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004-1055-70-050
St ~'~oix ~`ounty Plan ring and Zoning ~ Tuesrfay~, Jarruary~ 20, 2009 at 11:02:1; .A,A! Detail Sanitary Infor~nat~ion Page 1 of 1 Computer #: 004-1055-70-050 SublPlat: 40 acres Section: 24 Parcel #: 24.28.15.377A Lot: TN/RNG: T28N R15W Municipality: Cady, Town of CSM: 114 1/4: SW 1/4 NW 1/4 Owner: Flanders, Nate 265 320th Street Wilson, WI 54027 State Permit: Issued: 04/27/2005 POWTS Dispersal: Mound less than 24" suitable s Permit: Reconnection County Permit: 85 Installed: 05/06/2005 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Issuerilnspector As Built Plumber Other Requirements Additional Notes Money Owed Not determined NA Timm, Roger This is a Private Interceptor Main to connect a $0.00 Ryan Yarrington _ `: Yes temporary residence for parents (mobile home) to the existing mound system. Owner recording an occupancy affidavit to disclose system sizing and max. occupants = 6 persons. Adding a 1000 gal. Wieser tank with filter upstream of connection; can be used later for accessory building bathroom if they want. Provided plumber certification statement of existing tank condition and last pumping date received copy of recorded Occupancy Affidavit - 4/28/05 ~~~~e~',:'-1 Pump Date Pumned 5/6/2008 10/1 /2004 5/6/2008 6/17/2008 6/17/2011 Owner: Flanders, Nate 265 320th Street Wilson , WI 54027 State Permit: 395277 Issued: 09/12/2001 POWTS Dispersal: Mound Permit: New County Permit: 0 Installed: 10/18/2001 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Pdcst~s Issuerrlnspectar As Built Plumber Other Requirements Additional Notes Manev Owed Not determined >4/1/00 -Not Required Fisher, Tom these people also own the SE of the NW 40 acres, $0.00 Kevin Grabau Signed f~ff: Yes with total 60 acre parcel in Sec. 24 23.66 Acres on this parcel St. Croix County Planning and Zonin Detail Sanitary Information Wednesday, March 09, 2005 at 2:30:45 PM Page 1 of I Computer #: 004-1055-70-050 Sub/Plat: NA Section: 24 Parcel #: 24.28.15.377A Lot: NA TN/RNG: T28N R15W Municipality: Cady, Town of CSM: 1/4 1/4: SW 1/4 NW 1/4 Owner: Flanders, Nate 265 320th Street Elmwood, WI 54740 State Permit: 395277 Issued: 09/12/2001 POWTS Dispersal: Mound Permit: New County Permit: 0 Installed: 10/18/2001 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Inspector As Built Plumber Other Requirements Kevin Grabau >4/1/00 -Not Required Fisher, Tom Signed Off: Yes Additional Notes Monev Owed these people also own the SE of the NW 40 acres, $0.00 with total 60 acre parcel in Sec. 24 Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 10/18/2004 ~r,,, A ~~ ,, / ..~._..._~."_`- `~lJ`-V`_. ' lam/ ~.~_._...e..__..w...m. j ~ irk t1~ s ~- ... __~__v~~._~_..._..~.w~__e_.. ~ .....~_,.~~.~_,_......-o._ pi L _~°~i i ~-- - Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m) permit Holder's Name: City Village X Township Flanders, Nate Cad ,Town of SST BM Elev: Insp. BM Elev: BM Description: /~ !~ Qol~o~ dF 'jf~~ SANK INFORMATION ELEVATION D TA TYPE MANUFACTURER CAPACITY Septic ~~~L _ Vim` 1~5 `fib ~~ a ( f v ~ (z ~' tl~-~. Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic G, r / J~f ~~ / Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH ift Friction Loss System TDH Ft Forcem ' Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permii No: 395277 0 State Plan ID No: Parcel Tax No: 004-1055-70-050 Section/Town/Range/Map No: 24.28.15.377A STATION BS HI FS ELEV. B(e~nchmark r~ ! nn 47D ~ bF S~ ~C i f A I ' D~ n G I0 ~ ` 6$ Alt. BM Bldg. Sewer 7.9 Z q3 , /b St/Ht Inlet ~ . ot~ ~t 3 • o SUHt Outlet ~ , Z~ Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade over st C 3 • ~ ~,~- g • bg t, ~ 1 -1-~ ~ a. ~ tp ~1d ~ z BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO G ELL AKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of Syste J UNIT Model Number: DISTRIBUTION SYSTEM HeaderlManifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ~] Yes ~ No ~ Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Location: 265 320th Street Wilson, WI 540~27'(SW 1/4 W 1/4 24 T2r8N R15W) 40 acres Lot 1.) Alt BM Description = / -"""r'nT ~~/w~-~ - G,, 2.) Bldg sewer length = ZZ Q~d~'p~,~p,~ ~,~~6 ~ f"~ ~ ~6 -amount of cover = ~ / 3.) Contour = 5 Plan revision Required? ^ Yes +~ "'o G) ( _ Use other side for additional information. W Date Insepctor's SBD-6710 (R.3/97) Inspection #2: / /, Parcel No: 24.28.15.377A `~ • ~~" -r- - ~i Cert. No. ;~ ~~~ 3 P ~ 8-~ St. Croix County Occupancy Affidavit - J ' a' ~ h 0. /1 ~ F'~'Cl~l~ e.~' .S Name - (Owner) Typed or printed being duty sworn ,states, under oath, that: 1. ~e is the~patt owner of die following parcel of sand located in St. Croix only, Wisconsu:, recorded in Volume fit: ~6 Page ~_ Docwnent Number4s33 St. Croix County Register of Deeds Office: A parcel of land located ;o tlieSw % of the Ni/% of Section ~5/ , T~ N - R ~ S W, Town of ~ ~ St. Croix County, Wisconsin, being duly described as fol owe (include lot no. and subdivision/CSM or detailed legal description): GXC'~~t P~ I 'f o c S iv? , 5~~ 13 7 793334 xATHLEEiI H. MALSH REGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR RECORD 04/28/208.5 08:00AM AFFIDAVIT EXEIpT b REC FEE: 11.00 TRAITS FEE: COPY FEE: CC FEE: PAGES: 1 Na~~Rn F/R~•fc r/ a ~ s 3.2 • 1't w'•/don r./'i SYea~! Q05r- /D SS ' 70 - OSo As owner of the above described property, l acknowledge that the septic system serving this resklence is sized for a 3 bedroom home, or a design flow of gpd. The design flow is calculated by assuming 150 gpd for 2 individuals per bedroom. Theme are currently_,+~, oxuparlts livkig M this residertoe; ~ oocuparlts are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However. I understand that if there are intentions to exceed the number of permitted oocuPattts, the system witl need to be modified to acoomodate any increased wastewater flows andJor contaminant bads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. Datedllds ao daY~~r, ~ aoos /ya~e 3 F~wncPerl Alli1HENTICATION Signature(s) awflbnitcated this day of +k 14CKNOWLEDGMENT STATE OF WISCONSIN ) 3~• ~ county. ) Personally came before me this day of the above named TITLE: MEMBER STATE BAR OF WISCONSIN pt not, aun,orized by § ~os.os, wis. slats.) Tttls trtsrRUM~ wAS ow~TEO sr (Signatures may be ewU:ardicated or adknowlodged. Both are not tome known to be the persw:(s) who executed the foregoing instrument and acknowledge >t,e same. Notary Public. State of kcensln My commission is permanent. Knot. state expk~ation oats: nekxssaky.) gate: 'TH18 PAAd3E IS PART OF THIS LEGAL DOCUMENT - 00 NOT REMOVE" 71':fs trtlformaNon rrxrst bs oorr~leted by subrditer. name ~ rerirrn ad?ress. and L'fOl N . Other trNbnnWort such as the prswiElrp aws.s, teagaf das«(ptlon. etc. maybe placed on tthla sprat paps of the doourrratt oraray b. ptaoad on.ddylorafwSes artbe docurNnt. l1~, Use d tNs ooMSr papa adds one pope to ywrr doouererk and ,~ 00 to the eeonrdlrw Ilse. 1NboonsMi StatuMs, Sp.til7. St. Croix County Planning and Zonin Wednesday, April 27, 2005 at 10:57:41 AM Detail Sanitary Information Page 1 of l Computer #: 004-1055-70-050 Sub/Plat: 40 acres Section: 24 Parcel #: 24.28.15.377A Lot: TN/RNG: T28N R15W Municipality: Cady, Town of CSM: 1l4 1/4: SW 1/4 NW 1/4 Owner: Flanders, Nate 265 320th Street Wilson, WI 54027 State Permit: Issued: 04/27/2005 POWTS Dispersal: Mound less than 24" suitable s Permit: Reconnection County Permit: 85 Installed: POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Inspector As Built Plumber Other Requirements Additional Notes Money Owed Pam Quinn NA Timm, Roger This is a Private Interceptor Main to connect a $0.00 Signed Off: No temporary residence for parents (mobile home) to the existing mound system. Owner recording an occupancy affidavit to disclose system sizing and max. occupants = 6 persons. Adding a 1000 gal. Wieser tank with filter upstream of connection; can be used later for accessory building bathroom if they want. Owner: Flanders, Nate 265 320th Street Wilson, WI 54027 State Permit: 395277 Issued: 09/12/2001 POWTS Dispersal: Mound County Permit: 0 Installed: 10/18/2001 POWTS Detail: NA POWTS Pretreatment: NA Permit: New Bedrooms: 3 WI Fund: Notes Inspector As Built Plumber Other Requirements Additional Notes Money Owed Kevin Grabau >4/1/00 -Not Required Fisher, Tom these people also own the SE of the NW 40 acres, $0.00 Signed Off: Yes with total 60 acre parcel in Sec. 24 23.66 Acres on this parcel Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 10/18/2004 10/1 /2004 10/1 /2007 , ~" %~\ /~a County San to ® sT. cROa COUNTY wlscoNSIN M acoad rNIFt 15.1)4 St. Croix ZONING OFFICE Personal intormation you provide may be for secondary purposes ST. CROIX COUNTY GOVERNMENT CENTER ~ [Privacy l.aw. S. 15. 1xm)] 2 5 Z~~~ p,PR 1101 Carmichael Road Hudson, Vvl 54016-n1o (715)386.4680 Fax 15 Attach complete plans for the s em pa x 11 sin size. County Sanitary Permit # ^ Check it vision t~ rcatron tcation Information -Please Print all Information Location: - ~ Owner Name ~~~~ 2 ~ / ~ /4, Sec !Z ~ Il~d~ e . (.C~-~rl~ T Z N, ,S R E W Owners Mailing Address Lot Number Bkmdc Number City, S tat e Zp Code Phone Numer Sutxf visi Name or CSM Number ~~ yy it Ty f Building: (check one) ~ ~rS ~~~ 1 a 2 FamUy Dwelling - No. of Bedrooms: ley ^ Village Town of ^ PubTkJConxrmerdal (desaibe use): O State•owned Nearest 3iZb to S~ U. Typs of Petmtt: (Check only one box on Gne A. Check box on line B if applicable) Parcel Tax Number(s) 1.^ Repair 2. Reconnection 3.^Non-plumbing . ^ Rejuvenation ~ ~ ~ ~~~ ~~ ~ 6~ d /Z?./~,(/jLa/ Permit Numbed B) 3 ~ S ~ ~ Date Iss a C ~ ' State Sanitary Permit was previously, issued or. f ~ m t tV. Type of POWT System: (Check all that apply) ^ Norm-pressurized In-ground ~j, Mound ^ Sand Filter ^ Constructed Wetland ~ ' ^ Pressurized In~ground / ^ Holding Tank ^ Single Pass ^ Drip t.kme ~ At-grade ^ Ae 'c Treatment Unit ^ Recirculating ^ Otlier . OlspersaUTreatment Area Information: 1. Design Flow (gpd) 2.Oispersal Atea 3. Dispersal Area 4. Soil Application Rate 5. Percdation Rate 6. System Elevation 7. Final Gmade ~~ (~~/ Required ~ ~~~ posed Pro{ (GalsJday/sq.ft.) ~ (Min~r>clm) ~1 / ~~~ Elevation ~ // 4 G/ , t ` / `g .Tank Information Capaicty in Galkxu Total # of Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons Tanks Concrete strutted glass Tanks Tanks / / r ^ ^ ^ ^ ^ ^ ^ .Responsibility State /(/~~ G L~ ~ ~,a,-,~ ~ i . 1 '~'h I~' lOt ~ •-~ ~~.~ I, the undersigned, assu mr ne shown on the attached plans. A is not required for tetralift repair or the installation of non-plumbing sanitation system. s Name ( rpm' t) ~ ~ Plu s Signature (no stamps): A MP/MPRS Business Phone Number / ~,,~, g Zy 2` - 7?z- ~Z~ s ress (Street, City, State, Zmp ) Flo z ' / 2 ~ a~~--~ {~ Z e ~ - . 1 saw p. Coun Use Onl Disapproved APProv Owner Given Initi ~I Adverse ~ Sanitary Permit Fee ~ ~ ate Issued ~ suing gent Signat No stamps) ` ~ / ~~ ' / °~ ~ Q ~ ~~~~ DetenninaUon / IX. Conditions of ApprovaUReason(s,,for Oisapprov I: ~Q~ /'1/I,t,I,Q~O' UK~ ~ ~Li't~i~i.~ f~~' lJ l ~G2.~~ ~ ~ ~ ~'Yl~~ G(J7l . ,. l J Q ~J IJTS A C/~ ~~~ Q~,,~, L ~ ~j1 IY~I~~/~n~ ~ ~/~ _- __, f~ 1. ~""' , "~ r 1r~C~Ev'c.r uu-. ~ST"1'~^ ~~ J ^, (O <.. !J ~~ ~ ,~?.B~im ~ /z~U~ ' `n~ ~c1~°~:u~~/G~N~vilzL~L~m (~'mn' a ~ Z~ f E Private Interceptor Main Sewers 1 July 1, 2002, Comm- Table 82.20-2 1 4 inch diameter private interceptor main sewers no longer require department review 1 Counties should review designs 1 Code change pending regarding department reviews for 2 buildings served by one POVV"fS 1 Defined: Means a privately owned sewer serving 2 or more buildings and not ~~ directly controlled by a public authority Private Interceptor Main Sewers Comm 82.30 (12) ~ ~ ~ ~ x.~~w x~. I Setbacks, pitch, ® = cleanout installation same as ~s = a°~ Pvc for building sewers Building Comm 82.30(11)(c), Sewer {d), and (e) I Frost protection same as for building Private Directional Fitting sealers Interceptor Frost Sleeve Main Sewer CO in Direction ~` ~ Holding of Flow Tank ~_ Access Road I the mo pstream_ point of the PIMS See Comm 82.35 Cleanouts <- 100 ft apart. Cleanouts require a frost sleeve ~ a~-- !b c~.a~ t~/r~ ,~- ~ yS-~-~ roe /U(t-d'B ~~n aL~ r~4 TIMM EXCAVATING Route 1 BOX 192 SHEET No. ~ OF WILSON, WISCONSIN 54027 CAICUTATED BY ~~'''' "^ DATE ~' Z Z -O 5 (715) 772-3214 (715) 386-5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE PRODUCT 20S1~Inc., Groton, Mesa 01471. To ONer PHONE TOIL FREE 1-BOP225d38p JOB /UG~J'B J (,~/-,~'IQYYs TIMM EXCAVATING $IiEET NO. / OF J Route 1 Box 192 WILSON, WISCONSIN 54027 CALCULATED BY ~ f ~` ~"^ DATE ! ` Z Z '13 S (715) 772-3214 (715) 386.5443 MPRS #3224 WI MPCA #696 MN CHECKED BY DATE SCALE ............ "IF/.~t .... ..a ... .. .. ..... .. .. .. "'_il _...... , _ .....X./ L_..l.._.... /: /_. ~.......J...... PRODUCT 205-1®Inc., Groton, Mass.01471. To Or0er PHONE TOLL FAEE 1-800.225.6380 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is t~ertify that I~ e inspected the septic tank presently serving the residence located at: i % '/4, ~1 _ 1/4, Section ?- ~( , Town~N, Range1~W, Town of St. Croix County Wisconsin. Upon inspection, I rtify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of service Q~ o `~ Did flow back occur from absorption system? Yes No (if no, skip next line.) Approximate volume or length of time: gallons minutes Capacity: o~ ~ o Construction: efab Concrete x Steel Other Manufacturer (if known): c,~9~e ~. (~ Age of Tank (if known): ~ d / (~ / GAS r~ .~-~ (Lic sed Plumber Signature) (Print ame). (Title) a s ~ ~ a-~ (License Number) MP/MFRS ~~ Z2-~~ (Date) Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) ST. CROIX COUNTY No.ST~- o o g ~. SANITARYPERMIT ~S OWNER GL.4n/vE2.f PLUMBER ~OG~~ //~1'j/~') LIC. # ZZG ~tI TOWN OF C/'f1~~I LOCATED ~/Z I~+~ ~~I SEC Z y T Z ~ N;R ~S AND/OR LOT ~/ti'~`~BLOCK suBDIVISION REPAIR RECONNECTION NON-PLUMBING ^ SANITATION REJUVENATION ^ 3~o yG~ ST', purpose of the sanitary permit is to allow repair, reconnec n, or installation of non-plumbing sanitation as described in for permit. The approval of the santiary permit is based on regulations in force on date of issue. The sanitary permit is valid for 2 years from original date of issuance a i be renewed for similar periods thereafter. Application for renewal shall ie through the county and shall comply with regulations in effect at the tii Changed regulations will not impair the validity of a sanitary permit until time of renewal. Renewal of the sanftary permit wits be based on regulations in force at time renewal is sought. Changed regulations may impede renewal. The sanitary permit is transferable. A sanitary permit transfer shall be pined from the St. Croix County Zoning Department. If you wish to renew the permit, or transfer ownership of the permit, rse contact the St. Croix County Zoning Department. AUTHORIZED ISSUING OFFICER -DATE ~ ~ 7 OJ THIS PERMIT EXPIRES UNLESS RENEWED BEFORE THAT DATE TWO YEARS F OM ORIG AL DATE OF ISSUANCE VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION 5t. Croix County Zoning Thursday, November 18, 2004 at 9:44:SSAM Detail Sanitary Information Page 1 of I Computer #: 004-1055-70-050 Sub/Plat: NA Section: 24 Parcel #: 24.28.15.377A Lot: NA CSM T hi C d TN/RNG: 1/4 1/4: T28N R15W W 1/2 NW1/4 U ~ ' ~" ~ ~ ~ / ~ Z Municipality: : owns p a y , ~ Owner: Flanders, Nate 265 320th Street Elmwood, WI 54740 State Permit: 395277 Issued: 09/12/2001 POWTS Dispersal: Mound Permit: New County Permit: Installed: 10/18/2001 POWTS Detail: Mound Bedrooms: 3 WI Fund: POWTS Pretreatment: Unknown Notes Inspector As Built Plumber Other Requirements Additional Notes Money Owed ! Kevin Grabau >4/1/00 -Not Required Fisher, Tom ~~ $0.00 ~~-~~ ~ Signed Off: Yes /rl, Maintenance ~~ s ~ 2 2`y ~O ~ ~(Y Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 10/18/2004 Parcel #: 004-1055-80-050 11/18/2004 09:46 AM PAGE 1 OF 1 Alt. Parcel #: 24.28.15.378A 004 -TOWN OF CADY Current ~X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): * =Current Owner * FLANDERS, NATHAN J & LAURA J NATHAN J & LAURA J FLANDERS 265 320TH ST WILSON WI 54027 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 36.330 Plat: N/A-NOT AVAILABLE SEC 24 T28N R15W PT SE NW FKA Block/Condo Bldg: 004-1055-80 (378) EXC PT TO CSM 15/4137 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-28N-15W SE NW Notes: Parcel History: Date Doc # Vol/Page Type 10/22/2001 659743 1743/45 EZ-U 08/08/2001 653311 1696/75 W D 07/23/1997 972/534 07/23/1997 479/639 9nnd CI IMMARV Bill #: Fair Market Value: Assessed with: Valuations: Description Class AGRICULTURAL G4 PRODUCTIVE FORST LANC G6 Use Value Assessment Last Changed: 04/11/2003 Acres Land Improve Total State Reason 1.330 100 0 100 NO 35.000 24,500 0 24,500 NO Totals for 2004: General Property 36.330 24,600 0 24,600 Woodland 0.000 0 0 Totals for 2003: General Property 36.330 24,600 0 24,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 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 ,~ CADY PLAT i ~~ T-28-N • R-15-W ~ (Landowners) Soe Page I1Z For AAditloual Names. SPRINGFIELD PAGE 42 QQ 2700 2800 2900 60th AVE 3000 3100 3200 3-3p-p} 3S r~ coda $ n s ~ Clifford & ~ Evd7u )od r ~ A ~ Mark I ~ I.m ~ ~ y so~:13 3s ~d 11^r- 'a Norma q i ]Yost 5 ihrke N ~uB$ne L OMeara 80' Mueller 84 I~nard .~ ~a g ~ Huold o.S '~ 7'nist ~~F~° e`D ~ Schoch ~ g a0o $ ~~ g N ~ w 6d ww 6 lar 20 ~ tV 0 > X ~ AVE B m ~ ~ ( ~ g 140 ~ I x » DaxaWk 5 AVE E~.ye~n~udr aar.a maser l~l ~' Ma~ak f9Wah1 70 Walleaaerd 82 ~~Q b6vd ,f I1~2 700 ~ ~ 150 ~ til 194 ~~ O 53rd VE a»I m~ ~~~' E tlf • ~ Belle a CSffad & Ibenver 94 a+.+r aurfaa oar ata~ ~Q{ ~1° „ ~FV 60 33 3; ea~4 33 U~md 65 X32 ~3z s0 O>7~ ~ 88 rya.. 24 °jMo Fa G~k 3s „ w, a reesaoxa 1 '" CBffOrd N ~ IYa1 a 50th 1W F a V a~Galea~a ~ Wamoe Danny Terry ~ Lundy 120 s ~ ~~ FUUSA 72 Shawna e P rs x s~io ~ 80 GOB 80 e a ~ggi ~ ~ ~ iru~n ~7d a ~ CaOahan z l- ~~ art' J ~~~ xar a~ RonaldA z d$~a ~d 120 160 Sb~ocl®an ~ 40 9 ~ 107 ej°n t °~~IIe78 ~ 40 45th VeErre~r ~ ~~ ~~ °~ F Matt' caaxf ]oMn t ~ D~ c Bta~dt FamllY A~ ~ ao u'°' a raca~» I lYapp at`0aw m u~ ohnson Daniel & Kim Fad ~n Heater ~.wY =0 I 133 lax. at 40 w Ofstle 80 153 20 w 120 128 & Diane l Ronald ~7 a~. ~ Bee WBBam Lane r ~ ~ Ted & Jae Ride a caf A Pegs A ulie reaarl Atzderson O 120 40th VE 105 _40 °ivp a _ 79 383 W s 1 110 39 Fi~~ 79 Backus 70 » _ ±o Host 40 _ _801 } e"+ Leon ~ axaara _ Dorle_ -~ - _ ` _ - ~ ~~ 3 ~ ~~ ~' ~ 3 ~ ~ » a » ~ ~ alcLatd 1 u ~ retcson ~„~n ~- »oiem. ~ a ~ xeentra a Ilxda SO a w IYmt 120 N ~, °~° 77 snm rwdoa 4t tl w MorrWx I Mirbad EkR ~°• aeme '~, AOm 1 N 1 _ y~ { is BR ~ p~y~ ^ ` ~PPerrd 115 yes Wheeler 39 s..+. r $ a SB g~1 w see 7191 l aat»e ~ Gd t R 9 )Beer Fa Inc O p fa~~ ~ N ~ ~ O a° s oKa i ao I ~ Daee. Jpax r aeda.~ ~ ~ Uianne« ~ 1 .~i .X ~ ~ or. oim. aFae an H a..r W ` 120 Ate- ua tola®~ yg ~r$ J°h°s°n 119 8~ ~ 90 r " ~Sf~ ~f ~ap. s~ aa.w aw~.e aaawa Faroe A ~$y~ b~a.vea tn'° 4 O ~ ,,pq^~~aigy~~ Wiand ~ g 9 ~3, ~, ~ ~ ~ ~U ~ 5 ~ ~t ~+ 4 t~ woo too DtFiteon ~ '~~ 3 tl6 _ 80 _ ao ~_ w x u 238 ~+~+ 7S N 80 y alp U' > PZ 4S rn b~ B~jp ~ w ~ t K $ ao~ wto O n ~~ ,a _ - "~" Olson 20 Robert ^ e~ I ~ e ^ 30t AVE Z $ a a.~Fela O ~ ~~ s~ a 7th AVEO1La~~~a ~ $n ~~F Walter R ~ ~~ ~ ~ M 80 sv~a~xt eo '0° ~ Qg ~ ~~ ~ t aera.l - ~ uP~ ~ LEA p GabddBc ohne (Dean Delmudc rweasr. ~T: ~~S id Timm Mukae «~~ 1 40 70 NN ~ io 25t AVE 0 1 ~ Romo~ 78 119 x 78 80 xoeaorE~ M ~~ a ~~ telm 4 LAM R ~ ° F- Norm A a ~ 7aB 22 ~~ a m Gerald d: ~~j,~~ ~° ~ y Olson ti y Harlem otm aa,y~ VicNe Scoff $ 80 ~ w /t e0 w lYuadeB 80 220 eaeaeejs Iamb ro sosv & Clam a 75 5 ~~ FLampton Bernard Lyylle Brian GnBor- flfl A Barbara ]cost g Rita Christop- d[ Kay & Laura y ~ Timm BDmni3 Q 170 _ _ _ .SO ~~°A - 190 b~mn 79 Wang 80 53 SO Bum 80 ~so _ _ _ _80 80 ~m ~ 26 ~ TaA 23 20t AVE Ann a orvine ~ 4 Floae d[ Velh aNble riaYtt Ion No A ~ s Jawbs ~ Allan R ` s~ Larson Mary Ha~mPton 40 Trust 138 Tamers ~ ~ rFmoO m ~` X37 80 Harold e a Robert Thomas Faber staeJeF ~ w••• ~ Alan d< FT9e g Jo- Moldrnhauer eat ~ W " ,~ ~OdY~ 1 112 208 89 Flo 78 208 Timm ~ w 40 ao ao Bareness 80 )amea _ w Fa ere o Thomas g ~ Jr ~s Tn~ist m `"~ I~atso~n Raasch Lee a mvea ^ u ^ Dss ao tl '° ~ ~ ~_ J~th 40 i 0 ara6- 4 97 36 38 Aces ao 40 'gA Jt ,~j~4 ~n ~~~ I ~C'~ a ama Gorden -Inc ~ I ; ~ [9]t5~ '~ V S Timm a g 1 U6rkMro Truce 40 120 m`r 10 66 I 110 39 38 ~ 39 ~ Thma 53 00 t 70 3 ~r~2 PRI G LL ~,oth ~ ~ ~f s ~, ~ gH~ a ~a: C .. t°.a. ^.~ B: Carla 1 40 7s ~chard~.... ir'~~ ~p~ i ~ ~ 3b Fs N ft ~ ~ Grdb~ "~ ~ ~ ~ I ~ 1! s p l ~ ~ 43 Z O ~o~''N , Z ~ T. / y ~ 1 30 i 28 7 LAKE ' ro Eva ~ 33 a ~~ m GEORGE °i $ ~ Amundson 1 29 grad Hughes a Lee Acres 8 a'~x 160 ' 9_N t 77 a Inc _ _ _ P1Exf'T r•n_ F ~~ ~~ Fronds s ~ Richard 4 .. ~ ~~ 77 i~ 229 Weser PP ~~~ 'a~.Y s3Zlxr~max ' 80 o,.w $ S hen 160 80 ~~~ Sew` o` ~~ w 87 a ~ 3 RD PIERCElST CROIX RD 114 [~ P~ 1 ~e Qn ~i~ FACTORY & SHOPPE, INC. "SPECIALISTS /N FLAVORED NATURAL CHEESES" Over 90 Varieties of Cheese GIFT ITEMS -COOKWARE CHEESE GIFT BOXES BUY DIRECTLY FROM OUR FACTORY Cheese Mailed Anywhere, Anyt/me UPS SERVICE WEEKDAYS (715) 772-4218 Fax: (715) 772-4224 OPEN 9-5 EVERY DAY 126 Highway 128 Wilson, Wisconsin 54027 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM safety and Building Dj~vision INSPECTION REPORT GENERAL 4NFORMATION (ATTACH TO PERMIT) Personal infckmation you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Flanders, Nate Cad Townshi ;S7 BM Elev: Insp. BM Elev: BM Description: ~ -fit fro . O 3~~ ~. ~ ~ ~ C s'j- ~ '^^-'~" TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ ~ I u'e~o ~i Dosing ~ Lt. Aeration Holding -- TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic r ~ 1 ~ ~ I ~ t 1Q Dosing vt I I h Q Ot Aeration Holding -~ ' O ~b' i PUMP/SIPHON INFORMATION ~-I,~ 2~ p•y~ Manufacturer ~ Gx~n,~a~ ~' Dema X GP Model Number ~ P 3 3 ~~~ TDH Lift .O Friction Losbq System Head TDH Ft Forcemain 3 3~ h Dia. I t Dist. to Well SOIL ABSORPTION SYSTEM Width Length No.O(Tr~ep~s rucuernuc r .~ r ( // l / / ~ ELEVAIIVN UAIA County: St. CrOIX Sanitary Permit No: 395277 State Plan ID N~~o~~:`` /~~ } isTT Parcel Tax No: 004-1055-70-050 STATION BS HI FS ELEV. Benchm tc.-t ~-tr(~ ~~ ~ ~a2,3o ~v0•D / Alt. BM 2 ~~ T ~ c~a.~r t Bldg. Sewer © ~ r 9g.2s StiHt Inlet ~ ~ , q(o-t~ St/Ht Outlet Dt Inlet Dt t3eitca~P~ `l. ~ 6 `13• IZ/ Header/Man. Off. Zr Dist. Pipe , 0' I~ / Bot. System ~, a p , r~ ~~ Final Grade ~et. #~ 5 St Cover t fu~- . 3~ le Dia. SETBACK SYSTEM TO P/L`~ BLDG WELL LAKE/STREAM LEACHING n feCfurer: INFORMATION Type Of System: ~ CHAMBER OR _-~ ~ (~ ( g$ / /~ ~ ~^ UNIT Mode tuber. A A.,.... DISTRIBUTION SYSTEM Header/Manifold rr ur h 2- Distribution / / Pipe(s) ~ ~ J,<~ ~ ~ ' O ~ r S L ~""r Di i x Hole Size tt ) g x Hole Spacing rf 2 `~ Vent to Air Intake _--~^ Lengt Dia ength a pac ng 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 BedlTrench Center Bedffrench Edges Topsoil ~ Yes [] No ~ Yes ~ No COMMENTS: (Include code dis''cgqrepe~nc~ieYs~persons present, etc.) Inspection #1:~0 / 8 / O Inspection ~ 1 ~ / I} / ~ I Location: 265 320th Street ImvVdS~Jr, Wf 54740 (W 1/2 NW1/4 24 T28N R15W) NA Lot NA l_.~~ Parcel No': 2C 4~81~7A (,_j t /~ 1.) Alt BM Description = -~~rr ~ ~~t.5o+.~~- (~ro~~O _ (a ~~o.~ d't~.t~ a 2.) Bldg sewer length = .. I may` (J ~\ ~ s. w ~~.- ~ u* ~Z. -1- os ~ ~41~..InR!'. -amount of cover = y " .~. r r J 3. Contour ,OC~3.30 .~' ~= fog 3a / P n~i~ro~sten Required? ^ Yes No O, < ~ Z Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3i97) Sanitary Permit .~pplic.,ation Safety & Buildings Division In accord with Comm 83.21. V1'is. Adm. Code 201 W. Washington Ave. PO Box 7302 iseonsin See reverse side for instructions for completing this application WI 53707-7302 Madison Department of Commerce personal information you provide ma}• be used for secondan purposes [Privacy Law, s. 15.04(1)(m)] . (Submit completed form to county if nog state owned. ) Attach com lete Tans (to the county co ~ only) for the s •stem. a r, otf'le n 8-1/2 x 1 1 inches in size. County ~ /~,01 State Sanitary Pe t~Nu~ r ^ Check if rev s-appliCat~o _l State Plan 1. ~Num I. A lication Information -Please Print all Info rmation L ation: Property Owner Name ,w~ rty Loc on ati /~ ~ /' f ~ y ` ~ /~ ~I/4, S G ~7T o Property Owner's Mailing Address €~'"j ST (il~X ~,~ tuber Block Number ~3 Za tti ~ ~ /~537,r /7o~h ~f Y N. City, State Zip Code Phone tr~b 2 ; ~~ division Name or CSM Number iyj (~ ra f~ S' `T ~ ~I ~'ype of Building: (check one) J,~ 'T ,~ 1 or 2 Family Dwelling - No of Bedrooms:~ ^ City ^ Village . _ '1It1'T'own of 0 Public(Commercial {describe use): . / O State-owned dt III Type of.Permit: (Check only one box on line A. Check box or. lire 13 if applicable) Nearest2o~ A) I. ~'l~Iew System 2. ^ Replacement 3. ^ Replacement of 4. ^ Addition to Parce Tax Number(s) ~ ~~ S stem Tank Only Existin S stem t7 ~ y~ v~ ' ~d "' J B) Permit Number Date Issuped ~s ~ ~ 77~ ^ A Sanit Permit was reviousl issued . F t) . IV. Type of POWT System: (Check all that apply) ^ Non-pressurized In-ground j~Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V Dis ersaUTreatment Area Information:,At~o -~,..be~ ' I. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade ~s~ Rr^•^-°a ,~" Proposed 13u.S+ Q -•~~.~ 5 ~ r ~{ Rate (Gals./daytsq. ft.) (Min./inch) ~ Elevation 13 ,- .33 ~ ~ v~. ioz, ~ VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks ^ ^ ^ ^ s~~ ~- ~ ita~U ~ ~~ ~ ~ ~~~~ r 6~ Co~~~ ^ ^ ^ ^ VII Responsibility Statement I, the undersi ..ed, a.~same res orsibilit for ins*sllation the POWTS sho:vn on ih ttached laps. Plumber's Name (print) Plumber's Signa a stamps): M PR o. Business Phone Number ~a ~, ,'s ` 3 ~ 7th -2e'.~ - y s~ 2 ~ Plumber's Addres (Street, City, State, Zip Code) VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) pproved ^ Owner Given Initial Adverse Surcharge Fee) 3Z5 Q ` lZ d ~ Determination IX. Conditions of Approval/Reasons for Disapproval: R~ `t ~t 5 rl o -t Z-o tJ >El~ n~_ ~-l 1*.~ ~•w~cN.~cc- dI, l~ Sv/~rz `~L.~2 ~I,~ch(<,F Pe{ -na.+v ~f~v~C~ ry ,B, 3 lr.4fi~a-cteltt~,.,~io n,e~c ,S _ _ - U II /I ~ w~d~'~j t ~ l/GY~i ~' . S 0 (~ C F~ i{T 6Y! t w^ f' ~ (N.it j (J S~~ " 9 ~ 3 ~Yt F~ ~ pN't'~«~~' ~' i `K I K S ~ c-'fi7Y- SBD-6398 (R. 07/00) r ~ ~ ®scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TOD #: (608) 264-8777 www. commerce. state.wi. u s/sb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary August 09, 2001 CUST [D No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 ATTN: POGVTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/09/2003 Identificatio tiers Transaction [D N 67844 SITE: Site ID No. 634172 NATE & LAURA FLANDERS Please refer to both identification numbers, 320TH ST above, in all corres ondence with the a enc . TOWN OF CADY ST CROIX COUNTY SW1/4, NWl/4, S24, T28N, RlSW FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 806323 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (8.6/99) 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 follov~ 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 VI[[ of the Mound manual, and section V I of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The well must be a minimum of 2S feet from any POWTS tank, and a minimum of SO feet from the absorption area. • Access to the litter for cle;~ning must be provided per Comrn 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required • 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). In addition, 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. ,~ ARTHUR L WEGERER Page 2 8/9/OI • 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 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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. 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 ttte local municipality shall be obtained prior to commencement of construction/i nsto I lat i on/operation. [n 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. Sincerely, ~ ~ ~~ Charles L Bratz POWTS Plan reviewer If- Integrated Services (608) 789-7893, Mon.-Fri. 7:45 AM to 4:30 PM cbratz@commerce. state. wi. us FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633. cc: NATE FLANDERS .. TITLE SHEET Page ~ of ~ IROUND SYSTEM FOR A ~ BEDROOr1 RESIDENCE This plan has been prepared in accordance ~~ith the Mound Component Manual SBD-10572-P and the Pressure Distribution tlanual SBD-10573-P CCZ. blag~ C1~. ~ j~a j LOCATED IN THE SVJ 1 /4 OF THE NW 1 /4 OF SECTION Z~ , T Z~ N, R 1S [d, TOTJid OF L°...~~~-( , ST'. L°-~ZOIX COUNTY, WISCOidSIId. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEc1 I~IA~AGEr'I:jidT PLAiv PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIE[1-CROSS SECTIOIQ PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI.IPING CHAZIBER CROSS SECTION PAGE 7 of 7 PUIviP PERFORi•1ANCE CURVE PREPARED FOR ~ i~TE RJR `. 'Psv CZ.r1 FL:f'~J~~1Z S ~~wlwool~ , ~v 1 5~-~~.o PREPARED BY WEGE~EF2 SO = L TEST I t~tG AND . • 3~ES 2 G~1 SEF2V I CE P.O. Box 74 421 I~1.~iain St. .River Falls, 6lI 54022 Phone 715-425-0165 Fax 715-425-6864 RECEIVED AUG - 2 2001 SAFETY ~ BLDGS DI V. ~. ~. '{~ ~ ~kT+rl? ~ Z ' WEGckER 1 Z THtS P A Kis•wr~RT~.. ~ L vS1 Gi`~`tr JOB N0. 0 ~- ~,$`7 S Mound System Management Plan Page Z of 7 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, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of.the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should. not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank, If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shad advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of 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 shall be tested to verify proper operation. If an effluent fitter 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, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surtace within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent qualify into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit. for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial testwhen the system was installed to determine ff orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked far effluent ponding. Ponding levels shall be reported to the owner, and any 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 accordance with its' component manual jSBD-10572-P (R. 6/99)] acid local or state rotes pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases maybe present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for watertightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to 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 immediately repaired or replaced 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, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically dogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning -Office at ~ 1,15 - 3a 6 - Y6 8 0 `3T • C.Ct..y1.X -The sgstem .installer at -I.LS- 2,`Lg- L00 ~ ~`g The tank manufacturer at _ QQQ , 32.$_ gl~rj ~ 1'V1~~ The effluent filter manufacturer at app - 2ZJ, S74Z ZA'Bt~Z. The pump manufacturer at - -"""-- - -"c.1 Lc~ _ -Z~ 313~,Z•:- DT /'1R+ DT T*7 `~ ... '~ _~ ro a !~ v~ e~~ ~~E \, S U 6 G ~`n~17 h kid. LoctYt~~na J ~-~ ~~ O IJ Ze' o G- Z`~P V L ~ ~.h. P ~L1.C1o°- 6010 boo ~* -~ s .-Z- ~ -~nT la SCfc1-E. ~o~ ~ ~ ; ~~ 'bo'oFq'` PuC ~r~ tN . 4 Z `` cp v C'R.~ ar~Fr-1 i-Oo ~ ~-9,9.5 cZQ. o~ ~L'l.. q'i 3'3~ C~~~ ~F B~ ,~, ~u"~M ~, Lp~.S ~~~ 2~O ~ GZ~ ~5 ~t i ~~~ ~'ap WDT' °~-0-"LPPtE~' OVZ ~51 I ' ~ ~ • 'q~O gtS`T~rZ•fl l~f1S ~''SL~ , ~~ ~' ~ q6~a.~ ~~ ~-gs? ~--°LS s Bh ~Z -~~T~ S ` . ~-- - ~t3~1-i~=C- ~Z., cna.o' o~v q`~ EttsH, 3~y~D1R. Pic t:~a~ .cvl~Pr~~ QN'1'b1'Z _ L - all •$ ~ `~ 4 t ~ ~ - _.- -- t r q NOTES : ~- 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 1000 lbsn gallon capacity manufactured by ~ L~ ~2 Cpl ~.c~~ w / ~} ~a oo Z ~ ~ ~c ~n~ 4 . $ench mark S _ gam- p~y3dv ~ 5. Divert surface water around system to prevent ponding at the uphill side. Scale 1-"= ~p ' Page 3 of .. .7 ~~ - tiQ9iZt'S T ~R=oPClzx~y u ~ Pace y Or 7 ., Approved Synthetic Caveri~g AST~i C33 Medium. Sand H --' 3 istribution Fipe G F Elev . 1\l 0 . o~ 1 e b % Slope Distribution Cell of Force Main Flowed 2" to 2 Z" Aggregate From Pump ~ Layer • p \.50 Ft. E \.8f> Ft. CROSS SECTION OF A MOUND SYSTEM F 0.8 Ft. • & o - 5 Ft . A (, Ft. H 1, o Ft. Linear Loading Rate= ~_O GPD/LN FT B ~ S Ft. Design Load~.na Rate=0.33GPD/SQ FT \Z I Ft. J 8 Ft. • ~ K 11 Ft. ~~ Position ~ q-~ Ft. OT Force Mein W Z 6 Ft. .. L ~ I' I • ~ ~ -Observation Pipe __ fi I ~ K _ 1 _----____ ____ _-__-___ -__._~ ~Bectss A i ~~6 8 ~ w -~__~_ --- ---_ --- ------ - - - -- -1 - - ?~--- ~Distribution `~-- CeII of 1 " 1 ~~ . ~ to 2~ Pipe aggregate Observation• Pipe (]laehcr see rely) PLAN VIET~T OF A MOUND SYSTEI4 s ,~ Distribution Pipe Layout p~~e S of -7 Place the holes at the bottom of the distribution pipes . at equal spacing. Renove all burrs from the pipe and holes. Extend the end of each latezai up with the use of Ion; turn or 43 ° fitting to a point within six -- inches of the final grade. Terminate the ends of the laterals with a valve, threaded cap or • threaded pIu~. Provide access from final grade for the valve; threaded ¢ap or threaded plug. " -.`.`C`SS a~~_ T`iP1C13 L LZOSS _5'`Z.`Cl~-y PVC - F~JC !~V C Latent Manifold Lateri ~~_=~ x ~ x, xfZ (x!Z ! x ~ x ~ x ~ x ~ - . : L3terat Length - ~_ Lateral~L==oath - P T PL~:"N V~~ .._ ~ o- - a- -- ~~,K hY;-LJ1Fc;u ,~ ~~ - t=octc~ nt~w - r ~C"C..~y-S spX - -o ---0 - P 3~ Ft. ~ Hole Diameter ~~ ~ Inch- -"~- g 3 Ft. ~ Lateral " ~ ) Incfi~es) X Z-~ Inchps Manifold 2 Inches -- ~ ~ Force Main " ~ Inches " ~ of holes/Pipe lg Invert Elevation of.Latera1s101.0 Ft. - ~ ~°t ~- o ill = ~• ~~ x 4 = ~ ~. l 6 s Pw1 . .. _' - Combination Sept,3c~.Tank acid PUMP CHAMBER CKOSS SECTIOIJ ARID SPECIFICATIONS ' PAGE ~ OF .. • -- . f. WEATHER PROOF - - •VEIJT CAP - JUIJCTIOIJ 9CtX . ti C.Z. VEIJ7 PIPC ~ APPROVED LOCKNJG ~ 10 ~ FROM DOOR, MAIJHOLE COVER wt"IK :ilAt00W OR FRESH ~ ttiAAlJI>JG LI4gE[_- " tN3P~G1otJ RIPE ~ . cowtwtT • w~t~.CLrsgT• ~P \ AiR UJTAKE t ~}~~ ~ i FlNLS~ 6"riw. ~C.GV ~~ ~ ' - I Yr.xlu. I8•~'lltil. ~. ---------- ~ ; .. . --- - ~~~ - Ir;1LET +•` PROVIDE I - --- „~ ~(' AIRT16HT SEAL I i I f ' ;e, ~~ I ~ e~~~c ~ f f Approved zP,~~ H~~ -• A~ f ~ ~ f Approved joint w/ ~ Ifl joint w/. ~ -1800 ALARl+I PVC pipe PVC pipe -I II s I I - f I ou c •i I 3.00 - I - LLEY~_ fT _-~ PUMP 1 OFF _ ~ 0 C0IJCRETE - • F - - RISCR EXIT PERMiITED OIJLy IF TA1JK MAI,IUFACTUR)`R I-tA5 SUGk APPROVAL~3NADPQor~p BFDQ t rv 4 SEPTIC F - SPEC.IFICATIC)t~15 DOSE ~ - TA1JK MA-IUFACTURCR: ~ ~~~ ~Z ~~ e~~~. 1JUMBER OF DOSES: ~' Sb PER OAS TA1JK stzc: 1.000 /6 SO GALLDIJS ocsE voLUME z ALARM !'1AUUFACTURCR: S.S. CL-~TRO S`fs1C~"'LS IAICLUOIIJG 6ACKfLDW: - t~Z (,AttON: MODEL I.IIIM6ER: L~~ ~~ 4 CAPACITIES: Ac ~$ ItJCHESOR 30'6 GALLO>JS SWITCH TyPt: ~~Z~~' l g c 2 IA}CHES'OR _ 3 ~ r;~LLOUs F'UMP MAfJUFACTURCR: ~~~ ~ M'1f~}-j l C C = ~ ITCHES OR ~ ~ Z- GALLDUS MODEL IJUMHER: OSP 33 ,~ 0= ~Z- IIpTC~HES OR 7Ay GALLDlJS SWITCH TYPE: ~'1~2~-Z~ TOTE: PUnP AUD ~ Ai~-+I qRE TO 6C MI1JtMUM DlSCKARGE -RATE 3~• ~b GpM INSTAlLEO ON SEPARATS< .CIRCUITS VERTICAL DIFFEfZEfJCE DETWCEAI PUMP OFF AIJO..DISTR18UTIOtJ PIPE.. S • ~~ FEET -i-~4T 1~ETWORK SUPPLY PRESSURE . .... E~•'SrOFCET ~S-Ox~_3~ • Z© FEET OF FORCE MAIN X Z-°~_F% f~FRICTIO-J FAC70R.. ~'Y~-FEET TOTAL OyWAMIC HEAD 1 y'•~• Z FEET _ - ~ - As per manufacturer j~-O gal/in. Liquid depth 3$• . / 1~ Pump Characteristics Pimp/Motor Unit Submersible Maneal Models OSP33M1 OSP33M2 Aatomatk Models OSP33A1 OSP33A2 Horsepower 1 /3 hU Lood Amps 7.8 4.6 Motor Type Split-Phase R.P.M. 1750 Phase 9 1 Vohage 11S 230 Hertz 60 Operotl0n Intermittent Temperature 140°F Ambient NEINA Design B losdatioa Class F Discharge Sae 1-1/2" NPT Solids Handling S/8" Urot Weight 5016s. Power Cord 18/3, SJTVII, 10' std. (20' opt.) 18/3, SJTW 20' std. Materials of Constructio Haadle Steel I,ubriwting Oil Dielectric 011 Motor Housing Cast Iron Pomp Casing Cost Iron Shaft Steel Medlmliml Shaft Seal Seal Faces: Carbon/Ceramic Seal Body: Brass Spring: Stainless Steel Bellowr. Bona-N i I~IeUer Bronze Upper Bearing Single Row BaU Bearing Lower Bearing Single Row BaU Bearing Base fast {ton Fasteners Stainless Steel Performance Data 24 L~~~- HP s 0 u 10 20 30 40 50 60 CAPACITY-U.S. G.P.M. Total Nead (feet) 4 8 12 16 20 24 25 GPM 1/3 HP 60 55 48 39 Z8 7 0 AURORA/NYDROMATIC Pumps, Ine. 1840 Baney Road, Ashland, Ohio 44805 (419) 289-3042 C c Q z 0 w z a U U Y in N Dimensional Data Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT labor and Hurnan Relations tlivision of Safety 8 Buik6ngs in arrnrri with II NR A7 n~ Wic Arlin (`nrio Horizon Depth in. Dominant Color Munsell I Motffes Du. Sz. Cont Color (Texture Structure Gr. Sz. Sh. Consistence I I Roots GPD/ft g~ Trerxh 1 0 9 lD~-f.~ 3L z - 5 i.( Z`FSb-2 wt`Fh cS - . S .6 ~• 9 30 ~o~,rz jl6 - si( z.~syk m`~t- Cw - • s .6 3 3 d -tQ 7.S`12 3 Ltf ~5 `-\. R 3 L3 L d w, ~ T I ~ - . ~ .~ SOIL DESCRIPTION REPORT Remarks: •~ . Boring # 1:::i-`iAniwYYk~ (y..s $w{}+~ Ground elev. °tS.Sft Depth to limiting factor 30" Boring # ~.. Ground elev. t.~.on Depth to limiting factor \ M o -~ t o'-12 ~ tz s t, t Z~sl~ k m`F>,- cs • 5 € ~ b .3 ~~ trs ~ •S K231~ C S~t6Z3L3 ~ ow. wl'A.- _ ' 3 '~ Remarks: STName:-Please Print Phone: • Arthur L. Wegerer 715-425-0165 ' ergerer Soil,Testing & Design Service-P.O. Box 74 River.Falls,WI 54022• • ignature: ~ o p- ~ 6 Date; 3 ', ~ --Q~ CST Number.. ~ ' L 220_5 F Page ~ of 3 ~ COUNTY • Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but s~-. c.~~ ~x not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or ~ PARCEL I.D. ~ dmensioned , north arrow, and location and distance to nearest road. • 00~{ _ 1.0 S S - ~ 0 APPLICANT INFORMATION-PLEASE PR N REVIEWED BY DATE PROPERTY OWNER: ~~~~ ROPERTY LOCATION ~~~M F}1~1 D ~.0 2t -~O~,l,. T ~ ~ 1/4 h! W 1/4,S Z~ T ~ ,N,R \ S E ( W PROPERTY OWNEA':S MAILING ADDRESS • '2..53 ~z-o Ttt- sr, LOT ~ - BLOCK ~ - SUBD. NAME OR CSM ~ - CITY, STATE ZIP CODE PHONE NUMBER 1NLl.SNv,lvl S~.pZ.l (~!S)•1~Z-3Lct~ ^CITY ^VILLAGE ®tOWN ' C NEAREST ROAD 3~ `R•i- Si . ~' New Construction Use [~ Residential / Number of bedrooms ~ [ J Addition to existing building [ J Replacement [ J Public or commeraal desaibe Code derived daily flow ~iy0 gpd Recommended design loading rate ' `~:. bed, gpd/ft2 - trench, gpolft2 Absorption area required Slb b~, ft2 500 trench, ft2 Ma;dmurrrdesign loading rate • S bed, gpd/ft2 - ~ trench, gpd/ft2 Recommended infiltration surface 2levation(s) ~ op . S ft (as referred to site plan benchmark) Additional design /site considerations f ~ST'1'ctL. V R~I.T P1Z.1 y Y - `CA'N lZ.t=~Ut~7- N~tU~~ w~+`^ ln./ l$ Srm.fl Parent material ~ S O V -' Z. G1.Pte.a,fYt TI l,.l. Flood plain elevation, if applicable -.~ A ft S =Suitable for system U=Unsuitable for stem CONVENTIONAL D S .®U MWND ~ S D U IN-GROUND PRESSURE AT-GRADE ^ S ®.U I D S C~ U SYSTEM IN FlLL HOLDING TANK D S ~u I D S ® U VYisconsin Department of Industry, SOIL AND SITE EVALUATION R E P O R T Labor and Human Relations Division of Safety 8 Buildngs ;,, ,~~.~.~~~ ,~,~}ti ,~ ~JO Q7 A~ UPn A.d... /'`n.~.. Page ~ of 3 , COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include but ~ S'~' • ~'•-~ZZ1 lX. , not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to ne , t ~ 4. 00`{ _ ~,p S S - ~ O APPLICANT INFORMATION-PLEASE PRINT ~ -~}R-1~1~1~T{(~N~;'~, REVI DBY DATE , ~' - ~~i R is o PROPERTY OWNER: :. ~' r.~ ~- PROP TY LOCATION T~~ 'f~t~4 ~ ~,O Cil '~~, ~•~ ` `'-' ~ ~'. `~ ~.:. -89`IFF~T S W 1/4 (J W 1/4,S 2~ T ~`tl ,N,R l5 E ( W PROPERTY OWNER':S MAILING ADDRESS • ~ r - . LOT ~ - BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP CODE PH NE NUM ~JS;; ~;~ ^CI7Y VILLAGE ®fOWN ' NEAREST ROAD W ~ l.soly , ~vl 5 ~ o z~ ~T'~t'~) ~;. z~~l~~~ ~ 3 ~ -rN- s~-. [~ New Construction Use [~ Residential / Nu y `Qf bedrooms .- ~ `° ~ ~ [ ] Additien to existing building [ ]Replacement (] Public or commera ~ " i Code derived dairy flow V y0 gpd Recommended design loading rate • `~ bed, gpd/ft2 - trench, gpd/ft2 Absorption area required SCD bed, ft2 Soo trench, ft2 Maximum design loading rate • S bed, gpd/ft2 • ~ trench, gpd/ft2 p~D Recommended infiltration surface elevation(s) ~ yO • S ft (as referred to site plan benchmark) ~ P''°` Additional design /site considerations I ~s`i~t1_t.. V R~.T Pita V Y - 'T1t~N 1~PUt~''18~1- N~Uth~, w~~`~"~v is s~-fl Parent material ~~S O V ~Z. ~~~-t1°t"t- TL L-~ Flood plain elevation, if applicable r.~ A ft S =Suitable for system U =Unsuitable for s stem CONVENTIONAL ^ S .®U -MOUND ~ S ^ U IN-GROUND PRESSURE ^ S (~.U AT-GRADE ^ S [~ U SYSTEM IN FlLL ^ S ~U HOLDUJG TANK ^ S ® U SOIL DESCRIPTION REPORT Boring # }3 K ~ ~, Ground elev. aS.Sft Depth to limiting factor 3©" Boring # Z Ground elev. too ,oft Depth to limiting factor 1 Horizon Depth Dominant Color Mottles Texture Structure Consistence Band Roots GPDlft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. y g~ Trerx~ I o 9 lbH. ~ 3L Z ~ S i.1 Z`Fsb r~ wL`F~- cs - . S .6 z• 9 30 ~o`1tz 3~6 - si( z.`Fsbk yh,~- Cw - • s .~ 3 3n-~3 ~.$y23[~ ~5`1.R3L3 L dw, h1 TI• ~" • 3 .~ ~. i\ Remarks: o -9' 10 ~ cZ J ~z ~ s ~ 1 z~E-s?~k wt`f-- cS ~ - s . 6 2 4 -LP. 1,0`'~fZJ16 - S.i ~ Z.'~b~ <n~F cS -- . 5 `- 6 3 t$ ~ ~,SKtZ3l~r C S~etZ3l3 L O~ Yvl~- _.. _ 3 ,~ Remarks: ST Name:-Please Print Arthur L. Wegener Phone. 715-425-0165 ' ~egerer Soil Testing & Design Service-P.O. Box 74 River.Falls,WI 54022 . ignature: od-~6 Date:3 ~,~-Q~ CST Number. , L • 220..5 - PROPERTY OWNER ~'~~-~.~O~Z.r SOIL DESCRIPTION REPORT t Z ~ 3 Page of~ _ - PARCEL I.D.# dOy- LOSS-10 Boring # a.~,.>:,,,.~,,,~ a Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont Color Texture Structure Gr Sz Sh Consistence Y Roots GPD/ft ~`~:.':'~~.:_ ~~~ 3~~~ .z ~ p-1.0 t!)N.tZ 3LZ ~ s i . . . z sbl ~ Bed Trench Z h cs Ground elev. ,3 t$-<.1_S 7.SY 2 315 C1~~~ L o~''"` ~ ~.. • 3 •5~ °~1.5 ft. Depth to Limiting factor ~~ Boring # ~~ ~? ~ Ground elev. a'S,2 ft. Depth to limiting factor Zp~ Remarks: _ - d--~ Ll~~ti SLZ - sib Z`Fs b ~ wL `Fl, ~S ~ t , s ~ ,.~ ~ 8 - ~~ L U K IZ ~'L6 ~. - s i ~ Z,`~'S UI2 >M. `Fy- ~. S , 5 (, b 3 ~3 ZD Z.SYfZ3lc~ ' ~ ~ ~ ~CSb~c: wt`f'h C~ ~ ~ ~ -~. ; .S G ~ ?1J-~lZ 1•StiIL 3l~ SyIZ:3l3 I... Or, YYI~ - •'~ .~ - ~ . '. i neiiicirKS: Boring # t?.;~..., :i:~i `~ ., ~•~ ~# ~'%2 . z~~~..~:L Ground elev. ft. Deplh to limiting factor j t I i i i f I i f , Remarks: 3oring # ~cr ~;t~~ ;_ :..< ~i ~`'. z:,, ~ . 3 ground ~ ;lev. it. )epth to imiting actor Remarks: _ . ~n nriNf~ .,~ . ., PLOT PLAN SCALE 1"= y,0 ' ~ ~ /r'J F"'' ro ~ N ,N r ~l ~i Page 3 of 3 ar~Fa-! O ~ ® t~qq, s ~ .. qq . o' i ~ ~.1.op° 6°~O 91 ` 3.3 ~ ~M OF' g~ .S ~ ~ 600 ~. ---v $.'2 ' ~ tdL• "~oT Zu SCf~1.E ~ I ~ ,~ a3 ~~. ~1 ~.~%~ ~ 1vpT- Bowl P ~T o~Z 1 , ' ~lS'~Cu-ZI3 l~"lS ~1Z~ , ~ _. ~,zS` .-~ ~~ .. ~ -~ ~L°i.S s NUTL~ ` - 13>"I ~C- ez. ~na.o' av 9`` tt1sH, aiyuDlR- PUC ~~~~ wL~t}T __ t ~ ._ ~uSE _ lU ~F P~' L~$T Z S ' ~z.mr J ~'~1 u vx.~p ~ :. _ __ K ~ .. y S~~ _ T • ___ - _- 00-~,~ - - ----- - _. ~ ZZ.oZ.s~ "' 3`~5--~ (715 ) 475-~1 n~_ CST Signature Date Signed Telephone No. CST # WisconsinDeRartrnentoflndustry, SOIL AND SITE EVALUATION REPORT Labor and Human Relations DivSsion of Safety F. BuikSngs ;n ~rrnrri w;+h II 4JR AZ n~ Wie Arlin (`nrlo Page ~ of 3 . COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include but S'~' ~ ~'~~ 1X. , not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. ' O 0~{ _ 1.0 S S - ~ O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION ~'t~ f1'~ ~ LO CtI ~LL..DQR.~ -E}6V~-0T S-~ 1/4 N W 1/4,S Z~ T Z8 ,N,R 1S E ( ~W PROPERTY OWNER':S MAILING ADDRESS • LOT # BLOCK # SUED. NAME OR CSM # Z S3 3z-o `nt- ST. - - - CITY, STATE ZIP CODE PHONE NUMBER OCITY VILLAGE MOWN ' NEAREST ROAD Lv~l.SO1v,tvl S~ltJ2.~ (~lS)-172.=31°t~ C 3~-t~ T~1- 5i . [~' New Construction Use [~ Residential / Number of bedrooms ~ [ ]Addition to existing building [ ]Replacement [ ] Public or commeraal desaibe Code derived daily flow Vy0 gpd Recommended design loading rate • `~ bed, gpd/ft2 - trench, gpd/ft2 Absorption area required S~ bed, ft2 500 trench, ft2 Maximum design loading rate • S bed, gpd/ft2 - ~ trench, gpd/ft2 Recommended infiltration surface elevation(s) _ too . S ft (as referred to site plan benchmark) Additional design /site considerations ~ n.~s~~.. V R~.T P12.t y Y - `C~i'1='T~ R-C~(1t'~t~T" 1'~cx~w w~+""ti LS S~'^-fl Parent material ~~S O V ~Z. ~ L-!f~'c. T'2 ~ Flood plain elevation, if applicable ti A ft S =Suitable for system U= Unsuitable for s stem CONVENTIONAL ^ S .®U -MOUND IN-GROUND PRESSURE ~ S ^ U O S f~.U AT GRADE ^ S Cad U SYSTEM IN FlLL HOLDWG TANK ^ S ~'U O S B U SOIL DESCRIPTION REPORT Boring # ~:va;,~,:~~; ~= -< ~~ fi:?i Ground elev. °lS•Sft Depth to limiting factor 30" Boring # Z .~. Ground elev. t~o,on Depth to limiting fact- o~ 1 Horizon Depth Dominant Color I Mottles Texture Structure Consistence Borrx~ Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. ry g~ Trerxfi I o ~ LbH,~ 9L it _ 5 i,( Z`FSb-Z wt`Fh cS - . S ~6 ~ 9 30 ~,o ~ 2 3l6 s i ( Z.`~'sbk m`Ft- Cw - • s . 6 3 3 n -~3 ~•SY2 3 l ~ ~5 `-\, R 3 L3 L n w, ht T l' - . ~ .y Remarks: o -9' ~ o ~I,cZ 3 lz s ~. I Z~1~k vrt`F1- c.S - • 5 : ~ 6 z 4 -r.t;. ~.o~R--3l6 - Sal ~ Z`~b~ rn.~c~ cs - . s . 6 .~ ~~ ~S ~.SKR-3t~r CL5~e6Z3~3 L ~~ Wl`~.. - • 3 i •~ Remarks: jSTName:-Please Print Arthur L. Wegerer Ph0°e~ 715-425-0165 ' 4~ergerer Soil Testing & Design Service-P.0. Box 74 River.Falls,WI 54022• Signature: • ~~ /~~ p p_ ~ ~ Date: 3 ~, ~ -Q~ CST Numbe 2 2 0 2 5 LF PROPERTY OWNER 1~~L1.~J0~Z.t= SOIL DESCRIPTION REPORT PARCELLD.#_ dC~~i-LOSS-10 Boring # Horizon Depth in. Dominant Color Munsell Mottles Qu Sz Cont C l Texture Structure Consistence #,n ~ ;2 . . . o or . Sz. Sh. ~ 0 0 ~ t 3LZ _« 3 2k< \tk is+~' - . pKtZ. S t z sb h Ground 3 t$-~.l-S 7.SY 2 31~t SkR.3l3 L ~~ y ~ elev ~ . X1.5 ft. Depth to limiting factor 18 `, Remarks: Boring # 4:~>:~ 1 0 -~ t. o~ tz 3 ~ z ~~~ ~ ~ 8 - ~3 1.0~ IL 3'L6 3 t3 ZD Z.SYfZ~Y . , Ground el9'S.2 tt. ~ ~-L12 ~ •S ti fZ 31c~ c Sy 1L.:3 L 3 Depth to - limiting factor __ Z (~' Remarks: Boring # «.::::.; y;R ~;# y:~ jti. ~•,2 ~"q ..,,,hk;:;;:::. Ground elev. (t. Depth to limiting factor Page ?- of.. 3 xx>vaty Roots G P D/ft Bed Trerxh cs - ~s CS - - S ..6 , 3 , yc s i1 z`fs b ~ -n `Fh c-s ~ ~ S ~ .-~ ~ 1 CSb~ wt`Fh ~ g • .~ ~ ..S l.~ s t j i i i 3 i 1 i, ~ ~ci i iai ns. 3oring # r5i 3't`t'r1;c" around ;lev. f t. )epth to imiting actor nci ~ iai n~ ' PLOT SCALE 1"= P L~ ~O ' Page 3 of 3 -~-~ T=£+tiCC-~ - NUIZT~ P~~p ~' SZ7'tij Ll sJ~ zt F - _ ~ ro a~ ~ ~ r I and t#-1 O ~ ® ~ga gc1.o~ 5 ~R„~~p°- 610 91 ~ ~3 ~, c~~~ ~F B~ ' u-~pM Lp~.S ~ . 600'x. ---~ s.2 ~ ~ '~~T Te S~t-E ~ 's I ~ i 1 ~3 ~~ ~ ~ ~ .~- ~ wDT eo~laR~-T o-Z 1 - _ ` ~~~'R~ZII 11-15 , ~1~~. ~ .- ~1ZS' , I , - . ~~~,, 8.1 ~~ ~tg52 ~-°-S s • B~"S ~Z Ivg S ' - i3~ ~l--E2. LUU.O ~ Olv q`' H16N, 3/y"Dlf~. puc >?~a~ _ GvL~-PrT7# . - t ..__ _~ _!L.__a-- ~;SF -lb RF . A~' L~$T 2 S ' Fi~r~/ +'Vluvn~p ~.. _ .------. ~1L . ~ ~. .. _ ___. . , _._ _. SO .. _.-T_.-----~ , ~0-~.6 - zzoZSy :. ^' 3"~S-'QO (715 ) 425-n1 n 4._ CST Signature Date Signed Telephone No. CST # ST CROIX COUNTY SEPTIC TANK MAII~ITENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address Property Address r ~c!~~ ~2-a~ ~~~ (Verification required from Planning Department for new City/State ~~i~rh G~ ocY Parcel Identification Number ~ ~ 7 `~~~ ~y~- ~O LEGAL DESCRIPTION Property Location S~ '/., ~ `/., Sec. ~, T?~ N-R ~ ~ Town of ~!~ Subdivision .Lot # Certified Survey Map # ,Volume ,Page # Warranty Deed # ~_ _~ ~ ~ ,Volume ~ Page # ''7S~ Spec house ^ yes [~]' no Lot lines identifiable ^ yes ^ no `~ ~r ~ ~'~ ~~(' ~w ~ Q~ ~~ ~. SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin, Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days the three ear expiration date. ~/ ~/ d SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro erty described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~~ -~ 8 /.mil ~1 SIGNATURE 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 is the warranty deed VOL ~,696PAGE 75 6,5331 1 STATE HAR OF WISCONSIN FORb9 2 - 1999 Y R iHLEEN H. WALSH DEE D I WI Document Number WARRANTY DEED S (G CU CROIX This Deed, trade between Tim E. Holldorf kECE1UED FOR kECDRD 08-08-2001 12:05 PM WARkANTY DEED EXEMDT M Grantor, and Nathan J. Flanders and Laura J. Flanders CEkT COPY fEE: husband an wl fe, COPY FEE: TRANSFEk FEE: 378.00 _ kECOkDFNG FEE: 10.00 PAGES: 1 ---- --_---- - Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croi: _ County, State of Wisconsin (if more space is needed, please attach addendum): South Ralf of the Northwest Quarter (S 1/2 of NW 1/4) of Section Twenty-four (24), Township Twenty-eight (28) North, Range Fifteen (15) Recording Area West, Name and Retu Addre EXCEPT a parcel of land located in the Southwest Quarter of the Northwest ~ D Y ~ ~/• Quarter (SW 1/4 of NW 1/4) and in the Southeast Quarter of the Northwest ~ yU~ T Quarter (SE 1/4 of NW 1/4) of Section Twenty-four (24), Township s~J, ~.!/- Twenty-eight (28) Notch, Range Fifteen (IS) West, Town of Cady, St. Croix County, Wisconsin, more fully described as follows: 004-1055-70,-80 Lot One (1) of Certified Survey Maps filed July 26, 2001, in Volume 15 of Parcel Identification Number (PIN) Certified Survey Maps, at Page 4137, as Document No. 652138, office of This is not homestead property. the Register of Deeds for St. Cmix County, Wisconsin. (+s not) Exceptions to warranties: Easements and restrictions of record. Dated this ~ day of ~ 4-s , 2001 1 • Tim B. Holldorf .,_ AUTHENTICATION ACKNOWLEDGMENT ) STATE OF WISCONSIN _ Signature(s) ___ )~ „~ t!~! O v . • 4• `' --- St Croix Copn ~ '~ . •'~._ authenticated this day of Personally came befor •_ day of '•Zfte above„ named --i- Tim E: oll _ S', OI'~ _ 4 - t _ -- ~.-- ... ` 1 e cuted the foregoing TITLE: MEMBER STATE BAR OF WISCONSIN to to be the person(s) ivho ex (If riot, ,_ --- in and acknowledged the same. authorized by § 706.06, Wis. Stats.) _ ___ ~~ ~~ ~.~~--..`, THIS INSTRUMENT WAS DRAFTED BY I v ~' ~~f'' Nti~ ---- Thomas A. McCotvtsck Notary Public, State of stn a expvauon ate. not manen i i i , . s per ss on ldwin, My Comm ) (Signatures may be authenticated or acknowledged. Both are not necessary.) _ - - - - • Names of rsons si nin in an ca i must be or nled below their si taft. IMOrmation Prdasawnak Company, Fond Ou Lac. NA pe B g Y P~ tY tYP~ Pn ~ eoo-esszoz~ STATE BAR OF WISCONSIN WARRANTY DEED FORM No. Z - ]999 -~v FRCS 1 M t L.E COUER LETTER FAX ?O: Tele: , City: Cate: ~~ Time: cj '~ Pease deliver the fol! wing pages TO: ~ ~ ~ er of 3 e5 including this cover letter; Total numb R 9 !t you do not rece+ve all of the pages, please contact us at the numbers belaw~. Comments/message: ~.. J~- ~. /~ nor e ~, o ~- J ~~. Q /t ~ .. s i-s ~~s-. ~ y~- a ~~ ~ 740 Rose Avenue West - St. Paul, MN 55117 - (651) 293-8800 FAX NUMBER (651) 293-8806 ~0'd 9088~6ZSS9 ~OOH~S HJIH ?i~ltid OW04 9~:~t Z00~-e~-Jfld ' Z0 ' d ~1~101 S •~rta 61' - e' ' 8ED RY a DINING - KITCNEM t MASTER 10'^10'-l0" a 10'i11'•4' !3~-6'^ II' 6ED~R1~.~ x ~ r L _ 17'- ~ ~ 12 _1' '~ a1ME PiuR • ;OCaT101t 7\ 7~ L ~ R! :?i' 'i. ~~ .,~ ' 6~p RM LIYING RY ~r~ 1 r~ ~, r f3'-4'^ II' ~ t1''-8~r1~~ iOrEp N S :: ~ ( - Il:;rylr •' ~ t Wit... 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