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018-1031-70-000
St. Croix County Planning and Zoning Thursday, February 02, 2006 at4:49:56PM Page 1 of 1 Detail Sanitary Information Computer 018-1031-70.000 Sub/Plat: metes & bounds Section: 15 TNIRNG: T29N R17W Parcel 15.29.17.22613 Lot: Municipality: Hammond, Town of CSM: 114114: NW 114 NE 114 Owner: Chapin, Paul 1851 Cty. Rd. E Hammond, WI 54015 permit; Replacement State Permit: 79164 Issued: 05128/1986 POWTS Dispersal: Mound Bedrooms: 4 WI Fund: County Permit: 0 Installed: 0711511986 POWTS Detail: NA POWTS Pretreatment: NA Notes Additional Notes Money Owed Issuedlnsoector As Built Plumber Other Recuirements Mary Jenkins Yes Nechville, Henry This notecard had a typo and listed parcel in $0.00 Section 3, not 15. Verified by warranty deed Harold Barber Signed Off: Yes Chapin sold property to Jeske in 1996. The permit & Notecard and database record filed in archive folder Maintenance Scheduled Pump Date Pumced 1st Notification 2nd Notification 3rd Notification 711511989 612612006 Parcel 018-1031-70-000 02/02/2006 04:47 PM Alt. Parcel 15.29.17.22613 PAGE 1 OF 1 Current X 018 - TOWN OF HAMMOND ST. Creation Date Historical Date Map # Sales Area Application # Permit # C pelrm tOyp TM, WISCONSIN 00 0 Tax Address: Owner(s): O = Current Owner, C =Current CO-Owner JAMES H & JANET M JESKE O - JESKE, JAMES H & JANET M 1851 CTY RD E HAMMOND WI 54015 Districts: SC = School SP = Special Type Dist # Description Property Address(es): • = Primary SC 2422 ST CROIX CENTRAL " 1851 CTY RD E SP 1700 WITC Legal Description: Acres: 1.030 Plat: N/A-NOT AVAILABLE SEC 15 T29N R17W 1.03A NW NE N 266.27' OF W 169' OF NW NE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 15-29N-17W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1162/139 WD WD 2005 SUMMARY Bin Fair Market Value: Assessed with: 90279 188,100 Valuations: Description Last Changed: 10/18/2001 RESIDENTIAL Class Acres Land Improve G1 1.030 Total State Reason 21,200 134,300 155,500 NO Totals for 2005: General Property 1.030 21,200 Woodland 0.000 134,300 155,500 0 0 Totals for 2004: General Property 1.030 21,200 134,300 Woodland 0.000 0 155,500 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 222 Specials: User Special Code 010-GARBAGE Category Amount SPECIAL ASSESSMENT 60.00 Total Special Assessments 60.00 Special Char as Delinquent Charges UU 600 St. Croix County Planning and Zonin Friday, November 11, 2005 at 8:35:12AM Detail Sanitary Information Page I of 1 Computer 018.1031-70.000 Sub/Plat: metes & bounds Section: 15 Parcel 15.29.17.2261 Lot: TWRNG: T29N R17W Municipality: Hammond, Town of CSM: 1141/4: NW 1/4 NE 1/4 Owner: Chapin, Paul 1851 Cty. Rd. 5401 State Permit: 79164 Issued: 05/28/1986 PO S Dispersal: Mound Permit: Replacement County Permit: 0 Instal : 06/2611986 P Detail: NA Bedrooms: 3 WI Fund: 0 atme Notes Ins or As Built Plumber Other Requirements Additional Notes Money Owed Not determined Yes Nechville, Henry find permit - not in folder This notecard had a typo and listed parcel in $0.00 Signed Off: No Section 3, not 15. Verified Chapin sold property to Jeske in 1996. the permit is missing from the archive folder - try to locate if mis-filed Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 6/2612006 „r i t i Parcel M 018-1031-70-000 11/11/2005 08:24 AM PAGE 1OF1 Alt. Parcel M 15.29.17.226B 018 - TOWN OF HAMMOND Current X I 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 JAMES H & JANET M JESKE O - JESKE, JAMES H & JANET M 1851 CTY RD E HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): • = Primary Type Dist # Description * 1851 CTY RD E SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 1.030 Plat: N/A-NOT AVAILABLE SEC 15 T29N R17W 1.03A NW NE N 266.27' Block/Condo Bldg: OF W 169'OF NW NE Tract(s): (Sec-Twn-Rng 401/4 1601/4) 15-29N-17W Notes: Parcel History: Date Doc # VoUPage Type 07/23/1997 1162/139 WD 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/18/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.030 21,200 134,300 155,500 NO Totals for 2005: General Property 1.030 21,200 134,300 155,500 Woodland 0.000 0 0 Totals for 2004: General Property 1.030 21,200 134,300 155,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 222 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 St. Croix County Planning and Zonin Thurw&y, November 10, 2005 at 11:31:53 AM Page 1 of I Detail Sanitary Information Computer 018-1005-30.000 SublPlat: metes & bounds Section: 3 Parcel 03.29.17.34A Lot: TNIRNG: T29N R17W Municipality: Hammond, Town of CSM: 114114: NW 114 NE 114 Owner: Chapin, Paul 1 312 Ave Hammond, WI 54015 State Permit: 79164 Issued: 05128/1986 POWTS Dispersal: Permit: Replacement n~ Bedrooms: 3 WI Fund: I N ~n ~t~ County Permit: 0 Installed: 0612611986 POWTS Detail: 5NA n 1 /1 POWTS Pretreatment: Note c. n 41 kAJ s V r v u V / W""!1' (J 1 As gui~t Plumb r Other Requirements Additional Notes Money Owed Inspector Not determined Yes Nechville, Henry check to see it this is same parcel from soil report, $0.00 Signed Off: No etc. C4(1 ?1-11f " - a1 Owner: Myer, Greg 1853120th Ave Hammond, WI 54015 State Permit: 128780 Issued: 0911811990 POWTS Dispersal: Mound Permit: Replacement County Permit: 0 Installed: 09/2711990 POWTS Detail: NA Bedrooms: 0 WI Fund: POWTS Pretreatment: NA Notes Ins ctor As Built Plumber Other Requirements Additional Notes Money Owed Not determined NA Helgeson, Bennie 17.7 acres - see mound file for Paul Chapin to $0.00 make sure this is same parcel for 1986 permit Signed Off: No Maintenance Scheduled Puma Date Pumped lot Nodfimfion 2nd Notification 3rd Notification 71412002 0410112005 - - CHAPIN, PAUL NW NE, Sectiot]C3 D S' Rt. 1, Box 115 - - T29N-R17W 13/ C 7"f wyC Hammond, WI 54015 Town of Hammond i San.Permit#79164 ` 5-28-86 H. Nechville Mound, Replacemen Olt Pa j INSTALLED 6-26-86 N6GCt Wx*l' . k cq~a c is ~(af 1if*<_F:. r Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER Gt' ~~1 •Qt TOWNSH,Zj SEC. T,9 N-R_L_ ADDRESS +B®1C //~ywyT. CROIX COUNTY, WISCONSIN 6I 4J ~U~~~~~+ LOT LOT SIZE SUBDIVISION PLAN VIEW Distances and dimensions to meet requirements of I'L14R 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM CNI o dry 10 3 ~ yc Al, E, C*n to' INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: Proposed slope at site: y SEPTIC TANK: Manufacturer: ,krLiquid Capacity: Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: '?-T./!57- Tank Outlet Elevation: Number of feet from nearest Road: Front 10 Side 0 Rear, feet From nearest property line Front,O Side,O Rear, 0 feet Number of feet from: well building: -a to (Include this information of the above plot plan)(2 referen SEE REVERSE SIDE septic tank) PUMP CHAMBER Manufacturer: Liquid Capacity: /Zjnt Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, OSide, Rear FCC Number of feet from well: y S Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: Length: Number of Lines:_ ;;Z Area Built: 'S~9D Fill depth to top of pipe: Number of feet from nearest property line: Front, Side, &rear.ovt. S Number of feet from well: - J7 -10' 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: x Has either a drop box O or distribution box been used on any of the above soil absorbtion sytems? (Check one). O 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, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: oCJt_J Inspector: . Dated: Plumber on job: q~ License Number: 3 Sg 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 ❑CONVENTIONAL [ALTERNATIVE State Plan LD. u be. Ilf assigned) ❑ Holding Tank ❑ In-Ground Pressure X~- Mound 601832 NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER* INSPECTION DATE: Paul Chapin Rt. 1, Box 115, Hammond, WI 54015 BENCH MARK (Permanent reference point) ES IBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: NW NE, Section , T29N-R17W, Town of Hammond Name of Plumber: - MP/MPRSW No.. County Sanitary Permit Number: Henry Nechville 3258 St. Croix 79164 SEPTIC TANK/HOLDING TANK: MANUFACTURER: , (QUID CAPACITY . ANK IN LE'LE V.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: (a ❑YES ❑NO ❑YES ❑NO BEDDING: IVENTDIA.: IVENTMATI HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING: VENT TO FRESH j ( ALARM FEET FROM LINE:- 'lc q~/ AIR IN~E YES ❑NO le Q/ ❑YES ❑NO NEAREST rr~✓II~' / -0- 1 DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAPACI TV Pt1MP MODEL PUMP; SIPH 111.11 AC TlIF H WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: j J1 /Mo 0z I?~ YES ❑NO YES ❑NO YES ❑NO GALLONS PER CY L PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL BUILDI G VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INL T: PUMP ON AND OFF) (X YES ❑NO NEAREST-1► '6 V SOIL ABSORPTION SYSTEM. Check the soil moisture at t e epth of plowing I 1 JIIIAMI TER 1111ATIRIAL 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: WIDTH. LENGTH JNOOFDISTR PIPE SPACIN(4 COVER INSIUL UTA -PITS IL IQUID BED/TRENCH TRENCHES MATERIAL: PIT DEPTH DIMENSIONS ROPERTY WELL. BUILDING: VENT TO FRESH GRAVEL DEPTH FILL DEPTH GIST If PIPF UISTN PIPE DISTR. PIPF. MATERIAL NO DI$TH NUMBER OF JPINE . AIR INLET: BELOW PIPES ABOVE COVER ELEV. INLE I ELEV. END PIPES FEET FROM N EA REST------- i► 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. YES ❑NO SOIL COVE TE TURE PEHMANFNT MARKERS OBSERVATION WELLS YES ❑NO YES ❑NO DEPTH OVER TRENCH BED DEPTH OV R TRENCH BED JDEPTH OF TOPSOIL SOUDF I) SEEDFD MULCHED CENTER , / EDGES J r ❑YES. NO YES ❑NO YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH. LENGTH NO.OF LATERAL SPACING GRAVEL DEPTH LOW PIPF FILL DEPTH ABOVE COVER / DIMENSIONS ENCH TRENCHE/ MANIFOLD PUMP MANIFOLD - DISTR. PIPE MANIFOLD MATEH IAL INO DISTH IDISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING. ELEV.. ELEV DIA ELEV. PIPES DIA.. ELEVATION AND 6r S Nle DISTRIBUTION / v S1 F HOLE SPACING DRILLED COHHECT LV COVER MATERIAL VERTICAL LIFT RRESPONDS TO APPROVED INFORMATION r? PLANS F/ YES ❑NO ES ❑NO R OF I R ERTV WELL: BUILDING: COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: 2NMB UE EET FRONLINE XYES ❑NO ` YES ❑NO EAREST S Sketch System on R in in county file for audit. Reverse Side. SI N E: TITLE: DILHR SBD 6710 (R. 01/82) wlsco^slr, APPLICATION FOR SANITARY PERMIT F:~ ®ILHR COUNTY (PLB 67) UNIFORM SANITARY PERMIT # ciuSTR Er1T OF ,I IflOUSTRV,LRBOR 6HUTRfIRELRTIOnS 7 7 -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT LING AL)DRESS P PERTY OWNER /4/ MAI p-1 go PROPERTY LOCATIO 'C'ITY: A10114 )W114, S T4. N, R17 E (o W Tom oF: 40AIP LOT NUMBER BLOCK NU BER SUBDIVISION NAME NEAREST ROAD, WATE RK PLAN I.D. NUMBER 03 Z. (a)/0 TYPE OF BUILDING OR USE SERVED v6 0 ~6C.bl~'r7O"V' I,1 or 2 Family Number of Bedrooms: 0 Public (Specify): ~PL THIS PERMIT IS FOR A: ❑ New System ❑ Tank Replacement ❑ Repair Replacemen ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection -4~_Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. ❑ Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank ❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued , ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: Mound ❑ In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Z~ x Lift Pump/Siphon Chamber ~~v x Manufacturer: 60/ s-e (JCTS PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): 'c 3 D 7 .4"M 96 Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signatur /MPRSW No.: Phone Number: ~ Plumber's Address: 60/s Name f D~i~erQ U~/n~ ~T W !P S pit-Jn ` COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved ❑ Owner Given Initial Approved Adverse Determination Reason for Di Alternate course(s) of Action Available: I DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398' J To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe site, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer an vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. 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 Location of Prop AlW k /V,6- 3%, Section T.,~$? N-RL7_ W Township tlf W Z&,4-,:2 Mailing Address JQf / ~4X 116- Address of Site Subdivision Name Lot Number Previous Owner of Property rxfkam Total Size ofParcel 16r_dE Date Parcel was Created / q 7,:3 Are all corners and lot lines identifiable? xYes No Is this property being developed for resale (spec house) ? Yes No g7 Volume .S 9 and Page Number a~ 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) ceAt i s y that atP Sto tement6 on this Sanm ane t ue to the bust o6 my (ou& ) knowledge; that I (we) am (ane) the owneA (,s) o6 the pna peh ty de s ch i.bed in thus -inso rmafiion bofrm, by v Atue o6 a wall ant deed ncanded in the 066ice o6 the County Regi6teA as Deeds as Document No. ; and that I (We) pne~sentty own the pnapo.aed z to Son the sewage dispad dyd em (o& I (we) have obtained an easement, to nun with the above descA bed pnapenty, San the constAuction o6 said .6ydtem, and the .same has been duty teco ded in the Oss.ice as the County RegisteA o6 Deeda, a6 Document No. SIGNATURE OF OWNER SIGNA OF/0-OWNER ( APPLICABLE) DATE SIGNED DATE SIGNED ~-DILHR PLAN APPROVAL Safety and Buildings Division Bureau of Plumbing P.O Box 7%9 E:1 General Plumbing Plans Madison, WI 53707 • I~t Private Sewage Plans Telephone: (608)266-3815 X 4 r1A ;l QT variarict, Fee Rc~ 16 Project Name Proje'c't tLocation - Street No. or Legal D~e7sc(riipttiion County ❑ City ❑ Village Town of: 0V4 Cep~x 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. ❑ FOR GENERAL PLUMBING PLANS: 3a 3b 3c 3d 3e 3f 3g This approval will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan approval must be obtained. FOR PRIVATE SEWAGE PLANS: (1) (2) (3a) (3 (4a~ b) (6) (7) This approval will expire two years from the date approve low 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 plumbing and/or private sewage code requirements only. All other system reviews must be submitted to the Bureau of Buildings and Structures. Comments: By: James Sargent Bureau Director If Questions Plans Approved By: Zoe/ Dat/Aro;ve/,. Contact 6 cc: Private Sewage Consultant El Zing Consultant ❑ Environmental Health County ❑ Local PI ❑ Facilities Need Analysis Section ❑ UW-SSWMP ❑ Plumber ❑ Department of Agriculture DILHR-SBD-6099 (R. 01/85) ❑ Owner ❑ Other t PROJECT IND X SHEET OWNER : ~~vG C f 4PiAl ADDRESS : 1'r-1 .Fox 11.r J j,-q N OAAP 401S. i SITE LOCATION: S4A(,r ,*S ,o-t/400e** Nw yY WS * SE'c r 3 7--9 v R17 A) T wA~ o ~1,y yo vn PROJECT DESCRIPTION: ST e"iPO%X CTy, 2 ~F~lo,vs ~witi~ .,u ,g y . . ~~r; sT,~,f Sy,-.e,", ~~s Sots' fL!E" ~E,O 4f1A,B /E- ,BvT Scat Sov A// S47 v,t',gTi-D To ~,Ao w ~l a G.vv Zrsiv~. ~8N of SAA30 f fl) 1.3 PROP6 -DI ~•9s~/ ~~'F"A- s/ryti ft/y E.v'440P~ . FSTjXAhTfD (IPMEu+IAL> AVAi C. WA STLrwp "rEA 16AD /5 X00 d sA I$ . r PAGE 1. PLOT PLAN VIEWS , PAGE 2. MOUND CROSS SECTIOAI & SYSTEM PT,AN VIEWS 8 6 0118 3.2 PAGT 3. PIPE LATERAL LAYOUT PAGE-4. DOSING OR SIPHON CHAMBER CROSS S 7~ C T I ONS PAGE 5. PUMP PER F ORMANC7 SPECS OR SIPIlON SPECS PLUMBER : SITE EV r1LUAT?!.R or DESIGNER NavQy Ae-co/l 73Y _3 j2 Z MOMESITE SEPTIC PLUMBING CO. R©/~F..~'TS 4>iS, "YO-23 Itr. I o NEILLRRD. ieo N, WK 54016 INS. MASTER PLUMBER LIC. NO. 3307 M.PIR$ DATE : O MINN. INSTALLER & DESIGNER LIC. NO. OW S IGNATURE umvfD MAY 51986. PLUMMNO TON E ~ o N7El~ f4ws~cTi~n7 `NW L:Rn Of-.' ;IE r ,~M Hwy y o1C / •iVE F tCA of fAi16o X,►w f It LO a~ o 00or VOW 00, /NSo~AT~ e 4*W CopE LIP a w I ew VO o~w-c way , eff .S • • 3 g scit . yo puc F4~tc!' w,ESE~e eo O c,4Sf COAOCAt ~g• a ' sEprA 1e ~Xisr~~c- y ' O a EX(STIAe- well. }t~0 1 ' 16.7 t ~ POW uE Rr. Ra< r. 0 , C-pt, soil 'T£S+) Top Mo$7- PT• o f cASt4*- w~0 5 y ~0 1 s 98•x/ 1 v 1 , 1 y , 1 1 (ll s 20" 1 1 ' ~~1 1 1 ~ SCALE vCASIONAl 1 1 V RAIN wAtMR. 1 Ot • s~vow RECEIVED A 96.5 MAY 51R$6 PLUMBING SlialON 8.601832 Sov~G. ~oZ" L~~E . Page 0f Synthetic Covering Distribution Pipe Medium Sand G Topsoil F . E 2 % Slops Bed_ Of Force Main- Plowed .__A.. 99_re 9 -at.e._... . Layer D ~S Ft. Cross Section Of A Mound System Using E 6 Ft. A Bed For The Absorption Area - F • 75 Ft. G / Ft. v ~QaS A S Ft. H . S Ft. Signed: ~ : ~ 0 B /00 Ft. o X Ft. 4ft License Number. . L 12.Ft. UMVED Date:`' 93_ Ft. MAY 51986 /d . 4ff Ft. ...W Z S Ft. PLUMBING SECTION L Observation Pipe VC1r B ti K 4AIN b, A ~o -T---------------- W l - Distribution Bed of it Pipes Aggregate Observation Pipes G► Permanent Markers Srart- Reis . Plan View Of Mound Using A Bed For The Absorption Are&601832 t •r _ Page -Of Et u Ra..Af f VAC OAT(OA) Perforated Pipe Oetatl SAS View y )Perforated End Cap PVC Pipe QAs~~ Holes Located On Bottom. ~s Are Equally Spaced arc EUD 1A,¢vifa1,j> / / 1S it C&,4,J&T ~MRKtFRS Distribution / Pipe Distribution Pipe Layout P 9(o Ft. R a.S 3 POC FC-AC S a. S MAtN X Inches Y Y Inches Hole Diameter YY Inch Signed: Lateral Z Inch(es) License Number: „ RECSIVED Manifold 3 Inches Date: MAY 51986 Force Main Inches # of.~ holes/pipe PLUMBING SECTION /00. y Invert Elevation of Laterals Ft. :~J5111°iitS aTior✓ ~ i sc~ ,w~ u%~ • ~ .Z .S , ~ Er~O ~r Di ST ~~ES 7'0y o~ • S ~I&ID S / 5 N'l ~•P• . 8601832 PAGE OF PUMP CHAMBER CROSS SECTION AUD SPECIFICATIONS VENT CAP 'i"C.I. VENT PIPC J -T WEATHER PROOF APPROVED LOCKING 25' FROM DOOR, JUNCTION BOX MAWHOLE COVER WINDOW OR FRESH 12" AIR INTAKE I GRADE q,5vhfjpN CONDUIT L-- IB"MIN. ql.o 18'IKw. ~fL \Y 11~ INLET Coro' I N^ I ~R N I III . aN . - \N~ I I I APPROVED JOINT A , 0 I I i I APPROVED JOINTS W/,C.I. PIPE r( ( I I W/C.I. PIPE EXTENDING 3' \N PFE I III ALARM EXTENDING 3' ONTO SOLID SOIL SYP~~f\`1o\V~c~\ ~G I i I ONTO SOLID SOIL C I I ON ELEV./•L FT. /usize PUMP OFF D odlcS3bE 13cTrc1~+ 90 •Sd t _ el& v tTl•,v 2 CONCRETE BLOCK BolleAl aF 90.33 RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL . . SEPTIC E SPECIFICATIOAIS 400 DOSE jj~SE,Q t^ TANKS MANUFACTURER: M"~ 0AW1.'E' IVIAD• WMISER OF DOSES: PER DAy TANK SIZE: /0" GALLONS DOSE VOLUME .2 yL ALARM MANUFACTURER: LEVEL.. AlltA% CV_ INCLUDING 6ACKFLOW: GALLONS MODEL LIUMBER: T• L• V. //f'/%Afe.4,41.0 = YAofat. CAPACITIES: A= Lf• 1' INCHES OR sZ~ GALLONS SWITCH TYPE; _ Si~uylE M ERtvR y 'f~el►T' . - - , B = 2- INCHES OR ~ GALLONS PUMP ` MANUFACTURER: • X07 A! C- /0• INCHES OR :-/L GALLONS MODEL NUMBER: y~ HP 2e 92- Do- 8 INCHES OR GALLONS SWITCH TYPE: Pi C>r HE&VAf f/OATS L, NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATS -GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEIRI PUMP OFF ANO DISTRIBUTION PIPE.. , FEET ASK S~cS n + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . 2.5 FEET ik6, ;A) a, s 23.to Y~CS. + FEET OF ~ MAIN X ~3 Fj oonF'Rtmou RAGTo& 199 FEET TOTAL 09NAMIC. HEAD = A2 FEET 51986 -7.2 „ yZ „ IAITERtI~lAL. DIIMENsblONF, O K: LEM&TH;WIDTH ~_.•LI UID PLUMBING S ff CT j Q D E P T H 8601832 I U M • ; ~rr~■ r~v■ ■ LLI ~ •r 30 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING SERIES 53 55 57-59 97 137-139 163 165 28 M LTRS LTRS LTRS LTRS LTRS .52 EFFLUENT AND DEWATERING 1 163 246 394 231 231 3.05 129 216 300 231 231 % 4.57 72 163 242 227 227 26 SEWAGE AND DEWATERING 6.10 104 136 223 227 7.62 30 216 223 ` 9.14 206 220 24 12.19 172 206 i 15.24 125 191 % 16.29 57 161 ! 22 % % 21.34 114 ` 24.36 53 MODEL~~ or- MODEL Lock Valve: 19' 24.5' 26' 66' 6T 20 163 \ 1165 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE SEWAGE AND DEWATERING O SERIES 267 266 ?a2 264 299 18 \ % M LTRS LTRS LTRS LTRS LTRS % t \ 1.52 408 366 492 661 I 3.05 227 273 360 596 16 4.57 76 163 236 511 \ 6.10 30 125 401 a. 7.82 286 14 9.14 163 292 ` 10.67 227 ; 12.19 174 12 13.72 106 i \ 15.24 45 MODEL Look valve: is, 1 21' z6 35• s3 t 293 10 MODELS t 8 137 139 6 MODEL 15 284 4 MODEL MODEL F7 10; 268 \ \ 1 282 2 MODELS 53, 55, MODEL MODEL 57959 97 267 ITERS 80 160 240 320 400 480 560 640 650 FLOW PER MINUTE 3280 Old Mlllenr Lane Manufacturers of... Los ~le, Kentucky 40216 (502) 778-2731 EQUAL/rY 9I-9 SMCE ffyg N 8 1282-284" Series • Automatic or Non-Automar'c. '1 g 3 • 282 1/2 H.P., 1 Ph., 115V, 200-208V or 230V 1/2 H.P., 3 Ph., 200-208V, 230V or 460V 0 284 1 H.P.,1 Ph., 200-208V, 230V 1 H.P., 3 Ph., 200-208V, 230V or 460V V~ • Float operated submersible (Nema 6) mechanical switch. • Automatic reset thermal overload protection (1 Ph. models only). MAY js M 1 • Upper sleeve bearing and lower ball bearing running in a bath of oil. PLUMBING $110ION • Vortex impeller design. • Stainless steel screws, bolts, float rod, handle, guard and arm and seal assembly. • Passes 2 inch solids (sphere). • 2" or 3" flanged discharge. li•tod , SC_2226 ~ DiLHR PLAN APPROVAL Safety and Buildings Division Bureau of Plumbing P.O Box 7%9 ❑ General Plumbing Plans Madison, WI 53707 'IV Private Sewage Plans Telephone: (608)266-3815 A rlart s I&I \ V Pte'` p~ ~ 1 ~ ~ - . M 'TY PVAN.ii . C?NLY C, I'VI\ Plan Review Fee Received t Pittott :f c•'~atxa # .ee Red Project Name Project Location - Street No. or Legal Description t~, ►~1 143 f ~ t`1 L. \ v ~ cK. S t \ l V4..J County ❑ City ❑ Village Town of: N~~~1~. - • x 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. ❑ FOR GENERAL PLUMBING PLANS: 3a 3b 3c 3d 3e 3f 3g This approval will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan approval must be obtained. FOR PRIVATE SEWAGE PLANS: (1) (2) (3a) (3 (4ab) (6) (7) This approval will expire two years from the date approve low ofl if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Bureau of Plumbing has reviewed theie plans for plumbing and/or private sewage code requirements only. All other system reviews must be submitted to the Bureau of Buildings and Structures. Comments: By: James Sargent Bureau Director If Questions Plans Approved By: Date A rove . Contact ♦ f P%1- rj cc: Private Sewage Consultant ❑ Plumbing Consultant ❑ Environmental Health County ❑ Local PI ❑ Facilities Need Analysis Section ❑ UW-SSWMP ❑ Plumber ❑ Department of Agriculture DILHR-SBD-6099 (R. 01/85) ❑ Owner ❑ Other State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION "rM of "al" I "st wMat"t" "an l,4. Sex 790 Rpe" it is sis *S5 itirti'tloa Nri. Dow Mr, r lim Red l is - Residence Privy sea" $Ptem ; 3*2qj UM , St. Croix Owift# MI ttoo 145.24 (1), iti axis .fit , and s. Wit 83.W (2) (a)t Wisconsin Administrative CwW* allows the to petttion the die t for a variance to tits instatllatUm for a private sa wV system to replace an existing privato s system at a site obich is not in fell co"lianct with the siting standards to the aftinistrative rule. Tse system design proposed sMuld protect the waters of the state from contamination. If this system beconm a failing system or contoot"tes the waters of the state, this variance shall t re . T&* prtitieo for a variance toed to s. Nt SL23 (1) (alb) of the iiit. Ads. code "a t l4reld on my so IM* The petition has been itiseelly approved. Ilke condition being that to t event of failure* t system shall be replaced writA a holng took or othw off-felt sys'tes, 7b* rule relrpires tilt a mwW system bove a vision of 24 %chas of sulta bi t t 41 sell:. The varri tead to install a ►i t waW s mew on a site writh 21 inches sait le natural soil. DILHR-SBD-6423 (N. 04/81) a State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION Pal is *41 l A)1 of ale 4#t# ad #t#t is ftw on be" If of 00 pttttfi r we + tat 710s variance is g ifk to tab subject pKitim and C#mmAt be *sad for Alq ttlr t tf tt . secti" Of Pr3wato SM&" % t cez L J ` " trty#t* Seoge 'alt - ;fitsitri Vii. thIppeve Mis U C. 0 mug, A t1#tstar - . i tx qty y 1* _ illo, Plumber DILHR-SBD-6423 (N. 04/81) SBD 6678,(R. 08/83) (Plb 100a) (Wis Stats. S. 145.02) Detach And Return Upper 00 7 STATE OF WISCONSIN DILHR DIVISION OF SAFETY & BUILDINGS Portion Of'This Form With BUREAU OF PLUMBING Any Return Corresponden 201 E. WASHINGTON AVE. RM 141 jk1 P.O. BOX 7969 411 x`98 MADISON, WI 53707 608-266-M15 DATE:' PROJECT: le~ . Q_ ~a3 v\ PLAN ID. - - - DETACH HERE PROJECT NAME PLAN ID. V. 61-1 t This is to acknowledge receipt of our plans and specifications for the above-indicated project. Preliminary review. indicates the required fee is $ ©rr Fee Received is $ b r ;Plan accepted for review. ❑ Underpayment- Please submit additional fee. Plans will be held in abeyance. Plans being returned. ❑ Overpayment-Refund forthcoming. ❑ Additional information required. SEE BELOW. ❑ No fee has been remitted. Plans will be held in abeyance. 1. Plan Submission ❑ Soil boring and percolation test data on 115 completed ❑ Additional information shall be submitted in duplicate unless by Certified Soil Tester. (1 copy) specifically noted. ❑ Petition For Modification signed by county, owner and ❑ Plans not clear, legible or permanent. notarized. (1 copy) All information submitted shall be signed, dated and sealed or stamped in accord with Section ILHR 83.08 ❑ Complete data relative to anticipated use of building. (2) (a) Wisconsin ❑ Deed restriction required. (1 copy) Administrative Code. ❑ Affidavit enclosed. ❑ Condominium declaration. (1 copy) ❑ Plot plan showing location of land parcel (distance from nearest road intersection, etc.), lot size and all distances from IV. Holding Tanks private sewage system to buildings, lot lines, well, water- El Holding tank profile showing vent, manhole, alarm, course, swimming pools, water service piping, all weather ser- and manufacturer if state approved. Complete vice road, etc. Show benchmark with permanent elevation. construction details if site constructed. . 1. Pressure Distribution Systems (Mound or Inground Pressure El Holding tank agreement signed by owner and local unit of government (sample enclosed). ❑ Application for Use of an Alternative System signed by owner ❑ Reason for installing holding tank. Statement from and notarized. (1 copy) county or soil boring and percolation test data on ❑ County onsite required. (1 copy) ❑ Design calculations. 115 completed by CST, showing that a soil absorption system ❑ Soil boring and percolation test data on 115 completed by cannot be installed on the land parcel. Certified Soil Tester. (1 copy) ❑ Affidavit for all-weather service road (enclosed). ❑ Cross section of system. ❑ Pipe lateral layout. ❑ Plan view of system. V. Dosing Information ❑ Verification fo Exception Status Form by county. (1 copy) ❑ Calculations for total dynamic head and gallons pumped per cycle. Private Sewage Systems ❑ Size, length and depth of force main. ❑ Ground slope with 2' contours in entire area of soil absorption ❑ Detail and model of pump or automatic siphon, including system extending 25' minimum on all sides. size, pump curves, drawdown, and average flow rate (GPM). ❑ Location of area suitable for replacement system - provide soil ❑ Cross section of dosing tank showing pump(s) or siphon(s). data. ❑ Construction details of septic, holding or dose tank if site VI. Systems in Fill (Fill must be placed prior to plan submission.) constructed, or tank manufacturer if state approved Total area filled (fill to extend 20'' beyond edge ❑ Construction details and cross section of soil absorption of trench before side slopes begin.) system. ❑ Depth and type of fill. ❑ Copy of signed onsite report by county or district staff. IND&PARIMENT USTRY, OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUNAN RELATIONS \ / MADISON, WI 53707 i (H63.090) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/M{ifdtelrALI fY: LOT NO.:BLK. NO.: S~Up,B,DDIVIISION NAME: i .j~4 ' 3 /r~9 N/R i71r(or) w r~.t-f,NOND iL /6 7 ' X COUNTY: OWNER'S 'S NAME: MAILIN ADDRESS: / 5rCipi ~,quL C hA'PtN AD)< /IS USE DATES OBSERVATIONS MADE NO. B DRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION ESTS: Residence /v 4% [:]New Replace 111 2-2 RATING: S= Site suitable for system U= Site unsuitable for system 5C s~ 19UdAl 57/. 54ewv OV S011S 'I CONVENTIONAL: MOUND: IN-GROUNDPRESSURE: SYSTEM-IN-FILL HOnLDING TANK: RECOMMENDED SYSTEM:(optional) ,yaEa•~i~.~~ 11 S ©u ®J ❑ U El S U 11 S Ku S ❑ U w.. pET,Tiod )r'04 If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the l If under s.H63.09(5)(b), indicate: ~r~rt/N /IU Z Floodplain, indicate Floodplain elevation: lee- DESCRIPTIONS AQ DAC44,}/ BORING TOTAL ELEVATION DEPTH TO ROUNDWATER-INCH S CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, OBSERVED EST. I HET TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- / 9- 0 ' 90B • YO 'P+ , so • /~ti-~y ~O !a~ ~N. /d•1.~,, 3 33•r Nr~u . " Ll to W, f ff. OR -G . Mo+s a-r- a • B- 90 A ,sr r it r 7 S a21 e? •O ' 'Ve4 C/* ~ 1.94M a~ 0 CPA&E- A7 B- B-,3 24 ~.~3 av./oAM . 75 G/ 13N. /a~r~ • Sp' la~L3N- t, le% S; / %f4 F "p, eR - .t. s AT LB- A J13 C1-7-") .7S' R&C St- s~ Mix , w ! 4"t 441 r M-60. DO 'S7- 1611.5 3• a `l~4 CA ~a wiA PERCOLATION TESTS SiDEi!// SE~jDi}~2 .~T ' `3f/M) TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. P RIOD 1 PERIOD 2 P R PER INCH P_ Z Z Ice-- /O 2 !14 2 Z s" P- P- Z 2-2-- L P-. P-3 1 ,2 Z iG 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. D%S r,1I0 7.10" P1ftQ /.v VAI yo SYSTEM ELEVATION 5'~"i D t+/~I',~, uH os-Q&) ; a f &,e fA ev_ 909.94 ""._...Q_._. - _ i 4-a hA _ j a VD _ s ~ . ts 3tgom~ en e ex0lan s 701 r I 7 E f 1+ JAI CAIl1F7J"PWh1_ I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: HOMESITE SEPTIC PLUNIBING CO. v f 22- 19e(p ADDRESS: Q'II III WDSON, u-101 .64016 ROBERT ULBRICHT CERTIFICATION NUMBER: PHONE NUMBER (optional): WIS. MASTER PLUMBER LIC.N . 07 -0.14/00 MINN. INSTALUR & DESIGNER LIC. NO. 00663 CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6, To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this anew or replacement systern; 5, 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,,end are permanent; 9. Complete all appropriate boxes as to dates, names, addresses, flood plain dat lation test exemp- tion, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in tl appropriate box; 11, 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 WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Sandstone gr - Gravel (under 3") LS - Limestone *s - Sand HGW - Nigh Groundwater cs Coarse Sand Perc Percolation Rate med s - Medium Sand W Well fs - Fine Sand Bldg - Building Is - Loamy Sand - Greater Than .sl - Sandy Loam < - Less Than *1 - Loam Bn - Brown *sil - Silt Loam 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 - Sandy Clay w/ - with sic - Silty Clay fff few, fine, faint *c - Clay cc' - common, coarse pt Peat mm - Many, medium m - Muck d - distinct p - prominent HWL - High water level, Six general soil textures surface water for liquid waste disposal BM - Bench Mark VRP - Vertical Reference Point TO THE OWNER: Th's report is the first step in securing a sanitary permit. The coun' orthe Department may request ",;s soil test in tr,A f~ prior to permit issuance. A con . t of plans for the private d a permit appli . must be submitted to the approp-i ~ local authority in order to art. The sanitary permit i *u<t be obtained and posted priorto the start of any construction. REPORT ON SOIL GORiNCEYS ; PERCOLATIoN TESTS 11S OPAj B c h i~J f '"Ro o -PST PLAN NoTEc i r. D. EWE- Open. 21 _ /9~1~ /'~oovD SfsTEy - 1?EO1KE".4"7- BOB ULVRlG'.:s SS- HOMESITE SEPTIC PLUMBING CO. 0 57- 02 y402- RT. 3 VNEIL RD.; HUDSON, WIS. 54016 ROBERT ULBRICHT p "CIS. MASTER PLUMBER LIC. NO. 3307 M.P.11M • IN. INSTALLER & DESIGNER LIC. NO. QO%3 moposED mom Mosr Cie 2.T Fr O-f A0-Ce "d-Af qLt E'er ^er,4s. PRO POSED WELL M VSf me, S0 FT of /MORE `iPOiy TEST '9,PErlS, • = 6/~! /y~D~E /~/T•s O = EXISAI- 6- WELL X s ~E~G IOCR1/ON~f #if,VP 1401'"" Ale 546W" 90.4ee f r s #O;Z. BM Vrjfrlcai. &.0,epi ver Pour' -role ,NOsr AfRr- OF T ~ f1mur o of 1100s x- cgtsnN6--wE// e;fSINe.- ~~Er/Arow of I/~t ~PEF. /o o • o ~r LEGEND Aw/A Q -ebr¢ If. ~0yi -y,,e - - - - - - - - - _ o f s Exrsn Sc/v1~iEtD $3 / N~V~'No~uv SiZ~1 101. S • wiv . y~ ` 1. ~ Zr. Cop~.jtq ,y I-Agt •s 5 gee, wE~~ 9 x PL oa 35 folcl This to slum NEtr 3 ve trona/se Np~~ 'RMa wwrER eXpla At10 ~D srwo s aN "at~On. sy - ~-Oz- x z 0 ~ 5CALE I"=.Z gyp' Soa fln /oT L1,~/.G.-