Loading...
HomeMy WebLinkAbout040-1209-95-000 J O 9~1 ! 3 d O C T n ° c T CD r co z 0 00 o d o c, o c o N 7 3 O C A QJi 7 K IV Q ICI N C Z Q f~D` y Oo !O/f 00 N CA D. N y d 'O ~O2 N O_ CO r~y CD CD n m CCD to I M Cn c A7 Z y y N ~ (o T) I ~ ~ d> fA ~ ~ CCD O ~ ~15~, m U) ( D A a (D (A CD F~ c m c_ At 0 CD j~3 j;~ (D Oct ~c z Z H (o o rn rn" to r- Ch c m° oo r w 3 c z 000! 9'. o ~ CS CS CS N CD O n C ~1 y y C4 l/i~ N v d 3 N j -~f O A N O cy~ •y0 X tNrr I 3 i r- oc ro rrty a .moo. n r• a, Z m N Z (A 0 0 Z W Z o TJ I ~i O D CL CD FD "*A b t I CI'S N l~i~yl ;o v y ~n c N OQ { W CL Cc• Nom/ a m " -4 N z C6 X( N O A Z n c A O A Z O_ UZ L, Z_ R Z q N W M m N CT Q 0 ( ~z o. 3 o ° cn N C O N z CD CD A C4 I m a I o 3 m c o' o a U) y ~ I 0 V ~ ! N O V 14 O b O CD d0 O~ A j ~ Form- STC-104 ` AS BUILT SANITARY SYSTEM REPORT 1 r~ OWNER zt~xw►anu~t~S TOWNSHIP SEC. 9,5 TW ADDRESS ST. CRQIX COUNTY, WISCONSIN SUBDIVISION ~_(OT / LOT SIZE 2_(oZ 42 x 3-n r5S PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Vjd0T_)C___c.3 DR=~E~cr~y r r l 1©~` i e ~oac~ . 1-+~tJ Mb tJ'r . N INDICATA NORTH ARROW i BENCHMARK: Describe the vertical reference point used <L%p 1`ELEpHOtiC. Elevation of vertical reference point: IW,CCCy Proposed slope at site: 190 1I SEPTIC TANK: Manufacturer W=C t Liquid Capacity: l 4%1ALA_ 14 Number of rings used: Z. Tank manhole cover elevation: 96-12- Tank ` Inlet Elevation: 9Z_88 Tank Outlet Elevation: ULSi I it Number of feet from nearest- Road.: Front 10 Side, Rear, O 8fo- 7 feet From'mearest- property line,: Front,OSide 0Rear, O az,: z" feet Number of feet from: well N6WEL buildings (Include this information of the abov plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER R Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from neareq't property line: Front, O Side, O Rear Ft. 0 Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: x Trench: i Width: y~1~ Length: Say-f3Number of Lines: ~ Area Built: q~ Fill depth td 'top of pipe: :4p,' r Number of feet from nearest property line: Front, ® Side, O Rear,0 Ft Number of feet from well: QE :LL geT r Number of feet from building: 7-6"14` (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. 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 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7989 MADISOM'WI 63707 BUREAU OF PLUMBING r n CONVENTIONAL ❑ALTERNATIVE State Plan I D. Number ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound of aeslgned) NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTI N ATE lViUiam L. Munm R 51 EdgewateA Ln., RiveA Fattz, W1 a2~-004 02 :3d BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.: JCST REF. PT. ELEV. 16 SE SID, Section 25, T28N-R20G1, Town of T&oy, Lot 10, St. Croix Hightan Name of Plumber: MP/MPRSW No.: Cnunry Sanitary Permit Number: Pain Cudd 2739 St. Choy 83768 SEPTIC TANK/HOLDING T4111i MANUFACTURER-/"~ LIQUID C~~A~~PffACITY TANK INLET E~/L7EV. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER ~Y. Y' / P OVI ED: PROVIDED. / / g ~~9 YES ONO OYES NO BEDDING: VENT DIA.. VENT MATE HIGH WATER NUMBER OF ROAD- PROPERTY WELL BUILDING: ALARM FEET FROM ~ AIR IN ET: OYES NO C OYES ONO NEAREST--~ U l DOSING CHAMBER: MANUFACTURER. BEDDING. LIOO ID CAPACI TV PUMP MODE L PUMP;SI PHON MANUF AC TEIREH WARNING LABEL LOCKINGCOVER PROVIDED. PROVIDED DYES ONO OYES ONO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS-OPERATIONAL ER OF PROPERTY WELL BUILDING VENT To FRESH (DIFFERENCE BETWEEN EET FROM LINE I AIR INLET PUMP ON AND OFF) OYES ENO_ _ NEA EST 30 SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing I t 111AMF TER IMATI,RIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until ORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH NO OF DISTH PIPE SPACI N(I C EF7 INSIDE UTA SPITS LIQUID S TRENCHES / n EHIAL PIT DEPTH. DIMENSIONS !C/. ~H A','EL DEPTH FILL DE ISTHPI FDISTH PIPERIAL NO NUMBER OF PROPERTY WELL BUILDINGVENT TO FRESH ELOW PIPES ABDVE L EV INLF LET ELE~V} ENU ~j 2 PIPE!}) FEET FROM LINE J AIR INLET: J d 17 NEAREST j~e 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. O O SOIL COVER TEXTURE PE HMANINf MAHKFHS HV ATION WEEYES ONO [PSLO YES NO DEPTH OVER TRENCH BED DEPTH OVFH TRENCH BEU DEPiR OF TOPSOIL SODDED S" 0", IM ULCHED CENNTER EDGES OYES. ONO OYES ENO OYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO OF ATERAL SPACING GRAVEL DEPTH HE LOW PIPE FILL DEPTH ABOVE COVER TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO DISTH DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.'. ELEV. CIA. ELEV. PIPES DIA ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE OLE SPACING GRILLED CQHHECT LV CO H VER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS OYES LINO OYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: =FF UMBER OF LINE PROPER TV WELL J BUILDING: E T FROM OYES ONO OYES ONAR T 0 -7.y9 ~A a~ g Sketch System on Re in county file for audit. Reverse Side. SIGNA ~ A TITLE. DILHR SBD 6710 (R. 01/82) wisconsin APPLICATION FOR SANITARY PERMIT DILHR (PLB 67) St. Croix COUNTY jnDUSTTRVt_RE UNIFORM SANITARY PERMIT # • InOUS,tFiBO R 6NUTRn RELRTIOns ,p -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'/zx 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS William L. Munns Rt. 5, Edgewater Ln., River Falls, WI 5402 PROPERTY LOCATION x,KMX.X SE 1/4 SW 1/4, S25 , T 28 N, R 20 M W TOWN x Troy LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER 10 St.Croix Hi hlands Glenmont Road TYPE OF BUILDING OR USE SERVED J17 - /aoQ - ~-cz~o i 1 or 2 Family Number of Bedrooms: 3 Public (Specify): THIS PERMIT IS FOR A: IX New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. X 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 Gallons Tanks Concrete Constructed Steel Fiberglass Plastic Septic Tank Capacity 1000 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 2 945 954 ® Private ❑ Joint ❑ Public 1, the undersigned, hereby assume responsibility for install tion of the priv a sewage system shown on the attached plans. Name of Plumber (Print): Signatur MP/MPRSW No. Phone Number: Paul R. Cudd PRSW2739 (715 ► 42 -2049 Plumber's Address: Name of Designer: Rt. 5, Box 364 River Falls, WI 54022 Art Wegerer (576) COUNTY/DEPARTMENT USE ONLY Signature of Issuing Agent: - Fee: Date: ❑ Disapproved { 7 ~C a~~~6 ❑ Owner Given Initial Approved Adverse Determination Reason for Dis p o I. Alternate course(s) of Action Available: DILHR-SBD-6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PiB 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. r 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 44&YD *,!q Location of Prop ert NF Se C~,O~ yt /g (4 0 ction 04 S , T :2 F N-R Z-~rV ~ W Township 1 1~-~ d~.0(Nt~a d~ 7Qe.~N 011 Mai- g Address ~S X 4 i~ k,91so'i W/S ✓T¢~42L Address of Site ~d f ~D ,Q(JC6~i~11I~ ,/1~^_LiIE OF ,eo - G~E/Y/r1oNT D /*/Vo 6r✓IWAII DANE Subdivision Name s7~ n~~rX ~Zl~. Lot Number /0 aN MA / RA'Anoew F Previous Owner f Property .4AN 100 EaNA? / ZAIDA$ ,NA, NOMA) Total Size of Parcel ~pf 5 ,3//lam 9 X ~.2Y ^s ON do ,bS , Date Parcel was Created j_r N jq e Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes_ No Volume 79111 and Page Number 3 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) ceAti6y that att statements on this goAAm ane tAue to the best ab my (oun) knowledge; that I (we) am (ate) the owneA(s) ob the ptopenty de~scA bed in this nbaruna%on Sonm, by v~t ue as a waiAawty deed necanded in the 044ice a6 the County RegisteA o4 Deeds as Document No. 41 X72,; and that I (We) pte~sentty own the puposed site ban the sewage dvs ors system (apt I (we) have obtained an easement, to nun with the above descA bed pupeAty, bah the coutAucti,on ab said .system, and the same has been dui. Aeconded in the 04jice o4 the County Register ob Deeds, as Do come No. GNATURE OF 0 ER SIG TUBE OF CO-OWNEER (IF APPLICABLE) G 'oV DATE SIGNED DATE SIGNED ` z va STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT rye St. Croix County a d OWNER/BUYER H ~ ~ • Lii✓I1r/5 ROUTE/BOX NUMBER X-7 Fire Number CITY/STATE lAF4 F*A4S _Z T P 5`16p0-r- N E ~ eMG $ PROPERTY LOCATION:'V /)1414, S6 Section T N, Re W, Town of to (I St. Croix County, Subdivision T. (,L.D,r1 ~tl t 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 i 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 stems 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 E I/WE, the undersigned, have read the above requirements and agree Cn 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 7.onin Office wit 'n 30 days of the three year expiration date. SIGNED DATE G-lf~--~ - St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. o z°~ Na >o -vs y E Oc Wv ~v3 ~.a 0 O O o N 7 0 E .IL 'a o C AA cm 0 C \Zl W N Q U L i L O T 0 j 0 _ VV VC Of (J a (D _ _ 10 (A E to T ' C _ O p a U) (D 0 3 0-0 W ° 3 M 0.0 m ~ E~ U_~crn~m 00U 1 O.T- O CD (D ~c _ a C N N co m 1 c C N N o~_ D W a~3~:3v «S(n IL a) N .o 3 U) ~ c C c C U . o D co :3'- - c Y cv v CC W ~"rn3~ o 4) (D co a .0 sr 0- 0 y a) C U. cc N L-t O Q 0 U)(a-"0~ m~c0 - N = N cd a L C O d y (?t f0 CO N 10 0 U. - cc ` 0) 7 u O 3. n..oc. = 0fA _ U O y ot U) N U Q 0 j CD > 0 o.0 CD .0 NagyC 0. a 00 _ N Q C O o T O t o C _ N Y Y N cti 4) ` L ctf c 3 C 7 O az c •0 O O w N C_ Y j-, T 0 o E C z: C C L L C C 3: , C.y O CD L Y 0 •0 E U co 0 C O 0_ CD i i 0 CY) Y to N i N ca cd C A MJ~ ~caC13a)Y a) 3:- d m e a)~0 3 L 00 c 0 O O o a o 3 N co Y N ' a 'a (D yW~F O- O O a , O c 0 0 j E C Y (b O :3 o co ca n _ w ~a C~ U U OY N Y ~ C O O C t ca m m G oEc cncn ai ~ Q C = ~ J N C DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION INDUSTRY, P.O. BOX 7969 LABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOW SHIP UNICIPALITY: LOT NO.: BULK. NO.: SUBDIVISION NAME: Nt 10 /a 1/4 Zs /Tz3R/RAE (o'W T~~r WNER' UYER'S NAME: MAILING ADDRESS: COUNTY: ~ J Z - DATES OBSERVATIONS MADE USE _ PROFILE DESCRIPTIONS: PERCOLATION TESTS: - Residence NO. BEDRMS.: COMMERCIAL DESCRIPTIONL rt ~lNew ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: ROUN D PRESSURE:SYSTEM-INF0LDINGTANK:RECOMPvIENDEDSYSTEM:(optional) JUC N$ ❑U ZU Z11 .1 I rcolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the C~-Ss Floodplain, indicate Floodplain elevation: er s.H63.09151 1b1, indicate: i - F,npdr PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROCTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH W. ELEVATION OBSERVED DROCK IF OBSERVED (SEE ABBRV. ON BACK.) ' G7 b~Sl TS y $ ,er, L; 1.&13h G.s 3.° '13n B- 1 3' 9,6.3t l~o>UE G-/8n Si 1 TS 3'I3h S1 1; 1•S'Bn vrSi~ y.~ ~nrnQ S B . Z` 91.',4 1JO,vF > . B- 3 ~ - 3` q~ -Z ` 1Jor`lE 7 F r o Le ; l•b ;.3 ; 4.g PERCOLATION TESTS TEST DEPTH aWAjER ULETEST TIEDROP IN WATER LEVEL-INCHES RPERINCH NUMBER INCHES RVAL-MIN. PERIOD PERIOD 2 PERIOD 3 P- P xt n-t tvt o ~ y t ~ `TI' t'P_ S L.l~ SUS FA, A, C~ tom- R tyJ !r•J 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. 11 ~1`C1 t~ l_ - • S rj ~1~ ~T SYSTEM ELEVATION ~-~t-N ~ -'~`'T - L.~o~ Q!- 'e -LZ:VN"r1W'3 W1 'Z~ _i ~K N ~tzv 4 E _ W h,►.1. TAE S ` ~~~2 0= 77tE CW t/Y > IN CTl f~ t^: _ o ; 0 _ 7j3 N _ VT l - -1n l r -s rrF_ ~~ow E~ I h0E1~1i- es Lor i IVY i - zs~rt ? $rl+}- I R Y tzP 6L E~ho►J T' 1'~..'J~ p >J~. t{~ SGAt F t tt = 6Ow' _ SEC ZS I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME WERE COMPLETED ON NAME (print): 'T r CERTIFICATION NUMBER: PHONE NUMBER (Opt io 131): ADDRESS: - CST SIGNATURe ;.l RIBUTION: o w -i .and one, opy in Local .Authority, Property Owner and Soil Tester. c D-G39 I 0',S2) - OVER San . Pe r mi t 130 . H63 .0 5 PLOT PLAN S h`ow : t_✓~ Ln, ri<?r. of building served tt~A~ Dosing cha-7:1~r Septic tank L ~ Vertti-caljlhorizontal reference point Building sewer Syste.r, elevation is C✓~ Effluent system f✓1 Well Peplacement system area RAJ Prci~,rty lines w/in 50' of sys:_em Distribution boxes [ Scale = \11=60 , or dim-nsicn d - - Pump and controls Mfr. & Model No. Vertical Lift Size Force in _riction Loss T. D. H. Vol. Dist. Pipe Gal. per i$in. Gal. per C_,c:e Place check mark in appropriate box, indicating item is shown on plot pl-n wc~ o o L all ? SvGGEST~"D 1NRl LIJC A710N _C O AT L~h_ST SO F~C~F'1~2A1}JF1EZ~~ I IN J ~~pUSE dJ ?vc-Pe~w~arw ti5`\ + , e~ 53t it 3Z N B~ - a s \o of H" cz V3 VEUf - s1_~ V0oo n. _ _6' _ D53 CJJC~C. 5 U~7j n C TtJ~t~ I rJI ncEh6 uT Fy"SOUL sa, 83 f N t ,n,, ~ ~ Lho LI{~jtr 377.85 r e ~ \a2P a flµ ?'N ~c E L. ►oO.O oN TUQ OF E L. ~ ; 9.O' l~ P , mil . c L L ~!~*J►L $qX e .-,rant' nC or of the aIx-ve plan, Cr upon the event of a :r inc i ss ed,.' _.;t County and .nty Zoning Administra , or hold i ts= l liable for dnv _c -..`s or specifications, p- r f _r.-,;, IIilnatiOn. 0VErs ahtr C or. S.!1; _ lr a - that may resuiL 1,. . r.~talla~ fA~ W~ LL`~M L , \"1 v ►JV-3 S w,:.~ t~z , ~J r r, e CROSS SECTIDU OF A BED_S-'3STENI VtVEV,)T I-I RS ~I N~SNCO G2Aba -4--- SOIL FILL i z" oF AGGREGATE y'I P~ C DISTRIBUT1010 PIPE APPROVED SYUTHETIC COVER MATT=RIAL OR 9" OF 5TRAW OF. MARSH VW3 L:0r- AGGREGATE f J o I ~i \~\\\//i;~ ELEV. OF 2.S FEET DISTRIBUTIOM PIPE TO BE AT LEAST IUCHES BELO\-v ORIGIUAL GRADE A►JD AT LF-AST20 WC-HES BUT UO MORE THAI) 42 IUCHES B=SOW FIKIAL GRADE _ SZ M4.XIMLJP% DEPTH OF 1=XCAVATIOU FROM ORIGIIJAL GRADE. VJ1LL BE IAICHES Ll MINIMUM DEPTH OF EXCAVATIOU FROM ORIGIUAL GRADE WILL BE -T-- INCHES SICUED_ _ L IG C IJ SC UUMBI_ R:/!l~ DAT C: Parcel 040-1209-95-000 02/07/2007 PAGE I 10:44 OFM Alt. Parcel 25.28.20.995 040 - TOWN OF TROY 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 - O'ROURKE, LAURA ANN LAURA ANN O'ROURKE 129 GLEN LN RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 129 GLEN LN SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.240 Plat: 2495-ST CROIX HIGHLANDS SEC 25 T28N R20W NE SW LOT 10 OF ST Block/Condo Bldg: LOT 10 CROIX HIGHLANDS Tract(s): (Sec-Twn-Rng 401/4 1601/4) 25-28N-20W Notes: Parcel History: Date Doc # Vol/Page Type 03/24/2006 821429 WD 06/11/2003 725265 2270/225 WD 744/243 2007 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/22/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.240 37,300 219,200 256,500 NO Totals for 2007: General Property 2.240 37,300 219,200 256,500 Woodland 0.000 0 0 Totals for 2006: General Property 2.240 37,300 219,200 256,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 213 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00