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Home My WebLink About024-1038-90-000 S ~ 'O p Z o o Q o I N M N ~ tl S C I I ; '13 O i C z LL c 0 t Q) ~ N rl ~ ~ M I M r--I \ ,C z yj Z E D ) o d z 'o C) ch c\j ~ d m a x w 3 o M z z Lr, o zv' 00 U) a) z H H ~ -ZT 00 E CY) 00 c Q C: _ J w-1 o N z z o E-I z -T cn o L H C W c N z lot :3 (~i O N_ O ~i H M CD a .y = w N 3 ~o 06 rn N d E N O lp O m .O > Cn O N fn cn C O 4J I- H a) w -1 rl v `0 0 0 0 n Z ° Wcv w ~ z U- 0 a a a N ny v ~4 '0 (L > wH C4 N a 0 U) LO Ln co CC) C/) Q) ca o 0) C) cn NO) m _0 a~ z p t_ ~I T pp O U p E O p m N O a 04 2) G) 3 Q co m p N ly/1 C) ` N C O y p it p) O E V (6 ? N- C U d pp N > O C N W N (6 f/7 lE ~ i, O c) c c m e <r ° m a vy o z 00 U) C: o r> a W cop o z° 2 H U) O ~ cl a. E m m y a v U L: a r • ~ a m , y rr`Iwv y E~ c c 3 a O in _1 A U V Parcel 024-1038-90-000 01/23/2006 03:34 PM PAGE 1 OF 1 Alt. Parcel 31.28.17.248A 024 - TOWN OF PLEASANT VALLEY 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 VERNON A ELSENPETER O - ELSENPETER, VERNON A 1526 CTY RD M RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1526 CTY RD M SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 8.510 Plat: N/A-NOT AVAILABLE SEC 31 T28N R1 7W IN SE NW S 1030 FT OF W Block/Condo Bldg: 360 FT OF SE NW TOWNSHIP PLEASANT VALLEY. Tract(s): (Sec-Twn-Rng 401/4 1601/4) 31-28N-17W Notes: Parcel History: Date Doc # Vol/Page Type 03/20/2003 713989 2178/238 QC 07/23/1997 1027/522 WD 07/23/1997 864/530 07/23/1997 717/142 2005 SUMMARY Bill Fair Market Value: Assessed with: 87727 238,200 Valuations: Last Changed: 05/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 8.510 68,400 112,300 180,700 NO Totals for 2005: General Property 8.510 68,400 112,300 180,700 Woodland 0.000 0 0 Totals for 2004: General Property 8.510 68,400 112,300 180,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 132 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 TOWNSHIP yr~~ SEC. T !?-_~-LN-R l `l -W ADDRESS/ ST. CROIX COUNTY, WISCONSIN 5 SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of 11HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~~°K5F i i yi A a -14 r r NOR ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: Proposed slope at site: SEPTIC TANK: Manufacturer: Lf-Lg Liquid Capacity: Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: ' 2 Number of feet from nearest Road: Front 10 Side,o Rear, feet .From n`e}arest roperty line : Front, 0Side, 0Rear ,o feet Number of feet from: well building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: 75 C-~00~ Pump Model:, Pump/Siphon Manufacturer: Pump Size !y r> Elevation of inlet: --y-~ Bottom of tank elevation: 1!T1 Pump off switch elevation: (--e !Gallons per cycle: "J. Alarm Manufacturer: Alarm Switch Type: lh~, Number of feet from nearest property line: Front, O Side,l~ Rear,(Dr--"Ft.` Number of feet from well: rxf7 Number of feet from building:_ (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Trench: Width: Length: Number of Lines: Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, O Rear,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. 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 7969 BUREAU OF PLUMBING MADISON, WI 53707 ❑CONVENTIONAL L"_S'ALTE R NATIVE State Plan IU Number Ilf assigned; ❑ Holding Tank D In-Ground Pressure Mound 85-04834 NAME OF PERMIT HOLDER ADDRESS OF PERMIT HOLDER. INSPECT ION DATE Vernon Elsenpeter R. R. 2, River Falls, WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF_ PT. ELEV.: IC-11111E PT. ELEV. SW Nw, Section 31, T28N-R17W, Town of Pleasant Valley Nerve of Plum be. r. MP/MPRSW N,i Cnu'lty Sanitary Permit Number Henry Nechville 3258 St. Croix 69631 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TANK INLET ELE V TANK OUTLET F_LEV WARNINGLABEL LOCKING COVER fd / A PROVIDED. PROVIDED - ~C~z (r DYES LINO DYES NO BEDDING: VENT DIA VENT MAI HIGH WAiEH NUMBER OF rROAD. PROPERTY WELL. IBJ,LDING VENT TO FRESH ALARM _ FEET FROM LINE q AIRI LET DYES O C ` 1[IYES ENO NEAREST J 7r~ I S ) --_r L_ DOSING CHAMBER: IMANUFACTURER JBEDDING LIQUID (:APA (:I fY Pl1MP `0 F IrUn,7P ~I PrIC) I ANUE ~ .?IiH.F H WARNING LABEL LOCKING COVER ~~.t PrHi~OtV IDED PROVIDED. DYES C NO I -Z,~`f P s.iYES LINO AYES LINO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PHOPEHrY 1111ILL euILD NG vENT TO FRESH (DIFFERENCE BETWEEN Y ES aI NLET PUMP ON AND OFF) , E.,~/1 FEET FROM ~Zaal` J~(o J ~ _NO NEAREST_--~_ SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing I11 rL n %u if w MATE ETIn( PKIN(I ; or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN J CONVENTIONAL SYSTEM: BED/TR IM-EN ENCH wlorH L:IT Trf o or SIH TIP ~~F in1 uln -Plrs uoulD D rREN(:11f "Ali IIIAI' PIT DEPTH DIMENSIONS 1-- G=DEPTH lSlli E pISTH PIPE DISTRPIPE MATERI L O ISiH NUMBER Qf" JL ROPERTY WELL BUILDING VENT TO FRESH BELQwPIPES IEV ELEV END jPIP FEETFROM I NE 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- YES LI meets the criteria for medium sand. TIONS MEASURED. NO !SOIL COVER TExTUHE Pfr~MnNENI anIIKIIS 11111SE11VIIIIIINwELLS _iYES ~'NO X1 YES LINO DEPTH OVER TRENCH BED DEPTH OVFH TR E NC Ii RFD Of Fill ()E TOPSOIL [')IOf 71YES ~FAIU LCHED CENTER EDES XNO YES NO YES LINO PRESSURIZED DISTRIBUTION SYSTEM: WIOTH LENGTH NO. OF LATERAL SPACING (,NAVEL DEPTH BELOW I'll" F DEPTH ABOVE COVER BED/TRENCH TRENCHES DIMENSIONS 7 3 z f .S MANIFOLD PUMP MANIFOt D DISTR. PIPE IMAN=MATEH~AL Nr) UISTH UISH PIPF DISTHIBU I ION PIPE MATERIAL& MARKING E~~~',,,V ELEV DIA EL IPES DIA D STRIBUTION DG INFORMATION ROLE SIZE HOLE SPACING, DHILLE U COHHFC7 L Y COVER MATFHIAL VFRTKAL UETCORRESPONDSTOAPPROVED C7 Pt ANS 1 ' YES LINO L11YES LINO TION WELLS. NUMBER OF PROPERTY WELL. BUILDING. COMMENTS: ( PERMANENT YESERS NO JOBSERVAYES J NO NEAREST FEET FRAM LINE Sketch System on Retain in county file for audit. Reverse Side. SC NATURE T, I DILHR SBD 6710 IR. 01/82 I DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 ❑ CONVENTIONAL ALTERNATIVE s,a,e Plan D N m~er nr asslgnea) ❑ Holding Tank -1 In-Ground Pressure 1~ound 8504834 NAME OF PERMIT HOLDER. JADDRESS OF PERMIT HOLDER. INSPECTION DATE. r R. R. 2 River Falls WI 54022 Z. BENCH MARK (Per manes[ re erence pom,) DESCRIBE IF DIFFERENT FROM PLAN R F. PT. ELEV.. CST NFF PT ELEV SW NW, Section 31, T28N-R17W, Town of Pleasant Valley Namr of Plumber. MP;MPR SW Nr,. Couni v S--, Perm. I Namt,er. Henry Nechville 3258 St. Croix 69631 SEPTIC TANK/HOLDING TANK: MANUFACTURER LIQUID CAPACITY TANK INLET ELFV. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER PROVIDED PROVIDED EYES ENO DYES ENO BEDDING: VENT DIA.. VENT MA iI NUMBER OFROAD PROPE HTV WELL JBUILDING(VENTTO FRESH FEET FROM LIVE AIR T LET EYES N O F INO NEAREST- DOSING CHAMBER: IMANUFACTURER BEDDING. LIQUID CAPACI I V ~C.NTII(IL_I.P_IRATiINAL 1DE I f"UMP SIPHON MANUf n(. TT EH WARNING LABEL LOCKING COVER PROVIDED'. PROVIDED. EYES ENO EYES LINO -YES LINO GALLONS PER CYCLE: PUMP AND NUMBER OF HOPE HrV IWE LL BUILDIN(, VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM NF AIR INLET PUMP ON AND OFF) OYES NO ~N_EAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing IIIAMf TE H 11JAIIHiA[ ANU MA.r,INr, or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: BED/TRENCH WIDTH FN~() OF )I>T,. PIPE ln:uE IIA (QUID IT DEPTH DIMENSIONS GRAVEL DEPTH LL DEPTH PIPE DISTRPIPF MATERIAL NNUMBER OF PROPERTY WELL BUILDING VENT TO FRESH BFLQW PIPES ABOVE COVE. ENU Plnf LINE FEET FROM 1 NEAREST MOUND SYSTEM: EYES E AIR INLET. Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. NO SOIL COVER TEXTURE I WkIAN E N T MAH K E 11 [IIIS1 H VA T ION WE L IS _ _1 YES ENO EVES LINO i)FPTH OV EH TRENCH BED DE P TH OVIH THE NCH 8F I) [)FPTHOE TOPSIH( S()IIDFIJ JFE UFU MULCHED CENTER EDGES EYES. ENO EYES NO EYES ENO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO. OF LATE HAL SPACING HAVE L. DEPTH BF I OW PIP! FILL DEPTH ABOVE COVER BED/TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD) MATERIAL NQ UISTH DISTR PIPE DIS iHIRUTION PIPE MATERIAL & MARKING ELEVATION AND ELEV. ELEV. CIA ELEV. PIPES DIA DISTRIBUTION INFORMATION HOLE SIZE HOLESPACIN(, E)I;ILIE.DCO.HECIIV JCOVFRMATIRIAL VFHTICAL LIFT CORRESPONDS TO APPROVED PI ANS EYES ENO EYES ENO COMMENTS: PERMANENT MARKERS. OBSEH VATION WELLS. NUMBER OF PROPERTY WELL. BUILDING. FEET FROM LINE EYES ENO ~._YES L_ NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE TITLE DILHR SBD 6710 (R. 01/82) s~~ Wisconsin APPLICATION FOR SANITARY PERMIT ~ D I I T LHR COUNTY - oERRRr of (PLB 67) UNIFORM SANITARY PERMIT # - In OUSTRV, LRBOR 6 HumRn RELRTIOns 6/b -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 PROPER Y OWNER MAILING DJ3ESS jar /YOI)"o Y f~lr 0jQ PROPERTY LOCATION CITY: GV 114A&11 /4, S T ,5X3, N, R r' 7 E (otQ~w~ wN oF: 12~~F C2 2 A/ -IQ LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LANDMARK STATE PLAN I.D. NUMBER s5 'I 3' TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS P"RMIT IS FOR A: a New System ' Z- , ❑ Tank Replacement ❑ Repair ❑ 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 ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: o u n d [1 In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructe Septic Tank Capacity L41,11.- fl Z& 16 L& ift Pump/Siphon Chamber s C-- -777V /I 1//y Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): Private Joint ❑ Public f, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Ne of Plumber (Pri t : / Signatur MP/ R Phone Number: Plumber's Address- Name of Designer: -COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: I ~ ❑ Disapproved r Ll Owner Given Initial (J V Y~ /\/LL/~ Approved Adverse Determination 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. v co) . • N N N 3 Cl) CD 0 v C N CD n n CD j co << c Z r C• 7 ~ N CND o O A D~D C CD N a <m w 00 w C. D o x w w o g" N CD :E CD - m m a U, 0 w -0 ~ CD r w n r'--MD CDr cfl Y, CD "0 3 51 co a c o ri >coo° C c o c o \ Z co Q ° w w w cn o C cn 0 1o a~ ° ° w c°n =dam'0-0 0 3 ~w cracD c o < CD v, D 10 c = w n o °n p o o o ~ c_ ° o m o* O w C" 0) o ~a~=_vi C N a =cDCO v~-0 w o N m w w w ZZ D cOn -i U' (n CD f o in Z 7 a D m CD m 0 s m O. CCDD n 3 N° p D co CD °o~o m -t QNCD CD o=r vaco°' Cl) ac°~CD C viva m CD 0 =r CDc=r oom~cn _ (n CD w CD DD N CD O CD m 0 (o .fir j CD o Cn W H/ ao g U) c C n.w o m CD CD Cn v aa* a~ CD vi ar N7. <(MwCD 3 m o vio G) cc= oa ° o 2 ®°c ~a -N ca c cm ~ cl =r C: CD 0 a~ Ca- CD o 3 N 3 o CD Z ° c ~ e O PROJF,CT T111D?11Y SH1?i?,T OWN R : Utci?No v CFf 5ECV TER L/c T- ~T•~ 12►utR F~,~~s was 5Yo;~.-)- 0, -rm1,' • 'I 14CX-r 0,4,dir,4v %%A7%c^n -~f. s APPROVAL Safety and Buildings Division PLAN Bureau of - .umbing D 1 LHR P.O Box 7969 ❑ General Plumbing Plans Madison, WI 53707 Private Sewage Plans Telephone: (608)266-3815 OFFICE USE ONLY Plan Identification No. M' .~,e Jo c / 11jc i-i!lo~is Per Day 3 0 ` J, 5-0 t't U SO kJ U 15 Ve i 46 PRIORITY PLAN REVIEW ONLY Plan Review y $ / 6 f) cs c Petition For Modification $ Project Name / Project Location - Street No. or Legal Description County El City El Village K P Town of: 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: -3 This approval will expire two years from the d e 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 Approved: Contact ♦ /-a~ 4f/ s ~ cc: K OWS ❑ DPS ❑ H&R & Rec. San. Section 0< County ❑ Local PI ❑ Facilities Need Analysis Sect`, ❑ UW-SSWMP ❑ Plumber ❑ Department of Agricultu DILHR-SBD-6099 (R. 01/84) ❑ Owner ❑ Other PA 6, E I o f 5 P/, o 7- Pl- I*Vy5 (IL-kNo.v C~/SF~v ~_e Pz 7 ~~~Fs ~ r 5~ ~ Nw y 5-~eeT. 3/ iz,?ti 7w s~ ~/'x co~,~ Ty. l/A~iFy 10164S,1N7- y° ° Z10NS Wt New 3 (3o& pm • osco Hone PRO fJ C. lJ 4- L -15 10 l; 1985 A~PRovFO ~ sT~t~ SE/~nc rA~K /ooD 41 J ~~Ci'STiN(r GP/I!>E ~d . 7 FT' ~ j/E,PT ~f ~ S S 'r3 E 9y5 f+. f sp(jec Fr E/E otrl o.J TO F o i /00-6 v /So of ~ E fGv^ r nQ 0,4 k T'PEF y~ $ctiEVV/E 3033 ~cxAcr~Y /1S/ f~ NOR 'oV - 6^101Ty f o~ Ro~E#Z 3 u~ , 1~wM ~ofa.e mop - S~-G 5 U AO f C'e f" Y 3.0 A APPRovED t£ 51 j~u.H~ cha~AE~ 33 < N foR E BACK • aL S0 ( WWLdRep 1 ~ ° TASK . - - . ~ =T--.--- -L /G 5 (3 3 2 ~o Sy SLOPE 0 wk A --A Y4 r w c"g,p f oRNfi4 ~osr L o T c o~'N E~' o S' ' E d r= o c v pv tv c=•e- iS S•W • (si vc~ RE".tibUFD ~s ~uGE of CTY. ~'t~. M Page? Ofs Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand H _ _JG Topsoil F } E 11 D 3 b 2 % Slope Bed Of 2.- 2 %Z Force Main Plowed Aggregate From Pump Layer 0 D Ft. Cross Section Of A Mound System Using F .7SZ Ft. A Bed For The Absorption Area F • Ft. G Ft. (9~L''9C9S'ZG r` A $ Ft. H / S Ft. B Y7 Ft. 3 , ~N RE K /O Ft. L •,,n 1r'' ~dGS _ L Ft. _ J I Ft. f s+~` i ,C RESVI Ft. t' b _ SE 2 Force Main W 2,? Ft. L J Observation Pipe f A I------- I.----- ----------------------.I Bed Of z - 2 %Z Distribution Pipe Aggregate I Observation Pipe Permanent Markers y " Puc 51E,-1- APE-AAVs Plan View Of Mound Using A Bed For The Absorption Area4 ~~n Page .3 Of .5 f fo~E s Perforated Pipe Detail Sit &~f 0 End View Perforated End Cap) r PVC Pipe 1 ' t ce Holes Located On Bottom, \ S Are Equally Spaced / S P r ey? vJ' x P / PVC Manifold Pipe Distribution Pipe Force Main 3 s<~e. 4io Pv~ Last Hole Should Be Next To End Cap ! 91d~ t °p ~~~Distribution Pipe Layout P ?3 Ft . t R ~f w~ pTiO"1 S 3Z- t n A ,,L OF IP~DUSTR'~, t n Dtf~uS X 3d Inches SAi t OF 0; Y r--- - Inches Si Hole Diameter Inch Lateral Inch(es) License Number: Manifold z-- Inches Date: Force Main 3 Inches # of holes/pipe /0 ~ i 5 T IP i (3 ~ T f'o ~ D iS c- ~ A R r97 E ' Invert Elevation of Laterals y3-5 Ft. Fold Si4S f E I It LA7Ef?h ~ i's 12- M . ~ o & i 5 6A& R4-te ' ~v /13,112d - ~3. O 72- M u T ~/oi'D UOLome SPtCS 3 3 F ~oY'~-z ° f 3 7`'0APCE-- MAi%V - D.P.4iN pou~.v 1/0 /v y,~- full/ lit / 2 • S . PAGE ~ OF S PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VCMT CAP 11"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER 25' FROM DOOR, 12"M11J. WINDOW OR FRESH Alit INTAKE GRADE y° MIN. I,, I ~Ir 5 ~o Nu ~~t y1W( MIN. CONDUIT PROVIDE I I U INLET AIRTIGHT SEAL I I '1~ I I I PLUMBING" III APPROVED ]01tJTS I III WC.I. PIPE APPROVED JOINT A`` A W/C.I. PIPE EXTENDING 3' EXTENDfNG 3' ALARM R--•~"~ I I I ONTO SOLID SOIL ONTO SOLID SOIL ~B L I I 7 O 3 F 5 l I_LEV OFF D Qy.~da~.. c %vx 7710~! CONCRETE BLOCK C-7-11Ne 13&j? 15 RISER EXIT PERMITTED GtJL~ IF TANK MANUFACTURER HAS SUCH APPROVAL a SEPTIC SPEC.IFICATIQNJS F DOSE G(J~ES£~QS 10OiP0006 73 TA N KS M A N U FACT U R E R IJUMBER OF DOSES: PER DAU : A ~Z TAKJK SIZE: 73-0 GALLONS DOSE VOLUME 6-C' L~UE~ AlmeM Ca- • INCLUDING BACKFLOW: 2- GALLONS ALARM MA►,}UFACTURER: MODEL ?DUMBER: L • V . CAPACITIES: A= 2-5 INCHES OR y50 GALLONS SWITCH TYPErAC R(V R y D,4 y / B = 2- INCHES OR 35 GALLONS : p PUMP MANUFACTURER: ZDEI/EIe (I'£SERvE C=INCHES OR GALLONS MODEL NUMBER: c4:7- /i N r-- z tv D= INCHES OR GALLONS SWITCH TYPE: 2 ,yc,CcvRZ Pi(rGY (3ACkta F104TMOTE: PUMP AND ALARM ARE TO BE ~J?' INSTALLED ON SEPARATE CIRCUITS MINIMUM DISCHARGE RATE / GPM 8 VERTICAL DIFFERENCE BETWEEU PUMP OFF AND DISTRIBUTION PIPE.. FEET ~/QNK SI~~GS %s 2.5 FEET'g + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . .s + .3-3 FEET OF FORCE MAIN X , 3'~p FYoFLFRICTION FACTOR.. FEET 1 _ TOTAL D131JAMIC. HEAD FEET ~ou>JD 3. S INTERNAL DIMENSIO►JS OF TANK: LE11h-T~1 ;WIDTH -----~~LIQLJID DEPTH Pi T o H HEAD' CAPACITY CURVE N cc W W 2 ^ O TOTAL DYNAMIC HEADICAPACITY PER MINUTE EFFLUENT AND DEWATERING 30 9 x SERIES 53-55-57-59 97 137.139 163 165 p FV M LTH ; GAL' LTRS LTH S GAL- LT RS -GA LTRS 28 °5 1,52 163 65,' 24.8 04 394 61', 231 6 231 9Q EFFLUENT AND DEWATERING 1o' 9 os 129 57 216 9 300 s1 31 ;6#.. 231 15 i 4.57 72 43d 163 242227 60-~ 227 26 - - - 9 \ 20 i 6.10 2Ty ICA 136 59 223 ^ 227 5 SEWAGE AND DEWATERING - - \ 25 'J 7.62 30 57 16 69: 223 ` 30, 9.14 55, 06 58 220 24 40 12.19 46 :r- 1206 33 12y51 t91 50 ' 15.24 J60 18.29 ;:15 7 ;W43' 161 22 70 1. 21.34 3~30~ 114_ - :804 24 38 14, 53 \ . MODEL MODEL Lock Valve: 19' 24.5 26 66 87 20 c t__v 163 \ 165 TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE VSr SEWAGE AND DEWATERING \ \ SERIES 267 266 262 284 293 jT M LTRS LTRS LTRS LTRS 'B LTRS 1 znt ^5 - 1.52 408 .0 386 492 681 \ T a10 3.05 227t• 273 ' 360 598 16 55< '15;1 4.57 76 163 238 511 r, „20 6. 10.. 30 125 401 5.0 251 7 62 288 30 9 is ff 63 77I 292 14 -10 67 f2i 9 45z v t ;;40 12 19 - easy t ;x454 ,372 # et 106 12 40V \ t `'S0. t524 2 45 r \ t Lock Valve. 18 21' 2s' 35' S3 r MODEL 10 °35, 293 30 MODELS t 8 25 137 139 6 20 MODEL I 284 15' ` 4 MODEL MODEL i 282 ".1.0- 268 \ 2 '~L - MODELS 5 53, 55, MODEL MODEL 57,59 97 267 ~~GALS~10: 20 30 4! 40 50 X60 70 80~90 100: 110 120 130'140 50 160D X170 "180 190 LITERS 80 160 240 320 400 480 560 640 650 FLOW PER MINUTE 3280 Old Hullers Lane Manufacturers of. . . Z ZJOTZZIC/T 01 P.O. Box 16347 O Louisville, Kentucky 40216 (502) 778-2731 QU4[/rY jeCLIA 1S SiVCE Ig,7g MEL- 8 H H a ST C- 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z a a OWNER/BUYER E IS'Q r' ROUTE/BOX NUMBER_ r, Fire Number CITY/STATE R►rJQCC~l/<~ ZIP PROPERTY LOCATION:,_;, Sectio T _N, R ; W, Town of ~~t? Sanf; 01Q_1/~j4 St. Croix County, Subdivision Lot number 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 II 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. yo E I/WE, the undersigned, have read the above requirements and agree N to maintain the private sewage disposal system in accordance with H the standards set forth, herein, as set by the Wisconsin Depart- ~u 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 co 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. APPLICATION FOR SANITARY PERMIT S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequaoies 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 Jecl)n-f\ `J Location of Property f 14, Section , T N - R ~7 W Township 41 Mailing Address =2, V Subdivision Name , Lot Number l Previous Owner of Property Total Size of Parcel c g S Date Parcel was Created LZ Are all corners and lot lines identi able? Yes No Is this property being developed for resale (spec house) ? Yes No Volume and Page Number 1 ~ as recorded with the Register of Deeds INCLUDE WITH THIS APPLICATION ONE OF THE FOLLOWING: 1. Warranty Deed 2. Land Contract 3.• Other recordings filed with the Register of Deeds Office In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) coLa6y that aft statements on this 6onm ate t.ue to the best o6 my (out) knowledge; that 1 (we) am (ane) the owneh(s) o6 the phopeAty desehi.bed in this in6o4mati,on 6o4m, by viAtue o6 a wanh.anty deed neeonded in the 066ice o6 the County Regis.ten o j Deeds as Document No. and that 1 (we) pn.esent,ty own the proposed site bo4 the sewage po4system (OA I (e) have obtained an easement, to nun with the above des cA bed pnopen ty, 6 the cons t ue t i.on o6 said system, and the same has been dui' y neeonded in the 0 6 6ice o6 a County RegiA ten o6 Deeds, as Document No. O 1 SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED rtr:. ST. CROIX COUNTY WISCONSIN y zr mss?` ° ZONING OFFICE }N" 796-2239 (HAMMOND) - ' j 425-8363 (RIVER FALLS) HAMMOND, WI 54015 July 23, 1985 Division of Safety and Building Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Vernon Elesenpeter property located in the SE14 of the NWT of Section 31, T28N-R17W, Town of Pleasant Valley, St Croix County, revealed suitable soils at a depth of 2.25 feet, below which seasonable high ground water was noted. This site should be suitable for a mound system. Should you have any questions, please feel free to contact this office. Yours truly, Thomas C. Nelson Assistant Zoning Administrator 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 ,ocation: Towns hip/r ~C ( C SE NW S 31 T 28 N/R 17 W W Pleasant Valley St. CAOix street Address: Subdivision: County: i,andowners Name: Mailing Address: Vernon Elesenpeter R. R. 1, River Falls, WI 54022 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 a ree to have the system installed in conformance with the Bureau's approval of plans and specifications. I further understand that an alternative system is more complex in nature than a conventional private sewage system and as such will require detailed inspection during construction and monitoring after the system is put into use. I agree to permit both county officials charged with administering county sanitary ordinances and Bureau employes or other authorized persons to have access to the above described premises at any reasonable time for-the purpose of inspection the construction of or monitoring of the system. I further agree to either personally or by my agent contact the proper county official to arrange the time and date to begin construction of the system. I understand that this application does not permit me (the applicant) or my agent (the contractor) to begin installation. If the system is approved, the Bureau will send the applicant a letter of approval which authorizes construction of the alternative system after all necessary permits have been obtained. I agree to give notice to any subsequent buyer that an application for an alternative system has been made and if installed, that the premises are served by an alternative system and further agree to give the buyer a copy of this application. The Bureau accepts this application subject to this understanding and subject to all the conditions and obligations set out in this application. Signature of Applicant Date STATE OF WISCONSIN Subscribed and sworn to before me SS. COUNTY OF This day of 19 Notary Public, State of Wisconsin DILHR-SBD-6413 (N. 05/81) My Commission Expires: WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING P.O. BOX 7969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of St. Croix Location SE 1/4, NW 1/4, Sec. 31 T 28 N, R 17 14W Town i Pleasant Valley Street Address Lot No. Block Subdivision Landowner's Name: Vernon Elesenpeter The application for this site is for: 0 new construction use. ❑ replacement system use. If this is NEW CONSTRUCTION USE, the alternative private sewage system is: lto 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 ssueT - to you. ) ]one of the applications needing a quota number. The quota number assigned to this application is 59 - 12 - 6 D 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. I_._]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: ❑ 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. E] I certify that the above information is true and accurate to the best of my knowledge. Name Thomas C. Nelson S1 9f mt ure County Official Title Assistant Zoning Administrator Date July 23, 1985 DILHR-SBD-6158 (R 12182) PLAN APPROVAL Safety and Buildings Division ~ D I L H R Bureau of Plumbing P.O Box 7969 ❑ General Plumbing Plans Madison, WI 53707 Di Private Sewage Plans Telephone: (608)266-3815 OFFICE USE ONLY 1 x, Plan Identification No. i I` t r l r l q Gallons Per Day c r 1 l\J PRIORITY PLAN REVIEW ONLY Plan Review Petition For Modification Project Name Project Location - Street No. or Legal Description Cou ❑ City ❑ Village ❑ Town of: 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: _ 7 James Sargent Bureau Director If Questions Plans Approved By: Date Approved: Contact cc: ❑ OWS ❑ DPS ❑ H&R & Rec. San. Section ❑ County ❑ Local PI ❑ Facilities Need Analysis Sect;:.: ❑ UW-SSWMP ❑ Plumber ❑ Department of AgriculturF LHR-SBD-6099 (R. 01/84) ❑ Owner ❑ Other yr i RTME ^J'i of C;c J)TFtY REPORT ON SOIL $)iJ /ff"'! iJ SI\Ff=l`( i' E3Ut)I ILUI SINE IJ ON P.O [30X 7~)F,~ ILJ'MAN RELATIONS PERCOLATION TESTS 11 5) MADISON, WI 53707 (H63 09(1) & Chapter 145.045) ~I fICATION: SECTION - TQ NSFUp/MUNICIPAL I Y OT NO. Bl_K. NO.: SUBDIVISION-NAME: 1i/j y /T~N/R E (or -e~ Q~ t :UUNTY: O ~J Tl1YER'`; NnRgE - - VTNII-I ADD~Y 1 SE OMMFFi(aAl DATES OBSERVATIONS MADE Nr) ItCD11NC;, , I)SI;RIF'(EUN: ~q 'F`EZ(51'TTF LiF Z`.F~TTTIC~VS: I`FTiO~7~Ti~TV~F~;T.~ - Whew j _ ClReplar_e Se Q 1) ATING: S= Site suitable for system: U= Site unsuitable for system YJVENTION\L MOl1Np INCROl1Nl?1fiF ;t1E3F: YSTF MU MIN-FILLHLDINGTAN K RE COMMENDED YSTEMToptional) ~ u1O~s ~u 1 sv I_su1.-Us T~s I Percolation Tests are NOT repairer{ DFSIC;N RATE - S IE and portion of the (Condo area 15 in the inrlrr s.Hfi3.09(5)(h), indicate Floodf,lain mchcare Floodnlain clevahon: N~ -`J l _ PROFILE DESCRIPTIONS .UHING TOTAL DEPTH Tp GR L)NOWATER INCEES CEinRACTE Q_ dUMBER DFf'TH IN, ELEVATION R OF SOIL WITH THICKNESS, COE_OR, TEXTURE, AND DEPT14 -0E3SERVED_-_ E_ST. lfl6tlEST TO BEDROCK IF OBSERVFD (SEE ABBRV. ON BACK.) - ~ ~ r 1 d w~`, a7 yc) _ , ~s t4/s~~ 1,33 fin l db CSC 4-3 f/ ' lryy _ 5 J 6 c).33 9s - - ~ o f PERCOLATION TESTS IFS, DE P VIAI ER INI 1101F TEST MME W1011 IN WATFR I FVEL INCHES RATE MINUrFS rllmnm INCHES AFTER E LING INTERVAL-MIN- -W Pt=g1 t f'E_+iQQ ~TIT- 0 -0 T-c- r PER INC(T - - OT PLAN: Show locations of percolation tests, soil borings and the dimensions of surtabl, soil areas. Indicate scale or distances. Describe what are the hnri rtal 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 land slope„ YSTEM ELEVATION • nU 3 pI ~:e wifiA ~'ej r i b 6M r n r' I o~ t~~oo~S r ~ tv`e~ 47 FdSe of e~odg tore p6les ~d9c J 100 o = Qerc I ~o ~~s A= fof Fkv, at.', IG>>1 l f~ 1 red ~fo~n 'a~ ~X LC C.Or~ne.Y, O f yomC I fire ~cn , YI ~v''oq~ on7 Is Si.'vo /6 At l' AW PI n~ C~~ well ,r~r ~rl llecl ~ ~ a~ ~ a ~N ~a 6P~ 0 Q: 5 ` a C ' . PI 9 3 • g I U >N o k k A, x. x h k K h k k X ref Trkv>iyle roc in Ore h llie undersigned, h~^rrbV crrtify that the coil i-t; repnrtrcc4AYr`': r~r rlr wI're rear r by in accord with the procedures and methods specified in the Wisconsin Iministrative Code, and that the data m(,ordr.; ,rr .r. ...,.onion of the firsts are •r,^ r.~ct ~t •-•y ~::owledge and r,^_;,-(. TESTS VVFRF- COMPLETED ON JLJI /I 1 -FRTfFICATI NUMFIFR PIIONE Nl)MB(- R(opt rnn,d) t l'ST S , TARE I` (RIbi-) I ON: Oi i.lnr.it :r ul r nl.V In I -rl A illrnrrlV, Prole f ).,rnri and :.nil Tr rr 'Z-~[3D R'3~1 ; It?. iy7/h?1 pV,FR .