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040-1186-90-002
C c 3 0 ~ O el a O vi � C u� o Q a o ° I-0- Eo N C �O N -pp C O T N N _ S O N r O O o•E (p 0 > L U CON N N tt 3n M ° c $w n3 � mma» E F rn 0 c c o C > 0. w o a)� a� o$ 0- � � U � 0 N C N N � L... N y 0 D. C N U a o '3 3 c m o c a�i � -o c E � �6 ro - LL C ,L_ C �N O N O !' y � w p V N� a O.0 (u N O N O Qi F- N E w Z M r Z N rn Z ' O Q' a' .£ ` °Z° a m r(Oi I- U C O C N O 2 d C> 2 d O Z E P 2 Cl) J (D m Of �l 0 C ro a O Q Q w Z Z N o N J z m N C a O O y N C co i Q @ £ U N � l6 0 d O. w n N C (O V N d i C O O co c CL y � N LL O m FU- H H 0@ .v- N • a a a Z IL ° N s n n *i O o N O t� J U rn rn Z _ -0 v 0 ° a N o 0 r E CD a v 0 m z m P- 3 w Q 1� N U! C -p C Ln V O O O N C U CL ° °C.C C E C N N LC m 30 2 w C N Ln ICI r N >, N N N "d N C N O M F- 2 m O z InI Z Z 2 U O w E a C u a 2 0 in 0 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY&BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHI UNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: �/ �/ 36 TZbN/R 19E (or W "[''T.-Lo y COUNTY: QVNf R' UYER'SNAME: MAILINGADDRESS: S-T•GT2tJlX wP'bE A� STS N 7_1\LrLS USE DATES OBSERVATIONS MADE NO.BEDRMS :1COMMERCIAL DESCRIPTION: RI New E DESCRIPTIONS: AT O TESTS: Residence � •A IINew ❑Replace L!� � S-7 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 S u "ovlj� - Z9 ')c 67 ' ❑sou ❑ ❑s ®u ❑s ®u ❑ If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b),indicate: N• i\ Floodplain,indicate Floodplain elevation: •f� PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-11S CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH IAi, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B- ` r vhoTG� 3.Z-' �•u`Q�cer,sil�-s; �.�'t3n si\; 1•b' 6nsl ; z.z. ' 8n aq.-7 NOr.)� 'bE11JSE S r - rnoT@. 3.g ' 1TS; N-S' a»si I ; 1.&TZY) 31 ; -z.)� B>1 B- Z b. 3 qo.y � �eUse s I w/s71W-JGL-y B>n s s r r )vot�tr »� ©T` 3.(,� �.S'�Y-`fin si)TS; ti- a 118n S) ; o.-)' all S 1� N.S'�n B- 3 S-S' q b•3 ��wst %1 tv sT7wA/GG c TZ% "'*�k8n ter ro 1,3'��t 3n Si I Ts ,; s 1 w/etc B- L,! S,y r q Z.2' tvoYv , oT@ 3• s���GL �n►'rt a Q I , 'bzr Si ) TS; 8'Brsil ;z-t' =3nSl wv c B- rj S, 2 2. 3 1�01ti1�, to o� 2 .8 "6 y� s'rr�v►v 6 a o�i�v 7- a is r�u D s B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PER1015 3 PER PER INCH P_ 1 Z.Z� `1_ O 313 1 '18 1 �/$ 1 118 Z-7 P_ Z Z.6 N® 317 1 IS)/16 3 Z P- Zp NO 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 on1 the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. ��l)Y/I OF B� Gt S•^� ' l 1"�Cj E Cl \ SYSTEM ELEVATION 0-1I1-imt-in I t . ux ! , , A, OF 110 tN i � I � f E i � I f � � 1• J i F 1 N 3 ..__. _.__..__. _ ----- x 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. 2` NAME(print): TESTS WERE COMPLETED ON: I�R'cvtz w �i ADDRESS: 2 wj� � �� " t° "'• -, ERTIFICATION NUMBER: PHONE NUMBER(optional): ��.X .t_ , S76 ors-�t�S-olby T SIGNATU� r� DISTRIBUTION:Original and one copy to Local Authority,Property Owncr,.e4.4 T fe DILHR-SBD-6395 (R.02/82) OVER PLOT PLAN G; Scale Z Z 87051 PLUMBING 8h�1 - ��.too.o� c,�► ca�c�ETt_ �orrr�i�icrur�[C� BttSt oF-E�ECTR�e SE1�viG� QWC A, P R (6)"' VE uffift L11t ARTM.NT Cf 1NG�USjRY, LntOR AhtO MU IAN'REE..RT10,14S r)I V!S I 01,A 0 SAS ! R SUl�+7 GS SEE= C R11'. ONDENCE m sa { 0 bl0 (6 A 1 �y 6� IDR ,y ay LV It F�1 J I 13S�OF 2�pVC SafZCE MAI" P 4"dT ill I X - Pn P 9_k3 XI P'1 ft-M 0 I LoGPCtIWv -PcT I.C�R$7 �n � i -rap Zoo ' DoT ,nib OT 0 P r G`Rj, 1"11"1li _ NOTES 1. Elevations shown are existing ground elevations unless otherwise noted. 2 . Install cast iron pipe 3' onto undisturbed soil both sides of each tank. 3. Install permanent markers at end of each lateral. ( required) 4. Install 4" observation pipe with approved cap. : '( Z required) 5 . Septic tank to be ti000 gallon capacity as manufactured by yV t�S�. C.OJU e�.E�� P_F�:J DID eT S _ _• ' 6. Bench Mark- Elevation sL� Pk-A" -7- `1JtUZ-_72T SoRF�AckE WATER. --Tb MEUBjT OXjnu ING H-T73+e uPliiLL S1L`,E. o CL) CD M 03 � I M 0. 0 n r L p C� t� o~ ry E.= O. N w p M ti C C N C C O N N N C N.y O N C M.9 N a) f0 t 3y 00 C L C E 2 C O a8 y D CO v� c d h E o 0 Oo CL ai LrjOCC ��w I 0 3 > o'a�OEm LL c w EN'z2oc o N0Q)2mEo0 L"CO w y 6 1 a L O• d H H 3 C (>n O N M Z E z = °o co a m M O O Z v U) Z C Z E N •� Q) C L o d d U N � ZZ ° Z I O N O V CD N Q to U CD CL C O 0 d Y E 76 a = •N _L; aaa _ 0 a .. •) 0 0 N o U) J U � rn rn Z �l 'U 00 00 .-1 E m In N O r Z Ai O O co N C O O > ? N V O LO p V 0 O > a 0 0 0 0 v ,4O co O� 30 j' y p = T a t� ty') F-' C U tW, O P- Z Ln • Vco w^1 N T N � O C C L (O O f6 CM:) O N O O U O Cl) F- III 2 0) 0 Z C Z Cn °' m m a IL EL• .:. a d .2 4) E ° r °= 3 �1 A 8(L2 oU-) IS � ¥ = o k / . c : w � § � - \ �$] � E � _ EO 722 U) g/ ■ "In G ?: o~ & § �? ■a � 2 7 (D . 3 §2 mks/k � c k 2 f m§ 2 5 �§$2 \ 2/7{ a0 2w FL < o= � ; Cl) / f E 0) � z � • 8 � B V CO \ a m q � § 2 _ # ■ � r ' \ y : E 2 ® � � � } � c § S k < � B] \ � u / k � _ $ & � £ R to � + 0 0 2 $ ® k % : \ CL m _£ 2 a a a CL u & § § z . 7 § k_ a 0 G 8@ � = / E § \ $ / 2 / \ § o '/ C J \$ /- \ / k§ a k 2 ■ § § o - ® $ \ § 2 2 2 # m w 2 @ o ] / 2 £ \ \ ■ « $ � z E i , @ 2 Ba a L (L cd & E � )a c o 0 a 2 U) v Parcel #: 040-1186-90-002 01/14/2005 04:27 PM PAGE 1 OF 1 Alt.Parcel M 36.28.19.790 040-TOWN OF TROY Current XJ1 ST.CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 00 0 Tax Address: Owner(s): *=Current Owner *DICUS, KEVIN D&JACKIE J KEVIN D&JACKIE J DICUS 74 W WOODRIDGE DR RIVER FALLS WI 54022 Districts: SC=School SP=Special Property Address(es): *=Primary Type Dist# Description *74 W WOODRIDGE DR SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat: 2237-OAK RIDGE ACRES SEC 36 T28N R19W LOT 37 OAK RIDGE ACRES Block/Condo Bldg: LOT 37 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 36-28N-19W Notes: Parcel History: Date Doc# Vol/Page Type 08/22/2000 628594 1536/436 WD 08122/2000 628593 1536/433 TI 08/04/1987 428837 787/365 WD 2004 SUMMARY Bill M Fair Market Value: Assessed with: 27583 255,400 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 59,400 196,500 255,900 NO Totals for 2004: General Property 0.000 59,400 196,500 255,900 Woodland 0.000 0 0 Totals for 2003: General Property 0.000 44,000 181,800 225,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 216 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 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 SW' ,NW4,S36,T28N—R19W ❑CONVENTIONAL ALTERNATIVE State Plan I.D.Number: (If assigned) Town of Troy ❑Holding Tank ❑ In-Ground Pressure CX1 Mound 8705173 Lot 37 Oakridge Acres NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSP`ECTIO T Wade Hartenstein Route 5, Box 148B, River Falls, WI 54022 —Y 7 3v BENCH MARK(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: Michael L. Hawkins 5926 St. Croix 99029 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY TANK INLET ELEV.'. TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ONO OYES ❑NO BEDDING: VENT DIA.. VENT MATL: HIGH WATER NUMBER OF ROAD: PROPERTY WE LL BUILDING: VENT TO FRESH ALARM. FEET FROM LINE: AIR INLET: ❑YES ❑NO ❑YES ONO INEAREST' DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO DYES ❑NO ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL. BUILDING.JVENTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET ❑ PUMP ON AND OFF) YES FIND NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing FORCE LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until F the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH. LENGTH. NO.OF =IPE SPACING. COVER INSIDE CIA.. #PITS. LIQUID SEDIT ENCH TRENCHES. MATERIAL: PIT DEPTH. DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: NO.DISTR NUMBER OF -PROPERTY WELL: BUILDING: VENTTO FRESH BELOW PIPES. ABOVE COVER. ELEV.INLET.ELEV.END. PIPES FEET FROM LINE: AIR INLET. NEAREST 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 ONO meets the criteria for medium sand. TIONS MEASURED. SOIL CO- ER ITEXTURE PERMANENT MARKERS OBSERVATION WELLS ❑YES ❑NO OYES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED. SEEDED. MULCHED: CENTER. EDGES: — YES ONO OYES : NO OYES 1:1 NO PRESSURIZED DISTRIBUTION SYSTEM: iEDJTRENCFt WIDTH LENGTH TRENCHES: LATERAL SPACING: GRAVEL DEPTH BELOW PI FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING. N D ELF V.. ELEV.. DIA.. ELEV.. PIPES. DIA.: �IwEV�4TION AN iN RIUTN HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED l l�FE7RMA'1 ❑ ❑ PLANS: YES NO El YES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER PROPERTY WELL: BUILDING: FEET FROM, LINE: DYES 1-1 NO DYES 1:1 NO 1NEARI5ST-----_)H ( 9G.3y— 96.2/Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: DILHR SBD 6710(R.01/82) Zoning Administrator 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 maybe 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 modehand 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 negot.ation and public debate. The groundwater included the creation of surch;3,-ges , ?es) for a number of regulated ,ractices w'-oc.h Wi co-hin'8 can effect groundwater Tate su rchar took effect on ,July 1, 1984 A!' of tht, wr:ster Vha A I_ a {"e& part', yy is used in your e1 trot qr andwater t' OOC- system or the .,v �� =rri c:n� tank p tc �ir � t?cJ by is f1s?5r t,i f! •�� �d fat.• ri water, J°Oilit.ivJ t:i' _ 1' worth proieciitlg. 03981:3.03/86) �-�- SANITARY PERMIT APPLICATION COUNTY DILHR In accord with ILHR 83.05,Wis.Adm.Code / X '�• �°•�^^�� STATE SANITA Y 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. ? 70 Tl >3 —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES NO PROPERTY OkVNER PROPERTY LOCATION e., r n $W % yj kp/<, S 34 T a N, R I /IF E WWI PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME �J IG CIT STATE (( ZIP CODE PHONE MBER CITY NEAREST ROAM,LAKE OR LANDMARK F--& i 540 oZ /�9�9716 HE VILLAGE: T O 11. TYPE OF BUILDING OR USE SERVED: o Pat&- 11 Number of Bedrooms if 1 or 2 Family 6�Y�, OR ❑ Public(Specify): Ill. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. X 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 e.4 Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. 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(S uare Feet): PROPOSED(S uare Feet): Q` 4 -3 9Z 3?z 7 5- 7 Feet Aprivate ❑Joint ❑ Public VI. TANK CAPACITY #of Prefab. Site Fiber- Exper. in allons Total Manufacturer's Name Con- Steel Plastic INFORMATION New xisting Gallons Tanks Concrete glass App. Tanks Tanks structed Septic Tank or Holding Tank /000 1 tj-C%� .S ('o ❑ F-1 ❑ Lift Pump Tank/Siphon Chamber 7 i�,.e Vll. 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:( Sta MP/NNWAW No.: Business Phone Number: Plumber's Address(Street,City,State Zip Code. Name of Designer: VIII. SOIL TEST INFORMATION Certified it Tester,(CS9T)Name CST# r� W C &v er Jr'� CST's ADDRESS(Street,C",State,Zip Code) Phone Number: 130-A ?4 421 N , 57. 4Z- -0164 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issui Agent Signature(No Stamps) Approved ❑ Owner Given Initial 0:) Slurcharge Feel Q' �y /� Adverse Determination � �� �` ' `+'A5 C) u a'`� o ` &j-co 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 , �� State of Wisconsin Department 8���� eOtOfIOdUStr\( Labor and Human ��8l8�0nS � PRIVATE SEWAGE PLAN APPROVAL� ~ SAFETY m BUILDINGS DIVISION Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7060 Madison, Wisconsin 53707 WEGERER' WEBER & ASSOC. Owner: WADE HARTENSTEIN P.O. BOX 74 ROUTE 5 BOX 160 RIVER FALLS WI 64022 RIVER FALLS WI 54022 RE: Plan Number: 87-05173-S Date Approved: July H' 1987 Gallons Per Day: 450 Date Received: July 3, 1987 Project Name: HARTENSTEIN, WADE - RESIDENCE Location: SW,NW,30,28, 19W Town of TROY County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved' . This approval is contingent upon compliance with any stipulations shown on the planu. All items that are rioted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one net of plans with the department' s approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can he 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 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 NOTE: Excellent plan quality! Keep up the good work . Inquiries concerning this approval may be made by calling (608) 266-6962. o/L*n-Sao-6423 (w.0*/81) State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY&BUILDINGS DIVISION WEGERER, WEBER & ASSOC, Page 2 Sincerely, .ROY 3 JANSKY Sectio of Private Sewa e Division of Safety and Buildings PPP024/0009n/43 cc: WADE HARTENSTEIN _--Private Sewage Consultant _ _County _,._UW—SSWMP __Plumbing Consultant ._Owner —Plumber _Environmental Health DILHR-SBD-6423(N.04/81) Page 1 of 6 MOUND SYSTEM FOR A BEDROOM RESIDENCE 8705173 LOCATED IN THE SL&./YOF THE ?y YVOF SECTION 36, T z�N, R 19 W, TOWN OF �'���-( s�-. c_t2o LC COUNTY, WISCONSIN. CLb'1- 3-J o/�tc21l�G� GZ�S' INDEX PA GE 1 of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR ST E I N 16 0 R i u �Z. F:6 LL S, lu I Sqo PREPARED BY s�, C019►...S/ � .f••~• . ism WMERER, WEBER AND ASSOCIATES to ,•� ARTHUR L. ••� �� BOX 74 421 N. MAIN STREET wo,ES ER RIVER FALLS, WISCONSIN 54022 wrs SIG E $ � 6 _30 A10PROVE: OFPASTIHNT OF INQOSTRY 0e. R AND FIUM mEtATIONS DIVISION OF SAi:fly mo tul 14GS Job PLOT PLAN Scale l"—K) ' 870517 :3 PLUMBING Coc%rllcf,Grrt? ,/ HYl#*I - C,L,100.p' crJ C.oNCizET� V1 �ECT'R�e fi,,141 1 �' sE1�v1G5 Bwc VE D K:4,R IMF I i OF NOUS,RY, lhtiUR AND NL'MAW ARATIOUS DI 311, OF SAFE R SUl�,� GS _ ,� SERE "`7R F1`PCN0ENCE o �0 G \ � I S I 6"7 oSZ N`\ .z"\�I� cn \ �� T�\S \ 8y 90 r�r I ias'or- 2'(pVc. r y FO1�CE /'JA1N p 4"CT S 9"CS � N 1 LoCPttj r l Ct7T (n o � � I ~_ 8t��*Z- EL, 9z.�' c� ToP -L ' DoT c L,n.0 ' of Z�:.1�.. f S J E a ox � o P r NOTES 1. Elevations shown are existing ground elevations unless otherwise noted. 2 . Install cast iron pipe 31 onto undisturbed soil both sides of each tank. 3. Install permanent markers at end of each lateral. ( V required) 4• Install 4" observation pipe with approved cap. : ( Z required) 5 • Septic tank to be t000 gallon capacity as manufactured by 6. Bench Mark- Elevation sa�i ��N ttsu✓e -7- -ZJI UE2T SvRFAC� way xRZQNn �Ou►-D -Xb MEtif8uT tnluD7N G PrT73fp_ VPH;,L' S1 j`E. OF Straw� arsh Hay, Or 87 051 i 3 Synthetic Covering Distribution Pipe I �G•zH k �b v Medium Sand H i Topsoil '- -" F 3 F b 6 °!° Slope - I ' Force Main Plowed Bed Of i — 2 Z From Pump Layer Aggregate D N E \. S FT Cross Section Of A Mound System Using F o.-�S Pr'• A Bed For The Absorption Area G tom, A 8 F t. H \` 5 i=T. Cor aicn:�f f B LP Ft. I \3 Ft. �at� HF 1 ,11CNS J c3 Ft. D PA P,t ivt ,t' "Ins,OF SAh�TY,'A A BU WI G' K \O Ft. .-•-`_""' SEE Cr c(E pppFNCE W Z9 Ft. L Observation Pipe ' K F:oRCE -------------- MAIN i.-------- i A ;--- --------------- --------- Bed-------------•1 Of w Distribution I Pipe Aggregate Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area Pit GE Perforated Pipe Detail 87051 '78 / Ene Vie. �Frrforoteo / . PVC Pipe Pe£r'1P1�4=1J- HATtt��R Eno COP-, Ae cote. Located on Bottom, Ore E ouoijy Spoced Q PVC Force Main From Pump Q � PVC MonilolG Pipe {,q, f6�� �G�st��Dut�o'• � Pipe Lost Hole Should Be� Next Io End Cap End Cap Distribution Ploe Layoul P Z —7 F' S - -4116 1►J . •,.9 X � l,N , Hole Diameter �� Inch i "< '• y yL sr 1, Inch(es) C,r r + 1�A'� { i u lHi�3�i F,rd � i t--� .Lateral Ir�`' Q qTY ANO ijtJltL{� n �A Manifold Z . Inches . ... r"" �-- .'t E Force i�tain _ Inches n� 1NVEZT Sur- ;�oN of LFc'fETLhLS `T��' i PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS � E tj bF 6 VENT CAP 87 05 17 •4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER > ?_5' FROM DOOR. IZ"MIU. WINDOW OR FRESH I All'; INTAKE GRADE I y"MIN. CONDUIT `-- ---------- 18"MIN. PL Ubli'RthilliOVI D E — INLET �. AIR TIT SEAL iOrd'l61livita Lc y APPROVED JOINTS APPROVED JOINT A T � I I i W/C•I. PIPE EXTEN PIPE I II ALARM EXTEMDING 3' EXTENDW G 3' ONTO SOLID SOIL ONTO SOLID SOIL GEPAH1,01-NT OF i IDUSTAY, !ABIN AM) HLIMAM�RELA-fiGNI I I B DiVISI 'N OF SAFt:TY D 9li1L iV�iS I I I I ON O SEA Fti >rDfcNC I I ELEV. FT. PUMP_ --) s OFF D CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROV4E--F SPECIFICATIONS DOSE l yl.l�37S1�RCJY-�TZ3_'T� PRMU43 lUMBER OF DOSES: PER DA-9 TANKS MANUFACTURER: TANK SIZE : S� GALLONS DOSE VOLUME ,4o . ALARM MAIJUFACTUREit: S.�. �I�C�TZO SYSTIS INCLUDIAIG BACKFLOW: GALLONS ' MODEL HUMBER: l H W CAPACITIES: A= 1S INCHES OR 300' GALLONS SWITCH TYPE: ' ! B= Z- INCHES OR L4r:>• 1 GALLONS PUMP MANUFACTURER: �R �S r/�l/C_ C INCHES OR b`3GALLONS MODEL NUMBER: S Lj D= `31�Z IAICHES OR, Z7(•1 GALLONS SWITCH TYPE: NOTE: PUMP AND ALARM ARE TO BE INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE GPM VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE..N10'7'J3 FEET ffi<<,11A, 2.5 FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . _ I_C_ R X1.4, FEET OF FORCE MAIN X FR►cTlorJ FACTOR__` FEET 100 FL TOTAL DYNAMIC. HEAD c;V. i VIA A.•. INTERNAL DIMEMSIONS OF TANK: LENGTH ;WIDTH ,LIQUID DEPTH mama. . ....�. .. _.._. _•_ . .. .S/.. 1 ... H ■/ •■...•H. .. • �••� • • •:SS: •. : : i:■ ..SHm:1/•/N..N•:::■.$SSS=SS•WS � S _ -: • $:• : :•H::a: .•:••.H:H. ■■■■■.■■. 1\ YNCC ZSiiLL�..■■■■ ■■ss -S. CL • • as Lfi cu ca Uj• _ �. . ..,.mass.. •__ • mama. E CD . • _ • $ �. :UN::::::::::::::::::: :... : • IBM 8.0000 ses : i . : ..... ......... . or PH 11 1 a" mammas" go i `s1w.isss� Us HIS08- 222 11211 rHis sss'a�ssr� ::::s°.0:u:uum ::•• 00: N mama ME so •:_0 : so W.- : ME - : Us SIR Eff"I MR Hill ` MINN. — ssss sis ss s' si INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 61395 To be a complete and accurate soil test,your report most in<aucle: 1. Complete legal description; 2. The use section +gust clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 6. Complete the 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 if desired; 8. 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; 1.O, if i-he information (such as flood plain,elevation) does not apply, place N.A.in the appropriate box; 1 1. Sign the form and place your current address and your certification number; 12, Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED a7VITH THE LOCAL AUTHORITY WITHIN 30 GAYS 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 Gravel (under 3") LS Limestone *s - Sand HGW - High Groundvivater cs Coarse Sand Perc Percolation Rate reed s - Medium Sand !t'G' - Well fs - Fine Sand Bldo Building Is L.oarny Sand - Greater Than "sl - Sandy Loam Less Thais 'I - Loam Bn - Brov,�n sil -- Silt Loarn BI - Black si - Silt. Gy - Gray cl - Clay Loam Y Yellow sc.I - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc Sanely Clay w - with sic - Silty Clay fff - vein;,finea faint Clay cc, - common, coarse l - Peat rned um on ,_ Muck of - distinct p - prominent HVVL - High watei level, Six general soil textures surface;rw,ater fog liquid waste disposal BM Bench Mark VRP Vertical Reference Point. TO THE OWNER: Tha s or j test report is the first step in saacuring a sanitary perr it. The county cart-,ho Dee art nwro anay re ciuest v(',r( iF r,tt)iE rid iatts ..nil test in the fiold m prior to permit issuance, A cornpl£;te set of }al ll l:; f,?r the cyst ,i z wir1 a rser;tait applicatrrw must he submittod [(ii <lat. al ploii late local au lloriay its Older to oh,ain a p not 1. The ,,Initary pormlt rn"Jsf be(ihtalt ed and post`d I F3 r to tn`;start of an F,C'st"r sto-UCti�=f7. J INDUSTRY, REPORT REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INf1USTRY, c DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 3707 HUMAN RELATIONS BOX 76 (H63.090)&Chapter 145.045) LOCATION: SECTION: TOWNSHI UNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME: SLOAN '/ _ TzbN/R 19E (or W -�Y 3� oa�c tz,►Di�E ��REs COUNTY: WNER' UYER'SNAME: MAI LING ADDRESS: 3372. woop2lpG� '�2, sc.c�2sa�X w��E N� sr� �v 73- v r—*\LL w I s o'2--2- USE DATES OBSERVATIONS MADE NO.BEDRMS : COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: E RCOLATION TESTS: [5<Residence N New ❑Replace Il Y- 3-g`7 RATING:S=Site suitable for system U=Site unsuitable for system UN VEN 11UNAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional) ❑S Eu ®S ❑u ❑S ®u ❑S Ru ❑S ®u "oQxj-= - Z9 'x 6-) ' 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• Floodplain, indicate Floodplain elevation: •A . PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INS CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH NUMBER DEPTH 14 OBSERVED EST- IGHEST TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B- b.b` 39- 1-Ts N.%'8 ` -Ti b' @n S! z.2 8n S I 3ns11Ts; \.%'B-nS B- 8 ��vSE S w/S-Ti�GL-y cew,ew-nert B B- 3 S.S' q6 3 ` 1vo>v� oT� 3.6' 6•S'b1-`fin SOTS; 1. 8 � o El',, !Rh ; .-1' s 1 1.S'3n 1iEtivsE S I &V S"TTLUA,(3 t_Y c,EwM T DkBn I 8 n B- �/ S•y ` Ol Z.2' 1V 0�J�. wl 0�'`d 3.-7' S 1 ITS ; z.c�'8n S t ) ; Z,) ' ah S 1 w/Dl� S`n1-a-1-JGL C3 B- S S _2 ' 9 2.3' tioyv�, m DT �a z.8, �.3' I�1z Bn s i J TSB \-b Br si )i ;z.1' -8n S ) w B n S'11Z,cvV 61.. G 7�1�17L'� My D B- PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 P R PER INCH P- '1S Z-7 p- Z 2.o NO 3l� LS)/(. 3 Z 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. O'F$�,jZ S.� Y \G E 0) 171 f`1r0�' SYSTEM ELEVATION 1'OF SPc�Jp' T� _ I _._ /Y - ►mow /y D �S .O Flo k � i I r E s I _ i - � 4__ J 'J _- 1 ' - - — - t ' I I Si � _ a . ? o_ LuT 3� I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are corr to the best of my knowledge and belief. NAME(print): i E TESTS WERE COMPLETED ON: ADDRESS: w L/ Z-Z I _° ERTIFICATION NUMBER: PHONE NUMBER(optional): Lbw '; S7b CIS-yas-bl by _S T SIGNATU� DISTRIBUTION: Original and one copy to Local Authority,Property Own6r andf$oil DILHR-SBD-6395 (R.02/82) —OVER 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-NW 1/4, 1/4, Sec. 36 T 28 N, R 19 W Town ��� Troy Street Address 3377 Woodridge Drive, River Falls, WI Lot No. 37 Block Subdivision Oakridge Acres Landowner's Name: Wade Hartenstein 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 numbers ssuea to you.) L1 one of the applications needing a quota number. The quota number assigned to this application is 59 - 09 - 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: Fla 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 best df my knowledge. Name Thomas C. Nelson —,Signature ^ C --- County Official Title St. Croix County Zoning Administrator Date 5-15-87 DILHR-SBD-6158 (R 12/82) STATE OF W'S CONS DIVISIONI 1 SAFETMENT OF INDUSTRY TY & , LABOR & P'O' BOX 7969 BUILDINGS _ HUMAN RE APPLICATION FOR Tf� MADISON- BUREAU OF PLUAiBING TIONS Location: E USE OF AN , wr' S3707 SW-NW ALTERNATIVE SYSTEM z 'Z S 36 Street Address: T 28 TO�shi N/R 19 P/Municipality: 3377 Woodri $e Drive, River Troy Fal Landowners 540 lei Name: er Falls, WI Subd ' s ion: Wade 22 Hartenstetn Oakridge Acres County: Mailing Address: St. Croix r (We), the 377 Woodridge Drive, River F the above-described undersigned suit ereby make alls, WI 54022 suited for a c Premises, aPPlication a ree � onventional r reco for of plans and have the system Private sews nine that the above alternative system sPecificate installed sn$e system. If premises of on I further conformance pprO"a' is are not ther understand a with the granted a Convent that Bureaurs I Inspection conventional Private se an alternativ approval use during construe system a sYste sanitary to truction and and m is more Y ord Permit both such will require complex in nature than monitors access to thenances and Bur h county offic n8 after the detailed of inspect above des eau emplo ials char Ystem is to either ion the constr ribed Premises or other au h with adminisPut into arrange the personally or b etion of or mo at any reasonable Persons county tim Y my agent co nit to have e and date °ring of the le tim I understand ntact the system. f I further pose agent (the nd that this a e to begin construction f t er county offs agree au contract pPlieatio he system, vial to 1 send does BUre construction of ttherapplicantn 1nstallati n permit me (th wined. he alternat a letter of If the s e applicant) ive Of approval Ystem is or my m after all al which aut approved, the I agree to give necessary authorizes alternative a notice to y permit s e been Pplica system system any buyer have n.alternative m and further if Ins tall d atthatapplication for The Bureau accepts this agree to give the buyer he Premises areas he conditio is apPlicat a copy of this rued . ns and obligattonsuset°out° this understanding In this a PPlic atio and subJeCt n. STATE OF WISCONSIN Signal ure of COUN APPlicant TY OF SS• Subscribed and sworn t0 Date before me This day of 19 1' Notary Public, State of Wisconsin ST. CROIX COU rtn WISCONSIN yk� sti°p ZONING OFFICE " 798-2239 HAMMOND 425-8383 (RIVER FALLS) _ - HAMMOND, WI 54015 May 15, 1987 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Wade Hartenstein property, located at the SW-NW 1/4 of Section 36, T28N-R19W, Town of Troy, St. Croix County revealed suitable soils at a depth of 27 inches, below which seasonable high ground water was noted. This site should be suitable for a mound system. Should you have any questions, please feel free to contact this office. Sincerely, Thomas C. Nelson Zoning Administrator TCN/rc WEGERER, WEBER & ASSOCIATES 421 N. MAIN STREET RIVER FALLS, WI 54022 Land Surveying • PHONE (715) 425-0164 Percolation Tests i A TTN: DATE l O 9—� CC: SUBJECT: # loth ilk, �,T ARE ENCLOSING THE FOL LOWgNG iT J-.S: 1' NO. OF COPIES DESCRIPTION V LS u U Aj -- 1�P�� 'C �S`lE)Jul SENT TO YOU FOR THE FOLLOWING REASONS: ❑ FOR APPROVAL ❑ APPROVED AS SUBMITTED ❑ INFORMATION DESIRED [9--fOR YOUR USE ❑ APPROVED AS NOTED ❑ RETURN COPIES ❑ NOT APPROVED ❑ FOR REVIEW AND COMMENT ❑ We E ERER W EBER & ASSOCIATES 6Y ' . ' of ^ ^ ��tateK �D YY��ons�n Department 0f Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL SAFETY&BUILDINGS DIVISION office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 WEGERER, WEBER & ASSOC. Owner: WADE HARTENSTEIN P.O. BOX 74 ROUTE 5 BOX 160 RIVER FALLS WI 54022 RIVER FALLS WI 54022 RE: Plan Number: 87-05178-SR Date Approved: October 4' 1087 Gallons Per Day: 450 Date Received: September 24, 1987 Project Name: HARTENSTEIN^ WADE - RESIDENCE Location: SW^NW,36^28^ 19W Town of TROY County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval in based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved' . This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city' village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department' s approval stamp at the construction nite. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two yearn from the date approved or if a sanitary permit in 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 - REV MOUND Inquiries concerning this approval may be made by calling (608) 266-2889. Since Section of Private Sewage Division of Safety and Buildings � � PPP013/0009n/18 � cc: WADE HARTENSTEIN Private Sewage Consultant _s/_Cuunty UW-SSWMP ing Consultant _--Owner ___Plumber _—Environmental Health o/Lxn-Soo-6400 (w.o^m1) Pa ge 1 cf MOUND SYSTEM FOR S BEDROOM-F3S!DET\ICE 1A N WT� S TIt--17 S b 0 s v D z T --T-77 A G z 2 PJLO`= Filkill- PAGE 3 of PDAN P A GE L c f 6- DISTRIBUTION PIPE Lk'y OU_1 PA. G E C.f" PUMPING CHAI�11BEE U F PA U,E: c f_ pTj�g PE.�,FORMIANCE C VE ST, -Z- 0- MP m©aoaoeeao� NO c o Nq, 4f ARTHUR L VM%REM �'A BY Wl~TH. 'S Wis. % s SIC) AT 00 t&S I Gl; C �Q I SJ D)J-- OF TO IQ kECEIVED Scale SE SYgT�M PR��ATE N p,�,E CoAditiortaff, ,� t.AT10N' C.0+�► 2E'T� R tDt 8h-'SE of E<--Eck i C F I s�v�cc fox . OF SA ART DAP p1V SEE G PZ 4, T ?_l lu °F- 04 x PrY�1�o p�N, ! AT pi PL • 1 i IS CO 0 G Ltn,E_.- - ------ — � BNr 1* 9Z.� 'o%3 TOP, OF N GTES 1. Elevations shown are existing ground elevations unless otherwise noted. 2 . Install cast iron pipe 3t onto undisturbed soil both sides of each tank. 3. Install permanent markers at end of each lateral. (--Y— required) 1L. Install 4" observation pipe with approved cao. ( Z required) 5 . Septic tank to be 'LOOO gallon capacity as manufactured by 6. Bench :k- Elevation sue_ �IVcZT c�:F� '.a wA,-` R_ =� J i - Sire, orsh , RPPR-C. � Synthetic Covering� Disiribution Pipe Medium Sond eo - - - ; H r- -r _ Topsoil - J 1 F SiOPE iC % P` V• J I LLyer O C i c D \.o Cross Section Of A Mound System Using F p,1S A{�.��d�For The Absorption Area c_ 5E AGES n Ft H . S r T. _(4-7 Ft. 1 FE pF SP - k' Z9 -�-- Observation Pipe I r -- 1 I � c�a d 0f - ��Distribution \,_3 e z — 2 z Pipe Aggregate Observation Pipe Permonent Morkers J Area Pion View Of Mound Using A Eed For The Absorpt ion , pirp V` CC C�c,ec pvc Force Mall, From PUMP + P v lZ r�;Ot -,Cr CS!"hole ShCUIC =f tc, Cnc Cc, 1 L youl Z1 ,7T. -nd Cop Distribution Ll 0 ti M ? Cr, N1 11 5 '17 C) I 'Z n Ch RECEIVED 5 T p L)DI PUMP CHAP1BLR CkD55 SECTiDJ ARID SPECIFICATIDUS 1=-A-GE S c. —VCU7 CAP ,i C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING -- MAUHOLE COVER r.v1T�1 JUNCTIDU BOX vJr+R1���6 LABEL, > 2ti' FROM DOOR, 12"MIU. 4!ItJDOW OR FRESH I I — r...-, INTAKE I I - GRADE `� I ---- 'i' MI1J. Mlu. COQDUIT r` - - ---- --- - i 1 { ? -------� PR`s js lLt`ohGffiYROV1Dr IMLET VI GHT SEAL I -, -- ---- - j �0 ` i { I APPROVEC �G11J�= AYPR.OVEG JOINT A Aj}dN5 1 I i W/C.T. PIPE 4 I i yv�/C.T. PIPE 1 I (I ALARM EXTEUDIAIG 3 EXTENDING 3 LPP'�RI�C" 1y' I I I ONTO SOLID SDI- OVJTO SOLID SOIL ON �F PR�MEN�pN\S GE I i cG I q 4.00 0�k �S J ELEV. o FT. -T _ PUMP OFF D CONCRETE HLOGK RISER EXIT PERMITTED OIJLy IF TAUK MANUFACTURER HAS SUCH APPROVAL SPCCIFICATIQIJS �{- DOSE I.ul�$ CDQCIZ.M 7%I bO-�-{�lLIMBER OF DOSES: 3' PE.R DAy TAIJKS MANUFACTURF-R: TANK SIZE: —1SO GALL01.15 DOSE VOLUME ly IUCLUDIUC, BACKFLOW: GALLOtJS ALARM MANUFACTURER: MODEL IJUMBER: . CAPACITIES: A= IIJCNES OR 300 •1 GA�LGUS INCHESOR -L0-� GALLCtJS SWITCH TYPE: _ OR qb• SAL:. PUMP MA►JUFACTURER: ! 3 -Q_ a p= Zli\iCHESoR Z70'-1 GALLONS MODEL 1JUMHER; SWITCH TYPE: M ��z���`t' NDTE: PUMP AND ALARM ARE TO BE 3Z INSTALLED OU SEPARATE CIRCUITS MINIMUP'1 DISCHARGE RATE GPM - \Z zo VERTICAL. DIFFERENCE 6ETWEEAI PUMP OFF AND D15TRIBUTION PIPE-- FEET 2.50 FEa_T + MIUIMUM METWORK SUPPLY PRESSURE _ . . . . . . . . . . �Z FT FRICTIOII FACTOR_. �'�Z- FEET i + FEE 1 OF FORCE MAIN X /D Ft e TOTAL 09MkMIC HEAD — LS-S?' FEET JNjTERQAL Di of TAU L�iJC�TH _—_"--;WIDTH LIQUID DEPTH — 1-�S - 1S0-TAD 1-'I n is� - :�. 1�'• X .------ _ �.-------- 1 Y�. -' �3 1 � �_�_C)S G?i L. I». SH313W NI OV3H 1VJLOJ- of 07 c0 Cfl L CO N T-- O O N O O Cfl N N - LO N - O W O w � 00 � LO z z d' O —' co n � T All V O ui cc i�ai `, , . O no CC O r O i N '" O CO -j O ° '�` LO >- W N < C) C)O U � N cc 0 o LO U O O CD CD CD I. . QD N O co Co cv O CO CO ";J- � N N N N T- T- T- T - T- I '4 State Of Wisconsin ` Department of Industry, Labor and Human Relations P l�VA C U.WACJ P1 Cott F�t`�f�liOVA). SAFETY&BUILDINGS DIVISION i)1, ,:� . ... H :.i. ..iii,i s',,it+� �.. ntii. •i; i i 'j i' 6, BOX /,'t iI�fl�ld i' C,t 4 is , r .. �i1i�{�� 1i"it.t :,•,!P ,�ti�?' ft rMIt, 4 1'1 r! .t 11'ii 1'S i����' 1'•,i 1� �b`.:i) ,., I"� I '!�?f� d,f.'Ri�:i,7 i'• F', `)�.i. f't'�,J i`1 +11ta1ilt"� . (, f!� 1 1i, 1 1 'ili � + !E ;.i 'i•, i,f .i i .:, i t i ";C + i i;,R'Zf, 191,11 I/F eaCl , ut I <ii sl :I?E •1, f .lu �, iEt. f it t ! „t a1 .ti1 1 1'o1", 1 i �c +, P,>l:1�� •,I _ „d ,(•.. : .,1�..- YK'd il< i.i, . ,i„ •, ,•.•riiili; t q I i,il .. hyt„::� iif i,, ,.•ii is ! tii ,i1,�,!ili l,ltii ;m;:i1 i,,oti_o wI ( �'; - :i.f7d ..2-it•t7�.i.iik,al�i`, ,,1t.:t..., Hi 'I.i't. �'i,:�{i�-; .. , � t (. '.e. fl::,_{ ;.,t ._ i1,' .;e'f:V itt+i., F�, �:Ci"i t� f.��i:j . - It; ( ('•r'.,'itti i. i '•,ii,+ii �','� „ 1.t<, i :1i,'-�,i;; ii Toil (71?!„) .".,y- . i> , ,,ai t,).t._t i . 1, f1(tri ?ii +1 } j;. )I'ir sC°. .. :i,'� s�j•,i?. - .. ) .�� , fit;, =i; `i•� � I .. ,E,t-; ,r�1. L�,,4a i I",(�' ,.. _ � �. p" ^.11..:,i 11,.E , I (14'. r,t,t.i 1-.- ,... 11'1' ik.". 1'.•?i tn11'llfi . .{` , •t$:)1:ri�,lfe'a� Ihli � I k' ,::1 Y-£• Yj>.it j,.•., ., t'i ,.. il• ..i3f r sE,.,)',.,. - ., el�� !7� t.•. .. aril P;-ti'°�� #as3.'i,:i i" 1 l; r1., j�tt•t� 1.1, itf I � .,.�i i i,� 1 a',, ;iC� i4,t ? i IFSi.... i',a riu 6.f (]�(tOiYrs:� j, (,...:.L J 7V/ i s !a,,.•C1 ! i"t,. i s�•;!,' '1lti I11 11/,l( r ':oa G'1 E� f �i.iril•r ,.1)7f{= ialtK i1."i isl,;",J ..� IIF 1i.�.ii t'; ;:... r. ,i f'h.. „ ...;,'(� li ii.. 2(}.. i.. .,i•11AIf'"�}il)•.:iiiL,i. I i.ijim h'f f,•-! 4 f i 1,a(r f t:�td;• ''� 1,>•�i f,71 Y�i'i 1"r ���"fill#Pil •.( t:t(,I `..r'• ,..>;'(i=, ld•, �Ji")f,i""tJ ll<d`- '1 :, .�;,i�. .,. ( i��r� (Ui.1 A.!` i1 ,, :.riH(� ;I14�?i r `, •.�i��.i; D :II wili 1.L..l el- (.:OW 0!'1it nq '(_fIJ.') t (.tj,Y ,"+i!i:'a.� Iliiaj k,is:'• tfiidc. - k '; l :-ri ( ,1..,1. %(,r}�;,'e „i`�..e�} t+', �•i t i�J PI t)1 1'i 14 d1.:is .i�.�7r+,;1 f�, � �/�� ' I)� 7 S i 01 C,f `< vAfOl; ��tf�icf �$lll id LtiC7`a 4 a In fl) [10k]( rW;fL J.N - 1"Y".i1/oaf F`- )G+Cli:d<;:1 f:' (.(tli:il.l.f�:•iiC'1'f: (li,�'��t�f iiWf(Ili;tAq'� 1JIlrlbrl(4 'I 1 !cai OlW '+l i � lil ' -Ai 14±,A ! DILHR-3BD-6423 (N.04/81) J r Ili ill l APPLICATION FOR SANITARY PERMIT S T C - 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 E. A,J D JOA,-� t:_. ��A,2TE1Js �,J Location of Property I�.� !� , Section 3 T-Z _N-R W Township ( (Z o y Mailing Address �-( S 13p x 14,05 f-1 121 V EDL- PA L C.S t-J Address of Site Subdivision Name cep(«f Q E A C f2E S . Lot Number 3 -7 Previous Owner of Property jZ i C F I/-�(L� ,q,J p ,�L)L t r0 u Total Size of Parcel Z S,0 7 Z_ SQ it T-. C_ S 7 Ac tom, Date Parcel Was Created S&—F'T- Z Cj Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes _ No Volume -7B7_ and Page Number :S&S 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 i 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. 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i PROPERTY OWNER CERTIFICATION I (We) cvLa6y that at t etatementz on this 6onm cute true to the but o6 my (our) knowledge; that I (we) am (cute) the owner(h) o6 the pnopenty descAi•bed in th.i6 .in6atmation 6onm, by vi tue, o6 a warranty deed neconded in the 066.ice o6 the Co" Reg c sten o6 Ueed6 ah Doctment No. 4Z 837 and that I (We) pnea entty own the pnopob ed site bon the 6 ewaq di a o.6 e b em on I w p y ( ( e) have obtained an easement, to nun with the above debc ibed pnopwq, bon the eonstnuction o6 aaid dydtem, and the dame hab been duty neconded in the 066.ice o6 the County Reg.ie.teA o6 Deeds, ab Document No. �) I Old OWNER SI09ATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED G Cn 9 r ST C - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St . Croix County z d 9 H OWNER/BUYER L^JA.DC 14A(-fc�ST6( ROUTE/BOX NUMBER ` � �� Fire Number P- CITY/STATE IVO FAC,LS w ( 7.IP . PROPERTY LOCATION : S`^' 14, N� �4, Section 3(0 T -2-8 N, R 19 W, Town of T(ZQ St . Croix County , Subdivision O/V-94Dht Acges , Lot number 3-7 . Improper use and maintenance of your septic system could result in its premature failure to handle wastes . Proper maintenance con- I 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 F I/WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with 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 . SIGNED DATE St . Croix County Zoning Office P . O. Box 98 Hammond , WI 54015 715-796-2239 or 715-425-8363 Sign , date and return to above address . DOCUMENT No. STATE BAR OF WISCONSIN FORM 1—198Z" THIS SPACE RESERVED FOR RECORDING DATA WARRANTY DEED 428837 7 8 1 PAA65. REGISTERS OFFICE This Deed, made between ..Rolling H 1 l l S ST. CROIX CO., Wis, DeVe •gpmen-t,---a••Wisconsin___corporation, by____ -- Ri-ch;3rd_--N_.--_1•.ox-i___i?.1~e-sid-entr...and--Julia.-Frances___--_ Reed. for Record this 4th EOX. �Cre_ta��'------------- ---------------- --- -, Grantor, day of August A.D. 197 and.-----W,ade__Hartensteinl-_and_-JO-&n. 1ia-rtens_t-e n,----------- 3:40, P . �+ ._husb-and.-and...wi_fe- ---as-_e-ur-vi vo.r_ah.i.p...Marital.---------- a , -pr-op-ert-y------ --------- ---------- --------- ------------------------------------------------ ------------••-•-----------------------------•-- Grantee, twb1W M t+�r Witnesseth, That the said Grantor, for a valuable consideration_... 1! -------------------------------------------------------------------------------------------------------------- _ RETURN TO conveys to Grantee the following described real estate in .-St...--C-1~0.3-.x.......... County, State of Wisconsin: Lot Thirty—Seven ( 37) , Oak Ridge Acres, to the Town of Troy. Tax Parcel No_ ___________________________________ S1 O PER This . .i.s.--11Qt--.. 1.__ homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And----Ric-ha-><d---N' FQ-?�--and Julia--Frances--Fox- ----- ------- --- warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements and rights of way of record and will warrant and defend the same. Dated this ------ 3 a--------------------------------- day of ----------------August.-------------------- ------------ ls._87 ROLLING HILL DEVELOPMMEE T NCORPORATED --------------------------------------------------(SEAL) B-y-+- - - - -- - �!C -(S L* Richard N. Fox, President ------------------------------------------------------------------ ------------•----•--• -----• (SEAL) C? � (SEAL) * Jul.i.a---Fir_anr-es---F-ox-,---SeCr-et_ar.y AUTHENTICATION ACKNOWLEDGMENT Signatures) Richard N. Fox and STATE OF WISCONSIN Julia Frances Fox SS. ----------------- ------------------------------------------------------------- --------------------------------------County. AU Ust•_, 19..$7 Personally came before me this ________________day of au en c ed i _.3r�ay of............. --------------------------------------- 19-------- the above named ............................................................ Gay or ---------------------- ----- -•-----------------------------------------•--- ----------------------------------------------------- TITLE: MEMBER S ATE BAR OF WISCONSIN (If not, ------ ------------- ---------- authorized by 706.06, Wis. Stats.) to me known to be the person ............ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY C.___L._ Gaylord, Attorney __----------------------•- ----------------------------------- ----- ------------------ ------------------------- ---------- r Falls,lls, WI 54022 -. Notary Public ------------------------------------------County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (if not, state expiration are not necessary.) • 19-._. date- -----------------------•---------------------•----------• ----•) *Names of persons signing in any capacity should be hyped or printed below their signatures. ® STATE BAR OF WISCONSIN H.C.Mille,Companyl,1r11 FORM No. 1—1982 Stock NO. 13001