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Home My WebLink About022-1086-10-110 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 487925 0 GENERAL INr*dNMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Linehan Trust I Kinnickinnic, Town of 022 - 1086 -10 -110 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: / Oa I C T 30.28.18.4650 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic , ii Benchmark Alt. BM Aeratiaq Bldg. Sewer Holding St/Ht Inlet < TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom 13.4 59 TS Dosing V ` Header /Man. 5 .10 Ica Aeration Dist. Pipe Holding Bot. System ( " 66 ►Sb 3 � PUMP /SIPHON INFORMATION Final Grade 14- !C4' Manufacturer +� Demand St Cover n L ,31 G.QI'. @ GPM / v A 9 (P -7 011 Model Number i �b 16 1, r TDH Lij 3.160 Friction Loss System T H �Ft - - /1 S 16,Z.5% /; 97-S Forcemain Length Dia. ►/ Dist. to Well Z 7 SOIL ABSORPTION SYSTEM 7• a 5 - 7 7, 4 BED/TRENCH Width I Length No. Ofsrench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS C5 I Z S3 e "I-, - SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer: \ INFORMATION CHAMBER OR Type Of ystem: - 6 7' Z' 2,4o f UNIT Model Number. DISTRIBUTION SYSTEM g Header /Manifold I Distribution /� I x Hole Size x Hole Spacing VeM to 41n e Pipe(s) ( , r 1 Length 2115( fDia Length _ - Dia Spacing l �O SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over ! Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center 11 7! _ Bed/Trench Edges � Topsoil ` — s � ; No Yes !, No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / f / D S Inspection #2: Location: 990 Quarry Road iver Falls, WI 54022 (NE 1/4 NE 1/4 30 T28N RI 8W) NA Lot 2 Pr � 0 6 , P cel No: 30.28.18.4650 1.) Alt BM Description 2.) Bldg sewer length = amount of cover = t s w� Plan for additional informs lon. Use other revi de o Re quired? Yes ° - -- - — - - - -1 - - -} - - - - -- Date Insepctor s S' ature Cert. No. SBD -6710 (R.3/97) f nd Buildings Division County Croy 01 n ,Ave., P.O. Box 7162 8 *isconsin a d 7 -7162 Sanitary Permi Number (t a tiled in by Co.) Departmeht of Commerce (6 08) x;51 tate Plan 1. Y. Number Sanitary Permit Appl><ca s In accord with Comm 83.21, Wis. Adm. Code, personal infor tion you provide To — 7 ( O may be used for secondary purposes Privacy Law, s15 4(1)(rrt t iO(h oject Address (if different than mailing address) I. Application Information - Please Print All Information X CoutN y r. CRU cr Property Owner's Na me Parcel # Lot # Block N Dan b nek an TRusT�� '�'� a Property Owner's M ailing Address Property Location Qa Qua.lrrLI 1211 Al c_ 'A. N� 1A,Section . City, State `� Zip Code Phone Number - R � t✓ F S 1 `54 OZ-2 S (circle one) QQ� II. Type of Building (check all that apply) T 2 O N; R p E o&W ; '191 or 2 Family Dwelling - Number of Bedrooms I�10 � „!� �'A/Z{/�� Subdivision Name CSM Number q • t / (p � � �� a 11 Public /Commercial - Describe Use tJ v � ❑ State Owned - Describe Use ❑City_❑Village$�'Pownship of E l 0 i Lcktnri Ic, III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A* ❑ New System 1� Replacement System y p y ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System B. ❑Permit Renewal ❑Permit Revision El Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) ❑ Non - Pressurized In- Ground ❑' Mound > 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Grave 1 Pipe ❑ Other (explain) t / V. Dispersal/Treatment Area Information: S lf' y Design Flow (gpd) Design Soil Applicati Rate(gpdsf) Dispersal Area Re wired (sf) Dispersal Area Proposed (sf) s e Elevad 6o I( I� o. A so as W5d o (�0 ') VI. Tank Info Capacity ' Total Number Manufacturer Prefab ' e to I Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic MO Aer Trratmv u t I nit � • J c� bQ�r— osing Chamber 150 T5 / sponsibility Statement - I, the undersigned, assume responsibility for installation of the POWTS s n on the attached plans. Plumber's Na me (Print) Plumber's Si gnamre MP /MPRS Number Business Phone Number Tau( 6��ll'leV a�o�S SI '7 61 1 / 5- 55VY Plumber's Addre ss (Street, City, State, Zip Code) N8a 30 9q5` 5+. vz.r' tic / s G0 T C� VII ount /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date sued Iss ng A ent Si r No Stamp Surcharge Fee) , �j �^ o ❑ Owner Given Reason for Denial IX. Conditions of Approval /Reasons for Disappr�� SYSTEM OWNER: eC�ptic tank, effluent filter and 11 11 dispersal cell must all be serviced / maintained ` as per management plan provided by plumber. ��m� . �`�� 2. se ac requiremen s mus a main aint:d (/yt` C "7LG u�C d Giacr tin as per applicable code /ordinances. i Attach comp) to Mans (to the County onl) o he system on paper n ess thatf 8112 x 11 inches i ize t SBD -6398 (R. O1 /03 Gt`�d Gi� WV:4 h1lLnnGx�icdr� t &A d New Fiffw dasiH }} p ►wt � Ga V"aa� f 3 �e.frbon. Yess 5 ow rt. _ _...._.,... for Sdo (` Ttn a ra,w BED Ele v 1000 s b � 8 3 $i L a QM #;t T6� ©� Sip& iN _ Z rea red elegy 9g g1 ` v �x } t+'cQ� s y 5�erno,. 13 2 / Q ll. l 7 A cre ' Safety and Buildings 4003 N KINNEY COULEE RD commerceml.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 sco n s i n www.commer n / www.wiscoisconsin.go sin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary September 22, 2005 CUST ID No. 225451 ATTN. POWTS Inspector PAUL C J STEINER ZONING OFFICE STEINER PLUMBING & HEATING ST CROIX COUNTY SPIA N8230 945TH ST 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 09/22/2007 Transaction ID No. 1198105 SITE: Site ID No. 704910 Daniel Linehan Please refer to both identification numbers, 990 Quarry Rd above, in all correspondence with the agency. Town of Kinnickinnic St Croix County NEIA, NEIA, S30, T28N, R18W Lot: 2, Subdivision: CSM No. 6/1672 FOR: Description: Three Bedroom Replacement Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1041203 Maintenance required; Replacement system; 450 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD- 10691 -P (N.01 /O1), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691- P(N.O1 /O1). • The pressure network is to be constructed in accordance with publications SBD- 10706- P(NO1 /O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81)" • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank p q explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized ri &Affi fif the Department, which may include local inspectors. Coll d it o n (116 7 r PAUL C J STEINER Page 2 9/22/2005 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 j swim @commerce.state.wi. us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE h •7 Project Name: DANIEL & Luanne Linehan Trust Owner's Name: Daniel Linehan �� ?00Jr Owner's Address: 2663 Golf View Drive Dr s RIVER Falls W I Legal Description: NE NE S30 T28 R18 Township: Kinnickinnc County: ST Croix Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: 022 - 1086 -10 -110 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications �4 s Pin t P )6n Designer: P,,,( CJ License Number: - 22 Date: , 09/14/055 Phone Number: 7/3 Signature �.1' c� A&::� Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS 1 g o etw S S (0 /81) and Pressure Distribution Component Manual Ver. 2.0 SBD- 10706 -P (N. 01/01) !' c G CCl`r ^`.r:�tC'E Version 4.0 (R. 04/03) ` ,V ,-J`,i4 OF SAFETY AND BUILDINGS Page 1 of 1 E CO!1j:) - SPONDENCE SI=P -23 -2005 06:46 From:STEINER PLUMB 715 425 8818 To:6087859330 P.1/2 e Mound and Pressure Distribution Component Design Design Worksheet Silts Information (r or c) R Residential or Commercial Design Note, Send till (0) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Fable 93 -44 -3 in -situ soil troatment for fecal 1.50 Peaking Factor (e,g, 1.5 =150 % collform of <0 36 inchos 450.00 Design Flow (gpd) 9,00 Site Slope ( %) 103.00 Contour line Elevation (ft/ 30.00 Depth to Limiting Factor (in) / 0,40 In - situ Soil Application Rate (gpd /ft V Distribution Coll Information 88,00 Dispersal Coll length Along Contour (ft) m 7 Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Pressure Dlarlbution Information network? i=nter Y or N (c or e) c Center or End Manifold 2.56 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 EstlWated Orifice Spacing (ft) = 8.05 ft /orlflce 2,00 Forcemain Diameter (In) 330,00 Forcemain Length (ft) Does the forcemain drain back? Lam 90.00 Pump Tank Elevation (ft) Enter Y or N 3,25 System plead (ft) x 1,3 53.83 Forcemain Dralnback (gal) 13,00 Vertical Lift (ft) 55,05 5x Void Volume (gal) 0.29 Friction Coss (ft) 108.0 Minimum Dose Volume (gal) 25,54 Total Dynamic Head (ft) 36.70 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia, options choice in. dia. 012tions choice 0.75 1.25 x 1100 1.50 x x 1,25 x x 2.00 1,50 x 3 00 2,00 x 3..00 x Gallonslinch Calculator (optional) Treatment Tank Information Q total Tank Capacity (gal) 1 Op0,00 I Septic Tank Capacity (gal) Total Working Liquid Depth (in) Weiser Manufacturer oZb. St', gal /in (enter result in cell 649) Dose Tank Information Effluent Filter Information 7 1 5c; 609. Dose Tank Capacity (gal) Zabel Filter Manufacturer --+2-.W Dose Tank Volume (gal /in) A100 �.. Filter Model Number Weiser f Menu actu er r Project: DANIEL & Luanne Linehan Trust Page 2 of Mound Plan View 1/10 B J Observation Pipe 33 K ._ `t . — ;' r�'� r �7� 4J r r r s r { A W r r r r i'r r r r•r.r r r r r r.i '. . — i ..'.'.'.'.'.'.'.. 1 . : ..... .�. B . . ..::::::::::::::::::.:::::.:.:.:.:::::.:::.:.:.: .:.:::.:.:::.:::::::::::::::... I L 00 L Mound Component Dimensions A 5.12 ft E 11.53 in H 1.00 ft K 7.50 ft B 88.00 ft F 9.25 in 1 9.17 ft L 103.01 ft D 6.00 in G 0., ft J 4.18 ft W 1$.47 ft 450.56 (ft Dispersal Cell Area 1 1257.62 (ft Basal Area Available 5.11 (gpd /ft) Linear Loading Rate 1 8.80 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 105.27 (ft) ► ♦ H ...r ell I F � 1 .. . Dispersai�C� 0 4.00 (ft) Lateral 103.50 (ft) -- ► — Invert 1 Dispersal Cell 3 . Elevation E D - ; ,! Ct { 1 .!•c ! - ! 11+C• � 1 '<: ! <- ., ! ! i! ! vl C.!•!.1 l.t.c ! !.! : 1 .! < 4 '•! ': � 4 s . � < �'.c� s.,e— <.1...<•L 1 t 1.1.21 ,._s:rl.. (, ._c , ._R,_ °,. 103.00 (ft) Contour Elevation 9.0 %Site Slope Geotextile Fabric Cover Shading Key Q ! — Dispersal Cell See lateral details on 10 Topsoil Cap c Z . 1.5 ft Page 4 for number, size, c Subsoil Cap y o: I rr r r r r r r and spacing of laterals. © ASTM C33 Sand :5 F Laterals are equally 0 Tilled Layer c a) 0.5 ft n Typical Lateral r spaced from the Aggregate •a c distribution cell's r. ,•.r. centerline in the distribution cell (AxB). Project: DANIEL & Luanne Linehan Trust Page 3 of 9 SEP -23 -2005 06:46 From:STEINER PLUMB 715 425 8818 To:6087859330 P.2/2 Center Connection Lateral Layout Daigram Fordo main oonned9on via too or dross to manifold At ang point, Laterals are Identical ♦ • Tu rn.0 p vWbiwl l vs No or I�w x - I�xl2 I x123, Laterals & fgtaf main of PVC 04h 40 meanoutplug per COMM Table 04 00.6 Holes drilled on the hattom of the lateral. Number of Laterals 4 Orifice Diameter 0,188 in Lateral Diameter 1.25 In Orifice Spacing (X) 3.20 ft Lateral Length (P) 4320 ft Orifices per Lateral 14 Lateral Spacing (S) 2.56 ft Orifice Density 8.05 ft %rifice Lateral Flow Rate 9.18 gpm Manifold Length 2.56 ft System Flow Rate 36.70 gpm Manifold Diameter 1,50 In Total Dynamic Head 25.54 ft For Velocity 3,75 ft/sec Dose Tank Information L cover with waming label and locking device and sealed watertight Electrical as per NEC 300 and to Comm 19,28 WAC 4 In. min Disconnect "tank component Is properly vented E-- Alternate oullot location Forcomaln diameter Weiser Manufacturer W 2 in. Ca acct 0 1 Gallons Volume 1 e 2 .. p,;J ) gal/inch A Weep hole or and- Dimensioni and- Dimension Inches Gallons B siphon device A B tl"S C P, ump off elevation tt C D D Total I Do se tank elevation ft 3" Bedding uncTer tank. 90,00 Alarm Manuafacturer level Alarm Alarm Model Number D Pump Manufacturer lzoliar Pump Model Number Pump Must Deliver I 56.70 gpm at 26.54 ft TDH Project; DANIEL & Luanne Linehan Trust Page 4 of V Mound System Maintenance and Operation Specifications Service Provider's Name Dunn Sep Servic Phone 425 -1025 POWTS Regulator's Name St. Croix Co. Phone 3864680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450.56 ft Maximum FOG 30 mg /L Type of Wast yp ewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequencv Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundl Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished ............... .................. Grade 6 -8" Diameter Lawn J Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: DANIEL & Luanne Linehan Trust Page 5 of Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD 10706 -P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contin-gency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: DANIEL & Luanne Linehan Trust Page 6 of i& oo h 1 h + Q Q — Q Q Q I � 0 \ Q ro Q Q h O r O Q Q Q F- � h O L _ Q z J r7 M N N N OJ et (3) O O t O U D f Q o Q� W j m 00 (0 (0 N °o N O w ° _ — 0 U Z V LL) z F— M tD h O O N M 0 W u N ' M 0 J s 0 Q W LL O M O N M M It V ' Ar OIL O O 0 C14 0 v w W Z >_ Iz o U� o w � uj CL >- co ' � CD o o r J o U LL- w 0 Q 2i N 2 O 1333 `n o uo o N o Y o Ln z �t �t M M N 0 S6313W Q N O Oc co N 0 C) N z Of N w Qb3H OIWdN kC Id101 C /_ A- — Z 5t I14 New FiVt 8asjh - Tn sto 414f c f 48�s s. Co nG re�c le a- a°ova �Dree °�11a�„ Driue��t ®y S B114 T Fi Silo ( Tin' 81n) l ev 1 ©a o' b � 8 M 3 161.0' 614 }t T a 5f* 4c 3 � � G ©uraP �l 99gj' o loy. o 11.17 A cries i i esa ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer Dand ' e, L n eV an Loam n-,e - 7_fi xs4' Mailing Address Qa D a .ka y (2 j Property Address a4 7'ta_ (Verification required from Planning Department for new construction.) City /State R weal' f 4 l S l WE- Parcel Identification Number D Z2 - 1W 6 to t t o LEGAL DESCRIPTION Property Location ME 1 /4 , ME I /4 , Sec. � , T Z N R L 3_W, Town of K l n n 1 1✓ k_ I n n iC . Subdivision , Lot # Certified Survey Map # `�� f �- 5J , Volume (0 Page # 169 2 r�rri Page Warranty Deed # _ �� — ,Volume '.. 3 �, Pa e # � l Spec house i yes no Lot lines identifiable ! yes no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed'by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 1 /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Department w' in 30 days of the hree year a tion date c nh� t 59 / Z� SIGNATU APPLICANT — DATE OWNER CERTIFICATION I /we certify that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** An information that is misrepresented may result in the sanitary permit being revoked b the Zoning Department. * * * * ** Y P Y rYP g Y g P n it Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. II ' RECEIV VVisconsin Department of Commerce S E UATION REPORT p age 1 of 3 Division of Safety and Buildings ` �, � •� �.. in a�cier�an�e m. Code County ST. CROIX Attach complete site plan on paper le x 11 inches in . Pla t>st include, but not limited to: vertical a d hori'1 1 4(BM), i coon Paroel I.D. 022 - 1086 - 10 - 110 percent slope, scale or dimensions, 6raWlpnd di ce rise ad. Please print all information. Reviewed �by Date Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1) (m)). Z Q Property Owner Property Location DANIEL & LUANNE LINEHAN TRUST G Lot - - -NE 1/4 NE 1/4 S 3 T 28 N R 18 E (or) )W W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2663 Golf View Drive 2 -- CSM 6/1672 City State Zip Code Phone Number ❑ Vllage JBTown Nearest Road River Falls, WI 1 54022 ( 715 425 Quarry Road New Construction Usea Residential / Number of bedrooms 3 Code derived design flow rate 4 5 0 GPD a Replacement ❑ Public or commercial - Describe: Parent material outwash Flood Plain elevation if applicable lug ft. General comments Property Address: 990 Quarry Road and recommendations: Mound System -- 0.50 ft. sand fill -- 0. 412a4ing rate -- to be designed by Paul Steiner a Boring # 0 Borin a pit Ground surface slev. 103.37 ft. Depth to limiting factor 30 in. Soft Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munse l Qu. Sz. Cont. Color Or. Sz. Sh. 'Efr#1 'Efr#2 1 0-4 10YR3 /3 — fsl 2fsbk mvfr cb 3vf-f 0.4 0.8 2 4-13 10YR3/3 — fill 2f -msbk mvfr as 2vf-f 0.4 0.8 3 13 -20 1 10YR3/4 - fsl If- -msbk mvfr ab Ivf-f 0.4 0.8 4 20-30 7.5YR514 — sl I f -msbk mvfr ab l vf-f 0.4 0.7 5 30-40 7.5YR5/4 m2f 10YR4/6 91 0m mfr -- -- 0.2 0.5 Horizons 4 & 5 have some g; few cobbles. ❑ 2 Boring # ❑ Boring 101.47 32 a pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -3 10YR3 /3 - fsl 2fsbk mvfr cb 3vf-f 0.4 0.8 2 3 -17 10YR3/3 — fsl 2f =msbk mvfr ai 2vf-f 0.4 0.8 3 17 -32 10YR3 /4 fsl l f- -msbk mfr ab l vf- f 0.4 0.8 4 32-37 7.5YR4/4 c2f7.5YR4/6 I lmsbk mvfr as -- 0.7 1.6 5 37 -40 73YR414 m2d 7.5YR5/6 cs&gr Om mvfr -- -- 0.7 1.6 * Effluent #1 = BOD > 30 220 mg/L and TSS >30 1150 mglL ' Effluent #2 = BOD 1 30 mg/L and TSS _5 30 mg/L CST Name (Please Print) ignature CST Number M Jo Hollister 224832 Address Date Evaluation Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 08-30-05 (715) 426 - 1775 Pro perty Owner LINEHAN TRUST Parcel ID # 022 - 1086 - 10 - 110 Page 2 of 3 3 Boring � Boring 101.87 36 ✓ 19 pit Ground surface elev. ft. Depth to limiting factor factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Shicture Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Ef##2 l 0-6 10YR2 /1 -- fsl 2fgr mvfr cb 3vf-co 0.4 0.8 2 6 - 17 10YR2 /1 — fsl 2f -msbk ds ai 2vf-m 0.4 0.8 3 17 -25 10YR3 /3 -- fs1 1 f -msbk ds cs 2vf-f 0.2 0.5 25 -36 __ 4 7.SYR4/4 1s Imsbk mvfr as 2vf-f 0.7 1.6 5 36-46 7.M414 m2d 7.5YR4/6 Is Om mvfr -- -- 0.7 1.6 Horizon 5 has pockets of 10YR5 /8 s and cs. Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#r1 *Eff#t2 I ❑Boring # Boring Pit Ground surface elev, ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2 i * Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608.264 -8777. SBD- 8330Test (P.07/00) i I �> �]'� p n-V / i LAN s _ AL ArPPR� i oc ntr� W/ warn cw I t.1�I ACRES WOuse - t I t 1 t 0. o t .`' g , p�er�gfc .L • Si Lp r tea Q f L7$3 � E�iot. � � MEM,y-7� t �W r I F �- 103.37 • r . ��• , rW�a LtNe?� Parcel #: 022- 1086 -10 -110 10/05/2005 01:45 PM PAGE 1 OF 2 Alt. Parcel #: 30.28.18.465C 022 - TOWN OF KINNICKINNIC 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 - LINEHAN, LUANNE -TRUST LUANNE -TRUST LINEHAN 1024 RIVER DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH ql/I �Om� . 11.140 Plat: N/A -NOT AVAILABLE gal Description: Acre SEC 30 T28N R18W NE NE 11.135AC LOT 2 Block/Condo Bldg: CSM 6/1672 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 30- 28N -18W / Y4-t,. Notes: Parcel History: --4 Date Doc # Vol /Page / Type 12/04/1997 569404 12M511 WD 07/23/1997 1032/5 QC 07/23/1997 9 07/23/1997 763/07 more 2005 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 100,000 168,100 268,100 NO AGRICULTURAL G4 6.140 900 0 900 NO Totals for 2005: General Property 11.140 100,900 168,100 269,000 Woodland 0.000 0 0 Totals for 2004: General Property 11.140 40,900 110,200 151,100 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 C DOCUMENT NO. STATE BAR OF WISCONSIN FORM 3- 1"2 THIS *PACs REEERV90 roll RECORDING DATA QUIT CLAIM DEED to) 7- LMAcr RECIST ERIS OFRC ST. CROIX Co.. W1 ....Daniel J. Linehan ndj,.t . .................... ................................. a nd Reed rat Rom husband and wife. ........................................... . ................. . ................................ . .............. ................................................................................................................. SEP 7 1993 quit-claims to ....... D aniel --- J...Linehan . Trgq.t., ........................... 8-30 - A*. .. . at "U D-an.i.el ... J ...... L.in.eh.a.n.....T.r.u.s.te.e....Je.f f r.ey .. R .............•..... M .... . .... . .... .... .... .. .. ........ T.r. wa. to. P. 1 ... each ... with—f 'III ..... pjawer....af ... sale ... and-encumhranc-ing ................................. ................................................................................................................. the following described real estate in ............ $!; ...... Q.r.Q.i.?; ............... County. State of Wisconsin. RETURN I -Atty. C. L. Gaylord P. 0. Box 46 West Half of Northwest Quarter (W% of NW%) River Falls, WI 54022 of Section 29; EXCEPT Certified Survey Map Vol. 2, page 558; Also East Half of Northeast Quarter (E% of Tax P" No: .............................. M) of Section 30, EXCEPT parcel described in Vol. 553, page 421; and EXCEPT part of Lot 1, Certified Survey Map, Vol. 6, page '4672, as described in Vol. 787, page 50; All in Township 28 North, Range 18 West. Also, EXCEPTING: Parcel described in Vol. 558, page 192, to Town of Kinnickinnic; and Lot 2, Certified Survey Maps, page 1672, being a part of NE'-4 of M of Sec. 30, T28N, R18W. (Said legal description contains Lots 3 and 4 of Certified Survey Map, Vol. 6, page 1671, and part of Lot 1 of Certified Survey Map, Vol. 6, page 1672. '� This .... .......... homestead property. �i (in) (is not) Dated this .................... 3. jath ................... day of ..................•• Aug.!4, ?C ......................... # 19 93. ..................................................................... (SEAL) ............ (SEAL) ii .... Daniel P.eine - Wa n ................................ ..... .......... ................ ................................................................... ..................................................................... (SEAL) . ........... ...... . . . . ....... ............. (SEAL) . .................................................................. Luanne Linehan .................................................................. AUTENNTICATION ACKNOWLUDGM]IINT signature(,) ... .... - kinehan - Aild ...... STATE OF WISCONSIN ..... Luanne ... Unehan .......... 5116 ............ ..... . ............................... County. authenti-ted • US ... 3 OA4 of ..... 51 ....... 19.93. Personally • came before me this ..... ...........day of L .......^ ... .............................. 19 ........ the above named ............................................................................... L vi .... r ............................................ ............................................................. .................. TITLE: MEMBER STATE BAR OF WISCONSIN ...................... ............................... (If not ........... ................................................ ................................................................................ authorized by j 706.06, Wis. State.) to me known to be the person ............ who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY ................................................................................ ................... .............................................................................. River Falls, ..... q4,Q2.2 ...................... Notary Public .......................................... County, Wis. -------------------------------- (Signatures may be authenticated or acknowledged. Both My Commission Is permanent. (If not, state expiration are not necessary.) date: ........................................................ P 19 ......... 7 QUrr CLAIM DEED STATE RAU or wiscoNsm Wiw"eja Legal Blank Co. Ins. FORM No. 3 — 13 2 Mil...k.. Wis. . " - " . ' . X ", jft Parcel #: 022 - 1055 -80 -000 10/05/2005 02:24 PM P A G E 1 OF 2 Alt. Parcel M 19.28.18.304E 022 - TOWN OF KINNICKINNIC 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 NEIL Q & JUDY L ANDERSON O - ANDERSON, NEIL Q & JUDY L 421 N MAIN ST RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1006 QUARRY RD SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 3.930 Plat: 3283 -CSM 05/3283 SEC 19 T28N R18W PT SE SE BEING LOT 5 Block/Condo Bldg: LOT 5 CSM 12/3283 ALSO A PARCEL DESC AS COM SE COR SEC 19; TH N 0 DEG W 208.70; TH N Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 88 DEG W 33' POB; TH N 88 DEG W 366.04'; 19- 28N -18W SE SE TH N 0 DEG E 74.35';TH N 60 DEG E 177.49'; TH S 88 DEG E 211.63'; TH S 0 more... Notes: Parcel History: Date Doc # Vol /Page Type 12/04/1997 569404 1280/511 WD 11/14/1997 568580 1277//99 WD 11/14/1997 568580 1277/99 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.930 100,000 316,400 416,400 NO Totals for 2005: General Property 3.930 100,000 316,400 416,400 Woodland 0.000 0 0 Totals for 2004: General Property 3.930 50,000 224,000 274,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 521 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 022 - 1055 -80 -000 10/05/2005 02:24 PM PAGE 2 O 2 Legal Description: cont. (1HE 164.02 FT PO B (IT APPEARS AS THOUGH THE E 399.04' OF CSM AND M &B ARE SAME DESC) ALSO A PARCEL IN SEC 30 T28N R18W DESC AS THAT PART OF LOT 2 CSM 6/1672 LYING N OF CENTER LN KINNICKINNIC RIVER n QD ltoz ► CERTIFIED SU IVEY MAP gb C'.1. C.-oy' � DANIEL J. .LINEHAN wiwomb Part of the Northeast 1/4 of the Northeast 1/4 of Section 30 Township 28 North, E Range 18 West, Town of Kinnickinnic, -at. Croix County, Wisconsin. N LINE NE 1/ UNPLATTED LANDS NE COR.30,T28N,R18W,IPKNAIL i. ;to Z6' IN CONCRETE.) SOS* 27'32"E R(S88.48'30 °E) 480.06' 450.30 X05 o PROPERTY LINE I N 9(•13 / I m (7 S00 W 6s .(-/ 150.00' �` S89'51'07 "E 357.00' GOT,. � / " 9 x•21' 28 I ° a I RI M a zI m N� MEANDER LINk. z I a 1 -4 ��. LO T 2 F W� Ul 11.135 ACRES ;Z A F I FI WI F 485,049 SQ.FT. 0' p O NET = .10.390ACRES \6 3 I f- C 4 52,5 97 SQ.FT. W I z u M s m I 0 :o x SILO < I LOT 1 16.236 ACRES O a I N W 707, 240 SQ. FT. „� BARN O a " y l to NET= 16.127 ACRES m � 68 . 3 0'20 •t io 702,490 SOFT. �, 2 .j� c SHED o . I a WI c SHED • aI `' 0 APPROVED I I f N JI / g ) 90 • ° O BINS ( I o JUL 0 0, N90•00'00 "E 430.11' I 1 2 V // �' O _ _ 422.1 7' 7.94' y O• BO __ $1 CRprX COUNTY 40, i �� N90.00'Oo . Q Io ,t,tpt 0)M IpAnS nAt4N6t" G r �'�•,� 8.46 o 'o _ 342_88 tp X04400 C.0A►WT �� ® 6OO�i TGS'ROADWAY EASEMENT b, O q3 �/ S00.00'00 "E 2 0, W `� 47.00' • 00 36 z 6' S 9 N 90. 00'00 "W 500.00' 6 w z '/4 COR. SEC.30,T28N,RIOW, (COUNTY SURVEYOR'S MON.) F N UNPLATT L ANDS a W R I ) INDICATES PREVIOUSLY RECORDED DATA 0 100 200 4.00 600 ` ��` { C itte e t O tttrrt�� i ALL BEARINGS RE F. TO THE EAST L''a OK . NORTH NORTHEAST 1/4 OF SEC, 30j"28 j \ . R 18:W "�'•••• ✓M�'0 • Indicates 1" iron pipe found RECORDED AS N00.00''00 " �"� •LAURENCE'*. o Indicates 1 x 2 iron pipe weighing R7 ? W MURPHY � S 1713 �.. 1 .13 lbs. /lin. ft. set ' NOTE: LOTS I AND 2 DESC.ON SHEET I Vol. 6 Page 1672 �v'� FR FALLS,�� w Certified. Survey Maps ° i��F,p •'••., ISC.•,,.•• Jam,". LOTS 3 AND4 DE SC ON SHEET 2 ^ +, Croix County, Wis. F qN0 5 SCALE 1" 200' � BLOW UP EAST L INE LOT 2 S 00 00' 00" E 792.98' 51 8.32' W W _ - 133.00' 33.0 1- c 0 IU � 241. 6 6' m� a n I a • m Q m W W I I z 3 ig 249.32' �' \ 98 SO2.12136 E Rl 9 02 33 34 E1 N 0 88'± 30.0 l 0 E 0 S \ 3• ; \ S02.12 36 \ g R(S02.33'34 "E) R S o I 1 SHEET I OF 2 . <. Mme. -t.. 4.. .` ♦ ° cw'� ,. r , ..la' .. F_ c •♦�^' - ..,..c. A. '- .F-t,: 1 a'� ".`«a °a.,.nr� ,., t ' ro aC it .,t,- a. w :ax- a s. Sc, .. �, .EP_,�♦ao.a rric ...i F Q a ' .r va . 4 i r ' M 7, • „ e 1 $ - i• s S } c <- a -- s . I �- A - y ♦ )fi DOCUMENT NO. WARRANTY DZZD c Luanne Linehan Trust, by Luanne Linehan, Trustee, Grantor, conveys and "^ warrants to Neil Q. Anderson and Judy L. Anderson, husband and wife, ^, n 4 as survivorship marital property, Grantee, the followirg described I�1 reel estate in St. Croix County, Stare of Wisconsin: T ` REGISTER'S OFFICE That part of Lot Two (2) of Certified Survey Map in Volume Six (6) of ST. CROIX CO., WI St 1 C• S Certified survey Maps, page 1672, as document number 414025, filed July 2, 1996 in the . Croix County Register of Deeds' office, lying Fa�p c � d t `} s North of the center -line of the channel of the Kinnickinnic River, t being located in the Northeast Quarter of the Northeast Quarter (NE' /• Dr C u 4 1997 � »� 'A) Of c n T We t, H of Kinnickinnic Range y eight (20) North, k een (1 9:30 AM .' St. Croix County, Wisconsin 705 �!sf of Deeds ` s . "; NAME AND RETURN ADDRESS - - - +� Keith Rodli PO Box 138 River Falls, WI 54022 TRANSFER`: 022- 1086 -10 -110 Number (PIN) This is not homestead property. Parcel I entification � Exception to warranties: m; All easements, restrictions and rights -of -way of record, if any. �.- - ' day of November, 1997. F ' Dated this A ti' Luanne Linehan Trust a. - - _ 5 F J f:'R ( EAL i' ( SEAL) if S) Luanne Linehan, Trustee �► � 8 y: , 4 S; t (SEAL) (SEAL) -w... '. ACJLVOWLZDOHRNT AUTHSNTIGTION 1 ♦' t : . r N. e Luanne Linehan STATE OF WISCONSIN ) r Signature(s) s) ) an. COUNTY ) ♦ ` ,. a uthenticated this 2 day of Ms+�a+� �► . 19 Personally came before me this day of '? Y x ^ 19 the above namedRA , 4 \ 0 � 1 - � ^� Luanne Linehan, Trustee of Luanne Linehan Trust to me known to be the person(s) who executed the •• Q0 I� foregoing instrument and ackncwledge the same. s y ' p TITLE: MEMBER STATE BAR OF WISCONSIN c (If not, t F authorized by §706.06, Wis. State.) T Notary Public County, t a % TRIS INSTRVHZNT WA ` : 9 DRAITSD H!: .. My commission is permanent. (If not, expiration dates N Keith Rodli F ) s g Rodli, Beakar, Boles 6 Krueger, S.C. i ^ *h - � } i P.O. Box 139 F y ,t; River Falls, WI 54022 4 .�' aY{i?'R^ ...H s v - . . '. `..y y §'.r ^ .... _ '� ..=, - ate.• - ;; *� •m „�. .. .. _ �_. INDUSTRY OF REPORT ON SOIL BORINGS AND S AFETY &BUILDINGS � INDUS'K, � D DIVISION LAB ANb .' PERCOLATION TESTS (115) MADI 79 HUMAN RDA IONS SON, WI (H63.09(1) & Chapter 145.045) LOCATION: SECTION: OWNSHI MUNICIPALITY: OT NO.:BLK. N SUBDIVISION NAME: /TzeN /R, E (o . ,`,�, /G ,� �ti„�,�. , s: COUNTY: WNER'S UYER'S NAME: MAILING ADDRESS: 57 0 _ x - .f7 Zvi � J�� .vim /y.q /�,i /� i �/� /� ,c"Q GG .(" /✓ �. 5 " s� � USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DE CRIPTION: PROFILE R O A t N TESTS: ®Residence New ❑Replace e RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: IN- GROUND - PRESSURE: SYSTEM- IN- FILLHOLDING TAN K:RECOMMENDED SYSTEM: (optional) 9 S DU ®S ❑U l� S ❑U D S ®U I ❑ S If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate:No7 -- I Floodplain, indicate Ftoodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIG HEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) ' zs" Z B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD t PERIOD2 PER1003 PER INCH P - .�' A T G ��.s - � T P- en P- I y 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. A SYSTEM ELEVATION R { j I I ' tttttt S�� 33 , i 3 I _� I _ _ � J _' ._,. I 7 P 4 a 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: .' "0' r✓.� E ".- C Ca -. z - 7 — 8 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): ,� `C_ .,r CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Test r. / ILHR -SBD -6395 (R. 02/82) -OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report Must 1 Complete legal description, 2. The use section must clearly indicate whether ihii is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL, OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7, MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used it desired; 8. Make sure your benchmark and vertical elevation wference point are clearly shown, and are permanent; 9. Complete all appropriate boxes as to dates, names, addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the Information (Such as flood plain, elevation) dons not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and your certification number; 12, Make legible copies and distribute as tecluired, ALL SOIL TESTS MUS1 BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st Stolle (over 10") BR — Bedrock cob Cobble (3 - 10") SS — Sandstone ge Gravel (under 3") LS — Limestone * s Sand HGW — High Groundwatet cs Coarse Sand Perc Percolation Rate rned s Medium Sand W Well fs Fine Sa I i d BIdq Building Is Loamy Sand > Gwaler Than sl Sandy Loarn < Less Than 'I Loarn Bit Brov s i I Silt Loam BI Black t;i Silt Gy Gray cl Clay Loan) Y Yellow set Sandy Clay Loam R R�d sicl Silty Clay Loarn mot Mottles se Sandy Clay vv/ With sic Silty Clay fff fovv, fine, faint I C Clay CC GWIIMOH, Coarse of Peat mill Many, illediurn in Muck d distinct p prorninent HWL High water level, Six general soil textures surface water for liquid waste disposal BM Bench (Mark VRP Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test it) the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application roust be submitted to the appropriate local authority in order to obtain a perrriit. The sanitary perinit, must be obtained ant' posted prior to the start of any construction. Parcel #: `022- 1086 -10 -110 04/17/2007 01:04 PM PAGE 1 OF 1 Alt. Parcel #: 30.28.18.465C 022 - TOWN OF KINNICKINNIC 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 - LINEHAN, LUANNE -TRUST LUANNE -TRUST LINEHAN 1024 RIVER DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description 990 QUARRY RD SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 11.140 Plat: N/A -NOT AVAILABLE SEC 30 T28N R18W NE NE 11.135AC LOT 2 Block/Condo Bldg: CSM 6/1672 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 30- 28N -18W Notes: Parcel History: Date Doc # Vol/Page Type 12/04/1997 569404 12801511 WD 07/23/1997 1032/561 QC 07/23/1997 963/443 07/2311997 763/07 more 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.000 100,000 168,100 268,100 NO AGRICULTURAL G4 6.140 900 0 900 NO Totals for 2007: General Property 11.140 100,900 168,100 269,000 Woodland 0.000 0 0 Totals for 2006: General Property 11.140 100,900 168,100 269,000 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 Parcel #:'022-1086-10-200 04/17 /zoo? 01:04 PM PAGE 1 O 1 Alt. Parcel #: 30.28.18.465D 022 - TOWN OF KINNICKINNIC 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 - PECHACEK, KEVIN R KEVIN R PECHACEK C - EBERTZ AMY J EBERTZ AMY J 195HWY65N RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 4893 RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 1.500 Plat: N/A -NOT AVAILABLE SEC 30 T28NR18W NE NE THAT PART OF LOT 1 Block/Condo Bldg: CSM 6/1672 LYING N OF KINNIC RIVER Tract(s): (Sec- Twn -Rng 401/4 1601/4) 30- 28N -18W Notes: Parcel History: Date Doc # Vol /Page Type 02/24/1998 573689 1299/329 GD 02/24/1998 573688 1299/327 WD 07/23/1997 787/53- 07/23/ 1997 787/50 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/11/2005 Description Class Acres Land Improve Total State Reason PRODUCTIVE FORST LANDS G6 1.500 10,000 0 10,000 NO Totals for 2007: General Property 1.500 10,000 0 10,000 Woodland 0.000 0 0 Totals for 2006: General Property 1.500 10,000 0 10,000 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 r n CMTIFIED SURVEY MAP >h Croix Comely, A%j DANIEL J. LiDiEHAN I WISCOPA A lb Part of the Northeast 1/4 of the Northeast 1/4 of Section 30, Township 28 North, E ^/� Lange 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. N LINE NEI /4 UNPLATTED LANDS NE COR.30,T28N,R18W,IPKNAII r _ IN CONCRETE) See* 27'32"E 93 36 R(568•48'3O "E) 460.06' 450.30 13 p ° PROPERTY LINE I N 91 ° m soo•19'z3 "w M I y m I U) °3 I� 150.00' \p �` S89.51'07 "E 357.00' _'0 "gy 92.21' 2 1 °� �yF N 7.1 MEANDER LINE. M ' a� 5 s, LO T 2 \9 �. \s 3g F W' v 1 N If. 135 ACRES \ ,•yA , 1 a� WI 465,049 SQ.FT. \6e'4 0 G NET = 10.390ACRES 3 ` ?� 0 452,597 SQ.FT. W I a I,1 SILO LO { 707, 16.2 2 4 0 SQ. F T. / BARN a N W �• 707, 20 SQ. F �,� � RN xl M NETT 16.127 ACRES A \, 26g I i a 702,490 SQ.FT. 0 W o SHED . I o o -1 a W� c SHED al " APPROVED m ' N " 50.00/ 0 BINS 2, 0. w., O o (` �� JUL 02 f9�6 0p N 80.00'00 "E 430.11' // O 0 422_17' 7.94' y� 5� (: ;to,X COUNTY d5 / ` N 90.00' i 4 00 1""•- �31,j1,� P FAA S p�t1N(�ii3 �, �? _ 342.88 jL co" i pp' OO t 9•'Op'E 35!.34 J5 52 EASEMENT . •` 0 g0 300.00,0011E 7 � 2b O, � , A �`,• --�' 47.00' 99 y \ , ` .00 36 W 6 6' N90.00 „ W 500.00' S z E 1/4 COR, SEC.30,T28N,R18W, J (COUNTY SURVEYOR'S MON.) H UNPLATT L ANDS W _ w �- R I 1 INDICATES PREVIOUSLY RECORDEDDATA o loo 200 4,00 soo 0 0 %0 % 1,i ALL BEARINGS REF. 'f0 THE EAS LYf�E OF TN��S� ^ NORTHEAST I/4 OF SEC. 30,T'26N, R18 W "� "'••. `I/ + 0 0 Indicates 1" iron pipe found RECORDED AS N00.00''00 "wA`.• LAURENCE o Indicates 1" x 24" iron pipe weighing _ -- - - - -. _ M W MURPHY 3 lbs . /lin. ft set 1 , 1 S 1713 A%. w r""' - ~° V ER FALLS,, , w • NOTE: LOTS 1 AND 2 DESC. ON SHEET I Page 16 2 �'` ''•. ``° a Certified Survey Maps ° i ce F,9 • • ISG. J 4 LOTS 3 AND DESC. ON SHEET 2 Croix County, Wi �. '�r, F ••,• gtyp 'C ' SCALE i ° 200' ^11' �� / /11bAf 0E34,o BLOW UP EAST L INE LOT 2 SOO °00'00 "E 792.98'" "6 -_j- SI 8 W W 33.0 0 24a co r W W z 249.32' N z N I 1 1 g8' S02•(2'36 E Rt S02 33 34 E) Nn I I 88'± 30.00' 513 31.1 Z, 1 pt o o S02'12 36 ( 13 4 0 oa I R(SO2•33'3 "E) 19 S - 1 J N 1 I I N 1 SHEET I OF 2 Form -STC- 104 AS BUILT SANITARY SYSTEM REPORT OWNER `�'V'� TOWNSHIP J� y�� L��y� %L SEC. 3 e ) T Z 0 N -R /OC) W ADDRESS '�' '`�` ST. CROIX COUNTY, WISCONSIN SUBDIVISION �' /yo 2 S LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of IIHR 83 U , rn o � o SHOW EVERYTHING WITHIN 100 FEET w o' N. co ,P,61,411, 3 d f J.9�N� J o C:) RC izi 1 N i N• �J OD �o d � ON I 00 ON t3l w , /0 • �s Ln ac w t g ' f7/ o R o N � l i �' E M�TL r ie 3� INDICATE NORTH ARROW Pomp Vat's: Tar of BENCHMARK: Describe the vertical reference point used i.y e y , 70 oo. d Elevation of vertical reference point: Proposed slope at site: � r �o SEPTIC TANK: Manufacturer: Gv�EJt,� . Liquid Capacity: Number of rings used: I'V ON's Tank manhole cover elevation: l � Tank Inlet Elevation: 9 �'Go Tank Outlet Elevation: / 70 Number of feet from nearest Ro / Front, 7@ Side ,O Rear, 20 0 C- I-- feet From nearest property line Front ,0 Side 1 0 Rear, 0 A 7 feet Number of feet from: well ` / , building: /a' / (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE Q V PUMP CHAMBER Manufacturer: � `"6' Liquid Capacity: - ht 137 �J Pump Model: Z Pump /Siphon Manufacturer: ,` / /�/L Pump Size � U 9 Elevation of inlet: 7' 7 Z— Bottom of tank elevation: / k?5? .� Pump off switch elevation: 7 G 3 Gallons per cycle: 27 Alarm Manufacturer: �' V L `�G "/�/�` Alarm Switch Type: ��" Number of feet from nearest property line: Front, O Side, O Rear, 0 Ft. �) Number of feet from well: I - Number of feet from building: S (Include distances on plot plan). �j SOIL ABSORPTION SYSTEM J Bed: X Trench: Width: 12 Lenth: Number of Lines: J Area Built: 6j Fill depth to top of pipe: �� 3z i 4 p Number of feet from nearest property line: Front, Side, O Rear, Opt . ► v h � � Number of feet from well. . 01945e JM: 2 O _ Number of feet from building: 3z `r (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: ottom of seepage pit elevation: Area Built: Has either rop box O or distribution box b used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings d: Elevation of bottom of tank: Elevation o inlet: Number of feet from nearest property line: Front, O Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Z Dated: Plumber on job: License Number: It SL PTIC PLUMBING CO. ,,.. ,a I. 3 UNEIL RD.. HUDSON, WAS. §4016 ROBERT LILBRW WIS MASTER PLUMBER LIC. 140.3307 M.P R.S. j 3 /84 :mj MINN INSTALLER & DESIGNER LIC. NO 00663 ni ~ ' Z � 0 w YS I � N P m 7p `y N n n� � DEPARTMENT OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS P DIVISION PRIVATE SEWAGE Y R VAT EWAG SYSTEMS S S � P.O. 60X,7969 BUREAU OF PLUMBING MADISON, M 53707 � ' NNCONVENTIONAL ❑ALTERNATIVE s +ale Pla"ID Number 111 ,,signed) ❑ Holding Tank ❑ In- Ground Pressure ❑ Mound N AME OF PERMI Daniel HOLDER. T Linehan A Rt. ss 2, River WI 54022 NsPEC DATE — BENCH MARK (Permanem reference pounl DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: I C5TI111. PT. ELEV NE NW, Section 30, T28N —R18W, Town of Kinnickinnic Lot #2 Nam«. of Plumber. I MP1111IRSW No.: Coumv Sanitary Pe, m,t Number: Robert Ulbricht 3307 St. Croix 83797 SEPTIC TANK /HOLDING TANK: MANUFACTURER. <. LIQUID CAPACITY TANK INLET ELEV TANK OUTLET ELEV WARNING LABEL LOCKING COVER PR VI ED PROVIDED �� 1. / o YES ❑NO ❑YES NO BEDDING. VENT DIA. VENT MATL.. HIGH WATER NUMBER OF ROAD 1 p ROPERTY 1 1111-1- BUILDING. VENT TO FRESH /q ALARM FEET FROM '!� LINE w �� AIR INLET DYES NO (\ , / J+ y ! I DYES O NEAREST DOSING CHAMBER: MANUFACTURER BEDDING LIQUID CAPACITY PUMP MODEL PUMP ON MANUF CTUHER WARNING LABEL J LOCK(NG COVER t t e�� ROV ED P VI D Lott ' . `DYES NO /O f3 `1 -� ` ` YES ❑N YES ❑NO GALLONS PER CYCLE: PUMPANDCONTROLSOPERATIONAL NUMBER OF PHCIPFI +ry WELL BDIL)IN(, vENrTOFHESII (DIFFERENCE BETWEEN FEET FROM INF PUMP ON AND OFF) . YES ONO NEAREST -gyp,{ G„ / , ! j SOIL ABSORPTION SYSTEM. Check the soil moisture at th de P P lowing th of LE NGTH J DIAMI TI R MnrE I+In( nND n +nl ING �p or excavation. (if soil can be rolled into a wire, construction shall cease until FORCE / f � the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH LENGTH NO. OF UISTR PIPE SPACING COVER INSIDE. UTA Zr PI TS LIQUID BED /TRENCH 1 TRENCHES MA)3 AL. PIT DEPTH DIMENSIONS T� e (IRAVE L DEPTH FILL DEPTH U E UISTR. PIPE DI$TR. PIPE MATERIAL NO OIS NUMBER OF PHOPEHT WELL BUILDING VENT TO FRESH HFLOW PIPES _ ABO COVER IE I II I V INI.E I ELEV END +� PIPES LIfyE A AIN)I T FEET 7` �cb . C��7 NEARESTO --s Z17 S _l� MOUND SYST 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. DYES ❑NO SOIL COVER ITFxT,HE PFHMANI NT MAHKFHS OHM HVAIION WE I I S Al DYES ❑NO _ ❑YES _ ONO DEPTH OVER THE NCH BED Of PTII OVFH TH ENCH BED DEPTH OF TOPSOIL SODDI I SfEDEO MU'"" D CFNTEH EDGES O NO " ❑YE 1:1 NO DYES El NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH LENGTH NO. OF LATERAL SPA(I ; HAVE 11FPT1 BLOWPIPE F ILL DEPTH ABOVE LOVE BED /TRENCH TRENCHES DIMENSIONS MANIFOLD PUMP MANIFOLD DISTH. PIPE MANIF I MATEHIA NO (11STH DISTH PIPE GIST RIHII ZION PIPE MALI HIAI & NTAF(KIN(, ELEV. ELEV. DIA ELEV. PIPES DIA ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED COHHECI LY C)VER MATERIAL VEHTICAI 1.11 T CORRESPONDS TO APPROVE U PLANS D YES 1:1 NO DY ES ❑NO COMMENTS: PERMANENT MARKERS. OBSERVATION WELLS. NUMBER OF PROPERTY WELL: BUILDING FEET FROM u NE 4 q`7 Q I ❑YES ONO ❑YES LINO __ N T ?, 32 7 3/ 0 Sketch System on �{ d m in ounty file for audit. Reverse Side. SIGN E TITLE DILHR SBD 6710 (R. 01/82) DILHR SANITARY PERMIT APPLICATION COUNTY c,�aiX In accord with ILHR 83.05, Wis. Adm. Code �•�� STATE SANITARY PERMIT # —Attach complete plans (to the county copy only) for the system, on paper not less than STA PLAN I.D. NUMBER 8% x 11 inches in size. A + . —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION 01 FOR VARIANCE ❑ YES No PROPERTY OWNER d PROPERTY LOCATION SAN /, //VeYA/V NE /a AW S 3 T N, R / E (o PROPERTY OWNER'S MAILING APDRESS LOT N MBER BLOCK NUMBER DIVISION NAME CITY, STATE ZIP CODE / PHONE NUM�, d l•� BEB D CITY NEAREST ROAD, ,p • �/S S �fLs Li ❑ VILLAGE : VTO 11. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public (Specify): /•.Q . /¢ /d1/iCA.1 Ill. PURPOSE OF APPLICATION: ( 9heck only one in ##1. Check ## 2, 3 or 4, if plicable) ., �i(i571N6- /3 &1k4-:)1V 6 - -- �iN G- i P� �koA'�/ 1. a. X New b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit ## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner /building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in ##1 and only one in ##2) 1. a.;Nonventional b. ❑ Alternative C. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In -Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. See a e Bed b. ❑ Seepage Trench c. ❑ See age Pit 2. PERtOLATION RATE 3. ABSORPTION AREA 14. ABSORPTION AREA 15. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): ,FI fe ROPOS (Square Fee QURED Squ ,Feet): P : Q� /0 aso �,/ / ,7 r r 1( 7 Feet X erivate ❑ Joint ❑ Public VI. TANK CAPACITY ## of Prefab. Site Fiber- Exper. in allons Total Manufacturer's Name Con- Steel Plastic INFORMATION New xisting Gallons Tanks C oncrete structed glass App. Tanks Tanks Cu /� >� Septic Tank or Holding Tank Lift Pump Tank/Siphon Chamber VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for i wage system shown on the attached plans. Plumber's Name (Print): .MP /MPRSW No.: Business Phone Number: ROBERT tILBRICHT 330 - NO. 3307 M.P.11 Plu ber's Address (Street, City, State, Zip CoORNN. INSTALLER & DESIGNER LIC. NO. o0663 Name of Design /� T 3 0 �iL v D D � Cu/ 1 • /�• � /,�i�i C6t% VIII. SOIL TEST INFORMATION Certified Soil Tester (CST) Name G&X/Y � CST # CST's ADDRESS (Street, City, State, Zip Code Phone Number: �- Z sr. /•v �� .s. syoZ 7 1J' yes - �o3 � IX. COUNTY /DEPAR USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature (No Stamps) Approved ❑ Owner Given Initial , rchar Fee Aderse Determination , Q / ti X. COMMENTS /REASONS FOR DISAPPROVAL: SBD -6398 (formerly Plb -67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608 - 266 -3815. To be complete and accurate this sanitary permit application must include: 1. Property owners name and mailing address. Pro<dde the legal description where the system is tc be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 3C seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1 -6; VI. Tank information: Fill in the capacity of every new and /or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift /siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. . MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County /Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8' /z x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mairis /water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D).cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground _Ate-r -- included the creation of surcharges (fees) for a number of regulated practices which Wisco €h t can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper: a The mon;es collected through these surcharges are credited to the groundwater fund admnis- tered by 'he Department of Natwal Resources. These funds are used for monitoring ground- t water, gr Dundwater contamination inyestigatinns and establishment of standards. Groundwater, _ it's worth protecting. 58D -6398 (N.03/86) APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor, ( "spec house "), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. i r— DJ4 r o ro er /J I f P t p y �El— � /��. Owne Location of Property /v ! � it, Section , T �$ N -R� W Township 6 t.J S C1 Mailing Address Address of Site Z. — ..Subdivision Name Lot Number Previous Owner of Property d t �,± 51, s Total Size of parcel Date Parcel was Created i Are all corners and lot lines identifiable? Y s No I Is this property being developed for resale (spec house) ?' Yes i— � No Volume _.1.L.__ and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING A Warranty Deed which includes a Document number volume aid page number and the Seal of the Register of Deeds In addition, a certified su if available, would be helpful so as to avoid delays of the reviewing process. I� the deed description refer- ences to a Certified Survey Map, the Certified Survey Map Shall also be required. PROPFRTV OWNER CERTIFICATIO I (We) eelW6y that at t statements on this 6onm ane tAue to the best o6 my (oun) know.Cedge; that I (we) am (ane) the owneA (.$) o6 the pnope7 ty des c i.bed in thi.6 .in6mmati.on 6onm, by vchtue o6 a waAAanty deed neeonded in the 066ice o6 the County Register. o6 Deeds as Vo eument No. y 9 v ; and that I (We) pees entty own the proposed site bon the sewage dapozaz system (on I (we) have obtained an easement, to nun with the above de cAibed pnopenty, bon the constnucti.on ob .sa.id ayezem, and the same has been duty tecmded in the 046ice o6 the County Regi6ten o4 Veedb, as Document No. ). SIGNATURE OF.OWN R SIGNATURE OF CO -OWNER (IF APPLICABLE) g DATE SIGNEIV DATE SIGNED THIS SPACE RESERVED FOR RECORDING DATA DQCUMENT NO. STATE BAR OF WISCONSIN FORM 1— 1982 WARRANTY DEED 1414490 boov, 147PAGE 78 i ST. CROIX Co This Deed, made between PMIEL J. and LUANNE H. LINEHAN at y xno'DAN+E | !' wife as ' survi ship marital property ___________ ---------------- O of ----------------------- Gra - Wlt%JBG88th, That the said Qruotor, for wvolmbleonooilermtion --- | -------------------'-----'---'-------------' | conveys to Grantee the following described real estate in -5t^ ---' � C"nvtx. State ox ��vuubu� , - [L=_=-_=======------------------- | ' | ' Tax Parcel Nu;-------------'-'--- / | � |/ || i LOT TWO (2) OF CERTIFIED SURVEY MAP RECORDED WITH THE ST. CROIX {%JD0TY REGISTER � OF DEEDS ON JlDI{ 2, 1986 IN VOLUME SIX (G) OF CERTIFIED SURVEY MAPS, PAGE 1672 � AS DOCUMENT NUMBER 414025 ! (This deed is for the purpose of complying with the' provi sions of the St. Croix County Zoning Ordinance.) | |! " |� This ---io..��---- homestead property (is) (is not) | Together with all and singu the hereditament and appurtenances thereunto belonging; | �n�.________.__________________________________�________.___ | | | � ! ~d ~~~ i Dated this ------ - day nf --- Jul-v � (8��) (G��) -----------'-''----------' �~-- -- 7 -' ! ------------------------ ------- -- � ! ------'-----------'----'--(SEAL) ^{'�' _-(GDAL) || o ° | . --'� ~I�au��eJ{~'J�zuaba�--'---'----' \! ____.� ________._______ � � | AUTHENTICATION ACKNOWLEDGMENT '| , @inoutnra(o) ---_---------------- .................. STATE OF nyIGOVNGlN | - ss. ' -�� C / � -'------------'----'--------------'-------' --�'��---------'O000t� > � uutbond,nt,d this ---'- day of -------------~ 19 .--' Personally cu000 before me this -------'- day of J\ily----'-----.-'--_---, 1V��6-' the above named ------------------'-------------.-------- ' -'-----'-----------'----------'----'------' ! ~----------------------------------------------------- --------------- ........ Daniel J�'I^1geban ---------------------------------------- --- TITLE: MEMBER STATE BAR OF nyI800N8[D« Luanne _ ______________________ � (o ----- --------------------------------------------- --_------'-_------'_----'-_-_-'--_-_--- | authorized by YOU�G ��n G�u�.) ' �� ' ' xv �a �oo�o �v �� 6o norovo ~.-.-- who ecovomed the | | ' ' THIS INSTRUMENT WAS DRAFTED BY i --- --- .~.~... . �...~. '��t�. ��dl� �'��S�-��" ` '^^ 219 North Main Street �ive� �alla, VVI ~ ��s�� ` � '54022---------------------------------- �otu Cvo T�\ � (Signatures may be authenticated or acknowledged. 8vtb »u (If not, state expiration are vv� necessary.) ^ �� '�� ---. ---- --'--'~'--` '_'-~-_-----. *Names m, persons signing i" an capacit should o° typed ", printed below their v ,`',,� � pr� STATE n°no~WISCONSIN � H Z N . H ' 9 STC - 105 r ' 9 H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County x a a OWNER / ROUTE /BOX NUMBE Fire Number .CITY /STATE �/ L.IcC ' I� IS C�V Z1P 2:Z- PROPERTY LOCATION: It ;&, U 1 4, Section_, T N, R_W, Town of , St. Croix County, Subdivision , Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con - sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper What you pit into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 0 I /WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x H the standards set forth, herein, as set by the Wisconsin Depart - ► ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Offkge within 30 days of the three year expiration date. SIGNE z� DATE St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715- 796 -2239 or 715 - 425 -8363 Sign, date and return to above address. DEP REPORT ON SOIL BORINGS AND S AFETY & BUILDINGS IND 41MMD' DIVISION L UM PE RCOLATION TESTS (115) MADISON, WI 537 HUMAN RELATIONS 077 (H63.09(1) & Chapter 145.045) LOCATION: SECTION: I tOW N SHIV M UNICIPALITY: OT NO.: BLK. IyQ.: SU OI fSION NA E: 1/ � 4 /T� 11 /R, E (o COUNTY: WNE ' UY R S NAME: MAIL N ADDR SS: ZT. /.>c' F_ � N �>/�4 i` i� �i2,r/ /� �.4 USE DATES OBSERVATIONS MADE NO.BEORMS.: COMMERCIAL CRIPTION : T S SResidence �NeW ❑Replace Q RATING: S= Site suitable for system U= Site unsuitable for system ONVE MOUND: IN- GR�O[UNQDPR 't E: S YS TE - N +II OLDIING TAN RECOMMENDED SYSTEM: (optional) If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: y – L ,,ey S ~ 'L Floodplain, cate Floodp elev ✓ 4 PROFILE DESCRIPTIONS BORING TOTAL 12LPIH TQ g2RQUNDWAT ER- INCHES CHARACTER O SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBS VED E TO BEDROCK IF OBSERVED SEE ABBRV. ON BA CK.) B, �i. B PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL -MIN. PERIOD I P R1 PER INCH P `"- P- P P PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances,`D@Wfbe 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 alnd the direction and percent of land slope. A �} . SYSTEM ELEVATION s tN i l i y _ r I , . /'� r- > ; 1 .-- ---- -- , , „ I ' I } I ' 1, 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 : T S S WERE COWLETED ONt ADDRESS: ~— CERTIFICATION NUMBER: IPHONE NUMB ER (optional): ST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Test r. DILHR -SBD -6395 (R. 02/82) –OVER – CERTIFIED SURVEY MAP DANIEL J. LINEHAN Part of the Northeast 1/!► of the Northeast 1/4 of Section 3 0 9 Township 28 North, Range 18 West., Town of Kinr,ickinnic, St• Croix ColuIty, Wisconsin. N LINE NEI /4 UNPLATTED LANDS WE COX. 3O,T26N,914W IN CONCRETE) SO$ *27'32 "E 93146' R1244 *4•'30 "E) 490.09 450.3091.13'0 PROPERTY LINE ' I ° S 00.19' 23 "W a 9 ¢ 160.00' �` 899.51'07 "t 367.00' 9.350 >„ ' .1 %$Oo 6 :•21020 I O IM � 270 MEANDER LINE �, NO X16 s + 4 �I LOT 2 ��,. %• F it �+ 11. 135 ACRES t� 465,049 SO.FT. L * OV A` p 0 NET: 10.390ACIt 91 0 452,497 SO.FT. Sa y? SILO LOT 1 16.236 ACRES 707,240 SO. FT. = n NET■ 16.12TACRES t 1� 286 i I of 702,490 SO.FT. V a. I Q I IY� �I c SHEDZ, w c ~I _ * 0 14 • • el � Q ,, I o =I ?0.00. N90.00'00"# 41rq F 430 .11 ......., d o ? * �� '�� N90• a ^ '0 ® +' 10 40ROADWAY .. O`0 AsO-92 200.00'O056 •p` Z 0� @, 6 ` 47.00' w e � • � s g' N 90. 00'00 "W 600.00 869 W _z E 1/4 COR. SEC.30,T26N,RI (COUNTY SURVEYOR'S MON.) a UN PLATT ED L ANDS W !— q 1 1 INDICATES PREVIOgSLY RECORDED DATA 0 %Do 220 4. Goo ,,`,NGul113 N, ALL BEARINGS REF. TO TILE EA,'[ 9,( I� NORTNEAST I/4 OF SEC. MOyf'� RIA • Indicates 1 iron pipe found RECORDED A8 NOO •oo`nIs LAURENCE'. i 11 o Indicates 1 x 24" iron pipe weighing Ai w MURPHY i o 1.13 lbs. /lin. ft. set 107 S 1713 -A. NJ► :,RIVER FALLS,;' J� • �� ► •'•., WISC..�. •' Q• 9 SCALE 1 "• 200' S S61` /6 BLOW UP EAST L INE LOT 2 900-00'00"E 7 9 2. 9 •' 1\ - 183.00 51 G.32 *0 - O 241.66' �+ O • 249.32' IC a 1vw ( I s9 E R( 902.33 34 [1 s o 2 t 2 • S ( • 9' 30.00' 10 . 9 s 902.12 36 P R m $ 1 I S02'33'34 "E1 I l .� ` I 1 u I N r DEPARTMENT OF REPORT ON SOIL BORINGS AND S AFETY &BUILDINGS INDUSTRY, DIVISION HUMAN RELATIONS PERCOLATION TESTS (115 MADISON WI 53707 (H63.090) & Chapter 145.045) LOCATION: SECTION: OWNSHIP UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: N� -MEI/ 1 /4 3 o TAN /R kcv�rvlctu�J►J IC COUNTY: WNER' UYER'S NAME: MAILING ADDRESS: S OX z- V ! T•� �f�l�L �-l/JE flN Rt ut52 T W LJI SSF d Z Z USE DATES OBSERVATIONS MADE NO. BEDRMS.: OMMERCIAL DESCRIPTION: I R FILE DESCRIPTIONS: 1PERCOLATION TESTS: Residence -a New ❑Replace —8 & RATING: S= Site suitable for system U= Site unsuitable for system CONVE�� MOUN IN- GROUND- P S STEM - INN-�-F''I LL HOLDING TANK: R OM EN SYSTEM uIOUSI- 1 p J Z� ®J ❑� ❑S rJU ❑S L�JU [Is � 8`f L,Vi%j9VPt•tY — Fv r'c `rf 0 3 - vobu LD B E Ttm LA CZI'3i "wl t SU l 7R�l I ITy If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the 1 under s.H63.09(5)(b), indicate: P• Floodplain, indicate Floodplain elevation: 'v ` A PROFILE DESCRIPTIONS BORINGI TOTAL DEPTH TO GROU NDWATER-Md91•FEB CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER IDEPTH pW ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) \sTs ;� s'DtL3AIS \,C' boy 1J; 4.S B- 1 S.S' ��.-)' ��NC mop � 3.6 Y C3h c1 � �1.�'��8h�'91T3; �•8'1�3n'�'sl; 1,3'LT�n�s ;2.Z' B- Z (&. �r „"emu car Gy. • o �'`C3h cl o S'LS 2C j \- Z''pt. Br )i - �-sTs; 1'k -_ o) Bh Ids; 3.o'�r 1 •�s B- 3 6.p' C1 `T • 3 S.o YAO -L �l•9 o.a' �n b�s� S B- Y 6.7� Vb1.O' wt 6. Z` l.y'�tc3,� l•� Ts; \.p'Dlc$n Ifs ; l.'�'$n -3 B- S �. Z' 1 b0.$` No>vE > 6 , Z , atL�,� �•3'�>1s1 ; Z •9 S Y 9 \ TSB 1•Z' $nsi 1.8' `tin f's ; B- � 6 S . Z.' rno�' Q 3, q o.g ' �n `�vsE s 1 PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL- INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIOD 2 P E R PER INCH P- P P- 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."`• SYSTEM - - Y - =- t - _. W. of Z I A i N I ti V i L—t r o'c' t- hlE� _ _ - i / Sty 30 1, 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►: vR 1- TESTS WERE COMPLETED ON: o_ S —c �tR`Tl� . W �G � e ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): U Swo SY311 S�f� IS'- y2�S —o /6S� CST SIGNATUR DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 02/82) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must inclwle: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. (MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or re):)lacernent system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; fia PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan 7. (MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9 Complete all appropriate boxes as to dates, names, addresses, flood plain data, percolation test exemp- tion, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and your certificatirm number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10 ") BR -- Bedrock cob -- Cobble (3 - 10 ") SS -- Sandstone gr Gravel (under 3 ") LS - Limestone * - Sand HGW -- High GrourdWater cs - Coarse Sand Perc _ Percolation Ralf; med s - Mediurl) Sand W - -- WeII fs -- Fine Sand Bldg - Building Is Loamy Sand -- Greater Than ,l - Sandy Loarn - Lass Than Loaro Bn - Brown "siI - Silt Loam 131 - B1ack si .- Silt Gy --- Gray �cl - Clay Loam y __ yeIIow sci - Sandy Clay Lcrarr, R -- f'ed sicl - Silty Clay Loam not - Mottles sc Sancly Clay of vvidl sic — Silty (;l<ry 2,, __ f: =r, fine, iaint a' l C' ..... C lay c#- -_ Ct9rt'1mC)r ?, coarse pt - Peat inn - t1Ilany, medium m -- Muck o f -- distinct 1 33ornment HWL High watei level, Six tie. ral soil textures �ur faW tisfvrer aor ti €air d w aste disposal B 0 13� nc;la mark VRP _.. Vortical R ter {:a =1t,e Po TO THE OWNER: Th, ,,, so'l tryst report is the first sfep it) 5ecurirl_r a sarlita,y oorrtait. The county or tho, Departnient may request vcr�ficat ow of thi soil test in the field prior to r)ernni ssrr<r c"e A cornpIete , >et of plans for th(: private ' .V &,ir2 SV,tew "ind a ) *t.s" ;nil alp pliclati'm .' isl he � rr, °(, ; ;f3 Lo Hle applopkr<l (? i €real autn oti"y in ord er to bl.)!n <r l,. "rmlL. Fhe Misr Ir„ p- mot rnw '' he o _ <;ne S .god pclq d l "71 ,t }° in t €<`�, ',)I arty const""W a)n. Sot/ TES T saiL /S owl/ ) (r'S' i I Q '3S r ,dfioNA� /DOD J" E tA� CoNVE LD R Rea G i 53 'D��wf %E PUMP 3N � �•h�M�ti ll� 1` of 9 .► 3 D 3 V I\ I /o6 P Q 6 G qo SHEDP�` y� e)(411r. 94W � vo o I 3 B�D.t4?OM �fGtMiE � � ••-- so/ � rfsT�P S �t fQ'E.uc E- 1,;N F / Sp . I p r L;.UE1 � PRO10SW AlECv • � t J V Fr °esh Air Inlets And Observation Pipe C) h 0 — Approved Vent Cap 1pfA Minimum 12" Above 1� Final Grade /o/o/ MAX 1A UXA o >= 4 Cast Iron Above Pipe � Final Grade � Vent Pipe T Synthetic Covering Min. 2" Aggregate 9�0 Over Pipe � Distribution Tee Pipe 6 y - 4, Aggregate o Perforated Pipe Below Beneath Pipe Coupling r in 'in A o •up ink Te m et t �� Bottom Of System o � , PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VEIDT CAP 4'C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING 25' FROM DOOR, JUNCTIOU BOX MANHOLE COVER � WINDOW OR FRESH AIR NUTAKE I GRADE I „ 9/. o I 4 �� COIJDUIT PROVIDE i - - - -- IAILET AIRTIGHT SEAL � � I i APPROVED JOINT A I I APPROVED JOIWTS W/C.I. PIPE I III W /C.I. PIPE EXTENDING+ 3' ALARM EXTENDIWG 3' ONTO SOLID SOIL B q ONTO SOLID SOIL ON Q C ! I ELEV. FT. PUMP --�_ - -� OFF D �Evkn° Al V-Jo COKICRETE BLOCK RISER EXIT PERMITTED OWLy IF TANK MANUFACTURER HAS SUCH APPROVAL e 13f 7 � . .'SEPTIC E SPECIFMCATIOI�JS DOSE TANKS MANUFACTURER: . IJUMBER OF DOSES: PER DAy TAIJK SIZE: 10 VT GALLONS DOSE VOLUME ALARM MANUFACTURER; L�f'!EL /tL IMCLUDING 6ACKFLOW: Z 73 GALLONS /Gd� MODEL ►DUMBER: A L CAPACITIES: A= 1 2•�_INCNES OR 300 GALLOWS SWITCH TYPE M ERcv R ff/oAT B = Z- INCHES OR y 7 GALLONS PUMP MANUFACTURER: C= /� 5 INCHES OR X73 GALLONS MODEL NUMBER: - d H. P " . 3 D = 1( P INCHES OR 1 GALLONS SWITCH TYPE: BA( MM E�?'� -V Ry f fOk PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 7 GPM / INSTALLED OM SEPARATE CIRCUITS VERTICAL L DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 3 • FEET S/J1erCS Z rx� T✓ ' I (00 FEET OF FORCE MAIN X � z " F / FRICTION FACTOR.. FEET � 2 1 e j ,41 C loo Fr. TOTAL Dy1JAMIC. HEAD = �S' 9 FEET IMTERAIAL DIMEMSIONS OF TAkJK: LEAIGTH �'� ;WIDTH 7.�1 ;LIQUID DEPTH j E E U 3 30 DAT E: SIGNED' LIC IDS IJ MBER' T D H HEAD !'CAPACITY C i E LU 30 TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE EFFLUENT AND DEWATERING SERIES 53 55 57 -59 97 137 -139 163 185 28 '— _��_ - - -_ M LTRS LTRS LTRS LTRS LTRS 1.52 163 248 394 231 231 EFFLUENT AND DEWATERING 3.05 129 216 300 231 231 4.57 72 163 242 227 227 26 ♦ SEWAGE AND DEWATERING 610 104 136 223 227 � ♦ 7.62 30 216 223 ♦ .9.14 206 220 24 ♦ 12.19 172 206 15.24 125 19t ♦ 18.29 -::�" 57 161 22 '; \ 21.34 114 \j 24.38 = 53 7 MODEL \\ Lock valve: 19' 24.5' 26' 66' 8T MODEL 20 65 163 \ 1 165 1 TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE \ SEWAGE AND DEWATERING \ SERIES 267 288 282 284 293 18 ` \ M LTRS LTRS LTRS LTRS LTRS 1.52 408 386 492 681 3.05 227 273 380 59B 16 \\ 4.57 76 163 238 511 \ ` 6.10 30 125 401 .._ 7.62 288 14 \ 9.14 163 292 10.67 227 \ ; 12.19 174 /� 13.72 106 12 40 \ 15.24 45 t MODEL Lock Valve: 1B' 21' 26' 35' 53' 10 '' \ 293 MODELS 8 25; 137 139 6 2Q' � MODEL 16 ' 284 4 MODEL MODEL 10 268 I 282 2 MODELS 1 \ S 53, 55, MODEL MODEL 0 57, 97 267 4 job" A GA 1Qr } b , rn LITERS 80 160 240 320 400 480 560 640 650 FLOW PER MINUTE 3280 Old Miller Lane Manufacturers of .. . c Louisville, K mucky 40216 (502) 778 -2731 1 /TY PL/MP9 F11WE ��Fy 8 I ``282 -284" Series • Automatic or Non - Automatic. #, • 282 112 H.P., 1 Ph., 115V, 200 -208V or 230V 1 � . /2 H.P., 3 Ph., 200 -208V, 230V or 460V a r • 284 1 H.P., 1 Ph., 200 -208V, 230V 1 H.P., 3 Ph., 200 -208V, 230V or 460V ';- • Float operated submersible Pe a (Nema 6) mechanical switch. • Automatic reset thermal overload protection (1 Ph. models only). ! • Upper sleeve bearing and lower ball bearing running in a bath of oil. • Vortex impeller design. • Stainless steel screws, bolts, float rod, handle, guard and arm and seal assembly. • Passes 2 inch solids (sphere). • 2" or 3" flanged discharge. UL listed C, SC -2225