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Home My WebLink About004-1051-70-000/* Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law,)E.15.04 (1)(m)). 1'11~III~~~INI!~ia ^ city ^ v Ip CST BMElev.:- Insp. BM Elev.: BM Description: l0 / od %~c; ~ f TANK INFORMATION TYPE ~ MANUFACTURER CAPACITY Septic Dosing C n _._-------- _----- -- Hol " TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic ~/~0' ~ ~ ~ ~-- NA Dosing y ~ ~ ~' / ~`s-' NA NA Hold' PUMP /SIPHON INFORMATION -~ Manufacturer Model Number © ' TDH Lift ~.~°~ Lriction ` ~.S Sysi Forcemain Length _' / Dia. zH~, SOIL ABSORPTION SYSTEM Demand i 3~' GPM TDH~` 33 Ft Dist. To Well ELEVATION DATA No.: STATION BS HI FS ELEV. Benchmark 3, 3 X03.36 Bldg. Sewer ~v ~ ~ St Ht Inlet f-- q ; ~S~ Dt Bottom ~ ~~ /Z . D• Header/Man. + ~' ,~. Dist. Pipe P~I~~~' y Z Bot. System ~zS' . ~~, ~~ BED /TRENCH Width Length No.Of Tr nch s PIT No. Of Pits Inside Dia. _ U uidDepth D MEN I N r ~ ~ DI N ~• SYSTEM TO P/L BLDG :WELL LAKE/STREAM ING" Manufacturer. SETBACK INFORMATION Type O ,~ ~ CHAMB I Number: System: ~ S , ~S OR UNIT DISTRIBUTION SYSTEM Header /Manifold Z Distribution Pipe(s) x Hoe ize x Hole Spacing Vent To Air Intake ~ Length 3 Dia. Length ~ Dia. ~ Spacing "' SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil InS eCt10 #'b Yes / ^/NO In E®tT ~ No / MMENTS: `Include code discre cie , rs n pre ent etc. y~ i° zs °/ ~U z s/~/ ~ocatlon: 3031 30th Avenue, oc~vlpl~e,~l 502$ N~ 1/4 NW 1/4 22 T2 N 15W)•- 222815 43B -Lot 3 1.) Alt BM Description =~of1*~ o -~`~%~ S.~ ~~~(9 srwfr ~i/ ~~~ra/s 1N~rr ~ sz~- 2.) Bldg sewer length --bS- ~ ~ ~~ -amoun over = > `/Z ~/ {~, .~/fir - 7-' 3.) contour ~, z , lo. y 6.3 = 9 ~•o s Plan revision required? ^ Yes ~ No ~~- Use other side for additional inform tion. is SBD-6710 (R.3/97) Dat Inspector's nature Cert. No fti '.~~' ~~. q3~6 9 ~ 30 3 l . 3o E Sanitary Permit Application Safety ~Yc t(uudinbs Division In accord with Comm 83.21, Wis. Adm. Code 2(ZI W, Wnshin ton nvc. ~ + S ` '+ jp' Sce reverse side for instructions for completing this npplicntion PO Box 7302 ~S1r+~~~/~ _Department of Commerce Personal information yott provide may be used for secondary purposes ~'r1VACy Law, s. 15.04(1)(m)] Madison, WI 53707-7302 (Submit completed form to county if not ~.,._._ state owned.) Attach complete plans (to the county copy only) for the system, on paper not less than 8-1/2 x 1 I inches in size. . ~;ounty ~ i St S~y~ga,l'umber ^ Check if revision to previous application State flan 1. D. Number i. Application Information - Plcasc Print all Information Location: Property Owner Name Property Location S ~_ ~ S /4 ~1/4, S T S,N, ~(0 \4 1'ropcriy wncr's Mailing Address ~ © Lot Number Lllock Number • s dx City, State ~ ,ip Code ~ Phone umber ~ , ubdivtston Name or CSM Number ,~-e~ 3~ f 1 ~ ~,1~ U -(O a-S ~ ( ) ~ `G~'o~~P ` `3?" ~ C,S ova; ~ l[. 7"ype of Building: (heck one) /~ ,N,, ~ ~ C-rt9-" ^ `'>f+~gC ~Q 1 or 2 Family Dwelling - No. of Bedrooms : „ ~S r~ ,Town of D Public/Commercial (describe use): ^ State-Owned ~ !J X Zr- M~~ _ c J Nearest Road .~ , ~ v e~ ~"• ~ `~ a Z `~ 1. ~ r 5~•~ Farce Ty,~ r .: r ~ .. V 1 . _1'ypa, of Permit: (Check only one box on line A. Check box on line B if applicable) ~a,,Z , -- _ 1 i• 3~-----~ d --- ~) 1. Ncw 2. Replacement 3. Replacement of A. 5. 6. CTAdditiun t~ System System Tank Only Existing System (;) ~~. ~ ~~ ernut um er ate suer ^ A Sanitary Permit was previously issued I V. "Type of PO'~VT System: ((;heck all that apply) ,t~R,,Et- -I ~D - ~ ` ^ Non-pressurized ht-ground Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized ln-lr,round ~ ^ Holding Tank ^ Single Pass ^ Drip Line [~ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V. Dispcrsal/'Trcirtment Arca Information: . 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4, of Appltcatton 5. Percolation Rate 6. System LlevaUon 7. Final Grade Req uired Pro sed po Rate (Gals./day/sq. R.) (Min./inch) hlcvation u c ' 9 Q Vll. Tank Capacity in 'Dotal # of Munufucturt:r Prefab Site Steel l~ibcr- I'lustic tnfornu-liu(- (inllons Onllnns Tanks Crnr ion- gln`s New Existing Crete structed Tanks Tanks C X ~ ~ ~ '^ ^ ^ ^ .~ i w _ __ _ ("~ t_ /~ 'VI1l. ldesponsil>ility Statement I, the undersigned, assume responsibilit installation of the POWTS hown on the attached plans. Plumber's Nmne (print) ur er' Stgnahrre ( s ps ~ MP/MFRS No. 13usu,ess Phone Number G/ a~l,,o ~ • --583 s~~ ~ _ L Plum rots address (,tiucct, City, State Lip C,oi , ~7~5 5~.h~ / ~/~,~ ~r 8$s 1X. ~Couaty/Dep:-tt•tntet Use Only c _ I~Approved _ (.~ 1~icapproved ^ Owner Given Initial Adverse Sanitary Permit Fee (Includes Groundwater Surch ge Fee) U~ Date Issued 1 u' g Agent Sigr ,urr o st.unps) llet i ti ~ ~ S - ___ enn na en __~_ . ~ 1 ?-. Conditions o(' Approval /[2easons for Disapproval: (n~ ~~~ ~~,, ~,I~ . /~ ~ Se~~S -~ c SYs-~r~n I w2@,Q ~ a~o~ ('eSiQlJ+n>•ti ~ ~-C~u- "~S~'" ~ tnnai~d' ao I _ ~ c o G~ Dom- r~ avlCeS . - ~ ~( S S ~ !~- C°' f ' "" ~~ 1 ~ t I ~ \ ...~ ~ ~ i./t • CXQ(9'h2U~ ~ ^^u'ti e v , ..,,.. ~~.u. - ~ ~,t',Y MO,IM,I,t-r1.f~/1.elS !' ~tv~GC df"~°`7~LS ~" PLOT PLAN Scale 1 "= U.D ' ~, 3 ~ TN- 1~V ~ . ,~ ` " `-~ 12..$ ~..~1E, ~ B• Ca U OF L'l OL~•p~ ~o Uo~- et~~a r~eT- otZ ~ r' ~ O 1S`rv~z.L3 TH~tS P~rz.EA , ~ ~ '~ ~ ~ \ \/~~~YC~~ \ Z / ,~~; G~ ~x I~ ~ ~~~sv~~%oh (°~Jl 350 ~~ bS'o1= L~PVCF,wi_ Pag:~ ~'- o:~ o 10 0 0~ ~l4 5~t. c[ ~/n.~, r~., x~ v~S_ - -- NOTES: •l. Elevations shown are existing ground elevations unless c-therw=.;~~ noi.~d. 2. Install permanent markers at end of each lateral. ( Z rrquirc~:l: 3. Install 4" observation pipes with approved caps. ( z require<ii 4. -Septic tank (~to be looo `/boo gallon capacity manufactured by 1 v i~l~C.:~TI ~~d~~n r.rP_-Y~., { ~ N C-. ~c~ir' ~ ~~ / S . Bench Mark $w~ ~-t - L2, too , o' ~ ~L u~ 8~~-~.~,r--~~, __ l ,-- ~°---~ ~] D7VP1"I' ~nrfarA wator arnnr~r7 c~r~t.,:.. a-,. .....-,..~.....~. _.,,_~:~~ _i ~~_ _.__ ~ _ ' ~ '~ ~ ~ iscons~n Department of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www.commerce,state.wi. us/SB Scott McCallum, Governor Brenda J. Blanchard, Secretary March 16, 2001 CUST ID No.220728 CLARENCE L GLOTFELTY N4955 SUNNY HILL RD WEYERHAEUSER WI 54895 ATfN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/16/2003 Identification Numbers Transaction ID No. 629070 Site ID No. 188680 SITE: Please refer to both identification numbers,. SITE ID: 188680, LISA THOMPSON above, in all corres ondence with the a enc" :. ST CROIX COUNTY, TOWN OF CADY; 30TH ST NW1/4, NW1/4, S22, T28N, R15W FOR: NEW MOUND, 450GPD OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 784485 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. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • 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 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 maintenance plan for this system must be given to the owner of the POWTS. Site Speck Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area. ~A ~ CLARENCE L GLOTFELTY Page 2 3/16/01 • Maintain well and waterline set backs per COMM 83.43(8)(1). • Insulate building sewer per COMM 82.30(11)(c). • Turn up ells with valves and valve boxes or other means of flushing the lines shall be provided. • Holes must be drilled with sharp bit and all burrs and foreign matter removed before installation. • Insulate building sewer per COMM 82.30(11)(c). 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/instal lation/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 on this letterhead. Sincerely, be made to me at the telephone number listed below, or at the address t .~-----~...__---. ~~ .- \.. ` PATRICIA L SHAND POWTS PLAN REVI ,INTEGRATED SERVICES (71 S) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM PSHANDORF@COMMERCE.STATE. WLUS DATE RECEIVED 03/14/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: LISA J THOMPSON ~ ~ ~scons~n Department of Commerce Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www.commerce.state.wi. us/SB Scott McCallum, Governor Brenda J. Blanchard, Secretary March 16, 2001 CUST ID No.220728 CLARENCE L GLOTFELTY N4955 SUNNY HILL RD WEYERHAEUSER WI 54895 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 RE: CONDTTIONAL APPROVAL PLAN APPROVAL EXPIRES; 03/16/2Q03 Identification Numbers Transaction ID No. 629070 Site ID No. 188680 SITE• Please refer to both identification numbers, SITE ID: 188680, LISA THOMPSON above, in all comes ondence with the a enc . ST CROIX COUNTY, TOWN OF CADY; 30TH ST NW1/4, NW1/4, S22, T28N, R15W ~ t~ .~. , FOR: NEW MOUND, 450GPD ~ ~\ OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 784485 ~,r('' ~~ ~~~P,iO s~ ~~ The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes> `3° ~ , ; j PA ~T of 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. ' y The following conditions shall be met during construction or installation and prior to occupancy or use: L~ _;, c ;ORRE~ General Approval Conditions: - • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (8.6/99). • 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 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. Stets. • 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. Stets. • The maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area. " ~ CLARENCE L GLOTFELTY Page 2 3/16/01 GRATED SERVICES 50 , M-F 7:45 AM - 4:30 PM TE.WLUS • Maintain well and waterline set backs per COMM 83.43(8)(1). • Insulate building sewer per COMM 82.30(11)(c). • Tum up ells with valves and valve boxes or other means of flushing the lines shall be provided. • Holes must be drilled with sharp bit and all burrs and foreign matter removed before installation. • Insulate building sewer per COMM 82.30(11)(c). 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 maybe made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~J- ~/ .~ _ G% PATRICIA L S O POWTS PLAN REVIE R , INTE (715) 634-7810, FAX: (715) 634-51 PSHANDORF@COMMERCE. STA cc: LISA J THOMPSON DATE RECEIVED 03/14/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code:..7633 MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project ~`/Q.-~ ~Sy ~ ~ ~D cq v~ C . Owner Lt Sc. T~iQmaso ~ T,- Address ~ 30 .~ ~~ I ~ ~ ~~~~ ~ I~Q.. } 1.~.~1 5y Oa 8 ~~ '? i ~ L~ 9 8- ~...co t? Legal Description ~1/GJ-'/y /IyL,~ ~y Sew oZ~T~~/~ /~/5~ Township ~,,~ ~Y county 5`~' ; ~ ~-©~ "X Subdivision Name - ~C~aY1 ~~7k. v~~~, v~a> Lot No Parcel ID Number Q~y ~- 1 X51 - ~~- Plan Transaction Number Index and title sheet Mound calculations Mound drawings Pres. dist, calcs. and laterals TDH and pump tank drawing Pump specifications Site plan Turn-up detail Management plan ~,~ . ~~~ ~ y '~' '~, Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Designer C ice lotfelt License Number fir Signature Phone No Date ~~- ~/(~ --~f v ~~ ~~~ 220728 (715) 868-5831 Page 1 of 9 «: MOUND SYSTEM DESIGN Complete red boxes as necessary. 750 gpd maximt:m design ;io+n;. Residential or commercial? ©(r or c) Slope Design flow rate gpd Depth to limiting factor Zg'' in In situ soil infiltration rate gpd/ft~ Contour line elevation ,Q ft Use standard fill depths? OR Design depth? r-~in Place X in box to use standard depths (24 and A+4 inclusive) OR specify design fiti depth. Orifice density t Orifices per ft~ Center r,entl'manifold (c ore> Orifice diameter ,125 in o,25 c.~ss, o.t~~~e, ~ z,e, c_<~~_ Lateral spacing ~ ft Use C lateral spacing for trenches. o2at or o.3? 3 Inc;n a, y Estimated orifice space 1. ft Not a rlnai caicuialion. Number of laterals ® Pump tank elevation py ft outside bottom cf tank. Forcemain length 7 Z, ft Forcemain diameter in 1.5, 2, 3 or 4 inch o~~iy. o7m~% 1n Actual I.D. SYSTEM SOLUTIONS Design flow rate Absorption cell Application rate & area 1.0 9Pd/~ Linear loading rate (LLR) Design width (A) Cell length (B) Depth of cell (F) Sand filter Upslope fill depth (D) Downslope fill depth (E) Basal area required (gpd/infiltration rate) Supporting components Topsoil depth Subsoil depth at center Subsoil depth at cell wall End slope toe length (K) Up slope toe length (J) Down slope toe length (I) Total mound length (L) Total mound width (W ) Project: /Lj p~~So y ~ ' ~!• K ~+.~ Transaction Number: DIAME fER CONY; RSIONS 1/8 = 0.125 1/4 = Q25C 5/32 = 0.156 9/32 = 0.281 450 gpd 3/16 = u.1sa 5/15 = U.313 ?; 32 = 0.2' S 5 O ftl gpd/ft ft ft in /~,Q in ,Q in DO ft2 3.0 in 9.0 in 3.0 in ft 9. ~.~ ~~ _ ft /O ~ ~ 3~ _ ft ~o ~a ft Basal a ~justment made. PagE Z„of t} r' MOUND PLAN VIEW " ~. (eft W I =down slope dimension =absorption cell (AxB) J = up slope dimension Q =plowed area (LxW) K =end slope dimension MOUND CROSS SECTION lateral topsoil ~ H subsoil cap invert ~~ ft___-- --- elev. ------ : ::.:.:: ~F T ASTM C33 ~ Sand Fill E sys. 98•D lft -~ ~' elev. C~Jft contour D = upsiope fill depth plowed layer E = downslope fill depth F =absorption cell depth G =subsoil + topsoil depth at cell wall H =subsoil + topsoil depth at cell center observation pipes (typical) A = (,a~ ft B = ft J = ,~~ ft I = ~)~"~ ft K = >. ft 1/6B = .5 ft --~ slope typ. obs. pipe (anchored securely) 6" D = min E_ n F = ~I~in G = 0.0 in H = 12.0 in Note: Absorption cell media will consist of aggregate and pipe with laterals centered across AxB media. The cell media is covered with gectextile facric. Project: Transaction Number: Page;3 cf PRESSURE DISTRIBUTION CALCULATIONS Dispersal cell Width (A) ~nQ ft Length (B) 75oD ft Lateral specifications Number laterals Orifice/lateral holes Lateral length (P) 3 ft Orifice diameter / in Lat. dis. rate __ ~ gpm Sys. dis. rate ~ '7 gpm Orifice spacing (X) in Lateral diameter Pipe diameter Design options Design choice Designer must 'X" one choice from the options provided. Manifold diameter crab 'X" one choice from the options provided. 1 in x 1 1/4 in X 1 112 in X X 2 in X 3 in X Pipe diameter Design options Desion choice 1 in x 1 1/4 in x 1 1/2 in x 2 in x 3 in x 4 in x Place X in reef ~oX Of ChoSel diameter. Place; X in red box of chose,_i diam Ater Distribution system contains: 4 Lateral(s) LATERAL DIAGRAM -CENTER CONNECTIC-N Place correct lateral diagram by clicking in ane of the drawings at right and dragging the diagram int;~ this are,. Force main connection via tee or cross to manifold at any point. ~E P ~ =Turn-upvti'ballvalvaor IFy-~If.x12 claanoutplug Hales drilled on the bottom of the lateral. Laterals are identical x~2.3I Laterals & force main of PVC Sch 40 per COh+IM Table 84.30-5 S .~'_ Lateral length (P) Lateral spacing (S) Orifice spacing (X) Manifold length Orifice diameter Lateral diameter Forcemain diameter 3 ft e ft in ~~ ft in el-~ in ~. i n Project: Transaction Number: Page'~of - cro•rTr TAUK & PUMP ~'HAMBER CROSS SECTION AND SPECIFI :ATIONS JLL 1 1 u"/~(/~VENT v aa..-•- - - - - -- ----- PIPE 12" MIN. ABOVE GRADE E - WEATHERPROOF --- ' >_ /p ~ F'ROM DOOR, WINDOW OR JUNCTION BOX RGVE:L` A?1 aNHCLE: ~OVCR M FRESH AIR INTAKE - WITH CONDUIT , Wi F~~.DLOCK E FINISHED G RADE -- ----- '~_ __._ ~ WARNING LABEL „ ~, ri , n . 1 ~,._.._ 4 ' hl ~ N . - - ., y ri ~---~- 18 . INLET " i ' ~ ~ , ~ . WATER TIGHT SEALS -- ~~~/ ~ GAS- ~ ~ TIGHT ~ ~ ~/APPROVEC FILTER - = A SEAL ~ ~, JOItiTS t•!ITH -~- ~ ALM ' APPr<0'dED PIPE APPROVED _ - /~ /O~ ~ 3' ONTO T ~ i ON ~ j SOLID SOIL O SOLID ON C ~ SOIL PUMP OFF ELEV . p.I-FT. -~- - OFF D 3" APPROVED BEDDING UNDER TANK SPECIFICATIONS CONC'~ETE PA1~ ~,SX /`7~~ X o ~~~/'=(7~, I SEPTIC / DOSE TANK MANUFACTURER: ~ DOSES NF'R DAY RtftIMBER __~a~_- , TANK SIZES: SEPTIC DOSE ~ GAL. GAL ~( DO5E V~G~.l1nE INC„1.~uDX~IG (LSX.j~-,~j~`1'~~'.I FLOWBACK: 7~e~L~ ~;AL. . ~ 7 ~: , ALARM MANUFACTURER: a L%. ~~_ l iQ•7 CAPACITIES: A =~ INCHES - ~'1~S<< f.L• MODEL NUMBER: f ~ SWITCH TYPE : 1/~ /~-c.^-plc ~" / B = 2 ~y ~8 o ~ ~~~'~1 INCHES = ~~~ (f-a .GAL. -- PUMP MANUFACTURER: ~~~~'~'" C = ~L~ 4 a~ TtJCHES C."~L-(,7 SAL. MODEL NUMBER: _~"~'~f~- 1 ^'~.:- ~~ L ,_ _ ~ I - D = I~' ~~ . ~~ I *~ ~ li E S = •~'S ~ ~ S W Z TC H TYPE : Y~t~ u- ~cXf _ REQUIRED DISCHARGE RATE 35y~ GPM PUMP E ALARM WIRING AS PER IL,HK, 16.23 WAC ON PIPE ~ ~~ ~~~ i'"EIrT % VERTICAL DIFFERENCE BETWEEN PUMP F B I F AND DIST z __ + MINIMUM NETWORK S UPPLY PRirSSURE j~,~; FEET + (~ FEET FORC 'T/ EMAIN X ,c~ 100 FT. .FRICTION FACTOR _~~~--FEET ' _ TOTAL DYNAMIC HEAD = ,/~„~; l=El=i INTERNAL DIMENSIONS OF PUMP TANK: LENGTH ~ , -WIDE H ~_-; DTP,.~ ~ LIQUID ~_. ~ S IGNED: LICENSE NUMBER: DATE: 1/88 1 ~G n P -.._ ~ ~ --..._ ~a, ~~ L ~ 3 7/8 - 6 1/4 , ~• ~ 5/8 I - . z 6 U 0 4 F- 0 v ®~,1\ -{- - ~- ~`'~~ t ~~ \ ® _~ '' 3 5/8 3/16 1 1/2-it i/2 NPT 0• U.S. G LITERS 0 TOTAL DYNAMIC NEADRLOW PER MINUTE EFFLUENTAND DE WATERING CAPACfrY NEAD UNR3/MIN FEET METERS GALS LTRS 5 1,52 72 273 10 3.05 61 231 15 4.57 45 170 20 8.10 25 95 Lock Valve ~ 23' 80 160 240 FLOW PER MINUTE 4 3/16 SK1:02 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and Variable level float switches are available for controlling single supplied with an alarm. and three phase systems, • Mectlanical alternators, for duplex systems, are available with Double piggyback variable level float switches are available or without alarm switches. for variable level long cycle control ,, SELECTION GUIDE ~ 1. Integral float operated 2 pole mechanical swit::h, no external control required. Standard all models -Wei ht 39 lbs. - /: H.P. 2 Single piggyback variable level float switch or double piggyback variable level 98 Series Control Selection Model Volts-Ph Mode Am s Sint lex Duplex M98 115 1 Aulo 9.4 1 or 1 ~ 7 - N98 115 1 Non 9.4 2or286 3or485 D98 230 1 Auto 4.7 1 or 1 & 7 - E98 230 1 Non 4.7 2or288 3or485 float switch. Refer to FM0477. 3. Mechanical alternator 10-0072 or t0-0075. 4. See FMp712, for correct modal of ElecMcal Alternator, E-Pal. 5. Control switch 10.0225 used as a control activator, specify duplex (3) or (4) float system. 6. Four (4) hole J-Pak, Junction box, for watertight connection cr w'red-in simplex ar duplex operation, 10-0002. 7. Two (2) hole J-Pak, for watertight connection or splice. CAUTION ForlnfomwlbnoneddilbnalZoelbrproductsrerertocalabgonCombtnaUonSlaner,FM0514;PIggyback All installallon or controls, protection devices and wiring should b1 done by a qualified Variable Level Switches, FM0471; ElecMcalAilemator, FM0488; Mechanical Ailemabr, FM0495;Sump/ licensed electrlciaa All electrical and safety codes ~ hould be followed including Ure most Sewage Basins, FM0487; and Single Phase Simplex Pump Control/Alarm Systems, FM0132. recent National Electric Code (NEC) and the Occuprtlonal Safety and I?nalth Act (OSNAI. ~ , *~RESERVE POWERED DESIGN ~ . r For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ~--, _ _. s,..,_. MAIL T0: P,O. BOX 1834T Z ~~/ /~~ Louisville, KY 40256-0347 Manul4cturers ol, . L L S1i1P T0: 3649 Cane Run Road. 1 Louisville, KY 40211.1981 Q~au~ y Purjps ,iinzE ~~.$~ - ~~ PUMP !O. (501) 778.1731.1(800) 928•PUMP FAX (502) 774.3624 -a.-- Dr.n~P PT.ATQ ~, -~ ' Scale 1"=y~p' Page ~- or _ _ ~, 3 0 'C1-F ~}-U C .____ _ ~~ ~-~ lZ.$ ~v ~ OT ~~P (~T- 0\Z a ~ Slv~z13 T?t~ S Pt12.~ _ ~~ ~~ ~ - %!yyff ~N ~ ~"ib ~ / \ B.~ \ \ \ CC7~MjV2 ~y \ \ ~ tTL . L't~. 0' L`zl. ~iS.O' ~ ~~ i B.Z ~L ~~ ~ ~f~s~,~~oti ~~ 1/ 3So~f ~. 1'J ilTl3'S w~~: ~.: Q:~:__:~r'S' . C~~gT _:Sti': _~Zi,iy~-7~=i~jvn~T- NOTES: 1. Elevations shown are existing ground elevations unless o-therw.se noted. 2. Install permanent markers at end of each lateral: (-Z required) 3. Install 4" observation pipes with approved caps. ( z require~li 4 . ~ Sept(~ic ~'t(ank [yto be luoo_ bhp gallon capacity manufactured b°~ 1 V iA)"'i'C~~.1.71 ~t~'A l',C'P_-Y ` ]~,'~ ~J, 7%/~ 5 . Bench Mark r~ ~t - Lt., loo , 0' c~.r NPCt~ ~~ Bv'~-~``Zx~v1---~' / ----- , 6. Divert surface water around system to, prevent .ponding at 'the up:~ill side. ' ~ i a. Typical Turn-up Cross Section Detail Finished Grade ~ f, f t. ffff. f. <- C~t G L> YG ><) > < <'f < < <'C'i'f f'C';'f 'f' ' > > > i ` > > ) ) Y > : > ) ` > ) i) > > > )GYt>` Y YG) ) ) >t < < < < > > ) > > ) > ) ) > ) ) ) ` < f f t f<< f< <- <<< t t< C Y T } ) ) ) > > ) Y } > > ) > ) Y < C i t< t<<< f C< f f t<< Y > Y Y Y Y > > > ) ) Y ) > > ) > <<<<<<< C t i< f t f f< t <;<;<;• Soii Material ;<a<;< < < < < < [ t < < < [ c G C < < f ~ """"""""' Threaded < < < >>>>>>>>>)>)Y>) f< f f t< f t f f f t< t t: f Cleanout ) ) Y > Y > ) > ) > > > ) Y > ) J <<< t< t< c< f t f< G t< ) > ) Y ) ) ) Y Y Y ) ) Y >)) ) Plu g G < < f t < < t < t < < f < < < > ) > > > > > > > ) T ) > > > f<< t i t< G<< G< t< S< > ) ) > ) ) > Y Y > ) ) ) } ) i < < < < < < t < < < < t < < > > > > Y > ) > } ) > T } > Y i f< C C C t<< f< f G f > Y > > ) ) > > > Y Y < < C < < < < G i < < < C t T ) > ) ) ) ) ) > ) Y ) ) < f < t t t< Y ) > > > Y Y ) f -< t < < < < t < f f < .•.•:•.•.•:-:•:-.•:•:•.•.•:-.•.•:•:•.•:•:•.•.•.•.•.•.•.•.i '<) < `>;>~>` 6" Diameter `>` > j ',i,G~t,: Lawn Sprinkler :,G,G,:J ' <'<'<'< Valve I3ox <)~''` ;~ Y ) > > ) > , C f S t C C f f < t < ' > > > Y ) Y > T ) ) ) ) ~> `) > ) ~ > < G G C G G < C G G ~~ <)< C i ~< Y ) Y ) ) ) ) Y ) T > ) Y > > < G G(< C f < t f i <( C< C < •' < < < t C ~• 1/ L < < G ) ) ) ~~ ) ~ ) < < G < < < C S < ~ t < < < L C < t < < < C ) ) Y Y )~) Y Y } )L>; t ~ L f f<< Y ~ ) > Y > ) 1 ) > ) ~ > / L < t G t t < • < f < < ,. G~ Y > ~ > Y Y > > Y > •~ Long Sweep 90 ~ti~; ~; G; fI' or Two 45 • ' ~ ~ ~ ~ Bends to Vertical : ~ . : ~ Distribution Lateral ... ~ . ~ : ~ . .. .. ~~~~ ~ ~ ~~ +~ .;~. Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Scats. The concerts or the seG::c :anK shall be disposed of in accordance with NR 113, Wis. Adrn. Code. The operating condition of the septic tank and outlet niter =_nai~, be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure Groper opertion. '"he niter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter whe,~ removed rrom its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Interrn ttenr P,Iter r arms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents remover when the ~o:uma of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. !f the contents of the tank are not removed a: the time of a trenNa assessment, maintenance personnel shall advise the owner of when the next service needs to be performed :o maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tz.nk perormance is generally not required. However, if such products are used they shall approved for septic tank use by the Cepartment cr Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shad be tested :c :-er ~i pr:;er operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, end the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. 'raffic (other than fer vegetative maintenance) on the mound is not recommended since soil conpactibn may hinder aeration of he i:~filtrative surraca withir; the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) cictate that the mound beyheavily mulched for frost protection. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each ateral be flushed of accumulated solids at least once every 18 months. When a pressure testis peformed it should be compared to ::~~e ;nitial cast when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain aqua) distribution within the dispersal cell Observation pipes within the dispersal cell shall be checked for effluent pohding. Ponding levels shall be repcrted to the owner, ant ami levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accc:xdance with s' temponent manual (SBD-10572-P (R. 6/99)j and local or state rules pertaining to system maintence and maintenance reForting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause dea'h. Septic : nd p,:mp t.rk abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used <s POWTS cornc ~nena. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and souncness. Ac:ess openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsG~nc, defective, cr subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an ef'ec.ive loctang device to prevent accidental or unauthorized Entry [nto the tank. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced tc keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be repaired or replaced immediately with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, I; will be repairer o. replaced in its' present location by increasing basal area if toe leakage occurs or removing biologically clogged adsorption and dispersal media, 2nd related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintence of this system should be directed to your county zoning or health ins,;ector ,~ ,~ w~consinDepartn>entotCommerce SOIL AND SITE EVALUATION Div~ion of Safety and Buildings in accord with Comm 83.05, W ~. Adm. Code page 1 of 3 A.C.E. Soil 8c Site Evaluations Attach complete site plan on paper not less than 8'/a x 11 inches in size. Plan must County include, but not tirrbted to: vertical and horizonta reference pant (BM), direction and St. Croix percent slope, scale or dimemsions, north arrow, and I ~ce to nearest road. ' parcel I.D.# ~ ~ ~ ~ 1'. ;, r ~,~ T N a - 004-1051-80-000 APPLICANT INFORMA IO tipt~°~. - p/eag -a-fi- fomt Personal information yDU provide may be used for s pu fvacy law, s. 104 (1) (m)). d y Dat - L ~, 'L ~s~U Property Owner -.~ ~~~a ~; ~ Prv. rty Location ` ! y Bev Timm ` ~ Govt. of NW 1/4 NW 1/4 S 22 T 28 N,R 15 W Property Owner's Mailing Address ; ,~' ~t~99 l.ot# Block # Subd. Name or CSM# 420 Cedar Street, #55 sT ~~~ - `-' CSM Pending City State Zi C ity ^ Village Town Nearest Road Baldwin WI 54 2~~` OFFICE Cady 30Th Ave. ^ Resid t tdyn ~f s 3 ^Addition to existing building ^ New Construction Use_ ^ Replacel~rtt ^ Public or Comm ascribe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpd/flz .6 trench, gpolRZ Basal area required 900 bed, ftz 750 trench, ftz Maximum design looming rate .5 bed, gpdiflz .6 trench, gpolf~ Recommended infiltration surface elevation(s) 98.7' at 12" above 97.7' contour. ft (as referred to site plan benchmark) Additional design I site considerations Parent material Glacial drift over weathered sandstone bedrock Ftood lain elevation, if a liable NA ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U=Unsuitable for system ^ S ®U ®S ^ U ^ S ®U ^ S ®u ^ S ®U ^ S ® U SVItL DtESGKltP tf IVIV Ktft+UK 1 Boring# 1 Ground elev 98.28' ft Depth to limiting factor 28" 2 Ground elev 99.77' ft Depth to limiting faCtoF 30" Depth Dominant Color Mottles Structure nsi ten C Bounda Roots GPDfft~ Horizon in Munsell Qu. Sz. Cont. Color Texture ~. ~ Sh o s ry Bed Trench 1 0-11 10yr2/1 None sil 2fsbk mvfr cs 2f&m 0.5 0.6 2 11-19 10yr4/3 None sil 2msbk mvfr cs 2f,lm 0.5 ~ 0.6 3 19-28 7.Syr4/4 None sl 2msbk mfr aw if 0.5 ~ 0.6 4 28-40 7.Syr5/6 f2fT.5yr5/8 tfs lcsbk mvfr gw if 0.5 0.6 5 40-72 10yr6/4 m2d7.5yr5/8 vfs Om mfi - - 0.4 ~ 0.5 RetnerkS: Horizon #5 Ls ftading to sand stone bedrock near bottom of horizon. 1 0-16 10yr2/1 None sil 2fsbk mvfr cs 2f&m 0.5 0.6 2 16-23 10yr4/3 None sil 2msbk mvfr cs 2flm 0.5 ~ 0.6 3 23-30 7.Syr4/4 None sl 2msbk mfr aw 3f 0.5 0.6 4 30-45 7.Syr5/6 f1f1.5yr5/8 lfs lcsbk mvfr gw if 0.5 0.6 5 45-68 10yr6/4 m2d7.5yr5/8 vfs Om mfi - - 0.4 0.5 Rig: Horizon #5 is to sand stone! bedrock near bottom CST Name (Please Print) Signa~e: Telephone No. James K. Thompson ~ 715-248-7767 Address A.C.E. Soil & Site Evahiations Date CST Number Ref # 340 Paulson Lake Lane, O 54020 7/19/99 3602 1070 *, ,. ~, PROPERTY OIMI~R: Bev Timm PARCB.I.D.# ooa-~osr-ao-ooo 3 Ground elev 95.25' ft Depth to limiting factor 3t" Ground elev Depth to limiting factor SOIL DESCRIPTION REPORT ~ ono page 2 of 3 A ['.R. Sc»7 & site Evalmttioas Depth Dominant Color Mottles Structure i t B d Roots ~ Horizon in Munsell Qu. Sz. Cont. Color Texture Gr ~ ~ ns ence s oun ary Bed ~ Trench 1 0-9 10yr2/2 None sil Zfsbk mvfr cs 2f&m 0.5 ~ 0.6 2 9-20 10yr4/3 None sil 2msbk mvfr cs 2f,lm 0.5 0.6 3 20-31 7.Syr4/4 None sl 2msbk mfr aw if&m 0.5 0.6 4 31-45 7.Syr5/6 f1f7.5yr5/8 lfs Om mvfr gw if 0.4 0.5 5 45-65 10yr6/4 m2d?.SyrS/8 vfs Om mfi - - 0.4 '~ 0.5 KemarKS: T Ground elev Depth to limiting factor Ground elev Depth to limiting factor r ~ ~ ~ r~ ~ ~~~ ~ ~- ~ ~ ~ =1 ~~N~. w ~2 ~ o ~~ b 0 2 fi ~ •~ a ~. ~e p - ~ 3 ~ n ~ ~C •. ry , fl . ~o .a O C ,~ ~ ~, '~ ~ ~ .~ ~. S ~ N ~ 3.f'3 Z -~ ~~ ; o ~ C ~. ~ T k 3' 6 ~~a~Y q7 ~> .` l I r ~ti ~~ ST CROIX COUNTY SEPTIC TANK MAIN`T'ENANCE AGREEMENT AND OWNERSHIP CIRTIFICATION FORM OwnerlBuyer I S S Mailing Address ~• ~ • ~ ~ X ~v -'< ~- Property Address ~~ ~~ ~ .__ ~ ~ ~"_ X (Verif`ieation required from Planning Department for new construction) ^ -~` ~..._ City/State ~I . W Parcel Identification Number ~ "~~~ ~ ~~ ~yf,~8 ~,E~A~ D~scra~PTZ©N ~- - ~' ~'/,, Sec. ~, T~ N-R.~~ W, Tov~m of ~/l ~_l____ Property Location /~, Subdivision ~s Lot # 3 _ ____.. 1J-+ -Certified Survey lYlap # ~ 12~1~" ,Volume 1 3 _, .Page # 3 ~ _ Warranty Deed # ~O I T~I~ ~ ,Volume ~ Page # ~ ~ ._.___~• Spec house ^ yes ^ no Lot Tuxes identifiable ^ yes ^ no SYSTEM MAINTENANCE Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. P~;~p<>; n~x:xtei;:auce consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you pit into ta1L 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 certif"icadon form., signed by the o~vaxer and by a masterplumber, journeym,auplumber, restrictedplumber or a licensedpumper verifying that (T) the on-site wastewar~rdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than ll3 full cat' sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system ~Nith the standards set forth, herein, as set by the Depa.-~xent of Cemruerce and ti!e Department of Nat',zr:l Resources, State of Wiscor~.s::;x. Cei4ification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zonir~~ Ufiicc 4n-itlxixx 30 days of the three year expiration date. ~~/~c ~r~ sJ~-! ~-~~ ~~t~~ ~,. ll~loi SIGNA ~ 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 (~rcj the oe~uer(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~~~ SIGNA OF PLICANT DATE ****** Any information that is nxis-represented may result in the sanitary permit being revoked by the Zoning I?~~i'arlxxxent. **'~*** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the ccrtificd survey map if reference is made in the warranty deed /D ~~~ 14'76Pa~E 126 This Dead, made between Beverly A. Timm, a single person, Grantor, and Thomas D. Smith and Lisa J. Thomason, as joint tenants, Grantee. Witnesseth, That the said Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: ~` ,f',~ r 'Beverly A. Tim Lot Th (3) of Certified Survey Maps, in Volume 13, pa a 375b, being a part of the North Half of the Northwest r (N'/a of NWY.) of Section Twenty-two (22), Township Tw~ ht (28) North, Range Fifteen (15) West and more fully described as follows: Commencing at the North quarter comer of Sedion 22, Township 28 North, Range 15 West, thence N 88"09'42" W, 671 feet to the point of beginning; thence S 0211'14" W, 1322.38 feet; thence N 88°08'24" W, 579.02 feet; thence N 0144'37" E, 1321.80 feet; thence S 8809'42" E, 589.28 feet, to the point of beginning. This is not homestead property. Together with sit and singular hereditaments and appurtenances thereunto belonging; except a I easemnents, restrict ohns andtrights of owday ofeecord land welel warraint andtdefend the same. n~mbrances Dated this ~ day of November, 1999. AUTHENTICATION Signature(s) authenticated this _ day of ~: sipnawre type or prhrt name TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 708.Ot3, Wis. Stets.) 614996 KATHLEEN H. WALSH REGISTEk OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 12-06-1999 9:30 AM WRRRRNTY DEED EXEMPT M CERT COPY FEE: COPY FEE: TRANSFER FEE: 96.00 RECORDING FEE: 10.40 PAGES: 1 Recordhg Arm Name and Retum Address ~~~ ~~o ~~. a~an~rY, ~ In1~ y ~ D o ~ Pan of 0041p51~0•-000, 0041051-70.000 (Parcel Idertitificatfon Number) ACKNOWLEDGMENT STA E OF WISCONSIN _ Y t" COUNTY Personally came before me this ~ day of November, 1999, the above named BeveHy A. Timm, a single person, to me known to bet arson who executed the foregoil strument and ckn 1 e same. slpnature '(` r•t G type or print name 1-~ ) Notary Public ~fA'C f!iy~ _ _ County, WI My commission is permanent. (If not, state expiration date: 11-~-5-~• ~) THIS INSTRUMENT WAS DRAFTED BY ttttttirrrrr 'Names of persons afyning in any capac ~~ ki~~i0 ROBERT J. RICHARDSON ~ Attorney at Law printed below ttu>ir signatures. ~.~~ C~ • • • • ~ti~'~,, .~~Q3 ~p'C Aqs- :~9~ Spring Valley, WI 54767 (Slynatures may be authenticated or aclmowledged. Both are not necessary.} y~ . M,rortnetion profeseionels CamPe"Y ~QC ~ s ~~ ~ APPROV~~ ~Z n sr. coax court : . ~~~+~ 1999 ~ PlanringZgia9 and P-•`• ~ ~~~ 2 7, L'~ nC7 2 7 1~ 1 ~ ~~~V Kfl011YCC1116~IMlillfl.~?i!:• ~~ i1pQ10Yil di18 9DOFOY~ X18'.: . `~ CERTIFFIED S`URVE'Y MAP N0. 3754 VOLUME 13 PAG.G 3754 BEING A PART OF THE NW 1/4 OF THE !1W 1/4 AND THE NE 1~4 OF THE NW 1/4, ALL IN SECTION 22, T.28N.,R.15W., TOWN OF CAI?Y, ST. CROIX COUNTY, WISCONSIN. CONTAINS 3.280.790 Sp1ARE ~T 75.30 ACRES) LESS RIGHT Of WAY ~- .. BASIS OF BEARINGS IS WISCONSIN STATE LEGEND PLANE COORDINATE SYSTEM ~ FOIiND 5/8' MtON REBAR Z ~ ~ 33' r _ ~ ~ ~ O SET 3/1'x24' MtoN REBAR ti1EIC11NG 1.302 LBS. ~ _ , ~ ~ DETAIL ~ ~ ~ FdH1D ~ERM<ENNT AS NOTED /~ . $ ~ ~ ~E~~I -" -- £- \ e FouNO cASr ALIAIpItJM ~+aNUU~rr (19' BFLOw ~ +~ r • SEP11C VENT W X~\ I~ R~ ~ ja_ •~ ~ ~ ~ ~ / 31 33' LOT 1 ~ / ss CAUTION: HIGHWAY SETBACK r °` a v ~ < _ < ~ ~ RESTRICTIONS PROHIBIT ~: "' '= .., - - ` - IMPROVEMENTS. SEE SHEET 2 N i 149.11' UNPLATTEp LANDS ~_ =- S88'09'42"E t« 2613.25' . ~ i n J ~ z ~ 58809'42' 2484.14' _ - 614.62`- --- 589.26'--- ~ - --589.26 =-N.UNE rRr1I4 -- 671.00'----- g ~, - --1 Job i l// '~ ~ 1~~. ~S88'09'4YE-589.0 S88ro9'42"E-589.00' S88~09'{2'E-671.49' ~- ~~ ~~/ .0.T. SETBACK LINE D7---------~ T 07--------- -- 07------>,.aC- o ,~-~ ~ I I PER D.O.T. TRANS S88ro9'42-E~ 11~ ~ 1849.50' N t i o FRaixa) at so' PaR sr. cr:ax ca -~ ~"~ ; I iS c~~EA~R. ~E~ oT~E1 I «• LOT 2 ~.fl~T 3 LOT 4 3 LOT 1 77,.952 SOFT. j 772.273 SOFT. 900.597 SQ.Fr. a ~ 1 ~ 916,42 _ o ( ) • 1 g (17.73 ACRES) >b I < (21.04 ACRES) ~ 17.72 ACRES n (20.67 ACRES) T j 4 ~ ~ 896.400 SO.fT: N 752.512 SOFT. ~E ~ 752,832 SQ.FT. io 878.446 SOFT. i• s l i . ~ (~S R ACRES) ~ 'I (LESS R%W S) i~ t (LESS R/W ES) N Fi LESS R/w ES) N yin *' 1 -. 1 1 1 ~ ETWEEN P7S ap ~ ~ W ~ ~ { ~ ' GyI ; j, D ~G h t .~ .- J r t z p~ 1 iT -L 7 ~s,MSS a]Y Z ~/ / / i V~ / Z ~ n ~~ ~ /~~~/ o ~ ~~ lpp~JJ 1 '•~~ ~ ANp IIELCRCED / ~ F 1 11107 SE7BAdC FAOM R ~% ~/ a ~ ~ i F- 701.44' PER ST. ~ 379.02' ~ 579.07 690.77 ~ ~ i SOUTH LIME ''1~= .~,T!'i~. --- o : 1 / o~ UINDS ACOUIREO aY wA.o.r. (FEE TTlLE~ N88ti6 24 - 2550.25 ' o N ~ i PER MOL. BN PC. 264. SL. CROIX OO.. R.O.D. SE CORNEA OF 1HE I m ~ UNE TABLE UNPLATTED LANDS NEi/4-Nwl/4 i r~i r 'r~ • "AS OWNER ERESY RESTRICT ALL LOTS AND BLOpCS SO THAT NO OWNER, I ~ POSSESSOR. V tlCElISEE OR OT-1ER P£RSON MAY HAVE ANY RIGHT OF DIRECT VEtB NCRESS FROM OR EGRESS TO ANY HIGHWAY LYWG WITHIN '= 7HE RIGHT OF Y OF S.T.H. 128, AS SHOWN OH THE LANG DIVISION MAP; I~+ IT IS E7~RESSL~sINTENDEO 1HAT THIS RESTRICTION CONSTITUTE A RESIRIC710N a, i ~ FOR 7HE BENcrti' OF THE PUBLIC A5 PROVIDED W t236.29J, WISCONSW STATUTES AND SMALL BE ORCEABLE BY TF~ DEPARTMENT OR ITS ASSIGNS.' ~ ~ ACCESS IS GRANTED, PER D.O.T. VARUWCE APPROVAL, FOR RESIDENTIAL USE G = ACROSS THE E>aS11NC DRIVEMIAY (LOT i) AS DEPICTED ON 7HE FACE OF TNS MAP. ' ~ PRENOUSL BY THE DEPARTMENT OF TERA~IIS~PORAT~ATION.) T.H. 128 WERE PUR(2IASEp N ~I (r~ Wyk ~ ~ ; 7\ ~ I ~---~ I°/1b/~ STEPHENJ. 10 ~ 1~ ~ Z ro I >~ KOCHAVER ~ SOUTH t/4 22-28-15 0 rn I N ~ S2257 F0. 1' IRON PIPE wESr 1 /4 22-28-1 s t, MENOrITONrE, ~ PREPARED FOR FD. BERNTSEN SURVEY NAIL WI Q' OF RECORD. 9yQ ~O FOR BBEVERLY ~ y AS AGEN9'S WI. 0.0.7. 7RAN5 233 SIJRv APPROVAL / 55-128-2945-1999 SCALE: f"=400' PREPARED BY• THIS WSTRUMENT DRAFTED BY ~ lCOCII,VER LAND SURYEYINC STEPHEN d KOCHAVER E57'72 490TR AV1E ,,oe ,~ 99031 o zoo 40o aoo' SHEET 1 OF 2 YENOY011/!E, NI 54751 Vo1.73 Page 3754