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HomeMy WebLinkAbout040-1134-30-000 � I I o I 0 N h ti of v I d A I a I i I I T a I z° LL c O i 3 - E ¢ I I M CL I H °0 W a m p�j H z 0 o z N o m r a z Cl) � I c v = 0 •� I �i � Q Q � � I Q z z Nz N y C N O U- .0 a� d - E ai c +° E N c o o H m N N Iy c a . E a � boo ►- 000 Zoo •*Ila 4.; •, aaa y I IL ° c U) y rn rn doo ai N J V 11 c rn rn a o U) LO Ce) N_ O N m O O E O 7 N N N M ^ co 1� K ca 7 a� O 1 y C O O •, � N O o co o o c u n 0) 5 CD l C 1 it M 1=C D : N N CD v M0 � O Y N 5 r. N co Gi co ~ .y.. t�D W z r r f� CC •O o L6 o F- o 0 H g in cd v C4 j rn d R € a I a ` CL • a E c ! c °: r —1 A ciao I, ointi - DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING i.ABOR&�IUMAN RELATIONS DIVISION P.O.BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION MADISON,WI 53707 State Plan I.D.Number: NE w,SE 4,Sec. 35 ,T28-R19 (If assigned) ❑ CONVENTIONAL ❑ ALTERATIVE Town of Troy ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound F D ADDRESS OF PERMIT HOLDER: INSP TI f� '2 Roland Janetski 3 Pine Ride Terrace River Falls , �W�' 4022 J BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Thomas A. Wang 3231 St. Croix 135364 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER 10 O PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ❑NO BEDDING: VENT DIA.: NT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: El YES [__1 NO ❑YES ❑NO I NEAREST--- DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPH N MANUFACTURER: WARNING LABEL LOCKING COVER p PROVIDED: PROVIDED: r �1 YES El NO -75 �J YES ❑NO YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL B}/1L NG VENT TO FRESH (DIFFERENCE BETWEEN /C O FEET FROM !/ PUMP ON AND OFF YES ❑NO NEAREST--* LINE, w // AI SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL 1AND 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 FRESH BELOW PIPES: ABOVE COVER: ELEV.INLET: ELEV.END: PIPES: FEET FROM LINE: AIR INLLEE T: 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: DIMENSIONS S (o3 TRENCHES: /� J / MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEVATION AND ELEV: E V.: a DIA.: 2 ELEV.: V PIPESV DIA.: / DISTRIBUTION /o/ l 101,10&0 HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION j 7c, L�rYES ❑NO .S?-� APPROVEDPY ES ❑NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY�' WELL: BUILDING: COMMENTS: FEET FROM Lly 'YES ❑NO ['YES ❑NO NEAREST G. Sketch System on �t in in county f for audit. Reverse Side. SIGNA LE: --- SBD-6710(R.06/88) �DILHR SANITARY PERMIT APPLICATION _0� H In accord with ILHR 83.05,Wis.Adm.Code COUNTY, STATE SANITARY PERMIT# —Attach complete plans(to the county copy only)for the system,on paper not less than ❑ / � 8%X 11 inches in size. heck i ev on previous application —See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. — PRO ERTY OWNER PROPERTY LOCATION N1-~%a S E '/a, S T N, R E (ono PROPERTY WNER'S M ILING ADDRESS LOT# BLOCK# _ e ✓'� r ^l CITY,STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ejr 022 I1. TYPE OF BUILDING: (Check one) ❑State Owned Q VILLLLAGE: T NEAREST R/�OA ❑ Public ❑1 or 2 Fam.Dwelling—#of bedrooms PAR EL AX NUM �,� tv erraCe III. BUILDING USE: (If building type is public,check all that apply) &q-6 0 1 ❑ ApVCondo 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. ❑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 D9 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) ELEVATION �/ c D 141 Feet 10A C Feet VII. TANK CAPACITY Site INFORMATION in aallons Total ##of Manufacturer' Prefab. Con- Steel Fiber- Exper. New istin Gallons Tanks s Name Concrete glass Plastic App Tanks Tanks strutted Septic Tank or Holdin Tank Lift Pump Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Plum er's Name(Print): Plu 's Signature:(No Stamps) MP Business Phone Number: MAS GJ��I 3c9 3< I Plum er's Address Street,City,Slate,Zip Code): o te Fill s- lx. �V&Ia,� IX. COUNTY/DEPARTMENT USE ONLY p� Disapproved Sanitary Permit Fee(Includes Groundwater Date Issued Issuing Agent Signature(No Stamps) ldJApproved ❑ Owner Givenlnitial ��pO Surcharge Fee) / Adverse D min I ti n 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 r 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. 11. Type of building being served. Check only one and complete##of bedrooms if 1 or 2 Family Dwelling. 111. 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'f 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. SBD4M(R.11/88) • APPLICATION FOR SANITARY PERMIT 3TC - 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. -------------------------ff-----1--`-?-'---------------------------------------------- Owner of property & / 4 N '�I "q 0 �S e) Location of property 1/4 _i/4, Section -s , T otl N-R�V Township 17t 0 Mailing addres 110&rl �J'd Address of site kl Subdivision name Lot number Previous owner of property /J Total size of parcel C� Date parcel was created Are all corners and lot lines identifiable? _Yes �lo Is this property being developed for resale (spec house)? Yes No Volume �J�)and Page Number T as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which Includes a DOCUMENT NUMBER, VOLUME AND PACE 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(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 r o ed in the Office of the County Register of Deeds as Document No. 3 y M7 ; 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 du�x�(, r�corded in the Office of the County Reglste of Deeds, as Document No. 341/J� P ) . Signature of Owner Signature of Co-Owner (If Applicable) Dat of gnature Date of Signature 177 17' ^ � iii q IM psp�oedtboo—es Gary F Sir & Marilyn IC_ '. 5 r: nob d and rdifa as in ^t- tananta Grant« day f - 9 .. awl► �.,�.� • prase«. •itseesetb. TAN*a said Gramor for a valuable ctmaider tion$56.900-O . .. Fifty six thousand nine_ hundred dollars. =, ems eys to Grantee tb following described real estate in_ St. Croix-Casty, M. To ' haMMllscawsis: �harles C. Real Ss+ Rives T"a"p This is N. 417 feet of S. 873 feet of W. 160 feet of E. 747 feet of NEig of SE4 of Section 35-28-19 Except the N. 135 feet thereef. w i �. yy ' ►t alt 4 ale Mre"awams and app«"Matmes*s/assee baiaa6isg or i•my tab" <` Atli r Ud&M s*M•isdsommiMe in tee MWOU and ira/and Clam ON asearsrrasees eaasrt _ r •- *►--• r Ptlls'...1�lisst�l:L _,,., ; Otis day of .it■ko `'� rt � ^ M MICE OF GA F_ ThabdUr u A ijilAttds day o(_ Title: t/ember state Bar of tiscsmais 4w 0114, _ Authorized under sec. 706./1b ekL .; "AM or WSCONIM s �..r;.. Fierea oboe bedew+ate.Chit 29th day of .Tune x 00*Yuri ass»d Gary F_ Apmr & Marilyn �d• to s0 bsaws to be the person_A wbe esacate•at roregvisii'tnstrttoant and acknowledged the saes. TMM Yttatrt,■rat was dnh.d by t- :"t, Mar y Young AL blurt ill SitdOnsGD J J 'l+ Notary Pubic PilTC! kktorney At Law - Tis►t1Re Oi<wiMesses is eplienal. % ,�� My Commission(Rapilew MMttF tyC.p+t wts sigsiag is any capacity shmid be typed ar priMad below ttteir signatures. »F -WATS a" or •gfpA1>�1. STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER �O�C'r h A kif'L i t ROUTE/BOX NUMBER l /ii icy"tt�PO''/'e P FIRE NO. �1 F1 ZIP ��d 0 CITY/STATE 1.t U eU' �Q �S Uy( r PROPERTY LOCATION: _&L114 '5'e 1/4, Section S , T 52 6 N, R 2/ W, Town of — , 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 DATE m St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address a w Form - S T C - 104 AS BUT.LT SANt.TARY SYSTEM REPORT 1� 'TOWNSHIP ! / SEC. �� T O N-R W OWNER ® f1 t°_� ADDRESS I 11�P r I J �e�r C. CROIX COUNTY, WISCONSIN l� (U If` R ` S Wl SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•ZHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Weil ® bona �a� gepf�� a3o' INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used /ro h �1�4 Elevation of vertical reference point: 1001 Proposed slope at site: l/O SEPTIC TANK: Manufacturer: _ _ (Liquid Capacity: Number of rings used: Y Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: ' Number of feet from nearest Road: Front,O Side,O Rear, O /dD feet r • From nearest-property 3.1ne Front,©Side,0 Rear,0 /dQ feet Number of feet from: well ':�>10 , building: (Include this information of the above lot Lan - p plan)( 2 reference dimensions to septic tank) PUMP CHAFER f `) Manufacturer: ('� f. . �' � Liquid Capacity: Pump Model: S Pump/Siphon Manufacturer: _ , I top_3 Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: J IPc T110 Alarm Switch Type: 7 �`'' Number of feet from nearest property line: Front, O Side, O Rear,0 Ft. , Number of feet from well: i ^ Number of feet from building: p/-` (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: r Width: Lenith: Number of Lines: Area Built:,56 Fill depth to top of pipe: A r Number of feet from nearest property line: Front, t O Side, © Rear,0 Pt . �O7 Number of feet from well: -Wd0 Number of feet from building: sd ' (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: p Inspector: Dated: 7 Plumber on job: License Number: 3C9 3 3/84:mj ^ � State of Wisconsin Department of Industry, Labor and HU0O@n Relations � _ ^ ~ SAFETY a BUILDINGS DIVISION uo1s.Washington Avenue p.o.Box r000 Madison,Wisconsin oxror Ruianti p1u*ri )erraCe P�jver �^` � �, WI PeTizion No. S6�-01--7074 Dear Mr, Janstsk` : lane{sk` ` Nlo>ano - �esioencc Uns`re Sewaue SyS-ien NE,3E,31b, , i9w Town of Troy, St. Croix CuuntY, Wl S*CTion l4b,24 ( l ) , Wisc,-)nIin �{otuz*5, ano s, ]iHk ( 2) ( b> ~ Wisconsin Amnioistra,,-ixc Code, a] low che owner To u*T1t1nn lh+ ^eoarl;}"snT for a variance to t|ie inscalloIinn for xn unsile sewaue syslan to rer |uce an exist1nu DOSlte �ew�ue sv�tem at a Site which is not in fu) l ourm{|uoce ^1Th the sitino srw/'Uarn5 in the aUm1n1xtra-, lve rule. The sY5Lc:m de5if-n oroDV3eo shuu/(I Droce(T t).p maters of tne state from conTur1ouTion. If this sYstem bpcomes a fa, }1no svStem or contom1outc-c. the waters of che state, this variance shall be resc1noed, The srtitl0n for a variance reoueSTeU rn s. ILHR 8J,2J ( ) > (c) of the Wis. �um. Cooe vas considered on October b, |969. The oet1t1On kus been auuroVeu. The rule reou1res a mOunal system xjte to :avE a n1nimum of i4 lnd|eu Of su1rable natural soil . The variance ' �n�� re�u�Ste� was to install a ren>acement muun0 sysTen on o site ,irn I inche3 of suiruble naturd l 5oil . 'All of the data anU ucmtements SuUn/iTteu un beha / t ot rhe oetitiuner yere cons�(Jere1. This VorianCe is 5rjecific zn The subject DetiIion anu cannot ne oSeIl f0), any atl0t1onul -,cnification3. x/cnuro never, Directur^ Office of Division Cunes on� AnoliCotion (608) �h6-3O3b P91:2488o cc : Ler0y Jansky, Pr7vale Sew8oe Con suil*^T - UlsCrlC c . Ch1rjV*wa Ful }5 Thomas Nelson, Zoninu Adm1nist,dtor - ST, Croix CounTv Arthur L. Weoerer^ Ueslunpr aeu-6928p`10m7) State of Wisconsin Department of Industry, Labor and Human Relations ?R lYkl SAFETY&BUILDINGS DIVISION LE ,5EWAGE PLAN APPROVAL Piv)sion Codes and Application 21W Last Washington Avenue 11.0, box Mvdli,�or, WJ (orisljn !j3flo,? WEGLRER SOIL ILSIING & lM)I1,)'N `_,LPV. Owner P01 AND JANE''r,'.)X I P.O. BOX 74 35 I'lNl:KlDGE [IRRACE RIVLR FALLS, WI 54022 RiVLK FALLS, W1 `M22 RE: Plan Number: S89-02707 Date Aporoved: October 13, 1989 Od I I OM Per Pay- October"1 6, 198i Project Name: JANUTSKI , RULAND Rk',IPENCIL' tocalJon: NL,'1)i:' ,35,-C18,l9W town of My Count Y "'r CRI-)1x Fees Pecell ved ( Pricirl ty Pev ie�w) . 2bu 00 ]he- plumbinq plans and spec li- j"driuns Ior- 01 oroV(A have been reviewed for, COMPI!dflce with applicable code} •equiri,,menti . This allptovil is based cin Chapter 145, Wisconsin Statutes and the W1j,.,i. on,, in AduMnI.:fFati've Code, (he Plans are starriped 'conditionally jWptuved1 . This Hippfoval i3 C001119ent Upon compliance with k k. I any stipulations shown on the plans 'i 11 14-Offls that are anted roust be corrected. All permits required by the city, villaje, town,,hip car �!)ur)ty shall be obtained prior to construction. The 1 licensed p lumbor rotiponsiWe for this Installation shall keep one set of pjdn�j with the del)Irtmerlt i s af)prova I stamp, at the construction site. The installer shali ;itotify ttie dpprc,:priatp 'Inspector when if)SPeCtlLirls can be made. This dPPruvdl will ex0f'F twO v tcorn t►iie dater approved or if a Sdf►itdry permit Is obtained, it will ex[01re the day the I ►Itiji ,anitary permit expires . The Section of Private Sewage has revlpw�,a these plan for private �ewdge- system code roquirpments unly. Fhese pians, have not been reviewcd for the code requirements set forth in SLICLIOO ILHR 62 for general plumbing of- Ili Chaptt�rs 50-64 of the Wiscori,ln AdriOnistretive cu(ie, this dPPr0Vdl is for the fc,I iowirig or,-iy REPLACLMLNT PE11110N REPIACEMEN1 MOUND I nqu I r I es C ofic c r n I n(j this o pp rova I may be made by ca 1 11 rig 608) 2�u SBD-6423 (R.08/88) State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY&BUILDINGS DIVISION WERRER SOR T 31 ING & DESIGN SM. Page I ainc��ea�Yy � c t:it�'f.. . PAGE U., sec t i nn of Pr'1"vat(. .Sewage Division of Safety and W idings NNP013/0009n/28 cc. ROLAND JANET SK.I Private Sewage ( crsultar it Colinty W%* 'SSWMI Plumbing Consultant 17— . �tiyr i`iutt�tF€�r ln�r'€r-onlnental'' Health I i SBD-6423(R.08/88) INDUS T RY,,TRY OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUS DIVISION LABOR AND P.O. BOX 7969 HUMAN RELATIONS PERCOLATION TESTS (115) MADISON WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: WNSHIP UNICIPALITY: OT NO.:BLK NO.: SUBDIVISION NAME: tie 1/ se Y 3 s /T z8N/R 19 E (o COUNTY: MAILING ADDRESS: S-'•C-QQ�1X U E's?_ FA t_LS-, W S O 2Z USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: I TUT-SF-1 Residence A El New Replace �j 3( — 8 9 q — ZJ3— tJ 9 RATING:S=Site suitable for system U=Site unsuitable for system �� S 1�� By —T—O" AJEELSOAJ ON C Ell S ZU . W►�S ❑U IN G❑S ZU E: SEl S ILZUL ®SG�U .RECOMMENDED�;6N:(C�'R�IU1VS�kJAT�R SS Anw-),� r\ IF PET1-T101J X-c- v10n)FIG1'n Is PRovLU -/ U�viR If Percolation Tests are NOT required DESIGN RATE: 4 If any portion of the tested area is in the under s. ILHR 83.09(5)(b),indicate: N - Floodplain, indicate Floodplain elevation: �v A PROFILE DESCRIPTIONS BORING TOTAL PTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE,AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED HEST TO BEDROCK IF OBSERVED ISEE ABBRV.ON BACK.) B- \ S g 8' $ won.) t S s Z ot=- Z B- 3 s 11 C) 9. s �3 Oki e z4=1 „ B- B- B- PERCOLATION TESTS TEST F DEPTH . WATER IN HOLE TEST TIME DR I WATER LEVEL-INCHES RATE MINUTES r NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERT D 2 PERIOD PER INCH P- \ z NO 3u )3116 -7!e, aq P_ Z Z IUO 3 3/(/ 3/ Y I) P- 3 Z IUO 30 / 3/L/ Z4 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. E—L 1(3 1 .13' �6a�� 9 O SYSTEM ELEVATION t-�t►.> >.s ' of s+�Nn #�i�FSllt�tt� tl:.o� s1.t� �.4�th-TI 'fl 0 E s. E ---'_. _.. E l Ailo _t. .._ t r E z _ o D1S __.Tt eA _¢.._ r Tom. t E - l 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 CodV a nd tests are cgrtect to the best of my knowledge and belief. ALIM NAME (print): TESTS WERE COMPLETED ON: DESIGN SERVICE q- Zp_8 9 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): P.O. BOX 74 421 N. MAIN ST. 4 0 :IT a00 S7 71 S_ ZS-OJ(, S RIVE14 F*ttS. WI 5022 - CST SIGNATU E: 715-425-0165 �4i,` DISTRIBUTION: Original and one copy to Local Authority,Property Owner antl.5oa'1' xe -.w., ��6[, DILHRSBD-6395(R, 10/83) —OVER t INSTRUCTIONS FOR COMPLETING FORM 115- SBD -6395 To be a complete and accurate soil test,your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes.A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations.Drawing scale is prefered.A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 9. Complete all apropriate boxes as to dates,names,addresses,flood plain data,percolation test exemption,if appropriate; 10. If the information (such as flood plain,elevation)does not apply,place N.A.in the appropriate box; 11. Sign the form and place your current address and yur 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 Other Symbols st — Stone (over 10") BR — Bedrock cob — Cobble (3 - 10") SS — Standstone gr — Gravel (under 3") LS — Limestone 's — Sand HGW — High Groundwater cs — Coarse Sand Perc — Precolation Rate med s — Medium Sand W — Well is — Fine Sand Bldg — Building Is— Loamy Sand > — Greater Than 'sl — Loamy Sand `C — Less Than 'I — Loam Bn — Brown 'sil — Silt Loam BI — Black si — Slit Gy — Gray cl — Clay Loam Y — Yellow scl — Sandy Clay Loam R — Red sicl — Silty Clay Loam mot — Mottles sc — Sandy Clay w/ — with sic — Silty Clay fff — few, fine, faint 'c — Clay cc — common, coarse pt — Peat mm — Many, Medium m — Muck d — distinct p — prominent HWL — High water level, surface water ' Six general soil textures BM — Bench Mark for liquid waste disposal 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 permit must be obtained and posted prior to the start of any construction. t SOIL DESCRIPTION FORM (Attach Soil Profile Location Nap On a Suparate Sheet) CLIENT: ?2 Q1�-1�1y S'A IJ ET S!L LINEAR LOADING RATE: PURPOSE FUiLUh'M fbg SbIL A T)QW SYSTEM SLOPE: Olt, — DESCRIPITON BY: AP-T2H Up- L• wE G ezeR ASPECT: N -1 S o w OATf j G 3 > 1 9 8 9 CURRENT LAND USE: �L COUNTY/STATE S r 0-9-Sl UC COUIK) Tyr ) W I VEGETATIVE COVER: G M&S S LOT DESCRIPTION: of tiCIAl SE-�y SeC 3S T28u,R19WORAINAGE CLASS: Wel-L aVLNIUep LOCATION: �O w /J OH -x p-o y GALLONS PER SQ. FT. PER DAY: A() OR (--L�S PARENT MATERIAL(s)/DEPTII• —' SOIL SERIES: RLN 17 s l 4 I e&Uoa• HORIZON DEPIII MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII BOUNDARY REMARKS in. hoist Gr. Sz. Shp COATINGS $oul.IJ6 1 o-t\ �b`-i L 312. - S 1 Z m s t k m H G S SE nP-U-A r`r 11- 1$ lb`t\Z31b - St ZMSb1t M S� wkTS CS is-S o 1 `[R 316 Z S L Z bk CoArs C S So-S 9 S,--I 2 313 - C k Q m ant,�i la,.� 1.16 Z o-kZ M"2 3 1,L - I S 1 1 Z m sbk yn as lZ_30 1ot-12 3/Y - s )-J Zml S�1, �-n 'F►- S) caters C5 30-3 lu`IR 31y f Z� s 1 � 2.>�, S�It m 'F'►- :, cs 32-S-) SQt12, 313 O YT\ m 'Fi � N G 0-11 10`12312 - S � 2M Sbk Mv'�'t^ -GS --- 1l-'L(, 1o`-ItZ 3lY - S 1 � Zm Sd m'Fh s) �o+tT c S 26--L46 IO Itz 31\t ZA % I am CS 2 -SI Sy P- 313 1�y 3 L L So1LS V1L1SU2 Sol SILPSrEM . hC� A S 0 r4T 6 h 1 LJkJ s 1v l S17AJ L-S j. OTHER SITE FEATURES/NOTES: L�G"G,��GicL �'�'�a� 9-zo-89 00o s76 nn�e z of Z LIMITING FACTORS/DEPTH: Signature Date CST N DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISLON. LABOR AND PERCOLATION TESTS (115) MADISON W 53 07 HUMAN RELATIONS (ILHR 83.09(1)& Chapter 145) LOCATION: SECTION: WNSHIP UNICIPALITY: LOT NO — NAME:as COUNTY: MAILING ADDRESS: 3S 1�11uL 1Z)D(E;E S-S°• C- �X O �D SRF.�El Slz 7Z 1 U Iff 1t- —A L.LS S�JU 2-Z USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERC AL DESCRIPTION: Residence 1.1 r-') •K. I ❑New KReplace I g _3 c� _ 89 -43 _ zo- g c? RATING:S=Site suitable for system U=Site unsuitable for system 0� S 1-M BY �f"I kJ� �I ON D S �U CONVENTIONAL: M0S.o� IN-G0 S W S-INZUL H®SG❑�TANK:RECOMMENDED SYSTEM:I�t�IV>JD wRTtTz � 01-3 inoLl FIG17]W is plzou%Fb ey 010f R DESIGN RATE: If Percolation Tests are NOT required t� , If any portion of the tested area is in the If s. ILHR 83.0915)Ib),indicate: Iv - 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 TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B Z s 1 GI B- 3 S 1 9 9• S Iv O'v E: Z " B- _ B- B- PERCOLATION TESTS is DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES•• AFTERSWELLING INTERVAL-MIN. PERIOD 1 1002 PERIOD PER INCH P_ 1 Z f_lO 3 u '-)/& 13116 '7/g 3 p- 7 Z Y'sc 3 u 7/5 3/ 3/y y u P- 3 3,/ II/l/6 p_ P- P PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. L_'L. L� •O P�G�� 9 l— � S l SYSTEM ELEVATION t-��►J 1.s ' of s+�>v� v_` _-�_a � �-- _ o '►J Ian _ s n �_5� a� - _ i � �--- ---9- � � _ - Te (/'y: ar _ .__. _ __ T i 1 cry t .r✓t a j I ZtiS q L —L It s sc1f�,'c, ly =60' Spa 3 5 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 Cod�e�yd -ha djLt�egMgnd Sbi%I ma� e tests are correct to the best of my knowledge and belief. NAME(print): 111YCC CCI��CC L�. I CC�� TESTS WERE COMPLETED ON DESIGN SERVICE ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): P.O. BOX 74 421 N. MAIN ST, G3T Ouo 57 7 tS- ZS-o�� S RIVER ; WI U022 CST SIGNATU E: 715-425-0165 DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHRSBD•6395(R. 10/83) -OVER - SOIL DESCRIPTION FORM Attach Soil Prof i le Location map On a Su arata Sheet) LINEAR LOADING RATE: — PURPOSE: ^UflLV� Still- Al&S ' WJ SYST+;JrI SLOPE: 01C DESCR1PfION BY: / tZI-11(3R L. W EQ. ASPECT: �j- 3 t 9 9 CURRENT LAND USE: DATE: COUNTY/STATE: L'R�11 C.OUIU VEGETATIVE COVER: G i2h-s S LOT DESCRIPTION: �(_1 _SjS* SeC 3S,-rZS AJi F-19WDRAINAGE CLASS: LOCATION: -�-� ►J OF D GALLONS PER SO. FT. PER DAY S IM 1.C" NT d`O ClZ Lle-s-T PARENT MATERIAL(S /DEPTI: --• SOIL SERIESt s, R110N DEP111 MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOiS PII •BOUNDARY REMARKS in. 101st Gr Ss. Sh COATINGS Be LA 11- 1$ lb`t\Z316 .. S� � ZMSbIt M � s� �kTS CS S btc M s cwrs C S SD-S9 Bo 1JG Z — o_�Z 1.0'-1\Z. 31L - 51 ZM stilt m �r cS iZ_30 1ot-1it 3/Y s 1 ) ZM Sbk w,�►- sl colrTs cs 30.3 lo`-tR s,y zdZ s 1 Z>h sbk m h ---3z-s-) sf- tt 319 - c\ O m m O 10(S 0-11 10lit 31L - S ) Z►� Sbk Thv�>^ _.GS Il-'Lb lu`qii 31y - s i t Zm b m�H S) T c z S l M SbFt Yri'FI- C S z6-Z-53 lo`ltz 31V Z� Z ., 28- S(-/ 313 c- Q rn ► 'Fi SolL5 hJL1 S Ul SO1 S ST F'1 C� /�l Lv S a U r4T � S OTHER SITE FEATURES/NOIES: 000 s76 nn6t Z of Z LIMITING FACTORS/DEPTH: Signature Date CST M -"' State of Wisconsin ` Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL SAFETY&BUILDINGS DIVISION Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 WEGERER SOIL TESTING & DESIGN SERV. Owner: ROLAND JANETSKI P.O. BOX 74 35 PINERIDGE TERRACE RIVER FALLS, WI 54022 RIVER FALLS, WI 54022 RE: Plan Number: S89-02707 Date Approved: October 13, 1989 Gallons Per Day: 600 Date Received: October 6, 1989 Project Name: JANETSKI, ROLAND - RESIDENCE Location: NE,SE,35,28,19W Town of TROY County: ST CROIX Fees Received (Priority Review) : 260.00 The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved' . This approval is contingent upon compliance with an stipulations shown on the laps. All items that are noted must be corrected. y P P village, townshi or count shall be obtained All permits required by the city, p y prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - REPLACEMENT PETITION - REPLACEMENT MOUND Inquiries concerning this approval may be made by calling (608) 266-2889. 10 >> �°'i r f? r. rc � . CO OCTX 0 198� ST GRU11 couwy 19 30NkGOV"tx s• SBD-6423 (R.08/88) , State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY&BUILDINGS DIVISION WEGERER SOIL TESTING & DESIGN SERV. Page 2 Sinc y, E PAG Section of P vate Sewage Division of Safety and Buildings PPPO13/0009n/28 cc: ROLAND JANETSKI _Private Sewage Consultant _County UW-SSWMP _Plumbing Consultant Owner Plumber Environmental Health SBD-6423 (R.08/88) State of Wisconsin \ Department of Industry, Labor and Human Relations tober 10; 1989 SAFETY&BUILDINGS DIVISION 201 E.Washington Avenue P.O.Box 7969 Madison,Wisconsin 53707 Roland Janetski 35 Pineridge Terrace River Falls, WI 54022 Petition No. S89-02707-P Dear Mr; Janetski : Re: Janetski , Roland - Residence Onsite Sewage System NE SE 35 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. a The petition for a variance requested to s. ILHR 83.23 (1 ) (d) of the Wis. Adm. Code was considered on October 6, 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 18 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. ,Sjlncerely irz Richard Meyer; Archit t Director, Office of 'vision Codes and Application (608) 266-3080 RM:2488g cc: Leroy Jansky; Private Sewage Consultant - District 6; Chippewa Falls Thomas Nelson, Zoning Administrator - St. Croix County Arthur L; Wegerer; Designer SBD-6928(R.10/87) . ' Pa ge 1 .of 6 5 8 9 - 02707 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOGA_TED IN THE ]L,�l OF THE SE-// OF SECTION_ 35, T?$N. TOWN' .OF T-Ry�( , ter. o-R�d y K COUNTY, WISCONSIN. INDEX PAGE 1 of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR '2 co',A Q t, 5� `. Tzi v�R_'F�L.LS, 1.v 1 Sao Lz. IVE® RECE " 2199 pin nF �IVlS10�1nN co��s PREPARED $Y �SCONs, N WEE G E Fc E R E3M I L. T E T I tV G . .� • •r•••••~"•• ay�� AND S !' DES I GIW SEFt4* ICE A MLSWORTK P.O. BOX 74 421 N. MAIN ST. •,.N� �•.• RIVER FALLS, VI 54022 �i� 4"91 GO 016.,c ONSrrE SEWAGE SY� c? 3-89 0 MA to?EONS Job # 8g_ ,Z6 DEPARTMENT()F RY, R F F y, pl � SEE CORRES DENCE PLOT PLAN A k "^.!.� Z. of O Scale 111-214 � ' ' i•{uu se• •, ' �`KISZ"ifJ c. 1oU4 ���.•'�� C '111w Ir-`IV F�-I A/IJ Ila �� " --� Kl sn,u DRYws To Ta.P ' `S ZO OP •1 C r (� Q 9 w 02707 II ' !J V YS�M; 'z2S'oF z"pvC_ OKSITE o RE1A ENS DF pi ,RY, A iED Q N�ENCE i (� gEE CORa�S 14 -ti RECEIVED e 2z•_. OCR 6199 /� Oo r°►� OFFICE 11 D61f1S1 Nr4d Atah r...-= taU &.3 or u t SV41t s r� l aF� �4w1 AP1 c.T !' TW l S A S2 ice► -�--+ Q 7-{ I '4' Lod' Ll►J� . 660 �' l NOTES ; Elevations ehown are existing ground elevations unless otherwise noted. 2. Install cast '.iron pipe 31 onto undisturbed soil both sides of each tank, 3. Install permanent markers at end of each lateral. Y 4. Install 4" observation pipe with approved cap. ( Z required) 5. Septic tank to be tnUo gallon capacity 6. Bench Mark- Elevation o�►...��� a.> ;ia 'f :ir ::l..i _ '7?�s�tti. :: T; 7. DlUt. _Sc.i>e2Fci�tTR.Aoui. .:M�►i _�c ; iT FlU11JG Ar uPM1tt,°.5"iA�: . i RODLI , BESKAR & BOLES , TEL No .715-425-7586 Oct 6 ,89 9 : 16 No .001 P .03 S89 -- 02707 SirovMotsh Nay, Or P�C,Pn.aVt Synthetic Covering Distribution Pipe Medium Sand -�- - �� - F s Topsoil -y- - '"� % Slope (Force Bed Of Moin Plowed '2 - 2 i Aggregoie From Pump Layer 619 9 D I p-�V1C'E r��Fp11i1 f"ONtsN Cross Section Of A Mound System Usinq F c> S Fr A Bed For The Absorption Areo G F A — 8 Ft. )-Z-6C5 t,r i B 63 Ft. i t:I em t-up�w C, �a- Te =. '�• 1 Gri L I D 7 N-Z- Ft. ti S 1 �.,►� rt •fib 6t�c.�a'f b1)Y J 1O Ft. K 1 Z Ft. L 8,1 Ft. M W 10 Ft. RF�'C10 Observation Pipe--,` K yr � 1--..��_.���. � y Distribution Bed Of i Pipe' Aggregate f Observation Pipe Per monent Morkers Plan View of Mound Using A Bed For The Absorption Area II ti 4 t t J Nit$, X. 1 i LI Ot S8.9. ' 0210 '7 •Pe.rforaIed Pipe Detail' ; no Vliw. Per fora led I Eno COP +�" PVC Pipe ; !toles Locofed On Bottom. Are Equony Spored SAT_-O"D C3.F �I�t�1 �.1►'C6rRAi• RECEIVE ocj s 1989 PVC K ri OFFdCE OfrOryY' IONN Monifoid Pipe y� CODES AN9 Dislrfbullph PvC For'tt Moir. Pipe fforr. -amp Losl Hole Should Be Nert 10 End Cop End* Cop p;sfribuiion Pipe Layout `' • �r'r SITE SEWAGE SYSTEM _ .eta . ON Hole Diameter: `I: inch,, TIONS ` N. Inch( Latinch(es) iNG pEP#,RTt�tti� (;� ill pKE D Manifold . ?_ In'th'gs Force Main 2 InCheS• SEE CORRESPD ENCE . c,� o�Leslpjlw 1►an5�cxrt �vrr7�cN oia: LEA LS - LAC e: ►sr•"HbkC 3��I ,R►'1 ckZxa.-TER F1.01 is=o-110 w"" 5u0-c.QEWN a . ItoLes . A-T �.G.'•c ����C' t3itiL�;;... L.i°�$,r k�c,1t,� .'1'O $� .NEXT 'tb,.:TAI E >�tip GIMP. 1 i a � _ _ 1 PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS S O'F to VENT CAP S89 -- 02707 4"C.I. VCNT PLPC WEATHER PROOF APPROVED LOCKING JUWCTIOirI BOX MANHOLE COVER INITH 25' FROM DOOR, - It'MILI. WRRI�IN6 LABEL WINDOW OR FRESH AIR INTAKE GRADE 41 s, CONDUIT IV MILE T SP��s • PROVIDE r10101 RTIGHT SEAL APPROVED JOINT A ` I III APPROVED JOINTS W/Ca. PIPE w c.=. PIPE fclp` I I I / EXTENDING 3' ALARM EXTENDING 3' OWTO 50WO SOIL ONTO SOLID 601L ON RECE IVED CLEY.�.�: 'FT. ESF PUMPS __J OFF OCT 21969 OFf'iGt: OFnc:,y l�hNnN ODES AW) EL X20 .00 CONCRETE DLOCK RISER EXIT PERMITTED ONLY IF TAIJK MANUFACTURER HAS SUGH APPROVAL "I "APPRoVRO 6EODINi1 SPECIFICATIOKIS oosE ,. W` ��CY�C� c IdUMDER OF DOSES: L4-0 PER D" 'tAA1K MAIJUFACTURCR TANK WZE: SO GALLONS DOSE VOLUME ALARM MANUFACTURER: S.S• �lt;CZRA SYSTd"1S INCLUDING OACKFLOW: 15 ,4 GALLONS MODEL NUMBER: iO1 Nw CAPACITIES: A= 1 INCHES OR300•$ GALLON) SWITCH TyPC' g= Z 7 INCHEt OR 0'I GALLONS PUMP MANUFACTURER: F'E' t'I'-12�5 CO ' C= INCHES OR ISO-4 GALLONS MODEL NUMBER: SS Ll 0. INCHES OR 260.6 GALLONS SWITCH TYPE: mg%-C—Jsil- NOTE: PUMP AND ALAILM ARE'TO OE MINIMUM DISCHARGE RATE Z 3' L GPM INSTALLED ON SEP&RATE CIRCUITS VERTICAL DIFFERENCE DETWEEN PUMP OFF AND..DISTRIBUTION PIPE.. FEET t MINIMUM NETWORK SUPPLY PKESSURC�. . . . . . . 2 5O FEET ♦ �S FEET OF FORCE MAIN X S F/oo ftFRICTIOIJ FACTOR.. FEET TOTAL DtIWAMIC HEAD = is -zz FEET D1A>HeTEtZ 430" T l INTERNAL OIMLWSIOW� OF TANK: LEM&TH ——;WIDTH ------;LIQUID DEPTH i3077UN AtZeA - Z31 = Gt?t. /t/uC.H AS G ij I-/ 11.E C t4 TO TAL AHD i IN FrE� j`�P�GE 6 o r- 6 � � NNNN S89 _ O2 '7 7 � N -PO� OoON � CDmC) h m O O 0 CJt N O O n Ul m rj ° o 0 - 0 > cn N o — Z 0 (1) Q C ° W — rr- ° m m o o :1) m Z CA) u) cn M o C D rn �l c o - C c M o rn °c C . ry al °o `® cn N RECEIVED ° ° ocj 21989 Awl OF,DiViSION tOErD►#r €O#t�N O N W C n 0') --1 CO CD TOTAL HEAD IN METERS f State of Wisconsin ` Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL SAFETY&BUILDINGS DIVISION Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 WEGERER SOIL TESTING & DESIGN SERV. Owner: ROLAND JANETSKI P.O. BOX 74 35 PINERIDGE TERRACE. RIVER FALLS, WI 54022 RIVER FALLS, WI 54022 RE: Plan Number: S89-02707 Date Approved: October 13, 1989, Gallons Per Day: 600 Date Received: October 6, 1989 Project Name: JANETSKI, ROLAND - RESIDENCE Location: NE,SE,35,28,19W Town of TROY County: ST CROIX Fees Received (Priority Review) : 260.00 The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved' . This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code' requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: —REPLACEMENT PETITION - REPLACEMENT MOUND Inquiries concerning this approval may be made by calling (608) 266-2889. SBD-8423(R.08188) I ' State of Wisconsin ` Department of Industry, Labor 'and Human Relations • SAFETY&BUILDINGS DIVISION WEGERER SOIL TESTING & DESIGN SERV. Page 2 Sinc E . .PAG Section of P vate Sewage i Division of Safety and Buildings PPP013/0009n/28 cc: ROLAND JANETSKI Private Sewage Consultant —County _UW-SSWMP _Plumbing Consultant —Owner Plumber Environmental Health 1 SBD-6423(R.08/88) State of Wisconsin \ Department of Industry, Labor and Human Relations tobe r 102 1989 SAFETY&BUILDINGS DIVISION 201 E.Washington Avenue P.O.Box 7969 Madison,Wisconsin 53707 Roland Janetski 35 Pineridge Terrace River Falls, -WI 54022 Petition No: S89-02707-P Dear Mr. Janetski: Re: Janetski; Roland - Residence Onsite Sewage System NE;SE;35;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; a, The petition for a variance 'requested to s. ILHR 83;23 (1) (d) of the Wis: Adm; Code was considered on October 6; 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 18 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: ncerely; Richard Meyer; Archit t Director' Office-of 'vision .Codes and Application (608) 266-3080 RM:2488g cc: Leroy Jansky; Private Sewage Consultant - District 6; Chippewa Falls Thomas Nelson; Zoning Administrator - St: Croix County Arthur L. Wegerer; Designer i SOD-ON(R.10187) J; Page ;l ..of. 6 S 8 9 - 0.2.7 0 7 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOOATED IN THE iyEtlY OF THE OF SECTIA�i 3 , T Za N, R 'Ws TOWN:OF T-Rv�t , _ MT ��1x . COUNTY,. WISCONSIN. INDEX PAGE ;1 of 6 TITLE SHEET t PAGE 2 of 6, PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS 'SECTION PAGE 4 of 6. DISTRIBUTION' PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE .6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR Cj 219b9 ' OFf\CQ� 04V1*ld�r Car.fS PREPARED, $Y o®ometteoe�i WEGEF�cEF SQ I L —TEST I NG .��} �° ~h''y� { • AND D : � ES I:GIw E3 FEE V I CE s ao°sfa' � � 6uswoRtH, P.D. BOX 74 421 N. MAIN ST. *•..»S.a•'� RIVER FALLS NI 54022 -0165 ONSS SEWAGE SY . , 9'-z�—8 4 • NS Job 8g_ 1z Ha t:u�Tlo #_ ' • DEPARTMENT OF RY, R F DI DI a . •' f SEE.CORRES PENCE PLOT rlAN ,: f weVL -�X 1 Scale 111NJ40t Y ' 1�eusE ' AW 11a t4lClST�N c'IM'w le `� �'� T�� . y. Kt srt�� DRYwe-LS To tic is'r r P►L3hNO N ; hS f�ER CAAt� ' .k or. • . per rs' •z.o'of yy�r .8 9 .. O •o •22 S, Fr Z"PV c • � Or1SITE SeNAGE SSTEM. RE1A lA S RY, DEAR, �OF A 1lD 0 S F 0� -ti�3r1 Q ass NoEN�� ' .. SEA coy RECEIVED gz 2�l� ��•� 61989 too ry or 't t S1vRE5 I ori. cor•�AA cr t , 'a, A � 640 Ge -r��rznce ;NOTES F.lOvations shown ara existing ground elevations unless otherwise noted 2. Install cast 'iron pipe 31 onto undisturbed soil both sides of each tan 3. Install permanent markers at end of each lateral. („- required) 4. Install 411 observation pipe with approved cap. (^ required) 5. Septic tank to be ' 1bU0 gallon capacity 6. ,each Mark- Elevation �o'a.ob�.oN...C'�"lo "P.l iec.::C �D��`�..SURFt���p►�t?.A"tid�si.�'.:l�A"�'F�':'��I�3Ei�7�T Fa�o�ii� PcT s,.�f?H1ll:'.SYpE•: • ... .t:I . BESKAR & BOLES . TEL No .715-425-7586 Oct 6 .89 9 : 16 No .001 P .03 S g g .' 2 '7 0 7 PhGt? 3 bf 6 S'dIr uN ez V1P*\0-Tez Sirow, Morsh Hoy, Or Synthetic Covering Dislribulion Pipe 4 h���• Medium Sand --- ':. H G topsoil -- _J I '� D % Slope Plowed is Bed Of + ' (Force Main i �. 2 - � AQQra9aIe From Pump Loyer b 1989 ow�s�oH�� L 1 . 6 f-'r' OFFICE o j1Q^`'� Cross Section of A Mound System Using COQE.S AK F _.O_�(-r • A Bed For The Absorption Area G 1-�0 fir• A _8 Ft. H 1.S�'"Y• 17. 6tb ' p' B 63 Ft. , ika O Ft. . K N7- Ft. L Ft. W 3o Ft. it� •. � Observolion Pipe K D R I < 1ypEN • Distribution . Bed Of Pipe' Aggregate Observation Pipe Permanent Morkers Plan View Of Mound Using A Bed For The Absorption Area . fig•,- •. i ' : . •• : . J ��. `7 Q�; ' } : S 8:9•.-; 027 0 '7 ' Pjirforoled Pipe Delcll' Etta VJ." .. PertoFated' ••. . Cnd Goa j" PVC Pipe Holes Locafod;On Bottom. ttYY �' � • s. L• '7 Are Equblly Spoced �.1RSUCCC 'Pis R M�lNS1J.r�' • RECEIVED CCT 6.1989 Q PVC ' • , .. °ES c FngoVj ciaN •Noniodpipe co o a� aN • i DtSIF bullpf( • 1� PVC*Fo,ct Llbih• pipe •/ ` Flom r.,mp Lost Hole'Should 80 _.. { Nocl to End Cop I s End Cop DislFibutionf Pipe Loyout p ''fig.s ��r�• wSITE t • 114: in,c inch D meter IO NS Later al � F 1N T •lA� 1N� RTM:EirT 0 OEPA g1V1S� S Af U Ntanifold Z Ln'th s . Force MA'n •Iri6L-s- SEE co FlESp0 EN E ' aF No /plpir C- `. 1 f r fa L&V ft,.p otr L>"IT� LS ' ti. 0 l?LAcC� lST'E{pl,,� 3a�1 zon x1'T �?) ).17AA.)jfzbL-D 1a��`el! SuCC•E A1NG.1tOt S . A-T `To ISG .NeXT -M--:. riS e)-3A GMP. 1 . PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PNGX S O'F lb VEAI7 CAP S89 -- 02707 4-C.I. VENT PtPC WEATHER PROOF APPROVED LOCKUJ6 -T JUNCTIOIJ OOX lrlA1J1i0LE COVER WITH LW IFROM DOOR.' Ii'MIU. wA�1N6 C.t�BEL I OW R FRESH W NO Q I AIR INTAKE GRADE • Q, a.8• S' i 40 MI1J.•. COIJDUIT _--------- 11JLET SWAGES PROVIDE • � � � RTIGHT SEAL I ICI : V JOIU A � ` I P Y'POINT:APPROVED W/Ca. PIPE aj WC= E I DIIJ6 3' ,I. I I ALARM EXTEUDINC, 3' Cx TC N ONTO•SOL10 SOIL 0 1N i; I( ONTO SOLID SOIL °F s °N EQ LLE1CM— F? PuAP-� �''. OFF OCT . 21989 OFFICE OF DIVIS101 ODES A" EL X20.00 COUCKETE BLOCK RISC!V. EXIT. P'CRMITTED OULIJ IF TAIJK MAWUFACTURER HAS SUCH APPROVAL 3,•ApPR� BE00ttx SPECIFICATIONS j 005E , W\M CA►JC.RM � CTS, UMBER OF 'DOSES: L4•0 tAUK :MAttJUFACTURER.- PER DXu TAIJK SIZE: 150 GALLOWS DOSE VOLUME ZSO.y ALARf.51 PAW U FACT URFR: S`5` EELr--CrW 'ell h3`1S IMCLUDIUG DACKFLOW: GALt.ONS MODEL: 1JUMBCR 101 •NW CAPACITIES: A= S INCHGS OR30�0�''a CALLOUS SWITCH •TyPC: is= Z 11-4 c met OR PufAP• MALIU FACT URER: F'E• 1'1 1 5 CV . C'� 11Z 11JLHE5 O.R.�SO'4 GALLOU: MODEL WUMBER: SS D=\3 INCHES OR�6�6 GAL'.LOIJ. SWITCH TYPE: •��'� IJOTE: PUMP A1J0 ALARM;AiRE TO 6E Z 3, yc INSTALLED ON SEPARATE CIRCUITS ' MIIJIMUM fa ` OISCHARE RATE�._GPM VERTICAL DIFFERENCE OETWEEN PUMP OFF A9.10.0ISTRI6UTIOU PIPE.. X13. FEET + IM&AIA41M NET SUPPLY PRESSURE . . , , ?.so MET + 7-1-2 FEET OF FORCE MAIN X FYp fiLFRICTIOU FACTOR.. Z-'2-2 FEET TOTAL DtIUAMIC HEAD = �5?� FEET j Dt P1yl eTEtZ bO" TUt� IIJTERIIAL DlME1.ISt01Jg OF TAIJK: LEIJGTH ;LIQUID DEPTH-7 Tw BET ;WIDTH 13oT'mIl A lleA 1AIC1i AS P�l�. MAIJUFA.tTliRts'R Z,O. pS 6PrL- 1UC.14 - , eii ��i����t� � _ '��o�Ottst ►'��� - ��tm���e ���� _ . 11111 Ia1l = 1111 : .. • " II��IINI.: 11111 - 1 IIp' 1111 = ; .. 11 111'1111 1 111 : " 11 11'111 111111 : . . 11�11111�1111111 _ 11111111111111 . . ' . . ST. CROIX COUNTY WISCONSIN " e �. ZONING OFFICE ST.CROIX COUNTY COURTHOUSE P" 911 FOURTH STREET • HUDSON,WI 54016 (715) 386-4680 Sept. 26, 1989 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite investigation of the Roland Janetski property, located in the NE 1/4 of the SE 1/4 of Sec.35, T28N-R19W, Town of Troy, St. Croix County. This onsite revealed soils at at a depth of 18" below which seasonable high ground water This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. Sincerely, Thomas C. Nelson Zoning Administrator cj