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HomeMy WebLinkAbout032-2103-20-000 ST. CROIX COUNTY ZONING DEPARTMENT - AS BUILT SANITARY REPORT Owner TOM N F-LSn AJ � Property Address iD u F UL 7 7 City /State Legal Description: Lot J-� Block Subdivision/CSM # G RE.F Q ACES t /a SE t /4, Sec. T D N -R ?-O W, Town of :S6Nk9 -ZS PIN #. Z0 SEPTIC TANK — DOSE CHAMBER — HOLDING TANK INFORMATION Tank manufacturer 2K&W Size ST/PC / Setback from: House 5L Well y P/L Pump manufacturer &O L)L O 5 Model & P 5 Alarm location 1f 2 A ' oFF gTm - TKQ r- (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: KMQ %Q fJ Width y Length _63 _ Number of Trenches Setback from: House // Off, Well tt -SO P/L - t Vent to fresh air intake ELEVATIONS Description of benchmark -JW)Q LU`7 7 +i4.t Elevation 16i� Description of alternate benchmark J4jo ;<,ytL. QP Elevation leil / Building Sewer 1 0 Y, 3 - 7, ST/HT Inlet 60- R A ST Outlet PC Inlet PC Bottom 7 3� Header/Manifold �U S, L � � Top of ST/PC Manhole Cover Distribution Lines () 1 6S. Bottom of System Final Grade () () ( ) Date of installation 101111 c ? gPermit number State plan number 338�T ) M o6 2Z��1 . Da / 9 Plumber's signature �� . � u� License number Inspector ��-- Complete plot plan Or 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 A A LT. R AY-t1MAKY,- -'xTiD Dc%L s►LL 4/ALMLR XAS-1-' 1A907 5`I 0 77' ® 1n�EtL INDICATE NORTH ARROW j i Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: ST CR IX Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. 338893 Per N)EL ogbkNarrt.�O E] city [] Village Town of: State Plan ID No -: 1iVV��LLJJVV 11 SOMERSET CST BM Elev.:- Insp. BM Elev -: A[ BMcription: Parcel Tax No.: &d 032 2103 -20 -000 TANK INFORMATION � �'� ELEVATION DATA A9900154 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 0 0,0 Benchmark 4 11-11, Ov Dosing �j0 rY, 21 Astaton Bldg. Sewer c G g / Ht Inlet o0 -�� TANK SETBACK INFORMATION u TANK TO P/ L WELL BLDG. Ventto ROAD Air Intake Septic 7 ,� r3 / NA Dt Bottom y,ca Q Dosing 7 y 7 'Cd0 ` ` Z f Z r NA Header / Man. 3, 3 �v - s r 3- /o 3 A Dist. Pipe 3� 3oF Z ding Bot. System y' /V /• PUMP/ SIPHON INFORMATION J;ed Final Grade Manufacturer f 6 Demand Model Number �� `, GPM TDH Lift 2. 1 5/ Friction Systerrl � TDH 1Z, Ft Forcemain Length G 2 r Dia. L /� D ist. To Well SOIL ABSORPTION SYSTEM ��NREN Width Len g #h 3 , Noy f Trenches PIT No- Of Pits Inside Dia. Depth (0 r DIIVIEN 1 SYSTEM TO P/ L BLDG WELL LAKE/STREAM LE G Ma acturer: SETBACK CHAMBE VrodQlh INFORMATION Type Of 7rU 7 7fd�lf 7 OR U umber; System: S DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole ize x Hole Spacing Vent To Air Intake Length _3_� Dia. Z / Length � Dia. f 1 2 Spacing 3 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.) LOCATION: SOMERSET 1- 4.30.20.975,SE,SE 1521 HIDDEN VALLEY CIRCLE to 3. c � c ev Plan revision required? ❑ Yes ❑ No Use other side for additional information. (( ' SBD -6710 (R.3/97) Da a Inspector's S' ure Cert. No. I ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 4 4 t R � ^ a s . m F 3 t € ^ s i w.� i @ ^ a S , ,... ^ ^e... } t ¢ [ 5 E x . S } 3 d { } m e s mm- 3 f ; @ £ g # } £ 3 < � 1 m m ® 4 P 3 �.. } Safety and Buildings Division lVis SANITARY PERMIT APPLICATION 201 W. Washington Avenue n In accord with ILHR 83.05, Wis. Adm. Code P O Box 7302 Department df Commerce Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County �� than 8112 x 11 inches in size. ly • See reverse side for instructions for completing this application State Sanitary Perr Personal information you provide may be used for secondary purposes ❑ Check if re vision to previou 3pplication f Privacy law, s. 15.04 (1) (m)]. State Plan I.D. Numbe I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N a -770 Pro rty Owner Nie Propert Location N� J X1 /4 �.9 1/4, S T �O , N, R�E (011(g) Pro ert Owners Mailing Address Lot Number Block Number is Z�7 r�E 5��� R t V E` 13 C! St �E Zip Code � hone }umber Subdivision NamwrCSMSumber 11. TY F BUILDING: (check one) ❑ State Owned o It Nearest � Nearest Road d� Village Public 1 or 2 Family Dwelling No. of bedrooms Town OF O khew gig L4 III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 0,?Z_ 2 �o 3 � z � f S4 'ZZI•dt 15 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. &44ew 2_ ❑ Replacement 3_ ❑ Replacement of 4, ❑ Reconnection of 5. ❑ Repair of an - __ystem 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 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 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed sq. ft.) (Gals/daa sq. ft.) (Min. /inch) t� Elevation Feet �%, c ? Feet VII. TANK Capacit in allo s Total # of Prefab. Site Fiber- E INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- steel xper glass Plastic App New Existing structed aM22 � Tanks Tanks //,,,,�3 �, �er � ��'a w ❑ ❑ ❑ ❑ ❑ 6 4, dC5 ❑ ❑ 1 ❑ ❑ ❑ SPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) P ber' ignat ( to ) MP /MPRSW No.: Business Phone Number: & TM � zz3 ZLI 2 76S - 21 - 3 19 P b Ad 401 eet, Cit Sate s W Code): a 6 IX. COUN / \ .J DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued Issuing nt Signature (No Stamps) .proved E] Owner Given Initial Surcharge Fee) � Adverse Determinatio / 100 1 ? !�) iL 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 Codewill 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 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 81/2 x 11 inches must be submitted to the county. The plans must P P P Y P 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. r Safety and Buildings . 15837 USH 63 HAYWARD WI 54843 -8107 TDD #: (608) 264 -8777 *isconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary April 05, 1999 CUST ID No.223242 ATTN.• POWTS INSPECTOR ZONING OFFICE JEFFERY V FOX ST CROIX COUNTY SPIA PO BOX 295 1101 CARMICHAEL RD DRESSER WI 54009 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 04/05/2001 Identification Numbers Transaction ID No. 217466 Site ID No. 169009 SITE• Please refer to both identification numbers, Site ID: 169009 L above,; in all correspondence with the ,agency. ST CROIX County, Town of SOMERSET; HIDDEN VALLEY CIRCLE, SOMERSET 54025 SE1 /4, SETA, S14, T30N, R20W Facility: TOM NELSON HIDDEN VALLEY CIRCLE, SOMERSET 54025 FOR: MOUND SYSTEM, 450 gpd Object Type: POWT System Regulated Object ID No.: 457801 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: Co (!6'ti' 1. This plan action is subject to designer comments on the plan. 2. The orientation of the mound system must be such that the mound's longest dimension is perpendicular' "�I to the direction of maximum slope. ` ; � M IL; 1 C 3. The area 25' below the downslope edge of the mound must remain undisturbed. � o 4. Maintain well and waterline set backs per COMM 83.10(1) and 83.14(4)(a). 5. Clarification on page 5 as follows: The designer has proposed to install a Skaw 1000/600 gallonn combination tank. 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. Sincere DATE RECEIVED 03/24/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 PATRICIA L S RF , POWTS REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM PSHANDORF @COMMERCE.STATE.WI.US WiSMART code: 7633 MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project Tom Nelson Owner Address 5270 Greystone Drive Inver Groove Heights MN 55077 Legal Description SE1 /4 SE1 /4 secl4 T30,N,R20 W Township Somerset County St. Croix Subdivision Name Green Acres Lot No. 13 1.$, �nally Parcel ID Number )V an Transaction Number ` c E - y A DINGS Index and title sheet Page 1 Mound calculations Page 2 'PONDENCE Mound drawings Page 3 Pres. dist. calcs. and laterals Page 4 TDH and um tank drawing Page 5 pump 9 9 unt\G �; t "__ rqC--e - 1 cuc TFS c A-TI4ct4r, D Designer Jeff Fox License Number 223242 Signature Uk Phone No. 715 294 3141 Date 3(1.� Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 1 4- 5 . 1 0, ils, Slats. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10462 -E (R.05/98) Pagel of 1 MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch - pounds Metric Residential or commercial? r (r or c) (y or n) n Replacement system? Creviced bedrock site? n (y or n) Slope 3 % Wastewater flow rate 460 gpd 1703 Lpd Depth to limiting factor 26 in 66.0 cm In situ soil infiltration rate 0.4 gpd/fl? 16.3 Lpd/m Contour line elevation 103.6 ft 31.58 m Use standard fill depths? x OR Design depth? in cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center or end manifold c (c or e) Hole diameter 0.25 in 0.125, 0.15br 0.188 0.219.0.25, 0.281, or 0.313 inch only. Lateral spacing 3.00 ft Use 0 lateral spacing for trenches. Estimated hole space 3.50 ft ^dot a final calculation. Number of laterals 4 Pump tank elevation 94 ft Outside bottom of tank. Forcemain length 130.0 ft Forcemain diameter 2.0 in 1.5. 13 or 4 inch only. 2.067 in Actual I. D. 1/8 =0.125 1/4-0.250 SYSTEM SOLUTIONS Inch-pounds Metric 5132=0.156 9/32-0.281 Estimated daily flow 450 gpd 1703 Lpd 3/16 = 0.188 5/16 = 0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 9pd/ft 1 375.0 Jft 34.84 m 2 Linear loading rate (LLR) 1 7.14 Jgpdtft 88.5 Lpd/m Design width (A) 6.00 ft 1.83 m Cell length (B) 63.0 Ift 19.20 I m Depth of cell (F) 9.5 in 24.1 cm Sand filter Upslope fill depth (D) zft2 in 30.5 cm Downslope fill depth (E) in 36.1 cm Basal area required (gpd/infiltration rate) 104.52 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.15 ft 3.09 m Up slope toe length (J) 7.70 ft 2.35 m Down slope toe length (1) 11.90 ft 3.63 m Pasai :40'JusI ment made Total mound length (L) 83.30 ft 25.39 m Total mound width (W) 25.60 ft 7.80 m Project: Tom Nelson Transaction Number: Page 2 of f MOUND PLAN VIEW observation pipes (typical) J E25.6 ft A A= 6.00 ft 1.83 m 7.8m B= 63.0 ft 19.20m W B J= — T7 - 0 ft 2.35m 1 K I= 11.90 ft 3.63 m K= 10.15 ft 3.09m _ 83.30 ft 25.39 m typ. obs. pipe (anchored securely) I = down slope dimension 0 = absorption cell (AxB) J = up slope dimension = plowed area (LxW) K = end slope dimension 1W 6" (152 mm) T MOUND CROSS SECTION D = 12.0 in 30.5 cm lateral topsoil G H subsoil cap E = 14.2 in 36.1 cm invert 1 105.10 Ift _ _ _ _ F = 9.5 in 24.1 cm elev. 32.03 m - F G = 12.0 in 30.5 cm D ASTM C33 E H = 18.0 in I 45.7 cm Sand Fill Sys. 104.60 ft y elev. 31.88 m 103.60 contour 31.58 m elev. 3 % -� slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absombon cell media will consist F = absorption cell depth of aggregate and pipe vvith ±atemis G = subsoil + topsoil depth at cell wall centered across AxP media. 1 he cell H = subsoil + topsoil depth at cell center media is cc er a der, ,eote�±,le r,rnc_ Designer notes: Project: Tom Nelson Transaction Number: Page 3 of PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 1 6 Ift 1 1.83 Im Length (B) 1 63.0 Ift 1 19.2 Im Lateral specifications Number laterals 4 Holes/lateral 9 holes Lateral length (P) 29.75 ft 9.07 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 10.49 Igpm 0.66 Us Sys. dis. rate 41.96 gpm 2.65 Us Hole spacing (X) 42 lin 1 106.7 cm Lateral diameter Pipe diameter Design opwns Designawies Designer must 1 in (25 mm) Place X in rea 'Xp o choice 1 114 in (32 mm) X box of chosen from the options 1 1/2 in (40 mm) X X diameter. provided. 2 in (50 mm) X 3 in (75 mm) X Manifold diameter Pipe diameter reign options Design choice Designer must 1 in (25 mm) N V one choice 1 114 in (32 mm) x Place X in red from the options 1 112 in (40 mm) x box of chosen provided. 2 in (50 mm) x x diameter 3 in (75 mm) x 4 in (100 mm) x Distribution system contains: 4 Lateral(s) LATERAL DIAGRAM - CENTER CONNECTION -!ace correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. F orce main connection via tee or cross to manifold at any point. • 6 T Laterals are identical typical F P end cap N S w ,E X­�PIEx12 l x12 +1 Laterals & force main of PVC Sch 40 Last hole drilled next to end cap (per COMM Table 84.30.5) Holes drilled on the bottom of the lateral. • = permanent end marker equally spaced Inch-pounds Metric Lateral length (P) 29.75 ft 9.07 m Lateral spacing (S) 3.00 ft 0.91 m Hole spacing (X) 42 in 106.7 cm Manifold length 3.00 ft 0.91 m Hole diameter 0.250 in 6.4 mm Lateral diameter 1.50 in 40 mm Forcemain diameter 2.00 lin 50 mm Project: Tom Nelson Transaction Number: Page 4 of i TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 10.50 ft 3.20 m Are laterals the highest point in the Friction loss 3.75 ft 1.14 m system? Yes "X" here. x Total dynamic head 16.75 5.11 m If no, what is the highest elevation Dose Volume downstream of pump? Dose is > 10 times lateral volume Forcemain drain Lateral void volume 12.6 gal 47.7 L back to tank? (.'Y' one Minimum dose 126.0 gal 477.0 L x Yes Drain back 22.6 gal 85.6 L No Dose volume 148.6 gal 562.5 L Typical Pump Chamber Layout YP P Y In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with weather proof warning label and locking device grade levels junction box grade levels ` nn disco y alternate 4" vent pipe electric as per NEC 300 and F— outlet Comm 16.28 WAC \ location 18" (46 cm) min. r W aN of pump �- approved chamber or outlet joint combination tank A Provide 1/4" weep hole or anti - alarm on f siphon device as necessary pump on B (Grade levels PUMP 94.6 ft C - pump tank manhole = 4" (10 cm) off elev. 28.8 m minimum above finished grade D - vent = 12" (30.5 cm) minimum above finished grade 94.0 It Pump tank elevation 3 " (75 mm) of bedding under tank 28.7 m bottom of tank Tank manufacturer Skaw 1000/600 Pump tank capacity 15.385 gal /in Pump tank volume 600 gal Pump manufacturer Goulds Inches Gallons Pump model number 3871 EP05 c A 23.3 359.1 Z B 2 30.8 Alarm manufacturer Tank Alert m C 9.7 148.6 Alarm model number 101 o D 4 61.5 Project: Tom Nelson Transaction Number: Page 5 of f • , , • ' M OD EL • • • Su bmers i b l e • GOULDS :.i �a ' A Pump Specifications 1/a HP METERS FEET Up to 40 GPM 10 MODEL: 3871 Discharge size 1 NPT 9 30 Solids: W maximum 8 Motor _ 25 Single phase: 115V Materials of Constnuction = 6 20 Brass /thermoplastic z 4 15 EP05 Features and Benefits o * i ts Top suction eliminates a 10 impeller clogging. 2 6 EPW • Corrosion resistant construction. 0 0 1 , 0 10 20 30 40 30 U.S.GRA • Float actuated switch, o z 4 6 e 10 12 m CAPACITY METERS FEET 25 MODEL DVP03 Pump Specifications Features and Benefits a 6 20 4 h and 1 /2 HP • EPO4 impeller- semi -open design W 5 I 1 Up to 60 GPM with pump out vanes to protect 15 mechanical seal. Maximum head to 32' 4 1 2' • EP05 im eller - enclosed desi n Z Dischar a size 1/ NPT p 9 9 0 3 10 for improved performance. 3 J Solids. /4 maximum 2 • Rugged glass - filled thermoplastic 0 5 Motor 1 All motors feature ball casing and base design provides superior stren and corrosion 0 0 0 5 10 15 20 25 30 35 40 U.S.GPM bearing construction. Single phase: 115V resistance. 0 2 a 6 8 10rn3/hr • Cast iron motor housing for CAPACITY Materials of Construction Cast iron efficient heat transfer, strength, Thermoplastic and durability. Stainless steel • Corrosion resistant threaded stainless steel shaft. • Available for automatic and manual operation. • CSA listed models available. All Models are designed for continuous operation and feature stainless steel hardware. &Y, AeLsoN Tao, pi, k 5Z7o GtZ£ySTO►.�� DR SD Rf r _ Twsi:�, LJVER GRmJE YT) 5507 7. J / 2 " roRCFMp�,U J6MI& b SKAV/ i'zX Q. TA)\)K GA RA(E - 3 6EDRaou► HousE ay e WN tIMMM "TO1 o r Allb LCr SORUEy STR&E ELE V )00' Q SOIL 730k1M G �i. SCALE I- alb' �R�tE 03/08/1999 08:41 6124691475 RITCHIE BROS PAGE 03 ..�-. SOIL AND SITE EVALUATION REPORT Page 1 of 3 f]I,rirlon d Saiallr a evdanos In accord with ILHR 83.05, Wis. Adm. Code COUNTY Athah complete site plan on paper not leas than 81/2 x 111ndm in ad@. Plan must include, but St. Croix not limited to vorWal and horizontal reference point (BM), drecdon and % of slops, scale or PARCEL I.D. A dimensioned, north arrow, and location and diMnes 10 nearest road. pending APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER PROPFATYIOCAITION Leroy Urhaumroer Dour. LOT SE 114 !->E 114,S14 T 30 .N.R 20 E (°rl W PROPERTY OWNERS MAILWO ADDRESS LOT s BLOCK J I SUED. NAME OR CSM s 1501 Scout Camp Rd. 13 na Preen acre Cty. ES. First Addn. CITY, STATE ZiP CODE PHONE MJWER rMLLIGE MOWN NEAREST ROAD Hoult0n, WI. 54082 (715)549 -6497 Somerset Hidden VAl2e Cr. k 1 Now Coretrudan Uas l )q Re9kWr9al / Number d bedrooms 3 I l Aditw b exi Wq kU11ng I 1 Replacement ( 1 ' Public or commerclal desnlbe Code derived dad fbw 450 qpd ' FMc mmended design Ioading my .4 bed. gpdM _ 5 trwxk gpd AWripm area regw9d 375 bed. R2 375 M)M R kU*WM design bbadirg rate .4 bed. l • 5 trench. Wun Recommended inbpradw surface eleratbn(sl 104.6 fl (as referred b site plan b IMMark) Ad11Wnd deign / site considerations system el. based on contour ,line of 91 103.6 Pawl material glacial dirft Rpod pWn elevelim 14pimbig na ft U = unuib e W ,s m EIS RI U ® o O LI O N SOUO U 83URE S 13 C] S kl U O �CI�U SOIL DESCRIPTION REPORT Boring* Horizon Depth Dominant Color MOWN Taxtufe Sneture ConsisW= & ma Flom GPD 111 In. Munsell Du. Sz. Cont. Color Gr. Sz. Sth. Bed ITutt 11 1 1 0-10 10 r3 3 none 811. 2msbk mfr 2f .5 .6 2 10 10yr4 /4 none sicl 2mabk mfr gw if .4 .5 G�ro 3 20-41 7.5 r4/6 none sicl 2csbk mfi gw na .4 05 10 4.1. ft 4 41--50 7. 4 e s cs _5 6 Depth b 11mo g faciff 50 Remarks: Boring # 1 0- 0 nog Zf 5 2 2 10-26 1 r5 4 none sic-1 2rtlebk mfr if .4 .5 Gound 3 26--04 1 r/54 2 7.5 r5/8 sici 1cobk mfi Av na .2 !.3 I T4 . 1ft. 4 44 -60 7.5 r4/4 none s1 mvfr na na .5 1.6 Depth b Im�eng tBClor 44 " Remarks. Cat' N ww.- .Plnsc Prise Gary L. Steel Phony 715- 24"2()0 Address: 1 554 2 v New Ric ot2 WI 3407 7 I si a nsom- Doh.•.n nw r.+••.. 03 -08 - 98 08:37 RECEIVED FROM:6124691475 P.03 03/08/1999 08:41 6124691475 RITCHIE BROS PAGE 04 Leroy Urhammer SOIL, DESCRIPTION REPORT Pa PROFtM OWNER PARCEL. LO. Lot #13 GAD Depth Do Mwes TsxWle r- re Rods sed Boring #k Horizon in tau. Sz. Cont Cobr Gr. Sr. St. Sh. 3 1 4 1 r9Nw ail 2metbis tMf ca 2t .5 .6 2 10-24 1 4 Wane 2ntebk mfr f .5 Ground 3 24-44 1 4 ane 1 IUL 1t 4 44-63 7.5 r4/4 none sl r Mfr na .5 E .6 Depth b 5 63 -80 7.5 r4 4 note 19I bk i as na .4 i .5 +8 1 ; Remarks: Boring 0 4 Gourd I elev. K. 000 ID ta�eor Remarks: t3oring 0 Gmund It D"thb bang tBCtOr i Remarks: Boring 4 ; I Gmw d ObY. ft. NO b Imitkv kcbr 03 -08 -98 08:37 RECEIVED FROM:6124691475 P.04 03/08/1999 08:41 6124691475 RITCHIE BROS PAGE 05 STEEL'S SOIL SERVICE 1554 200th Ave. Gary L. Steel Leroy Urhaamer New R1chrnond, w 54017 CSTM2298 SEkSLA S14 -T 0x -Vow (715) 246-8200 MPRSW 3254 town of Somerset lot #13 -green Acre Cty. Fs. First Addn. 1 °=40 Bm.= top of mid lot survey stake 0 el. 100' (00 441 165 e e A . 41 5 - k Gary L. Steel 10- 23-96 03 - 08 - 98 08:38 RECEIVED FROM:6124691475 P -05 ©3/ ©811999 08:41 6124691475 RITCHIE BROS PA11E 02 I mo ' .a• ■re"r) M•K1.[w4 hAauh i,Yl. ►or C."t IMO' Ioao1{i• KT■AM I.wt { �• s[• �0■•• IiiA■ IIMh'fl•If iutr[ir I70 /tfrAT1011 fto ) 1 PLAT OF GREEN ACRE ESTATES t5 J .au .. i■Il.iw■ + LOT 6 , LOT T y�IPLV4IT� � I ; rY [11., rNy I 1/■'L. r ��, .��N� s � f n• ■T1.f �— I MAT[■ I' r IS OF • ia.Tw ION a Tl.f K--4 M Tit [pM 4 1 % T IO s,00 AtAM ws.n'• aM.■]' 1 LOT 13 -� _ y_rT ♦tAf, 4 ,, f T ).00 Molts I64.4f1 so_ FT. ,Y. ].0 Antis Meet. I—, } i ` �f %LQ+y Ht.— so. rt- a •'" a. N ; LOT 14 fC. 4 I M -L w see , lY+ W w 11t.>]4 f4. n, +� (7 -. 'M ` 4 . T30M, R20w LOT }1 l JI 1 I 1.00 ac[71 I ; LOT 15 : p 11 ' " ' M p. fr. Ir to ]_oo , K ■c1 In r j 1 Y a.Ml FTM[s 1.c' MiT r - 7 ' LOT r 8 - 20. . 8 _ _ '�o.00� r LOT 16 ®. m g In ( LO 17 d' ' -n At ■n tac. cs..r_ ` �.... Msf•.e-z2'[ 1� [[. Mr.e •� Izr.tee0 s0. IT. f�f./ T ;19- at■[i s•1. aP• - I [ 6.00 . T r]O. rM] fee., ♦r. � ( r -_ UG,Tl7 a. 10. •I� ' �_ f.b MCM fw T. 0 ' 11'! _ f.y ACII[) t' [. {M. r(� V C 111, eeG, 1)i N40 , L0 LOT i9 V kQ'00- , l.aM Koff OT) ,N I f_sf �C. hiT 4T i-r ) {� is � lv..■aa�� - 1P i jr ^ c�,��ar 0.00' N t !'E LOT IC] + K •• We 1 tR.00 ) -n itllti - 3O. ~I' TEMr04ARY HI f■. rT. 00' �\ 1,14 ataM N.C. a1.rr, II � L• _ fs, f CVy DE SAC .-rla. a• �' � `� � 'J0.00' CABpM@'NT 1'* so. n. 03 -08 - 98 08:36 RECEIVED FROM:6124691475 P•02 WisconAi Department of Industry SOIL AND SITE E V A L U A R T Page 1 of 3 ..Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.0 , ` � COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in si an but St. Croix not limited to vertical and horizontal reference point (BM), direction an ° f sIopA`t;L�ale or P RCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. — 1996 pending 6 ' ��� r VIEWED BY DATE APPLICANT INFORMATION- PLEASE PRINT ALL INFORMA Ifll�l >r cA�"� PROPERTY OWNER: )AOPE Leroy Urhammer 7 SE ,;1 1 / 4 ,S14 T 30 N,R 20 E (or) W PROPERTY OWNERS MAILING ADDRESS �B� D . NAME OR CSM # 1501 Scout Camp Rd. 13 Teen Acre Cty. ES. First Addn. CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ErOWN NEAREST ROAD Houlton, WI. 54082 (715)549 -6497 Somerset Hidden VAlley Cr. ] New Construction Use [x] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 g pd Recommended design loading rate • 4 bed, gpd /ft •5 trench, gpd/ft Absorption area required 375 bed, ft2 375 trench, ft Maximum design loading rate • 4 bed, gpd /ft •5 trench, gpd /ft Recommended infiltration surface elevation(s) 104.6 _ ft (as referred to site plan benchmark) Additional design / site considerations system el based on contour line of el. 103.6' Parent material glacial dirft Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem ❑! U ® S ❑ U ❑ S FK] U fl S❑ U ❑ S E U ❑ S 0 U L DESCRIPTION SOI DESC N REPORT O Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trer>ch 1 0 -10 10 r3 3 none sil 2msbk mfr cs 2f .5 .6 2 10 -20 10yr4 /4 none sicl 2msbk mfr gw if .4 .5 Ground 3 20 -41 7.5yr4/6 none sicl 2csbk mfi gw na .4 .5 elev. 10 ft. 4 41 -50 7.5 r4 4 none sl 2csbk mfr aw na .5 '.6 Depth to 5 50 -65 7.5 r4 4 none scl m I na na na n .2 limiting factor 50" Remarks: Boring # 1 0 -10 10 r3 3 none sil 2msbk mfr c1W 2f .5 .6 2 10 -26 10 r5/4 none sicl 2msbk mfr 9W if .4 1.5 .............. 3 26 -44 10yr /54 2p7.5yr5/8 sicl lcsbk mfi gw na .2 .3 Ground elev. 4 44 -60 7.5yr4/4 none sl 2mgr mvfr na na .5 .6 1 04 . 1 ft. Depth to limiting factor 44 " Remarks: CST Name: -- Please Print Gary L. Steel Phone: 715 - 246 -6200 Address: 1554 200th. Av . New Ric ong WI 54017 Signature: Date: 10 -23 -96 CST Number: m02298 - I PROPERTY OWNER L eroy Urhammer SOIL DESCRIPTION REPORT Page 2 1�f2 PARCEL I.D. ; mending !� Lot #13 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 -10 10 r2/2 none sil 2msbk mfr cs 2f .5 .6 2 10 -24 10 r4/4 none scl 2msbk mfr qw if .4 .5 Ground 3 24 -44 10 r5 4 none sl 2msbk mfr C1w if .5 .6 1 � LVg ft. 4 44 -63 7 .5yr4/4 none sl 2mgr mfr gw na .5 .6 Depth to 5 63 -80 7.5 r4/4 none sl lcsbk mf i na na .4 .5 limiting factor +80" Remarks: Boring # 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) STEELS SOIL SERVICE Gary L. Steel Leroy Urhammer 1554 200th Ave. CSTM2298 SE4SE4 S14 T30N - R20W New Richmond, WI 54017 MPRSW 3254 town of Somerset (715) 246 -6200 lot #13 -Green Acre Cty. Es. First Addn. 1 =40' BM.= top of mid lot survey stake C el. 100' d �S / G ¢Q o ,3 ' �rz "Sa 41 f law k Gary L. Steel 10 -23 -96 02/17/88 WED 10:35 FAX 715 386 4686 ST CRTs CO ZONING 0 003 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner tixyer Zot It l e o Nlailir Address a �� P h N i . 1w � e 4eel, ��� �� Ai/9, j5"G77 Proper • Address A ( i d from P l a n nin g (verification requrte m eP artment for new construction) City/; le Parcel Identification Number 3 a —2 /d a;^ Iz LEG, _ DESCRIPITON 5 F r )!' / U N -R 0 W Town of � F . 9 d E Sec. `� T 3 � So Proper t Location /, / +, �— Sub& sion L gen r P Lot # . Certi A Survey Map # , Volume Page # Wari aty Deed # q� 3 . Volume . Page # _ Spec )use 0 yes no Lot lines identifiable ❑ yes O no SYS' J U MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consi: of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can a! :t 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 hunber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on - site wastewater disposal system is in i per operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than I/3 full of sludge. Uwe, : undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set ft , herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification statir hat your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days the three year expiatl date. 2 SIGP I O AI L C NT DATE OVA E R 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 I party describ e, by virtue of a warranty deed recorded in Register of Deeds Office. al >�i9 SIGI 'l. F APPLICA DATE * * +� Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. *' I hide 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 0 VOL 600963 Document Number WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS This Deed, made between, ST. CROIX CO., WI GREEN ACRE ENTERPRISE, INC RECEIVED FOR RECORD a Wisconsin Corporation Grantor, and, TOM D. NELSON and MIMI J. NELSON 04 -09 -1999 8:00 AN HARRANTY DEED husband and wife, as survivorship marital property Grantee. REMP COPY FEE: 17 Witnesseth, That the said Grantor, for a valuable consideration of one dollar and COPT FEE 2.00 other valuable consideration conveys to Grantee the below described real estate in TRANSFER FEE: St. Croix County, State of Wisconsin. RECORDING FEE: 10.00 This is not homestead property. PAGES: 1 Together with all and singular hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, covenants, and restrictions of record, Recording Area if an as of the date of the on Name and Return Address y, original Land Contract and will warrant and defend the same. TOM D. ( ,nd TMI J. NELSON (Parcel Identification Number) 6' .R 17,9 " " f 032 - 2103 -20 )r—r1 ver 4"Ow / 4'ri fin. 07 Lot 13, Green Acre Country Estates First Addition, Township of Somerset, St. Croix County, Wisconsin. This deed is given in satisfaction of the Land Contract recorded June 18, 1998 in Volume "1333 , page 067, as document number 581285 in the Register of Deeds Office for St. Croix County, Wisconsin. Dated tPis IS day of 1997 GRE ACRE EN E RISE, INC. eroy A. Urhammer, President * Adele M. Urhammer, Secretary AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN COUNTY ST. CROIX Personally came before me this .2S day of M444k,11"he above named LEROY A. URHAMMER, President and authenticated this _ day of ADELE M. URHAMMER, Secretary to me known to be the person(s) who executed the foregoing signature ins ent and acknowledge the same. type or print name signa a LL ••• type r print name �CQ /IG ZLe �. at�lrrn TITLE: MEMBER STATE BAR OF WISCONSIN Notary Public County, (If not, My commission is permanent. �If I, state e;i(j date: authorized by §706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY 'Names of persons signing in any cagj sho�iftfe�y�d ar Robert F. Wall printed below their signatures. :�,, �� '�• (Signatures may be authenticated or acknowledged. Both are not +w oe $ } '' °••.......• •'' \U ��, necessa x►aaaaasa•+ °� y� -cc Oriu TT [ASCMENi - PARALLEL MT ' LOt LINE 100• ROAOwAT Sf TBACR LINE LatsTIN6 IFNCELINE lar l r L_ -. [ �„- • ,,,�J STORr R4rFR PONOINO FASCN[NT ITo [L[VATION aNOMNI IN FEET PLAT OF su S I __ GREEN ACRE I _ COUNTRY R AOCLL M, URNA..cR I® � I ESTATES -- - - -_ rT CAMP TRAIL I LOT (j a. 3.4082 1 . I LOT 7 ? I / p` �, °, UIVP�ATT�Q I ; / �� //' `'s• LANDS : ' VQi ?F S � 9 " �8 ...AT[R I I [L • 922.8 l N 2 • T J -Art* % 2.1 • • P 9 I I •. 18 4 . 93 %'' J � 1 t I LO •T L am•+•• O / / . •. •' .' 4007" ciiON M r "F SCV4 Or THE St-4 3.00 ACRES N89 _ to 130.723 so. FT. �� 360.3°' w as.as'• 23.4. La LOT 13 7.00 ACRES •64.139 . IT, 30. IT, 130.724 S0 .: fl! • -� �' '.\� ° \ ` 4 3.34 ACRE \ ES S. FLS,. i., • s 2.�ti /Q 4 3 q ^ us.sa s°. sT `SEC I i °F LOT 9 ^ � I O1 •3.q. ?p � �/ I n sa • >,. ..� l LOT 22 .. 11�' -- �. \ PSI m 3.00 ACRES W I 1 3C.724 SC. r. A'•t� \\ 16 EL • 1 14. 730N. R I r9 '•. 9zT.T p..p'• - 20W � - - '�� i?� 3 . t °• , !,. 1 \� ' LOT 2 l JI 1 I I ` I I I O 3.00 ACRES I ID 1 P1 • - 1 d� 1 30.723 S7. IT, i ;r' i LOT 151-- OJ 2 3 Ir - In 3.00 ACRES 1 5 7• - 30.721 So. FT ` � O4• 3.f 57 6 . 18'SB • w • / 2.91 ACRES EIC. ESMr. / 122.614 30• IT. WI / -i / Q/ I� •a a 50.00' � Q/ '•�. •. Nom_ �1 JJ •'�• / 37 1• � LOT 20 - �� g 2 3.00 A: 0 c I ® ; FES • / • � -- ® p w C N � m / NT6.18'58'E 50.00 LOT ' 16 e� J p. 3.00 ACRE /- J ^ 3.00 ' � 'pp • J * 130;72• 30. tT, ®' ° N N99. 40. 22'[ 11 rJ. P 130, 72KRE3. '�. 34I.4C' I� I LO 17- 947.0 �' 2.r! ACRES [&C. SSW. /CL• • 3.r. ti, () ` 121.440 30. IT. 939.7 P '�' 1r 30.123 SO.tT.I J C 2.43 KFf3 faC. VS.?. L. -_.. 113, 4C3 SO. rT. 4 ' IT ; .2 2 ACRES ERC. ESMT 1\ 113 .lN ` « c LOT,23 19 \j3 N4 * 05 W O LOT '' ' 3.00 ACRES 13 i N ' w 1 30.723 S0. rT. •O. =7 9 ACRE S C.C. E3.MT. B 9 \ 195.94 wTt• �° ° - LOT 18 _.. N89_ y8''q��E R � 66.00' 3.423. ACRES f- 50.00' I 14 1.4.1 50. IT, C TEMPOR I 11 N00I 1112•W AR 1 3. C 14 CUL•OE -SAC ACRES C.C. [srr. - s t�'AG 50.00' EASEMENT 3!.999 so. FT. 4o1,9a L / S89.48'48•W s29.lI .. _4444 _ 1407.01'