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HomeMy WebLinkAbout002-1038-50-000S't. Croix County Planning and Zoning Mo~rday, March 26, 2D07 at 3:31:44 PM Detail Sanitary Information Page 1 oj1 Computer #: 002-1038-50-000 Sub/Plat: NA Section: 17 Parcel #: 17.29.16.258A Lot: 4 TN/RNG: T29N R16W Municipality: Baldwin, Town of CSM: Vol. 14 Pg. 3779 114 1/4: SW 1/4 SW 1/4 Owner: Paulson, Aaron & Jessica 919 220th Street Baldwin, WI 54002 State Permit: 399584 Issued: 11/20/2001 POWTS Dispersal: Mound Permit: New County Permit: 0 Installed: 12/14/2001 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes . Issuer/Inspector As Built Plumber Other Requirements Additional Notes Money Owed Not determined >4/1/00 -Not Required Schumaker, William $0.00 Kevin Grabau Sig:~e<~ 4)Ff: Yes ts~aintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 12/14/2004 8/1/2005 04/01/2005 8/1 /2008 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Paulson, Aaron & Jessica Baldwin Townshi CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing L~ ~~ I~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ ( ~ 2d / ~- Dosing ~ t ~, t ( "- S t Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand G ~ 2~ Model Number EPo~ TDH Lift ~~ Friction Loss Y System Head TDH ~ Ft .'n 'Z.'S'V 3.2 S lb •T{. Forcemain Length ~ ~ f Dia. Z d Dist. to well ~~ ~, DISTRIBUTION SYSTEM Header/Ma ni olfi It Distribution / / . o x Hole Size x Hole Spacing Vent t l ~ Z l t~_/ ! tO Pipe(s) 2.LIy~ `~ S i u 3 ~ tt Length Dia . Length pac ng Dia SOIL COVER x Pressures Svstems ~nlv xx Meund Or At-Grade Svstems Only SPA- t~-- Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ~ No ~ Yes ~ No C~,MM TS:llncludp c ~de disrrepgnFies, per~o~present, etc.) Inspection #1:_~/ ~~ Inspection #2: ~'y--- 1n~ ~gdJ edt' ~~''~~crt+ / 1 p/ Location: 919220th Ave. Baldwin, WI 5/4002 (SW 1/4 SW 1/417 T29N R16W NyA ~of /~~%~ 11~,f,/y~~n [~~ ~ Parcel No: 23.39.26.258A 1.) Alt BM Description = (e~ f ~u~MdL~a''~ ~~'G~"tic ~r~ ~ f;~ • t+ fTo': 2.) Bldg sewer length = 2 (~ -amount of cover = ~ 6p /` .LPL I ~ = lo~•fs~r l 3.) Contour= I~T~•a~ ~ sG~~~ Yo Plan revision Required? ^ Yes 1~f No (Z ,~ a/ ~ S- Use other side for additional informati~o`~n1 Da Insepctor's Signature Cert. No. SBD-6710 (R.3/97) ELEVATION DATA County: St. Cf O~X Sanitary Permit No: 399584 0 S to Plan ID No: b~So ~ o ~' Parcel Tax No: 002-1038-50-000 3 - ?~ ~. ~e ~ I~o / o~ STATION BS HI FS ELEV. Benchmark Z 3.7~ t Io?•Sio o~{. ~ o Alt. BM ~ ~ 3 ~ 0` •Sa r Bldg. Sewer lo• 0 ~ 9~• ~~ SUHt Inlet D - 9 96.9 SUHt Outlet Dt Inlet Dt Bottom ~ gg~2s i Header/Man. 2> ~ ,~• O I Dist. Pipe Z >~ Z. O ~ D S•o Bot.system g•; 3• 2 U~• ~~ Final Grade ~ ...:1~ tae IZ ~+ St Cover I ~) LS 6F o Air Intake `~ S- 77 8~ Safety and Buildings Division 201 W. Washington Ave., P.t?. Box 71ti2 County -s r t~Yd . ~ ~~ ~ Madison, WI 53707 - 7162 ~~ " sift Address , ~~Q~ De artmetft of Commerce , Sanitary Permit Number ~ ~ ~ S~utary Pernut Application 3 y, ~ s~' y In accord with Couuy 83.21. Wis. Adtn. Code, personal information you provide ^ Cheek if Revision ma be used for seco ses Privac Law, s15. 1 "m L Applications InfotYasttion -Please Print All Indormation Sta'.Platt 1.D. Number ~ ~l s Property Owner's Name Parcel Number 1'~• L 9. j G , z~"p yQ u /Sow ©D -1d3~-SO -OO'd a>, ~/ ess, c a- ~ ' Property Location s Mailing Address Property Owner ` ,/ 37 ~ (_j Yet ,l/a ~ GL. C / ~Gt~~rs l~ ~ SGT 14 S ~14: 8 l ~ T o2 YN, R ~l „ City, State Zip Code ,a..~ 11~~yy Lot Nam r Block Number ~'~ ° ?~'~ s - '~''~~ Subdivision Name CSM Number ~ ,~, s-s d ~ ,~~ cs ~ Vo (/ ~ f' ~ ~ .~ II. Type of Bts[ldipg (check al[ that apply} ~- r` ~'~'„,.~ ^Clty ? F ~ ^Village ~1 or 2 Family Dwelling -Number of Bedrooms ~ -;~. `° ,; `...` '? i _~ ~ ^ Publu./Cotamercial -Describe Use ~~ ,~?~ ,~ a..~s ~"6^" ~ ^'fownship '~ ^ Stare Owned ~~ ~ Nearest Road ~ ~ 7"h s T- ILT. Type oP Permit: (Check only Date box on line A (nusnlse"" `scheme for itatsrrial use). Complete lhse 13 if applicable} A For County use 1 New 2 ^ Replaatnem System 3 ^ Replacement of` d.^ Addition w stem, Tank Onl Eris ' S stem Date issued B. Permit Number ^ Check if Sanitary Permit Previously Issued IV. Type of Pertatlt: {Check ail that apply){atamberisag scheme is for internal use) 44 ^ ldon -Pressurized In-Ground 2~Mouad 47 ^ Sand Filter SO ^ Constructed Wetland 22 Q Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 Q Drip Lime 45 ^ At-Castle 46 ^ Aerobic Treamtcnt Unit 49 ^ Recirculatin 30 ^ Other •, V. rsaUTteattnent Area. Information: ? Gnr ~ 03. Design Flora (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rau System Elevation Fiml Grade i on Required Proposed Rate(Lials./DayslSq.FtJ (A4in.lIuch) Elevat VI. Tank Info Capacity in .Total Number Manufacturer Prefab Conereta Site Constructed Steel Fiber Glass Plastic Gallons GaAons of Tanks New Exiatina ranks rams septic or lsotains Tank ,x - /~ /~"(' / ,' ~ t° oosiaE Chamber 6 (~ l L/ i (/ VII. Rt~potasibiti Statement- Y, the undersigned, assume respansibAity for [nslallatian of the POWT'S shown on the attached pleas. Plumber's Name (Print) Plumber's Signature RS Number Business Phone Number - a ~ PD 7 S 3d'6 -3 /~ s ~ ' ~ K a ~ ~ Y/umoer"S nau[nsa ~ouccc, a,ny, ~~.~, ~.,,:...,...., ' ~' y ~ ~~' VIII. Count !De artmeat Use anal ~Apptroved ^ Disapproved ~~' Permit Fee (includes Groundwater Date issued Issuing Agent Signature (No Stamps} Surcharge Fee) ^ Owner Given Initial Adverse ~{ 3 ~~ di] ~~ ZQ Dtoerminadon i~ IX. C•IO/n~ld~itlions of ApprovaUR/easons for /Disapp/rova! _ / / - , /L r r ~/k,~ ~l~l/ 7v fjG ln.a..n,TR.A.P~'~~rU~Ce~ P« ~,y~c2Y~lti~U N.fc~ S t(p G pH^ knliY~ Gl~ ~ cy~ $ . toaiplets plain tto the County Daly) for We eyateau oa paper not ksa than 8113 x 11 babes in size Il ,• SBD-6398 (R. 05!01) Safety and Buildings Division ~nry ?Al W. ~liashittgton Ave., P.O. Box 7162 S T ~Yd ~ ~ ~ ~sconsin Madison, Wl 53747 - 7162 Site Address j i • ~ t' 9! 9 Sao ~~~ve ~ ,; w. De srtment of Commerce Sanitary Permit Application s'II' 3 ~` s~' y Ia acoord wish Comm 83.21. Wis. Adm. Code personal information you provide ^ Chtxlc if Revision ~ be »txd for Privy Law, s15. 1 m I. Application Information -Please Print All Information S~ I.D. Nugiber s ~ S11 property Owner's Name Parcel Number ~~. L 9. 1 G • aS814 ,, ,r/ ess,' a. ~.a /SO~/ DO -1d3~-SO-oo'd property pwner's Mailing Address prop~erlty Location 37 ! G >r'a ,da a a~ C7 ~c~~d~•G .r~ SGT it s elf: S l7 T o2 N. R ~r City, State Zip Code ,,.! ho Lot Num r Black Number ® `~`s . •...1 ~ r'', ~~ - - ` 1~ Subdivision Name CSM Ntunber r, '•~ •\ II. Type of BuiWiag {check all that apply) -..t ~~~ ^ChY ~i or 2 Family Dwelling -Number of Bedrooms `f --i ;'~~' ~ ~-~" ^ViAage ^ Public/Commorcial -Describe Use ~`' Q'"` ~~^''' L]'1'owaship `,~ ^ Sure Owned ` , ~" ~ ~ ~ Nearest Road `~' ".' ~ 7"h s T lII. Z~pe o[ Perurit: (Check only' one box on line A (nurnbti iirg achome for iatsnial nee}. Complete line B if appilcable} A. ~ - - ~ For Coaatr rue 1 New 2 ^ Replacement Syaum 3 ^ Replacement of 6-0 Addition ifl Tank Oni E ' ~ stem Permit Number u ~~ B. ^ Check if Satatary Pcrrnit Pmviousty Isatted N, ~ pg per; {Check aII that apply)(numbering scheme is for internal use} 44 ^ Noa -Pressuiud In-Grauad 2~Mouod 47 ^ Sand Filar Sfl ^ Cousd~uctod Wetland ~ ~] pjy~ ~~~ 41 ^ HoWiog Tank 48 ^ Single Pass 51 ^ Drip Litz 43 ^ At-Grade 4b ^ Aerobic Tieaonent Unit 4s ^ Recircal 30 ^ other V, t Area Information: ? P.4Y ~ 03. " Dew pew (>r~ Area Dispersal Area Sotl Application percolation Rate System IIevatioo Final Grade proposed Rstte(Gal:./DaysJSq.Ft.) {Mia.!Iach) Elevation ~. Tapk Info ~~~ ~ Total N~~r Manufacptter Prefab Site Sleet Fiber Plastic Gallons Gallons of Tasks Concrete Conatnrctcd Glass New fitci~doj Tanks Tanks Septet or Holdint Task - !r~ ~ ,` ~ t° DosiaQ Number (~ ~ L/ i V VIi. R blli Statement- I, the tmdersigaed, assume reapomIbDity for iastaAation of the POWTS shown oa the attached leas. plumber's Name (PcLtt) Phmtber's Signature RS Ntttnber Business Phone Nutaber plumbers Address (street, city, Stste, Zip Code) 7 c /Q Gt ~,LJ GrJ, ` J`am' y i~ l~' VIII. Coup /De artment Use Oril ent Si true o S Sanitary Petznit Fce (includes Groundwater Date Issued Issuing Ag Son (N amps) Approved ^ Disapproved Stucharge Fee) ^ OWOCt GiYOn Lntlal AdYClse ~ ~ ~ / ~O (~ ~O / DpfeTnllnatlan Q IIf. Cond/lt-io/~as of ApprovaU~Rea/sons for /Disapp/roval /~ ,[ * r~'+- ~t~i~,~ T'~~ri.~ ~v PjG w,,a.-:t,7R.i1ea~~er~~cecC Plr !,v`GZnl.~~f-o.-l~ krcr s ~ p c ow~ wwv•eQ ~ay~ 5 . Attacb oonplas plans tto the Couat7 otth) for the gstees ea peps' not leas rim ti1/I x it iachee ttt Bute SBD~398 (R. OS101} PLOT PLAN Scale 1 "_ ~Q ' ~~ ~I O V' I J .~ t' r o ~ ~ Sh, ~ f Page 3of 7 36' S'1MiN, z. ~ 3 ~•4 I `5 I A I I TL ~o ~eT ~o~pr~-eT I O 1Z 17 L S lUV2$ ~~~ ~ ~ I I I 'T1~LS prizes I I ra I I r I ~ I I I v I I ~ I I I ~ I ~s' 1 ~ ~~03 ~ • 3 6 ~ to3 ~ I ~~ I UR.tUE ~ _ - ~. I G P1C2 S.3 I 7,S ~ 0 F ~ z Z `' Pu Q F ly_ ~' P ~ S 3 8~R1'~ ~S`0F ~~~ 4apv~ &Z ~ - I ~.~ BV~Lp~~G SL'TSy~ek ~-Ih/~S Q-M 4t1 - tL.100.0~ ON ~~Z. tZtiD LOT C-0SZ./U~iZ -.----_------------ t3r~t ~Z-.rrz , lD4• b' ot~ ~Op OF 7Lt~ht1U-N~~ P2~ -- --- _ --- --. ~J~,1..C TO t3 E' > Sa' ~cwr'l 1~t0UUD. ___ _ ___.. __-- NOTES: , - 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( ~! required). 3. Septic tank to be lp~a /b s0 gallon capacity manufactured by 1ti ~~;~~Z eou cC~-~ w/ ~ t ~ o v Z~,3 r:Z. Jai ~~~ 4. $ench marker :. S A~UV~ ~. Divert surface water around system to prevent ponding at the uphill side. ,~ ~ ~ iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce. state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary October 30, 2001 CUST ID No.691727 ATTN: POW7S Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERV o ST CROIX COUNTY SPIA 1)~' t 1101 CARMICHAEL RD PO BOX 74 of ~,_..,.. "~ v j , RIVER FALLS WI 54022 ~~ ,~ `~ ~ `"° ~i DSON WI 54016 CONDITIONAL APPROVAL RECEwED `"~~'~~ PLAN APPROVAL EXPIRES: 10/ 03 - Identification Numbers ~{(~~ ~ ~ ~ao' Transaction ID No. 685017 SITE: ,,., ST CHOIX • Site ID No. 638049 Aaron & Jessica Paulson - 220`s S COUAiTY Please refer to both identification numbers, St. Croix County, Town of Baldwin zUMl~G~P+CI: above, in all cones ondence with the a enc . SW1/4, SWI/4, S17, T29N, R16W $' ~_i._~-, '•.~ FOR: ~ ~ _" ,...; Description: Three Bedroom Mound System Object Type: POWT System Regulated Object [D No.: 817935 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01/01). • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. 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/instal lation/operation. Owner Responsibilities: • The owner must insure that the operation, maintenance and monitoring duties as described in the management plan included with this design are complied with. A copy of the instructions and information regarding proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • 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. ARTHUR L WEGERER Page 2 l0/30/01 • The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. [n 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. Sincerely, /~ ~ Gerard M Swim POWTS Plan Reviewer ,Integrated Services (608)789-7892 ,Mon -Fri, 7:15 am - 4:00 pm j swim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Aaron Paulson TITLE SHEET FOUND SYSTEM FOR A ~ BEDROOM RESIDENCE Page l of -] This plan has been prepared in accordance Faith the Mound Component Manual SBD-10691-P and the Pressure Distribution Manual SBD-10706-P (N.O1/O1) (N.O1/O1) LOCATED Ii~1 THE S1~ 1/4 OF THE Sw 1/4 OF SECTION )-! ,T 2.g N,R !b td, TOWid OF B•pS-L,DW1~J , gam, C~ lX COUNTY, WISCONSIN. :LET ~ bF csy .- __ - . __ INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEi1 i~IAi~AGEiIENT PLAid PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIE~~-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUr•1PIPiG CHAtiBER CROSS SECTION PAGE 7 of 7 PUMP PERFORifANCE CURVE PREPARED FOR v" ~~ ~~ ~c~ ~~, 'A--~R-c1~_ T•#'~J ~'~1C1~ - PP~C,JL-SON ~~~ Q `~ _ :_ Zc~ 1 w , t-}U ~~y wo~~ sT • `- ~~C UGC ____ ztrswo2`r~-, w~ s~1oi~ _ ~ ~t~ O~~ PREPARED BY kIEGE~ER SO = L . TE=ST S NG - AND . - l7~ES ~ Get S~RV ~ CE P.O. Box 74 421 Id.~fain St. o~e~teta~q River Falls, G1I 54022 ®~ Phone 715-425-0165 ~°~ ~a~~~{!s~ Fax 715-425-6864 ~" °~° ••"""'"'••• ~ .•° ti b~ ~' :' 1 p ANTM.,1q ~ S ~~EGENEA } D-815 P 61-L.+WOR i N P.O.W.T.S. ~ Wes. f C'onditionally~ ~-~w/~~j""' ....,. APPROVED °~•:~ sl~~'~'~ DEPARTMENT OF COMMERCE _ •NilN aF AND WlLDiNG~ ~~ , ZQ..Q SEE GORRESPO NGE JOB N0. 4~-Z~2. ., Mound System Management Plan Page Z of -1 • , Pursuant to Comm 83.54, Wis. Adm, Code - Septic 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 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, if such products are used they shalt be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All 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 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 for frost protection. Influent quality into the mound system may not exceed 220 mg/L GODS, 150 mg/L TSS, and 30 mg/L FOG. 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 clcgging 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual -c°n ~^~~~ reporting. ~~~=~S~' and local or state rules pertaining to system maintenance and maintenance S13L~ .tO6~l-h 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 far 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. 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 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 clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at '~ LS - 3~6- ~ 68O . ST'• CIZU 1X The system installer at -1 LS - 3 $-(, - 312.1 SC'.t1UMR1~'-R The tank manufacturer at is~p , 3z.S - $ ~S6 ~ L ~ ~Z The effluent filter manufacturer at $~b- Z21 ~ S~cLZ ?-~3~Z The pump manufacturer at ~- Ef3D-$Z~- ~1g4$ GaUL.~S BM~f is ,~ ._ ~~# a PLOT PLAN Scale 1"=3Q '- Page 3of 7 N ~~~ST' ~.OT L LtV '~ b' S' 1"~ -r.1 , z X03 ~•4 _ ~5 ~I J ~ ~ ~ ~ r a ~ ~' A `°~ o ~ ~ I N~ I ~ ro ~ i ~ i ~ ~ l'LL03~ 36' - _ t~~z.w E 7.S'OF I -r~- ~DO tvp~- eonP-~9-e1- I O 1Z 1~ t S lUV2-a I `n•~s i°nz~ I I r ~ ~ I ~ ~ I .S-1 ~ ~n 3 J ~ ~~ ~~ ~ G~ B.3 ~ p z I ~~ ~I (J CT' I B.Z P ~ S 3 B~R`M i ~S'OF ~p~ 4°puC I I ~/ BV~LD1~tG SLTf3ps£k l..IJ~J~S Q-M ~#! - tL,100.0~ O-`! ST~~Z. t~.U~ 1.,OT C:OR1U~2 : _- --_------..---- ~3wttt-Z_.~,~~4•b~ o-~ TpP of 7~~~~~~ hem , -- _- ----- NOTES : , ~ - 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( S! required). 3. Septic tank to be 1Q~s p gallon capacity manufactured by 4. $ench markS_ = S P~3UUf; 5. Divert surface ,rater around system to prevent ponding at the uphill side. Page ~ Of 7 Approved Synthetic Covering QSTi~ C33 Mediun. Sand Topsoil _•3 _ E Distribution Pip G Elev'.l H -~ 'iD' . ~ %-Slope ' Distribution Cell of _" to 2 i"- Q~~re~ate Undisturbed Soil ` - ~• Force Main - From Pump ,Plowed Layer D \.D Ft. E \.lb Ft. Cross-section of a pound system using F o-E3 Ft. . 2 cells for the absorption area . - - ~ ~ G o.S Ft. P_~_ Ft. H 1-.O Ft. B S? Ft. C 1~ Ft . - binear Loading Rate=3.gSGpD/~ FT I 10 Ft. Design Loading Rate= O.Z$GPD/SQ FT J gj Ft . K ~_ Ft. - _ .... ~ L ~ S Ft. - W 3.~ Ft . L ~ ~/ $-~ B ~ K A ~ - -- _ - _-- ._.. - _ ~ _ ~= 4~e~s _ . ~ -- - RCC~ C Pipes 130X ~:- (Anchor securely) - ' - ------ • ~ = o--._ --- --- - - -~ .__ ~ Force - - - - -_-: Main Distribution Cell Of ~" to- 2~" Pipe - - aggregate • Plan view of a mound system usir~~ • 2 cells for the. absorption area • Distribution Pipe Layout Pace 5 of 7 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each 12'e,-aI uD with the tse of long tarn or =~' firL;ng to a point rvitv,in six ~~ inches of the ftnal ~•ade. Te.'minate the ends of the late.-als vrith z v~Iy@,.'t~e3 ~ or ~~~ plug. Provide aces from final grde for the valve; threaded can or threrde3 plug, - Manifold tom- Lr. N V \ ~,.~ ••-- P C' - L~z*• Svc G-- . r 'PVC F.Y. P S 6 Ft. Hole Diameter 311 b Inch ~~ ~--~ 5 t ~ Ft, Lateral ~ Z ~ . Inches) . X ~ Inches Manifold Z• Inches ~' ~ ~ Force Main " 2 Inches #of holes/pipe Z9 • Invert Elevation of.Latera1s105.2 Ft. Z°tx o.~6~ . 19. «1 x Z. 3 g.zg G~ x x x x xl1 Lateral Length - Combination Sept~.c~Tank and PUMP CHAMBER CROSS SE_CT101d A~1D SPECIFICA w ~ ~G1o~P • Ft n:~ tg1}p GR~p~ I 18•nw. 1/JLET APProved joint tr/ PVC pipe - f • VEU7 CAP :.... ~ ti C.Z. VEWT PIPE ~ lO ~ FROM OOOR. :WINDOW OR FRCSH A~INT/,KE _-~ 6'~*~w. ' LD 3 ~`\; -- ~ - ~j, +~~ i• . ~• PROVIDE I • '' ^, ~j' AIRTIGHT SEAL J I J I -"' B~FrLC i I I l zf'18~.. T-tl.~`~t .. A f I I I I III '~ - 1 B 0 0 I I I a ALAAM I II ' C i r I I ou 'I I CLEY ~3'b0 FT I . . PUMPS --~ ` OFF D C OAIC BETE ~'~ . aI. Z~ OO ~ ~ BLOCK 1 1 ~ . CoraDutT IOUS' PAGE ~ OF 7 WEATHER PIt00F - ~uucTlou Box . • ~IPPROVED LC)CKI1:lG MAIJHOLE COVER rv1'n'{ wARlJIUG L.l~gEl_, r~ I i I I Y`H1~1. Approved joint w/ PVC pipe 3" AAPQotiFD • ~ RISER EXIT PERMI1fED OIJLy IF TA1JK MA>rUFACTUR!~R Hq5 SUCH APPiZOVAL~ 8FD0 t rv4 SEPTIC F ~ SPEC.IFICATIOIJS DOSE Tn-JKS MAAlUFACTURCR: I.yI~~~Z- C.°OIIIC~.~}'~, IJLlMBEA OF DOSES: S•oI // PER DAB TAAJK :,IZE:- 1C~bC~ L C'~SO GALLO1~15 DCSf VOLUME r ' ALARM MAUUFACTURCR: _S.S•~-~ SLLSTI~?~i IA1CLUDIIJG bACKFLDW: - ~OZ GALLON: MODEL LIUMBER: ~b ~ I CAPACITIES: A= lg 3C76 . _INCHCS OR GALLONS SWITCH T~PC: _ 1~.~1ZC~J~~f 8 = Z IAJCHES'OR 3~ G{-LLOIJS PUMP MAI.IUFAGTURCR: GOUL-D S C= 6 wCHES OR ~~ Z GALLOl15 MDDEL IJUMBER: 3$~ I 1~OS _ ' C= ~ Z IN1rHES OR ~~ GALLOAJS SWITCH TYPE: -_ ~~~-~-L'( WOTE: PU11P AUO ALARM ARE TO~ MIAltMUM DISCHARGE •RATE •3$'Z$ GPM INSTALLED OA1 SEPARATE CIRCUITS yERTICt~L DIFFEREIJCE DETWCEU PUMP OFF AIJO..DISTRIHUTIDN PIPE., l~' ~-~ FEE? -!- l~ilI.11MUM 1~ETWORK SUPPLY PRESSURE ~ 3 -~-S FLET <~~ Sal-3~ ~- ~S FEET OF FORCE /'1AIIJ X ~'~ F~oFi.FRICTIOt,I FAC70R..~•~ 9 FEET _ • TOTAL OyAIAMIC HEAD = L~', y FEET • As per manufacturer ~1.y gal/in. Liquid depth 38 ~` • ~, ~ - - ~E ~ o r ~ Goulds s~~mersible E#~luee# Pomp 3871 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ^ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer... ^ Motor Cover: Thermo las- P • Homes • Farms components. Motor: Available for automatic and tic cover with integral handle and float switch attachment Heavy duty sump • EP04 Sin fe hase: 0.4 HP, g P manual operation. Automatic models include Mechanical Points. • Water transfer 115 or 230 V, 60 Hz, 1550 ' RPM built in overload with - Float Switch assembled and ^ Power Cable: Severe du tY • Dewatering , automatic reset. preset at the factory. rated oil and water resistant. SPECIFICATIONS •EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, FEATURES ~ ^ Bearings: Upper and lower heavy duty ball bearing construction. Pump: EP04 built in overload with ^ EP04 Impeller: Thermo- • Solids handling capability: " automatic reset. plastic Semi-open design ~ -- 3/4 maximum. '" • Power cord: l0 foot with pump out vanes for AGENCY LISTING ~- ~ :~ Capacities up to 55 GPM. standard length,l6/3 SJTO mechanical seal protection. SA• Canadian StandardsAssociation _ ptal heads: up to 24 feet. s~-discharge size: l Yz"NPT. with three prong grounding plug. Optional 20 foot ^EP05 Impeller: Thermo- (CSA listed model numbers ~~- ~Mechanical seal: carbon- ro length,l6/3 SJTW with plastic enclosed design for improved performance end in "F" or "AC".) tary/ceramic-stationary, three prong grounding plug . BUNA-N elastomers. (standard on EP05). ^ Casing and Base: Rugged • Temperature: thermoplastic design provides 104°F (40°C) continuous superior strength and 140°F (60°C) intermittent. corrosion resistance. • Fasteners: 300 series nneTFR~ GG~ stainless steel • Capable of running dry without damage to components. " Pump: EP05._ n • Solids ha dling capability: c 3/a" maximum: ` W • Capacities: up to 60 GPM. ~ • Total heads: up to 31 feet. g , • Dischar e size: l'/ "NPT g z . Z • Mechanical seal: carbon- c rotary/ceramic-stationary, ~ BUNA-N elastomers. ~ . • Temperature: ~ " ' ' 104°F.(40°C) continuous 140°F (60°C) intermittent. --\ _ ©1995 Goulds Pumps, Inc. ~.~ p~-~~~n.~c~. ~v~.v~. L_ -, U 2 4 _, . 6 8 - 10 : -, .: ; : 12 m~/h ,. CAPACITY Effective Mav. 1995 Wisconsin Drpartme~ n"fol Industry, SOIL DESLrcIPTION REPORT safety b Buitu~ngs Division Labor and Hurpan Relations P.O. Box 7969 p ~ (Attach Soil Profile Location Map - To Scale - On A Separate, Signed Sheet) Madison, wl 53707 ~ Q L/- .3 //y _ Page ~ of ~ ustomer Name ~ va wuon Date urrent Un Use or Vegetative over Pa ent Watena s PfI v~ G o~Kz~/Z /o-// - ~/ c,2o~s - ~LG-¢~ 9f~c~%~L H o,e.~/,vim f -.s~o~.,E.~,rs ustomer refs sumate a owest rou ater Pam eratwn ounry ax arce No. yuem loa m9 tom a ons Per q. ft. Per ay M u.~D 3 t: D - S~ ~QO~ X ~ o!!/.u of . U D ~3/l'/-~Jc~vnJ FOR O ystem eometryan Dept " °~an ~~ - ~ ~ r'~ ~ On 3p .f escnp lotle9a ,.9.L,PEs 5 w w s t~ r z9 .v /e I t, Gu M ow•D sy57-, - I z s,,•tiD G S. E~tsrE~ y O ' , Horizon Depth In Dominant Color Mottles Sz. Cont. Color Texture Munsell u Structure Gr. sz. sh. Consistence Roots Bounda Remarks: clayskins ores Hand other Loading GPD/ft.2 (~ LJ . - - ~ . /oy,~ ~/3 /~,~, Z,f ss>f ,>.,~~ R z rr. g s . S . ~ y z f cS S' • ~ 3 . rz~~~ syR ~G - s~ ~,~, 5~ ~ ~ ~f w 5 ~~~,~y ~~r ~o~T~ti _ g ,~ C - o-yZ 5YR 4/Lo ,S ' 4~ s/ r~+,wt ~ _ / ~ `5 MOTS X47' 3d ~ 3 , 1j - / ~9uY (~ ;I ti1rfSS/vE ~. _, r _. Horizon A Depth In. o- ~ Dominant Color Munsell i~ ye 9/3 Mottles u. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence moots B~~a Remarks: clayskins ores Hand other Loading GPD~.2 ~~~r ~ - Z ~-~/ ~ 5 YR 4/¢ --' S/ 1 c yip rtNt7 !' Zf c S ~~T~ ~ T p,q,~ v r iF • ~ 3 ~ . /~ Z~ 5 yR `/L~ - s/ ©nt,+, n+, n„ ~ ` ~f ~``' , 9~ ,~ ss:vim C ~ _3~ .SY~' ~/G ; 5' R ~4 T2 5. cry ~,,~, 5R v f ' -- S w ,Mors .t ' ., . ~... 0 C r' ,~ ,~ Horizon Depth In. Dominant Color Munsell Mottles u. Sz. Cont. Color Texturr Structure Gr. Sz. Sh. Consistence Roots Bounda Remarks: clayskins ores Hand other Loading GPDlft.2 ~ _~ -/ ~ ~ ~ /o Y~ y/3 ~ 5 V,2 4/G ,/ '/ 5 y~ 7 /7 - /o~t~y S~ s/ ~, f, s dk 2, f, s6k o nn, rm ~ f,e ~ f ,~ ~' ~ - , ~ h ~ f -- c S c s C S ' - ,~a~~ ~,r,e e ~ 7- M~4 ssi vF 's M 4 T . S S - 3 C D -'/2. Sys y HOTS 7. r ~ G/Z S/ ~ Ml. AM ~ _ G s ob y ~ m 1~ i/ G /r. raw Tim- , a i Horizon ~. Depth In. . - - Dominant Color Munsell Mottles u. sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Roots Bounda Remarks: clayskins ores Hand other Loading _GPD/lt.~ r~ Y _ Horizon Depth In. Dominant Color Munsell w_~._ _ Mottles u. Sz. Cont. Color Texture structure Gr. Sz. Sh. Consistence R Bounda Remarks: clayskins ores Hand other Loading GPDlh.~ 11 12 y0 ~ (•~ a ~'liJ~ a '" ' HOMESffE SEP71C PLUtrr181NG CO. ,v{jt;ia ~ i^ ~~~~ti~~a•:.r~ i"''/~r• !~/A~ ~ 655 O'NEIL RD., HUDSON, WIS. 54016 C "~~` ",~~"" 11 R08ERT ULBRIONT c s •r ~#' .y yd'L. / ~ c< + "°;~ '` c; •r,,~ q ~ nS. MhSTER PLUMBER LIC. N0.3307 M.P:ii 5. - --~--~---~` l~ ~ 13 ~ r ~ ! ;!rl. tt~STALLE7 a DESIGNER LIC. FJO~. 00883 (ovc~ Additional Aemarks: 't7q ~ d' ~~ii'.5 , S~ TE ~ S S~-~Sor~.f LL y s~Tv,P~tTEy ~T ~ ~'". ~-~ iS vo r .SU/' T>~v ,~'ie ,9.v~ ~~ y.PO ~.~~ ~o,~v~tiT,a,~n ~ f ~,~-~ . ~T ~'S /7t7Pryi~P,~/E' - ,~~yy .S'!Ji'T i9/,,~~E die ~ - - ~lo v.•vy sys~~-•, , sl~s r~~ t~ ~~ ~-rT~~,~ - ~'a~ ~ o ~lii~i /~ "S?~l~. •~,~. O•v S irr U~~°~~r~ ?;o,~ ~u. /~ z o.v:-c~ a~ ~r.r ~ G~i// ~-~ ,ate«SS~tR J/ ~a~e~ ST~~~- ~9~/>~'oy~~ c-tv ~P .~~.v?~t~ ' Other Site features: ~~~ ~ /`lp~/,uv ~~',f/~~J ., ~p ~zs(~ 2G4~•r/G~' ~a.i3- l`'/ c 3~'n, 8/~S zy~Z Limiting fatlors/Depth: CST Signature Date Signed Telephone No. CST +Y S80.83301N 01NO) c N N G ~~ 4Dr ~~ 5.c•~°Ts fovNO, vE yofl s vR /,Qoa ~ S7E~~ fo /i/7 ~R ~ ;~of~ ~~, r ~oa ~/~ ,O ./ 40 2,of ~~S 6~4vvS so, cor 3 U ~ ,q c-~.ts S~ 3, So ~--- '~ 3 3 /60 / ~6 s~~; ~ ,.PUC ~in-~ , (3.M• `~ z ~I EU~T ~o~v /O/. 70 ~ ~- ~s.y j.~,vDr,~~,\ ~~'~~ /J S~~GE ~ / ~~ ' 3 0 • .So/'G %~v.Pivlr5 ~~~1~ , Zli ~o Wisconsin Department of Commerce SOIL EVALUATION REPORT Page i of Z D'rvisiop of Safety and Buildings ` in accordance with Comm 85, Wis. Adm. Code ~_ Attach complete site plan on paper not Tess than 8 1i2 x 11 inches in size. Plan must vy •~ J f ~ ~-' ~~1 X i include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed by Date Property Owner --7`R''~-0 ~1 1~1`7{~ ~~~ Srtq !~- f'N Leo IU Property Location 6evE-L,ot S In] 1/4 s W 1/4 S 1~ T Zq N R , Z (~ E (o W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number ~Lt.swoZ~- w~ s~ol~ (~tS) Z~~_3~~q i `; : : ^ Village' ~, own Nearest Road ~'•r~Pr-i~Wl Z.Zp s'---. (~ New Construction Use: ® Residential / Number of bedrooms Code derived design flow l(S p GPD ^ Replacement ^ Public or commercial -Describe: .~-' ~ ~ Parent material b ~-f't-e. V'f~-l,. `R L~.. Flnbd Plain e}~e)raj~pplicabl h-- )q ft. General comments / '~.--~ Za and recommendations: M.OUIi.J~~ w` Z ~-LS ~ L E- ~~ }( p ti ~3o1-'Tpr1 aF t3pY~j ~S `tom ~3 ~ ~ 7 ~' . Lo~_~ a Boring # ®Boring ^ pit Ground surface elev. ~ ~ 3 • Z- ft. Depth to limiting factor ~ ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 ~ _ 7 10`12 312 L z~ sbk 1~,.`F~- ~ s - • s , $ ,/ 3 , fiy zo ~.s~r? Y l~{ - ~ sic.l Zyns bk r~. f)- cg - R t~ . ~ ~ y , Zu _zg ~.s~2 qty - sl Ow, wL~- - .3 .s,, a Boring # ^Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ,; ~ _ .. .. _ ;,. ~fl 13~ 1 ~ ~U ,x ~ ,. ~.w ,:.: , ~.. t~.o ; .., ..: ~. ,., „, ~ . r-kwr~ w~us e~ - __ .Y .::~. wrU • ~~ Z o~ ~ -corn ~„ ~. .,, ~,~ . - tmueni ~i = ts~us > 3u _<r1u mgn_ antl T55 >30 _< 150 mg/L ` Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si na CST Number Arthur L. tJegerer C~~`Z.~Z 220254 '4ddress W e g e r e r S o i l Testing & Design S e r v i c e Date Evaluation Conducted Telephone Number 421 i1. %iain St. River Falls, [JI 54022 lu-ZO-(~ I 715-425-0165 PLOT PLArd Page ~ of 1 Scale 1'=30' BM~I 1S ~`~M~+z NePt«~5T' L.OT LLjVe --- 36' S'1~u.1, _ ~zz X0\3 F= ~~ 0 ~i I .~' I J Q 0 6' N ~ ~- ~o jvor ~o--,.pr9-e1- ~ I ~ ~Z 17 L-S IU~R-a J h N l (' ., ~ ~ ° r I i v ~ I i _ ~s' 1 ~ 11.1.0.3 ~ 3 b ' Lo'~ I ~~ ~1z..wE l ~ I - - - ~• ~ G P{1Z t~- z I I 3 BDR`M ~ tiH t ~i sV~LD1n1G s~TBY~ek ~.lnJ~S Q~1 th! = tTL.100.0~ ON ST~L R.U~ I-LOT C.O12h/~-~`.fZ _---------- t3w1. ~2 -- tZ ,104.6' o~i 70P O F 't~~l~tiv-v~~ ~~ -~ - 10 ZO-O1 715-425-0165 220254 O 1- 2~ Z CST Signature Date Telephone rlo. CST A1o. Job rao. DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATfONS __- REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION PERCOLATION TESTS (115) _ MADISON W153707 (ILHR 83.09(1) & Chapter 145) ~,gpy- of 3-Q A~t?5 LOCATI ION: TOWNSHIPHbtCfdtCtPl4L+'f•Y: OT NO.: LK. NO.: SUBDIVI 10 NAME: Scv % sw ~/ ' t 7 /Tz ~ N/R t~ E to B~ c. Div r~J cs:~-r PsNoi.~ c-.. COUNTY: ' MAILIN ADDR SS: gT'~o; x i?U6-E'R L o k KKR ! z7 0 ~R ~4 ~ t~ ~ ~~v sT. t'~ ~o~,.~ ; cv i s . (oX~f -.3//cl Residence . B DBMS: 3~4' CO R AL 0 RI TION: ~.~ New ^Replace DATES OBSERVATIONS MADE S: T~N~ zy-~41 T~a~~ azs-~f RATING: Ss Site suitable for system U= Site unsuitable for system sC'S ~2~ ~E.v6U~1' '~ ~Rf~t ON ~O~ lS IECOMMENDED SYSTEM 1~I o uN +~ o.~ ~ If Percolation Tests are NOT required D~~~NSS E~ If any portion of the tested area is in the under s. ILHR 83.091511b1, indicate: Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING NUMBER TOTAL DEPTH lN, ELEVATION P H T R UN OBSERVED DWATER-INCHES ~ CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH TO BEDROCK IF OBSERVED fSEE ABBRV.ON BACK.) B- / y z • loo' ~8 ~~n~„E~ nr ' . Z 5 ~- yN ~o s s, p ~~o irr ,~oo~ mow; 9„-.2 .o r,~ ~~¢ s , r f s b,~ r-.. ~~ , ~ ~~ Roo,-s; ~4, ; , z .r _ 3 £> , rw c~,;~ yam" ~•S YR y G Sl, 1n+~sbk M, ~ B- , ~ f ~ f '7.5 Y R 5l8 he 7'S 2 y 2 ~oo.~p' PuDOIEO r1r Z ~ 8 o-Co % ior.2 y/3 5, plac~co; ~'- i4" ~Y•e Y/g ' B- 3~ H S1, 2„~Sbk, ,,,,,,fk~ 14-is' 7.S YR 4/G S ~ IcsQ , n>~v 12 ~ is~~- tf1" 7S Yl2 y~¢ s~, lCy.?,~u ie B- w,~ es dL ~ S YR sly FtoTS . B- 3' ~ Z ~ ~y ~o ,tc 3 ~ tiG-~c) ., z ~{ O-~„icy s/ S owEO ~-1~" 7 S x ~ G• s: ~ i sbf /~- , P ~~~ ~ ~ poeTs w - s ~-~~ry ~ s r e y ~ sr 2frb~- , , ~ y I , , M+-Fi t /u ~ofiS, ~'w ~ t6'-- y2" 7•S Yr2 S G ~ le„Sb~-, B- /wf~ .ShTuRRTt~ wt' c2~Q 7.SY~2 G hoT 7i PERCOLATION TESTS OEPTH . WATER IN HOLE TEST TIME O A V - H S RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. p 1 D P PER INCH P_ 2 20 3 p -~ ~ G ~o P• 7'b-' D i P- P- P- PLOT PLAN: Show locations of percolation. tests, soil borings and the dimensions of suitable soil areas. Indicate sole or distances. Describe what are the hori zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percan of land slope. ~~ !~ ~' S,~~t~/~20C~ ~~ T'~ R ~,C~ ~ Lr, rl~ ~ Z It S!'~N(~ SYSTEM EL~yATION. _ __._ ... ____ - ---T _ _ _ , _-_ - - ~ ~ _ ' _~_ I i _. --- _ ._ - t I __.._ __ ____..t _~__ ,_ , _.._.__. ._ ,. _. .._i_ ~ ! _... •V i'T ~ir~'irit T'~o,v wig .. ~ , i S I2Jr~ ~ ~I'M _ i ~ ._ 4 ' i - ~ ~ .. ~~ ~ l ._ ___ __ , _ _ _. __._~_ . _. _ - F-- --- - ._. __ __ ~_ __ __~_ ._ ._ _ _1.__ ~ . ~ . ~ I ___ ~_ __, __ __ ~ _ E / - __. I ~ _ _ ___ 2 .....~__- ~ _- ~' ~¢ S __ II . _ --- ; l ____~ -____ _ .._ 1----~---- ~ .__- . _ . - ~ _ _. ._-- i_ - ~_ ~ _ _. ~___ ~~ I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wiscr sin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. rvAMt Iprtntl: (TESTS WERE COMPLETED ON: HOMESITE SEP11C PLUMBING CO. q 655 O'NEIL RO.~HUDSON, WIS_ 54016_ 2 ~ _ I ADOP:SS: ROgER'(~LSRIGHT CERTIFICATION NUMBER: PHONE NUMBERIoptionall: WlS. MASTER PLUMBER LIC. N0.3307 M.P.R.S. ~-'~~ 2-- S ~ Co " ~/ - MINN. CST SIGNA~TnURE}:-- ~~ ~/J ' DISTRlBUTtON: Original and one copy to Local Avthoniv. Property Owner and Soif Tester. i ~, -_ _ _ \ t.., ~~ C of3urou S I+~~un hn I~,k ~.w. l'~~ ~"'~"1 N„'~,~ _ .s/"~, /V-.nom` sS ~~ p~R PoiE HT r3M sET. ~„ s-{r-e~ co,upV~~' ~i~ ~ 1'{~4QCED wr L^~.1L, ~'f~ U~4Ti na - /O D• p ~ ~ ~ .--- y2 ---- - - I yII l 1 1 " P2 C N N t P~ 3 y , P3 D ~ , C33 3~0 4~° s IopE l xPT r3 r (~L ~ T P C.~4 ~ quo /c~ % tiv~s ~- ~v,p,v ~ ~ s 5 ch ~k : ~ ,~ = 3 0 . suRu~y~ ~ Tca D~tT~', iiOT,?ESITE SEPTIC PLUMBING CO. ~ '~~C~~E f~/TS 605 O'~ROBEWT UL R GHWIS c5407 f~ ~ `!' P L '~ ~ ~ ~ QC (C~ G1 1'"~ O,L1 S ~YiS. MASTER PLUMBER LIC. N0.3307 M.P.R.S. ~hIMN. INSTALLER 8 GESIGNER LIC. N0.00663 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer C~SISJ Mailing Address Property Address City/State ~a~ Parcel Identification Number ~..~; Jcy ~ 1 V~ A LEGAL DESCRIPTION ~ c ~(~, Property Locatioq~ '/.,c.~ '/., Sec. l~ T Ol~ l N-R~W, Town of ~~~,~• Subdivision Lot # ~. Certified Snrvey Map # Volume ~ Page # (~ 3 7 7 S ~' 9 Warranty Dtxd # ~~130 ~ .Volume /'7S~ ,Page # ~3 Spec house ^ yes ~ no Lot lines identifiable ~ yes ^ no SYSTEM b~[AINTENANCE Improper use and anintenaryce of your:eptic system could result is its premature failure to handle w. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needod by a licensed pumper. What you put into the system can affect ~- function of the septic tank as a treatment stage is the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owns and by : masterplumber, jouraeymanplumber, restrietedplumber or a licensedpumper verifying that (1} the on-site wastewaterdisposal 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, hereiq 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 sad returned to the St. Croix County Zoning Office within 30 of the three yeu e " ti date. . ~~~`r'~ t ~~ NATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements oa this form are flue to the best of my (our) laiowledgc. I (we) am (are) the owner(s) of property described a ve, by virtue of a warranty deed recorded in Register of Deeds Office. . rf~~ji----- l Sl TURE OF APPLICANT DATE ssssss Any information that is mis-tepresentedms•y result in the sanitary permit being revoked by the Zoning Depaitirlent. •MSS•` (Verification required from Planning Department for new 's Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed yn!. ~ 1 ~~PACE ~,,,)9 y t I BTATE BAR OF WtBCONSIN trORM 2 - 1999 Docameat Number WARRANTY DEED 'Phis Deets, made between Paul A. Lokker and Geraldln e J . Lokker, husband and wife Grantor, and Aaron J. Paulson and Jessica I. Paulson, husband and wife Grantee. Grantor, for a valuable consideration, conveys a~ warrants to Grantee the following descn'bed real estate in St. Croi: State of Wisconsin (if more space is needed, please attach addetrdum~~~ I.tiFoar.(4~of Certified Survey Map in Volume Fourteen (14) of Certified S~'eY Maps, ~ 3779, as DocumerU No. 615930, filed in St. Cmix Coumy Register of Deeds Office on December 22, 1999, being located in part of the Southwest Quarter of the Southwest Quarter (SW U4 of SW 1/4) of Section Seventeen (17), Township Twettiy-nine (29) Notch, Sixteen (16) West, Town of Baldwin, being Lot Two (2) of Certified Survey Map in Volume Nu-e (9), Page 2440, as Document No. 477939. Exceptions to watrarnies: EasemertLS and restrictions of record. Es6130S KATHLEEN H. WRLSH kEGI5TEk OF DEEDS ST. CkOIX. CO.s WI kECEiVED FOR RECORD 1i-06-2001 10:00 RM YARkRNTY DEED E~E?!FT q CEkT CORY FEE: COpI' FEE: TkANSFER FfE: 90.90 RECORDING FEE: 11.00 PA6E5: 1 Name and Behan Addreeas ~. ~U ~ I (off 'rwnG~»acuu~C ~ K/f ` Sy7S~ 002-1038-50-000 Parcel ldentitiwtion Number (PIN) This Lmt 6omesteadprope~, feud fu aot) Dated this ~ day of ~~ ~~~~ 2001 • AUTHENTICATION Signature(s) authenticated this day of s T1Tl-H: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stars.) THIS INSTRUMENT WA3 DRAFTED BY Thomas A McCormack win. (Signat:aea gray be mrtltenticated or aclroowledged. Both arc sot necessary.) _~.~-~ ~ ~d-~er..- • Paai A Loklcer • Geraldine J Lokk~ ~ ACKNOWLEDGMENT STATE OF WISCONSIN ) St Cron ) ~• Couaty ) Per btfore me this ~~'~• day of (i E• ~ , 2001 the above named Paul A Lokker sad Geraldine J Lokker co me tmowa to be the person(s) a iastFtmtertt andncknowl dg d the` ' y ~E. ~1 ~~e.. Notary blic, Stare of Whrrnasln My Commies' is~enn~amn .'~ C~ r_ 7rv7~ .)', persons argmng m any capacity must be typed or pnmed below then srgmture. i„r,,,,,,.a,,, WARRANTY DEED STATE BAR OF wtSCONSIN FORM Na 2 -1999 0 ~~°~~ \999 • SEC' ~ww~ ~~' ,r` Certified Survey Map Paut and Geraldine Lokker H a 2 of ~~ O 4}~ 3 ~ h }~ i ~I Ii 'II 0 I M H I 3 t b N I lI~ Part of the Southwest 1/4 of the Southwest I/4 of Section 17, Township 29 North, Range 16' West, Town of Baldwin, St. Croix County, Wisconsin, being Lot 2 of that Certified Survey Map recorded in Vol. 9, Page 2440 of St. Croix County Certified Survey Maps. W//q CDR. SEC. /T, T29N, R/6W, /,Jljl~ /3/*"IRON BAR FOUND/ SCALE /"= p00' O 10' /00' 200' 300' ADO' 500' BOO' Owner's Address: 857 220Th St. Baldwin, WI 54002 N L/NE sw//~ SM.//* uNPLs7 TIED LANDS m LOT 3 LC.S M. . _ , This instrument drafted by Laurence ~iT, Murphy VOL • 9• o PAGE 2440 o " c 0 An erosion control plan will be r quired \ .-. a o by the St. Croix County Zoning 0 ice 587•?J'?3"E 304.00' w b prior to any construction on + I LOt 6' ~~1' /00• ?~'~~ I s b I y O ROAD SET. p I B4 CK C/NE I/ N ~+ I / 0 T 2 ~, g o ~~0 T 4 o I v ~ 3 h M I~ p $t ~ ~ '^2 b Q ~ r I ^ O ~ ~ e JI °I ~ J I ~ b I /O0' • 0~' t1713t91' I\ \ SETBACK L /NEB 111 J ~ ~ aCJI W 41 O F. • . l 444 /RES ERVFD FOR FU TURF STREET/ Q ~ b 'o b SBT•121'H3"E 30*•00' H C v s' a ` ~` 1, / `" Z ~o L'0T 5 i ~~ ~~" ~ t~y~ I a a ~ ° ~ ~ m , 30I. 00' /3.~0 ' I O O O ~ ?70.9J' N •--•' /281. I /• R / /285. f? I -.-~ h F /O/~. 16• I ~ N 87.2J'JO"W /3/8.•i' R/NB7.26'OO"W/ C.S.M. , ~ VOL~g/ PA GE 698 3 a ~J d ~ sw co R. sFC. /7, T?9N, R/6W, ~ ~ W e "Revised this 17th day of Uec. 1999." /9FRNTSEN NON. FOUND/ ~ N Dated: October 4, 1999 L 0 T AREAS : ~ c ~ i Revised: Nov ber 22, 1999 \~~N ~ g~~u~i~ <OT t, l.It6 ACRES, 93, I9B Sp,FT, / 9/3 A R x W w Z ,\\ p~E / + `~~~_w\~Sv ONS~AFFFFB, I 8 ~ ••" • VO . C ES, 83, 333 SO. FT. EXC. ROAD R.O.W. ? /13 O M N ~~ ( M •.. ` `V" ~ , . LOTS, ACRES, 93, 781 SO. FT. / 9 /9 ACRES 3 h ~ , ` BUR ' E ~ . , 83, SB9 S0, FT. EXC. ROAD R.O.W. L076, 23.f21ACRES, /,020,36f SO.fT. t W ~ ~ . ~ !"' : . •n W M~RPHY : ~ $ 77 ~ ~ 23.37 ACRES, 7,018, /83 SO. FT. EXC. ROAD O = 3 : • ~ R. o. w. ~. ~ ~ ', 1VER FAILS, ,: ~,~/ . J '' 9 LEGEND: _y'_. FENCE e a e w ~E~ ~~ ~,~1ND S , S.#,M ,.. .~\\\ \~~•, R/ / RECORD FO AS O /"X 2f"/RON P/PE WF/BMIN6 /,/3 L85./ L /N. Fr, sFr. ~ 3/• " /RON BAR FOUND. O /ND/GATES SOIL BOR/NB W V ~ ~ `. 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