Loading...
HomeMy WebLinkAbout030-2133-08-000 /!��� / � ■ : 2 � � � � « x F z \# Q m 2 n M o OD c:. P C :3- k f i E (& o% _ § o o } « CD m $ w � 2E ;ii ®1 6 E ƒ g @ @ ( D , ' ¥ 8 7 = e w o co o ■ ( to C, 8 E ( / § ± ¢ f [ E ® \$° ° � C'S \ ` z N3 S S �_ 2 E � � � z 000 T ODC / ƒ I S ■ ■ ■ § [ 1 7 7 7 ƒ k § 0 RAI } § # & Z r / 7 Q §§/ / 7 C m 1 3 CO) � ® K ■ _ z $ � ƒ . C� \\ a ( zh: m o ; 2 z E � # $ � k 0 § � $ � 0 % � � � � � $ � 7 � . \ qb 2 m / � / / Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488245 0 GENERAL INOIO *ION (ATTACH TO PERMIT) Sta p ID N Personal information you providL m ° used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. �LO �/.r - •� Permit Holder's Name: City Village X Township 'Parcel Tax No: Dunn, Jeff I St . Joseph, Town of 030 - 2133 -08 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: ( j . � � , ('ST L 8� g 2 30.30.19.2008 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �' �S61L Z� Benchma Z l 'v , L � . L co- SI 1 J Dosing ,� Alt. BM Aeration Bldg. Sewer 13•Sa � � -62 Holding t/Ht net •$z St/H Outlet TANK SEfBACK INFORMATION TANK TO P/L WELL BLDG. en o it Intake t Inlet I�• • s ,, _�� ep osmg ,� r , / � I ea er an. L4 y 0.62 era ion is P ipe • S s ue. D(• o ing o . ys em F at Gracle r 0D • 0 PUMP/SIPHON INFORMATION S m anufacturer GP over _ e_ r4C_ o e um er Stns 5'b �•Z ric ion LOSS syst riea �• .� - 3-03 3.3o V.o z.. orc In 1 1-engin uia �� Z DIM NS C2) 1� Q � J INFORMATION CHAMB R UISTKI EM n�duvl,10.1111,vlu -JA I I— JA lult! spaully Ah Len t Dia Length tA• is 2 Spacing x Pressure Systems Only xx Mound Or At -Grade Systems Only JAA 111=U101UU1 A 100117hed Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes � :N]o COM ENTS (Include code iscrepencies, p rsons re ent, etc.) Ins t* #1' o inspection #2: / C : W cis �t , ocation: 3 17 138th Ave TOF Houlton, 540 2 N 1/4 NW 1/4 30 T30N R19W) Deado Fo 8 Parcel No: 30.30.19.2008 1.) Alt BM Description = �' / r to,& 2.) Bldg sewer length = YO 7 amount of cover = iLZ �� ( Qf t - C Plan revision Required? Yes No Use other side for additional informati n. pi� Ins p or r I Cert No SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 + >.seons�n Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 z l ff2 Sanitary Permit Application State Plan l.D Numbe -1 In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide t I v �wqD ( � may be used for secondary purposes Privacy Law, sl5.04(I xm) Project Address (if diff6ren mailing address) Application Information — Please Print All Information 317 /,?8 Property Owner's Name el # Lot # Block # EfF U..1W 8 Property Owner's Mailing Address //�� Property Location ys'3 2/� e lv6! <d 1110(/ '/., Al d '/4, Section 24 City, State Zip Code Phone Number S circle one) uLl�✓ _� SyD 8.7 T 30 N R / It (9) II. Type of Building (check all that apply) 5� X 1 or 2 Family Dwelling — Number of Bedrooms S Subdivision Name CSM Number ❑ Public /Commercial — Describe Use Ee•f EA/�avS ❑ State Owned — Describe Use - BEib pillage *Township of .!r;, T s �cp Al III. Type of Permit: (Check only one box on line A. Complete line B if applic 0 2/ 3 — M -0)5( v 20 A. New System y El Replacement System ❑ Treatment/Holding Tank Replacement Only 11 Other Modification to Existing System B, List Previous Permit Number and Date Issued ❑ Permit Renewal El Permit Revision El change of El Permit Transfer to New Before Expiration Plumber Owner IV. Type of POWTS System: Check all that apply UO V6&2.0- CkAU ❑ Non — Pressurized In- Ground ❑ Mound > 24 in. of suitable - so - il ❑ Mound < 24 in. of suitable soil .4 -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 ine ❑ Gravel -less Pipe p p ❑ Other (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdst) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 4 t �d6 /COLcaa1 0 \ �Q0.8 ` VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units �,,��_ ,Q _/ USA onerete Constructed Glass New Existing u � r� Tanks Tanis Septic or HaidingTmik - . Aerobic Treatment Unit Dosing Chamber TS6 7so R. . VII. Responsibility Statement- I, the undersigned, assume resp nsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's n re / MP /Iti?RS Number Business Phone Number ��/ k/ 3 X12 his Plumber's Address (Street, City, State, Zip ode) /V .? 9 . 0 Sr AT L✓ z5' VIII. Coun /De artment Use Onl Approved ❑ Disappro Sanitary Permit Fee 0 eludes Groundwater Date Issued Issuing gent ignature o S ps) Surcharge Fee) _ ❑ for Denial 55 _:3_ Z3 IX Conditions A prova SYSTEM OWNER: 1 Septic tank, effluent filter and W 1 t.v�A dispersal cell must all be serviced / maintaint�d as per management plan provided by plumber. 1 � 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 less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) Pagc__ ol Ise ry �df I j d ue/rd 10"14ONfJ G /Sr �t « ra /G �tld4 /.S f I /od. ax G / e �.,ro I 98.3 I i r i I � oScO ,coA f F y Pa 7So 1 / � /.Bu r /i.✓ Ct- /o3.3 4L I l L!G ray C 1 O ' Uwl.06R j".tANSF•�Br�r.� �i dX . Safety and Buildings 4003 N KINNEY COULEE RD commerce LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.commerce. o www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary June 15, 2006 CUST ID No. 3412 ATTN.• POWTS Inspector HERB J PELKE ZONING OFFICE PELKE PLUMBING ST CROIX COUNTY SPIA N6298 STATE HWY 25 1101 CARMICHAEL RD DURAND WI 54736 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/15/2008 Identification Numbers Transaction ID No. 1280540 SITE• Site ID No. 714476 Jeff Dunn Please refer to both identification numbers, 138th Avenue above, ';in all correspondence with the agenc Town of Saint Joseph St Croix County NW1 /4, NW1 /4, S30, T30N, R19W Lot: 8, Subdivision: Deer Meadows FOR: Description: Proposed Four Bedroom At -grade System Object Type: POWTS Component Manual Regulated Object ID No.: 1081674 Maintenance required; 600 GPD Flow rate; 43 in Soil minimum depth to limiting factor from original grade System(s): At -grade Component Manual, SBD- 10570 -P (R.6/99), Pressure Distribution Component Manual, SBD- 10573 -P (8.6/99) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the approved Mans specifications and this letter shall be on -site durine construction and open to infection by authorized representatives of the Department which may include local inspectors. coll ditiollal�v IL n R 0 " FE D cn..or... _._ I � HERB J PE= Page 2 6/15/2006 Owner Responsibilities: • The current owner, and each subsequent owner, shall . receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim @wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Index and 'Title Sheet JUN _ g, 2006 SAFE & BUILDIN Owner: .1 -f 'IZ ✓r✓ Project Name and System Type: .% Eff G�u.�.✓ - '� fir- G��.�, `✓a U rs Location: Street Address A✓.f/, ivy 30 30 r g� �Ec c /��.o ��.✓s Legal Description lio.cn✓ o f mss ,%o sE�if/ �r �.r'oiar �o Township /County Contents: Page 1: _ J.✓orx + �ir�c �.V� r r' Page 2: G'L o r `1,fw Page 3: Cit 4 //ir cF �G G,¢.voi Page 4: Page 5: ���ric life.✓. �lr'/� G iKB�orc L /lvar - .S!�c rio.✓ Page 6: �N�P G�6f1foi1rly,�.��� G.��tdf Page 7: _ �o�✓l's exlWdw - :s ✓ off Page 8 : `r it ,SAFETY A 6` ILDINGS\ Page 9: NCE S� Attachments: �o.y �ve a,o ✓ X El�o n r r w, Plumber er: Signed: Credential Number: _ �,o- 3 ,$112 Date: S - -fI - o L-1seo /v s 7o -!a �r'1s!!�'AE G o�rNi,� �A.✓ava G�.ri.✓� (i'"arssN,at (�/ /Sj',7IQ4TYrJ 41s--o S,a,O /os73 -!✓ " `JitEssuR� �ist'�t�aur�o.� Lorsoo,�r.✓�' iA�✓uAL Paged of Lot 8 ue2 /I� �✓N/Nf do s r I \ ,UdOO„f f �G JtuSN I Q I Czx . Uo�o S I 48.3 /�/to /atco I 6 1,?sa/7s4 co.+e, tv.✓x I / T 14 p 6/f �0 /S r/! /,d %iN cam« A pia �J' -Gwoo. l�aujS r� / /DO 8 FO L L v?d y e o w I ( � �`'� � <E- /oi y � 3 � � cites �.I�t6rL. I /do.8 ' /¢LG 103.3 La 8J, f/3 s rraacrs .yEr Q4/d/Eo 1 X p _3 Of 9 Pages • PhAN VIER L >5 x �,, 1. • � � p�c fctc� ire / -•,? •� r2 FX _ V V Pa, L,r rr ,,1 . a � oQ1lit v� r�..✓ ,ud[c D l/6 6 1./6 6 1/2 s S- ft• x ft. 1 /2B - Sa _ ft 4 . A f t • ° ._____._ B ao fC. P q— ft. L as //a ft. t /6B ft. f t D • Distribution Lateral ,fabric ,�«�jf ovc- .7 '' Soil Cove r Observation 12 G � • 2u ` � H well <: 6 i Note. H is mea §ured from G�L4 /a ���� r directly below Nh }5� the lateral to _ 1 finished 'grade. D 8 / 'rt �i t t i t c ^ N p M A k O w H O C? ro h 1000 w rr H .q t � • � w rr w o n O 0 t a � 4 NO Page S Of 9 SEPTIC TANK CHAMBER CROSS SECTION AND SPECIFICATIONS •.s Scr. yo. 4 CI VENT PIPE 12 MIN. ABOVE GRADE >y WEATHERPROOF it /0' FROM DOOR, WINDOW OR JUG CTION BOX APPROVED FRESH AIR INTAKE T WITH CONDUIT MANHOLE COVERS W/ PADLOCK E �iai -rvsa WARNING LABEL (i i(ArO� y i /�flo.l 4 11 M I N. R Lo �1 INLET 1 ; 1 ' WATER TIGHT SEALS GAS- T TIGHT i `, 6`�cyfa VAPPROVED A SEAL 1 JOINTS WITH APPROVED — i ; ALM APPROVED PIPE PIPE 3' B f ON 3' ONTO O11T0 SOLID SOLID SOIL SOIL' PUMP OFF ELEV . .To FT. -- OFF �i'c�4 RISER EXIT � D PERMITTED ONLY IF TANK MANUFACTURER HAS APPROVAL 3 APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC./ DOSE / TANK MANUFACTURER: !✓ G a.✓c,t� NUMBER DOSES PER DAY: f oT 4: = TANK SIZES SEPTIC 1W.5 GAL.' DOSE VOLUME INCLUDING /.?o. 3 L DOSE 7.r6 GAL.. FLOWBACK: /f'S'9 GAL. ALARM MANUFACTURER: s CAPACITIES: A = INCHES = y3y 7 GAL. MODEL NUMBER: ,o SWITCH TYPE: E,��,r A6 / eAis B = 2 INCHES= -?.,?..Z GAL. PUMP MANUFACTURER: �y�,�,., ����s' C = INCHES = GAL. MODEL NUMBER: s!✓ s'o. SWITCH TYPE: /J�-2c r� r D = /o INCHES = /l/ GAL. REQUIRED DISCHARGE RATE 33 GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WAC ,, VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE 9, y FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . .3,3 FEET + ,S'o FEET FORCEMAIN X _ is FT /100 FT. FRICTION FACTOR ` ,3; g FEET T.OTAL DYNAMIC HEAD = ' /G. FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH rr ; WIDTH go DIAMETER " LIQUID DEPTH ya" I r t SD33 VS i Typical Application' Sump /Effluent pump Typical Application' Sump /Effluent pump - - -- Capocities SWA0S33 - to 48 GPM (3.0 I/s) Capacities SW /SD/VS50 - to 4 GPM (2.8 I /s) Heads SW /SDNS33 - to 26 h. (7.9 m) Heads SW /SD/VS50 - to 24 ft. (7.3 m) Electrical SW /SD/VS33 - 115V, le, 10.0 FLA, 60 Hz Electrical SW /SD/VS50 - 115V, le, 8.0 FLA, 60 Hz Motor SWAD/VS33 1/3 HP shaded pole w /thermal Motor SW/SDAS -1/2 HP shaded pole w /thermal overload overload 1550 RPM 1550 RPM Minimum Recommended SDNS33 = 12' 004.8 mm) Minimum Recommended SD/VS50 = 12" (304.8 mm) Sump Diameter SW33 = 18 "(457 mm) Sump Diameter SW50 = 18" (457 mm) Automatic Operation SW = Wide-angle float switch Automatic Operation SW = Wide -angle float (manual available) SO = Diaphragm pressure switch (manual available) SO = Diaphragm pressure switches VS = Vertical float switch VS = Vertical float switch Materials of Construction Cast iron and engineered thermoplastic Materials of Construction Cast iron and engineered thermoplastic Impeller Thermoplastic vortex Impeller Thermoplastic two vane semiopen Discharge Size 1.1/2" NPT (38.1 mm) Discharge Size 1 -1/2" NPT(3811 mm) Solids Handling 3/8" (12.8 mm) Solids Handling 3/4" (12.8 mm) Power Cord 10 , S1TW,(20' optional) Power Cord 10' , S1TW,(20' optional) Superior Features • CarbonAeromic mechanical seal Superior Features • Carbon /Ceramic mechanical seal • Oil - filled motor w /automatic reset • Oil- filled motor w /automatic reset thermal overload thermal overload • Uses single row ball bearing construction • Uses single row ball bearing construction • Piggyback plug available for easy maintenance and • Piggyback plug available for easy replacement maintenance and replacement 9 30 40 � i I i I i 3, VS33 SW /S /VS50 ti W 20 -- - -- - - -- SD33, SW3 20 3 ° 10 j—i \ •� � 10 i 0. 0 0 , 1 1 1 -1 Capacity -U.S. G.P.M.0 10 20 30 40 50 0 10 20 30 40 50 60 10 Milk Liters/Second 0 1 2 3 PM Q` � �� Swit�hA 1119 33 rT 1 P1 POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner J " 1W Septic Tank Capacity /.?3•" [3 NA Septic Tank Manufacturer J ❑ NA Perrnit # Effluent Filter Manufacturer ZA,a ! ❑ NA DESIGN PARAMETERS Effluent Filter Model rp yao ❑ NA Number of Bedrooms 100 droom D NA Pump Tank Capacity o 1 ❑ NA Number of Commercial Units — NA Pump Tank Manufacturer ,(/itsrA. ❑ NA Estimated flow (average)* 3oo g al/day Pump Manufacturer p NA Design flow (peak), estimated x 1.5* Goa g al/day Pump Model �✓ - �a [3 NA Soil Application Rate gal/day ft Pretreatment Unit IAA Influent/Effluent Quality (NA ❑) Monthly Average ** p Sand/Gravel Filter p Peat Filter Fats. Oil & Grease (FOG) < 30 mg/L ❑ Mechanical Aeration p Wetland Biochemical Oxygen Demand (BOD5) < 220 mg/L ❑ Disinfection [3 Other: Total Suspended Solids (TSS) Manufacturer: Model: < 250 m Dispersal Cell(s) Pretreated Effluent Quality p Monthly Average * ** ❑ In- ground (gravity) ❑ In- ground (pressurized) Biochemical Oxygen Demand (BOD5) < 30 mg/L ,M At -grade ❑ Mound Total Suspended Solids (TSS) S 30 mg/L 0 Drip-line D Other: Fecal Coliform (geometric mean) <10 cfu/100m1 ❑ Leaching Chamber Manufacturer Maximum Effluent Particle Size 1 1/8 inch diameter Model Laying Length/Chamber *Wastewater Flow Verification and Calculations: Soil Application Rate_gp(W Area Req. ft (Other than bedroom based) Infiltrative Surface/Chamber- ESIA Rating ft Minimum Number of Chambers ❑ Aggregate Design Flow/Loading Rate= ft min ** Values typical for domestic (non - commercial wastewater Materials: all materials must comply with WI Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ** *Values ical for retreated wastewater. and approval letters. DESIGN CRITERIA p "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.al.1990) p "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 p "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 ❑ "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis – ASAE Publications 5 -77 and "Design Manual – nsite Wastewater Treatment and Disposal Systems ". EPA 625 /1 -80 -012 October 1980 � A SBD – 10570 –P (8.6/99) "At -Grade Component Manual Using Pressure Distribution" p SBD – 10567 –P (8.6/99) "In Ground Absorption Component Manual" ❑ SBD – 10705 –P (N.01 101) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD – 10628 –P (N.6/99) "Recirculating Sand Filter System Component Manual" ❑ SBD – 10656 –P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" SBD - 10572 –P (8.6/99) "Mound Component Manual" ❑ SBD - 10691 –P (N.01 /01) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 –P (8.6/99) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657 –P (8.6/99) "Drip -line Effluent Disposal Component Manual" OSBD - 10573 –P (R 6/99) "Pressure Distribution Component Manual" ❑ SBD - 10706 –P (N.01 101) "Pressure Distribution Component Manual" Version 2.0 ❑ Drip -line Effluent Dispersal Component Manual for Multi -flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequenc Inspect condition of tank(s) At least once eve ❑ months -3 ear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum a uals one -third (1/3) of tank volume Inspect dispersal cell(s) At least once eve ❑ months 3 ear(s) (Maximum 3 v Clean effluent filter At least once eve months ❑ ear(s) Ins ct um , um controls & alarm At least once every ❑ months 3 ear(s) ❑ NA Flush laterals and pressure test At least once eve ❑ months 3 ear(s) O NA Valves At least once every ❑ months ❑ year(s) NA Other: At least once every ❑ months ❑ ear(s) ❑ NA Page�of__�L START UP 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. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ❑ Valves Valves shall be operated in the following manner: Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). C� Septic Tanks Component lll��� 111 Tank inspections must include a visual inspection of the tank 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 backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) 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 NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more /�� frequent intervals than stated in the maintenance schedule to keep the system operating. / Pump Chamber/Treatment Tanks Component v The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of any filters. Any service needs or repairs shall be promptly taken care of. p In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page j' of *Mound, At- Grade, In- Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. - REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - T he contents of all tanks and pits shall be rcmnoved <nd prox:ly disposed of by a Sept«ge Se:r cing 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 other 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: p 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 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. p 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. 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. 6k 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 CONTIAN 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 E4'4 Name d 1,L�r r.v �,✓� Phone 71s e 7. Ira e4 Phone S L 7� - .Pl SEPTAGE SERVICING OPERATOR (Pum er — LOCAL REGULATORY AUTHORITY Name HA enc Sc L Phone one 7/S 384 - o KAWPDATMEMPOWTS OWNER'S MANUAL.doc Pagej of 2 . y Maintenance The interval for servicing septic tanks is set by state and local code. Throughout the United States there is a wide difference of opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Zabel" filter, which does not increase the frequency of servicing for the tank, should be cleaned when the septic tank is normally inspected and pumped. However, our filter is virtually self- cleaning. The continued action of the anaerobic organisms on the Zabel filter causes lodged particles to disintegrate and fall to the bottom of the tank. If your filter contains a SmartFilter'" alarm, you will notified by an alarm when the filter needs servicing. To service the filter: 'Servicing any zabel filter should only be done by a certified septic tank pumper or installer. Locate the outlet of the S septic tank. Firmly pull the filter handle and slide the canrldgA.CUt ti Remove the tank V t of the and pump the t I., 'Note A tee handle necessary to pi r i to be used If the lilfer is t r lir y any solid below ground level to escaping to th ha nd eSt Zabel for Info d when the f , rem / 1 s 4 While holding the c;�rttCd Afo rei. �, t the access opening ,J,fA r .`e'+. Insert the fllter'y �f��d @' cartridge with frestl,'rtit�' back In the'.0 careful to rinse all sure the fill ' b IP proper) 'Note: It is not neces m c om p letely i co 'spotless ' The biome p y aJdes in tpre►reatme j be left on the Mar. (If n may be disass i3 Replace t . J7 MA The product(s) shown are covered by one or more of the following patents: US. 5,762,793, 5,580,453, 5,591,331, 5,759,393, 5,683;577, 5,582,716, 5,779,896, 5,593,584,5,795,472,5,736,035, 4,710,295, 5,382,357, 5,482,621 U.S. Des. 386,241, 349067, 4605501,5098568. Des. 309007, Australia: 134440; Canada: 2,135,937; Israel: 111574; New Zealand: 264824, Other Patents Pending Call for a free ZABEL ZONE An Onsite Wastewater Magazine 1- 800 - 221 -5742 - Website http: / /www.zabetcom WisconsinDepartrmentofConsnerce SOIL EVALUATION REPORT Page of , _ Division of Safety and Buildings in accordance with Comm 85, Wis, AdrrL Code County l" Attach compiete.aite.pion on paper not less than 81/2 x 11 inches in size, Plan must inr de, but not iirnv to: vortical and horizontal reference point (IBM), direction and Rarest J.D. percent Slope, scale or dlmensions, north arrow, and "tion and distance to nearest road. Please print . 811 intorIMallon. Reviewed by ` ' Date PsrswW kVOpr WW you provloe may be used for secondary purposes (Privy q Law, S. 15.04 (1) W), Property Ownsr Property Location ti�i'd .✓ Govt. lot V'l 1 114 S r jO r ,eo '„ N R q Property Owner's Mailing Address Lot # Block # ubj Name or CSMAt Q nr L— Q Z- 8 "Cm 4^..�0a ✓S, City State Z p Code Phone Number ,e 64y 9e own 'Nearest Road vi_tv WI. Sy (G /d .� ?, New Construction User Residential d Number of bedrooms 4 Code derived design low rate GG� GPD © Replacement E] Public or commercial - Describe: Pare:tt material _ Flood Plain elevation If applicable .✓.O 1. and r GO�'rneti re c o mmendatio ns: �r Gt.�ert �4alJY ` f�� /firs �odii.✓� ,ti rE lf�i..y. .fYJ. mss. — /dD..f'� �I�LGr✓ La.✓ r�a4� JO.y6 wTis'uf // r l�'I�LL rosrrA ! evovar0 # Bo ft. Depth limit; factor Soft pit Groundsurfaoeeiev, /66.8 ngi s/f� in. • Sad cation Rate' Horizon Depth Dominant Color Redox Description Texture Structure Consistence . Roots GPD/fP in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh, 'Effk1 'Ef #2 D- M a u -.l Y r 1/- / — ,,, ^ .. . Baring # Ground surface elev. F] Boring Pit R Depth to limiting .... , ...... i J /a�. 3 factor �� in. Sod Appligo Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1* In. Munmil Qu. Sz. Cont. Color Gr. S= - Sh. •EfI#1 'Eff#2 ZA - f/3 , SI.e / � r �► Effluent 01 = SOD > 30 < 220 milli. and TSS >30 < 150 nV& • Effluent #2 e.'60D 130 mg& and TSS 130. ff*& CST Name Please Print) S' natur CST Number See Address Date Evaluation Conducted T41ephone Number nnn Al•ATM+AA� 2d WtibS : E® 900E ??- 'heW Xtt-:1 113SSdHf - 19t JH0I W : WONA r 1 Property Owner ✓ «' L z.6y .. Parcel ID # Page of _,� 91 Sol pcation . Pit Ground sudace elev,. -✓Qa.1 R. Depth to Umlting tailor _ in. Rate Horizon Depth Dominant Cola Redox Description Texture Sbuotu% ConsistenM Boundary : Roots GPDM at. Munsell Ou. $z. Cont:'Color Gr. Sz. Sh. •Effgt. 'Eff+ll2 gg 3 ♦ s r' .� d r� BAAAg d Boring .. - Q Pit Ground surface elev. ft, Depth to Gmlfng (actor �� iA. Soil Apalkation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consia Woe Boundary RoOls GPD/fl in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'EfF#1 * B ... Pit t . Ground surface eiev. .. Depth to limiting factor _ in:, Sol A Q &ation Rat® Horir_on Depth Dominant Color Wox Description Texture Structure Consistence Boundary Roots I G /ff - ' In. Munsell Ou. Si. Cont. Color Gr. Sz. Sh.. 'f3f l 1 0#2 ff �...... .' Sfituent 01 a t340 , > 3.t) < T2t? and TSS >30 1 mg/L • Effluent 02 = BOD mg/L and'1SS S 30 rngll The Department of Commerce .is an equal o rtuat a the do rand at 608 - 266.3151 or r 777. q PPo P tstanoe to a ccess.serrtcas o r need mater in an alternate format, pleas TI'Y 608 -264 -8 stsw�ao (Ra��ool I F—d i H2<3 :60 5007 cF 'h ?W t758Zt728SZL : 'ON XlJJ iASSdH.CO3tlHO1 W : W06A ► s' r CA ks4 ?�r0 /N��t Awj t- Allfle® ll. � /OO.ds �• �AewO � . ,f'tt'a,I riot A Y ' rPesr - 1 ►a • Rcopy lu�oir .. ,. � �� °.3�a p ja i • yAi' ..' w slb AL i . �o r1y .l 1 W .11r4/ Ld WHZS:F,@ DooF. Fz 'heW b68LbC8STZ: 'ON XUA 113SSHHf W06J 7 (LIS VUyconsin Department ofCommerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must o include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. ev' wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location F ��,�� Govt. Lot V41 1/4 A ,,. , 41 1/4 S jo Tip N R 9 (o� Property ner's Mail' ddress �j Lot Q # Block # Subbdd. Name or CSM# r rI I C— CSt ate Zip a Phone Number image own Nearest Road I S ( �/d ) - �s �`.��E New Construction Use: ( Residential / Number of bedrooms Code derived design flow rate G60 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable General comments and recommendations: / ` fo a/��r Loloi✓� R� rE /CE�o�va� ✓o .fYr. �L. /60. �� / Leal l"•u j c Serr� .csilctS // ►` 1M.GLL I T"o �6 /ZFi'/erl�0 Boring # ❑ Boring C o Pit Ground surface elev. 1646, 8 ft. Depth to limiting factor *0'Z , in. Soil Application Rate Horizon Depth Dominant Color I Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 6 xe -?/a 'os . � If yy �d s m a Boring # ❑ Boring Pit Ground surface elev. /Q.3.3 ft. Depth to limiting factor in. Soil Kplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 d ofig S .? / v7 GS u L 8 /o rt r/2 +- 3 - <o syR r Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 /L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/l. CST Name (Please Print) r CST Number Address to Evaluation Conducted Telephone Number So 3 ��✓�y fir. Z;y 1,V , f /,./I S a %r i Property Owner ✓ffF !r✓uv,✓ Parcel ID # Page .? of Boring # ❑ Boring Pit Ground surface elev. Z.0d.0 ft. Depth to liming factor in. Soil Application Rate _ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 D - axt ,, v - r / -- s6 8 Boring # El Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30:5 150 mg/L ' Effluent #2 = BOD < 30 mgL and TSS < 30 mg& 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- 2648777. SBD4330 (R07/00) l y r O O � .3B / � 9 o H •• .. H � � 0 i . %ueiE a 4'4 Ec rn G , 122 od.3 / ro 0 00 U.Vout 4 r1AI ( L a *.cs Aa M i /yp l t � a T -W r . 1 Us �usM `' yd O 'Al ' yo o y 4 � r? : ,BALK fact �irS (,/N.O 6�L fi AAN .! FVdM6•t Qa�IC � _ I ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer jzl;celzc� ,#.o L. e c k yll fD uNA Mailing Address 1' 7"2IR-"1G lC ble- . MD d e fv.v w L 53/ Property Address a (Verification required from Planning & Zoning Department for new construction.) City/State O aG1 Parcel Identification Number O30 - Z 13 3 o g d o ,Zoe$ LEGAL DESCRIPTION Property Location '/a , Sec. t , T !�Q R 19 W. Town of Subdivision 1JCr 1��a� 5 , Lot # Certified Survey Map # 7 L 1 76 11 , Volume , Page # Warranty Deed # as , Volume , Page # Spec house yes no Lot lines identifiable yes no 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(l) and in Chapter 12 - St. Croix County Sanitary Ordinance. The roP e rtY owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the P �' 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. I/we 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 � o !o 7 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) 06/12.`2006 13:15 FAX 715 749 3839 OSBURN & DAUGHTERS 1i1J0i71 can ti'1 R,E'S C o �� ✓o�c tor 8� pats o Door PW V RV*. j i � ' 1 o KJ ~ T . J nW 1. o CIO, �,; !tall e � R {� Pw • h LauK�+�y Clos 5'llcly Ulu yr z Lj `---� 30 , e 1 i 06;12i2006 13:16 FAX 715 739 3839 OSBURN & DAUGHTERS (�j002 I i i S E � y 4a ow IJ f 0 r- � d d � s a 3 D+'p l r`r"isconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings Page of in accordance with Comm 85, Wis. Adm. Code ' Attach complete.site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County S include, but not limited to: vertical and horizontal reference point (BM), direction andC 0 Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.- �,�J1jlN G Please print alf-jq#oruaation.,.. _ v ed by Date Personal information you provide may be used Qseconda aw, s. 5.04 ( ) (m)). O Property Owner # Pr perty Location 1J4N 1/4 S T 3 Q N R L E (o W' Property Owner's Mailing Address L t # Block # bd. Name or Su CSM# 1 �1 Zzo sr g — � ►"-1 mow s Ctty State Zip Code one irntb2r - °-� -� City � Village po Town Nearest Road �� w Sgpo (Z�S) 6 &y -y16Y{ ST' �sk��>W I ® New Construction Use: ® Residential / Number of bedrooms 1 Code derived design flow rate _ L` S El Replacement GPD ❑ Public or commercial - Describe: Parent material `- v f_S S T k LL Flood Plain elevation if ap b N \ General comments 1 and recommendations: c°ti VIZ. e tai , qg I e E Boring # E] Boring O h ® Pit Ground surface elev. � g- 3 ft. Depth to limiting factor S S Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 I 'Eff#2 C)-10 vbLl1Z 311 s% 2 )0 -25 ► °"L��t — sib Zw�sb� ►n`Fj- cW � -5 .g 3 ?S 32 10yrz316 ►n)6- L4 32_tly Z.s`1R.3l� � <sut(Zs /g L_ err m`Ftir a Boring # 1l ❑�� Boring I Lit Pit Ground surface elev. S fL Depth to limiting factor �` in. —�` t C Soil Application Rate Horizon Depth Dominanolor Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 Z 1p _ to iZ31 b s i J 2,m sb k 3 zg -�t1 � e y/Y L los '41-28 �sye y! �tfi 2 5LY 2. S IS Lis f, C►l m`f�. Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) Si re CST Number Arthur `L, Wegerer Q) 3 ~�oZ C� 220254 Address W e g e r e r S O i l Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. %lain St. River F3 UI 54022 6 -16- 0 3 715 -425 -0165 f Property Owner G Parcel ID # _-)1N IQ, Page 2 of Boring # ❑ Boring RL Pit Ground surface elev. C 1 6• 0 ft. Depth to limiting factor ? in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fl= In. Munsell Ou. Sz. Cont. C olor Gr. Sz. Sh. •Eff#1 'Eff#2 1 o -113 lb4 Z 14 -7-9 1 o Ll iZ-3 ! Y 2 b1T �n`F� cw L 3 Z9 - lo`ZIZ3A 01� .Sze 'S i I F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color . Redox Description Texture Structure Consistence Boundary Roots GPD /1`1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 • Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.N00) PLOT PLAN Page 3 of 3 Scale .1'= SO' pZ,oN7-�S LAM tt-Z- ► 71ovrZ �.. $ • l ! l \o DO NoT CU�1 PST UR O V STU Z % `Nfls > IS'j ��?S _1 0 "�PcIL, "D1R PVC Ptp�W L " 1 88 rJ Y -^ bT• LR� W3 my ura � w.. --- - - - - -- 71 - 425 -0165 ' 2202 O 3 O — Z 8 CST Signature Date Telephone N ti p o . CST Ito . >` Job _I0. 4B;_=>t5 C12 r=7). t5 KATHLEEN H. SAL sH STATE BAR OF WISCONSIN FORM 2 - 1995 REGISTER OF DEEDS ST. CRQIX CO., 6€I RECEIVED FOR RECORD This Deed, made between Western Wise. Constr. & Design, Inc., a Wisconsin corporation; Grantor, and "Jeffery Dunn and Lee Ann Dunn, husband and wife, as survivorship marital* property, Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys and warrants to Grantee EX 'f # the following described real estate in St. Croix County, State of Wisconsin (The REC FEE: 11.00 "Property "): TRAMS FEE: 338.70 COPY FEE: Lot 8, Plat of Deer Meadows in the Town of St. Joseph, St. Croix County, CC FEE-. PAGES: A Wisconsin. Recording Area Name and Return Address Ronald L. Siler VAN DYK. O'BOYLE & SILER, S.C. 201 South Knowles Avenue New Richmond, WI 54017 030- 2133 -08-000 Parcel Identification Number (PIN) This is not homestead property. s i Exceptions to warranties: Subject to all easements, restrictions and covenants of record. j Dated this i Z ' day of Muy, , 2006. t Western Wisc. Constr. & Design, Inc. �a *Scott Green, President * * AUTHENTICATION ACKNOWLEDGMENT SC ' t { e e , STATE OF WISCONSIN ) I Signature(s) U ) ss. St. Croix County ) authentic ed this I z day of May, 2Q06. � Personally came before me this day of May, 2006 the above named n . 030- 2133 -08-000 Parcel Identification Number (PIN) This is not homestead property. Exceptions to warranties: Subject to all easements, restrictions and covenants of record. Dated this _ �- day of May, 2006. Western Wisc. Constr. & Design, Inc. *Scott Green, President AUTHENTICATION ACKNOWLEDGMENT Signature(s) SC 00 (S r e STATE OF WISCONSIN ) ) ss. St. Croix County ) r- authentic I ged this 1 day of Ma Z26. J 7 Personally came before me this day of May, 2006 the above named TITLE: MEMBER S Y A T E BAR OF WISCONSIN' to me known- *_o b l v (If not, person(s) who executed the foregoing instrument and authorized by § 706.06, Wis. Stats.) acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Ronald L. Suer VAN DYK, O'BOYLE & SILER, S.C. Notary Public, State of Wisconsin My Commission Is 201 S. Knowles Ave., New Richmond, WI 54017 permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - IM INFORMATION PROFESSIONALS COMPANY FOND DU LAC. Wl 800 - 655 -2021 . NORTH LINE OF THE NW 1/4 — NW 1/4 R.A. M,3 LSM S 89'22 E 1244.04' �L 1 PAG 3251 lQI. C� 7s 9r S 89 22'20 E 1244.09' VOL. 12 PAG 3255 it 1.88 oV4 I = 247_40' f 484.87' .�E lH0 - 931.BK N ���,• I�� — 1 I I ° O SHED ` LOT 4 r N w,.-n E 101 LOT 5 w 135249 S.F. I / LOT 1 3.10 33 .�� p ti 161803 S.F. d I 130747 S.F. 3.71 Aa s 3.00 Ac. N.B.. / 1 � 7� �'' £ N.B. 92534 Sq. Ft 212 Aa N.&. 130747 Sq. Ft b 0n N.B. 3.00 A. .N. k ° \ I NME 931.80 m LOT 6 > 330.04' I 130790 S.F. I I W 330'0°' ? , LOT 3 CSM VOLUME 2, PAGE 549 3.00 AO 'o' Z i 66N rsE i / IHO 948.Od t2 z Nb.12U56 Sq fl. I Z ° v S �4 N8. 288 A. IN LANDS z N ` �N S s i � / — — — — — —s "471 r E 6 sm-W ' w Yg 2 SHED 6 �' > rq 3 *? iI R� ' Q_q.�`� 3.9 F 0 Ac. ;U © 78p339� �� w o A 1 34 9 04 E 330.00' t90 83150' © I N 94100' y o In g ^y _t c O 330.9 E N.B_ 123782 S,. Ft \ p N N 3='41r E L E( ` ° 1 + K8. 2A4 A< I 7S /i N BSq'21 w (� G • 4, p� 3 L�T z 7tY / °R 66 �+ In 130676 S.F. m F £ f e7 \ v 7 3S 33. Ik' HOU E 18 O Ac- G a on )T i i ,� / \O'0 \ 75' O I 75' 4 114100' On�wACE�E P N i. '67 S.F. I HVIE \� LOT 2 CSM 1 9 VOLUME 2, w AGE 549 z )2 Aa �- _ /i = KB» 97400 sI Ft\ 0 - 94LOW ,p ! � � 4 /�N �1 6• I gl I K8. 2.24 A. ium wlvawur S 22A -'S5 w \ 4• N KB_ 102639 Sc. Ft I $ 2.36 Ac K � 4• *'A / B. �I 9a6rur — A� w S 89 E 742.12' — — — — — — N 8 5•x•2' E 11 3.88 ' S 8934 5' E 268 g TOWN ROAD S 8 .021" W 18236' N 89 34 5 w 288 2 • N 89*3 59 W 792 10 — — — — R.A. N 893415' W 792-00' w aGS-4 w r _ 0519'06' w O 1'02 Z _ 6/Ar O 5 1056'06• w 96.65 • � LOT 1 CSM VOL 2 PAGE 511 8 ► J 7'&3r 4 OWNED BY OTHERS > c Z s , R OF ` ' LOT 8 ND ( `•��eTE G 3.51 Ac. LBO •• 941.00' KB. 125858 Sq. FL N.B. 2.89 "Y M1N11 89'3 W 446.69 mmWN '_ ja�'i R.A. N 8934'15" w UNPLATTED LANDS SOUTH LINE OF THE NW 1/4 — NW 1/4 66 IXtAnED Br. SWAN PERSON SHEET 1 OF 2