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HomeMy WebLinkAbout002-1027-95-025,5l`. C~olx County PlllhlZllZ,~ ay2d Zoning Tuesduv, oe~~mver v, ,0~,«,11:4,.48a~r Detail Sanitary Information Pege 1 of 1 Computer #: 002-1027-95-025 Sub/Plat: NA Section: 13 Parcel #: 13.29.16.199A Lot: 1 TN/RNG: T29N R16W Municipality: Baldwin, Town of CSM: Vol. 19 Pg. 4978 1l4 114: SE 1/4 SE 1/4 Owner: Mueller, Robert 914 Cty R d D Woodville, WI 54028 State Permit: 514810 Issued: 12/03/2007 POWTS Dispersal: Mound less than 24" suitable s Permit: New County Permit: 0 Installed: POWTS Detail: NA Bedrooms: 4 WI Fund: POWTS Pretreatment: NA N~ste~ Issuer/lnsr>ector Ryan Yarrington Not determined As Built Plumber Other Reguiremerrts NA Thompson, Jim ~;f: No Additional Notes Monev Owed $0.00 Wiscoi*siri Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: Mueller, Robert City Village X Township Baldwin, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 514810 0 State Plan ID No: Parcel Tax No: 002-1027-95-025 Section/Town/Range/Map No: 13.29.16.199A STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/Ht Inlet St/Ht Outlet Dtlnlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At-Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~i Yes I] No U Yes '~ i No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /_ Location: 914 Cty Rd D Woodville, WI 54028 (SE 1/4 SE 1/4 13 T29N R16W) NA Lot 1 Parcel No: 13.29.16.199A 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = ___ _ _ __ Plan revision Required? ^ Yes ^ No Use other side for additional information. ' SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No commerce.wi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 71,67 St. CrO1X i sco n s i n Madison, WI 53707-7162 ~ Sanitary Permit Number (to be filled in by Co.) aepartmertt of Ctxrtmerce '~~ / Sanitary Permit Application l State Transactiaon Number in accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmenta Pro' Addres~ (if different than mailing address) unit is required prior to obtaining a sanitary permit. Note: Application forms for state-o PO S [ submitted to the Department of Commerce. Personal information you provide may be u r s d ,,, _ ~ Q l ~'~' es in accordance with the Privac Law, s. 15.04 1 m , Slats. /~ C.. O ~ / Y / !/ I. A lication Informati -Please Print Aii Informs Property owner's Name ~ RECEIVED Parcel Robert Mueller 002-1027-95-025 Property Owner's Mailing Address Property Location • 2427 US H 12 T C R IX Govt. Lot City, State Zip Cod ZO I(i31'lber SE '/+, SE '/+, Section 13 (circle one) Woodville, WI 54028 715) 760-1859 T 29 N; R 16 w II. T of Bnitding (check all that apply) Ole ad Lot # 1 or 2 Family Dwelling -Number of Bedrooms 4 ~ Subdivision Name Subwei ~ Block # CSM ^ Public/Commercial -Describe Use 0 0. V~_ ~~- Na ^ city of ^ State Owned -Describe Use CSM Number ^ Ville of r ~ ~ CSM Vol. 19, GYrown of Baldwin tp k /~ o~ ~, P .4978 III. Type of Permit: (Check only one boz on line A. Complete line B if applicable) A' New System ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System (explain) B. ^ Permit Renewal ^ Perrnit Revision ^ Change of Plumber ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner ~/ IV. T e of POWTS S stem/Com onentlDevice: Check all that a t Cs ~ ^ Non-Pressurized In-Ground ^ Pressurized In-Ground ^ At-Crrade ^ Mound > 24 in. of suitable soil ound < 24 in. of suitable soil ^ Holding Tank ^ Other Dispersal Component (explain) ^ Pretreatment Device (explain) V. Dis ersaUTreatment Area Information: Design Flow (gpd) 600 d / Design Soil Application Rate(gpds 1 0 ASTM C-33 sand ~ Dispersal Area Required (sf) 600 s ft Dispersal Area Propose~fst) 600 s ft System Elevation 101 06' at "above gp . q. . / S~ q. . / ~ Z . ' 0.4 in-situ soil + 7i 9.39 contow VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units ~ ~ ~o ~ N y New Tanks Existing Tanks ~ c ~; ~ ~' ~ ~ ~ / P / 7 /V / ~ l D ~ ~ VS !~ V ~ V~ t/f iI~ R.~ ~ CL~ Septic or Holding Tank 1,200 _ 1,200 1 Wie r Concrete X ~siog ~~' 800 _ 800 1 Combination ST/PC X VII. Responsibility Statement- I, the unde signed, assum responsibility for ins o of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber' ignature MP/MPRS Number Business Phone Number James K. Thom son ~--~_ 30021 715 248-7767 Plumber's Address (Street, City, State, Zip Code} 340 Paulson Lake Lane, Osceola, WI 54020-5413 VIII. Coun /De artment Use Onl pproved ^ ved Perm it F e e Date Iss Issuing t Sign ^ / _ / ~ j~ $ ~ ~ ~y `? ~~ e en Re Denial low IX. Condit+~~t~teasons for Disapproval 1. Septic tank, efnuent filter end dispersal cefl must ail be services /maintainer) . as per management plan provided by plumber. 2. All setback tequirements must be maintained as s icable code / ordi Attach to complete plans for the system and submit to the County only on paper not less than B 1/2 a 11 inceea in size SBD-6398 (R. 01107) Valid thru 01/09 h h r J ,T." Sc1,. StOP.J.e. r~arcernarn. ~,% Q/a~Ka ~bn poi ~ • E/2daz~:o~ ~ EX~S~~ ~enet~"hC eQe{'•'~ /BS/9 SE`5/.S~ Ly .SQ e. ~3 /~c/. # cioz- X0.27-9S-oa.S /o~ / c.s„~ do~ /9.~~. s~976 ~.o.z6 aere~ /oCn~cr O 5~°A•s.T. ~, 303 bu./d,:~ Sewer fv earn p/y ui tie ~ias~~oo~e c~: c.-, ~Uj(LCi~YmeriC~f asS~pCO%~'edby C~v,,,m. 8z, 3o CSI Zb. l P~oPa~ ~: c6e. CcN,e~~e WLp/~2GY>Y/BGp~aP C~irnb~n¢~rYn~ COPY 039. ~ ' ~ .r4P,o~ Uz . /?~ ~ Lod C, n ~ a~ /, 33l. ~7' ti ~ ~ 308 =~ ~~ ~ o ;mot ~ Proposed IT'tound ~~ ~B•87.X /.22.73' C~ ~~ ~~'xiu~'a~.f,~ld/sa/Cc/% Ti..~o~la~cn/s ~ ~ c~~/yi"x98.~7~aY%g"or'~~'us S,oaccda-~ o ~ ~~ Z . S3 . la,,E.~ laps Shoo c c d a,E. 3.0' o.~ cc.~~ ~ ~ .~ 0 ~~ . ~ Q ~ ---'" ~\ ,/ 13tncl~ WI4f'IC ~ Tip o f' %Z-" ~, 5~l,. X10 ~? /.e. ~o,;a.e, ~~ 9 i r 1 ~a io/.o'eo~~ou~ Ip~ • 8O~ h h ~, r J ;~ z" scl,. stoP.,J.e. Farce.narn. - • E/e /a pia,-~ ~ EX~S~n~ ~~ncc%-nC '~eV{' '~` /8S/9 SE`~/.st f's~ Sec. i~ T , oE' Cis Ca(~visJi S-~• ~o ~`X Ce,, C.:/. /~c/. # cao2- ioz7-9S-o2s /off /~ es„q do~ /9, ~~. s~976 ~.o.zGQene~ P~oPoSed ~e.l I /o~~•~~ 0 ~pA•s.7.'r-~, 303 bu./d,-~ Sewer ~ cor.~P/y cv.~ ~icsE~o~o~ecE:o,-~ ~'~([eiiYmerlt~s as SpeGi~•e dby ~,,,.7, ez, 3o C~ zb. I P~a,~o~ ~; c6e,C~+-,e,~,{e s.r~,oc. ~Do/yLoitlPL-sLs elf'/u a.,f, ~;-/d..i c..t S.T o~t/ef 039 ~ /?~ ~ Lod C,-n ~ x /,33!.87' ~ ~ /, 308 ~ ~ ~ ~wr, ~~ ,, ~r ;~ ~ o .~ ~' Pro pos pd /s~(o us~r d Q ~ 18.87 ,~' /.Z.Z .73 ' ~ ~ u~lo'xico a:so`/34/Ct~/. Tu~o~/a~c/a~s 0 L c~611:'ir 9B, (o y'i,,y Yg"p,r,~Yas soaeed a~E * 2. S3. ~a1~ia.P3 S/°o cad a-E. 3.0' on ca..n~~ ~ ,~ ~~ Q~ 0 -- "'' -,~ ~~ ----- i ~ ~ / . ~ Ql i o/. 0' eo ~~ u.~ Pa•~~9 commerce.wi.gov ^ ^ ~scons~n Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Jack L. Fischer, AI.A, Secretary November 26, 2007 CUST ID No. 30021 JAMES K THOMPSON A.C.E. SOIL AND SITE EVALUATIONS 340 PAULSON LAKE LN OSCEOLA WI 54020 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/26/2009 SITE: Bob Mueller CTH D Town of Baldwin, St Croix County SE1/4, SE1/4, 513, T29N, R16W ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1486690 Site ID No. 732648 Please refer to both identification numbers, above,' in all corres ondence with the a enc . . FOR: Description: Mound, New Construction Object Type: POWTS Component Manual Regulated Object ID No.: 1162437 Maintenance required; 600 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. 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, stats. 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. ~ on this this correspondence maybe made to me at the telephone number listed below, or at the ve le ddr see shall provide a copy of this letter to the owner and any others who are responsiblrr for os~~~~\~ ~ 1 tion, ratio or maintenance of the POWTS. ~: ~~+ RQ ~,e ely, Fee Required $ 175.00 '~ ~ GO Fee Received $ 175.00 `~ ~` Balance Due $ 0.00 ~~ - ~~ / , POW S P1an~Revil~ver ,Integrated Services WiSMART code: 7633 (608) 1-7735, Fax: (608) 267-9566 , M-f 7:OOAM - 3:45PM mark.fmger@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M t MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application DECEIVED INDEX AND TITLE PAGE N O V 1 9 2007 Project Name: Robert Mueller 4-bedroom residential mound ~ ^ ~ETY & BUILDINGS Owner's Name: Robert J. Mueller Owner's Address: 2427 US Hwy. 12 Woodville, WI 54028 Legal Description: SE1/4SE1/4, Sec. 13, T.29N., R.16W Township: Baldwin County: St. Croix Subdivision Name: CSM Vol. 19, Pg. 4978 Lot Number: ~ 1 Block Number: Na Parcel I.D. Number: 002-1027-95-025 Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curare and specifications Page 8 Site Plan Page 9 Soil Evaluation Report ~~t Designer: im Tho pson License Number: 30021 Date: 11/14/07 __ Phone Number: X715) 248-7767 Signature: , ~ s..__ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.0 (03/01 /01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) R Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 11.00 Site Slope (%) 99.39 Contour Line Elevation (ft) 16.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpolft2) Distribution Cell Information 100.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c or e) a Center or End Manifold 3.00 Lateral Spacing (ft) 2 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 110.00 Forcemain Length (ft) 81.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 19.70 Vertical Lift (ft) 2.54 Friction Loss (ft) 28.74 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 _~_....._._ 1.50 x I x 2.00 x 3.00 x Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 6.00 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 7.50 ft2/orifice Does the Forcemain drain back? Y Enter Y or N 17.94 Forcemain Drainback (gal) 90.53 5x Void Volume (gal) 108.48 Minimum Dose Volume (gal) 32.95 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) Treatment Tank Information 800.64 Total Tank Capacity (gal) 1200.00 Se tic Tank Capacity (gal) 36.00 Total Working Liquid Depth (in) Wieser Concrete Manufacturer 22.24 gaUin (enter result in cell 649) Dose Tank Information Effluent Filter Information 800.64 Dose Tank Capacity (gal) Pol Lok Filter Manufacturer 22.24 Dose Tank Volume (gal/in) PL-525 Filter Mode! Number Wieser Concrete Manufacturer Project: Robert Mueller 4-bedroom residential mound Page 2 of 9 Mound Plan View 1- H 1.00 ft K 11.37 ft z 16.20 ft L 122.73 ft J 6.67 ft W 28.87 ft 2220.15 (ftz) Basal Area Available 10.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.85 (ft) --1- rrf G ~ H ~ iiiiirrir 2 irrrrrrf. .' F ,.;::: 101.06 (ft) -- - Dispersal Cell 101.56 (ft) Lateral Invert Dispersal Cell 3 : • : ' ::C~:.'.~.'.'. ~•D: t ... Elevation E : ~• .. ...... ...• ... .• .• .... .... .~ .• .. .. ,. .. .• .. • . . ... .. 1....tih /l"~• ~•d•}.•.1•..•._5. .~•1~ ~~~~ 4 d ~~~ • .. 7 Shading Key Q _ Topsoil Cap ~ '~'~~ Subsoil Cap ' • ~ • ASTM C33 Sand ® Tilled Layer ~5 r~r~r~ Aggregate ... ................................. • : 1110 B • 'Observation Pipe ' ~ ' K.. ~~.:::~•'•::::::::::::::: ..... ..•.•.• rti fti• ;•_.;~~,ti• ~.~ ti fti•• ~.~ti ti ti• ~.~ •. ti ti• ~.~ ti.ti•ti.•.•~. r.r~ ti • :~. ti ti; 5 •. %. ti.•..::%.ti•ti:•..~a.ti.ti.~ ;:~ ~~,~ •:, :: ti:• •%r{rtit {ti %, ? r'r'r'r'r'r'r'r• :'r'r'r' • .•.. ~~ r%r. .'r:,r•r• ~tirti.~.. .ti•S, ~'L ~S, ~%..5' ~ •'~r. ~.ti„~.: .~ B: 'i. ~: .. Mound Component Dimensions -T _~ _~ _l A 6.00 ft E 27.92 in B 100.00 ft F 9.50 in D 20.00 in G 0.50 ft 600.00 (ftz) Dispersal Cell Area 6.00 (gpdJft) Linear Loading Rate vu.~.r ... .. ....._ _. _. 9 11.0 % Site Slope ~. I Dispersal Cell o a 1.5 ft •, f,.1tir,r, f%.ti,1r1f w o 5 t0 of r r•.~•. % ~%: %: • r; r,. 0.5 ft f''~Typical Lateral r;•;:; f F r• ~•; ~ %r%ra••r .•~.••. . ti.•,.•,.•.. 5 . ~ p ~ ~ r. r %r. C ~ •••: ••1.1•-••• - ~•••• *' A .39 (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (Ax6). Project: Robert Mueller 4-bedroom residential mound Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered over the A & B dimension ~ .Turn-up vr~ ball valve or cleanoutpl u e ,l ~- P All laterals are identical IE X-~I Holes drilled on the bottom of the lateral (- equally spaced 3 Force main oonneo[ion via tee or cross to manifold at any point. Laterals >k force main of PVC Sch 40 (per COMM Table 84.30-tSj Number of Laterals 2 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 98.67 ft Orifices per Lateral Lateral Spacing (S) 3.00 ft Orifice Density ' Lateral Flow Rate 16.48 gpm Manifold Length System Flow Rate 32.95 gpm Manifold Diameter Total Dynamic Head 28.74 ft Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and -- Comm 16.28 WAC `_ ~ Disconnect Tank component is properly vented Wieser Concrete Ca aci 800.64 Volume 22.24 Manufacturer Gallons gal/inch Dimension Inches Gallons A 18.19 404.61 B 2.00 44.48 C 5.56 123.59 D 10.25 227.96 Total _ ~ 36.00 800.64 A B C D under tank. r-----------__ _ _-_~ Alarm Manuafacturer iZoeller __ Alarm Model Number A-Pak #10-1494 Pump Manufacturer Zoeller __-.._ ___._.._________~_~~~J Pump Model Number 153_ Pump Must Deliver 32.95 gpm at 28.74 ft TDH 0.125 in 2.53 ft 40 7.50 ft~/orifice 3.00 ft 1.50 in 3.37 ft/sec Locking cover with warning label and locking device and sealed watertight 4 in. min. , --~_ E--- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P• ump off elevation (ft) 81.85 Dom se tank elevation (ft) 81.00 Project: Robert Mueller 4-bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name J. Thompson, DOC Credential #30021 Phone;715-248-7767 POWTS Regulator's Name r __ St. Croix_County.Zonin~_ Jy Phone[~715.386-4680 System Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Otn~i Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears _ _ .Inspect for pondin~g and seepage once ever~r 3 ey ars _~ 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 1 Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Robert Mueller 4-bedroom residential mound 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 risers, 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. Seotic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. 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 perfiomted 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, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. Alt switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Svstem 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 BODg, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L GODS, 30 mg/L TSS, 10 mg/L FOG, and 10° 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 lt 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 clogging 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. Continaencv 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 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Robert Mueller 4-bedroom residential mound Page 6 of 9 T N PUMP PERFORMANCE CURVE MODEL 151/152/153 50 14 45 t 12 ~ 35 t52 ~ ~ t o U ~ £o B 25 151 a! ~ 6 20 t5 4 2 TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 151 152 153 Feel AAeters Gal. Uters Gal. Uters Gal, U1en 5 1.5 50 189 89 261 7) 291 10 3.0 45 170 81 231 70 265 15 1.8 38 144 53 201 81 231 20 8.1 29 110 44 167 52 197 25 7.8 18 81 34 129 42 159 30 9.1 -- 23 87 33 125 35 10.7 22 85 40 12.2 /1 42 9huFOH Head: 30 R (9.tm) 38 fl (11.8m) 44 a (13.4m) 0145088 3.z.9s~r° ,•~ ~; ~ mom,-, s~,,o,~~"~ r~~r Model 151 CONSULT FACTORY FOR Models 1521153 SPECIAL APPLICATIONS a7~2 77/8 451e 727rd2 • Tuned dosing panels available. ' Electrical aiterntators, for duplex systems, are available and supplied with an alarm. s 7l8 • Variable level contrd switches are available for controlling single phase systems. , • Double piggyback variable level fbat switches are available for variable level long and short cycle contrds. • Sealed Cwuik-Box available for outdoor installations. See FM1420. • Over 130•F. (54•C.) speaal quotation required. 15111521153 Series 1 5111 5 211 5 3 MODELS Control Selectlon Yodel Vdts•Ph Yode Amps Simplex Duplsx N151 115 1 Nan 6.0 1 2 8 3 BN151 115 1 Auto 8.0 Included 2 a 3 E151 230 1 Nan 3.2 1 2 8 3 BE151 230 1 Auto 3.2 Inducted 2 a 3 N152 115 1 Nan 8.5 1 2 8 3 BN152 115 1 Auto 8.5 Included 2 a 3 E152 230 1 Nan 1.3 1 2 8 3 BE152 230 1 Auto 4.3 Included 2 a 3 N153 115 1 Nm 10.5 1 283 aN153 115 1 Aulo 10.5 Included 2 a 3 E153 230 1 Nan 5.3 1 2 8 3 EtE153 30 1 Aub 5.3 Included 2 a 3 O CAUTION Au installs[ion of controls, protection devices and wiring should be done by a qualified ucensed electrician. All electrical and se/ety codes shoultl De lollowed including the most recent National Electric Code (NEC) and the Occupational Safery and Health Act (OSHA). SELECTION GUIDE z sx2t7e4 1. Single piggyback variable level float switch a double piggyback variable level float switch. Refer fo FM0477. 2. See FM0712 for correct model of Electrical Atternata E-Pak. 3. Variable level control switch 10-0225 used as a control adivata, specify duplex (3) a (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump MAIL TO: P.O. BOX 18347 ~O® ~ ~~ LoukNlb, ICY 4 02 58-034 7 A4anufacturerso/.. SHIP T0: 3849 Cane Run Road LoulsvlNe, I(Y 40211-1981 ht'~J/www.zoollereom PV/(~fP L D (502) 778.2731 ~ 1(800) 92BPUMP Qva«r Pu4.ps ~! NSF /.9,99 FAX (502) 7743824 ® Copyright 2004 Zoeller Co. All rights reserved ~. ~~9 1849 Wisconsin Department of Commerce SOIL EVALUATION REPORT page t of Division of Safety and Buildings in acrnrrianr.P with t:nmm RS Wic Aram r:nria A.C.E. Soil 8 Site Evaluations Attach complete site plan on paper not less than 8%z x 11 inches in size. Plan must include t n b t limit d t : l d h ti i t l f i BM i d County St. CrolX -- ---- , u o e o ver ca an or zon a re erence po nt ( ), direct on an --- --- percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel LD. 002-1027-95-000 _ Please print all information. Reviewed ey Date Personal informatbn you provide may be used for secondary purposes (Pnvacy Law, s 15.04 (1) (m)) Property Owner Property Location Stillman Andrews Estate Govt. Lot SE 1/4 SE 1 16 W /4 S 13 T ?9 N R Property Owner's Mailing Address Lot # ~ Block # Subd. Name ___ or CSM# 402 Johnson Street T North Site City State Zip Code Phone Number ~ City ;Village /! Town __ Nearest Road Woodville I WI ~ 54028 715-698-3266 Baldwin Co. Hwy. D New Construction Use: y; Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial -Describe: Parent material Glacial drift _ _ _ Flood plain elevation, if applicable ___ na _ ___ General comments and recommendations: Install mound system at elev. 101.06' at 20" above 99.39' contour. Onsite soil verification completed by Pam Quinn 10/05/04. i /; Prt Ground Surface elev. _ 100.27 ft. Depth to limiting factor 1 ~~ in. Soil Application Rare ' Honzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' _ - in. I Munsell Qu, Sz. Con(. Color I Gr Sz. Sh. 'Eff#1 'Eff#2 1 -T 0-8 ! -r- 10yr3/3~ none light sl -+-- 2fsbk mvfr i -; as - 2f,1 m , - 0.6 1 0 ~- --- 2 8-16 ! 10yr4/4 none ~ light sl 2fsbk mvfr Cs 2f,1 m ~I 0.6 1.0 3 16-27 10yr5/6 ~, none ; Is Osg ml I~ cw 1f _ I 0.7 1.6 4 27-40 10yr6/8 ~ f2f 7.5yr5/8 ~ Is Osg ml - 1f ~ 0 5 ~ 1.0 _ _ - I ~ I - I -{----- ~ -. _- ~ --- ---II J - -~ ~ ----- ---- - ~ I Boring # __ Boring - ~~~ „a„ ~~ ~~ ~ ~y~~a~ , ~iawi un wuus uanus ui urn i vyrww rrs. ~oaamg rare or Honzon reaucea ro renecr permea~mry restncnon assocrarea wrm oanarng. ^ Boring # -; Boring ^ /' Pit Ground Surface elev. 97,62 ft. Depth to limiti ng factor _ 16° in. Soil Application Rate Honzon Depth i Dominant Color Redox Description Texture Structure Consistence Boundary Roots i GPD/h' in. Munsell Qu. Sz Cont. Color i Gr. Sz. Sh. t 'Eff#1 'Effil2 1 --- -- ' 0-9 --- ~ 10yr3/3 I - none ---- I I I 2fsbk mvfr ! as 2fm ~ 0.6 0.8 2 9-16 10yr5/4 t --- -- none - ---- -, 1 sd ~ I -- 1 fsbk -- mvfr ~ I cs 2fm T--- - -------_ 0.4 , 0.6 3 16-22 i 7.5yr4/4 - j f2f 7.5yr5/8 - -- ------ scl ! ------- 1fsbk ml r-- cw 2fm ! 0.2 0.3 4 22-35 I 7.5yr4/6 f2f 7.5yr5/8 gr Is ~ Osg dsh I cw 1f I 0.6 ~ 1.0 5 ---- 35-46 j ~ 10yr6/8 ~ f2f 7.5yr5/8 ! -- - - ' is t -----~ Osg --___ dsh - l I 1 f ' 0.6 ' 1.0 _----- -- are ' Effluent #1 = BOD 5> 30 < 220 mg/ and TSS >30 < 1 0 mg/L CST Name (Please Print) Signal e: James K. Thompson Address A.C.E. Soil & Site Evaluations 340 Paulson Lake Lane, Osce , WI 54020 to ;effluent #2 = BOD<< 30 mg/L and TSS < 30 mg/L CST Number 5~_ 3602 Date Evaluation Conducted Telephone Number 10/5/2004 715-248-7767 ,• ~ '~ y ~ Property Owner Stillman Andrews Estate Boring # __J Boring /J Pit' Ground Surtace elev. Parcel ID # 002-1027-95-000 97.15 ft. Depth to limiting factor 18" in. Page 2 of_ 3__ Soil Application Rate I Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots __ i in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 ~ 0-11 10yr3/3 none sit 2fsbk mvfr as 2f,1m 0.6 ~ 1.0 --- 2 ~ 11-18 10yr4/4 - none I -- grsl 2fsbk - mfr I cs 2f,1m 0.6 I 1.0 ---- 3 ', 18-25 7.5yr4/6 - f2f 7.5yr5/8 ~ Ifs/sl ! 2msbk mfi I cw 1f 0.6 ~ 1.0 4 25-39 10yr5/6 f2f 7.5yr5l8 scl 1csbk mfi - 1f 0.2 ; 0.3 - C---- - ~ --~--- -- Boring # _.! Boring - ' /i Pit Ground Surtace elev. 97,48 ft. Depth to limiting factor 24" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh ____ 'Eff#1 'Eff#2 1 I~ 0-10 I 10yr3/3 none sit 2fsbk mvfr as 2fm 0.6 ! 0.8 2 ~ 10-13 10yr5/4 none sit lthinpl mvfr as 2fm 0.4 0.6 3 ' 13-24 ~ 10yr4/4 none sit lfsbk ml cw 1fm 0.4 0.6 4 i 24-30 ! 10yr4/6 f2f 7.5yr5/8 fs/Ifs 1 msbk dsh cw 1f 0.5 i 1.0 ; 5 30-39 10yr4/6 f2f 7.5yr5/8 s Osg dl gi - - 0.7 ~ 1.6 6 139-45 i 10yr6/8 f2f 7.5yr5/8 ~~ Icos Osg dsh - - 0.6 'r 1.0 H# 6 is cemented in place, parting to Osg when disturbed. Loading rate reduced to reflect permiability resitriction associated with cementing. ^ Boring # _...~ Boring - /j Pit Ground Surtace elev. 99.60 ft. Depth to limiting factor 25" in. Soil Aoolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ! ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-9 10yr3/3 none sl 2fsbk mvfr as 2f,1 m 0.6 ~ 1.0 2 918 - 10yr4/4 none sl 2fsbk mvfr cs 2f,1m ! 0.6 i 1.0 3 " 18-25 10yr5/6 none Is Osg ml cw 1f -+---- 0.7 j 1.6 4 ', 25-42 - ---~ ~ 10yr6/8 f2f 7.5yr5/8 ~ Is ~ ~ Osg ml I ! - 1f ! 0.5 ' 0.9 -- i H#4 contains irregular, discontinuous bands of Om 1 Oyr4/4 Ifs. Loading rate of horizon reduced to reflect permeability restriction associated with banding. ' Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODs < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-315 ] or TTY 608-264-8777. i~ .~ O y z J J ~~ y 3 L r ti h ~r ;~ h o ;~ u 0 o ,~ i ~~ ~~ f~ W 8 ,~ Q~ r i;29G~ ~ e~ ~ Nwy. 1~ ' ~_ ~ 6~ 1 ~ ^ ~ ~ ^ --- _ ~~ B 3 `~ ~ T~ of ~-z„ ~` ~ 5cl,. ~O ~?/.G, ~0, ja.e, ~ 9R39~ Asskrnede~e~/.= iuo.c~' ; ~ slope i 82 ~ ~ i ~ 9R33~ 1 ~ Q~ i ,' 98. o' io/.o'eon~u~ ,~ ~~% B/4~rcn ~an /Di ~ i ~e~ '~ /d S~9 SE~'s~.St yy ..Sec. i3 T , of ~. Lo%cJis1~ $~, Cro i ,c Ce,, ~a . 303 r -" ~ RECEt1/E Wisconsin Department ofCommer SOIL ALUATION REPORT Division of Safety and Buildings U ~ T~,~ , .~.,~90,r>r, r„ ~nr~ e.~.~, r„~o 1849 Page 1 of 3 A.C.E. Soil & Site Evaluations $ ' ~ ~-~ d ' D County Attach complete site plan on per no ~s~(rai$,/ '(xC1~ti~vc @s in ~ Plan 3t 11 St. Croix include, but not limited to: ve cal and t~ rtrt (B // 111 diredtiorLand - / J Parcel I D percent slope, scale or dimemsro and dis nce to nearest road. . . 002-1027-95-000 Please print all information. Revi Date Personal information you provide mey be used far secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ Property Owner Property Location Stillman Andrews Estate Govt. Lot SE 1/4 SE 1 /4 S 13 T 29 N R 16 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 402 Johnson Street North Site City State Zip Code Phone Number ~ City ~ Village ~J Town Nearest Road Woodville (WI 54028 715-698-3266 Baldwin Co. Hwy. D /f New Construction lJse: /J Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD ~:f Replacement ~ Public or commercial -Describe: Parent material Glacial drift Flood plain elevation, if applicable na General comments and recommendations: Install mound system at elev. 101.06' at 20" above 99.39' contour. Onsite soil verification completed by Pa ` Quinn 10/05/04. Boring # ~ Boring Pit Ground Surface elev. 100.27 ft . 27" in. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0-8 10yr3/3 none light sl 2fsbk mvfr as 2f,1 m 0.6 1.0 2 8-16 10yr4/4 none light sl 2fsbk mvfr cs 2f,1 m 0.6 1.0 3 16-27 10yr5/6 none Is Osg ml cw 1f 0.7 1.6 4 27-40 10yr6/8 f2f 7.5yr5/8 Is Osg ml - 1f 0.5 1.0 H#4 contains irregular, discontinuous bands of Om 10yr4/4 Ifs. Loading rate of horizon reduced to reflect permeability restriction associated with barxJing. Boring # ~ Boring Pit Ground Surface elev. 97.62 ft. 16" in. Soil lication Rate Depth to limiting factor App Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-9 10yr3l3 none I 2fsbk mvfr as 2fm 0.6 0.8 2 9-16 10yr5/4 none sil 1fsbk mvfr cs 2fm 0.4 0.6 3 16-22 7.5yr4/4 f2f 7.5yr5/8 scl 1fsbk ml cw 2fm 0.2 0.3 4 22-35 7.5yr4/6 f2f 7.5yr5/8 gr Is Osg dsh cw 1f 0.6 1.0 5 35-46 10yr6/8 f2f 7.5yr5/8 Is Osg dsh - 1f 0.6 1.0 H's#4 & 5 are cemented in place, Partin whe disturbed. Loading rate reduced to reflect permiability resttriction associated with cementing. ` Effluent #1 = BOD ~ 30 <_ 220 mg/ and TSS >30 < mg/L uent #2 = BOD < 30 mg/L and TSS <.,90 mg/L CST Name (Please Print) Signat e: CST Number James K. Thompson ~- 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane. Osc . WI 54020 10/52004 715-248-7767 Property owner Stillman Andrews Estate Parcel ID # 002-1027-95-000 Page 2 of 3 Boring # ~ Boring 1/ Pit Ground Surtace elev. 97.15 ft. Depth to limiting factor 18" in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots •Eff#1 'Eff#2 1 0-11 10yr3/3 none sil 2fsbk mvfr as 2f,1 m 0.6 1.0 2 11-18 10yr4/4 none grsl 2fsbk mfr cs 2f,1m 0.6 1.0 3 18-25 7.5yr4/6 f2f7.5yr5l8 Ifs/sl 2msbk mfi cw 1f 0.6 1.0 4 25-39 10yr5/6 f2f 7.5yr5/8 scl 1 csbk mfl - 1 f 0.2 0.3 Boring # ~ Boring Lf/ Pit Ground Surface elev. 97•`18 ft. Depth to limiting factor 24" in. Soil Application Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 0-10 10yr3/3 none sil 2fsbk mvfr as 2fm 0.6 0.8 2 10-13 10yr514 none sil 1thinpl mvfr as 2fm 0.4 0.6 3 13-24 10yr4/4 none sil 1fsbk ml cw 1fm 0.4 0.6 4 24-30 10yr4/6 f2f 7.5yr5/8 fs/Ifs 1 msbk dsh arts 1f 0.5 1.0 5 30-39 10yr4/6 f2f 7.5yr5/8 s Osg dl gi - 0.7 1.6 6 39-45 10yr6/8 P2f 7.5yr5/8 Icos Osg dsh - - 0.6 1.0 H# 6 is cemented in place, parting to Osg when disturbed. Loading rate reduced to reflect permiability restriction associated with cementing. Boring # ~ Boring t~ Pit Ground Surface elev. 99.60 ft. Depth to limiting factor 25" in. Soil Application Rate Horizon th De Dominant Color Redox Description Texture Structure Consistence Boundary Roots P / p in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-9 10yr3/3 none sl 2fsbk mvfr as 2f,1m 0.6 1.0 2 9-18 10yr4/4 none sl 2fsbk mvfr cs 2f,1m 0.6 1.0 3 18-25 10yr5/6 none Is Osg ml cw 1f 0.7 1.6 4 25-42 10yr6/8 f2f7.5yr5/8 Is Osg ml - 1f 0.5 0.9 H#4 contains irregular, discontinuous bands of Om 10yr4l4 Ifs. Loading rate of horizon reduced to reflect permeability restriction associated wth banding. `Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mg/Land TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. .i v ti h ~, ~a ~`~ o o" h W ~s ,~ 0 ~~ ;~ Q ~~ ,~ +., O r J J a 3 L , /!~ ~ Lod ~.-n e it i~? ~ Nwy w~ a~ ^ --------------~, ,o~,.ee 3.~' Bs ~ g3 ---- _ 99• ~3' `~ .~\ ~ ~ ~ 3~n rK. T~ op %s-„ ~, Assk.-ve.~/ele%= iu~.~n' ; ~ slope i ' 8 ~- ~ i ~ ~ 9933; i Q~ ' ,' 98. o' /0/.0'~o,~~u~ ~ ~~% eta/Kn ~ bn p~'~ ~ E/e /a pia,-~ Q¢{:'`~ /BS/9 SE~y.s~ ty Sec. i,3 Tit, of CfsGo(~vis7~ $~£, ~o i ,~ Ce,, W'• ~a . 3 0~3 FORM NO. 985-A ~'." l3~~~ler 7 9 4 7 0r 6 Stock No. 26273 VOL 19 PAGE 4978 KATHGEEII H. yiCCSF~--- REGISTER OF DEEDS ST. CROIK CO CERTIFIED SURVEY MAP NO. OS/11/2ee5 ez:2sPn VOLUME 19 PAGE 4978 RECTFEEED s~R~Y MAP COPY fiEE: 3.00 THE SOUTHEAST QUARTER OF THE SOUTHEAST QUA~~~R z OF SECTION 13, TOWNSHIP 29 NORTH, RANGE 16 WEST, TOWN OF BALWIN, ST.CROIX COUNTY,WISCONSIN OWIJER/PREPARED FOR: East 1/4 Robert Mueller Section 13-29-16 610 Oak Street Fd Survey Mnrk Nni! N i UNPLATTED LANDS o Baldwin, WI 54002 0 ~ ~„ N N p '' ~ existing fenceline ~ ' ~''. m NE corner > i 58728'23"E _ 1337..67' \ ~ {~ SE/SE ,. ~:i _ t29t3.ut' I 33.06' PREPARED BY: ~ _~ existing Fenceline si~-zs• I centerline JB Surveying LLC LOT ~ z -,q I66I 966 Rustic Road 3 .~ ~ , Glenwood City, WI CL crest ~_ 882,330 sq.ft. 858,726 sq. ft. \ EI = tt95.5 20.26 acres 19.71 acres _> ~~. I Z soil tests incl. r-o-w not incl. r-o-w Ir., O A 1 ~ ~ JI oN°- Li3C' '~tn" Lot 1 = 1198' x Ala ~ N o o~~lo 0 ~ i 587'28'23"E 303.97' ® li Im p HEMCHMARK kl ~ b rn -' Rebrr [L = 120:3:i' i I °~' I C N ~ I m I -v la ~ - So;i t~~,~ a ~, ~ I~ l~ existing/ r~i $85'06'00"E 7039.03' existin I I~ lv f enceline ~ ~ 9 tlr7vewoy ~ I ~ i 7005.86' Iz N ~ t 1 vdi~~, 33.17' I LOT 2 i I m '~ p rn old send u ~ renovo! ores ' ~ a> • i?uz slope 882,330 sq.ft. 828,717 sq. ft. ~ la I `"' 20.26 acres 19.02 acres ~^ ~ °' ~\ ~ ICP ral incl. r-o-w not incl. r-o-w ° j- i° °'i 0 and is LBU for Lot ~' = 1i98' ~ r" h o P r7nn-made SW corner ~ a I Iy SE/SE 23.91' ° I I I s I° 1334.10' o N87't3'48"W 605.66' °' td88'07'25"W 694.87' ~ L - ~ ~ --- ~ _ -- _- -Q- -+- ~ - -. ~ ~.. -- N8T19'35"W '' - - _ _ _ _ _ _ 90th Ave. ~ _ _ _ -rn--" P.O.B. SOUth 1/4 E>nterlu~e/ N87'19'35"w v Section 13-29-16 1334,10' DENCHMARK tit ~~ i 1 Found A(uroinuro Cap Mon. EL ;2oLe' Southeast corner UNPLATTED LANDS Section 13-29-16 Found All.trlinur7 Cap Note: A special exception use permit is required for the disturbance of slopes 20% or greater not identified on the approved plat or CSM. This permit is applied for through the zoning office and is reviewed through a public hearing process by the St. Croix County Board of Adjustment. Note: Each parcel on this man is subject io State and County laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Befure purchasing or developing any parcel, contact the St. Crnc< County Zoning Office for a:Jvice. ~~.~~ tV SCALE: 1'" = 250' an~.,woAr os ~~, o~cMwooo crrr, cJ~ 0' 250' 500' ~ '"' North is referenced to ttte LEGEND ~~S South line of the Southeast /~ `y Quarter of Section 13-29-16, .........Government Corner (as noted) rl,~_ which bears N87°19'35"W o..........5et 3/4" Iron rebar weighing o."-~x Pa e 1 of 2 1St. Croix County Grid System) 1.502 lbs./lineal ft. 9 Vol 19 Page 4978 ~F~O~RM~N~0~965•A P.,. `~~irl ~ 1:111 Stock No. 26273 7'94726 VOL 19 PAGE 4978 1 ~i' 7 CERTIFIED SURVEY MAP N0. ~'><>l~~ •z=rsPM VOLUME 19 PAGE _ 4978 R~ FEEED 13R~V~EY KAP COPY FEB: 3.80 THE SOUTHEAST QUARTER OF THE SOUTHEAST QUA~~f'~R z OF SECTION 13, TOWNSHIP 29 NORTH, RANGE 16 WEST, TOWN OF 6ALWIN, ST.CROIX COUNTY WISCONSIN OWNER/PREPARED FOR: ~ East 1/4 Robert Mueller Section 13-9-16 610 Oak Street Fd Survey Mark Nail ~ i UNPLAT'TED LANDS Baldwin WI 54002 ~ , ~,, t~ ' i N ? I OJ ;~,;,, , existing Fenceline ~ ~! w ' ~ ~ ~ ~ ~ ~~ S8T28'23"E '^ NE Corner 1332 67' \ ` .. , P ~ - ~ SE/SE 2 298.61' "' ~ 33.06' I PREPARED BY: ~ ~_,._.-- existing Fenceline ~ r-.~s' ~ I Centerline JB Surveying LlC ]' 66 L D ~ p 966 Rustic Road 3 I v, l~ ~ I / Glenwood City, WI ~ ~~ ~ ~~ A CL crest ~ ` E! = 1195.5 882,330 sq.ft. 858,726 sq. ft. \ ~ 20.26 acres 19.71 acres ,, `~ '~ $ ~ soil tests incl. r-o-w not incl. r-o-w ,: ';, ~, ~ . I~ N ` ) ~ > ~ :> ' ? I~ ~ ll3C' f'or lot 1 = 1198' ; ; ~ . w f i ,S87.28'23"E 303.97' <c' " i, ~ ~ ~ ~I ~ ~ I I b m ;" 6ENCHMARK bl ~ ; ' ~ {~ oN Rebar EL 1?03.5' ~; ~ ~ I rn IC N x t ~ ~ I ' ' I~ ' soil tes ' ~ " ~ u existing/ 1p Fenceline ~,; • S8S'06'00" I I I~ ~ ~ ~ 1039.03' ii existing drnew ~ p i 1005.86' I~ ~ ~' I i I ' I v 33.17 I ~ ~J~ LOT 2 ~~ w I~ +. o+ old send N ~' `i rer~ovol oreo ~ ' V G~ , i?oz slope 882,330 sq.ft, 828 717 sq. ft. ` ~N (`"' , 20.26 acres 19.02 acres ° ~= incl. r-o-w not incl. r-o-w oo .~ ` ~ v l ~~ p~roansnade I.BU for Lot?. = 1196' `~, SW corner ~ ~e ~ I;'~ SE/SE n Q i~; ~) r,., ;c',,.r.,~ Ix 23.91' ° I = 1334.20'\ ~' Id ~ N87'13'48"W 605.66' g = •c -- - -- _, ,._,._ .~_ ~ N88'07_2S"W 694.87_ _ 1 L 90th Ave °~ South 1/4 Section 13-29-16 / ~_._ __._ _ ____ ___. ___. _ centerline N8T19'35"W 1334 20' ~ ~ r ~ Found Alurlinurl Cap , 9ENCHMARK H2 Mon. El. _ l201~" Southeast corner UNPLAT'TED LANDS Section 13-29-16 Found Alurlin:~M Cap North is referenced to the South line of the Southeast Quarter of Section 13-29-16, which bears N87°19'35"W (St Croix County Grid System) Note: A specs! except;on use permit rs required for the disturbance of slopes 20% or greater Writ identified on the approved plat or CSM. This permit is applied 'for through the zoning office and is reviewed through a public hearing process by the St. Croix County Board of Adjustment. Mote each parcei on this man is subject to State and County iaws, rules and regulations li.e. wetlands, minimum lot size, access to parcel, etc.). Befure purchasing or developing any parcel, contact the St. Croix County Zoning Office for advice. ~~ SCALE: 1" = 250' ''0a"• ~r s.ieov ornnMOOO cnr, CJ' 0' 250' 500' !9~ '" ~/ LEGEND .........Government Corner (as notedl o....:.....5et 3/4" Iron rebar weighing 1.502 lbs./lineal ft. Vol 19 Page 4978 ~~(vo" _ Q•~„ V 4~' Pa e 1 of 2 9 ,os ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner~t-~+er Mailing Address o~ ~ vL.J~ ftc,JS! ,L?_ ~GeS~y~/~Qf lt~/, S~dl_~f Property Address (Verification required from Planning & Zoning Department for new construction.) City/State (.t~d~Q~tJ~~le ~~~ Parcel Identification Number ~~-' /~~-7- 9~'~ZS LEGAL DESCRIPTION Property Location .SE/a , Ste. t/a ,Sec. /.3 , T ~N RAW, Town of L~~i~ Subdivision 1~C,f_ Lot # _~. Certified Survey Map # Warranty Deed # Spec house no Volume ~ ~ ,Page # 5978" Volume ,Page # Lot lines identifiably SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed 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, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural 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 aze true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms' /~%~~~ SIGNATURE OF APPLICANT(S) 1L1~1~ 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 certified survey map if reference is made in the warranty deed. (REV. 08/05) ~1 State Bar of Wisconsin Form 1 - 2003 WARRANTY DEED Document Number Document Name TffiS DEED, made between Robert G. Mueller and Laura >£. Mueller, husband and wife ("Grantor," whether one or more), and Robert J. Mueller, a single person ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot One (1) of Certified Survey )lap filed May il, 2005 is Vol. 19, Page 4978, Doc. No. 794706; Z.oC'ATEL1 in t3ie Southe:t!st Quatrter (SSA) of the Southeast Quarter (SSA) of Ssetion Thirteen (13), Township Twenty-nine (29) North, Range Sixteen (16) Nest, TOWN OF BALDNiN, St. Croix County, Nisconsin. Recording Area 8390 1 0 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIK CO.. WI RECEIVED FOR RECORD 11 / 17 t2006 10 : 40A![ WARRANTY DEED EXEMRT # REC FEE: 11.00 TRANS FEE: 240.00 COPY FEE: CC FEE: PAGES: 1 ::~rac an:.°.e:em Addsr~s `" r , Robert J. Mueller 2427 Sighway 12 Noodville, NI 54028 t 002-1027-95-025 Parcel Identification Number (Plt~ This is not homestead property. (is) (is not} Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: easements, restrictions and roadways of record.. Dated N6 ~ C t'Yt ~_ t ~ ..2 C)(J ~' (SEAL) (SEAL) *Robert G. Mueller, / (SEAL): ' ~ liu.~,r ~ ~~~f~r (SEAL- *Laura E. Mueller AUTHENTICATION ACKNOWLEDGMENT ````,~tt t t tit uI t~rr~~~i Signature(s) ~~~ 6~ ~/F ~ii~ `~ ,~ ~~ ~. authenticated on _= * - C * ~ ~ , G ~ TITLE: MEMBER STATE BAR OF I~iSI1JV . , . ' 9~ .~ (If not, ~'~~ OF O~ ~~~~ authorized by Wis. Stet. § 706.06) ~~~nrrr,tt---~~ STATE OF WISCONSIN ss. S1. C i a Ix COUNTY ) Personally came before me on J s'' Sr ~ U the above-named Robert G. Mueller and Laura N. Mueller . huss~nc~ and wife . Eo me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUIrtENT DRAFTED BY: * l ~s _ Michael Ii. Forecki, Attorney Notary Public, State of Wisconsin _ Eau Claire, NI 54702 My Commission (is permanent) (expues: 7 " I ~5 G7 ) (Slgnatnres may be authenticated or acknowledged. Both are not neceuary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED STATE BAR OF WISCONSIN FORM No.1-2003 •Type name below signatures. Auomey Michael H Forccki 3452 Oakwood I[ills Pkwy Sm 1, Eau Claire W 7 54701-7928 Phonc: (715) 635-3029 Fax: (T I S) 835-a1 IZ Mueller, Roper Michael ^, Forscki Produced wiN 2ipFamT• by RE FormsNet, LLC 78025 Fifteen Mile Road, Clinton Township, Michgan 48035 www.ziotorm.corn toff