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HomeMy WebLinkAbout657114 042-1078-95-200Wisconsin 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 Erik Stoeckeler TOWN OF WARREN CST BM Elev: Insp. BM Elev: BM Description: 9,yoo 1 N. t > Q g TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosin Aerates Hoold�ing� TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic i � 25- , I Dosing Aeration Holdi PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Numb TDH Lift , t' Loss System Head TDH Ft Forcemain L gth Dia. Dist. to Well SOILASSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 657114 State Plan ID No: Parcel Tax No: 042-1078-95-200 Section/Town/Range/Map No: 29.29.18.448C STATION BS HI FS ELEV. Benchmark Graff � B3 '-�. j D q$•3o' 9y p I Alt. BM Bldg. Sewer f } e D I �r Lf0 b3 9D r SUHt Inlet lr �© , g3. ?o St/Ht Outlet / 93. yo, Dt Inlet Dt Bottom Header/Man. b ,bS 91.�s Dist. Pipe Bot. System }n �,�p 90 I too Final Grade 4. 3 0 "f � 9Y_ o a St Cover AWa"ENCH)Width DIME 2 Length ! I22 No. f Trenches Z PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG IWELL LAKE/STREAM LEACHING Manufacturer. INFORMATION Type Of System: ! 1 rs 2 ! 2 l } (DO1 / CHAMBER OR UNIT ,q i Model Number: J r I� �f DISTRIBUTION SYSTEM / [- +w S,b_ P/L Header/Manifolok- IlDistribution x Hole Size x Hole Spacing Vent to Air Intake Length���(�D�a i Le ) Spa ' / SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Over xx Depth ofxxSeeded/Sodded xx Mulched Bed/Trench Center TBedprench Edges Topsoil Yes No Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Location: 753 107TH ST 1.) Alt BM Description = 2.) Bldg sewer length 2 �4 Gove�e�c - amount of cover = Plan revision Required? es N 3 /% Use other side for additional Informatign. Inspection #1: 31i912,217 Inspection #2: Pe, red"n I'` vrq qua. Q ern 3/9t�1es'i. ,o��n e"n�S Ve.wze� re ct-.r SBD-6710 (R.3/97) .r eo . n v_ r Date Oj.r eAPeLO Insepctor'sSignature Stvte,.n 0-_R0,I ; Cert.No. r -I () )'-� (2, CL^n a. 6 ,r�e.urvr Z 0 �aP Industry Services Division 4822 Madison Yards Way Madison, 4VI 53705 P O Box?162 County AN-2024-046 Sanitary Permit Number (to be filled in by Co.) �r 'a S �" &15'4 1/1 MAR I J LU Madison, W1 53707-7162 State `Transaction Number Cix �° it Application in accordance with SPS 383.2I (2), Wls. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing the Department of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(l)(m), SON 1. Application Information - Please Print Ali Information Property Owner's Name parcel Property City, State l.I.%Type o Building (check all that apply) 17t11 or 2 Family Dwelling- Number ofBedrooms laublic/Commercial - Describe Use 7-5tate Owned - Describe Use Zip J ►J Phone Number Lot # Block # r J ale X /7/" L/ rL/ Property Location Govt. Lot /'/., S ision Name ss) �5`)—L,-rD of age of — m of I � 1H.Type of POWTS Permit; (Check either "New"or "Replacement" and oth likable on line A, Check one box on tine B. Complete line C it I likable. A' ❑New System Re lacement System ❑other Modification to Existing Sy,tcm (explain) B' ❑HoldingTank In -Ground ❑'ttGrade ❑Mound C. ❑ Renewal Betore `❑Revision Expiration II IV. DispersstlTreatment Area and Tank Infar Design glow (gpd) Design Soi�plication Rate[€ Capacity in Tank Information Gallons or Holding V, Responsibility State! ent- I, the undersigned, PltlLn is Name (Print P Plumber's Address (Street, City, State, Zip d 1. County/Department Use Only Approved ❑ Disapproved p Owner Given Reason for Denial C_ onditions of ApprovalfReasons for Disapproval SYSTEM OWNER: 1. Septic tank, effluent filter and dispersal cell must be serviced ! maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code 1 ordinances. itiorial Prelreapnient Unit (explain) Individual Site Design F10therType (explain) nge of Plumber uI'ransferto New Owner g$34)3_ 1oW& + X Z ispersal Area Required (sf) ispersal Area Proposed (sO System Elev ti Total # of Manufactti cr f Gallons Units r ' ✓ :' G4 U i%� vi cn ti, t7 O responsibility for installation of the POWTS shown on the attached plans. �grent�ure MPIMPRS Number Business Phone ,N,�u cr 2��Y;rr7 i/J"ter �� Issuing Agent 5ignaturc 3) Plw tee D-4a i t tnni� es Attach to complete lilarrs for fhetcryt n� c�cL�rikimil to tiie Cne my not n alder not its; than $ t� x�l l inchtes its s'r. t S� UU �a u �* (t v e t7edC aeJp ..-.. ._.... ,., ,.�.... Sti [J; aL poriod! of `'ti'St" I o� dk� � pfuw6ar PROJECT Erik Stoeckeler ADDRESS 753 107th st. Roberts Wi 54023 SE 1/4 NE 1/4S 29 /T 29 N/R 18 W TOWN Warren COUNTY ST.CROIX SYSTEM ELEVATION 90.2/90.1 4' below grade 3/12/24 BEDROOM 4 DATE CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANI{ 1200 gallons LIFT TANK SIZE DOSE TANK SIZE MOUNT) SEPTIC TANI{ SIZE IIOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1219 # of chambers 60 IL BENCHMARK V.R.P. Bottom of siding ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *II.R.P. same as benchmark — RECEIVE Scale = 1 /4" = 10' AL to 107th st. Well 15' Vent >6" of Cover 4' Longli 259 *.M.B MAR 19 2024 61'. CFW COUNTY CDD Line c^- Tested area is >15' above pond/lake east of property _ � � Vent not attached to system 50' i a 4 ,o S ci d o N s -- Existing 4 Bedroom house 40' ` c�- 1 '_I_ 60' 00 70' 20' B-1 40' IF B-3 80' 1% Slope 2-3' x 122' cells with >3' spacing Quick4 Standard Leaching Chamber with 20.0 ft2 of Area \6.6ft^2/pair of end caps .LGrade at System Elevation Vents LIM 1 Property Line SAN-2024-046 System PLOT PLAIN PROJECT Erik Stoeckeler ADDRESS 753 107th St. Roberts Wi 54023 SE 1 /4 NE I /4S 29 IT 29 N/R 18 W TOWN Warren COUNTY ST. CROIX SYSTEM ELEVATION 90.2/90.1/90.0 4' below grade 3/12/24 4 DATE BE[lRUU]4f CONVENTIONAL XXX CONVF,NTIONAI_ LIFT HOLDING TANK MC)L'NIl SEPTIC TANK SIZE 1200 gallons LIFT TANK SIZE DOSE TANK SIZE. HOLDING TANK SIZE LOAD RATE ,5 ABSORPTION AREA 1219 # of chambers 60 ' BF,NCIIMARK V.R.P. Bottom of siding ASSUME ELEVATION luu' Filter Lifetime Filter BOREHOLE S WELL+II. tt.P. same as benchmark Scale 114" = 1 0' M.R I Existing 4 10 107th �t. Bedroom (louse 40' 14 c 11 15' COPY Vent >6" of Cover r ) 11, 4' Long Property Line Tested area is >20' above pond/lake east of property - gD, Vent not attached to system 50' 9.0 P 20' 60 20' m --� Vc� Ee 70' aAVS' ®I 17r }-_, r 8 2' cells wit) Quick4 Standard Leaching Chamber with 20.0 ft2 of Area 6.6f l/pair of end caps LGrade at System Elevation M _3 spacing Vents 20' New Property Line apt N 30 �o ry_ 01WOOzIDIAN &rd Plumbing Inc. Shaun R. Bird 1432 120th St. New Richmond Wi 54017 715-246-4516 3/13/22 Subject: Erik Stoeckeler septic system at 753 107tth st. Warren To wham it may concern: My name is Shaun Bird, and this letter is to serve as verification that the septic system at the above pr erty has failed and needs immediate replacement. The septic system is completely f and has consistently backed up into the house. Sincerely, shaun bird MPRS 4226900 SAN-2024-046 Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 3/13/2024 Owner: Erik Stoeckeler Location: SE1/4 NE1/4 S29 T29 N,R 18W 753 107th st. Warren Used: In -ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Infiltrator Chamber Cross Section 4-5. Maintance and Contigency Plan 6. Filter C Attachmer Signature License ni SAN-2024-046 System PLOT PLAIN PROJECT Erik Stoeckeler ADDRESS 753 107th St. Roberts Wi 54023 SE 1 /4 NE I /4S 29 IT 29 N/R 18 W TOWN Warren COUNTY ST. CROIX SYSTEM ELEVATION 90.2/90.1/90.0 4' below grade 3/12/24 4 DATE BE[lRUUl4f CONVENTIONAL XXX CONVF,NTIONAI_ LIFT HOLDING TANK MC)L'NIl SEPTIC TANK SIZE 1200 gallons LIFT TANK SIZE DOSE TANK SIZE. HOLDING TANK SIZE LOAD RATE ,5 ABSORPTION AREA 1219 # of chambers 60 ' BF,NCIIMARK V.R.P. Bottom of siding ASSUME ELEVATION luu' Filter Lifetime Filter BOREHOLE S WELL+II. tt.P. same as benchmark Scale = 1 /4" = 1 4' Property Line Vent >6" of Cover r 1 11, 4' Lontr Tested area is >20' above pond/lake east of property Vent not attached to system 50' 20' 60' Existing 4 Valve 711' 20' Bedroom (louse 40, t 3' 40' B-3 u tiff I 17r Slope 3-3' x 92' cells with >,' sp-,i in, Quick4 Standard Leaching Chamber with 20.0 ft2 of Area 6.6ft^2/pair of end caps LGrade at System Elevation 13_2 Property Line SAN-2024-046 Gross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells {wick 4 Standard 20.0 ft2 of :Area per Chanibcr 6.6ft"2 pair of end plates To be > 1 ' above grade / Finish grade elevation Typical Installation r( 94AQ VC11t C� Grade r AAk_-30/34 Septic Tank Grade at System Elcvalion J 4 .. Grade at System Elevation � 4 " Spacing___ _S _ Observation tube/Vent Same on other end To be located on end of Cells 20 chambers per cell %A B System elevations: C A 90.Z B 90.1 C 90.0, SAN-2024-046 POVVTS OWNER'S MANUAL & MANAGEMENT FLAN - - r.-,c,reT[CINS 977? DESIGN PARAMETERS Number of Bedrooms Ew7 NA Number of Commercial Units A Estimated now (average) al/da Design now (peak), (Estimated 1.S) ('� allda Application Rate r) avoa rr tnfluentrEffluentQuality Monthly average' Fats, Oil &Grease (FOG) S30 mglL Biodhemlcal oxygen Demand (BODO s220 mg1L Total Suspended Solids (TSS) 5150 m /L Pretreated Effluent duality ❑ NA Monthly average — Biochemical Oxygen Demand (BOAS] s30 mg/L Total Suspended Solids (TSS) 530 mg/L Fecal Coliform [geometric mean] S10' ctullDOml Maximum Effluent Particle Size MAINTENANCE SCHEDULE Service Event Inspect condition of tanks) _ Pump out contents of tank(s) Inspect dispersal cell(s) -_ Clean -effluent filter Inspect pump. pump controls & alarm Flush laterals and pressure test other. Other. Y, inch diameter J i J 1 a-1• �• Septic Tank Capacity al ❑ NA Septic Tank Manufacturer ❑ NA Effluent Filter Manufacturer y, Q ❑ NA Effluent Filter Model 'r"J ❑ NA Pump Tank Capacity qal NA Pump Tank Manufacturer NA Pump Manufacturer NA Pump Model NA Pretreatment Unit NA ❑ Sand/Gmvel Filter ❑ Peat Filter ❑ Mechanical Aeration ❑ Wetland ❑ Disinfection ❑ Other. Manufacturer Dispersal Cell(s) n-ground (gravity) (pressurized) �§� (p i-grade r�rn ❑1 M`o�und lr;n-1;n. ❑ Other: Values typical for domestic (non-commerdaQ wastewater and septic tank efftuent- •� Values typical for pretreated wastewater - Service Frequency At least once every 7:-,) ❑ months ear(s) (Maximum 3 yrs.) When combined sludge and scrum equals one-third (Y,) of tank volume At least once every �3 C3 months ear(s) (Maxlmum 3 yrs.) At least once every At least once every At least once every At least once every At least once every ❑ months years) ❑ months ❑ year(s) ❑ NA ❑ months ❑ year(s) ❑ NA ❑ months ❑ year(s) ❑ NA ❑ months ❑ year(s) 0 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal colts shall be made by an individual carrying one lot: following licenses or Septago certifications: Master Plumber, Master Plumber Restricted Sewer; POWTS Inspector: ns measure Inc]uthe volume Inspectionde a visual e of combined sludge a(s) to identify any missing or nd scum and to check for anyback up broken Servicing Operator. Tank inspections hardware, identify any cracks or le dispersal cells shall be visually inspected to check the effluent levels or ponding of effluent on the ground surface. The ng o ( ] in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification) rrrQlocal regulatory h taank volume, When the combined accumulation of sludge and Scum i e ServtcirtC7any tank aeratols eand disposed of in accordance with ch. NR entire contents of the tank shall be removed by a Septag 9 P 113, Wisconsin Administrative Code. retreat merit components, and any The servicing of effluent tillers, mechan'sl or pressurized POINTS components, p other maintenance or monitodng at 'Aervats of 12 months or lessWthinb 0 d y o eGompiet certified P�WT ny c Me event. A service report shall be provided to the local regulatory authority START UP AND OPERATION for the presence of painting products or other For new construction, prior to use of the POWTS check treatment tank(s) chemicals that may impede the treatment process and/or damage the dispersal cell(S). if high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. of SAN 2�2T-046 START OF AND OPERATION for the p resence of painting products or other chemicals ihelt For new construction, prior to use of the PC3VUTS Neck trees ant tank{s] if high concentrations are detected. have the contents oft the may impede the treatment Process andlor damage the dls rsal ceH(s)- tank(s) removed by a saptage servicing operator prior to use. System start up shall not occur when soil conditions are .o frozen at the ater lie levels, When power is restored the excess wastewater will be power outages pump tanks may fill above normal high cell(s) and may result In tine berkup or surface discharge of r t o th During p p rotor prior to restoring power to the discharged to the dispersal cell(s) in one Large dose, Duel o k removed by a Septage SenvtG tge p controls to restore normal levels To avoid this situation have the contents of the pump effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the area within wthin the pump tank. emal cells. []o not drive or park Yeh"sdes over tanks and di+sPabso bon area not drive or park over, or otherwise disturb or com�tfe of the PiJWT��: 15 feet down slope of any mound or at -grade 80 rP rove the performance and prolong the Reduction or elimination of the following from the wastewater stroam may imp roductsantiblo; „� es: cigarette butts condoms: cotton swabs; degreasers,herbicides; l{n s1s laPsrgmedications;i oil; paints foundation drain (sump pump) baby asoline., greas , (sump pump) water; fruit and vegetable peelings !} pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT steps l be When the pC}W'TS fails andlor is permanently taken out of service WVtsconslYn Adm'snistretiealCodeakerl tiD insure that the system is propel Y and safely abandoned in compliance with chapter Comm 83. openings sealed. • Ali piping to tanks and pits shall be disconnected and the abandoned pipe of a Septage Servicing Operator. • The contents of all tanks and pits shall be removed and property disposed ° by eir fivers removed and the void space filled with soil.• After pumping. all tonics and pits shall be excavated and removed or th gravel or another inert solid material. CONTINGENCY PLAN � measures have been, or must be taken, to provide a cads compliant If the pQWTS falls and cannot be repaired the following replacement system: infringedn b re ufiietl © A suitable replacement area has been evaluated disturbance and nd May be ecompectian and should not area wl It n the nE d The replacement area should be protected from semacks from existing and proposed structure, lot lines and wells. Fa r ea to epla e e replacement for a new soli and site evaluation to establish a suitable replacement area. Replacement systems rriusi corriply with the ruler in effect at that time. A suitable replacement area is notlava ast ilable due to a replace the aged'P(71�Slimitations. Barring advances in POVUTS tecFtroogd a holding tank may be installed as a failure of the POWTS a soil and site evaluasion evaluated to identify The site has not been a suitable replacement area. Upon 5 placement area. If no replacement area is av must be performed to Vacate a suitable ailable a holding tank may be installed. as a last resort to replace the failed POWT loWng removal of the biomat at the infiltr'alivc nstructed n place [3 Mound and at -grade soil s absorption surface. Reconstructions of suchsystems must comply the rules �l In affect at that time. IENT <<WARNING» ES AND/OR INSUFFIC SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY UAfDER ANY LETHAL AHCES. DEATH MAY RESULT. RESCUE OF O� ENTER A SEPTIC, PUMP OR OTHER TREATMENT PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. C� POWT'S MAINT BR DOWTS INSTALL R NameDame Phcne "�Phone I,EHELEE�j LOCAL REGULATORY AUTHORITY ! SEPTAGE Fzx'-�-�7 !7!Ej Name blame Phone�PhoneThts docxfinent was draRed in comp Hance with chaperS saa.a2(2)(b)(1)Ld}a(f) and 383.54{t}, (2) ll, (3), Wisconsin Administrative Code. co 9 N A -A 71I SAN-2024-046 nd Professional Services Pays a SOIL. EVALUATION REPORT 7MA Count n24 cordance with SPS 385, Wis. Adm. Code YpSt.Croix Attach cam late six 11 inches in size. Plan must include. but not limited to: v int (BM), direction and percent slope, Parcel LD. scale or dimensions, north arrow, and location and distance to nearest road. 042-1078-95-200 Please print all information. Revie ed byc �� Dalle I 3[/y Personal information you provide may be used for secondary purposes Privacy Law, s. 15.p4{1)(m}}. , /.�( LA.1`V�'� . Property Owner Property Location El ❑J Erik Stoeckeler Govt. Lot SE '/. NE `/. S 29 T 29 N R 18 E (or) w Property Owner's Mailing Address in fj% Site Address or GSM and Lot #: 753 107th St. \/--{ +t Lot 2 Csm # Vol 6 pg 1718 City State �Wi I Zip Code Phone Number ❑ City ❑ Village M Town Nearest Road Roberts 54023 f Warren 107th St. New Construction Use: R ResidentiallNurn berofbedrooms 4 Code derived designflow rate A Q GPD Replacement ❑ Public or commercial — Describe: Flood Plan elevation if applicable n/a ft Parent material QUtWrash General comments and recommendations: System type: Conventional 4' below grade 1 I Boring # ❑Baring I 1 ©Pit Ground surface elev. 94.4ft. Depth to limiting factor 91 in. / elev. ft. Soil. Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. AL. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft= 'Eff#1 'Eff02 1 0-12 1Oyr3/2 none SE 2mgr mtr CS 2m .6 1.0 2 12-36 1 Oyr5/4 none CI 2msbk mfr gw if .4 .6 3 36-91 1Oyr4/6 none F5 I Osg ml n.a n.a ,5 1.0 a{ C/O .2- Boring # ❑Baring 94.4 () ®Pit Ground surface elev. ft. Depth to limiting factor.. in. 1 elev. fl. Soil Aoalicalion Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz, Sh Consistence Boundary Roots GPD/Ft' Eff#1 "042 1 0-5 10yr3f2 none SI 2mgr mfr Cs 2m .6 1.0 2 5-24 1 Oyr5/4 none Cl 2msbk mfr gw if .4 .6 3 24-91 1Oyr4/6 none FS Osg ml n.a n.a .5 1.0 a{ 99,2 Jy "A CST Name (Please Print) re CST Number Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St. New Richmond Wi 5401 3/12124 715-246-4516 Effluent #1 = Boo > 30 S 220 mg/L and TSS 7 30 S 150 mg/L ' Effluent #2 = BOD, 5 30 mg/L and TSS S 30 mg/L SOD-8330 (R04121 ) � 3 SAN-AJRI 4�_ 7 Boring # ❑ Boring 94.0 ® Pit Ground surface elev. ft. Depth to limiting factor 92 in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ftz 'Eff#1 'Eff#2 1 0-10 1Oyr3/2 none SI 2mgr mfr cs 2m .6 1.0 2 10-36 1Oyr5/4 none CI 2msbk mfr gw 1f .4 .6 3 36-92 1Oyr4/6 none FS Osg ml n.a. n.a. .5 1.0 t D,D 'j 9 ❑Boring \ 1 I Boring # 't Jt Pit Ground surface ele . ft. Depth to limiting factotL in. / elev. ft. —J Soil Application Rate'. MM Redox Description Qu. Az. Cont. Colo ;M1 i i Structure : 1� ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. / elev. ft. Soil Application Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 'Eff#1 'Eff#2 Effluent #1 = BOD > 30 s 220 mg/L and TSS > 30 5150 mg/L ' Effluent #2 = BOD, 5 30 mg/L and TSS 5 30 mg/L Soil Test Plot P Project Name Erik Stoeckeler Address 753 107th st. i Roberts M 54023 STM 11226900 Lot 2 Subdivision ----- D e 3/12/24 SE 1/4 NE 1/4S 29 T 29 N/R18 W Township Warren Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Bottom of siding System Elevation 90.2/90.1 /90.0 *H R pSame as Benchmark Scale = 1 /4" = 10' Prnnertv Tine SAN-2024-046 P . � a�3 Tested area is >20' above pond/lake east of property Vent not attached to system ST (made of steel!) *.M.8 20' 60' 20' i Existing 4 20' to 107th st. Bedroom house 40, 30' B-1 Well 15' cnl 40' i 0 1% Slope Property 50 SAN-2024-046 tt 6Q Man 0a r9as 43.7703 " CERTIFIED SURVEY MAP LOCATED IN PART OF THE SE 1/4 OF THE NE 1/4 OF SECTION 29. T29N, R18W, TOWN OF WARREN, ST CROIX COUNTY, WI. —LEGEND Owner & Subdivider: Dale Stewart 1011 Twin Lakes Rd. SECTION CORNER. BERNTSEN CAP Roberts. Wi. 1" IRON PIPE FOUND O 1"x24" ROUND IRON PIPE WEIGHING SCALE IN FEET (1"z(x{O') 1.6110 LOS/1.I14 FT SET O 75 150 Soo -AND V8. I E 44 6 -NPLASTEO .464 �7g�4323 0T3 q9 33 T` H� „ N a o n LOT I UJI l- Y,0 Q oy � a I V z N �04 (� N LU .� {_ APPROVE^ I 1 33.00' 448.17 12.00' _ _j OCT 02 198(3 yi ¢I ?S N88o43 I2"E 48I.17• � � sr. clo,x c,» II ( N C m Q, COMP,tENENSIY: PAH't`. L` z a A AND 20NuvG LOT 2 W =i } m ( I cQ n 4 o 33l30' 479.42' u POINT OF BEGINNING m S88�43'48"W W1 CORNER /4 1 S88o43'48"W I 6�6 512.42' 772.I1' E 1 4 CORNER SECTION 29 UNPLATTED LANDS — SECTION 29 T29N RI8W T29N R18W I -EAST-WEST 1/4 SECTION LINE Lot 1 area Lot 2 area 247,335 Sq. Ft. 130757 Sq. Ft. 5.678 Acres Excluding roadway 3.001 Acres Excluding roadway 264,043 Sq. Ft. 6.062 Acres Including roadway 140,059 Sq. Ft. 3.215 Acres Including roadway Vol. 6 Page 1718 SAN-2024-046 Y1 ctk COUNTY NO. bf7 Il STATE SANITARY PERMIT � 10:3� SL. 0T"NSFfv-,WREN-F.-dWj,A, L PREVIOUS NO. W3?3 it'weo( OWNER PLUMBER e _�;IJAMJ POIVk LIC.# 220e)o TOWN , , r D AND/OR , -BLOCK 6C=-Wl I 1� - 1-+l$ 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 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: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. 04��,,AUTHORIZED ISSUING OFFICER - DATE THIS PERMIT EXPIRES_ -5LI-3 DATE SBD-06499 (R11/20)