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HomeMy WebLinkAbout006-1039-40-000 0 > CD c 0 ts it ) � (D 0 z LL r- -0 Q) E A c) (D W E z 0 Z 0 (D U) I CL in E § t ; 2 \ � co 4) LD / k ) � k ) )m z CL CI-- MO) m a) CD M 0 ■ U) E m EL 0 z o o o IL IL IL IL m 0 CO 00 -1 0 U) (D 0) C)) (D z (D 7- 0 Cl ce) cc C,4 C,4 i;s �b " .0 E C, a a) :3 C: CL LO (D 00 U-) C) (A U) 04 U) C a C\l CD CL co ! ci 0 0 04 Cq 4c c6 12 T T I ce) CD cc 00 0 Z Z CD CD (D 0-4 Cb cl 9 E E E R 0) CN 0 C/) L: 0. \ � 2 ,0 Form - STC - 1 AS BUILT SANITARY SYSTEM REPORT dd �D OWNER 1')'t //e mu k. e r TOWNSHIP SEC. T3/ N-R �� W ADDRESS j � ST. CROIX COUNTY, WISCONSIN �.G•er �r� �J� � �- SUBDIVISION LOT — LOT SIZE C PLAN VIEW Distances and dimensions to meet requirements of I•IIHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM /' pl s d i i • � I / it 1 ! a u i i � 4 INDICATE NORTH ARROW Q/�1 I 01", BENCHMARK: Describe the vertical reference point used J�", �n��c"r �g 4 5'Q 40-1 Elevation of vertical reference point: /00 Proposed slope at site: SEPTIC TANK: Manufacturer: J* Liquid Capacity: Number of rings used: d2 Tank manhole cover elevation: � Tank Inlet Elevation: Tank Outlet Elevation: y Number of feet from nearest Road: Front,G Side 10 Rear, O 90 / feet From nearest property line Front,QSide,O/ Rear,O feet Number of feet from: well / (0 `i building: /,,Z / (Include this information of the above plot plan) ( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER • Manufacturer: 6L),2 e P Liquid Capacity: 5.3 !/ Pump Model: Pump/Siphon Manufacturer: e Pump Size '3 y^s Elevation of inlet: Bottom of tank elevation: $� Pump off switch elevation: ye. ©5 Gallons per cycle: / � s Alarm Manufacturer: Alarm Switch Type: 51�►`�/J?�rck t Number of feet from nearest property line: Front, O Side, O Rear Ft. Number of feet from well: /,3 g/ Number of feet from building: G C? / (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: G a"I' '��'Trench: Width: 1°� / Length: � 3 Number of Lines: 02 Area Built: it Fill depth to top of pipe: o?D Number of feet from nearest property line: Front, Side, O Rear,0irt .�3D Number of feet from well: 3 Number of feet from building: O / (Include distances on plot plan). SEEPAGE PIT 04 v Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one) . HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O O Side, O Rear, Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: —r— Z Plumber on job: License Number 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.,BOX 796,9 BUREAU OF PLUMBING IVIADISON,W 1 53707 State Plan I.D.Number: CONVENTIONAL ❑ALTERNATIVE (lfassigned) SW�, NE14,S 18,T31N-R16W ❑Holding Tank ❑In-Ground Pressure ❑Mound Town of Cylon NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECT ON DATE: d� Tom Hemauer Route 1, Box 40, Deer Park, WI 540076_��_ • U BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitar Permit Number: Byron Bird Jr. 3318 St. Croix 92+78 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ONO ❑YES ONO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING:jVENT TO FRESH ALARM: FEET FROM LINE: (AIR INLET DYES ONO DYE S 1-1 NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ❑NO DYES ONO ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING. V NTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) OYES ONO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH D AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: TRENCHES: DISTR.PIPE SPACING: MATERIAL: NSI DE DIA &PITS LIQUID PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR. NUMBER OF PROPERTY WELL: BUILDING: V NT TO FRESH BELOW PIPES. ABOVE COVER: ELEV.INLET.ELEV.END. PIPES: FEET FROM LINE: AIR INLET. N EA REST--► 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. OYES ❑NO OIL COVER ITEXTURE PERMANENT MARKERS OBSERVATION WELLS ❑YES 1:1 NO OYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED MULCHED CENTER: EDGES. DYE ENO DYES ❑NO EYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH: NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER. BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO.DISTR DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING ELEV.. ELEV.: DIA,-. ELEV.: PIPES DIA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING GRILLED CORRECTLY COVER MATERIAL P`ARfTSCAL LIFT CORRESPONDS TO APPROVED DYES ONO 1:1 YES ONO COMMENTS: PERMANENTMARKER r'' OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM Lr"E: YES NO ❑YES NO NEAREST cla Ske y tklo Retain in county file for audit. l do rev Ide. . 11 \ SIGNATURE: TITLE. �DILHRSBD6710(R.01/82) Zoning Administrator SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05,Wis.Adm.Code ESA CrotX DIL STAT�EISNITARYPERMIT# -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. -See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ❑ NO PROPERTY OWNER PROPERTY LOCATION a n. e a SuJ '/4 '/a, S T , N, R 16 E (or)g PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME �I ap O pca r I4 rt `— CITY,STATE ZIP CODE PHONE NUMBER CITY / NEAREST ROAD,LAKE OR LANDMARK ❑ VILLAGE: C Sr a h a Q&G L / II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): 111. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. ❑ New b. Replacement c. El Replacement of d. El Reconnection of e.El 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. ❑System- b. ❑ Holding C.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tan k V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. Seepage Bed b. ❑Seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): 1- 3 G/5 6 02 Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank Bp0 ❑ Lift Pump Tank/Siphon Chamber p0 ¢ C ❑ ❑ 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) MP/MPRSW No.: Business Phone Number: / r/ �- Aj� Plumffeft Address(Street,City,State,Zip Code): Name of Designer: VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name \ CST# zgp;r n �,rc� 0034/ 7 CST's ADDRES Street,City,State,Zip Code) Phone Number: ¢ 6g0 ( lS aG IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial r)l �rcchaarrge Fee Adverse Determination V 'v - 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 owners 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 Grounatef— included the creation of surcharges (fees) for a number of regulated practices which Wisco wi can effect groundwater. The surcharge: took effect on July 1, 1984. All of the water that Curled �r�asure is used in. your building is returned ti-r the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. 0 The monies collected through these surcharges are c edited to the groundwater fund adminis- ° tered by the Department of Natural Resources;. These funris are used for monitoring ground- f water, groundwater contamination, im;astigations an( establishment c` standards Cro indwate-, if's worth protecting. SBD-6398(8.03/86) 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 �, .n�S .F, Location of Property L-5,4_) 1% 19,' 'k, Section �— , T�/ N-R W Township C 0/-y Mailing Address e/c, 4ely V a Address of Site Subdivision Name . Lot Number Previous Owner of Property � lryi,4,� � g��,!-S Total Size of Parcel y6 Date Parcel was Created "--2,6 3 /9a 3 Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume S8 and Page Number 569 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 We) centi.6y that att 6tatement6 on thi.6 onm an.e true to the best o6 my (oun) hnowt.edge; that 1 (we) am (ahe) the owner(6 f o6 the ptopeh ty dens ch i.bed in thiA ,i.nhonmati.on 6onm, by viAtue o6 a wamant deed neconded n the 066ice 06 the County Regi,6ten o&Xe.edAas Vocument No. 3 i Sz�67 ; and that I (we) pheben.tty own the phopo6ed bite bon the sewage dispozat 6y6 em (oh I (we) have obtained an ea6ement, to nun with the above deacA bed pnopehty, 6oh the condtnucti.on o6 6a.i.d 6y6tem, and the Game ha6 been duty neconded in the 066tce o6 the County Reg.iaten o6 Veed6, ab Vocwnent No. 38z14�'7 ) . rl SIGNATURE Op OWNER SIGNATURE CO-0 ER (IF APPLICABLE) c�7 DATE SIGNED DATE SIGNED A. 9�/ z H a ST C - 105 r a !� H SEPTIC TANK MAINTENANCE AGREEMENT ~o St . Croix County z d OWNER/BUYER ROUTE/BOX NUMBER e . l ,C�7a' T� Fire Number CITY/STATE , Z I P PROPERTY LOCATION :,!SW 14, /1,E Section /S T 2 N , R W, Town of � �D� 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 . Ho E I/WE, the undersigned , have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart- v 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 . IV SIGN el XL—,-7-- DATE :F7 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, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS • I (H63.090)&Chapter 145.045) LOCATION: SECTION: ( )� NSHI MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: S /a /a ,6 / 3 /R/6 o Aq COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: y U �/F�� Oee-r 4Pai.- SL S'foc� USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS:1PERCOLATION TESTS: Residence _ _ ❑New RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) S ❑U [ZS ❑U S ❑U [:]S �U ❑S ill oe If Percolation Tests are NOT required DESIGN RATE: w I If any y portion of the tested area is in the under s.H63.09(5)(b),indicate: Floodplain, indicate Floodplain elevation: A0. PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) 0-7 N r n Q S y'� 2o R®�/61Y' -20 B- r — $y B- /y D'�G �`� o 7 '6r/-i7 v'jr r 2-a D �+ /S F- ?0 - g �� 62r B--3 B- B- B- 1 PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER IZSiW AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH P- 1 V D It L P- oZ .O 14 12 4 to P- oil G 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 i 35 Aa - o� � qF_. � __. :__ _ E _ , ._ �.. .. � __ �_ I C , _3 tN Y t t t 5 I E od �ro i_rkC. E r a lsr� /9-ve - 1,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative 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: n 49, � ADDRES CERTIF CATION NUMBER: PHONE NUMBER(optional): 03 '?f 7i s���6iy CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. DILHR-SBD-6395 (R.02/82) —OVER — J INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 , To be a complete and accurate soil test,your report Must include: 1. Complete legal description; 2, The use section mast clearly indicate whether this is a residence or cornmercial project; 1 MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete thf�suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used it desired; S. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent; 9 Complete all appropriate boxes as to dates, names,addresses,flood plain data, percolation test exemp- tion, if appropriate; 10. If the information (such as flood plain,elevation)does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and your certification number; 12= Make legit le copies and distribute as required. ALL SOIL TESTS MUST BE F=ILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob -- Cobble (3- 10") SS - Sandstone gr -- Graved (under 3") LS Limestone *s Sand HGVV High Groundwater cs Coarse Sand Pere - Percolation Rate rnced s - Medium Sand VV - Well fs -- Fine Sand Bldg - Building Is Loarny Sand ) - Greater Than �sl Sandy Loam < Less Than ul - Loam Bn - Brown Silt Loans Bl - Black si Silt Ley - Gray *cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sic! - Silty Clay Loam rnot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay fff few, line,faint I (: - Clay cc .._ common, coarse pt - Peat rnm Many, medium m - Muck d - distinct p - Prominent HV,'L - High water level, Six general soil textures surface whiter for liquid waste disposal BM Bench Mark VRP --- Vertical Reference Point TO THE OWNER: This so;6 test report is the first slap in securing a sanitary permit. The county orthe Department may request verification of this soil test in the field prior to per rnii issuance. A complete set of plans for the private aae sysienl and a perrnit application must be suhmitted to the appropriate local autltcari y in order to �)bl yin a P'rrrzit. The sanitary permit must. be.?r tarrlad and posted p,for to the start of any construction- L�_ �/ PLOT PLAN . , PROJECT / o // m //Z//7d4 eY' ADDRESS XY'I�X Oe D g4rrAa5�'l G 57/6 o�'7 5W 1/4 /� , 1/4/S/,�/T,71 N/RI6 W TOWN G� oh COUNTY ST- MPRS Byron Bird Jr. 3318 DATE — ?8" BEDROOM, CLASS PERC r �_CONVENTIONAL IN-GR D PRESSURE CONVENTIONAL LIFT_Z MOUND_HOLDING TANK SEPTIC TANK SIZE ova LIFT TANK SIZE -q Q o DOSE TANK SIZE HOLDING TANK SIZE ABSORPTION AREA � PERC RATE BED SIZE 1,2 X�� Benchmark V.R.P. Assume Elevation 100' Location of Benchmark _Tom o sr q " * H.R.P._'S.G�. Gore, er of o 2 0 Borehole Q Well Scale _ > _ Feet 0 Perc Hole System Elevation �f TYPAR COVERING 2" 12' 3' (D 6' 3' I 6" Sewer Rock i 12' c' /7-/04(5' r r,i So . Li A c � ,,Tag o � 6-j; '64 D� w �e- ,c ,300 i 6 / CAPACITY HEAD CURVE N - rW- tu .W 90a ( TOTAL OYNAWC NEADICAPACITY PER MWUTE ax v r'r i EFFLUENT AND DEWATERNA ___;_ _ SERIES 53•S7•Sf f7 137./3! 161 16S �•� EFFLUENT AND DEWATERING F, GAL L GAL 43 66 is 6, 61 SEWAGE AND DEWATERING l0 34 57 Tf 61 a1 24 `., —t -1 s 16 so 60 27 36 s• W. 25 • 57 56 22 w I ♦� ! 36 ss w ! ` so w ss so w 15 a 20 Et 70 30 163 MODEL LcA*V*v* —19 24S 2e —s6 -97 165 —+- �� I TOTAL DYNAWC NEADICAPncm PER MINUTE � � � � sEYw►oE AIO oEfNITER1NO 16 FT GAL GAL GAL GAL GAL s 106 102 130 ,SO rti- 10 so 72 95 ,st '% I is 20 a ss la 14 ,—_ _Y_ —__ 20 • 33 ,23 i `� 1 2S » 12 35 60 M DEL 1 - -_ so- 10 --1 IS Lock Valve I 16 1 21 1 26 1 34.5' S3' 8 MODELS M DEL MODEL 2184 • 4 MO EL 28 2 I MODELS 57 M DE MO EL 59 $7 207 i LITERS 80 160 240 320 400 480 560 0 FLOW PER MINUTE �J BUREP'U 3200 OM ffftwv Lwo MOrMrbdurvs 0/. . . © O Po. B°x 'K' LOUbvNN, Kentucky 40216 (502) 778-2731 vr[irr 4140's swv /934 " . PAGE z PLtMI CHAMBER ' BOSS 'SECTION AND SPECIFICATIONS s` r I•� •,3I ITT CAI 3 �� } PIPE APPROVED LCtCKIkIG . � � C.•, r , :, t ' 1rIRAT14CR' pKO " ''- FROM O0OIt� " JLIIJ 'C`►bt�! 8OX MAM14OL.E COVER � - V11400W OR FRESMI x AIR .AITAKE , ft�1 £ r r +ff Al DOT so u .. S , .err. lyl ifi.ILET 1 � �� r " ,x ''i"+�+F' . AgIR,TWT 'SEAL APPRbVLD JOINT PIp t WC. . PIPE E ENf�t1G 3` ALARM EXTEMJttJA1G 3' �r.04TO, $OLIO ONTO SOLID SOIL Ow W/p�1 , >a.N FT _� PUMP—...�, '•' OFF i � C04CRET`E bLOCY, r" IKISER EXIT PE}�MTTC D C9I�11w Ilr 7ALlK Y�IANWPACTURC�R HAS SUCk# APPROVAL »rSI�: Tic 12, ;" I TONS iF r v DOSt! _ F 7h Its' MAAlt1ACTURER` y' C NUMBER OF DOSES: PER DA# Gk ` s "TAAJ,K SrZ a z I � 6ALL171ti15 . DOSE VOLUME k�� r ,.,, �:, u,r INCLltOH�ifa 6ACKPLOMJ� GALLONS s MA#iU AMl kk f MODEL I.ILIM + t ' GAPACt7iES: A- as/INC14E5 OR �GALLONS �k r QWt"CCF! T P '. CFIEs OR GALLOMS "'1'l{11JUFACTU�tEiC. �, C�_rL lA1GHE5 OR ciALLOWS P ......J�.. Mbt}EE» ►JUMbER. �� p• -. IMCHES OR 692 GALLOWS °9WITC i4 `T WP"1:: .." ' 'G f G r :�10 LE: UlAp A1JD ALARM ARE TO bf. -.I�STALLED OM SEPARATE CIRCUITS � l `MI tJ��t�>� OIl�C1�1tt��SIG;�t+tA'"["I'-.�G 1►M 'jEKTJC#*I DI.PFEItENGE: l T IEE ! ptlt P QFP �t31 TR1�IJTIOIJ PIPE.. _ FEET >,tR11 lNtUM WCTWd1ZK "Ei1jPFLy . DRESS t E :.,�`. . ";�. ,� . . mg._. FEET '-; - -FEE { OF FORCE MA►I1 'K yt. YF[FRIC7't13R1 FACTOR.. FEET "Y"C7-A4r L. OAiAMIC HEAD FEET 1JJTEKLIAL. DIMEIJ510RIS OFD;TAIJK,•. L�R1ta'tH .....r.Zr_...;WIDTH .. LIQUID DEPT, . ` Parcel #: 006-1039-40-000 09/18/2006 10:53 AM PAGE 1 OF 1 Alt. Parcel#: 18.31.16.264 006-TOWN OF CYLON Current X, ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-HEMAUER,THOMAS E&BARBARA J THOMAS E&BARBARA J HEMAUER 2058 215TH AVE DEER PARK WI 54007 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *2058 215TH AVE SC 0119 AMERY SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 18 T31 R1 6W 40A SW NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 18-31N-16W Notes: Parcel History: Date Doc# Vol/Page Type 2006 SUMMARY Bill#: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 09/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 17,500 226,400 243,900 NO AGRICULTURAL G4 36.000 5,600 0 5,600 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2006: General Property 40.000 23,200 226,400 249,600 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 23,200 226,400 249,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch#: 512 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00