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032-2007-95-100
• (D m .0 T 7! a ik C I (D CD m A 3 ~ O U) 3 c o 0_ Cl) N oW • N (D N3 O CD O 1 O A A (D O y W y ? J~'Y O C (n 6 0 N N o j 0 0 3 O N (D O O W A7 CC) ON 3 p (O O rr. 3 N (D O O O N 0 ~ 0 ~ 0 t0 m N a D. N 03 o a co 3 ° rn 0 0 O O (D 0. W A v W OOi ! (D too co 0 O ( N w A= cn 0 a 0 fl l~l• 'U 'U O O O l~rl C/) V O 3 (n (n (n m W (D _ N h o 7 G7 .Oi V) O~ n N Di 6 5 N O fD O r 3 M ~ 3 W !t z W O O a o Z Z A o D D =r Z n i sy a 3 "at • O = (D N 0 t~l O O O A Q UI 7 O .0 O C O 3 (p O (n 3 (o A O t -4 en to A l m N ;1 0 Q ? Z O CD 0 R (n O (<n W N < N O a z 3 a ~ 00 z O 3 m N Z (D A W F, c_n3 <Y)' ro Q O O O O -0 N O o C- O 0 7 Q. C :)'-o - O (D 0 (D 0 ~7 7 T O j N p- O CD 3 W 7 Qo o Z G (D (D (n O ~2 O O N D 3 = N O 0 (D O. 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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 - SINCLEAR, GEORGE W & MARIAN GEORGE W & MARIAN SINCLEAR 1742 HILLCREST DR NEW RICHMOND WI 54017 Districts: SC = School SP =Special Property Address(es): Primary Type Dist # Description ' 1742 HILLCREST DR SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 34.930 Plat: N/A-NOT AVAILABLE SEC 2 T30N R19W 35A ALL SW NE E OF RIVER Block/Condo Bldg: EXC PT TO CSM 16/4277 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-30N-19W SW NE Notes: Parcel History: Date Doc # Vol/Page Type 12/13/2002 702149 2079/215 EZ 07/23/1997 896/56 ~-a q . 2005 SUMMARY Bill Fair Market Value: Assessed with: 77515 117,000 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 2.000 32,000 14,000 46,000 NO UNDEVELOPED G5 10.000 500 0 500 NO PRODUCTIVE FORST LANDS G6 11.930 47,700 0 47,700 NO ENTERED BEFORE 2005OPE W7 11.000 44,000 0 44,000 NO Totals for 2005: General Property 23.930 80,200 14,000 94,200 Woodland 11.000 44,000 44,000 Totals for 2004: General Property 23.930 80,200 14,000 94,200 Woodland 11.000 44,000 44,000 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges 00 Total 0.00 0.00 Parcel 032-2008-10-100 03/24/2006 08:12 AM PAGE 1 OF 1 Alt.` Parcel 2.30.19.493A 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 - SINCLEAR, GEORGE W & MARIAN GEORGE W & MARIAN SINCLEAR 1742 HILLCREST DR NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 39.760 Plat: N/A-NOT AVAILABLE SEC 2 T30N R1 9W SE NE EXC PT TO CSM Block/Condo Bldg: 16/4277 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-30N-19'vV SE NE Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 896/56 2005 SUMMARY Bill Fair Market Value: Assessed with: 77516 19,300 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason UNDEVELOPED G5 10.000 500 0 500 NO PRODUCTIVE FORST LANDS G6 3.760 15,000 0 15,000 NO ENTERED BEFORE 2005 OPE W7 21.000 84,000 0 84,000 NO ENTERED BEFORE'05 CLOSE W8 5.000 20,000 0 20,000 NO Totals for 2005: General Property 13.760 15,500 0 15,500 Woodland 26.000 104,000 104,000 Totals for 2004: General Property 13.760 15,500 0 15,500 Woodland 26.000 104,000 104,000 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges 00 Delinquent Charges 00 Total 0.00 SIM;4V9 N14) 3 gg0f,~! 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GR ]2 Robett m 5 D va W may 3s F W m oe a+ ~~`€€3 „ C; " ' rte, wF.p cn R,I g^e `"xG1 SEE' ay"LT. ,a 47th ST D ~-+a ~ a S•6 o3~ y Ge 69 AU,• c ma w7~x B-R °c tr •~~o yy Nnd ~a A WZ-869 • fi'°2 o E a C fh ST a w e m • i • • oo a~~ 3 • S'r Nx aym Toro w v~ S I1 sx n Iw'^ E. `"xe 57th eg ~ ButU'43LW U01 eolt / y Ea a~~ PerRg s Z qe.4 U61so qy o o a o 4d Algwos Sv F- 5N 9L ox~ 3s / ~n j ax ; n 5 ~ 8 ww m 6u1PtaM .F a 4 • i eR..m:. ~ ties i~g ° nz gym, k, @ E 'a P¢~~ ~X SSA Y'o D G x010 r3iO V C i.".C NSa N~ 5 O ~L~'e w Oo ~ 6 Pn O 5 {ce MR E~° yy M~~C 9W-179 NISNOOSIM `_L]g TWOS t ° F L9l X09 TI, 5e i °P~~ y Jul ',OJ - _ S c e ;,5; REST OIL C7 n - cs o •~~lCo]d~aC7m A' n arnO~ $'a 83rd T o~» Q$ > o a n' 85thS aW W„ PAR, T f :w g~~ / „9 89th ST 18bb :,:,i^', nl .+.,H•::;:r- i ;....arnlrro;•,N'$ 1`7tl~7""`'"a`? \ •sauF¢Nr p!uoq~ppV X03 91 I-9I I sated aag RICHMOND PAGE 48 'Pl7 `s'a9s!1gnd awoH I U. j O M-0~-6I-2I • ~I-O~ ,L e S .LASaa I^IOS y x Parcel 032-2009-50-200 03/24/2006 08:15 AM PAGE 1 OF 1 Alt. Parcel M 2.30.19.50213 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 - SINCLEAR, MARIAN J MARIAN J SINCLEAR 1742 HILLCREST DR NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1742 HILLCREST DR SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.010 Plat: 4277-CSM 16/4277 SEC 2 T30N R19W NE SE,NW SE, SE NE, & SW Block/Condo Bldg: LOT 1 NE LOT 1 CSM 16/4277 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 09/22/2003 740740 2415/402 TI 2005 SUMMARY Bill Fair Market Value: Assessed with: 77532 200,800 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.010 48,000 113,600 161,600 NO Totals for 2005: General Property 3.010 48,000 113,600 161,600 Woodland 0.000 0 0 Totals for 2004: General Property 3.010 48,000 113,600 161,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 09/15/2005 Batch M 05-14 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 U L5 4-7 5856 VOL 16 PAGE 4277 AUG ! 9 2002 XATHLEEH H. MALSH REGISTER OF DEEDS ST. CROIX CO.. MI diY RECEIVED FOR RECORD CERTIFIED SURVEY MAP 04-09-2002 4:30 PH ERTIFIED SURVEY MAP LOCATED IN THE NE 1/4 OF THE SE 1/4, THE NW 1/4 0 .00 THE SE 1/4, THE SE 1 /4 OF THE NE 1/4 AND THE SW 1 f~YFFEE: 3300 OF THE NE 1/4 OF SECTION 2, T30N, R19W, TOWN OF PAGES: 32 SOMERSET, ST. CROIX COUNTY, WISCONSIN. =Z ~~3M SCALE IN FEET ~P o0z14 Ir co LEGEND °LjZZ . z0 wMw u i.4. ~ < 0 50 100 200 COUNTY SECTION CORNER w ~ m MONUMENT, FOUND, (TYPE w `"o ' NOTED). X001-- = SE 114 OF N w P o THE NE 114 0 3 c) w = sw 1/4 of 1 1/4" OUTSIDE DIAMETER U- THE NE 1/4 ( ) o'- 1 o x 24" IRON PIPE WEIGHING w <u-can w o I 1.68#/LINEAR FOOT, SET. m w o< _UN_PL_A T TED LAND E 1 /4 CORNER POINT OF SECTION 2 S 3 w Z I X4000, 00„ BEGINNING T 0 , R 190UTSIDE 324145. F o ~ D1 1IAMETER)( IRON '9- 4 N 89 ~13_ 53 W 5214.96' PIPE) --_s W 1/4 1 CORNER 1~ a 1022.69' SECTION 2 w w o x T30N R 19W w \v, EAST-WEST 1 /4 (2 1/2#1 - F"tw LOT =Q =Z SECTION LINE (OUTSIDE °,I- 01H 3.010 ACRES 0 ~ v a\" ~''o DIAMETER 131,117 S.F. ° o 0 IRON PIPE) o o z o ~x Z, m~°- UNPLA T TED LAND o v _jId- \o0 o I11~ J I Z LdV) C_ 1Z m maw NE 114 OF THE SE 114 WELL \o uA I B_UILDING______ oo W r SETBACK LINE - SEPTIC ' TANKS ~ O GATE 0 155.02 C4 84.37' C3 C2/ GR ~ff~ S 86°00' 00" W N 82000' 001- 1 NW 114 THE SE 14 UNPLA T TED LAND - - - 1 ``IMt+85a RQO f@@@PPP~liil<j~7 APPROVED ST. CROIX COUNTY Planninq Zonina and Parks Co mittee A ES D. F LK I NS S-2246 JOB #00-2496 JAMES D. = R GISTERED LAND SURVEYOR APR 0 9 200? 1 DEN ENGINEERING COMPANY FIl.ICINS _ 113 WEST WALNUT STREET 19-2248 RIVER FALLS, WISCONSIN 54022 If not recorded within 30 da S of 3 RM FALLS, e approval date approval shad be WI DATE: JANUARY 16, 2002 null and void ,"9 Q REVISED: JANUARY 28, 2002 REVISED: FEBRUARY 25, 2002 U F1\1. mom' REVISED: MARCH 27, 2002 CURVE TABLE u1/U1ltflllaPa 6`,L'~ CURVE RADIUS CENTRAL ARC CHORD CHORD TANGENT TANGENT NO. ANGLE LENGTH LENGTH BEARING IN OUT C1 267.00' 28°32' 12" 132.98' 131.61' S 83°43' 54.0" W S 69027'48" W N 82000-00" W' C2 267.00' 10011'45" 47.51' 47.45' S 74033'40.5" W S 69027'48" W S 79°39' 33" W C3 267.00' 18°20' 27" 85.47' 85.10' S 88°49' 46.5" W S 79°39' 33" W N 82°00' 00 W'% C4 533.00' 12000'00" 111.63' 111.43' N 88 ° 00' 00.0" W N 82000'00" W S 86 ° 00' 00 W THIS INSTRUMENT DRAFTED BY JAMES D. FILKINS PAGE 1 OF 2 Vol. 16 Page 4277 Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT ~U OWNER TOWNSHIPS SEC. % T N-R W ADDRESS (/,~s Z ST. CROIX COUNTY, WISCONSIN 1 SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of H 63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I lai ~ INDICATE NORTH ARROW I BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: 11 Proposed slope at site: SEPTIC TANK: Manufacturer: Liquid Capacity: z Lz.~7/7 / Number of rings used: Tank manhole cover elevation: Tank Inlet levation: a'~i Tank Outlet Elevation: Number of f(;et from nearest Road: Front, Side,0 Rear, O feet From dearest property jine Front,0Side,0 Rear, 0 feet Number of foet from: well. building: (Include this information of the above plot plan)( 2 reference dimensions to sept c tank) SEE REVERSE SIDE a . ~ z PUMP CHAMBER Manufacturer: Liquid Capacity: ( r Pump Size Yz Ali pump Model: "J)/) i //~f Pump/Siphon Manufacturer: Elevation of inlet: ' Bottom of tank elevation: i' Pump off switch elevation: ) o Gallons per cycle: 0 Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front,~Side,~ Rear, 0 Ft.; i~oJ Number of feet from well: - / r` J Number of feet from building: (Include distances on plot plan). SOIL ABSORBTION SYSTEM s Bed: Trench: Width: ~ Length: Number of 'Lines:-~ Area Built:,-) ? Fill depth to top of pipe: Number of feet from nearest property line: Front, O Side, ~_Rear, O Ft ~i Number of feet from well: Number of feet from building: - (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid de h: Bottom of seepage pit elevation: Area uilt: - Has ther a drop box O or distribution box O been used on any of the above soil a sorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on jpb: ~ --License Number 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 ❑CONVENTIONAL UALTERNATIVE State PlanLD.Nu mber. ❑ Holding Tank ❑ In-Ground Pressure ® Mound 9f4b61 '85 NAME OF PERMIT HOLDER. ~AD D RESS OF PERMIT HOLDERINSPECTION DATEGeon e Sincteah R#4, Box 184, New Richmond, W1 7- 3 -,,?Y BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN REF. PT. ELEV.: CST REF. PT. ELEV. NG!% o6 SE% o6 Section 2, T30N-R19W' Town of Somensiet Name of Plumber. MP/MPRSW No.. County. Sanitary Permit Number'. Gah Steet 3254 S Cnoix 49495 SEPTIC TANK/HOLDING TANK: MANUFACTURER- LIQUID CAPACITY. TANK INLET/J/ EEEV JTANO TLET ELEV.. WAR ING LABEL LOCKING COVER RO IDED. PROVIDED '~tT'•J~ G % YES ❑NO ❑YES ❑NO BEDDING: VENT DIA.. VENT MATL. HIGH WATER NUMBER OF ROAD: Pq OPER WELL: rDINGVENT TO FRESH ALARET FROM LI" AIRN 6 YES ❑NO AREST (1Q o DOSING CHAMBER: MANUFACTURE~ BEDDING. LIQUID CAPACITY PUMP %CWDEL U P~SIPHON MANUFACTU ER WARNING LABEL LOCKING COVER Y(1 0 tJ P O IDED. PRO IDED- • YES ❑NO ~ UL YES ❑ NO YES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PHOPERTV WELL L~fDINC VENT TO FRESH (DIFFERENCE BETWEEN C z FEET FR LI E } AIR INLET PUMP ON AND OFF) (f ° Q7 - YES ❑ NO NEARESTOM QQ 1 0 & 8 C1 S qs I SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LFNITH JDIA FTEH JMATERIAL 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 f Q Q CONVENTIONAL SYSTEM: BED/TRENCH WIDTH. JLENGTH NO.OF DISTR. PIPE SPACING COVER INSIDE D I A zPITS ILIOUID TRENCHES MATERIAL: PIT DEPTH. DIMENSIONS GRAVEL OFPTH FILL DEPTH DISTH PIPE DISTR PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY W : VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV. INLF I ELEV. END PIPES) IPES FEET FROM , LINE: AIR INLET'. NEAR EST-a► 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. XY ❑NO SOIL COVER T XTURE s-,_ PERMANENT MARKERS OBSERVATION WELLS YES ❑NO ES ❑NO DEPTH OVER TRENCH BED DEPTH DGE OVER TRENCH. RFD DEPTH OF TOPSOIL SODDED SEEDED. JMULCHED CENTER EDGES. 1. ' ❑YES NO YES ❑NO YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH. NO.OF LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER. BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. DISTR DISTR. PIPE DIS FRIBUTON PIPE MATERIAL & MARKING E EV ELEV . CIA ELEV.'. PIPES. ELEVATION AND 2_ U u l/J/ / G DISTRIBUTION J 7 INFORMATION ROLE SIZE, HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED rf PLANS YES ❑NO <•"; ❑YES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS'. NUMBER OF PROPERTY WELL: BUILDING: ~ FEET FROM LI E ❑ ES 0L~NO Y Vf- ES ❑NO [NEAREST- Sketch System on R in in county file for audit. Reverse Side. SI E TITLE DILHR SBD 6710 (R. 01/82) m wisconsin APPLICATION FOR SANITARY PERMIT DILHR C c~ ~COUNTY oERARTmenT OV (PL,B 67) UNIFORM SANITARY PERMIT # In DUSTRV, LABOR 6 HUMRn RELRTIOnS T -Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8/2x 11 inches in size. -See reverse side for instructions for completing this application. PLEASE PRINT PROPER Y OWNER MAILING ADDRESS IF Ind? e y. i2.'' X 1070 d 6 ~7 PROPERTY LOCATION Ci~14: IV vi 1/4,s 0 1/4,S 2 ,T36,N,R JE\ (or)W Tow ~C7rme-4 LOT NUMBER BLOCK NUMBER SUBDIVISION NAME EAREST ROAD, LAKE 04NDMARK STATE PLAN I.D. NUMBER N A) 4 TYPE OF BUILDING OR USE SERVED Ll 1 or 2 Family Number of Bedrooms. [Public (Specify): THIS PERMIT IS FOR A: New System ❑ Tank Replacement ❑ Repair Replacement Soil Absorption System ❑ Revision ❑ Privy Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank ❑ System-In-Fill ❑ In-Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total # of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump Tank/Siphon Chamber Holding Tank capacity Manufacturer: IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ® Mound ❑ In-Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity I zoo ) Lift Pump/Siphon Chamber Fj o C) Manufacturer: EQ it _1S-V S PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): 2 71 ,j 6 3 Z6 Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name ~Plumber (Print) / Signature: MP}MPRSW No.: Phone Number: C_ I 0a Plumber's Ad ress: ~j f L I Name of Designer: COUNTY/ DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved ❑ Owner Given Initial 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. 4o , ~bmersE-4, owvish P ~ I e ~ a. z, A p P! s P ,c► "'F 1 0 n t v r f} !°{-4 r' rt w ► v~ 3 o n 4,;m S1-4E c>-~ .erQ1~ ~o. ~S 115 ~(o, prn~L.c"°} L'7A~W 51'7iC-'f ~~~On) 7 CAS C'~LJ1A410Y3.$ Ixi$, PIQ4 v, tiY1 /A u-.V, v 1 `i AR j 4 8401285 8,v,shv-~~, r-' s AJ 3,1 5- STATE OF WISCONSIN DILHR D11_HR PRIVATE SEWAGE SYSTEMS BUREAU OF SAFETY BUILDINGS 201 E. Washington Avenue, Rm 178 PLAN APPROVAL APPLICATION P.O. Box 7969, Madison, WI 53707 608-2663815 NSTRUCTIONS: Please fill in all applicable data and submit this form with plans. Plans will not be reviewed until all fees are received. -he back side of this form describes required plan information. Plumbing codes can be purchased from the Department of Administration, )ocument Sales, 202 South Thornton Ave., Madison, Wisconsin 53703, Telephone (608) 266-3358. . PROJECT INFORMATION (Type or print clearly) lame of Submitting Party (Plans returned to same) Project Name t Y Y% to "1 treet & No. Project Location - Street & No. or Legal Description :ity State Zip Code ❑ City County 1} ❑ Village ~ 674 j 6 Yd G.1 ] ) Town e r s E. I )esigner Telephone No. (Include Area Code) /8 Z -(oZOo THIS APPLICATION IS FOR A: New Mound System (3) ❑ Holding Tank (2) ❑ New Pressurized System on site not suitable ❑ Petition For Modification (6) for conventional (3) ❑ Replacement Mound (4) ❑ Replacement Pressurized System on site not ❑ System in Fill (1) suitable for conventional (4) ❑ System in Flood Fringe (1►. ❑ Pressurized System on site suitable for ❑ Groundwater Monitoring (7) conventional (1 ) ❑ Conventional System - Public Building (1) FEE COMPUTATIONS (Include existing tanks) 4. FEE SUBMITTED FOR OFFICE USE 00 3a. 750- 1,500 gallon septic tank - 30.00 4a. '30 3b. 1,501 - 2,500 gallon septic tank - 40.00 4b. 3c. 2,501 4,000 gallon septic tank - 55.00 4c. 3d. 4,001 8,000 gallon septic tank - 70.00 4d. 3e. 8,001 12,000 gallon septic tank - 85.00 4e. 3f. Over 12,000 gallon septic tank - 100.00 4f. 3g. 500- 1,000 gallon pump chamber - 30.00 4g. .30 . b 3h. 1,001 - 2,000 gallon pump chamber - 35.00 4h. 3i. 2,001 4',000 gallon pump chamber - 50.00 4i. 3j. 4,001 8,000 gallon pump chamber - 65.00 4j. 3k. 8,001 12,000 gallon pump chamber - 80.00 4k. 31. Over 12,000 gallon pump chamber - 95.00 41. 3m. 500 - 5,000 gallon holding tank - 30.00 4m. 3n. 5,001 - 10,000 gallon holding tank - 40.00 4n. 3o. Over 10,000 gallon holding tank - 50.00 4o. 3p. Groundwater Monitoring - 32.00 4p. Subtotal (00 00 3q. Priority plan review: (walk through) 4q. 6 D •OC> Submittal of plans in person, by appointment, with double fee 3r. Petition for Modification 8401285 Setback - 20.00 4r. Site evaluation - 50.00 Total Fee Z O . acs COMMENTS: )ILHR S8 D-6748 (R. 5182) © -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 ALTERNATIVE SYSTEM Location: Townships XffNXK .Mt4XX NW !4 SE ~4 S 2 T 30 N/R 19 KKOU~*W Somerset Street Address: Subdivision: County: St. Croix Landowners Name: Mailing Addres Wi. 54017 Rt. 4 Box$4 New Richmond, George Sinclear ?11F1-11111S#1y9W1yy11 1 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. 84012$5 nat of Applicant Date STATE OF WISCONSIN Subscribed and sworn to before me SS. COUNTY OF, St. Croix This 23rd • day of march 19 84 Notary Publ , 01t-ate of Wisconsin My Commission Expires: January 12, 1986 DILHR-SBD-6413 N. 05/81) ST. CROI X COUNTY WI SC O N S I N ZONING OFFICE w _ 796-2239 (HAMMOND) 425-8363 (RIVER FALLS) HAMMOND, WI 54015 March 19, 1984 Division of Safety and Building Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Dear Sirs: An on site investigation for the George Sinclear property located in the NWk of the SF}4 of Section 2, T30N-R19W, Town of Somerset, St. Croix County, revealed suitable soils at a depth of 2 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. Si y, Thomas C. Nelson Assistant Zoning Administrator mj 8401285► wisz E , 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 NW 1/4, SE 1/4, Sec. 2 T 30 N, R 19 )cx( W Town b~ Somerset Street Address Lot No. Block Subdivision Landowner's Name: George Sinclear 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: Ito have one of the first five approvals guaranteed for this year. This is number 59 _ 02 _ 5 of those applications. (Use one of the first five quota numbers-issue3-to you.) ]one of the applications needing a quota number. The quota number assigned to this application is - - Ll for one additional homesite on a farm to be occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. [ for an individual lot for which a sanitary permit was issued but was later ruled unsuitable due to new or changed soil criteria established by the department. I.1for an application on file prior to February 1, 1980. L.1for 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: 8401285 ❑ a failing conventional soil absorption system. L la 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 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 Si nat~ gure County Official Title Assistant Zoning Administrator Date March 19, 1984 DILHR-SBD-6158 (R 12182) -PARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DUSTRY, DIVISION ~BOR AND , PERCOLATION TESTS (115) MADISP.O. BOX ON WI 53707 JMAN RELATIONS (H63.09(1) & Chapter 145.045) )CATION: SECTION: TOWNSHIP/bFHfV+E+PdttTY: LOT NO.:BLK. NO.: SUBDIVISION NAME: /4Q 1/ /T,3oN/R 191or) W S >rv, s - - )UNTY: (OWNE BUYER'S NAME: MAILING ADDRESS: E DATES OBSERVATIONS MADE NO. BEDRMS.: 'COMMERCIAL DESCRIPTION: I PROFILE DESCRIPTIONS: 1PERCOLATION TESTS: Residence eW ❑Replace \TING: S= Site suitable for system U= Site unsuitable for system INVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑S QU ~,S ❑U ❑S JKU ❑S ©U ❑S CSI rn fwd Percolation Tests are NOT =,equied" ES IGN RATE: If any portion of the tested area is in the der s.H63.09(5)(b), indicatFloodplain, indicate Floodplain elevation: ~F~Irn+~J PROFILE DESCRIPTIONS =19 z Q )RING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH iMBER DEPT+oo+-lAl, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) O~ 34 C~- I 11-e 61,5••(.. l -°A - z1-4.&,, 5,.~.. zQT 7 Ls~~~•~/1. 1 z$.`~~ d• 5,1 (t~ -F..Sror,E3n c,k7/ a m~ zs (o . Yl~ o Z O - 7-` . % 8, 1, s . zao3 en - - 3 ° - S ? d , , ~ ; I . c~ m • e .mot ~7-Z°-8 t.~.s.~. Z°a 3,yz - 13n.s•~.~ rn 3y~ 5~,0 'il. ~ f. L7 £s mnl PERCOLATION TESTS FEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES 1MBER +PfeitES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERT D 2 P R PER INCH I /s /U0 -3 o 1 1/-/- / Z a ~ G 7 Iz.. J ~~z . Z G 3 ~7 Z )T PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- cal 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 and slope. (STEM ELEVATION I o 3 9 4- ®12 8 5 PI # 60 1,118 PROJECT DETAIL DATA SHEET NAME OF BUSINESS ( .)E(Vr n F- c•;1 Y) L° it AV LEGAL DESCRIPTION ►'\iyo '14 5C !/A S4 2 +30A). 9 t) OWNER G60YFj_~ n 0 ( t Ay- MAILING ADDRESS ► 84 AjLQ Q roy'M A ZIP 67yoJll; ARCHITECT, ENGINEER, ~r ~ , ADDRESS l _Q S S h d M~ ~ PLUMBER OR DESIGNER 2 TELEPHONE NUMBER 7/5- Z SL( 6zoo 1. Check appropriate building usage(s) and fill in the information requested opposite each usage listed. Please consult Section H 62.20. Existing building New building Addition ( ) Apartments and condominiums . . . . Number of bedrooms ( ) Assembly hall . . . . . . . . . . . Seating capacity (X') Bar . Seating capacity # of meals served o ( ) Bowling alley . . . . . . . . . Number of lanes ( ) With bar ( ) Campground and camping resorts . . . Number of sewered sites Number of unsewered sites Total number of sites ( ) Camps . . . . . . . . . . . . . . . ( )'Day use only Number of persons ;.:~r 1`. ( ) Day and night Number of persons` ( ) Catchbasin . . . . . . . . . . . . . Number ( ) Church . . . . . . . . . . . . . . . ( ) No kitchen Number of persons ( ) With kitchen Number of persons ( ) Dance hall . . . . . . . . . . . . . Number of persons ( ) Dining hall . . . . . . . . . . . . Number of meals served daily ( ) Dog kennels . . . . . . . . . . . . Number of enclosures ( ) Drive-in restaurant . . . . . . . . Inside seating capacity Car-service Number of car spaces ( ) Dump station . . . . . . . . . . . . Number of dump stations Employees ( total of all shifts) . . Number of employees ( ) Hotel ( ) Motel ( ) Cottages . . . . Number of units with 2 persons per unit Number of units with 4 persons per unit ( ) Medical and dental office bldgs. Number of doctors, nurses, medical staff Number of office personnel Number of patients ( ) Mobile home parks . . . . . . . . . Number of sites 8401285 ( ) Nursing homes . . . . . . . . . . . Number of beds ( ) Parks . . . . . . . . . . . . . Number of persons ( ) Toilets ( ) Showers ( ) Restaurant . . . . . . . . . . . . . Seating capacity ( ) Dishwasher and/or disposal? ( ) 24-Hour service ( ) Retail store . . . . . . . . . . . . Total number of customers _ ( ) Schools . . . . . . . . . . . . . . Number of classrooms Meals ( ) Showers ( ) Self service laundry . . . . . . . . Total number of machines ( ) Service station . . . . . . . . . . Number of cars served daily ( ) Swimming pool bathhouse . . . . . . Number of persons ( ) OTHER . . . (Specify) . . . . . . . COMPLETE OTHER SIDE L. Indicate whether the following facilities are present. Floor drain yes no Number of drains Food waste grinder yes no Dishwasher yes no Automatic clothes washer yes no Number of clothes washers 3. Septic tank capacity ) 240 9 A~~ tank capacity app AI Septic ,or of di ng t nk manufacturer ~O . c s @ j 15 d r C+L P &+S. ~h~rrrib~r 4. SEEPAGE TRENCHES: total square feet width of trenches length of trenches depth number of trenches SEEPAGE BEDS: total square feet 276 width length of bed y17 depth SEEPAGE PITS: total square feet outside diameter depth below inlet total depth from top to bottom of pit Signature f person completing form: FOR DEPARTMENTAL USE ONLY Address Z i 1) Telephone Number loZ4d Date 801285 .e~ r t F MAR ` WORKSHEET SYSTEM 1~~/,~~' II. IN-GROUND PRESSURE SYSTEM-Continued. 1. Wastewater Load, Total Daily Flow= Bal• 10. Force Main: Z gpm Use section H 63.15 (3) (c), Wis. Minimum Dosing Rate = Adm. Code and PROVIDE A DETAILED Diameter = . - in. LIST OF SIZING ON PLANS. 00 11. Total Dynamic Head: 2. Depth to Limiting Factor = - ft. System Head = 2.5 ft. 3. Landstope = 7 % Vertical Lift = ft. Friction Loss = t ft. 4. Distance from Dose Chamber to _ Distribution System = 1,50 ft. TDH ft. 5. Elevation Difference Between 6 12. Pump Selection: Pump and Distribution System = 3 ft. Pump p will ~discharge at least z- gPm 6. Absorption Area Sizing: at J r7, a ft. total dynamic head. Area Required = J sq. ft. Pug~p model and Ittn ufa~/r: Bed or Trench Length (B) 7 ft. 1n u.. Id N Bed or Trench Width (A) ft. 13. Dose Volume: Trench Spacing (C) ft. 10 Times Void Volume of 7. Mound Height: Distribution Lines = S_e* gal. Fill Depth (D) _ ft. Daily Wastewater Volume Fili Depth Downslope (E) ft. 4 Doses in 24 hrs. _ c, gal. Bed or Trench Depth (F) _ .7S ft. Backflow = 531 1 gal. Cap and Topsoil Depth (G) = ft. Minimum Dose = gal. Cap and Topsoil Depth (H) = ft. 14. Dose Chamber: 8. Mound Length: Volume = B O Q gal. End Slope (K) _ ft. Total Mound Length (L) _ 69 ft. III CONVENTIONAL PRIVATE SEWAGE SYSTEM 9. Mound Width: 0 Wastewater Load, Total Daily Flow = gal. Upslope Correction Factor = s o.'.5 Use section H 63.15 (3) (c), Wis. Upslope Width (J) = ._7 ft. Adm. Code and PROVIDE DETAILED Downslope Correction Factor = ISM' OF SIZING ON PLANS. Downslope Width (1) = ~ ft. 2. Requt d Septic Tank Capacity = gal. Total Mound Width (W) _ 20 ft. 3. Percolati Rate = min./in. 10. Basal Area: 4. Absorption ea Sizing: Infiltrative Capacity of Refer to Ta 2 in chapter H' Natural Soil = gal./sq.ft./day and PROVID DETAILED LIST OF Basal Area Required = sq. ft. SIZING ON PLA Basal Area Available = J s[ c~l_ sq. ft. Required Area = - sq. ft. 11. If Standard Tables from Chapter Length = ft. H 63 are Used, Indicate Table No, z 77 Width = ft. 12. For the Distribution Network, Use Numbers 5-14 in Section ll. Number of Trenches = Trench Spacing = ft. If. IN-GROUND PRESSURE SYSTEM 5. Distribution System: 1. Depth to Lim' Factor = ft. Lateral Length = ft. 2. Landsi - % Number of Laterals = 3. P ation Rate = min./in. Lateral Spacing = in. roposed System Elevation = ft. Distance from Sidewall to Pipe = in. 5. Wastewater Load, Total Daily Flow: ~1_147 gal. System Elevation = t. Use section H 63.15 (3) (c), Wis. Adm. Code and PROVIDE A DETAILED W -,SYCSLM-IN-FILL LIST OF SIZING ON PLANS. /~~~JJ~~, Fill in All Items l8401285 gal. Required Septic Tank Capacity = . 6. Absorption Area Sizing: V. SEPTIC TANK zoo Percolation Rate min./in. 1. Capacity = gal. Area Required = 3'f G sq. ft. 2. Manufacturer: E K C r N F P ck S System Length = ft. 3. Show Site Constructed Tank Details on Plan System Width = ft. 7. Distribution Pipe Sizing: ` VI. DOSING TANK Hole Sire = in. 1. Capacity = gal. fl. 2. Manufacturer. Hole Spacing _ Lateral Length fl. 3. Pump Manufacturer: o v-\ Lateral Siic in. 4. Pump Model: .5 I Lateral Spacing - 11.63 Z") 5. Operating Head= ft. Distance 110111 SidcW.llido Pipe in. 0. Flow Rate= - -Z= gpm• 8. Distribution Pipe Discharge Rate: 7. Show Site Constructed Tank Details on Plans Number of Holes Per Pipe 1 low I'er Pipe //,7 gpm. iOLDING TANK V4L 9. Manifold Sizing: I. Cap. gal. Type (center or end) - CE Y1 V- 2. Manufacturer: Length = S' - ftc(o4* 3. Show Site Constructed Tank Details on Plans Diameter in. -SHOW ALL INFORMATION ON PLANS- DILHR SBD-6761 (R.03/82) -123- .Li 0YY1~v"~.P ~U u.~ Nv PA`s r L oo' y ' o O ~ t ILao g q, S~p4 ~C ~,~a~~P G~ OO 900 5 rat, , pump ChNrn,b[H i i 3.1 '7 oho i Z~C v P-3 0 00 I 5~ EI. ' 9a 1~IFUD ~,d~ s 4 E. 640 ~A~rE S 8401285 Rege - 0f. Straw, Marsh Hay, Or Synthetic Covering1 Distribution Pipe Medium Sand G Topsoil F -J I E D 3 ` ~~QS~~ `'Aed Of ZM- 2 %2 Force Main Plowed qg gate From Pump Layer ross Section Of A Mound System Using F A Bed For The Absorption Area F o~QPP 5 A Q Ft. H Signe _ B_ Ft. License Number: R Z ,5 '`f x'11 10 as 0 1 Ft. --IF-7) J Ft. Date: K Ft. MAR J Alternate Position L Ft. _ of W 3o Ft. Force Main ► L Observation Pipe--,,,, RAI ( Force Main _ - From Pump Distribution Bed Of 2 2 Z Pipe Aggregate Observation Pipe Permanent Markers 8401285 Plan View Of Mound Using A Bed For The Absorption Area Page - Of - Perforated Pipe Detail 0 End View Perforated End Cap) PVC Pipe e Holes Located On Bottom, Are Equally Spaced S S x *q PVC Force Main * From Pump PVC` / Manifold Pipe Alternate Position Of Distribution Forcjs Main From Pump Pipe Last Hole Should Be Next To End Cop End Cap Distribution Pipe Layout P z 3 tAR R 6 4" S 3Z" X.r Y 21" Hole Diameter Inch / Inch(es) Signed: Lateral 11 License Number:, S Manifold 2 Inches Date: nv Force Main " .3 Inches J Gy Lo J~v\4 EL. , JAL t CMG,' ~~ti 8401285 WAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS • D VENT CAP I`C.I. VENT PIPE APPROVED LOCKING WEATHER P ROOF JUAICTIOKI BOX MANHOLE COVER 25' FRCM DGOR, .JIQDOW OR FRESH 12"MIU. -\IR INTAKE I u~41t~ d`g~gv~r,E GRADE 1 y°MI1~1 I 16"M1U. CONDUIT t`- I8"M PROVIDE i INLE T AIRTIGHT SEAL ( I i I IOBEp V ~ ~ I I Dole ~ 1 1. 4PPROVED JOINT A `j I I I I^ APPROVED J01NT5 '//C .I . PIPE 8~ba X.,,; I III W/ C.I . PIPE _XTENDING 31 0 EXTENDIWG 3' ALARM ~j~// I 11 ONTO SOLID SOIL INTO SOLID SOIL OM C c ~~4 I I r: 90- N. ~vl PUMP OFF D CONCRETE BLOCK RISER EXIT PERMITTED GNL9 IF TANK MANUFACTURER HAS SUCH APPROVAL 8PECIFICAT10MS rIC AMID NUFACT URER: O I:E K S Co n a p t-4~t S ~s WMBER OF DOSES: PER DA-4 TA N KS MA t TAIJK :,IZE: ooO GALLONS DOSE VOLUME: -GAL.LOKIS ALARM_ MANUFACTURER: CAPACITIES: A=INCHES OR A7'063z8 GALLOUS MODEL NUMBER: B=-INCNES OR GALLOWS SWITCH TYPE: ' n C= 7 INCHES OR GALLONS I11IMP MAAIIIFAC.TL1Kwm (204 0=1? INCHES ORZZGALLOIJ5 MCII)EL NUMBER: loC NOTE. PUMP AND ALARM ARE TO BE INSTALLED ON SEPARATE CIRCUITS PUMP DISCHARGE. RATE: "IDS ~ GPM 4 012 8 5 VLKTICAL DIFI-EIt.ENCE BETWELU PUMP OFF AND DISTRIBUTION PIPE- _ FEET Z 2, Z Q!o A 1 ~xn + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET a Jam- FEET OF FORCE MAIN X II L_FyoFT.FRICTIOU FACTOR.. 1,92- FEET D Z31 =J A1 TOTAL DYNAMIC HEAD = I FEET ODE 01-VN IMTERNAL DIMEWSIONS OF TANK: H ;WIDTH -;LIQUID DEPTH 11 A :;IGAIED: c I ICF.a1SE "UMBER' 5' YT1(JnS DATE: ' Model 3870 Submersible Effluent Pumps 140 120 ~Ay s 100 yA 0 Y I d 80 E ~py~s, tiA 0 60 ~hA t- W PHOj H.A P 40 . r,Hp WPM03,'A H.P. 1J'~> 20 W P03, 'A H.P. 0 20 40 60 80 100 120 Capacity - Gallons Per Minute 8401285 c Max. wt H.P. Order No. Volts Ph&" Amps RPM Solids (IDs.) W P0311 E WPM0311E 115 9.4 1750 56 WPO312E WPM0312E 230 1m 4.7 WPHO511E 115 -369 7 A WPHO512E 230 8.0 60 WPHOS32E 206/230 3.4 WPHO534E 460 30 1.7 WPH0712E 230 10 9.0 is WPH0732E 208/230 5.4 WPH0734E 460 3m 2.7 70 WPH1012E 230 10 11.6 3450 1 WPH1032E 208/230 6.4 WPH1034E 460 3m 3.2 ~ WPH1512E 230 10 13.3 WPH1532E 208/230 9.2 WPH1534E 460 30 4.6 80 b 1,/+ WPHH1512E 230 10 13.3 r WPHH1532E 206/230 9.2 ■ WPHH1534E 460 3m 4.6 SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. 3 WISCONSIN DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RFI_ATIONS DIVISION OF SAFETY & BUILDINGS, BUREAU OF PLUMBING P.O. BOX 1969, MADISON, WISCONSIN 53707 Verification of Exception Status for an Alternative Private Sewage System In the County of~ St. Croix Location NW 1/4, ST 1/4, Sec. 2 T 30 N, R_ 19 14XX W Town OCrX?4iXrK1X~p Somerset Street Address _ Lot No. Block Subdivision Landowner's None: George Sinctear The application for this site is for: skinew construction use. rep I acement systein use. It this is NEW CONSTRUCTION USE, the alternative private sewage system is: W to have one of the first five approvals guaranteed for this year. This is numher 59 - 02 - 5 of those applications. (Use one of the first five quota nuwn ers i ssuecU to you. ) I lune of the applications needing a quota number. The quota numher assigned to this application is - - Lh or one additional homesite on a farm to he occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. P 1for 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. _4or an application on file prior to February 1, 1980. H 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: [__ja failing conventional soil absorption system. LA holding tank that was installed and in use prior to February 1, 1980. L.1 a privy that was installed and use prior to February I, 1980. If this is a REPLACEMENT SYSTEM USE. and the lot meets the criteria for a conventional private sewage system, check here. [J I certify that the above information is true and accurate to the best of my knowledge. / Thomas C. Nelson Name _ Signature (~Coonty (Official) Title Assistant Zoning [administrator Date March 19, 1984 DILHR-M-610 (R 12182) STATE OF WISCONSIN-DEPAR'T'MENT 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 KXX NW ~4 L SE '-b S 2 T 30 N/R 19 XfK"jXe U Somerset Street Address: Subdivision: County: St. Croix L,iiidowners Name: _ Mailing Address: George Sfaclear R. R. 1, Somerset, WI 54025 I (We), the undersigned, hci eby maKe ~,,p!.-Qtion for an °!It:.r^ative system on the above-described premises. I recognize that Lne 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 privalt~ 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 0'F This day of 19 Notary Public, State of Wisconsin My Commission Expires: nII.IIFi-1,BD-6413 (N. OS/Al) ST. CROI X COUNTY z u~ 7 W I SC O N S I N ZONING OFFICE ~`,M► 796-2239 (HAMMOND) ` 425-8363 (RIVER FALLS) HAMMOND, WI 54015 March 19, 1984 Division of Salety and Building Bureau of Plumbing P. 0, Box 7969 Madison, Wl 53707 I Dear Sirs: An on site investigation for the George Sinclear property located in the NWT of the SEA of Section 2, T30N-R19W, Town of Somerset, St. Croix County, revealed suitable soils at a depth of 2 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. Si Y. Thomas C. Nelson Assistant Zoning Administrator 111j Department of Industry, Labor and Human Relations ~w~sconsin Division of Safety & Buildings U ® 1 L H R Bureau of Plumbing 7 of T lEnTOF Fy P.O. Box 7969 - .,.STRV,LR80R6HUMRnRELRTIons r Madison, WI 53707 T el. (608) 266-3815 Ae ` - IN ALL CORRESPONDENCE REFER TO PLAN ' or W /9 IDENTIFICATION NO. NAME OF PROJECT RIVATE SEWAGE ONLY - ❑ GENERAL PLUMBING PLANS Fee Received: ) LOCATION (Priority Plan R view Only CITY OR TOWN Examination of plumbing plans and specifications for this project has been completed. In accord with Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code, the plumbing plans and specifications are approved contingent upon compliance with the stipulations shown on the plans. Please review your code for the requirements of each code section noted. The licensed plumber responsible for this installation shall keep at the construction site one set of plans bearing the department's stamp of approval. The installer shall also notify the appropriate inspector of wner required inspections are to be made. e, y -begi . In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions or examination oversight, and reserves the right to order changes or additions if necessary. This approval is based on Wisconsin Administrative Code requirements. It shall be necessary to obtain and fulfill the permit requirements of the city, village, township or county in which this installation is to be made. Failure to obtain local permits will automatically void this approval. Sincerely, /j For Private Sewage Systems Only, This approval is valid for two Y--"rs or it will be valid until the expiration date of the initial James Sargcit~ it permit. Bureau Dire or ; PLANS REVIEWED BY: DATE: cc: DPS - OWS Owner H & R & Rec. San. Section Local PI Plumber Bur. of Health Fac. & Services County Other DILHR SBD-6099 (R. 05/82)