rm+uy. nIAJ. 4,S. 011?-6y Av It I•S ' 0p, S- S �tiX — SATV,P�tTED how r a r 33 ' /d 1 .� 1,p 6-y-20. . wl MAay SH . ST '6y• B-2- s' 0 <(f 76 3,o (� t-ws, 3.0' &Y_'1 '. .SI AcTiUE SM?Aff- AT 3,0' 22 / q q /,0 B[T.Sr' . TS. , 1.33' oIe-Ba. s;/,a lf4. Hh,sy CM411 /sT B-J ,(� /7.9Z y !� l �7 / ok•Gy. AfofS .2.6 ' 09-Aa • SI w"+?' M'" Ror , oQ- 7/S /O /,G7 /Z���1 ,7s'7itwv). rs. , 2.25 ' Ba . Si 1, W/ COMA" •f.f.O�Q-Sy�7, B- L9 �9. 0 ( / 1,0 ` o�P.��;ue 5 wltt,. 144N . 11 . 2)e5T. eR-6• . 4o_-j45 . B- St1ef4 ,r 91K0r10-v5 A;& PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATER INCHES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 P� 2 PE% Z P_ o �.GD' 3 D /8 P- 2 v ' 9 30 y Si y L P_ 7-0 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. W /' 7-' i f}tJp 24,0,P---4 5yS7-E-y Z,�, /OO• Ct O SYSTEM ELEVATION _ _ _.__ ----- r , i t -_ .. € ? 3 t , _,fir_ tN !r , , i ,. i t I,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. NAME(print): TESTS WERE COMPLETED ON: HOMESITE SEPTIC PLUMBING CO. 3 . l et ADDRESS: CER IFICATI N NUMBER: PHONE NUMBER(optional): ROBEP i ULBRIGHT J��L CST SIGNATURE: MINN.OSTALLER&DESIGNER LfC.NO.00663 DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) —OVER — INSTRUCTIONS FOR COMPLETING FORM 116 - SBQ - 6395 To lbe a complete and accut,ate soil test,your report rnaust include; 1. Cornplete legal dewriptiorn; 2, The use section must clearly indicate whether this is a residen(,(t Of cornmerciai project; 3, MAXIMUP0 number of bedrooms or commercial use Planned; 4, Is this a new or replacement system; b. Cornplete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULE€? OUT BASED ON SOIL CONDITIONS; B_ PLEASES use the abbreviations shown Mare 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 separate=sheet may be used if desired; 8, Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 93 Cornplete ali appropriate= boxes as to dates, names,addresses,flood plain data,percolation test exemp- tion, if appropriate; 10, If the inforination (such as flood plain,elevation)does not apply, place N.A,in the appror7 riate box; 11. Sign Rlhe form and place your current address and your cef tificat:ion number; 12. Make lerdible copies and distribute as required, ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st — Stone (over 10") BR — Bedrock cob Cobble (3- 10") SS Sandstone gr -- Gravel (under 3`°) LS — Limestone Is Sand HGW - High Groundwater cs — Coarse Sand Perc — Percolation Rate rued s - Medium Sand W — 1r`t'ell fs — Fine Sand Bldg Building Is - Loamy Sand > — Greater Than '`sl -- Sandy Loam < .._.. Less Than "I Loam Bn -.... Brown sil - Silt Loam BI — Black s= — Silt Gy _.- Garay cl Clay Loam Y — Yellow scl Sandy Clay Loan R .__ Red sicl Silty Clay Loam mot — Mottles sc Sandy Clay w,' wi III sic — Silty Clay ff1: — few, fine, faint we - Clay cc cornmon, coarse of Peat min — Many, medium in — pluck d — distinct p prominent l-WL -- High water lewei, Six general soil tex?.neres surface water for liquid waste disposal BPyf Bench flat k °c1 RP Vertical Reference Point TO THE OWNED: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. S O n S NO IV Y� NA I I y Z L r I n �v N �D X11 b e CP 67 70 I 1� 1 4 i I ro DEPARTMENT OF - REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 3707 HUMAN RELATIONS MADISON,WI 53707 � (ILHR 83.09(1)&Chapter 145) C'SM pE�hh�- ^ LDy` / LOCATION: SE TION: TOWNS OT NO.:BLK NO.: SUBDIVISION NAME: 4 NE 1/4 -,�G /TaN/R IR E (or)W COUNTY: OWNER'S BU ER'S NAME: MAILINNG G ADDREE SS: 51.(4o� 1�12.hQs.�t,UR v1i-• AIICY/ 12i•3 ?�toiD P D Riut�2 �II!IS , lt,lf 54oiZ USE DATES OBSERVATIONS MADE NO.BEDRMS: COMMER IAL DES RIPTION: � I�V�t 2 �� Sv��� — I TEST,.,S' Residence ❑New Replace L ( /� J� /V // RATING:S=Site suitable for system U=Site unsuitable for system Sc s C�o if i4Grvex ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) EIS DU I S �]U ❑S ®U EIS DU ®S DU pia vvP - Ogle �• U 'i'.rxE DESIGN RATE: If Percolation Tests are NOT required If any portion of the tested area is in the under s. ILHR 83.09(5)(b),indicate: G l'/I S s Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS iN -D-CC-4ti4G fE % BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED ES HES TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) S��p�4rrlr �T 1 ok. 8.�. s:� r.s 42' 84J-ay. S71, Q#A �y.sy. B- "- gels. 0.6y.. A0* S ' aR• S- S MiX - SATup'fiTED Low. B- p , Z 7G 3,0.s• Q r /� ! IMOWS, 3.10 Gy-II3� S� I A-r uE, StOAff-a AT 3.0' .6Y B- 2 r r ,� /p'We-S . TS. , 1.33' OR-B,. $;/,w1tk Mh,Jr SM411 ITr. B-3 ,(� /7�z ��, !� �.l(� (Il� ) o,l?•Gy. Afo7`S 2•G JR-Aa • S wi+�. Mq.+ I . RoN , 0'0- VS / /D G7 / „1 ,�s'Bl�.sil. r S- 2.2 ` �.1 . SO, w/ con�o,j f.f.o,2-Sy. . B. r /. /' D ( / ?,Q ' O,P.•fi•u.L wlt1. N4N 1 . DtST. Olt-� . 4-0/ B- SulfiKE PERCOLATION TESTS TEST DEPTH WATER IN HOLE f TEST TIME DROP IN WATER LEVEL-INCHES RATTER IINCH ES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. RI D 1 ERI O P- o �,Go' 30 P Z 0 _30 y s/ y Z P- 2 GD s ' 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. 7T• 5yY7-EAt Z�, /OD• G Q ' SYSTEM ELEVATION } t : r . �tlr!e -- t / oo_ _ -� r-j ._� - _ l vim-- __ _ , , I,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. NAME(print): TESTS WERE COMPLETED ON- HOMESITE SEPTIC PLUMBING CO. 3 . l et V ADDRESS: CER IFICATI N NUMBER: PHONE NUMBER(optional): ROBEPT ULBRIGHT �2. — CST SIGNATURE: MINN.WSTALLER&DESIGNER LIC.N0.00663 DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395(R.10/83) —OVER — J � ' N O Q o ZZ CI a W � s i o a � �, q q90 1 � 4 w � � � r i o`J• ci cl` N -i2 z 4d o ° c. 03 0 I 0 I h y ti C C I C GL O O O� _ I n g n °O co N o rn� I °v 3 Y O N m C N N O v m c v 0 00 I mo°? C c O y � c mm > d .m U _ >aci � oui I ym � .Z O-N O N m= 7 Q1 I y 0 C t m00 o E Eo C.— I v 2 ' O C LL 10 0 Z y �� I fl Z Ca m C c p c y N y CD CL LL O ,0 pO d LL O N y O N I � timed I 3 � �� � I =. I � I 3 N a � Z in I iir w rn Z _ o Y p � `• o E Z € d I an d N � z a m I a m I o I O z c I w d Z I w o v d Cl) ui a I c •N� � a m r I v =_ ° I m O Z In Z O I Z Z O U I Z N N d E c � t6 � N V N J! V I O C �1 d N y � N o , o n t O O G a o D D a bap Z � > I � _ 13 ' � Z a w I a o • v; aaa utaaa v, IL �i I ci m o N a� °n n° O I d ayi *� m -i U rn M Z rn m m a a C o m Y 0 •- N 0 0 0 = 10 C m C ml l o I a '6 y p pI 'C tq N .O. m o d Q Z Y) I m ii d Q >- 05 m O 0 C � �0 C O o v l y o E ,n Q m o m I m a"i c c v aL °o N a O O C -0 C14 Cl) >. C Co N I >. C N N C a O b F H N M y Z Z .w Z O ai �a Lo m o A � E E c s d N o y `m o I p 0 p p U • N F- O W O z N m Z O O Z V41 cc �1 A 0 I US (1 0U) 0 Wisconsin Dspai•tsent of Health and Social Services Plb. #67 3/70 Division of Health SEPTIC TANK PERMIT APPLICATION TYPE or USE BLACK INK �(,l u' A. OWNER OF PROPERTY Name Address (Street, City, Zip Code) L-- �i lei� �? �f�%�'��lI /• �� -�D c�/��- , �%�< Be LOCATION OF PROPERTY WHERE SYSTEM WILL BE CONSTRUCTED ALTEREL OR EXTENDED COUNTY Check Ones CITY VTLT_".r,E LEGAL DESCRIPTION TOWNSHIP / + 7 C. IS LOCAL PERPIIT REQUIRED FOR THIS WORK? /L YES NO .!� PERMIT NUMBER D. SEPTIC TANK CAPACITY /� L!'lf Gallons NEW INSTALLATIOM REPLACEMENT ADDITION MATERIALS: Prefab Concrete /* poured in Place Steel Other NUMBER OF TANKS TO BE ..NSTALLED: E. TYPE OF OCCUPANCY Family loll / Check One: One or Two Farm Residence % Commercial Industrial Other ,/ ;//,: (specify) Number of Persona to be Accommodated f Number of Bedrooms 2 F. APPLIANCES, ETC: Food Waste Grinder YES /' NO Automatic Clothes Washer _ YES NO Dishi;asher YES /r NO Automatic Pote;o Peeler YES / NO Other (Specify) G. MASTER PLU'113ER MAKING ]NSTALLATION ^ 4 f Name: . ! f-- /1 / i-�/ `; Of%_� Address License Number: Signature of Applicant: 7- MP RSW Address: H. (To be Compi ted by Issuiag Agent) Date of Application C' �� (! Fee Paid $ Permit Issued (d-.te)� �� 7 /jai Permit Humber Agent (Name) ! -'� ' '�';.? Z, / For:,_ Town, Village, City, County, etc. (Specify) Note: The application cannot be considered for filing until all of the above questions aye answered and the fee paid. Agents will forward application, the fee of $LOU for each septic tanx and the tnird copy '4 of the permit (canary) to the Division of Health. Checks and money orders should be evade payable to the Division of Health. Do not write in space below `- FOR DEPARTM1=7 USE ONLY I. DATE RECEIVED Ia -I ACCEPTED BY 1 RETURNED (Initials) / G S (Date) S Co s. FEE RECEIVED VALID. No. �P J PERMIT NO* es or NOF... REVIEWED BY APPROVED DATE (Initials) Yes or No COMPLETE OTHER SIDE I" SEPTIC TANK PERMIT N0. R I P 0 R T ON 50IL PI RC0LATI0N T I S T A N D SO I L - B OR I N G S TO DIVISION OF HEALTH - PLUIBING SECTAN P.O.Box 309, Madison, Wis. 53701 Pursuant to H 62.20, Wis. Administrative Code P E R C O L A T I O N T I S T Test Depth Character of Soil Henri Water Test Time Drop_ in Water Level Inches utes Number Inches Thickness in Inches Sin eo Hole in Hole Interval Second to Next to Last To °all 1st Vatted Ovemi ir,. Minutes Last Period Last Period period E. Inch Example P - 0 To Soil/10" CAI 261* 25 ` Yes or No 30 1 2 1 2 _A Z2 60 RECORD DATA FROM MINIMUM OF 3 TEST HOLES Compute adze of absorption area in accord with H 62.20 Wis. Administrative Coda, S 0 I L B 0 RINGS - Minimum 36=2 Belaw Pr000s_e_dAb_sorption Systems Boring Total Depth Depth to Ground Water. De th to Bedrock - Number Inches Observed Estimatedy Observedl Estimated Character of Soil with Thiokness in h.ehes Example B - 0 7211 720' Blaok"Top Soil 1211 Clay 18° Sand 1811• Gravel 2411 it RECORD DATA FROM MINLM M OF 3 BORE HOLD TYPE OF OCCUPANCYs _ RESIDENCES Number of Bedrooms OTHERS (Specify) Number of Persons FOOD WASTE GRINDERS Yes No / Dishwashers 7es No _Automatic Clothes Washers Yes /V...No FFLDENT DISPOSAL SYSTEM- NEW (� EXTENSION ADDITION REPLACEMM r' Tile Size No.Lin.Feet Trench Width , Depth:? Number of Lines Seepage Beds Length Width Depth Tile Size No. Lines / Seepage Pits Inside Diameter ;,-Z Liquid Depth I, the undersigned, hereby certify that the peroolation tests reported '.n this form were made by me or under V super vision in accord with the procedures and method specified in Chapter H 62.20 (13), Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. NAME TITLEi%7 Type or Print RE:GISTRAT10M NO. or MASTER PLUMBER LICENSE NO ADDRESS �'r'� DATE __ ! SIGNATURE //� L2�C�c�a-✓ d L f F •l,-//r,;-/C_I,IIb /��n/A � � �/' isj � � C�_�c �16� ��:.rs$0./_�y ' Mo i 449086 CERTIFIED URVEY MAP LOCATED IN THE NWI /4 OF THE NEI/4 OF SECTION 26 , T28N , R19W , TOWN OF TROY , ST. CROIX CO. , WI . PREPARED FOR,: _DAVID 0'M_A_LL_EY .. . RIVER FAL 022 NI/4 CORNER OF SEC.26, NOTE: THIS MAP INCLUDES LOT I OF THE CERTIFIED SURVEY MAP VOLUME 6 , T28N, R19W. (000NTY PAGE 1570 AND ADDITIONAL LANDS (\ FILED MONUMENT FOUND). _ TO THE SOUTH. C a � o O v JUN 2 31989► 8 y UNPLATTED LANDS JAMES O'CONN Register ot0 Cp•Ws Deeds 9 St Cr* � �WI 33' 33' I � 0 I EAST 439. 92 —� 33.00' 406. 9 2 _O' o.l v• a O � LO T 1 W oI 2.72 ACRES o O (118,511 S0. FT. ) i N _ m 2.47 AC. EXC. R.O.W. �/1 p N ()07,687 S0. FT. N ) (n' 0 , P.- (Y WEST )22.17' O) Z drive y m o SOUTH � d• well W c 43.97' a 1 Q J• y 3 � o. shed I J: W E I S C O D C1 W tV • I � x I � CL 00 cli I M. _ 33.00' 226 , 9 2' OD 1 Q O cv WEST 259 2 p O J, o .J I a - "' to n. F M I (l W O I O 2 _ (D bin W Z J N 2 • .!..a .. .. ... .0.T....2.. . . . . .. . . . . . .. . .. .. ... ... . ... W = . W — H ¢ y �10 2,12 ACRES SOUTH LINEOF 00 w W EXISTING C.S.M. LL j ° (92, 395 SO. FT. ) � � y p Ip 2.01 AC. EXC. R.O.W. y y W (87, 398 SO. FT.) W a w a z 33.00' 406.92' yew WEST 439.92' onQ ? v c � p 33' 1 33' I • Q y W mz � UNPLATTED LANDS � o o = SET I"x24" IRON PIPE. WEIGHING z v 1 . 13 LOS. PER LINEAL FOOT. f JAMES M. WEBER SI/4 CORN ER0FSEC.26, 0 1" IRON PIPE FOUND . 4% $ 1804 r2sN , R19W. (COUNTY SPRING VALLEY MONUMENT FOUND), � WIS. O be A SCALE I I . 100 1!Y �'d �/ 0 ' 50' 100 200 SHEET 1 OF 2 DATE REVISED 6-21-89 89 -81 THIS INSTRUMENT DRAFTED BY > - VULUME 8 PAGE 2112 ^`11!�Y Map.'! �HC1 QKM y •<;;•r;V11 SUIV4 ;A4wet+114'KW uNno:) xloa) ".1s uTsuoOsTM '.gq-unoo xToao •�S 5861 G l M sdEW SaaanS paTjTq-aao OZSl aBEd 9 .TOA aOA@AJnS PU'e`I Paaa'.s TBall j86T 'qad t ZZ :Pa'-PG ,SgdanW •M aouaanE7 •,Toaapuq. uoT�E�uasaadaa �oaaaoo puE anaq. E aaE ubTgdTaosap pue dEw ,41%1111rtorr� rjaAoqp aq,� ;Eq; Pue Aqunoo xToao 'q_S jO SOOLMUlpao S �Nb1 Oi uq- Ptre saq.nq-ea.5 UTsuoasTM 3o 9CZ aaldvgo Ispaoaaa ♦ iii TVTDTJJO q;TM aOuEpaOOOE uT uoaaaq uMogs spuel ♦° :''• 'aSIM ••.,6J� aq; PapTATp pue pa�Canans OAE '�a E TAE e —) q I TT WHO 'M P. Q ?rte.'Sllb' WaAI cf) 'aauMO aq; jo uoTq.oaaTp 9q �.Eq,. 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