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Parcel 030-1039-60-100 01/26/2006 03:37 PM
PAGE 10F1
Alt. Parcel 19.30.19.136B 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - NORELL, PHILLIP C & JOSEPH M
PHILLIP C & JOSEPH M NORELL
1488 CTY RD V
HOULTON WI 54082
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1488 CTY RD V
SC 5432 SCH D OF SOMERSET
SP 1700 WITC
Legal Description: Acres: 3.273 Plat: N/A-NOT AVAILABLE
SEC 18-19 T30N R19W PT NW 1/4 NW 1/4 LOT Block/Condo Bldg:
1 OF CSM 6/1588
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
19-30N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
09/04/2003 738854 2400/581 WD
1108/271 WD
725/144
2005 SUMMARY Bill Fair Market Value: Assessed with:
83423 145,800
Valuations: Last Changed: 07/07/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.270 62,800 69,800 132,600 NO
Totals for 2005:
General Property 3.270 62,800 69,800 132,600
Woodland 0.000 0 0
Totals for 2004:
General Property 3.270 62,800 69,800 132,600
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 121
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Form- S T C - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER TOWNSHIP rp, SEC. T N-R J Q W
~Ux_ !
ADDRESS r
ST. CROIX COUNTY, WISCONSIN
SUBDIVISION LOT LOT SIZE
PLAN VIEW
Distances and dimensions to meet requirements of I1HR 83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
f
j~
f+(~i~Sf i
/ I
oil
~N
1
INDICA N?RTH ARROW
BENCHMARK: Describe the vertical reference point used 16Lht
Elevation of vertical reference point:,//Vt1 Proposed slope at site: 71
s'►
SEPTIC TANK: Manufacturer: Liquid Capacity: ,gM j
Number of rings used:- Tank manhole cover elevation:
Tank Inlet Elevation: Tank Outlet Elevation:
Number of feet from nearest Road: Front,O Side,kV Rear, O feet
From nearest property line Front 10 Side,&Rear, O !l~ feet
Number of feet from: well g7 building: b 3 "
(Include this information of the above plot plan)( 2 reference dimensions to septic tank)
SEE REVERSE SIDE
PUMP CHAMBER
Manufacturer: Liquid Capacity:
Pump Model: Pump/Siphon Manufacturer: Pump Size 3
Elevation of inlet: Bottom of tank elevation:
Pump off switch elevation: Gallons per cycle: -s.7
Alarm Manufacturer: Alarm Switch Type:
Number of feet from nearest property line: Front, O Side, Rear, Ft.
Number of feet From well:
Number of feet from building:/
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM Ilk aA),O
Bed: Trench: Width: Lenth:_ Number of Lines: Area Built:
Fill depth to top of pipe:
Number of feet from nearest property line: Front, O Side, O Rear, Ft.
Number of feet from well:
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, Q Rear, O Ft.
Number of feet from well:
Number of feet from building:
Number of feet from nearest road:
Alarm Manufacturer:
Inspector:
(~i~,/i9,~
Dated: - / - Plumber on job:
License Number:
3/84:mj
DErPA'RTM9NT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS
LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O. BOX 7969 BUREAU OF PLUMBING
MADISON, WI 53707
ALTER NATIVE State Plan I.D. Number
ON V ENT I ONA L (
If assigned)
❑ Holding Tank ❑ In-Ground Pressure .Mound
NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: INSPECTION DATE. 16FV (J
Edwin Gowe, Jr. R.R., Hudson, W1 54016
BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV. CST REF. PT. ELEV.:
NE NE, Section 19, T30N-R19W, Town of St. Joseph
Narne of Plumber: MP/MPRSW No. Cnunly Sanitary Permit Number:
Cal Powers 1563 St. Croix 79176
SEPTIC TANK/HOLDING TANK:
MANUFACTURER. LIQUID PACIT TANK INLET ELEV. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER
e r PROVIDED: PROVIDED:
UD60 I
I = - - OYES ONO DYES ONO
BEDDING: VENT DIA.: VENT MATT JHIGH TZ~~(// -,NUMBER OF ROAD: PROPERTY WELL: BUILDING (VENT TO FRESH
ALARM FEET FROM LINE. ^ j.7 12-5 AIR INLET.
OYES ONO DYE NO NEAREST 3
DOSING CHAMBER:
M FACTURER. BEDDING: LIQUID CAPACITY PUMP M(IUEL PUMP SIP ON MANUF ACi11HEH WARNING LABEL LOCKING COVER,
p pp oo,~ PROVIDED PROVIDED
V114 OYES WNO r//YES ONO 1!'YES ONO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PH )PEHTY WE BUILDING VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM uNe~ / I I n I AIR "LE
PUMP ON AND OFF) -7 YES ONO NEAREST--V. "I J
SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing ' I. I 1111AMI TER 111ATI HIAL AND MARKING
or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE ~f
the soil is dry enough to continue.) MAIN
CONVENTIONAL SYS7 EM:
WIDTH LENGTH NO OF DISTH PIPE SPACIN(I COVER INSIDE )TA -PITS - LIQUID
BED/TRENCH R7€N HES MATERIAL: PIT DEPTH
DIMENSIONS 3 3 2
GRAVLLUEPIH FILL DEPTH j0lSTR PIPF MATERIAL NO DISTH NUMBER OF PROPERTY WELLBUILDINGVENT TO FRESH
BELOW PIPES ABOVE COVER EEV. INLET ELEV. END PIPES FEET FROM LINE AIR INLET.
NEAREST NMI
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.
Y ES ONO
O
SOIL COVE TEXTURE _ PERMANENT MARKERS :IS111VATION WELLS
..1~ _ YYES ONO _DYES NO
DEPTH OVER TRENCH BED DEPTH OVER TRENCH BED UFPTH OF TOPSOIL 5000FD SEEUFD MULCHED
CENTER EDGES
OYES. ONO OYES ONO OYES NO
PRESSURIZED DISTRIBUTION SYSTEM:
'WIDTH. LENGTH NO.OF LATEHAL SPACING GHAVEL DEPTH BE _0111 PIPE FILL DEPTH ABOVE COVER
BED/TRENCH n TRENCHES
DIMENSIONS J tJ
MANIFOLD PUMP MANI OLD DISTR. PIPE MANIFOLD MATERIAL NO UIST DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING
f~EV EL V ,I CIA ELEV PIPES CIA ~F
ELEVATION AND ~/'1 3 q 7 7L / 12 /I
DISTRIBUTION I I l % /
INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICALLIFT CORRESPONDS TO APPROVED
/ PLANS
X]YES ONO 514 YV YES ONO
COMMENTS: PERMANENT MARKERS- OBSERVATION WELLS: NUMBER OF LINE RTY WELL: BUILD NG:
FEET FROM
YES ONO YES ONO NEAREST- 7P,
0
{ 5 Lt _L/
Sketch System on in county file for audit.
Reverse Side.
SIGN TITLE.
DILHR SBD 6710 (R. 01/82)
*IS~°^51 APPLICATION FOR SANITARY PERMIT
COUNTY
lz~ DILHR 044- &4t~4
(PLB 67) UNIFORM SANITARY PERMIT #
~ OEPRRTTEf1T OF
RIOUSTRV,LRBOR 6 HUmRn RELRT10n
-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
PROPE TY OWNE MAING ADD ES
o w fir- 1~ u S o llo`. S sy O 1 ~O
k;
io" y"1
PROPERTY LOCATION etTY: j,J,_XSy'
V1L1.A6E:
1/4A/Z 1/4, S , Ta N, R (ore TOWN OF: r
LOT N MBER BLOCK UMBER SUBDIVIS N NAME NEAREST BDAI? -LAKE OR LANDMARK STATE PLAN I.D. NUMBER
TYPE OF BUILDING OR USE SERVED
1 or 2 Family Number of Bedrooms: ❑ Public (Specify):
THIS PERMIT IS FOR A:
New System Tank Replacement ❑ Repair
Replacement ❑ Revision ❑ Privy
Alternate System ❑ Reconnection ❑ 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 jo t7 e7 )Z
Lift Pump/Siphon Chamber Z AI 'P k/ 4
Manufacturer: ZIA26a :11 66101 - '
PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY:
(Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet):
® Private ❑ Joint ❑ Public
1, the undersigned, hereby assume responsibility for installatio o the private sewage system shown on the attached plans.
Name of Plumber a(P't): Si a urea MP/MPRSW No.: Phone Number
CC ` l / 1 -
Plumb is Address: Name of Designe :
COUNTY/ DEPARTMENT USE ONLY
Signature of Issuing Agent: Fee: Date: ❑ Disapproved
_Yh ❑ Owner Given Initial
Qj J Approved Adverse Determination
Reason for D' p v .
RECE's V ED
Alternate course(s) of Action Available:
! p A
I'LUi sa ~ , CUREA t
DILHR SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
{r5~' pf}? `F 5 +i ,L~ + y~ 796-2239 (HAMMOND)
425-8363 (RIVER FALLS)
HAMMOND, WI 54015
January 23, 1986
Division of Safety and Building v o ,j
Bureau of Plumbing a Q j
P. 0. Box 7969
Madison, WI 53707
Dear Sir:
An on site investigation for the Edwin Gowe, Jr. property located
in the NEB of the NEB of Section 19, T30N-R19W, Town of St. Joseph,
St. Croix County, revealed suitable soils at a depth of 2.6 feet,
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,.
J
Thomas C. Nelson
Assistant Zoning Administrator
RECEIVED
WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING
P.O. BOX 7969, MADISON, WISCONSIN 53107
Verification ,of Exception Status for an Alternative Private Sewage System
In the County of St. Croix
Location NE 1/4, NE 1/4, Sec. 19 T 3o N, R 19 "rj W
Town or hxlW St. Joseph Street Address
Lot No. Block Subdivision
Landowner's Name: Edwin Gowe, Jr.
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:
~..1to have one of the first five approvals guaranteed for this year. This is
number - - of those applications. (Use one of the first five
quota num ers issued to you.)
]one of the applications needing a quota number. The quota number assigned to
this application is - -
❑ for one additional homesite on a farm to be occupied by a parent, child,
grandchild, sibling, niece, nephew, or first cousin.
F ]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.
(._J for an application on file prior to February 1, 1980.
L 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:
0a failing conventional soil absorption system. RECEIVED
❑ a holding tank that was installed and in use prior to February 1, high@.
❑ a privy that was installed and in use prior to February 1, 198d'L1 V%,- r 'SEA r
If this is a REPLACEMENT SYSTEM USE and the Jot meets the criteria for a
conventional private sewage system, check here. F1
I certify that the above information is true and accurate to the best of my
knowledge.
Name Thomas' C, Nelson Si re_~-
County Official
Title Assistant Zoning Administrator Date January 23, 1986
DILHR-SBD-6158 (R 12/82)
STATE OF WISCONSIN-DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS
DIVISION OF SAFETY & BUILDINGS - BUREAU OF PLUMBING
P.O. BOX 7969 - MADISON, WI, 53707
APPLICATION FOR THE USE OF AN ALTERNATIVE SYSTEM
Location: Towns hip)bHHLVMR :
NE NH, S 19 T 30 N/R 19 KM)U St. Joseph St. Croix
Street Address: Subdivision: County
R 'R 11
Landowners Name: Mailing Address:
Edwin Gbwe, Jr. R. R., Hudson, WI 54016
I (We), the undersigned, hereby make application for an alternative system on
the above-described premises. I recognize that the above premises are not
suited for a conventional private sewage system. If approval is granted, I
agree to have the system installed in conformance with the Bureau's approval
of plans and specifications.
I further understand that an alternative system is more complex in nature than
a conventional private sewage system and as such will require detailed
inspection during construction and monitoring after the system is put into
use. I agree to permit both county officials charged with administering county
sanitary ordinances and Bureau employes or other authorized persons to have
access to the above described premises at any reasonable time for the purpose
of inspection the construction of or monitoring of the system. I further agree
to either personally or by my agent contact the proper county official to
arrange the time and date to begin construction of the system.
I understand that this application does not permit me (the applicant) or my
agent (the contractor) to begin installation. If the system is approved, the
Bureau will send the applicant a letter of approval which authorizes
construction of the alternative system after all necessary permits have been
obtained.
I agree to give notice to any subsequent buyer that an application for an
alternative system has been made and if installed, that the premises are served
by an alternative system and further agree to give the buyer a copy of this
application.
The Bureau accepts this application subject to this understanding arldEWi)'~y
to all the conditions and obligations set out in this application.,,,.;
LUN;vay JREAU
3- 7-- J 6
Signature of Applicant Date
STATE OF WISCONSIN Subscribed and sworn to before me
SS.
COUNTY OF - C12b I/c, n tt
41
This / day f IKQ tl 19 A .
Notary Public,,' State of isconsin v
DILHR-SBD-6413 (N. 05/81) My Commission Expires: / ~ " 3 " ~o
WORKSHEET - MOUND SYSTEM DESIGN
E c~w:►• low ~r
R~
PROBLEM: sc, o v.s, r Sal I LP
__s _ g~ p®
Design a mound system fora
The site characteristics are:
Depth to groundwater or bedrock L in.
Landslope 3 %
Percolation rate min./in.
Distance from dose chamber to distribution system ft.
Elevation difference between pump and distribution system Z2 7 ft.
Step 1. WASTEWATER LOAD = lSQ,gs~~o ~.gR gal.
Step 2. SIZE THE ABSORPTION AREA
A) Area required
B) Bed or trench length (B) ft.
C) Bed or trench width (A) _ ft.
D) Trench spacing (C) _
Wastewater load .24 gal/ft2/day B = LPL ft.
trenches
ashC
~ --?e~~ j;' 1 3
Step 3. MOUND HEIGHT
A) Fill depth (D) _ ft.
B) Fill depth (E) = D % slope /(A) ft.
.
/ f ,0-3% 417:9
C) Bed or trench depth (F) = RECEIVED ft.
D) Cap and topsoil depth (G)
PLUMj3W EUREAy ft.
'q .E) Cap and topsoil depth (H) _ ft.
/~f'X~rv. JS•G3
Step 4. MOUND LENGTH
A) End slope (K) D + E + F + H x3 = t.
2
a
B) Total mound length (L) = B + 2(K) ft.
Step 5. MOUND WIDTH
Al) Upslope correction factor =
A2) Upslope width (J) = (D + F + G)(3)(factor) _ ft.
B1) Downslope correction factor = 1!~
82 Downslo a width I E F+ G 3 factor ~ ft.
Cl) Total mound width (W) for bed = J + A + I ft.
C2) Total mound width (W) for trenches =
J + A + (no. trenches -1)(c) + A + I ft.
c' 2 ~ 7, ~ sC,D
Step 6. BASAL AREA
A) Infiltrative capacity of natural soil :?,~/gal./ft2/day
B) Basal area required = wastewater flow
natural soil infiltrative c apa ity = /RCS sq. ft.
C1) Basal area available for bed for sloping sites =
B x (A + I) _ sq. ft.
C2) Basa are avails a for trench for sloping sites =
C3) Basal area available for trench or bed for level
sites - B x W = sq. ft.
1,y?g.9
• ' ~~i.v r~ uw ~ J r' / •~CC J d J
N J's
Step 7. DISTRIBUTION SYSTEM
7A) SIZE DISTRIBUTION SYSTEM
8//49.
1) Hole size i = n.
2) Hole spacing in.
p`C li
3) Distribution pipe length
4) Distribution pipe diameter = in.
5) Spacing between distribution pipes
6) Distance from sidewall'to distribution pipe in.
7B) DISTRIBUTION PIPE DISCHARGE RATE eft.
1) Number of holes 'per pipe
2) Flow per pipe IS GPM
7C) SIZE MANIFOLD
1) Manifold is central/ end
2) Manifold length / ft.
3) Number of distribution lines =
4) Manifold diameter = 3 in.
7D) SIZE FORCE MAIN
1) Minimum dosing rate = ;,7V_ GPM
2) Force main diameter= in.
3) Friction loss
ft.
7E) TOTAL DYNAMIC HEAD
1) Vertical lift = RECEIVED ft.
2) Friction loss = ft.
3) System head 2.5 ft. = PLU~,~ C,.~EA~1
ft.
4) Total dynamic head = y ft.
CL) V3
r~p~sw IS6.3
P9
7F) PUMP SELECTION
1) Pump selected will discharge GPM at ft.
total dynamic head.
2) Pump model and manufacturer
7G) DOSE VOLUME
1) 10 times void volume of distribution lines = gal./cycle
2) Daily wastewater volume 4 doses/24 hrs. _ Z1 gal./cycle
3) Minimum dose volume = gal./cycle
7N) DOSE CHAMBER
1) Minimum capacity required = / gal.
a (jcs~tr~ ~
}
r ~ ;r
A'A4
`0G
a~ N
9
RECEIVED
E 1
3
MAR 2 61986
n
PLUMBING BUREAU
.n
uds~. w sc~Page Of
syoi G
Straw, Marsh Hay, Or
Synthetic. Covering
Medium Sand Distr CS 0881
Topsoil F
3 ! E ii D
96 Slope Trench Of - 2 Force Main Plowed
Aggregate Layer
Undislurbed D _L Ft.
Soil E Ft.
Cross Section Of A Mound System Using F 8:j Ft.
Ail Trenches For The Absorption Area G _L Ft.
Ft.
A Ft.
B Z9 Ft.
Signed: 2-2-Ft
~ Q
License Number: 3 K Za Coakoo
1 411
L Ft .v, Date: 7~ -rc C~. J Z
Alternate Position of Force Main I •og~t` ,VT
DE
7- F
r
t3 K
7rt
Force
Main
W Observation Permanent,
Pipes Markers
7 - - - - - T - - - -
Distribution Trench Of 2 - 2 2 r
i Pipe Aggregate CEIVED
fui t 3' I::~uu
PI=
REA
_YI
Mound .:Using 3 Trenches For Absorption Area
j t
Ni~
o~ ~ ~ Dom{ I`I ~ _
i~
o
I
I ~ ~ m
u-7 F
. o
RECEIVED
c3 1
PLUN6vNl'~~' ~ °RFAt.I ,A
' Page of
, ►2 e
Perforated Pipe Detoll
End View 8600881,
)Perforated
End Cap PVC Pipe
o e
o Holes Located On Bottom,
S Are Equally Spaced
~ R
S
Q
PVC Force Main
.7
Q PVC
Manifold Pipe
Alternate Position Of
Distribution Force Main
Pipe
Last Note Should Be
Next To End Cop
End Cap Distribution Pipe Layout P`,~Ft.
S 'W?
X 12~1_ Inches
Y ./S- Inches
Signed: • Hole Diameter 1 Inch
Lateral 'o? Inch(es)
License Number: Manifold_ Inches...,
Date : Force Main Inches
# of holes/pipeAS'
o~°'b n Elevation of Laterals Ft.
N
~
a"~ RECEIVED
RECEIVED
~7 n.
Pr~UlYttli,6~. i~. 'UREA L: ,bey 'PFAU
A, (Z
J4 d 's v r, w."s c- S y o/ lP~4G E O F
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
VEWT CAP
'1"C. I. VENT PIPE
WEATHER PROOF APPROVED LOCKING
JUMCTION BOX MANHOLE COVER
I- 25' FROM DOOR,
WINDOW OR FRESH 12"MIU.
a AIR INTAKE I 0881
GRADE I I 4" MIN.
I k.: IV' Ml M.
CONDUIT--
IB"MIN.\
IAIi_.Fl' PROVIDE I -
AIRTIGHT SEAL--::.'-` ( III
APPROVED JOINT A 140 I I ~ I APPROVED JOIAITS
W/C.2. PIPE. P`UM~~ ( III W/C.I. PIPE
CXTENDIAIC• 3' I II EXTENDING 3'
ALARM
OElTO 501.11) SG:;.
~r~ I I ONTO SOLID SOIL
~ I t
\-Nl 01,61 1 ow
PU ~P OFF
D p 0`v~v~ wccyf~.
r Gtr 6 Z5NCKETE BLOCK
RISER EXIT E. MILT ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL
SPECIFICATIOUS
SEPTIC AND
DOSE TANKS MANUFACTURER: ) / / m NUMBER OF DOSES: PER pAy
TANK SIZE GALLONS DOSE VOLUME
ALARM C:.C GALLONS
MANUFACTURER: :,FLOW: GALL
is S c~i~rys ~i✓l '"L
MODEL WUMBER: ~.L CAPACITIES: A= INCHES OR _2155 GALLONS
SWITCH TYPE: B= -.CINCHES ORS- GALLOWS
PUMP MANUFACTURER: C=INCHES OR Zl 71. GALLOWS
MODEL NUMBER:
D-- INCHES OR 1&Z S" GALLOWS
SWITCH TYPE: NOTE: PUMP AND ALARM ARE TO BE
PUMP DISCHAR4E RATE - R~ GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFEKENC[ BiWCEIU PUMP OFF AMC) DISTRIBUTIOW PIPE.. LZ 7 FEET
+ MINIMUM NETWORK SUPPLY ORESSURE , . • • • . . . 2,5 FEET RECEIVED
_
+ FEET OF FORCE MAIN X drGG Yjoo1,TFRICTIOU FACTOR.. FEET (
I~ = TOTAL 05WAMIC HEAD Z%:~ 42 FEET PLl MBoING QUR AU
INTERWAL (QIMEIJSId OF TAWK: LENGTH ;WIDTH -;LIQUID DEPTH
SIGNED: LICEMSE MUMBER:_~~~[s' 3 DATE:,L'--,?,
-117-
• 1
-Model 3870. Submersible Effluent Pumps RQ`~
140 W K~Sc._ j UJ ~,s C
SYu ~ ~j
_ !r
120 i
L ~
%.100
i
o I
a
V
d 80 r
S {yip
U )
S )~s
0
~ l0
1°- 60 w
P 0) ,
-40 - wP OS - - 5 - - -
WP 03,'h H P.
20 W 3;.y3-H.P - -
0 20 40 60 + 80 100 120
Capacity - Gallons PeVMlnute
Max. yyt
H.P. Order No. vow vn.a. Amps RPM saa. (les.)
W 11E
WPM0311E 115 9.4
WPO312E 1750 56
WPM0312E 230 10 4.7
WPHO511E 115 j
t i ,h WPHO512E 230 8.0 ~
WPHOS32E 208/230 3.4
30 WPHO534E 460 1.7
WPH0712E 230 10 9.0
I fA WPH0732E 208/230 5.4 30 WPHO734E .460 2.7 70
WPH1012E 230 10 11~ ~jQ.
1 WPH1032E 208/230 6A MaV"r=b _ 30 WPH1034E 460 3.2
WPH1512E 230 10 10A 9 1 "'r,
WPHIS32E 205/230 92
151 WPH1534E 460 > 7 1.
e
O 1 UM e, A E IREAt 0
WPHH1512E 230 t0
r WPHH1532E 208/230 9.2 30 WPHH1S34E 460 4.6
SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE.
3
INDU9 TMFNT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDl9STR'Y, G DIVISION BOX HLABOR UMAN NDLATIONS PERCOLATION TESTS (115) MADISON WI 7969
(H63.090) & Chapter 145.045)
LO ATION` LL SECTION: TOWNS HIP/Mt7N I'fCl ALITY: LOT =N0.:BLK20'.jSUBDIVI ION NAME:
L 19 /,TN/R/ for ~1csr
C UNTY O ,FIR'S BUYER'S NAME: MA LING ADD ESN
T, 1 flLl.~ tin t> c2 _ ~1^ Cy~ V 1
USE ATES OBSERVA
NO. BEDRMS.: COMMERC L DESCRIPTION: PROFILE DESCRIPTICIM : E I N ESTS:
Residence ~ ❑New Replace.
RATING: S= Site suitable for system U= Site unsuitable for system l 7
MIS VENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDIN TANK: RECOMMENDED SYSTEM: (opti nal)
®U ®S DU OS ®U OS ®U OS Ltl
If Percolation Tests are NOT require DESIGN RATE: I If any portion of the tested area is in the /
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation:
r
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTHTR, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
- t_
B-
B-
B-
B-
B-
7 9~1 ",2 Al"Z
a / C
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER 1+4G "ES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P R OD PER INCH
P- 4 si Q . 2-- 3001
T
P- 3 -so
P
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION t~
v w
r
x m
o =r w5wv,N30
w 0
v v,wMC co ~O
mcDw ~ oom~
'a 0 S: CD -0 C.
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n 51) -0 tD O O ca
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EL 00
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= a w O ? O
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i m (n 0 v°, CD -3 MN. n ~
l af° w3~a'~cD = 1
° -0 ch.o U~ a
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0) aa0CD CA
CL CD
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No 3c BCD-, 3 m o
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40 5$0 a ac a ~C = w ~o
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~DILHR Safety and Buildings Division
PLAN APPROVAL Bureau of Plumbing
P.O Box 7%9
General Plumbing Plans Madison, Wl 53707
Private Sewage Plans Telephone: (608)266-3815
Plan ld( t alion No.
C:allons Per Day
Irk-,
o 2 -
i
PRIORITY PLAN REVIEW ONLY
Pian Review Fcc Received
Petition for Variance F(4' Rec.
Project Name Project Location - Street No. or Legal Description
~ C my
El City ❑ Village KT own of: `l 5~r 1
The plumbing plans and specifications for this project have been reviewed or compliance wit 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.
K FOR PRIVATE SEWAGE PLANS: (1) (2) (3a) (3b) (a`) 4b) (6) (7)
This approval will expire two years from the date approved below 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 plumbing and/or private sewage code requirements only. All other system reviews must be
submitted to the Bureau of Buildings and Structures.
Comments:
By:
s J~
James Sargent
Bureau Director
If Questions Plans Approved By: Date p rovec)f
/ f
Contact
cc: -rivate S wage Consultant ❑ Plumbing Consultant ❑ Environmenta ealth
ounty ❑ Local PI ❑ Facilities Need Analysis Section
❑ UW-SSWMP ❑ Plumber ❑ Department of Agriculture
DILHR-SBD-6099 (R. 01/85) ❑ Owner ❑ Other '
SBD 6678 (R. 08/83) (Plb 100a) (Wis Stats. S. 145.02) STATE OF WISCONSIN DILHR
Detach And Return Upper. DIVISION OF SAFETY & BUILDINGS
BUREAU OF PLUMBING
Portion Of This Form With 201 E. WAS AVE. RM 141
Any Return Correspondence P.O. BOX 7969
9 MADISON, WI 53707
608-266-3615
DATE: PROJECT:
03/26/86
6A
a Gore, Jr., Edwin - Residence
4,a(g)
WHO ~ NE,NL,19,:30,19E
Tn St. Joseph
; _1 ~ St. Croix WI
Powers Excavating IL T ji
Box 24
New Richmond, W1 54017 PLAN ID. #
86-00881
DETA6H HERE
PROJECT NAME Gowe, Jr., Edwin Residence PLAN ID. # 86-00881
This is to acknowledge receipt of your plans and specifications for the above.-indicated project.
Preliminary review indicates the required fee, 3s $ 8.0.00 Fee Received is $ 80.00
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 ❑ Complete data relative to anticipated use of building.
_ stamped in accord with Section ILHR 83.08 (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 fines, well, water- ❑ Holding tank profile showing vent, manhole, alarm,
course, swimming pools, water service piping, all weatherser- and manufacturer if state approved. Complete
vice road, etc. Show benchmark with permanent elevation. construction details if site constructed.
'Holding tank agreement signed by owner and local
-11. Pressure Distribution Systems (Mound or Inground Pressure) "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. 0 copy) ❑ Affidavit for alt-weather service road (enclosed).
❑ Cross section of system. ❑ Pipe lateral layout.
❑ Plan view of system. V. Dosing Information
verification to Exception Status Form by county. (1 copy) ❑ Calculations for total dynamic head and gallons
pumped per cycle.
III. 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. tems in Fill (Fill must be placed prior to -plan submission.)
constructed, or tank manufacturer if state approved. U T6tal area filled (fill to extend W 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.
SBD 6678 (R. 08/83) (PIb 100a) (Wis Slats. S. 145.02) STATE OF WISCONSIN DILHR
Detach And Return Upper DIVISION OF SAFETY & BUILDINGS
Portion Of This Form With Bullru Of PLUMBING
- - 201 E. WASHINGTON AVE. RM 141
Any Return Correspo P.O BOX 7969
MADISON, WI 53707
DATE: -03/17/
jay*~'g~' 4 ' PROJECT:
8 6
G _
Gowe, Jr., Edwin Residence
in 4a(g)
NE,NE,19,30,19E
Tn St. Joseph
Pourers Excavating ~ St. Croix WI
Box 245
New Richmond, WI 54017 PLAN ID. #
86-00881
DETACH HERE
Gawe, Jr., Edwin - Residence 86-UO881
'PROJECT NAME PLAN ID.
This is to acknowledge. receipt of your plans and specifications for the above-indicated project.
Preliminary review. indicates the required fee is $ &L Q S-) Fee Received is $ 80.00
❑ Plan accepted for review. ❑ Underpayment- Please submit additional fee, Plans will be held in abeyance.
Plans being returned. ❑ Overpayment-Refund forthcoming.
4-71 Additional information required. SEE BELOW. ❑ No fee has been remitted. Plans will be held in abeyance.
1. PI Submission ❑ Soil boring and percolation toast 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. (i copy)
All information submitted shall be signed, dated and sealed or ❑ Complete data relative to anticipated use of building.
stamped in, accord with Section ILHR 83.08 (2) (ay Wisconsin ❑ Deed restrictiorr required, (t 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 -
rivate sew292 s" tem to, 1°t lines" well, water-' El
ftftiiiiia 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.
❑ Holding tank'agreement signed by owner and local
II. Pressure Distribution Systems (Mound or inground Pressure) unit of government (sample enclosed).
Application for Use of an Alternative System signed by owner ❑ Reason for installing holding tank.' Statementfrom
and notarized. (1 copy) county or soil boring and; percolation test data on -
❑ County onsite required. (1 copy) ❑ Design calculations.- 115 cdmpleted 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 aft weather service road (enclosed):
Cross section of system. ❑ PpeJateral'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.
III, 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 soif ❑ Cross section of dosing tank showing pump(s) orsiphon(s).
data. `
❑ Construction details of septic, holding or dosetank.ifsite V- Systems in Fill (Fill must be placed prior to plan submission.)
constructed, or tank manufacturer if state approved. ❑ Total area filed (fill to extend 217' beyond edge
❑ Construction details and' cross section of soil absorption of trench ballo4V side slopes b6gin.)
system. ❑ Depth and type of fill
❑ Copy of signed onsite report by county or district staff.
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
796-2239 (HAMMOND)
425-8363 (RIVER FALLS)
HAMMOND, WI 54015
January 23, 1986
Division of Safety and Building
Bureau of Plumbing
P. 0. Box 7969
Madison, WI 53707
Dear Sir:
An on site investigation for the Edwin Gowe, Jr. property located
in the NEB of the NEB of Section 19, T30N-R19W, Town of St. Joseph,
St. Croix County, revealed suitable soils at a depth of 2.6 feet,
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,
J
Thomas C. Nelson
Assistant Zoning Administrator
mj
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 NE 1/4, NE 1/4, Sec. 19 T 30 N, R 19 $xtarA W
Town or hixxki St. Joseph Street Address
Lot No. Block Subdivision
Landowner's Name: Edwin Gowe, Jr.
The application for this site is for:
❑ new construction use.
® replacement system use.
If this is NEW CONSTRUCTION USE, the alternative private sewage system is:
to have one of the first five approvals guaranteed for this year. This is
number - - of those applications. (Use one of the first five
quota numbers sueT-Eo you. )
1. lone of the applications needing a quota number. The quota number assigned to
this application is - -
for one additional homesite on a farm to be occupied by a parent, child,
grandchild, sibling, niece, nephew, or first cousin.
F ]for an individual lot for which a sanitary permit was issued but was later
ruled unsuitable due to new or changed soil criteria established by the
department.
[._J for an application on file prior to February 11 1980.
[_]for a lot that meets the criteria for a conventional private sewage system.
If this is a REPLACEMENT SYSTEM USE, the alternative private sewage system is
replacing:
Eta failing conventional soil absorption system.
0 a holding tank that was installed and in use prior to February 1, 1980.
❑ a privy that was installed and in use prior to February 1, 1980.
If this is a REPLACEMENT SYSTEM USE and the Jot meets the criteria for a
conventional private sewage system, check here.n
I certify that the above information is true and accurate to the best of my
knowledge.
Name Thomas C, Nelson
Si re
(County Official)
Title Assistant Zoning Administrarnr Date January 23, 1986
BILHR-SBD-6158 (R 12/82)
STATE OF WISCONSIN-DEPARTMENT OF INDUSTRY, LABOR & HUMAN RELATIONS
DIVISION OF SAFETY & BUILDINGS - BUREAU OF PLUMBING
P.O. BOX 7969 - MADISON, WI, 53707
APPLICATION FOR THE USE OF AN ALTERNATIVE SYSTEM
Location: TownshipXK KTKTAX$Tyy:
NE 41 NEB S 19 T 30 N/R 19 KfZUO a St. Joseph St. Croix
Street Address: Subdivision: County:
Landowners Name: Mailing Address:
Edwin Gowe, Jr. R. R., Hudson, WI 54016
I (We), the undersigned, hereby make application for an alternative system on
the above-described premises. I recognize that the above premises are not
suited for a conventional private sewage system. If approval is granted, I
agree to have the system installed in conformance with the Bureau's approval
of plans and specifications.
I further understand that an alternative system is more complex in nature than
a conventional private sewage system and as such will require detailed
inspection during construction and monitoring after the system is put into
use. I agree to permit both county officials charged with administering county
sanitary ordinances and Bureau employes or other authorized persons to have
access to the above described premises at any reasonable time for the purpose
of inspection the construction of or monitoring of the system. I further agree
to either personally or by my agent contact the proper county official to
arrange the time and date to begin construction of the system.
I understand that this application does not permit me (the applicant) or my
agent (the contractor) to begin installation. If the system is approved, the
Bureau will send the applicant a letter of approval which authorizes
construction of the alternative system after all necessary permits have been
obtained.
I agree to give notice to any subsequent buyer that an application for an
alternative system has been made and if installed, that the premises are served
by an alternative system and further agree to give the buyer a copy of this
application.
The Bureau accepts this application subject to this understanding and subject
to all the conditions and obligations set out in this application.
Signature of Applicant Date
STATE OF WISCONSIN Subscribed and sworn to before me
SS.
COUNTY OF This day of 19
Notary Public, State of Wisconsin
DILHR-SBD-6413 (N. 05/81) My Commission Expires:
DEPARTMENT 7F REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS
INDUSTIcY, DIVISION
LABOR P.O. BO HUMAN NDLATIONS PERCOLATION TESTS (115) MADISON W 7969
(H63.09(1) & Chapter 145.045)
LO A IO : SECTION: TOWNSHIP/Mt7N171 ALITY: LOT NO181- O.: SUBDIVISION NAME:
NIRZ
'/4 9
I NZ V4 g~(or 9 1
C UNTY• O ER'S BUYER'S NAME: MA LING ADDRESS;
USE .15ATES OBSERVATIONS MADE
NO.BEDRMS.: COMM R DESCRIPTION IPROFI DESCRIPTIONS: PERCOLATION TESTS:
Residence ❑New Replace
1-3 1 :1 ,s .cc Yea-3S
RATING: S- Site suitable for system U- Site unsuitable for system
ONVE T NA : MOUND: IN-GROUND-PR UR : S STEM-IN-FILL MIS DIN TANK: RECOMMENDED SYSTEM:(opti nal)
aSZu 1S au oS®u aS®u WO
If Percolation Tests are NOT require DESIGN RATE: If any portion of the tested area is in the
under s.H63.09(5)(b), indicate: Floodplain, indicate Floodpiain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH
NUMBER DEPTHI'R. ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.)
B-
B-
B-
B-
B- ✓ 1
B- /
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER }NG4ES AFTERSWELLING INTERVAL-MIN. PERIOD P RIOD2 P R PER INCH
P i Z Q.
P_ N
P- 7
P-
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION
A
- _ td
X ,I
I
JZ7
t:
:
o ;
I I
~ N
lip
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:
,61, 1
AD CERTIFICATION NUMBER: PHONE NUMBER (optional):
7S-STlTURE:
DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester.'
C
DILHR•SBD-6395 (R. 02/821 -OVER -
I