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HomeMy WebLinkAbout014-1041-80-000 Q o CD 0 0 Our o m I p C o ~ I I o ~ o ~ x M 60 a, ~ Y C C ~ q' O J I O O co 6 m m O C Z O I w 7 (0 U LL C 10 C :to-' U7 E Q S E a 3 M v ~ Z y to W G O Z y d m m w a rn F- U) c I o N O O 2 d' O U I 0 O Z ? c U) I- e- ~ N Cl) Z N E -a O ~ M o cu E • N N I p C O ~ 0 O O Q Q r 2 Z Z o N Z 'I y c N N O m £ N N co ` 3 O ICI d d N r1 a U a z~ C O ICI 0) 0 oca I N 0 Z N> F F- co _ N LL O N 3: 3: 3: • ~ I, a a a Z II E a w m 0 LO U.) N N J U N a)~ N 65 O O O - -s E N M :3 N m N d 04 .6 cu *Ali III N Q (D ~i~l O U) Q ,V O N C Ol w O CQ C? Q< O L) O O OI rn O OD 0 3 E o n n n 3- O 1? E E N H N N C O O 3 N N CD F- > M CR N E E+ U Cl) ~ I I r~ ~ ix w E I V~ y m a v O. (L fl 'E 7 A u a ll, 0 v) V Y STC - 104 AS BUILT SANITARY SYSTEM REPORT T.° OWNER -`~~'l/f ADDRESS f SUBDIVISION / CSM# IlQ~T SEC`15ION~T N-R_~X W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM Q yo' Hof 1110(llUd ~►k (4o, INDICATE NORTH ARROW D i Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: P/!tZ ~/l/,KJO~s~//~ ~/-Z~/~i ~/I/~F 0•~~~1~~ ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: aG/.! / 7! Liquid Capacity: /Oc~ lpC~p Setback from: Well House Z~ Other 9411fQoP_ / Pump: Manufacturer >gG Model#~ Size Float seperation r3 Gallons/cycle: Alarm Location :SOIL ABSORPTION SYSTEM Width: e Length 7 Number of trenches Distance & Direction to nearest prop. line: &9 / Setback from: well: /O House /Zo ` 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: 5 ~ 7 f PLUMBER ON JOB: LICENSE NUMBER:s INSPECTOR: 3/93:jt i Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor d Human Relations INSPECTION REPORT ST. CROIX Safety fety and Buildings s Division 'GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No-: Permit Holder's Name: ❑ City ❑ Village ❑ Town of: State P) WIENKE, TIM & MARY X CST BM Elev.: Insp. BM Elev_: , BM Description: Parcel Tax No.: Zl ,cd ~2 ,lam p, s J_t_ - TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic C l Benchmark f d' Dosing 14 C~,~ ?7 Gr, (Xkl~ a.6 C tJ i N 8 Aeration Bldg. Sewer / St Inlet -7(,7 / 6D/ TANK SETBACK INFORMATION St/#f Outlet ;7 r TANK TO P/ L WELL BLDG. Venttc ROAD Dt Inlet Air Intake Septic y S aJ NA Dt Bottom Dosing NA Header / Man. Aerati NA Dist. Piped Via' 9~• ,f r Holdin Bot. System SUMP /SIPHON INFORMATION G Final Grade r Manufacturer ~Zo_/<" Demand Model Number GPM TDH Lift Friction System TDH Ft oss Forcemain Length Dia. H ' Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width , Length No. Of Trenches PIT No. Of Pits Inside Dia. DIMEN I N Y DIMENSIONS M SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING adurer: SETBACK CHA INFORMATION TypeO n es >,~n Model Number: tl System: S'' `~/Odd YI7- OR'UNIT DISTRIBUTION SYSTEM I Header/Manifold Distribution Pi e(s) x Hole Size x Hole Spacing Vent To Air Intake Length 6 r Dia. Length / Dia. Spacing 36 G Yl/ 3 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.) -k4 A'S . au~ LOCATION: Forest.19.31.15W, S SE, Lot 2, Highways 64/63 CCC... Plan revision required? ❑ Yes ~co' Use other side for additional information. 5 9 SBD-6710 (R 05/91) Date Inspector's Signat re Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: w Safety and Buildings Division ~G4riR 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. • See reverse side for instructions for completing this application state sanitary Permit Number The information you provide may be used by other government agency programs ❑ Check if revision to previous application lPrivacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name Property Location r tf g ff"I/4 r 1/4, S T 31 , N, R /jrE (Or) W Property Owners Mailin Address Lot Number Block umber City, Statcy Zip Cod Phone umbel Subdivision Name or CSM N mb II. TYPE OF BU DING: (check one) ❑ State Owned ❑ city Nearest Road ) village f E] Public 1 or 2 Family Dwelling - No. of bedrooms 13 own OF III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑Apartment / Condo 014, V~J -(7Q _ v U U 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. MNew 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 ❑ 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 ~j Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) - g edq , Elevation 9-6-0 *V49 Feet " Feet VII. TANK Cain gallons Total # of Prefab. Site Fiber- Ex per. INFORMATION Gallons Tanks Manufacturers Name Concrete con- steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank /00 p /oGY9 ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ ❑ Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility or installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumb Signature: (N amps) FIIYM PRSW No.: Business Phone Number: 11V A" Plumber' 7FI s Addr treet, City State, Zip Code) k~~ I7Z / f/iP Z IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater ate Issue Issuing Agent ignature No am Surcharge fee) Approved I ❑ Owner Given Initial Adverse Determination X. CONDITIONS Of AjP OV~L/ REASONS F DISAPPR~ SBD-6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber r INSTRUCTIONS ' _ w 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. IL 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 in,forrr.ation. Fill in the capacity of every new/or existing tank, list the total gallons; -rumhc r of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Cen:plete fo, a// entic, aump/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 game, 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 suh,wtted to 0e county `he plans must include the following: A) plot plan, drawn to scale or with complete dimension,, locatio i Jf i( 1dinQ tank(s), septic ar;k(s) w other treatment tanks; building sewers, wells; water mains/vvater se-.?r_e, stre,1 s lakes; pump or siphon _anks; ~Jis.r~ )ui,or~ boxes; soil absorption systems; replacement system areas* ar tle !oc:;~ c' the huilding served; P) ho r- i z o i ial and vertical elevation reference points; C) complete specifications'or pLi r~ip> and : onL: ols; dose volume; elevation differences; friction loss; pump performance -urve; pump model and pump ma- fog rer; D) cross section of the soil absorption system if required by the county; 1=) soil test data on a 115 form; an 1 Ali 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 201 E. Washington Avenue P.O. Box 7969 Madison, Wisconsin 65707 State of Wisconsin Department of Industry, Labor and Human Relations June 13, 1995 209 West First Street Route 8, Box 8072 Hayward WI 54843 FANSLER E DE 794 172 AVE BALSAM LAKE WI 54810 RE: PLAN S95-20348 FEE RECEIVED: 180.00 WIENKE, TIM & MARY SE,SE,19,31,15W TOWN OF FOREST 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. Sincerely, Stanley . Davies, Jr Plan Examiner Sections of General Plumbing/Private Sewage (715) 634-3026 7:45 A.M. to 4:30 P.M. 1132R/ 1 SBD4928 (R. 01/91) Mound system for J1~ F ~YA~.1_rl_~!!FNK~ ,Zvae - ,d I~C~2~Y pages #1-------plan approval application #2-------soil data (EH 115 or Morphological Evaluation) #3-------plot plan-plan view #4-------work sheet #5.------- system cross section #6-------pipe lateral layout #7-------dosing chamber #8-------pump curve Duane D. Fansler pRiVATE SEWAGE SYS.MM = Conditionally 794 172nd Avenue Balsam Lake, WI 54810 MPRSW 3177 APPJJOIJED i LOW i NUMAM QEIATON= Date: ~cwP~ fr'~ DEFT. Of D Tf1Y~ W SEE ORRESPC DENGE S95s2 ~9 /o-F'8 Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM Safety fndBuildings Division Labor and Human Relations Bureau of Building Water Systems REVIEW APPLICATION Hayward Office La Crosse Office Madison Office Shawano Office Waukesha Office 209 W 1st Street 2226 Rose Street 201 E. Washington Ave. 1340 E. Green Bay Street 401 Pilot Court, Suite C Rt 8, Box 8072 LaCrosse, WI 54603 P.O. Box 7969 Suite 300 Waukesha, WI 53188 Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707 Shawano, WI 54166 Phone (414) 548-8606 Phone (715) 634-4804 Fax (608) 785-9330 Phone (608) 267-5119 Phone (715) 524-3626 Fax (414) 548-8614 Fax (715) 634-5150 Fax (608) 267-0592 Fax (715) 524-3633 INSTRUCTIONS: To save time, schedule your review with one of the offices listed above prior to submittal. Fill in all applicable data and submit this form together with fees and plans/information. Your submittal must be received at least one working day prior to the appointment at the office where your review was scheduled. Please call any of the listed offices if you need help filling out the form or have questions on h i rm io~Xp submit. PLEASE PRINT VERY CLEARLY. A sample of a completed form is on the reverse side for your refere.9 fmd l V 1. APPOINTMENT INFORMATION - If you have scheduled an appointment, fill in the information requested below to save time: Appointment Date Reviewer Name Plan Identification Number 4 ,44,o 13 '_eZ 5' JW Jy<- 203 2. PROJECT INFORMATION If this review is a revision or extension to your existing plan identification number, provide that number here: Project Name City ~ Village ©Town Of: County 1 ~c%1C>✓ Project Loc tion GOVT. LOT 1/4 1/4,S 1 T 31 N ,R ter W F0,411 3. APPLICATION FOR 4. FEE COMPUTATIONS FEE SUBMITTED System Type (check one): System Type I (include new and existing tanks) 00 Up To 1,500 gallon septic tank $110.00 A At-Grade 1,501 - 2,500 gallon septic tank $120.00 . H Holding Tank 2,501 - 5,000 gallon septic tank $160.00 M © Mound 5,001 - 9,000 gallon septic tank $200.00 N El Non-Pressurized in-Ground(Conventional) 9,001-15,000 gallon septic tank $300.00 P Pressurized In-Ground Over 15,000 gallon septic tank $ 500.00 ~O O C] Other: Up To 1,000 gallon dose chamber 70.00 1,001 - 2,000 gallon dose chamber $ 80.00 Building Type (check one): 2,001 - 4,000 gallon dose chamber $100.00 RECEIV 4'001 - 8,000 gallon dose chamber $120.00 D ~ Dwelling, 1 or 2 Family 5,001 -12,000 gallon dose chamber $140.00 P Public Budding JUN 12 1, Over 12,000 gallon dose chamber $160.00 S ❑ State-Owned Building UpTo 5,000 gallon holding tank $ 60.00 -10,000 gallon holding tank $100.00 . Code Derived Daily Flow $g~ Over 10,000 gallon holding tank $150.00 Check If Replacing Existing System Experimental System (additional one time fee) $ 300.00 Revisions To Approved Plan 2 $ 60-00 . Petition For Variance: Setback $100.00 ❑ Petition For Variance Site Evaluation - $ 225.00 Plumbing $225.00 Revision S 75.00 El Groundwater Monitoring Groundwater Monitoring - Per Site $ 60.00 (other than a proposed subdivision) Site Evaluation in Lieu of Groundwater Monitoring Site Evaluation in Lieu of Groundwater Monitoring $ 60.00 Subtotal: Priority Review: Enter same amount as Subtotal: MAKE ALL CHECKS PAYABLE TO: SAFETY AND BUILDINGS DIVISION Total Fee: QO 5. SUBMITTING PARTY INFORMATION Telephone No. (include area code & extension) Company Name Contact Person No. & Street Address Or P.O. Box City, Town or Village, State, Zip Code 7 Ifil'-f- 0,,4Z S f Grtl7lk, cv 3Y'R/ Af/ s y f dip 1 Aerobic or prepackaged treatment system fees are calculated based on equivalent size septic tanks and dose chambers. 2 Revision fees are not applicable to temporary holding tanks or extensions to existing approvals. NOTE: Fees are pursuant to Wis. Adm. Code, Chapter ILHR 2, and are subject to change annually. The information you provide may be used by other government agency programs (Privacy Law, s. 15.04 (1) (m)). SBDW-6748 (R. 09/94) OVER --3111110- Wiscor,Sin Department of Industry, ~b*k E V A L U AT I O N REPORT Page _ of ~'_Labor and Human Relations jDivisionbf Safety & Buildings in aofJrlfVlt HA 83.05, Wis. Ad NTY 8 Attach complete site plan on paper ss than & 1/2 x Tf inches i~ size. Plan s ude, but ST eleeix not limited to vertical and horizonta e#~ence point (BM), direction ond'Yo of sl ale or-l! PA # dimensioned, north arrow, and loca'on and distince to n"Fest roah"-. t r~ w~ APPLICANT INFORMATION-PLVAk PIq-t~T`A1-L INFO ON EVIE WRIBY DATE »t,, J4 PROPERTY 0INER: " P GO' T 1/4 [ 11T 3I N,R r(mr) W PROPERTY dVVNER':S MAILING ADDRESS Li # SUBD. CSM # -Yor CITY, STATE ZIP CODE PHONE NUMBER [:]CITY NEAREST OAg, MLA L'c U) D Z. ( '7/ '0£S7_ 3 o ~ y P4] New Construction Use [XI Residential / Number of bedrooms .3 [ ] Addition to existing building I ] Replacement [ ] Public or commercial describe Code derived daily flow t~o gpd Recommended design loading rate - bed, gpd/ft2 - trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum design loading rate bed, gpd/ft2 - trench, gpd/ft2 Recommended infiltration surface elevation(s)Q~, o /'~o u.✓~~ ft (as referred to site plan benchmark) Additional design / site considerations 1 .4 Sr.4/Cfe~ A.v41 e -)~P. STs¢y r Parent material 4eA4(NO-OA) 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 s stem ❑ S 1Z U JE S ❑ U ❑ S ®U ❑ S V1 U ❑ S ®U ❑ S F21 I SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer& l Ground 7,✓~y~ yb C,3 elev. 9 ft. Depth to limiting factor X38' ~ Remarks: Boring # LU Ground elev. ff'o ft. Depth to limiting factor Zb Remarks: F 'VW 40_Ag CST Name:-Please Prin ,~£5~ Phone: Address: 7 /,MVe ~ /`S Date: / CST umber: Signature: ~GG~ 0 L S ~ -A " ;g-: < --f PROPERTY OWNER / f T Gf~i~v,C>r SOIL DESCRIPTION REPORT Page?-.~~ 3 PARCEL I.D. # f i G Boring # Horizon in. Depth MuDominantnsell Color Qu. Sz Cunt Mottles Color Texture Structure Consistence Boundapr Roots PD/ft . Gr. Sz. Sh. Bed Trench k.....:::.:::::: y -o •y sd v cw . S .C c3w 7 S/~ ~"y Sd - Ground 3 07, y8 _71-5109 -5: elev. n. Depth to limiting factor Remarks: Boring # Div Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: S13D-8330(8.05/92) t DEWEY FANSLER EXCAVATING CST 507 MPRS-3177 I l l I! I ! I O I , f I ~ I I I , , I I I i ! I ~ { j I Fd j I j I I l I i P) P) a 4 II T. ~ 1 I i I I i I I ~o - (D r I I ~ I rt 'e, I ` ~ i I I ! ~ e i I Qj I ~ I 1 I ~ I N. I i G I { I ~ Ilk, ~ ~ I ' I ! ' i ; t I \ j Ii I I i ' f i I ! I I j ~ ~ ~ i I i I cwt v 1 i i i i ' j . 1 ! ! `s",z Fl- 41- I ~ T;~ lb I I I I I, I i - ' ~ ' -L~1-- ---i---I-r- -t- fit (D (D fD O irn rt- ' I ~ ~ I I I I rt, 5 29597 - JUN 1 1995 ~ KpTHIEENH.WAI.SH 1( st.CtotxCo.,wt J, CERTIFIED SURVEY MAP R~tstttolD~ds ti Located in the Southeast Quarter of the Southeast Quarter Section 19, Township 31 Nort N Range 15 West, Town of Forest, St. Croix County, Wisconsin. Owners: Allen E. Karen M. Wienke EAST 1/4 CORNER SECT. 19 Prepared for and at the request of FOUND 1 IRON PIPE Timothy R. & Mary K. Wienke 1877 County Road D I ` Emerald, WI 54012 t Drafted by: James M. Broult N X 11LJPy.AT:L Qs&NP5 v w FENCE NORTH LINE OF THE SE 1/4 OF THE SE 1/4 :X S 89'37'05' E FENCE (MOSTLY DOWN) i 1341.03'f:I 66' R.O.W. x -x x x -7 C- 00 ' / 681.03' ; 627.00' 1 IN / z TOTAL AREA y l I I o J 178,191 sq. ft. LOT 2 4.09 acres ° o IQ O N 1 X O O I I rag TOTAL AREA EXCLUDING R.O. W. o I N o Ig I I~ ro ,a 169,281 sq. ft. ~I= I M ( J.89 acres - I I 627.00' - - 660.00' - - - PERK TEST S 89'37'05" E Ir 1 I• 00 I LOT 3 In N 100' ROAD SETBACK LINE- u ; I c0 IC TOTAL AREA I I~ p0 I 1,331,970 sq. ft. cn O U1 IC Iz M I ! 30.58 acres f o Iz Ir Z , oA O 10 > 1 :r 2 w N TOTAL AREA EXCLUDING R.O.W o I I k " Im I~ 0 0) m p 0) i 1,286,897 sq. ft. I ( Iv IZ M' Do N i 29.54 acres 33.0 M z 01 -11 0 o 10 I, W o R=N 89.45'53" E I p Io IN Z v > q R=556.20' t I C o ~i o m I O - ---556.26'- I 1 4 z I m g t, 589.26' / t l o A. on N I I z o yr m I N 89'06'05" W cP I I v z m N R=589.20' S} N rn i M;o \ M n ;0 O z AN m A FENCE 01 it v L4 U 1°1 LOT 1 g A g 'a O m 00 O N r j C S M I I ~ .a' 6 A a K; f ? 'O VOL_ 6 PG. 1719 y-. m / iSOUTH -,33.00' -1,3: m R.O.W. LINE N 89'3403" W 774.831345.16' - 776.37' 568.79'--- N 89'34'03" w 200TH _AVEN s34'o3- w R=568.79' (TOWN ROAD) R-S 89'18'49" W N 89'34'03" W 26903-2' SE CORER C " IRON PIPE -vNPP Tj Q VE✓ FOUND N LINE OF THE SE 1/4 ~ BEARINGS ARE REFERENCED TO THE SOUTH LINE OF THE Jla, SE 1/4 OF SECTION 19 TOWNSHIP 31 N., RANGE 15 W. OF , M4tICH IS ASSUMED TO BEAR N 89'34'03"W sC~y ST. CROIX CO~Uj,.; ! DOUGLAS J. I; County Section Corner Monument Covypr*fvanime eft-93" it * AHL Z S21 5 of Record. Found 1" Iron Pipe Zmlbg vid N0 TH HUDSOAI • Set 1" x 24" Iron Pipe weighing Parks -taF-9 '"o WIS. Q` 1.68 pounds per linear foot. If °Qk J SIUMIN O Found Iron Pipe WiTItion30daySRAPHIC SCALE R = Recorded as tesvri4~ 30 I 0 450 600 I I x -x -x Denotes Fence Line " +e!1Kt ( IN FEET ) A & E LAND SURVEYING 1 Inch = 300 ft. PHONE # (715) 246-4319 109 EAST 3RD STREET NOTE: The parcels shown on this map Is subject to State, County and Township NEW RICHMOND, WI 54017 laws, rules and regulations ( Le. wetlands, minimum lot size, occes to parcel. I n D a etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. Sheet 1 of 2 Vol. 10 Page 2927 r , } LZ6Z abed O L • lon Z d0 Z 133HS pp*wW" eq1# "oad0 pAW3C0*A IPM oo NosanH 9titZ-S ~ H31HVZ ~ ny r svionoo a~ ~y buTAan.zns pupa 3 12 V 01SIM A0 S l L Z • ON aOA9Aan' s pupa paaggs Tbag gl2a .79 'Z ' f eTbnoCj -gTg -amps buTddew pup 6uTA9AjnS UT xto,13 •4S 3o A4unoD aq4 3o aoupuTPJO uOTSTnTpgns a1q4 pup sagnge4S UTSUOOSTM ago 3o i~£•9£Z jogdpgo 30 SUOTsTnoad eq4 g4TM paTTdwoo ATTn3 aneq I 4eg4 :pagTJ3 -sap pup paAan.zns A.zepunoq JOTa9gX9 aq4 3o 9TVOS o4 UOT4e4uaS9J -dap 4001JOD e ST dPN A9AanS p9T3TgJ9D STg4 4eg4 A3T4Jao osTe I •pjOOax 3o S4upu9no0 PUP SUOT40TJgs9z 's4u9w9se9 a9ggO TTe o4 4oeCgns pup Taoied pagT.zOSap anoge 9q4 90 auTT g4nos aq4 buoTp anuanV HZOOZ pup Taoied pagTaOSap anoge aq4 3O auTT 4sea aq4 buOTe 499z4S HZOLZ 30 AeM-3o-4g6Ta 9q4 04 4OaCgnS •(saaoe 699'6£) 4aa3 eavnbs LW OLS'L bUTUTPgUOD •buTUUTbaq 30 4utod aq4 04 4aa3 ZO•ZLD, 90 a0ue4sTp e }Sea spuooas OS segnuTUt L£ s9e.zb9L.l LO g4noS 'L 40a pTps 90 auzT 4s9m agq 6u0Te 93U9g4 !L 40a pTes 90 a9uJOO 4s9mggaON atI4 04 g993 9Z•69S 30 aOUp4sTp a 4s9M spuooas S0 segnuTw 90 saaabap 68 q JON 'L qOq pTPs 30 auTT tT1zott 9114 buoTe 90Uat14 !L boa pips 30 J aUJoo gSe9gjJON ago 04 4999 OP-090 3O 90Ue4STp e 4saM spuooas 6Z segnuTut LS seei6ap 00 g4noS laa4xeno 4seaggnoS ago 30 aa4.zpnzj 4sea -g4nos pTes 3o auTT 4se9 9q4 buOTe aouag4 !4993 £0•Lb£L 3o aOUPgSTp p 4spa spuooas S0 segnuTw L£ s90.z69p 68 g4noS ljeq zeno 4spaggn0s ago 30 ja4.aeno 4seaggnos pies 3o auTT g4aou 9q4 buOTP aouag4 :4aa3 £Z' 9Z£ L 3o 9DUe4STp a 4sea- spuooas Z L segnUTw gO S99JBap L0 gglON '.za4.zpno gseagqnoS aq4 30 .z94.zenb gspagqnoS pies 3o auzT 4saM aq4 buOTP a0uat44 !4a93 L£'9LL 3O aouegsTp e 4sOM spuooas Co segnuTw b£ saa.zbap 69 g4.a0N 'auzT g4nos pTes buOTe buTnuT4uo0 90Uag4 !UTa.zaq pagTJOsap Taoaed ai4 3o buTUUTbaq 3O 4uToa ago buTaq jeujoo 4oT pTes 'spa9Q 30 JOgSTbau Altinoz) xTO_TD -IS at14 3o aoT,330 ati4 UT pap EOC)@J se 6 LL L afiea 19 amnTOA deW Aan.zn5 raT3TgJ9Z) 3o L 4oa 30 Jaujoo 4saM -g4nos aq4 04 4aa3 6L-999 go 9oue4STp a 4S9M spuooas Co segnuTw b£ se9a6aP 60 g4JON '.zagavno 4seaggnoS pTes 3o auTT g4nos aq4 buOTe aouag4 :6L UOT4oaS pTps go jaujoo 4seeggnoS aq4 4p buTOUawwoO :SmOTTo3 sp p9gTJ3s9P !uTsuoosTM 'A4unoD xTOID '4S '4sajoa 3o uMOs '4saM SL abueu 'g4.zoN L£ dTgs -umOl '6L UOT qOaS 3o aagjeno 4seag4noS ago go ja4.zeno 4seag4noS aq4 30 gjud e paddeut pup papTnTp 'paAan.zns 9neq 14pg3 A3T4-Ta0 Agajaq 'JOAeAjns pupa uTSUOOSTM Na.a94ST6aH 'zaTgeZ •r seTbnoa 'I 2ZN3'I3IIH2D S , H02CSAdnS • OPTIONAL. WORKSHEET 1. MOUND SYSTEM 11. /iot1ArCI PRESSURE SYSTEM-Continued. 1. Wastewater Load, Total Daily Flow= _ gal. 10. Force Main: 2q~ Uu Use section H 63.15 (3) (c), Wis. Minimum Dosing Rate = sl/~ / / g{.m, Adm. Code and PROVIDE A DE TAILED Diameter = LIST OF SIZING ON PLANS. 11. Total Dynamic Head: 2. Depth to Limiting Factor = /7 ft. System Head = 2.5 ft. 3. Landslope = _I~L_ % Vertical Lift = f1. 4. Distance from Dose Chamber to Friction Loss = 9X~ 27 = 9 ft. Distribution System = ft. TDH = ft. 5. Elevation Difference Between 12. Pump Selection: Pump and Distribution System ft. Pump ~will sdischarge at least_ 39 gpm 6. Absorption Area Sizing: at _ ,..r' ft. total dynamic head. Area Required = sq. ft. Pump model and manufacture Zoe/%irP Bed or Trench Length (B) _ ft. - /VV Bed or Trench Width (A) ft. 13. Dose Volume: Trench Spacing (C) = ft. 10 Times Void Volume of 7. Mound Height: Distribution Lines = 2, 8 gal. Fill Depth (D) _ ft. Dally Wastewater Volume Fill Depth Downslope (E) _ A ft. ;Doses in 24 hrs. _ _Zr_Q_ gal. Bed or Trench Depth (F) = 83 ft. 8ackflow = ie I r ' ga;. Cap and Topsoil Depth (G) _ ft. Minimum Dose = /7Z gal. Cap and Topsoil Depth (H) _ ft. 14. Dose Chamber: 8. Mound Length: Volume gal. End Slope (K) ft. Total Mound Length (L) = 7', ft. 9. Mound Width: Upslope Correction Factor = Upslope Width = ft. Downslope Correction Factor = Downslope Width (1) = ft. Total Mound Width (W) = z8 _ ft. 10. Basal Area: Infiltrative Capacity of / Natural Soil = gal./sq.ft./day Basal Area Required = sq. ft. Basal Area Available = 9y~ sq. ft. 11. If Standard Tables from Chapter H 63 are Used, Indicate Table No. Z.7 12. For the Distribution Network, Use Numbers 5-14 in Section II. II. /Mot(.n d PRESSURE SYSTEM 1. Depth to Limiting Factor = 2,1Z ft. 2. Landslope = % 3. 1yoAcllwj Rate = .5 9*s1,S1P#r 4. Proposed System Elevation = ft. 5. Wastewater Load, Total Daily Flow: gal. Use section H 63.15 (3) (c), Wis. Adm. Code and PROVIDE A DETAILED LIST OF SIZING ON PLANS. Required Septic Tank Capacity 0eV gal, 6. Absorption Area Sizing: V. SEPTIC TANK aRquRate = ~9~r1+ / JP Pr 1. Capacity = A14, ~ gal. Area Required = sq. ft ft. . 2. Manufacturer: GLr System Length = Y7 ft. 3. Show Site Constructed Tank Details on Pan System Width = 9, ft. 7. Distribution Pipe Sizing: V1. DOSING TANK Hole Sire = in. 1. Capacity = gal. Hole Spacing = fl. 2. Manufacturer: Lateral Length • - it. 3. Pump Manufacturer: Ql~ep Laler.rl Si,e J ~Z In, 4. Pump Model: L.11c:.11 tipacing --~3 it. 5. Operating Head= ft. DiS1a11CC Irm11 tiirlrw,ill•lo I'ipc Jy N. Ulslrih in, G. Flow Rate= e gprn. Number (it I toles ,7. Show Site Constructed Tank Details on Pans Number r u lit,, Pipt, e I low Per I'll+c / ,7z gptn. '1. Manifold Sizing: / I ype (center or end) Length = ft. Diameter In SHOW ALL INFORMATION ON PLANS- 9 V DILHRSBD•6761 fR.03/82) / n Page 0 f8 Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand _ H - LG Topsoil F _-1 E D 3 b % Slope Bed Of 2"- 2 %2 Force Main Plowed PR' VA7E Aggregate Layer SEWAGE SygrrM D / Ft. C°ndlfjOrlQ' 11~ Cross Section Of A Mound System Using E Ft. ~R A Bed For The Absorption Area F _79 Ft. p~ I F t . OF OVED G r 0 Y. [48 + ftMAM 440 "s A Ft. H /..5 Ft. -''~-s &s B y7 Ft. is DF K /a Ft. L 67,7 Ft. Date. J Ft. T IZ- Ft. W Ig Ft. L -J- J Observation Pipe g K . 1I A Force Main W - T Distribution Bed Of 2 - 2 2 Pipe Aggregate I Observation Pipe Permanent Markers A N, S95 -2034 S Plan View Of Mound Using A Bed For The Absorption Area PRIVATE SEWAGE SYSTEM Page' Lug Conditionally AP ROVE DEPT. OF M Y, LABOR & HUMAN REL.AT'IQNS D! OF UILDINGS Perforated Pipe Mall SEE RRESf"QN D W1 i s n li End Vier j Perlorolt0 End Cap PVC Pipe I 1 i' lY ♦ HoNs Located On Bottom, S Are Equany 111weed I . ` Q~ j. . Last Holt Should as Neat To End Cap Distribution Pipe Layout P Ft. S X 36 Inches y -1 ~ Inches Signed: Hole Diameter Inch.{ Lateral /~/y Inch(es) License Number: Manifold Inches Date: Force Main Z Inches # of holes/pipe Invert Elevation of Laterals Ft. S95 -2034 8 -Ar ' SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4" CI VENT PIPE 12" MIN. ABOVE GRADE 8 WEATHER PROOF 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE CO' FINISHED GRADE 4" CI RISER W1 PADLOCK 6" MIN WARNING LA. . 7 ABOVE GRADE ~ r _ .._4" MIN. 18" IN. 6" MAX. INLET A E H S GAS- , 4" Ll LE -J A SEAL PROVED f T T I G H T TOFF CI PIPE -4 , INTS W/ C b `evt~ B SOLIODTO o • PIPE LID3SOIL ~ G C SOIL of o P S 4 ? 5FT. RISER EX D RMIT TED C TANK MANUFACTURE HAS APPROVA 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE TANK MANUFACTURER: 7`' - NUMBER DOSES PER DAY : -3f TANK SIZES: SEPTIC GAL. DOSE VOLUME INCLUDING DOSE 60~ GAL. FLOWBACK: 173 GAL. • i ALARM MANUFACTURER: ~'t11f1.0 xl CAPACITIES: A = Z~ INCHES = G A I MODEL NUMBER: ~P4 SWITCH TYPE: Mmutlt{l B = 2 INCHES = Z~ GAL. PUMP MANUFACTURER: Zoe/%R- C = 13 INCHES = GAL MODEL NUMBER: NpB SWITCH TYPE: ~ovBaf~PCupy D = Al _INCHES = GAL REQUIRED DISCHARGE RATE .37,`11/ GPM PUMP 6 ALARM WIRING AS PER ILHR 16. 23 WA VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . . 2.5 FEET + e FEET FORCEMAIN X ,2 FT/100 FT. FRICTION FACTOR 2.9 FEET TOTAL DYNAMIC HEAD = FEET TNTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH ; DIAMETER LIQUID DEPTH /3, ,off//,✓' "TGNED: LICENSE NUMBER: S 9 §A7E90348 `UJ HEAD CAPACITY CURVE 3 7/8 6 1/4 MODEL "98" 30 4 5/8 8 25 9 3 5/8 6 20 m O 4 3/16 on 15 e 4 o to PRIVATE $ 1 EWA ? /PXATE& 2 Conditionally PR5- 0~?' r 4 U.S. GALLONS 10 20 30 40 50 60 70 80 DFPT ® l~ LITERS. 11 TRY, 1APOR rt 80 160 240 "r{b i : p 0 FLOW PER MINUTE • a TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENT AND DEWATERING CAPACITY 12 HEAD UNITS/MIN FEET METERS GALS LTRS 5 1.52 72 273 10 3.05 61 231 15 4.57 45 170 L_J 3 5/16 20 6.10 25 95 - Lock Valve 23' CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and supplied with an alarm. three phase systems. • Mechanical alternators, for duplex systems, are available with or • Double piggyback mercury float switches are available for without alarm switches. variable level long cycle controls. SELECTION GUIDE Standard all models- Wei ht 39 lbs. - '/zH.P. 1. Integral float operated 2 pole mechanical switch, no external control required. 2. 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 alternator 10-0072 or 10-0075. M98- -1 t 1 Auto 9.0 1 or 1 & 7 - 4. See FM0712. for correct model of Electrical Alternator, "E-Pak". N98 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor float switch 10-0225 used as a control activator, specify D98 230 1 Auto 4.5 1 or 1 & 7 - duplex (3) or (4) float system. 6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in sim- E98 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 plex or duplex operation, 10-0002. 7. Two (2) hole "J-Pak", for watertight connection or splice. CAUTION For information on additional Zoeller products refer to catalog on Combination Starter, FM0514; All installation of controls, protection devices and wiring should be done by a Quali- Piggyback Mercury Switches, FM0477; Electrical Alternator, FM0486; Mechanical Alternator, fied licensed electrician. All electrical and safety codes should be followed Includ- FM0495; Alarm Package, FM0513; Sump/Sewage Basins, FMO487; and Simplex Control Box, ing the most recent National Electric Code (NECC)anddthe Occupational Safety and FM0732. Health Ad (OSHA). S95-20348L RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 ZZ71-1M-ff TZ7. LoulsWile, 4025& 0347 Manufacturers of. . . O 1(50.2) HIP P TO: TO: 3 3280 0 Old Mlllas lane AMY Loulsville, KY 40218 QL/.IL/fYPUMPS S/NLF /a/a/a/ 778-2731 • 1(800) 1128-PUMP FAX (502) 774.3624 52959'7 JUNN~H9s 10 Rs jtSte( of Deems r CERTIFIED SURVEY MAP Located in the Southeast Quarter of the Southeast Quarter Section 19, Township 31 Nort N Range 15 West, Town of Forest, St. Croix County, Wisconsin. Owners: Allen E. Karen M. Wienke EAST 1/4 CORNER SECT. 19 Prepared for and at the request of FOUND 1 IRON PIPE Timothy R. & Mory K. Wienke 1877 County Rood D ' t Emerald, WI 54012 1 1 Drafted by:. James M. Broult FENCE NORTH LINE OF THE SE 1/4 OF THE SE 1/4 S 89'37'05' E FENCE (MOSTLY DOWN) 1341.03's6' R.o.w. x / x -x x 627.00'-- 1 tfV ! z 1 TOTAL AREA 2 I 1 j Ir g~ 1409 acres f LOT 1 x TOTAL AREA EXCLUO/NC R.O.W. ! N Q Ig I I-"~ j 169,281 sq./t. 1D `i j " J.89 acres 0i i - - - 627.00' - ` I g i(n cn 660.00' - - - ~ /f I PERK TEST S 89'37'05' E N i. 0 n (A LOT 3 100' ROAD SETBACK LINE-4- I N N Vt II 0 0 t0 r TOTAL AREA I U. CA r ~0 Lcn! Iv ' I 1, JJ7, 970 sq./t. .3a58 acres ° p h Z > ' N I I~ I O w N TOTAL AREA EXCLUDING R.aw p I I I Iv rn 0 IV a 1,286,697 sq./t. ° ' I Ir Oo j 29.54 acres 33.00I %j In n N Iv m N W I R-N 89'45'53 E I j V -Pt iH g IN + r g R-556.20' 1 1 C ~b rTt 1 A ---556.26'--- I 1 m l °g 589.26' rn f i N 89'06'05" W ti~ M VI a R-589.20' b I a N r M;9 LA a FENCE V A N W Y N LOT 1 I 0, CA o rn~ 0 C §.Y I~ ioN I 74 On Ch 'a, Yc ? tJ C ~i ~ Vs--6 Pa. 1719 I I* V 1 /f M N R.O.W~LINE II ~i t` 33.00' J30? 1 1 89'34'03 W_ 774.83' ff 1.16' 7S,-.-. 776.37' 568.79'-N 89'34'03 W - - - TH ---LE N 03' W R--568568..79' (TOWN ROAD) R-S 89'18'49" W - N 89'34'03" W 269032' SE CO19 NE OF THE SE 1/4 S1)~P~TjQ` FOUNDRNERRONCPIPE BEARINGS ARE REFERENCED TO THE SOUTH UNE OF THE JL•,~ SE 1/4 OF SECTION 19 TOWNSHIP 31 N., RANGE 15 W. ws~► WHICH IS ASSUMED TO BEAR N 89'34'03'W O ST. Mix C040.1, r y~ DOUGLAS J. P ZAHLER County Section Corner Monument Gar( miSle ,r * .5-2145 of Record. Found 1" Iron Pipe PZM*Q mod NO TH HUBS ND A Set 1" x 24" Iron Pipe weighing 1.68 pounds per linear foot. If "at _ o SLWN O Found Iron Pipe W2Rtapq$1S) daySWPHIC SCALE R = Recorded as ~wlrilrf;~ 300 450 600 x -x-x Denotes Fence Line a- X a40 ( IN FEET ) A & E LAND SURVEYING I Inch - 300 ft. PHONE # (715) 246-4319 1 U9 EAST 3RD STREET NOTE: The parcels shown on this map Is subject to State, County and Townahlp lows, rules and regulations ( Le. wetlands, minimum lot size, occes to parcel. NEW RICHMOND, Wl 54017 etc.). Before purchooing or developing an parcel, contact the St. Croix County I v a Zoning Office and the appropriate Town Board for advice. 'Sheet I of 2 Vol. 10 Page 2927 • SURVEYOR'S CERTIFICATE I, Douglas J. Zahler, Registered Wisconsin Land Surveyor, hereby certify that I have surveyed, divided and mapped a part of the Southeast Quarter of the Southeast Quarter of Section 19, 't'own- ship 31 North, Range 15 West, Town of Forest, St. Croix County, Wisconsin; described as follows: Commencing at the Southeast Corner of said Section 19; thence along the south line of said Southeast Quarter, North 89 degrees 34 minutes 03 seconds West a distance of 568.79 feet to the south- west corner of Lot 1 of Certified Survey Map Volume 6, Page 1719 as recorded in the office of the St. Croix County Register of Deeds, said lot corner being the Point of beginning of the parcel described herein; thence continuing along said south line, North 89 degrees 34 minutes 03 seconds West a distance of 776.37 feet; thence along the west line of said Southeast Quarter of the Southeast Quarter, North 01 degrees 08 minutes 12 seconds East a distance of 1326.23 feet; thence along the north line of said Southeast Quarter of the Southeast Quarter, South 89 degrees 37 minutes 05 seconds Easy a distance of 1341.03 feet; thence along the east line of said South- east Quarter of the Southeast Quarter, South 00 degrees 57 minutes 29 seconds West a distance of 860.40 feet to the Northeast corner of said Lot 1; thence along the north line of said Lot- 1, North 89 degrees 06 minutes 05 seconds West a distance of 569.26 feet to the Northwest corner of said Lot 1; thence along the west line of said Lot 1, South 01 degrees 31 minutes 50 seconds East a distance of 472.02 feet to the point of beginning. Containing 1,510,161 square feet (34.669 acres). Subject to the right-of-way of 270TH Street along the east line of the above described parcel and 200TH Avenue along the south line of the above described parcel and subject. to all other easements, restrictions and covenants of record. I also certify that this Certified Survey Map is a correct rep- resentation to scale of the exterior boundary surveyed and des- cribed; that I have fully complied with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Subdivision Ordinance of the County of St. Croix in surveying and mapping same. T)nrctaL ~ -~01& - Mq_ _1925' Dougla J. Za ler Dat Registered Land Surveyor No. 2145 + A & E Land Surveying ~tL OF IN~,S+C'0 DOUGLAS J. co ZAHLER z S-2145 HUDSON, I(! Wis. 774, ST . mo{x COL^ ,cow V, t a~f v 30 ttvm SHEET 2 OF 2 Vol. 10 Page 2927 I STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County ~l OWNER/BUYER 1 O MAILING ADDRESS b~ PROPERTY ADDRESS cy~- (location of septic system) Please obtain from the Planning Dept. CITY/STATE E yrl,P ICJ PROPERTY LOCATION 1/4,_ 1/4, Section, T I N-R ' W ST. C'R"OIIX_ COUNTY, WI TOWN OF ~CS" Z P~ SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP VOLUME , PAGE Q~~,,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: 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 Location of property 1/4 1/4, Section T 2j I N-RW Township qc:R~ Mailing address cir"D re LA Address of site 'Y-)n subdivision name Lot no. Q other homes on property? Yes No Previous owner of property Q~ ~Q~~'1 uV\ C.C Total size of property ' Total size of parcel Qq~ Date parcel was created ~'q5 Are all corners and lot lines identifiable? ld Yes No Is this property being developed for (spec house)? ~O Yes No Volume - and Page Number s recorded with the Register of Deeds. 119 I 41~ 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 i a3~fice of the County Register of Deeds as Document No. I , 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. C Signature f Applicant Co-Applicant <6Nq Date o S gnature Date of Signature 08 9 3 THC' 14-16 FAX 1 71 2'46 579(NOP.THFi'EST SAVINGS BAND ~ 002 08%05% 9, 1-1114~ 5 ; 1 09 I I 715 268 7207 NT SAVINGS BANK NEW RICHMOND Z 001 r• oGc:UMt:NT NO, WARRANYY DEED THIS SPACE RdHAVILD ROR RECORDING DA,• STATE BAR OF WISCONSIN FORM 2-1082 s43 103f vas, 1129PAr.'1 90 • ALLEN..E.... WIBNK& and .KA Eri' M,.:WZ.ENKE... L'~:C~,:•: vt;L 10 1995 convey,z and wa.'ranta to .;K®T y Rw, ►aZEN CE dnd ' 9:45 A. MARY K-...WIS,$~{~c c...~rS.,.a70INT TENANTS.._ I ~ . . 4 nc,vla« to ehc f~;i;,,w!i7~ rlescrihed roal oetate in , .$T...,CROZX. .....Cot:nty, State of W:sconair: Tax Parcel No' LOT 2 OF CERTIFIED SURVEY MAP NUMBER 529597 PILED IN CERTIFIED SURVEY VOLUME 10, PACE 2927 IN THE OFFICE OF THE REGISTER OF DEEDS ON TUNE 1, 1995, AND LOCATED IN THE SOUTHEAST QUARTER OF THE SOUTHEAST QUARTER (SEiSF.Q) OF SECTION 19, TOWNSHIP 31 NORTH, RANGE 15 WEST, ST. CROIX COUNTY, WISCONSIN I E)M-1.. f r 1 Th1y . homestead liroperty. (is) (is not) Exception to warranties; ii h`atcd this 5th dsy of Tu].y........... .:......-...19..9,5 • (SEAL) t'!'"`~'°•. •"(..C (DEAL) ffTAllen E.W e1nkJe~ . ~j (SEAL) Il 1I A SEAL) Karen..M....Wienke............. . AUT8ENTICATI0N ACENOWLEDGMENT Signature (s) STATF OF WISCONSIN as. avche~ticat d ...?olk...........•,..County. `hie .j of.... 19...... P.rsonnlly =rnr. brfa;c ►r;e Sth.. azl sLhly 19.9.5.. the above named 'TITLE MEMBER STATE BAR OF WiSCO'.%,S•....JN....... ~~re?:►..d~...:n.m .R (If not........ authorized by~„7o6,pg. Wis.~Stnts to me known to be the perao C`Cecuted the foregoing instrument sad s;R1C. r"Is 1n4T&uHdrrT WIS 013AFTE0 Br Gfi BALD tl GUST • J _ Y 'xrOV7Tti`x~ ~ . GUS`I•- -~..~EMPF . Sha ~ •'i'n _ 2...0...B.QX..39.9. ron A, ( estV,Iay ClQtlenticat3d or acknowjg4ced. Both 114 • Comrninjon is pQr +nt}: W~g• are not necessary.) piratlon date: _ •