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004-1042-50-300
1Nisronsin Department of Cornmerce ~/~ ~~ ~ ~ ~~ ~ ~~ ~ County: PRIVATE SEWAGE SYSTEP~ St. Croix Safety and Btylding Division INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) state Plan ID No 506166 0 Personal information you provide may be used for secondary purposes [Privacy Law, s.95.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No' N hus, R an Cad ,Town of 004-1042-50-300 CST BM Elev: Insp. BM Elev: BM De ription: Section/Town/Range/Map No () /~ . ~ ~/h '~/ ~- -~~~ 18.28.15.288A30 TANK INFORMATION ELEVATION DAT TYPE MANUFACTURER CAPACITY Septic , ~ / ~ w (.C,4~- /~~ Dosing Ci-~la rl ~~ Aeration r~ Holding TANK SETBACK INFORMATION TANK TO P/L WE BLDG. Vent to Air Intake ROAq ,J-o Septic 7 ~J. O / ~AS ~ ~ ~D ~ ~ Dosing Aeration Holding PUMPISIPHON INFORMATION L Manufacturer ~~~~ ~+j errand GPM Model Number ~ ~ ' 1 d SZ , b TDH Lif~ • /- W Friction ~ ss3 System H~esad ZS TDH Ft Forcemain Leng Xh __ ~ Dia. ~ ~ Dist. to weu N SOII ABSORPTION SYSTEM STATION BS a ' HI~ FS ~~. Benchmark ~ ~ / ~ (o~ 3• ~ /~ Or /D a Alt. B v// C..bJ+ti~ ~{~,, E ~'''q ~~ 2 Bldg. Sewe~~/Cr~ Cw yG q ~ • l Z ~D~• SUHt-let 2 ~~ ! "/ `~ SUHt utle Z h ~~ ~fi~ ~e,f''. ,-_ ~- Dt Inlet ~ ~ ^~ ~1 _~ t Bottom .lam 9~. oG eader/Man. Z , ~ ~a1 Dist. Pi e Z . ~O ~d ~ • ~o~ Bot. ystem r /b/.v•r 3, 3 /dl Final Gra e ~~ ~ i6z •7 St Cover 2 .-~ 5 1~4e ~ ~~` ~ O Z ~ l Z~ (~'~ BEDlTRENCH Width f Length ~ No. Of Trenche. PIT DIME IONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS r _ /~ ~ ~_ ~~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEAC G Manufacturer: N O TION C ER OR '~- I F RMA T e f stem: + Yp ~/~ L,~ 7~ G ~ ~ ~ ~ ~~ Model Number: ~ t~ nC 0 ~T ' I~ISTRIRl1T10N SYSTEM f~// -M 'l~--e., v1 ti~ ~ ~ .a Header/ anifold A/ ~ v ~ ~ Distribution( ~~~ J Pipe(s) `~~ x Hole Size__/ /~ 3 ~~ x Hole S~ ing ~ / Ve Air Intake .~ .G Length Dia ` / / Length Dia Spacing , SOII (:OVER v Drom~~rn Cuc4nmc Only ,.~ Mni~nrl C)r At-(trade Systems Only / 1/ 1 Depth Over Bed/Trench Center 1 ~ 7 Depth Over Bed/Trench Edges \ xx Depth of Topsoil (~,, xx Seeded/Sodded v ` ~„~ s ~ No Mulched ~„ Yes No I ~ ~"~-~ ~ I ° COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ /_~7~ b~ Inspection #2:_.__i__ _„_ Location: 2760 County Road N Wo,.o'dvil//l_e, WI 54028 (NW 1/4 SE 1 4 18 T28N 15W) NA Lot 3 t~~c/~'C` o Par~cpel~N~o: ^ 8.28.15./2988A30 1.) Alt BM Description =~ `L~ ~L ~~ ~~~ lNl ~""""~ ~~~'" ~ ~ CUL~~ 2. Bld sewer len th = /~ ~~ -amount of cover= ~~ ~,y ~ „-,a _)''~~~/ _1- ~~t ~~' ~ /'_ ~ ~,r,,,,,p~~y, , G~;, -+"'u v~^- S _a_ U.~- GUU~h~7G - "11. I"~ ~( .1G~-l~lL~ T~ C~v ~~0 S~ Plan revision Required? ^~' Yes o ~ I Use other side for additional information. 1 ~ ~~ ~ --J ~- Date Insepctor's S' nature Cert. No. SBD-6710 (R.3/97) 04/30/07 MON 10:29 FAX 715 386 4686 ~ 004 commerce.wi.gov Safety Ind s ivigi 1 County ` /',r~ ST' ~~ C 6 201 W. Washingt !`:13 7 ~ ~/~ ~sconsin Madison, Sanitary Permit Number (to be fit ed in by Co.) merce f C t ~~ ~ om o Departmen i . pplication Sanitary Permit A State Transaction Number ~ ~ ~~ _ priate vermnental Code Adm su Wis 83 2!(2) d ith C ~ 3 ~ ~ . , . . ance w omm. , s. In accor unit is required prior to obtaining a sanitary permit. N :App Wbweed OWTS are Project Address (if different than mailing address) ` submitted w Ate Department of Commerce. Personal in emotion you provide may be used f secotulary ur ses in nccordmtce with the Privac Law, s. 15.04 I m) tats, ~ ~ ~~ ^~ N /l/ 1. A licatiott Ittt'ormation -Please Print All Infor etio , Property Owner's Name ~/ i~ _" Par~ceil,# ~~I/ / a -~ ~ 3~ (/~ }~ I vlG,~ IX COUNTY 7 Properly Owner's Mailing Address Property Location ~ ~~~~ ` _ N ~~ ~ Govt. Lot ~ , _ __ City, State Zip Code be r Phone Nu m /U` ~ ~/,,~ ~/,, Section ,n,,!.(( Vl~ ~ ~ t ~ ~ ~ / [ ~ ~~/ ~! ! /~~~ _ ~- arcle oneL T~N; R~Eor e of Bui ding (check all that apply) f T Los # ~ . yp Subdivisi on N a me o//f Bedrooms or 2 Family Dwelling -Number 2G~Q ~(+~•p~ % ~ ' ~ ~~ Q/~~ Block k ~~ CJ J`~ / ~, ~~ ~T~a!`~' ~ ^ Public/Commercial -Describe Use ~' ~ "1 ~ ~ er ^ City of V p - V ^ State Owned -Describe Use M Numb .r CS ~ u ~ ~ ~ ~ ~ ^ Villoge of I ~ Town of ~a VI III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' ~ew System ^ Re lacement S stem p y ^ TreatmenUHoldin~ Tank Re lacement Ont 6 P Y Other Moditicatiou to Existing System (explain) B. ^ Permit Renewal ^ Permit Revision List Previous Permit Number and Date Issued ^ Change of Plumber ^ Permit Transfer to New Before Expiration Owner ` ~ t./ __ lV. T e of POWTS S stem/Com anendDevice: Check al! that a I 7~(i ^ Non-Pressurized In-Ground ^ Pressurized In-Ground ^ At-Grade ((~~ ~~ound> 24 in. of suitable soil ^ Mound < 24 in, of suitable soil ~ 2 ~~ /`a'v' ^ I lolding Tank ^ Other Dispersal Component (explain( ^ Preueaunem Device (explain) ~~ V. Dis ersal/Treatment Area Information: Desi t Flow (gpd) Design Soil Application ate(gp sf) Dispersal A a Required (st) Dispersal Area Proposed (sF) System Ejevation - ~ VI. Tank Info Capacity in oral # of Manuf cturer :: ' ` I _ I, Gallons Gallons Units D g V v i i H ~ ~ m New Tanks Lzisting Tanks v c ' 2 v ~. ~ aU iR ~ ~ n .+.J ~ a Seprie or Hulding Tonle 1 Q ~'.a ~C ~' ~.• ~ { llosine Chamber '~SG ~LJ,p (~, r VII. Responsibility StatetnCn_t- 1, the undersigned, assume respnnsibifiq_fnr installation of the PO~VTS shown ou the attached plans__ __~ Plumbers Name (Print) ~ Plu er's Signatur MPiMI'RS Number ~ Business Phone Number i e ~ _ f 22i >~~ 9 ~ 83Y-C/SY Plumber's Addrt:ss (Sweet, ty, State, Zip Code) /efZ Z >D~~ ~ t N ~~r eC~ ~ fie. w ` ~~~~ 3 __ _~ V[II. C unt /De artment Use Unl Permit Fee ~ Dat ued Issui Agent Si ure proved ^ Disapproved S / ~ f ^ Owner Given Reason for Denial l/Y/~ ~" v ~ p ~~"~"` IX. Conditions of Approval/Reasons for Disapproval /7 G~2~Z~ (/i^, / yL~,i-`- ~/`Zc-~ YSTEM OWNER: ~c Septic tank, effluent filter and ~~~~ ~ l~ ~ ~~~ ~ ~~/~~~' dispersal cell must all be serviced /maintained as per management plan provided by plumber. ' At ac o pm ere p ans or t e sys em and submit to the County only on paper not less than B 112 z 1 [ inrl~vs In size as per applicable co a orc~lnances. SBD-6398 (R. 01/07) Valid then 01109 ~~ >~ ~~ ~C~/ i r NYHUS POINTS PLAN ' 2060 CTH N `"tab! ~ // / /// j////v~,_ 100.0'X6.0'AGGREGATECELL / / / /oo;~y ~rp,~. WITHIN A MOUND COMPONENT ~ ~ /// ~/ ////// j// ~..` _. roa of i . / / ., PARCEL DESCRIBED AS 16.6 AC. /V ~~ ~2 SEE CORRESPONDENCE 88, PLACE UPSLOPE EDGE OF ROCK ALONG FLAGGED 100.00' CONTOUR N W E SCALE c~~ (UNLESS SHOWN OTHERIMSE) WILLIAM J. BERGH WISCONSIN CERTIFIED SOIL TESTER DESIGNER OF ENGINEERING SYSTEMS CUSTOMER ID 227819 BUILDING SEWER MUST COMPLY WffH COMM 82.30 WAC (11xC) OF WELL MUST COMPL )NR CHS. NR 811 & 812 BENCHMARK ELEVATION =100.0' ~ - round elevalion base of stake e L G(S i ( LOCATK)N OF SOIL PIT(S) * NOAPPARENTCOMM83.43SETBACKS ® DESCRIBED LOCATION OF LOT LINE ® LOCATION OFRIGHT-OF-WAY ® CENTERLINE OF DESCRIBED ROAD 40' - 2" SCH 40 PVC FORCEMAIN (must drain back to pump tank) WIESER MODEL WLP12501750-MR _ SEPTIClPUMP TANK (wlapproved outlet fitter) I ~~ -9 ' - 4" ASTM PVC BUIL ING SEWER LINE - - ~ (CTH N)-- - - nbfi p ,-r n~ LOT #3, DOC # 835797 NW-SW-18-28.15W CADY TOWNSHIP ST CROIX COUNTY, WI 1 G~~" ura.~=~r~rufi" ~r1~ C - GLZ ~ L. L STA D 46R L L_ ( L_ ~~ ~ ~ ~ ~ L_( IJ_L1J_L1J~ ^'200 yds -~- - - - -- Svc P,~- 7s"'~. ; 3 - .'p~ ~~,L ~-2 S ~' ~ 0 ~ . 0 ~ J ~fLt/GC~ / ~ r~ T WYl ~'t1 C~ SDr-cy ~Q~" PAGE 3 OF 9 commerce.wi.gov i ^ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary Apri127, 2007 CUST ID No. 227819 WILLIAM J BERGH GEO TECH 2667 113TH ST CHIPPEWA FALLS WI 54729-6575 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SP]A 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/27/2009 Identification Numbers Transaction ID No.1389888 SITE: Site ID No. 724651 Ryan 1Qyhus Please refer to both identification numbers, 2760 County Hwy N above, in all corres ondence with the a enc . Town of Cady St Croix County NW1/4, SE1/4, 518, T28N, R15W Lot: 3, Subdivision: Doc #835797, V21, P5282 FOR: Description: Mound /Four Bedtoom /Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1128242 Maintenance required; 600 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. The bench mark as located is in an area that will be disturbed during the construction of the component. A new bench mark is needed that is located outside of the disturbance area and still accessible for the construction of the system. C'0}y(~tt) • The changes made in red to this plan on 4/27/07 by this reviewer were acknowledged and approved by the system designer. The manifold diameter is 2 inches. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. ~~~~ p ARTMEN?' ON O SEE CORRF • The well must be a nununum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c WILLIAM J BERGH Page 2 4/27/2007 • 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 POWTS 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. Stat • Comm 83.22 A co of the a roved Tans s ecifications and this letter shall. be on-site Burin construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained. in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55. 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. 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 maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. ' Sincerel ~~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charles.bratz@wisconsin. gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WSMART code: 7633. cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544 ,Friday, 7:00 A.M. To 3:30 P.M. Edward Bergh, Bergh Contractors Inc (Plans Mailed To) io1`C3CdC~~ t'1d11~C,~" $~'#~ t/('71~J~7i~JC1 IOC~I~~y 11~C X944 ~asa1 a~a-reec Cover Sheet ~~~~~~ ~~ ~ ~ ti0~~ CAS Pei $~~~,~~~ PF~~ ~ RYAN NYHUS N6904 938`h Street -Elk Mound, Wl 54739 MOUND COMPONENT -AGGREGATE CELL Reference Component Manuals Mound Component Manual SBD-10691-P (N.01/01) Pressure Distribution Component Manual SBD-10706-P (N.01/01) Job Location: CTH N (-112 mile w. of CTH HH) NW 1/4, SE 1/4, Sec.18, T 28 N, R 15 W Township: CADY County: ST. CROIX Designer's name and license #: William J. Bergh (License .1577-007) 1 the undersigned stat that these pla were designed and sub ed under my a thorny. Designer's signature: ••~~saetaarya Designer's address: 266711 ~ Str et s*•••~(~0~~~ :a~~ Chippewa alts, WI 54729 ,.•~i .,~ •g r •, ~ ,, Designer's phone number: 715-723-5555 voice : 'fir' ~ ~ 715-723-7535 fax : ~ f W ~ ~"'~"~~~~ J ~ e W 715-577-6838 cellular : °~. i BERGH ~ s email: soiltestinq(a~charter.net ~'~'+, ,: ~~~: Contents Page 1 cover sheet Page 2 system calculations Page 3- site plan Page 4 cross section of mound component Page 5 plan view of mound component & distribution lateral schematics Page 6 pump chamber schematic 7~~~ry Page 7 pump curve i/~ED Page 8 maintenance & contingency plan Page 9 maintenance & contingency plan ~F COMMERCg =Y n ~ ~b~1 ~ ~~'~ ~f. ' ~Iflpj!@W11 ~qI~S~ ~NI ~~{~~~ -SPONDENCE www.gettingdirty.cam Page 1 of 9 SYSTEM CALCULATIONS USING WIESER TANKS residential dwelling with total of LLR (linear loading rate DLR (design loading rate depth to limiting factor system area cross slope forcemain length manifold and/or header length forcemain volume length of each lateral total number of laterals orifice diameter distance between orifices total orifices per lateral lateral volume (each lateral svstem discharge rate vertical lift friction loss in the forcemain TDH (total dynamic head minimum pump discharge pump manufacturer estimated total dose volume pump tank model septic tank model manufacturer of tanks pump float on/off measurement alarm float from bottom of tank gal Ions/orifice/dose orifice density 4 bdrm calculated at g_0 al/c~day/ft 0_4 gal/sgft/day 24 inches ~7% ercent 40 feet usin NA feet usin 6_6 alg Ions 48.750 feet using 4 invert elevation 0.1875=3/16 tenths/inches 30 inches or 2p total orifices all laterals 4_5 allons 52.8 g allons calculated at 7.0 feet 2.2 feet calculated at 12.5 feet 52.8 mat L GIANT model number 96.3 allons 750 ~ actual tank size 1250 ~ Z U v actual tank size WIESER ~/ 6 inches 20.0 inches 1.13 inches 7.50 600 gpd design wastewater flow 1500.0 effective aggregate area 2 inch -SCH 40 PVC NA inch -SCH 40 PVC 1 112 inch -SCH 40 PVC 101.50' (bottom of lateral. 101.00' svstem elevation / 2.5 feet 80 13,2 lateral discharge rate 3.25 distal pressure x 1.3 ft. 52.8 gal/min discharge rate 12.5 TDH (total dynamic head) 9EH 90.2 actual dose (total-forcemain 757.64 alg Ions 1300.02 alg Ions ~ ~b J ~ ~ Page 2 of 9 l ~ NYHUS POINTS PLAN 2060 CTH N PARCEL DESCRIBED AS i6.6 AC. i Y SEE CORRESPONDENCE PLACE UPSLOPE EDGE OF ROCK ALONG FLAGGED 100.00' CONTOUR _-,;sst / / / / / / 100.0' X 6.0' AGGREGATE CELL / / / / / / j~,~ sae r~.F WITHIN A MOUND COMPONENT #1/ /////ii// ~...~. LOT #3, DOC # 835797 NW-SW-18-2$-15W CADY TOWNSHIP ST CROIX COUNTY, WI 40' • 2" SCH 40 PVC FORCEMAIN (must drain back to pump tank) WIESER MODEL WLP1250/750•MR _ SEPTIC/PUMP TANK (w/approved outlet filter) N W E SSE 0 20 40 (UNLESS SHOWN OTHERWISE) -95' • 4" ASTM PVC BUILDING SEWER LINE WILLIAM J. BERGH WISCONSIN CERTIFIED SOIL TESTER DESIGNER OF ENGINEERING SYSTEMS CUSTOMER ID 227819 BUILDING SEWER MUST COMPLY WITH COMM 82.30 WAC (11)(C) LOCATION OF WELL MUST COMPLY WITH WDNR CHS. NR 811 & 812 - BENCHMARK ELEVATION = 100.0' -ground elevation @ base of stake o LOCATION OF SOIL BORING(S) ' ~' LOCATION OF SOIL PIT(S) it NO APPARENT COMM 83.43 SETBACKS ® DESCRIBED LOCATION OF LOT LINE ® LOCATION OFRIGHT-OF-WAY Q CENTERLINE OF DESCRIBED ROAD (1~) rL ~LZ GLZ I... I..-._ ~ STAKED 4BR ~ L_( i ~ LBUILDING SRE ~ ~) ~I_I_~l ! ~L~ LJ_L1J_~1J~- ~2~0 yflS - --(CTH N)-- - - ~_-_-_- MOUND COMPONENT CROSS SECTION (typical) (DRAWING NOT TO SCALE) 4" OBSERVATION PIPE DISTRIBUTION CELL DISTRIBUTION LATERAL(S) INVERT ELEVATION = 101.50' 1 _~ o°o°o°fl ° FORCEMAIN 12" ELEVATION = 100.00' PLOWED/TILLED AREA - 6.0' 22.3' >12" SOIL TO PROMOTE SUITABLE PLANT GROWTH SYNTHETIC MATERIAL >~2• UNDISTURBED ~ SOIL & VEGITATION _a aa~° 10" o°c~ 1 1 ASTM C-33 fill material .9' 10.5' CUBIC YARDS OF AGGREGATE (minimum) CUBIC YARDS OF SAND (minimum) SYSTEM AREA SLOPE SYSTEM AREA LONGITUDINAL (long axis) SLOPE EFFECTIVE BASAL AREA (SQFT) 19 100 ^'7% NA 1650 ~°o°o DISTRIBUTION CELL o~ooo d.5" - 2.5" washed hard aggregate, 6" below & 2"above distribution lateral(s) oo~Qo ALL MATERIAL & PIPING SPECIFICATIONS AS PER THE MOUND & PRESSURE DISTRIBUTION COMPONENT MANUALS PAGE 4 OF 9 PLAN VIEW OF MOUND COMPONENT (typical} * All piping & material specifications per the Mound & Pressure Component Manuals OBSERVATION PIPE(S) 10.5' -9.1' ~ 100.0' Distribution laterals terminate 15"from the end of the distribution cell O Access box covering threaded plug at the end of each distirbution lateral ~~ EFFECTIVE BASAL AREA > O Q ~ DISTRIBUTION CELL ~- >~~} 5.81' I--17' GREGATE DISTRIBUTION CEL 1.5' ~ o ~ ~ o C3 O L 3.0' '~ o {~ ~ O ~ ~~ DISTRIBUTION ~ p ~ p a -~ fl p ~ p ~ ~ ~~;~ LATERAL(S) -y ~ p ~ 1.5' o 0 0 ~ 1' <6" DISTRIBUTION LATERAL (typical) * All discharge orifices are located on the center bottom line of the distribution lateral final grade final grade- threaded cap threaded cap 1 112 DISTRIBUTION LATERAL ~- access box ~ access box --~ 2" FORCEMAIN -48.75' LAST ORIFICE IS LOCATED AT END OF THE LATERAL 30"-I-15"+X~2 97.50'- Discharge orifice diameter 3/16" = 0.1875 Number of orifices per lateral 20 Total number of orifices (all laterals) 80 (DRAWING IS NOT TO SCALE) X-I ~Y~ X spacing 30" Y spacing 30" X/2 spacing 15" <6" PAGE 5 OF 9 . COMBINATION SEPTIC TANK/PUMP CHAMBER X-SECTION (DRAWING NOT TO SCALE) MANHOLE RISER & COVER 18" FINAL GRADE {per COMM 84.25 (7) & (8)} (slope ground surface away from / manhole(s) for proper drainage) BUILDING SEWER {per COMM 82.30 (11)} / ~~S rr ~ 2 i~l~ ~S, bld9 MANHOLE ELECTRICAL 8 ALARM SUPPLY (electric 8 alarm wiring must be installed on separate circuits) ELECTRICAL JUNCTION BOX MANHOLE BOTTOM OF INLET (invert elevation) ~ 3„ (wastewater level)----- ---. i i .-. / ,.~,... iii fiiiiii/ ~ 4" INLET PIPE (tee or baffle) /j ///iRESERVE j/~` //// / C FILTERED B APPROVED EFFLUENT FILTER ~ ': EFFLUENT REQUIRED ON OUTLET ; ~ ~:~'. A ~.. MINIMUM OF 3" OF SUITABLE BEDDING BENEATH TANK EFFLUENT FILTER POLYLOK ** Tank Manufacturer WIESER CONCRETE Septic/Pump tank model W12501750-MR Alarm manufacturer S.J. ELECTRO ** Alarm model number HW 101 ~* Type of float switch MERCURY ** Effluent pump manufacturer L. GIANT ** OR EgUIVALENT COMPONENT DWF (daily wastewater flow) 600 GPD Number of daily doses ~6.7 (DWF /actual dose volume) Forcemain volume 6.6 Actual dose volume (gallons) 90.12 (total dose volume - volume of forcemain) 1~~ V I FORCEMAIN y S1P.c t.~ 3` ~~ ~~ properly sealed when\not used ~.~/// :~/////~ /////i/,•/ ~ /~'i ALARM FLOAT ON FLOAT OFF FLOAT elev = 94.50' PUMP PAD Effluent pump model number 9EH PUMP TANK CAPACITIES Reserve above alarm 25 inches = 403.0 gallons Minimum pump discharge rate (GPM) 52.8 Alarm float above on float 2 inches = 32.24 gallons (C) On/Off float measurment 6 inches = 96.72 gallons (B) Vertical lift (pump off to distribution lateral) 7,0' Off float above tank bottom 14 inches = 225.68 gallons (A) system head (distal pressure X 1.3 feet) 3.25"' TANK DIMENSIONS 8 PUMP CHAMBER SPECIFICATIONS Friction loss in the forcemain 2.2 Total dynamic head (TDH} 12.5 Z `2' Length 155" Witlth 86" Liquid depth 47" Gallons per inch 16.12 MANHOLE PAGE 6 OF 9 :,. ,,, 9EH SERIES SUMP/EFFLUENT PUMP }R --~ - _ .. I ~ yy .Y i ~ '! y~ - € ,./ ~~ ~~ k ,~ \ ~ _1 ~ ~ ~~ 11 ~ ).. ~ _ ,~ it ~~ ~ ~. ,' `-:Y ~~ ~ ""*m.. r 4k Specifications YOBEL CAT. SOIIDS SLTE RUNNING PERFORYYYCE (fiPY @ NEM) SNNTOFf PNY. CRD. WEI6NT DYYASNINS N0. N0. IISTIN6 HP YOUS P.S.I. 1Ria. h.) AYPSIRYTTS 5' 1M 15' 20' IFLI IF<I Iu~1 IN t L x N) 9EH-CIM 509330 UUCSA 4/10 115 3/4 13.0 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH-CIM 509340 UUCSA 4/10 23D 3/4 6.5 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH-CIA-RF5 509350 UUCSA 4/10 115 3/4 13.0 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 9EH-CIA-AFS 509360 UUCSA 4/10 230 3/4 6.5 1000 71 68 60 49 32 13.8 20' 27 9.11 x 11.64 x 8.94 FLOW- LITERS/ ^UR 0 1000 2000 3000 30 10 H W W 0 20 FLOW- PUMP PE I15 V H 7.5 w W f s ~ 1 13 W 2.5 0 40 60 80 ONS/MI UTE 53 Construction Motor Housing Epoxy Coated Cast Iron Impeller Material Poly Carbonate Im eller T e Closed Vane Volute ABS Power Cord SJTW-A Mechanical Shaft Seal Nitrile with carbon and ceramic faces Fasteners Stainless Steel Shaft Stainless Steel Bearings Upper Sleeve and Lower Ball Bearings ss~ 3° ~"~ ~, Little Giant Pump Co. ~ J'am'" a PO Box 12010 Phoae: 405.947.2511 ~ g1,~ d ~ Okla. City, OK 73157 ` Fax: 405.951.5674 ISO 9001 CERTIFIED wWW.LittleGiantPump.COm ~ Form 995235 - O1 !00 ~- ~ 9 POWTS OWNER'S MANUAL MANAGEMENT PLAN PERMIT NUMBER: ~~ ~ ~ ~° Owner: POWTS Maintainer: Local Regulatory Authority: POWTS Installer: Septage Servicing Operator RYAN NYHUS - CTH N Geo Tech Soil & Site Evaluation -Chippewa Falls, WI 715-723-5555 St. Croix County Zoning Department -Hudson, WI 715-386.4682 Ed Bergh, Bergh Contractors Inc. -Eau Claire, WI 715-834-6194 DESIGN PARAMETERS Influent/Effluentguality (values typical for domestic (non-commercial wastewater and septic tank effluent) Fats, Oil and greases (FOG) <30 mg/L, Biochemical Oxygen Demand (BOD) <220 mg/L, Total Suspended Solids (TSS) <150 mg/L. Soil Loading Rate (SLR) = 0.4 BASAL AREA SYSTEM SPECIFICATIONS The components of this septic system are intended to serve afour-bedroom (600-GPD) single-family residence. The components include: a Wieser model 1250/750-MR septiclpump tank (with an approved outlet filter) and a Little Giant model 9EH effluent pump, alarm & controls and a 100.0' 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 CRITERIAL o SBD -10572-P (R.6/99) "Mound Component Manual" / SBD -10691-P (N.01101) "Mound Component Manual" Version 2.0 o SBD -10570-P (R.6/99) "At-Grade Component Manual Using Pressure Distribution" o SBD -10567-P (R.6/99) "In Ground Absorption Component Manual" o SBD -10705-P (N.01/01) "In Ground soil Absorption Component Manual" Version 2.0 o SBD -10573-P (R.6/99) "Pressure Distribution Component Manual" / SBD-10706-P (N.01/01) "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 (113) 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, vegetable/fruit 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) filter(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(TreatmentTsnk(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. 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 propedy and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe 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 of such 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 MAY BE DIFFICULT OR IMPOSSIBLE. Page 9 of 9 ~, .. ~~gn,~j''p ORIGI~, EVALUATION REPORT #2536 Department of Commerce in accordance with Comm 85, Wis. Adm. Code ge 1 of 3 Division of Safety and Buildings -_-.._.~,~,~_ .Certified Soil Testing, LLC County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. Review Personal information you provide ivacy Law, s. 15.04 (1) (m)). Nroperty Uwner Nyhus, Ryan & Melinda Property Owner's Mailing Addr N. 6904 938th St. City Elk Mound St. Croix 004-1 Date Sl~z~o 7 Govt. Lot NW1/4, SE1/4, S18, T28N, R15W Lot # Block # Subd. Name or CSM# 3 Doc # 835797, V 21, P 5282 r ~ City ~ Village ®Town Nearest Road - 10 Cady 2760 CTHW N New Construction use: ®Residential /Number of bedrooms 4 Code derive design flow rate 600 GPD _ Replacement ^ Public or commercial -Describe: Parent material loess over till Flood ain elevation, if applicable NA ft. General comments install 6' x 104' rock cell mound on 100.0 contour as upslope edge of rock w/ 1.0' sand fill @ 0.4~d/~,g ft and recommendations: basal loading ^ 1 g J Boring Borin # ~~ Pit Ground surface elev. 98.9 ft. Depth to limiting factor 32 / in. Soil Application Rate Horizon Depth Dominant Color `Redox Description Texture Structure Consisten Boundary Roots GPD/ft2 in. Munseli Qu. Sz. Cont. Color Gr, Sz. Sh. •Eff#1 •Eff#2 1 0-13 7.5YR 3/2 - sil 1 f-m sbk mvfr cs lm .4 .6 2 13-16 lOYR 4/3 - sil 1 m sbk mvfr gs lm .4 .6 3 16-32 10YR 4/4 - sil 1 m sbk mvfr cs 1f .4 .6 4 32-41 lOYR 4/4 f2d 7.5YR 4/6 lOYR 6/2 sl 0 m mvfr cs - .2 .6 5 . 41-52 lOYR 5/8 c2p 5YR 4/6 s 0 sg ml - - .7 ~ 1.6 ~~ upper 3 horizons are slightly gritty w/ s; H 4 has some Is & s inclusions ^ Boring # '~ Boring '~ Pit Ground surface elev. 100.0 ft. Depth to limiting factor 24 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistenc Boundary Roots GPD/ft= in. Munsell Qu. $z. Cont. Color Gr. Sz. Sh. _ •Eff#1 •Eft#z 1 0-9 7.5YR 3/2 - sil 1 f sbk mvfr cs im .4 .6 2 9-18 10YR 4/3 - sil 1 m sbk mvfr gs lm .4 ~ .6 3 18-24 10YR 4/4 - sil 1 m sbk mvfr cs lm .4 .6 4 ~ __ 24-44 SOYR 4/4 fed 7.5YR 4/6 lOYR 6/2 sl 1 m-c sbk mvfr cs 1f .4 .7 ~, 5 44-50 lOYR 5/8 c2p-5Y 6 s 0 sg ml - - _ .7 1.6 ---1 _ __ upper 3 horizons are slightly gritty w/ s ` Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD< < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: ST Number Henry F. Grote 222774 Address Certified Soil Testing, LLC Date Evaluation Conducted Telephone Number E. 4366 353rd Ave. Menomonie, WI 54751 4/6/2007 715-233-0398 ay a oses ( ss tate p o e r one umb a, Property Owner Nyhus, Ryan & Melinda., Parcel ID # 004-1042-50-30.0 - Page 2 of 3 3 ~_~' Boring _ ,..r, . '' ,~ Boring # ~ pit Ground surface elev. 98.8 ft. Depth to limiting factor 29 in. Soil Application Rat Horizon Depth ° Do~mirian Color Redox Description Texture .Structure Consistence Boundary Roots GPD/ft2 in. Mansell Qu. Sz. Cont. Cola Gr. Sz. Sh. ~Eff#1 I •EH#2 1 i, 0-12 7.5YR 3/2 - sil 1 f-m sbk mvfr cs lm .4 .6 2 12-17 lOYR 4/3 - sil 1 m sbk mvfr gs lm .4 !~ .6 3 17-29 lOYR 4/4 - sil 1 m sbk mvfr cs if .4 ~ .6 4 29-31 10YR 4/4 f2d 7.5YR 4/6,5/3 sl 1 m sbk mvfr cs - .4 ~ .7 5 ~ 31-45 10YR 6/4 f2d 7.5YR 5/8 s 0 sg ml - - .7 1.6 _~~ __ __ upper 3 horizons are slightly gritty w/ s; H 5 becomes weakly cemented below 40" * 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. SBU-6730 (R 07100) Certified Soil Testing, LLC i ~ _ _. __' _. _ _ -- i I _ __r_ - ... ~ __. ._ _ ~__ _ _ .- _-- --- t ' ~ t2.. a...... ~.- ~-~. ~ , ~ ,,. iN ~, _ ~ ~ l~~ ~ l a~ v ~.,~ 0.~ ~~ ~-~ no4•~oc`.Z-s'n.3~ro i ~ ' 'l~~-S~-~s2 =ZSS-ia w ~ _ _ _ ~b Gihw N ~~ l` ~ _. '' fi _ _ _ _.. 3 ~' ~~• wq C ~.. ~ Sa~~ l ` - 4-0' ( 1 Je.a~ y ~ ~ ~ r.~~ b ~ S ~ 6 ~ ~ 2 c X4-0 ~~~ ~S,o~ b ^ `\ V ~ ~I] - Z y~Coe,b~ a r~., bacl`~e -1- c-'1-rti, ___ __ ~,~ozs _ ~~~, NN 3 0~ wlso~n0eparb~'0e SOIL EVALUATION REPORT ~ ~ ~ Dt~ston or saae~r ana ~ ~ acoo~oe rn~ Comm 85, wls. Adm. cone cau~ir st. A7lach ~ ~ ~ paper not less than 812 x 11 itr~res ~ nine. Plwr rrp~t mt rrrdled to: vertical and Iror®onfai retererroe poirU (~. ditec~iorr acrd b t d Parod ~ 1042-s0.1~j r u e, Inclu percent sbpe. sole ord. rartlr arrow, and tor~tlon and distance ~ n ~- ~ DaM a~ ~ Ple Q /9 0 ~ rata P~P~°e(~law,s.,5.o4(,)c~l- peraarrdirdanmlionyou PropedY Ronal R Brenda L. Rielc Govt Lot NVV 18 T 28 N R lg 114 SE 114 S Or+n-et's Addn'~ I,ot * t3bdc 8 Subd Name a CSMIE o?/~ S"o~~'~-- 2768 4om Ave. ~ Ptrane Number ® ~ aam Neared ~ ~- Wilson Wisc. 54027 1 1-~'7s-698-3010 Rd N ~` 3 Code derived design flow rate 600 GPD Q N~ Corwtrudion Use} Residerrllal / Number dbedraarns 0 ~ ~ Pubic or oornnrerrial - ft ~ Parent Glacial elevaL Ger~ral oarrnerrts M on fl appioab J~-~ ~S/~'~ ~ ~Ulil~y,~ ~ recarmrendalions: 1$ Zp06 AEG ~ b ,, t~~ S - h.eCLr ~ r GpUN~Y ~ lo~- Rp,X ®~ ~ 1 ~~ ~ ~ Pit Ground elev. 95.6 fl. Deptlr ~ ir~irrg factor ~ in' Soi Rate Horimn Depth Dorf~ant Radnor Desaiption Texture due ~, Qu. Sz Cent Color ~ ~- ~. Corgi Y Roots GPDII[~ 'dpi ' 1 0-10 10YR3/3 - sil lmsbk ~ as 3m 0.4c 0.6 2 10-24 10YR5/4 --- ~ 2msblc mfr cw if 0.6 0.8 3 6 10YR4/6 cadzsYxtrs l~ sl 2msblc nnfr cvv - 0.6 1.0 4 36.bp IOYR7l8 ~- b°O~ fsl lvf ~ cvr -- OA 0.6 . YLO.1- 2 ~g # ~ Bori"e 94 21 Pit Ground aruFaoe elev. R Deptll to ~9 factor ir. Soi fide t~btitiorti Deptl- OorrQrwnt Redoac Descxlpflon Texture Strtraure Caerroe So~ubary Roots CiP Dllr: in. Qu. S:w Coro. Color Gr. Sz Sh. 'E1ti1 ~ 1 10YR3/3 -- sil Imsbk ml as 3m 0.4c 0.6 2 10-21 IOYRS/4 --- sil 2msbk mfr ~ if 0.6 0.8 3 - 10YR4/6 ~J'_ sl adr cw - 0.6 1.0 4 38-60 10YR7B c2d7s1rRG/8 bands ~ lvfgr ~ cw - 0.4 0.6 f~iluerrt Ili =130D > 30 < 224 rrglL and TSS >30 < 1 50 mglL ' Eflfuent ~,2 = BOD < 30 mgA. and TSS _< 30 mgA. CST Name {Please Prilg lhantas w. Gedatus ~/.. ~ Nurribw 962178 Address Dale C-valrra6on Cortdurrled Telephone Number stagy rlt,ml>~ ~ Eleclrc po. Box 263 wcwdn'lle, wt~. 54028 8/1s/2oo6 1-ns-6s4-slr~ n}~ M'~ATM~A~ Ronald R dt Brcnda L. Riek 1~ ~ # 00'~-1042-50-000 p~ _ 2.--°f 4- a ~ ~ ~.~ R ~, ~,i„,~ ~o ~. ~ R~ ~,. GP OVI~ Horizon Depth Dom ~ODt °r' rex~e conoe GY: Sz Sh. Boundary Rooms 'E~t '~ ;,. iii tau. Sz. Cont. Calar 3m 4c o 0.6 imsbk mi as . 1 a9 10YR313 - - if 0.6 0.8 2 9-18 10yR5/4 - ~ Zmsl~ ~, cw 0 6 1.0 3 18-36 10YR4J6 c2d7.SYR 6/8 sl 2msb~ mfr cw -- . 4 360 10YR7/8 c2d7.5YR5/8 band fsl ivfgr ml cw - 0.4 .06 ~~ ~~ Pit Horizon Depth Dominsnf ir. tlharsd Ground surface elev. tt Depth io ~8 factor ~- Sot Ra Redax Description Texture Strtxdure Carsistenoe Boiurdarl- Rods GPOiMt? Qu. S~. Cont. Cobr Gr. Sz. Sh. 'Eii81 'E1fl~ Pit Ground surface elev. R. Depar to ~ iacbr ir. ~~~ Sci Rde Horizon DepBr Dominant Redorc Description Text~e S'6vcdae Considenoe Boundary Roots in. Qu. Sz. Cunt Cobr Gr. Sz Sh. 'Eff~1 '~ EAluerrt#1= BODs> 90 <2zA mall. ard?gS X90:150 m~glL '~ EAuentO2 = 80D~^ 90 ntpll. and TSS <_ 90 mgll The Departa~ of Conomi~ce is an ~ ~po- savic~a pravidor acrd ~~ if you wed a m access services ~ Head ma0eriai is as aitr'~ate facmut,.P~ oootact Ora at 608-266-3151 ~'i`fY 6~-?.64-87T7. ~q; ~ ~'r~ _ ~ q 5b9'` ~~, n ~_ ~5, ! ~I y 5~5 `e ~ /av ~'v~~,. 1~3. ~.o#' ~3 y ~t t ~~ °, .~ 7 G p G<o o-~ ~U~ G/ ~ ~SoK ~ ~ s'"c~v2? ~ ~~trtc~ aE 5~'~/Io1'1~ T' h o ~.n,s tea . G ~~ q,'~•~.,s ~S T-~ `'ibZ~7a? ._ '`~ -~ .. / Iq ~ ~ ~ ''~J 3 ? '~ ' G . F. ti - . 9s ; ~ ,;/~~ '` , ~~ 9,' G 2 L ~~~o ~~ bP N~ ,~ ~°' a ~. ~u. _ - - - _ _ _s~~. -_ ~a~ ~ 3 0 -P ~l ~- PAGE 81 ![`Ip`I~D SUR'4'~Y Ate' - P~eta~tb2escib.t~soaio.~t'Kar9.o~io.Ii. TZBN, Ris W, lbwn aft' at cis t7oa~y ~heaoi ~~ f ~~ soe:R =ao~e .: -. ~ ...~..,~a ,~:_ ~,~~~.~ .~,,. ~~-~~ ~~r*eax • ~~a.w~yr~..:.a e ~ ~ o,~---~.. ~~~ --x--- Few Q= ~ ~~! 7~i: ~~~ dj lIrk w-.llM,Y 98-93-96 1?:92 TO: FROM:?15fi983293 P81 ~~1~~ 04/30/07 MON 10:29 FAX 715 386 4686 (~J005 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND ~ OWNERSHIP CERTIFICATION FORM OwnerBuyer ~~~r~ N~h4,s ' Mailing Address ~ ~~o~( cj38~~' ~~ Property Address ~~60 C~K~t ~+,-`~ N / ,' (Verification required from Planning & Zoning Department for new o traction.) City/State W 0 !7J V/ L (-C ~ ~itT.~ Parcel Identification Number OU ~ -' _ /(~ ~~ ~ ~U ' 3 ~ ~ LEGAL DESCRIPTION ~ // Property Location (r/ '/~ s~ ' ec. ~ TZ~ N R ~~ W, Town of GAGY Subdivi n ~C ~ 3579' SZ$Z ,Lot # ,~. Certified Survey Map ~# , Volttme ,Page # Warranty Deed # 0 `j~ ~ ~ ~ ~ ,Volume ,Page # Spec house yes ~ Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 pu.~nper. 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 Planning & 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 Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. I/we atn/are the owner(s) of the property described above, by virt//u~~e of a warranty deed recorded in Register of Deeds Office. Number of bedrooms `T ~ / 1 /~ SIGNATURE F APPLICANT(S) - DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and n copy of the certified survey map if cefetence is made in the warranty deed. (REV. OS/0~ ~~ State Bar of Wisconsin Form 2-2003 WARRANTY DEED Document Number Document Name THIS DEED, made between Ronald L. Riek and Brenda L. Riek, husband and wife - - --- ("Grantor," whether one or more), and Ryan M. Nyhus and Melinda Nyhus, husband and wife ("Grantee," whether one or more). Grantor for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Part of tl:e ~QrthQ9'e's'i ~e:arter of th;> So::thcast !?t=a~-te: (~d:'I 114 of SE 114) of Section Eighteen (18), Township Twenty-eight (28) North, Range Fifteen (15) West, Town of Cady, St. Croix County, Wisconsin, more particularly described as follows: Lot Three (3) of Certified Survey Map filed October 2, 2006, in Volume 21 of Certified Survey Maps, at Page 5282, as Document No. 835797, office of the Register of Deeds for St. Croix County, Wisconsin. Ac.I:NtiiroLEDCMEt~'~ T STATE OF WISCONSIN ) past (ts not) Exceptions to warranties: Easements and restrictions of record. Dated ~ ~,r u .~ ~ S ~~"~ . (SEAL) i~~~~ (SEAL) * * Ronald R. Riek (SEAL) ~~l~t s~ ~~~-[-~ (SEAL) * * Brenda L. Riek Signature(s) authenticated on AUTHF,NTICATIOtV TITLE: MEMBER STATE BAR OF WISCONSIN (If not, __ _ -__ authorized by Wis. Stat. § 706.06 ) THIS INSTRUMENT DRAFTED BY: Thomas A. McCormack Baldwin WI 54002 --- - - - -- -- ------ . ST. CROIX ~4si~~ KATHLEEN H. NALSH REGISTER OF DEEDS ST. CROIX CO. , WI RECEIVED FOR RECORD 02/21!2007 10:45A1t NARRANTY DEED EXEIIGT # kEG FEE: 11.00 TRANS FEE: 120.0Qt G~PY FEE: GC FEE: PAGES: 1 Recording Area Name and Return Address Thrtrnas .A. McCormack ' 1'O I3ox 2120 G Baldwin WI 54002 (j 004-1042-50 Parcel Identification Number (PIN) This is not homestead property. ss. COUNTY ) Personally came before me on ~.p~j_~~ ~S-, ~~j~ , the above-named Ronald R. Riek and Brenda .. Rtek to me known to be the pers s) who cecuted the foregouig instrument and knowledg the s * __ ands "~ - ~,~~.~~~_ ---- Notary Public, State of _WISCONSIN _ _ My commission (is permanent) (expires: ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED STATE BAR OF WISCONSIN FORM N0.2-2003 *Type name below signatures. ©State Bar of Wisconsin 2003 INFO-PROTM Legal Forrns • (60055-2021 - irdoproforms.com Parcel #: 004-1042-50-300 os/z7i2oo~ 04:02 PM PAGE 1 OF 1 Alt. Parcel #: 18.28.15.288A-30 004 -TOWN OF CADY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 10/02/2006 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -NYHUS, RYAN M &MELINDA RYAN M &MELINDA NYHUS E8610 N CTY RD E ELK MOUND WI 54739 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 2760 CTY RD N SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 16.599 Plat: 5282-CSM 21-5282 004-06 SEC 18 T28N R15W PT NW SE CSM 21-5282 Block/Condo Bldg: LOT 03 LOT 3 (16.599 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 18-28N-15W NW SE Notes: Parcel History: Date Doc # Vol/Page Type 02/21/2007 845130 WD 10/02/2006 835797 21/5282 CSM 07/10/2003 729557 17/4559 CSM 07/23/ 1997 842/54 more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class Acres Land Totals for 2007: General Property 0.000 0 Woodland 0.000 0 Last Changed: 10/17/2006 Improve Total State Reason 0 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 /.S y~ ~ a.. ~ ~:... a ~...., 835797 VOL21 PAGE 5282 OCT 1 O LuvO 8t'. CROIX COUNTY SURVEYOR'S RECOE~ CERTIFIED SURVEY MAP Ronald R. and Brenda L. Rick Part of the Northwest '/, of the Southeast '/, of Section 18, T 28 N, R 15 W, Town of Cady, St. Croix County, Wisconsin WS3f QUARTER QORNER SECTION 18, T 28 N, R 1$ W (Found 1" Iron Pipe) ~ ~ 3 ° ~ ~ ~ o ~ ~ j ~ a z ~ e Q~gg•wnyxgss z~aaomwvgiwE WILSON, WI.54oz7 NORTtI QUARTER (70RNER SECTION 1B, T 28 N, R t,5 W (Fowid spa" Iron Race U_ NPLATTED LANDS. 901TI'H QUARTER OORNER Z~ BECTON 18, T 28 N, R 15 W (Found Berntsen Aluminum Monument) UNPLATTED LEGEND p Indicates i"O.D. z 18" Iron Pipe Set (Min. Wt. - i.~ Ibs./lin. R.) • Found 3/4" Iron Rod section corner Monument 0 (as noted) ~ Indicates $oil Boring - x - Indicate8 Fence (R = ) Recorded As This Instrument llrafted by Mark W. Peavey tof3 Vol 21 Page 5282 BN,R~W Survey Nail) ~1a ~ or,8,~ N .. -~.,, ~NSV~. ° M ~ ~* , Ati o: ° i'~ ' * UN E vs - dngvst sq, soo6 Scale iu Feet ~° _ Soo soo soo o goo ar+t r~erer~ced ca tlee amt-we.r .erxt~o.t .4OCtW~ f! 18 Qsf~)[6d bER1'~rrQ ai S9'71'O$" j'1~ l{ATAL~:EA H. REGISTER OF DEEDS sT. cROIx co. rI RECEIVED FOR ~tECORD 10/02/2006 03:95P11 CERTIFIED SURVEY ?IAP REC FEE: 15.00 COPY FEE: 4.00 PAGES: 3 SHEET 1 OF 3 SHEETS Oi0 N