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HomeMy WebLinkAbout042-1018-70-110 .6 o I .c o I Q c ~ m o O °v3 O o~ Nt d 0 0 ao c C O N N c a m 'o A Y = N © c rn m E c E w, 0 E q O_ N C1 p0 w E 0 3 CL x p N N p N y •O 0Ti :E CD a .C c N O U 7 N y p 'O -p (6 !r N ~p C N E O Op w0 aNi _w a O E a-o 00 i O Opp O C Z C C Z 7 x Fo O C C 7 t9 E 3 LL O p p LL O E O p C C O '0 O D 7 C N c -0 co U fU d co C > w Z E E co U :J O a.7 O Q' It E O` O` Z ~ 41 d d d N a m (L co n I- Z c O c C7 ~ O Z c R' N N Z O C p Z N F- r- O as c I E E U '0 N m N Q) co Of 4) (D N N N C N • I11i CL N s c L O 0 7 0 U O Z m z 2 Z Z Z a O E H E E N o a E ~ N LL co O. O G it M (D N d N co N d i N 0 0 0 O It a o (L N 0 0 d 1o It ~ O O U') 0 E CD Z> F- I- I- 3 O O N N 3 3 3 E 3 3 3 a- L z o o IL CL IL (L CL CL CL o 3 O N x O O tD CO N N J U Q) CO CO z X rn rn } c > o o c o Cl) C, °o rn p_I Q C p C.' N T N L O O > E O CO O a L N r U7 O C Y N co N C LO ~ N N D o -8 ° a ca w O O O C' N C CD C O E (D O o ao 3 N o x 0 0 0 0 YY mc a~ c c c c a c n- o 0 0 0 H N •E N O N c'tl N N N N I \ W v O ° N 0 ~n C N E O cfa O I~ N U') Z f.- 0) F C CD 2 Q 04 :D 0c) H N N f0 E U >co j 0 0 N O O N to O • y'~~ O O> F- O Z I-' H N O N U) r (D CL CL ° L; a w a • es a m t d c a y c `1rr1 E ` 'c c A 0 m 2 O fA 00 0 N U H p °60-:~ v Q o a ~ I o I 0 N N ~ I obi I I i ~ I o Z c li c 0 c 3 E (D f6 ~ 3 w E I I- 1- Z a m N o I o z a w - m z z to F- a~i E -o 2 Cl) N I Q 2 z z O w N z a) d O N N E a a - o h 0 M N m N D D d m C. E (D O 5 5 5 EL LL Z •N ~aaa ~a a y ) N } (n J V 0 CD CD rn rn N O M CO O O O m > o o E o Q m' a N n l L N m Cl) LO d Q } cn o 10 ~j O O O O ~ y C Q Q MI) O d X 0 CO T F a O O C 0. C C' O O V N -O N N O OC6 H 0 O p ] n fl. N d LO 01 t 7 co w N H C N M CN fV fp im 00 N L •Q O O H N O Z c U) w d M € as • 0. 2 d a d' `Iv E 2 c c S C) IL 6 Parcel 042-1018-70-110 02/01/2007 08:36 AM PAGE 1 OF 1 Alt. Parcel 07.29.18.110A10 042 - TOWN OF WARREN Current `_X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - HACKBARTH, JOHN C & JUDITH A JOHN C & JUDITH A HACKBARTH 967 105TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description 967 105TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 7.100 Plat: N/A-NOT AVAILABLE SEC 07 T29N R18W PT NW SE LOT 1 C.S.M. Block/Condo Bldg: 7/2090 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 07-29N-18W Notes: Parcel History: Date Doc # Vol/Page Type 06/28/2004 767173 2604/498 WD 07/23/1997 984/363 WD 07/23/1997 842/48 2006 SUMMARY Bill Fair Market Value: Assessed with: 149060 317,400 Valuations: Last Changed: 07/20/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 7.100 54,800 176,800 231,600 NO Totals for 2006: General Property 7.100 54,800 176,800 231,600 Woodland 0.000 0 0 Totals for 2005: General Property 7.100 54,800 176,800 231,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 316 Specials: User Special Code Category Amount 018-RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 V , ox ooi ca D=U e~ ~ cam; o CERTI f- I ED SURVEY MAP MAP NO 1859 "''`PA1 NW 1/4 SE 1/4 AND NE 1/4 SW 1/4 SECTION 7, T29 N - R IS W WARREN TOWNSHIP gw T. CROIX COUNTY WISCONSIN D z o o HN BOUGHTON, OWNER ROBERTS WISCONSIN 01 ;z BEARINGS ARE ASSUMED AND REFERENCED TO THE Z a " EAST - WEST ONE QUARTER LINE, SECTION 7 cn UNPLATTED LANDS 0<c Z - BEARING N89049' 131% W w N 00°42'01 E vlsrH LINE. 796.26 LEGEN D 3 2s'9 g oy° - - - EXISTING IRON BARS, III/ "DIA. 90.0 '00 n 0--_ -1" X 24" IRON PIPE, SET LOT ®rn N WT. 1.68 LB. PER L. F. .d. U oo) r• ° 300 soo r 900 W z w 25' °0•, - o SCALE: I"= 300, " W O 2 00 N AREA, LOT 1: 313 ,9.14 SQ. FT E, 14.00' 0 7.206 ACRES t6 CO 0 EXISTING I" IRON BARS M fn w V tD CSM VOL. 2 P 435 z co w r- 0 w S 00° 3700" W, 50.00' z w x w W 1 M~ I °o o° > I z Q l ° o (fin I a ~ N~ 11 a) 0 1 z I-CO OD M =1 co 46 01 z ^ co ° Z fn 00 to - DO" V (n m a►A _ ec. N 00° 37' 00 E _I N 000 37'( E I S00°33'47"W 166' 5844.32' w 269 Tl- 48.11' EASEMENT M REF. LINE N 0 10 1,9 10 IZe9' 'min CSM 1A v - - - - a^ t 1318.67 ff ° 200 raw EXIST. 35' ROAD ESM'T. 1 N 00" 35'47 " E " 33'-~ m 48.11 -~s- - - - - - - - o NOTE : AN EXIST. 35 EASEMENT PLUS AN ~?s Rec. S 000 37'00 W b 9 a ADDITIONAL 13.11, FOR A 48.11 'EASEMENT d°M 3s' ir BY WRITI N DOCUMENT. VOL. 786 P249 LL~O a~ UNPLATTED LAND z ~~®QiyO®C~4g8~~! - z, \90 0. JV 93 \ r I I U-j .0 2 _I ???'B I B .O11N \ I I MI ve) r~~ ova -lo IT 7o lr~B~1 ~1a~,a a sIyL 71zo9U` 0l1 a-Fors-7o -i v-.1Q~7 00 L') 4,4- &1) 44'7:331 CERTIFIED SURVEY MAP PART OF THE NW 1/4 SE 1/4 SECTION 71 T 29 N, R ISW WARREN TOWNSHIP ST. CROIX COUNTY WISCONSIN OWNER' JOHN BOUGHTON ROBERTS, WISCONSIN E 1/4 COR. SEC.7 • (EXIfTINO COUNTY P/4 MONUMENT) kD ~ i SCALE = I" a 200' 9 qp 200 190 9 200 400 q FS NN41, c ea 3 5 M BEARINGS ARE REFRENCED TO THE E-W 1/4 LINE 4*7 I °j SEC. 7 AS ASSUMED N89.49* 13"W 2 SSA/ V ~ P /~sQ ~I POB N0004 200E 793.25(Rec.) LEGEND N01°17'33"E 793.46' Be'O1 727.45 _ p(--EXISTING 1'411" IRON BAR O--SET I" x 24" IRON PIPE 3lox~_j0 qvI w WT. 1.68 LB. PER L. F. 66' N- •--EXISTING I" IRON PIPE ~M LOT 1 10 c}' AREA = 309,230 sq. f t. / 710 cc. (Total W o K1 APP ROM M 2 280,909 sq. ft/ 6.45oc. (Net) M K H Z cnP 2 6 198 W 57. C poly. Cmy 115.95 cxx„ ,~1^yKy~~-,~~iv3+I~y~p14'~E/:lPA(5~~e/R!yRA~1 NW- ANO ~:\~ANG ~✓6JIr1'D'W ~ lE 66.01 607 7 33 S00°42' 38"W S01°17 46 W 706.79 82.95 I I I W SO 83.OOQO"W(Rec.) 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AO NO I .Ld.LN3S3Hd3H 10SHHO0 aNH 3n8l V S l d`dW S I H.L NO NMOHS IV Id 3HI "a38 I 80S3a AlH3dOHd 3H.L a3dd`dW aNV a3A31 mns 3AVH I ' AINEdOHd S I H.L .30 83NMO ' NOGLH0f108 NHO f AO N0 1 103M I G 3H.L a3GNn QNd .30 USCHO AS .LHH.L A3 11830 A83NEH `N I SNOOS I M d0 31VIS 3H.L NI 03831S I DEE 80A3/1 ns aN` 9 9VNO I SS3AOHd V `VDN3NN`dN 'M A3I HG3HA 'I 3.LH0 I d I IHSO SHOA3AHnS 'M..£T.6+7o69N Pewwnssv see L uO'409S Pies ;o aut l -de4j enb 4s9M-4sv3 944 04 pedJe;ed edge slut dea8 • pdooed ;o saoueAanuoo do .Bern 3o s442 t d 's4uewes-ea l le pine .Cure 0-4 goeCgng •~erh ;o 44211 pvod 2utpnlout •oe OT'L JO '43 •bs O£Z`60£ sutuTequoO ' JN I NN I J38 .30 .LN I Od a4'4 O^4 6991 '2d L 'lOA 'W'S'0 Pies 3o eutl }saM a44 2uole (Iaa; 9Z'£6L `3„00.c,'7o00N VB) 4aa3 9i7'£6L `3..££.LToTON 80u84l !699T '2d L '10A 'W'S'0 pies ;o daudo0 gsamg4noS 9144 04 '}9a; LT ' (3„00,£Zo59S VH) 3..ZZ.LT069S 8ou94l 4 ea 3 96' Z9 ` (00 ' 08 ` M..00 . LE o OOS v a) M,.9£ . zto OOS aoua41 : pVod agSA I Jd Pies 10 eutldaluao a44 2uol'e 4ea3 +7£'t✓9 `3..OE.5T069S 90u841 peoJ 84 en t dd e ;o eui l dalueo a4•} 04 4893 6L'90L `M.,9b.LTOTOS 90Ue41 =L u0140aS pies ;o suil-de4jemb 4seM-gse3 a4j 2uole- -48a; L£'L6£ `M...£T .6t7069N Buinut-4uoo 90ua4,l, IJNINNIOSe AO INIOd a4q pue 699T '2d L *10A 'W.S'0 3o JauJoO ls8mglJON 94'0-4 L uotjoaS pies ;o eut I-da4denb -4.saM-45'e3 944 2uole gea3 TT '999T ' OuTJeag pewnssy) M,.£T.6bo69N STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER_ ADDRESS 7 AP -elt - ws S -vm-j.> SUBDIVISION / CSM# yy731 LOT SECTION___;7_T21! N-R- ZL W, Town of 60'/A-XAMA) ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ow s6~~ ~Z M is0 r 7 /,Bay C/¢G• S 1 A"e4 v ro INDICATE NO H ARROW Provide setback and elevation information on rver e of this form. Provide 2 dimensions to center of-septic tank manhole --cover.- / f BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION . sT. ~Dd Manufacturer: 4/450/4) Liquid Capacity,,-4 ~ Setback from: Well > /,S"o House /S4 Other Pump: Manufacturer Model #Zvyo..Size r3 Float seperation Gallons/cycle: 3/ 7 Alarm Location SOIL ABSORPTION SYSTEM Width: Length f y Number of trenches .2- Distance & Direction to nearest prop. line: y /mp Setback from: well: _;V& i House ;P.2oy Other ELEVATIONS ~y -~'`iCJ• Building Sewer ST Inlet: $AJr ST outlet: PC inlet-g-7,34 10, PC bottom 1Z 2r- - Pump Off _ Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: 0 PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR' I) rN AO~ Latror-an a e Industry, PRIVATE SEWAGE SYSTEM County: Sfj Relations Safety nd Human ty and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: alp Permit Holder's Name: ❑ City❑ Village Town o : State Plan ID No.: ale CST B1VI Elev.: Insp. BM ev.: BM De cription: Parcel Tax No.: TANK INFORMATIO ELEVATION DATA Najd f°n-~~; e. TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark eL l11c). (0 Dosing Aeration-_ Bldg. Sewer Holding--- St/ Inlet r ~21' TANK SETBACK INFORMATION St/ Vt Outlet x'06 TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet O rl Septic NA Dt Bottom, Dosing NA I/ Man. Aerati NA Dist. Pipe ~ 3, Holding Bot. System '7 `0 PUMP / INFORMATION Final Grade ' Manufacturer emarid -77' Model Number 70`" S r TDH Liftla,t,.31 Lriction Systems TDH C,,~UFt Forcemain I I Length j Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED / Width r Length,// No. OfJrenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 7~ I DIME I N SETBACK SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHING gcturer: INFORMATION Type O CHAMBER Mo a Number. System: rylc~,tic( ~SDE " o T~ OR UNIT I DISTRIBUTION SYSTEM Manifold * Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake 2L 11 3(o , 1 I a i Length Dia. Length $O Dia. Spacing y$ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Z , . . ~ / ( T~; is ' d,,• , A t`F.. y,1~ ~c G/ jaw /,l¢ ~ u r ~ ~c. ~7yz.~ir~ ' C'Gr~!.Q / .l~c✓Je' ~-Y~' a 1 W ~ Plan revision required? ❑ Yes 13-14-0 Use other side for additional information. k 1n:31 p( SBD-6710 (R 05/91) Date Inspector's Signatu a Cert. No. ADDITIONAL COMMENTS AND SKETCH . SANITARY PERMIT NUMBER: Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems 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 8112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number R&?6 7S The information you provide may be used by other government agency programs ❑ Check 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 wrier Name Property Location kyla 1/4, S T , N, R E ,v it'A'Ac Prop Owner's ailing AddL&" Lot Number Block Number Cit State Zip Code Phone Number Subdivision Nam r M Number a13 ( - s II. TYPE F BUILDING: (check one) ❑ State Owned ❑ it Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms ❑ rowan OF O III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 0920"' - ~I 4 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. 0 Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. Q Repair of an --_---System .--.....System -___-Tank Only Ex(sting -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 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (s q. ft-) (Gals/day/sq. ft.) (Min./inch) Elevation 29 . Feet Feet TANK' Capacity VII. in gallons Total # of Prefab. Site Fiber- Exper INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks Z;a Septic Tank or Holding Tank • El ❑ Lift Pump Tank /Siphon Chamber s El El 0' E VIII. RESPONSIBILITY STATEMENT 710 A ZAP 2,rr,AAV /1V%Wj;r 7W 1', the undersigned, assume responsibility for;#`Ar i o 0 g a shown on the attached plans. Business Phone Plumber's Name: (Print) Plumber's Signature: ) #P/MPRSW No.: Number: PI is Address (Street, City, State, Zip ode): Q AM JaU2 IX. COUNTY/ E ARTMENT SE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing Agent Signature (No Stamps) ~Approvecl F1 Q# Surcharge fee) Owner Given initial ct'rl' 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 maybe 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 8 112 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; replacerent 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. SAFETY & BUILDINGS DIVISION f 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 State of Wisconsin Department of Industry, Labor and Human Relations August 16, 1996 201 East Washington Avenue P. 0. Box 7969 Madison WI 53707 ULBRICHT & ASSOCIATES ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN S96-03017 FEE RECEIVED: 180.00 TAGUE, DENNIS NW,SE,7,29,18W TOWN OF WARREN COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number `shown above. S' cerely, ran Quinlan Reviewer 6gf3PP53vate Sewage e tjo2 oR~ SUDA-6826 (R. 1(/84) ULBRICHT & ASSOCIATES CO. 655 O'Neil Road • Hudson, WI 54016 Reg. Designers of Engineering Systems 715-386-8185 Private Sewage Consultants PROJECT INDEX DILHR PLAN ID # S96-03017 DATE Aug. 16,1996 OWNER Dennis Tague PHONE 715-749-3541 ADDRESS 967 105th Ave. Roberts, Wis. 54023 LEGAL DESCRIPTION Tax. Parcel #040-1018-70-110. Lot#1, CSM 447331, Vol.7, Pg.2091. NW1/4, SEl/4, Sec.7, T29N, R18W. COUNTY St. Croix TOWN OF Warren CSTM David Fogerty CSTM3233 LOCAL AUTHORITY/ SUPERVISION St. Croix County Zoning Dept. PROJECT DESCRIPTION: An existing 4 bedroom home has a failing in-ground drainfield (approximately 6 years old). Estimated daily wasteflow is 600 gals. Per investigation by the CSTM, it was determined that the failing drainfield lays within 36" of massive sandy clay soils, and that this contributed to the early failure of the system. The replacement area tested also contains massive sandy clay textures at 55" and the CSTM is indicating the use of a mound system. A long narrow mound system using 12" sand fill is proposed. The existing drainfield, sited within 36" of non- conforming soils shall be abandoned. NOTE The installer shall inspect the existing septic tank prior to the issuance of a permit, and to the satisfaction of St. Croix County Zoning Dept. certify on prepared county forms, that the existing septic tank is code compliant for size and condition. If less than 1200 gals. a new second septic tank shall be added in series in order to provide a total capacity of at least 1200 gals. ECFjVEp Soils in the upper 24" are very permiable (.5GPD/ft2jR. av~ ~ s 199s SAFETY & BLDGS. DIV• Pg . 1 PLOT PLAN VIEWS q~a~rn~ Pg.2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEW SPE SCQNp~, Pg.3 PIPE LATERAL LAYOUT r Pg.4 DOSING CHAMBER CROSS SECTION 11Iw. = Pg.5 PUMP PERFORMANCE SPECS _ U L t HUDSON, MI.: ALL NON-CONFORMING TREATMENT TANKS SHALL 6 4 BE ABANDONED PROPERLY 4 S j r,1A W N ~ m o N O ~ -0 C-.1 Q O m mcn vx ~ Ze cr o cn o, as o 00 ' c 'b rn x cn , vcnon~ \ O x _vs ts- is a ~ \ a ;m 4c=lb ~c"no~ O Q vn20mv O Cub n y o n o C= M cj 7O --i cra=mc° = _y z T+ z ~o N 0 e c'o -~aCa C° I ~ O o cm 401 I i i C3 / Z at S FCI?C)SS SeCT10,kj OF M4Uk3D wi rti T3ED Oen OF % ro i" A33et-5ATF 1~ISTRi(3uTto~ G', rNickaE'ss PIPG-- op ro s ys rEM S o (l P ~'IEVArio~1 UmiFoRM TOE E F 'cc PAlf0 tt p- L). e , ~9 Plowg~ ToP$O1~ 1 uu FORM 5- % Stop ~oR~E Et~Vl1T~o~ U~sDER Mhi~ REP 40 FT - ELEVArioi,) s / R o Fr. iNVERr of Z IATsP/41 S . 85 FT• F • Top o F R ock G I. o FT, , .21 H I- S FT, Top OF IATERAIS 2- 00 - F ('LA N VIEW oF MouJJD wi rtt 13E ;D F°Rciz MAW A Cv Fr. Fr k /v Fr ---------a 16Fr w FT F r ~ w r o W 7-0 F r Be L? OF To PVC- cgPPsv D w w w -r. r 3 o4 5 - Di5TRI f3uTI oA~3 PIPE N E Tw oR k LAydv'r' To 75f / tlOl k44 IV,,e~wal .2-6. 2- S-e-f5 _ P R -r o p 90 Fr R 3 Fr WCHE5 FORCE MAi►v - --Fr of . Z' PVc s VARi*A(3LE TOTAL. V(9tD Valu)Ie GAIS ~iSTANCLm H oIE Di-ArteTE I R INc H ijS L hTERI~~" " Z- INck{~S MAWF-OLn Z ~Ncf{t;s Fopce- MAw 2 IucNES 4P OF HOIE5/pi PE INVERT ELEOATIok) o F- L ATE RM S f! P. /a 'D E TA' L-- END CAP (~E R Fo R RTE P' P E C-L) .~-J PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS Pi4GE -f of )C -VEUT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE COVER 25' FROM DOOR„ JUNCTIOU BOX IA13E/ WINDOW OR FRESH 12"MIU. AIR INTAKE I A E. ~~E U,17/O n/ GRADE 4° MIN. Z-- ~ 18" MIAI. q.0 CONDUIT ~IEU1r>ov ~ 90.0 111 IN LE T PROVIDE I AIRTIGHT SEAL I III I II APPROVED JQINT A y I P K I I I APPROVED JOINTS \J/C.I. PIPE IN~~r ,~OI~ I III W/C.I. PIPE EXTENDING 3' '00~ I II ALARM EXTENDING 3' OIJTO SOLID SOIL. B 1 I II ONTO SOLID SOIL ON g° LLEV. FT. ~ PUMP--_ OFF D ~.Q y ~E DOW is N k BLOCK VA f iO,J RIStR EXIT PERMITTED OULy IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFI•CATIOUS DOSE y f TANKS MANUFACTURER: IJUMBER OF DOSES: Z PER DAy U TAMK SIZE: /Od GALLOIJS DOSE VOLUME /^7 317 ALARM MANUFACTURER: S. f. 0,#-c4R'O INCLUDING BACKFLOW: GALLONS MODEL A)UMBER' ?XA4L '1441&V T CAPACITIES: A= -7-0 INCHES OR 4e2lD GALLONS SWITCH TYPE; Aaeo)e 1 F10.i~ 7 - g = 2- INCHES OR _~_,_Z16 GALLONS PUMP MANUFACTURER: _G'ac~1 5 ~ ' `i D C = 7T Z IAICHES OR ~ GALLOAIS MODEL NUMBER: R56-- &,To IC1,4 A HP D= INCHES OR =~-f- GALLONS SWITCH TYPE: PliY6A0k AW,(ORy F/0.47- NOTE: PUMP AMD ALARM ARE TO BE MINIMUM DISCHARGE RATE INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND I TR IG x N PIPE.. FEET --r A) S'Ptcs r- ~Ak 4- MIIUIIMUM NETWORK SUPPLY PRESSURE , , , 2.5 FEET 6ACGA„ k Tod j9 P f . -4- A/ FEET OF FORCE MAIN X 3'2-7 F 00Fr.FRICT101J FACTOR..3 FEET /~vr'S Z Q TOTAL 09MAMIC. HEAD = 17907 FEET ~/S• Rov~vD Q INTERNAL DIMENSIONS OF TAUK: LENGTH ;WIDTH .;LIQUID DEPTH O Submersible Effluent Pumps 3885 AVAILABLE CERTIFICATIONS ETL LISTED SUBMERSIBLE PUMP CLASS I AND 11 DIV. 2 AND c[ CLASS 111 DIV. 1 AND 2 ETL TESTING LABORATORIES, INC. CORTLAND, NEW YORK 13045 G1086131480 CANADIAN STANDARD ASSOCIATION s`) PERFORMANCE RATINGS (gallons per minute) MODELS W WE0511H WE0511HN Series HP Volts Phase Max. Amp. RPM Solids M. (ibs.) series WE0512H WE0712H WE1012H WE1512H WE0512HR WE1512HR WE0311L 115 9.4 No. WE0311L WE0311M WE0532H WED732H WE1032H WE1532H WE0532HH WE1532HH WE0312L 230 4.7 WE0312L WE0312M WE0534H WE0734H WE1034H WE1534H WED534NN WE1534HN 1750 56 MP % %3 '/2 3h 1 1'/i '/2 1'/2 WE0311M /3 115 9.4 RPM 1750 1750 3500 3500 3500 3500 3500 3500 WE0312M 230 1 4.7 5 100 70 80 90 106 - 60 - WE0511H 115 13.0 10 80 65 76 87 102 112 56 84 WE0512H 230 6.5 ~ 15 60 57 72 84 100 108 53 82 WE0532H 208/230 3 3.4 i M-3 6 45 65 79 95 105 48 77 WE0534H ' WE0511HH /2 115 460 1.7 13.0 60 25 25 59 74 91 100 45 75 WE0512HH 230 1 6.5 w 30 50 67 85 96 40 72 35 40 61 79 92 35 7p WE0532HH 208/230 3.3 5 WE0534HH 460 3 1.65 3. 40 26 52 72 86 30 67 /4 45 10 43 64 80 25 64 WE0712H 230 1 10.0 " " - WE0732H 1Y 208/230 5.4 _50 30 54 73 18 60 3 3500 ~55 17 42 65 12 58 WE0734H 460 2.7 70 6 30 54 3 54 WE1012H 230 1 12.5 ~ 16 40 51 WE1032H 1 2081230 7.0 65 65 5 26 47 WE1034H 460 3 3.5 70 75 14 43 WE1512H 230 1 15.0 80 4 40 WE1532H 208/230 9.2 90 33 WE1534H _ 460 3 4.6 80 WE1512HH 1 ~ 230 1 15.0 0 5 WE1532HH 208/230 9.2 110 120 5 WE1534HH 460 3 4.6 - - - -N metal parts, BUNA- elastomers. METERS FEET • Temperature: 1600 F (710 C) so maximum. ; mm MODEL 3885 • Fasteners: 300 series 25 80 SIZE Solids stainless steel. WEt f - • Capable of running dry 70 without damage to 20~ i { f 5GPM components. c 60 i " 7 E0 5 I 1 Motor: a Wisconsin Department of Industry, SOIL AND SITE EVALUATION Page of 2 Labor and Human Relations .r piv'tcbim 61.9afety and Buildings in accordance with s. IL 9 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan County include, but not limited to: vertical and horizontal reference point (BM), directio n T percent slope, scale or dimensions, north arrow, and location and distance to n road. IR arcel I.D. # JUL APPLICANT INFORMATION - Please print all information. ST "Owed by,,N Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15. ( ~N-Ty r„ Property Owner Pr pVI~~3 $~Gr E Govt. f/4,S T N.R E (odg) Property Owner's Mailing Address Lot # or CSM# 9.611 I- zle )'!!"V" / voL .2o s City State Zip Code Phone Number T 14earest Road V/ & sr Y J10.23 7el? - Sy/ ❑ city m New Construction Use: Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow yS_"o gpd Recommended design loading rate bed, gpd/ft2____k_trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 ~trench, gpd/ft2 'n~ y (as referred to site plan benchmark) Recommended infiltration surface elevation(s) ft Additional design/site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U= Unsuitable for system ❑ s Elu ZS ❑ U ❑ s V1U ❑ s Z u ❑ s O u ❑ S El U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. RCF Bed i Trench as '5- Z _I-- sL c 3M .G Ground 3 12 7 _:1 o_ 3 - C L d l`50,& IVI r w . elev. - - , • D Depth to g - 319e All - S E EX- limiting factor POD tiro Remarks: AL? -207- C 1XZ(- Y 7-t611 T Boring # 7 o / L = z S C U Z 2 p?Z 6 L ' IZ C S Lo 3 3 i - SL f F 5 /A L, . B Ground y . J- 5 O d:f L S - .7 elev. F/-4-ft. . Depth to limiting factor L L 071, Remarks: CST Name (Please Print) Signature Telephone No. h~r/_ ► 7 - GSA Address Date CST Number 33 0.2-3 6 ~o /30 /2o/T~ T~ t PROPERTY OWNER !]e`~/+/-r1' i/i C /.E SOIL DESCRIPTION REPORT Page 2-- ' of _7___ PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Structure 2 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 7 ~ r a p CD 2 - S'- SL D G L Al .!o -2 AA Ground S J elev. - -s ~S C_ ZVI Fr_ p Depth to limiting factor j0f._~_ 4K*- Remarks: Boring # S 007,E I ,v 7 A/ s ui S I-Ground O elev. ft. L . Depth to limiting factor a ; 4 in. ` h' marks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. ' Depth to limiting ; factor 'n. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) i ~ a a lk r ~ v d b 4 ~m \ b 2 P s \4:g o ' w s ~ E ~4'd o I i STC-10> SEPTIC TANK MAINTENANCE AGREI~,M1'.NT St. Croix County OWNER f*`f9 Z A&ea-; MAMNG ADDRESS -f'7lps 'o4t/49 PROPERTY ADDRESS s~Alf (location of septic system) Please obtain from the Planning Dept. CITY/STATE Aogg"jZm C.C . yz.) .3 PROPERTY LOCATION JVW 1/4, 5~ _ 1/4, section _ 7 T2 N-R TOWN OF l~f4ieZ,L~it~ ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAPS ~33l, VOLUME_7, PAGE, ?,9 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 ust be completed and returne the St. Croix County Zoning Officer within 30 days of the three yea ex iration date SlONl~D: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 1 1/93 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 ~nm,5 -Z?&e&4 Location of propertyu) l/4_1/4, Section TN-R_1F_W Township &e2!f ~ Mailing address 9-.T? 4a.S-7.3 rg Address of site- Subdivision name Lot no. Other homes on property? Yes_J,-"' No Previous owner of property dGr wx T,ec, Total size of property ~S- Total size of parcel Date parcel was created ( QS~ Are all corners and lot lines identifiable? ✓Yes No Is this property being developed for (spec house) ? Yes No Volume and Page Number O(3 _ 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. *25"® , 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 offic of the County Register of Deeds as Document No. of ignature of Applic t Co-Applicant q,, 3-o y T& Date of Signature Date of Signature I 44'733, CERTIFIED SURVEY MAP PART OF THE NW 1/4 SE 1/4 SECTION 7, T 29 N, R 18W WARREN TOWNSHIP ST. CROIX COUNTY WISCONSIN OWNER, JOHN BOUGHTON ROBERTS, WISCONSIN 1 1 Et/4 COR.•SEC:T 1 F~~~i. • (EXISTING COUNTY CCO MONUMENT) SCALE: I" a 200' 9 40#, l 1116 L /NE 200 IQO Q 200 4 QO Ae;A": 0, `dot ofp F([ 3 47 BEARINGS ARE REFRENCED TO THE E-W 1/4 LINE 04, SEC. T AS ASSUMED N89°49' 13"W 2 _I SSA/ VOL.7 P. 1839 OB N00°42r00 E 793.25 (Rec.) LEGEND Z-' - N01017'33"E 793.46' EXISTING I'6" IRON BAR ssol 727.45 N " O--SET I" x 24 IRON PIPE w WT. 1.68 LB. PER L. F. 66' N- *--EXISTING 1" IRON PIPE MNti LOT I M WtiK) ww I- AREA=309,230sq.ft./7./Oac.(Toto/J g 0~ ti APPROVED 0 0) ~ 280,909 sq. ft. / 6.45ac. (Ate t) OD APR 2 6 1989 CD M z o cn ~ W w~ Z X ST. _ _ y 115.95CON VEIZONINC)OOANNM 66. - 60778 - 331 S00°42' 3811W S01017 46 W 706.79 82.95' ' I I I l1J S00037'QO"W(ReC.) 1 10 83.00 UNPLATTED M I ~ ~ Ip (n I O H I 1 ~ 00 W I I 1 N I We; 1 z~ ~ Q' A gN I N-S 114 L /NE - - - __~_(I e~°~"~"~',r. •..Nw....`" v. W 66- e rte,,=t~ED W. ffi i \ \ I v - iJINEN 0 \ 3 ~~yyAA~~~ W 1 \ ~.orv S!J! 46113;., -t ' DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA 492506 I~STATE BAR OF WISCONSIN FORM 2-1882 -VOL 984?gE 363 REGISTER'S OFFICE St. CROIX Co., W1 Ataal?e..R..-Via.hl.axed.Soren.K,..T Reed for Record w'a. aS. - SUC'vivorsl?iP.. il>a itsl.. b'"~~ DECOT IM 8:30 A. conveys and warrants to ......1~Y1I13S_.Ia...T3~:__~.~dl',j.T..-78' ..---husband.-and wife-- RETURN TO _ S`t • Croix County, the following described real estate in State of Wiwonsin: Tax Parcel No: 07 70- //O Part of the NW% of the SE% of Section 7, Township 29 North, Range 18 West, described as follows: Lot 1 of the Certified Survey Map filed April 27, 1989, in Volume "7" of Certified Survey maps, Page 2090, as Document No. 447331, St. Croix County, Wisconsin; TOGETHER T+iIM a 66-foot access easement as s.'Liown on said Certified Durvey Map. ~~NSFE~ s_~.o FEE ` ~r r his ....IS homestead property. (is) (is not) Exception to warranties: easements, restrictions and r hts-of-way of record, if any. Dated this t_ day of December 92 19 - &V ~ (SEAL) (SEAL) Duane R. Thdahl Soren. K. Tudahl (SEAL) s • Y AUTHBNTICATION ACSNOWLBDOMBNT Signature(a) STATE OF WISCONSIN - w: - St. Croix County. _ r authenticated this ---..-.-day of is Personally came before me i s ----..day of r emmUDee y~ , 19._--.. the above named - - ----Duane -A; •Ti:ida.FlT; -~orena-R: - - TITLE: MEMBER STATE BAR OF WISCONSIN (If not- rized by by 1706.0% Wia. State.) to me known to be the person s.......... who executed the f mg instru~(pp\~ and ackn edge the same. THIS INSTRUMENT WAS DRAFTED BY * - ~ \ ~A l r eL A s L ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the--D Zh1 rA ~S ~G!;t 9-- residence located at: 1-4 ~T (A) L Section -I , T_2!~j N, R W, Town of \ tC t"t Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced: io Did flow back occur from absorption system? Yes No (If no, skip next line) Approximate volume or length of time: gallons minutes Capacity: j CD C~-,C:,- - Construction: Prefab Concrete Steel Other Manufacturer: (If known): Age of Tank (If known): cc_. (gnature) (Name) Please int (Title) (License Number) to(C~ k6 Date Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR 83, Wis. Adm. Code (except for inspection opening over outlet baffle). Name Signature MP/MPRS