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HomeMy WebLinkAbout020-1153-60-000 o } / \ % _ 0 c \ E f ) m £ 2% cn ® ° � 0 ` °� a m §) %±' } [ ).'D o Q 0C =0 A 2 a Cc 0 , R =_ SCL_ m + ¢ f§$\f/ § :2:E is= � — mccu Gea= o coo e } 8§220« e c. e z 6 coƒ r -2Ll k) / E § ;i\kE k « $ >= c= E' 7 @ )2258 § , n � « z } \ \ 0 � Z - § 2 § % (L to \ 0 z + \ k $ ® z ! r � o � ) G � \ k k � '• z � . 0 _ E k t CL . 0 d 2 a IL -0 k 0 o V) U) U _E £_ \ \ k K k a- 5 ) - t 2 2 a § � j \ § \ \ k } p � 2 o a » ¥ o \ § f ° / U) a n , _ 2 § % 2 I = § o LO 7 \ ) @ ( \ \ 7 § e k ° o * n [ w a 0 o - k a � � � § @ 8 'a f \_ ~ § § , § ) = & 2 o N I » 0) o z 3 z 2 2 2 � / « E \ . % ƒ - a E C § � k 3 a 2 o k u CAL VTCKERMAN MOU\ND/ 1987 BOB ULBRICHT V �'� a 3 -3-o� /• �C ( _ r i \ 7 7 00 C5_ c� J Q i ST. CROIX COUNTY WISCONSIN 1;77ip ZONING OFFICE ST. CROIX COUNTY COURTHOUSE r ? = 911 FOURTH STREET • HUDSON,WI 54016 (715) 386-4680 EXISTING SEPTIC SYSTEM AFFIDAVIT The existing septic system which serves the dwelling being added on to must be inspected by a licensed soil tester for compliance with high ground water and/or bedrock seperation requirements as set forth in s. ILHR Chapter 83 . 10(2) WI. ADM. CODE. The results of that inspection must be made available to this office. If the existing septic system meets these minimum requirements, and is properly functioning, an addition may be added to the dwelling without updating that system. This addition must not, however, encroach upon the required septic system setbacks as setforth in s. ILHR Chapter 83 .10(l) ."G� /J j Property Owner(s) ( 1/�/ !n Property Mailing Address: Property Legal Description: Lot#—Z j�o _CSM/Subdivision �0,4 64 P 1/4-'�F— 1/4, Sec. , T. N. , R. W. , Tn. of Uc� 04 I, as the owner of the above described property, hereby affirm that the septic system serving this dwelling meets the above referenced state private sewage system codes. I realize that this addition may cause the existing septic system to become undersized for a dwelling of the resulting size, and I will make this information available to any future parties interested in purchasing this property. Notary Public Subscribed and sworn to b fore me this date: Signed- Date: -' My commission expires: County Approva -7-9—.95- DZe a PUMP CHAMBER G0 iFSeX CpvG�C�-C. 7SU FADS M Manufacturer: Liquid Capacity: Pump Model: 20elk4- Pump/Siphon Manufacturer: Pump SizewF e O Elevation of inlet: � 'g`� Bottom of tank elevation: 'I<P 'e4 o / Pump off switch elevation: d ,, e; per cycle: Alarm Manufacturer: AeVeC 0414-& Alarm Switch Type: �p•SiD Number of feet from nearest property line: Front, ®Side, O Rear,0 Ft.� 5 NNumber of feet from well: awl 4O� 1A) 7— umb �.�........,:� . Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM ROZIA-I 49 s Bed: Trench: Width: G Length: % Number of Lines: Area Built:�� -ii J. Fill depth to top of pipe: I �y 416 . 49 Number of feet from nearest property .line: Front, O Side, O Rear,O It 4 --•-+ ;.. Number of feet from well: T 1-y Number of feet from building: 7 (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bott of seepage pit elevation: Area Built: Has either a drop box or distribution box O been used on of the above soil 4" absorbtion sytems?L"(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 Side, O Rear, OFt............ � , Number of feet from well: Number of feet from building: N Number of feet from nearest road: Alarm Manufacturer: 3= Inspector: /3 / O J l V Plumber on job: Dated: License Number: ,wAS1 fE SEPTIC PLUMbIMG CO. d 1.3 O'NEIL RD.,HUDSON,VAS 54016 ROBERT ULBRICHT -,*ASTER PLUMBER LIC.NO.3307 M.P.R1 3/84:mj +4TALLER&DESIGNER LIC.NO.00663 r I _ Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT ��� OWNER "���CK��C/y lJ TOWNSHIP SEC. 2-3 T 2-7 N-R / W ADDRESS �T-' ST. CROIX COUNTY, WISCONSIN i 13RVZF� I-,v- SUBDIVISION A0A, 1/.11/E LOT I �+' LOT SIZE Z 4- Of«f 1 . PLAN VIEW Distances and dimensions to meet requirements of I•LUR 83 y! SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM `)3ew - 3/y 120 cK - wAsA4 . T`I PAP -rvP o-F .2. N AN FoIJ Top of :pesr. P'pis 9G•P� �;�� . �y3 pq wiArpj .x.001 FT'• 13 � � BADS ' )(� iNueRTS of �� p f6.PO� 40 �UN(� - . , tbA,,��;h OF ,�� --- ys '0- sck . fv 3 fo iees- Ami o { ago ' 9 S4 q 30 INDICATE NORTH ARROW F ii i! BENCHMARK: Describe the vertical reference point used G- 15 S' - / G Elevation of vertical reference point: 00' 0 / Proposed slope at site: SEPTIC TANK: Manufacturer: 60/E3•e-A- Liquid Capacity: Number of rings used: --5_ Tank manhole cover elevation: 9 T PLO Tank Inlet Elevation: 'go %Q. Tank Outlet Elevation: Number f feet from nearest Road: Front, J(O Side 10 Rear, �Q� , 0 feet From nearest property line Front,©Side,ORear,0 feet. �7 06/1 iV o r Number of feet from: well /A) & T , building: 1 (Include this information of the above plot plan)( 2 reference dimensions to septic tank) E 'VERSE SIDE DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR& HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.BOX 7969 MADISON,WI 53707 BUREAU OF PLUMBING SW14,SE4,S23,T29N—R19w JC2 CONVENTIONAL ❑ALTERNA statePlanl.D.Number : (If assigned) Lot 16 Fox Valley ❑Holding Tank ❑ In-Ground Pressure tD<Mound Town of Hudson Ift NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: INSPE I N A E: Cal Vickerman 1476 Osceola St. St. Paul., MN 54016 BENCHMARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN REF.PT.ELEV.: CST REF.PT.ELEV.: Name of Plumber: MP/MPRSW No County: Sanitary Permit Number: Robert Ulbricht I3307 St. Croix 96002 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ❑NO DYES ON BEDDING: VENT DIA.: VENT MATL.: HIGHWATER I�UMBER0 ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: � �,FROIaJI LINE: AIR INLET. ❑YES ONO EYE S ❑NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES NO DYES ❑NO I DYES ❑NO GALLONS PER CYCLE: 1PUMPAND CONTROLS OPERATIONAL VIER OF PROPERTY IWELL: BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FEEL i� LINE AIR I NLET: PUMP ON AND OFF) ❑YES El NO NARE$T SOIL ABSORPTION SYSTEM.Check the so moisture at the depth of plowing FORCE LE il NGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH. NO.OF DISTR.PIPE SPACING. COVER jlN1lD1 DIA.. *PITS: LIQUID Ei?" #y� Fi TRENCHES MATERIAL: PITT DEPTH: GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR " !PROPERTY WELL BUILDING: VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV.INLET END: PIPES: FEET FROM LINE: AIR INLET: _ NE"ARESIIT MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- ❑YES NO meets the criteria for medium sand. TIONS MEASURED. ❑ SOIL COVER ITEXTURE PERMANENT MARKERS: OBSERVATION WELLS 1:1 YES ONO 1:1 YES F-1 NO DEPTH OVER TRENCH/ ED R TRENCH/BED DEPTH OF TOPSOIL. SODDED. SEEDED. MULCHED: CENTER. 1:1 YES NO 1:1 YES ❑NO DYES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH. NO.OF LATERAL SPAC ING GRAVEL D TRENCHES: EPTH BELOW PIPE: FILL DEPTH ABOVE COVER: 4 MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. JDISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING. ELEV.. ELEV.: DIA.: ELEV.: PIPES. DIA. �a� : IC' ¢67FATI HOLE SIZE HOLE SPACING. DRILLED CORRECTLY. COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED lit PLANS: DYES 1:1 NO ❑YES ❑NO COMMENTS. PERMANENT MARKERS: OBSERVATION WELLS: y� PROPERTY WELL: BUILDING: INU E t7)E.. ,,LINE: FEET: M ! ' , DYES ❑NO DYES ❑NO 111NEAF . ; Sketch System on Retain in county file for audit. Reverse Side. GNATURE: TITLE L . DILHR SBD 6710(R.01/82) Zoning Administrator SANITARY PERMIT APPLICATION COUNTY �/J �DILHR In accord with ILHR 83.05,Wis.Adm.Code - e "—I` X 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. 7— 03& 0Z —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES o PROPERTY OWNER PROPERTY LOCATION I GAL- V I`C//L �,�i-.t/ � '/a �7 '/a, S 42UMB , N, R ` EPROPER OWNER'S jv1AILl C Aft EFS _ LOT N�MBER BLOUBDIV ION NAM I`t 45 CITY,WATE I ZIP COD�� PH NE NUMBER CITY NEAREST ROAD,tAWffT"'l!*WMARK hij VILLAGE: ll � QG 11. TYPE OF BUILDING OR USE SERVED: /112 G. O&J. do?O --Ila—I�eQ— Od Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. New b. ❑ 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 b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy ei?<Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. Seepage Bed b. ❑seepage Trench c. ❑ Seepage Pit 2. PER OLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): 6 3 S 3 / S r Feet Private ❑Joint ❑ Public VI. TANK CAPACITY Site Fiber- Exper. in gallons Total #of Prefab. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete strr cted Steel glass Plastic App Tanks Tanks Septic Tank or Holdina Tank El El 1 Lift Pump Tank/Si hon Chamber 0 VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the att ached plans. ?:01111 P umber's Name(Print): ��$ Plu is S' natur :(No Stam -AQP/MPRSW No.: Business PhongNumber:�� o cgr AWS �V 0� ?/s 3Qp 0- Plumb��``s Address(Str t,City State,Zip Code): Name of Desi ner: 3 �tngF1L t/ ����✓ elf, �yf1/ VIII. SOIL TEST INFORMATION // Certified Soil Tester(CST)Name R s G� �G� T CST# Z Z a, CS ADDRESS(Street,City,State,Zip Code) ��. �G/ / Phone N e� p6 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved tary Permit Fee Groundwater ate Issum gent signature(No Stamps) r%, XF&o e Fee Approved Owner Given Initial dO l b Adverse Determination (J LN 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 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 A R �� s e,4 Location of Property ;4, Section Z 3 , T Z N-R W Township H U flS O.J Mailing Address P 4 f 73A, Q L A L14�/ cJ P fO-J 57 �;7 Addres of Site Jr /y 76 d SC i--o /A- f=�, S S /OS Subdivision-Name 0 X Ul� Lot Number Previous Owner of Property Total Size of parcel Date Parcel was Created Are all corners and lot lines identifiable? � Yes No Is this property being developed for resale (spec house) ? Yes No Volume _?,_ and Page Number j 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) cent 6y that att Atatementis on this 60nm ane tAue to the beat o6 my (ouA) k.nowtedge; that I (we) am (ane) the aw .fl o� Wy dan bed in .tW in6o maxion 6oA.m, by viAtue o6 a anty deed newnded 'n the 046ice o6 the County Reg.usteA o6 Deeds as Doc ev�t Na. ��Z` an that T (We) pte4entty own the pnapobed site fah the age di,bpod dyes em �o I (we) have obtained an easement, to nun with the above d � d PLLo ,'ion the con�st ucti.on ob said .sy.6tem, and the same ha3 been duty necoaded in the 046ice o6 the County Reg-usten o6 Veeda, ad Document No. ) , SIGNATURE OF OWNER SIGNAT CO-OWNER (IF APPLICABLE) ;DATE SIGNED DATE SIGNED z H 9 r ST C - 105 a H SEPTIC TANK MAINTENANCE AGREEMENT ~' o St . Croix County z to OWNER/$4YZR. � ROUTE/BOX NUMBER Rf • I B_4y14_,05AFire Number CITY/STATE k3cuo L101 C, ZIP Sw 5� 222- , T Z� N , R l W, PROPERTY LOCATION . '� Section, // �, Town of #Upf o,--,/ , St . Croix County, Subdivision �/C 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 H three year expiration. o • z I/WE, the undersigned, have read the above requirements and agree E, to maintain the private sewage disposal system in accordance with H the standards set forth, herein, as set by the Wisconsin Depart- 'b 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��S�7 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 . k, ST. CROIX COUNTY WISCONSIN Air- ZONING OFFICE y P u F ' 796-2239 (HAMMOND) P. r` 425-8383 (RIVER FALLS) HAMMOND, WI 54015 May 26, 1987 Division of Safety and Buildings Bureau of Plumbing P . O. Box 7969 Madison, WI 53707 Dear Sir : An on site investigation for the Cal Vickerman property located in the SW 1/4 of the SE 1/4 of Section 23, T29N-R19W, Town of Hudson, St. Croix County, revealed suitable soils at a depth of 3 feet, below which seasonable high ground water 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, O ky1&t G Nz t 4 can I(IC, Thomas C. Nelson Zoning Administrator rc WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING P.O. BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of St. Croix Location sw 1/4, SE 1/4, Sec. 23 T 29 N, R 19 xgx"" W Town or Municipality Hudson Street Address 1476 Osceola, St. Paul, MN 55105 Lot No. 16 , Block Subdivision Fox Valley Landowner's Name: Cal Vickerman The application for this site is for: ® new construction use. ❑ replacement system use. If this is NEW CONSTRUCTION USE, the alternative private sewage system is: ❑ to have one of the first five approvals guaranteed for this year. This is number - - of those applications. (Use one of the first five quota numbersi ssuec7 to you.) rx1 one of the applications needing a quota number. The quota number assigned to this application is 59 - 10 - 8 ❑for one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. ❑for an individual lot for which a sanitary permit was issued but was later ruled unsuitable due to new or changed soil criteria established by the department. ❑for an application on file prior to February 1, 1980. ❑for a lot that meets the criteria for a conventional private sewage system. If this is a REPLACEMENT SYSTEM USE, the alternative private sewage system is replacing: ❑a failing conventional soil absorption system. ❑ a holding tank that was installed and in use prior to February 1, 1980. ❑ a privy that was installed and in use prior to February 1, 1980. If this is a REPLACEMENT SYSTEM USE and the lot meets the criteria for a conventional private sewage system, check here. ❑ I certify that the above information is true and accurate to the be-st df my knowledge. Name Thomas C. Nelson Signature County Official Title Zoning Administrator Date May 26, 1987 DILHR-SBD-6158 (R 12/82) STATE OF WISCONSIN-DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS - BUREAU OF PLUMBING P.O. BOX 7969 - MADISON, WI, 53707 APPLICATION FOR THE USE OF AN ALTERNATIVE SYSTEM Location: Township/Municipality: SW 3% SE 141S 23 IT 29 N/R 19 0DW W Town of Hudson Street Address: Subdivision: County: 1476 Osceola, St. Paul, MN 55105 Fox Valley St. Croix Landowners Name: Mailing Address: Cal Vickerman 1476 Osceola, St. Paul, MN 55105 I (We) , the undersigned , hereby make application for an alternative system on the above-described premises. I recognize that the above premises are not suited for a conventional private sewage system. If approval is granted , I agree to have the system installed in conformance with the Bureau's approval of plans and specifications. I further understand that an alternative system is more complex in nature than a conventional private sewage system and as such will require detailed inspection during construction and monitoring after the system is put into use. I agree to permit both county officials charged with administering county sanitary ordinances and Bureau employes or other authorized persons to have access to the above described premises at any reasonable time for the purpose of inspection the construction of or monitoring of the system. I further agree to either personally or by my agent contact the proper county official to arrange the time and date to begin construction of the system. I understand that this application does not permit me (the applicant) or my agent (the contractor) to begin installation. If the system is approved, the Bureau will send the applicant a letter of approval which authorizes construction of the alternative system after all necessary permits have been obtained. I agree to give notice to any subsequent buyer that an application for an alternative system has been made and if installed, that the premises are served by an alternative system and further agree to give the buyer a copy of this application. The Bureau accepts this application subject to this understanding and subject to all the conditions and obligations set out in this application. Signature of Applicant Date STATE OF WISCONSIN Subscribed and sworn to before me SS. COUNTY OF This day of 19_ Notary Public, State of Wisconsin DILHR-SBD-6413 (N. 05/81) My Commission Expires: U'I LOS — 1� �E SAFETY& BUILDINGS ',�L TEST OF ti�w DIVISION Tlbi'ENT OF REPORT ON SOIL BORING'S AND ,�2 ?9S, P.O. BOX 79669 -RY, PERCOLATION TESTS (115) Pmc MADISON,WI 53 I AND PE �3,o f- �c.p�t N RELATIONS (H63.090) &Chapter 145.045) TOWNSHIP OT NO.:BLK.NO.: SUBDIVISI11O''N�ii�E: TION: SECTION: o SHII ! FOX V 1/4 1/4 Z3 /T 29 N/R// E( r) MAILING ADDRESS: C j�A�l �� �5•110-5 S NAME: NGnO/x OWNEC� /c,6E,PII /4,4/ �/ 7�P ('SCEDI� J 1- l K DATES OBSERVATIONS MADE LATION TESTS: �l1_ Qf�- S83 PROFILE DE RIPT O-N7S: �1/ �S - 11700' NO.BEDRMS.: COMMERCIAL DESCRIPTION: XNew Replace /ti/�y �3 �q 0 / / Residence 3 /J61So� s r, C(ZOl X GOV N 1'Y� M y 13 l q 8� 7 ' 'TING:S=Site suitable for system U=Site Nnsuitable for sstem Z D 1/J Cr tional))NVENTIONAlzbiL. -GROUND PRESSURE: SYSTEM-1®ILLHO�ING®NK:REM O� YSTEM:Iop ❑S as au a S U DESIGN RATE: If any portion of the tested area is in the her— f Percolation Tests are NOT required Floodplain,indicate Floodplain elevation: order s.1-163.09(5)(b),indicate: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER INCHES TO BEDROCK IF OBSERVED (SEE I ABBRV.ON BACK.EXTURE, AND SEPTH ELEVATION OBSERVED EST. IGHEST //O, 8N-yy s�,, /�G , (;a 5 1,33 �KfX a NUMBER DEPTH 1 N, D U 3..0' S( , 7�0.7f!D 3•o' 3. o yE/!sw Si j (pODDIED war kT B-/ 3, y r M' �Ny 3N co-u5 5 RY SE SS,-po oiH L5 r(y 6, ' 330,.r h Ko*S 6R,c'o 0U1 R2 S e w/ Si iI t.. "0 ' 2 6 ,�r 9G,oZ 3, d oko s� U oo(� S I Y E//o S C I B- a ya 60 B_ Nois S /•0I J I'ST' B-3 v' yz� 2 ` two B- B- s �•/�,Fj/o,�5 Q� /° PERCOLATION TESTS RATE MINUTES Sc,�F G DROP 1N WATER LEV L-INCHES PER INC IME PE OD 2 P R TEST DEPTH , WATER IN HOLE TEST L-M 2 NUMBER INCHES AFTER SWELLING INTER AL-MIN. P�RiOD 1 S.3 P- P- S, 3 G P- P-- S-3 " 4 P- l!--_ .cation on the plot plan. Show the surface elevation at all borings and the direction and percent PLOT PLAN: Show locations of percolation tests, soil boring the dimensions of suitable soil areas, Indicate scale or distances. Describe what are the ori- zontal and vertical elevation reference points and show their S 0 D p�CK l o jE R f Nc u- „ f( 3O of land slope. �it7%�k. SAO 1) - U" E- , '4 I` SYSTEM ELEVATION 4 1 II S�iRi rr .o 1 i des S n _Sp ajj _ _ en _tL t Ian IM , T * a r 7 �........-T 4 4, + q _.T— —J _ _ I the undersigned,hereby certify that the soil tests reported'on of the tests are correct ma to the best of my'knowledge ief. methods specified in the Wisconsin Administrative Code,and that the data recorded and the location TESTS WERE COM��iD O : � NAME(print): „ ,HOMESITf SEPTIC PLUMM 16 CERTIFICATION NUMBER: PHONE NUMBER(oPtional): ADDRESS: ROBERT ULBRW 2t 00.2,— wf/6 100 nfi $*R PLUMMER LIC.NO.3307 M.P.RI CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. —OVER — DILHR-SBD-6395 (R.02/82) REPORT ON SOIL BORINGS & PERCOLATION TESTS 115 PLOT PLAN Project I.D. HOMESITE SEPTIC PLUMBING CO. U LEGEM Al.iWNEIL RD.,HUDSON,NNS " ROBERT ULBR04T k p O - Ba c kh o e ?'its ♦ MS MASTER PLUMBER UC.Na 3317 MPU 9Rk�C &UhO)3S MINN.INITALER&KSIBNERUC.MO.No X = Perc Locations C.S.T. 2482 Q = .Existing Well ® = Vertical Reference Point : 1'oP of Qko►aF pfi.0- BO's ` �- l 55- ► 4 F?evation of Vertical Reference Point O O O Lot Line 0 Nd, oor LsuE J �3 SCALE: l = 30 1 --3q- S/ p?-opoS" �3 PRo oseo T09- LrN o F (PLL Potty TS, N /f3 A. 94,sz 360 got lip ENCr P°sf W /0f coQa k (�;�� BRAP44 Y State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL SAFETY&BUILDINGS DIVISION Bureau of Plumbing 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 iiomEsi,rE SEPTIC PLUMBING CO. Owner: CAL VICKERMAN ROBERT' ULBRICHT RT. 3, O-NEIL RD. 1476 OSCEOLA HUDSON WI 54016 ST. PAUL -MN 55105 RE: Plan Number: 87-03602—S Date Approved: June 1, 1987 Gallons Per Day: 450 Date Received: June 1, 1987 Project Name: VICHERMAN,CAL Location: SW,SE,SEC_.23,29,19W Town of HUDSON lGounty, ST (33ROIX Fees Received (Priority Review)- 160.00 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 Bureau of Plumbing has reviewed these plans for private sewage system code requir,ements only. These plans have not been reviewed for the code requirements set forth in Section ILKR 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 (608) 266-3937, Sincerely, JAMES QUINLAN Bureau of Plumbing Safety and Buildings Division PPP012/0009w/21 cc: CAL VICKERMAN Private Sewage Consultant —County ___pw—sswmp Plumbing Consultant Owner Plumber Environmental Health DILHR-SBD-6423(N.04/81) 5 4 w PROJECT INDEX SHEET OWNER: ADDRESS: SITE LOCATION: kLftor5 Fox Sw x S� % Say . s 3 T- -f N, /� GJ r -row a PROJECT DESCRIPTION: S r. C (A, CO 0'41 '- T ES?r #oN off�'Ch I►su A 13, 1$ (,Off , R Y sT. c Roy X Ccq UNT�� Zo r�� .4-DI'-c►ai s TIZ+tTo+2 �P t mkt- Sots t hi2a:' URy 4 aof EDR 45 O PSf�M +4 c0 w�s-FEw�tT� A- New 3 � � � � •� Vow I'S ? IA jQeD . A Oew MOU4l7 sysTES "foR C0ljST1e T'ro,J I'S PRO pos�� 403 PAGE 1 . ,SLOT PLAN VIEWS PAGE 2. MOUND CROSS SECTION & SYSTEM PLAN VIEWS PAGE 3. PIPE LATERAL LAYOUT PAGE 4. DOSING OR SIPHON CHAMBER CROSS SECTIONS PAGE 5 . PUMP PERFORMANCE SPECS OR SIPHON SPECS PLUMBER: SITE EVALUATER/ DESIGNER HOMESITE SEPTIC PLUMfM16 M RT.3 0'NE&RD.,HUDSON,M&5101$ ROBERT ULBRICHT CIS,4*0 PLUMKR UQ NO.3307 MI+PRI ANN.iNSMLER&OESIGNER X.NO.OW I` DATE: SIGNATURE: 0 RE00EIVED ! o V i r rrujeu6 1.1). LEGEND * = Eackhoe Tits p v I► J Rh�� E�EUhTi0A1S . X Perc Locations ° = i;xisting Well 3 ® = Vertical Reference Point ; `ToP oi- phO''F P9�' 2 IOO : o ' F'_evation of Vertical Reference Point o ' - - L t Line S�� IpI�E DIED. =/oD•� CL J Ad I lo3' SCALE: ( = 30, NS`oF 9� Stfre 9PP,ea�fo 3 M hN ` 7S° s� pump 1 1 1 1 1 1 qg.o �000 APP�ovED POC S r COAXet7E CO O `- NkIDEa 'RcxK wfS. -o� I p�dy, `�_ SEGWfR 4 � I PRbQbSeD �, PROPOSED TOF j 3 Q�rDRM . 1 oma- of PLL '---- --- -- -- - - — potNTS�. ., E l��ario.� is 40A DEPA'i l�4LIM� C� iM ^r tp r,` � r 'i � 41 PROPbSED ., �1l.r� ,N kELATtO 3 IV L S r F.t', "� r, Well �u►�`� DIVISION O S�f=FiY`��D �J;LUt�4'LyryS SEE i pr � to 360 got � P�sf RECEIVED to i l( / f�iPiU� JUN 1 1987 PLOT PL A N -P6-. 1 o f �" II X Page Synthetic Covering Distribution Pipe Medium Sand G s y treM Topsoil 3 E o 30 X. Slope Bed Of Force Main Plowed Aggregate Layer D Ft. E /,,�' Ft. Cross Section Of A Mound System Using !, rt F F •75 Ft. or The Absorption Area G Ft. • A Ft. H � Ft �ryt °�fix• ., r i '' "t'k v ti� • DIEPAPTr EN'T V I11Tj S TFir , z r,� f ,� f ATV"/0 Ft. t sEL a Ft. t /.3 Ft. Force Main W Ft L Observation Pipe -K- AL---------------------- ---------------------•� Wto---- --------------- ----------------------•I Distribution Bed Of i� , Pipe Aggrega Observation Pipe Permanent Markers y" Pv� c�PPJacO s�Es� Roos . i Plan View Of Mound Using A Bed For The Absorption Area R a.CiVr-O JUN 'l 07 j. i Page 3 Of �oR !/�vuE fvfcv�ioa po,�iNb ��F39io DowN Perforated Pipe Detail �I - End View Perforated End Cap) �\eA PVC Pape ; Holes Locoed On Bottom, s Are Equally Spaced X s i P PVC Manifold Pipe TRL Distribution Position Of 3 Set,. -f p Pipe Force Main i Lost Mole Should Be { Next To End Cap End Cop Distribution Pipe Layout P 13 Ft. R �y s .3a-- pt.,WBING X 30 Inches Y Z� Inches t e " Hole Diameter yf Inch n �w Lateral " >: `` Tia! / Inch(es)' a� "ire, AtM �l1.fILi 11� i, j1�. Manifold 2- Inches tY U ,i+^ra+ ': ow:Sir Force Main Inches ? � # of holes/pipe �O iz Invert Elevation of Laterals 9 .49 Ft. i . ,rNv�gock sysrCM ejeVATjd&3 30 t /LI i,�v/:ti UAI Li�1�yE /�i9TE �� ',4TER 4 2 s NcA0 _ To TA 1. 06-rwokK 'DA's c4 kp�4 I"v4'r � , S HCA � FO CQ L�TEIP 5 t S 7Z M i RECEIVED JUN 1 1987 � sue. 40 1/0/p Uo/vwE f ,e y,� o f 3 ;5 y,rls PAGE: -Y- CF PUMP CHAMBER CROSS SECTIOIJ ANG SPECIFICATIONS VCWT CAP 'i"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING _lu 25' FROM DOOR, JUAICTIOM BOX MANHOLE COVER WINDOW OR FRESH 12"Mlll. AIR INTAKE '?"oojc A GRADE I _T ldf , I 4 MIN. Y COWDUIT -- 1 ------"--- Joe ---- INLET PROVIDE I ----- ��Ilt��ij�T�SEAL I I I III APPROVED JOIN A I(I APPROVED JOINTS W/C.I. PIPE I I I W/C.I. PIPE y pl' , ` ;:... EXTENDING 3 a k ,S r L ` �r I (I I ALARM EXTENDING 3' ONTO SOLID SOIL B � r� ,„ ^- :; �� h�... '" I ONTO SOLID SOL 01 =SW;� Oi >'U y 6ND : UILUI`%GS I I ON , $7 y C I , ELEV. FT. � � � 1 OFF .2 CONCRETE BLOCK RISER EXIT PERMITTED OWLy IF TANK MAIJUFACTURE:R HAS SUCH APPROVAL SEPTIC E S PE C I F I'CATI OLl DOSE. W IESER GCQEtf 'PROpuGTS 3 TANKS /NAUU FACT LIKE It: NAIPEa IJUMBER OF DOSES: PER DMI TANK SIZE: 7SO GALLOWS DOSE VOLUME LSD (/"� 17 ' ALARM MAUIIFACTURER: LLUE !_ AI/fRM INCLUDING 11ACKFLOW: 1&7 GALLOWS MODEL WUMBEK: D'V`L CAPACITIES: A= WCRES OR `3�—GALLONS SWITCH TYPE: MERCURY +I O*T' Z 3 8= INCHES OR ��W11.LOUS PUMP MANUFACTURER' 20 CE"E `� C s �'3 INCHES OR � GALLONS MODEL NUMBER: "J"' !1 14. . D=13.�J Z`�? INCHES OR GALLOWS SWITCH, TYPE: nERCuRy T�jjy aACK ;(o#'Ts TE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE-- 72-- GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEELI PUMP OFF ARID DISTRIBUTION PIPE.. QZ FEET TRpl* S>PEGS • + MINIMUM NETWORK SUPPLY PRESSURE 2.5 p . . . . . . . . . . FEET ♦ FEET OF FORCE MAIN X l_�O�F roo nFRICTIOLI FACTOR..— FEET 4 TOTAL DyWAMIC HEAD = f IMTERNAL DIMENSION& OF TANK: LE TH ;WIDTH �7.. LIQUID DEPTH A 51GUED: LICENSE WUMBEFt: DATE:_........ j u Iv 1 1987 i HEAD/ r ,r c;APACITY 32 ;� _ CURVE 30 100 95 xe 90 zs I I ' EFFLUENT eo MODEL MODEL 189 and < n 75 195 DEWATERING = 70 20 to eo D ss O 18 s0 MODEL 1183 MODEL f• 14 1N 12 40 35 10 MODEL 90 MODEL 157,139 tS6 SEWAGE and 8 xs DEWATERING 8 20- MODEL 15 MODEL 187 4 10 s W x MODEL m W 5 53,6155, S7,S9 xi 0 GALLONS 10 1 0 30 40 50 601 70 80 90 100 110 80 24 LITERS 0 s0 180 240 3x0 400 75 FLOW PER MINUTE I'I� 70 w 20 MODE 285 1B 80_ L D W 55 = 18 V 1% Q14 MODEL Y 29+ 72 �- 0 MODEL 35 O 10 293 MODEL F 284 -- MODEL 8 20- 2112 i 4 15 10 MODEL OELLE/P O. 2 5 x87,x88 _ _ 9 9260 ON MWtI>B Lan. GALLONS 10 xo 30 40 50 60 70 so 90 1100 110 120 130 140 i5o 1180 170 180 11fo P.O.Box 16317 ` Lou/swft Kw*wkcy 4016 i LITERS 0 so 180 240 320 400 480 580 840 720 (50)778-2731 FLOW PER MINUTE 1282'k 284" Cast Imn Series t -- -rp • Automatic or Non-Automatic. • 282 1h H.P.,1 Ph.,115V,200-208V or 230V NEAR J U IV 1611M 1h H.P.,3 Ph.,200-208V,230V or 460V a 284 1 H.P., 1 Ph.,200-208V,230V Mom xex xN 1 H.P.,3 Ph.,200-208V,230V or 460V F"t Meug1 607- Lcn. G81• td'• 9 Non-clogging vortex impeller design. 5 1. 130 492 1e0 Gel 10 3.05 95 380 158 599 • Passes 2 inch solids(sphere). 15 4.57 83 238 135 511 • Float operated submersible(Nema 6)mechanical 20 6.10 33 125 108 401 switch. 25 7.82 78 280 • Automatic reset thermal overload protection (1 1 30 914 43 163 Ph.models only). I LOCO vatw: 28 35 * Stainless steel screws, bolts, float rod, handle, ' guard and arm and seal assembly. Olifled a Upper sleeve bearing and lower ball bearing ' ca�,w�.�strw.ra running in a bath of oil. (� Ax«.AWOW "w6" 9 2"or 3"flanged discharge. NOTE:No UL fisting for 209-208vn Ph.Iwmps. Afwcury float switch"we availabb for am-automatic modal&