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HomeMy WebLinkAbout192-1030-50-100 �o p e 0.p 0 M '� 4 0 � I o I 0 N O ti O � N C C a I U C �T y N 0_ N C Z N L @ L lL C O U1 C L (D Q O � m I � y a F z IIII a m o I 0 i - (D z o N H r Z m .004 L o o Q z z N z N .. d C co r1 ° E C N L L U a H n a o o 'I ai D D a N bap z� >° 6ol 0 J •� d a d Z a � 0 o to x U) fA J V m rn rn } _ N c o o �o E c m y c a. N M N O o 0 9 07 Q 1' (n f6 v O O_ > ° V! C O O E O ° 0 3 > O C C C a 0 1 ` N Y ° c€ m c o � ~ N N i2 C O 0 O f0 t6 L M J CM O Z N Z fn O � 2 d I V a EL . a v .� L: a d r� a> E Cc o Parcel #: 192 - 1030 -50 -100 10/11/2006 11:32 AM PAGE 1 OF 1 Alt. Parcel #: 35.29.16.301B-10 192 - VILLAGE OF WOODVILLE Current 1 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 ANDREW P & MOLLY M LINDUS O - LINDUS, ANDREW P & MOLLY M 720 ROSENLUND ST WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 720 ROSENLUND ST SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 5.070 Plat: 4621 -CSM 17 -4621 192/03 SEC 35 T29N R16W PT NW SW PT OL 70 & PT Block/Condo Bldg: LOT 01 CSM 3/860 NKA CSM 17 -4621 LOT 1 (5.070AC) VIL WOODVILLE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 35- 29N -16W NW SW Notes: Parcel History: Date Doc # Vol /Page Type 10/30/2003 745195 2446/014 WD 10/30/2003 745194 2446/012 AFFAD 09/29/2003 741778 17/4621 CSM 07/23/1997 788/569 more... 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.070 51,000 183,200 234,200 NO Totals for 2006: General Property 5.070 51,000 183,200 234,200 Woodland 0.000 0 0 Totals for 2005: General Property 5.070 51,000 183,200 234,200 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 #: 192 - 1030 -60 -050 10/11/2006 11:31 AM " PAGE IOF1 Alt. Parcel #: 35.29.16.301 B -05 192 - VILLAGE OF WOODVILLE Current XI ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-owner O - LINDUS, KEVIN & EMILY KEVIN & EMILY LINDUS 2148 MAIER CT LUCK WI 54853 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 1.000 Plat: N/A -NOT AVAILABLE SEC 35 T29N R16W PT NW SW PT OF OL Block/Condo Bldg: 70(1A)LOT 1 OF CSM 3/860 EXC CSM 17 -4621 VIL WOODVILLE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 35- 29N -16W NW SW Notes: Parcel History: Date Doc # Vol /Page Type 10/30/2003 745194 2446/012 AFFAD 09/29/2003 741778 17/4621 CSM 07/23/1997 1066/221 WD 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason PRODUCTIVE FORST LANDS G6 1.000 2,000 0 2,000 NO Totals for 2006: General Property 1.000 2,000 0 2,000 Woodland 0.000 0 0 Totals for 2005: General Property 1.000 200 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 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner c L Address `7.10 QoS Jvn fi 57 City /State w000 ✓, Ile S'/o,�;� �qvNG op Legal Description: -- Lot Block Subdivision/CSM # V ��(4 e, '/, n ' /,, Sec., T 2cj N -R Je W, Town of PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: �o� Tank manufacturer Pra Size ST/PC /ZV / 8'00 Setback from: House Well Y@_ P/L / PIG ' Pump manufacturer Model 13 7 Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: r'!'lOU/1® S Y, Width S Length iOO Number of Trenches ! Setback from: House / /0 ' Well / : P/L po ' Vent to fresh air intake ELEVATIONS Description of benchmark S P, Kc 36" �ior�c G r � .�n n y" �, t -(1r,c Elevation iOO 1 Description of alternate benchmark Elevation Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom AE d 9 Header/Manifold �,Y / 7 Top of ST/PC Manhole Cover `f'f, Af Distribution Lines O �'/ f 7 ( ) ( ) Bottom of System V 2'a S ( ) ( ) Final Grade ( ) q9_6- ( ) ( ) Date of installation tat Permit number 3 e plan number 7 Plumber's signature ense number l / Date 2E Inspector Complete plot plan Or Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT ST. CROIX r GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary, ermitN Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ❑ Cit ❑❑ Villa e Town of: State Plan ID No.: LINDUS, KEVIN WO6&ILLE CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel T � x -ND.: 0-60-000 TANK INFORMA ELEVATION DATA A9800236 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic /J1,!. 1 Benchmark Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet TANK SETBACK INFORMATION St /Ht Outlet TANKTO P/L WELL BLDG. Air to I ntake ROAD Dt Inlet Air Septic NA Dt Bottom Dosing NA Header/ Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer t / Demand , Model Number ') GPM TDH Lift Friction System TDH Ft Forcemain Length )411) ' Dia. n. 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 Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) / x Hole Size x Hole Spacing Vent To Air Intake Length Dia_ Length v Dia. � y 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: VLG OF WOODVILLE 36.29.16,NW,SW 720 ROSENLUND STREET / Plan revision required? ❑ Yes ❑ No Use other side for additional information. ' SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. V is consin ' SANITARY PERMIT APPLICATION 01 E ��i� Division 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. • See reverse side for instructions for completing this application . State sanitary Permit Number The information ou provide may be used b other government agency p Y P Y Y 9 9 Y P 9 E] Check if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Ian I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Pro y Owner Name Property Location N, R �� E (or) W -e. fJ -c n 'C. �' s )141/4 Sj 1/4, S ,3,G T z , Property Owner's Mailing Address Lot Number Block Number O City, State • Zi Code Phone Number Subdivision Name or CSM Number 00 Ue L w ` S 4 o;X ( Zr so II. TYPE B ILDIN : (check one) ❑ State Owned ° y / Near st Road /f Cj Public 1 or 2 Family Dwelling - No. of bedrooms Town OF ®O � �i ��54 / III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo ta / I © 3o — 44� D 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. ❑ 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 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 0 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 S. Perc. Rate 6. System Elev. 7. Final Grade l OD Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation h —©© , 7 Feet 5 1 VFeet Ca acit VII TANK in gallons Total # of Prefab. Site Fiber plastic Exper. INFORMATION Gallons Tanks Manufacturers Name concrete Con Steel lass App. New Existin structed g Tanks Tanks Septic Tank or Holding Tank Q Q Q Q Q Lift Pump Tank /Siphon Chamber fl El 11:11 El I El I El VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's gnat re: (No Stamps) MP /MPRSW No.: Business Phone Number: 414-411's I Plumber's Ad ess (Street, City, St Zip Code : IX. COUNTY / DEPARTMENT USE ONLY ❑Disapproved Sanitary Permit Fee (includes Groundwater F�e ss ue IssuingAg t Approved ❑Owner Given Initial surthargeFee) Adverse Determination �� X. CONDIT NS OF APPROVAL / REASONS FOR DISAP SBD -6398 (R t tom) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, plumber Safety and Buildings A PO BOX 7162 - MADISON WI 53707 -7162 sc o /' � SII /'� I Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary May 12, 1998 CUST ID No.267341 ATTIC• POWTS INSPECTORS r CO WEGERER SOIL TESTING & DESIGN 421 N MAIN ST PO BOX 74 ---{{ or l S RIVER FALLS WI 54022 CO RE: CONDITIONAL APPROVAL Transaction ID No. 79808 GoF ✓ APPROVAL EXPIRES: 05/12/2000 , SITE: Site ID: 7624 ST CROIX County, Village of WOODVILLE NWl /4, SW1 /4, S36, T29N, R16W KEVIN LINDUS FOR: Description: MOUND Object Type: POWT System Regulated Object ID No.: 18720 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 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. ;Sinc;, erly DATE RECEIVED 05/11/1998 FEE REQUIRED $ 180.00 MES B QUINLAN , FEE RECEIVED $ 180.00 Integrated Services BALANCE DUE $ 0.00 (608)266 -3937 Page 1 of 6 • MOUND SYSTEM A FOR Ajq y , V FO BEDROOM RESIDENCE �4F > >g98 LOCATED IN THE NW 1 /4 OF THE SW 1/4 OF SECTION 3b , T Z°L N, R W, - OF ST- C \ZOL)C COUNTY, WISCONSIN. v INDEX PAGE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR '��v 1 N l ti tw s Co�id tionailY z0 EM �\J �-;ID ST. APPROVED IvUU1>V1LL` '�I 5�02� DEPARTMENT OF COIJ)AERCE f VISION OF SAFETY AND P11LDINGS SEE CORRESPONDENCE PREPARED BY WEGEE:;t EF� !S I I TEST I IhIG AND sc I3 F.O. BRI 74 421 K. MIK ST. J s ARTHUR L, w j R RIVES? F MI 54022 WE EFF 2 0 -s,5 w we c 4' i HiLSNORTH, 715 4c.r --016� eir ' � i o., srcl; a JOB NO_ 98 PLOT PLAN • Page of � Scale 1"=\40 ' J_J J v KO A_ ton � C'Z-96 q a.3 1 LA Bo't m of je �- Oo ►-� ��' co ►� Pi�C -�' OR (lb a , outi�,� Wz N-Qk Co I N I � . N1ovNu Lo �ncy� S�TcN f` NOTES -1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. tank to be\% Ikw3 gallon capacity manufactured by 5. Bench Mark SEIE� ft' WF. - 6. Divert surface water around system to prevent ponding at the uphill side. Page �Of 6 Appkoved Synthetic Covering sT►-t C �� Distribution Pipe Medium Sand Topsoil F Elev - . 0 1 - 1. 0 3 E , „ b % Slope Force Moin Plowed Trench of 2 " -2 From Pump Layer Aggregate Undisturbed D 1. o Ft. Soil E 1 - Ft. Cross Section Of A Mound System Using F o • 8 Ft. I Trench For The Absorption Area G N.a Ft. A S Ft. H I• S Ft. 6 \bo Ft. I 1Z Ft. Linear Loading Rate= 6,0 GPD /LN FT J g Ft. Design Loading Rate = b.3 S GPD /SQ FT K Ft. L Ft. A terna 114 + i on of P eree - Mai n W ZS Ft. L Force Main — A . --- - - - - -- - - -- _ - - -- _ - -- � � oPFoSI'�'F ETJP. W Distribution \ Trench Of Pipe Aggregate I Observation Permanent 1 Markers Pipes (anchor securely) Mound Using I Trench For Absorption Area Page Ll Of Perforated Pipe Detoll 0 End View Perforated d End Cop,) b\`.I' PVC Pipe Install permanent at end of each lateral Holes Located On Bottom, Are Equally spaced Q End Cop P * 1 * PVC Force Main Distribution Pipe Lost Hole Should Be Next To End Cap Distribution Pipe p Layout P q Ft. X 14 Z Inches Y 4 Z Inches Hole Diameter y Inch Lateral Inch(es) Manifold Inches Force Main " Z Inches # of holes /pipe � y Invert Elevation of Laterals On.SO Place 1st hole 2-I 14 from tee with succeeding holes at 4 t, intervals. Last hole to be next to the end cap. Combination Septic;Tank and PUMP CHAMBER CROSS SECTION ARID SPECIFICATIOUS ' PAGE S OF (� VEIJT CAP WEATHER PROOF JUIJCTIOAI BOX 4'C.I. VENT JW. APPROVED LOCKING X 10' FROM MAIJIiOLE COVER --xv .JINDOW OR F WRRIJIwa LNSEL. A�tuTAKE cor ( i s tj 6 6 %r,iN, GW► I Y� MIM. Al ^� I 18' MI AI, . 1 1� y�1IJS��cho►J PIPC PROVIDE I — --- IlJLE T AIRTIGHT SEAL . � II v APPROVED JOIAIT �gFFLC A I I I I APPROVED JOIWT: I I � W /C.I. PIPEf"c W /C.I. PIFF N Tank construction I II ALARM shall comply with I 1 ILHR ()3.15 and 83.20 a I I I I I ow C I 8 s. b� LLEY FT PUMP � � OFF D COIJCRETE BLOCK 3" APPRfl+c'. RISER EXIT PERMITTED C1IJLy IF TAIJK MANUFACTURER HAS SUCH APPROVAL SfEDDINr. SEPTIC f SPEGIFICATIOUS DOSE "M by 1e`� P \2�c� IJUMISER OF DOSES: 3 PER DAB TLN►C MAIJUFACTURCR: TAWK :,IZC : �Z�� / Boo GALLOAJS DOSE VOLUME z ALARM MAUU FACT URG.IZ: S.S ��- ` � 1 S IMCLUDIM& 5ACKFLOW: _ C L GALLONS MODEL MUMBER: lUl ��W CAPACITIES: A= 1� I I Z INCHES OR 1' - � GALLOWS SWITCH TYPE: �� B = Z IULHES`OR \ • I Z-' 1 G(LLOAIS PUMP MANUFACTURER: Z.-otu _k:�YZ C - I I Z I N CHES OR GALLOU5 MODEL DUMBER: j1 D - INCHES OR 16 GALLOWS 1�e1ZCUR -�/ IJOTE: PUMP AND ALARM RE TO 15L I , SWITCH TYPE: , MIMIMUM DISCKARGE RATE 3Z IO GPM INSTALLED OW 5EPARATE CIRCUITS VERTICAL DIFFERENCE DETWCEU PUMP OFF AUD.DISTRIBUTIOIJ PIPE.. "• t6-s FEET + mimimUM METWORK SUPPLY PRESSURE , , , . .. . . . . 2 FEET + ��S F E E T OF FORCE MAIN X Z`�l) FYorr.FKICTION FACTOR— Z�_ FEET TOTAL OyWAMIG HEAD = „ ZZ FEET Pump chamber DIAMETER NJTERIJAL DIMEW510 OF TAUK: LELIGTH - ;WIDTH ;LIQUID DEPTH 3gu BOTTOM AREA - 231= _ GAL /INCH AS PER MANUFACTURER = 21. OS GAL /INCH 4 13/16 7 7/16 � G Or- W W HEAD CAPACITY CURVE MODELS 137/139 t- 6 1/e MODELS 137/139 Ft. Meters Gal. Ltts. o a 5 1.52 93 352 o o f L 13/15 25 - 10 3.05 79 299 _ -J 0 ° 15 4.57 64 242 0 x 6 20 V 20 6.10 36 136 0 , 1/2 - 11 112 NPT `� 25 7.62 8 30 0 15 4 ,o 137,139 30 9.14 l o Lock Valve: 26 ft. 2 s I 13 0 U.S. GALLONS 10 20 30 40 50 60 70 80 9C 100 110 .r LITERS 80 160 240 320 400 0 FLOW PER MINUTE r SK373 009921 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 200/208V, 230V or 460V. • Variable level control switches are available for controlling single and three • Electrical alternators, for duplex systems, are available and supplied with phase systems. an alarm. • Double piggyback variable level float switches are available for variable • Mechanical alternators, for duplex systems, are available with or without level long cycle controls. alarm switches. • Over 130 °F. (54 °C.) special quotation required. • Combination starters are available for 3 phase pumps. • Refer to FMO806 for 200° F. applications. • Control alarm systems are available for 1 phase pumps. 137 - , s - SELECTION GLIDE Single Seal Control Selection Listings 1. Integral float operated 2 pole mechanical switch, no external control required. Model Volts -Ph Mode I Amps ! Simplex Duplex CSA UL M137/139 115 1 Auto 10.7 1 or 1 & 8 Y Y 2. Single piggyback variable level float switch or double piggyback variable level N137/139 115 1 Non 10.7 2 or 2 & 7 3 o 5 & 6 Y Y float switch. Refer to FM0447. BN137 115 1 Auto I 10] Y Y 3. Mechanical alternator M - Pak 10 - 0072 or 10 - 0075. Refer to FM0495 D137/139 230 1 Auto I 5. 1 or 1& 8 1 -- Y Y E1371139 230 1 Non 5.8 2 or 2 & 7 1 3 or 5 & 6 Y Y 4. Combination Starter. Refer to FM0514. H137/139 200 - 208 1 Auto 6.2 1 & 8 ! _ Y N 5. See FM0712 for correct model of Electrical Alternator E - Pak. 1137/139 200 -208 1 Non 6.2 2& 7 3 or 5& 6 Y N 6. Variable level control switch 10.0225 used as a control activator, specify duplex J137/139 200.208 3 Non 2.6 1 2&4 ! 3 &4 or 5 &6 Y Y ' F137/139 230 3 Non 2.6 2&4 3 &4 or 5 &6 Y Y (3) or (4) float system. G137 460 3 1 Non 1.4 ! 2 &4 3 &4 or 5&6 N N 7. Four (4) hole J junction box, for watertight connection for hardaviredsimplex ' G139 460 3 Non 1.4 1 2&4 3 &4 or 5 &6 N N operation, 10 -0002. No molded plug "Single piggyback switch included. 8. Two (2) hole J -Pak, for Watertight hardwired Pconnection or splice. 10.0003. Pumps must be operated in upright position. CAUTION Three phase units require a control switch to operate an external magnefic or combination starter. All installation of controls, protection devices and wiring should be done by For information on addltionat Zoeller products refer to catalog on Combination starter, FMO514; a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the PiggybadkVariableLevelFbatSwitches, FM0477: EIectricalAltemator ,FM0486;MechanicalAltema- Occupational Safety and Health Act (OSHA!. tor, FM0495; Alarm Package, FM0732: and Sump /Sewage Basins, FMO487. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Louisville, KY 40256-0347 Manufacturers of. . Z g 0����� SHIP TO. 3649 Cane Run Road lf Louisville, KY 40211 -1961 Qicaurr �UMPS SNCE /U4J M PL/M l0. (502) 778 - 2731.1(800) 928 -PUMP FAX (502) 774 -3624 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page N of ? Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ' s c.�tx Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to vertical and horizontal re ), i and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location c „ r \ 03 Z - S O APPLICANT INFO RMATION -PLE INT AWNFO N REVIEWED BY DATE PROPERTY OWNER: ICU 1 PROPERTY LOCATION YCEV l tJ .11JbV S I . - P, tW 1/4 Sw 1/4,S 7 (C T Z 9 N,R I.6 E (or� PROPERTY OWNER':S MAILING ADDRE r LOT # BLOCK # SUBD. NAME OR CSM # - 7ZO �OSENLU 5T'. vi ;,,lr, i L� �1SS�5SU�1S P1,1}� b!= tLJ00flVtllt` CITY, STATE ZI %VOWER ❑CITY WLLAGE [ NEAREST ROAD Webw���L W I Sy 9M? -9`�h$ woow���� t2oSeJtu�j'b ST. 3 % 1W OIL jDa O New Construction Use Residenti r f dt y [ ] Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow b no gpd Recommended design loading rate bed, g pd/ft 2 o - 3 S trench, gpd/ft Absorption area required Soo bed, ft Sub trench, ft Maximum design loading rate 1 3.5 bed, gpd /ft 0. �o trench, gpd /ft Recommended infiltration surface elevation(s) q"'1. Cs" ft (as referred to site plan benchmark) Additional design / site considerations REtZ M 1'16^4) "%)J _& w/ S 'x 1u p' CH , " I W . \' O1= SAX-it FI ILL. Parent material Tt u_ Flood plain elevation, if applicable N H ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem EIS IRI U ®S ❑ U I EIS N U ❑ S O U ❑ S ®U EIS EWU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouxry Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed renal Z `F S b W i\. CL, - O. S Q.`6 Z of - k`I \b` 3/L S1) Z e S�k 1+t �1^ C S 0.S o. Ground 3 V1 -39 - 7)• S 1 _1R_ 3 / — g r Z c k CK, _ 0 5 U. b elev. CZ �•S tt2S rt �[.8ft. 39 -S'� �.S `7R ys 6i SC_ Depth to y S limiting factor 19 ' Remarks: Boring # 313 cS Z'< $ -l s/y St) Z�S w►T� S v. b n -Z 4 - )• S y lz 31 e S o.s v. 6 Ground elev. y IV -so 7 . S 1 1 2 31 y C g I , S T S 18 S Q_ 'i - c) It. - 7 ft. Depth to limiting factor Z y w Remarks: CST Name: — Please Print Arthur L. W e e r e r Phone 715-425-0165 egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022 Signature: Date: CST Number: PLOT PLAN Page 3 of 3 SCALE 1 "= yp ' IDO $ y o g.3 a! 4 � 1 �D-c. oF —O % 30 ` tlt8ol>E GMW� ZLO►gB T lzz X � �a� l.v►.� g T- J taws E oC•�� MO0576 (715 ) 4.5 -�1f,5 _ MO 0576 CST Signature Date Signed Telephone No. CST # ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM r n Owncr/I3uyer Mailing Address ,2 ��s . L v n e/ ST Property Address �� h 1 (Verification required frond Planning Department for new construction) -/ r t•f�lS Ciity/State e o C y , L Parcel Identification Number _ _ c ! / SO - C3 LEGAL DESCRIPTION 11 , Property Location W %<, •S �cI % S 34(, T2 -R l i� W, Town of w m o C/O i p Subdivision Lot # - Certified Satvey Map # y Volume _ —3 . Wage # . Wzmtnty Deed # -T 3 L/ © D Volume 6 . Page # Spec house ❑ ycs ❑ no Lot lines identifiAle. yes ❑. no SYS'I'F. i MANCE Impeoperwemd Ofyroarscp6csyd=oonldtesaltmitSj tohaadlewasta-proper— c=sists of =q ing oat the septic tank curry&= yeas ac soonc4 if needed by a licensed p=4= What y'om put.ido ft systc= can affect tiro fuactioa of the septic taa: tnameat stage in the vrastedu _ pos�altysbetu. Tim PAY owtur agxccs to sdmrt to St. Gm& Zaakg D i oafication form. stacd fey Me ow and by a =stcrP ]mmY=mP testddodpiumberora hc= xdp= perv= fMgt5at( I) theensueiaastewater &gx)sdsystem LS in PrOPec 0 Pcmtw9 condition and/or (2) after uispoction and pampmg acocssary), the septic.tanlcis I= dm Ili full of dodge. Uwe. the Mdcutmed have read the above wqd=mcnft and AV= to maiattin &c private sewage disposal syd= whit Iha standards . s# fodk hetciu gas set by dw Depztt�c Of C=m= and the Department of Natural R,csormocs. State of Wiwoesin.- Cer ficafion that Y= septic system has bommakbhledmust be eompleledand rctumod to the St. Qvix.Couaty Zoning Office within 30 day�o the time lion c SicirrATtiRE APPLICANT DATE OWNER, AT TON I (We) "Y sta on this four are true to the best of my (oar) Imovrledge. I (we) am (arc) the owncr(s) of the FTedy My by of a deed monrdod in R warexary egistcr of Dodds Office. GNA F APPI;ICANT DATE s «« « «« Any infonmation that is misArprrscated may tcv* in the sanitary pcamt bring rceoked by the Zoning Department. `•' • • • ss Indade with th[s application: a stampod warranty deed from the Register of Deeds office a copy of the eectitiod eurvcy map if rcf=nce is made in the warranty deed DOCUMENT NO. WARRAN" DEED THIS SPACE RESERVED FOR RECOR01.4 D ATA STATE BAR OF WISCONSIX FORM 2-1982 wo I Or" REGIST SM00 S OFFlc— EER ST. CROIX Co., � Mildred ..... T . . ... SMitt P--C rnr PsM. ...... -------- - --- -- ----------------- ---- — ------------ ------- ........ .... .... I ................................ .............................. ... .....•.•........... FE8 2 4 1994 ........................................................ ............... ............................ ....... ....... ............... ............. ....... ............................. - ----------------------- at 12:05 P. M conveys and warrants to --- Kevin Lindus and - --- --------- ---- ... and ... v i f.e.- -hold ing. as .. s.urvivors-hip .......... ................... .................... ... ___ .....•.• .• .... j, .... .. .... ............... ......... ............. ­ ........... ............... -------------- .............. . . ................... .......................................... ................... . . .................. ........... .. ... .................................. ----- --------- ------ ----- -- RETURN TO --------- ---- -- ........................... ------ .............. ------- - ---------- ----- ------------ . ..... . ....................................... ....... -----­-- -- -- --­ --- --- ----------- - the following described real estate in it --- — ----------- County, State of Wisconsin: Tax Parcel No .............................. Part of the Northwest Quarter of the Southwest Quarter (NWk of SWk) of Section Thirty-six (36), Township Twenty-nine (29) North, Range Sixteen (16) West, Village of Woodville, County of St. Croix, State of Wisconsin, described in Volume 3 of Certified Survey Maps, page 860, as Certified Survey No. 860. �,3 This --- i-S-D-Ot homestead property. Xk*. (is not) Exception to warranties: Easements and restrictions of record. Listed this .................... ........... ------ day of 19_94. .................... ............... ------- (SEAL) - ----- ... ........ SEAL) Mildred T. Smith ....... ................................... . ....... ----------- ------------- -------------------------------- ------- (SEAL) ----- - ------ -------------- ........... ........... .... .. ­ ... (SEAL) --------------- ---------------------------------------- - -- --------------------------------- - - --- ------ -- - AUTHENTICATION ACKNOWLEDGMENT Signature(s) ........ .................. - ---_----_-_--------------- STATE OF WISCONSIN --------------------------------------------------------------------------- --_-------- Ciinty. I as' Personally came before me -----­------- 1 19 ...... r this --- ....... da 0' I --------_ ---- 19-94 the above nam,_ v ge.3ty`' CERTIFIED SURVEY MAP Part of the Northwest 1/4 of the Southwest 1/4 of Section 36, Town 29 North, Range 15 West, Village of Woodville, County of St. Croix, State of Wisconsin, described in Volume 3 of Certified Survey Maps, page L as Certified Survey No. !0- 6 t : W 1/4 C R. ; C. S.M. 798 SEC. 361 : .. • ..... • . 8 •BOUNDARY.. ROAD - _ S•86o 29' 117.0 O.B. R I, 6•- '33.06'';N� S. S 86° 2944 ° E Z: a,�/s & N OO 145.00' ............. CA PO Nj o 0 BEARING REFERENCE TO THE WEST LINE OF SEC. Y" 36 T29N,R16W. ASSUMED ;C 4�.L_ 9 J BEARING. S00 "E :z SCALE I " =60' •D ;-�i { ( A�� !C��tLL 0 30 60 120: 20.' i1 0 I00 ACRES* g o "Ots PO �, ' SET 3/4 "x3o' ROUND IRON :D °° m :D ROD WEIGHING 1.502 LB/LF . :� yG(gy,s �� .Z1 ti '. M S sit S-1345 i. . (" X 6'0 1 4 5 0 14, 145.00' N86 W #ones ,UNPLATTED •. LANDS I, THOMAS G. KUESTER, Registered Land Surveyor, hereby certify that I have surveyed divided and mapped a part of the NW 1/4 of the SW 1/4 of Section 36, T29N, R16W, Village of Woodville, County of St. Croix, State of Wisconsin, more particularly described as follows: Commencing at the West 1/4 corner of Said Section 36; Thence S. 86 29' 44" E., 117.06 feet, to the point of beginning; Thence continuing S. 86 29' 44" E., 145.00 feet; Thence S. 00 04' 58" E., 300.41 feet; Thence N. 86 29' 44" W., 145.00 feet; Thence N. 00 04' 58" W., 300.41 feet, to the point of beginning. Said parcel contains 1.00 acres, more or less. That I have made such survey, land division and plat by the direction of William