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HomeMy WebLinkAbout024-1010-40-200 . Croix Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: $t Safety and Building Division INSPECTION REPORT Sanitary Permit No: 538867 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: 024-1010-40-000 Volkert, William & Deborah Pleasant Valley, Town of CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 13m i GG-r V ~bJ~ 07.28.17.516 TANK INFORMATION J t ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION ? B76 X6 I FS E LLEEV. Septic Benchmark 5,05 163,47 . Dosing Alt. BM 9 ~1 /~p 7,56 T _ Bldg. Sewer Hold n- Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet 76 TANK TO P/L WELL B G. Vent to Air Intake ROAD Dt Inlet 7, I p3 / _ Q J 1~ Septic 51 I > ► /0 noC Dt Bottom 1296.3 Dosing 13 r Header/Man. 12.45 1~ ZI, 4,.7 Aeration i / Dist. Pipe Im-15 Holding 5 Bot. System Z5 /47` j15 PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St Cover 3 Sil GPM ~9, I(A O+J~ 77 Model Number 7 O TDH Lift ' 175 Friction Loss _ 1 System Held TDH Forcemain Length IDist. WQelli , r SOIL ABSORPTION SYSTEM C`~D BED/TRENCH Width a Length No. Of T nche PIT DIMENSIONS No. Of Pits Inside Di~ Liquid D\ DIMENSIONS U % SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM CHLEACHING AMBER OR Manufacturer: INFORMATION Type Of System: /w V/T UNIT Model Number: \ yZ J 'A L_ 1 0 a Lie,-_k DISTRIBUTION SYSTEM Header/Manifold Distributio`n'/ x Hole Sizem Hol e Spacing Ven LengthDia / 1 Dia Spacing.Dj7x SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over / Depth over ]xx xx Seeded/Sodded xx Mulched ges es 0 No Yes No Bed/Trench Center Bed/Trench Ed COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 461 Cty. Rd. J ammond, WI 54015 (SW 1/4 NE 1/4 7 T28N R1 7W) NA Lot 2 q'o54- Parcel No: 07.28.17.51B Goy V~ 1.) Alt BM Description = 2.) Bldg sewer length = 6w OC_ amount of cover f,-~ 0 Plan revision Required? Yes No , a i $ f~ (Q 3 ' J Use other side for additional information. Date Insep is Sign a Cert. No. SBD-6710 (R.3/97) commerceml.go Safety and Buildings Division CountyC 201 W. Washington Ave., P.O. Box 7162 J ~ A Madison, WI 5 3 707-7 1 62 Sanitary Permit Number (to be filled in by Co.) W ommerce -StaW Transaction Number Sa}i P mit Application I D Z In accordan with s.i . Adm. de, submission of this form to the appropriate gove t unit is req ' d priorbtainin Note: Application forms for state-owned PO S qg_ Pro ect Address (if different than mailing ad ss) submitted to a Deparlm t~61t sonal information you provide may be used for secondary 'j~ T ores in rdance 15.04 1 m , &ats. 1. A licatio I ease Pri t All InformatioQ-N Property Owner' Parcel # CK CA Property Location V v Property Owner's Mailing Address Govt. Lot (J t -J City, !State Zip Code Phone Number Section- 7- cle one t~{L O 7~ - - C~ T Mn N; R ~L E o H. Type of Building (check all that apply) Lot # Subdivision Name 1 or 2 Family Dwelling -Number of Be oms Block # ❑ Public/Commercial - Describe Use YWP- 1110- ❑ City of CSM Number ❑ Village of ❑StateOwned-Descri Use ' x • 74; Town of ' III. Type of Permit: (Check only one box on line A. Complete line B if applicable) FB. New System Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued El Permit Renewal El Permit Revision ❑ Change of Plumber El Permit Transfer to New Zl q q q ! !IZ(a l W ) Before Expiration Owner IV. Type of POWTS S stem/Com onent/Device: Check all that apply) ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil , ❑ Holding Tank ❑ Other Dispersal Component (explain) Pretrea evice (explain) V. Dispersal/Treatment Area Information: Design Flow (gpd) / Design Soil Application Rate(gpds Dispersal Area Re *red Dispersal Area P osed System Elevation VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ° v New Tanks Existing Talcs r LsI ~t` w o y' n A ^ ° t J a U rn w C7 Ci. / (l,c Septic or Holding Tank 16 OU 1600 DosingChamber 7 75Z) l VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS own on the attached plans. Plumber's Name (Print) Plumber's gnature PRS Number Business Phone Number A& a - X& 7f dress (Street, City, State, Zip Code) P um is Ad VI oun /De artment Use Onl Permit Fee Date Issued Issuin gent Signa e Approved ❑ Owner n Reason Denial J IX. Conditi mwWasons for Disapproval 3) (ad e L,pti ~•e~Sv~.S 9. ` efltic tans, atflulstt lter and -r l"// > `6 ,dispersal cell must all ~~kq~, l maintait~ad awm C~,/~+L i 1` M'~ as par management plan provided by plumber. 2.. ?eetck ra4tament$ must be maintained Attach to complete plans for the system and submit to the County only on paper not less than 81n x 11 inches in size SBD-6398 (R. 02/09) 413 G ` a ~j - w C nxr. Safety and Buildings V 10541 N RANCH ROAD \ HAYWARD WI 54843 r Contact Through Relay DS I www.commerce.wi.gov/sb/ S www.wisconsin.gov Y ,4 Scott Walker, Governor \0FP8S1 O~ Pl'ro Dave Ross, Secretary e ~ September 28, 2011 CUST ID No. 220357 ATTN.' POWTS Inspector BRADY J UTGARD ZONING OFFICE UTGARD PLUMBING & HEATING ST CROIX COUNTY SPIA PO BOX 413 1101 CARMICHAEL RD AMERY WI 54001 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 09/28/2013 Transaction ID No. 1997926 Site ID No. 771951 SITE: Please refer to both identification numbers, Bill Volkert above, in all correspondence with the agency. 461 Co Rd J Town of Pleasant Valley St Croix County SW1/4, NE1/4, S7, T28N, R17W FOR: Description: Mound, 3 bedroom residence Object Type: POWTS Component Manual Regulated Object ID No.: 1335913 Maintenance required; Replacement system; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from P. original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.01/01), SSWMP Pub. 9.6; Coll Effluent Filter AN The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes ART and Wisconsin. Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed DEPA RI and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. SEE C~ No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The float switch shall be a type that does not contain mercury. 2009 Wisconsin Act 44 prohibits the installation of float switches or relays that contain mercury. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. BRADY J UTGARD Page 2 9/28/2011 • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of COMM 84. Comm 84.10. No fixture, appliance, appurtenance, material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system, unless it is of a type conformuia to the standards or specifications of chs. Comm 82 and 83 and this chapter and ch. 145, Stats. • The existing POWTS must be properly abandoned per s. Comm 83.33 Wis. Adm. Code. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Patricia-eShand0 POWTS Plan Rev ewer , Integrated Services WiSMART code: 7633 (715) 634-78 Fax: (715) 634-5150, M-fr 8:00 - 4:45 pat.shandorf@wisconsin.gov K cc: Carl J Lippert, Wastewater Specialist, (715) 634-3484 Charles L Bratz, POWTS Reviewer II, (608) 789-7893 , 7:45 am - 4:30 pm Monday - Friday ! j MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN INDEX AND TITLE PAGE Project Name: BILL VOLKERT Owner's Name: BILL VOLKERT Owner's Address: 461 CO. RD. J HAMMOND WI. 54015 461 CO. RD. J HAMMOND Wl. 54015 Legal Description: SW/ NE/S7/T28/R17W Township: PLEASANT VALLEY County: ST. CROIX Subdivision Name: CSM- VOL.25, PG. 5774 Lot Number: 2 Block Number: Parcel I.D. Number: 10-322-0200 M.T.S. -itiort lY Plan Transaction No.: , 0 + E D Page 1 Index and title NT OF Comm Page 2 Data entry AFETY A UIL NGS Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications;RESPONDENC Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 PLOT PLAN Page 9 SOIL EVALUATION Designer: BRADY UTGARD License Number: 220357 Date: 09/06/11 a Number: 715-268-6995 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01101), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 9 Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83-44-3 in-situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150%) coldorm of 36 inches. 450100 Design Flow (gpd) 1.00 Site Slope 98.90 Contour Line Elevation (ft) 26.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 56.25 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? E Center or End Manifold 4.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Orifice Spacing (ft) = 11.84 ftz/orifice 2.00 Forcemain Diameter (in) 00-t* M Forcemain Length (ft) Does the forcemain drain back? Y 88.00 Pump Tank Elevation (ft) 3•aj.". 3.25 System Head (ft) x 1.3 Forcemain Drainback (gal) 11.73 Vertical Lift (ft) 50.21 5x Void Volume (gal) 1.10 Friction Loss (ft) 53. Minimum Dose Volume (gal) I 16.08 To I Dynamic Head (ft) 24.90 System Demand (gpm) . . t4, l•~ Lateral Diameter Selection Manifold Diameter Selection 2 in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x x 1.25 2.00 1.50 x x 3.00 2.00 x 3.00 x Gallonslinch Calculator Treatment Tank Information 750.00 Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) 37.00 Total Working Liquid Depth (in) weiser Manufacturer 20.27 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.00 Dose Tank Capacity (gal) SIM TECH Filter Manufacturer 20.28 Dose Tank Volume (gal/in) STF100A2 Filter Model Number weiser Manufacturer Project: BILL VOLKERT Page 2 of 9 Mound Plan View 1/10 B ' . ' J 'Observation Pipe . Q K . O A W - B . . . . . • • . . . . . . . . . . L Mound Component Dimensions A 8.00 ft E 10.96 in H 1.00 ft K 8.00 ft B 56.25 ft F 9.50 in z 8.00 ft L 72.24 ft D 10.OOin G 0.50 ft J 6..19 ft W 22.19 ft 450.00 (ft2) Dispersal Cell Area 900.00 (ft) Basal Area Available 8.00 (gpd/ft) Linear Loading Rate 5.63 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 101.53 (ft) f{{{ {{ff.. H ~ 2 {{{}{{off. G F al Cell 100.23 (ft) Lateral (ft) • Invert Dispersal Cell s : • Elevation D 3 98.90 (ft) Contour Elevation 1.0 % Site Slope Geotextile Fabric Cover Shading Key m Q, T Dispersal Cell See lateral details on Q =Topsoil Cap c c 1.5 ft Page 4 for number, size, Subsoil cap w C and spacing of laterals. © ASTM C33 Sand O / - F T Laterals are equally Tilled Layer = 0.5 ft Typical Lateral spaced from the F5 Aggregate c ❑5 distribution cell's centerline in the - A ♦ distribution cell (AxB). Project: BILL VOLKERT Page 3 of 9 End Connection Lateral Layout Diagram laterals centered over the A & B dimension • = Turn-up vutball valve or cleanoutplug e P All laterals are identical I+ X --+I Hales drilled on the bottom of the lateral equally spaced S Force main oOnneC[ion via tee or cross to maniFold at any point. Laterals & Force main of PVC sch 40 (per COMM Table 84.30-5) Number of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.04 ft Lateral Length (P) 54.72 ft Orifices per Lateral 19 Lateral Spacing (S) 4.00 ft Orifice Density 11.84 ft2/orifice Lateral Flow Rate 12.45 gpm Manifold Length 4.00 ft System Flow Rate 24.90 gpm Manifold Diameter 1.50 in Total Dynamic Head 16.08 ft Forcemain Velocity 2.54 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC 4 in. min. Disconnect _ y Tank component is properly vented E - Alternate outlet location Forcemain diameter weiser Manufacturer 2 in. Capacityl 750.00 Gallons Volume 20.28 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 25.86 524.50 C B 2.00 40.56 Pump off elevation (ft) C 3.12 63.26 8-5-0- 1 D 6.00 121.68 D Total 36.98 750.001 iL Dose tank elevation (ft) 3" Bedding un ertank. - 88.00 Alarm Manuafacturer LEVEL Alarm Model Number DLV Pump Manufacturer GOULDS Pump Model Number EP05 Pump Must Deliver 24.90 gpm at 16.08 ft TDH Project: BILL VOLKERT Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name UTGARD Phone 715-268-6995 POWTS Regulator's Name ST. CROIX Phone 715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound Inspect for ponding and seepage once every 3 years INSPECT FILTER ONCE A YEAR Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Po- Sprinkler Valve Box Plug or Ball Valve Distribution Lateral 43545 Sweep 90 or Two Degree Bends Same Diameter as Lateral Project: BILL VOLKERT Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risen;, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, N such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and um shall be tested to verify operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. proper Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5r 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically dogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: BILL VOLKERT Page 6 of 9 Iff"M pump t EP04 EP05 Series AIPttCATIONS to high Specifically designed for the ■ EPOS impeller: ihermoplas, • Bearings: ?:peer and lower OW for toftOwOng Nses klb*w*m ad tqK*t tic enclosed design for heavy duty furl bearing Effluent systems hl~E,ttalls y: tmProved performantg rcnst • lames 8 Casing and ructiot?. ease: Rta39ed • tarns AWibbll fW and thermoplastic design provides AGENCY LISTING ' heavy duty sump luar E Aar superior strength brad Corrosion W61er transfer Mk resistance. C-404n SM-d~ ch r1s10[i.rwn • Dewatering Mecbatfilali Floor$Wjttth ■ Motor Housing, Cast iron "S"*W and Presll!t at the for efficient treat transkr. Gw*s ►unnpc is 1$0 goo t 4,Vft d SPRIFICATIONS strengty. andduyabrflty. • Sands FEATt~t~5 R Motor Cover: T~r+noplastiC ' P . " maximum, handling capabilitycover with integral han, and . Capacrties: up to 60 GPM in EPW i"I fir= float switch attachment p*ts ~8s• Tatar heads, up to 31 feet. - ~ ~ wah IN Power Cable: Severe duty • Discharge Size- 17z' NPT. vats fior mtthattiC,al rated oil and water rfsistant. • Mechanical seat- carbon- steal ~ r rosary/ceramic-stationary, ~ _ j/~ 81NA-N elastomem. J • TP r;perat( r* 104T (4000 continuous 140"1160°C)intermittem, WTIM FEET • Gasleners: 300 series 10 ;lainlea steel. ' Capable of running 9 d;} +vtthoul damage to (ornoonents CAM I p ZS L~~215rr •4Alpr W , z €+'04 St 1e Phase 0.4 HP. b IOC-- _ . C 4'. ti0 Hs, 1550 Nl"M built in raverload with x g 4utorratic (Loser a t s _ • EPOS single phase 0 5 HP, 4 _ 15 V or 230V. 60 H2, I SSQ ° . OP1Vt bu is in overload with t0+' - - x+'41 400malic reset • Power ,Ord- iQ foot 2 4 standard length 16j; g SrTsra with ih,<ee prong ' gfouf,ding plug Optional 20 a x,15 t{,3 SITWwitf) three pr,:ng grounding.3tuC ~/O cL 'S'd'?U~r?ttf or± l:l~l5! g G+M 4 E CA.AA; TV f 2T703 4u103lump~ .y Goulds Fair-its a381•: = c i a t 1.. 1. r r o ~ X 0 qp -c- o ~ o 03/ "t / 2E 1't 1.1:58 7154859246 POLK ZONING FAX PAGE 01/02 r , PA WGcansin ire i n of Commetr, e SOIL FVALUATI ON REP Page 1 _ of uii vpwif nd13ulwinys 1 e accordance with Comm 85, Weis. hdm- Code ' County C t AfYto h complet ve la on ? on 8 1/2 x 19 inches in &Ize Plan must incluNdn' but n k er'toixontai reference point rEhA), t}iiu& tWri and Pats i I.D perceN slope, ,caie of 4&)xi J north arrow, and location and distance to neasw3t rorad. OL 160 ~ ~ ' ~Amase print all fatfe]ma ion Revr Date PerAon2I nriJigt{ar you nmulde rosy be used for tocmdary pxposem (Prlvaty I.ctw, 9.. 15,!S4 (1) (rnl}. ~d ~ t4i\j Property Owner Proptallyi-ocatier N 1 a t t 1 S ^ t~ .b I iG t K^ " govt- t.at 1/4 114 S T 1 Property Oimv er's Mailing Mdresa Lot # i~IQOk Subd. N me or ~ ortSlm 16 J C C- - = 01 state P Nurnb;N pa -7 ty, City I] Village 04Town Nearest Road C1 U)fj D New Construction User Residentiral 1 Number of i)edrooms Code derived drasign flow rate GPD P.9plaeernenL putyrc ar oan~mare',ol t'+oecr~~,~a _ Parent Flood Plain elevation if applicable ft. Ganeral comments t r and rmmenclaiions J L S V jqL, td Bnrirp Bnrmg s--. _t Pit {;rounG 9(l1`I`ece eiex. tt. Depth to Irrnking factor ~ In _ all UG~ion Rate 'iorizon Depth Dominant Coro, Redox De,oriptlon Texture ^tn.trture C tencra f3aundarv Roots PD/ft' Iri. mfinsnli Qm 8a:, Cant. Color I'r S2- Sh. _ "Cff,#9 Ttf#2 13or(ng # Boring Q+ Pis Ground sur ace ofev. 95.9 P Depth', to limiting factor in, Soil A Ilcation Pate Norbon Depth C,ominant Gnlor Redcx Dese iptlor. TeYttsrr~ Structure Contsistence Boundary Roots GPD/f in lwilunseli Cent r'olar Cr- Sz. a11. 'F"1 "Ef{#2 A; F5 v, Ld YjQ - _ Effuer't tF'i ^ 6pD a 31) ti 220 3nq,'L and T-81 r - -0, w r- $ant tea = 8013 c 3Q mAIL and T5S < -Marne (Plem"a Pn 3o smell Signatun? C5? Number e-L Fwd ress (,pr i • Dt+ic~ Ev:~lut~lio~~ ConcluGted Tetephgna`~htu r 7154859246 POt_b: ZONING FAX PAGE: 02/02 r Propertyownar' ►L t" __r parcel ID Page _o{ Boring # a Pit Ground surface elev. L Ls~~ ft. Depth to limiting %Gtor -J-42 in. Soil A I~ i?j cation Rite Horizon Depth Dominant Go Redox Description Texture Structure Consistence Boundary Roots GPDItt' in. MunseB Qu. Sz. Cont. Color Gr. Sz. Sh. 1 *Eff#2 -15r, L Boring # i❑l Boring tLl Pit Growd Surface elev. 1q Depth to limiting factor. in. (~S'o-d AERIlration Retie .y Horizon Depth Dominant Color Redox Desox tlon Texture - 81rucfure GarrsistCm~e 8oundery Roots GPDW In. Munsell Qu. St. Cont. COW t r Sz. $h. "Eff#1 *Eff#2 y F b M aQ r _ Lf pt r J2 Boring # ❑ Boring ❑ Pl Ground surface elev. ft. Depth to Ifmiting faatar in. Soil A iGailon Rate Horizon Dci,ur porninantColor RodoxDoeeriptian Texture sAnidure Consistence Boundary Roots GPg/M in. MunseN QU, Sz. Cont. Color Gr. Sz. Sh_ *Eff# 1 *Bff#2 t=ffluent 91 = BUD, A 30 < ZZU mgls_ and T55 I30 - 100 rrry/i_ * Cflluent #2 D00g ~ 30 mglf. and T5S 31) rrmpti I he Department of Commerce is an equal opportunity service provider and employer. If you need asstatanec to a""5 -Crvicct or noed material in an alternate format, plemse contact the department at 608-266-3.151 or T7°Y 608-264-8777. sen-xaao (R.a~,ao} y j. rz, qn(A "5 Lit- i tQ ~b t v { t ~ ! .rte k i s 1 ot 4 r , it"N t ST. CROIX COUNTY EKIC TANK. MAINTENANCE AGREEMENT AND OWNERSHIP CERT;f ICATION FORM OwnerBuycr s Mailing Address Property Address (Verification required horriPlanning & g Department for new construction.) City/State / azeel Identi cation Number f~ 3 D~~ " U d d LEG ESt: RIPTION Property Location 5 GU , AE--!A , Sec. T ~ R_J_~W, Town of _ Subdivision Plat: Lot # •T~. 19 Certified Surrey Map # 7 Volume 7` , Page # Warranty Deed # (before 2007)Volume , Page # r-- Spcc house n yes t no Lot lines idea fmble yes tJ 00 SYSTEM MAJNTENAN!gE AND OWNER CERTIFICATION Impropcr use and maintenance of your septic system could result is its promattire. Where to handle wastes. Proper maintenance consists of pumping out the septic tank every tbree years or sooner, if needed, by a licemssd pumper. What you put into the system can affect the function of the: septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83,52(1) and in Chapter 12 - St. Croix County-Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form signet} by the owner and by a master plumber, journeyman pitnnber, restricted plumber or a licensed pumper verifying that (1) the on►site wastewater disposal system is in pruper operating condition andlor (2) after inspection and pumping (if necessary), the septic tank is less than 113 fitll of sludge. t/we, the undersigned have read the above requirements and ague to maintain t ,'Vrivate sewago disposal System with the standards set forth, herein, as set by the Department of Commerce and the Department of NeuvaI Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning, Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are tnte to the best of my/our knowledge. I/we amlare the owner(s) of the property describes above, by virtue of a warrantydeed recorded in Register of Deeds Office.. Number of edrooms SIGN IJRE OF APPLICANT(S) DATE *'Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning, Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certiftui survcy map if reference is made in die warranty deed. (RFV. 08/05) 8 0 2 9 3 4 8 Tx:4020605 937105 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI Certified Survey Map RECEIVED FOR RECORD 06/03/2011 3:20 PM William R. and Deborah J. Volkert EXEMPT #: REC FEE: 30.00 Part of the Southwest M of the Northeast 'M of Section 7, Township 28 PAGES: 2 North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin, including Lot 1 of that certified survey map recorded in Vol. 4, Page 998 of St. Croix County Certified Survey Maps. i North % Cor. Sec. 7, T28 N, R 17 W, $ (Bentsen Nall Found) M ' 1!PA9Tted Lands vi a0 S 87.1838'1= 3oo.87' CD a $ F= M Garage I j N Centerline Driveway c' \ DI� Ico I ee :L LOf2 i\ T.J ' \\ Dwelling I 1.523 acres �►\ w $ Lot 1, C.S� 88,338 Sq.Ft. � G e 33• Vol. 4, Paaee 998 I ` S I ' I S 89'40'00'W 371.35' SCALE IN FEET 1•-100' I U_ patted Lands South 114 Cor. Sec. 7, 50 50 160 T28 N, R 17 W, (Railroad Spike Found) Aft bearings referenced to the North/South %line of Section 7, T 28 N, R 17 W, assumed N 00'00'00"E RECEIVED Legend: SEP 2 0 2011 O Indicates 1"O.D.x 18"iron pipe set. (min. weight 1.13 lbs.Ain. ft.) gT.CROIX COUNTY SURVEYOR'S RECORD Ca V1&ZM1 �.��5 NS,yii z Dated: May 16, 2011 LAUFH uRPHV i _I 81713 :gem N OO i Fq *;so - LAMID Sheet 1 of 2 1 of2 Vol 25 Page 5774 C", J I Certified Survey Map William R. and Deborah J. Volkert Part of the Southwest 'Ye of the Northeast X of Section 7, Township 28 North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin, including Lot 1 of that certified survey map recorded in Vol. 4, Page 998 of St. Croix County Certified Surrey Maps. Description: That certain parcel of land located in the Southwest Y of the Northeast Y of Section 7, Township 28 North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin, including Lot 1 of that Certified Survey Map recorded in Vol. 4, Page 998 of St. Croix County Certified Survey Maps, more fully described as follows, Commencing at the North Ys comer of said Section 7, thence S 00°0000"W (recorded bearing on the North/South Y line of said Section 7) a distance of 2095.60; thence N 89°40 00"E 33.00'to the Easterly right-of-way of C.T.H. "Al"8 J thence N 00°00'00'E 34.37'on said right-of-way to the POINT OF BEGINNING, of the parcel to be herein described,- thence S 87°1636'E 300.87; thence S 20°27 09"E 202.65; thence S 89°40'00"W 371.35;- thence N 00°00'00'E 206.33'on said Easterly right-of-way to the POINT OF BEGINNING, containing 1.523 acres or 66,336 square fret, being subject to easements of record. Genera/Notice Statement: Note: Each parcel shown on this map is subject to State, County and Township laws, rules and regulations(i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the Town of Pleasant Valley. Exemption verified under Section 13.1 B.3.a.3) of the St. Croix County Land Division Ordinance and Section 236.45(2) (a) (3) of the Wisconsin Statutes. / By Planning and Zoning Staff �le,(- UV� Date: State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, William R. and Deborah J. Volkert, 1 have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are aitrue and correct representation thereof. Dated: May 16, 2011 ����I l l r r nrrrr w uR• i 179 �Q Inn i��✓F9�b LAND g;```�� 10 t Sheet 2 of 2 A: 2 of 2 Vol 25 Page 5774 ° - iIIIIIIIIIIlIIllill Illllilllill 8029347 State Bar of Wisconsin Form 7-2003 Tx:4020605 TRUSTEE'S DEED 937104 Document Number Document Name BETH PABST REGISTER OF DEEDS THIS DEED, made between Herman R. Heinbuch and Delores C. Heinbuch ST. CROIX CO., WI 06/03/2011 3.20 PM as Trustee of Heinbuch Trust dated July 1o,1996 EXEMPT#: 8 REC FEE: 30.00 ("Grantor," whether one or more), and William R. Volkert and Deborah J. Volkert, PAGES:2 husband and wife as survivorship marital property ("Grantee," whether one or more). Grantor conveys to Grantee, without warranty, the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Recording Area St. Croix County, State of Wisconsin ("Property") (if more space is We and Return Address needed, please attach addendum): a j; ,(~S_ka,, - er See attached Exhibit "A" for legal description. IC~V .-G c'✓y' Part of 024-101030-000 and Part of 024-101030-100 Parcel Identification Number (PIN) Dated May 31, 2011 * (SEAL) / t, (SEAL) * Herman R. Heinbuch Trustee (SEAL) j," Ii Jua„Z (SEAL) * * Delores C. Heinbuch, Trustee AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) authenticated on C,qU ss. 1 X COUNTY) Personally came before me on t~C~~ * the above-named Hermain R. Helnbuc . Trustoe and TITLE: MEMBER STATE BAR OF WISCONSIN Delores C. Hetnt;ueh, Trustee (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) ins ent and acknowl dg the same. `~~111111t~, • THIS INSTRUMENT DRAFTED BY: ENE : S/ * G Maxfield E. Neuhaus - Attorney at Law otary Public, State of River Falls WI 54022-0138 Il..commission (is permanent) (expires: N-r i' L ) (Signatssig y be authentjc_Wd or ack dged. Both are not necessary.) NOTE: THIS IS A STANDARIX ANY 1r10DIFIC TIO$1O THIS FORM SHOULD BE CLEARLY IDENTIFIED. TRUSTEE'S DEED B I*R OF ISCONSIN FORM NO. 7-2003 'Type name below signatures. ~t INFO-PROS www.intoprotomi.com 1of2 ~Iillllll~' EXHIBIT "A" That certain parcel of land located in the Southwest'/4 of the Northeast'A of Section 7, Township 28 North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin, more fully described as follows: Commencing at the North'/4 corner of said Section 7, thence S00 °00'00"W (recorded bearing on the North/South'/4 line of said Section 7) a distance of 2095.60'; thence N89°40'00"E 33.00'to the East right-of-way line of C.T.H. "J" & "N" and the POINT OF BEGINNING, of the parcel to be herein described; thence N00°00'00"E 34.37' on said right-of-way line; thence S87116'36"E 300.87'; thence S20027'09"E 202.65'; thence S89 040'00"W 118.04' to the Southeast corner of Lot 1 of that certified survey map recorded in Vol. 4, Page 998 of St. Croix County Certified Survey Maps; thence NO0°00'00"W 171.96' on the East line of said Lot 1; thence S89 °40'00"W 253.31' on the North line of said Lot 1, to the POINT OF BEGINNING, containing 0.523 acres or 22,777 square feet, being subject to easements of record. 2 of 2 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF EXISTING SEPTIC TANK(S) This is to certify that I have inspected the existing septic and/or dose tank presently serving the following residence: (Street address) V6/ ,O,, , located at: S tU 1/4, A) _ 1/4, ection , Town ,7 Q, N, Range W, Town of~ St. Croix County Wisconsin. Upon inspection, I certify that I ha ,/e found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of inspection or service Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minutes Tank Capacity: /000 Construction: Prefab Concrete- Steel Other Manufacturer (if known): Age of Tank (if known): / y 8U 7 Permit number (if known) /V- jQ/ ,Dy ze ? 6G (License lumber Sign ure) (Print Name) olj-j ~ I'Z4 / o"7a? b 35 (Title) (License Number) MP/MPRS (Date) Form to be completed by licensed plumber (Dept of Commerce Chapter 5 and s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Rev. 9/2008 AS BUILT SANITARY SYSTEM REPORT 0$JNER TOWNSHIP ADD S S SEC. ~T ,N , R W ST. CROIX COUNTY WISCONSIN. SUBDIVI 0 LOT LOT SIZE PLAN VIEW 1~" Pr1C(S~rVt Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM T - I - i r I ' i Indicate North; Arrow SCALE : SEPTIC TANK(S) /60 C> MFGR. CONCRETE STEEL NO rings on cover Depth PUMPING CHAMBER SIZE PUMP MFGR. - MODEL NO. GALLONS Per Cycle TRENCHES NO. of width length area BED NO. of lines width length _s-l area depth to top of pipe NUMBER OF S AG P S Outside diameter total pit area AGGREGATE PERK RATE AREA REQUIRED, AREA AS BUILT Disclaimer: The inspection of this syp.tem by St. Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. F GREASES AIVD',O,ILS SHOULD NOT BE DISPOSED.,THROUGH THIS SYTEM. INSPECTOR_ DATED. PLUMBER ON JOB LICENSE.`NUMBER 3 157 REPORT OF INSPECTIJN_INDIVIDUAL SEWAGE SYSTEM Sanitany Penmit State Septic NAME jC)Mq)3 IQ , ownah.ip~ d' S4• Croix County L p c a.t~. o n. 5.~.,1..~.~....,.,... S e c#~. o n SEPTIC TANK S.i.ze=9aCona Mumben o4 Compan•tmen.ta I b l2# o4 gnea.ten 4tope it ' ~a~.Cd~n9.•~~~,,...b't. We.t~and4 ~-T,_,_,~.t. DISPOSAL SYSTEM O~.aanae Fnom: bt. 1 Z ~ on P, at. P'4 4 4op iu.,Cd.ng~ We~anp Ft. y FIELD DIMENSxONS.• Wclt~i o j* .tnen eh ep$h o 6 404k b e4ow, .t,i..te.in in. 6-t. F2pU 06 40ck ove4 t4e c),cn. Numben o Unea pepth o ,tile be oW Wade 31- in, Totat Ung.th 'a b Un04 0 it. Szope 06 Uenah /.n pen 14,0 ~t. G. D444anae be-twW Pe 4h to.'be0oak (0 To.tat 04040.on a4ea~,00J 6$2 pep;h -to ynoundwateA it " 9equ44e4 aua 6t Type 06 Caven: Papers 04 StAaw PIT pIMMIONS+ Numb ~n a i.ta ",a e d .L Ou.to de d` ame s` FgPU 4c4pw 4n4e,t Toa abAnb n b z Area ~e9ai.~ed b~~ ~ INSPECTED BY TITLE APPROVED ,SATE REJECTED PATE 19,7,,.,..• r • P L B 6 7 State and County State Permit # Permit Application County Permit # for Private Domestic Sewage Systems County sf. C2e r x *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: Erman ~~in. uck ILIammar7d Cc~is. B. LOCATION: cS U) /4 NLU '/4, Section T_U N, R2 1 (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township Sa C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) -Variance Jor Single family Duplex No. of Bedrooms ,3 No. of Persons A -11"114c- FAohn 4L D. SEPTIC TANK CAPACITY 1Q ©d Total gallons No. of tanks 0Av e- HOLDING TANK CAPACITY Total gallons No. of tanks a concrete Poured-in-Place Steel Fiberglass Other (specify) New Installation Replacement Lift Pump Tank or Siphon Chamber Total gallons Prefab concrete Poured-in-Place Other (Specify) E. EFFLUENT DISPOSAL SYSTEM: Percolation Rate Total Absorb Area sq. ft. New oC Replacement Alternate (Specify) Seepage Trench: No. of Lineal Ft. Width Depth Tile depth (top) No. of Trenches Seepage Bed: XLength- ~ ~ Width Z2" Depth " Tile depth (top).-. J L~ No. of Lines ~wo Seepage Pit: Inside diameter Liquid Depth No. of Seepage Pits Percent slope of land .920 Distance from critical slope WATER SUPPLY: Private Joint ❑ Community ❑ Municipal ❑ Owners name as listed on EH 115 if other than present owner: I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Soil Tester, NAME 2'. 1, f- C.S.T. # and other information obtained from py 12 AL 11_~ (owner/builder). Plumber's Signature MP/MPRSW# /1,0 I(IA4 Phone #7/S (7P'Y 397P Plumber's Address W iJ CAJjr PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20. Well loca- tion shall be included on the sketch. Indicate or dimension location of all wells on the property or neighbors property. If well has not been drilled please indicate. 0 e o~ v Al 4o` l t~ ~ ~ p1 p2 P3E o v o v g z Q g2 g, a 3 E E TRANSFER FORM ' SANITARY PERMIT PLB 67_ T State Permit # 6-1 Sanitary Per 't # County Sanitary Permit Transfer Date Original Permit Issuance Date A. Property Location: a> W % W Section , T N, R E (o W Lot # City Subdivision Name, Nearest Road, Lake or Landmark BLK # Village l rc Townshi ~ y B. TYPE of Occupancy:.Commercial Industrial Other (Specify) V Single Family_ k Duplex No. of Bedrooms Variance C. SEPTIC TANK CAPACITY D Total gallons No. of tanks HOLDING TANK CAPACITY Total gallons No. of tanks ,Prefab Concrete Poured-in-place Steel Fiberglass Other(Specify) New Installation Replacement LIFT PUMP TANK/SIPHON CHAMBER Total gallons Prefab Concrete Poured-in-place -Other (Specify) D. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 15- Total Absorb Area sq. ft. New Replacement Alternate (Specify) Seepage Trench: No.Lineal Ft; WidthDepth Tile Depth(top) No.'Trenches Seepage Bed: Length Width _Al DepthTile Depth(top)No. of Lines Seepage Pit: - Insid meter Liquid Depth No. Seepage Pits Percent slope of land ~o Distance from critical slope CNE E. WATER SUPPLY: ❑ Private Joint ❑ Community ❑ Municipal Present Sanitary Permit Holder/~ Ph Jne No. Sanitary Permit Transferred To: Phone No. ` Name V P r P Z 1~d /10 Name 1' S % Address 84 Id W ► Y? U / a Address Zip Zip Sy6a~ I, the undersigned, do hereby certify that I have reported all revisions to the sanitary permit and that all revisions are in accord with section H 62.20,, Wisconsin Administrative Code and that I have sized the effluent disposal system according to the EH-115 prepared by the Certified Soil jNqspr and/or an ad it'onal soil tests that may have been required. Plumber's Signature MP/MPRSW Phone 4&so- gp-lo Plumber's Address ~Q q0 t;° Information obtained from (owner or agent) PLAN VIEW: Provide sketch below of any revisions to original sanitary permit. Include direction of slope and all distances in accord with H 62.20. Well location shall be included on the sketch. Indicate or dimension location of all wells, on the property or neigh- bor's ro ert . If well has t r[T1 LF 3 p„a4lteast1f 01 9&ads (V S!r 00 y<'tr C ~`I'1F'I I SUIZV ICY MAP HrRf~'+N HE'INBUCH Southwest 1/4 of the Northeast 1/4 of Section 79 Township 28 Parrtth, cf Range ange So17 uu West, T;;wn of Pleasant Valley, St. Croix County, Wisconsin. No ;V k0 Wh~"8 o 80. ~ N o °10 coo 4I'I U Q V JAMES L.• ~'II/I 00 o 7- / _ MURPHY _ V ~o a 0 ~ c,~~-s O S. 1 0 4 2 rn% RIVER FALLS, r•~ I~ WISC. J~ pV y r~' 'J LAND t \ o Indicates 1" x 24" iron pipe weighing 1.13 lbs/ft set. ~C~4LE / Description: Northeast l/4 That certain parcel of land located in the Southwest 1/4 of the of Section 7, Townshin 28 North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin, more fully described as follows; Commencing at the North 1/4 corner of said Section 7, thence go S 0000010011E (assumed bearing) along the North/South 1/4 lire of said Section 7, 20;5.601; thence N 89040'00"E 33.00' to the POINT OF BEGINNING of theparcel to bhereinnce described; thence N 89040'00"E 253.31'; thence S 00000100"E 171.96'; S 8904:.,'00"W 2153.31'; thence N 0000010011E 171.96' to the POINT OF BEGINNING, containing; 1.0 acres, more or less. 1 State of 'risconsin) County of Pierce) I, James L. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Herman Heinbuch, I have surveyed and divided the lands shown hereon according to official records and in accordance with provisions of Chapter 236 of visconsin Statutes and the ordinances of St. Croix County, man :end description shown hereon are a true and correct