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HomeMy WebLinkAbout042-1079-40-230Wsconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s 15 Oa (1)(mil Permit Holder's Name City Village Township Walter & Tiffany Longen TOWN OF WARREN CST BM Elev / Insp BM Elev BM Description TANK TYPE 4NUF CTURER �y CAPACITY Septic LO � Dosing Aerati Holdi TANK AFTFII INFORMATION TANK TO P/L WELL BLDG vent to Air Intake ROAD Septic 1 0 ry Dosing , OI Lf Ir H rP3f 1 �f r Aeration din IL I PUMP/SIPHON INFORMATION Manufacturer /� ill. ema �GPM Model Number TDH 1-ifl``,1b Friction Los$ SystemHe3 ;O TD1F�'77e/_Ft Forcemain Length 1 Dia. II Dist to Well DID SOIL ABSORP ION SYSTEM BEDITRENCH Width Length SI No Cf l aeeh" DIMENSIONS 6 J` SETBACK SYSTEM TO !L BLDG IWELL INFORMATION Type Of System 2 �Z3r DISTRIBUTION SYSTEM Header/Manifold I rt Distributio 91 3 �= Plpe(s) ^ Length • Dia Length s Spacing 3. O FI FVATInN nATA STATION BS HI FS ELEV Benchmark Q r Alt BM / Bldg. Sevier i/ I�•D� SIMI Intel SIMI Outlet J Dl Inlet ' Dt Bottom �(�� w , Header/Man. '14 .13L Dist. Pipe !� 7 . D p•�O 1 (( Bot System / no Irade V1W•l�of�d� S Cover -r I _ _ bWk �. o o )60.0 CHAMBER OR UNIT ale size x Hole SI to Air Intake Depth Over Depth Over xx Depth of xx Seeded,Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil - Yes - No Yes No COMMEKTS' ndude cod isaepencies. persons present. etc) Inspecrrtidn SIT '/� 2 Inspection Rz y <// Z,51 t atlon: No Address Ava ble 1.) AH BM Description = 2.) Bldg sewer length = ^ - amount of cover = H2 #44 y . ill 6-1 WjM-%6O ..� 5'f,.; ,lam a�,►.�In� � � � (.(41r�b � � i 3 • � ��3ars� "tom, �����0 1 ro �k �� . Plan revision Required? Yes No Use other side for additional informal n. I! 1 [v J/ Date insepctors rgnawre \ Cen No Ll�D S10 fR Jl J 41 �tl ' —o•�C �.Q. �;`-• hwushy Servibed Division 4322 Madison Yards Way County 1: ` • s ' 0 6 2�22 JUN Madison WI 53705 _ f,[ Ssaimy Pam Number (m be filled in by Co.) .w7' 7l'662`�NY9 (QVVi N Community t A.pplication StataTraodchoa"� In accordance with SPS 39311(21 Wis. Adm. Code, submission of Ibis foam to the PujTs - 6 220 I 6 -C Pmim Addmw (tf ddfemm dum midlimg add.ass) a required prior to obtaining a sanitary permit. Nate Appfiation firms Pot lMo-owwd to w Depanmamt of Safaty and Pm&uwnal Serview Panonal ta[Etmarioa you pwide may be owed for rArposes in scoasdsoce wild the Privacy taw, a I3. 1 m). StwL 7l8 /03 =° S r. i. AWlicsfine Lioerin.tion - Pkne Prot AN Imternatlom Property Owmt es Now / }- Pdmd. WA LT E I fFAJL i 0AU9IV Oid- 074- O- �fite.r Property Owners Mailing Addrew Property [nation S LA.rf covLLot City, State Zip Code Pbome Number a'd end r w2' 5yoa3 7/S ,7,-'Y/77 'sue A'Ali A $ecoos 179 T 9 NIL g H. Type of 13aBding (check on th a a") Lot a � 3 Subdivision Noma al or 2 Family Dwelling- Number as� .3 1 blidCommadai - Deezibathe:]City Of taro Owned-DumibeUse Dvillwof CSMNtmtber ;_VW) y �\ p•c:Ijq'9 xP Xlownof llA�,�E.r III. Type of POWTS Pervallb (CM& dtfar"NW w-NUpb neaame and otber apoesili a en bw A. Check am beat M Bate B. Complete Bore C A'Raw Sys = rjn, ��J ,r SYS= �"fo-tmp []D&,, Modiliewiom to Exiatimg System (expkia) PrWsmtnam Unit (edam) u B• �Notdiog T=k odd (conwieooal) WAINIC , / fidfviduY She lktipt 4 Type (aP�) C. aww,,al Before ❑RevisionF"2/7/ of PlumberNew List Pew Paton limbo ned Dare hew d M:An Expiration / / IV. Aron and Task hdbrusatioa: to Design Plow (gpd) Design Soil Application Rata(gpdM) Dispersal Ara Raquird (sQ Alan Proposed (a) SyMm Elevation / O /.O YSO 1/,f6 `?9.7 a.t 97.75 Go,JTir,c Talk Informatima Capadty in GOams Total Cd0oos • of ttmtts Maauhcww P�5 /' Gt F"� 1 tJce( 't ;I V R y Naar ear ltiob a a aU H in n.• a0 Septic or UUiagaa.& 00 1640 I 41 f5CA La,J"fr! omidliCbunber Goo - ao l Co.�rso �- 0 V. RetgtondMBty Statemeal- 4 W miisraiped, adaase rerpewB�q fbr tewlkof tie e POtIPl3 Was enthe akaehad pine Pittmbert Nary (Print) Plumber MP/1illftli Number Brined Phone Number i-low/I EtK C 71-f 67 - JlG Plumber's Atkhen (Street, City, Star, Zip Colo) N 6d7 98 Sr. 6 v ai LJ I Sf7J Vi. C Doe Ow P••,,,,,,,,a Permit Fee Data Issnad rsw Agent Conditions Appmv rflhappaarltt- SYSTEM 1. Septic tank, effluent filter and !f 1 � �r�� �s � o.�� „ --% dispersal cell must be sqryiced / main finedas per management plan provided by plumber. SPorvwL'C i 2. All setback requirements must be maintained , tad—fTn. Stat,k IA�tCA1 I�'�nQ/�[,e �s per applicable code/ordinance& i Aa.a ton twooft plew for i1w i is w Ci" 4* thm I in. I I won Is is (v .t SS Una ter, Zo zz. SBD-63% (R. 03/21) M drr7inlro• OINWorO/ f/ jo7 77 rstrof -'y 'v"/ xr7 N MQ "+s"o,?,s['tb "1L'66 •'7o7'S'Af 1►t°p' �gNly Il A./ r.-"Pv r'Ov/ X S 6t 7�rr/ oylro) 7797 07Or u)(9 ROO airw i7v/ n o7)l vb AN7S 7PVj/ V fllvJ IVY r .f('L6 _ r 7 ' 0 Q.4.W spWr„r JA •rsr ser 77#F �fl// =► v t �srg6 oI r7Dl vsnvd fo ov,( vrg/ / jWsr vid Vano/ Ioov/_a+Q •07 x.vv7 sS 'A7rrr(-1 >° 1 tve/ iva r 'dr 1S vvfv/ Si[-"Pe-PJ ,tr lsl i r917rr% f0 V Nffa Erna June 1, 2022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 2024-6-1 Plan Review: PWTS - 062201046-C John Pelke N6298 St Hwy 25 Durand, WI SITE: Longen 768 103rd St Warren Township St Croix County SE'Y4 NW X S29 T29N R18W FOR: DIVISION OF 04DUS7RY SERVICES 10541 N RANCH RD HAYWARD YM 54E43-W? Cwtod TWOugh Relay rw" rwcon.ul orn Tony Even • Governer 00" Crk" . •eere" Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES DIVISION OF INDUSTRY SERVICES ate- �-Gr SEE CORRESPONDENCE Description: 3 bedroom 450 GPD —13" to Mound Component Manual — Ver. 2.1 (May limiting factor- Effluent Filter - Maintenance 2022-27) required. Pressure Distribution Component Manual — Ver. 2.1 (May 2022-27) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • The site shall be properly prepared prior to plowing. Any grasses longer than 6" shall be cut short and removed. To avoid matting, any leaves or loose organic matter shall be raked up and removed. Cut trees and shrubs flush to the ground and leave stumps. Avoid operating equipment on the Mound site. If necessary, use only tracked equipment, during dry conditions, with minimal passes, to avoid compaction. • Components and soil removed from an existing drain field shall be properly disposed of so that there is no risk to public or environmental health. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. • A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities The current owner, and each subsequent owner, shall receive a copy of this letter. Owners shall also receive a copy of the appropriate operation and maintenance manual(s) and be responsible for ensuring that POWTS is operated and maintained in accordance with this chapter and the approved management plan under s. SPS 383.S4(1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Joshua Rowley POWTS Plan Reviewer, Division of Industry Services (715)813-9111 Joshua.rowlev@wisconsin.Rov SIIll S (A �m TD S+r I-r. 4A�'s` APPLICATION FOR REVIEW Private Onsite i hsr np+Maapptwaa- Wastewater Treatment ' . 7 E NOTPersonal information you Provide may be used for secondary purposes � [Pmracy Laws. 15.04(1xm), Slats.) SyStt3r71.S Division of Industry Services ❑ Plans to be Exiled. Provide SharePoint User name below: For plan status, check our webette at hJWJkNsmyoLgov Email technical code questions to Several counties have been delegated certain authority to review plans in lieu of Division of Industry services. For a current list of those 1 counties and their desklnation check our website at h airrik st>a un iron I 1. Project information _ FM yn at known Information. PmjectrSile Name: 4JA L rrA' )r/fi/.il le.;orw Location. Number & Street of project (I( unk no wn, indicated nearest road) 7l8 /G3 *!! Sr. Confirmation of assignment to a reviewer. Transaction la: Previous Related Trans. IR Estimated Completion Date: Legal Description. SE Wid. I l9A'r 1&4W Assigned Reviewer: County Sr. Lseix Assigned Office: ❑ City ❑ Vilaae ® Town of 41,4AL6V Mail to your office of choice below: 2. After plans are reidewed, pigs": (obeolr all that apply) LaCrosse, Green Bay ❑ Call customer 1, 2 (aide nimtberr NOTE; We reserve the right to re -distribute plans to another office it ❑ Requesting party will Pict Lip needed to reasonably balance turnaround times. Check } Mae plans to customere 2 (circle number)- btlimMdanadODv for next available review date 'Refers to customer number irom below. 3. Compialo the following deaignMownedregta"dng h*ormat;om UUlme the shack boxes Wren dealpwr, orarerarregNootYe perbla NO save to avoid repmting Inrormsti . DeelWw tnformallm (Customer 1) DSPS First Nana Last Name Customer Number T oNN PE tit E i7YP-13/3lrt Company Name i-FCKf /"1u�6�J� Address N 46498 Sr. Air. d5 city Du,CA.ig, State 59736 ¢ � ) Phone Number E-Mail addrau cep pfwne (area code) 7/S l71-sw,t o a/ks �an%tr� t.N Chest ■ applicable Odwr Please Specify Below (cuskan ar 2) DSPS First Name Lae) Nana Customer Number )✓Aorta Loari/.J Company Name Address City state Zk" (9 dipds) — F4Kx Number E-map address Cell phone (am& code) Check If applicable or specify retationship ❑ Owner �® Owner. ❑ Other - Specify relationship_ information and Plan Subrn)tta) Checklists. To request elecro do plan review complete the appropriate appbastion form and &-mail i4 along with your registered SharePoint usemame to If plaris are being submitted via paper, they will be assigned to a reviewer after receipt at a DSPS office. Submittal ctecidists can be found in each applicable component manual I fitmenlanalasin Mat MM Great Bay DSPS 2850 Midwest Dr Ste 104 2331 San Luis Place Onalaska. try) 64650 t3isen Say, WI 54304 608-785-9334 920-492-6601 Fax: 608-7854330 Email: Fax 9204925604 EmaY Wd CAatle Payabrk to: DFrtaion of Industry Servicas OR Check box to invoice designer and sign below TOTAL AMOUNT DUE S Rwiew Codo 7C33 [)"nor Signature S8DA0677 (R 3l19) 5. POW I S SI 1-1011ITTAL (check Al 8e I apply - Irx:onlPlele I una m1y reudt in P.r ::rssh,g de Ley,) X 1V E.r' ( f Actol is FI-al,nvnl Unit(%l U Chlorin. for j ) fa ill Replaceu it Only REM ACEVENT I� Comllwna A System n UV Dish b•chnu Unit ( I Add EHlllent Ffor SVSI E•: TYPE(S) riOTE Subm , •ic)Jrate +heels 101 ( rlil etySlem It >atmaintl „t Ifelllkl,le SyMenis .' 11e i:e1N, Site Revlelon to pre+uou I; aliProved plan $85.00 _] Mbcellaue?out, Ruvu :r (I c 'epl,lrenlent ul I .:pfer. tank. Arklihon if I,. affluent filler o' 4ticahnent J•rvu:e to 1 e estsliny syslcnl, a1 I 58011x [X�1.anpu'r It V1d't WII. AN 1.r:N ,.• a1yn11 r-IN.lr(•u e,, I.I),Ipim"p1 I 17 At 1 f ue Compmelr 1d AI,i, I ✓ter J 0 %B-L •0t),• ;li ;MI7. ft 'n 1 V', b rrr I , I Jim I.1 J. Ilr'J CoripJrlerl: Irtd1LL .• Vls 2 \I. Snit II /(1• o;14 3110 i t13' I'!, ."kill '. Q (LIN ;kn (j n:r..•�\afN L:Y. '!✓ 11 C Pr•, +:1 ,y DIWI� M:;:rLl l-0r7fep rient `damj"l !.t1 / (i.';BD 106)11 `I 11,1: . F, IC!l"I y'TO He ."d c FM•lnL.diu• ! .uI. , . rl Man.net l - Vet"-'.) .-H.IC G' 1• :N (1-'1 1 to 000'jod c - _ i )501C U Orh r tea-v t1u(rc1'; 1 001 - 2,(.1 r p(J i f15 UJ '-tv Ef.r 1•uum:Lu;l SAP ! lu',1y I At (.. a Manuals have been updated J Pk]I Ia55.r'1/✓n In-,;n u1:F1 ) Plc . Ilwm I-ol('olul I� Or 1t I.:• I�C;I■ P. ul:!(:\7 l^�CI43r Ga 11::: 11'•anta:d.l esl bC;It WOON11 .,nl Imdh"f "1 and dlP 1 4 :u its I P SCP:l" 1, .'Aerrvl 1 pawnw1wrl Ow (w file J'': Ct .U'J JI'm h Ajvw'' l ) u_ is r v, ;'."Ie tif0.ln.r r: lxx li to[Mlt o'. ''glnr Insealch r"llu . •,W ❑-411n, d1.. t_txnpv l.�w v i�.n Oy1 .:V aJi' .•�i rW Ib:,', i;. 0111 -- t, of . _I(1r. , +w Ill) (lllC c.l 91'.r. 4A'.1'le•�q �tt••P;,r''•T; I i- I'GI (Irr�i•d,lAl 54 �1nNl�rt"U\Lll'.•,"III(.! .'M tg1M?I ,I mJnu ils Y" r ii ol... r, glunc1l^ ant'• I• Pcr:.e t ' l.1cs gr Nib '.\]IT''., n•. ul hv. p'':✓. �..:-.yslen' -�;-� 10 )Ijpd . I ..+ aJ;ui1KI I IX, l 2.!.: Uu; i(xxl lqi 11^d 1 oU l 5 I'd : )Jul 57511 Ixl 4:F4Tl'. ,r:r 1 a 1.IVI L llukal q cull . tawl r, rl1 Apt: o: r.. 11-1 c S'fc 1 .7d� 1112k Lk?s ,f. ..a+lrw,f c• ' 'r 'r •tw ' NnI1-Stale (1Wr', ..'1'I IP .1;''81 alU ReSlo-'.lr 1 1143u7Ml:j IAIIk, :1'. ;'n;nellrly 111,111e u` "' i, low. ar Hl t1a VC' An ep I .'C❑ Italy film u, ASS 14.1 XW gaPnns ;env :IA • nisi be BJtmullen IC 1 w 1p.Ir0Prlale ip.E n_I 111 .nut lar re+law 11 1pad of We Or'Mnt`fv1 I M:I VI.V!, UI i AU..r l 1 :l .: ,I Ytuual S,te Du . j I . (. uI:e CO SLICS :. :: Jay Ifelwlulty La,1_11 It, -L' "Imill "'&a. "n'nl(1 el0 ; PI.•MA sPpr'(e. l klQlnWl`INUrl1 'i.51 Me Inuweled h- SIIP..'f1 D,r: ra:Fl I*!'tJ the t., 1C,.I In A 5.•nAfdk' A .ICtlh.'4 :k.ase Ir(.I.x1e :A Ilk• sc,Tnns, lest relw,l .. lei. h:Iv:nl lapels r '-.w -A allm .ve. n11.' liter Pee 5 Ml Up 1: n:5 GPI. S.00r 1 - r, r.fl Upfl S1Ci0.00 - . groaln InAf ' (,1W gpd i22S.UD -Mlenat '.A 1 ' 'Iek tM IS rlo e;nu In �, -tl t.xfte. MGI Dee' •r Prewollsly a (,-LVeU ugder s. SF'S 3S1 11) (2) a (3). 'N.15'ewat (-krw 1 Owig'n was :,wafer km of flute ,)fu)x .,NI Syslertl -ifllLln. 'w (InY S(xM) !ttwl L<':: 1180 LD I . 5.00 1 10 1 Of) wl SJW OD Gh.;: g"eatef Ilwa •C.G; got $450.1:0 Ej-$Cr "- ,A ..At neck" www'l Rrl'c.: is .-Iminfl Jul d 1 LI Ile, •.rlrn L••le''.w .A a21C L]E111wnA•e •Lu SysN'e (a'A hf •'o AJ .I '"fal laC) ' b'Zau Ife-'• �nJ r1(k..Y syrarxr r. t:•. :Rr,e. q+air aho. sys Y' t),Pei ErperMntifel t. rher r•xlrsy ReA1rn pw A -.. ne•- a tnxrfl AS none. ,ev'cw fee I•stM Enlar Total (rounded in the nearest dodw) SHO.10577 (R 3 1!I) I a Pal:c I of 9 Private Onsite Wastewater Treatment System Index and Title Page Ploje. t Name: _yiA[r(a 4 % ifFO„r Lame]-4 - 3- AJ<. low rs (�)i-u) Conditionally Owner's Name: APPROVED DEPT- OF SAFETY AND PROFESSIONAL Owner's Address: fig �� _ SERVICES -- - -DIVISION OF INDUSTRY SERVICES --- �a,Q V177 SEE CORRESPONDENCE Legal Description: SE �I/Ll+ .l9 .79iV /8 A; Municipality: Town, Viiiese, ;.sty of LJ.4AAX..i County. _ Sr Gros} Lot Number- /3 Block Number: CSibf Numbcr: Subdivision Name: 7C8 Parcel l.D.Number: �i«tee ,0112-la79-Yo-a60 Page I Index and Title Page Page 2 Plot Plan Page 3 Cross -Section & Plan View of Mound Pa0e 4 Pipe Lateral Layout Page 5 Septic Tank i Pump :hamber Cross-secoon & Specifications Page 6 Pump Performance Information Page 7 POwrs Owner's Manual & Management Plan Pagc 8 PO WTS Owner's M rnual & ivianagement Plan Page 9 Filter Information Name of Designer: J-.CW v License #: /P_ 3/in Signature: �1Z�� Datc. 5--/7-.?a1.7 wigged pursuant to the following POWTS Component Manual and DSPS 381-385: SBD-10691-P (N.01101) "Mound Ccnnponent Manual" Version 2 0 SBD-10706-P (N.01101) "Press= fhstribution Component Manual" Version 2.0 Attachment: Soil gvaluation Rc Manuals have been updated. Please update on future submitals ,c.nJerlvr rlrworol rrsr/orb (sr7t� 'nN rnrore �r'oo/ -•sg •rr/ :fry I I '►tor ,qNo�- Jjnv/ frrn0AI r'o0/ r f ,& Nrr1 o7 77Y7 ♦�r.Y s T ro so sl Z6 r £/ j07 ,()N swWow r bi 'Fl f ve s 7700 Jn ry'yv' LB/ IJJ Y --C=7 / N N sri8 vy "rvvd ry tP4 o•CO/ iffy' vsd sJlnvd 0-CM/ -'M•9 •07 x,or7 fS '"Yry(l fo _i (9 f/ 'Ni r �6e If7m 5FS' !f o,ro/ SQL 'r7fr9J rrrlll i 1'317ji 7 D = /, 9S ft 113 ft g_ft G = S ft a ft A = 4 ft B = is ft I = /S. 2 ft J = 8.1 ft K = /a. 6 ft L = 00.2 ft x ;9.3 ft 4' sch. 40 PVC observation pipe GEOTEXTILE FABRIC COVERING ASTM C33 SAND FILL Sol TOPSOIL TOE —,,, Page 3 of 9 CROSS-SECTION OF MOUND UPTURNED LATERAL 8 ACCESS BOX 5f/ TOP SOL OBSERVATION PIPE & WATERTIGHT CAP / I DISTRIBUTION LATERAL ( /Y1 In. sch. 40 PVC D2685) 3 � — // � t' � I •..:.ems-��_.••,• ••-•• ;,�: --_ MAIN (2' sell. 40 PVC D2886) _ % SLOPE DISTRIBUTION CELL = —�I ft x %S ft- yro ft (0.5'- 2.5' aggregate) Min. Required = 7ro . / o = yso ft2 PLAN VIEW OF MOUND Observation pipe 75 1 Observation pipe . C Fit K /1oX � �yAwJ�fe A ox; 193W t 8-�� t 1/68 Distribution Cell Distribution pipes /'l S ft (0.5' G .5';ggregate) (� ft in. sch.40) J� S OX- Upturned Lateral with Access Box Prohibit disturbance and vehicle traffic within 15 ft of downslope toe. L /00, 2 1 yo Basal Area = a?/• 2 ft x %S ft = 1590 a Min. Required = '(ISO + , G = ft? 2' Force Main PIPE LATERAL LAYOUT OF MOUND (End Manifold with Aggregate) 13OLE DIAMETER - 3 G in. LATERAL DLA. s Ir2 in. MANIFOLD VIA. - /Y.J1 in. (sch.40PVC pipe D2685) FORCE MAIN DIA.- a in. P e %.1 f t . S = -- ft. X = ft. Y • y ft. FORCE MAIN (2- sch. 40 PVC 132665) Minimum Number of Holes = YSd Access Box Qz ft2 + 12 = 38 Holes Page y of 9 HOLES LOCATED EVENLY ON BOTTOM OF PIPE. Holes/Lateral x 2 Laterals = 38 (3/160) Holes x 0.66 gpm / (3/16") Hole = WX d8 GPM = SYSTEM FLOW RATE PIPE VOLUME _ _ /yy ft. Laterals (total) x 0.092 gaVft. = /,?, dS x 5 = C4,25 GAL = MINIMUM DOSE VOLUME PIPE INVERT ELEVATION = do•.2 ft. Page 5 of 9 COMBINATION SEPTIC/DOSE TANK CROSS-SECTION (DRAWING NOT TO SCALE) MANHOLE RISER & COVER FINAL GRADE (par SPS 3g4.25(7) a (s). approved law grand rwxleca «•r aem to ft device. a wmv*v labet E)aend manhow0 for proper dgirrepe) mwtde dear a necessary.} P MIn Bch. 40 PVC TeNc Vard ELECTRICAL urged tr above grade a 24• ,r W. Sca 40 PVC Tank Vud JUNCTION BOX above Ragiaai Flood Elevation BUILDING SEWER � Regional aboveIr Se�a�n 4�Wy� � ste J IW SPS 3t12300 t )} and NEC 300) / I 1 FORCE MAIN <tr OPTIONS „ „ slams „ " >1117 >ts' MMIIOLE XI ... I err • BOTTOM OF PRET Pmad UWasen) RON TM 3, P.d'Now ad and Fmr 6f-/o c t� ? L On riot • Filar 4r, Pre CA Sim de sSG B ' I On ~iq,ied °'r'r MOnpr, On star A......... A(.SB MINIMUM OF T OF SUITABLE BEDDING BENEATH TANK R MAXIMUM BURY DEPTH OF ga' ArKirming of tar* may be reqund per SPS 38143(B)(9) Tank Manufacturer. W/ESEA 4�6nrcw.[re Septic/Pump Size: 1,0001466 gallons Alarm Manufacturer. j T. E. ZM•.wa o s Model Number. TANK .OtERr / Switch Type: AFEc114,j14,4c Effluent Pump Manufacturer. Zofus,C Model Number. /.S/ fr Minimum Discharge Rate: d s, d8 GPM Vertical lift (pump off to lateral invert)............ /5•7 ft System head (distal pressure ./, S x 1.3 ft): 3.3 ft BSS ft Force main x /. y /100 friction factor /.1 ft Filter fricton loss ...................................... — ft Total Dynamic Head (TDH): /a , 2 ft 9 Ae YIAI Bxe rr#s .? 1, ass^ Meoet /S.2 Daily Wastewater Flow (DWF): 1b GPD Number of daily doses: S.A i /9.39e Force main volume: S..5 ft x . /l3 gan = /3. 9 gal Actual dose volume: Ida. 4 gal - /3.9 gal = U. 7 gal (total dose volume - volume Of force main) Reserve above alarm is In = ;35' gal (D) Alarm float above on float _I in = 33.3 gal (C) On/Off float measurement L in = /ea 4 gal (B) Off above tank bottom _ 8 in . / 3V / gal(A) DOSE TANK DIMENSIONS: Length /50 in Outlet height 36 in Width A q in Gapons/inch /I•74 PUMP PERFORMANCE CURVE MODEL 151/1521153 15N1(:1a 0v A 1 s , A 50 60 n vo so .60 "'s • N M Yj0 to 200 2i0 Teo . 0 ]00 27,t 0 RNWE 010800► CONSULT FACTORY FOR SPECIAL A.PP! ICATir►iyc • Timed dosing panels available. • Electrical ahemators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for oontrolling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Owk-Box available for outdoor installations. See FM1420. • Over 130'F (54'C) special quotation required. 1n1NUlIB3 Mom; Coved asrsesa taodrt I 1111aflb MMus I Asses N151 115 1 Non e.0 1 2 or 3 aN15f tlli —1——A—Lb 4.a MlAssid 2a3 Ef51 230 1 Nm 32 1 2a3 all51 230 1 Aub 1 3.2 Y�psd 2a3 N152 115 1 Nm d5 1 2 a 3 BN152 115 1 Aab 63 i 2a3 1 --y E152 230 1 Nss T 4-3. --r 162 1 —115 Aub 4.3 Mrirdsd 2v3 Nt 1 Non 103 f I 2a3 1111153 115 1 1Aub 103 Yafndsd 203 E153 1 230 t Nm 53 1 2a3_ aE153 23D 1 Ado 5.3 Ydrded 2a3. _ TOTAL DYNAMIC HEAlYFLOW GC. ` 6F 9 PER MINUTE EFFLUENT AND DEWATERING ©®0000©0 00©00000 rm�mr��©o�0m rt�0r�:�0©000 o0ssov 0 o■�ses�s�o �c�®seosm© I l n rvw i I l 1 4 wit _ :. _ n.ri L SK3 M 1 Single 019g variable level float switch or double piggyback variaae level float switch Refer to FM047i•. 2. See FM0712 for correct ini dal of f3ecbkal Anernata Ekak. 3. Variable level control swpch 10.0743 wad as a conlrd actrvebr, qm* duplex (3) or (4) float system � cn 'cwase 0.c-cs u .+�-:..� to ssa!1 �:e4 s•<vo > E Jc+nc nc.m. , �,: +re: •.py ►ssmr oe..sxi Goes •NEi. r•o ,we :moasr S.+ce• R MeaK" AR �06.a� Models 1521153 0 702 2rw aw - IF "Easy assembly" kptxeo a dye ps2v nol "JLmea 1 Reduoes potential dogging by debris. Replaces rocks or bricks under the pump. Made of durable, noncorrosive ABS. Raises puny T of bottom of basin. Provides the ability to raise intake by adding sections of 1 h' or 2" PVC piping. Attaches securely to pump. Accornrnodates sump, dewaterirg and effluent applications. NOTE: Make sure float is ewes from obstruction. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor Is anglnsered Into the design of every Zoeller pump 0 Copyright 2008 Zoeller Co. All rights reserved. POWTS OWNER'S MANUAL AND MANAGEMENT PLAN FILE INFORMATION owner Pets» t # DESIGN PARAMRT'FQR Number of Bedrooms 100 one Number of Commercial Units - Estimated flow (av ) 3oO galkday Design flow (DWF), estimated x 1.5 y 0 der Soil Application Rate pgWday ft2 Illfluent/E®ttent Quality (❑ NA) Momhly Avenge Fats. OR & Grease (FOG) 5 30 mg/L Biochemical Oxygen Demand (BODs) 5 220 mg/L Total Suspended Solids (ISS7 5 Isomg/L Pretreated Effluent Quality (® NA) Mon" Average Biochemical Oxygen Demand (BODs) 5 30 mg/L Total Suspended Solids (TSS) 5 30 mg/L Fecal Coliform (geometric mean) <I0 cfu/100m1 Maximum Effluent Particle Size 1 /8 inch diameter 41arctosvons: Soil D E + Aapfrcation rate = /SQ_ = /. 0 = rrJh]O'k RY9MM %P1RVMrAT1fW4.% Septic Tank Capacity pot Ral 0 NA Septic Tank Manufacturer W145fi NA Effluent Filter Manufacturer Ars r ❑ NA Efflaent Filer Model A f--/O El NA Pump Tank Capacity 0164 zal 0 NA Pump Tank Manufacturer 4J Eset E3 NA PUMP Manufacturer ZoEttu Q NA Pump Model 111 Q NA Pent Unit ( ® NA) ❑ SandlGravel Filter ❑ Peat Eder ❑ Mechanical Aeration ❑ Wetland p Disi f tion ❑ Other Manufacturer. Model: Soil Absorption Component (❑ NA) ❑ In -ground (gravity) ❑ In -ground (pressu iaa ❑ At -grade ® Mound Drip -line E3 Other: ❑ Dispersal Units — Manufacturer ❑ Aggregate Cefl(s) Model Dispersal End Cap (Dispersal Unit EISA) or Area Ramiknd - E1SA rrrewh Width) = p Units or Total Length of Trench(s) ySo i G '3111 7S ` ❑ "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publication 9.6 (SSWMP Manual) ❑ " ICC Flowtech Mound Component Manual" Version 1 2 ❑ " BzFlow Mound Component Manual" Version 12/1.5f2017 ❑ SBD - 10854-P (R.1/12) "At-Caade Component Manual Using pressure Distribution" Version 2.0 ❑ SBD - 10705-P (N.01/01) "III Ground Soil Absorption Component Mental' Version 2.0 ® SBD - 10691-P (N.0I/01) "Mound Component Manual" Version 2.0 ❑ SBD - 10657-P (R.6/99) "Drip -line Effluent Disposal Component Manual" ❑ SBD - 10706-P (N.01/01) "Presame Distribution Component Manual" Version 2.0 MAINTENANCE MONITORING SCHEDULE - MAINTENANCE AND MANAGEMENT Seryke Evelit Service Frequency himplinspect t&Wsj1 cell(sL clean filter At least once . ® 13 mmths ®3 yew 0 Other - unit At leant once months 19 3 yews Q NA Flush and premire test laterals At least once months M 3 Years C3 NA START UP AND OPERATION: For new construction. prior to use of the POWTS check tremment tank(s) for the presence of painting products or other chemicals that may ®pede the OteaI t process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the taok(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions ate 6ozen at the infiltrative surface. Ile property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water -saving appliances and fixtures along with prompt mpsir of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the eystom. Other non -biodegredablo home such as baby wipes, tampons, sanitary napkins condoms, cigarette blurs, dental floss, and cotton swabs should not enter the system Chemicals such as petroleum products, paint, Page 7 of 9 disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. INSPECTIONS & MAINTENANCE: Inspection shall be made by an individual tarrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and check for any backup or ponding of effluent to the ground surface and test all electrical equipment such as pumps and alarms. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be searred with effective locking devices to prevent accidental or unauthorized entry the tanks. When the combination of sludge and scum in any tank exceeds one-third (lr) 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 NNILI 13, Wisconsin Administrative Code. The outlet filters) shall be inspected and cleaned to relative any accumulated solids according to manufacturer's specifications. Solids washed from the filter shall be retained in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the System operatinla. Alarms should be tested on a regular basis by the home owner. Iran alarm sounds, contact an individual licensed to service POWTS, There is normally a I day reserve under regular operating conditions, however water sbould be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. ABANDONMENT: When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. SPS 383.33, Wisconsin Administrative Code. - All piping to ranks 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 other 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 utili7ed 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 render it unusable. Replacement systems must comply with the rules in effect at the time of replacement. ❑ 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. X The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area_ If no replacement arcs is available a holding tank may be installed as a last resort to replace the failed POWTS. X 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 CONTIAN 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 -T&IW lnx f 10-1$3/1 !'C Name 1j4rLAC l a a.✓L _ _ Phone 5' LPhone _ %S 47J- Xjl-9 SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY �1 Name Agency Sr. LA#jg Ld1VA,&.jjry Ivly[ti�rr[ac r Phone Phone >vS 9849 - f4cso Page 9 of 9 o�l r q-I Installation Instructions for the GF10 Filter i� MIMI 0 1,6 I� Step 1: Locate and remove the septic tank cover, on the outlet side of tank. �iCe^a� raetq Step 4: Glue the filter case onto the outlet pipe. Insert the filter cartridge Into the case. IMake sure the filter Is completely Inserted Into the case.) �=BEST TECHIWLOGY Step 2: Before Installation, place the fihar case on to theoudet pipe. Make sure the case is positioned so the Alter can be removed (tom the tank for mainte- nance and service �N Step3: For Installations that require or desire additional support. Of additional support Is not needed, go to Step 4) Glues section of 1' Sch. 40 pipe to the two hubs located on the bottom of the case and the hub located on the side of the case. t] Step S: For Installations where It will be difficult to reach the handle, place 1' Schedtsle 40 pipe Into the tee on the handle and extend it to height that will make It easy to remove the Alter. 0 sv ,:.r rya ,ce 15tr rlel e M to ears a e.t r..a Bee era ran we aal _� nor W I Installation of an So,. as anewsysMne a* theseptkc tank N u existing system. muallapLimped prior toInstallation. � 11 an as w tin u a.. ee �, a wn ra M tw w yr ea r w rail Maintenance of the GF10 Filter A time frame In which septic Isola are serviced Is set by state and bead codes. Although they may be different" most regulatory agandes suggest two to Ave years. We recommend the GF 10 Alter be cleared when the septic tank Is normally cleaned and pumped or as needed. WARNING: If the liquid level I n the tank is above the top of the filter, pump the tank prior to removing the filter cartridge. OCAUTION: USE RUBBER GLOVES WHEN HANDLING FILTERS! Step1: Remove the septic tank cover and pump the tank If necessary to prevent any solids from escaping to the field when the Alter Is removed. 1 Stop ]: Pull the filter handle and dkie the fihet out of the case. Step3: While holding the filtercarlrldge over the access operring of the tank, rinse the cartridge oft with freshwater. Take care to make sure all solid material falls back Into the tank F44 BEST TECHNOLOGY 3 Falrtea Blvd, waainglord, Cr 06492 1-877-1e5•NBB For:203-2344514 xaeaR Stop 4: Insert the cartridge back Into the can makksg axe that it is properly aligned and cornpletely Inserted Into the case. r7JID D, CST- 2022- 008 oip.tktt.t�la rl s.,wa,. P A" I) Papa _2 of _�l akwltaky8alwlosa SOIL EV r.aeeaidioto.wlwtl Ens vtta. "m cam cm ' / MachaotllpMla ab *n an paper rM im Vm • t<z w l l tnd.. in vW& PYn earl kriie.-51 r but rid cared im Nettled atd bodaudd tararattm- pokii WA &GcftR and j ' 'dam Paroel LD. f 21✓ F r each or tllntattdotts north anew, and' , - and dlatanoa to ttaated need - Flaatr pilot am hirtrttiatlaa R1pdgwad by Data Propargr ow nw Property Laeadon _. - _ % � ❑ DowL Ld 7G 'A T N R E (or) W Pmpatiy VA!PQAdd►aas Lai$ Bleakt 8ubd.Nl orCSMM� i ri • r� 7A C!9w _) . - rb . ZP C90a PI'°"' P m*w ❑ Db ❑ VNaw _ 0 Two Nar wt Roq fi3N&wCwWAwAM Uar Raaldrwal/►Aaabar codadmkoddadWtkwmW_GPD ❑ laiplsoemertt ❑ Ptiirs a manrwid— o.ardbac _ � " Pannt meMlW P,7f .�L 8KAE" J s: # . �.a„ Flood Plan aka dlon r apploabla, R p1e k t3arraral oorwttanii and Barlrtp p �o / Pk Ground ow tmn al". �„��li Dipw too w amw J 3 In si��/�■�RWA Aw �� Mw,� a ©1 ! N9- M , W » M MMM ��.1��-i pit p (Itawd awtfaw aft !. l6bc Daplh b &nWM ftdw /� h P.M. � X s •0*4• PI[ OWANiMdUadM�LL54L uw&,oftmw%dw. Zk 0101 Comr I M"o -rafts I °m� I ftww , .e... 0 eambs f�erM G"M *M —Q. OwmbMQ tipvr,__ h fto I MwWOa w I ft" Caat cww— I Ti*s I Q" m I few "M I Soupy I Ido1� GPOYiI� 'l�iwit�l�lOq>!Os?m�plladT83»DslaOwaL•�ntQ�B�saDs�fOw�fad7o8»Os100MaL 1 -I s i. c:RE UN I N SANITARY SYSTEM Offs, O//u,: U," Only �-'r` OWNERSHIP/ADDRESS FORM •rr•'r '(lr ^'emu•, F. lraPl;�lunoi.f IIFlf tri,., .i r. rn'-,;^vlh;�n raar,l��,�;�tf,'1Pluln Ant r . .1tor711,10?n wdl 1'r, pfoa dej a'. hatt ' win•I 1. r Nate1 (1111(wt t� fall tes .1n11 ' I 1 10 Irnlai!''- %roll III, gent Ill �'01) h� ""I I1� OWNER/BUYER INFORMATION Crwner Buyer W G,_4Lr _ 1 ��/ �11_ _ M -Ilna Addres< Uk k - ' u_ IIA (-,t1 'state'Zlp C%d U f',N / S C{ C E 3 Phone Number neawred 1 l S_� 3 � S (may �� J Z 2 2 g I 1 1 Ema'i Address ,iPfNwlrPm Al ", W C1I it Q Ili(), I I_._CGI"r t 1 T Parcel Identification Number C,"� 2- l 0 1��C - C C NEW SYSTEM: LEGAL DESCRIPTION Propertp I ncation.SW'4 N Sec ? 1 T ZIFJ R v., 1.,,. 'AIWIVn,on Plat Certified Survey Map Al -� �- �_ Z ►_3 -- -- - ------ V. lu', <' 1 Warranty Deed e ��1.1—_---__-- :betxr;OObVohunc Numb«r of bedromm_�Spec bou'-w ❑ .r ed 1 , OFFICE USE ONLY rk.,,. Li r.; y., v,, Adllr r•'.'• R VC_V_ _� 0. �. R� _ �lT il tea' 1h1. tofrr, 114,%f hr '.ub,nrfb•J with U(I 1 •Ifur, rl.d. lC1�o ,',r,•a rrt �, • . ,1� , r.t ,l•. � ,,, . Now System. ,,, :r, ,'. !!i ll'�. /,And (I If, O,lr1 ,It, 0, I. . ,1,- _ _,_a �� 11.11 t d�, l'u li a �.rb• IL,.It ,. •�.i °.1 ��,. I es CONCEPT CONCEPT FOR A PROPOSED 2 LOT 11 NEW LOT TO BE CREATED) CERTIFIED ! SURVEY NAP LOCATED N THE SM4 OF THE NWX4 AND THE SEX. OF THE NWX4 OF SECTION 20. rAK R18W, TOWN OF WARREN. 87. CROM COUNTY, VVMOONM ! I LOT 4 CERTIFm ! BURVEV W" ! VOLUME15, I PAGE 4759 ------------------------------------- 1------------- L A I JW AOMSS mme,T N I bl B ' I �i LOT 4 OFCMT *MD SURVIEY MAPAC IBI 5PMFT ww e0.1u Aca VOLUME 1b, PAGE 4125 R AC.) EXCLUDNGRO si"MMOSTACa ! EITUDMG RW I I r---------------- ----�' 10VDEV1{JIY maw I I LOT a OF CERTIFIED SURVEY MAP e VOLUME 15, PAGL�CERTIFIED � LOT 7 OF CERTIFIED SURVEY MAP � VOLUME 15, PAGE 4355 L_ I `------------- I JOMAOCESBEAS9IFM LOT 11 CERTPIED SURVEY MAP ! VOLUM 27, PAGE 62b2 M2M THEWM ONISTOMWELOTSOFTMATCOtrwmYIIVEYLM/RECMMNVOUMIE A PAGE=& OOC SE}ITMALI 4PW MIO TWO WM 7MMY CWATNG ONE MN LOT. LOT b IORMMs 4"AM& TMM 16 BLOUGH AMA TO MATE AN ADONONAL LOT PM%M T7W TOWN"MD COUWT7' METYMEWWR FM IETPfbDJWT AWAAW OWN TO VAM IIATTO. m,mom w7LMAYSMIE �YOMIO "SO 11l ibi4-ig LOCATM IN TW 3WX OF TIEWMADTIEENOF 7MM4i OF99MWH. WARIETL R.OROR �wMn. `weeaw. COMP CRFATED FOIL C"Um L.O/IOEN 774 WW ETIET R asm. W SLD] SC" 0 FLIT 0 Ti IX r . 1W Ned. C7 • � A jetslit an Aamn o 1 r yt r �,•.: ll�, r �'t, ti 'r y r,y i 7%1- r 1 4 -„ •� R'tvx 1'... :L'y. »z lit1.7 r v.'i• cr! Z .. Y, Y, t ' arr+ �f�* r krr. '� n- =v1. _. 11 . wil 1 r::. is � .1� �N -{ • Y � P .' . 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I I w 0 - I a i� -� A ,o NmCm*ucdan Um UIRaaidarial/limber Cods dskiad dee10far mb_ GPD D ❑ Repleoement ❑ Pubfc a mwarJel - 13e11claw Prwd mid Flood Plan aknaYm f apptioebbA�1i- f. 2pyv X Grnad corm—rd rsoarnrdaf w ❑❑ ®s ii � FFItag p Pk &and mWism dew. �iL Dapm b bnWQ b dw l 3 kc ®r ❑tea ® Pf Grand aab m day. ILZDePO b fnrrrq fader l a- h Sd (fats Fkxbnt I Dsplh I El I Calms I Radon Dssot m Taeaae Skurise Carwlpenos liaia�dry RDON GPDIF1' h fAaraf Qu Az. Cant Cdor Gr. SL ML i yip VO.,W 1V%.i, 10) was F-31 eodgi 0R ° c�atod..leo.dw�" �5 t OmbrR+grder / 7 le, Sell Ankallon ttil. �ardcwr RedotrOtaar�do� Taft= stsoaw Glorailtatta �r %a (lam h Mted ca Az Cost Color tr 8L � — - dwarfawftmalwc_t D aft"W"belor_h 8d Rao Ho�a� D"O Dow, Color Redo Daaaipfott Tattw rftO CanMwtoa Bwwd,ry thole fly h Mama � Az Cant Color Or 8h ❑ tlisYgi gift Pit (iarrda�taoaalw�_� GaprlaRa11g1attr_in, ' ad Rob liodaoa Dqo DsaYaatCater RedoeDwajdton Tm"e Stmdiw (,1onaNr�oa Bouad,ry tloob wus3e h M Mona OLL As Coot Color Or Sz ML —_ Eratyl-SODS>30s27nno&andTSS>30siaowq& 'EMWW42-WC3-31s2Ma4le.=d18S3-30fIWaglt "CoAmmm g CONCEPT CONCEPT FOR A PROPOSED 2 LOT 11 NEW LOT TO BE CREATED) CERTIFIED SURVEY MAP LOCATED IN THE SWY, OF THE NWY, AND THE SEX Of THE NWX OF us $MTM ANNtj SECTION 29. T29PL RISK TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN KT 004MOND. M4 um PH 7T-260-tl3v LOCATED N THE FA OF THE Wj%AND W REM OF I LOT 4 R,pgp� CERTIFED SURVEY VAP DIONWTCREATED FOR VOLUME 19, � C ERYL LONUM PAGE 4759774 I=1rTREET ----------y--- ---- ROS9rIS. yl16T07] E--------------------------- ----- Z RI JOINT ACCESS EASBENr I -1 r N I to iw I w w I REMAMII67(2AO I>L07 4 OF C[ZRTWE-D SL;RVEY MAF 10131M p. ) p PROPOSED NEW LOT IVOLUME 95, PAGE 1925 NCLUt W.135SO. Fr.(2O2AC)I a106216 SQ NCLJDIRR' RAN EXCLUDING 01,347 SO. FT. )1.57 AC.) I — — — EXCLUDINCI RM _+ I — — f------------------------- I 1oMEU1E.ITYEAssm I � J I I j LOT E OF CERTIFIED SURVEY MAP p I IL LOT 7 OF CERTIFIED SUR47EY MAP I VOLUME 15, PAGE 43M 4—� - — — — — _ VOLUME 15, PAGE 4355 I I Q " SCALE W FM ---1' . IS7JOEfTACCENEA/BEN I---------+j >L ------------------------------------- — 1 ,wNrr: me LOT 11 i - en fMti NOy N. ]Dl CERTIFIED mma TQ SURVEY MAP Sy VOLLMAC- 77, L7 PAGE6M n AM' THE NIFMION M TO DIVIDE LOT 6 OF THAT CERTWED 61MVEY MAP RECORDED N VOLUME 15. PAGE 4X& DOCUMENT LAMER W7467 LAID TWO LOT IL TMERBY CREATING ONE NEW LOT. LOT SCONTAN44.512ACRES. THERE 13 ENOUGH AREA TO CREATE AM ADDITIONAL LOT AND MEET THE TOVOWW AND OMM REQUIREMENTS FOR NET PROJECT ANA AND ON" TO WOTN RATIO. ,L VA COSR3l EEC M COKLM I� Kt*FWCPI r•ea 3 Ira CkO UccouNrr NO. 641999 STATANITA Y P RMIT n � J PREVIO owivER WAL"Mf. L4jjQjfPJ PLUMBE TON SEC �IOR LOT I A BLOCK 3 1� SUBDIVISION NO. HAPTER 145.135 (2) WlSCONAS STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit Is based on regulations In force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not Impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations In force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit Is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. H D ISSU NG OFFICER -DATE v Z PERMIT EXPIRES NLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI 1/20)