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004-1056-20-200
St. Croix County Planning and Zonin Detail Sanitary Information Wednesday, December 28, 2005 at 2:24:27 PM Page 1 of 1 Computer #: 004-1056-20 i Sub/Plat: NA Section: 24 Parcel #: 24.28.15.382 Lot: 1 TN/RNG: T28N R15W Municipality: Cady, Town of CSM: Vol. 17 Pg. 4549 1/41/4: SE 1/4 SW 1/4 Owner: Timm, Peggy 3234 20th Avenue Wilson, WI 54027 State Permit: 420548 Issued: 11113/2002 POWTS Dispersal: Mound less than 24" suitable s Permit: New County Permit: 0 Installed: 07/15/2003 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Insaector As Built Plumber Other Reouirements Additional Notes Monev Owed Pam Quinn >4/1/00 -Not Required Timm, Roger Roger installed the tank in January 2003 without $0.00 Signed Off: Yes an inspection. Bldg. Sewer and inlet covered and had to estimate elevation from foundation. Told him the code says any POWTS component installed needs inspection -owner should have signed a pumping contract for temporary use as holding tank. CSM completed 7/2003 to split this house off remainder of 40 acres Maintenance Scheduled Puma Date Pumped 1st Notification 2nd Notification 3rd Notification 7/15/2006 Parcel #: 004-1056-20-200 12/28/2005 02:18 PM PAGE 1 OF 2 Alt. Parcel #: 24.28.15.3828 004 -TOWN OF CADY Current j 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 -STASIEK, DANIEL T &MANDY G DANIEL T & MANDY G STASIEK 3234 20TH AVE WILSON WI 54027 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description * 3234 20TH AVE SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.960 Plat: 4549-CSM 17-4549 004/03 SEC 24 T28N R15W 40A SE SW NKA LOT 1 CSM Block/Condo Bldg: LOT 1 17-4549 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-28N-15W SE SW Notes: Parcel History: Date Doc # Vol/Page Type 06/30/2003 727880 2293/045 WD 06/25/2003 727298 17/4549 CSM 08/26/2002 688255 1959/102 EZ 02/15/2001 638599 1587/260 C~C mo ... ~nn~ c~ innnneQV Bill #: Fair Market Value: Assessed with: 106776 Valuations: Description Class RESIDENTIAL G1 Totals for 2005: General Property Woodland Totals for 2004: General Property Woodland 178,500 Last Changed: 09/07/2005 Acres Land Improve Total State Reason 2.960 34,700 153,600 188,300 NO 2.960 34,700 153,600 188,300 0.000 0 0 2.960 9,900 68,500 78,400 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 08/22/2005 Batch #: 05-1 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 rFORM N~O. 985•A Pa„ C.d.u.,..~ Stock No. 26273 727298 VOL ~7 PAGE 4549 KATALEEA H. M7C1r5A- REGISTER OF DEEDS AUG 2 5 ~ ` ~ ~' a. ST. CROIX COUP;TY SURVEYOR'S RECORD RECEIVED FOR RECORD CERTIFIED SURVEY 06~~03 11: 30A1! ED SURVEY ;hAP VOLUME C FEE: 13.00 PA PY FEE : 3.00 PAGES: 2 LOCATED IN THE SE1 /4 OF THE SW 1 /4, OF SECTION 24, T28N, R15W. TOWN OF CADY, ST. CROIX COUNTY, WISCONSIN.pREPARED FOR: Peggy Timm 207 320th Street Wi Ison, WI 54027 PREPARED BY.• Lee Vi 11 eneuve, R. L . S. BASIS OF BEARINGS IS THE OFUSECTION 24. ASSUMED/4 APPROVED TO BEAR NB9 '41 ' i 2 "E. ST. CRO:x couNTY u n p l a t t e d l a n d _ Planning Zoning and Parks Committee JUN 2 5 2003 N88 °~ 0 ~ 21 ~~ E 365 • ~~ , If not recorded within 30 days of approval date approval shall be - N - - ~ null and void I ~I o ~ ~) ~ I ~ ~ well ~ ~D I ill ~ ~ ouse ~ I ~~ ~~ ,~ DoT 1 ~ v, ~ ~ ~• ~ w ~ ~ '}-I I ~ op septic N ~ ~ ~ tank M ~ `° ~. ~ o ~I QI 128, 727 s/f 2.96 acres Q ~, including road r/w. o ~' C j I ~ p i6, 945 sf/ 2.68 acres o ~ ~) xcluding road r/w. t,,~ o ~ ~ m ~ ~ ~ _ _ _ _S8 °41 ' 11_' W_ 357_46 ' - ,_._ _ ._ _ __ -~ NB9.4s ' ~ "E ~ 20 TH_ A VENUE ~ N89.4i ' ~ "E S89 °41 ' 11 " W - - - - . 3B2. i ~ / 1893.06 ' ~, 356. 60 ~ •-- ~ C/L ------------ - ~- = ~- ~- - - - - - - - -south 1lne-sw1/4-2632.17' - - - - SW CORNER OF SOUTH 1/4 CORNER SECTION 24 . 1 " OF SECTION 24 . SURVEY MARKER unp 1 a t t ed 1 and ~ 1/4 " IRON PIPE w/NAIL FOUND . _ FOUND . LEGEND O ~ 3/4" X 24" IRON REROD WEIGHING 1.502 l POUNDS PER LINEAL FODT SET. ~• {{}~ PUBLIC LAND SURVEY CORNER AS NOTED. This document was drafted by Lee Villeneuve, RLS F' ~ i ..~~(~- ~r: i " _ ~r ~ J~ ~~~ 7~t~~~` . GRAPHIC SCALE 1"=100' Page 1 of 2 sheets. 0 100 200 300 Voi.77 Page 4549 N N 00 i u oartment of Commerce `~ PRIVATE SEWAGE SYSTEM z ding Division INSPECTION REPORT ~It2AL INFORMATION (ATTACH TO PERMIT) ersonal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Timm, Pe Cad Townshi CST BM Elev: Insp. BM Elev: BM Description: ~ ~7 i~~- v /o~ .a ~. TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ' D ICJ Dosing I Aeration !~ iz~,7~ a~ ~ '~. ~ ` " '' ___ Holding - " . - ELEVATION DATA County: St. t/rOIX Sanitary Permit No: 42054$ 0 State Pian ID No: Parcel Tax No: ao~ 6 sr~- ~ -- ~ 2`f- ZS • 15.38' z- STATION BS HI FS ELEV. Benchrp~r~ ~, UU1l ~~~ ~ ~ ~. ~ Alt. BM //'~~ ST - (~I/ ~~ O 1, Bldg. Sewer ,s. ( /00 , St/Ht Inlet -s 97-Y SUHt Outlet l ~~- Dt Inl 7. ZS~'~c-l tiT~ 6 ~ `~ Dt Bottom Bader/Man. ~ ~ I V 1 i I S~ V ~ 0 y ? • 2 7 ~U ! ~r~I - Dist.~e 'r( 0 3~~ . ~5 iD . s Bot. Sys em Final Grade / t~7. 0 t Cove TANK SETBACK INFORMATION TANK TO ~ P/L, a~+ WELL -~ BLDG. -- V^e~to Air Intake ROAD Septic > ~I t ~C U ~ Dosing l Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ / 0 Demand .C GPM Model Number ~ n '~ V TDH Li ' ~~ Friction. L,pss Sys3 m Hamad T~ ~ , r t Forcemain Len h / Dia. 2 i, Dist. t ~ e~ ~ ` `1 SOIL ABSOR TION SYSTEM BED/TRENCH Width ~ Li DIMENSIONS SETBACK SYSTEM TO INFORMATION Type Qf $yste DISTRIBUTION'} SYSTEM 2 ~ ~ No. O1: Trenches /~b/-eA~ P/L BLDG > 2d' va PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth ~ rot ' -~ ~oGe ,~_ OR ~ _~ Heade a ifold Distribution x Hole Size x Hole Spacing V tak ~ ~ L ioS ~ / ~ ~ Z !O C~~~r~ ' Length Dia ength Spacing .W Dia 1 ~ ~ SOIL "COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Only S~ Depth Over ,y Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center I ' ~ . Bed/Trench Edges Topsoil ~ ~ Yes [] No r I] Yes ~~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:_~/ {f~rQ~/ ~ Inspection #2:~/~ Location: 3234 20th Avenue Wilson, WI 54027 (SE 1/4 SW 1/4 24 T28N R15W) NA Lot ` ~ k-Yb Parcel No: 1.) Alt BM Description ~ ~ ~ ~ ~~!„ Q Q„ 2.) Bldg sewer length = ~~~ f"l~ ~^^~-x~- ` ~ ,, ~ -amount of cover = ~Q (~S ~ 3.) Contour = ~t~2 G~~c.CLI.~'e- ~~ 0 , a ~~ h~~ ih r- -r---, --__.._--- ~ - Plan revision Required? j Yes No ~~ , ~~~ j - t ~ / S ~~ Use other side for additional information. ~ / I VJJ (Y SBD-6710 (R.3/97) Date Insepctor's Signat re Cert. No. Safety and Buildings Division County ~ 201 W. Washington Ave., P.O. Box 7162 ~ i ~ GQA/)C ` ~ rseonsrn Madison, wI 53707 - 7162 Site Address .~ De artment. of Commerce /~/ S vv'L. 3 O L1r S''~ 2,3`f 2..0 6 Sanitary Permit Application Sanitary P°rmtt~N1(ty~tmber ~ ~ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ^ Cl vision k ma be used for seco ses Privac Law, s15. 1 m I. Application Information -Please Print All Information State Plan I.D. N ber , ~C~~`~~~ Property Owner's Name C ! Parcel N ber /b~~ J ~~ ~~ -Cj~g(~ ' ~,~I ~~ /~ ~ ~9 C/O - (J ~ , G ~ v Property r' Mailing Address ppis., , ~ l~.e, Y ~ 5 2~~2 "~ ~ Property Locati~~o~~n ~ {~ C Z ( ~ U' 3Z T Lfl N, R . u W'.4: S City, State Zip Code S ~~S~VTY Lot Number ^ Block Number ~ -t ONING f OFFICE I' ~ 1j ~a 27 `~lrj -~lZ~ Subdivision Name CSM Number ' o ~r~ ~ II. Type of Building (check all that apply) ~ 5++~~ ^Ciry 1 or 2 Family Dwelling -Number of Bedrooms ~ ~ ^Village escribe Use ci al - D ^ Public/Cornme ~o~~p r - ~ , ^ State Owned~~"""' ~ ~~'~ « tt 1 ' •~ ~ Q ' ' Nearest Road /Q'IJ•Q v ~ h ? ~ ntieu., . o . 9 0 c~cQ~. , ~o ~ . x 1, z. S . . III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A' 1 New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use - S stem Tank Onl Exisrin S stem B • ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) ~ i~-~It10 44 ^ Non -Pressurized In-Ground 2J~ Mound 47 ^ Sand Filter 50 ^ Constructed Weiland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. Dis ersal/Treatment Area Information: Design Flow (gpd) Dispersal d ~5~~ i R Dispersal ea Pro osed ~ S~>'~ Soil Application ) /Days/Sq,Ft Rate(Gals Percolation Rate (Nlin./Inch) System Elevation Finai Grade Elevation equ re p . . ~~~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Si[e Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing n (~~ ~e1~„L~r ~r 1 Tanks Tanks Septic or Holding Tank o(]~ ,^ iv 0 ' / Dosing Chamber Ob ~ ! _DU - VII. Responsibility Statement- I, the undersigned, assume responsib' 'ty [or installation of the POWTS shown oa the attached plans. Plumber's Name (Print) r Pltmber's Signatur MP/M~S Number Business Phone Number ~ ~~~ e zZ ~ 7r -~'tZ-~zry Plumbe s Address (Street, City, State, Zip Code) '' .. tt VIII. Coun /De artment Use Onl ~ Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) , ^ Owner Given Initial Advetse Surcharge Fee) ~ /~ ' ! I~~O z ~ Determination J J 3z IX. C~ondih~ pproC vaUReasops for~D~ pprovaNl~~~ n r ,ntiw,,,~~ i~v 1 ,~ T w,~.,a~ -4-. ~u '---~ca co e p (tb We Co~ihty oily) for the s~ttem ou paper nx ~wznan-sarr zzx-mcna sum l SBD-6398 (R. OS/O1) ~~„oo D QL.M K1 = ~~ C) 1~ S~ ~S 5~~,~ 0 t =~ ~ ~r zn i'We.Q w.=.M t `o i0 N ~, ., t'+pTe: C..q t,•o) r~r~ L.q z ~~ '~° ~ ~~q ~ ' T\a:S~o \ '~fo ` ge ~~ ~ + Il• I~ S a.J` .~ `moo yv~; C-1~ y ~~ ~44 a1 s: T ~w W : at o.~, \ ~ ~-~.~ S n.~.,:..~. C.,,oL.~,l~ hl ~ K'c ~~•*~ 41..~~ .~- Lt. ~ 1 ~ o ~s 3~ Sa~ b.-c1C 1~.~ ~ ~ ~ L~Lt ~ ~ aO~ j S ° a. S• 4c ~ ~(1' ~ (tt.r~ rea~c ~. o.~~((~Lw~ Q1 ~o..,; ~ OO .O c.p,~ i0 Ka. ~~ ~ .`rte ~.. I ~`d°.o) (~ o~e.o~ ~w~. 'Fag?Q.~ - ~~o~ ~~~a., ~t L2t'j- ~r4 / // // ~e Zo~i ~ _ ~~ ~ o~ ~ ON ~:, ~~~~~a - ~..,_.. ' ~_~€~_ ~,sn> fF_'T = ~5~~^c' ~" ccc >~~T» ~ ~ iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary July 25, 2002 CUST ID No.226524 ROGER L TIMM TIMM EXCAVATING 3128 20TH AVE WILSON WI 54027 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/25!2004 A7TN: POWT5Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Dan Stasiek 20th Avenue Town of Cady St Croix County SE1/4, SW1/4, S24, T28N, R15W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 860929 Identification Numbers Transaction ID No. 767311 Site ID No. 647715 Please refer to both'dentfication numbers, above, in all comes ondencewith the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY AFPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stets. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stets. • 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. Owner Responsibilities: • 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. 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. P.O. W T.5 ~anditionall /1 r~ ilhs ire ,.... _ y ROGER L'~'IMM Page 2 7/25/02 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 j swim@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 Henry F Grote ,Certified Soil Testing t `l~C~, ~~~ - Dan Stasiek -Mound ~ JUG qF~ ' 8 ~~~~~~ Transaction # ~ ~ B~D ~s ~~ Construction Materials and Techniques D~Y. 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 (O1/O1) Pressure Distribution, SBD-10706-P (O1/O1) Location: SE 1/4, SW 1/4, Sec. 24, T 28 N, R 15 W Town: Cady County: St. Croix Date: July 29, 2002 Owner: Dan Stasiek Address: 207 320th Ave. Wilson, Wi 54027 Plumber: Roger Timm y 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 h Ir ~" ~'°~ ~ `~' ~ D page 1 of 8 DEPARTMENT OF COMMERCE (VISION 7V D BUILDINGS SEE CORRES NDENCE ~ti ,, 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 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~~~ gallons/day hydraulic load Design Calculations In situ designed loading rate ~ • Z Z gallons/sq. ft. per day Depth to estimated high ground water ~, 2 ~ in. Depth to bedrock ~ s' Z in. Cross slope at system ~ ~ •~~ % ~ w ~- Force main length ~ } ft. of ~ in. Manifold/header length ~ ~ ft. of ~ in. Drain-back 4 ~ • Z gallons Lateral length ~ @ ~ ~O4•a ft. of ~• in. Lateral elevation ~ °- •4 ft. @ bottom of lateral Lateral hole size SISt- in. @ ~ ~ •~ Z in. ( Z• ~ b ft.) Spacing 3 ~ holes/lateral ~ $ holes total Lateral volume 1 ~• ~ S~ gallons Total lateral discharge rate ~ ° •' Z gallons/minute @ 3 • S~ ft. head Network pressure compensation losses ~ ' ~ ~~ ft. Elevation difference ~ • loss ft. Friction loss ~• ~ g ft. @ Z ~ gallons/minute Total dynamic head ~ ~ ~ 2 •~ g ft. Pump/sip~on 3 `~ gpm @ ~ ~ ft. of head ~ Manufacturer G' a ~-~ Q-S Model # ~ ~° o~ ~ Dose volume ~ ~ ~ gallons Lift/sip')iton tank w'• •~ ~ ~ ~ - l~ao ~ r..bo la ~ gallons Septic tank • ~ •' `' ~ o-a'fl gallons Effluent filter ~ a,,` ~ - t ~-o Measurement pump on and off ~ • Z in. Height alarm from tank bottom ~ ~' •Z-- in. Reserve capacity 3 ~~• `~' gallons specs.calcs.res Page 2 of .., ~wk ~~CwS:Q~ ~,ol ~~10.w ~ ru"~ 22t'~- ~ O -S' lr~ .~,~ ~ ~~~ ~~~.~~n ~° h e . \ + C„a ~•o) N +' ~~ ~-epTe:1 I~~ ~~' 2" 1°~c s~ 4((0 ~6Q wr.y sto ~ So n ~ O~J~ ~ N S a~ ~. moo,.,..,: c,.S~~ .ti .. ~ -«. S~.•1~~ T ate, w : ~ o.,, ~ ~ ~,.~,.,, • t. ~, ,.,.l.a S-~,..,~ ~ • v~ Y S u.,r..a C..~oL.p~ i e. K 4 w~~afX ~•..~~ . S- Ll. s 4 ~i •~`' 110 $3 sa~ b.c1~.~vo~.~y Y cct.r' Ne~~c L ~ 1 4` «n~ ~ as , a c.o~, ~o w.. ~~ I toy" S~-• rR M~ C~~o,o) ~,~r. l Z~~~ \ _ ~~ ~ ,~ ~ Oy Q ~wN ~a~a, ~~~,ti, ~'~-T,T~ ~~,,T.= ~~.Tm - __»>_ ~T,N oogo~ ~~ ~~~ »DDD> mmDm,=~- 1 J ~S ~4w~ '~ Y'o 4' i ~ ! a. ~~ ~ `_" ' Q •, 3 ` ` roe. 1C ~a t~ 0. ~~re ~, q, a.~ t b'' bs~ o..~, + Z ~ L " ~ ~ , ` .~. cw.~, .~ ~~o ova ~ 7 ~~ O-M ~~ Y ~bbtV . J c'7 _n ~N 1 \ ~1 ~ 1 1' O O ~ V' i 1 PX . ~ 1~1G . ~ ' (11T•y) \ ~ 1 ~ ~'~~ ~~3t~ ~~13 w..S1 ~ ~ ` b s••bso:1 ,~»SZ ~ p 7 `~ "" ~„~~'„ 3 ov ~o_ ~ V~p. O ~0:~ ~,~ ww~ z~., o' .. ,. ._, __ . _~ . , ' ~ : 1~ ~ _--~ o --, ~ ~ -. J ' 1 0.k V i e. `.~ti ~~ (s.Zr ^---~~. z4.o i t.o - "I _ ~ ~ a.o ._.~c._ ~t L~ wtj,1 -~j to.3~ ~ ~ IZ.J ~ - - ` 10.3' E-- \33.1' , ~~ ~. ~ ~~~~ s~~ 4n ~.,~ ~.,,.Q Z" 1~VC Sv~ QN 3s~st" 13s.~sZ., ~ ~ 3ssx." (3s.sz~, r ~o4.S' Q, y~ e ~ a c. t~-t7~~ `w ~`~ ~. o w a.s d i ; •` w` ~~i,.` w.~ • 1 SZ l~ 01 c.C o .,. ~ ,.t a~. JC c~r,~. ~ Q-r- ~ o~ o +,.. 1: w e ~ ~3 S'., 2, ~` a. H-`~ ("2. q {,' (~ ~~ 7 7 ;c s o~~ ~ -~. _ .~. LO.C Kl NG~GOV6 R '~-'"~ L~/A~N /NG ~ ABED . QvIGK D1~C.OVV~LT-~ Cr w~ F ~ o.,, •~. ~ cr0 --~--~ ~'+ Prc , `~ X777 ~ P-P6 3' no >r0-STua6~D SOIL. /~K.i T GW a.ovt.C SY,l:T 3~M'J ~ P tl'aa rV+EC.TIOKS C~e~, ~4•}~ ~ ~v 5 ~': o SCPTIC E OOSC Ta1.Jr.s ALARr'1 PUMP 7t b'~ ' 4~F' 24" 2.D. t~-a„uo~ A \ d D gAF'FLE• 't' 2~v , h O w 1~~ a. T ,~~ r Pvc kl. ~" 4 0 Yc,ti` -~ 2' " Y~ f ~ ... 4c 3' ono 4.~D:.rur~cr Gwu-+o Z ~• ~/ WEATHERPROOF ~JUN(,TION 8cr~c /•W(y,G N C~ 3 ~" PurlP G OKGRE'T'c 6coCK . ~~ ¢.v Z,l.~•r 1. ALC.iW .T- ON ~z" ocF ~„ IL.~~ O (.``. _ SPEC~FI~CATIOIJS C~ MAIJUFACTURCR; 1 TA 1J K 5 I Z C : ~ wtYn ~ ~ u'o _ GALL01J5 n~wu~ACru0.cR; s a ~71•<..~Yd hODCL LIUI~CR: . 1 e 1 1-4 `~ - SWITCH TyP[: ~ ~ ~``~D ~O~ MA-JUFACTURCR: ^' S MODEL 1.IUMOCR: ~ ~~ 4' ~WITCN TMPC: V~~~v w. MIIJIMIUM DISCHARGE RATE Z~._GrM (DUMBER OF DOSCS: S• ~~ PCK D~~ OOSC VOLUMC ~ ~ IAJCLUpIlJG 6AGttF6oW: G~..G~+s 2~• $ CAPACITIES: An lAJCHESOx 3ba'Q':,ti~_.:~; B = Z iuCNCS oa 33's2. ~ ;,..:.~..; C • ~•~ IUCHCS OH L04•o G~~.C~.~ D^ ~ INCHES GR 1`~•S(a ;,~,.~ . IJOTE' PUMP A1JD ALARM ARC 70 BC INSTALLED 01J SEP~RATC CiKC..'"~ VtRTICAL DIifCRCIJCC CETWCCU PUMP Oi/ AUD OISTRIDUTl01J PIPE,. ~°~~~ FECT , '~ . + MIAJIMUM NETWORK SUPPl.1 PRfiLURTE/~ ~ 3'S FCET ~1.0~ + ~~ FCET OF FORCC MAIN X ~'~~ f/'pp~~FKIGT101J FACTOR. ~~~g FEET ~ Z'~ ~~~ '° ~ TOTAL Dy1JAMiC HEAP ~'t'OE{ FEET ,, ~, IAJTEFtA1Al. DIMCIJSIOAJt 0I TAAJK~ LEAIG7H 4 _,~WiC)TH ~g _,,,~LIQU10 DEPTH 3b PAu~ 6 „0. ~ _~ Submersible Effluent Pump 3 Q ~ 1 EP04 o . EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS • Solids handling capability: 3/a'"maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'/z" NPT. • Mechanical seal: carbon- rotary/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 SJTOW with three prong grounding plug. Optional 20 foot length, 16/3 SJTW 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- maticmodels 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 FEI 10 9 s r u 0 0 r 7 6 5 a 3 2 1 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 efficient 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 Assodation (CSA listed model numbers end in "F" or "C".) Goulds Pumps is ISO 9001 Registered. 0 2 4 6 B 10 12 m3/h cAPACITv Goulds Pumps ~~ ~- a~ g ~ iTT Industries ~.~ 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, Timm Excavating, 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. I . 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. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. t. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 5. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 3. Avoid surge flows of water; try to spread laundry throughout the week. ~. 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. If 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 l . 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. If 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. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 1 i . 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 "Effluent #1 = BODS> 30 < 220 mg/L and TSS > 0 < 150 mg/L 'Effluent #2 = s _ mg/L and TSS _< 30 mgr CST Name (Please Print) Signa ur ~ CST Number Henry F. Grote ~ ~ 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 7/1/2002 715-233-0398 A '~RIG~I~AL - 1575 Wisconsin Department of Commerce SOIL EVALUATION REPORT ~ Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing 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 (!iM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. CSM Pending Please print all information. iewed By Da e Personal information you provide may be used for s ondary Propert Govt. Lot t# Phone }~ I~~urOE'FIC ~~ Location SE 1/4 SW 1/4 S 24 T 28 N R 15 W Block # Subd. Name or CSM# 5 A. CSM Pending ity Village .~ Town Nearest Road Wllson ~ WI 54027 - - Cady 20Th Ave. Property Owner Stasiek, Dan Property Owner's Mailing Addre~ 207 320th St. City State Zip Cod New Construction Use: y! Residentiai /Number of bedrooms 3 Code derived design flow rate 450 Replacement ~; Public or commercial -Describe: Parent material till Flood plain elevation, if applicable General comments and recommendations: install 4' x 112.5' rock bed mound on 100.0 contour as upslope edge of rock w/ 0.9' sand fill GPD NA Boring # -- Boring r!?` Pit Ground Surface elev. 97.9 ft. Depth to limiting factor - 2~~in . Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-4 10YR 3/3 - sl 2 m gr mvfr cs 1f/m .5 .9 2 4-10 10YR 3/3 - sl 2 f sbk mvfr cs 1 m .5 .9 3 10-16 10YR 4/4 - sl 2 f-m sbk mvfr gs 1m .5 .9 4 16-28 7.5YR 4/4 - sl 1 m sbk mvfr cs 1 m .4 .6 5 28-44 7.5YR 4/4 f3p 7.5YR 5/8,5/3 sl 1 m sbk mvfr - - .4 .6 ^ Boring # .: Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-5 10YR 3/3 - sl 2 m gr mvfr cs 1f/m .5 .9 2 5-12 10YR 3/3 - sl 2 f sbk mvfr cs 1 m .5 .9 3 12-26 10YR 4/4 - sl 2 f-m sbk mvfr cs 1 m .5 .9 4 26-44 7.5YR 4/4 f2d 7.5YR 5/8,5/3 sl 1 m sbk mvfr - 1 m .4 .6 Property Owner. Stasiek, Dan Parcel ID # CSM Pend Page 2 of 3 Boring # Boring Pit Ground Surface elev. 98.3 ft. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 10YR 3/3 - sl 2 m gr mvfr cs 1f/m .5 .9 2 5-12 10YR,3/3 - sl 2 f sbk mvfr cs 1m .5 .9 3 12-20 10YR 4/4 - sl 2 m sbk mvfr gs 1 m .5 .9 4 20-26 7.5YR 4/4 - sl 1 m sbk mvfr cs 1 m .4 .6 5 ~.43 7.5YR 4/4 f2p 7.5YR 5/8,5/3 sl 1 m sbk mvfr cs - .4 .6 6 43-52 7.5YR 4/4 f2d 7.5YR 5/8,5/3 sl 0 m mfr - - .3 .5 Boring # -= Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # !Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 i * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L The •Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Certified Soil Testing .,, < ~ . s ~ s ~~~ ~w~n ~ ~LwS'iQ.VL ~ ~Jo~ ~~14w ~~ ~ ` GS rum zzt'Z- ~-4 ''~ ~ ~ ° ~ o ~S' 1n C- wo.o) t4 i3 K 4 «. .~- Lt. ~ ~.~ ~.~~ I ~~ o $ 3~ ga! bwc.~c. ~l, t.s // Y 1- 1s.. ~ e~3 cwq~.o~ wC~ ~+- LAM 1" R.w~~+ `^O vr.N~ ~Ld~y ~~4 A~ 3 ...,.~c~.,~ s~wt~~ - ~~ r ~~'h ~ ~ ~ v i~ +' C~~ ~,. l Z,?` ~\ -c - ~ ~ $~% ..~ ~ 6 ~ ~~ ~^ 1 m Qo I ~- 9 ne ti .4- w.:~2 ~.. z o ~' S J-, C.,,oz.o~ Zoe^~ 1 ~, ~_, _~ ~~~~w ' ~e~=3 _- :; ~~~=`~= ~~.-, =~~uPm. ~'^ ~ sB~ OJyO^O CC'~C~ DYD>ni ~T~,T"~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer j~ 9C~ / /m Mailing Address ~ O Property Address ~z 3~, ~ti ~j~ ~ ~,D ~ ~ (Verification required from Planning Department for new City/State k.l ,~ ~ ~ dy- ~ Parcel Identification Number a y,~ - / us F, -- Lo - o ao LEGAL DESCRIPTION Pro a Location .SC 1/< J ~Y '/4 Sec. _ 2 Z~ ~-- ~+ P rty ~ , T N-R_~~ W, Town of Subdivision /~~ ~~ !'~leS Lot # "-" Certified Survey Map # ~ ,Volume ~- ,Page # Warranty Deed # So~~~ 1 1 ,Volume /yB~ ,Page # Z6 U Spec house ^ yes no Lot lines identifiable ~' yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumber or a licensedpumperverifying 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 m has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 s of the three ye expira 'on date. S / ~a SIGNA OF APPLICANT DATE OWNER CERTIFICATION I (we) certify 11 statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of roperty desc ' d above by virtue of a warranty deed recorded in Register of Deeds Office. ~ ~~~ SIGN 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 _ UU''. , ~~i,t- ~ ~C7 1 PA( (,~O STATe BAR OF WISCONSIN FURM 1 ~ 1999 QUI"I' CLAIM DEED i)OCUmenl Number This Deed, made betti'een Kimberly F, Voss, a single person Grantor, and Peggy Timm, a/k/a Peggy L. Timm, a single person Grantee - Grantor quit claims to Grantee the Following described real estate in St. Croix County, Stale of Wisconsin (if more space is needed, please attach addendum): THE SOUTH HALF OF SOUTH WEST QUARTER (S1/2 OF SW 1/4) OF SECTION NUMBER TWENTY FOUR (24), IN TOWNSHIP NUMBER TWENTY LIGHT (28), NOR"CH OF' RANGE NUMBER FIFTEEN (l5) WEST. This deed is given in connection with a divorce judgment granted February 7, Together with all appurtenant rights, title and interests. 2001 . Dated this 7th day of February _ , 2001 AUTHENTICATION Signsture(sl Kimberly F. Voss_!a authentic ed this 7th day of rNr ary___ 2001 • William A. Schembera ______~_ T11'LE: MEMHFR STATE BAROF WISCONSIN ([f not. _ ______ -- authorized by § 706.06. Wis. Slats.) TH15 INSTRUMENT WAS URAF"iED BY William A. Schembera ___ !_____ -- ---- ------ --- \Ienomonie, Wisconsin 54751 _ _ __ ~_ (Signatures may be autheatlcalzd or acknowledged. Both are not necessary.) 63t~F599 Y.RT4! ESN H. WALSH kFGISTEk OF DEEDS 5T. CRf?IX CO., WI RECEIUE- FOR RECOR- 02-IS-2001 8:00 AM OOIT CLAIM DEED EXE<RPT # BM CEP.T CDPY FEE: CGPY FEE: TRA!1SFEk FEE: kECItk9ING FEE: 10.00 PAGES: 1 Recording Area Name and Retum Address Schembera Law Firm P.O. Box 410 Menomonie, Wl 54751 004-1056-10-OUO & 004-1056-20-OOU Parcel Identification Number (PIN) This is no[ homestead property. (is not) ~~ ~~ • Kimberly F. Voss .^_. ACKNOWLEDGMENT STATE OF ) ss. County ) Personally came before the this day of the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Public, Statc of My Commission is ptrntancnt. (It not, stagration ante - • Names of persons signing in any capacity must be typed or prin[ed below their signature. STATE OAROF WISCONSIN QUIT CLAIM LtEEn FORM No. 3 - 1949 Information Prot¢ssionals Company, Fona au Lac, WI 600.655-202t (~ t,.