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HomeMy WebLinkAbout004-1032-30-300_ _ _ _ ,. "" aVisconsinyepartmen..ofCommerce PRIVATE SEWAGE SYSTEM Safety and B:~ilding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO ~`cRIVIIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Miller, John Cad Townshi :ST BM Elev: Insp. BM Elev: BM Des ription: ~ ~ r~„~ ~-~~ ~ od .a -~~. sC -~ IArvn trvrut<mHl lurv TYPE MANUFACTURER CAPACITY Septic I ~ /D ~ ,l Dosing (~ ~ _ (~.~ ~ ~'9 r"~ V o / (o ~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic 7~e ~,Ar [~c~.~ ~~ t ,-._ Dosing ~ 75v _ ~~ I .~ _ Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ ~ Demand ¢i- p GPM Model Number ~ 1J 1 r-f C~ a>~-~ TDH Lift Friction Loss System Head TDH Ft Forcemain Leng th Dia. ~u Dist. to Well ~/ SOIL ABSORPTION SYSTEM BED/TRENCH Width Length DIMENSIONS ~) C~Z~ Of Trenches CLCVAI IVrv UAIA county: St. Croix Sanitary Permit No: 453395 0 State Plan ID No: Parcel Tax No: ~ y 1032-30-300 ~49 Section/Town/Range/Map No: 14.28.15.127A30 STATION BS HI Z. FS ELEV. Benchmark 3~`?.~ /a3.ty l~~• Z! Alt. B ~~ ~1'~./ ~'6~h ~~ I. S ~• Bldg. S wer Z.1~ ~j ~Qd S Htl t r /o s~/ Yo i ~ 2 ~/ St/Ht Outlet -. ftm. Dt Inlet v Dt Bottom Iti Q.~ / oZ ~ I rr /J'~ U ~~ Header/Man. .3.y idr•~ Dist. Pipe ~ ~ ( I UZ-Z7 Bot. System ~/,~ .O D r - p Final Grade St Cover ~'Y~,~jtitll;. ~.~~ ~~ i Qe. S Grti,~-t- -~' wa.r ~ 3. SOY 9 9, L 7 'i5_~l• 5.7_~ ios.t~ ~t~r•7 PIT DIMENSIONS No. Of Rits Inside Dia. Lg~Depth SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING rivufacturer. INFORMATION CHAMBER OR Type~~yst~i ~ >~ y~ ~ 7/C~ ~ ~ j~ UNIT Model Number. DISTRIBUTION SYSTEM r Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake ( q Length, Dia Pipe(s),~// // r I/ j LengthK' Lf ~ Dia ) 7 Gpacing~, 3 r l Z~ ~,~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes ] No [~ Yes f?I No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/~Q/~ Inspection #2:~/ U Location: 3115 CTY HWY N Unknown (NW 1/4 NW 1/4 14 T28N R15W) NA Lot 3 ~ ` Parcel No: 14.28 15.'12 1.) Alt BM Description = ~d'TJ'Ta v r2- I,TN e 2.) Bldg sewer length = i ~l ~~-~~ ~r ef{ Lr a~ ,r1 ~-•,~. _. ~_ ~.c ~~~ ~~~, ~(/ - amount of cover = ~~ ~' / 3.) Contour = 7 - -~-- Plan revision Required? f . Yes i No I Use other side for additional informati ~ ~1_ Cert. No. SBD-6710 (R.3/97) r ~ N ~ W E 5 scus MILLER SITE PLAN ' 0 25 50 e.unwew.amaame, ww~a eEac~+ wac~rsu a~ao s0~ t~ytEa ,ESro~oF srx~~wwasrsreMa WETOMER 4 22t91D J.. ~30' - 4" ASTM PVC BUILDING SEVYIvR LINE HUFFCUTT MODEL '1000/600 SEPTIGIPUMP TANK (wlappmv®d outlet filter) 170' - Z" SCH 40 PVC FQRCEMAIN (must drain back to pump tank) I BUILDING SEWER MUST COMPLY I ~ WITH COMM 82.35 WAC (11)(C) ~ j LOCATION OF WELL MUST COMPLY j I WITH WDNR CHS. NR 811 & 812 1 4...,.~---------.._.,.,.....J LEGENp 9 BENCHMARK ELEVATION =100.0'W ~ _ ~ (elevation Q base of flagged fenceposts) 1 o LOCATION OF SOIL BORING(S) i !: ~ LOCATION OF SOIL PIT(S) I ~ NO APPARENT COMM 83,43 5ETBACK& ~ ~ DESCRIBED LOCATION QF LOT LINE 1 ~ LOCATiON of RIGHT-OF WAY I 9 CENTERLINE OF DESGRIBEp ROAD 1 ~~ ~Q i~J ~ ~~ 7 ~Ola~ ~` X 6.0' l~pCE CELL WITHIN A MOUND COMPONENT NW-NW1a26.15W GAY T0INNSHIp ST. CROIX COUNTI'. WI Pe-RCaL CESCwBEO AS ~o Ac. PLACE UPSLQPE EDGE OF ROCK ,O~IC~E FLAGGED 99.9' CONTOUR RAGE 3 OF 9 H031 03J 9E9LEZL5ZL Ib=90 b00Z/06/90 fL"'LZ'~.LLCCq j ~I"„ j PROPOSED L ~ IL..I BLDG SITE ~u IL_L_t_I...I....l..~..lTll `~ 4' ~~ Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 ST CROIX isconsin Madison, WI X3707 - 7162 Sanitary Permit Number (to be filled in by Co.) (6r~gj 266-3151 ~-~ Department of Commerce Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ,,, ~ ~~ ~ ~J_~ = r F+'tN~ • /p•~ may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address} ..~~, _.~_..__~...~......~ , ~ I. Application Information -Please Print All Information ~ I ~ ~ ~ ~ ~,~` .~ 311 S CTY i~ Y - N Pro ert ame Parcel # Lot # Block # ::~ ~'" ~a„~ i `' LOUD N NA roperty Owner's Mat mg ess Property cation 3125 CTH N ,, ~~ ,'~>: ~ ~.~~ ~~~ City, State Zip Code Ph~n~tlt I ~ ~ : ~ `~- -ST' NW'/a, NW'/a, S 14, T 28 N R 15 W WILSON, WI 54027 ~="-~ `m` II. Type of Building (check all that apply) 4~ t ` / 1 or 2 Family Dwelling -Number of Bedrooms 3 s c~ C3, e CSM Number S ~ ~ P bli /C i l D ib U A ` / , ~ *~o~Z S3T c ommerc a - escr o u e se Q V i ty o il l age ~ Township of ~ Y O n. -,,n i ` ~~ ~ ~~ ~~ ~~ ~~ __ ~~ nn ~ GtJ o State Owned -Describe Use Cet U ~C~l tnoae0~o•atS ~ y III. Type of Permit: (Check only one box on line A. Compete line B if ap licable) ~p _. la'3 _ :app • /2~A ...3p A. / New System o Replacement o Treatment/Holding Tank Replacement Only o Other Modification to Existing System System g, o Permit o Permit Revision o Change of o Petmit Transfer to List Previous Permit Number and Date Issued Renewal Plumber New Owner Before Ex iration ~ IV. T e of POWTS S stem: Check all that a 1 ~- X O Non -Pressurized In-Ground ~ Mound ? 24 in. of suitable soil O Mound < 24 in. of suitable soil O At-Grade O Single Pass Sand Filter o Constructed Wetland o Pressurized In-Grouted O Holding Tank O Peat Filter O Aerobic Treatment Unit O Recirculating Sand Filter o Recirculating Synthetic Media Filter O Leaching Chamber O Drip Line o Gravel-less Pipe O Other (explain i ~ t, V. Dis ersal/Treatment Area Information: - Design Flow (gpd) Design Soil Application Rate(gpdsf} Dispersal Area Required (sf) Dispersal Area Propos st) System Elevation 450 0.5 450/900 480/1160 100.40' VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units ~/~Q ~^,/~ Concrete Constructed Glass New Existing 1 t~ ' " Tanks Tanks ~ IC s Septic or Holding Tank 1000 1000 1 HUFFCUTT X Aerobic Treatment Unit Dosing Chamber 600 600 1 HUFFCUTT X VII. Responsibility Statement- 1, the undersigned, assum esponsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu ature MP/MPRS Number Business Phone Number GLEN PELKE 5956 715-835-ti099 OR (CELL) 495-4325 Plumber's Address (Street, City, State, Zip ode) 835 RIVERSIDE - MONDOVI, WI 54755 VIII. Count /De artment Use Onl pproved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Iss ing ent Signature (No amps) Surcharge Fee) ^ Owner Given Reason for Denial 3 ~ ~' IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x I1 inches in size ,a~ RRI~-(39R (R. ~1 /~31 ~, ,~,' ~ commerce.wi.gov i ^ ~scons~n Department of Commerce Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264-8777 ' ~ www.commercestate.wi.us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary July 08, 2004 CUST ID No.5952 GLEN PELKE PLBG HTG & WELL DRILLING INC 835 RIVERSIDE AVE MONDOVI WI 54755 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/08/2006 SITE: John Miller County N Town of Cady St Croix County NW1/4, SW1/4, S14, T28N, R15W Identification Numbers Transaction ID No. 1014575 Site ID No. 685581 Please refer to both identification numbers, above, in all correspondence with the agency. FOR: Description: Mound System for John Miller Object Type: POWTS Component Manual, Regulated Object ID No.: 965768 Maintenance required; 450 GPD Flow rate; System(s): EZflow Mound Component Manual, (N.6/03), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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 condition 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 the EZFLOW Mound Component Manual (June 6, 2003). A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. • ~ ' GLEN PELKE PLBG HTG & WELL DRILLING INC Page 2 7/8/04 a ~„ ~ ' 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, Fee Required $ 175.00 ~ Fee Received $ 175.00 Balance Due $ 0,00 Keith A Wilkinson POWTS Plan Reviewer ,Integrated Services WiSMART code: 7633 (715) 524-3630, Fax: (715) 524-3633 , M-f 7 am - 3:45 pm kwilkinson@commerce. state. wi.us cc: Leroy G Jansky, Wastewater Specialist (715) 726-2544 w i . ~ pp m-4 ~? ~r ~ {i . i.,~ y... ~... ., r ~~~. "~ ~ ry ~ t Sh C ~ . ~ ~~ ee over ,~ ~ ~~ ~~ LA ......... ... ... . _, QI~iSSOitd OF SN'rE:iY AED L:ii.Ji~tGS JOHN MILLER ~i~E COF:RESPONDENCE 3125 CTH N -WILSON, W154027 MOUND COMPONENT ~ ~ ~~ ~~ , Reference Component Manuals Pressure Distribution Component Manual SBD-1070&P (N.01/01) -version 2.0 Ring Industrial Group -EZflow Mound Component Manual Job Location: CTH N NW'/., NW'/4, Sec. 14 T 28 N, R 15 W Town: CADY County: ST CROIX Designer's name and license #: William J. Bergh (License No. 1577-007) 1 the undersigned state that these plans were designed and submitted under my authority`. Designer's signature: Designer's address: 2667113 et Chippewa Falls, WI 54729 Designer's phone number: Contents 715-723-5555 voice 715-723-7535 fax 715-577-6838 cellular soiltestina a(~.charter.net email Page 1-cover sheet Page 2- system calculations Page 3-site plan Page 4- cross section of EZflow mound component Page 5- plan view of EZflow mound component & distribution lateral schematics Page 6- septic & pump chamber schematics Page 7- pump curve Page 8-maintenancelmanagement & contingency plan Page 9- maintenancelmanagement & contingency plan ~ECE1~D JUN 2 2 2004 SAFE 8~ gLDGS.. DIV. ~, S~!V ~~~WILLIAM J~ 9` `~ o ~. BERGH Z Qi '~ ~S/ANA` Q~~~. Page 1 of 9 ,, ~~ SYSTEM CALCULATIONS USING HUP~CUTT COMBINATION TANK residential dwelling with total of 3 bdrm calculated at 450 gpd design wastewater flow LLR (linear loading rate) 5,6 galldaylft dLR (design/soil loading rate) 0.5 gaUsgft/day 900.0 effective basal area depth to limiting factor 33 inches system area cross slope -5% percent forcemain length 170 feet using 2 inch -SCH 40 PVC manifold and/or header length 3.0 feet using 2 inch -SCH 4p PVC forcemain volume 27.7 g311ons length of each lateral "3W - ~ ~I6:60A feet using - 1 112 inch - SCH 40 PVC total number of laterals 4 invert elevation 100.90' (bottom of lateral). orifice diameter o.1B75=sr~s tenths~nches 100.40' system elevation distance between orifices 24 inches or 2.00 feet total orifices per lateral Zee ~r total prificeS all laterals ~ ~ © lateral volume (each lateral) 3,68 gallons 13.86 lateral discharge rate system discharge rate 56.8 gallons calculated at 3.25 distal pressure x 1.3 ft. vertical lift 10.0 fact friction loss in the forcemain 9.8 feet calculated at 56.8 gallmin discharge rate TDH (total dynamic head) 23.1 feet minimum pump discharge 86,8 gpm at 23.1 TDH (total dynamic head) pump manufacturer ZOEL.LER model number 140 estimated total dose volume 101.3 gallons 76.6 actual dose (total-forcemain) primp tank mcxiPl 600 achial tank size 627 gallons septic tank model 1000 actual tank size 1029 gallons manufacturer of tank(s) Huffcatt pump float on/off measurement 7.0 inches alarm float from bottom of tank 19.0 inches ~"~ Page 2 of 9 H031 039 9E9lEZl9t! Tb~90 b00Z/0E/90 ,. ~, N ~ W E 5 SCALE 4 25 50 aw~esb,anm~c~ WILLIMI J. 9ERGN WI5g0ta5PI Cr:N71FkC 50141'FS1ER PES~GNER OF EuGI~giNG 6Y51EA1B CUETOMEF q 717819 ~~ ~~ ~3Q' - 4" ASTM PVC BUILDING SEVIIER LINE MILLER SITE KLAN fL"~"1_"I.~ t= L C C q 11~.. l PROPOSED UL"„ u It_I BLDG SITE L.-u ~LL~~...i...t...t...l.rLl HUFFCU7T MODEL '!0001600 SEP7IGIPUMP TANK (w/approv®d outlet filter) 170' ~ 2" SCH 40 PVC FgRCEMAIN ,~ (must drain back to pump tank) I QUILpING SEWER MUST COMPLY I ~ WITH COMM 82.35 WAC (11)(C) ~ j LOCATION OF WELL MUST COMPLY j I WITH WDNR CHS. Nh 811 & 812 I LEGENp j ~ BENCHMARK ELEVATION =100.0'W (elevation Q base of flagged fsnceposts) i ~ o LOCATION OF SOIL BORING(S) I I I -. LocaTioN o~ solL PIT~s~ I * NO APPARENT COMM 83.43 SETBACKS I ~ DESCRIBED LOCATION QF LOT LINE i i ® LOCATION OF RIGHT-OF-WAY I ~ Q CENTERLINE OF DESCRIBEp ROAD ~ NW-NW1~-28~t5W CAGY TOWNSHIP 5T. CROIx COUNTY. WI PARCEL OESCRIBEO AS 70 AC. PLACE UPSLOPE EDGE OF ROCK ~~ FLAi GED 99.i"CONTOUR ~'"_ ~~ ~~ ~, ~~ -i 3 ~~~, - v ~~ ~~Da ~~ flag ~$' X 6.0' CELL WITHIN A MOUND COMPONENT PA6~ 3 OF 9 _~' Ha31 03J 9E5LEZL5LL tb~90 b00Zl0E/90 • '~ EZFLOW MOUND COMPONENT CROSS SECTION (typical) 4" OBSERVATION PIPE DISTRIBUTION CELL DISTRIBUTION LATERAL(S) INVERT ELEVATION = 100.9' s~ CAP 6" 9.2" ELEVATION = 99.9' ~~_ ~ ASTM C-33 fill material PLOWED/TILLED AREA .3' >12" SOIL TO PROMOTE SUITABLE PLANT GROWTH SYNTHETIC MATERIAL >1z^ UNDISTURBED SOIL & VEGITATION 6„ • ~ 2~~ 8' 6" EZ1203H (10' length size - 30 sq. ft per product) ~ ~ ~ CUBIC YARDS OF SAND ~55 SYSTEM AREA SLOPE ~5% SYSTEM AREA LONGITUDINAL (long axis) SLOPE NA ALL MATERIAL & PIPING SPECIFICATIONS AS PER THE EZflow MOUND & PRESSURE DISTRIBUTION COMPONENT MANUALS DRAWING NOT TO SCALE PAGE 4 OF 9 PLAN VIEW OF' E~flow hdIOUN~D'COMPONENT (typical) '~ Afi piping & material specifications per the FZflow Mound $ Pressurl° Component Manuals ~/i ; EFFECTIVE BASAL AREA I ~~"-"I I DISTRIBUTION GELS ~ / / , ~.~ ~ ~ ~ ~ F.2flow COMPONENTS DISTRIBUTION LATERAL (typical} * All discharge orifices are located per the EZflow Mound Component~Manual ~6„ ~ (~ i--~~ final grade _I ~~ ahcceSSEboxP 1 112" DISTRIBUTION LATERAL 2" FORCEMAIN/MANIFOLD ~~"-+-w2 last orifice(s) are located 12" from end of cell final grade <s' threaded cap access box --~ x- I I-x Discharge orifice diameter 3116" = 0.1875 Number of orifces per lateral ~` Total number of orifices (all laterals} ,,86~ ~~' ~v ~ tDRAWING IS NOT TO SCALE) H031 039 X12 spacing 12" X spacing 24" PAGE50F9 9E9LEZL9LL Tb~90 b00ZI0E/90 Distribution laterals terminate at the end of the distribution cell ~ Arcess bex revering threarlerJ plug at the end of each distirbution lateral ." ., COMBINATION S~P71C'fANItIPUMP CHAMBER X-SECTION (DRAWING NOT TO SCALE) MANHOLE RISER & COVER 18" min. FINAL GRADE {per COMM 84.2 (7) ~ (8)} (slope ground surface awayfrom / ~ manhole(s) for proper drainage) \ BUILDING FEWER {per COMM 82.30 (11)) ELECTRICAL & ALARM SUPPLY (electric 8 slartn veiing mull be installed on s`eparele clrrults) ELECTRICAL r ~uNCnoN eox `-II ~ MANFIOLE L MANHGLC MANHOLE F. •y ProDe~Y seat9d ' BOTTOM OF INLET (Invert elevation) ~ •~ (WaStblNar81'18VB1)--~-- -- ~' r/.fir/....U//r/////,~./rrr.~, i/'//r/i/.~~ ~/iii///till f ~,//~/iiir /j/~r,rr~~,, /////.•r j/CAAAC~Trr////////r/ ///////// ~/ .`. • ///!l!///////r/!///////r/!ir/~ ~ t///i ~1// . ,, Jrrrr~/i//////J/,/ ••• •/i. ~ ~ ~•^ ALARM FLOAT / O ON FLOAT d` INLET PIPE I FILTERED B ' (tee or4atfle) APPROVED EFFLUENT FILTER ': EFFLUENT OFF FLOAT REQUIRED ON OUTLET A elev 90.9' .. MINIMUM OF 3" OF SUITABLE BEDDING BENEATH TANK PurupPAD EFFLUENT FILTER ZABEL Q-100 ~'" Tank Manufacturer HUFFCUTT Septic/Pump tank model 10001600 Alarm manufacturer S.J. ELECTRO "* Alarm model number HW 101 '* Type of float switch MERCIIftY ** (total dose vGiume • vulun'te of furcatimain) Effluent pump manufacturer ~OELLER Effluent pump model number 140 Minimum pump discharge rate (GPM) 56.8 Vertical lift (purnp uff lu distribution lateral) 10.0' system head (distal pressure K 1.3 feet 3.25 Friction loss in the forcemain -.g,g Total dynamic head. (TON) -23.1 W ' ~~~~ ~K~ *~ OR EQUIVALENT COMPONENT DWF (daily wastewater flow) 450 GPp Number of daily doses ~5.9 (bINF 1 actual dose volume} Forcemain volume 27.7 Actual dose volume (gallons) 76,81 PUMP TANK CAPACITIES Reserve above alarm 21 inches = 313.53 gallons Alarm float above on float 2 inches = 29.86 gallons (C) On10ff float measurement 7 inches = 104.51 gallons (B) Off above bottom of tank 12 inches = 179.16 gallons (A) PUMP CHAMBER bIMENSIONS Lcngth 43.0" Width 70.0" Liquid depth 42.0" Gallons per inch 14.93 PAGE60F'9 9E9LEZL9TL Zb~90 b00Zl0EI90 H031 03~J ~ ~ ss is ~ 14 45 PUMP PERFORMANCE CURVE MODEL 14014140 12 40 140.4140 ° = 10 ~ g i 30 ° 9 25 0 6 20 15 4 10 2 5 0 10 20 30 40 50 60 70 80 9t GALLONS LITERS ~ gT0 160 240 320 TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 140/4140 feet Meters Gal. LI[ers 5 1.5 88 326 10 3.1 80 303 15 4.6 73 276 20 6.1 66 250 25 7.6 59 223 30 9.1 49 185 35 10.7 38 144 40 12.2 28 106 45 13.7 17 64 Shutaft Head: 50 tt.(15.2m) 070&108 FLOW PER MINUTE 070940A fl.` A~T£~R~ ~ ~'~~IAL A~PL!CATlQNS • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Mechanical alternators, for duplex systems, are available with or without alarms. • Control alarm systems are availablefor 1 phase pumps used in simplexsystem. See FM0732. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are availablefor variable level long cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Refer to FM0806 for applications above 130°F (54°C). l ;J Series - ~:~ :Ns. ~=ii Series - t3 ibs. 140!4140 MODELS Control Selection Model Model Volts-Ph Mode Amps Simplex Duplex N140 N4140 115 1 Non 12.0 1 or 2 3 E140 E4140 230 1 Non 6.0 1 or 2 3 BN140 BN4140 115 1 Non 12.0 -- BE140 BE4140 230 1 Non 6.0 * --- *Single piggyback switch included. 5ingis Seat C3es'sg»' Weight 43 ths. . . i- ~ ~~ -- - -_-._. i_ --~_- -yam 1 1~ ,: .- '~ ' l ~~- :r ~` I , ~ - _ _. -~ ,---__.r,T-_ ,~ - .. ~, . .. .: I i I__i.._. . :.. 1'` .._- J__._._-_ .. y ..,.__ ____Z. SK1524A ~, yi i I , ,. ~. ~ ' -tea ` ~_~_ _ .. - ~ - -'~'. ~s e ~ ;~_ `~-;-- I~ '~ ~. - ~_ _-, } . _ fi :, *-T , - SK75248 SELECT,G3N GUIDE 1. For automatic use single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM1228 for correct model of simplex control panel. 3. See FM0712 for correct model of duplex control panel. O CAUTION A! i4ls:ailatiun s3 colttrc~ds, l3ru€eeficlt tle~ic~:a anc€ airlr,~ shcu[d 6e d0ae try a qua€i:Pe:i iicanard ales?risizn. All e?ac:rlcat and safety codes should be fo#iutved i9eluding?ae ~r:OSi reeen; tdaflona's EEec#ric Co~3e (NEC} algid TSte OccuPatianal Safety and Neaki~ Act {OSiIA. R~S~1~ Pt~~V~Rl~D d~~~N For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ~]~~~~j~~ MAIL TO: P.O. BOX 16347 ~iJ its 1iJW ® Louwsville, KY 40256-0347 Manufacturersol. . 0 SNIP T0: 3649 Cana Run Road s Louisville, KY 40211-1961 Qu4urr Pua~ae S,vcE /939 http://www.zoeller.com P~/Y/P CO (~~ FAX(502) 773624 PUMP ® Copyright 2002 Zoeller Co. All rights reserved. POWTS OWNER'S MANUAL MANAGEMENT PLAN PERMIT NUMBER: Owner: POWTS Maintainer: Local Regulatory Authority: POWTS Installer Septage Servicing Operator JOHN MILLER - CTH N Geo Tech Soil & Site Evaluation -Chippewa Falls, WI 715-723-5555 St. Croix County Zoning Department -Hudson , WI 715-386-4680 Glen Pelke Plumbing - Mondovi, WI 715-835-6099 DESIGN PARAMETERS InfluenUEffluent quality (values typical for domestic (non-commercial wastewater and septic tank effluent) Fats, Oii and greases (FOG) <30 mg/L, Biochemical Oxygen Demand (BOD) <220 mg/L, Total Suspended Solids (TSS) <150 mg/L. Soil loading rate (SLR) = 0.5 SYSTEM SPECIFICATIONS The components of this septic system are intended to serve athree-bedroom (450-GPD) single-family residence. The components include: a Huffcutt model 1000/600 septiclpump tank with approved outlet filter and a Zoeller effluent pump, alarm & controls and a 75.0' x 6.0' distribution cell within a mound POWTS component. All components must comply with WI Adm. Code COMM 84 and be installed per manufacturers specifications and approval letters. DESIGN CRITERIA o SBD -10572-P (R.6/99) "Mound Component Manual" o SBD -10691-P (N.01101) "Mound Component Manual" Version 2.0 / EZFLOW MOUND COMPONENT MANUAL o SBD -10570-P (R.6199) "At-Grade Component Manual Using Pressure Distribution" o SBD -10567-P (R.6/99) "In Ground Absorption Component Manual' o SBD -10705-P (N.01l01) "In Ground soil Absorption Component Manual" Version 2.0 / SBD -10573-P (R.6l99) "Pressure Distribution Component Manual" o SBD -10706-P (N.01101) "Pressure Distribution Component Manual" Version 2.0 MAINTENANCE & MANAGEMENT Inspect the condition of the treatment tank(s) and dispersal cell(s) a minimum of every three years. The septic tank contents must be removed in accordance with Chapter NR 113, WI Adm. Code when the combined sludge and scum equals one-third (1/3) the tank volume. The effluent filter(s), effluent pump, controls & alarm and distribution lateral(s) should be inspected annually to ensure maximum performance. Lateral inspection/maintenance should include flushing of the laterals and pressure testing. STARTUP For new construction prior to use of the POWTS check treatment tank(s) for presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage-servicing operator prior to use. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of wastewater will affect the performance and Longevity of your POWTS. The installation of water-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also, the brine or waste from water softeners, iron removal units, and other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. The system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetabieffruit peels and seeds, bones, and food solids such as those produced be a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins, condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics (medications), solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain regular steady flow by spreading the laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the unit may cause it to freeze up. o Valves Valves should be operated in the following manner Alarms Alarms should be tested on a regular basis by the homeowner. If an alarm sounds, contact an individual licensed to serve POWTS. There is normally a one day reserve capacity under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surface discharge. Page 8 of 9 INSPECTIONS Inspections shall be made by a person carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule) Septic Tank Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks of leaks, measure the volume of combined sludge and scum and to check for any backup or surface discharge of effluent. Access openings used for service of assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental of unauthorized entry into the tank. The outlet(effluent) fitter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank during cleaning. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating properly. Pump Chamber/Treatment Tank(s) Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must me made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of. / Mound, At-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Additionally, due to the excessive slopes, the tce of the component must be inspected a minimum of once annually for seepage. Refer to the "reports" section of this agreement for filing requirements. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned incompliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe opening sealed. - The contents of all tanks and pits shall be removed and properly disposed of be a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other 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(s), 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. o A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. o 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 ofsuch systems must comply with the rules in effect at that time. WARNING SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER ASEPTIC, PUMP OF OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAYBE DIFFICULT OR IMPOSSIBLE. Page 9 of 9 ~~.,~_ t651)771~4081+2 ,,ay 04 `04 O$: 33a S I EBER PR I MT I MG ~ _ 1316 • ~ UATiON REPORT Page 1~°r.. ~ - ~~d Shc Tastlnp Wncx>naMt d prvlsbtt d BiNty snd BUI~ in sc ttAh Comm tiS• Ni4s. Advt. Code St. Croix Atucb aontpNM+~ or^on p~ not Isa tnw ex x tt tndne to sa..,t~ nwN ~, t.o. incMdt, taut not IYhiNd 1~ tntttlat ~ ~~d,y~la,noered ~oe~ Dot ~Ipp, ttaM or dinMnalo~a. Data p~~ pant aN Intonnaflon. R"y'~ By Pw~aal i~~ Y~ p~ ^'~ e~ uce0 br,.oona.Y vK~ t~~ tsa, s.1S,04 ti) (ml} f tlort.tol tJW1M NW1M 8 t4 ~ NR IS W M{NCr, John ft, PaViCia Lot d « srM « y s a, rip rlsi 3 Cf3AA Psndfnp 3125 C1'HW N N ~ V ~ 1•owtt Na ~ e c one r CTHW N tM 54027 715-772-3389 Cady Wilson det-gn fbw rah Constntdl0n se: ~ ResidaMial I Numbs of bedrooms ~,^. ~ Rp sta>~ PuW~ or commerdN - Osc~s=.._--. ~ Flood gain elevation, if sppileabk __ NA Parer-t material ti0 • --"'^- G.r,e~t eommaf+ts of rode w! 0.5' sand fill and ~gr~rnendstions' install 4' x t t 2.5' rode unit rtlound ~ 3 ~ on 9!I'9 tontow s5 upslape edge 1 soritto N ~ BOri"9 33 in. sd Applcatfon ~ ~ pq Ground Suthce a~• 97.8 A. Depth to IirnNin9 tdctor ~.r.-- CotaiNr+~ pominNK Color Desop~ exhn Horizon ~~ ~ Ccbr Gt Sz St-. ~ 2fhn ,5 .9 n. ~ 2 rn 9r mutt 1 p.g 7.5YR 312 - ~ ~ lftm •5 .9 i s1 3 m yr 2 3.7 7.t5YR 312 sl 1 m sbK ttwtr Cw 1f .4 .6 3 ~ 7-18 10YR a/3 lit .a .li _ s) t m stilt ittvfr ~ - 4 t8.2T 7.SYR 414 ~ ~ t{n 7 1.2 Is 1 m sbk g 27-33 7.5YR 4!a - _ 7 1,2 s 0 ;8 , ml as 6 3;).,4d ~OYR 6l6 dd 10YR 612 - - - 3 .4 ct 0 m mfr 7 4d-tl0 7.SYR 3/4 !3p 7.SYR g~8.519 1 a 9oritt~ >M ~ p~ Ground surtax .~. 97.8_ W fl. pepeh to umltlno fsdor .~ 3 . -- in. - - rue~ull t3ow~darY - EHtuent M1 s BOQb> 30 < Q20 n1yL and TSS >30 < 1S0 mq/L e1fK si! Henry F. Grote r less C.n~rwd oil T.stinp •n~e wa~.w w. ~~wr•n~nn.w WI .L7 b d £LLLLZB££9 'oN/£Z ~ l ~ '1S/5Z ~ t G b00Z b A~W (3(?1? ' teffluant X12 ~ eOC~ < ao mkt. and TSS_ 30 ~ Y z2277a eta ~, sou e e ~~ ~npp t 715-233.0308 p.2 . ,. [.~' J \ woa~ ~~ ;: _- •,~ 0~4 04 09:33a SIE9ER PRIhTtnG [65i177i-4081+2 P•3 ' _~ Propsny Owner Mgiet', john tk Pstt'k~_ _ Paroa110 •_. ~ - Psge ~~-~• . D Bo~inB Z t# ~ : Plt C3round 8urfaa elev. ~04.Q A. Oepth to Yin~ing lsctor~~_ in. Honza~ Depth Oar4lentCola wdo~w tasf+~ ~~ °~ ~, MIIIlia1 QII. $L ~L CObr flL SL Sh. _ ~A~aq~ i 0-ti 7.SYR 3l2 sl Z m gr mvir cs xf/m .5 .13 2 8.9 7.SYR 3t2 - sl 2 f sbK rnvh cs tm .5 .9 3 9.19 10YR 4/3 - sl 2 m abk mvtr cw 1i .5 .g 4 19.27 t.SYR 4I4 sl 1 m t:bk mvir cs 1t ,4 .8 6 27-38 7.5YR 518 j s 0 cg ml tx tm .7 1.Z 0 38-M 7.SYR S!8 Rp 7.5YR t5/9 a 0 Mi ml ce 1m .7 1.2 7 4447 10YR 514 t2d tOYR 6!2 ~ d 0 m mtY - - 0 0 Za 8oting / ~ eo{Eng n, popih to lim~n6 (attar In. 1'4 Grour+d Sttrf90a Slav. 100.0 ,•~_ Soi Applioabn IiaN h -Mnse1 eda Ou. Sz Conl Cdor oxhtn rAtclw Gr. St Sh. ~ ~, 8amd~r Rods 8 47-SS 10YR 618 S 0 ap ~ ml - .7 1.2 ;; en s ~ ~~ 8 ~ P~~ t3rtwnd Suttaao tetav. iD0.7 R. Depth to ltmitine hcror ~ Mt. ~ ~ Ftodxot- Dot lttyNm 8@udwo Conaaw+o. 9ound~ry b, r+Aut»eU ou St caa colt( Gr, Ss.' SA. 1 0-7 7.SYR 3R - el 2 m gr , ;mvir is 2f/m S .8 2 7.18 7.SYR 312 _ ~ al° 2 fnt stile ~'-~ mvt`r Cs tf .5 .8 3 18.28 10YR 4/3 al 1 rn abk mvfr Cs 1m .4 .d 4 28.37 7.SYR 414 - !s 1 rn sDk mvfr cs 11 .7 1.2 3 37-40 7.SYR ~/~ P2D 7.5YR 518,5/3 Is 1 m abk tmh cs 1m .7 1.2 6 40•!S3 10YR 8118 f2d 10YR tf/2 s 0 ag ml - - .7 1.2 ton ~t s ,en, s : pe water - EMuent !e1= s00s> 30 < 220 mplL •nd TSS X30 < 1 SO mo+l • I:I'ftuent alt? = BOOS c 30 mQ/l'nd r5S ~ 30 tnpfl T3K ~anrnent or C.+mmcr~s i~ an Cquaf oppe.tunily acrvici rrvvidar and'sTployf~, rf yov need assiuenue to rcaei. acrviuea ur G ~ ~~zzz~ssss ~o~~,'s~: G ~ '1S/9~: ! ~ tioo~ a ,~~~Wr3filt WOaa "Q4 09: 34a SIEBER PRIfiTiMG (651)771-4081+2 p.4 t~l:~~. ~t o~ 1'~.•. N 1...et 3 ~ C.SN l~~a''~ ~~, -mow •ty -2Sg. ~Yw ~~~ w •- e w~.~ ~ ~TKw N ;~• a.~. to 1e..1~~•. t , i ,~, r,,.~1 .~•+ ~~ '.z ~ ~o~,~ ~, Lt~K~ M"K"...4 3 l.~ <- ~ t- r. • + C/; •"~) ly. ~~ a ~ q~.c.S~~ ~.az.a~ ~1~ ~ •~- l L.K~ „ ~ ~, ti . ~ ~~•. t~z~ Lo -- :ate Y~ ', T '_'~ -r I t +i F..-..w.~ M' --~i (,,o~.o) ~~7 ~~ ~ +3 6-~ 9~ £LLLtca££9 'ON/£Z. l l~±S/17,: l l bi~OZ 6 Ab'W!3~1) WOa~ nem 04 04 09:31a S1E8ER PRInT1nC (6511771-40812 P•5 CER T.rF.~Ea SC.IR VE Y Located in ttte SW 1 j4 0! the NW I J4 and the SE 114 of the NW 1 /a E o! 6ection 14. T28N. R 15W . Town o! Cady , ~• Croix County. ~ h t ~ ~ 315 TN $T ~ t 'J_NF'L!i't:TEO LANDS_ °e ~.,,._.-...~ ~ J ~ S p0'36'33'N 830, 10'r~ N1 /4 Goroer (aluminum cap found) • • ._......6, t ~ 1 1 ' ! t` ~_,, ~ Bearings rafcrenced to the f the Northwest 1 1 I I ~ ®•~. I k W eet line o r Of $e~tiOn 14, 1 I i • ~ e L1i1 q Noo°s7'a~''~ • assumed 'I I~ ~ ' ~ ,1 i~ I t Owners: Millcr John !a P•faicia ~ I I '~ I I i~ 3225 CTH "N" W 3164n, W i . 54Q27 ~~ I ~il o, z, t~,l I ' x 1 Legend ~; rstr¢' eex,~:t' ' N 00 ' ]1'E 3 ti . [~ St.Groix County coc- °' I 'a tion cosnez rr-on meat las noted). .1 • 1"X24" Izon pipe 1 ti weiEbning 1,681bs. w I /• , • per lin, ic. sets •~ to ~ 1 _~.= b".~ O~tYlMA1' ~..__..- Fenceline . T i~ nPpRov ` ~ ®~r z ~ ~i~ ~+ • ~ w ,I.. , m 11 nd aeaa•a wN11M7p 4M ~ ~ d I N o 3A ! 6 E 094. S 1 ~ : aw p~evM ti • I f 1. v ' t I'~ 1L ®1T 3 . ~. a. ~' I I ~ , ~,, ,;I ~».rs' 1000.1 ' ' O N 00 ]9'f9 E s0•3.4A '1 I NW Cozner I (survey nail foundl. I 1 -lo tL ®Tr 4 1 ' I~ ' 1 ......tGd•..!lflACx. try! ..._... I .:.,....,...,. 1 r.rw._ J 104'.! I .lrr uw[ or r,rr ww'th ~- - N 3o:.9tL' ~2'~ xo6Z.lt ~ '~ r1 ass?' ~ ~, Iw -•~••~ ~-a'L" 47 ~- s.pp0.l ' ' R~ ~T_ •I 31QrH S7 ' I •s ~ I UNPtAT7E0• LANOS ~~ 652'33a KATNIEEEEN N. NALStI RfOISTER Of' DEERS S aaluD lilt ~idnMi 07-IO-lOtt 3t111 Vli t00t fEE: 1.00 REOOL111M Vl7r: tt~W MA P E1/A Corner ~ (purvey nail found). p0'l6~!~E~ rya .~a' SI/4 Corner (railroad spike found). ,~~ ~ W 1 /4 Gorner j { 1" izon Pipe „ , lovnd), 901.2702 Ti+is in•tru:n•nt drgft.d b vol. is P+9• rtrt W~i~~ Z d £LZZZ~>3££9'ONi£Z~ l l '1S%bZ~ ll r`?iic' b A.k~W(3~1) Document Number U. 2S29.P ~f5? STATE BAR OF WISCONSIN FORM t - 2000 WARRANTY DEED This Deed, made between John W . Mi 11 er and p i i Mill r n n Wife Grantor, and_John P ' Miller and Hollv A._Miller. L ,~,i Noah ~~nr~ Wi f~ ac ai~rvi ~~nr•,~~ ~ ~, Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in Si- C`rn i x County, State of Wisconsin (the "Property") (if more space is needed, please attach adde yum): 6 5 2 5 3 4 Lot 3 of that Certified Sarve Map recorded in the office of the Register of Deeds of St. Croix County, WI-on July 30, 2001, in Vol. 15-Page 4141, located in the SW,'-4 of the NW4 and the SE,'-4 of the NW'-~ of Section 14, Township 28 North, Range 15 West Township of Cady. Together with all appurtenant rights, title and interests. -~ J -] t~I Q17 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 03!18/2004 02:15PI! WARRANTY DEED EXEMPT # 8 REC FEE : 11.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 1 Recording Area Name and Return Address 31f2s ~~~ WI~~Jo'~ ~ W ~ SNDo2.~ Computer # 004-1032-30-300 Parse I enu tc anon Number (PII~ This~s not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements and restrictions of record, and further excepting CRP contract no. 1257. Date this `~ day of /~l~G °~ ~ = w AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. _`sl-, (tro ~ x County ) Personally came before me this _ l q ~ day of ~.~;' "/~ ~ ~ - (1 r r h ~.t703 the above named - .Tnhn W ; Mil 1 c+r and Patri~i ~ ,T _ Miller ~~ `'SIN fore oin ~~ ~ ~ C.~ to me known to be the per who executed the g g r.{~ instrument and ackn _ ED BY [~nnlr ai(~ * ~o~nn•~ j~Cli ' / , Notary Public, My Commissii e not necessary.) ~~~ y. ~ 'printed below their signature. `G STATE BAR OF WISCONSIN ~~ "'!' xpiration d ate: FORM No. 1- 2000 ~ ~, r ~ JJJJJJJJJJ JJJ_ JJJJ JJJ JJJJ III 1111 JJJ. ~ JJJJ JJJJ_ ~ JJJJ .JJJ_ JJJJ JJJ JJJJ JJJ_ JJJJ JJJ JJJJ 1JJJJJJJJJJ 1JJJJJJJJJJ JJJJJ JJJJ r~ IJ~JJ ~H z" off O~~ ~®~ x ~„ _JJ_~JJJ.~~ _JJJJJJJ` _JJ ' JJ 3 ~ ~R JJ II _JJJJJJJ i 3 ~~ 6 n N m Q O N M ~~ _a~_= ~~ JJJ_ JJ~ JJJ_ JJ _J ,JJJ 1 J JJJJJ ~ J _ J J...~..1..1.-1-~ JJJJ JJJJ i I I I I,a ~J`i J J J J'.~ JJJ..'-~-'..=- ~~ ~.o-aE -- d No ~O N -- ~ ~ ~ ~ ~ '~ ~ ~~ ~- .,... ~, .., ~ORIG~~~A r Wisconsin Department of Commerce SOIL E~/ALUAT.ION REPORT Division of Safety and Buildings in accordance with Comm 85. Wis. Adm. Code 8cQ - G ~~~'--off 1318 Page t of 3 Certified Soil Testing oun y Attach complete site plan on paper not less than S'/: x 11 Inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . Please print all information. a ewed By Date Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ZO rope caner ropey oca ion Miller, John & Patricia Govt. Lot NW 1/4 NW 1/4 S 14 28 N R 15 W roperty ne s ai mg ress Lot # Block # Subd. Name or CSM 3125 CTHW N 3 CSM Pending City tate Zip ode Phone Number Cit ®Village Town Nearest Road Wilson i WI 54027 715-772-3389 Cad -r-~. CTHW N r<, New Construction DSe~ Residential / Number of bedrooms 3 C rived design flo r 450 GPD J Replacement Public or commercial -Describe: ~ ~ Parent material till if applictable NA Flg~~~ain e General comments "~ ,.~~ =~. ) and recommendations: install 4' x 112.5' rock unit mound for 3 br on 99.9 6f~ur as u~~l ee ed~ of rock-aar(0.5' sand fill `` ~vo~ ~ i ~ ~ "'rn-X ,. 1 Boring # Boring ^ /~ ~ r'',.'., ~ `~ ~~~ uc~~-~ ~ 1~ . Pit Ground Surface elev. 97.8 ft. Depth to jlc "~ li 'tifi~f ~ ~ n Soil Appliption ate Horizon Depth Dominant Color Redox Description Texture Structure Co oundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-3 7.5YR 3/2 - sl 2 m gr mvfr cs 2f/m .5 .9 2 3-7 7.5YR 3/2 - sl ~3 rn gr mvfr cs 1f/m .5 .9 3 7-18 10YR 4/3 - sl 1 m sbk mvfr cw 1f .4 .6 4 18-27 7.5YR 4/4 - sl 1 m sbk mvfr cs 1f .4 .6 5 27-33 7.5YR 4/4 - Is 1 m sbk mvfr cs 1 m .7 1.2 6 33-46 10YR 6/6 c2d 10YR 6/2 s 0 sg ml as - .7 1.2 7 46-50 7.5YR 3/4 f3p 7.5YR 5/8,5/3 sl 0 m mfr - - .3 .4 1 a Boring # Boring Pit Ground Surface elev. 97.8 ft. Depth to limiting factor 33 in• Soil Appligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. onzon is a ie capacr y w si a seep ' Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L ame ease nn igna ur • um er Henry F. Grote ~ 222774 Address Certified Soil Testing Date Evaluation onducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 547 6/19/2001 715-233-0398 ~. .~.._~ .b .b .~ .~11 .T .... w Property Owner Miller, John & Patricia Parcel ID # ,~`-' ; ~~ • Page 2 of 3 g Boring ' 2 Borin # pit Ground Surface elev. 100.0 ft• Depth to limiting factor 38 in. Soil Applicatbn Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz Cont Cobr Gr. Sz Sh. 1 0-6 7.5YR 3/2 - sl 2 m gr mvfr cs 2f/m .5 .9 2 6-9 7.5YR 3/2 - sl 2 f sbk mvfr cs 1 m .5 .9 3 9-19 10YR 4/3 - sl 2 m sbk mvfr cw 1f .5 .9 4 19-27 7.5YR 4/4 - sl 1 m sbk mvfr cs 1 f .4 .6 5 27-38 7.5YR 5/8 - s 0 sg ml cs 1 m .7 1.2 6 38-44 7.5YR 5/8 f2p 7.5YR 5/3 s 0 sg ml cs 1 m .7 1.2 7 44-47 10YR 5/4 f2d 10YR 6/2 cl 0 m mfr - - 0 0 28 Boring # ^ Boring Pit Ground Surface elev. 100.0 ff• Depth to limiting factor g8 in. Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz Cont Color Gr. Sz Sh. 8 47-55 10YR 6/6 _ s 0 sg ml - - .7 1.2 onzon is a capacity ow ^ Boring # Boring Pit Ground Surface elev. 100.7 ft• Depth to limiting factor 37 in. Soil Application Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz Sh. 1 0-7 7.5YR 3/2 _ sl 2 m gr mvfr cs 2f/m .5 .9 2 7-18 7.5YR 3/2 _ sl 2 f-m sbk mvfr cs 1f .5 .9 3 18-28 10YR 4/3 _ sl 1 m sbk mvfr cs 1 m .4 .6 4 28-37 7.5YR 4/4 _ Is 1 m sbk mvfr cs 1 f .7 1.2 5 37-40 7.5YR 4/4 f2p 7.5YR 5/8,5/3 Is 1 m sbk mvfr cs 1 m .7 1.2 6 40-58 10YR 6/6 f2d 10YR 6/2 s 0 sg ml - - .7 1.2 ortzon as strati t s ,m,m r an s t i ; pert a water to e `Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Certified SOiI Testing ., Property Owner Miller, John & Patricia ParceI,ID # .,~ a ~ \ . • Page Z of 3 Boring # ~ Boring ~ Pit Ground Surface elev. 100.0 R• Depth to limiting factor 3~. ~ ~ Rate Horizon Depth Dominant Color Redox Description Texture Stnx~ure Consistence Boundary Roots in. Munsell Qu. Sz Cont Cobr Gr. Sz Sh. 1 0-6 7.5YR 3/2 - sl 2 m gr mvfr cs 2f/m .5 .9 2 6-9 7.5YR 3/2 - sl 2 f sbk mvfr a 1 m .5 .9 3 9-19 10YR 4/3 - sl 2 m sbk mvfr cw 1f .5 .9 4 19-27 7.5YR 4/4 - sl 1 m sbk mvfr cs 1f .4 .6 5 27-38 7.5YR 5/8 - s 0 sg ml cs 1 m .7 1.2 6 38-44 7.5YR 5/8 f2p 7.5YR 5/3 s 0 sg ml cs 1 m .7 . 1.2 7 44-47 10YR 5/4 f2d 10YR 6/2 cl 0 m mfr - - 0 0 Za Boring # r Boring Pit Ground Surface elev. 100.0 ft• Depth to limiting factor 38 in. ~ ~ Rate Hormn Depth in. Dominant Cobr Munsell Radox Description Liu«.Sz Cont Cobr Texture Stnkture Gr. Sz Sh. Consistenos Boundary Roots 8 47-55 10YR 6/6 - s 0 sg ml - - .7 1.2 0 on a cepa ow ^ Boring # r Boring Pit Ground Surface elev. 100.7 ft• Depth to limiting factor 37 in. SoA AppAcation Rate Horizon Depth in. Dominant Color MunseA Redox Description Qu. Sz Cont Cobr Texture Stnx~ure Gr. Sz Sh. Consistenoe Boundary Roots 1 0-7 7.5YR 3/2 _ sl 2 m gr mvfr cs 2f/m .5 .9 2 7-18 7.5YR 3/2 _ sl 2 f-m sbk mvfr cs 1f .5 .9 3 18-28 10YR 4/3 _ sl 1 m sbk mvfr cs 1 m .4 .6 4 28-37 7.5YR 4/4 _ Is 1 m sbk mvfr cs 1f .7 1.2 5 37-40 7.5YR 4/4 f2p 7.5YR 5/8,5/3 Is 1 m sbk mvfr cs 1 m .7 1.2 6 40-58 10YR 6/6 f2d 10YR 6/2 s 0 sg ml - - .7 1.2 onion as s ra i e s ,m,m r an s i ;per wa era e ' Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 =BODE < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. .~P . t'p . (v ~~ . ~, ~~ .~ ~b .~ . ~- SBD-5730 (R07/00) ~ T~ ~, ~ v w' `~. • J o y. v. 4- ,~ o~.~ v ; c. t u. t"~, ;1~~ G-~. - 1.1 o t ,'~ l a ~. ~ o ~ 3 C-S P-l 1~ 1~tr-9-+"`Ol Nw -N,w -lGr -2g• IY...~ ~-THw -,H- ~_ h N ~ r~/w . i• ,,~ Q-S •Qn @ bwa S(.e~ q W s ~~ s5t,~e ~ ~ uw. o ~c. a.~.~. s~ ~ tom. (a~.a.s i t .~/l.~. «..; S TeX ~ 1 wog,S CCCC n Lo 4c~ ~~~ ~ ct~-~. szz~¢ . u' ~ + » ~~ o .ab4 /3 v-t (oo . o ~ di- ..6V k -a ~1oe.o) i .`. a ~4~ g) +3 l' F 4 Vc. S'~' 5~.~.~c o~ - wt3 w~..a ~.,. s~o ~,~. <- ~~ ~-- i * y CI` .-~~ .-~I C~q~.a~ ~ q q.q.~ ~ q. ~l.a~ ~ ~~~~ r , • OwnerBuyer Mailing Address Property Address Department for new construction.) City/State Parcel Identification Number 00~ - 1032 - 30 - 3QU LEGAL DESCRIPTION C ~ 2(~~ - 30) Property Location ~ 'ja , NW `/4 ,Sec. ~ ~ , T ~ N R ~ ~W, Town of C~ T Subdivision ,Lot # 3 . Certified Survey Map # ~ (OSZ. ~3~ ,Volume ~ S ,Page # ~~_. Warranty Deed # ~~'60 ~" ,Volume Z S2 `j ,Page # ~~' Spec house yes no Lot lines identifiable yes 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. Owner maintenance responsibilities are specified in § Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Department within 30 days of the three year expiration date. SIGNATURE OF APPLICANT _/_/_ DATE ~. Uwe am/are the owner(s) of the'3 / / DATE OWNER CERTIFICATION Uwe certify that all statements on this form are true to the best of my/our knowledge. 1~~roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office SIGNATURE OF APPLICANT ****** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. ****** ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM b~ •~«- L ~. 1. Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. r, p i A 30x72 2160 Sq Ft ~~~ f T ®V ra M~^ o~ ~+a t~ldrl`IAYIAfi1KS ~.~rf ~Vl~~4~FIN Stan a rd ~eatu res 2x8 Floor ]olsts 16" On Center 2x6 5ldewall Studs 16" On Center vinyl Clad Low E 7henmopane Windows SCee{ 6 Panel Front and Rear Door Providence 18 oz Carpet High Density Carpet Pad Cathedral Callings Throughout 30 Inch Gas Range Finished Drywall T/O 6 Panel Interior Doors ~,~~o~+ CNO~li~rM WIY 16 Cu Ft Dbl Door Frost Free ReMgerator Oak Cathedral Top Cabinet Door ~ Face Frames Drawers over Door in Kitchen CabineGs One Plate Fiperglass Tub Porcelain Bathroom Sinks Large wlalk in Shower Single Lever Faucets Electronic Ignition Gas Fumaoe 90"Side Wails Northern Insulation Pkg Additional Features Optional Sunken Kitchen & Family Room High Efficiency Furnace Snap in Counter Edge Prismatic Dormer W/Panorama Window Brite Star Kitchen Slnk Appliance Garage Linen Cabinets in Hall Bath 88" Box Bay Windows w/ Dormer Cabinets in Utility Paddle Fan Recessed Can Lights Over Fireplace 48x48 Skylights 3$" 2 Llte Front Door Stone Front Fireplace Book Shelves Hardwood Moldings Grande Cabinets Side By Side Refrigerator Deluxe Pilotlass Gas Range Dishwasher Tpwn anA Country Nous/n8 4285 5 Pw•alr/e V/ew Rd Ch/ppews Falls„ WI 54729 (715) 831279 Vlslt us on the Web st www.townand000niaryhouslny.com SpedflcaClons Subject to Change Without Notice Z d 69ZLLZ8SS9 'ON/9ti ~ Z l '1S/9ti ~ Z l ti00Z OZ 1f10 (3f11) WOa~ The Mariner .~ r OWN & . OU NTRY HousiN~ 4285 S. Prairie V~~54~9~8617 Chippewa Fa11s. V~ Phone: y15~834-1279 ' ^^''~~ rM LJC-1~ = ~ O gR~"1: _ la.x~he uF~scRx~aN= ~ ~~ 7.'0'rAL OF PAGES ~ ~~'ITAL PAGE) g~ N[A~IIt: 715-834-7048 l d 65ZZLZ8ES9'oN/9ti~Zl~ls/9b~Zl b00Z OZ ~Or(3ol) Woad .~ » /~ ~ \ MANUFACTURED HOUSING CENTER ~OW N & ~OUNTRY Chris Stuttgen HOUSING (715) 834-1279 Fax: (715) 834-7048 4285 So. Prairie View Road Chippewa Falls, WI 54729-8617 www.townandcountryhousing.com (715) 926-3848 MONDOVI ;; (715) 835-6099 EAU CLAIRE A~% ' (608) 323-7909 ARCADIA ~( (715) 926-3849 FAX ~~~ G~ Plumbing, Heating & Well Drilling, Inc. WELLS • PRESSURE SYSTEMS • INSIDE PLUMBING PERC TESTS • SEPTIC SYSTEMS HEATING • AIR CONDITIONING TERESA ODEGARD 835 RIVERSIDE AVENUE Showroom Consultant MONDOVI, WISCONSIN 54755 ~ '~ '7 .c.~ 7 CZ~ Qi 7 ~, Z ~ ~ 9 P ~ ~ 7 xATHLEEH H. MALSH REGISTER GF DEEDS ST. CROI~ CG.. kI STATE BAR OF WISCONSIN FORMI-2000 RECEIVED FOR RECORp WARRANTY DEED 03/18/2004 02:15P11 Document Number MARRAHTY DEED EXEMPT # 8 REC FEE: 11.00 TRANS FEE: CGPY FEE: GC FEE: PAGES: 1 --Ia~~~~tz~- Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in ~t ('rn; x County, State of Wisconsin (the '`P 'more space is needed, please attach addendum): Lot 3 f that Certified Survey Map 652534 i arded in the office of the Register of Deeds of St. Croix County, WI on July 30, 2001 , i Vrl~ owl . 1~5 Pa_ ge 41 ~, located in the ~ SW~ of the NW4 and the SEA of the NW~ of Section 14, Township 28 North, Range 15 West; Township o Cady. 1 Cs.,,, ~oc~ IvS2 s-3~{ Together with all appurtenant rights, title and interests. Recording Area Name and Return Address ~-I~l ltd R~.~ rK~ ~ ~~ ~ 3 - 2,S C.ptt..t'L~kx~ ~ N W ~ lso~n , W ~ St10o2~1 Computer # 004-1032--30-300 PamxTldentification Nrunber (PIiV) This i s n t homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements and restrictions of record, and further excepting CRP contract no. 1257. Date this ~ ~_____-day of ~~~"~ ~ , _ ~ °" 3 ~' AUTHENTICATION Signature(s) authenticated this day of , TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY may be or acknowledged. Both are not necessary.) ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. S+S~gz ~ County ) Personally came before me this l Q ~ day of M((r~ zct)3 the above named .Tnhn 43 M] 1 1 t?r and Patrisj g J _ Miller to me known to be the per ,} ~_ who executed the foregoing instrument and ackn * C~nn,4, dlu Notary Public, *Names of persons signing in any capacity must be typed or printed below their signature. date: WARRANTY DEED STATE BAR OF WISCONSIN ~'~.-e--ems FORM No. l - 2000 This Deed, made between John W. Miller and Patricia J Miller, Husband and Wife a w V r~ KATH~E32S34 REGISTEF pF DEEDS ST. CROIX CO. WI RECEIVED FOR RECdRD 07-30-x'001 3:45 PM COPY FEE: 3.00 C ER T -T F I E~ RECORDI/NG~ FEE: 22.00 Located in the SW 1 /4 of the NW 1 ~ ~~ ~~ ~ ~^ /4 and the SEI /4 of the NW I /4 of Section 14, T28N, R15W, Town of Cady, SL. Croix County, E1/4 Corner ~ (survey nail found) . _ 3/5TH $T t! 1! UNPLATT~"D LANDS ~'-'- s~o°36 33, k, -_b -_ S O O ' 36 ' 31 " W 91 O . 3 O /B22 29'- -" ~ 'T t 77R o~ NZ/4 Corner l66~~33./5 (aluminum cap found) . f ! ~~~oe-~ ~~ ~ ~l __ ! r 6 Bearings referenced to the ! ti! West line of the Northwest ! of quarter of Section 14, ! °- assumed N00°37'47"E. -` ,~~ ! lN ~ ~, ~! "•!N ~i Owners: ! m!° John & Patricia Miller ! ! '~ 3125 CTI-1 "N" ! f ~m Wilson, Wi. 54027 Q'! ! ' W r '! , , ! O ~ _ _~,~! 'o ! o Legend Q~ Z,`! ! ' , ~ j--33./6 NORTH-SOVTH //O SECT/ON L/NE 1, 1L ® 7T / NOO°363/'E 2634.38' S1/4 Corner (railroad spike found). i x 0 W N W 3 H ~: w q~ z' Q J ~ St.Cxoix County sec- ~ N 00'36'33 E 933.55' ~ tion corner monu- -,! O meat (as noted) . ~ o! ~ • 1 " " ^ ~ X24 Iron pipe J ti ~ m weighning 1 , (~$ lbs . ~ ! `~ e N W per lin, ft,, gei;, •s N K Fenceline. 1, io-'-- .. _ - ~ ~ s ^~ / 8T. CROIX COUNTY .~' H ! -"~ ~ ®~ 2 ^ ~ Planning Zoning and Parka Committee (tl ! ;~ ~ o ~ JUL 3 d 2001 _ ! ~ , ~ ~~ ! 33./6' ~ Z ~ ; p 8 t! not recorded within 30 days of ! 981.37 ' ~ appr+ovai ~~ a'a~ppr~ivdal ahail b~ : ! ! N 00 39 ' i B E 9544.83 ' ~ ti ~ , ! ! 2 ~ g Q ~ ` a ~ ! _!P lL®7r 3 ~ Z~ ~`~ n!Q ~ ~ ! e ~ ~ ! ~ j ~ 33./5' ! ' p O~ 1008.33 W M NW Corner V'! / N 00 39' 19 E 1043 .2t3' ~ ~, 4 (survey nail found), ! ? ! r~; ! W ! Q !L ®7T' 4 ~ ' „, ............_.._.....~PQ ...SE.ZdAC.K.. LINE.. ...... .. .. _ ! ... ! OQ _ „~ 0 WEST L/NE OF THE NW//q } soo°37'47'(N_.. __ _J '^~ _ _ N p0_39'39'E 3052.81' /~~ __ 2 ' ' . V .... a'. W 1 " /4 Corner b _ - - ~ - isa9.s2 _ ..--N._pp ~~-X47=5-. 4.0~4~.p..3 _ ~ ! (I iron pipe found). s,l 3/O TH _STREET _ _ 1 l UNPLATTED LANDS This instxument drafted by 401 -2702 Vol . 7 5 Page 47 47