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HomeMy WebLinkAbout014-1063-95-000 0 CO) 0 C - � o @ � % � J (D C D 7 � \� ® { ® 0 7 f ° > £ 2 @ 2 . e CD } \ a k « Co a \ � . E¥ q m. m t s#• 2 E j , E { c) _\ 0 §§ o �) = ( CD ]2A= G 3 G / \ 0 � / f ¢ 0) co 3 \ ; � k / \ \ / k § = CD co @: s rr e T £ �. 0 0 0 m - Cl) f f -1 7 m ) § ■ ■ , \ m . a = o 0 7 \ ƒ E m i ® ID.� 3 m \ 0 � 7 & 2 \ A Cl) z \ { % § $ 0 Q 0 ^ 0 § § = \ C � EIS 2 ° � Q \ 3 CD \ 12 « ) : R R � w T $) y i § \ { k j $ G z _ $ � w 0 §%J § \ CL c j � (\ F % > W E ( f R® �a ƒ/ \ E§ j \2 j /L \ / C/) \ CD \ 7 5 $ \ � \ \ o d f c 0 _a Z CD m n(D fl AQ K T � '6 � c ►� - vzm z O -P ' o w <D a CD rl � Q m O CD o Ln C . m N O ' 7 N c :E CO N) ► O O C0D 7 CD (D 7 Ln O 3 co c CD o _ m ''.. o 6 CA g ! O O v3 v D a fD cc:' ? N G N '.. c O ' A Lo 0 CD C) ccn ? L O O NO s W CD cn u+ '',) c C)) T 0 0 0 0 " Z• c c * * * f o N 3 N fA N O d CL 0 3 m m m O 1 C fu � A D D o w O CL h i � I CD N '. C 3 N � 7 N CD A -i CO) c M n N p Z 0 CS C) N N Z -I w W T m a m z 3 a $ » ! zz N C < CD p CA) N N ;rl D 3 CU O O Q. CD 3 @-5 L C N E - 2• =r ? CD � N 7 T N j CD CD C1 O1 c N O _ � Q..O CD o a CD N N N N CL O N I `G Qf1 N 0 cn N O O CD d C fD 17 fD x p 0 O 00 p 0 4 a m N O a moo f C D CD m d 0 w ' 7 CL N Vn CD cJ O N 3 ' CD 0 3 a � a CD DQ Al. w p O N CD o Parcel #: 014 - 1063 -95 -000 04/25/2008 04:44 PM PAGE 1 OF 1 Alt. Parcel #: 30.31.15.480A 014 - TOWN OF FOREST Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - DIAMOND K, FARMS INC FARMS INC DIAMOND K 2643 HWY 64 EMERALD WI 54013 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 28.310 Plat: N/A -NOT AVAILABLE SEC 30 T31 N R1 5W SE SE EXC 5 A SE COR & Block/Condo Bldg: 33' STRIP TO TN IN 453/475 & EXC CSM VOL 4 PAGE 1015 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 30-31N-15W SE SE Notes: Parcel History: Date Doc # Vol /Page Type 05/22/1922 483753 951/634 SD 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 10/18/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 7,500 20,000 27,500 NO AGRICULTURAL G4 20.000 3,400 0 3,400 NO UNDEVELOPED G5 7.310 2,800 0 2,800 NO Totals for 2008: General Property 28.310 13,700 20,000 33,700 Woodland 0.000 0 0 Totals for 2007: General Property 28.310 13,700 20,000 33,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 014 - 1066 -20 -000 04/25/2008 04:36 PM PAGE 1 OF 1 Alt. Parcel #: 31.31.15.485 014 - TOWN OF FOREST Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - KARAU, DOUGLAS & MONA DOUGLAS & MONA KARAU 2643 HWY 64 GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2643 HWY 64 SC 2198 GLENWOOD CITY SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 31 T31 R1 5W NE NW Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 31-31N-15W s��s�3v Notes: Parcel History: Date Doc # Vol /Page Type 02/02/2005 786518 2742/179 QC 07/23/1997 951/634 07/23/1997 619/148 2008 SUMMARY Bill M Fair Market Value: Assessed with: Use Value Assessment Valuations Last Changed: 06/05/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 37.000 6,000 0 6,000 NO UNDEVELOPED G5 1.000 100 0 100 NO OTHER G7 2.000 10,000 119,800 129,800 NO Totals for 2008: General Property 40.000 16,100 119,800 135,900 Woodland 0.000 0 0 Totals for 2007: General Property 40.000 16,100 119,800 135,900 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 110 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 _- r: ST. CROIX COUNTY ZONING DEPARTMENT' AS BUILT SANITARY REPORT RECEIVED � Owner i ' JUN i Property Address 1 t�/?'lE�2l�L,/� �1{ ��� �/ ST CFip City /State l �;''. COUNT Legal Description: Lot Block Subdivision/CSM # '/a� t /a, Sec. 3, TAN -R /Tow of cam% PIN # / '�D SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer �©w1rie- -7 Size ST/PC /ce Setback from: House / 7 / 6 Well 4� ­ P/L /30 Pump manufacturer �o vv c ZZE -j _Z3 Alarm location Jri A/,9 9 ,1 2- (HOLDING TANKS ONLY) Setbacks: Service road en fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: 42 Width Z3, 8 Length 11 4 Number of Trenches l Setback from: House /50 Well /2D 4- P/L Vent to fresh air intake 50 f ELEVATIONS Description of benchmark ��� T ✓i3� 4J �.e �Li r /Q��U. ��_ Elevation (a o Description of alternate benchmark Elevation Building Sewer ST/HT Inlet AQ , ? ST Outlet /I- PC Inlet k PC Bottom 7 7, 3 Z Header/Manifold 9 6 Top of ST/PC Manhole Cover C.-V Distribution Lines O 9 & . 7 O ( ) Bottom of System () (o . C) () ( ) Final Grade O O ( ) Date of installation / Perm' number -D W�� State plan number a� 9,/ D Plumber's signature License number ��3�y6 Date !L /% Inspector SOW �:D Complete plot plan a Y_ NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW 3, I r � z s a — WE'LL 1 I INDICATE NORTH ARROW [IGOULDS PUMPS Submersible Effluent Pump 387 EPO4 EP05 APPLICATIONS Motor; Available for automatic and ■ Motor Cover. Thermoplas- Specifically designed for the • EPO4 Single phase: 0.4 HP, manual operation. Automatic tic cover with integral handle following uses: 115 or 230 V. 60 Hz, 1550 models include Mechanical and float switch attachment • Effluent systems RPM, built In overload with Float Switch assembled and points. • Homes automatic reset. preset at the factory. ■ Power Cable: Severe duty • Farms • EP05 Single phase: 0 -5 HP, rated oil and water resistant. • Heavy duty sump 115 V, 60 Hz, 1550 RPM, FEATURES ■ Bearings: Upper and lower • Water transfer built in overload with heavy d ball bearing • Dewaterin automatic reset. ■ EPO4 Impeller. Thermo- ction. 9 • Power cord: 10 foot plastic Semi -open design constru standard length, 16/3 with pump out vanes for SPECIFICATIONS SJTOW with three prong mechanical seal protection. AGENCY LISTING Pump: EPO4 grounding plug. Optional 20 ■ EP05 Impeller. Thermo- Can" Mwft tftodaft • Solids handling capability: foot length, 16/3 SJTW with plastic enclosed design for 3 /4' maximum. three prong grounding plug improved performance. (CSA listed model numbers • Capacities: up to 55 GPM_ (standard on EP05). ■ Casing and Base: Rugged end in "F or "C ".) - Total heads: up to 24 feet • Fully submerged in high thermoplastic design provides - Discharge size: l' /z grade turbine oil for NPT. superior strength and 6multfa RmnpslsLS09001Hep6�red. - Mechanical seal: carbon- lubrication and efficient corrosion resistance. rotary/ceramic- stationary, heat transfer. ■ Motor Housing: Cast iron BUNA N elastomers. for efficient heat transfer. • Temperature: strength, and durability. 104 METERS FEET __._ t _ 1401(60 °C) intermittent. 10 - Fasteners: 300 series 9 -! — st3Ptte stainless steel_ • Capable of running 13- dry without damage to 25 I i components. o Pump: EP05 w - -- -- .. ................._..._.�....._- - - - - - -. - - -_... -i-- — - -- i - Solids handling capability: a 20 ` v 3 /' maximum. ! - Capacities: up to 60 GPM. s - Total heads: up to 31 feet. ° 15 ! 4 - Discharge size: 1I NPT_ ,a- i ............ . ..... ...... .. ...... EPos • Mechanical seal: carbon- rotary/ceramic - stationary, a 1° i ! EPOO BUNA -N elastomers. - ...... r ..... ................... a......... ., ....... ��— - }---- • Temperature: s ' 104 1 i 140 (60 intermittent. - Fasteners: 300 series 0 00 16 20 ao 40 W GPM stainless steel_ • Capable of running j dry without damage to 0 2 e s e 10 12 mom �J components. CAPACm Goulds Pumps O 1999 CauIaS PuR1pC ITT Industries Effective Jammmy, 7999 $3971 z in 9NIffluII'Id zXIS 'I,L Z65Z2V92TLT %V3 LC: ZT 00 /9T /Co i [QGOULDS PUMPS Submersible Effluent Pump 6 11 EPO4 6 3871 9 EP05 6 q , 3 t 2 DIMENSIONS PARTS (All dimensions are in Inches. Do not use for construction purposes.) m Ite le DwalpUon 1 Impeller EPO4/lmpeller EPOS 2 Rugged thermoplastic bass I Ruggedtherrnoplastic 3 pump casing 4 Medwi al sea] i 5 0all bearings 7'/4 4e4lh - I 11 MAX 10'b _ 1y,NPT s 0 -rings ' 7 Power cord 9 011 oiled motor Cast iron motor housing/ 3'4 9 stator assem ' 10 ThermoplasOc motor cover gY, 6' MINIMUM WATER LEVEL WHEN SUPPLIED WITH FLOAT SWITCH MODELS PERFORMANCE RATINGS Ma=. Solids Power Cord Wis.- Sofia es Per Order No. HP Volts Phase Amps RPM Handling Lenoth (lbs.) Total Head Minute EPO411 115 12 10' 20 (ff. of water) EPO4 EPos 5 53 — EPO411A 115 12 10' 21 EPO411F' 140 115 12 1550 %0 20' 20 15 36 56 1 EPO411AC' 115 12 20' 21 20 21 47 EP0511F' , 115 13 20' Z1 2e 0 39 EP0511AC' 115 13 20' 21 20 — 24 "A" denotes automatic operation. Pump includes Heat switch. 31.5 — 0 'P denotes CSA listed with 20 foot power cord. 'AC" denotes automatic operation, CSA listed with 20 toot power and switch cords. CSA listed units. " 230 v models consult factory. Goulds Pu mps ' ITT Industries PRINTED IN U.S-4k SPECIFICATIONS ARE SUELJECTTO CNANGE wrrHOUT NOTICE. f• Coo DNIaNald ZNI5 11 Z65Z2VZ5TLT %V3 LC:ZT 00 /9T /C0 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: ST CRO X Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 338941 Permit Holder's Name: ❑ City ❑ Village $I Town of: State Plan ID No.: KARAU, DOUGLAS FOREST CST BM Elev. Insp. BM Elev.: BM Description: Parcel Tax No.: �DrJ l� 0 d ,Q 014- 1063 -95 -000 TANK INFORMATION ELEVA ON DATA A9900196 TYPE MANUFACTURER CAPACITY f BS HI FS ELEV. Septic C cy PCQS f enc mark Z,S 6ZS Dosing 9 1I Jr l�l I , Aeratio Bldg. Sewer , 10 Holding Ht Inlet 75- CPO- TANK SETBACK INFORMATION S utlet TANK TO P/ L WELL BLDG. Air i to ntake ROAD D ir Septic 3 r �/ S ( NA Bottom Z Z ��� 3 Z Dosing NA Header /Man. Aeration A Dist. Pipe 3 7. b - qY Holding Bot. System , 9 v PUMP/ SIPHON INFORMATION 4W P Final Grade , -3 Manufacturer Demand Q S / odel Number 7 Z PM TDH 1 Lift I$ Friction Z Systerr� TDH22,� t oss H ead W I V Forcemain Length u f Dia. 7 11' Dist. To Well S d SOIL ABSORPTION SYSTEM BED / Width Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIME I N I DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION Type O / CHAMBER Model Number: System: t3 ?, t �ZS I �Z� OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) e_ x Hole Size x Hole Spacing Vent To Air Intake Length C3601 Dia. Z Length � r 9 Dia. z Spacin !/ I I/ r( ' r r SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only [ Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCAT ON: FOREST 30.31.15. 80A,SE,SE 1914 270TH STREET Zj=z -Z 0"46— 444 - s z/l c�tk°r �' `�� S y f � 09 � 0-7- c6 1'6 eC �d Imo' Q✓ ��, Plan revision required? ❑ Yes Use other side for additional information. 0 /p SBD -6710 (R.3/97) Da nspector's Sign a Cert No ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: a , �.._. ,.. _a- a z F , 4 e . .,._,. ,.. ,. ...,. ,. mmv ^., e.e e 3 e 3 r e s ¢ e. 3 i �.^ a .®ee m emeee —c ..n...- ..n... ...: �- 4.... 3 ee ,e .. e e e se . � . saw e .. ;." ._ i. —gym E z t £ s i . ^ E s 3 s E a s i F s y � N e s , F ee a• v a . .. ^_ �� s e f € t s F e emm E I 4 ee.,eer .,�.....� b .......�. » 2 sets _.e,... ^ ^mp ^., e..... .�.,., ,.�, ,..»; ... {Mw.... ... w..... p..,. «....». a 3 E s E s € s .n e f ee r asR e. ^r. pe ^ ^m.....e . mm. m eg # �.e. e. ! i ems v me 6^ e e f } a e ee ^ e I e e a � x i 66g s a 6 � a w a j . .W... 5. ,,,. ,. . _ . , . e_ ....... _..,....,.. .... ........... .e..,, .... s...,.., ..,.. e E Safety and Buildings Division I SANITARY PERMIT APPLICATION 2 1 Washington Avenue Visconsin Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Box Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County ��,- &m � than 8 112 x 11 inches in size. sr I • See reverse side for instructions for completing this application State Sanitary P ermit Number Personal information you provide may be used for secondary purposes Q Check if rev4sfortr6 vi u�pli tion [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INf ORMATI N -PLEASE PRINT ALL INFO MATION d Property Owne me ,Properyy cation I 1/4 1/4 S 0 T N , R IS (orig) Property Ow is M 'J'A Addresill I Lot Number Block Number City,e Zi e Subdivision Name or CSM Number „` z- II. TYPE OF BUILDING: (check one) ❑ State Owned 2 d it l yy Nea R El Public 1 or 2 Family Dwelling - No. of bedrooms ,Z— V ow a n OF /p f? v / 0 III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) q 30. 15. 486 A 1 ❑ Apartment /Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. A New 2 ❑ Replacement 3, ❑ Replacement of 4 ❑ Reconnection of 5 ❑ Repair of an ------ System System Tank Only System _ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 WMound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallops Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade 05 TD Requ" d (s . ft.) Proposed ft.) (Gals/da / q. ft.) (Min. /inch) D as lon I T(o Feet , Feet Ca acct VII. TANK in allo Total # of Site INFORMATION g Manufacturer's Name Prefab. Con- Steel glass Plastic Aper. New Existing Gallons Tanks concrete strutted glass App. Tanks I Tanks Septic TA os+leid+f v T'+mk - moo I vw ❑ ❑ ❑ ❑ ❑ Lift PAP ank n Chamber (7 — I 1 ❑ I ❑ I ❑ I ❑ 1 ❑ NSIBILITY STATEMENT I, undersigned, assume responsibilit or in alla 6n of the onsite sewage system shown on the attached plans. r m ame: iPrir Plu a 's i n re: o Stamps) MP /MPRSW No.: Business Phone Number: /U Z W�� 13g 2 - 7 -Z3 - 24 Plumber' 0Pes�(�re t, City, Stat�ip 40 ` 4 S [? 9 � `f' IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Ground water ate ssue Is nt Signatur (No Stamps) Approved F1 Owner Given Initial Surcharge Fee ) Adverse Determination Z� 06 /�V X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 -266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.),. address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. • Safety and Buildings • 2226 ROSE ST LA CROSSE WI 54603 -1905 isconsin Tommy J Thompson, Governor Brenda J. Blanchard, Secretary Departm of C ommerce March 23, 1999 CUST ID No.139462 ATTN: POWTS INSPECTOR ZONING OFFICE TODD L SINZ ST CROIX COUNTY SPIA E5612 708 AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 -5520 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 03!23!2001 Identification Numbers Transaction ID No. 214810 Site ID No. 168343 SITE: Please refer to both identification numbers, Site ID: 168343 above, in all correspondence with the; agency. St. Croix County, Town of Forest SETA, SETA, S30, T31N, R15W Facility: Douglas Karau FOR: Description: Mound Object Type: POWT System Regulated Object ID No.: 455022 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • 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. Stats. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 03/10/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 Gerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)785-9348, Mon - Fri, 7:15 AM - 4:00 PM jswim @commerce.state.wi.us WISMAR'ac'&''76�3� r Douglas Karau - Mound Transaction # Location: SE 1/4, SE 1/4, Sec. 30, T 31 N, R 15 W Town: Forest County: St. Croix Date: March 8, 1999 Owner,: Douglas Karau Address: 2643 HW ald 4 Emer I 54012 Plumber: Todd Sin Signature: License # MP 139462 Attachments: 6748 -Plan Review Application SBD 8330 P.0.k'V.T.S- conditionally p ROV ® COMMERCE 1 : cover 4m; GS page 2: calculations 3: plot plan E 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve page 1 of 7 System Calculations One family residence 3 bedrooms Loading rate �`Z 8 gallons /sq ft per day Depth to ground water �� in l Depth to bedrock } S in cross slope $ Force main length ft of in Manifold /header length ft of in Drainback gallons Lateral length 1 @ °`� ft of Z in Lateral elevation '° ft (bottom of pipe) Lar.eral hole size l 4- in @ � ' `� in ( `� ft ) spacing `�- holes /lateral, holes total ' Lateral volume g allons Total lateral .discharge rate ` gpm @ ft head Elevation difference 1�''8S� ft Friction loss o ft @ Z gpm Total dynamic head ° ° 1 ft 1. Pump /sin 10 gpm @ ft of head Manufacturer �'"'''O�0. �-�°'�- Model # Sw 3 3 Dose volume gallons Lift /si \ "on tank -t;Q t � J ` '�'��D 6 gallons Septic tank , gallons Measurement pump on & off in Height alarm from tank bottom 1 in Reserve capacity 3S-0 4 gallons talcs page Z of DDaoglae Kama SEASEA S30 T31N -Rl.5W tcmn of Forest i 101 4 kas - r ; bhL= top of " alum. tube be fiber optics sign 0 al. 100 Alt. Em. nail in Elm tzva W el. 98.25' 9 C - �•'�SdC waS.� J Mow T ` e-t)tC -1t3 C� �o A IMF P �► SL 0 7 �Z•• �+eTC� "' .gyp 1 2 5� 3 0� � CA 616 V 04&\*. \04 ' OP # 06VWN. l - - 0 Z3.g ol 13.1 qs.o zs ,V 0�.�: \.i a�•.�[ ��....: •,..�s Z - s i � o w. os� O i t o� K• l �l • ` �g' �..� •.S o•. 1 ..+ arJ( e.a...J�a,. �.o��o•.� 1: »e � L,o.�.. � .•-� s -� � .►+.v WEL►TIIERPROJF JUNCTION LOCKING COVER Tu &1,o w" ABED . QUICK 4" C.I. G -�.- - T ­CA I (P T. PIPE` ' rr )ZIL - 4 uD 0 I.D. VENT �4uC.t. 2 4 I p MAN1lOLE I E "r • ��wu.v Q A C.Z. F* SKti:T .70rwfr '� BAFFLES 1 AL 3' O•ro L PCT► _ WdAsZ1iR1� ,*urECTIONi GflpNwo C. L.tv , Ow 4 g PIMP D � w Cowt�tEr'E `w. 6�oGC SEPTIC f SPECIF(CA TI OMS DOSE TAWKS MANUFACTURER: � 1� ~� WUMbER OF DOSES: J PER DA:3 TANK SIZE: \*"�ro ' �� O &AL.LOWS DOSE VOLUME ALARM MAWUFACTU1lGR: & - I L �� "r`� WCLUDING 6ACKFLOW , GALLOWS MODEL LIUM16ER: 1 O1 �'' �'`' CAPACITIES: A= 20. � WcHCs oa Z GALLOus SWITCH Ti y "�'�""" 5 a IWLHES OR �4 GALLOW5 PUMP MANUFACTURER: �" �O"" C m �' IIJLMES OR � 1 9 C.ALLOIJS MODEL WUMpER: S `..' 3 0� �, INLHES OR Z ' CGALLOWS SWITCH TAPE: MOTE: PUMP AUD ALARM Aitf TO DL MIWIMUMI DISCHAR" RAT L GPP% INSTALLED ON 5EPARATE CIRCUITS VERTICAL DIFFEREM" bETWECU PUMP OFF AIJO OISTRIbUTIOU PIPE.. (I gS/ FEET + MIJUIMUM NETWORK SUPPLY PK966URE ... . . . . . . . . FCET 2.5 ♦ _.�2 FEET OF FORCC MAIN X l ' % f % e orxFRICT10lJ FACTOR. FEET IS.o � TOTAL MiWAMIC. M � EAD = FILET � M 1 q � p • ILITERWAL. DIMEW6w#J6 Of TAWK: LEW4TH 1 i g _;WIDTH - ;LIQUID DEPTH a lit °Al :r Performance Data 32 Pump Characteristics P /Motor Unit Submersible Man" Models SW2SM1 SW33M1 24 Automatic Models SW25A1 SW33A1 1/3 HP Horsepower 1/4 1/3 16 Full load Amps 8.0 10.0 1/4 HP Motor Type Shaded Pole (4 pole) a R.P.M. 1550 o e Phase 0 1 Voltage 115 Hartz 60 0 0 10 20 30 40 50 60 CAPACITY -U.S. G.P.M. Operation Intermittent Temperature 120 °F Ambient Total Mead (foot) 4 6 8 10 12 14 16 18 20 22 24 NEMA Design A 1/4 NP 44 41 36 33 29 26 23 18 12 6 0 Insulation Class A GPM 1/3 NP 47 4S 43 40 37 34 30 26 22 16 10 Discharge Size 1-1/2" NPT ~ Solids Handling 1/r Dimensional Data Unit Weight 30 IbL 1.6D dim pu m in imhes Power Cord 18/3, SJTW 10 std. 3-1/2 5.7/8 1. Component d""nsions moy 120 optional) < to — --{ Nay t imh 3. Nom for con wnsirucae 9 purpose 1 -tit NPT unlessreadw 3 In DISCHARGE Dim w Dimensions and phn we Materials of Construction owol S. OR/DH level Wkwals e Handle Steel 6. we reserve the rght to 3 -1n make revisbm b our Lubricating 00 Dielectric Oil produds W dusk Motor Housing Cast Iron Pump Casing t Iron Sha Steel Mechanical Sod Foos: Carbon /Ceramic Shah Sod Sod BodT: Anodized Sted SprbW Stainless Steal 1t -t /e kkws: Bwm'N PUMP ON 101/9 9 -1/2 Impeller Thermoplastic Upper Bearing booze Sleeve Bowleg DISCHARGE HEIGHT Lower Bearing Single Row BW —f 3 -1/2 Strainer /Base Plastic 3 PUMP Fasteners Stainless Steel OFF AURORA /HYDROIMATIC Pumps, Inc. 1840 Baney Road, Ashland, Ohio 44805 (419) 289 -3042 sconsitr Department of Industry SOIL AND SITE EVALUATION REPORT Page ti 1 of bor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. 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 -cad. 014 - 1063 -95 -000 RE WE BY DATE APPLICANT INFORMATION PLEASE PRt�NT ALL INFORMAIYQN /a G L PROPERTY OWNER: CrriO r Douglas Karau VVT. SE SE 3 PROPERTY LOCATION `/ I'� -� - y ll LOT 1/4 1/4 S 0 T 31 N 15 * (or) W PROPERTY OWNERS MAILING ADDRESS ( T # BLOCK # SUBD. NAME OR CSM # 2643 Hy. #64 �� ' �`'�' ?� � I �� ? `' na na na CITY, STATE ZIP CO E` PHONE$IU CITY ❑VILLAGE ®TOWN NEAREST ROAD Emerald, WI. 54012 \. (719 4 Forest 270th. St. [x] =New Construction Use [ Residentia"drp�ef e ` 3 ( ] Addition to existing building e� j J Replacement ( ] Public or commt'iaL sari Code derived daily flow 450 gpd Recommended design loading rate •4 bed, gpd /ft •5 trench, gpd /ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate •4 bed, gpd /ft .5 trench, gpd /ft Recommended infiltration surface elevation(s) 96.10 ft (as referred to site plan benchmark) Additional design /site considerations system el. based on contour line of el. 95.10' Parent material glacial drift Flood plain 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 ®U �7S ❑U ❑S ®U ❑S ®U ❑S ®U ❑S ®U 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 TwIctl ................. .................. 1 0 -16 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 2 16 -3 10yr4 /4 none sic 2msbk mfr gw if .4 .5 Ground 3 32-55 7.5yr4/4 none sl lcsbk mvfr gw na .4 .5 elev. 4 55 -75 5yr4/4 wet scl M na na na np 1.2 96 5 ft. Depth to limiting factor 55" Remarks: Boring # 1 0 -10 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 2 2 10 -18 10 r4/3 none sicl 2msbk mfr gw if .4 .5 3 18 -35 7.5yr4/6 none is Osg mvfr gw na .7 .8 Ground elev. 4 35 -50 7.5yr4/4 c2d 7.5yr5/6 scl lcsbk mfr na na .2 1 .3 93 ft. Depth to limiting factor 35" Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Mt.. New Richmong, WI 54017 Signature: Date: 9 -28 -98 CST Number: m02298 L'� O I PROPERTY OWNER Douglas Karau SOIL DESCRIPTION REPORT Page? ' of 3 PARCEL I.D. # 014 - 1063 -95 -000 Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench '...,. 1 0 -9 10yr3 /3 none 1 2msbk mfr 9w 2f .5 .6 2 9 -15 10yr4 /4 none sici 2msbk mfr gw if .4 .5 Ground 3 15 -29 7.5yr4/6 none sl 2mgr mvfr 9w na .5 .6 elev. 9 1.1 ft. 4 29 -50 5yr4/4 c2d 7.5yr5/6 scl lc sbk mfr na na .2 .3 Depth to limiting factor 11 Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # ................. Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 Douglas Karau New Richmond, WI 54017 MPRSW -3254 SE4SEQ S30- T31N -R15w (715) 246 -6200 town of Forest N 1 " =40' BM.= top of 2" alum. tube be fiber optics sign @ el. 100' Alt. BM. = nail in Elm tree el. 98.25 y- i lz r7I p lA 31' 7d e 5� �rz� 9S � t�3 Is d P' JDD't' 0� Gary L. Steel 9 -28 -98 May 03 99 03:15p Glenhaven, Inc. 265 -7344 p.1 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer - u Mailing Address 0 t,IJ � 25 r Z Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number /`t` /t7 - f - 0 &0 LEGAL DESCRIPTION Property Location '�,, ''1 <, Sec. 7 , T 3 1 N - R__L.S_W, Town of Subdivision J1.) X _ Lot # L) 4 _ . Certified Survey Map # , Volume , Page # Warranty Deed # , Volume , Page # Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeymanplumber, 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 113 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 ma' ined must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. `` itiniwa b. - O 7 SIGNATURE OF APPLICANT C ` 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 owner(s) of the property described above, by virtue of a w eed corded in Register of Deeds Office. h ` � v `( /270 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 s VOL 91E634 S^'ATE OF WISCCNBIN CIRt = OOURT ST. CA3IX COI*M DIAMaO K. FARES, INC. a Family Farm Corporation Plaintiff, SHERIFF'S DEED ON FDRFJC WA:q R - vs. DOLKZ S L. MUM are Case No. 91 CV 435 MOM R. KARAU and • �'3. 'o MIT ED , MID S'TAR'ES CF P.MERICA, acting 0 <5, through FARMERS HCW KA-LINISTRAi ON and c° STATE CF WISCONSIN, Denertment of Agriciiltur-- Trade .i Consumer Protection and o t " e DR. SODF'RBM aW �'� d �q N JOWT R. P3IR.SM d/b /a W .US EI1�7C1'RIC & GIFT an c [4w CIXI fOSIDE PL[I Dr-3 & HMTING and o Cq ` F•� GLFlVWOCD CITY CO-OP -OP SFOnCFS, INC. �� �, ;err v •�L Defenrdants. WHEREAS, pursuant to a judgment of foreclosure and sale rendered in the Circuit Court of St. Croix County, on March j, 1992, in the above entitled action, arid, after due acdvertisement, the mortgaged premises described in the complaint were soled on May 5, 1992, to Diamond R. Fans, Inc. , the hii#.est bidrder for the stin of Two Hundred Ten Thousand and Seventy Six Dollars ($210,076.66) and 66 /100ths. And, WHFMS, D X. Farms, Inc., is now entitled to a conveyance according to law: NnW, THERMF ., the ureersicmecd in consideration of t!ie paayn ent to 2dim of $210,076.66, receipt of which is hereby ac?atowlec'gecd, conveys to Diamond K. Fauns, Inc. the following tract of 1-aryl in St. Croix County, Wisconsin: South Half of Sn Qiarter (S} of SF4) EXCEPT East 255 feet of West 1038 feet of Soit!� 342 feet thereof arO MrlwPT beginning at Southeast corner of said Ste - �theast QU BYter (MI) ; thence North at .� the East line of sair' Southeast Quarter (SEI) 720 feet; thence West 488 feet; thence Satth 390 feet; thence West 34 feet; thence Smith 330 feet on the South line of the saic' Souete -ast ¢carter (SEA); thence East on the said S--th line 52b feet to Point of Beginning; Also EXCEPT beiinnin7 at a point 528 feet West of Southeast corner of said sectiai, thence North 330 feet, thence West 133 feet, thp_nce South 330 feet to the Saith line, thence East 133 feet to point of beginning; Section Thirty (30) West Half of Northeast , Qtwter (Wj of NED , F.X(YPr North 466.69 feet of Fast 466.69 feet thereof; Ea3t Half of No-thwest (darter (E} of NW}) All in Section Thirty -(k* (33); All in Township Thirty -One (31) North, Fantle Fifteen (15) West. Dated this &a day of /�J,�� 1992. � 1 Sheriff of St. Croix County, Wisconsin STATF. OF WISCCNSIN ) ss. ST. CROIX =MY ) Cki the Qd day of , 1992, before me came Ralph E. Bader, known to be the indiviAual arxi officer described in, are who exeeeted the abom corrmyanc.-e, and acknowledged that he executed the same as such sheriff, for the uses arxi pru:T)oses therein set forth. . r'E tarp• � �f.« y _ �.. �'•.•, St. Cro' County, Wisconsin My (.cmnission Expires: � STGt� THIS DiST4142IP WAS DPAF7"n BY: \ ....,....• Reinstra, Van Dyk 5 Needh2m, S.C. 201 S. Knowles Avenue New Ric)xnond, Wisconsin 5401 A REGISTER'S OFFICE sr. Cm co vw Reid for Reowd MAY 2 21992 at 2:50 P. M how of 4 T. L. 5inz Plumbing Inc. E5612 708th Ave_ Phone: (715) 235 -2644 Menomonie, WI 54751 Fax: (715) 235 -2592 S j x. 2r.) M E ) z C> 4 05/24/99 03 :01 FAX 17152352592 TL SINZ PLUMBING fij01 T.L. Sinz Plumbing Inc. E5612 708th Ave. Phone: (715) 235 -2644 Menomonie, DTI 54751 Fax: (715) 235 -2592 FAX TRANSNITrrAL Dafm L4)qc No- of Pages: (including cover) To: Rco Attu: Frnm 1 Subject: Message: . Signature: I �1�