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Home My WebLink About038-1026-90-000 n Cn O 9 v n d ~1 O C D) O c S "0 3 7 CD -0 (D - ~ O C/) z c) -j 00 U) C) CD SU N tl N a) W :r 3 !yam' j c 1 ID 7 O ((D CD -4 ~ CL z ch C/) C) 0o O CD W 7 E 00 to 0- 0 - m N C L S O O N < Q O M. i CO co --0 O 7 Ca CD O O O O CO , CD CD C7 7 'O co co a m ° CD 7 N cn O C (n cn N `y lam. Cn tl F (D c C O. m ` ° cn CD co 1~ ~ W CD - - CC) 00 - cn Z oN 9 O ~ N s O W (D LT1 C) CD O co N H (D CD R b 7 C CD CO v CD C/) ° Q n• N C/D z CD N N ((D H. Id p rri ° o O O O " . (n 3 A Vq ai can vii o n 4- a C ° CD m (D ~o N v a v v q J p G) C~ o fD N CD H rt In a m cn . a CD H O o y ~ z 0 0 tr D D o ~y r- O a N • O o' CD "ad N 00 I I ~ r1 N O 00 w ~ I w m H H O W Lei z A z (D 0. 1--' N to o O. W W = U) m cn :2~ (D W v m z (D ( w r) a D (D N. o z 00 b ~ N m Ol N• w v n w CD m Q CD 0 I v c z a 0 N CD U) y I A A I S S a N N O O a I A 0 b 4wi CCDD 21, tv En O w O :E O a 6 (D 0 ti Parcel 038-1026-90-000 01/24/2006 09:32 AM PAGE 1 OF 1 Alt. Parcel 6.31.18.118 038 - TOWN OF STAR PRAIRIE ST. CROIX COUNTY, WISCONSIN Current X 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 - HEINTZ, DANIEL J & DIANE M DANIEL J & DIANE M HEINTZ 2361 84TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 2361 84TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 6 T31 N R1 8W SE NW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-31N-18W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 722/223 2005 SUMMARY Bill M Fair Market Value: Assessed with: 118741 Use Value Assessment Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 32.750 4,100 0 4,100 NO 10 UNDEVELOPED G5 5.250 5,000 0 5,000 NO OTHER G7 2.000 25,000 114,500 139,500 NO Totals for 2005: General Property 40.000 34,100 114,500 148,600 Woodland 0.000 0 0 Totals for 2004: General Property 40.000 34,200 114,500 148,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 150 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 038-1026-60-000 01124/2006 09:31 AM PAGE 1 OF 1 Alt. Parcel 6.31.18.115 038 - TOWN OF STAR PRAIRIE 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 - HEINTZ, DANIEL J & DIANE M DANIEL J & DIANE M HEINTZ 2361 84TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 46.000 Plat: N/A-NOT AVAILABLE SEC 6 T31N R1 8W NE NW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 06-31 N-1 8W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 722/294 2005 SUMMARY Bill Fair Market Value: Assessed with: 118738 Use Value Assessment Valuations: Last Changed: 10/05/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 39.000 4,500 0 4,500 NO 10 UNDEVELOPED G5 7.000 4,300 0 4,300 NO Totals for 2005: General Property 46.000 8,800 0 8,800 Woodland 0.000 0 0 Totals for 2004: General Property 46.000 9,000 0 9,000 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 Form - S T C - 104 O ,9AS BUILT SANITARY SYSTEM REPORT TOWNSHIP ' SEC. T IN-R i% W ADDRESSST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE ~PLAN VIEW Distances and dimensions to meet requirements of I•ZIiR, 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~ I` J~rj t~f)0 INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: Proposed slope at site: - = SEPTIC TANK: Manufacturer: 1,1J /r Liquid Capacity: /')'015>y Number of rings used: cam' Tank manhole cover elevation: Tank Inlet Elevation: 7 Tank Outlet Elevation: J L~ Number of feet from nearest Road: Front,/0Side0Rear, O feet From nearest property 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: rC~~ Pump Model:Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation:G llons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side , Rear, Ft Number of feet from well:( Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Trench: Width: Len the f Number of Lines: Area Built:-' 1 Fill depth to top of pipe: / Number of feet from nearest property line: Front, O Side, Rear,O ht. 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 Bu' t: Has ei er a drop box O or distribution box O been used on any of the above soil abs rbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation o inlet: Number 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 Pb: License Number : y'Yvt 3/84:mj DEPAP,TMENT 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 AXALTERNATIVE S,,I,PIenI.D Number. -~;g ~ Ilf assigned) ❑ Holding Tank ❑ In-Ground Pressure Amivlound 8506534 NAME OF PERMIT HOLDER ADDRESS OF PERMIT HOLDER- INSPECTION DATE Estate R. R. 2, New Richmond, WI 54017 BENCH MA K IPem,anenl reference P-1i DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.. CST REF. PT ELE V SE NW Section 6, T31N-R18W, Town of Star Prairie Na- of Pl-,b-. IMP, MPRSW Nn. C--, Sanrt~ry Permit Nutuber S Gar L. Steel 3254 St. Croix 74977_ SEPTIC TANK/HOLDING TANK: MANUFACTURER f LIQUID CAPACITY J ANK INLET ELEV TANK OUTLET ELEV JWARNING LABEL LOCKING COVER PROVIDED PROVIDED. IYYES ONO DYES 5~1\10 BEDDING: VENT DIA VENT MA II HILI!WATFH -NUMBER OF ROAD. 'PROPERTY WELL BUILDING. VENT TO FRESH A AHM IFEET FROM ~r AIJ INLET DYES O I _J YES _O NEAREST DOSING CHAMBER: MANUFACTURER BEDDING I IOUID CAPAC.I Tv PUMP MODE t PUMP. SIPHO>: r.tA Nl)I ACIUR6 H WARNING LABEL LOCKING COVER •i /r 1 PROVIDED PROVIDED - ~ ]YES L NO t.tti Er" YES LINO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF I'Hr)I'ER TY WF U- BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM ti AIR INLET PUMP ON AND OFF) YE°i NO NEA SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing - nI n,F TE H [14T1 RIAI AND MARKINI, or excavation. Of soil can be rolled into a wire, construction shall cease until MORN E j ( ~ yhy~ Lj J the soil is dry enough to continue.) G.-~f V CONVENTIONAL SYSTEM: WIDTH LENGTH NO OG UI"I, PIP. SV.1Ci ~r- .r Fii nE )11A =PITS LIQUID BB RENCH THFNCIIS A.FLIAI PIT DEPTH DIMENSIONS GRAVEL DFPTH FILL DEPTH DISTH PIPE DISTH PIPF DISTR. PIPE MATERIAL NO DISIH NUMBER OF PROPERTY WELL IeUILDING VENT TO FRESH BE LOW PIPES ABOVE COVER E FV INI F I ELEV END PIPES LINF AIR INLET. FEET FROM 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- meets the criteria for medium sand. TIONS MEASURED. /YES ❑NO SOIL COVER TFxTUHE -.IANI NT MAHKf Hs OBSEHVATION WL L_S F;_m~'YES _ DNO _K?Y ES DNO DEPTH OVER TRENCH BED DEPTH OVFH .H BED I)E PTH OF To 1PSliIL S();)UE I> >Fk DFI) rtiULCHED CFNTER EDGES YES. NO 1? YES LINO X YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH No. OF LATEHALSPACING GHAVE L OFF T H BE LON PIP! FILL DEPTH aEOVE COVER BED/TRENCH TRENCHES DIMENSIONS 1,4 1 I` 1 / 1 MANIFOLD PUMP MANIFOLD DISTR. PIPE JMANIFOLD MATERIAL NO DIS1H DISTH PIPE DISTRIBUTION PIPE MATE HIAL & MARKING EIEV ELEV. S DIA ELEV PIPES DIA ELEVATION AND ! 8/ - 10 ~f /v I ,/lJ DISTRIBUTION f ! f INFORMATION ROLE SIZE ROLE SPACING DHILLF D CQHHEC I LY COVFR MAT LHIAI VERTICAL LIFT CORRESPONDS TO APPROVED PLANS YES ONO -YES [:]NO MARKERS: ~T_NUMBER OF PROPERTY WELL. BUILDING COMMENTS: OBSERVATION WELLS LINE FEET FROM 1 i PERMANENT YES C NO 'JYES NONEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE _ _ TITLE DILHR SBD 6710 IR. 01/82) _ t r wisconsin APPLICATION FOR SANITARY PERMIT ~ DILHR C COUNTY (PLB 67) ~ oEggqr of mEnT UNIFORM SANITARY PERMIT # /;71 71Z - InOUSTgY,LRBOq 6HUTRn RELgTIOns 1 /71 -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8'hx 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILIN ADDRESS Lit. P PERTY LOCATION CIT-y- 1/4 /A(-i/4, S i 31 N, R/ E (or) W TOWN OF: LOT NU BER BLOCK N -MBER SUBDIVISION AME NEARE ROAD, AKE OR LANDMARK STATE PLAN I.D. NUMBER l Q TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms. ; ❑ Public (Specify): THIS PERMIT IS FOR A: ❑ New System ❑ Tank Replacement ❑ Repair Replacement ❑ 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: ❑ Mound ❑ In-Ground Pressure Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity 7 Lei Lift Pump/Siphon Chamber Manufacturer: r PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): .27,--- ' _ %p KL Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for instal lati 'of the private se e system shown on the attached plans. Name Plumber (PrintJ): Signature: MP _PRSW No, : Phone Number: 1 Plumber's Addre : Name of Designer: COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved r~ ❑ Owner Given Initial Gz t i7n S_ 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. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS MADISON, WI 53707 (H63.09(1) & Chapter 145.045) LOC/A'TION: tJ SECTION: u ~ JTLOT NO.: BILK. NO.: SUB (VISION NAME: C g w1/ 6, I T21 N/R " 161S (or) W R 16 14-1 J COU TY O ER'S BUYER'S NAME: MAILING ADDRESS: . l #z gaxn~ 6d, USE DATES OBSERVATIONS MADE l NO. BEDRMS.: COMMERCIAL DESCRIPTION: y~ (PROFILE DESCRIPTIONS: PERCOLATION TESTS: (`Residence ' LJ Newieplace 9' RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-P ESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) [Is u s❑u ❑su ❑s0u ❑sSu If Percolation Tests are NOT required DESIGN F~f T : If any portion of the tested area is in the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: i PROFILE DESCRIPTIONS 'r- S BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER LEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) q c 5 z% z5 r B9 03 5'0 r 7 B" B B- ~,r I 3 PERCOLATION TEST V~ TEST DEPTH WATER IN HOLE TESTTIME DROP IN WAE WEL-11NCHE5, RATE MINUTES NUMBER I AFTER SWELLING INTERVAL-MIN. PERIOD 1 P• IOD 3 PER INCH ° y ~ P f / A)n 06- O `/'Z- .30 P- Z 2eP 0 1-1& ~3 151 ./Yv 30 P_ tav A) ~ 3c) 3 ~ s P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. 0, p"of.h.ln a SYSTEM ELEVATION o z _ V, 1. E SSG . _ la )Ij r2j ~e r.Gl fiEi j r~ ESL 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: ~_5 ADDRES / CERTIFICATION NUMBER: PHONE NUMBER (optional): CST SIG U E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) - OVER i l' `010 9 : ,ti' € s l r` ir~re€ €E t=iFrE , , ..u..... . co me v u€ projul; tiL~:Iv. t o use lO« ;.i., €ur V w xr5 - e., L SITE IS fJ(TA3:4j~E FOR C3 f"4 HOLDING [L g _.v 'E_t r3y tdi).cJ ~ Sa<[ @@7 [iM t ~ 3..)1'345Y ~i s E fir S()I_~r&1i4~6 J,I df St.,~h"w" I. ~i1 ~3~_R ..0C~ii'.€.9 ARE 4yi._~_EF'. ~aU BA PLEASE . use die 5l, d tt:.," a mi.:s shown €3i=re for ring iv EH t:Anc iptif,i m aml €,4kC'€,p?€i:`ting `h p3!ot piz§ ; MAKE .4 I.x_Gly L dic3f,rwn :atac,i a€el k awii g crur test bmi ns. D ..vvirlt, to scale is pi efes rcd, j-1.. , ~ =.i€ ,}.''t, d',ie c3 ~ J "r? :73'a i qtC fki't FllarEc'l[f:; v. all "_e c'xcrr. - t `3 p i 4 , z F ihe, 4..:, and u r :i"-t;wr tip ~a. -ai ii r `re TFF-g ."s- sum win W3 RA Bes, o3 t i O;y .3 j is i r z. Poe z; `a'iC:F Wig - ,fie Id€; a. 4 r'aY'y w", E c. eG i 3 F I i Thr W r oil 0 V (0, >vb. i, .In t- to NTv Wy Loan mot Mw So OY Coy Q! W! L 1 74 1671 PLUN'iBiNG BUREAU ( YY ~qo P, z tam /33 ~ ai 100 ~ n o ~ ~y Bt)P[:,~,~ J ' 6 1 ~ 1 d AW /96 t\ oo r~ OPTIONAL WORKSH ,ET I. MOUND SYSTEM I1. IN-GROUND PRESSURE SYSTEM-Continued- i. Wastewater Load, Total Daily Flow. y.'o gai• 10. Force. Main: Use s. ILHR 83.15 (3) (c) Minimum Dosing Rate= gpm. Adm. Code and PROVIDE A DETAILED Diameter = in. LIST OF SIZG ON PLANS. 11. Total Dynamic Head: 2. Depth to Limitin Factor ft. System Head = 2.5 ft. 3. Landslope = p- z % Vertical Lift = .L r, 2 ft. 4. Distance from Dose Chamber to hZ Friction Loss a_ ftft. Distribution System 2o ft. TDH = . 5. Elevation Difference Between m„5' 12. Pump Selection: r 414 a .L_wt; Pump will discharge at least Pump and Distribution System ft• gent at irl. ft. total dynamic head 6. Area R Absorption Area Sizing: = Sizing: 3 S sq. ft. Pump Siyi,a manufacturer. ^ u A Bed or Trench Length (B). ft. Bed or Trench Width (A) a V ft. 13. Dose Volume: Trench Spacing (C) _ ft. 10 Times Void Volume of 7. Mound Height: Op Distribution Lines= 15 n gal. Fill Depth (D) _ ft. Daily Wastewater Volume 4-3 , Fill Depth Downslope (E) ft. *Doses in 24 hrs.' gal. Bed o Trench Depth ((E ft Backflow = 07 -a1 3- gal. gal. Cap and Topsoil Depth (G) ft Minimum Dose = 187t L . Cap and Topsoil Depth (H) a /'5 ft. 14. Dose Chamber: 8. Mound Length: Volume = goo gal. End Slope (K) ft. Total Mound Length (L) _ _11:K. ft. 111. CONVENTIONAL PRIVATE SEWAGE SYSTEM 9. Mound Width: i. Wastewater Load, Total Daily Flow = gai• UpslopeCorrection Factor = D Use s. ILHR 83.15 (3) (c), Wis. Upslope Width (1) _ ~ ft. Adm. Code and PROVIDE DETAILED Downslope Correction Factor = LIST OF SIZING ON PLANS. Downslope Width (1) = ft. 2. Required Septic Tank Capacity ° gal. Total Mound Width (W) _ ft. 3. Percolation Rate = min./in. 10. Basal Area: 4. Absorption Area Sizing: Infiltrative Capacity of Refer to Table. 2 in eh. ILHR 83 Natural Soil = gal./sq.ft./day and PROVIDE A DETAILED LIST OF Basal Area Required - 77-p-.1 sq. ft, SIZING ON PLANS. Required Area = sq. ft. Basal Area Available = 2,95 sq. it. 11. if Standard Tables from Chapter ILHR 83 Length = ft. - are"used, Indicate Table # width ft. 12. For the Distribution Network, Use Numbers 5-14 in Section 11. Number of Trenches = Trench Spacing = ..c... ft. 11. IN-GROUND PRESSURE SYSTEM 5. Distribution System; t 1. Depth to Limiting Factor = 3~ ft. Lateral Length = ft. r,r % Number of Laterals. Z 2. Landslope nZ}Nt~liV~t 3. Percolation Rate = _.R min./in. Lateral Spacing = in. 4. Proposed System Elevation ft. Distance from Sidewall to Pipe = in. 5. Wastewater Load, Total Daily Flow: gal. System Elevation = ft. Use •s. ILHR 83.15 (3) (c)) Wis. Adm. Code and PROVIDE A DETAILED IV. SYSTEM-IN-FILL ~r LIST OF SIZING ONTLANS. Fill in All Items from Section t5 Required Septic Tank Capacity = /G00 gal. 6. Absorption Area Sizing: V. SEPTIC TANK Percolation Rate min./in. 1. Capacity = gal. Area Required = i r7 5 sq. ft. 2. Manufacturer. E ~r' n6 v' ` PT~ v System Length = ft. 3. Show Site Constructed Tank Details on Plan System Width = ft. 7. Distribution Pipe Sizing: / VI. DOSING TANK Hole Size in. 1. Capacity = gal. Hole Spacing ft. 2. Manufacturer:, Lateral Length - ft. 3. Pump Manulacturer. (-A 11 1 d Literal Size in. 4. Pump Mudcl: ey r Lateral Simcing - It. 5. Operating Head= it. Distance from Sidewall -lo Pilve in. 0. Flow Rate= gpm• H. Distribution Pipe Discharge Raw 7. Show Site Constructed Tank Details on Plans Number al I lutes Per Pipe I low Per Pipe : gpm. VII. HOLDING] ANK 4. Manifold Sizing: 1. Capacity = gal. Type (center or end) _ 2. Manufacturer. Length = It. 3. Show Site Constructed Tank Details on Plans Diameter in. -SHOW ALL INFORMATION ON PLANS- OILHR SBD•6761 (R.03/82) 6 I Page_ Of Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand H G Topsoil - 3 1 E D 3 Slope Trench Of 2- 2'" Force Main Plowed Aggregate Layer Undisturbed D / Ft. Soil E Ft. Cross Section Of A Mound System Using F , 7.5' Ft. Trenches For The Absorption Area G Ft. A Ft. H Ft. B W Ft. Signed: - c Ft. r k License Number: K Ft. L Ft. Date: J Ft. - Alternate Position of Force Main W2,Ft. PLUI V, raiiv r~UrE. 4J L 6 ~be B 3 K A = - - - - - - Force - - - - Main W Obser ation Perma nt Pipes M k rs 7 -j Distribution Trench Of 2 - 2 2 w Pipe Aggregate Mound Using 45 Trenches For Absorption Area L Page _ Of _ Perforated Pipe Detail 0 End View ~Perforoted End Cap PVC Pipe 01A ~~8~0 r SE ~(}1 Holes Located On Bottom, W S 1 J Are Equally Spaced S P P C Force Main r: .7 P PVC / d Pi % Alternate Position 01 AY! +rJ~~( Distribution Force Main Pipe Last Hole Should Be Next To End Cap End Cap Distribution Pipe Layout R S PLUMBING RURENJ X Inches Y Inches Signed: Hole Diameter ~ "At Inch Lateral 11 Inch(es) License Number: p w ~a ~ Manifold '4 Inches Date: S- f S~-8S Force Main 2, Inches # of holes/pipe 3Z S~ Invert Elevation of Laterals/0 2' Ft. PAGE OF PUMP CHAMBER CROSS SECTIOIJ AND SPECIFICATIONS VENT CaP '1"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER 25' FROM DOOR. WINDOW OR FRESH 12"MI1I. I ~~r C~ AIR INTAKE GRADE I 4" MIN. MIU. • f8"/KIN. COKJDUIT - I ---8 MILE T PROVIDE AIRTIGHT SEAL I III Q~ APPROVED JOINT A I III APPROVED j01tJT5 W/C.I. PIPE I III WIC.z. PIPE EXTENDING 3' I I) ALARM EXTENDING 3' ONTO SOLID SOIL i I ONTO SOLID SOIL B ON c I I ELEV. S1SZ FT. PUMP--- OFF i. r D CONCRETE BLOCK ~;)Nknf4VU BUREAU RISER EXIT PERMITTED GKJLy IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC SPEC-IFICATIOUS 8506534 DOSE TANKS MANUFACTURER: NUMBER OF DOSES: PER DA-4 TAIJK SIZE: - GALL0 JS DOSE VOLUME /83 C/~ /Wp d~ONS ALARM MANUFACTURER: 'AlnK llJE INCLUDiN6 BAGKFLOW: ` GAL MODEL IJUMBER:-AM CAPACITIES: A=INCRESOR GALLONS SWITCH TYPE' g INCHES 0R GALL0MS PUMP MANUFACTURER: C= -'C! -IKICHES OR-"0-7cALLONS MODEL NUMBER:. 010)405 D=- FICHES OR'Z67~GALLONS SWITCH TYPE: ya:z, NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE .s~~ ~GPIA INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEREKICE BETWEEN PUMP OFF ARID DISTRIBUTION PIPE.. FEET it + MINIMUM NETWORK SUPPLY PRESSUR~~E✓~. . . . . . . . . . 2.5 FE~T + FEET OF FORCE MAIN X ~L 4Z Fioo Ft FRICTION FACYOR..,;~ ttT 2 2.'zg4 !P fj1th -1~r"X R a X 0 TOTAL OtiMAMIC HEAD = FEET z~ INTERNAL. DIMEWS► NS OF TANK: L~ Ti* "-;WIDTH LIQUID DEPTH / SIGNS LICEWSE MUMBER'~ DATE: '-~S e'del 3370 t.:t", rs'ble Effluent Puy 120 yy , e 100 yo % 3: ~'P V E h7S, is YP C, IS'Ph 70 , 7 60 h!p ``r o~ f ti, .p r PHO 40 3 P WPM03,'h H.P. i PtijuaiVla 20 W P03, 'A N.P. 0 20 40 60 1 80 100 120 Ca"c!ty - Gallons Per P.4l jute 85(}6534 / H.N. 0-,kw •v Pr'ew An" RPM saw. (nn.; 9.4 x L1.. hi+jg 1750 - St h WWA3t2k_ 230 10 1.7 _ WP!-)312E WPt-X)6 1 E . 115 WP IOSt?E 230 8.0 w WPH0532c 208/230 3.4 30 Wf~F~I(Y534E 480 1.7 L, WPH0712E 230 10 9.0 1c WPH0732E 206/230 30 5.4 WPM734E 460 2.7 70 WPH1012E 230 10 11.6 3450 " 1 WPH1032E 208/230 30 6.4 + W'PH1034E 460 3.2 ems, ` WPH1512E 230 10 13.3 aa f WPN1a12E 208/230 9.2 !l' WPH1534E 460 30 4.6 80 111////// 1 h - WPHH1512E 230 10 13.3 r WPHH/532E 208/230 9.2 4.8 'IA~1 WPHH1534E 460 3* SPECIFICATIONS AAE SUBJECT TO CHANGE WITHOUT NOTICE 3 c~ 01 Mamma STATE OF WISCONSIN DILHR DIVISION OF SAFETY & ®I L H R PRIVATE SEWAGE SYSTEMS BUREAU OF PLUMBING BUILDINGS o, 201 E. Washington Avenue, Rm 141 PLAN APPROVAL APPLICATIGN P.O. Box 7969, Madison, WI 53707 608.266-3815 r- 'INSTRUCTIONS: Please fill in all applicable data and submit this form with plans. Plans will not be reviewed Until all fees are received. The back side of this foFm describes required plan information. Plumbing codes can be purchased from the Department of Administration, Document Sales, 202 South Thornton Ave., Madison, Wisconsin 53703, Telephone (608) 266-3358. 1. PROJECT INFORMATION (Type or print clearly) Revision To Plan Number: Name of Sub fitting Party (Plans returned to same) Project Name Street & No. or Ru I Route Project Location - Street & No. or Legal Description _ . Z 6- 0-- o5G%~~ l~l S. 7-131hJ /~'/810 Villa El City or Village State / Zip City O County L ICJ Jr f7?QYlCl ~~r, ~~Q /7 Towne OF~4 ~~Y6~ PU/✓~ Telephone No. (Include area code) Designer Telephone No. (Include area code) Owners Name Telephone No. (Include area code) Street & No. Street & No. City or Village State zip City or Village State Zip 2. APPLICATION FOR: New Mound System (3a) ❑ Groundwater Monitoring (7) ❑ Conventional System - Public Building (1) ❑ Replacement Mound (4a) ❑ Holding Tank (2) Replacement Pressurized System (4b) ❑ System in Fill (1) ❑ Petition For Modification (6) ❑ New Pressurized System (3b) ❑ System in Flood Fringe (1) ❑ Other Alternatives (5) 3. FEE COMPUTATIONS (Include existing tanks) 4. FEE SUBMITTED FOR OFFICE USE MAKE ALL CHECKS PAYABLE TO DILHR 3a. 750 1,500 gallon septic tank - 50.00 4a. 3b. 1,501 2,500 gallon septic tank - 60.00 4b. 3c. 2,501 5,000 gallon septic tank - 80.00 4c. 3d. 5,001 9,000 gallon septic tank - 100.00 4d. 3e. 9,001 - 15,000 gallon septic tank - 150.00 4e, 3f. Over 15,000 gallon septic tank -250.00 4f. 3g. 500- 1,000 gallon dose chamber - 30.00 4g. 3h. 1,001 - 2,000 gallon dose chamber - 50.00 4h. 3i. 2,001 4,000 gallon dose chamber - 70.00 4i. 3j. 4,001 8,000 gallon dose chamber - 90.00 4j. 3k. 8,001 - 12,000 gallon dose chamber - 110.00 4k. 31. Over 12, 000 gallon dose chamber - 150.00 41. _ , f Aw 4 3m. 500 - 5,000 gallon holding tank - 30.00 4m. .n i 3n. 5,001 - 10,000 gallon holding tank - 55.00 4n. r''' .1sl 505 3o. Over 10,000 gallon holding tank - 100.00 4o. 3p. Revisions - 20.00 4p. 3q. Groundwater Monitoring Per Lot - 32.00 4q. (other than a proposed subdivision) Subtotal 3r. Priority plan review: walk through) 4r. G Submittal of plans in person, i" by appointment, with double fee 3s. Petition for Variance Setback - 25.00 4s. Site evaluation - 50.00 Total Fee OO Note: Fees pursuant to Wis. Adm. Code, Chapter Ind. 69 may be subject to change annual) DILHR•SBD-6748 (R. 03/84) Effective July 1, 1984 ,6E~ -OVER 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 ALTERPJ'ATIVE SYSTEM Location: Townships CKWyW: SE ~J NW ,IS 6 T 31 N/R 18 E(or)W Star Prairie St. Croix Street Address: Subdivision: County: Landowners Name: Mailing Address: Production Credit'Assn.(Betty Sullivan Estate) P. 0. Box 199, 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 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 an4~~ alternative system has been made and if installed, that the premises 4reisorye 0 by an alternative system and further agree to give the buyer a copy of this -I1 application. RR' Irl~ The Bureau accepts this application subject to this understanding and subject to all the conditions and obligations set out in this application. 06534 Signature of ppla'ca STATE OF WISCONSIN Subscribed and sworn to before me SS. COUNTY OF BtRNARD L. Hcftll r Notary Public. State of New Yorf This t day of L e~ 19 o S No. 01 NE451,2740 %aAfied is P IUM CountY Certified in Westchester Coun If {Dwmission F-Wio& March 30, 1P!~ N ary Public, State of Wisconsin DILHR-SBD-6413 (N. 05/81) My Commission Expires: ST. CROIX COUNTY WISCONSIN 3 "ti~~ r ~~knn ZONING OFFICE t „ k My~a~3 ~r 7 Ltia d 796-2239 (HAMMOND) 425-8363 (RIVER FALLS) HAMMOND WI 54015 September 17, 1985 Division of Safety and Building Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation for the Betty Sullivan Estate property located in the SEZ of the NWT of Section 6, T31N-R18W, Town of Star Prairie, St. Croix County, revealed suitable soils at a depth of 3.50 feet, below which seasonable high ground water was noted. This site should be suitable for a mound system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely- Thomas C. Nelson - Assistant Zoning Administrator mj I'LUMEU'ilvu L) nLH I II 8506,534 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. 6 T 31 N, R 18 )EX)(W Town 6K i WJ1VX Star Prairie Street Address Lot No. Block Subdivision Landowner's Name: Production Credit Assn.(Betty Sullivan Estate) The application for this site is for: ❑ new construction use. .replacement system use. If this is NEW CONSTRUCTION USE, the alternative private sewage system is: ~..1to have one of the first five approvals guaranteed for this year. This is number - - of those applications. (Use one of the first five quota numoers issued to you.) ]one of the applications needing a quota number. The quota number assigned to this application is - - for one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. (.1 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. LJ for an application on file prior to February 1, 1980. [for a lot that meets the criteria for a conventional private sewage system. ~ [A If this is a REPLACEMENT SYSTEM USE, the alternative private sewage system is replacing: E la failing conventional soil absorption system. _y ; ❑ a holding tank that was installed and in use prior to February 1, 140S~~Ni ~ + BUREAU ❑ a privy that was installed and in use prior to February 1, 1980. If this is a REPLACEMENT SYSTEM USE and the lot 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 Sig4m re County 0 ficial Title Assistant Zoning Administrator Date September 17, 1985 DILHR-SBD-6158 (R 12/82) NDMENTOF REPORT ON SOIL BORINGS AND SAFETY &BU DIVISION N DUSTUSTRY, G P.O. BOX 7969 ABOR AND PERCOLATION TESTS (115) MADISON, WI 53707 IUMAN RELATIONS (1,163.09{1) & Chapter 145.045} -OCATION:/V SECTION: TOWNSH P/MI- r1DA1.I-rY: OT NO.: BLK. NO.: SUB (VISION NAME: C w'/ /L?/ N/R /A (or) W :~U TY O E NAM : MAILIN ADDR S: SE DATES OBSERVATIONS MADE NO. B : COMMERCIAL R PTION: I PROFILE DESCRIPTIONS: ERCOLATION TESTS: 13 1P ,J/ Residence ~ New eplace ~/z 9 ; ATI NG: S- Site suitable for system U- Site unsuitable for system ONVENT NA MOUND: IN-GROUN STEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) 11 :j SgU I;E S❑U ❑S CNI ❑S ❑S20 a[ Percolation Tests are NOT required DESIGN T If any portion of the tested area is in the ,der s.1-163.09(5)(b), indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS S ORING TOTAL' PTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH UMBER ELEVATION OBSERVED EST. HE TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) 3 5 ? S ~~5 Zi 5 DO 9 1)C 61d. So a CIO 3 3 ( lz;a, Q , PERCOLATION TESTS BEST 15-EPTH WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES UMBER AFTER SWELLING INTERVAL -MIN. p D R PER INCH 2 M All Ok 130 % .30 Z-.. Z S' AJM A) it 3 3 OT PLAN: Show locations of percolation tests, soil borings and the 'dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- al and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at allor~gs d ayid "n percent ~pre~ f,in~ l~Jf l~i~ !v! land slope. Z YSTEM ELEVATION ~ _ I op: tN 9, / 14 { lop D 40 W o ~csC - Ji- _ :,e undersigned, hereby certify that the soil tests reported on this form were made by me in accord fith the procedures and methods specified In the Wisconsin ninistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. ME (pri TESTS WERE COMPLETED ON: DRES nt CERTIFICATION NUMBER: PHONE NUMBER (optional)* _ -z qR -zs<b~tas CST SIG U E: STRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. 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