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042-1087-70-115
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420312 0 GENERAL INFORMATION (ATTACH TO PERMIT) fate Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. *'Z43 (p = �•wKac+�*.r. riff Permit Holder's Name: City Village X Township Parcel Tax No: Otten, Ben Warren Township 042 - 1087 -70 -115 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA � TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark p co �' 0 1 os•� 170 '0 / Dosing � � « Alt. BM Aeration Bldg. Sewer Holding SVHt Inlet / b•s� 9d•s3 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic / f / Dt Bottom a o• 9`f -(cz Dosing « �� �� I Header /Man. Aeration Dist. Pipe • , S I°r° •9`f Holding Bot. System 9d o roo •19 PUMP /SIPHON INFORMATION Final Grade r l 1 U 1„p rZ + M*- — oo Manufacturer Demand St over r GPM Model Number s -kA -' C6. Lift Friction Loss System Head TDH Ft • 1, 1D - 3. z5' 110 Forcemain Length r Dia. Dist. to Well Z-S SOIL ABSORPTION SYSTEM ED 4�EM8H Width / Length t No. Of TrmehW . PIT DIMENSIONS its Inside Dia. Liqui ep ENSIGNS / SETBACK SYSTEM TO P/L BL 15G IWELL LAKE /STREAM LEACHI G Manufa INFORMATION CHAMBER R Type Of System: r ( ( UNIT 35+ 0 O odel Number: DISTRIBUTION SYSTEM Header /Manifold // Distribution ( // x Hole Size I x Hole Spacing Vent to Air Intake / Pipe(s) i t 3 / -ft Length 3 • Dia /1. Length ' Dia i Spacing 2- -( �trortl[ a 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 Ed es To soil g p ] Yes 7 No ❑ Yes No COMMENTS: (Include core is re ences, persons resent, etc.) i nspection #1: / / Inspection #2: / Location: 605 0 h Street Hudson, Wl 554016 (SW 1/4 SW 1/4 31 T29N R18W) A Lot Parcel No: 31.29.18.486E10 1.) Alt BM Description = � f a a Ue �1 Pb be 1-C „ � �( � 2.) Bldg sewer length = 'V, h �,51}� 1` l - amount of cover = V v w� V 3 ) a•.Q k - 100.6 -w- Plan revision Required? ; Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) x t Date Insepctor's Signature Cart. No. Project G 1�� Date t l5` (p f Iwom a - 9 m 0 — m - n ct Date a AAii -3t 'L 1t 00 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF WARREN COMPUTER NUMBER 042 - 1087 -70 -117 Parcel Number 31.29.18.486E -15 OWNER NAME: First NATALIE J Last ROBERGE PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment 903 CTY RD N 'OR SECTION 83 TOWN 29N RANGE 18W '/ +160 SW '/.40 SW Line Description Line Description PARCE L VOLUME & PAGE HISTORY TYPE VOLUME PAGE DOC# NOTES .0-.WD 1835/139 671006 PT OTTEN BENJAMIN & ROBERGE NATALIE TO TAINTER STE ..WD 1834/ 270 670884 PT GERMAIN STEVEN TO OTTEN BENJAMIN & ROBERGE NATA ..WD 1530/ 416 627323 ROBERGE NATALIE TO ROBERGE NATALIE& OTTEN BENJAMIN 1142/227 0 864/344 0 819/41, 0 716/495 0 Use Arrow Keys to Select, F7 -ROD, F10 -Exit I '�' ., Safety and Buildings Division County a t. ` 201 W. Washington Ave., P.O. Box 7162 SIT isconsirn Madison, W1 53707 - 7162 Site Address Department of Commerce SE'S - d - 1 fe.:P/ & 60S 1 0 • Sanitary Pe ' Number Sanitary Permit Application r Lf2-0 312-- In accord with Comm 83.21. Wis. Adm. Code, personal information you provide ❑ Check if Revision may be used for secondary purposes Priva� I. Application Information - Piestse Print All Informs on U t: State Plan I.D. Number Property P Owner's Name E:w ?002 Parcel Number !08'7 Property Owner's h4pipg Address ) S Property Location ��yy 'A , �-A; S� T G- N, R E City, State Zip Code Phone Number Lot Numbr - BIoc�Y�N her CSM Number �'4 ( ,-Ji"��', llll°�,,v,1J CSu^� Zgdi' J• t; P, 3 �'S�S'�,� H. Type of Building (check all that apply) a3 P.r 5" . ❑City 1 or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public/Co rcial - Describe Use ❑Township ❑ Stare p cw •'r °� cm C ll d / Nearest Road Al 6 f x W tut• k cJl u = 0 0.�3 III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if pplicable) A. J XNew 2 ❑ Replacement System 3 ❑ Replacement of 6 ❑ Addition to For County use stem I I Tank Only Existing stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued N. Type of Permit: (Check all that ap I )(numbering scheme is for internal use) Ar1010 t , 44 ❑ Non - Pressurized In- Ground 2 Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In -Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 460 Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispersalffreatment Area Information: Design Flow (gpd) Dispersal Area rsal Area Soil Application Percolation Rate System Elevation Final Grade Required �sed Rate(Gals. /Days/Sq.Ft.) (Min./Inch) Elevation /So so VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New I Existing Tanks Tanks P r: H :o1dingTank / _ /DoD 2: -- er t (60 VII. Responsibility Statement I, the unde rsigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum is Signs RS ber Business Phone Number i.S / 2z/ / /J mod= 463 7 Plumber's Address (Street, City, State, Zip Code) VIII. Count /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing ent Signature (No Stamps) Surcharge Fee) C1 owner Given Initial Adverse � Determination IX. Conditions of Approval/Reasons for Disapproval � -- c.�o�• / w _ �, �-�- d° Per Attar complete plans (to the County only) for the system on papa' not less than 8112 x 11 inches In size SBD -6398 (R. 05101) t ------- - ---- ------- ----- ------ ......... . - --------- - --- -_ - Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 8*isconsin www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Sec retary July 31, 2002 CUST ID No.221471 ATTN: POWTS Inspector DENNIS J GILLE ZONING OFFICE GILLE TRUCKING & EXCAVATING, INC. ST CROIX COUNTY SPIA 372 140TH ST 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/31/2004 Identification Numbers Transaction ID No. 772136 SITE• Site ID No. 648202 Ben Otten Please refer to both identification numbers, County Rd N I above, in all correspondence with the agenc Town of Warren St Croix County SW1/4, SW1 /4, S31, T29N, R18W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 862684 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: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (0 1/8 1) CbndiA • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. APPKI Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and disper]eON l RTMENT 0 are prohibited. 0 S - TE ez • Access to the filter for cleaning must be provided per Comm 84.25 (7) and (8),Wis. Adm. Code product SEE CORRES approval conditions. • 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. • 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 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. DENNIS 1 GILLE Page 2 7/31/02 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 /installation/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 az� o<< � 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 MOUND AND PRESSURE DISTRIBUTION COMPONENT DES% r Commercial Application vr INDEX AND TITLE PAGE c r 7)& JUC 16 2002 D Project Name: BEN OTTEN D I® GS Owner's Name: BEN OTTEN Owner's Address: Legal Description: SW SW S 31 T 29 NR 18 W Township: WARREN County: ST.CROIX Subdivision Name: Lot Number: 0.02 Block Number: Parcel I.D. Number: 042 - 1087 -70 -110 Plan Transaction No.: Pagel 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 .Y Page 7 Pump qurvq and specifications V81) //d ' MMERC it " UfLDING PO L) Designer: DENNIS GILLE License Number: 221471 Date: 07/1 02 Phone Number: 715 - 268 -6637 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 3.11 (R. 06/01) Page 1 of 7 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r. Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 8344 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 450.00 Design Flow (gpd) 2.00 Site Slope ( %) 99.00 Contour Line Elevation (ft) 26.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd/ft Distribution Cell Information 76.001 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd /ft 1 I Influent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) 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. 0.188 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = 6.25 ft /orifice 2.00 Forcemain Diameter (in) 100.00 Forcemain Length (ft) Does the forcemain drain back? Y 88.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 11.83 Vertical Lift (ft) 67.44 5x Void Volume (gal) 4.48 Friction Loss (ft) 83.75 Minimum Dose Volume (gal) 19.56 Total Dynamic Head (ft) 47.19 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 x X 1.25 x 2.00 x 1.50 x X 3.00 2.00 x 3.00 x Gallons /inch Calculator (optional) Treatment Tank Information 600.00 Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) 42.00 Total Working Liquid Depth (in) HUFFCUTT Manufacturer 14.29 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 600.001 Dose Tank Capacity (gal) JZabel I Filter Manufacturer 14.931 Dose Tank Volume (gal /in) IA100 Filter Model Number HUFFCUTT Manufacturer Project: BEN OTTEN Page 2 of 7 L Mound Plan View 1/10 B a K J . Observation Pipe 'Q' T T� T .�. e _ l A W .. :'.. �. . . .:I:.. ... ... .. . . . . I L Mound Component Dimensions A 6.00 ft E 11.44 in H 1.00 ft K [ Aft ft B 75.00 ft F 9.50 in z 7.16 ft L ft D 10.00 in G 0.50 ft J 6.01 ft W 450.00 (ft Dispersal Cell Area 987.37 (ft Basal Area Available 6.00 (gpd /ft) Linear Loading Rate 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.63 (ft) —► { { { { { { { {{ 2 { { { { { { {.. G • 1 I F : : { 100.33 (ft) Lateral Dispersal Cell 99.83 (ft) —► — Invert Dispersal Cell :: t Elevation .. E D ,,• ,, y, : :K . A. �. ? i i, .k k ,� J i, .+, �, �. J k �. ?, ?._ ?,~+, i�.•. { ] i i ) , } �1 i y 4 ,./� . ti. • 4 .K '} tit. •� ,_ • ._ • t =: , = ti .� _ .+.� +.�}� '� +i,.�. ti• �� .,� � -�'-.• ,- 4 ,�,__ , +..:• ,,; .��,�, _ .�',_ , � � { ti. 1, . �.. a..i, )..k }' K 99.00 (ft) Contour Elevation 2.0 % Site Slope Geotextile Fabric Cover Shading Key ? Dispersal Cell See lateral details on Q ® FL Topsoil Cap c 1.5 ft .... Page 4 for number, size, © { { { {{ Subsoil Cap y o 5 �:; and spacing of laterals. © R • �'`:� �•• � Laterals are equally ASTM C33 Sand • : °•n ::� F �= . " = Lateral spaced from the Tilled Layer 05 ft c , .... ° ' p ' "` , 5 Agg o °. I distribution cells + centerline in the * A ♦ distribution cell (AxB). Project: BEN OTTEN Page 3 of 7 4 Center Connection Lateral Layout Dai ram Force main connection via tee or cross to manifold at any point. Laterals are identical I P S •= Turn -up vdball valve or (F x— �IExf2 I x12 Laterals & force main of PVC Sch 40 oleanoutplug per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.10 ft Lateral Length (P) 36.75 ft Orifices per Lateral 18 Lateral Spacing (S) 3.00 ft Orifice Density 6.25 ft /orifice Lateral Flow Rate 11.80 gpm Manifold Length 3.00 ft System Flow Rate 47.19 gpm Manifold Diameter 1.50 in Total Dynamic Head 19.56 ft Forcemain Velocity 4.82 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 _ Tank component is properly vented E-- Aftemate outlet location Forcemain diameter HUFFCUTT Manufacturer �_ 2 in. Capacity 600.00 Gallons Volume 14.93 gal /inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 26.58 396.81 B 2.00 29.86 C Pump off e levation (ft) C 5.61 83.75 � 88.50 D 6.001 89.58 D Total 1 40.191 600.00 Dose tank elevation (ft) 3" Bedding uncTer tank. 1 88.00 Alarm Manuafacturer LEVEL ALARM Alarm Model Number DVL Pump Manufacturer IZOELLER Pump Model Number 11 Pump Must Deliver 1 47.19 gpm at 19.56 ft TDH Project: BEN OTTEN Page 4 of 7 a Mound System Maintenance and Operation Specifications Service Provider's Name DENNIS GILLE �� Phone 268 -6637 POWTS Regulator's Name ST. CROIX CTY. ZONING Phone 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliforml >10E4 1 cfu /100 ml- Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Tum -up Detail Finished •....••.....••. ..........••.., Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box • . • • • Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: BEN OTTEN Page 5 of 7 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least pyeears by inspection. The ouhall be cleaned as necessary to ensure proper operation. The finer cartridge should not be removed unless provisions are made o res in the tank that may Slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the finer shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: BEN OTTEN Page 6 of 7 I s Jul MC1F �'+► t'1 r C 1E w Y•arnC (w •,1,ij��'14f�° �ISa� / iu+�ncie�' . ��.��, .� L;'►YFWtrtnl nNC1 lil.'WAt�p Y4 — hf $o , _ •�.w r`� uEtu� foal. 4h� B/u± _ .. �M fl "a " Al 1W4 111 .f.!!7 7p .81Uw _`� - ..✓ Lj a . R►�M —�.. y . �1 ».w S +p TiL1 xr u _. a to 44t Ira aft pp -..- » NIA', Pull M1NUl!? fi 400; 0N3f FACTORY FOR $PSCIAL 7!►FtQI! 1 i '• /k ,r DNS ( mr , 4 'fnml �lit�arnmtii , 19,tlfrupl l u>sy ln►s,st :srlvnllm►ImgC►�qu r7wttft iJ U7ehrm. nffiB)1N1f11111�1 tillt(3Pr1Yi1't1I'k1r � }'�1'I�I'1'ld, RY�T aUL�ITE1�JiEr' -° 'r 113rR1Ha lrQrltl7utfl, 1 n�Fcxr tr�raffu�Tyntsm�Tmrs en, oubis � I u p � r m, Sss F pumps s tl lr� Isl m {Cnplax � I �rit�bll� Iovctl 10,01it dCswlir;}uue firs aystlalstra +r�ronlr , ��. 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If J(3tJ� x _ w 7 ,! gitNpl� y M6' al Ifs F lrcSu 7Sol an �1R'r E ��xx — v l'�`l ._.._.,�f •- •r•t _ �.....y.,. l T; ' � Y .,, .�, ..�"�"��� � �lE� �:u�,6'I'rf;�� "M ' !>WI, Af �� nhtNaGs��t ,�31 pl M1, YlLUllj, a41!( 1P1uaL0hfuwB►, bpllumlpu41 1f ,U,idllgU[ll litlufFTdfQN7kNIK,rB .,,I.'.'f3'.��� =�..- �� ay Cif � Di1,5tr�[l�dlanla ► p„lllWP. QNIt , � Wfrdlkrl UNlyy/ , 1a1lYtlMJ1r!!f [9RW�y!$ l IrrUra b�rllQrl�l blr &OURl6 C;06 twig A JFIfilltalkFt►A+s��>��9 Vol - lft1i)E POWERE )DERmaN R Q BOX W41 �c►,rlaldub rry +toaU"341 U, :36S�fMllitfFrJl,fffl tJ4 d�Jf►CiBL(UllCriu( ••l�? l tlUfuuulEb ICY 40 s1 1. , 11JO- 1 ., " 1594771r ySl •'l �1UI0)1311I pj/yfji QfrnEr~ kwr�s f r " 5: !iy K Y x . flo,i , te Sir r ��� �'�� ��� � � 1 'II 1 I i ' 111111 . .... ... ... .. .......... .. .... . ..... ....... .... .... .... -.11.11 1 .1.111.11,111, .. .. ...... .. E . . . ....... �I nrisconsm yeparmwnr or inousuy, S Q I L AND SITE EVALUATION. REPORT Page of Labor aW Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but• Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned north arrow, and location and'distance to nearest road. 042- 1087 -70 -110. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Ricky & Lulia Burt; GOVT. LOT SW 1/4 SW 1/4,S31 T 29 ,N,R 18 )E (or) W PaOP,€l�Y OWNER :S MAILING ADDRESS LO # BLOCK # SUBD. NAME OR CSM # yy bHy� na csm %Y,&TE ZIP CODE PHONE NUMBER [:]CITY []VILLAGE ®TOWN NEAR ST ROAD U son . . WI. 54016 (715) 749 -0140 Warren Ct . "N" [K j New Construction Use [74 Residential I Number of bedrooms 4 [ J Addition to existing building Replacement [ ] Public or c6mmercial describe Code derived daily flow 600 gp d Recommended design loading rate • 5 bed, gpolft - 6 trench, gpd/fi Absorption area required 500 bed, ft 500 trench, ft Maximum design loading rate • 5 bed, gpolft •6 trench, gpolft Recommended infiltration surface elevation {s) 100.00 ft (as referred to site plan benchmark) Additional design ! site considerations system el. based on contour line of el. 99.00' Parent material glacial drift over limestone up 4"lain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S 1�) U . [as ❑ U ❑ S K U ❑ S ®U ❑ S K] U [Is C$.l1 SOIL DESCRIPTION REPORT Boring # F2, Depth Dominant Color Mottles Texture Structure Consistence Bound ry Roots GPD /ft In. Munsell pu. Sz. Cont Color Gr. S Sh. Bed Twch 0 -11 10yr3 /3 none 1 2msbk mfr cs 2f .5 .6 }�; R v 11 -2 10yr4/4 none sil 2msbk mfr zt : . >�;s >x 9V if .5 .6 Ground 3 23 -33 7.5yr4/4 none sl 2msbk mfr gv if .5 .6 elev. 99 ft. 4 33 -55 2.5yr4/4 c2p 7.5yr5/8 cl M na na na np rip Depth to limiting factor 33" Remarks: Boring # 1 0 -11 10yr3 /3 none 1 2msbk mfr cs 2f 1 .5 1 .6 1pmg 2 }. 2 11 -22 10yr4 /4 none sil 2msbk mfr gw if .5 .6 3 22 -36 7.5yr4/4- none sl 2msbk mfr gw if .5 i .6 Ground elev. 4 36-46 5yr4/4 none scl 2msbk mfr gW na .4 .5 9 2 , . 5 46 -60. 10yr5 /8 c2p 7.5yr5/8 cl M na.. na na np np Depth-to limiting factor 46" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554.200th. e. New Ric and WI 54017 Signature: ? Date: 15 -99 CST Number: mO2298 ,PRP,- ERtYOWNER Burt SOIL DESCRIPTION REPORT p age 2 of 3 PARCEL. f.D. # -- 442 - 1087 - 70 - 110 Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft Texture Corrslster>ce Boundary Roots in. Munsel! Qu. Sz. Cunt Color Gr. Sz. Sh. Be Tmnch 7 0 -10 10yr3 /3 none 1 2msbk g? mfr Cs 12f 1.5 - .6 ME 2 10 - 2 10yr4 /4 none sil 2msbk ,mfr . gw 1 1f .5 .6 Ground 3 22 -26 7.5yr4/4 none sl elev. 2msbk mfr gur if .5 1 .6 9 8.7 ft. 4 26-40 2/5yr4/4 c2p 7.5yr5/8 Cl M na na na np np Depth- to limiting lector 26 v Remarks: Boring # Ground' elev. ft. Depth to limiting factor Remarks: Boring* Ground elev. ft. depth to imifing actor Remarks: goring # round ev. fL DO to tifing I ' 4 E STEEL'S SOIL SERVICE Gary L Steel Ricky & Kayla Burt 1554 200th Ave. OSTM2298 SA S31- T29N -R18W New Richmond, WI 54017 MPRSW -3254 town of Warren (715) 246 -6200 lot #2-csm N 1 BM-= tap of 1" pvc pipe C el. 100.00' Alt. BM.= top of 1" pvc pipe C el. 99.60' -fib � try 3 • n r, Gary L. Steel 7 -15 -99 Wiwonsin 6partment of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Division of saf`y & Buildirigs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach P on complete site Ian paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix P P not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 042- 1087 -70 -110 APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION RE WED Y DA 7E 7 Z PROPERTY OWNER: PROPERTY LOCATION Ricky & Kayla Burt GOVT. LOT SW 114 SW 1/4,S31 T 29 N,R 18 (or) W P99T RTY OWNERS MAILING ADDRESS LOT # BLOCK# SUED. NAME OR CSM # 909 Hy. "N" 2 na csm e CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD Hudson, WI. 54016 (715)749 -0140 Warren Cty. "N" (xJ New Construction Use [xJ Residential/ Number of bedrooms 4 [ J Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow 600 g pd Recommended design loading rate • 5 bed, gpd /ft • trench, gpd /ft Absorption area required 500 bed, ft2 500 trench, ft Maximum design loading rate • 5 bed, gpd /ft • trench, gpd /ft Recommended infiltration surface elevation(s) 100.00 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 99.00' Parent material glacial drift over limestone uPl AArplain elevation, if applicable na It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem I ❑ S :K1 U ® S ❑ U ❑ S &I U ❑ S ® U ❑ S KI U ❑ S aU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ................. 1 0 -11 1Oyr3/3 none 1 2msbk mfr cs 2f .5 .6 ` 1 2 11 -23 10yr4 /4 none sil 2msbk mfr gw if .5 .6 Ground 3 23 -33 7.5yr4/4 none sl 2msbk mfr gw if .5 .6 99 ft. 4 33 -55 2.5yr4/4 c2p 7.5yr5/8 Cl M na na na np np Depth to limiting factor 33" Remarks: Boring # 1 0 -11 10yr3 /3 none 1 2msbk mfr cs 2f . .6 :....2...» 2 11 -22 10yr4 /4 none sil 2msbk mfr gw if .5 .6 3 22 -36 7.5yr4/4 none sl 2msbk mfr gw w <. .5 .6 Ground elev. 4 36 -46 5yr4/4 none scl 2msbk mfr r ' nit .5 9 ` 5 46 -60 10 r5/8 c2 7.5 r5/8 Cl M na: f, na n Y p Y > :. p `,� Depth to limiting fn factor �> ST 46" Remarks: s . CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. New Ric and WI 54017 Signature: Date: 7 -15 -99 CST Number: m02298 PROPERTY OWNER Ricky Burt f SOIL DESCRIPTION REPORT P �� ' age _ o PARCEL I.D. # 042- 1087 -70 -110 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxlary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed jTwich 1 0 -10 10yr3 /3 none 1 2msbk mfr cs 2f .5 .6 Lamm 3 >< 2 10 -2 10yr4 /4 none sil 2msbk mfr gw if .5 .6 Ground 3 22 -26 7.5yr4/4 none sl 2msbk mfr gw if .5 .6 elev. 9 8.7 ft. 4 26 -40 2/5yr4/4 c2p 7.5yr5/8 cl M na na na np np Depth to limiting factor 26 " Remarks: Boring # Ground elev, ft. — Depth to - limiting factor T Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) S STEEL'S SOIL SERVICE Gary L. Steel Ricky & Kayla Burt 1554 200th Ave. CSTM2298 SW4SW4 S31 T29N - R18W New Richmond, WI 54017 MPRSW -3254 town of Warren (715) 246 -6200 lot #2 -csm N 1 =40' BM.= top of 1 pvc pipe C el. 100.00' `/�' IA � A,►.+�' Alt. BM.= top of 1 pvc pipe C el. 99.60 Wv' . �f C Gary L. Steel 7 -15 -99 L _� ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTFI��ATI� P;� Owner/Buyer Mailing Address iuff / �}` V Property Address i0c6 �� � • l (Verification required from Planning Department for new construction) J City /State Parcel Identification Number s l O g 7 - - 7 LEGAL DESCRIPTION Property Location 1 - 2 )w '/4, SV '/4, Sec. �, T _aN -R_Aq W, Town of � Subdivision n , Lot # .Certified Survey Map # Z�) , Volume Page # C7 Warranty Deed # LQ 7 2 ` , Volume Page # Spec house ❑ yes K no Lot lines identifiable ( yes ❑ no SYSTEM MANTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can 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 masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal 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. Uwe, 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 that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 da of the three year expiration date. / I GNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office. zz - / OZ SIGNATURE OF APPLICANT DATE * * ** ** Any 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 a° Vf-L 1530P 416 STATE BAR OF WISCONSIN FORM 1 - 1998 627323 WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS Document Number 57. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between &WA 11 e T &b 4— _ 08 01 8:00 AM WARRANTY DEED EXEMPT N Grantor, CERT COPY FEE: and t° COPY FEE: Q S i C11 yt f fP✓iQy 1 fS TRANSFER FEE: 104.70 RECORDING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in 5'f e j X County, State of Wisconsin (the 'Property "): Rocoitllnc Area Name and Return Address N al e J. RoGn✓ Yoke SUV S W' /Fl of S 3l, P o r3cc �f0 )30 Town ship 29 Avon e 10q west St. SF. - Pa L,( Mti. SSra ('YDi z C'oun �scansl in d escrl D M aS fo i l a ws w of cryh fi ,( 5t rveV �(faP /PC( a- f�j�jPy cX� /�� �' r ( 1 6 / /3 ParcelldentificatimNurnber�IN) -r This fIll f' homestead property. -4jp} (is not) C Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible In fee / simple � and free and clear of encumbrances except Dated this day of (SEAL) 41 (SEAL) • fQ 't P � (SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) State of Wisconsin, 55. COunfyy. authenticated this day of Personal came before me this J? S r day of the above named NAtAUF : WW avF� TITLE: MEMBER STATE BAR OF WISCONSIN to (If not, me known to be the person who executed the foregoing authorized by §706.06, Wis. Stars.) instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY �'• `! r Z q N a �e T 12o 1�e �C� Y Notary Pu bI ` My Comm ,ITf not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not ��V03 ) necessary) eN r f • f •�, ` Names of persons signing in any capacity must be typed or printed below their signature. apps O "'. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co.. Inc. WARRANTY DEED FORM No. 1 - 1998 Mflweukbe. Wls. • 3 APPROvE . rn V ST. CROIX CMIN % Q 3 3 ,' Planning Zoning enn 11P t � .•� U OCT 2 7 1999 If not recorded within::: approval date approval srrar 1 (p null and vnir C ER T I F I ED S UR V E Y MAP Located in the Southwest quarter of the Southwest quarter of Section 31, Town- ship 29 North, Range 18 West, being Lot 1 of that Certified Survey Map recorded in Volume 7, page 1838, Town of Warren, St. Croix County, Wisconsin. Rick & Kayla Burt 909 County Trunk "N" t LOT / I I Hudson, Wisconsin 54016 C.S.M. V. 6 PG. 1571 I I I f �r Z; U_N_PL_ATT_ED_ LANDS I S 00'06'15 "E 289.86' - O I J3.oz'I 2�6. B4' h O I 1 33 33 I -rte p b W iW O I I �I NI 2� Coq W 107, 676 1 50 F7 (2.472 ACJ O 2 W O O 1Nc ROW Z Z J RW W 95,942 FT. W � (2203 AC.) 2 2 W Lj C7 O 2 4 t\ I :EXC. ROW W V j O¢Q: 4 Q h l I in l " J o Q W 2 Ct I v • 0 in 9/ ST. STREET { I m } �' t' ° C_SM, VOL. 3 O 2i n n Qi NOTE: Access t4 /'G_ 723 I LL1 I " �aa a ; to Lot 9 will be 'V4� ` I ' I d t -" ro.�y' h ' restricted so that it _ N 0 204'38 "F 307.49' o .�4 will be only from I I 90th Street and at W1 least 200 feet South I I • of the intersection of m , I m I m C.T.H. "Nri i I N el IL T-9 o N q 1 0 Q. I �jl 110,124 .So. FT. (2.528 AC.) ? J, : INC. ROW u' 88,830i SO. F7. (2.039 AC.) U ;EXC. ROW ' Tr ............ ............................... 0 o G1 2 -'- MI I N I J I I R 0 U I I 2M v o Or I o v� tvl I UI � o0 133 • 33 — — -- — — — — — — — — -- — $ - - - — h h JI _ N 00 2U'S2 "W 289.79' soo °zo'sz "E I n 90TH ST_� `. Noo °zo'sz "w - - -- 904.19' I -„, N 00 "W 324.43' 4za31' I UNPLATTED LANDS Bearings referenced to the West line of the Southwest ���� quarter of Section 31, assumed to be N00 ° 20'52 "W . This instrument drafted b 4992648 Vol. 13 Page 3755 • � �. _ n �G./ r �� I o . ��-- . '' �" �I �'.5 "3 ��'�. � .. �° � �� ��� J RECEIVED 1 7 814c 0 'VOL 20 PAGE 5131 XATAL;S1N U. V717W— NWISTHR OP DBMS ST. CROIX CO. 0 �'>IE 1 712MS� 9t/GAM CBRTIFI® Sl?RYBY MAP CERTIFIED SURVEY MAP PCAP's�z L IN THE NWi /4 OFTHE NWOO1FF//4 OF SECTION 6. T28 R18W, TOWN OF KINNIC THE INCLUDING LOTW134& THE THAT CERTIFIED SURVEY MAP TOWN OF VOLUhE 4909 AND LOT 9 OF THAT CERTIFIED SURVEY MAP FILED IN VOLUME 13. PAGE 3755 ALL — N' LOCATED IN ST. CROIX COUNTY, WISCONSIN. OWNER / SUBDIVIDER W1/4 COF#ER, SECTION 31 BEARINGS REFEREMED TO THE WEST LINE STEVEN GERMAIN c ALUMINUM c. FOUND ) OF PREVious r REC oED AS AND T AS o� 6O H��oso M S 54 To BEAR Noon 20 Ti2'1W. L�VD - M - INDICATES SECTION MME 6 `e -, W ice. $ I AS NOTED ) CORNER INDICATES 1• ( OUTSIDE DIA.) ' — — — — LROd PIPE FOUND. io 55 E — —" — —' — — INDICATES 1.25' ( OUTSIDE DIA. ) IRON PIPE FOUND. INDICATES i' X 18" ( OUTSIDE DIA. ) �, ♦ e 56 21 E 306.10' _ — L INE A R FM P F I EW WEIING 1.13 LBS. / I I - L�LE FF RIC�IiT-0E-D.Wr SETBACK LOT AREAS: �t QERr EEA2 W8YBY —MA-e I I LOT 9 VOLUME 13. PAGE 375k I 3O2 00 1 Clw rA FEET I I QEM14 MAP ' I (6.933 ACRES ) INCLUDING RIGHT- OF-WAY VOLUME 73 PTGE 37 — I 27SA32 SQUARE FEET F , W i ;z I 1�g A — — — — — — — EXCLUDIN' WAY (� - O l d - IN I 234A48 T` I PARCEL p 1 1 ( 5.3 73 ACRES ) I ' oES(R gg3o35 E INCL 21a 3 s RI GHT--OF-WA Y FEE A ' $ I SBteot �OgE � 9ME QjXg PAGE EXCLI RIB I -WAY I I I T C31 I i ` ` L /� Z — INCLLX)?Z -%F WAY " { t ? TOOOOTN RIAC� 9 149,629 SQUARE FEET [D I� ( 3.435 ACRES SHED l�ul i I SECTION LIM +- c'91 EXCLUDING RIGHT-OF-WAY i g cor r� lu ,dj 1 28.18 .�s °M A %S ON sere 17 463.54' y 1 >c I. T 43535* T O 4 o * 0 I $ ig : LOT 14 (P ARCEL DESCRIBED NEW wl ONO 1 IIPAGE viq � A 435 ' 681.34 • � o ~� sup �. V S89e1737"W 7M .10' I — LOT 12 RE - V LOTS 6 1 J=n ; ACCESS EASEMENT — — - I T PURPOSE D MAP CREATED O FROM VOL. 15, PG. 4108.1 QWR HffQ SURVEY MAP I SHOW THE ENTIRETY OF Lars 9 VOLUME 15, PAGE 41 Off, I AND 14 AFTER PORTIONS HAVE BEEN ADDED AS WELL AS THE S LOT 11 REMAINDER OF LOT 13. STATE. , TOWN AND COUNTY APPROVALS ARE NOT REOUIfED PER cv ( WL2 ONSL3 STATUTES 236A5 W1,4 C T28K SEY;TION 6 N NAIL FOUND SU►EY74G, M dp GRAPHIC SCALE 1"-200' 1=QT.K F NEW RKMMOND, WL 6W17 ' MEMEL— PHONE( 715)246-709 0 200 400 600 JOBNO THIS INSTRUMENT DRAFTED BY' ,JOSEPH W. GRANBERG SHEET i OF 2 Vol 20 Pace 5131 [ 0 7 ? 2 0 / § 2 (D ; 0ƒ 7 f[ A 2 / e 2 �. m k ¥ k a $ § \ a c; c E m ®_ -_@ f I\\ \m /o \ / § m c m - a 3 CL - E F a= m E � \ © 7 / > ± \ CD = a - * m_ i § 3 \ - 2 $ % c CL -t I z \ \ § o c IQ % ■ rr Z 00 3 f ƒ - j C") j > p > 7 D a_ 9 ° \ J ) ■ R � ~ § � \ z z z I } :3 g > > o §i§ 7 rQ �- _c_ \ (D a) p I � q {E e CD \ \ / k / / :3 ( f z _! £ R Km q 7 \ "a / § e :3 CD � } ® � ( - G o e4 J 2 »¥ I � % � � es�> R§c\ � § m - § I E\]\ ƒ a §k/ R J C\\ 3 I 3 co t @_ , cp 3 i \22 a o/i 9 IK5 % f [] I \ \� / \) k � I 0 N I CD _ o § I \ i � 7 Parcel #: 042 - 1087 -70 -136 10/16/2008 11:10 AM PAGE 1 OF 1 Alt. Parcel #: 31.29.18.486E -16 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/01/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - OTTEN, NATALIE J NATALIE J OTTEN C - OTTEN, BENJAMIN F BENJAMIN F OTTEN 605 90TH ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 605 90TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 0.000 Plat: 5131 -CSM 20 -5131 SEC 31 T29N R18W PT SW SW BEING CSM Block/Condo Bldg: LOT 09 7/1838 LOT 1 NKA CSM 13/3755 LOT 9 2.528AC EXC PT TO LOT 8 (0.045AC) & INC Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) COM SW COR SEC 31; TH N 00'W 356.81 FT TO POB;TH CONT N 00'W 71.50 FT; TH N 89'E 342.06FT; TH S 00' E 114.23FT; TH more Notes: Parcel History: Date Doc # Vol /Page Type 12/27/2005 814904 20/5131 CSM 01/02/2004 750603 2484/327 QC 02/13/2002 671006 1835/139 WD 02/12/2002 670884 1834/270 WD more 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/31/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.744 48,700 204,000 252,700 NO Totals for 2008: General Property 5.744 48,700 204,000 252,700 Woodland 0.000 0 0 Totals for 2007: General Property 5.744 48,700 204,000 252,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 10/03/2006 Batch #: 06 -15 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 022 - 1014 -90 -410 10/16/2008 11:08 AM PAGE 1 OF 1 Alt. Parcel #: 06.28.18.86D -31 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/02/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - OTTEN, NATALIE J & BENJAMIN F NATALIE J & BENJAMIN F OTTEN 605 90TH ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 1.160 Plat: 4909 -CSM 19 -4909 SEC 6 T28N R1 8W NW NW BEING PT LOT 10 Block /Condo Bldg: LOT 9 CSM 15/4108 (PT OF SD LOT 10 FKA PT LOT 13 CSM 19 -4909: OTHER PT KNOWN AS Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 042 - 1087 -70 -138 (486G -18) NKA CSM 06- 28N -18W NW NW 20 -5131 PT OF LOT 9: OTHER PT KNOWN AS 042 - 1087 -70 -136 (486G -16) Notes: Parcel History: Date Doc # Vol /Page Type 02/06/2006 817994 EZ 12/27/2005 814904 20/5131 CSM 01/07/2005 784513 19/4909 CSM 01/18/2001 636971 1576/488 WD more... 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.160 1,000 0 1,000 NO Totals for 2008: General Property 1.160 1,000 0 1,000 Woodland 0.000 0 0 Totals for 2007: General Property 1.160 1,000 0 1,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 0 ca,o / c m ( E� ° 2 e 2 K i /$ 7 %. \ o00 § § m c E =r \ \ ra g ■ � o _ g / § t a \ / o § ■ � o CL § / E 0 \ \ ' n r ca ~ § %- / 000 \ ! @� § 7 ( (A CO) ■ 7 § E o ° & ) § 2 J a ■ 2 § & , { k rCD c ? / : f [f % ! a _ ® q § � @ _ 7 k # } ` co k 0 s E ¢ ■ _ $ CL E + § $ <� / m } \ § S� �l �m -& o 00 U 2 2 $ k � ///� ~'@& § \kq2 c I - , &�0 A 2 } Er/ � �� � \§w k A§ f / \CD m Egg 2 E ;E \ 06 (D kla (D o �2§ 2 § ■ o § �m �\ � 8� PUMP PERFORMANCE CURVE MODEL 151/1521153 TOTAL DYNAMIC HEAD /FLOW PER MINUTE 14 45 t53 EFFLUENT AND DEWATERING 12- 35 MODEL 151 152 153 10 152 Feet Meters Gal. Liters Gat. Liters Gal. Liters S2 30 5 1.5 50 189 69 261 77 291 V 10 3.0 45 170 61 231 70 265 8 151 r 15 4.6 38 144 53 201 61 231 20 6.1 29 110 44 167 52 197 04- 20 � 25 7.6 16 61 34 129 42 159 , 30 91 = = 23 87 33 125 15 35 10.7 2 85 - -- 10 40 12.2 - - - - 11 42 Shutoff Head: 3 (9.1m1 __ _ 38 ft. (11.6m) 44 m \ 5 - ` \ l `� GALLONS 10 20 30 40 so so 70 eo 9a too �- Q LITERS 0 40 80 120 160 200 24 280 320 360 FLOWPl.�nl t, 1 .11450" 9 .11450" Model 151- eels 152__ 1__ - -- l 1 � CONSULT FACT Y 6 7132 61/4 SPECIAL APPLICATIONS 3 7/8 ' 4 5/8 - I 3 27,32- - 4 5 /6--J • Timed dosing panels available. 3 27 132 • Electrical alternators, for duplex systems, are available and - supplied with an alarm. 4 • Variable level control switches are available for controlling `��© �/ 3 . 716 ® ' 1 3 27/32 single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. - - - - -- i- -� I • Over 130 °F. (54 °C.) special quotation required. 1/8 15111521153 Series -- ll 15111521153 MODELS Control Selection - - - ----- 4 3i5 Model Volts - Ph Mode Am Simplex Duplex l N151 115 1 Non 6.0 1 2 or 3 BN 151 115 1 Auto 6.0 Included 2 or 3 E151 230 1 Non 3.2 1 2 or 3 BE151 230 1 Auto 3.2 Included 2 or 3 151TEMP SK2064 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2or3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Included 2 or 3 E153 230 1 Non 5.3 1 2or3 SELECTION GUIDE BE153 230 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. I A CAUTION 2. See FM0712 for correct model of Electrical Alternator E-Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 - 0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. -- -- NAIL TO: P.O. Box 16347 Louisville, KY 40256-0347 Manufacturers of. . SHIP is v le, K Cane Run Road a ® Louisville, KY 40211-1961 rLw1rrA1Ae - SHOE IS 9 w hrrp.1Avww.zoeller.com PUMP �O (502) FAX (502) 77 624 PUMP 0 Copyright 2002 Zoeller Co. All rights reserved. Parcel #: 042 - 1087 -70 -136 01/29/2007 04:12 PM PAGE 1 OF 1 Alt. Parcel #: 31.29.18.486E -16 042 - TOWN OF WARREN Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/01/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner NATALIE J OTTEN CO - OTTEN, BENJAMIN F BENJAMIN F OTTEN 605 90TH ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description * 605 90TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 0.000 Plat: 5131 -CSM 20 -5131 SEC 31 T29N R18W PT SW SW BEING CSM Block/Condo Bldg: LOT 09 7/1838 LOT 1 NKA CSM 13/3755 LOT 9 2.528AC EXC PT TO LOT 8 (0.045AC) & INC Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) COM SW COR SEC 31; TH N 00'W 356.81 FT TO POB;TH CONT N 00'W 71.50 FT; TH N 89'E 342.06FT; TH S 00' E 114.23FT; TH more Notes: Parcel History: Date Doc # Vol /Page Type 12/27/2005 814904 20/5131 CSM 01/02/2004 750603 2484/327 QC 02/13/2002 671006 1835/139 WD 02/12/2002 670884 1834/270 WD more 2006 SUMMARY Bill M Fair Market Value: Assessed with: 149812 346,400 Valuations: Last Changed: 05/31/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.744 48,700 204,000 252,700 NO Totals for 2006: General Property 5.744 48,700 204,000 252,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 10/03/2006 Batch M 06 -15 Specials: User Special Code Category Amount 018- RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 Parcel #: 022 - 1014 -90 -410 01/29/2007 04:15 PM PAGE 1 OF 1 Alt. Parcel #: 06.28.18.86D -31 022 - TOWN OF KINNICKINNIC Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/02/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner NATALIE J & BENJAMIN F OTTEN O - OTTEN, NATALIE J & BENJAMIN F 605 90TH ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 605 90TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 1.160 Plat: 4909 -CSM 19 -4909 SEC 6 T28N R18W NW NW BEING PT LOT 10 Block/Condo Bldg: LOT 9 CSM 15/4108 (PT OF SD LOT 10 FKA PT LOT 13 CSM 19 -4909: OTHER PT KNOWN AS Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 042- 1087 -70 -138 (486G -18) NKA CSM 06- 28N -18W NW NW 20 -5131 PT OF LOT 9: OTHER PT KNOWN AS 042- 1087 -70 -136 (486G -16) Notes: Parcel History: Date Doc # Vol /Page Type 02/06/2006 817994 EZ 12/27/2005 814904 20/5131 CSM 01/07/2005 784513 19/4909 CSM 01/18/2001 636971 1576/488 WD more... 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 178656 1,100 Valuations: Last Changed: 06/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.160 1,000 0 1,000 NO Totals for 2006: General Property 1.160 1,000 0 1,000 Woodland 0.000 0 0 Lottery Credit: Claim count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00