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HomeMy WebLinkAbout030-1089-50-001 0 W O j C m f c W 0 n 3 r• 0 c.~ c m # C 0 o w CD co ;r, C/) w o W° • ''p 3 z D C c C- 0 00 ° Z C- : 0 0 0 0 0 A O O O N cn L., oD d N N Q s 0 X- 0 W p y ~ m - C,),, O 3 $ o m o C c°Dn j 0 0 a, CD GI d K I ~ m 3 0 0 a CO V cD o o m Q- -T ate, 00 rn 00 C 0 ° n 100 0 a _0 -0 li h • cn ~--u * * * P, -I -i -I O :3 3 cn cn cn co m O" v v m CD 5i cD CD r-. O d N CY N _ O W CD W z z o Q C7 ~ '+r Z5- CD (y,N c ti{ I - m 3 ~ m A' z o• I M W C. M CD 0 a , f z 0 3 A 0 cn I y ' m ~ O D Q I ~ g o' - o 5) T c v z p A o ~ ~ II O W N c A j I w 0 lz I Ia , ~ (b 7 O Y were US Supreme Court cases that came from cases like that. It was based on a solid waste management plan approved by County Board. He stated that if we want to go there again, that can be a choice. His focus is to keep regulating recycling for members of the County responsible unit. That waste management plan was repealed after the incinerator failed. Denzer, referring to the current ordinance, stated that there was a long meeting on March 24 where all the issues were reviewed and it was concluded that changes were needed to the ordinance and Timmerman indicated clearly that he understood the reasons for changes. There was also a very good discussion on chapters 287 and 289 and how 287 refers to 289 and how the things that were in there are valid and need to be in there. Everything in the ordinance has to do with reduce, reuse and recycling. Nothing is strictly about solid waste. Now he is stating that he sees no reason to make these changes. She questioned why he is in disagreement now. She also questioned his letter only mentioning chapter 287 new state policy. We went through NR544 the whole administrative rule, not just this particular section .06 and there are frequent references. Wisconsin Legislative Reference Bureau recently put out solid waste reduction guidelines. This backs up everything that we put in our ordinance. There are frequent references to using 287 to justify what we have in our ordinance. Staff has only briefly reviewed the letter since it was just received the previous day. There is specific reference in this particular letter and we were confused by that reference. It was clear at the March 24 meeting that Timmerman understood the reasons for the changes. Timmerman stated that, at the meeting, the reasons given for changing the ordinance were completely different from last summer. He stated that he understood exactly what she was talking about but understanding where she is coming from is different from acknowledging that those are the correct and proper provisions to be put in the ordinance. He didn't want the meeting to be confrontational. He acknowledged that he understood her reasons for change, but didn't acknowledge that those things were appropriate for the ordinance. He had to start over and review the ordinance from her new prospective. Understanding her point is different than agreeing with that. He then reviewed with the explanations given at the meeting. He referred to an email from Denzer last summer saying she had done a comprehensive review of statutes and regulations. He replied that statutes have not changed. She replied that that email included much more than that. Fodroczi asked that, because it has not been discussed, there may not be a misunderstanding or disagreement. The only thing that staff has had an opportunity to look at before today is Timmerman's email that was received the previous day. Fodroczi had looked at 287 and 544 that was cited in the email. 287 refers to uniform state policies is in a specific context as it applies to municipal waste recovery facilities for recycling that a number of responsible units do have. We don't have that and don't intend to have it. On the basis of being able to review the statute and the rule, Fodroczi stated that he doesn't understand how it applies to what we have in the ordinance because we are not talking about a municipal waste recovery facility. We need to have a conversation with Timmerman to understand how he has reached the conclusions that are enumerated in his memo. He talked to Timmerman before the March 24 meeting and during the meeting with staff present. Timmerman had questions about citing chapter 289 because it brings in a different authority citing it separately and it is the concept and the difference between 289 being something countywide, no municipalities excepted. 287 talks about the concept of the responsible unit, which for the purpose of recycling, the County is and only includes 26 of the 35 municipalities. That responsible unit and the jurisdiction of that responsible unit was set properly when the County started this process with those 26 municipalities. After the conversation about 289 it was agreed at that meeting to pull out reference to 289 and the other rules other than 544 so 3 COMMERCIAL TESTING LABORATORY, INC. 16-514 ,fain Street, P.O. Box 526 Colfax, Wisconsin 54730 715-962-3121 sAW 800 - 962 - 5227 - F- 4mak AX - 715 - 962 - 4030 ST. CROIX ZONING REPORT NO.! 39744/01 PAGE 1 STe CROIX COUNTY REPORT DATE! 4/19/93 COURTHOUSE DATE RECEIVED! 4/16/93 HUDSON, WI 54016 ATTN! THOMAS C. NELSON OWNER! Doris Knutson -y~ O ~ LOCATION: 385 G.T.H. "E", Hudson COLLECTOR: M. Jenkins DATE COLLECTED! 4-14-93 TIME COLLECTED! 24'30pm SCE OF SAMPLE! Kitchen faucet DATE ANALYZED:4-16-93 TIME ANALYZEDl11l00am COLIFORMt 0 /140 ml INTERPRETATION! Bacteriologically SAFE NITRATE-N! { 1 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. Coliform Bacteria/100 ml Nitrate-Nitrogen, mg/L 8 N u _ ~ o p m W OF,r1DEVENpf~l LAB TECHNICIAN! Pam Gane 3 Z O A WI Approved Lab Noe 19 { mans "LESS THAN" Detectable Level Approved by! ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 .3,--V ST. CROIX COUNTY T+f~ k RfrtlvED WISCONSIN PR • 1 rs ZONING OFFICE T. CROIX COUNTY COURTHOUSE V_ "oNcOijIvey FOURTH STREET • HUDSON WI 54016 ~i NG p - - FF' ~CF (715) 386-4680 5 ~ SEPTIC INSPECTION WATER TEST REQUEST FORM ~ 4~ Specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure a time when entry can be gained. ❑ Water (VOC's) $185.00 ;N Septic $25.00 9 Water (Nitrate & Bacteria) $35.00 (Visual inspection) Owner: (S -r-. K007-2, C X-) Requested 7ZIA~A- City h°iJ Address: ASS" 1610. k6. ta! Address: & State: M&,470,0 , r City & St. j~spt~, GCS , ~y?J! (o Zip Code: S"Q,!pga Zip Code* Telephone N°: ( ) Telephone N°: Property address (Fire N° & Street) : E,! r_ 4~1O. tM . Location: Sf- Sec. , T50 N, R / W, Town of Z7', s St. Croix Co., WI. Tax ID Ns &5o_,-®S9- Parcel ID N ~ 3p, 0 --crv r Ic- House color: &A0*- Realty firm: 1U©A?A-'_ Lock Box Combo: 100A)E Water sample tap location: &p 0P_eCA7- g_ TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM* Is the dwelling currently occupied? R Yes ❑ No If vacant, date last occupied: Septic system installed by: &2K22 _ Year: Septic tank last serviced by: a~EC~paJ Date: Previous Owner's Name(s): Ofj:~A Have any o;f,-the following been observed? ❑Y g~ Slow drainage from house. ❑Y Sewage Back-up into dwelling. ❑Y UW__Sewage discharge to ground surface, / road ditch or body of water. Ely ;-_-Foul low drainage from the dwelling. ❑Y odors. Other comments relative to system operation: ~I I certify that the above information is complete and true to the best of my knowledge. OWNERS SIGNATURE : DATE : 4-lo -3 I~ F x OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION N I I I I i ICI TO BE'COMPLETED BY INSPECTION,AGENCY System design &/or permit on file? ❑Yes iio Soil series per SCS Soil Survey: sheet # Type of soil absorption system: ❑Below grd OAt-Grd t4ound Approx. size 'X ❑Gravity ❑Dose OPressurized Ft.2 ❑Bed OTrench ❑Dry Well OHolding Tank ❑Outfall pipe OBSERVED DEFICIENCIES OOther ❑Unknown Septic tank Setbacks: ❑House ❑Well ❑Prop. line ❑Other Dose tank Setbacks: OHouse OWell ❑Prop. line ❑Other ❑Locking cover ❑Warning label ❑Pump/Floats ❑Alarm ❑Elec. wiring Soil Absorption System Setbacks: ❑House ❑Well ❑Prop. line OOther OPonding: ❑Discharge: General comments : INSPECTORS SKETCH OF SYSTEM LOCATION N j i i I Inspector Title - i ST. CROIX COUNTY WISCONSIN ZONING OFFICE y ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - (715) 386-4680 April 15, 1993 Kernon Bast Edina Realty 700 - 2nd St. Hudson, WI 54016 Dear Mr. Bast: An inspection of the septic system on the property of Doris Knutson, located at 385 Co. Rd. E, Houlton, WI was conducted on April 14, 1993. At the same time a water sample was obtained for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Should you have any questions, please contact his office. Si cerely, q, tKa (L r"-, M J. Jenkins Assistant Zoning Administrator cj CO) o m 0 d I c o; ~ c o o m CD c ~1. m CD m 3 y z o OD n O N Vl O W O W• m 3 o 00 c w° 00 CD W N a 7 o (n j- Ca o w P3 CD z 3 ° m R N £ o [~3 m c cODn o O o (D FJ- a N I Q ~ 'j ED 0 co CD m oo rt ai co co °n r cn rt O U, M m s v) 0 Q F- In o ~ O T u -0 d ~y oZ O O O a Cl) -o m drri 3 yuJVia ! m Oro cr 10 v v S. CD Oo 0 N :3 C) ICD 4-1 of 7 90 j 0 O 1 r c 010 CL m Cn N ~n Z z N O N C~7 Z Z o Z k~7 O D D c m +n ~ a w N C-4 a i-, O Z -1 V1 CA y A z fD 1.0 TJ N A z o 7 o G1 CD0 m m w° ° M z j O 9 X co ET m co N Z C ? I w a ~ = l O O i tD fn C fi fi N a N O I a 0 A CD I -.9 0 C, CL Parcel 030-1089-50-001 01/26/2006 04:22 PM PAGE 1 OF 1 Alt. Parcel 30.30.19.323E 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): 0 = Current Owner, C = Current Co-Owner RANJIT & PAULA BHAGYAM O - BHAGYAM, RANJIT & PAULA 385 CTY RD E HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 385 CTY RD E SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 22.000 Plat: N/A-NOT AVAILABLE SEC 30 T30N R19W SE SE THAT PART OF SE Block/Condo Bldg: SE LYING SWLY OF HWY E AS PRESENTLY TRAVELED & OLD HWY E EXC P232D ADD'L Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) HISTORY 690/248 715/221 30-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1068/328 WD 07/23/1997 1011/450 WD 07/23/1997 1011/259 LC 07/23/1997 1000/119 TI 2005 SUMMARY Bill Fair Market Value: Assessed with: 83927 476,500 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 42,500 199,900 242,400 NO PRODUCTIVE FORST LANDS G6 20.000 191,000 0 191,000 NO Totals for 2005: General Property 22.000 233,500 199,900 433,400 Woodland 0.000 0 0 Totals for 2004: General Property 22.000 233,500 199,900 433,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 143 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Form-STC- 104 AS BUILT SANITARY SYSTEM REPORT OWNER -~.q~~ ~fC~ ~p sue-, TOWNSHIP , t~e S G' l~E7 SEC. 30 T3 N-R w ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•LHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~04 J~ l~ ,tom • boa ~ asst. i( Ode (Poo INDICATE NORTH ARROW 6 5~ P a5 BENCHMARK: Describe the vertical reference point used _ l~T ~•~J'~~ Elevation of vertical reference point. / Proposed slope at site: SEPTIC TANK: Manufacturer: LI FLiquid Capacity: 179- Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: --~!--L_ Number of feet from nearest Road: Front 10 Side,O Rear, O Q,7, feet From nearest property line ~~Front,6&kde 10 Rear, O p`~7 i feet Number of feet from: well ;rbuilding: (Include this information of t*hab-ve plot plan)( 2 reference ^dimensions _to septic tank) PUMP CHAMBER s . Liquid Capacity: So® " Manufacturer: fc1~c~3////- ~ Pump Model: d. Pu%%Siphon Manufacturer: Pump Size . 4? too Elevation of inlet: 8 Bottom of tank elevation: T Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front ,Q Side, O Rear, Number of feet from well: .,l00 Number of feet from building:! (Include distances on plot plan). SOIL ABSORPTION SYSTEM Trench Bed. Width: ' Len the 4,1Z Number of Lines: Z Area Built: 75 J m Fill depth to top of pipe: 0 Ft Number of feet from nearest property line: Front, L.J~ ide,~Rear, Number of feet from well: A-Mt fQd Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: ber of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built Has either drop box O or distribution box O been used on any of the above soil absorbt n sytems? (Check one). HOLDING TANK Manufacturer: Capacity: _ Number of rin used: Elevation of bottom of tank: Elevation f inlet: Numbe 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: Inspector: Dated: Plumber on job: 4V-4 Z J` ~SG License Number : 84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR LABOR & HUMAN RELATIONS SAFETY & BUILDINGS P.O. Box 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISON, WI 53707 BUREAU OF PLUMBING ❑CONVENTIONAL RiALTERNATIVE State Plan l.D.Number: ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound if assigned) 8602125 NAME OF PERMIT HOLDER: ADOq ESS OF PERMIT HOLDER: -A Id INSPECTION DA E Tracy Knutson 2071 English St., Maplewood, MN 55109 4_3(o BENCH MARK (Permanent reference pomtl DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: CS7 REF. PT. ELE V.. SE SE, Section 30, T20N-R17W, Town of St. Joseph Name of Plumber. MP/MPRSW Nt>.. Cnunty. Sanitary Permit Number Gary Steel 3254 St. Croix 83780 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER G✓~ / /ny~ ~C/(;' / \O~~V{}DED PROVIDED BEDDING. v" C/ _--!YES ❑NO ❑YES XNO VENT DIA.: VENT MATT HIGH WATER INEUEFERR MBDF ROADPROPERTY WELL BUILUING: VENT TO FRESH ALAR FT OM LINE t7o AIR INLET YES ❑NO / ❑M YES NO NEAREST DOSING CHAMBER: MANUFACTURER. BEDDING. LIQUI :APACITY PUMP MODEL PUMP;SIPHON MANUF ACTIIREH I 1 I~ Q 0 ~r WARNING LABEL LOCKING COVER (q/ ,(,A~'. ~-I ll wr R7 P O IDED: PROVIDED ❑YES I~INO VV•7 YES ❑NO YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM " 7,5 Iq'R~N~r PUMP ON AND OFF) / YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing J' H 71AMFTER 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.) M AIN Z D CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO OF DISTR PIPE SPACIN<I COVER INSIDE DIA -PITS LIQUID DIMENSIONS TRENCHES MATERIAL PIT DEPTH 77 1VEL DEPTH FILL DEPTH DISTH PIPE DISTR PIPE DISTR. PIPE MATERIAL NO GIST Ei NUMBER OF BELOW PIPES ABOVE COVER ELE V.INLF 1 ELEV ENU PROPERTY WELL BUILDING: VENT TO FRESH PIPES FEET FROM LINE AIR INLET. NEAREST_ MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- 4 YES ❑ NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER T.XTURE PFHMANf N1 M1IARKEfiS :::r0[13SEE;H VA TI(1N WELLS ( I _ YES ❑NO YES ❑NO DEPTH OVER TRENCH BED DEPTH OVFR TRENCH RED DEPTH OF TOPSOIL SOODFF ISFEDFO CENTER / EDGES MULCHED f YES. UNO VYES 1:1 NO DYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH wIDTH LENGTH NO.OF LATENAL SPACING GRAVEL DEPTH BE LOW PIPE FILL DEPTH ABOVE COVER TRENCHES. DIMENSIONS y 64 MANIFOLD PUMP - MANIFOLD DISTR. PIPE MANIFOLD MATERIAL IN0 DISTH DISTR. PIPE 1-1118UTION PIPE MATERIAL & MARKING ELEVATION AND E / E ELEy DIA ELE,, j ~ ~j PIPEC/ DIA/~L G~ J DISTRIBUTION o/ VJ 9 INFORMATION HOLE -SIZE HOL -SPACING FRILLED CORRECT I. Y COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED //L, -3 , S' ' / PLANS YES ❑NO / ~ES ❑NO COMMENTS: PERMANENTMAR KERS: 7TION WELLS. NUMBER OF PROPERTY WELL BUILDING: YYES ❑ NO ~y FEET FROM 9 YES ❑NO NEAREST 7` J Sketch System on Retain in county file for audit. Reverse Side. TITLE DILHR SBD 6710 (R. 01/82) ` DILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY P RMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 3 -1 79P 8% X 11 inches in size. STATE PLAN I.D. NUMBER -See reverse side for instructions for completing this application. at i. APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION. PETITION r ROP RTY OWNER FOR VARIANCE ❑ YES ~NO ® PROPERTY LOCATION Q PROPE RTY% WN R' MAILING ADDRESS N /a ' S T B VI (Or) W 7 I LOT NU BER BLOCK N r7 E SUB N AME C TY, ST TE ZIP CODE PHONE NUMBER Cl tA~ ❑ VILLAGE : - r NEAR AD, E OR LANDMARK Yl 11. TYPE OF BUILDING OR USE SERVED: 030 - Number of Bedrooms if 1 or 2 Family OR ❑ Public (Specify): Ill. PURPOSE OF APPLICATION: (Check only one in ##1. Check 2,3 or 4, if applicable) 1. a. New b. ❑ Replacement c. ❑ Replacement of d. E1 Reconnection of e. System System Septic Tank Onl ❑ Repair of an y an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit # 3. ❑ An Existing System has been inspected and soil conditions meet minimum rDate Issued equirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in ##1 and only one in ##2) 1. a. ❑ Conventional b. &Iternative c. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. In-Fill Tank Mound f. ❑ IGP V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. See a e Bed b. ❑ Seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPO-S-7ED (Square Feet): p / 0 ?et Private ❑Joint ❑ Public VI. TANK CAPACITY Site INFORMATION in allons Total # of Prefab. New xisting Gallons Tanks Manufacturer's Name Con- Steel Fiber- Plastic Ap. Tanks Tanks Concrete structed glass Appp Septic Tank or Holding Tank QQ~ t+ S ❑ ❑ Lift Pump Tank/Si hon Chamber C ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT ❑ I, the undersigned, assume responsibility for insta 'on of the private sewage system shown on the attached plans. Plu Name (Print): Plumb nature: (No ) PRSW No.: Business Phone Number: Plu s Addr ss (Str t, City, State, Zip ode • /v el 0015 ~Z_~ Name of Designer: A). MA VIII. el d INFORMATION Ce ' ied 'Tester (CST Narr CST C=) # CST' RESS tre State, Zi de) Phone Number: tX. COUNTY/DEPARTMENT USE ONLY 1715 )-R Z~OQ ❑ Disapproved Sanitary Permit Fee Groundwater Approved ❑ Owner Given Initial ! Surcharge Fee ate Issgng ent Signature (No Stamps) E Adverse Determination ` 0 X. COMMENTS/REASONS FOR DISAPPROVAL: ,BD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT " APPLICATION F TO THE APPLICANT: - 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All reviEiions to this permit must be approved by the permit issuing authority. Anew permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a'Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3,years; 6. If you have questions coocernirg your private sewage syste;n, contact your local code adrninr _QliL or o- th State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owrer's name and ma ling d ess, Pro'vid_ the legal descr+ptil.-ii where the system ;s to be installed; II. Type of building or use served: If pub r 7.~ checked, indicate type of use (i.e. 10 u°iit apartment, 30 seat restaurant, etc.). Fill in number of beef±ooms if building is a one or two family dwelling; III. Purpose of application: Check only one in #1. Complete #2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in #1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the I result of over 2 years of steady negotiation and public debate. The groundwater bill Ground'Pvater - included the creation of surcharges (€ees) for a number of regulated practices which Wiscorisin's ° can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried ~reasare '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 c: edited to the groundwater t, nd adminis- tered by the Department of Natural R.~sources. These €und':s are used for mon torn g ground- vrr~it ~ water, groundwater contaminatio; in-'estigations anc establishm,>,nt u)f standards. _,r&jndwater, it's worth protecting. SBD-6398 (R.03/86) r t 400 r aw, 212 5 r) RECEIVED 44 , ,"tj / ~ v MAY 1,31986 PLUMPING BUREAU ;C I STATE OF WISCONSIN UILNN PRIVATE SEWAGE SYSTEMS DIVISION OFSAFETY &BUILDING BUREAU OF PLUMBING 201 E. Washington Avenue, Rm'1 PLAN APPROVAL APPLICATION P.O. Box 7969, Madison, WI 5370 506-266.3815 )STTRUCTIONS: Prase fill in all applicable data and submit this form with plans. Plans will not be reviewed until all fees are received. T back side of this form describes required plan information. Plumbing codes can -be purchased from the Departrhent of •Administratio Document Sales, 202 South Thornton Ave., P.O; Box 7840, Madison, Wisconsin 53707, Telephone (608) 266.3358,• 1, PROJECT INl*L' A MATION (Type or print clearly). Revision To Plan Number, Name of Submitting Party (Plans recur ed to same) Project Name Street 8 No. or Rural Route Project Location - Street 3 No. or Legal Descripilon jli,)i 4r-. Olle". Se 1, City or Village State Zip . city County I! t" t I l' 1 Village OF: "7` Town ' tr 'Ir • ro/' Telephone No. (Include area code) '7 Designer Telephone No. (include area code) Owne Name Telephone No. (include area code Street,&p. Street No. / ' ~.C,~ h I l s h 'f ' City or village State Zip City or Village State Zip ( c3 , n h .w 2. APPLICATION FOR: ® New Mound System (3a) ❑ Groundwater Monitorinig (7) Q Conventional System - Public Building (1) Replacement Mound (4a) ❑ Holding Tank (2) Reply rtt r, l°'ressurized System (4b), ❑ System in Fill (1) Petition For Variance, (6) C New" oss rizr•:t Svstem (30) ❑System in Flood Fringe O Other Alternatives (5) FFE COMPti1ATI()NS (Include existing tanks) 4.". FEE SUBMITTED FOR OFFICE USE . MAKE ALL CHECKS PAYABLE TO DILHR 3a. 750- t 57(( ?gatlonseptic.tank - 50.00 4a. 3b. 1,501- 50f) oat Ion septic tank - 60.00' 4b. 3c. 2,501 - 5,000 gallon septic tank - 80.00 4c. , 3d. 5,001- 9,000 gallon septic tank 100.00 '4d. 3e. 9,{01- 15,0000 gallon septic tank -150.00 4e. 3f. Over 15,000 gatlon septic tank -250.00 4f. 3g. 500- 1,000 gallon dose chamber, - 30.00 • 4g. "_30..00 3h. 1,001 2,000 gallon dose chamber - 50.00 4h. 3j. _ 2,001 4,000 gallon dose chfimber, - 70.00 41. 3j. 4,001- 8,000 gallon dose chamber - 90.00 " 4j. 3k. 8,001 12,000 gallon dose chamber, 110.00 4k. 31. Over 12,000 gallon dose chamber -150.00 41. 3m. 600- 5,000 gallon holding tank 30.00 4m. 3n. 5,001 - 10,000 gallon holding tank - 55.00 4n. 3o. Over 10,000 gallon holding tank -100.00 4a f 3p. Revisions 20.00 4p. Fc 3q. Groundwater Monitoring Per Lot - 32.00 4q. A' (o°'''''`han ?proposed siardivislon) Subtotal d.OG~ /rim 3r.. Priority plan review: walk through 4r. PLUM _J Submittal of plans in person, by appointment, with double fee 3s. Petition for variance f_{ ark - 25.00 4s. Site evaluation - 50.00 _ Total Fee 4 0 0 NOTII: Fees purownt te: Wis. Adw Code. Chaptar 1". 611t St3Cf-67146 (R. may be subject to change ennyayx t'frMtctive,hthtl.t9a4. 11 STATE OF•WISCONSIN-DEPARTMENT OF INDUSTRY, LABOR &'HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS - BUREAU OF PLUMBING'.• P.O. BOX'7969 MADISON.,'WI, 53707 APPLICATION FOR THE USE OF' AN. ALTERNATIVE', SYSTEM Location: Township/!#} : SE ' SE 14S 30 T 30 N/R 19 W St: Joseph St. Croix Street Address: Subdivision: County:: Landowners Name: Mailing Address:, Tracy Kntatson 2071 English .St.:, Maplewood, MN 55109 I (We), the undersigned, hereby make application for an alternative, system on the above-described premises. I•recognize that the a0ove'pre01 set 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 hatur'e-,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 syetem. CAM 0 I understand that this application does'not•permit me (the applicant?TrIY..0 .12 .5 , 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 peen 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 th%' application. _CE,vED The Bureau accepts this application subject to this understanding and SJ% L-q to all the conditions and :obligations set out'in this application. p 3 ~9~"6 ,Sig7ri a of AP c t Date :1--STATE OF WISCONSIN Suk4 ed a nd.srorn to before me SS. COUNTY OFS C flo This day' of 14 19 0 . Notary Public,, Stat of W seonsin pA u r D f; ,e7 )vD E s'a., DIi.Hit-SRT t l GSfSI) My Commission Expires: cS~ ~ e r ST. CROIX COUNTY } ~G WISCONSIN ZONING OFFICE. ' rP i98-2239 (HAWMMOND) 425-8383 (RIVER FALLS) HAMMOND, WI 54015 April 30, 1986 Division of.Safety and Building Bureau of Plumbing P. 0. Box 7969 Madison,. WI 53707 Dear Sir: An on site investigation for the Tracy Knutson property, located at the SE'4 of the SEk of Section 30, T30N=R19W, Town of St. Joseph, St. Croix County., revealed suitable soils 'at'a depth,of 3.17 feet, below which seasonable high ground water.was'noted. This site should be suitable for a mound,' system. Should you have any questions regarding this subject, please feel free to contact.this office. Siinc~ei~pIy, Thomas C. Nelson. 460 2 • Assistant Zoning Administrator MAY p 3196 PUJU3Ily e~, • WISCONSIN DEPARTMENT,OF INDUSTRY, LABOR AND HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBIN6 P.O. BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of St. Croix . Location l /4', sE 1 /4, Seca 3, T . 30, N, R 19 fix) W Town xRxi ir4paVt7X st. 7oseph Street Address Lot No. Block Subdivision Landowner's Name: Tracy Knutson The application for this site is for: new construction use. 0 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 59 - 03, - 7 . of those applications. (Use one of the first five quota numTies issued ed tip ,you. ) 1 lone of the applications needing a quota number. The quota',numbee: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. I-Ifor an individual lot for which a sanitary permit•was istue'd,but,was.'.later ruled unsuitable 'due to new or changed soil criteria established.by.the department. J.jfor an (ioplicatian on file prior 'to February 1,-1980.. 1_1for 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: SO 212 5, 0 a failing conventional soil absorption system.o 0 a holding tank that was installed and'in use prior to February.1, 1980. RE ❑ a privy that was instal led .and in use prior ',to' February'.),, 1980. 41AY r~ 31nI-w If this is a REPLACEMENT SYSTEM USE and the Jot meets the criteria forc` conventional private sewage system, check here.O? I certify that the above information is true.:and accurate to the best of my knowledge. Name Noma. C. Nelson Si qnvt re (County Official) Title _ Assistant Zon _nn 11dmini t-rator- Date A ril 10. i4RA_~~ /Pl SAFETY&~UFI PARTIUIENTQF REPORT CAN x+OI BORINGS AND DIVISION tiUS7"RY,' V i.,t~1 .74,~iL. G7V(tll~lt1 M SION AND WAN RELATIONS PERCOLATION, TESTS (1 115) P.O. BOX ,796.9 IISJIA (1-103.090) & Chapter 145.045) MADISON, WI 53707 i A 5 S CTipr•#; TOWNSHIPlh4F3fdiSiFA~iTY: OT NQ: SUBDIVISION NAME: 1U vY-5RE 10- ttfl ;`~`L}'iti EFl S ^;•:tiE: Ai i V AD SS: son @ ~ DATES OBSERVATIONS MADE ' : r O PT Q rrtvr c~ -ATION TESTS: 13asidancs>~- tCSNew Replace J'.. 13 ° C~ 5 TING:.S= Site suitable for system U- Site unsuitable for system NV lf~`EL: MjfltJNt~c('~ 1.-G(f"(~E~1i t : i - ~IrLL jO~LDINGTAtN'K:RECOMMENDED'SYSTEM: (optional) Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the der a.HFx3'•0~3(51fh}, indieate. J9 F.toodPiain, cate Floodplain elevation: oil PROFILE DESCRIPTIONi +RING TOTAL H T GROUNDWATER-11 NCHES H ACT R F SOIL WITH THICKN SS, COLOR, TEXTURE. AND, DEPTH A3ER CLk! tN, ELEVATION y 1 ,HE TO BEDROCK IF-OBSERVED (SEE ABBFIV, ON BACK.) 3 '745' r gel. ..---..~.S~t..~ .s,~.,~.~: s;,c.•cJ A'iiff' , ,ZS T A)O'/t)•E. ~ . ~ . c~ r ~ ~ 5•, I.. r ~ ; 1. ~ R• . J~...Z . 'S. • : , c~ linos A._?t'~ r i . tI t~ r .5•~(,: Svc t 137" • n1o~. 2 a.s.J.. W ED Awso 2. FS ;.21'lll ~SrInA1 ` PERCOLATION TES S' Ca IT DEPTH WAT R IN HOLE TEST TIME RO IN WATER L L-tN HE RAT MINUTE JMBER lM~frESr AFTER SWELLING INTERVAL-MIN...' PERJO PERIOD 3 ' PER INCH' ! z CID f)'C? / - • o 3 ;3o, L y 2 )T PLAN: Snow locations of percolation tests, soil tborings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hod. I XO. 021 25, 41 n Rr~ g b<,~ x.30 ,3d3 -34 . MAY 1 3 . DEPART T :7r APP!r; r ~ ~ APJI BI11LV) H, 'DI~GS ~EtJ4TI0NS~~V~~IIy~ 1 OIVISiUA1 OFrStFE Y~yD ~E~ C~ftFi °SPC3,~lp~CF 'OPTIONAL WORKSHEET 1. MOUND SYS i (.A1 If.' IN-GROUND PRESSURE SYSTEM.-Continued- 'I. Wastewater Lead, total Daily Flow= gal. 10. Force'Main' Use s ILIiR 83. 15 0) (c) Minimum Dosing hate = gptn, A tm. Codr and PROVIDE A DETAILED Diameter (AS I Of SIZING ON PLANS. 17 11 Total Dynathic Head: 2. Oep!h to Limiting Factor ft. System Head = S ft. 3. landsltrpe = 16 Vertical Lift = ft. 4. Distance from Dose Chamber to Friction Loss = a S% Distribution System 0 ft. TDH = ft. it. 5. Elevation Difference Between may! 1 Pump Selection: Pump and Distribution System= 11L ft. Pum will discharge at least gpm 6. Absorption Area Sizing;,, at ~ft. total dynamic head. ' Area Required ti sq, ft. Pump.~rtodel n manu~f}}c~~~ttCIrer: Bed or Trench Length (B) V7 ft. to a ce ~ LLJE ll iircj crr Trr~•.(h y t„h ;'A) _ ft "413. Dose Volume: ft. 10 Times Void Volume of 7. Mound Steil , . Distribution Lines= gal. Fitt D-Ptr (0) = tt. Daily Wastewater.Volume Fill Death oownxtope (E) _ ft. 4 Doses in 24 hrs. r gal. Bed or Ttcr,ctr Depth (l') ` ft. Baeknow 1! ' Sal. Cap and Tnnsaii 03 ith (C) : tt. Minimum Dose ■ , gal. Cap < c Topw:! Guth (H) _ 14. Dose Chamber: S. Mound Length: Volumes .:Lliddrt~ gal. End Slope (K) Total Mound Length (L) • tt III..: CONVENTIONAL PRIVATE SEWAGE SYSTEM 9. Mound Width: 1. Wastewater Load. Total Daily Flow Upslope Correction Factor=, Use S. ILAR 63. 15 '(3) (c) , 1Wis. Upstope Width (1) _ ft. Adm. Code and PROVIDE DETAILED Downslope Correction Factor = LIST OF.SiZING ON PLANS. Downstope Width (1) _ It. 2. ' Required Septic Tank Capacity ! ' p(, Total Mound Width (W) s IlL ' 3.. 'Percolation Rate= Sal. in. 10. Basal Area: A. Absorption -Area Sizing: Infiltrative Capacity of ` Refer to Table' 2 in ch. LHR •83 ' N;itutal Sot l and PROVIDE A DETAILED TOF• - Masai Area Required = sq. ft: SIZING ON PLANS. Basal Area Available = 712 a sq. ft. Required Area = sq, ft. 11.1 If Standard Tables from Chapter ILHR 83 Length = are used,Ittdicate Table width 12. For the Distribution Network, Use Numbers 5.14 in Section 11. Number of•Trenc s Trench Spacin 11. IN-GFC)UND PRESSURE SYSTEM fti S.• Distribution Sy m: 1. Depth to Limiting Factor* lateral L gth 2. Landslope = x Numbe of Laterals Late Spacing in. 4. Pro,ft, ' D ante from Sidewai) to Pip4 s in. 5. wa4 4 y f inw: f `t gal. ystem Elevation: IS (3) (c), Wis. Ad-i. t . +r no E kr st>f .A DETAILED IV;. SY EM-IN-FILL k LIST OF ) . Pi,ANS• / It In Ail Items from S ` ect~ 24 5 Rr' vhre;:! Sc,)0c Tank- Cap) city r = 6 ! Ga gal. 6. Ah;t rc rs . ~r w.:r,t.; V. SEPTIC TANK Qt' 141 min./in. i. Capacity al. Area Required A '2.. Manufacturer VJs' 0OM~P(e'tf t'tt t5. e ,r sq. ft. System Length ft. 3. Show Site Constructed Tank Details on Plan System Width = .r.,... ft. 7. Distribution Pipe Sizing: VI. DOSING TANK Holc Slie = in. 1. Capacity = gal. Hole Sttscint: fl. 2, Manufacturer. I#-£-K.S 4-0 •:t; h Latcrat Length f1. 3; Pump M.tnulactur•r: , `-i'd, 1. tt r.tk Si<t ~L in. 4. Pump Mtrflel. I.Avral Spatiut; ft, S. Operating Heads < ft. 16 4 rt Di.l,nerr Irma Silk 'Wall 4a Pil,c . iu. 6. blow Rate: ' gpm. tt. Ulofihl"113111 Piliv Di.x4x4v agate: 7. Show Site Constructed Tank Details on Plans 7•t {:Haber of l io#t•s t'ct #'itrP • ~ 1 tow Pee Pil1e = [ a(a apt". VI1. 1101.OfNG'I ANK ~y n 11, Mattifnid Sf<Init; 1. Capacity, _ RECEI IYtw(cenltrtorentf} I. Manufacturer. Length 3. a Constructed Tankj0eftsilt;jWjI1jDiameter= 5~._, in. Nli ~b PLUM3ING i3U1 ,4U -SHOW ALL INFORMATM ON PLANS-. DILHR 500.47. l iMc iz `q f# 46 WY Strow, Marsh Hay, Or Synthetic Coverinq~ dh, Dist lbution PiOe ~ Ste ` Vtdlurn Sond z r Topsoil' F S ;z, 2 ....r...1 o x 3 E ` s r O % Slope 4t? c Bed Of2;2 Force 'Moplowed Aggregate From Pump i- Y Cross Section Of A Mound System Using FY 45 For The Absorption Area' A Bed A Ft. Signed: x B ~Q 7, Ft, Lice n Ft. J /0 Ft. Date: t ° K 10 Ft.- Position L F• ~aluo2'1 Alternate Q of w `Ft. force Main,-~ . Observation Pipe K RAI _ _ _ - Force Main -T From Pump 71~ OistributtS Bed Of r2~- 2'Z PfUs~,~erttif A9gregote Owl Y1 ~dFt;t Rmonent Markers p e { yry " w ;L• ~L; A140 HUaAAN RELATIONS ( 2`f TY'tY1l ~.~7 t ~~y 7 Co 0F, Plan d+e Of btoun vng A .bed `For "f?1e Absorption A~eo A page Of, Perforated Pipe DefaU` End View Perforated a End dap ' t PVC Pipe ~ ft3 .'r y ~!y..ot~ar Holes Located On Bottom;, S Are. Equally Spaced ^y * PVC force Main Xt,4 ' From Pump \ J~ ~ PVC Manifold Pipe Alternate Position 00 ' d p Distribution Pipe Force Main From Pump Lost a Stioull F!e , Next To End Crop 1 l/ End cup /'J Distribution • Pipe Layout P y■■. X r 4 1 Hole Diameter.~~;Inch, Lateral. 1k 1 /2;... Inch(es) License Number: ?Z 5 Manifold Inches Force Main Inches Date: • K~1's`~St~"4'~t y If~~1'1 ~~1 liIA~V ~J~3 ~r ;yet s.4 ~ ~ ~ ~ f~;,I YYY 4•;. i n n i 't CYB/ I I 14 N r~IE].ATIOI - Ui~ li)N OF SAFE1,)C '0 gu14Us~ SEE CL