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036-1088-80-100
g��!�NO / 0 m % k / k k « ƒ ® e z ° m »� ®/ S - ° a ® ° « £ 7 � $ # @ / (D ( R Ch \ { ' o k 2§ k§ Cl) 0 i/§ OD § § 2 2 ; § m o \ \ \ C §� a o 8 m m > I \ m E a ® CL E §/ 0 § &�. o (D @ z § �� B o ■ / � 7 \ % � E . CL "a T $ #- 2 / 0 0 o m § 0 / § § § \ { N) § , s o C. CA 0 ;a 9 � *� \ w § -§*�@ 0 " ®! ® § § ƒ \ 0 § ' / { CL ; �- 7 / 3 _ 7 , / z { g ■ T / w ° / \ - / ; �CD > 3 � \ z A CD o � § @ � � 7 � 2 � ( 2 0 % � % , \cl k Parcel #: 036- 1088 -80 -100 09/01/2005 10:04 AM PA 1 O F 1 Alt. Parcel #: 34.31.17.534C -10 036 - 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 JASON A KOEHLER O - KOEHLER, JASON A 1711 HWY 64 NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 1711 HWY 64 SC 3962 NEW RICHMOND SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 3.840 Plat: 1026 -CSM 14/3832 SEC 34 T31 N R1 7W PT NW NW BEING CSM Block/Condo Bldg: LOT 2 14/3832 LOT 2 3.840AC Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 34- 31N -17W NW NW Notes: Parcel History: Date Doc # Vol /Page Type 05/02/2002 677946 1883/341 WD 09/25/2000 630496 1545/232 WD 07/23/1997 1069/555 WD 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 3.840 25,000 160,000 185,000 NO Totals for 2005: General Property 3.840 25,000 160,000 185,000 Woodland 0.000 0 0 Totals for 2004: General Property 3.840 25,000 160,000 185,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 313 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 VVO4consin Department of Commerce PRIVATE SEWAGE SYSTEM Count S.�ety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 363855 Permit Holder's Name: ❑City ❑ Village ❑Town of: State Plan ID No.: Townshi S lL�= 0 z 2, v.:- Insp. BM Elev.: BM Description: Parcel Tax No.: r (9 U v r S(rP / -8D TANK INFORMATION ELEVATION DATA TYPE A MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �`� G C� c^ �� 5 r � ;� Benchmark 6_ �. 3 3 / 3 �� Dosing U Alt. BM �• S� ZI C� Bldg. Sewer ffI4� ( 3s/ Ht Inlet TANK SETBACK INFORMATION y Ht Outlet �? s - 11 D TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 7 /&1 > �S '� l .� NA Dt Bottom ^/ -L Dosing i NA Header/ Man. A e751 ion NA Dist. Pipe g Bot. System 4 -3" , 3 PUMP/ SIPHON INFORMATION Final Grade Manufacturer f �e -and St cover Model Number US � GPM TDH Lift �v` L oss 3 v Syetem TDHZ(, Ft y U S S Forcemain Length ZI Dia. H 3 c � Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH width Len th No. Of Trenche P1 No. Of Pits Inside Dia. I Liquid Depth DIMENSIONS - DIMEN SYSTEM TO P/L BLDG WELL LAKE /STREAM :L Manufacturer: SETBACK MBER INFORMATION Typeo r Mo umber: System: U 7 / 0 7 /O OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) r x Hole Size,, x Hole Spacing Vent To Air Intake Length Dia. 3 Length Dia. Z Spacing ] �y SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ N COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: P /f 6 /00 Ins ection #2: Location: 1711 State Highway 64, New Richmond, WI 54017 (NW 1/4 NW 1 IN R17W) - -Lot 2 1.) Alt BM Description= 64t 04 peef 5t s'c `a1� 4.f �, • •,J 2.) Bldg sewer length= - amount of cover = (� r So w• 0 S �cLr 5. �,'� 3.) contour= Plan revision required? ❑ Yes M No Use other side for additional inform tion. Z 61) F,(, SBD -6710 (R.3/97) Dat Inspector's S ature Cert No. ADDITIONAL COMMENTS AND SKETCH � SANITARY PERMIT NUMBER: t e t 3 3 I m ° e c j x e a F i e 4 � e F f E 1 f i t — x e 4 t F t F 3 3 3 V r Safety and Buildings Division isconsin SANITARY PERMIT APPLICATION 201 Bo Washington Avenue Department of Commerce In accord with Comm 83.05, Wis. Adm. Code Madison, WI 53707 -7302 0 Attach complete plans (to the county copy only) for the system, o aporr�t"4M County than 8112 x 11 inches in size. F ro ';' — % ~ � 0 See reverse side for instructions for completing this applicati ` .- , ir 4. $!at6Sanitary Permit Number Personal information you provide may be used for secondary purposes ❑ 6Wee If revision to previous application (Privacy Law, s. 15.04 (1) (m)]."P,?- U� Sta e I n I.D. Number 4 ( r ^� I. APPLICATION INFORMATION - PLEASE PRINT ALL W RM 7 oS Propert O er Name ';. - , Pr Q1 & `° ` Pro ert Owner's Mail "ng A ress c Lot Number Block Nu ber f --�� to City, State Zip Coe Phone Number Su dfo IOro Natrfe ; J N DL (. J > roll "N ¢ / -�83 - 11. TYPE OF BUILDING: (check one) ❑ State Owned It Nearest Road It ❑ VIl age Public JZ 1 or 2 Family Dwelling - No. of bedrooms Town OF S�C' mo w 24 Aj III. BUILDING SE: (If building type is public, check all that apply) Parcel Tax Number(s) 3 ,�' ¢¢ / � 5 ei 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station /Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2. ] ( Replacement 3, ❑ Replacement of 4 ❑ Reconnection of 5. ❑ Repair of an System ________ System Tank ank Only Existing System ______________ xistiny ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 j'&ound 3 ❑ Specify Type 41 [ Tank 12 ❑ Seepage Trench 22 (] In- Ground Pressure 7 42 ❑ Pit Privy G 13 ❑ Seepage Pit `3 43 ❑ Vault Privy 14 ❑ System -In -Fill ,0 J VI. ABSORPTION SYSTEM INFORMATION: 2 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. L di g Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) c! Elevation S� 7 < 37 / gr �/ Feet / Feet VII. TANK capacit g Total # of Prefab. Site g Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete con Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank M ❑ ❑ ❑ ❑ ❑ ift Pump Ta /SipMtvfr"3Tnr SQ ❑ ❑ ❑ ❑ ❑ V1111. RESPONSIBILITY S EMENT I, the undersigned, assume respon sibility for installation of the ons ite sewage system shown on the attached plans. ' Number's Name: ( t) Plumber's Si na e: (No Stamps) �.: Business Phone Number: v . r s /� — ,go 4,) 53 L S -�- t 5 Plumber's Address (Street,City, tate,Zip ode): V LCI 1109 ,Z .42 0 ff IX. COUNTY / DEPARTMENT USE ONLY // o ❑ Disapproved anitary Pern r I'� . 7 �G V, Issuing Agent Signature (No Stamps) Eppproved ❑ Owner Given Initial ff -Z, .� Z Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOI j A seAac "4� � � C ' I SBD -6398 (R. 4199) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber J INSTRUCTIONS ` 1. A sanitary permit Ls valid fof two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a 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 systemSrnust b6 properly mai ntained. The septic tank(s) must be pumped by a`ficenseT6d; ;Oe W'h2never necessary, usuallf�every 2 to 3 years. 6. If you have giestions concerning your onsite sewage system, contact you[ local code administrator or the State, of Wisconsin, Safety and Buildings Division, 608-26 -� = °•• — ` ,J- • °•`� -. -: :' � - To be complete and this sanitary permit appli6tion must intrude: t I. Propertyo er's r afn'V,an� mailing address. Provide the legal description and parcel tax number(s) of where the system is to 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 on 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 for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /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. Vlll. 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 1/2 x 11 inches must be submitted to the county. The pPa'nli=Faust include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tankjs), 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.90 a 1 15 form; and F) all sizing inform. gtion: -_ _.... _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ r _ _ _ - _ _ GROUNDWATER SURCHARGE Aj 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a numl er of regulated practices which can effect groundwater The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. r Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 Visconsi- n www.commerce.statemi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary March 23, 2000 CUST ID No.273085 ATTN. POWTS INSPECTOR CALVIN POWERS ZONING OFFICE POWERS EXCAVATING INC ST CROIX COUNTY SPIA 1969 185TH AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/23/2002 Identi catio umb rs Transaction ID . 302572 SITE: Site ID No. 174489 Site ID: 174489 Please refer to both identification numbers, St. Croix Coun ty, City , Ci of New Richmond above, in all correspondence with the agency. NW1 /4, NW1 /4, S34, T3 IN, R17W Facility: Tom Well Residence FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 653012 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system 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. Stats. • The existing septic tank must be inspected for structural soundness, size and baffles and must be brought into conformance with the requirements of ch. Comm 83, Wis. Adm. Code. If it does not conform a state approved tank must be installed. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation /operation. i Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 03/14/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 erard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us WSMART code: 7633 APPLICATION FOR REVIEW W N *isc ' onsin - Complete all pages- O r r �� Department of Commerce Safety & Buildings Division This page may be utilized for fax appointment requests Bureau of Integrated Services Complete and indicate date plans will be in our office NOTE: Personal information you provide may be used for secondary Complete for confirmed appointments *: purposes [Privacy Law s. 15.04(1)(m)]. Not available for POWTS at this time. 1. Private Sewage Submittal 2. Type of Submittal: Transaction ID: System Type ( ) New ( ) Groundwater Monitoring Previous Related Trans. ID: ( Site Evaluation � Replacement ( POWTS System ( )Petition (attach form SBD -9890) Appointment Date ": ( ) At Grade ( ) Experimental Review Assigned Reviewer• ( ),Holding Tank ( ) Engineered System ( )! Nonpressureized In- Assigned Office: Ground- conventional " Plans must be received in the office of the appointment no later than ( )' Pressurized In- 2 working days before the confirmed appointment. Ground 3. Project Site Information - Fill in all known information. ( �Q Mound Site Number ( ) Aerobic System ( ) Sand Filter Number & Street: ( ) Constructed Wetland Legal Description: W tO ( ) Other. County city ( ) Village ( Town of Gallons per Day: 4 $fl Facility Na e: (individual and/or busin ss name of project) Building Type {check ne): ( Dwelling, 1 or 2 family . (/ j Public Building Facility Address: (proje address) \ Zip Code ( .) State -owned Building j sr < O 4. After plans are reviewed, lease: ( heck all that apply) _ Call when completed. Mail plans to customea 2, 3, 4 _ Requesting party will pick up Circle customer number from below. Other. 5. Complete the following designer /owner /requesting Information. Utilize the check boxes when designer, owner or requesting party is the same to avoid repeating Information. rV N me Last Name Customer Number First Name Last Name Customer Number r. © W 9— r-S Co any Name Company Name xw-Li S eb Addr ss Address City State Zip +4 (9digits) City State Zip +4 (9digits) Phone Number (area code) Fax or Internet Phone Number (area code) Fax or Internet Check others If applicable Check others if applicable ( ) Owner ( Payer ( Requesting party ( ) Owner ( )Payer tOvSrer Infiti(Ct „ r OtlierFleapeifyT(CtsCln4) First Name Last Name Customer Number First Name Last Name Customer Number Company Name Company Name Address, Address City State Zip +4 (9digits) City State Zip+4 (9digits) Phone'Number (area code) - Fax or Internet Phone Number (area code) Fax or Internet Check others if applicable Check others if applicable ( ) Payer ( .) Payer (. ) Other MAKE CHECKS PAYABLE TO DEPT OF COMMERCE TOTAL AMOUNT DUE $ , Attach check here Review code 7633 SBD -10577 (R.10/98) 6. Calculation of Fees Required (circle all that apply.) System Type (Include new and existing tanks) Up to 5,000 gallon holding tank ............................ .........................$60.00 ................................ ............................... 5,001 10,000 gallon holding tank ...........:.:...... ..............................$ 100.00 ................................ ............................... Over10,000 gallon holding tank .................... ..............................$ 150. 00................................. ............................... Up to 1,500 gallon septic tank ...................... ..............................$ 110. 00................................. ............................... 10. 1,501 2,500 gallon septic tank .............:........ ..............................$ 120. 00............................... ............................... 2,501 5,000 gallon septic tank ................... ............................... $ 160. 00 ............................... ........................... 5,001- 9,000 gallon septic tank ..................... ............................... $ 200.00 ................................ ............................... 9,001- 15,000 gallon septic tank ...................... ..............................$ 300. 00................................ ............................... Over 15,000 gallon septic tank ....................... ..............................$ 500. 00................................ ............................... Upto 1,000 gallon dose chamber ............... ............................... .. $70.00 ............................. ... .............4................. �� ►r . 1 ,000- 2.000 gallon dose chamber ....................... .........................$80.00 ................................ ............................... 2,001- 4,000. gallon dose chamber ...............:...... ........................$100.00 ................................ ............................... 4,001- 8,000 gallon dose chamber ...................... ........................$120.00 ................................ ............................... 8,001- 12,000 gallon dose chamber ....................... .......................$140.00 ................................ ............................... Over 12,000 gallon dose chamber ...................... ........................$160.00 ................................ ............................... Experimental System (additional one time fee) .......... ........................$300.00 ............................... ............................... Revisions to Approved Plan ..................... ............................... ..............$60.0'0.1........ ............... ............................... Petitions for Variance Setback .................................................... ......................................... ............ . (Include Form Site Evaluation ................. ........................$225.00 ................................ :.............................. SBD -9890) Plumbing .................... ..............................$ 225. 00...............................: ..::........................... Revision ............................ .........................$75.00 ................................ ............................... Groundwater Monitoring - Per'Site . ............................... .........................$60.00 .......................................... :.................... (other than a proposed subdivision) Site Evaluation in Lieu of Groundwater Monitoring ........ .........................$60.00 ................................ ............................... Subtotal ............................... Priority Review: Enter same amount as subtotal ..... ............................... Prior approval from a section chief is required for a priority review. If approval is granted, the priority will be reviewed within 5 days of receipt. o 0 Enter TOTAL here and on bottom of FRONT PAGE Note: Fees for aerobic or prepackaged treatment systems that may include trash tanks shall be calculated based on the rated capacity of the aerobic unit or prepackaged treatment system as compared 'to an equivalent septic tank size. Note: Fees are pursuant to ch. Comm 2 and are subject to change annually; please contact any of the offices listed below for the most recent copy of this form. Note: Comm 2 provides for a partial fee refund if a plan action has not been taken within the 15 days of receipt of all required Information. 7. Appointment, Scheduling Information, and Plan Submittal Checklists. At this point in time appointment options for POWTS scheduling is not available. . If you wish to schedule a review appointment in advance, call any of the full service offices. At the time of making an appointment, you may request review for specific office or desired (beginning) date for review. You may also FAX the front page of this application and receive a FAX back with an Appointment Date, Transaction ID No, and Assigned Reviewer. Plans must be received in the office of the appointment no later than 2 working days before the confirmed appointment Non - scheduled submittals or submittals received without a confirmed appointment date and transaction number on the form may be assigned to offices other than the I receiving office depending on reviewer availability. To obtain a submittal checklist call the material order unit at 608 - 266 -1818 or one of the full service offices listed below tladlson S &BD Hayward S &BD LaCrosse S &BD. Shawano S &BD Green Bay S &BD Waukesha S &BD 201 W Washington Ave 15837 USH 63 2226 Rose St 1340 E Green Bay 2331 San Luis Place 401 Pilot Court PO Box 7162 Hayward WI 54843 LaCrosse WI 54603• Shawano WI 54166 Green Bay, WI 54304 Waukesha WI 53188 t WI 53707 -7162 608 -266 -3151 715- 6344870. 608 - 785 -9334 715- 524 -3626 920492 -5601 414 - 548 -8600 F ^x:608- 261 -6699 Fax: 715 -634 -5150 Fax: 608-785-9330 Fax: 715 -524 -3633 FAX: 920 -492 -5604 Fax: 414-548-8614 TDD 608 -2G4 -8777 Email: haywardsch@ Email: lacrossesch@. Email: shawanosch @. Email: greenbaysch@ Email: waukeshasch@ Email: madisonsch@ commerce.state.wi.us commerce.state.wl.us commerce.state.wl.us commerce.state.wi.us commerce.state.wi.us cornmerce.state.wi ms PA MOUND SYSTEM FOR A_,.3BEDROOM RESIDENCE LOCATED IN THEE /40F THE NW 1 /40F SECTION3 4T3 LN,RaW, TOWN OF h SZ'. "COUNTY, WISCONSIN. INDEX PAGE 1A OF 9 TITLE SHEET PAGE 1 OF 9 WORK SHEET PAGE 2 OF 9 WORK SHEET PAGE 3 OF 9 WORK SHEET PAGE 4 OF 9 WORK SHEET PAGE 5 OF 9 PLOT PLAN PAGE 6 OF 9 PLANVIEW CROSS SECTION PAGE 7 OF 9 DISTRIBUTION PIPE LAYOUT PAGE 8 OF 9 PUMP CHAMBER PAGE 9 OF 9 PUMP PERFORMANCE CURVE PREPAR .a.k�s rw.s N.Q. k6c. PREPARED BY POWERS EXCAVATING INC. li Lek 3 -- to -cam -1 P7* as 3'7 p.O.W.T.S /11 n C 1969 185th AVE r% , ED ENT OF COMMERCE NEW RICHMOND, WISC. 54017 pEP p DING 715- 246 -5135 ivls` of �F SEE CORRES O ENCE N I - I lk E�r Loy - WORKSHEET.- MOUND SYSTEM DESIGN PROBLEM: Design a mound system for a re o nr� The site characteristics are: Depth to groundwater or bedrock _.26 in. Landslope Percolation rate ..,.�_ Distance from dose chamber to distribution system ft. Elevation difference between Dump and distribution system �a� ft. Step 1. WASTEWATER LOAD = 5 0 X 3 j.5 O gal Step 2. SIZE THE ABSORPTION AREA A) Area required = 5�'�' �'a aQ. /4t' /a°'� sq. ft. B) Bed or trench length (B) ft• C) Bed or trench width (A) _ ,_, ft. =0.) Trenth`sp1cing (C)`= k _ Wastewa :er load .24 coal /ft /day $ _ ft. .. trei ems Step 3. MOUND HEIGHT , A) Fill depth (D) - B) Fill depth (E) - D + slope (A)f _I.jft. +C_ . qkX ) C) Bed or trench depth (F) ft. \ D) Cap and topsoil depth (G)`= ,ft. E) Cap and topsoil depth*(H) ft. J Step 4. MOUND LENGTH A) End slope (K) = D + ft. E + F + H x 3 = IO• C- 2 j a3 B) Total mound length (L) B + 2 (K) a l l t• 9 3, 75 -1• AC) -.4 to ► i , s I Step 5. MOUND WIDTH ' Al) Upslope correction factor z � s9 A2) Upslope width (J) - (D + F + G)(3)(factor) _ ft. B1) Downslope correction factor B2) Downslope width (I) _ (E + F + G)(3)( actor) _ ��.- - a ft- 1. It t • 2'3 + I ) X 3 xl•1 Cl) Total mound width (W) for bed = J + A + I = _ ft. C2) Total mound width (W) for trenches � j + + (no. trenches -1)(c) + A + I 77ft. _ - J1. Step 6. BASAL AREA `P A) Infiltrative capacity of natural soil �9". /ft /day r B) Basal area required = wastewater flow natural soil infiltrative•capacity = 50 sq. ft. 4 LO Cl) Basal area available for bed for sloping sites = B x (A + I) _ sq.• ft. C2) Bas are •avail le for trench for sloping sites = B W �j + A 1= k q. ft. q 3• -7$x C .-7? SS f li�s.co C3) Basal area available fo.r trench or bed for level [ A sites = B x W = - sq. ft. �-Q Step 1. DISTRIBUTION SYSTEM 7A) SIZE DISTRIBUTION SYSTEM 1 Hole site = in. 2) Hole spacing = ,in. 3) Distribution pipe length a — -in. 4) Distribution pipe diameter a _,,in. 5) Spacing between distribution pipes in. 6) Distance from sidewall to distribution pipe = 0&_L_ in. 1B) DISTRIBUTION PIPE DISCHARGE RATE, ft. 1) Number of holes per pipe = �' 2) Flow per pipe M. l 7C) SIZE MANIFOLD 1) Manifold is central / end 2) Manifold length a ft. 3) Number of distribution lines = 4) Manifold diameter in. 7D) SIZE FORCE MAIN 1) Minimum dosing rate a LQ GPM 2) Force main diameter = in. 3) Friction loss aS.l1 ft. 7E) TOTAL DYNAMIC HEAD 1) Vertical lift = a ft. 2) Friction loss = Q. ft. �1• S 3) System head 2.5 ft..- «____ ft. 4) Total dynamic head 7F) PUMP SELECTION 1) Pump selected will discharge GPM at ft. total dynamic head. 2) Pump model and manufacturer 11191E�5 . G it-�& 7G) DOSE VOLUME 1) 10 times void vqlume of distribution lines g gal. /cycle iox.ga )ca xy5.)_xa.W 2) Daily wastewater volume 4 doses /24hrs. _ � _ gal. /cycle li50 3) Minimum dose volume = gal. /cycle -t-Caco x .3 1�� =1s�.i 7H) DOSE CHAMBER 1) Minimum capacity required = "750 gal. r I I ; 1 I -- - - - t. �_ :w try I - - - -- - -- I N •� •_ .crrn� r w? 5�0 �7 - - - -- I ; : I , ; (1 wY S 3 T : _�t 3�`':N Rt , - I , s`r C : r -- V b -- 16 - — – —' - - -- -- - _ ct j I k �0� 01� "" << P 5E , I I I ; r _ : I V ef Q I j , I I I ; I , I 1 I I I I I i I I r/ I : I : : , I i i I I : I : , 1 � : II : IL : I : : I I I - 1 - Uj Page �. .�. Straw, Marsh Nay, Or ' • Synthetic Covering ST`K\C -33 Distribution Pipe Medium Sand � ,a t: A • y % Slope ' ?— 2 %? Force Main Plowed Bed Of Aggregate Layer D Ft. Cross Section Of A Mound System Using • E Ft. 'A 'Bed For The Absorption AYeo •g 3 Ft. G I Ft. A LI Ft. 14 _j5_ Ft. gned; — B 3 Ft. cense Number: K ,� Ft. te: L Ft. - 7_ ,S Ft. Position 1 of Force Main W �j,1 -� Ft. ' L Observation Pipe- 1 . _ _ -• _ _ • _ _ -_ _ _ _ _.._ � • Distribulion• Bed Of Pipe Aggregate . i . Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area Paga 0 Perlorolod ELL 0 End yi,w End Cop Pe110r01,d ��• PVC Pipe d%.0 OP ae Hotee Located On ©oltorn, s Are Equally Spaced 0% Lacl Hoi• Sho fd De •,r. Neil 7o End Cop Ditlribulion Pipe Loyoul P U Ft. R X e,L;j Inches Y Inches, Hole Diameter VAJ Inch Lateral Incii(e;) Manifold_ Inchc:; Date: Force Main Ind1w; N of holes /pipe Invert Elevation of Laterals ,?.qFt. PAG C or ..L.— ' PUMP CHAMBER CROSS SCeTIOAS ANO' SPECIFICATIONS VENT CAP M "C.I. VCNT PIPE WGATHCR PROOF APPROVED LOCKIUG JUIJCTIOU BO MAMMLC COVER Ls' f Rom DOOR. IL•1"1tu. WIIJDOW OR FRESH I AIR INTAKE GRADC t e• Mtu. CONDUIT WAW. - IMLC IPROVIDE ( - -- A�RTIGHT SEAL . � I II APPROVED JOIN A I I I APP R OVED .JOINTS w1c.s. ?m 1 III W /C.= PIPE EXTENDING 3' 1 I ( ALARM [XTCUOtfJG 3' OUTO 60.10 SOIL 0 1 II ONTO SOLID SOIL . I iI 0 i.l oIJ tL CV. _ fT. PUMP -j � Ofi ; 0 F CONCRETE OLOCK RISCK EXIT PERMITTED OWL1 IF TAIJK MANUFACTURER HAS SUCH APPROVAL 13"APPAWCEC 13bD4 t NQ SEPTIC E SPEGIFICATIOUS DOSE - TA"a MAIJUFACTURER: W `'�S' MUMBCR OF DOSES: PER DAU TANK SIZC: S. GALLOWS DOSE VOLUME ALLARM PAMUFACTURER: 5 J . �� ^��- - •�lSl �.�� - 11JCLUO1NCs 6ACK /LOW: � g La GALLONS MODEL WU1II5CR I Apt 4w CAPACITIES: A= �r� INCHES OR X 3 GALLOWS SWITCH. %IPCi $a d IUCHESOR. - 3 5,7 GALLOAIS___ PUMP MAIJUFACTURCIt ' �nLi.i' 5 Q r. I IIJCHES OR LK CALLOUS MODEL UUMDER: b 1 D ' IMCHES Olt GALLOIJS 5WiTCH TYPE: DOTE: PUMP AMD ALARM ARE TO OL MIUIMUM DISCHA RATE M/ INSTALLED ON SEPARATE CIRCUITS VEKTICAL OETWELU PUMP OFF AIJO JDI3TR10uT101J PIPE.. /A FEET r �.S lM + MIJJIMLIM UfTWORK SUPPLY PRESSUR so . FLET 0 , ...... _ 17 CJ + FEET OF FORCE MA X _1���.. FACTOR.. ° FEET '' z 9 } LAS w. -- _ TOTAL .DyIJAMIC. HEAD = '�"fEET IIJTERWAL DIME.NSIOWS OF TAUK: LEAIGTH ; D WZU ._...;LIQUID DEPTH r Submersible Effluent Pump 3885 llMiK faA APPLICATIONS • Overload protection must smooth operation. Silicon can be operated continuously Specifically designed for the be provided in starter unit: bronze Impeller available as without damage. p y g • Shaft: threaded, 400 series an option. , •.• 4? - l , {•.• , _• • ' ■Bearings: Upper and following uses: stainless steel. ■ Casing: Cast iron volute lower heavy duty ball bearing Farms • Bearings: ball bearings type for maximum efficiency. construction. upper and lower. 2' NPT*discharge adaptable ■ Power Cable: Severe • Trailer courts duty • Motels • Power cord: 20 foot for slide rail systems. rated, oil and water resistant. lengths available). • Schools standard length (optional 0 Mechanical Seal: SILICON Epoxy seal on motor end • Hospitals Single phase: CARBIDE VS. SILICON provides secondary moisture Industry HP -16/3 SJTO •, , CARBIDE sealing faces. barrier in case of outer jacket / and /z • Effluent systems Stainless steel metal parts, damage and to prevent oil with 115 V or 230 V three prong plug. BUNA -N elastomers. wicking. SPECIFICATIONS • % -1' /x HP -14/3 STO with ! Shaft: Corrosion- resistant ■ 0 -ring: Assures positive Pump bare leads. stainless steel. Threaded sealing against contaminants • Solids handling capabilities: Three phase: design. Locknut on three and oil leakage. W maximum. •' /z-1' /: HP -14/4 STO phase models to guard • Discharge size: 2" NPT. with bare leads. On CSA against component damage AGENCY LISTINGS • Capacities: up to 128 GPM. listed models - 20 foot on accidental reverse rotation. p length SJTW and STW ■ Motor. Full SP CanadlanStandards AssactaUon • Total heads: up to 123 feet y submerged in TDH. are standard. high -grade turbine oil for • Mechanical seal: silicon lubrication and efficient heat U� Underwriters Laboratories carbide -rotary seat /silicon FEATURES transfer. carbide - stationary seat, 300 n Impeller: Cast iron, semi- ■ Designed for Continuous series stainless steel metal open, non -clog with pump - Operation: Pump ratings are parts, BUNA -N elastomers. within the motor manufacturer's • Temperature: out vanes for mechanical seal recommended working limits, 104 °F (40 °C) continuous Protection. Balanced for 140 °F (60 °C) Intermittent. METERS FEET' - • Fasteners: 300 series 90 stainless steel I __ _ SERIES: 3885 SIZE:' /i SOLIDS • Capable of running dry, 25 eo w Ei RPM: VARIOUS without damage to - ►SGPM --" - components 70 WEt H 5FT 20 — Motor ° so - - Single phase: _ E0 - - • %a HP, 115 V, 200 V, 230 V, 15 so 60 Hz, 1750 RPM ;' /: HP, - 115 V, 60 Hz, 3500 RPM; 0 40 Y EO M '/2 HP -1'/ HP, 230 V, 4 60 Hz, 3500 RPM. ° t0 30 E • Built -in overload with 03L automatic reset. 2 • Class B insulation. 5 Three phase: 10 • '/ HP -1' /z HP 200/230/ 0 0 FT] 460 V, 60 Hz, 3500 RPM. o 10 20 30 40 5 0 70 80 90 100 110 120 130GPM • Class B insulation. 0 10 20 30 m CAPACITY m 1995 Goulds Pumps Effective May, 1995 83885 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of Labor and Human Relations Divisioh of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 036- 1088 -70 APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Thomas E. Wells GOVT. LOT NW 1/4 NW 1 / 4 ,S 34 T 31 N,R 17 :R(or) W PROPERTY OWNERS MA!I.ING ADDRESS LOT # BLOCK # 7D. NAME OR CSM # 171.1 St. Hy. #64 na na csm CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE JgOWN NEAREST ROAD New Richmond, WI. 54017 (715)246 -6379 Stanton I St. HY. #64 [ J New Construction Use�x] Residential / Number of bedrooms 3 ( ) Addition to existing building Pc Replacement [ j Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 5 bed, gpd/ft • trench, gpd/ft Absorption area required 375 bed, ft2 375 trench, ft Maximum design loading rate • 5 bed, gpd /ft - 6 trench, gpd/ft i Recommended infiltration surface elevation(s) 98 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of 97.91 Parent material ground moraines Flood plain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for system ❑ S nu I 5bs O U I ❑ S :RU 1 S El U I [] S ® U O S ® U SOIL DESCRIPTION REPORT Borin g # Horizon I Depth Dominant Color I Mottles Structure I GPD /ft in. Munsell Clu. Sz. Cont Color Texture cy Gr. Sz. Sh. Consistence Roots Bed TMrK:h 1 0 -10 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 2 10 -24 10yr4 /6 none sil 2msbk mfr gw if .5 .6 Ground 3 24 - 34 7.5yr4/4 none sl lmsbk mfr gw na .4 .5 95lev3l f 4 34 -63 7.5yr4/4 c2p �/ rqQ sl lmsbk mfr na na .4 .5 Depth, to Y 4 limiting factor 34" Remarks: Boring # 1 0 -11 10yr3 /3 none 1 2msbk mfr gw 2f .5 1.6 2 2 11 -22 10yr4 /4 none sil 2msbk mfr gw if .5 €.6 ! 3 22 -39 7.5yr4/4 none sl lmsbk mfr gw na .4 .5 Ground 98 ft. 4 1 39-60 7.5yr4/4 c2p 7.5yr5/8 sl M na na na Depth to limiting factor 39" Remarks: CST Name _ Please Print Gary L. Steel Phone: 715 - 246 -6200 1 Address: 1554 00th. Ave 1Jew Richmond, WI. 54017 Signature: < Date: CST Number: 5 -4 -95 cstm 022AR PROPERTY OWNER 'Thomas Wells SOIL DESCRIPTION REPORT Page 2 of 3 PARCEL La # ' 036- 1088 -70 Depth Dominant Color Mottles Texture Structure ConsistencelBoun=y Roots GPD /ft Boring # Horizon[ in. Munsell I Ou. Sz. Cont. Color I Gr. Sz. Sh. ( i I Bed iTrendi 1 0 -10 10yr3 /3 none 1 2msbk mfr gw 2f .5 ! .6 3...... if .5 i. 6 2 10 -22 10yr4 /4 none sil 2msbk mfr gw Ground 3 22 -36 7.5yr4/4 none sl 2msbk mfr gw na .5 .6 elev. 4 36 -56 7.5yr4/4 2p Yr 5 6 9 6.16 ft. 2.5yr4/6 sl 2msbk mfr na na . . Depth to limiting factor 36" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor [71 1 1 Remarks: Boring # Ground elev. ft. I Depth to limiting factor i Remarks: SBD- 8330(R.0562) ' STEEL'S SOIL SERVICE Gary L. Steel Thomas E. wells 1554 200th Ave. CSTM2298 NW S34- T31N -R17w New Richmond, WI 54017 MPRSW -3254 town of Stanton (715) 246 -6200 N 1 " =40' BM. = top of 1" steel pipe by corner post C el. 100 { G Alt. BM.= top of corner post C el. 104.80 - �yS +E 0 0 1 t y 3 Gary L. Steel 5 -4 -95 RECEIV,r """Pt 1 4 2000 SAFETY BLDGS DIV Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor an* Human Relations Division 61 Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x ze. Plan must include, but St. Croix not limited to vertical and horizontal reference point `�i i f slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and dista o rest roa . 8 036- 1088 -70 APPLICANT INFORMATION- PLEASE P LLAFO TIO RE IEWED BY DATE a �• S -g- 21x1 PROPERTY OWNER: , ' ERTY LOCATION j Thomas E. Wells `' ! LOT NW 1/4 NW 1/4,S 34 T 31 N,R 17 :R(or) W �� � �Q PROPERTY OWNERS MA!i_ING ADDRESS BLOCK # SUBD. NAME OR CSM # 1711 St. Hy. #64 '�' mow. •n na csm CITY, STATE ZIP CODE 'PH ,NL1 i}8ER ITY []VILLAGE JgOWN NEAREST ROAD a New Richmond, WI. 54017 ('7.1:5);`246- -637 Stanton St. HY. #64 [ J New Construction Use Residential ! Number of 3 [ J Addition to existing building be s (x Replacement [ J Public or commercial describe Code derived daily flow 450 apd Recommended design loading rate • 5 bed, gpd/ft - 6 trench, gpd/ft Absorption area required 375 bed, ft2 375 2 Maximum design loading rate - 5 bed, gpd/tt^ • 6 trench, gpd/ft Recommended infiltration surface elevations 98.91 ft (as referred to site plan benchmark) Additional design / site considerations s m el. based on contour line o .91 Parent material ground moraines 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 for system O S aLl I CG O U O S :954 O S isU OS (DU EIS ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. I Bed Trerxfi 1 0 -10 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 2 10 -24 10yr4 /6 none sil 2msbk mfr gw if .5 .6 Ground 3 24 -34 7.5yr4/4 none sl lmsbk mfr gw na .4 .5 9 91e�l ft 4 34 -63 7.5yr4/4 c2p / yr4/ sl lmsbk mfr na na .4 i.5 Depth to Y limiting factor 34� I 1 Remarks: Boring # :.;,,,. ••,.:;: 1 0 -11 10yr3 /3 none 1 2msbk mfr gw 2f .5 1 .6 2 2 11 -22 10yr4 /4 none sil 2msbk mfr gw if .5 .6 R 3 22 -39 7.5yr4/4 none sl lmsbk mfr gw na .4 €.5 Ground 4 39 7.5yr4/4 c2p 7.5yr5/8 sl M na na na .3:; 98 ft. i E Depth to limiting factor _ Remarks: CST Name:— Please Print Gary L. Steel Phone: 715 - 246 -6200 Address: 1554 00th. Ave. , New Richmond, WI. 54017 Signature: Date: CST Number: L �� AL&12� 5 -4 -95 cstm 02298 I PROPERTY OWNER Thomas Wells SOIL DESCRIPTION REPORT Pepe 2 of 3 . PARCEL I.D. # 036- 1088 -70 j Boring # Horizon) Depth I Dominant Color Mottles Texture I Structure Consistence Bourdary I Roots GPD /ft in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. I Bed iTrerxi� 1 0 -10 10yr3 /3 none 1 2msbk mfr gw 2f 1.5 .6 3 << 2 10 -22 10yr4 /4 none sil 2msbk mfr gw if .5 .6 Ground 3 22 -36 7.5yr4/4 none sl 2msbk mfr gw na .5 .6 el 4 36 -56 7.5yr4/4 2p 2.5yr4/ sl 2msbk mfr na na .5 .6 Depth to limiting facto Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. j ft. I Depth to limiting factor i Remarks: SBD- 8330(8.05/92) 9 STEEL'S SOIL SERVICE Gary L. Steel Thomas E. wells 1554 200th Ave. CSTM2298 Nw4Nw4 S34- T31N -R17w New Richmond, WI 54017 MPRSW 3254 town of Stanton (715) 246 -6200 1 =40 V top of 1" steel pipe by corner post C el. 100 ✓ Alt . BM. = top of corner post C el. 104.80 , �5ur 51,5 �� 5 �ys�E l $Z, ��0 I I NS 3 1 7 1 Gary L. Steel 5 -4 -95 ST. CROIX COUNTY* ZONING,.OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the /_h�vY.cAs� e��S residence located at: A W 1/4, AJ 1/4, Sec. .3 T N, R W, Town of J \ ccvl�� 4rir" Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced 199-S Did flow back occur from absorption system? Yes - No�(if no, skip next line) Approximate volume or length of.time: gallons minutes Capacity: Construction: Prefab Concrete Steel Other Manufacurer (if known): Age of Tank known) : aQ V QQ ,—s (Signature) (Name) Please Print (Title) (License Number) 0'Q (Date) Form to be completed by licensed plumber (x.145.06, Wisconsin Statutes.) or Licensed Disposer (NR 113 Wisconsin Administrative Code) . Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR -83, Wis. Adm. Code (except for inspection open' over outlet baffle). Name Signature /MPRS 5/88 w r . ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM r Owner/Buyer 0 ciY\CL S W .Q �\S Mailing Address (-O Property Address �Jex w•sZ (V required from Planning Department for new construction) City /State m n A4 6-11 Parcel Identification Number LEGAL DESCRIPTION Property Location N ' /a, N Lt ) 1 /4, Sec. , T_:�LN -R_j_� W, Town of S o _ Subdivision _, Lot # Certified Survey Map # (P ® 2�Q �,( ,Volume 1 , Page # 3 3 a . Warranty Deed # J (� , Volume S�3 , Page # 7� Spec house ❑ yes no Lot lines identifiable )4 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 master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three y expiration date. W A—D&I 0 - ) SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of t operty described above, by virtue of a warranty deed recorded in Register of Deeds Office. G )0 1 / " ,alp IGNATURE 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 II DOCUMENT N0, STATE BAR OF WISCONSIN- FORM 2 B flK 503 PAGE1 WARRANTY DEW 3 18550 THIS SPACE RESERVED FOR RECORDING DATA BY THIS DEED Louise Wells a /k /a Louise M Wells REGISTERS OFFICE a widow ST. CROIX CO., WIS, Recd for Record this-19Z day of ---- AlMls___A.D.19_73 Grantor conveys and warrants to Thomas E. Wells 800 A M. R's -r of DiW Grantee_ for a valuable consideration One Dollar and other valuable RETURN TO __— co nsideration the following described real estate in —St • C roi x County, State of Wisconsin: rax Key # This is homestead property. All that part of the Northwest 1/4 of the Northwest 1/4 of Section 34, Township 31 North, Range 17 West, Town of Stanton, St. Croix County, Wisconsin, described as follows: Commencing at the Northeast corner of the Northwest 1/4 of the Northwest 1/4. of Section 34, Township 31 North, Range 17 West, St. Croix County, Wisconsin; thence West along the North line of said Section 34 for 561 feet to the point of beginning of this FEE description; thence continuing West along said North line of # Q Section 34 for 160 feet; thence South at right angles for - -;i- -- 260 feet; thence East at a right angle for 160 feet; thence EXEMPT North at right angle for 260 feet to the point of beginning. Subject to the right of way of Wisconsin Highway No. 64; containing one acre more or less. Exception to warranties: Executed at_ - _NeW Ric hmond, - Wisconsin -_- _ _this —__ day of Septe mber 19 73 SIGNED AND SEALED IN PRESENCE OF (SEAL) Louise Wells (SEAL) ( ----------- - - - - -- (SEAL) 1 -- - (SEAL) Signatures of - Louise Wells - -__ -- _ -- _ -- _-- - - - -_- 1 -- 17th - - ! - authenticated this day of - SE'Pt _ L.-R. Rei _ Title: Member State Bar of Wisconsin00861R3PARIE STATE OF WISCONSIN 1 } ss. -- - County. Personally came before me, this day of _ lg__ the above named—.—__- - ---------_------ to me known to be the person _ who executed the foregoing instrument and acknowledged the same. This instrument was drafted by L. R. REINSTRA — - -- — — - - -- - -- -- — --- - - - - -- Notary Public— County, Wis. i The use of witnesses is optional. My Commission (Expires) (Is)_ Names of persons signing in any capacity should be typed or printed below their signatures. - — MIlMIN �P/M® WARRANTY DEED —STATE BAR OF WISCONSIN, FORM NO. 2 — 1971 � RONAIb F. ,JOHNSON f3-- i 1 9F3 S AMC wl 621944 I FILED a 0... /V0 suR�►E APR 2 7 2000 ► IG 4010Atp s"N% E R T I E I E D SURVEY MAP KATHLEEN H.VdALSH Located in part of the Northwest Quarter of the Northwest Quarter of Section 34, Township 31 N S�Crorof0 M Range 17 West, Stanton Township, St. Croix County. Wisconsin. /! Prepared for and at the request of: _ _ _ _____ r° OWNER: SEE SHEET 2 OF 3 FOR NSION 7RIANGL0 Tom Wells tEASEMENT RESTRIC770N. 1 1171 Hwy 64 - - - --J New Richmond, WI 54017 Drafted by. Tricia L Karlsen 33 NORM 114 CORNER 33� NoR77IW£ST CORNER UNPLATTED LANDS SEC. J4 -X -17 SEC. 34 -31 -17 -- `-- - - - - -- (FOUND PK NAIL) (ALUM. CO. MON.) STATE H W Y 64 N LINE OF 77-IE NW ` I 114 OF 711E NW 114 --� 150 S0' -NO /q�---- - - - -- I � R.O.W. H,�Y 6� -__ - - - - -- - -- ' -- - - -- _ � '- `^ �,,. ---N88'39'10"E 2 635 . 14' -- CENTERI.INF HWY 64 �� to N88'39'10'E 756.57' � 246.39 / N 9 1d "E 1878.57' 510.18 •�" � / zk R.O.W. HWY 6 ' ( / a cto 460.tb^ 524 - -- �`_ 245. I ° -- Z a I f \ Af►3 N88'39'10 "E 705.16' 'c N W N1 - -- --- - - - - -- -V - -- a o w ♦ m o VOL 434 50' � N r PG. 203 .... ai � Ftous o o i �`\ 100 0. �ul 2 I N i_ a 7 7 L W .`�0.5 `� fo �O 3 eeoo) eF L 1 SHED — - - - - -- to I jtn �� M LOT2 �y co I LINE OF S 01 3 U rn l 0 5 �- w d 6E -- _1 I N Pit of I' N LOT 1 g d "° ii Q O M 4 I MINI - ' 1 Z I. I� N I N W IUJI I I o I �IWlwl I I Z N F -I�I�I I ( I I I SI �••- i I i t ; � I �Iwlol ZI 'Q JiU� >i �t W I i 3 1 o I I __ to 1111 1 -- 714.99' -- 237.82' `•� L I /i� ����': 477.17' 510.18' I w I ��.� S88'39 10 "W 748.00' ; t ..01; AOV TOTAL AREA LOT 1 o f f I +?t I ST.CROIXCOUNTY 354,480 sq. ft. / 8.14 acres Z Planning Zoning and Parks Commiltee nl i I ACRES EXCLUDING R.O.W. E MI APR 27 2000 301,209 sq. ft.. / 6.91 acres TOTAL AREA LOT 2 within 30 da s of 167,237 sq. ft. / 3.84 acres `� ----- SEC _ _ )11 ctale approval sh l e 52 497 sq. / 3.50 acres (ALUM. CO. MOW) and void NOTE: The parcel shown on this map Is subject to State, County and C AUTION: Township laws, rules and regulations (i.e. wetlands, minimum lot size, access STATE AND COUNTY HWY. to parcel, etc.). Before purchasing or developing any parcel, contact the St. SETBACK RESTRICTIONS Croix County Zoning Office and the appropriate Town Board for advice. PROHIBIT IMPROVEMENTS- j.EGM SEE PAGE 2 OF 3. -Q� Section Corner Monument • Set 1 " x 24" Iron Pipe weighing D.O.T. N0. 55 -64- 3025 -2000 a minimum of 1.13 pounds per linear foot. O Found 1" Iron Pipe. NOTE: LOT 1 SHALL HAVE NO • • - County Building Setback Line DRIVEWAY ACCE §,S OFF OF (100' from Right -of -Way) STATE HWY. "64'. SEE PAGE 2. JOB # 99072 (STA. 2) 200 0 21 NO TH Prepared by. A & E GRAPHIC SCALE LAND SURVEYING do CIVIL ENGINEERING SCALE IN FEET: 1 inch = 200 feet Phone No. (715) 246 -4319 BEARINGS ARE REFERENCED TO 11IE NORTH LIN I THE 109 East Third Street, P.O. Box 325 NW 1/4 OF SECTION 34, TOWNSHIP 31 N., RANGE 17 W. New Richmond, WI 54017 WHICH IS ASSUMED TO BEAR N88'39'10 "E. Sheet 1 of 3 VOLUME 14 PAGE 3832 A � CERTIFIED SURVEY . MAP Located in part of the Northwest Quarter of the Northwest Quarter of Section 34, Township 31 North, Range 17• West, Stanton Township, St. Croix County, Wisconsin. Prepared for and at the request of: OWNER: Tom Wells 1711 Hwy. 64 New Richmond, WI 54017 Drafted bye Trido L Korlsen D.O.T. NOTES PER TRANS 233: As owner . I hereby restrict all lots and blocks so that no owner, possessor, user, licensee or other person may have any right of direct vehicular ingress from or egress to any highway lying within the right --of —way of State Trunk Highway No. "64 ", as shown on the land division map; it is expressly intended that this restriction constitute a restriction for the benefit of the public as provided in x.236.293. Stats., and shall be enforceable by the department or its assigns. Access to Lot 2 has been granted a variance for the existing driveway with the condition that the access serve only Lot 2 and Is restricted to one(1) residential structure. No improvements or structures are allowed between State Trunk Highway No. "64" right —of —way line and the highway setback line. Improvements and structures include, but are not limited to, signs, parking areas, driveways, wells, septic systems, drainage facilities, buildings and retaining walls. It is expressly intended that this restriction is for the benefit of the public as provided in section 236.293, Wisconsin Statutes, and shall be enforceable by the Wisconsin Department of Transportation or Its assigns. Contact the Wisconsin Department of Transportation for more information. The phone number may be obtained by contacting the County Highway Department. This restriction applies to the ,50' State setback only. The lots of the land division may experience noise at levels exceeding the levels in s. Trans 405.04, Table 1. These levels are based on Federal Standards. Owners of these lots are responsible for abating noise sufficient to protect these lots. No structure or improvement of any kind is permitted within the vision triangle. No vegetation within the vision triangle may exceed 30 inches in height. '5�1 RONALD F. g JOHNSON a —teas `p A -k O Q * s e� SUR�J 0, �+ R e e,� A w•soR� VOLUME 14 PAGE 3832 -IM3> Z6 ra =4 H JOB #99072 (Sta3) " ti m �--4M Prepared by, �*i $ ae a o d o 7 m u A & E - x LAND SURVEYING do CIVIL ENGINEERING '' �o nm Phone No. (715) 246 - 4319 M 109 East Third Street, P.O. Box 325 W ? ZK 0 00 = ia V m rr WI New Richmond, 54017 E:dE Sheet 2 of 3 ' CERTIFIED SURVEY MAP Located In part of the Northwest Quarter of the Northwest Quarter of Section 34, Township 31 North, Range 17 West, Stanton Township, St. Croix County, Wisconsin. S11RVEyon' S Ci;R'I'T F ICA T, Ronald F. jolrrrson, a Begi.st.er•r:.d Wi.sconsin I'Jand Surveyor, hereby r,rrl.ify t.lral: try I - Aie direrAion of Tom Wells, T have survey(-:'d, divided and mapped par-l:1 of i-he Nt)rl :hw(-sl:. Qi►art.er cif I.h(- Nail hwesl-. Qr.rar•Le► c:>f Soc1.km ;14, 'I'ownshil.) 31. North, itangc 17 Wosl:, 'I'c)wrr ()f SI.anl;on, 51,. Croix Como l:y , Wisconsin desc'r i hod as f:c l l ows .- Iteg:i.nning at, Lhe notl;hwest Corner of said Section 34; I;hence, on an assUlned hearing ng along the north line of t:he Not WP-141. Vt.rarl er of said sect 34, Nc,rl 811 degrees 39 minutes 10 s(�corrds f ?ast. a di stance of 756.57 fc eL L11 i's he i ng 561 .00 r eel, W(-.sl; of the m')0:11oast corner of 1:1te Norl:hwesl. Quarter• cif: Lhe Nor•Lhwesl; Quarter of. s, ic1 S .cl :ion 34 per descr i lrec] pt i_ri a Warranty Deed recorded in VoJ time 503 page 170 reco.r.•cled in the -Register of Deeds Office irr, said. Counl:y; thence, along the earl: 1 .i ne o.f Last said desr..r i bed prope►•1:y, Scctrl:h 01 dpg.rees 20 mi.nul_es 50 seconds Last a d i.st :anci of 260.00 feet'.; I.henc�e, along Lhe east: l.i.rcr� Of t ^hat prope1 y clesc�ri.bed i.n a Warranty Deed recorded in Vol.urne '1069 page 557 i.n sai.d Register. of Deeds Of f i <:e, Soul - .h 02 degrees 20 minutes 27 seconds East a di_sLanc,e of 434.1114 feet:; thence, along Llre soul line of last. said propert :y, Sout :h 118 degrees 39 mi.nul:es 10 s(- -_cor►ds West: a d.isi :ance of 748.00 feet to the west: line of the Norl- hwe:.si: Quarter of i:lre NorthwesL Quarter of said Sect :i.on 34; t :hence, along last said west line, Nort :Ir 02 degrees 40 minutes 32 seconds West: a distance of 695.00 feet to the point- of beginning. Cons :a i ni.ng 521,717 square .feel: (1.1.98 acres). Subject- Lo eight -of -way for State 1'run)c Fli.ghway 64 along the most nor. t:herl y 1 i.ne, and 170th Street_ (a 'Down Road) along I.Ite most westerly line, of the above described property, also sub jecl.: to al] easements, restriel,i.ons and covenarlts of record. I also ce.r.•ti.fy Lhat this Certified. Survey Map is a correct rep.reseni.at.ion I.o scale of Lhe exterior boundaries surveyed and described; I;ImL T have complied wi.l:.h Lhe prov:isi.ons of Chapter 236.34 o I -.he wi.sconsi.n Stai.utes and the Subdivision Ordinance of Lhe CounLy of St. Croix and the Town of StanLon in surveying and mapping the same. R Halt] F. Manson Reg. No. 11.86 Dal A & E Telephone If ( 715) 246 - 4319 �� ✓is • <� / /`' band Sur. vey i.ng & Civil i?ng i.neer. i.ng P. O. Box 325 New Richmond, WI 540.1.7 ��t����4.s'�f.�9r•rs+ � 9 � '�l RONALD F. JOHNSON 6 - « ": AMEFtY. 1P. Wls. „ Q' r A 0 eS � J R ` i �.+ VOLUME 14 PAGE 3832 A & E LAND SURVEYING do CIVIL ENGINEERING Phone No. (715) 246 -4319 109 East Third Street, P.O. Box 325 New Richmond, WI 54017 Shect 3 of 3