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HomeMy WebLinkAbout030-1087-95-150 0 N 0 O N 0 3 v 0 t_ M `r l 1 3 7 n CD, 3 3 _ � ` l l �r I� 0 l< CD A N O v D) O D] N O O N - 0 Cl) O W eC ' d _< C - (O 7 C O C C_ Co 9 I�1 CD i 7 LD W a a O CD £ W (r C 7 O N CD a < N C 0 0 5 3 N c (D N CO O O N Q. to ` N y S j (0 rt O 7 O O C O C O C 0 n < o W 1y 3 CL CL 7 N j O O p U) c m o D o � m � v cr v D a n in z D 0. go M 0 M Z O Z A O N 7, O� -q o !V CD 0 o m z m (0 7 m o rr. c N CD 0 0 2 � o o< y Q ^ - d 'O O 9 'O 'O 0 j l� 7 0 0 � . . . CA 3 * * * 2 E Z3 CD OD to a 7n (D 3 S C Q a 0 N z ° z zcnz� D D o D CD 0 n � tV N N CD CD y • 0 CD C N I m o I m � 'I 3 CD CD W O O. a 3 m 3 7 z CD v, m C6 -i 0 7 c o A Z w CD a A C a O. Ch 7 0. z W O 0o v oo v m o ID o . zt z zt 3 3 a x 0 0 C/) m H z CD CD a W N _ CD A.m 0 a (D m Q n ? o F a o. Q a N 0 N w 0 CD C 0.00 N C 3 3 - FD C) C) z o. 7 0 CL o_ o CD I m Cl) 0 S � m a0 c h N . N 7 Z4 .� T1N o m m CD y U o �. (n f 0 CL 0 7 Q 0 z D 3N A m 1v A 0 3 a A 0 0 [v CD (D o 0 0 0 CD 0 y Wisconsin Department of Health and Social Services Plb. #67 3/70 Division of Health SEPTIC TANK PERMIT APPLICATION TYPE or USE BLACK INK A. OWNER OF PROPERTY Name Address (Street, City, Zip Code) S B. LOCATION OF PROPERTY W ;..RE SYSTEM WILL BE CONSTRUCTED ALTERED OR EXTENDED COUN?Y_ ��t +'' ✓ —' Check One: CITY VILLAGE LEGAL DESCRIPTION r'� -- - 'TOWNS HIP ! � I C. IS LOCAL PERPIIT REQUIRED FOR THIS FORK? YES NO PERMIT NUMBER y D. SEPTIC TANK CAPACITY �' "` " Gallons NEW INSTALLATION '1 REPLACEMENT ADDITION MATERIALS: Prefab Concrete Poured in Place Steel Other NUMBER OF TANKS 7O BE INSTALLED: E. TYPE OF OCCUPANCY Cheek Ones One or Two Family Residence ! --- Commercial Industrial other Specify) Number of Persons to be Accommodated Number of Bedrooms F. APPLIANCES, ETC: Food Waste Grinder YES G NO Automatic Clothes Washer J- YBS Dishwasher YES NO Automatic Potato Peeler YES ! NO Other (Specify) G. MZTLR PLUMER MAKING INSTALLATION ` Name: - Address s // �:i, i �r ��'License Number: ti r MP Signature of Applicant: ! '/ 7' ' �- ' MP RSW Address= H. (To be Completed by Issuing Agent) Date of Application �q // 1i Fee Paid Permit Issued (date's i / Q A Permit Number Agent (Name). /• - '.! (/' . �l,' j ��; tors Toifi, Village, City, County, etc. (Specify) Note: The application cannot be considered for filing until all of the above questions are answered and the fee paid. Agents will forward application, the fee of $1.00 for each septio tanx and the third copy of the permit (canary) to the Division of Health. Checks and money orders should be made payable to the Division of Health. Do not write in space below - FOR DEPARTMENT USE ONLY I. DATE RECEIVED �� - -� o ACCEPTED BY RETURNED (Initials) (Date) See Prres.) •FEE RECEIVED VALID. No. T) 7 7 PERMIT N0. es or No REVIEWED BY APPROVED DATE (Initials) �... Yes or No COMPLETE OTHER SIDE SEPTIC TANK PERMIT N0, RZP0RT ON SOIL P=RC0LATI0N TZST A N D S O I L B 0 R I N G S TO DIVISION OF HEALTH - PLUMBING SECTI& P.O.Box 309, Madison, Wis. 53701 Pursuant to R 62.20, Wis. Administrative Code P Z R C 0 L A T I 0 N T E S T Test Depth Character of Soil Hours Water Test Time Drop in Water Level Inches Minutes Number Inches Thickness in Inches Since Hole in Hole Interval Second to Next to Last To Fall 1st Wetted Overnight in Minutes Last Period Last Period Period One Inch Example P - 0 3 6 11 Top Soil 10" Cia 26 25 Yes or No 30 1A 1 2 __ Z2 60 7.2 r � /3'Gl `/� i' z ,3 Z 2 2Z 10 RECORD DATA FROM MINIMUH OF 3 TEST HOLES Compute size of absorption area in accord with H 62.20 Wis. Administrative Code. S O I L B O R I N G S- Minimum 36 Below Pro osed Abso tlon S stem Boring Total Depth Depth to Ground Water Da th to Bedrock Number Inohes Observed I Estimated Observed Estimated Character of Soil with Thiokness in Inches Example B 0 72 72 Black To2 Soil 12 CIM 18 Sand 18 Gravel 24 fl ! RECORD DATA FROM MINIMUM OF 3 BORE HOLES T YPE OF OCCUPANCYs r '7 RESIDENCES Number of Bedrooms r OTHER (Specify) Number of Persons FOO WASTE GRINDERS Yes No — ` Dishwashers Yes No ' A utomatic Clothes Washers Yes No FFLUENT DISPOSAL SYSTEM: NEW EXTENSION ADDITION REPLACEMENT Tile Size _ No.Lin.Feet Trench Width Depth Number of Lines Seepage Beds Length Width Depth Tile Size No. Lines / Seepage Pits Inside Diameter _;ZL: Depth I, the undersigned, hereby certify that the percolation tests reported on this fora were made by me or under my super- vision in a000rd with the procedures and method specified in Chapter H 62.20 (13), Wisconsin Administrative Code, and that the data recorded and locati / of test holes are correct to the best of my knowledge and belief. NAME _ I C/� /7` TITLE —Type or Print' REGISTRATION NO. or MASTER PLUMBER LICENSE NO. ADDRESS E /V il DATE g /Z� SIGNATURE 2! j J 1 1 � ^ i Ne lk 0�- ( �L ' S �- �I i ( a e FAD JUN 121987 a l" of It CERTIFIED SURVEY MAP LOCATED IN THE NW1 14 OF THE SWI 14 AND THE NEI /4 OF THE SWl /4 OF SECTION 30, T30N, R19W, TOWN OF ST. JOSEPH, ST. CR•OIX CO., WISCONSIN. O.W,N BY': ARVADA TONEY NOTE, BEARINGS ARE REFERENCED 7 �'$�C NWS Kr")ft TO THE WEST LINE OF THEi{jj]� ° " "���6 SWI /4 (RE- CORDED BEARING). M _ C ow zo o �Mttwr .S. 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Pazr �er c5'�nfe f V 35 °i. s .8orb WscOrns:n 3 s zrz.G7 6 aren7Ja�:s Ec-F f s �' oa� FP r hf 74 / /moo Gs �� 9cfa/ a zO FA` v72 � �,� �� /�j�� SEE PAGE 25 o7bir fo��y ✓ R. 20 W. /9 W. a :A M BURKHARDT MA RTIN'S Co -Op ASSOCIATION GENERAL STORE . • BURKHARDT, Wls. 1K xa s an Bait - Ice Groceries PHONE: 386 -2702 Ice Cold Beer Petroleum Products - LP Gas - Hardware - Appliances % MILE FROM STATE PARK Tires - Batteries - farm Supplies - Toys - Gift Items BURKHARDT, WISCONSIN OWNED BY THE PEOPLE WE SERVE I ..0 � i 354628 ;;aa,x co��: i,F;'d� YDRS_R�CURD CERTIFIED SURVEY MAP IC M - a iYI D ,ZIr z m 1 45' 45' I I �i� G) UNPLATT_ED LANDS I I ( im w COUNTY TRUNK HIGHWAY "V" — w — SO51 "W i w WEST LINE SW1 /4 °= w to w Z n n N O 10' 2 0 ' ' E O C O w v ( - N� -I 00.25 .� �o co w m O ;a 0 �° EAST RIGHT -OF -W LINE M0 O � ° o_ � I z n i � � i Q nz .Nic�n C 9, -p o rn �c� i� QS, ZO �N ( �ZX _ I �- o w Z is 0 m 100 I ° M I m 50' S0' .v I iZ / m W11 Z I cn V " I IC --� C ( i� iY 00 ° `°- N I -n n I i m Isi N I D I ,v z c m � ° r I Ia Z N - i Z 00 a � m m I iv Q) ' L? N X -1 /U N 0 0 20 "E - I W. N 2) 0 115.00 0 i o cn °? S "� O h0 -4 CD vITi 00 ° to vi M m 100 I z U) I I o - O 50;1) 50' I M Oti I I z titi I N n ° 40' 45' °o_ 7 �° °- w c00o 8 5' I (Z- o ' o ° _ v_' o cn C1 I n m� � z N z I I c co m I "�' I i'0 I a te' r r { ---li L Z I c� m M m I y I I O� I I a ,z o r' 90 I ►N �` 510.25' ' 8 5'I 1 S0 °10'20 "W 1 40' 45' UNPLATTED LANDS I I Drafted by James T. Swanson Volume 3 Page 755 �� Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safehcdna* wilding Division � INSPECTION REPORT Sanitary Permit No: 479386 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)]. Permit Holder's Name: City Village X Township Parcel Tax No: Sandahl, Jerald I St. Joseph, Town of 030 - 1087 -95 -150 CST BM Elev: Insp. BM Elev: IBM Description: Section/Town /Range/Map No: ( n.3 AJA- M 30.30.19.316B20 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. , Z7_ /65,5 cm:. Septic 3 .5 fjYy� Benchmark -3 3 ,, /6 95 . �[ l�Jee��� � Dosing f 65 3 c� Alt. BM I�� �o � LQ Aeration (� 4 /� Bldg. Sewer l a / 1 3 Holding St/Ht Inlet a s 75'. a y TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Z-7 94 . Z i tj +— Septic y9 1 r/49 ! 5 1 ! ! Dt Bottom i� Dosing 9 S / yb 1 ! J Header /Man. Aeration Dist. Pipe 31 /Or ZS Holding Bot. System �•7 / 6 - 6 Cc Final Grade 3 . � 16 Z - Z PUMP /SIPHON INFORMATION d•9 Aanufacturer � L GP and St Cover � (9 � Z -, CR , Z� 6w, tee �I Model Number /5 3 lop p C 3,35 �j. ( a a (� TDH Lid V qtV Friction Z� System Head S TD� Ft `t 3 (Q ► Forcemain Length Dia . i t Dist. to Well / Z SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length / No. Of Trench PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 745 �. SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of S tem: UNIT Model Number. /1 0� 17' 75 X25 Aj DISTRIBUTION SYSTEM Header /Manifold I� Distribution I y / / x Hole Size I x Hole Spacing Vent Air Intake Len th Dia ( 7i Len th Dia Spacin SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded r Mulched Bed/Trench Center Bed/Trench Edges Topsoil , Yes u No es [] No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: S / ZZ / 0( Inspection #2: Location: 317 County Road Houlton, WI 54082 (NE 1/4 SW 1/4 30 T30N R1 9W) NA Lot 7 I" IOtj Parcel N 30.30.19.316B20 1.) Alt BM Description = '� 6z, 60 J� G"a R o� J� 2.) Bldg sewer length = ZLI —T:�wL kignatur - amount of cover = 3-5 1 � Plan revision Required? Yes � Use other side for additional information. Date Insepct Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division County Permit Nv am 201 W.,bN ngton Ave., P.O. Box 7162 5 %� x n, W nn sconsi� I 6 3 ermit Number (to be filed in by Co ) 611 F r...• / 1 O Department of Commerce 4 State Ian LD. Number /S.tl!/ 5l = - r- i4iUi /D , Sanitary Permit Applic In accord with Comm 83.21, Wis. Adm. Code, personal info eTtt i A x:' r i` ` 0 may be used for secondary purposes Privacy Law, s15. m) Projec Address (if different than mailing address) V I. Application Information - Please Print All Information I ZONIA G IOFF Property Owner's Name �(� Q _� Parcel k Lot Y Block q Property Owner's Mailing Address Property Location 3 7 T((L %, Section City, State Zip Code � Phone�Number 9/3 27,84 (circle ) B T jo N; R��E r W fl. Type of Building (check all that apply) CSM umber I or 2 Family Dwelling - Number of Bedrooms -3 = Ff(ft ?F, 30 PubliclCommercial- Describe Use ❑ State Owned - Describe Use ❑City_ ❑Village Township of S% sE a Ill. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. ® Replacement System g P y ❑ New System p y ❑ Treatment/Holding Tank Replacement Only ❑Other Modification to Existing System List Previous Permit Number and Date Issued B. ❑Permit Renewal ❑Permit Revision ❑ Change of ❑Permit Transfer to New � Before Expiration Plumber Owner ll r t ` IV. Type of POVYT S System: Check all that - app ' ❑ Non - Pressurized In- Ground ® Mound > 24 in. of suitable soil El Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis ersal/Trcatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) Dispersal Area Proposed (sQ System Elevation S 0 ,C « S 0 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treamient Unit - i I Dosing Chamber (oi 09 VII. Responsibility Statement I , the undersigned, assume responsibility for instal of the POWTS shown on the attached plans. Plumber's Name (Print) Plu be ignature /MPR mber Business Phone Number /t� Plumber's Address (Street, City, State, Zip e) •l/ VIII. County/Department LAse Onl Approved ❑ Di s Sanitary Permit Fee ( eludes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) ❑ O ' en Reaso or Denial IX. Conditions Ap ro /R ---- -- r__ Disapproval 3� �[ S di y � °� SYSTEM OWNER: C� / I 1 Septic tank, effluent filter and dispersal cell must all be serviced I maintained as per management plan provided by plumber. c 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not kss than 81l2 x 11 inches in size I SBD -6398 (R. 01/03) I I i an : - -- : : : 7 0 N I - _ I , 4— w _I - -I l7 5 i 1 0 eb_!4 EX/STi�t)(� uS I I u- � f� I _ I , a Iry e s _ I -- s — 7 G i Safety and Buildings 4003 N KINNEY COULEE RD commerce LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.w w ww.coe.wi.gov/s isco n sin.go / iscosin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary July 20, 2005 CUST ID No.223760 A7 POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 586 VALLEY VIEW TRAIL 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 07/20/2007 Transaction ID No. 1154171 Site ID No. 701796 SITE: Please refer to both identification numbers, Jerald Sandahl above, in all correspondence with the agenc 317 County Road E Town of Saint Joseph, St Croix County NEIA, SWl /4, S30, T30N, R19W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1029603 Maintenance required; Replacement system; 450 GP-D Flow rate; 25 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 /01). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal C(1, "' are prohibited. A ' • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. DEPARTMPi'r, N OF ^ tTl • 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. SEE CORE& • 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. Stat TO SCB3=& 6 valley view T C AVATEVG Somerse4 WI 54025 7I S- 549 -6651 MOUND SYSTEM For. Jerald Sandahl Address: 317 County Road E, Houlton WI, 54082 Legal. NE a SW a S 30 T 30 NR 19 W Township: St. Joseph County: St. Croix Contents Page I Plot Plan Page 2 System Cross Section Page 3 Pipe Lateral Layout Page 4 Dosing Chamber Page 5 Pump Curve Page 6 Management Plan Attachment I Soil Evaluation Deport Attachment 2 Map Mound Component Manual (Version 2.0) SBD- I 0 691 l'(N. 01/01) Pressure Distribution Component Manual (Version 2.0) SBD- 10706 =P(N 01/01) t B MPRSW 223760 Date: 7 -6 -2005 ?Itlll y c k 4ED CoAfME r RCS 1NCS PONDENCE, r � I ; I A u A) � Au BA c L.= TF 3 -i TOPO, 2- " �cJc PIPE - -- S'G op 3 I I �� ' I � �• I i I ' I i i m �� r �- _ ! — IODo GAS S i- ZA8 c A' - iva D i I I I WEAL 0 U 'F- 1_ I i J W! N! 6 18 I u ry t�! r l-� o Z ,S<, ,e S _ _ _ _' _y_I C IS i o � - — 1 —! - - -- -- _P� �> 3 I_ I ! 1 � 1 T� System Cross Section Page _ Of Synthetic Covering ASTMC33 Distribution Pipe Medium Sand H _ - LG Topsoil F .SYS. ELEV. 100.6 ' 3 E Y % Slope z— 2 % Force Main Plowed Aggrega ?'e Layer. DO- Ft. Cross Section Of A Mound System E 1 .58 Ft. F 0.79 Ft. G 0.50 Ft. Signed: A 6.0 Ft. H 1 .00 Ft. . B 7 5.0 .Ft. License Number: 223760 K 9.1 Ft. Bate: 7 -6 -2005 L 93.5 Ft. J 5.0 Ft. Alternate Position of 1 12.8' Ft. Force Main W 23 : 8 Ft. L Observation Pipe jr - - -- - - - - -- ----- - - - - -- -- a _____ _ _ --- Force Main W T------- ----- ---- Distribution Pipe Aggregate Observation Pipe Permanent Markers o . Plan View Of Mound Page 3 of 6 v Tum-up With Cieanout Access BQx Plug or Bap Valve PVC Force Main Distribution Lateral S PVC Manifold P x X 1 x I )C!2 Distribution Lateral Layout P 36.25 S 3 0 Ft• X 30 InchPa Hole Diameter 3/16 Inch Signed: Lateral " 1 Inches Manifold 1 Inches License ?be 223760 - — Force Main 2 Inches Oates 7 -6 -2005 # of holes /pipe 15 Invert Elevation of Laterals. 101. Ft. o PAC,r 4 or 6 PUMP CHAMBCR CROSS SCCT:ou AND 5FCCIrICArloo.'S VENT. CAP"`' -T `S VL?J7 PIPE APPROVED LOCKIM& W sJCTIO *K00I ,,u/�cTlau DoI( �MANHOLt CoVLR ' r 11' r 0fw% Imism. dimuuw UM i it&.6is Ir'r�/►L Alit IIJTAKC I I GRADC I I M' MIAJ. PROVIDE 1 + -.•+fir . IAJLCT .r,. AIRTic:+47 SCAT, APPROWL0 JOIIJ7 A I I APPXPVLO Jow7i W/ C.Z. PI ►c I I I I w /C. PIPE CKTCNDIIJJ✓ 3' I I ALARM CXTC�IWG 3' 011T0 &0L.10 %OIL Uk ONTO soub W4 21.16 Gal. /Inch 1 I I I oiJ 1 CLCV • 11 fL P u M P -,-,- —j J Of i a CO UCRETC DLOCK I ruse t EXIT PCRMITTcr, WJLJ IF YANK MAAJUFACTURCR H AS SUCH APPILOVAL� � gf00111� 8EPT1G f 5PECIFICATIOWS 0059 TANKS MAWUr^CYUitCK' - -Week' s C.P. WwAb R OF DO>,cb: +or -5 PER D" TAJIJK 0=6 800 CPALLOWs 004E VOLUME ALAKK MAuuorACruRCR. _Septronics Tankmate WCLuolu�* SACKF60WS 87.04 �AIt,ONj I'tOCCh IJUMDCR1 TM -1 CAPACITIES: A a 19 UiCHEi OR 41 +. 3 ' 44 WL).Owb SWITCH' TyPC: Mercury d �.. 2 ,IWC1iEi 011 4. 3,,.; 52`Qiii UMP MAIJUfhtTURCR: G• IJCN&6 OR 87.0 WILLOU� ^%JPtL WUAtOLR: 152 D• _ 1 2 jAICNES aR 2 61 . 12 GALLOWS 51WITC?1 T11Pr- Mechanical PUMP AWD ALARM ARC TO OG MIIJIMUM DISCIARGE RATE. 3 /M IN5rALLEO ON SEPARATE GIiCCUITb VEKTICAL D1F1`EREMU OCTWMJ PUMP OFF AUD,DJ5TRIbUTI0W PIPC., FEI`Y + Mi MUM )JETWORK SUPPI.y PKESSURC . . . . . .. . . . . 3.25 FLET C, ♦ ^ FEET OF FO1lCE MAIOJ v, 3.24 P %0ttFRICY10W FACTOR.. �'43 FEET ® -- T OTAL Dy1JAMJC HEAD _ 15.68 L FILET IIJTI;KUAL 0IMILW1bI0IJj Or TAWKS tE1J6 37 ;LIQUID DEPTH .�.�.�� �IGIJEO: LICCUSE W U rJBC:K, 223760 Cr,T[: -2_ 005 i `t TOTAL DYNAMIC HEAD /CAPACITY r HEAD CAPACITY CURVE PER MINUTE r EFFLUENT AND DE'NATERING MODEL 152/153 j t� Li MODEL 152 153 50 Feet Meters Col. Liters Col. Liters 153 5 1.5 69 261 77 291 12 40 '152 10 3.1 61 231 70 265 0 15 4.6 53 20' 61 231 i 2C 6.1 44 167 52 197 30 a 8 25 7.6 34 129 42 159 o 30 9.1 23 87 33 125 20 35 10.7 i -- ; -- 22 85 ° 4� 012.2 ! -- -- 11 42 4 10 Lock valve: 36.o Ft. (11.6m) 44.0 Ft. (1 3.4m) I r \\ 014508 0 20 40 60 80 100 GALLONS LITERS 6 1/4 80 160 240 320 0 J 3 27/32 4 5/8— FLOW PER MINUTE e j CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32 e _ e • Timed dosing panels available. 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with j an alarm. • Variable level control switches are available for controlling single phase j systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. 1521153 Series 12 1/8 1521153 MODELS Control Selection Model Volts-Ph Mode Amps Simplex Duplex 5 1/8 115 1 Non 8.5 1 2o0 BN1 BN 152 115 1 Auto 8.5 Included 2 or 3 ? sraow E152 230 1 Non 43 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 1 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. A CAUTION 2. See FM0712 for correct model of Electrical Altemator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN o For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO. P.O. BOX 16347 Louisvill 3649 Cane u Manufacturers of. . L SHIP T0: 3649 Cane Run Road Louisville, KY 40211 -1961 ® �,/ (502) 778 2731.1(800) 928 -PUMP r 11AU7YPUMP9 http✓Avww.zoeller.com P11 FAX (502) 774 -3624 © Copyright 2001 Zoeller Co. All rights reserved. I POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pape of RLP INFORMATION SYSTEM SPECIFICATIONS • Owner Jerald Sandahl Septic Tank Capacity 1000 gal ❑ NA Permit I Y - 1 9 3 Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model A -100 ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity 800 gal ❑ NA Estimated flow (average) 300 al /da Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer Z oelle r ❑ NA Soil Application Rata 0.6 : Pump Model ❑ NA ` P al /da /ft Standard Influent/Effluent Quality Monthly average* Pretreatment Unit i NA' Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD,) 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA A Biochemical Oxygen Demand (BOD,) 530 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L CJ NA ❑ At -Grade ■ Mound Fecal Coliform (geometric mean) 510' cfu /100m1 ❑ Drip - Una ❑ Other: Maximum Effluent Particle Size Y, In dia. 10 NA Other: ❑ NA `. Othar: ❑ NA Other: ❑ NA t 'Values typical for domestic wastewater and saptic tank effluent. Other: ❑ NA .j MAINTENANCE SCHEDULE Service Event Service Frequency' Inspect condition of tank(s) At least once every: 3 U ear( j(s) ( Maximum 3 years) ❑ NA ` Pump out contents of tank(s) When combined sludge and scum equals one - third (Y.) of tank volume ❑ NA: ❑ month(s) Inspect dispersal cell(s) At least once every: 3 ear(s) (Maximum 3 years) ❑ NA; ❑ month(s) ❑ NA Clean effluent filter At least once every: 1 N year(s) L Inspect pump, pump controls & alarm At least once every: ❑ month(s) ❑ NA' 1 ■ year(s) ' ❑ month(s) ❑,NA� Flush laterals and pressure test At least once every: 1 m year(s) j; other: ❑ month(s) At least once every: ❑ year(s) ❑ NA; Other: ❑ .NX MAINTENANCE INSTRUCTIONS inspections of tanks and dispersal calls shall be made by an individual carrying one of the following licenses or cealcauons j 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 Ieaks measure the volume.of combined sludge and scum and to check for any back up or ponding of effluent on the ground'surfac' The dispersal cell(&) shall be visually Inspected to check the aff luent levels in the observation pipes and to check for any, pondirkq of effluent on the ground surface. The ponding of effluent on the ground surface may Indicate a failing condition and requirewthel immediate notification of the local regulatory authority. 3 When the combined accumulation of sludge and scum in any tank equals one -third (Y,1 or more of the tank volume, the entire Servicing operator and disposed of in accordance with chapter. NR.L '`•r.13, the tank shall be removed b a Se t o P contents of P a9 g co Y � ,.. .Wisconsin Administrative Coda All other services', Including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatmen ., y Ds' 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.y g ..t START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals i 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 ta;use. System start up shell 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 i 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/o( soil limitations. Barring advances in POWTS"" technology a holding tank may be installed as a last resort to replace the failed POWTS. R The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS .a soil and site - evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank",. may be installed as a last resort to replace the failed POWTS. 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. t <WARNING> > f 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. ,DDIT(ONAL COMMENTS OWTS INSTALLER POWTS MAINTAINER Name' John• SchAtt c Name Owners choice Phone 6 51 Phone EPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name wners choice Name St. Croix Ct ..Zonin Phone Phone 715 386 -4680 is document was drafted In compliance with chapter Comm 83.22(2)(b)(1)(d) &M and 83.54(1), (2) & (3), Wisconsin Administrative Code. 1356 v ownsin Deparinnento(Colmom, SOIL EVALUATION REPORT p 1 of 3 Division of Safety and Bwl RW in aocordance with Comm 85, Wis. Adm. Code Tam Schmitt AmmA s1e pan on paper not teas than 8% x 11 hdsa in size. Plan must County St Croix irdade, but not GnrlPilo: vertical and hortzadal reference point (BM), d&ecft and Parcel I.D. percent slope, scab or dimerrmns, north snow, and location and distance to nearest road Please point all ftftM foifan. Reviewed By Date Peraonet i I n ohm you pvMe may be used for semrrdaq p xpmn (PrvwY tarn, s 15.04 (1) (m)). property Location Saandahl, Je ald Govt Lot NE 19 SW 1l4 S 30 T 30 NR 19 W Property Owners Melling Address Lot # Block # I Subd. Name or CSW 317 Cty Rd E CSM CRY State Zip Code Phone Number City J Vilisr�e vJ Town Nssrest Road Saint Joseph I WI 1 54082 715 - 549 1 StJoseph I Cty. Rd. E Use: RkMtk l / Number of bedrooms 3 — j New Consttidiorr �; es n Code derived design flow rate 450 GPD Replacement Y f Pubic or commercial - Describe: Parent material Closet Till Flood plain elevation, if applicable NA General corrnnerrts and Area is subdAe for a mound system. System elevation is 100.61' based off contour fine established at 99.69'. Slope is 11 % Boring # = ! Boring 99.49 f1 53 In. Sal Application Rate Pit Ground Surface elev. Depth to NmNirfg factor Horizon Depth Dominant Color Redor Description Texture Structure Cons'slorrce Boundary Roots •Eff#1 'Eft#2 1 0-8 10yr32 none s1 2mgr mvfr as 2c,2f .6 1.0 2 8-19 10yr4/6 none at 2fsbk mvfr gw 2f,2vf .6 1.0 3 19-29 5yr4/6 none gdcos 069 ml gw 2vf .7 1.6 4 29-53 5yr4/4 none al 2msbk Mfi gw -- .6 1.0 5 53-85 7.5yr4/6 none el lmsbk mv6 — .4 7 a BodM # Lj Boring sm Pit Ground Surface elev. 99.81 fl. Depth to Ong factor 25 in. Sod Appkcaion Rate GPDMF Horizon Depth Dominant Color Redox Description Texhae Stnrchrre Co By Root *Efr#1 •00112 1 0-5 10yr3/3 none el 2mgr mvrr as 2c,2f .6 1 A 2 516 10yr4/3 none 81 2fsbk mvfr gw 2f,2vf .6 1.0 3 18-25 7.5yr4/4 none L 2febk m fr gw Zvf 4 7 4 25-35 5yr4/6 c2f $y� / 2csbk mfr gw 1vf .6 1.0 5 35-51 7.5yr4/e X7.5 r /3 1 cs mvfr gw ----- .5 1.0 6 51-84 10yr5/6 none Osg ml — -- .5 1.0 1 of .5yr csbk • Effluent #1 - BOO t >, 30 <220 mg/L and TSS >30 c 1 56 nv1L • Effluent 82 a BOD < 30 mWL and TSS < W M9fL CST Name (Please Print) Signatrse: CST Nundxr Thomas J. Schmitt 227429 Address Tom Schmitt Date Evahiatlon Conducted Telephone Number 1595 72nd St, New Richmond, Wl 54017 6113105 715- 247 -2941 of 3 Property Owner Sandah, f JMW Pared ID # page 2 3 Boring # J Boring 96.82 ft. Depth to knfing factor 29 in. sod Application Rate 1/ Pit Ground Surface elev. lioraon Depth Dominant Color Redox Description Texture Sbucture Consistence Boundary Roots 'Eff#1 'E1i#2 1 0-6 10yr3/1 none s1 2mgr mvfr as 2c,2f .6 1.0 2 8 -17 10yr3/4 none sl 2fsbk mvfr gw 2m,2f 6 1.0 3 17 -29 10yr414 none t31 2msbk mfr gw 2vf .6 1.0 4 29-45 7.5yr4/6 c2d 7.5yr6/6 sd 2fsbk mfr ow -- .4 .6 5 45-84 10yr5/8 � 5yr7/2 sit 1 msbk mfr — 4 6 - T - F-I Sui ng - I Boring � Depth to loni ft factor in. Ban # Pit Ground Surface elev. _- - - - - -- - -- Sod Applicat1on Rate Horizon Depth Dominant Color Redox Description Texture Stnrchse Consistence Boundary Roots •EtT#1 •Eti42 l 4' i. i; f F — I Borir>g # Pit Ground Surface elev. ft. Depth to Hafting factor in. Apppcation Rate Horizon Depth Dominant Color Redox Description Texture Stnrehse Consistence Boundary Roots •Eff#1 'EtT#2 1 } i 1 1 t Etlkw t#1 r& BOD? 30 s 2Z0 nVt w4 TSS >30 s 150.maL • €ffkat 92 BW _3Q reglt. and TSS K 30 mglt. E The Dqwhn W ofComme= n an equal oppwtun ty sravke Provider and cmphr� If yori mod do across services or need material in an abarnate format. please Canted the deparfinerd at 60&266-3151 or TTY 608- 264 -8777. i i Page 3 of 3 Conx-ted b Conducted For. Schmitt Soil Testing Inc. Name: Jerald Saudahl Thomas J. Schmitt; CST 227429 Address: 317 Cty. Rd. E 1595 72nd St. City, State, Zip: Houlton, WI. 54082 New Rind, WI. 54017 Phone: 715- 247 -2941 Subd.Name: Lot No.: Legal Description: NEIM SWIM S30 T30N R19W ® Backhoe p h Township, County: St. Joseph, St. Croix Bench Mark EL 100.00' Top of 2" pvc pipe d Awe Bench Mark EL 9934" Top of 2" pvc pipe Slope= 11 % Contour Line EL 99.69' Contour line 75' Scale i" � ray \ � i u ' I i 'w 1.+ t 2 4" I R N pope WEIGHING 1.1• p s SET pIPE FOU40- "0 s i" IRON =.W C'Ja 1 O Of SEC. 30. y/tf C ORNER I GOUNTY a g3.1$ y _ t z 730N` Rig jOU.lID 50 20 C'• o MONUtse N S8903 " _ j' 10 � 43 6 '7 O1 Q tCf �y Ql : C U. X fr ° o L T t:.. O O 01 lV OY NN: EASEMENT. C Z r _ U M w W ZN °a`r' 21$ ••. S 1l CC 0 r n- - }- .""fig y 4\ ^c a' (► 3� i � � .Z� � o I�aaas cm :.A 0 111 Z qfM' � � ars o r 92 a IL tL' tT W w` E + wEs� S .1 _ O = 80'1 O- ¢ Y ���: THE NE1 /4�SWi�a t _ � m ut _� D c* „ �il,� NIPS W r` SAPPR O A, 1 ZQ t O Z e v SCAL � dAK£8 M• WsgzE Afib Ags Weer £R • Moe s 6 .:, 100+ �QO� o � 3 O DATED JUNE 9 • 198 0 Q ¢` REV1S£D OW i -j (A t 1356 Wisconsin Department of Commerce REP EP JI Page I of 3 afe Division of Sty and Buildings Comm 85, Wis. A dm. Code Tom Schmitt Attach complete ske ow on paper not less '�� size. g ! ` St CiODC Include, but not limited to: vertical and horizontal M), d and percent slope, soda or dirnensior►s, oath arrow, and distance to near . P if3ase print all irNQrmirn, ST. CR�'iX �� ;' ` D 3O d 7 ? S - /S tio ZONING OF a Date Personal Mforrruaon you provide may be used for secondary purposes s. .oar (1) (m)). Property Owner Property Location 3/ 6 5 2 v Sandahl, Jerald Govt. Lot N€ 19 SW 1/4 S 30 T 30 N R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSI# r/ 317 Cty Rd E Al 4" 9 1 - r7 CSM / d City Zip Code Phone Number City Village llA Town Nearest Road Saint Joseph WI 54082 715- 549 -5565 StJoseph Cty. Rd. E J Now Condruction Use: 1M Residential / Number of bedrooms 3 Cqqe =design flow rate 450 GPD Id Replacerrent "f Public or commercial - Describe: 1,1 f l t'Y) - 7 Zjf Zg Parent material CUaal Till Flood plain elevation, if appikelAs - NA General comments and : Area is suitable for a mound system. System elevation is 100.61' based off contour line established at 99.69'. Slope is 11 % e- -d4ke -- S/ s )` - Boring # : j Boring ? Id Pit Ground Surface elev. 99.49 ft. Doh to limiting farta 53 In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 Eff 82 1 0-8 10yr3/2 none sl 2mgr mvfr as 2c,2f .6 1.0 2 8-19 10yr4/6 none sl 2f8bk mvfr gw 2f,2vf .6 1.0 3 19-29 5yr4/6 none gdcos 069 ml gW 2vf .7 1.6 4 29.53 5yr4/4 none sl 2msbk mfi gW - .6 1.0 5 53-85 7.5yr4/6 none sl 1 msbk mvh - - .4 .7 ff Boring # A Boring fI Pk Ground Surface elev. 99.81 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ffz -Eff#1 'Eff#2 1 0-5 10yr3/3 none sl 2mgr mvfr as 2c,2f .6 1.0 2 5 =16 10yr4/3 none sf 2fsbk mvfr gW 2f,2vf .6 1.0 3 16-25 7.5yr4/4 none ad 2fsbk mfr gw 2vf .4 .7 4 f35 5yr4/6 c2f 5.5 �/6 sl 2csbk mfr gW 1vf .6 1.0 5 35-31 7.5yr4/8 c2 7.5 .5 /3/3 Ifs 1 csbk mvfr gW --- 5 1.0 6 51-84 10yr5/6 none ft Dog ml - - .5 1.0 514W has 1.5" bands of 7.5yr4/4 tfs 1 c sbk mfi ' Effluent #1= BOO 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent 02 = 13013 mg/L and TSS 4 mp/L CST Name (Please Print) Sigrdure: CST Number Thomas J. Schmitt 227429 Address Tom Schmitt Date Evaluation CorKkx ted Teleptwne Number 1595 72nd St., Nov Richmond, WI 54017 6/13/05 715- 247 -2941 , ` Property Owner San&hl, Jerald Page 2 of 3 _ Parcel ID # Q � rng # _j Bonng e Pit Ground Surface Wev. 96.82 ft. Depth to limiting factor 29 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture StPXture Consistence Boundary Roofs G •Eff#1 •Eff#2 1 0-8 10yr3/1 none sl 2mgr mvfr as 2c,2f .6 1.0 2 8-17 10yr3/4 none sl 2fsbk mvfr gw 2m,2f .6 1.0 3 17 -29 10yr4/4 none sl 2msbk mfr 9W 2vf .6 1.0 4 5 7.5yr4/6 c2d 5'5}%2/6 sa 2fsbk mfr OW — .4 .6 ii d 7.5yr6/8 5 45 - 84 10yr5/8 7.5yr7 /2 sil 1 msbk mfr — — .4 .6 F - I J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GEDff •Eff#1 •Et'f#2 Boring F-I # I Pit ;_f d Grewnd Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stnuture Consistence Boundary Roots •Eff#1 •Eff#2 ' Effluie1t #1 BOD s a 30 1220 MWL end TSS 2'301150 nV& • Effluent fluent #2 = 1300 !L30 mg/L and TSS -c 30 rrQ& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608- 264 -8777. Page 3 of 3 Conducted by: Conducted For: F Schmitt Soil Testing Inc. Name: Jerald Sandahl Thomas J. Schmitt, CST 227429 Address: 317 Cty. Rd. E 1595 72nd St. City, State, Zip: Houlton, Wl. 54092 New Richmond, WI. 54017 Phone: 715- 247 -2941 Subd.Name: Lot No.. Legal Description: NE1 /4 SWl /4 S30 T30N R19W ® Backhoe pit Township, County: St. Joseph, St. Croix ® Bench Mark EL 1 Top of 2" Pvc Pipe A Alternate Bench Mark EL 99.34" Top of 2" pvc pipe Slope= 11 % Contour Line EL 99.69' Contour line length 75' Scale l ` XI l �a i � Say ��S W O =SET I ° x 24" IR N PIPE WEIGHING I.t: Z 1" IRON PIPE FOUND. Van ♦ Z VI /4 CORNER OF SEC. 30, ild �'0 (T30M,Rl9W, (COUNTY I i o MONUMENT F O UND). E— w O A �► N S0 °(0 20 "w 33 t 3 r - e -- - — - - 06 W S89 3 w C. T . H. E 43 $ 2 � Q 4q: + O 3 m C 2 to p EASEMENT. GZ��N� ut - m I3.Z u. .............. W Z V LL O t i J1 -- � �r •. \ LL L li v w E +► f < JAMES JL 9 _ Z S U . G VALLEY • p _ - tu0 "-a ` WiS., - c3 Z 00 Z o t $ p R� WEST LINE OF THE NE 114 - SWI /4 - �- p i� fAPPROXIMATE f a W 0 3 JAMES M. gNEER 8 -''1 04 O• �— lwtrs, I"• WEGERER, WEBER AND ASSOC. ` 4v - • DATED Mgh'l ze 12041, SCALE t "= 2C3 o u F W -ti REVISED JUNE S"1987. 0 w z ° � C? — 100' 200' Parcel #: 030 - 1087 -95 -150 07/29/2005 08:21 AM PAGE 1 OF 1 Alt. Parcel #: 30.30 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 08/11/2005 00 0 Tax Address: Owner(s): ' = Current Owner " SANDAHL, JERALD W & JOANNE M JERALD W & JOANNE M SANDAHL 317 CTY RD E HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description " 317 CTY RD E SC 2611 SCH D OF HUDSON /Q0 U� SP 1700 WITC 1 Legal Description: Acres: 5.056 Plat: 4806 -CSM 18 -4806 030 -04 SEC 30 T30N R19W NE SW CSM 18 -4806 LOT Block/Condo Bldg: LOT 07 07 (5.056 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 30- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 08/11/2004 771302 18/4806 CSM 07/23/1997 918/115 07/23/1997 836/612 07/23/1997 801/85 2005 SUMMARY Bill #: Fair Market Value Assessed with 0 Valuations Last Changed: 05/31/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.060 130,000 111,200 241,200 NO Totals for 2005: General Property 5.060 130,000 111,200 241,200 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 s Parcel #: 030 - 1087 -95 -100 07/29/2005 08:28 AM PAGE 1 OF 1 Alt. Parcel #: 30.30,19.316B 030 - TOWN OF SAINT JOSEPH Current X ' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Ma # Sales Area Application # Permit # Permit Map pP Type 08/11/2004 00 4 Tax Address: Owner(s): * = Current Owner RETIRED SANDAHL * SANDAHL, RETIRED Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 317 CTY RD E SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 9.060 Plat: N/A -NOT AVAILABLE SEC 30 T30N R19W NE SW 9.06 AC THAT PART Block/Condo Bldg OF LOT 1 CSM 7/1829 IN NE SW ASSESS WITH P317D Tract(s): (Sec- Twn -Rng 401/4 1601/4) 30- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 918/115 07/23/1997 836/612 07/23/1997 801/85 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/01/2005 Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I � 77 1 3PJ2 VOL 18 PARS 4806 KA7HG1= M. Aum REGISTER 0>F DBEDS RECEIVED FOR "ftE CERTIFIED SURVEY MAP 08/11-*20" 08200 Located in part of the Northwest Quarter of the CERTIFIED SURVEY MAP Southwest Quarter and part of the Northeast Quarter BBC FEES 13.00 of the Southwest Quarter of Section 30, Township 30 PAPSFEE2 3 " N 11 nn orth, Range 19 West, Town of St. Joseph, St. Croix F7 ST. unty, Wisconsin, b eing Lot 1 of Certified Survey Map recorded in Volume 7, Page 1829. ko AM 4 �j k: 2 0 0 EAST -WEST QUARTER SECTION LINE OF SEC. 30, O ON COUIITY ( T3 19W -_ __1 , R RE"CRD - _�; = -- S89 °59'55 "E S89 o 59 55 "E Ln 33.18 � iy = - - - -- 433.26 = �+ ?� '� .216. i y y -- —`- ; `` _ —�,} � � =�` _�� , i ce_ 1L r _ , .... ._ ' I i i t f 001.86' _��i 7 589 36'30 "E W fi _ 61j ��ACCES �i� /,� O I t i Rr — — — `W I/4 CORNER OF i - - -'� i v`�- 3 D p SEC. 30, T30N, '� O �y T N LOT 6 E 1/4 R19W, FOUND ST. <J ev t N CROIX COUNTY O >,, �- �. X6 9 \_ -) Stn s 174,240 sq. ft. , CORNER OF ALUMINUM �• t; • vim^ 90 4.000 acres M ii SEC. 30, 3' 2 0 SE ►• - T30N, R19W, G MONUMENT RAVEL - ' '� cc C : •t DRIVEWAY /I FOUND ST. �- S�e9 � �` __ AREA CROIX 381.30 589�3'O1 "E `� COUNTY 66 FOOT DRIVEWAY - ' I �� w -, \ , ALUMINUM ` �`";:•. MONUMENT 1829 AND C 0 ER {IFIED Z6, q t, c r o co SURV EY MAP VOL_ 7, 0 22 6 g. \ a�p \ cC M PAGE 2022_ p s• �`� \ i VIE S� G t "Ars _o THIS INSTRUMENT � r +• � \\� � O , f •t W N � WAS DRAFTED BY DANIEL L. THURMES. �7:'cp t a SE 0 C.0 g • �� \\ PTIC $ c o H s 11 AREA ,....,.,�.I 11/ 0 <J c' .i V i ¢ Q / / t t 2455 LOT 7 0 _ 220,257 sq. ft. i t , STILLWATER URI _ 5.056 acres , ; ��';;o. a u A� `�• � � \` -f 76.07= � — .�. - REVISED S -S -04 PREPARED FOR / N89 °59'55 REVISED 7 -20 -04 JERRY SANDAHL REVISED 7 -28 -04 - REVISED 8 -02 -04 SEE SHEET 2 OF 2 SHEETS FOR NOTE: LOTS MAY BE SUBJECT TO FUTURE LEGAL SPECIAL ASSESSMENTS FOR ANY UPGRADES DESCRIPTION. AND IMPROVEMENTS TO THE ROAD. NORTH THE PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE, COUNTY AND TOWNSHIP LAWS, BEARINGS ARE REFERENCED TO + Suit* RULES AND REGULATIONS (I.E. WETLAND, LP—hine:051.27 treet MINIMUM LOT SIZE, ACCESS TO PARCEL, ETC.). THE EAST - WEST QUARTER a062 BEFORE PURCHASING OR DEVELOPING ANY LOT, SECTION LINE OF SECTION 30, .8999 T30N, R19W, WHICH IS .8�76 CONTACT THE ST. CROIX COUNTY ZONING r OFFICE AND THE TOWN OF ST. JOSEPH. ASSUMED TO BEAR S89• duse 36'30 "E. LEGEND e DENOTES FOUND 1" IRON PIPE 0 200 4.00 O DENOTES SET 1 " X 24" IRON PIPE WEIGHING 1.13 LOS /FT. — - - CORNERSTONE — DENOTES 100' ROADWAY SETBACK LINE LAND SURVEYING INC. Vol 18 Page 4806 SHEET 1 OF 2 SHEETS WaMo 8 9 FILED JUN 12'1987 "" a ooWU 4C . -S 1pr cwk + ate,,, CERTIFIED SURVEY MAP LOCATED IN THE NWI /4 OF THE SWI /4 AND THE NEI /4 OF THE SWI /4 OF SECTION 30, T30N, R19W, TOWN OF ST. JOSEPH, ST. CR.OIX CO., WISCONSIN. OWNED BY: ARVADA TONEY NOTE, BEARINGS ARE REFERENCED 708 SCHIFSKY ROAD TO THE WEST LINE OF THE SHORE VIEW, MN 55126 SWI /4 (RECORDED BEARING). N m N 31$ O) O W — �O 0 I cz�' zo �a •Mtt ::..��'}�:.' 'cc mz0 ���11,,lI` I 2 A V ' (N ~ Z CD Np z 4� 'd G � SOO10�20 O '� M o 4 1 t rn 3 s "�` o 1 y�A 200.9 �nj I 0- ♦ .... ............................... c z "' w G7 ' 3 1I A p 0 020 ° E Q 45 i m �1 m� i ai <o� Q ^' ti ci 200.91' {° co b �;a3 �N 0 0 m w �, _ �= rn OD y y�1OR td�v z w o- I p MMiNft�N11� • :�a w U. I N ........ 0� d N ........ X �; 0 0 vm Nd1 �� 920 m. I (A m n� y O 4 0 1 0 ? z O xZ cL6•r`V9 a M S0 ° W m cn Dm A o 5.00' I I ? D yo a rn r m T S CID 0 M C `m w D 2 � Z .a 01 O TN I.:nl N m m c v N 45 m O � 0 m y N0 ° E 962.24' = :C: � =I — „ :m c c) O •Z 0 c °- : APPROVED _ A W 0 i . o t0 rr :I m r o t 0 . 0 145,1 vi °- JUN 120 t oD OJ co m A •rn 0)� N: r • ST. CR01X CC"'NfY °m Tc O m CO�FREHE'h151VE FAR]:5 P11.[11JlyM� l Am ZONING GOAtir�i rim i S0 W �, r 20.00 4 s T 0 a o N0 "E 942.24' 0 ' 1 1 . r o N 3 ' D cn D n -4 17 0 D z n n 1 4 w ZOO 'Z 'i1 a x x t am c w0 --� N v 1 owm OZ v Q N— 2 O O nOZ mpZ.= N �, 15D MOM V m Dm M :00 _ V I y to y n r4 0 i m m r D W� 47 KO0 V �� 2100 rn rn A • m z Z n o, 0 Q z 40 ITI I I -1 3E N COO O N 1p Z Q x r co > O M Z r 1 I 0; z '*1 0 •is to rn n z � coo o o X mrnm ( j i rn m rn w m N N- O Rl 1n p /�' W .p W 4 Z? y j V 1 x N A O M I rn O ; 60,12' S0 W 929.93' :11 G UNP AT 50 '1 1 L TED LANDS — N -S QUARTER LINE SHEET i O'F 2 87'141 THIS INSTRUMENT DRAFTED BY '& ?K&M— Volume 7 Page 1829 i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer � ,�4 a& A ,11 Mailing Address 31 7 G i �� 9,0 Property Address - - 4 (Verification requir d from Planning Department for new construction) - City /State ,11,o ry._7-nTe 46' S Y� bZ Parcel Identification Number 6 3 ,0 - /Q 8 2 - 91 / �j (, 3 —zo� LEGAL DESCRIPTION Property Locations ' /�, .v zy '/4, Sec. ,3D , T -RAW, Town of ST, QsA-0 . Subdivision -- - . Lot # `T Certified Survey Map # 77/3 . Volume $ Page # �6 Warranty Deed # 2 !f N3 `i , Volume 2/4t . Page It J/ G - Spec house ❑ yes 0 no Lot lines identifiable 10 yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. IoZSIo _ IM NATURE, OF XPPLICANT DATE i OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. � � F � laZ g/o 3 S NATURE OF APPLICANT DATE * * * * ** Any information that is mis- representedma� result in the sanitary permit being revoked by the Zoning Department. * * * * ** p «« Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed i I �r. ATI II11607 -035 CVCUMENT NO. - STATE DAR OF WISCONSIN — FORM 2 warrlrstvs'sr usaass - TNI• IrACC RISCRVIO ran Ra'CONOING DATA 47.439 VOL 91,Spw 116 t I REGISTER'S OFFICE By 7'his Deed. ....................................... ........................,...... ............... ST. cmix CO., W1 Steven A. .7ondal and Mary Ann �. 'Ji56 1* .. r ..........., , ........................................... .. ..... ............................... Recd for Record husband anc3 'wife. ................................................................................................................... ............................... O y 1991 � i .......................... C1 .................................................................................. ............................... at g:30 A. M G:an:u: <anceys and wa•nnts to. ..... ... ..... ... .... ..... ....... .. Jerald W. Sandahl and JoAnne M. Sandahl ....................................................................................................... ............................... Repute► of 0eedtr ....................................................................... ............................... Grantee »g...., f ar a valuable considcration .................................................. .................................... ....................................................................................................................... ............................... RLTURN TO CO1X t!;e (c!:�•.v;ng dcscrbed teal earn ;e In ...... St ....... .......C..................................................... County. S:.:e of Wisconsin: Tax Key x .............Q3P=1087 -95 -100 This .... _............ homestead property. Part of the NW} of the SW} and the NE} of the SW} of Section 30, Township 30 North Range 19 West, Town of St. Joseph, St. Croix County, Wisconsin, described as follows: of 1 Certified ry Map, recorded June 12, 1987, in oY 1. 7, p age 182 9, as Do . No. 426881 Togeth ith 66 foot wide easement for inpress and egress as shown "on bject Certif vey Map. 2 �Vi� V :e a :................ St ..... aul ay ..... Se te 19...91 day of..........� ................ AN*L SEALED 1 PRESENCE OF �� (S Steu — en A Jonda ......... ....................... »....:. ................. i ...................... (5rf1L) Mary Ann E. Jondal ...... ............................... .. .................... _ (SEAL) ...................................... ............................... .........................(SEAL) ...................................................................................................................................................... ............................... .................................................................................................................................................................................... ............................... .,, ......... ........... ... _ ..................................................................... ....................... »....... Title: Mcrrbe: State Bar of Wisconsin or Other Party Authorized under Sec. 706.06 vix ........................ ............................... Minnesota , STATE UI �ti:gCO? Si: ss. y y/� JZ /' !. /.GG:.i! .sRs: ........ County. �/>!• - ,' �7 — fir n P e:sonaHy ca:..e hcfn.r mE this ................... ................Y``..YJ.......» day u(..... ... ...' ... /.. �i!........................, 19.. 1 na:::ed............ Steven._A_._.. Jondal and Macy , Ann,. E. Johndal, husband and wife ..................................................................... ............................... ............................................................................................................................................................................................ ............................... m :,e ::nocvn to he e!:e person..... who executed the foregoing instrument and acknowledged the sa I TH;S INSTRUMENT /JAS DRAFTED BY a: Y4..��'L�i�C: ^� ♦. /:..3rt. �+Z ��f. ..`�....- ...• . ................ ATI Title Company '""' 2550 University Avenue West 1`.' 5UNDAY L. tdcGiRMOTT ...........( NOTARY Pli$L71'RTARES�T� St: Pout NflnnoaGt�l 55 Y4 =tA'!3 RAMSEY COUNTY MN Count is,- Notar IR. �RtaR.MRe ...............• Y ..._ _._ .,. '•s'�:ocsscs IS Jpf:pClli• ���,:Wb'VVrVW■ ,.Iy commission (c'sPir(..) ('s) ............................ ............................... 1 i \::'- cF t._: "ons "._.,.n: :n ally no..cit shn�!d l,c c.•.c.l nr minced below their si natures St. Croix County Property Report Page 1 of 1 NEIRWRANIMA MU �.., . kf � + o nt b , 1.t scons Ieport Print Report , LISTING UPDATED ON: 8/10/2005 4:22:00 AM Location Information Tax & Assessment 2005 Information PIN: 030- 1087 -95 -150 Status: Mapping Number: 30.30.19.316B -20 Assessed Acrea 15.06 Municipality: TOWN OF SAINT JOSEPH Total Land Value: 11 $130,000.00 Site Address: 317 CTY RD E Total Improved Value: 11$111,200.00 Section: 130 Total Value: 1 $241,200.00 Township: 777IF30 Fair Market Val 1$0.00 Range: 71119 Fair Market Rat 10 Quarter - Section: Original / Net 1$0.00 Quarter - Quarter: Special Assessments: $0.00 Plat Block: Special Charge 1$0.00 Lot Number: 107 11 Delinquent Utilities: $0.00 School: 11 2611 -SCH D OF HUDSON Woodland Tax: 11$0.00 Managed Forest: =1 $0.00 Private Forest: 1 1$0.00 Total Amou 1$0.00 Ownership Information 11 Total Lotte 1$0.00 Primary Owner Name: [ JERALD W & JOANNE M SANDAHL 1st Installment: [ID0, 0.00 u e: Secondary Owner Name: 2nd Installment: $0.00 Due: Billing Address: 1317 CTY RD E _ -- Total Amount P 1$0.00 HOULTON WI 54082 Balance Due: $0.00 Document Number: 771302 Interest: $0.00 Volume: 1118 Penalty: $0.00 Page: 4806 Total Due: $0.00 If you are paying taxes based on this report, please print & attach with your payment. Legal Description SEC 30 T30N R19W NE SW CSM 18 -4806 LOT 07 (5.056 AC) http: //72.21. 230. 178 /website /pasystem /pro /final _ report.asp ?IDValue = 030 - 1087 -95 -150 8/10/2005 St. Croix County Map Output Page Page 1 of 1 J 1 t St. Croix County Ma pipin V ol 4 4 4 0 "M.`1.,ow? 114 SE 1144M 114 SW 184th Lon 3 Z Loll LOT2 CSNV0.7PGMj Leg LOU ;m CSM VOL f 9 PG G IJ 7 U N ' I1 1 . 11 Vti•e' '' WY1 LOTI Lon MM VOL 7 PG f 628 CSII VOL 9 PG 766 Lon CSN } LOU LOU U=144DA44- NE 25 181SVY 7 K MN i0m 1 St Jo h C6M 161770 CSM WL 6 PG w L072 OL2 6 T 8 al swtx sw11a WHITE EAG l 3 s Sw114 SW 1 az 9 4 3 !? Legend MWclpa Baaridales St. Croix County Planning Department Ck6 dlvirlorm 1101 Carmichael Road cereSe d GLWV*Y ■.MWs Hudson, WI 54016 0 °° a' Phone: (715) 386 -4674 pc. d Padrdad Oral rmge DISCLAIMER : The information contained on this map is advisory. Map Streams accuracy is limited by the quality of the public records from which it was Dam prepared. It is not intended as a substitute for an accurate field survey. perleNal Ok nlermlllenl ^fte an AERIAL PHOTOS : Aerial photography is date - sensitive. Features that exist presently in the County may not be present in the photos. http:/ /72.21.230.178 /servlet/com.esri. esrimap .Esrimap ?ServiceName= StCroixOV &Client... 8/10/2005 77 1 3102 VOL 18 PAGE 4806 KATM3= H. WALSH REGISTER OF DKKDS ST. FOR ftRUND CERTIFIED SURVEY MAP 08/11/2004 08t96 Located in part of the Northwest Quarter of the CERTIFIED SURVEY MAP Southwest Quarter and part of the Northeast Quarter REC FEEL 13.00 of the Southwest Quarter of Section 30, Township 30 COPY FEE 1; 3.40 North, Range 19 West, Town of St. Joseph, St. Croix PAGES: 2 County, Wisconsin, being Lot 1 of Certified Survey Map recorded in Volume 7, Page 1 829. s h EAST -WEST QUARTER I -- SECTION LINE OF SEC. 30, O T30N, R19W �� :sir_ 589 °59'55 "E v C, h S89 °59'55 "E 500°10'20 "W - - - -- 433.26' - ° v' i ,o�zf s yy�- 1001.8 9.82 — -�-- - S89 °36'30 "E W _ 6�j ki ACCES W 1/4 CORNER OFO p - SEC. 30, T30N, `� O I \ �9 T N m LOT 6 E 1/4- RIAW, FOUND ST. b \ �� +� N p 1 74,240 sq. ft.' `ci CORNER OF CROIX COUNTY O _I� SEC. 30, ALUMINUM T30N, R19W, \? +, ^ 90 4.000 acres M 1` ; , �, __� `. \8 �2, er i RAVEL -' ' ��� �� _ `� c°c SEP MONUMENT G TIC FOUND ST. DRIVEWAY/- ��\ ` _- AR EA ; -ti CROIX cr2 \ ' ,--381.30 589 "E \ COUNTY 66 _FOOT_DR_I_VEWAY - -' `� ��, -� ��\ ''�1 ALUMINUM `� :� -� MONUMENT ' CERtIFIED SSIRVEY _ ��_.• r ( \ \ � O 1879 AND CERTIFIED , �6 SURVEY MAP_VQE_ 7, I � 66 ; % ��i \ 0 b PAGE �02�_ I � A. , ,` - `.`.•_ - :_ \ \\ W THIS INSTRUMENT WAS DRAFTED BY DANIEL L. THURMES. SEP "� 1 -' ARE IC v "'i _ � ` to �i LOT 7 ;? i 2458 -006 220,257 sq. ft. i _ ` 5.056 acres i `-176.07 — REVISED 5 -5 -04 PREPARED FOR: 1V89 1 59'55 ' y - - -- ;: REVISED 7 -20 -04 JERRY SANDAHL / = -- REVISED 7 -28 -04 -- - - REVISED 8 -02 -04 / - - - -- '- SEE SHEET 2 OF 2 SHEETS FOR NOTE: LOTS MAY BE SUBJECT TO FUTURE LEGAL SPECIAL ASSESSMENTS FOR ANY UPGRADES DESCRIPTION. AND IMPROVEMENTS TO THE ROAD. NORTH THE PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE, COUNTY AND TOWNSHIP LAWS, BEARINGS ARE REFERENCED TO fluke M8100 RULES AND REGULATIONS (I.E. WETLAND, LF-MmeMu eet MINIMUM LOT SIZE, ACCESS TO PARCEL, ETC.). THE EAST - WEST QUARTER 082 SECTION LINE OF SECTION 30, 59 BEFORE PURCHASING OR DEVELOPING ANY LOT, T30N, R19W, WHICH IS 76 CONTACT THE ST. CROIX COUNTY ZONING e OFFICE AND THE TOWN OF ST. JOSEPH. ASSUMED TO BEAR S89' M 36'30 "E. 1°I LEGEND e DENOTES FOUND 1" IRON PIPE 0 200 400 O DENOTES SET I" X 24" IRON PIPE WEIGHING 1.13 LBS /FT. — - - — DENOTES 100' ROADWAY SETBACK LINE CORNERSTONE LA"c> SURVEYING. INC. SHEET I OF 2 SHEETS Vol 18 Page 4806