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032-2072-70-000
n N p 3 a n d _ 1 (D n o Cl) 0 o` y o ° C)O o w °w . S 7 O C et A /p 3 W N ~.y Q .=e fD Cl) N 0 O O (D O W V A N 7 j O (n NJ a -4 N N N O N J N N N Cf O O O O o CD O CJ1 (°O OD N p Q C M 7 I m ~ SIN a a p''II ~ W o Q W \ O ° O S N N 3 O 01 y F4! z ° CL 0 OD OD N 0) W O O O N CA C fT a-* c W !V d ~ T -0 M U) a 0 0 0 U) a `z m N Z Il N y N 02 o D Oro m CD aD O c w 57 Sri a vi. = ° CD = m II (D 00 Z Z N o D 0 O ~ a N N O C O =r CD n a D) j (D Z C y O A A A Z 0 CL I cn -j W < WO W < Z G a .T1 U) No y Z CD A A £ l N CD N S .y7. y N v S S y N O d N r- n <D y y N v m -E y 3 m rn ° ° no Da3 t o'^' w c :3 CD 0 (D N 7 U) 'a a 3 O ~1 7 C to -_q O N go N O C c70 Drn0 o w 3 Q° N N d 0 0 7 m- (00 (A N Ufa O 3 V O O-K N O. 7 O S .n. y C N N QOCnC < <M CD ° S~ ~m a II CD 0 1 O w C a 0 < a N CL C 3 a0°ma~DF~<< ye (Q 7 j' C S 0 a C (D 7 (a N@ Q 0 w w OL CD 0 (D C "O N 7 7 U7 N O, O_ D. O N 7 a O \ N d M O O ca A N W N (D D n a a w @ 57 W O n CD S 0 C O (n O k-j to C)N 0 ~g>> m3 O O OD Cu (D Op O 69 0 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM co" 91. Croix safety"Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) san384202it No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ' Hol er ' s m ❑ City Village T n o : State Plan ID No.: Permrieg~meier, arlc %omersetQ ownship CST BM Elev.: Insp. BM E ev.: BM Description: Parcel Tax No.: 6 M z GS 032-2072-70-000 TANK INFORMATION ELEVATION DATA TYPE ANUFACTURER CAPACITY STATION BS HI FS ELEV. '7 r6;v, Septic/L~ Benchmark 3, tprj /6Z.Io 9 Dosing b( 1Its M Ger /3 b a y Aeration 2. /A'-/ Bldg. Sewer 2l• 5 . Z, Holding S =Iet 2.1 5 S TANK SETBACK INFORMATION St/ Ht Outlet ~ TANKTO P/L WELL BLDG. Ventto Airlntake ROAD Dt inlet d Septic > v 2 5/ NA Dt Bottom--- Z5 01(c 76 7 0 17 Dosing NA Header / Man. 8 V, A, c Aeration NA Dist. Pipe s • ? 9 • 8 Holding Bot. System ` v, z s 9 0 PUMP / SIPH INFORMATION 441 ~i Final Grade JAI. /rj Ttlovur_ Manufacturer Demand Model Number P GPM % • 4 , V . 7 TDH LiftZp.qj Friction/ 3 System TDH 22«F Z • Fi Loss 1 i Forcemai n LengthQ 5 Dia. 2 `r Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Len th No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS .a DIME IONS Manufacturer* SYSTEM TO • P/L BLDG WELL LAKE/STREAM L NG n titt}.~• .91 SETBACK INFORMATION TY a System: ~L ` > 7 160 O IT MNumber: S w BUTTON SYSTEM r"t r✓ x Hole Size x sang Ve AirJntake H - Mani old U R Distribution Pipe(s) / 0 Length Dia. 1 Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only 1` S ? De th Over r Depth Over xx Depth Of xx Seeded/ Sodded xx ulched p Bed /Trench Center -Iel W., Bed /Trench Edges \ Topsoil Yes No Yes C] No nspec ion nspection #2: / / COMMENTS: (Include code discrepancies, persons present, Location: 1512 B 23rd Strg et Somese W 5402 (SW 1/4 SW 1/4 13 T39N R20W) 13320779D2 ' -Lot 2 o~ "'19J'~- L~ 1.) Alt BM Description= L76-t ~ a ec 6.4 e0r",- 2.) Bldg sewer length = I'- ID' -amount of cover = / ~ `(/Z / dam- C.~ ~•~Obflvv~.l`~`rN- q~~ol S /nwSY~~d~~/ Plan revision required? ❑ Yes No 6 Use other side for additional information. l6 Date *Ins 4sa re C ert No SBO-6710 (R.3/97) ,'L c F f ,r a ~C 0 ' g~ ~ FROM Sckumaker Plumbinq FAX NO. 7153863121 Jun. 04 2001 03:04PM P1 ,..j 2~ s ~F i 3d D9 a % a ~d,~evs`cT a' csrs~ ~-.~SQ r ~iih7/w/s;~~ 119r~a 1d4. Q d~ 4 fit (A \ o, . A", LPN i VII - 1o w` rm Y L. V aAA 6 0 V rN 3 ,o ~ 3 ;got Parcel 032-2072-70-000 06i06i2007 05.32 PM PAGE 1 OF 1 Alt. Parcel 13.30.20.779D2 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 O - KRIEGLMEIER, MARK A MARK A KRIEGLMEIER 1508 23RD ST HOULTON WI 54082 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 1508 23RD ST SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 3.300 Plat: N/A-NOT AVAILABLE SEC 13 T30N R20W 3.3A IN SW SW LOT 2 CSM Block/Condo Bldg: VOL 3/710 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-30N-20W Notes: Parcel History: Date Doc # Vol/Page Type 05/15/2001 645601 1640/144 WD 07/23/1997 982/605 WD 2007 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.300 49,500 248,400 297,900 NO Totals for 2007: General Property 3.300 49,500 248,400 297,900 Woodland 0.000 0 0 Totals for 2006: General Property 3.300 49,500 248,400 297,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 09108/2005 Batch 05-8 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 GJ SS safety & swidings Utvlsion 3 rd S ( 201 W. Washington Ave. Sanitary Permit Application PO Box 7302 'Wisoonsin In accord with Comm 93.2 1, Wis. Adm. Code Madison, W153707.7302 Departm*nt or Commerce Personal iofa mation you provide may be used for seoonday purposes (Submit completed form to county if nm [Privacy l.aw, s. 15.040)(m)] State owned. Ana h omotnool true lens to the county om only) for the svotem. as VMr not ices than g- I /2 x 11 inches in size. Coun State Saoi Permit Number to ptevwua application Stara Plan 1. Q Number 6 ~V L AWkstlen Iefernuttion - PkM Print aA IMO Hon ~ : location: Property ()Wnw Name Property location 4.N __or e 114 &L Va 2L 8 Property owner's Mstling Address rlAaa umber B lock Number T City, State lap Code vision Name or CSM Number zz- Q r' i y-S~~/3 n'Z oae /la J d~(J Q Ct U Ty ie of Building: (check one) 1 or 2 Family Dwelling - No. of Bedrooms: s\t CS sttlo~+t f Village of rue): Pubfn:IConuumial (describe D Stateowaal 6 "'-p III Type of Permit: (Check only one box on line A. Check box on line B if applicable} Neemst Road A) 1. *New System 2. ❑ Rgrlacensent 3. C1 Replacement of 4. D Addition to Parcel Tax Number(s) S tttcrp Tank Only- a0saft . system d 3 7.2 7Pff B) Permit Number nets issued ❑ A Sanitarv Permit was issued 13-30. a IV. Type of POWT System: (Check all that apply) bZ a Mound O Send Filter O Constructed Wetland exr~ ln-gtbmrtd l usurized In-pvund © Holding Tank O Single Pass 0 Drip Line 0 At-grade 0 Aerobic Traunent Unit O Rackculating O Other. Sd C b e t- ` V rss nreutmtent Area Information: 1. Cloaigrt Flow (NO) 2. DispenslAres 3. Mspernl Area 4.8oi1 Application 5. Percolation. Rate 6. System Elevation 7. Final Ckade Ratu sea ',0 Proposed Raul (ale./day/sq. a.) (l+tw Arch) i;7ewtian L'a , d F15- 0 ~7 0-2-~ / : VI Tank Capacity in Total # of Manufactim Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Can- Sum New Existing suers st ucted Tanks Tanks Ll a 0 0 D D O "T I C hod / trJ~.-- VU Ri onsmaity statement the utudorsi soon ae lit for installation of the POWTS trlro the attached Pluntur's Name (prW) W IS S*Mttn (no Stamps): MP S No. Business Maine Number s-'~ _ 3 iR l ~,'`l`d rns~ ' o2~--I9Yd 71 Plumber's Address (Street, City, Stele. Zip Code) l 5 c G~-'6-m ~ VII County/Department the Only O Disapproved Sanitary Pernut Fee (Includes Grawdwater Data Issued 1(77 FApproved 13 Owner Given Initial Adverse Surcharge Fll~~ IX- Conditions of Ap al /Reasons for Dbapproval: / E'. lde /~/S~cn -Oka f JP '/h: Af ~at/ort~ u17rTVi ouV- lF,e$ ~ bC~w OYr`9.i~ 44 ~..V'irC IOk VC✓ S~~l~ .h $)~Q/~~ ~ ,+5pi(~• ✓ /9d~,'a.~.t/ 60~~:.~ s~,rl/ d~ r<<ov~ai Ye►'~fyiw~ 3 s~~Qrc~fie,_ ~r;er ~U 5~~~ih. GetuJlr ~Ori~ GrJa 5 kpYz d~~ Q(n.0~ ~ . FROM Schumaker Plumbinq FAX NO. 7153863121 Jun. 04 2001 03:04PM P1 j' s F /3~ rR - e ~'v , ~-c, T Shy„ l ~ 86 11 P~ $ V 0 7 ~ 3 a~ ~o n~ Q ~ pit l' / . ;go Do y,Iy eta oh SOIL EVALUA T IUN KtrUrc t rage VVIsconsin pepaartrnent of Commerce {liviwion of Safety and Bu& mgs in accordance with Comm 85. VVis. Adm. Code County . C Y'o~ x Attach complete site plan on paper not less than 812 x 11 inches in plain must point ((3M), direction and parcel I.D. percent but tsiope, sc. scale limited ordrtic:arrerrnsior►vesio . northenow, end location and distance to nearestroad- peroen Date Phums print all inttxin Wan• be wed for -="Y POP (perjacy Low, s. 15.04 (1) (m)) J 1~0 Personal irdmmerion yon Pr's Properly Locaon ParlY Owner Govt. Lot , S'w 114 s a 1/4 S, ) 3 r 3 o N R e- (:n E (or~ a r lai" Lwd Spa nameor csw Properly A 2 VG l. 1 a 7 ' ❑ City ❑ Ydlage ®Town Nearest Road ~ ' R A CRY Z state ~ Code Phone Number ~ • wl S'Y~SZ t~aS)d Y4-szy3 d rs f~ Code derived deep flow rate elS o Q Q GPD New Cordon ilse:l~ Resid~rtiai / Number of bedrooms ❑ Replacement ❑ Public or commercial - Describe. ft Parent material -A l l t Flood Plain elevation if apple able General commends .<SIe ~ c I C V • Fen zlo 4 t0 µ l ~ a 5 C & af.r e C- d and Win: y~ c.f eV. 9'a Yd -0( S Boring # ❑ Boring Z rn icalion Rate ® Pit Groundsurfaceeiev.4~ --0-fL Depth to limiting factor GPDVf~ Horizon Depth Dominant Color Redox Desai)tion Texture Sfnxlure C mslenoe BAY Roots • in. Munson Qtr. Sz. Cont. Color Gr. Sz. Sh I o -S . Si l Z c- s v~ 2 $ i 5iv 2r~bk MEC .40 if 5 JPr r 5 4" r `Q 3 ~-t-4g r5ly`' r 4~3' S~c~ 3m k j 4 m5 m~ .'7 ✓ /.2 io '-t IL "'Al qj, Yo S2. Bovirmj Boring $ S 302. rk r ..e~ SiL o%/er s or GDarstr M"- ftsfion Rate F-z] Pit Ground surface elev. 4 ` ft, Depth to 9 ftUp - rn Sort Horizon Depth Dominant Color Redact Description Texhme Shucture Hourndary Roofs GPI 5; k I v r 5EfW1 ✓ . *01#2 in. Munson Cusz Cont Color Gr. Sz. Sin. L S 0,1r H 8 v-12' i - 2 i 2 IZ 24 10,,r y13 5J 2mc,.U 3 2q-i8' ID r 31t-0 - SL 3fn5,b c s 5 q/ 1-1 $-J •10 (y ILo - -s O r» I 1 1.2 V ~ ,ya &Ole > 30< 220 mgll. and TSS >30:5150 mg/L ' EBluent #2 = HODS 130 nq& and TSS 30 mg& Fflluerrt #1 = HOD _ CST Number CST Name (Please Print) C Address Data Evaluation Telephone Number 3 ` pap z at Parcel ro# Property owner n~ a ~ # ®PBorim i Ground s elev. 9R Depth to Mnitin9 factor_=L. Sod Rafe Texture SWucWm Caneistenm Boundary Roots Horizon Depth Dammiinillnt Red= DnUWM • QAL SzSz Gr. Sz. Sh. in. Muned 1 b -13 ' to r3/`-I S I 2 c.5 I . 5 $ ~ r Cw 2 3-22. 10, 3 ; I nor L S 5 3 22.4 31 5L Sb m 99 rp y 6 Boft# Depth Pit cow Texdxe Slnrc ae consisIm oe ewndery Rook to + i-= Horion Dapih DaninerrGr Sz Sh in. munseli flu. Sz. Coat Color , ✓ ` ~ ~ !5 ;a zk,54-e A~L Z /o O /D r ` L l s~ rr1 ~r c - - j ✓ f 41 3 ~1o-Go • o ~ .n 5 - ~ O K 4 g ,air Sol Rate Boft# El D ❑ Pit Ground uabos elev. ft Depth fO *MbM in. fiotimn Depth Dominelrt Redox Desaipliorr Texture Scene C. onsistence Boundary Roots GPDNF Color •Eff#l •EfW2 Gr. Sz Sh in. Munsell Qu. Sz Cont. Color • = 30 mg/L The Dep•aHrtrllnerrtuerrt #'o1f = CanBOD,m>erre 30 is an ?ZO egmglLratl and oppTSSortu>30nity 150 mglL ElydJWd j BODs < - 30 mglL and TSS service provider and empl y"- 'you need assistance to aceess Vices or 608-266-3151 or TTY 608-264-8777. need material in an alternate format. pkese WaMa " &pmmt at S M36030 OL07M) SOIL EVALUATION REPORT ~g I of 3 Dvvisconsin ivision of of Safety Builder in a=rdanse with cam 85. Wis. Adm. Code t County _..oi x Attach complete site plan on paper not less than 81/2 x 11 inches in sue. Plan must . ` . indud% but not limited to: vertical and horizontal reference point W, direction and Paroo"rv percent stops, scale or dimensions. north arrow, and location and distance t° nearest road- by / Date Please print aN inibrmatfon. Personal kfformason you provAs may be used for secondary Pub (PdvMcy Law_ s.15.04 (1) (m)). Property Owner Propel Location / r ro ryl G r I e.~' GovL Lot IM 1/4 , ,'S d N R- C~ E(o Property Owner's Mailing Address 113 Lot # Block # Subd `~E ♦ 7q city Stabs 41P Code Phone Number ❑ City ❑ Ydloge 13Town '584 1 +vv` L'A SY~82 (79S)s Y?-szy3 o r.S - G Code derived design flow rate y-Sn/n 60 GPD New Construction Use: 'Residential / Number of bedrooms - ❑ Replacement / ❑ Public or commercial - Describe. Parent material Flood e)vation 9 kable- General comments S Y S<le in e,& v' q'p yo Sew- and recommendations: 19 e•¢- - ev- 4/0-W a.*4-94 ~ Qom" a Bonng # ❑ Boring 1 2 in. ® Pit Ground surface elev. eft- ~Pdt to firniting ibctor Sol Applicatico Rabe Horizon Depth Domtnarit Colo Redox Desaiption Texture Structure Consisberroe Boundary Roots GPI in. Munsntl Qu. Sz. Cont Color Gr. Sz. Sh. *EfWl *M o-S -Si1 Z cs Ivy 5 5 i cJ 2mc bk .40 -M ic 3 xi- 1 L) j( 4 F I F-1 .5 r 413 S f c J 3rn k ,r+~r c 5 ~f . to 14 143-lb 10 ~t mS m1 - 1 /.2 ❑ Boring Boring # © Pit Ground surfaceelev. 4rJ . y~ ft Depth to iimitirv facer I z in. Soil Application Rate FZ-1 Horizon Depth Dornmant Colo Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munseli Qu. Sz. Cont Color Gr. Sz. Sh. 'EW1 -01#2 5; ► Z I o-12- t o r I`I - rr,abk m fr c s i v~ .5 .8 . 5 .8 2 J2 24 !p <'113 2mcbk 3 2q-y8 ►D r 3)t - SL 3msb c s - • 5 .9 $210 C r-I I ~ S ~ m I _ .1 i • 2 Effluent #1 = BOD > 30 220 mg1L and TSS >30:5 150 mg/L ' Effluent #2 = BOD, < 30 mg& and TSS < 30 mg4- S~n 2 NuMM 'i CST Name (Please Print) Address Date Evaluation Conducted Telephone Number 203 -1-12 t 3 ~ Z of ID # Parcel Property Out. BorkV 3 # ® Pit h Ground surface elev. 9 3 • ft. Depth to 1 m Sod R~ a Redox Texdma Structure ConWdance Boundary Rods GPDffP Horizon Depth Dominant Color Desaiptim Gr. Sz Sh. •Ell$" 'Etf#2 in. Mwseli Qu. Sz. Cont. Color 5 I 2 C 5 I V~- . 5 1 0-/3 !a r3l`I . 5 $ [j;2_299 22. ID 3 Lw SL sb r D L m ❑ B«~g Boceg # fCtor ❑ Pit Gnwnd surface ele~_ ft. Depth to hrMft in- El Application Rabe Dom t Color Redact Description Tm me Structure Consistence Boundary Roots GPDff Horizon Depth 'Eff#1 '8102 in. Muneell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 -4 ❑ ig Boring # B , Ground surface elev. ft Depth to lhdft factor in_ a ❑ Pit Sod Application Rate Horizon Depth Domsrant Color Redoc Description Texture Structure Consistence Boundary Rods GPDYF in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh 'Etf#i *EtT#2 Etlluent #1 = WDs > 30 220 nQ& and TSS >30 < 150 mglL ' EtAuent$2 = BODE < 30 wG& and M < 30 mg - 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 609-266-3151 or TTY 608-264-8777. Seri60300LOI ) I f PAGE OF 3 NAME e LOW LEGAL DESCRIPTION AJw '14 A) S T 0 N R Zo E or SCALE: 1"= ~Q N 6 S X~ BM I ELEVATION /jQO . BM 1 DESCRIPTION ya,'~ ,'n 20bnwooc4 -~-r i c - BM 2 ELEVATION 9`-00 BM 2 DESCRIPTION ~s0 04 2.ler,4nL 6o)c SYSTEM ELEVATION 90. STD ALTERNATE ELEVATION ~Io yQ CONTOUR ELEVATION 9Z. to, 93.8 0 Y 80 G o 1,j 0, 1 ■ 43.E 1 BM i J v - _ > BM o W B- Z q4• °g SIGNATURE DATE S-- S- O i I r - i PAGE_,:~-OF 3 NAME ,Wg ii LOT# LEGAL DESCRIPTION Nw A)O/4 S ?.IT 36,N,R ZO E (or) SCALE: 1"= BM I ELEVATION /DO .0 BM I DESCRIPTIONya,*L n 2014&:b wood vcrt N BM 2 ELEVATION q`)00 sec- 2 DESCRIPTION ~a~ o C e(ecAr;C- 6o-c BM SYSTEM ELEVATION 9D HD ALTERNATE ELEVATION '70-'Y6 80 CONTOUR ELEVATION 9?. X, 93 Se 91f V 0 ~ ql's 441 BMZ o W e- ti I SIGNATURE DATE S- - O cc VE QT CAP `i"C.z. VEA,T PIPS:' APPROVED La: y,1hIG WCATNERPROOF MANHOLE COVER I JUk)C lOk3 BOX FROM DOOR, I I WIQDOW OR FRESA It"NIPS. ~ ~ p,IR. tuTAKE GRADE I I y" MIN. x COWDLItT- 3°KIAI. PRputDlE INLET At0.Ti(.HT SEAL AARM I A *APPROVED oN c JOINTS WIf-L EV. APPROVED piF 3' ONTO SOLID SOKISER EXIT PCKIAIITCD OklLtd IF TALIK MAWUFAGTURE.=t HAS SUr-W APPROVAL. sP~c~F~c~Y~a~s SEPTIC Dost r;d ~'r 5~ Y WLASER OF DOSES: PER LAS TAWtt NIAWLIFACTLIKE - TAWK SIZE: GALLOkiS 00,$9 UOLUmE f/_3 &ALLOW! ~4 m IMCLUDim& SACKFLOW: 1 ~1LAfAM !"IAAttSFACTUFL6R: -4 ~4 MODEL 1.1tSM6ER: _ D4 41 CAPACITIES= A, lkicRES OR CALLOW" sal1TGN TlfPL: hie Bu OR -4ALLOU5 ~ b2 IuLNES Oil 1:.fG.1-- GALLObJ~ C s PUMP MAMUFACTURCIC. MODEL WtSK6Ek: ow ...~..-..IMCWES Olt GALLOhJ: 5W1TGFi TyP£: ~YG I_jor .sF:. PUMP AWD ALARM ARt TO bL INSTALLED OIJ SEPRitATE CIRCUITS MINtMUM Qt5Ct1ARbE RATE _ ~ -CPS VERTICAL btFFE&t0JC.P bETWLELI PUMP OFF AUD DISTR%bUTIOW PIPE.. /P FEET FEET + MIAIIKUM NETWORK SUPPLtf PKESSURLE~.. . . . • FEET OF FORCE MAIM X ~~oo FtfRjtTIOW FAcToft..iZ FEET f TOTAL DidWAMIG MEAD MET f ILITERWAt. DI ALUMOkl i of TAWK: LEISGTH . ----.*,WIDTH i LIQUID DEPT ►4 ~.IGE IJSE 1JlfMf3f»R: DATE: I { ..'lw••~.` ~G ~E( Y'~"; _.J.LL ,r u 1.1'147 Goulds Submersible WAAluent PUMP Ini RIB EP04 3871 EP05 11FPUCA11pNS 300 seder Fui~ submerged ir, high ■ Motor Mouelnq: Cast Iron • • Fasteners: Sps lffoaliy siesfprted fcr the stalnNa N COW , grade turbine di for for efficiert hasd transfer, • Capable of running lubrtaW and efficient strength, and durablity. following uses: dry- without damage to heattranstar. ■ Motor Corer: Thermopiles- * Effluent systems compenends. to cover wM ininrtil handle • homes . Motor; Availaltla to awwatic and and float switch attachment F mensal oppidon. automatic polMs, • Heavy duty sump • EP04 Single phase: 0.4 HF, medele mauls Med;ealstal • Waken duty sump 115 or 230 V, 60 H4 1550 Float lfwltob assembled and M Poafer COW Severe duty t=OV • t)ewatetitig RPM, Wift In overload with pro t the rated oil and water resistant. autornatic reset. a tleaslnsa: Upper and lower • 115 EPOS V, , ti0 Fi 60 Kz.p-, ila5w: 0.5 FEATURIaI< hea4y duty bap boilring fiPfdCI~tCA~NS .j 5RPM, , i1 built in overload wtth sA EPIl4 impeller. Thermo- 0 SON& handling capability: automabu reset pinto Semi-open design ABtNCY t~T1N8 1/0 maAmusn. • Power cord: 10 foot with pump outvanee for • Calwitles: up to 0 GPM. standard 1e1pth,1613 $JTO mechanical Sol protection. Paieea~► sireeerN 7btal heads: up to 24 feet. with threw prong grounding 1~5 impalisrr. Therms b Disahar9$ size: IIN NPT. Plug. Optional 20 foot plastic ancfes le design for (r'.3A listed model numbers • Mechanical steal: carbon. length, 1C43 SJTW with plastic ed end or or "AC".) robtcylCeramic-stetionarSr, thrss provg grounding plug proved llos nesign OUNA-N elastomers. (standard on EP05). i Casing acid 109. Rugged thermoplastIC design provides • Tempersttun: 1041 (CC) corrdnuous suponor shvth and 14OPF (WC) intent unt. corrosion resistance. • fastsuters: 300 sermsF VEMS FINT i i stainless steel. to -w~" - • Capable of running dry without damage to 9 30, ; ! I otamponents. Pump: ru a • SW* hWilnc capability: 7 as i VV maydmum. ! zo I • Capackiff. up to 60 GPM. s • TON head: up to 31 #est. • Dilidi m sine: I IN NPT. 9 f • Mechanical steal: carbon- , ss ratltsylcararnk-statltx►ary, 1 ; BUNA-N elastornam, ! I' ture- •'104(40%) co mnuous 3 10 140°F (VC) laWmttter;t. 2 ` a~ C~ 40 s;0 ` dC 30 GPM ti J COACH ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERS HHIIP CERTIFICATION FORM - OwnerBuyer A~R Mailing Address ~ Nw rUV lam"' ~ ~ <STG~' Property Address ,C-~ r0 ~ J (Verification required from Planning Department for new construction), City/State 6/~ /'S /*W- 3arcel Identification Number C) 3 ;2- - , "2 0 7.a - 7 0 LEGAL DESCRIPTION Property Location SW s ~ y4, Sec./ 3 . T 30 N-R aD W, Town of 50m F a S e- t Subdivision Lot # Certified Survey Map # Volume 3 , Page # ` 70 Warranty Deed # Volume . Page # Spec house ❑ yesXno Lot lines identifiableXyes ❑ 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, restrictedplumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Itwe, 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 of the thre year expira ' te. SIG AT[JRE OF APP IC 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 th r perty described above y virtu; of a warranty deed recorded in Register of Deeds Office. SIGNA OF AP L DATE 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 Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private for maintaining the system wlthint System (POWTS) shalt include information and proud the department, agent, the parameters of Comm 83 and 64, and the conditions of approval by or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.64, Wastewater Treatmen Systems -Ground Soil Absorption Component Manual for Private OWrite 1 0567-P (R.6/99). Table 1: S stem Dent n S eciflcations Sanity Permit Number z Number of Bedroome 0 Design Flow - Peak tgpd e Estimated Flow - Ave e ( d 61 o IeTank Ca ci al Soil Abso tlon Cam nent Size pomestic Type of Wastewater Table 2: Soil Abso ion component - Limits of Reliable O ration anent Septic Tank Corn anent Soil Absa tlon Com Design Flow -Peak d 118 Maximum influent Particle size ink Maximum Buys (Mfg L 150 Maximum TSS m fm/L) Table 3: Maintenance Schedule years Se tic Tank ins ect and/or service on ce n at least once eve 3 ears Outlet ~te ins ct once a Soil Abso tlon anent ins ect once eve 3 ears $Ett~i~4 The septic tank shall be maintained by an indnshell al, certified to e disposed af~ seaccordaptic with under s. 281.48, Stars. The contents of the septic to port s, Grease NR 113, Wis. Adm. Code (Servicing Septic or Holding T antis, umpin Chambe interceptors, Seepage Beds, Seepage Pits, Seepage Restrooms), 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 neces say made to removed unless provision proper operation, The filter cartridge should not be retain solids in the tank that may slough off the filter when removed from its enclosure. if the r * Management Plan for a Septic Tank and Soil Aosorption Camporfent filter Is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. The Intermittent filter alarms may Indicate surge flows file an impending scum and sludge the tank septic tank shall have Its contents removed when exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain lass than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must the be "cured by be replaced.. Exposed access openings greater than -I unauthorized diameter an effective locking device to prevent accidents No one should enter a septic or other treatment or holding tank for any reason without being in full cornplience with OSHA standards for entering a confined spac& rho atmosphere within the s*da or other bUtment of holding tank may contain lethal gases, and rescue of a person ftm the Interior of the tank may be difficult or Impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank Is no longer used as a POWTS component. 8-oll A MNgn Goat The soil absorption component serving this structure Is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below instal 8t on of weer operation. plumbing conservation practaoss by all occupants and the fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, If or discharge the observation pipes, and a visual Inspection for any evidence of surface seepage from the component. On steeply sloping sites, areas discharge odamest cu swa identified and of sewage reported to the owner for repair. The surface from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months, The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions Improve, general, and dispersal ceiimwhih o may over this component will reduce diffusion of oxygen into the more intense, and earlier, organic clogging of the soil. Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs directly over of within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Contingency Plan In the event of system failure, a new system could be installed in an alternate area. With the Installation of a diverter valve, the existing system could also be reused after a period of three to four years. It is the property owners responsibility to maintain the alternate area free from any planting of trees, shrubs, etc. In case of failure of the original system, the alternate area wOl be needed. If any tress, shrubs, etc. have been planted on the alternate area, they will have to be removed at property owners expense. If alternate arcs is destroyed, there are other alternative systems that can be used, in which, could result in added expense to the property owner. Any tank abandonment shall be done in accordance with Wisc. Code 83.33, Any questions regarding this code, please contact your local Zoning Office or contact the Installing plumber. -Zo.Nr',v~r 3~IG ~ ~t'G ~ff `✓C6i.ttly~-a~?Y ~~ls ~J~ ~',~/5~' }TG""alai FROM Sckumaker Plumbinq FAX NO. 7153863121 Jun. 04 2001 03:04PM P2 8 9 a 352414 Ate' v~ CERTIFIED SURVEY MAP SW 1/4- SW 1/4 SEC. 13~ T-30-NI R- 20-W S 89°- 24'-00" E 717.31' / 90 0 W `'6 • ` Og z It, m Z✓ ~ MIX N N LOT I o vg; 3 y N S~~Orf ys1 QR N O Z:! OF -0S M1P1O ~P C.-4 AIL 3.9r.7 A. o `N`i : J 00- 4QROV A I S 0V. w +el o . , W .13 OSS 0~~4°~~J 99°-24'.0o'E S : a 30.00' z' a. 9 w 'c~C` 1G S 89°- 24'- 0.0" E 500.00' @o a~ I in OI APPROVED N W /'S J'9 I,F A1I C ~N LOT 2 ~,cn N OCT 17 1978 o a 3.30 A. °-24 OdE I c Q. gam. z 65.00 ~I Q N ST. CiOIX C Y n A ~•Q COMP,:EHENSW PARKS PLANNING AND ZONING GO~A.•1, ;K' y - w N29°-56~ 3 cr- 24°E S 89°- 24'-00" E 72,44' 10 651.00' ~ W ~ O q S 890 24'-O~"E b o + 30.00 o of N LOT 3 N Vl O N O N 3.73 A. z \j FD. - a I" I.P 5W COR. 65,0' N 89 - 24 - 00„W 71 s.35' • - SEC. 13 SOUTH LINE CO. MON. SW 1/4 yPaQg '4~ t I ~d w~~~5 2 . co ~O 1yS/ ~P - w, LEGEND N O-NO.6 (3/4"X24REBAR SET. 6e r a WEIGHING 1.50 LOS./LIN. FT. SWA.F`FU S it 5-r"" ASSUMED BEARING HUDSO ALONG THE SOUTH 100' 0 25' 50' 75' 100' W1S v LINEOFTHE SW 1/4, C~~~. SEC. 13 SCALE: 1u = 100' ,tttotts ft, ~ VOL. PAGE CZRTIFIFD SURVEY MAPS THIS INSTRUMENT DRAFTED BY GCS ST. CROIX COUNTY, WI. JOB No. 77 107 Volume 3 Page 710 STATE BAR OF WISCONSIN FORM I - 1998 Es456►01 WARRANTY DEED KATHLEEN H. WALSH 640 144 REGISTER OF DEEDS Document Number dQi-1 , PAGE ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between 05-15-2001 2:45 PM Gary T. Harty and Marlene R. Harty, Husband and Wife WARRANTY DEED EXEMPT # Grantor, CERT COPY FEE: and Mark A. Krieglmeier, Single COPY FEE: TRANSFER FEE: 120.00 RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a vp~able consideration, conveys to Grantee the following described real estate in t . Croix County, State of. Wisconsin (the "Property"): Recording Area Part of the Southwest One Quarter of the Southwest NamMQ are aon~r, n~i~i.o.. One Quarter of Section 13, Township 30, Range 20 described / La r~ ~q'r' r mil P~ as follows: Lot 2 of Certified Survey Map filed October 17, 1978 in Vol. "3", page 710. GjP W gLIM M 5-508-)- TOGETHER WITH PRIVATE ROADWAY EASEMENT AS SHOWN ON SAID CERTIFIED SURVEY MAP AND CERTIFIED SURVEY MAP IN VOL. 113", 032-2072-70 PAGE 709. Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible In fee simple and free and clear of encumbrances except None. Dated this 7th day of September 2000 r (SEAL) (SEAL) G ry T. U Ha y Marlene R. Harty (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) Mihn~ State of WtsCVilSltt; ss. ~1 crosey County. authenticated this day of Personally came before me this 7th day of September 2000 the above named Gary arty and Marlene R. Harty, Hush-and and Wife TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me known to be the person s who executed the foregoing authorized by §706.06, Wis. Stats.) instrument and acknowledge the same. ■ ■ NANCY K, ENGLAND THIS INSTRUMENT WAS DRAFTED BY ~TAR'PUBLIGMtNNESOTA S 1.31.2005 Gary T. Harty, 11051 Stillwater Blvd., ■ VON Lake Elmo, MN 55042 Notary Public, State of Vi4see#44n KnnesC4,0, 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. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., inc. WARRANTY DEED FORM No. 1 - 1998 Milwaukee, Wis. DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 53707 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/ LOT NO.:BLK. NO.: SUBDIVISION NAME: suT 1/4 sv / 13 /T 30 H/R 201gor) w Somerset 2 /a n/a COUNTY: YER'S NAME: MAILING ADDRESS: St. Croix Gary Party 11051 Stillwater Blvd. N., Lace Elmo, 11n. 55042 USE DATES OBSERVATIONS MADE TESTS: NO. BEDRMS.: COMMERCIAL DESCRIPTION: (IPROFILE DESCRIPTIONS: PERCOLATION Iesidence n/a New ❑Replace l 6-12-92 6-25-92 RATING: S= Site suitable for system U= Site unsuitable for system 111 CONVEN ❑ TIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) S ©U [is ❑U ❑ S DU ❑ S EU ❑ S Intl mound. If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS Page AmB BORING TOTAL D PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 65 99.50 none >65 0-6, 10yr4/4, L.; 6-32, 10yr4/4, sil.; 32-65- 7.5yr4/4, sl. 99.50 0-14, 10yr► 3, L.; 14-34, 03r44, si B_ 2 ti 7 none 34-67, 5yr[1/4, s~. dece riot: 6- v friars) 70 98.00 none 32 0-23, 10yr4/3, L.; 23-32, 10yr4/6, s;_3-.; 32-7a- 7.5 ' '~,f[~:z~ot.'.sl.(1(hTr6/?.-7.53TrF~/6)- 7.5ytA1A, not. s1. (5yr[t/6-10yr6 3 B_ B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD I PERIOD2 P RI PER INCH P- 1 24 n 30 1% 1 1 ' 0 P- 2 24 none 30 14 1;~ 11-4 I P- 3 4 none 30 1_ P-_ P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 100.08) f 5 ~rt~ I j t E E I $ 1 1 I GV/1 a z e_ l`]-K 4 w -I!J i E E : N i to e e 3 ^i 1 E ~ fE t a 3 s z I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 6-25-32 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. Acve. Nei., ??idrimond Wi. 54017 229PI /1 1710-246-6200 CST SIGN DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) -OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - ..D - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or earn project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing pfofile descriptions and completing the plot plan; 7. (MAKE A LEGIBLE diagram accurately locating your test locations. Dra~,Jng to scale is preferred. A - -ate sheet may be rise(] if desired; v. 'ce sure your benchmark and vertical elevation referen(inint are clearly shown, and are permanent; t3, 1 appropriate boxes as to dates, names, AC iood plain :data, peccolation test exemp- t iappropriate; 1 stion (such as flood plain, r', } does not apli the appropriate box; 11. ' =rm and place your current acl your certificaz 110n ; co des and distribute as r 1 .f, ALL SOIL . _`3TS ST BE FILED WITH THE LC-',L AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL_ TESTERS Sail Separates and Textures Other Symbols st - St)~ e (over 10") BR - Bedrock cob - C,-'', , (3 - 10") SS Sandstone gr - Gra_ 1 ;under 3") 1 - Lim 'stone s - Sand N Coar - Sand >lation Hate s - Mer 7 Sand - : uiId incl Is I 'n i. Ti uIotvrl C - ''lack -Sill -Gray Glay Lo ;n) 'Y Yell )vV C Lc ern R mot r , Fie ta" r IC CC C pt P, - inn 14 P l:) . linflt~t F- VJ L - High wat Six general soil "extr.rres suf' ( for liquid tir'aste disposal RM Bench 'ARP Vortic<; r r - I I TO THE OWNER: irf nit. Th. c Dr. ay requf'14 V t\ ref 'he PIivate be in order to --y obtairae coon.