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004-1039-40-100 (2)
/* ; ' ~ pe~c a~at his bye n subcor~~d ~ din w;n Department of RIVATE SEWAGE SYSTEM~t,' . iris INSPECTION REPORT RA IN A ON (ATTACH TO PERMIT) Personal infomlation y~r provice maybe used for secondary purposes [Privacy Law, x.15.04 (1)(m~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ ~ ~ ~ ~ ' Dosing t ~ 7.~0 Aeration •~ ~ Holding TANK SETBACK INFORMATION TAN K TO P / L BLDG. vent to rlntake ROAD Septic ~ ~ ~~ ~ 6 ~- ~ l NA Dosing ~ 2~1 ~ ~ ~ ~ NA Aeration A Holding __ ~'"~ PUMP /SIPHON INFORMATION .. Manufacturer ~, pS Demand Model Number u/ ~ p 3 ~„ ~ GPM TOH Lift Friction 3.7j S stem ~ TDH ZZ' t Forcemain Length Q Dia. Z ~ r Dist. To Well ~ ISO ~ ~~ ~ t~roix S~r~t~ry~~mit No.: Stattt33e PLLIan ID No.: lob` s? Parcel Tax o.: 004-1039-40-100 ELEVATION DA TA STATIO BS HI FS ELEV. 8enc~im S ~ OS ~ ~ Q, f~ ~ It. BM/ . ~ 9 _~7 Bldg. Sewer ~g, ~~ ,gyp St/ Ht Inlet ~$, ~ _. ~ 4 g ~'~Y St/Ht Outlet ~g,~~ ~®, I $$. 3'l Dt Inlet t 0 .l.(~ Dt Bottom ~8.c('I ~,'1 .'"1 L eade an. /or'o. S'7 Oct Dist. Pipe '~ s: ~` l /(JD, ? ? eot. System (p , ~ Gb . ?/ Final Grade 'I" I ~ S D% . D~ /as: ,23 j I SAII ARSARPTI~N SYSTEM BED /TRENCH Width /„ lengtft"'~ ~ Ni . Qf Trgnches ~ d ~ PIT I N No. Of Pits Inside Dia. Liquid Depth 1 EN I N // t( DI L G Manu adurer: SYSTEM TO P l~ BLDG l LL LAKE / ST EAM SETBACK CH BER : N INFORMATION type O l/1~ U l~ / O N um er Mo a system: / DISTRIBUTION SYSTEM Header I ~ I , Distribution Pipes I, r, h x Hole//S--ize x Hole Spacing Ven To Air Intake Length ~ Dia. ~i / Length ~~ Oia. ~ Spacing ~ ~ ~lo ~ 3l SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only /`~'`~' h Over I / Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed Trench Center I Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No OMMENTS: (Include code discrepancies, persons present, action #1: / /0 ns action #2: ~ d7i Location: 2888 County Hwy. N ,Wilson, WI 54027 (SE 1/4 NE 1/4 17 T 9N R15W) -1728152626 -Lot 1 g` 1.) Alt BM Description = ~ ~' ~ V~~ 2.) Bldg sewer length = ~ S"(ob' ~6c.~~,''c~ C,~t~d~ -amount of over = ~ ~, 3 ~)~~ .~-1 ~~ ,z3 Plan revision re wired? ^ Yes No ~ „~-- Use other side for additional information. "~ ~ ~ ~~~'~~ ~J1 S8D-6710 (R.3/97) Date Inspector s Signature Cert No. ~ D cr~r t~4.r rti,vt c.-,t- ~-_~, ,/~ r~"rw. -~,•~' ~ -/ 5~ 10'~ Sanitary Permit Application Safety & Buildings Division t In accord with Comm 83.21, Wis. Adm. Code 201 W. Washington Ave. PO Box 7302 /~+~' 0~s~n See reverse side for instructions for completing this application WI 53707-7302 Madison i r 'Department of Commerce Personal information you provide may be.Rsed for secondary purposes Privac Law; "x.`15,04 1 m Y O( ))' ":- , (Submit completed form to county if not , 'rl'S~'.C~~ state owned. Attach com lete tans to the count co ` I .for the s em, on er;not less than 8-I/2 x 11 inches in siu. County ~ Stat S i Permit~N•umb ~r~ .,,!i7 Chq~j slop to previous application ; y"~' ~ ' ~ '' ~ ' State Plan 1. D. Number /~i ~j1 ~j C5 7 ( 9 ~ k c 3J ~ r RAT I. A lication Information -Please Print all Inform t Location: Property Owner Name r;y ~ ~ ~+ '~ ~~n,~ Property Location Z ~~ ~`y., ~ o ,,.~'~ ST CHQIX S~ 1!4 ~L 1/4 s ~ N, R a or W Property Owner's Mailing Address ~. / .~ ~ G~~ ZONING OFFICE" ``•, Lot Number Block Number ~ J/9 /~ Z ~~S ~ o !-'YW o ~ ~Vf7' City, Stat/e/ Zip C eL / m e "> /~) 2 4 ]off Subdivision N)am~e or CSM Number ~~.,~('~///~ II Tempe of Building: (check one) ~ ~ _ b City ^ village fB l or 2 Family Dwelling - No. of Bedrooms: Tow of n ^ Public/Commercial (describe use): ~~ ( ^ State-owned / ~ III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Roa C / o, w fit/ A) I. ^ New System ~ 2. 0 Replacement 3. ^ Replacement of 4. ^ Addition to Parcel Tax Number(s) S stem Tank Onl Existin S stem OO -• ~a.3 - d -- B) ^ A Sanit Permit was reviousl issued Permit Number Date Issued ~7~ a • j~ ~6 IV. Type of POWT System: (Check all that apply) ~ ~ -1i3~ - ^ Non-pressurized In-ground Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized I ~rou~d_ ~ ~ 1 ^ Holding Tank ^ Single Pass ^ Drip Line °' ~ q9~ 2 3 / ~~ ~C ^ Aerobic Treatment Unit ^ Recirculating ^ Other: ^ At-grade ~+~1 ~ ~ (~ t v N Ir - A unn0/ 1C r.~ IVl6R~M0~ . ~ ~ I ~ ~ ~ Z V Dis ersaVTreatment Area Information. 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6 System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) Elevation ~~ ~ X50 ~~~ •~D /~~ /DOr l5 l4/-9L} VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ~ ~ ~ ~p /ADO ~ ~ ~ ^ ^ ^ ^ C 1, c. s~ e, s eY It VII Responsibility Statement I, the undersi ed, assume res onsibili for installation of the POWTS shown on the attached tans. Plumber's Name (print) Plumber's Signature (no stamps): MP/MPRS No. Business Phone Number ~. I e ,~, a ra~so ~ ~ u-- ~ ~ o g ~3 7i ~ - CAS -33'x" ~ Plumber's Address (Street, City, State, Zip Code) VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued s ' g Agent Signat (No stamps) Approved ^ Owner Given Initial Adverse Surc ge Fee) ~ ~ . Determination 2 $ . tMnR.- ~ 200 ~ IX. Conditions of Approval/Reasons for Disapproval: ~ ~~ ~ rs s~s~.~,.. ~~-- b,~--ab~ ~a~ ~ .~~~~ - s~ ~ ' " m Hn. ~t SBD-6398 (R. 07/00) 1. .r PrpPosecl ; G?Iv a.P ~tp~c. ~~ ,~l ~ ~a6L/ ~J- Apo eFFlu~~ ~',• ~ ter- Oa ~ 4 3 0'0~ y "s~. vo P. V.C. 6 u,'Cd7~~ -~ Se.~t,r r~ poPLV. p~oPose-d 3 b~p0"~ ~c Cc.Side~C~ EX~3-~nq P~'~ ~ P;,~y / E,~'jSzcin9 O - to ~~ ~•a z~ c~c~ C6m~/CL~jQr~ O{'gec,J ~•es~de,,c e . ~x~~'^2 s+-~ 1 ~$~ \ xo ~~o posed 7~ ~• ~~~~~ P~m~O C.~tarn b~~• ~~, h,o v- car • P. /.~~ , o~ccy~ta~n- t3enc.4- wtQ.f~: Topof 1/ d~ ~~ .V ~1 ~. 6. epnC /'t,6 S~6 CvtU. Elev` = ioS.~O: v ,~ p~~ _---'~1 /~w.~` ~ c Y ~a~A9e' ~ _J ~5~ ~9 ~1 ^ Soi/Obsc~da~'on{~'6 ~ E/e da ~ o,-~ 5ca/c : /- y0 I V ' a ~''' tir ~ 5-------~--------------~ 60. ~ ((7~oti; bi6cd ~;s~xrbance ~!~<a ; `moo' .~ ~~ S/ooe ai ~~ y l oo.o Corrtou ~ ' 11 P~opose.el rv~ou,.,ela6 .2/.yG ~' 9,Z.5/ [ewit~ (o` X 7S'd~'sporsa/eeC(. Two /s-~- ~~ ,~ zB." ~C6. ~/Wy. K ~a ~0~9 - ~ '~ ~ ~ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.us/sb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary June 04, 2001 CUST ID No.220853 DALE E HUDSON 820 MAIN ST BALDWIN WI 54002 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/04/2003 A777V.~ POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Eric North St. Croix County, Town of Cady - 2888 CO HWY N SE1/4, NE1/4, S17, T28N, R15W FOR: Description: Three Bedroom Mound System Object Type: POWTS System Regulated Object No.: 794385 Identification Numbers Transaction ID No. 648579 Site ID No. 630399 Please refer to both identification numbers, above, in all corres ondence with'the a enc The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans. 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual are complied with.. A copy of this information must be given to the owner upon completion of the project. • 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 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. • 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. ' ~ DALE E HUDSON Page 2 6/4/01 Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, _ .-~-_- ~~. Gerard M. Swim POWTS Plan Reviewer -Integrated Services 608-789-7892 Mon -Fri 7:15 AM to 4:30 PM j swim commerce. state. wi.us FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Eric 8 Renee North 3 bedroom residential mound Owner's Name: Eric 8~ Renee North Owner's Address: 2888 Co. . N Wilson, WI 54027 ~. ~'T.$• r„>a,~iitioriul~y .~_ ~~ED Legal Description: SE1/4NE1/4, Sec. 17, T.28N., R.15W. Of COMMERCE Township: Cady '~ ~~ Courrty: St. Croix ENC-E gEE ~ Subdivision Name: CSM Vol. 13, Pg. 3659 Lot Number: 1 Block Number: NA Parcel I.D. Number: 0041039-40-100 ID#17.28.15.2626 Plan Transacfion No.: Page 1 Page 2 Page 3 Page a Page 5 Page 6 page 7 Page $ Page 9 Designer: Dale Hudson License Number: Date: 05/16/01 Phone Number: ~ ~~N~~ Signature: ~ L Index and title ~~~~~~ Data entry MAY 2 ~ ~QO~ Mound drawings Lateral and dose tank ~~ System malrrtenance specificatio Management and contingency plan Pump curve and specifications Site Ptan Sal Evaluation Report & BLDGS DII~ 220853 715-684-3378 Designed Pursuarrt 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 (03101/01) Page 1 of 9 Mound and Pressure Distribution Component Design Site Infor mation (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 Ftow (gpd) 7.00 Site Slope (%) 99.23 Contour Line Elevation (ft) 25.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ft2) Design Worksheet Note: Sand fill (D) calculations assume a Table 8.3-4A-3 in-situ sal tr~hr~ent for fecal col'rform of <= 36 inches. Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest oint in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals 0 .~ 32~~ of the highest point. .156 Orifice Diameter (in) (e.g. 0. 5) . 4 Estimated Orifice Spacing (ft) = 8.65 ft2/orifice 2.00 Forcemain Diameter (in) (ef p(' 185.00 Forcemain Length (ft) Does the forcemain drain back? Y 86.50 ~ Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 1~ 13.15 Vertical Lift (ft) 'ction Loss (ft) 20.85 T tal 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 1000.00 Se tic Tank Capacity (gal) Wieser Concrete Manufacturer 30.18 Forcemain Drainback (gal) 67.44 5x Void Volume (gal) 97.62 Minimum Dose Volume (gal) 28.00 System Demand (gpm) Manifold Diameter Selection in. dia. o ions choice 1.25 x 1.50 x 2.00 x 3.00 GaNonsllnch Calculator (optional) 600.00 Total Tank Capacity (gal) 50.00 Total Working Liquid Depth (in) 12.00 gal~n (enter result in cell B49) Dose Tank Information 750.00 Dose Tank Capacity (gal) 20.28 Dose Tank Volume (galrn) Wieser WLP750-MR Manufacturer 'ffluent Filter Information Zabel Filter Manufacturer A100 Filter Model Number Project: Eric & Renee North 3 bedroom residential mound Page 2 of 9 Mound Plan View 1_ 111 111_8:. ~Obsenration Pipe .0 K T'~T .ti. ''J: :.5. B .y I°(• ~t J _~ A I 1 ~ Mound Component Dimensions A 6.00 ft E 16.04 in B 75.00 ft F 9.50 in D 11.00 in G 0.50 ft 450.00 (ftz) Dispersal Cell Area 6.00 (gpd/ft) Linear Loading Rate H 1.OOft K 8.76ft z 9.98 ft L 92.51 ft J 5.48ft W 21.46ft 1198.58 (ftz) Basal Area Available 7.50 (ft) 1/10 B Obs. Pipe Placement Mound Crosa Section Vi®w Aggregate Dispersal Area Finished Grade ~ 101.94 (ft) . rifi~i F 100.15 (ft)--- - ~ : ~ ' ~' Dispersal Cell ; 3~ Elevation :~ ~I H oispersai ceu 100.65 (ft) Lateral Invert .D ~ ~ 99.23 (ft) Contour evation 7.0 % Site Slope Geotextile Fabric Cover Shading Key ~ $. ~- Dispersal Cell See lateral details on Topsoil Cap il C ~f~~~ S c ~ ~" 1.5 ft ,~ • .• .;;: ,; ;; ;; ;''•• ~ ~'~ ~ • ~ •~ ~ ~ Page 4 for number, of acin i e nd s © ap ubso ~ 16 ~ :!.;~ . . : ' ~ '~ g z , a p s l ASTM C33 Sand " - - ~ 0 5 ft ; • ~ •' • r, ~~ TYp~i ~~ ' F s are laterals. Latera Q ` Tilled Layer `]: `]: ate A re ~ ~ ~ . ~ 5 , • ~; ~ equally spaced from the distribution cell's gg g o ~---- A ---} centerline in the distribution ceH (AxB). Project: Eric 8 Renee North 3 bedroom residential mound Page 3 of 9 End Connection Lateral Layout Diagram Later s centere over i P • = Tu rrr-u p rn'ba I I va hre or oleanout pl u 0 Atl laterals are identical ~E X-~~ Holes drilled on the bottom of the lateral S equaRyspaced ~ FOtCe nlaln COnneCtlOn Vla tt#Q Of CtOSS t0 manlFoM at any point. Laterals & force main of PVC Sch 40 (Per GOMM Table 84.30-ti) ~3 2 ~~ Number of Laterals 2 Orifice Diameter .1 Lateral Diameter 1.50 in Orifice Spacing (X) 2.94 Lateral Length (P) 73.50 ft Orifices per Lateral 26 Lateral Spacing (S) 3.00 ft Orifice Density ft2/orifice Lateral Flow Rate 14.00 gpm Manifold Length ft System Flow Rate 28 pm Manifold Diameter 2.00 Total Dynamic Head 20.85 Forcemain Velocity 2.86 ft/sec Dose Tank Information ~;~ ~,~;t;„~,;r,g label and lodtirg device and sealed watertignt Electrical as per NEC 300 and -- Comm 16.28 WAC Disconnect # 4 in. min. ~_ Tank component is properly vented ~ ''' ~- l~ °~ Wieser Concrete Ca aci 750.00 Volume 20.28 Manufacturer Gallons gaUinch A Dimension Inches Gallons A 18.25 370.04 B 2.00 40.56 C 4.74 96.04 D 12.00 243.36 Total 36.98 750.00 B C D rJ 3" Bedding under tank. Alarm Manuafacturer LevelArm ^] Alarm Model Number DLV Pump Manufacturer Goulds _ 3885 W 3M Farcerrtain diameter ~ 2 in. Weep hole or anti- siphon device Puy r~eleoration (ft) 87.50 wank ele+r~tion ft) 86.50 Pump Model Number O /~--rv ~ 2 Pump Must Deliver 28.00 m at 20.85 TDH Project: Eric ~ Renee North 3 bedroo 'dential moun Page 4 of 9 8.65 3.00 ft in Mound System Maintenance and Operation Specifications Service Provider's Name Boldt's Plumbin -Dale Hudson Phone 71584-3378 POWTS Regulator's Name St. Croix Coun Zonin Phone 715-386-4680 Sys em Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank EfFluent Filter Pump and Controls Alarm Pressure System Mound Other Ins and/or service once eve 3 ears Should ins and clean at least once eve 3 ears Test once eve 3 ears Should test month Laterals should be flushed and ressure tested eve 1.5 ears Ins for ndin and see once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure 9nd other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished •.....•........ ................ Grade &8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral __~y Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Eric 8~ Renee North 3 bedroom residential mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in acca+dance with Comm 82-84 Wis. Adm. Code, and shaA maintained in accor~danoe with its' corrrpor-ent manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic arxi pump tank abandonment shalt tie in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no kxger used as POWTS components. Septic or pump tank manhole users, access risers and covers shoukt be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Arty opening deemed unsound, defective, or subject to failure must tie replaced. F~osed 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 ar component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stets. The contents of the septic tank shall be disposed nt in acxoMance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shah be assessed at I~st once every 3 years by Inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain sdids in the tank that may slough off the filter when removed from its enclosure. lithe filter is equipped with an al~nm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the vdume of skrdge and scum in the tank exceeds 1/3 the liquid vdume of the tank. If the contents d the tank eve 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 ma~dmum scum and sludge accumulation in the tank. The addition of biological or clremical additives to enhance septa tank performance is generally nd required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shah tie inspected at least once awry 3 years. All swRclmes, alarms, and pumps shag be bested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as nek~sary. Mound and Pressure Distrlbutbn system No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is nd ~conxnended since soil c~nrrpaction may hinder aeration of the infiltrative surface within the mound and srww corrrpaclion in the winter wiU promote frost penetration. Cok! weather installations (October-Febn.~ry) dict~e that the mound be heavily muk:hed as protection from freezing. Influent quality into the mound system may not emceed 220 mgll_ BODs, 150 mglL TSS, and 30 mgll FOG for septic tank effluent or 30 mglL BODS, 30 mg/L TSS, 10 melt. FOG, and 10' cfu/100 mL for highly treated effluent. Intltrent fkyw may not exceed ma~amum 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 reconmmar-ded that each lateral be flushed of accumulated sdids 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 odFce clogging has occurred and if orifice cleaning is requfred to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shalt be checked for effluent ponding. Pondirg levels shall be reported to the overran, and any levels above 6 inches considered as an impending hydraulic failure requiring addRion~, more frequent monitoring. Continoencv Plan If the septic tank or any of its components become d~edive the tank or component shah be repaired or r+eplacsd to keep the system in Proper operating condition. ff the dosing tank, pump, pump controls, alarm or related wiring becarnes defective the defective component(s) shall be irnrnediately repaired or replaced with a component of the same or equal performance. H the mound component fail to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired ar replaced in its' present locetion by increasing basal ar>~ 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 pion for the nanme and telephone number of your kxal POWTS regulator and service provider. Project: Eric 8 Renee North 3 bedroom residential mound Page 6 of 9 Performance ~ Curves ~ METERS F EET 90 25 80 0 WE15 H 70 = 20 WE10H J H ~ W EO7 H t-- 15 50 WEOSH 40 10 ~ W E03 M moo. 'TD. Z 20 s 10 0 0 0 10 20 t 0 ( 1$. METERS FEET 20 MODEL 3885 SIZE 3/a" Solids 0 10 20 ~ 30 40 50 60 t i 0 10 110 100 >~ 25 80 70 t 20 J H H 15 ~ 40 10 ~ 5 10 0 0 01985 Goulds Pumps, Inc. urne~il~~ Buertt ~u~~s MODEL 3885 SIZE 3/4" Solid 40 50 60 70 80 90 100 110 120 GPM i i i 10 20 30 m'/h APAGITY ~ ~GOULDS PUMPS.INC. SEPE{A FALLS hEW Y.%M I3w8 70 80 90 100 110 120 GPM i i 20 30 m'/h CAPACITY 70,~'~ ENe rive July, 1985 P~oP osed ; GPJD 9a.P. ~~P~~~ ~E~,~~1 ~a bt/ .4- god e {1f,lu ~ ~ ~i l'~L~~ OK~le~. s 3 o'o~F y "s~. yo P.U.C. bu,Cd~n~- 5e.~ e./' porL~ i ~~_ ~ P~cP~vo ~ 3b •v C c5 i d~G EXi5~n9 P~'~ ^ P;,~y ^ Soil ©bsc~da~'w~~'6 5ca/c. ~~ y0 ~ro p csc d 7~ r~oQ. ~P~r+,~O dram bt/'. Ly ~. ~/v R/. c. ~ ~.. ~'`~~`-~ 2. I ~ ,~J ~;~^9 5~°`~ ~~ E,~js~~ - t~ ~~ ~a ~e~ af~cr Ct~rr~~/G~Qn D~'i1er.J ,^e5idehc 2 . ~~~~^~ t~ ~.t~ ~ /8.~ •o~'1'S~i•VO •~v ~` r ~'! a~ P. v.C. , o~ccnta~n wta..r :-TpoF ¢ ~~ = /oo.oo. d 7~ .y ~. 6. . Co~~~~~sk-b ~ (,veLL. elev.` = iDS.~O, ~ ~~ ~~~ n~ ~a~~ ~Z j- - - ----~ -~- - ---- - - - - -' t'~o~,~ b;Ecd ~,s•~.~bance ~I~ta ~~ S/Bpe OO.d CarYfOU ~ Proposed rvtou.ilda~ .2/.yG X 92.5/ tcwitl (o' x ~S•d%sparSQ/eeC(. Two /~{w Qty lsz'x 73.SO~c..y 5~32~~~~,~7 ~acta( ~c~ yWr. K ^~ o,~~ moo' -~ it S -~zo=-~ 6~~`"-•9 Q3 9~. ~~. sa~9 j Wisconsin0epartrnentoflndustry, S01L AND SATE EV_ALUATION_:REPORT Page 1 of 3 + -- --{~bor and Human Relatrons Division of Safety & Buildngs ~ - in accord wttti ILHR 83.05, Wis. Adm. Code ' - :t'. COUNTY . , . Attach complete site plan on paper not less than 81/2 x 11 iriches in size. Plan must include, but• S'r.. C~~-0tK not limited to vertical and horizontal reference point (Btvt), direction and % of sbpe, scale or PARCELILfD. # dimensioned, north arrow, and location and distance to nearest road. ~ QO 'i " ~O ~ 9 - ~ ~~ OC .; APPLICANT INFORMATION-PLEASE. PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION CP~.L >~~~~ ~~ r~--6A~ SE 1/41V~ 1/4,S ~7 T zg ,N,R 1S E (or~W PROPERTY OWNER':S MAILING ADDRESS • LOT # BLOCK # SUED. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER ^CITY ^VILLAGE ®I'OWN ' NEAREST ROAD l,~\~3 ~~ , w l S~L~ Z--7 ( } CPS ~( (.u~~ ' N ~, [. ]New Construction Use [~ Residential I Number of bedrooms 3 [ ] AddtiQn to existing bui~ng pQ_ Replacement (J Public or commeraal desaibe Code derived darly flow `1S0 9Pd Recommended design loading rate - bed, gpd/ft2 ° ,3 trench, gpd/ft2 Absorption area required 31 S bed,,ft2 3~ S trench, ft2 Maximum desigri loading rate o •S bed, gpd/ft2 0, b Vench, gpd/tt2 Recommended infiltration surface elevation(s) ~~~• S ft (as referred to site plan benchmark) Ad~tionaldesign/site considerations r" ~U~i'D .WIS'~C1.S~~12L'U~-CI . ir~luvttKU~t ~L~` ot= S~ F~~~• Parent material ~--~ ~ S ~~~ 6~~ vac. `Cl ~-~ Flood plain elevation, if applicable ty A ft S =Suitable for system CONVENTIONAL MWND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FlLL IiOLDUJG TAtJK U =Unsuitable for system ^ S ~U ®S ^ U ^ S ICU ^ S ~U ^ S C~IU ^ S X11 SOIL DESCRIPTION REPORT Boring # 1 Ground elev. ~o~ •o ft Depth to limiting factor ~. S'. Boring # ..>-.;x; ~:~.,a:..~:.. ~~~ ~ ~ ~C:it ~Ny.`v{:: A::.~ .. Ground elev. ~~ft Depth to limiting factor 2q" Depth Dominant Color Mottles T re t Structure Consistence Boundar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont Color ex u Gr. Sz. Sh. y Bed rerxfi a-9 to~tt~ 3C~ - sit Z`~sblz rr,v~h es Z~~ -s -~ Z q-is to ~2 yl _ s~- Z~s~h .. r•,~+- eS lvi ,s .~ 3 2S-~(~ 1~.5 ~1 R Sly `?l.$`t1L S~$ 3~$`i, vw~ m'~~- _ tJP .Z Remarks: 0=9 lo~i~z 3(3 stl z'~Sb~ mv'F~- eS Z~~ .s .~ 3 z~ z9 ~.S~riz a/Y - s1 ~.~sb~ ~v~- ~S - •~t •5 y zq-S~ ~.s~rR 3iy ~ s~1~s~~ s~ o~ ~`~" - -~ ~ •~ ~TName:-Please Print Arthur 1;. We~erer Pie' 715-425-0165 "' ress: ~ - ~egerer Soil Testing & Design Service-P.O. Box 74 River.Falls,WI.54022 ~ - 3ignature: ~ Date: CST Number. C.c • y~~,~ -~ZL q°l-(3 q 6 -\ i_.q~ ~ 2202 54 Remarks: PROPERTY OWNER R1JO~Z.SOty SOIL DESCRIPTION REPORT PARCELI.D,~ C~o~I-- ~Q3q- ~,0 Boring # =~k<:1 ': ~' Ground elev. aa•5 tt. Depth to limiting factor Z~M Boring # .q~,\ ~~~.~1 v ~m~.yf ~}]},... ~ Ground elev. f t. Depth to limiting factor Boring # >> .:.. Ground elev. f t. Depth to limiting factor .,~ .. Page Z'of ~ Horizon Depth in. Dominant Color Munsell Mottles Qu Sz Cont Color Texture Structure . G S Consistence Boundary ~ t'ioots GPD/ft ~-~ LO`1.VL 3(3 . . . ~ St:l r. z. Sh. z sblz rnv`~- cW ~2~~Q- Bed •S Trer~di •lv ~ a-2~ t-o ~~z ~Cy - si I z`~sbk m `Ft-• cS \~~ ~ s . 6 3 Zl,-U3 ~ •S ~[ 2 3 L y ; •S ~-t tZ s ltr, S 1 O~ Yv1`F4. - • 3 - ~{ i i nemarres; Remarks: ____-____.._.____ ___. _P~LOT PLAN • SCALE 1"= ~l0 ' 0 "z- n rc ~ u-1.V~( Nvv SE ~~-1 ~ ~ ~J2" ~.lO --4i ° °~y ~wOo ~•1 ~-r Co~vvR ~1. `1q.S QuT1~1~ of TReZ,lCt~ 3 ~-• 1on.5' d p~ ~~~tz i~ pRuE '"°~ ~~' I / i g>, v~ ~~o H.3 ~ t'1-~~ 5 ~ o. 1S rv\ 1 --~? -~ Z°10 'n-~ ~T. . ~, c-rN N " - ~- --- - ~3r~~t-i - ~-.coo.~~ oti g"+h~H, .~~y°~~l Pve PIPE -~~~'~"~l- 13w1 {t2 - ~-. L~5-6• o~, ea~JCR~'1E s~ r1-r w~,t~. ~-G). Irv t ~l-, ~.~1 ~~~,v,.,`_ {~ -- \Z -~,~ (715 ) 4 7.5 - ~ 1~5 CST Signature Date Signed Telephone No. CST # P-age ~ of _3 ~0 ~10T C~A1"~,PtK.'~' ~\L /n~ i ~ ~v ~ ~ ~ g .Z ~~ 9~, ~~\ ~~\ \ \ ~ . __ _ Wiscoruin Departrnent of Industry, Labor and Human Relatrons Division of Safety & Buifdrgs __ SOIL AND SITE EVALUATION REPORT Page 1 of 3 ^-~- - ~~~~......~....~u..~.~~..,...,, .~...,.....~..,...... COUNTY Plan must include txrt er not less than 81/2 x 11 inches in size lan on a lete site h com Att S~-• C~ZD 1. K , . p p p p ac not limited to vertical and horizontal reference point (BM), drection and qo of sbpe, scale or PARCEL I.D. R 0O ~ ` L~3~ " ~© dimensioned, north arrow, and location and distance to neares,~oad-~. _ ~,: PRINT AI~'~NFOfIMATION APPLICANT INFORMATION-PLEASE IEWEDBY DA T , 1 ~-, PROPERTY OWNER: ,,. CP',~_L t~J~'~~-Z-Sc~v ';`~ER;`~:~ PROPERTY LOCATION ~,(~ ~1G~;-L-B~'~SE 1/4•N~ 1/4,S ~`I T Z$ ,N,R lS E('"~.J PROPERTY OWNER':S MAILING ADDRESS • LQT ~ 8 ~OCK # ~ SUED. NAME OR CSM # Z ~ 3q C.qu ~., N ~, 9 ~, _- -- CITY, STATE ZIP CODE PHONE NUMBER r ;,,:~~,;;c CITY ILLAGE ®fOWN ' NEAREST ROAD Wll.3 t)YJ ~ LV I S~Loz--7 ('_ )~ ;:~ulv~' C Cuv1..,~-t ' N r ~ r. [ ]New Construction Use [~ Residential / Number of bedrooms 3 ,; [ ] Addition to existing building D4. Replacement [ ]Public or commeraal de~fxibe •~.~~.. Code derived daily flow `ZS4 gpd Recommended design loading rate - bed, gpd/ft2 ~ •3 trench, gpolft2 Absorption area required 31 S bed, ft2. 3~S trench, ft2 Maximum design loading rate o.S bed, gpd/ft2 0. b trench, gpd/ft2 Recommended infiltration surface elevation(s) ~~'~- ~ ft (as referred to site play benchmark) Additional design /site considerations 'r`10~~ wl5 '~C "1S' ~~JC..Cy . Y/llru l fvt v-~t \ Z" o F Sfri.~ F-r ~~ Parent material L.o ~s S ~~~ 6~t rec. ~L~ Flood plain elevation, if applicable N A ft S =Suitable for system U = Unsuitable for s stem CONVEPlTIONAL ~ S ~U MOUND ®S ^ U W-GROUND PRESSURE O S flu AT-GRADE ~ S ~U SYSTEM IN FlLL ^ S l~.U HOLDWG TANK ^ S ®'U 12~ SOIL DESCRIPTION REPORT ~„'~' ~t?.Q,Dt~ Boring # :~ ~ 2~~ ~~~ >~~; Ground elev. ~o~ _o fL Depth to limiting factor ZS`' Boring # ~~~ Ground elev. ~~ft. Depth to limiting factor 2°1'' Depth Dominant Color Mottles Texture Structure Consistence Bo~r>ciar Roots G D/ft Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. y Bed rer>ch ~ -9 ~o~t1Z 3 t ~ `- sit Z`Fsb1-z t,~v`Fr eS z.v~' _S . Z q-ZS l0 `itZ y( 5~ ~ Z~S~h ..l~i'~~ ~ S lv~ • S .~° .3 2S-~If3 ~•5 ~ R 31y ~ ~•S`.11Z S~$ s1Sc1 ~~ mT~- _ f.1\~ .Z Remarks: Remarks: ~ o-q lo`11Z 3l3 ~ ~ 11 Z~Sblz `Mv'FI- eS Zug •S :`• •~ Z ~-z.y. Io~~~~r~y - sib Z~S~h ~~ c>~, lv~ .S .~ 3 z~ zq ~ • s ~r lz 3/ y - s) ~. ~-sb~ v~ v~ ~S - • ~ • S y z4-s~ ~.s ~R ~i y 1 s K~ s/~ s 1 0~ m ~~- - -3 ~ -~ ST Name:-Please Print Arthur L. Wegerer Pfane. 715-425-0165 "• ress: ~egerer Soil Testing & Design Service-P.O. Box 74 River-Fa11s,WI. 54022 ~ - ,~ ~•~ ~ ~ ~ - [3 9 Date: 6' _ l Z - ~ ~ CST Number: 2 0 2 5 4 gnature: ~~. ~~L ~- 1 'S' .~ .~" Sj . ~ PROPERTY OWNER RtiJO~Z.Sptt~ SOIL DESCRIAT(ON REPORT PARCELLD.# ODD- LO3~}-~(,~ Boring # ~~ ~ t 3 ~~'~ Ground elev. aq.-S ft. Depth to limiting factor Z~a Boring # ~xv 6"~ ~~:;Y x (Ground' elev. ft. Depth to limiting factor ~, Page Z of ~ De th D i C Horizon p , in. om nant olor Munsell Mottles Qu. Sz. Cont Color Texture Structure Gr S Sh Consistence Boundary .Roots GPD/ft ~-4 LO`-tQ 3L3 ~ S%I . z. . Z sblz ~v~ ew -Zv`~- Bed :5 Trend .6 ~, 9-2~ LCl `1YZ y~t~ - Si I z`~s~k m `f f-. c 1~~ , s ..6'. 3 z.6-u3 ~ •S ~t (Z ~ L `/ ~. •S ~ tz s ~>s S 1 O~ Yn`F4. - ; 3 -SF i Boring # }Yc~.vi\•:~~~~iih44tij `Afy1$ {.:~ i .'. ' Ground ' elev, tt. I Depth to limiting factor ! I. Remarks: Boring # sc z5?E>;; ass,#:;:; <` ..:. ~} ::.:. Ground elev.. f t. Depth to limiting factor Remarks: ------------ ----- PLOT PLAN SCALE 1"= ~l0 ' d~v SE ~~-1 ~ ~ ~i.I.Up°- ~-' , ~ , Co~.i~ov'cz- tl. ~q-5 L~1.• ton. S' p ~ ~~~rz / /~ As~oraL~~ 1~~,~ ~ p Rl U E ~y I / 'a0 -.10T CoM.t~f1~.T- o~L o~s~-~ ~ti-ls ~~ / ~~~~ . // i vy ~ ~~ L+ ~ X15 B 'Z \~ 9~ ~ ~~ .~ \ ~~ ~>, y~ /, o~,~ ~ ~ B .3 '~ t'~-9 9 s F1~' N~. 24 jo ov _ ------- --------rt--~ --------- - - - -- - ~ -- o . ~S . wt L _ Tv-~----~ Za 0 `yet sT. - - ~ C-TN N _ .__.._. _ - ~-.co~•n' oN $"~~H, 3ty`~~ Pve PIPE w/~-Pt~_ -"1 t't 2 - ~TZ, L~5.6' Off, (° oil CRC''T~ SLfC13 RT w~LL. ._ ~~- t 3 9 `zZ.oZSy ~~1~ ~ticz> ~'`~i~~~~ ~ - \.Z-~~ (715 ) 4 2.5 -n .~ h 5 CST Signature Date Signed Telephone No. CST # ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~~" ~ ~ C. / V yr Ti 'h, Mailing Address Z ~ ~ ~ C o ~ t"~ ~c7Y - Property Address -~~'J ~ (Verification required from Planning Department for new construction) ~~ S~OL'7 City/State ~i ~ SOYA ..~. - Parcel Identification Number bo 4 - / n39- ~0 -/OD LEGAL DESCRIPTION Property Location ~ '/4, ~ ~ '/a, Sec. ~ 7 , T ZS N-R ,Z,W, Town of ~ ~/ Subdivision N ~ ,Lot # ~_. Certified Survey Map # Volume /~ ,Page # ~~ ~9 Warranty Deed # ~3~ ~~~ ,Volume Page # ,O Spec house ^ yes Ly"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. The property owner agrees to submit to St. Croix 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 Office within 30 days of the three year expiration date. / / ~> - _~ 6 /b /~~ SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. %~:~ SIGNATURE OF APPLICANT 6 /~ l Of DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ' VOl_ 15~~PAGE 1,p 636556 I!fl~i'(-I l..i`EN H. WALSH FE'G7:STrfi OF DEEDS Document Number WARRANTY DEED 7~r. ~:f:alx co. , wi F.'ECE?4'ED FOk kECOkD Carl Anderson, a/k/a Carl D. Anderson and Joan Anderson, a/k/a 41-ire-?''Q1 9:34 AN Joan M. Anderson, husband and wife, conveys and ,warrants to WAF;F'a>`I?Y DEED Eric D. North and Renee M. North, husband and wife, the following EXEMPT ii 17 described real estate in St. Croix County, State of Wisconsin: CE6;r COPY FEE: COPY ccr; TkF~h1SFEk FEE: kECOkD?!'IG FEE: 1Q.4Q GAGES: 1 Name and Return Address ~f-' Y1e~ ~ ~O~'t bt C r60~ lA•~A. rV ~.~ tlsn~~, ~ hJ 1 s ~-{oz7 004-1039-40 (Parcel Identification Number) Part of the Southeast Q of the Northeast Quarter (SE '/4 of NE '/) of Section Seventeen (17), Township Twenty-eigh (28 orth, Range F' en (15) West, Town of Cady, St. Croix County, Wisconsin, more particu ary described a Lot On (1) of Certified Survey Maps filed June 7, 1999, in Volume 13 of Certified Survey Maps, at Page 3659, as Document No. 604407, office of the Register of Deeds for St. Croix County, Wisconsin. This deed is given in full satisfaction of that certain Land Contract between the parties dated January 26, 2000, and recorded January 27, 2000, in Volume 1486 of Records, at Page 471, as Document No. 617511, office of the Register of Deeds for St. Croix County, Wisconsin. Exception to warranties: all easements and restrictions of record, and except any liens or encumbrances created or suffered to be created by the acts and defaults of the grantees, their heirs, successors or assigns. This is not homestead property AUTHENTICATION Signature(s) authenticated this day of signature type or print name TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Dated this ~ day of /~ , ~ ~•~~~ L~ " D. Anderson ~2~ an M. A Berson ACKNOWLEDGMENT STATE OF WISCONSIN ST. CROIX COUNTY Personally came before me this day of ~_, ~U the above named Car Aso' • .-a~Jc/a Carl D. Anderson and Joan Anderson, a/k/~~g~n~i ':gnderson, to me known to be the person(s) w ctfed the toC~going inmerit and acknow~gdge the :' ~ J y "' '•, ~, l J~'1~1V1~`~- ~„ ~~`~ r ~ ft .t.."' Sao, . type or print name ~`,~~ ~ PI ,.y ,. • __ Notary Public St. Croix County, Wisc ' In:. J ~ i.' My commission is permanent. (If no~t~~'C"a4Airation date: :~--1 l ~ . ~. ) ~~o~~-,c~S A - ~c C~~ tnc~c l~ 'Names of persons signing in any capacity should be typed or printed below their signatures. Information Professionals Company Fond du Lac, Wisconsin 800-655.2021 ~~ v~l ~fo~- C"' ~~~3~5-5~ ~- CER T 1 F 1 ED SURVEY MAP L OCATED 1 N THE SE 1 i4 OF THE NE 1 i4 OF SECTION I T, T28N, R 15W, TOWN OF CADY, S T. CRO 1 X COUNTY, WISCONSIN. PREPARED FOR: CARL ANDERSON BEARINGS ARE REFERENCED TO THE EAST LINE OF THE NE 1 i4. (ST. CR01 X COUNTY COORDINATE SYSTEMJ. i ///''' NW COR. ~ / SE-NE ~// :Z n :m :4 :~ .~ r j- / .~' ~. V1 G) / ~ m m' rz„ LEGEND O SET I" X 24" IRON PIPE WEIGHING 1. 13L BS PER L 1 NEAR FOOT. I' ^250' 0 50 250 500 22. 60{' I H "~I 'O O m: ~ 3 ip~~ ~:, N p pp IOJ W m ~ 100' I33' ~ I~ z ~ °o APPROX. 3' SOUTH Of EASTiI~£ST FENCE LINE ••UIVPL•ATTED LANDS ...................... NORTH LINE OF THE SE-N N89°32' 2T"E 1324. 82' 1302.22' LOT 1 22.87 ACRES 996, 345 S0. FT. . 21.49 ACRES EXC. RiW 936, .065 S0. FT. ~ H w /,. ~U~ .. m 'p w SHED tBpC~.~'~NE $ / ~ / / ~ W SHEDS 5E • / C --i BARN IN•~ OUTHOUSE !~ gppa / ~~ '~ / ~ m ~ RUINS SHEAF ~ Q+ •' DRIVE •• ~~j a1/ ~ •/ I~ m `. OHOUSE~ ' E/ / Go I ~0 ~ •'• DRIVE 6/ ,Q~ j / • 12.00' S5°~1j ~ .•• ~ / ~' • • $ ~3• E ~ / N •'' 058 ~ / 0.•~''P•o5 0 V N6 2 G"~ ~/~ / UNP~A~~ SECT IONARTER FOUNDR / ALUMINUM MONUMENT n NORTHEAST CORNER ~ SECTION IT cn m FOUND 3i4" REBAR g _ ~r w ~, n N om a~ ~ ~, m APPROX. 21' NORTH I' E ~ CESL fHfST 1 ~~II~SENE~ ~. :Z :a m :~ ~z JAMES M. •~WEBfiR =S-1604 NELSEN-WEB R LAND SURVEYING DATED W -~~ ••~~ ~~ 9910TH THIS I NSTRUI4ENT DRAFTED BY J f M WEBER SHEET ~ OF 2 DESCRIPTION A parcel of land located in the Southeast'/4 of the Northeast'/< of Section 17, Township 28 North, Range I S West, Town of Cady, St. Croix County, Wisconsin, more fully described as follows: Commencing at the East Quarter corner of said Section 17; thence, North 00°16'00" West, along the east line of said Northeast'/., 859.13 feet to the POINT OF BEGINNING; thence, South 65°58' 13" West, 1447.85 feet to the west line of said Southeast'/4 of the Northeast '/a; thence, North 00°15'04" West, 1041.50 feet to the Northwest corner of said Southeast '/. of the Northeast'/.; thence, North 89°32'27" East, along the north line of said Southeast'/< of the Northeast'/4, 1324.82 feet to the Northeast corner of said Southeast'/. of the Northeast'/4; thence, South 00°16'00" East, along the'east line of said Northeast'/a, 462.53 feet to the point of beginning. Contains 22.87 acres or 996,345 square feet. Subject to right of way for C.T.H. "N" and Maple Lane as shown. Also subject to any and all additional- easements, right of ways or conveyances of record. SURVEYOR' S CERTIFICATE I, James M. Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of the St. Croix County Subdivision Ordinance and under the direction of Carl Anderson, I have surveyed, divided and mapped the above described parcel of land and that this is a correct repr~;sentation thereof. Dated this Z~`'~ day of 'P~~'`Z-~~ , 1999 -~ ~ -c_ James M. Weber S-1804 ~. NELSEN-WEBER LAND SURVEYING, INC. NOTE The parcel shown on this map is subject to State, County, and Town laws, rules and regulations . ~r ~.. r~~~oi A+,. ~ ?gPfnro n,~rrh2sing ar developing any die. wetlands, m~n~rnu~r, ion s;ze, ~,;.cc.,., ~~ r......<., ~~~,,. parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. SHEET 2 OF 2 99107A This instrument drafted by Jim Weber MRY-14-02 04:22 PM P. 01 ~urva~ x ~~`' ~~ PLUMYIN6 i NEATINO INC. "Servlnp You Over 45 Years" 820 Maln Street Baldwin, WI 54002 (716) 684-3378 F8~ (71 S) 684-3144 $UC~CONTRACTOR PROJECT AGREEMENT THIS SUBCONTRACTOR PROJECT AGREEMENT (the "Agreement') is entered into on this ~,,, day of , 20_, by end between BOL,DT'S PLUMBIN4 A HEATING OF BALDWIN, WI, (the "Contractor")and (the '5ubcc~ntractor"). Recitals: WHEREAS, Contractor and Subcontractor have alread~~- entered into a General Subcontractor Agreement in which they set forth the general ®xpectations and obligations between themselves; and WHEREA5, the parties intend that this Agreement will :supplement and be a pert of any General Subcontractor Agreement they entered into; and WITNESS: Contractor and Subcontractor, in consideration of the agreemE~nts contained herein, hereby agree ens follows: 1. Subrnissidn of Information: Subcontractor certifies that it has proper and adequate liability and workman's compensation insurance and can supply a written copy on request. The subcontractor also has written safety plans in force. 2. Project: The general terms of this Project are outlined as follows: PROJECT NAME: ~ c ~' ~~ OWNER: 1 ~--~ PROJECT ADDRE55: ~," ~ ~,,, C~i - `"1' 3, S ~ of Work: The following is the scope of work to be cc~rripleted by Subcontractor under this Agreement: See Page Two MfaY- 1 4-02 04 :23 PM _• P. 02 Supply and install a sanitary sewer system as per state approved design provided by Boldt's Plumbing 8 Heating, including: ' Tanks, Pumps 8 Filters ` All piping from house to tanks and from tank to system bed ' All piping for system bed All excavating, rock and fill 4. Inspections. Subcontractor shall arrange all inspection: with the proper authorities and fulfill any corrections required by said inspector. 5. Warrantee: Subcontractor will hold all warrantees on installed work and Contredor will hold no liability for work performed or materials provided b~/ Subcontractor. 6. t~ment and Lien Waivers. Subcontractor shall collect. all money owed to him from the Property Owner listed on page one and will be responsiblQ far any lien waivers, Contractor will not be responsible for collection of any payments. 7. Miscellaneous;, This Agreement shat! be binding upon and shall inure to the benetTit of Contractor and Subcontractor and their respective successors, By signing this Agreement, the parties represent and warrant that they are authorized to enter into this Agreement on behalf of their respective entity. IN WITNESS WHEREOF Contractor and Subcontractor enter into this Agreement as of the date set forth below. CONTRACTOR: SUBCONTRACTOR: BOLDT'S PLUMBING 8 HEATING, INC. BALDWIN, WI I 5° ( Itle) ~ ~ BY: r„ ~~~ . . . Its: ~i~ _ ('~Itle)