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HomeMy WebLinkAbout032-2158-50-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix V Safety and Building Division INSPECTION REPORT Sanitary Permit No: Z GENERAL INFORMATION ATTACH TO PERMIT) State Plan ID No: C Personal information you providElmay peused for econ ary purposes [Privacy Law, s.15.04 (1)(m)). 2 - Permit Holder's Name: 11 City Village X Township Parcel Tax No: L ZL Somerset Township 032 - 2158 -50 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /6U i' 09.30.19.1365 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic C 1 � Benchmark Dosing Alt. BM L 4�-- Z . Cccatiea� < Bldg. Sewer " I Holding St/Ht Inlet 7•$ ?5, 75 St/Ht Outlet TANK SETBACK INFORMATION \ TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 10 (9 1 f ­­( 7LO 2 ) Dt Bottom q L' Dosing ' -7 56 �T I / Header/Man.°�J Ct 11.3 }er 1 Aeration Dist. Pipe 94 Holding Bot. System �• Z q4 e �• �.c f PUMP /SIPHON INFORMATION Final Grade TS r7 Manufacturer Demand St Cover -) ` GPM Z Model Number / a V 6S �2� /6 � TDH Lift., Friction Loss System Head TID �� t 33 (S z _ , 95 Forcemain Length / Dia. �/I Dist. to Well 50 SOIL ABSORPTION SYSTEM BED /TRENCH Width Length ( No. Of Tren es PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth -7 DIMENSIONS l(.l.J \ SETBACK SYSTEM TO UJ P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR �1 Type OJ System: '7��� UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution !` t (( x Hole Size ji x Hole Spacing V•e- nt-t�o Air Intake / Pipes) 6(4 ! �� i Length DLength y Dia Spacing -- 3— SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded /S dded 1 xx Mulched Bed/Trench Center , ) Bed /Trench Edges � Topsoil Q / �.�, Yes No Yes I ;] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ( / I(0 / Inspection #2: Location: 1679 56th Street Somerset, WI 54025 (NW 1/4 NE 114 9 T30N R19W) Roy Ridge Lot 5 P/9 t.J ( Parcel No: 09.30.19.1365 1.) Alt BM Description = �- �(/Q�- \ ��; I ".} '� 2.) Bldg sewer length = 0 �- I _ - amount of cover = Plan revision Yes Required? a i I No Use other side for additional information. Date Insepctor' ignatur Cert. No. SBD -6710 (R.3/97) ,� � __ ., a a�� � �. - �, . ,� ._. -- _ ..._. _ •,y, ,._ I � .l � � ' � 1. i t fI t t � l�: 1 � 1 y _ � �� ` Safety and Buildings Division County s con ��� 201 W. W; ' n Ave., P.O. Box 7162 i Department of Commerce Ma t S37Q7 -- 7162 Sanitary Hermit umr (to be be filled in by Co Sanitary erm' 2 5 � — Y it Appliea ECEIVED to Plan I.D. Number In accord with Comm 83,21, Wis. Adm. Code personal info` i � - may be used for secondary purposes Privacy Law, sl5. 1 ide 1{• Application �f�ptati� Please Print A_ Irl(or - 1 4 2005 °1' t Address (if different than mailing addrrs,") `Hallo`` Property Owner's Na me ST. CNOIX COUNTY IIFF7 J reel # Lot N - " Block ay Pner' s M ailing Address "- '--- -- .� Pr rty Loan n ,�, ������ / 3 lr S) Zip C ede Phone Number .12- %• /'A,Seetion I1. Type of Building (check aU ih — t 2 (circle o i at a pply) T N, � R� - E or� A l or 2 Family Dwelling - Number of Bedrooms Px Subdivision Name —� Q CSM Number PubiiclCummercial- Describe Ilse ___._ '—' State owned - Describe Use Ci � t III •- - �__-_` y��JVdlage,�7'ownship of I Type Of Permit: (Check only one bpx on tine A. ete lin a 11r � A Compl e B i Pp able) ---� A. New System Replacement system ❑ 'rrearm0ntTI,11ding Tank Replacauient Qnly ❑ Uther Modification to Existing System B• Q Permit Renewal Permit Revision Ch_ I sf� - New List Previous Permit Number and Date Issued ❑ange of Pe rmit 'transfer to Before Expiration Plumber Owner r -rv' f of POWTS Svstern: (Check all that a l Non - Pressurized In-Ground Moutxt > 24 in, of sultmbte $utl Moulin �- 24 in, of suitable soil r I At -Grads � Single Pass Sant` Filter - ~ Ci Constructed Wedatid ❑ Pressurized In- Ground 0 Hoiding Tank Peat Finer ❑ Aerobic Treatment Unit L? Recirculating Sand Filter + r � i Recirc ul ating Q Synthetic Media Filter Leaching Chamner �11_rl p Line Gravel•less Pipe ❑ Other (explain) V. His `sal /Treatment Area Information; - 3, 1_ '� r Design Flow (gpd) Design soil Application Rate( f) Dispersal Area Re�u d persal Area Pro sed (st) Sy rem Elevation ` ^r I V1. ��� -- r lr � •p � ( _�._-- ,-_. 6bd-- --�- -- G U G Z �Y S ✓ � Tank Info Capacity in Total — r Number ariutacturer Gallons Concrete I Site `eel j Fitt r Plastic I r: Gallons I of Units i Concret i Canstruc He t�d Glas Now it %t3Uq Tanks Tanks Septit• ar Ho;dtng Tanit --�'!" j � I ��orobic Treatnient Unit t -� I - �._.._�, 1 - d lusn ' ig Chamber _Resp onsibilit y Statement- 1, the u as respans for ' unation of th e POWTS shown on the attached p Plumber's Na me (Print] Plumber's Si 8 ' PRS Number Dust tie ss Fhone Number Plumber's Addre ss (Street, City, State, Zip Code) — _ I II, Count !De art lent U e O Approved G Disapproved Saturary Permit Pee (includes Groundwater Date Issued I ni nt i n i Surcharge Fee) (Jv / it g re o tamps) _ i Owner Given Reason for Derual D - t(/ c, D LR. Conditions of Appraval /Re on r Disa roval �t; lank, effluen filter an W / dispersal cell must all be serviced / maintained / yl �n �l�4 � G /Ok� 149 IIII as per management nl?n n _ +.? �­ plumber. i 2. All sP +h " ue maintained/ 3 J �p�/ D�� � ��r d a- N �, ;, G,ui v � v �-C.SL Q �° 1 4 rtirir� L. �� Attach coatpkte plans (to the Cousty onty) for the system oa paper not less than 81/2 r< l t Inches to site ��'^ "— `— � Fx ra le eteet. lo .?,'TFo.,, s /,zA/os �So,% edq/uaEran by A - ScJ►c.rna�E'¢/S /�6 /vz • Loco �eo/p�c� She N .r C'on$fruCE,'on, Loi ,p o y,p ialae, SeC. 9 T . a f Son�cr- St• cro; Afa k.' T o 0 door I. /). 4 ' f�oPose.d ,rtoun d o.+- z lo. /S /20, FO 'wY elty = lee.ev." - z�' Xi06 • cfj /. Fn"r(gj 1 � aCs b%bcc�re.� 10,6e /41sa ;4'ees S�oa c 0 a >r Z• S3� I � S.To /s-E. Area Wf4�ll� - - - -- dwr;., ` %D O co„t �� ,95!0 �; •/ r S toY�, �a �e-�� b'�► -� .ore v ; v ' �� 5R 8 • Ilo 1 P� 9 0� /0 Safety and Buildings commerce.wi. OV 4003 N KINNEY COULEE RD g LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.wisconsin.go isco n sin.go Department of Commerce iscosin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 08, 2005 CUST ID No.227990 ATTN: POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/08/2007 Identification Numbers Transaction ID No. 1143662 SITE: Site ID No. 692814 Glen Johnson Construction Please refer to both identification numbers, 1679 56th Street above, in all correspondence with the agenc Town of Somerset St Croix County NW1 /4, NEIA, S9, T30N, R19W Lot: 5, Subdivision: Roy Ridge FOR: Description: Proposed Four Bedroom Mound System - Revision (change from stone aggregate cell to EZflow bundles) Object Type: POWTS Component Manual Regulated Object ID No.: 994480 Revision; Maintenance required; 600 GPD Flow rate; 22 in Soil minimum depth to limiting factor from original grade System(s): EZflow Mound Component Manual, (N.6/03), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The approved changes , will become an addendum to the plans that were previously pproved on 11/24/04 under Transaction I.D. No. 1086642. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the EZ FLOW Mound Component Manual (June 6, 2003). • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD- 10706 -P (N.01/01). • The distribution pipe being inserted into the 4" corrugated pipe located in the EZflow product shall also have one out of every five orifices installed at the 6 o'clock position. The remaining four orifices shall be installed at the 12 o'clock position. The laterals shall drain fully after every dosing event. • The manifold and lateral turn -up ends shall extend out past the exterior end of the cells at both ends. The observation pipes shall also be located in between where bundle(s) come together. These requirements must be followed so that the aggregate bundles will not be damaged during the installation process. • 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. P ON- T C011dht ;y . Ily WILLIAM C SCHUMAKER Page 2 6/8/2005 • 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. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A total of 20 EZ03H - 10' units shall be used for constructing this component. • 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 mU include local inspectors. I Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 75.00 Fee Received $ 75.00 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: James K Thompson, A.C.E. Soil and Site Evaluations Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 EZFLOW MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: REVISION - Glen Johnson Construction 4- bedroom resi dential mound Owner's Name: Glen Johnson Construction Owner's Address: P.O. Box 809 Hudson, WI 54016 Parcell Address: 1679 56th Street Legal Description: NE1 /4NE1 /4, Sec. 9, T.30N., R.19W. Township: Somerset County: St. Croix Subdivision Name: Roy Ridge Lot Number: 5 Block Number. na Parcel I.D. Number. 032 - 2 50-000 Plan Transaction No.: /Oolv�o ��- Page 1 Index and title Page 2 Data entry RECEIVED Page 3 EZFlow mound drawings Page 4 Lateral and dose tank JUN 2 2005 Page 5 Distribution media Page 6 System maintenance specifications BUILDINGS Page 7 Management and contingency plan SAF�N & Page 8 Pump curve and specifications Page 9 Site Plan Page 10 Soil Evaluation Report Designer. William Schumaker License Number. 227990 Date: 05/26/05 /y Phone Number (715) 386 -3121 Signature: Designed Pursuant to the EZFlow Mound Component Manual (N. 06103), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) EZFlow Mound Version 1.2 (R. 02104) DEPARTMENT OF COMMERCE Pagel of 10 !ON to SAFETY AND BUILDINGS SEE COR PO CE NDEN EZFIow Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r Residential or Commercial Design Note: Sand fill (o) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83A4-3 in -situ sod treatrnent for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of <- 36 incis. 600.00 Design Flow (gpd) 10.00 Site Slope ( %) 93.33 Installation Contour Line Elevation (ft) 125.00 Contour Length Available (ft) 22.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpde) Distribution Cell Information 6.00 Cell Width (ft) 3, 4, 6, 7, 9, or 10 Only 100.00 = Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution I n Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. F 105.00 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft /orifice 2.00 Forcemain Diameter (in) 90.00 Forcemain Length (ft) Does the forcemain drain back? Y 94.00 Inside Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 14.68 Forcemain Drainback (gal) 10.00 Vertical Lift (ft) 40.24 5x Void Volume (gal) 2.08 Friction Loss (ft) 54.92 Minimum Dose Volume (gaq 18.58 Total Dynamic Head (ft) 32.95 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options] choice 0.75 1.25 x x 1.00 x x 1.50 x 1.25 x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallonslinch Calculator (optional) Treatment Tank Information 800.64 Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 22.24 gain (enter result in cell B49) Dose Tank Information Effluent Filter Information 800.641 Dose Tank Capacity (gal) JZabel Filter Manufacturer 22.241 Dose Tank Volume (galrn) A -100 _ Filter Model Number Wieser Concrete Manufacturer Project: REVISION -Glen Johnson Construction 4- bedroom residential moue Page 2 of 10 i Mound Plan View .......... t 1 /10 B • Observation Pipe u J B - � I L!. . L Mound Component Dimensions A 6000 ft E 21.20 in H 1.00 ft K 10.40 ft B 100.00 ft F 12.00 in I 14.00 ft L 120.80 ft D 14.00in G 0.50ft J 6.15ft W 26.15ft 600.00 (ftz) Dispersal Cell Area 2000.00 (ft Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 96.50 (ft) --► / • F Dispersal -,0/94.50 Ceti 95.00 (ft) Lateral 94,50 (ft) -► 6" " Invert Elevation Dispersal Cell ;( Elevation E ' D 93.33 (ft) Contour Elevation 10.0 % Site Slope -y— Typical Dispersal Cell Shading Key & I See Page 5 a Q Topsoil Cap -0 c Z0 ft Geotextile Fabric Cover © lf��� Subsoil Cap . ♦ -�- �:- ASTM C33 Sand v S CJ 5,:1 f tirS ; •.: rtif'..1.+ 1'.� F ® Tilled Layer -` 0.5 ft "? '�r. , r, r. •.r, , ti , EZFIow Media a o --i— ., ••r.: ; :' '•r See details on page 4 for number, size, and spacing of laterals. ' i a Laterals are located in the 4 gravity distribution pipes es as shown on page 5. Project: REVISION -Glen Johnson Construction 4- bedroom residential moun Page 3 of 10 Center Connection Lateral Layout Diagram Place Appropriate Lateral Diagram From Right Below Force train oorrs"don via tee or cross to manfold at any point. Laterals are identio al Orifices point up, except every 5th one K-- P posits down for drainage. S •= Tum-up idball valve or X --- +x12 02 +I Laterals & foroe main of PVC Sch 40 cleanoutplug per COMM Table 84.30 -5 I Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.00 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 49.34 ft Orifices per Lateral 20 Lateral End (Z) NA ft Orifice Density 7.50 ft /orifice Lateral Spacing (S) 3.00 ft Manifold Length 3.00 ft Lateral Flow Rate 8.24 gpm Manifold Diameter 1.25 in System Flow Rate 32.95 gpm Forcemain Velocity 3.37 ft/sec Dose Tank Information Ling cover with warning label and locking device, and sealed watertight Electrical as per NEC 300 and -► Comm 18.28 WAC Disconnect 4 in. min. Tank component is property vented � E- Alternate outlet location Forcemain diameter Weser Concrete Manufacturer —r 2 in. Capacity 800.64 Gallons Volume 22.24 gal /inch A Weep hole or anti- Dimension Inches G B siphon device A 19.53 434.36 B 2.00 44.48 C P� a mp off e levation (ft) C 2.47 54.92 95.00 D 12.00 266.88 D Total 1 36.00 800.64 Dose tank elevation ft) Min. 3" Bedding under tank. F 94.00 Alarm Manufacturer LevelArm Alarm Model Number I 10 DLV Pump Manufacturer !Goulds _ Pump Model Number FE 005 Pump Must Deliver 32.95 gpm at 18.58 ft TDH Project: REVISION -Glen Johnson Construction 4- bedroom residential moue Page 4 of 10 EZFIow Distribution Cell Media Layout 6.00 Cell Width (ft) 1.50 Sidewall to Lateral (ft) Distribution Cell Cross - section Arrangements Drag appropriate drawing to space below. 1 6 ft Component Legend ® 6" EZFIow Bundle - EZ0601A, 5 or 10 Foot Lengths 12" EZFIow Bundle - EZ1203H, 5 or 10 Foot Lengths ® 12" EZFIow Bundle - EZ1203HP, 5 or 10 Ft Lengths O 4" Distribution Pipe With Pressure Lateral Inside 41 Tumup Enclosure — — — — Lateral Distribution Cell Plan View Layout - Typical 6.00 Cell width - A (ft) 100.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Drag appropriate drawing from left to space below. Force Main - - — — - — — — — — — — 6ftWide Center Manifold p S o � �o 9' Mound System Maintenance and Operation Specifications Service Provider's Name _ Bill Schumaker Phone (715) 386 -3121 POWTS Regulator's Name St. Croix County Zoning Dep't. Phone (715) 386-4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg/L Type of Wastewaterl Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals s hould be fl ushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the EZFlow mound component manual. 2. Dispersal cell media conforms to EZFIow products approved for use with the EZFIow Mound Component Manual approved 6/3/03. EZFIow media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished _� ............... Grade 6-8" Diameter Lawn . . . . . . . . Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve ........ ........ Lateral Ends at Last Orifice Where .......... . Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same EZFIow Media Diameter as Lateral 1.17 Feet �-- Distribution Lateral —► 4 Lateral Cleanout Project: REVISION - Glen Johnson Construction 4- bedroom residential mound Page 6 of 10 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Gener This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [EZFlow Mound Component manual 6/3103 and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. 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. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. 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. The outlet fitter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm Is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 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. Pump 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 as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg /L BOD5, 30 mg/L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continency 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 control's, alarm or related wiring becomes defective the defective component(s) 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 absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: REVISION -Glen Johnson Construction 4- bedroom residential mot Page 7 of 10 I GOULDS PUMPS Submersible Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: Effluent systems heat transfer. ■ Casing and Base: Rugged • • Homes Available for automatic and thermoplastic design provides AGENCY LISTING superior strength and corrosion • Farms manual operation. Auto- SP' Canadian Standards Association • Heavy duty sump matic models include resistance. • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron • Dewatering assembled and preset at the for efficient heat transfer Goulds Pumps is ISO 9001 Registered. factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 3 14" maximum. ■ EPO4 Impeller: Thermoplas- 0 Power Cable: Severe duty • Capacities: up to 60 GPM, tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet, pump out vanes for mechanical • Discharge size: 1'/2" NPT. seal protection. • Mechanical seal: carbon - rotary/ceramic- stationary, BUNA -N elastomers. • Temperature: 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. METERS FEET - • Fasteners: 300 series 10 stainless steel. 9 30 ��f 5 GPM • Capable of running dry without damage to 8 �2.5, FT components. 25 - °a 7 Motor: _ • EPO4 Single phase: 0.4 HP, /9-56u 6 20 11 S or 230 V, 60 Hz, 1550 TD,N. a RPM, built in overload with o 5 15 automatic reset. • EP05 Single phase: 0.5 HP, o 4 EPOS 115 V or 230V, 60 Hz, 1550 3 o RPM, built in overload with EPOd automatic reset. 2 • Power cord: 10 foot 5i standard length, 16/3 1 SJTOW with three prong grounding plug. Optional 20 ° ° o 10 20 30 40 50 GPM foot length, 16/3 SJTW with 32 .9S�.�o m. r►ri�� mum .Scc yr'u ru�rco/ three prong grounding plug I ' (standard on EP05). 0 2 4 6 8 io 12 m /h CAPACITY Goulds Pumps c 2002 Goulds Pumps ITT Indus ies /^ Effective September, 2002 B3871 d I E,CiSzS� �nedi ¢ l¢u� b TTT►o n 6 - 1 1 W o3 •Sa/ ed4Jux& - n P,'6 b A. ScAL r"&,tel5 /1(o /oz • �occ�Ec.d N ,�o%nson C'or,,5t�- uGb ;ori, L.o�s �Poy,p,el�&, 5ec. 9 757. o-, So set 5t. Cib y Co., uJ/ r r To -yr AV-:o I r la� z(o. /sx d6or - .5, . 4ssc -,"e& (�oposcd ,now�d at J ebeV = /Ze. xi00' •��.�F /ow dl "'CPA cci/ Four(�l� � d :SFi ;ba6+d17 1016tia/s - cts Spa c cd a ?• sa' Ex.'s• � �'' � � � cAjel( LA-) Area C-tAk ` eon (3u!/'�n S a �\ / 4?prox. -6'ol of t i 9 o� /O 1914 • Wisconsin Departrnent of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8'% x 11 inches in size. Phan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. 032 - 2158 -50-000 Please print all information. Reviewed By Date Per=W nformabon you pvvide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Glen Johnson Construction Govt. Lot NE 1/4 NE 19 S 9 T 30 N R 19 W Property Owners Mailing Address Lot # Block # �Subd.me or CSM# P.O. Box 809 5 Roy Ridge City State Zip Code Phone Number J City J Village ✓, Town Nearest Road Hudson WI 1 54016 1 715- 386 - 2974(0) Somerset 1 1679 56Th Street Ael New Constriction flee: ✓ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD i Replacement _� Public or commercial - Describe: Parent material Glacial till Flood plain elevation, if applicable na General comments and recommendations: Site suitable for mound system with 6' x 100' dispersal cell. System elevation to be 94.50' at 14" above 93.33' contour. a Boring # __] Borft j Pit Ground Surface elev. 91.27 ft. Depth to limiting factor 24 .. in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f? in. Munseii Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-8 10yr4/3 none sl 2fsbk mvfr as 2fm,1 c 0.6 1.0 2 8-24 7.5yr4/6 none Is 0 s ml cW 2f,1mc 0.7 1.6 3 24-32 7.5yr4/6 f2f 7.5yr5/8 Is 0 sg ml aw 2f,1 me 0.7 1.6 4 32 -51 5yr4/4 f2f 7.5yr5/8 Ivfs Om mfi - 1vf 0.4 0.6 F _j a# -� !�J Pit Ground Surface elev. 93.66 ft. Depth to limiting factor 22 in. Soil Application Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0-7 1Oyr3/3 none siil 2fsbk mvfr as 21'm 0.6 0.8 2 7 -15 1Oyr5/3 none sil 2fsbk mvfr cs 2vf,f 0.6 .08 3 15-22 1 Oyr4/6 none gr sl 2msbk mvfr cW 2vf,f 0.6 1.0 4 22 -27 10yr4/6 f2f 7.5yr5/8 gr si 1 msbk mvfr cW 1 of 0.4 0.6 5 27 1 Oyr4/6 m2d 7.5yr5/8 gr sl 1 msbk mfr - - 0.4 0.6 Effluent #1 = BOD ? 30 < 220 mg/L TSS >30 < 1 mg/L - " uent #2 = BOD < 30 mg/L and TSS <-0 mg/L CST Name (Please Print) Signatu CST Number James K Thompson Sw--._ 3602 Adder A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane Osseo , WI 54020 5/202005 715- 248 -7767 p Owner Glen Johnson Construction Parcel ID # 032 - 2158 -50 -000 Page 2 of 3 3] Boring # J Boring �/ Pit Ground Surface elev. 90.41 ft. Depth to limiting factor 28" in. Soil ppplloation Rate Horizon Depth Dominant Color Redox Desorption Texture Structure Consistence Boundary Roots •Eff#1 'Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-7 10yr3/3 none siil 2fsbk mvfr as 2vf,f 0.6 0.8 2 7 -16 10yr5/3 none sil 1fsbk mvfr cs 2vf,f 0.4 0.6 3 16-28 10yr4/4 none sil 2msbk mvfr gw 2vf 0.6 0.8 4 28-34 10yr4/4 f1f 7.5yr5/8 sil 2msbk mvfr aw 2vf 0.6 0.8 5 34-40 7.5yr4/4 m1 p 7.5yr5/8 scl 1 msbk mfi - - 0.2 0.3 # I PPit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate F Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F Boring # -� Boring _J pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Desc ipbon Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 • Eftkrent #1 = BOD ? 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 < 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. r EX%J�ib��lteorl ¢.�¢�t by -1 7T►o,7ipspv, �So,% a /4A,4.brn l o, - 6 by ,4. Sc1«..no�¢ly�ib /vz Locc.�cdonq�o. She ,�ol►nsan '�.$b'uG��on� l.o� 5 IPo)r�iol�&. SeC-. 9 T .of.Sore, set, St. Goys.,uJ /. : Tp o l4 21t� = /cE9.GYI� o \ well �. ■ , Area C. , ,4p?rox. 1o co. 6 - ,*, o,c d�v,nag � r i 1914 visoatsin Deparbront of Conimerce SOIL UATION REPORT Page 1 of 3 Division d Sadety and ad&w in accordance with Wis. Adm. Code A.C.E. Sod & Site Evaluations County Attach complete site plan on paper rot less ; 9n es in s" t St Crobc include, but not Iffnited lo: vertical and horiint (BM), percent slope, scale or dimernsiors, north and road. Parma I.D. _ � n 2158 - 50-000 Pw-W W-nd- �� p -id E" - d STi cMpiecy S. is GI��Yt� N Owner Property Location I dwrOff n — Construction N U 2 2005 cponrt. Lot NE 1/4 NE 19 S 9 T 30 N R 19 W Property Owner's Mailing Addres Lot # Block # Subd. Name or CSMi ROIX COUN TY 5 Roy Ridge r)� CRY _J City _j Village 0 Town Newest Road Hudson WI 1 54016 715 386 - 2974(0) Somerset 1679 56Th Street Mme+ New Construction Use: p+ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD d� I Repliacement Public or commercial - Desaibe: Parent material Glacial V Flood plain elevation, if applicable na General cornetts and recornmenclations: Site suitable for mound system with 6'x 100' dispersal cell. System elevation to be 94.50' at 14" above 93.33' contour. Boring # J Boring 0 Pit Ground Surface elev. 91.27 ft. Depth to &nbV factor 24 " m• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNf= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I 'Eff#2 1 0-8 10yr413 none st 2fsbk mvfr as 2fm,lc 0.6 1.0 2 8-24 7.5yr4/6 none Is 0 s ml cw 2f,1mc 0.7 1.6 3 24-32 7.5yr4/6 f2f 7.5yr518 is 0 sg MI aw 2f,1 me 0.7 1.6 4 32 -51 5yr4/4 f2f 7.5yr5/8 Ivfs Om mfi - 1vf 0.4 0.6 Big # Boring ,t jI Pd Ground Surface elev. 93.66 ft. Depth to limiting factor 22 " lo. Sod ApplCaton Rate Hon;m Depth Dominant Color Redox Description Texture Stmcture Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 `Eff#2 1 0-7 10yrM none Sid 2fsbk mvfr as 2fm 0.6 0.8 2 7 -15 10yr5/3 none so 2fsbk mvfr cs 2vff 0.6 .08 3 15-22 1 Oyr4/6 none gr sl 2msbk mvfr cw 2vf,f 0.6 1.0 4 22 -27 1 Oyr4/6 f2f 7.5yr5/8 gr SI 1 msbk mvfr cw 1vf 0.4 0.6 5 27-40 1 Oyr4/6 m2d 7.5yr5/8 gr SI 1 msbk mfr - - 0.4 0.6 Effluent #1 = BOD ? 30 < 220 mg(L TSS >30 < 1 MWL #2 = BOD - 30 mg/L and TSS <-0 mg/L CST Name (Please Print) S'ngnatu CST Number James K Thompson 1. SA-- 3602 Address A.C.E. Sod & Site Evaluations Date Evaluation Conduced Telephone Number 340 Paulson Lake lane, , WI 54020 5202005 715 - 248 -7767 i r P ro p er t y ow Glen Johnson ConshiXtiort Parcel ID # 032 - 2158 - 50-000 Page 2 of 3 3] F 8 # 1m P Ground Surface elev. x.41 ft. Depth to limiting factor 28" in. Application Rate Horizon Depth Dominant Color Redox Description Textwe Strwkwe Consistence Botxdary Roots in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff#1 *002 1 0-7 10yt'3/3 none std 2fsbk mvfr as 2vff 0.6 0.8 2 7 -16 10yr5/3 none so Ifsbk mvfr cs 2vf,f 0.4 0.6 3 16-28 10yr4/4 none sfl 2msbk mvfr 9w 2vf 0.6 0.8 4 28 10yr4/4 f1f 7.5yr5/8 ad 2msbk mvfr aw 2vf 0.6 0.8 5 34-40 7.5yr4/4 m1 p 7.5yr5/8 sd 1 msbk mfi - - 0.2 0.3 1 — — — 7t::::= Bortn9 # J Boring Pd Ground Surface elev. ft. Depth to limiting factor m. pppli R ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Mmdary Roots in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-I Boring # "� �9 ft. Depth to limiting factor ht. Pit Ground Surface elev. Sod Application Rate Horizon Depth Dornkwt Color Redox Description Texture Structure Consistence Boundary Roots GEDITF in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = SOD 30 < 22D mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD mg/L and TSS a 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, A EXis , y grjde o l ■ Soy /edalua��, -, p,� by .T.74om,v -Vv, Sa% ed4Ju '& - , , rn 4, 6 by A. Sc-A"rnae'e�y /6 /oz • �o c�.�c.d r or - qp. She .�o�in.So.� C'onStr'uc6:o+�, Lo�S �oy�ial�, Sec. 9 LA 3 \ o� M t Area c4tf ----- / � J r � P� 3 W3 A 2 71 6 P 2 4 0 -78:�- 6aZ+ X ATHLEEN H. WALSH State Bar of Wisconsin Form 2 -2003 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO.. WI RECEIVED FOR RECORD Document Number Document Name 12/15/2009 11:50AX WARRANTY DEED EXEMPT # THIS DEED, made between Glen Johnson Construction, Inc.. a Minnesota Corporation REC FEE: 11. ( "Grantor," whether one or more), COPYSFEE:: 201.80 and Eric L. Hall and Sarah L. Hall. husband and wife CC FEE: PAGES: 1 ( "Grantee," whether one or more). Recording Area Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Name and Return Address interests, in St. Croix County, State of Wisconsin ( "Property ") (if more space is EAGLE VALLEY BANKN.A. needed, please attach addendum): 2501 Hanley Road Lot 5 of the Plat of Roy Ridge Estates in the Town of Somerset PO B id( 70 HudsMM 54416 032 - 2158-50 -000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated �`lo r -/� , (SEAL) — (SEAL) * *Glen Johnson Ostruction, Inc. (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) authenticated on STATE OF MSc Os1St n ) ) ss. * Ceo� x COUNTY ) TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me on 17t'CG. 10 00 q (If not, the above -named Glen Johnson Construction. Inc., a authorized by Wis. Stat. § 706.06) Minnesota Corporation to me known to be the person(s) who executed the foregoing THIS INSTRUMENT DRAFTED BY: instrument and acknowledged the same. Attornel_Kristina Ogland Hudson WI 54016 unuin * i_I 6�6 R r"• SZ_C1 l; Q ��.0-36D j Notary Public, State of . �� • F���, My Commission (is permanent) (expires: a 3f�ooh� l iPnattire mi, au cated or acknowledged. Both are not necessary.) NOTE: THIS IS A S fgDARD FG M. A+' MCOIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED Z 4 , -O C ® 2(jV IrATE BAR OF WISCONSIN FORM NO. 2-2003 Is Type name below signatures. i *ems L , • �` INFO -PROTM Legal Forms 800 -655 -2027 www.infopmfbrms.com • N �,. , ►nn77 0 y ° c 0 c f c d �1 c T �D T CD 0 ' 1 rr a, Z Z O A Z Z O? L O O O O N O � N ? I O O O CO W • CL CD CD ro CD O N Ui m N N W U) O �_ cn 0 _ G) CD co O CD O CL co CA 7 �j' C S pM1 V C M O !r _ CO a cn Z D cn cn Z D eo D @ D a c' N a m Ic a W I � C a c O o O � I V °' N m 3 00 :: � CD i�3 crc 3 CD 3 T TMT�. O CA Sr 3 ° - v a a 3 T N N d Im lM O. w .► N 3 N 3 M 3 '•' D D o D D o O O ° O ° CL a N CD o m o C 3 c 3 (D O (D O 3 m' 3 m CD N m m — —1 fA ° c ° c p. Z CD N cn CD W A Q 7 c o _ _ C z CO A W O N C Z CL CL C C 3 3 m N H CD N ? fD CD a ' N N O Q Q n 7 y d C 3 N t f�D O (D N G N C 7 N N N O— CL o n cc Z1 T o a m' (D O r:aa° o m O. N N a j y N (p O c 3 c o °c rn a0 O CL CD N) CO y &n < A c A N p Q o N • m m �' °°. oW o z 2 'm rn a m CD = CD fn cn E N CD I i i ~ c c CD CD b ~ o 0 0 * c °o i o f `ti a Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 N visconsin Madison, WI 5 37 0 7 - 7162 Sanitary Permit Number (to be filled in by Co ) Department of Commerc (608) 2 (� 3 2 32 Sanitary Permit Applieatio i state Plan 1. D. Number In accord with Comm 83.21, Wis. Adm. C rsonal informado you p{q o O 66 42 - TM*" • /D may be used for secondary pnrpos rt y Law, s15.04( (m) U C 1. 0 7 2 0 0 /Proj Address (if different than mailing address) i I. Application Information - Please Print All Infor tl ST. `t� 1 0 - ZONING OFFICE # Ito q q I 5 - 5 ' J Property Owner's Na me _ Parcel Il Lot;' Block N Property Owner's M ailing Address M Property Location to try, State ` Zip Code Phone Number 'k, ,Section `z �S'D.✓ L f1 j s c' ' 7 N; R I ! E o& (circle q) T, I1. Type of Building (check all that ag ) oe r r S vk� 1 or 2 Family Dwelling - lNumber of Bedroo _ c� Subdivision Name CSM Number ❑ Public /Commercial - Describe Use V G� ❑ State Owned - Describe Use T _ _ _ ❑City_ Village & wnship of `��� & I III. Type of Permit: (Check only one box on line Complete lin B if applicable) PID 032 - 21 - - • (oJ A. 0New System ❑ Replacement System ❑ atment/H ding Tank Replacement Only I -� OtheLM fic to Existin B. ❑ Permit Renewal I ❑ Permit Revision ❑ Chang ❑ Permit Tran e o New t ermi N be Uate su Before Expiration Plumber Owner ���� IV T of POWTS S ste (Check all that a pply) 11 Non - Pressurized In- Ground Mound > 24 in. of suitab soil Mound < 24 in. o suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland El Pressurized In- Ground i_l H ing Tank Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ;] Recirculating Synthetic Me Filter ❑ Leach Chan r ❑ Dri Line ❑ ravel -less Pi ❑Other (explai ) i V. Dispersal/Treatment A rea Information: '�c /t1a " _ (e Design Flow (gpd) Design Soil Appl ication Rate(gpdsF ispersal Area Requi d (sf) Dispersal Area Proposed (sf) System Elevation _ S CGS G9 rioC _ � 7,5" VI. Tank Info capacity in Total _ Number Manufac rer Prefab Site Steel Fiber Plastic Gallons Gallons of Units �_/ Concrete h Constructed Glass New Existing Tanks Tanks Septic or Holding 'Tank I 7 i L-' CY Aerobic Treatment Unit — Dosing Chamber VII Responsibility Statement I , the uldersigned, assume responsibility for _ instpHatio n of the OWTS shown on the attached pl ans. Plumber's Na me (Print) P tuber's Si gnature T , P PRS Number Business Phone Number � I Plumber's Addre ss (Street, City, State, ip Code) > VIII Use _ my ' Approved rsapprove Sanitary Permit Fee (includes Groundwater Date ued I suing gent Signature (No Stamps) � Surcharge Fee) teen Reason Denial Y 3SD 4)6-, . IX. Conditions ro /R , I SYSTEM p 3) N O )� t .t �• O y I 1 Septic tank, effluent filter and U dispersal cell must all be serviced I maintained as per management plan provided by plumber. 2. All setback requirements must be maintainedts as per applicable code /ordinances. I Attach complete plans (to the County only) for the system on paper not less than 81 /2 x 11 Inches in size 4,,r i 4A �' L A 10 \ J I�io p03ld wL ll ~� 0 P ro�O ° S.ed ; �ara92 Yl to P. ✓.c. �eSrdc+, ee cQ Wre set Cor,e, wt.p jso rh < ProPo s[d maw,,d n Steer / 9. /.Z;r iis. ps' w %� eF�' /ux+►� �' /6u-ad oubc�. 6'X i o0'd;J cc //. s 3t/ dr,^iF,�U3 fjaacrdu.'��• /p' _ �r.0.o'coa�r�dntir W �- P�oposeal7so�..P. e r o�9h it co n 04 3 r% h� YQ� Safety and Buildings • 4003 N KINNEY COULEE RD commerce .Wi.gov LA CROSSE WI 54601 - 1831 TDD #: (608) 264 -8777 t i sco ns i n w ww.commerce.wi.gov/sb/ www.wisco isconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary November 24, 2004 CUST ID No.227990 ATTN: POWTS Inspector WILLIAM C SCHUMAKER ZONING OFFICE SCHUMAKER PLUMBING ST CROIX COUNTY SPIA 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/24/2006 Identification Numbers Transaction ID No. 1086642 SITE: Site ID No. 692814 Glen Johnson Construction Please refer to both identification numbers, 1679 56 Street above, in all correspondence with the agency. Town of Somerset St Croix County NW1 /4, NEIA, S9, T30N, R19W Lot: 5, Subdivision: Roy Ridge FOR: Description: Proposed Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 994480 Maintenance required; 600 GPD Flow rate; 27 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.0 1 /0 1), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD- 10691- P(N.01 /01). • The pressure network is to be constructed in accordance with publications SBD- 10706- P(NO1 /O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81)". • 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. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. PO 4 CQh"flo rs ph � hal>>- i WILLIAM C SCHUMAKER Page 2 11/24/2004 ifi tions and this letter shall be on -site durin Comm 83.22(7) - A copy of the approved plans, specifications � construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us WiSMART Code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Glen Johnson Construction 4 bedroom residential moun Owner's Name: Glen Johnson Construction Owner's Address: P.O. Box 809 Hudson, WI. 54016 Site Address: 1679 56th St. Legal Description: �NE1 /4NE1/4, Sec.9, T.30N., R.19W. Township: Somerset County: St. Croix Subdivision Name: Roy Ridge Lot Number: 5 Block Number: J/ Parcel I.D. Number: 032 - 2158 -50 -000 r A VE D Plan Transaction No.: D&ARTMENT OF COMMERCE WIS +ON 19 SAfATY AND BUILDINGS Page 1 Index and title Page 2 Data entry SEE CORRAfONDENCE RECEIVED Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications NOV Z 2004 Page 6 Management and contingency plan Page 7 Pump curve and specifications SAFETY & BLDGS DIVe Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Bill Schumaker License Number: 227990 Date: 11/12/04 v Phone Number: 715 - 386 -3721 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Infor mation (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) j 4.00 Site Slope ( %) r 99.00 Contour Line Elevation (ft) 27.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution F Y Pressure Disribution Information network? Enter Y or N (c or e) j c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.1 25 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 9.38 ft /orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? F 92.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 7.50 Vertical Lift (ft) 62.81 5x Void Volume (gal) 0.61 Friction Loss (ft) 69.34 Minimum Dose Volume (gal) 14.61 Total Dynamic Head (ft) 26.36 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choic in. dia. o tions c hoice _ 0.75 1.25 x x 1.00 x 1.50 x 1.25 x _ x 2.00 1.50 x 3.00 2.00 x � --- ._.-_� --- - -. - -- 3.00 x I 1 Gallons /Inch Calculator (optional) Treatment Tank Information 750.36 Total Tank Capacity (gal) 1200.001 Septic Tank Capacity (gal) _ 37.00 Total Working Liquid Depth (in) Wies Concr IManufacturer 1 20.28 gal /in (enter result in cell B49) Dose Tank Information Ef fluent _Filter Inf r 750.361 Dose Tank Capacity (gal) Zabel Filter Manufacturer F 20.281 Dose Tank Volume (gal /in) A100 Filter Model Number j Wieser Concrete - ,]Manufacturer Project: Glen Johnson Construction 4 bedroom residential mound Page 2 of 9 Mound Plan View T 1/10B• a , J :y �, Observation Pipe K T ry 1 ►► 5 . A W .J.�.�.• B E: . .... .. I ..... ......................I.. r1 . . L Mound Component Dimensions A 6.00 ft E 11.88 in H 1.00 ft K 7.92 ft B 100.00 ft F 9.25 in z 7.71 ft L 115.85 ft D 9.00in G 0.50ft J 5.41ft W 19.12ft 600.001 (ft Dispersal Cell Area 1 1370.74 (ft Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 1 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.52 (ft) ► G * H � rrfrirrrr 2 rririiri.. • 1 F Dispersal Cell 100.25 (ft) Lateral 99.75 (ft) — : : : : : : Invert Dispersal Cell Elevation E D , {'� ]•. {..{ ] i, -]�] -] ]�i ,{ i i ;{ } ] i ] ] i ]. j .� -� -] ] i i - ] - { 1 , 4 : {�1 •-: (ft) Contour El 4.0 % Site Slope Geotextile Fabric Cover Shading Key �. Dispersal Cell See lateral details on 10 — Topsoil Cap c 1.5 ft • .• •ti;.:• Page 4 for number, © rrrrr Subsoil Cap c • ;(�•�'• • size, and spacing of ©] ASTM C33 Sand Z I :' '•:'• �c �'r'' F laterals. Laterals are i . Typical Lateral ®0 Tilled Layer c H 05 ft ' •'•'• equally spaced from 05 0 Aggregate v o '• - the distribution cell's �---- A * centerline in the distribution cell (AxB). Project: Glen Johnson Construction 4 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical P 5 •= Turn -up wlball valve or If X— 41+x12 �12 ; - >1 Laterals & force main of PVC Sch 40 clean out pl u g per COMM Table 84.30 -5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.18 ft Lateral Length (P) 49.29 ft Orifices per Lateral 16 Lateral Spacing (S) 3.00 ft Orifice Density 9.38 ft /orifice Lateral Flow Rate 6.59 gpm Manifold Length 3.00 ft System Flow Rate 26.36 gpm Manifold Diameter 1.25 in Total Dynamic Head 14.611 ft Forcemain Velocity 2.69 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and — 00 Comm 16.28 WAC Disconnect - 4 in. min. Tank component is properly vented :;: F— Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer _ 2 in. Capacityl 750.36 Gallons Volume 20.28 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 20.02 405.98 C B 2.00 40.56 P um off e levation (ft) C _ 5 .98 121.30 92.75 D _ 9.0 01 182.52 D Total 37.00 750.36 iF Dose tank elevation (ft) 3" Bedding un er tank. 92.00 Alarm Man uafacturer;L Alarm Model Number IDLY Pump Manufacturer G oulds 387 Pump Model Number WE04H Pump Must Deliver 1 26.36 gpm at 14.61 ft TDH Project: Glen Johnson Construction 4 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Name ill Schumaker I Phone 86-721 Service POWTS Name St Croix County Zoning Phone! 7 715 3 386 3 4680 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 ye C�the•r; �"� Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished • ............. ............... Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral �y► Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Glen Johnson Construction 4 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01 /01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. 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. Septic Tank 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. The outlet filter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from Its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 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. Pump 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 fitter 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 as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design now 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv 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(s) 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 absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Glen Johnson Construction 4 bedroom residential mound Page 6 of 9 , r�� J ,000LDS PUMPS Submersible Effluent Pump M OD EL ., E PO4 � - 3 871 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings'. Upl:el cnc r grade turbine oil for tic enclosed design for heavy duly ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following uses: heat transfer. ■ Casing and Base: Rugged • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto SP resistance. cat,xran sc,3nuaru: Assouc t on • Heavy duty sump matic models include • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron • Der7atering assembled and preset at the for efficient heat transfer, Goulds Pumps i s iso Sou FequtE rro factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. maximum. ■ EPO4 Impeller: Thermoplas- m Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant • Total heads: up to 31 feet, pump out vanes for mechanical • Discnarge size: 1'/2" NPT, seal protection. • Mechanical seal: carbon - rotary /ceramic- stationary, BUNA -N elastomers. • Temperature: 104 =F (40°C) continuous 140 F 60�C intermittent. METERS FEET - • Fasteners 300 series to - - stainless steel • Ca p able of running 8 d without damage to�' 4 2 s l i f p 251 ___ ` - - - -- - - - --__ com onents. — o 7 a 1 { Rlotor: w z EP p V, Hz as 0 HP • Singl u 6 20 5 o ! RPM, built in overload with o _,___,_ automatic reset. ` • _.. EPUS ~ r - -- - - EP 5 Vor �30Va60 0 5 1550 � 3 to; Single p ~ RPM, built in overload with _f EPO4 automatic reset. z • Pov,er cord: 10 foot 5,. - standaro length, 16/3 1 ( . 1 grounding ng plu Optional 20 0 ____ 10 . 3 � 0 .._ _ 'i i.. - o 5o GP' ✓' foot {myth, 16/3 S1TW with 7 �. 3r0�.,�.r►+• m,'��mu,n 5� /y / fir a/ three prong grounding plug -- -�--�- n, ;standard on EP05). 0 2 4 6 8 10 I CAPACITY Goulds Pumps ---- - - - - -- 2oc2 GoL.IdsPumps ITT InduStr i�5 e Seinember, 2002 307' 7 pr • A lO J Ax l��o poStd we'll —� 0 P ropaS�.d � �eraQQ y'a�,�10� ✓.L'. � ��oo., -, I ✓ bw /d; �� Sew res idit, L4ze vjL ( owl ProPo maw,^d 4.� Scp6 6t nAeu4/ -- i /S. Ps' it-4 eF� /uer►� �' /�rra t out/et�. pri �cc s S, L--)-LP 7500 Pe.� p`o r0µ9h 330.8 ' 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 8 112 xal in size. Plan must / include, but not limited to: vertical and horizontal reference point (BM), direction and arce percent slope, scale or dimensions, north arrow, and location and distance to nearest road. C E VV Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). APR 2 2 Property Owner Property Location 14- G Govt. Lot ,V (A) 1/4fT C}3 I U Y 3 N R E (or) Ig Property Owner's Mailing Addre s Lot # Block # u a l33 EvCr- n r-'e--e n Dr-, City Stattf Zip Code Phone Number ❑ City ❑ Village [kR Town Nearest Road cr S 0( 5 - 1 / 002 e.3/ -So r + /7 4 6,t [� New Construction Use: ❑ Residential / Number of bedrooms 3 – Code derived design flow rate / O 0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material r Flood Plain elevation if applicable General comments Sys fpn� e t U, /0 and recommendations: Q Boring # ❑ Boring _! J pit Ground surface elev. 0jJ • 6 ft. Depth to limiting factor 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I 0-7, /o r /y _ . SL: zms-�'e 6.5 )'V - Z ?b - 3 0 loy r -3 -- S L zn►sv W14r- 65 2 -moo /a Y e-3 C 1 P 7 s / s 61-- Z ✓y)7( - Y, G Boring # ❑ Boring (—� IR pit Ground surface elev. F7 - 7 0 ft. Depth to limiting facto in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o -`I /o Y i 3 /f — S G 7e b Mjf r 6s ,S Z 1-1 ,-Z $ la l -,316 — S L 2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L • Effluent #2 = BOD < 30 mg /L and TSS _< 30 mg/L CST Name (Please Print) _S i g nature CST Number r^ C Wlct •e � � s 3 Q Address Date Evaluation Conducted Telephone Number Z 4 �--� m e Ys e 4 , z 71 - y-7 - ya o 8 cnn eiin ron,'nni Property Owner `� Q "e V Parcel ID # �G Page Z of f El Boring F -31 Boring # / Pit Ground surface elev. d ft. Depth to limiting factor �� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 J 0 - 5 - 10Yf .3/"/ - S G Zr+ ab(C c S I v • 5 3 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring F-1 Boring # Ground surface elev. ft. Depth to limiting factor in. El Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. S B D -9330 (R.07/00) PAGE_3_OF NAME N / VIQ a,t n LOT# LEGAL DESCRIPTION AIW X F 14 ,S T 0 N.R. 1 4 E(orYq SCALE: I "= 4 /0 — -- - - BM I ELEVATION ZOO U BM I DESCRIPTION fo o 0I BM 2 ELEVATION q 0 0 BM 2 DESCRIPTION - top j + I ArL Sec, SYSTEM ELEVATION /OD Z 0 ALTERNATE ELEVATION A -) CONTOUR ELEVATION C) C) do � 1 4 Il a q S�apL � � N 6�Z SIGNA'T`URE � /���- � DATE 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 / include, but not limited to: vertical and horizontal reference point (BM), direction and arce percent slope, scale or dimensions, north arrow, and location and distance to nearest road. C E I V Please print all information. Revie d by Date • PR ot-c. 41 14 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15. (1) (m)). Property Owner Property Location G Govt. Lot N(A) 1/4&j I U Y3O N R E (or)1� Property Owner's Mailing Addre s U Lot # Block # u a 13 ,3 4 1 Er/r► r��n fi �o ,'d City Staff Zip Code Phone Number ❑City ❑Village [j? Town Nearest Road t'- F4 I wr s yozz I (7IS ) yam -983/ S New Construction Use: Q Residential / Number of bedrooms 3 — Code derived design flow rate a d GPD ❑ Replacement T ❑ Public or commercial - Describe: Parent material f r Flood Plain elevation if applicable General comments S yS f P m e I t u loo. Z O and recommendations- eo h 4o Uv- e 1 e V 9, `f. OQ F-tl Boring # ❑ Boring 240 pit Ground surface elev. 66 • tS ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft #1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 l o-z° /o r3 /y -'s . ' 9 Z za -3o /o� r 30 -- 5 L Zmsv Y✓Cr 5 P 7 fyr -- 5e—Z— Z Mn-4; Fz-1- Boring # ❑ Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 to 3�y S1- Zw+ .h l91 r 6-S Z �> $ /a� /6 — S � 2 ►•-►fib ti'Y► -- 5 • s . � Z �r -Ho 36 W 7, s x.3/6 s'= ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) _Signature CST Number / r� c w�a -e _ _- �— S G Address Date Evaluation Conducted Telephone Number met- e / s z 7-71V 0 SBD -8330 (R07100) Property Owner A) `�� Q -e h Parcel ID # JG 4 Page Z Of Boring 1 31 Boring # �. �pQ ft Depth to limiting factor Pit Ground surface elev. �._._ 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 /0"/t 3 _ S/ loyr316 5/- 3 z� log 31 ru 7' sv r"316 WXX Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD 1ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff42 ❑ ❑ Boring # 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 GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.07/00) . PAGE-3-OF _3, NAM M LOT# 5 LEGAL DESCRIPTION AIW Y4 b E X ,S T 3 0 ,N, R, '1 q E(o • .. r SCALE: V= BM 1 ELEVATION /U0. U BM 1 DESCRIPTION �p 0 d 1 I p y ( - -t- BM 2 ELEVATION I ff - O O _SeC. BM 2 DESCRIPTION fo 0 rJ — SYSTEM ELEVATION /DO Z O ALTERNATE ELEVATION A) CONTOUR ELEVATION 9 47.00 I Q 11 a y + 1� S i II 1 SIGNATURE �4 - J DATE ST CROIX COUNTY SEPTIC 'LANK (MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owncr/ - Buyer 6 � e) Mailing Address D 4 g ,-fc e 4 j j� 5 a. Property Addres 7 e (Verification required from Planning Department for new construction) City /Slate Parcel Identification Number o3z - Zla -S0 -moo LF, GAL DE CRIPTION (. Property Location %, �>� i /., Sec. _�7 T L� N.RAW, Town of S'a� ?' Subdivision --we ei g � Lot # .� Certified Survey Map # , Volume LL:, # Warranty Deed # Volume �d , Page # Spec house ;t yes fJ no Lot lines identifiable t 0 no SYSTEM MAINTENANCE Improper use and maintenanceof 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 properry owner agrees to submit to St. Croix Zoning Department a certification, form, signed by the owner and b•, a master plumber, journeyman plt:mber, restricted plumbe or a licensed pumper verifying that (1) the on -site waste wa ter disposaI system is in proper operating condition , nWor (2) after inspection and pumping (if necessary), the septic tank is less than 1 full of sluage t/wc, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the siandares set forth, herein, asset by the Department of Comm -cc and the Depanment of Natural Resources, State of Wisconsin. Certttcat,on stating ilia ur se ti system hs been ma,nic;rncti ;mist b^ cnrnpicted and rcturned to the St. Croix County Zoning office w;ih,n 3C days of ree car xptrat n date, f�f� fl3 SIGNATURE GF PLICANT DATE UWNFR CERTIFICATION [ (we) cc tha tl statcmcnts on ilijs form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the pro desc ibe ab e, by vtr,ue of a +�arranty deed recorded in Register of Deeds Office, SIGNATURE 0 PPLICANT DATE nn,v information that is mis•rc,jprescnted may result in the sanitary permit being revoked by the Zoning Department. • " "' " Include with this application a stanipcd warranty deed from the Register of Deeds office a'Copy of the certified survey map if reference is made in the warranty deed U 191Oi 590 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN 1 $ � H Document Number WAICRANTY DEED REGISTER OF DEEDS ST. CROIX CO.. W1 This Deed, made between Jame D. He and Al C. N yhage n RECEIVED FOR RECORD 06 -17 -2002 8:30 AM —_ -- WARRANTY DEED Grantor, and Glen Johnson Constru Inc., a Minnesota EXEMPT t C orporation, REC FEE: 13.00 _ _ TRANS FEE: 960.00 COPY FEE: Grantee. CERT COPY FEEs Grantor, for a valuable consideration, conveys to Grantee the PAGES: 2 following described real estate in St. Cr _ County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area (See Attached Exhibit "A ") Name and Return Address v✓� >L1l P t 032-2 Parcel Identification Number (PiN) This _ not homestead property. pt) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this �L� day of Jun T 20 D. Henry -- - -- — + = lien C. N yhagen AUTHENTICATION _ ACKNOWLEDGMENT ' Signature(s) James D. H enry and Alle C Nyhagen STATE OF WISCONSIN ) _. -- ) ss. .� d County ) authenticated thisl� f da of _ June _ _ 2002 Personally came before me this day of the above named + Kristina TITLE: MEMBER STATE BAR OF WISCONSIN - - - - - -- (Ifnot, to me known to be the person(s) who executed the foregoing -- -- authorized by instrument and acknowledged the same. § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina O gland _ Notary Public, State of Wisconsin H udson, WI 5 40 16 - _ My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) .._ - . .__ , - - _-) • Names ofpersons signing in any capacity must be typed or printed below their signature. Information Profe5as -13 Co Peny. Fond du Lac, vw WARRANTY DEED STATE BAR OF WISCONSIN e00a55-2021 FORM No. 2 - 1999 Y 591 EXHIBIT "A" Lot 1 of the Plat of Roy Ridge Estates excepting the following: Commencing the Southwest corner of Lot 1 of the Plat of Roy Ridge Estates; thence S89 0 11'44 "E 221.13 feet along the South line of said Lot 1 to the point of beginning; thence S89 °11'44'E 180.00 feet along said South line; thence N01 °41'50"E 60.01 feet along the East line of said Lot 1; thence N89°11'44"W 180.00 feet; thence S01 °41'50 "W 60.01 feet to the point of beginning. Also including the following: That part of Lot 4 of a Certified Survey Map recorded in Vol. 15, Page 4239 at the St. Croix County Register of Deeds Office, further described as follows Beginning at the Northwest comer of Lot 4 of a Certified Survey Map recorded in Vol. 15, Page 4239 at the St. Croix County Register of Deeds Office; thence S01°32'13"W 59.72 feet along the West lane of said Lot 4; thence Si3"1'44'E 220.97 feet; thence N01 59.72 feet; thence N89 11'44'W 221.13 feet to the point of beginning. Lot 2 of the Plat of Roy Ridge Estates excepting the following: Commencing at the Northwest comer of Lot 2 of the Plat of Roy Ridge Estates; thence S01 263.92 feet along the West line of said Lot 2 to the point of beginning; thence S01 °41'50"W 60.01 feet along said West line; thence N89 40.00 feet along the South line of said Lot 2; 'thence N01 °41'50"E 60.01 feet; thence S89 1'44'E 40.00 feet to the point of beginning. Lots 3, 4,� 6, 7 and 8 of a Plat of Roy Ridge Esta tes, AL in St. Croix County, Wisconsin. o c c:. Z ,.,.._ qo 0 3w�w 33333 ww3w 33 3 •, � u �►' .. N.� � N ((�, � ( [ w O O aJ� 17 tC M c0 M (D W 'o) 0 r- N N O� M N N n f N QQ c E 0 O U) CM :g � .-N . -��A!7 MMMOQMMM��dMMdd Z= F o 8l co�:nnr�ooupi o o r,�' r rn�i oWnS.- nna < O (ANZZZNtnN(nZN Nw V)U)NNN(nZ N Q O.- NMeFLAtpnOD010. -NM Pi lO OV O ^NM� �ronaow — — NNNN Z J J J J J J J J J. J J J J J J J J J J J J J J ------ - - - - -- @g0'L6Z t Mmes,Lgom lF /l3N 3HL dO WWN O L1 ,90'4821 3ON1f tSIO ?iJ0 -18 3H130 3Nf1 JSV3 .90'08 ,n l �b9'OEE w rn� b � __ �� II�• w J �' —w ` w • l ��O�/ i G u� / .... f.• �� —_ 0— iol Lq ol \\ r e % ; cc Lu. • r cQi \� w N J UJ M'LLZ 3.8 L .8tio00N wl C3 R OAD �y o �i - Parcel #: 032 - 2158 -50 -000 02/15/2005 10:06 AM PAGE 1 OF 1 Alt. Parcel #: 9.30.19.1365 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 * ERIC L & SARAH L HALL HALL, ERIC L & SARAH L 1301 CIRCLE PINE DR NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description * 1679 56TH ST SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.322 Plat: 2423 -ROY RIDGE ESTATES 02 SEC 9 T30N R19W PT NW NE LOT 5 ROY RIDGE Block/Condo Bldg: LOT 5 ESTATES Tract(s): (Sec- Twn -Rng 401/4 1601/4) 09- 30N -19W NW NE Notes: Parcel History: Date Doc # Vol /Page Type 12/16/2004 782684 2716/240 WD 06/17/2002 681805 1910/590 WD 10/30/2001 660467 1749/203 WD 2004 SUMMARY Sill #: Fair Market Value: Assessed with: 11757 58,500 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.322 49,600 0 49,600 NO Totals for 2004: General Property 3.322 49,600 0 49,600 Woodland 0.000 0 0 Totals for 2003: General Property 3.322 49,600 0 49,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 �7 � � 668583 p 1 ff U j a.�' �b Il� 15 F" IAl IC 4239 KATHLEER H. WALSH i. AUG 9 2�� REGISTER OF DEEDS " ST. CROIX CO. WI RECEIVED FOR REHRD r 01 -17 -2002 11:20 AM CE'IFIED SURVEY MAP COPY FEE: 3.00 RECORDING FEE: 13.00 PAGES: 2 LOCATED IN PART OF THE NW1 /4 OF THE NE1 /4 OF SECTION 9, T30N, R19W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN, BEING LOT 1 OF A CERTIFIED SURVEY MAP RECORDED IN VOLUME 13, PAGE 3661 AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE. MMPdLa D dQ�]D� ODI C D �7 COO4[ C G°3@ ---------- - -- --- ------------ --- ------ NE COR. �— --- S88 °18'10 "E 2596.34'— -------------- SEC. 36 N1/4 COR. 170TH SEC. (q "� NORTH LINE OF THE NE1 /4 S88°18'10 "E r33'CI �,�S °06'26 "E S88 °18' "E 588 998.1 ' 1 298.17' " M S88 ° 18'10 "E 998.49' PR D RIVE ,r. ; }: ;;; "; •.,; ^.:$ 6.00 386.79' .__I h3' ( EXISTING DRIVE I 66 479.70 ( - ( FENCE CQRNER IS 1.5'+ - _�93 0 `; 8 '100! J / ... ..... .... I� EMI...... WEST OF LOT CORNER ............... °' pi Cm I I 75 HIGH I �1? 3 /CONTIGUOUS .r, ,nl i WATER I c_n w / BUILDABLE r. r o / AREA �' 66 TEMPORARY SETBACK �, , pl iI j z° of J EASEMENT O i / ° 144E „ 46.05' `��� 0 i �' i S89 1 498.35 66 1 i r f l p� ! 81 0 : 8 G �q3 'rM SEPTIC& HOUSE i NAVIGABLE �1 1 0 ' i I (,`� ri I �; _M : �U'� GARAGE CISTER ch WETLAND I Q' i W I N ° a. LOT 4 ' � d _ r U" — — — C�r — —! LP ` 3.065 ACRES SHED BARI�� M I C7 v i N r I (130,894 SO. FT.) U o POLE Z I - ,0 0 a SHED O � o I v �G ' t @i O j j SILO / I� J ci N89 °1 1'44 "W 388.09' w I u , o �- (N89 °16'03"W) ♦ ORDINARY HIGH LO WATER MARK = 935 .2 I J o N88 °27'47"W LOT 5 \ C 66.Q0' z- z $ I o 28.923 ACRES (1,259,908 SQ. FT.) INC. R/W �' - "- Z +� pe ;o 1 ( $ 28.167 ACRES (1,226,963 SO. FT.) EXC. R/W w O ti g Z 1 0 ° 28.616 ACRES (1,159,412 SQ. FT.) EXC. ALL OTHER EASEMENTS N � w w �� I C �' NOTES: O w b w T �O1� w� �w I O L O 4 0 LOTS 4& 5 ARE PROHIBITED FROM USING THE U w Z ---- - -- - -- EXISTING 66' ACCESS EASEMENT. s'� c w z 0 z " z (N89-0626W 1 w w - S88 0 18'10 "E 300.00 O.H.W.M. AND WETLAND LIMITS ESTABLISHED BY 1 \ w m 3 1 33 00' 267 00' THE ST. CROIX COUNTY ZONING OFFICE 10/30/2001 ` 1 ¢WOO z r� ( FILLING OR GRADING SHALL NOT BE CONDUCTED �`.� _ (n z w I C9 ' I ON ANY SLOPES THAT WOULD ADVERSELY IMPACT ! M - c o w I ANY WETLAND. g o v Q "if ( ca ' � � *- (n Z , N ( +li - -� SCALE IN FEET 1" = 200' Z M I 2 ROD EASEMENT FOR INGRESS AND EGRESS %. ° ' Z RECORDED IN VOLUME 729_ PAGE 639. ° : ---- - - - - -- --- - - - - -- 33.00' 1 .1% 1 .1% \ 200 0 200 9° 1 1278.11 ' 2.9± 788 °28'37 W 1311. ) 1' JL : (N89 � 00 ' ; Q `.v' `° SOUTH LINE OF THE NW1 /4 OF THE NE1 /4 ' U Lo �° SEE COUNTY SURVEYOR ---- - - - ---- Z LEGEND FOR TIES 1 /4COR. C331 SEC.9 OWNER FOUND ALUMINUM COUNTY LEE & BETH STENZEL SECTION CORNER MONUMENT 561 170TH AV. FOUND 1" IRON PIPE SOMERSET, WI 54025 NUMBER C1 SET 1" X 24" IRON PIPE, WEIGHING Radius 167.00 PREPARED FOR O 1.13 LBS. PER LINEAR FOOT Central Angle 41'50'32" ALLEN C. NYHAGEN ROADWAY SETBACK LINE Chord Bearing S19- 23.03 "E 1334 EVERGREEN ..................... ( 1 RIVER FALLS, WI 54400 22 00' FROM RIGHT -OF -WAY) Chord Length 119.27 SURVEYOR m EXISTING FENCE Arc Length 121.96 DOUGLAS J. ZAHLER FOUND IRON P.K. NAIL .0 glop Tangent In S01'32'13 "W S & N LAND SURVEYING, INC. m Tangent Out S40'18'19 "E 2920 ENLOE STREET ( ) RECORDED BEARING AND DISTANCE HUDSON, WI 54016 THIS INSTRUMENT DRAFTED BY: WILLIAM KANE +� NON - NAVIGABLE WETLAND JOB NO.6091 -01 DATE: 9/25/2001 REVISED: 11/27/2001 SHEET 1 OF 2 SHEETS Vo1.15 Page 4239 JUN 17 FILED 2 G04523 ST. CROIX COUNORO JUN 0 7 WALE OR'S REC dpi tDee ft � SURVEY pep of De� 3 CERTIFIED SURVEY MAP L LOCATED THE NW 1 OF THE NE 1 OF SECTION 9, T30N, R19W, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN. o LEGEND OWNER w LEE & BETH STENZEL NR w w ALUMINUM COUNTY SECTION CORNER 561 170TH AVE N N MONUMENT FOUND SOMERSET, WI 54025 U- O o ■ 3/4" REBAR FOUND AREA LOT 2 ° w rn w � a _ a" m PK NAIL FOUND 3.602 ACRES INC. R/W AND EASEMENT w z W N 156,899 SQ. FT. 1" X 24" IRON PIPE WEIGHING w W Q O 3.003 ACRES EXC. R/W AND EASEMENT u m 1.13 LBS. PER LINEAR FOOT SET 130,829 SO. FT. w p """""""""""""' 100' ROADWAY SETBACK LINE AREA LOT 3 3.375 ACRES INC. EASEMENT (n z W x x EXISTING FENCELINE 146,999 SQ. FT. Z - ' 3.003 ACRES EXC. EASEMENT ir --- -- - - -- 75' BUILDING SETBACK LINE 130,829 SO. FT. a wo UNPLATTED LANDS OWNED BY OTHERS m z (3, - — — - - -- — -- - -- - -- - -- NE CORNER N1/4 CORNER 170TH AVENUE SECTION 9 -----------•---•• --- -- SECTION 9 NORTH LINE OF THE NWI /4 OF THE NEi /4 S89.06'26 "E — - - - - - -- 7_ _ - -- 1298.1 _ CENTERLINE m S89 "E 1298.17' _ 300.00' _ M 0,33.00'267.00' c m_ -- - - -_ _ -- — 932.49' — — o; 4v 300.00' 4)c 99 49' b ,I� M FENCE CORNER IS 1.5' +/- o .... I WETLANDS r' S89 "E 1298.49' WEST OF LOT CORNER , ................... cl) ...... .. ............................... 414 ............... EXISTING DRIVE 33; , I NOTE , ROAD EASEMENT DATA W 6' ILOT 2 IS TOTALLY BUILDABLE BEARING DISTANCE W i. o o S89 "E 66.00' Z o io 0 o EXCEPT SETBACKS, RIGHT -OF- AYS, o to cn L D'T 2 0 � � � S00 :43'Sr'W ,555.82' cu, WETLANDS AND OTHER p oy, N z iRESTRICTIVE AREAS. ©I�l39'16'03 "W �iY9�00' C3! � t1N00.43, ;, 556,00' Jl� I A � C i SEPTIC -b HOUSE 75' i Z' 11 414 c �J I Z J3.00' WETLANDS o ¢ I GARAGE CISTERN 75 , WE%TLANDS 1 � c ,. ) o 1 Li v1 267.00'° SHED BARN A N89'Q6'26 'W �' rSHED 03 u ,. -- - - - - -- W 3p0.0 ' 6 i a oPOLE OSILO �`��- - - -- CD z W:. .D 75, WETLANDS mo m w ►- I ° o 75' -" �- J �; �':; ' z` �` 31.928 ACRES INC. R/W AND EASEMENT 3 w Q- , .. ��\ o° 3 1,390,794 SO. FT. ^ o ° S moo °� {o�.,�?� -' 30.112 ACRES EXC. R/W AND EASEMENT o 3 Q. c • 1,311,661 SQ. FT. ° z CD z NOTE LOT 3 SHADED AREA = ,.�' Li 3 ; LOT 3 1 ACRE CONTIGUOUS BUILDAB LE AREA wo ' 23.7' +/- WETL'�ANDS W o " 3.00' 267.00' 75 75' i J W z ; N89.06 ' 26 "W , 300.00 i �- J ui = a 3 o I OD - - -- {c 2 RED _EASEMENT FAR INGRESS AND EGRESS AI �I ;---- RECORDED IN VOLUME 729, PAGE 639. Z� W; - -- -'" - -' - 3/4' REBAR FOUND N39 "E QI = (-33.00' ---------- - - - - -- ' ' 24.7' +/- 1278.11 0.71' FROM SET CORNER J 7 1 0, all 1 2.9' +/- N89 "W 1311.11' W �--� FENCE CORNER IS 0.5' +/- ►-I m, SOUTH LINE OF THE NWI /4 ❑F THE NE1 /4 NORTH OF LOT CORNER ¢�A� w W W; - UNPLATTED LANDS OWNED BY OTHERS i 4 o°; SCALE IN FEET 1" = 200' z SEE COUNTY SURVEYOR 1 FOR TIES 200 0 200 400 .... S1/4 CORNNER THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO. 99 -23 DATE: 5/26/99 i L _J