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042-1082-10-000
4 0 3 0 05 o 0 64-:� ti a. 0 o � o N i Cf� � ti C 0> it N •C Z l i C U. c O I a Q II' \4i Z CO w E E Z ±+ 0 Z o N w a m M f- Z c 0 a3 O Z a w o S `z d w Z U S F- E P N M c � •N L 0 ° o O N C (6 O , Z Z w 0 0 N Z "' a m E •• ^ N d � w y c N H N a CD O o 0 0 a 'i 000 Z •N 06 aaa � N CL �1 0 00 fir^ Co 04 y V (0,0, Q 0 0 L O O m c a I� co •� 41 Q Cn N c C N j M 119 O Occ> 3: C 0 0 0 0 a N N N 1 O � H C j N O O OD Y Q1 C N e to 1 }! V ♦) ~ N N Y O p @ U O M li w M o Z— U) .. 0 Doti a', L: 0. • c'e a m 1 A 0 d O S � e� �Gaf rMES 04/Z AW 64 - /1) 94;o- V Lt ����/� LL s 0 I CERTIFIED SURVEY MAP X DONALD D. AND EDIE R. ANDERSON Part of the Northeast 114 of the Northeast 114 of Section 30, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin. 0 Indicates 1 iron pipe found. O Indicates 1" x 24" iron pipe weighing 1.13 lbs. /lin. ft. set. -1—Indicates fence. R() Indicates previously recorded data, NE COR. SEC. 30, 729N, RIB W, E //4 COR. SEC. 30, 7 N,RISW, (COUNTY SURVEYOR'S MON.) /COUNTY SURVEYORS MON./ i a UN T IE D LANDS E L /N£ NE 114 S 00 3 /'00 "E 2645.57' 648.75 N _ - E A b /444.3/ NOD °3/'00 W 648,.75' Owner's Address: 66'PRIVATE ROAD ,! 759 103rd St. EASEMENT REC. IN /Ib /00' (y I Roberts, WI 54.023 VOL. 604, PAGf — — — — — — — — — — — — -- " 220,DOC. ROAD SErBAC LINE 361093 O O Zt ti F 7 W � k W Q Q W Q = Z Q N t, h h ti ti t.. W j `LJ O ? \ V h to Lv O W OM Q: W 3 N V. O 0 r4 h t O o h J W p J I O Q Z q � N 3 `` ,��tt11 1 U /fll O /y .�' • .••• •• ti This instrument drafted by ••. �s Laurence W. Murphy ro LAU N s m . w R Y °C N RIV FALLS, ; ,� Parcel #: 042 - 1082 -60 -100 02/22/2007 04:03 PM PAGE 1 OF 1 Alt. Parcel #: 30.29.18.460G 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - EIKENS, MARY C MARY C EIKENS 1007 80TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description 1007 80TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 19.498 Plat: N/A -NOT AVAILABLE SEC 30 T29N R18W PT NE NE BEING LOT 1 OF Block/Condo Bldg: CSM 10/2835 19.498 AC EZ -U- 1345/217 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 30- 29N -18W Notes: Parcel History: Date Doc # Vol /Page Type 04/28/1998 578050 1318/467 QC 07/23/1997 1140/233 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/20/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 42,500 294,000 336,500 NO UNDEVELOPED G5 16.498 24,700 0 24,700 NO r Totals for 2007: General Property 19.498 67,200 294,000 361,200 Woodland 0.000 0 0 Totals for 2006: General Property 19.498 67,200 294,000 361,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 301 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 042 - 1082 -10 -000 02/22/2007 04:02 PM PAGE 1OF1, Alt. Parcel #: 30.29.18.460A 042 - TOWN OF WARREN 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 MARY C EIKENS O - EIKENS, MARY C 1007 80TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 4.102 Plat: N/A -NOT AVAILABLE SEC 30 T29N R1 8W 4.102 AC NE NE EXC P Block/Condo Bldg: 460B THRU G & EXC PT TO CSM 10/2835 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 30- 29N -18W Notes: Parcel History: Date Doc # Vol /Page Type 10/09/2000 631340 1549/178 WD 07/23/1997 604/220 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/14/2003 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 4.102 200 0 200 NO Totals for 2007: General Property 4.102 200 0 200 Woodland 0.000 0 0 Totals for 2006: General Property 4.102 200 0 200 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 #: 042 - 1082 -90 -000 02/22/2007 04:03 PM PAGE 1 OF 1 Alt. Parcel #: 30.29.18.463 042 - TOWN OF WARREN 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 MARY C EIKENS O - EIKENS, MARY C 1007 80TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 30 T29N R18W 40A SE NE Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 30- 29N -18W Notes: Parcel History: Date Doc # Vol /Page Type 10/09/2000 631340 1549/178 WD 07/23/1997 604/220 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/22/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 18.000 2,500 0 2,500 NO UNDEVELOPED G5 17.000 25,500 0 25,500 NO AGRICULTURAL FOREST G5M 5.000 7,500 0 7,500 NO Totals for 2007: General Property 40.000 35,500 0 35,500 Woodland 0.000 0 0 Totals for 2006: General Property 40.000 35,500 0 35,500 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 ST'. CROIX COUNTY ZONING DEPARTMENT \ AS BUILT SANITARY REPORT �l R dVE Owner _ A Ru 1 fro ► s ' Address City /State ts,? ST CROIb COUNTY { i ?CJiNGOFFa.,r Legal Description: Lot —L_ Block Subdivisi% �o O • I '/, N E '/, N r , Sec. �, T 1 N -R I B W Town of Ar-& -f �J PIN # � SEPTIC TANK —DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer ���k J Size ST/PC I aou / 8UU Setback from: House a$ Well Pump manufacturer Z o c 1 �� Model S 3 P/L t o u ' Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Meter loca Water Line Alarm location SOIL ABSORPTION SYSTEM:'` Type of system: In'l U "J V Width -D S Len a a' Setback from: House 7S' Number of Trenches X i U U' .�_ Well / v u p& ? / u v' Vent to fresh air intake > 3 0 ELEVATIONS Description of benchmark 3 y' Description of alternate benchmark Elevation U U Elevation Building Sewer --- ST/HT Inlet 0 y • 73 ST Outlet• b �(• y S PC Inlet U b • � `} PC Bottom Y I • Header/Manifold Top o ST C Manhole Cover U Distribution Lines O 3. $ D ( ) Bottom of System ( ) _ g- 0Q Final Grade () vy 8t i1 Date of installation U — /A/1 5 Permit number 31 J ?PS 4 State plan number ' 9 y to Plumber's signature `^ License number . Q-A --I �y � Date 3 /�l / 9 Inspector R A K sl •) r Compktc plot plan �* NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW QS-, to' 160<---Par,N,Ler, ,81 4 4' 461 3)' (, ,39 Z' 36 INDICATE NORTH ARROW > W isconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: 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)]. 315854 Permit Holder's Name: ❑City ❑ Village X Town of: State Plan ID No.: EIKENS, MARY WARREN CST BM Elev.: , Insp. BM Elev.: BM Description: Parcel Tax No.: gc� %t o 3 u 1�)a f 042- 1082 -10 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic (°Z.F7� Ben g, 90. v t5ty 1 • l/D p • $�� Aeration Bldg. Sewer Holding 6A Inlet g ,w y• 1-7 5'• c{'� TANK SETBACK INFORMATION tot Outlet ei , O L O q. TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet 'Zl , 3 Air Intake S 16 1 Q I ot NA Dt Bottom $ f u w - n- Do /0-U / 141 NA Header/ Man. Aeratio NA Dist. Pipe •7 Holding Bot. System X X1.67 <: � _ 3 S PUMP / SIPHON INFORMATION 3 W , Final Grade Manufacturer �, .e. Demand 54. 619m ` ,,, 4 n , 64 �� Model Number 4.2 -- (� �,p g - ?(� - 7 TDH Lift l . Friction! "' ° Syetem TDHG� [ Ft Forcemai n Length ' I Dia. " Dist. To Well SOIL ABSORPTION SYSTEM B ENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth N S • I (70 DIMENSION SETBACK SYSTEM TO P / L I BLDG WELL LAKE /STREAM LEA C anufacturer: INFORMATION Type / CHA OR UNIT IT Mod Syst m ( /t( ( DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) � x Hole Sae x Hole Spacing Vent To Air Intake /1 Length t Dia. Length Dia. �2 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 11 • Topsoil eyes ❑ No ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: WARREN 30.29.18.460A,NE,NE 1007 80TH AVENUE Q Clr>uv, f k4 m 1 _ 6.9 01 e.:. 5 Sli M G 13 - 44 free w7 i(, kil. Plan revision required? ❑ Yes [� No Use other side for additional information. SBD -6710 (R.3/97) Date Inspector' Signature Cert. No. Safety and Buildings Division Vi scons i n SANITARY PERMIT APPLICATION 2 01 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 81/2 x 11 inches in size. S�_ C • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs E] Check if re`v . t viou plication [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Owner Name t , Property Location M AN \ N s N£ 1/4 WE 1 i4, S 3p Taq .N,R E(or)W Property Own r' np ailing Ad re of Number Block Number { ' �P i f / ©D 7 City, State Zip Code Phone N tuber Subdivision Name or CSM tuber _ �tb)oiv ( O ea � ✓� II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ Cit 0 1111 1 1 Nearest Roa j� Public 1 or 2 Family Dwelling - No. of bedrooms W To of 8 ®� �Vp 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 04 �L ® S .) 0 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 online B, if applicable) A) 1 aNew 2_ ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an _____ System________ System____ _________TankOnly ___ ___ - ___ Existing 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 1l 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.) Propos d (sq. ft.) (Gals/day /sq. ft.) (Min. nth) Elevation (� Q 0 1 5 cza Sou ig $d, u Feet b 3.g5 Feet Capacit VII. TANK in gallons Total # of Prefab_ Site Fiber- Exper. INFORMATION g Gallons Tanks manufacturer's Name Concrete Co " steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank or Holding Tank ). u ? y i 1:1 E] 1:1 0 1:1 6 Lift Pump Tank /Siphon Chamber V ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Nam - Print) Plumber's Si nature: (No Stamps) MPIMPRSW No.: Business Phone Number: Plumber's Address (S tree , City, State, Zip Code): �� - 7 0 taw 3 � /�.i - ri, J� - - V 1 IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing Agent Signature (No Stampsb ,X [Appr oved ❑ Owner Given Initial 11 9,V e Surcharge Fee) A pproved Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD -6398 (R 11/96) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber * Safety and Buildings 2226 ROSE ST LA CROSSE WI 54603 -1905 ' \Visconsin Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary June 11, 1998 CUST ID No.222904 ATTN: POWTS INSPECTOR JAMES W BOUMEESTER 1070 HWY 35 N HUDSON WI 54016 RE: CONDITIONAL APPROVAL Transaction ID No. 89146 APPROVAL EXPIRES: 06/11/2000 SITE: Site ID: 10419 St. Croix County, Town of Warren NEIA, NEIA, S30, T29N, R18W MARY EIKENS FOR: Description: Mound Object Type: POWT System Regulated Object ID No.: 26308 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 /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. When making an inquiry or submitting additional information, please refer to Transaction ID No. in the regarding line. Sincerely, DATE RECEIVED 06/09/1998 FEE REQUIRED $ 180.00 &RD 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 JS WIM @COMMERCE. STATE. WLUS RECEIVED MARY EIKENS 4 BEDROOM RESIDENTIAL MOUND DESIGN JUN - y 1998 REVIEW DATE: JUNE 13, 1998 SAFETY & BLDGS. DIV. PLAN REVIEWER: GERRY SWIM PLAN ID# 89146 PROPERTY LOCATION: PROPERTY OWNER: NEl/ SEC . 3 0 , T . 2 9N . , Mary Eikens R.18W., Tn of Warren, 916 Ridge Pass St. Croix County, WI Hudson, WI 54016 Pcl.# 042 - 1082 -10 , .a ► V 9 14 6 INDEX TABLE PAGE 1 OF 8 TITLE SHEET PAGE 2 OF 8 WORKSHEET PAGE 3 OF 8 WORK SHEET PG. 2 PAGE 4 OF 8 PLOT PLAN PAGE 5 OF 8 MOUND CROSS SECTION PAGE 6 OF 8 DISTRIBUTION PIPE DETAIL PAGE 7 OF 8 PUMP CHAMBER CROSS SECTION PAGE 8 OF 8 PUMP SPECIFICATIONS ATTACHED SOIL EVALUATION P.o•�N ovally � �ic m t., cs py R I ING PREPARED BY: pEPARTM�• EjY u �Q SAF Iv ISIOR Jim Boumeester NpENCE 1070 Hwy. 35 N. GpFtRE PO• Hudson, WI 54016 SEE (715) 386 -9020 SIGNATURE: `lt� K MPRS# 3404, Credentia #222904 DATE • l� " 7 , 1998 WORKSHEET ABSORPTION AREA SIZING 1. Daily wastewater load 600 Gpd (4 bdrm) (150 gal /bdrm) 2. Depth to limiting factor 28" 3. Land slope 8% 4. Infiltrative capacity of soil at system elev. 1.2 gpd /sg.ft. ASTM C33 med. sand area required 500 sg.ft. bed length (B) 100.0' bed width (A) 5.0' MOUND DESIGN 1. Mound Height: 2. Mound dimensions: fill depth (D) 1.0' end slope (K) 11.0' ((1.0 +1.40)/2 +.75 +1.5)3 =10.35 downslope fill depth (E) 1.40' total length (L) 122.0' 1.0 +(8% X 5 1 ) ( 100.0 1 )+ (2 X 11.0) = 122.0' aggregate depth (F) 0.75' downslope width (I) 13.0' (1.40 +.75 +1)(3)(1.32) = 12.47' cap and topsoil depth(G) 1.0' upslope width (J) 7.0' (1.0 +.75 +1) (3) (0.80) = 6.60' cap and topsoil depth(H) 1.5' total width (W) 25.0' 7.0' + 5.0 13.0' = 25.0' 3. Basal Area: Basal area required 1,200 scr. ft. 600gpd. /0.5gal. /sq.ft. /day per CSTM = 1,200 Basal area provided 1,800.0 sq. ft. (100 +13.0 = 1,800.0 Linear loading rate 6.00 gal. /linear foot 600 gal./ 100' = 6.00 PRESSURE DISTRIBUTION NETWORK 1. Distribution pipe sizing: Lateral length 47.5' Lateral size 1 M 11 Lateral spacing NA" Sidewall separation 30" Hole size 1 4 Hole spacing 60" 1st hole at 30" from manifold) Holes per lateral 10 Dist. network discharge rate: 23.40 gal. /minute (2 laterals)(10 holes /lateral)(1.17gal /hole) 2. Manifold sizing: Location Center. Length NA" Diameter NA" 3. Force Main: Diameter 2" Length 30' Flow rate 23.40 gal. /min. Friction loss 0.33' (30 /100ft.) = 0.33 ft. 4. Total dynamic head: Min. supply pressure 2.50' Vertical lift 7.00' friction loss 0.33' Total dynamic head = 9.83' 5. Pump selection: Manufacturer Zoeller Model number 53 Discharge rate 34.0 Ggpm Q 9.83' TDH 6. Dose chamber: Manufacturer & capacity: Weeks concrete 800 gallon liquid depth 41.0" @ 19.5 gal. /inch (799.5 gal. actual) Sizing: A) One day holding capacity 21.00" = 409.50 gal. B) Alarm setting 2.00" = 39.00 gal. C) Dose volume + flow back 8.00" = 156.00 gal. (600gal. /4 doses per day) + (.164)(30') = 154.92 gal. min. D) Reserve storage 10.00" = 195.00 gal. TOTAL 41.0" = 799.50 gal. -� z A 6 Go t r4 LA O h e —n (A cok lbw a i� >L Page S Of 8 Cross Section Of A Mound Using A Trench For The Absorption Area o Medium Sand Fi l l � I F 6" To soi 1 S 4. J. = i.20' 3 E D Trench Of 'Z" - 2�" Aggregate, Plowed Layer 6" Below Pipe, Covered With D 00 Ft. Straw, Marsh Hay Or Synthetic Fabric E /.110 Ft. G /.00 Ft. F O Ft. H /. SO Ft. Plan View Of Mound Using A Trench For The Absorption Area Force Main � Distribution Pipe Permanent Markers Observation Pipe A o ---------- - - - - -- - - --- - - -- -- -- - - - --. W C B -� K I \ Trench Of - 2z" Aggregate f L — — A S.D Ft. I 13.0 Ft. K / /.D Ft. W ,25.0 Ft. B !/ v.0 Ft. J 7 .0 Ft. L 122.0 Ft. Paged Of Distribution Pipe Detail For Two Lateral Network Holes Located On Bottom Are Equally Spaced PVC Force Main End Cap 7 PVC Distribution Pipe P P X * Last Hole Should Be Next To End Cap P 176 Ft. Hole Diameter Y � Inch X tO Inches Lateral Diameter / %�, Inches) Y 60 Inches Force Main Diameter o2 Inches # Of Holes /Pipe Invert Elevation Of Laterals R2.20 Ft. PUMP CHAMBER CROSS SECTION A SPECIFICATIONS See ILHR 16.19 VENT CAP For Electric 4764 YoVEAIT WEATHER PKOOF APPROVED LOCKING -' 15' FRCM DOOR, JUNCTION BOX MANHOLE COVER WITH PADLOCK WINDOW OR FRESH 12 "MIU. AIR IAITAKE War Label GRADE I CONDUIT - 18 "MIN. lid LE T PROVIDE I -- - - -/ —� _T Approved Joint AIRTIGHT SEAL APPROVED JOIN A I APPROVED J0110TS I I I I I I ALARM B I II I I I ON C I r ✓. - 75. 20' PUMP — I � OFF - -� ` D See ILHR 83.15 CONCRETE BLOC for 3" bedding RISER EXIT PERMITTED GNL4 IF TAUK MANUFACTURER HAS SUCH APPROVAL SPEC-IFICATIOUS MANUFACTURER: Gy"i C' m 611;ee IJUM BER OF DOSES: 4 PER DAy SEPTIC TANK SIZE: 1 , o2co /Sy9.2 PUMP TANK SIZE: Y D 9 DOSE VOLUME M'sratAl m : GALLOAIS ALARM MANUFACTURER: S -J n ectro Systems CAPACITIES: A = 2.1. O FICHES OR oRSO GALLOUS MODEL NUMBER: 101 HW B= Z 0 INCHES OR 39 ce GALLOWS SWITCH TYPE Mercury // C= 8 .O INCHES OR /S�o.00 GALLONS PUMP MANUFACTURER: Zoe_aP� D= iD. D INCHES OR GALLONS MOUEL NUMBER: # 6.3 NOTE: PUMP AND ALARM ARE TO BE SWITCH TyFE:._.__ —Merc INSTALLED ON SEPARATE CIRCUITS ` PUMP DISCHARGE. RATE - ?3.510 GPM VEKTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 7.06 FEET + MINIMUM NETWORK SUPPLY PRESSURE , , , , , , , , . . . 2 FEET + 30 FE ET O FOR MAIN X /-•/O F YoF,F FICTIOU FACT OR.. o 0 . 3 3 FEET TOTAL DYNAMIC HEAD = ? P FEET INTERAIAL DIMEWSIONS OF TANK: LEAIGTH ;WIDTH ;LIQUID DEPTH / GALLONS PER T_NCN�gUC HEAD /CAPACITY CURVE >t =' EFFLUENT Ht DEWATERING TOTAL DYNAMIC HEADICAPACITY PER MINUTE sW J N ..L118] 1894163 1837a18S 186/4166 ISV4184 14974189 - n ET. M. GAL LM GAL ',LINE .�. GAL :LT R GAL LTR - i I GAL LTR GAL LTFt GAL LTR - . GAL LT1R GAL LTR GAL ".Ult 32 105 _ _ S 132 43 167 is 72 try: 13 ':412 106 :1401 N tlT : st 271 :`. Se 220: <. 1ss Nf: 155 ?M7 00 10 3.65 74 129 61 131 79 =299 100 ;f 771 N : 211 . : it 271 Se 129 148 W 151 572 _ - - 1S a 4.67 19 7g 4s 170.: 64 ' 242 91 0744:; w 227 w 227.. $4 220 142 177: 145 -H! 9S 20 6.10 25 93'< 36 176 82 S': 3101: 39 :227 w 227. 58 220 136 $15 140 2e - 25 ::7.62 a M 74 `:2S0 S7 216 S9 227 56 220 ': 128 111. 17] Sf07 90 - 70 .9:74 65 1'246 SS .206 S8 220 90 340 56 121 '4 a 127 '.:461'. 26- 40 12.19 46 Ali i 46 ', 112 :: SS 206 f'. 15 1" 54 220'1_ 105 .:797 114 `:111:'. $O 15.. 21 f w: 33 125::: S1 Ill: S8 219 S8 2200; 90 141 2a e0 w 1129 15 f7 ;' A 161 16 176 s'. $ 220.:1 71 75 70 21.34 30 114 '< 10 3,: St :99J 70 72 a6. 70 41e6 w 24:71 1a 63 < a5 170.:1: 26 fOf: I 90 27.47 72 I77:?i 2 s 24 <. 65 "G 100 70.41 21 .:s79 60 110 72.00 7 26 :: 1 40 :. > 18 Lac4 Valve: ISIS' 2T 26' S6' f6' 87' 72* 115' 91' HT ° +6 16 WARNING: Model 185/4185 should not be subjected to 50 less than 30 feet TDH. !•; :.i NOTE: For Head Capacity on Model 112, Industrial 1; 40 column- explosion proof pump, see FMO219. ]s las..fes ]o 1e9.41e9 1 , 2s 161 4161 IS NJ 1ee.alee s a2 a 5.7.55 1:21111 Ei S] s9 : ...:.:::.: .......:: Us GALLONS 10 ]D 10 SO w 70 kI w 700 110 120 >D la0 SO 16o SKB413 ° ...ROW PER MNUTE . 3s!' G . A m W SEWAGE & DEWATERING TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE 7s 12 SERIES 262 266 267 268 26214262 2W 29274292 2914297 29474294 295/4295 70 FT 14.: ; Gal. Lbx. C .%Ar8. G.I.:LV9? G.I. 1.69 Gal. L4}': Gat. L9n> Gal Lsfa Gal ll7s Gal. LAs WI. Ltp, 20 S S 1,�2> SO 741.;:128 '464 128 X484 128 4" 170 492- ISO 661:: 137 607; : - S% I42: 225 iSZ. 10 7.06; w e9 737 e9 ;737: 89 337 1a o 95 7w 138 691 116 439:: 161 665 205 775 15 4.6T: 22.5 16 SO '199 SO .199: SO .189 r3 In 135 611' too 376'1: 130 492 165 .;{25 183 7 09. 55 20 a w : 10 38 10 ': 38 1 10 .38 1 37 125 106 401 1 93 322: 1i9 459:- 150 ::4"l 168 6711 t6 g S0 25 '7d2 76 2lt: 66 290` 106 441. 1)6 .116 ii] 680 i 1a'. 4s 30 a 167' 46 174 90 740' 121 466 140 '.$70 u 40 26 9e SO tea: 94 356 115 473 z i ti - SO 13,24:'. Sa .220 89 777 ° 35 60 llui .1 13 19 59 227 o i ° 70 21.74': 25 95 - 7D lock Valve: 18' 2t5' 21.5' 21.5' a 795.4197 26' ]5' 39' SO' 62' 77' 75 6 20 WARNING: F should not be subjected to 7e7.7e7 less than 15 to 6 - 76 __ __ _.._ _.. 794..794 795.4795 03. U.S. WIDNS 10 201 10 40 _ SO w !0 eel !0 IDp 11.0 120 1770 140 50 Iw 701w79 700 llp� 770 7 140 2X7 76° llp ap 7V0 I7pp 3 ]� - ]]o ]. ]SO 7fAI 310 7401]90 4°o_ - I41D (RCOS' 0 56 7w 240 320 400 4ap + + i + 360 640' )20 800 ae0 460 lao 717p 1700 . 77110 1160 1 7320 FED- PER -Wit SK553 9 �0 ritCEIVEi2 it Wisconsin Department of Ind�r P E` / 3 Labor and Human Relations` •_ SOFA AND , E� L_U A T I O N REPORT Page of Division of Safety R Buildings, `%irC¢,fin acco + ' l ll_' 05,Wis. Adm. Cody +3'_ {�dfh F COUNTY ,� *I10 orf7(rF Attach complete site plan on piper-not less tha • 3, inches in size. Plan must include but �� GD,x not limited to vertical and horizontal refer,ptice . f t•'),direction and%of slope,scale or PARCEL I.D.# dimensioned,north arrow,and location°and-rlistrale to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: - PROPERTY LOCATION*O 0 A- 1 a GOVT.LOT (,. . 1/4 N _1/4,S-50 T LY ,N,R /8 E(alr)W) PROPERTY OWNER':S MAILING ADDRESS LOT# BLOCK I SUBD.NAME OR CSM# P,teT of -20 7s9 /o 3 , v sr f-f ' cs peti -- itom)6 s ,v,- /c CITY,STATE �� Jr- ZIP CODE PHONE NUMBER DUTY DVILLAGE WN NEAREST ROAD 4.3 ROBE yo 2.3 (7i5 ) Iv -3 3.S".-2 G(1/24,P,ez-Ai i?o q, /9 -e • [v/New Construction Use[yr Residential/Number of bedrooms y [ ] Addition to existing building [ I Replacement [ I Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate , S bed,gpd/ft2 . �i trench,gpd/ft2 Absorption area required 5 ' bed,ft2 57°42 trench,ft2 Maximum design loading rate , bed,gpd/ft2 •6_trench,gpd/ft2 Recommended infiltration surface elevation(s) SEA /61?,3 ft (as referred to site plan benchmark) Additional design I site considerations 5i7"-E _5-vi7'M/F a4.34/ Ca.(' ',''v vv Ty�4- 5`sre-.4-7 Parent material Si.. 7 F/PEE•04) — S/L 7 5 '/tee-grFlood plain elevation,if applicable yam¢ ft mv& ,//• S=Suitable for system CONVENT�II_ONALM9UND IN-GROUND PR SSURE AT-GRADE SYSTEM IN F .HOLDING TANK U=Unsuitable for system ❑S LqU W'S CI CIS ❑S EI U ❑S C ❑S SOIL. DESCRIPTION REPORT T Boring# Horizon Depth Dominant Color Mottles Structure z in. Texture Consistence Boutlary Roots Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Beded T Tr rench :;;::::/>?:: v /o a 3/2- Si/ 2 f S o s v� .s .6' � s / :." / o-/2- /L-3o /o y/e 3/lam ,/ 2-4/1 f✓,- 1„,f.P Gs / . s .6 Ground 3 30 ey 75 /�' /! r f. lv 5/ /74'fie PV.I' s" P /oP elev. _ . g0.70 ft. // .7S t/� �/Ca s yg 5/8 /5 / g /Nt._. - . 7 • Depth to limiting - factor ,, 30 OS Remarks: //°,P/ZO.tJ 3 - 5/ 74.01-d-.i/ f,vs G/tetr 7/44f 1 ,8,f/ /7`G�" Boring # ram< i n-/O /60 �34_ 5//. zf s,6,� rs g s /vf , 7 . CCCCCC-- { Z / - io yR 3/4 s// -2 4,1 ,ix- i ' s /1 .s .6 isms 3 Z,P.fa �5,,,� /' 1-4L'u-r- .� / fGround �$ l�i� 'hi(J�/ Q s p v o elev. s � Sye � SyR sip /s / L — R " . - ;7 • .e ft. Depth to limiting factor — S . Remarks: CST Name:—Please Print 13&P1— 4,/d4/,/ek 7- Phone: y/5_ 3/26 _�je.5-- Address: (y�—• 0 I e/G ien /7 apse,tJ eat .3-- D/6, ,-1f-11/ espy -91 z Signature: Pt WA Date: CST Number: ORIGINAL PROPERTY OWNER 1)63'3 AO t PSO1-) SOIL DESCRIPTION REPORT Page - of PARCEL I.D.1 O AGE CS M Depth Dominant Color Mottles Structure GPD/ft2 Boring# Horizon Texture Consistence Boundary Roots ::............ in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Tie��fi - I v-/3 /O/,e 3jz 5,/ z-f 51,,c- it 2 /3-/6 /a /,P 3/6 /7' s.,e r y -S S Ground 3 4 /O 3/- 5i f Z 6 ,fie CS / S elev. ft. ? -yd S �S / d: C'S _. Depth to / IQ 7 S �ie ��/ S �/R 5/S -S7 /T Sk 4i1 - , y -S limiting factor , ss5 Remarks: /T ),.f' -{ ,S - £'/ / w z /l/Af 5 7 S47 J 474rI,7 Boring # p 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: con enoni0 n�in1\ • 9 i • J Z k) V --Y- --)) N N. N. o O y r r m1 A ill • N S o N4' 1 • U3 Ae C '1 C L o p V\ , t‘A)" \ kiN N , ; N o� ki, o \ 4 b o`' M ° r 0 I , �1 N w m o `n p kiNc 0 yy U '�'1 I O d fi a\ v v i IN z - n1 dl , O 0 0 II^ 44 0 "•4-.5 T /040,E.e7-j/ G/-4" --_ -— `t ;'t 4' l' '1' ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer c` Ir Mailing Address 9/ k ; cJl � e- Po., Property Address A06 toile- (Verification required from Planning Department for new construction) -------g City/Stat N� � C' Parcel Identification Number 0 LEGAL DESCRIPTION Property Location %., A %., Sec. JO . T_4� N -R1 -W, Town of �Za&e4 Subdivision Lot $ Certified Survey Map # as8 // . Volume /D . Page # Warranty Deed # Volume . Page # Spec house 0 yes q no Lot lines identifiable., yes ❑ no SYSTEM MAINTENANCE Imptnwmc and maintrnanceof your septic systemeould result ih its prematame faffure to haadta wastes. Propa nub teoanm consists of pig Out dw septic tank every three years or sooner; if needed by a licensed pamper. ' What you put into the system can affect dw function, of the septic tank as a uutment stage is the waste disposal= system. Tile property owner agrees to submit to St. Crone Zoning Department a certification form, signed by the owner and by a masterplumbe4journeymanplumber, restrictedphanber or a licensedpamperverifying that (1) the on -site wastewaterdisposai systent is is proper operating condition and/or (2) after inspection and pamping.(if necessary), the septic-tankis less than 15 full of sludge. Uwe. tine undersigned have the above requirements and agree to maintain the private sewage disposal system with the standards set fork 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 tie three year expiration date. r 2MO.A-4 ( �- h � � / a / ?l SIGNANMIOF APPLICANT DATE . OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) imowledge. I (we) am (are) the owner(s) of the property descrriW above, by virtue of a warranty deed recorded in Register of Deeds Office. M 2 �- tA-dr J 4 / a V SIGNAIUREY OF APPLICANT DATE ssssss Any information that is mis represented may result in the sanitary permit being revoked by the Zoning Department. «sssss ss 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 06/92/98 10:25 FAX 16087842281 UNDERWRITING LAX HUDSON LPO Q002/002 J roua'jV NfAtt OAK Ur w13l.Ulv�u' rvaa>, 3 QUIT CLAIM DEED i DOCUMENT NO. REGISTER'S OFFICE ' j ST. CROIX CO., WI f Rear for nomad APR 2 8 1998 quit - claims to 3:00 P .�-1k fl,. -a Re for of Dhd. Ono described real estate in $ r C r o ; Y _ County, the fol lowutg � State of WwoDsin: TH SPAC RESERVED FOR RECORDING DATA 1 NAME AND RETURN ADDRGae ! I C f t fit.- c-,1 % j1 042 - 1082 -10 PARCEL IDENTIFICATION NUMBER i it I Part of NE1 /4 of NEl /4 of Section 30 -29 -18 described as follows: Lot 1 of Certified Survey Map filed October 26, 1994, in Vol. 11 , page 2835. TOGETHER WITH AND SUBJECT TO private road easement as described in Vol. 11 604 ", page 220. I� i1 f $ AN EE FED. This ; a n tom' homestead property. ft )x as not) i !� Dated this 7R h _ day of A.D., 19 (SEAL) (SEAL) ' fret hen Link jl (SEAL) �! (SEAL) f • ii AUTHENTICATION ACKNOWLEDGMENT 'I State of Wisconsin, I� Signatum(s) ss. � St.. Croix County I � Psrsonall came before me this 28th day of authenticated this day of , 19 Y the above named I ', FILED 522811 0 C T 2 G 1994 JAMES O'CONNELL Z Register of Deeds SL Croix Co., WI 0 CERTIFIED SURVEY MAP ` N , DONALD D. AND EDIE R. ANDERSON Part of the Northeast 114 of the Northeast 114 of Section 30, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin. 0 Indicates 1,, iron pipe found. O Indicates 1 x 24" iron pipe weighing 1.13 lbs. /lin. - b - Indicates fence. ft, set. R() Indicates previously recorded data. NE COR. SEC. 30, 729N, R 18W, (COUNTY SURVEYORS MON.) E 114 COR. SEC.30, 729N,R18W, (COUNTY SURVEYOR'S MON./ a UN T IE D LANDS 0 S 00. 3 1'00 "£ 2645.57' E LINE NE 114 332, 51, 648.73 1 .f.G 1444.31 ' b 6 6 , PRIVATE ROAD N 00 31 'Oo "W 648,.73' —T Owner's Address: EASEMENT REC. /N �/ /00 759 103rd St. VOL. 604, PAGE / Roberts, WI 54029 220, Doc. ROAD SETBACK LINE 36/093 N � o Q 3 e m W m o 0 O h l h / 3 3 H ,ems V Q O h m Q k Zt 7 W Q W Q ^ ~ J 8 ~ Q Q O N O .y v y Q o \ N Q v �^ b A O l y h Q� � Qj g 4i h ^ q 4 ) r.j ` h h O N V 3 tv in J W a M O J W O gn ``` c NS OCT 1 This instrument drafted by Laurence W. Murphy a �, • ••••• •�� ? � J `LAU N m W R y • cc 1713 c N . RIV FALLS, J � F IHC. , ••' • • N oo • •• LAND • s,,,,,,�. /2 46 W 648. 73 ,' ,11111 /1�1�� . 7 .4 � vt 60c. CERTIFIED SURVEY MAP DONALD D. AND EDIE R. ANDERSON Part of the Northeast 114 of the Northeast 114 of Section 30, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin. Description: That certain parcel of land located in the Northeast 114 of the Northeast 114 of Section 30, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, more fully described as follows;. Commencing at the Northeast corner of Section 30, thence S 00 31'00 11 E (assumed bearing an the East line of the Northeast 114 of said Section 30) a distance of 552.51' (recorded as 553.32 to the POINT OF BEGINNING, of the parcel to be herein described; thence continue S 00 "E 648.75' on said line; thence N 89 16'00' 1311.18 thence N 00 "W 648,75'; thence S 89 "E 1307.7¢' (recorded as S 890 12'00"E) to the POINT OF BEGINNING, containing 19.498 acres, being subject to easement over the Easterly 66.00' thereof for ingress and egress, for the benefit of the grantor, his heirs or assigns and also the above described parcel including an easement being 66.00' in width and described in that warranty deed recorded In Vol. 604, Page 220, Doc. No. 361093 of St. Croix County Records for ingress and egress and also being subject to easements of record. Note: The parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate town board for advice. State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, Donald D. and Edie R. Anderson, I have surveyed and divided the lands Shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description. a true and correct representation thereof. This instrument drafted by Laurence W. Murphy Dated: August 23, 1994 ,` ,��IIIIIIIfIf� y,,, 'Revised this 26th day of October, 1994." `vv\SC•,••O.NS /',',,�� LAUR NC •. • • F o • 13 a. S •'. RIVE AILS OCT 2 5''.91[! wlsc. , •w %\