Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
042-1069-70-020
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Cron Safety and Buidip� Division `` INSPECTION REPORT Sanitary Permit No: 453042 0 GENERAL LFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Glenrid e Properties I Warren Township 042- 1069 -70 -020 CST BM Elev. Insp. BM Elev: SM Description: Section/Town /Range /Map No: q 3 � Q G S" { �6� �'�k , 25.29.18.392A20 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark ZCn Dosing Alt. BM Aeration Bldg. Sewer ( a .' 7 Holding St/Ht Inlet Icy St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic , �, , _ Dt Bottom �� ,�, N o ,.��, a -�_ ! I• i ci' 3 • Dosing „ Header /Man. Aeration _ Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION 7 Manufacturer Demand Cover c —Lt1 - GPM n Model Number TDH Lift Friction Loss System Head TDH Ft 93=� F in t Dist. to Well orcema Leng Dia. ,s SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits iquid Depth DIMENSIONS SETBACK SYSTEM TO I P/L JBLDG IWE LL LAKE /STREAM l ACHIN Manufacturer: INFORMATION CHA LINER OR Type Of System: _ r-r2 L Model r: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) �[ c''. (.2 � " 12. 5 3 4 Length Dia Length - I 9 3 F Dia I Spacin 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 �' G Bed/Trench Edges c= Topsoil ! y, - /- Yes i � No � Yes ' No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:/ 7 / 6 �?nspection #2: -7 / 6 Location: 731 140th Street Roberts, WI 54023 (NW 1/4 SW 1/4 25 T29N RI 8W) NA Low, F�=✓:`'���., Parcel No: 25.29.18.3924 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = �{ Plan revision Required? Yes No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. Wis consin u n C ,u�s� Y SFrety znd $uiidinSsiyMoiu 2G? W. Washiniton Aye., P n Box 1162 Mad ison, wl 5370 '7 71 y . Departmert of Commer ___ (608)76(+•31$= 5 Stara P" 1•D Number SaniUwy Permit Application 1 �� in accord writb COMM $3.21, Wit, Atha Code, Peryotui iafor'ntatipn you proy;da _ may be need for teeondary pn,*osas Privacy Law, sls 9�` Proem Address (if differant then n�ailwa adIress' r1 n c� 7 I. Application 1,atotrmadan - Pbw Print All 81formatia � a ItZ7 q — O Pro perty awrw ate Puck d Black # Property Oww'a M altittp Address _ i ; Property 1.ocitton � 4-1 �' / +1 ,Secbon f City, State ip Code ( circle ow ^-- --'�- t - T a2 N: 8 ot II. Tylw of BW1+Un« (ellsok all flail apply) � ,/ _ '' / Qr22o•�' 4 ' - ut 2 PUWy I>w;►eili S u talon Dune CSM Number ` ni - Number of E;todroom9 � __. _�__...,�..�._. y { PubltcOCorttstienial - ilea ctibt Use ` Sou Owned - Detcrlbe Use _ _ 1 S 1�. C f✓Z- �. . )C Qyt i rCtty_L�Vi1ti,Se awnah ufC�lstrN a,rJ l iII. 'Type of Py1rt111tt (Check only ono box on line A. Complete line B If applicable) X Now Syttw� C Replaeernant System �' Trsaanenvl'Ioidiq Tank Ropls_errert tlnl� Other Moditleauon to Exist( tb Syste� r Permit 1tr>itesva Mat lisvitiou Cr Cturwe of hunit Transfat to Now List Previous Ptretit Number and 1?atr 1 I 6etoee upiratioo ! Psumtxr Owner 7 Sad 3 2 i b WIN 4 Check all that i C Non - Praturizad hAkow4 Mourid > 21 inr of suitable sail 1 M=16 < Za in. or yudbie soil ❑ At -Ortde :1 Sil* Peas Sand Ritter Cotructed Wetland C !'retsu ►izod In- dround C Holding Tank Peat Hier Aerobic Treatment unit 4.' Aacvculattn{ Sand Filar ns " ig„gilb Wst SY Pilfer r Leachms Chamber Drip'-" Gravti -:roaa pille i� Other (ox lain � Detti2a NOW (MM) lhaiarn i Apps n Ritte( r' Dispersal Ara R uirt%! W Ditpersa! Area P posed Of) , System. Mevation ► "� ,, J �o (_ r GoCJ 2 � ") d. 3d �U I YI. Taalc InI'0 Captci, in jowI�urnhEr r Ma ^.u(act�•er tab site Steet�Pibcr r Plant Now G4E I Galion$ ( o! uUM ! I Co» crate Commicted Dims } i 1 061 -Tub Septic or Holdiy TVA •--. -- Mrob r rouerie volt nI' h#;1tt i�tatomeat- t, the Undexai ed, autuaw ros oadbiLiv for jiustallsition of the POWTS shown en tba &ttacbed� i Piumuer's via me (Print( Plumbat "s Si btu �__._._._ i 'tiiPihfPRS l uttiiser Bu$ nest Phone Num In G i 1 Plumbtt's Addre et (Sews. City. B+tsr+1, Zap Cobs) j s... ... _.� _' A id Sa »tAt F rmit Foe (includes GrC'L74; er Date issued y sums i 5ijfnature � ,aeip$r� pp rov t7itaPprevet! . 8arcilarjle Fee) �v Owner G1ven Rawon for Dewitt Coacllltbw net ADpr *&1/V ltaluMV for l %�� `-'�e`�__ I.LvZ� ,/� il..�`� i✓ ����G1�i,� 1,.� /l/vYV { // _ _ � i/ � -, 1 to tlri Cottaty odyl for the aYtttM tra pw` SKh »ft ilSi t'lZ n 1 J(T� 1 M n tw t►ea a a 1t Sw n ie r - C/c i/a • L oca:4 dp�go. s� A ' 5ca/e. / 00 1062 , as'n ✓o/ Scc. 2S, 7 e-oc rJa��cn, Sf • Cro i X G., �/. s & C, h n1 Ta o f /off S+�a 60 /yd�`Strt�t /loth of A ► `'° .PtJ + 1 ( � f►'of /CSe/ rc& �'► ► I 1'f0,1oS¢C� //7S8 P roPosec) w .m Q Cowl iex iir� j a' wr WX /00 d:SAWsa ee P3ar IA / 1 i r d,sf/ibc4�r:., /a+wa/s ctf ¢ 6td�aom QFFlccwtt /C Sid�rtG¢ ou't c� + 1 0 � ao 2 „ sc.(. yOP. ✓, c. 1 3 b , ii Syj&- ', ,4,,,,, a 31 's C. 11 r� ► as .— Co/nm. 1 � � � r 62 y y ,� so. /off Awe 1� • ,Q. o ��' /off 9si6.� Propios Tow IPdad . 8� } t Safety and Buildings 4003 N KINNEY COULEE RD commerce.Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www•commerce.s i n.gov www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary June 17, 2004 CUST ID No.227990 ATTN.• POWTS Inspector ZONING OFFICE WILLIAM C SCHUMAKER ST CROIX COUNTY SP1A 1070 SCOTT RD 1101 CARMICHAEL RD HUDSON WI 54016 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/17/2006 Identification Numbers Transaction ID No. 1007683 SITE: Site ID No. 684926 Greenridge Properties / Dick Stout Please refer to both identification numbers, 731 140TH St above, in all correspondence with the agency. Town of Warren St Croix County NW1 /4, SW1 /4, S25, T29N, R18W Lot: 2, FOR: Description: Four Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 963179 Maintenance required; 600 GPD Flow rate; 38 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /O1), Pressure Distribution Component Manual -Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter 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. C'LJiv!jC! No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats.' F I``, The following conditions shall be met during construction or installation and prior to occupancy or use: JDE R TMFN7 OF OF it: 1El General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRESI "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 /01). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. ' WILLIAM C SCHUMAKER Page 2 6/17/04 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A cry of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 r MOUND AND PRESSURE DISTRIBUTION COMPONENT DESII� O Residential Application INDEX AND TITLE PAGE rO� s Project Name: G v enr/dg e Properties, LLC 4 bedroom residential mound Owner's Name: Gr id a Properties, LLC - Dick Stout Owner's Address: 1353 Awatukee Trail Hudson, WI. 54016 Site Address: 731 140th Street Legal Description: NW1 /4SW1/4, Sec.25, T.29N., R.18W. Township: Warren County: St. Croix Subdivision Name: CSM Vol. 17, Pg. 4613 Lot Number: 2 Block Number: Parcel I.D. Number: 042 - 1069 -70 -020 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan `�`jfp Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report CGMMERCe nr DIN G 'ONC 3 Designer: Bill Schumaker License Number: 227990 Date: 05/30/04 Phone Number: 715 - 386 -3721 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 r Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) RI Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of <= 36 inches. 600.00 Design Flow (gpd) 6.00 Site Slope ( %) } 99.50 Contour Line Elevation (ft) 1 24.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 100.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the high poin in the distribution ( Y Pressure Disribution Information network? Enter Y or N (c or e) c Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) = 7.50 ft /orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? 93.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 4o 7.00 Vertical Lift (ft) 40.24 5x Void Volume (gal) 0.92 Friction Loss (ft) 46.76 Minimum Dose Volume (gal) 14.42 Total Dynamic Head (ft) 32.95 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choic in. dia. options choice 0.75 1.25 x __. 1.00 x x 1.50 x 1.25 x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 7° (7.G 773-:76 Total Tank Capacity (gal) 1250.001 Septic Tank Capacity (gal) y L 48.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 16.12 gal /in (enter result in cell B49) Dose Tank Information Effluent F ilter I nformation 7-73.76 Dose Tank Capacity (gal) lZabel _ Filter Manufacturer 16.12 Dose Tank Volume (gal /in) JA 00 ____]Filter Model Number Wieser Concrete Manufacturer Project: Greenridge Properties, LLC 4 bedroom residential mound Page 2 of 9 t Mound Plan View T : O J 1 /�- B ; . ' • ser Obvation Pipe 3 _ l K •ti• � I W F . z 3 . .. ... . L Mound Component Dimensions A 6.00 ft E 16.32 in H 1.00 ft K A21.27 ft B 100.00 ft F 9.00 in qJ 9.55 ft L ft D 12.00 in G 0.50 ft 5.72 ft W ft 600.00 (ft Dispersal Cell Area 1554.88 (ft Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 1 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.25 (ft) ► G * H � ,rriirirrr 2 rrrirrr .. 1 ,�rrrrir r rrr�r.. F Dispersal Celi 101.00 (ft) Lateral 100.50 (ft) - - o — Invert Dispersal Cell J Elevation E . D; { .` J : :,: :y ;. �:.��. : k ' J�l •�,�: •�:�:::� i l � . i� ], .+. ~i` { ` ,7 _ i i. J.f. _i_i - S� , Q i. J r _ __ � i.. %:_.� 4. 1 J. �. .{ /.��., �. �{ .•4 � � � .+ { _ ). { i� 5 �5� ;( i. 7 �. :, . i ) i i, ; �t._ � .i {_'� ., '. : , � ,i.. ��. � ~; •. 99.50 (ft) Contour Elevation 6.0 % Site Slope Geotextile Fabric Cover Shading Key Dispersal Cell See lateral details on 1 M Topsoil Cap c 1.5 ft .• : ; Page 4 for number, © rim Subsoil Cap a c 5 , • ° size, and spacing of ASTM C33 Sand �II '•��.•'•' F laterals. Laterals are 1 is 0.5 ft Typical Lateral Tilled Layer w '''' equally spaced from Q Aggregate v o . ; the distribution cell's — A --* centerline in the distribution cell (AxB). Project: Greenridge Properties, LLC 4 bedroom residential mound Page 3 of 9 Center Connection Lateral Layout Daigram Force main connection aria tee or cross to manifold at any point. Laterals are identical 5 1 P •= Turn -up wlball valve or IF x— CIE -alt I 0241 Laterals & force main of PVC Soh 40 cleanoutplug per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.00 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 49.34 ft Orifices per Lateral 20 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft orifice Lateral Flow Rate 8.24 gpm Manifold Length 3.00 ft System Flow Rate 32.95 gpm Manifold Diameter 2.00 in Total Dynamic Head 14.42 ft Forcemain Velocity 3.37 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC 4 in. min. Disconnect I Tank component is properly vented F -- Alternate outlet location Forcemain diameter Wieser Concrete Manufacturer El 2 in. Cap acity 75),47-73:76 Gallons �— Volume 16.12 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 28:47 ` jc 426:78 B 2.00 32.24 C P � ump off e levation (ft) C _ 7.53 121.30 94.00 D 12.00 193.44 D Total 748.00 773.76 iF Dom se tank elevation (ft) 3" Bedding un er tank. 93.00 ._...- .... - - -_ Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer ( - Goulds Pump Model Number CEPO4 Pump Must Deliver 32.95 gpm at 14.42 ft TDH Project: Greenridge Properties, LLC 4 bedroom residential mound Page 4 of 9 ` , . Mound System Maintenance and Operation Specifications Service Provider's Name Bill er Phone POVVTS Regulator's Name St Croix O Zoning | Phone[715'38u-46uV System Flow and Load Parameters Design Flow - Peak 600 0pd Maximum Influent Particle Size in � god Maximum BODS 220 mg/L � Septic Tank Capacity 1250 gal K8aximnumTSG 150 nng/L Soil Absorption Component Size 600 *c Maximum FOG 30 mg/L � Type ofVVomtewoter Maximum Fecal Co|ifonn ofu/100 mL Service Frequency � -----_--_- Septic and Pump Tank inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Cordno|m � Alarm Should test monthly Pressure System � Mound Inspect for ponding and seepage once every �ayears | Miscellaneous Construction and Materials Standards � � 1. Observation pipes are slotted and mnotmho|m conform 10 Table Comm 84.30'1. have e watertight nep. � and are secured inns shown in the mound component manual. 2. Dispersal oe|| aggregate conforms to Comm 84.30 ( Wis. Adm. Code. � 3. All gravity and pressure piping materials conform to the requirements in Comm 84. Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched 10 prevent soil erosion � and help reduce frost penetration. � Lateral Turn-up Detail Finished Grade Threaded , —'' — -- eanou� 8'O Diameter L Ball Valve Sprinkler Valve Box Distribution Lateral � Long Sweep 9OorTwo 45 Degree Bends Same Diameter as Lateral Pnojeot: Qnaenridgo Properties, LLC4 bedroom residential mound pugo 5 of S Mound stem Management Mo Sy Plan g Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. ins Septic or pump tank manhole risers, access risers and covers should b e inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet finer shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the fitter 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. Puma 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 ameffluent fitter Is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched as protection from freezing. Influent* quality into the mound system may not exceed 220 mg /L BOD 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv 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 absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Greenridge Properties, LLC 4 bedroom residential mound Page 6 of 9 M 1 1 i t Vertical . . i { 2� WN WWW COULD` t 1 ~ / I ".l Pump Specifications — — ,r!P nnl�l�s rEti to 10 GPM ischaroe size 1 NPT 9 30 S i ''a maximum e Motor t' �I rgr phase: 115V /Materials of Construction :,emnvastic Features and Benefits Td./l r ai 0 s,,cnon eliminates a 3 ,logging. ' �`� 1 IcSVSI:li11 ,j 0._ 0 0 ,0 25 3c : • :i l'!L'3[eCl S1 ^.�IIC11. - -- - - - _ _ - - -- -- - -- - -_ MODEL DUP03 Pump Specifications Features and Benefits "w mid 'I HP Up to 60 GPM )L.1 p r _ - Maxlmunl head to 32 Ineckal Ica! <.;_A Discharge size 1 NPT • EPLS jj Lrlrr _- Solids:' / maximum of ,mpro,�c inrcr, i��_ Motor • Pugged gi�!;— ��e�: All motors feature )ill; Uasdng lr ,, i',t I)eal'lllg COIISIrl1L'Ii011 �,)'r�C ?U __ 30 35 .10 U S GPM , ��i1, ' a e u. „tn„ Single phase 115 CAPACITY Materials of Construction `L s' _rr r C Cast iron Thermoplastic SIaInIeSS steel ° Col'6Si nlflUill o;) Lr -i11 A1oC1e1S cal "e o s1gllEC1 to/ C01111l)(lOtis O/ E ldll0l1 8 1 /'cr(CV. : "E PC _ I, • � /IQ(�Q /UQLiOn / 0�� ♦ e/t ✓a • L oca�ra/�D�ga, sbx Greeo/'i /oE2, c.s'n ✓o/i?,�. yGi31 Stc.2.- 7,. .o-jC ja*rcn, Sf • Cro i X Ce., 04 s gen�k ; To of he ak�. r Eo /y0'O� Strtt t q4%4Lo 81 / ' r � w "� r r '99.trq ' i d--O msed u)/cser Con dre.fc 1 •� i i I�ropos4d No do „Z1.17 r /l7. s8 P ro std W IASO /� mQ corm,,: fieh o-' r ' (o'X ia�' d :sa /Ce // f3kr SJ P S.T.1AC. "jtA&4.alA -/6v I 1 r d,s ibce 1" 14 J4-a/s of ¢ 62draom QF /uert�F'%E�i!a.t S.T, I ) re Sr of a rc¢ Qu-t 1 it • 1 � i � � SPa acd a f z • S � 'c e o I I Ir � l" Lib , Y C Lorca ►Kd,; n I I � �'" l � � "SG/i. SEOP.d. � i6o be lnSu /cvttd I I .�j as e.- Co.n.+o. Bz.�CrJ(c). 8.2 r 6. 4,: 7 1 0 ./' /o Pr o/aosed T wn. PPdad � 8�5 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, A s- Adm. C p �+ V St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. an muE�+ include, but not limited to: vertical and horizontal reference point (BM), d' .,'on and Pdcel I.D. percent slope, scale or dimensions, north arrow, and location and distance t nearest road. Please print all Information. D E C 1 Da Persona l information you provide may be used for secondary purposes (Privacy Law, 15.04 ( ( I NT Y Q Property Owner ropertyk�ottg6 OFFICE � Fred Lenertz Govt. Lot NW 1/4 SW 1/4 S 25 T 29 N R 18 E (or) Property Owner's Mailing Address Lot # Bionic # Suhd. Name or CSMff 220 Livestock Exchange Bldg 2 _ Lenertz city State Zip Code Phone Number []City rlWage ■ Town Nearest Road St. Paul MN 1 55075 ( 6 451 - 7320 140th Street New Construction Use Residential / Number of bedrooms _ 3 to 4 Code derived design flow rate 450 to 600 GPD 0 Replacement Public or commercial - Describe: Parent material I ness nvPr oaitwaagh Flood Plain elevation if applicable NA ft. General comments s* sand with continuous bands of Ifs, 1 r4 4 Inift. mfi roximately .25' apart and about .04 in and recommendations: thickness. This horizon should be sized for a .4 to .6 loo�ad�ing�ra . 4 1 4 Boring # 0 Boring s� h G } 131 d 2 -0 - r - JJ--JJ Y ��... 1 Pit Ground surface eiev. _ 99_50 ft, Depth to limiting factpr %110 _ in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 1 0 -21 10yr3 /2 sil 2msbk mfr ew 2f .5 .8 2 21 -45 10vr4/4 sicl lmsbk mfi cw if .2 .3 3 45 -60 1 ifs 2msbk mvr cw - .5 .9 4 60 -110 10vr7 /4 s Osg* ml* - - .4 .6 d s 2 1 Boring # Boring 101.04 El Pit Ground surface elev. ft. Depth to limiting factor in. Sol) Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 1 0 -17 10yr3/2 sil 2msbk mfr cw 2f 1 .5 .8 2 17 -35 1 4/4 sicl lmsbk mfi cw if .2 .3 3 35 -38 yr4 14 Ifs 2msbk I mvfr cw - .5 .9 4 38 -111 10yr7/4 s* Osg* ml* - - .4 .6 VA " Effluent #1 = BOD > 30 5 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD _< 30 mg/L and TSS 5 30 mg/L CST Name (Please Print) Signature „ __ CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1 .432 120th Sttact, Nov Richmond, Wl 10 /30/02 715 -246 -2454 n,�T n��n /T nnlnn\ -_ J p l l l G-men T o w v,Sh P A e 'L d� �b0 - d c t q. l ov Q1 99,5 4� 101, t�3 �Ig.4b , a e- 5 Yl % L I S ZZ 3s7 r Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm d „REC St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. an m - ---� include, but not limited to vertical and horizontal reference point (BM), d' , on and ParccEi i.D. percent slope, scale or dimensions, north arrow, and location and distance t nearest road. o '2 — IN 7— 70 - 6 Please print aft Information. ; DEC ; Date Personal information you provide may be used for secondary PAP (Privacy lew, 15.04 ( Property Owner ropertYk®78t1grCE ❑ �7 Fred Lenertz Govt. Lot NW 114 SW 1/4 S 25 T 2 N R 18 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CStWO 220 Livestock Exchange Bldg _2 - 7—Y0 30 UaV4 City State Zip Code Phone Number ❑City ❑ Village own Nearest Road St. Paul MN 1 55075 ( 61451 -7320 14 Street a New Construction User Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD ❑ Replacement ❑ Public or mmmercial - Describe: Parent material Flood 1 in e d ap plicabl e iA fl. and recommendati ors: s* sand with continuous bands o 1f 1 /4, fnsbkY� spa t p roxtmately .25' apart and about 04 in tcmes . tls zed for o .6 loading rate. F i n. BoriN # ° In _._ %1 I0 Q Pit Ground surface elev. 99.50 ft. Depth to limiting facttx in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture 1-4— Consistence Boundary Roots GPD/ff' in. Munsell Qtr. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-21 10yr3 /2 sil 2msbk mfr cw 2f 5 .8 2 21 -05 l Ovr4 /4 sicL, lips rpfi cw if .2 .3 3 45-60 1Oyr5 /6 ifs 2msbk Cpi cw - 5 .9 4 - 0 10w7/4 s s O ml* - 4 6 i {1 Boring # ❑ Boring 101.04 > 1 I I u Pit Ground surface eiev. ft. Depth to limiting factor in. Soil Application Rate { Horizon Depth Dominant Color Redox Description Texture Structur Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff #2 I 0 -17 10yr3/2 sil 2msbk mfr cw 2f .5 .8 2 17 - 35 1 r4 /4 sic L mfr ew I f .2 .3 3 35 -38 10yr4 /4 Oi 1 2msbk mvfr cw - .5 .9 4 38 -111 4 yr7 s* Osg ml* _ _ .4 .6 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg/L ' Effluent #2 = BOO < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature CST Number Thomas C Nelson _ __^ 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, Wl 10/30/02 715-246-2454 r Lene rtz- Warren 2 3 Property Owner Parcel ID # Page _ of _ — E Boring # 1 Boring 97.67 106 pit Ground surface elev. ft. Depth to limiting factor (n. Soil A 3plication Rate Horizon Depth Dominant Color Redox Description Texture M S 5-- Consistence Boundary Roots GPDIff in. Munsell Qu. Sz. Cont. Color h. 'Eff#1 I 'Etf#2 1 0 -20 10yr3/2 - sil 2msbk mfr cw 2f .5 .8 2 20 -34 1 r4/4 - sicl lmshk mfi cw if :2 .3 3 34-44 10yr4/4 - _ Ifs 2msb mvfr cw - . •9 4 44 -50 1 is Imsb mvfr cw - 1.2 5 50 -106 10yr7/4 - s Osg ml - a 1.2 s L Boring # Q Bc*" Pit Ground surface elev. ft Depth to limiting factor in. $oil A ' icaGon Re(e Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/tf in. Munsell Qu. Sz Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # Ground surface elev. ft Depth to limiting factor in. Pit I 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 < 220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Deptifttiient of CofiiiiidfU is an equal oppoitwi ty sei - Vice pfdvidet• iind dthOloyef. If you heed assistance to access seii'rices of need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD$330Te (807/00) e r i Z r)w /q SOV S CGt lug Z- S' W arren T w n sti.' P �. A �. -- a� ►00 ID Q4 A . a Qr'1I Tvp trod ?"per 93:05 S Q y B PI - T od t elp � 91 99, . as 1ol'04 a3 .yb Z 3$7 ST. CROIX COUNTY f � WISCONSIN ZONING DEPARTMENT ^•; • M N p y �' N �� �� ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road -�� Hudson, WI 54016 -7710 ' - Phone: (715)386 -4680 Fax (715)386 -4686 Memo to File From: Pam Quinn Date: 5/13/04 Re: Soil Report on -site verification (Glenridge Properties CSM #740368, Section 25, Warren Twp.) On April 26, 2004 I performed an on -site inspection for lot#1 of the above CSM to verify soil reports submitted for conventional POWTS installations. The following is a brief summary of my findings: Two borings were excavated at approximately same area as Tom Nelson's B3 & B1. The test pits revealed mottling at the boundary between sandy clay loam and fine sand horizon below, as well as mottling and redoximorphic features within the sands. Layers of cemented sand were observed at < 36" in the northerly test pit. The southerly (B1) area had less depth to the fine sands, which also had many coarse prominent (M3P) redox features throughout the horizon. These sands overly weathered sandstone bedrock and the occurrence of cemented layers at less than 48" below mottling from textural change precludes the use of a conventional POWTS. The 4 lots on this CSM will require additional soil data and designs for mound septic systems. This same situation occurred at a lot on the corner of 70`' Ave. and 140` Street last year, where sandstone bedrock was much closer to the surface than was reported by soil tester and a mound system had to be designed. I provided copies of that soil report with the approved permit application to warn the plumber and owner about the potential problems with soils in this vicinity. The original soil reports were not completed with the installation of a mound POWTS in mind. The borings are spaced too far apart and the contours are not accurate enough to properly design a system that would meet state plan review. I recommend having additional borings done to define depth to limiting factors within each mound distribution cell and establish contour elevations taken that would enable locating the system to fit each site's topography. I expressed my concerns regarding these soil reports during sanitary application review and only issued the permits with the conventional systems to allow the owner to obtain building permits. Note the conditions on each permit application, which required field verification of soils. Cc: Richard Stout, Glenridge Properties Bill Schumaker, Plumber /applicant Wisconsin Department of Commerce SOIL EVALUATION REPORT Pa 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm Attach complete site plan on paper not less than 81/2 x 11 inches in size, n m n,REC St Croix include, full not limited lo: vertical and horizontal reference point (BM), dirac on and Parcel i.t). percent slope. scale or dimensions. north arrow, and location and distance nearest road. Q 2 %- 7,1- Please print Off 11WOrmatlan DEC 1 Date Personal i nfor —b- you Provide may be used for secondary WaPOWS (Privacy t ew, t s.OI ( l NT PwperlyOwner roperlYk�gti61(b OFFICE Fred Lenertz Govt. Lot NW 1/4 SW 1/4 S 25 T 2 A N R 18 E (or) Property Owner's Mailing Address Lot # I Block # Subd. Name or CSMlI 220 Livestock Exchange Bldg 2 7JO 3aLea94 City State Zip Code Phone Nurflber OrAy [3 Village ■ own Nearest Road St. Paul NM 1 55075 ( 6f 1451 -7320 140th Street New Construction Usee Residential / Number of bedrooms 3 to 4 Code derived design flow rate 450 to 600 GPD Q Replacement Public or corm enoial - Describe: Parent material I OM 0= rallumsh Flood P in elevation if ble NA ft. py� b k- General repo rations: s* sand with continuous bands o 1 1 /4, msblc, i1�, s roximately .25' apart and about .04 in lc s n sized for .6 loading rate. ' a1�-- Boring # ❑ Boring Pit Ground surface e.iev. 99.50 ft, Deter to ur ruing feap, %1 I6 in, Soil Apokation Rate Horizon Depth Dominant Color Redox Description Texture ZAiud— Consratenm Boundary Roots GPDff in. Mansell Qu. Sz. Cont. Color Gr. Sz Sh. 'E1f#1 'Eff#2 1 0-21 10yr3/2 - sil 2msbk mfr cw 2f .5 .8 2 2145 1 4/4 sic tMsbk ipfi cw if .2 .3 3 45-60 10yr5/6 lfs 2msbk Cpl cw - .5 .9 4 - 0 10yr7/4 - s* wg* ml* _ _ .4 .6 n 2 Boring# ing i0i.04 >111 0 [] �Pit Ground surface elev, ft. Depth to limiting factor in. SoU (cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Mansell Qu. Sz- Corti. Color Gr. Sz. Sh. '011#1 •01#2 1 0-17 10yr3/2 - sil 2msbk mfr cw 2f .5 .8 2 17 -35 l 4/4 - sic Inisbk mfi cw if .2 .3 3 35 -38 10yr4/4 ®d v - / C14: 2msbk mvfr cw - .5 .9 4 38 -111 7 - s* Osg ml* - - 4 .6 Effluent #1 = BOD > 30 220 mglL and TSS >30 150 mglL ` Effluent #2 = BOO < 30 mglL and TSS _5 30 mg& CST Name (Please Print) Signature f CST Number Thomas C Nelson 227387 Address - - Date Evaluation Conducted Telephone Number 1432 120th Stmt, New Richmond, WI 10136102 715- 246 -2454 Property Owner Lenertz - Warren Parcel ID # Page 2 of 3 Property Boring Boring # El Pit Ground surface elev. 97.67 ft. D to limiting factor 106 ❑ in. Soil Rate Horizon Depth Dominant Color Redox Description Texture Stnid- Consistence Boundary Roots GPD/W in. Mun sell Qu. SL Conk Color . Sz. Sh. 'Efr#1 I 'E8#2 1 0 -20 10yr3/2 - sil 2msbk mfr cW 2f .5 .8 2 20-34 1 0yr4A - Mel lznrbk mfi cW if :2 3 3 34-44 10yr4 /4 - Ifs 2msb mvfr cW - . .9 4 44 -50 10 yr,4/4 1 2 is lmsb mvfr cW - 1.2 5 50 -106 10yr7 /4 - s Osg ml 1.2 El BodM # Pit Ground surface elev. ft. Depth to limning factor in. Pit Soli AjW celion 1406 Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPD/If? in. Munsell Qu. Sz. Conk Color Gr. Sz. Sh. 'Etr#1 'Etf#2 Boring # ©Boring Ground surface elev. fL Depth to limiting factor in. Pit Son 8effication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/If in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. 'Eff#1 'EfI#2 • Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mg/L ' Effluent #2 = BOD _< 30 mglL and TSS < 30 mglL Tile 13epatthitnt of Coih3iietce is ati equal 0000 pity service priWider and eitipldyet. If yaii tided assistance to access 'services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. 86D43MCK OLmroo> r - T r c c7C Cv1 ari I) W X4 S (-) See-' 1 u'n � S �?ar , T�ow� -,s�.� (� 31 loo �. yol* - 6 v C C, � � Qrl � T*p tPorl P P q ro n dp� a� 101,04 N ZZ7 3g7 r rORIGINA 1855 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. RECEIVED Please print all information. eviewe Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). llk- SE P 6 2003 Property Owner Property Location 3 03 Delander Jamie Govt. Lot SW 1/4 SW 1/4 25 S T. R C T� Property Owner's Mailing Address Lot # Block # Subd. Name or 302 W. Elm St. 1 CSM # 718732 City State Zip C de Pho1 15 - 749 - 3708 umber City Village 0 Town Nearest Road Roberts ( WI 540 Warren 140Th St. �Q ✓ New Construction Use: fil Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: install 4'x 114' rock cell mound on 95.0 - 94.6 design line as upslope edge of rock w/ 05 0.9' sand fill Boring # J Boring Pit Ground Surface elev. 95.1 ft. Depth to limiting factor . Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -10 10YR 3/3 - sit 2 f -m sbk mvfr cs 1f .5 .8 2 10 -31 10YR 3/4 - sit 2 m sbk mfr cs 1m .5 .8 3 31 -34 2 8/2 f2d 10YR 7/6 fs 0 sg ml cs - .5 .9 4 34 -66 ------------ SSBR i i SSBR by resistance to penetration; weakly cemented Boring # ; Boring !!J Pit Ground Surface elev. 94.5 ft. Depth to limiting factor 46 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence oundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 1 0 -4 10YR 3/2 - sit 2 m gr mvfr cs 1f .5 .8 2 4 -11 10YR 3/2 - sit 2 f sbk ds cs 1 m .5 .8 3 11 -26 7.5YR 4/4 - sl 1 m sbk dh gs 1m .4 .6 4 26 -38 7.5YR 4/4 - sl 0 m dh cw 1 m .3 .5 5 38 -46 7.5YR 4/4 - s 0 sg dl as - .7 1.2 6 4 - 9 5YR 414 f2d 10YR 6/2 sl 0 m mf, cs - 3 5 7 49 -59 SSBR wk cemented ' Effluent #1 = BOD 30 < 220 mg /L and TSS > 0 < 150 mg /L ' Effluent #2 = OD 130 mg /L and TSS < 30 mgt. CST Name (Please Print) Sign u CST Number Henry F. Grote ' 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 9/13/2003 715 233 - 0398 Property Owner Delander, Jamie Parcel ID # Page 2 Qf , 3 . 3] Boring # Boring ja Pit Ground Surface elev. 94.1 ft. Depth to limiting factor 33 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -4 10YR 3/2 _ sil 2 m gr mvfr cs if .5 .8 2 4 -11 10YR 3/2 - sil 2 f sbk ds cs 1m .5 .8 3 11 -27 10YR 4/4 - sil 2 m SbZUN f�, cs 1m .5 .8 4 27 -33 10YR 7/3 - fs 0 sg dl cs - .5 . 9 5 33 -43 SSBR wk cemented 41 F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda ry Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. / *Eff#1 *Eff#2 i i I F-1 Boring # I 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 I I * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. SBD.8330 (R.07 /00) Certified Soil Testing 1 ` ` A w. T L �� ¢.�AwQ,jtk- ���ea ��`.... L..O� �• 1 Gw.t � �� � - Z 2.. �ru �h 1 4 �••�1 � u ,tip o � t C �J •a - 46.1► l i..�4 e ..t•t• (a s o) z 6 D l � S1�_ 31�t `Q �Kti �1Q nn o Z o X 1 - 0 1 � � c..te�•c ui � � Ca 7 ( 0.4 b ) +'..�•� _ %s�g�� VC , Q b.S� o,'Y_iccc wl 13 _JI U lt� 1 rrTmT.� 1 -0 4- , A.,. � A ve. U Satcty and Buildings Divistun T �r C-unty 201 W. Washington Ave., P.O. Box 7162 �Vrhslconsln ii ) Madison, WI 53707 -» 7162 Sanitary Permit Number to be filled in by Co.) De artment of Commerce LS Sanitary Permit Applic do tau Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal inf oration you provide may be used for secondary purposes Privacy Law. 5.04(MOR 2 5 2004 Project Addres (!f different than nailing address) I. Application Information - Please Print All Information s I GROA GOUN r ZONING OFFICE= Property Owner's Na me Parcel N L Block # Property Owner's M ailing Address Proper ocation 3 1 2 �"I _ Z U d i 13 s 3 Ay t Ile- Z_ City, state Zip Code Phone Number 4, � u,Section 23 ��� �` �/"�yQ1� (circle one) I II. Type of Building (check all that apply) T �_ N, R� E o& ,! or 2 Family Dwelling - Number of Bedrooms - Subdivision Name CSM Number ❑ Public/ Commercial -Describe Use 0 State Owned - Describe Use ❑City ❑villits4township or & &i_t- a,1 3 7 ITZ, III. Type of Psgdtt (Check only one box on line A. Complete line B if applicabl A. New S ❑ Replacement System ❑ Tr eatment/Holding Tank Repa ment Only ❑ O r ification to Existing Syst B. ❑ Permit Renewal L] Permit Revision ❑ Change of ❑ Per ransfer to Now Lis rev' Permit N e I u Before Expiration ! Plumber Owner mi i IV. TYM of POWTS S stem: fteck all that appl f _ X Non - Pressurized In-Ground ❑ M > 24 in. of suitable soil ❑ Mou < 24 in. of suitable soil 1 :3 At- Grade C1 ShWe Pass Sand Filter ❑ Constructed Wetland C] Pressuriz In uad ❑ Holding Tank ❑ P t Filter 11 Aerobic Treatment Unit ❑ Recirculating Sand Filter El Recircula S nthstic Media Filter M Drip Line ❑ Gravel4ess Pipe Other (ex lain) V. Dls rsall/Trea m4nt Area Info IJr.igo Flow (gpd) Design Soil Applicatio Rate(gpek I Dispersal Area equired (sfj Dispersal Arta Proposed (0) System Elevation Gary ✓ �3 VI Tank Info Capacity in Total Num Manufacturer Prefab Site Steel ; Fiber Plastic Gallosts Gallons of Units G✓ Concrete Constructed i Glass New Existing lUd Tattle Tanks i Septic or Holding Tank Aerobic Treatment Unit it ` Dosing Ctumber� ---� VII. Rimponsiblijity Statement- I, this undaralpeti, assume r onsih8ity for Ration of the POWT3 shown oa the attached Flaw, —e Plumber's Na me (print) Plumber's Si gnature P RS Number Business Phone Number i i Plumber's Addre ss (Street, City, State, Zip Code) I { L W 7e S C 4.1 V Count /De artment Use onl Approvgd Q Disapproved San' Permit Fee includes Groundwater NDate Issued Issuing Age t Si a ur tamps) ❑ Owner Given Reason S barge Fee) for Denial LX, CORQU Of Approval /Reasons for Disa ai � S Y32EM nWNER• 1 1 1 Septic tank, effluent filter and Intained dispersal cell must all be serviced / 3 as per management plan provided by plumber. S r 2. All setback requirements must be maintained j t, _ as per applicable code /ordinances. S ✓� (iYiGi'it� Attach twsap platy tto the Couoty o y) for the system on paper not teas than $112 x It inches In afae � SBD -6398 (R. 01 m1) ��� V C N w *� y Q� �a A3 J a � / mo o d c� QP .c„ S ° 7ti !SS ffLL S w o N n \ N V � � w G �'T r � � c �e ` J s_ -e� IL N r • iJ�..+. L. �,.,1 j' �; `' �,'. u O t � �,� r Z 7` (,. � • ~ C ;. h � T 1 • t1 �" � , rt y •'^ , .�K. j lesson.* .-fteft R O rI.P , E. ' ABO VE GRRD£ 5 •. � s . '. nQUR , W ; n ow OR FAr1�EAPR�t?� FRESH AIR YNTAKE JUNCTION SOX A?PR0V 1) '•KITH VJNMOLr COVER FI NIcHE �RAI WI PAL LOCK 6 4 " CI RISER WARNING LABEL " I"lih. t WATER TIGH"Ir SEALS ^ T IGHT , , :PPROVE�3 A ail..f'Iir i � JOINTS WITH VE 3' $ , `AI.M , Wf WED PIPE )NTO $11L ID i °~F~- ON 3' .ONTO ya•L f SOLID. SOIL PIMP Tr .,., .,..._,,,FT. r t RISER EXYm D f PERMITTED ONLY IF TANK MANUFACT'J.RER 3n APPROVED BEDDING U;1DEK TA.TK HAS APPROVAL C©NCRSTE PAD SPECIFIC AT' `CNS ° TIC r DOSE rA:ux MArrJ>~A�rjRrR: :sa1 N ^IjMBER " OSES PER DAY: ',xx Si�«ES: SEi�'IiC l GfiL. Vw:.�I;E INC:�JDING �o�E vp.�.,. FLowBACx: i5'9 GA 414. kLkRM MANUFACTURER: 1 .r._....�� «--�` MODEL UNLIMBER.- .�. e rr.,,.. CAP AC I « ES : A s : , 71INCHES v .....U#... GAL , SWITCH TYPE: 8 = INCHES � � GA1 'L:X? MANUFAC URER MODEL NUMBER INCHES ; SWITCH TYPE: ZQU:RED DiSCMRGE R.AT P :• G 'r D x ii`tCHE3' a _ AL. wr P UMP AL RM WZR AS P ER ILHR 26.23' wA ERTICAL JIFFERENGE B$. OFD' ANN; NI DISTPISJ +ION PIPE , MT:�UM NETWORX SUPPLv . .-d FEES' fORCEMAZN PRE55LRE .,�' FEE:` X FT /100 F"' rr r ' FEET . , FR. � T." ON FAC TOR I"EEx +'Otkto DYNAMIC HEAD : r rE N ;' Y ; , i WIDTH • WEkR KIL TESTING Gourds . SubmerObfe Effiaed Pump r 3871 EP05 EPO4 AflONi ' hamirs. no sides + Fuay bubtn�lp�d A Sp,sm y 1l3i�red for llll MW *at, tafllirM OM to a MIWkv Cast 1,W l am usW �r101s of runlnf lubrtell Alit s dry wow ds to tr,nshr . aw tdmm*l `� mot" A"IMM11W III WO caM ryl p lwnd su"V ' PW 0.4 ya nwr I �NIIIN, Arupplp tAd ow�Mr A eAdtms ' %a ft . k 1 50 Moll 11IM1 p oft k* owrlotad Mttr td1 mm" In! ■ NIW fib: $MIN ' too WIOAIMit rq�, P t g d V* do _� ' E $ ohe�e t? S HP. �. MW O# and Ups mvm, X01 n HL i no RPM, Ir4T=$ t�iy► d� bW D r � � � � am* atiitiw�tk r+u�t, m lP01 : iTtlrmo- u0 'UOdDn' -� • ' � abrd: l0 last R 'MM dripn �Ogoltlq M . � up u GPM. lenpth,l$13 SJTQ "� s�lr outv�r br Y • M= TOW rads, up b 2 /t at wlMl wme W" Owgin4 '� f�olsdlon. 1 1 R Pt. olue OAnW 20I= a EPOI li�r'Ihl�o- � tii Mi�r�' 4 s�oNM►oe 9 SJTW whr, AMC n MSA Ord MjW ertmbert Imundho piuq Impta" Poft l✓ fli end In T pr • AC'.} i=am POM "} wnvnww t � 0 wMtta WWW hd aoo anw oorroelon t1liglrtos +Rprr is ! Wam Coal liloi up To f dry ► �o�nrls, ao Abd �1�1lb� to* � � r ' y i ". !� �ttdflAt d � *AMC 0 1t S C y w w .�", • E t� N E Z5c C X co ! �V)CO^ U T w Lo — c o m_ai3 �, 3 co C A, r' �a'D v� i t 1 ca x LL 0 CD x I » rz O z (J7 o '� ro _�frl {qQ M z u 1f W c I CL J m • 4 to11t r ja Yom A Y s„ ST CROIX NANCE AC I'-P"1 .�,r:pLICTAN'K MAINTF &N AND � Sil C L c 4� oxvIII!, i'auvor -7-v �roperty tjotA required hurt ant "'� ,low p1s Ds�lm � - -74 - 0 State parcel J.dcn j t Numb!UV— . . ....... , 3' 2, A - 7 0 w. Town of sec. L 7 011''me Page Survey Map 4 zq - 3t 3JI 0 /0� I)e*d 4 Pap 0 identifSabla)< veg C7, no r es no hou haadle C " could Ce of Y010 48P qYst T"�A�rojw U" IZA mlintalan ;+ nftdedby a IiMastd PurrP V you P � - % A t!lt lepdc toAk eve'7 tares yevs or soonel'- Aw In the 'n" ., of , dWj the f u=un t of ths certifi , and C 5157 si t6 5 Croix 74otine DeTartM 2- 9'vqle-in enf- A tha or,-mte Wastewnic"I'(11S. to yb�Lgth2 c . ta t j k i5 )-,Is thin 1.13 full of sludge- redriot MCMSATY). t'he R t i P n attar 0 1r, p"Op dispog&' 5 Y&ter , W ' the glue lords pr sew 9t, Md the abovc- md oc't' st of Wile-0 I touins Un aetsipedhave , , f vic. e W i th in 3 C" In ,4, v ALI CMiX C to t' b" the DcPlrcmer� of Conlm ter& 6),stem SAO sari tu must be COMPI 6at Ybue 't v U-C- h th., YWa'MXP'r't' dZ% iz I RC 0 =rkysVI DATE ledge, 1 , RM (Prc'. ) !I-,c my (va) knDw AU rM this foaft T , Rev" 'te, ( eerdfy tit all 011 0 'k W21TI' M . �-Ttv do ibo O£ Av 0 IT A, OF ICAN n; g f l_vcktd by j-'j b6mv # d ft the Register 0- dae6 9 co py of Lestion; a stm7ed ji'Tefrmn'0 iA m Ln the lncludO with this ILP* I'VIV Map POWTS OWNER'S MANUAL & MANAGEMENT PLAN page / of P IN O TION SYSTEM SPECIPICATKM F P: Septic Tank Capaci ,,2 U al © NA 3 5aptic Tank Manufacturer _ 1i1.� �.5'tv- O NA D61iON PAA/1hAET>E:R6 ' Effluent Filter Manufacturer $ 0 NA [ E stimined umber of Bedroom: er d NA EHtuelnt Flker Modes ��" NA umb of PubGO Fsolky Unha O NA pump Tank Capacity �� 0 NA flow iavore") _r___.... e-4 _ al d Pump Tank Manufacturer r C3 NA esign flow Ipeak), (Estimated x 1.5) 4 Application Application N/d imp Mau #sotunr � / Q NA ON Application Rate ai/d /ft' Pum Model d 7p� O NA andard Inftusnt/Effhant Ouailty Monthly average. p ,fit Unit Feb, Oil & r NA ©� !: ass (FOG) !�0 3L � 0 Sand/Grovel Filter C3 Pow P(iter 8bchsmbal Oxygen Demand (BOD 5224 m tL Q NA 0 Msohanical Aeration ❑ Wetiand Total "pended Solids (TS6) S1 e-0 mg /L 0 Disinfection p Other: Pretreated Effiuern QuaStV Monthly average 01dowaa) C") O NA MocherrNoai Oxygen Demand (BOQ %30 mg /L O In- Ground (gravity) 0 In-Ground (pressurised) Total Suspended Solids (TES) s30 mg/L NA 0 At -grade 0 Mound Feoal Col!#orm (geometric mean) st o m ! O 0 Une rip' O Other: I - Maximum Effluent Particle Size yi in die. 0 NA DNA 0thar: 0 NA `Vaiuea typkat for domasdc wastewater and septic tarot attkisnt. OtMr: E3 NA iCillOULE EwtK Service freglsanCY InopOCt condition of tank(s) At least ones every: a (Mabnwrn 3 years) O NA Pump out Contents of tenk(sl When combined "Age and scum squats one-third lil;) of tank volume ❑ NA Inspect dispersal cell(s) At loset once every: 3 m 3 years) O NA Clean o luent f a Rw — " - W F 8 T ter At least once every: Q NA Inspect pump, pump controls & alarm At least once every: 0 NA le) e Flush laterals and pressure toot At least once every: C1 mot+ a) s) 0 NA Other: At least ants every: O 13 mot M?IQ 0 NA Other; C3 NA MAINTENANCE 08TRUCTIONS inspections of tanks and dispersal cells shalt be made by an individual carrying one of the following licenses or osrtlficationa: Master Plumber, Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tankta) to identify any missing or broken hardware, identify any cracks or leaks, me"Ure the volume of 0ornbin4d sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal oef 0 shall be visually inspected to check the effluent levels M the observation pipes and to check for any ponding Of effluent on the ground surface. The ponding of effluent on the around surface may indicate a falling condltW and requires the In+rnadiate notifiaatlon of the 10001 regulstory authority, When the oon"bined soournulation of Nudge and scum in an tank c°ntents of the tank ship be removed by s Sept a Servici Operator one (4) or more of the tank volume, the entire �GCOnsin Administrative Code, a g and disposed o f in accordance with chapter NR 113, All other services, including but not limited to the servicing of effluent filters mechanical or units' end any servio at Intervals by a als of S12 months, shall be P"urized aartified POWTS Malntainer. Components, pretreatment A setvioe report shall be provided to the local regulatory authority within 10 days of oompietbn of any service event. _ START UP AND OPERATION Rage 2 Of For new construction, prior to use of the POWTS check treatment tank(et for the presence of painting products or other ehemiceis that may impede the treatment process end /or damage the dispersal cell(s), If highcncentrations are detected have the contents of the tank(s) removed by a a eptage serv icing operator prior to use. System start up shall not occur when soil conditions ate frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal ceiNsl In one large dose. overloading the call(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the co ntents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist In manually operating the pump controls to restore normal levels within the pump tank, Do not drive or park vehicles over tanks and dispersal cells. Do riot drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the perf ormance and prolong the fife cf the POWTS: antibiotics, baby wipes: cigarette butts; condoms; cotton swabs degreasars; dental floss: diapers; disinfectants; tat.. foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; most scraps; medicatioeis; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails andlor is permanently taken out of service the following steps shall bo taken to insure that the svaterr. is property and safely abandoned to compliance with chapter Comm 63.33, Wisconsin Administrative Code: e AN piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. a The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. e After pumping, ale tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another Inert solid material. CONTINGENCY PLAN if the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: A suitable replacement area has beers evaluated and may be utilized for the location of a replacement soil absorption, system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requked setbacks from existing and proposed structure lot "a and wells. Failure to protect the replacement area wilt result in the need for a new soil and sits evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in eff ect at that time. O A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be Installed as a last resort to replace the failed POWTS. �� © sire tank 13 Mound and at -grade soil absorption systems may be reconstructed in place following removal of the blomat at the Infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNINO> > SEPTIC. PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASH ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL CO�iAMavTB _µ POWTS INSTALLER POWTS MAINTAINER Name l>'r u ` y ENam& Phone SEPTADE SERVICING OPERATOR iPUMPERI LOCAL RE ULA TORY AUTHORIT L Name Name -5-F, l v r ZDA(lti Phone —_—_ ____ Phone This document was drafted in compliance with chapter Comm 43.22(2)(b)(t 11dI&M and $3.54(11, 421 b (3), Wisconsin Administrative Code. U 2527P 938 -7 56779 STATE BAR OF WISCONSIN FORM 1 —1998 KATHLEEN N. D EEDS REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO.. WI RECEIVED FOR RECORD Document Number 03/16/2004 04:00P11 This Dead, made between Frederick G. Lenertz, single , Grantor, and C:1 a =r; Pro�rties i •T L Grantee. WARRANTY DEED Grantor, fora valuable consideration conveys to Grantee the following EXEMPT M described real estate in St. Croix County State of REC FEE: 11.00 Wisconsin (the "Property"): TRANS FEE: 420.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address i r( ;\ ro. Burnet Title 7550 France Ave. S. First Floor Edina. %IN .5435 Al —. 42 1069 70 000 Panel Identification Number (PIN) This is not homestead property. (is) (is not) Lots 1, 2, 3 and 4, CSM in Volume 17, Page 461located In part of the NW 'A of the SW % of Section 25, T 29 N, R 15 W, Town of Warren, St. Croix County, Wisconsin. -(<a5 00(uvv: -e✓rt kb-- 7go310g Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except `• Dated this day oY_C 2004. (SEAL) (SEAL) V F ederick G. Lenertz (SEAL) (SEAL) • AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, I ss. St. Croix County authenticated this day of ers� aj came before me this day of l C� , 2004 the above named Frederick G Lenertz sinale to me known to be the person who executed the foregoing instrument TITLE: MEMBER STATE BAR OF WISCONSIN and acknowledge the same. (If not, authorized by §706.06, Wis. Slats) Pam AA&ff- THIS INSTRUMENT WAS DRAFTED BY Notaryftbllc, Sfibi of in Coldweli Banker Burnet 1301 Coulee Road My commission is permanent. (If not state expiration date: Hudson, WI 54016 4-22660 P AM A PE11Cen' (Signatures may be authenticated or acknowledged. NOTARY PUBLIC Both are riot necessary.) STATE OF WISCONSIN Names of pe rsons signing In anv capa city must be typed or printed below their sig nature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co, Inc. 74.0368 VOL 177 PAGE 4613 KATHEM H MxTSA' — RSI3IST3Dt U DIMDS AR& VVEDD ix Co PM k=OitD 89/17/2063 62t43Pt1 CERTIFIED SURVEY MAP Cgffl nn SURVSY MAP RSC F88t 13. LOCAT IN PART OF THE NW1 /4 OF THE pwa�i�2 3.0� ED r SWII/4 OF SECTION 25. T79N. R18W. TOWN OF WARREN. ST. CROIX COUNTY. WISCONSIN. LEGEND FOUND ALUMINUM ST. CROIX COUNTY WEST 1/400RNRROF SECTION CORNER MONUMENT PREPARED FOR: —' 8 25, T2 R18w SET 1' OUTSIDE DIAMETER BY 15' FRED LENERTZ 33 4DUSTINQ DRIVEWAY 0 LONG IRON PIPE, WEIGHING 1.13 LOS. P.O. BOX 292 t SW OOH of Lar / PER LINEAR FOOT SOUTH ST. PAUL, r —� VOL 3. PAGE 770 --- PROPOSED DRIVEWAY LOCATION � �) _ I b MN 53075 I SURVEYOR: a 9 °, �, W6 IPA®( THOMAS M. HEALY I S N LAND N89'3 2"W 7.67' 1 SURVEY{NC, INC. k) \ '�•a SOUTH LINE OF LOT 1, 1 ! 2920 ENLOE STREET VOL. 3.PAGE770 ~ HUDSON. WI 34014 r l \ oa LOT 1 / � r 2.14 ACRES 1 (93,066 80. Fr.) INC. WW N y B I 2.00 ACRES >A (87,120 8Q. FT.) EXC. R/W APPROVED t I ST. OROIX co_umy . w co N I M sar3aeaE a17.a7P""'I"" �p 14rW 1. "" • - W . ( \ 484,ar SEP 1 I & c LOT 2 Ir na" daw :va w ow w ?� � i (93,055 60�FR . .) INC: RNV t8 I 2.00 ACRES C412 ° I q (87,120 80. FAT.) EXC. RNV I ° NO 66 •E 888'3928 "E !i 7 ?.87' I" J ACCESS EASEMENT ry L10(►�pDp.h14Vl3tID LLG1\ IM —RECOROEO IN V01. N89'39'28"W 81 7.87' 2395 PAGE 105' • 7 4a4. LOT 3 I I i 2.14 ACRES I I IA t (93.068 SQ FT.) INC. RNV . . kldd ALIT 9d ' CON ' ( -- ,Ga —•, (87,120 SO. FT.) EXC. RNV a " �$ M SSV40'OrE 617.5* W THO \ 484.6* H LOT 4 8 ML. SON. Q 2.14 ACRES (93,0811 $0. FT.) INC. R/W � Z N. I 2.00 ACRES J ► I / ; (87,120 80. FT.) EXC. R/W SOUTH LINE OF THE NW114 OF THE Sw 1/4 484.9'P 0 SW CORNER oF� � DR IVEWAY 889'4O'48'E 817.57' THE NW 1/4 OF _ L SCALE IN FEET 1 100 THE SW , /4 UNNArM ( ( soow,���' ' ewr c�RNeR 00 0 100 's�c:TIDN za, ram, R1 SW 1 SHEET 1 OF 2 SHEETS DRAWN BY. BRIANA 3EISS9IGER JOS NO. a W-W DATE- 1bO rAW WASED: =0204 1/111-9 o . age