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I 1 1 I I 1 1 m , � N D LU X m N z i I `r I I i I I I I I I I r 1 � W i M 00 I f I I I ' I 1 • I V ■ I I i RECEIVED 13 8901 3. 203 MAY 1 VOL 20 PAGE 5026 KATMEOF H. REGISTER OF DEEDS ST. CROI% Co., VI RECEIVED FOR RECORD CERTIFIED S V s p 07/22/2005 02:15PH LOCATED IN PART OF THE NW1 /4 OF THE NW1 /4 OF SECTION 3, T29N. CERTIFIED SURVEY MAP R18W, TOWN OF WARREN. ST. CROIX COUNTY. WISCONSIN. REC FEE: 13.00 COPY FEE: 3.00 DRAINAGE EASEMENT PAGES: 2 LINE TABLE ,f DIRECTION D /ST. / DIRECAON D /ST. El 50O30'18 50.00' E6 N895629 - W 101.59 SURVEYOR: PREPARED FOR: E2 S0030'18 "W 20.00' E7 1V00:30'18 E 144.12' DOUGLAS J. ZAHLER RICHARD STOUT E3 589 '5959'W 225.01'E8 N89'5959 E 129.95' S ac N LAND SURVEYING, INC. 1252 AWATUKEE TRAIL E4 S0017139'W 32.97' E9 S6220'10 W 10769' 2920 ENLOE STREET HUDSON. WI 54016 ES 56341 41'W 93.08' El0 N89"59 59 E 374.39' HUDSON. WI 54016 DUCK POND I I LOT 1 C.S.M. IN i UNPLATTED LANDS E SCA PE V 5 PG. 14 00 1 S8 9'5 9'5 9"W 2 6 2 8.8 5' r-NORTH LINE OF THE NW1 /4 NW COR. 589'59'59 "W 444.85' C.T.H. 'E" el S89 "W 409.40' 33.00' 2184 + � 6 6'fil M�i RM OWER LINE- N1/4 COR. 181 PG . 1 Z SEC. 3 v CRES NIP Q Z (87.615 SQ. FT.) ft rrj l L e.o.- 1012.20 g UNP_L_AT_ T_ED ` r LANDS i N S89 49'38 "E 409.39' I g i LOT 2 ?' V. rn I I Z Ib I w 2.014 ACRES a; S3� ''d I (87.734 SQ. FT.) >� I� LOT 4' C2 d w I �e9 LOTS .39' (87. so FT.) r � r ( I N 2.014 ACRES v : (87.734 SO. FT.) , � :............ ............................... 1 Id I� -- \ \ Sho I C!) 33 I i 291.62'` 9' 7 01. 00' PUBLIC STREET - S89'29 42 E 806.26 L UNPL EDLANDS TA TABLE (AIl cTHS ARE IN FEET) I C Curve Radius Central Chord Chord Are Tangent Bearings I Number / Lot Length Angle Bead Length Length Tangent In Tangent Out I I C1 80.00 45'04'10" N23 2'23 "E 61.32 62.93 NOO 30'18 "E N4534'28'E C2 80.00 27008'19" '33'S1'E UNDARY 80.00 182'27 BO '21' N N8 9 39'12.5 "W 155.96 254.76 N45 34'41.5'W 11 ;.00 377.18 N4534'28'E 544 28 "E S43 07 - W Q 4 80.00 87'40'58" '43'22 "E 110.83 122.43 S43 07 - W S44 33'51'E 80.00 45'04 S22'01'48.5 "E 61.32 62.93 S44 S0030'18'W W1 /4 COR. ---� LEGEND , SEC. 3 ® FOUND 1" DIAMETER BERNTSEN STEEL SURVEY MARKER FOUND ALUMINUM COUNTY SECTION CORNER MONUMENT o SET 1' OUTSIDE DIAMETER BY 18' LONG IRON PIPE. WEIGHING 1.13 LBS.. PER LINEAR FOOT SCALE IN FEET 1" = 150' "•••"•...........•.•••• ROADWAY SETBACK LINE (100' FROM RIGHT -OF -WAY) 150 O 150 - 12' WIDE U11UTY EASEMENT - 4 - DRIVEWAY THIS INSTRUMENT DRAFTED BY VALUAM KANE JOB NO. 6052 -24 DATE: 03/17/2005 SHEET 1 OF 2 SHEETS Vol 20 Page 5026 Parcel #: 042 - 1004 -70 -075 07/27/2007 10:03 AM PAGE 1 O 1 Alt. Parcel #: 03.29.18.38A -15 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 07/22/2005 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - STOUT, RICHARD O & JANET P RICHARD O & JANET P STOUT 1353 AWATUKEE TR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC 11Y1 12L Legal Description: Acres: 0.000 Plat: N/A -NOT AVAILABLE SEC 3 T29N R18W FRL NW NW EXC NSP R/W Block/Condo Bldg: EXC CSM 5/1330 EXC CSM 14/3839 EXC PT DESC IN QC 1894/326 & INC PT DESC IN QC Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 1894/330 EXC PT TO CSM 20 -5026 03- 29N -18W NW NW Notes: Parcel History: LEAVING IN STOUT'S NAME. AN EXCEPTION OF Date Doc # Vol /Page Type CSM 20 -5026 APPEARS TO BE MISSING FROM 06/23/2006 828168 WD LEGAL RECORDED 06/23/06 DOC 05/20/2002 679516 1894/330 QC #828168 -- -WILL NEED TO BE EXCEPTED OUT 05/20/2002 679514 1894/323 QC BEFORE CHANGING. 08/11/06 C 09/03/1999 609876 1454/424 WD more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations ast Changed: 05/31/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 20,00 139,500 159,500 NO PRODUCTIVE FORST LANDS G6 26.745 80,20 0 80,200 NO Totals for 2007: General Property 27.745 100,200 139,500 239,700 Woodland 0.000 0 0 Totals for 2006: General Property 27.745 100,200 139,500 239,700 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 �4�000 622065 � v D Y'a - LO 0 v- s - boa 7 QQ ti ME FTED BY ED FLANUM JOB NO. 00 -01 DATE 1 -30 -00 O * 3 7 /� - E 3 6yo7- 100 _ S D -VDU 90 O 01 � S a-s/ -3 v � / Sd 9 z m D G ARE REFERENCED TO THE Z �'� m � m�7 NORTH LINE OF THE NW1 /4 OF SECTION p ya _ goo y_ a _ O a I 3, ASSUMED TO BEAR N88 °24'51 "E w A Z UNPLATTED LANDS WNED BY PL11 ER m z -�O� N01 °06'26 "W 468.62' n 346.93' 88.69' Z 2 435.62' I ® z * 9_ EAST LINE OF THE 1 ' NW1 /4 OF THE NWI /4 ap pp r Z 0 WEST LINE OF THE '$' ' �' D Q D Z O I O Q o a CO NE1 /4 OF THE NW1A 0 m ;C.) m o o o - - In O -n Z v Z (Qv �w cn� cn� o' Zcn I� -u z I'¢ zzc J Z l N N01 °06'26 W 468.62 > m I cn p 0 43 - 0 Jul ; 277.71' 157.91' Q 33.00 5.62 w 1111 y mZ 00 v X -n v Z :� �' 33' 50' 0 2 m I N�D :.� r � m' I o C m 1 G�� - Z ° Z I Z co g non 0 ' °�- m '11 v OD c M::ql W m Z,. Z - O m r - to I Z p Z $o n m N ° i o 1 0 Lo O cn A Ln cn I ` N01 °06'26'W 468.62' m m A rA - 0 i I Z 00 330.85' 104.77' m c)) = 111 p 435.62' I OD O °o � OD 3 T C I � ✓! /� � �� NOVOt Ns r C � I N I $�� N"� 1 <I °1�I I I o �pQ �D� I °I�I� m I m I b U)2 cn� I°'Im �' I D 15 i 0° b Jul Julo 5 I m ►W W hlz� i -t ► m (m N CD �� 435.62' I-Df 0 1 O I v P.T 0 0 B N01 ° 0626° 468.62' 1 = I N Z IM I 0 m i m o wx jj D m ��� o� _._ O I� I r r) O O Q Iv�� ^�wSD r • ?� m 5n m $W� N�� O �0 1N { Z m Z ° IN �O� �pc) ..1 OO N m m- -° – o O v cmn� M � W m 8 m m c o C �CA) 7200, $ ° ► ao 435.62 c m m 423.62 D g = ❑ S01 0 06'26 "E 468.62' 45' 33' D 2 2 � ❑ (N00 °01'54"W) ° m cn I m p N /�IdC] �JNIISIX3 x C N - cN�1m m 0 .(� O fA ODDOODD 'v aO r'MC IAN Z o p LOT 2 C.S.M. m z m ` w ,��� C o z ® V. 8, PG. 2208 o A m `�y 3 - -- - - - - -- Z m o GD Z rn m Vol. 14 Page 3839 0 fA 0 I c� C d —1 O o f7 y d m m O n cr 0) m y O ° p Q G1 (? 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CA (A O (A ac) S ` t5 W n n C (7 n c �4 �1 �i I W 3 C cr C (D N N (D fD rr N CL I G < N G G A 0 3 3 0 3 3 C r z o ;a 0 o ;o Q = W CL m y (D a 7 c V1 7 0) N C 61 W CD w a 3 3 n 3 3 o _ 0' o o> > (d I' e n pp . p Z N ai 0 o': a pZo m = a m :3 a 0 a@ 3 na z w w to Z S �� m o (D " o, m Vl d Ul 01 CD w I i W aNpy 7 M 0 O Cl) a CO0 N m ma) 0a m a y� -4 y o o v 3 (o n DC -4m �' $v 07 3 (D a I 03 m ao go a0 c o 3 m dO go QOm, o' 0 (D = N O� O n� M t fD j cL N O �_ p CD� m I cnnscc ° `� " = 0 0 0 6 3 (D u, tnn o o CD - a `1D m = g ='C w cn y �A y 'n ?N (p p � O� T7 y to N (D 5 m ( N fD m �(o cn O O (7p (D N - co !R w �OnID N (D U) OD VJ N :O O O m p > O N (D N n W r. - M ( ( 3 (D is 3 a -= 0 = o a I C W D 5'�c�0 0 as y D 9' (D 0 as N y 0) n (O ' - 7 n Co - O CL CO O G y a �N O y A ti = = q (D N pQ V O O O o 2 N N o a CD a ° O o 0 a ti Wisconsin Department of :omm erce PRIVATE SEWAGE SYSTEM • 00r., County: St. Croix Sa,'et,�and Building Divisadn INSPECTION. REPORT 3' Sanitary Permit No: 430535 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: —1007 " Q Stout, Richard I Warren Township 42- 1004 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: I Co. p •fl Cg->t �w. = NIL Iiia 03.29.19.37A TANK INFORMATION L VATION DATA _ TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark t, 5 1� 3•b� 10 �o.o Dosing Alt. BM Aeration Bldg. Sewer x'•1 96•b Holding St/Ht Inlet I-11 C r TANK SETBACK INFORMATION St/Ht Outlet C: 6z qy•/ / TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic > So I Dt Bottom M Dosing Header /Man. Aeration Dist. Pipe I rz -as .ob Holding Bot. System .O �• �S I n \ PUMP /SIPHON INFORMATION Final Grade /) Manufacturer Demand St Cover / G Model Num TDH Lift i ' n Loss I System Head TDH Ft Forcemain ength Dist. to Well L SORPTION SYSTEM RENCH Width Length No. Of enc PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIM ? gZ,xr Z J SETBACK SYSTE TO I7 , J P/C BLDG WELL LAKE /STREAM LEACHING Manufactu r INFORMATION CHAMBER OR = � • Type Of System: 2 1 S61 UNIT Model Number: I N DISTRIBUTION SYSTEM Header /Manifold /. � 1( Distribution x Hole Size x Hole Spacing Vent to Air Intake 1 Pipe( Length Dia Length Dia Spacing 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 U Yes No _] Yes :: : , No COMMENTS (Include code discrepencies, persons present, etc.) Inspection # 1,�L / 0 t Inspection #2: 'T"T" Location: 1231 120th Street Roberts, WI 5 (N 1/2 NW 1/4 3 T29N R1 8W) NA Lot F Parcel No: 03.29.19.37Ar I 1.) Alt BM Description = 5. 1 IM �'"� • '` 2.) Bldg sewer length = — 30 - amount of cover = 1104 • � �. �� • _ n A �� /► �) a) two ADL 1A 'I Q t�i�+�► Wes- W cl •• °� ' Plan revision Required? Ye J0 _�17 Use other side for addition or ion. T_J _ e te ns ton's Signa re Cert. No. SBD -6710 (R.3/97) � l C 1 � , 3 . S �'A)" 0 rle ) I Safety and County 201 W. Washi S Yd l N visconsin Madiso , I RECENED anitary Permit Number (to be filled in by Co.) Departm of Commerce ( )266 -3151 1 1,j5 ? Sanitary Permit Applic it tate Plan I.D. Nucrber In accord with Comm 83.21. Wis. Adm. Code, personal in tion y�u COL iv, f may be used for secondary purposes Privacy Law, s .04( t uc roject Address (if different than,mailing address) ZO NING OFFICE � 1. Application Information - Please Print All Information _;W I Z 3 1 12 D — i Property Owner's Na me Parcel t! Lot #! Block rti , Property Owner's M ailing Address Property Location City, tate ty� Zip Coda Phone Number i 1. Type of Building (check all that apply) T Cl N; R /� Etta ( � 1 or 2 Family Dwelling -Number of Bedrooms � _ - , �>e.tw�lt)gt�uS _ y' ❑ Public /Commercial - Describe Use L] State Owned - Describe Use ❑Ci ty ❑Village Townsh of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) pr 's 047- _ ao 14 _ Sa - om v vfZ - I oaf o$'o> New System J y ❑Replacement System f ❑ Treatment/Holding Tank Replacement O y Other Modification to Existing System � ` B. Permit Renewal ❑Permit Revision i ❑Change of ❑Permit Transfer to New I List Previous Permit Number and Date Issued Before Expiration Plumber Owner V. Type of POWTS System: (Check all that apply) X Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At-Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter j ❑ Recirculating Synthetic Media Filter �y D Leaching Chamber ❑ Drip Line ❑ Gravel -less JqL _ p Pipe ❑Other (explain) V. Dispersal/Tr ent Area Inform _ Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) I Dispersal Area Proposed (sf) System Elevation 5� 7 I G' _A z 8�, 90 VI. 'Tank Info Capacity in Totals Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank AW /• CG - �Y Aerobic Treatment Unit i Dosing Chamber - VII. Responsibility Staternent 1, the undersigned assume responsi for ' Uation of t POWTS shown on the attached plans. Plumber's Na me (Print) P lumber's Si gnatur MP 1PRS Number Business Phone Number Plumber's Addre ss (Street, City, State,, Zip 1 C o d e ) VIII. County / Department Use O Approved ❑Disapproved Sanitary Permit Fee (includes Graundwater Date Issued Issui Agent Signatu (No Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial IX. Conditions of Approval /Reasons for Disapproval SYSTEM OWNER; 1 Septic tank, effluent filter and dispersal cell must all by serviced / maintained as per management plan provided by plumber. l=- 2. All setback requirements must be maintained �l c�S as per applicable code /ordinances. / t t � Attach complete plans (to the County only) for the system on paper not less than 31/2 x 11 inches in size p SBD -6398 (R. 01/03) � � a x :n J t Az Ilk � Ov m� 0 - A 1 Q1 N A �dv y m� 09 O � o Wisconsin Department of Commerce, SOIL EVALUATION REPORT Page _-/- of _- Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code � . .. County Attach complete sfte plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and I ID. percent slope, scale or dimensions, nort � . nearest ro Please prtn all IVOEC 1�E� P d by ` Date Personal information you provide may be us for secondary purposes (Privacy Law, . 15.04 (1) (m)). /Va tr • �2 t roperty Location Property Owner 00 I 2 7 r` I' G r \ a J ovt Lo N 114 1 /4 S T 2 N R g E (o W f Property Owner's Mailing Address 1,KU of # Block # Subd. Name or CSM# 13 5 ZO ING OFFICE 'n. City State Zip Code Phone Number ❑ City ❑ Village Mown Nearest Road 1-I u d s Or1 w ( sL /n/ (715 6,),? rr c r\ [ New Construction Use.�Residential / Number of bedrooms _ � Code derived design flow rate y S Oc) GPD ❑ Replacement ❑ Public or commercial - Describe: _ - - -- Parent material _ ________ Flood Plain elevation if applicable General comments ys� P e. 1-e v, logo ?FO. and recommendations: Boring F t Boring # U l pit Ground surface elev. ? 9, P - 0 ft. Depth to limiting factor- o in. Sod lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 I - Eff#2 rj -/o 1 0 3/3 Z /J- 16 L r= i r l C S C�2 ") y8 C, t 1 2 7- s yi v / o- / (o S -+- 97 - - `1o• ® Boring # ❑ Boring Pit Ground surface elev.��_ ft. Depth to limiting facto in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. I F 'Eff#1 - Eff#2 1 ©_ _ L m r cs tv. 5 , L S 2 >rl e Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) _ - 9' re CST Number "�y 3 a Address Date Evaluation Conducted Telephone Number 113 �'d /0 --1Z �.... �..�...�,r�. I� (00 /110'U) Offe •LLL8179Z ALL ]0 ISIt 992-809 In iva unndap ail taeluoo aseald `ieuuo} aiewaile ue ut leuaiew paou .10 saat vas ssaaae of aaunlstsse paau nog jj •.ta Coldwz pun japtno 23imas kituniioddo lenbo ue st oojawwo3 jo iuowiiedad at,(. t l/ o£ > SSl pun ll o£ 3'408 = Z# iuMl3 . 116w 05 l > 0£< SSl pUe - p6w OZZ > o£ <'009 = L# 1uenvI3 . Z#1l3. L#i)3. •tS ZS •30 �qoo •iuoO •zS •np Ilasunyy u! �ilodJ si� Aepunog eoueislsuoo atniorutS aytixal uogdpo"o XoPON �Ioo iuettlwoo tldao uozuoH area uoq"Iddd ooS I!d ul Joioei 6 u4lw!! of tide(, "V Aala aoeprts punaO ❑ 6uuog # 6uuog El No. m3. tS ZS jaoO 7uo'J -ZS Ilasuny(! vl dilodJ sloo tiepunog eousislsuoO emioM3 eutixel uogdlrtseo xopea a(oJ iueulu yidao uozuoH aloe uo4eoll V RoS — , As i a eaepns punoib: ❑ •ul �oioe; 6ug!w!l of tldeo .# i.d ❑ # 6uuog 6uuog ❑ Z#1l3. l#li3. 4S'zS'�J jgoo 7uoo zg n0 Ilasuny� u! MUD siooa Aepunog eoueislsuoo wn 3rUIS ejnixel uogdposeo xopal� Joloo iueulwoo yideo uozuoH aiea wqewclv Fos u , — ; Joiaei 6u41w4 W tldeo b •Aela eoepns ptutaO 6u o u ` g ❑ # 6uuog - - -- of Iawed jeumo Apedwd jo abed 9 � - - � f ��- PAGE 3 OF NAME: LOT# LEGAL DESCRIPTION:_1 /4_1/4,S T ,N,R, E(or)W i SCALE: F'= ELEVATION: BM 1 DESCRIPTION: 4m PO - y BM 2 ELEVATION: qq, �U BM 2 DESCRIPTION: �u SYSTEM ELEVATION: -40 p o too 1 nine $ Sy SYSTEM TYPE: I � ��J e rv� UPS � � �' ✓� -� �'v. Sol � � , V� C ��� 7T v � i k 5 #�_Zs R SIGNATURE: DATE: CAF •-� e _ 9 n f t 7 m p •` - la awls 'P ° o 6 Cl cr ck �+ 8 ~ CD rr1l - x , 4D � J ti I CT1 C 1 . o m. sd-nr ta -7 • � /� J \V iw C �• �1 r r ��� i1 CD cq tr' r4 t ��I P 'C b oa0N cn( CD :E S� to 3 � c i tf2 x CD CL sass i ` C cn - L G W •-i vs -- Q; 5 L V g <' _ a� E t nvert 11 SEPT TAN & PUMP CHAMBER CROSS SE - !ON AN D SPECIFICATIONS u" CI VENT PIPE 12" MIN, ABOVE GRADE 8 WEATHERPROOF >_ 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE - -- WITH CONDUIT MANHOLE PADLOCK FINISHED GRADE WARNING LABEL 4" CI RISER .r4" MIN. Z$" KIN.Q 6" MAX.� 'NI.ET WATER TIGHT SEALS GAS. TIGHT � � T PPROVEO A SEAL ' OINTS WITH PPROVED .-... ; ; ALPPROVED PIPE IPE 3' O ONTO NTO SOLID + OLID SOIL OIL PUMP OFF ELEV , FT ► _. t O F RISER EXIT D ERMITTED ONLY F TANK ANUFACTURER HAS APPROVAL 3" APPROVED. BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: j;,�s�r___ NUMBER DOSES PER DAY: TANK SIZES SEPTIC /Da' GAL. DOSE VOLUME INCLUDING GAL. DOSE sp �"4 GAL. FLOWBACK: j ALARM MANUFACTURER: CAPACITIES : A = INCHES 2 GAL MODEL NUMBER: 2 INCHES = GAL. SWITCH TYPE: yir, B ---- -- PUMP MANUFACTURER: �oca r G = S INCHES = GAL. MODEL NUMBER: ge SWITCH TYPE: D = INCHES = GAL. REQUIRED DISCHARGE RATE �e GPM PUMP ALARM WIRING AS PER ILHR 'I6.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE . FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . . . . 4MW FEET FEET + FEET FORCEMAIN X A. FT /100 FT. FRICTION FACTOR Cr .Z-- FEET TOTAL DYNAMIC HEAD INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ; WIDTH; DIAMETER LIQUID DUTH Zg SIGNED: �.�" � LICENSE NUMBER: .2�2794W DATE: 1/88 [qGOULDS PUMPS Submersible Effluent Pump EPO4 w 38 EP05 APPLICATIONS • Fully submerged in high ■ EP05 Impeller: Thermoplas- ■ Bearings: Upper and lower grade turbine oil for tic enclosed design for heavy duty ball bearing Specifically designed for the lubrication and efficient improved performance. construction. following 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- standards �� • Heavy duty sump matic models include resistance. • Water transfer Mechanical Float Switch ■ Motor Housing: 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 ISO 9001 Registered FEATURES cover with integral handle and • Solids handling capability: float switch attachment points. 1 /4" maximum. ■ EPO4 Impeller: Thermoplas- III 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 NPT. seal protection. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA -N elastomers. • Temperature: 104 (40°C) continuous METERS FEET 140OF (60°C) intermittent. _...... ,- .... ...._ _ . . . .. . ... ........ ...... ! • Fasteners: 300 series 1 ° ! ; -- - l stainless steel. ' 9 30' .. .. _.._____ —... — � 5 GPM --- • Capable of running 3 dry without damage to $ 2.5 Fr components. 25 ! _ _. ----- - 0 7 ¢ ......... ... t Motor: _ i • EPO4 Single phase: 0.4 HP, V 6 115 or 230 V, 60 Hz, 1550 ¢ RPM, built in overload with c 5 1 s' ! automatic reset. 4 - ¢ _...., - EP05 .... i • EP05 Single phase: 0.5 HP, o 115 V, 60 Hz, 1550 RPM, 3 10- — built in overload with . . .... :..._. EPO4 ....._..... _ ..... automatic reset. 2 ' • Power cord: 10 foot 5; I standard length, 16/3 1 ....... S1TOW with three prong ... _... 3. ..._ ..........__ . ............ .: grounding plug. Optional 20 ° % 10 20 30 40 so GPM foot length, 16/3 S1TW with three prong grounding plug 0 2 4 6 8 10 12 . (standard on EP05). CAPACITY Goulds Pump ® 2000 Goulds Pumps ITT Industries Effective February, 2000 83871 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page o FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity 006 al ❑ NA Permit 3(� S 3 Septic Tank Manufacturer �'G'SG' ❑ NA Effluent Filter Manufacturer 6 ❑ NA DESIGN PARAMETERS ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model �Q �!4 Number of Public Facility Units ❑ NA Pump Tank Capacity Q gal G NA Estimated flow (average) g al /da Pump Tank Manufacturer J r�y,. ❑ NA Design flow (peak), (Estimated x 1.5) �`0 Pump Manufacturer �aL+ ❑ NA al /da Soil Application Rate a Pump Model El NA al /da /ft Standard Influenv'Effluent Quality Monthly average* Pretreatment Unit E3 NA Fats, Oil & Grease iFOGi 530 mg /L ❑ Sand /Gravel Filter C3 Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L O 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 O At - Grade ❑ Mound Fecal Coliform (geometric mean) 510` cful100mi 17 Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: (03 NA Other. [3 NA tank effluent. Other: ❑ NA *Values typical for domestic wastewater and septic MAINTENANCE SCHEDULE Service Event Service Frequency months) (Maximum 3 years) ❑ NA Inspect condition of tanks) At least once every: ear(s) Pump out contents of tank(sl When combined sludge and scum equals one -third (Y of tank volume ❑ NA m0 th(s) (Maximum 3 years) [3 NA Inspect dispersal cell(a) At least once every: 3 earls) month(sl ❑ NA Clean effluent filter At least once every: earls) ❑ month(s) ❑ NA Inspect pump, pump controls & alarm At least once every: r" ❑ earls) ❑ month(s) ❑ NA Flush istwals and pressure test At least once every: ❑ year(s) other: ❑ month(s) 13 NA At least once every: ❑ year(s) Other: ❑ 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 su rface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any p 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. of an A service report shall be provided to the local regulatory authority within 10 day s of Com pletion Y service event. i Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tankis) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal call(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 call(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 Maintalner 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; oif; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS falls and /or is permanently taken out of service the following steps shall be taken to insure that the system is property 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. e 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, grave) 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. Tlis d site $A e lip tank ❑ 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 `f,'� ., y , Name Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name �_ Cam/ >[ �rJ f Phone Phone S - 39p . �(�8D This document was dratted in compliance with chapter Comm 83.22(2)(b)(1)(d) &(0 and 83.54(1), (2) & (3), Wisconsin Administrative Code. I � l C R O I X C U U 'N'r'� S -cpTIC TANK MAINTENANCE AGPBFlvl2NT A"3D OWNER CERTI;~1CAT'I�N FORM k Ida rtment for ntw c�s�atrsrtzrm '�„�- e,�.— �°�'��- �--- �--`�' "®ziiiaation required fzam iz1E Pt o� 2 - paroel identifrcata� N=bcr Ci±tat + 1o�c�t C Town Of I,ocati�n,�; Sec. 3 - -o ��-- List 3�d� survey MAC # �, � � L: no I,ot lines iden.ts�r�ls � � Sperm hour � des � ao i could anit ".� itaaraatuza fsutc to }aandi was' tt p intm thr oeof yotu'septio system a licta�acdpumper. Vr ba y P fm�erw use �n ev three years or aoaaer, if netsdted by t the leptu ta. � ' t ase3 stersz- C; xta of pu as a r nt at a is tea wAs a disp $Y oe of t &wtiom of tbio G tote owner grid b� 2 as tc> aubrzss 0 � rc.ix Zo tit a ceztif t icstins� ftsrm, sigttad by t Fri � OW""' qr-1 i "s) the are -site waxtew OW""' eferdzs o f l u d et , ter lugs' in if naaGesaxy)� t3xe }7tie. tAnk is ►.ass than ll3 full of sludge . - ara�splumber, reafiti.dittlplrizn.'�r trrtlicetL��+cipt�p er verifyin that iq in PY.%Ver o pentiLg condition tt&Oz (Z) af�:r %z.�gtction aavd pump ( rivate 5 diapoeal system with "'be ctu Adds ve se ' e==ts aad apee to MAin%iA thw P l eaGt�rcW, State of WfsconsiA Certifcatica va Ve3d the abo out Of Nwra ce withil 30 i,i }rye staadazaitued ha a� ®f Commerca and the Departzrl aet froth, hamin, l5 amt � the Dep2'= d to the St' ro Cix Co :n � � Zo fitalzn, t* ! yea : W= hba been incd must be eomp eterl urn �' ' ;3a• �f the t}sr� a ruts. � O 4�0 � " DAT SIGN F �,ppLlC,�IN"Z' oa flue forte are role to tlae best of my (o'u) knDwlod e. Y (we gm (arc) t1 c a sn z(s) of Z (wire) t+e�tcfy t1�t sii state�en d 600 j raomled to g.egeter of Deed: Offwe' °h �xop Y clnscribtd QbOve, by virtue of a watrtsrsty T A ��L�i� --- '� t Y�aATU� Of ,�pp'LI CANT I artm -at. * __ CC tttmBtiati tht is rnis.xepxosentad spy zasult iz the sa sitary pew' bo'n zeVCSktd by k "nc �tYtng � i a � 131i from tht Kegister of Reeds office �* lurlude with this appilsatfen! a stampe d warranty decd a re ferance i s trade in the az wa nay deed copy of tl:e certified aurve�y map f � e f Parcel F The North Half of the Northwest Quarter (N1 /2 of NW 1 /) of Section Three (3), Township Twenty -nine (29) North, Range Eighteen (18) West, St. Croix County, Wisconsin, except the following parcel of land= Certified Survey Map filed April 30,1975, in Vol. 1 of Certified Survey Maps, page 121, as Document No. 326689. And also excepting Certified Survey Map filed August 3, 1983, in Vol. 5 of Certified Survey Maps, page 1330, as Document No. 386986. And also excepting Certified Survey Map filed May 16, 1990, in Vol. 8 of Certified Survey Maps, page 2208, as Document No. 458642. o;) And also excepting Certifie urvey ap filed April 28,2000, in Vo1.14 of Certified Survey Maps, page 3839, as Document No. 622068. This parcel contains 55 acres. i 54 4 PA - 24 KATHLI,-'1-_­lq 14,, t4i., I I. I- Document Number. WARRANTY DEED Sl'. RID 1:1 Richard W. Hopkins, Shirley L. Wickline, John M. Hopkins, Susan J. Anderson, Jane M. Held and Gerald M. Hopkins, conveys and warrants to Richard O. Stout and Janet P. Stout, husband and wife, as survivorship marital property, the following described real estate in St. EXEMP 4 Croix County, State of Wisconsin: CERY -'UPY 1 L- COP'i "ILE: TRANStER FILL.- _e,, w i RECURLING F: 0, PAGES- Recording Area Name and Return Address Richard O. Stout 1353 Awatukee Trail Hudson, WI 54016 4 00-d ;A AAA 1-A 042-1004-70-00a44; , 0 .,� *� , 0 3 5.E cum Identification Number) The North Half of the Northwest Quarter (N/2 of NW/4) of Section Three (-'))- TowIlslllj-) Twenty-nine (29) North, Range Eighteen (18) West, St. Croix County, WISCOIISIII, ,E2LC—U-`F the following parcel of land Certified Survey Map filed April 30, 1975 In Vol. i of Certified Survey Maps, page 1 as Document No. 326689. AND ALSO EXCEPTING Certified Survey Map filed ALIgLIS1 3, 1983 in Vol. 5 of Certified Survey Maps, page 1- )30, as Document No, 386986. AND ALSO EXCEPTING Certified urvey Map filed May 16, 1990 in Vol, 8 of('�nrfled 1 Survey Maps, page 2208, as Document No. 458642. Exception to warranties: all easements and restrictions of record. Covenants, restrictions Lwc easements ul record. This is not homestead property. Dated this day of .�.L� 1 �i99 *Richard W. Hopkins WicFard W Hopkins, a A r a t, f a . t - S - 1 I i, i y Wickline, John M. Hopkins, Susan J Ander jane Held and Gerald M. Hopkins AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ST. CROIX COUNTY Personally came before me this__ June above named Richard Vy. Hopkins tc me knowfi to be �'-,e authenticated this day of person 0 execute/ the foregoing ackno-g' �e the sam , signature ( 7 signat type of print name ie / , type or'nt name 6 TITLE: MEMBER STATE BAR OF WISCONSIN Notary Public St. Croix County, (If not, My commission is/erm, I t, (if rot, !, -J exoiiat�o�!Le �nen authorized by §706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY 'Names of persons signing in any capacity shuuid be! or ROBERT F. WALL printed below their signatures, [HopkinstoStoutWD] Information Professionals compan Fonc ClU Lac �;iL, ----------, c a