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ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
'� T. AA �II Irprrr - unr
ST. CROIX COUNTY GOVERNMENT CENTER
1101 Carmichael Road
Hudson, WI 54016 -7710
(715) 386 -4680 • Fax (715) 386 -4686
Parcel #: 030 - 1056 -10 -000 03/22/2005 03:50 PM
PAGE 1 OF 1
Alt. Parcel #: 23.30.19.199C 030 - TOWN OF SAINT JOSEPH
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
0
Tax Address: Owner(s) " = Current Owner
LEONARD W LEE " LEE, LEONARD W
1462 78TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 1462 78TH ST
SC 3962 NEW RICHMOND
SP 8040 BASS LAKE REHAB DIST
SP 1700 WITC
Legal Description: Acres: 1.750 Plat: N/A -NOT AVAILABLE
SEC 23 T30N R19W PT GL 3 COM E1/4 COR Block/Condo Bldg:
SEC 23; TH W 1243'; N 2403POB; TH W
198 FT; TH N 220.1'; E 347'; S 96'; SWLY Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
136' TO PT E OF POB; W 55' POB 21- 30N -19W
Notes: Parcel History:
Date Doc # Vol /Page Type
07/23/1997 1221/507 WD
07/23/1997 802/264
07/23/1997 779/145
07/23/1997 738/188
more
2004 SUMMARY Bill #: Fair Market Value: Assessed with:
5198 320,700
Valuations: Last Changed: 07/08/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.750 229,900 85,600 315,500 NO
Totals for 2004:
General Property 1.750 229,900 85,600 315,500
Woodland 0.000 0 0
Totals for 2003:
General Property 1.750 138,800 75,200 214,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 537
Specials:
User Special Code Category Amount
040 -OTHER ASSM'T SPECIAL ASSESSMENT 547.44
Special Assessments Special Charges Delinquent Charges
Total 547.44 0.00 0.00
989t (S LL) XE3 • 089tb - 98£ ( S LL)
0 LLL - 9 LOt IM `uospnH
peon loop u mo LOLL
H31N301N31NN83A09,UNnooxiouJ ' is .... _ um =Nn�i�
33I330 OAIINOZ -� - - -- y
NISNOOSIM -
AINnoo xloao 1 s
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ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT /'4 \,,. ` f
Owner
Property Address r`1
City /State �,
Legal Description:
Lot G_� Block Subdivision/CSM # ( 5� U
'/4� Es c, ,, TAN -R <LW, Town of ,ST ���sc,€�h PIN # c`
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION:
Tank manufacturer �-w Size ST/PC X /,'Sa Setback from: House 3d ` Well P/I.
Pump manufacturer i)e!s 7 1 Model 6;
Alarm location .y
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM
Type of system: W r- L Ot Width S-2 Length l _ Number of Trenches
Setback from: House Well PAL Vent to fresh air intake
ELEVATIONS
Description of benchmark iy -7.,1 qv e-e Elevation dr el .
Description of alternate benchmark Elevation 4 %r' < �tT
Building Sewer t 7 ST/HT Inlet ST Outlet PC Inlet
PC Bottom -6 ;YHeader/Manifold l a 2 Top of ST/PC Manhole Cover
Distribution Lines
Bottom of System
Final Grade
Date of installation4g A6 / Permit number 345 State plan number
Plumber's signature l,2 �r � icense number Date
Inspector �j 2 v c�
Complete plot plan �
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
0
0
ua�
INDICATE NORTH ARROW
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count y:
Safety and Buildings Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: 6T. CRUIX
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. 344571
Perrn.it1l+?Ider( @
L ARD & LISA MARIE ❑ City Village n of: tate Plan ID N o.:
1��; ,
CST BM Elev. Insp. BM Elev.: BM Dpscription: Parcel Tax No.:
lot .� n Z_ ld+CX4&� 030 - 1056 -10 -000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic i lip /6 5"a Benchmarks' �a . o /00, d
Dosing " t .2.2 `f 02.2 /a71. O
Aeration Bldg. Sewer
Holding ® /#q Inlet 1 rv.✓ re .2.
TANK SETBACK INFORMATION
TANKTO P/L WELL BLDG. ventto ROAD Dt
Air Intake
Septic i - D T NA Dt Bottom
Dosing } 5 - NA Header /Man. '02_ 2.Z-
Aeration NA Dist. Pipe
Holding Bot. System S 3
PUMP/ SIPH INFORM ATION Final Grade --
Manufacturer Demand R. c12- bq, ZZ %o�•r. �6.
Model Number l,) a 2g' G M D ( Calr�/Ga� �,co & .
b �. TDH Li ! !!) l Lriction System TDH - � Cd 3 -T'� GS•1g
� m ead
Forcemain Length p I Dia. 2" Dist. To Well .146"
SOIL ABSORPTION SYSTEM
BED "R'L9r H Width t Leng r f PIT No. its Inside Dia. L epth
EN I N DIMENSION
SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHIN M acturer:
SETBACK CHAM
INFORMATION Type O r el Number:
System: �p ��� ] 71 � O NIT
DISTRIBUTION SYSTEM
Header /Manifold u Distribution Pipet u ( x Hole Size x e" Spacing Vent To Air Intake
� tI
Length Dia. Length Dia. Spacing �Y O
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.) 4- r
LOCATION: ST. JOSEPH 23.30.19.1990 1462 78 H STREET — GOV'T LOT 3
-
4t.4- - l ot> l02 �o
J /
t an revision required. ❑ Yes No
Use other side for additional information. t7 O
�( SBD -6710 (R.3/97) Date Inspector's Signature Cert. No.
r
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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V SANITARY PERMIT APPLICATION .A Safety and Buildi Division
i 201 W. Washin ton Avenue
Department of Commerce P 0 Box 7302
In accord with ILHR 83.05, Wis. Adm. Code
Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 8 112 x 11 inches in size. y e
• See reverse side for instructions for completing this application state sanitary Perm / it Number
,3 57 1
Personal information you provide may be used for secondary purposes E] Check if revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. /� /�.� 78 54,#- State Plan I.D. Number
I. APPLI ATI INFORMATI N - PLEASE PRINT ALL INFORMATION
Property Owner N Property Location
6 --tal I&Mawl &41 1/4 1/4, S i52 y T 4, N, R E (or
Property Owner' g Address Lot Number Block Number
e `
City, State Zip Code hone er Subdivision Name or CSM Number
G Q ( )
11. T E OF B . ° e) ❑ State Owned it Nearest Road /
Public 1 or 2 Famil 0WAnl - No. of bedrooms II III row OF
III. BUILDING USE (If building type is public, check all that apply) Parcel TaxNumber(s)
1 ❑ Apartment/ Condo 0`3 l �a� ��• • ( 99
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 online A. Check box online B, if applicable)
A) 1. 0 New 2. ❑ Replacement 3_ ❑ Replacement of 4_ E] Reconnection of 5, ❑ Repair of an
______System ________System _____________ Tank Only______________ Existing 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 R] Mound � 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. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 15. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/day /s . ft (Min. /inch) Elevation
37-5 �•` Feet lddr O Feet
VII. TANK Capacity
in gallons Total # of Prefab. Site Fiber- Exper.
INFORMATION Gallons Tanks Manufacturers Name Concrete Con Steel glass Plastic App
New Existin structed
Tanks Tanks
Septic Tank Y .' W a57`� D' 11 El 11 11 11 Lift Pump Tank C6 (j r ,B 9 1 ❑ ❑ I ❑ I ❑ I ❑
.RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber's Signature: (No Stamps) APRSW No.: Business Phone Number:
Plumber's Address (Street, City, Sta , Zip Co e):
7to
IX. COUNTY / DEPARTMENT USE ONLY
/ ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate I ssued Issui ent Signature (No Stamps)
M A
pp []Owner Given Initial Surcharge fee)
3
� -v�
Adverse Determination s /
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
/ Ok" 4C> 75� Out. W N1 cgl. , Croi�C� `�•`�"�"�
413D. 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber '
i
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 3 _=itted to the
county prior to installation
5. Onsite sewage systems must be property maintained. The septic tank(s) must be pumped by a licensed p r whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, conle your No code ad to 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.
Ill. 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 smallerthan 81/2 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
• 1340 E GREEN BAY ST STE 300
,.. SHAWANO WI 54166
isconsin Tommy G. Thompson, Governor
Philip Edw. Albert, Acting Secretary
Department of Commerce
November 02, 1998
CUST ID No.267341 ATTN.• POWTS INSPECTOR
WEGERER SOIL TESTING & DESIGN ZONING OFFICE
421 N MAIN ST ST CROIX COUNTY
PO BOX 74 1101 CARMICHAEL RD
RIVER FALLS WI 54022 HUDSON WI 54016
RE: CONDITIONAL APPROVAL
APPROVAL EXPIRES: 11/02/2000 Identificati
Transaction ID . 184976
Site ID No. 16307
SITE:
Please refex;t l otl ,identification nuinbeis,
Site ID: 163079 above, iir all correspondence rtlt the agency.;
ST CROIX County, Town of SAINT JOSEPH
Government Lot(s) 3, S23, T30N, R19E
LISA MARIE NELSON
FOR:
Description: MOUND SYSTEM FOR LISA MARIE NELSON
Object Type: POWT System Regulated Object ID No.: 433827
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.
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 10/26/1998
FEE REQUIRED $ 180.00
KEI H A WILKINSON, POWTS PLAN REVIEWER FEE RECEIVED $ 180.00
Integrated Services BALANCE DUE $ 0.00
(715)524 -3630, FAX: (715)524-3633, M -F 7 AM - 3:45 PM
KWILKINSON @COMMERCE. STATE. WI.US
1 - F L E S H L E T Page of 6
MOUND SYSTEM
FOR
A BEDROOM RESIDENCE c" .18 4976
LOCATED IN THE - 1/4 OF THE - 1/4 OF SECTION Z3 ,T 30 N, R l9 W,
TOWN OF COUNTY, WISCONSIN.
r
INDEX
PAGE 1 'of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
PAGE 3 of 6 PLAN VIEW -CROSS SECTION ' OF Mo .&r-jt,
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PAGE 5 of 6 PUMPING CHAMBER C.(LO SE.c.Tio
PAGE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
X63 P\ COQ eL1�-;7 -3I, )
\U�J \Z\C`� 110►�10, W 1 SL X1
PREPARED BY
X40 ®
WEGEEREFZ SOIL TEST S NG OQ �',
AND. `�C®IV%T/� �o
DEE3 z Gr%t sEIR W z C E[ = •• '''�,;
ARTHUR L.
F.O. BOX 74 421 K. KAIK ST. S wECe,;ER
RIVED. FALLS. V1 54022 _ YvoaTH,
715 -42`5 -0165 s /
P.O.W.T.S.
Conditionally '%
APPROVED , zZ _�
DEPARTMENT OF COMMERCE
DIVISION OF SAFETY AND BUILDINGS
SEE CORRESPONDENCE
JOB NO. C I S - 2-b -I
PLOT PLAN
Scale Page Z of
' ` 1 "= �1,0�'
y
• o
LMOT SCS
wl �t►h �p fl ?A
Per l
v Fick - LIT UwtI
F1.n - �T ►J17. ��$�
7
I
D o i"J QT
t)R 0V9MZta
ti -t S Pri'� -L°'A � � y
_j
\S' o az M e�t�l
Bo�"tnF1 oF- ��
'LL 913,5
NOTES
•1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install permanent markers at end of each lateral. (_V__ required)
3. Install 4" observation pipes with approved caps. ( Z required)
4. tank to be 1pooL6S0 gallon capacity manufactured by
5. Bench Mark - * I xo o. p' cy,. - i `' k *[ GN , 0\310, kUW PLPE kZ GD►2N�R
4-Z U%L . 66.%' oN SyAkjs 18'` PnBoUiE SRO p uv ZZ k D t`1. IIIJ'E
6. Divert surface water around system to prevent ponding at the uphill side.
Page
Approved Synthetic Covering
C- 33 Distribution Pipe
Medium Sand
G
Topsoil - H ��___ F Elev. 1B. S
3 E -.
e
S % Slope
Bed Of ',-"-2 %2 ( Force Main Plowed
Aggregate From Pump Layer
1, o
0 Ft.
Cross Section Of A Mound System Using
E 1 -by Ft.
A Bed For The Absorption Area F 6 -b Ft.
G \.O Ft.
A `� Ft. H 1 - 5 Ft.
Linear Loading Rate= a •S GPD /LN FT B ( -L7 Ft.
Design Loading Rate= O•y.GPD /SQ FT j . 1 to Ft.
J - 7 Ft.
K 11 Ft.
e i . ia t ... L lam Ft.
of-
F -1 W 1 Ft.
L
Observation Pipe
8 \ K
'�------ - - - - -- ---- - - - --- - - -
A -- -- - - - -- --- - - - - -- - - - --.I
�- - ----- - - - - -- -- Force Main
Distribution 8 ed Of i 2 ' 2
Pipe Aggregate
Observation Pipe Permanent Markers
(Anchor securely)
Plan View Of Mound Using A Bed For The Absorption Area
Page q Of
Perforated Pipe Detail
0
End View
Perforated
End Cop- PVC Pipe Install permanent marker
at end of each lateral
Holes Located On Bottom,
Are Equally Spaced
Q s
PVC Force Main
P
PVC
Manifold Pipe
Distn ution
Pi e
Lost Hole Should Be I
Next To End Cop
End Cop
P Z Z- Ft.
Distribution Pipe Layout
_ S y Ft.
X 4� Inches
Y Lib Inches
Hole Diameter L �L1 Inch
Lateral ) Inches;
Manifold Z Inches
Force Main Z Inches
# of holes /pipe 6
Invert Elevation of Laterals qq -O Ft.
�Y_ VI= - 1. UZx L( zg .08 GP►�
- a
Place 1st hole z4 from center of manifold with succeeding holes
at q 6 " intervals. Last hole to be next to the end cap.
Combination Sep, t�,�.c� and
• PL m CHAMBER CROSS SECTION!,: ARID SPECIFICATIONIS ' PAGE
/ WEATHER PROOF
-VEIJT [AP -
JUIJCTIOW 80X
N "C.L VENT PIPC APPROVED LOCKIPJCP
10' FROM DOOR., MAWHOLE COYER ;4J
:/IAI00W OR FRESH wAIL10104. LA6EC.
A1_9 UJTAKE cwau�Ir
• s
b - x . �-- - '• i
A I8' MI IJ.
� lh
y "I►JS1�t'�t� pIP� PROVIDE I - - --
• IWLET AIRTIGHT SEAL
I I
� I
APPROVED JOIIJT eAF�L�S A APPROVED JOIIJT:
I I
I I ( W /C.I. PIPE
W /C.I. PIPEor Tank construction I 11I
shall comply with _ I I 1 ALARM
ILHR 133.15 and 83.20 ° I i
OLI
C I I
S� �s I
CLEV. FT. PUMPS - -J
r. OFF
0 COIJCRETE
tLFU. S pp ' bLOLK
3" APPRove
RISER EXIT PERMITTED OWLy IF TAWK MANUFACTURER HAS SUCH APPROVAL 86DOING
SEPTIC F SPECIFICATIOMS
DOSE 1� \Dk1�l�RlJ YIZZ IJUMbER OF DOSES: - PER DAy
TANK MAN UFACTURER:
TAWK :,IZE: Vb00 I {J GALLOWS, DOSE VOLUME t
ALARM MAIJU FACT URi`R: S • S. S IWCLUDIM B ACKFLOW: S3 GAL LONS
MODEL 1JUM5ER: 1 Hw CAPACITIES: A= $ IIJCHES OR 306 GALLO
SWITCH TYPE: r'1�ZCQ B= IIJCHES ° OR 3 � 4LL01J$
PUMP MANUFACTURER: GOVL�S C = 9 — I U CFIES OR S3 CALLOUS
MODEL NUMBER: 388S D: 9 INC HES OR .� GALLOWS
SWITCH TYPE: M'1�Z CCJ WOTE: PUMP AND ALARM ARE TO bE
MINIMUM DISCHARGE RATE Z$'0 $ GPM INSTALLED OW 5EPARAT1 CIRCUITS
VERTICAL DIFFEKIMCE DETWECIJ PUMP OFF AND - .DISTRIBUTION PIPE.. I I I ' I S FEET
+ MIIJIMUM METWORK SUPPLY PRESSURE , ; .. .. 2 FEET
+ ��� F E E T OF FORCE MAIN X `' F 00F TFRICTIOU FACTOR_. Z,Sb FEET
TOTAL DUU&MIC HEAD = U 6- -'FEET
Pump chamber DIAMETER 3�
IIJTEKLIAL DIMLIJSIOMJ OF TAAIK: LENGTH ;WIDTH ;LIQUID DEPTH
BOTTOM AREA _ 231= - GAL /INCH
AS PER MANUFACTURER -- k - 7, , 0 . GAL /INCH
I _
Goulds pk6'Lr,
Submersible
Effluent Pump
3885
f O&MAW C vE
APPLICATIONS • Overload protection must smooth operation. Silicon can be operated continuously
Specifically designed for the be provided in starter unit. bronze impeller available as without damage.
• Shaft: threaded 400 series an option. ■ Bearings: Upper following uses: � g : pp and
•Homes stainless steel. ■ Casing: Cast iron volute lower heavy duty ball bearing
• Bearings: ball bearings
• Farms type for maximum efficiency. construction.
" . 2 NPT discharge adaptable d uty
• Trailer courts upper and lower . 9 P ■Power Cable: Severe d
• Power cord: 20 foot for slide railsystems.
• Motels standard length (optional rated, oil and water resistant.
• Schools lengths available). ■ Mechanical Seal: SILICON Epoxy seal on motor end
• Hospitals Single p CARBIDE VS. SILICON provides secondary moisture
Sin phase: • Industry Sin and h se —16/3 SJTO CARBIDE sealing faces. barrier in case of outer jacket
• Effluent systems Stainless steel metal parts, damage and to prevent oil
with 115 V or 230 V three BUNA -N elastomers. wicking.
prong plug.
SPECIFICATIONS • % -1'/2 HP —14/3 STO with ■ Shaft: Corrosion - resistant ■ 0 -ring: Assures positive
Pump bare leads. stainless steel. Threaded sealing against contaminants
• Solids handling capabilities: Three phase: design. Locknut on three and oil leakage.
%* maximum. •'/2 -1'/2 HP —14/4 STO phase models to guard
• Discharge size: 2" NPT. with bare leads. On CSA against component damage AGENCY LISTINGS
• Capacities: up to 128 GPM. listed models — 20 foot on accidental reverse rotation.
• Total heads: "up to 123 feet length SJTW and STW ■Motor. Fully submerged in SA Canadian Standards Association
TDH. are standard. high -grade turbine oil for
• Mechanical seal: silicon lubrication and efficient heat UL Underwriters Laboratories
carbide -rotary seat/silicon FEATURES transfer.
carbide- stationary seat, 300 ■ Designed for Continuous
series stainless steel metal • Impeller: Cast iron, semi- open, non -clog with pump -
Operation: Pump ratings are
parts, BUNA -N elastomers. out vanes for mechanical seal within the motor manufacturer's
• Temperature: recommended working limits,
104 °F (40 °C) continuous Protection. Balanced for
140 °F (60 °C) intermittent.
• Fasteners: 300 series METERS FEET
so
stainless steel. -- . - -_ -.— - I ___ . _ SERIES: 3885
SIZE* VV SOLIDS
• Capable of running dry 25 8 wE1 ; RPM: VARIOUS
without damage to . 5GPM - - - -- ..__
components. 70 5
wE1 1 I
20 Fr -
Motor I
Single phase: so ...wEO. !_ . . . - --
I
• '/ HP, 115 V, 200 V, 230 V, S2 15 50
60 Hz, 1750 RPM; s '
'' /2 HP, i EO — -- ...._.. - _.... +--- ........ - ..
...- ............. : ....
115 V, 60 Hz, 3500 RPM; 0 40 H t i
% HP —1'/2 HP, 230V,
60 Hz, 3500 RPM. ° 10 30 I
• Built-in overload with _.._.. ................-
WEO
automatic reset. 20 , I
5 —
• Class B insulation.
Three phase: 10 '
• %2 HP —1'/2 HP 200/230/ o o '
460 V, 60 Hz, 3500 RPM. 0 10 20 30 40 50 60 70 80 90 100 110 120 130GPM
• Class B insulation. - -'
0 10 20 30 m
CAPACITY
®1995 Goulds Pumps, Inc. Effective May, 1995
i „ azaa�
iMA09
Wisconsin Department of Commerce S01 SITE EVALUATION Page 1 of 3
Division of Safety and Buildings in ac with Comm t33':05,? 4dit ,i11:0
. Environmental By Design
Attach complete site plan on paper not less than 8'/ x 11 inches in size. PI " tri my
include, but not limited to: vertical and horizontal reference point (BM), di
n re op R� (' lV n __ $t_ C r oix
percent slope, scale or dimensions, north arrow, and location and dista "to.giearest rb�ahf' I LD.# 2 1/
APPLICANT INFORMATION - Please print all inforntaIobJ. E. ^F y 1 s�9$/y Date
Personal inform You provide may be used for secondary Purposes {Privacy LaMk, j._15.04 (1) (m �aT CF rX w 2 "?
Property Owner P pe 1 r
Nelson, Lisa lto GlCF_ 114 °i 1/4 S T 30 N,R 1
Property Owner's Mail' Addre L'ot #. %, `, + -? Su .Name or CSM#
City State Zip Code PhoneNumber ❑ City ❑ Village ®Town Nearest Road
New Richmond Wl 54017 St.Joseph 78Th St
® New Construction Use: ® Residential / Number of bedrooms 3 ❑Addition to existing building
❑ Replacement ❑ Public or commercial describe
Code Derived daily flow 450 gpd Recommended design loading rate 1.2 bed, gpd/ft .1.2 trench, gpdfft?
Absorption area required 375 bed, fis 375 trench, ft Maximum design loading rate 1.2 bed, gpdfft$ 1.2 tr ench, gpdfft
Recommended infiltration surface elevation(s) 99 ft (as referred to site plan benchmar
Additional design / site consideration
Parent material Loess Over Glacial OutWash 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 for system ❑ S ® u ® S
El El ® u El ® u ❑ S ®u ❑ S ® U
SOIL DESCRIPTION REPORT
re
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/fl?
Boring# in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
1 0 - 10yr3 /2 - A 2msbk dsh cs 2m .5 .6
2 9 -31 10yr7 /4 - sil 2msbk dsh cs 2m .5 .6
Ground 3 31 -40 7.5yr4/6 c2d10r4 /8 sil lfsbk dh - 1m nt ' ; np
elev
98.58 ft
Depth to
limiting
factor
31"
Remarks:
2 1 0 -8 10yr3/2 - sil 2msbk dsh cs 2m .5 i .6
2 8 -31 10yr7 /4 - sil 2msbk dsh cs 2m .5 .6
Ground 3 31 -42 7.5yr4/6 c2d10r4/8 sil lfsbk dh - lm ' rSp
elev
95.72 ft
Depth to
limiting
factor
31
Remarks:
CST Name (Please Print) Signature: _ - -� �; Telephone No.
Thomas C. Nelson �--� ` " .` _.. "� -� 715- 246 -2454
Address Environmental By Design Date CST Number Ref#
1432 120th Street, New Richmond, WI 54017 11/10/98 2605 167
r
PRQPEFTx OWNER: Nelson, Lisa SOIL DESCRIPTION REPORT Page 2 of 3
PARCEL I.D.# Environmental By Desian
Horizon Depth Dominant Color Mottles Texture Structure onsistence Boundary Roots GPD/ft2
in. Munsell Qu. Sz. Cont. Collor Gr. Sz. Sh. Bed Trench
3 1 0 -10 10yr3 /2 - sil 2msbk dsh cs 2m .5 .6
2 10 -33 10yr7 /4 - sil 2msbk dsh cs 2m .5 .6
Ground
elev 3 3340 7.5yr4/6 c2d10r4 /8 sil lfsbk dh - lm np np
95.7 ft
Depth to
limiting
factor
33
Remarks.. This bore hole was observed using a hand auger
Ground
elev
Depth to
limiting
factor
Remarks:
Ground
elev
Depth to
limiting
factor
remarks,:
Ground
elev
Depth to
limiting
factor
Remarks:
r _ N BY DE51GN
1432 120`h STREET, NEW RICHMOND, WISCONSIN
715- 246 -2454
PROJECT NAME Usa Nelson -A* .73 3 PAGE 3
DESCRIPTION GOVt Lot 3 , SECTION T - 29 - N, R 19 W
TOWNSHIP St. ose h COUNTY St. Croix Wisconsin
0
o
d
J
I 7
BI c:>'
p,
9 ° k
G S ►�Q�
01
OI
41
Sl•pV.
a3' 6ft)# 1
anal
U a rn 1 f
(�b RO1C
Reter ej tuCJjOn
01 = ° IL.I
02 = 94.(.5
SCALE 1 =40' Tom Nelson
BM 1. Top of 1" iron pipe, SE lot corner 100' 227387
BM 2. Base of tree marked with yellow ribbon Elevation 100.66
I _-
r - -
i
• ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer ed y q YL- L e e ot L , c
Mailing Address
Property Address sk6l
(Verification required from Planning Department for new construction) /
City /State LN� arcel Identification Number
LEGAL DESCRIPTION
Property Location %., ' /a, Sec. 3 , T3 N -R_Zy_W, Town of
Subdivision _ 6c Lot #
Certified Survey Map # , Volume , Page #
Warranty Deed # - �s�'2� , Volume 1�2;21 , Page # Sdi
Spec house ❑ yes R 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, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
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
days of the three year expiration date.
SIGNATURE 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 owner(s) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
IGNATURE 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
' I
. VOL PAII'
C P (] , State Ba. of Wisconsin Form 2 — 1982
.)' WARRANTY DEED
I I
DOCUMFyTNO
R._- Charles _Garbe_ and - Barbara _Garbe,- husband- and -... -. FEB 5 1997
wife -__-- -. -- - - - - -- - - - --
- - - - - - — - - - - - --
2 :15 P .
conveys and warrants to _Leonard t'_ Lee s ng le_�gL�o1L_ _ II N w r �• r • U • ,
-- --- -- - - - - - "— - - - - -- - - - -- - - - - -- �' THIS SPACE RESERVED FOn RECORD
_— -_ -- _— ___. - -_— - -- NAME AND RETURN O�
the following described real estate y"o
County, State of Wisconsin:
See attached for legal description. 03 1056 -10
(Parcel Identification Number)
$
T RAN S FER a 4
FEE
This __- is not homestead property.
#W (is not)
Exception to warranties: Subject to all easements, restrictions and covenants of
3
Dated this day of -- January 19
- - - -- —
(SEAL) �r1 4
•.� 4„��l�s_��F= -- - - -- ��ar_b.ar�rhe-------- - - - - --
_ (SEAL) - -- ----- - - - - --
AUTHENTICATION ACKNOWLEDGMENT
STATE OF WISCONSIN
Signature(s) __ --
— County.
authenti,;ated this __ _. _ day o f 19_ - __ _ Personally came before me this
- -- - - -- Janu -- — . 19.97 L. the
_ -_ ___ -.___ ___- - -_ - -- ------- - - - - -- - - - -- R. Cha G anl_$a_rbara_G;
TITLE, MEMBER ST4rE BAR OF WISCONSjt{0 -- -- — —
- - - - - -- - - --
authorized by §706.06. W;s. Stats.) .-'o ti I to me knodthe person __S _ _ _ _ _ wh
Z foregoing i / ent and acknowledge t C.
THIS INSTRUMENT WAS DRAFTED R ce _► 0 �' W/ Z
0 --
REINSTRA b VAN DYK, S.C. � S / -
201 South Knowles Ave:—.:.
New-Richmond, WI 54017 �i,I,'.y fica�� Notary Public - - -- -
(Signatures may be authenticated or a lnowlr th My commission is permanent. (If o- star,
necessary.)
• \rnr. d tx•n.n. ,iemng m .un .apa.n� •h,•uIJ hr t� ..r pnntcJ h'lo�. their ,ignamrr. .
N ERRA%l
SL \TF: 8 %R OF w
' ISCONSI\
I UFE)
FOR N1 %4'.2 —INK.
VOL PVI.
All that part of Government Lot 3, Sec. 23- T3ON -R19W described as
follows: Commencing at the Southeast corner of said Lot 3 of said
Sec. 23; thence West on the South line of said Lot 3, 1243 feet;
thence North 240.3 feet to an iron pipe, the point of beginning.
Frcai said point of beginning run North 00 0 30' East 220.1 feet to
an iron pipe; thence West 198 feet to an iron pipe, the high
water line on the shore of Bass Lake; thence Southerly along the
high water line 220.1 feet to an iron pipe; thence East 198 feet
to the point of beginning.
Also, that part of Government Lot 3 of said Sec. 23 described as
follows: Commencing at the Southeast corner of said Lot 3; thence
West on `he South line of said Lot 3, 1243 feet; thence North
240.3 feet to an iron pipe, the point of beginning. From said
point of beginning run North 00 East 220.1 feet to an iron
pipe; thence East 149 feet to an iron pipe (at this point is
entrance to roadway easement); thence South 96 feet to an iron
pipe; thence South and Southwesterly 136 feet to an iron pipe;
thence West 55 feet to point of beginning.
Also, a perpetual-and continuing easement and right -of -way over,
across and on the roadway for lakeshore property on Bass Lake,
now existing in said Sac. 23- T30N -R19W described as follows: A
roadway beginning at the Northeast corner of said Sec. 23; thence
1420 feet, more or less, due West to the corner fence post above
the bluff on Bass Lake, as a point of beginning; thence South 760
feet; thence East 268 feet, more or less; thence South along the
fence on top of the bluff above the East side of Bass Lake to the
Northerly boundary line of the above described premises for
mutual use of said roadway, together with others having and
enjoying easements thereon; said roadway being the roadway
constructed and in existence on May 27, 1960, along the East side
of said Bass Lake, having its Southerly terminus at the Northerly
boundary of the above described premises and permitting full and
free access and egress to and from said premises.
St_ Croix County, Wisconsin.
Wisconsin Department of Industry SOIL AND S EVALUATION REPORT Page 1 of 2
Labo►'and Human Relations
Division of Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
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.
APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION FRfflEVfD BY DATE
PROPERTY OWNER: PROPERTY LOCATION
GOVT. LOT 3 1/4 — 1 14,S Z-T 3p ,N,R N q E ( W
PROPERTY OWNER' :S MAILING ADDRESS • LOT # BLOCK # SUBD. NAME OR CSM #
663 A . c��Ze�� Pt►�E �Rl — —
REST ROAD
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEA
1v� Rlat Ivl -S ki on () (S) Zq 6 _ �oRV sT • - x% s � t T* Sl
(] New Construction Use[ ] Residential / Number of bedrooms — [) AdditiQn to existing building
j J Replacement (J Public or commercial describe
'Code derived daily flow — gpd Recommended design loading rate — bed, gpd/ft — trench, gpd/ft
Absorption area required _ bed, ft — trench, ft Maximum design loading rate — bed, gpd /ft trench, gpd/ft
Recommended infiltration surface elevation(s) — ,ft (as referred to site plan benchmark)
Additional design / site considerations S N o1 By LoW
Parent material Flood plain elevation, if applicable ti A ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL I HOLDING TANK
U= Unsuitable fors stem O S ❑ U I EIS ❑ U I [IS ❑ U EIS ❑ U [IS ❑ U [I S ❑ U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxiary Roots GPD /ft
in. Munsell Qu. Sz. ConL Coke Gr. Sz. Sh. Bed ITrench
o - �, opt ti ZCZ — Si\ z.�sbk n1 e w • 5 ��
Ground 3 -S 3 "� . S `1 R 31 c( s L c s� Yrl �^ �1 J ' 2 3
NA fL L l S3 -11 S `11Z 3� s � S M Wt
Depth to
limiting
factor N tiT� = p tT wt�s �u G 'V _ S o L t_ f� tZ
p0 S 3LBLe uU urJ p P, oR O
Remarks:
Boring #
ue ` 3 �2ov D S v -S v \Z. l �� ot~
El
F U�.t (3 _ o tz p sU
0r='F t =�v N6 1°c�4 lft \ ', _ ` -til.
Ground
elev. O p- S (03h1 S q-U U►U S �Z U t ,
Depth to
limiting cry U G• > J N 1
law
F_T ` U tU V G 1N
Remarks: O U t
° f
T Nam
e:— Please Print Phone:
1
Arthur L . We erer 715- 425 -0165
eg rer Soil Testing & Design Service— P.O..Box 74 River Falls,WI 54022
Signahue= Date: CST Number:
Lj- 99 220254
i
PROPERTY OWNER L \SR L SOIL DESCRIPTION REPORT Page '—of 3
PARCEL I.D. # -
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends
„ } . L <r
: x,� <:I.
X 2 6 ry hJ 6, S
Ground
elev.
ft. T
Depth to
limiting
factor
l`i o �zc�►J 3 co ,.� s
to� 1S Lei
Remarks:
Boring #
i
Ground �" Y S l
elev. ft. Y yes t U z V V 1 r o N S -1 Z- - ,
f
Depth to a l c -ZI
limiting U� " 1,J 1 f'tIV
factor
i
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor i
Remarks:
Boring
Ground I
elev.
ft.
Depth to
limiting
factor
Remarks:
cnn �o�nin nr •n�
i
PLOT PLAN Page 3 of 3
SCALE 1 "= LAO '
A
_A E R'r LQ"T 50' F 1_ cr' i
►" lOv1v fl h-T L*67
VIC
P1,�tt� NO. �pgi
� u
7
E1PPTm Xl NlfVN
[3o 21ti G
Iv
D o NOT r -cir�� rt-t-1- % 2 � • � �'
� 3 2.
J SJ 3
J or��
't - \S�o� 3 2•
Z � P F.
Y ' v C I
B�`ROt�I. of 3�
Ti. 9'e, . S
0 „C
Q7 ( 715 ) 425 —n1 69
I� CST Signature Date Signed Telephone No. CST #