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036-1059-95-000
I o° o° h > > I a 4 0 I e o I I � I O � _ I N A a I I y I I h � CL CD a�i 0 Z C, = z I 7 <6 N 7 !6 LL c L LL c w c I � o cc co I r f� fY N N p z a m a m i N F- N y O O Z c G U I N F o c y Z c E y E d E M � N V� C N O N !y = a • li N C N tm O s p c O o �i Q o Q Q w I Q Z N Z Z Z I Z I N C E C E N M — n I I I N — '7 .. l0 Q .. A }� a s U a o c v v N al H a) >, O O V o G a - G G r G n m N a z� > j X3 3 a: a � c ° 00 I p o Z o •wa _ Eaaa Laaa y I r a! W N J U ! Z rn rn Z Z N N o r M CD N N N N Z 0 O O ID O E N I O j L CO y C L M C a I rn d QI (A r' v d Q n U) co H (a t O 6 0) N C O N C 0 u 3 c aa) r W > 00) � 'm 0 i 0 0 Oo r m M o L a s :? €.n c a v n U E E c a� `�° c °� o N C O O M LO as a� N O w E E d° o o Co N N ! m � O Z N m co 0 Z Z Y Cl) ii E €� € r , V m M a a E E c c ;: 3 r A 1 0 0 CL M ';0 U) oNCi Parcel #: 036- 1059 -95 -000 06/21/2007 08:19 AM PAGE 1 OF 1 Alt. Parcel #: 25.31.17.383D 036 - TOWN OF STANTON 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 - BETHKE, STEVEN STEVEN BETHKE 1923 190TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1923 190TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.500 Plat: N/A -NOT AVAILABLE SEC 25 T31 R1 7W 2.5A IN SW SW CSM VOL Block/Condo Bldg: 2/362 557/290 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 25-31N-17W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 557/290 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/16/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.500 20,000 163,400 183,400 NO Totals for 2007: General Property 2.500 20,000 163,400 183,400 Woodland 0.000 0 0 Totals for 2006: General Property 2.500 18,000 163,400 181,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 312 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 036- 1059 -60 -000 06/21/2007 08:16 AM PAGE 1O F1 Alt. Parcel #: 25.31.17.382 036 - TOWN OF STANTON 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 - BETHKE, STEVEN & MARY STEVEN & MARY BETHKE 1923 190TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description ' 1923 190TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 25 T31 N R1 7W 40A NW SW Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 25-31N-17W Notes: Parcel History: Date Doc # Vol /Page Type 11/08/2001 661527 1758/65 QC 07/23/1997 832/482 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/16/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 34.000 5,600 0 5,600 NO UNDEVELOPED G5 1.000 700 0 700 NO OTHER G7 5.000 25,000 39,500 64,500 NO Totals for 2007: General Property 40.000 31,300 39,500 70,800 Woodland 0.000 0 0 Totals for 2006: General Property 40.000 34,400 39,500 73,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 DEPARTMENT OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION P.O. BOX 7969 ON -SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADLSON,�(Yl 4 j7� . 25 , T31 -R17 State Plan I. D. Number: To �W ❑ CONVENTIONAL El ALTERATIVE (If assigned) Town of Stanton Twn.Rd 190th St.❑ Holding Tank ❑ In- Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Chris Bethke Rt.3 New Richmond WI 54017 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: Name of Plumber: MP /MPRSW No.: County: Sanitary Permit Number: Calvin Powers Jr. 1563 St. Croix 128712 SEPTIC TANK /HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: E] YES ❑ NO ❑ YES ❑ NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: P PUMP /SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES E] NO ❑ YES ❑ NO [- ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑ YES ❑ NO NEAREST —1110- SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: LIQU BED /TRENCH WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER PIT INSIDE DIA.: # PITS: DEPTID TRENCHES: MATERIAL: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR, PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY WELL: J�: TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: FEET FROM LINE: AIR INLET: NEAREST ♦ MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER I TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH /BED DEPTH OVER TRENCH /BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED /TRENCH WIDTH: LENGTH: NO. OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY I WELL: BUILDING: FEET FROM LINE: [:]YES ❑ NO [- ❑ NO NEAREST Retain in county file for audit. Sketch System on Reverse Side. SIGNATURE: TITLE: SBD -6710 (R. 06/88) OIL SANITARY PERMIT APPLICATION uNTY co In accord with ILHR 83.05, Wis. Adm. Code STATE SANITARY PERMI —Attach complete plans (to the county copy only) for the system, on paper not less than �(� / 8% x 11 inches in size. ❑ cn/ rllvislon tO previsus application –See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION – PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION t /4,S T ,N,R J E (Oa PROP RTY OWNER'S MAILING ADDRESS LOT # BLOCK # ; e= CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NA OR CSM NUMBER 11. TYPE OF BUILDING: (Check one CITY NEARS ROAD ❑State Owned ❑ VILLAGE 1 or 2 Fam. Dwelling -# of bedrooms FARCE' TAX NUMBER( ) ❑ PUbIiC III. BUILDING USE: (If building type is public, check all that apply) 219Q 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility /Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales /Repairs 11 ❑ Restaurant/Bar /Dining 4 ❑ Church /School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel /Motel 9 ❑ Office /Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. ❑ Replacement 3. ❑ Replacement of 4. ® Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit ## — D ate Iss ued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground 42 ❑ Pit Privy 13 Seepage Pit Pressure 43 ❑ Vault Privy 14 System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 1 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE 4 —so REQUIRED (sq. ft.) PRO[�PO�E (sq. ft.) (Gals /day /sq. ft.) (Min. /inch) q ELEVATION UI 1 y-� / b 0/ 45 C" a / Feet Feet VII. TANK CAPACITY Site INFORMATION in allons Total # of Prefab. Fiber- Exp New istin Gallons Tanks Manufacturer's Name oncrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdina Tank f Lift Pump Tank/Siphon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsi sewage system shown on the attached plans. Plum er's am e (Pr' ): Plum is Si ature: No to s) [ MP/MPRSW No.: Business Phone Number: um is Add ess ( eet, Cl = : "< * - A,), A ).r � IX. COUNTY/DEPARTT ENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue Issuing Agent Signature (NMSta Surcharge Fee) pproved El Owner Given initial % 7 1 ---- Adverse D etermination X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: SBD -6398 (formerly Plb -67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. Y 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608 - 266 -3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete ## of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1 -7. VII. Tank information. Fill in the capacity of every new and /or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County /Department Use Only. X. County /Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wf! :Is; water mains /water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorpticri systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption systern required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges,(fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD -6398 (R.11/88) r. a APPLICATION FOR SANITARY PERMIT 9TC -100 This application form is to be completed In full and signed by the OVne9(51 Of the property being developed. Any lnadequacles Will Only result in delays of the permit issuance. -Should this development be Intended tot resale by completed the propatty t hen a s econd s re this ottleawith the appropriate deed recording. ••---------- -----•--------------- - -------------------- 2Z 4 . - i Owner of property Location of property i /d, l /4 ,s5 - 1 /4r Sectlon r 7's-� -V Township Malling address 4dL Address of site ° Subdivision name Lot number Previous owner of property Total also of parcel �_ - -- Date parcel was created At* all cornets and lot lines identifiable? _ _ o Is this property being developed tot resale tapec house)? as 4 0 Vale" , and Page Number as recorded with the Register of Deeds. ------------------------------ "ft -------- --.-...--------- •--- ..•.........- .....• INCLUDE WITH THIS APPLICATION TUN FOLLOWING A WARRANTY DING which Includes a DOCUMENT NVMBRR, VOLUME AND PACE NVMDBR, and the BNAL OF THE RNOISTBR OF DNNDS. In additlon, a cartifled survey, It available, would be helpful so as to avoid delays of the reviewing peaces$. It the deed description references to a Ceitlfled Survey Map, the Cattifled survey Map shall also be required. ------------------------------------------------------------------------------- PROPERTY OWNER CERTIFICATION I(Wei certify that all statements on this form are true to the best of my (out) Rnowledgel that I (we) am (are) the owner(s) of the property described In this Intotmation totm, by virtue of a warrant I �� d recorded In the Office of the County Register of Deeds as Document No. d isposal j and that I (Ve) presently own the proposed alts for the as wage dlaposal sy$tem (at I (we) have obtained an easement, to run with the above described ptoparty, tot the construction of sold system, and the same has been duly recorded In the Ott /ce of he aunty Register o1, 1) ds as Document No. tz Signature of Owner - Sktnatuto of co -Owner III Applicable) Date 61 01 104tut . Date of Signature A Ike 9fflt. A 4W rem i �mwo i f g vim t :...tk.....txt...tt�ke,.. -• - �: t ...!! ...................... . ian A., dethkp and...L 4F� "* a ... - ..... _,�stl�ce • �hus� and and Mif e, • as sur v sh p. ;. �!3:�a .poperty. r , ... ........... .................................................... II r Gr~ y .... .......................... .. .... ............................. .. .......................... -. .......... i 60 Mfg door" real ertab is ..............St....CrAix coax ty. _:__ sum K wlrpada: I \[TYRM w t •` _ '�. Nit of NW% EXCEPT South 340 feet of West r rr; 512.5 feet thereof • Nt of S% of NWk , 3 All in Section 25- 31 -17. Tax Pared Ne :................. r. A of A of NW% and NN of SWk of Section 25; NO of SO of Section 26; All in 31 -17. r� N% of NO, EXCEPT East 24 rods thereof ; and SO of N84 of Section 25- 31 -17, lying West of Willow River. 11 i v Ij S• i This ...... s.................. horasataad property. (is) (is not) Dated this ... ......24th... _... _ da of . . .Iaauary. .......... ... (SEAL). _ . • ................. ....... .......... ......... - Christian . ..A�... 4t �......:.... , .... -- • ........ I ................... (SEAL) ........(SEAL) �,.`s; • ....... .............. •..... . ....... Loretta Bethkg ......................... s. ADTDDIfTICATION ACKNOWLRDOURNT ': S re(a) ._ Chris .Mari...Ai....Sse.thk_e. -and.. STATE OF WISCONSIN LorNtt ..Bet a& +' as nft.GL4 day ...... J m) u a r y . , 19... y Personally came before rae this s+t j -- . .................................... 19....--.. the above atasai ord - Y ---------- r ... .... ...---.. ................_.._.... ....._....._................... TITE BAR OF WISCONSIN . ......................... ...._......................_. . .. ............................... ............................... avhori:e - d by 4 7 ?00 .. 6.06. Win. Stets.) to me known to be the person ............ Wbo asseatW the a forming instrument and acknowledge the same. 1, THIS INSTRUMENT WAS DRAFTED By t C...1 G,ayl.ord.,...Attorney. _ j River Falls, WI 54022 .. R Notary Public .....- ..County. WI& (Signatures may be authenticated or acknow Roth MY Commission is permanent. i It not, state azptnRisia i• j are not neces-.ary.) t I date: .. ... •M ss\ et persons i ni in an e K \f Y \CAC itY *hou!d h+ tl prd •.r ;r,ctrdhr!nw th# ti[ aia\\tu[M. u d � .: ;�- `ft r'rd �.. -- -- - _ STATE �:�� .FOB• �kr- A�i+�'. SEPTIC TANK MAINTENANCE AGREEMENT r� � St. Croix County rr OWNER/ BUYER J L/ • o Fire Number NUMBER d CITY /STATE ZIP 7 — rt r rt PROPERTY LOCATION : , , Section T f _N 9 R_Zz,W, Town of St. Croix Coun y, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Prover maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed'sept*ic tank pumper What you put into the system can al ect t e .unct on of the septic tank as a treat- ment in the waste disposal system. St. Croix County residents may be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new ' systems agree to keep their system properly maintained. The property owner agrees to.submit to St. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or.a licensed pumper veri- fying that (1) the on -site wastewater disposal system is in proper operating condition and .(2).after inspection and pumping (if nec- essary), the septic is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three P Y ear iration. H I /WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with the standards set forth, herein, as.set by the Wisconsin Depart- w ment of Natural Resources. Certification form must be completed .d and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE St. Croix County Zoning Office v 911 4th St. Hudson, WI 54016 386 -4680 Sign, date and return to the above address. I DEPARTMENT OF RE PORT ON SOIL BORINGS AN D SAFETY &BUILDINGS T LABORAND ) DIVISION PERCOLATION TESTS 115 P. BOX 7969 HUMAN RELATIONS l / MADISON, WI 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SE TION: TOWNSHIP/ U tf'ATfTY: LOT N ,TSU VI ION NAME: V4 s /I N/R � (or O NTY: OW R'S BUYER'S NAME: MAILING ADDRESS i USE DATES OBSERVATIONS MADE NO DRMS.: COMMER I L DESCRIPTION: PROFILE 1 A E 7TS R esidence .B � ❑N Replace .�' : g RATING: S- Site suitable for system U- Site unsuitable for sy stem ONV NTI NAL: MOUND: IN-GROUD-PRESSURE- SYSTEM -IN -FILL HOLDING TANK: RECOMMENDED SYSTEMaoptional) S DU �S DU EIS DU Cis ©u DS DU If Percolation Tests are NOT required DESIGN ZRA* If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: r� Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS ---� --- - BORING TOTAL PTH TO GROUNDWATER - INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH W. ELEVATION OBSERVED ES , it HES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) ? B' B. B- B PERCOLATION TESTS TEST DEPTH WATER IN HOLE TES ME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERN T T L-MIN. p RI t PE IQQ2 PER1003 PER INCH P- P- P- 6 P- 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 S91 A XJI•�u� / /���A - .TU�D...G�IJ{:.�'/ / �"'t' p..� /��l°� �.c / /GG���L� t .__._+ _. ± _, y f ----� _. +_....Y _ ._� r.....�� X .. .. -- ___ _ ♦f .3i _ i. i X. 1, the undersigned, hereby certify t at 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. NAM Znt) TESTS WERE COMPLETED ON: ADDFj S: CERTIFICATION UMBER: PHONE NUMBER(optional). GMATUR DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR- SBO.6395 (R. 10/83) — OVER — r I I I I I , - _ � - -.�._ -�..- - � - 'r -- j' - - .rte - • ^i-•- -� -_ _ _t -- _ I �o�,�.�►.tay� oJ���ilrll D- i- - ` - i , I I ; I .34� ! i 4 I 3 CERTIFIED SURVEY MAP SURVEYOR'S RECORD RECORD j NEAL KRUMM Part of the Southwest 1/4 of the Southwest 1/4 of Section 25, Township 31 North, Range 17 West, Town of Stanton, St. Croix County, Wisconsin W V4 Cow SE.<. ZS T R(7VV 5ov7-H 1328.98 3-3 3'-1 N N fn M O N r - �G2ES 33 I 33 I I N 88° 22'00 "W . 0 Indicates 1" x 24" iron pipe stake weighing 1 .13 # /ft. Description: That certain parcel of land located in the SW 1/4 of the SW 1/4 of Section 25, T 31 N, R 17 W, Town of Stanton, St. Croix County, Wisconsin, more fully described as follows; Beginning at a point on the West line of said SW 1/4 of Section 25 a distance of 1328.98 feet South from the West 1/4 corner of said Section 25, thence go S 88 22' 00 " E a distance of 390.00 feet; thence South parallel with said West line of the SW 114 a distance of 2 79.35 feet; thence N 88 22 00" W a distance of 390.00 feet to the West line of said SW 1/4; thence North along said West line a distance of 279.35 feet to the Point of Beginning, the above described parcel containing 2.5 acres, more or less, including the Westerly 33 feet thereof presently ised for Town Road purposes. State of Wisconsin ) St. Croix County ) I. James L. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Neal Krumm, I habe surveyed and divided the lands shown hereon according to official records and in accordance with provisions of Chapter 236.34 of the Wisconsin Statutes and the St. Croix County Ordinances; and that the map and description shown hereon are a true and correct representation thereof. `��,�tttttliln Iuflrlpi'����i Dated: 18 February 1977 ♦ C, 1 Vol. 2 Page 362 Certified Survey Maps' '� c, dh� St. Croix County Records �am s L. %1 �'�p p it ED w St. Croix County, Wisconsin egiaqy�d `.and gliAneor? � API? ' 29 MVER F,at ES, : ~. ' . s 0, r9n WIS °c"Mtc �G �,`• >, .�' for, LAND �fllplif a II APPk 01- �t - d i i1'', !''• C)R bU:�iJ1 S1Q �11 DOES N OT PA:E-Ai''l AP?tiMOVAL c O R SEM y �/1 SYSTEhA. REFEI; TO H62.2 APPROVED Volume 2 Page 362 AP R 2 7 1977 ST. CROIX COUwTY COMPjEHENSIVc PARKS PLANNING AND 20NINC3 COMMITTEE Wiscora'sin Department of Commerce PRIVATE SEWAGE SYSTEM County- Safety and Buildings Division St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitani ermitNo.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 37035 Permit Holder's Name: ❑City 0 Village Vowno s tate Plan ID No.: Bethke, Steve Stanton Township A+Js IA* = jl1ZZD5_) CST BM Elev., Insp. BM Elev.: BM Description: Parcel Tax Nn ' = rvl � 036- 1059 -95 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �� L p�p Benchmark Ga� a toy( ��� 0 r Dosing � S � Alt. BMA Aeration Bldg. Sewer�. Holding St /Ht Inlet loy„gb 7•BZ TANK SETBACK INFORMATION St/ Ht Outlet 8.1 b Q(,•6 r TANKTO P/L WELL BLDG. Air I ntake ROAD Dt Inlet Air Septic S"d' >,SO' NA Dt Bottom b0 2 p r NA Header / Man. /. 90 , Dosing > �'D � � go 3.�' > 35' oZ•go Aeration NA Dist. Pipe Z' 1 )OZ . Holding Bot. System . 1 02-0 ' PUMP SIPHON INFORMATION Final Grade Manufacturer v Demand St cover Model Number GPM awt, `f .gyp I Cb o r � A TDH I Lift ok,VO I Friction 3 o p System2, TDH �•�?f) Ft oss Ff C� Forcemain Length Dia. z �� Dist. To Well SO ABSORPTION SYSTEM / Width r Length No.O a PIT No. Pits Inside Dia. Liqui h D IMENSIONS DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Man urer: INFORMATION Type O / r Moe Num �. System: ( a $D OR- ------ NIT DISTRIBUTION SYSTEM '° Std �- fio ¢— Header / Manifold « Distribution ipe(s) re n x Hole Size /, x Hole Spacing Vent To Air Intake Length rE) Dia. 2 Length —13 Dia. 2 Spacing 36 3 / /& !/ SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulch=No Bed /Trench Center Bed / Trench Edges Topsoil ❑Yes ❑ No ❑ Yes COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: 1 / 04 / 00 Inspection 2: t 1 / oO Location: 1923 190th Street New Richmond, WI 54017 (SW 1/4 SW 1/4 25 T3 1N R17W) - 253117383D 1.) Alt BM Description= ; /¢ (,) q 2.) Bldg, sewer length = zz- - amount of cover //// "' '"`` 3.) contour = (Ico • 2q*') s . - ' C -S' a f }Z c � pt.�2 P(an vis ion required? ❑ Yes a No � 2 Use other side for additional information. It 2 SBD -6710 (R.3197) Date Inspector's Signature Cert. No. �� ° .Ir r i i I i ,; b i *k Az 3 / ?0 Sanitary Permit Ap Safety & Buildings Division In accord with Comm 83.2 rn'gL 201 W. Washington Ave. See reverse side for instructions r i o n PO Box 7302 Personal information ou rovide used f sec ur oses Madison. W[ 53707- 730'_' Department of Commerce y p (Submit completed form to county if not [Privacy Lays . x.04 \!� ) V state owned.) Attach com fete plans (to the county copy onlyt-11DJ the system. on paperopt le "An 8 -1/2 x 11 inches in size. County State Sanitary Permit Number 0 ec ' r�v sio r pp an tate Plan I. D . N mb r - k t � L f 1 l s � � �fZL os I. Application Information - Please Print all Information tyT�' ' Location: Property Owner Name / / s� Z y NC,O Property Location /� v /! / 114 !4. T N. R� E r Property Owner's Mailing Address , Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number II Type of Building: (check one) ✓ ❑ City I or 2 Family Dwelling — No. of Bedrooms �� e�' ❑ Village IV ❑ Public/Commercia describe use): /�-1�. X-Town of ❑ State -owned ev 3a III Type of Per r:it; Check only one box on line A. Chcck box on line B if applicable) Nearest Road A) I. New System 2. Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel ax Number(s) S stem Tank Only Existing System 36 l Q B) Permit Number lute 1ss�eed ❑ A Sanitary Permit was previously issued $ 3 (. . 3$ 3 D IV. Type of POWT System: (Check all that apply) ` laD 'ion- pressurized In- ground Mound ❑ Sand Filter 171 Const cted Wetland 0 Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line ❑ At- grade t C�7 Aerobic Treatment Unit ❑ circulating ❑ Other: �S " = 1 •� p o't 20' V Dispersal/Treatment Area formation: 1. Design Flow (gPd) _ .. Tmolliw x3 < y /sq. ft.) (Min./ h) W.�. b� �:� .D (7z4 VI Tank Capacity in Total # of Manuf cturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks AT ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VII Responsibility Statement i the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (print) Plumber's Signature (no stamps): MP/MPRS No. Business Phone Number &d City, State, Zip Code) VIII County/Department Use Only ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse Surch ge Fee) Determination 4 3 2.2 • 02 It IX. Conditions of Approval /Reasons for Disapprwi: E C Jeer t SBD -6398 (R. 07/00) ,. Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 ,scans, www.commerce.state.wi.us DepartrrU of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 11, 2000 CUST ID No.220527 ATTN POWTS INSPECTOR ZONING OFFICE BYRON BIRD JR ST CROIX COUNTY SPIA 896 68TH AVE 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identific umbers PLAN APPROVAL EXPIRES: 10/11/2002 Transaction ID No. 20 SITE: Site ID No. 200280 STEVE BETHKE - RESIDENCE Please refer to both identification numbers, ST CROIX County, Town of STANTON; 1923 190TH ST above, in 411 correspondence with the agency SWIA, SWIA, S25, T3 IN, R17W FOR: Description: MOUND SYSTEM / 450 GPD Object Type: POWT System Regulated Object ID No.: 766038 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. I � The following conditions shall be met during construction or installation and prior to occupancy or use: 1. On page 4, based on the ground elevations provided, the slope in the mound system area is actually 8 percent. 2. On page 5, I =15.69 feet and W = 32.49 feet. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincere DATE RECEIVED 10/02/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 TER E P EL , r0745 PLAN REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266-2889, M - , - 1630 HRS PEPAGEL @COMMERCE.STATE. WI.US 1Wil T *0 040 cc: STEVE BETHKE Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 Vir TDD #: (608) 264 -8777 scons,� www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 11, 2000 CUST ID No.220527 ATTIC- POWTS INSPECTOR ZONING OFFICE BYRON BIRD JR ST CROIX COUNTY SPIA 896 68TH AVE 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/11/2002 Identification Numbers Transaction ID No. 442205 SITE: Site ID No. 200280 STEVE BETHKE - RESIDENCE Please refer to both identification numbers, ST CROIX County, Town of STANTON; 1923 190TH ST above, in all correspondence wititz the agency. SWIA, SW1 /4, S25, T31N, R17W FOR: Description: MOUND SYSTEM / 450 GPD Object Type: POWT System Regulated Object ID No.: 766038 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. On page 4, based on the ground elevations provided, the slope in the mound system area is actually 8 percent. 2. On page 5, I =15.69 feet and W = 32.49 feet. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation/operation. Inquiries concemigg this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead: Sincerely ; 2 DATE RECEIVED 10/02/2000 r FEE REQUIRED 175.00 FEE RECEIVED $ 175.00 P E PA6 , P WTS LAN REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266-2889, M - F, 0745 - 1630 HRS PEPAGEL @COMMERCE.STATE.WI.US cc: STEVE BETHKE Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 4. Once every 3 years the at -grade Is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. The owner agrees to save this plan. Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump with out float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer rock, - o remove bio mat replace rem n n p eves s reinstall Nips and rock, recover mound. 3. Replace any other failing components as needed. P.O.W.T S. Conditionally ,� APPF-,n0 V E Byron Bird Jr. E r 0 OMM E DIVISIO AfE AN DIN 7 #228527 �� Z SPOND N CB CORRECTION NEEDED C - I SEE CORRESPONDENCE C Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 4. Once every 3 years the at- grade is to be inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. The owner agrees to save this plan. Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, then bypass pump float and try pump with out float. If this works, float is bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer rock, remove bio -mat, replace removed sand, reinstall pipe and rock, recover mound. 3. Replace any other failing components as needed. P.O.w.T.S. Conditionally Byron Bird Jr. T YI C 0Y AS #220527 SEE CORRESPOND NCE CORRECTION NEEDED SEE CORRESPONDENCE L C1,2 'e "A" ,� �� I 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 Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and pennhs for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsits Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Desi n Specifications Sanitary Permit Number Number of Bedrooms Design Flow -Peak (94) Estimated Flow - Average y 5� Septic Tank Capacity (gal) �cya Soil Absorption Component Size (ft) in of Wastewater Domestic Table 2: Soil Absorption Co mponent • Limit of Reliable Operation Septic Tank Component Soll Absorption Component Design Flow - Peak ( pd) -7 -- Maximum Influent Particle Size (in) NA 1/8 Maximum BOD (mg /L) NA 220 Maximum TSS (mg/L) NA 150 Maximum FOG NA 30 Table 3: Maintenance Schedule Septic Tank Inspect and /or servleo once every 3 years Outlet Filter Should Inspect once a year and clean once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks " under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an Impending continuous alarm. The septic Management Plan for a Septic Tank and Soil Absorption Component tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. if the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation In the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 84nehes in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being In full compliance with OSHA standards for entering a confined space. The atmosphere within -the septic or other treatment of holding tank may contain lethal gases, and rescuo of a person from the Interior of the tank maybe difficult or impossible. Tank abandonment shall be In accordance with Comm 8133, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component 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 the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing - 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 any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be Identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage 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. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more Intense, and earlier, organic clogging of the soil. Plantings of deep - rooted trees and shrubs directly over or within ten feet of the component should be avoided since root Intrusion into the component may obstruct wastewater flow. PLOT PLAN PROJECT Steve Bethke ADDRESS 1923 190th St. New Richmond WI 54017 SW 1/4 SW 1 /4S 25 /T 31 N/R 17 W TOWN Stanton COUNTY ST. CROIX MPRS Byron Bird Jr. 220527 DATE 9/27/00 BEDROOM 3 CONVENTIONAL IN- ( ROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND X)m SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 375 # of chambers IL BENCHMARK V.R.P. Top of Walkout Slab ASSUME ELEVATION 100' ❑ BOREHOLE O WELL «H.R.P. Same as Benchmark SYSTEM ELEVATION 102.0 190th St. Please note: errors that were found on the original soil test were fixed on this plot plan. Tanks are to be properly bedded with 150' approved warning System is to be installed labels and lockdown along the 100.3' contour line covers 101.0 Existing 3 B-3 Bedroom House Well B.M. 101.0' B-1 98.5' Weeks 0 Existing System is ST to be pumped and 6% 150' buried Zabel A -100 98.5' Slope filter Area 15' Below ST system is to P.L. remain CORRECTION NEEDED y stem 100' undisturbed Failed S SEE CORRESPONDENCE O B -4 Property Line I I Designer '` aJd so? r Date t q 'eZ ��� k" Observation Pipe Perforated Non -Woven Filter Fabric Below Filter Fabric ,Distribution Pipe A.S1li C -33 Sand ' " Topsoil N G �' % Slope Bed Of J4- 2;t Forct Main �PIawed Drain Rock From Pump Loyer 7 _Cress Section Of A Mound'System Using , E A Bed For The Absorption Area F ' S .� G A 6 Ft. K 6 7 FL. t. Ft. K. �3 ,S Ft. CORRECtION • NEEDED oo• �6 Ft. SEE CORRESPONDENCE t. ebbservotion Pipe as A W ut ( o - - -- -------- - - - - -_ - i Force Main c •— - -- ---- From Pump d Distribution Bed Of � 2 Pipe Drain Rock 4 Observation Pipe Permanent Morker Pipe or Rods Pion View Of Mound Uting A Bed For the Absorption Area �S > PAGE_or Perforated pipe Detail 1 i Eng View Pertoro +eo �/ PVC Pipe Iloilo LOCated On 4 10110 m , n Art Egweny $POeea !v' 1 V r } P a S f . PVC force Main I f f IAST 14OLL i4sxT T e ca+nec i , on PVC Monifow Pipe h w 0/ Ole, Oiflrioulon _ Pipe 4 7 A — �/ns ' � � Distribution Pipe Layout p 73 Ft R 3 Fj, X In Y inches Signed: 3 Hole Diameter � /C Inch License Number: ��ds- ;7 Manifold '" o, 2 Inch(es) --- -- Manifold Inches Date: �- Force Main " oZ Inches of holes /pipe3d? Invert Elevation of La terals [o��7 Ft. i PL,1'hP CHP�MGER CRO55 SCCTtQi•; �ta�, ��fCIr;CA'PIOA)� VCUT CAP I WEATHERPKOOF APPROVED LOC.KiMe. ? . BOx j MAKIHO COVER �rti;AOw OR I'RGS� ,wa JN 7AKE II GRA DE 4 MW. f l j cG►JpuIT fglL, �-- IAJLCT AIRTI:.NT lCAL I t ALA D � 1 *APPROVED I ! o+J JOINTS WITm C:EV. FT APPROVED PIPE I r 3' ONTO 'unP y pfr 0 SOLID SOI C ODIC RETE 61.0iCK RISER [XJT 0CKA17rrw OA.ILV IR TA►JK ftNmjUFACTWRCR HAS SUCH APPROVAL. SEPTIC , I � S / �_ap1 alLp 00s it � , liia =ANK% MAkJUIFACTLJRI`R: WUMOER OF O �"------ � s Es : PE OAS TANK SIZE iv GA1..L.OWfi Rost V At. �R.M MAWI�ZFACTIJRCIt: �4', / �,.v �AICLtJRJI�IG OACKiI.OW; �`-� MOOCL WUM&CK: awlTCti TYPE; CAPACITICSt A u 42�1 WtAts OR S 6 GALLON* au P �"!AIUUPACTi.IR[1t' "'a IS * ititNts OR GALLOIJS C ��AJi�1tf 0R �:�.LG.. J3AI.LOAJa MODEL NUMQt£R: aWIT IN{CFIES OR . 0ALLW CH Twpc: .��1 /Gnu 401 1i PUMP AND ALA a I•, ARE TO &t r"1 DISCHAROC RAT>f �� 't,� INSTALI. 0 OW SEPARATE CIRCWTa VtRTICAt CIFFgKCAtC DCTWCCAI P u"M OFF AND DJSTRIl%UT!oW PIPE.. POET + " — UM NETWORK SUPPLY P ESStJRE .. . 4 *QZ4L FEET o FORCt MAIN , �J '�,� . --Z FCC X r-& f /Ipp FRFRICTIOLI FACTOR.. / ff<�T TOTAL 0WAMIC. HEAD :a I r__ c 11;Tr,tAJAL OF TAAJK: LEAJGTM / — ...�....�....;WIDTH .. ;LIQUID DEPTH s'1 UcC� ! � I • s.ICCAl!t' " i Performance Data 40 30 Pump Characteristics Meter volt Sebmersme 1 2° I Matted Models SM40M1 SHEF4OM2 (+ I' , Adomalk Models SNEF4OA1 SN1F40A2 1 Hor 4/10 Fun load Amps 12 1 6.5'"� Motor TM Shaded Pole (4 Pak) ° R.PJN" 1550 10 20 30 40 50 60 70 Phase 10 GPM V 115 1 230 Total Head (feet) 10 14 17 21 25 28 30 33 Hart: 60 e 120' F Max. Fluid Temp, (m) 3.0 4.3 3. 6.1 7.6 -- I f. S — 10. 7 NEMA OWp A GPM (US GPM) 70 60 50 40 30 20 10 0 lawlottoa Class A (liter 4.4 3.8 3.2 .3 1.9 1 T .6 0 a She 11 / rNPT Dimensional Data SMS 3/4 w 28 lbs. " 6-H' (1 88 .27) 1. AB dimensions in inches. (Metric for Power Cord 18/3, SJTW, 20' std, s• cta� international use). (30 '� tonal) 3 7/8• 2. Component dimen",iotr may Materials of Construction t var 1/8 inch. Ha tahtkss s ke 3. Not for construct m purpose 3 7/8' ? DI$�HAFlOE (98.42) , 1- !2" NPT Unless Certified. Meta' H Celt Iron �— -- ° cs r 4. Dimensions and weights are P" s2ft fast Iron approximate. Sbdt Steel it lad Seal Ems: Cuba+ /taamk y 5, We reserve the right to make Shah Seat Sea! Body: Anodized Steel rers�a n4 11) Our pro duct and their SprNgt.Stattdess Steel Specifrotaorts without n0 +ice. En ittedred Thermo astk Law . R eatl Bettettc Matte P star footed StrleF y" .�, SteR - .�t Sti �te� i � \ �h v�; f �. y, •y. . °" .,,1'�, � 'i'\`'� C� ..! 1�1r�pp w l 1998 romatk" Pumps, Ashland, C%ir. All Right, Ressxwd. HYDROMATIC ® — Your Authorized local Distributor - 1640 Boney Rand Ashland, Ohio 44805 Tel: 419.289.3042 Fax: 419 -281 -4081 1 7— Web Site: www.pentairpump.com SALES OFFICES IN ALL MAJOR CITIES AND COUNTRIES 8 v�' ' a r e Refer to "Pumps' Nr the yellow poi es of your phone directory for your local Distributor Item #: W 02 6680 1 198 5M ' J Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code _ County Attach complete site plan on paper not less than 81/2 x 11 Inches in size. Plan must include, but not limited to: vertical and horizontal reference 8 M), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and d to nearest road. CJ Please print all In crib own � - Reviewed by Date Personal information you provide may be used for ry pu "*'t5* (1) (m))• 11 0 ^ 23— CO Property Owner - ProperIV Location �J t lj -? ;; r ��: .,, Govt- ♦t�� 1/ 1/4 Sa, T N R ` E Property Owner's Mailingg Address �L ` . �(,C Lot Block # Subd. Name or CSM# c,� ✓ � / !�/ COUr TY� City State Zip Code N ICE ty E] Village QTown Nearest Road ❑ New Construction Use Residential / Number of bedrooms Code derived design flow rate GPD Replacement ❑ Public or corrynercial • Describe: Parent material �/ / ��5 Flood Plain elevation If applicable ft. General comments an ecommendations• F-1/ Boring # ® Boring ❑ Pit Ground surface elev e ,, *' I dW- 7 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 O S�� Boring # Boring Pit Ground surface elev. — &,2 ft. Depth to flmiting factor in. Soil Application Rate Horizon Depth Dominant Colorl Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 a • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L • Effluent #2 = BOD, 130 mg/L and TSS < 30 mg/L CST Na (Please Print) / Signatu CST Number Add s Date Evaluation Conducted Telephone Number Property Owner �` E yJ L Parcel ID # Page of © Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 © Boring # Boring ❑ Pit Ground surface elev. ��S - / ft. Depth to limiting factor – _.,Z�h . Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Cow'stence Boundary Roots GPDW In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. •Eff#1 •Eff#2 G Boring # ❑Boring ?' — ❑ Pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. MunselI Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 i. Effluent #1 = SOD# > 30 < 220 mg/L and TSS >301.150 mg/L • Effluent #2 = BOD 130 mg/L and'rSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistancte to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD4330 (R6✓00) Soil Test Plot Plan Project Name Steve Bethke Byro A ddress 1923 190th st New Richmond W i. 540 17 CSTM #220527 Lot --- Subdivision --- Date 9 /25 /Oc2 S W 1/4 S W 1/45 T 31 N /R W Township Boring Q Well PL Property Line Count S._ T._CROIX kwor VRP Assume Elevation 100 f top of walkout slab System Elevation 99.9 H.R.P. same as BM 190th st 15(' driveway PL 100.7 B mound garage 3 bed house 98.9 a * azea B 45' B 2 45 60' 6 % slope s 7-- 100' faild drain field B4_ . PL Wisoonsln Department of Commerce SOIL EVALUATION REPORT Page of "Division of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 81/2 x 11 Inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. C> .3 -- 105 Please print all Information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Low, s. 15.04 (1) (m)). Property Owner Property Location GovL Lot 1/45 1/4 S , TT N R ( E Property Owner's Mailing Address Lot # Subd. Name or CSM# 1 , 01ock# .z �6 City State Zip Code Phone Number ❑ City ❑ Village Town Nearest Road ❑ New Construction Use0 Residential / Number of bedrooms , 3 Code derived design flow rate J GPD Replacement ❑ Public or eerrd�al - Describe: Parent material /�h / i .�Z Flood Plain elevation If applicable ft. General comments and recommendations: F-/1 Boring # Boring ❑ Pit Ground surface efev z ft. Depth to limiting factor l in. Soil Application Rate Horizon Depth Dominant Color Redoc Description Texture Structure Consistence Boundary Roots GPDW In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 y G X -6 _ - 41 I! Boring # Boring Pit Ground surface elev. � fL Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont-Color' Gr. Si: Sh. •Eff#1 •Eff#2 a - / a d 4 foe • Effluent #1 s SOD > 30 < 220 mg& and TSS >30 _< 150 M91L • Effluent #2 s SOD, 30 mg/L and TSS < 30 mg/L CST Na (Please Print) / SlgnaW CST Number Add s Date Evaluation Conducted Telephone Number t 1 I w Proaerty Owner J y 4T4 /t Parcel ID # Page of Boring # Boring ❑ pit Ground surface elev. / ft Depth to limiting factor Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description . Texture Structure Consistence Boundary . Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz: Sh. 'Eff#1 •Eff#2 r 171 1 Boring # Boring 1.5 = /�/ ❑ pit Ground surface elev. X / ft. Depth to limiting faftr - - L in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consstence Boundary Roots GPD1ft In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 — �- - f F-1 Boring # ❑ Boring ❑ pit Ground surface elev. R Depth to limiting factor In. F sollApplication Rate Horizon Depth Dominant,Color Redox Description Texture Structure Consistence : toundary Roots GPD/ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 >i Effluent #1 s ROD, > 30 < 220 mg/L and TSS >30 <.150 mg/L • Effluent #2 = BOD, < 30 mg/L and`TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R6100) t a ' o Soil Test Plot Plan Project Name Steve B ethke Byron B'rd Jr. Address 1923 190th st New Richmond W i. 5 4017 CST #220527 Lot - -- Subdivision - -- Date 9/25/0 SW 1/4 SW 1/45 T 31 N /R W Townshlp E] Boring Q Well PL Property Line County ST. C ROIX ,BM or VRP Assume Elevation 100 ft .top of wa lkout slab System Elevation 99.9 H.R.P. same as BM 190th st 1 ' driveway Pl 100.7 garage _3 bed house 98 .9 r .3 mound area '� ✓ B M. 45' B 2 60, o slope 45' S /SV 100 faild drain field PL ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the ✓�� «t ,/j residence located at: Section , ; 2 � T_,�Z N, R Town of Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced: Did flow back occur from absorption system? Yes CZ No (If no, skip next Line) Approximate volume or length of time: /;� gallons minutes Capacity: Construction: Prefab Concrete. __ Steel Other Manufacturer: (If known): W �. Age of Tank (If known),: (Signature (Name) Please print J� t s< '�„�� ), 5 a-> (Title) (License Number) Date Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR 83, Wis. Adm. Code (except for inspection opening over outlet baffle). Name Signature P /MPRS ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer Mailing Address Property Address ( erification required from Planning Department for new construction) City /State �f Parcel Identification Number a LE GAL DESCRIPTION i'i Location ;o!��V- `` /a, 1 /4, Sec , T��N -V; W, Town of n � -- Subdivision ��� , Lot # _ Certified Survey Map # 3 �� , Volume ,: , Page # Warranty Deed # y ` , Volume ,Page # Spec house ❑ yes J( no Lot lines identifiable,R yes 0 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 nk as a treatment stage to 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 rniastcrplumber, 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 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set fortli, 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 expikation date. _ r -. Aa / / SIGNATt lR 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 proper described above, by virtue of a warranty deed recorded in Register of Deeds Office. vitio SIGNATURE OF APPLICANT 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 • ► DOCUMENT N0. STATIC BM OF rt1iCCMffl� ' � x� - - OUlT a� Ott r ), r r iro 557 294 TMii SPACE RE8Et1vi0� REGtSI'ERS OW.j BY THIS DEFI), Christian A. _B 0thk9_ _ I ST. CROix Co.. voy Grantor . Reed. for Record ft_ quit- claims to S teven Bethke der of July /tp: 1 411 I i Grantee ' .r uahle cone d ration One Dollar and other t( valuable consideration the folfowtng dr,.- nv:• ,eat estate rn - -.$ t_ CROIX C „ unty, Stott Wisconsin:;___ 1 RETURN TO i REINSTRA 6 VAN DYX, S.C: X01 South Knowles Avenu ;� _ - New - RichmoncT. - 3�f I Tax Key This is_n9t'— homestead proporty. That certain parcel of land located in the SW 1/4 �' of the SW 1/4 of Section 25, Township 31 North, Range 17 West, Town of Stanton, St. Croix County, Wisconsin, more fully described as follows- Beginning at a point on the West line of said SW 1/4 of zt Section 25 a distance of 1328.98 feet South from the West 1/4 corner �I of said Section 25; thence go South 88 22' 00” East a distance of y� 390.00 feet; thence South parallel with said West line of the SW 1/4 a distance of 279.35 feet; thence North 88 22' 00" West a distance of 390.00 feet to the West line of said SW 1/4; thence North along said West line a distance of 279.35 feet tc the Point of Beginning, I� the above described parcel containing 2.5 acres, more or less, I including the Westerly 33 feet thereof presently used for Town Road purposes. si j TRANSFER i $�.S y FEE • _ this _ a of Al , 19 77 . Executed at _ _ New Richmo WI 24 �-- � y - - - -� II I SIGNED AND SEALED IN PRESENCE OF 1 i f (SEAL) Christian A. BetAke l (SEAL) (SEAL) - -- -- -- - - -- (SEAL) Signatures of i authenticated this __._ -- day of ____ -. —_ —. - - - -• t —• Title: Member State Bar of Wisconsin or Other Party I Authorized under Sec. 706.06 viz. STATE OF WISCONSIN ST. CROIX county. ss' Per;ona!lr' ...i,A before me. this -_ ..____ _. __ - - -- day of - --- y 19`. - -- -' the abn.E ri,-._ to me known to he the ,,t rson_____ who executed the foregoing instrument and acknowledged Ote some. This instrument »as drafted by - YVonne Kuhn I' REINSTRA & VAN DYK, S.C. Notary Public St. Cr o ix County, W1a tj - Wed — Richmond I }l my Commission (Expires) J une 1, 198 { The use of witnesses is optional. ,� J} if tP'id !� of persons signing in ani capacity should be typed or printed below their signatures. (� it KCIWItrC7wOrq FI QUIT CLAIM DEED - STATE BAR OF WISCONSIN. FORK NO. 3 - 1971 339694 CERTIFIED SURVEY MAP NEAL KRUMM Part of the Southwest 1/4 of the Southwest 1/4 of Section 25, Township 31 North, Range 17 West, Town of Stanton, St. Croix County, Wisconsin Q 4.fi W Vq- Coin. SE<. 2.5 -T 31 N- Rl7W SouTH 1328.98 33 33I 5 aB ° 2200" E 390. GO . N N M M O r � N � AG2ES � 0 0 �z 4 i I 33 I .3 90.00 0 Indicates 1" x 24" iron pipe stake weighing 1.13 #ift. Description: That certain parcel of land located in the SW 1/4 of the SW 1/4 of Section 25, T 31 N, R 17 W, Town of Stanton, St. Croix County, Wisconsin, more fully described as follows; Beginning at a point on the West line of said SW 1/4 of Section 25 a distance of 1328.98 feet South from the West 1/4 corner of said Section 25, thence go S 88 22' 00 " E a distance of 390.00 feet; thence South parallel with said West line of the SW 1/4 a distance of 279.35 feet; thence N 88 22' 00" W a distance of 390.00 feet to the West line of said SW 1/4; thence North along said West line a distance of 279.35 feet to the Point of Beginning, the above described parcel containing 2.5 acres, more or less, including the Westerly 33 feet thereof presently 9Lsed for Town Road purposes. State of Wisconsin ) St. Croix County ) I, James L. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Neal Krumm, I habe surveyed and divided the lands shown hereon according to official records and in accordance with provisions of Chapter 236.34 of the Wisconsin Statutes and the St. Croix County Ordinances; and that the map and description shown hereon are a true and correct representation thereof. \\� o a n m u n ► I r n n, , ,, / / / � , , , Dated: 18 February 1977 Vol 2 Pa e 362 Certified Survey Maps F . St. Croix County Records �am�s L. ��.1 �� 'LED w St. Croix County, •Wisconsin egia @tad %and Z or! app 28 IN RIVER FALLS, ;';tj & a r� n m��a"`� 4 9 " P A EAN' f � FOP, DO NOT �-nEAN' APHOVAL F Os, SPCC SYSTEM REFO TO H62.2 APPROVED Volume 2 Page 362 APR 2 7 1977 ST. CIOiX COU. COMP :ENeNSIVc PARKS PLA NNINIS AND ZONING COMMITTEE i WI FUND APPLICANTS - 2001 Invoice attachment 11/9/01 Date Applied Applicant Address Amount Due 12/12/2000 Bethke, Steven R. 1923 190th Street, New Richmond WI 54017 $4,087.00 06/28/2000 Bos, George O. 2299 200th Avenue, Deer Park WI 54007 $1,527.00 11/15/2000 Erkeneff, Nick 2310 200th Avenue, Deer Park, WI 54007 $4,550.00 11/29/2000 Haworth, Helene 316170th Street, Hammond WI 54015 $5,314.00 06/12/2000 Jensen, Lester A. 293 310th Street, Wilson WI 54027 -2703 $5,250.00 11/03/2000 Lokker, Paul 857 220th Street, Baldwin, WI 54022 $4,325.00 07/05/2000 Radigan, Mary Ann 2264 205th Avenue, Deer Park, WI 54007 $2,164.00 10/03/2000 Simmon, Stephen 1156 County Road D, Glenwood WI 54013 $5,475.00 09/10/2000 Swanepoel, Joe /Lekme, Trisha 1977 County Road P, Glenwood WI 54013 $2,300.00 12/18/2000 Stoner, Gaylord 799 Highway 64, New Richmond WI 54017 $5,054.00 $40,046.00 i i i ST. CROIX COUNTY WISCONSIN ZONING OFFICE M�r�i ST. CROIX COUNTY GOVERNMENT CENTER �INMI INIIN� -- 1101 Carmichael Road v Hudson, WI 54016 -7710 (715) 386 -4680 Fax (715) 386 -4686 NOTICE OF VIOLATION October 4, 2000 I STEVE BETHKE 1923 190TH ST. NEW RICHMOND, WI 54017 RE: Failin g septic stem at 1923 190th St. P Town of Stanton - St. Croix County, WI Computer # 036 - 1059 -95 -000 Parcel # 25.31.17.383D Dear Mr./Mrs. Bethke: As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of § 254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and Article 15.04 of the St. Croix County Zoning Ordinance. This system has failed under the defmition in § 145.245(4)(b) Wisconsin Statutes (Category 1). This violation was first noted on . The violation noted is sewage failing to zone of saturation. An on -site soil test inspection on 10/4/00 did reveal the septic effluent discharging to the zone of saturation in the immediate area of the existing drainfield. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed as of 10/4/00 in accordance with Chapter 145.12(4) Wisconsin Statutes. THE FAILING SANITARY SYSTEM ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS AND NEEDS PROMPT ATTENTION. REQUIRED ACTION: You have already contracted with a certified soil tester to have a soil evaluation conducted. The soil evaluation has determined that a mound type septic system is needed and its location. Contract with a licensed plumber, who will design the septic system and obtain a sanitary permit through this office. The septic system must be installed no later than May 1, 2001. If you have any questions or concerns that I can address for you in this matter, please feel free to contact me. I look forward to working together to resolve this matter. Sincerely, evin Grabau Zoning Technician cc: file Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 Virsconsin n www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 11, 2000 CUST ID No.220527 ATTN.- POWTS INSPECTOR ZONING OFFICE BYRON BIRD JR ST CROIX COUNTY SPIA 896 68TH AVE 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Identification Numl rs PLAN APPROVAL EXPIRES: 10/11/2002 Transaction ID No. 442205 SITE: Site ID No. 200280 STEVE BETHKE - RESIDENCE Please refer to both identification numbers, ST CROIX County, Town of STANTON; 1923 190TH ST above, in all correspondence with the a envy ; SW1 /4, SWl 14, S25, T3 IN, R17W FOR: Description: MOUND SYSTEM / 450 GPD Object Type: POWT System Regulated Object ID No.: 766038 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. On page 4, based on the ground elevations provided, the slope in the mound system area is actually 8 percent. 2. On page 5, I =15.69 feet and W = 32.49 feet. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation/operation. Inquiries concern g this correspondence may be made to me at the telephone number listed below, or at the address on this letterhe Siervices DATE RECEIVED 10/02/2000 ' FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 P A EL , P WTS LAN REVIEWER II BALANCE DUE $ 0.00 I (608)266-2889, M - F, 0745 - 1630 HRS PEPAGEL @COMMERCE.STATE.WI.US 1MSN II d ler. cc: STEVE BETHKE Maintenance and Contingency Plan for a Mound System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Dose Chamber is to be pumped at the same time as the septic tank. 3. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the fiker: 4. Once every 3 years the at -grade Is to be Inspected via the inspections pipes in the at- grade. The laterals are to be inspected via the cleanouts. 5. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 6. Pump and electrical components are to be checked at the time of the pumping. 7. The owner agrees to save this plan. Contingency Plan 1. Pump alarm goes off, call pumper and pump out dose chamber and septic tank if needed, n i i ed d, the bypass pump float and try pump with out float. If this works, float s bad, replace float. If pump still does not work, check power at the pump with a electrical device such as a hair dryer. If no power, check breaker inside house and call a electrician. If there is power, then pump is bad and needs to be replaced by a plumber. 2. If mound fails, determine cause of failure, test another area or remove pipe and sewer rock, remove bio -mat, replace removed sand, reinstall pipe and rock, recover mound. 3. Replace any other failing components as needed. P.O.W.T.S. Conditionally APP OV Byron Bird Jr. DE AR E T 0 OMM E DNISIO AFE AN DIN #220527 E CORRESPOND NCE CORRECTION NEEDED SEE CORRESPONDENCE 2 PLOT PLAN ADDRESS PROJECT Steve Bethke 1923 190th St. New Richmond Wi 54017 � SW 1/4 SW 1/4S 25 /T 31 NCR 17 W TOWN Stanton COUNTY ST. CROW MFRS Byron Bird Jr . 220527 ��. DATE9 /27/00 BEDROOM 3 CONVENTIONAL IN. GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND X000( SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 375 # of chambers BENCHMARK V.R.P. Top of Walkout Slab ASSUME ELEVATION 100' ❑ BOREHOLE O WELL •H.R.P. Same as Benchmark SYSTEM ELEVATION 102.0 190th St. Please note: errors that were found on the original soil test were fixed on this plot plan. Tanks are to be properly bedded with 150' approved warning System is to be installed labels and lockdown along the 100.3' contour line covers 101.0' Existing 3 B-3 Bedroom House Well B•M• 101.0' B -1 98.5' Weeks 13 Existing System is DT 150' to be pumped and $T 6% buried Zabel A -100 98.5' Slope filter Area 15' Below ST system is to P.L. remain CORRECTION NEEDED 100 undisturbed Failed System SEE CORRESPONDENCE B -4 Property Line C � Wiscorosln Department of Commerce PRIVATE SEWAGE SYSTEM am Coun Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar¢eermit No.: Pervonat information you provice may be used for secondary purposes [Privacy Law, s.15.o4 (1)(m)). 370350 Permit Holder's Name: 0 City Village 13 VDwf%Of State Plan 10 No.: Bethke, Steve Stanton Township Mws /,p* = 4 1 1 {ZZOS - CST SM Elev.: Insp. BM Elev.: BM Description: Parcel Tax Nn 1AA� 036- 1059 -95 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic L p o p Benchmark G to`t� (cot r Dosing W.ce S � Alt. BM A& Aeration Bldg. Sewer qvi.5 Holding St / Ht Inlet Ioq{ %b r :7. ez TANK SETBACK INFORMATION St/ Ht Outlet $.I(e �•f. r TANKTO P/L WELL BLDG. Ventto ROAD Dt inlet Air Intake Septic Sd 1 > S"D :), NA Dt Bottom /. (oo T3. Zo Dosing >-Vn �80' $,5" x.35 NA Header /Man. �-9° 1 0Z .10 Aeration NA Dist. Pipe 2 ' I )oZ • :To Holding Bot. System $° p' PUMP ' /SIPHON . INFORMATION Final Grade Manufacturer d h xA v Demand St cover Model Number 1 5 O �0 GPM a vt, �.jp joq.9D I Cb. o .o TDH Lift a.'1.D Friction 3.o System2, TDH �� Ft i FFif q• Forcemain length r Dia. 2 " Dist. To well SO ABSORPTION SYSTEM - Q3 W/V9@ffH Width r Length No.0 PIT No. Pits Inside Dia. Liqui h DIMENSIONS 6 a) DIMENSION Man rer: SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING INFORMATION - Type O / 1 r CHA Moe Num � System: l a > g -- NIT DISTRIBUTION SYSTEM ' 5t& Cw* W -0-- Header /Mani bld a Distribution Pipe(s) Hole d x Size x Hole Spacing Vent To Air Intake Length rt7 Dia. 2 Length 73 / � Dia. 2 Spacing 36 3 �� /1 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only _ Depth Over Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed / Trench Edges Topsoil ❑ Yes ❑ No ❑Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) 0) Q(w,.)) t Inspection #1: 11 / M / OD Inspection (/ l ° / 00 Location: 1923 190th Street New Richmond, W1 54017 (SW 1/4 SW 1/4 25 T31N R17W) - 253117383D 1.) Alt BM Description= ;;Ii (A) q. 5 .5 2.) Bldg sewer length= z O f ount of cover= ? — c0J"J & iT* " ,,II ' 3.) contour — (loo• v ) 5 "A- � `C 'ft I `(. Pfan revision required? ❑ Yes a No � 2 Use other side for additional information. ll 2 SBD -6710 (R.3197) Date Inspector's Signature Cert . No. Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 isconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 11, 2000 CUST ID No.220527 ATTN.• POWTS INSPECTOR ZONING OFFICE BYRON BIRD JR ST CROIX COUNTY SPIA 896 68TH AVE 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/11/2002 Identification Numbers Transaction ID No. 442205 SITE: Site ID No. 200280 STEVE BETHKE - RE'SIDENCE Please refer to both identification numbers, ST CROIX County, Town of STANTON; 1923 190TH ST above, in all correspondence with the agency. - SW1 /4, SWI /4, S25, T3 IN, RI 7W FOR: Description: MOUND SYSTEM / 450 GPD Object Type: POWT System Regulated Object ID No.: 766038 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. On page 4, based on the ground elevations provided, the slope in the mound system area is actually 8 percent. 2. On page 5, I =15.69 feet and W = 32.49 feet. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation/operation. Inquiries concerning this conespondonce may be made tome at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 10/02/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 9RE AG EL , O S Pi REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266-2889, M - F, 0745 - 1630 HRS PEPAGEL @COMMERCE.STATE.WI.US WiSMARTIcode: 7633 cc: STEVE BETHKE