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HomeMy WebLinkAbout002-1083-90-075St. Croix County Planning and Zoning Detail Sanitary Information Mondap, Juue 25, 2007 at 9:46:24 AM Page 1 of 1 Computer #: 002-1083-90-075 Sub/Plat: NA Section: 33 Parcel #: 33.29.16.486D20 Lot: 1 TN/RNG: T29N R16W Municipality: Baldwin, Town of CSM: Vol. 18 Pg. 4716 1/4 1/4: NW 1/4 NW 1/4 Owner: Haller, Laurie 677 230th Street Baldwin, WI 54002 State Permit: 453266 Issued: 06/03/2004 POWTS Dispersal: Mound 24" or more suitable soi Permit: New County Permit: 0 Installed: 06/30/2004 POWTS Detail: NA Bedrooms: 3 POWTS Pretreatment: NA WI Fund: Pi cstes Issuer/Inspector As Built Plumber Other Requirements Additional Notes Not determined >4/1/00 -Not Required Stang, Joe Emily Lund (contra Siyr,e~; iltf: Yes i4laintenar~ce Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 6/30/2007 Money Owed $0.00 Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPE"OTION r2EPORT GENERAL INFORMATION (ATTACH O PERMIT) Personal information you provide maybe used for secondary purposes !Privacy Law, s.15.04 f11(m)1. Permit Holder's Name: City Village X Township Haller, Laurie Baldwin Townshi CST BM Elev: Insp. BM Elev: BM Description: r~o.~ '~Ztt~vc. ~- mi TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic J ~ ~~~^ . l ~( Dosing ~ ~ ` O J Aeration Holding TANK SETBACK INFORMATION ~~'~Q ~ IOU ~l l~r TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic - 7 0~ ~ U ~ 4~ ~ ~ / .r Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer GPM Model Number ~ ~~ ~ ~/~ TDH Lift ~ Friction Los ~ System Head /~ ~F TDH ~' ` ~~ Forcemain LNgt~O ,. Dia. ,,,. / Dist. to Well ~ 3~ SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. CroiX Sanitary Permit No: 453266 0 State Plan ID No: Parcel Tax No: 002-1083-90-000 Section/Town/Range/Map No: 33.29.16. STATION BS HI FS ELEV. Benchmark m 3.-~~ o :7t~ Ibb.b Alt. BM Bldg. Sewer ~/ i't S SUHt Inlet .0~ SUHt Outlet --_.. Dt Inlet ,,,~ Dt Bottom 13.1 90. Co Header/Man. • f Q(! Dist. Pipe 2 r`{b Ol.2 Bot. System 3 ,1 D ~~ ~ Final Grade ~•~ IO~~,+ St Cover ~ ~ - 3 Lf, ~ O I ~l~l/ ` `~~ d ! `~, a BED/TRENCH Width ~ Length ~ No. f Trenches T DIMENSI No. Dia 'd Depth DIMENSIONS ~ h SETBACK SYSTEM TO P/L BLDG WELL KE/STREAM ACHIN a turer. INFORMATION CHA OR Type Of System: {,(,(~ r ~ ~~ ~ ~ C~ ~ NIT ode! er. ~~~ DISTRIBUTION SYSTEM /'~:~". NY, " Header/Manifold y' ~ I DistributionQG i // 1~ t Pipe(s) ~ x Hole Size tf 1~ x Hole Spacing y Vent to Air Intake Length~_Dia b 0 Spacing ~ Length ~ Dia 8 ~~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of p xx Seeded/Sodded xx Mulched Bed/Trench Center Bedlrrench Edges Topsoil -l Yes ~ No es ~ No Di~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~/~~•L Inspection #2:~J /~/~ Location: 677 230th Street Baldwin, WI 54002 (NW 1/4 NW 1/4 33 T29N R16W) A Lot 1 Parcel No: 33.29.16. C' ~'"` 1.) Aft SM Description =~ (dlXit ~~~~tir r ~~ ~ ~~ 2.) Bldg sewer length = Z ~ tt$~~n ~ p~"^'-n.e~ ~~ l~J d~5~~ - amount of cover = 1{ ~ r~ ~7~u,...,~h.2., Plan revision Re wired? ~ ~L f-L~ Use other side for additional nformatioh. No Ir ~ ~ ~ I ~~~ ~~ ___ __ ~. ' _ _.--- _- --~~ - _~_ -~- - - - -, Date In Actor's Signature C . No. SBD-6710 (R.3/97) Deman Safety at4d Buildings Division County~~ /Ir nom l ,C 201 W. Washington Ave.. P.O. [3ox 7162 ' ~ ` ~ Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) ,SCO~~, (608) 266-3151 -/ ~~ Z Department of Commerce Sanitary Permit Application ~~/ ~ State Plan I.D. Number f ~ o ~ S,` ~, ?V~ s . l ~ Code perso 21 Adm ~ 7 Wis In accord with Comm 83 , , . . . may be used for secondary purposes Arivac I CROIX ~ NTY Project Address (if different than ma lin address) ~ ST. / .-1 ~ ~ ~ }, ~~ U ont (P 1. Application Information -Please Print All Info erty Owner's Name ~ w~D Pa~el # Block # Property Owners Mailing Addres n0 recur a approval date approval shall be Property Location ,_ Jar Gam' YYl%~ ~ (!` ~ ~ ~ `G ~ null end void ~ ~ ~~ y,, ~, Section , State City Z ip Code Phone Number // / wlll) ~t! r I (~ ~ ~ L ~~~~G 2~ // 7' ~~ N; R! `~(cir ole~ h ll th t l k f di a app y) ng (c ec a Buil II. Type o ~ j ~3~~ ~ ~~~ ~~ Subdivision Name CSMNumber ^~ or 2 Family Dwelling -Number of Bedrooms V _ ^ ~ ~5~2 / b / 4 ^ Public/Commercial -Describe Use /1 ,., ~ ^ State Owned -Describe Use ~I 5~ ~~L S ~ r `' ^Gity_^Village o shi of ~ ~ III. Type o -Permit: (Check only one box on line A. Complete line B if applicable) A. New System ^ Replacement System ^ TreannendHolding Tank Replacement Only ^ Other Modification to Existing System B. ^ Permit Renewal ^ Permit Revision - ^ Change of - ^ Permit Transfer to New L+st Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Tv e oi'I'OWTS S stem: Che ail that a I ^ Non -Pressurized In-Ground Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pi ^ Other (explain) V. Dis ersal/TreatmentRrea Information: ~ Design Flow (gpd) Design Soil Applicatio Rate(gpds Dispersal Area Req 'red (sf) ispersal Area PrLp/used (sf) Sys 'm Elevation 0, ~3 ~ ~'~ 5~~ fCTd ~ ~ l~ ~ U ~'~'S`~ ~ ~ 7 G 0' p S .a i VI. Tank Into Capacity in Gallons Total Gallons Number of Units Manufacturer Prefab Concrete Site Constricted Steel Fiber Glass Plastic New Existing Tanks Tanks Septic or Holding Tank //'~ / V 1 I . L Se% /~ Aerobic Treatment Unit "I /q V 1/" ~~ Dosing Chamber ~ t ' ~/ VII. Responsibility Statement- I, the unde gned, assume o ibility for installation of the POWTS shown on the attached plans. Plumber's Nam „(Print) Plu is Signature MPRS Number Business Phone Nu bcr Plumber's Address (Street, ,State, Zip ode)/ p ~~6 tt.3' ~ a d ~, I C ~' ~' ~~ ~~'~ V111. unt ~/Dc artment Use Onl roved ^ Disa roved Sanitary Permit Fee (includes Groundwater Date Issued Issuin A nt Signatu ( o tamps) pp pp Surcharge Fee) ~. ~ ~ ~r ~ 2 3 O 4 ^ Ovwier Given Reason for Denial IX. Conditions of Approval/Rpacnns fnr nc~ royal 3 ~G~~S !/!ti s~ `S/~ sYST owrv~l~: : ~G -~ uo - l~l~ C ~ ? ~~O e ~ w. ~- r,~ 1 Septic tank, a u~ rand ~., ~ ZQ /~~ ~F ~ dispersal call must all be serviced /maintainer as per management plan provided by plumber. `~ (' p-y~,-, ~, ~ °j . S-Z ~, , . 2. All setback requirements must be maintained as per applicable code/ordinances. Attach complete plans (to the CouBry only) for s~l'a~r ~u..~ .. o ~ ,..........~~ ... 3 ~' /!!r" V' ~~ \~~`, l ~b ~fJ SBD-6398 (R. 01/03) 85-~nS~~~ble r -ForPO~TS : + ~~oPoSFc~ -'V~ou.nol at /9.1o7.,r /OG.~D, (+~ S'X 9~ I ~i SPE'(~.S RI C e /I Tf.JC- C~ __ /Q~~LS of IY2 x 88, siS'~/ Y~ "o~i~ cis S~Oa Ceo( of 3. GLS' (30 0~; F'ccs~laveia/~ SOi ~ Q[~QIUrZ-gC ~ ~~ 1d E le./c.- ~icr~ I tl SC4/C: /u ~~o~~~ecr ~.J;ese~ ~,.~I,c.ek~/c,c0-r+1R Com G,:,at; ~.-~ $l p-E.-c. -tw„('/l~u.n/o Chia..-, b• S . T. o c~ct, /e t meet 83 ~~ p aF1'z'' R/. c' P%Pe . Assu~,t.d e.fe~ _ ~~ c~' b ~ ~ ~~ p ~ ~ . ~~ [ v ~' J d ~` L .V ~ /'- PrO~OS ec,~ ~ ~l vj/,/ -il L ° `'n o o. ~s~.yoRd.e. 2"sue,. Flo p,d,~. ~a~a~.e .~~Ma:n ~ manhll/c p~++~~o ~r;.,a. 98. ~'4 ____ '_' ' B~ /~.SO'Gory6ocu~^ v.~ ~.~ a ~~' ¢r P~opoS C wee. Kiev:. /o3.X~, ~rwb COpy ~, ~? d~'9 fro p o s ~~ ___-_______. (vla' Ca-ume-/~~ 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. commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary May 25, 2004 CUST ID No.223475 JOE STANG STANG PLUMBING & ELECTRIC PO BOX 263 WOODVILLE WI 54028 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/25/2006 SITE: Scott Luby & Laurie Haller 230th Street Town of Baldwin St Croix County NWl/4, NW1/4, S33, T29N, R16W Identification Numbers Transaction ID No. 1002568 Site ID No. 665712 Please refer to both identification numbers, above, in all comes ondence with the a enc . FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 959064 Maintenance required; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); 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 ali 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 approved plans, the "Mound Component Manual for POWTS -Version 2.0" SBD-10691-P(N.O1/O1). • The pressure network is to be constructed in accordance with publications SBD-10706-P(NO1/O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems -Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS • 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 I S feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil \I / compaction in this area is prohibited. y(• A state approved effluent filter is required Maintenance information must be Qiven 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(71- A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized reRresentatives of the Department, which may include local ins ecp tors. ~ a.~,~ ~...~ ~. Cand~t~a~r~a~~y • JOE STANG Page 2 5/25/04 Owner Responsibilities: • 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 T cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 s MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Scott Luby & Laurie Haller 3 bedroom residential mound Owner's Name: Scott Luby & Laurie Haller Owner's Address: P.O. Box 103 Woodville, WI 54028 Legal Description: NW1/4NW1/4, Sec. 33, T.29N., R.16W. Township: Baldwin County: St. Croix Subdivision Name: Proposed CSM Lot Number: Proposed lot Block Number: NA Parcel I.D. Number: prt. Of 020-1083-90-000 Plan Transaction No.: Page 1 Index and title Page 2 Data entry CEIVED Page 3 Mound drawings RE Page 4 Lateral and dose tank MAY 1 8 2004 Page 5 System maintenance specifications Page 6 Management and contingency plan SAFETY & BLDGS DIV. Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Joe Stan License Number: 223475 Date: 04/ /04 ~ ~ , Phone Number: 715-684-5166 Signature: ~~ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.0 (03/01/01) DEPARTMENT OF COMMERCE Page 1 of 9 V{SiDN ~ fETY AND BUILDINGS SEE CORRE ONDENCE Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 7.00 Site Slope (%) 99.75 Contour Line Elevation (ft) 26.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpolftZ)/ Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information ~~ ~ E ~~ (c or e) a Center or End Manifold 2.50 Lateral Spacing (ft) 2 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 95.00 Forcemain Length (ft) 90.00 Pump Tank Elevation (ft) 6.50 System Head (ft) x 1.3 f~s 10.08 Vertical Lift (ft), 1.29 Friction Losssft) (.2~ 17.87 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Treatment Tank Information WLP 1000 Se tic Tank Capacity (gal) Wieser Concrete. Manufacturer Dose Tank Information 602.82 Dose Tank Capacity (gal) 11.82 Dose Tank Volume (gal/in) Wieser W1000/600-M Manufacturer Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 5.00 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation (ft of the highest point. 7.50 ft2/orifice Does the forcemain drain back? Y Enter Y or N 15.50 Forcemain Drainback (gal) 81.16 5x Void Volume (gal) 96.65 Minimum Dose Volume (gal) 24.72 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) 602.82 Total Tank Capacity (gal) 51.00 Total Working Liquid Depth (in) 11.82 gal/in (enter result in cell 649) Effluent Filter Information Zabel ~ Filter Manufacturer A100 J Filter Model Number Project: Scott Luby & Laurie Haller 3 bedroom residential mound Page 2 of 9 Mound Plan View 1 1110 B • ~ observation Pipe 'Q' • .~'~' K ti•ti•ti•ti •.•; .ti ti ti •.•• ~• ~ti~~ ~•.~• ~• ~• • ~• ~•.•ti•• •.~ti~ti~•.-ti~•• •••~ ~• ti~ti S ti•ti~'L •'••'L.....•.. S.• .•.• •. ti~,. •.. • •: :~;{.r r; ~ •r.r.t•r•r• ~~ ~ ~~: r;r; ~~ r:r:r~ ~~ ~ • :'r: ;: r' ;:•;: . r:'r:'~i .~:fti.':.':l:f~j: .~~' :r: :f: :ref: :f: %:: :f~r~.,}f. :f. B• - .r.; . ~. L Mound Component Dimensions A ~ 5.00 ft E 14.20 in B 90.00 ft ~~` F 9.50 i n D 10.OOin~ G 0.50ft Dispersal Cell ~ti;rr~~ ti 450.00 (ft2) Dispersal Cell Area 1295.89 (ftz) Basal Area Available 5.00 (gpd/ft) Linear Loading Rate 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.38 (ft) - ,.rri r,... G ~ H ~ .frrr~irrrr 2 rrrrrrrr... rrirrr r r r fr Z -~ ........... _.:. rr.. 101.08 F Dispersal Cell (ft) Lateral 100.58 (ft)--- - Invert Dispersal Cell ~ ; ~ ~ ~' ~ ~ ~ .. Elevation E ~ ~ D ~ ; ~; .. ...• .. .• .. . .~ .. . . ... . . .~ .....~~ .~ . .. . .,. ...... .. . .. .....~. ...... . . .. ... .. ... .. _v_~.~ v. .v .1 ~+~1'ti.u'1 Pti,''+_ +C -_ '~1.~+.t~.!~ ti~ ~_ 7.0 % Site Slope Shading Key 1^ ®Topsoil Cap Q 'r"r Subsoil Cap • ~ : ASTM C33 Sand Tilled Layer ^5 i:r:}: Aggregate ~ ~'. o .a 1.5 ft ~ o R~ a 0.5 ft 0 ~ ~ H 1.OOft K 8.40ft z 9.40 ft L 106.80 ft J 5.27ft W 19.67ft ..;• ,` :•:. • ::::,: ti .~, ::,: Lateral ;;f: *---- A 99.75 (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of F laterals. Laterals are I equally spaced from the distribution cell's centerline in the distribution cell (Ax6). -, -+ _fi _l Project: Scott Luby & Laurie Haller 3 bedroom residential mound Page 3 of 9 End Connection Lateral Layout Diagram htvralscontQredo~erthvA&Bdimension ®=Turn-upv.f ballvalvaorclasnoutplug e P -- All laterals are Identical If- x-~I Holes drilled on the bottom of the lateral ~ equally spaced Force main connection via tee or cross to manifold at any poin[. Laterals & force mam of PvC Sch 40 (per COMM Table 84.30.5) Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.05 ft Lateral Length (P) 88.45 ft Orifices per Lateral 30 Lateral Spacing (S) 2.50 ft Orifice Density 7.50 ft2/orifice Lateral Flow Rate 12.36 gpm Manifold Length 2.50 ft System Flow Rate 24.72 gpm Manifold Diameter 1.50 in Total Dynamic Head 17.87 ft Forcemain Velocity 2.52 ft/sec Dose Tank Information Locking cover with. warning label and locking device and sealed watertight Electrical as per NEC 300 and -~- Comm 16.28 WAC Disc onnect Q in. min. - _ \ y - ~~ Tank component is properly vented Wieser Concrete. Ca acit 602.82 Volume 11.82 Manufacturer Gallons gal/inch A _B C D Dimension Inches Gallons A 8 So 36.87 B 2.00 23.64 c 8.so t oo.v D 12.00 141.84 Total 51.00 602.82 3" Bedding under tank. Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Zoeller _ _~ Pump Model Number 98 -`.__ f Pump Must Deliver 24.72 gpm at 17.87 ft TDH F-- Alternate outlet location Forcemain diameter ~I 2 in. Weep hole or anti- siphon device P~ ump off elevation (fi) 91.00 Dom se tank elevation (ft) 90.00 Project: Scott Luby & Laurie Haller 3 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Stand Plbg. & Electric Phone~715-684-5166 - _ _ _. POWTS Regulator's Name St. Croix Co. Zoning ~ Phone; 715-386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size Estimated Flow -Average 300 gpd Maximum BODS Septic Tank Capacity WLP 1000 gal Maximum TSS Soil Absorption Component Size 450 ft2 Maximum FOG Type of Wastewater Domestic Maximum Fecal Coliform Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound 1/8 in 220 mg/L 150 mg/L 30 mg/L >10E4 cfu/100 mL Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 years Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. Alf gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished .,~~~~........ ............... Grade \ , 6-8" Diameter Lawn ~/' . . ~ . ~ Threaded Cleanout Sprinkler Valve Box ~ ~ ~ ~ ~ ~ Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Scott Luby & Laurie Haller 3 bedroom residential mound Page 5 of 9 N M HEAD/CAPACII"Y CURlJE TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT ANO D[WATERINO i 9e 17r~159 161 1~ ,~ ,~ I~ Irsa laa ~ Gd 'Lra Gd. "11r1 GN .Ctrl G Lrr V Lt4.. t,IL 4r1' Oal ll'>t Gd L 12 71 u >7 72 ' 27J 61 2JI" 45 t 70 :b 98.. I U 7J/ 106 '.501. 7U >:'0 IW 970 6r 347 91 Ja4 96 IJ6 1212-^7-^10-~ 9 JJ I 71 '26^J-I }- a ]i I p' y I 6 271 ~ 61 Yd 1,. a ~7t7 tl0 227 ~ L. 727.E-W-~ 221 ~-O 2161 E.p 22] 6i - ~.~}^ 68 2y0 6b 220 68 :220 bB %:2FG Y4. (id Lt1. 156 6B7 166 5Q7 IN 60J Ibl '672 142 f.17 Ia5 '4~9 1]0 616 IW ~6JJ 126 fH IJJ 6N _ ~ 66 21E ' ^ Lt x : 58 ?37 +vJ Jf0 6Y ~~20 131 166 127 ;. tb l _ _ 16 1 )/ 21 ` E0 k 1'2 CS 2CA ~ l s 61 f Dl ~ ~b7.1 JJ IOI ----^t---~- 16 '7e7 ba 31 D .7d (7E 68 27A 68 220 66 ~ ?2Q 106 787 I11 ~.ul W ~ 411 100 1.779 71 ~ 26D 66 ~~3,Z' . _. -t _.-__ - ~ _~.,. >7 1-_) {. 11 6J I 0 ". 7d 67 .1 PI {5 ..170 61 ': I W )0 hSL 26 '..106 61 .201 _ _ 72 :121 7: '6 77 11C - 7 .~ ~ x ~' ~' ~' ~' 9 T »' I t s 91 u 1 EFFLUENT & WATERING Warning; Mod 186 should not be subjected to less than 30 feet H. Note: For ead Capacity on Model 112, industrial column xplosion proof pump, see FM 219. SEWAGE & D-EWATERING WARNING: Mo jel 293 should not be subjected to less than 15 feet TDH. 2 2: 2f 18 18 11 12 10 6 6 1 2 0 GAL LITERS 0 E k ~ TOTAL DYNAMIC HEAD/CAPACIi"Y PER MINUTE 75 ~ SEWAGE AND pEWATt RItIG 70 8ERIE8 67 266_ 267 266 262 2b1 - 797 297 791 95 FT. M al. Llre. Gal. Liri. Gai. Ug. Gal. L_ I_rc~ Gal. Llro. I;aL Lln. Gal, Urs. GU. Lus. GaL Un Gu Urs. 65 S 1.52 90 3J1 128 4B4 128 4B4 IYB 4B4 170 492 18p E31 IJO 570 19d 717 225 B52 10 7.05 60 227 9 371 89 377 a9 377 85 360 :58 598 12/ 469 iBl 685 205 776 IS 1.57 22.5 BS IB9 SO IB9 50 IB9 63 236 _ i35St1 ~~06 aUt 170 a92 165 625 IBS 700 80 ZO 8. 10 7B tU 3B 10 38 37 125 :06 J01 BB 7:17 119 450 - 150 568 16d 636 25 7 2 __ 76 288 6B 257 106 401 t76 SIS -- 1S, S¢n ~ -- _ _ a7 167 ~47 17B 90 340 121 158 141 530 10 12.79 t 5.24 5 t 9 50 189 - --- 91 756 I L^ 175 ~ _.. 58 220 BS 377 18.29 0 21.3J __ _ ~- -.. ' 17 /8 Sv 123 45 Lock Vllve 18' ICS' ?I, ' ?1,5 _ 26 _ ~5 12 5U• 62. 2^_ 95 .7 - _ __ _ _ 40 - I 35 i -t 30 293 - - ~ 26 20 16 262 - -- t 10 j 292 - ~ S ~ 262 266, 261, 266 i ~ 284 294 295 - CONS 10 20 30 4Q7 50 60 70 80 90 10 I I I 0 110 120 190 140 150 160 170 160 190 2C0 210 220 230 ~ _ _--._-1 _ I I i bu ; 160 240 320 400 4au 560 640 I r---~--- r -- 720 60U BBO ^ Ilkf\~ . ?Q.~9 85 -c~nS~ ~ >~b/e .F"orPO~TS .. ~ ® 5oi / eda/u~z-Eic •~ ~`~ ~ropo5tc~ n~ou..-id at j9.G7X /OG.~O, W/ 5"x 90" ol,"sPE'r3a/Ce/% 7`c~JC- <.~ /Q~~s a~ ryz x 88, ys'e.a~ !% "or?~ c~,r ~ Sca /e : / U Spa eed of 3. CAS' (30 o~iF; ces~/aL`ei`~/~ ~~o~»ec/ r,J;eser t.Jl,ciJO~(,CO-rr1(~ C.omb,%>a~.'ti-, St P~E.c-tw„C~puMPLlia..-rb~~. S.T oc.~t/et ~O 5~eet - 8~ 0 0 x'1'2'' R /, c' P; pe . Assu.n.cd e.ler~ _ /~ c~' i0 r'' `i3d p ~~~ ___ \ B3 ~'~=~~ ` ~,~~ _ ~. v ~ ~ Q ~ ~ W Z n ~ `~ P~o~osec+' vJe~~ 01 v ~-~ L L ~ O o. ~"s~.slo a.~e. buy l~inq See..e)er F,~~~~ 2''Sol,.~oP.JC. ~a~atr! •~olY~M4;n J -L`h~o~,,yyti ma.~ hXlc p u->,~ ~r;~~. 98. ~~ B f ~ .._. __ .__._ ~ - ____ _ _ ivo. so' co~bo~r^ -I J~~~- ,~-o p o s e.d a C tvlo'CaStme,;n~ ~`oPoS~ A(~.. ~. ~.: rta~ l ~ ~ ~ 8 "(3~~ ~kl~ -tree. EI e~ . /03. ~, ~ ./~' ?'re%hrc~b ~ ~. ~ o~~ This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.Ot/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. 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 fitter 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 fitter 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 shall be approved for septic tank use by the Department of Commerce. Pumo 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. ound and Pressure Distribution Svste No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. , Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L GODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this Installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes wtthin the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surtace, tt will be repaired or replaced in its' present location by increasing basal area if tce leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Scott Luby & Laurie Haller 3 bedroom residential mound Page 6 of 9 ST CROIX COUNTY SEPTIC TANK MAINrEbTA.NCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address ~ ~, ~~ ~~~ ~~/i//~~W~ ~`f~-Z~ Property Address (Verification required from Planning Department for new City/State w~G l~ ~ ; r ~ ~ f ~ • ~ Parcel Identification Number ~ 2 ~ ~ 3 ~ ~ ~~~~ TION ~~ LEGAL DESCRIP Properly Location r! ~ -'/., /'j t.J `/<, Sec. 3 3 . T_~N-R~,_W, Town of ~ ~~~ ~- Subdivision .Lot # ~_. Certified Survey Map # ~ ~~~ ~- ~ O ,Volume ~ ° ..Page # Lr? ~ Warranty Deed # ? ~ ~ f `~ ~ ,Volume ~ 5 ~ Page # _ j~_ Spec house ^ yes no Lot lines identifiable ~s ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years .or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. ent a certification form, signed by the owner and by a The property owner agrees to submit to St. Croix Zoning Departm mastCrplumber, journeymaaplumber, restrietedplumber or a licensedpumperverifying 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 act forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Crouc County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APP ANT OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. the property descn'bed a ve, b virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT X s /~~ld ~/ DATE I (we) am (are) the owner(s) of X 5 /a~ DATE ****** Any information that is mis-represented may result in the sanitary pemut 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 ., VYrn Departrnent of Commerce D ~ Safety ami 8u~dirtgs SOIL EVALUATION REPORT in ~rmrtanrs~ with [`fxnm RS Wi4t Adm. Cede 1698 Page 2 of 3 A.C.E. Soil 8 Site Evaluations ~~ Attach complete site plan on paper not less than 8'F x 11 inches in size. Phan must St. CroDC include, but rat (Knifed to: vertical arxf tarizontal reference point (BM), cirec6on and Parcel I D percent sbpe, scale or dmemsions, north arrow, and bcation and distance to nearest road. _~_..~r._-...___._,.~., . . 020-1083-90-000 Please print r,f~ ll i""~~.~ ~~ ~ ~ R ,. Date Persaral irdarmetion 1'~ P ~Y ~ ~ ~~Y f~Ao'~s (~~Y Law, s.1~ .04 (1} (m)}. (O ?> 6 Property Owner t , ; ;-~ operiy Location Michael Halter + .lot N1N 1/4 fJW 1/4 S 33 T 24 N R 26 W Properly Owner's fUfdlring Address ,~ i. > 4 J ~ 4 i ,; # BloCl(# SUbd. Name Of CSNt# 667 230th St. ,~ ~'~r F ~;l - Proposed CSM City Stale Zip Code Ptrone Number ;,~ City ~] Y~age Town Nearest Road Baldwin ~ WI 54002 715-684-2416 Baldwin 230Th Ave. >/~ New Co->struction ~~ Residential / Number of bedrooms 3 Code derived design flow rate Replacerrter~ ~ Public or cornrt~rcial -Describe: Parent materi~ G{acial drift Fkrod plain elevation. if applicable General Comments and rela>riur~ndatiorrs: Instal{ mound system at elev. 99.59' at 10" above 99.75' contour. 4S0 GPD nor goring # -] Boring Pit Ground Surface elev. 95.78 ft. pepth to limiting factor 40" ~• Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stnrcture Corrs~terice Boundary Roofs C~ Dlf~ in. AAunsef! Qu. Sz. Cont. Cobr Gr. Sz. Sh. `Eff//1 'Eff#2 1 0-9 10yr'3/3 none sil 2fcr mutt as 2f,1m 0.5 0.8 2 9-21 10yr5l4 none sil Zfsbk mfr a 1fm 0.5 0.8 3 21-40 7.5yr4/6 none gr sl 2msbk mfr cw 1f 0.5 0.9 4 40-56 10yr4/4 f2d 7.5yr5/8 sl 1 csbk mfi - - 0.4 0.6 ~s ft J ~~ Pit Grcrucxf Surface elev. 98.45 ft. p~ to gm~ng factor 34" in. Sol! Application Rate Horizcxr Depth Domirrarit Color Redox Description Texture Structure Corisisterae Boundary Roots C>~ DItP in. Munsell Qu. Sz. Cori. Cobr Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0-8 10yr3/3 none si! 2fcr mutt as 2f,1 m 0.5 0.8 2 8-20 10yr4/4 none sl 2isbk mfr cs 1fm 0.5 0.8 3 20-28 10yr5/4 none gr sl 2msbk mfr cw 1f 0.5 0.9 4 28-34 7.5yr4/8 none Ifs 1 csbk mfr gw - 0.4 0.6 5 34-40 7.5yr416 f2d 7.5yr5/8 fs 1 csbk mfr gw - 0.4 0.6 6 40-60 7.5yr4/6 f2d 7.5yr5/8 fsl 1 csbk mfi gw - 0.4 0.6 7 60.56 10yr4/4 n sd Om mfi - - 0.0 0.0 * Etfkrerrt ~1 = BOD ~ 30 <_ 220 mglt and TSS > < 150 nrglL * E = BOD < 3p mg/L end TSS <_30 mg/L CST Name (Please Print) Sig CST Number James K. Thompson 3802 Address A.C.E. Sod 8~ Ske Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, Wf 54020 7232003 715-248-7767 property C+vmer Mk1~ Half Parcel -D # b20=1083A0-000 Page 2 of 3 ~~ # Pi~~ Ground Surtace elev. 99.85 ft. Depth to limiting factor 26" in. Soil Application Rate Horizon Depth in. Dominant Color Mansell Redox Description Qu. Sz. Cont. Cobr Texture Structure Gr. Sz. Sh. Consistence Bourxtary Roots 'Eff#1 'Eff#2 1 0-8 10yr3/3 none sil 2fcr mvfr as 2f,1m 0.5 0.8 2 8-18 10yr4/4 none sl 2msbk mfr es 1fm 0.5 0.9 3 18-26 7.5yr4/6 none grsl 2msbk mfr cull 1f 0.5 0.9 4 26-47 10yr4/4 f2d 7.5yr5/8 sl 1 csbk mfi - - 0.4 0.6 ~~ # ~ Bonng Pit Ground Surface elev. 97.50 ft. Depth to limiting factor 32" in. ~ Apples {~ Horizon Depth in. Dominant Cobr MunseA Redox Description Qu. Sz. Cont. Color Texture Stnx;ture Gr. Sz. Sh. Consistence Boundary Rao *Eff#1 `Effitr2 1 0-9 10yr3/3 none sil Zfcr mvfr as 2f,1m 0.5 0.8 2 9-16 10yr5/4 none sl 2msbk mfr cs 1fm 0.5 0.9 3 16-32 7.5yr4/6 none gr sl 2msbk mfr cw 1f 0.5 0.9 4 32-52 7.5yr4/6 m2d 7.5yr5/8 sl 1 csbk mfi - - 0.4 0.6 o ~~ # ~ ~~ J Pit Ground Surface elev. ft. Depth to limiting factor in. Sail Application Rate Horizon De th Dominant Cokx Redmc Descr~tion Texhue Stnxture Consistence Bound~y Roots p in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. *Etf#1 "Eff#2 * Effluent #1 = t30D ~ 30 < 220 mg(L and TSS >30 < 150 rr-g!L ~O ~ Sheet B: * Effhiertt #2 =GODS <30 trglL and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. d~ Ma~_ i5. 2004 r~.OBP'M THE F,~,LL CREEK KOtAE llC ~, ~ _~, Pto.4468 F. 2/6 c .ice L°~ ~tLt~~e~.~~r~~ ~~~~:~~~a~ti1ti ti3~~s ~~t~~ :~r~n~wo~~ ~~~~~ t~~~~-,ti-~!~~ l~ U 2561P 026 S"I'A'I'E BAR OF WISCONSIN FORM 2 - 2000 WARRANTY DEED Document Number This Deed, made between Michael Haller, a single person-_ _- Grantor, and Scott Luby, a single person, and La_u_rie_A. Haller, a single person , as joint tenants and not_ as tenants-in-common Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum:) Part of the Northwest Quarter of the Northwest Quarter (NW 1/4 of NW 1/4) of Section Thirty-three (33), Township Twenty-nine (29) North, Range Sixteen (16) West, Town of Baldwin, more particularly described as follows: Lot 1 of Certit-ied Survey Map filed March 22, 2004, in Volume 18 of Certified Survey Maps, at Page 4716, as Document No. 757260, office of the Register of Deeds for St. Croix County, Wisconsin. TOGETHER WITH AND SUBJECT TO an easement for ingress and egress from and to 230th Street over and across said Northwest Quarter of the Northwest Quarter (NW 1/4 of NW 1/4) of Section Thirty-three (33), Township Twenty-nine (29).North, Range Sixteen (16) West as shown on said Certified Survey Map. Exceptions to warrantees: Easements and restrictions of record. Dated this 23rd day of _ April __ , 2004 * _ * AUTHENTICATION Signature(s) authenticated this day of __ -76 1 1 r+4 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO.~ WI RECEIVED FOR RECORD 04/30/2004 10:00AM 41ARRANTY DEED EXEt4GT # REC FEE: 11.00 TRANS FEE: 9.00 COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Addro'~,, Thomas A. McCorma~~. PO Box 2120 _:.,; , Baldwin WI 54002.;.• `~,T~~." 0_02-1083-90~ ~'' - ~_ Parcel Identitic ton Number (PIN) This is not homestead property. (~~ (is not) - ~~ * Michael Haller ACKNOWLEDGMENT ` STATE OF WISCONSIN ) ~ ss. St. Croix County ) Personally.came before me this 23rd day of _ April ____ 2004 the above named Michael Ilaller __ _ -~. ~.~.~ - ;-~. TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the pe on Hvh$exec ,t 'e ~reg(bin If not, ~ ~ Q~'0 "Ju.; 1' . ( instrument arr acknowl dg tttte sesrne,; ~,. . ~ . _ authorized by § 706.06, Wis. Stats.) - - r -' .~a` O `'' d • .~ ~'~ ~ THIS INSTRUMENT WAS DRAFTED BY * Thomas A. M rmacl~ ~ ~'~`: ~ ~„~~___~. Thomas A. McCormack Notary Public, State of WISCOI~ISIN ~ _, ~' 4. Baldwin, WI54002 My Commission is permanent. (I t,~state e~k i tton date; ,) (Signatures may be authenticated or acknowledged. 13o1h are not necessary.) --------------- ~ ~- ~ -t .._ * Names ot'persons signing in any capacity must be typed or printed below their signature. SPATE IiAR OF WISCONSIN INFO-PRO (800)655-2021 wwW.infoproforms.com WARRANTY nEEn Foli~I No.2 -2000 t ~....;w' t ~•..1 7'~~~64~ VOL18 PAGE 4716 KATAL~EEH H. Y71ZSA`~- REGISTER OF DEEDS ST. CROIX CQ.. YiI RECEIVED FOR RECORD . 03/22/2004 03:30P?f CERTIFIED SURVEY MAP CERTIFIED SURVEY HAP REC' FEE : 13.00 COPY FEE: 3.00 PAGES: 2 Michael Haiier• Located in part of the Northwest '/4 of the Northwest %, o f Section 33, Township 29 North, Range 16 Wesl, Town of Baldwin, ~" St. Croix County, Wisconsin, ~~ - ..~~. " {_~. NORTHWEST CORNER ~ " - SECTION 33, T 29 N. R 16 W "/' (FOUND "P.K."NAIL'S ~ `a'" S7. CROIX COUNTY BEARINGS ARE REFERENCED TO THE WEST LINE OF THE Rlannina ZOnin~ and Parka Cnmm~t-tr ~ ~ NORTHWEST 1/4 OF SECTION 33, I I ~ I T 29 N, R 18 W, ASSUMED AS MAR 2 2 2004 ~ W SOt°59'28"E I N ~ UJVPLATTED LANDS !trot rc~: inn wl11~~n JU delys of 6~ °; approval d:~te approval tZhrll bra o SCALE IN FEET 1" =100' n,a!! send vniA ~ I ~ I N 89°44'S1" E 220.1C". I i ., 197.46' `~' 22.64, 50 i) 50 1 0 133' ~ 33' I I I I a 100' 1 I ~I z ~. ~„ ~! ~ ~ z I NI ~ x LQT__1 ~! 3 ~ ~ o ~I I NnTE: "71iis Agrieultura! zoned parcel is created pursuant to Section !7.14(1)(6), St. Croix County 'Zoning Ordinance. The proposed house o~"eunaney must be in compliance -vith this section." "No additional platted lots may take access via the 6b' wide easement unless alt structures conform to applicable setbacks and county road standards are achieved." G.~RTIEI~P ~ ~i 0 ~ LEGEND I S~~Y~Y ~P W ~ ~ ~ i I ~ ~, ~ 0 1 O INDICATES 1-i/4" O.D. x 18' IRON PIPE SET (MIN. WT. -1.13 LB./L.F.) (1~~ 1~ ~Q~ ~°„ I I ~ z LOTS 1 D SOIL BORINGS {PROPOSED SEPTIC SYSTEM) .. I ~ ~ SECT/ON CORNER MONUMENT (AS NOTED) 5 GE 41 pA ' ~° I ~ I f CON GAINS 128,907 SQ. FT. 959 AC I OR -"-' INDICATES FE~'UCELINE . , _ . . ,~ I i Z (118,547 SQ. FT. OR 2.722 AC. OWNER'S ADDRESS I- --+- EXCLUDING RIGNT OF WAY) 667 230Tr1 STREET I 1 WOODVILLE, WI 54028 I 1 ~, ~° Q. I I 1 ~~ i ~ ~I w DATED: NOVEMBER T, 2003 W; • I ~; I ~ Q• ~ UJi REVISED: DECEMBER 1, 2003 ' ~' JANUARY 14, 2004 vim,; . 100' I I ° g I.QT__~ I _; • a., ' z. _ O; I ! I , I ~; `SGONS~~ •.e•e•• .. ~ ~ - -I. • ^-- `• ~ LAURENC ~ I ~ ~ 1 W e ; MU • I 33' ~33' .;16.36' ,. • • '3 ''~` ~ NVILLE s.sq' ,: ~ ELD w~. ,~ Nr ~ ( , 3 4° 149, W S 89°49'09" W 114,32' ' w " ~ ~ FR • • .... • • ° JQ' 30.00 I t ;, o v~ d: ` ~ ~ y ~~ LA NO ` - I $ Z x -- 5 89°49'09" W 207.84' - -' ~ 66' o - - ~ -"`l" -b-- -~ ' SOUTH LtN _ _ 1/¢NW1/4 _ _ _ - I ^ EAST R/N~' LINE PRLU.~INAY I=A~MENT 230TH ST'YEET ' I I~ VQ4QMEa.2~~~, Pq~E 480_ I I W UIUPL.4TTED LANDS (FOR ACCESS TO LOT 1) UIVPLAT_T_ED LANDS I ?~ •. 1 eJ WEST 1/4 CORNER UNPLATTED LANDS ~ SECTION 33, T 29 N, R 16 W (FOUND 2"IRON PIPE) THIS INSTRUMENT DRAFTED BYJERALD L. CARSON SHEET 1 OF 2 `t 9 r t .! s CERTIFIED SURVEY MAP Michael Haller Located in parl of the northwest `/4 of the Northwest `,•a of Section 33, Township 29 North, Range 16 West, Town of Baldwin, St. Crvix County, Wisconsin. Desc~[-iptior~ _ - - That certain parcel of land located in part of the Northwest '/ of the Northwest ''~af,~f Section 33, Township 29 North, Range 16 West, Town of Baldwin, S :. Croix County, Wisconsin, more fulljicscribed as follows: -..,,; Commencing at the Northwest corner of sari Section 33; thence S 01 °S9'2~",E; (assumed bearing on the West line of the Northwest'/4 of said Sectio ~), a distance of 65$.52' to the Point of Beginning of the parcel to be herein described; thence N 89°44'41" E, ;:20.10'; thence S 01°S9'26" E, 592.78'; thence S 89°49'09" W, 114.32'; thence N 74°11'49" W, 79.54'; the lice S 88°00'34" W, 30.00' to a point on said West line of the Northwest'/4; thence along said West line, l`i O1°S9'26" W, 571.53' to the Point of Beginning, containing 128,907 square feet or 2.959 acres, being su eject to an~easement for town roadway purposes over the ti~rsteriy portion of said parcel ?ss S11i)ivii tail 3'~.i:> ~,~.:1, .;n::; ::11 ;;~::~• -~~~~`=z~'= is aizCl rt:~vtriLtiOr_s ©f secvi'd. State of Wisconsin) County of Fierce} 1, Laurence'1A~. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, Michael Haller, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter -- 23.6:34 of WisconsirrStuttnes anzl the Or~in.a~~~~5 n1'St: Ci=oix C-o~uity ari~I"that Phis map and description ate a true and correct representation thereof Dated: Navember 7, 2003. 1.fC1TF; Foci? parce! sltc~.'~'~ an this map is s~al~ject'a State, Cot~nt~J; and To~vtlship laws, rules encl. regulations (i.e. wetiarids, minimtun lot size, access to parcel, etc.). Before p~grchasitig or developing any parcel, contact the St. Croix County Zaninb Office and the `Coven of Baldwin. ~,SGONS~~ ••+•°°°a°• / ° ° e LAUR E°• • MURPHY 7r i ~ 17'r 3 ~ 'A / ° • ELDENVILLE,+~ ~ • WI. ; 0 1~ • ° ° ~ F °°OO°s°•°° JQJ -~+,Na 5 THIS INSTRUMENT DRAFTED BY JERALD L. CARSON ~ 01 18 Page 4 i 16 SHEET 2 OF 2