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HomeMy WebLinkAbout036-1088-70-000 Parcel #: 036- 1088 -70 -000 04/27/2007 10:42 AM PAGE 1 OF 1 Alt. Parcel #: 34.31.17.5346 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 - BROZ, BRENDA S BRENDA S BROZ 3368 EBBA ST WHITE BEAR LAKE MN 55110 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1719 HWY 64 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.140 Plat: N/A -NOT AVAILABLE SEC 34 T31 N R1 7W 2.14A NW NW W 331' OF E Block/Condo Bldg: 561' OF N 281' OF NW NW ADD'L HIS 434/203 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 34-31N-17W Notes: Parcel History: Date Doc # Vol /Page Type 11/13/2003 746593 2456/160 QC 07/23/1997 1212/211 WD 07/23/1997 1211/489 TD 07/23/1997 1057/453 LC more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/17/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.140 25,000 188,300 213,300 NO Totals for 2007: General Property 2.140 25,000 188,300 213,300 Woodland 0.000 0 0 Totals for 2006: General Property 2.140 20,000 188,300 208,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/16/2007 Batch #: 07 -01 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code �ONix 1b P" T Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, t F not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. �*, -7 to APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION DATE itj PROPERTY OWNER: PROPERTY LOCH Bob & Sue Wells GOVT. LOTNW 1 17 (or) W PROPERTY OWNERS MAILING ADDRESS LOT # I BLOCK # OR C 1719 Hy. #64 na na CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE UOW EAREST ROAD New Richmond, WI. 54017 915)246 -7125 Stanton Hy. #64 uction Use [x ] Residential / Number of bedrooms 3 [ J Addition to existing building �Bepn Iacement [ ] Public or commercial describe riv W 450 gpd Recommended design loading rate • bed, gpd /ft trench, gpd /ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate •4 bed, gpd /ft .5 trench, gpd/ft Recommended infiltration surface elevation(s) 100.63 ft (as referred to site plan benchmark) Additional design / site considerations sytem el based on contour line of el. 99.30 Parent material pitted glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S ®U RI S ❑ U ❑ S ®U El S [ R U EIS U ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITrench l 1 0 -12 10 r3/3 none 1 2msbk mfr gw lm .5 .6 2 12 -20 10 r4/3 none sil 2msbk mfr aw 2f .5 .67 Ground 3 20 -30 10yr5 /6 297.5 r5/8 sicl lcsbk mfr crw if .2 .3 elev. 9 9.5 ft. 4 30 -50 7.5 r4 4 297.5 r5 6 sl m na Depth to 5 50 -84 7.5 r4/4 2 7.5 r5/8 sl lcsbk mfr na na .4 1.5 limiting factor 20" Remarks: Boring # 1 1 0-10 10yr3 /3 none sil 2msbk mfr qw lm .5 .6 2 10 -20 10 r4/4 none sicl 2msbk mfr qw if .4 .5 Ground 3 20 -50 7.5 r4/4 none sl m na na na n .5 elev. 9 9.5 ft. Depth to limiting factor + " Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 20 t Ave. New R' nd WI 54017 Signature: r Q Date: 11 -1 -96 CST Number: m02298 PROPERTY OWNER Bob & Sue Wells SOIL DESCRIPTION REPORT Page? of 3 PARCEL I.D. # 036- 1088 -70 Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots in. `Munsell Du. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 3 >=== 1 0 -10 10 r3/3 none 1 2msbk mfr 9w lm .5 .6 2 10 -19 10 r4/3 none sil 2msbk mfr 9w if .5 .6 Ground 3 19 -30 10 r4 4 none sicl 2msbk mfr 9w if .4 .5 elev. 9 9.0 ft. 4 30 -60 7.5 r4/4 c2 7.5 r5/8 sl m na na na .4 .5 Depth to limiting factor 30" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Bob & sue wells New Richmond, WI 54017 MPRSW 3254 NWQNW4 S34- T31N -R17W (715) 246 -6200 town of Stanton 1 " =40' BM.= top of 12" pvc pipe by exsisting lot corner Alt. BM.= top of steel post @ el. 102.00 �r 5 li r �n AO ` Y� h 3© Gary L. Steel 11 -1 -96 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit N o: 479433 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Broz, Brenda I Stanton, Town of 036- 1088 -70 -000 CST BM Elev: Insp. BM Elev: BM Description: Sectionlrown /Range /Map No: /O� 8 ► GS ( 34.31.17.534b TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Z. ZS 162 . Septic J �;7 c=;� Benchmark ..n Dosing I D Alt. BM ^ 3 (c5 Bldg. Sewer pp W / • J � Holding St/Ht Inlet Z O • U� TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 0 57 7 '57 / Dt Bottom Dosing o 1 / 67 / 5 7 l Header /Man, 3 � Aeration 1 Dist. Pipe 1 3. 6 Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Z • 1 M ' errand St Cover Manufacturer / c ' r Z� �, � GPM ((�A 3.10 � a �v Model Number -7 6, J��� f ,/ T 3 j g J TDH Lift Friction Loss System Head TDH Ft I Z Rio I. L. I Forcemain Length i Dia. ! Dist. to well SOIL ABSORPTION SYSTEM ! . a 51 SLR{ 3 9 y 3 BEDITRENCH Width / Length No. Of rench PIT DIMENSIONS No. O Pi Inside Di a. Liquid Depth DIMENSIONS 1 & 66 1 � SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of fem: /c i ' ' UNIT Model Number. J DISTRIBUTION SYSTEM Header /Manifold IDistribution x Hole Size t ( x Hole Spacing Verlf to Air In Pipe(s) G! ] Length � Dia Length + Dia y Spacing 3 Z 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 / r Bed/Trench Edges Topsoil ' (�_ es _ _ _? No es No V COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: C � / 7 Inspection #2: Location: 1719 Highway 6 New Richnad, WI 54017 (NW 1/4 NW 1/4 34 T31 R1 7W) metes & hounds Lot P el No: I34.31.17.5334b 4b �-- 1.) Alt BM Description = `'�'v " n �.-. G t /�� PJ "'1 v t 2.) Bldg sewer length = 5 .7 - amount of cover VInsep ,�L Z4 Plan revision Required [���4J Yes Use other side for additional Informs 'on. No Date Signat Cart. No. SBD -6710 (R.3/97) L Safety and Buildings Division County N visconsin 201 W. Washington A 162 ison, WI 5 07 - t rmit Number (to be filled in by Co.) 266 3151 "'° EIV ^� 3 Department of Commerce l Sanitary Permit App c ti i to Pl LD. Number ^7 ' / In accord with Comm 83.2 1, Wis. Adm. Code, personal informatiW fYOVI e l / P �7 / 6 7 may be used for secondary purposes Privacy Law, s15.04(1 CROIX COU oject ddress (if different than mailing address) ZONINIG I. Application Information — Please Print All Information I Property Owner's Name / Parcel # Lot # Block # r 94- 1 d - U6 V Property Owner's Mailing Xddress Property Location 3q E0 , Section 1 - ' City, State Zip Code Phone Number i, ^7 circle o T R/ E �� II. Tof Building (check all that apply) Y 1 Subdivision Name CSM Number ami ly Dwelling — Number of Bedrooms / r u^ (2 k ❑ Public /Commercial — Describe Use 1Z ❑ State Owned — Describe Use []City ❑Villa a wnship of III. Type of Permit: (C Complete line B if applicable) A. ❑ New System XReplacement System Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System List Previous Perrnit.Vumber and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New r q Before Expiration Plumber Owner l W IV. Type of POWTS System: Check all that appl ❑ Non — Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil At -Gra ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ R irculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) i V. Disp ersal/Treatment Area Information: I / JJI Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Propos sf) System Elevation Coen 0 i6 1 '&9*- / o(-b 1 /000 9 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks S ptic Holding Tank Gcr Aerobic Treatment Unit ! O sing C tuber VII. Responsibility Statement- I, the undersigned, assume re spons' ility fo r installation of the POWTS shown on the attached plans. Plumb ;'Name(Print) Plum s ignature MP/MPRS Number Business Phone Number /r P1 er's Address (Street, City, tate, Zip C VIII oun /De artment Use Onl pproved ❑ Disapproved Sanitary Permit Fee Qncludes Groundwater Date Issued I ng Age t Si ture ps) Surcharge Fee) El Owner Given Reason for Denial f� S7 b I�l;�ed Oproval/Reasons forDisappy�l / _-' w 1 eptic tank, effluent filter and 3 (�fG� dispersal cell must all be serviced I maintained �>��J�t�i�/ 1 3 Jw as ed by lumber_ 8. All setback requirements must be maintained gL/��� as per applicable code /ordinances. �fJW Attach complete plans (to the County only) for the system o6tpaper not lesi than 81/2 x 11 inches in size SBD -6398 (R. 01/03) PLOT PLAN PROJECT Brenda Broz ADDRESS 3368 Ebba St. WhiteBear Lake Mn 55110 NW 1/4 NW 1 /4S 34 /T 31 N/R 17 W TOWN Stanton COUNTY ST. CROIX SYSTEM ELEVATION 97.8' BEDROOM 4 CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD RATE .6 ABSORPTION AREA 1000 # of chambers none BENCHMARK V.R.P. Base of Siding ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL H. R. P. Same as Benchmark Sade = 1/4" = 10' Hwy 64 Grading is to be done to divert run -off away from system 4 Well D Bedroom () House B- B. M. 1 'F System is to Huffcutt Combo tank be pumped and buried B-2 Tank is to be properly bedded and provided with lockdown covers with approved warning labels Area 15' below ­4 2% S system is to remain undisturbed B-3 97.5' 97.8 8' Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www.commerce.wi.gov /sb/ i sco ns i n www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary August 24, 2005 CUST ID No. 220527 ATTN.• POWTS Inspector 13YRON BIRD ZONING OFFICE BYRON BIRD JR. PLUMBING, INC ST CROIX COUNTY SPIA 896 68TH AVE 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/24/2007 Identification Numbers Transaction ID No. 1187764 SITE• Site ED No. 703356 Brenda Broz Please refer to.both identification numbers, 1719 State Hwy 64 above, in all correspondence with the agenc Town of Stanton St Croix County NW1/4, NW1 /4, S34, T31N, R17W FOR: Description: Four Bed At -Grade Svs . Object Type. Component Manual Regulated Object ID No.: 1035142 Maintenance required; Replacement system; 600 GPD Flow rate; 48 in Soil minimum depth to limiting factor from original grade; System: At -grade Component Manual, SBD- 10570 -P (8.6/99); Biofilter 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and with publication SBD7 10570 -P (R. 6/99) "At -grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems ". • The pressure network is to be constructed in accordance with the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) ". • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. AR I !� RCS' >X • A Sanitary Permit must be obtained from the county where this project is located in accordance with the N Of ;. requirements of Sec. 145.135 and 145.19, Wis. Stats. �C! SEE CO I'RI • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat BYRON BIRD JR Page 2 8/24/2005 • Comm 83.22 A cony of the aDDroyed plans, s ecifications and this letter shall be on -site during construction and 9 en Q ction b au ed representatives of the Department, which may include local inspectors. Owner Responsibilities: • o Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II, Integrated Services WSMART code: 7633 (608)789-7893, 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 I Cover Pag � G 16 ZOGS Byron 66 Jr Byron Bird Jr. Plumbing Inc. 896 68th Ave Amery Wi 54001 715- 268 -7616 Date: 8/12/05 Owner:Brenda Broz Location: NW1 /4 NW1 /4 34 T31 N, R 1 7W 1719 Hwy 64 Stanton System type: At -Grade Manuals Used: At -Grade Component Manual version 1.0 SBD 10570 -P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Page# 1. Cover Page 2. At -Grade Plot Plan 3. At -Grade Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7 -8. Maintance and Contigency plan 9 -11. Soil test Byron Bird Jr. Signature O vED OF CC a fA9�1?C License number 220527 Ity S �s IE NG �— SPp MXNCE L PLOT PLAN PROJECT Brenda Broz ADDRESS 3368 Ebba St. WhiteBear Lake Mn 55110 NW 1/4 NW 1/4S 34 /T 31 N/R 17 W TOWN Stanton COUNTY ST. CROIX SYSTEM ELEVATION 97.8' 4 BEDROOM CONVENTIONAL AT -GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1255 gallons LIFT TANK SIZE DOSE TANK SIZE 765 HOLDING TANK SIZE LOAD R .6 1000 ATE ABSORPTION AREA # of chambers none IL BENCHMARK V.R.P. Base of Siding ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL H. R. P. Same as Benchmark �-- Sade = 1/4" = 10' Hwy 64 Grading is to be done to divert run -off away from system 4 Bedroom Well p House B - B. M. Failed System is to Huffcutt Combo tank be pumped and buried B- 2 Tank is to be properly bedded and provided with lockdown covers with approved warning labels Area 15' below 2% Slope system is to remain undisturbed B-3 97.5' I L 4 �. - B ? 5 PY FOAE.E.1►'�Ath1 ...� > 51 A 2 Tup tk ?S '�— DisrAt AiTtoM LA• ILMAL w A STA[itLI ZED o8� �'�ATtowt WELL 5' 1I6 B i /6B do l/2 B A= /P Ft. = C of f AT F_ L. LL �, Ft E Ft. �QpPb,cKb S YMT14EnL Fabric + Distribu Lateral So il Cover 5TF41L ULQ Observation Wei i 2 A ��� . > 5 -- o r °f �cr fo S oPE Lx n de r P" ( Plan View and Cross SecriOn of Wisconsin At-grade Unit with a Single Absorption Area on a Sloping Site L tfat�tATU it f- Page O f Distribution Pipe Detail For Lateral Network iQCce rf TURM -UP (Caft,40UT) _ PVC Force Main PVC Distribution Pipe P * Last Role Should Be Next To .TURN -uP J J� (� Q Hole Diameter ! J - 2- Inch X Inches Lateral Diameter z Inch(es) y �� inches Force Main Diameter Inches O f Boles /Pipe Invert El evation Of Laterals Ft- Signed; _ L icense Number: Date: SEPTIC TANK C FG!'�s� C {iAMB£.R CR SECTi flSS G'•� AND SP£CS� ICRTFt3PFc WEAMRPROOF APPROV ,. MIN - AB A ABOVE GRADE jUNCTION BOX M COVER PIPE WIN OR WITH CONDUIT L OCK � _ Flom D4 , WgMI NG LASEL FREST IA GRADE T �� S. b. INLET GAS- � `, TIGHT SEAL TIGHT r •Ei�IT�i WATER TIGHT SF-AL ` .4PPROM PIPE �F3LTE'R H ; ON 33# OPITO Il APpioVED F_ ' Pik 3i C. OFF per} SOLID - SOIL pump OFF ELF - -�FT • - D APPROV BEDDIRG UNDER TAT�€1C r CONCRETE PAD SPECIFIC gEPTSC f DOSE � DOSS pyR DAY: ----- FACTI3RER: Au Dom£ VOE pCK I GAL - I &N . MA ' � � -�, GAL. SEPTIC - ! G J GAL. yn� A�.- TANK SIZES: iDiCi�s = DOSE n� CAFACITI£S: A r ��L A RM M^NurACTu IlP�Ci D g 1 � S = �-- INCHES MODEL yt NST-R -- G u `� _ INCHES � /✓ L SWI'T'CH TYPZ • C = 3 GAL. Z_ }NfJFAC3'UR£R = ��11 I1 �t#BER = I LHR 16.23 WAC PUMP M9DEL "� " i sW;TCII TYPE: £ AL:ARtf WIRING AS - p / GSM P[i3iP FEET RAT REQ�3:RM DISCHARGE - DIg'TRIBUTI gIPE _. -- ��5. FEET E BET�tEEN PUMP OFF .ANII - _ - - •�= FEET FgICT FACTOR - Z EPRESSUzgE'TJIOg FT- MIN3M N£pAK BOFFIN X , TO`T'AL UyWIC B� � VERTICAL DIFFERENC - FE f _ - FEET FORCEt --� DIAME:TM - .-�--- 4P TA14K. LENGT AL DIMENSIONS 4F PUl IIQ�31D � INT�N LICENS NUMSEl': - SIGNED: _ Yoe TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE HEAD CAPACITY CURVE EFFLUENT AND DEWATERING MODEL 1 52/ 1 53 MODEL 152 153 g Feet I Meters GoL Liters I Gol. Liters 50 _ 5 1.5 69 261 77 291 1 . 153 10 I 3.1 I 61 231 70 i 265 4.6 f 53 2p 1 61 231 12 40 152 15 167 52 197 20 6.1 44 25 7.6 34 129 42 t 59 v 30 30 9. 23 E7 33 125 Z 8 - _.. 22 I 87 D 35 10 20 4p I 12.2 ( _— 11 42 0 1.6m 44.0 Ft. (13.4m) r Lock 'Jolve: 38.0 Ft. ( ) 69508 4 10 0 20 4 0 60 $0 1 Go GALLONS LITERS 0 80 160 240 320 3 27/324 5 /8 --j i FLOW PER MINUTE I i 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS e 4 _, 3 27/32 panels available. Timed dosing p . Electrical alternators, for duplex systems, are available and supplied w ith an alarm. , • Variable level control switches are available for controlling single phase systems. '� • Double piggyback variable level float switches are available for variable level long and short cycle controls. r, • Sealed Qwik-Box available for outdoor installations. See FM1420. • over 130 °F. (54 °C.) special quotation required. I 17 ,/A 1521153 Series I Ra n 15711 3 MODE Control Sel cLO / Du Iex e Sim lex Model Volts -Ph Mo 8 5 1 2 or 3 I y X N152 115 1 Non 2 or 3 = SN152 115 1 Auto 8.5 Included I Mon 4.3 1 2 or 3 E152 230 1 4.3 Included 2 or 3 BE152 230 t Auto toy 1 2or3 SELECTION GUIDE N153 115 1 Non 10.5 Included 2 or 3 back variable level float 8N153 115 1 Auto 5.3 1 i 2 or 3 1. Single piggyback variable level float switch or double piggy E153 230 1 Non 5.9 Included 2 or 3 switch. Refer to FM0477. BE153 230 1 Auto 2. See FM0712 for correct model of Electrical Alternator a p du plex o cAUnoN 3. Variable level control switch 10-0225 used as a COMMI activator's ecify ( 3 ) s hould be All InsWation of controls, protection devices and should be f Inc (OSHA). luding the most or (4) float System. licensed electrician. AO electrical and safety recent National Electric Code (NEC) and the occupational Safety and Health Act RESERVE POWERED DESIGN l n ever Zoeller pump. For unusual conditions a reserve safety factor is engineered into the des g of Y .MAIL TO: P.O. BOX 16347 Louisville. KY 40256 -0347 Manu(acturersof SHIP TO: 3649 Cane Run Road � O Louisville. KY 40211 -1961 ® Q�aau pllM� INCE f c.L/ /r'� M. (502) 778-27 X (502) (800) 928 PUMP .� FAX (502) 774 -3624 � W o:1AVW .Zo a11er.com C Copyright 2000 Zoeller Co. All rights reserved. - -- a IvFn = �!I'sconsin DepartmentofCommerce A111i %iiQ § EV REPORT Page of Safety Safety and Buildings in accordance with Co 85, Wis. Adm. e 5 ?.CROIX000NTY County Attach complete site plan on japer no%W"9 Flamm 1 inch s in size. Plan must include, but not limited to: verb a an o nT"onzo"ntarTereren BM), direction and Parcel I.D. / �7 QQ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 61— ' ' /4 � Please print all information. Revi ed by Date Personal information y ou p rovide may be used for seconds u y () ( )) 9 y p y second p (Privac law, s. 15.04 t m Property Own W10k, Property Location ,,��// h r0 Govt. Lot �1/4`f S,? f T 3 N R E Property Owner's Mailing Address Lot # I Blod(# I Subd. Name or CSM# City fate p Code Phone Number ❑'City „LL Village Town Nearest Road P ) v /Gtrr /O� b New Construction Use: Residential / Number of bedrooms Code derived design flow rate o GPD ;R Replacement ❑ Public o om - es be: Parent material -9 r �Gr a /GI�I in elevation if applicable ft. General comments and recommendations: 3 (a 9 4 - Pn b d// � Crx F/-1 Boring # ,� Boring p ❑ Pit Ground surface elev. / �- ft. Depth to limiting factor 4/1 in. Soil Appl ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 G !1 Fil Boring # N Boring ` / � Pit Ground surface elev, y, ft. Depth to limiting factor ,, in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 `Eff#2 h r Li t (q Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST (Please Print S' nature CST Number Addrefs Date Evaluation Conducted Telephone Number Property Owner ��e4 uw �� � .0-- Parcel ID # Page of Ong # J2 Boring ❑ pit Ground surface elev. 9 $ 0 ft. Depth to limiting factor W- 'b' in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 F - 1 �' # ❑ 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 F-1 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/iF in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. •Ef1#1 •01#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 1150 mg/L • Effluent #2 = BOD < 30 mgA. and TSS < 30 mg& The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SOD.uw B.W) Soil Test Plot Plan Prroject Name Bren Broz Byron Bird Jr. Address 3368 Ebba St. WhiteBearLake Mn. ' 55110 CSTM #220527 Lot Subdivision Date 7 /30/2005 — County- ST. CROIX NW 1/4 N W 1/4 S 3 4 T 3 1 N /A17 W Township Boring Q Well PL Property Line# Alt. BM ,BM or VRP Assume Elevation 100 tt.Base of Siding System Elv H.R.P Same as BM SCALE V = 40' Unless otherwise Noted 100 Gara Drivway well 15' 2 3 BedHous '509 B1 Hy 64 22' 15 BM 120' 28 7' to floor drain 60' 30' PL B2 Failed system 2 % slope 60' 25' 20' B3 30' 97.5' 250' Page of ENT PLAN - S oY�NERIs MANUAL & MANA sPE cF[ca'rfONS PoWT SYSTEM / ❑ NA Septic tank CaPa ❑ NA FtL E INFORMAT gepfic Tank Manufa�rer �- / C] NA e. Permfl #. '1 Effluent Fitter Maw t p NA IGN PARS p Effluent Ftter Model r- at D NA f'umF� DE5 Tank CaPa city . Numb of BeCIMOn'- e rria! Units A pump Tank Manufactu r 7'z. a NA of C ay�da� DNA NEs6mabed flow ( avemge) cT Pump Manufa f �° p NA rttated x 7.5) p Model DG9Wn fOW (pea - ( a al/da 1ft� p ent Unit ❑ Peat FVW 6011 APP a Rate Monthly average' Sand/GrdYel Fitter S3 ❑ Welland fluent/Effluent Quaft G) 0 mgA_ p r. Mechanical Aeration ❑ Other In Fats, Olt & Grease (FO mgn. p Disinfection Demand ( /i mane-tchi er Oxyg�' S 51 mist (TS S) 50 m Cal ressurQed) � BioChe suspended Solids {T p in-ground (p TOta Monthly average" Dispersal ❑ NA �0 mg [3 In9��nd (gray) ❑Mound P went QuaCctY BODs) 1L t nt Qua Demand ( ❑Other. $ t Suspended Solids ) � l m OOml E3 p ine rr�ll y y Rypt see �Fecal Conform (geometric mean) , values typlW for doh Y. inch diameter SOS for L�i Particle Size .. Values tyP� f°r prru+�ated +te"'au Service Fre4tlenzY MAINTE�,ipNCE SCHEDULE tenths At least once ever)' r(s) (Maximum yr 3 VS.) Service Event of tank volume - tnsped Condition of tank(s) When Co rnbined sludge and scum equals one third (�) r(s) (Maximum 3 yrs.) C3 months PUMP out contents of tank(s) At least once every r(s) C3 months Inspect dispel calls At least once every 0 y . s) ❑ NA � � [3 M0 effluent filter At least on s) p NA Clean once every onth s � alarm l7 m Inspect Pump. P "p Controls At teas: once every '� ❑ m onths C3 year(s) C3 NA and pressure test C3 NA Flush later At least once every ❑ months II years) OlhW- At least once every o Odo licenses or one of the fallowing m SePtage MNMTENAN� INiSTRU r cet S hall be made by an ind'NldPO�s InspeCtor. POYVTS m ng or broken of tanks and m Plumb Resin d Sewe •an of the tanks) to :den* any �edc for any bade up Inspections umber.. Ma visual inrpe� scum and m l evels • Master P1 t include a d e and e ffluent lev ce rgfications, fu e Swfttng Operator. Tank inspections mus m easu re the vo lume of c ombined s visually Inspected to check the hardware. y any crate Or teaks. + The dispersal cetf(s) shall be .� podding of effluent on the nding of effluent the ground surface• uWary autho round surface- on rity or podd ing of effluent or the g for any P Lion of the local reg tank volume, the in the observation piles and to chectc uires the immediate ch• NR notifica or more of the ind icate a fading condition and req once with ground surface May cum In any tank equals one a and SCUM NO of in accord accu mulation of sludge a Septa9 n op and dispo When the combined acctii a S 1� k shall be rem nents; and any tents of the tan meat compo r. entire c�tt e- retreat • talne 113, Wlscansin Atmlt'istmtive Cod pOW7 components. P a Certified POINTS Mal n IT or pressurized rfortned by event The sen�can9 of effluent filters. of 12 months or less shall be P2 tenon of any service nce or monitoring st inters authority within 10 days Of COMP other matntena utatotY A sew repot Shan be provided to the local rQ9 or other treatment tank {s} far the Presence of painting P roducts are START UP ANO OPERATION P OW - rS check. cell s). If high concentr0ons n prior to use of the t P rocess and/or damage the dispersal cell( S). to uf�e. For new GOli5tiUl a the treatme P to a servicing operator p chemto that may impel k s oved by a Sep g _..._ detected have the Co / - page nditions are frozen at the in filt ra tive surface - not occur when soil oQ When power is tamed eycCess System start up steal MW fill a we normal higtmrater levels, tt�e cell(s) and may result in the Df-9 Power o uutage pump to d Pe �w celtCs) in one large dose. overloading �ervr3i be t Ta avoid this situation have the contents u tank removed by a m Or POWT`` Maintainer to q�p or surce W the e ffluent pump or contact a Plu ca Servicing evicing Operator 5 dW PUMP eontrOts to restore normal Severs wMin the pump tank assist in manuaay oP�b and dSp Do not drive or park over t � cells_ Do not drive or park Overt ar otherwise distlub or compact. { anks fion area the area within 15 feet down slope of any mound Or a ste ate sot am m a the and pig the fife tion of the wowing from the wastewater stream may imps performance floss; diapers, Redudian or- eFrmiria � � �igacette butts, condoms; cotton scarabs; deglaasers; antibiotics: -P fnlit and vegetable peeliings' gasoline: 9i+easei tiei e .cides; meat Of the PpWTS: n drain {sump PAP) water, , - and water sOfterter brute. dcsinfe nfi"trg products; pesticides; sani s y napkins; tampons' scraps. steps shat! ire taken to insure that the ABANDOWMENT fails andlor is permanently taken out of service the following n Administrative Code: When the POYY� `' ed in comprrance rvithth ch. Comm 83.33. YiFiscorisi system is properly atld safely abancJori disconnected and the abandoned Pipe Openings sealed- Sec . An piping to taroks and pits d and prope shag .be disposed of by a Septage the Operator. v oid space The contents of alt tanks and pits shall be remove and the v • After p all tanks and p� shalt be excavated and removed or their covers removed' w with soft, gravel or another inert solid material. CONTINGENCY PLAN a following measures have been, or must be taken. to Provide a code re If the pOWTS fags and cannot be Paced th IRCUMSTANCES. DEATH MAY t cement system: be utlized for the location of a replacement soil replacement has been evaluated and may disturbance and compaction and should not Cl A suitable f epiacement area a b so rption system- The re ptacement area should be protected sect �,,ctiire. lot fines and wens_ Failure to be infringed upon by required setbacks from existing an pp d roo ted the replacement area will result in the need for ne soil Les n effect at that firne�b a suitable fteevaluatjon to pro Replacement systems must comply advances in POW'l'S replacement area. P , O A suitable replacement area is not available due to setback and/or sot ef P Barring TS- � i as a last resort to replace the failed POWTS_ f- logy a holding tank may n failure of the POWTS a soil.and to identify a suitable replacement area UPo ent area is available a te has not been evert locate a suitable replacement area_ if no repiar� S' aluation must be _as rernovai of the biomat at stems may be reconstructed in place foifowing d and at -grade sorT absoel°ti°ns of such systems must comply with i the rotes in effect at that time the 'infiltrative surface. Reran W ' OTHER �.,pl7irIEi!+IT TANKS MAY CONTAIN LETHAL- GASSES AND10R INSUFFICIENT OXYGEN. <c SEPTIC. PUMP AND O C 00 NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY RESULT.. RESCUE E0 A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS pOWTS NTA NER POWTS INSTALLER Name ; r 7:1 Na me ��-�! �. Phone phone — ,Gt? 7 LOCAL REGULATORY AUTHORITY SEPTAGE SERVICING OPERATOR PUMPE t Agency 6"'?. Name / <� `'� Phone ±" �d'C� =Phone J ; `+ ✓ uette and Waushara County Zoning and Satiation agencies �ttis doN not Thus Coaur�[ was &aRsd by the stafTs of the Gruen Lake. Mara Ccdc. Use of this domment does rtes minimum requirements of ch. Comm 83M(2)0)(t)(d)&(0 and Z3.54(1).(2) & (3). Wisconsin GMW (ypi) guarantee the perfoirnaam of the POVVCS- ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer &e oz r' e � z_ r Mailing Address Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number LEGAL DESCRIPTION Property Location Air /., V4, Sec. 2 � T -RL,—� Town of - 5 1 u 10'f 7 Subdivision � d Lot # Y dC� Certified Survey Map # zo , Volume . . Page # Qvi T CL - ,+IM Deed # 2 e-4 13 , Volume ��� . Page # o Spec house yes O�no Lot lines identifiable,K yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastorplumber, joumeymanplumber, restricted plumber or a licensedpumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wi$consin. Certification stating that your septic system has been maintained must be co mp let d and returned to the St. Croix County Zoning Office within 30 days of the three year expirations date. S� - SIGNATURE OF APPLICANT / Q DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 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 .� 2456P 1 79 BY SIGNING BELOW, Borrower accepts and agrees to the terms and covenants contained in this Adjustable Rate Rider. 5 , ` (Seal) (Sea)) Brenda S Broz - Borrower - Borrower (Seal) (Seal) - Borrower - Borrower (Seal) (Seal) - Borrower - Borrower (Seal) (Seal) - Borrower - Borrower 7616001270 822R(0008).01 Page 4 of 4 Form 3111 1 101 Parcel #: 036- 1088 -70 -000 09/01/2005 09:42 AM PAGE 1 OF 1 Alt. Parcel #: 34.31.17.5346 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 O - BROZ, BRENDA S BRENDA S BROZ 1719 HWY 64 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description " 1719 HWY 64 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 2.140 Plat: N/A -NOT AVAILABLE SEC 34 T31 RI 7W 2.14A NW NW W 331' OF E Block/Condo Bldg: 561' OF N 281' OF NW NW ADD'L HIS 434/203 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 34 -31 N-1 7W Notes: Parcel History: Date Doc # Vol /Page Type 11/13/2003 746593 2456/160 QC 07/23/1997 1212/211 WD 07/23/1997 1211/489 TD 07/23/1997 1057/453 l�C mo ... 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 05/06/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.140 20,000 188,300 208,300 NO Totals for 2005: General Property 2.140 20,000 188,300 208,300 Woodland 0.000 0 0 Totals for 2004: General Property 2.140 20,000 188,300 208,300 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 135 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 U 2 4 5 6 P 1 6 0 7465`D3 KATHLEEN H. MALSH REGISTER OF DEEDS STATE BAR OF WISCONSIN FORM 3 - 20M ST. CROIX CO., MI Document Number QUIT CLAIM DEED RECEIVED FOR RECORD This Deed, made between Leonard D. Prebish, a single person, 11/13/2003 11:36AM Grantor, and Brenda S. Broz Grantee. QUIT CLAIM DEED Grantor quit claims to Grantee the following described real estate in EXEMPT # St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): REC FEE- 11.00 TRANS FEE: 265.50 COPY FEE: CC FEE: PAGES: 1 The West 331 feet of East 561 feet of North 281 feet of the NW 1/4 of NW 1/4 of Section 34, Township 31 North Range 17 West. Recording Area Name and Return Address Brenda S. Broz 1719 Highway 64 New Richmond, WI 54017 036- 1088 -70 Parcel Identification Number (PIN) This is homestead property. (is) (is not) Together with all appurtenant rights, title and interests. Dated this Y 31 day of October 2003 _ * s AUTHENTICATION ACKNOWLEDGMENT Siomture(s) STATE OF Wisconsin ) )Ss. St. Croix County. ) authenticated this day of Personally came before me this 31st day of October 2003 the above named Leonard D. Prebish TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me wn to be the n(s who a pals + y authorized by 4706.06, Wis. Stau.) is nt and ackno e e '� Z x THIS INSTRUMENT WAS DRAFTED BY William J. Radosevich, Attorney at Law 502 Second Street Hudson. WI 54016 Notary Public. State of Wisconsin '4 My Commission is permanent. (If not state e R `' , (Signatures may be authenticated or acknowledged. Both are not necessary.) /O — .) • Names of persons signing in any capacity must be typed or printed below their signature. INFO -PRO (800)655 -2021 www.infoprofonns.con, STATE BAR OF WISCONSIN QUIT CLAIM DEED FORM No. 3 - 2000