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HomeMy WebLinkAbout004-1053-80-100S't. Croix County Planning and Zoning r,,,,rsduv,oecember20,2007at10:03:26A.M1t Detail Sanitarv Information Page ! of ! Computer #: 004-1053-80-100 Sub/Plat: NA Section: 23 Parcel #: 23.28.15.3608 lot: 1 TNlRNG: T28N R15W Municipality: Cady, Town of CSM: Vol. 17 Pg. 4471 114 1/4: NW 1/4 NW 1/4 Owner: Wittmer, Kerry 3105 30th Avenue Wilson, WI 54027 State Permit: 430265 Issued: 08/26/2003 POWTS Dispersal: Mound 24" or more suitable soi Permit: New County Permit: 0 Installed: 10/08!2003 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Issuer/Inspector As i3uili Plumber Other Requirements Pam Quinn NA Timm, Roger Emily Lund (contra Yes Scheduled Pumu Date Purnped 10!8/2006 Additional Notes Monev Owed Emily Lund inspected system. $0.00 Parcel #: 004-1053-80-100 12/20/2007 10:02 AM PAGE 1 OF 1 Alt. Parcel #: 23.28.15.3608 004 -TOWN OF CADY Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 TaX Address: Owner(S): O =Current Owner. C =Current Co-Owner O -WITTMER, KERRY K & J AIME L KERRY K & JAIME L WITTMER 3105 30TH AVE WILSON WI 54027 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ' 3105 30TH AVE SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 5.000 Plat: 4471-CSM 17-4471 004-03 SEC 23 T28N R15W PT NW NW BEING CSM Block/Condo Bldg: LOT 0 1 17-4471 LOT 1 (5.OOAC) EZ-U-2433/366 Tract(s): (Sec-Twn-Rng 401!4 1601(4) 23-28N-15W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 10/1012003 743330 2433x366 tZ 03/31/2003 715312 2189/239 WD 02(26/2003 711283 17!4471 CSM 02/07/2003 7087370 2134/319 POA more... 2007 SUMMARY Bill #: 198074 Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/09/2007 Description Ciass Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 28,000 170,900 198,900 NO AGRICULTURAL G4 3.000 200 0 200 NO Totals for 2007: General Property 5.000 28,200 170,900 199,100 Woodland 0.000 0 0 Totals for 2006: General Property 5.000 28,100 170,900 199,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM-_ Safety and Building Division INSPECTION REPORT. GENERAL INFORMATION j'~• (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Wittmer, Kerr Cad Townshi CST BM Elev: Insp. BM Elev: BM Description: 1 ~O, ~ Cam f TANK INFORMATION ~ ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~ ^ l.-t~ ~D Dosing ~f' _ V~iCJ ~OT V Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~' ^ ~ ~ W W f ~ ~ ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number ~~b, / ~r + TDH Lift D•`IC~ Friction Loss System Head TDH ,~,) Ft ~,2~ G ,5 Forcemain Length I Dia. ~ L[ Di Well ~ ~ ~ SOIL ABSORPTION SYSTEM county: St. Croix Sanitary Permit No: 430265 0 State Plan ID No: Parcel Tax No: 004-1053-70-000 SectionlTownlRange/Map No: 23.28.15.359 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer y.58 d D,lp St/Ht Inlet ~o•a ~.25 St/Ht Outlet Dt Inlet Dt Bottom y~ ,p n f u eri f 1' e er an. ~,,e. 3. , ~ C72 .Z. 5 Dist. Pipe Bot. System ~ 2 ~~~ ~ ~- b~ I o l , 17 Final Grade ,~- -. ~,c~ 1 C3: ds St Cover b.Y D 4. S. L IG.i3 r~~- r/7~ BEDfTRENCH DIMENSIONS Width 7 Length Z ~ No. Of T~crR,'hCS ee~(~ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth I / ~ I SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM CHAMBER OR Type Of System: m 4 3~~~ ~~ ~'~ / UNIT DISTRIBUTION SYSTEM Header/Manifold y u,..,c it / / istribution 11e~y~ C ~ x Hole Size ~ x Hole Spacing , Vent to Air Intake ~ ~ Dia ~ Length ~ ~ Length rl ~ Dia ~ Z Spacing y ~`~ ~ (p ~ ~ / C? p SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over / , Bed/Trench a rent dges Topsoil -~ ~, Yes L?~ No _ ,Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /d /~/~ Inspection #2: / ~ / U~ / ~~ Location: 3105 30th Avenue Wilson,,~.W,_I~ ,5"4027 (NW 1/4 NW 1/4 23 T28N R15W) NA Lot 1 AR,~ / ~ f~+ Parcel No: 23.28.15.359 1.) Alt BM Description = ~~ t' `~ ~""" 1 Pia IF' 2.) Bldg sewer length = ~~, ~ ~ / ~ ~~ ~~ - amount of cover = ~ ,~ ~ (7 (iJ C~ ~~~ ~,~ ~ - -- ~ -- - Plan revision Required? [] Yes r. No U C) n~ ~ t Use other side for additional information. ~ l~ ~' ~l jj~ ~ ~_~~ti l.__~__ ~~_ '~ L'~- ~ i ~ ___J Date Insepctors Signature Cert. No. SBD-6710 (R.3/97) V Safety and Buildings Division C~tY ~~ ~~ ~ , 201 W. Washington Ave., P.O. Box 7162 • _, ~ ~seons~n Madison, WI 53707 - 7162 Sity Address ~ 2-~ ~ y~ , 31D~ ~" 1'~°' De artment. of ComrnercR ~ Sanitary Permit Application S~'~"''P`~3oz~ In accord with Comm 83.21, Wis. Adm. infyormation you provide ^ Check if Revision ma be ttsed for seco es Pri I. Application )reformation -Please Print All ormatlon -- rate Plan 1.D. Number ~~ ~- ~Tt-wtis . (h. ~' Property Ownei s Name ~ ~~~. ~ ~ ZOO ~ Parcel Number 2 ~O J 5 `~ ~~ v ~ oc~f --- ~vS 3 - ~' ~ ~ - ~Uf~11"Y Property Owne s Mailing Address ~ '~ Property Location Ciry, State Zip Code Phone Ntunber Lot Ntrmber Block Number ~inbdrrisiorrNnme CSM Number ~dc5~, ~ ~~2~ -~~s- ~tiZ- ~Ly~ Y. ~~ P. ~~~ ~~~,~3 II. Type of Building (check all that apply) ~ ~ s~,,,,,v Ciry ^ 1 or 2 Family Dwelling -Number of Bedrooms ' - Village ri be De s c U se ^ Public/Cotnmer - w- o~~p _0,,,,_ ~ ~ _ ~ ( ~ ~ ~ ~ , t'~D~~ ~"" -ts'^~~+'~ ~ l ~ '0 d ~~ ^ S O Barest Road ._ wne tate nn t X l l 2-St 1M.ewnd[ cif. rQC,e,,~ . 30 ~h l~' III. Type of Permit: (Check only one box on line A (numb ring scheme for internal use). omplete line B if applicable) A i I New 2 ^ Replacement System 3 ^ Replacemen of 6 ^ Addition to For County use - ~ S stem Tank Otil Existin S stem ~ B • ^ Check if Sanitary Permit Previously Issued ,LDI / ~, I~ ~ I/ D Issued ~ u ~ 11 ' ~ "( . IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) . .. 44 ^ Non -Pressurized In-Ground 21~Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line i 45 ^ At-Gtade 46 ^ Aerobic Treatmen nit 49 ^ Recirculating 30 ^ ther V. Dis ersal/Treatment Area Informati on: 6 D Design Flow (gpd) Dispersal ea Require ~S-p dj l ~ Dispersa ea Propose ~ ~ ) Soil Application Rate als./Days/Sq t.) Percolation Rate (Min./Inch) System Elevation /~ ~~ Z Q Final Grade Elevation r-~,l , tq ~ ~.o -San I VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic ~ Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank f' ~, ~~ ~/ ~ y if ~ a•~ ~ Dosing Chamber ~ ~ u ~ ` ~ on the POWTS shown on the attached plate. installati VII. Responsibility Statement- I, the undetsigne ume responsibiht~y for Plum is Name (Print) ~ Plum 's Signature MP/MPR Number Business Phone Number Plumber' Address (Street, City, Statep, Zip Code) /~ T h ~~ !/" Z VIII. Coen /De artment Use Orel Approved ^ Disapproved Sanitary Petmit Fee (includes Grottndwater Date Issued Issuing gent Signature (N Stamps) ^ Owner Given Initial Adverse. Surcharge Fee) ~ '7,5"O l" 8l,~~_~~ '' ~ Determination ~~ (( ~~+~J IX. oaditions of Approval/Reasons for Disapproval (1 (~ n - • ~ ---~ -~. om-- J ~.+V tM 0 ~ r^ ~.~ ,,~~ ,,,, II n - . M~C~I SeX~h2 r ~ . na o t t i e O~AtiD ~l~Cn nA complete plnn• (o the County only) for the syslem on paper not less than 81/2 z 11 Inches In size ,r SBD-6398 (R. OS/O1) ~~ 33 ~ t i ~t F `~ ~*~~U \J ~~' , ~~~ ,i. E.sEima~ld /owes E ~/oo~ 3 /~~ Bu,'/~,~ Scw~ ~le~: a~ St~cc~ -3o a` Arc . zyy.~ /06. sv~ ~/ b~~ Proposcd 3 bcd~oom /'tSi dcnc.¢ bui Id1tn9`( 5~,,,.,cr ~,p .S- ProPcsed /, ~~~./~~ ~ombi~a.~%or~ Se,~b'c~~.t'~ Pk m~0 C /dam ~ w~ ~¢ ~i/G f~-/Od e~/kcnt ~'/~ci'at Ni ~' - Z "S ~. S~0 ~~/L' _ ~or•~c M4in 3/CkVCd -c-t..o«dti y" 5~cL/ /o,ad.c. at P.c.out c~ P,• t ~ Ek~.jb~(jq y~..d~ ZICdQtIYOln~~ ~.Ci.S fi n~~qq T~nGC / Pr°P /ot i,`rtr ~ A ~ ~ca1c•~/'d~' zss,, PrOPOXd Wcll 0 /a ~/.3~' . /o1.7S' a ~ S,o~l e..t ~ ~ ' o ~~ c6-~.. ~o.~.. \O~ i y ~ ~ ~ ~o / ~ / C \ u-o • o ~ ~Q~~ / / ~( / . fir ~ ~ ~ _ /^ / 150 `\ ~, l . Q ~ /jai /i n Cpr'ner tiC Fcncc/~att. e7e~= /od,66.~ ~ , ca j : T m; ~ t,'z U is ~ o ~ ~ _ Ce/'ncr c.,u sf• • Ssli~,ed ~' is~onsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary August 22, 2003 CUST ID No.226524 ROGER L TIMM TIMM EXCAVATING 3128 20TH AVE WILSON WI 54027 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/22/2005 ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Kerry & Jamie Wittmer 30th Avenue Town of Cady St Croix County NW1/4, NW1/4, S23, T28N, R15W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 915632 Identification Numbers Transaction ID No. 897050 Site ID No. 655936 Please refer to bath identification numbers, above, in all correspondence with the agency. 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). • 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. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • 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. • Comm 83.22(7) - 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. ~-~. ROGER L TIMM Owner Responsibilities: Page 2 8!22103 • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 ~~'~ ~O~S ~~ AG~~ ~r Kerry & Jamie Wittmer -Mound Previous Transaction # 838202, Site # 655936 Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (O l /01) Pressure Distribution, SBD-10706-P (O1/O1) Location: Lot 1, Proposed CSM NW 1/4, NW 1/4, Sec. 23, T 28 N, R 15 W Town: Cady County: St. Croix Date: August 15, 2003 Owner: Kerry & Jamie Wittmer Address: 306 West Elm St. Glenwood City, WI 54013 Plumber: Roger Timm Signature: License # MPRS 226524 Attachments: 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management ~~rM~Nr~o~~ ;~ ~~~ ~: D1VISf(iN ~F CC,~~fJ'ERGE E7Y ANO BUELGtPJGS *%~E CORRES UENC~ page 1 of 8 Design Criteria ~'~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu1100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 a``~,° gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length Drain-back Lateral length ~ Lateral elevation Lateral hole size 3~~ b in. ~ g h 1 /1 t 1 @ @ o es a era Lateral volume Total lateral discharge rate Network pressure compensation losses Elevation difference Friction loss Total dynamic head Pum /siphon ~ Design Calculations °' Z~~ gallons/sq. ft. per day '' ~Z in. ~~ l~ Z in. b ~ ~ ft. of Z in. ~`4'~ ft. of in. ~ ~ . ~ gallons ~~•~ ft. of ~~~ 2 in. ~ `n' ~ ~ ft. @ bottom of later 3 b • ~ in. ( 3 • ~ ft.) 3 g holes total l O.2. ~ 2 gallons ~5' ~ ~ gallons/minute @ °'~"S ft. 3• ~ ft. ~' 4j~ ft. @ ~ S~ gallo ~• q ft. ~O ft fh d p gpm @ Manufacturer ~- ° w` ~ 3 g} ~ Dose volume 83.8 Lift/siphon tank ~' ~'~~ ~ `'`T°' to o-o ~ w~ •, ~• ~, Septic tank Effluent filter ~ w~ ~ ~ ~ ~ Measurement pump on and off S'~ ~ Height alarm from tank bottom ~ b • o Reserve capacity 'S3Y ~ specs.calcs.res . o ea Model # ~ ~' o Qr gallons ~`'~ gallons ~ `~ gallons in. in. gallons al Spacing Z •~~ ft. head ns/minute Page ~ of g q lE. Q/+_~ ,(ai/in Corner' Fe„ce (,part , E/e ~ = /03, 66.' .io~~ - ~ -30 ~ Arc , P~oP°~ `~"utt, lot I~ne\ _~ ~ Sol/ E/t/ua f,L» P,• t • ~'~^ yYgg9g~~d~ e~ec~0.~lOn P~oP. /oE f%rte ~ ~cu/C•'/ ~do~ 3' 9'.. 1 r 5 :s~~~, c~osS 5~~.~.;o~ ,. .. t ~ ~.r, ~ ~ 1.2' 1,44 c,-1 z ~, ` ~,,.aSt ~ b i~bco~1 1a..~ ~ ~o Z o.v cur 1 tstp . ~ ~ ~ ~ ~3.~'. r; ~ .: .. .. ,. i ` _ ~-- o ~ g { ~" _ v 1 ~-- ~ ~' -mil ~.~' y 4.0' ~- 2 3. ~} , tz. ~- lt.o• Sfv.1S' 56.25' __,T lt.o, E- ~ t-2, 5' X34 S', o q~ ~ /\ may. V ~,1~ `` U ~ P~ (v( C S a~ qt7 nn .~.`1r Q~n X11. ~ t~.~/ a..~ :.~ ~ ~ .~~Y O~. „ ~~It p~,c s,. 4v ~ _. 3.0' j Z.o' I I.Y' t,i I 3.v' 3.~' ( 3.0 I I ~ ss.Y ' ss.s' Itt..,' (1 b ~ e~ ~ o~ ~..'c 2~. ~ es~...,J~w bO~ o,... `: »~. La 3b. o„ ~ ~ ~a~ ~ o~ ~ ~~~ \~ l ~~~~~ ~ \ ~ ~~~o~ S. o ' ~ a, a.,..~ U ~~ 0'~ .r : V w \ QM.~ "~ ~r a1~ Q bo h S o~ _~ ~~ ~~ ' ~ ~~ -----~ ay ('y~ ,.~ 77TTTTTT PIPE 3' no l~Nol5Sua6fiD \ SOIL. /+1,x.5 T L k ~Z' `S ~>'C' Ca ~ L.. LA,C KI NG~GOV fi R '--~ IvA~N i+uc +t ~BE~ . Q~ICf~C ~~~C.DUytGT-~ > 4'' b'+ 24'' I .D . M4Ku41F ~G~R.OvLO. A SKET 3bNT'J ____~ ~ PIIG 0 rwEC.TioKS ~~e~, q~•o D ~~~ ~FLE, .:i - ~oCLc~; I`~q~w WEA'fNERPR00F n ~TIJNCTICN J ~„~ ~ 'L~ ~~. L1~ wC~..a 2~ uc,:~ .o a~ ~-- ON I ., 3 ~„ s-. o Gcr~ P ualP ~,~ Conrue~-r-~ b~oGK Iz' P vc .may, ~ ~~ 4 0 ~~.~~ J ,~Z•si - --~, ~' ~ ,~_ 4c 3' a•r- c 1r.i~.'ut=- J:.J:ir.G ~1b~v IL,~-b ~l SCPTIC t _ SPEGIFI•CAT I ~ l.~, O I`IS ~ Dos [ l~ ; ~~ ~ T~u~ S M^uUFA r l . CTURCR: IJUMBCFI OF OO~CS; ''~" PEK C.,~ T~,-JK SIZC: ~~'i°"~uv GALL01J5 DOSC VOLUME _ S ~1 ~~~ ti~vd AuAR11 I"1/WUFACTURCR: ~3,~ IIJCLUDIIJG 6AGKFl.OW; ~~..;;ti; rl 0 0 0 L /,1 U YW C R: • 1°~ ~~ ~ 20' 0 3 3S+ L CAPACITIES ~ = IuCHCS OK :~ ~ ewiTCM TyP[; ~'~`'`• "fib ,, __ , ~3•S'Z ~ Z Il t ~ JCHCS OF L~_.~~~ 6 PUMP MAIJUFACTURCR: °"-` S C • ~~~..,~uCHCS OK $;•~ ;,~, .~~: MODEL -JUMDCR: 3g~~ - ~~~ g' . ISO•$c~ D~ q ~N~HES GR ~~._.:•__ ~~-/~TCN TbPC; ~`~""Y "' IJOTE: PUMP AUD /ALARM ARC TO BC P11-JIMUM DISCMAIt(sL RATC ~~'C G-M INSTALL[0 ou SEP~aArC C~kc_ "_ VCRTIC^L DiiFCR[AJCC DCTWCCAI PUMP OFf AUO OISTRI~UTIOAJ PIPC.. •S~):CT ~ 33 + M~uiMUM -JCTWORK SUPPLY PRf tsURE .. __ ~ •S' %- ~ ~ ZS ~~ FCCT ~ 0,''3 + ~~ FCET OF FORCC MAIIJ X ~'3q f/ 100/[FKICTIOIJ _ °' FACTOR.-~~ FEET ~~ ~'~'~7 ~ .~ , --~ -' TOTAL py1,JAMIG HCAD = `9 FEET 11JTEKIJAL DIME1U5101JC 'OF TA-JK: LE-JC.TH 4 ~, ~, ;WIDTH ~'g ~LIQUIO pCPTH 3~ -~ ,` J GOUT.®S PUMPS Submersible Effluent Pump 3871 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: '/a" maximum, • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'/z" NPT. • Mechanical seal: carbon- rota ry/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components, Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. •EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: 10 foot standard length, 16/3 S1TOW with three prong grounding plug. Optional 20 foot length, 16/3 S1TW with three prong grounding plug (standard on EP05). © 2000 Goulds Pumps Effective February, 2000 63871 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Auto- matic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermoplas- tic Semi-open design with pump out vanes for mechanical seal protection. METERS FEES to~ 9 s z x v 6 5 0 4 0 r 3 z 0 ^EP05 Impeller: Thermoplas- ticenclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for effident heat transfer, strength, and durability. ^ Motor Cover: Thermoplastic cover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING ~' Canadian Standards Association (CSA listed model numbers end in "F" or "C".) Goulds Pumps is ISO 9001 Registered. 0 2 4 6 8 70 12 m3/h cAPACITv Goulds Pumps ~' a ~- g ~~ ITT Industries r r . ~ ~ 'r System Management Management~of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Roger Timm, 715-772-3214, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or pump tanks are no longer used, they must be properly abandoned. 11. I f construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. [f the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 0. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 1. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 Wisconsin Department bf Commerce Division of Safety and Buildings SOIL EVALUATION REPORT ~n .y.nnri~nrc uri4h ('`nmm A~. \Aric Arun f:nr'lo 1606 page 1 of 3 A.C.E. Sal & Site Evaluations County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and and location and distance to nearest road. scale or dimemsions north arrow percent slope - Parcel I.D. , , , 004-1053-80 I D#23.28.15.360 Please print all information. - BY - D~ Personal information you provide may be used for secondary purposes (Pdvacy Law, s. 15.04 (1) (m)}. Z.4 O Property Owner Pr rty Location Lester Jensen Govt. of NW 1/4 NW 1/4 S 23 T 28 N R 15 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 293 310th Street 1 Proposed CSM City State Zip C e Ph~t~urrt~er`] ZO~ ,;, City ,~ Vllage Town Nearest Road Wilson ~ WI 5402 715-772-4249 Cady 310Th St. & 30Th Ave. eT 1 :KUI/~ w"" New Construction Use: Resider 'al / Nudi6~~ __ Code derived design flow rate _ 450 GPD Replacement ~ Public or commercial -Describe: Parent material Glacial drift over weathered limestone bedrock. __ Flood plain elevation, if applicable na General comments and reccxnrrtendations: Install mound system at elev. 1 ' at a4 " above 100.00' contour. O/, f ~! a Boring # ~ Boring ~~ i ~ ~/ Pit Ground Surface elev. 100.08 n. __ ft. Depth to limiting factor ~ Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DItt' * *Eff#1 Eff#2 1 0-8 10yr3/2 None I 2fsbk mvfr as 2f 0.5 0.8 2 8-17 10yr4/3 None I 2fsbk mvfr cs 2f 0.5 0.8 3 17-31 10yr5/4 None sil 2msbk mfr aw 1f 0.5 0.8 4 31-47 10yr4/6 f2f 7.5yr5/8 sl/scl 1 msbk mfr aw 1 f 0.2 0.3 5 47-60 7.5yr4/6 m2f 7.5yr5/8 cosl 1 msbk mfr aw - 0.4 0.6 6 60-68 7.5yr4/6 mmZd~ll)yr6 2& sc Om mvfi - - 0.0 0.0 H#4 consists of an unsorted mixture of 1 msbk gr. sl & lsbk scl. Loading rate reflects most restrictive pemtiability found within horizon. Boring # _J Boring - _ Pit Ground Surface elev. 99.99 ft. 32" in. Soil hcation Rate /~ Depth to limiting factor App Horizon Depth Dominant Color Redox Description Texture Structure Consistence ~ Boundary Roots GP *Eff#1 D/tt' *Eff#2 1 0-7 10yr3/2 None sl ~ 2fsbk mvfr as 2f 0.5 0.9 2 7-16 10yr4/3 None Ifs 2fsbk mvfr cs 2f 0.5 0.9 3 16-32 10yr5/4 None fsI 2msbk mfr aw 1f 0.5 0.9 4 32 8 7.5yr4l6 f2f 7.5yr5/8 sl 2msbk mfr aw 1 f 0.5 0.9 5 48-62 7.5yr4/6 m2f 7.5yr5/8 scl 1 csbk mfr aw - 0.2 0.3 6 62-72 7.5yr4/6 None L.S.B.R. Om mvfi - - 0.0 0.0 * Effluent #1 = BOD ~ 30 <_ 220 mglL and TSS > < 150 mg/ #2 = BODS < 30 mg/L and TSS <30 mg/L CST Name (Please Print) Sig ure: CST Number James K. Thompson 3602 Address A.C.E. Sal & Site Evaluations D` ~e Evaluation Conducted Telephone Number 340 Paulson Lake Lane Osceaa Wt 020 12/13/02 715-248-7767 property Owner Lester Jensen Parcel ID # 004-1053-80 ID#23.28.15.360 Page 2 of 3 ^ 3 Borin # ::~~ Boring g Pit Ground Surface elev. 98.53 ft. Depth to limiting factor fin. Sai Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots x *Eff#1 *Eff#2 1 0-7 10yr2/1 None sil 2fsbk mvfr as 2f 0.5 0.8 2 7-22 10yr4/3 None sl 2fsbk mfr cw 2f 0.5 0.9 3 22-32 10yr4/4 f2f 7.5yr5/8 sl 2msbk mfr gi - 0.5 0.9 4 5 32-49 49-70 7.5yr5/6 7.5yr5/6 m2f 7.5yr5/8 m2f 7.5yr5l8 Ifs/sl Is & gr sl 1 msbk 1 msbk mfr - mfr gi - - -- - 0.4 ---- 0.4 0.6 - 0.6 H#4 & 5 consist of an unsorted mixture of 1 msbk fls 8~ 1 msbk sl. Loading rate reflects most restrictive permiability found within horizon. Boring # ~ Boring -- _J Pit Ground Surface elev. ft. Depth to limiting facts' in. Soit Application Rate Horizon Depth Dominant Color Redox Description Tezture Structure Consistence Boundary Roots GPDlft2_, *Eff#1 *Eff#2 ^ Boring # l Boring - Pit Ground Surface elev. ___ _______ ft. Depth to limiting factar _ _ in. Soil Application Rate Horizon De th Dominant Color Redox Description Texture Structure Consistence Boundary Roots p *Eff#1 *Eff#2 * Effluent #1 = BOD ~ 30 < 220 mglL and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 rrtg/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 608-266-3 I51 or TTY 608-264-8777. `, ti~ r 33 `~ 33't ~3a « Arc . 1 yy'-' ka~~ /6oL Pry ~ Ek~.z6~ ~r,~d~ e 1 e~a~`On -"~ CcXiSflnq Fence, II V 5ca./C~ /'S/O, 255 ~. 3io~ ~trc c ~, 82 ~~~ ~ ~~ ~~° ~~~i~ b~~7~' ,,y~~ r q~ XY " ~ ~ ~~~ r~ h ~~i ~~ '%/ via 83 ~ q9~P 8~ l . Q /l ai /i n CA~ne~ Fen~c/aast. ~'le~= /o3.6B.~ Bcnal<tytarrl~: Top ~i'e Co/'ncr snu ~ fJ• ~SSU~-red P letl.' = /LTD.l~ /~. 3~'.~ OwnerBuyer Mailing Address ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT • AND ~ OWNERSHIP CERTIFICATION FORM Property Address 7J ~ D..S 3v`~ ~"~- (Verification required from Planning Department for new City/State hf t Sin 1.,c1~ Parcel Identification Number ~~9 5~" X053 - 8 ~ LEGAL DESCRIPTION Property Location ~~ '/4, i'1 ~ '/<, Sec. a .3 , T ~ N-R ~~W, Town of ~~Y Subdivision Lot # 1 Certified Survey Map # l1 ~~~' J? ,Volume ~ ,Page # yy?~ Warranty Deed # ~~~3 ~ 2 .Volume 21~`T ,Page # a~~. Spec house ^ yes Lot lines identifiable ~s ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. 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, restrictedplumber or alicensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards 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 a three year exp' tion date. //~~'' 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 (are) the owner(s) of the pro described abov , y virtue of a warranty deed recorded in Register of Deeds Office. f 1~e9 /D~`~' SIGNA OF APPLICANT 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 07/09/2003 07:27 FAX 715 ~&6 6274 NORLAKE SHIPPING C~j o 1 - v~- ~:: ~~ i ~~ Model DT 2872 03 1813 Sq. Ft, U ~ -- ___ ~~ ~- _ I . 71'd B'•5_ _ ~~~.. - -- L [iA H ~~ Y BEDROOMS - _ ?..~~. - '•~ °p ~ l - ~ L_- q 6>;DROOM ~, J 9 L _ 5 ~~ - 1 -- ,1 (f - ,l i-gyn. r~ ~•r ~ _ . I(!TClICN BRE4KFAST • FAMILY ROOM DINING ROOM ~ .- - --- ~~ Ipl MASTER LIVING ROOM I --- HEDHOOM MA5TCR L_W~ - HATH nPt ~a-~ ` anon ~ UTILlT1' ~ i - I ~ ~Rr ~,Nt~ KITCHEN 9FIEAFCFAST ~_ -• ~. _- - ~ ~ STAIRWELL ~r - - ~. LIVING ROOM I MagTER 1 eEDROOM OPTIONAL STAIRWELL ~ _) --•, -- ,/ MASER BATH hPr ~m~ ~„~ r - ` ~~ LN OPTIONAL MASTER BATH 22 . ~ U 2189P 239 STATE BAR OF WISCONSIN FORM 1 - 1998 WARRANTY DEED Document Number This Deed, made between Bernice J. Jensen, married as her to ividual property, Grantor, and Kerry K. Wittmer and Jaime L. Wittmer, husband and wife, as survivorship marital property, Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property"): A parcel of land located in part of the Northwest Quarter of the Northwest Quarter of Section 23, Township 28 North, Range I S West, Town of Cady, St Croix County, Wisconsin; described as follows: ~of Certified Survey Map, recorded February 26, 2003 in Vol. 17, Page 4471 as Doc. No. 71 1283. 715312 KATHLEEN H. wALSH REGISTER OF DEEDS sT. cROIx co. , wI RECEIVED FOR RECORD 03/31/2003 12:10PM WARRANTY DEED EXEMPT # REC FEE: T1.00 TRANS FEE: 15.00 COPY FEE: CC FEE: PAGES: 1 Name and Return Address James H. Knave Attorney at Law P.O. Box 304 Glenwood City, WI 540 1 3-03 04 404-1053-70-000 Parcel Identification Number (PIN) This i s homestead property. (is) (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements and encumbrances of record. Dated this ad~~-/~. day of March Signature(s) AUTHENTICATION authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stats.) THIS fNSTRUMENT WAS DRAFTED BY James H. Knave, Attorney at Law ---- -- lenwood City, Wisconsin 54013-0304 (Signatures may he authenticated or acknowledged. Boih are not necessary.) 2003 ~~ 1 ~ : Bernice J. Jensen ACKNOWLEDGMENT STATE OF WISCONSiN ~ ,~ ) ss. Y . P.C'~'C- - _ County. ) Personally came before me this ab' ,L day of March 2003 the above named Bernice J. Jensen to me known to be the person(s) instl~rrttent and a~cknowledee thlYls: Notary Public, State of Wisconsin My Commission is permanent. (If 'L rr Y~a 7~ ., . ~ ~, ,~~., s~vn~d ~ftie~ ~gf~Oj;,ou~g .L J .'~? n: •,. 4. 't4.~ 'Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1 - 199E INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WIBOO-655-2021 7 1 1 2 8 3 BEARINGS ARE REFERENCED TO THE „,: ~ WEST LINE OF THE NW1/4 OF SECTION ~ ` ~ ' ' 23, ASSUMED TO BEAR S00°08'45"E. UNPLATTED LANDS OWNED BY OTHERS ---------------------------------------------------------------------- m ~~ o ~ w Z -- - m ~ S00°08'45"E •- - '~ - 2235.35' ,~ '0 v Z N 0 --~ Z ~m m v ~ ~ o ~ _ ~~ m ;~ m -~ ~ m ~ ~ 0 0 \/ r m o~Z m J 0 ~ II ..L °o_ N O ~ O O • m o g _., X ~ ~, r Z r w r m ~ o °' O z ~ ~ ~~ m cn ~ z ~ z Z cn ~- v z m m v m N ~ T O O ~ ~ c o z r z $ m ~~ 0 m = z THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB NO.02-88 DATE: 12-20-02 Vo1.17 Page 4471 ~ Q ~ ~ 31 O`TH 37'REE6' VOL 17 PAGE 4471 KATHC~EiI H. REGISTER OF DEEDS ST. CROIX CO. , NI RECEIVED FOR RECORD 02/26/2003 10:00AM REC FEE: 13.00 COPY FEE: 3.00 PAGES: 2 im ~n~ log w r^ N Z ~ -_ SOO°08'45"E 416.1 T W ,1 _ - _ - N O ~ WEST LINE OF THE NW1/4 ~ Z S00°08'45"E 384.53' ~ ~ ~ m ~v 6' I ~ Z ~ ~x D -~ ~ m ................................................................... ~ ~ I I m ~ ~ ~ O 37 31 ~ v ~° Z I ~~ Z O -+ ~ I OD ; ~ O Z1 ~ - m ~ ° -~ o w ~Wp n= ~ o ~ co I iQ' ~ m A U1 ~ m - W O z ~ ~~'~ ~ Z a -+N 10 ~ I ' 'Z ~ ~ O ~~ vD ~- w _~ ~ ~m om O ~ ° ~ ~~i0 N~ Q~ °~ ~ ~I Z o I '~; n0 ~. ~ ~ C cn ~ ~ o W Z' Z ~ -I -~ ~ I T I ;cam __ ~ -' Z m O X m ~ ~ "~~ ~ Z ~A ~ ~ ' O C ..a Z 33' 33' ' _ ~ .m O ~~ m 404.26' 33.00' I ~ N = (n NOO°08'45"W 437.26' . (Nj n -~ UNPLATTED LANDS OWNED BY PLATTER Z O ----------------------------------=--------------------------------- fA Z N ~ Z W ~ ~ m? ~ A On Z p N ~ w Z m p~°p0 N 'n"m ~ ~O~n ~ ~m'< m ~ g ~ '0 ~Ao~ ~ ~v ~~ ~~~ ~ o ~o~ O ~~m m W ~T "!7 ~ ~ v ~{/ ~ ~ 0 Z ~~~~ ~(j'~m z~~ Z L ~' ~ m ~'~m ~ z N V