HomeMy WebLinkAbout030-2066-95-000
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AS blll::f SANITARY SYSTEM REPORT
OWNER 'LOe'NSMIV SEC. _ _N R
ADDRESS ST. CROIX CW%Y, WLSCO?;S:N
SIIRUI. :'15101( _ LIPI 10T S17-
PLAN VIE'd
ni scan ces and dimcos fom: tc r_eet ecquirements of 11 11K 83
SMY4 EVERYTHING WITHIN 100 FEET OF Sf SI?AI
A
i
N '
\1 r°
INDICATE N04TI: ARROW
BENCHMARK: Uo::. r1So the vortical reference point used
Elevation of vertic.vl reference point: _ L4_._ , _ _ Proposed slope at site:
SEPTIC TANK: M-Iu+factuter: Liquid Capacity:
Number of rings used: _ funk manhole cover elevation:
Tank Inlet Elevation:___ Tank Outlet Elevation: _
Numher of feet fro= nearest Road: Fronr,oSideo Rear, O,-. taut
From nearee;t property Itno rrent,0 Sldeoltevr,O feet
Number o fret from v,-li building:
(Inrlud, t'ttis So fo rn: r•Lau the above Plot plan)(
2 refer •ncc dinem:ions to septic rank)
SEE REVERSE SIDE
PUMI' CHAMBER
Manurac Larer: Liquid
Ptmp Model: Pump/Siphon Manufacturer: Pump S4,e
F.levation of inlet: Bottom of tank elevation:
pump off switch elevation: Gallons per cycle:
Alarm Ma:utfsehrtcr: Alarm Swi crh Type: .
Ncn.ber of icet from nenn•e:C property line: Front, 0 Side,0Rear,0 Ft.___
Nu::boa' of feet from
NuniLer of iv,- from buildi:iR:
(Inclode dt>Lanccu pLcL pl:nr).
SO;f. ABSORP'HON SYS'f F.M
Bed:
Width: Length:___, Number or Lines: Area Buill:_ _
Fi_l depth fo top of pipe:
Nu-TI...r of feet rrom nearest property line: Front, O Side, O Rear,O Pt._
Number of feet from well:
Number of feet from huildiag:
(Tnc].tdc Jfsfanccs Est Pict pf:nr).
SFE.PAC` I'TT
biarieter:
Liquid Leith: Bubo, of Pope pit 111vOLEOO:
Area Built:
Has either a drop box0 ur dtarrihuLion box0 been used on anv of the above soil
absorbrlon sytems? (C`.teck one).
ItOLDING TANK
Nanufaccurer: _t Capacity:
NLmlber of rings used: •t F.l evatiuu of bottom of tank: IL Elevation of inlet: _ i (
Number of feoL from nearest property line: Fronc, O Side, ®Rvar, 0Fr.=
Number of feet from well:
:oar.ber of feet from building: = _
Nu-her of ',cue from nearest road: C r
Alain M.anufae LCrcr:
Dated: _ ph.wbcr .n lob:
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Parcel 030-2066-95-000
0 1 `d'2006 11 C5 AM
All. Parcel 3S?0 20 Fi09F 609E PAGE 1 OF 1
Current X 030 TOWN OF S ONT JGSF PH
Creation Date Historical Date ST. CROIX COUNTY, WISCONS.N
Map # Sales Area Application # Permit # Permit Type
Tax Address: - - T
I Owner(s): U = Cuncnl Ovmer. C =Cement ;;o-Crrner
J G KENNEDY I O- KENNEDY, J G
185 RIVERVIEW ACRES RD
HUDSON WI 54016
Districts: SC = School SP = Special
Property Address(es): °Pn n,~y
Type Dist # Description
'
SC 2i3 i' 3CFi D OF HUDSON 185 RIVERVIEW ACfi RD
SF 1.10)
CW I C
Loyal Description:
tiFC 35 TXN --Acres: 530 Plat: ViA-NUT Ab'lJLAB:E
R2010 PT T GL < COlv1 ;;95 FT N .S
743 4 FT'A' OF SF CCR L CO TH 5 FT N Block/Condo Bldg:
rTS3'19 F1,E756.3FTTHN329FTTU
PUB Tract(s): (Sec-Twn-Rng 401/4 16,`! 1r4)
35-30N-20'W
Notes: }
Parcel History:
Date Doc # Vol/Page Type
2005 SUMMARY Bin Fair Market Value
8466E Assessed with:
583.500
Valuations:
Last Changed: 01 'C 9,2004
Description Class Acres
RFSICFNT,AL Land Improve Total State Reason
G1
1.930 355.300 266,301 i c21 6C,5 NO
Totals fur 2005:
General Property 1 9:m 37,',,300 266,300 Woodland 0, O)00 0 dOC' 621,600
0
Totals for 2004:
General Property 1930 355.300 266,300 621, f,0o
Woodland 6.000 0
Lottery Credit: claim count: 1 -
Certification Date: 10/0612005 Batch 05-29
Specials:
User Special Code
Category Amount
Special Assessments
Total 00"~ Special Charges Delinquent Charges
0.00
;PEC1ION REPORT FOR
-JVATE SEWAGE SYSTEMS
XX
(X N, :,I 8501578
Joan G. Kemledv R. R. 2, Riverview Acres, HO(IsoU, Wl
SE ;E, Section 35, •1'30x1-R20H, Town of St. .7ostph,L,)t#4,Rivurvivw Amen
Dnnavin Schmi[1 3205 St. Croix 64922
Sf I'TI( TANKiHOLOING. TANK
I I I Y5 N:j -YES
TNT
- d.-- T_ -NUMBER Or r>r
/ FEET FROM - I J J n
f •-,F., r. I L-1 --Y _ .NEAREST--
n. SING CHAMBER -
,
vFS NO r 1 „YES NG~ vEn
T
.i l5` S, 1.11CYC.6 .:.l : - NL'MRLHOF
r I I oF%CE RF rWEEN I LET FROM 1 r I• -
11 r.1 oN rA F rr YES NEAREST
,'.)IL ABSORPTION SYSTEM. k I
- FORCE
I-J ~.nv.•r uu nx.r + ~a ..-n •r~ MAIN
CONVENTIONAL SYSTEM - - i
RF !
- TRENCH P:T
DIMENSIONS -1--
_ - , ___'T T-iit-•n+r- - NUMBER OF J
y FEET FROM L
Ir NEAREST 1 - t 1
=BOUND SYSTEM _ _ - - - t
%lpuntltheploven.pert,Pndr.:+br Ioilppe Che(k the textln- of th ti r-,a.rwl PROVIDE ADIAGRAMOFSY%t
nr,a 1.nros... th 'wrr uPY otu•
inou xl .VSb:nx to roe. ins h." I ON RL VC RSE SIDE SHOW E-6
ASURED.
iwets the ct ter w Iol Ined1 ! n lour i... TIONS ME:
YES NO I
~SGIL COVERT'
YFS - -N0
-Tri r_-
1-_. ~•r~ VES 10 -YES IG l_. VFS
PRESSURIZED DISTnIBUTION SYSTEM: 7t
Irntye is N • rr• r :eo
DIMENSIONS
ELEVATION AND'
DISIRIBUTION
YE
r
ATION r.cei(r-nr m, -YLS N •NUMRER OF S ~nlr r •:I
cun1MF NT5 "FEET FROM j
NEAREST
4IT r u. uwl it nr wtlnt'p t., 'or :,..mt
J
D 1 L H n APPLICATION FOR SANITARY PERMIT
'J'„ (PLB 67) I cou*!rv
UNIFOgNt tiA VIT41rv FLff Ari; g
.+.Ih Cnn pl I:llan, { rccul n,ilh 11
_vene I ,311: L'I{. Ar1n: t oa:• Icr rbi ,v sr.zn{, un "Pur not less than
SS_x 1 I r hus ui v;...
I ~rP r-HTv U„n1Ui -t a or : f:,1 q IT ins aVVlicalinn. PLEASE PRINT
I AIL Iw'Tj'Lf1RE.'S _
I-'hi ){'ER TV L[ICAT~:~_""`~`tt -
CITY
)~1/4 SE 7/4, 5 .3~• T 3a N,i; E or UY , E
I tF'UMRTR BLO('K N.IM6CR UBLIV6n, lD4/IS ~J
I Y NAD Nf ARF ti ( ROAD, LAKE OR I A Ch7ARK
JTA1! PLAfJ LD NV1,13E ~
TYPE OF BUILDING OR USE SERVED
' 2 ramriv Numneol 13coroorns-3
THIS PERMIT IS FOR A: - _J
, Ww Sy... ur
Replacelneo Y `rr+: Tank RePlaccme
litMtxmptrnrt $ystctn _ t t i Ret)an
Allur na li' SYs•rnr Ravrurn{ L. Privy
Ii~cunp.•ctiun Pelifmn fill Modification
HIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. ---J
FT
`se`Pyy Red -1
S'✓>ICm In FJ' o_coaye 7taurh S-pplt
In Ground Pn = II 4ult P a IIv' L'Y
3Q Holdmy Tank
'SUm - i wUI
ExatlnV, f-u{'Arhtcn Pit Privy
A That Il u)) r Is On 1-de Rvrnrt 3
An Exisnny JYSLCnt Thal Has az fiev n ' rSLUCa
c .nspscteU An<I I. Cumphanl As I-s{ A
- > Su' Conninons_ 1
ieaaam Sal
I;:nk Gina, n♦ Ta•,L.` Concretr Cnnvuncleu $leel F{ne; ,pl.w R:.ibc
FI r, P.nnV Ta•, R'Sw~:on CnJnnr` _
N~IrIrnV Iiln(Ci{l:r~ll\' 'h,' / ~ '
11 THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK:
'mound i
In Ground Pressure
so, t r 4 iPa tv c Y.fah r Nr~
Film uctrd St-, rberp{as> PI
aenc
1 dt f,unul$ phnn G,umar - - -
r I'I RCOLATICN RATE ARSORYTICpAJ AR' \
!Mm~tes rcr :nc01 MQLIREDI r F AHS(..F n -
"IOPOSLo So J F. T; ATEB SUPPLY.
P_ Hate Jr:.y L~ Public
he
I, under5,gned, hereby a<sume res oneb r -
P d T✓ I...
mstalianon of the Private sew.{ e
N.nv -0'v umbrr n rm 1. - J system shown on ten atlacncu Plans.
/}1[(,(L : S- rrI'- .fPRSNI > Phnna Numtx,
Piu-.ne,'•Addn•ss. / Nr//r ~~~LLL~_L'..
r
4- A COUNTY/DEPA_RTMENT USE ONLY
S p nt l~/
Re._y~~1.C1 C~~l Iwt_-~ ~~=L 7_ f s
APrr-o vnd DixuPrn a~
CuaVlvnval L ' L Owor•r G,vsn InRlal
~C.
I A;lverae Dettrmrnation
' Annnule cowselzl of A:-unn Ava,IUbler
`'H21 ~lIa HIRUIION. GJnil it - _
- J
INSTRUCTIONS FOR COMPLETING Ti1IS PERMI I APPLICAI ION, PLB 67 SBL) 6398
r_ ,,artpte tc ana ac:m ate :Ira Pent t ul -rat,un r dsl u:Wd
Pf oPn1IV nwnel's name enxl covill vie legal descnpbon, please corcle the appropriate rnanlcipdl 90'vernnlrmt T .l, I:r.net her tw,
vdla9e. o' tuwnl;
I Idawate specifically MIX typo' 0f use is serverl, , pdtlli: Is checked Imi,cale type of use (i.e. 10 mul apartment, 30 Sea' resiaw arr.
,r te. l;
a f:olrlplete the Mock lm conventional or alentate system dependrrll Olt sV51etH typecheck all appropriate bones nr blank:.
rr lE. i.-.e r•lt~nt. 1' r n',l iei r ;ua'- tow n~rp it rrl try cnau.1 II 1. P1:4r of
Indicate the dcsnln perrolanon r
,,uam feel to be 'IefAled
P '~orlpicte the section an Y Ater
- f it ii-I ,Sc '..r t"rl IP G L. I -
PHIN" ne mole of Ih mash' 1 i.
1-.:I~ I- r:hr r~~fu 1h LLr~'.-.I1,k
hra:,Cn, PIdCP YnU(Irteost nt. nt Dt t Inn Yi:aU Uf -
Peas= place :ha plumbers busuu•ss phone nJrrbel ;a file blank plowded. If (here i5 a problem or quest/ on this %'nll spend rewcv. ',I
l,rmlc
,1 Chanye M n•✓rnership m plumhet requires IT Saloom y Permit Transfer Form t6I.F) to bC st,tw6tred to the county pnnm •.nsfal 'I (1r1.
f atlafr! to eomf:ly Ivor vnrd tele San. Lary peHim.
y Tni. permit ".,v M: renewed. and at I.le rim J IT v c'r1-r ism the Wei. Adm- Cede. wl'.I be apph( able
afrI rlr~ro r r.f h. _n r'f. I
10. A'tew i)e,j,,H vnll be neer!et! it Ih're rS I I I
depth 01 the svjlell;, typv of rys;em.
ennrl 09191 be appl oval Ir/ I'u °'~rnt c,.. "a -u1h i'. V.
".1 All lavislona to The, p
11. A cmllp:8le, plan Itichldlr19 a 1101 Ettan. d10PIe1 to F:a1Q 0. 'n.Ih lQ... rift' (I 11V'I 13. Hun Ionia: and vernc 1 clc'v21:on lefewocc poun5 that ati pennancnt and r Cady
1 .•;11.
It- Prputg detail incimlin9 PEW 9✓e, sepalatiml distances, distances between hods i' appropr i.rh 1 u 1 1
to w'.tesr,, hu;Id{rr1 xev:err :v tc vent cbserv'I nn P,000.
'1'i. 'tf1i. a ..1' (.Y,A n
1 u i . fir,r dlr.r.w,7 -
Jr ~enxpe tti stems
r b n9 Pl;rm Pr 'ur.arenro miry' nyurrx Vnu to utU-. I I e, rnrmL Pnvatr
u rrx, Ch.c.gc. e r vu wldl rwlly every 2 to 3 vear.pif Y'nu h.,a, pueneons coec"nony
iO iHF tl YYN6R It,., i. '.:ilia e.~i lc r. pnc r necu~.y m(
nl,unera e Iron wrc pu open
Hn
rr.usl M Pruuxrl Y' ee'^' •het. ttu VCneon no Plu umbtk mq, wlOIIrencvMer R. Stare of Wruornnt
mnlivr
your ry.Uem, cwuart vu~.r form code adtnr o
Ui"s
DILHR PLAN APPROVAL Bsv an
ureau oft Plumbing
P.O Bar 7%9
General Plumbing Plans Madison, WI 53707
Privale Se»age Plans Telephone: (608)266-3815
OFFICE USE ONLY
Mari Idertifi n Vn
I_ Gallons Per Dav
Il
j PRIORITY PLAN REVIEW ONLY
Kin i
I
Petition for Modifitation
5
P,. l
Dru rgnron
_ C~sunly"
1 1 Villaee town ot.
The plumbing plan, and speoACatrons iur IFes prow t halo [wen revrewed for compliant r with apphr nhl;; code rvquiremrn" This appnr. ii n
based Lin Chapter 145, W scomin Slat Lite' anu the %Viscunsln Administrative Cody. The plmt..nr s[.unpa•d "c nndrbonally approvrd' Ihrs appn.~..l
u contingent upon compltanu• Wuh am• stsp.rLmnro shown on the Plans. All item, that are nnnd en 'I ar cornet led All p.•nttlt, n•qull il" 0•,
MV, v1lJage, Iownshlp or roomy' shail he oblaimcd pnr,r to r onstrr.r ur,rt P Ilr rnxel f hr'r respumlh,. for : h.s utstallalrlr' shall keep li set 'r
plans witfl the dupan'1lrrrl dppn.:va'. 4txnp at Jw r tiwrur Ilon >de_ Ihr nsl.dIv, hall ni pLill, the dpnr[ phalo ie?I,er for When IIl)per Dorn tan br
mace.
FOR GENERAL PLUMBING PLANS:
flus approval will evp u• t'.vo )mar, from the (late.y;... votl i.,I r It nztnn twn has n,0 -u,nw,,, cd bo(oc: 11,11 d.V rrra p.,r'
approval must be nblar.ed
F- FOR PRIVATE SEWAGE PLANS:
Ii appri will ire t'wo )•cwn mini the dare aplrn n•r_•d bolrnv or it I niWry f:erniit b ~,I it'll r d. :.vrll espm lhr- dat 9 r urb,b ,.u eLi rr
permit cylirl.
l umnrrnls ~
Bv:
r
James Sargent
Bureau Dire Inr
it Qoms Par, ,Nitro'+ed By
Uab:~ Ap; trrn'ed.
( ontact y
cl. _ OW" _ UI'S II&R K Rrr. San Section
f Cuunlq - IDeal Ill !
,t niLr`. Arod Ana1'r'-.M ~rr'.
U\1+-55v56S1P P!urnba•r ;>,-f,dr.nxnt .n ~\2..o-; l.il'.u,.
:AIHIZ IL0 Karl 9 Lit wn I lwner
Uthri
Ilp5 /q~
Detach And Return Upper STATE OF WISCONSIN DII-HR
Portion Of This Form With DIVISION OF SAFETY 8 BUILDINGS
u j BUREAU OF PLUMBING
Any Return Correspondence 201 E. WASHINGTON AVE. RM 101
P.O. BOX 7969
MADISON, WI 53707
I fA Tk -T 608-266.3815
i`..r ! PROJFCI t
G ~
J PLAN Ill #
PFTA(Ii RFI{E _
PTff I,LCTNAMF - - - - - - - - -
PLAN D H
This is to acknowledge receipt of your plans and specifications for the above-indicated p►oiecL
1' 11 n•1rr rob e, i d crit e ie_:,; i' S$ _
m1 fen Fee HeCeroeC r`; S.- _ _
U U
P ndcrpaymcnl Please submit additional fee. Plans will be held in al.e,.,
Phis being rrhu nod. '0 verpaymeol Refund forthcoming.
Addil, Onal informabc,) required. SEE FIFLOW. [1 No lee has been remitted. Plans will be. held n1 abeyance
r it Subm,ss on
?doildnal information shah be submrfled in duplicate unless ❑ Solt tx rmq and percolation test data On 115 comps,,,,~ 1
cocci icahy noted by by Certified Sal Tester. If copy)
Plans not dear, legible or pOrrnananl. E f Petition for IY1OdifIcalldn signed bycomty, owne• a, ,
.1.'I information suhmillec: shall Lie Signed, dated and sealed or "manned. (t "Pyl
p,,ri I
stamped it accord will Section ILHR 83 08 (2) (a) Wisconsin 1:1 ❑ DeOC Complete data relative d (I cop,
A]rmrisralive Code restriclmnruqu:le. ( i
El Alhdavil enclosed.
Plot plan showing location of and parcel (distance hem ❑ Condominium declaration. (1 cops;
-ndmst road intmsechon, all, } !"I size and all distanceS from IV. Holding ranks
I'uvr-Ie sewage system 1, hudtlings. 101 lines. well, water.
~'ourse,swimmin ❑ Holding tank profits showing ven7 :nanhr~le
g POOIS water service piping, all weather ser- c rnanutaclurer - `
vice road, etc. Show benUlmark wdh perrnanenr elwation. t;onstruchon details,!site approved. Complel.,
nuns d site constnxaetl
II ;",,sure D,slroulion Systems !M(;und or Inground Pressure) C1 Holding IanK agreement signed by owner and
r
Applicatmn for Use at an .Allernwive System Signed amt OI governrrlent (."triple enclosed;.
and notarized. Il Copy} W owner U Beason for installenT ~ holtlm' tank
5lmomem Ir,:,r-
C;;:uniy rnsto required. (1 Copy) counNOr SW's bunng and percolation lest dal"
Sud boring and percolabon lest ❑ data o of) n l Ili Design fb calculations 115 cOmpleted fly CST, sh•
Completed by ~wmy met "Soil sibs;,, c r ,
CerYlidd So,l Tester. (1 c[rnyl cannot be, installed on the land parcel.
❑ Afhdavl fix all weather Servce road (enlosea)
!:ross section of system ❑ Pipe laleral layuul
! Plan view of system
_ V-1 icalion m Exception Status For"' bycounly (1 copy) V Dosing Information
❑ Calculations for total dynamic III
III Pr,vale Sewage Systems pumped per cycle.
Ground slope with 2 contours in entire area Of soil absorption L] "Ale. Detail and lenglh and model of depth of pump IO or arceu.•nfoa,rm , ~
❑ , q 1, r
,),stem exl0ndmg 25• minimum on all sides.
l.
n Location of area suitable Inn replacement syglem -provide soil 1 size. pumpcuives, drawdown ono tyr It r'•,•,
data, I. Crdss FeCIIOO of dosing lark Showing punipjsl at s,pr.
LOnslruc"04 details of septic., holding or dose tack if site.
constructed. or tank man VI. Systems in Pill f III Mist he placed pnnr tar plan m m,
Construction demhS and cross , cross• Secpstatedn of approved soil . aG IJ Total area Idled (fill loexlend 2o' tii.;:.
❑ SOrplrnn
wslem. of trench before side slopes begm.I
Depth and type Of fill.
COpyefslgnedonsfereportbycu6-itd sir i r-, .,;,n
I r c ...ter
Detach And Return Upper STATE OF WISCONSIN DII_HR
Portion Of This Form With DIVISION OF SAFETY 6 BUILDINGS
BUREAU OF PLUMBING
Any Return Correspondence 201 E. WASHINGTON AVE. RM 141
P.O. BOX 7969
- MADISON, WI 53707
% I L v•• 608-21 S
PRO.;I_cP.
UUl ffj!/F~ ' . _1
O,c0/,/'Y6 /yB4
I
PI ANA In ft
iECT NAME-
- PI AN ID N _
This is to acknowledge receipt of your plans and specifications for the above-indicated project.
I Ialrr i 'A' IIl'll Gl N, ^i° rY~uued Ie. i5S_
I Fa a~::a( rd !o•revu. ,v - Fee Recetved'S s.
Undcrpaymenl Pea5e submd additional lee Plan, ,y ,
urned.
Additional hlh Isla-lon required- SEE BELOW N
Plans peaty ret be held n abel,jrr..
1 fee Ils oiler Rem tied forthcom. willl
Plan Submission - - _ - - - _
Add
liona, issi mlOrmauon g ❑ Soil boring and percolation test dal 11 hall be su0mdted in duplicate ur less - -
_ spectM1Cally rated. by Cerlilied Soit Tesler (I copy)
Plans not clear, legibleor Permanent ❑ noari n For Modification signed by co,ndy owner a
All intorrnanon submd)+d Shall be y9netl OaIM and sealed or notarized. tmplete . IT copy)
Signed . n Complete data relative to autie-ip:,-. i. , r;
stamped,, accord with SecliOr ILHH !)$_0.q (2) (a) WiSC...n in
Ad'"Iniscafivecode s El DeodrP.5lfICtOn'CVt.ured (ICOpV1
U Ali;da•nt enclosed. r-t
J I :~I;u, Snowing location nl land parcel (dtslance (nmf Condominium CeclarallOR !I CU p':
a road inlersechor. etc.). 101 sve and all distances from IV. Holding tanks
ine sewage syslmn to buldmgs, lot lives, well, waler-
stateapvent t a•.•7-,.. d
°,~l, swemmm n Pools. water Service PiVrr,g. all weather sec- and nd nw ❑ clanlact ufacinohrer It le staid d
erad etc. Show oencnmark with Permanent elevation omiruC ~'.i~l.
COn51rUflion derailsdSaleCOIl5lrucffd
II h~ clslnmdbr 0 Holding tank agreement signed byuwner ano in. .l
Systems (krtoued or inground Pressure)
.,p,:bcation for Use of an Alternative System signed by owner Rea on to, irttalli ISample tank Statement
and notarized If cpopy) ❑ Reason for nstalling holding tank Stalemem fr..,,
~I Coding notarized
r c y) I I calmly or soil bnr'ng and Percolation test data ~ r
U copy) ❑ Design calculations. 115 coutplereel by CST. showing that a wit I I.....
Soil boring and F)Moiator, rest data on 115 completed by
I Su l Tesler. (1 copy) cannot be insrall00 or` the land part;el
L Cross section of system Affidavit for all-weather service road (enCtosec
❑ Pipe lateral Iayoul
Plan view of system
V. )euL<:nton fo Exception Slalus Fwm by vainly. (1 cony) . Dosing Information
Calculalions for total dynamic head
IT t:,hate Sewage Systems pumped Per cycle
.
U
C3rouna
slope *,1" 2' cortours in entire area of sod at>sOr aen Size, length and depth of forcemain
f U Durant and model 0f pump or auto-,
syslem extending 25' minimum en all sides. .
l - L,x:alion of area suitable for reclacemenl system - provide soil size. pump curves. draw(lown and , I,-
' aata. ❑I'iln\S section of dosing ng tank k showing punp(si or s,pn.,r
onslruchon details of seplic, holding or dose tank it seta
r onstrucled or lank manulacturer if stale a VI. Systems in Fill (Pot mull rl placed poor to P'.en 5jbn,c•;r
-pproved U idlal area filled (fill to egend 20' beyond edge
_ i;onsherion derails and cross se.ctior, o7 sot) ansn(nlion
of lrwicb belote side sbpes begin.)
L Depth and type of fill
U copy cl signed Onsde report by cOUnty 0' dtstnr I s'. ~ '
.i
r ST. C R 0 1 X 0004TY
WI Sc 0 N S I N
'tl 1-i II[ IIIO i~~ Z O N I N G O it f I C C '9 'N
I NW'rrt( Poet OleH(ce hox
It 1111 f 11R I
.i1.•...ror ir~~t.d Ix!S~.A KIP', dammond, L11 ,40
0 J N C R
P U M P E K
A G R E E M E N f
PLLASE BE ADVISED, Lhat unto you arc aga<n not.e<ed,
conbcact with ,_c..,;-• n 06 int:?scr.
Wisconsin, (Pumpelc doe the purpose. o6 nemovung att waste from th
aanita)ty system to be toea_ted on the pn,open..ty and 6utwte home site
Coca-teal in St. Caoix County, (uiscomzin, Township a6 -St-, .k,scpr;
iot .1
-
hein in the
J a 06 the -SE !I o6 Ser. T. ;r) N. -R.
- as
(OR moot putty desc-gibed as oLtows
6 1 t onarrcnct ,T
n 35; th, n J nS =ind l rt th r
otn
titvacc L r, Ihc. _.r,•u-c:-.-
I..J uCrCS, ]ItOrC t'
Dated this day 0 - 19
Pcrso:all at
geared i)r_fore ;ne. tit _s ~ f day of
}lu c:, C u .'l 7 i to ui, kJ ~ r be t
r -r r a ~acEmn 1 chcd tl
r -
tnV a~LY~T IL
r
~r -n.Ln _ - - - ,nbefoir referred to as 1,isnper, join in
tau .n~ i it,~,•:. :I COniIaC - -
t with Omor as above stated.
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J
REPORT ON SOIL BORINGS AND SAFETY rl BUILDINGS
DIVISION
QFRCOLATION TESTS (115) 84 P.O.13Ox 7969
:1,V-1 l•.L~ ATICNS -14B2 h1ADISON,1V1 L310/
• ! TIT IP63.U9111 & Cbapmr 149.USS)
T t _ _ ♦ "i-`! 9kivervicii LIUWCIPALIIY; ~JNL II1. 'O]SUIRMVI ON NAMa
lc /T T R/R zO xLI W !m11
iJ1 (KS 6'IYEii-'. AL1 MAI Ih %U.11HEti1:
.rOLx ..0.Jn G. Kel n:dy Acres, R. R fit Iluci:= n hi. 54016
DA TES OUS EIIVATI NAUE
iS r~U.1:$. L9 t _i`ZT.\L Uk CHI+I10;+' Tii cF"iT 0F H II I I fy Pk:i,=ULA71UN 1EST5
Cz<ue:n<J G-~. N/:1 I F lenn ~!trplictl ~ nn :J'- ~
J N/A
--:.TING-S•S-n I.Ip,l• C11 tall'., U•Sr.I.-,,1I.hla JJr w+fam
I Ir'~N I 1 , R: 6flE 1'STL1,1 i J :IIL V0~11: t I q G:III 1A4NL'1 N'"r41 \ -1 .;.1 on~'1 - _
1S I U ❑S ~u ES:Ydk " ILiS M() I [ S ]U l2 - 7 Dia.x7'Deep Seepage Pits
..crlc• 7<11, ha NOT raq,kad 01's-W PATE I,--p>Hion nt the lt•ntlo .'co aln wa
•a.f:3.: C'Ibh L+Ttaq. (;Ia55 IFl.~Jdn6i•. __aFICnJPlnm tlsvm Nn: N/A
..,~i~... PROFILE DESCRIPTIONS
bl 4i•,❑ R NO//itN INCH CIIAkgcz CC hOn wir-I THICCNCSS, COLCP, TEXTURE, AND DLPTN
UU V,.iL WATIO'. OG•rpV C. __i_bH-3T YO ',IpH,IUK IC O.p CIlVCJ (',LC AARRV. qN CACKI
1 'U8 I '_95.5 N10:19 258 6, Cm hcd LS; 54, Dirk Fla Is F ;;r; 198, En.. s L
r.
6, Crushed LS; 30, Dirk Bit 1s; 222, Bn s Ff gr.
B 253 1153.1 Nano 253
6, Crushes; LS; 12, Dark Ian 15; 210, Bn s $ gr.
B 3 253 109.6 None 2S8
q, No-'H: Co: ags t;erli performed 4th a po%%,r ~u,ner rather thar: a backhoc because the site is so
i_,ited is si e t!at it l.ould ;av:; been dibttvb ed by the excavation and no lcrger suitable
I
PERCOLATION PESTS - -
G 1'J HOLE TCSTT .C' niCrlN lll'I'-:I LLVLLIN PL3 -'1 YENIINC H
E~
y
_'.3ET 1 F cli.:E LLRJG IINTFH'!AL l.11,•j
litO_
wi.._ (t
\u\c-REJI °D PER II!Rf33.09(5 6
nr N,:a itlon Ism, 30J W,iny aid Iho u nrc• tiJm .1 1vi:.Al i oil aea:. Inolots 5<a:• w Airtnuu, U<rcbLe M+et~ .1. (11"9(} h~t"~iY~ J!
- tl tw:lo, tr•Irnnrn nnn.b n t! shnn is 4 10t 1h,n an the plot plan. Show ilia wdice elnratian it all Iwrin;]mind the di<r{,~r. ~nWg1rT.PJJ
STELA ELEVATION 185.9
I I
~ vlI
BL I~IN'E
:15L LDIEII51"fiL iJCR77I' ~YY
Ex,
SIQV01-~711:-. -_iG~'F•' 1
Ll-.S. I•I;YLI. OF !I SL
- - • LNDIR, he ND 1 l.' t TRIC !i .ti o I i
_ 1'ELE(1HQ,GI LLv.S y IN
1'kJlt,_~LD sLrl'aht I
_=I--t
- -PITS On' la 1: ~ ~ t~-7b SILO E
BM
--..-a I Top of ..1 zo
Erns: ag hC 5e r -nor r lr\ at . ion 2cr;.GS FIA 7!'17 1N!'
_ -
1
Ellev, .Z 0.00 it
1
,:i,:lyiid, hbt'Sr cen,f J that the mll trait neorsd on this loan niar< pswa br s: in ccwrd w,th lNV prccaJvtq iod,nathops lpecil.w in Isis VJiswn9n
ins :•it.ve CJLI, ]r l ll'.:1 .Ntl (IaIU ra COr~lfd Un'I IIV IJP[IOn 0111~a IU515 Urn (•1r<Y[t tt:111: Lett ni TV knMAQJ]U ind W ..C
. ,,c (Gr,nl: TESIS Wf NE r.O \IpLETEn ON:
i;rancis H. Zdcn - Olden Fnginecrir.,^ Co. - _ 10/2/54
-I I1 IC TIO'NIIMRCR ,Illtlf N LINEHIrgtionall
!23 i -1a Strect, River Falls~Lcn sin 540:12 C5T0565 l15-'I2S-.7631-
i11F_-
Job No. 83-1482
nrral Numbing Ylan.
x_ ~.dr~ tiewa~,;o i'lam Ie•lephum-. .nl:'. _
OFRCE 1.5E ONLY
Plan IdenUficatlun No.
95-01,6-
C
Grlluu. Per Day
/l3 Wt s--4 V, /v << /~KJ S -7 3 00
PRIORITY PLAN REVIEW ONLY
f, an Review
4
Petition For hlodih(attun
r
I, N.,r .Ii.II 'IrII ..i Legal IN twill rn
c: c',N F'NNFc~ ry S. ~L ~L- JS, 3G l1v
Count\'
(.av I I Village Tawn ut. 1 _
The plumbing plan, and sprafAe a:rnny tur this protect hdve been « viewed for cump6anco with applir able curie requirements. This dppr,,,d
tr,ned un Chapter 145, Wisconsin Statutes alxl'he W,(onsin Admim~trauve (ode IN plans an•,larnlx•d"ennd tonally algnuved". Thu apt n al
ncngent upon, ompGan(o vrth any lipnlrtutm , .rn un Ih lIdne. 111 t n,.th.rta . vd... t I e,trro<t 1 4,1 In-rmn t yu tors Ih
u1s vtlaty a i%%,0Tpor counU.hall Le,Aq f,Ir<' , ~..,Iril 1.11 b ,',rr I, :il. h4 1 I it r. i.l illi, ~r., ~ I
plarv,mththrdapartnicnl', approv.tl .LUtip .ii' r.2.1 , I, I:`c .~,i6r =I n,I r [1, l11
.r.i
made
FOR GENERAL PLUMBING PLANS:
1h1 . dpprr.edl IV 11; Crpirr tv.a years hum t ~L11 'I r I r. Lot n•: If: Ie f r~I I I ••It r -e1 I , l .ill ros ::d.nl
appnnal mu,t be obtarnoci.
FOR
X OR PRIVATE SEWAGE PLANS:,~
Ir.: I.r~r
apprnval re:a eup're t,, vrar. •I,. t hlt .uqIlr:rrl lr iirv: .11 .1 .I'll! 11. ;n rn }rt.w , e..I .;II , y 1 II u it
,,nuL.tr:
pcnni: uy re,
i. rim rlont,:
Rv
i.nnr~ Sargent
Rrnoau Dne(lor
It Qtw,lin'r, l trl. Algmwod R; .-i _ _ ~1
( nLU I % s Una. Al pn,vorJ
er' (74V$ f 11P" 11&R & Rev "arr. lr(uen,
County [ r a. PI t. I, 1611.•. "reel An)h I" ,
I. AN-11S1NM11P Irl F'I1 ltn hr'r %rlt~uln o r \vI
I'IIt't."I 1 ,ANY t. •.'8 1. (Iwnr -I 1 ,iit,
HOLDING TANK PUMPING REPORT
Name OA Residence
Addaessz M r -
Te.tephone
Legal: oS 04 Section T N - RW
Towns hip - -
Date Pumped Amount Pumped Lecaticn Spl ead Remarks Pum,er's S.tgnatuae
Zoning 06~iCe use:
Date In.spvcted
Conditions Found
The above in~etma.'inn r,ai'i oe s e nt to t4 St.
Post O~4ioe Box 95, lIammonrl (C, ix Coounty ZC,l Cl 14Cee,
3401, moathfu by the Pumper. The
in6ormat.ion wit,( at that time be aevi.ewed by the ?u.n.i.n U ice and
in a permanent 6jee. g E6 piacea
Random inspections witf ae,ar. be made br the St. C,
to inspect the success on the sJr siem at the r;bave u, 1'eoc County ZOliirl Up %ce
a,tion.
r
J
~i l t - 1 (1'y l .
r'
Y
S h: l"I'IC I'AI6K MA 1 N'I'CNA4L;E Ai:KI:I-MI:N'I
::t. CIO Ix Cu11r11y
KUU I'L'/IWX NUMBER
1'1'Y/STATE I._ r ZfP
I'!l ill'1[R I'Y LUCAP ION: S,ct lun 1) 1 W,
'rowu of X11 C~=Z,tq , tit. Croix Count yr
Su bd iv l F l a 11 t [.,It nualbur--
/~.IYLC~111:~ ~.J
iiil,l spur osr dua LIa1"Il'ualWof your ..rhl i,• :,ystcln could ru:ull in
Il:. pl emat arc (allure to ha n.i le was (en Pru per ilia l lit oua Iwv Cun -
.ISIV il l prlulpI fly, uul the Y,'I,L is tallk rvcly (.h I'ee year, it ..uullrr,
1 uueded, by a l lcenc.ca yel, t_ir it I, I'...nLu r. What You put III[
lhr sye:tem Cal al teCt ehe Iuric I lull ill thu sepl is tank us a IIc,ll
nlrul stage r11 the waute disposal cyst unl.
51 Cr. lx Cuit uly tes 1tl unta Ilia V be el lpl ale lu 1e1 e l vv a AIat nt lug
.I uclx lll:um ut bU7 of Like cull ill rupl ac eme ut ill it la l l lug sys t eIll
,
which Was 11 upor"(Ion prlur Lu Jrlly' 1, 1978. St. Croix Cuunl
art-epc cd Ill la pr ugrnm 1n Auguvr ail IOit O, wtlit Ibc Ioil u I. rcmeif g III .il
•~w IS uI all IwW s_ys I ems agave (o keep their systcros proper iy
nail l it l a In ed.
Ill" IO If uI ty owner agl.-es to sit L kill to tit. Cru ix Co U Illy %o11 i11
r C It II icdt lull till ill, It lgned by the uw11cr and Uy a ilia :.I v1 pl um bur,
I.. ill rneymau ill umli.-r, lent r lc I V,I pl um bcl or a lIr ell r..•d pumper vull
IY I(Ig chat (I) (fie on-bite wd sl twat er disposal sy st eel is in 1) 1 r
,,,rat Ing cued lc Ion and (2) 11 ter InsputI ion and pumping (II nc,..
~ssdt Y ) , the be pt it tank is less than I/3 full of sludge and if nl.
l: egl If icat lull Turin will be sent ap If l ox Iin a c e I y 30 days pr iur Io
lhr ee year expl rat Lull . _
I; WE, the uu de rs l p, if ed, h:.vu read Life ah;,ve result enle11l u, dud d,;tec
to maintain cbe pl Lva LC sewage dls1)obII :,y s t enl in :m oif r da11 CC wl th
:Ile 81 dada td~ set lot h, hel.•1 n, ❑:i set by Ilie Wi scores In De pillI
n.ent of Natural Kesuutc CC.. I:V rt II lg a(tou 1 1 1 nl Must be „Implutud ir..
:uld refurned to idle St. lrulx Cuuuly Zoning UII i,:e wILIf Ill 10 days
u) the three yuaI ux p l rat l•,It dell \
tit. Urulx Cuuuly Zuning Ullict
I'.i). ISOx 98
Ilanunu ud, WI W.01 t,
715-796-2'.19 ill 71j-421-8361
':1 I;n, date 111,1 1 "turn t„ ,I L.;ve addle:,;;.
1
ST. CROIX COUNTY
WISCONSIN
i1 ys~, rF I,R~ ZONING OFFICE
798-2239 (HAMMOND)
T 425.8383 (RIVER FALLS)
HAMMOND, WI 54015
lul
Y lO. 198r
State Of ly 1SC(an8 in, OILILR
'iureau of Plumbing
P• 0' Bux 7969
`fad i:;nn, iil 532,97
:1[tr_ Czo'`:n yam
Gear Carolyn:
On July 1, 1985 this otfic' sent Y" coPi es of
had been issued. One of ire;;' was
tank. sat
Enclosed pl t
ease find for .loan K' ever'. permits th
number on i a copy of th needy lot a holding
t• When I contact, the PLB 6i,
se'L fro the d the sniff whlcir has the stare Ill
vent to Nadi he 'n`OZmed me [Pra that ster to get information re-
t
son along with the resr of the lnlormat ion had alr,.
pJ.vns. ` IriY been
Should you have
offioc. ,nY problem with
P1'ase feel tree to contact this:
Sincerely,
Mary J. Jenkins
St. Croix Couuty 7,011i.11y Office
~nr'loyu re
II
:vl'L;csrr;r. :'uF: .,;ell;l.:~ PFlup_
I
r c I uu I
li
II 1: q:pllr:~t i.u 1 i rs he um Vl cl vd in I a I I aJ.l ^.iyul L4 t'. u-unnrll. s) I.i
L n•p. I I . hcltty d<rv<loled. Any in.lArq laC tr:. will nuly result Ln Is l:rv': of Lilt- o,•rrJt
4 u1<. 'h•aI IA III I. tv<•I.,Pmasit he OiL.nd.,d for rvsalc by ownt-r!Co11mil car, (••]p,'.:
Ihlv1 a s,'rund luny, sh~~lA In• rv.[vf Heal .Ind 'n'.p 1.1 cn 411,11 th -aapcr[y is
..11J a.1J x1M'~il lccl to ll%Le eft LL•e with t6a nypropt lJLe do's it Il'L.0rdIL)C.
- - _ _ - _ _ _ - - _ - _ - - - - - - - - - - -
Ir Pr,sporI v _ Nn..
at furl Ill P/n>plvty r-5= +.~rnJn T 3~. N - li k: W
o.l i'. i:y .4J.irrca . l.>-t>_c-=~~1:-.1CLav plc.-^_I `aC its...--- III
.:).11'J 1:41.111 N:Iilll~ ~,-al ~~L~~. ~=i_i~ _ ~a ♦l ~
.1 hIIRI:~ t TF 'i
1 Pilli l'i 4•tY
an' all rot iivrs and lot lines id,•ul it IRLla:' Y,,9
rhi pr,1p,•rIy being dvvcltned '.ul r Av b~p< ! '.,el _
and Pig, Kanber 1 vs L1 0ttdvd 4i Lt. Lho fto;,. •r: 'I,".
I M.11101 1111it lull: %I' I 11.I'I.>F x'11' •:11; 1`II II'.'.10413G:
n.:l .:oily ,
I
' -.n~.I Coul r.i. c
.i III 1rrl, is "it 11 ir•1 it ,IVUi IaLI, 4uu1,: I," ha~llaul t, '.td It,1
li, r.vivvi nr 111 ten, if rho Ju, :l :Irsr r list lon rvicleeres It 't Llrlisl". snrv."/•
'1... till i'orl I1 ,'.Ir v•v Mall shall alvc, be requisI d.
IAPP641Y Xsitd CtRI' LAT1(1N
I', f Ir , tit t rr 117 oq 11( E tuna r9up tn1 bra { try u't l
li I t c th 1. rr III IA file pn,pP t 1 lttrt!.1u1 ul 0LL1
trni r n •rti, 11,1,1 a ua/v<:f_( Jevl 1u un4eri Lr fii J6(.+' i. j. Oe
Is: tit L1111(II :'p I,vvlf ad 001-6.111-0 11f.t t_~~ dIr. r1 tl:a7 ! heel
r1:1 •uyl •91. I Ip:lepd 517 tilt tl"K91Se Il4p'.Sat )ta1eIn ;.4 1 I'veI Ilnvt• 1
i '<•II ' U erntl If. III IA" w'.i ti1 As, I w dPn{_2(bU1 pncll.. 'o, 'I" ~
u "n eu.l Sy+lrm, and fin >a% ilia &eJ7 dlt"i 11 'in u~ptcc
N:r ('olotf'J Rry<.+te1 cl( de'.45 , e1, L'vrl.Pit.)
L~.-• -
Vfrl'dHl: OF OWNEIC ~Ii;6A'ruo OF Cu-Olt l I F AI PL:( AI.i I I
I;•AIt :,R2:f.., r"..IP ',I:.ruell
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OGDEN ENGINEERING COMPANY
CIVIL ENGINEERING AND LAND SURVEYING
123 EAST ELM STREET
RIVER FALLS. WISCONSIN 54022
OFFICE PHONE 7161 425-74531 FRANCIS H. OGDEN. P.E.
.
JOB NO
I,CCoh:r IgQ
ro~s~ G
oni Nc 1 ,on ~f 4 j
Deputy Zoning Administrator
Croix County Zoning Off Ice
1(130 Davis street
Ilammcnd, Wisconsin SdUlb _
Rc: .loa:1 ncarted'v
Dea 1' :bm t
Enclosed is the Pc;itiori for ~k~dilicatiu:l of an ;ldministrativc Rufc
for tile replacement private st"61jge sys'eu: c:t Joar. 6enned}'':; no:lc.
Please sign the petition form and return it tc me. I have also
enclosed a complete set of the docmzicnt tl.at ui1: hr scrl to the
Stt:te for your file.
RCSpectfully VOUI-S,
L
Franc i s I. ovc k-11
1-11(" mo
h:t,lnsures
i