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036-1079-40-000
631,— /679— c716 060 RECEIVED 5,, 31, -7, 6 JUN 2 3 2014 ST.CROIX COUNTY :,OMMUNITY DEVELOPMENT FIELD INSPECTION & SERVICE REPORT INSTALLATION AUTHORIZED SERVICE PROVIDER acs Installation Address: /S�(o,3 �S`�,4Ve e�,� Name:/�',E�:/ S; eEva/�ca�rv►-rS L1.0 Owner Name: 7 77 Pz,&,Cf Street: Mail Address: 43� ,t�,,ce, Mail Address: �r ck.n�►d, w/. SY017 3�0 �►'la Gh. �d cep/ i i city SC �A State Zip 530?-d C State Z Phone��j$1'f!(,j/(� Fax Phonp , Fax e-mail e-mail INSTALLATION INFORMATION Model No. Blower Brand and Serial No. Date of Installation Date of last pump-out [4J Po Size l=T. .O. G� o EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS— OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel(s) Visual Alarm Operating G 3 — 4 Audio Alarm Operating (if resent) Blower (s): Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Units Unusual Odor System Vent Pum out Required: _ Primary Settling Zone Aerobic Treatment Zone ` EFFLUENT: LIMIT RESULT Estimated Daily Flow SO n "Jn I-1 Standard Units 6-9 SXf. Color Clear e5 Temperature Dissolved Oxygen effluent 2 m /L Odor Slightly Musty odor not OWNER SIGNATURE TE NICIAN SIG RE SERVICE DATE 7 1 0310-- /O77- 1./D-aoxp 31, 3), ) 7. ��5r 46 IV • FD NOV 04 2013 '' `' O'X courvn. FIELD INSPECTION & SERVICE REPORT INSTALLATION AUTHORIZED SERVICE PROVIDER r•�I Z-,tes (�sr,-, 13.4.4. Installation Address: /S163 eS`-eA�e•, 11,44,,�L�,n,a/Name:A/e.E.52;/ If S;ie EVa/c. �irrr-,S, (-Lc i Owner Name: —risen 1/1/0.-744./ /iac..tr Street: Mail Address: Mail Address Se,n . �. N isc�C..,o,',d, OA S'O/7 340 • City State Zip City QSCed(A State)/• Zip 53/0.20 Phone(y/''.J'`f�G-J/6) Fax Phone .(-7(gj 20'7x7 Fax e-mail e-mail INSTALLATION INFORMATION Model No. Blower Brand and Serial No. Date of Installation Date of last pump-out u 1-i/-P70 Size I-T. 43.°. G C/.0-0f/ EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS- 4 OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel(s) Visual Alarm Operating 1/ r/.Audio Alarm Operating drjl earrilfi-4.-K-eel (if present) I t fl cirr,�m�Blower(s):Air Inlet Filter Clean t� 4 e '". • I i -/ Blower Hood Vents Clear r/ 3 . , ,;' ♦ / - - . '/Urn- yiUm------ Excessive Noise f . - - - / - , Excessive Vibration r✓ / Treatment Unit(s): Unusual Odor _ilk/ System Vent Pumpout Required: Primary Settling Zone ,I AZ_ u). r eu i Aerobic Treatment Zone � /,_, ' EFFLUENT: LIMIT RESULT e { Estimated Daily Flow 5/$O�N (..et e/ 42040i? pH (Standard Units) 6-9 S. Color Clear _ gl 1 i Temperature Dissolved Oxygen (effluent) 2 mg/L Odor Slightly i Musty odor ■ (not septic) { OWNER SIGNATURE 1 TE -INICIAN SI ■ •.TURF I SERVICE DATE 20./3 1,2.x, - /�- CX� h 0 d O n _ c Co 00 �o O O �cL E l0 �p N c c � O x y O v, 3 c - m C U C J W tl - v W O d ) N N U .O-.._ O 'Q A _� N o, 5 21-W Y 3 a co CL MO l N rL E m T U O 0 0 O o2S a Z �O N_ N �� C 'C (n I� C n I c Z .X �� �> v m 0 LL c - LO W 'O U> N O O N X N C y— y O LO r Ij 3 4 a) °Ht� �' EQI-Q m M �f Q Zr w is j, d w N W I; e y N O Z a O N � \ m U) N W _ N N j OVA to O LL a. 0 Q I 0 m 0I _ E " ",.m 06 O a Y Ln N (w I •� _ E a a a a cc ►� a � I ' O N = O N N O 'o m C Of w M O 0 l et W C O r �O a c E CD c o rO ` co O j E N C w o v n. S O O V _ a s N Q N O0> r F- c £ E C d M 0 to 1�1 M CO ♦+ _ F- I- C N M t a �> °O O u, E E ro v CL .. 7 •V I -,; :: d • a �> c j. c A Ua2 I00)U RECEIVED FIELD INSPECTION & SERVICE REPO T JUL 2 2 2008 ST. CROIX COUNTY ZCNING OFFi E INSTALLATION AUTHORIZED SERVICE PROVIDE Installation Address: l Name: X C. SO ^ ✓��t`�/S Owner Name: /,S — T Sari 3002/ Mail Address: Mail Address: i 3 YS�i4�Q 3'4 A�lsm C4Let Lure City de, J le - 4-Z m d Stated /. Zip 5 city S' StateuJ/. Zip 5 Phone ( -11 Fax Phone/9/Sj2q.8. Fax e -mail e -mail INSTALLATION INFORMATION Model No. Blower Brand and Serial No. Date of Installation DattSf last pump -out aLIL - >- /o Size TQ EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS - OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel (s Visual Alarm Operatin Audio Alarm Operating (if resent Blower(s): Air Inlet Filter Clean Blower Hood Vents Clear Excessive Noise Excessive Vibrat Treatment Unit(s): i Unusual Odor Svstem Vent Pum out Required: Prima Settling Zone Aerobic Treatment Zone i EFFLUENT: LIMIT RESULT Estimated Daily Flow " H Standard Units 6 -9 S.U. Color Clear Tem erature Dissolved Ox en effluent 2 m /L Odor Slightly Musty odor not septic OWNER SIGNATURE TECH ICIAN S TURE SERVICE DATE ,Oc% FIELD INSPECTION & SERVICE REPORT INSTALLA AUTHORIZED SERVICE PROVIDER Installation Address: Name: Owner Name: /S 5:.? :.� S 3609.,' Mail Address: Mail Address: /�� p�s'�,.4de, 3SL0 �Oa,sytsd► -� l�.f"e (..o.�,e City L IC /'c li„ olState1 -_)1, Zip S city DS'c -ca Ga StateLZI. Zip S3c626 Phone(7ly�.Zo - 3/60 Fax Phone (71r1�- '1 e -mail e -mail INSTALLATION INFORMATION ;lode! No. Blower Brand and Serial No. Date of Installation Date of last pump -out Size T 6. o. Apt v_L - F/o n c. a 9f' s/o 5 - 1 0 Jl EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS - OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panel (s Visual Alarm Operatin Audio Alarm Operating (if resent ) � Blower(s): Air Inlet Filter Clean Blower Hoo Vents Clear Excessive Noise ` , -�, u..► GE�7�rr - Excessive Vibration Treatment Unit(s): Unusual Odor $d es cYq System Vent er Pum out Required: Primary Settling Zone .Aerobic Treatment Zone EFFLUENT: LIMIT RESULT /' le, — vim op I Estimated Daily Flow $ H (Standard Units ) 6 -9 S.U. CI d' e u cyr� Color Clear Temp erature Dissolved Oxygen effl 2 m L Odor Slightly i Musty odor not se t' OWNER SIGNATURE TEQhNICIAN S URE SERVICE DATE r T L a b Commercia o ra t or � , Inc. 514 Main Stree WWW.CTLCOLFAX.COM t , P.O. Box 526 Colfax, Wisconsin 54730 Phone: 715 - 962 -3121 Phone: 800 - 962 -5227 Fax: 715 - 962 -4030 ANALYTICAL REPORT Jinn Thompson A.C.E Soil & Site Evaluations Report Number: 06017182 page: 1 Report Date: 7!16/08 340 Paulson Lake Lane Osceola WI 54020 Date Received: 7111108 Sample Number Sample ID Test Date Results Method LOD /LOD Analyzed -------- --- - - - - -- --- - - - - -- --- - - - - -- -- --- --- 08 W20923 Peters HOD t5 Day>, mg /L 8 SM5210B 7!11/08 01.07.10.08 pH (Lab) 7.0 SM4500H+ 7/10/08 Tot,Suspended Solids,mg /L 3 SM2540D 7/11/0 7/15/08 6 WI DNR Laboratory Certification Number: 617013980 Approved by: p y i� 3 COMMERCIAL TESTING LABORATORY, INC. � Main Street, P.O. Box 526 Colfax, Wisconsin 54730 i 715 -962 -3121 800 - 962 - 5227 ST. CROIX ZONING REPORT NO.# 15557/01 PAGE 1 ST. CROIX COUNTY REPORT DATE# 12/30/91 COURTHOUSE DATE RECEIVED# 12/27/91 HUDSIN t WI 54016 ATTN# THOMAS C. NELSON OWNER. Tim Peters LOCATION# 1463 185th Ave., New Richmond 3/• ' �'� / COLLECTOR# Jim Thompson SOURCE OF SAMPLE# COLIFORM# 0 /100 ml INTERPRETATION# Bacteriologically SAFE 'NITRATE -N# 4 ppm Above 10 ppm exceeds the recommended Public Drinking Water Standard. CoLiform Bacteria /100 mL Nitrate- Nitrogen, mg/L 8 9 C N , O LAB TECHNICIAN# Pam Gane -- z Q c� c��:� LO WI Approved Lab Not 19 n � c ry M �.:. OF . \NDEVENO G Y C Means "LESS THAN" Detectable Level Approved by'* ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 � y fat;& -3 „' ST. CROIX COUNTY ZONING OFFICE 911 4th Street Hudson, WI 54016 Telephone - (715)386 -4680 The St. Croix Co. Zoning Office offers the service of septic and water inspection to Lending Institution, Realty Firms, and private individuals. COMPLETION OF THIS FORM IS ESSENTIAL SO THAT THE PROPERTY CAN BE LOCATED. Please provide the following information, enclose appropriate fee made payable to ST. CROIX CO. ZONING, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING -------------------------------- FEE:$ 25.00, (For nitrates and coliform bacteria) WATER TESTING -------------------------------- FEE:$175.00 (VOC'S) SEPTIC SYSTEM INSPECTION --------------------- FEE:$ 25.00 PROPERTY OWNERS NAME: PROPERTY OWNERS ADDRE S: 1'`9 CITY: ems; Legal Description ►1/4, �, . 1/4, Sec. 1 T 1 N -R Town of , Lot No. , Suivision clG� { � FIRE NO. � S4w� Q ` bd LOCK BOX NO. !v ` I �' Color of house Realty sign ?_t,�Ak PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP, i.e., COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: L4/ -. Telephone No. n REPORT TO BE SENT TO: --- 17 r-t _E CLOSING DATE: Signature: G RECEIVED SEP 0 3 2009 FIELD INSPECTION & SERVICE REPOtj Rolx co u FFICE 5�4.an. 31.31 Y318 INSTALLATION AUTHORIZED SERVICE PROVIDER Installation Address: s d v /Z Nam • of S I � Owner Name: Street: 3 v Mail Address: j' - �-� Mail Address:, Ci Stateu) f. Zip City Q.SC -ex (A State WP . Zi SY02 -0 ne - �f Fax Phone Fax Pho ,3 .2 lei � 4�6 3 9 email e -mail INSTALLATION INFORMATION ModelNo Blower.Brandand Serial No. Date of Installation Date of last pump out Size r M /a tP1 02-1f5t 5 /vs o� EQUIPMENT DETAILED COMMENTS OF SITE CONDITIONS - OPERATION YES NO MAINTENANCE PERFORMED OR REQUIRED Electrical Panels '5T. -De 0 60 01C Visual Alarm O eratin Audio Alarm Operating S (if resent) Blower s : Air Inlet Filter Clean ✓ Blower Hood Vents Clear Excessive Noise Excessive Vibration Treatment Unit(s): Unusual Odor Svstem Vent Pum out Required: I Primary Settling Zone Aerobic Treatment Zone ✓ EFFLUENT: LIMIT RESULT Estimated Daily Flow SO d put H Standard Units 6 -9 S.U. ft olor Clear em erature Dissolved Oxygen effluent 2 m /L Odor Slightly Musty odor not se tic OWNER SIGNATURE TEC ICI AN SIGN SERVICE DATE Parcel #: 036- 1079 -40 -000 07/28/2010 03:29 PM PAGE 1 OF 1 Alt. Parcel M 31.31.17.489B 036 - TOWN OF STANTON Current EX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - PETERS, TIM L & MARYANN E TIM L & MARYANN E PETERS 1463 185TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1463 185TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.740 Plat: N/A -NOT AVAILABLE SEC 31 T31N R17W PT NW SE COM NE COR LOT Block/Condo Bldg: 1 OAK RIDGE ESTS, N 59DEG W 1009.91', N 61 DEG W 15070 POB; N 38 DEG W 160" N Tract(s): (Sec- Twn -Rng 40 1/4 160 114) 20 DEG E 200'S 61 DEG E 160'S 25 DEG W 31- 31N -17W TO POB Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 839/362 2010 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/09/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.740 25,000 209,300 234,300 NO Totals for 2010: General Property 0.740 25,000 209,300 234,300 Woodland 0.000 0 0 Totals for 2009: General Property 0.740 25,000 209,300 234,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 142 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 036- 2002 -10 -000 07/28/2010 03:28 PM P 1 O F 1 Alt. Parcel #: 31.31.17.621 036 - TOWN OF STANTON Current [X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - WILSON, ROBERT L & JANI L ROBERT L & JANI L WILSON 1829 147TH ST NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 1829 147TH ST SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.850 Plat: 03- 080 -OAK RIDGE ESTATES LOT 1 OAK RIDGE ESTATES ASS'MT INC Block/Condo Bldg: LOT 01 036- 2002 - 20(622) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 31-31N-17W Notes: Parcel History: Date Doc # Vol /Page Type 07/07/2005 799608 2838/246 WD 03/06/2001 639849 1596/589 TD 07/23/1997 1238/415 QC 07/23/1997 843/352 2010 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/09/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.850 30,000 178,100 208,100 NO Totals for 2010: General Property 0.850 30,000 178,100 208,100 Woodland 0.000 0 0 Totals for 2009: General Property 0.850 30,000 178,100 208,100 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 ST CRD� c OUNTY AAA PLANNNG & ZONNG RECEIVED January 2, 2008 MAR 0 7' 2000 NTY ST. CROIX COU Tim Peters ZONING OFFICE Or Current Property Owner 1463 185th Ave New Richmond, WI 54017 RE: Pretreatment System Service and Inspection Requirement CGUe rUrninisirCiiiOn Dear Property Owner: 715- 386 -4680 Tnis property's Private On -site Wastewater Treatment System ( POWTS) includes a Plann Landn }ormazion � pretreatment component that must be inspected at intervals specified in its service contract. 715- 386 -4674 St. Croix County Sanitary Ordinance 12.7 and WI DComm 83.52 (1) state owner responsibilities for maintenance and inspection of POWTS that require evaluation and Real Property monitoring at intervals of less than 12 months. The sanitary permit issued for installation of 715- 386 -4677 this POWTS required that an ATU Service Agreement be recorded on the deed for this property. If ownership has changed, this must be corrected. Recycling 715 - 386 -4675 Based on our records the pretreatment unit on this property is due for an inspection and maintenance service. Inspection and maintenance reporting for a pretreatment unit is separate from the routine pumping /inspection required for the septic tank. The certified septic tank pumper and the POWTS maintainer that inspect your system are required to submit reports to St. Croix County so that routine maintenance completed on residents' septic systems can be documented. -return this °frrc tp St. Croix County Planning & Zoning off ice*dong with a copy of the pretreatment inspect rrr co.. TS maintainer4o avoid enforcement actions. Please be advised that fines and /or forfeitures of not less than $100.00 and more than $500.00 per day everyday can be issued if the required service is not completed in a timely manner. If you have any questions about what is required feei free to contact me Sincerely, �— ____._- J 1„ Ryan Yarr/gton Zoning Technician Pretreatment Component inspection and maintenance service date:_ `i`�y - `�� POWTS maintainer Name and license number: POWTS Inspection Service Contract provider name: Address: Phone: _ Service Contract date and duration ST C,POiX COUNTY GOVERNMENT CENTER 1 701 CAi?m1CHAEL ROAD. HUDSON. Wi 54016 715- 3b6 FA,4" 0 cn O M 0 d o w e c o c o o n 3 CD (D m o ;� (D`� d A ' (' I � Q (/) L L N O N �i to o n _ N O (D W `� • 3 3 d S C: r« o0 CD I = j N a CD S CD S: y O p N a 3 3 D) ai =1 7 A 'D ` 3 o p 0 11 C) rn C tv o 0 o r m o 3 o O CO A O C m (n CD C4 a (J r N 01 -p W S o 3 rn rn < o ! o w o V y A N 0 r !r = 0 0 0 o °' • cn p a ! O = 0 �E 3 y N N 3 CD v (D v q — n lr ( m m -4 m CA C O 21 0 O (D S . • C C G) N !1 W C - C a CD d �I _ • c o a � �' cb � m m 3 c CD co CD CD N a z co cn A n z CD z j W CL 3 z 0 A U 3 v, CD CD A W pj CD >33 c0 (O .ZIP A 3 CD C � `O C O n s o (D a 0 D) Ln a T Z — < O (D N C N " W M N OZ d 0) CD _ N 4 Q go N W 3-6 o w CY S r Z C S 1 N c Q 3 7C A O O 0 Q O CD A =r (D y `„C d CD N A D) n om .. co O N a a X O co CLo CD W (D N CL (D G7 O O 3 00 o b �' CD aQ re w O O ! ti ULBRICHT & ASSOCIATES CO . A Distributor For PRIVATE SEWAGE CONSULTANTS 715 -386 -8185 1 Robert Ulbrlcht, B.S. AERATION EQUIPMENT Wis. Reg. Designer of Engineering Systems SALES & SERVICE Wisconsin Master Plumber RS No. 3307 Wisconsin She Evaluator No. CSTM2842 655 O'Neil Road • Hudson, WI 54016 GENERAL INFORMATION OWNER _ ���/ _ RESIDENT ,j �'ADDrIESS / K' e 3 l 9S �- A v.e- iV�cy /�i�i,uo.vD Sf��7 COUNTY DATE OF INSPECIION 3 z�� y PHONE - UNIT RNI��L te r' t ANK NO. _ TYPE OF TANK NQq ►/l(�1T RS N SER. NUMBER 00 �3 L 7 CHECK LIST `_' llry� ' j� O O It�n Done Per. Specs. Need Attns 2 2 Take Hlxed liquor sample Cheek Alarm System _ �/ �., 1+► (� (1 LJ ?urn Orf Power v tl � O . Rinse Surge m+l A 9 lner- rxt F/ fluent rriatlty t� rJ Varyium WOr and Filters 6 �Q /O\ 10 O Nash F l ll.ers _� `_/ C O © Insrx.r:t /PrOaca Top Gasket ✓ y Inspect /Replace 1lottom " ✓- 4/ O O ® 9 1U sr+e s Inct alarm Sensors Pe Inirwrct Aerator turn Power On COR1ZEC *F10NS M-COMMENDED: REPLACED FILTERS a Sce, ,G s ,Qe /6lv -- REPLACE EXPANDERS q COMMENTS TESTING INFORMATION IN FIELD TESTS TESTS IN LABORATORY P11 TEMP _ B.O.U. U.O. D.O. C.O.U. _. FECAL COLIFORMS SCTT1,EA13LC SOLIDS 96 SUSPENDED SOLIDS LICENSE NUMBER C" "rv� � 33 SIGNATURE OF SERVICE OR REPAIRMAN WHITE /Health Depl. YELLOW /131111ng nie PINK /Maintenance �) 04 -1X•-?k 6" — SE�� T 4— i .SSG A-CA d' . T��� was ,�� 3 -2.� ��- G G� •mss d� D� /C &P� 1411/ &/ +�* 9-� v �o � v tv r do or �T OV "5 I O T' i a4441� 7�e wee— i Z , 0(A 0113 - n C o o v m A CD U) S z oP�j c . O 3 3 ° m m w cu 3' m m oo m CL S S a 0 O y O O r o o co ? O CL 1 p O "D 0 0 N fD 3 � ° CO P. � O Cl r o o° r W o 3 7 O O 7 N A O O O m C D m a CD W cn ° p p D i w - I fT Q = z O O O ° tv o cn r saiCico m 77 d ' V I � 3 N CL z N CD O z 3 z z v D D I 0 0 N i� c 3 C j N • C a CD _ ` m C w m o a 3 c p Z d ? Z N - Z O N C 7 a 7 Z j w W (D < CL 3 z ~ A � 3 m -4 y ; CD w m 0 CD s D 3 a CD CL ° m c N Z n CD CD CD CA ' NT A 1 G7 'I Z7 O. O A CD ° CL N O V I C 0 ° 0Q C.5 N b9 0 +� V p F C 'O 0 CD y O x ro > z -b (D w (D -4- til b £ w ty a �• (D x (D m 0 oo a 2 u'1 (D 0 (n rr H N 0�►-• rr •• rt p a (D CZ > �C (D 0) rr 00 cn H G l< (D rn W (D lfl V1 (D .P i O tr1 H m N j 'Z7 W W (D 0 \ v H C W rt (D • :� Z rl �. H- O id M ro a �s tri N H En I--' LR -I &N (D 0 I (D N G N m 0 cn H fL (n 0 0 rt . rt w 0 M Parcel #: 036- 1079 -40 -000 02/14/2007 04:45 PM PAGE 1 OF 1 Alt. Parcel #: 31.31.17.489B 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 0 - PETERS, TIM L & MARYANN E TIM L & MARYANN E PETERS 1463 185TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): = Primary Type Dist # Description * 1463 185TH AVE SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 0.740 Plat: N/A -NOT AVAILABLE SEC 31 T31N R17W PT NW SE COM NE COR LOT Block/Condo Bldg: 1 OAK RIDGE ESTS, N 59DEG W 1009.91', N 61 DEG W 15070 POB; N 38 DEG W 160" N Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 20 DEG E 200'S 61 DEG E 160'S 25 DEG W 31- 31N -17W TO POB Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 839/362 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/06/2003 Description Class Acres Land Improve Total State Reason p P RESIDENTIAL G1 0.740 22,000 230,000 252,000 NO Totals for 2007: General Property 0.740 22,000 230,000 252,000 Woodland 0.000 0 0 Totals for 2006: General Property 0.740 22,000 230,000 252,000 Woodland 0.000 0 0 Lottery Credit: t rj/ ed t: Claim Count: 1 Certification Date: Batch #: 142 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER d ,ak yy�tra�( ADDRESS tiqj SUBDIVISION / CSM4 GLc -q^•.z S LOT SECTION S� T N -R W, Town o ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM I I f u! � � • v - af i3 I � I A g. .i /��i I ' ' OW - NORTH AR INDIC E NO Provide setback e of this form . k nd elevation information on revers M gti'`a `Provide 2 dimensions to center of septic tank manhole cover. i t BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING -TANK INFORMATION Manufacturer: Liquid Capacity: /D0d Setback from: Well Ild ` House zd ` Other r Pump: Manufacturer Model# 97 Size Float seperation �'.' Gallons /cycle: r Alarm Location G:c :SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: 4v Setback from: well: House aG ` Other ELEVATIO Building Sewer ST Inlet: ST outlet PC inlet PC bottom Pump Off Header /Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93:jt Wisconsin Department of Industry PRIVATE SEWAGE SYSTEM County: Labor aAHumaniielations INSPECTION REPORT ST. CROIX Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No,: Pekt.t Wg's N ff - /MARY E] City El Village [ Town of: State Plan ID No.: Stanton - CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA 9 � /9�'_ _ G:0 << TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic - Benchmark Dosing �'YL��Jcc/e I'/7 �� �J 7� Aeration /)Li _ (� ��� Bldg. Sewer Holding St /t Inlet TANK SETBACK INFORMATION St /,P6 outlet S, 7(,97 TANKTO P/L WELL BLDG. Veintake ROAD Dt Inlet 77/ 9� /9 Septic 66' 70 NA Dt Bottom Dosing L ti F,5"" i ' P-F' NA +fr /Man. -7' �i'7� Aeration �-.50 _ /J NA Dist. Pipe Holding - - Bot. System PUMP /INFORMATION Final Grade s�3' Manufacturer / Demand ° 7d " CISj Model Number # 97 f GPM TDH Lift _5 Friction S stem TDH 3 Ft � t ' �Z' S ,9 L ��� �?' �.. �� ForcerLength Dia. " Dist. To Well • B' - ii SOIL ABSORPTION SYSTEM BED/TRENCH Width Length, / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 61 DIMENSION SYSTEM TO P/L BLDG WELL t SETBACK tgE LEACHING Manufac INFORMATION Type O e i i CHAMBER Model Number: System: w Q�" - 5 C /S ^- /C�} OR U DISTRIBUTION SYSTEM ++ta4ef/ Ma Distribution Pipe(s) , x Hole S x Hole Spacing Vent To Air Intake Length O� 0 r Dia L ength � Dia. Spacing 9 9 � SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over q '' Depth Over rr N xx Depth Of xx Seeded/ Sodded xx Mulched Bed/ nter `J " 30, Bed/ T�Edges �� 30 Topsoil ❑ Yes No �® Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: Stanton.31.31.17W, NW, SE, Lot 1, 185th Avenue -6 , Plan revision required? [:]Yes Ej--No Use other side for additional information. 4 1 IA SBD -6710 (R 05/91) Date Inspector's Signature Cert No. SANITARY PERMIT APPLICATION �'_�■� co In accord with ILHR 83.05, Wis. Adm. Code u - L.K•O t STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than C� ` g moo 8% x 11 inches in size. ❑ Check if revision to previous 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 "_'M �- c '/4 S! T3 , N, R E (or PROPERTY OWNER'S MAILI G ADDRESS LOT # BLOCK # T CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 171 CITY 11. TYPE OF BUILDING (Check one) El State Owned VILLAGE NEAREST ROAD TOWN ❑ Public ®1 or 2 Fam. Dwelling — # of bedrooms Z4 PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) mac_ /Q A 1 El Apt/Condo ,f 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. L'7 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## Date Issued 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 0 In- Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals /day /sq. ft.) (Min. /inch)1�^ ELEVATION ;7 r /,; Feet 97 rFeet VII. TANK CAPACITY Site in aallons Total # of Prefab. Fiber- Exper. INFORMATION New Existing Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks strutted Septic Tank or Holding Tank �-- Lift Pump Tank/Siphon Chamber 7 ( r Vill. RESPONSIBILITY STATEMENT ' 1, the undersigned, assume responsibility for installation of the onsite sewage system show on the attached plans. Plumber' Name (Print): Plumber's Signature: (No Stamps) /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): d w IX. C LINTY /DEPARTMENT USE ONLY ❑ Disapproved S itary Permit Fee (Includes Groundwater a e I ssued Issuing A m Si m Approved El owner Given initial /�(� Surcharge Fee) �3 Adverse Determination l ICJ 5►-- X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: SBD- 6398(8.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber I ' INSTRUCTIONS a 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. 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; wells; water mains /water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption 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 system if 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 g (fees) 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. i SBD -6398 (R.11/88) D�PARi_%IENT OF RE PORT ON SOIL BORINGS AN D SAFETY & BUILDINGS DIVISION INDUSTRY, LABOR AND PERCOLATION TESTS (115) MADISON WI 3707 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145} LOCATION: SECTION: TOWNSHIP /12S�CITY: LOT NO.: BLK. NO.: SUBDIVISION NAME: NW 1/4 SE 31 /T31 N/11 ton B n/a Oak Ridge Estates B _ COUNTY: OWNER'S ME: MAILING ADDRESS: St. Croix Tim Peters 1 1463 185 th. St., New Richmond, Wi. 54017 USE DATES OB SERVATIONS MADE NTION: (PROFILE SCRIPTIONS: PERCOLATION TESTS: 1 3UResidence 4 ❑New Replace 4 -22 -91 4-22 -9 1 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: IN- GROUND - PRESSURE: SYSTEM -IN -FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) El S EM PS ❑ U El S� U ❑ S EA ❑ S@3 mound If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: n/a Floodplain, indicate Floo dplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 20 OmC2 BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH pW ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) B - 1 4.83 97.41 none 2.33 .83bl.1. 1.50bn.l.s. 1.00bn.mot. l.s. 1.50bn.mot.s'l. 2 4.92 93.61 none 2.25 .92bl.1. 1.33bn.m.s. 1.42bn.mot. m.s. 1.50bn. mot. B- SA. B - 3 4.25 93.61 none 2.25 .67bl.1. 1.58bn.m.s. 1.50bn.mot. sil. B- B- B- decimal PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER I KAFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIOD2 PERIOD PER INCH V-2 2.00 none 30 3- 3 3 10 2.00 none 30 4 2 444 7 none 30 23 z z 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. 98.41= upper trench 94.61 - lower tren system elevati6n==1'above surface el. if mul t iple- SYSTEM ELEVATION — w renc s e IJ s g P -� E E 3 re re 3 3 3 E t i n t E . E I, the undersigned hereby rtify 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 4 -22 -91 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, Wi. 54017 2298 715 - 246 -6200 CST SIGN E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 10/83) — OVER — yt��Aj z" �ot�.c� ►�s,t,J C� ve> FlPtnti 6 tZKbt:E � -o'er 3 , O bO 6' ° o N `V 6 • fJ Z" Pv C Wf ArJ� FoLp 6' � �D P�RC.vtYt>ut3yt/�• yyp�i{2L R'� bb oBS�'R l�knUh./ 3� 3� / ° f��• S CROSS F ttu1S IA 6 `pe.n r- • �(� RPuv 5`!�'ntLT1?e CoVERtWG Solt�L y-i. " - ��c Ots"sR.tB�'t�t�s t�toes — 4 l�tp� l�� `ro 2t /Z r�6G2kY6+P�- 6 2. S�3out` Pt ��S Perforated Pipe 0611011 Page Of 0 End View Perforated End Cap PVC Pipe Holes Located On Bottom, Gee Are Equally Spaced 11NSTAL�. PE'R'F'IAN�i�` R M p� a 4S F1T ENDS of + S \ PVC Force:Moin t pcCti t/�T�`2A 1 * From Pump 1 S P PVC - Manifold Pipe S Distribution E SY Pipe �.. ccE...� A� C ¢° ails' OQ .00 ID c IgIA 1Nd�SY, A Last Hale Should Be 010 1(111 $A� Next To End Cap End Cap ON'�� SEE CO P 3 0 R C Distribution Pipe Layout S tv �- x 6 �r Y Hol a Diameter Inches s �1� -t�vS t0yv t S �L�R SCR RT C2t6HT r\�v C7L�S `t� T�tC t�ISTR.tBU`nt1�v Lateral 1 Inches) 1�tawG h�rJlFO�t Manifold " Z Inches Force Main " 2 Inches No, OF ItQLSES PER t''!PE 1NV .ELSV. cF LPTr-M�LS _p1 A 1_-s r tit, Lc 1� E> - T — To `r}+F P-7 H >J 1 Fo L t� w lTH Sv CCRIM )AJ (S Lk� S � r� s of } ci = - w N w w �+ N o o N 0 2 0 W p o W a ti. = a _ W W J C J W w ti W ' U V ca d �J fl H J 4 T p LU � m 6 tu Co Q Z � m w � r Q C7 2 2 � O W W _ H �Q w W J V 'W J IL a W ,tj 0:0- itjo�a co rid + c pR 9V R W 1� 1� J A '� • W N � 6' m ~ cc ..r W W W m m H J JQ t �- Je < tt Z PUMP CHAMBER CROSS: SECTION AND SPECIFICATIONS PAGE OF VENT CAP ti VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE JUWCTIOW BOX COVER WITH WARNING LABEL 25' FROM DOOR, 12•MIU. wIIJDOW OR FRESH I AIR imTAKE GRADE I 4 MIN, 18" CONDUIT (+Erl lYPROVIDE IAILET HT SEAL I I! FoRCt: APPROVED JOIAIT A �- APPROVED .1011JTS ALARM a Og g. Of Of pIV I ( ON C LLEV. g�3•o gEE PUMPS _ -J OFF D L 4 GOAICKETE BLOCK 3" APPRovr^t JAI >3EOD I IJG V- -YM= F CLOG MP(tti h3 E)dr - Tftu `Mw'r Wh - - 'M PRovIQE SLOPE FdR1 v - v)ot NC1t SPECIFICATIOIJS DOSE )A���y ��-yS WUMpER OF DOSES: 3 8S PER DAU TANK MAJJUFACTURCR: TANK SIZIE : $f9b GALLONS DOSE VOLUME ALARM MANUFACTURER' S'�' (�O 't 1 INCLUDING INCLUDING OACKFI-OW: GALLONS MODCL MUMIbER: L Nw CAPACITIES: A= Z1 IiJCHCS OR L11 CALLOUS SWITCH TyVC: Y-1 �.CNt7�'I B =-- .�- 1uCNEi OR 3 �' 3 4LlO1J5 M . PUMP MANUFACTURER: Z pV 1 � S C IWCHES OR ' � CALLOUS MODEL NUMBER: 91 D= `Z - INC HES OK Z3S GALLOWS SWITCH TYPE' �QV NOTE: PUMP AWD ALARM ARE TO OC MINIMUM DISCHARGE RATE _GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEIJ PUMP OFF AAID..DISTRIBUTIOLI PIPE.. 3 "a ) FEET + MINIMUM NETWORK SUPPLY PRESSURE 2.50 FEET + X30 FEET OF FORCE MAIM X A' FY oFtFRICTI0W FACTOR 1 FEET TOTAL OyNAMIC HEAD = $ ` FEET DIAMETER 76 I fJ OF TANK: LEMGTH 'WIDTH ' IAI7ERWAL. DIME►JS O LIQUID DEPTH VY � BOTTOM AREA $ 3(, . S - 23I= 1 Q . 6y GAL /INCH '' AS PER MANUFACTURER GAL /INCH U) I I- 6T U.J. Y p 4 �JLL HEAD /CAPACITY CURVE 47/a 6' MODEL 97 45/e 30' — 0 g 4% 25' o t 11Y, NPT Q 6 20 43/16 � O U /� Z 15' 4 .• T 4 1. 0 4 J F O 10' $. oS . 2 5' Z8. 8 0 us 10 20 30 40 50 60 70 GALLONS LITERS 0 io 160 240 1011/16 FLOW PER MINUTE LJ 11 TOTAL DYNAMIC HEAD/FLOW PER MINUTE EFFLUENT AND OEWATERING CAPACITY HE UNITS/MIN 35 /16 FEET METERS GAL LTRS 5 1.52 56 212 10 3.05 46 174 15 4.57 35 133 20 6.10 15 57 Lock Valve 23.75' CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available • Mercury float switches are available for controlling and supplied with an alarm. single and three phase systems. • Mechanical alternators, for duplex systems, are avail- • Double piggyback mercury float switches are available able with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard All M odels - Weight 33 lbs. - 1 /2 HP 2. Single piggyback wide angle mercury float switch or double piggyback mercury float switch. Refer to FM0477. 97 Series Control Selection 3. Mechanical alternator 10-0072 or 10 -0075. Model volts-ph Mode Amps Simplex Duplex 4. See FM0772 for correct model of Electrical Alternator, "E- Pak ". M97 115 1 Auto 12.0 1 or 1 & 7 — 5. Mercury sensor float switch 10-0225 used as a control activator, specify duplex (3) N97 115 1 Non 12.0 2 or 2 & 6 3 or 4 & 5 or (4) float system. D97 230 1 Auto 6.0 1 or 1 & 7 — 6. Four (4) hole "J - Pak ", junction box, for watertight connection or wired -in simplex or E97 230 1 Non 6.0 2 or 2 & 6 3 or 4 & 5 2 pump operation, 10-0002. 7. Two (2) hole "J- Pak ", for watertight connection or splice, 10-0003. CAUTION For information on additional Zoeller products refer to catalog on Combination All installation of controls, protection devices and wiring should be done by a Starter, FM0514; Piggyback Mercury Float Switches, FM0477; Electrical Alternator, qualified licensed electrician. All electrical and safety codes should be followed FM -0486; Mechanical Alternator, FM0495; Alarm Package, FM0513; and Sump /- including the most recent National Electric Code (NEC) and the Occupational Sewage Basins, FMO487. Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. L . 3280 Ofd Miffers Lane Manufacturers of . . © p �E`LER Zff. P. 0. Box 16347 • Louisville, Kentucky 40216 (502) n$ -2731 •FAX (502) 774 -3624 ZL rY PUMPS IFINer d Y " WECGEF;ZER E3 C3 I L TEST I NCG AND 1DES I C3 41 Sf_=RW ICE P.O. BOX 74 421 N. MAIN ST. RIVER FALLS. NI 54012 715 -415 -0165 MULTI -FLO CONTACT: JAMES BAKER MULTI -FLO OF WISCONSIN P.�.uu� 714 JANESVILLE, WI 53547 -0714 PHONE 608 - 754 -6472 SAFETY & BUILDINGS DIVISION i State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN Owner: TIM & MARY ANN PETERS BOX 74 1463 185TH AVE RIVER FALLS WI 54022 NEW RICHMOND WI 54017 RE: Plan Number: S93 -40141 Date Approved: April 20, 1993 Gallons Per Day: 600 Date Received: April 5, 1993 Project Name: PETERS, TIM & MARY ANN Location: NW,SE,31,31,17W Town of STANTON County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50 -64 of the Wisconsin Administrative code. This approval is for the following components only: - REPLACEMENT PETITION - REPLACEMENT IN- GROUND PRESSURE SYSTEM 9 Inquiries concerning this approval may be made by calling (608) 78 1© e\ Sincerely, ;-0 � N ^., to vo C� z N G� o. 6RA M. SW IM M Section m W ect n of Sewage r Division of Safety and Buildings PPP039 /0009n/21 £ 2 cc: TIM & MARY ANN PETERS X Private Sewage Consultan $BD -6423( R. 01/91) SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Boa 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations April 15, 1993 TIM & MARY ANN PETERS 1463 185TH AVENUE NEW RICHMOND WI 54017 Petition No. S93- 40141 -P Dear Mr. and Mrs. Peters Re: Peters, Tim and Mary Ann - Residence Private Sewage System NW,SE,31,31,17W Town of Stanton, ST. Croix County, WI Your petition for a variance to section ILHR 83.10 (1), Wisconsin Administrative Code, has been reviewed. The petition has been Approved. The rule being petitioned requires that a soil absorption system shall be located not less than 50 feet from the high water mark of any lake, stream, or water course. The variance requested was to install a replacement in- ground pressure system with one corner of the bed approximately 30 feet, and one corner approximately 40 feet from high water mark of the willow river. All of the data and statements submitted on behalf of the petitioner were considered. This variance is specific to the subject petition and cannot be used for any additional modifications. Si nc ly, Ric rd Meyer, Architect Director, Office of Divisi n Codes and Application (608) 266 -3080 RM:2188WPP3 cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls Thomas Nelson, Zoning Administrator - St. Croix County Arthur L. Wegerer, D -915P, Ellsworth SBD -8928 M. 91/911 PRETREATED IN- GROUND PRESSURE SYSTEM Page of FOR A _�(_ BEDROOM RESIDENCE LOCATED IN THE Nw 1/4 OF THE St 1 /4 OF SECTION 31 , T 31 N, R 1 - 1 W, TOWN OF S�p�N� -pN ST. C_li�\.X COUNTY, WISCONSIN. INDEX Page 1 of 7 TITLE SHEET Page 2 of 7 PLOT PLAN Page 3 of 7 PLAN VIEW -CROSS SECTION Page 4 of 7 DISTRIBUTION PIPE LAYOUT Page 5 of 7 MULTI -FLO UNIT Page 6 of 7 PUMPING CHAMBER Page 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR T��'1 RaJL MVN -`( Rtvtj 1 63 I8S TN f)UE. tuFw . �1C, PAH kV I SLlol7 ®e � ` 4®>tauot �� e'� � ,sv P REPARED BY sue SC O ew s It ARTHUR L. 40 WcOERER Z 2 WEGE F2 SOIL TEST S p4 : = SWORTH. AND - :i W DES = Gam! SERV = CE y 4, e • F.O. R01 74 421 K. KAIK ST. o� � tv RIVE? FALLS. V1 54022 1 set �3 T 15- 4'.,-0165 Job No. GZ -Z�LO r 93 4014" Z" FoRC�. M 4t11J tC�UC� �Ni3t1 6R•KbL � 6' !` r N �' l �" Pve l,Pr1t1?,klS ni 6 • l 1 Z" pu C tH+�N1 Po�.p • 6• � � P�lt►�trrfu 31c�' N�'CIi.4�s�SCS Rft10 3' o e:L9113.5 Ell 3� 3, / 9A. S PO�vOi�C� ovc� aTZf�iJUF� All c o 1t�' ro�S V. �u1S G "_— Q C o _ p �o ��� R'P� S�! �1'STt� C Couelr►w G. s a � � MtL y � � x . PvC O p10eS — 976.1 V�oB'SFQUk�Oh► Atpt 8o T1b M of @� G2Q 6fvTE - 6 �` 9 L ow Perforated Pipe Detall Page q Of — I 0 9 40141- End View ) Perforoied End Cop PVC Pipe Holes Located On Bottom, j �c I Are Equally Spaced oP . \I�SThL1r PER'F'1RN� ° tHPcRtcEQS AT p5 DF S \ PVC ForceWoin ��Cli Lh TEl2gL. From Pump 1 S e PVC Mondfold Pipe S Distribution $ Pipe pPy vpCE `S is t � a Y co D �� saga v I D 't• of ENO ST% 'amll Last Hole Should BeSw Next To End Cap .�NDE�GE End Cap � E G- c J P 3 0 T. R Zo- C *1�W Distribution Pipe Layout S (, �T• X Y Hole Diameter Jig Inch ►^ r S r Otwt��StOly tS t- dL3`RS�RiJ RT 2 \6Y�T�vG�eS Tu TrtC DIST�tBU`ntlav Lateral 1 Inches) \�tPt.S C6 a3 Manifold " Z Inches Force Main 2 Inches N o, of tkot-E S P'ER P1 PE 4 1Nv cF I. AT�,t s 9� 6.8 0 _PR -S r 1+D LC 1v `i x To - TWEE x-i H u I PO L.D W iT?i Sv Cc - p 11V G L� S C�� - f*� - cam AY 6 �ooT 11�.►1 LS . - - - - - -- - - - - -- _ —_ OF } v� ? =�d A U 0 V) 0- F' N A p •o V Q z a Q7 O 1 o W et Q O a < Cl) 0 z o U Q I < Z Q � � W � MLL J � (3.s W W N �S93P4014. 3 W N Q y O UO £� m W U d I J m s . `.�� o a qr Q o z r m W r o Q w cs Z Z (r W ' R 0 ul uj Ja 3 W J E a W 3 a: pA O�W''" Z 1 Volk �d,1t{ 0 o > • �e 11 J • W �► GE dam• o Nom M W > a .0 W W J y O O a' �m�� W CC cc cc W W W.r Q F us U. J �W PUMP CHAMBER CRO SS SECTION AID SPECIFICATIOUS PAGE OF VEW7 CAP 'i VCIJT PIP[ WEATHER PROOF APPROVED LOCKING MANHOLE JUIJCTIOW BOX COVER WITH WARNING LABEL 25' FROM DOOR, IZ•MIU. MIINOOW OR FRESH AIR INTAKE GRADE eL glct. s I Y� MIAJ. Nlil 19' COWDUIT -- -__ 19�N1 I AJ. \ pR1vA . lyPROVIDE IAILE T Conde NT SEAL 1 1 1 APPROVED JOINTS APPROVED JOIW A T 1iS 1 ROTS I I I �,pll I H ss 1 I I OR �` 119 ALARM txB Is per, pf %v'j tip i I p�1sw ENGE I I ON 1 LLEV. PUMPS - -J OFF r 0 �L 4 O O COAICRETE BLOCK 3 APPRwf i 61<OD I Ni FoQ. M>tti '[O Cx-!T ITMU MWTL wkti_ 10 PRo vl'OE SLOPE fOR�F�N� 5PCCIFICATIQKJS DOSE TALJKS MAWUFACTURCR: NASEI- WUMDER OF DOSES: PER DAy TAWK SIZE: $BO GALLOWS DOSE VOLUME 1X6`8 ALARM MMJU FACT URIw R - ' S •S' QMP 2 `1 S INCLUDING BACK /LOW: GALLONS MODEL AW M6CR: IO 1 " CAPACITIES: A= � 1 WCHE5 OR LI IZ. GALLONS �`'�L1Z�7`1 2. INCHES OK 3 q' 3 G LLOUs SWITCH Ty vs~: e = t PUMP MAWUFACTURER: ZS"0FLLM QUr 1S S C- q ILICHE5 OR '� GALLOWS MODEL UUM9ER: o1 0 \Z INCHES OR 'L'3 S ' , GALLOUra SWITCH TYPE' k &-c'ik - - - -- - NOTE: PUMP AUD ALARM ARE TO BE MIUIMUM DISCHARGE RATE �' GPM INSTALLED Oki SEPARATE CIRCUITS VERTICAL DIFFERENCE 6ETWEELI PUMP Off AUD.DISTRIDUTIOU PIPE.. 3 FEET + MIAJIMUM METWORK SUPPLY PRESSURE .. .. . .... . . 2.50 FEET + l30 FEET OF FORCE MAIN _A 3n F o FACTOR.. 1 FEET TOTAL Oy1JAMIG HEAD = $'�$ FEET DIAMETER 76 IUTERAJAL DIMLWSIOWt OF TAAIK: LEM&TH - ;WIDTH ;LIQUID DEPTH Uy I t BOTTOM AREA 231= l Q • by GAL /INCH A C- . T.t, re'n'KITTT Tr fPT iDVD - - GAL/INCH CC Uj HEAD /CAPACITY CURVE 47.1 b'f MODEL 97 4% —►-I 30• — 8 4% 25 ! o n;PT w !i 20' m 43/,e = I m � U 15" j,3 9 40 14 1 a 4 J H 0 10 $, 05 • — 2 L 5' Z8• 8 0 , us 10 20 30 40 50 60 70 GALLONS LITERS 0 80 160 240 10 "/16 FLOW PER MINUTE TDTAI DVKAWC IWADMILM M UVA E EFFLUENT AM OEMTE11WG CAPACITY HEAD uNrrsri 35 / 4w FEET METERS GAL LTRS 5 1.52 56 212 10 3.05 46 174 15 4S7 35 133 i 20 6.10 1 15 57 Lock Valve 23.75' CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available • Mercury float switches are available for controlling and supplied with an alarm. single and three phase systems. • Mechanical alternators, for duplex systems, are avail- • Double piggyback mercury float switches are available able with or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard All Models - Weight 33 lbs. - 1 /2 HP 2 Single piggyback wide angle mercury float switch or double piggyback mercury float switch. Refer to FM0477. 97 Series Control Selecdor 3. Mechanical aeemator 10-0072 or 10.0075. Model Vohs -Ph Made Amps Simplex Duplex 4. See FL40712 for correct model of Electrical Alternator, "E -Pak ". M97 115 1 Auto 120 1 or t 6 7 — 5. Mercury sensor float switch 10-0225 used as a control activator. specify duplex (3) N97 115. 1 Non 120 2 or 2 6 6 3 or 4 R 5 or (4) float sysIem. D97 230 1 Auto 6.0 1 or 1 3 7 — 6. Four (4) hole "J- Pak ", junction box, for watertight connection or wired -in simplex or 997 230 1 Non 6.0 2 or 2 6 6 3 —A A 5 2 pump operation' 10.0002. 7. Two (2) hole "J- Pak ", for watertight connection or splice. 10-0003. CAUTION For information on additional Zoeller products refer to catalog on Combination All installation of controls, protection devices and wiring should be done by a Starter, FMM14:Piiggyback Mercury Float Switches, FMO477: Electrical Alternator, qualified Scorned electrician. All electrical and safety codes should be followed FM -0486; Mecharaoxl Alternator, FM0495: Alarm Package, FM0513: and Sump/- including the most recent National Electric Code (NEC) and the Occupational Sewage Basins, FM0487. Safety and Health Ad (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. 3280 Old Millers Lane Manufacturers of .. . !O OL ZI L i 1 ZZ7. 1PO . Box 16347 •Louisville, Kentucky 40216 (502) 778 -2731 • FAX (502) 774 -3624 / imztrr Ay"As ,S,vr, /,97,9` r, WECERER SOIL TESTING AND P.O. BOX 74 421 N. MAIN ST. RIVED FALLS. NI 54022 115 -425 -0165 MULTI -FLO CONTACT: JAMES BAKER MULTI -FLO OF WISCONSIN P.O.BOX 714 JANESVILLE, WI 53547 -0714 PHONE 608 - 754 -6472 SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Western Regional Office 2226 Rose Street LaCrosse, Wisconsin 54603 WEGERER SOIL TESTING & DESIGN Owner: TIM & MARY ANN PETERS BOX 74 1463 185TH AVE RIVER FALLS WI 54022 NEW RICHMOND WI 54017 RE: Plan Number: S93 -40141 Date Approved: April 20, 1993 Gallons Per Day: 600 Date Received: April 5, 1993 Project Name: PETERS, TIM & MARY ANN Location: NW,SE,31,31,17W Town of STANTON County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements.. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50 -64 of the Wisconsin Administrative code. This approval is for the following components only: - REPLACEMENT PETITION - REPLACEMENT IN- GROUND PRESSURE SYSTEM Inquiries concerning this approval may be made by calling (608) 785 -9348. Sincerely, a 4RARD M. SWIM Section of Private Sewage Division of Safety and Buildings PPP039 /0009n/21 cc: TIM & MARY ANN PETERS X Private Sewage Consultant SUO -6123 I k. 0"I It SAFETY & BUILDINGS DIVISION 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations April 15, 1993 TIM & MARY ANN PETERS 1463 185TH AVENUE NEW RICHMOND WI 54017 Petition No. S93- 40141 -P I Dear Mr, and Mrs. Peters Re: Peters, Tim and Mary Ann - Residence Private Sewage System NW,SE,31,31,17W Town of Stanton, ST. Croix County, WI Your petition for a variance to section ILHR 83.10 (1), Wisconsin Administrative Code, has been reviewed. The petition has been Approved. The rule being petitioned requires that a soil absorption system shall be located not less than 50 feet from the high water mark of any lake, stream, or water course. The variance requested was to install a replacement in- ground pressure system with one corner of the bed approximately 30 feet, and one corner approximately 40 feet from high water mark of the willow river. All of the data and statements submitted on behalf of the P etitioner were considered. This variance is specific to the subject petition and cannot be used for any additional modifications. Si nc ly, Ric rd Meyer, Architect Director, Office of Divisi n Codes and Application (608) 266 -3080 RM:2188WPP3 cc: Leroy Jansky, Private Sewage Consultant - District 6 Chippewa Falls 9 � PP Thomas Nelson, Zoning Administrator - St. Croix County Arthur L. Wegerer, D -915P, Ellsworth SBD.6M i R. 011911 PRETREATED IN- GROUND PRESSURE SYSTEM Page \ of FOR A BEDROOM RESIDENCE LOCATED IN THE tiW 1/4 OF THE 1/4 OF SECTION 31 ,T 31 N, R W, TOWN OF - m Ni ST. G\i�1X COUNTY, WISCONSIN. INDEX Page 1 of 7 TITLE SKEET Page 2 of 7 PLOT PLAN Page 3 of 7 PLAN VIEW -CROSS SECTION Page 4 of 7 DISTRIBUTION PIPE LAYOUT Page 5 of 7 MULTI -FLO UNIT Page 6 of 7 PUMPING CHAMBER Page 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR TC►'1 RK-Z mv' R ! F\fli J PAP S J�63 X85 Tt-( tl ti� �ZCN►��uD LVI S�(ol� � PREPARED BY e e p, �t y "'•••.:'� 'S i S ARTHUR L. p s WEGER R •� a WEC SO 11 1_ TESTS NG awtn E1LSWORTH. AND. �� :• 2 i7 1X=_:!:-3 3E GIn! SI,�F�V = CE Y� " .... •• 4, �% • F_0. B01 74 421 K_ MIK ST. �� I 0 RIV0. FALLS. V1 54022 4111! 715-425A10 Job No. 00 W � O O 23T1 765.48 LO M w M `O 164.21' N N N M (D 240.00' 44. Lr) ° o � d' 746TH S (p N n Lo rn 100.02 11 9 ,O N 194.86' 278.60' 1 O• co LO r cd to lf) Q \ 1'e / CV (O 243.94 i 230 8g � p• U � � ni JL�,= d U00 NY') � 0 1 o e Qs ui Zg619 N O N 0 w N J cly Q J M J p/ (0 00 00 �� / 207_.18' 21 _40 \ S �` f n0 } State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION May 25, 1993 2226 Rose Street LaCrosse, Wisconsin 54603 ALICE MICHAELS (608) 785 -9334 P.O. BOX 14 NEW RICHMOND WI. 54017 Dear Ms. Michaels, My name is Jerry Swim. I work for the State of Wisconsin's Department of Industry, Labor and Human Relations- Safety & Buildings Division, specifically, the Section of Private Sewage. I am writing you regarding some concerns that you have expressed to the St. Croix County Assistant Zoning Administrator, Jim Thompson. On Friday May 21, 1993, he contacted me about the replacement septic system that is being installed on the property adjoining yours. He told me that among your concerns is that because the system being installed is considered an experimental type system, it may, at some point, become a safety hazard by possibly contaminating the existing groundwater of the area. This includes your well. He also states that you are concerned about your property value dropping because of potential home buyers in the area thinking at some point that they too need to install this type of, "expensive experimental system ". Your concerns are well taken. To address your concern about your property value dropping because of the type of system being installed; I am not a real estate person so I really cannot address this issue fully except to tell you that I have never heard of the property value dropping based on the septic system being installed for the home. As for your concern about the "experimental nature" of the system causing possible groundwater contamination. These multiflow units have been tested by the National Sanitation Foundation and found to have a Class 1 performance rating in the reduction of elements that cause contamination to groundwater, as well as reducing the risk of other harmful elements that can cause contamination to the surrounding environment. Our Products Department in Madison has reviewed these units and found them safe for homeowner usage. I have included some of the Multiflow specifications for your use. I hope this letter will put to rest any of the concerns you had. SBD-8122 (N. 01/89) I State of Wisconsin ` Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION May 25, 1993 2226 Rose Street La Crosse, Wisconsin 54603 JOHN HAASH (608) 785 -9334 1467 185TH ST. NEW RICHMOND WI. 54017 Dear Mr. Haash, My name is Jerry Swim. I work for the State of Wisconsin's Department of Industry, Labor and Human Relations- Safety & Buildings Division, specifically, the Section of Private Sewage. I am writing you regarding some concerns that you have expressed g Y g g y p to the St. Croix County Assistant Zoning Administrator, Jim Thompson. On Friday May 21, 1993, he contacted me about the replacement septic system that is being installed on the property adjoining yours. He told me that among your concerns is that because the system being installed is considered an experimental type system, it may, at some point, become a safety hazard by possibly contaminating the existing groundwater of the area. This includes your well. He also states that you are concerned about your property value dropping because of potential home buyers in the area thinking at some point that they too would need to install this type of, "expensive experimental system ". Your concerns are well taken. To address your concern about your property value dropping because of the type of system being installed; I am not a real estate person so I really cannot address this issue fully except to tell you that I have never heard of the property value dropping based on the septic system being installed for the home. As for your concern about the "experimental nature" of the system causing possible groundwater contamination. These multiflow units have been tested by the National Sanitation Foundation and found to have a Class 1 performance rating in the reduction of elements that cause contamination to groundwater, as well as reducing the risk of other harmful elements that can cause contamination to the surrounding environment. Our Products Department in Madison has reviewed these units and found them safe for homeowner usage. I have included some of the Multiflow specifications for your use. I hope this letter will put to rest any of the concerns you had. SBD -8122 (N.01/89) i w state of Wisconsin \ Department of Industry, Labor and Human Relations SAFETY & BUILDINGS DIVISION Page 2 2226 Rose Street Multiflow Units La Crosse, Wisconsin 54603 (608) 785 -9334 If you have any other questions about this matter, please feel free to contact me at (608) - 785 -9348, or you may contact our Products Department in Madison at (608)- 266 -2990 regarding any specific questions you may have about the units in general. Sincerely, GERARD M. SWIM Private Sewage Plan Reviewer Section of Private Sewage Bureau of Building Water Systems cc: Jim Thompson, St. Croix County Assistant Zoning Administrator, Hudson Leroy Jansky, Private Sewage Consultant- District 6, Chippewa Falls Roman Kaminski, Private Sewage Plan Reviewer Supervisor, Stevens Point SBD -8122 (N.01/89) - 7_ , J B S `)14 PrU C? 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