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HomeMy WebLinkAbout040-1016-70-000 I' ~ °o I o O a~ o Z 0 M ti r I O r N I O O ~ M > kr N N b D m w 3 Er I, y O L Z (D 3 3 c I yN LL O O w N 9 I', I N z y O O z a0w am v H z o z c ~ww N O. O N N t a li c o Q N l i z i-- z I I c I' ~6 E i o « co c m d An 0 0 0 oa.u.a I~ o N _ co to N fA J V > 01 O } co N I. r w. `G N p O N N 0 0 •S O 0 r N c 4. i4 co *r~ d Q (D (n N l~l Cl) 7N a~ 11 E O O : N C r•+ 0 H YO d = 00 1n W r Ln 0 0 O O m C 1 I ~ N c c 0 a 0 0 0) Y N N N p C N N 3 N N LO U.) O CA c Li co ~ I N W N Z C N n r O cp ?I `!x,) MCI N T'; A 7 E L • ~y O O F- F- OMO O z H O ~ I' I r fl m o • d o d c v c c E 0 A ti a2;'!,oav 4 0 ~ y °o, o I p 61) ti 0 a 0 N i rn I v _ O •a I m CD -ZB L) 3 Its. r I o m a a~ I ~ Z 3 c U. c 'y y O v y. M ~ N Z y m w E o° co 0 (D v H z a m I v m v ~ r ~ N w (D Z _ ° o fA F- rn m Z E v MO .1 a N W d `N-' `y C a r O t o I c c z 1`- D z co aci c W E N n d - H 2 d ~ v°• C a a g LO cc E Fy- N aI U O O 0 Z io o a a a w a ~v • N .'e to U CD ° N C - } cl 'C 0 N 0 n ° E m ce) Ln N H ~j O IN LL c Iv O E O a y O C~ co r N d co 0 CO E E c C -p N N U ° w E c ° _O w of o o to Ci 00 F- N 'd' U Z Y U n rn a,3 C ro • O O O H Fes- oMp O z 5 F~- U p =E V~ m E a a L • m C. m a c r`N E 2 c c R o(L Oinc r A i Parcel 040-1016-70-000 10/2012004 03:11 PM PAGE 1 OF 1 Alt. Parcel 04.28.19.61 B 040 - TOWN OF TROY Current 0 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): Current Owner THOMAS C & STEPHANIE A JOHNSTON " JOHNSTON, THOMAS C & STEPHANIE A 536 MARSON DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 536 MARSON DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.920 Plat: N/A-NOT AVAILABLE SEC 4 T28N R19W PT NE SE COM 645.67 FT S Block/Condo Bldg: OF NW COR, TH S 200 FT, E 200 FT, N 200 FT W 200 FT TO POB INCLUDES P61F Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 04-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 04/16/1999 601406 1419/218 WD 07/23/1997 1199/359 LC 07/23/1997 441/261 2004 SUMMARY Bill Fair Market Value: Assessed with: 242,500 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.610 44,000 205,000 249,000 NO Totals for 2004: General Property 1.610 44,000 205,000 249,000 Woodland 0.000 0 0 All 1.610 44,000 205,000 249,000 Totals for 2003: General Property 1.610 44,000 189,400 233,400 Woodland 0.000 0 0 Total 1.610 44,000 189,400 233,400 Lottery Credit: Claim Count: 1 Certification Date: Batch 155 Specials: User Special Code Category Amount Total Special Assessments Special Charges Delinquent Charges 0.00 0.00 0.00 Farm - S I C - 104 AS BUILT SANITARY SYSTEM REPOIt`I OWNER V►1r ~u" I"'VV'r `b TOWNSHIP W~Lt SEC. T Pr:N-R_ j W ADDRESS St. CROIX COUNTY, WISCONSIN c /04 53 SUBDIVISION} LOT t~ LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H 63 SHOW EVERYTHING WITHIN 100 FEET of SYSTEM 'D75'trt1tP341°t~car~ , ---o p~r~ 1 J0D'bo E U) -W 01 r V -fl:c INDICATE NORTHIARROW BENCHMARK: Describe the vertical reference point used )"°M ►J+ac :5~maz cJ j Dn `°j', Elevation of vertical reference point: Proposed slope at site: SEPTIC TANK: Maur factures: pc t.... Liquid Capacity: / + ~s(4LL Number of rings used: - J_ Tank manhole cover elevation: ~ Tank inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: c Front, O Side n Rear, n 12.. ~C}C} ~ b c t feet From nearest property line Front,OSide,ORear,(}~ } ```"~~~~~feet Number of feet from: well 3^ building: 7-3, (Include this information of the above plot plan)( 2 reference dimensions to septic tank) PUMP, CHAMBER Manufacturer: Liquid Capacity: .x.t.cArJ Pump Model: _W t-if2_ C• 5 Pump/Siphon Manufacturer: C M~i'=1~'~_ Pump Size 117_ Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: e" a,.G-`l , Gallons per cycle: ellV-1L. 0 r Alarm Manufacturer: 1~r C f~.C? Alarm Switch Type: „S Number of feet from nearest property line: Front,0Side, O Rear Ft.$'p" Number of feet from well: e)vC,x_, / p~., Number of feet from building: " (Include distances on plot plan). SOIL ABSORPTION, SYSTEM Bed: Trench:. X ' Width: Len 'th: 56'-d' Number of Lines: Area Built: -75d' Fill' depth to top of pipe: - 0dF,f Aer Number of'feet from nearest property line: Front nJ Side, Rear,O Ogt . 2~1011 Number of feet from well: f Number of feet from building: i (Include distances on plot plan), SEEPAGE PIT Size': Number of pits: Diameter: Liquid Aepth: Bottom of seepage pit elevation: Area, Built Has either a drop box _0 or distribution box been used on any of the above soil absorbtion sytetns? (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, O Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector:- Dated: Plumber on job: License Number: 3/84:mj t DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BQ~( 7969 BUREAU OF PLUMBING ~TAADISON„W 153707 5EkCONVENTIONAL ❑`ALTERNATIVE State Plan 1. D.N El Holding Tank ❑ In-Ground Pressure 1:1 Mound (II ass;9nedl NAME OF PERMIT HOLDER: DRESS OF PERMIT HOLDER: INSPECTION DATE James Torres ADRt. 1 Box 1505, Hudso q_j -916 12:10 AW BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN- REF. PT. E EV.: ICST1111. PT. E EV NE SE, Section 4, T28N-R19W, Town of.Troy Name of Pl.-t MPIMPRSW No.. T'lSt. San,[ary Permit NumE>erPaul Cudd 2739 Croix 83794 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELE TANK O TLET ELEV. WARNING LABEL LOCKING COVER j PROVIDED PROVIDED ❑YES ❑NO ❑YES CJNO BEDDING. VENT DIA. VENT MAT L.. HIGH WATER NUM ROAD: PROPERTY WLBUIDING I VENT TO FHFSH LI FEET RO llU Nb ,i, AIR INLET ❑YES ❑YES ❑NO NEAREST DOSING CH MBER: MANUFACTU'R H BEDDING LIQUID CAPACITY PUMP MODEL PUMP: SIPHON MANUFACTUFtEH WARNING LABEL LOCKING COVER ( 7 ~O ~ ~ f~~ ~ \ ~ PgOVIDED. P,R}O-VIDEO. -U ❑YES JNO / 1 1 OYES ❑NO L~dYES ❑NQ GALLONS PER CYCLE: P UMPAND CONTHOLS OPERATIONAL. NUMBER OF PHOPFHTV JWFI_L~ lBtJll[)IN(; IVENITTOFFIESH (DIFFERENCE BETWEEN FEET FROM a `J- / y R LEr1 PUMP ON AND OFF) 1 YES ❑NO NEAREST-30 ✓ K J 1 SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH OIAMI TE R 111 A11 RInL AND MARKIN(; or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE 7 the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH LENGTH NO O DISTR. PIPE SPACING V JINSITTE. Dln zPl TS LIQUID BED/TRENCH !1 THE'C FS / MA11AL! PIT uEPrH DIMENSIONS lJ J (p J -.rv - . GRAVEL DEPTH FILL DEPTH 11,)lSTA ' PIPF DISTR. PIPE DISTR. PIPE MATERIAL NO.DISTH NUMBER OF PROPERTY WELL BUILDING VE NT TO FR" SH 113E 1LOW PIPE / ABOVE COVER E V IN I F T ELEV. END PIPES LI AIR IINLET C Tj , 1 1/00, 5j-1 _1 12- 7 7 NEEST FEAREST- ► ~ (j AJ0 (4t7 /0-0 7' v MOUND SYSTEM: _ Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- ❑ YES ❑ NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PFHMANI NT MAHKF HS OBSE HVATI()N WI I I S DEPTH OVFH TRENCH HFD JDEPTH OVER TRENCH _BED DEPTH OF TOPSOIL SOHDF D j YES F ❑NO ❑ YES MUL(.HI U ❑ NO CENTER EDGES - YES O ❑YES ❑NO ❑YES LINO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO.OF LA TE RA1_SPACIN7 (;HA L DEPTH E )W PIP(- FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL Nn DISTH DISTR PIPE DISTI(IHT11ON I'IPE MATE Rlnl & MARKIN(, ELEVATION AND ELEV. ELEV. CIA ELEV. PIPES DIA DISTRIBUTION INFORMATION ROLE SIZE HOLE SPACING DRILLED CORFiF CT L Y QOVFR MATERIAL VFRTI(IAL I_IFTCORHFSPI)NDSTOAPPR()VID PLnNS ❑YES ❑NO ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL- BUILDING FEET FROM uNE ❑ YES ❑ NO ❑YES 1:1 NO NEAREST -J \ 3.72 -7 Z Sketch System on Retain in county file for audit. Reverse Side. / SIGNATURE TITLE DILHR SBD 6710 (R. 01/82) -j unsconsln APPLICATION FOR SANITARY PERMIT MILHR St . CrO'X COUNTY (PLB 67) - OEPRRT TErIT OF UNIFORM SANITARY PERMIT # IrIOU~PTRV.LRBOR 6NUTR1'IRELRTIOr15 9 71 -Attach com*te 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 rbverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS James F. Torres Rt. 1, Box 1505, Hudson, WI 54016 PROPERTY LOCATION 02XX NE 1/4 SE1/4, s 4 , T 28N, R19 1£Xi W TTXXXIN Troy OF: LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER Tower Roa Marson Dr. TYPE OF BUILDING OR USE SERVED Rate, 1,00 © YO - Q/0/6 - 70 -6 CtA J! L9 1 or 2 Family Number of Bedrooms: 3 ❑ Public (Specify: THIS PERMIT IS FOR A: K1 New System ❑ Tank Replacement ❑ Repair I Replacement Soil Absorption System ❑ 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 - E] 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 -IM 0 Septic Tank Capacity 1 X Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: Wieser Concrete Products 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 Lift Pump/Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): Class 2 750 750 ® 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): Signa MP/MPRSW No.: Phone Number: Paul R. Cudd MPRSW2739 715 425-2049 Plumber's Address: Name of Designer: Rt. 5, Box 364, River Falls, WI 54022 Art Wegerer (576) COUNTY/DEPARTMENT USE ONLY SiNr ing Agent: Fee: Date: ❑ Disapproved l ❑ Owner Given Initial Approved Adverse Determination Rpr I: 61 Alternate course (s) of Action Available: DILHR-SBO-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber r INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PL13 67 - SBD 6398. ' 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 size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and 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 Jaynes F. Torres Location of Property NE 34 SE 34, Section 4 , T 28 N-R 19 W Township Troy Mailing Address Rt. 1, Box 1505 Hudson,, WI „54016 Address of Site Same as above Subdivision Name N/A Lot Number N/A Previous Owner of Property ,f dn/14,L D .SCL8 X12 6- Total Size of Parcel 6 9 A L q Date Parcel was Created Are all corners and lot lines identifiable? X Yes No Is this property being developed for resale (spec house) ? Yes X No Volume Y-71- and Page Number /?F 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) ceA ijy that att 6tatement6 on thi,6 bonm ahe tAue to the beast o6 my (ouh) k.nowtedge; that I (we) am ( cute) the owneA (,s) o j the pnopeAty dens cA bed in this d n4on.mation 4o un, by viA tue o6 a waAAanty deed uco tded in the O 46ice o j the County RegisteA ob Deedb ass Document No. 3Q6 9~ ; and that I (We) pne~sentty own the puposed site jot the .sewage dus pops d yes em (o& I (we) have obtained an easement, to nun with the above desnibed pnopehty, 6o& the con,6tAuc ion o6 said .system, and the .same has been duty teco&ded in the 04jice o6 the County Regi,6ten ob Deeds, as Document No. SIGNAT OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED Form No. 105 r r y H SEPTIC TANK MAINTENANC' AGREEMENT 0 St. Croix County z d 9 OWNER/BUYER 7 a v3-es M ROUTE/BOX NUMBER ~t• mil- eox Is-4J Fire Number 'f%a .CITY/STATE Hudxon, ZIP syo PROPERTY LOCATION: 14, SE Section_ , T cO.g N, R J~f W, Gt/~~\ Town of t►'j St . Croix County, i J Subdivision Lot number Improper use And maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new _sys_t_ems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. y 0 I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- It ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED A2'~DATE St. Croix County Zoning Office P.O. Box 207 .79, Hammond, WI 54015 715-796-2239 Sign, date and return to above address. o i ~ (n c 14 j~ Z) 0 CD ~''wmm 0 CD n m a n S w t° S H o ° 3 : w w c ca O c 0 o n w O 3 C(p(p E 0 C: m con m a (CD (D ° i a 02 w p m a cn ~m \ n W (D CD a A D i - t R r Er C:ZD 91 (O C~ 3 a 0 0 (D (D C 0 ID > S cp O w O W O O 2 w C 3 S. a C 3 0 a a C 1 3: W W S S G Q= E7 En A~ (D O p a (~D O (D -w D a g o w p m c° ° (<D (D C c (p Q O o cn ° a 0 CD Dw a a p 0 CD CD lu =1 X 0 (n CD cr U , ° CD C,) a : v n CD=r-1 U) D) ~ w -r ' m a (n CD o S? m CL (D o 3 N O= OL n tO n CD c CCD O =r 0 =r (n~ ?r'ACw° a ac~~a Ch v ~o (D ° cn" (n w w C m 37 CDc=r 0CL CD Mm° CD n Q(a w3(DQw e boo (nom =E~(_o -i =3 c": om 0 a o N c c F CL 0) w w (D O j n m CL OL C y ~c cQ S (D 21 CD 0 c ~ (p :3 0 En c~D n (~D 0 ~ 0 aa:3 ocoa c-. - c a m o w - ~m c cl -7 way aCD a03•\J o a 3 a p< 3 co (D o ° 1 O , [-;FPARTME:N'[ OF REPORT ON SOIL BORINGS AND s~l-Er & BUILDINGS IIJD»1,,''R DIVISION P,O 30X 7969 [A AND PERCOLATION 'ES' "S (I15) MADISON, WI 53707 HUMAN RELATIONS (H63.0911) & Chapter 145.0451 - _ - t OCATION: SECTION: TOWNSHIP UNIGIPALITY LOT NO:BLK. NO.: SUBDIVISION NAME 1/ . /T -'R N/R 10, E (o rr ;NiY OWNER'S BUYER'S NAME: MAILING ADDRESS: ~pv'`~ \ L3pX i jQ S IUSE Y ~ DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: r+~ PROFILE DESCRIPTIONS: PERCOLATION.TESTS• Residence ❑New e~Replace I L 6 / / 3 N' A'--- = 3- e RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: REC OMMENDED SYSTEM (optional) (AS [1U 1 QS ❑U ®S ❑U~S If if Percolation Tests are NOT required DESIGN RATE: any portion of the tested area is in the under s H63.09(5) (b), indicate: M Floodplain, indicate Floodplain elevation- I V A PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER4 fd6++f_ CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH Mgr; ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B \ Zf \oZ o, 1~orJ~ 7 7 •Z ` 1 •ZI L7h.3>, 1g~s; t ~n G~ IS B- - ~•y' tioS.O' li '7 3n 1s 0 9' 1S Ts.; 0.6' It 0' BV\ G> ls, B- 3 `7•J' pia yI ~•S \•S` 1 3.S' $n G►- Ss B- B- B- - - PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES _NUMBER INCHES AFTER SWELLING INTERVAL-MIN- PERIOD 1 PERIOD 2 PERIOD 3 _ PER INCH P- 1 L4 Z NO \p \S1 1L \-Slll. 'S116 1 io3.o' P_ Z iq 7- )VO `o Ify I)v 3 tD2.3; j P_ 3 Z N~ 10 ~ ~ f Z I I L III 1 -7 ) 03.0 P- 9 (4Z 1.10 ll7 -7/2, -7/f' 11 )ay.8' 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. `DO• q ' 9g• S ~ ~R'R 4-1 A2p'''- S hT`1~~,•~ 'rb WE SYSTEM ELEVATION Z S►-VG- t.Zch,-ViEb SZS'S. P-0-41t, CF , k ~f'tR•on~`Ptt~N t..aT _ uuE ~-1H 1~1'v.) C.t~}?!~~ o;=~ ~E 7+Y-5~, ~fy; 5 ~ 'o\o ~?~y 1't:>L2.",Wood S`I7i~, w`L►i°T}1 TN 2 .h LoeAZlo►J. St~,~t1 Iro to V, -4 "A'V~p a ZM - EEL, ~oo•O C~'\j - wood ~`rR Re w/t_p~}I z 1 SL°PeL.F, `t' ~ SO' ~ SE~`i1or~ y 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print) NESTS WERE COMPLETED ON: IiL~CtRFSS CERTIFICATION NUMBER: PHONE NUINBER(opnonal): CST SIGN TUR: DISi R'BUI ION. O. tgm,v ano onr• cops [()Local Autrio!ity F:::>cr!.~ Owner and Soil Tester. iIk C>!, I, `;I f, t~395 (F .J"'82) OVER - iFICATIMIS APPROVED LOCKING AUHOLE COVER 4 , r• I y.. MIK1 I 15" MIU. 4 I I I APPROVED JOINTS I i ! I (I W/C.I. PIPE ALARM EXTEUDIIJG 3' ONTO SOLID 501E I I ON . I I OFF t r a _i;. ?.S -0JrV4 APPROVAL la' i u Uc SES: PER DAB 5 , 1 `.1JLUME WDIKIG BACKFLOW: 14 b.3 GALLONS ...ITIES: A= IS IUCHES OR 30~ GALLGUS CHES OR CALLOUS B = ---IU IMEHES OR GALLOIJS }i IUCHES OR GALlO1J5 - t R A-ARM ARE TO 5E OM 5EPARATE CIRCUITS 1 14 FE-ET S --LIQUID DEP'T'H I(Zli _ ZU.Os GI) uA Yl . er Cord Singh phase cord is 20 tt G r I F ,ono with SJTVJ insulation and has molded I on orounding-type plug. Plugs dire t!V into ,G al ~ ~.ncard receatacle, reoures no coal o. - nox. Used with ALC or AWS level controls c- automatic operation. Y rc! Sea! Bushing-Cord is potted Info steel Gctor with polyurethane resin for peak proof i ; e . A cord nut and rubber g! ommet damp the c to tn_: bushing Cord can withstand a pull 7 1 IG Its. without looseninc connection. } ;or Permanent split capacitor-type is F c for best heat Iranser and br-arind and C a ication. Ope tes at 34150 R°N and has automatic reset Ov_~l;;ad protection. ' - f o taoe 200 or 230 volts sinaie pi-lase also f I - ,D is for 1,2 HP size unit. r' ' 'af r or Housing - A separate housing perrnlts i d \ vun no of the permanent oil capacitors. Can . , _r gs M } f - r 'a,.e capacitors without dismantling motor ot o r v pump. r ,t ;Housing-Cast iron stator is pressed in for r„ -hanical :i,es ieat transfer and alignment. Seal Impeller - Bronze, Tornado non-cioggino type. Has back pump out vanes to protect seal and tlotor - reduce thrust. bottom m-r p 4 ° N;-ct a kcal Seal -Heavy duty type has carbon Plate and „eramic faces lapped to a flatness of one light band Spring and all seal parts stainless IrrlPeller - steel, Rubber seal bellows is Buna N. - 'volute Case-Cast iron has 3/a' full open volute r~ - to pass solids. Support legs provide proper Volute clearance for pump inlet. Case f E Bearings - Lower ball bearing takes radial and z down-thrust loads. Upper sleeve bearings take t a radial loads and have thrust washer to absorb any up-thrust. Corrosion Resistance-All iron parts are coated E~-e.rC}€'►Qe ``m~' "S inside and out with baked-on epoxy paint. Al! machined surfaces are re-coated with epoxy t after machining. tt e=_ =ar_S _FPLV_n ,;r::Ps k CA?AC+7Y U7_= S FcR M JLjTc !t - D 50. 1OD 75J 200 25~ 3D, 35C s {yti - - 2 A~'0 - - - y, ----oRSFv ~yF~o j 2 tia9 T 20 ? i I ~ m o S `c C 20 -.40 60 80. - -_-100 CAPAC:iY SALLCNS?=n rJINu,E Lam. 6 t1 i,r-V"> .'1 , 1 ' - - - San. Pc_rmit No. Cr an E 'T ' name H63.05 PLOT PLAN show: ~ Location of building served Dosing chamkr2r j Septic tank L~ Vertical/horizontal reference point C C' 4s.s. j sewer System elevation is _0 Building Effluent system Q Well Replacement system area Property lines w/in 50' of system Distribution boxes Scale = 1"=So or dimensioned ~ - ' F•E.'~~"~~z.5 ~ ~ Zip Pump and controls: w!aR _S-- 4 - I Mfr. & McAel No. Vertical Lift Size Force Main i l~4 `J 3 w/F-uw lf - Friction Loss T. D. H. Vol, Dist. Pipe Gal. p -r Min. Gal. per Cycle ,o Place check mark in appropriate box, indicating item is sho4.Tn on plot plan below: rV ii_= iJT ` y"pve 5 i ~'~Fo~J4TL'9 i pro` O i~ h ~ i10 S ~~--Bwl b ~P - `s . \OI.S' ON \"XZ vJOOS ' "t kJ`~fi r? Doh i ; 4P b W 11_ wad , j ~2J?zp-4 ES i tJ tPJ QC ~~S? WALL ~ Efi j BYt fiNRP_ Et, loG.p~orJ I ~~Z~~>NOOfl STr,- W/ LA-T}I ~ 2_ J J z d ~ 1 9 d _ n p"~oF CPip L1 PV C s i FJS1'RLt_- -1 SO GNP. i W~C~~ Couc. j By the granting or approving of the above plan, or upon the event of a subsequent permit being issued,St.CroixCounty and theSt.CroixCounty Zoning Administrator, does not assume or hold itself liable for any defects in plans or specifications, plan omission, examination oversight, construction, or any damage that may result in or F~er installation. a~~ . Al, 9, 1~ -u r Is si9na .ure License No. Dale Rev. . 3/8 ' C~~oSS : Iv~1 ~~1L t-~! ,e~c-pROV'~ s~F.~~'2ilC y°GI '~✓_rJi ri=~ v~/~=~%ou`~, _~i? • `~!UG ~f rte, i / r ~ ~ ~ct,?~ ►.y ~ r r='-==~ G 12 J DO ` 99•x'' 2.5~ E _o:..~ 1 tom` ° UD h ~!S'TR13U'1"1~1 C~tt~t ~ CAE Pct' '~~'.ST 1 1{`iCNES '~~L~w 0~2tG!~,q~ 6~v~~= .9~D - f~T ~ S T Z O \ iJ C~ E S ~S~T IJOl' i'7 DR ` ~7~ 1~t lr Z 11J GH ~ ~ _ J W n~ h L u = i~ ~ l' f~XIF;u." 1 i -5 ay- CAUt1)-7QN FP-~lM C(~tG;h1AL 1=.=PR~~ MILL ` _L4 1NC9 E„. ~se' e6x~l ~2~ yy T~1~T S ► G►.~