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HomeMy WebLinkAbout038-1004-40-200 1 Wisconsiri Department of Commerce County Safety and Building Division PRIVATE SEWAGE SYSTEM St. Croix INSPECTION DEPORT Sanitary Permit No: 453251 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)]. 997 �p = �FQ /D Permit Holder's Name: City Village X Township Parcel Tax No: Rutledge, Michael I Star Prairie Township 038 - 1004 -40 -200 CST BM Elev: f Insp. BM Elev: r BM Description: ti Sectionfrown /Range /Map No: 1 D 1 ' 19 . 19 CS Z r�, 02.31.18.7A20 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark r I /b FFc -�i �mm 2.D 03.I 1D1 �9 Dosing � u V Alt. BM � 13 Aeration Bldg. Sewer -7 34 Holding St/Ht Inlet t St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic I / Dt Bottom r Dosing u (r n q41 / Header /Man. 1 0 1, 2 q , Aeration 77 Dist. Pipe 1 IR 2 I•1 'f�i•3' Holding Sot. System ,4 2.490 co' S� r MP /SIPHON INFORMATION F' al Grade Pv � w• 1.1 Ie aA lz + � t,suer _ - 04 Manufacturer Demand S1 Cover t D�1 L�2- GPM 2 , 92 1 m. 3+ Model Number S-2- 3 x ty Q .,q 9 C? o DH Lift Friction Loss System Head TDH Ft A 2• 15 3.30 S. Z I �5� /��•f O orcemain Length r Dia. 2 / t Dist. to Well SOIL ABSORPT SYSTEM Width / Length / No. Of Tfmah PIT DIMENSIONS No. Pits Inside Dia. 2) Liquid Depth DIMENSIONS Q S�� cJ4AaJ_� SETBACK SYSTE TO P/L J BLDG IWELL LAKE /STREAM LEACHING nufacturer: INFORMATION /� CHAMBEI; O Type On System: i �� r v \ '1Nlf Model er: DISTRIBUTION SYSTEM = C Header /Manifold Distribution rr x Hole Size r/ x Hole Spacing Vent to Air Intake f� t Pipes) yr D 3 `� Length •v Dia Length 51 t • ') Dia 2 Spacing L l`(U .0 __j SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over 1xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil L] Yes f No (] Yes [Q No F t mTS ( cl e c I discrepeq�cies, a sons present, etc.) Inspection #1 ;�kN / Inspection #2: tidn: 1271 Polk/S Line ad S r Pr)rie, WI 54026 (Government Lot 1 2 T31 R1 8W) NA Lot 1 Parcel No: 02.31.18.7A20 1.) Alt BM Description =,h�V► I 2.) Bldg sewer length = 33 - amount of cover - `/ Use revision e others de for additional No addit onal information. n. _L 7 SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. Cowity r Safary and Buildings DMI Sion �� pm in by Ca) waSbi08toa Ave., P.O. Box 70 201 w. s anitary Pet'rnrt N� Madison, wi 5370 - 7D82 '� �scons�n (�g) 261.SSd6 � state Plsn ���D(v Department of Commerce alt Appviearion SanitsrY der 1fdiffereotthants�+li°Bsddress) } info prcjcct P.ddress C code, P 1 � 11l . 93.21, rYs• Adat• ea Prirac Law, s 5.44( � I I I Cl c�Ly Li � I In accord used for secondary Pis 1' (1 J7' di t 1 1 p Block # Pnrccl I Applicadop Iaformatiou - Please Print All Infor X # �D hU; MY wner's Name c. Pro ny ZoCau o v /., Section er's Mailing Address Phone mb 7 `' Nuer Irel one) ' gip Code I � N, p g r v, Ciry, State /, i✓ �� CSM N >xr �, ype of Buildln6 (check stl r of Bpirooms r Townsbip o / 10- 2FamilyDwelliab- 2 ❑City Villa ❑ PublitJCoraatercial- Dacriba ljs� - v State Owned _ DOscrtbe Use Complete line B if applicable) Cheek only one bo: on line A. ant � Q Other Modafieanoa to Existing System IIL ype T of Permit: ( Teak RePiacca' ❑ T�nnenti�Holding A aa cc] pwlaee0leat System List Previous W Syst Peamit Numb- and Dots ysuad 1] Permit Transfer to No- i ❑ CWile of ' Owner g, ❑permit Renewal D Permit Recision pluasbat Bofors Expiration VA 1:.; Single pass Sand Filter ❑ C k all that a 1 ❑ At- Crnde ❑ $ stem' Mound a 24 in. ofsuitable soil C gacirouluinB Sand Filter ry , r a Of PO �d> 24 in . of sµiLtble soil ❑ 0 Aerobic Treatment Unit � w �-Grouad Pest Filter lain) Q Non Prwurized round Ho1di0ST�t ❑ Gravel -less Pipe C, Otyer (sxP C U saueted yyalattd Pr Chamber ❑ Dri p Line Systeaart Eleyation� / Filter ©L�'a od Csf) l� Beeirwlatia S Media pctsal Arn R uired (sf) � �� s 9 V. Die ersalrPrsatmsntArea Soi l t ill ApP ma on Rat dsn ,- 5� 9(f 0 clam v b Site Stal fibs Pt>LStic Design l APP 5 • _ CJ ss Doi F1 ) b,�j M nufacturt:r Coot: u Consmtcted Totsl Number CsPacit) t Crallong of Units VL Tank Info Gallons New Eaistiag / � Tanks Tsnits _ Sophie Ko ldiai T yt/ I i ,utabie Ttaatmsat Uah Lion of the POwTS shown oa the atyehed Punt �J Dp3ia Chamber ' oasibility fori•.ostalla I E asiness Phone Ntur+ba assume reap MPIMPRS Number i onsibiUq' Statement- 3, the handers p, VII. iZmP FluQlb igaatutt ✓ / //�� Plumber's Narac ale__ / J / CITY' iP e) Address (Stree t} '• t Si n+r Ps) � Date sued I suing A8 Coua /D arcmeo Use Onl ' Saai�y pertait Foe (includes Gr d voter /w / Jill I Approved n Disapproved SurenarBa Fa) 3 �� .�� owner Cyiven Reason 'err DCnial C roust CG�i�lrfri° rov,llAeBSOns for Dis i IX. Conditions of App au STEM OXNNEk, ncl i 1 dispersal cell must all be serviced I maintained ✓ —� as per management I • 2. ac requirements must be maintained a s ill = It lnctus la sixc as per applicable codelordinances um an papa' not iess ttta Attaeh e9�Ite 0•_ (u the County only) (art sys enn -A149 M- 08102) PLOT PLAN PROJECT "Mike Rutledge ADDRESS 434 E 11th St. New Richmond Wi 54017 Govt Lot * 1 S 2 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX SYSTEM m as B. M. Same TEM EL '1'ION WELL H. S EVA O ❑BOREHOLE BEDROOM $ ,BENCHMARK V.R.P Top of 1" steel Pipe ASSUME ELEVATION 100 ° Filter Zabel A -100 MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 County Line Road LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none 439' Property Line AL t 174' Well is to meet all setbacks found in B.M. #1 Comm. 83 if 842' Huffcutt Combo Property Tank Line Pro 3 6 -1 B.M. #2 top of Bedroom nail in small House tree @ 101.1,9' Area 15' below 5bfif system is to remain undisturbed X64" 1% Slope Grading is to be done to divert run -off 99.2' away from system B -2 99' Tank is to be properly bedded and provided 790' with lockdown covers Property with approved k Line warning labels 2100 Property L ne Safety and Buildings 4003 N KINNEY COULEE RD commerce.Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary May 18, 2004 CUST ID No.226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING, INC ST CROIX COUNTY SPIA 1008 192 ND AVE 1 101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/18/2006 Identification Numbers Transaction ID No 997906 SITE: Site ID No. 683439 Mike Rutledge Please refer to both identification numbers, Coun ty Line Road above, in all correspondence with the agenc Town of Star Prairie St Croix County Government Lot 1, S2, T3 IN, RI 8W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 957827 Maintenance required; 450 GPD Flow rate; 28 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01/01), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 101); 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. Con M No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, APPRI stats. The following conditions shall be met during construction or installation and prior to occupancy or use: DE RTMENT C pF FTE General Approval Requirements: s. SEE CORREI • t with a r ved This s s em is to be constructed and located in accordance th the 0 Y PP lans and with the P "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). • 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 well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. Stat I SHAUN R BIRD Page 2 5/18/04 • Comm 83.22(7) 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. Owner Responsibilities: • Comm 83.52 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 I1 , Integrated Services WiSMART 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 Cover Page s9F r� g Fe ; ooQ X Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 058/04 Owner: Mike Rutledge Location:Govt Lot 1 S2 T31 N,R18W County Line Rd Star Prairie System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout � 5. Pump Chamber Cross Section NED 6. Pump Curve FCOMMERCE 7 -8. Maintance and Contigency plan �PONDENC 9 -11. Soil test Shaun Bird Signature License number 22 00 PLOT PLAN PROJECT Mike Rutledae ADDRESS 434 E 11th St. New Richmond Wi 54017 Govt Lot * 1 S 2 /T 31 N/R 18 W TOWN Star Prairie COUNTY ST. CROIX SYSTEM ELEVATION (DWELL* H. R. P Same as B. M. ❑ 3 BOREHOLE BEDROOM ,BENCHMARK V.R.P Top of 1" steel Pipe ASSUME ELEVATION low Filter ZabelA -100 MOUND )XX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 County Line Road LOAD RATE 1.0 ABSORPTION AREA 454 # of chambers none 439' Property Line 174' Well is to meet all setbacks found in B.M. #1 Comm. 83 I 174' 842' Huffcutt Combo Property Tank Line Pro 3 B-1 B.M. #2 top of Bedroom nail in small House tree @ 101.1,9' Area 15' below system is to remain B-3 undisturbed 1% Slope Grading is to be done to divert run -off 99 2' away from system B -2 99' Tank is to be properly bedded and provided 790' with lockdown covers Property with approved Line warning labels Property Line r No Designer . Date" Non -Woven Filter Fabric 4" Observation Pipe Perforated / ,.Distribution Pipe Below Filter Fabric ASTt4 C - 33 S a n d - '\ µ _� G Topsoll i % Stope Bed Of t� 2 %2 LForce Main \`Flowed From PUMP Layer Drain Rock {D E --L-- i Cross Section Of A Mound S stem Usin F A B For The Absorption Area G �- A Ft. h -'- 6 Ft. Ft.- Ft. K, J Ft. L Ft. W Zs, S'Ft. L 4-'Observation PiPe �— K n. A . � S Force Main o l° - _._.------- - - - - -- ----- - - - - -- ---- - - - - -- From Pump W in — ..- . . 0 Distribution Bed Of i - 2'2 to Pip Drain RocK I 40bservotion Pipe =C Permanent Marker 601ze' Pipe or Rods Pion View Of Mound Ucinq A Bed For The Absorpti Area PAGE OF Perforated Pipe Oetoii Ene V_ ew )Pefforafto PVC Pipe f o� rt e Moles t.otatt+i On 801fOm. +� Are ERyoaY spotee 4'U P� D PVC Force Maim 'n FER9T *OLL MIXT TD CoAfitC�rOf PVC Monitold Pipe Pipe Distribution Pipe Layout P Ft. R R. T o !f ro ,w I r X % Inches Y om! .,.. Fnches / Signed- Hole Diameter " Inch Lateral - " ' , Inch(es) License Number: Manifold 2 Inches Date: Force Main inches # of holes /pipe Invert Elevdtion of Laterals ltd �Ft. - ND SFECXr ICATIGlic T SLC SEPTIC TANK f �tEk �prt ppg ED ER ABOVE GgAD£ JUNCTION' BO "14OLE COY ., rssN . WITH C4hDUIT W! PADLOCK 5 Cl V ENT PVT- I WrNDOW OR WARNING LADE .. FROM DOOR • 4IR 114TAICE ! ^ c e� 4" HIM F ,r ry _ f • IN• , i GA5 i a INLET TZ ; .)Dllas WI TIGHT SEALS A sF.A AppaMED WAT£R _ c ; RLet� 30 om Ffz.'r S ' N SOCSC SOIL i l 1 a C � FF APPROVED PIPE 3 5flt,iD 1:1.5v • =FT - 0 00 or r SOIL BEDDING VNDEx. TANK f CONCRETE PAD 3, �pRpY 1$ , � C: � Dttib SPy'CIFI iKBE t DCSES ?£R I� C3•C�D� SE ry,4E K : DO v C LtBAC C ! E LO L SEpTY �REit: gos F j �USK MAtQCJFaC GAL • '� �• �z3ic�s - _.� -•-- T R ;I2£S : SEPTIC ,� GAL' TZ'ES s t� = - _ '� GAL - DpSE CAI'A►CI 8 = .,...2- INCHES-- •--."^ S•AC1�3itER:� _ J INC A - l am �L z . mac, _ NpDEI+ � pgs "J � 'C �� � COAL. ITCH TYPE NC14ES - SW ITC Z ;„U►C FACT�RF.R = �y. AS PER = LHR 15.23 iaJ Q, h M!'► RING iJ I Pump ER , EL :y ALA FEET OD p K 8: u P SWITCH GPK _ DI STS I BV'f'i ON ?SPE . • 3 FEET DISCI3ARG QTR .' FEET AND REQ1i2RED ENC.0 $ETW£EN 55URE £ •FRICTION FACTEP D d :t :r rr'r v ERTICAL DIFr SUPPLY PRE 1% FT /Iii 4 F'I' . TAI, DYNA?'!IC + MYNT1�t{dri NEST .FORC `IR x .ice . T D1wn�'rER _---- C' (� FE ; WIDTH __._. --- Tx �. INTER DIM�N I� � 4F pUM? TANK: LI�>�ID DA7 £ = L I C ENS L �� $ M� • �-+'" ^,.,...�- SIGNED- fg8 - TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING rn MODEL 152/153 W MODEL 152 153 W� 50 Feet Meters Gol. Liters Gol. Liters 153 5 1.5 69 261 77 291 10 3.1 61 231 70 265 12 40 1 15 4.6 53 201 61 231 0 20 . 6.1 44 167 52 197 c , 30 l 25 7.6 34 129 42 159 8 (S 30 9.1 23 87 33 125 z �,p o • '1 20 35 10.7 - -" 22 85 Q 0 40 12.2 -- -- I 11 42 r 4 Lock V 138. F ( 11.6m) 44.0 Ft. (13.4m) 10 ctiasoa 0 20 40 60 80 100 GALLONS � LITERS 6 /a 0 80 160 240 320 - 3 27/32- 4 5/8 FLOW PER MINUTE I _ CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32 _ • Timed dosing panels available. � 3 27/32 r duplex systems, are available and supplied ®' Electrical alternators, fo d p y PP lied with an alarm. j • Variable level control switches are available for controlling single phase i systems. • Double piggyback variable level float switches are available for variable I 1 level long and short cycle controls. I I • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 °C.) special quotation required. l 1521153 Series 12 1/8 1521153 MODELS L Control Selection I Model I Volts•Ph Mode Am Simplex I Duplex 5 1 /8 N152 1 115 1 1 Non J 8.5 t 2 or 3 BN1521 115 1 1 Auto 8.5 Included 2or3 f SK2064 E152 1 230 1 Non 4.3 1 2or3 BE152 230 1 Auto 4.3 Included 2or3 N153 115 1 Non 10.5 1 2or3 BN153 115 1 Aulo 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 230 1 Auto 5.3 Included 2or3 switch. Refer to FM0477. O CAUTION 2, See FM0712 for correct model of Electrical Afternator E -Pak. All Installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) Ilcensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Louisville, KY 40256 -0347 Manufacturersof. . SN IP T0: 3649 Cane Run Road O Z e Louisville, KY 40211 -1961 ,Q7/g2/TY�UMP9 s NCE �9��7 (502) 778 -2731. 1(800) 928 -PUMP http://www.zoeller.com PUMP `O. FAX (502) 774 -3624 0 Copyright 2000 Zoeller Co. All rights reserved. I� r - Wisconsin Department of Commerce SOIL EVAL , t REPORT Page J_ of Division of Safety and Buildings i •, , ' - - i in accordance with Comm 1tVis'Qdm. Code CbLg Attach complete site plan on paper not less than 8 1/2 x 11 inch . P yfze. Pla ' include, but not limited to: vertical and horizontal reference poi (B1fQ , directio E 0 Pared W. , pa N"r percent slope, scale or dimensions, north arrow, and location a tance to nearest road. r • _ p 0 y- y o — '' ? + Re (ia Date Please print all information. c'•'' , ZQQ , w ` a Personal information you provide may be used for secondary purposes & Law, s. 1§14q:q(�AX. J Z O Q Pr erty Owner TtY Govt. Lot ' �' `4/ 1/4 S N R E ( ) Property Owners Mailing Address tot #1 I o ubd. a CSM# City G State Zip Code Phone Number ❑ City ❑ Villa e ® Town Near st Road � �,� =, �a�, w* Syua c715) �'�$ -3 �•� -a.. r E . New Construction Use: Residential 1 Number of bedrooms A Code derived design flow rate s GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material 4 G i a ` o -tl,� e sL�,- f r^ " Flood Plain elevation if applicable ft. General comments V .��.. and recommendations: T rd u aJ S L S 4 q, 6 ' 75 1 00.15 � Boring # Boring l�J Pit Ground surface elev. _ � ft. Depth to limiting factor 3� 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 L aF O. M= ;- I1 -1 o ti �S� - ---- -- 5 L o ? f:5 6V- M r' r C I ' Ig -3p �.SyR.'I ------ F 3 MSbk &A T 30 - 1 A 7.5'1 P?& flf S 51- I F5 b V_ t4 r,- C, s a -� S `t Rqj C 5'1 bbl a FS L c) • rn �� — ❑ Boring # Boring Q c pit Ground surface elev. Depth to limiting factor �_ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 dF(6 r � aF , 5 1;441 1 o A 2$) q - - FS L 6b It M r .a A 4 0 . 4 1L t - a Pi k. M F1- c v.) of T) �,s yRy b F I F 716 k � FS t *�- c w 37-L b 7,5 1. ea 1 6mR. 4 / Lw o_ 0 r Effluent #1 = BOD > 30 _< 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS 5 30 mg/L CST Name (Please Print) " Signature CST Number () E I Iri.� StKi a a, k1 y Address � 't' &� �, ' t Evaluation Conducted Telephone Number ,710 a ^ Jr v �- erc..�.r, c. cos_ 11 �3 —aoo� 7 �!`IK 3 S8 C 9 5Yo2..b t Property Owner I` V L V4,N G.. h Parcel ID # ------ - - - - -- - - - - -- Pa - -- Of Boring # ❑Boring q u F 3� �} pi Ground surface elev. Depth t limiting f !'! �ft. epo mng actor 35 — 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. i - Eff#1 I - Eff#2 o -�I Ib`i -I SL - RC4-e. N- r 5 aF , S 2 - a I o y p , 51 q FS L a ;.Sbk F c w .-S , 9 t-1 L 7.5yRY►F 7.5`f F es- , y 7,5`/Ry/ aa7,syRa1� F: 0 - M Bori # ❑ Boring ❑pi Ground surface elev..--_ ft. Depth to limiting factor — 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 I - Eff#2 Boring a Boring # Ground surface elev. __— ft. Depth to limiting factor in. ❑ Pit 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 Effluent #1 = BOD > 30 1220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altemate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. SBD -9330 (R.6I00) ArIeK Gov to ♦ I Sc.c • �� T 31 N� l� 1 C<.3 0 P, #I l4 ,�, ��a-►^ k N s �c,, mo cs a 1,, L f t Z- c ' �ra�,rk,i�'�- 5-►'UaI � e?7� �1 s e)o ws� � IL / Jl r d gr�� ►ot.t \ S6 4 I \ (5 1 B 3 9 9, Yo ' •Q s 685152 STATE BAR OF WISCONSIN FORM 2 - 1999 i° " � KATHLEEN H. WALSH Document Number WARRANTY DEED REGISTER OF DEEDS „ ST. CROIX CO., NCI This Deed, made between Arlen E. Luehmann and Judith RECEIVED FOR RECORD Luehmann, husband and wife 07 -26 -2002 9:30 AN WARRANTY DEED EXEMPT # Grantor, and Michael G. Rutledge, a single man REC FEE: 11.00 TRANS FEE: 180.00 COPY FEE: CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Part of North one -half (N 1/2) of Government Lot 1 of Section 2, Township 31 North, Range 18 West described as follows: Lot 1 of Certified Survey Recording Area Map filed November 22, 2000 in Vol. 14, Page 4013, Doc. No. 635748. Name and Return Address k1_ Judith A. Remington REMINGTON LAW OFFICES P.O. Box 177 New Richmond, WI 54017 038 - 1004 -40 -200 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) Exceptions to warranties: municipal and zoning ordinances, easements and restrictions of record. Dated this 24th day of July 2002 �ail * * Arlen E. Luehmann * * JrYdith Luehmann AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ) ss. ST. CROIX County ) authenticated this day of Personally came before me this 24th day of July 1 2002 the above named Arlen E. Luehmann and Judith Luehmann, husband and wife * TITLE: MEMBER STATE BAR OF WISCONSIN If not, to me known to be the person(s) who executed tho- f6reglying '•. ( instrument and acknowledged the samq. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY * dith A. Remington r C- ' .• "' Judith A. Remington, REMINGTON LAW OFFICES Notary Public, State of Wisconsin P.O. Box 177, New Richmond, WI 54017 My Commission is permanent. (If not, sta expiratro ate: (Signatures may be authenticated or acknowledged. Both are not necessary.) ) * Names of persons signing in any capacity must be typed or printed below their signature. information Professionals company, Fond du Lac, wi STATE BAR OF WISCONSIN 800-6e5-2021 WARRANTY DEED FORM No. 2 - 1999 page of ENT PLAN S OVYN>rR'S MANUAL- & MA A s Frj ICATIONS pOVYT SYST Mr al C1 NA $ eptic? anfc CaPac�Y NIA p[L.E INFORIW►!!OM Septic Tank Manufacturer r owne j �-� Effluent F1ter Manufac�rer ❑ NA tsemnit #. �j– _ ❑ Na ' d NA Effluent Filter Model � NA DESIGN P4RW TES T t;apa* ( ov U at Number of Bedrooms Pump NA Com units aUd pump Tank Manufacturef u- Number _ ❑ � Esdmated flow ( �) aUd Pump illlanttfadui'e p NA (�rrtatsd x 1.5) pump Model Np n lbw (pe aUda /!t �1g /� � Pretr+satm ®nt Unit p Peat Fliter Sou Apps n Rabe Monthty average C1 Sand/Grevei Filter ❑ Welland Influent/Effluent Quality S30 mgA- p Mechanical Aeratio ❑ Other. F Oil & Grease (FO -220 mg/L C3 Disinfection O Demand ( 5150 m /L Manufacturer Bioct►e T�otaal suspended Solids crss) monthly average" Dispersal call(s) p in - ground (pressurized) NA [3 in -ground (:gravity) &ther ound Pretres� Effluent Qu 00 mg atitY ODs) t Q At grade /O O Biochemical Oxygen Demand ( SS) Lmeter ❑ pri ire . Total Suspended Solids Cl l ooml �aara wasu,wate< "'d Fecal Colifoan (geometric mean) values typlcd for domestic (non•ao"M Y, septic tanrc rot Dm wastewater. Maximum Effluent Particle Q values tP Service Frequency MAit+ITENANCE SCHEDULE c) month,; �,YeaK tank volume Inspedcondidon of tan s) (Maximum 3 yrs.) Service Event of At feast once every and scum equals one - third (�) tank(s) When combined sludge ear (Maximum 3 yrs.) - 7 O months Pump out contents ll tank(s) At least once every m onths ar(s) � ❑m cell s) eve ( once ev real ton p N A Inspect dial's At leas r ( S ) J ❑months Clean effluent filter At least once every ear(s) O NA controls & alarm ? ❑months Insped flu rap. Pump At least once every a s) O NA re test p months D Ye K pre e Flush laterals and p At least once ev ry s) ❑ NA Other ❑months C7 YOaK At least once every Other licenses licenses or ��NANCE INSTRUCTIONS an individual carrying one of the fotlo ma S inspector broken POWYS maintainer. Septa9e of tanks and dispersal cells shall be made by Sewer, pOW l ids any missing or Inspedior>s . Maier piumber. Master Plumber Restricted on of the tanks) for any back uP oer om: ns must include a visual inspecti a and scorn and to check Serytdng Operator. Tank in spedio asure the volume of combined Sludge to check the effluent levels hardware. k enw any packs or leaks, me all be vtsu - rn e dispersal c;eli(s) sh atty inspected riding of effluent on the ppndittg of effluent on the ground surface- nding of effluent on the ground sur The P° authority or and to check for any po req uires the Immediate notir5c:ation of the local regulatregulatory in the observation POW and more of the tank volume NR ground surface may a failing condition and rm equals one third (i3 s� of In acordanee write sludge and scum in any tank eq When the combined accumulation be removed by a SOP Servicing Operator and dispo entire contents of the tan reVeat�R ant components. and any 113, Wisconsin Administrative Code. onents, P POWYS Maintainer - ofeffluent f1itern. mechanical or pressurized POWYS comp rfortned by a certified The servicing at intervals of 12 months or rity less shall be Ae M completion fi any service event other maintenance or monitoring ulatory au Within 10 days A Sew report shall 'be provided to the Iota I r �J rodudS or other for the presence of p START UP AND OPERATiON YS painting P ce ll (s) If high concentrations are For new conMc don, prior to use of the POW s � edam' ' e the d" PerW ). chemicals that may 1mood h the treatment remove a septage servicing operator prior to use. dttected have the contents ` Page L of - i conditions are frozen at the infit When power is stored the excess system start up ail not oxur when � above notes high mater levels. • the cell(a) and may result in the tanks may oding tank removed During i by a u in one large dose, . Outages a to the d �;d his situation have the contents of the pump e of eff, nt To avoid the effluent pump or opntact a Plumber or pOWTS Maintainer to dlsch�9 is within the pump lank_ backup or g Operator Prior. to S w ore normal We Sist in man oP�'�ng the PUMP mss. Do not drive or park Oyer, or of �enMSe disturb or compact, hides over tanks and dispe ab lion area- Do not drive or park V10 of any mound or at grade soil socp � and prolong the Gfe the area whin 15 feet dawn PB ter stream may improve the Pe of the #ollon�lrt9 tom the wa ts; Co cotton stitrabs; degr88�: dent&( floss: diaper Reduction or et'►mination tette butts; condoms; gasoline; gasoline; gm ae;. herbiddes; meat of the POWTS: anti biotics; • {s p� Cram water, fruit and vegetable Peeling g ns and sower bdne. Wn medk fat o s: o� J Sng pr�ucts. Pes des. �� P[uns. tamPo ��r.taken out of service the following steps Shall tae taken m Insure that the ABANDOWMENT falls andlor is perm Ch_ Comm 83.33, Wisconsin Adrrdr ratnre Code: When the POI abandoned In oornPllance with i Wings sealed• all system is properly a Safes disconnected and the abandoned Pipe of y a Septage Servicing Operator . to to tanks and pits sha disposed • All pip ontents of all tanks 9 and properly fl shall be removed Tn c and P m in , all tanks and pits Shari be excavated and removed or them covers removed and the vol space • After Pu P g filled with soil, gravel or another inert solid material. CY PLAN a following measures have been• or must be taken, to provide a Dods CONTINGENCY a ired tt► If the POVYTS fags and cannot be rep compliant replacement syste n: be en evaluated and may be utilized for the location of a replacement should not c3 A suitable replacemenCarea has absorption rem. The rep sect st ructure " es t a blish tot tines and welts. Failure to tacement area should be protected from distu n and comps eva be Wed up b required setbacks f rom eztst; and propo lacement area W ill result in the need f a nnew lei lies n effect a mat tirn a suitable protect the rep syste must compl replacement area. Replacement sy s il limitations_ Barring advances in PO t o re lace the failed POWTS. re placem ent area is not available due to setback and/or so ❑ A suitable repl be installed as a last re Upon of the POyyTS a soil and tecf►nologY a holding tank may a suitable replacement area Upo The site has not been ev aluated to identify dD bO iOce ' evaluation t be must f+� •••' -- te a suitable re placement area. if no reP��ment area is available a be installed as a last resort to replace the failed POVYTS. removal of the biomat at ho ding tank may may be reconstructed in place following Mound and at -grade son absorption systems of such systems must comply with (fie rU(es in etrtect at that time the infiltrative surface.. Reconstru�o «WARNING» TANKS MAY CONTAIN LETHAL GASSES CUiI�gOANCES� D TH MAY Gfa+l. S EPTIC, PUMP AND OTHER TREATMEN DO NOT ENTER A SEPTIC. PU ON FROM THE INTERIOR OF A TANK MAY B DJFFICIJLT OR [MPOSSIBL.E. RESULT. • RESCUE OF A PERS ADDMONAL COMMENTS POWTS MAIN POYYi S INSTALLER Name Name , Phone Z Phone Z Z ,j fa J LOCAL REGULATORY AUTHORITY SEPTAGE SERVICtfYG OPERATOR PUMPER Agency >/I Name Phone L L hone agendes. this This document meats the stalls dthe Cram Lake, MaMuette and Woushara County Zoning and San �c document does not t This document was dialled by t and 83.54(1). (2) & (3). W Adminlst� the minimum requirements of M Comm 83.22(2)(b)( )(d)&(n GIIJ (1101) guarantee the performance of the POY4TS. ST CROIX COUNTY `SEPTIC - TAN MAINTENAN CE AGREEMENT { AND' - O SHIP CERTIFICATION FORM owner/Buyer Mailing Address Property Address (Verification required from Plannin Department for new construction) parcel Identification Number city /State LEGAL DESCRIPTION / a f RIP / W Town of - properly Luca Gv d �4 Sec. � T --- � N "P� ...1L — , L �4� `� Lot # Subdivision Volume Page # Certified Survey Map # Volume Page # Warranty Deed # 3 Lot lines identifiableZ ❑ no Spec house 13 Ye ° NANCE Pr emature fail to handle wastes. Proper maintenance SYSTEM of your system could result in its ! ro per use and maintenance Y or sooner, if needed by a licensed pumpe r What you put into the system consists of pumping out the septic tank every three Y ears disp osal system- can affect the function. of the septic tank as a treatment stage in the waste disp sign by the owner and by a owner a grees to sum. g D went i certification f on -site wastewaterdisposal system lb The property g� bit to St Croix Zoning er verifying that (1) the on - journeyman plumber, restrictedplumber or a licensedpump the septic tank is less than 1/3 full of sludge. proper operating condition and/or (2) after inspection and pumping (if is in i necessary), P P disposal stem with the standards private sewage dispo l s Y agree to maintain the p Certification Uwe, the undersigned have read the above requirements and gr the Department artment of Commerce and the Departinent of Natural Resources, State t Zo�g set forth, herein, as set by Office within 30 eP stating that your septic system has been maintained must be completed and returned to the St. Croix County da gpi y exr ation date. ` DATE iGNAF APPLIC OWNER CERTIFICATION are true to the best of my (our) knowledge. I (we) am (are) the owners) of orm this (we) certify that all statements on this the prope described above by virtue of a warranty deed recorded in Register of Deeds Office. DATE SIGNATURE OF APPLICANT information that is mis. represented may result in the sanitary permit being revoked by the Zoning Department. A y * s ** ** lication: a stamped warrant' deed from the Register of Deeds office decd ** Include with this app ' if reference is made in the warranty a copy of the certified survey map r 635`748 CERTIFIES SVRVEV MAP LOCATED IN PART OF THE N1/2 GOVERNMENT LOT 1 OF SECTION 2, T31 N, R1 8W, TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN. pLaG�CC�L� 40 40��1 Ol�_�34G1G� pG�QGti3QG G3C�C�OG3 ©CAD Q1�1 bOL�o ��C�3 _330 -- _ --- '---- -------- - - - - -- POLK \ST. CROIX MG�JpdGQ5�4GD �(YID� OO rMCSD D47 Q) m LINE ROAD NORTH LINE OF THE NEIA i — — E XISTING CE NTERLINE — _ S88°06'08 "E - i '_ 2339.50' + N I ' Pep NE CORNER y ? SECTION 1 n - ' Q z ........................... ............................... I�IG:J I� I� I I N 83 q LOT 7 m \ \ \\ 0 5.00 ACRES 13-2 O C/) {t // \ 217.800 SO. FT. OD T \ \� gzm \ �0�0 m m a ` �+ ���i a► r �° i 1 C ) T \ o Q '�� fA i 1 4 DED 2 2 20 m p 1O I ON , m`E�e`tC.WAISH Flo LEGEND \ \� 1 ROVED ST. CROIX COUNTY c 1" IRON PIPE FOUND Planning zonina and Parks Committee 1"X 24" IRON PIPE SET WEIGHING 0 1.68 LBS. PER LINEAR FOOT DEC 2 2 2000 100 FOOT ROADWAY SETBACK LINE If not recorded within 30 days of NAIL FOUND approval date approval shall be m null and void B -2 OWNERS - SOIL TEST ARLEN & JUDY LUEHMANN ❑ ❑ EXISTING FENCEUNE 1907 COUNTY LINE ROAD STAR PRAIRIE, WI 54026 S TI-I LINE OF THE N 112 888 °24'27 "E GOVERNMENT LOT 1 111.40' SCALE IN FEET V Um[PLCQ44CD dG fllo P.O. OXt 29osuav ---------------- - - - - -- 100 0 100 200 - °� - G9_[`rr.l_CEO Ow O TMEEG30 JOB NO 0o 11 Vol. 14 Page 4013 - 1 + � r Q� �F �� �� G� ��' \�� . �,� LOCATED IN PART OF THE NI/2 GOVERNMENT LOT 1 OF SECTION 2, --� T31 N, RI 8W TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN. 4 `f OWNERS ARLEN & JUDY LUEHMANN 1907 COUNTY LINE ROAD STAR PRAIRIE, WI 54028 ----------------------------------------- F— G°3[g@@RD1ED Oa WOLo 4N6 - PQ. 0@. o N�MG°�dGap t� 'CAD LL,LI[v1D� O�G]C D D OO 4G`li [9R@ sEC�o I — — _ _ _ _ -- ------------- NORTH LINE OF THE NE1 /4 — — — EXI STING CE NTERLINE G o i i -- — — 2339.50' N 1 — cP mi51 cP La O° O I z m �L En \ p m n p 4 O I Z Z ........... ............................... I�Ir:J 1 m IDI�o I� I I� lO I� I - � I �1 N �I oU \q LOT 1 I iON Go m co \ 5.00 ACRES u Q Z \� \� 217,800 S0. FT. O o \Op \� Q jOI� i m p m \\? \ \ l� \1t I �% I T \p \� T m \\ v s I I 0 O O v \Q° N m 1 00 I mo! z CID 1 v \U ,y 2 N i \ \`' It I �t/ C/) Z m LEGEND r. m 1' IRON PIPE FOUND Z v 1"X 24" IRON PIPE SET WEIGHING O 1.13 LBS. PER LINEAR FOOT v 100 FOOT ROADWAY SETBACK LINE { m NAIL FOUND R SOUTH LINE OF THE S 1/2 689 °24'27 "E COVLr1NlldcNT LOT 1 111.40' NORTHLAND SURVEYING, INC. SCALE IN FEET 1" __ 100 ump P C C_D d_G1_[n_]DD @ P.O. BOX 290 JOB NON0 -111 DATE 10 -18-00 i00 0 100 200 -------------