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HomeMy WebLinkAbout032-2147-00-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 408227 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID N Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Wishard, Anthony Somerset Township 032 - 2147 - 00-000 CST BM Elev: I Insp. BM Elev: Description: (ao. � cv• fl' I BM T I&+ 5~ 31, TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / 'z Benchmark �' r IO` • ( eo C Dosing �-✓ Alt. BM Aeration Bldg. Sewer / _ Holding- - ' olding St/Ht Inlet TANK SETBACK INFORMATION SUHt Outlet )b TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic �0 1 33 r Dt Bottom Dosing Header /Man. Aeration Dist. Pipe 4 Y•�� Holding Bot. System ?2.yo �b• �Z r PU Final Grade SIPHON INFORMATION g' Manufacturer Demand St Cover � GPM pp.�s.1 7 ,o• Model Nu ber TDH ift F,riction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM d,_ /TR CH idth t Length f No. Of Tre the PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM QQ� Z SETBACK SYSTEM TO O T � P/L BL G WELL LAKE/STREAM LEACHING a INFORMATION CHAMBER OR ' Type Of S/ylstem: A ZD/ UNIT Model Number: 19 Ip DISTRIBUTION SYSTEM -Eo Header /Manifold it Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipes ti S t Length Dia ength Dia acing 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 BedlTrench Edges Topsoil Yes No gj Yes No C %IMEI�ZS: (include code iscrepXci persons present, etc.) Inspection #1:V&f D I 24) — Inspection #2: ocaion: 547 214th Avehue Somerset, WI 54025 (NE /4 NE 1/4 15 T31N R19W) Oak Haven Lot 10 Parcel No: 11.31.19.1281 1.) Alt BM Description = f 2.) Bldg sewer length =33,D - amount of cover = Q aS� Ian revision Required? 707 D es No D' 0 Z, - j Use o er side r 4 tio al informatio _ - SBD -6710 (R.3 /U 1 w� o+�S , Insepctors Signature Cert. No. 0_1 J Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 lViscons Personal information you provide may be used for second u oses Madison, WI 53707 -7302 Department of Commerce p (Submit completed form to county if not 9 privacy Law, s. 15.04(1 )(m)] 3 S $�j y 1 state owned.) Attach complete plans (to the c unty copy only) for the system, on paper not less than 8 - 1J2 x 11 inches in size. County N / r9 State ani Permit Number El Check if revision to previous application State PIT . D. Number . [� / /t/ I. Application Information - Please Print all Informatio _ _�.-- , qm -.. - °° Loca ion: 77. , ) , f U Property Owner N 7 r �.' : Property Location r ( Property Owner's ailing Address 4? J Lot um er Block Number /0 Ci , State Zip Code li ` r . , .'. Subdivision Name or CSM Num er C C/ O` ZOnil �4 A ( �v II. Type of Building: (check one) �� J ❑ City 1 or 2 Family Dwelling - No. of Bedrooms P Village �J- 6 A7- --C Public/Commercial (describe use):_ own of ❑ State - Owned / Nearest Koad j Q Parcel Tait Number(s) ga.. //�7�� III. Type of PeNift,0eck only one box on line A. Check box on line B if applicable) 0 3 Z " oZ "7.- 00"Ucz) A) 1. ew 2. ❑ Replacement 3. ❑ Replacement of 4. 5. 6. ❑ Addition to System System Tank Only Existing System $) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) E /Sfl 30• � ,,f',Kon- pressurized In- ground ❑ Mound +� ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: yl_""; - �4� V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) . Dispersal Area . Dispers Area 4. Soil Application S. Percolation Rate 6. S st,Fm Elevation 7. Final Grade Required Proposed a'�Z,� Rate (Gals. /day /sq, ft.) (Min. /inch) � J !'� Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete strutted Tanks Tanks G ❑ ❑ ❑ ❑ J j o2F D GtJ�C f ❑ ❑ ❑ ❑ ❑ VIII. Responsibility Statement I, the undersign assume respon sibility for installation of the POWTS shown on the attached plans. Plumber' Name (print) Plumber's . ture (no stamps MP/MPRS No. Business Phone Number Plum Xs Address (Street, City, State, Zip Code) IX. County/Department Use Only � ' ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued mg ent Signatu o stamps) @Approved ❑Owner Given Initial Adverse Surch c Q �ar Fee) � Jp �/$ Determination X. Conditions of Ap roval /Reasons for Dis pproval: 5 h u� 1) 13-3 f �t r `s r . /0 ' Ze,0.00Ae- e�W,52- exlV'sk -U n vr— /0 -" P Z IWr // sycs • a /6� - C ��- f33IBr a �7 �ra�•• v�c�.,,anf �it,.,d. �. / ,� &W s � SZ � Ru � ���r Pte. . K 3.� 3 -r �Me Ki�� -8(z - For�we�(- his fof>�.�, 4- S. As. S ae- 07- �ff�D SBD -6398 (R. 07 /00) PLOT PLAN PROJECT Anthonv Wishard ADDRESS 547 214th ave Somerset W. 54025 NE 1/4 SW 1/4S 15 /T 31 N/R 19 W TOWN Somerset COUNTY ST. CROIX 6 -27 -02 BEDROOM 4 MFRS Byron Bird Jr. 220529`- DATE CONVENTIONAL XXX 4AG rade CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gal LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE 0 LOAD RATE .7 ABSORPTION AREA 857 # of chambers 28 BENCHMARK V.R.P top of SE lot stake ASSUME ELEVATION 100' ❑ BOREHOLE (DWELL *H.R.P. Same as BM Vent SYSTEM ELEVATION >12" Sidewinder High / Cove Capacity Leaching" Chamber with 17.2 ti 6 91 t ^2 per chamber y -Grade at Sy Long Elevation y N to .'� �� �� 4 bed h use 33 Drive PL gaRAG t 7 S1' 10' BM B1 1 PLOT PLAN PROJECT Anthonv Wishard ADDRESS 547 214th ave Somerset Wi. 54025 NE 1/4 SW 1 /4S 15 iT 31 N/R 19 W TOWN Somerset COUNTY ST. CROIX 6 -27 -02 BEDROOM 4 MPRS Byron Bird Jr. 22052`- DATE CONVENTIONAL XXX Grade CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gal LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE 0 LOAD RATE .7 ABSORPTION AREA 857 # of chambers 28 hk BENCHMARK V.R.P. top of SE lot stake ASSUME ELEVATION 106' ❑ BOREHOLE O WELL 1H.R.P. same as BM Vent SYSTEM ELEVATION >12„ Sidewinder High Of CC Capacity Leaching Cov Chamber with 17.2 } 6" ^2 per chamber Long 34" Elevation aLi vA 4 bed hc use 33 ' Drive PL Q gaRAG r Alt BM 51, B1 10' BM Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ of 3 6yt S, - 1 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County 3'Z Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must St. 0701X, -; include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 3 Z" /0'-/3 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. din q 3Z-16V Please print all information. "ad by " Date Personal information ou p rovide may be used for seconds purposes (Privacy Law, s. 15.04 m . Y P Y second P P l Y 1 �) ( )) Property Owner Property Location 7 O Gerald J . Smith Govt. Lot NE 1/4 SW 1 /4 S 15 T 31 N R 19 XXor) W Property Owners Mailing Address V9 ' y Block # Subd. Name or CSM# 11160 190th. Ave. na Oak Haven City State Zip Code Phone Number ❑ Village Town Nearest Road Elk River, I MN 55330 (612) 441 -8888 Somerset 120 ve New Construction Use:] Residential i Number of bedrooms 4 Code derived design flow r e, F r GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material outwash Flood Plain elevation if applicable _ ft. General comments 0 .a f and recommendations: -P Mir ll C_ Z_ COUN7Y Trenches @ el. 93.40', spaced to code 3.50' below grade_- �NGQPFIC� Bonn p g a Boring # a Pit g 9710 Ground surface elev. . ft. Depth to limiting factor 90 in. U ! Gf 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 1 0 -6 7.5yr4/4 none is osq mvfr qw 1f 7 1.2 2 6 -90 7.5 4 6 non 1 ' 3 i /t Boring # El Boring 96.40 [ 72 � Pit Ground surface elev. ft. Depth to limiting factor 96 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 1 0 -12 10 3 n is osq mvfr qw 1 f 7 1.2 3 20 -9 7 5yr4 6 none A T 3. Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L fll e t #2 = B09. < 30 mg/L and TSS < 30 mg1L CST Name (Please Print) Signature . CST Number Gary L. Steel 02298 Address ate Ev uation 0d Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 6 -6 -2001 715 -246 -6200 Property Owner Gerald J. Smit11 Parcel ID # _._ nib Page 2_ of 3 Boring oring 3 g # E] ® pit Ground surface elev. 95.20 ft. Depth to limiting factor 90 in. Soil fication 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 1 0 -10 7.5 4/4 none is os 2 10 -9 7 5 4 D F-1 Boring # E] 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. F 0 Pit Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff #1 I - Eff#2 ` Effluent #1 = BOD > 30 220 mg/L and TSS >30:5 150 mgA- ` Effluent #2 = BOD < 30 mg /L and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. SBD -8330 (R.6/00) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Gerald J. Smith New Richmond, WI 54017 MPRSW -3254 NE4SW4 S15- T31N - r19W (715) 246 -6200 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N' 1" =40' BM.= top of 1" pvc pipe @ el. 100.00' alt. BM.= top of 1" pvc pipe @ el. 96.70' V / 00 i(d tip � - Gary L. Steel f ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM j Owner/Buyer Mailing Address -5y 7 Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number •y a4 LE DESCRIPTION d 3 Z" 4 17 -60 — 06 6 Property Location & '�4, Y4, Sec. �� T_J54N -R ' W, Town of Subdivision l�G� ��u �t7 , Lot # Certified Survey Map # Volume , Page # Warranty Deed volume Page # Spec house ❑ yesxno Lot lines identifiable (,yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da o he three y expiration date. v L S ATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. S NATURE OF APPLICANT D l aS TE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed . POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity al ❑ NA Permit # LO Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 4 ❑ NA Effluent Filter Model c 9 �> ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity a l ❑ NA Estimated flow (average) & gal /day Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated x 1.5) g al/day Pump Manufacturer ❑ NA Soil Application Rate g al/day/ft 2 Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average" Pretreatment Unit ❑ NA Fats, Oil & Grease (FOG) :530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) <_15 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD 530 mg /L n- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) :930 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geome mea n) :510" cfu /100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ ear( )(s) aximum 3 year ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: �arls) (Maximum 3 years) ❑ NA �on(s) ❑ NA Clean effluent filter A least once every: year(s) Inspect um p y: 0 month(s) ❑ NA Ins p pump, pump controls &alarm At least once ever Flush laterals and ressure test At least once eve ❑ month(s) ❑ NA P every: ❑ year(s) ❑ month(s) Other: At least once every: ❑ year(s) ❑ NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tanks) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. GMW (4/01) .1 Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tanks) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: • A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS Y--T --he echnology a holding tank may be installed as a last resort to replace the failed POWTS. site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site valuation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER c Name h Name Phone Phone _�4L SEPTAGE SERVICING OPERATOR (PU PER) LOCAL REGULATORY AUTHORITY ST C�?O Name Name Phone Phone 71 This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.540►, (2) & (3), Wisconsin Administrative Code. sJ 1901P 508 S8m4a4 STATE BAR OF WISCONSIN FORM 2-1999 KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., NI This Deed, made between Forest Oaks Condos, Inc. RECEIVED FOR RECORD — 05-31 -2002 9 :30 AN WINOTY DEED Grantor, and _ Anthony J. Wishard and Joni L, Wishard, husband l and wife, - _ TRANS FEE.- 1 COPY FEES CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lot 10, Oak Haven, Town of Somerset, St. Croix County, Wisconsin. Name and Return Address KRISTINA OGLAND ATTORNEY AT LAW I.O. BOX 359 HUDSON, WI 54016 Pt of 032-1043-50-000 & 032 - 1043 - 40.000 _ Parcel Identification Number (PIN) This is not homestead property. oil (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this � day of May _ 2002 Forest ks Cond , In. ' __ • Ger ald J. Smith eaid AUTHENTICATION ACKNOWLEDGMENT Signature(s) Fo rest Oaks Condos, Inc., by Gerald J. Smith, STATE OF WISCONSIN ) Pres ident, ) ss. T x — County ) authenti aced is.��day of M 2002 Personally came before me this day of the above named w Kristine Ogland -- - - - - -- TITLE: MEMBER STATE BAR OF WISCONSIN — (if not, to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stets.) -- instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kr istina Oglan Notary Public, State of Wisconsin Hud son, 540 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) _,. ... _ .- _ . -_ , , .__ -) " Names of persons signing in any capacity must be typed or printed below their signature. I rormatIm Praftniomt, CQmP.M. Fond d. cx. W STATE BAR OF WISCONSIN W0855.2021 WARRANTY DEED FORM No. 2 -1999 J. 00 ACRES �• LOT 12' 134M4 SO Fr 'I JLA?AL1RfS - V .......� ................. ............. ............. '...... 1 O W i i v I _ 3 vJ V� - - - 221.97' -- - - - - - -- 221.09' Q z Q h qWw J y W N89'1 5'22 "W 638.38' � :t° 4 Fes- "p) J Z Q "R 'ZI 1 i p Z 4 0-1 h o �WI�K .... ................... . . a .1......... . .. o o �' p '4 HK M W V) \! LOT 10 V 130.685 SO. FT. � J 00 ACRES AaA. FFE -M O 318.52' N89*1 „. Ml 637.03' M A l L 1 NE a� SHEET 1 OF 3 SHEETS PLOT PLAN PROJECT Anthonv Wishard ADDRESS 547 214th ave Somerset W. 54025 NE 1/4 SW 1/4S 15 /T 31 /R 19 w TOWN Somerset COUNTY ST. CROIX 6 -27 -02 4 MPRS Byron Bird Jr. 2205 DATE BEDROOM CONVENTIONAL XXX A rade i NvENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gal LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 857 # of chambers 28 IL BENCHMARK V.R.P. top of SE lot stake ASSUME ELEVATION 100' ❑ BOREHOLE (DWELL *H.R.P. Sarre as BM A Vent SYSTEM ELEVATION T -1 =98 T -2 =99.5 l2'"' Sidewinder High Capacity Leaching Chamber with 17.2 6 °9 t "2 per chamber Long 3499 Elevation 214th ave. B3 B1 ST 4 bed hc use Drive 334' ob pipe 5' PL gaRAGE. B2 150' 42' ABM 126' PL A BM _2 0(; 0000 '�"'��' ^I / c :4 � W � x ✓ �� z N� W. I ��'�� �`.� P'] 9 X• 1 925.1 z 9 0) 1 I W LO 918.6 • ...... .. ... .., C c o .. -- �...... �, x � o __ Z , 4 917 '`l �� I I I I -- _ - �f7 94' +oo - - 118.3 0 3 1 Z 00 1 0 12 +00 x au� II U J -.-- - Z I ll o �Z I ( 9.b5 . 917.4 1 � IZ 3 . 3 � 161.73 y v � c I N 9 8 °�o� III ono + , X 6 O II 937.5 J ' 1 .91 :....... .. ... .. ... ........ o � III � - C illy ' °���/ , WW II � m N� l7j 933.1 W 1 O 45 �'R � u ; I I I I -- x: �'� oo W W s -_� - \C - I IIII T r� U -_ ��� • `� BH # 5 , I III 924.5 X- Z I J W I J I 6 5 FT. V) 5 Sa - W z I o I 0 � �E x I' \, 926.4 ro Z W V I 91 9 z .W� . 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