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HomeMy WebLinkAbout022-1025-90-000 ti ~ O o m a ) o fq � m C U X r. N Lo v1 7— � U a)_ w T Z o C r L LL c •3 -0 w o v c C 3 f0 =O E d °c E N M � a E 8 v V z 0) H z a m C a oza 0 N F Z N M a) • C (� O li U O Z Z w N w Z (V C � H n d _ d E 0 a3 o � � W N H of O ~ a p a> N D G a d� N N � @ a - o X000 N� ' � N a LL co o y C IL � o m rn rn } E � E co CL d y m o rn 2 ,6 o 0 m ¢ z in o 0 c U = O o 3 o y c 0 o LL E •O O O O Y C O Z c N H C r:3 LL O m N ) O LL v N N C U W IN N co E C'i 4m C In C m A c a it a ` a • a d .2 c m d c a> r� 2 � r A c°� a2 0 U) 0 Parcel #: 022-1025-90-000 06/27/2005 03:57 PM PAGE 1 OF 1 Alt. Parcel#: 9.28.18.138F 022-TOWN OF KINNICKINNIC Current i,Xj ST.CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): *=Current Owner *NOVAK,THOMAS G&CYNTHIA A THOMAS G&CYNTHIA A NOVAK 1110 COULEE TR ROBERTS WI 54023 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description * 1110 COULEE TR SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 10.700 Plat: N/A-NOT AVAILABLE SEC 9 T28N R18W PT NW SW COM CL TN RD Block/Condo Bldg: 249' FROM W LN,TH N 1144.6',TH E 411', TH S 832.85',TH W 75',TH S 447.5'TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) TN RD,TH W TO POB 107A 09-28N-18W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 953/117 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/21/2000 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 40,000 145,000 185,000 NO PRODUCTIVE FORST LANC G6 5.700 13,000 0 13,000 NO Totals for 2005: General Property 10.700 53,000 145,000 198,000 Woodland 0.000 0 0 Totals for 2004: General Property 10.700 53,000 145,000 198,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 135 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 112 ,A" ST. CROIX COUNTY ZONING OFFICE 911 4th Street Hudson, WI 54016 Telephone - (715)386-4680 The St. Croix Co. Zoning Office offers the service of septic and water inspection to Lending Institution, Realty Firms , and private individuals. COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE LOCATED. Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, and mail, along with form to the above address. Testing will be done as soon as possible after fee and fort' are received. WATER TESTING--------------------------------FEE:$ 25.00 (For nitrates and coliform bacteria) WATER TESTING--------------------------------FEE:$175.00 (VOC'S) SEPTIC SYSTEM INSPECTION---------------------FEE:$ 25.00 PROPERTY OWNERS NAME: Frederick R. Reetz & Kathleen M. Reetz PROPERTY OWNERS ADDR SS: 1110 Coulee TR CITY:2oberts Legal DescriptionNV „ , 1/4 , SW - ,1/4 , Sec. , T 2;3 N-R 18 W Town of Kinnicinnic ,Lot: No. ,Sub}d�ivis 13 FIRE NO. 1110 LOCK BOX NO. O /3S r Color of house BR. Realty sign? Firm: PLEASE INCLUDE, IF AT ALL POSSIBLE, A HAP, i.e. , COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off , or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: Fred Reetz Telephone No. (715) 425-7314 REPORT TO BE SENT TO: Fred Reetz 1110 Coulee Tr. oberts WI -5 3 CLOSING DATE: Signature: r ST. CROIX COUNTY y WISCONSIN �•. , a. ZONING OFFICE ST. CROIX COUNTY COURTHOUSE - 911 FOURTH STREET • HUDSON,WI 54016 (715)386-4680 Apr. 24, 1992 Fred Reetz 1110 Coulee Trail Roberts, WI 54023 Dear Mr. Reetz: An inspection of the septic system on the property of Fred Reetz, located at 1110 Coulee Trail, Roberts, WI was conducted on Apr. 22, 1992 . At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Si erely, N 00 177 Mat-y. Assistant Zoning Administrator cj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS ON I LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMB DIVISING P.O.BOX 7969 MADISON,WI 53707 NW%, SW%, Section 9 CONVENTIONAL ❑ALTERNATIVE state Plan LO Number 11f a agr,ed) T28N-R18W ❑Holding Tank ❑In-Ground Pressure ❑Mound S9'9-02089 Town o Kinvi,% k,.innic 82 Avenue- NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DA E: Ftced Reetz Rowe 1, Rive& Fa.2Qb, WI 54022 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: 11;SIREF.PT.ELEV.. Name of Plumber: MP/MPRSW No.'. County: Bamtary Permit Number: Thomas A. Clan I3231 St. Ctcoix 112 SEPTIC TANK/HOLDING TANK: MANUFACTURER. "� LIQUID CAPACITY. TANK INLET ELEV.: TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER — 1 _ PROVIDED: PROVIDED- OYES ❑NO ❑YES -]NO BEDDING: VENT DIA.. VENT MAT(.: WYES NUMBER OF ROAD: PROPERTY WELL. BUILDING. JVENTTOFRESH LINE: AIR INLET FEET FROM❑YES ❑NO ❑NO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING'. LIQUID CAPACIT PUMP MODEL PUMP/SIPHON MANDE U ER WARNING LABEL LOCKING COVER ED ED YES ONO ,I/� W ES ON O YES ONO GALLONS PER CYCLE: / PUMP AND CONTROLSOPERATIONAL NUMBER OF PROPERTY WELL , BUILDING VENT TO 1111H (DIFFERENCE BETWEEN ��V �� FEET FROM LINE 0� 'J `� / AIR PUMP ON AND OFF) ES ❑NO NEAREST 42.J lE✓ r SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAME I tH MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE 2_5 2— [/j the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH. N DISTR.PIPE SPACING. COVER INSIDE DIA -PITS LIOUIU BED/TRENCH TRENCHES MATERIAL! PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH UISTH PIPF DISTR.PIPE DISTR.PIPE MATERIAL. N0.DISTR NUMBER OF PROPERT WELL BUILDING V NT TO F RESH BELOW PIPES ABOVE COVER ELEV INLET ELEV.END. PIPES FEET FROM LINE AIR INLET NEAREST-10 MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM 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 ITEXTURE PERMANENT MARKERS OBSERVATION WELLS YES ❑NO KY ES ONO DEPTH OVER TRENCH/BED DEPTH OVER TI7ENCH/BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED CENTER 5 EDGES. �r 1/ f ❑YES NO ES NO YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER BED/TRENCH �17 _7 TRENCHES: S2, t I I I ' DIMENSIONS / MANIFOLD PUM MANIFOLD DISTR PIPE MANIFOLD MATERIAL NO DISTR DISTR.PIPE DISTHIBUTION PIPE MATERIAL&MARKING ELE EL CIA DIA EL PIPES DIA' ELEVATION AND 9 / / i j DISTRIBUTION HOLE SIZE HOLE P CING' DRILLED CORRECTLY COVER MA RIAL. VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION / � PLANS YES ❑NO i ES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF P'ROP.E TY WELL: BUILDING. FEET FR ES 0 N YES ❑NO INEARESTOM L�7 Sketch System on R ounty file for audit. Reverse Side. SIGNATURE. TITLE. Zoning Adm i nnni/s tAatotc � DILHR SBD 6710(R.01/82) SANITARY PERMIT APPLICATION COUNTY (�r DILHR In accord with ILHR 83.05,Wis.Adm.Code -YT, o STATE SANITARY PERMIT# // -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. S8'1?— 1?c1 -See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ENO PROPERTY ER PROPERTY LOCATION (� �y e Tour , N, R d E(Or W PROP OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME CIOSTATE / ZIP CODE PHONE NUMBER CITY T KE OR LANDMARK d S (�1 D ❑ VILLAGE TOWN OF7 II. TYPE OF BUILDING OR USE SERVED: /U • r 2 Family. OR Public S('Specify): Number of Bedrooms If 1 o a y ( P III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. ❑ New b.KReplacement 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. ❑Conventional b. Alternative C. ❑ Experimental 2. a. 1:1 System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e.,2 Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. R seepage Bed b. ❑Seepage Trench c. ❑ Seepage 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): F<C J Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Site in ga ons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holding Tank 66 CJ' If 4A .rLcc� Lift Pump Tank/Si hon Chamber / C�s ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber' Name(Print): Plu er ignature:(No Sta s) MP/MPRSW No.: Business Phone Number: P u ber's Address Street,City tate,Zi ode): Nam igner: 1009 Ldyz ZZ) VIII. SOII,TEST INFORMATIO Cert' d I Tester(CST)N me�J CST#n / CST's DDRES (Street,Ci ,S/late,/)'p Co `- Phone Number: IX. COUNTY/DEPA TM T USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater I Date Issuing Agent Signature(No Stamps) mh Approved ❑ Owner Given Initial urcharge Fee �n Adverse Determination ��'� O`S.6e) —f P,6xaj, M. 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 purnper'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 8%z 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 pumping 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 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 ,AW included the creation of surcharges (fees) for a number of regulated practices which Wisco irf'S can effect groundwater. The surcharge took effect on July 'I, 1984. All of the water that buried reds e 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. 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 11--e- L 75 Location of property 1/9 1/9, Section , T P� �L N- _W , � Jc Township ZZ ( � Mailing address Ce/ Address of site Subdivision name �---- Lot number Previous owner of property b�CCAroLJ h-� .el Q,,(50t► Total size of parcel /,( S Date parcel was created Are all corners and lot lines identifiable? _ Yes No Is this property being developed for resale (spec house)? Yes ��N0 Volume •.-and Page Number as recorded with the Register of Deeds. ------------------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. ---------------------------------------------------------7--------------------- PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed re ded in the Office of the County Register of Deeds as Document No. �/r ; 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 rjacorded in the Office of the ount Reg' r of eeds, as Document No. d2 ) • S gn ture of wner Signature of Co-Owner (If Applicable) Dat of Si nature Date of Signature . 3Ndc M+s. T NIX STA am OF •gC70Ml1—�# somay u�t �JS PAuE 7�/ i THIS VACS NESO"M FOR r4co o ;'' ; �� :•s!SfR$ OFFICE TNIS DEED,made li wo m _YOSIdIW- . ST CPn!x CO., WIL 73rd a ': Icl this } Grantor ,� �-s saa fa teem 14. 1Eeets c Nov A.D. 1 t� tlT - _ - of 8:30 $ •itnesseth. That the said Grantor, for a valuable consideration ILAN TO Conveys to Grantee the following described real estate in .st• Croix Fredrick R. ]fNts Cowley, State of Wisconsin R. Roo Roberts o 4 .c Psrcel of land in the Wl of the NW& of Mt of Section 99 T LC*o R log laying North of town road bKiminE at a point from the center of town road, Tax Key No. A49 feet from West line of above section. thence North parallelist West line 1144.64 feet; thence fast 411 feet; tbeiii a $oath 832.85 feet; theme West 75 feet; thence south 447.5 feet to tarn road; theme West 336 feet to point of beiiciaing; lK a total of 10.7 aares. L k 4 4` This deed glVeu in satisfaction of a land con•.raet between the parties hereto dated ' Jtme 319 19719 and recorded July 1391971 at 8130 a.m. in Vol. 473• Deeds. Pp. 583 and 509 Dec. Re. 3058379 St. Croix County Reigister of Deeds. This_At_AllIt .homestead propert v (is) (is not) Together with all and sinKular the hereditament, and }.port•^,,nl• thereunto be1�-nvinp. And _ - gmtw '�. warrants that the title is good, Indefeasible In fe•c "mpl, ..r,i it.... ..nd , leaf -"n. umhralnce•s except S Nosieipal and ociantT soning ordinances, easements for public utilities and , recorded buildiat restrictions. and will warrant and defend the .ame Dated this November ly ' , ­A 1I., . Woodrow He Tve on ­A Al , (SEAS.) s AUTHENTICATION ACKNOWLEDGMENT • Siatures authenticated t .> h day or M A I L ftt• AlSC(ltitil\ �Q� gn 19 1 %S t ^ •._�.' / "? * //o I/e r,.lnallt c..mr I'."for'. me, this day.of ♦ xaner Barn& 'he ..bow/ n.rmed TI E: MEMBER STATE: BAR OF ul'Sc ONsiN (If not. --- ' authorised by 7G6 M, 'A is St,,t _* _ �� .',� This instrument was dratted b�- _Y.an" -Baia&1 Atty. kn„xn t , 1w the person who exrcutedthti�f¢err- 1­m, u,,tr,cr.•nt and aekm,uiedged the,AanlC, s , p� .KBE tall�s Wle,_"On r (Signatures ma be authenticated or ac-kn„aled a"d. Y K 13•,1h site not necessary.) ` ,t..r% 1' Cc t r obit• a-+ t, per^..,r;ent. At n ot %tile! 1,`11 •N.me:otper.ixls signing to an* eaprettV must La rsp.d .r pur•. ; i .. tt,. .• s Fu tiAf tT!.Viggo—,TATS *As or WOCONOW, anau, SO ,-1917 Vii} STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER BUYER U r ROUTE/BOX NUMBER FIRE NO. r � CITY/STATE co c� C � � ZIP PROPERTY LOCATION: 1/4 �� 1/4 Section , T�2k N, R_Z_F W, Town of IC , St. Croix County, Subdivision , Lot No. `-- could result in its premature Improper use and maintenance of your septic system p 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 $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Cr01 , county oning Office within 30 days of the three year expiration date. /' v; SIGNED DATE I St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 r (715) 386-4680 Sign, Date, and Return to above address INDUS T Y OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, DIVISION LABOR HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 3707 (H63,09(1) & Chapter 145.045) LOCATION:UY �/ SECI`0%���/�/�� ( r)� TO `SHIP,(U ,CIP�1�Y: OT NO.:BLK.� SUBDW+9f6N NAME: COUNTY,: OW ER'S B ER'$NAME: / MAILING A f DRE S: USE DATES OBSERVATIONS MADE (�_ INO.IORMS.:1COMMERCIAL DES RIPTION: PR 1 q 4� O�VS: ESTS: 54FIesidence i ❑New 2peplace RATING:S=Site suitable for system U-Site unsuitable for system O�FNT©AL: ❑� IN-G�ND-PRESSURE: S�STEM-I©ILL OQLDING�NK:RE OMMEND D SYSTEM:(optional) SS UU IMOUND: SS SS ((t���JJUU SS U S U If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b),indicate: Floodplain,indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED ES I HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- , �; L� !DO. 1 r'i� n r 4: 6/^ _ : 1 11 t re B- I ,�5 c S B- �,D!) �� S115j0 ���hls�fJs�� ��, 'r��/.��� ��� ' rrir,) S. ►v r K: B- Ochse S w ra-01A4. S 3,S'U B_ 14 / I j PERCOLATION TESTS 4TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES INCHES AFTER SWELLING INTERVAL-MIN. PE I D 1 PERIOD P4J PER INCH J s ' P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION r _ I i � I � I ,d E 1 _ 41 1 I 4 ch�. C i tN 63F 5 1 i i ! I y i t v1 � f tY or FE hic ,Ir`n �1s I,the undersigned,hereby certify that the soil tests reiportel+d on this orm were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(print TESTS WERE COMPL TED ON: 4 Lcx'� 4) 4�� 1i ts_r — ADDRESS: CERTIFIC TIO N BE PHONE NUMBERIo tionall: CST SI A RE: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. �ILHR-SBD-6395 IR.02182) —OVER— ST. C ROIX COUNTY WISCONSIN ZONING OFFICE 796-2239(HAMMOND) w 425-8363(RIVER FALLS) - HAMMOND, WI 54015 June 3 , 1988 Division of Safety and Buildings Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Fred Reetz property located in the NW 1/4 of SW 1/4 of Section 9, T28N-R18W, Town of suitable soils at a nnickinnic revealed K , depth of 3.5 feet, below which seasonal groundwater was noted. This site should be suitable for a mound system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, T h G to-fo 0 . hi")n I rc- Thomas C. Nelson zoning Administrator rc 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 THOMAS WANG Owner: FRED REETZ 1009 1/2 MAPLE: ROUTE 1 RIVER FALLS, WI 54022 ROBERTS, WI 54023 RE: Plan Number: S88-02089 Date Approved: July 5, 1988 Gallons Per Day: 450 Date Received: June 21, 1988 Project Name: REETZ, FRED - RESIDENCE location: NW,SW,9,28, 18W Town of KINNICKINNI:C; County : ST CROIX 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 MOUND Inquiries concerning this approval may be made by calling (608) 266-0056. Sincerely, JOEL W. BECK Section of Private Sewage Division of Safety and Buildings PPP031/0009n/ 7 cc: FRED REETZ �-.Private Sewage Consultant ----County —_ .UW-.SSWMP �—Plumbing Consultant TOwner Plumber Environmental Health SBD-6423(R.10/87) K �Y'tG Il c-c.TZ� C v � 26 0�7 ®•ilrLL. �� / �u T F f�'c►v�+rD Wit= 4T LF�4S i ► V° °► 8, S ��� � S� tS2 yo v oo' Lr C- z 1 ONSITE SEWAGE SYSTEM /" . . M4 AP PROVED '— --�EP�RT�IEN�F H�U&��1d8R-JINO MUMAt $WU111'tgN �"OM Of AN BUIIA VXiA� E CORRESPONDENCE 8884* 020 89 . � 6 � V WWI 11V * , A Tq L Page _ Of 406 ANA P STgY 01V g0 O Perforated Pipe Deloll , `�g0%Ilu..._ sy End Vlew )Perforole'd End Cop .1 PVC Pipe GO Holes Located On Bottom. S Are Equally Spaced S V PVC Force Main From Pump • �7 /P PVC ' Manifold Pipe DutnDulion Alternate Poslllon Of P:pe Force Main From Pump Lost Hole Should Be Neal To End Cop End Cop Distribution Pipe Layout P 3 R S • .I X �! �S Signed: Hole Diameter V-4 Inch Lateral Inch(es) License Number: P �� Manifold 2 Inches Date: Force Main �.. Inches • -i hilts gyp, P� 888" 020R9 t9 I 1 .. � �� x� � .. ¢•� ., •' , ,, a:' %:. .. I� Page — Of — Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medlum Sand G Topsoll F E „ D 3 MffE*WAE%4'MM » Bed Of Z— 2 %2 (Force Main _ Plowed Aggregate From Pump Layer APPROVED D Wk"T SIDNTRY LABOR A 4M� f A Mound System Using E 1 s ou A For The Absorption Area F J. Si ed: E A _ Ft. H B _47 Ft. 'License Number: �>�� j I 1 Ft. Date: J $ Ft. K 10 Ft. Alternate Position L Ft. of Force Main W 2$ Ft. L Observation Pipe �s �-- - - B - -- -- - - --- K AI--------�,-------------- ----------------------.I W I------�--------------- ----------------------»I Force Main — -- ----- ------- From Pump �Oistribution Bed O( i»— 2 %2 Pipe Aggregate Observation Pipe Permanent Markers OR, 9 Plan View Of Mound Using A Bed For The Absorption Area w. ..w.4 •.. _ �y fl J*A ON 9 A j'V PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP ..Z. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION box MANHOLE COVCK LS' FROM DOOR, IYMIU. IOOW OR FRESH I t INTAKE I GRADE I I 4 MIM. 7 1 e'M11l. CONDUIT -- _______ PROVIDE -- . IAILET � AIRTIGHT SEAL I III v I I I 'PROVED JOINT A ONSITE SEWAGE SYSTEM APPROVED JOINTS I 'C.Z. PIPE I III W/C.I. PIPE TENDING 3' ( II ALARM EXTENDING 3' ITO SOLID SOIL, e i �( . ONTO SOLID SOIL PPR I I oN OVEO • I I INDUSTR LABOR Ay0 N 4 Rl .Ev. Ft isION OF MAN NGS� --..—u' OFF 0 v SEE CORFiBQPGHQENB�` 14. 3 14C%4 RISER EXIT RMITr•ED ONLI IF TANK MANUFACTURER HAS SUCH APPROVAL tLovs.D / �eo1N4 E SPEC.IF ICATIOUS SEPTIC OOSE TANK MANUFACTU0.CR: M ICD IJeST �CXL S+ HUM BER OF DOSES: '4 TANK SIZE: -7 SO GA{LLOMS DOSE VOLUME ALARM. MANUFACTURER: '� l INCLUDING BACKFLgqOW: GALLONS MODEL NUMBER: A- CAPACITIES: A= INCHES R 313 92 GALLONS SWITCH TSPL: 5= INCHES 0 3 y GALLONS 7 Z PUMP MANUFACTURER: C. INCHES OR 2'2�'y�LLOUS MODEL NUMBER: ��� P O L D-0INCHESOR 11�{ GALLONS SWITCH TYPE: �� e, NOTE: PUMP. AND ALARM ARC TO bL MINIMUM DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 7'� FEET L ♦ MIAJIMUM NETWORK SUPPLY PRESSURTTE✓�. . . . . . . . . . . 2.5 FEET ' �' � � ♦ �FEET OF FORCE MAIN X 3' g F/oo FxFRICTION FACTOR.. 187 FEET B S 2 O Q TOTAL OyNAMIC. HEAD = _�_ FEET (7 ""11 L INTERNAL ►JSIONI; OF TANK: LENGTH ;WIDTH �/! ;LIQUID DEPTH ED: .1�L LICENSE HUMBER: a� DATE: SIGN �-- 03 �t„r►�s�'s,'i'�E,«''i ,e.-if\roc.. .�.��..v Bulletin CL2.1A July 8, 1983 • For Homes • Farms GOULDS • Trailer courts Model 3885 • Motels (Supersedes Model 3870) 0 • Schools • ' Submersible • Hospitals Effluent Pump Effluent Pumps • Industry • Effluent Systems Pump Specifications anywhere effluent Solids Handling Capability to 3/4". or drainage must be Discharge Size disposed of quickly, Semi-Open Impeller quietly and efficiently. 3 vane design,threaded on shaft.Three phase units use impeller locknut to prevent accidental back-off.Pump out vanes on backside of impeller for protection of mechanical seal. Casing Volute type for maximum efficiency. Stainless Steel Fasteners Heavy-Duty Solids Handling Series 300 stainless steel for corrosion Dependable Capability to 3/4n resistance. -4, Mechanical Seal I Ceramic vs.Carbon sealing faces,stainless steel spring and Buna N elastomers. Maximum Temperature 1/3, 1/2 H.P. 60 Hz J 1601 F. Capable of Running Dry Single Phase 115, 230 Volt. without damage to components. Motor Specifications 1h, 3/4, 1, 11/2 H.P. 60 HZ Motor Fully Submerged in high grade turbine oil for permanent lubrica- Single Phase 230 Volt. Three tion of bearings and mechanical seal and Phase 208-230, 460 Volt. efficient heat dissipation.Motor sealed from environment by rugged cast iron enclosure. Bearings T _ Heavy-duty all ball bearing construction. Stainless Steel Shaft Series 300 stainless steel for corrosion resistance. Threaded shaft. Single Phase Units All single phase units have built-in-thermal 90 overload protection with automatic reset. Three Phase Units 80 Overload protection in starter unit.208-230 or 460 volts.Threaded shaft 60 Hz operation. 70 Power Cord w Water and oil resistant. Epoxy seal on motor end 0 60 acts as a secondary moisture barrier in case of a damage to outer jacketing.Corrosion resistant = 50 gland nut. U Single Phase Units Q 40 Y,, S4 H.P. models equipped with 15'of 16/3 > SJTO with 3-prong grounding plug."t 1, 11,12 H.P. 0 30 models equipped with 15 of 14/3 STO power F, cord. O 20 48 2 SPECIFICATIONS ARE SUBJECT TOGAAKN6E nn tS 10 WITHOUT NOTICE. 00 10 21} . .30 ' 40 50 60 70 80 90 106 110 120 HGOULDS PUMPS, INC. GALLONS PER MINUTE SENECA FALLS NEW YOPK 13148