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032-2061-90-010
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O d > ° cy ar c 0 m � I �r m Oo O N Z C N 3 m y N N C ° 'd N y 4).- c�� y > °,,,,�N ALA O N O O O.O a O)'O V N > > C L O w8 d E o v O N r a� oocoo cyco y of N ��• y N N O�w L N m N Tm C 'O y c o N O y C U V c�o O l4 O c to a>) N E a-5 o at c X°3 c� min yF-*, o> � aOE ; v dN r cy o0 CU C c m E c ° >' c c 30o c� d OLL c 0 4) y 0• x L O 9 o -O TO O= O V y dX a� m rnc°p E f0°� a°c E^ a�N y C C N U•°— rn� N p,0 °-W M CL o m ML N m i-2 C O @ m c O N N� o O L a o ctm o 8c ; o Z Lv° cN ° 03c3 Z c d m. m -0 y y ° E a> > m Nv —o� ; °°— °ca --� LL c 'O'O O ik y p 0 lC LL O o c E'> o 0 .2 x cc"a y o O y L C C c S •°v c $ �°o > c 'fir `o Y tli O CL S m rn CL CM c ° ° a� v ° coom�� VCOO—"c NQ f0'O m V w l0 N lV E Q .O•"° y O. f0 E f//M O c 0°1 o CO d cc M 1/! y rn Z _ 0 _ 0 Z V d N � o �am am ►- Z y O y N O Z a a u> Z w c y c N F- r N � N E ° °' N ° ` h^ o a� 2+J V N o C •O 2 Z Z 0 rn 2 z z O LU N _ N _ M c �k 0 m O �V co O b E O ►�i a o _ E a a y N c a d N N Iv 'ooa J� Q p fn (n f/� V N !/) (/� tl) j OX v7q Z > cn a W r a " •"� gaga `r' aaa PWA O c U) N y°) y o o ai m c t to J ' Q } O O M'0 I N sr- �2 O O O co - 'O 7 0 N n o 5I m a o M CO N m c ) OD LO p v Q n to T d Q n to c d m O E C o o f 2 cc y c m w c o E O N co CO 0 o m o o rii 4) m co a o0 0 0 0 1 aO 0 N C c ` cri _^ c C C > y ai ai r N N Co o y co '0 O�)12 N y N r- 4) Lo N N N > >N E E > co p 0 N � v r Qt = E �a v ` ate ma c j w E 2 'C C O r A 0 a 2 0 vii V 0 v) C) Parcel #: 032-2061-90-010 11/18/2014 G PM PAGE'l OF 1 Alt. Parcel M 18.30.19.7456-10 032-TOWN OF SOMERSET Current 1XI ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 10/31/2012 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner 0-JOHNSON, MONEA H MONEA H JOHNSON C-PATIO LOUNGE OF SOMERSET INC PATIO LOUNGE OF SOMERSET INC 555 180TH AVE SOMERSET WI 54025 Property Address(es): *=Primary * 1584 32ND ST Districts: SC=School SP=Special Type Dist# Description SC 5432 SCH DIST OF SOMERSET SP 1700 WITC Notes: NEW FOR 2013. RETIRED 032-2062-30(745F) &032-2061-90(7458)&032-1061-90-050 (7458)TO CREATE CSM 25-5883. LOT 1 032-2061-90-010(7456), LOT 2 Legal Description: Acres: 3.476 032-1062-90-025(7456-25)&LOT 3 more... SEC 18 T30N R19W PT NW NW CSM 25-5883 LOT 1 Parcel History: Date Doc# Vol/Page Type 10/31/2012 966472 25/5883 CSM 10/29/2012 966308 WD 10/29/2012 966307 TD 10/29/2012 966305 QC more... Plat: *=Primary Tract: (S-T-R 401/4 1601/.GL) Block/Condo Bldg: *5883-CSM 25-5883 032-12 18-30N-19W NW NW LOT 01 2014 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/17/2013 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.476 26,900 104,600 131,500 NO Totals for 2014: General Property 3.476 26,900 104,600 131,5000 Woodland 0.000 0 Totals for 2013: General Property 3.476 26,900 104,600 131,500 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 . Croix Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: $t Safety and Building Division INSPECTION REPORT Sanitary Permit No: 163 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. City Village X Township Parcel Tax No: Permit Holder's Name: Johnson, Monea L Somerset, Town of 032-2062-30-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 4 56 vi ~'jG✓~1`la~ Low/Z' 18.30.19.745F TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ► 2- Benchmark 3 9 C/ .102 oy 7 Dosing Alt. BM Zoo& pua~ 2-1 0 Aeration Bld Sewer I ~5 g~ -7-7 41 so Holding St/Ht Iplet p ~ 7 ~7 1Z Z G TANK SETBACK INFORMATION, -ro Het ~O q7-66 TANK TO P/L WEL BLDG. Vent to Air Intake ROAD Dt Inlet Septic f Dt Bottom )75 7- f~ Dosing Header/Man. Q Aeration Dist. Pipe /mot Holding Bot. System Final Grade PUMP/SIPHON INFORMATION S 20o& Manufacturer __A Demand St - CKG>'I/!Zp GPM Model Number 6/" , f jl,~ 3 O/ 7 TDH Lift Friction Loss System Head TDH Ft ~oU ~Nt Forcemain Length Dia. Dist. to Well - NQ G AllJ SOIL ABSORPTION SYSTEM 517NJC BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM CHLEACHING AMBER OR Manufacturer: INFORMATION Tye f System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes R] No FA-1 Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1584 32nd Street SOMERSET, WI 54025 (NW 1/4 NW 1/4 18 T30N R19WW) mLete-s & bounds Lot Parcel No: 18.30.19.745F 1.) Alt BM Description = TG~ ~Lt iMtA W'W (M Gl 2dt~i~ 2.) Bldg sewer length = - amount of cover = Plan revision Required? a Yes '~'No Use other side for additionaI information. Cert. No. t Date Insepctor's Sig SBD-6710 (R.3/97) ;c,-28-2011 "i 43 AM S, Croix Cou%y r:~nr? ~r.'na ?15-38~-d586 315 RECEIVED RV I "Z,9- '1()'I I .99 1- "17 o>un t A qt rdA r In a. 41 F.O.16, !~n Caun►y sa~nPreeu 0 i kUi" u INN G YdtaCQNaIN " FL i NNI Z viftlv MGM" G DEPAPITMENT 00 W Peraor~al tnfo n rovtds rM be ► ad for wwridery G'VGP~+ MENT GENMR y ob crrtwov LAW, S. I um (1)(m)) IGt+aol Road Hu dwt% WI wis- F~ mo -..1..~...r...,..,~.~,~....a...._.~,~~...~.. I5 Fax 7t5 88-kl9ib 98 ~1ttAGN eGm~¢ !lensans g ? go 2, mpar not taea Ow &.II it 'I Inch" in gist, Causal t3gnlry P "1211t ~r Check if revision w previm apAlt a-11 w A ike-tte informrAlon , Please print ail Information 101 CrwrPar Ntlmg ° i.moation: i/4 t/R, 9aC ~i✓~As~ _ b N l R E to Prt4sgrty Owner's Metttng Addrasa of Number Sioch Num r ?ly, Suata Zip C1c«ie ~ ~ Pttena ^ummer ..~a. 151WIVINIon Narria or OSM Numb a fauttd no., (choa arm) / t1+ C~]vlPltge awn o t ' 2 711PAy Crrkliing -No, of BedraoMa! jf a-r Publlcu> ommet'dal (deledbe use). !Z d S6Yh q Ett6t6-own3d lYp~s pf Pasimlta (Ctteok t~Ny a Wn nok bok on flap 0 it appllr~*) Naet STS U1 aMe; Tax umber(; A) Repair y"~''r'taneannGt:tkan J~twa~mbinp . fClt~tr~nattan ~~,rtatbri o 3~ Z~ G 2- 30 -axe 8) Permit -7 Date Is d 'sale BenPta Parmk wag tAVldtsst J~iued - / S' '7/ . J 2006 IT Type of POWT8yatsm: (Chtak sit thgt apply) t'P Nun-WO&AUdled its-ground ulaumd > 24 in, su.tabJs aotl q MOUM S 24 In. a0able tog p Mattrtd A+I) 0 bared r0for Q Gonarructoti We( 'and 0 Psat Filter Ct Drip Une q Pttesu,tWd Pre-ground q F oem Tank El Singta Pass ® CRhor At-jmdo D Aambb Tmatmitt Unit CI Reaira,tattr ' v1s l twetmrtsrt Infarsttation. t. ilssJgn Ptaw (qpd) 2. Clsparsa ,res ` U. Alapmeel Area 4, 8n~ A7 ppJlca~ lion flats E. ation Rote tam r1tev® un 7. Final Mde ` Roqulred hipused (3abittayleo.) (MlnAttoh) Ffevttion &tt. Ta tnfnrntatlan ep ty to Ceitons Tota o ufaGttser ralxkt to ~'on•, to ~Ibatr get n W- P.ritgrln C,aEons Ttrnlte . ..__'1 g Cattcxata siFUdlad ( gJaaa "yanks Tanks 73M F L? q Vtl. Re9panelbllftySiMts3tnestt~ LZIs-Z I, the underet,+~r9Ld, Asaurie respormlailry for repaPr/rgcanrtsnutPnat he)trvar.allt~rU nets Pagan of Nn•p(umbing fat the POWTa shown on the stiarhed pfans, A liGen3s Is tYOt laQulra for lana0ft fb r car the >nataGatltin of rrpn•0 1t ntbPr g aattJCaliun aagm. Plurntaer'a flamektrf.t-" PI slurs to #Iam fA _ pa): MPJMPR8 W. euelneas Phone Numtaer mot ~~rz I'Jutta Aram Slr~at. ~,WZ ty,3tetef P fade - A 5~ S 3 GPtI. .Arf-Use only DIs t rout f $anl Perrrll PGA C7 it! lsetr ufnp it ap wo npo) IN- AWP~Y'~ OmPir Oven Inift Adv=9 ~Z S= f3 rrttiatabon / X, Condition of App ovalMttfteott8 for M pmn afl Abe"; ~.b" en, '21/Y~iu- S_ e.210 vh 200 9, die Qil~-~cvit.o a.Or~, oe~ in 7~ Z / ~4Y, /tom /-lef- At w114 ?1W/v S t8 T30 t11 k- t Q it/ S6n 1$0-YA 1itE -<;5pNeI¢,s L`r M WA Lt Hlp 54x25 ~~us ZZ-V-4Z A C AAAR K 4k t TOP OF ~ v On!! 8©k 9-L ~0O Cl .SAtL t~OSZ1~LS T -A t 9(tsriQ(:) -rAor- A-<6okAsz-0 4kP 1L~?Q LS.! ~ ~ -to 9 AX-jNCrZo f7( t2 L't3M t~1)fl _ "T-`~Z t✓EW ISGS LAL WgS" --rAlUK. T43 A EOV 1750 ZAL t ~ DOSE 7-AlJr tglfwm TO P13LE grim 5v~~ u ~ ~OtO pair. ~ o'ff' C i E~l) BV ~ "*I 1> t3oltjo-,~ T i T zo gv,) 3b ~~v vc~ Ness h14+ Paf4 6`s o ~ ° u z z co m 0 Ln o\ Om N m fN Cl) O cf) off' ` O o 0 m ;u n o y z = Cl) = d C7 n m 0 X p *k O p m c m (n Z z v C O U)o m v, 00 70 U) o~ N C/) c C) 0 ;U _ C7 0 O =i z o O S z~ m 0 z ` IO w cr. CD a,< CD 'a r (D 3 ;u 3 W y -0 W ?ID_ 0C o° m a r o m _ = y = m M O -n m ^y' 3 2. m m° m co v O I~ TQ a m m (pmt < m m N ` ~ fD ~ N O O CI C y y ~ ~ ~ I~. m y l N Cam o " _ ~ m 3 ' VV 0 v) R :3 = N fD p y n p' ID N7„ 7 ID co, 0 _v(~\ p ca R :3 '2 fD -(a p .d ~ N ~C7 N C p N Q n 3 ? N C vi O 7 y d CD CD fD to co rr C', 0 m ` V y N y O S' O ,y 7 y ~O 3Q 3 n n ~v p a S' o m (7, d ~ y C D o z 1. CD m co y. v C ~T Z r Z n< 0 C) D o = m o > > o o Z -i C 171 FF (1) ~1 D v CD 5 v ~ y CD CD CL O O Z O v o - m a o g o Z Z G7 Z + Er y m a P a .r C CD N O N N O - N O El 0 a~ m n NY 114 IfV VI S to Tao AJt- IT I/ S's-0 I Ad? A Ave ~6 N~~LS or 7Q h/,LLSIIIP 59425' Nf fks z Z37-4Z C! ~lL B6tZl~1~S ,CALC- gvtsTio L `rat O r- ASSU ocO 4hP 1= 6AI.S. J !C -to 99 -r 911D~'f~CT~C~ Fc3~2. L'~Arl~llfl~~_ AIEh! T Z !SGS LflC. wiLsge -MAX S~ G~ 1~ 6~ iV1~0 mgz ✓ Je ,yob 0 ` t rblxnn I tV ! c~ j , ,36~ a AMeA) t ` " : gMZ 'kV 4 s Zoo ~I ov 25 Li w- S~..Q- SGW~ti N i</-,+ Pad k 6's r"r CROIX COUNTY ZONING FAX MEMO DATE: 1~ Z X/ To: Code Administration de6-4680 FAX NUMBER: 715-38 LI-7 2- 0 5& Land Information &7-~Ir 3/, G Planning FROM: 1 U' t 715-386-4674 FAX NUMBER: 715-386-4686 Real Property PHONE NUMBER: 7/S-- 3Yb - 7 V 715-38(i-4677 Recta cling 715-386-4675 NUMBER OF PAGES, INCLUDING COYER SHEET: J P%) (jwyo n + mfr S-I-, 03, Z 5, ov RE: 7 dl- ~1~a~ 32~ , ryu.4- J_ S -33 0 (l l) (c ) .s`z° r f, r <3d' Gc J ST. CROIX COUNTY GOVERNMENT CENTER 715-386 4 6RE ! AX PZCCO.SAINT-CROIX.WI.US 7 101 CARMICHAEL ROAD, HUDSON, W1 54016 w~Ww.CO SNN T< I?O.x'W ol;cv-28-2011 11 43 Arl St. Croix ':ujntm 01:niZnriny 7`5-386-4685 5i ~n~~ , part slo ZV4Z 1 6qkCdLV CL AY SG Pug wa iyv 711, 4 90417.5"& In Alp t;%Jpy Parcel 032-2062-30-000 11/28/2011 12:17 PM PAGE 1 OF 1 Alt. Parcel M 18.30.19.745F 032 - TOWN OF SOMERSET Current 0 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 04/04/2011 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - JOHNSON, MONEA H MONEA H JOHNSON 555 180TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ` 1584 32ND ST SC 5432 SCH DIST OF SOMERSET SP 1700 WITC Legal Description: Acres: 1.600 Plat: N/A-NOT AVAILABLE SEC 18 T30N R19W 3A IN NW NW COM NE COR Block/Condo Bldg: NW NW; TH W 254' TO CL HWY 64; SWLY ON CL 4777E TO E LN NW NW; TH N 435' TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) POB EXC FOR HWY AS DESC 584/99 18-30N-19W NW NW EZ-UT-1501 /341 Notes: Parcel History: Date Doc # Vol/Page Type 08/06/2010 920295 DM LTTR 03/31/2010 913974 AGREE 01/19/2010 910356 PR 01/31/1992 478123 931/153 WD more... 2011 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/07/2011 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.600 18,000 31,500 49,500 NO Totals for 2011: General Property 1.600 18,000 31,500 49,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 J ( , ~ I) IIIIIIIIIII III IIIIIIIII I III 8003955 Domiciliary Letters Tx:4003154 Document Number Title of Document 920295 BETH PABST In title to: REGISTER OF DEEDS ST. CROIX CO., WI Part of Northwest Quarter of Northwest Quarter of Section 18, Township 30 North, RECEIVED FOR RECORD Range 19 West described as follows: Commencing at the Northeast corner of said NW 08/06/2010 2:38 PM of NW ''/4; thence West on North line of said NW '/4 of NW of 254.0 feet to EXEMPT NA centerline of State Highway "64"; thence Southwesterly on said centerline 477.7 feet; REC FEE: 30.00 the cc East parallel with said North line to East line of said NW '/4 of NW '/4; thence PAGES: 2 No h on said East line 435.0 feet to Place of Beginning, together with an easement over, across and upon the Westerly 300 feet of the North 40 feet of part of NW '/4 of N '/4 of Section 18, Township 30 North, Range 19 West, described as follows: Commencing at Northeast corner of said NW '/4 of NW '/4; thence West on North line of said NW '/4 of NW '/4 254.0 feet to centerline of State Trunk Highway "64"; thence Southwesterly on said centerline 477.7 feet to Place of Beginning; thence Record this document with the Register of Deeds Southwesterly on said centerline 391.3 feet; thence Northeasterly at an angle 44° for Name and Return Address: 300 feet; thence Northeasterly with interior angle of 172°24', 379.0 feet to centerline Ryan C. Cari, Esq. of Town Road; thence North 65.0 feet; thence West parallel with North line of said Heywood, Cari & Anderson, S.C. NW %4 of NW '/4 to Place of Beginning, EXCEPT Right of Way of Highway "64". 816 Dominion Dr., Ste. 100 Hudson, W154016 032-2062-30-000 (Parcel Identification Number) i i i i I 1 of 2 1 For Official Use STATE OF WISCONSIN, CIRCUIT COURT, ST. CROIX COUNTY IN THE MATTER OF THE ESTATE OF Domiciliary Letters (Informal Administration) Bernard J. Leverty Case No. 09 PR 68 i To: Monea H. Johnson 555 180`h Ave. Somerset, W154025 The decedent, whose date of birth was 02/02/1942 and date of death was 03/24/2009 died domiciled in St. Croix County, State of Wisconsin You are granted domiciliary letters with general powers and duties of a personal representative. LETTERS ISSUED BY Seal Probate Registrar Ericka Nelson Name Printed or Typed -v7I L~ t3 - Date Na a of Attorney/Personal Representative State of Wisconsin 4~ Ry C. Cari County of St. Croix It' ' Add ess I hereby certify that this.A t Orrignimhas bldn 81 Dominion Ur., Ste. 100 compared by me; that it is a full, true an correct copy of the originhl ;on .file and of Hu0son, W! 54016 record in my office; and that itis sgil jn ` full force and effect. 4t Telephone Kumber - . a *~1 , 713-336-5551 A st .20 1.9 Ericka S. Nelson Register in Probate PR-1810, 10100 Domiciliary Letters (Informal Administration) §5856.21 and 865.03, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. 2 of 2 I Page 1 of 1 Pam Quinn From: Steve Olson Sent: Tuesday, May 04, 2010 1:02 PM To: Pam Quinn; 'Monea Johnson' Cc: 'Stoltz, Carrie R - DNR' Subject: RE: Wastewater from dog wash Pam, Dogs do not fall under the definition of livestock or farm animals therefore the animal waste ordinance would not apply in this case. With that said I would not be involved with this situation. I would however recommend that the waste is collected in a holding tank and treated as septage. Steve Olson St. Croix County LWCD 1960 8th Ave. Ste. 141 Baldwin, WI 54002 (715)684-2874 Ext. 135 Cell (715) 760-1992 I From: Pam Quinn Sent: Tuesday, May 04, 2010 11:48 AM To: Steve Olson; 'Monea Johnson' Cc: 'Stoltz, Carrie R - DNR' Subject: Wastewater from dog wash Hey guys, Monea Johnson is progressing in her plans to remodel a pole building for her doggie business (this is SE permit #0210 from 2009). She would like to keep the grooming area separate from the residential building on the property, so will require plumbing installed to handle the dog wash and watering facilities. Wastewater from the dog wash - does it require a DNR holding tank or can it be dispersed and infiltrated onto the ground? Since it won't be connected to the POWTS, I don't need a sanitary permit, but the building permit & building inspector will need detailed plans to show compliance with state regs. I copied Monea on this so a reply should include her, please. Pamela Quinn, Zoning Specialist (PO W7S) St. Croix County Planning & Zoning Dept. not Carmichael Road Hudson, IWI 54o16 715-386-468o pamq@co. saint-Croix. wi. us 5/5/2010 "n m M a A D O W ~ Z " x i,6 v % ' Z O C N / \ + o m ? c / n U). t71 C rs o 5? ,o m 10.8 BSrORr w 00 ` o O ~ UILpING 0NO. t Z C + 271 . ; CO T V 0 -i x v ; 1~ 0 0 C ~O$ ~ 10 x ° ?4 i -w = m 56 x o to (D m 0 r 0 / x 943.8 ~ 1 ~ 943.3 OD to I - w f O V0b6 x ' `Q 940.8 PRI I V6 ? ~J OD V Qp v W "il 93 1V 04 18.18 35.7 rri mOm F ° -zi m O 1 STORY METAL BUILDING to m tea- N06 28'38-E \ - - - - 50.00 w x ' 1 .1S 8t.2 ~o to ll 102 co 6 j - 25.0 D ch $ I x to 10 w C ,.x 4O(JIB i p w O.~ k Q O > T ; n m W ~ ~ Q y I ..1 o w~ ! - N ~tf7nf~ , 1 Qn Q N o I N x N Ow~ ~p~ y~ ~1 a to U 10 N N S [11 LJ y r 1 m z W m m z q L4 rn 1 `~v 1 '0 m m 1D I -1 rr ~ 1 rn L'8Z6 x x O S x 1 4+ 1 X 929 3 \ ~ m' _ I \ N Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 488275 0 GENERAL INFORMATION S e Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m) 12- *7-8/ 2 = IN#s . /p. Permit Holder's Name: City Village X Township P cel Tax No: Levert, Bernard Somerset, Town of 032-2062-30-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: - 46 g KCIr Z CST S 18.30.19.745F TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Z ►luu•r W E-S r'A 12ba s. z0 /~.Zq 48 09 osing ~.1 ES ZZ77 IT Z AI B I Izbo P :T. m.M ,T. W t 6S ~2 J B1%. Sewer C S . 47 _ftx-- S.~f2 I J TANK SETBACK INFORMATION SST-0a)t Z-CI TANK TO ®P/L WELL BLDG. Vent to Air Intake ROAD 15t Inlet s S6Z I.Z: N Septic Z0, ~ 4S t 2 -7 , Dt Bottom ~p,~ 73' Dosing > zo r ~Sr 22, t Header/Man. 3• q RJG > Dist. Pipe 3 . i kdTi Bot. System p 1~•o f Final Grade PUMP/SIPHON INFORMATION 61! will- 6e J- 1 r+ -^w Manufacturer Demand et-Cove i~pGL-/-1S{- GPMQ fST SAO ~Wt~ C• '°7 I S` Model Number ~ s„ Z,~' DH Lift ~ Friction Loss System Head ITD Ft IL 6 . -0 IIVI 2 ~gl o&~. 02.8`- ,O Forcemain l_ngth OS 1 Dia. i~ Dist. to Well ' }S s T `a jc~ SOIL ABSOR SYSTEM 13ltD)eWEWH Width f Length No. Of Tisoehes PIT DIMENSIONS No. Of its Inside Dia. Liquid Depth 'CMOENSIONS O Z0 _ j•, _o f^ SETBACK SYST M TO P/L BLDG WELL LAKE/STREAM LEACHIN M;anuf er: INFORMATION CHAMBER OR Type Of Syste IO.II r I ( UNIT } lov DISTRIBUTION SYSTEM IIIJtJC S f Header/Manifold n Distribution q Ix Hole Size f/ Ix 1-101 pacing ant Air Intake / Pipe(s) 5 j p I TT Length ~'44 Dia IZ Length ~J t'Z'O Dia 117 Spacing 3"! SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil No 11 Yes No Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~Inspection #22: y Q / a~rce~l Ifo: 8. 1 .745 Locatio . 555 180th enueTSom~uet, VI 1540250 (NW 1/4 NW 1/4 18 T30N R1 9W) NA Lot P 1.) Alt BM Ion = 2.) Bldg sewer length R,~c a,, L - 4o. Sc - amount of cover Plan revision Required? Yes No S nn 1 41 Use other side for additional information. U~ 160 c3 7 Date( In ctors atu Cert. No. SB~ 67` (R.3/97~ C . v~AS ,^1 _ t 4c`Cr i W.S~'1h.►~P'~K. CsUAl - - Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488275 0 GEV=RAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Persc 31 information you provide maybe used for secondary purposes [Privacy Law, S.15.04 (1)(m)j. Permu Holder's Name: City Village Township Parcel Tax No: L'everty, Bernard Somerset, Town of 032-2062-30-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: CTT. AM-, 6 tn, 18.30.19.745F TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 1 (o W 2 n 5.2- 163- zq qs. 05 Dosing t-J Alt. BM Z~¢O n ' Z~i6 Bldg. Sewer Ho Ping St/ Ht Inlet t outlet TANK SETBACK INFORMATION S (o Irv TANK TO P/L WELL BLDG. Vent to it n a e Inlet .b~ MAeration 7 o om ea er ~ ?Is . ipe Bot. stem ma r e PUMP/SIPHON INFORMATION manufacturer em E L~t GPM model um er ,A BA) IS-3 5 . zs ~8 .o 1 UN i rIC to oss system ea k 2- c ai e I . et Tt~ NHS Z e MENSIONS ID ~ a l ~ ) i --tE/A IvIdIlumul INFORMATION Airly CHAMB OR UNIT . ^ ID 00 JW L,1 > p r DISTKI lull Sys] EM It Pipe(s) Length Dia Length is 2' Spacing x Press le Systems Only xx Mound Or At-Grade Systems Only IVIUMIMd Bed/Trench Center Bed/Tren Edges Topsoil Yes No Yes No COMMENTS: (include code discrepencie , persons present, etc.) Inspection #1: Inspection #2: s Location: 555 180th Avenue Somerset WI 40 NVy~1J4 NW 1/ 8 ON R19W) NA Lot s Parcel No: 1830. 7 5F.. 1.) Alt BM Description = I 9~ ;g~, 2.) Bldg sewer length - n+ 22 ` - amount of cover = Z - LOIXJ A, , . r. Plan revision Required? ~ 'Yes i J No Use other side for additional information. 1 Date -----Insepctor's-Signature - - C. . No. SBO-6710 (R.3197) 1 r a Safr#y and Buildings Division- County 201 W. Washington Ave., P.O. Box 7162 5-t O O I is NVIsconsin Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) (608) 51 of Commerce ?a'2 Department Sanitary Permit Application Plat LD In accord with Comm 83.21, Wis. Adm. Code, personal information yin jreeA! e Z I - l 2 2 may be used far secondwy purposes Privacy Law, s15.04(1 Xm) ?FCjkd Address (if diffete lidaddress) I. Application Information - Please Print ANIoformat' RECEIVED AgA,IgL 1:6t # 4 Property Owner's Name Parcel t! 3ySF) &CR JAkL L.ELtRT-/ JUL 1 0 7.006 6:3Z,- 20(.,Z 3D 07~ Property Owner's Mailing Address Property Location .5S5 1 60 -1 H RUC ST. CR01X COUNTY ys section City, State zip Cade SMER,Ser W 5~~25 CIS-Z97-3592- Tom` N; R~9(eE ) II. Type of Building (check all that apply) CSAA-Alamber 46 a, j9i or 2 Family Dwelling - Number of Bedrooms ❑ Public Commmial - Describe Use Q-1 e t 0Lr3! ❑ State Owned - Describe Use ❑City illage dgro ip of 56n6EY'T III. Type of Perm (Check only one box on line A. Complete line B if applicable) A- ❑ New system %Repiacetnettt System ❑ Treatmenumding Tank Replacement Only ❑ Outer 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 X 0 = - IV. Type of POWTS S nc. Check no that a 10 ❑ Non -Pressurized Irr•Gmund Mound 24 in. Of editable so , - ❑ Mound <24 in. of suitable soil ❑ At4kade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Prewmizod In4round ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leach' Chamber ❑ Drip Line ❑ Gravel-less Pi ❑ Other ( • ) Y. Ryperiial/Treatment Area Information: Design Flow WO Design Soil Application Area Requited (sl) spersal Area Pmposed (sf) System Elevatient I ZCD I-0 /Zon » 98- -s6 VI. Task Info Capacity in Total Number Manufacturer Prom site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Exdsdog Tonics Tanks septicar Holift Tank 1,000 15'b5 J S65 Z iA/! E/2- V- Aembic T,ermaot Unit DosingCkawber` VII. 'bility Statemaat- L the andersig ed, tsaue rrspomability rer tie POWTS *a" an tie attacbed plum Plumber's Name (Print) MP Susinegs Phone Number JEFF- >vx 223z4Z 715- 55-2-y lot Plumber's Address (StreeL City, State, Zip f'0. 4-3~k. . W) -.54D09 VIII. Cons rtment Use O Date ?Issued Issuing Agent Signs (No stamps) Fee udes Groundwater XApproved ❑ sanitary Permit surcharge Fee)` I7 ❑ r~ Daniel f - DL SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced L maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. At4seh ees~ek plans (ra the Cawrty nob) ter Hte ~ ~ paper rmt tau tlaa 8311: it iaeia io rim SBD-6398 (R. 01/03) S*60 l.60 TA Aye ~6 vwx et T6 h/LI.S IJ1P 54025 Ao fRS Z Z3Z4Z BNCiWAR-* i -7bP of LP.e-c-v OLt°L' S©k F1 loo ` Cl -S31L SOKJVL~ sc I'`- 40' ti ti 74 I etiSvo G fur- A-2SU OlP-p KP lWO6AIS. -TWil- -10 99 3 7NSt~TE~ ~~~>P1tflxte,E_ ~ ~ T Z 1JEh! /9&-Ig LAL_ wZ6iw -rgA)K AEft/ )2,S0 6AL WCMC~ COSC 7-AOK bR~VEa1flY 70 POLF srtt~ ~ Rf,Oto L R~1kyno hV gm * i SNEO gri~Z t32 , zo' u 43 i s(Stfi~f t'2©l' f pant g8,~ 98~Ip~ 92 COPY Safety and Buildings 10541 N RANCH ROAD commerceml.gov HAYWARD WI 54843 TDD (608) 264-8777 'sco n s I n www.commerce.wi.gov/sb/ Department of Commerce www.wisco isconsinsin.go .gov Jim Doyle, Governor Mary P. Burke, Secretary July 06, 2006 CUSTIDNo. 223241 ATTN: PO WTS Inspector JEFFERY V FOX ZONING OFFICE JEFF FOX CONTRACTING & SEPTIC INC ST CROIX COUNTY SPIA PO BOX 565 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/06/2008 Identification Numbers Transaction ED No. 1277812 SITE: Site ID No. 713857 Bernard Leverty 4-PLEX Please refer to both identification numbers, 1584 Hwy 64 above, in all correspondence with the agency. Town of Somerset St Croix County NW1/4, NW1/4, S18, T30N, R19W P-O FOR: Replacement mound, 8 bedroom 4 plex Object Type: POWTS Component Manual Regulated Object ID No.: 1079363 APPI Maintenance required; 1,200 GPD Flow rate; System(s): Mound Component Manual - Version 2.0, SBD-10691-P (N.01101); Commercial System The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes ~ . and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be-~"" constructed and located in accordance with the enclosed approved plans and with the component manual(s) SEE COP referenced above. 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: Key Item(s) • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section COMM 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. • The eitisting septic tank must be inspected for structural soundness, size and baffles and must be brought into conformance with the requirements of COMM 83, Wis. Adm. Code. If it does not conform a state approved tank must be installed. • The bottom of the distribution cell shall be level per the Mound Component Manual. The "D" dimension shall be a minimum of 6". The maximum finished slope of the mound surface shall be equal to or less than 3:1 per the Mound Component Manual • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to • JEFFERY V FOX Page 2 716(2006 the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • This mound is designed to be installed on a level site. • Limit activities in the area 15' beyond the edges of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/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 in ' ce of the POWTS. P Fee Required $ 225.00 Sincerel Fee Received $ 225.00 Balance Due $ 0.00 Patricia L S POWTS PlanReviewer , tegrat Services WiSMART code: 7633 (715) 634-7810, Fax: (71 - 150 , M-f 7:45 am - 4:30 pm pat,shandorf@wisconsin.gov cc: Leroy G Jansky, Wa stewater Specialist, (715) 726-2544 vvw.vwt a-oattttgaGY rYQ.7tGWQtC1 f-IVW MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Bernard Leverty Owner's Name. same Owner's Address. 555180th Ave Somerset W1 54025 Legal Description: NW114 NW1/4 S 18 T 30 N/R 19 W Township: Somerset County: St. Croix ~,lly i~ o Subdivision Name: CE Lot Number. Block Number Parcel I.D. Number. 032-2062-30-0000 P 9 CE OR ~ / Plan Transaction No.: Page 1 Index and title lad ~ Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 9 Soil Test Designer: Jeff Fox License Number. MPRS 223242 Date: 05/30/06 Phone Number. 715 7515, 2461 Signatur Dagrwd Pursuant to the Mound Component Manual for POWT'S 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 4.0 (R. 04/03) Page 1 of 9 Jun 21 06 11:55a Cross Country Excavating 715-2943138 p.2 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) ' R' Residential or Commercial Design NOW. Sand (D) tCnlat+ons assume a Table 8344-3 in-situ 900 treatment for fecal 800.00= Estimated Wastewater Flow (gpd) coffwn of 36 urAft. Peaking Factor (e.g. 1.5 = 150%) 1200.00 Design Flow (gpd) o.oo; Site Slope ^ 98.064 Contour Line Elevation (ft) ~32Ad Depth to Limiting Factor (in) _ 0.40: in-situ Sail Application Rate (gpolff) Distribution Cell Information t 120.00► Dispersal Cell Length Along Contour (ft) = 10.OQ Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpolfe) 9 i influent Wastewater Quality (1 or 2) Are the laterals the highest Point in the distribution ! Y Pr_e_ ssur+e Diedbution Information network? Enter Y or N (C or e) c; Center or End Manifold 3.33 Lateral Spacing (ft) If N above, enter the elevation ft _ Si Number of Laterals of the highest point, i - 0.125 Orifice Diameter (in) (e.g. 0.25) y3.00' Estimated Orifice Spacing (it) = 10.00 fe/mifice 2.00' Forcemain Diameter (in) - 1_00.40; Forcemain length (ft) Does the forcernaln drain back? Y _ 02.00. Pump Tank Elevation (ft) Enter Y or N 8.50 System Head (ft) x 1.3 101 Foroemain Drainback (gal) 6.39 Vertical Lift (ft) 163.17 5x Void Volume (gal) 4.88 Friction Loss (ft) 179.49 Wnlmum Dose Volume (gal) 17.76 Total Dynamic Head (ft) 49.43 System Demand (91m) Lateral Diameter Selection Manifold Diameter setection in. dia. options dwice in, dia. o ions choice _ 0.75 ! i 1.25 _ 1.00 c w1 1.50 x X 125 X 2.00 X 1.50 3.00 2.00 x ~ a 3.00 X - Gallonsfinch Calculator (optional) Treatment Tank Information 1250.00! Total Tank Capacity (gal) 2565.00 Sepfic Tank Capacity (gal) 47.00+ Total Working Liquid Depth (n) =Wiesec Manufacturer 26.60 galfn (enter result in cell 849) Dose Tank Information Effluent Filter Information 1250.00 Dose Tank Capacity (gal) ;Zabel Filter Manufacturer 26.60; Dose Tank Volume (gaUn) IA700 Filter Model Number Wieser_..._ i Manufacturer Project: Bernard Leverty Page 2 of 9 Mound Plan View 1 /3 10 B ohs vafion pipe 0 Jj e~°~° ° o °g A ° tF4 •°iL °°4•°°•a~4a ~~°O • 4. ~4 • o w B s. i=J . Mound Component Dimensions Down slop a toe extension made. in H 1.00 ft K 6.88 ft A 10.00 ft E [Aft B 120.00 ft F in I 7.50 ft L 133.75 ft D 6.00 in G ft J 7.50 ft w 25.E 1200.00 (fe) Dispersal Cell Area 3000.00 (ft2} Basal Area Available 10.00 (gpdfft) Linear Loading Rate 12.00 (ft) 1/10 B 4bs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.35 (ft) H ftltflfn►.i~lfltlfftl.,. G rifflfffflfffffJ~//ftlff/Ift/fi.. F Ceq 99.06 (ft) Lateral 98.56 (ft)--Il invert Dispersal Cell 'p Elevation E „rtr: ' 98.06 (ft) Contour Elevation 0.0 % Site Slope Geotwdile Fabric Cover Shading Key T Dispersal Cell See lateral details on Q ~ Topsoil cap 1.5 ft ° Page 4 for number, size, and spacing of laterals. © flf/l Subsoil Cap 0 _o °=e6~°°•° ge tl~°~o T ASTM C33 Sand F Laterals are equally Tilled Layer m 0.5 ft o° STypical spaced from the ° aaaw n~ o o n=~ a 5°°° distribution cell's [5Q°~°~° Aggregate a o°°••as°° centerline in the A distribution cell (AxB). Project: Bernard Leverty Page 3 of 9 Center Connection Lateral Layout Daigram Face main mwwc&m W& we of cross to mar&otd at and port Laterals are ideas cal 'lr 11C S 1 P s 0=Turn-upw+lballvalrsarX--3~ LatecalstcfarcemainofF1tCSch+{0 ' eleenautptug per COMM 7aWe ti#.30di Hotel dried on the bottom of the Feral Number of Laterals 6 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing P9 3.04 ft Lateral Length (P) 59.28 ft Orifices per Lateral 20 Lateral Spacing (S) 3.33 ft Orifice Density 10.00 ft /orifice Lateral Flow Rate 8.24 gpm Manifold Length 6.67 ft System Flow Rate 49.43 gpm Manifold Diameter 1.50 in Total Dynamic Head 17.78 ft Forcemain Velocity 5.05 ft/sec Dose Tank Information With wwrwv tam and loadng dew* and seated vratertiBM Electrical as per NEC 300 and --10 Comm 16.28 WAC Disconnect 4 in. min. Tank oomporm t is property vented E--- ARwn*e outlet locution Forcem m diameter Wieser Manufacturer_ 2 in. Capacityl ' 1250.00 Gallons Volume 26.60 gaUnch A Weep hole or artti- Dimension Inches Gallons B siphon device A 30.24 804.51 B 2.00 53.20 C P♦ ump E (ft) C 6.75 179.49 92.67 D 8.00! 212.80 D Total 1--4i-§41250.001 Dose tank elevation ft 3" Bedding u er tank. 92.00 Alarm Manuafacturer Septronics Alarm Model Number MJ.! 1 2501 _1.2 1 k.<......>..... w. Kam.. Pump Manufacturer Zoeller Pump Model Number'BN 153m Pump Must Deliver 49.43 gpm at 17.78 ft TDH Project: Bernard Leverty Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name _ Jeff FoxM Phone; 715-755-2461 POWTS Regulators Name St Croix qty. Zor_'M.,._ Phone; 715-38646801, System Flow and Load Parameters Design Flow - Peak 1200 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 800 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 2565 gal Maximum TSS 150 mg/L Soil Absorption Component Size 1200 fe 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 ears ped and clean at least once every 3 ears Effluent Fitter Should i Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 ears Mound r-1` f-or pondin and see~e once every 3rears 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 ii iiiiiif iiiii• I~~I •iiliiii ii1i11ii Grade 6-8" Diameter L.awri _ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Bernard Leverty Page 5 of 9 f PUMP PERFORMANCE CURVE " MODEL 151/152!153 TOTAL DYNAMIC NF..ADIFIOW PER MINUTE. EFFLUENT AND DEWATEWNG 14 t a '0 MODEL 151 152 153 10 ,sa rbee _ Mebm csr c ► Wets Get MOM 5 1.5 50 IN 99 261 77 241 30- 10 3A 48 170 w 231 70 265 i5 8 25 151 15 4S se 144 53 201 61 231 0 20 6.1 21 110 A4 187 SZ t87 8 2e y ~•"(i0 25 7.6 16 61 34 ,79 42 159 1 . o 30 8.1 23 a 33 125 15 35 10.7 22 85 4 p 49 122 - - - - t, 42 to 1~+ S 300.(9.im) 38t JAM) 44R 4e0 2 - ~ 9 o,ssaee 0 ,a 2a 30 40 00 70 80 $6 1& GAtLab6 Unm 0 4d ea t2o 160 L A 26 300 Model 151 Models 1521153 - CONSULT FACTORY OR 6 7/32 3 7j8 4 5/8 3 27 45 SPECIAL APPLICATI NS 8 ij4 /32 • Tsned do *Q panels available. f 3 7/8 3 27/32 • Electrical a ws, for duplex system are available and - supplied wM an alam • Variable level wftd mtches ale available for cm*DMV ® 3 1/8 27/32 Single phase system. • Doubt p%ybm* vanatlie level Had svntches are available for variable tevei iong and short cycle contras. i + • Sealed Owk-Sox available for ouklm installabom See FW420. 1 1 • Over` 130°F. (5VC.) spedal quotation required. 1 1 it 11/16 1 _ 12 1/8 I 15111521153 Series 1MMM53 MODQ.3 Car" Seredioa 1 P Mode 4 3/8 5 1/8 lwl ri15 1 Nt51 1 Nm 6A 1 2ar3 BN151 115 1 Auto SA indaded 2ar3 E151 .230 1 Nm 32 1 2ar3 BE151 230 1 Polo 32 bldltled 2ar3 ,s1,wr slaoea N152 115 1 Nat &5 1 2or3 U SM52 115 1 Aub 9.5 kckded 2or3 C-152 -234 1 mm 4.3. 1 2ar3 - BE152 - -230 1 Aub 4.3 bdW@d -tar 3 Nt53-" 115 1 Nan 10.5 V- 2-vr3 HN153 115 1 Aub 10.5 ktk*d • 2or3 E153 290 1 Nm 5.3 1 2or3 SELECTION GUIDE X153 230 1 Auto 53 bduded 2 or 3 1. Single piggyback va WA level float wAth or double piglybadc variable level last switdt Refer to FUD477- A CAUrSON 2 See FMQ?12 for coned model of f3ec4ricd A#mnafor E•Pak A9 msWadw of conbaK pmrecuoo de, ad v*bg sboidd be dace by a cp~ 3. Variable level MM swirl, 1040275 used as a cardral aeiralor. spe* *0 0 (3) a~,sed dechkkm AN OeMicM amd sat* codes dwM be taI including be mast rerxllt Neff Becbic Code tM~t and the o aad sadrily and irabb Ad (OSiiA} or (4) lo# system. RESERVE POWERED DESIGN For antral cmxMm rs a reserve sat* factor is erWmred arts the design of every Zoeler pump. wx m.. P.Q acK 16347 11, SW70C 3B48CmeR/mRaed ® jr is~KY4211-leer rarirrP~ratsS er r 1 'Fr !D_ 7 AX'S; 0 Copyright 2002 Zoeller Co. Al rights reserved. i 5 HE'RNA.R.h UrE 2T-/ A* lA1Vy s 18 Tao X11/ft 19141 sM lAo-ig Ayr -q6 V"asrLr TaWLLYIP -50fa%eLsor , tats 5402s ^n'PR9 Z Z3Z4Z A 8~C~1AR~~1 Tbt DF L~€U Q.DC 8bk F-L A 3artjMAt~1C - 9 Z GQa M CL RY SE COWL. ftr KL 9&0-1 Ct .SOIL SOKIVL SCAB T -A J 9V,st,u G - MI X ASSo khrO Com 1= GALS. -TAI -to 99 9NSt`~CT~t~ ft'i"L LdNlP1~fl~E_ ~ ~ T Z NEty IE&g L AL wtLr-,cv -rAAjr- ca T -A2 LIE6V 12,So &AL wr-Sbce CM6 -TAU C bRt&WAY TO Pbif grim bW, t r~,.~,0 1N ~ Bn►'~', AKCA) S~iEtf Bm'~Z Yi Z Y3 scxs f PkQ~ , Lt Nx- Q 42 RB,t~ ~ Mound System Management Plan Pursuant to Comm 83.64. 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 (SBO-10691-P (N.01/01) and SSWMP Publication 9.6 (01181)] 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 opaning 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 fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions wo made to retain solids in the tank that may laugh off the filter whan ramovad from its enclosure. If the filter is equipped with an Ahem, tho filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. - he 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 naxt 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, Puma 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 shag 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 BODE. 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 ff 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. Contingency 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. It 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 Paga 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Bemard Leverty Page 6 of 9 TO •d bt7:60 9002 VT Inn XPJ KE(:EIVEU MAY ~ 0 2006 Wisconsin Department of Commerce SOIL PO T ST. CROIX COUNTY Page of _y ,Division cif Safety and Buildings in accordance with Comm 85, Wis. Adm. Code may- County J 1, 0. Q i 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 Parcel I.D. ~ D percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ,,to -P 40 -00 Please print all information. Revie d by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). S 3d t7(p Property Owner Property Location Govt. Lot NO 1/4 NidI/4 S 1$ T p N R ~ 9 E (or Property Owner's MailingA ass w bT r f pl Lot # Block # Subd. Name or CSM# h 35-106 4 5 5 S D 1~JG. J cost City State Zip Code Phone Number ❑ City ❑ Village Ig Town a rest Road S0t%,eCSe-+ 5Yoa (~IS)ay7- S .~annG~'Se.-t' Sara ❑ New Co coon Use: Residential i Number of bedroo _ Coded iv desi~g~~n~ flo~w, r tt 11~ GPD Replacement ~ ❑ Public or commercial -'D~e~s"cri f - Parent material ,T.+_ 1_! _ -1~. vfiW G ` Flood Plaln e:evatiort if applicable _ ft. General comments T 5 v I D! ao' `rS a 1 I o w o v r S e-"~ 9 S` and recommendations:---'---- ~ bas d ~ ~ n 4S.o~ t: cmtt u r) Boring # Boring Pit Ground surface elev. Q13. f D ft. Depth to limiting factor in. Boil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#t 'Eff#2 b -S o72/ a I- - A Sb~ M F,- Ct u-2 of ' . (,o • V a. S-)D D W y L_-- 4 i% rG m f F . (o y 18-39 510 - r -7 1, iv ® Boring # ❑ Boring l O• D Pit Ground surface elev. Depth to Jimiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Efff##2 O-, Iv b-f (Z 3~ - ~ a~ F5 tJ K. M F''- Q, W trYl • . ~3 r 1 • Q5 1 rll t1v . r -5 PLY/ --------V---` G1- mS~JVI, r' VV J y y N-41* 7,51 ~•5 d F5b ft- v, - 1, m F~- ► _5 6 -,To -7S oo 1~- S~It r D Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = SOD 5 30 mg/L and TSS 5 30 mg/L CST Name (Ple se Print to Signature CST N 4 tribe j -Add ® ~ K.• Date Evaluation Conducted oTelephone Number 1 C:7~ a S -a y -D la 15 -e~ ~/8~358 5 y~~~ Property Owner btf-1\44 htV~ Parcel ID # Page of F-31 Boring # ❑ Boring t E} pit Ground surface elev. ~!$wy ft. Depth to limiting factor+ in. Soil Application Rate Horizon Depth Dominant-Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh, -Eff#1 'Eff#2 t o-y 0-jk311 - - L- a r5 b i~ r- a\ooj • 4), o X1.3 -7-.51A.Ah 5 a C 1 31-4 54 0-414 L- I FS~~ en Fe- r,, ev w Q..-M ME y ~ V G r a., Boring # Boring ~^1 _ 4 h. Depth to limiting factor in. a Pit Ground surface elev. ! Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPO/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 D v= cyR3~~ L a S rn ~ a,w , 4P1 WD i YXY11 i FS~+~ SFr w F ~7 , FS~4 e %-v .7 "In 411 E Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 -Eff#2 Effluent #1 = BOD, > 30:S 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS 5 30 mg/L and TSS 5 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. SBD4330 (RAM) ~E i W N ~ / ~ f y Sec. Vol, t f •hL Tit> ~m s O , q> "ro4 ete~ ►pN ~y S E corOtv- Fe v'G e. 0 s1' - Q -hoe. , - - - _ _ _ ry) _ lay-DO ~,r-~- 0r - 09 All. 4C. f } I B3 I .I ~ I I i I I~ 44 - bo fit - o- • Flu I Sldp I ~ i. ` _ ,A,;, _ _ I i _ _1. I I ~ ~ _ ~i I _ _ _ ~ 1. i i ~ ' i F 4.. j _ _ _ _ .._1_- 051241200E 05:47 17152473622 PAGE 0-i fv W SECTION CORNER ' ~'-18-30-i9 907.80 EAST: 254.QO 1162.80' M. 1168,86 R, 81.04' ''de 122.34 ~2a 50.02 j 50, f 96 EAST LINE a~ w a. OF SECTOOr z WUSE i:.NCRCAiWh~FN'Y, Cl.~ 14'.~Y k v _ ~,.r, sate ai.9sr X01 { r a 1~ r ¢r p, r z ~ M b~'' t r .~r '~~54 , ~O~ 4R yam,. S .w L ' ap f 1 f f 4r 19f,238 SQUARE FEET oil ti 4.390 ACRES Avo IS7(v ~ Parcel 032-2062-30-000 05/3012006 12:53 PM PAGE 1 OF 1 Alt. Parcel 18.30.19.745F 032 - TOWN OF SOMERSET li Current Lk ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-owner O - LEVERTY, BERNARD Z55 EV RTY 180TH AV E E SOMERSET WI 54025 i SC = School SP = Special Property Address * =Primary Type Dist # Description * 555 180TH AV SC 5432 SCH D OF SOMERSET "r} SP 1700 WITC S~ r Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE SEC 18 T30N R1 9W 3A IN NW NW COM NE COR Block/Condo Bldg: NW NW; TH W 254' TO CL HWY 64; SWLY ON CL 477.7'E TO E LN NW NW; TH N 435' TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) POB INCLUDES P745B EZ-UT-1501/341 18-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 931/153 07/23/1997 922/109 07/23/1997 828/195 Bill Fair Market Value: Assessed with: 2006 SUMMARY 0 Valuations: Last Changed: 07124/2003 ve Total State Reason Description Class Acres Land t1170600 00 NO RESIDENTIAL G1 3.000 48,000 166,6 Totals for 2006: General Property 3.000 48,000 118,600 166,600 Woodland 0.000 0 0 Totals for 2005: General Property 3.000 48,000 118,600 166,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch 314 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 032-2062-20-000 07/06/2006 04:33 PM PAGE 1 OF 1 Alt. Percel M 18.30.19.745E 032 - TOWN OF SOMERSET Current X I ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - LEVERTY, MAURICE & BERNARD MAURICE & BERNARD LEVERTY PO BOX 283 SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): f Y * = Primary Type Dist # Description ' 1580 32ND ST yt , , v 7 S~ SC 5432 SCH D OF SOMERSET Y SP 1700 WITC pvut p rsg~~ Legal Description: Acres: 4.120 Plat: N/A-NOT AVAILABLE SEC 18 T30N R1 9W NW NW AS DESC IN VOL Block/Condo Bldg: 509/456 EXC TO HWY PROJ 1456/411 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 18-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 09/15/1999 610380 1456/411 WD 07/23/1997 509/456 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: - Last Changed: 07123/2003 Description Class Acres Land Improve Total State Reason COMMERCIAL G2 4.120 71,10 112,300 183,400 NO Totals for 2006: General Property 4.120 71,100 112,300 183,400 Woodland 0.000 0 0 Totals for 2005: General Property 4.120 71,100 112,300 183,400 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 i Parcel 032-2061-90-000 07/0612006 04:33 PM PAGE 1 OF 1 Alt. Parcel M 18.30.19.745B 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): O = Current Owner, C = Current Co-Owner MAURICE & BERNARD LEVERTY O -LEVERTY, MAURICE & BERNARD 555 180TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 3.470 Plat: N/A-NOT AVAILABLE SEC 18 T30N R19W COM NE COR NW NW; TH Block/Condo Bldg: 254' TO CL HWY 64; SWLY ON CL 477.7' TO POB CONT ON CL 391'N67 DEG E 300'N 61 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) DEG E 379'N TO PT E OF POB TH W TO POB, 18-30N-19W ASSESS WITH P745F Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 922/109 07/23/1997 828/195 07/2311997 5471302 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 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 00 0.00 w Safety and Buildings COmmerce.wi. OV. 10541N RANCH ROAD g HAYWARD WI 54843 a TDD (608) 264-8777 i sco n s i n www.commerce.wi.gov/sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary July 06, 2006 CUST ID No. 223242 ATTN.• PO WTS Inspector I JEFFERY V FOX ZONING OFFICE JEFF FOX CONTRACTING & SEPTIC INC ST CROIX COUNTY SPIA PO BOX 565 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016 k~ CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/06/2008 Identification N bers Transaction ID No.1 7812 14 SITE: Site ID No. 713857 Bernard Leverty 4-PLEX Please refer to bot identification t 1584 Hwy 64 numbers, ab ve, in all I 16, 1~ Town of Somerset 0 S~ corres on nce v4O the agency, St Croix County ~ob) NW1/4, NW1/4, S18, T3 FOR: Replacement mo d, 8 bedroom 4 plex Object Type: onent Manual Re lated Ob' ec ID No.: 1079 63 ` d Maintenance required; 1, GPD Fl ; System(s): Mound Component Manual - Version 2.0, SBD-10691-P (N.01/01); Commercial System 16~ 7 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. 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: Key Item(s) • 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section COMM 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. • ` JEFFERY V FOX Page 2 7/6/2006 • The existing septic tank must be inspected for structural soundness, size and baffles and must be brought into conformance with the requirements of COMM 83, Wis. Adm. Code. If it does not conform a state approved tank must be installed. • The bottom of the distribution cell shall be level per the Mound Component Manual. The "D" dimension shall be a minimum of 6". The maximum finished slope of the mound surface shall be equal to or less than 3:1 per the Mound Component Manual. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • This mound is designed to be installed on a level site. • Limit activities in the area 15' beyond the edges of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/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 $ 225.00 Fee Received $ 225.00 Balance Due $ 0.00 Patricia L Shandorf POWTS Plan Reviewer, Integrated Services WiSMART code: 7633 (715) 634-7810, Fax: (715) 634-5150, M-f 7:45 am - 4:30 pm pat.shandorf@wisconsin.gov 1 JEFFERY V FOX Page 3 7!612006 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 .•v• ~i• vv ave. a,a. vv asu► tv vvv vvvv - - - W VV1 ST. CROIX COUNTY TANK MAINTENANCE AGREEMENT SEPTIC • AND OWNERSHIP CERTIFICATION FORM 2►~r►e L~v~~~hi Owner/Buyer , Mailing Address, SS 5 > BOTV AUE SOno E"'r- t' Lt!/ ~~I V ZS PrePAYAddress )SPA ST 12L L e4 S6 "i1-'f 4 J/ 511)25 , (Verification required kom Planning & Zoning Department for new consuvcti(m.) City/State tAJ1 Parcel Identification Number D3Z- ZOb2-30 ,bOb . ~ySF tL GAT. DES lON Property Location 9VV S4 , AtW 1/ , Sec. 18 , T --ZD N R ) q W, Town of ~N1~KS~ Subdivision S r e 7e'K-4~z ) . , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # 023 , Volume '73 Pagc # Spec house 0 yes U no t.ot lines identifiable U yes 11 nu MTEM MAINTOANCE AND OWNER CERTMCATION Improper use and maintenance of your septic system could result in its premature failure to handle washes. Proper maintenance consists of pumping out the septic tank every three years or woncr, if needed, by a licenscd pumper, What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responst'bilities are specified in §Comm. $3.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman phunbcr, restricted plumber or a licensed pumper verifying that (t) the on-site 'c tank is wastewater disposal system is in proper operating condition and/or (2) alter hispection and pumping (if necesiesy), the septic less than 1 /3 full of sludge. I/we, the undersigned have read the above reVirements and agree to maintain the private sewage disposal system with the standards est. forth, herein, as set by the Depamucnt of Commerce and the Department of Natural Resources, Statc of Wisconsin. Certification stating that your septic system has been maintained must be completed and resumed to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are once to the best of mylour knowledge. Vwe am/am the owner(s) of the property described above, by virtue of a warranty deed recorded in Rq$ swr of Heeds Office. Number of ms SIGNATURFOF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Dcpa tment. t•" Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the: warranty decd. (REV, MS) DOCUMENT NO. II STATE BAR OF WISCONSIN FORM 1-ion T"Is *PACs ag"g"660 I " "aCO"DING "TA WARRANTY DEED REGISTER'S OFFICE 478,ri+v v 9,31E 153 ST. CM CO.? Nn This Deed, made between . FabioLs Bref.ult, Llaxld Breault,....... Reed for Rim 1d>rl. D,..&+amilt~.l~aLX. Geil- Iverson, .Sandra Kay. kdarson,,. Sustn J,-..- JAN A 1 1992 Patte~caott...Ii t>$..kl } es. .P...Jill.Hendricks.--.....-----• , 8:30 Graator 0 and Bernard. LeveM...a.aulgle M=__ - . Grantee, Witnesseth, That the said Grantor, for a valvAble consideration...... RRTURM TO coveys to Grantee the following described real estate in ..St. -Crg..._..._-_ lie wood Car>L P.O. Box 229 County, State of Wisconsin: Hudson, WI 54016 Tax Parcel No: Part of Northwest Quarter of Northwest Quarter of Section 18, Township 30 North, Range 19 West described as follows: Commencing at the Northeast corner of said NW1/4 of NW1/4; thence West on North line of said NW1/4 of NW1/4 of 254.0 feet to centerline of State Highway "64"; thence Southwesterly on said centerline 477.7 feet; thence East parallel with said North line to East line of said NW1/4 of NW1/4; thence North on said East line 435.0 feet to Place of Beginning, together ~!ith an easement over, across and upon the Westerly 300 feet of the North 40 feet of part of NW1/4 of NW1/4 of Section 18, Township 30 North, Range 19 West, descriDed as follows: Commencing at Northeast corner of said NW1/4 of NW1/4; thence West on North line of said NW1/4 of NW1/4 254.0 feet to centerline of State Trunk Highway "64"; thence Southwesterly on said centerline 477.7 feet to Place of Beginning; thence Southwesterly on said centerline 391.3 feet; thence Nortneasterly at an angle 44' for 300 feet; thence Northeasterly with interior angle of 172024', 379.0 feet to centerline of Town Road; thence North 65.0 feet; thence West parallel with North line of said NW1/4 of NW1/4 to Place of Beginning. EXCEPT Right of Way of Highway "64". This deed is given in satisfaction of Land Contract dated December 23, 1976 and recorded January 4, 1977 in Vol. 547, Page 302, as Document 337480, in the Office of the Register of Deeds for St. Croix County, Wisconsin. This ...is n0.t.._- homestead property. fW (is not) wm y Together with all and singular the hereditaments and appurtenances thereunto belonging; ~ And.. 8T4Pt.QK3 _ warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except i Easements and protective covenants and restrictions of record, if any. and will warrant and defend the same. Dated this As / day of ......October . 19..9.1_. ( .000Ci~ ..(SEAL) a_ 41-X`1 (SEAL) ablo a- B eau1C --an r" ay' etsan - .~.s6 2~41f /-...--.(SEAL) "r*+.. . (SEAL) S.Usa dS t - Llo e • (SEAL) . t_ (SEAL) c_( Jo_ r It _ yr Jo Ha ' ' - . & . I (SEAL) Mary l verso P. Jill Hendricksaw AUTHENTICATION ACKNOWLEDGMENT Signature(s) .F.abiola..Breault..-LlQyd_.DKe.ylt, STATE OF WISCONSIN John D. breault and Mary Gail Iverson as. t ..............91 County. authenticated this.-..__ dzyy of_ Oc...ober .......ober Personally came before me this day of h4 4I11 - , 19:: the above named ' Walter..Hodysnky.._. TITLE: MEMBER STATE BAR OF WISCONSIN (If not. . . authorized by § 706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Heywood..b_Car i,.-by.Malter.-HodynskY-_-.-...--- P.Q-..-Box-_22Q,-.Fluaa~nA- WL 54016 Notary Public ..County. Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (if not, state expiration are not necessary.) date: _ 19........) •Narnea of persons signing in any capacity shoald he type's or printed below thrir signatureo. WARRANTY DIED STATE BAS OF WISCONSIN Wi-n In Legal Blank Ca Ina FORV Nw 1 - tssa Milwaukee, wia. ' I 931WA15~ a 1 ACKNOWLEDGEMENT WISCONSIN STATE OF N~1 ) St. Croix )ss. COUNTY OF ) Personally came before me this24th day of October, 1991 the above named Susan Jane Patterson to me known to be the person who executed the foregoing instrument and acknowledge the same. i / raml McDaniel * srol Mc niel Nc•._ry Public Notary Public, St. Croix County ,tP . "l sconsin ld3cHt6d~ Wisconsin 11/21/93 My commission expires. ACKNOWLEDGEMENT STATE OF MINNESOTA ) cc )SS• COUNTY OF h?►' ) Personally came before me this ~ day of ,ctober, 1991 the above named Myrna Jo Harris to me known to be the person, who executed the foregoing instrument and ckncwledge the same. Notary Public, County r ..o 4 M i r,nescLa _ , My commission expires: ACKNOWLEDGEMENT WISCONSIN STATE OF )"S. CO-VTY OF St. Croix i Person,all/ came before me thig22nd da~: of Octc-ber, 1991 the above named San.drs K.ay Anderson to me known to be the person who executed the Foregoing instrument and acknowledge theIpame. Car 1 McDaniel Carol Mob Ci Notary Notary Publ i:-, S~ Croix Count`,' State cf Wisconsin pt*W%#N Wiscons n My commission expire- 11/21/93 ACKNOWLEDGEMENT STATE OF WISCONSIN CCUNTV eOF y_l } Personally came before me this day of October, 1991 the above named P. „ill '-,endr~jckscn to me kr:;wn to be the --erson ::hc executed the foregoing nstrument and ackncwledge the same. * _ CG L'- v yC%C: - s . li rvi. L &IERLO :cts~, Pub? Ccunty r Wary Public.M•WOt~ Od fdiE ty My^ccmmi-ion °;o'res'_ „ ) `i lN}rCCRIfi$Sp(1E T VYVYV'VyVYVVVV Fi3157 A u geu St 04,, 2006 August 2006 September 2006 S M T W T F S S M T W T F S 1 2 3 4 5 1 2 Friday 678 9101112 3456789 131415161718 19 10 1112 13 14 15 16 20 2122 23 24 25 26 171819 20 2122 23 27 28 29 30 31 24 25 26 27 28 29 30 TaskPad am TaskPad Oil/windows/wipers--Grand Am p 00 j 9 00 Will be ready earlier Fox / Leverty, 488275 (Somerset) / Please bring Leo Durand permit paperwork in Jeff Fox file. 032-2062-30-000 l g. 30, R , 3LTF 1000' l 1100 12 pm. - 1 00 L Lunch Notes 0 20 300i' 4001 C 00 6001, Kevin Grabau 1 8/4/2006 8:08 AM I t I f I ~ f~ o m o R ID m a o c m m (o h << CD CO (D 0 CO W w< 3 w N r. Cy,{ O N (D v (D c`o a C G) G) D y 1 v N C7 C:3, zj co N ro @ O-0 N N (D N -'-I C C: O U1 m < T O .ter d ° O ~1 C- 0 O !V N i~7 v D (p a C - CD ~ CL p CO -C_ ° 0 0 f} O c p Z! A CD Z A W w (n CD 0 C) m rn Cn ~ nJ CL 0 0 0 ~'►r . 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CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner BERNARD LEVERTY O - LEVERTY,BERNARD 555180TH AVE SOMERSET WI 54025 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1584 32ND ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 3.000 Plat: N/A-NOT AVAILABLE SEC 18 T30N R19W 3A IN NW NW COM NE COR Block/Condo Bldg: NW NW; TH W 254' TO CL HWY 64; SWLY ON CL 477.7'E TO E LN NW NW; TH N 435' TO Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) POB INCLUDES P745B EZ-UT-1501/341 18-30N-19W Parcel Histo : Notes: ryDate Doc # Vol/Page Type 07/23/1997 931/153 07/23/1997 922/109 07/23/1997 828/195 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 48,000 118,600 166,600 NO Totals for 2006: General Property 3.000 48,000 118,600 166,600 Woodland 0.000 0 0 Totals for 2005: General Property 3.000 48,000 118,600 166,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch 314 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST CROIX COUNTY AA I PLANNING C December 15, 2009 Monea Johnson 555 180th Ave. Somerset, WI 54025 Code Administration, RE: Private On-site Wastewater Treatment System (POWTS Setback 715-386-4680 1584 32nd Street #18.30.19.745F ) (Computer ) Parcel #032-2062-30-000, Town of Somerset Land Information & `I Planning 715-386-4674 Dear Ms. Johnson: Real Prope On November 4, 2009 1 conducted an ins ection to verif minimum setbacks from 715-3Rt 677 p y the mound POWT S installed on our lot in 2006. Aland survey on file in our office your Recling was completed for a cell tower special exception permit and the surveyor's site plan T15-386-4675 indicated the location of an easement onto the adjacent parcel that allowed continued use of the 4-plex building at the above address and its original septic system, which extended over the property line. This easement is included in the property description on the parcel's deed, Vol. 931, Page 153, Document #478123. In 2006, additional tanks and the replacement mound were installed, but the locations of the south property line and easement area were not properly identified and the mound extends onto the adjacent parcel to the south. As required by the Wisconsin Department of Commerce under Comm. 83.43.8(4)(1) mound systems shall be located so as to provide the minimum horizontal setback distances as outlined in Table 83.43-1. The minimum setback from a property line to a Private Onsite Wastewater Treatment System (POWTS) is 5 feet. This setback is measured from the mound's toe or downhill edge (Wisconsin Department of Commerce Mound Component Manua! Version 2.0, 2001). 1 reviewed the 2006 inspection report and site plan for POWTS installation, which indicated the inspector and POWTS installer thought the setback for the mound cell was10 feet away from the property line. I measured the distances from the perimeter of the mound's basal area to the nearest building, to the centerline of 32nd Street, and to the south lot line. Based on my measurements and distances shown on the above-mentioned survey, the east half of the 10 ft. by 120 ft. mound is outside the easement. This will require you and Maurice LevertY, as owners of the southerly lot, to I consider expanding the existing easement out to 32 nd Street, which would allow the mound's encroachment until such time as the use of the POWTS is discontinued. This would bring the POWTS back into compliance with DCOMM 83.43.8(4). III ST. CRO/X COUNTY GOVERNMENT CENTER 1 10 1 CARM/CHAEL ROAD, HUDSON, W/ 54016 715-3864686 FAX PZ@CO. SA/NT-CRO/X. W/. US W W W. CO. SA WT-C ROIX. WL US have en sbd copies of t" a permi"sie plan an inspec ion repo or your question regarding compliance with POWTS regulations, feel free to contact me at 715-386-4680. Sin Pamela Quinn, POWTS Inspector #665054 Zoning Specialist CC: Maurice Leverty, adjacent property owner Jeff F POWTS Installer File - `Z sanitary records a: ST. CROIX COUNTY GOVERNMENT CENTER 110 1 CARMICHAEL ROAD, HUDSON, W1 54016 715386-4686 FAX PZPCO. SAINT-CRO1X. W1. US W W W . C O. SAI NT-C ROIX. W I. U S c sr In r f! 3 d C d A 3 ac ~ ~y (y f) D3j CD CD 0 O O pD CD C C1D W CD y N O N drl _ O C 3 0G) 7 O•. CO O O O 91 C N to m V N co 0 CD 104 C c C O-n b 3 g w d! c C C OD ° ~za F IA z W O , `C C CL 3 00 (D "aim, Q. t N NO1 C) r- CO) to CD (3) 7 (A SOS C lr Z -Tl Cl)! I c'^i x ~ co CO) CO) o D m O O N Z l~ O D D o o' O CL O C • O 5 3 o z CD N -i to \ CD A j N O Z C" T a A < O co O z CD a ~ O A 00 ` ~d ? a 3 O O N_U) it CD i N _c,rny y • O CD CD 7 C• O 7 '11 C1 CD Dl C O N (On n C 7 O N N OZ d O X N ~ •C7 Cp [7~.x O m ~ D Q. s m o a m5 U~ o a < oa 3 D' 3 C m. oooO coo rn b N~acoo `O ~m• su ~ fa/~nCD m A I CD o_mv • CD c'•N+ vv CD O5L n 7 N S -p N O O CL ~c O Q o~°o C. o I o b ti A CD ~ CT 4A O ti c0., °O a ti STO CROIX COUNTY PLANNING & ZONING MEMO DATE: November 3, 2009 To: Monea Johnson, applicant for SE0210 Pet Boarding facility Code Administration FROM: Pam Quinn, Zoning Staff 715-386-4680 Land Information RE: Staff Report preparation ~ Planning 715-386-4674 In reviewing the application submittal and support documents, there are several Real Propcrry items that must be addressed in the staff report so that the Board of Adjustment can 715-3S6-4677 make adequate findings of fact for the request. The following information is Re, yclting needed: 715-386-4675 • Who actually owns the property at this point? It wasn't clear on the application that Bernard Leverty is deceased, so is the property tied up in probate court? Is there documentation of personal representative who is legally able to enter into agreements on behalf of the estate? Will the proposed business affect the lease agreement for the cell tower company? • Employees are mentioned in the narrative and separate parking spaces are designated for employees on the site plan, but how many people will be working at the business? • If the existing pole shed is to be remodeled for the business, which includes employees according to the narrative, a plan must be prepared and submitted that includes plumbing for both domestic and non-domestic wastewater disposal. If you propose a bathroom for employees and/or public use and sinks to wash animal food/water dishes, there will have to be a Private On-site Wastewater Treatment System (POWTS) designed and approved by the Dept. of Commerce. The DNR regulates non-domestic wastewater discharge, which may require a separate holding tank permit for floor drains that collect the rinse/disinfectant wash water. The contact person at the WDNR is Steve Smith, (608) 266-7580 or Stephen. smithCcDdnr.state.wi.us • The 4-plex residential building adjacent to the proposed facility has its own POWTS that was installed in 2006. The mound that treats wastewater generated by that building was installed partially within a 40' deep easement onto the adjacent parcel and appears to have extended outside the easement. The site plan indicates that fencing will be installed along the south property line, which might interfere with accessing septic tanks, dose tank, and mound for routine maintenance and fencing. If there were any ST. CROIX COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD, HUDSON! W1 54016 715-386-4686 FAX PZ@CO.SAINT•CROIX.WI.US WWW.CO.SAINT-CROIX.WI.US plans to connect plumbing from the pole shed to the existing POWTS, the additional wastewater flows would have to be calculated and modification plan submitted to Dept. of Commerce for review and approval. Then a sanitary permit would need to be obtained from the county for a building sewer line to be connected to the POWTS. • Trash removal (including solid pet waste/hair?) needs to be specified - dumpsters or other methods must have designated areas that won't contribute to odor or public health problems. • Retail sales or not? In item 1) of the narrative you mention "Retail component" with pet food and gifts, but in item 4) it states the animal care facility will be a non-retail commercial service. • Signage indicated on the site plan needs to be addressed, whether as part of this request (as an additional item) or separate zoning permit. The Town of Somerset published their Town Board and Plan Commission meeting minutes in the New Richmond Herald on October 15th and on their website. It mentions conversion of the existing 4-plex residential building to be used as the grooming area, office, employee room, and merchandise sales. This was not represented in the application narrative. The change in use for the residential POWTS to include pet grooming wastewater (specific concern would be HAIR in the filter and mound system) would also require the above plan review and approval by the state. ST. 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