Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
042-1068-60-000
0 co 0 n N 0 3 n d °c m c 1 0 ° CD K (D a c CD 0 CD 3 c (/) Z N z O W W N 0 0 0 0 W 0 O C O O O O 0) cn O A o CL _) cn CD m -4 3 Z m w 1 . CD O '� N 01 _ 7 0 M 1 N N 7 (D > > fD j CA (D '..I W 00 O N O COD m o r N _ i 0 W n'C O O -� 7 ]• CD CD 7 7 CD � 0) O ' O 4 p � CD o o Cl) : v 3 D p V A _ 3 o �D 7 fA CD C) G (� C A fA C CD m n Z D a °� v D a o CD D `n a u. CD 0 d V -p 0) p r 00 A N 3 c O � A O— �_ C' ) Zn N 0 � fn _ � A N NO ... C1 r to CD o 0 0 o CO o o c CY CD a Z O O O O O O Q 0 0 -i o -a -4 -4 �n 3 t/Q _� Nrnto� titoN� m N T W G O a. cr CD Fy N r A /D N W Cn 90 Cr A ty 0) tD rr CD 01 f D G A O Oa (V N d m 3 c w a N O 3 to Z -. rT =' D D o D co o O O c a 0 \r O !ri o m a m N !wl N N O C �M C C (D CD v w (D I (D CL Q 3 3 7 Z CD CD CO ' 2 CD � Z O 0 O A ,) O O M -{ N W W m cn zt co CD C1 zt Z 3 : C - Z M 00 N H Z _ CD CD A A p) G7 CD o D 3 = D f 3 f7 S C N G 7 d CD �p O n 0 fD 0 fD 0 ,G N z C. z G. — CD O 0 Cn O = 0 3 m "'o m Z N , 0 N O CD O y 70 G= ( y CD > > ~ Cn CD `O 3.0 m _ N C N wv�3 y p Cn (n F O 0) C to ' G - o o• I 3 , I a a 01 O O c O 7 a .+0 p (D fD CD O )v n 7 ? V N Z U) A 0 0 N CD CD Gq O T W (A O Hi O �' V CD p CD p CD '0 CD O L O 0. ti 1 Form -STC- 104 � r AS BUILT SANITARY SYSTEM REPORT OWNER rff-� TOWNSHIP SEC. T � N -R W ADDRESS �T ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT �- LOT SIZE l0 Cclii.QQJ PLAN VIEW Distances and dimensions to meet requirements of I•LHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM d� isXhr �V z3 9' 1 9S, /B Jhc/ 96, fie" > So' INDICATE NORTH ARROW lIi BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: t /dO,.O Proposed slope at site: �r SEPTIC TANK: Manufacturer: CV.Ce45 Liquid Capacity: Z Ito T Number of rings used: '21 Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Num�er of feet from nearest Road: Front,�V Side 1 0 Rear, O 7 AIQ feet From nearest property line Front,O Side, Rear, O ��Q' feet Number of feet from: well > ,5)0 , building: Q (Include this information of the above plot plan)( 2 reference dimensions to septic tank) ' S EE REVERSE SIDE PUMP CHAMBER ~ Manufacturer: Liquid Capacity: Pump Model: Pump /Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O Side, O Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: ✓ Trench: Width: ,Z Lenth: Number of Lines : Area Built: Fill depth to top of pipe: /8 Number of feet from nearest property line: Front, O Side, &-11bar,o /OO i Number of feet from well: > Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, O Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: �1 Inspector: �- job: Plumber on Dated: �/ �? j License Number: �� g 3/84:mj J DEPARTMENT OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O: BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 xI Stan CONVENTIONAL ❑ALTERNATIVE (ifasilanl.D.Number: 111 assigned) ❑ Holding Tank ❑ In- Ground Pressure ❑ Mound ke W OL,)t .ar- 1 NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: d iia a.icir.c INSPECTION ATE: ^I6o Wee Bit 0 Heaven, River Falls, WI 5402 vT - � T r� BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.. NE NE, Section 25, T29N -R18W, Town of Warren Name of Plumber: MP /MPRSW No.: County: Sanitary Permit Number: David Fogerty 3289 St. Croix 88463 SEPTIC TANK /HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: DYES ❑NO ❑YES ONO BEDDING: VENT DIA.: VENT MATE HIGH WAT R NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET DYES ONO ❑YES ❑NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY. PUMP MODE L. J PUMP/SIPHON MANUFACTURER. WARN I NG LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO ❑YES ONO I ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL NUMBER OF PROPERTY J WFLL BUILDING. J VENTTOF ESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) 1 DYES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (if soil can be rolled into a wire, construction shall cease until FORCE MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTFFF��� LE NG H //// NO. OF DISTR. PIPE SPACING. COVER INSIDE DIA. *PITS LIQUID BED /TRENCH : r / TRENCHES MATERIAL' PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH IDISTR.PIPF IDISTR. PIPE IDISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY WELL BUILDING: V NT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET. ELEV, END. PIPES. FEET FROM LINE: AIR INLET. NEAREST---- MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. [DYES ONO OIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS DYES 11 NO 1:1 YES ❑NO DEPTH OVER TRENCH /BED DEPTH OVER TRENCH /BED DEPTH OF TOPSOIL: SODDED SEEDED MULCHED CENTER: EDGES: OYES 1:1 NO OYES ONO OYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH: NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER. BED /TRENCH TRENCHES. DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. DISTR DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.: ELEV.: DIA.. ELEV.. PIPES DIA.: ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING' . DRILLED CORRECTLY COVER MATERIAL. VERTICAL LIFT CORRESPONDS TO APPROVED PLANS. ❑YES [__1 NO OY ES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY ELL: BUILDING: Il i FEET FROM LINE: W 1:1 YES El NO DYES ❑NO N Sketch System o 2 - (y Retain in county file for audit. t3� Reverse Side. V SIGNATURE: TITLE. DILHR SBD 6710 (R. 01/82) DILHf� S ANITARY PERMIT APPLICATION Cou T In accord with ILHR 83.05, Wis. Adm. Code '.K,.. �.. a� STATE SANITA Y PERMIT # 9 3 — Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I.D. NUMBER 8' /z x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES ❑ N o PROPERTY OWNER PROPERTY LOCATION Aj,06 f2 .1 ' nf E '� '�4, S T , N, R18 E (or PROPERTY OWNER'S MAILING ADDRESS cr LOT NUMBER BLOCK NUMBER SUBDIVISION NAME W ee Bit 0 Heaven CITY, STATE WT 1 ZIPCODE PHONE NUMBER 7n CITY NEAREST ROAD, -6� 8R '�+ ^"++e+.::W ❑ VILLAGE : 1 50th St. II. TYPE OF BUILDING OR USE SERVED: / d ca_ "6 Number of Bedrooms if 1 or 2 Family_ 3 OR ❑ Public (Specify): Ill. PURPOSE OF APPLICATION: (Check only one in ##1. Check ## 2,3 or 4, if applicable) 1. a. F11 New b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner /building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in ##1 and only one in ##2) 1. a. ® Conventional b. ❑ Alternative C. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In -Fill Tank k V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ® Seepage Bed b. ❑ seepage Trench c. ❑ See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): 32 1 104 1 104 95 . 2 ' Feet Q Private ❑ Joint ❑ Public VI. TANK CAPACITY Site in gallons Total ## of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New xisting Gallons Tanks Concrete glass App. Tanks Tanks structed Septic Tank or Holding Tank 1 -- 1,000 1 WEEKS CONCRETE g] F El Lift Pump Tank/Siphon Chamber ❑ ❑ ❑ ❑ Li VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name (Print): Plumber' Signature: (No Stamps) MP /MPRSW No.: Business Phone Number: David B. Fog Plumber's Address (Street, City, State, Zip Code): Name of Designer: Fo(T Hcfts. Rd. Roberts WI 54023 D.B. Fog VIII. SOIL TEST INFORMATION Certified Soil Tester (CST) Name EPhone 233 CST's ADDRESS (Str et, City, tate, Zip Code) ber: Fo ert H ts. Rd. Roberts WI 54023 3656 IX. COUNT Y /DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature (No Stamps) Approved ❑ owner Given Initial 41 Surcharge Fee Adverse Determination W , X. COMMENTS /REASONS FOR DISAPPROVAL: SBD -6398 (formerly Plb -67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT - APPLICATION ' TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. Anew permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed - rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD 6399) to be submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper Whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608 - 266 -3815. To be complete and accurate this sanitary permit application must include: 1. Property owner `s name and mailing address. Provide the legal description where the system is to be installed; IL Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; 111. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1 -6; VI. Tank information: Fill in the capacity of every new and /or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift /siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County /Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains /water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. - - - - -- ------------------------------------------------------------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the resc.,lt of over 2 years of steady negotiation and public debate. The groundwater bill Groundwater included the creation of surcharges (fees) for a number of regulated practices which wisco Wn o can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried Te35tIfe' is used in your building is returned tc the groundwater through your soil absorption o , system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater f_;nd adm ° terer; by the Department of Natural Resources. These fun s a e used for r onftot;r:k grouri:')- t v fter, groundwater contamination investigations and est< bhs ,,m rt cjf standards: ,Gruundwat; Ws wortf, protecting. ':3D-6398 ;H.03.186) APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor, ( "spec house "), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of Property S Location o Proper y �E T , Section S , T N -R / W sr NE a a a Township _ �?k CAI Mailing Address L ee° Ad r- Address of Site _ l� CR 7 r Subdivision Name .Lot Number Previous Owner of Property Total Size of Parcel So Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume 7 and Page Number X0/0 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING A Warranty Deed which includes a Document number volume and page number and the Seal of the Register of Deeds In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATIO I (We) eenti.6y that a.tt statements on thin 6 04 m ah. tliue to the beat o6 my (oun) hnowtedge; that I (we) am (ahe) a (.$) o6 the ptopWy ducAi.bed in thiA .in6o4mation 6onm, by viy tue o6 a nded in the 066ice o6 the County Regizten o6 Deedaas Document No. j 5ga 9,6 ; and that I (We) pnebentty own the pnopoaed bite bon the .sewage diApoe dy6tem (on I (we) have obtained an easement, to nun with the above de cAibed pnopehty, bon the con6tnucti.on 06 said .6y4xeM, and the tame has been duty %econded in the 065ice o6 the County Re9i,6ten o6 Deeds, ae Document No. ). SIGNATURE OIL OWNER SIGNATURE OF CO -OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED FROM yoE OISK Of 0— JAMES O'CONNELL Register of Deeds Box 226 Hudson, WI 54016 'ind 10 copy l,-, coat rac.!, e blit th'at 1-0 till"O'l "I oe)�, recedive. on �,.. whell dc-, 1 s 7 r .i .. r �* 0 'i�ibi rr M. x 9 3. an I C I Tax >ls�i Mw ' 'QE I* cot Section 24-2014104 29 vwth ;w4maii; and tie oaf Ph Oat` the w i wast of 10 , ac roE •;3t3w ocres, sislc+o a leas. f } < } ' w L Tp .... rev•, t * y . ¥ � � Eis .stet) •^-�- v " � �� ,� fo " the y to pay to Vendor at .... ..... .. " ....... m td Uowiag saansr: (s) ;�i9aeMallii aW ;fact: and (b) the bponae of =...1?a50D•QD ..... ........ together wlgt ' eding tram time to =tione at the rate of. .. .: yP of Jaigxwy 1, 100. �w> J` )4MMdriri. yollileoi� the eotire ontatandiag barasee Awn be paid in full on or ..., «.:.:...., 19AD - ( the saturAy date) • ' " alp defarlt in payment, interest shall accrue at the rate of % per anwass an tbo � r ' (whialk AM include, without limitation, delinquent interest and, upon excel ration or satailty. ^ ftetOww union around by Vendor, agrees to pay monthly to Vendor amounts s fficientlu 1�7 annual, ssmes, pileial aseannents, fire and re phvd insurance premiums When due. o the etittent reeaived . , O'af4 to apply pa"ients to tbese oblig*igm when due. Such amount& receiv by the Vendor: for " iamraaa trill be deposited into an escrow fund or trustee t, lout ebait not boNr taitss_ etiiMYwMa re�ed b law. - ;{ € 1ra�ne�a ebal! be applied first to interest on the unpaid balance at the Irate s lied and tban to °, 'ps prepdd without rremium or fee upon principal at any time ,after.... A....... 19 it !be sMw�t r� any prepayment, this contract hall not be treated �tcd i. i 'defau ith respect to PaynMMlt !; n an an ,,.id plants of principal, and interest (an.6 in such ca,e accruing interest from onth to montl�.rlf as unpaid principal) is less than the amount tLot Sid indel,tedne:4% would haue been ad the monthly pa trade as Brat specified above; provided that monthly payments shall be continuq.d in the event of credit of sty ' )t of insurance or condemnation, the condemned premises being thereafter excluded here' om. Purchaser states that Purchaser to satisfied with the title as show a by the title a idenee iubmittM to Ace atlgpwatie4 eanpt: rexstricticxtr, tents and .x KffiantQ jof rc A#Vhasers f;tlrtll k e PeMitted to 941 Or assign the pzbp'erty or assign ails land o0ttract without Moller's Perms i. PifrthaNr-soron to pay the east of future evidence. if title ev.denis is in the form of an abKfae�r�:1 (, M rrtafnrd by Vendor instil the fall purchase prial paid. P the Property on r .. �- . Parera�er shall be sntitle to take osaeasion of *'Croy Out On,. >�i aTA VU r ■ t �~ - �'`���• «' ...r+••"`.suY. � ' - • ...3� -+" .��,,�, � ail. � r» y�x., psi......- -w•""' t l «.«... e• i •! „a, !�' _ r 4 1 f w � es ( ) ei is '. fir" of .- ... 4 TA Ah Y; do fNMy► at str M!" �iaiit ��w,►tths iU � w . 6 ro for dw fir b {fkaat: ° ,n�Mt or writtaR da iu liciptso�t «ll.a vaa80r :i aad wlrn►rtwwl� se ll be to 416ofm a be AJ took at da v tAia now af`MEN oft aoki v says Say Now _' rrhea aRT ;bo bwo < x ids wtt rtiq► � M W ie as *weir . •+. , b h' w omwou a Olt its + � a ................. .. ... . .... _• ..... • 1tE1 fC 11T� O lt . i a ( • ..M tha mCM . st y WOW .� «* t " """`..... r^t DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1 -1988 TNi. [ /AC[ W[[[NV[D FOR ll[COIIDINO DATA WARRANTY DEED 42.1 _'78 7PAGE�56 Fnn� r REGaSWRS OFHCE _. ST. C ROIX 00., W IS. "�. This Deed made between .. arlene W . O' Connell, a -- ---- -- __person, __7 /9th interest and Marlene W O' Connell Reed• for Record this -- ---- - - - - -- -- Feb 87 gu?x all- o....Patr Patrick 0' Connell, a minor 29th interest,_ y - __ 19 ...... .... - •------------- - - - - -- ------- - - - -- . Grantor, t 3: 30 P M. _ and George - S,._ wman 0Ad_ Barbara_ A. Bowman huband -- and_. wife,__ as -aoint_.tenants _, ........ _____ ___ ------ --------- - -- ------- --- - - - - -- MMer at Md� ...... ....................... ........ .._... - . -... - ....... .............. - - - - -- Grantee, Witnesseth That the said Grantor, for a valuable consideration_ - -_ -_ conveys to Grantee the following described real estate in _._ St _Croix _ RETURN To C. M. Bye County, State of Wisconsin: P. Bo x 16 Rix._F1.1� _. .... ...... Tax Parcel No: ----------------------------------- SZ of NE', of NE, of Section 25, Township 29 North, Range 18 'Kest, consisting of 20 acres, more or less and the N`'zofN z of SE- of NE', of Section 25, Town- ship 29 North, Range 18 West, consisting of 10 acres, more or less, for a total of 30 acres, more or less. This deed is given in satisfaction of a Land Contract between the parties dated November 30, 1984 and recorded with the St. Croix County Register of Deeds as Document Number 398226 in Volume 701, Pages 360 and 361 of records. Grantor further warrants that on November 21, 1984, Kelly O'Connell and Polly O'Connell were 18 years of age or older. TP ANSFER s-b FEE This .... ..is not ... homestead property. )tli (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And ...... rantor .......... ..................... - - -- - ---- - ............ .. .............. ... ....................... warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and covenants of record, i and will warrant and defend the same. Dated this - --- -.. - -- -;j� - day of January , 19. _. 86 /J� --------------- ...(SEAL) 1e0 C�l/ (SEA J) nnell; _iiii ividiaaTly anc * ........................... -...................................... -as --- ( hardian_of.Patrick.D:.Connell,. a minor ---------------------- ----------------------------------------------- (SEAL) - - - - - -- -- • -• - -- .... .... ...... •-------- .. - -• -- ................_. (SEAL) i * * -------------------------------------------------------------- I I AUTHENTICATION ACKNOWLEDGMENT j Signature (s) ........__._•__•--••--_----_ •..__---- _•____ ___________• ---- STATE OF WISCONSIN ,i ss. . •••• .................••...................... ......_..._.................... .........Co rJ X .............. .. ..County. �! authenticated this ........day of ........................... 19....__ Personally came before me this __._? day of January ......... ............ 19 - - — _ the above named •. .................................. . ............................................. Connell *,--------- - ------ - - - - -- ---- - - - - -- --- •---- •----- ....... pt6 6 j - ' H . x - a STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT Ho St. Croix County z OWNER /BUYER Z Ale e// M ROUTS /BOX NUMBER ( Z & Fire Number .CITY /STATE 111VeR Y & S ZIP PROPERTY LOCATION:, �, Section �S , T N, R ,v a�Nz s �' l✓'F # Vz,,(g(f 0Z's- Town Wf A f , St. Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper What you pdt into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. 0 I /WE, the undersigned, have read the above requirements and agree z „ to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart - b ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Offkpe within 30 days of the three year expiration date. SIGNED %����;/'Ih (0 DATE St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715- 796 -2239 or 715- 425 -8363 Slan. date and return to above address. _ x . cn STC - 105 r a H SEPTIC TANK MAINTENANCE AGREEMENT o St. Croix County x d / I a OWNER /BUYER CT oeq &aftrra fz & ROUTS /BOX NUMBER d �f,:5 OX L Fire Number L" �O .CITY /STATE y - / zL In / 'e, c c"Y/.s %✓ ZIP S y4'Zb PROPERTY LOCAT - 4 � � 1 —L'— , E It, Section T Z7 N, R %8 W. Town, of !QRReA1 , St. Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper What you pdt into the system can affect the function of the septic tank as a treat- ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, ,journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. H 0 I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart - ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning a within 30 days of the three year expiration date. , J /7 SIGNED DATE .3 0 St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715- 796 -2239 or 715- 425 -8363 Sign, date and return to above address. APPLICATION FOR SANITARY PERMIT STC -100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor, ( "spec house "), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property C 0 a- ".:P, O c:e.11 1 ?- Location of Propert� Z 4 1 4I Z- 1%, Section s' C20 , T z � N -R W Township (.1/Z (T Al �q Mailing Address x Address of Site r� 'Y--s, l �SGoiyJ4 -,l Subdivision Name .Lot Number Previous Owner of Property / a�E' /,0 CC/V/V1e , 0 ` Total Size of parcel Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume_ i._ . and Page Number l�6 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING A Warranty Deed which includes a Document number volume and page number and the Seal of the Register of Deeds In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPERTY OWNER CERTIFICATIO i (We) centi.6y that a.tt statements on thi.6 601Em ane trcue to the be-6t 06 my (oun) knowledge; that 1 (we) am (ane) the owneh (,$ o6 the phopen ty dens cA ibed in this .in6onmation 6onm, by vi tue o6 a waA arty deed neconded in the 066.ice o6 the County Regu ten o6 Deedsass Document No. and that I (We) pnesentty own the pnopos bite bon the a ewage di6pozat d y z em (on I (we) have obtained an easement, to nun with the above deacnibed pnopeAty, bon the conbtnucfiion o6 aai.d eyb.tem, and the tame has been duty neconded in the 066.ice o6 the County Reg.i.a.ten o6 Veede " Voeument No. ), IGN OI► SIGNATURE OF CO -OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED REPARTal1EkT OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS INDUSTRY, DIVISION LABOR AND P.O. BOX 7969 HUMAN RELATIONS PERCOLATION TESTS (115, MADISON, WI 53707 (H63.09(1) & Chapter 145.045) LOCATION SECTION: / OWNSHIIP /MUNICIPALITY: OT NO.:BLK NO.: SUBDIVISION NAME: COUNTY: O NER'S BUYER'S NAME: MAI LI N ADDRESS: T USE DATES OBSERVATIONS MADE I NO.BEDRMS,: J COMM R IAL DESCRIPTION: NS: I P OLATION TESTS: �esidence 3 [New ❑Replace 0 O RATING: S= Site suitable for system U- Site unsuitable for system ' ONVE1VTlAL: MOUND: 11U IN-GROUND-PRESSURE: S S LJ J -I N -FILL HOLDING T � COMMENDED�YSTEM:loptiona� U If r E PPerrcollation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.1163.09(5)(b), indicate: �j/ Floodplain, indicate Floodpiain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GR UNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTU , AND DEPTH NUMBER DEPTH IN ELEVATION OBSERVED HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- B S' f �� P l w 7 "&y A" B- Z 3 97, >� -� / ? .3.8z. B- 3 97 3 7 ' w o B D . L 7/ 2' �� a z2 B .7 f 8 PERCOLATION TESTS �• _ = 1. 4 P r . TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL- INCHES RA TER INCH ES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. 1 I P- P- 2 24 i O P- P. 1 . I le, .z PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indite scale or distances._ Describe what are the_hori- i� r [ Ntl kV ' f � � W 1 N { i • r � o � o ° 0 i Q I i a Q � f D c Nr O i /* f Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 370372 I Permit Holder's Name: ❑ City ❑ Villa e [] T n of: State Plan ID No.: Bowman, Geroge warren Township CST BM Elev. Insp. BM Elev.: BM Descriptr : Parcel Tax No.: a s ` 042 - 1068 -60 -000 TANK INFORMATION ' ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic �(yU Benchmark 4 V Alt. BM A �fe Gov Holding St / Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P / L WELL BLDG. Air I to ROAD Dt Inlet L 9 Air I ntake I�Mtr},�.._ � �rL T' / / Septic w; ,�y '>2- Z NA Dt Bottom 3. 2 C'-' � Zoe/ S� ± 2 y � NA Header I Man. C �� 3. Q Z �os!w >;,>(9.d' } 200 Zoo' NA Dist. Pipe 12 q� P3 Holding Bot. System 3•"33 y'o, z z P / SIPHON INFORMATION } �3 L Final Grade 3Z ; Manufacturer/ Demand St cover 3 �(J, 1 f op Model Number GPM �� TDH Lift Friction System TD ZFt Loss Forcemain T Length La 1 1 Dia. Z << Dist. To well rQY S ZoLk 7f' SOIL ABSORPTION SYSTEM BED/TRENCH Width , Length No. OJT enches pl No. Of Pits Inside Dia. Liquid Depth D IMENSIONS 10.0 DI E SYSTEM TO P/ L BLDG WELL LAKE/STREAM I Manufa SETBACK CH ER INFORMATION Type O o er: System: Loo` 7 2, - )j / �Zo � �- UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s)� l / / x Hole Size r x Hole Spacing Vent To Air Intake Length _a_ Dia. Z Length Yt Dia. _ Spacing Z SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed / Trench Edges I Topsoil ZYes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Vef Inspection #1: 3 /& /6 / Inspection #2: // l d2 - Location: 746 150th Street, Roberts, WI 540 23 (NE 1/4 NE 1/4 25 T29N R18W) - 25 91838 A 1.) Alt BM Description = (e, cm o �0 � 5") 5 4 C9c1c/ / 2.) Bldg sewer length = '75 Secbfra L cr� ,��.c.? cc (ir - amount of cover = 71 e (Zo4 oK I ar p� Could hOt G { DwT f°✓ iks�GCl %�►�) Y S TF 3.) contour = Q -1. Z pe r pP "'7 9 cC ( Ca /S 5� u/lie—S lu cre, e s 6 - Plan revision required? ❑ Yes No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's s Cert. No. t ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: g A _4 T__ � c € I t { tt � _ '� - 12�p I C � �m�n- ns-► -. . Q6WLr5 - CA i ts . .......... g E g 3 i ACC— v1.tEnJ ( �S KA Sanitary Permit Application Safety &Buildings Division St. 201 W. Washington Ave. In accord with Comm 83.21, Wis. Adm. Code PO Box 7302 Nv isconsin See reverse side for instructions for completing this application Madison, WI 53707 - 7302 Personal information you provide may be used for secondary purposes (Submit completed form to county if not OeptirYmentof:Commerce (Privacy Law, s. 15.04(l)(m)] state owned. Attach complete plans to the county co onl the mN'_ on not less than 8 -1/2 x l I inches in size. �� State Sanitary Peumber r revisrn rmit N to pre ' application S e Ian I. D. Number ` 3 2- I. Application Information - Please Print all Informa Location: Property Location Pro rty Owner Name f; N 1/4 JV 6/4 S Ta 'QS9� Lot Number Block Number Property Own s Mailing Address ! ST CROIX N 74 i COUNTY N City, State Zip Code � � CE Subdivision Name or CSM Number o ❑city K ype of Building: (check one) �1 - -' 13 Village 1 or 2 Family Dwelling - No. of Bedrooms : Town of Y � � ublic /Commercial (describe use):_ ��. C .p V_ ❑ State -Owned Nearest Road C u + Parcel Tax Numbers) aA aS aq . IT, A ATYP of Permit: Check o 1 one box on line A. Check box on line B if a licable 5 6, O Addition to 1. ❑ New 2. eplacement 3. ❑Replacement of 4. Existin S stem Tank Onl S stem stem Date Issued Permit Number 103 San Permit was previously issued IV. Type of POWT System: (Check all that apply) Q Sand Filter ❑ Constructed Wetland ❑ Non - pressurized In- ground Q�vlound r �❑ oldin Tank ❑Single Pass ❑Drip Line ❑ Pressurized In- and g ❑ At de 0;t ❑ Aerobic Treatment Unit ❑ Recirculatin ❑ Other: V. Dis ersal/Treatment Area Information: 1. Deign Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Percolation Rare 6. System Elevation Elevation rrdc Required Proposed Rate (Galslday /sq. ft.) (MinJinch) VII;') Tank Capacity in Total # of Manufacturer refab Site Steel Fr ass Plastic t� Gallons Gallons Tanks Con- Con- g A Information crete structed New Existing Tanks Tanks y ❑ ❑ ❑ ❑ Ab Q ❑ �g6o 1 1�-`F S VIII. ftesponsibility Statement I, the undersigned, assume res onsibili for install of the POWTS shown on the attached Tans. Business Phone Number Plumbces Name (pn,Qt) nber's Sign ure ( stain ): /tvfPRS No S L � t0 Plumbees Address (Street, City, State, Zi Code) IX. County /Department Use Only ❑ Disapproved jSharge y Pcmut Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved ❑Owner Given Initial Adverse Fee) d. 1AA Determination 2�� C � Z_O }C, �gnditions royal /R asons for Disapproves �`. c-- I _ Safety and Buildings PO BOX 7162 w ` MADISON WI 53707 -7162 TDD #: (608) 264 -8777 \ Vhsconsin www.commerce.state.wi.us/SB Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 17, 2000 CUST ID No.691727 ATTN: POWTS INSPECTOR ARTHUR L WEGERER ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 -SOIrf' 54016 RE: CONDITIONAL APPROVAL p entification Numbers PLAN APPROVAL EXPIRES: 10/17/2002 p' R'u nsaction No. 442266 1 Site ID N4." 300 SITE: ? a refer- both identification numbers, Site ID: 200300, GEORGE BOWMAN \ ` ST C AHbve, in - c rrespondence with the agency. COu ST CROIX County, Town of WARREN, 150TH S r,' ZONING OFFICE NE1 /4, NE1 /4, S25, T29N, R18W `\�. FOR: C Object Type: POWT System Regulated Object ID No.: 76 -- MOUND / DWELLING 600 GPD 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: • 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. JES ely, DATE RECEIVED 10/03/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 B QUINLAN , P REVIEWER BALANCE DUE $ 0.00 Integrated Services (608)266-3937, 7:00 AM 3:30 PM MON / FRI JQUINLAN @COMMERCE.STATE.WI.US WiSMART'code: 7633; cc: GEORGE BOWMAN • •i 4 r �QQQ TITLE SHEET Page_ of - 7 MOUND SYSTEM SaFEt� F 0 R A L-1 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD - 1057 P and the Pressure Distribution Manual SBD- 10573 -P Ctz. b /ct t Ctz. 1 '199� LOCATED IN THE NE 1/4 OF THE 1JE 1/4 OF SECTION ZS , T Zq N, R L8 W, TOWN OF \v Mz2ClV , Q1 . °LtZI X COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUP•7PING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR 1' PREPARED BY DEPARTMENT OF C%'1, ,i�'E WECCEF�EF2 SO 31 L TESTS NG� (f tVls�oNOFSAfETYANL �,L¢�drJGS AND . � ZEES Y [3" S] I CE SEE CORRESPONULi CE P.O. Box 74 421 N.Main St. , „�qyy� River Falls, WI 54022 e +o C� Phone 715 - 425 -0165 �� ,,.....•,, S Fax 715 - 425 -6864 4 • MRTM/P C i It • ' WEGENER ® = D815 Y EiLSWORTM, ' y �l i l £.S I C s q.- zR -ao JOB NO. 00--Z-qO i Mound System Management Plan Page Z of - 7 Pursuant to Comm 83.54, Wis. Adm. Code 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. Theoperating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The et fil shall be cleaned as necessary to e nsure proper ooeraW 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, 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 Febru a dictate that ( e at the mound be heavily I protection. rY) mulched for frost Y P 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. Contingency 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 1�S_38b_ y(,8p or to the licensed plumber who installed the system. T -- PLOT PLAN •Page 3 of � Scale 1 "= So' ., , �. S w► i 'h, IT _1v L1 4 B�DG SNwNit. 'yiSi � LS)C�SI�G �po0 �iM -lON - z. N ov $ 0 o Cra-c_ . 'tYM.►z . _lJ C�t"E_• �-��L� FoR. CUBE ��p U. �1vice• is Z� i r— cur e_ow► P U 1''$J T' C f•7J Iv PU C 4� - P f/ Z `` 1�� c �_ �,• � � C3/"'114 -Z �Z. lA0 9' cJJ 1UP OF �t z' D cA. _ G►g�V ST�t S'1`h1cE Co�./1vvCt. �-_ ill. 2.' —Z� " �"�S� 1►� G F^f�tuZo s Oh' �etl � I ( O'tiPnN �=c�� et 96 J ' 2► 1 ' sett - t L. Vora - oI oN'Trap or- -- 1 1� tE:y_`STUjG V Qur Plpt � 11 1 1 it 1 T ZOp' Tp W " , r o \= 30 'RC' NOTES: I. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( 2 required). S tank to be t; %r tyuy gallon capacity manufactured by wQz-�,S ciue, LW Ij 90 6 Prt W 80.0 6 Guqz�zS. won water around system to prevent ponding at the uphill side. Pace 1 -1 Of 7 Approved Synthetic Covering ASTM C33 Distribution Pipe Medium. Sand H � Topsoil _ „ _1 F Elev. fig. E p b Z -S % Slope Distribution Cell of Force Main Plowed Z" to 2- " Aggregate From Pump Layer D C . 9 Ft. E l . 05 Ft. CROSS SECTION OF A MOUND SYSTEM F 0 % Ft. G 0 -5 Ft. A 6 Ft. H 1- o Ft; Linear Loading Rate= 6,0 GPD /LN FT B t 0 O Ft. Design Loading Rate= p, /SQ FT I _� Ft. J Ft. K q Ft. - Altemlftte Position L k 1 Ft. of Force Main W Z I Ft. I F A Observation Pipe C� r- --------- - - - -- � '�6 O w `- C-= - - - - -- -- - - - - -- ------------------ Distribufiio z n �-- Cell of to 2 % 2 " Pipe aggregate Observation Pipe (Anchbr securely) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout pdo S of 7 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 late -al up with the use of Iona turn or 45* fitting 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 c s. ap or threaded plu T •t P C1� L �,ZOS S PV C. FuC ?V C. Lateral Manifold Laterl x x x x x2 I x2 x x x x Lateral Lenath — Lateral Length — P Distribution Line F i}cs six o— Mr;t��w�o S P y q Ft. Hole Diameter Inch S 3 Ft. Lateral I !fY Inch(es) X zy Inches Manifold Z- Inches e Force Main " Z Inches w. #of holes /pipe �S Invert Elevation of.Laterals 16 Ft. zSKo -y1= lo_Z - Sxy= tJ1:U 6p • : PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS' PAGE OF 7 VEIJT CAP 4 "C. T- VENJT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE IO' FROM DOOR. JUWCTIOLI 8OX COVER WITH WARNING LABEL � IZ�MIU. WINDOW OR FRESH I AIR IMTAKE I q GRADE I I 4 MIN. CONDUIT IeAiN. 11� IA1L) =T • PROVIDE -T AIRTIGHT SEAL I III V APPROVED JOI A Tank construction shall comply I I APPROVED JOINTS with COMM 83.15 and COMM 83.20 III 8 I I I ALARM I 1 C I i O N PUMP ,, OFF r D Gj `� (� ' COLICKETE DLOCK RISER EXIT PERMITTED OWLy IF TANK MAIJUFACTURI~R HAS SUCH APPROVAL. BEDO t 1� SPECIFICATIOMS DOSE TANKS MANUFACTURER: W - Eta -S C C- IJUMBER OF DOSES: L, - 4 PER DAU TANK wzc: '800 GALLONS DOSE VOLUME z ALARM .._ MAWUFACTURER: S' S� L`�RO S�'IST g IWCLUOtMG, 5ACK /6OW: � S b' l GALLONS MODEL WUMBCR: X01 � I VJ - CAPACITIES: A = -- z z WCHE5 OR q Z-q GAL Z LONS SWITCH TUPE: ZCL1V2�( 8= � IMCHESOR 3(Z l .0 4 LLOLIS PUMP MANUFACTURER: G 0 U L- O S C= g INCHES OR 1 S b' 1 GALLOWS MODEL )JUMDER. 3 8 -I I O S D 01 _ INIC HES OR S b GALLONS SWITCH TYPE: " UOTE: PUMP AND ALARM AR TO ae �" MI MIIAUM DISCHARGE RATE L4 l' O rpM INSTALLED ON 5EPARATE CIRCUITS VERTICAL DIFFER DETWEEN PUMP OFF A1,10_0I5TRIBUT16M PIPE.. b '� FEET ' + MIIJIMUM NETWORK SUPPLY PRESSURE .. .. ..... .. - Z S -FEET - t• \ FEET OF FORCE MAIN) X 3'Ub F31 0 FtFRtCTtory FACTOR. 1 4` \S FEET TOTAL OtIUAMIC HEAD As per.'manufacturer • k S1 gal in Liquid depth �-1l Gvjy Goulds Submersible Effluent Pump 3871 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 • Farms Motor: manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical RP points. • Water transfer 230 V, Hz, Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, , built in overload with automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS • EP05 Single phase: 0.5 HP, ■Bearings: Upper and lower 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 l . — • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. 0- Canadian Standards Association � s ! Atal heads: up to 24 feet. – with three prong grounding c 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 7" or "AC ".) rotary/ceramic - stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running } dry without damage to s 30 i — fLSGPlut, components. Pump: EP05 e I '� =i 5-ff A `; Solids handling capability: r, 25 %" maximum. w • Capacities: up to 60 GPM. X s 20 • Total heads: up to 31 feet. 2 • Discharge size: 1'h" NPT. z 5 • Mechanical seal: carbon- c 15 rotary/ceramic- stationary, BUNA -N elastomers. 4 I EP05'I • Temperature: ° 3 10 104 °F (40 °C) continuous i 140 °F (60 °C) intermittent. 2 I EPO4 5 ' 0 0 0 10 20 30 40 50 GPM 0 2 4 6 b 10` 12 m /h CAPACITY ©1995 Goulds Pumps, Inc. Gffo„n„o \ A-.. , oo s___ Safety and Buildings • � PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 Visconsin www.commerce.state.wi.us /SB Department of Comme Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 17, 2000 CUST ID No.691727 ATTN: POWTS INSPECTOR ARTHUR L WEGERER \ ZONING OFFICE 42 O MA IN 4 ST rG ,TGROIX COUNTY SPIA PO R c' EVD Wl CARMICHAEL RD RIVER FALLS WI 54022 T 2 � 2000 Hj3D ON WI 54016 0 C �I RE: CONDITIONAL APPROVAL a' SNaY PLAN APPROVAL EXPIRE 10 /1 S• Identification Numbers • ZONINGOFF►CE f` Transaction ID No. 442266 c Site _ ` Site ID No. 200300 SITE: 9 Please refer to both identification numbers, Site ID: 200300, GEORGE BOWMAN above, in all correspondence with the agency. ST CROIX County, Town of WARREN; 150TH ST NEIA, NEIA, S25, T29N, R18W FOR: Object Type: POWT System Regulated Object ID No.: 766077 MOUND / DWELLING 600 GPD 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: • 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. JES ely, DATE RECEIVED 10/03/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 B QUINLAN , POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (608)266-3937, 7:00 AM 3:30 PM MON / FRI JQUINLAN @COMMERCE. STATE. W I.US WiSMART code: 7633 cc: GEORGE BOWMAN " Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _L of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County S , Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel LD. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. v 1 — /O6� 0 — OrO Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location oa7V Govt. Lot 1/4 1/4 S S- T N R E (oto Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 7 til rT Ci)o _ E-i State Zip Cod�e Phone Number ❑city ❑Village Town Nearest Road ❑ New Construction Use: V Residential / Number of bedrooms _� Code derived design flow rate GPD 0 Replacement ❑ Public or commercial - Describe: Parent material ,/ ZP f Flood Plain elevation if applicable ft. General commen and recommendations: �G( �AS�T7'iE PIVIC '(' /C�7- ocON� eocrwr~ OF 97 2 E' ? 6 200E -- � ❑ Boring - COUNTY V ❑ Boring # �y INGO,FFICE Pit Ground surface elev. 97• 1i ft. Depth to limiting factor Xg� ink Soil A ho0ate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary o is f L Is 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 'Eff#2 2 s /- z S S L -- M 2 �^ �F 70 Z 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 'Eff#2 Q le -712- Ssrz . 8 G �*c / Z S — 2- S L 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. , - CST Nam (Please Print) Sign�— CST Number Address Fogerty Plumbing & Perk Testing Date Evaluation Conducted Telephone Number 28288 McKenzie Rd. 2 he 715 Spooner, W1 54801 I Property Owner t� ,�QG(,�jj/fj Parcel ID # Q7 Z /Q — XV page Z of 3 3] Boring # ❑ Boring - tAo � Pit Ground surface elev. Qr( S' ft. Depth to limiting factor > Y in. O03; Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /1`1 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff #1 •Eff#2 2 L Af 3 .5 3 r s — . 7 42. ❑ Boring # ❑ Boring ❑ pit Ground surface eiev. ft. Depth to limiting factor in. Soil Applicatlon 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 I F-1 Boring # ❑ Boring Ground surface elev. ❑ Pit . fL 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 •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 s need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608- 264 -8777. ssD -3330 (tt.woo) 28288 McKenzie Rd. Spooner, WI 54801 (715) 635 -9609 7tY- s3T� 6M 73 OF I'rrC7=A-'f A1*'WZ0 494 YZ •/ �7 = wELL, 7 = C�R� Rs'� i =•vim, A#), yZ z, so x� 90 FA P- X� k/GST L� lsr16; i i 1 i 08th _ v ; i _ - - l t ! i : i f I _ I j i j f I : i i 1 ! : ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the Co��fQn ';:�L; - residence located at: C 1/4, NP 1/9, Sec., T�N, R_ W, Town of Cr -eve Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced Did flow back occur from absorption system? Yes No'9__(if no, skip next l i n e ) Approximate volume or length of time: ti ik gallons AI-0-- minutes Capacity: Construction: Prefab Concrete Other Man,ufacurer (if known) : N1 Age of Tan if known) : 010` (Si tune) (Name) Please Print 1- (Title) (License Number) (Date) Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR -83 Wis. Adm. Code (except for inspection ope over outlet baffle). Name IQ t ` t-k S i gnatur WV/MPRS A S3 7 5/88 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer CC cp r -0 k Mailing Address '� 4 kP 156 - � ST J?o .2'A � OA Property Address Scx v%, (Verification required from Planning Department for new construction) City /State Parcel Identification Numbe b y a - 1 C) &k -(,00 -oo LEGAL DESCRIPTION Property Location '/4, n1 E ' /,, Sec. , T N - R_�W, Town of ���o r - vim._ . Subdivision 36 4c y�e� Lot #. Certified Survey Map # , Volume , Page # Warranty Deed # 'q ,L 1 25 7 , Volume —6._7___ . , Page # .SS Co Spec house 0 yes K no Lot lines identifiable 1Xf yes 0 no SYSTEM MAINTENANCE 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 r can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman 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 1/3 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 forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification . stating tha y6ur septic sy rff s been m 'ntained must be completed and returned to the St. Croix County Zoning Office within 30 days e three yea x io date. / 15 80 S DATE OWA TI TION I certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property�d cribed ove, b virtue of a warranty deed recorded in Register of Deeds Office. l0 / Jam/ Cl'c7 SI OF PP CA DATE r ny information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: 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 I .�.__•_._ -._� °.:_— ___.. _._. -__-._ ._- Tr^- Mao ePA6e NO MC Pan simenswe BATA NQ, j 8TAT3 tills OF WISOOI+ UK 1'dlet 1 -6198 x� " WARRANTY DWD r gas O Cw ap,, wa Marlene W. O'Connell a . ............ e i '7 terest and arjeiie r - ii d'i�airie�.i.'d for tli 2n„ a F o b A.D. i' { rick b' Coiuieil a minor 2 �__ intlerest -- _ • tisantor, I 3 :30 P Me ,. ---------- — ---- •-- - - - - -- ~' b 1!►�4._��_- s-- lob?1� -- tat le)1LS---- ___----------- -• -• -- II4W Mass .............................................................. .................................. -- .......... _.. ; .............•---._...-- ••--------- ....._ ............ --..._. ........ -- •-- ................. -. firant�a, Witnesseth, That tM said Grantor, for a valuable aoaaiiQation.___.. !! ............................. ......................................................•---•---..._._.._._...-•-- • ; f arruft" ro C . M. By ooaveys to Grantee the following described real estate in ... ............ P.O. BOX 167 Ceslsty, State of WiewDsin: _ River. - Falls, _WI 54027_____ Tax Parcel No: -- ------ ----•----- -- --- --- - - ----- - S� of NE% of NE4 of Section 25, Township 29 North, Range 18 West, consisting of 20 acres, more or less and the NiiofNh of SM of NE% of Section 25, Town- ship 29 North, Range 18 West, consisting of 10 acres, more or less, for a total of 30 acres, more or less. This deed is given in satisfaction of a Land Contract between the parties dated November 30, 1984 and recorded with the St. Croix County Register of Deeds as Document Number 398226 in Volume 701, Pages 360 and 361 of records. ii Grantor further warrants that on November 21, 1984, Kelly O'Connell and i! Polly O'Connell were 18 years of age or older. 1 SF� 00 FEE This ------ iS - - -- iS not.--- - - - - -- homestead property. '• ]C is not) I And l i warrants thst tl► titta u 9 sn.I singular a easible is fee simple snd free a -- clear of encumbrances L good, p( easements, restrictions anu covenants of record, + �I ( i and win warrant and defend the same. Hated this . �� r �- -- - -••- lanuary ._-- •--- •- •------------ ----- -- 86 t day of -- , 19. ...... I! II ---------------------- (SEAL) 1 t� ei s Mailene 1V: 0 Conned, in ividiiaTlyan� • ______________________________-___ ._.._- ._..._- ______.._._..__.__ -as _rdaardion- of. Patrick- 0 Cxinnell,_ a minor � I -__-•--------------•-----•---•---- •---- •--- ---- --- ----- -- -- •----• ___(SEAL - --- - — - --- - - - ................... .......................... (SEAL) I l y ............... ............. ADT1HNNTICATION ACSNOWLBDOMBNT ii f (a) STATE OF WISCONSIN �I ....... ------------------•--•--•------------------------------------ - - - - -- . St. Croix .. ty . sa. ............... Conn 26th asthentkated this -------- day of_ ....... .................. 1 19 ...... personally came before we thin . day of __ - -- ln mgly_ .................... I 19 -.87. the above named - _..._._ --- --_----------------------------------- •----------- _____________ ---- _�T_1�e - W :._4' Conner ................................ ` ' - - -- - -- --------------------- •------ - - - - -- - -- ............. - -- ....................................................... -- •- •- ••• - - -- I j TITLE: MEMBER STATE BAR OF WISCONSIN . . .. . ........................•-----•------ ._...._..--- •----- •• - - -•- �i (If sot. --- - -- - - -- - •- • - - --- •--------- ------------- -- -- -- -- I aatborised by ; 709.09. Wig. Stab) to Has known to be the person . _ _ _ - who executed the i I forepi ag � inst�ent' and_ acknowl - - - the same. j f +� THIS INSTRUMENT WAS DRAFTED BY Ali IAIt C: M. Bye, Attorney at Law •--- •- - - - - -- Uiainr�; ros6y f Jt1X8T- Fa115, -. 7112-.. S4B22 ............. - °- --- _-- ..____ Notae7 � _-GTQ County, Wis. (Signatures may be autbenticated or aeltnowledged. Both my anent. (if not, state expiration �! are not rtaxaary.) S mbar 6 - •• ......_.__, date- - - - - -- , -_ ;,----------- - - - -•- " oveom i d pQsene eisaleg In any espaeity should M typed or printed bdo their . ,•' ••••. arnTS BAR or wnCoOMM rosti x.. • — >ieea Stock ho. 13001