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(D N O CD N Cp 7 Ut N CD O n N N (D O CP tv CD O w CD cn (D O w CD < a Ut 96 Cu `< < a fD 9 0 0 D> `< (D O w 3 O W 3 w 7 O W 3 O 7 CD O fU 7 CD 7 p Cl) O a = O a - A 4k CD CD Il o o O o O o �' O o CL O O� N r�. I Wisconsin Department o; Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and B Divisie* .+ INSPECTION REPORT Sanitary Permit No: 430581 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. '! Permit Holder's Name: City Village X Township Parcel Tax No: Swenson, Geraldine I Troy Township 040 - 1174 -40 -000 CST BM Elev: r Insp. BM Elev: BM Description: Section/Town /Range /Map No: . `J OD • O � CST 13 = 5 Ice �vt,s� =Q wry �i1� Q, 24.28.20.670 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic `6 � 'A t Benchmark Jam(.- A l f 34 t Dosing Alt. BM � lv5 Nw x' 9�•6� Aeration U Bldg. Seu � r nk � Y Holding St/Ht Inlet • 13 , St/Ht Outlet ` L n , TANK SETBACK INFORMATION `�'Z •�f0 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet L • V 2 - C?Z- 3$r Septic t Dt Bottom Dosing + �t , IN Ip' Header/Man. A\ 9- 03.2f f J Aeration Dist. Pipe _- 2 Holding Bot. System J y�.¢!(p4S`• PUMP /SIPHON INFORMATION Final Grade A� crLi Manufacturer 1 Demand St Cover �L1.ER_ 1 GPM Model Number � 2 I S 1 DH Ft T H Lift I Friction Loss System Head T 0 • S • f� Forcemain Length I Dia. tt Dist. to Well N SOIL ORPTION SYSTEM Wff( REN� , W Width ( Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIME NS 3 vii e SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufact er. INFORMATION CHAMBER OR i 6 a + fers Type Of System: e . I UNIT Model Number. J " DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hote Spacing ht to , r Intake Pipe(s) on Length Dia Len Dia Spacing �o MAO 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 El i ] No i 'Yes I 7 1 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: . Inspection #2: Location: 282A Cove Road Hudson, WI 54016 (NE 1/4 NW 1/4 24 T28 OW) St. r ix Cove 24.28.20.670 2U. 1.) Alt BM Description= tjto � lr • 41 - �Q 4( � S �A) r , �•� -_ 2.) Bldg sewer length= , S• 0 1 `�� 0 L 1 3q d = I °Z • ` i 4 - amount of cover = t8 "+ S-J tow'. (off JAI �= to(•W t�.Oq (00 .3`F� =99. 10 94.z�{ Plan reliion Required? C ] Yes N +b' 4 `jb•91 Y Use other side for additional information. 2, SBD -6710 (R.3197) Date ` Inse ignature . 7 r s`2� Satety and Buildings Division comurtv AD 201 W. W ST. CROIX nsconsin Ma ( Sanitary Permit Number (to be filled in by Co.) Department of commerce (6118 }26i [54Ei '�L3 s Sanitary Permit Appii atikAV 2 2003 - state Plan l.D. Number In aowrd wick Mot mrm 83.21. Wis. Adm. Code, peravrma] " tat" a IX BOUNTY I v A may be usw for swxidary purposes Ptnacy Law, l ).t>4€3'lt0 ING OFFICE lhmmjcxt ` (if ersalguin Mailing Application Informattttrt 1Picuse Print All Information — —ZZ - 2 8 2 Property O mzef Name Parcel # 1 of # 13 - - # - - - -- GERALDINE R. SWENSON 040- 1174 -40 -000 Property Owma's Mailing Addrcss 1 'rWcny Locahon � L D 4857 ISLAND VIEW ROAD NE y., NW 24 City, State Lip Cade Phone Number MOUND, MN 55364 tp.@d.t (Vd aarcleorra) ----- ........... - ,r T 28 N, R � IL Type of Building (check all that apply) CtA n o a )2. nn ame 1 or 2 Family Dwelling --Number of 3 PE SUBMITTED E T NS T�0 Subdrvrsm°rm �' C5Tvi Number ❑ Publieconamrrcaal - Dc%nbcUlu — fW ��.�jw�.: HOUSE � P LAT O ST. CROIX COVE ❑ State Owned -- Lkscribe 1 1sc ` ❑City Lllrillage lAw, iship of n:Z OY j III. Type of Permit: (Check only one ms on line A. Complete line B if *pplic*ble) A New System ❑ Replacxnterd System ❑ Treatmetd/ltoMing Tank Replacenxxmt Only other T1-tutlifmcatioo to Existing System T3. [I Permit xenearrt ❑ Perim Kevisiun ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date rssuctl Before Expiration rh mi" twiner IV. Type of POWTS S . tern; Check all that a i ) ST, INCTI -1 + ') ❑ Non - Pressurized in- ciround ❑Mound > 24 in. of suitable soil 1 Mound 1 24 im of suitable soil ❑ 4t -Grade U single Pmv Saud Filter C<mtstructed Weda and M P essurizod ln- Graura H 1luldi g T.,k ❑ Peat Filter ❑ Aerobic T'rai 't 1�1nt Reeirculatarg Sand Fiber ❑ oe er 1 um p ELF - Rarirrulating Synd media. Fi1_w M eacbing C hamber 11 T)rip lane ❑ (Travel - (em Pim ❑ (e n) V. Uis rsallTreatnwnt Anew Information: - renc es- cam ers ea. =� -5 c am ems -1 ' -3 chamber -20 BioDefuser tote Design Flow (gpd) Design Soi ation Rate(gpild) Dmspersal Area Required (if) 1 4 Area PiMwsea Vi 450 643 Z� _ . 3�• ..- . . - _... G' it Total Nurnhrr Manufacturer a Steel Fiber plastic VL Tank Info - G,Jlotts t;al[nas nrt;nits � /`.G�' �f�i] Cc L r. Glass fi Twi E'xlSls Y /� / _t Tanks Tsrrlas �- f't]GC,. SetAic m Holding Tank X 1000 1 WIESER X A Aerxsbic Trralxnen[ iTniB X 1000 __ I WIESER X VII. Responsibility Statement- I, the aaatlersi amwoe,emsposndbllity for Koms of the ?bWl S talrm�n ew tt�c rttbctsed plrrmu. Plumber's Namo (Print) P s PRS Numba tinsintnq Prune Number TODD FEATHERSTONE 2514 715 -381 -1704 Plumber's Address (Sheet, City, State, orp C`.odc) { P.O. B 467 HUD WI 54016 VIII twat Iles artrnent Use Only_ Sanitary Permit Fee (includes Groundwater Date in t Si ) Mr i Approved ❑ Disapproved Surcharge Fee) f/n ❑ Owier Given lteasnn for Denial IX. Conditions of A pproval/Reasons for Utsapprovat j," 4j,& �Gt tze�il /,vyt�2h� I/ YSTEN R: 0 3 S1 "d Septic tank, effluent filter and M S � le7 dispersal cell must all be serviced 1 maintained as per management plan provided by plumber, se EbMF, requlremen s musTVe ffialnIU as er app ica le code ordinances. �__ p'3 r �'3 f .lttacn ri pt— (to umc - � they mmutless teas 8112 >; FI iades in An �) -4CX� 0 Y t�►�ln,/�2, s s _ —�' / - � .���s -fa',� -ems cep/ f .4'ofs� �rl o • •• \ •� , \ Z I N ? t • IC 00.0 ffw --j •f�' • Y • _ , / �� \� \ ` ••N {I�••fff••� •••••••••• i U V 54 Wy V kL L z SYSTEM CROSS SECTIONS LENZEN.LOT.13.ST. CROIX COVE MAN HOLE INSPECTION PIPE GRADE in-i 64 E- ZABEL FILTER 1000 GAL. 2 trenches @ 40' ea (12 chambers) 1 trench @ 30' (5 chambers) 1 trench @ 20'(3 chambers) total 20 BioDefuser Chamber � .r..,... -- SYSTEM ELEV. 101.80 6 BIO D 40' O 1000 GAL p 6BIOD 40' 6 BIO DEFUSER CHAMBERS 30' 5 BIO DEFUSER CHAMBERS 20' O DEF SER CHAM ERS pjp �t 040- 1174 -40 -00 NE y, NW 1/ 24 T 28 N,R �Fs WT 13 BL_ SU13 Cr_ oix Cove C 242514 GARAGE &I9 / 'b / 1 h d 0 � / // a / y4 2" RON Ark arraaw a4K l 0 . �l // / \ �•: 0 15"' �•� ••••• / / / / , \ 9 Qtr /h," 18 cw'O r-ih 0 o� • � PkoPO r / S 35 " E �° : •• PTIC TZ 0 / �•�' 17" AREA 0 / / / IA: P 0/ o _ Y �+ 6 •• + o�d OpQ` � S L7A • 0 �9 O • p A�N • '� �J' �' / Or' d7' °f .1 C N NV TER • / 50 • v 616 I •: /r• N 3�3 °1 44" W / o> � I I •' :l � � l I � ' • 4 a� "j i , l I l e/ 14 •/ a" cq a4 / /; 0 000 - I • ` l l I 149.85' �� •• .... / 1'/ IRON I / BENCH bY4RI� PROPOSED ROCK// /VATI�NJ 729.75 AMC 1 TYPICAL WA / 1 REQUEST FOR VARIANCES P{ ' LOT 13, PLAT OF ST. CROIX COVE SCALE: E aaeaNG CO. DRAWN BY: )A Vv ,�� �� / 1 � Civil Engineers do Land Surveyors JDF /DPK /JAF DATE: S. WON= La». 13vrr Fair, N7 54M �Al / 5 -15-02 (715) 425 -7631 . Z� Pie REV LAYERS: / • 5 -21 -03 BRUCE LE ND STRESS ALL EXCEPT 22 rLMOCATIO�. , 7 502 SEcTM 24. rMK R2ow HUDSON, WISCONSIN 54016 N 02 -2G 19 02 -26 kN SHEET 1 OF 4 I - • SIxK /ooZ Wlsoonstn Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Courtly 5T, COt v ` Attach complete site plan on paper not less than 8112 x 11 Inches In size. Plan must ! Include, but not United to: vertical and horizontal reference point (BM), direction and Parcel I.D. 1 4 , _ 000 i d percent slope, scale a dimensions, north arrow, and location an distance to nearest road. Date / 3 Pleas e p rint all Info rmation. R ad y !� Personal information you provide may be used for secondary purposos (privacy Law, s. 15.04 11) (mU. Property Owner Property Location at; 12f'LQ 1t'� 9 . Sv')tiN !:J) q Govt. Lot I NE 114 nl w 114 S 21 T Z_'d N R.2-0 w property Owners Malting Address Block # Subd. Name or GSM# P&A r OF S7 CA 0I X C0V l-Ig s7 SSI.AMD \ _-W 'Rte i Villa e Town Nearest Road city State Zip Code Phone Number City ❑ 9 Mou N L - %q I ( . K - t - 0� Cu�E ►�O• New Construction Use: p Residential /Number of bedrooms Code derived design flow rate GPO ❑ Replacement ❑ Public or commercial - Describe: - fl Parent material _ ()L (TW A StA Flood Plain elevation if applicable General comments � and recommendation: C0M\)EEKTr%0►Pub-- 1N- (oKOtAAti7 -'TV IJ ^� �� ��A ���` Vle 32 sy5T L V • �tl L 0A �roro a S �l° •'w, �" y57 G�Gva7ior �l Boring El O 1 v �.. a ng # Pit Ground surface elev. _q ft. Soil licatial Rate Roots GPO/ff Horizon pepih Dominant Color Redox Description Texture Structure Consistence Boundary 'Eft#1 11102 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Y�3f) — 81 0. I t< 1LJ1' tc ✓ cr .fi �w ZJ� -u t�.7 ✓ 1,'2 y z - vR 3 1 I. Z I? 1Zom L( 44A5 -� ?01110 6,'_AVBc, Boring �(� l A l Boring # pit Ground surface el . _I05 fo l- Depth to limiting tailor Zy J— m• So cation Rate Boundary Roots GPDIft` Dominant Color Redox Description Texture Structure Consistence Bou ry •Eff#2 Horizon Depth 'Eff#1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. p.5 1 0 - 10 O 4K S� - r t 1114A-1C 601b ✓ _ F r ' J�F b .4 Z tU• ZO e, z/.-- - S � tr>.Cr vrid 0-0 ,�VF -c� � .7 I.2 ✓ n� r - 3 04 3 f 5 _ i 3 2 1.2 J r a- (09 Lf • .53 0 Y 4 K4 5 1 sb ,, -- � S t1n R �t.W - rrt 0 1. Z ✓ C 9.� :5 • 4Z -54 1o4R o , ? I. Z ./ )S - t0 t'L3�3 ►vi �. c10 C UCI- IN Aw- etZOIV�. > < m ' Eafluent #2 = BOD _< 30 mglL and TSS <_ 30 mgrl 'Effluent #1 = BOD > 30 _< 220 rngiL and TSS 30 _ 150 9 CST Number CST Name (Please Print) Signatur ZZ $32 MARY 1 H OW S11-W, Date Evaluation Conducted Telephone Number Address W9175 b40 +``AVE, RIVE TFALLS WT 54022 ©5 -o� - OZ , 3 YT 1 . Wisoonsln Department of Commerce SAIL EVAL UATION REPORT Page of Division of Safety and Buildings _ in accordance wlih Comin 85, Wis. Adm• Code County Attach complete site plan on paper not leas than 61 P x 11 Inches in size. Plan must Include, but not limited to: verticaltend horizontal reference point (BM), direction and Paro91 I.D. bi4 D _ t (-7 4 _ N -D Q U Percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Reviewed by Date please print ali Information. Pemonel information you provide may be used far secondary purposes (Privacy Lew, s. 15.04 [1) (m)). Prvpeity Owner Property Lorailon Cep IZI',1.p 1��� . , VJ1.1 17 �� Govt. Lot I ti� 114 l�}ib 1 5 N R T ti=`s <LO W Property Omer 's Mailing Address Lot 11 Block V Sufxi. Name or CSFd# 45-1 —5LA - Lf1D v1�W t2pr Vttage Town Nearest Road 51ate p Coda Phone Number ❑ City ❑ C O GPD Now Cons Use: Resklenllat f Number of bedrooms ____..--_.-- Code derived design flow rate Public or commercial - Describe: _._ _ ----�— _�- - --- -- Cl t C] rt txN411A Flood Main elevation if applicable ations: �o3.3V �titD►Pub_ 1l� '� h-3��t S "71 ='C1~N AA WFJeM PUA k Z R f�IA `EMIGI�� � E i-�� InIG '1 /L iJY LtMh /�fi 0, Bor ing i hr �. boring p Pit Ground surface elev. 99 - 5 ft. Depth to limfling factor ! — Soil Ion Rate l 1 GPD1fP Horizon Depth Dominant Color Redox Descriptbn Texture Structure Consistence Boundary Roots , i '1502 in. Munsefl Qu. St. Cont. Color Sz. Sh. �1 `"- 5 �- -l'i't i C+.b �•� -c� ��, U. (} - 0.10 3)l Z � - 51 (� C% 1 h Z- N fJs� rnt AA z� zt;00 -mot — 949. / 2 goring u I G 1 90ring # Pit Ground sudece erev. _IO'��l it. Depth to urr,ltlnr� lector �t_4 7. _ in. � soil ticalion gate GPDIfP Texture Structure Conslster►ce Boundary Roots ' Horizon Depth Dominant Color Redox Description Gr. Sz. Sh. •EtHtt t =fitt2 In. Munsell Qu. Sz. Cont. Color l 10 p 14 4,211 -� 31 ox r t11v r f 2 to• -zo a reqz- rf 33 +4Z 04614 _ q r q,Z t,Z 4100& AQC IN AIL (Wk"1i'- lZt�t+1`a. > < and TSS X30 = 150 mglL ' t= lliuent #2 = t30D -` 30 rrxalL and TS5 <_ 30 mglL a " Effluent !11 = BPD 30 � 110 m$tL CST Nurt�ber Si nature � CST Name (Please Print) ,r zz A)A X30 H LL S P- Date Evaluation Concluded Telephone Num Addrnrs +K 05- OZ -UZ- L i5 �- i�.b-1't7.5 Wag ?S b40 Aue, RIUrr. fAt•15 W� 54x22 Owner S N 1J ( PJ� 71N E Parcel ID # a �a- I_I� � - (� � _ Pa " 2 — of - - Property ._, -t-- ❑ Boring ! Z D ❑ Boring # g 0 it, Depth to limiting factor _ i _ 1n. 3 pit Ground surface elev. �_ � P g Soil ApAcaUon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Eff#I fEff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz, Sh. ( o-. `) l0 YK1 5 I l i -1►i t Yt V +� G� - 0 . `i 0 , rl Ch z q -M o 1L z, j - , 31 L i-C -t c n NW a -(b -4 Y - r3 7.3 r 3�f ZJ c� Q LL 3 ! it -rn 0,7 I „ L w5 yY� 2 Ib l' 3 /3 25Wo C' r_Ja d t. Boring # ❑ Boring n, Depth to tirnitlny factor in. ❑ Pit Ground surface elev. __,�.._ S ; atlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Eff#GPD/ffEff#2 in. Munsell Qu. Sz. Cant. Color Gr. Sz. Sh. ❑ Boring # ❑ Boring Ground surface elev. __�` ft. Depth to limiting factor �. ❑ pit Sol Icatlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •EGPD/ffEff#2 in. Munsell Qu, Sz, Cont. Color Gr. Sz. Sh. r Eftiuent #2 = BQD < 30 mgtL and TSS ' 30 mgtL I ' Effluent #t = BOD > 30 < 220 mg/L and T55 >30 < ISO mg1L s - The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 ur_'I'TY 608 -264 -8777. xoouso lrt.�raol I r - 20 C --ovl Lai I rJu:.`t l = sPyK� ►� �r Tz<g o zU w) # Tob*1 Ot= Y�� �i u5i✓� I /t � sr CtZOiX coufa�►y .�c� a �oNS�l:l . ��' °� $,rAl eLe� R�SU•►u�T� /� � ,` ? tCA ���J Uv,s�_ -y - 7 ��� 7y1 � �-• — — — _.. Zan i � o A f I i ZZ��3z �Nc o fJ -rr 0 002 -� \ \ F \ uQ �0�, _� S 5454'00" W \ d /y N� - -` \ \ 0 Fp r N c \ A \ \ I V LU c �\ M W \ c \ 1 J \ A• V bo -kw ; o tq r ti x % PROPOSED, V •r.��l ei VtWEWAY 0 i LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF TROY COMPUTER NUMBER 040 - 1174 -40 -000 Parcel Num er 24.28.20.670 OWNER NAME: First DINER Last SWEN PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 2.9Z A Cau-e led, SECTION TOWN N RANGE W %160 '/.40 Line Description Line Description TOTAL ACREAGE 0.000 PLAT LOT BLK 01 SEC 24 T28N R20W 15 02 ST. CROIX COVE LOT 13 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit I i i I LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF TROY COMPUTER NUMBER 040 - 1175 -40 -000 Parcel Number 24.28.20.679B &680 OWNER NAME: First JACKSON C Last CUSSONS PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 262 COVE RD SECTION TOWN N RANGE W'/160 '/.40 Line Description Line Description TOTAL ACREAGE 1.000 PLAT LOT BLK 01 SEC 24 T28N R20W 15 02 SWLY 10 FT OF LOT 22 ST 16 03 CROIX COVE & ALL LOT 23 OF 17 I 04 ST CROIX COVE 18 05 19 �G/✓i'�' 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, 174 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer GERALDINE R. SWENSON Mailing Address 4857 ISLAND VIEW ROAD Property Address `? g a 4 ctto_ R oa - k (Verification required from Planning Depattment for new construction) City/State HUDSON W1 Parcel Identification Number 040 - 1174 -40 -000 LWAL DE- CRIMON • Cora Properly Location NE %4, NW y4, Sec. 24 . '1` N= R 20W W, Town Of TROY Subdivision PLAT QF ST. CROIX COVE . Lot # 13 Certified Survey Map # . Volume . Page # Warranty Deed # 379641 _ , Volume 651 _______ , page # 468 Spec house O yes C3 no Lot Lines identifiable 13 yes 13 no kpW=tw andmmga=mofyoursepttcqstemcould=mhm nspanatmfaiWe to handle wastes. PropermnAmmee consists of pumping out the septic task evray three years or sooner, if needed by a licensed pamper. What you put into the system can affect dm fmx:d a of the septic tank as a t wattnent stage in See waste disposal syst= The pmQetty owner agrees to submit to SL Croix Zoning nqmmtment s ratification form. a aed by the owner and by a P lou tneYn =P temctod p lumber or a hoensod pumper ve afling that (1) the on wLdowder disposal ty'd MR is in proper operating condition andfor (2) after inspection and pumping. fif necessary), the septic-tuk is less fta 113 fun of sludge. Uwe, the mademignod have road the above noVircmarts and agree to maintain the private sewage disposal system with the standards set for% heroin. as act by ma Dopy avant of Cm=== and the Depar scut of Natural Resaeuces, State of Wisconsin. (?aocation slang that your septic system has boa► maintained must be completed and mtnmed to the SL Cmix County Zoning Office vvWm 30 days of the �diree� year aTi ation date. SIGNATURE OF APPUCANT DATE OVVM- MXTIWICATTON I ( are) certify that all statements on this form are true to the best of my (our) lmowledge. I (we) am (are) the ownet(s) of The pcnMty described abom by virtue of a warranty deed recorded is Register of Deeds Office. SIGNATURE OF APPLICANT DATE « « « « «« 4f0y infommtion that is tuh-representod may result in the sanitary permit being revoked by dw Zoning Department. « « « « «« •« Include with this application: a stamped warranty deod from the Register of Deeds office a copy of the certified survey map if reference is made in the wananty deed i POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 1 of 2 FILE INFORMATION SYSTEM SPECIFICATIONS Owner C Z� Septic Tank Capacity a l ❑ NA Permit # 3� �(�t1So Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model A ❑ NA Number of Public Facility Units ❑ NA Pump Tank Capacity a l ❑ NA Estimated flow (average) al /day Pump Tank Manufacturer ❑ NA WIESER Design flow (peak), (Estimated x 1.5) 675 gal/da Pump Manufacturer ZOELLER ❑ NA Soil Application Rate 7 al /da /ft2 Pump Model 153 ❑ NA Star4*4 Influent /Effluent Quality Monthly average* Pretreatment Unit N:.L4A Fats, Oil & Grease (FOG) 530 mg /L Cl Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BOD :530 mg /L ❑ In- Ground (gravity) In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Ye Other: in dia. ❑ NA 2rNA Other: AFINA Other: 9XNA *Values typical for domestic wastewater and septic tank effluent. Other: WNA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA -3 6 year(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 3 ❑ month(s) (Maximum 3 years) ❑ NA Clean effluent filter ��� �� At least once every: ❑ ear( 1(s) ❑ NA Inspect pump, um controls & alarm At least once eve ❑ mo ye ar(s) ❑ NA Ins P P. P P every: ❑ years) Flush laterals and pressure test At least once every: 0 month(s) E3 NA Other: At least once every: 13 month(s) IKNA ❑ year(s) Other: c.N A 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 (Y 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. GMW (4/01) Page 2 of 2 START UP AND 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(s). If high concentrations are detected have the contents of the tank(s) 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 cell(s) in one large dose, overloading the cell(s) 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 (sump 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: C,L �� B �Za 2 'j .PR A suitable re area has been evaluated and may be utilized for the location of a replacement soil absorption system. T)te 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. The ite as not been valuated to identify a suitable replacement area. Upon f ' i litrjle 11!!1:1 the POWTS a soil and site y eval a 'on must be rfor ed to locate uita a replaceme area. no r cement area is available a holding tank may a in ailed a last res to ace the faile ❑ 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. DO 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 p( E 1 715 - 381 - 1704 e FEATHERST Phone 7l _ �0• e SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name PINKY'S Name ST. CROIX COUNTY Phone 651 - 436 -5788 Phone 71§-386- This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer GERALDINE R. SWENSON Mailing Address 4857 ISLAND VIEW ROAD \ Z4w � r Property Address ' (Verification required from Planning Department for new construction) City/State HUDSON WI Parcel Identification Number 040 - 1174 -40 -000 LEGAL DESCRIPTION Property Location NE l4, NW a /4, Sec. 24 . J N-R 10 W W, Town Of _ TROY — Subdivision PLAT OF ST. CROIX COVE . Lot # 13 Cer fled Survey Map # . Volume . Page # Warranty Deed # 379641 Volume 651 _ page # 468 Spec housa Q yes ® no Lot Imes identifiable 13 yes 0 no Impc+apC me and numtmmmof yrnu'septic system could nsuIt is its F=afrcfailum to hu&e mst= Proper m consists of l q' g out tine septic tt* a vexy them years or sooner: if needed by a licensed pumper. What you put into the cystcm can of ed the fimction of the septic tunic as a treatment stage is ft waft disposal sysv= The property owner agrees to submit to 5t. Croix Zoning Deparknad a otrtificadonfomr, signed by the ow= and by a P joumeymmP rextti( udphmsberorahceawdpumpervenfywgbrat (1) Dream .sitewastewaterdispwdsystem is is roper operating condition and/or (2) after inspection and pumpiag fif accessary), the se ptic,tank is less than 113 fd1 of sludge. Uwe, the undetsigmod have read the above requirements and agcy to n=inftia the private sewage disposal system with dw staadatds sct font, herein, as set by the Department of Cow and t5et Debi of Naturd Rasoucces; State of Wisconsin. Certification stattag that your septic tyst= has been maintained must be c omptettd and retumed to the SL Croix County Zoning Office vrr m 30 days of the ftm year expiration data SIGNATURE OF APPLICANT DATE OWNER CE &UNCATION I (we) certify that all statements on this form act true to the best of my (our) knowledge, I (we) am (arc) the owna(s) of the property dcsrxibod above. by virtue of a warranty decd recorded in Register of Deeds Office, SIGNATURE OF APPLICANT DATE Any information that is mis- represeatod may re wlt in the sanitary pexsuit being revoked by the Zoning Department. " Include with this application; a stamped warranty deed fcnm the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Dt VMEN' N0. lr5•I 4('8 STATE BAR OF C LAIM N 1) CORM 7 [(/' J j p - c} Rt%f NV FD FOR DEED I INiS $O PC SCFD tUfl i[I I)PUING a4t. 3'7`•��41 RKil5TER5 OFFICE ST. CROIX CO., WI& Uonald B. Swenson -- - — Reed. for Record 1h;2 10th -- Sept A D. 19 soya_ 8:3A_.___.r 1A. James O'Conn_11 Geraldine R. Swenson of 0000 -. the following 1 «scribed red estate .n 5t, r roix _._, _ County, � IAA ,_- _ State of wl =cunson- x[roflH to d Lot 13. St. Croix Cove Subdivision, St. Croix County, 4 Wisconsin, according to the plat thereof, on file and of record in the office of the Register of Dseds within and Tax Ivey No. for said County. Subject to Protective Covenants of record and Declaration of % inford, Inc. , dated April 24, 1957. FFP ! EXEMPT a i 1 f fhss is not homestead property. ° 1.q) Its not} Dared this _._ 318) . _ -- - day of / � y � (SEAL) (SEAL) 1 _ Don ald B. Swenson _ (SEAL) (SEAL) AUTHENTICATION ACKNOWLEOGMENT Signatures authenticated this day of STATE OF Kl6QQX= Minnesota ss. -- parp _ CounryJ personally came before me, this 31St _day of August, 1982 the above named _ Ronal B. Swenson TITLE: MEMP.ER STATE BAR OF WISCONSIN - (if rut, authorized by 4706.05, Wis. Scats.) This instrument was drafted by -� to me known to be the parson who execcced the fore - Thomas Kln Sw enson & Coliatz, P. A. going instru nt and ac wt gedged the same. 2000 [forth Central Tower 44 Mi =e.g a09t St. Paul, Paul, Minnesota 83101 (Signatures may be authenticated at acknowledged. Both Nory Public 13am8eV County, ta d. are not necessary.) My Commission is permanent. (it not, state expiration date: wMAMJ',SMM /JJ�AAN./' :�•^: v`• 1 ^J,'.S1hY ✓.1u , 19_ - -) CAft Rn , o ®' LAKE ST. CROIX X NX NX O Z N + N i m N -1 � ( ff1 Z ' D ^ f*1 m Z OZ Z ZZ I `J v CJ O OO vO • �_ C O 0 ryl v rN "'o cno � C) _ � � ° Z w co a 8 vm v — _U 1� _�� - i w �1 m :v m r 0 N v v v 6 DN ` f1`6�1 ORDINA HIGH WATER M AR T W p � ; m _ N 57013'47" �- 87_10' �6" cnrrav v ELEVATION =652 / r w 5" corroA4ww < 8 PROPOSED STAIRWAY, `' ter• n °i .�..•��'. { SEE PLAN 0 / M - - - - - - - - - - - - - - - -- O t F� _ P�QPjSED RIPRAP SEE DETAIL — _ - 700 --te STRAW BALD — rn <° REINFORCEMENT �-- — cyl ° o � o\ o _ 00 _ -- — Al _ -- 710' FA a \ • \ j ^`�i �'\ '�•.•••• 50 1 - y _ •• "' 41.6 O 12ry � El) off- CA At cl � \ ti �tq O m z • \ \ ,--•• \ 42pl' ; b " " \ \ \ • O \ \ \ \ �� � ° N \ \ U1 't D y r _ 720 \ ? \ tt 141 -be m cn �D� • •sc�i� 'R��EW YO \ . °• : `1% a v / v \ F o O W o • �1 N • s n IZ Q \ N N n 'E Z '—� \ \ �x O, • 7 20— \ \ I \ ocnm \ �2Z <036 95.2� � \ Q � � cr y z _ ° ' 00" W \ ` Sr �'RU �i w G� •� D - '2,�0� c� to A GG�G,4 T� m �����111 /JJ /�j (n m T cil 0. cyl Ito ;u _9e CD N , J \ \ N Z 1 p:. 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CD 0 1 M I- CD 0 3 3 o n D, U) C ' , = 0 C) cc 0 7 Cq 0 0 !? CD r.) p , 1. N (h 0 CA 0 OM) CD CD o 0 CD .0 'CD f ed* n (D N) ( C I D ) cQ m ft • CD 0 -.0 CD (D 0 0 ' . < = 0 = ri) CD CL CD CD CD CP rr (n 60 CD X $ (E% k-j r qb 0 0 0 3 qb :3 CD m 2) 0 (D 0 0 lw 2L a 0 0 CD < CD a 8 ----------------------------------------------------- PrPPZPPPEY(PYP]d iCj-0 xIOJJ 7f i Parcel #: 040 - 1174 -40 -000 11/09/2005 01 :12 PM PAGE 1 OF 1 Alt. Parcel #: 24.28.20.670 040 - TOWN OF TROY 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 GERALDINE R SWENSON O - SWENSON, GERALDINE R 4857 ISLAND VIEW DR MOUND MN 55364 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 0.000 Plat: 2490 -ST CROIX COVE SEC 24 T28N R20W ST. CROIX COVE LOT 13 Block/Condo Bldg: LOT 13 Tract(s): (Sec- Twn -Rng 401/4 1601/4) Notes: Parcel History: Date Doc # Vol /Page Type 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.500 40,000 0 40,000 NO Totals for 2005: General Property 0.500 40,000 0 40,000 Woodland 0.000 0 0 Totals for 2004: General Property 0.500 40,000 0 40,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date Batch #: Specials: User Special Code Category Amount II I Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I SOIL EVAL TION REPORT � _ Pa e of Wisconsin Department of Commerce �' �c,C Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code county lj j clo l X � must Attach complete site plan on paper not less than 8 112 x 11 inches In size. Plan st Parr'l I,D. r lion a 1 end horizontal reference point (BM), die - 0 include, but not limited to: vertical ante to nearest road. dy � - \ 1 "f 4 � t-10 imenstons north arrow, and location and distance percent slope, state or dimensions. R ad Y Date Please print all Information. Personal information you provide may be used for Secondary purposes (Privacy Lew. s. 15.04 (1) (m)) Property owner Property Location �E i2ik.0 IN'E � . .,�VJti1a r!a Govt. Lot I / e 114 114 S Zy T Z 1 3 N R -'= O W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 13 P&A'r U1 57: C>= X LaV 4g �7 - r-,l A1Jp \At- -W tZO+ Villa a Town Nearest Road City State Zip Code Phone Number ❑ City ❑ 9 (2 0 U E le-0 I Mov.Nt� 0 GPD New Constriction Use: �I Residential I Number of bedrooms Code derived design flow rate ❑ Replacement ❑Public or commercial - Describe: _ — Flood Plain ion it a Hca � 2 ___� ft. �! Parent material - OLLTWAa. p bl General comments Qkl and recommendations: CoXJ V E/JTiO/) L- I � 'C ot�t►J i� °T > tJ�+ t ES - E �Iv-K JA l a e-D Z Y pt_uM ZV_- qZ / A, L.1A t .E S sAe �`..., vh Boring # Boring Ground surface elev. q9. ft. de or ¢ depthto + IlntitlnV fac In.( lication Rate Pit Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDitP Gr. Sz. Sh. `Eff#1 `Eff#2 in. Munseii Qu. Sz. Cont. Color ✓ 0- ✓ K �nv� 2-r1 0 •�t 0. to ✓ �r �w �J� -tc: t�. - 1 ✓ � 2 5vrt31 0 , y 7- 7 04- Y - 313 '- S O r? ( M tj NA5 20CA0 C-' Boring # [� Boring 1A ft, Depth to limiting factor Z�- in. Soil icaUW Rate a '� Pit Ground surixce slay. _10 -i GPD /ff Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots `Eff#1 `Eff#2 in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. i 0 -10 0 4K;qf S� -m r 1l1v� r (Z!a �� b .4 �. ✓ Z Ill -20 0 Kqz S -m � r Gt+� t/F-cU .? 1. Z ✓ 3 1 j0MK 3 t f - -; - 2 11 Y Ky tl — S � Sb 1 Y' ctw �. 1 rJ -m 0, 1, Z- -01 :5 Nz -5q 10 VFW 31x3 C DS m � 5 58 -4 10 r2' L C'AgC-. -- IN Au-- 1-►OP- (Z0&)5 Effluent >12 = BOD < 30 mgA. and TSS < 30 mglL Effluent #1 = BOD > 30 _< 220 mg/L and TSS >30 r 150 mglL CST Number CST Name (Please Print) Signatur 6`Z. $� ✓>I�A 10 N 4 LL S * � Date Evaluation Conducted Telephone Number Address W9fi ?5 r�90�``Ave, R{vE FAt� -S WT 54022 �5- O�' - -C�z �.."1 z. p Owner Parcel I # _S __I I? y " Q - � Page of _ - a Boring # Boring ❑ 3 ®Pft Ground surface etev. -a-L. n- ft• Depth to limiting (actor - in- Soil (cation Rate Ho rizon D Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1tf in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 'Eff#2 ' i0 SI 2r nt n� c1x' - a •`� 0 rr•n 3 j q -1,1 11 p 4 g 3/ — L (� -t is it1"1 df -(JD 25 31 '— 9 �S� r uJ ZJ�-cb 0 L a • y a ib r" 3 /3 �' � 5 0 y 1 — ivy -m 0,7 t.Z 0 '1U ct NA�J �zSrto &f-A4 L [] Boring a Boring # ft, Depth to ifmiting tailor ❑ pit Ground surface elev. � Soli licatlon Rata Horizon Depth Dominant Color Redox Description Texture Gr. Str uc t ure Consistence Boundary Roots •E GPD/flF 2 In Mansell Qu. Sz. Cont. Color ❑ Boring in. F Boring # Ground surface elev. ft• Depth to limiting factor Soil Iication Rate ❑ Pit Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots -Eff#1 E in. Mansell Qu. Sz. Cont. Color Gr, Sz, Sh. Effluent #1 = BOO, > 30 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD, < 3o mg1L and TSS < 30 mg/L The Depart need material inr is en alternate format, Please s contactthe vdepartment,at need assistance tTYt services or 608-264 -9777 snoa»o tt<.woo) t� CE 3 of dal ll�, Pi- Ar 0F= ;;r, cgajx. COVE' Gov L-U 1 of - T �p - 7 /t V U011 ,sr, cotk. r41y W tsCW OSI A , � IUI 11j�Vt 1� � r� o OSO� -ate A Yo k p c • ��v S 54.54' 00 N ' 95. 8' 1 \ a \ oIL, c O � \ — ` •- de I r Lc) \ `7✓j , � �' tsc c 7 ` 1 � J•- a \ . c as so No* B � s,\ 0 \ \ 3: ,- to z \ m LU \ W oe cn \ m a \ \ d r \ \ \ \ c O �01 r 0 Ci \ 4 M \ W �' W Page 1 of 1 Debbie Murphy From: Greg Timmerman Sent: Tuesday, October 25, 2005 9:55 AM To: Robert Bezek Cc: Debbie Murphy; David Fodroczi Subject: Swenson /Rosso Case Bob, The Board of Adjustment granted some special exceptions and variances to the Swensons /Rossos for a.45 acre parcel in the riverway district last year. The Swenson's /Rosso's attorney, Mike Waterman, called me today and asked if the special exceptions and variances granted to his clients by the Board of Adjustment would be void if a year has passed since they were granted without construction beginning on the approved house. I told him the appeals process stayed (suspended) the time limit and the special exceptions and variances would be effective for a year from the date the petition to the Wisconsin Supreme Court should have been filed. The Wisconsin Supreme Court has not been asked by the Henses /Flemings to review the court of appeals case. The Court of Appeals decision is dated September 20, 2005. The Henses /Rossos had 30 days, until October 20, 2005, to petition the Supreme Court for review. Hence, the Rossos special exceptions and variances are valid until October 20, 2006. I believe the Rossos or the builder, Bruce Lenzen, will be seeking sanitary and building permits shortly. Greg p' ` 10/25/2005 From: To: PAM QUINN Date: 12/17/2003 Time: 10:41:38 AM Page 1 of 3 FACSIMILE COVER PAGE To: PANT QUINN From Sent : 12/17/2003 at 10:41:38 AM Pages : 3 (including Cover) Subject : PUMP CHAMBER CROSS SECTION /SPECS THIS IS THE CROSS SECTION YOU'VE BEEN WAITING FOREVER FOR. TODD FOUND TIME TO WORK WITH ME AND I THINK I UNDERSTAND A LOT BETTER. SORRY IT TOOK SO LONG. I AM ALSO SENDING A CORRECTED APPLICATION. MAY I BRING IN THE ORIGINAL WHEN IT COME TO PICK UP THE PERMIT? IT WOULD SAVE ME SO MUCH TIME (AND GAS IN MY "GAS HOG ") THANKS, SHERYL 71S 368 ............ ........................ . ... ....... ... ............. 661 • 12i09- • 0� • TUE 15:03 FA3 4688 � � � �. CR3 CO 2J)NIYG PAr t (;r PUMP CHAMGCR CU4 SECT (OW A ND SF VENT CAP 4 C.I VE UT P to c WJ'ATFIERPROOF APvr.OVED LQCKiA ;f.. _ ;-5' FROM DOOR. JU►Jc box MAIJH CO V ER WILI13014 OR FRC$H 12�1►1111. AIR INTAKE GRA DL y, MIAJ. { CDUOUIT MIAMI. A� — - --- - -- 1� PROVIDE 1 -- - ^ - -,/ JtUL L -- 7 AIRTIGHT SEAL ; j I I / ALARM I J *APPROVED 1 1 ou c JOINTS WITH LLEV. FT. APPROVED PIPE rurr+P —.. __ 1 3 ONTO .� OFr p SOI ID SOIL COUCKM bLOC R15C1t EXIT PCRMIWED OULU IF TANK MANUFACTURCR HAS SUCH ^PPROVL4 SEMC E SPECIFICATIOfJ5 DOSE G>r/IES�e. IJUM TA U KS MA04UFACTUKER: 6ER dF DOSES: PER DAy TANK SIZE; l r ,odg> GAL_LOMJS DOSE VOLumt: 6LARM M WUFACTUPLER: INCLUDIAJG BACKMOW: —.. GALLQW. ACM :L IJUM6El1: ��`L / CAPACITIES: A IUCAES OR _ — GALt.OU5 TWITCH 7yF[: - w INC.%tS Oft GALLONS PUMP MAMUFACTURCIt: �r tLE�' t w IULHES OR GALLOUS 1 MODEL LIUMBCR. - D- 962 INGHES OR GALLOW j SWITCH TYPE: MOTC: PURP AW D ALARM ARE TO St MIMIALIMI DISCHARGE KATE 4!L34 6FM / IN STALLED OU SEPA.Url CtRCIJITS f VERTICAL DIFFEKLU SETWELLI PUMP OFF AUG pIsTIVIbUTION PIPE:: — 9 / -- F£ET + MEAJIIKUM NETWORK SUPPL4 PIL SSURE . . . . ; .. . . . . Z- F6¢T ' + � FEE'I' o roRGE mAIN X _.c 1 F� oo p nF1RIGTtouW0 1 4TOR - �s�. FEE I TOTAL OtImAMIG HEAD = EET ILITERUAL. DIMLIJStONS of TA1.]K: L.EIJIsTk iWIDTH ;I:IQUIU DEPTH l WGAIED : LIGCIJ AJ DATE: 10 At L$1\AMfC HCA'/CAPA'IlY -If M#q.;7e -i HEAD CAPACITY CURVE r jrNl' ANO MODEL 152/154 50 153 1.5 59 26 40 6 Zil 152 IS I.S n 201 V 23 6.1 44 167 n2 19i /.b JA IN 42 ")9 r 41; 42 7 0(11 , Vnier: 1;;. 3 rl. ('1.6m) 1 4.Q 1 t r 1.1. m) 0 20 40 00 80 100 GALLONS I UILKS 0 I I I I 80 160 240 320 FLOW PER MINUT1 CONSULT FACTORY FOR SPECIAL APPLICATIONS " • Timed dosing panels evadable. • Becirioal afternators, for duplex systems, are evadable and supplWl MM an alarm • Variable level control switches are available for contMiling single phase systems. • Double piggyback variable level float switches are ava,11am for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor Irmtslations. See FM1420. C ' ��tl • Over 130 (60C.) special quotation required, mwel. . s qatmi- wnmm .. lis SNIQ 11� 1 SAW # — 14 — dXUd 2013 -Flo# 6162 1 1 NM 4.3 1 2 8062� 230 1 AW lr6ided 2or3 416 I ­ 'Non 10.5 1 200 8NI53 115 1 Am io.5 lock" 6ELECTION GUIDE E153 230 A Non .. 5.3 7 =.3 1 Siroe p*ggyback vvfWsu level fleet awltdi or double Piggyback variable nova float SE163 M I Auto h04ed j 2 or 3 switch. Refer to FMO477, 2. So 84712 for corred mode! of Electrical Altemalor E-Pok. M inswo" of owwoft, ~00 6"ka and " should 1* 40fie 4y a 11woled 3, variable " cwtrol switch 10-0225 used as a control activelV, specify duplex (3) weaned swcvkJan. AN atertfical and v#fely codes should be followed Including the ama f"wd Katjv%st El*Mc Cede (NEC) and the Owupw" 90* and H"Ith Ad (08HAI. of (4) ft3(8y3*M. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor Is engineered Into the design of every Zoeller pump. KOUL TO, P.O. " 18347 LoWvAk KY 4025640341 MarAA-odurom SW T& 3649 C6vN Ruri Rv4d LoukvWKY 402114961 err �aWW SM 1X79 W 4 & CAI r ' r • lt$02) 77*.?731 - 1 (44 WS-FUUP hffPaAVWW-Z**N*r. � FAX (&r4 724- 0 CoPyright 2000 Zoeller Co. AN rights reserved. Ssfe:ty and Buildings Division C Mty r 201 W. Washi Oon Ave., P.O. Box 7162 Madison, WI 53707 - 7162 Seeirffiy Permit Numbs (to be MW M by Co.) Dep artment of (commerce (�) 266-315 i Sanitary Permit Applica on =w a �" I .D . Number In accord with Comm 93.21, Wee. Adm. Code, > you povido may be used ft serum ry pmpmsee P&MY Iaw. 815. Xm) Addroes (if differad thin mailing ad&=) L Apoeldoe I Mww::sd=— Pkase Mat AN I WWWIaa GOON Y� � Pmpe rq owner's Name Lot # Block # Property Owners Mailing Address Prapeety L o 'r Ile Section (Xty, Snsc Zap C / olo Phone Numbec - + y'' �, (Circle one) IL Type of SWIMM (sleek an dw apply) ':l or 2 Family Dwelling - Number of Bodmorml "vision Name CSM Number ❑ %biic rommemisl - Describe use 0 State Owned- DeeeaibeUm ❑e ty_Ovillege�IowusUip of UL Type of Pera (Chit ody me bo% on Bee A. C w0kw Ike B if appilahk) A - 0 New system 0 Replacement Synern 0 TrestmeaVRolding Teak Replacement Only ❑ Oder Modisewtion to Existing Sysrcm B. ❑ Permit RenevAd �ernit Revision ❑ cbmw of 0 Permit *r to New Lim Previous Permit Nmnber and lJatc Issued plumber Own IV. TY9w of POWf3 Cheek an that • - 0 Non- "Prwsmrised fa[imwd ❑ Mamd> 24 im. of wugble soil 0 Moemd <• 24 nL of soe7 0&4=& 0 single Pass Sind Filter 0 C.M. WdI.4 APremerieed IaGaamd EI floldng Toot ❑ Peet Filer 0 Aeroble Teeemnew Unit ❑ Recmalating Sena Filter ❑ Rwirvedaday syntbeeic Meth Filter " ChwAer ❑ pap lime ❑ sea -a4ew Pips 0 Oeher (eeepleia) V. R4wnVrrmftwzt Area Z Gr Design Blow (bpd) Design Soil Application Ram Dis .d R,equ ted (� Am. aq)oKd (sf) Sys l�eVat as ��F I D� t ? ry I� I a- J 0 ? g 1, VI. Tad[ Ido qty in Total Number Manmasaanr Prefab site steel Fiber Plastic Concrete Constructed GbM Gallons Gallons of ileits y L J r/a New s,daioa t�iq• /�'7 Tomb Teaks sup* err HoMiai Tads Aerobic Tre m at UrA Doming Chwber Ile VII. Stateeaeet- 4 tie swdwdVwd, emseeaa r eepcaelDetlhy for Joddlaua. err Ore POWI'S sheave an fie attaeied ple" Plumber's Name (Print) M APRS Member Business Phone Number mn TODD FEATHERSTONE 242514 715- 381 -1704 Plumber's Addo m (Street; C"ety, state ) P.O. BOX 467 HUDSON, WI 54016 DATE: VnL Use 0 Approved 0 Diwpproreed Flee) roc (ieeehslca [irovedwaoor Demo leauod lesuin8 Agent Sip-An (No Steeips) 0 owner Given Roma for Denial DL Caeffiiioas of App wvdWAwoea for DI MM Afaee b cryelde pbw (b Ne Ceuaty en" ter the syd m m pow ant Ism &m $14 211 fades ` doe SBD -6398 (R 01/03) ST.CTOX CO. ADD APPLICATION.max \ Y om,►\ - \ .+ o ff %. 'CONEWAY I • \ I felt AaAo- ... .4 ; poq C �_( `G �- LENZEN.LOT 13.ROSSO.max 2� �� � �: �� � Parcel #: 040 - 1174 -50 -000 01/24/2006 03:05 PM PAGE 1 OF 1 Alt. Parcel M 24.28.20.671 040 - TOWN OF TROY Current A, 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 & MARY D HENSE O - HENSE, DAVID W & MARY D 282 COVE RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 282 COVE RD SC 2611 SCH D OF HUDSON SP 1700 WITC Z �X� Ji Legal Description: Acres: 0.500 Plat: 2490 -ST CROIX COVE SEC 24 T28N R20W ST. CROIX COVE LOT 14 Block/Condo Bldg: LOT 14 Tract(s): (Sec- Twn -Rng 401/4 1601/4) Notes: Parcel History: Date Doc # Vol /Page Type 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 103383 443,600 Valuations Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.500 240,000 187,000 427,000 NO Totals for 2005: General Property 0.500 240,000 187,000 427,000 Woodland 0.000 0 0 Totals for 2004: General Property 0.500 240,000 187,000 427,000 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch M 111 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Dlvislon of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County 5 (, Cr y Attach complete site plan on paper not less tha 8 112 Q It in mu t 3 9 Include, but not limited to: vertical and horizontal refere ), irection an Parcel LD• OLI D _ 1 I, 4 -LAO - percent slope, scale or dimensions, north arrow, nd location and distance to nears t road. Date Please print all In ormvm- 2 0 2002 R ad y Personal information you provide maybe used for sec dary purposos (Privacy Lew, s. 15.04(1 (m)). Property Owner ovation ZONING S OFFI raperty N R ='- �>✓ ►2A>rp 1 N'� R_ , Sv�St~.1•J �J ►. j ovt. Lot � � e 1 14 rJ w 1/4 s Zy T �.- 0 E W w Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# ��At OF 485 S5L.An) V\V. �2pr � Cit State Zip Code Phone Number ❑ City ❑ Village W J Town Nearest Road MouNP �( New Construction Use: p Residential / Number of bedrooms Code derived design flow rate Q GAD ❑ D Replacement ❑ Public or commercial - Describe: _ Parent material Flood plain elevation if applicable J � - General comments menIJ V EJ.TttO►�)t L (1J - C�K t V�17 12£tJU t S '��� �� t� ��� and recommendations: Co 5 Prro�JSe sys7� l7ocv�.'s., ah �fjSfCw� G�GVa �o� G���or E Pit Baring # Boring Ground surface elev. _q 5 ft, spU� r,' fr V'lac 7 rte In. Soil lication Rate - Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •E GPDIffEff#2 in. Munsetl Qu. Sz. Cont. Color Gr. Sz. Sh. Z -10 Y K 3)) — S I I K v� t' zq f -gip O.y ✓ 3 0 ,L py �/� — s i a �r Aw zv4 - t°c t).'1 ✓ 1. 7,, Y�31 -- c m �. I, Z 2 q 7 1, L �Izt)A! if EAA5 2uo [] Boring !1 D Boring # �y pit Ground surface elev. _IO� L I ft. Depth to limiting factor Z�— in Sail llcalion Rate GPD /ff Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots 'Eff#1 'Eff#2 in. Munsel( Qu. Sz. Cont. Color ++ Gr. Sz. Sh. rr Z to--zo 0 ezlz - S F -rnCa u ONO — My r 4v(-q) t0.7 1. L ✓ t{ �53 -42 0 V R ,4 t 1 -' S 1 sb v r 0.w -a O ? 1.z ✓ 1. ✓ . N L-55t 104K 3 b3 dL L 10 fo A0c IN ALL- ItOP- tzoN�,. Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Efuent #2 = BOD _< 30 mg/L and TSS 130 mg/L ^ CST Name (Please Print) Sig natur CST Number ZZ MA �3 H 0 LL G11 D Telephone Number Address Wln5 &'g0" RI 'FALLS WT 5y0ZZ 05 - 04 -UZ L'?tS y2b -i"17S SW�tJ`�JfJRl��O IN Parcel ID # Page . of Property Owner _ - -_. -. h-- -- Boring Boring # g 0 R. Depth to limit factor in. 3 ® Pit Ground surface elev. �_ g Soil Ilca Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots .E GPD/fFEff #2 in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. d -• `? 10 Yr-1 S I Zt-j ►1 Yl V (r G1 �7 W - clb 0 . 5 0 q J 2 9 - it4 IV3 R" /I 0. (P 3 14 -z� o r 3/3 L I -C -t v bK ck w a� -c� 0 if `5 • yY- z i(7 ' 3i3 r Qy Id� _m 0,7 1•4 ✓ 0 IUA; y M.A { 2 5 () L. Boring a Boring # f. Depth to limiting factor fn. El Pit Ground surface elev. _ ^�.,_ Soil Aication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •E GPD/fFEff#2 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boring Boring # rr--II (t, Depth to limiting factor in. F l�l Pit Ground surface elev. •�__ Soil Ilcatlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots •Efffti F Eff#2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Effluent #1 = BOD, > 30 < 220 mg11- and TSS >30 < 150 mg /L Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L The Department of Cmece is an equal opportunity serv ice provider and employer. if you need assistance to access services or need at o r al alternate format, please contact tt the department at 608 - 266 -3151 or TY 608- 264 -8777 SBD -B 730 (R 6M) yy � 25 _ �• 'Jars \ \ � \,\ W i \\ °� \ \ J \ \ ° y \ \\ \\ A PIPE \ H ,OO,b5,b8 S CIgV a _ . G 1 \ - M \'aG pR� <_� �- WA CjDv ? w as \ ZQ— ZO-.SO f Q -:Y0 2 7<9hZ 2 -4O (`iMoL ciz �.i I�q .1�> z1 I - 7Z JAS