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Parcel #: 08.29.18.115A -20 042 - TOWN OF WARREN Current X'', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner YVONNELUND 'LUND,YVONNE 1050 110TH ST ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 1050 110TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Q14/4285 egal Description: Acres: 4.108 Pat: 1469 -CSM 16/4285 042/02 EC 8 T29N R18W PT SW NE BEING CSM 32 Block/Condo Bldg: LOT 01 LOT 1 4.108AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 08- 29N -18W SW NE Notes: Parcel History: Date Doc # Vol /Page Type 11/03/2003 44 24 2 677292 16/4285 CSM 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 37933 345,000 Valuations: Last Changed: 07/11/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.108 45,000 258,600 303,600 NO Totals for 2004: General Property 4.108 45,000 258,600 303,600 Woodland 0.000 0 0 Totals for 2003: General Property 4.108 45,000 258,600 303,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: Specials: User Special Code Category Amount 018 - RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 Parcel #: 042 - 1020 -50 -150 03/01/2005 10:11 AM PAGE 1 OF 1 Alt. Parcel M 08.29.18.115A -10 042 - TOWN OF WARREN Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner YVONNELUND *LUND,YVONNE 1050 110TH ST ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 32.512 Plat: N/A -NOT AVAILABLE SEC 8 T29N R18W PT SW NE EXC CSM 14/3813 Block/Condo Bldg: FKA 042 - 1020 -50 (115) EZ -U- 1566/624 EXC PT TO CSM 16/4285 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 08- 29N -18W SW NE Notes: Parcel History: Date Doc # Vol /Page Type 11/03/2003 745418 2447/424 WD 04/25/2002 677292 16/4285 CSM 02/28/2000 618892 1492/363 WD 07/23/1997 1050/610 WD more 2004 SUMMARY Bill M Fair Market Value: Assessed with: 37932 Use Value Assessment Valuations: Last Changed: 07/11/2003 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 25.270 3,700 0 3,700 NO PRODUCTIVE FORST LANC G6 7.242 21,700 0 21,700 NO Totals for 2004: General Property 32.512 25,400 0 25,400 Woodland 0.000 0 0 Totals for 2003: General Property 32.512 25,400 0 25,400 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 - 1020 -50 -100 03/01/2005 10:10 AM PAGE 1 OF 1 Alt. Parcel #: 08.29.18.115A 042 - TOWN OF WARREN Current ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 2 Tax Address: Owner(s): * = Current Owner RETIRED NUMBER ELLIS * ELLIS, RETIRED NUMBER Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 36.620 Plat: N/A -NOT AVAILABLE SEC 8 T29N R18W PT SW NE EXC CSM 14/3813 Block/Condo Bldg: FKA 042 - 1020 -50 (115) EZ -U- 1566/624 Tract(s): (Sec- Twn -Rng 401/4 1601!4) 08- 29N -18W SW NE Notes: Parcel History: Date Doc # Vol /Page Type 02/28/2000 618892 1492/363 WD 03/26/1998 575815 1309/136 QC 07/23/1997 1050/610 WD 07123/1997 862/203 more... 2004 SUMMARY This parcel will not get taxed. It exists soley Assessed with: W for parcel history tracking purposes. Valuations: Last Changed: 07/30/2002 Description Class Acres Land Improve Total State Reason Totals for 2004: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2003: General Property 0.000 0 0 0 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 ' Ilk , Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM count St. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary370niNo Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ❑ City ❑ Vil E] T n of: tate Plan ID No.: Ellis, Randall Warren Township s j.0 *� _ CST BM Elev. Insp. BM Elev.: BM Descriptio - Parcel Tax No.: z d i m 042- 1020 -50 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI L FS ELEV. Septic Q 2(�o Benchmark x.32 0 3 . 3 0 2 _ a s Dosing ✓rd Alt. BMC�) 4 / 01 0- 7 Aeration Bldg. Sewer (,) 6_,+0 7 "'7. 6d-7 [ Holding St /Ht Inlet C A d--t, 3 t v TANK SETBACK INFORMATION St/ Ht Outle TANKTO P/L BLDG. Vent to ROAD Dt Inlet Air Intake 22.30 �• Septic ?. SD r r NA Dt Bottom Q 2S. `{0 Dosing NA Heacl / Man). Aeratio NA ,D � I b Holding Bot. System yll'1 PUMP PHON INFORMATION Final Grade "r _+17 r Manufactures Demand St cover 01— K� - ?Ile RS 0 Model Number �ps ' 'GPM TDH Lift {7 7 Friction System b Z T H Ft . 3.� q3 6 Forcemain L gth Dia Z" Dist. To we �� fat 3.0 1o3. 1 �•''� S L ARSORPTIOWSnTEM A or p - ( }.20) ED width f Len th ( No. f s PIT No. Of Pits Insi a Dia. Liquid Dep h EN I N (a P a l IMEN 1 N SETBACK SYSTEM TO P/ L BLDG ELL KE / STREAM LEACHI nufacturer'. INFORMATION Type Of CHA R del Number: System: UNIT DISTRIBUTION SYSTEM i = . 3 t' �� x Hole Siz x Hole Spacing Vent To Air Intake Header/Manifold rr Distribution Pipe(s) e r [ 3 � � cr P u 9 Length - Dia. Z Length _�M*-&a. I /� Spacing SOIL COVER x Pressure Systems Only '�xx Mound Or t -Grade Systems Only Depth Over Depth Over xx Depth Of 0, � xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil Yes ❑ N ❑ Yes ❑ N COMMENTS: (Include code discrepancies, persons pre t etc.) f >70 n spection #l: Ins ection #2: o n Location: 1050 110th Avenue, New Richmond, WI 54017 (SW 11/4 NE 1/4 8 T29N R18W) - 082918115 max 1.) Alt BM Description= a,S''��d a • �^°"�� 2.) Bldg sewer length y - amount of cover = &ae"ne_, � - Dr v S� f c 4 - (�. 3.) contour = � 3, 6 S � S ' ��• U � � `{� !7�' !Y1 Z�Z �e ' y 4- 1W Plan revision required? ❑ Yes ❑ No Use other side for additional information. �J SBD -6710 (R.3197) Date VInspectoPS Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH ;... SANITARY PERMIT NUMBER: c �mw m� . n g q � 5 s ; .. i i r 'q x)5 A- , Sanitary Permit Application Safety & Buildings Division In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. �� See reverse side for instructions for completing this application PO Box 7302 ` *Ysconsi Personal information ma ou provide be used for second u Madison, WI 53707 -7302 Department of Commerce y p y purposes (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)] state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8 -1/2 x 11 inches in size. 7T tb=W Cou State Sanitary Permit Number ❑ Check if revision to previous application State Plan I. D. Number C��`�Z_ 33 ` L( I. Application Information - Please Print all Information Location: Property Owner Name Property Location " L�'�u j—t - 5LO 1/4 Y /4, S g Td (,N, R /J( W Property Owner's Mailing Address Lot Number Block Number 1 3 , 11 // Y 63 City, State 1, jA Zip Code Phone N Subdivision Name or CSM Number /// II. Type of Building: (check one) ❑ City 1 or 2 Family Dwelling - No. of Bedrooms: j �/ �' �' Y ❑ Village ❑ Public /Commercial (describe use):_ / j ;j Town of ❑ State - Owned tI t - E f � .� " Nearest Road 1p / Y— / CPU P 1 • Num (� u•, y 6 -• p III. Type of Permit: (Check only one box on line A. Chec n line ftpl' Yfle S. Z-9 A) 1. X New 2. ❑Replacement 3. ❑ Replacem Y c 4 5. 6. ❑Addition to System System Tank Only ' `j ! + ' Existing System B) Permit Number Date Issued ❑ A Sanitary Permit was previously issued IV. Type of POWT System: (Check all that apply) a, ` ❑ Non - pressurized In- ground ound ❑ Sand Filter ❑ Constructed Wetland ❑ Pressurized In- ground 0 Holding Tank ❑ Single Pass ❑ Drip Line ❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating ❑ Other: V. Dispersal/Treatment Area Information: 1. Design Flow 2. g (gpd ) Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals. /day /sq. ft.) (Min. /inch) ` Elevation VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks 1. - Jars ❑ ❑ ❑ ❑ lo?oa Cf 0006' <4' ❑ ❑ ❑ 1 ❑ VIIL Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS show the attached plans. Plumber's Name (print) Plumber' Signat a (nos MP PRS No. Business Phone Number Plumber's Address (Street, City, State, Zip Code) IX. County/Department Use Only ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Is uing Agent Signature (No stamps) Approved ❑ Owner Given Initial Adverse S�charge Fee) Determination �j aS CD p X. Conditions of Approval /Reasons for Disapproval: Akk ses� c w . w , { . � e�..n ea Q (( cry �� r� , d-SA ( - C - nwa - ext„� sQ�'F1Z M wJL `f " k SBD -6398 (R. 07/00) Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 lI scone n www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 05, 2000 CUST ID No.691727 ATTN: POWTS INSPECTOR I ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST - ST CROIX COUNTY SPIA PO BOX 74 <' 1 101 CARMICHAEL RD RIVER FALLS WI 54022 r - HUDION WI 54016 RE: CONDITIONAL APPROVAL PLAN PLAN APPROVAL EXPIRES: 10105/i1 i Identificati' hers t. % ") '� . Transaction ID N . 4394 7 SITE: 1 ` i C' J . Sete ID No. 200027 RANDALL ELLIS - RESIDENCE "' : i Please refer to both identification numbers, ST CROIX County, Town of WARREK H OTHI'SO 'above, in all correspondence with the agency. SW1 /4, NEIA, S8, T29N, R18W FOR: Description: MOUND SYSTEM / 600 GPD Object Type: POWT System Regulated Object ID No.: 765364 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. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. On page 2, the service frequency shall be 29 months based on the approved capacity of the proposed septic tank. 2. On page 3, as stipulated in the Wisconsin Plumbing Products Register for August 2000, the approved capacity for the specified septic tank is 1200.8 gallons, based on a 38.0 inch liquid level and a 31.6 gal. /inch volume. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely / DATE RECEIVED 09/28/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 TER PAGEL , PO PLAN REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266-2889, M - F, 0745 - 1630 HRS PEPAGEL @COMMERCE.STATE.WI.US cc: RANDALL ELLIS Safety and Buildings V isconsin PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 05, 2000 CUST ID No.691727 ATTN: POWTS INSPECTOR ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 , , T' 1101 CARMICHAEL RD RIVER FALLS WI 54022 '� s HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10 /0 ZOO + - Identification Numbers Transaction ID No. 43941`7 SITE• L "Site ID No. 200027 ST C AC)0( ` RANDALL ELLIS - RESIDENCE - Please refer to both identification numbers, ST CROIX County of WA ^t+rj ty, �jl�> 10'� c F FlCE ` � .., :above, in all correspondence With the agency.:, SW1 /4, NEIA, S8, T29N, R18W FOR: Description: MOUND SYSTEM / 600 GPD Object Type: POWT System Regulated Object ID No.: 765364 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. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. On page 2, the service frequency shall be 29 months based on the approved capacity of the proposed septic tank. 2. On page 3, as stipulated in the Wisconsin Plumbing Products Register for August 2000, the approved capacity for the specified septic tank is 1200.8 gallons, based on a 38.0 inch liquid level and a 31.6 gal. /inch volume. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely DATE RECEIVED 09/28/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 TE E PAGEL , PO PL REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266 -2889 , M - , 0745 - 1630 HRS PEPAGEL @COMMERCE.STATE.WI.US WiSMART,cod X76 4 ` cc: RANDALL ELLIS TITLE SHEET �_ - " " � Page of - 1 MOUND SYSTEM SEP 2 7 2000 FOR A L4_ BEDROOM RESIDEN ETY & E�_E+SS. mv. This plan has been r p epared in accordance with the Mound Component Manual SBD- 10572 -P and the Pressure Distribution Manual SBD - 10573 -P ( R . '- /a9) C• R. 6 1119 ) LOCATED IN THE Sw 1/4 OF THE P E 1/4 OF SECTION S ,T Z9 N,R 18 W, TOWN OF S tX COUNTY, WISCONSIN. INDEX CORRECTION NEEDED PAGE 1 of 7 TITLE SHEET SEE CORRESPONDENCE PAGE ®Of 7 SYSTEM MANAGEMENT PLAN PAGE<jZ�of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR PREPARED BY WEGE�ER SC3 I L . TEST I NG AND . DES I CCTV S1—=RV .I CE P.O. Box 74 421 N.Main St. River Falls, WI 54022 114 O)v Phone 715 - 425 -0165 `'... .... ' °•• .oij. d SC Fax 715- 425 -6864; f ARrmja L � WEGEREq 0.9t5 P P.O.VII.T.S. 6LLSWGRrH. Con itionally W PP R V D 4 �'SIGN 1 � ' � D ENT F CO M CE DIVI N F S TYA ILDI S Cl _.ZS. — SEE CORRESPOND NCE JOB NO. �� -� Mound System Management Plan page Z of 7 CORRECTION NEant to Comm 83.54, Wis. Adm. Code Septic Tank SEE CORRESPONDENCE The septic tank shall be maintained by an individ to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordan ith NR 113, is. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once e ry 3 years by i pection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridg ould n emoved unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enc osure. 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, Safety and Buildings Division. 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 for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG. 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] 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. Contikency 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 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 adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to the County Zoning office at llS- 386 -LASO or to the licensed plumber who installed the system. PLOT PLAN ✓ Scale 1 "_ 4p ' Page 3 of q 9.3 ti � o rJ vT C Otti1 P�C 6 SA �s'oF= IV -- 5 q Y 0 �C�t gs J 90' of y " �L e \ � �fBD2� WeLL O 1 ►y�'c12L�T Ltly E 0 F ? qy r�C CORRECTION NEEDED SEE CORRESPONDENCE 'F�, S_Pe�t MF°Mu NOTES: CPV'Ppce-0 l3 Z78 6 0 1. Elevations shown are existing ground elevations unless otherwise noted. o 2. Install 4" observation pipes with approved caps. ( 2 required). 3. Septic tank to be V - bo 1800 gallon capacity manufactured by /z sic eT our P1 L 4. Bench mark 8wt -� ioo.o o �v� iu VIVJE P1LTLII et- okj n3�JL 1N P)Ne� 5. Divert surface water around system to prevent ponding at the uphill side. Page .4 of 7 Approved Synthetic Covering Distribution i AST�i C33 o P Medium. Sand H G Topsoil ______ _ — J � - - - -, -- -- F Elev . Cl S . Q ' 3 E 0 - b S % Slope Distribution Cell of Force Main Plowed 2" to 2 Aggregate From Pump Layer D 0, S Ft E - Ft. CROSS SECTION OF A MOUND SYSTEM F 0.6 Ft. G 0. S Ft. A Ft. H 1.0 Ft. Linear Loading Rate= � •) GPD /LN FT B ti - t.o Ft Design Loading Rate= o- 31GPD /SQ FT j Vo Ft. J -S Ft. K 'E�5 Ft. A-tt Position L 116 Ft. of Force Main W Z ( Ft. +. - Observation Pipe � K " �:Distrib ution Cell of � to 2 2 Pipe aggregate Observation Pipe (Anchbr securely) PLAN VIEW OF A MOUND SYSTEM - i Distribution Pipe Layout P .Age S of Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45 ° f tring to a point within six inches of the final grade. Terminate the ends of the laterals with a valve,: threaded cap or . threaded plug. Provide access from final grade for the valve, threaded dap or threaded plug. V L T`t P 1 CTS L CROSS, _STIV 1_7 j ral pvc Manifold Lateral x x x x x/2 x02 x x x x Latent Lenatfi — Lateral Length — P Distribution Line soy F"' 1 r1t'(tlJ P Ft. Hole Diameter 1 n _. -.. S Ft. Lateral " In es) X 14 Inches Manifold _ 2 _ Inches Force Main " 2 Inches # of holes /pipe ZS Invert Elevation of -Laterals gS -S Ft. . � ��'S�0 ..�1 = 1p .Z.S x �l = y 1• � G p,� . _ - Combination Sept�c:Tank and y PLf-MP CHAMBER CROSS SECTION AND SPECIFICATIONS' PAGE . OF 7 NCUT CAP WEATHER PROOF JUUCTION 50% . 'i VENT PIPE APPROVED LOCKING 1 10' FROM DOOR. \ UHOLE COVER ;,01V *onNDOW OR FRESH ALR IIJTAKE '�� /Pr�tZTt6gi t . � � IB Mw. ---- - - - - -- I V IS'KIIJ. ---- - - - - -- a• PROVIDE I — -- 11JLET AIRTIGHT SEAL Approved tfl8�t �`- i I Approved joint w/ I II I joint w/ ALARM PVC pipe PVC pipe I II I I o1J C j I LL 8S s I C M FT PUMPS OFF � OFF D C0IJCRETE + pa 1 BLOCK ti _ • RISER EXIT PERMITTED OIJLy IF TAIJK MAIJUFACTURER HAS SUCH APPROVAL 6E00 SEPTIC E SPEC-IFICATIOUS DOSE TAWK P- t�D�+?sT �l RI`ZEP r S - r MAl IJUMESEA OF DOSES: 8 PER DAB TAWK SIZC: - -I`Z- 2 ! SOO GALLOAIS DOSE VOLUME z ALARM MAIJUFACT'UFLER: S_S, t�L cX1z0 S `tST Ig IAICLUDIIJG 6ACKIrLOW: � 77 - - IS -IS GALLONS MODEL wumbcm LO CAPACITIES: A= z1 I Oft L - 2, O GALLOUs SWITCH TSPE: _ N'1 cUR'`f 8= -7 - IW CHES -OR LLZ` )I G(1LLOA15 PUMP tVMUFACTURER: GOU'—C) S C: I u CHES OR X 3 GALLO Us MODEL IJUMBER: 38") I EP OS. D- INCHES OR - GALLOAIS SWITCH TYPE: t�l�+Z Z-K M OTE: PUMP AMD ALARM ARE TO 6E� g MIMIMUM DISCKARGE RATE - GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEIJ PUMP OFF A1JD..D15TR18UTIOQ PIPE.. FEET + MII,.IIMUM METWORK SUPPLY PRESSURE , ; , . , , . . , , , 6 -ZS FEET + is FEET OF FORCE MAIM X 3 ' 6 F /o pLFRICTIOU FACTOR - S Z FEET TOTAL M WAMIC. HEAD = FEET As As per manufacturer Z�.OS gal /in. Liquid depth �8'I Goulds Submersible � Effluent Pump 38 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. tic cover with integral handle Available for automatic and and float switch attachment Farms Motor: • EPO4 Single phase: 0.4 HP, manual operation. Automatic Heavy duty sump g P points. models include Mechanical 115 or 23 V 60 Hz, Float Switch assembled and duty • Water transfer ■Power Cable: Severe du RPM, built in overload with Dewatering automatic reset. preset at the factory. rated oil and water resistant. , • EP05 Single phase: 0.5 HP ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. ■ EPO4 Impeller: Thermo - • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING /4" maximum. • Power cord: 10 foot with pump out vanes for f � Capacities: up to 55 GPM. standard length, SJTO mechanical seal protection. SP Canadian StandardsAssociaUon y -btal heads: up to 24 feet. with three prong grounding Discharge size: l' /z' NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in "F' or "AC ".) rotar three ron roundin lu improved performance. prong grounding plug BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 1401(60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running ! i t,j` dry without damage to s 30 components. y Pump: EP05 8 • Solids handling capability: c 25 j %" maximum. w 7 • Capacities: up to 60 GPM. X 6 20 • Total heads: up to 31 feet. 2 • Discharge size: 116' NPT. Z 5 • Mechanical seal: carbon o 15 rotary/ceramic- stationary, _j 4 , s BUNA -N elastomers. 'E s • Temperature: ' 0 3 10 104 °F (40 °C) continuous ( , 140°F (60 °C) intermittent. 2 EPO4 5 1 �j1.0 �. 0 00 10 20 30 40 50 GPM L 0 2 4 6 8 10 12 M CAPACITY n IOg5 hnidric P'.— 1 — Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less tharft V2 x 1 i irkti3s a `size. P63M must St . C roix Include, but riot Umited to: vertical and ho" 'al al referent point (BM) „direction and Parcel I.D. 042 - 1020 -50 - 000 percent slope, scale or dimensions, no rf r w, and loca and distanceto nearest road. Please pri c.,(lnforig -� Reviewed by Date Personal information you provide may be 44 4r secondary purposes (Privacy Law, s. 1' .04 (1) (m)). — Property Owner — { C {° ^ 6 ZUUU P rty Location Randall L. Ellis o' ; 5 CROP x Go , La Sint v4 NE 1/4 S 8 T 29 N R 18 Axor) W Property Owner's Mailing Address \ # Block # Subd. Name or CSM# 1221 St. Croix St. \ :oni`�<a�t E iCE ”` ' a na na City State Zip Code L1_ � ,o' El City ❑ VAlage ® Town Nearest Road Hudson, WI 54016 ( 8 if Warren 110 th. st. New Construction Use: ® Residential / Number of bedrooms 4 _ _ Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or cwnmerdal - Describe: Parent material $la i a 1 drift Flood Plain elevation if applicable fl• General comments and recornmendallons' mound system el. 95.75' based on contour line of el. 94.75' p Boring Boring # ® Pit Ground surface elev. 95.25 ft Depth to limiting factor 40 in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDIft? in. Munsell Qu. Sz. Coat. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -9 10 r3/3 none 1 2 mf 2 9 -22 7.5yr4/4 none scl 2msbk mfr Cfw if .4 .6 3 22-40 7.5yr4/4 none sl 2msbk mvfr 4 40 -65 7.5yr4/4 c2d 7.5yr5/6 scl 2csbk mfr na I , ? etc) M2 Boring # Bones 95 .25 ft. Depth to limiting factor 50 in. � - ® pit Ground surface elev. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Efl#2 1 0 -17 10 r3 3 none I 2mghk Mfr 9W 2f .5 2 17 - 10yr4 /4 none sicl 2msbk mfr aw if 1 .4 3 36 -60 7.5yr4/41 none is 0sq mvfr cfw na .7 4 0 -90 7.5 r4 4 none " Effluent #1 = SOD > 30 1220 mg(L and TSS >30 150 mg(L #2 = BOD < 30 mgfL and TSS < 30 mg(L CST Name (Please Print) Signature CST Number Gary L. Steel 02298 Address to Eva Telephone Number 1554 200th. Ave., New Richmond, WI. 54017 9 -7 -2000 715 - 246 -6200 1 • t • Property Owner Randall L. Ellis Parcel ID# 042- 1020 -50 -000 Page 2 of 3 Boring # El Boring ❑ 3 Pit Ground surface elev. 92.25 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/If in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 'Eff#2 1 0 -16 10 r3/3 none 1 2msbk mfr crw 2f .5 2 8 2 16 -34 1yr4 /4 none scl 2msbk mfr gw if .4 .6 3 3A-6017 . 5 r4/4 c2d 7.5 r5/8 sil 2msbk mfr qw na .5 .8 4 60 -77 7.5yr4/4 c2d 7.5yr5/6 sl 2msbk mfr na na .5 .9 F] Boring # ❑ Boring E] pi Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 F Boring # ❑ so" ❑ Pit Ground surface elev. ft. Depth to limiting factor. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD > 30:E 220 mg/L and TSS >30 < 150 mg/L ' Ettluert #2 = BOD, 530 mg/L and TSS 530 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 altemate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SBD4330 0"=) I STEEL'S SOIL SERVICE Gary L. Steel Randall L. Ellis 1554 200th Ave. CSTM2298 SWgNE4 S8- T29N -R18W New Richmond, WI 54017 MPRSW -3254 town of Warren (715) 246 -6200 'IN ✓`1" =40' top of nail in pine tred C el. 100.00 4,1t. BM.= top of nail in pine tree C el. 102.25' go ry i h re C,7 z A , Gary L. Steel 9 -7 -2000 4 ' J ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Mailir..g Addres,: 3 �_ f A/ V y, Prop'. ty Addr -,!i,� 1 65 - 0 I o IrC. K (Verification required from Planning Department for new construction) 6 Cityf;;tate ..-' Parcel Identification Number of Y ;7 L � Srx IM Pmpi:. ty Loy :a ar: n S ',.�, tiF_ !/, Sec., TN -RW, Town of Subc.; vision _.• Lot # Cerfl,. led Sur ri map #, ' . 'Volume . Page # War..t; :inty D e # 6 6' e Volume � . Page # S Spec :Louse 0 fires 10 no Lot hues identifiable yes 0 no : I�purol?e rt r,•s' *nd 1ananoeof your septic system cold result in its pzcmawre •failure to handle wastes. Prqpqmaiptlsuance consist" of pump ,r:11:; o ut the -septic tank every three years or sooner, if needed by a licensed pumper. w7nt you put into tom: System can of [ ;;et the f ux l »n of the septic tank as a treatment stage in the waste disposal system. The pr:o s; liy owner alters to submit to St. Croix Zoning Department a certification form, signed by the owzw � by a mast a<;Jlumber cneymanplumber, restrictedplumberora liceisedpumperverifying that (1) the on -site wastewateirdispc .system is in p r )per ope;r:,ti; rg condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than W filu off: kludge. I/we,.� .e undersi,p:'od have read, the above requirements and agree to maintain the private: sewage disposal system with the i . tandards set fail :m hereui a.. !wt by the Department of Commerce and the Department of Natural Resources, State of Wisconsin Cer ication s our - .p'3ie system teas been maintained must be completed and returned to the St. Croix County Zo nin g bffrce •widlin. 30 days ti • •.'�"" CXprratra'l date. �JJ M III � i � .,iia • ��: S I . PL YCAN'1 , ATE QVV h,EI Cl�•�;,'� :T �CAT? ' :� . I (we),c that all.ctatesnents on this form are true to the best of .my (our) knowledge. I (we) am (ardi .the ov:�t r(s) of the pie perry de;ssc ri :Jed above, by virtue of a warranty deed recorded in Register of Dccds Office. Wj i DATE •'��`" �' ` Any inf = — nation that is mig- represented may result in the sanitary permit being revoked by the Zoning Ael,arune*.: * * *W* " Iri.f [ude with V applieati Do: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed E0 30Vd ti /G TT :7T aaa7 /r-T cr/ca r yv1.149?PAcf 363 STATE BAR A� a� OF WISCONSIN FORM 2 - 199g s 61 88 92 WARRANTY DEED : rHL E i N II. WOLSH Document Number Ri7j' OF D Fl J)9 This :Deed, ade between Anae T. Kurkowski W ]: RECEIVED FOR RECORD 9 :3) AM Grantor, an i'L. EMS 5,� / WARRANTY DEED EY^IG? Ii CER? COPY FEE: COPE FEE: 7RAYSFER FEE: 390.00 Grante RECORDING FEE. 10.00 e. PAGES: I Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin; [201 R c: gs ` Na Return Address st F Bank i SStreet dso 042 IO20-50;042. 1020 -60 Panel Identification Number (PIN) This homestead property. (is) (is not) A parcel of land located in the SW V4 of NE' /. and the SE' /. of NE' /, of Section 8, Township 29 North, Range ] 8 West, Town Of Warren, St. Croix County, Wisconsin described as follows: Commencing at the East quarter comer of Section 8; thence N89 °33'40" W 14.33 feet along the East -West quarter section line to the Point of Beginning; thence continuing N89 ° 33'40 "W 2596.46 feet (along said East -West quarter section line) to the SW comer ofthe NE' /. of Section 8; thence N00°07'05 "E 1198.04 feet along the North -South quarter section line; thence S892 1'13"E 1704.33 feet to the West line of that Certified Survey Map recorded in Vol. 12, Page 3344; thence SOO 1948 "E 1125.95 feet alon said West lin 893.10 feet along the South line of said Certified Survey Map; M thence S08 °30'57 "W 66.66 feet to the point of beginn ng. Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this IT 2 V II day of / r "O i 2000 — . Anne T. Kurkowski AUTHENTICATION ACKNOWLEDGMEh"T STATE OF WISCONSIN ) Signature(s) ) ss. County.) _ Personally came before me this day of authenticated this_ day of .h • 2000 the above named Anne T. Kurkowski TITLE: MEMBER STATE BAR OF WISCONSIN _ (Ifnot, to Ffe / wal�9pethe person(s) w xecuted the foregoing authorized by § 706. 1% Wis. Stats.) / iast c ¢sid.e� pwledg h e, r 17 THIS INSTRUMENT WAS DRAFTED BY � David J. Estreen ' vi, Hudson, Hudson WI !g �Ibllc, State o s nsin (Signatures may be authenticated or acknowledged. Both are not ssign is anent. (I not, state expiration date: necessary.) �� . Ad a *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY OBEO STATE BAR OF WISCONSIN FORM No. 2. 191E INFORMATION PROFESSIONALS COMPANY FOND OV LAC. WI ao0. 655.2021