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HomeMy WebLinkAbout028-1014-60-000 41 isconsin Department of Commerce Count PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT St. Croix 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)]. 363848 Permit Hol er's Name: ❑ City ❑ Village ❑ XTown of: State Plan ID No.: da Rush River Township Pis 0 2 . fp* = $6 4610 CST BM lev.:- Insp. BM Elev.: BM Descript o Parcel Tax No.: . o ' I aD . o b Bn,* t - b."tt...- (�w�c st 3 qr •3 rgW 6 2 Z I o '/ " rODW 028 - 1014 -60 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic e i be/ l2cs� Benchmark ::"Z> i' , 3A( Dosing W�iS�I} Alt. BM " Aeration Bldg. ewer (� g� ) 9.20 Q2.50 ' Holding St / Ht Inlet 9- :vB 9 14 1 2 - TANK SETBACK INFORMATION St/ Ht Outlet o• 0 91 • - 4o ' TANK TO P/L WELL BLDG. Ventto ROAD D Inlet Air Intake t net G-19C 192 Septic IdD >,:I5' �' NA Dt Bottom 9. q4 71,53' Dosing ( I5D I gp r 19� NA Header / Man. S1-9 3 r Aeration NA Dist. Pipe 1•S` IR7. 93 Holding Bot. System 2.40 6-7, p7 ' PUMP/ SIPHON INFORMATION Final Grade 4. Manufacturer Geuas Demand ";K St cover ST o3� 9�. Model Number p ;.q'i3GPM 6KA*A,_ �d 4 0 101, 7-0 I� r O� TDH Lift -7 .31. Friction Sy 6 TDH Ip. Ft H q,3�' Forcemai n Length a' Dia. a �� Dist. To Well zCp SOIL ABSORPTION SYSTEM $ :5 TRENCH Width i Length No f Trenches PIT No. Of Pits Inside Dia. Liquid Depth DI EN 5 10C DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type O r r CHAMBER Model Number: System: AID%XA4 X30 �) �D >?-CID — OR UNIT DISTRIBUTION SYSTEM Header/Ma rr�fajg! Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake 1c r Length r�' Dia. 2 Length 98 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 ❑ Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.) Inspec ion #1: os/ /� Inspection #2: Location: 1928 County Road N, Baldwin, WI 54002 (SW 1/4 SW 1/4 11 T28N R1 7W) - 11.28.17.75B -Lot 1 1.) Alt BM Description = - 2.) Bldg sewer length= i &,.o ' - amount of cover = > 3` t S°'� °"`f' 3.) contour = (g(° '� 3.4Z� + }IS=89•`1��� ► n c� � -o F� q cT w�ewvcQ ui��X h o-� 1 9 " S;& "Ugly ot" s� Rik SAP R.w. aj, Plan revision required? ❑ Yes JK No S 2 �p Use other side for additional information- S 1( DO 1 ff SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. X i ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: x.. t 3 E E E e P ro e. f F P XFm a e i e E f • i F t w s .—P ...... � ...: a .._ � r.. .... ., e. ., 1 e �e m. .tee a m t � 3 e Safety and Buildings Division r SANITARY PERMIT APPLICATION 201 Washington Avenue NVisconsin Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Box Madison, WI 53707 -7302 • ?attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State sanitary Permit Number Personal information you provide may be used for secondary purposes ❑ Check it46 to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION S 0 = =64L Property Owner Name Propert Location �-c �A-/Z <S 6 n 1/4 X1/4, S 1 1 T 2 , N R, 7 E (or) Property Owner's Mailing Address ^ ' Lot Number r/ Block Number City, St a Zip Code Phone Number Subdivision Name or CSM Number ,�-C,� u� a -N �o � ( 7 /vT A �?7 ;0 rr1 6 2 II. TYPE OP BUILDING: (check one) ❑ State Owned ❑ City Nearbft Road � �,? Public 1 or 2 Family Dw ellin g ❑ Village RVS4 No. of bedrooms . Town OF �� Ill BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo en 2 ❑ Assembly Hall 6 Medical Facility/ Nursing Home 10 ❑ 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 b Office / Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1, ❑ New 2. Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an ------ Syste21--- _____System __ Tank Only______________ Existing System ____ Existing 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 JEJ Uound 0 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit -1— X 43 ❑ Vault Privy 14 E] System -In- Fill , , f- at..► .� VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation Cr3d ®,� (,aFeet ?X eet Capacit VII. T ANK NFORMATION in gallo Total # of Manufacturer's Name Prefab. Con- Steel Fiber- plastic Exper. New Existing Tanks concrete structed glass App. Tanks Tanks Septic Tank or Holding Tank K f -c0e ,® ❑ ❑ ❑ I o ❑ Lift Pump Tank /Siphon Chamber ER 1 ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber' ignature: o Stamps MP /MPRSW No.: Business Phone Number: Plum is Address (Street, City, State, Zi C de : 1 A5w n�� IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issuing Agent Signature (No Stamps) IgApproved [:]Owner Given Initial -' Pee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11 /97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIQ.NS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe 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. Onsite 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: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. 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 81/2 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 if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- I . 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. f Safety and Buildings 10541 N RANCH ROAD e HAYWARD WI 54843 Mr TDD #: (608) 264 -8777 Nvisconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary January 04, 2000 CUST ID No.6306 AT77V: POWTS INSPECTOR BOLDTS PLUMBING AND HEATING INC ZONING OFFICE 820 MAIN ST ST CROIX COUNTY SPIA PO BOX 87 1101 CARMICHAEL RD BALDWIN WI 54002 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 01/04/2002 Identifica ' ers Transaction ID N 286466 Site ID No. 185464 SITE: (' q 1 i et- s O n Please refer to both identification numbers, P,O.V Site ID: 185464 above, in all correspondence with the agency. Condit ST CROIX County, Town of RUSH RIVER; 1928 CTH N, BALDWIN 54002 SWIA, SWIA, S11, T28N, R17W AP P R Facility: CAL PIERSON 1928 CTH N, BALDWIN 54002 _PARTMENT FOR: MOUND, 600 GPD oN of SAFI Object Type: POWT System Regulated Object ID No.: 642065 SEE CORRI 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. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. This plan action is subject to designer comments on the plan. 2. The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of maximum slope. 3. Vehicular traffic is prohibited in the area 25' beyond the down slope edge of the mound. 4. Abandon failing system per COMM 83.03(2). 5. The designer proposes to install a Wieser 1200 septic tank. 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 12/17/1999 FEE REQUIRED $ 180.00 —" ? FEE RECEIVED $ 180.00 PATRICIA L SHANDORF , P TS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE.STATE.WI.US I WiSMART code: 7633 II r MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project Cal & Linda Pierson 4 bedroom residential mound Owner Cal & Linda Pierson Address 1928 County Raod N Baldwin, WI 54002 L T.S• ionally LegalDescription SW1 /4SW1/4, Sec.11, T.28N., R.17W. O F COM pINGS .TY AN Township Rush River County St. Croix Subdivision Name CSM Vol. 1, Pg. 261 Lot No. 1 _SpONDENC Parcel ID Number 028 - 1014 -60 Plan Transaction Number Index and title sheet Page 1 Mound calculations Page 2 ` Mound drawings Page 3 RECEIVE Pres. dist. calcs. and laterals Page 4 TDH and pump tank drawing Page 5 1 s 1999 Pump performance curve Page 6 Site plan Page 7 Z)AFETY & BLOGS DIV. Attached soil evaluation report Page 8 Designer Dale Hudson / y License Number 220853 Signature �, 7'�� Phone No. 715-684 -3378 Date 11/24/99 Notice: Tampering with this file by unauthorized persons Is prohibited. Deliberate modification will result In disciplinary action under s. 146.10, Wis. Slats. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10462 -E (R.05/98) Page 1 of 8 i f , r 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) C � Replacement system? Creviced bedrock site? n (y or n) Slope 5 % Wastewater flow rate 600 gpd 2271 Lpd Depth to limiting factor 26 in 66.0 cm In situ soil infiltration rate 0.6 gpd/ft' 24.4 Lpd/m` Contour line elevation 85.8 ft 26.15 m Use standard fill depths? 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 or e) Hole diameter r 0.25 1 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 4.00 ft Not a final calculation. Number of laterals Pump tank elevation 79 ft Outside bottom of tank. Forcemain length 25.0 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 5132=0.156 9/32=0.281 Estimated daily flow 600 gpd 2271 Lpd W16 =0.188 5/16=0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gpdle 500.0 ft` 46.45 m` Linear loading rate (LLR) 6.00 gpd/ft 74.4 Lpd/m Design width (A) 5.00 ft 1.52 m Cell length (B) 100.0 ft 30.48 m Depth of cell (F) 10.0 in 25.4 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 15.0 in 38.1 cm Basal area required (gpd/infiltration rate) 1000.0 ft 92.90 m Supporting components Topsoil depth 6.0 in 15.2 cm 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 (K) 10.38 ft 3.16 m Up slope toe length (J) 7.40 ft 2.26 m Down slope toe length (1) 10.90 ft 3.32 m Total mound length (L) 120.76 ft 36.81 m Total mound width (W) 23.30 ft 7.10 m Project: Cal & Linda Pierson 4 bedroom residential mound Transaction Number: Page 2 of 8 I r MOUND PLAN VIEW observation pipes (typical) F T)( F 23 .3 ft :::::::::::::::::::::::; A� A = 5.00 ft 1.52 m 7.1 m .. ::::::•::.. B = 100.0 ft 30.48 m W — B J= 7.40 ft 2.26 m K 1= 10.90 ft 3.32 m K=. 10.38 ft 3.16 m L _ 1 120.76 ft 36.81 m typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension = plowed area (Lx" K = end slope dimension 6' (152 mm) T MOUND CROSS SECTION 13= 12.0 in 30.5 cm topsoil G H subsoil cap E = 1 lateral 5.0 in 38.1 cm invert 87.30 ft F = 10.0 in 25.4 cm elev. 26.61 m F G = 12.0 in 30.5 cm T ASTM C33 H = 18.0 in 45.7 cm y Sand Fill E sys. 86.80 ft W elev. 1 26.461 m 85.80 ft contour 26.15 m elev. 5 % —� slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: Project: Cal & Linda Pierson 4 bedroom residential mound Transaction Number: Page 3 of 8 t PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 1 5 Ift 1.52 m Length (B) 1 100.0 ft 30.48 m Lateral specifications Number laterals 1 Holestlateral 25 holes Lateral length (P) 98.00 ft 29.87 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 29.13 gpm 1.84 Us Sys. dis. rate 29.13 gpm 1.84 Us Hole spacing (X) 49 in 124.5 cm Lateral diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) Place X in red 'X" one choice 11/4 in (32 mm) box of chosen from the options 1 1/2 in (40 mm) diameter. provided. 2 in (50 mm) x x 3 in (75 mm) X Manifold diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) "X" one choice 11/4 in (32 mm) None required. from the options 1 112 in (40 mm) No choice necessary. provided. 2 in (50 mm) 3 in (75 mm) 4 in (100 mm) Distribution system contains: 1 Lateral(s) LATERAL DIAGRAM - END CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Laterals centered over the A & B dimension end P • rHoles hNled next to end cap l+ X"� l Laterals & Force main of PVC Sch 40 on the bottom of the lateral (per COMM Table 84.30 -5) ced = permanent end marker Inch-pounds Metric Lateral length (P) 98.00 ft 29.87 m Lateral spacing (S) 0.00 ft 0.00 m Hole spacing (X) 49 in 124.5 cm Manifold length 0 ft 0.00 m Hole diameter 0.250 in 6.4 mm Lateral diameter 2.00 lin 50 mm Forcemain diameter 2.00 lin 50 d mm Project: Cal 8t Linda Pierson 4 bedroom residential mound Transaction Number: Page 4 of 8 TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 7.00 ft 2.13 m Are laterals the highest pant in the Friction loss 0.37 ft 0.11 m system? Yes "x' here. Total dynamic head 9.87 ft 3.01 m if no, what is the highest elevation Dose Volume downstream of pump? i �J Dose is > 10 times lateral volume Forcemain drain Lateral void volume 17.1 gal 64.7 L back to tank? ("x" one) Minimum dose 171.0 gal 647.3 L x Yes Drain back 4.4 gal 16.7 L No Dose volume Igal 664.0 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cove' with 71� weather pr � g oof warning label and locking device grade levels junction box — rade levels m disconnect —�' arteate 4" vent pipe electric as per NEC 300 and x < outlet Comm 16.28 WAC location 18" (46 cm) min. wall of pump L- approved chamber or outlet joint combination tank A Provide 1/4" weep hole or anti- alarm on siphon device as necessary pump on B Grade levels pump 80.3 ft C - pump tank manhole = 4!(10 cm) off elev. 24.5 m minimum above finished grade D - vent =12" (30.5 cm) minimum above finished grade 79.0 Ift Pump tank elevation 3 " (75 mm) of bedding under tank 24.1 m bottom of tank Tank manufacturer Wieser Concrete Pump tank capacity 27.31 gaUn Pump tank volume 1003 gal Pump manufacturer IGoulds I Inches Gallons Pump model number 13871 ; E 0 A 15.3 418.0 y B 2 54.6 c Alarm manufacturer LevelArm E C 6.4 175.4 Alarm model number JDLV p D 13 355.0 Project: Cal & Linda Pierson 4 bedroom residential mound Transaction Number: Page 5 of 8 M / i MO D EL 3871 Vertical Sump Pump •04 •0 Submersible Effluent Pump >PB i Pump Specifications ME1Cuts FEET 1 /3HP Up to 40 GPM 10 MODEL: 3871 Discharge size 174" NPT I 9 30, Solids: W maximum 0 25 Motor ?� f Single phase: 115V 6 20 1 Materials of Construction W 1 Brass /thermoplastic4 EPGS Features and Benefits • Top suction eliminates impeller clogging. z EPO4 5 , -Corrosion resistant construction. I o__.._ - -'._- L_ oat actuated switch. ° °0 _ =o zo o no s° us.m -Float h 10 1z , i o 2 4 s e yam, CAPACITY / 3 ; 8..,'1 . 9t"n. r( d• � Y MHERS FEET ' 25 ! mooELOVro3 Pump Specifications Features and Benefits 6 20 4 /1° and 1 /2 HP • EPO4 impeller- semi -open design Up to 60 GPM with pump out vanes to protect 5 ,5 mechanical seal. Maximum head to 32' 2 4 Discharge size i' /2 NPT • EP05 impeller - enclosed design 0 3 10 J for imp roved erformance. Solids: /4" maximum p p 2 • Rugged glass - filled thermoplastic CD 5 Motor casing and base design provides All motors feature ball superior strength and corrosion 0! ° 5 20 -- - bearing construction. ° 10 15 resistance. 25 30 35 40 U.S.GPM 0 Single phase: 115V * Cast iron motor housing for 2 4 6 8 10 Oft CAPACITY Materials of Construction efficient heat transfer, strength, Cast iron Thermoplastic and durability. Stainless steel *Corrosion resistant threaded stainless steel shaft. -Available for automatic and manual operation. • GSA listed models available. All Models are designed for continuous operation and feature stainless steel hardware. P9.G0�� ` fil���•� \. loc.u�v'� �--��Jrt.n i -.. ice, t f b erl ro�ir, W • 5e���tfanYC�� fesidenee ■ L,)n Zr *1 donas Parcl. So 06 ser v On Cc�C,L,nda Pe. -son tee X91$ C red. Rr.e. bu ; �d;•,a • E o n .sew. &a6OIwin, L04 /0'4'x+E.yo j /. a. SYF�Z vv�. 04' ta++�C• moo: / ab5ar,,t &4 SySfe -n(. - 7 — ,,. 6t - 61.5 /„P; ✓e%, Sty • Cto t Co Lo A 5-rm 303 N P.O,e. e- (rlueoi Beticl meik 86&4rn Om e- h.Lz. C-rnu' ©f ka�be. �ssccmtd l e to = /CV. ev; Proposed /,dV?O Pump e- Aam64- 81 ,LS�oF1 U ' . - - -- , O C. Prc�e PK o I I � I � I I i s � j L -q el a l ■ 1 b ,mac o M 42 a ,4 or `%xeb&r: 64. 708 x Wi�saonsin DeparknentolCornmerce SOIL AND SITE EVALUATION 1 of 3 awsionommyandBuftv in accord with Comm 83.05, W is. Adm. Code Fe c C -- AC.E. Sal 8t 3ioe Evaloratim Attadt campiete she plan on paper not fees than g'r4 x 11 inches in sine Plan must County fncxu kk but nut fire" to: vertical and hor zon al reference point (BM), direction and St. Croix percent slaps scale or dons north arrow and location and distance to nearest road. P fD.# _ 028- 1014.60 � MFOPIMTKM - prise aid ►o�►. -- - -- -- - -- - -- - -- -- B y r Peesoniv fedorm Man you pow* may be and for dart' rktrficaw, a 15.04 (t} (n►) ?- Properly owner n Prop" Location - Cal & Linda Pierson Govt. Lot SW 1/4 SW 11 O If4 S 11 T 28 N,R 17 W P Ow .1 t # # %W Lo iMric Name a CSW 1 � _ CSM Vol.l Pg.261 1928 County _Road N_ -- __ -- - - Stye Zip Code Pbl�r city vie Z Torten Wiest Road Baldwin W 1 54002': u 7 Rush River ` Count Lo N ❑ hietu►C«t Z R ► tug 4 [ �► ►s Me describe 5 bed, WN -6 french, VM Code Da►ved daily low 600 � �00� desi loading � .5 bed, f .6 frendt, gpdffl= BaW area ret�lired 1200 bed, iF 1000 trench, fe Mmdrmn design ba ft r& Recommended infWation w tape eiewakort(s) ft (as referred to sae plant berteterratfc) MMD14 &SO f SilB CMSldWdit S 86.75' at 12" above 85.75' contour. Parent maferd Glacial Tell Flom plain elevation, NA ft S- for sySlent Convenft w Mamd ln-Gramd Pressure AT -Grade System in Fill Hof fsfg Tank tl+tkrs< uk for system ❑ S z U ® S U ❑ S Mu ❑ S® U ❑ S ®U ❑ S® U SQL DESCRWTfON REPORT GotninantCoto' Mottles %uefore GPD/fF &60 Mansell Qu. Sz. Cont Color Texture Gr. Sz 5h. ftmdary Root Bed Trench 1 0 -7 10yr4/2 None A 2fsbk ds cs 2f 0.5 y 0.6 2 7 -15 10yr4/4 None A 2msbk ds gs if 0.5 0.6 Groff 3 15 -32 7.5yr416 None gf. is 0 sg dl cw - 0.7 01 85.0'' ft 4 32 -50 7.5yr416 None s 0 sg dl gw _ 0.7 0.8 In 5 50-72 10yr4/6 f2d7.5yr5 /8 gr. sl Om A - - 0.3 0.4 Depth knrog - - - - -- 5V Ra Toks. Z 1 -- - 0-7 10yr4/2 - -- — None - - -- s1 -- - 2fsbk -- -- ds — - cs - - - 2f O — 0.6 2 7 -13 J 1Oyr4 /4 None sl 2msbk ds gs 1f 0S 0.6 ---- - - - - -- - - - - - -- -- - - - - -- - - - - - -- - - - -- - - - - -- Ground 3 13 -26 1Oyr4 /6 None sl 2msbk � dsh cw - 0.5 0 eWv 84.70 ft - 4 - X 1 Oy r4 /6 - 00.5yr518 -- - - - sl -- - 2csbk -- - -- dsh -- - gw - - 0.5 0.6 ©ep(h b 5 36-52 7.5yr4/6 m3d7.5yr5/8 scl Om dh ------ - - - - -- factor Remaft: CST None (Please Print) Telephone No. James K Thompson - - -- - - - - -- _ -- 715-24 AddFm - ACE. Sod 8e Siite Evaluations - - -- - -- - - Dada - - - - -- CST Number Ref # 340 Paulson Lake Lane, Osceola, Wl 54020 11l23�49 3602 1 f34 • SOIL DESCRIPTION REPORT » Page 2 of - 3 pRpPERTY OtIYNER Cal &Linda Pierson _ A.C.E. Soil &Site Evaluations PARCEL LD. -cn - i o a- bo-------- - - -... _ _ _ __ __ Depth Dominant color Mottles Texture Se s Boundary Roots Horizon in. Munsd Qu. Sz. cunt. COW Gr. SZ, Sh. Bed Trench p_g 10 r4/2 None sl 2fsbk ds cs 2f 0.5 0.6 3 1 y - 2 8 -15 1 Oyr4 /4 None S 2msbk ds gs if - Ground - ro 3 15 -30 10yr4/6 None sl 2msbk dsh cw 0 5 0. G - _ -- ' ft - _ 0 4 30 -41 10yr4 /6 f2d7.5yr5 /8 sl Zcsbk dsh gw 86.34 - -_ -__ Depth to 5 41 -61 7.5yr4/6 m3d7.5yr5 /8 scl Om A - - limiting - -- - factor 30' / Remarks: Ground elev Depth to limiting - - -- ------- - -- factor Remarks: - - -- - - - -- Ground elev - - - -- -- ---- - - - - -- Depth to limiting factor Remarks: Ground ------ - - -- - - -- Depth to factor Rema - I f:n �QQ ✓� of e-X%SC,''' y6 edro m 5ee bi c �n ' miner: Percl. So ! 06serv �a ($L da P ersorl P /91 g C. A Elev(�fion i Sc� r�nCC disC.�ergc j / ab5or�oE,' 5 y5fe.�. • Tn.bF'��cs/„P;vu, Sf •Cro lkCo V ol. er�Ckl hn Of 50,01; v wt ed el�ecy- � 4 h ToN or %y `�•eb&r. All • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERS[f[P CERTIFICATION FORM Owner/Buyer Mailing Address ( �. Property Address (Verification required from Planning Department for new construction) city/State _ : Y A �� ; � Parcel Identification Number LEGAL DESCRIPTION Property Location :L� ;, ' / <, Scc. n T N RJ2_W, Town of �� l Subdivision Lot # Certified Survey Map # J Volume �Z 6 Pagc # l Wutrmtty Deed Volume ° Page # ag . _ Spec house ❑ yes ❑ no Lot lines identifiable (a yes ❑ no IMPOpeeUMss°'d a°fy�onropticsysouncoaldtc= ftin. its consisft GfPMqVbg art flee septic tank curry throe . ' to handle wastes. Pxoper eaa affoct4ho fmcd a of the 3� � L00� if nadrd a What you pat into flee systcai septic taalcas_a tneatmcatst:g�e in the vraste.�Y�- _ VW PmP=tT Qw= ap= to submit to St Cko& Z oafiificatioa fncm, signed by ffie o�vuex and by. a °i rP 7 PI�b�s�c edphm�aortikewcdpmarpavtd *ingffiaz(l)ibconai *asbewaLer&jmaisysoegii . is is pc+W oPeatt09 condition and/or (Z) after won and pmmpiag,(if nary), $se septic.tu k-is Ian than 18 . &U of sludge. Uwe. &e mimed havoc read the above rogaicrmcats and agree to aQaiataia dra private sewage disposal system with tlye standards set fcck butiv its at by the Dqmtmeat commerce and else Dqurt memt of Katmai Rts0=es, State of Wisconsin.. C crtmcewn stsfi M fid Y O ur sePticsYstmbasbom =Waiwd=stbe co m p days- of the tome yca date. lctcd and Wturned to the St Q oix.Coaaty Zoning Office withi m 30 oa SIGEWIME OF L / / O DATE 0W1gR• CER"WVAIJON die M, I (vale) certify that all statemeats on this form are true to the best of my (our) knowledge. I (we) am (are) tlxe ownex(s) of rdy d=xtbed aboM by virtue of a wutaaty deed recorded in register of Deeds Office. OF P CANT / / DATE * * * * ** Amy infomation that is mis xentedmay molt in the sanitary Pmt bciag revoked by the Zoning Department. *sssss •! include with tWs application: a tumpod wururty deed from the Register of Deeds office a copy of the cer"ted survey map if reference is made in the warranty deed b Vol 1469PAGt 507 KAT t60 RLSH REGISTER OF DEEDS Document Number WARRANTY DEED ST CROIX CO ., WI RECEIVED FOR RECORD Craig E. Rasmussen and Glode J. Rasmussen, husband and wife, as joint 11 -10 -1999 9:30 AN tenants, conveys and warrants to Calvin C. Pearson and Lynda J. u)keu¢A-fJ bl" Pearson, husband and wife, the following described real estate in St. Croix E)(ERPT Y County, State of Wisconsin: MT COPY FEE: COPY FEE: TRANSFER FEE: 717.00 RECORDING FEE: 10.00 pffia: 1 Rec.ordino Area Name and Return Address Thomas A. McCormack 10201 a Avenue Ballwin, WI 54002 021 501460 (Parcel Identification Number) Part of Southwest Quarter of the Southwest Quarter (SW '% of SW ' /.} of Section Eleven (11), Township Twenty- eight (28) North, Range Seventeen (17) West described as follows: Certified Survey Map filed July 18, 1976 in Volume "1 ", page 261. Exception to warrentles: all easements and restrictions of record. This is homestead property. Dated this 21' of OAAm— ' 1999. E. R 'mu V Gloria J. mussen AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ST. CROIX COUNTY R Personally came before me this day of dt"' 1999 the above named Craig E. Rasmussen and Gloria J. authenticated this day of Rasmussen, husband and wife, ssjointtenanta to me known to be the person(s) who executed th oing instrument and acknowl the same. signature types print name signature type or print name r�/It A,v�l acs e�+K +c" e. , Cr s TITLE: MEMBER STATE BAR OF WISCONSIN .4 (If not Notary Pulpit St. Croix County, Wisconsin. authorized by §706.06, Wis. Stats.) My commission is permanent (If not state expiration: THIS INSTRUMENT WAS DRAFTED BY w A T Thomas A. McCormack *Names of persons signing M any capaclry should be HP Baldwin, WI 54002 puiMed below their signatures' In —awn Probsel da Ompww Fond du Lm WAO m eoo�ssoam 333'703 CERTIFIED SURVEY MAP LEMOI[QE OLSEN Part of the SW 1/4 of the SW 1/4 of Section 11, Township 28 North, Range 17 West, Town of Rush River, St. Croix County, Wisconsin APPROVED APPROVAL OF THIS MINOR SUBDIVISION St. CROIX COUNTY DOES NOT MEAN APPROVAL FOR SEPTIC MMPREHENSIVE PARKS PLANNINCa SYSTEM. REFER TO H62.20 AND ZONING COMMITTEE JUN 1 6 1078 I DUE FAST 4 p �O SCALE I to Bearings based on the South line of Said SW 1/4 of the SW 1/4 being -X ACR ES 3 assumed due East /West. 0 on z N .. W O Indicates 1 x 24" iron pipe M j 3 V) stake weighing 1.13 # /ft. _. ExtsT+NGr 33370 FARMSTBAB 3 4 o FILED DUE EAST M CD p JUN 181976 in Itealft of 0004 927 r ) r , DUE WEST in TO ROA D ca JAMES of COMM _ 54 QVIX fir, W. COR. SEC. I t O CT 6 Q' Description: That certain parcel of land located in the SW 1/4 of the SW 1/4 of Section 11, T 28 N, R 17 W. Town of Rush River, St. Croix County, Wisconsin, more fully described as follows; Commencing at the Southwest corner of said Section 11, thence go due East (assumed bearing) along the south line of said SW 1/4 of the SW 1/4 a distance of 927.28 feet to the Point of Beginning of the parcel to be herein described; thence due North a distance of 1301.56 feet; thence due East a distance of 381.50 feet; thence due South a distance of 1301.56 feet; thence due West a distance of 381.50 feet to the Point of Beginning, the above described parcel containing 11.4 acres, more or less, including the Southerly 33 feet thereof presently used for Town Road purposes. State of Wisconsin) County of Pierce ) N ��au� + + + +!!!!!ntu I, James L. Murphy, Registered Land Surveyor, do hereby c Q4VI�i�irection of the Owner, Lemoine Olsen, I have surveyed and divid� 'ridsh Freon e.� and that the map and description shown hereon are a tr# apt! t � �* I with all the rovis' .'of CYia 2 6. 4 og the thereof; and that have complied p � �`r Wisconsin Statutes and the St. Croix County Ordin cep in' sur Ydivld�ir>.g, mapping and describing said lands. ames- 31urp L ;d Vol. 1 Page 261 egistere$�eyor'y� Certified Survey Maps St. Croix County, Wisconsin �,�� LAN ►�; yt� D