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HomeMy WebLinkAbout002-1022-80-085St. Croix County Zoning Monday, December 06, 2004 at 5:03:28 PM Detail Sanitary Information Page 1 oft Computer #: Sub/Plat: NA Section: 11 Parcel #: 11.29.16. Lot: 3 TN/RNG: T29N R16W Municipality: Baldwin Township CSM: Vol. 18 Pg. 4696 1/4 114: SE 1/4 NW 1/4 Owner: Niebergall, Fred 1049 250TH St Woodville, WI 54028 State Permit: 453325 Issued: 06/17/2004 POWTS Dispersal: Mound 24" or more suitable soi Permit: New County Permit: 0 Installed: 09/02/2004 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: Unknown Notes Inspector As Built Plumber Other Requirements Additional Notes Monev Owed Ryan Yarrington NA Rogers, Mike This site is adjacent to Lot 1 of CSM 15/4119 and $0.00 Signed Off: Yes additional acreage in ag-res zoning, with access via outot 1 of CSM 15/4119. Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 9/212007 Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO F~RMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Nieber all, Fred Baldwin Townshi CST BM Elev: Insp. BM Etev: BM Description: 1A~ ~ -'• 7~ 1r \ ~ ~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic I^ / Dosing ~ 6C~ Aeration ~ ~ ~/~ Holding TANK S ETBACK INFORMATI ON TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ 3~o , 13 g ' /`~ ~ / ~ ~--- Dosing 3 . ~ i ~g I /g / l~ ~ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~~ IS~ / GP ~an Model Number r.~ ~) ~ ~' TDH Lift Friction Loss System Head TDH Ft Forcemain Leng th Dia. ~~ ra z Dist. to Weu ~ SOIL ABSORPTION SYSTEM -v'~LEVATION DATA County: .St. CrOIX Sanitary Permit No: 453325 0 State Plan ID No: Parcel Tax o: oo ~'i~'O~~ Section/Town/Range/Map No: 11.29.16. STATION BS HI FS ELEV. Benchmark n _ _ _ Z ~ ,~~ ~' ~ '„'Z J~ Q `.7~ D t. M ~pA o d ~~~ 1 ~ ~~ ~G Bldg. Sewe ~ ~ G~ /b~•o~ SUHt Inlet ~~ ~q r / ~•~~ St/Ht Outlet ~~ Dt Inlet Dt Bottom !S~ z1 `~'G , sl Header/Man. , J ` I r ~~~' Dist. Pipe '1, l t ~~7 • ~ / Bot. System ~' ga ~ ` $ ~ 5~ final Grade 3 i ~ /as . (~ ~ St Cover BEDITRENCH DIMENSIONS W idth / Len tg h ~ ~ - 7 No. Of Trenc h es PtT DI SIGNS No. Pits Inside~Ria. Li i~ d Depth ~ / y ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: \ INFORMATION CHAMBER OR Type Of Syst m: ~ / ~J / d~ ~ ~ ~~b UNIT Model Number: `\ 0J DISTRIBUTION SYSTEM Header/Manifold ~ ~ ~ ,~L Length 3 Dia Distributi-otn~f / ~ f Pipe(s) J/ l ~~ 1 /Z 3 Length Dia Spacing x Hole Siz+e ~, x Hole Spacing ~ Vent to Air Intake a .n, SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Svstems Onlv Depth Over ' ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center (~ ~ Bed/Trench Edges Topsoil (`~ t J,,Q" es i ] No Yes ~ No COMMENTS: (Include o e disc epenc' s, persons present, etc.) Inspection #1: ~ / Z / a y Ins ection #2: / /_ ~o`ts ~vi C ~2.. ~a~ Location: 1049 250TH S ~~(SE 1/4JNV1~ 1/ ~ 1,1~Tv29N R16W) NA Lot 3 7~r„ DrParcel No: 11.29.16. 1.) Alt BM Description = ~ ~ ~o~r ~a('~,,,..g~ `O„~y~~~ 6J2J`~ 2.) Bldg sewer length = ( ~ r /^ - amount of cover = ~ ~ ~ ~~ ~ c1 ~ ~~ '~` P `~'~ ~~ Y O ~-~ ~ , '~~S P P P '~ 3.) Contour = ~ r Plan revision Required? ~~ Yes o Use other side for additional information. -r----,-- -i ~~~~~~~ ~~---~ --~- --I Date 1 D i`~Z 1 s~~f ~~ ~~_~~ Cert. No. SBD-6710 (R.3197) I Safety and Buildings Division ... ~ ~~ _ 201 W. Washington Ave. P.O. Box 71'02 f ~"~~' Madison, tiT:`I 537d7 - 716? (60aj266-311 (_.__.~~~i~art.rtlent ~f Cotnmeroe ~a~~ta.~~ ~`ermit .~pp~icat~~i ~1 Iu accord>atth (:otiun 1;3.21, Wis. Adtn. Code, personal information you pr 1tic+~D f may ba usod fur secondary ptuposes Privacy Law, sl i.0:4~lj~mj +} .t .=,Ia~tiisiYio22 lnfartn.ttian -- Please Print All Information 0 ~1. "I~Fpa of Isuildin~ {ck[ecl: all tLat apply) ~i ar ? Fancily Dwelling -Number of Bedrgo i,_} 1'tibIie-tConunw'oial -7]escriba Dsa // l/ ~~?7 1~ State Owtted - -escribe Use [O }~ ` lei. 'T`ype of Peamits (Check 01119 one bolt ou __ ~ ~ ~,,,:.r,~ _ oG,~nn~ A. Camvlete line R if annlirahlN\ OFFICE .~ ~~"o Sanitary Permit Number (to be filled in by Co. ; _ ~fs-3 3zs State Plan LD. Number 1~, ~ "1 ~ =7~us . ~d Project Address (tf different than mailing address) / rt~~ Pa 1 i# ~ ~ t tt Block n -~ro-a s~ O~-/~,?~z 'roperry Locla~i~on ~ '/+, ~~, Section ~_ {circle ~~ N; R_~~E oV 53 l ^Ciry_^Village •'' -- w SystetA ^ Replacement System - - ^ Treatment,'Holding Tank Replacement Only ^ Other Modification to Existing System Q Perntii I2~newal ^ Permit Rcvisian ^ Change of ^ Permit Transfer to New List Previous PermiT Number and Dale Issued I I3nfora Expiration Plumber Owner + r-~ \ /1.11 xy. x cvarvrT io a.•~rC1U: e<:1c au Tn 1 I1.O - __ ,, !rl Non-Pressurized Tn-Ground Iviound? 24 in. of suits le soil ~ i ^ At-Grade ^ Single Pass Sand Filter ^ Cot[saucted Wetland ^ Pressurized Itt-Ground Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filler ^ lecirculating Synthetic Media Filter ^ Leaching Chamber ^ Dri Line ^ G 1 1 ~ P ^ V'. Dis ersaUT a p rave - eas tpe Other (explam) ent Area Iufarmatiou: l~asiyrEi 2~low esign Soil Application Rate(gpdsf) Dispersal Area Required (st) Dispersal Area Proposed (sf) System Elevation ~I. aUl:Illi'U Capacity in Total Number ivlanufacturer Prefab Site Steel Fiber I plsti~ Gallons Gallons of Units Concrete Constructed Glass ~' New Existing Taffies Tauks Sapii~ or i loldiug Tack . _ ~ ,~ 1 C. rryrl~n . X - la~~ ~e Se-r- J~ i~Il.l2espauslbtllty StatelnBUt- Y, the undersigned, assume responsibility i'or installation of the POWTS shown on the attached plans. Plutubar's Nitm~ (Priui~ Pluwh 's Signs MP/MPRS Number Business Phone Number ~~ ~ s ~~ ~~~ a3~- ~ ~ ~ Nltattber's A~3dress (Street, ,State, 2tp Co e) -~ 4?IIi. Couu IDe artment a t?ui .__. ._. ._~ Approved ^ Disapproved Sanitary Permit flee (' elude~~s,Gr~~roundwater Date Issued Is uing ent Signature (N Starnp>; Surcharge Fee) 3J(.,J"-'- ~ Q Owner Giveit Reaswt for Denial i ~~. Couditiaus of Appravai/Reasous for Disapproval SYSTEM OWNER: 3~ ~ ~~~~~`~ ~, r~ n -~ ~~~ 1 Septic tank, effluent filter and ~~.u~. ~ S~ l~t~t,, '~ dispersal cell must all be serviced /maintained 6 _ as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. Aitach cowplete plans (to the County only) for the spstem on paper pot less than 81/1 x II inches in size .-~- G O_ -~4' 7 V ~` it ~4 U G ~-- .o ~ `~ d rJ ~ ,~ ~ ~ ®~ i y~5 ~~ v M ~- ~p -1- C ~J _~ z 0 '~- i r o .3-1 ~ ~ ? ~- r °~ l .x `9 a/o2~L 1 ~ -r, t, ~ 1 t i C a ~- ~, C ~ ~ -1~- .~ U SOU V ~ O' ~, o •.fl ~~ ~ J- 3 ~ ~ ~ ~ .~ T ~ -~ m., ~a~ ~ ~ ~ N t 3 ~ ~ ~ = ~ N / J ~ ~ ~ ~ l~ v ~ v o ~'3v. ~ ~ ~ o ~ ~ --~--: L F,Y t ` Ir,° ( ~ ;r ~ ~: .~~~ r ~o 4 [] ~O d O a fin.. v :> s $ ~ d ~ ~ o -A v 2 t~ ~, ~~ C~ 3 2. X5.1 3 't~cs,~~ h ~ a~ T a ,~, ~C~~~ i/ i -- i~ / ~ `` j ~I~ --- -. ~~G i S~1 ! 2Sw~.o~, commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD lA CROSSE WI 54601-1831 TDD #: {608) 264-8777 wvnnr. commerce. state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary June 04, 2004 CUST ID No.225094 MICHAEL P ROGERS ROGERS PLUMBING E4457 HWY 12 MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/04/2006 A7"TN: POWTS Inspector ZONING OFFICE ST CROIXrCOUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1005777 SITE: Site ID No. 684510 Fred Niebergall Please refer to both identification numbers, 250TH St above, in all comes ondence with the a enc . Town of Baldwin St Croix County SEI/4, NW1/4, S11, T29N, R16W Lot: 3, Subdivision: CSM Vol 18, Pg 4696 FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 961820 Maintenance required; 450 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade; . System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/01), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.01/O1); Biofilter 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, ~Ottt~ltlOr stats. ~ ~~ The following conditions shall be met during construction or installation and prior to occupancy or use: DEPARTMENT OF a General Approval Requirements: N OF I"sl( s • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRESPC "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1J01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01/O1). • When this tank is no longer used as a POWTS component, it shall be abandoned by complying with Comm 83.33. • The manifold diameter must be reduced to 1.5 inches so that the velocity of the effluent is 2.0 ft/sec or more. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c Y MICHAEL P ROGERS Page 2 6!4/04 • 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. Stats. • 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(2)(d), Wis. Stat • Comm 83.22(71 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Mound System Project Name: Owner's Name Owners Address Cover Page ~Fc ~~~, ~/fir ~~ FQ ~,~ ~~©~ soli. Lot 3 Utecht Subdivision ~~~~ 1 V t 'C'. r.~ ~.il.ljVA`. 1 ~ ~ `~' c~c~-~` A-,~e, Legal Description I SE I ~ I %4, Nw ~ %. Sec _ 11 T 29 N, R 16 Township Baldwin County Saint Croix ~ Subdivision CSM VOL 18, PG 4696 Lot# 3 ParcellD# 11-29-16-159 Table of Contents p9~ 1 Cover page 2 Mound Sizing Calculations 3 Pressure Distribution Layout and Dynamics 4 Dose Tank 5 Management and Contingency Plan 6 Plot Map /Calculations total # of pages: 6 Designer Name: MP/License #: Date: Ph. #: Signature: '`~~1y ~~ ?~RMERC~ .d~ Btt~u~.., ~~ ~NDENCE ,~~ S-o~/ 5127/04 Mound System Design Methods Used per "Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10691-P (N.01/01) per" Pressure Distribution Component manual for Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10706-P (N 01101} 3bAdvisement N12486 220th St, Boyceville, WI 54725 Ph: 715-643-6068 email: Mound System Pam a a s Septic, Pump and Dose Tank Project: Lot 3 Utecht Subdivision Tank Information Pump tank manufacturer: Wieser Concrete Pump tank size/model: wiooo/boo-MR • Pump tank gal/inch: 11.82 Actual Pump Tank Volume: 603 gal Tank bottom elevation (inside): 99 ft Septic tank size/model: wiooo/6flo-MR • Pump and Filter Total Dynamic Head Pump Manufacturer: Little Giant Are laterals highest point? y Pump Model: 9EH if not, enter highest elevation: p ft Effluent Filter: Zabel A100 System head (distal x 1.3) 6.50 ft Vertical Lift ("D" to lateral) 7,42 ft Note: Acxess opening of sufficient size to be provided to allow Friction loss in forcemain: 0 63 ft removal of filter. opening to terminate at or above grade. Pressure loss from filter: . ~ft Total dynamic head (TDH): 14.55 ft Pump Tank Diagram Dose Tank Levels Watertight Locking Cover In. Gal A Inch ~~~ blaming Label Fnished A Reserve 30.0 354.1 Minimum Grade g pump off to Alarm 2.0 23.6 Alternate C Total Dosage 7.1 83.4 Outlet Locafion Elect. per Comm D Effluent depth for pump 12.0 141.8 r ~ szs and NEC 300 Total Capacity: 51.0 603.0 7'. or Anti- ~ Siphon B Device C D Dosage Volume Forcemain drains back to tank? OQ Yes O No Lateral void volume: 15.6 gal Dosage to absorbtion Cell: 78.2 gal Forcemain volume: 5.2 gal Total dosage: 83.4 gal FLf]V- LITERS/t~UR FCC N 7.3 r W z 5 ~ q W W r 4 Pump must be capable of: and head pressure of: 31.3 GPM 14.6 Feet z.s 0 Little Giant FLOV- GALL~NS/M[NUTE 9EH PUMP PERFORMANCE CURVE ttsv eoHz Mound System Management Plan pursuant to comm 83.54 W. A. C. page 5 of 6 Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical/biological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent fi{ters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1!3 of the usable tank volume may be occupied by sludge/scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 113 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Pump/Dose Tank SEE CORRESPONDENCE If an effluent filter has been installed in the pump/dose tank, it must be removed 8 cleaned as necessary, with provisions to keep solids from passing to the mound component during removal. The pump, float switches and alarms must be inspected at least every three years for proper operation. Pump/dose tank should be routinely inspected to be watertight and of good repair. Mound and Lateral System The mound system component must remain free of ponded surface water prior to pump operation. if 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing/maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and/or possibly cause it to freeze in winter conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the cleanout points at each end of the component to remove scum that may clog orifices. Performance Monitoring: Performance monitoring must be done at feast once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by either: extending basal toe to provide added absorbtion area; or by removing the clogged bacterial mat,aggregate cell, and distribution piping within the mound and replacing said components in order to return system to proper working order as required. .` .~. tj. G O -,4„ 7 L J' ~1 ~ U C ~ ;- .~ ~ ~ ~ ~~ ~~ v ~ ~~ ~a 1~ l~ Y , i Z~~ L. 1 _~ s O ~~- r n ,~~ l17 ~ a,. , r ~`~ t x ai~z~~ 1 ....a 1 ~ y ~~~ ~. . - ~v ~-~ ~ o ~ ~~ as h~~ O V V ",~~, O tj ~ ~ ~ ~ ~ +" t ~ .1 ~~ ~ ~ -- ~''~ C~ U i~, O fi ~~ L ~ _~ ~ ,L ty ~ ~ ~ r ~ ~~~ t~ .> L !~ ~O 0 y 332. `Y ;9 Q.- --11 L ~~" ul ~ O .~ 2 ~ _ G O a-- ~ ~ v1l c `4 .~ M `D ~~3 ~ -.9 ,9 ~ ~s ~ E~~ Cl" ~~~ .~ o ~~ ~ ~3~ ac ~ ~ D 0 ,.}.,. ~- ~~= ~ v ~.°s ~ ;~, c1 2 3 3 2 ty 2 PUMP PERFORMANCE CURVE PUMP PERFORMANCECURVE PUMP PERFORMANCE CURVE SUMP 1 EFFLUENT MODELS LL 318",1/2"83/4FSDLIDP SSINGCAPACITY 318",112" & 314" SOLIDS PASSING CAPACITY 14 '2 MODEL q8 53/55 72 76 98 137/139 14014140 151 t52 153 135 57159 I Feet Meters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Lilers Gal. Liters Gal. Liters Gal. t3 191 5 1.5 29 110 43 163 36 144 50 189 72 273 93 352 86 326 50 189 69 261 77 0 0 a 0 I ~ 161 4161 151 16114161 163!4163 16514165 18514185 18614186 18814188 18914189 191 Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Liters Gal. Leers Gal. Liters Gal. Lkers 100 379 61 231 61 231 58 220 145 549 145 549 45 170 93 352 61 231 61 231 SB 220 140 530 140 530 45 570 85 322 60 227 61 231 58 220 134 507 135 511 45 170 79 299 59 223 60 227 58 220 128 484 131 496 45 170 70 265 57 216 59 223 58 220 12T 462 125 473 45 170 62 235 55 206 58 220 85 322 58 220 11fi 439 120 454 45 170 45 170 46 172 55 206 70 285 58 220 104 394 109 413 45 170 20 76 33 125 50 189 51 193 58 220 90 341 97 367 45 170 15 57 39 148 32 121 58 220 71 269 85 322 45 170 23 87 9 34 52 197 51 193 69 261 45 170 _ - - 10 38 - - 45 170 26 106 51 193 45 170 31 117 2 8 34 129 45 170 - - - - - - - - 16 80 17 64 40 151 _ _ _ _ _ __ _ 4 15 _ _ _ _ 30 114 _ _ _ __ _ _ _ _ _ _ _ _ ~ 7fi 10 38 56 k.( 17.1m) 6fi k.( 20.1m) 89 fl.( 26.4m) 73 fl.( 22.3m) 114 k.( 34.7m) 91 k.( 2T.7m) 110 k. (33.Sm) 137 k. (41.Bm) 009922 A CAUTION Model 185/4185 should not be subjected to less than 30 feet TDH. i NOTE: For Pump Performance on Model 112, Industrial column 100 110 1zo 130 1ao 1so explosion proof pump, see FM0219. FLOW PER MINUTE w 24 22 20 0 18 w x ~? 16 T p 14 ~ 12 10 8 6 4 2~ 0 SEWAGE AND MODEL 211 264 266 267 268 270/4270 28214282 28414284 29214292 L 29314293 29414294 29514295 cv c.i vai. ~° _ _ . . 'Po ~ DEWATERING 8° it iW ui 165 888 898 _ _ 58 3Cd a09 150 S6B 898 ~e 198 75 - - - - - - - - - - - - - n: izi ~ ~ - - - - - - - - - - - - - - ,ee i~ ~ oe ~ ai 70 - - - - - - - - - - - - - - - - - r se 90 1Z8 - - - - - - - - - - - - - - _ ~s ~ 65 smnm gyn. io.rm w n. is.zm szn. ie.a" nn.9m 60 -- - -- -- r~ ! _. oossoa 55 50 ~ 293 -- - _ - _.. -- .. .. ---- _ 40 PUMP PERFORMANCE CURVE ~ SEWAGE MODELS 30 25 266, 267 282 270 _ _ _ i - 2" SOLIDS PASSING CAPACITY 20 15 , 2 -I - - 5 - ~~ - - - -~- - - - -" A CAUTION 211 264 1 292 284 294 295 Model 293/4293 should not be subjected to less than 15 feet TDH. 10 20 3D 40 50 60 70 80 90 100 110 720 130 140 150 160 170 180 190 200 210 220 23 GALLON LITERS --. .~ -T7. _~..-~_ _r T._ ~ -. ---~--- 0 80 160 240 320 400 480 560 640 720 800 FLOW PER MINUTE © Copyright 2003 Zoeller Co. All rights reserved. 6 ~ SUGGESTED METHODS OF FLOAT INSTALLATION ~ On some installations it may be desirable to install an independent hanger for the level control switches to avoid possible hang ups on the pumps, piping, valves, etc. Float hangers are available from Zoeller Company on Catalog Sheet FM0526 or can be fabricated from standard pipe and fittings. ACCESS COVER STANDARD PIPE FLANGE 10-1457 FLOAT THE TH 3 FLOATS SHON ~ PVC OR LIGHT WEIGHT PEAGRAVEL STAINLESS STEEL PIPE TYPICAL FLOAT HANGER ON STEEL COVER PITS sK~z,7 TYPICAL FLOAT HANGER ON CONCRETE PITS SKtz18 OR SEPTIC TANK RISERS ~ "EXTRA PROTECTION SYSTEMS" TWO PUMP SYSTEM ALARM The "Extra Protection" Two Pump system is an economical solution to the costly duplex alternating PM 10-00281LLUSTRATED (UNCTION BOX AND PLUG NOT INCLUDED) pump system and it's easy t0 Install. The "Extra Protection" Two Pump Systems consists of: a. The iwo nonautomatic pumps with VLFS of your choice b. One Alarm System c. Two Unicheck Valves as required ADVANTAGES (1) The Two pump systems offers high pump performance without the high price. It is a system that fits your needs and your budget. (2) Delivers more dependability than a single pump system and greatly reduces the chance of costly and time consuming problems associated with wear out or damages and the resulting system failures. (3) Affords greater satisfaction and peace of mind to all concerned by providing state of the art protection for costly and expensive surroundings. (4) Ability to change lead and lag positions by changing pump plug connection. SK878 (5) Easy and economical to install. •MINIMUM DISTANCE 2"BETWEEN PUMPS ~ THE BASEMENT SENTRY ~ 12 Volt backup sump pump system model 507 & model 510 ~ Application -For Clear Water, emergency backup usage when power is off or primary pump fails. Extra Protection -When the primary AC pump fails due to power outages or system problems. • Storms • Brownouts • Wiring or electrical problems Extra Protection -When the primary pump fails to keep up with excessive water due to rain or overloading. Includes: - Pump and control - Charger -Fittings - Battery Case (Battery Not Inciuded) MODEL 507 TDH (ft) Flow (GPM) 5 23.2 10 12.5 14 Shut-off Head For submersible or pedestal installations. See FM1311 (507) or FM1139 (510) for information. Suitably sized basin required. MODEL 510 TDH (ft) Flow (GPM) 5 33.8 10 21.6 15 10.6 19.9 Shut-off Head © Copyright 2003 Zoeller Co. All rights reserved. 5 ~ ~.S ~ J of C,~l~=~ ~y ~~~ S~- NW 1/4-NW 1/4 I I 157A 477/157 ~tc`C~ ~b~ aw-~ f 156 ` ~ .6 So~SQ(n ly~i2Tc~e ~ I I~ G N i Y 1 ~1 ~~ (lye ~~10~3 ~~ w I ~E 1/4-NW 1/4 ~ SW 1/ L 159A " ~ L sw N~ ~~ DQtrh^~i l j NE 1/4-NW 1/4 j W l3epartrnent of corrsrferoe SOfL AND SfTE EV/~LUATION Page 1 of 3 `•. r Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code A.C.E. Soil & Site Evaluation4 Attach canplete site plan.On paper not less than 8%: x 11 inches in sig. Plan must County include, but not limited to: vertic~ arxf horizontal reference poir-t (BM), direction and St. Croix percent slope, scale or dimsrtsices, north arraw, and A ' lance to r>~est road. Parcel I.D.# / • z 9~ ~ (Sq ~ %'-`: ~~ 002-1022-90 APPLICANT INFORMATION - P rmat~.. R ~ B Date Personal information you provide may fie uses! for pur es~vacy f.aw;~YS,. 5.04 (1) (m)j. a~- I i. L ~'9 Property Owner ..~ / ~j ~1~~ ~ .B rty Location Marv Utecht -°-! ~ ~ . Lot SE 1/4 NW 1/4 S 11 T 29 N,R 16 W Property Owner's Mailing Address ~i `~ ~' s~ " L Block # Subd. Name or CSM# 1067 250th Street ~~~, ST C 1~g9 Proposed CSM City State i~eZ N(ltiiper / City ^ ~Ilage ^Town Nearest Road Woodville WI 5 2;~, 71 ~9 8 %'~, Baldwin 250Th Street ^ New Construction Use: ^ Resi 'af d~~ b s 3 ^Addition to existing building ^ Replacement ^ Public or co ascribe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpdJft2 .6 trench, gpolft2 Absomtion area required 900 bed, ftZ 750 trench, ftz Maximum design baling rate .5 bed, gpolf'tz .6 trench, gpdfft~ Recommended infiltration surface elevations} 107.0' at 12" above 106.0' contour. ft (as referred to site plan benchmark} Additional design /site considerations Mound to be installed in a ^cresent" shape following contour. Finish grading should include placing fill at upper Parent material Glacial till. Food ain elevation, if a Fable NA ft S=Suitable for system Conventionat Mound In-Ground Pressure AT-Grade System in Fi}I Holding Tank U=Unsuitable for system ^ S ®u ®S ^ u ^ S ®U ^ S ®U ^ S ®U ^ S ® U Boring# 1 Ground elev 104.89 ft Depth to limiting factor nc* 2 Ground elev ~flC 7A Q Depth to limiting factor >44" Depth Dominant Color Mottos Structure isten Co Bounda Roots GPDlftz Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ns ry Bed ;Trench 1 0-12 10yr3/3 None sl 2fcr mvfr as 2f&m 0.5 0.6 2 12-21 10yr4/4 None sil 2msbk mfr cw if&m 0.5 0.6 3 21-25 IOyr4/4 None grsl 2msbk mfr gw if 0.5 '~ 0.6 4 25-31 10yr4/6 f2d7.5yr5/8 sl lcsbk mfi gw - 0.4 0.5 5 31-44 7.Syr4l6 m3p7.5yr5/8 sl Om mfi - - ~! ,3+~ t z za .3 ^^~_ Rem~ks: Bi0 1 0-10 10yr3/3 None sil 2fcr mvfr as 2f&m 0.5 0.6 2 10-20 10yr4/4 None sil 2msbk mfr cw if&m 0.5 ~ 0.6 3 20-27 10yr4/4 None gr.sl 2msbk mfr gw if 0.5 ~ 0.6 4 27-38 10yr4/6 None sl 2csbk mfi gw if ~ ~, 5 38-44 Syr4/6 None sl lcsbk mfi - - 0.4 0.5 I Z Z ~~ ~ Remarks: B11 CST Name (Please Print) Signature: Telephone No. James K. Thompson ~-- 715-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Number Ref # 340 Paulson bake lane, Osceola, 54020 7/6/99 3602 1062 PROPEtan~ arrt~R: i~ . PARCEL lD.# OU2-1022-90 3 Ground elev 106.20 fl Depth to limiting factor 26" Ground elev Depth to limiting factor Ground elev Depth to limiting factor ioaz page 2 of 3 A.C_E. So0 ~ Site Evaluations Ground elev Depth to limiting factor SOfL DESCrR1PT1QN REPORT Depth Dominant Color Mottles ~ Structure tence i Bounda Roots GPD/ttZ Horizon i~. Munsell Qu. Sz. Cant. Color Texture Gr. Sz. Sh. s s ry Bed ~ Trench 1 0-10 10yr3/3 None sl 2fcr mvfr as 2f&m 0.5 ~ 0.6 2 10-18 10yr4/4 None ail 2msbk mfr cw if&m 0.5 '~ 0.6 3 18-26 10yr414 None gr.sl 2msbk mfr gw If 0.5 '; 0.6 4 26-34 10yr4/6 f2d7.5yr5/8 sl lcsbk mfi gw - 0.4 ~ 0.5 5 34-47 7.5yr4/4 m3p7.5yr5l8 sl Om mfi - - z Z •3 - ~`~ Kemartcs: tst~ 0 ,,: • . ^O ~` V ~' ~ ~~ ~~ ~ ~' (~ ~ •. ti ~ ~ ~ ~' F~ ~ 6 `v i~ v- Q ~ ~ ~ ~ ~ y .~ m ~~ .~.• .~ ~. _' ~-, rn ~` A . '~ b' O A J n ~~ ~~ w ~' ^ i I I I I ~~ w ~N ~ ~~ 0 0 n~ 0 Nl a• 7 ~ (~~~ ~ ~ ~ . 3 0 3 Y 6 ~* ^ r ~~ n ~' ~ a~~a ~~ o~~ 0 ;, ~ ~ `V l o ~ (P ~~~ ^ _ ~ ~P /~ I, ~ r~ ~' N P ^ JUN 1 4 2004 ST. CROIX COUN ~~ ZONING OFFICE ~'riwate ()In-Site Wastewater Treatment System (POWYS) lCx~cteg anti Titie Sheet v ~r~juc~r 1~lazne anc~ System Type: ~'Ir-Q. ~ ~JQ ra a-v-/1 ~:6C.t.1r~ Street ~d~:ess 5 ~ '~L{", ~~~ ~~~',. :~L~.t~ . ~ ~ ~ ail ~ ~ ~ ~ ~o ~,~r~tezits: Page t; Page 2; i, Page 3: _ Rage ~: -„ gage Jam: ~ Page ~: . T_. n Page 7: ~ `3 h r, ~. Page t~: ~ ~.,`~ ~~X Page 9: Attachments: r~~re~ P3.umtl~eaCfLles~gner: t ) ~ ~ `0 C~ . 5 -- Signed'/CI ~C~ C:redeutal Number: i~~~j a ~ 4-E" Date: ~ lQ ~ O ~ i~OWTS OWi~lE1~Yy5 MANTIAT. MANAGEMENT PLAN '._:~~: Yi'dx+'O:t'tiv~i ~'YOl~t ~~_ 1a1.+ S11+~1~" ]PAItA1V1f~.TEI2S 1~leunber ofl3edrooms 100gpd/bedroom p NA ~~ u;tY t~b~r of Commercial Units NA stixnated r'1ow (averdge)* g~ jay ;resign flaw. (peak}, estimated x 1.5* Zjgal/day i i;~sl r~.p~lication Rate ,p ~ ,, galJday ~ c~uentlEilluent ~uali (NACI) Monthly Average** rats, Oil ~ Grease (FOG) < 30 mg/L i<v;;liernicai Oxygen Demand (BODs) I 1'oial Suspended Solids (TSS) ~ 220 mg/L i _< 250 mg/L f, :'cL'eated tfl~uellt t~uality ^ Monthly Average*** :~iachei~rical Oxygen Demand (BODs) -~ 30 mg(L r 1oiu1 Suspended Solids (TSS) °?ec<~i Colifarni {geometric meant 5 30 mglL + -- <10 cfu/100m1 lra.~eimum Et#luent Particle Size - 1/S inch diameter '~~l~,xastewater Flaw Verification on and calculations: (OBier than bedraoui based} „',: Values typical for domestic {non-commercial wastewater mid septic. tent: effluent. ''" T }V aloes typical for pretreated wastewater. SYSTEM SPECiFiCATiONS Septic Tank Capacity gal o NA Septic Tank Manufacturer ice` ~ ^ NA Effluent Filter Manufacturer ^ NA Effluent Filter Model _ 1 Od ^ NA Pump Tank Capacity gal ^ NA Pump Tank Manufacturer •~ ,~- ^ NA Pump Manufacturer ~,e ^ NA Pump Model ~ Q, Np, rretreatment Unit A ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ~ ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ' ^ In-ground (gravity) ^ In-ground (press urized j I ^ At-grade ound ^ Drip-line ~p Other: ^ Leac ing Chamber Manufacturer ___ Model Approval Stipulation Soil Applica ' n Rate_~;pd/ftz Area Req. ft-~ Absorption Are edit per unit $z Minimum Number Chambers ^ Aggregate Design ading Rate= _ _ mug COMM84installed perm acturers specifications and approval letters. t}ESTCtN t_RTTF.RTA C~ "Wisconsin At-grade Soil Absorption System; Siting, Design & Construction Manual" (Converse et.a1.1990) II "Wisconsin lklound Soii Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 25.22 Cd .."Resign ofYressure Distribution Networks for Septic Tanlc-Soil Absorption Systems" Publicafions 9.6 L7 "Resign of Conventional Soil Absorption Trenches and Beds". R.J. Otis - ASAE Publications 5-77 and "Design Manual - t~nsite W'astowater Treatiment and Disposal Systems". EPA 625/1-80-013 October 1980 l] SBD -10570--P (8,6194} "At-Grade Component Manual Using Pressure Distribution" fl SBD -10567 P {8.6199) "In Ground Absorption Component Manual" C1 SBD -10705=P (N:Ol/Ol) "In Ground Soil Absorption Component Manual" Version 2.0 d S}3D - I0628-P (N.{J99) "Recirculating Sand Filter System Component Manual" S13R -10656-P (N,6199) "Split Bed Recirculating Sand Filter System Component Manual" 1;1 S13D -10572 F (8.6/99) "Mound Component Manual" SBI? -10691 F {I~1,U2lOl) "Mound Component Manual" Version 2.0 S13D -1d59S--1' (12.SJ99) "Singlo Pass Saud Filter Component Manual" II SBD -X0657 P {1Lb/99} "Drip-line Effluent Disposal Component Manual" ^ SBD - 10573-F {R 6/99) "Pressure Distribution Component Manual" II SBD - 10706-P {NA1/OI} "Pressure Distribution Component Manual" Version 2.0 C~ Drip-line F~f£tuent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units Tv.ITEI~tANCE MONITORING SCHEDULE Service Event Service Frequency iuspetrt condition of tank(s) At least once every 3 ^ months year(s) (Maximum 3 yrs.) ~'uu~p out contents oftank{s) When combined sludge and scum equals one-third (1/3) of tank volume Inspect dis al cell(s) At least once every ^ months year(s) (Maximum 3 yrs.) Clearx effluent filter At-least once every ~ ^ months ,year(s) Inspect pump, pum controls & alarm At least once every ^ months .year(s) ^ NA Flush Ltxet'als and pressuxe test At least once every ^ months year(s) ^ NA Valves At least once every ^ months ^ year{s} NA t3iltero At Least once every ^ months •^ year(s) NA Yage ai _~~+•;zew coizstruciion, prior to use of the POWTS check treatment canlc~s) for the presence of painting products or other chemicals rhax ,,.~;;y izpcilt~ the treatment process and/or damage the dispersal cell{s). If high concentrations are detected have the contents of the ac(s) reanoved by t~ seetage servicing operator prior to use. ' ~;ysieu2 stat-t up slxall nuY s~ccur'when soil conditions are f`rocen at the infiltrative surface. ~~`~:r'.tsi'~ j{~1'S~ 'Yf.~ property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity :ziti% iluitlity of thb wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving .., ,~~ liai~.ces ar~d fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water sviwi~:rs, uoti removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface ~~ 11~uaveY passible. Nate: this does not include laundry waste, showers, dishwater, etc. `i'ris systesu is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit l~ecis and. scrods, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only 3;als~;r that should be discharged into the system. Othexuon-biodegradable items such as baby wipes, tampons, sanitary napkins cosci~s, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, rasittfectauts, pesticides, antibiotics, solvenis, etc., should not be flushed into the system as they can seriously damage your POWTS ~zid contattxu~ate your drinking water. supply. vaals;.tit; a rt:gutar :steady fYow by spreading laundry wasl-iing throughoat the week. Avoid vehicle traffic over all system components. :ompactioYt of snow over the dispersal unit may cause it to freeze up. t=i `~'alvra' ~Talves shall be :operated in the following manner: till:tYlilS xlaxms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service rOWTS, There is normally a l day reserve under regular operating conditions, however water should be conserved until any proble~x+s with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. Inspection shall be madeby an individual carrying one of the following licenses or certifications: Master Plumber, Master Yluaub~r 1vZestricted Sewer, POWTS Maintainer ar Septage Servicing Operator (per the attached Maintenance Schedule). ~t, Septic Tanks Carnponent Wank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or pending of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any .detects shall ba promptly .corrected. Exposed openings greater thou S inches in diameter shall be secured with an effective IoGlci~ag device to prevent accidetttal or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-thud (i/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NRl 13, Wisconsin Adruinistrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. 1'ucap Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks; backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. ln:-Czound Gravity Component DsspersaY Cells The inspection shall include recording the levels of pending, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Pending at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page o1 t~C~~uuxxci, rir: L:rrasle, ~-Ground Pressure ~~ '''' f #xc inspection slxall incYude recorduug the levels of ponding, if any in the observation tubes and a visual inspection for ar~y .-;vdesxce of surface seepage- or dischazge. Any discharge to the ground surface must be promptly reported to the regulatory xxatixority.l'oxxding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure ~cesstating razors frequent monitoring. T tae pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals sixould be flushed at Ieast once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. I~cl~cirts for maintenance, inspection, and moni#oring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative i/ou:. l~~lxcu tixa l'OVJTS fails and/or is permanently-taken out of service the following steps shall be taken to ensure that the system is ;~~olserly axxd safely abandoned in compliaYZCe with Ch. COMM 83.33, Wisconsin Administrative Code. - A11 piping to tanks. and pits shall be disconnected and the abandoned pipe openings sealed. - `l'lxe contents afall tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - .Auer pumpizxg, all-tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. t,~l'~~'IN+GENCY PLAN ii text;l?a~T;~ fails and cannot be repaired the following measures have been, or must be taken, to provide a cods compliant a'e}~ias:cutent systexxx: ~ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacetnezxt area should be protected from disturbance and compaction and should not be infringed upon by required setbacks fxom existing, and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the rzesd for a sxew soil from exis#~ing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new sail and site evaluation to establish a suitable replacement azea. Replacement systems must cozsxpiy yrth the rules in effect at that tune. Cl A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a balding tank may be installed as a last resort to replace the failed POWTS. L1 The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation mustbe performed to locate a suitable replacement area. if no replacement area is available a holding tank maybe installed as a last resort tt> replace the failed POWTS. M:owzd and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative su~ace. Reconstructions of such systems must comply with the rules in effect at that time. SEP"1I+C, l.'C1lYip ANJ3 OTIIER.TREATNLENTTAHKS MAY CONTlAN LETHAL GASSES AND/OR INSUFFICIENT OXI~GEN, IaQ NQ~ ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CII2CUMSTANCES. lt3EA'Cii MAY I2FwIJI.,T RESCITE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR I1v1iI'~JSS~E. .c~?lT1QNA,i. COlY1MENTS l'O'k'VTS INSTA~R POWTS MAINTAIlVER r+laxue Nbl Name ' Phone S, x,35- ! 13 Z Phone SI~.PTAGT SER.'VICING OPERATOR (Pum er) LOCAL REGULATORY AUTHORITY Naxnc ` Agency l _ l?rzoxxe Phone 3~:C14'Y,iIAT'A1Ts~i1PUWTS OWDIER'S MANUAL.doe Page of `I' CRG°I..'si."CO:JN'T`iC SEPT]:C TANK IvLAIrdTENAi~ICE AGR.EEIvfENT _~.ND OVVNE~tIIP CERTIFICATION FOKlvi ~.. `a_1Q1l~LLy(~1 _r_i;i113o _-a.ilillGSS _ =uy.ic.~YiY .eit1i11e~8 3 _ /j~ S- ~`h ~~e ~¢ 3 Tai.-~ ('~ctiticatiov required from plaanin~ Dcp:~rtm;;ut rot yew ~p~"J~ ~C' ~O ~.'_.'j1~ti3.tc ,~~ uui 1/1/. 1'arocl ldcntiiication Number _- ~-~I~Lic;~ L.ocaiiou ~'~ 'i+, ,/1/~/ 1/~, 5~,. _j_~_-, T_~N-11 f b 1~'r', Town of Q.l ~j~l~» ~.;u~ iSiuu ~~ ~i~ ~ urvey l~la~ # '7 3 ~s' / 0 ~, LOt rohnne ~ ,Page # ~q ~o ~:~+1_iPa.i::il`y' ~~ea ~ ~~ 3 ~ ~ 3 ~~%olume 2 2-_, 1'agc # ___~_~~ 1~.ici:.lioiise ^ yes ~o Lot lines identifiable ©' yes ^ no ~4`~~C~11~~, IYtA~'l~I`I`~1rtANCE Ituprogex use and mA;m,-„anraof your septic system could result in iu premature failure co handle wastes. Proper mau:,c~:s::~ .:uiuiSD ofpuxuping out the septic tank every ihr~ years or sooner, ii needed by a licensed pumper_ What you put into die ~ys:c:~. .::tr: acct the function of the septic tatilc as a treatment stagy in die waste disposal system. Tlra proparr~f owner agues ro submit to St. C~coix Zoning Department a certification form, signed by the owner ~~:. ~.; ~~si~rplut~tl~er, joutneytttanplumher, testxictedplumher or a licensed pumper verifying that (1) the on site wastewaterdispos~::! :> ~:: ~.: is iu proper oprraciug cottditiou aadlor (2} after inspection and pumping (if necessary), the septic wnk is less than I/3 full oT ~i~ ~,; ~~ti~L, tlae undersi~;nedhava read the shove requirements and agree to maintain the private sewage disposal systenivrith rY;e s,~~_~> ~ci: zorzh,.-t-crein, as set by the Department of Commerce and the Department oI Natural Resources, State of Wisconsin. Certiti~ ~c~;, staau~ that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office ~~r i a_~ "~ ~; iys of tlic t}~ree year expiration darn. r / ~ ~1t.ilgP. iJF PL~ DATE ._ ~ + RT1~~iC~~IOI~I I (we) certify that all statements on this form ate taste to the best of my (our) lmowledge. I (we) am (are) the o~v~:~~,,~+ ~~ urc progeny described above, by virnte of a warranty dyed recorded in Register of Deeds Offce_ r l i GNAT OF Ji PLY .ANT DATE """"'~~' Any information that is mis-reprosonted may result in the sanitary permit being revoked by the Zoning Departmcn:. ' ~"' ~`~ r-c;lude trirb ibis apglicariou: a stamped warranty decd irom tht lhcgi~[er of Deeds ot3ice a copy of the cemned survey map if reference is made in the warranty deed ®ooi c ,~ c U...2582P~ 138 STATE BAR OF N-t~ISIN FARM 2-2000 WARRANT1f DEED THLS DEED, aaa~ between Matte L. L1~ecbt amd Sttar+ea R t710~, husband and wife, cramor, aad Feederiak Niebeegtlt , Gt, lr+ar~ied c~ator for p.-:~, k' ~«+•~ .oa co c the fotlowiag described real e~ in 9t. t:ronc Coamty, Staff of wa Lot 3 of Certified Surrey pip reco~t:d in o tine 18 of Certified Survey Maps, P !~ ~ ~oc~ane t #753102 being a pert of SW 1 4 of the and Par of the SE 1/4 of the t+Ei 1/4 of Section 11, Tot~nship 29 North, Range 16 taest, Town of Baldwin, St. Croix GouOty, Wisconsin. ExceptioRS b ~varadiGS: . Easar~,, rsw;ctioes aad rigt~of wa)- of „coone, if ear. 763993 1lATBl.S6t1 H. MALSlI R8GIS7'lalt t]t' !)BEDS St. CROIX tom. , YI B8C$I9ED FOR ~/2?IZeD! 10:1M11l1 rANR~urr>r DEm o~vr . Rsc Ft~a a-N 115 FET: 63.7e ~FI~Ea PAL;BSa 1 Naas aad Rya Add Frederick Niebergall 1504 64tH Ate. Roberts, WI 54023 z-loz2~9a050 ~ 2-io2z-so-o~s Pawl Ide~ifioaaas iJmnber (Pp~ This ~ aot boeaasmead propexty Dahl this 24th dry of May, 2004. Si6aature(s) AUTNATIOTI aalhcati~ thin lath dap af~1a~Z09~1 •..... IANE M• BARN TITLE: MEMBER ST elf not, .. ~,,,,, _,,, . authorized by §706.06. Wis. 3ta~.) 7'N45 WSTRUMENT WAS DRAFf~ BY pC~a706. Frmn ~ - ~1ti'6 H. Brtm 50 last Fiflb fir. St. pant, MN SS101 (S mry me rema ar t~ a~ ap aoeesaary.) 'tom dpe~,~, aipw~ a aay ppRj,~,,~,q, ba tiYnad a~ metew ~~,~ Sbaraa R 1Tletdtt AC7~tOWLEDGMElY1' STATE OF W[SCONSiN ) ST. CROIX COUNTY. ) ~. Ptersaedly came beAore ata this May 24. 2004 me above named 1Nar+rin L. Uoxht and Sharon R Umada, d and w;i'e to a~ Imarre m bs the persao(s) who e:ecomed the btatr~eaR aad admvod die same. • ~~ My cores is Pte. {suer, state eapsamm dame: 11/t9l2pp( - ) ~` WARr~ANTY ~~ bTATC aAR aF WISCONSrN i~ORlN Na~2~009 St. Croix County Map Output Page Page 1 of 1 • Utecht site i f~,` e St. Croix County Planning Department IIOI Carmichael Road Hudson, WI 54016 Phone: (715)386-4674 DISCLAIMER :The information rnntained on this map is advisory. Map accuracy is limited by the quality of the public records from which it was prepared. R is not interrdt~d as a suDstftute for an actiurate field survey. AERIAL PHOTOS :Aerial photography is date-sensitive. Features that exist presently in the County may not be present in the photos. Legend ~~~~ MirYclpal Bo-rtidaks J.IPdW Iz 1uY LnMA ~vrY Ma•s t~ Rsars waBro.ea Osai,rr~ 9lrezams .~ ~s weree.rys ~~. Infcmnl t/tr'YI ^..Meer~ Vtb4r http://stcrxdmz/servlet/com. esri.esrimap. Esrimap?ServiceName=StCroixOV&ClientV ersio... 6/ 17/2004 St. Croix County Map Output Page .~ Utecht site i I~I . 4 1 ~(4 1• 3 Iri '>. IIc 1 ~~i.. . i' ":~'s I I ~ ~' n~ . .` ' F l w : ay.. , ~ Y ~ Y £ t~~ ~ ^ j y~ kit , ~ ~~ i ~~ yy ,, ~i~ t qq I R n ~~ ~ 1 _-+A- u ~~ W ~ ~.~ .l N'~ ~ ~ ~! .1 if ~ II is ~,~ ~SR29~-~536~~' 5 ~~ ~ ~ F 1-. ~^ ~ ~ ' ~ ,.", i SW 1I4-N'~rJ 114 ~.:, ~ j ~: r v y ~. r T h ~ s`x~~ °~ ' i ~~ Y 1' v. . ~ r '.y r ,ytk i : ~. ~S: i' ,, '« ..n .. E .J :'4s..y,r, %........3r ' '~ -..,.-. ~..-~.,..~.11~ ~ mot( SS: 1` ~~ ~. i > ~ ~ S:` i *:. " I J `~ r~~` St. Croix County Planning Department 1101 Carmichael Road Hudson, WI 54016 Phone: (715)386-4674 DISCLAIMER :The information contained on this map is advisory. Map accuracy is limited by the quality of the public records from which it was prepared. It is not intended as a substitute for an accurate field survey. AERIAL PHOTOS :Aerial photography is date-sensitive. Features that exist presently in the County may not be present in the photos. IL+a41~et-~c! f ~"' 1 r~cr~rap,et rtcw:s°~far~sa ~.aas~ts~ct-~x ~.en#ar~! A9t,trv~ey~lF~la~€ ~~ aw ~ SEr~rasrns ~, ~ntl~rnl~tremna Page 1 of 1 http : //stcrxdmz/servlet/com. esri. esrimap. Esrimap? S erviceName=StCroixOV &ClientV ersio... 6/ 17/2004 •iC~ ~ ~ ~l ~ a 'l ~ + . , , Jp w ~J / .Q~ea Qp~ ~ ~ p.Z ~ - c~D- v '1!~"' l~/~'Ob - 689178 ~~ ~~ VOL ~ 6 PAGE 4362 ~ ~ ~~07 _ ~~°~~ v ~O ~0~0~ KATHLEEIi /`~+8~ '~OREGISTER H. MALSH OF DEEDS ST. CROIX G7~ °~ CrS/n /~ ~/3G ~ CO.. MI , RECEIVED F OR RECORD 09-04-2002 8:30 A)h REC FEE: 13.00 COPY FEE : 3. @0 H ~~PAG'_ 2 --+ obi" nz~i ~ ~ ~~~~o~m i ~ ~ m°m aka ~mr ~ a a ~ °~ican~cmi°i m ^~-r-+ H ~ ~-~~ O mo~~Z~~N m ~wa ~a Z zo~~ --1 O~~--i~~ N ~~ Z~ 0 O~UI D m-i~a~a~ ~ mNN ~umi AAA -n ~ir ~~ ~~ ~ ^~ O i"'~ n czi ~ ~ = cn ~ ~ ~ = r~-~ --i n r~r am~~a D "oD ~ o ~ ~~~"' ~cn m mH ~ a~ i ~ ~ rrt oHn a~~ ~ :gym Ncmn °G75~m~~m ~-+ ~ o -~ z ° Z ~ ~' ° G' ~i o ~• ~~ D Z O O °~ ~ - UNPWTTED uwDS z ~ m OWNED BY OTHERS N ~~ ~~ ^ ~ WEST LINE DF THE NW 1/4 A TI - - -~ o~ m ~o~ 16'41"W 521.59r _ _ ~+ g ~ ~ - N00° i6 '~41r'W 521.60 '- NOQ° 16 '41 "W X = zom N00° 16'41"W ~ ~ ~ 1312.08' nm MN~ 790.49' I I ~ ~~ CZ r~~i chi I I .......................:. ~ Z~ C p r ~ 100' BUILDING LII~E FROM RIGFfT-OF-WAY m 0 ~ ~ ~ ,~~°z ~ I a~~ ~~i H {~ ~5-gig-6 ~ I I i ~, ~ ;F~~ ~~ r I i m ° ~ ~~z o I I xcn~tn = `"~~' I--~I ~~~°c H C -`~ olC ~ I~I o~o~ ~ ~ oIZ -~ ° ~ F; o -, 2J mn~. ° c~i o P I I D~D~ ~ ~ ° ° ml v Q '. `~ [O~^HIU ~ m ~ Ol `~ ~ a a ~tD ~ ~I~ ~ N N ~ I I ~^~^ ~ ~f ~ rri ~ v ~ ~ G1> N ~ D E -i p ~ o n a ~ ~ ~ z ~ v ~ ~+ to t0 ~,,. ~ ~ n ~ f'r'1 ?, n ~ I~ ~ /// n n -^ 11- I~ o g ~ rv -~~ Oo C J y .... .~ Z = N (~L1 ~ ~ o m ~. ~ 4UTLQT 1 OF d, CS_M IN_ ~ ~,.......... ~ ~°~ o ~. VOLE 15, PG. 4119 °: ~f ~ "~ ~'~ ~, ~ m Z Z 7p x moS~ G~ ~ t 2 ~a Glnl~ i ~ / / 500° 38 '24 "W 521.59 ' ~ ~~~• ° ....••''re~' A m g . I Ov~i0 I UNPLATTED LANDS ~ * ~°u -~i m JIC-I~ ~ i 'OWNED BY PLATTERS I ~ °f ~ ICniZI~ I I Vol . 7 6 Page 4362 • yie r ~-. r- _ N 1 8Z9Z r SZ9Z ~ 0 6652 98SZ o ~ ~ ram 9SSZ ~Z N zzsz O 6 6sz r ~ o ~+ m ----r 98sZ ' LLSZ Ga'~ a9sz '-"~ t"' 9£BZ ' IL., ~~ oesz L-sz e6sz ,, oL4z p~ ~ o ZL4Z $~ io S ~ ~ o~ .- o ... • 0 N r ~ -"1 6Z4Z L 6bZ £S4Z SE4Z 0 9042 •I-1~ i 68£Z 9B£Z 6LEZ 4L6Z ~--~ r rn ~_ • ~S ~' • 0 0 N h CERTIFIED SURVEY MAP ~ LOCATED IN THE 5Wi/4 OF THE NW1/4 AND THE SEi/4 OF THE NW1/4 OF ~ SECTION 11, T29N, R16W, TOWN OF BALDWIN, ST, CROIX COUNTY, WISCONSIN. 0 GENERAL NOTICE STATEI~EM ~z THE PARCEL SHOWN HEREON IS 5U8JECT TO STATE, COUNTY AND o TOWNSFIIP LAWS, RULES AND F~GULATIONS f i.e, WETLANDS, ACCESS N TO PARCEL, MIND~IM LOT SIZE, ETC. ). BEFORE PURCHASING OR ZONVING OFFI(^ ArO~ AP~pTRO RIATE T01~1 BOARD FOR ADVICE. GRAPHIC SCALE 1"=200' ~5- D 200 400 600 0 BEARINGS ~FERENCED TO THE EAST-WEST ]/4 SECTION LINE OF SECTION :1, PREVIOUSLY RECORDED AS AND ASSUMED TO BEAR S67°01 '49 "E. ti NEW i0(~111( wi !4 ti ~° suA~ LEGEND M~ARVIN 6 SHARON UTE 912 SOUTH MAIN STREET RIVER FALLS, WI. 54022 -INDICATES SECTION CORNER ( AS NOTED ) • -INDICATES ]" (OUTSIDE DIAMETER ) IRON PIPE FOUND. '~' -INDICATES i" X !B" (OUTSIDE DIAMETER ) IRON PIPE WEIGHING 1.13 LBS. PER LINEAR FOOT SET. C~vE INFaRMATION CERTIFIED SUR1/E1! MAp RADIUS- 266.00' VOLUME 15, PAGE 4119, I CENTRAL ANGLE- 84°22'32" - - I - CHORD- 357.27' I ~~ ~I 550°4656"W I I W I I ARC LENGTH- 403.91' ~d I TAN(~NTS- NB; IN S08°35'40"W 1 / ' = i I i OUT N87°01'48"W / i~ ~~ I , 1ti a v Q~ ~i I QUTIOt / 66' . ~ n~ 0Q oe i _ _- _ ~pE AC ~ ~ ~ 1?r .~~, Qe~ is~ .. _ CESS EgSEMENT, ~ ~ _ eP ~ y ~J~ WS/4 CORNER SECTION !1 (]" ROUND {OUTSIDE DIAMETER) STEEL Sl1RV~MARKEA NAIL PREPARED BY: 6RA1~R6 5IURI~YIN6 1239 C.T.H. "E" PHONE I(~7 5~ 246 7529 JOB. N0. D2-051 -~`-F- -INDICATES FENCE. .LOT 1 ~®~' 3 ,257 5OUARE FEET ( 3.679 ACRES ) EAST-WEST ]/q SECTION LINE UNPL,gTTED_IANDS ~ /~~~- ` ~~~~ ~ ~~ I `G2 I ~~ tv~ ~ ~~. ~Q ~ ~I ~s -\`O~ c~9, 3620.36' SB7°Ol'4B•E Y ~ Ei/4 CORNER, SECTION 11 (1" ROUND {OUTSIDE DIAMEI STEEL 5URVEY MARKER NA14 FOUrO) /