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HomeMy WebLinkAbout231-1047-70-011 Parcel #: 231 - 1047 -70 -070 11/04/2005 10:51 AM PAGE 1 OF 1 Alt. Parcel #: 27.30.15154 -0 231 - CITY OF GLENWOOD CITY Current _X; ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 0 Address: _ Owner(s): O = Current Owner, C = Current Co-owner O - WITTMER, KERRY K & JAIME L C3105 RY K & JAIME L WITTMER 307TH AVE ON WI 54027 Icts: - School SP =Special Property Address(es): = Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 4.940 Plat: 3051 -CSM 11/3051 SE - 7 R1 SE BEING Block/Condo Bldg: LOT 15 T 15 CSM 11/3051 4.94AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 27- 30N -15W SW SE Notes: Parcel History: 08/15/05 2813/628 DOES NOT REFLECT THE Date Doc # Vol /Page Type TRUST. CONTACTED KRISTY O; (KATHY WITH 08131/2005 805097 2878/649 WD THE INFO)SMC 06/02/2005 796524 2813/628 WD 01/13/1999 595615 1395/182 WD 09/30/1998 588082 1361/323 WD 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/21/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.940 39,500 0 39,500 NO Totals for 2005: General Property 4.940 39,500 0 39,500 Woodland 0.000 0 0 Totals for 2004: General Property 4.940 10,000 0 10,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 231 - 1047 -70 -050 11/04/2005 10:47 AM PAGE 1 OF 1 Alt. Parcel M 27.30.15.754K 231 - CITY OF GLENWOOD CITY Current XJ 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 LAWERENCE &BARBARA TR MASTELLA O - MASTELLA, LAWERENCE & BARBARA TR 482 CARRIAGE LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 18.270 Plat: 3050 -CSM 11/3050 SEC 27 T30N R15W PT SW SE BEING LOT 11 Block/Condo Bldg: LOT 11 CSM 11/3050 18.27AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 27- 30N -15W SW SE Notes: Parcel History: Date Doc # Vol /Page Type 09/09/2004 773836 2652/312 WD 01/13/1999 595615 1395/182 WD 09/30/1998 588082 1361/323 WD 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last hanged: 09/21/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 18.270 74,800 0 74,800 NO Totals for 2005: General Property 18.270 74,800 0 74,800 Woodland 0.000 0 0 Totals for 2004: General Property 18.270 18,300 0 18,300 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 #: 231 - 1047-70 -055 11(04(2005 10:51 AM PAGE 1 OF 1 Alt. Parcel #: 27.30.15.754L 231 - CITY OF GLENWOOD CITY Current X'I 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 LAWERENCE &BARBARA TR MASTELLA O - MASTELLA, LAWERENCE & BARBARA TR 482 CARRIAGE LA HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): • = Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 7.350 Plat: 3050 -CSM 11/3050 SEC 27 T30N R1 5W PT NW SE & SW SE BEING Block/Condo Bldg: LOT 12 LOT 12 CSM 11/3050 7.35AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 27- 30N -15W NW SE Notes: Parcel History: Date Doc # Vol /Page Type 09/09/2004 773836 2652/312 WD 01/13/1999 595615 1395/182 WD 09/30/1998 588082 1361/323 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/21/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 7.350 42,100 0 42,100 NO Totals for 2005: General Property 7.350 42,100 0 42,100 Woodland 0.000 0 0 Totals for 2004: General Property 7.350 7,400 0 7,400 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 i Parcel #: 231 - 1047 -70 -060 11/04/2005 10:51 AM Ili PAGE 1 OF 1 Alt. Parcel #: 27.30.15.754M 231 - CITY OF GLENWOOD CITY 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 LAWERENCE &BARBARA TR MASTELLA O - MASTELLA, LAWERENCE & BARBARA TR 482 CARRIAGE LA HUDSON WI 54016 •- Districts: SC = School SP = Special Property Address(es): - Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 4.020 Plat: 3050 -CSM 11/3050 SEC 27 T30N R15W PT NW SE & SW SE BEING Block/Condo Bldg: LOT 13 LOT 13 CSM 11/3050 4.02AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 27- 30N -15W NW SE Notes: Parcel History: Date Doc # Vol /Page Type 09/09/2004 773836 2652/312 WD 01/1311999 595615 1395/182 WD 09/30/1998 588082 1361/323 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 09/21/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.020 32,200 0 32,200 NO Totals for 2005: General Property 4.020 32,200 0 32,200 Woodland 0.000 0 0 Totals for 2004: General Property 4.020 4,000 0 4,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 it Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No -: IX Personal information you provice may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 338991 Per r HSg1dE.,rdx. LAWRENCE C] CitGLENWOOD Town of: State Plan ID No.: CST BM Elev - -- LA Insp. BM Elev.: BM Description: Parcel Tax No.: 231 - 1047 -70 -011 A9900201 - TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Aeration Bldg. Sewer Holding St /Ht Inlet TANK SETBACK INFORMATION Stlll Ou TANK TO P/L WELL BLDG. to AirI ntake ROAD D Inl ir Septic D Bot om Dosing Header/ Man. Aeration Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATI Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction 1 System TDH Ft Forcemain Length Dia. Fi Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type O Mo el Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia Length Dia. Spacing 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: CITY OF GLENWOOD 27.30.15,SW,SE 510 HILL CREST COUIU-- 1 14HK � l Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. Safety and Buildings Division 201 W. Washington Avenue Vi scons i n SANITARY PERMIT APPLICATION P O Box 7302 Department of Commerce 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 1/ x1 ' G ' than 8 2 1 inches m size. .� TC ro rW - • See reverse side for instructions for completing this application State Sanitary Permit Number 33 Personal information you provide may be used for secondary purposes [I Check it revision to previous a Iication J � [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLI ATION INFORMATION - PLEASE PRINT ALL INFORMATIOON ZZ(p 1 (� Property Owner Name Property Location 1 4)14 MP, 114, S�7 T.7 • N R / (or)dp/l Property Owner's Mailing Address Lot umber Block Number City, State '2ip Code Phone Number bdivisi ame CSM um 11. TYPE OF BUILDING: (check one) E] State Owned It Ne st Road Public 1 or 2 Family Dwelling - No. of bedrooms i ow F o rid oe d Ct ,' f/'s { 0 III. BUILDING USE (If building type is public, check all that apply) Parcel Tart Numbers) J_ IQs / O( 3 ,2 31 Id�17 -7D- al/ K ,?3 1 ❑ Apartment/ Condo I ait -' mq - M "O /a - ,- 2J / , 9 7- 74 - Ol 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 10 New 2 ❑ Replacement 3. ❑ Replacement of 4_ ❑ 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 [gMound 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. ABSORPTI 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/day /sq. ft,) (Min_/inch) P7 y 'y Elevation <If16 , 1 -14 1 1 - 1 - Feet 9d' 4 " 4 Feet Capacit VII. TANK in Ca gallons Total # of Steel site INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- glass Plastic Appr. New Existing str utted Tanks I Tanks Septic Tank 2t �( VO ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Sip �r1lj' 5 Y ❑ I ❑ I ❑ 1 ❑ ❑ NSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signatu ( o Stamps MPRSW No.: Business Phone Number: 1 7 1.0 Z/ Plumber's Address (Street, City, State, Zip Code): _ IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing Agent Signature (No Stamps) Approved ❑ Owner Given Initial 3z5 - Surcharge Fee) / �� /�, 79 Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 Visconsin TDD #: (608) 264 -8777 www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary May 17, 1999 CUST ID No.267341 ATTN.- POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 05/17/2001 Identification Numbers Transaction ID No. 226161 Site ID No. 172561 SITE: Please refer to both identification numbers, Site ID: 172561 above, in all correspondence with the agency. ST CROIX County, Town of GLENWOOD SW1 /4, SETA, S27, T30N, R15W Facility: LAWRENCE MASTELLA FOR: Description: MOUND SYSTEM FOR LAWRENCE MASTELLA Object Type: POWT System Regulated Object ID No.: 468658 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 05/11/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 KEI A WILKINSON , POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (715) 524 -3630, FAX: (715) 524-3633, M -F 7 AM - 3:45 PM KWILKINSON @COMMERCE.STATE.WI.US WSMART code: 7633 I 1 Page of 6 c.� MOUND SYSTEM ` FOR �. A BEDROOM RESIDENCE Od LOCATED IN THE 5 W 1/4 OF THE S E 1/4 OF SECTION T 31 Z' N, R W, TQNN OF C-'- Ou X COUNTY, WISCONSIN. INDEX PAGE 1 •of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW ;CROSS SECTION;oF N%ba0D PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER LP-t, 5rac--roA 4 6 S?Ecs. PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR L ►' lz�yQ COP_ 63y1 Tr�HuE pL�c.E PREPARED BY WEGE�ER SC7 = L .TEST = NG AND. DES = Ghi S1ERV = CE © �a� , ®S F.O. BUI 74 421 K. tIAIK ST. e�M'"""»• Z ip P.0 T.S- RIVE? FALLS. V1 54022 � ��.r' Co�tditionall 91 y 715 - 42`, -0165 a�,RL W E'_i" R OVED � D5 P WIS. DEPARTMENT OF COMMERCE NGS .® b ��...•..� DI`JIS�ONDF SAY AN FETD I G 1 4 ESPONDENCE eel °Boom EE CORR Z Zee JOB NO. aq -59 PLOT PLAN • Page Z of � Scale Lj B b \7-M y0' OF L4 PVC / M Ih., • �L C:0 v CSR Z2S OF / Z` F.Yy, r ,'L� �. 1 p Lo T \ S CTS / S� / ao NAT °�r-� PST o�Z O � S 12$ TLtis ►�i A Qu t�jy„i OF hZ�vCN q 90 ' + - AM VL, VI r'M w `S. PCB L O h @Y LqW tz%-J c g 1+�rt Sl'LS2 Lf� -- w T � 1 -L 1D LAST so' Fizom muvNu riT L T 2-S' F1Z4 tt '9 T JkZ, NOTES 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( 2. required) 3. Install 4" observation pipes with approved caps. ( z. required) 4. Septic tank to be\ l£wo gallon capacity manufactured by 5. Bench Marks gt - aZEUt Loo.o'ov l R OF gTkG, fur V: G3r Z3r�4+Z - Elt, uu 96.7 k It 6. Divert surface water around mound to prevent ponding at the uphill side. I, Page 3 Of 6 Approved Synthetic Covering F1sTM c 33 Distribution Pipe Medium Sand H Topsoil �G. -J F Elev. 3 E 'I D b 3 )1Z % Slope Force Main Plowed Trench of -2"-2-2" From Pump Layer Aggregate Undisturbed D o Ft. Soil E Ft. Cross Section Of A Mound System Using F o•8 Ft. 1 Trench For The Absorption Area G Ft. A S Ft. H i• S Ft. B loo Ft. I \S Ft. Linear Loading Rate= GPD /LN FT J 8 Ft. Design Loading Rate = O 3 GPD /SQ FT K 1 Ft. L \zZ Ft. —�_ W Z8 Ft. L Force B — K _ Main I r A - -- -- - - -- — W Distribution \, Trench Of 2~ - 2 2 Pipe Aggregate Permanent Markers Observation Markers Pipes (Anchor securely) F Mound Using I Trench For Absorption Area Pa Of 6 Perforated Pipe Detail 0 End View ) Perforated End Cop) PVC Pipe Install permanent at end of each lateral Holes Located On Bottom, Are Equally Spaced Q End Cap P ft * PVC Force Main Distribution Pipe Lost Hole Should a Next To End Cop Distribution Pipe Loyout P 1 4 q Ft. X q Inches Y 'A'7 Inches Hole Diameter 1 !y Inch Lateral Inches) Force Main " 2 Inches # of holes /pipe �3 Invert Elevation of Laterals °1 Ft. 13x \.1�= 1 S.ztXZ; 3o•�Z Gc�y Place lst hole Z 3 �� zfrom tee with succeeding holes at 47 intervals. Last hole to be next to the end cap. Combination Sep> -1 Tank and PUMP CHA_M81`R CRO55 SECTION AND SPECIFICATIONS' PAGE S OF -VEWT CAP WE PROOF JUIJCTIOM BOX 4'C.I. VENT PIPC APPROVED LOCKIIJG • 10' FROM DOOR, MANHOLE COVER wrM -diuOOW OR FRESH wAR1V11J6 L.f46EL.. AL R 1IJTAKE S ca -+Dulr r f fj i - �. 8`1 t 16 "MIN. +CaRA - I —I L I' 7 1J- •Mlu. y PIPS PROVIDE I - - - -- I/JLET AIRTIGHT SEAL I I(I agFF`�S I I ( APPROVED JOIIJT: APPROVED JOIMT A w C.I. PIPE I III W /C.I. PtPE�p'� / Tank construction I II ALARM shall comply with I II ILHR 133.15 and 83.20 e I I I ON C I ..sg I LLC1l FT. PUMP -� - -� y OFF D COUCRETE X9.00 BLOCK L J 3" APPRd RISER EXIT PERMITTED OIJLS IF TAWK MAIJUFACTURICR HA5 SUCH APPROVAL BEDDING SEPTIC f 5PECIFICATI Oki S DOSE � QUMbER OF DOSES: 3 '��' PER DAB TAU►C MA UUFACTURER: TAWK SIZE: 1 1 9UO GALLONS DOSE VOLUME I ALARM MAUUFACTURER: S.S. IAICLUDIIJG 6ACKrloW: Z "j r j'S GALLONS MODEL NUMBER' LOl Mw CAPACITIES: A= 19 I"CHCSOK LI00.0 GALLOIJS SWITCH T:JpC: CI,R `f B= Z IIJCHES OR u G( LLOUS PUMP t'%AWUFACTURCR: GaU < S Cr WCHES OR zI �' S GA LLOIJ S MODEL MUMBEFU 3 371 SOS D. -7 INCHES OR tl« GALLOMS SWITCH TYPE: W1 LIZ CuwLf MOTE: PUMP AND ALARM AR O TO 6E MIUtMUM DISCHARGE RATE lo',VZ. GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEII PUMP Off AIJO.DISTRIBUTIOU 18.3 PIPE.. FEET + MII.IIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . 2'50 FLET + Z2S FEET OF FORCE MAIN X l $� FYo►r.FKICT10" FACTOR -- Z1 FEET . _ . TOTAL OtIIJAMIG HEAD = ZS- 13-7 FEET DIAMETER Pump chamber 3g IIJTERAIAL DIMLIJSIOIJ� OF TAWK: LEAIGTH ;WIDTH — ;LIQUID DEPTH BOTTOM AREA - 231 = GAL /INCH AS PER MANUFACTURER = ZI.OS GAL /INCH would. Suhiiiersible Effluent Puy f 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas- • Homes components. Available for automatic and tic cover with integral handle • Farms Motor: manual operation. Automatic and float switch attachment • EPO4 Single phase: 0.4 HP, points. • Heavy duty sump 115 or 230 V, 60 Hz, models include Mechanical • Water transfer Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant. automatic reset. ■ Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, construction. Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- Solids handling capability: automatic reset. plastic Semi -open design 3 /4" maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, SJTO mechanical seal protection. SP Canadian standards Association • Total heads: up to 24 feet. with three prong grounding _ ■ EP05 impeller: Thermo- • Discharge size: 1 1 /2" NPT. plug. Optional 20 foot (CSA listed model numbers length, SJTW with end in "F" or "AC " plastic enclosed design for . • Mechanical seal: carbon- g improved performance. ) rotary/ceramic- stationary, three prong grounding plug BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET ___— __ —___ — stainless steel. 10 ! • Capable of running dry without damage to 9 30 __.___ ___ __ _ _ _ - -- _ -_- i - — 5GPM components. a Pump: EP05 8- X2.5 Fr • Solids handling capability: 0 251— is<d 3 /4 " maximum. w • Capacities: up to 60 GPM. •Total heads: up to 31 feet. 6 20 - - -- — - -- - - -- • Discharge size: 1'/2" NPT. z 5 • Mechanical seal: carbon-0 15 '— ____--- _._---- _ -__ - -- rotary/ceramic- stationary, _j 4 EP05 BUNA -N elastomers. o • Temperature: 3 1 o i ---- - - - - -- - > - -- - - - - - -- - -- - -- - y 104 0 F ( 40 °C ) continuous 140 °F (60 °C) intermittent. 2 i EPO4 - { j -- `_ 0 00 10 20 30 40 50 GPM L ' 0 2 4 6 S 10 12 ml/h CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 1995 Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page _I of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please p " bpo ion. i ed Date �_ ;. ��- Personal information you provide may be used for se e�y�Q� c d�Qb+ ores (Plt�w, 15.04 (1) (m)). C �1� Property Owner` .,:' �. %'; „ Property Location 4 '1 re / 'Y,' ovt. Lot $Gtr 1/4 _5r 1 /4,S o17 T3 0 N /S E (or)6 ` ` Property Owner's Mailing Address' + t # Block# Subd. Name or CSM# • f f , f3c? City State Zip C t�, Pho r (X City El Village ❑ Town Nearest Road New Construction Use: ❑ Residentia m4, df eeraoms _! V — ' Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow ��d gpd Recommended design loading rate 1 .5 ' bed, gpd /ft trench, gpd /11 Absorption area required d bed, ft ��cS trench, ft Maximum design loading rate f-� bed, gpd1ft gpd /ft Recommended infiltration surface elevation(s) J,,YEf J/ ft (as referred to site plan benchmark) Additional design /site considerations Parent material 45,4 a- c 7 `a-4 Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S ®U X S El ❑ S Emu ❑ S Z U ❑ S /l U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ............: Ground Q elev. F ! . ve .265 6 C S �l Depth to limiting factor Remarks: Boring # > Ground elev. Depth to limiting factor 47 ,, in. Remarks: CST Name (Please Print) Signature Telephone No. Address Date CST Number 1d 7 D PROPERTY OWNER 1- awre e e �Nasr'�d SOIL DESCRIPTION REPORT Page __�2 of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench - A f YN 3.�' l a' l� �'• h2 - .21 , /0 r�iw C 5 Ground 3 .75 75 elev. y �� Depth to , limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. Bed Trench Boring # ........................... ........................... ........................... .......................... ........................... ......................... Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft ' Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) .. &zv r e A e e as7'e /1 sc p9 _ Ol 3 r • � F s, t o ' tl h��rasY1 X !Y �/.N� �afD a�"STe,e/ �io7' pQsT 86,9 no r r � � �• 2 � p 1 8.4 PA% 8 m 1 5Sj Ao7'� k J 7G 3 TQ 'a"Id i C DYJ/e li Wi sconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor tnd Human Relations r Division of Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY r` Attach complete site plan on paper not less than 81/2 x 11 inches in siz P1a�,rntist include but not limited to vertical and horizontal reference point (BM), direction an�J °ibo 'slope, sole or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest roa t: EN � Z3 S - 10 y1 - 1 0 - 0 SS ... i 111.x, INFORMATION- PLEASE PRINT ALL INFOR A7 N APPLICANT 70 - i IEWED BY DATE /7 k4" , PROPERTY OWNER: X41 P d `� ft5 LPcI�)Tt�CE if�/�Jp I3E'S1Zl3fl'RA W1V�S'�1 0, -6911 t/4.. 1 /4,S T 30 N,R 15 E(or W PROPERTY OWNER':S MAILING ADDRESS LCYIC I QWW I SUBD AME OR CSM # �[ 1 - Frv" E art ; `a,Z - M \ *? ad-s0 CITY, STATE ZIP CODE PHONE NUMBER I T ILLAGE,, OWN NEAREST ROAD - 1 3 s _ b t i �o� e �2wr cz.utfi� K Construction Use Residential / Number of bedrooms y (] AdditiQn to existing building j ] Replacement [ J Public or commercial describe Code derived daily flow b41� _ gpd Recommended design loading rate _ bed, gpd/ft - trench, gpd/ft Absorption area required SDO bed, ft2 Soo trench, ft Maximum design loading rate , 4 bed, gpd /ft - 5 trench, gpd/ft Recommended infiltration surface elevation(s) 3 S It (as referred to site plan benchmark) Additional design 1 site considerations b✓tDVU� W�$ X 63 ' BQ> . M uvt X1UX4 t Z " O.F- sffi� (� i-rrX 63 B� • M t�vt X1Ux4 V Z oF- Sft� r i- . Parent material LSy� - PL-L- Flood plain elevation, if applicable M Al ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S .® U ® S ❑ U EIS EI U ❑ S IO U ❑ S IR U cis RI U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxfaly Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tmnch to`'I TL sbk yn Ts — 7 7 ' Z g ZZ �0`-1�316 s 3 s bk w�`Fti^ GS .S -� Ground 3 zz 1 Opt lZ X16 - s i 1 1 csbK wL'F►- eS - z- . elev. l . S 1 1 P-S/ r6 1 -3 ft . -)•SL1lZ3[y et ro�-ta erz stC1 ow, Depth to limiting factor ✓ Remarks: Boring # - S 0 k o \"r, 3 13 _ s i ` Z-� Is b 1ti'I CS • toy w\4 -t�Z s�Y - sl c� Z�'sb�t Ynff- eS � R 6 19 } Ps �I `• Ground _S - S4CL(I/ s1 -,.SHR sag s 1 o Vhb`�t- - �� •� elev. , e[7 it Depth to limiting f Remarks: TName:- Please Print Arthur L. We erer Phone. 715 - 425 -0165 ress: egerer Soil_jesting & Design Service -P.Q: Box 74 River Fa11s,WI 549;22 Signature: Date: - : z _ -Z �, c� - CST Number 2202 + PROPERTYOWNER l- )NRTfU-fl SOIL DESCRIPTION REPORT Page _'Z' of 3 PARCEL t.D. # Oq'7 -10 - D SS Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 3 0 - lo`-t�Z — ' wr`F�- .......... Vh`'" Z q -k5 tO��Z 3!� s► 1 2`Rs� Ground 3 1S Z1 S�rfZ�lY - sic) Zv►1S�� tin`��- cS U , S elev. lbti �Z Gl I C ` -S\riz SN Sl C)w, Depth to limiting factor I I Remarks: Boring # i Ground elev. ft. Depth to limiting factor Remarks: Boring # ?}i Ground elev. ft. I Depth to limiting i factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: _ PL P LAN Page 3 of 3 SCALE 1 "= y o ' WT �3 T �i � 81'1 * Z • 'Q vo k 3 a.� �3 olfip r-t OF is � 3 \ � N � i c. Oval � frtT Lit 103. S' i o�Z 'D\3?ut-a� i s H-iZ�R \ L.oC4iC1M► ��' \ �N \ \ \ e1-ala 6 1 r~ GKR - NM it1 - (?3-_t00.0' usi $ `lr�IGN 3f�/` 1'1 R. \Z� ��2, w / V X11 U--Pc3T So' PSum i 9q- Z 715 ) 425 -0 169 14 00576 CST Signature Date Signed Telephone No. CST # ST (.ROIX COUNTY SEPTIC TANK MAINTENANCE AGRf-EMENT AND OWNER:SkI.IP. CERTIFICATION FORM, Mailing Address ._ 6 3-i�7_ _0 e__1sc Property .Address _ -S /D c (Verification required from Planning Department or new construction) City /State �._ Parcel Identification Number /. 9 7- 7o..GY% /aV7 0 —pi., LEGAL 1')E SCRI _P TION � 7 — Zw 3 �W f ; 7 741 Property Location SW ''V4, S /4F ', Sec. I , 'C — ?Q-N -R. / NV o wooer _ wM � Subdivision _��.M,_ LotS# Zzy Certified Survey Niap # � 0 2 Volume _ /L , Fage # Warranty Deed P . Volume 3 9 � , Page - 9 Spec house 0 yes to Lot tines identifiable 0 yes ❑ no SYSTE MAI s y s tem could result in its premature failure to handle wastes. Proper ma�intellance Improper use and maintenance of your sep p ' 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 Lbe function of the septic tank as a treatalerlt Stage in the waste disposal sy ste.rn. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by tltc owner and lay a rtaasterpltunber, journeyman plumber, restricted plumber or a hcem ;ed 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 slttcige.. I we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set fortis, herein, as set by the Department of Commerce and the Department of Nawral Resources, State of Wisconsin, Certification stating hat your septic system has been maintained must be com.pletcd and retumed to the St. Croix County Zoning Office within 30 days Cite three year expir3t' n _ IG ATUR.E OF APPLICANT 0NVNE CERT IFl{;'ATI IN I (we) certify that all statements on this form are true to the best of my (t -)u.r) knowledge. 1 (we) ant (are) the o« - net(s) of thSeoperty described abo e, b in of a % arranty deed recorded in Register of Dceds Office. PO - - - L-1J' g SIGNATURE OF APPLICANT DATE -o w *'" ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. " Include with this application: a staniped warranty deed from the Register of Deeds office a copy of the certified survey neap if reference is made in the warranty deed --------------------------------------------------------------------------------------- - - - - -- - - 04 {2011999 18:22 3517356111 8 MASTELLA PAGE 02 �y STATE BAR OF WISCONSIN FORM 2 — 1982 I� 59361 !* WARRANTY �3�5 DEED II KATHLEEN H. WALSH ` REGISTER OF DEEDS DOCUMENT NO. VOL ST. CROIX CO., WI _ , _... > ._.. __.......... ,...,..,,. RECEIVED FOR RECORD Secluded Land Company, LLC; a Wisconsin Limited I 01 -13 -1999 9 :30 AN Liability Company, I NARMY DEED E10�T N l CERT CM FEE: conveys and waaams w Lawrence E. Mastclla and Barbara A, II � C"I FE . FEET 179.70 Mastella. Husband AUd !fife as Joint Tenants ! K INS FEE: 12.00 (MN Residents) Ii I� II !I THIS SPACE RESERVED FOR REcORDNG DATA I I NAME AND RETURN ADDRE66 the following described real estate In St. Croix County, J.W. Smith State of Wisconsin: Secluded Land Company, LLC P.O. box 10 i DeSoto, WI 54624 f * See Below it PARCEL IDENTIFICATION NUMBER II r * 231- 1047 -70 -011 231 - 1047 -70 -012 !I 231- 1047 -70 -013 I! 231 - 1047 -70 -015 I I i See attached sheet for legal description. i i I I This is not homesteadpropeny. This is non — marital property for James W. Smith. (la) (Is cwt) pp xee «on t wean tea: MunicipaQ an3 zon ng ordinances, and recorded sasement(s). Recorded building and use restricions and covenants, general taxes levied in the �I year of closing, and any liens and encumbrances created by the grantee. 1 this 30th day of November A.D..19lL_. Seel d Land Comp y, L , by: si 1� II (SEAL) (SE L) I� � 5 + James W. Smith, Managing Member ii ii (SEAU (SEAL) II • , II II AUTHENTICATION ACKNOWLEDGMENT I ,) Signature(s) James W. Smith State of Wisconsin, h I ss. I — County. Y I I authenticated day of 19-11- Personally came before me this day of 19_.,,_,, the above named I J n P. Ebben fl "I'LE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by 9706.06, Wis. Sets,) to me known to be the person who executed the foregoing II instrument and acknowledge the same. i THIS INSTRUMENT WAS DRAFTED BY II John P. Ebben, Attorney i Notary Public, I' ry County, Wis. Ij (Signatures may be authenticated or acknowledged. Both are not My commission is Permanent, (If not, stale expiration date nrccssary.) o I 1 • Nomrx tat Mrrwn,waein In any r.PJIY should by .yped tar P11-4 brlow Iho, %SmN ru. l WAaaANTV nrrn (B) GLWD I I , 12,13 b 15 are STATE IIAR OF WIS( ^ONSIN • Wbcp,yi, UDM ernk i 64/08/1999 17:34 3517356111 B MASTELLA PAGE 01 Stock No. M13 � Ac ldr 6 - ; �r /o �.�t 4t 6-1,�•.r t" � • xRwl r CERTIFIED SURVEY MAP NO. 3 050 � VOLUME II , PAGE 3050 w .. N PART OF THE SOUTHEAST 1 /4, OF SEC'T'ION 27 TOWNSHIP 30 NORTH. MANGE 15 WEST. CITY O GLENWOOD CITY, ST. CROIX COUNTY, WISCONSIN N A .�j► SCON : SME:1 " -300' * a XD i , i (» ow s IMO NI = OWNER: MHN OMOE, / N WI l 107 P AY-"w 0 E P-CAM 610 N 6A111 6glst �.; DRA�TED BY ommo IL CLAW LOT \ i C I \ \ 6.. 173„296 SO. FT, �qT� (4A2 #ACRES) LEST` \ \ Fb r b o3ACRES) :x LOT 12 W I / 3 e%34 a RES I / 304.033 S O. FT. L OT • 14 (6.591ACRES) LESS R \W 3o 327,9421 SR FT. (7.93*ACRES) ` 9 1 306,746 So. FT. \ 8 (7.04*ACREq) LESS R\ X11 �, � ''Q�. • a� �I LOT 11 795649 SO. FT. a1 (16271ACRES) J1 o LEGEND wi I 704.680 30. FT. 1 0 � C~ 1 1 (16401ACRES) LESS R \W ! WI I3 AS 1 JI I MCI 6 N 190! 115. �I 1 I sT -il Is PO WQAL Foot: S 1174!'46 V �r j �— 7 v 1orR� 11W v l nes SWlll 114 COM91t N 6elswa• V e6UZ4' • —• SCC27, t311Y n1sw SOUIIIEASr cowit S1, cauls cu.14M UNPLATTED LANDS s t2w 1113 St. clmlx CO, ma CURVE DATA TABLE CURVE LOT RADIUS ARC CENTRAL WORD CHORD BACK FORE NO. NO. LENGTH LENGTH ANGLE BEARING LENGTH TANGENT TANGENT 1 -2 664.BO' 560.19' so oo'Oo' N.e�•a7'e4•E. 561.91' H.00'07'84'E. N.30'07 11 664.60' 444,07' 3Y N,19 436.66' N.QO N.36 :43.44'E. If! 664.60' 136.00' 11 N.44.13 130.94' N.39•e3'44'E. N.3097'E4'E. cemn con►YlM ► raw 5W ",SON AVENUg A1eA•OINOIWE nds�7ll (716)4JS•e011 PAOL' j l