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HomeMy WebLinkAbout008-1061-50-000 7 � � Q � 4 c q ® 0 _ � [ � / E m E �. cu k � � 7 E � $ \ � 7 0 $ 2 � 2 § ƒ } $ ) E i U.� 2 o � / .0 � � i \ E z = 2 § § z a ■ E 0 z k k � k 7 : 4) z � � ) 7 I � } � 0 Q 0 z } .. ) L 0 § 2 ) c CO (D\ & 0 \ § \ \ CL ) m m ƒ a a a IL k 0 B � M co © ■ � u ' 2 CO CO 2 7 { § 6 D / \ = o E > e f § 0 5 m D co ` (L § M V) 0 2 ± 0 % 2 < z m R © 0 . R S2 m § & ; / 2 3 & E In — n — a k ) § f § § k $ k § 2 \ § a .04 e e a , — 2 m o ! ( § / \ E E 7 R a R - / 3 2 / o z / $ / 2 $ Ift; 2 CL ° § . c $k a. o ca k � ` -» Parcel #: 008-1061-50-000 11/27/2006 12:52 PM PAGE 1 OF 1 Alt.Parcel#: 21.28.16.317A 008-TOWN OF EAU GALLE Current �X, ST.CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-OLSON, ROGER L&JODY B ROGER L&JODY B OLSON 230 CTY RD BB BALDWIN WI 54002 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *230 CTY RD BB SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 19.381 Plat: N/A-NOT AVAILABLE SEC 21 T28N R16W NE SE BEING LOT 1 CSM Block/Condo Bldg: 11/3195 19.381 AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 21-28N-16W i Notes: Parcel History: Date Doc# Vol/Page Type 08/04/2003 733664 2346/413 WD 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/24/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.381 27,800 120,900 148,700 NO ENTERED BEFORE'05 CLOSE W8 16.000 20,500 0 20,500 NO Totals for 2006: General Property 3.381 27,800 120,900 148,700 Woodland 16.000 20,500 20,500 Totals for 2005: General Property 3.381 27,800 120,900 148,700 Woodland 16.000 20,500 20,500 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch#: 513 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 L r�� 74 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 NEt4j t4, �° .KCONVENTIONAL ❑ALTERNATIVE State Plan I.D.Number: B SEA S2fi o 2 8N-R 16tV III assigned) Town aj Eau Gatte c, ❑Holding Tank ❑In-Ground Pressure ❑Mound 8$-02376 Caunty Road BB ( ��1811 ( NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION GATE: Richard BaueA Rowe 1 Box 181, Batdwin W1 54002 �'��"� � i BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: JCST REF.PT.ELEV.. Name of Plumber MP/MPRSW No.: County: Sanitary Permit Number: Rick Tna I3225 St. cuix 112692 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED. PROVIDED ❑YES ❑NO ❑YES ❑NO BEDDING. VENT DIA.. VENT MATE. HIGH WATER NUMBER OF ROAD: PROPERTY FELL. BOIL DING. IVENTTO FRESH ALARM FEET FROM LINE AIR INLET DYES ONO DYES ONO NEAREST DOSING CHAMBER: MANUFACTURER JBIDDING LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER PROVIDED. PROVIDED. DYES ❑NO : YES ❑NO OYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPER TV WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH NO.OF DISTR.PIPE SPACING COVER JINSIDE DIA &PITS JLIQUI�D BED/TRENCH TRENCHES MATERIAL' PIT DEPT DIMENSIONS GRAVEL DEPTH FILL DEPTH IDISTRPIPF DISTR.PIPE DISTR.PIPE MATERIAL. NO.DISTR. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV.INLET ELEV.END: PIPES FEET FROM LINE AIR INLET NEAREST-1 MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. ❑YES NO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WE LLS ❑YES ❑N O ❑YES. ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SODDED SEEDEU MULCHED CENTER EDGES ❑YES El NO 1:1 YES ONO OYES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH TRENCHES LATERAL SPACING GRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL.&MA HKING ELEVATION AND ELEV.. ELEV.. DIA.. ELEV.. PIPES DI A.. DISTRIBUTION INFORMATION ROLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES 0 N ❑YES 1:1 NO COMM;NTS: PERMANENT MARKERS: JOBSERVATION WELLS NUMBER OF PROPERTY WELL: BUILDING \.\7. FEET FROM LINE: i r DYES E:1 NO DYES 1:1 NO NEAREST y L'x�` �p Sketch System on � Retain in county file for audit. Reverse Side. SIGNATURE. TITLE Zoning Admi,ni6t=ton � DILHR SBD 6710(R.01/82) i COUNTY SANITARY PERMIT APPLICATION (�Y DILHR In accord with ILHR 83.05,Wis.Adm.Code S714:E SANITARY PERMIT# 1? 9z —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8'%x 11 inches in size. S 99 O —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES 9 NO PROPERTY OWNER PROPERTY LOCATION u R qj E '/4 '/4, S a l T29 , N, R (p 6(or W" PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVI ON NAME �k CITY,STATE 4 ZIP CODE PHONE NUMBER VILLAGE:Rf7V G14LLF NEAR ROAD, OR LANDMARK go i �0 G14 LL TYPE OF BUILDING OR USE SERVED: CI ✓/ZV• UO��OC��- D Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. ® New b.❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in##1 and only one in##2) 1. a. gConventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. % Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. 5d Seepage Bed b. ❑seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): 37 1 CJ 3 Feet DC Private ❑Joint ❑ Public VI. TANK CAPACITY Site in g allons Total ##of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdina Tank Lift Pump Tank/Siphon Chamber ❑ F1L=JPR_ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): PI u ber's Signature:(No Stamps) MPRSW No.: Business Phone Number: O 6 3 z�S I g woe-2.806 Plumber's Address(Street,City,State,Zip Code): Name of Designer: 1-7oil 0epotuAct 5 vo L WeSPACK VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST## IL C P, 57 CST's ADDRESS(Street,City,State,Zip C e) Phone Number: R* 14 BoY Q(0 6L)Lstvaprth WT, 54011 ms 42C -- 01 lP IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S nitary Permit Fee Groundwater Date Issui g Agent Signature(No Stamps) L!`J Approved ❑ Owner Given Initial urcharge Fee R /y Adverse Determination JS&ov 1 /7 "� xQ�►� X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed_ rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form`(SBD 6399) to be submitted to thq,county pr'jdr to installation; - 5 Private sewage systems must be properly maintained-The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 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 where the system is to be installed; II. T ype of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; 111. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. 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; dosing or plumping chambers; 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 ar4 pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. ------------------------------------------------------------------------------------------------------------------------------------------------------------ GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change,in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Groundya&et included the creation of surcharges (fees) for a number o` regulated practices which Wiscortin's can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried treasilrB' is used in your building is returned Vt the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. 0 T'^e .r!onies collected through these surcharges are credied to the groundwater fund adminis- ° i-gyred by 11'ie Department of Natural R.asources. These funds are used for monitoring ground- t v4ater, g oundwater contamination investigations and establishment of standards, Groundwater, is worth protecting. c,BD-6398 iR.03/86) A i 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 ieCG1�F c ".YGl,�r Gtil�dJ �`rl� . C % Location of property F 1/4 /4, Section �, T fN-R-1-9W Township Mailing address s� 0- � �\ _ d Lo-lcti Address of site S�%r�� � f'7vG L- Subdivision name Lot number Previous owner of property (V�'l� Mr,o n rSt '7'� Total size of parcel Date parcel was created Are all corners and lot lines identifiable? es No Is this property being developed for resale (spec house)? Yes — No Volume 4e Sand Page Number AS-;L- as recorded with the Register of Deeds. ------------------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. ---------------------------------------------------------7--------------------- PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. S'Y U ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the unt Re 'ster of Deeds, as Document No. ) . Signature of Owner Signature of Co-Owner (If Applicable) 7/� lei-- -Z- Z -'E e Date of Sign tune Date of Signature DIPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, _ _ _—_ DIVISION LABOR AND PERCOLATION TESTS (115) P•O. BOX 7969 AUMAN RELATIONS MADISON,WI 53707 (ILHR 83.09(1) &Chapter 145) LOCATION: SECTION: OWNS UNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: NE 1/ s>✓ �4 z! /T2ZN/Ri6 E (o t=A� GRLLE — — COUNTY: NER'S UYER'S NAME: MAILING ADDRESS: Rw-JTE Taex 18/ S7•e-NZZ1x RLCHR� 73POJEZ "3thk� w)rj j w I syoo Z USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: N• �• PROFIL E DESCRIPTIONS:1PERCOLATION TES TS: Residence i KNew ❑Replace S_ Z 4-- Y $ C_!c) V A_ �LSO>v Oxv 6-8-88 RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM:(optional) [:]S ,®u ZS ❑u ❑S Ou ❑S Mu a S P<u �iou&jt�- 1-I l6 N G2u jrDit -» If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s. ILHR 83.09(5)(b),indicate: N IN Floodplain,indicate Floodplain elevation: /\J ,.A PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-1 CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTH ft ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) moTa o.g' 0 61 GY $nsil Ts; I _IE?A Sr, l ---------- B 11 3 3-L' ►�1•A. k hngTQ Z.�� �.7' << i O<7' ti ; O.S'3nS�i �•Z't3n SC� B- y 3, k3 C)-b, It -A SC� 13- 3.5' l.�.A, _ �� neoT@ t.01 a.7' k a•V' It Z.y' e" SC-1 -O� N i�• �( hauTCA 1.3' o•�' k i o `)� '� i l.0'8>,0@vse31; 1.q M01 a B_ ,o 33•.b, 1DZ 5 I,SOIVr' V-no a- Zyo ' O• -7' /�� ', ), y` a 1.•S�Y3n SD�S� S w/Gr• �� 3 --1._ 1p3�9 ' �I _. yKO�-� , ,9 � o•6i e� ; 1•y' 'I 1,7' •< •� k"or Q Z. 1 0.6' ', � 1.4' it (Z, S'AnaS' 1.O' `1Bn b@vw S �t �3 14•b1 13 0. " I1rcTe 2.0' RCQ1_kh TESrT.S.___ '_..� .� -��--- '0.7'@n S l j �.b' cc TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD P E RIOD PER INCH P_ 1 221 tJ•p J O S/t> )14 L 17/1& P_ z Z-4 1JQ 30 I.3I11. 3/ X3//6 -3 -2 P- W 3 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-'-iTON OF 'Reb -ISL- )10.3,6' � <Se 86 SPoirlPf-60 s1 ) SYSTEM ELEVATION MIS• t`ol-- Stbvp_Zh�-ie.,n 1-1• ' j38'l , _ � h�I �Cpl. tua, � jet _� w� S w u►7a1 n'A 1-; to t:o , — - - S>.TE LAS 0,Ttrptoa11 3oo'r�u:S.3 44 re C oRli,- N 1/V_ S E'/�y , _ _ ; _ �► s Lu \O' ' 30� h�►E. . __ s e l e SITS - c q all S b M , S aPc C 111= l 0 01 20 y" hula 16 Q _c ory I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specied in the isconsin 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: RTf+UR L. L.v E 6EDZER 6_ /0_88 ADDRESS: RLQ17F y 8VX ZZ to CERTIFICATION NUMBER: IPHONE NUMBER(optional): _ 1-L C4 Vj0 k T7q I wl svo! S76 71S-yZS-o/by CST SIGNATUR : DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) —OVER — 4 INSTRUCTIONS FOR COMPLETING FORM 115 - SR - 6596 To be a Corr23 lMe aPO aCCWa'te soil test,}'OUr rnuL t ,-hide 1, Complete legal description; Z The use Ye C! on 4T§€.Sst clearly indica .?,rh ther?hi�' is a rest£ ;rnce' or ra3€;lra e cyl ptojul;; . MAX1MU ,umber c;± b eriroonis or rx,nir,t.>,ci al {a 4. Is this a nevv or rel➢iareflten s'Vst:et`n' 5. Cc3nW?m die suiuk= rwin 1 n x:;s. A SITE IS`ELI I"TAEd_f,. 'FOR A I-ItA I DIWG TANK ONL Y IF ALL CnHER S r M ItL SA ARE RULED UT BASED ON SOIL OND l IjN ; 6. PLEASE ub ,,a x,.3 .viW ions�hr„xw rwre for v,,!i3 yx«1 profile i esc P,iCt nsv€ 'i completing t e plot plan; }. MAKE A L;,rvGIO E diagram a=m WAY W549 Y lr trsl joc,dons, ��, � .t �L t° .� �._ eCr Ci A s=p,r _>.shti nay L'°c ""surf il e 'r,' ,y �,.,Iake suie ,ou3-he€,t, ,3Y-uk and vt° iical ul..wtion refummy P z int am E,=:.z.,_,r 3K,n ,,and am per"t7lcd£"9 rrt; 9, CO phte all dpg'➢W"I It MW bows as to Own none,adrWon flood p1-s3i dsZ c ")wrtJt: ion an exmlp_ is N Hw .,Oun a. i Q r.:.., as ?"d 1.a, , 0a a"Li.)fly, .s not zr ply' in 01ii al nropr'ate box, 11. Sign die form and 001 01;cm! cure 3, ado z n<i i p. w c u. to at"n 12. MAO KyWe ,.%;.m and .;,..tests_.A as s £ ud"€,'_ ALL SOIL TESTS MU',--,J BE 4=iLE 'a=JITH THE LOCAL AUTHOR IT"Y taVI T I-i1N 10 DAYS OF COMPLETION- ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Sail Separates end Textures Cther Symbols, a ,3r ,.._ Gr,3 O (r 3"i€�et 3") I...S __.. l._>r'6`.e,,t:;r:Ee a s Sari if =ra { tr, '�r z!➢ 3 �...,; cs -- rne"d s lle dai?i' cac:u k Fuse Sar;,J CRY :➢ is Loamy Son' i : q x Y f `':i°...tf Coy #_,:,arid n"'o lF�`> sc 4g C '.y vv !'1 Ci rye d -- d .3r}rW.. ._ f n mi t S, gf'n I scr?l e n t:t%C'siS t "ttF°3 fm iiC'I!Al t,>:3et 1a;1'm a; 8M _ ':i3o h MW TO THE OWNER: This soil test report is the first step in sec,,,ihng a sanitary pernk. The COUI ty or the Eepartrnent may request verification of this soil test in the field prig➢r to pr;rsnit issuance. A corn le'te set of plans for the private sewage system and a permit application must be subrrhtwd to thz-, aupra rime focal amhority in order to obtain a permit. The sanitary permit must be WOW and pr steel prior to the start of any construction, sh� �..t AM►#`�,�, ors, 4f0 ind Mast !y 'amt t 0 t r� a "x�♦: "�• +t aY K's� � �10�R`4MM'�`ttr i dt Ai tt� s-mod!�� all of 00 r R « Dale^te,Peree 2 ACK No 6 STATE of WISC"O ff � . MIpy4 3 E t, P .� 'lie f' to AX � , h h �2 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER � i y � t'k- l c 6 ROUTE/BOX NUMBER (��t'��,�1_ FIRE NO. CITY/STATE 9- C,(d c,;; 3.� ���l' ZIP PROPERTY LOCATION: 1/41/4, Section , T �d N, R—ZiLW, _NIE Town of �Q 44- �UQ � , St. Croix County, Subdivision 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 $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their, systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED r - �i�// DATE 7 Id r St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 , Sign, Date, and Return to above address Pa re c 8 r, .,cv'S i . .. .'ILL -T.7�'": FCn A 3 =-ocl.rl RESIDENCE LOCATED IN THE 1�-)El OF TH� SiE//y OF SECTION --I ,T 7-8p � FL 16 W, TOWI� CF �� G��-LC ST. cr2,otx COli �Tl,v+ SCONSII� . IIvDF.�: PAGE 1 of 8 TITLE SRE'ET PAGE 2 of 8 CALCULATIONS PAGE 3 of 8 PLOT PLAN PAGE 4 of 8 PLAN VIEW-CROSS SECTION PAGE 5 of 8 DISTRIBUTION PIPE LAYOUT PAGE 6 of 8 DOSE CHAMBER PAGE 7 of 8 SIPHON CROSS SECTION PAGE 8 of 8 SIPHON DATA R�c`�1�E� ��N 2 a 19aa -F-FWPARED FGF. OfF�CE OF ppPi,,CyO;i ",� lrg1 ' pND �LC�t�R� B►�U�_ • _�UV 1 L3ox 1 ®_I ,�oNeeee�os�ss, PREPARED BY SCO�S�� �iy$ ��,,yy'�.��+Dp ������+pp AND W l:l.11:RE , W li1Jl:R AND ASSOCIATE✓ � WEGERER = BOX D-915 P BOX, 1 4 421 I • ?`u.I:. S-`i`-7- _ r ELLS WORTH, RIVER FALLS, WI-CONSI:: 5._.: 2 i .� �, •••a...••N•J ,,, +, S I G N� �0 -ZO 8 $ Job T 88— ln8 CA LCU LA TI Or:S Page ? of S ST: F 1: Absorption area : 1`C' ;pd/bedroom X 3 = ySo gpd. Table 4: 4 sq.ft. required. Us-e IR ft L 4-1 ft bed Use — trenchs , _ ft wide X - ft lon L— laterals , each zo.6 ft long, � 1TJ? tram manifold., �8 spacing between laterals STEP 2• Table 5: 1 Y"dia later a is , I/// "dia holes at Z6 spacing between holes . STEF 3 : Table 6: 10 holes/lateral, 11.-I gpm discharge rate per lateral. 11.E -pm 1 4 = MI6. 8 fpm total discharge. �TEF Table is Z "dia mini fold,inlet at END of long man;{'old. r STEF Design. dose volume s ��Z S =-a1/dose at a rate of L/ times pe7 day. i,Ii nimur dose volume must be at least 10 times d_stribution pipe vol. Table 10. 11114 "dia pipe= .o6(/ gal/ft X $6.14 — 5. 53x lb= sS. 3 gal. STEP E:: Table : Dosing rate = u 6. 8 gpm• S813 . t) 2 37 STEP 7 • a . Elevation head Siphon elevation 1 OS -30 Distribution pipe elevation \04 , 1'O Difference ft b.:riction loss in _"dia delivery ripe, on �Z spM• x 10 14 00 c . --ead to accommodate losses in distributior_ network 2. 5o ft Difference in elevation required 3-moo ft to accomodate friction losses in delivery pipe and distribution network. Difference in elevation provided. L4 - ZO ft SUN 2 � 1968 Of�iCp of ' Pr►.G� 3 or $ ,Scale 1"=501 EX�-PT AS SM'4-/N i e .-t. H. tIL 0.35 M i -C ,-� pGE SYStEM�- *A 0 Ole SON < 4P•$0���Q ILV�`��'' 0 N� aF mN F SPF �Na N Dv "OT O13TvtzB OR COh P^CT MJ IS A ten +� EspoCt 888 - 02376 7 V V 0 2 3 i 6 i' P ✓ i Q3 1- h I N TTY I N /tT LNR ST S'OF IV S, covt-R ovL R P I P1 'FP.0M yo v cr N�u�A Sc lv Sc'nT?G TAAv h 0 AT ��4 y4plic 6 i w1I SLOP of y�PuC / F vL pCD Hovs� GAS. ' qua 2 � 19aa OFFICE OF DlVlSltt t—'l,�C (ti1(-M- LL-RST S0 �,�nF� ^'�D Apot!�� �-R.Ot�► TA�►lt.S`d" �Ou.+Ud N OTES !—. Elevations shown are existing ground elevations unless otherwise noted. 2 . Install cast iron pipe 31 onto undisturbed soil both sides of each tank. 3. Install,permanent markers at end of each lateral. ( required) 4. Install 4" observation pipe with approved cap. ( Z required) 5 . Septic tank to be -N000 gallon capacity as manufactured by 05E LILA fipffioV�r 7-4anDAJLt. 6. Bench Mark- Elevation 'm1--"EL_I60.0� OAJ Z"kio"_ -- - - �}-112- _ - 1. D1 U EST SUR)•N� wh i�rt'. F;R��viD »3v►.fl �� PR�v�T Pcv�al�u6 1�T UPHlLl.-51AE._.__ C7r /` 8 ' Pr� C. —�- �r_ Sircw, tl,atsh Hoy, Or Syniheiic Covering Disiribution Pipe Sot t- Sand Sand – ova :Pt Topsoil --1 —1 ----------' - FLt�J T03=6 --J I p _ 3 E X L Sor L Fr Q, �j�(p,GESY'j Bed Of z�- 2 % e M Plowed 1NS'tl F m Fu L a y e r Ag e a a i e ', p }.Z F"!'. IN, � ati00U;aC+� E 1 • S F(. iM,\_*A ; on Mound Sysiem Using to Of SAFE F o• � f�' pRZt�SN or sorption Area pEP N1S G �• o T-�" NOS.___ I RE ppN A 16 Ft. H I. S F7• g 14-7 Ft. I I z Ft. p p j 8 Ft. S O (7 " 02376 T'o �Rovt DE SvpPO1zT . h1Vl7�SZ FjIvD 1 N,1 K �— Ft- CoQ�R ovt?R PIPE . L 6`1 Ft. W z Ft. ' ObservaiiOn Pipe � � K �.---------------------- oi - -- --------------- �Disiribuiion Bed Of 2.- 2 2 Pipe RECEIyED Aogregaie Observoiion Pipe JUN 2 819Opermoneni Markers OFFICE OF A pl�V1S9Ct1 c !►Nr1 e Pion View 01 Mound Using A Bed For The Absorpiion Area ` n S °F8 rert Oro lec Pipt Derol!' c nc Vier i� jI e,.�c Hocs ocoler On Bollorr., Arcs cuoll. I-pc:er ! I i� r + �IU$TALL pEjaStiANEN' !yARY_v. � ,ST CUD OF EACF; Ll�TERA� Q i PVC S88 - 02376 monif Dic Five Next is �-nC eo: _ End rib l r F' �V 418 W- - Inch CY �\ p� inch(es) RECEIVED r'an o i 2 Inches SUN 2 1966 Force Mair! Ll _ Inches _ Of D;VISIG.» -0:OF Hoer/P)*= 1 0 ncclC^ npnl if e x n�c E 1sT H-oLE 1311 FRX�n CEt3T`R OF MI)A_)I F-01 wii?1 Svcc���►G 1;ol-ES 1�?' 2611 )13TEZ,vA!--.S. HoL=— 'TO eG NSX? ?'O TNc ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST.CROIX COUNTY COURTHOUSE 911 FOURTH-STREET • HUDSON,WI 54016 _ - (715)386-4680 Juno 29, 3:988 Sep} 13 Division of Safety and Buildings Bureau of Plumbing P. O. Box 7969 Madison, WI 53707 Dear Sir: 7� An on �s��te investigation for the property located in the it 1/4 of the SE 1/4 of Secti�,�-R16W, Town of -Hatt- revealed suitable soils at a depth of 2-r-B- feet, below '� -► which high groundwater was noted. Z, I' 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 rc