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HomeMy WebLinkAbout040-1129-70-000 (2) O - O d OO co~ 7 7 (D 3 ~ -Oi d ~ ~ 1 7v w O O W (n o W O c. C/) N m O A P. 0) ao CD 3° m m 0 CO j c c O W 7 O O ~D N ID . zt ::t 1 N O O N w 7 7 CI( Co N N N CL 0 O T A C) 0 O (7 O Q (D O W O ~ O O C ry (7 v W D N t0 CT 3 Z O p 7 N N (A n D), .7 r- Z D) O V1 m (n D m a ~ _ (D (L! O (n d v m W (D =3 N CL O O r Iv N 3 O O O (D N O (D O W F' n (D co co o c xi (n w W _n !'r 6 r T V T a !V• O O O Z (D r' Z M N N :U N ti b r' IQ N F w b ('D go N Ib 00 9 O v v T H 3 (D ('D v o t- (D O E 7y d c r fTl l1, r• H (D < (nn N I rt 9 A OZ O Z Z N O _ D D o I O\ F), C1 go 00 - O j N ON a) M (a ~F 5 CL (D CD N I (D N I W (O 6> > a n (n oli Q O (O (D ti w I Q 3 y c -i fn W (o N (D H (D d O A Z(D N ak p H N O 00 d m N A F-h z cnl~ to V z y I trJQ o~ C (D Z H n 3 (n o 3 A o to CD N A c p CD (a w OR Cr1 N n < 7 0 Q (D t."4 = 23 <n3 (D a CL U) a V N c co 0 V N (n 3 (n v Z C. o3m~ 0 v v N j 0 v (D (D N N Q (D N O (D N ID C (D 7 0 Z1 O O N O ^ oo V O y 3 C 00 7 (D v fi rn - c W tn' 3 2 (0 D~ a o Li o v O CY) CL ti t G O A b EA O r Op O (D O L AEP~,QTWENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7469 BUREAU OF PLUMBING MADISON, WI 53707 ❑CONVENTIONAL C~ALTERNATIVE State Plan I.D. Number, 111 aH"053383 HoldingTank ❑In-Ground Pressure L Mound 9343 NAME OF PERMIT HOLDER. JADDRESS OF PERMIT HOLDER'. INSPECTION DATE. Patricia L. Schwalen R. R. 5, Mann Lane, River Falls BENCH MARK (Permanent r0-n-pomi) DESCRIBE IF DIFFERENT FROM PLAN. REF. PT. ELEV.: ICST1111. PT. ELEV.. SE'-4 SE-,,,Sec. 34, T28N-R19W, Town of Troy Na,ne of Plumber. MP/MPRSW No.. County. Sanitary Permit Number: Thomas Wang 3231 St. Croix Q038505 SEPTIC TANK/HOLDING TANK: MANUFACTURER . LIQUID CAPACITY . TANK INLET ELEV.'. TANK OUTLET ELEV.. WARNING LABEL JLOCKING COVER T} PROVIDED: PROM D Uhf t,)E s~ l~ O U L)YJ.~I D.E3.~oS IXYES ❑NO S ❑NO BEDDING VENT DIA VENT MATL. HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING: VENT TO FRESH AIR INLET L ( ALARM FEET FROM LINE_~ L) ❑YES NO (j ❑YE NO NEAREST DOSING CHAMBER: MANUFACTURER. BEDDING LIQUID CAPACITY JIUMI MODEL PUMP/SIPHON MA NUFACTUSlER. WARNING LABEL LOCKING COVER J~ PROVIDED PROVIDED ❑YES ❑NO fl.• u`1 t~( ES ❑NO YES ❑NO GALLONS PER CYCLE: PUMP AND CON TTONAL NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM NE { AIR INLET PUMP ON AND OFF) J YES ❑NO NEAREST ✓ D SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE I N(IT1I DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until r 0 the soil is dry enough to continue.) MAIN j ) 3 y CONVENTIONAL SYSTEM: WIDTH. LENGTH NO. OF DISTR. E SPACING COVER JINSIDE DIA -PITS LIQUID BED/TRENCH THENCHES MATERIAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPF DISTR PIPE ISTR. P E TERIAL NO. DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV. INLET ELEV. END PIPES FEET FROM LINE. AIR INLET. NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. YES ❑NO SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS YES ❑NO YES ❑NO DEPTH OVER TRENCH: BED DEPTH OVER TRENCH;BED DEPTH OF TOPSOIL SODDED SEEDED MULCHFD CENTER / EDGES. / t L) / ❑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 O 7 TRENCHES DIMENSIONS O T MANIFOLD PUMP „1( MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.. ELEV. DIA ELF PIPES DIA.: ELEVATION AND / y C~ DISTRIBUTION HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED INFORMATION PLANS ~ff YES ❑NO / / ❑YES ❑NO COMMENTS: PERMANENT MARKEHS: JOBSERVATION WELLS: NUMBER OF PROPERTY WELL. BUILDING. FEET FROM LINE YES ❑ NO YES ❑ NO NEAREST a: v Sketch System on 3e.xai4a. n county file for audit. Reverse Side. ` SIGNATURE TITLE r• / DILHR SBD6710 (R. 01/82) 117 AS BUILT SANITARY SYSTEM REPORT OWNER Q TOWNSHIP ~d SEC.~T eN-R W ADDRESS ST'. CROIX C00 TY, WISCONSIN. SUBDIVISION _ LOT LOT SIZE- PLAN VIEW Distances and dimensions to meet requirements of H63 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I I di at N r h rr w Lt 4d BENCHMARK: (Permanent reference Point) Describe: Elevation of vertical reference point: 101) -Slope at site: 5 7" ~06y SEPTIC TANK: Manufacturer:1L Liquid Capacity: Number of rings on cover -J---Tank manhole cover elegyration: ° Tank Inlet Elevation: Tank Outlet Elevation: PUMP CHAMBER Manufacturer: M4 GtJC S~ _ Nui ber of gallons v Number of gal. pump set for a cycle /97 gallons; Total capacity of distribution lines gallon: size of pump 19.0 head; - a gallon per minute horsepower ryoi►1d ;brand name of pump and model number 3erl*-Q 6-,)fO ' Type of warning device ee Wi A # HOLDING TANK: Manufacturer Number of gallons Elevation of manhole cover > Type of warning device- feet diameter SEEPAGE PIT SIZE; Number of pits feet liquid depth _ seepage pit inlet pipe-elevation bottom of seepage pit elevation feet. width _length~tile depth SEEPAGE BED SIZE: number of lines___3______ SEEPAGE TRENCH; width _ length AREA REQUIRED AREA AS BUILT PERCOLATION RATE INSPECTOR DATED PLUMBER ON JOB - LICENSE NUMBER_~a 3I Department of Industry, Labor & Human Relations C, `fir Division of Safety & Bldgs. State OI Wisconsin Bureau of Plumbing Platting & Fire Protection 8 P.O. Box7969 Madison WI. 53707 Tel. 608-266-3815 ~ ~ RFC ~ ro IpH~jyG 983 Off~~f INALL CORRESPONDENCE t i 6''y = f t\ tiroi `°ti fi. Z REFER TO PLAN IDENTIFICATION NO. I NAME OF PROJECT I TYPE OF APPROVAL STREET AND NO. CITY OR TOWN r NTY STATE ZIP OWNER Gentlemen: Examination of plumbing plans and specifications for the above-mentioned project has been completed. In accord with Chapter 145, Wisconsin Statutes and Wisconsin Administrative Code, the plumbing plans and specifications are approved contingent upon com- pliance with the stipulations indicated on the plans. Please review your code for the requirements of each code section noted. The architect, professional engineer, registered designer, owner or plumbing contractor shall keep at the construction site one set of plans bearing the stamp of approval of the department. In the event installation of the plumbing improvements or system has not commenced within two years from this date, this approval shall become void and new application shall be made for approval of these plans before work may commence. In granting this approval, the Division of Safety and Buildings does not hold itself liable for any defects in plans or specifications, plan omissions, examination and reserves the right to order changes or additions should conditions arise making this necessary. This approval is based on Wisconsin Administrative Code requirements. It shall he necessary to obtain and fulfill the permit require- ments of the city, village, township or county in which this installation is to be constructed. Failure to obtain local permits will auto- matically void this acceptance. For Private Sevra;;e S;/stems Only: Sincerely, ~ This approval is vaiid or years or it will be valid until the expiration date of the initial sanitary permit. James Sargent-Bureau Director PLANS REVIEWED BY: DATE: cc: DPS-OWS Owner DI LHR Local PI Plumber H & R (2) County Mfg. Rep. Bur. of Health Fac. & Services DILHR SBD-6099 (N. 06/80) Rec. & Env. Services DEPARTMENT OF ~ APPLICATION SAFETY & BUILDINGS INDUSTRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8'/2 x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Prop ty Owrier: Mailing ddress: 11c, % `P ~ 4. -5-c ,4 n e- Q h' iVcr Property Location: City, Village or Township: jl Count Y: S,e %St '/4S 341 /T ,?,P N/R E (or W /D ~f(Dl~ Lot Number:- I Blk No.: Subdivision Name: earest oa Lake or Landmark: State Plan I.D. Number: If as ' ed) h ~I o1 TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: L'g 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE STEEL FIBERGLASS INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY _:06) HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPOSED (Square feet): ❑ New 9 Replacement ❑ Experimental ❑ Seepage Bed ❑ Seepage Pit Alternative (specify) ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): K Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. N me f Plumber: ~J Si9nyurl, MP/MPRSW No.: Phone Number: Plumber's Addre Name of Desi ner COUNTY/DEPARTMENT USE ONLY Signat re of Issuing Agent:e: Stary Permit Number: r}TY ~,Q APPROVED ❑ DISAPPROVED Z17 4q/ Reason for Disapproval: Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (R.07/81) Form - S T C 100 Owner of Property-- Location of Property :S ~4, Section -7- ~ ,Tc'-~ N R-/1 W Township f nn Mailing Address `1" + 1" ^-x „ OC1 Subdivision Name Lot Number Previous Owner of Property Total Size of Parcel Date Parcel Was Created Are all corners identifiable? Yes li No Include with this application one of the following: .Certified Survey Map .Deed Land Contract, or .Other Legal Document which describes the property PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deeq rev rded in the Office of the County Register of Deeds as Document No. - °=l ; and that I (we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. SIGNATURE OF OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGN DATE SIGNED OPTIONAL WORKSHEET I' MOUND SYSTEM Ir;-GROUND PRESSURE SYSTEM-Continued- l. Wastewater Load, Total Dally Flow = gal. 10. Force Main: Use section H 63.15 (3) (c), Wis. Minimum Dosing Rate = lDV gpm• Adm. Code and PROVIDE A DETAILED Diameter = 3 in. LIST OF SIZING ON PLANS. 11. Total Dynamic Head: 2. Depth to Limiting Factor = ft. System Head = 112.5 ft. 3. Landslope Vertical Lift = ft. 4. Distance from Dose Chamber to f3 Friction Loss = • '3I 1 i ' 7 ft. Distribution System = ' rUl l = 8 S ft. 5. Elevation Difference Between 12. Pump Selection: Pump and Distribution System = (O 1 ft. PumPmwIllll discharge at least gpm 6. Absorption Area Sizing: at _1JZt1~ft. total dynamic he d. n Area Required t. P1it_mp~m~oe,1 gdd TnufActurer: sl_ Bed or Trench Length (B) _ ftY7 t l 5 f 1 e S 1-J 0 S Bed or Trench Width (A) _ ft. 13. Dose Volume: Trench Spacing (C) = ft. 10 Times Void Volume of 7. Mound Height: Distribution Lines = gal. Fill Depth (D) = I ft. Dally Wastewater Volume + Fill Depth Downslope (E) = I' ft. 4 Doses In 24 hrs. = gal. Bed or Trench Depth (F) ft. Backflow = gal. Cap and Topsoil Depth (G) _ ft. Minimum Dose = gal. Cap and Topsoil Depth (H) ■ ft. 14. Dose Chamber: 8. Mound Length: Volume gal. End Slope (K) ft._ Total Mound Length (L) III. CONVENTIONAL PRIVA WAGEISYSTEM 9. Mound Width: 1. Wastewater Load, To, I D Ily Flo = gal. 10 Upslope Correction Factor = Use section H 63. 5 (3 (c), Is. Upslope Width (1) = ft. Adm. Code and P OV DE D TAILED Downslope Correction Factor = Z LIST OF SIZIN ON LA Downslope Width (1) = ft. 2. Required Septic Ta Ca acit = gal. Total Mound Width (W) ft: 3. Percolation Rate = min./in. 10. Basal Area: 4. Absorption Area SJim ing: Infiltrative Capacity of Refer to fable chapter H 63 -7 q Natural Solt = ' gal./sq.ft./day and PROVIDE A DETAILED LIST OF Basal Area Required - sq. ft. SIZING ON PLANS. Basal Area Available = sq. ft. Required Area sq. lt. 11. If Standard Tables from Chapter Length = ft. H 63 are Used, Indicate Table No. Width ft. 12. For the Distribution Network, Use Numbers 5-14 In Section IT. Number of Trenche = 1 Trench Spacing = ft. IT. IN-GROUND PRESSURE SYSTEM 5. Distribution System: I . Depth to Limiting Factor = ft. Lateral Length = ft. 2. Landslope - % Number of Laterais 3. Percolation Rate min./in. Lateral Spacing = in. 4. Proposed System Elevation = it. Distance from Sid all to~ e = in. 5. Wastewater Load, Total Dally Flow: CJy gal. System Elevation ft. Use section H 63.15 (3) (c), Wis. Adm. Code and PROVIDE A DETAILED IV. SYSTEM-IN-FILL LIST OF SIZING ON PLANS. Fill in All Items from Section III Required Septic Tank Capacity = I y`~'~ gal. 6. Absorption Area Sizing: V. SEPTIC 1 AN K / Percolation Rate = min./in 1. Capacity = gal. Area Required = lSs2_ sq. It. 2. Manufacturer: System Length = [1 2 ft, 3. Show Site Constructed Tffnk Details on Plan System.Width = ft. 7. Distribution Pipe Sizing: VI. DOSING TANK Hole Siie Ian it 1. Capacity = gal. Hole Spdcing l 35 2 ManulJUUrer. I_alcral Length _4JCX), I, Pump Manulaclurel: Jlclal Slit In. 4. Pump Model: 1 .111'1.11 SII,ll ing S Operating Head = it. 1)111a1ILV IIIHn Sulrw,dl III 1'Ilr4 1 low Raw _ gpnl. M. DIJllbuliun PlpO I)Itichmgc RJtu: Show Site Constru ed 1 ank Details on Plans Nunlbul ul I lula+ I'cI Plpr 1 uw 1'01 1'hn' _10 µp111 „ VII. II()t UIN(, I ANK 8303381, anuuhl SI/Ing A k i. Capa,Ily gal Inlli I, vitiu1 of until 1 MJIIUIJIIUIUI Retells in Plans nk lengih aQ_ 11 4 Show Silt l =1(-d I, I J I I Ic U I !z III (((((99999///////'~~~~~/////~~ p -lilts I I`vl lllta►A 1 / /C S 31 P4rV 3 3.00' ~C~ 9a,3i u, o 00 O foQ~ oo l 9n Chv~~N T/ lut 1, I~p' 1 j rlv~L~ evo %')C) Sep, le- Ta ~k 4n(U I 1 V L4 19 -J Tro.~To-3n 3 8 3 ~,.i.... Wks ~V 3 ~ Page Of Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand Topsoil G -J ~ 3 E D b % Slope Bed Of 2"- 2 2 Force Main Plowed Aggregate From Pump Layer D Cross Section Of A Mound System Using E A Bed For The Absorption Area F ..75 ` T:--K x ti\ G I A 8 Ft. H Signed B l.-~" T License Number: ✓ I 13, Ft. Date: J Ft. Alternate Position L 1t~ of Force Main W Ft. L d + Observation Pipe i A L---------------------- I~---- Force Main W - T-------- - From Pump Distribution PL B t Of 2 - 2 !2 Pipe A I T IQN~ Observation igti Pe ne ~F Markers \ t i• tai Plan View Of Moun 1( Bed For T e Absorption Area i 18303383 Page Of Perforated Pipe Detail / End View_ ~Perforoled End Gap PVC Pipe deg Moles Located On Bottom, 'is Are Equally Spaced S PVC Force Main * From Pump / .7 /P PVC Manifold Pipe Alternate Position Of Distribution Pipe Force Main From Pump Last Mole Should Be Nest To End Gap End Cap Distribution Pipe Layout P R S Y ,f Hole Diameter ~y Inch Signed: GI u.'-o Lateral I Inch(es) License Number: Rf [(9S' / Manifold L Inches Date: L*u 3 Force Main 3 Inches V ~t'~4 'g'Jft' z ' \J ~r h 1~ rn t V . i 0-3 1330303 PAGE J OFJ~ • PUMP CHAMBER CK055 SECTIOKJ AMD SPECIF ICATIOKIS_ ~ PICS - V E IJ T CAP C~ `"C-I. VLAJT PIPE \A/[A T HE R PKOOF APPKOVE LOCK12 JUNCTIOAI box MANHOLE COVER L5' FRCM OCOR, WWDOW OR FR I, SH 12"MIU. AIR IMTAKE GRADE I `iMIIJ. ki. 91.O~j CO►JDUIT 18"MIN. - IAILETPROVIDE I PiI ~ t.oVj TIGHT AL I III APPKO`JL U JOINT A CO I I APPROVED J01KIT W/ C."l. PIPE: i . I III W/C.I. PIPE EICTENDING 3' t ;v~ I II EXTENDIUG 3' ALARM OWTO SOLID ;C,I L. ONTO SOLID SOIL s it I 1 t~ , VVV n ~t0,55 Jt✓" PUMP-~ - OFF i D - CONCRETE BLOCK S RISER EXIT PERMITTED OIJLy IF TANK MANUFACTURER HAS SU.GH APPROVAL SPCCIFIC.ATIQIJS F'TI'C AND I~ )SE TANKS MA►JUFACTURER: ~7hJe l SL( l one ul a(pCxI UMBER OF DOSES: PER DAy T-AMK :.IZE : l S{{O 1 _ GALL O►JS DOSE VOLUME: YGALL0KJS ALAKM MANUFACTURER: .'~,_I IrLg.~~~ 5 CAPACITIES: A= I S._.IIJCHES OR 33 1 CALLOUS MOI,E.L IJUMBER:_ I0I I~ W IMCHE5OK GA~ILOUS SWITCH TYPE: IlI d ' ~ n C= INCHES OR GALLONS I'LIMP MANIIFAC.TLIR4K: LO 0 (OL D= r~ 1, EYES OR GALL0U5 MUL)EL CUMBER. 3A~~_ f.CS LJP057 NOTE: PUMP AND ALAKM ARE TO BE SWITCH TYPE: L= IUSTALLED ON SEPARATE CIRCUITS PUMP DISCHARGE RATE GPM /I VERTICAL DIFFnREAICE BETWEEN PUMP OFF AUD DISTRIBUTION PINE.. 4 ('~OFEEI + cMIIMIIM, UM NETWORK SUPPLY PRESSUKE . , . , . . 2.5 FEET 1 5 FEET OF FORCE MAIN X • I F T. orr.FKLCTION FACTOK_.~FEEI ~cs TOTAL D WAMIL HEAD I O/ FEET ll ' l //11 I cti t V r ~IWTERNAL DIMLWSIONS OF TAAIK: LLQ(,T H - L_ I6 UID DEPT H 8 30Q 83 Gallons Per Minute WP0511 Model ~WP0512 WP0712 WP1012 WPH1012 WP0532 WP0732 WP1032 WPH1032 Series No. ► WP0534 WP0734 WP1034 WPH1034 HP ► 1/2 3/4 1 1 Iw RPM No- 1750 3450 Submersible 5 150 170 180 190 Sewage 10 126 154 168 170 - Pu m pS 15 94 125 152 150 w tom,.-.,.. . = w 20 56 90 121 128 E 3 25 17 49 81 107 o 30 14 40 86 Certified -6 LL 35 10 64 Canadian - C Standards 12W F 40 43 Association 45 24 50 4 - 73V4" ---151s/i' - Max. Series HP Volt Phase RPM --Solids Amps. Wt. W P051 1 '12 115 1 1750 2" 9.0 108 WP0512 '12 230 1 1750 2" 4.5 108 WP0532 '12 208/230 3 1750 2" 2.2 108 `WP0534 '/2 460 3 1750 2" 1.1 108 ~ -31M rIP:T. WP0712 3/a 230 1 1750 2" 6.0 110 1 DMcherge - *WP0732 3/< 208/230 3 1750 2" 3.6 110 *WP0734 3/4 460 3 1750 2" 1.8 110 - -T WP1012 1 230 1 1750 2" 9.0 114 7W W PH 1012 1 230 1 3450 2" 11.0 114 gy2^ WP1032 1 208/230 3 1750 2" 4.2 112 W PH 1032 1 208/230 3 3450 2" 7.0 112 WP1034 1 460 3 1750 2" 21 112 WPH1034 1 460 3 3450 2" 15 112 CSA Listing pending. 50 m 0 40 ryP~ d py70 ~ 3er~es = 30 7 NP.WP 70 P. aeries E ' wPp~ 3er/eg Q 20 ?NP.WPpsSeri,, m H 10 20 40 60 80 100 120 140 160 180 Capacity-Galions Per Minute SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. 8 3 8 3 ST. CROI X COUNTY r_~ r WI SC O N S I N 4~5 ~ 2> alt ~ ~ r, ~ a Y ~fi~ y C O U N T Y BOARD O F F I C E 386-5581' Ext. 50 t COURTHOUSE HUDSON 54016 June 22, 1983 Division of Safety and Building Bureau of Plumbing P. 0. Box 7969 Madison, WI 53707 Dear sir: An on site investigation for the Patty Schwalen property located at the SE-14 of the SE-4 of Section 34, T28N-R19W, Town of Troy in St. Croix County, revealed suitable soils at a depth of 2.5 feet, below which seasonable high ground water was noted. This site should be suitable for a mound system. Should you have any questions, please feel free to contact this office. Yours truly, Thomas C. Nelson Assistant Zoning Adminis*_r3ror TCN:mj WISCONSIN DEPARTMENT OF 1NOUSi-RY, 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 .4 In the County of St. Croix Location SE 1/4, SE 1/4, Sec. 34 T 28 N, R 19 xtvr~ W Town 0LcftRjKd1PJdKtrx Troy Street Address Lot No. Block Subdivision Landowner's Name: Patty Schwalen The application for this site is for: ❑ new construction use. replacement system use. If this is NEW CONSTRUCTION USL, the ilternativu private sewage system is: Hto 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~ersissuea to you.) `Ione of the applications needinq_ a quota number. The quota number assigned to this application is - - Ll for one additional homesite on a farm to he occupied by a parent, child, grandchild, sibling, niece, nephew, or first cousin. F-Ifor 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 _Ifor an application on file prior to February 1, 1980. (._Ifor a lot that meets the criteria for a conventional private sewage system. If this is a REPLACEMENT SYSTEM USE, the alternative private sewage systern 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 lot meats the criteria for a conventional private sewage system, check here.I I I certify that the above information is true and accurate to the best of nriy knowledge. Name Thomas C, Nelson Signature County Ofl icial Title Assistant Zoning Administrator Date June 22, 1983 DILHR-SBli-6158 (R 12182) 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: Township /K"ixeXi~XFAYf4 SE SEA S 34 T 28 N/R 19 ZQbYr~W Troy St . Croix Street Address: Subdivision: County: Landowners Name: Mailing Address: Patty Schwalen RR# 5, Box 200, 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. 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 permit's 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: DEPARTMENT OF INDUSTRY, REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS LABOR AND c DIVISION P.O. BOX 76 HUMAN RELATIONS PERCOLATION TESTS (115) MADISO N WI 53707 LOCATION: SECTION: OWNS UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: s15 1/4 30/ 3y IT9$NIR19 E (or~ rs 111r4 A ~lA COUNTY: C~~raix O NER•S/BU`Y3EcRS jtNAuM~Ea: M ILING ADDRESS: S~. J471 e 4Q41e USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMER IAL DESCRIPTION: rr~. R F DESCRIPTIONS: IPERC LA ION TESTS: Residence ❑New K~Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ©U IK$ ❑U OS ®U 0$ ©U QU y41om al If Percolation Tests are NOT required DESIGN RATE: SYSTEM EL V 11f any portion of the lot is in the under s.H63.0915)(b), indicate: 0 ~ ~0 lad, 5 ~ 1160) loodplain, indicate Floodplain elevation: Nn ✓'F PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH- NUMBERIDEPTM IN, OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B l 3,a 97 /3 33 5 i . c 50 b u, N c~ rej. B y0~ 1/ 9 '00 3.Co 3.v ca .9d /1r s'1 1.5o 6nS le .5q(" 30~JU. h~ 42 ter B- 3 ay~~ 93~f' y .7 5 4,/,q Ter B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIODt PERIOD2 PERIO)3 PER INCH P- j 60 Q 3Z1) .,ab s„ 6. P- bC 0 3D .0 it', .OS. 3 LP as 3b C r " -3- (-157 P- P- P- PLAN VIEW: 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 percents of land slop. 1601 gf f, Elea, T SYSTEM ELEVATION ,/06 11a' P.ne_ 6y,Se 1,5'_rais e from ;t-d at p reseilt It c y yank r- PIT t6 Q` i n t, ~n (14 c 4t of 11a4s e lop To Se}~1"iC ` s X*6e;lolo _ tole 11-4 Ieue k - Ere _ a as v P, = Perc 9O)es Present Igo 81 A Ei ,E -1- rk u, 4t rj 74. 9? 01, t 1; Red' 1 ))11 ~ /a S ake at $Q s e o~ w ll (s'`~ hers tre c t-d kern) ` lfom~ oii X° i~:45 Pr es pnT a fit . 10 DWI $A L),e 1 T loo' I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures rnethous specified in the Wisconsin Admimistrative 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: ~Idlncr ~q 'uhe 4/ F3 ADDRESS: , CERTIFICATION N MBER: PHONE NUMBER optional): CST TUBE: DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 1N. 03/81! e_ "44 1 3 541 t PARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS JDUSTRY, DIVISION P.O. BOX 76 ABOR AND PERCOLATION TESTS (115) MADISO IUMAN RELATIONS N WI 53707 OC'.~TtON: SECTION: OWNS UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: c L 1/4 50/ 3(/ /Ta9N/R/9 E to VA Q 141a )UNTj O NER'S BUYER' NAME: M ILIN ADD SS: s~• CYai x F47/ 75C Ole ~C an e 1SE DATES OBSERVATIONS MADE NM A R TION: rrte~.. PROFILE DESCRIPTIONS: 1PERCOLATION TE pU S: )CIResidence ❑ New PP Rep Iaca 3 0 "1ru~1 e J 3 -tATING: S= Site suitable for system U- Site unsuitable for system J 1NVENTIONAL: MOUN: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:(pptional) j F1 s ©u © Sit ou a S ®u ES aU ES ~u 14 OaA a/ i Percolation Tests are NOT required DESIGN RATE: floodplain, any portion of the lot is in the nder s.H63.09(5)Ib), indicate: O0 rio0 S bo indicate Floodplain elevation: PROFILE DESCRIPTIONS )RING TOTAL DEPTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH AMBER DE IN ELEVATION OBSERV D EST. HHIGHEfj~ TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- w ° Lll~ o / .5v j/.33 51d 22. 50 bu rah 13- ~Op ~?9.00 .o0 3.ov ,9a s'I l.so tSns ~s~ 3 r~ 7P 3 X331 Vt7 1.1 sil 1.~~'Bnsf ,E7S~Gr~.7S' T B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES JUMBER INCHES AFTERELLING INTER ;AL-MIN. P-RjpID t _PERIOD P R PER INCH P_~ o o so .o It" OF, (Jolly N oo D c r ~ ~ , P P . P LAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- 'ital and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent land slop. mal of f Elegy, y SYSTEM ELEVATION 100.5 w P• ne b4SC r5 rais t foam rdl at prefer fi 71- k vtvlt tbekhll 6 /0434 ~~fs 2- a ~ _ ~o a ~lolt~ i ) v Present 0, A El a=~IeU.at~. 1P.~I~ 1~'~'~~J ~l Csar~ @ =t1, IE-l = r)eL). 4f ra 1_94,9a R4. S Take- at s c of d !a"~.kerv~ re rrd ~t i 1 I i I i 1 Fr e3 en 't C _ IV' + Ord( ur $ 1 loo' 13 the undersigned, hereby r;ertify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin ~dmimistrative Code, and thot the data recorded and the location of the tests are correct to the best of my knowledge and belief. VAME fl/n.4 TESTS WERE COMPLETED ON: 3 A 04n lane y ~3 ADDRESS CERTIFICATION N MBER: PHONE NUMBER optional): oo a Pi ~ (C ie~ F~~ls L1r's, yap-99~k CST TUBE: LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF TROY COMPUTER NUMBER 040-1129-70-000 Parcel Number 34.28.19.543B OWNER NAME: First TONY as PROPERTY ADD SS: Hse # 1/ PD --Street me-- Type SD Apartment CT_ Y RD-- 1(,(~~SL wyj ('7o /SECTION 34 TOWN 28N RANGE 19W /4160 /440 Line Description Line Description PARCE L VOLUME & PAGE HISTORY TYPE VOLUME PAGE DOC# NOTES .►.WD 2398/ 478 738639 VAN-VLF-ET ARMAND TO HETCHLER TONY A HEIDI 955/. 452____0 d Z 1- GL~~ L k~ ? -775/ 570570 376 0 tr e,V e r Use Arrow Keys to Select, F7-ROD, F10-Exit LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF TROY COMPUTER NUMBER 040-1129-70-000 Parcel Number 34.28.19.543B OWNER NAME: First TONY G & HEIDI L Last HETCHLER PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment CTY RD SECTION 34 TOWN 28N RANGE 19W '/4160 '/440 Line Description Line Description TOTAL ACREAGE 0.275 PLAT LOT BLK 01 SEC 34 T28N R19W .275A IN 15 02 SE SE COM 265 FT N OF SW COR 16 03 SE SE, TH E 120 FT, S 100 FT 17 04 W 120 FT, TH N 100 FT TO POB 18 05 (INCLUDES P543G.556AC) 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit %Z~- Orchard ■R"' RA Bill I a a ¢ Sub Haar I Stohl ■ Enloe ' Leonard U o I COULEE TRL ■ ■DesLauriers ■18 Mark d Leo FF ■ i ■ ■ ■ ■ ■ ■ ■ ■ ' Handlos ■Rick ell 20 • Ste hen mart Ron 'O Tom ■ Tracy ai Rohl • ¢ I Hanso Gerad I n.Kman AndinB o a McDonald 1■ 1 Peskar v ■ ° i 30 9Glover Daniel u - 1 0 H I 1 ■ ■ 2 . . ca=r 12 40 RIANA LN Hills • Hildebrandt 3 ^ •Rose 7 David ■ i Sub •°e .a 3 I 5M Roeker Keith ■ john ■ 12 I ■ Anding i I ° Thomas = I~John ■ Paul I ■Anding i AQQ Nolen O i Young ia`P0 William i I P4 -I v ■Barrett - - il 2M 1113 OMAHAD RD <O I Vista 35 I I X Senn $ Eagle 0 qc rtiF G 4 I Sub Tom a r ■ Bluff ~0is vN ■'W y Gregory ■Langer I - I3 1 2 Sub QO RD 9O IF Moelter 1 ip Arno i o" ■ IN ■ w as K a: 32■ • ~ I ■BJrr GLOVER RD .00 3 ■ 4 r- 4 4 ■ Jon 16 Glover I ■ ■ Duane ■ ■ 13 Bjerstedt I ~C Ken Prairie Terry Clair Vorwald Ronald CHATTA- •Schoettle S Glover NOOGA Sub Michael I Sveiven Wilcoxson I JRoen m ■ I z M `-12 Sub R 11 Johnson ■ I I FeYercisen Terry Allen I x W IS J BUILIDEROR I Abbott Arnold I Roen ■ ■Hanson ~ f-i ul ie ■13 ■Gunderson 12 - - - - - - - - - - - - - - - - - - - - z d U - - PaulT - - Wade ■ ■M n g I Vernon J ■ z p" p 1■ Roger ■ Duenow 8 6 Johnson n 3 2M Harrison ■ Sylla 3■ i ■ 1 Albert I ■ eylana■ 1 o 0 3 I ■ 1 ■ Jensen Lawrence I ,d CHINNOCK LN u~°■ ■ CHAPMAN Huppert ■ Y O 3:: 40 ■ ■ 0 JoRick 80 hn- SADDLE I i DR ■Jason ■ en F. F I Brian 5 6 son RIDGE w Saddle < Kjos .p ■sylla i r e a I Ridge 22 OG i 2 .ROLLING :Brian °PGS IHMS~ ~9 I `rFq ■Steve) (MEADOW Kemp Duelos p ■ John ■ Inlow ■ Larson IDR OAKS R ! Timmer- I Ronald ■ mps n 90 ■Matt I man Smaider ■ Donald Country I lenses ■ uPPert _ - B Oaks Sub ■ ■Terry r 1}nn - Sun Sundown ■Michael Carl ■ H pert Ra ■ ■ 1 down I Hill s Barnes I Warren RichLCOn ■M ton Joseph Donald ■ Hills Sub Lewir Brown ■ Doyne Sub ■LeW1nSk1 Larry IS HO a I Anderson 2I B~ I Jo nte RIVE 8LNKORA ■ ■1 ~s 927 I FALLS ~I 5■ 26 I Bob o ■David 0 Brian I Huntrods o[ Christian- 65 v c I Ch > Nelson i Neil ■ o son l~ J 3' David Accola Cr I 65 Q u O > ■Lysongtseng ■ I ■OMauey ■ - - - - - - - - - - - -Dab - 35 ■ I 1■ z Daniel Orin I w ZZ Dave ■ a ■ Ducklow ■ Johnson z A- Cernohous Thomas w I Gerald ■ ■ I . Griep ¢ I z Ginsberg pan b o °z a z I Johnson w o a LJ I ro z ■ 12 a Q -J CC i~ 33 x: ~0 I ax o I 35 WO ¢o MM ..o Zow 'a I • ■ sQW o 1■ Cernohous A Tim y S 4 u o ~ 5 Addn I■ ■KoeK ■ f]z 2• 0 2 i 41/ S' i8N RIVE I View Way ■ 3■ _J00 N9 > I u v > DR FALLS 4 5 6 OOQ I ■ 5-8 •U ;20 ■ ■ ■ 7■ B■ M GOLDEN ACRES RD PIERCE CO. • aver Jeff Dusek State F Bank INSURANCE COMPANY i6 124 South Second Street; River Falls, WI 54, (715) 425-6782 • FAX (71 218 North Main Street • River Falls, Wisconsin 54022 (715) 425-5292 TOLL FREE (866) RF1 Fax: (715) 425-1472 Home: (715) 425-5704 email: info@rfstateba website: http://www.rfstat 1 1 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF TROY COMPUTER NUMBER 040-1130-10-100 Parcel Number 34.28.19.543F-10 OWNER NAME: First DOUGLAS D & PATRICIA J Last BLACK PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 674 CTY RD M SECTION 34 TOWN 28N RANGE 19W 1/160 '/440 Line Description Line Description TOTAL ACREAGE 3.490 PLAT CSM 11/3236 LOT1 BLK 01 SEC 34 T28N R19W PTSE_ E 15 02 BEING LOT 1 CSM 11/3236 16 03 EXC COM S 1/4 COR S - ; TH 17 04 S 88 DEG E 1997.99'; TH N 01 18 05 DEG E 169'POB TH N 01 DEG E 19 06 60.62'; TH S 88 DEG E 25.86' 20 07 TH S 24 DEG W 65.90'POB 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit • CS✓o IV3z3J~- LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF TROY Sq3-- FLO COMPUTER NUMBER 040-1129-90-000 Parcel Number 34.28.19.543D i') OWNER NAME: First SAMUEL J & HEATHER N Last JOHNSON ---vu t PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 672 CTY RD M SECTION 34 TOWN 28N RANGE 19W '/4160 '/40 Line Description Line Description TOTAL ACREAGE 0.370 PLAT LOT BLK 01 SEC 34 T28N R19W PRT SE SE 15 02 .37A BEGIN 292'E OF SW COR 16 03 SE SE; N 165', E 105'; S 165 17 04 FT; W 105' TO POB S 33' FOR 18 05 HWY 19 r 06 20 0 7 21 08 22 -7 09 23 l SCE 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit