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038-1174-70-000
0cfA0 j� -00 d CD 'D o d ^ 3 T m w 0 ° w • S 3< c o a 0 m cn .. N c c G7 3 ° v. w O N a N fl � o m m m 10 < m o o ca c a c o 0 0 3 7 N r ! O C m v D ce a ij m m o 7 c. o o < 3 0 o (0 � N N CD � W C CL w Oz N N fD I 1 N N : O p� 0 C �Ri V a) CD a Raj Z CD C, jam N N co a o o cr m 77 ° 1 cn 0 < Pi VI p N fL 3 d N co N — V �� @ M a N Z Z D 0 N 1 0 o �• CCD p y c m n N O 7 (D en Z A N C O A C) 77 tD zt a i Z c 3 A -3 w .. z CD A W j n N 0 S 0 N 6pC cr N (� CCD N F C7 Q O _ CD N C N — = � � cDN D =3 C) °' a�O cn0 a0 -0 a f � o a^ v-0 � o0 ET � 3 cn'o 3 0 0 ? F y 0m O °� m Ch I V i L 8 O Q c VA CD a N , N CD N CD V O 3 d 0 N =o 5" CD m0 co N =1 = N 0 N lV O N `D -0 CD � ;L — O 0 I = � w CD o 0 :+ 0 0 ~' ti � RECEIVED SE W, i SEl 1 L 8 2 S * s G RG VOL 21 PAGE 5205 NEW RICHMOND K EN ATHLE H. WI i ST. CROIX COUNTY REGISTER OF DEEDS SURV $» v la �� � � I _ EYOR'S RECORD I VED CO. MI RE V RECEIVED FOR �?ECORD 05/12/2006 10:36AM buRVEY MAP REC FEE: 13.00 CERTIFIED SURVEY MAP COPY FEE: 3.00 LOCATED IN THE NE V4 OF THE SW V4 AND THE SEY4 OF SWY OF SECTION 15, T31N, %WPFOWIR OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN, BEING LOTS 17, 18, 8 19 OF THE PLAT OF APPLE RIVER BEND. BEARINGS REFERENCED TO THE NORTH LINE OF LOT 19 OF THE NOTE. DISTURBANCE OF SLOPES OVER 12 %MAY PLAT OF APPLE RIVER BEND, PREVIOUSLY RECORDED AS AND REQUIRE A LAND USE PERMIT OR SPECIAL EXCEPTION PERMIT. ASSUMED TO BEAR N82*WI5'W. CONTACT THE ST. CROIX COUNTY PLANNING AND ZONING OFFICE NOTE: no new Iots have been created. The purpose of this map is to show BEFORE STARTING ANY CONSTRUCTION. how Lot 18 of the plat of Apple River Bend has been divided and is under PART OF THIS CERTIFIED SURVEY MAP IS IN A SHORELAND two different and now seperate owns. AREA. ANY GRADING AND FILLING MAY REQUIRE A LAND USE OR SPECIAL EXCEPTION PERMIT. 40 r20 20 OF RVEjq BE JJ N82 20'15'W 392.00' t \\ \ BIZ UTILITY ,. LOT 1 9 — / EASEMENT , 105,724 SQUARE FEET L OT 32 OF ` l ( 2.427 ACRES) "j = • SEE SHEET 2 2 FOR APPLE RIVER k CURVE INFORTAATION I 1-1 1 ) _BE_N 1ST / J PARCEL DESCRIBED IN / _ r VOLUM c / ADDITI / / ��� 40' wlt JQfNT DRIVE PAGE A/I A PER PLAT "PPLE DOC UMENT# RIVER BEND 1 1 / v \ \� LOT 18 PA \\ PAR IL DESCRIBED IN \ PREVI T LINES > VOLWE \ Pf GEC N / DOCUMENT # SZ S3 \ LOT 17 99.988 SQUARE FEET \ x ( 2.295 ACRES) LOT 16 OF APPLE RIVER BEND / SURVEYED FOR DAVE WOLNER 1132 212TH AVENUE NEW RICHMOND, WI. 54017 JOSH CHARLAND - v LEGEND 1141 212TH AVENUE NEW RICHMOND, W1. 54017 THIS INSTRUMENT DRAFTED BY: �_ rr�1� • - 1.25 IN IRON PIPE FOUND ' KRISTIN J. GRANBERG / " - 2.25 IN IRON PIPE FOUND 100' 20U 300' — . -100' ROADWAY SETBACK LINE SCALE IN FEET 1100 SHEET 1 OF 2 ' Vol 21 Page 5205 1 of 2 Parcel #: 038 - 1174 -80 -100 0611612008 03:53 PM PAGE 1 OF 1 Alt. Parcel #: 15.31.18.862A 038 - TOWN OF STAR PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/20/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - WOLNER, DAVID W & DEBBIE DAVID W & DEBBIE WOLNER 1132 212TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description " 1137 212TH AVE SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 2.295 Plat: 5205 -CSM 21 -5205 SEC 15 T31 N R1 8W PT SE SW LOT 18 APPLE Block/Condo Bldg: LOT 17 RIVER BEND NKA CSM 21 -5205 LOT 17 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 15-31N-18W Notes: Parcel History: Date Doc # Vol /Page Type 05/12/2006 825187 CSM 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/12/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.295 58,500 33,200 91,700 NO 02 Totals for 2008: General Property 2.295 58,500 33,200 91,700 Woodland 0.000 0 0 Totals for 2007: General Property 2.295 58,500 0 58,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 WipcCnsin De €artment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Buil6ng Division INSPECTION REPORT Sanitary Permit No: 99190 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)j. 49 � 1 Permit Holder's Name: City Village X Township Parcel Tax No: Wolner, David I Star Prairie, Town of 038 - 1174 -70 -000 CST BM Elev: \ Insp. BM Elev: T Description: Section/Town /Range /Map No: eu* -�6� 15.31.18.861 1 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic _ / Z S Benchmark D v /v 57 - /06 ty Dosing 6 52 Alt. BM -l _ / Aeration Bldg. Sewer 0 3 �- Holding t/ t Inlet 9.6 9s t/ TANK SETBACK INFORMATION t Outlet 63 9$ 1 ?S• O 2 TANK TO /L WELD DG. Ve t to Air Intake ROAD Dt Inlet Septic , �I , �/ �J /1 Dt Bottom Dosing '/( Header /Man.b- T — Aeration Dist. Pipe Holding Bot. System 2' �� ► l �� PUMP /SIPHON INFORMATION Final Grade S • 3- r e a- Manufacturer Demand St Cover o . Model Number 2 fZQ TDH Lift Friction Loss S He TDH Ft A Forcemain Lerigth ia. Dist. to Well 41d42- SOIL ABSORPTION SYSTEM Z r Z&e tZ (rr, BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS �( 2 SETBACK SYSTEM TO U P/Le JBLDG IWELL L 4$ AM LEACHING aver: INFORMATION Typ Of System: + J �� CHAMBER OR �/ UNIT Model Number: DISTRIBUTION SYSTEM Header/ �,) 3 Distribution I x Hole Spacing Vent to it Intake Jt Pipe(s) / S Length Dia Length %41'2 f Dia Spacing �— o SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only oad Depth Over b- Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center /_ •� t _ _) Bed /Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code di s present, etc.) Inspection #1:/ / D� Inspection #2: / / Location: 1137 212th Avenue Drkrtevm -tSE 1/4 SW 1/4 15 T31N R18W) Apple River Bend Lot 17 Parcel No: 15.31.18.861 1.) Alt BM Description = � , > 5D �0 ��� l d LQ 6R 2.) Bldg sewer length = � r � t�% 2 5 amount of cover = �n y �� "T 21 f�� ' f/ •/ � � g Plan revision Required? Yes No .25--i J ,✓ Use other side for additional information. Date Insepctor's Signature L`-a-� o. I SBD -8710 (R.3197) ��� ��v�j l�t� ��1T� ..��6��Z�� �/� �.ftf�a • ��� i RECEIVED cornmerce.wil.gov sarli :lul Buildings DivisZ.0 wal ingtc@r&i�.14 County sc;onsi ad son, W) $3707-7162 sanitaSanitary 1,13 in by ,- i n ispiairtment of Coatirwiti ST. CROIX COUNTY � state Transi tntier P , � Sanitary Perinit D1 Fft n acwlidance with s. Cumin. 83 21(2), Wis. Adnii, Cods, sublylissit i of to Ole applopriate goverlumemal unit is required prior to obtaining a switairy permit. Note' Appca o i mis fbil slat"wiled POW are U Project Address (tt dr !t 't -y to the Deparlme-lll otcolmnerce Personal info ou provide may be used for s I // 3 - 7 - , ; accolduncii; with t )j ) 1, Aptilit--afion information - Please Print All Information peity Owner's Name L �r.peny Owner's Mat ing A ddress Property Lo"oon -3 7 � Az Govit, Lot —4? City, State i /,, Zip Code Phonic Number %, Section �cimle N R T 11. Type of Building (check AV that apply) Lot 0 %I v 2 Family Dx vilinjil • N'urrwlvv of 94droon, _ 9— Subdivision Narric 1 1 ❑ flublic,Cornmervial Describe Use 13 city L) Viltatf. at State Owned - Nsci itiv List Number own of if Ill. Type of Permit (Check only oad box 014 line A. Complete line 8 if applicAllile) New iysierl ❑ Replacement System ❑ rreall"Cialf-loldtog Tank Replaceawnt Only Other Modification to Existing System (Mill"ll) �""'�` List Anviaus Permit be Pi Renewal Permit Revision O Change Offlorriber (IlitemitTrimfertoNew i Before Explii Owner n--1 'A I Type or POWTS&-slemilCompovenWevive; Check all 0 91IP1Y) X on•Presswized In-Ground G Pressurized In-Gfoind [�Pt-Grade ❑ M ' Uitabi s unable svil 0 Holding Tank 0 Other Dispersal Component (exp4iti) J /I- Dispersavrrest ient Area Information; Duslign Plow (god) Dispersal Aron Rtquirillid (st) ni; isal Area Pro ($1 Design Soil Application RateligPd3f) Sys Ar 7 V I. Tank Into Capacity in TO if or Mallufacturier u units Gallons Gallo New Tank& kzso e- V res V11. s 'Millt4ilifty r installailo f the PONNqS • wn an the all ithile"W"t- 1, the undersigned, L (0 V Name Print) Signature "P PRS Number gusrness 'hone Number vim --4 Plumber's Ack:res:, (Street, City, State, Zip Code) ;7 d 11Y Ute Ciali j Permit Fed Is pi Agent i ni ved -U i f (] Owner Given Be rson for Denial tO Z� (� L 1 IX naidajx e(Appir UR*ssaks for 01upl,roys 1011&107, L 2-00 _5/ 9-3 7 I- - S 13D.639i (R, l) 1107) Valid thru o Z d t" 6,0 SYaA tm� y, �G tr L L _ e1d ,f y R I a� 1l � ru �r r� U -D sGP�`o to r � N -�, 131 joy- lo 7 - 'a A y i,!� IJ d l�c!'C 1/' �c9 J Z 1� I -fi ,�.` t� e �/� e O r �dC! y I � .� /rctS 1 Y r r qd � ' 'e'V d 7 ON�I 825 1 r J W. �� * VOL 21 PAGE 5205 SE * 0 W KATHLEEN H. S• 95 = REGISTER OF DEEDS NEW RICHMOND ST. CROIX CO. NI WI RECEIVED FOR2ECORD �� °�•f0,2 05/12/2006 10s30AN +,� ••......°v P S UR REC FEE: 13.00 CEF�TIFIEC� SURVEY MAP C FEEs '3.00 OF THE SW�4 1 OF SWl4 OF SECTION 15, T31N, 0WR OF LOCATED IN THE NEX AND THE SE�q STAR PRAIRIE, ST. CROIX COUNTY, WISCONS� BEI LOTS 17,18, & 19 OF THE PLAT OF APPLE BEARINGS REFERENCED TO THE NORTH LINE OF LOT 19 OF THE NOTE: DISTURBANCE OF SLOPES OVER 12 °� MAY REQUIRE �_ A LAND USE PERMIT OR SPECIAL EXCEPTION PERMIT. PLAT OF APPLE RIVER BEND, PREVIOUSLY RE 0 DED AS AND CONTACT THE ST. CROIX COUNTY PLANNING AND ZONING OFFICE SS BEFORE STARTING ANY CONSTRUCTION. 'QIJORELAND NOTE: ew lots have been created. The purpose eP rroidser PART OF the Iat of A le Rtver Bend has b A. ANY GRADING AND FILLING MAY REQUIRE ND h h ifferent and now seperate ownerships. USE OR SPECI EXCEPTION Z t.. 6 LOT20OF APPLE R !VER gEND N82 20'15 "W 392.00' I 12 UTILFTY LOT 19 f i EASEMENT 105,724 SQUARE FEET / r ( 2.427 ACRES) z Cd J ► ' LOT 3 2_OF _ 1 w ' SEE SHEET 26 2 FOR N f PI F' RI VER 1� CURVE tNFOtAATION PARCEL DESCRIBED IN "i AP _ _ / r " VOLUME WIA _BEND 1ST �,, PAGE ADDITION ] i o 40' WIM JOINT DRIVE DOCUMENT — — — — PLAT PAP LE PER p � RIVER BEND { 1 l \� LOT_ _ N • \ \ 10z zy TLINES C:I �. PARCEL D€SCl2IBED IN \, i VOLUME Pff GE DOCUMENT s gg FEET \ R` ( 2.295 ACRES) LOT 16 OF � ,�0od / / SURVEYED FOR APPLE RIVER BEND �e / DAVE WOLNER -- L 1132 212TH AVENUE NEW RICHMOND, W. 54017 / °� i & RECEIVED Wesconsin Department ofCo C 2 2 200 61- E NAL TI EPORT Page _ ,L of Division of Safety and Buildings '+� iornm Wis. C e County t Attach complete site plan on papb, nat less Man x n in size. Plan m t rd include, but not limited to: vertical and horizontal reference point (BM), direction an arpw I.D. percent slope, scale or dimensions, north arrow, and location and distance to neares oad. 03f $7 — 76 G Op Please print all Information. Date Personal iMomtation you provide may be used for secondary purposes (Privacy law, *.I S.p< (t y (m�}.: yyLQ.� j� /Z ? Properly Owner Property Locat 1 Govt. Lot sc 1 /4St:t.l1 /4 S IS T 3 N R E (or Property Owner's Mani Address LotA Block # Subd. Name or CSM# state i fVurn ❑ City 0 Village Wrom Nearest Road // 2 cJ 9 , L�v 926 lam) ✓ a Ili' 12 � W bL t . EP New Construction Use: [WResidential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement f ❑ Public or commercial - Describe: Parent material ou + -f�JQ S r\ Flood Plain elevation If applicable - -� ��. - -- -- ft. General comments e: Sys . �� v. , S ' l o w 0 0 n r Borig G" 4&4 J L�J # Pit Ground surtace Depth to limiting factor / q& In. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 f 'Eft#2 m - r CS v1 K, 116 -> .3 a k Ie_ a s R 2-. aoring # Boring q/ � Pit Ground surface elev. _.!L- _�? v ft. Depth to limiting factor /y in. � Sod Application Rats Horizon Depth Dominant Color Redox Description Texture St ftire Consistence Boundary Roots GPDMF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'EM VY14 e (f b G D • Effluent #1 - BOD > 30:5 =0 mg/L and TSS >30 < 150 mg& ' Effuent #2 a WD < 30 ffV& and TSS 130 moll. CST Name (Please ignahre Number Arialln _ - -S Address f Defie Evaluation Conducted Telephone Number 59 1 d ru j 2A S yo - �0 �� - 0 7 %s- 7�0 - CZ y C1 r� I ID # P of Property owner _.., — © Bodn g IV f Bong �a Pit Ground surface els �• 3 � Depth to limiting factor in. Soil Nmication Rata Horizon Depth Dominant Color Redox Desc tlon Texture Structure Consistence Boundary Roots GPDM in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. • Eft# 1 1 0#2 �,3 C • 1 U U /. Q 0 —' r /. Z d7 2 ❑ s°"n # ❑ Borin ❑ Pit Ground surface elev. _____ ft. Depth to limiting factor in. I Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 t •Eft#2 SorkV # ❑ Borin g ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Rate Horizon Depth DominentColor Ajrsdox Description. Texture Stnuclre Consistence Boundary Roots GPD1fF in. Munsell oil. Sz. coMt. Color Gr. Sz. Sh. •Efr#1 'Ef#2 • Effluent #1 = BOD > 30 1220 nWL and TSS >30:5 150 n & ' Effluent #2 = BoD,, 3D mg& and TSS 130 rnWL 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 648- 266 -3151 or TTY 608- 2648777. S1D8Iii0pL600) PAGE Or_ _...... NAMi W LCT# iPTI NS�� /�► �i/ LET N R B o* SCALE: BM 1 ICLrVATION �� /���• CJ _ RM I DK $CItIPTION P 8aayL,, lq6-0J- rwi.w r r� r .�wr�wr+• BM 2 ELEVATION RM 2 DESCRIPTION SYSTILir{ SLiVAT10 , �h� �v Ul BYST<M TYPE G r ( t _i SIGNATURE IT OAT (i ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT t AND OWNERSHIP CERTIFICATION FORM Mailing Address 1 21 �4�� �i5t.�► tGFf a� _ Property Address 1 �l2 (Verification required from Planning & Zoning Department for new construction.) 4 City/State I� ' I GK✓� e�� � Parcel Identification Number O 3 8- It `�" • 86 LEGAL DESCRIPTION Property Location Iz t /4 , 5 W t/ , S ec. 15 , T '31 N R I g W, Town of 50' , Subdivision A P Lot # J Certified Survey Map # _ u v sJ 8 , Volume _ Page #- Warranty Deed # b ly , Volume , Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance specified responsibilities are in § res ons s Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. P P The property owner agrees to submit to St. Croix County Planning & Zoning Departtnent 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 Planning & Zoning Department within 30 days of the three year expiration date. 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 the property described above, by virtue of a w ed recorded in Register of Deeds Office. Number of be ooms /10 SIGNATURE OF L ANTIS) DATE APP ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) . g3�1t+44 rr STATE BAR OF WISCONSIN FORM 2 - 1998 I KATHLEEN H. WALSH WARRANTY DEED ii REGISTER OF DEEDS ST. CROIX CO.. MI Document Number - - - - - -- - -. RECEIVED FOR RECORD I' This Deed, made between _ _ 07/25/2006 10: 20AN RI tZ , WARRANTY DEED EXEMPT N 17 Grantor. and DAVID W. WOLNER and DEBORAH A REC FEE: 11.00 hus and an wi e, f� TRANS FEE: COPY FEE: CC FEE: _ Grantee. i� PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real e state in St Croix County, State of Wisconsin: 1 ♦ R�jccxding Arta Lot 17 Plat of Apple River Bend, Town Name�and Return Addres Prairie r f r St. Croix County, Wisconsin. 'r Yl This deed is given in full and final satisfaction of that land contract between Richard O. Stout and David W. Wolner and _ Deborah A. Wolner dated January 31st, 2000, L and recorded in the office of the St. Croix 038 - 11 - 70 -000 County Register of Deeds in Vol. 1530 Parcel Identification Number (PIN) page 167, as Document No. 627229. This is not homestead property (is) ((s not) j �i Exceptions to warranties: easements, restrictions, rights -of -way and Ij covenants of record. 1 , i. 20th July 2 00 6 Dated this day of (SEAL) r �. fJ4 (SEAL) Richard O. St ou t Janet P. Stout (SEAL) (SEAL) f` * AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, St. CRoi x County. authenticated this day of day of Person came before me this 006 �. the above named is ar ou 'ate' Janet P. Stout TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me kn the person 3 who executed the foregoing f, authorized by §706.06. Wis. Stats.) t rumen d a owledge the same._ THIS INSTRUMENT WAS DRAFTED BY Janet P. Stout 1 353 Awatukee Trail = Q XIE `�- Hudson, WI 5401 6 N O 'KEEFE z Notary Public, State of Wisconsin tL0 X y . My commission is per anent. (If not, state expiration p Q date: (Signatures may be authenticated or acknowl are n 0 L .) necessary.) h tt�� r Names of persons signing in any capacity must be typed or printed below their signatbte. STATE BAR OF WISCONSIN Wisconsin uegai Blank Co_ Inc. t M4RRANTY DEED FORM No. 2 - 1998 MYwauke6. Wis. AP PLANNING & ZONING August 28, 2006 File Ref: SE0092 David and Deborah Wolner 1 132 212 Avenue New Richmond, WI 54017 i Re: St. Croix County Special Exception Request for Filling & Grading in the Shoreland District, Parcel #: 15.31.18.861, Town of Star Prairie Code Administrau`j 715- 386 -4680 Dear Mr. and Mrs. Wolner: Land Information Planning The St. Croix County Board of Adjustment (Board) has reviewed your special exception request 715- 386 - 4674. for filling and grading within the Shoreland District of the Apple River in the Town of Star Prairie. After the hearing on August 24, 2006 the Board voted to approve the application with conditions. Real PrQ rty The enclosed document is the formal decision regarding the application. 715,x* - 4677 Recycling Your must obtain any other required local, state, and federal permits and approvals. Please feel ''15 - 386 - 4675 free to contact me with any questions. Sincerely, f Jennifer Shillcox Land Use Specialist/ Zoning Administrator Enc: Decision Cc: Clerk, Town of Star Prairie Steve Olson, St. Croix County Land and Water Conservation Department Eunice Post, Wisconsin Department of Natural Resources ST. CRO(x COUN7Y GDUERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, W1 54016 715386 - 4686 FAx f'CC�CO.SAUVT- C,401X W/.:/S lMA'W. -Z .SAINj - -ROi < WV U:; 1 J 4 E g , 4 t ,- i , ! w� ' r 6' o Cz I LAFARGE www.lafargenorthamerica.com I T i i I r Q _* 1 .,..__ -_•_ �--� -- - r te � ` I G � r 1 : t i e r LAFARGE www.fafargenorthamerica.com s r a rn „ c m - 1 il G t' 0 D _ \ r `1 V N 1 r -- C X r 117 of / LAFARGE www.lafargenorthamerica.com r l , ^ Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT 10 Page of 3 Labor and Human Relations Division of Safety a Buildings in accord with ILHR 83.05, Wis. Adm. Code JJ (b U Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, bu PgRCEI I not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or P AW dimensioned, north arrow, and location and distance to nearest road. 3 - APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION R � ATE ^a: _a PROPERTY OWNER: jOCATION S E ( 114 4195 i�� T �+ /� � PROPERTY OWNER':S MAILING ADDRESS Gt OCK /¢ w,4 7"v re �� CITY, STATE ZIP CODE PHONE NU ER ILLAGE NEAREST ROAD syof� (715)54 X71 PR.4tRtE lYwy• cc 6 ew Construction Use [ q-`Aesidential / Number of b6drooms 3 to 4 [ [ Addition to existing building ( [ Replacement [ [ Public or commercial describe GtWyW kt -r 7 . Code derived daily Now y oy gpd Recommended design loading rate ' 7 bed, gpolft 0' french, gpd/ft Absorption area required e9S-0 bed, ft ' trench, ft Maximum design loading rate 7 bed, gpd$ ' trench, gp" Recommended infiltration surface elevations) _5,C- { • 3 It (as referred to site plan benchmark) Additional design / site cons rations Parent material $ CS 11 Flood plain elevation, if applicable ft S 7= u 1 s tab le for system EWIONAL MOU►�D ❑ U IN GRD�JN�D U ESSURE AT S D� U SYSTEM Q U L Q Sn�a TAW U table for s stem S ❑ U ID [DJ3' f7'S SOIL DESCRIPTION REPORT Nf/2 = N �F�oH/�L�Na6 - P Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounfty Roots GPD /f{ In. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Ttertdt Ground `7 ?0 5 YR 5 4 1 elev. /DO.!a__ ft. Depth to limiting factor - Z - ran I Remarks: Boring # � 8 /D Y k 2/Z_ /i w yet? Gr?ie w 2 Z /o ye /ek . 7 .8 Ground elev. ✓`� 5 Q , /d e ft. Depth to limiting fact 7 Remarks: ST Name: — Please Print R b 4 E R T 2A L Q R I ?' Phone: 715 3 S 5 Address: iU - 13 - 95 cs7 Signature: r c Date: CST Number: Private Sewage Consultants �( 655 Hudson, Wis. on. Wis. 51016 ORIGINAL PROPEWYOWNER Rl?- 5400 SOIL DESCRIPTION REPORT page Z of 3 I PARCEL I.D. # 4 - 0 7 — 10 iE > Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence 13=d3y Roots GPD /ft In. Munseli Qu. Sz. Cont Color Gr. Sz. Sh. Bed Wnch /d yie i 2_ S � D- � / ,r es If- — ,7 Z ajle glq 15 14. Ground ,,3 D "1 7 YR etev. 1 -I& ft. Depth to fimiftng factor ,, Remarks: Boring # El D- /0 X Y /S /,w, G�.� C S /f Ground Se elev. / 00, e ft. i Depth to i Wiling factor Remarks: Boring # E�l I 2 - T5 io 31-L- s ��,,, ,P Gf,Q Cs , 7 Ground elev, i s /0d,Y& ft. Depth to i fimifing i factor 7V T-- Remarks: Boring # 13 I Ground ' elev. Depth to limiting factor Remarks: con o�oroo nemrn i L ��.3of3— 0A7 S — goo • y'Z G y o f3 f3y /0 0.3 G � 5 /00. 0 3 1p 0 SET. Top f 3 /y 79 7y /oo, o' 33 y3 /8 $GALE f 30 , • — ,8�4c� P��� M ^• Lcl�Zit -TiCZV 5 � `' r zo o �4 S .� X35 y P� =p Parcel #: 038 - 1174 -80 -000 02/06/2006 05:12 PM PAGE 1 OF 1 Alt. Parcel #: 15.31.18.862 038 - TOWN OF STAR PRAIRIE 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 - WOLNER, DAVID W & DEBBIE DAVID W & DEBBIE WOLNER C - CHARLAND JOSHUA J & ANGI CHARLAND JOSHUA J & ANGI 1132 212TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es) * = Primary Type Dist # Description * 1139 212TH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 1.620 Plat: 0047 -APPLE RIVER BEND SEC 15 T31 N RI 8W PT SE SW LOT 18 APPLE Block/Condo Bldg: LOT 18 RIVER BEND 1.62 AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 15-31N-18W Notes: Parcel History: Date Doc # Vol /Pa e Type YP e 06/26/2001 649427 1668/470 WD 06/26/2001 649426 1668/469 WD 03/12/1998 574909 1305/74 LC 2005 SUMMARY Bill M Fair Market Value: Assessed with: 120102 55,300 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.620 54,300 0 54,300 NO Totals for 2005: General Property 1,620 54,300 0 54,300 Woodland 0.000 0 0 Totals for 2004: General Property 1.620 54,300 0 54,300 Woodland 0.000 0 0 Lottery Cl aim im Count: 0 Certification Date: Batch M a Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I A Safety and Buildings Division county N vi r 2 01 W. Washington Ave., P.O. Box 7162 C d , K sconsi n Madison, WI 53707-716Z Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 11 O Sanitary Permit Application State Plan I.D. N umber In accord with Comm 8321, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s 15,04(1 xm) Pro' ct Address (if different than mrig address I. Application Information - Please Print All Information 2- 12— K — — Av& Property Owner's Name Par t # Block # of 1Jo1 � l ; Property Owner's Mailing Address Propeny Lo 5 14, $� ' / <, Section lj a City, State / Zip Code Phhone Number G dw1 t r 51re/ 3l Eo � `0, - - - -- - - T N; R�E o� II. Type of Building (check all that apply) 1 or 2 Family Dwelling- Number of Bedrooms Subdivision Name CSM Number 3 St CROIX COUN i v ❑ Public/Commercial -- Describe Use D StateOwned - Describe Use UCity at Y III. Type of Permit (Check only one box on line A. Complete line B if applicable) o 39- - iQ - , 6m( . R 6 1 i A. ('� New System ❑ Replacement System Treatmen0iolding Tank Replacement Only Q Other Modificat a Existing System r B ❑ Permit Renewal El Permit Revision E) Change of D Permit Transfer to New List Previous Pe it ben an D Before Expiration Plumber Owner n, A a IV. Type of POWTS System: (Check al{ that app Mcund < 24 in, of suitable soil ❑ At- ad e ❑Single Pass Sand Filter YLY A Non - Pressurized In- Ground D Mound > 24 in. of suitable soil Constructed Wetland D Pressurized In- Ground D Holding Tank D P t Filter D Aerobic Treatment nit ❑ Recirculating Sand Filter Recirculating Synthetic Media Filter Leaching Chamber ❑ Dr' ine avel -less Pie ❑ Qt er V. Dis ersabTreatment Area Information; ( 41 ' e 2 _ _ Design Flow (gpd) Design Soil Application, Rate(gpdsf) Dis al Ara Required (M Disper 1 Area Prop (if) V System vationn � VI. Tank Info Capacity in Total Number an factu r Prefab Site Steel Fiber Plastic Gallons Gallons of Unit j — , Concrete Constructed Glass New Existing Tanks I Tanks _ Septic or Holding Tank Aerobic "Iteannent Unit Dosing Chamber �! VII. Re sponsibility Statemen 1, the undersigned, assume responsibility f r iqt#Istjon of the POVM shown on the ,bed plans. Plumber's Name (Print) Plumber's Signature PRS Number Bust s Phone Number Plumber's Address (Street, City, State, Zip Code) a VIII. CountivADepartment Use Only X _ Approved D Disap o Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature ( Stamps) Surcharge Fee) D O Reason for Denial IX. Condition A provs t 3\ SYSTE ) 1 Septic tank, effluent filter and --� / dispersal cell must all be serviced / maintained s o`^�°` I O Catxsd! as per management plan provided by plumber. S two 2. All setback requirements must be maintained as per applicable codelordinances. Q.•� - o ,pUtiil S 1�� Aftach complete plaza (to the County only) for the system on pa no less than SY2 x 11 inches in size C]t/�xiJt_ SBD -6398 (R. 01/03) I � - - b 1 J AI r Z 6 r c,v�1 a .t 3 feu ce Ste► �-.. �` �. � _ ` k rep Pty- - tee per .._. PY D � Q/ c r' �d ( 1 i Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division of Safety & Buildings ^� in accord with ILHR 83.05, Wis. A Q��� • C NT Y sr. C, R o r x Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Pla nclupe,1 not limited to vertical and horizontal reference point (BM), direction and % of �scale P FJ. LD. # dimensioned, north arrow, and location and distance to nearest road. An APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION EVIE 8 �DATE 0 1� PROPERTY OWNER: ff RTY L? G TLt_t.-1E ` T 3� ,N,R E(olo PROPERTY OWNER':S MAILING ADDRESS LOT # S al# 35'3 /¢ w�F T U �:_ TR ° tir . CITY, STATE f� �s ZIP CODE PHONE NUMBER (]CITY QV W �, N R T ROAD Itu 5o.j syolto (715)5'4q .. r PRAIRIE- . ,ywy- Cc (I,)'I ew Construction Use ( �iesidential / Number of b6drooms 3 +O 4 (J Addition to existing building (] Replacement (] Public or commercial describe Code derived daily Bow TO& gpd Recommended design loading rate bed, gpd/ft • trench, gpol(t Absorption area required �� bed, ft2 7.6�0 trench, ft Maximum design loading rate bed, gpd/11 - trench, gpdAt Recommended infiltration surface elevation(s) SEA j4.3 ft (as referred to site plan benchmark) Additional design / site consJd¢rallons NJ Parent material $CS 11 G R le 14 AP DT Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors Stem O S O U O S ❑ U ❑ S ❑ U ❑ S ❑ U' 0 S O U D S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Y Roots GPD /ft In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed terlctl YR 0/111/ Ground 3 *V 7•I yl0e elev. 1 7• ft, Depth to limiting factor i Remarks: Boring # Y/? ✓���- �✓�' / ,yj,/ �� $ Z� • 7 ................. S . Ground:.. 3 ° 7. Y R j// elev. Ib3. �4 ft. Depth to limiting factor 7o 4 Remarks: CST Name: — Please Print PC g t R T V L f3 R Itr (� T Phone. 71S 36(a 8185 ' / Address: /C) / . _ y t_ ser-Al Z Ile.;— Signature: Ulbricht a Assoc Date: CST Number: Private Sewage Consultants z jG 055 aNail Rd. Hudson, Wis. 54018 ORIGINAL PROPERTYOWNER Rl�,g, P SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. ! L 0 r -�f A We- /E 111E 6&".V P l Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourcky GPD /ft In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Roots g� 0 -12- 10 YR 3 /z. S ily 2 - f 7 $ 2 1 .) - /6 ye y 3 /s � � C s �� .7 $ Ground 3 7. 5 Vie /�� S . O S C 5' • 7 �3 r0 & '7a ft. 19 1 5At . 57. O Y- ,g Depth to limiting factor I Remarks: Boring If ....:..:..... z /0- 3 10 YR y/ /s /,M l e 1f • 7 $ 3 -2 -s -7. 5 YR g���y S Ground � • elev. ft. .0 -1O /O ye ✓` /le /00 �� t Depth to Wiling factor Remarks: Boring # o•& /o YR 3 1ate dv s Zf ' • s S. z & .20 / T Is % /f 1.7 1.9 Ground`.. 3 0• ? -5 YR y /l� 9 v ys . D s �S . $ loylev. 0 -� i0YR5 /� .5. 05 Depth to i limiting factor y }^ > -a�- Remarks: Boring # i s .... i i I Ground elev. ' n. Depth to limiting facto Remarks: COf� 07�f/1 /O ACMM I l / F3 303 G o 7+ ►7 J r • 1144 /v-p Pi'r5 i i0 7. � r�, ` /o6 .90 B `! /D0, /0 Flo 13 5 o y �� ko �a ir 135 S066e7s reEo S STL� Titd�,ve& Y -�-1 EI ATrouS C� 4 (3 r3 RR� • r Ca4 tl-Ae-- 7/PEV ail S TO Soo 'T *2 q a a f xA&, -c po s r e-o jpa a A 3 o 2 an Date , ti su nr foregoing is a copy of a resolution adopted by rs of Hudson, y r m rz y /�.�s1�� j r Ci k Date A I I 4 ! / v! � �n ,r s s . 1 1 1 ,1 c 14*37* 38 4.59' 411 t q•(La.SIT� _CffiYS'rPICa•7B ' f 1 t LOT 21 922 SO. FT W 1.87 sc. N 9.�, $ 7z 48' � the duly elected, qualified and acting Tows � � 1 � lSO.9p ar Prairie, hereby certify that in accordance °+ 'flee, khere are no unpaid taxes or special �� 'r,� Z� _ any of the land included is the Plat V` �ISea'37'16'w 390.50' x,39• r f Da LOT 20 �N �� � _ S , . \ "�. Ac. N 01 6s.909 so. FT. W N C h N 8 392.00• jest to State, County and yoviskip lire, roles and regulations (i.e., Uaads, >s ` io 4jj n m Before purchasing or developing any parce contact the St. Croix corny losing NEV4 OF THE SWV4 SEI/4 OF THE swv4 �'�+ 1 LOT -19 r 1 3i • r ; ' I 1.62 AC. ' i A that the installation could disturb any survey stake, or obstruct vision along , ' 70 so, R. N o is a violation of Section 218.22 of Biscusis Statutes, Utility Basesents as Mies and private public utilities baring the right to serve the area. s *y. iv f j ? ?• O r Z it. ' N64 2'►�• y o w S16 . 800 �•�. LOT ►02.41. 1.62 4C. _� _ IOO•� �' .s >; 70.608 SO. FT. m. N YS N Y.00 J h LOT �• qp6 r .„ 1 o M a . µ1,5o 17 l .. * 5 .,,e t / 16 1. 48 AC. dD I r $4,685 SO. FT ti D . LOT 15 6:.638 sm FT. z Z ¢, 1.70 AC. J / 'Z,e' •rN f.� 2 a LOT 14 73.944 SO R 13Z �4P w NbZ , w 1.7s AC, / b ITN 76 .650 S0. FT. N `. FS� LScj �� Nwa. T ,.a i � • R N6 NY�MpC��jr I r r `10 �JGR HUDSON. 6pZ 16 �, f Wis. SU;Y =�� ao 3 6 c t+tau :a3ta` ,ILI nor f— SCALE IN FEET loo 50 o roo SHEE 2 OF 3 SHEET rHIS INSTRUM OR, 879 2 I I 91 \ , B33 911.2 X A .3 d \ x X � / 39 ,�. J 914 3 1 , a 1 i - - - -- — -- �� — 6.000 N x �r ' 910.8 co / x' 3 0 N e 910.2 4 2' � x / 9 X 910.3 x a' 51500 �. ----- r\ i v �. PLAT LOCATION _ SEC T Its N 1 T31N RISW y S parcel #: 038- 1174 -70 -000 02/06/2006 05:12 PM PAGE 1 OF 1 Alt. Parcel #: 15.31.18.861 038 - TOWN OF STAR PRAIRIE 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 DAVID W & DEBORAH A WOLNER O - WOLNER, DAVID W & DEBORAH A 1132 212TH AVE NEW RICHMOND WI 54017 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 1137 212TH AVE SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 1.620 Plat: 0047 -APPLE RIVER BEND SEC 15 T31 N R1 8W PT SE SW LOT 17 APPLE Block/Condo Bldg: LOT 17 RIVER BEND 1.62 AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 15 -31 N -18W Notes: Parcel History: Date Doc # Vol /Page Type 01/15/2004 751667 2492/308 ALC 07/28/2000 627229 1530/166 LC 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 120101 55,300 Valuations: Last Changed: 10/13/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.620 54,300 0 54,300 NO Totals for 2005: General Property 1.620 54,300 0 54,300 Woodland 0.000 0 0 Totals for 2004: General Property 1.620 54,300 0 54,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 SEPTIC TANK & PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4" Cl VENT PIPE 12" MIN. ABOVE GRADE S WEATHERPROOF } 25' FROM DOOR, WINDOW OR JUN6TION BOX APPROVED FRESH AIR INTAKE ---- ----'� WITH CONDUIT MANHOLE COVER W/ PADLOCK & FINISHED GRADE WARNING LABEL 41 7 4" CI RISER . 4 " MIN . 18 11 6 1 . b" MAX . ' N LET < < WATER TIGHT SEALS GAS' T IGHT < APPROVED A SEAL JOINTS WITH PPROVED --L-- ALM APPROVED PIPE IPE 3' B ' ON 3' ONTO NTO SOLI f ' SOLID SOIL OIL C { PUMP OFF ELEV . FT. OFF RISER EXIT D PERMITTED ONLY IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED.BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: Se�_ NUMBER DOSES PER DAY: TANK SIZES: SEPTIC Zpae GAL. DOSE VOLUME INCLUDING DOSE 5`� GAL. F LOWBAC K : loZ? GAL . ALARM MANUFACTURER: / CAPACITIES: A = gy— INCHES =GAL. MODEL NUMBER: s. v SWITCH TYPE: yr1c� -cam B = ? INCHES = GAL. PUMP MANUFACTURER: C = INCHES = _Z,�� - ___�__ MODEL NUMBER: � D 2 G INCHES = % GAL SWITCH TYPE: IN-ey^c _ REQUIRED DISCHARGE RATE GPM PUMP & ALARM WIRING AS PER ILHR 16 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE �/ FEE + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . • . - FEET + FEET FORCEMAIN X g,o FT /100 FT. FRICTION FACTOR FEET TOTAL DYNAMIC HEAD = .,j ,,�7_FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH; DIAMETER LIQUID D777T,- elG',&, /�'t" S IGNED: �� --- � LICENSE NUMBER: „2�799G� DATE: y/88 GOULDS PUMPS [C�] Submersible Effluent Pump EPO4 �s 3 8 71 EP05 i i APPLICATIONS • Fully submerged in high ■ EPOS impeller: Thermoplas- ■ Bearings: Upper and lower Specifically designed for the grade turbine oil for tic enclosed design for heavy duty ball bearing y g lubrication and efficient improved performance. construction. fallowing uses: heat transfer. • Effluent systems ■Casing and Base: Rugged thermoplastic design provides AGENCY LISTING • Homes Available for automatic and superior strength and corrosion • Farms manual operation. Auto- fl. Canadian Standams Aswdauon • Heavy duty sump matic models include resistance. • Water transfer Mechanical Float Switch ■ Motor dousing: Cast iron (CSA listed model numbers end • Dewatering assembled and preset at the for efficient heat transfer, in "F" or "C ".) factory. strength, and durability. SPECIFICATIONS ■ Motor Cover: Thermoplastic Goulds Pumps is IS soul Registered. FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 1 /4 " maximum. ■ EPO4 Impeller: Thermoplas- 0 Power Cable: Severe duty • Capacities. up to 60 GPM. tic Semi -open design with rated oil and water resistant. • Total heads: up to 31 feet. pump out vanes for mechanical • Discharge size: 1 vz" NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic - stationary, BUNA -N elastomers. • Temperature: 104°F (4000 continuous 140 °F (60'C) intermittent. METERS FEET _. • Fasteners: 300 series 10 stainless steel. y . 30 sc>AVt — _ ..._. • Capable of running dry without damage to 8 22 s Fr �r components. is - Motor: _ • EPO4 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 S RPM, built in overload with r o 1s' ...... - . _ - automatic reset < 4r EPOS • EP05 Sin gg le phase: 0.5 HP, o _ _. _ ..... ..... . .. 115 V, 60 Hz, 1550 RAM, 3 to - __.. _:,. ...._. ..� ._... .,..._._ built in overload with EPO4 automatic reset. 2 • Power cord: 10 foot 5 standard length, 16/3 1 SJTOW with three prong grounding plug. Optional 20 0 ° o_ 10 20 30 4o so GPM foot length, 16/3 SJTW with three prong grounding plug 0 2 4 6 8 10 12 m31h i (standard on EP05). CAPACITY Goulds Pumps 2000 Goulds Pumps <& ITT Industries Effective February, 2000 83871 ral�r +aA� STANDARD Ch AWR f Oulck4 Standard Chamber -.- . -_. ___. ___ 48 " _ _ .._.....__ - -- I (EFFECTIVE LENGTH) fill �.- 34° - —___ .. - - « &M VIEW SEC TION VIEW 1 MuitiPort End Cep t _,ter° -*��, - IW 15.� a �� . _ 34^ _, _ SIDE View TOP VIEW I FRONT VIEW Cluic St andard C ham bitllamintl Spealtic�tid � '. i � t I�hiPArlEad CAD t�omlriM =p ecilicetlaes _ � f YII. Y Y S ize , W x � X r x 52" X 1'�' " M w 11 �4' X 1 S T x 12" i E"attfve LeAP, _ — 40 lrtvert Hv n; 8" pr 1 .25' ^avert He ight i } EtdF.lL.IR�IS?i{ $!fY�Y�.MB..!- Z#G.�TAL��� �1�E11Ti�,S2..�9II�1ll�I�l " n u i . n:, .: 3� '+' h h:.nitrr� W :� C� :dp wwtye •xvl OrJY IlrftlFlV7rY �rO' lC'�.'AN� t/y l uU P x ' °, wa•:1 W R �'91Y t Y ^' �' r• "'F' I 4 . t yro s, •LSlevrar r:.lrr «aNi vWt alp. +,r ItIWW: aw AUKi'dV gvAµrJ l+l�1•�!W Ala or aw nav a •. h r II nr rM P nr rl• Orlb It,ir I >rl fYVlw i+r 1 s 4Hwry 0 "R'lIIY' V "1 I I L . 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Abeil•)C� CWCiICUI, ��wGtBV r t t1 NW r :IV ar A ➢ +lam, fl W I.K✓L OUk• % 15 a ..► , In Iv!r we AnlQwr; �pntOlA , ,Ytwv V *,,N vdr N- . j+ rrr ldQ iltn a S,l� ... .,._.. „.. m•xyA'i•WrhMe><bv6+Pt ` rti a ` POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of 'FILE INFORMATION L- SYSTEM SPECIFICATIONS Owner �1_*AA_ Septic Tank Capacity Q ®Q a l ❑ NA Permit # 9 / 6) Septic Tank Manufacturer r�'J� ❑ NA 62 f DESIGN PARAMETERS Effluent Filter Manufacturer k' 'e— O NA Number of Bedrooms 3 ❑ NA Effluent Filter Model Of ❑ NA Number of Public Facility Units NA Pump Tank Capacity Q a l ❑ NA Estimated flow (average) g al/day Pump Tank Manufacturer � Se - ❑ NA Desigo flow (peak), (Estimated x 1.5) x'49 g allday Pump Manufacturer � ❑ NA Soil Application Rate al /da /ft2 Pump Model ❑ NA Standard Influent/Effluent Quality Monthly average* Pretreatment UnitNA Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand 1130D :5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection O Other: Pretreated Effluent Quality Monthly average Dispersal Cells) ❑ NA Biochemical Oxygen Demand (800.) 530 mg /L XlIn- Ground (gravity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) _ <30 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Co(iform (geometric mean) 510 cfu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. 203 Other: ❑ NA Other. Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other. ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once eve month(s) (Maximum y ears) ears) ❑ NA ry ear(s) Pump out contents of tankls) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cellls) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA 3 Wyear(s) mo nth(s ) ❑ NA Clean effluent filter At least on e very: ye ar(a) Inspect pump, pump controls & alarm At least once every: ,.— ❑ month(s) ❑ NA 13 year(s) Flush laterals and pressure test At least once every: .- _ O month(s) ❑ NA 0 year(s) Other: At feast once every: O month(s) ❑ NA ❑ yaarls) Other: E3 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third IY or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page , of , START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(sl. If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cellis) in one large dose, overloading the cell(sl and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain Isump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN if the POWTS fails and cannot be repaired the following measures have been, or-must be taken, to provide a code compliant replacement system: A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption ( system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing, and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ T srt site A tank e ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DU NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL. COMMENTS POWTS INSTALLER POWTS MAINTAINER Name �fj,'� ,� -� ,,.,* l3 j_ Name Phone 7 l - _ _ ,,� Phone =j SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name ' Phone (; Qc�����(JC r Phone � �, 3 afp � �od v This document was drafted in compliance with chapter Comm 83.2212)(bi(1Nd) &lf► and 83.54(11, 421 & 131, Wisconsin Administrative Code. I � i I f I i LI All I H , x ^ 1 1 .\ � 1111 �v s , a I _ c e N � i l t 1r APPLE RIVER BEND LOCATED IN PART OF THE NWIA OF THE SWI /4, PART OF THE SWI 14 OF THE SWI 14, PART OF THE SE114 OF THE SWI 14 AND PART F H O T NEI 14 OF THE SWI 14 ALL IN E TI S C ON 15 T31N R18W TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN. PLAT LOCATION SECTION 15 T31N R18W I EAST - WEST 1/4 LINE. SECTION IS NE 589 8'6 4 N1W L GOOSE LIKE RO I 589•se'•6'w 66.00 SO '48'46 "W i WW CORNER EI /q CORNER SECTION IS 2M1.3T' I 3047.37' SECTION 15 C.TH. / I TEMPORARY CUL- OE•SAC TO BE REMO/EO UFON LINE 72 - 26 COENSION OF THE ROAD Sr - NIS'13'12 "E. 0.12' _ a 33. n � ,, P 1 ® C. T. N. "C b i Q TOWka ROARD RRRO .TrrIOH ^ 8 0 C))� Resolved, that the Plat of APPLE Rxm BEND in the Town of Star Prairie, A8 1, Richard O. Stout and Janet P. Stout, owners, is hereby approved by the Town ,�/ Board. ohs N. Heintz, ToV isman Date N ti I hereby certify the foregoing is a copy of a resolution adopted by •, the own Board of the Tows of Hudson. All 1 `/ /i.�s� 4 y j Ru A. Johnson own Clerk Date 2 6 s' I / 6 1 I 1 II I n , 1 ' I 1 N85•14'37•\y 3 84.59' WI 1 ' _ll I I, TOeeN q'raR_ACtTTLT+R ..CRRT7piCsTB 1 j STATE OF 83. WISCONSIN) LOT 21 , art fi:l \ \ \ ST. CROIB COUNTY N 9'44' \ 72.922 SO.FT. 48 - W I, Richard R. King, being the duly elected, qualified and acting Town \ ; 150.90 Treasurer of the Town of Star Prairie, hereby certify that in accordance with the records in any ffice, there are no unpaid taxes or special a is as BBND• any of the Tared included in the Plat U\ �'sss•37'16 390.50' Ns9• Richard R. King Tows Treasurer 1\ 'g r• � $ �_- LOT 20 N 1.38 AC. N I m �\ O a .`• s 68.909 so. FT. W Q _ N82•2 �• 1 N $ W 39 2.00. t • I ry lath Parcel Ikovs 04 this sap (plat) is subject to State, County and Toweship laws, rules and regulation (i.e., vetliads, sS W 10 sisias lot sire, access to parcel, etc.). Saturn purckisiag or developing any parcel contact the St. Croix County losing NEI /4 OF TH E sw /4 \ $ LL office aid appropriate Ton Board for advice. SEI/4 OF THE sw114 + . RtILITT thSSNaaTt ,. ' LOT - 19 1.62 AG. _ So pole or buried cables are to be placed such that the installation would disturb toy survey stake, or obstruct visits along 70.419 So. FT. N c ny lot line or street line. The disturbasce of a survey stake by anyone is a violation of Section M.12 of liscoosia Statates. Utility laseeests is /` W bereia set forth are for the tie of public bodies and private public utilities having the right to serve the area. ; . ,749 � s , ti' N I.Iv 0 / ; w. N64• 2'10' 4 06.5 0 U. T Q 102.41 /• 100 00 1.62 ,w 70,608 �. =� _ / "• T 17 I 16T.0 I 408 LO ♦• � � J•s. I 1 N • v M "LOT 16 1. NTB 1 1446 ac. cPi 64. 685 SO. FIC 1.4 T, . / : LOT 15 $ "o ee< D p. , 30 SO. FE /�yS \' �•� 2 a i LOT 14 : 73,944 SQ FT. J j � • sz y a mo d. ••� l6Ofl 62 Ab a t. 1.76 AC. r 4 76, BI0 SO. FT M �rjj 39 �0 : �leatew, ra c �/ TNRE °0 A N C V 4 B• •�s 'W x N6 NYH � w �+� 1luosoN. + w;s1 suri its- i N65.2t 0 aPF /v s at r SCALE IN FEET ao so o Sao SHEET 2 OF 3 SHEETS THIS IN $TR VMENT OR,