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HomeMy WebLinkAbout030-2018-80-000 (2) Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 515193 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)I. Permit Holder's Name: City Village X Township Parcel Tax No: Herschleb, Donald N. & Mary I St. Joseph, Town of 030- 2018 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: a 01.29.20.423c TANK INFORMATION j ELEVATION DATA TYPE MANUFACTURER "j CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing t ' {y . , Alt. BM Aecad" I _? Bldg. Sewer .art Holding St/Ht Inlet Lt; �y Cj L D erry TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet kill Septic + 1 ! Dt Bottom Dosing a� * Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATIONi Manufacturer , Dehlafid St Cover GPM Model Number I TDH Lift Friction Loss terr Head TDH Ft �w 1 "C' ^§ : TMSrt 7. 1IS Forcemain Len th I D Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM T `�;;, , - /V�" BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of Sys t UN OR Model Number: t ' t DISTRIBUTION SYSTEM Header /Manifold Distribution (� S x Hole Size x Hole Spacing Verlo Air Intake Pipe(s) t� Length Dia Length Dia pacing SOIL COVER x Pres Systems Only xx Mound Or At - Grade Systems Only r Depth Over Depth Over xx Depth of xx Seeded /Sodded Ix Mulched Bed Trench Center Bed[Trench Edges Topsoil Yes ❑ No Yes E] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: i / Location: 288 Appaloosa Court Hudson, WI - 54016 (SE 1/4 N 1/4 1 T29N R20W) metes & bounds Lot } Parcel No: 01.29.20.423c 1.) Alt BM Description = < 2.) Bldg sewer length "- a+ �. - amount of cover Plan revision Required? Yes , N0 Use other side for additional information.__ Date Insepctor's Si nature Cert. No. SBD -6710 (R.3/97) �' commerce.wi.gov Safety and Buildings Division County 201 W. Washington Ave. P. St. Croix i sco n s i n Madison, WI 57 Sanitary Permit Number to be filled in by Co.) Department of Commerce Sanitary Permit Application St Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information -used for secondary purp in accordance with the Privacy Law, s. 15.04(l)( m , Stats. I. Application Information — Please Print All Information Same Property Owner's Name Parcel # 030 - 2018 -80 -000 Donald N. & Mary Herschleb NOY 1 7009 Property Owner's Mailing Address Property Location 288 Appalousa Crt. ST. CROIX COUNTY Govt. Lot City, State Zip Code SE%, %, Section 1 Hudson, WI 54016 (715) 549 - 5395 (circle one) II. Type of Building (check all that apply) Lot # T 29 N; R 20 W ®1 or 2 Family Dwelling — Number of Bedrooms 3 Subdivision Name Na Na Block # Public /Commercial — Describe Use Na City of ❑ State Owned — Describe Use CSM Number ❑ Village of Na ® Town of St. Joseph III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' New System ® Replace Ll ® Treatment/Hvf&M Tank Replacement Only O@ier Modification to Existing System (explain Syste Adding SIM/Tech effluent filter �f B. Permit ❑ Permit Revision ❑ Change of Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner 3 �Y (� Expiration IV. Type of POWTS System/Component/Device: Check all that a 1 [1 [v /V . L w� ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade E04ound _> 24 in. of suitable soil 0 Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Disp ersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 450.00 sq. ft. VI. Tank Info Capacity in Total # of Manufacturer w a Gallons Gallons Units o H Q d New Tanks Existing Tanks U H H d a d a Septic or Holding Tank 1 1000 1000 1 Wieser Concrete Dosing Chamber 1 650 1 Wieser Concrete ® ❑ ❑ VII. Responsibility Statement- I, the un ersigned, ass me responsibili r ' tallation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumb s Sign MP/MPRS Number Business Phone Number James K. Thompson 30021 (715 ) 248 - 7767 Plumber's Address (Street, City, State, Zip Code) 340 Pa on Lake Lane, Osceola, WI 54020 - 5413 VIII oun /De artment Use Only' proved _Disapproved Permit Fee Date Issued Issuing Agent tgn _ Owner Given Reason for Denial 4. CCoo nditions of Approval/Reasons for Disapproval TEMOWNER: Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 6l; - K 't�'� 2. All setback requirements must be maintained as per appl icabl e CodeftWdillifilf6OWe plans for the system and submit to the County poly qn paper no hss than 8112 z 11 in''ch��es in size SBD -6398 (R. 01/07) Valid thru 01/09 A ae% t yeti t c� e'/ttaryf �rsc.li le ��ro�w6y SEys/n� 7`H. ofs�.Jase�k, .SE..croikC'o.,� /. o3o - 701P -86 6einq :S /0 Ig./yJ : ,C3o om oFS.e', n9 cz6 5, co. ccrinpr �ousc.i4ssu..,¢e.c� e % ✓, °l�.C�.' �ara�e �plta.l.b t�,;v ye5i,� P�oPosed uJ;estr'�neP��.e weP�� /�so -wtR 4 Co•nb, �o-� sT. /�C. to6esc.&& r'yo /ace d �' S sz /re c-L diSG�ta.� � , QcSid�ncc i H i ,. 1 0 i f Exi's6 C'amdiix�6on 6.7 o{�n�iiau�n w co d e.ef �, r a6 Comm. � = By?s3 "- .� r f cc�co ded NCOPY A EXis{y:�� peace c lei L SFlk/ h� cc. / > .zGtc�. S 29n, -P � r, o FSt ,Ta sVk, 1 a oc/.'( 030 - . /f - - 8. l/ , 8 t6cm o�5.c/rn9 at 5. w. Co /nar hOust.,ossu.,rze,&e /es z /c�ct7.' ara c Aspka.lk.1�.;ve P r oPosed �c�res`��ncrc�e w[Pl� 6so - wtR ° 4 CoMb;na�o+ -, s.r. t>Aese�&& Mace S elue•�F; /bu e ihst! /�da�per+�Iook �bcdrm.►. " d/s�ICa. -yz. h ,Qcs�d�na i "All H i 0 i ;6; C'omG�ilaEon S.T. //�C. o{C� u1n Y. Coder - ice • dr'vi of � � y IA)^Jl wcode c{ gam/ Pd - 7 - ac oefo be aba-nc/a�.�d i a6 ,,w, � co no. 93.33. E/e 5.77 i n/l-�, = 89 53' f 3 "s�. yo �ctXjeG� i� P.dc cemaln. i 1 W coded Center Connection Lateral Layout Diagram Force main oormeotion aria lb" or cross to mar►4cr,ld at ary pairs. Laterals are identioaa e t P s • _ ru m-up Wball va No or X --+ Nf 2 4 rat2 La Wait & fore* mri► of PVC Sch 40 alaanoutpl ug per Cow Talk 94.30.5 Hoks dri#d cm die bottom of 0* WoiiS, Number of Laterals 6 Orifice Diameter 0.25 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.39 ft Lateral Length (P) 22.71 ft Orifices per Lateral 10 Lateral Spacing (S) 2.67 ft Orifice Density 6.27 ft /orifice Lateral Flow Rate 11.65 gpm Manifold Length 5.33 ft System Flow Rate 69.91 gpm Manifold Diameter 2.00 in Total Dynamic Head 22.22 ft Forcemain Velocity 3.17 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -► 1� Comm 16.28 WAC 4 in. min. Disconnect ____, -_ Tank component is properly vented ra E--- Alternate outlet location Forcemain diameter Weeks Concrete Manufacturer 3 in. Cap acityl 647.00 Gallons Volume 17.00 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 17.67 300.38 B 2.00 34.00 C P ump off elevation (ft) C 7.39 125.62 86.42 D 11.00 187.00 D Total 1 38,061 647.00 Do se tank elevation (ft) 3" Bedding under tank. 85.50 Alarm Manuafacturer JEXISTNG - SJ Electro systems Alarm Model Number 1 101 Pump Manufacturer I EXISTING -Goulds Pump Model Number IW E05H � - Pump Must Deliver 69.91 gpm at 22.22 ft TDH Project: Don & Mary Herschleb 3- bedroom ST/PC replacement Page 4 of 9 MIGOULDS PUMPS Submersible Effluent Pump 3885 Cffl Y �FXI YIJ•P PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. APPLICATIONS ■ Shaft: Corrosion - resistant Single phase: ■ Bearings: Upper and stainless steel. Threaded • Built -in overload with lower heavy duty ball bearing Specifically designed for the design. Locknut on three phase automatic reset. construction. following uses: l models to guard against • All single phase modes Homes g g g p ■Power Cable: Severe duty component damage on feature capacitor start rated, oil and water resistant. • Farms accidental reverse rotation. motors for maximum • Trailer courts Epoxy seal on motor end • Motels ■ Fasteners: 300 series starting torque. provides secondary moisture Schools stainless steel. •'/3 and '/2 HP -16/3 STTOW barrier in case of outer jacket • Hospitals ■ Capable of running dry with 115, 208 and 230 Volt damage and to prevent oil three prong plug. wicking. Standard cord is 20'. • • Industry without damage to g • Effluent systems components. HP -14/3 STOW with bar e leads. Optional lengths are available. bar ■ Designed for continuous Three phase: ■ 0 -ring: Assures positive SPECIFICATIONS operation when fully • Overload protection must sealing against contaminants submerged. be provided in starter unit. and oil leakage. Pump •Solids handling capabilities: • ' /2 -2 HP -14/4 STOW with bare leads. 3 /4 " maximum. MOTORS AGENCY LISTINGS • Discharge size: 2" NPT. ■ Fully submerged in high- ■ Designed for Continuous • Capacities: up to 140 GPM, grade turbine oil for lubrication Operation: Pump ratings are Tested to UL 778 and • Total heads: u p to 128 feet and efficient heat transfer. within the motor manufacturer's CSA 22.2 108 Standards TDH. recommended working limits, ® By Canadian Standards ■ Class B insulation. Association be operated continuously C US File #LR38549 104 °F (40°C) continuous without damage when fully 140 °F (60 °C intermittent. submerged. Goulds Pumps is ISO 9001 Registered. • See order numbers on METERS FEET reverse side for specific HP, 40 130 SERIES. 3885 voltage, phase and RPM's I 35 e T -` sizE: 3/< SOLIDS i 120 _ _;__ available. RPM: 3500 & 50 - - i 110 wEZ HT � ,. r —► S GPM FEATURES 30 100 ■Impeller: Cast iron, semi °a 90 wE, �4 I t open, non clog with pump out zs 80 1 *.:. I vanes for mechanical seal zo -;- I q ' _. _ ..__ _ �-- - - -:.i protection. Balanced for ; 20 60 o�H i smooth operation. Silicon ° woo I bronze impeller available as o 15 so 0 4o an option. � ■ Casing: Cast iron volute type x, 1 0 30 XAIE M -� - -`1 for maximum efficiency. 5 _ _ __ .__ 2" NPT discharge. _ ■ Mechanical Seal: SILICON 0 0 CARBIDE VS. SILICON 0 10 20 30 40 50 60 0 80 90 100 110 120 130 140 150 160 GPM CARBIDE sealing faces. 0 5 10 15 20 25 30 35 m /hr Stainless steel metal parts, CAPACITY BUNA -N elastomers. r (� 99��.,�• �, l y ( ! ulds Pumps © 2002 Goulds Pumps ITT Industries Effective October, 2002 www.goulds.com B3885 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page I of 2 FILE INFORMATION } , SYSTEM SPECIFICATIONS Owner Septic Tank Capacity gal ❑ NA Permit # Septic Tank Manufacturer ����� ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer //1/f ray ❑ NA Number of Bedrooms `3 ❑ NA Effluent Filter Model — ❑ NA Number of Public Facility Units A Pump Tank Capacity (Q SD gal ❑ NA Estimated flow (average) 50 0 gal /day Pump Tank Manufacturer Gf/_L:� _S ❑ NA Design flow (peak), (Estimated x 1.5) gal /day Pump Manufacturer ❑ NA Soil Application Rate gal /day /ftz Pump Model( �' ❑ NA iw Standard Influent /Effluent Quality Monthly average* Pretreatment Unit A Fats, Oil & Grease (FOG) <_30 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD <_220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) <_150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD <_30 mg /L ❑ In - Ground (gravity) ❑ � In (pressurized) Total Suspended Solids (TSS) 530 mg /L A ❑ At -Grade �f0lound Fecal Coliform (geometric mean) < /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y India. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA * Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once ever ❑ onth(s) p y' Z �� earls► (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell fYyears► s) At least once every: Z s ❑�r on(g) (Maximum 3 years) ❑ NA Clean effluent filter KL✓�S/ �� At least once every: !Li onth(s) ❑ NA nth(s) ❑ Inspect pump, pump controls &alarm At least once every: Z� [ar(s) nth(s) ❑ NA Flush laterals and pressure test At least once every: ❑ nW nth (s) ❑ NA Z ar(s) Other: At least once every: ❑ month(s) ❑ NA ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of :512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page 2 of Z START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or. must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. 1" The a ua ' a o ing lank be a ai e . ?9 D441 M nR - A161 J aNS` 1 RUC-Tt ON Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name .::5 C 9 _ng0yh Pf. Name Phone -_7 -7 ­7 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY / Name Name ST. G ( d U N ��1 �(f Phone Phone "'7/S— This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Pgpr i)o n Id n. Y►'M� Mailing Address X68 A "IL 64 Property Address 6a- � (Verification required from Planning & Zoning Department for new construction.) City /State 1`le�, u0 /• Parcel Identification Number LEGAL DESCRIPTION Property Location 545 1 /a , 26 - '/a , Sec. / , T - 7 - f N R - 20 W, Town of Subdivision 0a , Lot # 017 _. Certified Survey Map # k to , Volume rl C'_ , Page # nq Warranty Deed # 95Z(0&6 , Volume 85 , Page # Spec house Lot lines identifiable yes SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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. I/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 Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms k - M4 , ta '_� S URE OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) L?� +: PPica �'i'a'F F' VAR OF %Yf ',7ON 1N FOKNt J _ 198`3 452 _ QUIT QFA141 DEED 5 4 PAGE r•` REGISTER`S OFFICE ST. CROIX CO., W I 4hrens and E Ahrens, husband_ and wiir -- --I X__ 0- ..jai - ....._- -- .. - - a KOC cU rvr r% a.-- .and _individually 0 GT 18 1989 ey , l _t,l,,� t _ t Donald N. Herschleb and -Mary .1. - iiersehleb,- ��R-qtoer Ot 11'30 A _husband and wife as survivorship marital property of Deeds ti eal estate in ...... S.C.,. Croix .. County, State of W seonsin A parcel of land located in the - -R Soutiteast Quarter of the Northeast Quarter of Section 1, Township 29 North, Range 20 West, Town of St. Jos ph, being further described as follows: Commencing at the Fast quarter corner of Section 1; thence Northerly along the Sectin line to the Northeast corner of Southeast Quarter of Northeast QuarterTax Parcel too: of said Section; thence wester; ly along the North Si_ ^_e of said 40, 650.00 feet to the point of beginning; thence continuing Westerly along the North line of said 40 a distance of 530 feet; thence Southerly parallel with the East line of said 40 a distance of 420 feet; thence _Easterly parallel with the North line of said 40 a distance of 530 feet; thence Northerly 426 feet to the point of beginning. The above described parcel contains 5.1 acres, more or less._ SUBJECT TO a bridal trial easement over the Northerly 10 feet thereof. ALSO :=jl= to and tcgether v; th n nntl exclusive easement for ingress and egress and P. l purposes incidental to an access road and for the installation of utility lines, so located that they will not interfere with the use of such road, over a strip of land 66 feet wide in +>,e Q— t-- h_xtaif nf the Northeast Quarter of Section 1, Township 29 North, Range 20 West, Town or St. Joseph, said road and the ..enter ling nt said roan neing aescrLl.cu April 26, 1976, in Vol. 336, Page 320. By accepting and recording this deed, the grantees, for themselves and for their heirs, grantees and assigns, covenants and agree that so long as they own the land conveyed, they will share equally the cost of snow removal and all road maintenance subsequent to the original cost of construction with the Own[,r7 Of t :e other pzrcels of l abettin on said road and use it as their access road. This agreement runs with the land and i.s binding upon all future owners of the land above conveyed unless and until the road is vacated and accepted as a public road. is not This _ . _.. homestead property. (�s) (is not' Dated this _. _ dad• o !rJ Sc) CURTIS F. A1IRENS \til:A1, fSKAL. JADIF E. A11RENS AitTHF•NTICATI0N ACKN0WLi,uuN1EN T 1T NNE 0T Signatures) s E uF 14A1XKl0Z- @{K ` authenticated tai- .. Lle <,•n:dlc r :,eat• hrC.., - nn- t: _r: Cl Ct 1S F. Ahrens anti Jan% E. Ahc—:iis rt T(TT,E: �SF:�ifii•:(i T: \'t't-: K.\C: ( f ".' P. "- . 1 i i no Heywood ti C 1. , by ,:;aTwi(` e o f 1 , o y p 'I s ol o G CD m m n. m u v �41 1 -0 CCD 1 (D 3 m - y (n Z (- O S Z m m z o Z '� p o �� • O O (n W O O N (n 0 (D I r- W et Ul A (D N 3 (cis OD � N =. N W Q _',I .6 ID O N N O• :» 'O � W Ck (n (D ? N :+ A W (0 W C (4 (D O O p O O O " I O o V 3 a O 3 C1. 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O a N V n y p 3 'D 0 C "'1 o d o m f c 7 (D 7 CD 3 v �. CD K � _ � O p O y z O W N Cl) o O `� ! A3 � N A N O Mr. O Z W J 0 N j (D N (D O O O N N ^! ` 1 7 O d O _ 7 : n p hh 7 N N ? O N c W O CD W CD r C D CD fl 7 O CL O O O O N 0 o OD °c N o c c =o �+ A 9 N �. Nil • o o O 0 `hMil! v a 0 0al N A (� • O l O N I II I C- 3 .. N CD O D �? Q CD y •� N D D o CD O 7 (D A 3 CD �. ro `r � CD 7 "- I (n m --q 00 N �_ � n Q7 M N CD (�D Z o 3 " X o - Z No 3 z (D A O C A A A CC O n i �• N N C _ � 7 O 3 Q 3 N G (D O n � 3 O 7 C (O a a v � c 3 a st g a C ( C CD o rn a • W ( D ✓q n V+ O N q q o � � 0 (D 11/11/2009 10:14 7156843144 BOLDTS_PLBG &HTG PAGE 01 State Of Wi s co ns in 1 Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION PRIVATE .SnMR P LAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin* 54603 BOLDT'S PLUMBING & HEATING Owner: DON & MERY HERSCHLEB 820 MAIN STREET 612 N. 4TH, UNIT #13 BALDWIN, WI 54002 HUDSON, WI 54016 RE:' Plan. Number: 590 -40043 Date Approved: April 16, 1990 Gallons Per Day: 450 Date Received: April 17, 1990 Project Name: HERSCHLEB, DON & MARY - RES Location: SE,NE,1,29,20W Town of ST JOSEPH County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requiremments. This approval is based on Chapter 143, Wisconsin Statutes and the Wisconsin Administrative Code, The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that arp noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible -for this installation shall keep.onc met of plans with the delarLment's approval stamp at the construction site, The installer shall notify the appropriate inspector when Inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the .initial oanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - NEW MOUND InquIrles concerning this approval may be made by calling (608) 785 -9348. Sin rely, 1 G}7RARD M. SWI Section of Private Sewage Divisio of Safety and Buildings PPP039/0009n/17 cc: DON & MERY HERSCHLEB X� Private Sewage consultant 5BD -8423 (R. 08/88) 11/11/2009 10:14 7156843144 'BOLDTS —PLBG &HTG PAGE 03 ZI 0 � � n i A Q L A m a h Ni - t 3 fi 6� 0 � � n ti O� CI A o ` A s No SYS�E fy p4:ti'f�I ��tyi4:i 5 SIOPI Or ` ~r K � u to 11/11/2009 10:14 7156843144 BDLDTS_PLBG &HTG PAGE 04 page Of'f Straw, Marsh Hay, Or_ Synthetic Covering Distribution Pipe MedNm Sand H G Topsoil _ ONSITE SE `' • `' % Slope Bed Of -2 Force Moin Plowed Aggregate From Pump Loyer °TRH;. LprG+N I ^ 1za i�EU�TlE9A1S � `' ]EPA TM ' T !�F lhi€}US BU1Ll7i1VG5 pNlSIQ� . 0 E' 123- Pass, Section Of A Mound System Using SEE RRt:SP4 A Bed For The Absorption Area F •7 Signed• . .P` £' «_ A g i t. H /•� 87 Ft. License Number: A-1 1 12 Ft. Date: -3 - go J � Ft: K /0 Ft. Alternate Position L 67 Ft. of i Force Main W Z V ' F't . L - - J Observation Pipe 7K ------- __ --___ �W...._ _,._ __�,( Force Main From Pu W a - - - -- - - - - -- •mp _. _.... _ .._.._ _ �.. �....._.. �... .r. �Oislribullon 6ed'0f r "�.2 z z Pipe Aggregate Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area 11/11/2009 10:14 7156843144 BOLDTS,F.BG &HTG PAGE 05 A2, . P age 2 f Per.foraled Pips Dotoll PerPorafed Entl. �cp ' PVC Pipe ' +•.. • ���� Holes Located On Bottom, � 8 pr quapy ' PVC Forte' WA From Pump PVC Mad old Pfpp <' ' pisir�bution - Allsrn,oto• .Position Of Plps { '' Fore• 61aln From Pump .act Hold Should.'94 ' N+sa 7o End Gait n °,v Olct.r.ilrullcn. Pipe t.ayoyl Signed: •e�ea �. /u - X r 5 -!'1 � ��'�_ Hole Diameter � Inch License Number: _ Lateral " _1 Inch(es Date: . Z - 2 -r-- 90 Manifold Z Inches . . ,,,: ASE $ .`a3 .F Inches L ONSFTE S I Force Main .3 't =off , �r= �"R� >,� �" /ems. ��t, 98�G •� f, .� t r � ��'y� ► � cy ..1111 F I t` '� �f 1L•+' nEF'ARIMCNI" LFil3nR s NCJ HUMAN A[,.LAT104,J ' l 1031.OF ; E; `l Aid y, SEE CORFRE NDEWA 11/11/2609 18:14 7156843144 BOLDTS_PLBG &HTG PAGE 06 ` PAGE '3 QF ' PLfMP' CHAMbER CROSS SCCTIQU AMD SPECIFICATIONS ` S90 40 VE1J7 CAP ' 4 I. VC14T PIPC WCATI-ICK PK00?p APPROVED LOCKIAIG JLIIICTIOW BOX ' MAWtiOLE CGVER L5' FROM BOOR. It�l"ttLi. WItJDOW OR FRESH AIR IIITAKE 4 M, COUDUIT IJU< C AIRTI66HT 5EAL, i • ��, APPROVED J010 A I Wf C. =. t'IPE w /C.x. PIPS ExTr6u61uG 3' CXTEMMILl6 3' r7 Y n' .`r. °:.: �,� ?S S� ALARA 50t.i t ,u' �',.'�, I I ONTO SOLID Wl O kI T O L 1. LLC14 SZ._ >FY SEE PUMPS - ^I OFi COUCKETE 91,0GK K151:it I=XIT PERM11MD OUL'J IF T M HAS SUCH APPROVAL� "APPRc F1CO I ray SEPTIC € SPEC.IFICATIOKIS oo3 r , YAWV MALIUFACYLIRCR: 2P.a )KX - - 1JuMaER OF DOSES: PER DA4 TAWK 51ZE: GAL.LOW5 D OSE VOLUME rte- /� z -� /" INCLUDIM& BACKPLOW: / G A7 - AL1tRM XAISLIFACTLiR.GR: �Lfi� M WUMBCK: �U/ I CAPACITIES: A =La/.� -3 tsALL01,15 SWITCH TuPL: IWC11£5 OR 34 4 Cr�LLOLIS PUMP IIAWUFACTURCR: Go4w1d 3885 ILILHES OR 260 r,ALLOWS MODE%. uUMDCR: D r.G _ INGHE5 OR 2 � 1 ' GAI.LOA1fi SWITCH Tti PC: NY 1JOTE: PUAP AMD ALARM ARC TO OE MiA1I1+%UM C15GttARGC RATE 6 P �0.4 1%014- IN$TALLeD OM SEP ARATE C IRCU I TS VERTICAL DIFFEILCULE BETWECIJ PunP OFF AU13.p13TIUBUTIOU PIPC.. ,' FEET 4 - n 10J I M UM ' uGTWORK SIJPPt.� P .. , .. Z•S FCZT + '� fECT OF FORCE MAIN X '1..5, F f ` 0D fr FACTOa.. -:�' S - FELT -- TOTAL DtJQAMIC. HLAD FLET I LIT ER&IAL DIMLIJS1OIJe OF TAIJK: 4.CWC -sTH WIDTH ;LIQUID DEPTH 51GI.,1ED: � - �''I 1 �cEti15C 'uUneCF�:.�'1,t �- �Q.,,�, DATE: - L i R R ' ■� ■ate ■■■■ ■■w ■■■�■ ■■■■■ , � :: ' :, Ali■ ■����i'�* ■� ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■w ' ■ice ■� ■ ■ ■ ■ ■�►� ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ® ® ■■ ■ill ■ ■i ■ ■�',."�wt�� ■:r ■■ \ ■ ■ ■ ■■I • - y. . ■■ ■■■■■ ■�■■■ ■ mom ■■gym ! :: 'w\r =■r■Mw■MMNA ■i■M •. ►1■r■■ ■ ■r■■■■NN■■■ ■■■NE■ .. ■■■ fir■■■ ■■ A■■ ■ ■■ ■■■w■■■■■ ■■■��N■M■ ■■■■■ ■■■■■■ ■■■■■■ ■■ ■■std ■ ■■ ■■■■ ■r■■� ■w� ■ ■ ■■� ■ ■�■ M ENEM ■ ■ \r■■■ ■■■■■ ■■■■■ ■w ■ ■ ■■■ ■■tea■ ■■■i■t ■ ■t■ ■ ■ ■■ ■ ■■■ • ' �� \rte■ ■■� ■��■■r ■ ■■��■ ■ ■ ■�� ■■unw■■■um m oon ■ ■■■■M■■■ 11/11/2009 10:14 7156843144 BOLDTS_PLBG &HTG PAGE 02 N0USTM T . OF REPORT O SO BORINGS AND r r4F6TY & BUILD DIV ISION Y.]DUSFrY, {SION _ UMA 4ND N RELATIONS PERCOLATION TESTS (115) P•O. BOX 7969 f UM6A MADISON, WI 6370 (ILHR 83.090) & Chapter 1451 CA IO 1 N: '( WN HIF VNI IVAL.ITY: UI NV,: t3 UC. NU.: 5UtlUi VIJIUN NAME: �/ N� /, /r�N /RZa � ( 1 w c, :OUNTY: L N C)0' tr•sct, lei foe Z -5 N # �3 Iy u yvc� rrcl.: 5 �0 r ISE a DATES OBSERVATIONS MADE �� Nita aropvs _ O E IAL E 1 I N: --• C4R.sidence ❑ /_10 m Z EATING: Se Sita suitable for system Ust Site UnsUitabla for Syste Q a a7NV N I M 1N-Ci1 U �: STEM -IN -FILL G TANK: faEC MMENDEDSYSTEM ;(optional) 0 C C1U S QU CIS oU DS 1.1 C7 U w1 o,toa ! Pfrcoletion TKtt are NOT /squired �{ DESIGN RATE: If any portion of the tested area is in the N / �j ,noer s. rLHR+i Inoicete: N/ / A Floodplain, indicate Floodptain ele / —L PRO1=11LE DESCRIPTIONS Il o n IN R DE N, ELEVATION R N WAY R- N H 5 GHA-RACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, ANU Der I rl p OBS ERVED I T TO BE IF OBSERVED EE ABSRV. BAC}CJ _ 3" �nG /Ga�l��� YIOLA4 3 - �'7 0"_8"Pk (�.s =-.'( �� 9t+.'r�+.t -ri /5�, /$rC Z7 3 7 4 - lfa O •' IF3 g G w �r . a J d rtn a . ©ir- $N �, , N r+ rt _ 3 Li t...o- J 44 Z .S 'tF G 4�6. a J / A 3• PERCOLATION TESTS TEST DEPTH WATER IN H0 1. F_ TPI.;r TIAAF pRQP IN WATER I. .V .1_ -IN _HES RATE MI NIJTES ,)UMBER INCHES AFTERSWELLING INTERVAL -MIN. PER INGH P. / a r's./ 3 P- P_ n "7 e O 'y - P. P. � J Q _4T PLAN: Show toeetionf of yerau m letlon tests, soil borings and the diarn a e lons of suitable soli areas. Inamat scale or dlstant.,s. D►scribe wh.% er. ah. h� ntai end - ortical elevation refer'en n. points and Ehow their location on the plot Pia.. Show the Surface el.w%lon at ail borings and the direction and p lard slope_ +� TEM ELEVATION. �oF g8 ,0��. �{`= d- �a { ti ( Q. �I 1 d -- t ,. 6M Bar,eJ.'N•S P., SL.�• ,I,tz: -�' �. .� � _� ..-- . i f c1sG? ui �"� 7 J . the undersigned, hereby certify that the soil lests reported on this form were made by me in accord with the procedure* and nt hod$ $19614d in iht Wiscons. .dministrative Code, and that the data recorded and the location of the test$ are correct to the best of my knowledge and belief. IAMfi orinW TES S WERE PLETE N: GERTf FrCATt NUMO HONE NUMBERIoAt;o CS 51G AT E: IISTRtAUTION: O.,p,. 1 ­1 copy to Lo-1 a,,.,lha..e y, a.a,+e.ty Owne• and Sod Tester_ IILHR.SBD6395 (R. 10183) – OVER – I