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HomeMy WebLinkAbout030-2047-40-000 ° M ti c' O 2 0 N a� o EC C U N Q p O. a N C O O. O p C 2 N O a � Z W LL C N O O a� E Q Faso o v U (0 _ m M a a) O _ O �. O O J � � O O d m N I - (D O z d C 00 - y C c (9 N N c • N o a`r 2 o a O o v= z z z o z o N C d 7 N Z (V O In .. t 1� 06 a o 06 L E h H I 0 0 0 0 a • a n. a a j N N Lo J V O N N } a co 00 ±+ `-� N CL N 0 6 y O }3 N `hB • [� � � � 3 a � sip io I O C N C E Lo 00 O -C O a co C C 0) 0) N Ci N O O cp N O O , W n lye, -� '.. N .r 7 'O r C N •' ) M CO Cg y O p U O O Cl 65 W H O z O Z 5 (n CQ .. a #t a o w U E CL i • C C w Co n A V a 2 j O v) 0 Parcel #: 030 - 2047 -40 -000 03/08/2005 12:16 PM PAGE 1 OF 1 Alt. Parcel #: 27.30.20.5101 030 - TOWN OF SAINT JOSEPH Current X'', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * GARY &KATHLEEN TRUST ELERT ELERT, GARY & KATHLEEN TRUST 1378 HILLTOP RIDGE HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1370 HILLTOP DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 27 T30N R20W PT GL 3 COM N LN LOT 3, Block/Condo Bldg: 1316 FT W OF NE COR, TH S 38 DEG E 229 FT, TH N 82 DEG E 30 FT, S 38 DEG E 142 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) FT, S 67 1/2 DEG W 66 FT N 77 1/2 DEG W 27- 30N -20W 338 FT, N 6 DEG W 244 FT TO N LN; E 161 FT TO POB EXC HWY Notes: Parcel History: Date Doc # Vol /Page Type 08/30/2001 655190 1709/231 WD 08/30/2001 655189 1709/227 TI 04/10/2000 620983 1501/424 QC 2004 SUMMARY Bill M Fair Market Value: Assessed with: 6113 510,300 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 200,000 302,000 502,000 NO Totals for 2004: General Property 0.000 200,000 302,000 502,000 Woodland 0.000 0 0 Totals for 2003: General Property 0.000 110,700 0 110,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 030 - 2048 -50 -000 02/18/2005 12:30 PM PAGE 1 OF 1 Alt. Parcel #: 27.30.20.510Q 030 - TOWN OF SAINT JOSEPH Current )Kj ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s) * = Current Owner * GARY A & KATHLEEN J ELERT ELERT, GARY A & KATHLEEN J 1378 HILLTOP RIDGE HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist# Description * 1378 HILLTOP RIDGE SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.150 Plat: N/A -NOT AVAILABLE SEC 27 T30N R20W 2.15 AC IN GL 2 LOT 1 Block/Condo Bldg: OF CSM IN VOL I P 144 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 27- 30N -20W Notes: yg'y" Q� Parcel History: J ` Date Doc # Vol /Page Type 07!2311997 4 WD 07/23/1997 684/574 br -- j , C" 14 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 6123 460,200 Valuations Last Changed: 07109/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.150 180,000 272,700 452,700 NO Totals for 2004: General Property 2.150 180,000 272,700 452,700 Woodland 0.000 0 0 Totals for 2003: General Property 2.150 108,500 218,900 327,400 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 311 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 f Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. CTOIX Safety andiBuilding Division S. $ INSPECTION REPORT Sanitary Permit No: 408267 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: Elert, Gary St. Joseph Township 030- 2047 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: nG 0' (23 oaG1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM eratio Bldg. Sewer Iz.(Z 3.a Holding Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / Dt Bottom 7� �I S 7 IK 3 4.2 PP 5 5 — Dosing � r + D/ l oo s Header /Man. Dist. Pipe C-� "�'. Holding Bot. System PUMP /SIPHON INFORMATION Final Grade Manufacturer Demand St Cover / p I GPM 5 Model Number TDH Lift ✓ Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well 7" t 2' SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L IBLOG WELL LAKE /STREAM LE G Menu a ure : INFORMATION Type Of System: MB R O lOw 51 ` r > / Mod I Numbe . DISTRIBUTION SYSTEM 1 J Header /M ifold Distribution T le Size x Hole Spacing Vent to Air Intake u Pipe(s) Length 1 Dia Length Dia Spacing 3 l! A14 IVA SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xc Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes [W No FN Yes FBI No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 21 / 0 Z Inspection #2: Location: 1370 Hilltop Dr. Houlton, WI 54082 (Government 27 T30N R20W) NA Lot 3 Parcel No: 27.30.20.5101 le 01 t'i�� 1.) Aft BM Description = S� dover q) 5 ysjcY^ dtLe 1iVV%'1f 0k5 etnCob,►- .i/er WG ✓e D 'ed 6urivI C� 2.) Bldg sewer length = �� �� SWs w #-re PrOVide(� W pikPKIx✓ bcCauSc t�iG `� �tef�yi'l�tl - amount of cover= 4 564.1 do t� Shaw �aP�l�afc Qj SeWe✓ P; Pjk*,.hte✓ Wa.b LCrf4�k a vEvA• J r -3 was + a,-e kx s kieeA ck 4e Aoy u sed a , level - 4 1'r. s�a 1( t ly ` P r4&4 . +d l>n�k. Plan revision Required? res ''- No / Use other side for addi m informat on. Date /�� Insepctor's Sin ure Cert. No. SBD -6710 (R.3/97) 6 •) 4 kv`� df yWe if W, bL 4l�Cf�t 4" et. ON 4d r"U Y �- �a► g Cod C Y Ay Uri L i?Qy+ u u; 19 MAIVA 6 f So /Zee A-2 (j 7 j 1 12 C s lz- 7 �-�� -6- �1 Safety and Buildings Division County N v isconsin 201 W. Washington Ave., P.O. Box 7162 / Madison, WI 53707 - 7162 Site Address Department of Commerce I F Vo -Ll— 3 S 5 /37o/iH1«r - 12 z - r,.c ° j .ryr,V Sanitary Permit Application Sanitary PS fjtt Number In accord with Comm 83.21, Wis. Adm. Code, personal information you p rovide ❑Check if Revision may be used for secondary purposes Privacy Law, sl5. 1 m I. Application Information - Please Print All Information State Plan I.D. Number Property Owner's Name Parcel Number ist 'L 7" 4 Owner's 030 � 7_ Yo -oc c> Property Or's Mailing Address perry Location / 'A ,'A. )7 T j N R ° � g City, State Zip Code Lo Block Number � T . CROIX COUNTY Su 'vision Name CSM Number r — IN OFFICE /� ✓V /f H. Type of Building (check all that apply) ❑City ;9-1 or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public/Commercial - Describe Use ®Township - - :5 1 -r 5 11 State Owned Nearest Road � a 16�7 ceO 1, A'oU6— III. Type of Permit: (Chec ne.box on line A (numbering scheme for internal use). Complete line B if applicable) A. I C1 Ne 2 II Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use Sy stem Tank Only Exist' Existinz Syste m B • ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 44 Non - Pressurized In- Ground 210 Mound 47 ❑ Sand Filter 50 11 Constructed Wetland 22 ❑ Pressurized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V.Dis ersaMeatmentAreaInformation: C'Ft err :�S l rN i4T��FT 1. S Fz ('/fotRt ?� Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Ram Aystem Elevation Final Grade Required Proposed Z/ Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanta Tanks Septic or Holding Tank _ /2-5v� Dosing Chamber 7 VII. Responsibility Statement- I, the uad ed assume responsibi'li'ty for installation of the POWTS shown on the attached plans. Plumber's Name ( / nt) r' MP/ Nu-m - -r Business Phone Number t/11iYct1�/ �f /G >� , !? / l 715 T L Plum Address � ( SS tmet, /J City, S Cod A // u VIII. Coup /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued issuing Agent Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse �l ��� j D e ete e rmination pp v IX. of Appro ors for . 'lf (2 tt cl� SD C COVA T `6 - tA+n� e►o - 4 to tlAVI s W.4+ +, c Attach complete platy (to the County ond) ror e syst pa n - 81/2 x 11 foehes In sae 4 ,►,. -U. Cke", W �(' hz- ,� � c � spec, .'s SN 9 (. 05101) - '�—�� n SITE PLAN PROJECT PLAN I.D.# OWNER 6 Ait Y r TAX PARCEL # MAILING ADDRESS 13 �' �� LL % �� /� /J 17 CCU 1] CTa ti (y' 5 Y 9Z.. LEGAL DESCRIPTION /D % t' CoT �'S'a2? % je 4 SUBDIV. LOT # TOWNSHIP ;5 1 :: c C 5 - _ COUNTY 5 FIRE# j TID STIAVE CL f DRAWING BY J MURRAY, CST & MP #12077, P.O. BOX 9, CLAYTON, WI 54004, PHONE 715 -948 -2422 SIGNATURE i GATE 7 — (6 �� Z- SCALE �. - � - /,C - aZ ✓ �'r�JzS 5 i�ro.��_ 1y� ''�GG � V'q 7 4 /oo.oi 99, 2- o D ---- 1 9 , / G , 1 r' j 1 �'ci L o tc,�S T' f o• t3 r 5, Z if 1 i F c u 5 G f Ex lS! /erlJi:r< V iLP,T" C � "FD ,2C E /:r A,.✓ ` j' Atli Dr =l�2t7 ffvD M,�.✓rtciil _ S i)t c r _3 'r. p 64A rn� LD ►w g q �on(c EXIST /NI � n .I04f-- 1 +7' ExiST�fi�'[S1t Er'fi � 97 5 q' ExtsI r �t 0 4 C. g:- ^-A/ 0 o'c rr 1� c >`/ c,c' C' /�fl ��d�� ;5 6 PAGE OF SITE PLAN PROJECT l Lf kt-F- jGll Ef l S PLAN I.D.# OWNER TAX PARCEL # MAILING ADDRESS 7 �5 �l C-C l al �� 17 C C Ta sk l 6 f 5 Y ,�?2- LEGAL DESCRIPTION LD % 0 C cT :? — f; 7 - — T Yc 44; 2 . 4 , S - UBDIV. LOT # TOWNSHIP S t ::c�'a p {-t' COUNTY 3 FIRE# 1 ST /AVE �� DRAWING BY J MURRAY, CST & MP #12077, P.O. BOX 9, CLAYTON, WI 54004, PHONE 715 -948 -2422 SIGNATURE DATE 7�(� _ �` Z SCALE �..J � �tl � G'l C'a!, �:�./� T� t�A.fErviEu'r Gv'i•ti'JcU,' .S�L t.� t L3dn. /©o.© G ' ' T r G /�7" t I t � cuSG izsr �.. L sr Z G r 7sv LR- c m r Aa: DH2,r> //vD Msan/rrettl f; 64K XI ! F/n/rsN �x157�f,Krrs ��0��7` 97.1 r F_xrsr�a S' �ST,c ✓t( r1 F_ V. !z" loo S;'r P4ca PAGE OF .fS c 7`/ C,t;' G''f7f1 11*5 K'4 — 5 C'r t 15 Wisconsin Department of Commerce 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 8 1/2 x 11 inches in size. Plan must r tX 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. 6 3 c — ao Y 7 _ Yo 000 Please print all information Re ewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location �,4! ,-1 Z� r_ Q *7 Govt. Lot - 3 1/4 1/4 S .27 T —:?p N R E (orCW Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 1.3 ffiL (- c ra .e t1 Gr — City State p .544 Z Zip Code Phone Number d ❑ City [j Village C&Town Nearest Road ) 3 7� f70UL ! ew t1J i ( 7rs ) //.) S'ff— 5� 5 J — cg 5 i f- iL-Ll vP D /? ❑ New Construction Use: �3 Residential ! Number of bedrooms - Code derived design flow rate °° X f S = O GPD P Replacement ❑ Public or commercial - Describe: Parent material J/Ll 9,A /(V uJ ✓ Flood Plain elevation if applicable Al /q ft. General comments ��(� , y.� /ti' F / LT /z/`f T t / L S r f! n J /} /2 JD ZtF,+c; Ni "V ' i - e, . ec' S and recommendations: /fir rL Tr' - 7av+i. S.ff2 FrFcC F�rz C` 0j FT, .— r '— /y9vsT"L:j,,` , f +t r „ �HA/x�Ki r- 4 ❑ Boring # g C, -7 �� C ❑ pit Ground surface elev. �� r � ! � ft. Depth to limiting factor 7S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture k Gh, Consistence Boundary Roots GPD/ft / in. Munsell Qu. Sz. Cont. Color 2 'Eft#1 •Eff#2 Vk �� .7 j,Z ,5� 5 - 7 -75 S yl� 41,5 -tom e'A- C 75 K 3 / amt A,/ Iv -- — ❑Boring # - "Boring ❑ Pit Ground surface elev. �/ I. V3 ft. Depth to limiting factor 7� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr f Sz. Sh. 7 `Eff#1 I •Eff#2 2v -3� t, �iS ,� ,s p/ ''�� r - 7 t Z— • Effluent #1 = BOD, > 30 < 220 mg /L and TSS > _ t E = BOD < 30 mg /L and TSS < 30 mg /L CST Name ,� P l ase Print) I lure n ��(( —�� CST Number 1 7 Address qate Evalut9on Con Telephone Number Oc K I L 7 Z, f Property Owner �/ r / Parcel ID # U ' / Page of 3 Boring �� E Boring # �. 7 > 7Y In. [] Pit Ground surface elev. ft. Depth to limiting factor 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 ,7 z �? Z t `�-S� to , t.2 2. Z Boring # ❑Boring C � p � y d Ground surface elev. tt. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Foundary Roots GPD/ft� in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 3 3j 47 v ❑ Boring f b Boring # Ground surface elev. ft. Depth to limiting factor in• Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots `E GPD /ft in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. AV ti W 7 z ` 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.6/00) . . jai �.c. ,� sir .. ►�FiC�C ...- 4...,�..tJC,.......,_. c PLAN ID # TAX PARCEL # MAILINIG ADDRf SS: — �. � � �j �7 /� TT/ f � •<?r l��x.� _____. ____ _ _ _ _._____ — _ J___ _ .__ ..._ ____ n__� _ t.E:G.3_ DI:St.:Rtif fir:, G_vTL�, r.:? �ti`- !Qzvul�; LJfDflilSt(3N: __._._.LOT i O 'ViN i"Tifl�",...,�- l,�42I -- .._COUNT'Y..__S!_, `��g-tA_.. -_ ( l3 70 `:�,- ,`A v� ���P �� <(OL )t2,'�'uVING f3Y .1014N N. A,9L IR;�AY (C:SllA ## l4ND Mot# 1207 7) SCALE .._....x__ N _._._ .... (____ I�.:. liF7X ( " <f.,4kY`T N, Wl 54004 PHO14E (715) 948 -2155 DATE L Jf� - V T - lG , iU S' 2 t� - -- 72r r3- T 7�� -�z, w Y v. G�r2 t7y 5, G ° E'Z'7` fS, w u -4o 1 Lr air] c -5 "T S 1 fUlA�g -� Kt''Lt� "G- SSG ✓/� P � -/Y,I, �._ R ,lt — Y Z ''f - 3 PATr .ri;r�,v i3 17 -�i Y7 k MAILING ADDRESS L.f:GAL D"'.'S(R!PTl,0N:. �;, Sul Lc — 2 o.tl- ,Zc?u/E; f D' - LOT#11`_______ -___ T CJ •:€ ( FIRF DRAWING 13Y ,1014N N. NUf ?RAY (CSITA ## AND MP# 12077) SCAL k M 54004 PHONE (715) 948 -2155 A TUR 7 - 4-6�_ r r Lt�_ V4 7 S' E i� - — fir, �f3 ' .'" ��'rr - °'�, — y�.. r g' ►� � t_ 7. S. T ; V Ts 6, Z � w / S, °` � ,. ' 3 g2 Ho�5 � B� k: /�, 7— Ito L' S �f �, �a t lsia/l d�ro r VA PATro .L 3' (fir 0 �r�- � bid i SATE PLAN PROJECT ��!�ti /� Y�' <' PLAN I.D.# OWNER TAX PARCEL # MAILING ADDRESS / �� /<iU LEGAL DESCRIPTION /47L SUBDIV. LOT # '— TOWNSHIP j 7_ COUNTY FIRE# 17' AL DRAWING BY JOHN 0. MURRAY, CST & MP #12077, P.O. BOX 9, CLAYTON, WI 54004, PHONE 715 -948 -2422 SIGNATURE vt DATE �� -� �'� SCALE Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather proof warning label locking device grade levels junction box -> disconnect grade levels electric as per NEC 300 and alternate et 4" vent pipe Comm 16.28 WAC outl \ location 18" (46 cm) min. S �, I ��51£iy FLT ✓, wall of pump approved 4 chamber or outletjoint��� ` combination tank ZW,f& ,,Vjc 1,a, C T A provide 1/4" weep hole or anti - ! pump on B alarm on siphon device as necessary S , f� C Grade levels 31;11 &v7`rS' pump 6, i/ , t�3 ft - pump tank manhole = 4" (10 cm) off elev. 41111"101 minimum above finished grade D , vent = 12" (30.5 cm) minimum above finished grade G 533 - IM Ift pump tank elevation 3 " (75 mm) of bedding under tank OW 1 bottom of tank Tank manufacturer 7 U 7-7 Pump tank capacity I gal /in #DIV101 Pump tank volume 7,S2; gal inches Gallons c A 4 # � /L! Pump manufacturer �rt�2 y B 2" 0,11� g j zb Pump model number 7 a C f " #Btu! 40wo! 11r. a `f E D 1 - 1PB 1 7, Sb Alarm manufacturer g �� r - o 4 Recommend increased "D" dimension. TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE w w �a EFFLUENT AND DEWATERING 53 - 57 n - �� 55 - 59 sr SERIES 25 Ft. Meters Gal. Ltrs. 5 1.52 43 163'. 10 3.05 34 129 6 _ 20— 15 4.57 19 72 a � e = ' Lock Vol— 19.25' - -- '� v 15 r 4§ o a to — 0 2 5 • Ii 6 - 4 t_ U.S. GALLONS 10 20 30 40 50�'� LITERS O 160 11 SK85e 0 FLOW PER MINUTE oosas7 T C ONSULT F my 1 OR a r � 1 A" 1y C t N Variable level Float Switches available. Available with special cord lengths of Variable level long cycle systems available. 15', 25', 35' and 50'. Alarm systems available. Duplex systems available. .ef "Er 11111 #. UNCE Standard cord length - Automatic 9 ft. 1. Integral float operated mechanical switch, no external control required. Standard cord length - Nonautomatic 15 ft. 2. Single piggyback variable level float switch or double piggyback variable level float M53/55 and 57159 Series Control Selection switch. Refer to FM0477. Model Volts Ph Mode Amps Simplex Duplex 3. Mechanical alternator "M -Pak" 10 -0072 or 10 -0075. M53155 & M57159 115 t Auto 8.0 1 or 1 & 7 4. See FM0712 for correct model of Electrical Alternator, E -Pak. N53155 & N57/59 115 1 Non 8.0 2 or 2 & 6 3 or 4 & 5 5. Variable level control switch 10 -0225 used as a control activator, with E -Pak (3) or D53/55 & D57/59 230 1 Auto 4.0 1 or 1 & 7 _ (4) float system. E53155 & E57159 230 1 Non 4.0 2 or 2 & 6 3 or 4 & 5 6. Four (4) hole J -Pak, junction box, for watertight connection or wired -in simplex or 2 pump operation, P/N 10 -0002. 53 Series - Wt. 22 lbs. 57 Series - Wt. 27 lbs. 7. Two (2) hole J -Pak, junction box for watertight connection or splice, 55 Series - Wt. 24 lbs. 59 Series - Wt. 30 lbs. PIN 10 -0003. CAL T;().14 For information on additional Zoeller products refer to catalog on Combination starter, FM0514; Piggyback Variable Level Float Switches, FM0477; Electrical Alternator, FM0486; Mechanical s,r .. .w , n, _., an >,,r,, i e followed including the .'noz! r ace r; AJtemator, FMO495; Sump/Sewage Basins, FM0487; and Single Phase Simplex Pump Control/Alarm , t3 1a _w „ e., _,vk..,,,,,n D: p1 ,ionaI Safety and ealth Act (OSHA. Systems, FM0732. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 �O Louisville, KY 40256 -0347 Manufacturers of. . SHIP TO: 3649 Cane Run Road 7p ® Louisville, KY 40211 -1961 r111,1/11 PUMPS S NCE 1 - 9,7 PUMP !O. (502) 778 - 2731.1(800) 928 -PUMP http.I)Www.zoeller com FAX(502) 774 -3624 r The Standard I Chamber The Standard Infi ltrator Chamber V Overlap at Latching Mechanism 12" r , ❑ c' co ❑ 75' Effective Length r Slze (W x Lx H) ......34 x 75' x 12 4 Storage Capacity ...78 gal. /10.4 ft' eight .................................. 26 lbs. uvered Sidewall Height.: ..6" INFILTRATOR SYSTEMS. INC. STANDARD LIMITED WARRANTY INFILTRATOR SYSTEMS, INC., ( "Infiftrator' STANDARD LIMITED WARRANTY FOR SEPTIC PRODUCTS (a) The structural integrity of each chamber and end plate manufactured by Infiltrator (collectively referred to as "Units "). when installed and operated in a leachfield of an onsite septic system in accordance with Infiltrator'S installation instructions, is warranted to the original purchaser ( "Holder ") against defec- tive materials and workmanship for one (1) year from the date upon which a septic permit is issued for the septic system containing the Units; provided. . • however, that it a septic permit is not required for the septic system by applicable law, the one (1) year warranty peri od will begin upon the date that installation of the septic system commences. In order to exercise warranty rights, Holder must notify Infiltrator in writing at its corporate headquarters in Old Saybrook, Connecticut, within fifteen (15) days of the alleged defect. Infiltrator will supply replacement Units for those Units determined by Infiltrator to INC defective and covered by this Limited Warranty. Infittrator's liability specifically excludes the cost of removal andror installation of the Units. SYSTEMS 1 V (b) THE LIMITED WARRANTY AND REMEDIES IN SUBPARAGRAPH (a) ARE E(CLUSNE. THERE ARE NO OTHER WARRANTIES WITH RESPECT TO THE UNITS, INCLUDING NO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. (c) The Limited Warranty does not extend to incidental, consequential, special or indirect damages. Infiltrator shall not be liable for penalties or liquidated Environmental Onsite Wastewater Solutions" damages, including loss of production and profits, labor and materials, overhead costs or other losses or expenses incurred by the Holder or any third parry. Specifically excluded from limited Warranty coverage is damage to the Units due to ordinary wear and tear, alteration, accident, misuse, abuse or neglect of the Units; the Units being subjected to vehicle traffic or other conditions which are not permitted by the installation instructions; failure to main- 6 Business Park Road P.O. Box 768 tain the minimum ground covers set forth in the installation instructions; the placement of improper matenals into the system containing the Units; failure of the Units or the septic system due to improper siting, improper sizing, excessive water usage, improper grease disposal or improper operation or any Old Saybrook, CT 06475 other event not caused by Infiltrator, This Limited Warranty shall be void if the Holder fails to comply with all of the terms set forth in this Limited Warranty. Further, in no event shall Infiltrator be responsible for any loss or damage to the Holder, the Units, or any third party resulting from installation or shipment, 800 6 860 - 577 -7000 or from any product liability claims of Holder or any third party. For this Limited Warranty to apply, the Units must be installed in accordance with all site FAX v conditions required by state and local codes, all other applicable laws and Infiltrator's installation instructions. FA 860 - 577 - 7001 (d) No representative of Infiltrator has the authority to change this Limited Warranty in any manner whatsoever, or to extend this Limited Warranty. No warranty applies to any parry other than the original Hader. www.infiltratorsystems.com The above represents the standard Limited Warranty offered by Infiltrator. A limited number of states and counties have different warranty requirements. 1-800-221-4436 Any purchaser of Units should contact Infiltrator's corporate headquarters in Old Saybrook, Connecticut, prior to such purchase, to obtain a copy of the applicable warranty and should carefully read that warranty prior to the purchase of Units. Infiltrator Systems does not recommend installing onsite systems under pavement. Chambers must be installed according to manufacturer's instructions. Failure to install according to manufacturer's instructions will void warranty. Infiltrator Systems recommends the use of septic tank fitters and laundry filters with all onsite septic systems. System sizing is determined by government regulations. For technical assistance, installation instructions or customer service, call infiltrator Systems at 1- 800 - 221 -4436. U.S. Patents: 4,759,661; 5,017,041; 5,156,488; 5,336,017; 5,401,116; 5,401,459; 5,511,903; 5,716,163; 5,588,778; 5,839,844 Canadian Patents: 1,329,959; 2,004,564 Other patents pending. Infiltrator, Equalizer and SideWinder are registered trademarks of Infiltrator Systems Inc. Infiltrator is a registered trademark in France. RECYCLED PAGER Infiftrator Systems Inc. is a registered trademark in Mexico. k Q w �r vi 06 06 00 06 06 06 06 06 > r U cl �N M 00 C1 C\ N �^ C co �U� `. 3 � � � Or �•T� p O U U U. O •O cQ y b CL U O > n ❑ ay cq cz Q' M p M M N M M M N M M M > Q '"" W 0 o = ° -o 1 Y A w y CIO ` 01) N O cs r� 06 06 1 16 1 16 1�6 o. N • � ( may � y 0 ^ VI h N � V � � •O C� ` U U == o N U re) v 3 r O cc co Z O U 'd W cC L7 Q v %] 4 R N tj O O = Q Q a p cn O N O O b b > • V U L L f�C � N N O E x� rq Q U O p a oo �h N ' N cd � y ti cn W U .O M x I N i, O N C4 O � � V Q cn cu O `� z POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner �° .� � — G � � Septic Tank Capacity /Z 5 0 g al ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model ❑ NA Number of Public Facility Units NA Pump Tank Capacity a l ❑ NA Estimated flow (average) - g al/day Pump Tank Manufacturer FF� v Tr ❑ NA Design flow (peak), (Estimated x 1.5) Y 6 , 0 al /day Pump Manufacturer a -cc ❑ NA Soil Application Rate C97 al /day /fts Pump Model 52 ❑ NA Standard Influent /Effluent Quality Monthly average` Pretreatment Unit ®. NA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L X NA ❑ Mechanical Aeration ❑ Wetland Total Su spe n ded Solids ( TSS) <_150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L lfln Ground (gravity)* ❑ In- Ground (pressurized) Total Suspended Solids (TSS) :530 mg /L t5 NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) :510` cfu /100ml ❑ Drip -Line ❑ Other: in dia. ❑ NA Other: ❑ NA Maximum Effluent Particle Size Y 57 N Adklzr> 1 Other: ❑ NA Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 15 ea�(sj(s) (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 3 ❑ mon th(s) (Maximum 3 years) ❑ NA Pf ❑ month(s) ❑ NA Clean effluent filter At least once every: W year(s) Inspect pump ❑ month(s) 13 NA p p, pump controls &alarm At least once every: 3 M year(s) ' ❑ month(s) M-NA Flush laterals and pressure test At least once every: ❑ year(s) ❑ month(s) Other: At least once every: ❑ year(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding condition and requires the a failing con q may indicate n he g roun d sur face. The ondin of effluent on the ground surface y 9 of e ffluent • t S nti sur a p immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start u P shall not occur when soil conditions are frozen at the infiltrative surface. Y During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be backup or surface discharge of overloading p g discharged to the dispersal cell(s) in one large dose, 9 the cell(s) and may result in the 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 a p 9 T fails and cannot be repaired the following measures have been, or:must be taken, to provide a code compliant replacement system: 1 ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement P P cement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. X 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. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name ffti' /172� Name Phone - 71 S_ yyf— g y- 2-2 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name 1 / 6fl Name 5 . C o . x Phone Phone 36p —L� ko This document was drafted in compliance with chapter Comm 83.22(2)Ib)0)(d) &(f) and 83.540). (2) & (3), Wisconsin Administrative Code. II I- -- ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer FL lE (e- T -i' V72' 1=L '� l ��c1 ��• Mailing Address 137L 0 S4L c� Property Address ) 7O 14 l LL - 11 HCt i.IC -T-2� (Verification required from Planning Department for new construction) City /State t �G ld�✓ L �' - Parcel Identification Number 3 LEGAL DESCRIPTION Property Location %,, V4, Sec. 7 , T � N -R 20 W, Town of 1 <,6id - . Subdivision , Lot # 3 Certified Survey Map # ./ . Volume . Page # Warranty Deed # (gT I �O , Volume Page # 23 Spec house ❑ yes Z no Lot lines identifiable ❑ 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 mastorplumber, journeymanplumber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal 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. X SIGNATUIW OF APPLICANT DATE 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 p rty described above, by virtue of a warranty deed recorded in Register of Deeds Office. c //, / 0 L — SIGNATUO OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** 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 VOL 1709PA<<231 8 Es55190 H REGISTER OF DEEDS STATE BAR OF WISCONSIN FORM 2 -2000 sr. CROIX CO., WI WARRANTY DEED RECEIVED FOR RECORD Document Ntunber This Deed, made between Eleanor M. Schroedl. an unremarried widow. 08'30'2001 10:00 AM Grantor, and The Gary and Kathleen Elert Revocable Trust dated August 7. 1998. WARRANTY DEED Grantee. EXEMPT I CERT COPY Grantor, for a valuable consideration, conveys and warrants to Grantee the COPY FEE: FEE: following described real estate in t_ Croix County, State of Wisconsin (if more TRANSFER FEE: 510.00 space is needed, please attach addendum): RECORDING FEE: 12.00 PAGES: 2 See Attached Exhibit A Exceptions to warranties: Recording Area Name and Return Address Gary and Kathleen Elert 1378 Hilltop Ridge Houlton, WI 54082 v/ -OA- #030- 2047 -40 -000 Parcel Identification Number (PIN) This is homestead property. Date this 2M day of J&, . + S • AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) of Eleanor M. Schroedl authenticated this 22511 day ) ss. of I&, _County ) 1 ' Personally came before me this day of , + , the above named to me known to be the person TITLE: MEMBER STATE BAIVOF WISCONSIN who executed the foregoing instrument and acknowledged the same. (If not, ` authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY +' David T. Magnuson Notary Public, State of Wisconsin Magnuson Law Firm My Commission is permanent. (If not, state expiration date: 333 No. Main Street. Suite 202, P.O. Box 438 ; ) Stillwater. MN 55082 ( Signatures may be authenticated or acknowledged. Both are not necessary. •Names orpersons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 — 2000 Tot. 1709FAGE 232 T EXHIBIT A All that p ff Lot Three in Section 27, Township 30, Range 20, which is bounded and described as Commencing at a point on the North line of said Lot Three, 1316 feet West of the Northeast comer of said Lot, which point of commencement is the Northwest corner of land formerly conveyed by Ben W. McKusick and his wife to one Olof A. Johnson, and running thence South 38 °East along the Westerly line of said Johnson's land, 229 feet; thence North 82 ° 45 East, 30 feet; thence South 38° East, 142 feet; thence South 67 1/2° West, 66 feet; thence North 77 1/2 West 338 feet; thence North V West 244 feet, more or less, to the North line of said lot Three; thence East along said north line 161 feet, more or less to the place of beginning. Excepting the following described property deeded to St. Croix County for highway purposes: A certain piece or parcel of land located in Government Lot 3, Section 27, Township 30, Range 20, more particularly described in part as follows: Commencing on the North line of said Lot 3, 1316 feet West of the Northeast corner of said Lot; thence South 38' East, 229 feet; thence North 82° and 45' East, 30 feet; thence South 38° East, 25 feet to the point of beginning of the land hereinafter described: Commencing at the above described point of beginning; thence South 38° East, 117 feet; thence South 67 and 30' West, 66 feet; thence North 77° and 30' West, 83 feet; thence on a direct line in a northeasterly direction 142.0 feet to the point of beginning. r AZ a ll Ip LNA Z .43 } - -..... GJI r - j i 1 _14 �4 I've y a. •s 1 // r �2 P i t 19 JUN 1975 0 1 CO �, ... �►� .� D , � 0? yk C . 3 2 G 3 �, w ,�,, -ti, 0) e CERTIFIED SURVEY MAP Description: From the northeast corner of Gov. Lot 2, Section 27, T 30 N R 20 W St. Croix County, Wisconsin go 1247.83 feet west and 827.02 feet south to point of beginning for parcel to be herein de- scribed; thence S 85 14' E a distance of 33.00 feet; thence `I- N 26 56' E a distance of 90.30 feet to the south side of s a road easement; thence with same S 88 09' E a distance ° of 524.30 feet to the west r ;ght -of -way line of S.T.H. �s. U. 64; thence with same S 32 5 6' W a distance of 684.00 --> c\ feet to the south Line of Gov. Lot 2; thence with CI same N 86 0 541 W a distance of 545.30 feet; thence 4 N 46 25' E a distance of 257.10 feet; thence N 49 25' E a distance of 90.00 feet; thence N 24 E a distance of 127.00 feet; thence Z N 4 0 46 1 fi` a distance of 133.00 feet to h o LOT / $ the point cf beginning . ! ,2. /S R. c� Pf of be r�r��n 827 02 .Sou 4)7 i� o /25'7. 83 of NC Corner Zt mil, of Gov. Loo 2., Sec-27 7 J3 >, � N e 20 1' ✓ 0 1'nd icc✓fe s iror� pipe ---- ° o tp sfg 2�f /9., CO /„ �/icefer. . 33.00 IY ��v Lfo" 2 37 70 '9 °3 0 � I 2 7r O .'f � LOT 2 �L 0 TR vE � :f /. 3 0 a APPROV D' s *T. c ^cs�. I r:. r N., ND ZG►J:t y CU1i r %a I . Q ro I I .._...........�..__.. g ,� o G I _ ._ ......._....�.• to �j I Certifica ion: LOT 3 °o I I hereby cert „ ... � -�a• -- f / ,2g A h that I -shave surveyed and divided the 1 .), °- O hereon; at the above de scriblon is a true and correct 6� o h o I description of said lands; and o 0 that I have complied with all the pro- ° C visions of Wis. Chap. 236.34 of Wisconsin Statutes in surveying, dividing, and mapping said j Lands. n ' % /, ? I James R. Grubb I N Registered Land Surveyor S -722 Surveyed for Howard LaVenture Dated Feb. 24, 1975 Feb., 1975 \ Vol 1 Page ]L1a k 61 Certified Survey Maps,St. Croix County, Wis. v . ,•`'` ` "_. ,,.': � O ONES R; GRUBB 1. i R i `�+ • IR ` zaivid iQ Engineer