Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
032-2140-30-000
0 3 n w 0 T 0) O a�i 3 d m o 0 n 3 m m o ° -b- 0) o A W` • � 3 0 3 w 4) i..i 3 CD CD O N CD Iz N ° 1 C_ m r A �_ N _ a o N C, A O CD W N O- CL 7 NO a f01 a m a) co g c A� 3 3 0) w :2 z D O Z t� O CA C - F 2 o cn z 4 z D m v> v? (D co D cn D In (D c5 D m D W d S 3 3 o aD co I 0 O O u O O cY CD CD CA co !fir < o c n r co CD N y N W W CD (/1 o c (D 3 ro Z z 000 0 0 s = s 3 CO) CO) of o o v q o a m o' m CD F u' m < < N) < < 3 m o a a - N ZW o D CD C m O a O a 0 0 s Cn a h �• CD CD a O c c (D 3 w m w CD O n 3 a 3 m CD CD rn - N Z c Z � A ? v N CD A Q 7 O O= 3 _. � A W T w CL N Z t0 y Z W f 0 7 CD CCDD Co D 0 7 N N Q 7 0) 7 0 V Q 7 N 7 CD 0) V �- - , p 0 n N CD O Vi W O= N CD O N W j n 7 CD O M CD CD 0 7 0 O 2) CD CD O 3 CO Cop N Z CO COQ fD F Z d 3 0 v N< >_> m 3 z J w<> C O C o2 O (D 7? c y O Q y y 7 F Q W (A f/D CD Q N Sy Sp0 -.O» SN Sp0 W CD p ? a) CD O A O�CL E 7 ga NEr 7 y� mamm �+� O co N� a' 0 7 C 0 7 C ! CD C O 'n 30 :3 Cp0 A rn�3c �� �o) CD vaFRLm aicm �p 0 CD =r a) a< O N 7' 0) -CL N aa-a a: d o O 0 0= O O O� ? A 0 0 b N C ! pp O A o 0 0 0 C N o N Parcel #: 032 - 2140 -30 -000 02/01/2005 07:57 AM PAGE 1O Alt. Parcel M 4.30.19.1230 032 - TOWN OF SOMERSET Current IX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * LARSON, LANCE G LANCE G LARSON 733 N PIERCE 2 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1711 50TH ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.193 Plat: 0235- CROONE'S ADDITION 1 00 SEC 4 T30N R19W SW SW LOT 9 CROONE'S Block/Condo Bldg: LOT 09 ADDITION Tract(s): (Sec- Twn -Rng 401/4 1601/4) 04- 30N -19W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 2004 SUMMARY Bill M Fair Market Value: Assessed with: 11624 191,400 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.193 51,900 110,400 162,300 NO Totals for 2004: General Property 3.193 51,900 110,400 162,300 Woodland 0.000 0 0 Totals for 2003: General Property 3.193 51,900 0 51,900 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 3 d p eD �1 M n T Q! c 3 a o d 3 z ° w m o ° w `C O • N n p C 3 K 3 (D (D 1 (D 7 ,�' 3 CD iD N O ( O C3 CJI O N O � n N 1 rz a 3 c p Q �_ c c o ( O c C O d o a > N O n CL O C O O CD l� @ c Ch (n Z (n Z D a L? Z a> Z D 0 (� C2 (D (o D m' D m CD (o D a D m CL CD n IW � a Ca W p O N CD O O ° O O V i L (n ( u v ai w w N N c CD 3 M z z 0 o (n cn v_ ° (n In D CcS cc cSS co n /y p (� S S C (� S C N N O 1/ _ m 5m CA �iV CD 0 0 0 0 _ W a a 3 m a a _ N o oZ .. zc O v o v o D a; o' o' =r cn CL N • CD CD Cp 0 0 C c (D 3 w (p w (D ° a 3 n 3 m' CD (D -+ Z Z a c A Z !D A z o 0 0. o D i W M w � O d N Z O N Z N A G) E 0 7 0 (D (�A CO a — CD 0 7 0 pr �. N CC N 7 V Q y _ CD N V G N O fD O y C ° y W j. y C ° y w ? T '�. CD 0) CD CD N .n., N O CD N CCD C N C n o Z 3 ao Z C _. CO �o m o g z _. �g m o g o a o _ 3� C/1 < 7 7 N 3 (n < 7 7 p)p d`< N C �° O N CD CD I p > > Cn 1 o CL F Q W (n0 :E °' Wo e r w i CD CD y �� S?o O� ? ?= OD R COD = 0. g Wo g -E'r CD e S0 CD (o ( D sg va a �g va N CD M (D 0 N�E (D M. CD O o- T CD � vaRL (D CD vaRL (D o ( ?d °'< CD �d a < N ° a° ° o o 20 o 20 a M o i °p (D < Op O A O O 0 O O 0 ~ O O L 0 O L N Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Divisio;i r INSPECTION REPORT sanitary Permit No: 430219 0 ATTACH TO PERMIT) GENERAL INFORMATION ( 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: Larson, Lance I Somerset Township 032 - 2140 -30 -000 CST BM Elev: 9 Insp. BM Elevx7 . BMpe�cri tion: X!j I , , vi k i �.m Y ((� c� �J(1 s� . W� y � Section/Town /Range /Map No: q �- d ct-7- 14.30.19.1230 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 7' �s_ .� 6. �6 1 0364 - 7- o Dosing t BM Alt. 9 5" 3,9/ ��a t32 l3/ 9 -� 93 � Aeration Bldg. Sewer /8. L D > Holding St/Ht Inlet CIO l q U TANK SETBACK INFORMATION St/Ht Outlet n 6163 1�. TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet � al. y3 Q9.58 Septic a �j/ Dt Bottom p Doing i / / 7 5 t i Header/ an. Aeration Dist. Pipe Holding Bot. System /� '�•"� PUMP /SIPHON INFORMATION Final Grade 5 Manufacturer Demand St Cover e GPM D 3• N S Model Number l L l 0 C1 � L �'t CLv(, TDH Lift Friction Loss System Head TDH Ft A;C D Forcemain Length Dia r/ Dist. to Well , Ngt �' A SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Ofirenchvw (r [ I PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Oepth DIMENSIONS 1 SETBACK SYSTEM TO / P/L BLDG WELL I LAKE /STREAM LEACHING Manufacturer: INFORMATION Type Of System: CHAMB 1 , i 5 UNIT Model Number: nj c u IA y DISTRIBUTION SYSTEM Header /Manifold Distribution I x Hole Size x Hole Spacing Vent to Air Intake i/ Pipe(s) / a 3 l l_ength _ a � Dia Length Dia Z Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded u c e Bed a rench Edges 0 Yes No 0 Yes ]-,:Njo COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 9 / 7 / d3 Inspection #2: /O / a" j %/" , � k. � rv�cc- v�,lurf.e -- Location: 1711 50th Street Somerset, WI 54025 (W 1/2 SW 1/4 4 T30N R19W) Croone Addition of Parcel No: 11 3� 0 / ►Trt al � i ,e 1.) Alt BM Description = 44, 3 ms, /� A 2.) Bldg sewer length = / hcic , � t i tt l �i �' - amount of cover = i • t 8 Plan revision Required? Yes VNo (� Use other side for additional Information. ' J ' jIns SBD - 6710 (R.3/97) or's S n Cert. No. 27 5� Gr /'jl C k .S 40,D , (7 - 16) A) 9 f - I O L A B ROPJ50T�1._ LINE - _- - yam - / COKn oie uNc_ - - - EL, = 916. meu,v4 i d AL7._8n► -.ioP - o_r -.._ STi:E�_i Euc�- -peso-- C._= _ /vy -b___ - - - - -- APSE Noi.ES- -- S �S i c in L 9' 7•_70 `. - _ __ _ -. _ _ _ -- - - - -- -_ - Lf}NCE- _G�tsoJ - .733_ N, ftEgce 4 ve- APT. Q n N C 3 v n C v1 o J 3 '* CD - n Cl) 3 y o CL ° oo r i o A m fJ N y 0 CD A to a � o n CL m c o c ° 3 o J 0 V• U, f - ? o �_ Z z �D a cn m UD D w a W 3 o c a N CL N O z o o o o c o °w CD 3 c • @ M �y,,� T T T F `� �7 o� N m n 0 � - N N N� a C O N ! D tnn ha CD D o o �r a m CD m 7 CL Z a � D o O o a CD o 3 w m o a 3 a z _ m O = C -1 Or, N N � M L*. N CD A 7 O O W " W 0 CL r:) G * co y z fD A I f W CD N d v -4 a — .+ CD N w O m� m c CL O 7 �. o O L1 77 .� (O co Cn CD 0 y CL a I � � a I ' fi O v I � CD Op CD o O W o °p rn oo a I � o w a /t:;�36 Safety and Buildings Division coufity ` 201 W. Washington Ave., P.O. Box 7082 ' �s Madison, WI 53707 - 7082 Sanita t Number (to be filled in by Co.) eons�n Department of Commerce (608) 261 546 Sanitary Permit Applicaltion State Plan I.D. Number /� In accord with Comm 83.2 1, Wis. Adm. Code, personal inforp►ation you provide may be used for secondary purposes Privacy Law, s 45.114(1 xm) ject Address (if different than mailing address) 77 1 5 -,17 - 11 S T. I. Application information - Please Print All Information }f / 5017C'12 Se7 a Property Owner's Name Parcel # Lot # 9 Block # D3Z 2f` O- 3o - c ev 12 ;o) Property Owner's Mailing Address Property Location - 733 N. AX C _ L= at City, State Zip Cade Phone Number -I., Section I / E�o A/ rr / (circle II. Type of Building (check all that apply) �r S � N; R E i 1 or 2 Family Dwelling - Number �Bedrooms Su ivision Name CSM Number ❑ Public/Commercial - Describe U l L% Z 96 C3) C O ❑ State Owned - Describe Use / �^� _ ❑Village X•ownship of sB✓" /d✓" III. Type of Permit: (Check only one box on line X. . Coniplete line B if applicable) A ' 0 New Sy ❑ R eplacement System ys ep ys ❑ Treatment/Holding Tank Replacement Only Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS S stem• eck all ❑ Non - Pressurized In -Group Mound > 24 in. of suitable soil ❑ Mound ' < 24 in. of suitable soil 11 At-Grade El Single Pass Sand Filter El Constructed Wetland ❑ Pressunzed In-Groun o mg ank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dis ersalfl'reatment Area Information: Design Flow (gpd) Design Soil Applicat7 Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation — qg o o s = so 9 VI. Tank Info Capacity in Lota Number Manufacturer Prefab Site Steel Fiber Plastic Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 0001 Aerobic Treatment Unit Dosing Chamber y VII. Responsibility Statement 1 , the undersigned, assume responsibility for instal POWTS / shown on the attached plans. Plumber's Name (Print) P s Signature M PRS Numb r Business Phone Number /i Plumber Address (Street, City, State, Zip Code) U Z k TD VIII. County/ e artment 10se Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued I 1 sd Agent Signer (No Stamps) Surcharge Fee) ",,,, _ ❑ Owner Given Reason for Denial J S� . 12 C �7 X IX. Conditions of Approval/Reasons for Disapproval _ 1 4 ' k 066 � Attach complete plans (to the County only) for the system an paper not less than 91R x 11 inches to size SBD -6398 (R. 08/02) Safety and Buildings 4003 N KINNEY COULEE RD 4 , LACROSSE WI 54601 -1831 TDD erc #: (608) 264 -8777 �sconsin www.wisconsin.gov . wis c ons .wisonsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary July 29, 2003 CUST ID No.223760 ATTN. POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 586 VALLEY VIEW TRAIL 1101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/29/2005 Identification Numbers Transaction ID No. 894022 SITE• Site ID No. 662704 Lance Larson Please refer to both identification numbers, 50TH St above, in all correspondence with the agency: Town of Somerset St Croix County SWIA, SWIA, S4, T30N, R19W Lot: 9, Subdivision: Croone's Addn. FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 913864 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 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. COYAd • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption L.4 ' area. chs. NR 811 & 812c APIF" DE F RTM _N' N OF • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE CORRI • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • 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. JOHN F SCHMITT Page 2 7/29/03 Owner Responsibilities: • Comm 83.52 Responsibilities. 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. • Comm 83.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installarion/operation. 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 Charles L Bratz POWTS Reviewer II, Integrated Services WiSMART code: 7633'. (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce. state. wi. us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 SCRMFI T & SONS EXCAVA TVVG S86 Valley View Trail Somerset, WI 54025 71S- 549 -6651 MAD SYSTL'hI For: L yq IU C Z- t1 P, SQA) Address t A e e C e A v e- d er. a Legal: � -5 At `7 - 73 0 AJ Township: - 0 n l C eS ET County: 57 , C e-0 / x Coutent RECEIVED Pa Plot Plan Page 2 System Cross Section JUL 1 8 2003 Page 3 Pipe Lateral Layout Page 4 Dosing Chamber SAFETY & BLDGS DIV. , Pa 5 Pump curve Page 6 Management Plan Attachment 1 Soil Evaluation Report Attachment 2 Mound Component Manual (Version 2.0) SBD -10691 P(N. 01/01) Pressure Distribution Component Manual (Version 2.0) SBD- 10706 -P(N 01/01) By: n MPRSW ally Date: � COMMERCE fEy D1NGg SPONDENC -- - Sera s7 - : LT PRoP6e7 cIn,E / CC 1! !- 117 - - -- - -- _ �. g`. 87 �aa ea i .699 scnv� '' AlC` � moo GAL, p,C. - - — - - wl�aa c s. �.' - - IRoPesE� oo - -- 3 8,ueoo,rt "TOP -P. i, - p !P_.E_ A- - AV. Bm - ! o P ©r s7egL r bovq pv,'r L, = / cy.�__ 6 =15 e3 'okAul / /ub By`; Page o7 Lf i Straw, Marsh Hay, Or Svnthrtic Covering ASTii+lC33 Distribution Pipe Megum &md N a � 6" T oo soil x:s � x R SYS - ZLTv �• 3 E 9i� Stops 9ed O!�- 2 farce Main Plowed Aggregata Layer (6" Below PIP *) ¢ Q $3 Ft. E J.3 Ft. Cross Ssotton Of A Mound System Using F . �q Ft. G A Bed For The Absorption Area (2,S Ft. A Ft. H 1 _ ;,Q Ft. Signed: 8 Ft. �6 Q K _ Ft. License umber: ----- la Ft. Date: .�:�!� - � � ��.a Ft. Alternate Position I /0.3 Ft. of w - ''t. Fo Ma in �'''"'`� —.. pbmetion Pipe ' iJ5 To I /io 8 From 'Etid of SW K A Force Main r ------ --- --- - -• ®istrtbution bed Of, Pipe Aggregate 1 Pe r metnent Mork e r s Observation Pips 1J5 To 1J10 8 From End of Bed Plan view 01 eViound using A Bed For Ttie Absorption Area PR 6� 3 e •' (P Turn -up with Cieanout Act:ess B Plug or Bata valve �--..,► PVC Faroe Mein Distribution Lateral s PVC Manifold - x x --� X12 Distribution Lateral Layout P Ft. S X 30,,,,, InohRa Hole Diameter 3 114 Inch Signed : d Lateral °` Inch(es) License umber: �232k12 Manifold .1�.. Inches Date: /S' O Force Ma i n Inches �s # of holes/pipe,� invert Elevation of Lateralsi Ft. PA Cr ! - ��i PUMrp CHaMbt.R CROSS SECT AAli7 SPCcirfCAr10Alls •. VCWT CAP 4 VENT PIPC � WCATACK hROOF APPROVED LOCKIMCP SC jusT40M BOX VpkAMMOL.E COVRR • i N' f M +tM Ivrrrll . � 1 r/tNUVW iJlt i lt <`il If "Miai• allt ru TA1LE GRA Cat ( �i� MIIJ• odp I CoiJQUIT r.w�.wwr�r•f• rw rr w. PROVIDE JOULI4 T ... AfRTtw4IT SCAL APPIlo1lco .I O/Ri'1' / A I i{ I w /c. ;�, r pt� W /C.s. PI►c J LVEMCIM& 3 CKTCMDIM(p 3' ALARM oNT w S" OWYO 10610 %OIL. R i ow C � i Ltit�t Oft PUMP --.. off COAICKETE DL DCK • KISGR e>v17 p1wRM1'TlI:G omLtj IF TAwK MAiJUiACTURCR HAS SUGN APPROVAL. S ING SEPTIC SP C. I I~ I C AT I OM S 0058 Ks o - 3Q.lI�S MAwI U iRCT U>sClr;. rr��... c �� wupArR OF DOES+ c' U yPi� D" TAWK LIxG © ._... CsALLows DOSE YOLUM[ & LA KII • SE 20N1� f�fuKn1:4T 404CL SACKF60W: © Z... ? 6Ai�Owt MM1111PACTi1R1:R. �. T P1d0Ci. 1JtiMetR. CAPACITIES.' A A .L�.r IMICHES GR y /_,..13 y c.ALLONe E c ' 3.s SWITCH T %Ipc: .. ,,..., ..r. ulsy a .�.,.,.._ -1496 oR .y. a �ol�i UMP MA#t1fAcruRGR: ZOEL! !�� C a ,�,�,�WC1 , 1Gi Qit 7 - , Mli (Ai.6ous AkOOKL WUMSLILt /5R _ _ ._ Ds / ImCNES OR l' sALLOUS SWIT T%loc _ j q)V 4 L _... 9: PUMP ^NO ALARM ARE TO aL MiWIMUM DISCw ARGE K ATE ...11f .6 .._ ErrM INST'As.LEG OW SEPhRAT4i CIRCWT5 PUMP OFF R D DlbTR1 UT IJ P IPE.. Q• © FEE T'YJLE 1.1 b 10 P Y ERTiCAL OIFF[REAKC OE AI + M i 1iiKUM NETWORK SUPM tl PKESSUitC ... . . .... . . .3,15 MET + IjQQ... T'EE OF FORCE MAIM X t F ;, I . a a*FKIcf 4 0 M FACYOR. FEET L l , F(, L 5C TOTAL DISWAMIQ HCAt) c fb. y F LET ;AITGRwA4 DIMLWb;Qwf Of TAwKS LE M(P7 H � ;WIDTH LIQUio DEPT H e SlfiAiEO: l ICERJSE I.Ii.IM6EFt: O ox 6. �3 TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING I MODEL 152/153 �11y MODEL 152 153 50 ll r -- Feet Meters Gol, Liters Gal. Liters 153 5 1.5 69 261 7 2 9>1 10 3.1 61 231 70 265 � 12 40 1 52 15 4.6 53 201 61 23 - 1, 20 1 6.1 44 167 52 197 2 — c> 30 25 7,6 34 129 42 159 < 8 30 9.1 1 23 87 33 125 20 35 10.7 -- -- 22 85 0 40 12.2 -- 11 42 4 Lock Valve: 38.0 Ft (11.6m)144 Ft. (134rn)I 10 at4a0e 0 20 40 60 80 100 GALLONS 1 6 1/4 LITERS 0 80 160 240 320 3 27132 4 5/8 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32 4 e • Timed dosing panels available, \ ® 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with an alarm. •1lahable Level control switches are available for controlling single phase 1 systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. I ` i 1521153 Series 12 1/8 i 152153 MgD1:I.S Control S election � Model Volts -Ph Mode AM= SIMPIOX I D__u*x i 5 t/8 N152 115 1 Non 8.5 1 — 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 r SK2084 E152 230 1 Non 4.3 1 Z or 3 BE162 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 p ig gyback 1. Single I yback variable level float switch or double piggyback variable level float BE153 230 1 Auto 5.3 Included 2 or 3 swi Refer to FM0477. O CAUTIOW7 2. See FMO712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a Control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO P.O. Box 16347 `, �ouisvme, KY 40256.0347 Manufacturers of. . ~ � 0 I I' To: 3849 Cane Rur Road 1 ( 50 M 2� couievllk, K ( 0 1.1ss1 Qveur +ve S% MCE /9.�'B http:/Avww.zooiforcom '` P U/y/� !O. 7 FAX (502) 774_3624 PUMP 0 Copyright 2001 Zoeller Co. All rights reserved. • POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner L we C L fa Septic Tank Capacity g a l ❑ NA Permit # Septic Tank Manufacturer t � ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer E' 13 NA Number of Bedrooms 3 ❑ NA Effluent Filter Model A lloo ❑ NA Number of Public Facility Units K NA Pump Tank Capacity 8 Qta a l ❑ NA Estimated flow (average) D gal/day Pump Tank Manufacturer �� �6�5 ❑ NA Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer Ael- ❑ NA Soil Application Rate ��^ gal/day/ft' Pump Model J ❑ 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 ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L ❑ In- Ground (gravity) In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ■ Mound Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip -line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: . ❑ NA Other: ❑ NA .. 'Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA i MAINTENANCE SCHEDULE Service Event Service Frequency ❑ month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: 3 IF year(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y1 of tank volume ❑ NA ❑ month(s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: 3 M year(s) ❑ month(s) ❑ NA Clean effluent filter At least once every: M year(s) ❑ month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: ■ yearls) ❑ month(s) ❑ NA Flush laterals and pressure test At least once every: M year(s) ❑ month(s) Other: At least once every: ❑ year(s) Q 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 of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of "STARTUP ANI) OPERATION For new construction, prior to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cellls) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or, must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the (ales 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. ❑ 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 J f> N N c�c N n I T- Name 0 W tj t es C if C E C Phone 71 j - - 5 KF - 6c G S 1 Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name (v�t)!�� S �iOiC E Name C ©/X % iiUG Phone Phone i 5 - 3 g (o - 6 SO 2 b 1 (d) &(f) and 83.54111, (2) & (3), Wisconsin Administrative Code. This document was drafted in compliance with chapter Comm 83.2 2 (1( 11 1 , rllspor? -pgp,z rtment of Commerce SOIL AND SITE EVALUATION - e tl t bivlsion .. Safe t and Buildings age of t3ure6ytil'Intograted Services in accordance i�3.09, Wis. Adm. Code ' - l ._,�._ .._ f s '' I ?�\ County Attach complete site plan on paper not less than 8 1/2 x 11 in a tze. Plan ust _ include, but not limited to: vertical and horizontal reference t M), di,�)T S percent slope, scale or dimensions, north arrow, and locati 1 a dlstanc rte - oad. parcel I.D. # APPLICANT INFORMATION - Please print a 4.nformati , - --, Revi wed by Date Personal information you provide may be used for secondary purpos iiAvacy Law Property Owner �.:'' .� Wrp}jZertyy i:u\ca>ion 1/4 14,S T AO,N,R & E / Property Owner's Mailing Address iL °' Block# Subd. Name or C M# City State Zip Code Phone Number City ❑ Village Town Nearest Road tv�vew Construction Use: residential / Number of bedrooms Addition to existing building ` K Replacement ❑ Public or commercial - Describe: Code derived daily flow _ �j0 Q gpd Recommended design loading rate r > bed, gpd /ft • ) trench, gpd /ft Absorption area required bed, ft 2 trench, ft 2 . Maximum design loading rate S bed, gpd/ft gpd/ft Recommended infiltration surface elevations) 7 _ ft (as referred to site plan benchmark) Additional design /site considerations Parent material r c. Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system s [I U -mss E] u .Irs ❑ U -mss ❑ u ❑ s B-u El S -emu SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ; Trench Ground r �� Z 4 p� elev. Depth to limiting factor '2 4, in. Remarks: Boring # Ground '_7- ft , Depth to limiting factor in. Remarks: CST Name (Please Print) Signature Telephone No. ,ddres Date CST Number I PROPf�RT1 OWNER y1G' (�YoO/TC SOIL DESCRIPTION REPORT Page of _ PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trench 5 1 "-� Ground �� G.a- s/ ,l elev. � � Depth to limiting or �in. ' Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) Soil Test Plot Plan sect Name � /e G, -,doh Byron Bird Jr. .ddress STM Lot ZI Subdivision Date 4 1 /4S� N /R� W Township m I3oring O Well PL Property Line County J I3N or VRP Assume Elevation 100 ft Tel System /Elevation Z— *HRP N•--> V. i' S� Scale 1/4" = 10 Ft. When Dimensions aren't stated r T Wisconsin'Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings - Page of Bureau of Integrated Services in accordanceh-s 1tltiR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inoeSirttize. Plan ust County f include, but not limited to: vertical and horizontal reference? ' (6M), dir percent slope, scale or dimensions, north rrow, and locati n and distance`tb °nearest +road. Parcel I.D. # o L Ate.. L-i2.S Qta APPLICANT INFORMATION - Please print aq informath?q Rev w d by Date Personal information you provide may be used for secondary purpos s (Phvacy Law 1 b.Q?('{) (m)). Property Owner •`Prgperty Locajion A le— rD O Govt., 1/4 1/4,S T j ,N,R E Property Owner's Mailing Address ( _01t_ ` Block# Subd. Name or C M# City State Zip Code Phone Number E City ❑ village Town Nearest Road Dig t w Construction Use: F FResidential / Number of bedrooms Addition to existing building eplacement ❑ Public or commercial - Describe: Code derived daily flow _G� gpd Recommended design loading rate , `J' bed, gpd /fi ' L trench, gpd /ft Absorption area required bed, ft ft Maximum design loading rate _ bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(s) 2 ft (as referred to site plan benchmark) Additional design /site considerations �j� Parent material ` ,e_ Flood plain elevation, if applicable 00_ � f ft S = Suitable for system U Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system - �r_S ❑ U I 2rs ❑ U - fg - d ❑ U ❑ s 2 ❑ S -�U ( 10t y, S IL R ION S Clot Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ground elev. Depth to r Remarks: Boring # t3o" Ground Depth to R Remarks: fAddres Name (Please Print) Signature Telephone No. Date CST Number i PROPERTY OWNER C6— SOIL DESCRIPTION REPORT page —'of PARCEL I.D.# , Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench Ground O r elev. DeO 1,. /'e m. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) Soil Test Plot Plan Project Name � �e_ o � Byron Bird Jr. r Address ST Lot _ Subdivision Date 1/4 6 � 1 /4S �ZT z2 N /R W -.- Township Boring Q Well PL Property Line County I Nl or VRP Assume Elevation 100 ft System / Elevation ;7 *HRP Sc.� ,, G , ^ f 6�L 3.� f �a Scale 1/4" = 10 Ft. When Dimensions aren't stated ■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■■ ■ ■■■■ ■■■■■■■■■■■■ ■■■■ ■ ■■■■■■■■■ ■■■■ ■ ■■■■■■ ■■■■■ ■■■■ ■■■■■■■■■■ ■■■■■ ■■■■ ■ ■■■ ■■■■ ■■■■■■■■■■■■■ ■■■■■■■■■■ ■■■■ ■■■■■■■ ■■■■■ ■■■■■■■ ■■■■■■■■■ ■■■ NJ ■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ ( PDDrU .� 400iri� & 9 �Cr s P BA1� PROP6eTY [,,NC Ob � gm 0� D 9� / C'c n;'rOU k 1-1 i 9G E = 96. ) q / U %) O Z Y .;t x R). � ,� � �.aa 7), 0 J u U 4 o o III A,IJ 61t g9. SLOP.= s P.L. oCP y ',� /occ�a s. �R eP �sGv Qqv M >c- ® Ft;c6E�Er� C� Lv L LL O v A Bnt ' T ' Op c' P. L. P,vr 6 ,& Ali. BAA - % O L r S - 1 i-ttict Pc!'r �C. _ /oy. (� it BC+Zc s�oaG = 8y� T7,70 " O9AWin"' b rfi - /s - LADLE /— ,1450X A) e vo je IC o lnoNV W f m EROSION CONTROL PLAN CHECKLIST S Check (✓) appropriate boxes below, and complete the site diagram with necessary Information. O Z Site Characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. Location of existing drainageways, streams, rivers, lakes, wetlands or wells. Location of storm sewer inlets. Location of existing and proposed buildings and paved areas. The disturbed area on the lot. Approximate gradient and direction of slopes efore grading operations. P� 9 9 P + Approximate gradient and direction of slopes after grading operations. a ® Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices O Location of temporary soil storage piles. Note: Soil storage piles should be placed behind a sediment fence, a 10 foot wide vegetative strip, or should be covered with a tarp or more than 25 feet from any downslope road or drainageway. Location of access drive(s). Note: Access drive should have 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick. Drives should extend from the roadway 50 feet or to the house foundation (whichever is less). Location of sediment controls (filter fabric fence, straw bale fence or 10- foot -wide vegetative strip) that will prevent eroded soil from leaving the site. ■ Location of sediment barriers around on -site storm sewer inlets. Location of diversions. Note: Although not specifically required by code, it is recommended that concen- trated flow ( drainageways) be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow)from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. Location of practices that will be applied to control erosion on steep slopes (greater than 12% grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or seeding with use of erosion control mats. Location of practices that will control erosion on areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod, and rock rip -rap. When used, a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area. In- channel practices should not be installed in perennial streams (streams with year round flow). Location of other planned practices not already noted. LU m s a Indicate management strategy by checking (✓) the appropriate box. Z Management Strategies ❑ Temporary stabilization of disturbed areas. Note: It is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1 and September 15), or by other cover, such as tarpinlg or mulching. Permanent stabilization of site by re- vegetation or other means as soon as possible (lawn establishment). • Indicate re- vegetation method: ® Seed ❑ Sod ❑ Other • Expected date of permanent re-vegetation: nG T dtoo3 • Re- vegetation responsibility of: ® Builder ❑ Owner /Buyer • Is temporary seeding or mulching planned if site is not seeded by Sept. 15 or sodded by Nov 15? & Yes ❑ No ® Use of downspout and /or sump pump outlet extensions. Note: It is recommended that flow from downspouts and sump pump outlets be routed through plastic drainage pipe to stable arm such as established sod or pavement. ® Trapping sediment during de- watering operations. Note: Sediment -laden discharge water from pumping operations should be ponded behind a sediment barrier until most of the sediment settles out. Proper disposal of building material waste so that pollutants and debris are not off -site by wind or water. Maintenance of erosion control practices. • Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the height o f the barrier. • Breaks and gaps in sediment fences and barriers will be repaired imme- diately. Decomposing straw bales will be replaced (typical bale life is three months). • All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. • All sediment that moves off -site due to storm events will be cleaned up before the end of the next workday. • Access drives will be maintained throughout construction. • All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. For more assistance on plan preparation, refer to the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW— Extension publication Erosion Control for Home Builders. The Wisconsin Uniform Dwelling Code and the Wisconsin Construction site Best Management Handbook are available through the State of Wisconsin Document Sales, (608) 266 -3558. Erosion Control for Home Builders (GWQ001) can be ordered through Extension Publications, (608) 262 -3346 of the Department of Commerce, (608) 267 -4405. i ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer _ LA LI GARSOi1l Mailing Address 3 1941 yr � Property Address (Verification required from Planning Department for new construction) City /State -�nmj- d"ak 4. W 1"S c D n 5; Parcel Identification Number 0 3 2 Oi! `i0 -,- 0Q LEGAL DESCRIPTION Property Location i/4, � ._ 1 /4, Sec. T . b. N -R W, Town of . k rSJ2 Subdivision C V'Dcmt 5 d - vr) Lot # Certified Survey Map # G,9 y 9 7 7 , Volume , Page # Warranty Deed # a.`� I , Volume I Saj. Page # � 0 Spec house ❑ yes [i'no Lot lines identifiable IJ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site 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 ': ,st your s� :^�Tteni been maintained must be completed and. red =raed to the St Croix County Zoning Office within 30 days of the three year expiration date A�" ' a (-/") Lp 13 a/ o 90WA OF APPUCAW, 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 owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. �Q�cvr C/ j)" C( 4WROXURR AWAPPIACAW * * * * ** 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 1529pia 401 �6 STATE BAR OF WISCONSIN FORM 2 - 1999 627079 WARRANTY DEED KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ST. CROIX CO., WI This Deed, made between Dale L. Croone and Lauren B RECEIVED FOR RECORD Croone, husband and wife, 07 -26 -2000 10:30 AN WARRANTY DEED Grantor, and Lance G. Larson a nd Lori Schaeffer EXEMPT A _. CERT COPY FEE: COPY FEE: TRANSFER FEE: 96.00 RECORDING FEE: 10.00 - - — PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St Croix County, State of Wisconsin (ifniore space is needed, please attach addendum): Recording Area Lot 9 roone's Additio in the Town of Somerset, St. Croix County, Name and Return Address Ptsconsm. First National Bank of New Rictmlond PO Box C New Richmond, WI 54017 032 - 2016 -10 -200 _ Parcel Identification Number (PIN) This is not _ homestead property. 00 (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this day of Jul 2000 + • Dale L. e + + uren B. Croone AUTHENTICATION ACKNOWLEDGMENT Signature(s) Date L. Croone and Lauren B. Croone, husband STATE OF WISCONSIN ) a wife, ) ss. 0, _ County ) authenticated this �� day of July_,__ 2000 - - Personally carne before me this day of the above named + Kristian Ogland - - -- - -- TITLE: MEMBER STATE BAR OF WISCONSIN — — • -- (If no[, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stars.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY • _ _ Att orney K ristina Ogland ------- , - - -- -'-'---- -- Notary Public, State of Wisconsin H udson, WI 5101 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) + Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals company. Fond du Lac. vd STATE BAR OF WISCONSIN 800r66-2021 WARRANTY DEED FORM No. 2-1999 ® �lmf�ck{ W; mffg .{A�i!'l�ii�y r i. dAA� w ®Lp6.E! ® ®l t ; ■ . m x�� mmiud�:..1�. m RIM •�®r -y- ■■ . ���.�e�;® f;s�•;.am��{m4�,+xapr,x�®�®{�y�'� b➢+ ®q ®�p��Y.,L�f -��9� «-G��L..r9 ®lis:.�. ®E.ad�.j ® ®u�A �. Yd1Sl5i_d�SJ_ou:L� ®Li:Cff/� •n m �3MEM - - ° � Emm \ ■. § r+.x'Ye _ik t-tll�.u�i® E -=K tXA.ci ■,. ,' �ti4-�.�-d. �li:l�•b'`�a d-w N ®�� ®�i1 ® ® ^1 .1 a d�a-2 x � : I�il� ' -3'�t0_ mma mm m�u< ONE MEN so 75-1=01 ISO 50 MEMO �' ►1111\ ��� »������ � 1R'l1 RIM MENNE ME 5— M 0 AIN: ON MEN . .. ... ... .:..... .. ... ... � 2 K 2 \ � . £ � k � § � , & � 2 � z 0 2 � » Cl) f z , � a E o z \_ % _ ) R CL m 8 � k § k k § 7 k ) ID e § e § % } ; ) z \ § _ \ k c G CL 3 c m 2 a■ a R o 0 o a % § � Q » C .. } a § a S IL k \ u k \ z U) Q I $ 5 § / 7 < <2 § ii m 2 2 z � C § O \f/ § ° ° k k A § 7 ) - k A ] Q o z 7 z � « � © { . k CL %2 0 § c a § co� k U a 2 0 2 L CROONE' S ADDITION ��. LOCAT$D LM1T PART OF TRS 51Yt14 OF THE SII(14 OF SECTION 4, T3ON, RIBN, - TOWN OF SOMERSET, ST, CROIX COUNTY, WISCONSIN, BEING LOT 6 OF ` CRRTIB'IED ,SURVEY MAP RECORDED IN VOLUME 13, PACE :17Pt AT THE " ST. CRON COUNTY REGISTER OF DEEDS OFFICE. LOCATION SKETCH, a c ' 1 ccaaRLtn- �1 -- �, tii4.rLi •. r iwr+ r,' raWp r gY R� OWNER O i' X lu' P pal$ ' " 9 ** mn1P t lovrn Crrone KR L3MIw 0TJki} SbA2 561*, S vi 1I. WS avrart, Vt �J.o25 iW' RUABVAT SE7m1, i. of w 32' VWE UTILITY �( PKiv=v RRSVE � $m3E DDRI/RSS •. Rmmnty .t.T,� - V+<iER'R,ctErR3ai:Rae Tu a ,� � timrH nVEAtrt' _ � TO aifi7 V,tiER lift LI,EYFN$$W "c,�, '. p SEC_ 4. T3UN, R 9W ,: { pie m6 _ ALM cs ,� sTS,Hi'v :IiETEGYg7�t' - f _S£T9AGK is PRAiiHi7E/ r_ { SNAKY HS or. TER LINE WATER GQr. 5 DSNp�Y HiGN I Buh.WMGS MtK HKB geii�hr r,. 1 C_S_M. iN t -' OR i na smca VhrtRiRT42 { r vot rv, Pe. 37zT 't { wnlwE a 1T1 E ALL LOTS i10E7 4M -C# "Wimm RLLWRENENTY FOR . ;Rm n tr, I WI S P$R rtAtaa ff wmnuPlrL tuTSaoc mr' 8K aavcNNwt crlrXC: YL reywc+ W ww'LSro"�a NG / :M .:4zK. a an,.+aw• w ti.r RwawKa. a 977.0 � >� ut w. ans . +r+ww wr or ar Y 1/�1 Y i]Pl. R9Y, few. M iaaYnt. to ! t!�� . r� ® w�,K wns aar.r raw. aP RKKr aerR.. w3a �� win � � � ♦ (� T rsY,tyq af,r wr lo i °tlr `fNfN nwT wC?. �� { s: :a �ut p su f �� y , ••:R+a YPranx.. .«P wsY i+ n.. o.^'= wfk+ap. Gf<V4eM YWCrN ry�Y ♦ ♦ V �q.ra�ent99.NMPTTOrti Ka k wA't b •U K.KU.uR. �PPRZ � ♦ : r , YP+K tC:IiPIi Kcsaursa. 14 M74- Tan e N�m: Lf � , e K xn,<+. ". a.r".,.`'a •.�8 -ti0 ___ 'z-y� . £ V trr 9a.R d' J. Tn"r �V�Y�n Y a' t IvK'aW1M OPT 10, 3 v3 1.14 lef:RF.S L!! -< w YaL44Nw:u Sp18tUTE g 145, ?z"1 SC rt V(SCwN ) t H.WL. _ / /�/,+�,.'�,1 iq p T ,eae. rw.«•. r 994.2 r�`/ A ♦ L w a�( Yw. f t31 j ♦ ♦ `K N i'� l'KSM' F xG9C'y14G +tYA YdKI t pr - ao ��" , { / / ,i 1 � a. a x°xye...lak........__.. �N _5I :..5'sJ.__; " �� z. LWIKY CDN'z RxaPfi iPK:!4E M0 Pbf1Y3 $OpaaSE RE$tR.V101 a d t !� � � l fJ '� ..._.. e,. .. w ecmxe•a r�mnrR .. u. Tr..�r sKa.Y.y, �' Vie+ ' !m .. I Jrvt { ik.. rs i6 ;. j -y Cwa � Y Mrvw0. ls+�R W C �1V�� pit 13 pYAP::. y/ R"r: M1n� V tle.rr� .,J // esnri rx.4Faweira Ii i>zai,ngt <r�y:KCm.F f SS aS 56LW N89.18'45'E 6b1.70' i �` :1NPLATfED LANDS AYCl8T6X'S (IPFKS avxrns ediXceweE fif a$aurrwa -'+ LIWNED BY OTHERS R.�».aR,rwnaw.Ei� sr wT a r .v+.Yw. wurnt w�.a,'„�"'�' 'a j }{ ". • S N kaa+kA4 Y3M,iE 1aM aYefW #a Y.. /y a; T,.,T J.. Sl triK C6wrrR Tait e SCAt £ IN i'tEt = G,' � � .«L ✓ uw r«w fMK.� fJW'RR " :yi ��''�� , rxit •sa a yt�ifYfPSCIRaf$ W 1 Y $$ #y rE � : KS! MP.E Ot MRD G1RLS +1S Ip RE M1KT$ S,YIi W Ki: i A: NK J1C at�.""t� W Z +� .: A OC$#tMR ,WY MVY $ M4 Da y4YM1C. US,i } +t.f.N' a tM 1 RF !¢. °AiC Y 4+tw +{ a# S •�, yt[ '` �' - A '" � YML t$YTRRMtIq P A ARK'F' i 4KE W r.'rV'M I 17R .JI P R b - P - nnMW Fun WI iuuW N W9C(NYN Y i S FM1YEM f KK YE tKt KK p! UEC w , aq r.nCtl'frl S5P t6+4 �$� Putt #1RHT e1tW w [ nlRt Y YT ht Rxi 7K Rlwi 9 SLY K ARLA �� - TRn+ PrPRF1 StwYH 6H i1CS RPP (f( iS fUP.K.6 0 Ft4tf t:tkrK MRI GKlAlIP ...._•_ - , • e .. L4VF, 41fS aC RLSAa,KftmYF C2. of LwvM, KIKI tM 01 C', .('LESS PuC£z, k'!C.). °l ' 11LY8RE O+aS+KSW6.iw 9CVClLD1,K KRC(Y. tlY PAR k al uE fit, �,[ LAait M4ey a,yt S"' ]LMNU %1'SXR Ptw KvKQNRt],KiY; .mKN� ItWlR iqK 4DUYf PY CaePwbr: �9.'.lY_...,� � ���� � FR CiM14A 1 wk. SCUM. - r 'i' zMt yWiaVR:Kf [RKYEC Y` Kit'tMEL CRtCKY .K!II K} T9.tZ't Wr4:. ..'F?,'(y c �' t N x