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HomeMy WebLinkAbout032-1059-50-000 c N O c n U O CL 0 .�� .Z y 7 O 0 O O a O E o•o y.c: -- I w Z U I C a CD my C00 C U OOj. j N N a) N Y X O =O y Z f0 7 N L c wavy. 1i c y °� 3 �' o m tv 3 cc o'a CD c °o CLo E c o Q caw8ZE ' M v z H z T N P z d m c 0 o wZN g d Z +"' .O M T a) Z E N Cl) •� I � � CO 7 N N 0zz z I z , GO E N R J 1 21 d a U) c ° ! o D % a` 1C9 °— ZT ' � � 2 3000 z • ;� � aaa CL a�i N o O y E 00 N C}- C co Z T T �V T N 0 N cl� O O -0 E 3 L 030 c 0 O m N N � d Q Z cn m Oo ° LO H e E v a 0) o V O o o c :3 N of Lo w M N V :+ "30 N N E 2 n °' °' c c a> ° ° • M GV O CO O H O .� 'c T O O N U) U T O Z c Z � I U e° 2� € d to €m a ... C .V d d E ; 3 _1 A loo 11 2 i0 to 0 +.F I k Parcel #: 032-1059-50-000 07/07/2005 08:38 AM PAGE 1 OF 1 Alt. Parcel#: 22.31.19.296A 032-TOWN OF SOMERSET Current X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): *=Current Owner KEVIN D&PAMELA J VIEBROCK "VIEBROCK, KEVIN D&PAMELA J 1 SO 20 RSET WI 54025 Districts: SC=School SP=Special Pr ope r s): `=Primary Type Dist# Description *5 205TH ST '� SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 5.010 Plat: N/A-NOT AVAILABLE SEC 22 T31 N R1 9W NE SE LOT 1 CSM 7/1811 Block/Condo Bldg: EZ-UT-1509/510 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 22-31 N-1 9W Notes: Parcel History: Date Doc# Vol/Page Type /23I M7 874/ 07/23/1997 0/337 CS 2005 SUMMARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/23/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.010 58,000 242,600 300,600 NO Totals for 2005: General Property 5.010 58,000 242,600 300,600 Woodland 0.000 0 0 Totals for 2004: General Property 5.010 58,000 242,600 300,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 149 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form - S T' C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER t<,GtfYjFS / TOWNSHIP �S'�i /E/�s 7- SEC. ,?2 T 2N-R W ADDRESS 3 �,Q/,► E/ / ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H 63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM A C11 J" IR c AI E�f�t� h y�r goo G-,+c �'+�. ra ,:,4z� S. !3, pRt�� �fc�us� coven A-%67Y F&fir welt- F40ey /Fyy IWAfr v r srYSie/`7 INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: —T� _ Proposed slope at site: SEPTIC TANK: Manufacturer: " Liquid Capacity: Number of rings used: = Tank manhole cover elevation: 1661141 ' Tank Inlet Elevation: Tank Outlet Elevation: !2/A g,Z Number of feet from nearest Road: Front,w Side 10 Rear, O jeo fe From nearest property line Front,O Side o Rear,O Number of feet from: well 5 building: j (Include this information of the above plot plan) ( 2 reference dimensions to se PUMP CHAMBER Li uid Capacity: (� Manufacturer: q Pump Model: J�/� /�3 Pump/Siphon Manufacturer: ��fC(�� Pump Size Elevation of inlet: 9J.4i, Bottom of tank elevation: X 71 96— Pump off switch elevation: Fool ,Z q Gallons per cycle: 192 Alarm Manufacturer: TAAZg 7' Alarm Switch Type: c-'aK Number of feet from nearest property line: Front, O Side, O Rear,0 Ft. Number of feet from well: D(/.—/t '60 Number of feet from building: 3 2 (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: X Trench: Width: Length:_ Number of Lines: Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, Rear,0 Ft Number of feet from well: /LOCI-Y�- Number of feet from building: yD (Include distances on plot plan) . EPAGE PIT e: Number of pits: Diameter: Liquid epth: Bottom of seepage pit elevation: Area Built: Has either a drop box or distribution box O been used on of ,the above soil absorbtion sytems? (Check o HOLDING TANK Manufacturer: apacity: Number of rings used: evatio f bottom of tank: Elevation of inlet: Number of feet from arest property line: Front, Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: J0--1 p W� Plumber on job: License Number: 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR 8i HUMAN RELATIONS P.O.BOX 7.969 PRIVATE SEWAGE SYSTEMS DIVISION MADISON,WI 53707 BUREAU OF PLUMBING NE_14-,SE%,S22,T31N-R19W 2CONVENTIONAL ❑ALTERNATIVE State Plan l.D.Number, Ilf igned) Town as Someue Holding Tank ❑ In-Ground Pressure ass Mound 5,gned) 34 205th Avenue NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Jama Catcube2 303 Gah �e2d Avenue Som 0—a —9 y a 1,30 BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV. Name of Plumber: MP/MPRSW No Cnunty: $amtary Permit Number: Garay L. Steed 3254 S Cno�x 112782 SEPTIC TANK/HOLDING TANK: f MANUFACTURER: LIQUID CAPACITY TANK INLET ELEV. TANK OUTLET ELEV. WARNING LABEL LOC IN COVER PRIDED IDED: PR VIDE D: BEDDING: VENTDIA.'. VENT MAT! HIGHWATEH ❑YES ❑NO ❑YES ❑NO NUMBER OF ROAD PROPERTY WELL BUILDING: VENT TO FRESH ALARM FEET FR©M LINE AIR INLET: ❑YES ❑NO ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING: LIOUID CAPACITY PUMP MODEL PUMP,SIPHON MANUF ACTIMER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER...OF ':PHOPEHTV WELL BUILDING JVENTTOFRESH (DIFFERENCE BETWEEN FEEL FROM LINE AIR INLET PUMP ON AND OFF) ❑YES ❑NO NEAR1:$T----««�Ir SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORCE Nr T+ ulnnaE rE H MATT HInL nND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until the soil is dry enough to continue.) MAIN CONVEN�yTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO OF DISTH PIPE SPA(;IN( COVER NSIDE DIA apITS LIQUID THENCHFS MATERIAL: P1 pEPTH: DIMENSIONS GRAVEL DEPTH - FILL DEPTH UISTH PIPE UISTH PIPE DISTR.PIPE MATERIAL NO DISTH NUMBER QF PROPERTY WELL: BUILDING'. VENT TO FRESH BELOW PIPES ABOVE COVER EI EV INLF f ELEV ENU PIPES LINE. AIR INLET: i EET FROM _ NEAREST----i► 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- ❑YES ❑NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PFHMANI NT MAHKF HS OBSERVATION WELLS _ ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH BED DEPTH OVFR TRENCH BEU UCP7I1 OF TOPSOIL Sr1DDED SFE UFD MULCHED CENTER EDGES ❑YES. ❑NO ❑YES ONO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BEC3fTFENCH WIDTH LENGTH TR EOCH ES LATEHAL SPACING GRAVEL DEPTH BE LOW PIPE FILL DEPTH ABOVE COVER [DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL NO DISTH DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING - ELEV.. ELEV. CIA. ELEV. PIPES DIA ELEVATION APfG3' DISTRIBUTION INFORMATION !HOLE SIZE HOLESPACI NG D Ii I L L E D C O H R F C T L V COVERMAT EHI AL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET'FROM LINE: ❑YES ❑NO ❑YES El NO NEAREST . Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: Zoning Admt.nZs�aton DILHR SBD 6710(R.01/82) C'ILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05,Wis.Adm.Code St. Groix °•�...�...o. STATE SANITARY PERMIT# o 7 —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. S88-03334 —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES 3E] NO PROPERTY OWNER PROPERTY LOCATION James Carufel NE %4SE '/4, SW 22 T 31 N, R 19 Xj(or)W PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER IBLOCKNUMBER SUBDIVISION NAME 303 Garfield Ave. n CITY,STATE ZIP CODE PHONE NUMBER 0 CITY NEAREST ROAD,LAKE OR LANDMARK O VILLAGE: 205th.ave. Somerset. Wi. 154025 1 (715 1463-3914 Ril rQ,31-II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family 1 OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a.E 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. ❑Conventional bX❑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. yL'TSeepage 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): 34 375 375 102.04 Feet 6aPrivate [:]Joint ❑ Public CAPACITY VI. TANK Site Mnks n allons Total ##of Prefab. Fiber- Exper. INFORMATION ew xisting Gallons Tanks Manufacturer's Name Concret Con- Steel glass Plastic App Tanks structed Septic Tank or Holding Tank x 1000 1 Weeks D.P. ❑ Lift Pump Tank/Siphon Chamber X 800 1 Weeks C.P. ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Signature:(No Stamps) /MPRSW No.: Business Phone Number: Gary L . Steel 3254 715 246-6200 Plumber's Address(Street,City,State,Zip Code): Name of Designer: 988 N. Shore DR. , New Richmond, Wi. 54017 VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# Gary L. Steel 2298 CST's ADDRESS(Street,City,State,Zip Code) Phone Number: 988 N. Shore bdr. , New aRichmond, Wi. 54017 715 246-6200 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Iss ing Agent Signature(No Stamps) Approved ❑ Owner Given Initial charge Fee Adverse Determination 1-20 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 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 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 8#B� included the creation of surcharges (fees) for a number of regulated practices which Wisco can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried T$8SI3l�3 is used in your building is returned to the groundwater through your soil absorption e sy'grem 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} ES Location of Property _! w � Section 1 N-R11— W Township So F►i tae Sit Nailing Address D k .� Address of Site Subdivision Name S►�1 g� ( d Lot Number I i d Previous Amer of Property L L. 1_ ( S 1-4 V :E Total Size of Parcel O Date Parcel was Created -96 _ 'R 7 M < Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? yes No Volume end 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 refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION T It�e) CeAti6y that a.0 a-ta,tement's on .thiws ohm cute cue �o the be�sx o m hnvwtedge; that i (we) am (ahe) the Own en(A) 06 the pnopehty ducAi.bed6inythiA , i"601ma.ti.on 6o,#Lm, by viAtue 06 a waAAanty deed neeoreded in the 066.ice 06 the Count Reg.c4.ten 06 Deeds ass Document No. ,�� cRun .the phopoaed bite 6,,, the Sewage di�spoa a e em andlthat I (we) pneaen,t ty "heme'u. -to nun with the above deticAibed no y ( (we) have obtained 06 an syd.tem, and the dame has been duty neconded to the�066iceho6 the County nReg.ia.teA o6 Veed&, a6 Ooeument No. ) . GNATURE Olt OWNER SIGNATURE OF CO-OWNER (IF APP C LE) DATE SIGNED DATE SIGNED e.i G'♦ y Y.+.p.'.. ♦ • ..as. •. •...a..•• s•. .....•...• •...s.•..w. ..�........:: .......... .... ...... ...... ..-..., aaA _ fta ab aim Gnaw.!wt a vaUsabb I ba:..... .,...,...� ............. ..�. ................. x .. :wa..ai m t...Csiu........... 1 ,#oft st Vbma"i tij-0 t1) and Two (Z) of the Certified Survey Mlep fl a sto Roil County Register of Deeds office on Msy ,li, - 7 9,f- Cerrtified Survey Maps on Page 1811 as ; E►. 4*4M4i b4ing a part of t e Northeast quarter of tM¢it of of) of Section Twenty-two (22) , f.� T 1111M 1- MortA,, Range Nineteen (19) Most. „ �U_ Updm r a" am am sari sbpbe do buvfts MOts a w ep)wTtsaaaess wig trit � �/W4�h fM da* ............... nd few .....d d@W of Msiui ou^aiilj aM wW warrant am Mew the Haan. lam: I).eM . .............. lath..............._........ der of .. ...... ... .. May. ... .... ............................ If.;•R '~ (SEAL) _ .. ... ., <-f Tra Viii 4 Hary eux µ- . . ... .... ...................... # a � , (SEAL) _ ................... .. .........; .•.•. 2" � v .. AOTURNTIOATION AOSNOWLS04188 ? , ... liSasotiuo(s) ..HcrVkeux............. STATE OF WISCONSIN as mtieatsi Ob .18...dq oi.......... Y........ .. If.$ /�p�pr am bdoeo as Ab _ -r, .......................................................................... ._. '/ //.' 1f.1 .�(�1y�w ar • ... .. .,.. .. .. ....•. ................... . . •.a...TIM, ry .�AIYY r ...Not Public Public ,... ..,: �. d ?Kft W6.State.) �-...._k... .. .,..,+,.. ,�9.. ....�� the p9mm f MIfM. p;TMMENT WAS ZMA"90 sr ^t ... _.... » .1t ��..� $CHUI!UICfiER, . . w .-fir Reri tags Dative S.. C. S� Fix i.�.s. A m.!,'�. ... :�,o i.,.n.,5;ai7.... . ... ... rT Pub Neste i�r`l"be wtbsatiwtted or adcaowfed)cedr Wth My carom is` perm (if date: ...1.0. .S, z # lit PI NO iu W M#ftft Obw M be tfFwd or bakw dMb o mm rM. c o CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE} OF THE SE14 OF SECTION 22, T31N, R19W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. Wi corner unplatted lands-owned by others --------------- --- E} corner Section 22 centerline 661 Town Road - N8805215511W Section 22 T31N, R19W (210th Ave.) _ _ _ J T31N, R19W County Monument S8905715911E _ County: Monument East/West } line — — — _ 6.2 9 N88 0 52155"W 29 r -• cn N O- N d r to o C' r n o z 6 1 Co y 0 N ° C) C" Y co rt rt O L O 7 d W ....v ........ O cn m �-. C 11 :0 o . . x a N o 0 0 e C-) c-') o f -n UD 1+ r- O N - � C C W c0 rt O O O� m cc m o • to m I O sy m 1-0 O \ \ to N a. I rt O Im _ vl LOT 1 rt I A 0 M 0 I C O 0 N 1 7 IN o 296.671 CD ID to �, i z N89 05715911W I CD 01 co I� 10- 329.671 CS o ID- ml 1d I� 1 SCALE I N FEET rt r I T ap I I O O O 1 0 200 100 0 200 22 OI NI rt N A O O tT 1 a O O . r n N O I O+ I O v1 i C LEGEND ° rt 0 111 x 2411 Iron pipe weighing C--i n w rt 1.68 Los per linear foot, set. � O r ►•• r Cn z a CM co 1 OWNER Willis Harvieux Route 1 LOT 2 i �I Somerset, Wi. 54025 133 m 297.13' N89°22'n711W south line of the NEJ of the SE} 330.13' unplatted lands owned by platter 4 t .:• • Ll SE corner i Section 22 County Monument this instrument drafted By Douglas Zahier job no. 80-05-187 a4po uabsqAN •0 uaTTE1 • muss buTddsui pup buTAaA-:ns u2 xTOJO •qS 30 A4UnOD aqq 3o aousuTpap suoTSTntpgnS pupZ aqq pup sagngsq paSTnag uTSUOOSTM aqq 3o V£ • g£Z aagdpgo 3o suoTSTnoad quaaano aqq ggTm paTTdwoo ATTn3 aneq I 4eg4 !pagTaosap pup paAanans Aaepunoq aOTaagxa aqq 3o uoTgequasaada.z 40@1100 e sT deW AananS paT3T4aaZ) sTg4 gegs, ° p:ooaa 3o qua-wass-a aaq o TTs oq 4oaCgns pup dsul tuc spuoS umcv, 707 r:_,- } -4gbTa 04 40aCgns ST Taoasd pogTaosap anogv •6uTuuTbaq 3o quTod aqq oq gaa3 ZZ - 6Z£ 'auzT piss buOTe 'S„6S- , LS-069S a0uag4 :auzT aagaenb-auo gsam pus gsea aqq oq gaa3 bV TZ£T 'S„O*I- , ZO- OON aouagq '7aa3 £T • 0££ ' V/T SS aq4 3O �/T SN PT2s 30 auzT ggnos aq4 buoTs 'M„LO- , ZZ-068N aOuaLP : {,/T SS aq4 30 V/T SN pTSs 30 aauaoo SS aq4 oq 4aa3 L9 'SZ£T ' 6/T SS PTes 3o auzT 4sp9 aq4 buoTs 'S„60- , 00-0 00S aouagq !uoTgdTaosap sTg4 3o buTuuTbaq 3o quTod aqq buTaq osTs aauaoo piss 'ZZ uo. -4 piss 3o aauaoo 6/T S aqq qs buTouawwoo !SmOTTo3 se pagTaosap aaggan3 !uTsuoosTM AqunoZ) xToa:) •qS '40saawOS 30 UmOs 'M6TH 'NT£Z 'ZZ uOT40aS 3o b/T SS aq4 30 . t/T SN aqq 3o gaed uT pa4uOOT pupT 30 Taoasd v : SmOTTo3 sp pagTaosap sT paddpw pup paAanans Taoasd pusT aq4 3o Aaspunoq aoTaagxa aq4 4pg4 :dsW RananS p9T3i4a9' ST44 Aq paquasaadaa sT goTgM Taoaed pueT aqq paddew pup pagTaosap paAanans ansq I 'xnaTnasH sTTTTM 3o uoTgoaatp aqq Aq gegq A;Tgaao Agaaaq 'aoAananS pU2q uisuoosTM paaa4ST6aa 'uabpgAN •0 u91TV ' I 3S�'�I3IS2iS� s�2iox�n2ins z EA H �. a STC - 105 r, a SEPTIC TANK MAINTENANCE AGREEMENT ry+ St . Croix County z d a OWNER/BUYER �j ROUTE/BOX NUMBER p� (f Fire Number CITY/STATE ME-L 9K S iJS ( ZIP Lj q � Z � PROPERTY LOCATION : �, Section,,� Q T 3 ) N , R W, Town of �C� ( , St . Croix County, Subdivision Lot number 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. y 0 C I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein , as set by the Wisconsin Depart- 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 . SIGNED �� DATE �.►a� �0 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 I,NDUST�iY, C DIVISION BOX HUMAN NDATIONS PERCOLATION TESTS (115) MADISON WI 7969 (H63.090)&Chapter 145.045) LOCATION: SECTION: TOWNSHIP/QTY: OT NO.:BLK.NO.: SUBDIVISION NAME: NE 11 SW4 22 Al N11�9 L(or)W Somerset r n/a n a n/a COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: St. Croix James Carufel 1303 Garfield Ave. Somerset USE DATES OBSERVATIONS MADE NO.BEDRMS : COMMER IAL DESCRIPTION: PROFILEDESCRIPTIONS: CATION TESTS: s 3 n a �IVew ❑Replace ( 5-31-88 6-2-88 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 CAS ❑U ❑S�U [:]S Z]U ❑S �U mound If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b),indicate: n/a Floodplain,indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 10 AMD2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTHjp4 ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 5.59 100.25 none 2.34 50bl.1. .92bn.s.sil. .92bn.s.1. 1.75bn.mot.s.l. 1.50bn.s.1. B_ 2 5.34 100.25 none 2.84 .67bl.1. .67bn.s.sil. 1.50bn.s.l. 2.50bn.mot.s.1. B- 3 6.42 101.04 none >6.42 .67bl.1. .75bn.sil. 5.00bn.s.l. B- B- B- '. , PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RA.' INUTES NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P P]=RR INCH P-1 00 nonp '10 -40 P-2 r� P- 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 102.04 io,r_ fs E )°3 s � [ E J 24E C_ Q,._ I o e : i -° - i _4_ ( I,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(print): TESTS WERE COMPLETED ON: Gary L. Steel 6-2-88 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): 988 N. Shore Dr. , New Richmond Wi. 54017 229Q 715-246-6200 CST S I G NtAJAJ RE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) -OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SRD - 6395 To be a complete and accurate soil test,your report most include. 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 1 MAXIMUM number of bedrooms or commercia= use planned; 4. Is this a new or, replacement system; b. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT 13ASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Dravving to scale is preferred. A separate sheet may be used it desired; 3. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 0. Co m,Note all appropriate boxes as to dates,narnes,addresses, flood plain data, percolation test exemp- tion, if appropriate; 10� If the information (such aas flood plain,elevation) does not apply, place N.A. in the appropriate box; 11. Sign the forrn and place your current address and your certification number; i2, Make legil:ale copi£xs and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Sail Separates and Textures Other Symbols st - Stolle (over 10") BR bedrock cola Cobble (3- 10„) SS - Sandstone gr - Caravel (under 3") LS - Limestone. us _ Sand I-1GW - High Grourldwater cs Coarse Sand Perc - Percolation Rate need s - N!"diunt Sand ftt . . 4Ve11 fs Fine Sand Bldg Building is Loamy Sancti > - Greater Than sl - Sandy Loam -- Less Thai) 'I Loam Bra - Brovvn �sil - Silt Loam Bi - Black s€ - Silt G Gray mac, - Clay Loam °r' - Ye11ovv sci - Sandy Clay Loam R - Red sic I -- Silty Clay Loam mot - Mottles Is - Sandy Clay. VI,trr vvith ti sic: - Silty Clay fft -"�ew, fine, fain, Clay cc common t a rs 2 � pl. - P-„t .rn€ - Ma€ y, mo£iuln) m Muck d dlstillCt p - :prominent h*'G'V L - i-lig4 water level, Six general.soil textures sue face waier for liquid waste disposal BM - Bench Mark VRP Vertical Reverence Point Jr TO THE OWNER; Th!s soil test report: is the first step in recur nc}a sanitary permit.The county or the Department may rectuest rct�,fi a:lava of this soil test in the tield pz,iol to permit issuance, A complete sei cap plans for the private sk�ovaqa ;yste€ra and a pear-nit .applir:ai,"Hon must be sul>rraitted to 2fua approprlal= local aaatlmvi`y ill order to hkta tr' a tsC''t"r [.:. 'Tile r.3td ;PC y" (1<'riYttt tl"iust be ohtained and poste (ariol to Inc tart of ally c'C7i;SIFUC 100. now . s " k ST. CROIX COUNTY WISCONSIN ZONING OFFICE ' ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 (715)386-4680 August 5, 1988 Division of Safety and Buildings Bureau of Plumbing P. O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the James Carufel property located in the NE 1/4 of the SE 1/4 of Section 22, T31N-R19W, Town of Somerset, revealed suitable soils at a depth of 2.34 feet, below which high groundwater was noted. This site should be suitable for a mound system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, Thomas C. Nelson Zoning Administrator rc . ~ ^ ` =� State N� Wisconsin Department of Industry, Labor and HU[O@O Relations SAFETY m BUILDINGS DIVISION PRIVATE SEWAGE PLAN APPROVAL Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7069 Madison, Wisconsin 93707 GARY L STEEL Owner: JAMES CARUFEL 988 N SHORE DR 303 GARFIELD AVE NEW RICHMOND, WI 54017 SOMERSET, WI 54026 RE; Plan Number: Date Approved: August 39, 1088 Gallons Per Day: 450 Date Received: August 11, 1988 Project Name: CARUFEL, JAMES — RESIDENCE Location: NE'8E,22^31^ 19W Town of SOMERSET 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 in 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 mite. 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: — NEW MOUND Inquiries concerning this approval may be made by calling (008) 260-0056. Sincerely, JOEL W. BECK On OF Section of PrI���m Sewage Division of Safety and Buildings PPP031/0809n/10 cc: JAMES CARUFEL —_.Private Sewage Consultant __- CountV ___UW-SSWMP ___Plumbing Consultant ___Owner ___Plumber _-.—Environmental Health SBD-6423(R.10/87) s i Mound system S88 - 03334 for James Carufel NEA4SE4 S22-T31N-R19W Somerset twonship, St. Croix County Paages #1--------plan approval application #2--------St. Croix county verification of soils #3--------soil data (115) #4--------plot plan-plan view #5--------work sheet #6--------system cross section #7--------pipe lateral layout #8--------dosing chamber #9--------pump curve ary L. Steel 988 . Shore Dr. New Richmond, Wi. 54017 MPRSW 3254 8-8-88 WistionsinDepartmentoflndustry, ONSITE SEWAGE SYSTEMS Officeof 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 mound Street Address,P.O.Box#or Rural Route Project Address or Legal Description 988 N. Shore DR. NE4SE4 S.22,T31N—R19W ; City or Village State Zip Code City ❑ County New Richmond, Wi. 54017 Village ❑ of Somerset St. Croix Telephone No.(include area code) 715-246-6200 Town :F] Designer Name of Owner James Carufel Telephone No.(include area code) Telephone No.(include area code) 715-247-3914 Street Address,P.O.Box#or Rural Route Street Address,P.O.Box#or Rural Route 303 Garfield Ave. City or Village State Zip Code City or Village State Zip Code Somerset Wi. 54025 2. APPLICATION FOR: ❑ Experimental a 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 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 10.00 h. 1,001- 2,000 gallon dose chamber $ 50.00 i. 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 $1 10.00 I. 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: 80.00 s. Priority Plan Review: Enter same amount as Subtotal Total Fee: 80.00 SBD-6748(R.04/88) NOTE:Fees are pursuant to Wis.Adm.Code,Chapter Ind.b9,and OVER are subject to change annually.,.-, ST. CROIX COUNTY 1 ri WISCONSIN ZONING OFFICE ST.CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 (715) 386-4680 August 5, 1988 Division of Safety and Buildings 8 ® 3 3 3 4 Bureau of Plumbing P. O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the James Carufel property located in the NE 1/4 of the SE 1/4 of Section 22, T31N-R19W, Town of Somerset, revealed suitable soils at a depth of 2. 34 feet, below which high groundwater was noted. This site should be suitable for a mound system. Should you have any questions regarding this subject, please feel free to contact this office. sincerely, Thomas C. Nelson Zoning Administrator rc DEF'ARTMEIVT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS .-INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 7969 HUMAN RELATIONS (H63.09(1)& Chapter 145.045) LOCATION: T T0WNSHIP/y&VM0b=TY: LOT NO.:BILK.NO.: SUBDIVISION NAME: NE 11 S44 22 /Th N/119 Lor)W Somerset I n/a I n/a I n/a COUNTY: OWNER'S BU R'S NAME: MAI I ADDR SS: St- Croix James Carufel 1303 Garfield Ave. , USE DATES OBSERVATIONS MADE N TO : sidence New ❑Replace 'MOFILE DESCRIPTION : ON TESTS:;5--31-88 3 n/a 6- — 8 s RATING:S-Site suitable for system U-Site unsuitable for system 88 CONVENTIONAL: MOUND: IN-GROUND-PRESSUR : S STEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional) E]S ®U C,iS ❑U ❑SOU ❑S :FLxlU I ❑S 0 11 mound 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: n/a Floodplain,indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 10 AM2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH NUMBER DEPTHW ELEVATION OBSERVED EST.HIG HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- 1 5.59 100.25 none 2.34 50bl.1. .92bn.s.sil. .92bn.s.1. 1.75bn.mot.s.1. 1.50bn.s.1. B. 2 5.34 100.25 none 2.84 .67bl.1. .67bn.s.sil. 1.50bn.s.1. 2.50bn.mot.s.l. B- 3 6.42 101.04 none >6.42 .67bl.1. .75bn.sil. 5.00bn.s.1. B- B- B- PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEV L-INCHES, RATE MINUTES NUMBER AFTERSWELLING INTERVAL-MIN. PERIOD 1 PMOD 2 PERIOrr PER INCH P- i P- 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 102.04 fob )t f r - -3 - - - I t n-- --I - I -1-- -- -- - - - - _ ► _ _ _1 _ -- -- -- _. _ - TH I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(print -- TESTS WERE COMPLETED ON: Gary L. Steel 6-2-88 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional): 988 N. Shore Dr. New Richmond Wi. 54017 2298 17,15-246-6200 CST SIGN RE: DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — N� 33 � a-3 z 5::'�'qv s- S88 - 03334 11 e 1 1 D [ 0 1000 cap t v�IV1 A-r A- l O c5 ' �o ' S ��n -►�-►n r< Arz- 83 . ► o A'mb kLt0- 3=1SC4A(4 Al a's �*NAtiO N ANUS � �a v s�`v E� r► EQ�' �� Q►��5�� R abs��p�p� Io oo' 3 �jy,KtS 0 e,1 u7 p.P� Iz � it c 1 i�.•ti r Of w . 4 OPTIONAL WORKSHEET .S 88 - 03334 /� 11. IN-GROUND PRESSURE SYSTEM-Continued- 1. MOUND SYSTEM 1. Wastewater Load,Total Dally Flow= �,SO gal. 10. Fora Main: Use s. ILHR 83. 15 (3) (c) Minimum Dosing Rate■ In. Adm.Code and PROVIDE A DETAILED Diameter - - 11. Total Dynami c Head: LIST OF SIZING ON PLANS. 3..••• System Head= 2.5 ft. 2. Depth to Limiting Factor■ ft' Vertical Lift= `4 ' ft. 3. Landslope■ �- % Vertical ft. 4. Distance from Doss Chamber to [ Friction Lose■ Distribution System■ ...a.�i7 ft. TDH■ + it S. Elevation Difference Between � 12. pump Selection: A Pump and Distribution Sylvan' ft. pump '1111 discharge at Imt_.s2. _ 9Pm 6. Absorption Area Sizing: � �r7` at.7:..r R.total dynamic Mad. Area Required■ =_G.`� eq.ft. Pump model andufacwrsr: Bed or Trench Length(B)■ .- ft• �/ ©�u° Bed or Trench Width(A)■ ft. 13. Doss Volume: i Trench Spacing(C)' "' ft. D Times Void Volume of :2 e0W. 7. Mound Height: Distribution Lbtes■ Fill Depth(D)■ _.L_. it. Daily Wastewater Volume+- Fill Depth Downslope(E)■ '-3 It. 4 Doses in 24 hrs.■ 11 L gal. Backflow■ gal. Bed or Trench Depth(F)■ f it• „/2/. �• gal. Cap and Topsoil Depth(G)a ft. Minimum Dose■ Cap and Topsoil Depth(H)■ r ft. 14. Dose Chamber: S. Mound Length: Volume■ g�• End Slope(K)* •�--= ft. Total Mound Length(L)■ ft. 111. CONVENTIONAL PRIVATE SEWAGE SYSTEM 9. Mound Width: 1. Wastewater Load,Total Daily Flow■ gat• Upslope Correction Factor■ ' 9�.� Use s. ILHR 83. 15 (3) (c) Upslope Width(1)= ft. Adm.Code and PROVIDE DETAILED Downslopt Correction Factor= LIST OF SIZING ON PLANS. Downstope Width(1)_ . / ?.. ft. 2. Required Septic Tank Capacity■ gal. Total Mound Width(W)■ ft. 3. Percolation Rate■ ndnjin 10. Basal Area: 4. Absorption Area Sizing infiltrative Capacity of, j-" Refer to Table 2 V IS IF 83 Natural Soil= gal./sq.ft./day and PROVIDE D LISA OF p SIZING ON PL Basal Area Required= .�L sq.k• ` Basal Area Available= �� sq.ft. Required Area ft.ft. t f t. 11.: If Standard Tables from Chapter ILHR 83 Length= are';'used, Indicate Table # _. Width= F Ii For the Distribution Network,Use Numbers 3.14 In Section 11. Number of Tre Trench Spa fig■ ft. 11. IN•GROUNO PRESSURE S. Distribution stem: 1. Depth to Limiting Factor= �.., ft. Lateral ength= ft. 2. Landslopt_ 3 % Num r of Laterals= --�- 3. Percolation Rate■ ~� min./in. Laeral Spacing■ ----�- �• ■ � ft. Distance from Sidewall to Pipe■ ..�.�..�in. 4. Proposed System Elevation S. Wastewater Load,Tout Dail Flow: System Elevation ft. gal. ■' ---- Use s. ILHR 83.15 (3) (c) , W s• Adm.Code and PROVIDE A DETAILED tV. S/TEM4N-FILL LIST OF SIZING ON*PLANS. Fill In All Items from Section III Required Septic Tank Capacity 0 O gal. V. SEPTIC TANK 6. Absorption Area Sizing: ������ 00 O gal. Percolation Rate■ _.Z. min./in. 1. Capacity' ^ F ,1 Area Required= �-�- �•ft. 2. Manufacturer: LJ ►i Ri �OtiQC's'" t_ System Length= 7 ft. 3. Show Site Constructed Tank Details on Plan System Width■ ft. - 7. Distribution Pipe Sizing: \ VI. DOSING TANK oo }` Hole Sire■ in. 1. Capacity= gal. 2. Manufacturer: L Hole Spacings ft. Lateral Length• -- fl. 3. Pump Manufacturer: _ ._ l.alcral More • in. 4. Pump Muxlcl: �3 11. 3. Operating Head= ft. I.alvral Spacing YZ gpm. Uistancr from Sitlrwall•lu I'llxe 2 - In. b. ; Plow Site= N. Distribution Pipe Discharge Kate: 7. Show Site Constructed Tank Details on.plans Number of I loles Per Pipr 1 low Per Pipe r Z '`Z gpm. VII. IfOI.U1NG I•ANK-' 1. Capacity gal. 9: Manifold Sizing: = i ��..... Type(center or entl) . 2'. His Length= ,��_ ft. 3.--5" to Constructed Tank Details on Plans Diameter= 2- in. -SHOW ALL INFORMATION ON PLANS- w....w fw..�7t. /w w11=•f1 • Page _ Of Straw, Marsh Hay, Or S t7 Synthetic Covering Distribution Pipe Medium Sand H G Topsoil t SYG����ysS� F E „ p SO 3 -t O'�s, % Slope Bed Of 2 %2 Force Main Plowed La er H�t.1 Aggregate Y D GS N80R L0� D Ft. �Na Z F DIE?A EN� �V�s�o�'o GE Cross Section Of A Mound System Using E L, 3 Ft. QNO�N A Bed For The Absorption Area F , 79 Ft. A ES? G Ft. O _L E G E 8 /� A �_ Ft. H 1. 5 Ft. Signed: 4. 0 B ,Z Ft. License Number: LyL✓t• 2.:"'-/ K /O Ft. Date: L .&17 Ft. 9 Ft. W ;Z c7 Ft. — L Observation Pipe---,,., B K A �«----- --------------- --------------------- I Force Main W -- ---- Distribution Bed Of Pipe Aggregate Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area i I 4 ',Yr- Jv .r A Page _ Of ' S88 _ 03334 Perforated Pipe Dotoll End View Per forele0 / End Copt+ PVC Pipe HOW Leeeted On 9otforn, 000 HOW Are Equally =paced YS . t S i E s V DN R� M wEU'n ■ " UA � P e R � A � • T 2F 1NDUSrtAY. �' S � DEPAR Of lVt�lDN Last Ha. S wtd Be S E CO OtNg)ENC Next To End Cep, Distribution Pipe Lo P Ft. S 3' X 3G Inches Y -3 (,0 Inches Hole Diameter Inch Signed: �.� Lateral I yz Inch(es) license Number: Inches Date: 7 -.zy -8 > Force Main Inches # of holes/pipes�� Invert Elevation of Laterals Ft. . • � _ !�� �,i3 �� - � 4 +'.�.a �. a —_ . i �I I • - PAG I CF PUMP CHAMBER CROSS SEC T IO1J AND SPECIFICATIOAIS VEMT CAP 888 - 03334 ,(C.I. VENT PIPE APPROVED LOCKING WEATHER PROOF JUAICTIOAI BOX MAMHOLE COVER � 25' FROM DOOR, w��Pr,n�v5 -abck N WINDOW OR FRESH I2"MIU. AIR INTAKE GRADE COAJDUIT -- ---------- I8"MIN. ' E I ---- IAILET ifs IGHT SEAL . y� APPROVED JOINT A OAS I III �ol� APPROVED JOINTS W/C.=. PIPE 1r/ O I I I( EX EUDIAIG 3' EXTENDIAIG 3' ALARM ONTO SOLID SOIL P� OIJTO SOLID SOIL pf � a� 1►A W\pN �E? V --� P—� OFF ' D �G A CONCRETE BLOCK RISER EXIT PERMI-fED OWLU IF TAUK MAAIUFACTURER HAS SUCH APPROVAL SEPTIC E 3 P C IFICATIOtJS DOSE. TAAJKS MAtJUFACTURER: �t 5 �,�(��� IJUMBER OF DOSES: PER DAU 1 6 TAMK SIZE: Boo GALLOMS DOSE VOLUME OW� �^I� Qr� ,� INCLUDING BACKFL 2 �-- GALLONS ALARM MA►JUFACTURER: MODEL ►DUMBER: CAPACITIES: A= �'� I►JCNES Op, 3 GG GALLOAIS SWITCH TYPE' B= -INCHES OR GALLOAJS PUMP MANUFACTURER: w� C= 'S'`5 INCHES OR �Z 'z GALLONS MODEL MUMBER: CUs D- " INCHES OR 7 GALLONS rA SWITCH TYPE: E-y6,LA--V MOTE: PUMP AUD ALARM ARE TO BE MINIMUM DISCHARGE RATE ��'� GPM INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEU PUMP OFF AND DISTRIBUTION PIPE.. �y"zS FEET .Z , Z� L j°��-th + MIA1lMUM NETWORK SUPPLY PRESSURE , . . . . . . . . . . 2.5 FEET Z + FEET OF FORCE MAIN X °7' 3 /oo FLFRICTIOU FACTOR. FEET Z TOTAL Dy?JAMIC HEAD = Z 11 FEET IAMTERRIAL DIME to fb OF TAUK: LENGTH ( ;WIDTH c ;LIQUID DEPTH ! rn p lzs c� �,L SIGUED: - -Q- LICENSE KlUMBER: 3 Z Sr DATE: • - ` / A�5) .. t a, 4'1 tj r M` k���ir.�.. �� ��lt �r� �t�. y gBy` p v� _ R, ' ` y �. � � .� . .c� r., �,M%, .y' _ • M- M MEN NEON M ��■i■■■�■.sue®■�:■■�■i■�■,■�■■�■�■■i■� ,�.r__......,._--- �".1'.,1�!■!!!!!�!!ill�i�i■���:�`���®■►poi■■■ "�'`•"�.t:... ' �1■®■■i■I��■■■��■\viii slily■®■ D EEO MENNEN Ira ��■■■■■■■■■■■■■■■■ MODEL SIZE /4v Solids MENOMINEE IMMIMMEMENIM ' ®■■■■■■■►�■■■■■VEI■■■■■oii■i