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042-1007-70-075
Wisconsin De0artment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety arld Build ig Division INSPECTION REPORT Sanitary Permit No: 515013 0 p (ATTACH TO PERMIT) GE INFORMATION 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: Merritt, Joel & Grace I Warren, Town of 042 - 1007 -70 -075 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 04.29.18.52C30 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. r Septic ;;... 1 Benchmark Dosing Alt. it -.63. 5� • g5 Jj Qaratton J Bld Sewer ! Holding I SUHt Inlet �^ ^ TANK SETBACK INFORMATION SUHt Outlet TANK TO A WELL BL G. Vent to Air� ROAD Dt Inlet `` \ Septic j Dt Bottom /C7. $$; Dosing 1 F ! Header /Man. (P Z / o Aeration Dist. Pipe / Holding Bot. System 7r> Final Grade `7 l PUMP /SIPHON INFORMATION S; 2 - 4 Ogg Manufacturer r Demand St C ve 1 �/ GPM Q Model Number /L TDH 1 1-ift �Friction System H ad TD Forcemain Length f Dia. IL Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenc $s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 75 �` ...� . SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT 11 Model Number: !s +1 DISTRIBUTION SYSTEM Header /Manifold/ Distribution I x Hole Size /1 x Hole Spacing / Vegffy Air Intake Pipe(s) Z Length Dia Length �� Dia / Spacing V �7 Z �� v SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only LA Depth Over / Depth Over xx Depth of 1 xx Seeded /So xx Seeded/Sodded u c Bed /Trench Center �/ Bed/Trench Edges Topsoil ( f�� ] No s No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #11: / ^ " % c> ! Inspection #2: K A Location: 1156 120th Street Roberts, WI 54023 ) f ( ) NA Lot 3 �`, � f, ,' ,� ;;` ,�"� � SE 1/4 NE 1/4 4 T29N R18W Parcel No: 0 4.29.18.52C30 1.) Alt BM Description= i � 6 6J � - �` — G� �stQ Plate 2.) Bldg sewer length =r - amount of cover Plan revision Required? Yes No U 2-b b se other side for additional information. SBD -6710 (R.3/97) Date Insepctor's gnatur Cart. No. r > A r i V! h � ��� � � �� � �. ,� �z Y� � -� �f �t� .� , r � �'`� COmmerceml.gOv Safety and Buildings Division County r K 201 W. Washington Ave., P.O. Box 7162 St. Croix t s c o n s • i lI Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) oI Comme rce � /5 0 13 Sanitary Per i tl State Transactions Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, ie appropriate governmental / / 3 unit is required prior to obtaining a sanitary permit. ote: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal info be used for secondary oses in accordance with the Privacy Law, s. 15.04 1 , tats. / 0 j 26 'S+fl I. Application Informa ' Plea //:5 l I �fJ Property Owner's Name KECEIV Parcel # Joel $ Grace Merritt 6 Z • — 67 Property Owner's Mailing Address Property Location (, �z c— O C T .Y 420th Cedar Street Apt A-3 C I o Govt. Lot City, State T de hone Number SE /., NE Y., Section 4 ST Baldwin, WI ��� f if F �� E j 51 - 1925 (Check One) II. Type of Building (check all that apply) QF d%& t # T 29 N; R 18 ❑ E ❑1 W ❑✓ 1 or 2 Family Dwelling — Number of Bedrooms 3 ^ , _ "' - 3 Subdivision Name ok 5, ]_ L Block # ❑ Public /Commercial — Describe Use W City of ❑ State Owned — Describe Use t CSM Number ❑ Village of X 5 ✓ n , ,a / 2, 2— 6 ! ❑✓ Town of Warren III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. Z New System ❑ Replacement ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) System B. ❑ Permit ❑ Permit Revision ❑ Change of ❑ Permit Transfer to List Previous Permit Number and Date Issued Renewal Before Plumber New Owner Expiration IV. Type of POWTS S stem/Com onent/Device: Check all that apply) Ov ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound> 24 in. of suitable soil ❑✓ Mound < 24 in. o€seitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) Pretreatment Device (explain) V. Dispersal/Treatment Area Information: G[w Design Flow( d) Design Soil�.pplication Rate(gpdsf) Dispersal Area Re uired (sf) Dispersal Area Pr9posed (sf) System Elevation 450 .4 1125 1311.99 101.0 VI. Tank Info Capacity in Total # of Manufacturer Material Gallons Gallons Units New Tanks Existing Tanks Septic or Holding Tank 1000 combo Wieser Prefab Concrete Dosing Chamber 600 1 combo I Wieser Prefab Concrete VII. Responsibility Statement- I, the undersigned, assume re o ibili r ' of the POWTS shown on the attached plans. Plumber's Name (Print) �!Iun7lgK/S i a MP /MPRS Number Business Phone Number Mike Rogers 225094 715 - 235 -1132 Plumber's Address (Street, City, State, Zip Code) E4457 Hwy 12 Menomonie, WI. 54751 VII Coun /De artment Use Onl Approved _ raved Permit Fee I µ Date Is d Issuin ent Signat e Owner n Reasot enial IX. Condit' easons for Disapproval \ �f�AiRR�i�9i � J 1. Septic tank, effluent filter and dispersal cell must all be services % main /+ as per management plan provided by plu 2. All setback requirements must be maintained r� rAl 1 a Pff ttac to comp ere p ass or the system and submit o the C only on fa =tles han S r x I l inches in SBD -6398 (R. 01 /07) Valid thru 01/09 j �jQ r 0 * �CdC r ` �`I �e y � d-L,,l�•. �5 wL-C. ROGERS kumam, INC. Jv, r Ot Ld - t4 e- Yy S E A KE All�,i0 Oft, W1475 ..51 3, A( , PAzu 7/s a3s- t! 3 a D X21 v� �A D Bivr��5 A Bawl► MAr k • X411' gafcA mdrk r \ Q t o ir I.. O 6 N f � r : fah Y -► ROGERB IIiMBNVG, INC. A/o r qk to 4 ' %1•� t r ler.. Nle momorie WI 51751 pis a it 2, Ap 0 9 K D�2iv� �Ay `d CA lJ Bisr �dy S A B "cl MAr k • A* A¢NcA Mirk M d 4 + �a 4 � � U O N 1 � 9 939 o zip yo Q '9 Eco < Ile Safety and Buildings commerce .Wi.gov 3824 N CREEKSIDE LA HOLMEN WI 54636 t i c TDD #: (608) 264 -8777 sco n s i n www.commerce.wi.gov /sb/ epartment of Commerce www.wisconsin.gov Jim Doyle, Governor Jack L. Fischer, A.I.A., Secretary September 23, 2008 CUST ID No. 225094 ATTIC POWTS Inspector MICHAEL P ROGERS ZONING OFFICE ROGERS PLUMBING INC ST CROIX COUNTY SPIA E 4457 HWY 12 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/23/2010 Identification Numbers Transaction ID No. 1591563 SITE: Site ID No. 742635 Joel & Grace Merritt Please refer to both identification numbers, 120TH Street; lot #3 above, in all corres pondence with the agency, Town of Warren St Croix County SE1 /4, NE1 /4, S4, T29N, R18W FOR: Description: Three Bedroom Mound System / New construction / 8.8% slope Object Type: POWTS Component Manual Regulated Object ID No.: 1201247 Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s) Mound Component Manual- Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual- Version 2.0, SBD- 10706 -P (N.01 101) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. 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 • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. • A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions ofSec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally down slope of the dispersal cell shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of theeffluent filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A copy of the approved plans specifications and this letter shall be on site during construction and o pen to inspection by authorized re resentatives of the Department which ma include local ill t .T.S. Condittolla JY i. t P ROX , � LJ fiEPARTMENT OF COVVERCE njtrlSiGtj of SAFETY AND BUiLOUNGS MICHAEL P ROGERS Page 2 9/23/2008 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s.Comm 83.54(1). • 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 Safety & Buildings reserves the right to require changes or additions slould conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M Swim POWTS Plan Reviewer, Integrated Services (608)789 -7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jeny.swirn@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. IIQ�IND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application ty ► INDEX AND TITLE PAGE ' Project Name: Mound Owner's Name: Joel & Grace Merritt Owner's Address: 420 Cedar Street Apt A -3 Baldwin, WI. 54002 Legal Description: SE, NE, s4, t29n, r18w Township: Warren County: St. Croix Subdivision Name: Lot Number: #3 Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Pi g SAFc 0. pl.,l D/aw Designer: Mike Rogers License Number: 225094 Date: 09/15/08 Phone Number: 715 - 505 -1132 Signatur . Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 4.0 (R. 04/03) Page 1 of 7 - E ;5Y ` Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 450.00 Design Flow (gpd) 8.80 Site Slope ( %) 100.00 Contour Line Elevation (ft) 24.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 75.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 4.00 Estimated Orifice Spacing (ft) = 11.84 ft /orifice 2.00 Forcemain Diameter (in) b i 60.00 Forcemain Length (ft) Does the forcemain drain back? Y / 89.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 9.79 Forcemain Dralnback (gal) 11.67 Vertical Lift (ft) 67.38 5x Void Volume (gal) 0.82 Friction Loss (ft) 77.17 Minimum Dose Volume (gal) / 15.74 Total Dynamic Head (ft) 4.90 Sy em Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 1000.00 Total Tank Capacity (gal) 1000.00 1 Septic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Weiser IManufacturer 27.78 gal /in (enter result in cell B49) Do Tank Information Effluent Filter Information 600.00 Dose Tank Capacity (gal) JZabel Filter Manufacturer 16.76 Dose Tank Volume (gal /in) IA100 Filter Model Number Weiser IManufacturer Project: Mound Page 2 of 7 Mound Plan View 1/10 B : 3 Observation Pipe K A W o .t..... l3 .w. l . ..... .. ... ... — ..... .. ❑ ......................................................... .••'•'•'....••.. •••••••••••••••• L Mound Component Dimensions A 6.00ft E 18.34 in H 1.00ft K Aft ft B 75.00 ft F 9.50 in z 11.49 ft L ft D 12.00 in G 0.50 ft J 5.44 ft W 450.00 (ft Dispersal Cell Area 1311.99 (ft Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.79 (ft) 0 * H G 2 •I 1 F " " Dispersal Cell 101.50 (ft) La atera 101.00 (ft) �• — ...... Invert • 3 ::: ' :::• :::::::: :: :•:•:•::•::::::::::. 1 Dispersal Cell :...] :.:.:.:.:.:.:.: .. ....... . E D 3 Elevation .:.:.:.......:.:.:.:.. .... . .<��«ttia<i<<« 4 :�aL�it<t «»X 100.00 4 (ft) Contour Elevati 8.8 %Site Slope Geotextile Fabric Cover Shading Key c. T Dispersal Cell See lateral details on 1❑ Topsoil Cap c 0. 1.5 ft = , >" .; Page 4 for number, size, Subsoil Cap y 0 ;'' and spacing of laterals. © ASTM C33 Sand F Laterals are equally FAI <��� Tilled Layer y 0.5 ft Typical Lateral spaced from the ❑5 5 , distribution cell's Aggregate c "' centerline in the A distribution cell (AxB). Project: Mound Page 3 of 7 End Connection Lateral Layout Diagram Laterals centered over the A & B dimension i = Tu rn -up wlball valve or cleanoutplug l P All laterals are identical IF X� Hales drilled on the bottom of the lateral s equally spaced Force main Connection Via tee or cross to manifold at .any point. Laterals & force main of PVC Sch 40 (per COMM Table 84.30 -5) Number of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 4.08 ft Lateral Length (P) 73.44 ft Orifices per Lateral 19 Lateral Spacing (S) 3.00 ft Orifice Density 11.84 ft /orifice Lateral Flow Rate 12.45 gpm Manifold Length 3.00 ft System Flow Rate 24.90 gpm Manifold Diameter 1.50 in Total Dynamic Head 15.74 ft Forcemain Velocity 2.54 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and � Comm 16.28 WAC Disconnect 4 in. min. --!! -- Tank component is properly vented Alternate outlet location Forcemain diameter Weiser Manufacturer —r 2 in. Ca acit 600.00 Gallons Volume 16.76 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 19.20 321.71 C B 2.00 33.52 Pump off elevation (ft) C 4.60 77.17 t 89.83 D 10.00 167.60 D Total 1 35.801 600.00 Do se tank elevation (ft) 3" Bedding uncler tank. 89.00 Alarm Manuafacturer Iseptronics Alarm Model Number I MJJ1 Pump Manufacturer JZoeller Pump Model Number IBN 152 Pump Must Deliver I 24.90 gpm at ' , 15.74 ft TDH l Project: Mound - Page 4 of 7 ` Mound System Maintenance and Operation Specifications Service Provider's Name ers Plumbing Inc. Phone 235 -1132 POWTS Regulator's Name k 7777�St Croix Zoning Phone 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthl Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Ins ect for ponding and seepage once every 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished T ............... Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Mound Page 5 of 7 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD 30 mg /L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continuency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Mound Page 6 of 7 y c PUMP PERFORMANCE CURVE MODEL 151/1521153 TOTAL DYNAMIC HEAD /FLOW 50 PER MINUTE 14 45 153 - EFFLUENT AND DEWATERING 12- MODEL 151 152 153 10 152 Feet Meters Gal. Liters Gal. Liters Gal. Liters 5 1.5 50 189 69 261 77 291 10 3.0 45 170 61 231 70 265 0 8 151 15 4.6 38 144 53 201 133 231 20 6.1 29 110 44 167 197 g 20 25 7.6 16 61 34 129 159 30 9.1 – – 23 87 125 15 35 10.7 – – – 85 4 40. 12.2 - - - - 42 10 Shute Imo 30 a (9.1m) 38 R. 11.6m) . 13.4m) 2 5 o146oee 0 10 30 40 50 70 a0 90 100 GALLONS LITERS 0 40 k 120 160 200 240 280 320 360 FLOW PER M9VAE 0145M Model 151 Models 152 / 153 CONSULT FACTORY FOR 6 7/32 SPECIAL APPLICATIONS 6 3 7/8 4 5/8 3 27/32 4 5/8 8 • Timed dosing panels available. 3 7/8 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with an alarm. - • Variable level control switches are available for controlling ® 3 7/8 ® 3 27/32 single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 special quotation required. f 11 11/16 12 1/8 151/1521153 Series 151ns21`153 MODELS Conw Selection i — 4 3 Model Volta -Ph Mode Amps simpl Duplex- N151 115 1 Nat 6.0 1 2or3 SN151 115 1 Auto 6.0 included 2or3 E151 230 1 Non 32 1 2or3 SE151 230 1 Auto 32 1 Included 2or3 151 SK2064 N152 115 1 Non 8.5 1 2or3 BN152 115 1 Auto 85 Included 2or3 E152 230 1 Non 4.3 1 2or3 BE152 a 2301 Auto 4.3 included 2 or 3 N153 Non 10.5 1 2or3 BN153 Auto 105 Included 2or3 SELECTION GUIDE E153 Nat 5.3 i 2 or 3 BE153 Aura 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. I A C AUTION 2. See FM0712 for correct model of Electrical Aflemator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 - 0225 used as a control activator, spe* duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For un c onditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO. P.O. eox }6347 ` 7 Q" Louislrige, KY 40256-0347 Manufacturers of. . SfNP TO. 3649 Cane Run Road �! Oo ® Louisvrke. KY 4021 }-196} /TYPUMP9 ✓iNCE ��LTc7 p htwIlivi w. �uer r otmn "PUMP . /( 502) 778-2731 FA ) 74 , 4 AMP 1 WLP1000 600 —MR TANK SPECIFICATIONS ° 150" DIMENSIONS: WALL: 3" BOTTOM: 3" d COVER: 5" z MANHOLE: 24" I.D. PRECAST CONCRETE RISER W -- ___ - -_ - - -- HEIGHT: 56" O.D. LENGTH: 150" 0.D. ey I WIDTH: 84" O.D. �L I BELOW INLET: 42" O.D. �-` LIQUID LEVEL: 36" $ o 1 / _ WEIGHT: BOTTOM 14,970 LBS. ° m C. ` I -� INLET AND OUTLET: 8 \ / 4" CAST -A -SEAL BOOT OR EQUAL ° m FILTER I GASKET, CAST -A -SEAL BOOT OR EQUAL w OR INLET AND OUTLET BAFFLE AND FILTER: a BAFFLE I WISCONSIN, SEE DETAIL #10 (OTHER STATES SEE CHART) 0 LIQUID CAPACITY: 27.88 GAL /IN (SEPTIC) W N 16.76 GAL /IN (PUMP) TOP VIEW G o Lo LOADING DESIGN: 8' 0" UNSATURATED SOIL O 00 v w � MN TANKS: ° N WILL HAVE ONE VENT OVER OUTLET AND WILL HAVE TWO VENTS IN COVER OVER INLET LU o a W �e TANK CAN BE USED AS: SEPTIC/ HOLDING/ PUMP OR SIPHON 4" INLET_ - - - - - _ 4" OUTLET OR SEPTIC /SIPHION o v l6o j O a v PUMP PAD n O Q N 3 to m z O U O P: > SIDE VIEW CUSTOMIZED TANKS: SHEET No. TANKS CAN BE CUSTOMIZED CONTACT WIESER CONCRETE 0 / TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C -1227 REQUIREMENTS / ov 0 0 1sco nsin SOIL EVALUATION REPORT #1961 Department of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings, Steel's Soil Service Attach complete site plan on paper not less than 8%2 x 11 inc siz Ian must County St. Croix include, but not limited to: vertical and horizontal refe point irect' and percent slope, scale or dimensions, north arrow, and loca nd dista arest road. Parcel I.D. d — - ._07 Please print all information. Review By Date Personal information you provide may be used for secondary purposes (Privacy Law, . 15.04 (1) (m)). Z6 D 1 Property Owner ; ' ~� Property Location � Larry Aebly Govt. Lot na SE1 /4, N 1A, S4, T29N, R18W ms's C 30 Property Owner's Mailing Address C , Lot # Block # Subd. Name or CSM# 1168 120th St P.0. Box 280 i . =!. �h I 3 na CSM 22 53Lo City State Zip Code, Phone Number City � I Village Town Nearest Road //s Roberts I WI 54023 715- 246 -4878 ' Warren 120Th St Z New Construction Use: EX Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD E Replacement E Public or commercial - Describe na Parent material Silty sediment over Fractured limestone. Flood plain elevation, if applicable na ft. General comments Mound Design, system elevation 101.00ft baed on conto line elevation 100.00ft Minimuum 12 inches and recommendations: ASTM 33 mound sand. .�-- F 1-1 Boring # E] Boring Pit Ground surface elev. 100.00 ft. Depth to limiting factor 31 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -4 10yr3/1 none I 2msbk mfr cs 1c .6 .8 2 4 -16 10yr4 /4 none sil 2msbk mfr gw 1c .6 .8 3 16 -31 7.5yr4/4 none sicl 2msbk mfr cs if .4 .6 4 31 -43 7.5yr4/4 c2d 7.5yr5/6 sl /scl om na cs na .0 .0 5 43- 10yr7/4 fractured imestone na na na na .0 .0 FT] Boring # Boring Pit Ground surface elev. 100.00 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -4 10yr3 /1 none I 2msbk mfr cs 1c .6 .8 2 4 -16 10yr4 /4 none sil 2msbk mfr gw if .6 .8 3 16 -27 7.5yr4/4 none sicl 2msbk mfr cs na .4 .6 4 27- 10yr7 /4 fractured imestone na na na na .0 .0 * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS !L30 mg /L CST Name (Please Print) Signature: f CST Number David J. Steel 248956 Address Steel's Soil Service Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 9/18/2006 715- 760 -0347 SBD -8330 (R.07 /00) Property Owner Larry Aebly Parcel ID # Pending Page 2 of 3 L 3 Boring # ❑ Boring ✓ Z Pit Ground surface elev. 96.90 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#t *Eff#2 1 0 -4 10yr3 /1 none I 2msbk mfr cs 1c .6 .8 2 4 -15 10yr4 /4 none sil 2msbk mfr cs if .6 .8 3 15 -24 7.5yr4/4 none sicl 2msbk mfr gw na .4 .6 4 24- 10yr7 /4 fractured imeston( na na na na .0 .0 F-1 Boring # Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 F-1 ❑ Boring Boring # Depth De pit Ground surface elev. ft. p to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS <30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Steel's Soil Service STEEL'S SOIL SERVICE 3 of 3 David J. Steel Larry Aebly 994200 th St. CST POWTSM SE1 /4,NE1/4,S4,T29N,R18W Baldwin, WI 54002 Lic. #248956 Town of Warren, St. Croix Co. Direct 715- 760 -0347 CSM Lot 3 Fax 715- 684 -3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. Legend N 1" = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe ❑ = Borings Boring Elevations B 1 = 100.00 ft B2 = 100.60 ft B3 = 96.90 ft B4 = 0.00 ft / J� V 5n ox, r -3 �c 8 37869 VOL KATiLjW GE CERTIFIED SURVEY MAP ST. CRO OF DEEDS ST. CROIX CO., WI LOCATED IN PART OF THE SE1 /4 OF THE NE1 /4 RECEIVED FOR RECORD OF SECTION 4, T29N, R1 8W, TOWN OF WARREN, 11/01/2006 04 :05PH ST. CROIX COUNTY, WISCONSIN; BEING LOT 3 CERTIFIED SURVEY HAP REC FEE: 13.00 OF CERTIFIED SURVEY MAP RECORDED IN COPY FEE; 3. VOLUME 3, PAGE 743 AT THE ST. CROIX PAGES: 2 COUNTY REGISTER OF DEEDS OFFICE. _ - Q`\_ NE CORNER OWNER SURVEYOR SOUTH LINE OF THE FRACTIONAL SECTION 4 ` EDWIN C FLANUM NE1 /4 OF THE NE1 /4 N00 °47'38 "E LARRY 0TH AEBLY S (N89 441.07') 1252.13' " 1168 120TH STREET NORTHLAND SURVEYING, INC. ROBERTS, WI 54023 P.O. BOX 14 S89 ° 5 8 1 22 ' W 440.77' (21 ROBERTS, WI 54023 416.66 24.11'- I - —118TH AVENUE - --$ $ �i O ---------- - - - - -- 417.06' QQ © S89 °56'22"W 440.83' � 66 PRIVATE 23.77' 1 ROADWAY EASEMENT ! NiiNliUlt4!:r�rp�� w �gCONs�,,,��, I ¢ I Jr ® LOT 1 F a I N I z x EDWIN C. 5.59 ACRES INC. R/W I v = FLANUM 243,666 SO. FT. Lry I oo I 7a S-2497 Z of w w AMERY 5.31 ACRES EXC. R/W I ai p o } Wl �? N 231,132 SO. FT. �� wl CO o ¢ y' /�����ur`JK" -.` w�0 c SHED �n ° i (L9 a`$o z 19 a Ala N w 0 �� OO I o I co Wo �� Idl�lal ° I o `¢ Ov HOUSE ; � - -DRIVE I i I z Ln 0 104 f �• � �y� 7 � X �o�oUlNo �UV M Z S89 °56'22 'W 441.21' — IA . I N zz - ------------ - - - - -- N 60.68' 263.14' Ito 1 0 LEGEND r ♦ 419.ss' ��, 21.2s' ::: ::::: I N I W ALUMINUM COUNTY SECTION �•" ♦ ♦ PROPOSED N q W 01 0 I"" CORNER MONUMENT FOUND ' I � I w N .................... DRIVE I c I m �• 1" STEEL SURVEY MARKER FOUND : w F. O = I : •.LOT 2.. '..:: .... F qt o I m • 1,. 0. D. IRON PIPE FOUND O R 0) .co. 3.'55.CRES•IN�,.A/W N v t54.; 5C?; FT; 1 1/4 O.D. IRON PIPE FOUND g Z N aq ............................ z . I 3 38 ACRES EXC :4iV 3/4" X 18" IRON REBAR SET WEIGHING 747,327 SQ; .FT, :::: z 1.50 LBS. PER LINEAR FOOT / Lu w • 100 ROADWAY SETBACK LINE � " / /.. I z Qo I �- 89 562. W4:41; _ U) I z ♦ SOIL TEST K .081 422.Oa ............../ 19.4 O LL I x T 0 GI H ® WELL % y z Lu I C � J O Q SEPTIC VENT r LOT 3 j `n ( ) PREVIOUSLY RECORDED DATA $ 3.55 ACRES INC. R/W 154,445 SO. FT. / rn a co / I % a ® 12 - 19.99 PERCENT SLOPES 3.40 ACRES EXC. R/W ♦ ♦j t 147,959 SQ. FT. I ' O 20 PERCENT AND GREATER SLOPES ♦ PRO I I u 33' W114 CORNER 17.66' SECTION 4 N89 °52'46 "E r —424.19— i E1/4 CORNER •------------ 'r --- - - - - -- -- SECTION 4 I 4866 N89 °52'46 "E 441.76' I I SURVEYOR'E NOTE: .61' (S89 °04'30 "W 442.30) THERE IS A GAP BETWEEN THE NORTH LINE OF CERTIFIED EAST - WEST 1/4 LINE SURVEY MAP RECORDED IN VOLUME 3, PAGE 743 AND THE FRACTIONAL NE 1/4 OF THE NE1 /4. IT APPEARS THE SECTION [LOO 4 ❑�oLIIN° Du�J WAS COMPUTED INCORRECTLY AT THE TIME SAID CERTIFIED ---------------------- SURVEY MAP WAS COMPLETED. WE HAVE COMPUTED W@ o 09 P @@ OO SCALE IN FEET i" = 1 50' BOUNDARY IN RELATION TO EXISTING CERTIFIED SURVEY MAP. --------------- - - - - -- SHEET 1 OF 2 SHEETS 1 50 0 150 1o12 Vol 22 Page 5301 CERTIFIED SURVEY MAP LOCATED IN PART OF THE SE1 /4 OF THE NE1 /4 OF SECTION 4, T29N, R18W, TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN; BEING LOT 3 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 3, PAGE 743 AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE. OWNER SURVEYOR LARRY AEBLY EDWIN C FLANUM ' 1168120TH STREET NORTHLAND SURVEYING, INC. ROBERTS, WI 54023 P.O. BOX 14 ROBERTS, WI 54023 SURVEYOR'S CERTIFICATE I, Edwin C. Flanum, Registered Wisconsin Land Surveyor, hereby certify that by the direction of Larry Aebly, I have surveyed, mapped and described the parcel of land which is represented by this Certified Survey Map; that the exterior boundary of the parcel of land surveyed and mapped is described as follows: A parcel of land located in part of the SE1 /4 of the NE1 /4 of Section 4, T29N, R18W, Town of Warren, St. Croix County, Wisconsin; being Lot 3 of Certified Survey Map recorded in Volume 3, Page 743 at the St. Croix County Register of Deeds office; described as follows: Beginning at the El Corner of said Section 4; thence N00 0 47 1 38 "E, along the east line of the NE1 /4 of said Section, 1252.13 feet to the north line of Lot 3 of Certified Survey Map recorded in Volume 3, Page 743 at the St. Croix County Register of Deeds Office; thence S89 0 56 1 22 11 W, along said north line, 440.77 feet to the west line of said Lot 3; thence S00 0 5920 "W, along said west line, 1252.61 feet to the east - west 1/4 line of said Section; thence N89 0 52'46 "E, along said east - west 1/4 line, 441.76 feet to the point of beginning. Described parcel contains 12.69 acres (552,562 Sq. Ft.). Parcel is subject to town road (120th Street) right -of -way and all other easements, restrictions, and covenants of record. I, also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the current provisions of Chapter 236.34 of the Wisconsin Statutes, the Land Subdivision Ordinance of the County of St. Croix, and the Subdivision Ordinance of the Town of Warren, in surveying and mapping same. V EDWIN C. s IF UM * ; S-2487 AMERY L WIS r h /p �tINQpIMp11N1 \a \ \ \ � COUNTY TREASURER'S CERTIFICATE STATE OF WISCONSIN)SS COUNTY OF ST. CROIX) I, qualified and acting Treasurer of St. Croix County, do hereby certify that the records in my office show no unredeemed tax sales and no unpaid taxes or special assessments as of affecting the land included in this Certified Survey Mapp 7Af &� � C'n erylSlind, Date Nov Q_1 Z006 County Treasurer If � �'i gW c null end Vold Each parcel shown on this map (plat) is subject to State, County and Township laws, rules and regulations (i.e., wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the Town of Warren. PCN: 042- 1007 -70 -000 PMN: 04.29.18.52C SHEET 2 OF 2 SHEETS 2of2 Vol 22 Page 5301 •09/,20/2006 06:35 7157491719 NORTHLAND SURVEYING PAGE 01 SECTIO( OWNER SURVEYOR � L N00 °47 LARRY AEBLY EDWIN C FLANUM (N89 °08'34 E 441.07') ' 1252,11 1168120TH STREET NORTHLAND SURVEYING, INC. S89 rr 440,77 o1 ROBERTS, WI 54023 P,O. BOX 1 416.67' — 24.111 ROBERTS, WI 54023 - -_ -- 118TH AVENUE - - -- I I co 417.06' -- -- �I f -- - -- -- - - - - -- - - - - - -- - -- - - - - -- - S89°56'2 2 "W 440.83' c i C 66' PRIVATE 23 77' I ROADWAY EASEMENT i z i n , �II LO 1 ; 4 N �j 5,59 ACRES INC. R/W i U 243,666 SO. FT 1(3 t7n 5.31 ACRES EXC. R/W H m co 231,132 SO. Fr- L i o I f in CO i ' 1 U) SHED Lo �I I i w� w �I w Q HOUSE RIVE ; I tr U �, i C w c Q (L_ @_ _�_ ((�� - ?s VO OLIVUO om (M I — i �r 0 - - -- - -- -- -- 1�IOL�o3�, pro �14N3 _ 19.0' ----- - - - - -- _ 0 60.68' 63.5' 263,14' 96.13' i Ih r I LO N 419.95' 21.26' i N W I LEGEND N r d r W I w BMA BM PROPOSED qo i W LO �. I ALUMINUM COUNTY SECTION a, DRIVE 0 b i CORNER MONUMENT FOUND o a 0) • IN STEEL SURVEY MARKER FOUND LOT 2 i h O I 0 z 3,55 ACRES INC. R/W � ai , 0 qt v �. V Q.P. IRON PIPE: FOUND O 154,451 SQ. FT. °' I C cn 0 I 1.66 O.D. IRON PIPE FOUND 3.38 ACRES EXC, R/W `�' z i z r I 147,327 SQ. FT, ' 314"X 18" IRON REBAR SET WEIGHING 13 9.50 LBS. PER LINEAR FOOT t 1 �w 1 OQ' ROADWAY SETBACK LINE ' w S89'56'22"W 441.48' I _ i SOIL TEST El 290.6Q 97' 94.4 1 o 37 I .08' 422.02 19.46' i w WELL z � I Q SEPTIC VENT ¢ 1 LOT 3 w ( ) PREVIOUSLY RECORDED DATA g � ' I 3.55 ACRES INC. R/W Qj Lr ' I 154,445 SO FT, M i 1 12 - 19.99 PERCENT SLOPES BM 3,40 ACRES EXC.. R/W i I 147,959 SO. FT. PR POSE 20 PF RCE NT AND GREATER SLOPES m /1 g RIVE N89 °52'46 "E 017 86 — 424.1¢'— SD i E1/4 CORNE �- •--- __ -... _ _.. _... - . �. _ .. - N89 °52'46 "E 441.76' SECTION 4 W114 CORNER 4866.61 (S89 "04'30 "W 442.34) �r Parcel #: 042 - 1007 -70 -075 04/11/2008 07:59 AM PAGE 1 OF 1 Alt. Parcel M 04.29.18.52C -30 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 11/01/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - MERRITT, JOEL P & GRACE M JOEL P & GRACE M MERRITT 1156 120TH ST ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 1156 120TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 3.550 Plat: 5301 -CSM 22 -5301 042 -06 SEC 4 T29N R18W PT SE NE FKA LOT 3 CSM Block/Condo Bldg: LOT 03 VOL 3/743 BEING CSM 22 -5301 LOT 3 (3.55 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 04- 29N -18W Notes: Parcel History: Date Doc # Vol /Page Type 12/31/2007 866412 TD 12/31/2007 866411 CT -TR 11/01/2006 837869 22/5301 CSM 05/03/2000 622273 1507/267 WD 2008 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations Last Changed: 06/08/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.550 44,000 0 44,000 NO Totals for 2008: General Property 3.550 44,000 0 44,000 Woodland 0.000 0 0 Totals for 2007: General Property 3.550 44,000 0 44,000 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 Parcel #: 042 - 1007 -70 -050 04111/2008 07:57 AM , PAGE 1 OF 1 Alt. Parcel #: 04.29.18.52C -20 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 11/01/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co - Owner O - CARTER, JAMES E JR & SHERI K JAMES E JR & SHERI K CARTER 1168 120TH ST ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 1162 120TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 3.550 Plat: 5301 -CSM 22 -5301 042 -06 SEC 4 T29N R18W PT SE NE FKA LOT 3 CSM Block/Condo Bldg: LOT 02 VOL 3/743 BEING CSM 22 -5301 LOT 2 (3.55 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 04- 29N -18W Notes: Parcel History: Date Doc # Vol /Page Type 08/29/2007 858471 CT -TR 08/23/2007 858470 TD 11/01/2006 837869 22/5301 CSM 05/03/2000 622273 1507/267 WD 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 06/08/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.550 44,000 0 44,000 NO Totals for 2008: General Property 3.550 44,000 0 44,000 Woodland 0.000 0 0 Totals for 2007: General Property 3.550 44,000 0 44,000 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 0.00 0.00 0. Total 0 0 �l ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer it B L 11— � r 4 c , e /� e r r Mailing Address el,1,0 e e d,10 r_ T Property Address 5 > & (Verification required from Planning; Department for new construction) CityiState Parcel Identification Number O / ©D 7 — 70 — a, 7 5 LEGAL DESCRIPTION Property Location SR' 1 /4, N F i /4, Sec. N - R / $ , Town of CA) A T Subdivision Lot # 3 Certified Survey Map # 3 $( cf , Volume as , Page 3 0 Warranty Deed #I 4 L A Volume . Page ## Spec house 0 yes IR no Lot lines identifiable 9 yes 0 no SYSTEM MAINMNANCF, improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can effect the function of the septic tank as a treatment stage in the waste disposal system. The ro owner agrees to submit to t. n fo rm, p petty g S Croix Zoning Department a certificatio signed by the owner and by a messier plumber, joumeymaa plumber, restricted plumber or a licensed pumper verifying that (1) the on - site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set fortli, herein, set by the Department of Corm erce a of Natural Resources State of Wisconsin. Certification �, y � �� the ieratftxcnt ci stating that your septic s sierra has been maintained must be completed and returned to the St. Croix County Zoning Office within 34 ys of tre yea iration dat ' NATURE OF APPT.I AN T DATE OWNER CERTIFICATION 1 (we) certify that all statements on this form are true to the best of any (our) knowledge. I (we) am (are) the owner(s) of the p erty described above, by virtue of a d f Deeds Office. 1 04 SIC NAT uRE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include -.0th this application: a stamped warranty deed from the Register of Heeds office a copy of the certified survey Wrap if reference is made in the warranty deed 1 l llll #I Rlll #Ill# lllll !IIlI llll# IIlI fl #1 #1 IIII l!!i ` * 8 6 6 4 1 2 1 State Bar of Wisconsin Form 7 -2003 8664 TRUSTEE'S DEED KATHLEEN H. WALSH REGISTER OF DEEDS Document Number Document Name ST. CROIX CO., WI RECEIVED FOR RECORD 12/31/2007 02:OOPM THIS DEED, made between Jason Alan Wallace, agent for Lawrence A. Aebly and Gloria Aebly TRUSTEES DEED as Trustee of the Lawrence A. and Gloria Aebly Living Trust dated February 3, EXEMPT t 2000 ( "Grantor," whether one or more), REC FEE: 11.00 and Joel P. Merritt and Grace M. Merritt, husband and wife TRANS FEE: 168 .00 PAGES: 1 ( "Grantee," whether one or more). Grantor conveys to Grantee, without warranty, the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property") (if more space is Recording Area needed, please attach addendum): _ (( '':;G ,real �t1;1l�rE�,11d0. Lot Three (3) of Certified Survey Map filed November 1, 2006 in Volume 22 of , J Certified Survey Maps, page 5301, as Document No. 837869, located in part of the SE 1/4 of the NE 1/4 of Section 4, T29N, R18W, Town of Warren, St. Croix County, 83(�B�(I -- , - .n- - •N Wisconsin; being Lot 3 of Certified Survey Map recorded in Volume 3, page 7843. 042- 1007 -70 -075 Parcel Identification Number (PIN) N014 RORMSTMAD Metro Legal Services EDIRET 839850 A 810802 TD 466881 Dated eX11 �2 4^ a l Q " . (SEAL) (SEAL) * * n Alan Wallace, agent for Lawrence A. Aebly and Gloria Aebly as Trustee of the Lawrence A. and Gloria (SEAL) Living 'met datad Fph_ 4, 7nnn (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signatures) _,o eri BrOW► I STATE OF WISCONSIN ) authenticated on �,��,,,�, D, th�jr. ) ss. WW PU ' �T ( �y COUNTY ) st Cjj wiser, Min * Personally came before me on LM-Wa6w, TITLE: MEMBER STATE BAR OF WISCONSIN the above-named Jason Alan Wallace as agent for Lawrence A. Aebly and Gloria (If not Aebly, Trustees of t Lawrence A. & Gl oria A Liv ing Tr ust dated Feb. 3, 2000 authorized by Wis. Stat. § 706.06) to me known to be the person(s) who executed the foregoing instrum and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Jennifer A. O'Neill Lommen Abdo Law Firm, Hudson, Wisconsin Notary Public, State of Wisconsin My Commission (is permanent) (expires: 2 -2 1- O ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. TRUSTEE'S DEED © 2003 STATE BAR OF WISCONSIN FORM NO. 7-2003 x l e name below signatures. g z N il z _ $ v gg z R s n m AI Ail a ra !Qogaa a 0 o b�;� T IITT A gil > IZj r s R m Ro $.�. j 22 1 vp I. r l � gi .1 .3 A TF �T VVV N ga Eli T b oob +bb 'bo +bLs�b ~ A A f will FLOOR PLAN NOTES 1. CONTRACMWUVEUPYALLON+ &C014D170M SHOWN oN T1ESE PLANS AND W! BULDWG SRE PRIOR TO WALL scIIEDIR E T EI4CING ANY woRK ON PROJECT, L ALL EX1EZ WALLS ARE ORB3ISIDNED TO THE FACE OF COUNT MARK WALL 4 WALL PLATE SWATHING FO SMM OF ST U D S. INT WAILS ARE Rt tlste etooa+o t A z t -M.WV1 P102%&Dt, SKI Mo A THERE SHALL S. AFLOOROR1 THA ON EACH SSE 1 8 zTLR'Bt•004�0.W 102,Pt18.Pt14T, BKt No EXTERICR M EASURE IN THE FeCTIO 084EftSSN 3o RICH MEASURED N TFi£ OIRECTIOII OF TRAVEL. t TL6- 01401.2FLVt P720rt,713 No 4. SEE ELECTRICAL KANS,P6U46NGAM MECHANICAL NOTF' 0 , Cc I-w il RWt P728L NP12SL,Pt20RTlP125R KP,BKIIQ NO WBR� S 1 CCC - WI-MV4 13' KR CAP No OPC WDICATES BUILDING COMPONENT PROVIDED BY 1 D z -0t- 004.2&Vt P713, 01.JIW,bK1>�A I DD t-002.20.Vt 12I IQL P121 102, 11 KP, BK /1Q � I,�,A COMPONENT PROVIDED BY vc t XlU-01-0Ot -00•Vt I ' KP. CM N0 W r4'ER CREEL LOG HOMES t E .00146-V1 Pt 12, PEAK AIEOR INDICATES APR OF RECORD NO t F 1-001.0.4V1 PEAK l 1 G XLD-01-002.03V7 S It 16RLSEAS: 1 H zTLD -01.OD1. P1721Q tt2Sro.27sME0 No stw•wx t J )aD•Ot- 001 -14W SSEL No 8 1 K )O.D -01-002.14V1 BRED 5 R Ne wm was A B wes w -v IlON g r u -tow- v -r-w 9. 1130r Y.ttq w -ew ry r -star t I i I '.`• '•T./W001O: •.. < B - sTLR -01401 -wv1 ast[te pt¢t M LAUNDRY F r a M b LOTCHEN ® b e i 102 BATHROOM ° DINING lw o TN b ® o taan r•.:: _,. ; 3 !GCSE � � � c -c r -ftw' to -f11r R S ON VASTER BEDROOM - GMTROOM S O w4A V 4 1 1 1 t i 4 too v 1 � 1 3 — aroz o. alas awz I � w 6 2 Y1. T.y4"NAX b v -otm 1�. s 4t? 6 - f 1Q I r r T -r T -r .w MIN vw tr r -r �—t — t Iw TOr 0 t2' M AIN FLOOR PLAN uo roan ov®R w At } 2 i q m N A ll SL ft 4 z � r/•P u•P u - t -P -P T•P 1 1 ti 1 ` r•z a•1w r -Harr r•P t o i 9 y S 3 r -P 9•113w ! -rw r•t 8 4 Z ti LNIBI 9 � • O � 4 2 u•aw r•P s -11 mr r v n Private On -Site Wastewater Treatment System ( POWTS) Index & Title Sheet Owner: t /.Od Project Name and System Type: Location: Street Address Legal Description Township /County Contents: Page 1: Sanitga Permit Application Page 2: Plot Plan Page 3: Soil Test Page 4: State Approved Plans Page 5: Septic Tank Maintenance Agreement Page 6: Warranty Deed Page 7: POWTS Owner's Manual Management Plan Page 8: POWTS Owner's Manual Management Plan Page 9: POWTS Owner's Manual Management Plan Page 10 Certified Survey Map Page 11: Copy of House Plans Attachments: Plumber/Designer: Mike Rogers Signed: Credential Number: 225094 Date: + POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner 11 riry -% Septic Tank Capacity 0 0 0 o gal ❑ NA Permit 9 Septic Tank Manufacturer w � its w ❑ NA DESYGN PARAMETERS Effluent Filter Manufacturer Z t ❑ NA Number of Bedrooms 100gpd/bedroom ❑ NA Effluent Filter Mode C3 NA Number of Commercial Units _ NA Pump Tank Capacity t7 gal O NA Estimated flow (average)* gaUday Pump Tank Manufacturer `. , p NA Design flow (Peak), estimated x 1..5* A &P gaUday Pump Manu achuer ❑ NA Soil Application Rate gal/day Pump Model Z ❑ NA Influent/EffluentQuallty (NAM) Monthly Average ** Pretreatment Unit p NA Fats. Oil & Grease (FOG) -5 30 m g�L [3 Sand/Gravel Filter 0 Peat Filter Biochemical Oxygen Demand (BODs) ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5 220 mg/L O Disinfection p Omer: S 250 mg/L Manufacturer: Model: Pretreated Effluent Quality ❑ Monthly Average * ** Dispersal Ce11(s) Biochemical Oxygen Demand (BODs) 0 In- ground (gravity) C3 In-ground (pressurized) Total Suspended Solids (TSS) 5 30 mg/L El At -grade AM ound Fecal Colifonn (geometric mean) 5 30 mg/L ❑ Drip -line ❑ Other: <_10 *cfu/100m1 E3 Leaching Chamber Manufacturer Maximum Effluent Particle Size 1/8 each diameter Model Approval Stipulation *Wastewater Flow er cation on and calculations: Soil Application Rate Area Req, (Other than bedroom based) Absorption Area Credit per unit Minimum Number of Chambers ❑ Aggregate Design Flow/Loading Rate= min * Values typical for domestic (non- commercial wastewater Materials: all materials must comply with WI with Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ** *Values typical -for pretreated wastewater. and approval letters. DESIGN CRITERIA ❑ "Wisconsin )t -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse efi a1.1990) ❑ "Wisconsin Mound Soil Absorption System: Siting, Design &Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 M "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 p "Design of Conventional Soil Absorption Trenches and Beds ". R.J. Otis -ASAE Publications 5 -77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 p SBD - 10570 -P (8.6/99) "At -Grade Component Manual Using Pressure Distribution" [3 SBD - 10567: P (R -6/99) "In Ground Absorption Component Manual" p SBD - 107005 -P (N.01101) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD - 10628P (N.6199) "Recirculating Sand Filter System Component Manual" 0 SBD - 10656 -P (N.6199) "Split Bed Recirculating Sand Filter System Component Manual" 13 - SBD 10572-P (R. "Mound' Component Manuap d oft - .SW - 10691 -P (N.01101) "Mound Component Manual" Version 2.0 0 SBD - 10595 -P (8.6/99) "Single Pass Sand Filter Component Manual" ❑- SBD - 10657 -P (8.6/99) " Drip -line Effluent Disposal Component Manual" ❑ SBD - 10573 P (R 6/99) "Pressure Distribution Component Manual [3 SBD - 10706 -P (N.01101) "Pressure Distribution Component Manual" Version 2.0 O Drip -line Effluent Dispersal Component Manual for Multi -flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tanks At least once every 7S D months ears) (Maximum 3 yrs.) Pump out contents of s) When combined sludge and scum equals one -third (1/3) of tank volume Inspect dispersal cell(s) At least once every p months la y s) (Maximum 3 yrs.) lean effluent filter Atleast:once every D months year(s) Inspect pump, pump controls & alarm At least once every p months ear (s) p NA Flush laterals and pressure test At least once every ❑ months Wye s p NA Valves At least once every .p months p ye s) NA Other: At least once every p months •❑ Year(s) dg NA Page of _' START TfP • 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. OPERATION The 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 repair 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 system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, 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 overall system components. Compaction of snow over the dispersal unit may cause it to freeze up. El Valves Valves shall be operated in the following manner: Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a I day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications; Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). )(Septic Tanks Component 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 to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than & inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (I /3) 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 NRI13, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. p in-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75 % of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of .,pound, At Orade, In- Ground; Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface.seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals shouldbe flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of eftluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. 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. 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 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 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 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. p 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 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 area is available a holding tank may be installed as a last resort to replace the failed POWTS. 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. <<WARNIN+G>> 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 TIM. INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COAEUENTS A POWTS ST POWTS MAINTAINER Name p q " k i Name Phone .A S //S //S- Phone SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency . Gce' Phone Phone t I A. _ gd K: \WPDATA\VXT0 OWNER'$ MANUAL.doe Page of