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002-1081-30-000
S't. Croix County Planning and Zoning Thursday, Dece-nber 20, 200' at 9:~4:2i AM Detail Sanitary Information page l of 1 Computer #: 002-1081-30-000 Sub/Plat: 40 acres Section: 32 Parcel #: 32.29.16.480 Lot: TNlRNG: T29N R16W Municipality: Baldwin, Town of CSM: 1/4 114: SE 1/4 SE 1/4 Owner: Larsen, Thomas & Margaret 608 230th Street Woodville, WI 54028 State Permit: 479371 Issued: 08/08/2005 POWTS Dispersal: Mound less than 24" suitable s Permit: Replacement County Permit: 0 Installed: 08/i7/2005 POWTS Detail: NA Bedrooms: 4 WI Fund: POWTS Pretreatment: NA Issuer/Inspector As Built Plumber Ryan Yarrington >4/1/00 -Not Required Helgeson, Bennie Ryan Yarrington Yes Scheduled Pump Cate Purr7r~ed 8/ 17/2008 Other Requirements Aciditiona{_i~vutes Money Owed previous owner John Vang had a 1999 soil report $0.00 on file to install a POWTS for a slaughterhouse on this parcel {SE/SE 1/4 of Sec. 32), but no record of permit issued. Vlfisconsin Department of Industry, SOIL AND SITE E V A L U AT I O ., $ T Labor and Human Relations 'Division of Safety & Buildings in aCCOrd with ILHR 83.05. W' _~AdtTt~~e[te~ Page ~ of 3 ' "` , ', %.~ COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size R4ari trust include buts,,- , T not limited to vertical and horizontal reference point (BM), direction and % bf~sbpe, p~cale or " E PARCEL LD. # dimensioned, north arrow, and location and distance to nearest road. ~ ~ `' ' '~ k- ~ 0 CJ 'Z - 1pQ I - 3p~ • APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION _;. ''>f -. •~ `f~: REVIEWED BY DATE ~ PROPERTY OWNER: pRQPE t+~jl~~! ' 501~'t-1J V Pt-hl ~ f-t@T Si; i7>ft SE 114;6 3ZT Zo} ,N,R lb E ( W PROPERTY OWNER':S MAILING ADDRESS • 6o d z ` LOT ~t ~, BLQ~K,# $U6D., NAME OR CSM # - ~ n+ sT . CITY, STATE ZIP CODE PHONE NUMBER wo~ov~~.~.~ wl 5~[~z-~ h~S) b8tl=3S°1q ^CITY ^VILLAGE .®fOWN ' NEAREST ROAD ` ' )1~1 z3o n~ Sr . [sC[ New Construction Use [ j Residential / Number of bedrooms [ J Additign to existing building [ J Replacement 1-'~~[XI Public or commeraal desaibe B~ Ctiaprit FoR ~z.\ V 4~ SLi~r~' ttTL~1t I~SE Code derived dairy flow ~ SO gpd Recommended design loading rate - bed, gpd/ft2 -?~} trench, gpd/ft2 Absorption area required 1'2. S bed, ft2 1Z S trench, ft2 Maximum design loading rate • `} bed, gpd/ft2 • S trench, gpd/ft2 Recommended infiltration surface elevation(s) \ \~ . p' ft (as referred to site plan benchmark) Additional design /site considerations W1 ovwp w/ 3 'K cLZ, ' `7Ct~~C.~{ . Yvl tv twtUwt l Zy OF S`R'-~D ~~C Parent material L~~sS o y~ LP\Z` L A'C_ 'Tl l_ Flood plain elevation, if applicable N A - ft S =Suitable for system U =Unsuitable fors stem CONVENTIONAL ^ S ®U MOUND ®S ^ U IN-GROUND PRESSUAE ^ S ®U AT-GRADE ^ S ®U SYSTEM IN FlLL ^ S ICU HOLDING TANK ^ S ® U SOIL DESCRIPTION REPORT Boring # «:>hwtia ~:~ ;::: €'I 1 Ground elev. 1p'1.0 ft. Depth to limiting factor 33" Boring # r~~~ ~~: 3 ~~~ >~ Ground elev. lu-l•$ft Depth to limiting factor 35". Horizon Depth in Dominant Color M ll Mottles O S Texture Structure Consistence Botndary Roots GPD/ft . unse u. z. Cunt: Color Gr. Sz. Sh. g~ Trer~ 1 0-~1 t.o"Ltz 3 ti - s•tl 3`Fab\2 ~.~h cs - , s .b 2. 11~\-1 to `1,1Z- Slly - 3! I 2 `Fsb1r~ v~1'Fb- C~ ~' . S . ~, 3 \z-33 ~-S ~ tz icy - - ~ . s 1 ~,c-sUk m'~-y cS - •~ _S y ~3-63 >..S~tz3~y .$~;s ~2 ~/b ~-~ S `JCL Y/ 5,~~ Gr s ~~- Om ~` - fv\~ tup * ~~ c-0 S S ~LO~ \--pr1L S CT4~r B S . o~...~.i,... 0-9 10`-1,Q 3lZ - ' S i _\ Z`Fsb1~ ±n~- ~S - S t, 2 QZ2 1O`-12316 - Sit 3~Sbk o`.S~ cW -' •S'-(, 3 2Z 3S Lo`-t.~z31b - Sit Z-~sh1-t vn;~' ~ Cg - •S .~, S '~ 1~S 81 - Remarks: Name:-Please Print Phone: Arthur L. Wegerer 715-425-0165 ' gerer Soi Testing & Design Service-P.O. Box 74 River Fa11s,WI. 54022 ~' . 3ture: (~ 9 _ 3 ~ Z Date: ~ CST Number: M PROPERTY OWNER V~1iU ~ SOIL DESCRIPTION REPORT ~ Page~of 3~ PARCELLD.it o~Z- lC>Q,t:-3U Boring # ~•:i:J:•:i+:::i::< ~:; ~: ::~= Z Ground elev. l10•$ it. Depth to limiting factor U O' Boring # ~µ~4'~v~.x `::: Ground elev. f t. Deplh to limiting factor Boring # jii+i\iiii:~i: jjvt t~::; 2~i'< Ground elev. f t. Depth to limiting factor 3oring # around :lev. f t. )epth to imiting actor Horizon Depth in. Dominant Color Munsell Mottles Qu Sz Cont Color Texture Structure G S Consistence Boundary Roots GPD/ft 1 v -~ l o~-t rt.. 3 l z . . . -- s ,'~ r. z. Sh. ~-'F5 b h ~.~. ~- ~-S - Bed Tiendi • S , (~ Z ~' -ll0 ~• S ti IZ 3 / y ~ L ~ vn S~l~c h~'~F- CW . ~ . S 3 UO-Sl 5 yR 3~y ~. `-12 s/~, C~ c~h, m`~~ - N~~ .Z remarks: Remarks: iemarks: Remarks: _ ,~ ,,•,.~n~r •.~ .,.,, ~~ PLOT PLAN ~ Page 3 of 3 . 5~~~~ ~'~ = so 1 Z 30 `S}} ST. - - ~ - ~-'_ ) 606 -- ~~o ~ Avg, _ r- o oa ~M N ~fv~puvz ~ - 1bq_ O ' L30T'NM OF ~Tt~IQtt El. l[p .p ` ~'l, lp1 ~ „~o ? tin, ~t tTL~lp~ ,Gl g.3 r3.2 n~ 1 \ 6y, I' ~ / ti~ ~ 6Y. ~ - ~ ~, b ~ST~tzB Ttr1s pt'R1~~1A / `~ '~~;~ {~ (~ r a BK7 tt2 - ~ Ztp .0 0-., ~P F-tit't-~ L~w~ p F 3.Z` 'TR't~ CL~v-~W g'nlY~1~ G`Z--l.l. PIT. E'x t ST1-a 6 t~UL~ 6t_.pG . OF StOlruG ~~' t*~8o~ C~l~vr~ A~..p G , t_~ c.~u Iv gg-31Z ~. ~Z-,l- 9.°~ ~ ~~s ~ yz.~ oils z.zozs CST Signature Date Signe Telephone No. ~ CST # Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION ~ (ATTACH TO PERMlT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)). Permit Holder's Name: City Village X Township Larsen, Thomas & Mar aret Baldwin, Town of CST BM Elev: Insp. BM Elev: BM Description: a~ _ / 1 1 ~ ~~ TANK IN FORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~ +~ 1` 17.Cb Dosing ( Jw~O ~ ~~ 4 ~ `G~ /~ / Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic I~ / / J ~/ r 135 / 13v`~ _. Dosing 7 ~~ / ! Z3 ~ ~ 3 S ~ 7 35 ~ .~-` Aeration Holding v PUMP/SIPHON INFORMATION 'L:,rt~>re~~ rJ Manufacturer ~ Demand GPM ,Model Number ~~ _ New ~~ ~I ~~ u ~ 1 'TDH Lift Friction Loss stem Head TDH Ft Z~ .~ ~, Forcemain Length ~ Dia. r/ Dist. to Well ~ ?, Z /35 3 i S/111 ARSf1RPT1f1A1 SYSTEM county: St. Croix Sanitary Permit No: 479371 0 State Plan ID No: Parcel Tax No: 002-1081-30-000 Sectionlrown/Range/Map No: 32.29.16.480 STATION BS ~j ~{' HI j~5,~ FS ELEV. /~ Benchmark /p~) , (d0 ~ Z50 Alt. BM Bldg. Sewer ~+.'~ ~J(7.Z.~7 SUHt Inlet a,c~ ~b SUHt Outlet ~ -~ Dt Inlet ~ ~ Dt Bottom I ~ , I~ f~ - Z~ Header/Man. Z . 3~j ~D3 ~~ Dist. Pipe '~ .3S /b3. ~ 5 Bot. System 3. ob i~z . Final Grade ~ ~ 3 l~, L . b 5 7 St Cover ly ~~ ~ g-, qx g ~~a~ W- ~ 3.7 roa . ~ ~~~/V\~ la . 55 ~~ , t` 5 ~~ f31~. S e,~, e.~. 3.3? 3. 33 BED/TRENCH Widt / Length / nche No. O PIT DIMENSIONS No. Of Pits Inside Dia. ~~ Liquid Depth '-~ DIMENSIONS h ~ ~ ~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING OR E Manufacturer. INFORMATION CHAMB R Type O tem: ' zs8 / 2 ~d ~ Z 3~ UNIT Model Number. -- 111CTCIQIITI/lAl CVCTCM °74Jd1~ SI_.. 1/ Header/Manifojc~ /,~.. Length `~ 1 Dia /r 1 ~ /~ Distribution Pipe(s) Length ~~ 1. 7 Dia I ~~ /~ ' /~ Spacing 3Z x Hole Size r ~ ~ x Hole Spacing ~( ~ Vent to Air Intal~ / (~-) G'(/~i Cnll !`n\/CG . n..__.,....., c....a......~ n..i., .. ~e.,,...rl Ar D4_Grarla Svstamc only ---- - - - -- - Depth Over ~ T t h C ~ ..------ -~------ ----, Depth Over BedlTrench Ed es xx Depth of Topsoil xx Seeded/Sodded i xx Mulched ' N en er ~ ` ~ ~ Bed/ renc g t i es ~ ;; No o Yes I-,~I J~~~Syo `~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~/ ds ~spection g / 7 / ~~ t"~ n,oQ, 1 ~ ~ ~ --era - o ~ Location: 608 230th Street W odville, WI 54028 (SE 1/4 SE 1/4 32 T29N R1tiW) 40 acres Lot ~~1 -'" - P - e! No: t3 9.1 480 1.) Alt BM Description = ~, ~ ~"- L'° v ~-' 3 'ea ~.ou~'S ~` ~ ~6~>~ ~ ~ S~ 2.) Bldg sewer length = ~ ~~e+-a~le.c~ d(p ~ da /;la use_, 3 75 /~ llI e.J 5 ~ / Z / E~J~..~e /~.~ c,..3 ~.iZ~: {""' eva'J~- ~ ~` ~~, - amount of cover =~ i ~ ~ ~ $ ~~ _ _ _ _ / ' ~J ~ Plan revision Required? i - ', Yes o i /D I~ +~~ -_ - --- -- - -- - -.___--- - -` - -J' / ~~~~ , Use other side for additional information. ~ -J Date Insepctor ignature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division ~ 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 County S I C. O Sanitary Permit Number (to ba Aped is by Co.) ,S~~~S~i~ (608)266-315! ~ 3 ~- De artment of Commerce Sanitary Permit Appli ati~r~~~~~ state Plan l.D. Number /A# - !n accord with Comm 83.21, Wis. Adm. Code, personal i ormation you provide } it may be tuod for secondary Qtti'p~rs Privacy Law s15.04(,IJ6~) 1 ~ ". (i[,. . l/5 3I 2(0 ro txt Address (if different tbaa tttaifitt~ addcettJ . J i ~. s~ C3 1. Application Information - Please Print A or tau $rt CROIX CdUtJT~ aw~2_ Property Owner's Na me ~\ Parcel X Lot X Bloelc -oo o 80 wt ~ a- Mce~ ~v~~" ~a ~S~ --- ~ O~ ~ /o ~ - a o ~ S -_- ~ ing Addres Property Owner's M mil ~ Prutx:rty Location ~ l ~(~~ of o ~~ ~k,,~~ 'ti,Section ~a S l City. State l ~ ~ ) -~•'• ~ ~ DOCQ ~t /l~ (~/1 Zip Ccx1e `/ ~yt'.~ a15 Phunc Nuwbrr c' ` ls~ ~j ~d- (C~9C~ ~ q (circle) .I' ~,f--_ N: R~._E ~-J ./Type of BtuhiinE (check all that apply) L~ I I Subdivision Natnc CSM Number c{0.0 ~ ~~ , , , Ud'1 or 2 Family Dwelling -Number of Btdroonu 7 ~ q 0 .~ /V i~ '~ ~~ ZD . / ( ^ Public/Commercial - Deseribr Use o( ®Towttshi ~~.•~ ^Vill ^ _ p age City ^ State Owned -Describe Use _ only one box on line A. Complete tine B if applicable) k ~ III, Type of Pernvt: (Chec ,, ~ A' ^ New System ~ LIf Replacement System ^ Treatment/HoldinK Tarilc Replacement Only ^ Other Mtxlifieation to Existirt~ System List Previous Permit Number aad Due Issued ~ B. ^ Permit Renewal ^ Permit Revision ^ Change ui ^ Permit Transfer to New Before Expiration Plumber Owner '~ IV. T of POWTS S stem: (Check all that a 1) X S i ~~D = ~~~ ~ ^ At-Grade ^ Single Pass Sard Fillet ^ Non -Pressurized In-Ground _ oil Mowui < 24 in. of suitable so !. ^ Coruwcted Wetland ^ Pressurized ImGrounti O Holding Taid: O Peat Filter ^ Aerobic Trerunent Unit ^ RecirculatinS Sand Filter O Rtxirculaung Synthetic Media Filter ^ Leaching Chamber ^ Urip Llne ^ Gravel-less Pipr O Outer (ex lain) i V. Dis ersallTreatment Area Inforntatiun: Design Flow (gpd) DesiEn Soil Applicatiun Ratr(gpdst) Disprrsal Area lteyuire~ tst) Uispunal Area Prulwsrd (sQ Systeut Elevation f VI. Tank Info Capacity in Tutal Number Manuracturer " ~. \ Prefab Site Steel Fiber Plastle \ CUnCfCIC Conswcu:d Glass (A- u ul Uniu cTnE ~( ¢ A ll G w1~, ~ , ti ~~.~ ~w a ut Gallons New Existing 'C-,l~( J Ta,a: r„as k ~ v N Septic or Nolding Tan i ~a t r r ~crobic Treatrncnt Unit I Dosing Chamfer g6® ®Z3 I t •e s e Cow e VIf. Responsibility Statement- 1, the wtdersigncd, asstuue resputi,lbility for ittstaUatlon of the POWTS sltown ou the attached lass. Business Pboaa Number Plumber's Na me Print) Plum 's Si gnature MP/MPRS Number ~~JJ ~- ~ ~o ~ ~a . ~ ~~ s `7~a--3~7 ~h h l e T-T ~-'S Plumber's Addre ss (Str ,City, State, Zip Code) ~ 1 t,,t31 ~ ~ '7 7 ~ G, .S ~ ~ . ~ I, ~ ~ -~ ~ ~ VIII. Count /De artment Use Onl ncludcs Groundwater Date Issued lssuittg Beat Signature o Stsmpt~ Sanitary Permit Fee ~ Approved ^ D' pr / Surcharge Fee) (J Z~~_ Q'U` ' dg ~S O Owl .Given Reas for Denial 1 LX. Conditions o Approv R val SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / rrtaintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances, ~ ~C --~---` Attach coruplcte plrns (to tLe County only) for the systetu ou paper not less th:ut 81/2 x 11 inches iu tin - 05 01 :51 PM ~ / `ti.. .`~j ~ ~ .r.. :+ a T ~' a ,~ ~- w y ~ ~ ~ ~ 1r ~~c 1~ a o ~ ± ~ ~ 4r-;~ -~ a=• Q~ v i v s ~- ~ J ~,. v 0 '~ V ~~ I ~ V~ ,. ~, U 3 ~ ~ v j~ yw ~'~ ~..., . '~- ,~' M } N _~ c~ ~~ v .~ ~ ~ ~ ~~ ~"' ~ O .+„ ~~ v ~Y J ~`d N ,, G .~ .K ~~~ ~-°vi ~~~ ~~ 3 ~~~ ~6 ~~ .~ ~ui ~- ~~d,~ .:- ~~ .,,,. r/ a '~ P n a /~,v L~ ~ ~~ ~° a~ P`Y~ i G ~''~ "'a" ,~V 1L ,~ '~ ~r ,~ ~ 4~ C). e ,~ ~~~ ~ 0 ~u r ~~ P. 03 J `~~. / . -~ q• ~ ~~ ~~. M ~~ ry ~~ ,-~, ° -~ a~ ,_ a ~~ y Q ~~ Jk O . O k ~Y ~~ 7 ~~ s ~ A ~ ~ J G~-OY ~~ commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. com me rce. wi. g ov/s b/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary July 28, 2005 CUST ID No.220292 BENNIE W HELGESON HELGESON EXCAVATING W1229 770TH AVE SPRING VALLEY WI 54767 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/28/2007 SITE: Thomas R. & Margaret Larsen 608 230th Street Town of Baldwin St Croix County SE1/4, SEI/4, S32, T29N, R16W Identification Numbers Transaction ID No. 1153126 Site ID No. 188767 Please refer to both identification numbers, above,. in all corres ondence withthe a enc . FOR: Description: Four Bedroom Replacement Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1028543 Experiment; Maintenance required; 600 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual, SBD-10572-P (R.6/99), Pressure Distribution Component Manual, SBD-10573-P (R.6/99); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with .publication SBD-10572-P(R.6/99) "Mound Component Manual for Private Onsite Wastewater Systems". • The pressure network is to be constructed in accordance with publications SBD-10573-P(R.6/99) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)". • 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. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • Comm 83.22(7) - A coRy 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. Cois~c~p~i~nally BENNIE W HELGESON Owner Responsibilities: Page 2 7/28/2005 • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. 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. • 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. • In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 JUL-26-05 01:51 PM PROPERTY OWNER: INDEX SHEET THOMAS R & MARGARET LARSEN PROJECT NAME: THOMAS R & MARGARET LARSEN PROJECT LiJCATION: SE Il4, SE lla, S 32, T 29 N, R 1G W MUNICIPALITY: TOWN OF BALDWIN COUNTY: ST. CRO1X DESIGN: PRESSURE DI5TRIB(1T10N ~4IANUAL SBD-10573-P(Rl99) htOUNb COMPONENT MANUAL SBD-IU572-P (R b/~9) CONTENTS; Page 1 PaSc 2' Page 3: Page 4: Pugc 5: Pabc 5. Ptrgc 7; Page R: Natne: Bennie Hclgcso;l Address: W 1229 77UIh Avcnuc Spring Valley, WI 547G7 Credential Nutnbcr: 220292 Plot Plan Gross Section and Plan View of Mound Distribution Pipc Layout Septic Tank & Pump Chamber Cross Section and Specifications WLF12Q0l8ot)-MR Tank Specifications Putnp Spccifcations POWTS Owner's Manual & Manttgernent Plan - Pg, I POWTS Owner's Manual & Management Pian - Pg. 2 Sign d Date: Juiy G, 2003 DEt'ARFMENT OF COMMERCE DiViSIUN 9F~S FET AND BUILDINGS • SEE GORRESP DENCE P. 02 JUL-26-05 01:51 PM ~. ~ ~~ ~ ~ ~~ „~ „~ T ~ d ~ ~a ~Q ~ ~~ d y ~ d ~ ~~ ~ ~ ~ o Q ~~ s ~d~ p~ v ~3 .:= ~- ,, ~ ~ ~~ ~' ~, y ` .~ ~~ s _~ .ar ti -~ o. ` ~~ ~ ~ ~ ~" ~ ~ ~ ~ ~~ ~a ~ ~ Oo j ~ ~~ ~ O w 0- ~ . ~ ~ o vj ~ b ~ y~ ~ ~ o s` ~~~ ~.,II s ~~ 3 ~J .~ '~ ~- ~ ~ ~ - ~n~.,h N d W C~ ~a ~ ~~ ~~ r/ a 4 D a ~' ~' a\/ ~/~ Q,~~ -~- ~~ ~~ ,~ t~ <i ~- e d ~~~ y 0 W. }- P. 03 ~~S _ ~~ /~ N~ ~i M ~ M -.: ry ~~ a~ ~°v s y Q ~ o d J4 , O ,~ ~ ~ ~, ~ ~ 7 ~~ ~ ~~ s ~ A ~ ~C ~ ~~ ,, a JUL-26-05 01:51 PM ,. $ynlhetic Covering ,~gSTh4 C 3 i Medium :~ond ~..~ _ Tppso(I E Paf04 Distributfon_ .Pipe G Scope w Ct?~~.Of Z~~ 2'z g99fegate Cross Section Of A Mound Signed . ~--------- License Number; ~._,~._.~.- Date : ~~-~-"' J I A ~ w FOrC6 Moin ~Ftowed From Pump Loyer A ~ Ft, _._._-- ~ ~'~ Ft. K /G'. Lv F t . L9~ i~t. ~'~~ Ft. j t'~ i~t. , W ~-.. g Ft . 1--~~-- - Observolion Pipe ~ K ~~. w r ~ r '^ .~ wW. ~- f ~, ~, - t„ =err 01 ~-2• i C-istribution 2 2 Pipe g99re9ofe Qbservafion Pipe ~4SK( rte` L/ '[ 'S ~ p 0 /~ Ft, ~~~t, ~ ~ Ft. ~, ~ Ft. ~• •; Pion View Of Mo~~nd JUL-26-05 01:52 PM ~~~ .~~ ~ r ~ ~n C lra•,o~•.r ` w ~ `r 5 J ..~~,, r~~«, i, 1 ~f«vtt.*.~f "^~ C. ~E•f.~ ~ CK~J ~ _.~ ~~.~CI'l~u,,C10i1 1'1j?:._. Signed: License Number D s e e : ~--'--~-- •-r'-- ~~ ~ • • ep0 r~l f v• ~r 1. ~_~.....~~~:.~ .`..~ n full ~~ ~ ff~?d VI~~ \I••r fL~. .J ~• ~•1 '~~ . `~i'/ /% P. 05 PC,3 F S Notes Located on Soctoat ~> are Equally Spaced ,II r_ ~ .,.~- F~~~r i. c. ~~ ~ ~ ~t3'~ .}'~ 4 a . QiU~iDull4n~ ' Flp. r ~ ~c~a n . . ,, ~, r~ R s 3dr, z ray; ~ '' +r Y Hale Diameter „ Inch I,aceral " ~ Inen (e') Monifoid " ~ Ynchts Porcc~ Mflin " ~„_, lnchaa golf>~ ~~. ~at~-~l =3 Y ~u~~~Q~~ ~ ~ ~~~~~~ ,U~-~ b.e~- o F ~a<<s -~o ~ //~~ JUL-26-05 01:52 PM P. 06 SEPTIC TANK E PUMP~CHAMBER CR05S SECTION ANA SPECIFICATIONS 4" ~VLVENT PIPE 12" MIN. ABOVE GRADE ~ uEATHERPR00F 25' FROM DOORS WINDOW OR JUNCTION BOX APPROVEa FRESH AIR INTAKE - WITH CONDUIT MANHOLE COVCR W / PAD LOCK i WARNING t1-8EL _ ~`_ .._ ~"r. 4 " MIN . ~y" ~ 18" IN. t.d• INLET ~ ' ' r , ~ ~ ~• 4 ~(~, J WATER TIGHT SEALS TIGHT ~ ,~~ ` 1 FILTER --~'°- ~ SEAL F vJOIH~SEKYfN APPROYEO Z~ $ ~ ~- -~- ~ ~ ALM APPROYEt) PIPS PIPE 3' (a"x~~~" -~ ' ON 1' ONTO ONTO SOLtO A - /~'~ C ~ ' SOLID SOit SOIL PUMP OFF EL1:V . ',Sy~FT. -{--- OFF` D 3" APPROVED BEDDING UNDER TANK 1 CONCRETE PAD SPECIFICATIONS 5 E P1' Y C / DOS £ TANK MANUFACTURER : ~["~ . / S-- X $" s (.. 'i rS..•r-S _ (~OC~ J S~ Ica TANK SIZES: SirPTIC C'C~ GAL. DOSE VOLUME INCLUDING E'LOWBACK: ~ y Crol ~15 GAL y~ G/1lr• DOS£ . ~ . RQS~ . ALARM MANUFACTURER: ~,S~,~C sPACITIES: A = / $ ~ .~~ t ~ } ~ re• -. .~,~.. INCHES = y40.'~'.~GAL• •---~----•-~ _~ tIOD£L NUMBER : CH TYPE ~ _, / C+, ~ ~ ,~ g = 2 ~1 • ~l '~'~ INCHES ~ Vv~ GAL : SWIT s ~ ~ oa. PUMP MANUFACTURER: C = 7,~ ST I7E INCHirS = ~~~~ GAL. MOD1:L NUMBER : 1 D = ~ INCHES x CQ~~~dC+AL• SWITCH TYPir: ~~~ea ~-'<~~ t' RCQUIRI~D .DISCHARGE RATE ~/.5.~ GPM PUMP E ALARM WIRING AS PER YLHR 16.23 wAc VERTICAL DIFFERENCE BET'wEEN PUMP OFF AND DISTRIBUTION PIPE l9. FEET FEET • MINIMUM NETWDRK SUPPLY PRESSURE Ft:ET FORCEMAIN ai ,~a FT/ 100 FT. FRICTION FACTOR + ~~ ~;,;,~ . / FEET T l _ TOTAL DYNAMIC HEAD FEE = INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ---~ WIDTH ~ DIAMETER ~,,,,,,,,, LIQUID bIfiTFr'~_ , a ~, ~ y r,-4 - . ~.~~. ~N ~ i, p~~~. 5 ~ .~. ~ T., ~ SLOG ~, S~ •-~- SIGNED: t,ICENSE NUHBCR: DATE: ,_ .~ ~_ 1/68 ~Wn ' ~QC~C.°~ ~~c~~iZ~..~ r'o fc~JoFP..~ r-r- io rn 164" OPTIONAL MANHOLE ACCESS _ /- ,, ~l ( ~ ~ ` ~ ` ~ h ~ ~' ~ \ ~ FILTER ~= ' OR BAFFLE TOP VIEW SCALE: 1 /4" = 1' WLP1200/800-MR TANK SPECIFlCATIONS DIMENSIONS: WALL: 3" BOTTOM: 3" COVER: 6" MANHOLE: 24" I.D. HEIGHT: 53" O.D. LENGTH: 164" O.D. WIDTH: 96' O.D. BELOW INLET: 41" 0.0. LIQUID LEVEL: 36" WEIGHT: BOTTOM 12,000 LBS COVER 8,170 LBS INLET AND OUTLET: a" CAST-A-SEAL BOOT OR EQUAL INLET AND OUTLET BAFFLE AND FILTER: SEE DETAIL #10 LIQUiD CAPACITY: 33.46 GAL/IN (SEPTIC) 22.24 GAL/IN (PUMP) .,~.~ T M v SIDE VIEW LOADING DESIGN: 8'-0" UNSATURATED SOIL TANK CAN BE USED AS: SEPTIC/SEPTIC, SEPTIC/PUMP OR SEPTIC/SIPHON w a 0 0 W _ ~ S ~ N ~ m 3 ~ S N ~,: Z N m ' a J ~ W Q Q r w U ~ Q ~ (n ~ ~ 4 W f~ o W C g co e~ _ ~ Y MM O ~ W i I~ W o N i ~ o i ~ O W"= ~m 3 .~ o! ~ J ~ I Qp ~ ~ ~ ~ Z N Q ~ ~ Z O ~ U ~ N ~ a a> N W CUSTOMIZED TANKS: SHEET NO. TANKS CAN BE CUSTOMIZED CONTACT WIESER CONCRETE O OF TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS / Q JUL-26-OS 01:52 PM P.07 COMF~OSITE CURVES a~ra-Arr~:~ -------~----~-~-.. -~.- ._ . . ~~ ~~ t CAPACITY IITRfS PER MINUTE ~ __ .__ .rte ~~~ pan 300 350 400 45D 500 550 G C a G~ i to 16 ~ i 11 1Z ~a t e e 4 I 1 x I o A NOrtE Please see peQe 71 for SrE?Plus" Series perlormsnce curves, "~" CAPACITY GALLONS rte ryiinuic JUL-26-05 01:53 PM P. 0$ POWTS QWNER'S MANUAL. & IVIANAQEMENT PLAN Pape-~„ol,,,,~ FILE INFORMATION pwner I~td'M c~ 5 ~ ,°I- mO.t"r- ,a~~ 1.~1..r^5~h Pormlt N 1.~~.~ .?J.?J ~~'~ pES10N PARAMETERS ..,-..._ Number of Sedroom' !~ DNA Number of Public Faciflty Units (,~(NA ~atimeted flow (average) al/da Design flow (peak), tEatlmatsd x 1.5) 6U0 al/da Solt Appllcatlon Rate 0.5 aUde !ft° Standard Influent/Effluent Quality Monthly average " Pate, Oil ~ Grease tFOGI s30 mg/l. Biochemical Oxygen Oemand (9RD~1 s220 mglt. QQ NA Total Suspended Solids IT551 s150 mg/L Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (80 De} s30 mg/L Total Suspended Salidp ITSS1 530 mg/L ~ NA Fecal Colifarm tgeometrlc mean) 510' cfu/t00m1 Maximum Effluent Particle Size Ye in dla. DNA OtMr: ^ NA SYSTEM SPECIFIC4'f10N8 Septic Tank Capacity ~ O NA Septic Tank Manufacturer WIESER CONCR>w'TE O ~ Effluent Rlter Manufacturer ZA~~I, O NA Effluent Filter Model A~100 12" X 2U" O NA Pump Tenk CapaoltY 800 el L'7 NA Pump Tank Manufacturer WjEg~ CONCRB"T~ O NA Pump Manufacturer STA-RITE O ~ Pump Model EC b5U O NA Pretreatment Unit ^ SandlGravel Filter 0 Peat Filter © Mechanical Aeration ^ Wetlsnd O Dlsinfectlon ^ Other: QD NA Diaperoal Cettlsl ~Q NA p ln-Ground !gravity) ^ In-Ground Ipreaaurtxedl D At•Grade {'~ Mound ©Otip-Line C] Oihert ether: ~ 0 NA other: n NA Ott~or: 0 NA MAINT€NANCE INSTRUCTIONS Inspectlona of tanks and diaperaal cells shall be mado by an individual carrying one of the following licensee ar certificetlonts: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POW7S Maintainer; Septaps Servicing Operator. Tank inspections must include a visual Inspection of the tanktsl to identify any missing or brakes hardware, identlly any oteoke or leeks, measure the valurne of combined sludg~3 and scum and to check for any back up or pondinp of effluent on the ground surface. The dlapereal ceNle) shall be visually inei~ected to check the effluent levels In the ob9ervatlon pipes and to check for any pondMq of effluent on the ground surface. The bonding of affluent on the ground surface may indicate s failing condition end rr-quirq the immediate notification of the local regulatory authority. When the combined accumulation of sludge end scum in any tank equals one•third (Yal or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of In accordance with chapter NR 113, W15COneln Adminletrative Code• A11 olhet services, including but not limited to the servicing of effluent filters, mechanical or presmurl:ed components, pretreatment units, and any servicing at intervals of S'12 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within t 0 days of completion of any service event. GMW (41011 ~' '"."7 "Values typic^I for domestic wastewater end septic tank affluent. owN~KS: rhos >~~a~eaR~r t:~t~tseN " ~ ~ Page 8 of r START UP AND OPERATION For new constroction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). if high concenUationa are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System startup shall not occur when soil conditions arc frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent: To avoid this situation have the contents of the pump tank removed by a septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber a POWTS Maintainer to Assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, The area within IS feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life Of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; Disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat Scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water soRener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the System is properly and safely abandoned in compliance with ch. Comm 83.33, Wisconsin Administrative Code: All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents of all tanks and pits shall be removed and properly disposed of by a septage Servicing Operator. ARer pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space Filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code Compliant replacement system: O A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Bamng advances in POWTS technology a holding tank maybe installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS (~ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARN ING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POVtrTS INSTAII.ER POWTS MAINTAINER Name Ol Name ' I Phone 715/772-3278 •Phone 715/273-5i`311 . ___~~ SEPTAGE SERVICINQ OPERATOR PUMPER LOCAL REGULATORYAUTHOWFY Name JOHNSO\ SANITATION Agency ST CKOIX COUNTY ZONING ' Phone i~!%?l~# ~~'! ! Phone 715/385-4>80 This documartl was dnMd by tha ataf/i o! Iha Gtaen Lake, 1,Aaryuatte and Waushar+ County 2Anlna and SartKallon aQ~rtd/i. 1'bJt dOOtYAetltple<tl/ th+ mLdmum raQUbamants o! ch. Comm d3.22(T)(b)(t)(d)6(4 and 83.54(1). (216 (31, Wisconsin AdmWstrallw Coda. We o(W4doatm~nttbN~ot puarant+• N+ p+tiormanu of Iha POWTS. ~~~ , JUI,-26-05 01 :53 PM 2 5 6 ( f 1 6~ 7`fa 1 93~ EG STE O 6E WARRAN'I'YllEIrD R F I R EDS ST. tttOlX C4., ML This Deed, made between John Vrtng and Jennifer Vttng, RECEIVED FOR R1±CORQ husband and wife, Grantt~rs, and Thomas R Larsen and •S~S7~2R84 81 seOpM Margaret A. Larsen, husband and wife, as survivorship marital MARRANTT DEED property, Grantees. Grantors for a valuable considers#ion, convey EXEl~'! 4 to Grantees the fallowing, tfescribed real estate in St. Croix County, RSC FfiE: 11. Ai!! State of Wisconsin (the "Property"). TRAILS FEB: ~7~0. M COP~I FTiE e CC FEE: PACi85 c i The South Onn-half ofthe Southeast Quarter (S 1/2 of SE1/4) and the Satrttteast Quarter oftha Southwest Quarter (SE1/4 of SW t/4), all in Section 32, Township 29 North, Rattg~a !b West, subject tv any and all easemets and road rigftt of ways e£ record. RETURN T0: Scenic Title 220 Locust St Hudson, Wl 54016 Parcel Np. 001. 081-30-000; OOZ•1080-yU-000 end •]08i-20-000 7'ogcther with dl! n, purtenant nf;l~ts, lulu m+dtnlcn8ts. This is homestead ~tY, l C,rantor werre:yts Chet the title W the Property is good, indefeaFible in fae ~~Ie and easements, restrictions and awenants of rocord. Dated tide - S~ dxy of,~~~, 2004. AUTI'tBNTICATION Signatures of John Vang and Jennifer Vang authenticated rhiR .. say pf > zoos of ee~unhrances except ..~~~~` Jennifer Va AG'KNOW T.EINMEN'f 1T1'Ws: IulkMI9I:R Ol' STAI't: HAR OF WISCONSIN (I!' not, euthcui7.od by ~71K~.06, Wis. Stars,) STATt; OF WISCONSIN) )~ s~~G~it;X rfv_ ) 'I'HiS 1N5 lRUluitEN'1' +JVAS DItA1rCEt) t3Y Yorsonally came before tae this S>kday of ~~~ 2004, The above named John Vang and James R Hartholamcw 'ter Vang to me known to ba the peTaons who DAR'I'E{OLOMF:W I,AW OFFICE., 3. . BClall SCOtt i=CkhO) utad the fot+egnittg instrument and aekrtowledgpd the 42o t.oca,et st, la0 Box i~ Notary Public e. Hudson, wiscottain 54016 State of Wisconsin s'~d=.~- Notary Public, plate of Wis~nsin (sid,eur.. aMy ba eusl~Qeuadad a acknowladgai. Bdh en nd naoaeary) My CO1ntlueelOn {expires): ~--,~.d~r.~ •Nsieee of purees dpya6r iay eyfeoiry ehanld he typed a yxletert belox reek elpufuta. P. 09 Wisconsin Department of Commerce SOIL EVALUATION REPORT PageLof~ Division of Safety and Buildings , ' in a ~omm 85, Wis. Adm. Code ~/ G~ ounry ;, ~~ Attach complete site plan on paper not less than s tl G. inGude, but not limited to: vertical and horizontal reference ) ~ ~ aroel I.D. percent slope, scale or dimensions, north arrow, and location a e to nearest road. 200 viewed by Date Please prinf all information. ~,~Q`t; , c Personal information you provide maybe used for secondary purposes (P ivaCy Law, s. 15.04 q><l,-tY c7 Property Owner pf"cc. ~ ~t~.C.l'lb 1 ~.~-~ CC (r V` v ovt. Lot ~' ~ 1l4 S 114 S 3 T ~ /~ N R ~ ~, E (ot W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# a ~~ 30 ~~ - Sf~-~~ City State Zip Code P e Numb r ~ y ~ ^ City ^ Village own Nearest Road ; New Construction Use: Residential I Number of bedrooms _~_ Code derived design flow rate O U -~'~? [g'~placement ^ Public or commercial -Describe: Flood Plain elevation if applipble ,.~~~~ -R' Parent material ~. ~'~S 5 Ot'e ~' ~r ~~ L/ o n ~ General comments ~~ ~;° ~ ~ X 7S/ Cc L~ t~ l r'1 1 S rr Sce.k ~ Cwt-.off F~ j and recommend ions: ©~ C Ov~~ou-Y"- /~Q~ J'' r ~ L /~ ^ Boren Boring # Ground surface elev. ~©/~ ft. Depth to limiting factor l15 in• Soil A icatlon Rate Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color - 7. s~R 7 ~ /oY ~' r Texture Structure Consistence Boundary Roots P 'Eff#1 'Effll2 ' Gr. Sz. Sh. m S is f 'f ~ C ~' ' ~.. ^ Boring ~~ P I ~/ / Boring # Ground surface elev. "/ • co ft. D ^ Pit epth to limiting factor _~6 in• / Roots d B Sofl A ication Rate GPD " Horizon j Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence ary oun ~E~ EffffZ _-- p~ ,~. L ~ r f ;,J f t o .~~ .._ ^~Cy --. r-crP *~ ~, ['Yb ~ L /l1\IP ~ ~~ ~ C S~b~ '` 1/ J i - I I I I 'Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mg/L ' tmuent #2 - BOD <_ 30 mg/L artd TSS 5 ~ ~ CST me (Please Printj Signature CST ~~ a~a a ~~ vt r ~P ~e~ ~ s ems- -t~-~ ~~~ ~ ''~ Telephone Number Address ~ to Evaluation Conducted 1it>/a~ ~~ `7 ~C~ f f t . ~~'e ,~ S r rte, ~14:~~ (it~~ ~/ _~.~ ~ ~ ~-- ~~, - 3~7 p~\r\ wwwn TMMw\ ~76~ Property Owner _~ „ __ „ ^ Boring a-". ~~~~,.,~ ~'~ 3 Parcel ID # `f Page o~ of .~ !~J~ rV ~ L`D Pit Ground surface elev. y9 ~ ft. Depth to limiting factor _ I ! tn• Soil lication Rate tion Descri R d Texture Structure Consistence Boundary Roots GP Dlft? Horizon ~ Depth in. ~_~~ Dominant Color Munsell boy ~ p ox e Qu. Sz. Cont. Color ~ Gr. Sz. Sh. ~' -~~ ~~~ ~ `~,~~' 'Eff#1 ~ ~ 'Eff#2 - 5 ~ 7 ~ 3` Y ~ L l ~ ~ ' tn2 ~-- , J a ~-- -~ ^ Boring ~~ ~~ .y .. ^ Pit Ground surface elev. ft. Depth to limiting ac or ~~ • Soil A lication Rate ti i Texture Structure Consistence Boundary Roots GPD/fF ' Horizon Depth in. Dominant Color Munsell on p Redox Descr Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ,, ^ Boring ~_~ .,_ ~ ^ Pit Grountl surface elev. «• ~~Nu~ ~~ ~~~~~~~"'a ~a...,,. Soil ication Rate ' i G Texture Structure Consistence Boundary Roots GP D Horizon Depth in. Dominant Color Munsell p on Redox Desa Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 =BODE > 30 < 220 mg/L and TSS >30 < 150 mglL 'Effluent #2 =BODE < 30 mg/L and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services Oi need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. - ~~*{ ~ F ~ e 9~ 331s I$ , ~,. t ~ f~ F 0 ~p> -6 j ~s ~~ r I~ S f~ `, v ~~ ~ ~ ~ '~ O ~® G ^' S~ f `~ a G ~ ~ fi 'd ~ t ~. ~~ S J_vf~ ~, r m ~ a ~-. ~ ° ~ ~- > t' ~ ~ U' 0 l~ 0 I S - '~ n ~- °`W 5 0 /~ ~~ Z~ ~ ~. ~ ~ V ~~' .~ ~~ ~ ~''~ ~',~ ~~~ ~i W ~ ~ ,,,,r'~Y~ ~.~ b ~i-~ d ,~ A 7/ , ~~~ ,~Lr ,.. ..+'~ ' ~'~ .. ~'' / ~~ ~ , _ ~~ {1S ~_ i~; '~ i• ~!' N rn~ ro ~ c ~' ~ 3 G~ +O G _. ?/ -J ~, ~ -4-. ~ ~> ~~ ` fi o V U~ b ~ ~ ~o rn ~ ~ ~U ~~ r ~^ ~ 1~ O ~ Ci "~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Tnil f~JS ~ , 4 OwnerBuyer Q Mailing Address ~~ 9 ~-~' u + x o ~e ~~e. ~-k~--~ ~~ ~ N ~~`~7~ Property Address ~e o `r`~ a ~~~~ ~~' (Verification required from Plaiuiing Department for new constructton) on 2 - ~ o~'l - 30 - ooo~y~~ City/State I,~~od u r Ll ~ L~~ ~ _ Parcel Identification Number - LEGAL DESCRIPTION Property Location ~ ``/a, S~ '/., Sec. ,~~, T_~N-R~W, Town of ~Alrlyiv~ Subdivision rU~a ~" ~o _v ~.. f~e_~ ,Lot # r-- Certified Survey Map # /~l/ ~ Volume - ,-Page # _ ~~arranty Deed # .7 ~ ! 9 3 a ,Volume ~~~ ~ ,Page # ~~ ~_-• Spec house O yes ®no Lat lines identifiable 1~4 yes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists bf 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. The property owner agrees to submit to St. Croix. Zoning Department a certification form, signed by the owner and by a masterplumber, journeyman pltunber, restrictedplumber or alicensed pumper 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 oYsludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standuds set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certi>iCStion stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. ~ / ~~ SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owaei{s) Of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. /Z~ oJ' SIGNATURE OF APPLICANT DATE Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. *****' ...... •• 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 2S6? P 162 761932 KATHLEEN N. MALSH ' WARRANTY DE1Eb REGISTER OF DEEDS ST. CROIK CO. , NI RECEIVED FOR RECORD This Deed, made between John Vang and Jennifer Vang, husband and wife, Grantors, and Thomas R Larsen and 85~e7~2084 81:88Pli Margaret A. Larsen, husband and wife, as survivorship marital 1TARRANTY DEED property, Grantees. Grantors for a valuable consideration, convey EXERT t to Grantees the following described real estate in St. Croix County, REC FEE: ii. 00 State of Wisconsin (the "Property"): TRAAS FEE: 1740.08 COPY FEE: CC FEE: PAGES: 1 The South One-halfofthe Southeast Quarter (S1/2 of SE1/4) and the Southeast Quarter of the Southwest Quarter (SE114 of SWl/4), all in Section 32, Township 29 North, Range 16 West, subject to any and all easements and road right of ways of record. RETURN TO: Scenic Title 220 Locust St Hudson, WI 54016 Parcel No. 002- 081-30-000; 002-1080-90-000 and -1081-20-000 Together arith all applntenant rights, title and interests. This is homestead perty.1 Grantor warcazlts that the title to the Property is good, indefeasible in fee #i~le and easements, restrictions and covenants of record 11 of encumbrances except Dated this ~ day of /I/~~r / , 2004. AUTHENTICATION Signatures of John Vang and Jennifer Vang authenticated this day of .2004. .., I Jennifer V s AC'IQNOWLEDGMENT TfIT,E: MEMBER OF STATE BAR OF WISCONSIN STATE OF WISCONSIN) (If not, ~~ ~// /~ )ss. authorized by §706.06, Wis. Slats.) St-~):X ~b.,nt~y ) THIS INSTRUMENT WAS DRAF'T'ED BY Personally came before me this 3~day of ~r1ny 2004. The above named John Vang and James R. Bartholomew ~ er Vang to me known to be the persons who BARTHOLOMEW LAW OFFICE, s.. Brian Scott Eckholl'T~ led the foregoing instrumem and acknowledged the 22o Locust st, Po Box 27 Notary Public e. Hudson, Wisconsin 54016 State Of Wisconsin ~~~~/ Notary Public, State of Wisconsin (Si~tatures may be authenticated or admowledged. 13dh are nd necessary) My Commission (expires): g- //- O~ +Namea ofpersoas si®siag m my cspaoity should be typed ar printed bebw their six. ~``"' ~~, BALDWIN PLAT T-29-N • R-16-W ,~ . ~. ~ ... ~ , i+ (Landownersg See Pave 11Z For Additional Names. 2Tp~ 2200 EMERALD PAGE54 2300 2400 2600 E S ~ 7678 ~ ~ a°~ M°°a" 'o N t~ ~9R h @ Ka ~ 2500 DD ~m , N ~ met a chaYl Bradley ~ RRRR es 77 F 47 w ~ ,~ Robert v7 OT1 1n HieOu:ma ara~ DOrwha a, ~3~ ° M~ ~~ ~ aFaye Kenn sz t lm L, ~, acs VeenendaR S Kanbeo 69 nine ~ ~ N OtIS Graf ~ ~ R Vl~cky Jam D as $ M M 1s p„ t},oaY 11 ~~ ooapss 160 I 146 11 155 a Gill W ~ ~ 9 b~k VanS m- Q` ~ ~ a N Lee & 40 so ~ M z ~~~ eren VanSomeren 80 w Boume~ I DoitVln Og~h SCOtt & W L ~ ~ lose- 4 Scott bane a Steven nood..s sB Trust 193 ~urtgen Maz~ ~ 154 5 PWne 0 ~ m GTcen Cerken xao~oa 6 Janet ryan Todd g ~` IS Goetz ~. - - Hoge '010' R 20 a ~' g Lorl B`Sehmtat o~ 160 ~l ~ °~ klor< a Mahn C R Raven a - - w w ~ Saari '~ m 1 3 IGtoss ~0 Graf ~ w w 11 AVE r gan 192 $,~ E 160 tanawt k {~ Rathisen •- s }~~T 30 ~g oeh,wn 35 sin t. aphyuis David w 8 >3 S 1m y m w8 ,, R 20 s~ 6 r 40 ox &S xansax xaason Sri ~ "' a Robin s 9F, g'~ ~ ~ ~i t °'d o M I3 r ~ 't0 ~~N~ as rv r efxr 53 a~ ~~ 75 seer Peril a S a Swan ~i ~ $ ~ ~ ffi nllas 8< ~ Terwry & Robest,Mlcheal, w s ~a > ~j hrlstine ,~j rry z nines 8c ~ p~ a 120 w LR io so VeenendaB 40 (~ < GCiristY M~ scat a Spy n px„~ o°ihmn% `, Vin c ro awsa ~ ~ 66 °~ Hare: so Harei 78 s U IS usxt ~ FThoresen 93 Mim~°~n ` .ao.mm. s v a 120 ~ s ~ K ~ro Ba ^ Eus<oe s ~ DonaW 8 Robert loo J8<A~nna vao~oraa Lance Douglas n ~ ~ 80 m 'RJ 160 ~ ~ ~ c wn N pDoy,r~°8ty G Fa~~ ~ ~. 63 axaw VanDamme as- Leroy& ~~~ ~i`~ >~ "'s'~° Glenn w Rust 80 Kusllek atnmc Karen a ~ ~ Mt~el Raeat y9 ~ ~ rs & Joan caax 0 137 az 160 Trust 40 ~ Esanbock V° Crystal ~ emroes~ ° $1 V Malcein a Nov Christiste u c v e Fem 80 w lr w 4 ~ a sto(sd a ioesxax Gartmann E '- ss r o h ~ "Robert °$ ~~ D bn c R 2 E 43 tT,>'°` :o w 80 r ~ Agana V Baglio u Affolter ER ~~ a David ~ n ~ s~ ~ ~ ~ $ KusRek 8 m u ~'d Raymond ~ & Joan y u D~no~ ao w 40 it , No _ p ~> 1'9 0 M & Pauline ~, Menlik $o ~ Marianna pia )oan C ~ Ronald & ss w~69 80 - 3 60 ^ 90 Henke penes .. N ~~ Q, Johnson Cmnt LauNe +~m xm.asa a,aa~ yn i,i ; sp ~ T sx>na. ea~+w ~e"s' s Wa e & aoa.n ag ~ 5 m $ ^ 95 7~tust w Montdm °A $~~~ 10~° manta ^°+ :o Ruth 110 190 314 David t`x`°'a p 1 v' ` w ao 6S Veenendall ° o "~ 00 0 ~ a eae Alvin & ~`~~~ kemox Kilo x'°"'°38 Charles 8t Bunge M~ ma o0 C _ tow, ~ Pamela as'°ea Garya oaaaa Cathie ~ 90 4 c„ zv ~ ° °8 ` z zs Peterson cnaama Simmons lsxm[r C ~ +•, ,~., ~ ~ 36 ~ 71 ~ ~ Patty David & ~gg~y ~ O ass O Is 15$ m0 s ao ~ tr3 p«n 3s ciao `~ 10 114 40 Bunge 160 p~~ao ,u~s t5~sn us tGm-! _ 83 RG 10 Panl 8c F 20 ~ ~ ~ N SS ~ s rleanor ~ e s ,^~ Dale a ray I F to V) Alma SS Mary 2 ~ 6 .°~ y t Thomas ra~.ts 10 s Lokkerme sn saeana ° ~ w ~ °~ ~ 40 e~ ao 3 gg !~*I Webb 80 10 S r s p~ o N ThnothY & Tax Vann s ~ m R 20 ~ RG to N 264 S smR ~ Bonnie ~~ p ~~ ~ rant Mora ao ~~ Roberta t.s ~ iaD N 7s ~ ~m ~ Vcenendall va a~ ii a David a 40 Shirley D 15 t[ Robest ~N n Ramat Yang 0 zD Reinhardt Nygaard xo~ ~rtrotrsY N~ $i ^ .3 2 °m ss"ic Lazo Thnoth ~ 120 z9 Udder Lee ~ Luckwaldt aoo ~ ' Inc ~ eaasax~ aao Joan ~~ C Dairy Inc < 150 ~ p ~° ~ ~o Agrcltl Inc a g S0 2 a $~ gg ) sgg3 Leonard & ~ ~ ~ A! $ rz l 196 m ss sr s s7: 80th AVE 0 3 a ~ Shirley ~'~ ~ 60 '~ ~''~ se.m a Kent& o t s tr 266 Erickson 90 x>xF Zp 36 tr Y?; as°3 ~ ~ - oo Andrew a G Bc G o o Mt~ba~ ~ 155 z 159 2 240 ~n ~ ~ Ruth Smith ., s David to ragen<, es A Meaaa Ro~uW a D a0 el 80 a+1 ° ~ ~ as Tolehon Ll,p ~ ~ .,~ M~s* g Kuen gasbag s s nahl6eq ~ 6 Janet / u o - 68 40 o m,o SmRn ao Nlceum snmamman 61 a ~~ 36 Nelson ~ 3ir eD I xwa p°q ,7 a t~7ctl x zo th AV John & e7an~- g Ma~dnae Larry a ~ ao ,m ss '~nars0 ~ a 30 I>nerlc~eth p"`° 3o a5hc6y n Hht2 rerx35 Sao 110 b'eYer: Meyers AIbrook I "'~"°° ~ ~ ~ ` john 4 $ o Q t ~ ao ~ u ~ 40 40 Inc 41 +o ~ a _135 \ g Re4 3 ~ ao 170 ~ ~ ~~ ~ a r+' & Sandra F. Luckwaldt G ra.aa 214 5 eaw .~ $ ~> ~ $ Olson D N Agrclti Inc a sae- _ e = , m r~ ' "~~' ,~ ~ rel Rabect N o 119 irOOS w a~ 1 t< eM+~aamxla xmam ~ ~~U ~~Q m~aolm ~'8 ~aaa1 Q~ 100 Ana<rwn L N waver$ t 16 a,5 99 ~^ ~ ~ Donald ge, 70th E 10 m Pm w 1 .. ,a so I.° ~° 6 TM"t 66 r, aa7 ~~~T 1 N~ 140 _ . Detmar ,M ~ y ~ ~„ c C 15 '" "m' ,°n ,y 12 y, or ~ Y Bean 197 "x m u ~ 70th AV_E Oa0 i x < BALDWIN ~ ~z ~~ ~ ~ o ~~ ~~ ~ I ~ ~ Cecelia 12 ` ' `°.m< ' - 40 30 ~ M~2 ~ f'~N1 it o, au 40 / tiiFMN xwiJ<on g r~ .i4 65TH A E ~ ~~ m~gtl eearb• `-~-~ resin Deyoung~a Bruce $ R a J-+ ~° 64 c1 4M Rams as 1 28 ~ a Dw C$ V V d~,vV~l.L Joseph ~ ~ ~ ~ Bryon, Lee ~ ~ \ rrirmn Elrod 7O / Athterhof ~ar.xouow 1 _ i s c ~m i~~s~.._ ~ son 80 '~ Strtrpphen 13 s as ymt's / / ~~ 160 `- 'vkt+C7EA- vana~ ~°a ]]ohn& '., ~~ OKeefge 72 all s o5 --. ~ "°~ m Carole g 5r pars leniffer ~ n,,aeo Shelly my@ ~~ m ~a G BB o Olsen N _ `° a° VVat~g _~ 120 >" w Schmitt 60 ~8 R e ~°~~~ ~~m 95 ~ N ~. n ~~ 60th AVE 3 sx ° ~ m saw Om n EAU GALLS PAGE 22 ~ Andy Rudesill 1962 Cty. YY Baldwin, WI 54002 Phone: 715-684-3881 Fax:715-684-2834 a t c a ~- a. ~~ ,, i • -M~ i< _ MODEL ~~ ' r.e Ie „o ,~ ,7e ~,e J7 Sao 78 ~ 71 ~ ]0 10 ~ ~ 0 18 ~ ,7 .a s ~ 7e io 0 ~©~~I~~ 0 7o eo 9o roo iro i7o tw r.o rso iso r 110 370 100 180 S80 6W rIOW PEP MWUiE 1709903 6 11/32 1 1/2" -11 1/2 NPT 2' - tl i/1 NPT (oR) Y -BNPT ~~' ~.,~ `ya G.pM, WARNING: Model 185 should not .a 9/16 . be subjected to heads less than 30 feet TDH. 1 S O s 4 uaru,;P _,, o , Control S __ election _ Listings _ SngeSeal Doubl eSea Volts h - Mode p Am s --- Simplex ~ - Duplex - CSA UL - D1 5 --- 230 1 Auto 9.8 -- -- 1 or 1 8 8 ~ Y Y - --- E185 E4185 230 1 Non 9.8 2 or 2 8 7 i 3 or 5 8 6 I Y"' Y ._ ' H185 --- 200-208 1 Auto 11.5 t _ ? 8 8 ~ r _ 1 N N ~ " 1185 ' 14185 200-208 1 Non 11.5 2 8 7 3 or 5 8 6__} N N __ __. ' F185 ' F4185 230 3 Non 7.4 486 _ _ 384or586 - -- - Y Y I - - ~ ' J185 ' 6185 ' BA185 ' J4185 ' 64185 -- 200-208 3 460 3 575 3 Non Non Non 7.5 3.7 3.3 4 8 6 4 8 6 486 3 8 4 or 5 8 6 3 8 4 or 5 8 6 ii _384or586 _ l Y Y _ Y Y Y N 186MODELS 4186MODELS Standard ail model ~ ,, n c{,~.: , n.- Control Selection _ T Listings Single Seal Double Seal Volts Ph Mode Amps Simplex Duplex CSA UL D186 --- 230 1 Auto 13.7 t or 1 8 8 N N E186 E4186 230 1 Non 13.7 2 or 2 8 7_ 3 or 5 8 6 N_ N ' F 186 F4186 230 3 Non 9.2 __ 4 8 6 3 8 4 or 5 8 6 _N N ' 6186 '64186 460 3 Non 4.6 4 8 6 3 8 4 or 5 8 6 N N 188MODELS 4188MODELS Standard all model? ~ 2~~ ft corn '' r Control Selection _Listings Single Seal Double Seal Volts Ph Mode Amps Simplex Duplex CSA UL D188 --- 230 1 Auto 13.3 _1 or 1.8_8 N Y~'~ E188 E4188 230 1 Non 13.3 2 or 2 8 7 _ _ 3_or 5 8 6 Yjz~ _ Yr'~ ' H188 --- 200-208 1 Auto 16.8 1 8 8 N N 11188 ' 14188 200-208 1 Non 16.8 2 8 7 3 or 5 8 6 N N " F188 ' F4188 230 3 Non 8.9 486 384or586 Y_ _Y ' J 188 ' J4188 200.208 3 Non 10.3 4 8 6 3 8 4 or 5 8 6 Y Y ' 6188 '64188 460 3 Non 4.6 4 & 6 3 8 4 or 5 8 6 __ _ Y_ Y _ ' BA188 -- 575 3 Non 3.5 486 384or586 Y N 189MODELS 4189MODELS Standard ail models • u ft. corn - 2 H.P. Control Selection Listings Single Seal Double Seal Volts Ph Mode Amps Simplex Duplex _ CSA UL n D189 - 230 1 Auto 17.1 1 or 18 8 - --- ---- N - Y'i -- a E189 P1 E4189 230 1 Non 17.1 2 8 7 I tt 3 or 5 8 6 Y't l Y" --- ' H189 - 200-208 1 Auto 20.5 1 1 8 8 C N N ' 1189 '14189 200.208 1 Non 20.5 2.8 7 __ 3 or 5 8 6 _ __ N i _N ' F189 ' F4189 230 3 Non 11.2 486_ 384or586___ ,_Y_ Y. ' J189 ' J4t89 Z00-ZOB 3 Non 13.2 486 384or586 Y Y ' 6189 '64189 460 3 Non 6.0 486 384or586 _Y Y ' BAt89 575 3 Non 5.8 486 384or586 Y N a WD189 ' WD4189 230 1 Auto 17.1 2 or 2 8 8 N N 191 MODEL Standard all mod~r ^!! n. ;: r~r:a it %. Control Selection Listings SiSingleSeal Double Seal Volts Ph Mode Amps Simplex Duplex _ CS_A_ UL E191 230 1 Non 14.5 2or287 3or586 N N I I ".'".' r d _ ~ 1~ 8 3/4 6 1/2 -~•~ i zo ~/is '~I-180 Series _'-,~ ~#uECmatic Design ,: `::`~~Ifeight 82-89 lbs. SELECTION GUIDE SKf4T3 1. Integral float operated 2-pole mechanical switch, no external control required. 2. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 3. Mechanical alternator M-Pak 10-0072 or 10-0075. Refer to FM0495 4. Simplex three phase control panel. Refer to FM1228. 5. See FM0712 for correct model of Electrical Alternator. 6. Variable level conrol switch 10-0225 used as control activator, specify simplex (3) float or duplex (3) or (4) float system. G CAUTION _...,.__.,.,,.,r a ca~uuis, protection devices and wiring should be done by a qualHied _.._ ,~, rec. zalandsatetycodesshoutdbefotlowedincludingfhemoat ,_.. _,,,~ ,~ C,oc~ee (NEC) arrd the Occupational Safety and Health Ad (OSHA). , I V ' ble ' NoMoldedpiug ForlnformahononaddttronalZoellerproductsrefertocataogonPulgybadt ana (1) uL Listed unit availame with 20 Amp plug. Level Float Switches, FM0477; Electrical A@emator, FM0486; Mechanical Altert~- (2) CSA Approval without plug cap. tor, FM0495; SumplSewage Basins, FM0487; Simplex Pump Control, FM1596; (3) 20 Amp Outlet, p/N 70-0060 must be used. Alaim Systems, FM0732; and DisconnecflRafl Systems, FM0787. R~~~: L. _" ~rY~V~I~,'~:. I.JC~it,~i4 For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. © Copyright 1999 Zoeller Co. All rights reserved. r- ctv ~'~ I~GL f-~ ~--. ~y~ a I /~ ~1 1/2' -11 1/2 NPT 7 - 11 1/2 NPT (OR) S NPT