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HomeMy WebLinkAbout032-2153-10-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division -• INSPECTION REPORT Sanitary Permit No: 453279 0 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)j. Permit Holder's Name: City Village X Township Parcel Tax No: Leach, Rory Somerset Township 032 - 2153 -10 -000 CST BM Elev: insp. BM Elev: BM Description: Section/Town /RangetMap No: 4�' . �� G � 0 - , -Z- 15.31.19.1324 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 10 j c >C/ Dosing Alt. BM Aeration Bldg. Sewer C, 97.> Holding St/Ht inlet Ivl - `z Y. 9 TANK SETBACK INFORMATION SUHtOutlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man, ig ' C, 1, 1 Aeration Dist. Pipe Holding Bot. System ft 3 9 i5. I 1 1. 3 4 S- I PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover GPM 5 lva. 1 Model Nu er TDH Lift Fric'tisn.l oss I System He T H Ft For main Length Dia. _ Dist. to Well SOIL ABSORPTION SYSTEM 7 3 z BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No, Of Pits Inside Dia. Liquid Depth DIMENSIONS __3 a C �. SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufac I - turer. . INFORMATION "" CHAMBER OR " C t r, _ c ✓ Type Of System: 1 UNIT Model Numbe r DISTRIBUTION SYSTEM Header/Manifold 7 pipe(s) Distribution x Hole Size° x Hole Spacing Vent to Air Intake a , � Length 7 `'( Dia Length _ Dia Spacing 7�Uv SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of 1 xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil - � "`� --- Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: t 1 / I z t O L Inspection #2: / ! Location: Unknown (NW 1/4 NE 1/4 15 T31N R19W) Shadow Pines 1st Add Lot 26 M u ` f Parcel No: 15.31.19.1324 1.) Alt BM Description = 30`0 ctj of 2.) Bldg sewer length = J - amount of cover = [ _ { ` f;, r Ll;n revision Required? I.:j Yes No r- �� `her side for additional informs -- - Date insepctors Signature Cert. No. (R.3/97) a u t ivision County 201 as hi lion N viscons i n i , WI 537 Sanitary Permit Number (to be filled in by Co.) Department of Comm 608) 51 q5 3 2 1 Sanitary Permit at'<< State Plan I.D. Number — In accord with Comm 83.21, Wis. Adm. Code, tfarmat d' _ I may be used for secondary purposes Privacy Law, s G OFF/CE ' P jeer Address of different than mailing address) I. Application Information - Please Print Ail Information ______ .2/,?( �9 Property Owner's Na me Parcel # Lot # Block # i Property Owner's M ailing Address Property , � / Property ation T �� / 4n S4 , 44 ,Section City, State Zip Code Phone Number ► `rte l a z°- �U l �J ° -- L'� /5 (circle o ) II. Type of Building (check all that apply) T 3� N; R / / E or� or 2 Family Dwelling - Number of Bedrooms � _ Subdivision Name CSM Number r ❑ Public /Commercial - Describe Use c7 rU E• c�_� U State Owned - Describe Use ❑City�� 'Village tlrownship of /hr�/ III. Type of Permit: (Check only one box on line A. Complete line B if a pplicable) o m — Z5 - 6CSa f 3 Z A. ANew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. El Permit Renew Permit Revision El Change of ;J Permit Transfer to New List Previous Permit Number and Date Issued Before Expirati a lumber Owner IV. Type of P OWTS System: (Check all that apply) Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil At -Grade ❑ Single Pass Sand Filter i ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Fitter ❑ Recirculating Synthetic Media Filter Leachin Chamber :J Drip Li Gravel -less Pip _❑ Other (explain V. Dispersal/Treatment Area Information: 2 - r2t1 Design Flow (gpd) Design Soil Application Rate( sf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) i Sy tem Elevation j �, 5� VI. Tank Info Capacity in Total Number Manufacturer fab Site Steel Fiber piastic Gallons Gallons of Units LQ —fvti C nerete Constructed Glass New Existing� Tanks Tanks � ---- +--- • - ---- Septic or Holding Tank a Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I , the und ersigned, assume responsibili for ' 41lat of the PO WTS shown on t attached plans. Plumber's Na me (print) Plumber's Si gnature ( P/ iPRS Number Business Phone Number Plumber's Addre as (Street, City, State, Zip Code) VIII. County/Department Use Oily Sanitary Permit Fee { nchtdes Groundwater Dace issued I suin Agept Signature (No Stamps) ` ! Approved Disapprov Surcharge Fee) w/ I ❑ weer Given Reason for eniat _�_� / t B . 02 LUU IX. Conditions of Approval /Reasons for Disapproval 3) S a - Z" Q,Amq SYSTEM OWNER: ot�t� 1 Septic tank, effluent filter and dispersal cell must all be serviced I maintained as per management plan provided by plumber. 2. All setback requirements must be maintained `>v'- t,�,�, -• Q r as per applicable code /ordinances ctI J�"" Attach complete plans (to the County only) for the system on paper not leM then z/2 `11 I es n e 0 . k,.— 1-v L- G11 C h v /L G crX ✓ y r t► e COPY 4 i ' d 'V r r. i a e •���� is J �I �I �I Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1_ of Division of Safety and Buildings in accordance wiWis. Adm. Code County Attach complete site plan on paper not less than B 1/2 x include, but not limited to: vertical and horizontal referenM), dire P� p percent slope, scale or dimensions, north arrow, and locstance to nearest road. Please print all informs 9 6 200 Rea Date Personal information you provide may be used for secondary pu a Law, s. 15.04 (1) (m)). tll Property Owner ZONU F / jcatSi 6 (4 1(1 r I -r-q G 1/4 1/4 S l 5 j N R/ E (or)60 Property Owne s Mailing Address Lot # I Block # Subd. Name or CSM# Z.Ct I '�S VC, ((L j Xe c, 5 City State I Zip Code Phone Number ❑ City ❑ Village OTown Nearest Road e be--. r I 10 e I S-51(6 ( test )- 2 q -Bray - -SR 0 New Constriction Use: 9 Residential /Number of bedrooms 3 _ � Code derived design flow rate G�� / l � � GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 0 U4 - 5 q Flood Plain elevation if applicable -iv / 1 4 - ft. General comments and recommendations: 5 y .5 eA e v ' F-t] Boring # n Boring p� '� [a 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. I •Eff#1 •Eff#2 I - r -- SL cS IV -f Z It y2 / — m — — a+, `�4 .�, 1 36 z F ZI Boring # ❑Boring _ pit Ground surface elev. ft. Depth to limiting factor 1?Z0_ in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 kJ 1. 6 Z r 3(9 Effluent #1 = BOD > 30 < 220 mg1L < and TSS >30 150 mg/L ' Effluent #2 = BOD 1 30 mg/L and TSS < 30 mg/L CST Name (Please Print) - - S CST Number 62 Q rh 0 Add ress Date Evaluation Conducted Telephone N umber caoA•al occraes •LLL81 All 10 IS I £ le l uawgedap a loeluoo aseald `leuwo3 alewalie ue w lepaleuw paau io saotnias ssaooe of oouelsisse paau noAjI wAoldwa pue iapinoid aopuas , l4pnuoddo lenba ue si awotutuo33o luauundOG aq j UAu 0E > SSl pUe l/&u 0£ > s 00e = Z# luanw3 . U 041 > OE- SSl Pue llm OZZ > OE < ° 008 = L# lUenw3 . 1 Z#113. W93. 4S 'ZS JJ jolo'J woo 'zS 'n0 Ilasunyy ul wa slooa tiepunog eouelslsuo0 ampailS augxal uogduosa0 x a �IaJ luewuio0 41da0 uozuoH ales U 1l0S 1!d w joloe; 6uglwq of ylda0 nela aoe}ins punoj0 6u n # 6uuog a uog Z03. L#113. 4S 'zS jolo'J 7uo'J •ZS 'n0 Ilasunyy u! MME) spoa tiepunog eouals!suoO ainlongS elnpcal uogdu3se0 xope» J0100lueu!wo0 41da0 uozuoH ales uoge0q I!og 'u! joloe; 6ug!w!l of ylda0 •g •nala aoejjns puna0 1!d 6uuog El # 6uuog :L as' b Z#113. L#113. 4S 'ZS 'J0 joloo - luoO •zS •np llesunyy ul MOdJ slooa tiepunog eouels!suoO sinpn4s ainlxal uogduosa0 xopea jop0 lueu!wo0 41de0 uozuoH ales uogeog I!oS u! jope; 6uq!w!I of 4ide0 31 po . It2l •nala eoepns punoa0 lid R` 6uuog # U — ;o 96ed # 01 sewed jeumo Apedoid • PAGE_.3 Of 3 NAME L LOT# Co LEGAL DESCRIPTIOTI/!�v "'� <N!/' S9�T (.N R E or t SCALE: 1 "= -- BM 1 ELEVATION C) - C BM 1 DESCRIPTION �� J C BM 2 ELEVATION BM 2 DESCRIPTION ,�/ SYSTEM ELEVATION `& ALTERNATE ELEVATION r-- CONTOUR ELEVATION O DATE SIGNATURE ''� �Z �� Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and Building Division INSPECTION REPORT Sanitary Permit No: • 453279 0 GENERAL INFORMATION (ATTACH T3 PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Leach, Rory Somerset Township 032 - 2153 -10 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 15.31.19.1324 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of 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 eeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil xx S Ej Yes 0 No � Yes � No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: Unknown (NW 1/4 NE 1/4 15 T31 IN R1 9W) Shadow Pines Lot 26 Parcel No: 15.31.19.1324 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? �— q I ]Yes [] No Use other side for additional information. i SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. 1 f Safety and Buildings Division ; County 2201 W. Washington Ave., P.Q. Box 7162 y / Madison, WI 53707 -- 7162 Sanitary Permit Number (to be ed in by Co. Department of Commerce (608) 266.3151 4 1-5 3 2:7 9 Sanitary Permit Application ,flan State Plan LD. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you p Ad"D may be used for secondar purposes Privacy Law, s15.Q4(1}(m) Project Address (i fferent than mailing address) I, Application Information - Please Print All Information Property Owner's Na me -..... ,. -it 21 parcel N Lot M Block M V Property 0 's M ailing Address ry Location city. State Y Zip Code �hN1i+LSurT�fer A/�cl '4, �. (circle 0 I U. Type of SuikUng (check t apply) V 14K �S tµ � T 3l N; R _I3 ar ' 1 or 2 FamUy Dwelling - Number edr ° S Subdivision Name CSM Number Public/Commercinl - Describe Use S � ti owe �p,'.�res t✓ State Owned - Describe Use Z { CCity_0 p of e IU. Type of Permits (Check only one box Ilse A. Complete line B if ap able) 2 "21 S - o - A. New System ❑ Replacement System ❑ Treatment/ T eplacement Onl C Other Modification to R ystem B, G Permit Renewal Permit Revision hange of Permit *safer a List Previous Per Nu r a Date Issued Adore Expiration Plu weer IV- TYpe of POWTS Syste (Cfseck sU that a I ) a IL No !Non - Pressurized In-Ground Mound > 24 in. of suitable soil Mound < 2 its soi t• ( Q Si 1 an Q Constructed Wetland ❑ Pressurized In- Ground D Bolding T ❑ Peat Fitter Aer is Tire t i ❑ trcule ' Sand ter / 1 0 Recirculatin Synthetic Media Filter aching Chamber Dr Ls C Gravel -leas C in) O .r V. INs r5A7reat wt Area Informatlon: � Design Flow (gpd) Design Soil Application RaWgpdsf) i rsal Area Requt (sf) i Dispersal Area sfl EieV r VI. Tank Into Capacity in Toni Nu r Manuractu Prefab e S or stic Gallons Gallons o nits /j Concrete Canstru ss New Existing f �+ Tanks Tucks 'n Septic or Holding Tank dad f - Aerobic Treatment tJnk Dosing Chamber ° J VII. Responsibility Statement I, the un si d, assume responsibility for hjuallation of the PrJWTS s n on the attached Plumber's Na the (Print) Piu 's Si gnature Ml?/ iPRS Number Business Phone Number Plumber's Addre is (Street, City, State, Code) VIII. Count /De artment Use nl ---� 1 4 Approved 13 Disapprov Sanitary Permit Fee includes Groundwater Date lssued suing/Age ignatur (No Stamps) Surcharge Fee) 0 en Reason for Denial z - b IX. Conditionts App r f � 3 � ) - Rs-v1 a flC a , SYSTEM OWNER: 1 Septic tank, effluent filter and lrrV 4 dispersal cell must all b _1.-,� I A '- � lt:ed / mAinpnin ��S �F ,C �x4� as per management plan provided by plumber. II' 2. All setback requirements must be maintained �! as per applicable code /ordinances. Atmeh complete plans 00 the County oeiy} ter ibe system on paper not less than S112 x 11 inches in slag SBD -6338 (R. 01/03) b . � � o m ' ` Wisco Department of Commerce SOIL AND SITE EVALUATION Dt *ion of- ° afety and Buildings Page 1 of 3 Bureau of Integrated Services in accordance with S. )J_ M_83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in,6i '., must County include, but not limited to: vertical and horizontal reference point (� �,= airectio� end St. Croix percent slope, scale or dimensions, north arrow, and location andhis*ce to rfdAp�tRaad� Panel I.D. If r fl,, G1 0 APPLICANT INFORMATION - Please print all infor tioJ►.�'r' x '� a B . wed by Date Personal information you provide may be used for secondary purposes (Pr4cy Law, s. C1/ lua, Ck 0 Property Property Owner :: PNtDy4ef# Eboation !!! Richard Stout Govt. Lot Nw , ,,'`,F'va NE 1la,s 15 T 31 N,R 1 E (or) Property Owner's Mailing Address Lot# Bloom Subd. Name d r CS 11 1 353 Awatukee Trail 21 oZ City State Zip Code Phone Number City Vil age Town N a R a0 Hudson Wi P4016 (715 )549 -6731 Somerset 60th Street ES New Construction Use: ® Residential / Number of bedrooms 4 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 6 0 0 gpd Recommended design loading rate _ bed, gpdfle —B _ trench, gpd/ft Absorption area required 858 bed, ft 750 trench, ft 2 Maximum design loading rate - 7 bed, gpd /ft . - 8 trench, gpd /ft Recommended infiltration surface elevation(s) See plot -plan ft (as referred to site plan benchmark) Additional design /site considerations Parent material COC2 Flood plain elevation, if applicable It S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system [� S❑ U [$ El ® S [I U CM S❑ U ❑ S 5 ❑ S O U SOIL DESCRIPTION REPORT Boren # Horizon Depth Dominant Color Mottles Structure GPD /ft Boring Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 ' 1 0 -4 1 2 4 -23 1 0yr3 /6 -- is 1 MA-8K mfr Cs Ground 3 25-88 10yr4/6 -- ms os CI ml CS elev. 9 7 —LL - ft. Depth to limiting factor _ 8 8 - in. Remarks: Boring # 1 0 -6 10 r2 1 fed_ 2 6-25 10yr3/6 - is 1Q mfr -- 3 25-88 10yr4/6 -- ms o ml Ground elev. 95 ft. Depth to 30 limiting factor 8 8 in. Remarks: CST Name (Please Print) Sign ure Telephone No. Address Date CST Number PROPERTY OWNER -Ri c - hard St ai,+ SOIL DESCRIPTION REPORT Page 2 • of 3!> PARCEL I.D.# Boren # Horizon Depth Dominant Color Mottles Structure 2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 1 0 -6 10 r2 1 -- 1 _ 2 6-28 1 Oyr3 /6 -- is 1 M46,K mfr Cs -- . 7 ; .8 Ground 3 28 -` 1 10yr4/6 -- ms osg ml Cs -- .7. .8 elev. 96. n. Depth to limiting factor 9 1 in. Remarks: Boring # 1 0 -6 10 r2/1 -- is i rn4C3.fi 2 6-30 1 0yr3 /6 -- is 1 M A PtS mfr Cs -- .7 4 3 30 -95 10yr4/6 Ms osg ml Cs -- .7 :.8 Ground 9 5 elgv. U ft. Depth to limiting factor q c; in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GP /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring# 1 0 -5 10 r2/1 -- S LJ 5 2 -90 10yr4/6 TIS osg ml Cs -- .7 ;.8 Ground elev. 98. ft, Depth to limiting factor 90 in. Remarks: Boring # E3 Ground elev. ft. Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) f0 u I-�O f p C4 641 Z/eL /0 /10.j !n _3 0�oakf f ee IML eLeL) /vo' A f ' i 2Lje- p�p� ,A4 � � l v,� i • ON 1- a � �6 6y 4 � ---,,..., �. �,,,. �""'-•. .- .�..�,..`"',,�..�......`.•„ `'i 7 N .�. 2.11 w C; - � L '' C.I J EN i 'XPE l7 MIN. ASO om vE .R DOUIt, _ W IN:) 0W "OIR v E RDR F 1"RESH A7R INTAKE «G'NC ?ION sox APPROy£t1 PT xSH£� GRADE WIT)t CONDUIT `fA.'�NB40 r CGVCR 4" Cl RlsrR W PADLOCK ; WARNIN; :,ABEL WA E`ER SEALS `tlt. r r "Y", GAS- { 1 f , TIGHT Pw ROVED �,,.� � A SEAL � i PPROVED 'IPE It � .JOINTS W ITH aI ?RTC s D � 8 �' APP"WED Pt ..�" ' ' `ON 3' �O!L # C ' 1 '�OI.t O, SOIL SFr } { RISER EXIT D 1 PERMYTTM C* IF TANK Lv MANUFACTJaER 3" APFRvVID $EDD:NG JNDEtt I'AA'K HAS APPROVAL Sp Ct�NCRI PA:! ~' " i DOSE .......,r., 'ANK MAWACTJRER: ,.4�t.�►e h "JMBER 405ES PER DAY: _ GAL. r05E �CJMIr ?NC�;JDrNC '•.��R� DOSS d u GA.:,, tLG�iBACk: (`�"9 GA w. MANU s ! oba MJNBERs :.�..�. CAPAwiTIE5: A «wCHES v � „ AL" � SW2TCH TYPE: � �.. - 1.4t MA"Vr 8 ? INCHES ' AOr"�RER s MODEL NUMBER, - ---� C a INms s SW2 GAL. �°CH TYPE; �.�." ~� � ..RED D ?SC _ �� a A;,. v t1 i �4RGE R A ��, GP�� PUN.F' L AI,+gRM 3�' » . MRT »COAL %jrr *RCNLE BE. ZR.hG AS PER TLRR 16.23' WA C. �'7N2MUM X&TWORX SUP 6 OF AND w 3Tp; ,3t1TIaN PIPE !,? ,.... FEET f ORC�ASN XRE��E 40 MET �y . .. . r c £ E. TINA:. w +�"'AL�DYNAMICAMEAD ,: • �`E�T DIM:�'fO�;S OF E: TH 5 " r - - ' � 1 I 3871 EPO4 E P05 I APPLICATIONS • Fully submerged In high ■ EPOS Impeller. Thermoplas- ■ Bearings: Upper and lower Specifically designed for the grade turbine oil for tic enclosed design for heavy duty ball bearing following uses: lubrication and efficient improved performance, construction. heat transfer. ■ Casing and Base: Rugged • • Effluent systems thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion Farms manual operation. Auto - CanadianStandaidsAssotfatton • Heavy duty sump matic models include resistance. • Water transfer Mechanical Float Switch ■ Motor Housing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "f" or "C ".) factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic GaAs Pump Is ISO soot m9ki vW. Solids handling capabil FEATURES cover with integral handle and n9 pa ity: float switch attachment points. 1 10 maximum. ■ EPO4 Impeller: Thermoplas- E Power Cable: Severe duty • Capacities: up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1 `h" NPT, seal protection. • Mechanical seal: carbon- ' rotarylceramic- stationary, BUNA -N elastomers, • Temperature: 104OF (40°C) continuous METERS FEET - 140°F (60 intermittent. 10 • Fasteners; 300 series �11 stainless steel. �sCIF 9 30'.. • Capable of running _ dry without damage to s s components. z _ Motor: c� 6 20; • EPO4 Single phase: 0.4 HP, — _ 115 or 230 V, 60 Hz, 1550 RPM, built in overload with 1St EP05 automatic reset. a • EP05 Single phase: 0.5 HP, c —. 115 V. 60 Hz, 1550 RPM, 3 to, El built in overload with automatic reset. • Power cord: 10 foot 1 standard length 1613 30 40 ..0 GPM S1TQW with three prong 0 0 io zo grounding plug. Optional 20 10 12 ^^'!'' 1613 S)SW with 4 6 a foot length, o z three prong gr ounding Plug CAPACIV Goulds Pumps kondasd on EP05). <& ITT Industries ® 2000 Goulds Pumps Effective February. 2000 93.71 r ' W STANDARD CHAWEA - Cuick4 Standard Chamber- - - - - -- - 48° -- i (EFFECTIVE LENGTH) T I 211i I It -- 34 "- - --- --- 1 SIDE VIEW SECTION VIEW MultiPort End Cap 1 1fi l� r 12° / f - - -- { " 34" –� SIDE VIEW TOP VIEW FRONT VIEW t r , ti 1 - Qaick4 Stsadard= Chamber 1�ominal Specifications ���� �� i� � MulttPo�t nd Ga�yNaminal ecbcations 5' � � E ` Size (W x Lx H} � � 34" x 52' z i2' �k• A ���' Slze (W x L H) � r � - 34' x 16' x 12" Effective Length 48" Invert Height 8" or 1.25" Invert Height g° j� ILTRATQR SYSTEMS lN� TANpARD L1 "ITER WARRA W k Ttw st uc:fwa i 47 Iy M E' .r t amber, rso µ31e. wedge ar i ,taut ac - svwY ms,riuracr,;rad by 7 l F. ai0r { Urnl5 "!, ivlten i,ataiod and operal.,] n a IGichfreld of an m..ito sr>nl.. - system ir. amortlarr0a wish ntltre.M's inst ui,aUtS. Ia waKanied 10 (I re ..r final purchaysr' ('- !tide.') against rle}CCt'ive nnlerials .vxi w4lkmz,n�nyr tCx One yCar Ir(xn the date tlta• Plre soplx, ,. i5 iSerxX! I(x ll'rc .cape(. SysMrn ry Nai".9 itre Lin* Pmvraea, hoN'rNer, chat N a seplk� pen. R v not raqured by appRCable law, ,rte war ar rty prxlad wi! Begin open h( late that inslaUatk7n o' the septic syc em cminterxes. To .xer(:se s war n Ny rig!NS. Lk11dx must no111y lnfl0rata n wrlfng at ilb Corpnrete Headq art - .r5 at Ord Saybrcgk, Ourniectkut vmhtr, INS U n fRir;on nays M the aNOryd rleft,-1. Vr4k Mar will supply rrplacbntena Units for Unit cHt(, minrxi by InrNl alor b to .over'ea Ell ded'Narranty, IneR dlo „ Irsbikly slrau icaly oxckrdes i,ry o)si d temow,il andlar instaU:A (m of oho Urs,s 11.1 Ti1F L Ih1TEC WARfIANTY ANO REAhEUI[c 4 W?PARAii"APhi {a? ARE EXCLUSIVE I11F.HF AfiL NO OIHER WARRANTIES WITH ftESr�ECT TO niE UNIT ;, INCLUDING NO ,MP�IED WARRAtN kS OF MERCHANTABILITY CT, FITNESS FOR A PARCG; ,JAR PURPOSE. Y �\,�� t� /� � t cl This I imtlod Wa 3 by f N. t e veld d env pa 1 s r the Ci amt- Ys,e'n s ma Warlumd 1 Y a gone other titan i ,x:valpr The Lnruied Wa ten y aces T ' v t t not extend to 1nC' 'tat, t,onie Ella].(.til Spy ,V r r lnd're,0 damages nfi&.rOi 9, i nit bJ Ial W 1,, 0 I(e.. 'rc d(prX]a/er7 damage' ,^,rlr,0 N) loss of E/)YifOINRBfl�B( � &� W8S1@War81' �r•�� �3• arodt -ck.n and Pmrl hbn:' and malarials, o'lein0od opals, or other losa(a or exl leases ir cunfai r'iy Il,o 1 er Y any third DWtY. 1 r� lRCaNy F."VAIC(,1 from Lmshxl Wananiv'erased ere dw'09010 the !bras due to )n1iri wear si ] ,e M(arator , acr.Wen( 1USUSe, atrwx Or negteci of the Urdls II* 61"0. bii ng Subjected to owclu l attic Ar piper w radii S w t t ar not per '14.(1 by the r SIa1LAltOn Ural ArW ]adore to M2 % the rr,„,l, t rr r,-il C—S sal forth ,n the ihmala, on 4e, �t ,; th 6 Business Park Road P.O. Box 768 the Lltl;e Jr the sep u tic eyelam Bs to imp. p{(ue, t ul )mprOlx3r ma,erieii rule the system COht&'bxlg the Units; ta"a ei .per suing Or improper y.:nng, rTx(»rvve water vs,!y0. Imuorxrr grease di.%Xpal: ' impmpar (waratiu�', Or Saybrook, CT 06475 any a event n(A caused by inrillrator This Limiirxt Wanonly J �aH ha void ii StM3 Hddry faire l0 .amply wLh al: of Ino terms set 101111 N this Wtilted Warren ". 860- 577 -7000 •FAX 860 -577 -7001 Further n W evert -4-11 In5Nrator he *espunsihle to dry Ease a 7amago to the FtUIW,, the Llntts. rn any :M0 pang rewlting from installation a Stifa� 80 mend, ar ]:urn any { rrckx;t Iia+aNlq clan,;: of �rolae( or any }h,rd Party. For this Lurulee Warranty to wily, fne Urdls M61 ba Instaked in accordsix:e wAh all site r:Pnd pas rFpryred by slate and local codes; all other apptlCaNe AM, and Inf'hatdr's irMaIlaLon instructions. 1aI No rauresantel'ne of 4ditirilo has the autnodty kr chm nal HOlner w- o extend This G(rAc d ar Wanny. No wanwxy a0ias to ;,r)y party other than the origi- TM above represarYs the Stax1-frd Lin tilard Warranty oRerad by kailtralor. A !imilod ruxci of stales anti oounhe5 iiavu diRxrntt warranty raquire nrenla. Cvly pL(Crraaer a [kxle SnOdICi C011taoi InTltllator'e COrpoata Head(Ir,laners In 01(1 Sayhfaolt, cOrT*UcCI. Prior to Such pUlChASe, (O o51ax1 a copy at ti applicsNe warranty, and should (:arsb,11 read trat wanan Y ry Pilot 10 the purcnasa o({ Jn+ts. J.S. Patents 4,759.661; 5,017.041; - IJ56,A88; 5,336,017; 5,401,1'16; 5,401,459; 5,511,9a3; 5,716,163; 5.598,7'76; 5,839,844 Cdgklldll PdtONS: 1,329,959; 2,5,564 Other patents pending. Infiltrator, Equaizer and SideWiluler are registered trademarks of Infiltrator Systems Inc. infiltrator is a raglstrxed trademark in France. Infiltrator Systems Inc. Is a registered trademark in Mexico, Contour, Contour Swivel Connection, MicioLeachirig, Porylutf, SnapLock, ChamterSPacer, PosiLock, OuickCut, OulckRay RECYCLEDPAPER and Ourck4 are trademarks of Infiltrator Systems Inc. to 2003 ;ntikrator Systems ;nc. Printed in U.S.A. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM 6"CIFICATIONS Owner Septic Tank Capacity ,�} a l O NA Permit Septic Tank Manufacturer 0 NA DEEM PARAMETERS Effluent Filter Manufacturer 11� -9 O NA Number of Bedrooms O NA Effluent. Filter Model 0V' 0 NA Number of Public Facility Units NA Pump Tank Capacity 4r al O NA Estimated flow (average) 4 6 9 &1/day Pump Tank Manufacturer 0 NA Design flow (peak), (Estimated x 1.5) c'eGj Q ---g ai/dav Pump Manufacturer Iff.,.,e f ❑ NA Soli Application Rate at /der /hY Pump Model O NA Standard Intluent/Effluent Quality Monthly average' Pretreatment Unit NA Fats, Oil & Grease (FOG) 00 ma /L (3 Sod/Gravel Filter O Peat Filter Biochemical Oxygen Demand (800 5220 mg /L 0 NA 0 Mechanical Aeration O Wetland Total Suspended Solids iTSS) x150 mg /L 0 Disinfection O Other: Pretreated Effluent Qualtty Monthly average Dispersal Cents) O NA Slochemkmd Oxygen Demand (SOD,) 930 mq/L around (gravi O In Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L E l NA O At 0 Mound Fecal Coliform (geometric mean) 910 cfuJ100ml 0 Orip -tins 0 Other: Maximum Effluent Particle Size Y in dis. O NA - ot -t w . , 0 NA Other: 1D NA fir: O NA `Values typical for domestic wastewater and septic tank effluent. Ott: O NA MAINT.0.A CE SCHEDULE WNW Service Event Service Frequency Inspect condition of tank(s) At least once every. man a s (Maximum 3 years) O NA Pump out contents of tank(e) When combined sludge and acum equals orte-thlyd N of tank volume C7 NA Inspect dispersal cell(s) At least once every: mo (s! (gy 3 yeas) O NA Clean effluent filter At least once every: a stria) &! O NA Inspect pump, pump controls & alarm At least once every: months) O NA 17 earls) Flush laterals and pressure test At least once every: O s! s) O NA Other: month(&! At Watt once ovary: �-- p ws) O NA Other: O NA MANIITENANCE NeTRilCT10NS Inspections of tanks and diapenal 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 inapeotions must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The diapwsal 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 Around surface. The ponding of effluent on the ground surface may Indicate a falling 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 (n) or more of the tank volume, the entire contents of the tank shaft 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 ssrAcinq at intervals of 512 months, shelf be performed by a certified POINTS Maintainer. A service report sha ll be provided to the local regulatory authority within 10 days of completion of any service event. ' anlleJlsNlwPV UMXMIM 10 9 113 'f 048'£8 Pus UMPA MICIMES wwo3 101ds4a tP.m souvrOwDo ui f »14ejp4mm ;uwunoap vN.L °1 f ► ' 939 1 -5 ]--- quoin EiY((v� 9 aweN - eN AINOH1f1V Avolvincam '1Na0i wadwnd) Vo1Vll3d0 ONIOIAM 39Vld3s eu04d x"00T euo4d ewaN . a�,S 'I1.' gw H3W.LNIVW SiMOd H3111V1SM 91N10d 911OWW03 IVNOILMQV '3191SSOdWI H01.1f1O1dAci 38 AVIV BNVl V 40 VOPJ31NI 3H1 WOW NOSH3d v dO anossiH 'iimld AVW HIV30 '93om swoutcl ANV H3GNf1 xNV.L majw vi mio fw0 dwfld '0I1d33 V id31N3 JON Od 'N30AX0 1N3tatdinam 001M S3SM WWI NIVINOO AVW SuVi mavuV3H1 wH10 ONV dwtld '3I1d3S < <SMNHVM> > - ewll 16W it 40e 09 Ul s91ru 043 4MM Aldwoo lsnw awa 49A9 4 o ns ;o su0llan •eat ;ins 6AjIgJ J1Uu1 a41 ;e ;ewotq 041 ;0 lenowgJ 8uineolloi 9oold ut pe13nimom sq Aew swgisAs u011d1osgt 1109 epwib - pus punoVi p 0110 13 'SJ.Mod pal► @; 043 0091deJ 01 1JO Joel a s@ pellelsut eq Aew 11ual Bu }ploy a A S.I.Mdd ut seouenps $ut1Jag 'suojleljwll llos JoJpue - 4oegies Ol anp ejgepeA9 IOU st 00.10 JtteuJeoeldei elgauns V •ewtl 3041 It 100149 uI, seln, 041411M Aldwo lsnw SlualsAs 1tlelusoajde)J '9610 JueweoeldeJ siciellne a 41f41TBS UOtJanl9Aa sits pus Ilos mou a Jo; p90u 91p ut lines, II eel w0waoej eJ 941 J3s10 o; o�n d •sllem put soul iol 'smlonJle pasodoid pus But istx9 w0 slloeg184 peJlnbei Aq uodn psBuy ;ul eq 1ou ptno4s pus uopoedwoo pus sompnistp woJ; pe;oeloid eq p1no4s eeJe luewe061d0i 04 •we4sAs uotldloscie llos itiewsoaidei a ;o U040 of 041 JO; p9z!l13n eq Aew pus pelenlene ueeq 014 Me luatusovldeJ ejge;tne :we;sAs lueweooldeJ l ue i dwoo epoo a 9p IAoid o1 'umlel eg 1sn 1 u09q envy se 6utmolio; 04 paiiedeJ aq 4 ouue3 pug $li S1MOd 0 44 if NV1d AON30NIM03 •101JO16w pllos 110141 Jeylous JO 16A9J8 'it 4 pall); Goads pl ©A 041 pus penowaJ sJ9AO0 11041 J peAOweJ pus POIQA90XIJ eq )lays s ;1d pug snlus lie 'Buldwnd i94V 0 •1oie1ed0 ButotAJeS 96videS a Aq ;o pesodstp Aliodoid pus peAOweJ eq liells slid pus quel 11@ ;0 slugluoa 9 41 e 'pel ves eButuedo *did pauopuege oqi pus pelo0uuoostp eq 1104s gird pug sltual of Buldld 11V s :epos e en.J9Jlslutwpy ulsuooslM `£f;'f:8 wwoO Jeldeyo yltnn a3u @lldw g s p J oa 141 pa pueuoe Ale ; us Ai dold el ulalsAS 94 1641 e 01 ue )leJ eq 111`49 9den BulMollo; ey3 9ouues ;o Jno ua )lel Alweuswied st 1 P 6116 51AAOd s 0 usqm 1N3WNOGNVSV •supci J aue4os Jalem pug :suodw0l 'suj4deu AJellues :sepj3j1 sed :9)0npoJd eut l uttd '00 :9140) ;e3► : @Jas ;saw :sepjo1Q1s4 :asteJB :®ut10998 :sButl00d 91ggJ96QA pus i1rul :JeieM Idwnd dwns) u19Jp uotlepuno; :1e; :s1 ;uls1P :sJedelp :5901; Ieluep :sJesteJBep :6g9m9 uol3oo :swopua3 'silnq 031eJeBlo '20djm Aqeq :s0llojg1Iuq :S1MOd 041 ;0 0;tf 6 Suoloid pus 9oue"O;Jed 9 9AO Jd w1 Aew wee i4s Je 1e Melsgm 641 woJ; BufMOgO; 0 4 1 10 14 01 1 @ut Jo not ;onped •eeJe UORMOSge ito apeJB - .10 punow Aue ;o edols um op 1"; g t u14 eeJe 041 'losdwo9 Jo g1nlotp esIMJay10 Jo 'JeAO )lied Jo eAIJP IOU 00 . 8f 1 00 1e3JedSlp pua S)1U91 JeAO sela449A 4J@ Jo 9AIJp IOU O(] -Muni dwnd 043 ulklum s16A91 IswJou ®JolseJ 01 sloiwoo dwnd 041 BujlaJado Allenuaw ut Jslsse o1 JeuleluleW S1MOd Jo .1egwnld a loeiuoo Jo dwnd iuenl ; ;0 6 41 o is ButlolseJ of JolJd JoJeJedp dutaweg ebsldeg s Aq panowe.1 Jun dwnd 941 ;o swawo3 0144 eney uojlenils sty , J , p►oAt o 'ys ;0 081 @439113 eoepne Jo dnlloeq 94 ut l i nse J Aaw put { 041 AulpaolJOAO '°sop ebJel quo ut Islil IgsJgd f etp 04; 01 p6BJe4a ul 440 eq 11tM Je1SmOlsgm gseaxa 9 4 ; psJOlosi at aemod ueyM •s1 J ;aAa4 fawJOU enoge j11; Aew s�lusi dwnd 9 e891010 JalN ButJnp eaa ;ins en1l ;ut 041 19 140x0; v1e suatltpuoo t100 u44m Jn000 lou pays do usls weisAS 'eon of Joltd Jolvedo 8utolmes sbeJdes a Aq penouJOJ 691 4ue4 943 ;o slu01uoa 041 atiey POZOO49P GAB suotleJlueOU00 4 A '(sltleo jesiodslp a4 98aw9p JO/pue sseaoid luew16911 944 gpedwl Aew 4041 9 1° 0 114.1943 Jeyia Jo s Butluled ;o eautn 0 4 1 ,o; 19) )1"1 1uew1teJ1 10040 SI MOd 041 ;o eon o1 Joud 'uoponJJeuo3 m u 1oj - 40 °Bed N011VH3d0 aNV dfl 1HV18 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer r �laG Mailing Address 2 !�e 1 3 A l i- eIs��/ � � � g � � 't om -S�'-S I t i Property Address U (Verification required from Planning Department for new construction) City/State Parcel Identification Number L&9AL DESCRIPTION Property Location t e_A_ ) Y,4, X0 %<, Sec. 45 , T, jE/ N -RL Town of Subdivision - 5;�ctd e3a) '.� Lot # Certified Survey Map # , Volume . ,Page # Warranty Deed # Volume . Page # Spec house O yes 0 no Lot lines identifiable' yes 0 no STEM 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. owner agrees to The submit to St. Croix Zoning Department a certification form, signed b the owner and 1?n'oPertY � � �� �, 8n Y by a master lumber, journeyman plumber, restricted lumber or a licensed pumper ve that the on -gibe wastewater ' 1 P P p�Pe �g 1 {) system is in proper operating condition StWor (2) after inspection and pumping (if necessary), the septic tank is teas than 1/3 full of sludge Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set fortb, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. & -41. !th Le L- - - ('0 1 A --� SIQNAW" APPLICANT DATE QM =R CER�QATION I (we) certify that all statements on this form arc true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the p desen'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. SIQNA TUR , LQ _ F _ APPLICANT DATE « « « « «« Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.' ** Include with this applicatiou: 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 � y r e .1 A f �t 1ff f Its I rs v , 1 1 „ ; r i s � i �,,� �.. /_i ; s rv..� X45 s, vw s I _ • 4 _ .Y•.,_ � _ V 11 f i ' �i� � q �- � i ( y + i ki i ! 1L i � I r I` tjf I "' - � - i• r , _- �, �_:.�_ ..._ .. ..� ._._.__mot ' � I _ y i , f I f - i j f I _ K• .. ash .H K � 1 R Cr n ! ' } k yt 4 Si J 2095P 126 L+ STATE BAR OF WISCONSIN FORM 2 - 1998 KATHLEEN H. WAL5H WARRANTY DEED " REGISTER OF DEEDS ST. CROIX CO., WI Document Number i RECEIVED FOR RECORD This Deed, made between I 1 / 13/E002 03:45PM RICHA n s=U!r anc3i .T71NET P STOUT, EX9PT # h4—band and wife. — Grantor REC FEE: 11.00 TRANS FEE: 186.00 and LEACH ancl ANN M LEACH GORY FEE: _— CERT COPY FEE: PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in �'>t Cro County, State of WISCOnSIR: ( A,oa Zot26 Plat of Shadow Pines First Addition, i4 of S --- omerset, St. Croix County, Wisconsin ;Name and Return Address Parcel dentification Number (PIN) This 1 S not homestead property. (is) (is not) l' ii :Metro Legal Services �1 ] _ EDIRET 373530 A i 4 f � 218079 R'D 141614 Exceptions to warranties: easements, restrictions, rights -of -way and covenants of record. �y� n Dated this 3o day of ©�• '"�� Q_ 2002 } ►.� 1!, f.� �TLri .t (SEAL) (SEAL) * Richard O. Stout Janet P. Stout i (SEAL) (SEAL) * AUTHENTICATION ACKNOWLEDGMENT Signature (s) State of Wisconsin, s. St Croix Coun authenticated this day of P rso IN came before me this ��� day of ;1 � 0 0 2 , the above named Riehar -d 09 St®tit —and Ja.nQ P-. TITLE: MEMBER STATE BAR OF WISCONSIN NOTARY PUBLFG — to (If not, STATE'0Ig"'M:5C"NMN s who executed the foregoing authorized by §706.06, Wis. Stats.) KL'�i�'!tit ° ��edge the same. �:.�.z .... 3 THIS INSTRUMENT WAS DRAFTED BY Janet P. Stout 1353 Awatukeee Tr Hudson, WI 54016 Notary ublic,Stateof onsin My mmission ' ermaneent�. (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. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., inc. WARRANTY DEED FORM No. 2 - 1998 Milwaukee, Wis. r - * * 2422 Enterprise Drive Mendota Heights, MN 55120 * PIO NEER LAND SURVEYORS • CIVIL ENGINEERS (651) 681 -1914 FAX: 681 -9488 engffieering LAND PLANNERS .. LANDSCAPE ARCHITECTS 625 Highway 10 N.E. Blaine, MN 55434 * * (763) 783 -1880 FAX: 783 -1883 Certificate of Survey for RORY LEACH House Address: 59th Street _ _ 59TH _S 941.4 941.2 940.6 939.7 938.8 937.8 937.1 93 7.1 937.6 DGE OF BIT. - * x X 940.0 x 940.0 -- -s." x 938.7 x 838.0 309.11 INV_ FES 941.0 ' 932.3 F93 0 x 935.1 x 936.0 941.3 9 - �+ x 939.5 x 936.9 935.1 r 935.6 -------- -- - - --- 935.1 - - - -- 941.9 -- __�------- .*_ "'" ------ - - -- 937.3 x937.5 934.9 933.8 Frj x 934.3 Nc Ft` VN 937.2 f x 935.3 n 935.3 x X 935.9 _ x 935.2 941.4 934.2 5814----1 x931.4 23 Sa l 3 i' , 34 E I TOP OF BLOCK - 927..7 0 s 9 a ,' N 942.4 946.7 927,6 928.0 A $i r? o , 1 X 927.0 23.6 GRAIN EASEMENT 1 3 I va can t POND x 928.0 J BENCHMARK TOP OF PIPE X28.0 4 ) 25 YR HWL Q 930.66 % EL - 939.21 of x 922.9 / L1J O C4 924.4 *20AK 00 P x t6 tT O Q `I„ 927.9 2 18" OAK ', P 927.7X,? (�. 38.4 x O O Q 927.4 / . x 941.4 0 Z JS76 .55. �� > 934.8 939.2, X42.8 BENCHMARK 3fi. Tg E1�' / �� _ TOP OF PIPE -,: 4A2.3 O ky J EL m 940.39 935.8 938.0 y ` g7�f,7 941.2 J 120. 18" OAK�\QD 8 p�0 P40.8_,,/ 102. 936.9 9 kW� p `KT�CF ^ /O,0 \ 940.4 x x 939.7 OFFS' / 940.3 941.6 X40. �,y:0940.2 �\ 941.3 940.3 26 ,S \ e ... ..,. TF. ?, ^" X343 ,, a> : tp on <' \\ 941,3 x t . . � . vi a - C7 � 947.0 Mr'ZSVti4iu 942.5 951.3 309.57 pROFOSED BUlLDIKG ELyAT10N5 000.o Denotes Emergency Overflow N86 x ooD.o Denotes Existing Elevation Lowest Floor Elevation: °1*Z . " Denotes Proposed Elevation Top of Foundation Elevation: 4J j Garage Slab Elevation: _2 4/Y. - 7 (at door) Denotes Drainage Flow Direction NOTE: Proposed building site grading is in accordance with the _ Denotes Drainage & Utility Easement grading plans approved by the city engineer, --c>- Denotes Monument NOTE: Contractor must verify all dimensions & driveway design. --+-- Denotes Offset Iron Bearings shown ore assumed NOTE: Driveways are shown for graphic purposes only, final driveway design and location will be determined by contractor. LOT 26 SHADOW PINES FIRST ADDITION ST. CROIX COUNTY, WISCONSIN We hereby certify to RORY LEACH that this survey, plan or report was prepared by me or under my direct supervision and that 1 am a duly licensed Land Surveyor under the laws of the State of Wisconsin. Dated this Z - 1 �;T day of ' A.D., 2004. Signed: PIONEER ENGINEERING, P.A. Scale: 1 inch = 6 Qfeet BY k 2494 204113.001 JFW Terrence E. Rothenbocher, L.S. Reg, No. S -2300 A Q � CLi cl i 19, 04 �- m toll SUNVl 431JY dN(1 _ ,,,., 361 a +� Z ►A 3V 3W !r 3V1 _ rw an Air r 044W Arim Jul to Pea 4w ZALLOAM um n --` N AM v - 1 I � a ' A ? W � w L N L. z � b _ I (Dill 3 U ;~ -- Ar m _ _ w J 4 Y a a UAW rdi I+yl) CIA IV 1 0 _ F 1'" I m A w � M s3 O itit ! W)I �t H.0 t $! $ f �. A * I FA a t \ ARM I p W ' `(- F A ^ I I ` Q I �lJ n dD gi I I "111 1 ►/� 3V 3YL �O OD I I I f I 1 t f Womma .a[ rw A 'tiNRq 1 ` �I Arm ammw� t ! I! S 3 1 4 M O a H S X ! ! ( i t 1 ii NI ! N1 t � t ut — -- a ;i�