HomeMy WebLinkAbout042-1057-20-425 (3)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)],
Permit Holder's Name:
City Village Township
KEITH B & CHRISTINA E BAUER
TOWN OF WARREN
CST BM Elev: /
� 0 � . C)
Insp. BM Elev:
I to t.0' I
BM Description: �5—(
± n MQ,�- " , A /A_
6j
TYPE
MANUFACTURER
CAPACITY
Septic
Dosin
Aeration
Holdin
TANK SETBACK INFORMATION
TANK TO
P/L
WELL
BLDG.
Vent to Air Intake
ROAD
Septic
_
l5
Dosin
Aer�err
Hold1 g
PUMP/SIPHON INFORMATION
Manufacturer
=TGP
emand
Model Numb
TDH
Lift
Fri i n s
System Head
TDH F
Forcemain
L gth
Dia.
:t
to Well
SOIL ABSORPTION SYSTEM
ELEVATION DATA
County: St. Croix
Sanitary Permit No:
651312
State Plan ID No:
Parcel Tax No:
042-1057-20-425
Section/Town/Range/Map No:
20.29.18.319A-45
STATION
BS
HI
FS
ELEV.
Benchmark
Alt. BM
Bldg. Sewer
- n
St/Ht Inlet
St/Ht Outlet
l�•7-4
7&.33'
Dt Inlet
Dt Bottom
Header/Man.
Dist. Pipe
�
Bot. System
15.9
f
Final Grade
# r�
St Cover
TREN H
Width
Length
No. Of Trenches
PIT DIMENSIONS
No. Of Pits
Inside Dia.
Liquid Depth
DIM ONS
1
Z
SETBACK
SYSTEM TO
P/L
BLDG
WELL LAKE/STREAM
LEACHING
Manufactu r:
INFORMATION
CHAMBER OR
Type Of System:
1qq
> � pp
UNIT
Model Nu ber:
t o vi---
DISTRIBUTION SYSTEM
Header/Manifold
Distribution
x Hole Size
x Hole Spacing
Vent to Air Intake
Length Dia
Pie
Length Dia Spacing
a
-\ �
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 discrepencies, persons present, etc.) Inspection #1: 1°/2,,/2023 Inspection #2:
Location: 816 106TH ST
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
49__�
3M
Plan revision Required? ElYes �4 No 0
Use other side for additional information.
Date Insepctor's Signature Cert. No.
SBD-671 (R.3/97) ,. cot
Q-�ko
� � Q �s S
Khuhi V h1i
industry Services Division
A 09/12/2023 1400 E. Washington ve
S . Box 716 O2
Paid via Ascent P.-7162
Madison, Wi 53707
#31275
S atare Perm 1 t A I i c at i o n
In accordance with SPS .383.21(2). is. Adm. Code, -,u hril i,;-;ior fir this romi lo the arproprialc too Iverr-nieni,,il unit
is required prior to obtainin a �an i I ar� perm it, Nate' A pi I IL'.-, I I is %I I t o rms for s t ate -ownc d 110 w I 'Is arc �,t �b in i tted to
r -,C I0 r SCQk n a-rV
the Departmcni. of Sal cm. and Protessional Services. Per-�miul intOrm ition you provide nia. N Lis J d
purposes in accordance tIle privacv I 5.0-4(ULT-11) - sta.�ts�
Informtion Please PrintAll Information
A
11 ro pe ri y O%k ne r's Name
K 61111 &. (:I iristin a Bauer
prop Q rt v n e r',, M ai I in & Address
I
0 1 oO' Sti ect
City, State
Roberts, WI
n. 'fype of Building check all that apply)
I or 2 J-jjaml� L)"clllng - Number oftkdrooms
[-1 Pub] ic/Comniemial - Describe Use
0 State Owned - Dcscribe Use
C q
ouffiy SAN-2023-244
St- Croix.
Saniumv Permit Numba (to be filled in by Co.)
. lo!51 3 1 Z
State Transaction Num
Project A ddre ss (I 1w d I 11-Clre iii than mailing address)
8 1 u [ Q 60, Street
llmcel i r
042-1057-20425
Piropcny Location
Govt. Lot
' 'A, Section 20
Zip Code Phone Nunibcr SW '/4, S11- 54023 circle one)
T 9N R 18 E o
Lot #
9
Block #
CSM Number
Y1 17-582
,
1. 'I'ype of Perm it. _ACile iet� line 8 if appliclible)
SAkQnly one box on line A. Com
A70 New tem (1�e P I acement S V-Stem T re atment/Holdie g Tank Rep] acermn t OnlY
Sxs0
Subdivision Name
C—
city of
Village of
I own of W arren
[] Other Modi rication to Existing System (explain)
F1, perri-ilt. Renewal El Permit Revision Change of Permit Transfer to New List Previous Pe rm i ( N Ll m ho r and DWe Issued
B. -ne"
LiJore Expirati IN umber Owner 430145.. 7/11 121R13
L i 70n
P of POWTS stem/Component/Dev ice: (Check all that apply) 2) 3'K % =25? e?-
51 on-ftessurilied I n-0) round [3 Pressurized In -Ground Ai-( Trade EJ Mound :, 24 lrl. Ot"iLlitable N-Oil Mound < 24 in. of suitable soil
Holding Tank E:1 Other Dispersal Corn, ponent (explain) I)rCircatment IJL-VP�k: texplairl)
V. D nt Area Information:
Design Flow �.gpd) Design Soil Application Dispersal Area Required (0) Dispersal Area Proposed (0) System Fievation
600 RatOgNsfi 9W 900 9d,21 00,
0.7
V1, Tank Info C:apaclty in 00 2
Ce
Galloils T
Total # of
Gallons Units
.7
New Tanks I — 'D
SepliQ j,)f I JoIjiFig Tank 1260 1260 1 Weeks Concrete. Products L 0, 1:
Dosing Chamber I
VI.I. Resnonsibility Statement- 1, the underskined.as�,time responsihility for installation of the POVVTS. shown on the attached plans.
r% J
Plumber's Name (Print) Plum nature
MFIA11IRS Number Business Phone NLLMbcr
223760 71 5s - 7 60-(A 96
John Schmitt
Plumhcr's Addrc,;,-, (Sotreet- Cl(-\,. State- 71p C ode)
586 Valletv- Vie�k �omerrset, WI 54025
Vill. Countv/Department Use OIll
Approved J 7 Permit F" Date lsIssuin sued g Agent Sign aure
MOT] 03 l l $ 202.3. ... ........ .
pprova IX, Conditions o 1!t�t
SYSTEM:-2-VNER: s4mX*d- dw�- gr/1L1b?-3 �.+AuAA- a. ?r&W-4, L,;*,iL ?PmA4� C006imw� a*"•
MeOdS ;0-64 OffACA;-r, URM
1. SWio W. effluerl filler and di5perul A fe -,.-.ttcQ 04%. lb
nut to serviced I mainlainE�pas �er 6
managenwL pors
ed �wplrnte.2. M setbwk raquimu�d ix.- riHii- laircl
110.0 �0 W-6 Utl &V 4— Ms.+ 1 0--6
as per appicable code i ordinances41hal-W —
5) �a�ve - &
".-
Altneb to COT"Plete PIA " ra r the qvslewn a n1d swbmn it to the ('auntyan ly on ps per not k-m. Ota n 8 1 a x I inch ins7e
1)-f98 (1R.03; 14
SYSTEM PLOT PLAN
Bauer 4 Bedroom Septic System
Project Address- 816 106th Street
B1 1 ymboll'
Bill Elevation- 100,00'
SA
BMDeSGrIption- Top of 1" Steel lot tine pipe
BM 2 Symbol- L BM Elevation; 101 -00'
WDescription- NVV corner of transformer base
S lope G rad ile nt of Tested Area: (1
Well Symbol (if applicable)
Notes: See Plat Map for Comlete Lot
1pm� M J�Iae
pfopl�
91.1"'�� slope
B" 1
94'
Design Flow- 600 GPD
AtUich design flow C-aICUlavons for
commercial plans:
Pipe Materials I ASTM Standard
Tables 384.30-3 & 384.30-5
4" SCH 40 PVC pipe ASTM- 02,665
4" SCH 3034 PVC pipe ASTM-1133034
E xi 5,ting Garage
Vlaell 0
Existing 4
Bedroom
House
_KN
Scare: 1 150,
90 120
z
z -1
00veway
Ex isbn a -120 0 ga J;o n
weeks Septic tank
B 7 ES
To 106th Street
TI
j., T2 T3
Proposed
Valve
M 134
T 1- F-Asting 3'x6.Y 51a ser Trench El =95-36'
T2- Existing Xx57'61odiffuser tiv4zb El.=93-90'
T3- Existing 3'x57' 51odiffuser Trench El =92.82'
BMI
T4-Proposed 3'x90' EZ Flow Trench U =92,0
ci�" q.
TS-Plmposed 3'x90' EZ Flow Trench Ell. =92-00"�
C �
Py
(000'
► X9
ILI
CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name-
Bauer 4 Bedroom Replacement Septic System
Owners Name:
Keith & Christina Bauer
Owner's Address
816 106th Street
Roberts, Wl 54023
Legal Description:
SWI14o SE1/4, S20, T29N, R18W
Township
Warren
County:
St. Croix
Subdivision Name:
Lot Nurnber.
9 Block Number
Parcel I.D. Number
042-1057-20-425
Plan Transaction No.
Page
I
index and title
Page
2
Plot Plan
Page
3
Septic Tank Specifications
Page
4
�Exi5tin g Tank Certification
Page
5
Effluent Filter Information
Page
6
System Sizing & Cross Section
Page
7
EZ Flow Information
Page
8
Management and contingency plan
Page
9
Sanitary System Ownership/Addres5 Form
Page
10
Warranty Deed
Page
11
CSM or Plat
Attachment I Soil Evaluation Report
Designer: John Schmitt
Date: 9/12/2023
Licnese Number, P. 223760
Phone Number: 715-760-0486
Signature:
in -Ground Soil Absorption Component Manual Version 2,1 May 2022
Page I
MR, 6" 19 -4 A I a Eel a a Wi"k i
Bauer 4 Bedroom Septic System
Project Address- 816 106th Street
RIV11 Symbol. A BM Elevation- 100 00'
BN1 Description Top of 1" Steel lot line pipe
BIV12 Symbol- L BIVI Elevation-, 101 -00'
BIVIDescription- NVV corner of transformer base
Slope Gradient of Tested Area-
f�)
Well Symbol (if applicable)
Notes, See Plat Map for Complete Lot
ME— M �:Iae
pfoql�
Design Flow, 600 GPD
Attach design flow C-alCUloons for
commercial plans'.
Pipe klaterials I ASTIM Standard
Tables 384.30-3 & 384.30-5
4" SCH 40 PVC pipe ASTVA- 02,665
4" SCH 3034 PVC p,pe ASTM-D3034
ME
E xi 5,ti ng Garage
well 0
Existing 4
Bedroom
House
OWWW_ 4
N
Scale, 111 60'
0 60 90 120
152
00veway
To 106th Street
TI
T2 T3
Exi,sbng -1200 gai;on M 134
weelk!5 Septic tank Pr
ciposed
137gl
■
T I - Fixisting 3'x63* B iodiffuser T r" ch E 1 -95 36'
T2- Existing yx57' 8 iodiffuser T ren ch E 1 =93 90'
T *�- �_ xJs9n g 3'x5 7' 'B 10 04 iff U se r Drench E I = 9.2 82'
T4-Proposed 3'x,30' EZ Flow Trench U. =92,00'
T5-Pmpased 3'xgO' EZ Flow Trench El. =92-00'
commerce-wl.gov
4 isconsin 1 department of Commerce
April 8, 2010
WEEKS CONCRETE PRODUCTS
RAY WEEKS
1832 215TH STREET
NEW RICHMOND WI 54017
SAFETY AND BUILDINGS DIVISION
Plumbing PrOdUCt RPV,ew
P.O. Box 2658
Madiscr. ftscofissn 53701-2658
T7Y - C on tact Through Relay
j;km Doyle, Governor
Richaird J. Leinenkugel, Secretary
Re: Description: SEWAGE TANKS, CONCRETE
Manufacturer: WEEKS CONCRETE PRODUCTS
Product Name, SEPTIC. HOLDING OR PUMP
Model Number(s)- 1260
(58 IN. L.L., 21,76 GAL/IN. CYLINDER, 84 IN. MAX. DEPTHOF BURY, 604 G.P.D. WHEN
USED AS A SEPTIC TANK BAc.�'_-D ON A 3'YR. SERVICE INTERVAL FOR RESIDENTIAL
WASTEWATER: TANK DIMENSIONS = 80 IN. INSIDE DIAMETER X 58 IN. H)
Product File No. 20100129
The specifications and/or plans for this plumbing product have, been reviewed and determined to be in compliance
with chapters Comm 82 through 84, Wi
isconsin Administrative Code, and Chapters 145 and 160. Wsconsin
Statutes.
The Department Mere byissues an approval based on the Wisconsin Statutes and the Wisconsin Administrative
Code. This approval is valid until the end of AUGUST 2015.
� P
This approval is contingent upon compliance with the following stipulation(s),-,
This tank must be designed to withstand the pressures to which it will be subjected_
Themanufacturer must keep al the manufacturing plant a set of plans and specifications bearing the
department's stamp of approval- The plans and specifications must be open to inspection by an authorized
representative of the department.
When this product receives wastewater from dwellings and is used as a septic tank, it will produce an efflur;'nt
quality with a maxinium mantly average value for BOD5 of greater than 30 mg/L and less than or equal to 220
mg/L TSS, or greater than 30 mg/L or less than or equal to 150 mg,L TSS. and F.O.G. of less than 30 mg/L.
'S
product is approved to use the following.,
Two inch schedule 40 PVC cast in riser for electrical wiring.
Pipe materials constructed in conformance with Table 84-30-2 or 84.30-11, Wis. Admin. Code poured into tank
cover or access cover,
- Department approved effluent filter designed to be installed in a fOUr inch diameter t+-?,e with extension and
installed in accordance with the product approval for the filter including a properly sized and located access
opening for service and maintenance.
- Department approved EZ Set and Pollyllok Inc., 24" riser cast into the tank cover.
This approval supersedes the approval issued on 8/30/2005 under product Ne number 20050675.
SBID-10564-E �'N10-.'97) Pilo Ref: %JV§2,DOC
ST. CROUX COUNTY ZONING OfIICE
CERTIFICATION STATEMENT
FOR UTILIZATION OF EXISTING SEPTIC TANK(S)
This is to cei-tify that I li'c-ive inspected 61�2 �3���������� �:�i�+�I.��_` ,�1 t�i �� � � � ��� � �.ti�x
presently serving the followmg residence:
(Street add.ress) 8 16 1 06th Street located
at. SW /4' SE 1/4, Section 20 4 Town 29 W4
—
Town of Warren St. C1-('11'\ (-OulltN: wiscollsill.
I i i n. sp e en o ii, I c ert 1 fy diet I 'have fou the t -,i n k (. s), to t1i c 11e S t 0 f 111
will conforn-i to the requiremems ot-'SI'S. .'4.25, aiid it W
Z7I
cl 1,11) k�L-Iqs) to be functionincy properly.
Z:4 -
\1�)st rceetit date of inspection or service
DRI 110W back c u trom absor-ption system? Yes No
(if no, skip next lisle.)
Amroximate volume or length of tinic: gall,ons Minutes;
Tatik Capacity 1260
Constniction: Prefab Concrete X Steel
Manufiicturer (if known). I Weeks Concrete Products
Age of Tank (if known): 7/28/2003
Pcrma number (if'known) 430145
(Licensed Plumber Signature}
(Title)
(Date)
John h m ift
(Prlrit ',"aine)
I=,
(License Number) MP/MPRS
Foriii to be completed b%, 1j,,.:et'ised plumber .Dept of
Services Chapter 305 and s. 145.06, Wiscotisin Statutes) or licensed disposer
(NR 113 Wisconsin Administrative Code)
Rev. 2/2 -0 12
2=1
PM' GE 2 of 2
The interval for servicing septic tanks is set by state and local code. Throughout the United States, there is a wide difference of
opinion on what this interval should be, but most regulatory agencies suggest two to five years. The Libel filter, which does not
increase the frequency of servicing for the tank, should be cleaned when the septic teak k is normally inspected and pumped.
However, our filter is virtually self-cleaning. The continued action of the anaerobic organisms on the Zabel filter causes lodged
particles to disintegrate and fall to the bottom of the tank, If your filter contains a SmartFilterED alarm, you will be notified by an
SerVjC7
alarm when the filter needs Ing.
Step 1:
Locate the outlet of the septic tank
and remove the tank cover.
Step 4:
While holding the cartridge over the
access opening, rinse off the cartridge
with fresh water, being careful to rinse
aN septage maten al back into the tank.
Step 2 -
Rem Ove the tank cover and purnp the
tank if necessary to prevent any solids
from escaping to the the drain field
when the filter is removed.
Step 5:
Insert the filter cartridge back in the
case, making sure the filter cartridge
is properly aligned and completely
inserted in the case. Replace the septic
tank cover.
M
Step 2:
Firmly pull the filter handle and slide
the cartridge out of the case,
01
Res'IderAial Applications
Cerbfi ed to AN S P N S F
Stiamiard 46
Copyrtgm 2 0 7 4, f 3olylok, � t; (-. A H righis resei ved
Produ cf(s) covffrad by one or mote U S � a n d1b r rnfem a r 0 net Ps Te n ts, Oth 0 r U. S arl d In ferna No n ol p 8 le its rr?ay be parading,
11,8 -11" -'-(7 ('-'p'(5-9565 / www.polylok,.com Page 5
IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with EZ1 203HP Bundles
3-ft Trench (down -sizing credit)
12"
Geotextille
(typical)
Cover
SOIL C OV E R
11 M _LU I T
A
min trench b6
depth
(typical)
92.00
vat System Eli ion
(ty pli Ca I)
TYPICAL TRENC
PLAN VIEW I
Septic Tank(s) Manufacturer
Weeks Concrete products
Se pfic TanK (s) VOI LJM9,(S)'
1260 gal gal gal gal
Effluent Filter Manulacturer-.
Zabel
E f-fi tj ent F i I t P r Mod el #- A-1 00
TYPICAL TRENCH
CROSS SECTION VIEW
(No Scale)
Provide minirnuirn3tt
separation between trenches.
(Show locatior i of Inlet I out -le I pipe connection on plan view.)
(Na Scale) 4pt 0
Perforated Lateral
(typical)
-A
B_ 90 ft
(typical)
]'A' L PER TRE N CH
1 0-ft b u nd I iet; @ 50 fe E I SA/linit 4 50 fti
+ 5-f t b u nd I es (cD 2 5 ft E I SA/L ini t 0
I
OBSERVATION PIPE DE-14 I
i. No Scale) I
5�.rpw-Ty-pe or
G-rade
S! 11) co P Moose)
imulchE3d & seeded)
4"0 PVC Pipe
I a P of r)A PF' to Jer`rNnatO
(rain. I fo,7;t)
ai -Dr abovL- flni-,--hed g�adc,
441 V4' " X 6" Slots
a -ri potl
A; ut%ormil Dl?viuQ
lnfiltVion
S LJ ftCG
Observation pipe shall be ln:Stallucf
all junclion Detweer, two unds. 10 ft
Observation Pipe (typical)
(typical)
A 3.0 ft
(typical)
EZ1203H Bundle
(typical)
(mfd by Infiltrator Systems, Inc.)
,nstall pur,%LJant to manufactures instructions.
Proposad EISA per trench = 450 ft R10.fjl_J1.,-ed hifl,trAlcin Area =900 ft2
x 2 trenches - Propc)se.d Total EIS A 900 ft2
RESET
Distribution Method.
branched manifold
Installation Instructions for to E OwIrm
I
EZflox Systems in Wisconsin Z flbvy IMMILTRATOR
*4 good N49#R*** 0 soon ip*&m O'be 0 een V 04 'A pbs000p off posom *90 & 0
Wsconsin Department of Commerce, Safety and Buildings 5. The Absorption area (SF) necessary for a given site shall
Division, has reviewed the specifications and/or plans for this be sized based ei ri m aximu r) daily sewage flew (GPD) and
produCt and determined it to be in compliance with chLzpfi.-rs the Permeability foi the site, If certain C-Iritena is met, the
Comm 82 Lhrough 84, Wisconsin A&-nin. Code, and Chapteis EIISA siizing can be used in Wisconsin, i-esulting in a 40%
145 and 160, Wi;SC0P5T) Statutes, .411 sl,tes must meet the Site sma[ler drainfield.
& Soil Conditions & Lg�(atign5 & Isolation. disiances as ncAed in -ation ap-
6- Place Uflow bundle(s) in the EZflow corfigur
loc-al regulations. -nit specified for flhc particu-
proved by system design peri
pipe, itl laf site. The top or cznter-rnosl bundles con taiiiing pipe he approved products are 1 203H (8-12" buridlus with Pi
center bundle in 5' OF 110'lengths ) and 1203HP (3-12' bundles are joined end to �nd with an internal pipe coupler. Any
additional aggregate only bundles that may be required,
with pipe in each bundle in 5' or 10' length,,;, y
should be butted against the other aggregate-onlbun-
A single pipe bundle contains a four inch perforated pipe, Sur,- dies and do not require any type of connection.
JL
rounded by EPS q tl` U
CAL,gregate and held together" w ") P ly-
ehtylene netting. A single aggregate bundle contains aggregate 7. The top of each GEO cylinder coMains a �ilier tabric pre -
only and is held together with polyethylene netting. manufactured in between the netting and aggiegate. The
fabric is inserted to prevent scil intrug-lor). The installer
Materials and Equipment Needed shall make suIS poSiti Ur
re the the GEO I upward and is
EZflow Bundles in contact with the fabric conizilned in the adjacent cylin-
F_
i ing,
& zTtow Geotextile Fabm-. der before L)ackfilli
0 EZflow Internal Pipe Cout)lers
8. The EZflow Drainfield Syste,-rns sn ahould be installed i
0 Pipe for Header and Inlet
0 Backhorl/Excavator level trench in all directions across and along the
trench botlorri) and should follow the %-.-,untour of k :he giuund
Installation instructions surface elevation (uniform depth), with a.11 continuous
The instructions for installation ui EZflover products are given adjoining 10-foot cylindrical bundles placed end to end,
below. This roduct must be installd in accordance with state vvith central bundle dist6bution pipe interconnected,
pe
rules defined ir; �I-hapters Comm 82 thi-ough 84, Wisconsin Ad- %vithout any dams, stepdowns or other water s1cps.
niinistrative Code, and Chapters 145 and 1,160, Wisconsin Stat- -11 not
T S 0 9. The trench top :5hall be �graded such that water wl
utes. as -vvell as the local health departmeN.' current design #
Mar70 pond. Backfill should be seeded or sodded immediately
ijal. 0
after completion .to reduce erosion,
1, After thc lo,,_al health depaTiment has determined S,,L1[;9,
y5efllSt 4 10 10. Ezflow EPS buiJes are flexible arid can fit in curved
configurati'uil, and layout for tht LZflow S 1 l6 Ld�N�e 0 or mark with paint the location of trenches and lines. Be trenche!5 as may ue nece:s,5aii-Y to av oio trees, boulders, or
careiul to set correct tank, invefl pipe, header line or d115- other obstacle.
tri'hution box and trench botom elevations hefor� ins fal-
1 ,atlDn of pipe bundles. 11. EPS aggregate is lighter grater, ater, then : ot-e, it
be expects that natural buoyancy forces would tend to
"Iuw assemblies L of ground when
-tor to placing cause ELI to tioat OU"
Rerrove plastic FZf[ow shipping bags pir
bundles in the trerich(es), Rernove an; plastic bags in the ponding occurs. Field experience has shown. however,
trench before syslern 'is cove i-e ci. 1.hal this is not a problem when systerns h,,eve a minimum
5' of soil cover as reccir,-rnended bianufacturer.
0. Tjis piod1j,"' t lust have geotextile fabnc that meets fe,-
qu,re,ments of s. Comm 84.30 (6) (g), Wis. Adm. Code,
installed directly on top of the product and extending 1203H-GEO
down along the sides of the product to a point at least six
Gcotexhle
from the bottom of product.
0 "ovT IVV
I'll,
V V 7 ? W V Bxtler Ma'LeFl al
1 1. Iff 1�
V V W V ir -e
41 When Installed in a trench, the trench Should be dug to
wY,
2"
:�"..
a 'dih of 36'Inches. This not only saves [abor in excava-
tioni
but also provides be!Cer load -bearing capacity ;after
backfilling is complete.
#ffi0*9 41960 6*4 IP w**0 *tip
7
.n-ground Gravity Management Plan
IMPORTANT:
The owner of this in -ground gravity system shall be responsible for its perpetual operation and maintenance pursuant to
requirements of SPS 382-384, Wisc. Admin. Code. Pursuant to SPS 383-52 (2), Wisc, Admin. Code, this system shall
be considered a human health hazard if not maintained in accordance with this approved management plan.
Ftirt',Permore. all inspection and maintenance activities shall be performed by a registered PO Ts Maintalner in
accord,ance with OS 383.52 (3), Wisc, Ad rrli r-i. Code
Maximum Dig rsal Area Qperatin UrniftZ)e- -
_q .
Design Flow 600 gpd, BOD5522OrngL.": TS-S:5150m9-L_"" FOG:5 30 nigL"
Ins p ctin Checklist INSPECT EVERY 3 YEARS
• type of use
• age of system
0 nuisance facters (te- odors, user complaints, etc.)
mechanical maltujctio'
i . i.e., pumps, valves, switches, floats, etc.)
c t
o material fatigue (i.e-, leaks, breaks, corrosion, etc.)
o solids volume in anaerobic treatment tank(s) and any distribution appurtenance(s) (i.e-, distribution drop boxes)
0 neglect or improper use (i.e., exceeding design capacities.. prohibited activities, etc.)
o extent of pond ing in distribution cell prior to dosing
o dosing irregularities - if applicable (i,e., pump re -cycling, float switch settings, etc.)
o electrical components - if applicable (i.e., wiring, connections. switchescontrols, timers, alarms, etc,)
o dFzjribu-Lion lateral or lateral orifice plugging (measure lateral distal pressure — compare to design specification)
o s,_!_)rfar_,P discharge of effluent or sewage back. -up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS (or when necessary)
SeDfic and dose tan shall be pumped by a certified septage servicing operator licensed under s. 281.48 Wis.
Stets. when the volume of solids in the tank(s) exceeds one-third (1/3) the liquid volume of the tank(s) or
as required by local ordinance, Disposal of contents shall be pursuant to NR 1131 Wisc. Admin. Code-
o Effluent fi iter shall be -inspected every 3 years and shall be cleaned when necessar-y to remove any
accumulated solids according to manufacturer's specifications. A servicing period will always be greater than 12
months.
System maintenance reports shall be submitted to the proper local government unit in accordance with
SPS 383.55 Wisc. Admin. Code. Report any component failure or malfunction to:
Narne of individual or company:
Local government unit:
Schmitt &Sons Excavating, Inc.
St. Croix County Community Developement Phone-: 715-386-4680
Local govern [110F�t. Unit address'
1101 Carmichael Road, Hudson
-6: e-760-04&"t'
.r_ hon- 715
ZIP: 5401 no
Any defective part of this system shall be repaired, replaced, or removed pursuant to SIBS 383-51 (1), Wisc. Admin.
Code. Repair or replacement of failed or malfunctioning components shall cornply with SPS 383, Wisc. Admin. C i ode.
No product for chemical or phy'sical restoration of the POWTS may be used unless approved by the deparlment in
accordance with SPS 384, Wisc. Admin. Code.
ContinsLency Plan
In the event that any failed treatment component of this POWTS cannot be repaired, it shall be replaced pursuant to
a plan submitted to the appropriate agency for review and approval. A failed 'in -ground dispersal component may be
abandoned and replaced by a code -complying dispersal component in a pre -determined area of suitable soils.
System Abandonment
If use of this POWTS is discontinued, it shall be abandoned In accordance with SPS 3813,11 Wisc. Admin. Code.
ffm:
S T. CRo1'UNTFileY SANITARY SYSTEM Office Use Only
OWNERSHIP/ADDRESS FORM Created 212027
Community Development Department will utilize this information to provide the property owner with
information regarding operat'ion and maintenance of your new or replacement sanitary system! This
infori-nation will be provided as part of our ongoing efforts to protect pubic healtl-i, your well, groundwater,
surface water, property values, and county resources. Once approved, this completed form and educational
information will be sent to you by email. If you would like to -view your issUed SAllitaiy permit online, you can
do so by using the Property Fi,jes Scanned eblink.
OWNER/BUYER INFORMATION
Owner/BLIVer Keith & Christina Bauer
Mailing A&,'fress 816 106th Street
City/State/Zip Fir, W1 54023
Phone Number (rPqtjirPd)715-279-3506
Fm,�i I I r ait- Kit u r @ ii.cram-
P_--jrcel Identification Number 042-1057-20-425
�found on the pr-operty tax bill)
NEW SYSTEM: LEGAL DESCRIPTION
SW It S 20
Property Location '14 r 114 Sec. rT29 N R18 W, Town of Warren
Subdivision Plat; NA
Certified Survey Map# 1017582
Warranty Deed # 1012901
Number of bedrooms 4
. Volume
(before 2006)Volume
, Page #
. Page *
, Lot 4 9
Spec house 0 yes 0 no Lot lines identifiable 0 yes 0 no
OFFICE USE ONLY
New Property Address N
- V
(Verification of new address iequired from Commun1tv Development Department for new constructs ao. 1
(Staff Irlitials) (Ddte)
This �'�)rm must be submitted with o1i Private Onsite Imo tee- Treatment System (POWTS) appfications.
New System: Include with the 's form a recorded wigrranty cjeeLi from the Register of Deeds Office and a copy of the certified
survey rnop if reference is made in the vvorraqy deed_
mmunilty Development Department - Land Use Division
--'86-4680 St- Croix County Gcvernment Center
/ �)_l
I C' (,J. 1101 Carmichael Road, Hudson, Wl 54016
7'15-24.5-4250 Fax
WAW ..jSCCWLaQy
Page 9
ta te Ri r o F W 1 sconsi n Form 2-200 3
WARRANTY DEED
Docunient Number 11 Docunient Name
THIS DEED, niadc Steven M. Dakon
((iranLori" vvheilwi, inore),
and Keith B. Bauer and Christina E. Bauer., husband and wife
Grantor, for a VZdLF1h1e ennsiderationl conveys and warrants to Grantee the following
deser'bccl rual estate. ioocilicr with the retits, profits, fixtures and other arrtirten-cant
I
interestS. Irl St. Croix County, State of WisConSirl (-Pro-peny") if more spacc I
necdcd, p:e,,Jsc auach aJJendurn ): See atfached Exhibit "A."'
Tx: 4251914
1012901
BATH PABST
REGISTER OF DEEDS
ST, CROIX co., WI
06/01/2015 12:48 PM
EXEMPT#: NA
REC FEE: 30-00
TRANS FEE: 37.50
PAGES: 2
Recording Area
KRJ&TiNA OGLAND
SN & GLAND
304 Locwst
Hudson, W154.016
1142-1057-20475
Parcel Ideritilicalson NuMhCr (PILN)
pions to warn nt e Li ic s: Fase m e it i s. res t i-i ct i o n s a n d r- Ig h is-0 . f- w (I 'N' () f reco rd. i f a n N'.
Excei
Dated.
(SE�(S E A I-)
AL
(SEAL)
AUT14 ENNTI CATION'
Swrnature(s) Steyen 'At Whon
authonticated oj
K riDina Op -la 4
TITLE- MEM6STATE BAR OF WISCONSIN
(if not,
authorized by Wis. Stat. § 706.06)
TH I S I'N STR U M ENT DRA FTE
Attc)rney Kristina Ogh.;'Ind
litidson, W1 54016
(SFA0
ACKNOWLEDGMENT
S'VA I E 01.'
COUNTY
Personally carne before me on
the above -named
to me known lo be the pel'Son(s) who execLited the foregoing
jilstrujilent and acknowled fed the same.
Notary Public, State of
,My Commission is permanent) (expires:
(Signsitures may he authenfiralvil cir acknoi�lcdged, j3otlb are itqpi
10UN11FIED.
'A(TE'� 1111S IS A SlANDARD 1-ORN1. .%\) N10Dj [- R, VT'10%%_4 1_0 THIS FORNI S1101 LLB HL CLEARIA FOR,%l N'O..2-7003
" Tvpc mjnleb-0(1�% �ign.11lums_
INFO.PRO"' I.eqal FDrrrs 800-655-Mll www.imfoprolorms.com
page I0
St CroiK CountV 10 12901 'Facie 1 of 2
EXHIBIT "A"
-cel ofland located in part of the SNV 1, T 9N, R 18 W, To x.vn of
A ai /4 of the SE I �4 (A Sect'on 20,
1 described as folk)%Vs:
tVarrcii. NMI\ Cowity, 'Wisconsin,
Commencingatthe S1/4 Comerof said Section 20. t1ienceNNS9'10'56"E,a1ong the south line of the
SE1/43 499.07 feet; thence NOO'49'0-4'V 46'-1.i-' fect to the Southwesterly Corner of Lot 4 of
Certified Survev Map rec orded in Volume 17, PaLyc 4444, Doc-urrient Number 70.5988 bc*l na the point
of beL;nimn(.-,,, flience S7V,3`,; 29"W., long the westerIv extension of the southcriv line of said of 41,
1
104.66 feet- thence N I 8'07'24"W 210,5 9 feet to the �-�.-,esterlv extension of the north i1ne of said Lot
W
-'0
4. thence N78 -)3'29"E. alonvy said xvesierlv ens. 1-1 .32 feet to the Nortli-we..$)terly Comei- of
s at 'd Lot 4; thence S01'09'34"E, along the westerIv line of said Lot 4-� 154-20 I /- feet; thence
S 3 6'0 6'0 1 T, along said we ster I Ni I I n e, 6' .1 feet to the po of nt C) f b�egirui j ng. De sc ri btd parc e I c-c) ntairis
0.50 acres �(21,783 sq. Ft.).
-Paa(3 2 of 2
St roix Countv 10129,01
1017592
BC-TH PABST
REGISTER OF DEEDS
tl ST. CISO IX CO., W1
RECEivED roR RECORD
013/26/2015 9-.-56 AM
I F1 IE 141WIEV MALIM' CERTIFtED SURVEY MAP
40102,7 P- 6-143
:-OCATED iN PART OF THE. SWIM OF THE SEI/4 OF SECTION 20, T29N. REC FEE: 30-00
R;8VV. TOVVN OF WARREN, ST, I. COLJN7Y. WISCONSIN- COPY FEE: 3.00
PAGES' 2
IN(71.-[-JDIN(7,; L(D"- 4 OF CERTIFIED SURVIFY W%PIN VOLUME 17, PAGE
4444, DOCUMENT NO, 7013088
5603,
V, p
u 7 4-68
D�i
-_p LAN
L-0
t_Aj E
Nn
silt
1z
�A
LOT 9
- 5-- F -I
%
I 10 690 S C-) r-7
AI
L OT 4r 444, p, 4
A3 # 7 0 LIN
III p0c. C)
7-4 OWNER SURVEYOR
KEITH & (7HR11,;T1k%A B41,JER FWIN C F-LANI-JV
816 106-FH STREET N0RT�-ILAND SURVEYING. INC
"0B'E,RJS, Wi 5-10,1 BUX 157
AM RY, W1 54001
S 1 /4 COR SEC 20 SE COR SE'C 20
ALUM 1hv'.r-rQ ;7n SC)UTH LINE OF THE SEI/4 5EC. 20 ALUM VICN. FE),
AND,
N 8q-1 0'5 WE 2 10 G 4 2
Mxer 1 ipL Cir, ve,,. f ted uncier Section 13 1 S :3, a _J) o! i. St Croix (.aunty Land Div Ision 0(ci Inance,
anc., Se.ctlof��3115-45 (2) (a) (4) of the Wiscons,!',
F &
Dare -
By_ -0144""ImIct e,
ST C-;;01)< COurJTY SECTION CC-)HNC--R
PO S I TION VERIFIED WI-T H TIES OF
RECO RD OR MON1 J MENTED AS NOTED
3.,.c - X '8, 1 iL i3i;NR S1,'T WEIL-ji I I NG
,.50 LB S PER L.INEAR F(D(D"r
1' 0 E) I 1--I () N F1 F " 1, U IN D
3/4' IRON RF-BAr-q,-:0LJN0
Ito
N SCO
C
Ile.
Rib
.00
PN %
oipipperr 41visst
SCALE IN FEET 140 -m 120'
120 Ito
T-41S �NS19UMENT QRAFTED By EDWIN PLANUM
JOS NO 15-02 0WG - CSM DATE 8-18-15
Q* r,^Itnft# -in-$,76;A9 ptameb 1 ^fm)
Vo 1. 2 7 Page 6143
SHEET 1 OF 2 SHEETS
Page 11
Wisconsir, oei;)artmonh, of CDrumce RECEIVED PRIVATE SEWAGE SYSTEM
safety anC .9 Lj I oing D 1v is ion 09/12/23
19 1 1 A Paid via Ascent INSPECTiON REPORT CST-2023-306
GENERAL INFORMATION # 31275 (ATTACH TO PERMIT)
a a s
Pe rso n ai information you provide may beused for socondary PLrPOSeS [PH v cy Lew, .1 5 o - 4 1 k 1
Pe remit I Holdees Name. city Village X Township
D a I ton , Steven A Warren Township
CST BM Elev- Insp, BM Elev, BM Des&pfian-.
TANK INFORMATION ELEVATION DATA
County St. Croix
S a n Rary Permit No, 430145 0
State Plan ID No"
Pame] Tax No'
S8ct0rL(TowrjjR:ange;Map No:
20.29-18.
0 ---- I PAPArITY I STATION BS I H
Septic I lBerchmark
sing Alt: BM
Dodg. Sewer
BI
Aeration
L
Holding I St/Ht Inlet
T� SETBACK INFORMATION
TANK TO P/L--- WELL BLDG. Vent to Air intake ROAD
Septic
Dosing
Aeration
Holdirtg
KNPISIPHON INFORMATION
Manufat rer Demand
GPM
Model NUr+
TDH Lift Friction Loss System Head TDH
Dist- to Well
F&rc7 4r 'Length
SO�L ABSORPTION SYSTEM
BEWTRENCH Width L n No. ()f;reqches V
[31MENSIONS
SETBACK SYSTE7A TO PIL BLDG 'VVELL
INFORMATION Type 01 ystem.
4iAAJ
SUHt Outlet
Cat Inlet
Dt Bottom
Header/Man.
Dist. Pipe
(30t. System
Final I I r, r
Final Gr
I r'�k 4 Otc
Ist over
tT DIMENSIONS No. Of Pits
�5
kz-
Inside Die,
FS I ELEV.
�■ 6
Imp"I I ff M
M
MWA��M �
LIquid Depth
LAKE/STREAM
LEACHING Ma Ldactumr.,,- /-)01'1
CHAMBER OR G t
UNIT Model Number-, I I (-) /
DISTRIBUTIOLN S TEM
I . NEEMERF-000� veni to Air Intake
Distribution X Ho�e size [Hea der/Ma nif 0 15- piw�s) 1 5=
Ler Qt 4F(M epgtlh Dil a spacin
SOIL COVER x Pressure Systems only xx Found Or Alt -Grade Systems Orly
Dapv,) Over Depth aeer >LX Dep!h of xx Seeded/Sodded xx Mulched
Bed/Trench Center GetirTrench Edges T=qoil Yes No
No Yes No
Inspection #i: inspection #2-.
COMMENTS. (include code discrependes, persons present, etc.)
Location., 816106thS1,Ro[,)erts,WI 54D23(SW 1/4SE1142OT29NR18W NALal:4 Parcel No: 20.29-18.
1.) All BM Des cdipbon r t - at I -w 075% 3(v
2.) Bldg sewer length q0 r V, 13-1a f
- amount of cover 4J.")
d 2,
6
Plan revision Requ re Yes No
K Zvi 70.7
Use other side for additional information. 0"I CAfto Nap
SB D-67 10 (R, 319 7)
LJLQX,,.- � COON �ujo" ix*— %. 0WXX &VsV% CQA
LQ � .1% 1=84
eplt of SOIL EVALUATIONJtkPORT ` � and in a COMM*, Wjs. �m. � R of
A ! �m Soil T , Ine-
41'_•��County
Arch complete afte plan on paw'' not toss ftn 8 x 11 i n ee in s . Plan must St, Croix
include, but not liar to: venicalend hob refe t (), direction and Parcel I.D.
percent ems. scale ear dirnenskm. nc a , and and distance to nearest i, D42-10 - 0-- 5
print all laftwMeton.
Il'Ifo1'C17 Pion you pArjkle jM be USWfor p d n ry pufposas "6vaq Law, IL 15. (1) (MW
By
I amill
Proms Owner
Bad, Keft Chdsfins Govt Let Sind 11 , SE114r $20, T29K I 1
Propedy OwrW's Mailing Address Lot 0 Bbck # Subd. Nuns or
StWe Zip Code aty one Number � � VLIL Ia 7 Town Nearest Road
Roberts i 1M I 54QZ3 1 715-279-3506 Warren I 108Th Ave.
NewOrs Gn
• �1bal fiber dr rns 4 Code� n r PD
U86-
R is r nt Pubk or commemial -
Pa mnt mat `Ial offish @urkhardt Sandy Ism Flood plain elevation, f applicable N ft.
General oo mrne nts P40mement aw 1, 02, & B3) is SU ' an find =wwOwd Rstmn witfi a 0.7 rate. PDON8 RStW
aria rommmendatfons: ejqVa#M fV ft 1 r j myt am is 92,W. Uppigr bwch wRl be deW to acheive gr"ty flow. Sloes of NW is 19%
Baring
j Phi Ground surface elev.
.�
Horimn DWh Dominant Cow Reds DwaIPWn
in. Mum Qu, U Cwt Color
1 0-10 10yr3/3 none
10-1 1"1
1 10yr6/
wring
Pit
surface .
I. Munsell Qu. SL Cont Color
1 13 none
1% 4
-96 10064 room
96.0 ft. Depth to Cling fadOr In.
r. Sz. Sh.
I Sail ApIkation RzW
-01
*082
gr i 2msbk mfr 9W 1Vf
0.6
1. ►
M1
0.7
1.
Effluent #1 = DOD > 220 m9L end T �o3o4c
T Name (Pkmge Print)
Address Schmin SO T"Unge Inc.
01 a -1
�. !;
Thu r
` Dep4h to limftM9 WtOr
___ - - __ - __ "
chn 0-Consistenoe SourWary
in.
Roots 1
MI AWleation Rate
GPD & - d
51
mgr nwfr as
2Vf
0.6
1.0
grsi
2msbk mfr 9W
1
0.6
1,
227429
Daft oluallon i ll tiwomw P4UMiWf
76C61978
pwpeft der Bauerp._Kelth & Chr6tna P,amel I D # D42-1057- 20-42 5
3 l3oring # Boring 1 Depth to limiting factor 96+ in. 77 Pit Ground curt ehw. 94-82 ft.
Page
P
Horizon
Depth
in.
Dominant CoW
Munsell
Redox DewAAon
Qu. Sz. Cant, for
TeAure
Structure
Gr. Sz. SIB ,
Conskance,
Boundary
Roots
GPOW
VF-ft#l,
TIM
0-16
10yr3/3
none
S1
2mgr
mvfr
as
2v(
o-6
1.0
2
16-27
10yr4/4
none
g
msb
1 rnfr,
gw
1'
0.6
1.0
3
27-96
IDyr6/4
none
grs
Osg
M1
0.7
1.6
330$q q
EWring # [-� Boong 94.30 IL Depth to limifting factor
F K1, Fait Ground surface e4ev. 84+ in. ISoll Avollcation Rate
Horizon
11
Deplih
in.
Dominant Color
Munsell
Redox Dew.-ripffon
Ors. Sz- Conl- Color
Texture
Structure
Gr. Sz- Sh.
Consistence
Mimmmmv�
Boundam
Roots
GPDW
*EM"
NEIT42
0�
1
0-9
10yr3/3
-
FILL_-,
Sli
2mgr
Mvfr
as
2vf
.6
.8
2
9-2.5
10yr3l/3
none
Sil
6-
2fsbk
Mfr
gW
jVf
0.6
0.8
3
25-45
10yr4/4
none
Sid
2msbk
Mfr
Cw
1vf
0.4
0.6
4
45-58
1"/4
none
Imsbk
mfr
9w
U
0.6
5
58-72
7.5yr4/4
none
S1
Imsbk
mfr cs
0.4
0.7
6
72-84
5yr4/4
none
S1
OM
Mfi
0.2
0.6
Boring # Boring 92.88 1. Depth to 11miting factor
FKJ, P ft Ground surfaos eWv. 96+ In. ISoll Awl leafion Ratel
Horizon
Depth
In.
Dominant Cok�r
Munsell,
Redox Deaciiption
Qu. Sz. Cont. Color
Texture
Structure Consistence
Gr. Sz. Sh,
Boundary
ROLOtS
GPDW
*EfW
1
0-14
10yr3/3
none
S11
2Mgr mvfr
as
2vf
0.6
M
2
14-27
10yr4/4
none
Sid
2fsbk Mfr
gw
1vr
0.4
0.6
3
27-47
10yr4/6
none
SIAS
2rrrsbk firwry,
9w
0.6
1.0
4
47-96
10yr5/6
none
grs
OS9 M1
0.7
1.6
I
L I
EMuent #1 = BOD :o 30 -S 220 mg& and TSS >30 s.1 50 mgA- Effluent 02 a OOD5 4 30 mo/L and TS8 4.30 mQA.
5 0
Thc Depwqment of COMMMW b an CQUAI unity 3coice provider and employer. If you need aulstww to acma smicas or
neM mvitfti a] I n on aftmate fomSt, ptear. contse the depaArmnt at 609-266.3 15 1 ar TTY 609-264-2 77 7.
wry .M1OAX-?� soon ow kw.
Property Ower SaUer Keft & ChlisUna
Boring # Bodng
6 1 71 P ft Ground surface eWv.
Parcel 100 042-1057-2"25
92091 ft Depth to firniting factior 4 in.
Page 3 of 5
1&0 Awlication Rate]
Horizon
Depth
tn.
DornInant Color
Munsell
Rix DOSWpfion
Ou. �Sz. Cont. Cabr
'Texture
structure
Gr- Sz- Sh.
Consistence
Boundary
Roob
�
GPDAN11
vEff#1
MMMMM�
*'Eff#2
Mmi
0-10
10yr3/3
MM1vwMMMMP�
FILL
S11
2mgr
mfr
as
ZM,2vf
.6
2
10-20
20-29
10"3/3
1OVr513
none
S11 2msbk
Sil 2fsbk
Mtr
gw
2M,1vf
0.6
0.8
3
none
mfr
Cw
1W
4
29-46
10yr4/4
none
sil
Irnsbk
mfr
gw
0A
0.6
5
CA
46-5-1
7.5yr4/4
m2d 7.5yr6/8
7.Sw6/2
S1 Imsbk
mfr
gw
OA
0.7
6
54-84
7.5yr4/6
m3d 7.5yr6j6
7.5yr6/1
grsl OM
Mfi
0.2
0.6
Boflng Boring 104.72 ft, Depth to limaing factor 2
N Ground suffew elev. ISoll ication late�
Horizon
Depth
tn.
Dornfn ant Color
Mun"11
Redox Descrtpfion
Our Sz. Cont Color
Texture
structure
Gr, Sz. Sh.
Consistence
Undary
Roots
GPOM
*Efl#1
dEfW
1
0-14
10yr3/3
none
Sil
2mgr
Mvft
gw
1vf
0.6
0.8
2
14-20
10yr4/4
none
S1
2msbk
mvfr
gw
1vf
0.6
1.0
3
20-32
10yr4/4
mid 7.5yr6/6
7.Ey!:§L2
Sd
i,msbk
rnfr
CS
0,2
0.3
4
32-78
7.5yr516
m2d 7.5yr6t8
Sd
Imsbk
Mfi
0.2
0. 3
[] Boring
F1 Boring # pft Ground 3urfaw elev. g in.
Depth to lim*n%cW ISO Anotickion Ratel
Fioftcn
Depth
In.
Dominant Color
Mu nsell
Redox Desc#tlon
Qu.- L. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPDW
*EMW
*EW2
j
Effluent #1 a BOD :o, 30 - 220 mg& and TSS -%-30 <-- 150 in p /L Effluent #2 = SOD5 � 30 mg& and TN 49.30 mq&
5
The Demn, ment of Commww is a equid I I ity wrvice provIder wd employer. iryou need miltance to so= SM10H or
n-ced matMaJ In im altwrAft foutad, plew wntact the depaWnent sr 609-266-3151 or TTY 609-264-4777.,
5," U--U 3 0 f R Q'7100 t 1dWMe IM
Lr..
-
Conducted T'-OF
a, Keith & Christina Bauer
816 106th Ave.
Roberts, VVI 54023
PID- 042-1057-20-425
LOT 9 OSM 27-6143
SW1 /4 SE1 14 S20 T29N R 1 8W
Town of Warren
Conducted by:
Thomas J, Schi-nitt
LOT 10 CST 2274 29
9/5/2023
5 21 7'
lox=
SEE PAGE 5 of 5
FOR FULL VIEW
(".'IF PARCEL,
�g54 9( 1,,
LOT 3
St Croix County. W1
Legend
La 5 o
11 Ito! r -j F , . - ; .
us
L cjr,otll Rawt-.
p ust-C
R'4M;)--3
Railroad!;
CnTwevanicti
U
.) 0 4 U bull
10 be
cGn-rjUq-Ki ri-S i if.
i r i r0.Lqiqjf.$Vh4jty tj I 'I
4w
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BC-TH PABST
REGISTER OF DEEDS
tl ST. CISO IX CO., W1
RECEivED roR RECORD
013/26/2015 9-.-56 AM
I F1 IE 141WIEV MALIM' CERTIFtED SURVEY MAP
40102,7 P- 6-143
:-OCATED iN PART OF THE. SWIM OF THE SEI/4 OF SECTION 20, T29N. REC FEE: 30-00
R;8VV. TOVVN OF WARREN, ST, I. COLJN7Y. WISCONSIN- COPY FEE: 3.00
PAGES' 2
IN(71.-[-JDIN(7,; L(D"- 4 OF CERTIFIED SURVIFY W%PIN VOLUME 17, PAGE
4444, DOCUMENT NO, 7013088
5603,
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7-4 OWNER SURVEYOR
KEITH & (7HR11,;T1k%A B41,JER FWIN C F-LANI-JV
816 106-FH STREET N0RT�-ILAND SURVEYING. INC
"0B'E,RJS, Wi 5-10,1 BUX 157
AM RY, W1 54001
S 1 /4 COR SEC 20 SE COR SE'C 20
ALUM 1hv'.r-rQ ;7n SC)UTH LINE OF THE SEI/4 5EC. 20 ALUM VICN. FE),
AND,
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Mxer 1 ipL Cir, ve,,. f ted uncier Section 13 1 S :3, a _J) o! i. St Croix (.aunty Land Div Ision 0(ci Inance,
anc., Se.ctlof��3115-45 (2) (a) (4) of the Wiscons,!',
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ST C-;;01)< COurJTY SECTION CC-)HNC--R
PO S I TION VERIFIED WI-T H TIES OF
RECO RD OR MON1 J MENTED AS NOTED
3.,.c - X '8, 1 iL i3i;NR S1,'T WEIL-ji I I NG
,.50 LB S PER L.INEAR F(D(D"r
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T-41S �NS19UMENT QRAFTED By EDWIN PLANUM
JOS NO 15-02 0WG - CSM DATE 8-18-15
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Vo 1. 2 7 Page 6143
SHEET 1 OF 2 SHEETS
Page 11
STCRoIk COUNTY NO OL51312
OWNER KE" � 5107--A(tt FkL1
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.4" AUTHORIZED ISSUING OFFICER
........................ ....... . ... ... . ..... .... .. .... ........... . .... ..... . ..... .............. .. .. . . .
. ..........
CHAPTER 145.135 (2) WISCONSIN STATUTES
(a) The purpose of the sanitary permit is to allow installation
of the private sewage system described in the permit.
(b) The approval of the sanitary permit is based on
regulations in force on the date of approval..
c The sanitary permit is valid and may be renewed for a
�� YP Y
specified period.
(d) Changed regulations will not impair the validity of a
sanitary permit.
(e) Renewal of the sanitary permit will be based on
regulations in force at the time renewal is sought, and that
changed regulations may impede renewal.
(f) The sanitary permit is transferable.
History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314
Note: 1f you wish to renew the permit, or transfer ownership of
# ca authority.
t e erm�t lease contact he uu h
permit, P tY
DATE 1 ° I f g 2jo2a
F M.M
DA1
W" , D BEF RE THA'
VIAM. NLESS RENFJ Irld
SBD-06499 (RI 1/20)