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HomeMy WebLinkAbout008-1085-95-000 St. Croix County Planning and Zoning Thursday, January 11, 2007 at 11:01:47 AM Page 1 of 1 Detail Sanitary Information SublPlat: NA Section: 30 Computer 008.1085.95.000 TNIRNG: T28N R16W Parcel 30.28.16.4548 Lot: 1 CSM: Vol. 05 P9. 1211 114114: S 112 NW 114 Municipality: Eau Galle, Town of Owner Hopp, Bradley 173 HWy 63 Baldwin, WI 54002 New Permit: N3 WI Fund: State Permit: 79158 issued: 05/2011986 POWTS Dispersal: Non-Pressurized In~round Bedrooms: County Permit: 0 Installed: 08125/1986 POWTS Detail: Bed - Seepage POWTS Pretreatment: NA Notes Additional Notes Money Owed -rements Issuer/inspector As Built . Plum Other Recui zoning staff duplicated original pennfi #79159 on $0•00 Harold Barber Yes Aaby, Steven 5122186, so gave this a false number for database Tom Nelson Signed Off: No record. Data from notecard Maintenance Scheduled Pumo Date Pumped 1st Notification 2nd Notification 3rd Notification 5!2012006 - - - - - - - - - - - - - - - - - - - - - - HOP BRAD SE SW, Section 30 Baldwin, WI 54002 T28N-R16W Town of ale San.Permi C 9159 5-20-86 S. Aaby i Conventional, New i ` 4 -79157 ki-. _ INSTALLED 8-25-86 Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER B /q O f4gA_ TOWNSHIP SEC. Spa T .7~ N-R ~ rO g ADDRESS D cs/dwo n 14/1'S ST. CROIX COUNTY, WISCONSIN ~ l~ FG ~/g / Q e S SUBDIVISION bd./4 LOT LOT SIZE Q~ PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i - 32' ~6uSe 5 INDICATE NORTH ARROW V s. BENCHMARK: Describe the vertical reference point used ToA o{ ~ *rRajr Elevation of vertical reference point: Proposed slope at site: °7a SEPTIC TANK: Manufacturer: Wc~ ScR Liquid Capacity: 19,60 i Number of rings used: Tank manhole cover elevation: ~3 S Tank Inlet Elevation: Tank Outlet Elevation: ! / , 72- Number of feet from nearest Road: Front 10 Side, Rear, O S 3S~ feet From nearest property line Front ,OSide,ORear,® feet Number of feet from: well building: s-L (Include this information of the above plot plan)( 2 reference dimensions to septic tank) PUMP CHAMBER Manufacturer: Ve i S e? Liquid Capacity: ? S-U Pump Model: L/ Qd 31 Pump/Siphon Manufacturer: 'NIA Pump Size Elevation of inlet: ?q, 7Z Bottom of tank elevation: 7 1 7 Pump off switch elevation: ? 7 Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, O of feet from well: Number of feet from building: S~'{ (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: ✓ Trench: Width: Lenith: Number of Lines: Area Built: I`'G O Fill depth to top of pipe: 2-11 Number of feet from nearest property line: Front, O Sides O Rear, ((,/J it .-?2 ~ tvJ Number of feet from well: 700* Number of feet from building: (Include distances on plot plan). SEEPAGE PIT 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 Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on Job: per. License Number: /0 G G 3/84:mj 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 inadeayasiea will only xesult__in DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOAC 7969 BUREAU OF PLUMBING MAM01% WI '53707 CONVENTIONAL 1:1 ALTERNATIVE State Plan l.D.Number: (If assigned) ❑ Holding Tank D In-Ground Pressure D Mound NAME OF PERMIT HOLDER: DDRESS OF PERMIT HOLDER: INSPECTION DATE. Brad Hop A Baldwin, WI 54002 ~'~oZS''~6 ~„c~f7 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.: CST REF. PT. ELEV.: SE SW, Section 30, T28N-R16W, Town of Eau.Galle Name of Plumber: IMPIMPRSW No. Cnun(y Sanitary Permit Number: Stephen Aaby 5184 St. Croix 79151 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPA: TAN~INL ;E.. TANTLLEV.: WARNING LABEL LOCKING COVER yf\f \ PROVIDED: PROVIDED: DYES ❑NO Qyris ❑NO N VE TO FRESH BEDDING: VEN DA.: VENT MATT HIGH WATE NUMBER 0 ROAD: PROPERTY WELL: BUILDI NT LI.jE` / IAIR INLET: ALARM FEET IF DYES NO DYES NO NEAREST 7 J ~YL DOSING CHAIM8ER: MANUFACTURER: BEDDING: LIQUID CAPACITY PUMP MODEL IPUMPi SIPHON MANUE ACTIIREEt WARNING LABEL LOCKING COVER PROVIDED. PROVIDED: DYES NO DYES LINO DYES ❑NO Wea-.01 l I GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. (DUMBER OEHTY WELL BUILDING V NT TO FRESH (DIFFERENCE BETWEEN FEET FROLINE AIR INLET: PUMP ON AND OFF) DYES DNO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing 111111,111 jI,IAM1 TER MATERIAL 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: WI DT LEND H NO. OF TTR PIpE SPACIN(', COVER JINSIDE DIA -PITS ILIOUID BED/TRENCH THE NCRES / t MA IAU PIT DEPTH DIMENSIONS GRAVEL D TFTi1 FILL DEPTH DISTR. P UISTR PIPE Io'STR. PIPE MATERIAL NO 1 NUMBER OF PROPERTY WELL BUILDING: VENTTdFRESH BELOW PIPESIe f ABOVEECDER E V51, IENU PIPE - LIN,, AI NLET~ Z FEET FROM 30_''/` Y 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- meets the criteria for medium sand. TIONS MEASURED. DYES ❑NO OIL COVER TEXTURE JPIIINIAN_(NT MARKERS OHSEHVATION WELLS DYES DNO DYES ❑NO DEPTH OVER TRENCH BED DEPTH OVER TRENCH HED DEPTH OE TOPSOIL SODDED SEEDED IMULCHEDS CENTER- EDGES DY E ONO DYES. ❑NO DYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: OHAVEL DEPTH HE LOW PIPE FILL DEPTH ABOVE COVER. J__ WIDTH. LENGTH NO.OF LATERAL SPACING BED/TRENCH TRENCHES DIMENSIONS MANIFOLD PU MANIFOLD DISTR PIPE JMANIFOLD MATERIAL,. DESZR [STR P IPE DISTRIBUTION PIPE MATERIAL & MARKINGELEV.DIAELEV: PIPES A.: ELEVATION AND, tr DISTRIBUTION INFORMATION HOLE SIZE HONE SPACING DRILLED CORHECT LV ICOVERkMATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED LANS ` DYES ❑NO DYES ❑ NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS. NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE. Ja [DYES DYES NEAREST 507 1,J 3 O S t 4IJ-1- /V, AN VI System on n c fil2f Qudit. Reverse Side. A SIGNATURE: TITLE. DILHR SBD 6710 (R. 01/82)f y ~ XI-A H 9 r r S T C - 105 9 H H z SEPTIC TANK MAINTENANCE AGREEMENT O St. Croix County d 9 _ H OWNER/BUYER aX zy3 Fire Number ROUTE/BOX NUMBER ~ffLAho Till / Z IP CITY/STATE Section3 ~ W. PROPERTY LOCATION: T N' R . , St. Croix County, Town of , Lot number. Subdivision your septic system could result in con- improper use and maintenance of yo pro er maintenance its premature failure to handle wastes. three years or sooner, sists of pumping out the septic tank every ilt into if needed, by a licensed septic tank pumper. What you p 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 replacemen978of Stfailing sCo stuntyem, which was in operation prior.to July 1, 1. . Croix in August of 1980, with the requirement that accepted this program ree to keep their systems properly owners of all new systems ag maintained. Zoning a The property owner agrees to submit.to St. Croix mCounty aster plumber, certification form, signed by the owner and by er journeyman plumber, restricted plumber or a licensed pumper the on-site wastewater disposal system is in proper thangt c (o1) ndition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3tfull 0f dsludge andtscum. H Certification form will be sent approximaely as prior o 0 three year expiration. £ the undersigned, have read the above requirements and agree CA to maintain the private sewage disposal system in accordance with H to m ►v the standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGN ' DATE r St. Croix County Zoning Office P.O. Box 98j Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. ~'"°COMI" SANITARY PERMIT (~)DILHR. County Um GROUNDWATER SURCHARGE Sanitary Permit No. 9S On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more com- monly 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 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that is used in your building is returned to the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. Ground** p, Sign ture of Issuin A nt: Groundwater Fee: Date: Wisco !1`S ~a0~ bused ~n DILHR SBD- 8 84) sf e~ I.W 1 H DEPARTME0 OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115 P.O. BOX 7969 HUMAN RELATIONS \ MADISON, WI 53707 s•(,d (H63.0911) & Chapter 145.045) j rLOCATION..- S ECTION: TOWNSHIP/MUNICIPALITY: OT NO.: BILK. NO.: SUBDI VISION NAME: s k'sL / o /T~$H/R 6 1 'Ex I or u c ,C WIM COUNTY: OWNER'S BUYER'S NAME: MA IN ADDRESS: Kinzo / X R htcl o Lbw Z'Cli • USE DATES OBSERVATIONS MADE ~PqResidence NO.BEDRMS: COMM R AL DESCRIPTION: R S: PERCOLATION ESTS: ❑Replace PROFILE Z 1KNew RATING: S- Site suitable for system U- Site unsuitable for system SYSTEM: Iss NV ❑U : M qS QU IN-G ROUN ❑U ❑ -I -FUL F-1 SG~U . RECOOM /~E H / / O1/1ptional) / If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the G• 0[ under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL P HT R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED H TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- "T 0 /V B-~ 17;6~ y I a vz_ 6-. 1, v't • A. sZ. 3•'V f R. vhx.~s. at. "I sC fx - o 3. '13 B- rx 0.4 PERCOLATION TESTS DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN, p I PER INCH P_ A0 A4 Is.?. P_ Zo M1 Am" P_ / O 1 •i Nt P- P_ PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- Dntal 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 if land slope. SYSTEM ELEVATION t r t ~ i 3 ' I I { ! I "t" I • . . i a i r 4-, . - , , 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 Jministrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. AME print : TESTS WERE COMPLETED ON: 1414 /b %y 13 C - V T-4 jz Li jr &,L L , 17,44 s-_ / 04 -.P 6 DDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): zo~ ~~d CST SIGNATURE: STR',BUTION: Original eil Cr. srp K I sr~vl~,~ PRU~LIh ~ all •pl go' y v 3 s~o,~.~ •~3 ~ f1L T Si 1 ~ • Pa M ~~nc,ti 2vIF~~Zk, Tap~o c SG iaMrl rt 3 ~ •r A1.0 S'C'Cle S k Stw~.~ P►p~ AT Bulletin CUM July 8, 1983 • For Homes • Farms GOULDS • Trailer courts Model 3885 • Motels (Supersedes Model 3870) • Schools • Hospitals Submersible • Industry E„umd PLOIP Effluent Pumps • Effluent Systems Pump Specifications anywhere effluent Solids Handling Capability to 3/4". or drainage must be Discharge Size disposed of quickly, 2" NPT. quietly and efficiently. Semi-Open Impeller 3 vane design, threaded on shaft. Three phase units use impeller locknut to prevent accidental back-off. Pump out vanes on backside of impeller for protection of mechanical seal. Casing Volute type for maximum efficiency. Hea DUt SOIId3 Handlin Stainless Steel Fasteners y 9 Series 300 stainless steel for corrosion Dependable Capability to 3/4" resistance. J Mechanical Seal j Ceramic vs. Carbon sealing faces, stainless steel spring and Buna N elastomers. Maximum Temperature '4'/` H.P. 60 Hz i 160°1 Capable of Running Dry Single Phase 115, 230 Volt. without damage to components. ! ! Motor Specifications 1/2, 3/4, 1, 11/2 H.P. 60 Hz ! Motor Fully Submerged in high grade turbine oil for permanent lubrica- Single Phase 230 Volt. Three tion of bearings and mechanical seal and Phase 208-230,460 Volt. efficient heat dissipation. Motor sealed from environment by rugged cast iron enclosure. Bearings V' Heavy-duty all ball bearing construction. Stainless Steel Shaft ® Series 300 stainless steel for corrosion resistance. Threaded shaft. Single Phase Units 90 All single phase units have built-in thermal overload protection with automatic reset. 80 Three Phase Units Overload protection in starter unit. 208-230 or 70 460 volts. Threaded shaft 60 Hz operation. W Power Cord u- 60 Water and oil resistant. Epoxy seal on motor end O r, acts as a secondary moisture barrier in case of a 7~# - damage to outer jacketing. Corrosion resistant = 50 gland nut. _U 40 Z 3 Single Phase Units WE05H !!!Z K a H-P. models equipped with 15' of 1613 SJTO with 3-prong grounding plug 1. 1'. H P Z = WE03IM FMWW b r 0 30 models equipped with 15' of 14,3 STO power a r: ' cord. a- ~'i,wC p 20 WE L4. SPECIFICATIONS ARE SUBJECT TO CHANGE 10 WITHOUT NOTICE. 0 0 10 20 30 40 50 60 70 80 90 100 110 120 [gGOULDS PUMPS. INC. GALLONS PER MINUTE u SENECA FALLS NEW YORK 13148 V,~NT ~ ~~s r~•~-vrr! ~ 3 pl~ L11 Re X 3 16' ~ 6' ~ 63~ yam' I 1 3 RL T / 7 1 ;ao~ M t3,V n c, ti ?'"I g iz lCz)_ -'DO* Ft. I-/14r o' 3 r✓1 z V ~ 0 ~G j~-lsS ' Pump- ay ooh-?j o wvo - ok S. QTR. WITr't'ti PL'o'cr z 14vu s J~ 57 PAGE OF PUMP CHAMBER CROSS SECTIOW ARID SPECIFICATIONS VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING fT=f P.5' FROM DOOR, JUNCTION BOX MANHOLE COVER WINDOW OR FRESH 12"MIIJ. I AIR INTAKE I GRADE ~ '1' MIN. I6'MIU. COWDUIT \ 111 ~ IIJLET PROVIDE AIRTIGHT SEAL I III ~ I I I v_ APPROVED JOINT A I III APPROVED J01 W/C.7. PIPE I I i I W/C.=. PIPE EXTENDING 3' I II EXTENDIUG ONTO SOLID SOIL ALARM B I II ONTO SOLID I I ON c ELEV. FT. I PUMP-~, • ~ OFF D COLICKETE BLOCK L RISER EXIT PERMITTED OWLti IF TAWK MANUFACTURER HAS SUCH APPROVAL APPRov D E4D1Nfq SEPTIC E SPEC.IFICATIOUS DOSE TANKS MANUFACTURER: &Vl)tt) w s eO w WMBER OF DOSES: PER DAU TANK SIZE: 2 S~ GALLOWS DOSE VOLUME ALARM MANUFACTURER: I~' Td~-bILT INCLUDING BACKFLOW: GALLO MODEL WUMBEK: l a l CAPACITIES: A= INCHES OR GALLO SWITCH TYPE: ~A, C4if,/R~~ B= IIJCM 66 OR GALLO PUMP MANUFACTURER: gs=c k 0 C• IIJCNES OR GALLO MODEL NUMBER: Cit/ it O 3 4. Ds INCHES OR GALLO SWITCH TYPE: R14,64 ?'jfj4t.C44 MOTE: pUMP, A►JD ALARM ARE TO BE MINIMUM DISCHARGE RATE-GPM l INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET ♦ MINIMUM NETWORK SUPPLY PRESSURE FEET ♦ FEET OF FORCE MAIN X F oFT.FKICTIOIJ FACTOR.. FEET = TOTAL DyWAMIC. HEAD FEET INTERNAL DIMLWSIOIJZ OF TAWK: LEWGTH ;WIDTH - ; LIQUID DEPTH SIGNED: LICEMSE WUMBER: J / ° ,L~ DATE:a~~ WIRING OF SEPTIC PUMP CHAMBERS Approved Weather-proof Wiring >;ntlosure Locking Cover and Disconnect Means Outside of and Within 3 Feet of Chamber , NEC 410-57(b); ILHR 16.19(2).b(3) T Seal Conduit Grade Min.. 4" Opening Conduit Required ILHR 16.19(2)(b) NEC 300-5(d); ILHR 16.190)(c) Manhole Riser 12" Min. NEC 300-5(d) Es. No. 4 Separate Pump and Alarm Circuits ILHR 16.19 (1)(a) and (b) CONDUIT: NEC 300-5(d) CONDUCTORS: NEC 310-7 1. Rigid Metal Conduit 1. OF or USE Cables 2. Rigid Non-metal Conduit 2. Conductors in Approved Conduit 3. Intermediate Metal Conduit (no INT conduit) Pump Circuit - Alarm Circuit - - - Weather-proof Enclosure Toggle Switch ON/OFF Control ~ Circuit Wire Y 4. Nut ; II II Wire Nut ` i I Bushing to I Enclosed I 1 Protect i Receptacle j I 1 Wires I I 1 NEC 300-5(h) I I ; I j t * After Edward Lawry, DILHR Chief Electrical Inspector Not recommended because of possible interchanging of pump b Alarm Plugs. The neutral conductor shall not be common to both pumpand alarm circuits as per ILHR 16.19(1)(d). NEC . National Electrical Code ILHR - Industry, Labor and Numan Relations Wisconsin Administrative Code Parcel 008-1085-95-000 01/11/2007 10:48 AM PAGE 1 OF 1 Alt. Parcel M 30.28.16.454B 008 - TOWN OF EAU GALLS 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 BRADLEY E & CAROL J HOPP 0 - HOPP, BRADLEY E & CAROL J 173 HWY 63 BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 173 HWY 63 SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 9.784 Plat: N/A-NOT AVAILABLE SEC 30 T28N R1 6W W1/2 OF S 1/2 OF NW FRL Block/Condo Bldg: 1/4 LOT 1 CSM VOL 5/1211 THIS LOT OF THIS CSM IS TO CORRECT LAND. DESC IN VOL Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 3/744 & ALSO LANDS DESC IN 644/255 30-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 04/12/2005 792008 2782/121 EZ-U 07/23/1997 644/255 2006 SUMMARY Bill M Fair Market Value: Assessed with: 171417 374,300 Valuations: Last Changed: 10/11/2000 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 27,000 208,700 235,700 NO PRODUCTIVE FORST LANDS G6 7.784 11,200 0 11,200 NO Totals for 2006: General Property 9.784 38,200 208,700 246,900 Woodland 0.000 0 0 Totals for 2005: General Property 9.784 38,200 208,700 246,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch M 513 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 192,00 Total Special Assessments Special Charges Delinquent Charges 192.00 0.00 0.00