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HomeMy WebLinkAbout030-2090-20-000 C R E ST. CROIX COUNTY ZONING DEPARTM AS BUILT SANITARY REPORT Owner j�EU1 n /_C��} uS - ZZA I Address ,'LC S City /Stat j/ou ra nr (1 �S �'� 82 Ou � Lot (o Blook • N& Subdivision/CSM # %41? /.7O A ,All `a- S' '/4 A %a ,SF, Sec. g&, T3 0 N -RAW, Town of .57 , W PIN # 0,30 ,Z0 %Q -� O SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION Tank manufacturer / / >f= Ek'S Size ST/PC 700o/ fay Setback from: House Well P/L Pump manufacturer Zo c`u - E/1 Model 96 Alarm; location ( DING TANKS ONLY) Setbacks: Service ro ent to fresh air in Meter location a on SOIL ABSORPTION SYSTEM Type of system: _ '70&Ato Width _ 3 Length 4. 3 Number of Trenches Setback from: House S ,, 'Well P/L /S Vent to fresh air intake C0 4 ELEVATIONS Description of benchmark / A11- /,e Elevation Ma-6 Description of alternate benchmark A/ C 2F4 4Q z, - 3 Ti 41W1 s Elevation _9 = �3 I Building Sewer ST/HT Inlet ZZ, 0'/ ST Outlet O, 8 PC Inlet D. PC Bottom F7 3 Header/Manifold 7,5�,5 Top of ST/PC Manhole Cover Distribution Lines ( () �".�O (ms Bottom of System FYI Final Grade (�) f 7� l / (j) Date of installation flZ21 ,fPermit number 3 /,5 State plan number .3 9 Plumber's si ature � - Licensenumber 2 2/ ?y / Date /009/Q.,�- Inspector Complete plot plan Wisconsin Department o f Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No - : Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 315886 Permit Holder's Name: ❑ City ❑ Village Town of: State Plan ID No.: GAUSMAN, KEVIN ST. JOSEPH CST BM Elev.: Insp. BM Elev : BM Description: Parcel Tax No.: 1 �� I ds S P ; le- /L�. S 1� v+- TANK INFORMATION ELEVATION DATA A9800274 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. : BenchX, i ,, 3 1 °3. 6 6 �i (0 Dosin �C�� fio> !S 7� 4 75.07 Aeration Bldg. Se / _ e 7 , 1 -, F 3 Holding t Inlet TANK SETBACK INFORMATION St Outlet 9. (� ��, TANK TO P/ L WELL BLDG. vent to ROAD Dt Inlet `1.7S �Q. $ Air Intake Se 77 U�4 20� r�.` NA Dt Bottom (3.Z 3S osi �1 ' / Z$ Z8 NA Header/ Man. > 15 S8' Aeration NA Dist. Pipe 9 5- Holdin Bot. System (, •b PUMP/ SIPHON INFORMATION Final Grade Manufacturer �c�� �� Demand Model Number 'r7APM TDH Lift-6.2 Lriction��p�, Systemz TDH II..IVF (�-� em J S C� /O p�f �f s ,C> Forcemain Length 55 1 Dia. 01 X Dist. To Well SOIL ABSORPTION SYSTEM DIM I N Width Length ) o No. Of�nches PIT No. Of Pits Inside Dia. Liquid D pth DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM STREAM LEA ING Manu acturer: INFORMATION Typeo _ CHA R Mo a Num er: SystemJ74 �� �� '4� OR UNIT DISTRIBUTION SYSTEM Header / Mani old " Distribution Pipe(s) r x Hole Size x Hole Spacing Vent To Air Intake Length 15 Dia. Length A e Dia. �L Spacing 5 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 t2, Topsoil & KYes ❑ No Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc. / - 3• G$ q g LOCATION: ST. JOSEPH 24.30.20,NE,SE 290 ARBOR PI &S DRIVE �g W�rc p ie ���' � e �JS o El _ `'jcwc> ►� w i 5 / nG I v Plan revision required ❑ Yes M No Use other side for additional information. SBD -6710 (R.3/97) Date Inspecto ' Signature Ce o- �o Vi sconsin Safety and Buildings Division SANITARY PERMIT APPLICATION 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Department of Commerce Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 1/2 x 11 inches in size. l X • See reverse side for instructions for completing this application State Sanitary� Num err The information you provide may be used by other government agency programs E] Check it revi�efG tb vious application [Privacy Law, s. 15.04 (1) (m)]. A A bor State Plan I.D. u� er I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Owner Name Property Location / 'S i/4 sg-114,5 T 30 , N, R;jp E (o Property Owner's Mailing Address lot Number Block Number Cit / y, State Zip Code Phone Number Subdivision Name or CSM Number Q 9 (t ) 77.0 - 2'GL II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Cit Nearest Road ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms 3 Town OF 02 Gc /J III. BUILDING USE: (If building type is public, check all that apply) Parcel 030� a 09 ao- Number(s) aAl. 30. a �/ ^. ?- o -- 1 ❑ Apartment/ Condo O �� 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. ;C New 2 ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an ______System -------- ------------- Only ___ ____ - - _ - _ Existing System _- - - - - -- Existing - --- -- -- 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 XMound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22FD 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/day /sq. ft.) (Min. /inch) Elevation . 8 Feet O Feet Capacit VII. TANK in Ca gallon Total # Of Prefab. Site Fiber- Plastic Exper. INFORMATION Gallons Tanks Manufacturer s Name Concrete Con- Steel glass App. New Existing structed Tanks Tanks Septic o di an Q( E f ❑ ❑ ❑ ❑ ❑ ift Pump Tank on OO '' to El El 1:1 1:1 11 PONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plu er's Signature: (No S m M PRSW N Business Phone Number: lAt c , - ` ?ice -�'y G 6 umber's Address (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sani Permit Fee (includes Groundwater at ssue sluing Ag t Si a (No Stamps) p proved []Owner Given Initial Ci.�/ urchargePee) Adverse Determination ! X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: Sep -6398 (R.t 1/96) DIS original to county. One copy To: Safety & width gs Division. Owner, f'ktntber • Safety and Buildings 2226 ROSE ST LA CROSSE WI 54603 -1905 �sconsin Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary June 27, 1998 CUST ID No.221741 ATTN: POWTS INSPECTOR DONAVIN L SCHMITT 586 VALLEY VIEW TRL SOMERSET WI 54025 RE: CONDITIONAL APPROVAL Identification Numbers APPROVAL EXPIRES: 06/27/2000 Transaction ID No. 111639 Site ID No. 13126 SITE: Please refer to both identification numbers, Site ID: 13126 above, in all correspondence with the agency.' St. Croix County, Town of Saint Joseph NE1 /4, SETA, S24, T30N, R20W KEVIN GAUSMAN FOR: Description: Mound Object Type: POWT System Regulated Object ID No.: 27500 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Adm. Code. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerel , DATE RECEIVED 06/23/1998 FEE REQUIRED $ 180.00 GERARD M SWIM, POWTS PLAN REVIEWER FEE RECEIVED $ 180.00 Integrated Services BALANCE DUE $ 0.00 (608)785-9348, MON - FRI, 7:15 AM - 4:00 PM JSWIM @COMMERCE. STATE. WI.US a Mound System for RECEI VEp JUN 2 3 1998 Kevin Gausman SAFETY & BLDGS. DI V NEl /4 SEV4 S24 T30 R20W St. Joseph Township St. Croix County a Page 1 Work Sheet Page 2 Soils Report Page 3 Plot Plan Page 4 System Cross Section Page 5 Pipe Lateral Layout Page 6 Dousing Chamber Page 7 Pump Curve t ar N Prepared by: Donavin L. Schmitt 586 Valley view Trail Somerset, WI 54025 715 -549 -6651 MPRSW 221741 6 -18-98 �t k� 3 p �t i t� a'a ;c 5 � Page_jOf — � — l f 1 ANAL WORKSHf:ET IN -GkI UND t SYSTLM•Contrnued• €' l �N,11,SYS 1 Lh1 I° �, � 10. t nrte M•m: i r Sitewatsr t.oAd. Irttal Daily flow tai' Aluumum Uos.na Rate ■ gRM► ;' t Use S. TIAFC813,�15' (3) (c) Diameter = - • --�- -- M' X Adm. Code and PROVIDE A DETAILED 11. Tn1A0fn.aml&.Head: of SIZING ON PLANS. /1 2.S ft. Depth to Limiting Factor ■ System Head = ft. VeiIKal Lill = y: M dtlope •; !G Faction Loss = f6 A, Distance from Doss Chamber to I DII ■ .�i11 tt. b1111111Y11a1M Ily+!I�In s .LiLitG.... II' 1" _E {ovation Rtfleranp �atwaan 1 - Pump kel will PufnR aitd Oist(Ibutbn System ■ ft. Pump will discharge at kart r� Spin bwrvtbaArsa 81aMg at a -tt. total dynamic head. ' . It. Pu R model and tutor: - - Arsa R 44i4sd + / 5/�7 1 . Bed oc;Ttsnch njth (!s1 ■ ft. { �+ r' ",Bad or4tsf4 Width (A) * it. � 13. Doss Volume . 10 Times Void Volume of ;T►eOtaCilti ■ ft. , 1 412. j ga!• �•" Distribution lines ■ X � ++ �lpund Wtl • tt. gaily Wastewaur Volume + m: ' p F Rlpth .(Qk�* �S) ,s t L 4 Doses In 24 hrs. ■ ws 91811 t L Backflow ■ K!w• .fi Minimum Dose ■• W°arh `N� ■ ty; tt. 14. Dote Chamber: Q... 8441 Meiund.Langths Volume EnA5bp4 (K) Tot1i1 "Mound Length (L) ■ �tt. 111. , NVENTIONAL PRIVATE SEWAGE SYSTEM g 1 ar9.�• n WasNwater Load. Total Daily Flow ■ WI ��# Use s. ILHR 83.15 (3) (c) , Wi uf►►P!< Adm. Cods and PROVIDE DETAILED 'U WWth (�) 1ST OF SIZING ON PLANS. €F Fa41or ■ . , I 7 • ' v 2.. Requ Septic Tank Capacity ■ —•.• -. P L p�OUAd 1IIiiAtil (W� �� . ft. 3. Porcolatt Rate ■ - -�-�"� n!in./�'s f,' + r 4.1. A Sizing: " Absorption ;} Refer to Is 2 in c ;ILHR .83 Fy ,n and PROVIDE ETAILE 1ST Of >R.±u!t+4I'�r Requited Area ■ �..�...; Pit. r f Al Length Width Number of Tre s ■ bin S *14 In Ssdlon 11. Tronch Spac ■ t.. S. Distributbn �m: ' #' f Lateral ng ■ ft. �zr ■ �& z x Num rot Laterals ■ La ral Spacing • Itt. r aa�tiall Fats r ' l *` min./M. stance from Sidewail to Pips ■ ���. * r:.° . x SYste11t111: ft. System Elevation ■ �! s• sstowateFLood'T at "flOwi gal. EAA TAILED IV. SYSTEM-IN-FILL Fill in All Items from Section 111 gal. V. SEPTIC TANK tr . 1. Capacity ■ i��i„�F/�' ,.. 3 iJGi.ri. F - . It. 2. Manufact " Mfturer: ��- �.- .- •- .�- * +�-- �*...+ 4 k t +�•x h f 3. ShowSiul' onstructed Tank, Details�q►l M r L t its d VI. DOSING TANK ;r 1. Capacity 7 A1AnYfitWfer 1 .strtpl,Liinm r " " ; ' Pump Alanulatlurer: � a 1 .ltr;slliiC in. 1. Pump a118.1e1: `'It 5 , a I1. S. APa•aune Head• j x: klg :; k • �,11I1'w �.�Y (... I I,.w R414: r , �• " °••� �,; �� ShoN It Cnnstruticd Tank Details on w Imr+ !F►S,Rpm. VII. 11 Nt. %WA a � � � � :. A1.,nu:a.Wrer• p t1 , r f GC , tl. �q.•» S.t .trualed Tank Ostailsott as 1 F � til IpW Al,J. INf ORM AT ION ON FL 4N5 �. yG A s . 7' DeperM Relaa«rs anenc.of Ind ustry HMM, SOIL AND SITE fVALUATION REPORT Page of; in accord with ILHR 83.05, Wis. Adm. Code COUNTY i p on paper flat "tess than 81/2 x 11 inches in size. Plan must include, but fret d N WKJ*)W arstice Punt (BM), direction and % of slope, scale or PARCEL I.D. 8 . tofth a prd4960,11o'k distance to nearest road. NT 4NFOR i AT�ON `PLEASE PRINT ALL INFORMATION REVIEWED BY DATE OWNER: r PROPERTY LOCATION GOVT, LOT b4 1/4,8 IqA N,R 81040 # OL09K M SURD. NAMEOR MM ; PHONE NUMBER ;, ILLAO OWN NF.ANESTROAD ! Nuniber of ,� [ j Ad�tion tsexlsting . bedrooms k `� =" �' Orr00RIfr18rC181 d@SCrlb9 , �,, + '" �r Reoommer" design kW!% ft" ., n loafing rate _,,gy bed, gpollt2 •_, ; etich,��dl� (as referred to sits plan WnohmaN µ r �• .p. s ,rc r .� x , '. � F plain elevation, �appycable_,/ � s� "u A r. t . M0UNO 1N4W UN0 PRESSURE AT GRQE SYSTEM F11 $ MA oU 13S IOU ❑s �I Ds t U' SOIL DESCRIPTION REPORT " Stru icture ldary 'i�PQ , } Mansell or (�u. Color Texture Gr. Bou Sz. Sh. Carisistenoe Root acct y � YfY r r ^ . ,s tw " Lzz �T T i tN x. Y$ ''• , '�I� Y �` hH `1°`�� .7s t� t k r. n3 } �° P i rY ,1 3 � '� x ;av' � �,. x ' .fJ� . �LC S k/�OCc. '�•7.�-` } tY... r V IES A 4 > K r i S r i y Y"�""? rot fir ax a Phone: S f Date: OWNER SOIL DESCRIPTION REPORT Page of GP D 3 qz Depth nt Co ipr Mottles Texture Structure Consjs x Hctizorl `in r Munsell Qu. Sz. QWL Color Gr. Sz. Sh. Bed 4 Ah d n r' z 4: , r Z x �i ZAA �t ig z M tt .. 1 • , I „a,._ /��N� -! /!11 �i� � � �/��I Q. � � i � I � � - � , 1 � 1. 1 _ I .. �• _. - 1 - � l ip...., a,r 4W , IR • -a �' 1 I 7 1 f t'�k — P; ;i 1 I x4 44' Y' , I I I ar` Y .. l J • I 4-I r I Ll No- �>� t r ! `'Sr a��, ��+,,�+ �� j ; ' .— __ ..,+pj� , �• 3 .� 1 - -_— � — � I • — _ _ I _ 1 t .: 1 a , { t +.' 1 • x try% I « / .___� � - 1 1 t.. ., AY�d : -0 +'' i' _� . ! I I . I I 1. I) ...1 PAS Y .I, •, h. 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Or Synthetic Cover ASi M x'33 -Manifold Pipe Material Medium Band Distribution Pipe 4T > M '6 Topsoi 1 H += XZZ. -- - - -- F ' E Plowed Layer 4 oPe Undisturbed Soils Ft. r E cz 7� F _,.11_ Ft . 4 G k Signed: _ H /, 5 Ft. t 'License:: Numberrx ! .�.�. A _ Ft. L 3. Ft. j y B J Fte Y C __ L6 Ft: K Ft. M x k Observation Permanent Marker ,,.. k" J. Pipe Distribution Pipe _ M y C d t £ Far r '2 a � 70 F ,...� B K Trench Of }�� - 2 } iS i z � r * - k Aggregate L , 5 h� :Plan View Of Mound Using 2 Trenches For Absorption Area L & a . e 9 Of k n 4 y, �M 3 i 1j 4, ; Perforated Pipe Detail r / End View } � Perforolso / End Cap ,y �- PVC Pape Holes L06g1ed On 80110m. « Are Equally Spaced ; h Q i bhp :: Diflributi0n A s a •. " Pipe Losf Mote Should 8e Ne><I 'To End Gop_� Distribution Pipe Layout P Ft. " MAIa'If S a X Inchw; 9 ' Y_ Inches R t Hole Diameter Inch... Signed: Lateral / %2 Inches) k� Y : License `Number. �t7y Manifold .Z Inches Oatf: • Force Main " .,, �_ Inches j # of holes /pipf:` Ifo Invert Elevation of I.aterals 953 Ft. 0 . Y s. � 't'. 4 '� ✓ F Y'a„ M �I \t � r y , PUMP CHAMBER CRO,55 SEC'10!J AUE, . /. 'r10"js za p µ VEAT CAP a 3 C C-.I. 4E ".!T PIPE. APFROV 0 -'L00 WEAT$4ERPROOF r MANHOLE cove F. x r : JUIJCTIOIJ BOX l -F I p ; r a �, .� trnr,c+, W/ W/6" /Nb CF►It�' 1 �� � WlNjjj)w off f lit bit Al JAITAKE GRADE ' 4, MIN } CO IJDUIT w T �" s u ': PROVIDE k INLET AIKTI&HT,SEAL , APPk APPROVED JOIWT A F O . W /C'i PIPE � ERTENDIWG 3' 1 �JTrD.S OLITO SOLID SOIL OL1: I C ' 4 ELEV. F7 PUMP D s` t h. CONCRETE BLOCK RISER EXIT PERMI1rED OJL'd IF TAUK MAMUFACTURER HAS 'SUCH APPROVIiL.' N i SEPTIC E , SPEW FfCAl „ • DOSE ! / /��%/�"� _ /�• IJUMBER OF DOSES; PER` DA'J TANKS MAIJUFACTURER: TAWK SIZE: �©15 GAL.LOMS DOSE VOLUME >' r� IIJCLUDING @ACKFLOW /' 9 GAt.1fIfS' ALA LA • MAIJWFACTURER: y / ANA /}L,G/Ii T p .MODEL IJUMDER:. NA CAPACITIES: A�+tiJCgESOft' SWITCH TYPE: ' L!E C G1.P c/ B �s Otit.. ,rx } PUMP MANUFACTURER: X 01 .. i 1 °* MODEL NUMEER: / yD D+ " INCHES OR 6 i 7 p!O>pitil�! } SWITCH TlJPE: ,�iCiP/'_ Pi,Q�/ MOTE: PUIkP,AW ALARM AFIr� YO.pC° r� . INSTALLED OIJ •SEOAttATC'. CIRGLIITS MIIJIMUM DISCHARGE RATE_�L� --GPM 4.. Y� 2 VERTICAL DIFFERENCE BETWEELI PUMP OFF ANO DISTRIBUTION PIPE.. FEET - + MINIMUM NETWORK SUPPLJ PKE66UKE . • • +k--- PRET ` + IQ� FEET OF FORCE MAIN Y, I&EC oo rtFKICTIOLI FACTOR. _. FEET f TOTAL DtIIJAMIC HEAD = d. FEET `IIJTERNAL OIMEMSIONS OF TAIJK: ! ,�:� c- TC2— iWIDTH ;L IQUID DEPTH SIG UED: LICEAISE AJUMBER: C DATE:��`�� . WAS DYNAMIC FIEMICAPACItY }L ' 1 G L ? N .i .� EMUEM MI WWAICRNIC r Vr e C n Koons t!7/,11 t 0/ ttio 1 rt. mews Oa. U/a Dail. t as a /t1 0 ' —; r! .e am » 1" w 111 140.4140 11 111 w N s _ a H s . p -. s , f :o /,,• >. 111 n m � �� � � M I N iq N, �l�sv 4 .� r n/ . q ».» f A -. sf \wl NI« r ! + eliflf A s chF 1 % w w ro eo to ,00 t,o _ 137!1 4 eo ,fo t4 f Ito .o0 14 4 MW Pa mom CONSULT FACTORY FOR SPECIAL APPLICATIONS + Thil�.phase pumps we oval" In 200=V or 230V - 1371139 Models. • Varl" level oaitrot s witches are 9WWble for obntrolgrg WO and elbnatas, for duplex systems, are evaNable and supplied with phase . systems. x :'an sham • Ooubb piggyback variable level Rost awitcllea ere Well le fW%Wk bblevsl _ �w i'Mifticell &%ffators, for duplex systems. are available with or without long cycle corhols. a • I.org cads are available In Wgft of 15-2&" feel: ( h*nun126 s W.iC6.6kili pn starters are s de* for 3 phase pumps. for 14014140 models Q 11611 r C4lltlbt`i1 m% system are svelleble W 1 phase pumps. • Over 130'F. (WC.) special quotation "Ored• r .;.., • Refer to FM0808 for 200' F. epp�ons. 1 7SilNtt 47 bs. 139 -51 be. 140 Series • 83 bs. 4140 haft -731 M. �' WON Mode Call UL Miairg6 t . 1� 1 Aub 1Q7 / a 1 s e — Y Y SEI.ECf10N tl11�QE , s d 1. bb" tbet optlraled 2 pole 169 � r 91A 1a'iNIM116f Oo iW 66gi111ed. ate' <i 2. SNgMplp�brdcvMrbMNvM#i�1t g15d1t0dsbMpipIlk tlCkvMlebMlewl .� 1 I Ado I U I 1 tX 8 d Y Y Plod aINNCtI. Rehr b FM0�17 «et "'e ` ,*� ` 3. Medlenlat aMtlulor •MPl/t'ir'66'12 er 10.0018: 4. C MbIndlon OWW Rehr b !' • 6 211 �tN or SU Y Y 5. So 1•'1007 for coned elodelt to Atlennloir'E•Pstl'. e. YNIMINNISeIWnlr01i1d11�QbbNda1a001M r01aEIh1s10f.epeohtrl<glw �`; a a N. 1, 0130 1 1 7. Four( j4W. idbnbw.fawsle tWP'aNlsdkNlar"ked•M dr4ft 4 or 2 pump opts Won, 1041002. r.. contra U 8. Two M hole •J•PW, for Wsleril5ht t oorWkn Of $Pk$,1aW03. YOaFr11 -> Mob I A 0 UL N119, M110 114 t No 1 15.0 1 2or2i7 rabid R 22 wit 0 ' t 4 1 Nm I j5A 1 29E2&? 1 3 a CAtJY1011 • �. 0j** rpw Wm,wrwr�wep owl/ orlwnn. elattwvavntrlalxw +.\frwr,NSw►IaNautuc AUinwMaonOrconerotr drldsridseendti p�aridMddneby , ' a qudlbd 90e0ed elockiobrr; h 1`alld`fe eede�1f101dd tNi rs % �qf opftft� inupwPoomm Win" (ncllldltl0 the noel lelierlt IMtSlaGtftC Coo (ff o ow ' rhli1i0h1MtlNbte�MeOttoMWawMehbopfnMantuAfnW mpnftlootaomeMrbonarbr. `'' FOr M aOeNbtl�l Zof6fr prodlwM Mfr to c Wol on ca aft stow. FM0614; ' `Piprleek Vol YOMtwMFbMBMIMCAM.FM04n:EbeAWARimaW.flr10166:MedwiWA*m- IfI; FIb/ 1 AftmPadie6f, FMe617;tmld=W1ewa6f6fflro.FMOM1. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered Into the design of every Zoeller pump. U". TO: P.O. BOX 16947 Low KY 402 5 "X? 0347 Agwuaamwfd.. l0 t au w � r MR ftud PL/MP !O. fsoz! �re,mt • 11soo►aes•P1� . �rurr/��.Nwltr siltct• ,�" ., FAX(1V) 174.9624 A t i._4 �: ar Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Pa a of Lahr and Human Relations g Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code 6 4 ,9 COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but ��Z L�4 4XI 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 REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION GOVT. LOT I 1/4 1/4,S N,R E (o PROPERTY OWNER MAILING ApDRESS L07 # BLO # SUBD. NAME OR CSM # CITY, ATE � ZIP PODE PHONE NUMBER []CITY ILLAG OWN NEAREST ROAD New Construction Use Residential / Number of bedrooms [ ] Addition to existing building ] Replacement [ J Public or commercial describe Code derived daily flo gpd Recommended design loading rate e �'> bed, gpd /0 , _ � trench, gpd/ft Absorption area required. STS bed, ft2, - tren ,ft Maximum design loading rate _,; bed, gpd /ft 1 � trench, gpd/ft Recommended infiltration surface elevation(s) �� ft (as referred to site plan benchmark) Additional design / site considerations Parent material fir, . J /�c�,u �? f� - FI plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL I HOLDING TANK U= Unsuitable fors stem EIS ❑U [aS ❑U EIS ®U EIS OU ❑S ®U [Is MU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench X•�v v: •: iii:ii: h\ ...... .... ... ' Ile yle Ground rev. ft. _ Depth to'� — limiting factor Remarks: •., Boring # S Ground elev. -S y e /xlEE Sl k/�ocd ft. _ Depth to limiting factor �7 Remarks: CST Name: — Please Print j 1 Phone: Address: 2CZ 1, Z S � Signature: Date: CST Number: , • + 1 ' 4 r , I Y i I i I i I I , � I I I � I . _ I � , �J ^ T I I , + , I I I I i , , I I I , I ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer if IN CA 4APAA1 Mallfug Addrtlsa A�&6-s MAI T - 7,4 0 QIz—f — GU000 , PM/. Property Address (Verification required from Planning Department for new construction) City/State ZL e- T, Al GUI ` Parcel Identification Number d 30 — 10 rp — 4 9 0 LEGAL DESCRIPTION Property Location JL� � - '/4, 1 3 C- '/4, Sec. - 9 Y , T 30 N -R Town of 5.7; 705 Subdivision —As! 1 7121? lli Lot # Certified Survey Map # A R13o 2 . z s , Volume , Page # 2 57 2 Warranty Deed # // 9lS'' , Volume , Page # !/ JQ Spec house ❑ yes K 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. L� 7 161 7 — SIGN - IGNATURE b1fAPPLICANT 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 0�escribed above, by virtue of a warranty deed recorded in Register of Deeds Office. GNATURE 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 DOCUMENT 110 8TATZ 0 is FORM 21 - IM soots *"Znvm F" W-000AHM DATA LAND CONTRACT t0 as nal sad Us= RANSACTION8 W X OVIM .W4 is 71141JNC A ED AL L T AUD W M MR NON-CONSUMITA .Contr between Robert Robert O'Brien and ........... ... husband and wi e,. Marianne Act I --- .» ....... . ..... . . . ...... Kev n SOM whether ... G 6 U : Beverl y .... 01 at 9:30 Ves►dor sells and ("Purchaser", whethr me or mars). 4...............»»».. .._..----- _...- _...._.......... e=vy to Purchaser, upon the pron.; mid full per- formance of this contract by Purchaser, the following property. together with the rents, profits, ditures and other appurtenant Interests (all called the " Property"), tn .. ................._ »-.-.........._ ........ County, SUA* of Wiseonals: 2 #4 e' AW f t z KIM 4CV0jZ - Pareal No Lot 6, Arbor Hills in the Town of St. Joseph. TOGETHER WITH an easement for ingress and eSpess over that pact of the SW V4 of SW 1/4 of Section 19-30-19 lying Nly and Wly of County Trunk Highway N". % LQ_ 7 This ..... if .. n9t .......... homestead property. XX)K (in not) place m Purchaser to 4 purchase the Property and to pay to Vendor a t . ......... Y r then= of . .......... in the following manner: (a) . .....---- - -. ».. at the execution of this Contract; and (b) the balance of s-245W.K.... together 'thfEfav-stframiste hereof ou the balance outstanding from time to time at the rate o f ........ JAMAM ......... . ... par coot par annuft until PWA in fail. an follows: Commencing on October 1, 1994, and on the Ist day of each and every month thereafter, equal monthly installments of principal and intqwt In the amount of $250.00 the entire balin6e is paid in full. ---------- ---------- Following any default in Payment, interest shall accrue at the rate of per SMUM on the entire amowd in default which shall include, without limitation, delinquent Interest and, upon acceleration or maturity, th en principal balance). Pwmhaaar, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received -by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance Will be deposited into an escrow fund or trustee account, but shall not bear Interat union otherwise rewired by law. Payments shall be applied first to interest an the unpaid balance at the rote specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time In the event of any prepayment, this contract shall not be treated an in default with respect to payment me long as the unpaid balarce of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) in low than the amount that said Indebtedness would have been had the monthly payments been made As first specified above; provided that monthly payments shall be continued In the event of credit of any proceeds of insurance or condemnation, the condemned promises being thereafter excluded harefrom. Purchaser states that Purchaser to satisfied with the title as shown by the tide evidence submitted to purchas for examination except: None. rE : MEN Purchaser promises to pay when duo all taxes and assersmoAW lbvied on the Property or upon VeadWs brbwak is it and to deliver to Vendor on demand reasipts showing such payment. Purchaser shall It the Im rovements on this Property . lust loss or oceadmed by �. eW i cep p �a damage tended Coverage peril+ and such other hazards as Vendor may r�, _+Irfthout co-insurance, through twuiers app O"# by Vendor, In the sum of =. ...... NIA .... ........................... but Ven4*A*a11 not require aoveraCe In as amount asoto than the balance owed under this Contract. Purchaser shall pay the insurance premiums when deep The policies shall contain the standard clause in favor of the Vendor's interest and. unless Vendor otherwise agrees In wAdn& the oslgh" d all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of to insurance companies ad Ven&r. Unless Purchaser and Vendor otberuiw agree in writing, hnsoratee proeeds c be applied to rwstoration or repair of the Property damaged, provided the Vendor deems the restoravaa or repair to be masse ieally f"aime. Purchaser covenants not to commit waste nor allow waste to be committed on the Property_ to keep the Property Is sood tsnantabla condition; and repair to keep the Property free from liens superior to the Ilia of " Ccatraete - Sta s. be eunply with all law ordinances and regnlstions affecting the Property. Vendor across that In use the purchase price with Interest and other moneys shall M fully paid wA A eoadttkm SW be fully performed at the timer and in the manner above specified, Vendor will on dam- e , -1 and ddhw is xis Purchaser, a Warranty Deed, bt fee aimp)e, of the Property. free and clear of all lime and socumbrums, eaeept easy alms or encumbrances created by the act or default of Purchaser, and except:.... WaP!mt ? X. e... .. ...................................................... _ ..__... -- _...__ ._......_.�.........._.._._ ............• ............._............_..........----•------ ••---- •--- •-- .........-- -._.._ __..... Paseharer asrw !list time b of tM esenee and (a) in the event of a default in the payment of any principal er imftrut whieb continues for a period of ... fiO.- days following the specified due date or (b) in the scent of a defeat! In ��rl!esrlanee of n � other obligation of Purchases which Boa times for a period of .. — days following written notieo hereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance umder"wntraat abo become immediately due and payable in full, rt Vendor's option and without notice (which Purchaser bss'elty valves), and Vendor shall also have the following rights and remedies (subject to any limitations provided by itw) ka. addition to those - rovided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purebas ! richft. title and ;nbreat in the Property and recover the Property back through strict foreclosure wftb redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interesttlNreoniresa the deft of default at th e rate In effect on such date aa other amounts duo hereunder (inwhicheventall amounts pad by Property if pnrhaser fails to redeem) or� i(ii) failure Vendo sue for specifi fulfill this c performance performance of this Conti toipet imasediate and fall payment of the entire outstanding balance. with interest thereon at the rate in effect on the date of default and other amonab .,ue hereunder, in which event the Property shall be auctioned at judicial sale nand shall be liable for any deficiency or (nil) Vendor may sue at law for the entire unpaid purchase prim or thereof; or (iv) Vendor may declare this Contract at an and and remove this Contractsoacloud on title in n action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected tram po - --- -- et of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of anY aeUala under (i), (ii or (iv abo►e.Notwithatanding any oral or written statements or actions of Vendor an eieetden at ow e[ ter foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and al)• casts and iwluding reasonable attorneys fees of Vendor incurred to enforeeany remedy hereunder (whether abated or cwt) to tins eudant not prohibited by law and expenses of title evidence shall be adued to principal and paid by Purehasezj sr tom. Barred, and shall be included in any judgment. Upon the commencement or during the pendMe of any action of foreclosure of this Contract Parch"* evemo s to tb* appointment of a receiver of the Property. 1J1udit homestead interest, to collect the rents, flames ltd +OMs d applied a the duringahthe pendency of such action, and such rents, issues, and profits when so cdleetad emmR N bMli pd. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by sl�mipesalifr y of Purchaser's rights under thin Contract or by option, long -term lease or in any other way) without t1t 010-s or catment of Vendor unless either the outstanding balance payable under this Contract )s first paid ft full er the conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for as indebtedness of Purchaser. in the event of any such tranaler, sale or conveyance without Vendor's written convent, the amore anbtaadimc balance playable under this Contract shall become immediately due and payable in fall, at Vendor's option w#lioat wtiow Vendor shall make all payments when due under any mortgage outstanding against the Property an the date of this Contract (except for any mortgage granted by Purchaser) or under an note secured thereby. Purebaw makes timely payment of the amounts then due under this Contract. Purchaser may make any suca � payments di the gagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments snadt on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. AO terms of this Contract shalt be bindin upon and inure to the benefits of the heirs, UCA successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of oeaior a valaable evesideratiou joins herein to release homestead rights in the subject Property and agrees to join in the amseutiom of the dad to be made in fulfillment hereof.) Dated --•--- --- --- ---- - - - - -- t .................... day of ...... ....... Se . ................................... . ............................. (SEAL) ..'a... ---- ..- ..._.. _ ......_.....(SEAL) Robert E. O'Brien Kevin Gausman : --- --- -- -----•-- ----•r' ••.. ................. -- -•- •-- -- -----.....---------••-. (SEAL) -- - --- (SEAL) .. . Marianne Repp- O'Brien Beverly ausman t AUTSSNTICATION ACENOW LSDGURNT Signature(s) __Robert E. O'Brien, _ Mariame Repp - STATE Olt WISCONSIN O Brill --'. � -- as n • .. .......... .......County � . � aathentI tee this _1Bx_day as__t_..._. 18.4 P came before me Jiff--- .__day of - ------- • --- --+ the above named -- -------- --•-------- -•--- -- -- - ---•-- e Kristine Ogland .... .... ....... ... TIT -- --- -- LLr - : •------------- - ER ---- --- A T •- E -- -- - BA - .-- -- - OF - - -- W -- - C - -•--- ---- -• - - -- •- ¢ - -- -- •---- - - - - -- — - - - --- - l[EYB ST - ON -- - S - - -- ----- -- -- - - - - -- --_ - -- -- .---- -...-- ...... S ev (If not, ............................................................ - °._.. - authorized by 4 706.06. Wis. State.) -- �� - - F to me known to be the peraoi s —._.- who executed the foregoing instrument and THIS INSTRUMENT WAS DRAFTED BY Vv -4 a •i na f)n1 nv%4 .......... .... ....................._.._._._.. o�� N LOT 8 C 1 \ 3.00 ACRES 130, 825 SQ. FT. �2 + S86 ° E ' BO 500.44' 11 ^ LOT 7 /co 10 3.25 ACRES 141,432 SQ. FT. / 9 i i Sg o 1 6 /3109 Sg f 8 $ 50, A 7 O 1 c4 m I C LOT- -6 ° N 1z /0 3.09 ACRES \ m ID 5 134,536 SQ. FT. �6 N o I m � � �• to .36•. 0 0' � � r • 0 2 �'r h e ID iz � L 5 \ \ 3.01 ACRES \ \ \ \ � 130,942 S0. FT. LOT 2 Ul 3 CERTIFIED SURVEY MAP I VOLUME 9, PAGE 2519 NO3 053' 08 "w / 100, 00 ' o . 6'AuS/-rAA/ )� 1 n' • PAGE OF PUMP _CHAMBER CROSS SECTION MJQ SPECIFICATIOMS VEWT CAP - T 4 VENT PIPE WCATHEK PROOF APPROVED LOCKING JUNCTIOLI BOX MAWNOLC COVER ? L5 FROM DOOR, 12�MIrJ. wiN00W OR FRESH I AIR INTAKE GRADE 4 MIAi. WNW NW COWDUM %% PROVIDE - - fA11.E T - T APPROVED JOlm A ! I I AP ►ROVED JOIN73 I II w /C.t. PIPE w /C.z. fire LITELin1YC. 3 EXTENDILI(o 3' AL �� ARIA SO4tD M` ONTO 60610 $0 I I I I ou c I LLE1C FY. PUMP —� - -� `. OFF 0 COUCRETE &LOCK 3" APPRavE RISCit EXIT PCRMI'II EO GIJty IF TAIJK MAAIUFACTURGIt HAS 811GM A>•PKOVAL. gtDpl 5EPTIC E SPECIFICATIOUS DOSE - � .S MUMbER OF DOSES: PER DAR TA K MAUUFACTURCR: �- - ��— TANK 51ZE: L5'Q� GALLOWS DOSS VOLUME �7 AL_ ARM MMWUFACTU&&R: , .,, A L�f4 `l,� IMCLUOIM6 OACKFLOW: MOOCL WUMOCR: CAPACITIES: A + rLZ -W CNE5 Oft *324 CrAI.LOMS SWITCH TSFE: R aR `'/ IS a IIIC11t6 OR .�. . , - Got.LONS PUMP MAMUFACTURER. Zot LLA;=i2 C. ■.rA _tN6HES OR /j/ I � g6046LOWS i � MOOtt WUMDLR*. O /lZ .. INCHES OR,2 GALLOU6 SWITCH TYPE: k MOTE: PUMP AIJD ALARM ARE TO DC M1641AU DISCHARGE RATE z ` •/q GPM // INSTALLED OW SEPARATE CIRCUITS yERTiCAL DIFFERENCE bETWEEW PUMP Off AIJD.DISTRIbUTIOW PIPE.. - Zo -- FEET + mwAUM NETWORK SUPPLY PRESSURE . . . . . .... . . _Z. -5ara� FLET + ,TD FEET OF FORCE MAIM X .j laff FEET _. TOTAL ObJIJAMIC HEAD = ' Y FEET 0/4-m re& go to 3 2 1. IMTERNAL DI LUSIOUt OF TAWK: _._.._....— ;WIDTH �iLIQUID DEPTH gIGNE 0� I.ICEWSE 1AUMSER: 12 J 2 ' y OATE:�G.LG.L:1�