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Parcel #: 016-1023-30-000 11/18/2005 05:25 PM
PAGE 1 OF 1
Alt.Parcel#: 11.30.15.182 016-TOWN OF GLENWOOD
Current X I 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
PETER E&SHEILA A NEWCOMBE O-NEWCOMBE, PETER E&SHEILA A
1629 310TH ST
GLENWOOD CITY WI 54013
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description * 1629 310TH ST
SC 2198 GLENWOOD CITY
SP 1700 WITC
I
Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE
SEC 11 T30N R1 5W NW SW Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
11-30N-15W
Notes: Parcel History:
Date Doc# Vol/Page Type
07/23/1997 760/346
2005 SUMMARY Bill#: Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 06/08/2004
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 23.000 3,600 0 3,600 NO
UNDEVELOPED G5 13.000 9,800 0 9,800 NO
OTHER G7 4.000 17,500 145,900 163,400 NO
Totals for 2005:
General Property 40.000 30,900 145,900 176,800
Woodland 0.000 0 0
Totals for 2004:
General Property 40.000 30,900 145,900 176,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch#: 313
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
BUILDING
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BDIVISION
P.O.BOX X 7969
LABOR HUMAN RELATIONS ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION
MADISON,WI 53707 State Plan I.D.Number:
If assigned)
Nw%,Sw%,S11,T30N-R15W � CONVENTIONAL ❑ ALTERATIVE 588-04129
Town o4 G.2enwood ❑ Holding Tank ❑ In-Ground Pressure ® Mound
;i ;
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPIECTION A E'
PeteA NewCombe Route 2, Gtenwvod City, W1 54013 I ` �
BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.:
r
Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number:
ayne Lounz 934 St. Ctoix 119365
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER
�1 PRO IDED: PROVIDED:
DO U YES ❑NO ❑YES ❑NO
.. VENT MATL.: HIGH WATER F ROAD:
PROPERT WELL: BUILDING: VENT TO FRESH
BEDDING: VENT DIA' NUMBER OF
ALARM: FEET FROM LINE: AIR INLET:
❑YES NC — ❑YES ❑NO NEAREST��
DOSING HAMBER:
MA UFAC ER: BEDDING: LIQUID CAPACITY: PUMP ODEL' PUM S PHON MA14UPACTURER: WARNING LABEL LOCKING COVER
"� /O( O IDED: PR IDED.
❑YES NO a� L ,fir= YES ❑NO YES ❑NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONA . NUMBER OF PROPERT WELL: BUILDING: VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET:
PUMP ON AND OFF ❑YES ❑NO NEAREST—*
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING:
or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN
the soil is dry enough to continue.)
CONVENTIONAL SYSTEM:
WIDTH: LENGTH: NO.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID
BED/TRENCH TRENCHES: MATERIAL: PIT DEPTH:
DIMENSIONS
GRAVEL DEPTH FILL DEPTH DISTR.PIPE 7DISTR.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---00-
MOUND SYSTEM:
Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM
slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW
❑YES ❑NO meets the criteria for medium sand. ELEVATIONS MEASURED.
SOIL COVER I TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS;
❑YES ❑NO ❑YES ❑NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED:
CENTER: EDGES:
❑YES ❑NO DYES ❑NO DYES ❑NO
PRESSURIZED DISTRIBUTION SYSTEM:
BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER:
TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL 8 MARKING:
ELEV.: ELEV.: DIA.: ELEV: PIPES: DIA.:
ELEVATION AND
DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO
INFORMATION APPROVED PLANS
❑YES ❑NO ❑YES ❑NO
PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING:
COMMENTS: FEET FROM LINE:
t� EYES ❑NO ❑YES ❑NO
.� v
It
Sketch System on Retain in county file for audit.
Reverse Side. SIGNATURE: TITLE:
Zoning A��� n
SBD-6710(R.06/88)
SANITARY PERMIT APPLICATION COU
T DILHR In accord with ILHR 83.05,Wis.Adm.Code
�• ^�^� STATE SANITARY P ERMIT##
//91,1&S-
-Attach
complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER
8'/z x 11 inches in size. -Q f
—See reverse side for instructions for completing this application. PETITION ``��
1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES C�f`NO
PBQP TY OWNEP, PROPERTY LOCATION
'/a '/a, S T N, R I E(or)®
PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME
l 0 d �[T1
CITY,STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD,LAKE OR LANDMARK
/' S�ar� 1 VILLAGE: e td�o0
II. TYPE OF BUI ING OR USE SERVED: - " C/
Number of Bedrcoms if 1 or 2 Family OR ❑ Public(Specify):
III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable)
1. a. ❑ New b.Z Replacement c. ❑ Replacement of d. ❑ Reconnection of e.❑ Repair of an
Sys em System Septic Tank Only an Existing System Existing System
2. ❑.A Sani ary 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. ❑Conventional b. ❑Alternative c. ❑ Experimental
2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. D' Mound f. ❑ IGP
In-Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. ❑ Seepage Bed b. ❑See a e Trench c. ❑seeDacle Pit
2. PERCOLATION RATE 3. ABSORPTION AREA 14. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet):
Feet 0 Private ❑Joint El Public
CAPACITY
VI. TANK Site
in allons Total ##of Prefab. Fiber- Exper.
INFORMATION New xisting allons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks L/Tanks D structed
Septic Tank or Holding Tank f
Lift Pump Tank/Siphon Chamber ❑ ❑ 1J
VII. RESPONSIBILITY STATEMENT
I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans.
Plum is Name(Pri t): Plumber's Signature:(No Stamps) MP/MPRSW No.: Business Phone Number:
/S
P u ber s Address(Street,Ci ,State,Zip Code): Name of Designer:
�. vcp 01,
VIII. SOIL TEST INFORM ION
Cert' ed Soil Tester)CST)Name CST##
a,f)� 2—
s ES (Street,City,State Zip Code) r Phone Number:
IX. COUNTY/DEPARTMENT UM ONLY
❑ Disapproved S nitary Permit Fee Groundwater ate r Issuing Agent Signature(No Stamps)
►Approved El owner Given Initial J 20 Sharge'�� / �i
Adverse Determination / �j
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 the county prior 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. Type 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;
III. 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 81/2 x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn 1:o 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 pumping chambers; disiribution 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.
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 Ground aefr -
included the creation of surcharges (fees) for a number of regulated practices which WisCOr ,in'S a
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasur�'
is used in your building is returned to the groundwater through your soil absorption u
system or the disposal site used by your holding tank pumper.
0
The monies collected through these surcharges are credited to the groundwater fund adminis-
tered by the Department of Natural Resources. These funds are used for monitoring ground- t
water, groundwater contamination investigations and establishment of standards. Groundwater, '-
it's worth protecting.
SBD-6398(R.03/86)
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�/c�!% c�J_- , Section I , T_y�N-R (S W
Township C1, (,P t)L(_)o„d
Mailing Address
Address of Site 0 ("o,� 00Q/
Subdivision Name
Lot Number
Previous Amer of Property O
Total Size of Parcel 1 Q 0
Date Parcel was Created
Are all corners and lot lines identifiable? ✓ Yes No 1,513 awr-ey-
Is this property being developed for resale (spec house) ? Yes ✓ No
Volume and Page Numbers, 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 refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
PROPERTY OWNER CERTIFICATION
I («e) ceh,Li6y that aQt Atatement6 on thin ohm cute �Jcue �o the best o6 my (ouh)
hnowtedge; that 1 (we) am (cu�e) the owneh(�5� 06 the phopehty dezcAibed in .th,i,a
.in6ovmati.on 6o&m, by viAtue o6 a waAAanty deed Aecohded in the O66.ice 06 the
Count Register o6 Veedh ah Vocument No. ; and that I (We)
ocun -the phopoaed 8 i.te 6oh the sewage dispo�5 ay6s em (oh 1 (we) have obtained an
ecuement, to nun with the above deAcAibed phopehty, 6oh the conathuc.ti.on o6 chid
eyetere, and the dame hae been duty kecoaded .in the 066ice 06 the County RegiAten o6
Veedb, a6 Uoement No. ) .
SIGNATURE Olt OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
DATE SIGNED DATE SIGNED
DOCUMENT NO. ,`
WARRAMTY DEED THIS SPACE RESERVED FOR RECORDING DATA
# i STATE BAR OF WISCONSIN FORM 2—1988
. _..__.�. _.._..
RMISTUS OFIRICE
w �
John..0-.Knops....A/K/A.J ohn._Knops..and Madonna-.L_ .Knops_,- ST• CftC7fX CEO., Wi$a
l Husband_-and..Wife..as..Joint__Tenants - Reed. for Record this 19th
--• ay Nov XD. 19 86
Ii �.
conveys and warrants to .. `
Aster E.--New Rbe•-andShe.11.aA ---
�; Newca>tae,...as..surv-i.vorg hi p..mrital__propertY_.-...........- - --'..-
�i
{I
_.... •
- •--- ----- ------- •-•-•---
Ii
.............. ...............
............
......
............... '�i RETURN TO
the following described real estate In -------,S-t_.._C 'QlJ�..__.................County,
State of Wisconsin:
Tax Parcel No: ..............................
I
1, North One-half (ND of Southwest Quarter (SW4) ; and �a
j Northwest Quarter (NW4) of Southeast Quarter (SE,) ; and
Southwest Quarter (SWJ) of Northeast Quarter (NEI) ;
Except the East (E) 621 feet of that portion of the
North One-half (ND of the Northwest Quarter (NW-) of
the Southeast Quarter (SEJ) lying Northeasterly of
! Soo Line right-of-way. All in Section 11, Township '
30 N. , Range 15 W. . d 111 6.0
is
ii
1;
This .- --------------------_--______________ homestead .property.
(is) (It)
Exception to warranties: Subject to easements and railroad ruts-of-way -
Dated this ---- . .. -------– ------ day of ------/Yo
19.
-------(SEAL) ---- (SEAL]
C. Knops
-- --- ---
! ' � -- •= -
(SEAL) - .- __ __ _ _ _... (SEAL)
Madonna L. Knops
AUTHENTIZATION
ACKNOWLED�i�TI(, • �-
o 9 a
Signature(s) -----.-- _ ----- STATE OF WISCONSIN 0 0.•
---- .... ........ ....... . .....
_County. ,�
authenticated this --------day of--------------------------- 19---- Personally came before me this -----7009 ay of
�' °_ tz�ra ri------- ---- --
19 --- the above named
- –John C. Kno s & Madonna In Kno s
p -----------------
TITLE: MEMBER STATE BAR OF WISCONSIN
---------------------------------------------------
(if not, --------•------------_- ----------------------
authorizedb -------------------------------- � ---- -- - ---- - --- -- --
y § 706.06, Wis. Stats.) to me known to be the person __S--------- who executed the
foregoing,-i trument-,4nd acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
------------------ Reuben Doornink
- ---- - - ----
----- ------------------------------------ - - - -- - - Notary Public __St.CrO1X -County, Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is permanent.(If not, state expiration
are not necessary.)
date- -------------- - 71-------- ------•-----
*Names of persons signing in any capacity should be typed or printed below their signatures.
KCMUIerComprry M STATE BAR OF WISCONSIN ■�sM�f
FORM No. 2— 1982 Stock No. 1 3002
z
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a
STC - 105 r
a
H
SEPTIC TANK MAINTENANCE AGREEMENT o
St . Croix County z
cy
a
OWNER/BUYER &i o LI 0 tw 'o H
'ROUTE/BOX NUMBER Fire Number-
. ,
CITY/STATE 6166 . Qncl �� � /�) � ZIP 5-410/3
PROPERTY LOCATION: Attu 14, 5k, Section��, T�oN , R _W,
Town of (; I-enuJond St . Croix County ,
Subdivision s Lot number AIA
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes . Proper maintenance con-
sists 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 treat-
ment stage in the waste disposal system.
St . Croix County residents may be eligible to receive a grant for
a maximum of 60% 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 veri-
fying that (1) the on-site wastewater disposal system is in proper
operating condition and (2) after inspection and pumping (if nec-
essary) , 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 . yo
I/WE, the undersigned, have read the above requirements and agree t
to maintain the private sewage disposal system in accordance with W
H
the standards set forth , herein , as set by the Wisconsin Depart- �a
ment 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 .
J
SIGNED _ I
DATE
St . Croix County Zoning Office
P . O. Box 98
Hammond, WI 54015
715-796-2239 or 715-425-8363
Sign , date and return to above address .
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
INDUSTRY, DIVISION
LABOR AW PERCOLATION TESTS (115) P.O.MADISON WI 53707
HUAXN RELATIONS
(ILHR 83.09(1) &Chapter 145)
LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: ILOT NO.:BLK.N NA ME:
t1/ Scd,r/a 11 /T N/R� -E I ►W C le a��
COUNTY: OWNE 'S BUYER'S NAME: ZIL-INGA ESS:0— G Af h 1-100-[r /;I ,d
USE DATES OBSER TIONS MADE
IND.7MS.: COMMERCIAL DESCRIPTION: PROFILE 1111,111,111:1PEHICULATION TESTS:
Residence /�� ❑New Replace .{
RATING:S=Site suitable for system U=Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional)
❑S RU ❑S �U ES NU
❑sou I ❑S IRU I M mnd
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s. ILHR 83.09(5)(b),indicate: Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHES TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
�I „�
B- L� ,f� c L
B- 3 -it I /., lc
B-
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD(1 PERIOD PER PER INCH
P- �— se9 r 1 //� l�
P- So
P- 3 3
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 surfaF,eln at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION
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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.
N M (print): TESTS WERE COMPLETED ON:
rt ccc��tt
R 5Sj CERTIFICATION NUMBER: PblbNE NUMBER(optional):
CST SIGNATURE:
DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SBD-6395(R. 10/83) —OVER —
�
-
INSTRUCTIONS FOR COMPLETING FORM 115 ' SSO ' 6395
Tm bnuconoplmaandaocunalcvOi| test,you, mpor mast induda�
l Comp|,�o |o0a| dosc,irx/on;
2, The use sec!km mz� �1emdy indicwe wh*dhunthis is xs(donm�or uommw-oia| pn4uct"
Q AX(MUK0 numbar of hednoomoorvommo,oiw! uxe p|anned�
4,
S, CumFd�e ffi*nJhabi!hyn�in8ho�n, A0TE |S SUITABLE FOR AH�L�|NGTAN� ONLY �FALL
OTHER SYSTEK3SARE RULED OUT BASED ON SOIL, COND|T|ON8:
G, PLEASE ions vh*mn here for W! pnofUe dnwr\ptions and oomp lei'ingthePdntp|an�
7 ��KE 4 LEG|8Li" diagram mroui-aum|y |ooadnA youi test locations. D,eming «a wmu|e iu A
ompvmrn mov beused i( d^oi,wd;
8, K4okesura your bo..chmurk and vn,noui o|nvadun reforanue point um u|oor| ond are pammnmnt�
8 C�mp|em aU mppruprim�� bnxeo aato dates, nameo'wddrosso5' flood plain duza, I-eroo|ndon teS1. oxenop'
ifoppropr�uto;
1O }fth� infmrmation (uvoh us flood Main,o|emminn}does not apu|v. p|oo* N,A, in flhe bon;
1l� �gnrhv�nmaodrdwmyourournm�add��undyourm�t��a �nnnun�e �
12, KAokm }egib\o copie and disnlbme as mquied. ALL SOIL TESTS INIUST BE FILED VV>TN THE
LOCAL A�THQR\TYWITHIN 30 DAYS OF COMPLETION
^
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Soil Sppmmntuvand Textures Otnmr0ynobolw
or — 6xono love- 10^1 RR — 8vdroo*
Cub b|o (3 18^} SS — Sandstone
G,ave| (under 3"1 LS — Limestone
°o — Sand HGVV — High Gmund,wma,
� � oo| tionRom
cm — Cuaoo��nd ro — r m
/ *do — modiumGund VV —
Fi^oOond B|um — Bui|dino
!s —
Loamy Sand
°s| — Samdv Loam ( — L�oThan
Br, — Bnrwn
Bi
Gv — Gmy
C1myLoam Y — YoUmw
s D|wy Lmn R — Red
S.|ry Clay Loam mo KAmu|oc '
vu — 3andvc|ay
uic — Silty C|ay tff — fm*' fine' bint
Clay uo — onmmun. xuamo
cu — Prm �m — �ony, m�dium
m — Kxuok d — di^Lincl
P — n,ominonL
H Vv,L — Hieh , n\,�r |owai
° Bix woi| surface mmre,
fo, Uquidwmurdbmum! BWY — Bench K'la,k
VRP — Yenioa| R��mnoePoin�
`
` .
TO THE OWNER:
This soil test report is the first step in securing a sanitary permit. The county ot the Department may request
verification of this soil test in the field prior to permit issuance. A nomv|et° set of plans for the ohvnt*
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 ofany construction.
�\
��
State of Wisconsin \ Department of Industry, Labor and Human Relations
SAFETY&BUILDINGS DIVISION
October 25, 1988 201 E.Washington Avenue
P.O.Box 7969
Madison,Wisconsin 53707
Peter Newcombe
Route 2
Glenwood City, WI 54013
Petition No. S88-04129-P
Dear Mr. Newcombe:
Re: Peter Newcombe - Residence
Onsite Sewage System
NW,SW,11 ,30,15W
Glenwood, 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 a 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 October 20, 1988. The petition has been
conditionally approved. The condition being that in the event of failure, the
mound system shall be replaced with a holding tank or other off-lot system.
The rule requires that a mound system 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 an y additional modifications.
erely,
is rd earchi, VeA
Director, Office of Division
Codes and Application
(608) 266-3080
RM:KS:2374h
cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls
Thomas Nelson, Zoning Administrator - St. Croix County
SBD-6928(R.10/87)
Wisconsin Department of Industry, QNSITE SEWAGE SYSTEMS Office of Division Codes and Application
Labor and Human Relations Onsite Sewage Section
Safety and Buildings Division 201 E.Washington Ave.,Rm.141
PLAN APPROVAL APPLICATION P.O.Box 7969,Madison,WI 53707
(608)266-3815
INSTRUCTIONS: Please fill in all applicable data and submit this form with plans. Plans will not be reviewed until all fees are received. The
reverse side of this form describes most of the required plan information. Further requirements may be contained in the Wisconsin Plumbing
Code,which can be purchased from the Department of Administration, Document Sales and Distribution,202 South Thornton Ave., P.O. Box
7840,Madison,WI 53707,Telephone(608)266-3358.
1. PROJECT INFORMATION(Type or print clearly) Plan Number Previously Assigned
Name of Submitting Party(plans returned to same) Project Name
Street Address,P.O.Box#or Rural Route Project Address or Legal Description
City or Village State Zip Code City ❑ County
Village ❑ of
Telephone No.(include area code) Town ❑
Designer Name of Owner
Telephone No.(include area code) Telephone No.(include area code)
Street Address,P.O.Box#or Rural Route Street Address,P.O.Box#or Rural Route
City or Village State Zip Code City or Village State Zip Code
2. APPLICATION FOR: ❑ Experimental ❑ Mound System ❑ Holding Tank
❑ New Construction ❑ Large System ❑ Conventional Gravity System ❑ Groundwater Monitoring
❑ Replacement ❑ At-Grade ❑ System in Fill ❑ Petition For Variance
❑ Revision ❑ Pressurized System ❑ System in Flood Plain(attach SBD-6698) ❑ Other Alternatives
3. FEE COMPUTATIONS (include existing tanks) FEE SUBMITTED FOR OFFICE USE
MAKE ALL CHECKS PAYABLE TO SAFETY&BUILDINGS DIVISION.
a. 750- 1,500 gallon septic tank $ 50.00
b. 1,501- 2,500 gallon septic tank $ 60.00
C. 2,501- 5,000 gallon septic tank $ 80.00
d. 5,001- 9,000 gallon septic tank $100.00
e. 9,001- 15,000 gallon septic tank $150.00
f. Over 15,000 gallon septic tank $250.00
g. 500- 1,000 gallon dose chamber $ 30.00
h. 1,001- 2,000 gallon dose chamber $ 50.00
1. 2,001- 4,000 gallon dose chamber $ 70.00
j. 4,001- 8,000 gallon dose chamber $ 90.00
k. 8,001- 12,000 gallon dose chamber $110.00
1. Over 12,000 gallon dose chamber $150.00
M. 500- 5,000 gallon holding tank $ 30.00
n. 5,001- 10,000 gallon holding tank $ 55.00
o. Over 10,000 gallon holding tank $100.00
p. Revisions $ 20.00
q. Groundwater Monitoring-Per Site $ 32.00
(other than a proposed subdivision)
r. Petition For Variance: Setback $ 25.00
Site Evaluation $ 50.00
Subtotal:
S. Priority Plan Review: Enter same amount as Subtotal
Total Fee:
SBD-6748(R.04/88) NOTE:Fees are pursuant to Wis.Adm.Code,Chapter Ind.69,and OVER +
are subject to change annually.
The following information is required for plan review. An index page or each page of the plans must be signed,sealed and dated by the
designer.
4. MOUNDS & IN-GROUND PRESSURE DISTRIBUTION SYSTEMS
a. County verification of soil conditions.
b. Soil data(115)photocopy by CST,including data for replacement system,if for new construction that will be served by an in-
ground pressure system.
c. Plot plans drawn to scale showing lot size and all lateral distances from the system to buildings,wells,watercourses,etc. Show
permanent reference points(benchmark). Direction and percent of slope or two foot contours must be included if drawn to
scale. For in-ground pressure,show area for replacement if for new construction(TWO COPIES).
d. Plan view of system with observation pipes and permanent lateral markers(TWO COPIES).
e. System cross section-provide system elevation(TWO COPIES).
f. Pipe lateral layout(TWO COPIES).
g. Construction detail of septic and dose tanks if site-constructed,or State approved manufacturer and size if prefabricated(TWO
COPIES).
h. Dosing Chamber cross section-show manufacturer and size or construction details if site-constructed(TWO COPIES).
i. Pump or si hon model,performance curve,total dynamic head calculations and dose volume. (TWO COPIES).
j. If the site is suitable for a conventional onsite sewage system,item a.from this section is not generally required.
k. Provide all sizing information(TWO COPIES). This is not required for residential installations where the number of bedrooms is
indicated on the plans.
S. CONVENTIONAL ONSITE SEWAGE SYSTEMS
a. Photocopy of soil data(115)by CST,including data for replacement system,if new construction.
b. Plot plan showing location of septic tank,soil absorption system and replacement area. Indicate lateral distances to any
buildings,well,watercourses, lot lines,etc. The plot plan must also show the location of permanent horizontal and vertical
reference points(benchmark). Also indicate ground slope with 2 foot contours in entire area if drawn to scale,extending 25
feet on all sides of initial and replacement systems.
C. Plan view of soil absorption system showing all dimensions,pipe lengths,spacing,etc.(TWO COPIES).
d. Cross section of soil absorption system showing system elevation,aggregate,cover material,depths,etc.(TWO COPIES)
e. Construction detail of septic tank if site-constructed,or State approved manufacturer and size if prefabricated(TWO COPIES).
f. Detail of lift pump tank or automatic siphon,tank size, manufacturer, gpm, gallons per cycle, vertical lift, friction loss, etc.
(TWO COPIES).
g. Provide all sizing information(TWO COPIES). This is not required for residential installations where the number of bedrooms is
indicated on the plans.
6. HOLDING TANKS
a. Photocopy of soil data(115)by CST. A full evaluation must be made to eliminate the possibility of any other system being
installed.
b. Photocopy of agreement document between owner and local unit of government, properly notarized and recorded in
reference to the deed. This agreement must include a statement about the semi - annual pumping report and pumping
contract.
C. Plot plan showing location of holding tank with lateral distances to any buildings,well,water service piping,watercourses,lot
lines,etc. Provide horizontal and vertical reference points. Include all-weather service road within ten feet of the service
manhole(TWO COPIES).
d. Holding tank profile showing vent, manhole, alarm and State approved manufacturer and size if prefabricated. Provide
complete construction details if site-constructed(TWO COPIES).
e. Provide all sizing information(TWO COPIES). This is not required for residential installations where the number of bedrooms is
indicated on the plans.
7. SYSTEMS IN FILL
a. Systems in fill must include an onsite investigation form(SBD-6196),as well as all the appropriate items listed in section 5.
8. GROUNDWATER MONITORING
a. Soil data(115)photocopy.
b. Groundwater Monitoring Report(SBD-6412).
C. Verification of data and procedures from county (ONE COPY); copy of Notification of Intent to Monitor which was sent to
county.
d. Precipitation data.
9. PETITION FOR VARIANCE
a. Petition For Variance form(SB-8),signed and properly notarized.
If any portion of an onsite sewage system is in a floodplain,form SBD-6698 is required.
r >
PAGE F
gMP' CH MB ` C 033 SCCTIOM A{ SP CIF CAT I A1S
k,
VENT CAP `
-etll ."otfjT Pip[
W'AT14ER PROOF APPROVED LOCK UG
I�RCIM 000R, JUIUCTION boy.
-a�s IMAtUHOLE CQVER
w 4sboi `OR FRESH
Aft INTAKE 1
GRJKDE
...�'
cat�tnc�IT ' --�
WAIN.''
,� � ...,......... ...��.�.,.
rJ 1
Cvlow ► -�,. .
t ,� r RT1wT lA4 1
0 1 1
P01
RtM EID .tOiAt� A . � �� , .., � I APP#Cp�tO Ja1�lT3
.FIFE r y i I w�C .:rIP
IJ '
LARK ETi#G► 3'
ON TiR .1D SOIL
ory
act
ELEV. FT.
n�► POMP--� OFF
CONCRETE BLOCK
,
RISER EXIT',Ft:RMt'll E`D DtJt,y' IF TANK MAUUFACTURER t1Afa U PPR VAL
SEPTIC ,E frx AT I QW S
tIOS PE1t OwAy ;
S MlklrJt#�'IKCmru, E,i;t,: � kwmarK OF Dow
TANK
SIZE. S' t7 E? cw't 'us DOSE VOLUME 27-"1
A665A MAMUFACTUKER: IM.ItLUD1AIG BACKfLOM/: GALLOWS
70
MODEL UUMSER: 1.I CAPACITIES: A INCHES OR .-1O . GALLOWS
SWITCH TUP140 d ��,IMCHts OR 5$ 8�"LLOWS
P IMP MAAIUF`AC7URER: C= 9 INCHES OR ' S,I CALLOUS
MODEL MUMMI Do 1..INCHES OR .:"' .L�GALLONS
SWITCH TUPE: �, � PUMP AMD ALARM ARC " Oat
MINIMUM DISCHARGE RATE GPM `INSTALLED ON SEPARATE CIRCUITS
ifE1�TICAI D1f1rEREAIGE b[TWEiN PUMP OFF ARID 015TR14UTIOAI MOE....x.0 ocl FEET p,�,Q
J
- 'MIA iMUM Q.ET'WoRK ,;SUPPL!J PR£86URE . . . . . . _� �5 F,LET
FEt7 OF FORCE MAIN X 12 Frtoa I%FKICTIOU FACTCR.. All FEET
T0`rAL Ot%JAMiC'' HEAD xes, �� FEET —
11 "f'£RWAL, f�IM1E 1llSlbfrrii„ P 'rAR1Mt: LE►JCsTH., �Q.... ,W41�1'"H iOQUID DEPTH �...
910s ME0: O'z LICEMSE UUMBEIK�-Z—L.._.___ DATE: "
��
State of Wisconsin Department of Industry, Labor and Human Relations
�
PRIVATE SEWAGE PLAN APPROVAL SAFETY W BUILDINGS DIVISION
Office of Division Codes and Application
201 East Washington Avenue
P.O. Box 7969
Madison, Wisconsin 53707
WAYNE LORENZ Owner: PETER NEWC0M8
ROUTE 1 ROUTE 2
BOYCEVILLE' WI 64725 GLENWOOD CITY, WI 54013
RE: Plan Number: Date Approved: October 25, 1988
Gallons Per Day: 900 Date Received: September 20, 1988
Project Name: NEWCOM8^ PETER - RESIDENCE Location: NW^SW, 11^80^ 15W
Town of GLE0WOOD County: ST CROIX
The plumbing plans and specifications for this project have been reviewed for
compliance with applicable code requirements. This approval in 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 net 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) 206--8330.
l
.N c e 4"%" 4
Section of Private Sewage
Division of Safety and Buildings
PPPO10/0009n/ 9
cc: PETER NEWCCx1B
___.Private Sewage Consultant ___County ___UW-'SSWMP __—Plumbing Consultant
� Owner Health Plumber Ennironmental
__-
ouo'6423(n.10/87)
SEWAGE EJECTORS - Features and Performance
SP40
IS Oil-filled ball bearing motor 28 4/10 HP-MAX.SOLIDS 11/4"SPHERE-1750 RPM
incorporates automatic reset
thermal overload. 24
• Non-clog two-vane impeller. - -
20
• Reliable diaphragm switch. r
• 2-inch NPT discharge.
• Stainless steel shaft. < 12
IS Completely field serviceable.: "
FULL
4 AMPS AT 101t6V.
9.4.AT 200V.41
0
0 20 40 60 80 100 120
U.S.GALLONS PER MINUTE
SP50
•Oil-filled, heavy-duty ball-bearing 112 HP-MAX.SOLIDS 114"SPHERE-1750 RPM
motor. 2a
• Enclosed, two-vane sewage type 24
impeller.
•Gil-isolated level control 20
diaphragm swtich. „
• Mechanical shaft seal with carbon 12
and ceramic faces.
•2-inch discharge(3" flange 6
FULL UMD
optional). , AMPS AT 14115V.
,24 AT Z1 W.SR
FULL LOW
•Completely field serviceable. D Via"
0 20 40 W W 1. IQ 1W
.A.GALLONS PER MINUTE
*************************************************
SEWSO
• Heavy-duty, oil-filled, 1/2 HP motor 1/2 HP-MAX.SOLIDS 13/4"SPHERE-3000 RPM
with built-in thermal overload
F 24
protection. 1!ry
Z 20
• Heavy-duty, cast iron motor ,6
housing.
12 a
• Non-corrosive ABS volute. R
• Automatic (SEW50A1) features
wide-angle switch with piggyback 0 0 20 40 60 so 100
plug. CAPACITY IN GPM
• Manual model (SEW50M1)also
available.
F
p..
J
e 7�i
ti 1
A.
T
A
IJ
L
IF
cn
CA
L
a
...... ......
r
Page — Of —
Straw, Marsh Hay, Or
Synthetic Covering
Distribution Pipe
Medium Sand
Topsoil , r,,'•' ' r, srr----;�_- F
`'d 1 E
P IO a
\,� - B TS �- 2 %2 (Force Main Plowed
OAS PQ to From Pump Layer
DJ ,5 113,
a '
Y. ^\ I\5� C �� ction Of A Mound System Using E S ,
4�
Bed For The Absorption Area F --
`G� G I,,o
O�QP w. GO A 1 0 Ft. H �' 5
Signed: B 75 Ft.
Lice u er: I 13 Ft.
Date: Q � J 9 Ft.
K 1 2. Ft. Cam. L c
Alternate Position L g q Ft.
of
Force Main w 3 2 Ft.
L
J Observation Pipe
B � 79K
�o---- ------_-_----__ -----_ -- Force Main
W — -------.— ----_ _—_ From Pump
Distribution Bed Of 2»- 2 ?
Pipe Aggregate
I
Observation Pipe Permanent Markers
Plan View Of Mound Using A Bed For The Absorption Area
Page _ Of_
r1s� 44
Perloroled Plpebi(:' e;044�"
`
En
)Porfofold pR N`S''OyQC v .
!EM Cep 1� PVC Pip• DE
Nolen Located On Bottom,
S Are Equally Spaced
q
PVC Force Man
From Pump
/ PVC
Manifold Pipe
Alternate Position Of
01e1nbulion
Pipe Force Main From Pump
Lest Male Should Be
Neal To End Cop
End Cop Distribution Pipe Layout P '371
R
S —1
x y8,1
Y 3(0"
Signed: Hole Diameter - Inch
Lateral ' 2,- Inch(es)
License Number: � .
Manifold _ Inches
Oats: Q' Force Main Inches
+ F
I a
PAGE OF
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
VEAJT CAP
4'C.I. VENT PIPE
WEATHER PROOF APPROVED LOCKING
�: 2.5' FROM ODOR,
JUNCTIOAI BOX MAWHOLE COVER
WINDOW OR FRESH W1411J. I
AIR INTAKE I
GRADE
COIJDUIT
18"MIN. ,\�� ----------
INLET &HTESEAL I I)
`GS��PC� I III V
r7
APPROVED JOINT A p�.1s\� I I i I APPROVED JOINTS
W/C.I. PIPE n '(\ON I I I W/C.I. PIPE
EXTENDtIJ6 3' ` V ��'� ��x I II LARM EXTENDING 3'
0►JTO SOLID SOIL ONTO SOLID SOIL
's `` `a�too\NG
y� I Oti
ELEV. �� FT. �'UMP-� --j
0 OFF
D
CONCRETE BLOCK
i
RISER EXIT PERMITTED ONLY IF TAUK MANUFACTURER HAS (-SUCH APPKQVAL
i
y m14129
SEPTIC E SPECIFI'CCATIOKJS
DOSE Ll
TANKS • M 'AWUFACTURER: %'A6XJ(f(I PreCc''S I NUMBER OF DOSES: PER DAU
TANK SIZE: 1100 GALLOMS, DOSE VOLUME 9-7.'I'S
ALARM MANUFACTURER: :GAf1 k 01,LALA IMCLUDING BACKFLOW: GALLONS
70
MODEL IJUMBER' K) CAPACITIES: A= INCHES OR �O�GALLONS
5$ so
SWITCH TYPE: �GCL e B= 2 INCHES OR �� �� �� 1 c GALLONS
PUMP MANUFACTURER:� C= INCHES OR I S I CALLOUS
MODEL NUMBER: 3 D=INCHES OR �S 1 GALLONS
SWITCH TYPE: 'C�4/0TE: PUMP AND ALARM ARE TO BE
MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS
,
VERTICAL DIFFERENCE BETWEEN PUMP OFF ARID DISTRIBUTION PIPE.. I U o FEET 27.q
MIAI N 2.5
i
�- IMUM NETWORK SUPPLY PRESSURE . . . . FEET .
♦ !ILI FEET OF FORCE MAIN X _,R7 F/oo rtFRICTIOU FACTOR.. •7 1 FEET
TOTAL OUMMIC. HEAD = 13 FEET
INTERNAL DIMENSIONS of TAUK: LENGTH J�.��;WIDTH ;LIQUID DEPTH y �„
F
51GUED: LICENSE NUMBER:cJ DATE: U
HEAD/CAPACITY CURVE
r
EFFLUENT and DEWATER I NG
A W TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE
LL
EFFLUENT AND DEWATERING
53-55
115 SERIES 57-59 97 137-139 161 163 165 185 166 169
t FT. M Gal. Ltrs` Gal Ltrs. Gal. Ltrs.; Gal. Ltrs.- Gal. Ltrs: Gal Ctrs., Gal .Ltrss Gal. Ltrs.Gal. tflIi
110 5 1:52 43 163: 57 216 104 394'. 106 401 61 231 61 231 85 322'j
A.
10 3.05 34 129 51 193 79 300 100 378 61 231 61 231 85 322
15 45T 19 72 43 163 64 242. 91 344 60 227 1 60 227 85 322,
W, 1 05 20 8:10 27 104 36 136- 82 310. 59 223 .1 60 227. 85 322
25 -7.62 8 30 74 280 57 216: 59 223 85 -322,
30 9-14, 65 246 55 206' 58 220 90 340, 85 322
100 40 12.19' 46 '174- 46 172 55 206 75 283- 89 337 83 314'
50 15.24 21 80 33 125 51 19t 58 219' 73 276 77 292':.,
i
95 60 18.29. 15 57„ 43 161' 36 IN,, 57 216r 67 25a4,
70 21.34 30 T14,; 10 .38- 37 140,, 57 216,..:
80 24.38 14 63 13 49 47 in
rA 90 90 2?43 36 ;13&
100 30:48; 21 ,. ,_c
85 Lock Valve: 19' 24.5' 1 26' 56' 66' 87' 73' 85' 110'
a
80 MODEL
75 MODEL 189
165
70
65"
60
55 _
50
MO DEL
163 MODEL
14 » 45 188
35
10 MODEL
30 -MODEL
137, 139 185
25
G. 20 MODEL
15 MCDELN, 161
4
10
MODEL
5 53, 55,
57, 59
GALLONS 10 20 30 40l 50 60 70 80 90 100 1110
T �
LITERS 0 80 160 240 320 400
Note: For Head Capacity on Model 112, industrial column-explosion proof pump, see FM 219.
State of Wisconsin ` Department of Industry, Labor and Human Relations
PR VV 1*1 r I,,A(T f'!.nN 9"!PPPOVA, SAFETY&BUILDINGS DIVISION
c
1l.�`_•���- 1 t.:R�.i.Ill< w�t� � � ., '�; � �� � rl 1'� {. ti�'
O
I , `(r r V I'._i F , 11!f 11
fir: Plan Number: -88 04329
(.btu :!
r ,
.r, 1,,.4�� , !.� ..{ 1 .���{. r ! •!t s' t,! I
.,' ji.�t It€1t ,;:� j:J 1 31'1',: i ,:� `tl. ,'7.i�i ,.;7,.7 :;., 1'.> 't'!'. )ar _.;� ...):- r 1�4 t/{) i t -� i C• i6*i.;� .)...,%+`�
,
iI
.,C��ti!,�st:•�:i ,u; i 1 1 ,� i;i .��� ! r i ..,. �., ,. - y
%i� iP` :d 1 {.! -,.,�.' +tf. :i s.}'it`.�F=t1'c- i.i�7 ',It f"Iti�'ri,i.�."i•�.( i^.^.i.'I �'t
., 1 f,> .{.,,...,; ::i, ,;;'' ;1.7.C; _. � l 1.' (;`" � is '! :.r".� ..I,..,j. <.� •1.I 1 ri;`, .t, ..1,.. i., .
tk .lif Gi t,'Y (i!:a i':,t 1l, � �,at ', ��,•. .i'Ii f; .':�. ut.li1'i ? £,E11�.) i. Y!�, ,Y"K:E r-i :�;.¢
.,. ,: . ,, ) ,, '�� •.r,,:' j. i! is o s):, :!—i.:; i.i1 ;� t,r -.i•1;'1�
}
v: 1: :v. 1
.a C. f C•1-.1. ? L)7 r.. ., ..? 1. ., tt. f
r s ,
l'•:i-..,lti i^I1.1 f{�:i�l{! t �!,g.bf_�
4
i r.::�F ;•:`, _a;' Ii ,.,fii{', rl��.• 1 4rti Id*,1'., � 114.
..Iii _r,lo } 11t . .
SBD-6423(8.10/87)
i
State of Wisconsin \ Department of Industry, Labor and Human Relations
SAFETY&BUILDINGS DIVISION
October
201 E.Washington Avenue
P.O.Box 7969
Madison,Wisconsin 53707
Peter Newcombe
Route 2
Glenwood City, '� I 54013
Poti ti on No. S 6-04129-P
Dear 11r. i1i'owcor.L-e:
Re: Peter "'ecFcoribe - Residence
Onsi to Sev�,�ge Syster
N SW,li ,300,151<
ulenwoo6, St. Croix County, V1
Section 145.24 (1 ) , Wisconsin Statutes, and s, iLilk bj.G ; (b) , Wisconsin
Administrative Coat, allow the owner to petition the department for a variance
to the installation for a onsito sewage system to replace an existing onsito
sewage systeri at a site which is not in full cor;pl i ance with the siting
standards in the administrative rule. The syster,, design proposed should
protect the waters of Mae state froi9 contamination. If this system becolnes a
failing systerir or contaminates the paters of the state, this variance shall be
rescinded.
The petition for a variance requested to s. ILhR 83.�3 ( 1 ) (d) of the 'Wis.
Adm. Code was considered on October 20, 1Ada. The petition has been
conditionally approved. Tide condition being that in the event of failure, the
round sys :er; shall be replaced wi trl a hol iii ng tang: or, other off-lot system.
The rule requires that ar=ound system have a is0i nimurs of 24 inches of suitable
natural soil .
Tile variance requested was to install a repl acerlent mound system= on a site i
with 18 inches of suitable natural soil .
All oo the data and statements submitted on behalf of the petitioner vlere
considered. This variance is specific to the subject petition and cannot be
used for any adzitional modifications.
Sierely,
j • �
, �
iC 1 Ct i, er, Archi ect
Director, Office of Division
Codes ana Application
(608) 26 -30UOU
Rk:KS:2374h
cc: Leroy Jansky, Private Sewage Consul - District C, Chippewa Falls
i# orlas Nelson, Zoni rig Adu1 ni strator t. Croix County
SBD-6928(R.10/87)
ST. CROIX COUNTY
hXk WISCONSIN
ZONING OFFICE
r
ST.CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON,WI 54016
(715)386-4680
September 13, 1988
Divizion o6 Sa4ety and Building
Bureau o6 Ptt?umb.ing
P.U. Box 7969
Mad.i,6on, Wl 53707
Dean Sit:
An on .6 to .invat.igation Sore the Peter Newcombe pupetty, toeated in the
NV-4 ob the SGl% o4 Section 11, T30N-R15W, Town of Gtenwood, St. Cuix County,
rev eafed s uitabte S o.i.Pis at a depth o6 18 inched, b etow which .6 ears o nab.2e
high ground wateA was noted.
Thy bite .6houed be .sucta.bte Jot a mound .6y6tem.
Shoutd you have any questions, ptea.6e beet bnee to contact thi.6 o66.ice.
S.inceuty,
Thomas C. Net6on
Zoning Adm.iniztxaton
TCN/hms
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
t ' ST.CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON,WI 54016
(715)386-4680
i
SeptembeA 13, 1988
I
I
Divi6ion o6 Satiety and. Bui.t.ding
Bureau o6 Ptumbing
P.O. Box 7969
Madi4on, Wl 53707
Dean SiA:
An on 6 to investigation bon the Peter Newcombe pnopehty, .located in the
W14- ob the SA. ob Section 11, T30N-R15W, Town os Gtenwood, St. Croix County,
neveaCed dwLtabte boils at a depth o4 19 inches, betow which bearsonabte high
ground water wa6 noted.
This 6 to shoutd be dui table bon a mound .syatem.
Shoutd you have any question, pte"e 6eee &nee to contact this o66ice.
Sincenety,
0. �� �� (,r
Thom" C. Ne zon
Zoning Administnaton
TCNIAm,5
CERTIFIED SURVEY MAP NO.
VOLUME , PAGE._ .
BEING PART OF LOT 1, CERTIFIED SURVEY MAP NO. 344112, VOL. 2,PG 496
AND LOCATED IN THE NORTHEAST AND NORTHWEST QUARTERS OF THE
SOUTHEAST QUARTER OF SECTION 34, TOWNSHIP 30 NORTH, RANGE 15 WEST,
TOWN G1F GLENWOOD, COUNTY CF ST. CROIX, STATE OF WISCONSIN.
YUP1AT.T><Q SAM$ E. 114 CAR,
SEC 34-3045.
R-A.t N BB'33'54"W FD.314,InavPIP.
At A.ES_.09"5B'06"W 671.30'
N. LINC ur G.°.M. Na 344102•
Ob O V•+� �
� •ti d �4 r
it
?Ap, P' by �pP\i�M1`�'b
T �/
BEARINGS ARE REFERENCED TO \ ®T
THE EAST LINE OF THE SOUTH-
EAST QUARTER OF SECTION ��� •+�, 63,430 SO.FTt
34,T.30N.,R.15W. (RECORDED o 1.46 ACRES`^t\,��. \ V
oµ
AS N 0/°24 27 W.)
+ wa i 6 9 26 33 3 z�
b,ya�p�' L U 7r 2 .� y 2 5 0' i
00 /St.150 so.F t ,� `� �� V� •a \O ` 1 d d
t-4 1 3.47 ACRES ,': . ;-j/ �A 2y �' �( �� L E GEND Y a
y i
210 CJ• O FOUVD I"IRON PIPE.
P 62 / 9 O SET 314"0 24°RE-ROD WEIGHING
EXISTING`GRAVEL 1.502 LBS/L.F.
_
-
DRIVE WITH CULVERT • FOUND WOODEN R/W,POST.
2 RA.=RECORDED AS.
` M.A.tMEASURED AS.
'Y 6ti 0 f.
�o
.* q/ lb p0 SCALE: Ill= 200'
ho a�'%,v. ;1%1 'sgj s
5 ,
c'i°'E Ja• � O' 100 200 400'
�p+r S.E. COR.,
SEC. 34-30_13•
FQ 3/4"RE-ROQ
NOTE; PROPOSED LOT 2 AND 3 HAVE EXISTING PRIVATE ENTRANCES,
NOTE:REMAINDER OF LOT 1, CSM 344112, VOL2 PAGE 496 NOT
IN LOTS 2 a 3. THIS CSM WILL BE AR CHEO TO VOL.418
PAGE 147 N0. 282214.
,
CURVE DATA TABLE
NUMBER ANGLE RADIUS TANGENT LENGTH LENGTH @EAR/RjyQ 1CK ANGENT f TANGEN
BEARING BEARING
.791 107.53' 1 to?$4'5 49°50'16"W
PREPARED FOR: COUNTRYV/EN' REALTY \5 • , S 14
R r./ ' �,.•• •
WOODVILLE,WI 540s8
OWNER; HOWARD SNEEN
GLENWOOO C/T, W BRICK '
S-1303
MENOMOWE, =
'.♦ X27^ /fJ7 4:'
0
CEDAR CORPORAT/ON ♦♦♦••�0 S''Y�� •'*'
60 WILSON AVENUE
715)"ENOMONIE,W1 54751 (SEE REVERSE FOR CERTIFICATION)
(7131 YJ5-908/
PAGELOF?•
y
SURVEYOR'S CERTIFICATE
I, Leon R. Herrick, Wisconsin Registered Land Surveyor, hereby
certify that I have surveyed, divided and mapped a part of Lot 1,
Certified Survey Map No. 344112, Volume 2, Page 496, located in
the Northeast and Northwest Quarters of the Southeast Quarter of
Section 34, Township 30 North, Range 15 West, Town of Glenwood,
St. Croix County, Wisconsin, more particularly described as
follows:
Commencing at the East quarter corner of said Section 34;
Thence S 89058 06" W, 671.36 feet along the north line of
said Certified Survey hap No. 344112;
Thence S 37042'03" W, 349.98 feet along the westerly line of
said Certified Survey Map No. 344112 to the point of beginning;
Thence S 360251551, E, 383.22 feet to the westerly right-of-
way of STH 128;
Thence S 60033134" W, 98.29 feet along said right-of-way to
an angle point in said right-of-way;
Thence S 52028'25" W, 225.70 feet to the beginning of a non-
tangential curve in said right-of-way;
Thence southwesterly along said curve concave to the
southeast having a central angle of 3011,2411, a radius of
1,873.02 feet, and a chord bearing of S 48050! 16'- W, 107.54 feet;
Thence .S 39028100" W, along said right-of-way, 271.62 feet;
Thence N 57045'51" W, 244.87 feet along the south line of
said Certified Survey Map No. 344112;
Thence N 37042103" E, 813.92 feet along the westerly line of
said Certified Survey Map No. 344112 to the point of beginning.
Said parcel contains 214,600.,square feet, more or less, or 4.93
acres. 40
That I have made such survey, land division and map at the
direction of Rueben Doornink, realtor, Countryview Realty, Route
1, Woodville, Wisconsin 54028, for Howard Sneen, owner of said
land. That such map is..a_co._rrert representation of the exterior
boundaries of the land surveyed and the subdivision thereof made.
That I have fully complied with the provisions of Chapter 236.34 .
of the Wisconsin Statutes, Chapter A-E 5 of the Wisconsin
Administrative Code and the subdivision regulations of St. Croix
County in surveying, dividing and mapping the same.. Said survey
is subject to existing roads and easements of record.
DATED THIS 2�r� DAY OF /P;Av -^-�-- -, 1987.
Leon R.Her ick, Registered' LancT�Survnyor'
'•�,•��S C 0/V
LEON R. ••';
HERRICK
` S-1303
MENOMONIE, 1
PAGE?OF2
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1t+ i Indicate Flaodpfain elevation:
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