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HomeMy WebLinkAbout032-2071-90-200 Parcel 032-2071-90-200 01127/2005 04:42 PM PAGE 1 OF 1 Alt. Parcel 13.30.20.777G 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): Current Owner " JORGENSON, TROY R & JILL S TROY R & JILL S JORGENSON 1534 23RD ST / HOULTON WI 54082 / Districts: SC = School SP = Special Property Address(es): PrY / Type Dist # Description ' 1534 23RD ST SC 5432 SCH D OF SOMERSET SP 1700 WITC [ln Legal Description: Acres: 3.590 Plat: N/A-NOT AVAILABLE SEC 13 T30N R20W NE SW LOT 3 OF C.S.M. Block/Condo Bldg: 6/1559 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1222/230 WD 07/23/1997 946/431 07/23/1997 744/54 2004 SUMMARY Bill Fair Market Value: Assessed with: 11187 182,000 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.590 50,900 103,400 154,300 NO Totals for 2004: General Property 3.590 50,900 103,400 154,300 Woodland 0.000 0 0 Totals for 2003: General Property 3.590 50,900 103,400 154,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 118 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 0 v 3n c C7 r_ m ° `+1 "n 3 (D # \ 1 v o o ° o w ow C • CD 3 3 f(D (~D CJ CD CJ N U 0 CD NO O Z " CL 7 O - v off; _ o-o 3 cn o D] N O O Z tll a> -G D m n w m cQ o a a v :3 N W cn 3 00 c C c o ~ = 0 ( W OD C n 0 Cl) N cn Cr ti c ~v 3 H . Z O O O cn ~r 03 o w D o N fn fn N Q3 ° O' -0 v v CD " ID S (D ~ 6t y n> (D C n 0- (0 N z ° o z D o 03 _O o CD N CD c w 3 Z (D (n Z CD v 0 7 00 - fZn o w 0 3 a Cn O N z CD w ~ Cn D 77 CL ~o ~o 0 0 o a c m ~ ~ N aN n CD CD CD A v S O G 00 n O p (D O 0(a o- o. - z CL j N CL Vc~v CD n o Cn _ a O b b n DO N o O v, a O CD o ss ,r Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER`" TOWNSHIP SEC. T N-R W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM i ~ y t I INDICATE NORTH ARROW BENCHMARK: Describe the ve~iic3J_ reference point used Elevation of vertical reference point: Proposed slope at site: SEPTIC TANK: Manufacturer: 3~ Liquid Capacity: Number of rings used: Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,u Side 0 Rear, O feet .From nearest property line Front,0 Side,0 Rear, 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: t 4'` Pump Model: Pump/Siphon Manufacturer: 4 W, ' /<<_ Pump Size Elevation of inlet: Bottom of tank elevation:' Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, 0 Rear, Ft."; Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM r r Bed:._ Trench: Width: Length: Number of Lines: r Area Built: Fill depth to top of pipe: 210Number of feet from nearest property line: Front, O Side 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: . ,.I.l ~ Dated: Plumber on job: License Number : 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS P.O. BOX 7969 PRIVATE SEWAGE SYSTEMS DIVISION MADISON, WI 53707 BUREAU OF PLUMBING ❑CONVENTIONAL LW4LTERNATIVE state Plan LD Number. ❑ Holding Tank ❑ In-Ground Pressure Nym OUnd of d55 85005 5046 NAME OF PERMIT HOLDER. ADDRESS OF PERMIT HO LDER. INSPECTION DATE. Scott Ritzer P. 0. Box 145, Stillwater, MN _ BENCH MARK IPermanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. T. ELEV.: CST REF. PL ELEV NE SW, Section 13, T30N-R20W, Town of Somerset, Lot # 3 Na,- of Plumber MP/MPRSW N,, Coumy. Sanitary Permit Number. John Sykora II 3212 St. Croix 69649 SEPTIC TANK/HOLDING TANK: MANUFACTURER ! LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV WARNING LABEL LOCKING COVER I11 Q PROVIDED- PROVIDED: YES ❑NO ❑YES QNO BEDDING: VENT DIA.: VENT MAT EALAR WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING: VENT TO FRESH M E c FEET FROAIR IT ❑YES ❑NO YES NO NEAREST -T c~ O I DOSING CHAMBER: M UFACTU}RER BEDDING: LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTURER WARNING LABEL LOCKING COVER ❑YES NNO Q, ~;;j Ytr C , PROVIDED. PROVIDED. VV rf I 1 f©YES ❑NO rYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE`_~ J I AIR I NL T PUMP ON AND OFF) YES ❑NO NEAREST 7 M s. SOIL ABSORPTION SYSTEM. Check the soil moisture at t e depth of plowing LENGTH 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.) MAIN `7 5 9 LI CONVENTIONAL SYSTEM: BED/TRENCH WIDTH LENGTH O Q DISTR PIPE SPACING COVER INSIDE DIA =PITS LIQUID DIMENSIONS RE H MATERIAL PIT DEPTH GRAVEL DEPTH FILL DEPTH DISTR. PIPE DI IPE DISTR. PIPE MATERIAL. NO. DISTR PROPERTY WELL BUILDING. VENT TO FRESH BE LOW PIPES ABOVE COVER ELFV INLET E E V NO PIPES. NUMBER OF FEET FROM LINE AIR INLET NEAREST--s MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- YES ❑NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS I ! DEPTH OVER TRENCH BED DEPTH OVER rRENCH;eED RYES ❑NO DYES ❑NO CENTER DEPTH OF TOPSOIL SODDED SEEDED MULCHED EDGES j y~ tom` /r t L ❑YES NO ru YES ❑NO YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH NO.OFNC HE LATERAL SPACING J GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER TRES DIMENSIONS ~ / MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL NO. DISTR JDISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING LE V E ELEV.. DIA ELEV.. PIPES DIA t i ELEVATION AND ~J DISTRIBUTION' ` l a .5 j "t 4 INFORMATION DOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED Ir 3J YES ❑NO PLANS YES ❑NO COMMENTS: PERMANENT MARKER OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM a"E' v > El YES ❑ NO X YES ❑ NO NEAREST - JJ Sketch System on Retain in county file for audit. Reverse Side. CIGNAT7URE _ TITLE. DI LHR SBD 6710 (R. 01 /82) z H a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County z d r~ a OWNER/ UYE~!'j-~~ K14 ROUTE/BOX NUMBER I413" Fire Number CITY/STATE c)h IA4cg tAo ZIP SSC~~,~ PROPERTY LOCATION:%M w Section, T ed N, R 20 Town of c7&m'eiz St. Croix County, Subdivision Alo~ Lot number _ Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new 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. Ho E I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with H the standards set forth, herein, as set by the Wisconsin Depart- b 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 'Z DATE 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. PLAN APPROVAL Safety and Buildings Division D I L H R Bureau of Plumbing P.O Box 7969 ❑ General Plumbing Plans Madison, WI 53707 ❑ Private Sewage Plans Telephone: (608)266-3815 OFFICE USE ONLY Plan Identification No. X~ Gallons Per Day PRIORITY PLAN REVIEW ONLY Plan Review Petition For Modification $ j Project Name Project Location - Street No. or Legal Description my -cr ❑ City ❑ Village ❑ Town of: The plumbing plans and specifications for this project have been reviewed for compliance with app s. his 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: 74 James Sargent Bureau Director If Questions Plans Approved By: Date Approved: Contact cc: ❑ OWS ❑ DPS ❑ H&R & Rec. San. Section LJ County ❑ Local PI ❑ Facilities Need Analysis Sectiv ❑ UW-SSWMP ❑ Plumber ❑ Department of Agriculture DILHR-SBD-6099 (R. 01/84) ❑ Owner ~ Other DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, c DIVISION BOX HUMAN NDLATIONS PERCOLATION TESTS (115) MADISON WI 53709 (H63.0911) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP UNICIPALITY: LOTNO.:BLK.NO.:SUBDIVISIONNAME: /VE 1/a`ci)/4 l3 /T~~~~N/R4vE ( r)W COUNTY: WNER UYER'S NAME: MAILING ADDRESS: S't SC USE DATES OBSERVATIONS MADE y~ NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: I/~Residence Aa/ /t, KNew ❑Replace/~/t~,y RATING: S= Site suitable for system U= Site unsuitable for system 0 16V, (1611- ~1SQV✓ / C~ CON❑VENTI®AL: MQUND: EU IN-GROUND-P®SSURE: SYSTEM-I®ILLHO❑LDING®NK: REC~~~ME+NLD~ED SYSTEM: (optional) If Percolation Tests are NOT require DESIGN RAT : 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.) S, B-' ~.9/,(.Ra„ is 3.4 3 a V1 jS 7, oa 3 fU~ 1r7` z. 16to Q p D ~p p/ B- :i Z s! . ftt 84 Si/. ~3 B~ 5~ 2 /!z(o 3 gq Sl , p~Ca6 11 ~D~ S/ ` $~;'I'G1re.: B- 3 94 3 .666 9--s. tj -3 3 3 R Al s ( t.. 9/6; Gj B. 4 (.(.G co Bo " Ux% - B - bbd PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD1 PERIOD2 PERIOD3 PER INCH P_ r ia'h 30 P- P- P- PLOT slC C 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 99417 - L ~C ~S e pp J .,Q_ 61V ter , M . ph 3 > - 51,6 Cvw~@.r of r oaCE f Via, _ bf t ~E 96, 81 a,excl Ll T N f'J4 - ' O-z 'WL f I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin -Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: ' at- ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): ljlk C T SI AT RE: ! DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. D11 HR-SBD-6395 (R. 02/82) - OVER c _ T ~ E . uAlk t E IS SWAN 0 1 R S e['t.M. RULED .6te . BASED NL G ND IT ..N , PLC ASE tJ, '3if a 7 A } f E a3 ,i u~.0 i~?etE})3 CiiT L~ ln` E f. n zF t _ t..t.,` .,is v E F shovin, [r K" . f(.m r 3,. n)1 ai(3 F'r, SACO Ones W; A" Via!-, S s H i eta 13r G q 4 r ` A: c p„ r Sum i t ~ SO V t Z 4 NW&I E- j 4 ck" ley tav~"' R' - F, el n. ai .'-:,l 5i. .5 vol 7 nod _ _ s oE s mm,WN, z. to Be ,W.w ST. CROIX COUNTY ~k WISCONSIN ZONING OFFICE 796-2239 (HAMMOND) 425-8363 (RIVER FALLS) ..~IYY► HAMMOND, WI 54015 July 29, 1985 Division of Safety and Building Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Dear Sir: An onsite investigation for the Scott Ritzer property located in the NE14 of the SW!4 of Section 13, T30N-R20W, Town of Somerset, Lot#3, St. Croix County, revealed suitable soils at a depth of 28 inches, 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. Sincerely, Thomas C. Nelson Assistant Zoning Administrator mj STATE OF WISCONSIN-btVX1 taT 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 dX1%MX NEB SW 1L S 13 T 30 N/R E(or)W Somerset St. Croix Street Address: Subdivision: County: Landowners Name: Mailing Address: Scott Ritzer c/o Chester Loverude Box 145, Stillwater, MN 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. 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 NE 1/4, Sw 1/4, Sec. 13 T 30 N, R20 ) W Town Somerset Street Address Lot No. 3 Block Subdivision Landowner's Name: Scott Ritzer 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: [Ito 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'e-& to you.) one of the applications needing a quota number. The quota number assigned to this application is 59 - 13 - 6 ❑ 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. 1_._1 for an application on file prior to February 1, 1980. L]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 I certify that the above information is true and accurate to the best of my knowledge. Name Thomas C. Nelson Si ure County Official Title Assistant Zoning Administrator Date July 29, 1985 DILHR-SBD-6158 (R 12182) APPLICATION FOR SANITARY PERMIT ST C- 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, ("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property 10c 2~ze, ~ZeI- Location of Property Ate 14 I&W , Section l , Tom? N-R ? W Township Mailing Address Z.e,.,, k Address of Site Subdivision Name Lot Number Previous Owner of Property iN 11.1 e Total Size of Parcel } .a Date Parcel was Created 41 Are all corners and lot lines Identifiable?Yes No Is this property being developed for resale (spec house) ? Yes No Volume n and Page Number 1. ? as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and F)age number, and the Seal of the Register of Deeds. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATION I (we) ceAti6y that aU statements on this 6otm ate tAue to the best o6 my (outd know.eedge; that I (we) am fate) the owneA(,s) o6 the ptopeAty des cAibed in this in6otmation botm, by viAtue ob a wcvvtanty deed tecotded in the 066ice o6 the County Registet o4 Deeds a3 Document No. and that 1 (We) ptmentty own the ptoposed site Got the sewage dizposat system (ot 1 (we) have obtained an easement, to tun with the above dens cAibed ptopeJc ty, bot the cowsttuc ti.on o6 said system, and the same has been duty teco&ded in the 046ice o6 the County Regtistet o6 Deeds, " Document No. SIGNATURE 0 OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) ~j 's DATE SI NED DATE SIGNED ° r N _ IC ~ m Cn m ^►~~-1 U►N30 ° y to p1 ' ~ R7 C, m cc ~ ' O ~ c c 'D C S m -0 d m m p? 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G aO m 0(a C m ~m 7 -i (D C la g _3 0 0 3 °R w 9L a CD 0 0 3 (n 0 ° o s *w CD r o Z .y e 0 PLAN APPROVAL Safety and Rurnbis Division D I L H R Bureau of ..uming P.O Box 7969 ❑ General Plumbing Plans Madison, Wl 53707 Private Sewage Plans Telephone: (608)266-3815 OFFICE USE ONLY Plan Identification No. Gallons Per Day ~ PRIORITY PLAN REVIEW ONLY Plan Review $ ! ► Petition For Modification $ Project Name Project Location - Street No. or Legal Description county A El City El Village Town of: 77- ~ \ , C \ x 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: c_-,, 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 prov Contact cc: OWS ❑ DPS ❑ H&R & Rec. San. Section County ❑ Local PI ❑ Facilities Need Analysis Sectic)n ❑ UW-SSWMP ❑ Plumber ❑ Department of Agricultur DILHR-SBD-6099 (R. 01/84) ❑ Owner ❑ Other PUMP UiAMBER CROSS SECTION AND ~ JPECrFICnrlr7us VEkIT CAP ` c.1. VENT PIPE WTO~ TH oOF ZtD OCKING 25' FRO M Oc.OR, JUER wINDGw OR FRE SH 12'MW. VVVVV AIR IRITAKE GRADE 4" MIlJ. ~ _ _ 18'r~lu• I' COMOUIT 18"N11AI• ? ~ 11~ tNl E' T PROVIDE I AIRTIGHT SEAL ( I (I ` ' I V APPKOVt.1) JOINT A I Ii' APPROVED JONTS W1C.I. PIPE _4 1 w/C.I. PIPE EXTENUTAIG 3' I.LI_e E~.TER10lNG 3' OUTO SOLID ~Gll_ -ALARM P ~ .,Vi b c~ ~ I ow 4 p L~ PUM = oFF V Py - M r CRETE 6l-0EK RISER E ER TEED GIJL4 IF TAWK MANUFACTURER HAS SUCH APPROVAL SPECIFICATI0kJS 8505046 _PTIC, AND SE TAIJKS MA►JUFACTUPLER: iiJ(MBER OF DOSES: /Z" PER DAB TAUK :,IZE : i GALLOAIS DOSE VOLUME: GALLOIJS ALARM lA1JUFACTUKE,R: /1t CAPACITIES: A~ 1 OR GALLOAIS MOULL K1UMbER: _ =2~ IIJCIRES OR GALLONS SWITCH TYPE; /J C= IIJCMES OR GALLOkIS 1'IIMI' MAtJIIt A[.'JLlRt'R: ~ D = IyCNES OR CALLOUS MODEL AIUMBLK*. _ NOTE.: PUMP A/JD ALARM ARE TO BE SWITCH TYPE: IAISTALLEO OIJ SEPARATE CIRCUITS PUMP DISCHARGE RATE GPM + MINIMUM NETWORK SUPPLY PRESSURE , . . . . . . . . 2.5 _ FILET ♦ 2 FEET OF FORCE MAIN X Fj~ ME>3 O worr,FKICTI0kI FACTOR.. FEET TOTAL OyNAMIC HEAD = FEET AUG 10 { "LUMIBING SECTION I10TI KIJAI DIMEA1510►.IS OF TAIJK: LEA1(,TN ;WIDTH - ;LIOUIO DEPTH S 1 ' :THE MILLER 3f*, 5 8 Stanch w 0~ Sift94 54wap Siphons tN,w WnR Uwe lc_ I • ` low V ►km L%4 0 ' . A •ri, :i • l W6 Radilkar, 'dfrCda p pW and • ! bark wqt and oMrr/low, art • not rurnl~ Of Sam by Mx • i. PPr oh*iwr. V1tri/iad till • Ploy anr( Rituiyr am Pool** • ' • : Mrrd Apr this I•MDew- Approximate Diasan"U in Inelm and.AVMW Weights in Pounds Diameter of Siphon . A 3 4 5 6 8 Drawing Depth!.. D 1,3 17 23 30 35 Diameter of DisClwge Hold C 4 4 6 8 8 Diameter of Bell 8 10 12 15 19 21 Invert Below Floor • E 4% 5% 7% 10 9 Depth of Trap . F 13 14% Width of Trap G 8.3/8 11 23 30'.4 40 Haight Above Floor . 14 16 16 5/8 Invert to Di9chmV1m0+E+K H 734 113/4 9 YIN 11 16 J 20 25% 33% 3X 44 47 Bottom of Bell to Floor K 3 3 3 4 3 Center of Trap to End of Discharge Ell Diameter of Carrier L /4X 14X 17 19 25 A~larage Dis&m Rate GAM S 4 4-6 6-8 8-10 8-12 Wximum Discharge Rate G.P.M.. • . • . 73 165 328 -474 850 Minimum Discharge Rate •G,A.M.......... 96 227 422 604 1400 Shipping Weight in Pounds . , • • ' 48 102 234 340 500 Detail! Drawing IF 60 150 210 300 800 • • • 373 374.2 375 376 378.2A Noce:-Two ainyle Sk hone of this type eat side by side in the mm tank will alternate. See page 4 for diacription of operation. The draft "D' well be 1' co 2" lea in this case. here we carried in stock and can be Siphons listed The shipped promptly on receipt of order and payment. drawing depth may be reduced in ow in case by special air piping, Contact the manufacturer for these spedM applications, 3 ,~.~ix TbaS'm+y~ «w. { 't~r•}nA'.°`'r .S ,~4 q, 4 +t {,...':r . hti~~~ " #w~ ~ irlr~ ~MI/•IJ~ :.~M!{~~' ,.w+rr ~Mr ~ trR. ~+r ......«Rwr Y .e w y r: ♦ ` r 1\ \ ri O T i .~.,y 'ate • of 10 V s . ~k. y ♦ I r "lie L n i. • rr`,~ 4 4« ` , C 1 t, awl • ~ ♦ i ~ ~ 4~~ ` g rye t'~ - r ~ w ~ ~ f • F•,, aq~p w f • ''f ow% two o- N ell 0111 f .u 1 t u;'' It I AIRS 'T ~:o N P26 E C s , t ' a 44 f4c -flo- ! •7 p,rC P_ tci c y J ttr/ ~ ~1 ~ f ' ~ros S ~CGfr v s1 O ~ MOK~ ti - M v • r ti lA~ gnu °f 3r . 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CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - JORGENSON, TROY R & JILL S TROY R & JILL S JORGENSON 1534 23RD ST HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1534 23RD ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.590 Plat: N/A-NOT AVAILABLE SEC 13 T30N R20W NE SW LOT 3 OF C.S.M. Block/Condo Bldg: 6/1559 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1222/230 WD 07/23/1997 1 07/23/1997 744/54• 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.590 50,900 103,400 154,300 NO Totals for 2005: General Property 3.590 50,900 103,400 154,300 I Woodland 0.000 0 0 Totals for 2004: General Property 3.590 50,900 103,400 154,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 118 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 032-2071-90-110 10/31/2005 10:51 AM PAGE 1 OF 1 Alt. Parcel 13.30.20.777F 032 - TOWN OF SOMERSET Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - JORGENSON, TROY R & JILL S TROY R & JILL S JORGENSON 1534 23RD ST HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 5.250 Plat: N/A-NOT AVAILABLE SEC 13 T30N R20W NE SW LOT 2 OF C.S.M. Block/Condo Bldg: 6/1559 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 02/22/1999 5981410 1405/53 WD 07/23/1997 1236/22 WD 07/23/1997 1136/83 WD 07/23/1997 1022/515 QC 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.250 59,200 0 59,200 NO Totals for 2005: General Property 5.250 59,200 0 59,200 Woodland 0.000 0 0 Totals for 2004: General Property 5.250 59,200 0 59,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00