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HomeMy WebLinkAbout030-2092-03-000 c p to I o c II I C 2 C I o i I N ' . I it 111 ~ I I Al ~ z° U. C 3 ~ I a it 3 M Z y I z w% c o w a m V\ N F- Z o I o z v c Z 2 o z c E -o O N Cl) N d c a) 0 U) y ~ O •N d L L C C O V Z F- Z N 1 z I V w CO E N 1i~ O a w Y M }mil L O Q _N d ` f0 Q O \l a~ o G G d c E N h~ a N N U) a WSJ Zo •N 4i oaaa a N 0 N co CO CA J V rn 0) 0) m } M N 00 O O LO o a m a) M a cn m I C-4 0 O CO 7 w ~j O 00 3 M N U) 0 c a ►~l O M a H y V CL 0 0 r%, 'G O O. C N N C c a~ O rn 4)i o 0 O 3 _ N O O d C ~f ^x!i O M N o E U • O Cl) N U) N O Z S Cn 44 ~ I as M a V ~t Q L: a a C: • a d a m ~t-ww d c _1 A ciao !o0)0 Parcel 030-2092-03-000 02/08/2005 12:00 PM PAGE 1 OF 1 Alt. Parcel 26.30.19.771A 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * POWERS, WILLIAM F & PAMELA J WILLIAM F & PAMELA J POWERS 1362 AWATUKEE TR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1362 AWATUKEE TR SC 5432 SCH D OF SOMERSET SP 1700 WITC Legal Description: Acres: 4.470 Plat: 2341-POWER'S ADDITION SEC 26 T30N R1 9W LOT 1 POWER'S ADDITION Block/Condo Bldg: LOT 1 4.47 AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 26-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1198/98 WD 2004 SUMMARY Bill Fair Market Value: Assessed with: 6478 266,000 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.470 73,900 187,800 261,700 NO Totals for 2004: General Property 4.470 73,900 187,800 261,700 Woodland 0.000 0 0 Totals for 2003: General Property 4.470 59,100 151,700 210,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 311 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 'I STC - 104 AS BUILT SANITARY SYSTEM REPORT Alom a`. ! OWNER ~,'c~ a v ~l row ~ ~ ADDRESS SUBDIVISION / CSM# LOT SECTION T N-R W, Town of ~--~Zc ST. CROIX COUNTY, WISCONSIN A L0~ PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 41 3 IZA e 3e" I~d~s - ~6e e CcM bv_ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. 1 r . II BENCHMARK: ~r- ALTERNATE BM: /3oZ7-e m I,,if, ev 101, SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: yh ,plWes feY~ Liquid Capacity: lDd0 ~S"~' r Setback from: Well D _ House 30" Other l Pump: Manufacturer Model# Size Float seperation Gallons/cycle: Alarm Location -:SOIL ABSORPTION SYSTEM Width: Length_ 4g~- Number of trenches Distance & Direction to nearest prop. line: ?5 Setback from: well: 44'D -k House /O,,2 Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: \ PLUMBER ON JOB: LICENSE NUMBER: i INSPECTOR: 'T 3/93:jt , sccnsinDepartment ofindustry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations ST. CRCIIY REPORT Safety and Buildings Division INSPECTION GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Permit Holder's Name: ❑ City ❑ Village a Town of: State PI STOUT, RICHARD X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: TANK INFORMATION ELEVATION DATA 7%o3/Q6 TYPE MANUFACTURER CAPACITY STATION S HI FS ELEV. Septic (~,c,Its -1 Pre W's, /1, Benchmark Dosing ~.1n a~ S~ Aeration Bldg. Sewer c , Hold St / FIE Inlet wl TANK SETBACK INFORMATION st/j~t Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet /l Air Intake Septic /jk NA Dt Bottom P, 3/ Dosing > NA Header / Man. JI-w Aeration NA Dist. Pipe e, Holding Bot. System S PUMP/ SIRIMN INFORMATION Final Grade Manufacturer © Demand /7?ar / e C.'ua ~ Model Number ~j- g~ GPM TDH Lift ~3 Loss p System TDH i5Ft Forcemai n Length 116 ° Dia. 1 Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length i No. Of Trenches PIT No. Of Pits Inside Di Liq Depth DIMENSIONS S ~ 3 DIMEN I N - SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACH-1 nufacturer: i SETBACK CHAMBER INFORMATION Type Of Moe Number: System: { OR UNIT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) i x Hole Size x Hole it Intake Length Dia. Spacing Length/Z gZCJ Dia. 2 I _C:~j - SOIL COVER x Pressure Systems Only xx Mound Or At-Gr a Sytteras Only Depth Over Depth Over xx Depth Of Lx,x Seeded / Sodded Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) vl /S ~ LOCATION: ST JOSEPH .26.10.19W, NE SW, wATUKEE TRAIL a/1 ` ( J Lc f1 iC ~1 J l T (f!~.y < l~aF' ftr'< ! / c G1~( +GZr - t V ' _t J 0. Plan revision required es ❑ No 7 3 Use other side for addi ' nal information. SBD-6710 (R 05191) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH 3c~/ SANITARY PERMIT NUMBER:• ,w!, 4d 8 y~ g j y~ off, Safety and Buildings Division ~~■~r.r. SANITARY PERMIT APPLICATION Bureau of Building Water System: 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. C/t4l / • See reverse side for instructions for completing this application State Sanitary Permit Number a~a~a.9 The information you provide may be used by other government agency programs 216h.ck if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name Property Location c`c~ ~r al~ ToGaT 114 4) 1/4,S O IC T _?e , N, R E (or roperty Owner's Mailing Address Lot Number Block Number 3s w ~w~e to-G City, State Zip Code Phone Number Subdivision Name or CSM Number .15-Y6 Jr ( > a o 2 II. TYPE F BUILDING: (check one) ed ❑ City Nearest Road Public 1 or 2 Family Dwelling - No_ of bedrooms ❑ rowan OF e ,cJQci. e e Y ' III. BUILDING USE: (If building type is public, check all that apply) arcel Tax Number(s) 1❑ Apartment /Condo d 3 G G F;z o m 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. Ip New 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an System System Tank OnlyExisting System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 K.Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7_ Final Grade Required (sq. ft.) Proposed (sq. ft_) (Gals/day/sq. ft.) (Min./inch) 72. ~G 4G Elevation q/ ~J'~ O Qb' s Feet YC Feet . yll. TANK Capacity gallons Total # of Prefab. Site Fiber- Exper INFORMATION g Gallons Tanks manufacturer's Name Concrete Con- Steel glass Plastic App New Existin structed Tanks Tanks 16, Septic Tank or Holding Tank Id 4je- S 7 711.41 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber li St> Gp ` ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se age system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) AYIP-IM PRSW No.: Business Phone Number: r Plumber's Address (Street, City, State, Zip Code): , L Ili`-71,1 _57c 'n, 42, IX. C UNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Ag t Signat re (No Sta Surcharge Fee) 7f.3~j~ I Approved E] Owner Given Initial Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) - DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS ' 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years- 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. • I To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed- 11 _ Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. Vlll. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 112 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. t Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water System: 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. .5 &/96 X / • See reverse side for instructions for completing this application State Sanitary Permit Number aoo? Z/02-1 The information you provide may be used by other government agency programs ❑ Check if revision to previdus application [Privacy Law, s. 15.04 (1) (m)). State Plan I.D. Number 1. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION Property Owner Name Property Location 4'.c 'a 4;T- ever 1/~,&) 1/4, S 2a Tap , N, R E (oritg Property Owner's Mailing Address Lot Number Block Number / 5-Y At d ii, h5lG- t9 Cit/State / Zip Code Phone Number Subdivision Name or CSM Number o'ti II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ City Nearest Road ❑ Village Public 1 or 2 Family Dwelling - No. of bedrooms _ Town OF 'f 'os f' ez el, III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) Li -470 '?d Q 2 1 E] Apartment/ Condo d 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4- ❑ Reconnection of 5. ❑ Repair of an System _______System _____________Tank Only Existing System ________Existing System _ B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 210 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade F, Y Elevation yr.gy Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft-) (Min./inch) qa, 76` g' Q~aC Feet 9G•YG Feet VII. TANK Ca in gallons Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existing structed Tanks Tanks Septic Tank or Holding Tank ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se , ge system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) P/ PRSW No.: Business Phone Number: 7ss 3~~ -3l C cX e, A. Plumber's Address (Street, City, State, Zip Code): /41) 21d ql_ IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved nitary Permit Fee (includes Groundwater ate Issuetssui g Agent Signature (No Stamps) )/Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. C NDITIONS OF APPROVAL / REASONS FOR DISAAL: , 3 > SBD-6398 (R. 05194) DISTRIBUTION: Original to Counly, One copy To: Safety & Ruildings Division, Owner, Plumber INSTRUCTIONS - 1- A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation - 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served.. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling: III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. ' ~ ~~'Sd✓ ~ o~ l /~G _.'~a7`'~d l~oss,C.r lt~ ~'e~,7~ Sr,%e5 ~ a-/ e8 l ~ t t sx ~d sv~` Gt S -t- I i PAGE OF PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP 4"C.I. VENT PIPE APPROVED LOCKING WEATHER PROOF JUNCTION BOX MANHOLE COVER Z5' FRCM DOOR, WINDOW OR FRESH IZ M`"~ I AIR INTAKE GRADE I yu MtN. CONDUIT - _ IKJl PROVIDE I - AIRTIGHT SEAL I I i I V I I APPROVEC JOINT A I III APPROVED JOINT5 W/C.I, PIPE. I III W/C.S. PIPE EXTENDIMC. 3' I II ALARM EXTENDIMG 3' ONTO $01.10 SC;:. B ( II ONTO SOLID SOIL I t I OM C I I I PUMP OFF O COKICRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL SPECIFl CATIOKIS SEPTIC AND DOSE TANKS MAWUFACT URER:149T'gJ/'d NUMBER OF DOSES: PER DAB TAWK GIZE : lSD GALLONS DOSE VOLUME GALLONS ALARM MANUFACTURER: f ~tJc Ylyt INCLUDING BACKFLOW: Z30-?. MODEL NUMBER: CAPACITIES: A= /7'G INCHES OR -Fee GALLOW5 SWITCH TYPE: rn ey L 6 INCHES OR -3'1 GA'-LONS PUMP MANUFACTURER: C=-CLINCHES OR 3 •I8_GA-_LOUS MODEL NUMBER: -~O D-Z= INCHES OR &3S-2GALLONS SWITCH TYPE: J-ye_ ' r MOTE: PUMP AND ALARM ARE TO BE PUMP DISCHARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFEKEMC[ B'1'WGEN PUMP OFF AMD DISTRIBUTION PIPE.. is FEET + MINIMUM NETWORK SUPPLY PRESSURE . , , . . , , , . FEET + FEET OF FORCE MAIN Y, ° J FYOFLFRICTION FACTOR.1_fL FEET ~t = TOTAL DYNAMIC. HEAD = FEET INTERNAL DIMEWSIONS OF TANK: LENGTH ;WIDTH ;LIQUID DEPTH SIGNED: r LICENSE KIUMBER: DATE: -117- 1 HEAD CAPACITY CURVE 3 7/9 6 1/4 - MODEL "98" 0 4 5/8 8 25 8 I 3 5/8 = 6-20- M V ' Q 0 15 4 3/16 4-- 0 to zg .019 1 1/2-11 1/2 NPT 2- 5- o-+--1 U.S. GALLONS 10 20 30 40 50 60 70 110 LITERS 80 160 240 0 FLOW PER MINUTE i Toro DYNAMIC HEAWIM PER MINUM EFFLUENT AND DEWATMW 1 CAPAWY 12 HEAD UNI18I tm FEET METERS GALS LTRS 1 31 1.52 72 273 10 3.05 61 231 2 15 0 4.57 5 170 6.10 25 95 es L-j 3 r-; \ f 20 5/16 Lock valve 23• CONSULT FACTORY FOR SPECIAL APPLICATIONS i Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and supplied with an alarm. three phase systems. i Mechanical alternators, for duplex systems, are available with or a Double piggyback mercury'float switches are available for without alarm switches. variable level long cycle controls. SELECTION GUIDE Standard all models - Weight 39 lbs. - Y2 H.P. 1. Integral float operated 2 pole mecnantcatsvAtck no extemal contra required- Standard Single piggyback mercury float switch or double piggyback mercury. float 98 Series Control Selection switch. Refer to FM0477. Model volts-Ph Mode Amps Simplex: Duplex 3. Mechanical aBernator 10-0072 or 10-0075. M98 115 1 Auto 9.0 1 or 1 & 7 - 4. See FM0712, for correct model of Electrical Alternator. "E-Pak"- N96 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor float switch 104225 used as a control activator. specify D96 230 1 Auto 4.5 1 or 1 & 7 - duplex (3) or (4) Goat system` 6. Four (4) hole -•J-Pak- iunction bM for watertight connec ion or wired4n sim- E98 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 plea or duplex operation. 10-0002 7. Two (2) hole "J-Pak". for watertight connection or splice. « an addNortal ZoeNer CAUTION Products refer to catalog an Combinadon Starter, FM0514; All uuAn larion of controls, protection devices and w"vole should be done by a qw- 509yback FtA0477' L7echical Alternator, FMpd66; Mechanical Akertta0or tied , licensed electrician. All electrical and safety codes should be followed inctud- 1AW95; Alarm Padwee. 1 Sump/Sewage Basins, FMM7; and Sanplex Conbd 60>4 :M0732 irg the frost recent National Electric Code (NEC) and the Occupational Safety and Heaah Ad (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. AM&TO. P.O. BOX 16347 Lmllsvleb, KY 402564347 Manufacturers of... SHAP TO. 32W Old 111011111ars Lam GDrasvlfb, KY 40216 ZZY-1,11i-ff'Q1-4ur)- 410VP5 SNCE m /curt 7787791 a 1/ANTI Mn.DI IrrD Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 yabos ark? Human Relations Urvision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 i w a_ Plan must include, but not limited to vertical and horizontal reference point (B a i41-1 n 0 (,ope, scale or PARCEL I.D. # g dimensioned, north arrow, and location and distanc n roapendin REVIEWED BY DATE APPLICANT INFORMATION-PLEASE PRI L INFO TJQN PROPERTY OWNER: PR TY LOCATION Richard Stout ti,.. GO T NE 1/4 SW 1/4,S 26 T 30 N,R 19 for) W PROPERTY OWNERS MAILING ADDRESS BLOCK # SUBD. NAME OR CSM # 1353 Awatukee Trl. ►'-P na Powers Addn. csm pending CITY, STATE ZIP CODE P M ❑VILLAGE MOWN NEAREST ROAD Af"y Hudson, WI. 54016 ll 1 St. Joseph Awatukee Trl. 010 [x] New Construction Use [x] Residential / Number of be r 3 [ ] Addition to existing building f I Reola!ement [ ] PuNic nr --mmercial describe Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, gpd/ft2 •5 trench, gpd/ft2 Absorption area required 1125 bed, ft2 900 trench, ft2 Maximum design loading rate • 4 bed gpd$ . 5 trench, gpd/ft2 Recommended infiltration surface elevation(s) 92.96-90.06-88.46 ft (as referred to site plan benchmark) Additional design/ site considerations step down trench system. alt. area=93.96 Parent material pitted glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IPRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem 13 S ❑ U I INS ❑ U S El U ® S ❑ U ❑ S ®U ❑ S 91U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trt 1 0-11 10yr4/3 none sl 2msbk mfr gw 2f .5 .6 1 s#:axc; 2 11-21 7.5yr4/6 none sl 2mgr mvfr 9w if .5 .6 Ground 3 21-46 7.5yr4/4 none sl 2msbk mfr 9w if .5 .6 elev. 4 46-63 7.5yr4/4 none sl lmsbk mfr gw na .4 :.5 98.09 ft. Depth to 5 63-90 10yr5/4 none S Osg ml na na .7 .8 limiting factor +90" Remarks: Boring # 1 0-10 10yr3/3 none L 2msbk mfr 9W 2f 1.5 .6 2 2 10-27 10yr4/4 none sl lfsbk mfr gw 1f .2 .3 3 27-84 7.5yr4/4 none sl lmsbk mvfr na na .4 .5 Ground elev. 97.7*. Depth to limiting factor +8411 - = I I I I I L Remarks: CST Name.-Please Print Gary L. Steel Phone' 715-246-6200 Address: 1554 th. ave., New idmtond, WI. 54017 ,fflO Signature: Date: CST Number: 6-5-95 cstm 02298 PROPERTYOWNER Richard Stout SOIL DESCRIPTION REPORT F'age 2 'Of 3 PARCEL I.D. # pending Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Ou. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary FRoots Bed iTrench 1 -11 10yr3/3 none L 2msbk mfr gw 3 2 11-28 10yr4/4 none sil lfsbk mfr gw .2 + .3 Ground 3 8-84 7.5yr4/4 none sl lmsbk mvfr na na .4 i .5 elev. i 96.0t. Depth to limitinc; ' factor +84" Remarks: Boring # 1 0-9 10yr3/3 none L 2msbk mfr gtr 2f .5 .6 t:4 2 9-27 7.5yr4/4 none sil 2msbk mfr gw if .5 .6 3 27-57 7.5yr4/4 none sl lmsbk mvfr gw na .4 .5 Ground 4 57-80 10yr4/4 none L fs Osg mvfr na na .5 .6 Depth to limiting factor +80" Remarks: Boring # 1 0-9 10yr3/3 none L 2msbk mfr gw 2f .5 .6 5 2 9-13 7.5yr4/4 none sil 2msbk mfr gw if .5 .6 3 13-38 7.5yr4/4 none sl lmsabk mvfr gw na .4 .5 Ground elev. 4 138-801 10yr4/4 none L fs Osg mvfr na na .5 .6 93.51 ft. Depth to limiting factor +80" Remarks: Boring # 1 0-12 10yr4/4 none L 2msbk mfr gw 2f .5 .6 6 2 12-211 10yr4/4 none sit 2msbk mfr gw 1f .5 .6 .4 .5 3 21-78 7.5yr4/4 none sl lmsbk mvfr na na Ground elev. 91.46 ft. i Depth to limiling factor +78" Remarks: SBD-8330(R.05/92) a STEEL'S SOIL SERVICE Gary L. Steel Richard Stout 1554 200th Ave. CSTM2298 NE4SW4 S26-T30N-R19W New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246-6200 lot #1-Powers Addn. N 1"=40' BM.= top of NW lot stake @ el. 100` 3l' t3-2 $.I a 10 3 8' L ~U Gary L. Steel 6-5-95 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT ~ : ~St. cro* Cou ty/~;)o2c~iu-~ OWNER/BUYER MAILING ADDRESS PROPERTY ADDRESS X~.1 e.• Tcc (location of septic system) Please obtain from the Planning Dept. CITY/STATE Arm t,, r PROPERTY LOCATION dl,67 1/4, Ac 1/4, Section T N-R_ W TOWN OF S 7`-,Jo _ -e ,~2Z ST. CROIX COUNTY, WI SUBDIVISION A 5 S X- LOT NUMBER Z- CERTIFIED SURVEY MAP3if0 VOLUME f , PAGE LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: f I L" y1 DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property A~! ~c~ia~aL S'~6 Location of propertykAl/451/4, Section N-RW Township 5 OA Mailing address ~~s3 wk~ fiN Address of site Subdivision name 411 Lot no. _l other homes on property? -Yes No Previous owner of property reAl e-7" ® f~'YSd ./J Total size of property Total size of parcel S,2, 7 Date parcel was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house) ? XYes No Volume EF:J' and Page Number 5'7 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. ".X?lz , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Signature of Applicant Co-Applicant Date of Signature Date of Signature DOC-UMENT No. WARRANTY DEED THIS SRACE RESERVED FOR RECORD-NO DATA STATE IAR OF WISCONSIN FORM 2-1982 .443;17 . F'.x 537 REGISTER'S OFFIC,r ST. CROIX CO., WI ERNEST C. - .PETERSON and VANGIE PETERSON, ReC~d for Record husband • .a .-nd. _ w _ ife . . . . NOV a2.1988 Grantors... . at 8:30 AA a conveys and warrants to . RICHAFD.. n STQUT_ and J11NET_-... STO.UT.,_as.. survi.vor-ship...mari.tal.-proper.ty................. $'Iftqlster of Deeds Grant.ees....... . RETURN TO i the following- described real estate in ._..S-t._.-CrQi_X.._..._ ...............County, - - - 1 State of Wisconsin: The S of the M04, and the M4 of the SO,- and Govt. Lots 6 Tax Parcel No acid 7, except tmo parcels recorded in the Office of the Register of Deeds, St. Croix County, Wisconsin, Vol. 300, pg. 204, and Pg . 553, all in Sec. 26, T30N, R19W, Town of St. Joseph, St. Croix County, Wisconsin, further described as follows: Colmlencing at the West ; corner of said Sec. 26, said corner being the point of beginning of this description; thence NOOD42'53"E along the West line of the NWI-4, 1304.60 feet; thence S89°28'43"E along the North lines of the SW; of the mlh and Govt. Lot 6, 2040.76 feet to a 1" iron pipe located N89028148"Fl, 13 feet more or less, from the water's edge of Bass Lake, and is the beginning of the bander line along said Bass Lake; thence S420 51115"E, 411.72 feet; thence S52052'32"E, 169.35 feet; thence S33°36'55"E, 223.90 feet; thence S04035100"E, 34.79 feet; thence S65D46'42"E, 143.47 feet; thence S11D46133"W 114.07' feet; thence S30039'41"E, 181.51 feet; thence S15°54139"E, 279.17 feet; thence S43036156" E, 329.28 feet; thence S21"21101"E, 117.09 feet; thence S04D53'36"W, 479.60 feet; thence S70036'25"W,175.50 feet; thence S87D22'28"W, 176.22 feet; thence S43051136"W, 189.23 feet to a 1" iron pipe at the end of the mearlderline; said pipe being located N89051'27"W, 13 feet, more or less, from the said water's edge of Bass Lake; thence N89D51'27"W (Rec. as East) 183.31 feet; thence S10008133"W (Rec. as N100E), 300.00 feet; thence S00008133"W (Rec. as North), 45.97 feet (Rec. as 33 feet); thence N89054133"id along the South lines of'' Govt. Lot 7 and the NA of the SA, 2414.97 feet; thence N00000117"W along the West line of the SA, 1337.75 feet to the point of beginning, above described parcel contains 165.44 acres including all lands lying between the meander line herein described and the water's edge of Bass Lake, which lies between true extensions of the Northerly line (sur- veyed as S89°28'48"E, 2040.76 feet) and the second most Southerly line (surveyed as N890 This -1.a.not-------------- homestead property. (CONTINUED ON REVERSE SIDE) (is) (is not) THIS DEED GIVEN III SATISFACTION AND CONF'LRNIATION OF THAT CERTAIN LAND CONTRACT BEI'6VEEN THE ABOVE PAIWIES DAM AIT;UST 1, 1978, AND RECORDED IN rim OFFICE OF THE RMISII'ET2 OF DEEDS FOR ST. CROIX COUNTY, WISCONSIN ON SEPMIBER 21, 1978, IN VOL. 531, PAGE 476, AS DOC. .43. 351882. Dated this - day of _ ......e f~ ! e r.. - Is88... G ~A ..-(SEALJ.i~►~~I-vt..(~ -.(SEAL) $-285.00--minus-_$-161.0..0 plc e-e- .iously_paid,/.2 Ernest C. Peterson - - - - - (SEAL)"'".'~ .(SEAL) • _ Vang.ie Peterson AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF ARIZONA } SS. _.__.__.County. authenticated this day of 19._.... Personally came before me this of .C~•£',------------------------ 19.$-13 the aboVp'fiamed - - - - - Pe-terso.n~-- ife. - TITLE: MEMBER STATE BAR OF WISCONSIN w - - .~j _Z.. (If not , . w authorized b - - - - y § 706.06, Wis. Stats.) S to me known to be the person 4-ho executed the foregoin;; instrument and aeknowledg(-O,~ame. THIS INSTRUMENT WAS DRAFTED BY 1~ e~K 8?8 ~a:E 58 Legal Description (continued) 51'27"W, 183.31 feet) of the parcel herein described. AND, except parcels already deeded and recorded in the Office of the Register of Deeds, St. Croix County, Wisconsin, in Vol. 587, pg. 536; Vol. 601, pg. 494 (corrected in Vol. 603, pg. 41); Vol. 735, pg. 635; Lotq. 1, 2, 3, and 4 of CSM filed Nov. 27, 1978, in Vol. 3, paqe 738; and Lots 1, 2 and 3 of CSC! filed may 13, 1985, in Vol. 6, nq. 1523. • ti ~ ~ r • Arrow Building Center Division of Consolidated Lumber Company Stillwater, Minnesota 55082 • 439.3138 IN 2 z a ILI Q QA" ?1 May 9, 1996 Memo to: Whom it may concern: Re: Richard O. Stout Construction William/Pam Powers residence. Please note that the window located in the lower level room designated as the computer room has been changed to an Andersen Casement unit C-135. This window is not considered an acceptable bedroom egress unit. The plan had shown a CW-135 egress window in error. This room is to be a computer room and not to be used as or considered a bedroom. If you have any questions concerning this change please call me at 386-2371. Dan Schneckenberg Serving Wisconsin Indianhead Region and Stillwater, Minnesota area since 1903. i S DDITION 1/4 OF THE SWI/4 AND PART OF GOVERNMENT LOTS 6 AND 7, JSIN ; BEING LOT 10 OF THE PLAT OF BASS LAKE SOUTH. ~ SOU 14 '97- L- BASS OAK w w - - -w N89D28'48"W TRAIL C~ 5.18 2 - OWNER RICHARD 0. 8 JANET P STOUT 1353 AWATUXEE TRAIL z HUDSON, WI 54016 O OD N A~- l LOT O O P 4.47 ACRES N L 0 194,874 SO. FT. Ln W 00 ~ w N ,0- m o 'St CO N89°31'10"E 394.22' 5891031'10°W 374.61 768.83' O Oo O O ~ O w WATER DRAINAGE AREA c W