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032-2014-60-200
n ■ o ■ c $T:i � ¢ � . 0 £ e 0 ° A 0 o$ S - 7 e i\ E e_ E a i4 M - , m P K ■ k CD ® � ° � a $ $ k i 2 « a /ƒ Q E \ f 2 t / U) % { o o E � ■ 7 / § \� CD k 0 / \ k) « n r @ n ■ o c \ 0 0 0 } \- \ / 3 %) C 0 7 \ � ® 0 A g \ ; ) i & e \ CD \ § \ & . / E § o \ o : § k "M- . 2 ® 3 _ \_ CD ■ . ` 1 ;� z 9 \ . z ¥ � CD CL a / m 0 9 y co y / � # � 2 � Q � \ * 0 \ . ) / \ @i �k Parcel #: 032- 2014 - 60-200 01/31/2005 07:44 AM' PAG 1 OF 1 Alt. Parcel #: 4.30.19.523A -20 032 - TOWN OF SOMERSET 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 * RONNING, KARI J KARI J RONNING 1780 50TH ST SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1780 50TH ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 11.455 Plat: 0739 -CS 13/3525 SEC 4 T30N R19W NW NW BEING LOT 7 CSM Block/Condo Bldg: LOT 7 13/3525 i t V Tract(s): (Sec-Twn-Rng- 40 1/4 1601/4) 04- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 11109/1998 591211 1375/370 WD 2004 SUMMARY Bill M. Fair Market Value: Assessed with: 10677 271,100 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 165,000 213,000 NO UNDEVELOPED G5 8.455 16,900 0 16,900 NO Totals for 2004: General Property 11.455 64,900 165,000 229,900 Woodland 0.000 0 0 Totals for 2003: General Property 11.455 81,800 0 81,800 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 W ! f V s FILED do \ NOV 1 71998 - S EP 3 0 1998 V KATHLEEN Ii. WWII �� S7. CROIX COUNTY Re Werot0" SURVEYOR'S ST.CXCRECORD St Croix Co., W! CERTIFIED SURVEY MAP Bonnie Lind Part of the Northwest 1/4 of the Northwest 1/4 and of the Northeast 1/4 of the Northwest 1/4 of Section 4 30 N, R 19 W, Town of Somerset, LEGEND St. Croix County, Wisconsin. O INDICATES /"x 24" IRON PIPE SET �G�,�/ ///X (M /NWT.- /. /JLOS./L /N.FT.I OWNER ADDRESS - • INDICATES I "IRON PIPE FOuNO 74Y LUND ST. NO. Ak INO/CA TES 5 /B "IRON BAR FOUND HUDSON, W1. 4 �• couNrYsURvEYoR'SMONUMENT Note: These three parcels comply with the St. Croix County (R= ) RECORDED AS net project area requirement. BENCHMARK LOT E I12 ACRE MIN, CONTIGUOUS 8400 rop I "IRON P IPE 322,260 SO. FL OR 7"SACRES INCL. R/W ✓�� AREA W /LESS MAN 19%SLOPES EL. • 100.00 /ASSUMED! �- 1372.29' 295,199 S0: FT. OR 6.791 ACRES EXCL. R/W x SOIL BORING ES INCL. R/W OR Ittgl AC - - - -N 88°2J'J4 "E 2103.20' --- NORTH 114 CORNER UNPLATTED •g WA ER SEC. 4, r JON, R / 9W 1727/99! r y LANDS NORTHWEST CORNER i•, "I $ SOUTHEAST CORNER SECTION 4, T30N, R/9 W _ 1 1or* 1 SECTION 34, T3/ N, R/9 W POND LANDSS 2 _ Nes°24'14 "E -PLATTED --y _ .R83 423.39' _ CC �,.. • .. t . « T/ . 650. �9 , —= �c�'SiCf6B°48'4J "E Z �� NORTt/LINENW7f4 SECTION4 pS B•E�� - -- Q22' �� 1 ......... � DRY I - --/478.37' -, � � r� � ��y '• � � p QI S T /ON CORNER /S 2.8'= 1 ° ' : Ic `# L ae ° 48'47 "W /.97' FSOU 2 ZI M1 S UTHOTHERLY R/W J ry�'1� g�, .p ��i- , pl `POND / LOT 6 tioo h o�'� � . �,b• * - % S (R s4/°3e'SO 26 wI _ ( SF ACK LINE h y ti� •'�•_` y S ¢ 3,�ao8 *47 "W FAJJ BOTT. EL. • 90.8 CERT " « *' c� 171271981 3 t .r � SURVEY �l ai T N � s �+vi�`� ► �� I WI J. -0 A ..�� /�+l � : 4 Nw 41.18 04 SO. F >1 7SS"1���gg T. R N ✓ i /// !" .`T� o48 1 'µS 4L �l q ,7 $Q. $. MO nnqMAC E /� /L. � ✓ 74 8 i^ /� 3, � E ' � / // R/W � °4e'ft "w �� 4/. /8 CI Z � 133" W MAP W� UJ1 r 53.00 ►/OL ... ,, tL� JI WEST L /NENW //4 "{ ? ?�.�� �/ s NWyfXJ �1 �I N SECTION4 ti 11ti �. tea. ( p 19_99 U4 Sf44 to x h T S p l ti � `erj cq ' - o ?� *� LOT g 3 S G ZkOgp r, s�3t �- .;r, s'�o:�.► � v H, :IS+r. al h LOT 7 use e �• / i i,E �� ��• ��� 498,986 $Q. FT OR 11.455 ACRES INCL. R/W F ?�Je•%�`�" I 'fill .• •.at 485,20 Q.FT, OR I1:139ACRES:EXCL. R/W ���. JJ00 O y. �' �� 9 N `\ Ale MENT O 50th ST. /S ASPERAD✓O/NING CSM.s U,l SCALE /N FEET 1"300 1 50 100 200 300 600 b • • BEAR /NOS ARE REFERENCED TO THE NORTH Ip 1 0$. • +' L /NE OF THE NW / /I�(( OF SECTION 4, ASSUMED �) •yr • iu BEAR /NO Nd8°2'J'J4,•f. o 6 RV M �2 �; o) of "••SEr n 6 9 q8 „ ! '(�f1�� Dated: August 14, 1998 ,35 �' w �. ��35 A�� S t �g0� "Revised this 28th day of Sept. / ►1 O I 1 / / c 5 69� 1998. / o s5 I o�- g+ � do S . Lpt i LA �o 1 t)NP• 1 m W MUR H o.: 171 = a WEST I14 CORNER i U ,RI FAL S 4/ JQ SECT /ON 4, r30N, R /9 W J • ♦ 1MON• IS 4' BELOW SURFACE, �i� �j� ....... SET / "IRON PIPE ATSURFACE/ 6 �� This Instrument Drafted by Mork W. Peavey 1 111f 8 SHEET / OF .5 Vol.13 Page 3525 ^"'�� ' Joe" .ex,)YUIv,����1 � �'- "�� - �1 ���• fit c �c�s,% C �JLjw� it rug -� ,�c %�tG �nC��D � l��` "�z"'�� W sco so Department of Industry SOIL AND SITE EVALUATION 3 Labor and Human Relations a e" I of Division of Safety & Buil ings in accord with ILHR 83.05, WIS. Adm. Code c, X11 COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix 'cal and horizontal reference point BM direction and % of sloe not limited to verb , scale or PARCEL I.D. # Po ( ) P dimensioned, north arrow, and location and distance to nearest road. 032 - 2014 -60 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION R IE EDBY S�; DATE . � PROPERTY OWNER: PROPERTY LOCATION Bruce Wan GOVT. LOT NW 1/4 NW 1 /4,S 4 T 30 N,R 19 5dor) W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 505 vaiit-v view Tri C na na lot # sub'ect to change CITY, STATE ZIP CODE PHONE NUMBER []CITY OVILLAGE [DOWN NEAREST ROAD Houlton, WI. 54082 (715)549 -5614 50th. St. [ New Construction Use [x] Residential / Number of bedrooms 4 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .gi bed, gpd /ft gpd/ft Absorption area required n &_ bed, ft 500 trench, ft Maximum design loading rate • 2 bed, gpd /ft .3 trench, gpd /ft Recommended infiltration surface elevation(s) 99.10 ft (as referred to site plan benchmark) Additional design / site considerations ssystem el. based on contour line of 98.10 , undulating around Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors ste I [Is M U ®S ❑ U ❑ S 12U EIS Z U ❑ S 12U ❑ S au SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITmrch .................. ................. .................. ................. 1 0 -12 10yr3 /3 none sil 2msbk mfr cs 2f .5 .6 1 2 12 -27 10yr4 /4 none sl lcsbk mfr gw if .4 .5 Ground 3 27 -48 5yr4/4 c2d 7.5yr5/8 scl M na na na np .2 elev. 9 8.9 ft. Depth to limiting fac1 Remarks: Boring # 1 0 -10 10yr4 /3 none sil 2mgr mfr cs 2f .5 .6 `< 2 2 10 -26 10yr4 /4 none sil lcsbk mfr gw if .2 .3 .................. 3 26 -48 5yr4/.4 c2d 7.5yr5/8 scl M na na na np .2 Ground el v. �` 98 !.. Depth to �.; C. I limiting factor 26 1, sr Remarks: CST Name: -- Please Print Gag L. Steel Phone: 715- 246 -6200 Address: 1554 200th. AvA., New FCkhwpd, WI 54017 Signature: Date: 5 -8 -98 CST Number: m02298 I PROPERTY OWNER Bruce Wang SOIL DESCRIPTION REPORT Page of 3 PARCEL I.D. # 032 - 2014 -60 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed jTrench 1 0 -11 10yr3 /3 none sin 2msbk mfr cs 2f .5 .6 2 11 -18 10yr4 /4 none sil lmsbk mfr gw if .2 .3 Ground 3 18 -29 7.5yr4/4 none sil lcsbk mfr gw na .2 .3 elev. 9 7.3 ft. 4 29 -48 5yr4/.4 c2p 7.5yr5/8 scl M na na na np ; .2 Depth to limiting factor 29" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor. Remarks: SBD- 8330(8.05/92) PROPERTY OWNER Bruce Wang SOIL DESCRIPTION REPORT Page' 3 ' PARCEL I.D. # 032 - 2014 -60 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft, in. Munsell Qu. Sz. Coat Color Gr. Sz. Sh. Bed Tmr >i 1 0 -11 10yr3 /3 none sil 2msbk mfr cs 2f .5 .E 3 2 11 -18 10yr4 /4 none sil lmsbk mfr gw if .2 Ground 3 18 -29 7.5yr4/4 none sil lcsbk mfr gw na .2 ._ elev. 9 7.3 ft. 4 29 -48 5yr4/.4 c2p 7.5yr5/8 scl M na na na np Depth to limiting factor 29 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: A Boring # Ground — elev. ft. Depth to limiting factor Remarks: Boring # }. Ground elev. ft. Depth to limiting factor. Remarks: L SBD- 8330(R.05/92) A , S STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Bruce Wang New Richmond, WI 54017 MPRSW -3254 Nw4NW4 S4- T30N - R19W (715) 246 -6200 town of Somerset lot- C� N 1 " =40' BM.= nail in Boxelder tree Q el. 100' Alt. BM-= nail in Box elder tree @ el. 100.20' X0 0 0/0 3 t 15 � 5 1 4 vwn5(ogr ECG. - �k3 Gary L. Steel 5 -8 -98 I Wisconsin, Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix ,Safety and Building Division INSPECTION REPORT Sanitary Permit No: 405116 0 CaENERAL 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)j. 43 o -4Ot (7 /A Permit Holder's Name: City Vi!lage X Township Parcel Tax No: Hoien, Tim I Somerset Township 032 - 2014 -60 -200 CST 8M Ele� Insp. BM E v: BM Description: �.o A -drd jee.e g7 I t o '� CC-T ?.vw S TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. i Septic Benchm p irk Y � LO 126Z) Dosing Alt. BM ( 3 , 71 s_ �- „,�,Q,. tom. Aeration Bldg. Sewer 3� Holding St/Ht Inlet y6yo ��• 6 q• t TANK SETBACK INFORMATION St /tit Outlet &0 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet a Q -G7- qY• YS Septic ' r , !, 1 Dt Bottom I V. b l Dosing Header /Man. `•� Aeration Dist. Pipe d •t - r Holding Bot. System �i(}) , ZZ `• r Finaj Grade PUMP /SIPHON INFORMATION y Lag (zip "A A” iii Manufacturer Demand St Cover _ & LL�2- GPM 4.41 Model Number .0,G ) A 6% 6VA > } . D .v D go' D Lift � Friction Lq 1 System Head TD? Ft l p d `t S !, Forcemain • Length Dia. t � Dist. to Well SOIL ABSORPTION SYSTEM R Width t Length No. Of TrSA PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / l 00 4) I CAO0 / � D {p /J v SETBACK SYSTEM TO P/L JBLDG IWELL !LA!'E /STREAM LEACHI Manufa INFORMATION CHAMBER O Type Of Sy tem: 1 UNIT r �i � I Number: DISTRIBUTION SYSTEM X r»..Qe.6r.A t� Header /Manifold Distribution x Bole Size x Hoe pacing Vent to Air Intake �/ U t/ Pies 1 O t Ot jig i y �� Length + • Dia 2 Length a ' ' Spacing �' _ 3(v SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes No ice, Yes `! No CO M (I d e discrepencies, persons present, etc.) Inspection #1:�/ l� Inspection #2: '1 -k- &-to . Location: 1780 50th Street Somerset, WI 54025 (NW 1/4 NW 1/4 4 T30N R19W) NA Lot 7 Parcel No: 04.30.19.523A20 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = t o -o 3.) p L ~ 3J Contour = tS- Plan revisicilh Require 4? Yes No 02 - /i���[ Use other side for additional information. Date Insepctoi °s i nature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 �T' (4) ANY ,sCOnsin Madison, WI 53707 - 7162 Site Address Department of Commerce s 36 o z 31 LIZ 4 - • Sanitary Pm=t Application Perm" Number In accord with Comm 83.21, W . A you provide ma be used for 15. 1 m ❑ Check if Revision I. Application Information - Please ' t All Information State Plan I.D. Number 3v7 Property Owner's Name 1 200 Parcel Number S-. CROIX COUNTY — �0 Property Owner's Mailing Address FFICE Property Location sr 1.1111 U Afil ;S T N,R City, State Zip Code Phone Number Lot N ber Block Number Subdivision Name CSM Num %,7u WAreIf 6 0 6' 2. - 3 -3 - / - P 341 S r / II. Type of Building (check all that apply) LO/ p v ,&C ,6 7VV Al ❑City 1 or 2 Family Dwelling - Number of Bedrooms _ ❑Village ❑ Public/Commercial - Describe Use _ Pftownship ❑ State Owned /Vownd %U/ lD k /09 'G11- / : e Q 4y _e j e d Nearest Road 26• h) S 711 S% pyj S.rk• S� III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) 1 �' New 2 ❑Replacement System 3 ❑ Replacement oqi:6 nddition to For County use system Tank Only stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued 1V. Type of Permit: (Check all that apply)(nnmbering scheme is for internal use) 44 ❑ Non - Pressurized In- Ground 21;W Mound 47 ❑ Sand Filter 50 ❑ 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. D' rsaUTreatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed te( Gals. /Days/Sq.Ft.) (Min./Inch) Elevation V111 41-11, /� Si��Z[ SAr/ 0-40 604 o • 3 9�, 9,3 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Talcs Tanis Septic or Holding Tank p D 8© APO Dosing Chamber 900 VII. Responsibility Statement - I, the undersigned, assume reswndbility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) is Signature MP RS N Business Phone Number v� Pl umber's Address ( t, City, State, 4) Code) 26 Coun epartmedt Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Is ent Signature (No Stamps) Approved ❑ Disapproved Surcharge Fee) ❑ Owner Given Initial Adverse S , ,a Q ' Determination IX. Conditions of ApprovWMeasons for Disapproval t UV _ 7Y1a 3.c-l3 / 7-p,/ 2 �-` �`l' '�zs,` awl, Qa f3, Qtr. Attach cojpp yYl plans (to the Com *7) ror me on not less than 31a 11 inches in size LJ� fl-i M=A- ) mJ SBD -6398 (R. 05101) "'LTtcf' Co``'mer-''`/ Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Vi sconsin RECEIVED www.wisconsin.gov www•commerce.state.wi.us /sb Department of Commerce N1�aY 1 6 2002 Scott McCallum, Governor Philip Edw. Albert, Secretary LZ CROIX COUNTY ONING OFFICE April 30, 2002 CUST ID No.267341 A7TN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL�� / � PLAN APPROVAL EXPIRES: 04/30/2004 Identification Numbers Transaction ID No. 730781 SITE: Site ID No. 644011 Tim Hoien Please refer to both identification numbers, 50TH St above, in all correspondence with the agency. Town of Somerset St Croix County Part ofNWIA, NWIA, S4, T30N, R19W FOR: Description: Proposed Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 849608 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General 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.01 101) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 101). • 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 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. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • 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. P.O.W.T.S. Conditionally A we.. - -- - _ ARTHUR L WEGERER Page 2 4/30/02 Owner Responsibilities Continued: • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is 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. 7:30 am to 4:15 pm WiSMART code: 7633 jswim@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 TITLE SHEET Page of - 7 FOUND SYSTEM FOR A Lj_ BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD- 10691 -P and the Pressure Distribution Manual SBD - 10706 -P (N.01 101) (N.01 101) LOCATED IN THE Nti. Nw 1 /4 OF THE 1 OF SECTION Y , T 30 N, R 19 6J, TOWN OF S�V�LZ.S�T- ST. C M 1X COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN � s -9 t PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR C) o R%3 ►v Iv I w G v«n�czs 1l 11 Q. S` Izz - T STLLL --^TAT ,M" j. S SOSZ PREPARED BY L;IEGERER SO = L - TEST S NG AND. DES 2 GN SERV � CE �9Ntli P.O. Box 74 421 N.ilain St. eN River Falls, WI 54022 �0�C4�NS� Phone 715- 425 - 0165 t Fax 715 - 425 -6864 �° AaTl +JS? 1 WEi;L-HF11 i P215 I SLLSWUFTN MS. ew" Ar r KUV``t L L4 -7-6 DEPARTMENT OF COMMERCE DtVIStON OF F AND BUILDI GS SFE CORRESP NDENCE JOB NO. 0 Z -� q Mound System Management Plan page 2 of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank S� The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. T outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are ma may ve from its enclosure. e i er is equippe wi an alarm, the i ter s al I service i a th i y. ermi en i er afar s may m ice. a ows ormilli septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pumo Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since. soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L 6005, 150 mg/L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [ �nn�� reporting. end local or state rules pertaining to system maintenance and maintenance Sap- lobal -P No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and Pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system .should be directed to: The County Zoning Office at Z l S - 3 b6- L16v o The system installer at The tank manufacturer at QUO- 3ZS_ - $ySl o t,UL�Ls� The effluent filter manufacturer at aob - ZZL—S qz The pump manufacturer at -- ' PLOT PLAN Scale 1 "= u0' Page 3 of 1 =o Cb *��vvct LL lL. q.6•Z +3 • Z o S ' 4 Qr"1 J C)' vP 4` / D MIQ H " N 4s 4 Y �^�� L �3 > i C6 w . 3 g NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with �T. roved caps. ( Z required). 3. Septic tank to be 1Z& l e a on capaci actured by W l L ZlC L.1 F7 - 180 o Z.rc��z- 4. Bench mark L1-1o� _o' o,� 1 %y s P CT_8►tit. W 9- 1 �y Pl S. Divert surface water around system to prevent ponding at the uphill side. Page 4 1 Approved Synthetic Covering _ ASTzi C33 - ' Distribution Pipe Medium Sand �� 3 Top soil - -� tG Top = - F Elev. O� 3 E u % — 1 1 1 Slope b 1 O �tSn Distribution Cell of Force Main Plowed z" to 2 z" Aggregate From Pump Layer 0 1 -_7 Ft Z -15 E Ft. CROSS SECTION OF A MOUND SYSTEM F o S Ft. G o -S Ft. / A 6 Ft. H 0 - Ft. Linear Loading Rate= 6 - D GPD /LN FT �W B 100 Ft Design Loading Rat - 3G_J'11Q FT ;/ j 14 Ft. J 8 Ft. K Z. F A 'tenaztre Position L 1 Zq Ft. of Force Main W Z8 Ft. 1 - Observation Pipe - -------------- -- ------- - - = = -- - - - -� Ac-- �-- - -� $ - - -- --- - - - - -- -------- - - - - -- --- - -- -- - - - - - -- ----------- - - - - -- _ _ 4i 8 Distribution , Pipe Cell of z to 2 z aggregate Observation Pipe (,nchbr securelY) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout Pace S of 7 Place the holes at the bottom of the distribution pipes at'equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of Iona turn or 45 fitting to a point within six inches of the frrlaI g*ade. Te.-ML ate the ends of the laterals with a valve,-threaded can or • threaded plug. Provide access from final grade for the valve,' threaded cap or thread e3 plug. 7.-1F.icp, L C% FVC F`J� PV Lateral Maniiotd C Lateral X x x 4 x l x x x Lateral Length —'T— Lateral L_ =ngth — G Distributign Line � IT —� 7C zzzS 5pX C P Ft. Hole Diameter 11 6 Inch S 3 Ft, Lateral - 1 Inches) X 3f o Inches Manifold Z.- Inches Force -Main " Z Inches i of holes /pipe 17 Invert Elevation of.Laterals �`1X t .qI = 6.��x�= Z� "88 Gpvll Combination Sept.;.c: and ` PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS' PAGE OF VEUT CAP WEATHER PROOF JUIJCTIOU 5OX . - fc.I. VENT PIPE i APPROVE LOCKING 1 , FROM OOOR. MAUHOLE COVE wilt .iIUDOW OR FRESH u'P+RNl1JG t l�gt`L . u�s t1x:n l J PIPE A.�IUTAKE S co,,pu�r • wlN1CLTlsitl ZrrP � T tj I pit t SHfl 6�Kw. °I,7 I m1u. I l -_ 180AILI. IAILE fdl r PROVIDE ) _ AIRTIGHT SEAL I () I : ^ Approv u� -A. I ill Approved joint — lBoo I III joint w/ PVC pi ALARM PVC pipe � 6 �I 1) I I Aox - I 1 I LEY. f T. PUMP --J OFF D COUCRETE � - q BLOCK f - - RISER EXIT PERM11TED O►JLy IF TAWK MAIJUFA HAS SUCH APPROVAL 3 "ADPQti.Fp • �8trD01>v4 SEPT►C F SPECIFICATIOUS DOSE TAWKS MAWL IFACTURER: LlulesSfiZ WL{MIyEA OF DOSES: S PER DA- TAMK SIZI` : 1 Z$U Z 800 CALLOUS DOSE VOLUME r . ALARM MAUUFACTUREA: tZE�nl= IIJCLUOILIG 6ACKFLOW: �� 3 3 GALLONS MODEL 1 JUM5ER: 1O1 VALIJ CAPACITIES: A= Z-•<:) IUCHES OR L `Z••D GALLOWs 5WITCH TYPE: — M I�,�Cu" 8 = z ILICHES'pR G�Lt01`15 PUMP !'IAfJUFAGTURCR: G ©U�pS C= 5r_J2 113.3 IUCHES OR GALLOLIS MODEL 1.1UMHER: _ D= lO I I�HESR ��Z•� GALLOws SWITCH TYPE: Z - MOTE: PUMP AMD ALAi�M ARE TO bt MIAIIMUM DISCKARGE 'RA ��•gg M INSTALLED OQ SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP OFF A .D15TRIBUTIOIJ PIPE.. 6'3-7 FEET + M11J1MUM METWORK SUPPLY PRESSURE , ; , , . , _ 6 -SO FEET (S _0X 1.3� + \ FEET OF FORCE MAIIJ X 1 - � } F� 0 FL FKICTIOU FACTOR.. b'��° FEET 10 TOTAL DYNAMIC HEAD FEET As per Manufacturer Zt�. 6 0 gal /in. Liquid depth 3 Goulds pr�GE: °i Submersible Effluent Pump 0 EPO4 38 � EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. tic cover with integral handle • Available for automatic and •Farms Motor: manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 230 V, Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, , built in overload with preset at the factory. rated oil and water resistant. automatic reset. SPECIFICATIONS • EP05 Single phase: 0.5 , FEATURES ■Bearings: Upper and lower heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, construction. g Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING /a maximum. • Power cord: 10 foot with pump out vanes for - • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. Q. Canadian Standards Association • Total heads: up to 24 feet. with three prong grounding I Thermo - • Discharge size: 1 NPT. plug. Optional 20 foot EP05 Im p (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in 7" or "AC ".) rotary/ceramic - stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 ! j • Capable of running i r ' dry without damage to 9- 30 components. i +' ��� Pump: EP05 s —- - - -- L- • Solids handling capability: c 25 - 3 /" maximum. a G j I i W - -; - -- - - -- • Capacities: up to 60 GPM. 6 20 I i • Total heads: up to 31 feet. • Discharge size: 1 NPT. a I ! . -- • Mechanical seal: carbon- c 5 15 rotary/ceramic - stationary, _j i 4 BUNA -N elastomers. EP05'— • Temperature: 3 10 104 °F (40 °C) continuous I t 1401(60 °C) intermittent. 2 5 ' _ 1 � i 0 00 10 30 40 50 GPM 0 2 4 6 8 10 12 m °/h CAPACITY ®1995 Goulds Pumps, Inc. Effective May, 1995 83871 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of 3 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 include, but not limited to: vertical and horizontal reference point (BM), direction and parcel LD percent scale or dimensions, north arrow, and location and distance to nearest road. 0 Please print all information. evie by Date Personal information vide m be used for econd , s. 1 04 1 m rid wo � r f I t u. �.- Property Owner Proferty Location J�ppjj�i` �C Lot V 1/4/1W 1/4 S 4 / T �d N R /C/ (or) W Propertg Ownees Mailing Address Lot Block # Subd. Nana or CSkV /// / �0'lC e ST. CROIX C.Q1 INTV /9 0. City State Zip Code I Pho OFFICE City ❑ Village ® Town Nearest Road ,L.'1 �a /el- /#N ri 0�2. (/0 9 3 JOfwi Se �Df�i 51e ® New Construction Use: M Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material l>' 1 C' Flood Plain elevation if applicable ft. General comments and recommendations: / �f5f -ern f ✓Rf %0%! G�(C� � �3u5e� Orl Gc�✓(�OGr/` � - t'n - k° z �S% �O f�UrrnO e�2 � -7 m 2 S. uJ /, 7 k `� " Boring R Boring � l ng Pit Ground surface elev. ft. Depth to limiting factor in. Sod 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 I 'Eff#2 �o�e- sew '2-5M tV es /G r 3 . Y� C d 3� s.f _ r e set 14 Fr /f' , Z —3 Borin # Bori Pit Ground surface elev. ' _ ft. Depth to limiting factor l� in. 5W Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munseil flu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 le /P M sby YX '(-V� f'S 2G . . r k yle d Upr ' / G . V , 6 -2 1'f 7 5YR 3 cam' �t s bk ►^^ F c s / -F . Z .3 y kA- .. Or( CY 1,. n CL . 2 .3 Effluent #1 = BOD > 30 1 220 mg/L and TSS >30 < 150 mgA- ' Effluent #2 = BOD 1 30 mg/L and TSS 1 30 rg/L CST," (Please Print) g "Z CST �Number Address Date Evaluation Conducted Telephone Number %, -�-q-cc Cc env YC.cd1� '�r.� �� uoi7 41- Zy oz- ?/5 -Lt/6 s0$s Property Owner 7 S i� / % I y Parcel ID # z - p z of FTI Boring # ❑ Boring C}b /D ❑ Pit Ground surface elev. ( ' — /O ft. Depth to limiting factor in. Soil A pp l ication Rate Horizon Depth Dorninant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/ff in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 3,�- /) 0�--e- �,e Z,- 5b/' Mv�� s zG 3/ ndn-e ,tQ Zw #-11Fr c'S /G L /G - 4 .Sys y G - � 7 5yle `� Sc Q I C Sbh n noL. i 7j Boring # ❑ Bon E) pit Ground surface elev. ft. Depth to limiting factor in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Boring # ❑ Boring F ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description. Texhire Structure Consistence Boundary Roots GPD/fF in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •81#1 'Eff#2 ' Effluent #1 = BOD, > 30 < 220 rngIL and TSS >30 < 150 mg1L ' Effluent #2 = BOD, 5 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- 2648777. SBD -8330 (8.6/00) 7,e 3 )U u) i1q- IV V-) 5 7 7 All 3 f �/ ej, ti - 7 1 94 v cy 4/0 A p op O-F" 9 9�ef-ll e4p �7/ 9 17 Ror,' n-e 5�-,eeg 4-/ vij Ale-vl ;Cbolklv /,C)/5 � 2171— 04 /23:02 TUE 13:18 FAX konning Builders Q o03 Apt- 24 12 055 43p DA IID STEEL, 715- 246-5p95 �. 1 acannr.e. SOIL (: REPOiRT f a t]i.�a < "`3ai�t�►awrd6rG�tcffya � a} IK1sel� to abr pppt an paWgr -jq{ Mqd bA-+o 712 a t t kmt b sue. l+bn tmm Y i�dir+l� l tflrltlio sodas tandbere�rrswIIgIhw cP- 144(M4.c6.ecermWW wn�.r. tioo�e .r.�f.ora►�+,�1on�neAws+ bsaM�Calfmb+9.os.a.p,064, Paao L' ? - 2:: .c riN" sq Daft Pis6t�gr0'<.�er _ �.. �"'+wrrwiwwi►��w..�.rr.+wt'H. :a�e,7lMos ` Gain trot J r1 t eJbl�� ?K 5 T,e+ N R 14 &M w w 0 QD nf�l /I w+roereitbearmr�s C�e1G&8a , sow r."- GPD 4 Gt i � �Cer+�n m■►3�i- t9esor� �++F+M � wta�rs f7ond 7�n eon �app6oabyc - J1 �. � .d waarnr „nowra,�; ,> �5 fr.�e �i i ✓d�it,� �ry �'- I�� Sc� �-9 c. onf prr� d.�'�,; c /!,i. �� �r ED aws o 2 gaft PM Qwjmagfm 4ft,r _ is � �r011► laetliMnt !6d rc pwo T+a�wto �uaurs � iL Qu. I L CW Cesar �a Y Rmu1t 4y: � Sk *Mn y c Vic- i ✓� ;; —Z4�• ,'f -y °- yr' :� t .Y /� j � ' � r� ..J n 2 0 lit ' ,G mot+ ft 7 4k. Az a°aM 8od"o ay,J�k+ Wt Ciruad autfape sio� �_ K, OspH � iNdpl lec7pr r� .. iK. ow s D WW. �11W►e °ti Ytreal Qa S Catit crier Qr sn ► slum � '- a ,t" 1�p, •� .rJ.', ' ,�,•,, y t >�i"r ! S 2 G. S - Add,wr Safety and Buildings ` 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TD #: (608) 264 -8777 Nvirsconsin www. www.commerce o ns ov wiscnsin.gov Department of Commerce RECEIVED Scott McCallum, Governor Philip Edw. Albert, Secretary MAY 0 1 2002 April 30, 2002 ST. CROIX COUNTY ZONING OFFICE CUST ID No.267341 ATTN: POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/30/2004 Identification Numbers Transaction ID No. 730781 SITE • Site ID No. 644011 Tim Hoien Please refer to both identification numbers, 50TH St above, in all; correspondence with the agency. Town of Somerset , St Croix County Part ofNWI /4, NW1 /4, S4, T30N, R19W FOR: Description: Proposed Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 849608 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General 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.01 101). • 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 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. Stats. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • 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. ARTHUR L WEGERER Page 2 4/30/02 Owner Responsibilities Continued: • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is 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. 7:30 am to 4:15 pm WiSMART code: 7633 jswim@commerce.state.wi.us cc: Leroy G Jansky, , Wastewater Specialist, (715) 726 -2544 I • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT . AND OWNERSHIP CERTIFICATION FORM y - f L? ©��icr of �"Aj,` �T (lfloN�rz.e� �O/ eAc Owner/Bu er i Mailing Address — AW W /Pica ST �'%�Z �eyar�2 &,,et �So B Z Property Address o' (Verification required from Planning Department for new construction) City /State Amz ar _T ` - Parcel Identification Number 032 LEGAL DESCRIPTION Property Location %., 1J6�6L' /., Sec. T 0 _ N -R W, Town of �Yg �,eS Subdivision , Lot # 7 . Certified Survey Map # SPA //4 . Volume 13 . Page # 3S S Warranty Deed # 5! ?Il 11 , Volume / 775 , Page # 7 70 Spec house ❑ yes C"no Lot lines identifiable IYyes ❑ 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 masterplumber, joumeymanplumber, restrictedplumber or a licensedpumper 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. 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 Zoning Office within 30 days of the three year expiration date. �• � ��11/ lD2 SIGNATURE 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. A'T(*B 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 13 7 I '- ,I \F tk\K 01- ONIIN I )11\1 1'442 WA R RAN I Y Di L1) Ok�OAII:N' --.[: L—Lind, a-sing- --person.- S T. P u ------ NOV d �cXIOuii tO _.._Karl - _ J. _ Ron inq, a sin -al PM - -person St. Croix , )[,Itc of Pt 032-2014-60 -OCO Lot Seven (7), Certified Survey Map filed in Volume 13, Page 3525, as Doc. No. 588116, being part of the NWI14 of NWI/4 and NEI/4 of NWI/4 ol 5, Township 30 North, C Range 19 West, Tcwn of Somerset, St. Croix County. Wisconsin. T PA N'-:31F E R FEE is not IA' ill,":I 1" Easements, astrictions and rights of record, if any. 9etobcw- Bonnie L. Lind kC AU HU N XCKNO N LED(IMI F _ €5 1 G 2 . _ N.ED 2 0:1. 7 FAX 4 - K J aROM EDINA REALTY HUDSON WJSGONSIN OFFICE 051.29.1.998 12cd0 NO.11 P V� Oast -W Fag Ncit® • 7 8 74 — ",a� jk rNA&P,, ;10 ---"q GI:RTIFTED SURVEY MAP Bonnie Lind Part of the Northwest 1, of the Northwast 114 and of the, Nonhea -t 1/4 of the hloclhwest 1/4 of SeF;tion 4, T 10 N R 19 W. Town of Sonuoset, E!y� St. Croix County, Wisconsin, T1 � �`F t tNjtCZAT£W r' °r 7. " rIPUN PlK Srt 1� p 7 t� �7' IW.v. Wr - �..J i &S, w ".I 49 mein Ares Faw .O RQ L: *� Rt �4 � LSlNA ST. NQ � .rx�t^wr &s !/r ",am7.Y 6rcip roirvo C1 N, Wf. et ur+rr Qvavvp ►'t>R's mom f..'Erw ta• J rrtca oa a tls !/1� or.�ax.acrou�bs:d a v?I Ni�M+YIJ tbr f .>ipa «6. e !a 7, ew 6.rJol • ro r r p L i s'a, s •r Ow a,. rya sXa frca, RPPN a S9rt. rEOAJ �' .� -N Ierr3'7I -£ i's0! dr'i' _ _ . • STN /F? 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