Loading...
HomeMy WebLinkAbout024-1016-60-100 /Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count y: Safety and Buildings Division INSPECTION REPORT St C GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ❑ City ❑ Village ❑ Xown of: State Plan ID No.: "Plensarit Valley Towns �Q .S 1 h� = a 9S� v.: Insp. BM Elev.: BM Description: p Parcel Tax No.: 1�•0' [oo. CST 8� '- -b �rc�.. 094-101 -60-100 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic - z Wet' P ST Bench Z) 3 62 0go2_ �6D 4p Dosing . {�_ Alt. BM 4.ZZ 96.8 Aeration Bldg. Sewer 15.60 88.42 f Holding St/ Ht Inlet y $0 r ! 8�3•Z TANK SETBACK INFORMATION St/ Ht Outlet --- TANK TO P/ L WELL BLDG. Air I to ntake ROAD Dt Inlet �--- ir Septic , ` B1' lZ ` NA Dt Bottom 9.90 g4. I Dosing " 2Z' NA Header / Man. 3 TZ Aeration NA Dist. Pipe 10 39 r lo• 0 0(3.9-7- Holding Bot. System 1 0.9f (.o0 9 3, 0 2 PUMP/ SIPHON INFORMATION Final Grade mot 5 Manufacturer '�o�l�er Demand St cover Model Number M-Ac , * 9$ �L i�faa� G' TDH Lift q•o Friction Systems S DH Il•9� H ead a• Forcemain Length -;� Dia. 2 " Dist.ToWell �g1 SOIL ABSORPTION SYSTEM BC-9 TRENCH Width r Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I .S S I DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type o r CHAMBER Model Number: System: pr� S 33 102 OR UNIT DISTRIBUTIO SYST " ' , t -.«- Header/Man jf old Distribution Pipe(s) 1 � x Hole Size x Hole Spacing Vent To Air Intake Length Dia 2 Length �Z Dia. 2 Spacing 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 Bed /Trench Edges Topsoil ❑ Yes ❑ NQ ti ❑ Yes ❑ No t COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1: V5 / eV Inspection #2: / / Location: 1742 County Road N, Hammond, WI 54015 (SE 1/4 SW 1/4 9 T28N R17W) - 9.28.17.92B -Lot 1 1.) Alt BM Description = C e c slab 2.) Bldg sewer length= (2­0' - amount of cover = > 1fZ " 5v I co%A 3.) conto = 1 11.5 - l' r ( 12.50" s -�t 1�1 = 1 - �� 4C. �� Q� `� 0 4 - w.ow�L �S S.O' etbw• c,.+ eS"f" Q �; r.a. 5 � a.G T�C. � r am 6c o 1$ N ct (oeu ►� e '"`' i o� ev p lwH� J sc � Plan revision required? ❑Yes W No r E - II co Use other side for additional information. SBD -6710 (R.3/9 Sew m'b,AktT Date Inspector's Signature Cert. No. 6� t�- lX.1rSP� ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ' e N e , , I .. f { , { e e s , 3 e �s E \. } t _ E F { 3 , e < 3 , 3 _ a a w € a S ' Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar 5332No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)1. Permit Holder's Name: ❑ City ❑ Village ❑ Trwn of: State Plan ID No.: Winget, Jason Pleasant Valley Town hi CST BM Elev. g& Insp. BM Elev.: BM Description: Parcel Tax No.: • 1 C5 -- 1 — > ► �Z - r o.vo 024 - 1016 -60 -100 TANK INFORMATION ELEVATION DATA rev z TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Vln �p Benchmark .(7 10c{ / Dosing (` �� Alt. BM zZ Aeration Bldg. Sewer Holding -- St/ Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic ) Z / NA Dt Bottom Dosing u L 2L' NA Header / Man. Aeration NA Dist. Pipe ffl• �� lo-3 Holding Bot. System � 3.02 .00 � PUMP ON INFORMATION Final Grade Manufacturer Demand St cover Model Number aL -' GPM TDH Lift 0 Friction Sy S TDH l Ft oss U Forcemain Length Dia. H 2 q Dist. To well SOIL AB ORPTION SYSTEM BED7 IT RENC Width Len th / No. Of Trenches PIT No. Of Inside Dia. Liquid Dep h DIMENSIONS r DIMENSION S SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING nufactur SETBACK CHAMBE INFORMATION Type Of Model tuber: System: Ak" J ''3 OZ OR UN-IT DISTRIBUTION SYSTEM e° 1 Header/Ma Distribution Pipe(s) u x Hole Size x Hole Spacing Vent To Air Intake Length �' " Dia. 2 Length z Dia. Z Spacing ' — — c/ 11 36 " 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 Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, p rsons r nt c) ns ectlon o nspec on Location: 1742 County Road N Hammond, WI S e 5 �S 1/4 SW 1/4 9 T28N R17W) - 9.28.17.92B -Lot 1 • _oTew -- 1.) Alt BM Description = 6—je- r 51^ b, [1( • °) r 1 -+ f (Z • `f I Z • S e �f 6cc - 4 2.) Bldg sewer length = I Z, D -amou t of cover = > Z 3.) cont o r = ( !•.�(7_) � 10 S.0 , w ?-.,t f Plan revision required? ❑ Yes ErNo Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No t ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: .n� i = . A r mw F� _ m. E t 3 a 3 t a = , s ' r I i t t i c` a ' a L ` , .,.,... ,.., � .. .,.,..., ?.. F v € i e E F e o ..,_,. . a a g t 33 c a s i e g�g t fi t t # E 6 � a e � € --- �---- � t F ... m.®j, e � t § F t € [ 7 6 r t a 3 e � E , s �a r .. _ � E c x f e E S ..... , m C lL .m .t „.,..... t g € t g t e a ,. m a } S F ! Vi sconsin Safety and Buildings Division SANITARY PERMIT APPLICATION 2 1 B Washington Avenue Department of Commerce In accord with Comm 83.05, Wis. Adm. Madison, WI 53707 -7302 rp • Attach complete plans (to the county copy only) for the system rS paper not less o ty than 8 vi x 11 inches in size. • See reverse side for instructions for completing this applicati n State Sanitary Permit Number 35 Personal information you provide may be used for secondary purposes [I Check it revision to previous application [Privacy Law s. 15.04 (1) (m)]- t c, State Plah I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL IN R r 2 Property Owner Name Pro ocation ,TCZ.SC� n L 1 `) v4,, -S -, T ; .,2 , N, R /7 r WJ Property Owner's Mailing Address Nttme� , BIOCk Number a lU T -�— Ci , State _ Zip Code Phone Number Subdivision Name or CSM Number / 7 Q . TYPE F B LDING: (check one) ❑ State Owned ❑ City r d earesf " d E] Vil age / Public 1 or 2 Family Dwelling - No. of bedrooms �- 3 Town OF t C aS►1 1 /� III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) q. 4 � / - 7 . 1 E] Apartment/ Condo 1 l �� v 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 1 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify 1V. TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. 0 New 2. ❑ Replacement 3, ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an System ________ System _____________ Tank Only______________ Existing System _________Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 PTMound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In Ground Pressure r f 42 ❑ Pit Privy 13 ❑ Seepage Pit C K �' 43 ❑ Vault Privy 14 ❑ System -In -Fill C r ca- CTO . Q� VI. ABSORPTION SYSNFO�MATION: 1. Gallons Per Day 2. A sorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/ ay /sq. ft.) (Min. /inch) Elev tion C 7 5 _7D �<_S , _ 3 k, r 4 Feet Feet VII TANK Capacit g allon s g Total # of Prefab- Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete con Steel glass Plastic App New Existing structed Tanks Tanks Septic Tank oF4+ekUa Ta nk Cif) c? U(50 �t- ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /3tph*ft -C archer � - u� �, ❑ 1 ❑ 1 ❑ I ❑ ❑ VIII. RESPONSIBILITY STATEMENT ,2 ,1-,,Yg 3T I, the undersigned, assume responsibility for installation of the onsite s e system sho n on the attached plans. Plu ber's Name: (Print) Plumber's gnature: Stamps) MP/ Business Phone Number: P umber's Address (Street, City, State, Zip Cod _ /7 4 - C4D , al— � J5 77 IX. COUNTY / DEPARTMENT USE ONL ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issue Issuing Agent Signature (No Stamps) Approved []Owner Given Initial � Surcharge fee) Adverse Determination 3 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD -6398 (R. 4/99) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a 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. 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. Orrsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is tote installed. 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. 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. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 112 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 mains/water service; streams and lakes; pump or siphon tanks; 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 ifrequired by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 visconsin www.commerce.state.wi . us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary February 21, 2000 CUST ID No.260751 ATTN: POWTS INSPECTOR ZONING OFFICE BOWMAN PLUMBING INC ST CROIX COUNTY SPIA 2819 KNAPP ST 1 101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 02/21/2002 Identific ers Transaction ID ko. 295756 Site ID No. 182483 SITE: Please refer to both identification numbers, Site ID: 182483 above, in all correspondence with the agency. St. Croix County, Town of Pleasant Valley SE1 /4, SW1 /4, S9, T28N, R17W Facility: Jason & Barb Winget Proposed Residence FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 648019 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • 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 private sewage system 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. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 02/10/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 eerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us °WiSMART code: 7633 I MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project Winget/GAH 19� z2 Owner Jason Winget Address 233 West Cascade #102 River Falls, WI 54022 Legal Description SE,SW,9,28,17W Township PleasaniValley County St. Croix O ri�lly U �O Subdivision Name Bahnsen CSM Lot No. 1 Go' 0 ,* � R C� � � Parcel ID Number Pending OS o �NG� Plan Transaction Number SP GoR RE Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 Pres. dist. calcs. and laterals Page 4 TDH and pump tank drawing Page 5 Pump Inform Page 6 Site plan Page 7 Attachments, (soil test) Page 8 Designer loretta/ Jack A. Bowman License Number MP 5875 Signatur Phone No. (715) 235 -4634 ate February 4, 2000 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). SBD- 10462 -E (R.05/98) Pagel of 8 MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch - pounds Metric Residential or commercial? r (r or c) (y or n) = Replacement system? Creviced bedrock site? n (y or n) Slope 6.2 % Wastewater flow rate 450 gpd 1703 Lpd Depth to limiting factor 31 in 78.7 cm In situ soil infiltration rate 0.6 gpd /ft 2 24.4 Lpd /m Contour line elevation 90.8 ft 27.68 m Use standard fill depths? I x OR Design depth? in cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center or end manifold a (c ore) Hole diameter 0.25 in 0.125, 0.156, 0.188, 0.219, 0.25, 0.281, or 0.313 inch only. Lateral spacing 0.00 ft Use 0 lateral spacing for trenches. Estimated hole space 3.00 ft Not a final calculation. Number of laterals 1 Pump tank elevation 81 ft Outside bottom of tank. Forcemain length 85.0 ft Forcemain diameter 2.0 in 1.5, 2, 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1/8 = 0.125 1/4 = 0.250 SYSTEM SOLUTIONS Inch-pounds Metric 5/32=0.156 9/32=0.281 Estimated daily flow 450 gpd F 1703 Lpd 3/16=0.188 5/16=0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gpd/ft' 375.0 ft 34.84 m2 Linear loading rate (LLR) 6.00 gpd /ft 74.4 Lpd /m Design width (A) 5.00 ft 1.52 m Cell length (B) 75.0 ft 22.86 m Depth of cell (F) 10.0 in 25.4 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downsiope fiii depth (E) 15.7 in 39.9 cm Basal area required (gpd /infiltration rate) 750.0 ft 69.68 m Supporting components Topsoil depth 6.0 in 15.2 cm I' Subsoil depth at center 12.0 in 30.5 cm !'! Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (l) 10.46 ft 3.19 m Up slope toe length (J) 7.20 ft 2.19 m Down slope toe length (1) 11.60 ft 3.54 m Total mound length (L) 95.92 ft 29.24 m Total mound width (W) 23.80 ft 7.25 m Project: Winget/GAH Transaction Number Page 2 of 8 r Effluent I Dewa Pump MODEL 1142" Non - automata 9' • 115V- 1 PH -6 amps Ridw ®• Pumps down to within g or base CAST IRON SERIES p ulisted 8', 3 -wire power cord and Corrosion resistant F me U ITY PUMP Oil- filled motor Volt/Single Phasei60 Cycle VA • Rotary shaft seal • 011 - Filled Hermetically sealed mot • Thermal overload protected • Passes 3/8' solids (sphere) • 11;' NPT vertical discharge with a • 1 W NPT Discharge garden hose adapter • Ruggpd cast Iron motor h sing. • Compact design will fit In a 6' • Efficient heat sink for H dissipation opening Engineeredthermop motorcover& base CAPACITY • Non -Clog Vo Impeller Engineered CAPAgTY HEAD UNIT3/MIN Glass filled HEAD UNR IN , ,F eet Meters Gal. Ltrs. • Automa eset thermal overload Feet Meters Gal. Ltrs. prob 5 1.52 15 57 . UL d 9', 3 wire cord and plug 314 1.06 29.5 112 10 3.05 13.5 51.3 a on & Ceramic Rotary seal 5 1.52 29 110 15 .7 8.5 32.3 aterOghtneoprene seal between motor 10 3.05 25: 95 and cover 15 4.57 18 68 20 L lve: 2 7.6 • Stainless Steel Screws No sheet metal 20 6.10 7 265 Lock Valve: 21' per) ( Lock yalye: 1 22 11 53" .CAS N SERIES * / "57" CAST IRON SERIES "55" B NZE SE S * * / "59" BRONZE SERIES • Au atic or Non - Automatic. • H.P.,1 Ph., 115V or 23OV. Non - dogging vortex Impeller design. CAPACITY • Passes % inch solids (sphere). HEAD ONIfEI1NN • 114' NPT discharge. Feet Meters Gal. Ltrs. • float operated, submersible (NEMA 6) 2 pole mechanical 5 1.52 43 163 switch. 10,. 3.05 34 129 • Automatic reset thermal overload protection. 15 . 4.57 19 72 • Stainless steel screws and swtIc h arm. • Cast iron switch case, motor and pump housing. Lock Valve: 19.25' • Engineered, glass filled Impeller with metal lnserL• • •Bmrrrs motor punw houeby, aen1 h CM • Glass filled polypropylene base. • 53 sods, • Models 55 and 59 have stainless steel handle & guard. "'� " pu"te � " ow eer. 55 Series SB 441 S � 57 Series SC -2225 BNS� aawr�slrsrl�t�esflallr ( � p Canadian Standards AWE SY Series S&1115 © 1d17 Assocapprowl N "91S" CAST IRON SERIES • Automatic o on- Automatic e� CAPS i 14 H.P., 1 Ph., M or 23OV. HEAD ONITSIIIIIN Non - clogging vortex impeller design. A , o Feet Meters Gat. ltrs. • Passes % Inch solids (sphere). "a" QRSAM• 5 1.52 72 273 • I%' NPT discharge. 98 series SC-2225 • Float operated, submersible (NEMA 6) 2 pole mechanical lu .. 3.05 6i 231 switch. is 4.57 Is 170 • Automatic reset thermal overload protection. 1 20 6.10 1 25 95 • Stainless steel screws, guard, handle and arm and switch Lock Valve: 23' assm. • Watertight neoprene '17" ring between motor and pump ^ housing. /,c Canadian Sta ndards 17 Asm approval v available BN98, nonautomatic, available pwkaped with a piggyback m muty Rost switch. b ::......; ......:....:.. :: :..:......::.. .:.... .. :... HEAD /CAPACITY CURVE TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT and DEWATERING EFFLUENT AND DEWATERING WARNING: Model 185 should not be subjected to less than 30 feet TDH. 3, „ 32 ' TOTALOYNAMN : NEADICAPACRP 7ERMINUTE EFFLUENTANDDEWATERNIG 100 53-06 30 SERES 37th W 137439 161 163 163 193 198 IN 169 28-- Fi. M:�: 04L Leg: - 6 Od Ltn�: Oe1 Lln:; 0aL L4r:: 04L tA. Oat ::L,I1t 04L Ltn:.< 64L lL►: 04i lri :: ea s 1:63:: u 166 72 : 3Z3 fa 1W 106 Aft 61 2s7:: 611 u :k34: 153 �: 155 191: 26 10 3.85:: 34 126 61 ;331 79 309: 100 378: 61 231; 61 .231 SI 229; 14 $N: 131 es 13 4.1t.: 19 'ij 45 ;!1# 61 : 41;: $I :W 60 331:: 60 :321 31 33s. >. 142 : 5 1b Ii1p:: 24 20 .0.t6�: 25 :::�5 36 416 :: 92 A13� 59 3#:� 60 S9 290: 136 .3 /Q 110 310: 23 i:62: 6 ;: :: 71 260:: 37 316`, 39 221 a !> 126 A"* 133 SIJd: 22 196 30 9.11; BS 8: SS .366 S6 ::220 90 710 !9 .2zt.� 121 658: 127 :pi:. g 7 . .... I 10 ,:1Z1i:� ..... M . 174: 46 '173: 55 s08, 7s .Z49 u 920:: tos '3Q7` 111 ':pi. 20 e5 SO tA2 <' `: 21 32R: so SW 100 8}8 165 :> 13 17.. 43 ::181. 38 1st S9 392:: 71 �- 65 ;!!:. BD MS.: 30 411. 10 3a4 u 1#2: 91 fp:: n <iid: 3 ss 90 aim:: 11 ': s3 a sn: zt ui dr :aeA: ° 116 , 6 90 a7.It:: :> i 32 :121:'; : 37 :140: loo aa1<: l9 14 4s 110 : a3ea 7 ;3 H. Leak VMc 1923' 23' 26' 56' 66' a' 73' 11S' 91' Ilr 9 35 10 3 30 16 9 � 6 0 161 s 15 166 2 10 HEAD /CAPACITY CURVE 5 4 4 99 1J .13 57.5 C SEWAGE and DEWATERING 10 e0 060 w 070 � 90 '� 00 '�,e "�56o 160 640 WARNING: Model 293 should not be subjected to 0 FLOW PER 66NUTE less than 15 feet TDH. TOTAL DYNAMIC HEADICAPACITY PER MINUTE SEWAGE AND DEWATERING z no z87 zit ziz z11 202 no 201 M 100• FT. M. Gal In Gal Lri Gal Lri Gd Lim Gal Lim ri Gal Lim Gal Lri Gal Lri Gel Lri .....- 90:811:: 7211 1128 ::IAI 130 >; 180 110 . S90 196 ;:71 :;: 225 ; :lA'AE: 100 :l81 's. 10 60 :22T: 897 % 89 : S8T : T: 95 360' 596. 121. 181 :9/A 205 T} 950 15 ; : ::..4 .7::: 22.5 i :BTt: SO : !tt 50 ;1DD: SO :; >119::: 135 ::: 1 106 i!i 'i 190 i W;� 165 :> 6ZA ; 185 - .0 900 ::1158.:; s 20 big . 10 . 5� : 10 88: 10 ffi)i 101. N :989 119 .;(5¢: 1150 ::'AOA 168 > 250 116 :? ... 76 68 106 :161> 136 : St9: 153 200 : 22 25 >1O > 70 30 13 ia69;i '1T8;: 90 ::318 121 ':61:: 110 :i50: 150 E:561i: 20 5 10 1 19 5 50 : 189 94 115 HS so so :729 89 is 9]w ` >:: >:;;;. ... . s5 ti �:t13:: 59 60 AID: .i425.; ,6 4 T9 215# 25 .; 95 Y 14 �5 LOdcValw 18' MAS' 21S S s0' • 2,' 26' 35' /2' 62' 77 10' 12 10 � JS 7 16 o 193 e 25 6 10 191 15 _ __. 4 2B4 10 1 26? 292 5 266.6. 8 191 195 31 0 U.S. CA LONS 10 20 30 40 50 60 70 90 90 100 110 110. 130 110 50 160 1701.1 100 21 220 2 210 150 260 270 a0 290 300 310 3 0 3J0 34 350 37 390 790 400 141C L' S 0 e0 160 240 320 400 4e0 560 610 720 e00 100 960 1040 1120 1200 19269 �1P60 1 }4Q I FLOW PER MUTE W``IU DD / lL_I / I�� • OC g r SITE PLAN Page 70f8 Bowman Plumbing, Inc. N Master Plumber No. 5875 Winget /GAH 2 819 Knapp Street SE,SW,9,28,17W Menomonie, WI 54751 Pleasant Valley town13hip :..croix county (715) 235 -4634 FAX (715) 235 -3650 LEGEND X- borings 5 Scale r 1 except where indicated a .� System Elev. 91.8 on contour 90.8' R P>L, LooO/ 6 s o t4 'sJ146 SJ ( M o J o, J lob, w -� T 2 low i -Wi�i onsin Department of Commerce 0R1G SITE EVALUATION Page 1 _ of Division of Safety and Buildings with Comm 83.05, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, an istance to nearest road. — -- - -- - -- -- - -- Parcel I. D.# i n CSM Pending APPLICANT INFORMATION - Pl *,n ' irifr►tiatiap. - - - - - Personal information you provide may be used for pu s acy Law, s. X5.04 (1) (m)). le d Date M . �o�X7/ Property Owner 1 ✓�� Prdperty Location Winget, Jason & Barb ('fr Go Lot SE 1/4 SW 1/4 S 9 T 28 N,R 17 W -- - - -- - - 102 -- r - - - - __. Pro Owners Mailing Address Block # S ubd. Name or CSM# 233 W est Cascade, # �'',�,; . x � 1 Bithnsen CSM City State ` 1 r [City vill XTown Nearest Road River Falls WI 5 71 X65 j Pleasant Valley CTHW N X New Construction Use: M Reside I drtj�r ke 3 ]Addition to existing building Replacement F] Public or commercial describe Code Derived daily flow 450 g pd Recommended design loading rate • bed, gpd /ft2 6 trench, gpd/ft' Absorption area required 900 bed, ft- 750 trench, ft' Maximum design loading rate -5 _ bed, gpd /ft - t rench, gpolft' Recommended infiltration surface elevation(s) 91.8 ft (as referred to site plan benchmar Additional design I site consideration install 5' x 75' rock bed mound on 90.8 contour as upslope edge of rock w/ F sand fit Parent material loess over till Flood plain elevation, if applicable NA ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system ❑ M U ® S❑ U ❑ S ❑ S 29 U _' S X U ❑ S X U Depth Dominant Color Mottles Structure Consistency Boundary Roots Borin Horizon D /ft' # Texture - - 9 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 g cs 21`1 m .5 .6 1 0 -3 IOYR 3/2 - sil 2 m r _ ds ! cs l - -- -10 l OYR 3/2 - sil 2 f sbk mvfr I Urn 5 .6 .: 2 3 ❑ Ground 3 10 -31 7.5YR 4/4 - A 2 m abk t mfr cs If 6 elev-- _.- . -- -- - -- -- -- l 88.7 ft 4 31 -44 7.5YR 4/4 f2d 7.5YR 5/3 sl 2 m abk mfr - - 5 .6 Depth to limiting factor i 31' - Remarks: occasi gr, cob, & st 2 1 0 -3 IOYR 3/2 - sil 2 m gr ds cs 1 f/111 .5 .6 2 3 -8 10YR 3/2 - sil 2 f sbk dsh cs if .5 .6 Ground 3 8 -32 7.5YR 4/4 sl 2 m abk dh cs If .5 6 elev 91.4 ft 4 32 -44 7.5YR 4/4 f2d 7.5YR 5/3 sl 2 m abk j dh - - 5 6 - - -- -- Depth to limiting - — factor / - - - -- - -- - -- - - - - -- �— -- } -- 1 - - - 32 Remarks: - -- __ CST Name (Please Print) Signature: lephone No. Henry F. Grote ` 715 - 665 -2681 Address - Cemfted- SoTTesdn Address g Date CST Number Ref # P.O. Box 57, Knapp, WI -54749 10/2/1999 222774 1233 PROPERTY OWNER: Winget, Jason & Barb SOIL DESCRIPTION REPORT — 123 p age 2 of•• 3 PARCEL I .D.# - CSM Pending Certified Soil Testing' - Depth Dominant Color Mottles Structure GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Texture onsistence Boundary Roots Bed Trench 3 1 0 -3 10YR 3/2 - sil 2 m gr - ds cs 2f1m_. -_ . _ _6_ -_ - - -- 2 3 -8 10YR 3/2 - sil 2 f sbk ds cs I If � .5 .6 Ground 3 8 -15 1OYR 4/4 sl 2 m sbk mvfr cs if .5 .6 el c 86,5 ft 4 15 -39 1 OYR 4/4 1.0YR -T �6/2 �� sl 2 m sbk } mfr - - 5 .6 Depth to limiting - factor - - -� - 1 I Remarks: I N C K S21 suitawe sot s 4 1 0 -4 10YR 3/2 - sil 2 m gr ds cs `2flm 5 6 2 4 -9 1 OYR 3/2 - sil 2 f sbk ds cs if .5 .6 Ground I I elev 3 9 -27 I OYR 4/4 - sl 2 m sbk mfr cs 1 f 5 + .6 - -- - - -- - -- -- -- - - -- - j - - t - - - -- - - -- 85.6 ft 4 27 -40 l OYR 4/4 c2d l OYR 6/2 sl 2 m sbk mfr - - .5 .6 Depth to limiting -- - - - -- -- - -r r - - factor - - 27' Remarks: _ 5 1 0 -3 10YR 3/2 - sil 2 m gr ds cs Him .5 „ .6 2 3 -14 10YR 3/2 - sil 2 f sbk dsh cs if .5 .6 Ground 3 14 -23 1 OYR 4/4 - sl 2 m sbk mfr cs If .5 .6 elev 90.8 ft 4 23 -37 7.5YR 4/4 - sI 2 m sbk mfr .5 .6 Depth to limitin g -- factor ! j > 37" - - - -- - - -- - - -- - - - Remarks: occasici POCKets is in norizon Ground elev Depth to limiting factor Remarks: +. a C O ,1 O.. 1� y4 `o w �► e- -- 1� l O'S \ °` O,n �+"`. 1� A..O�:_ i,'�.o.. ti �-�1+ st•t.ar Z4 `q I C. Q-v 5i {�• J - 4'" A yq«� El G � �w N ao•o� ICI ST CROW COUNTY SBM= TANK MAINTENANCE -AGREEU ENT AND . . OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address + 2 - Property Address ,��`> % ssi� –ivy✓ l''C�S�LtC'�/C�� (Verification required from Planning Department for new construction) Parcel Identification Number LE�A DESCRIPTION Property Location SG %, s / Sec, q . T Town of � y Subdividion Lot # Certiffied Survey Map # �' . Volume AL / . Page # 3 Warranty Deed �� � Volume Page # �� v Spec house O yes�(no Lot linos identifiablex yes ❑ no Intps+oper<ttaeand of your ur septic:ystem could result in its promotive fhllure to haame wastes. Proper maintenance consists of 1 i but do septic tank every three yeah or sooner, if needed by a ho awed pumper. What you put into the :yd m can affect do fitaction. die septic tank as a treatment stage in the Haste disposal system. The property owner agrees to subunit to St. Croix Zoning Departiment a certification fam, signed by the owner and by a mastorPlumbe43ous 'noYmanPlamber,restrictedplumberor, a licensed pumperverifying tl at(1) the on-, to wastewaterdi:posal system is in proper opezadns condition and/or (2) after inspection es and pumping (if necessary), me septic tank.is ten du 1/3 full of shtdge. Uwe, the undersigned have read the above requirement and ague to maintain the private sewage disposd system with the standards set fort6,, haste, as set by the Department of Commerce and the Department of Natural Resources, State of W boonsin. Certification stating that septic system has been maintained most be completed and rehuned to the St. Croix Conaty Zoning Office within 30 days of tip data (INAUM9 OF LICANT DATE MUM BICATION I ) nadir)► that all statement: on Oblentare true to the but of my (our) knowledge. I (we) am (are) the owner(s) of the above, by virtue o ed recorded in Register of Deeds Office. SlGNATL LICATTr DATE s «sass Any information that is mis- represented may result in the unitary permit being revoked by the Zoning Department. ss• « «« s• Include with thb application: a stamped warranty deed from the Register of Dec& office a copy of the certified survey map if reference is made in the wamaty deed (.o voI- 1480PAGE 500 ` 616174 KATHLEEN H. WALSH REGITER OF DEEDS Document Number UIT CLAIM DEED ST. CROIX CO., WI RECEIVED FOR RECORD Daryl Bahnsen, a /k/a Daryl I. Bahnsen, and Lurene J. 12- 29 -1999 11:30 AM Bahnsen, as his wife and in her own right, quit - claims to QUIT CLAIM DEED Jason A. Winget and Barbara J. Winget, husband and wife EXEMPT 11 8 the following described real estate in St. Croix County, State Co Y FAT FEE: of Wisconsin: TRANSFER FEE: RECORDING FEE: 10.00 PAGES: i Recording Area Name and Return Address 1 BAs ON qA6 QaN� W)Kjo 1 l' a33 Wolf Casmo • . � /nom �' 024- 1016 -60 (Parcel Identification Number) That certain parcel of land located in the Southeast Quarter of the Southwest Quarter (SE Y4 of SW Y4) of Section Nine (9), Township Twenty -eight (28) North, Range Seventeen (17) West, Town of Pleasant Valley, St. Croix County, Wisconsin, more fully described as follows: Lot One (1) of Certified Survey Maps filed December 22, 1999, in V olume 14 of Certified Survey Maps, at Page 3778 as Document N 615929, office of the Register of Deeds for St. Croix County, Wisconsin. 4�� This is not homestead property. Dated this o? ` day of December, 1999. `Daryl I. Batffisen -X � - "Lurene J. Bahnsen AUTHENTICATION ACKNOWLEDGMENT Signatures) STA ?E OF WISCONSIN ST. CROIX COUNTY -W Personally came before me this day f D camber, 1999, the above named Daryl Bah s I. authenticated this day of 19_ Bahnsen and Lurene J. Bahnsen person( s) who ecuted the f acknowledge ame. signature _ r ri +.sy•.C) type or print name signature TITLE: MEMBER STATE BAR OF WISCONSIN type or print name 'K�� �• r�l f 1� (If not, Notary Public St. Croix County, Wisconsin. authorized by § 706.06, Wis. Stats.) My commission is permanent. (If not, state expiration date: THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack *Names of persons signing in any capacity should be typed or Baldwin, WI 54002 printed below their signatures. Information Professionals Company Fond du Lac. Wisconsin 600 -655- RECE IVED a- ND 2 1 1999 i6 / 7 - LO 5T I C�OIX COUNTY V. 11G11O/� � ZONING OFFICE 3 C)ZL( CERTIFIED SURVEY MAP �C 00 Pa7t of the Southeast 114 of die Southwest 114 of Section 9, T 28 N. R 17 W, Pall Sit Croix C W�swtW?L T. Town of Pleasantt Valley, ounty , I4 / P 3g OWNERS' ADDRESS - 6 ( 5 - -r Zj lT36 C.T.k' "N" I .AMMMD, W/ 34010 T T �IAr L N90 0 00'00 "E 308. 15' CZ $ W o $ LOT l W� A iii CON U MS 227,378 Q W aI S0. FT. OR 5.200 AC. y) a . J1 (217 , 825 S0. FT. OR w 1 $ 5.001 AC. EXCLUDING e ROAD RIGHT OFWAYJ I ! CSI lyl g F L I SC / "+ p PROPYLtEO O t ego so AV /so !oo WPM AREA g FBI o � • . 2 / • 1 t " OI SMACK LINE -- — • — s N_LrRiwC.r. "N" S90•oo•00 "W tow. ,' 3 9o•oo•00: w It i�----- - - � --- arw LINE swv4 .J SW CORNER SOWN I/4 CORNER .-.. — — — — — ^�- — --- -- --- — See.*, T. !s N, R/r w SEC. 9, Too#, R /?w C� . - _ H q� N S R/w C. rH. "N" IFOOMP RK. NA10 SE /R K. NAu r f ROM r/ESJ -- s9o•oo•oo "w tt/s. 4r• -- Dated: August 13, ,1999 I II/� ATT I ANDS /_•� � —'_� — mo d LEWN G SET 1 "X 24 "/RaV PIPE ��.••"•••••• tr (MIN. WT. /. /3 LO.A.F.) = LAUR E to 610VERNMENT CARNERAS NOTED W M HY C 10 1719 3-. a • 4 IVER FALLS / % � WISC * • ••';�� LAND $.�►` THIS INSTRUMENT DRAFTED Br ✓ERALD L LARSAN SHEET / OF 2 I CERTIFIED SURVEY MAP Daryl and Lurene B.ahnsen Part of the Southeast 114 of the Southwest 114 of Section 9, T 28 N, R 17 W Town of Pleasant Valley, St. Croix County, Wisconsin. I i i I DESCRIPTION That certain parcel of land located in the Southeast 1/4 of the Southwest 1/4 of Section 9, Township 28 North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin, more fiilly described as follows: Commencing at the South quarter corner of said Section 9; thence S 90 00' 00" W (assumed bearing on the South line of the Southwest 1/4 of said Section 9), 301.35' to the POINT OF BEGINNING of the parcel to be herein described; thence, continuing along said South fine, S 90 00' 00" W, 308.15; thence N 00 00' 00" E, 737.88'; thence N 90 00' 00" E, 308.15'* thence S 00 00' 00 W, ;737.88' to said South line of the Southwest 1/4 of Section 9 and the POINT OF BEGINNING, contain4!227,378.'sgi0 feet or 5.200 acres, being subject to a roadway easement for County Trunk Ifighway "N' over the Southerly portion of this parcel as shown on this map, and any other easements or restrictions of record. NOTE: Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc,). Before purchasing or develo ping any parcel, contact the St. Croix County Zoning Office and appropriate Town Board for advice. State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, Daryl and Lurene Bahnsen, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are a true and correct representation thereof. Dated: August 13, 1999. This Instrument Drafted by Jerald L. Larson. I X \600 1, Yt LAU NCE Z= = W URPHY 1713 _ w RIVER FALLS,' I ♦ � ''•. WIC � ��'•., CANO Sobmit to non - enforcing WISCONSIN ADMINISTRATIVE BUILDING State of Wisconsin cipalities for new 1- PERMIT APPLICATION Safety and Buildings Division 2- family dwellings (Wis. Stats. 101.63 (7) & 101.65 (3)) SEE INSTRUCTIONS ON BACK OF YELLOW COPY. - i Personal information you provide may be used for secondary purposes. [Privacy Law 15.04(1)(m)] "Woo �; y z� u Last Name First Name Middle Initial Street Address City r " State Zip Code Telephone No. (Include area<code) Y r a Building Address Subdivision Name Lot # -Block # I I Legal Description Parcel No 1/4, 1/4, Section C7 T N, R E ory 0�q wtv 1 Family JQ Forced Air Furnace ❑ Radiant Baseboard or Panel ❑ Heat Pump ❑ 2 Family ❑ Boiler ❑ Central AC ❑ Other: Nat. Gas L.P. Oil Elect. Solid Solar Space Heating ❑ ❑ ❑ ❑ ❑ Water Heating ❑ ❑ ❑ ❑ ❑ 37 TYPE a ' DA IOIY , r l � Site Constructed Concrete ❑ Masonry ❑ Treated Wood 0 Manufactured ❑ Other (specify): t•, r i " k . T'I � BU� � G +7T � � Living area = , ; Square Feet $ I vouch that all the above information is correct, and understand that the issuance of this permit is for administrative purposes only. I understand that onsite construction inspections will not be performed by the municipality, but that the Uniform Dwelling Code, Chapters Comm/ILHR 20 -25, still applies to all new 1- and 2- family dwellings and must be complied with. I understand that the issuance of this permit does not rlieve me of compliance with other applicable codes and ordinances. AA Appfi6lfiT Signature Date Signed M ST BE COMPLETED BY THE MUNICIPALITY BEFORE FORWARDING PINK PLY TO THE STATE DIVISI OF SAFETY AND BUILDINGS i g JURISII s Town ❑ Village ❑ City ❑ County of- '' A CI��LIT �M ER; q ell', gLo�aton �/ � SBD - 8254 (R.2/98) White - Issuing Jurisdiction Pink - State Within 30 Days Yellow - Applicant INSTRUCTIONS The owner, builder or agent shall complete and provide all required information on the application form down through the Signature of Applicant block. This data is used for statewide statistical gathering on new one- and two- family dwellings, as well as for local administration. When completed, submit to local municipality having jurisdiction. Plan review or building inspections will not be performed by the municipality. PERMIT REQUESTED: • Fill in building address. • Fill in legal description of lot, subdivision name, lot number and block number. PROJECT DATA: • Fill in all numbered project data blocks (1 -7) with the required information. All data blocks must be filled in, including the following: 1. Type - Check only 1- Family" or "2- Family" if that is what is being built. In other words, do NOT use this form if only a new detached garage is being built, even if it serves a one or two family dwelling. 2. HVAC Equipment - Check only the major source of heat, not any supplemental sources. Mark central air conditioning if present. Only check "Radiant Baseboard or Panel' if there is no central source of heat. 6. Living Area - Include any finished area including finished areas in basements. For two - family dwellings, include total combined areas. 7. Estimated Cost - Include the total cost of construction, but not cost of land or landscaping. SIGNATURE: • Sign and date application form. ------------------------------------------------------------------ ISSUING JURISDICTION - This must be completed by the AUTHORITY HAVING JURISDICTION. Check off MUNICIPALITY STATUS of issuing jurisdiction, such as town, village, city or county. Fill in MUNICIPALITY NUMBER OF DWELLING LOCATION. If issued by a county, indicate the specific municipality number where the dwelling will be built. Fill in name of person issuing permit and date building permit issued. PLEASE RETURN PINK COPY WITHIN 30 DAYS AFTER ISSUANCE TO (You may fold along the dashed lines and insert this form into a window envelope.): Safety & Buildings Division P O Box 2509 Madison, WI 53701 -2509