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HomeMy WebLinkAbout004-1030-95-000 0 CA 0 r v " r_ 01 0 m fD I M ~ Q 3 co CD co o CD CO co r~ lAl c CD 0 C) 01 N r~ O p 7 - Q N 7 CO77 R Q O C ro (D a C, N o O° P~•P 3 O 00 C) 3 N 0 :j z `d <0 ion N a =r 00 > la, I-d CD H 3 E CD T. cr H 'd rt Z G co co 'P 'I n r N rf w 000 c00n cd ~ ~ P) a cn 0 (D 00 ( Z O O O -4 !r' C,o `t I n ~ ~ tin to ai ° CD cr v _v N n Ct 'O N CD y CD m N C - CD D a` . CD a~ ~ I z 0 O D D o N o N t-I Q o_ = a !r. Z C CD to o rn r-~ I w pC n m CD N P rat A Z cD GQ Fl- (D o\ a z O 0 W~ W T m n~i w co CD CD I c ~ TT o M V! N M cn I y ~ ~ g CD o' n 3 CD C-L m o' - a = o a cl F CD v S I m o CD A I ~ A I w O a A p N CD aro I ~ C) O r w Parcel 004-1030-95-000 01/23/2006 02:44 PM PAGE 1 OF 1 Alt. Parcel M 13.28.15.210 004 - TOWN OF CADY Current XST. 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 PAUL A & KARI JO DEPPA O - DEPPA, PAUL A & KARI JO N6202 50TH ST KNAPP WI 54749 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 3290 30TH AVE SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 13 T28N R1 5W 40A SE SE EZ-U-.1450/175 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-28N-15W Notes: Parcel History: Date Doc # Vol/Page Type 11/08/2004 779297 2691/230 LC 01/10/2001 636570 1574/051 TI 01/10/2001 636569 1574/049 QC 2005 SUMMARY Bill M Fair Market Value: Assessed with: 106535 Use Value Assessment Valuations: Last Changed: 09/07/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 36.000 4,400 0 4,400 NO UNDEVELOPED G5 2.000 200 0 200 NO OTHER G7 2.000 24,000 93,700 117,700 NO Totals for 2005: General Property 40.000 28,600 93,700 122,300 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 8,800 45,900 54,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch M 511 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 v:S,4 TOWNSHIP ~caa SEC. Aj T a,Y N-R IS-W ADDRESS W1~ S L27fST. CROIX COUNTY, WISCONSIN SUBDIVISION Ayff LOT /U LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of ILHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM T, g7,3 80-}0 ~k ( Roc. L J~ 14e, (Y !h C.5;5 a'~' 3n PUL ~,a s fl $b r•~.7_'__ S, l,o... t) cc Gam! P gt ~0 kc C bvse- - e JC C4. INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used 4~►'I Elevation of vertical reference point: Proposed slope at site: 7 SEPTIC TANK: Manufacturer: ~l ~prn ~~p(mSLiquid Capacity: V0 441 Number of rings used: __0_ Tank manhole cover elevation: Tank Inlet Elevation: &C- Tank Outlet Elevation: Number of feet from nearest Road: Front, Side,O Rear, O /feet From nearest property line Front,oSide,ORear,0 feet Number of feet from: well 6(, building: <<f (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: IOWI UZV~rllt Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: ~bs Bottom of tank elevation: Pump off switch elevation: AIA Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: a~ (Include distances on plot plan). SOIL ABSORPTION SYSTEM ,Mound Bed: Trench: i Width: g Length: Number of Lines:_ Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, ~ Side, O Rear,O]k Number of feet from well: Number of feet from building: ZLIQ (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, 0 Rear, 0Ft. Number of feet from well: Number of feet from building: Number of.feet from nearest road: Alarm Manufacturer: Inspector: o Dated: Plumber on job:,. eywne s so License Number: / r 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & LABOR & HUMAN RELATIONS P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS MADISON, WI 53707 BUREAU OF PL ❑CONVENTIONAL nXLTERNATIVE State Plan l.D.Number ed) El Holding Tank ❑ In-Ground Pressure ❑ Mound (bassi 8 850020 NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPE TIO DATE: Simon Knapp, WI 54749 / C1 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. . ELE CST REF. PT. ELEV.: SE SE, Section 13, T28N-R15W, Town of Cady Name of Plumber. MP/MPRSW No. County Sanitary Permit Number: Bennie Helgeson 3215 St. Croix 64908 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELE V.. WARNINEGDLABEL LOCKING COVER art J PRpVID: PROVIDED: , , YES ❑NO ❑YES ~4NO BEDDING: VENT DIA.: VENT MAT L.. HIGH WATER NUMBER OF ROAD: PROPERTY (WELL: JBIJILDING. NT TO FRESH ALARFEET FROM LINE JAJER INLET. ❑YES ❑NO ❑YES ❑NO NEAREST 175 679 DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID Ca.-~177 ReMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES NO YES ❑NO fl?YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLSOPERATIONAL NUMBER O PR - WELL. BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN C l' FEET FROM / ~~~AIR PUMP ON AND OFF) YES ❑NO NEAREST-*. 1/ 6 SOIL ABSORPT ION SYSTEM. Check th soil moisture at th depth of plowing 77F41,1 H DIAMETER 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.) MAINS CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH NO.OF DISTR. PIPE SPACING COVER INSIDE CIA #PITS LIQUID TRENCHES MATERIAL: DIMENSIONS PIT DEPTH: GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL NO. DS LINE' N EET FUMBERROM OF PROPERTY =WELL 7TI ENT TO FRESH BELOW PIPES. ABOVE COVER: ELEV. INLET ELEV. ENU: PIPES. LINE: R INLET : F NEAREST-i 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- ❑ ES ❑NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE . PERMANENT MARKERS. =NON RVATION WELLS ❑NO fPTH OVER TRENCH;BED DEPTH OVERTRENCHBED DEPTH OF TOPSOIL . SODDED YES YES . SEEDED. MULCHED: NTER. EDGES: ❑YES INO ES ❑NO F~IYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTHLENGTH NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER: DIMENSIONS TRENCHES: MANIFOLD P P 'MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. JNO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: EV.. DIA.. ELEV.. PIPES. DIA.: I ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE PACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED ' PLANS ®YES ❑NO _ L~J` YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WEL BUILDING: FEET FROM L W YES ❑NO YYES ❑NO NEAREST_ f C~ Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE DILHR SBD 6710 (R. 01/82) wisconsin APPLICATION FOR SANITARY PERMIT COUNTY ~DILHR (PLB 67) ~ OEPRgT TEnT OF UNIFORM SANITARY PERMIT # InDUSTR4, LRBOR 6 HUMRn RELRTIons -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 PROPERTY OWNER MAILING ADDRESS PROPERTY LOCATION_ / ,SE141/4, S , T~QN, R~ E-fer) W TOWN OF: r~ccd LOT N MBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LA E OR LANDMARK STATE PLAjjN~~ I.O. NUMBER JOU~® 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 ✓ ou" ❑ Revision ❑ Privy Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. ❑ Seepaye Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holdiny Tank ❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued - El 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 t/ Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: J Pre G 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 I L, Q Manufacturer: 45 PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): 13'1'(> 6050 - vo Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Print): Signatur MP/MPRSW No.: Phone Number: Plumber' Address: / Name of D igner: COUNTY/DEPARTMENT USE ONLY Signat re of Issuing Agent: Fee: Date: ❑ Disapproved Owner Given Initial (p v Approved Adverse Determination / -1 Reason for Disapproval: 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, PLB 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. H z rn H a STC - 105 r r a SEPTIC TANK MAINTENANCE AGREEMENT ry-+ St. Croix County o z c7 OWNER/BUYER Simon End H to ROUTE/BOX NUMBER R 1 Fire Number CITY/STATE I<IV40P, "bUNU, WI ZIP PROPERTY LOCATION: SE k, SE 14, Section 13 T 28 N, R 15 W, Town of Cady St. Croix County, Subdivision NIA Lot number N/A I 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 systems 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. H 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- ro 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 DATE St. Croix County Zoning Office P. 0. Box 98= Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. P y = 7 M N O N -r N 0 N O 0) =r r N N a 0 O A A (D =0 co a 0-7 3 pC' ?gpl K t0 O c O N 0 0 FD z =r < 0 3 c co ' c: CS CD CD 00 'D 00 0w m ID ai,a~QQ o3a 0O°cpcDao w ow Cc, w ? = O 0 3 ° c C 0 c r'n -3 6* a 7 ZS C < Q j cs v,- °1 . SL O ~1 O < D or A CDD c n ( C Ui • cp Q c a o n o D w 0 o ~a O .aCD W 0 fp 0y ~M-%6Wca z f D 10D - 0 . M CD O (0 CD a cD 3 - D D --I cD ~ O CA ? ~ N 3• ~ D ao o m a7 c -my 3 o varywwo C m 0 to 0 o 0 0"!t v' 0 ~ l° 0M 8-0 m p - to D a 0 cco c c C f A' 0) M a_ aM ~ ~ R1 M a a M. o c < v, o Q'(D 3 n .0 3 oca a o N.m O ~ g fc v _ m •a. 3 O Form - S T C 100 Owner of Property ._j A,),.7 a ,Location of Property Sr k, Section /3 ,T,-'e N R1,S_W Township ~a rl Mailing Address R 1 N -4 6V ,wi5 7 -7 Subdivision Name Lot Number A Previous Owner of Property ~ ~M FN~j Total Size of Parcel ~02 Date Parcel was Created Are all corners identifiable? e' Yes s No Include with this a lication one of the followin .Certified Survey Map ee eolo7 d f- -Land Contract, or .Other Legal Document which describes the property PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of m ' knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office y (our) County Register of Deeds as Document No. at (the we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the some has been duly recorded in the Office of the County Register of Deeds, as Document No.~~a 1. , SIGNATURE OF OWNER SIGNATURE OF "OWNER (IF APpLICAeLE) OATE SIGNIgp DATE SIGNED • Safety and Buildings Division DILHF~ PLAN APPROVAL Bureau of ..umbing P.O Box 7%9 A ❑ General Plumbing Plans Madison, Wl 53707 Private Sewage Plans Telephone: (608)266-3815 OFFICE USE ONLY Plan identification No. _~\T~lJ ~~1..• Gallons Per Day E PRIORITY PLAN REVIEW ONLY 'Plan Review Petition For Modification $ Project Nawme~ Project Location - Street No. or Legal Description County ❑ City ❑ Village XT own of: ~ \ , Cam, The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped "conditionally approved". This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. ❑ FOR GENERAL PLUMBING PLANS: This approval will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan approval must be obtained. FOR PRIVATE SEWAGE PLANS: 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. Comments: By: James Sargent Bureau Director If Questions Plans Approved By: Date A prove Contact cc: OWS ❑ DPS ❑ H&R & Rec. San. Se tion County ❑ Local PI ❑ Facilities Need Analysis Section ❑ UW-SSWMP ❑ Plumber ❑ Department of Agricultur DILHR-SBD-6099 (R. 01/84) ❑ Owner ❑ Other F._ AIYr _ n t , ` F Or'• ,t4' ~ ' - b bew1 M, ,P'=_ ;pig' , d c . r. rr 67 4e, -7so EE $ ,tt. 3 Straw Marsh Nay, Or Synthetic Covering s. striibutle6. pi t Medium Sand ~ Topsoil Ror-k 2 Slope ~Bed Of - 2 e Plowed Aggregate F MP Layer F t Q Ft. . Cross Section Of A Mound System Using E Ft. F 75 Ft. cc~ s , A Bed For The Absorption `Area / G / D Ft. Signed'. A Ft. H Ft.A B '17 Ft License Number: K Ft. Fo~c c /{'lai•+ Date: 31 L Ft ~r=Ji-o.rc 5~~~ oh r!i►'1/ry " Alternate Position of I /d2 f Ft . d lO tJ rr: Force Main W Ft. L Observation 'Pipe -~8 K tr A w sA Distribution --'~B Of 2 1, Pipe 2 z Aggregate Observation Pipe Permanent Markers e r Perforated Mpe Detail End View Perforated ji End Cap PVC Pie 1© j L p I/1 5~4 PI- Ir1ah r/t i A6L V Ct rT a o e ~~f- f d Holes L toted On Bottom. ~S Are Equally Spaced 1 PVC Force Maui. * * From tip S Ii a k;t. P PVC 1rrN4 Mondold Pipe rr I CNN ~ s av YY _ Distribution f F Pipe , Lest Hole Should Be Next To End Cap • Distribution Pipe Layout x .3 Owh e/': S~ n, o n ~ 3 Y Signed: Hole Diameter Inch 4 Lateral to Inch(es) License Number: Manifold Inches Date. Force Main_ Inches ti sl.~k''k ~'sk•'.#~"u~r . ..,.ti~.&!?' R .i~ ~.at .r° ,dr s1 t `WirO WAO 414- 't,4 QED r f4~" C,45~' ,~'~~►al ~ VjfArr 'cam - . I + II HOW$ "P l3 Low Ell tvA rG k w ' AF L F V, • Ca q(-R61'E e 7 7.Am { DE?S 1 N6 C0AM8F- R 7S`b 6,44 DA! C#AM8ER AS 14.4.VUFAC7 %>,EO t°. Sy .1v+OwFsre iA1 PRemir xlly(:. AppRo(/AL NO. 88 •-Dg -Ooaa- t ,y D-016AI bd$E r Ig7.S- GAL ,Oo3G. W)rf! 3,' MlI.LE , R A u ro AA rig s ~p~o,v ~r 'A r 4, r ~ . a , sb' ."p ,1Fxlk' r. _ y i r e e 540 h Y CALCULATIONS 4 r' * 3a. aS, STEP 1; Absorption area: gpd/bedroom X so ~ o Rpdo Table 4: +,l - sq, t. required. s; Use t X ft e Use trenchs, ~ X ft long _t -laterals, e ET7~.~ ft long, ~f_.UTs?dL manifold, S~ spacing between lateral STEP 2: Table 5: "dia laterals, f'dia holes at "spacing between hole. STEP 3: Table 6: holes/lateral, 10 gpm discharge rate.per lateral. ~gPM X gpm total discharge. STEP 4: Table 7: ttdia manifold, inlet at F-Ad _of --I-' flong manifold. STEP 5: Design dose volume is /Q ,'gal/dose at a rate of times per day. Minimum dose volume must e at least 10 times distribution pipe vol. Table 10: % 'tdia pipe ;Oj gal/ft X =X 10 =~.9 gal. STEP 6: Table 8: Dosing rate _gpm. STEP 7: a. Elevation head Siphon elevation Distribution pipe elevation Difference ft. b. Friction loss in .9 'tdia delivery pipe,/=flonggpm. javerage) X ft* 100 /Ob c. Head to accommodate losses in distribution network.' ft elev. diff ft friction loss ft 3jNe p tnt€'l head t l in.required - ft . ei Head in excess of Minimum ft. .y~ f w,'A ~j w.Y 4. 4 :Y _q. t- ~ to dn F YY THE MILLER rK lf - 3"• 4 6". 6 H'• Sl od"d Design Sin4M Serva r Sobani • 1 Q d • v • • • • jai dkW#o&,jr P". Pod A& A went IrN r••ormew. Ov • -0 140-A h" w 60141 hr Mt w • • , rs I p r...r.rr V/rld rd r.lir , R.vr and hrhnrt pw rP1PV • . urd for r/1.r pvfp +r x3 r Aproafrnate Dinwnsiom in Inches and Avw Wt»g1+b in (weds ' Dfa"wKer of Siphon A 3 4 S I 6 8 Omwein, Depth D 14% 3 i7• 23 i 30 35 D:.rewlw of Discharge Head C 4 4 I 6 • • Obnleler of BON B 10 12 15 19 71 Inrwt Below Floor E 5% ~ 7% 10 9 Depth of Trap F 13 14% 23 301/ I 40 x Wkhh of Trap G 83/8 11 ' 14 16 ?5 Sts g. Hkight Above Floor I H 7% 11314 9% `11 ( 16 y kwert to Dnch&e ge • D • E r K J 20 2s% 33% ' 44 -1 47 3 Bottom of Bell to Floor I K 3 3 3 4 3 i Center of Trap to End of Dnehar9e Ell ` L 121/r 14y, 17 19 AS. Oianletw of Carrier 5 4 4-6 6 i 13-10 8 12 Aneray Discharge Rate G P.M . 72 165 1378 474 950 w Maximum Dlsehm9e Ratr G.P.M.. 96 227 + 422 604 1400 (a . Yrnlrnum Orschar Rate G.P.M k4 ge ( 48 102 734 I 340 I 5+0 " SlNppn9 Weight in PYUrltk bu 150 210 300 ' Bw fllatad Orawrrl9 IF _ f 373 374.2 37S I 316 - 378.2A tx wY ~ a Nola:- Two sanoo Siphnm of this type set slide ley sale on the sarhe tank will alternate. See {r+ge 4 for diserept/on of upwatrorl. The draft ..D.* will l1e i" to 7" Ic's% in thus caw. %ephorrs Irstett hero., are cwise l in ulur7k otwl Ctrl IM• 11gl.I M!11 IMr6j►1jNly 4111 ..Y.Prld.e►f 400411m a.td p:ryrnrrq The drawing depth may be reduced in certain rases Ity :f)L-e/al alt plplnB Coitwt the ` nunufacturer for these speceal apoicalolm. Y` t 3 STANDARD SELVAGE 13" DRAFT (Single) 12" DRAFT- Double Afternating PACIFIC FLUSH TANK CO. New York Chicago P, Pee -to /u~-+~r b P yLT / . , • • o , ,Q•' ►.c.1 s 16 fE 'M I~l f'C 3/ . d S z, ION Dischor e G i~ a ; ' : v; Of A • ,o•,•,.; •p Q•.,, p Af N c^ b, b;- Ile .a .,.d. . A • . •'A l~ c /DNS qir ur~d¢r hall. a ff trop purr b And o a sh o n. siphon i`~w4►fer- bay f'vra v~~ = • •p•. ;Q. , •.0•. 0 all t , DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AUD PERCOLATION TESTS (115) MADISOP.O. BOX N WI 79069 HLrmANrRELATIONS (H63.0911) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/MIJNf8t?1XL-tTY: LOT O.:BLK.NO:SUBDIVI ON NAME: 5i~/4~/a /T:~3 N/R/~PrW COUNTY: OW ER'S DDRESS: n 8 APP Gv®1 s'~F 7 USE le / 4""y DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DES 10 PROFILE DESCRIPTIONS: PERCOLATION TESTS: [KR esidence 3 lace /.;kx/d/ 7 Ojjj ,J rf ` RATING: S= Site suitable for system U= Site unsuitable ds stem0A''1f rn er _tohn rCONVENTIONAL: MOUND: IN-GROUNDPRESSU STEM- -FILL HO TANK:RECOMMENDE STEM:(optonal) ~ S LNU 2S ❑U D S U 5 l U Albcen7 ;I If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- Co"' TV non .6 `'B/S. rs .St/ • y "ea14 .s'~C ~ 6' -p> + B- Y B- 3 $S" C7 ;r 15/ s;/ Ts W., S;/ . 3 `Bn S(1 -3'6n SL y1 i 3 B- C 3O & / o 4/-Q4/, / i 1'/k's' SC4~-Ga- ~-v B- HAM O B- PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER W91 1613 AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH P- 20 -04 p P- < P- 0 / i 492 P , P- © K Eis 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 ' CC-it &Ot 4l0 , F ~ 604 j ` ; i ' 3 S t C~ E 61a- 4 3 i r : E ~ ~ ' ~ aft E _w.__ olvelt I ~ 3 E ' II E E tar Al P. A . oust ~ 1, the undersigned, hereby certify that the soil tests reported on this form we a made by me in accord ((and methods specified in the Wisco sin Administrative Code, and that the data recorded and the location of the tests are correct to the best edge and elief. ~t I It NAME (pr' t : Ael TE S WERE CO PLETED ON: e,.,, /d a j~('4- AD D ESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST SIGN URE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER - INSTRUCTIONS F i L6.T11 FORM 115 - SBD - 6395 Tn hn a r°nrnr 4PtP, qnd Ur<lte sail test, yorrr report muSt include: 2, ndicate, is is r Ice or c project; , corns or corn cial use 1' 1; 4. t ystern; acing be---- E 'S 01J' _ v FOR A HOLDING TANK r'NLY IF ALL RULED OUT -ONDITIO ; 6. F ;r writin ; ofile descriptio rid compl ,e )lot plan; 7. -at€ng yc..: hest locatior it to seal fem L A 'ercc fC}. Ch as flc a in the r box; yc'ar nt L I BE FIL _n THE L (WITH 36 CLAYS -I N. x`-r - R T " -r° r a- S r '~sl _C>arTi - Sii ...~n2 Clay , cc in In - d 'I textures ur vv"ge € isposal t f $ 1. a . ~ i t rt (NO.09(7) a Chwur M.601 TOWNSHIP/ F /T.% N/R W coo: iV t:•. DATES OBSERVATH" MADE C M R AL DE CRI TIO esidanoe 3 ❑ New 1& Replace L' RAfiING: 90 Alta suitable for system U. Site unsuitable for system / `t- 6 /~er+ S : MN D: ❑U G:1150-ND-PR u ESSURE: D S IN-FILL O~ ING TANK: RECOMMENDED STEM:(opt 11 3Q S S 7 It Percolation Tests are NOT required DESIGN RATE: If env portion of the tested area is in the under s.1-163.09(5)Ibl, indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH T GROUP DWATER-INCHES CHARA TER OF SOIL WITH Fill; KN S ,COLOR, EXTUR , A11 N NUMBER DEPTH IN, OBSERVED S HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) 8?- / nog a . .6 YYrs . ~ . 9,14/4 Si. It B t/' 95 Y Ts 'B•t s; . 3 "On SCL~. 3'Q,~ SL B .Cy. O .6 ei c IS /6 41-dh B V _01 r7 PERCOLATION TESTS TES, DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMHER ►W61_+E6 AFTER SWELLING INTERVAL-MIN. PE IOD_1__= PEtIOD 2 P OD3 PER INCH P- a! 1 P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable sr>il 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 perosett of land slope. SYSTEM ELEVATION FS~ t 3C ~/oK. S /'s a i J 03 J(.cr~upf __f rca S✓q _ ~r 8 e w i r 00.0 • m ous~ Sl~~ryy~~.. 1. the und4rsiprted, hereby certify that the soil tests reported on this form we a made by me in accord wi hr u s and methods specified in the &Woel A~istrsl" Code, and that the data recorded and the location of the tests are correct to the best of my ge and lief. TE S WER CO FEET E-DON : Awl Aeel~qp eson 1 r CERTIFICATION NUMBER: PHONE NUMB CST SIGN URE: II~ QM (!1( to Ldce4 Authority, Property Owner and Soil Tester. _ rs. Safety and Buildings Division EZ D I L H R PLAN APPROVAL Bureau of Plumbing ~ m P.O Box 7%9 ❑ General Plumbing Plans Madison, Wl 53707 Private Sewage Plans Telephone: (608)266-3815 OFFICE USE ONLY Plan Identification No. } r M 1 E' . c ......m,-.. Gallon Per Day d PRIORITY PLAN REVIEW ONLY Plan Review $ Petition For Modification $ Project Name Project Location - Street No. or Legal Description County ❑ City ❑ Village X Town of: \K The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. T rs 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: 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. I FOR PRIVATE SEWAGE PLANS: 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. Comments: By: James Sargent Bureau Director If Questions Plans Approved By: I Date prov Contact cc: OWS ❑ DPS❑ H&R & Rec. San. Se on County ❑ Local PI ❑ Facilities Need Analysis Section ❑ UW-SSWMP ❑ Plumber ❑ Department of Agriculture DILHR-SBD-6099 (R. 01/84) ❑ Owner ❑ Other SBD 6678 (R. 08/83) (Plb 100a) (Wis Stats. S. 145.02) Cam' STATE OF WISCONSIN DILHR Detach And Return Upper DIVISION OF SAFETY & BUILDINGS Portion Of This Form With BUREAU OF PLUMBING 201 E. WASHINGTON AVE. RM 141 Any Return Correspondence P.O. BOX M9 MADISON, W153707 ~c 8 608-266-3815 DATE: 01/21/85 A PROJECT: + .4` Eng, Simon _ Residence l 4a(g) _J ~F~ ~~'cady3,28, 15W Helgeson trucking, Inc. St. Croix WI Route 2 , Sprung Valley, WI 541 PLAN ID. # 85-002011 DETACH HERE Eng, Simon,- Residence 85-010208 - - - - - PROJECT NAME PLAN ID. # This is to acknowledge receipt -of,your plans and specifications for the above-indicated project. 80.00 - Preliminary review indicates the required fee is " Fee. Received is $ 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 beemremitted. 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 lines, well, water- ❑ Holding tank profile showing vent, manhole, alarm, course, swimming pools, water; service piping, all weather ser- and'rrianufacturerif state approved. Complete vice road, etc. Show benchmark with permanent elevation. construction details if site constructed. ❑ Holding tank agreement signed by owner and local i IL 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. (f copy) county or soil boring and percolation test data on ❑ 'County onsite required. (1 copy) ❑ Design calculations. 115 completed by CST, showing that a soil absorption system ❑ Soil boring and percolation test data on 115 completed by cannot be installed on the land parcel Certified Soil Tester. (1 copy) ❑ Affidavit for all-weather service road (enclosed). ❑ Cross section of system. ❑ Pipe lateral layout. ❑ Plan view of system. V. ` Dosing Information ❑ Verification fo Exception Status Form by county. (1 copy)` ❑ Calculations for total dynamic head and gallons pumped per cycle. Ill. Private Sewage Systems ❑ Size, length and depth of force main. ❑ Ground slope with 2' contours in entire area of soil absorption ❑ Detail and model of pump or automatic siphon, including system extending 25' minimum on all sides. size, pump curves, drawdown, and average flow rate (GPM). ❑ : Location of area suitable for replacement system- provide soil ❑ Cross section of dosing tank showing pump(s) or siphon (s). data. ❑ Construction details of septic, holding or dose tank if site VI. ' Systems in Fill (Fill must be placed prior to plan submission.) constructed, or tank manufacturer if state approved. ❑ Total area filled (fill to extend 20' beyond edge ❑ Construction details and cross section of soil absorption of trench before, side slopes begin.) system. ❑ Depth and type of fill. ❑ Copy of signed onsite report by county or district staff. ST. CR01 X COUNTY WI SCO N S I N ,y.{ 'M'w , UN max. ZONING . _ ~ OFFICE 796-2239 (HAMMOND) 425-8363 (RIVER FALLS) HAMMOND, WI 54015 JanuaAy 2, 1985 D.iv 6ion ob Sajety and Building Bureau o6 Ptumbing P. U. Box 7969 Madison, Wl 53707 Dea& S-ilL: An on .6 to inve6t gat on bon the Simon Bng pupeAty Located in the SB% ob the S1=% ob Section 13, T28N-R15W, Town ob Cady, St. Croix County, nevea eed d u i tabte d oit.6 at a depth o j 2.0 beet, be.2ow which s ea6 onabte high ground wateA ways noted. TW .bite ahound be .6ui table bon a mound.6y6tem. Shoued you have any que6tion6, pteade beet bnee to contact thi6 obbice. S.incetcet Thoma6 C. Ne. P6 on Ass,ustant Zoning Adm.ini-6tAaton TCN: mj 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 AW,',v4749Q7W SE's SE S 13 T 28 N/R 15 XNM W Cady St. Croix Street Address: Subdivision: County: Landowners Name: Mailing Address: Simon Eng Knapp, WI 54749 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. Ifurther 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: WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING P.O. BOX 79699 MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of St. Croix Location SE 1/49 SE 1/4, Sec. 13 T 28 N, R 15 mx~xo W Town VrX*QWVeVpWW Cady Street Address Lot No. Block Subdivision Landowner's Name: Simon Eng 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 num ers-i ego you.) ]one of the applications needing a quota number. The quota number assigned to this application is - - O for one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. []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. [_...]for an application on file prior to February 1, 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: W a failing conventional soil absorption system. ❑ 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. 000, Name Thomas C. Nelson Si ure A~~ County Official Title Assistant Zoning Administrator Date January 2. 1985 DILHR-SBD-6158 (R 12/82)