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HomeMy WebLinkAbout040-1125-95-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Building Division St. Croix INSPECTION REPORT Sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 55_ 0 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City village X Townshi Nelson, Helen W. Trust c/o Dwight Nelson P Parcel Tax No: CST BM Elev: Troy, Town of 040-1125-95-000 Insp. BM Elev: BM D scription: I W 1 ~ibr Q ,rn ~ f Section/Town/Range/Map No: 3 333. .28.19.5256 TANK INFORMATION ELEVATION DATA F PE MANUFA T RER CAPACITY STATION BS HI FS ELEV. ic ~ _ ~ Gt+r~ - 2 f 0/. 2 ~ Benchmark 2tv / Dosing -20 /00-0 Alt. BM / rci' tr ' 0 Izi I l Iv'd //.79 9 2. i Z ( St/Ht Inlet 12.0 ~I2. TANK SETBACK INFORMATION l i St/Ht Outlet 11 0 TANK TO P/L FWELL BLDG. Vent to Air Intake ROAD Dt Inlet eptic Jt"twr~a' ✓ JI / '2- 15 I oil, 25 Dosing lye 4ty ` } rr C~ ~ Head /Ma ___1 ,0 tt Aeration Dist. Pipe I iP C Holding rn, jtJ yi Y 2-/0 Job w Bot. System vVir Z- S -7 PUMP/SIPHON INFORMATION Final Gr ry] i iVA Manufacturer "V g~ /6 Dem GPM t and St Co E' Y r Model Number r 7 l 41, 0 TDH Lift Friction L s System ead TDH ~Ft 1/-01 6 R i 2' L y~ aul~ d~~ - If Forcema Length r Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width I Length No. Of Trenches DIMENSIONS 3 / I fj PIT DIMENS o. Of Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO ((l INFORMATION P/ 5 LDG WEL LAKE/STREAM AMBER , Ma t r. ~ Ty Of System: \ L CHAMBER r ~ ~ ~Q ~ 7 N ~ Model Number. DISTRIBUTION SYSTEM yyt it Header/ nifold 2 Distribu ion K ~a- S ~Ll ! `1 ~N~ / j► x Holeze x Hole Spacin Vent to Air Intake C A - Lengthl Dia ` Len th ►t + 9 Dia Spacing k/u _ C SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only ( dO c' tl~yn6( Depth Over , / Depth Over xx Depth of Bed/Trench Center ? . (J Bed/Trench Edges Topsoil Seeded/Sodded m Mulched 0 Yes Flj~ No 0 Yes W No COMMENTS: (Include code discrepencies, persons present, etc.) Inspecti #1:-/24' Inspection #2: 4 ~7/ Cklej Location: 26 Glendale Drive River Falls, WI 54022 (SW 1/4 SE 1//4 33 T28N R1 W) metes & b unds Lot / P rcel No: 33. 8 1Wt h ~ i 1.) Alt BM Description u~ / Y~li A ~L 5 7F SG3~ytl~L~ 7, S- S -fit V, Ale , 2.) Bldg sewer length = 7 J 74,0 SC 1c STV~ i2 -L~[ % a~ - amount of cover NOT /F6"~ r~r 3v fcewc e1i_-~~~ 014, Plan revision Required? ®Yes No 711 Use other side for additional information. 1 SBD-6710 (R.3/97) Date Insepctor's Signatu a Cert. No. Hele, W 7,,.,j t ray/ TW y~Q - s'~ Cra Ct/ rY.~ ,NC P,7 q0 i Q~.~pNJ rlsowr► Ct.rG Q f'loraXi`.vra tc - b v!,~ - ra,rcc limos lcZCitC a /0 Rd C~ a r v4,y c crv.~ C h cr7~~ a yK 47 _ /O/- 0. Itom 4', s«• ,r,~~,.E11 ~pd~m Hc, 1 it'x,:Sf~ tif` scat<~'1'~n k ah Q..ha ~ * ~•m_-~--~ ~v l e ~ ~ a ~ r ~ v e to C f~ 1~j 1 We's ~ of Vim wo-eaft Ce. fi/ ' gs vision County ` 2 " I' P. .Box 7162 i n s i n Madison, WI 53707 162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce 55231 State Transaction Number Sanitary Per it A ' In accordance with s. Comm. 83.21(2), Wis. Adm. Co , subm nno,tt f. ate governmental unit is required prior to obtaining a sanitary perim ppcat ed POWTS are Project Address (i different than mailing address) submitted to the Department of Commerce. Perso you provide may be used fors &1f4X-.4(4 V /I~) purposes in accordance with the Privac Law, s. 15.04 1 m , Slats. t 1. Application Information - Please Print All Information Property Owner's Name Parcel # 5 C°® & < f sv ~~0-//X- 12 aim Property Owner's Mailing Add s Property Location 9 C /6/4 d4 1P Govt. Lot City, State Zip Code ^ Phone Number y. t7 G/., Section k hl- H. Type of Building (check all that apply) # ~I - Subdivision Name 1 or 2 Family Dwelling - Number of Bedrooms Block # El Public/Commercial -Describe Use ❑ City of CSM Number El Village of El State Owned -Describe Use 1IL44LI- 1-7 G own of III. Type of Permit: (Check only one ox on line A. Complete line B if applicable) A. ❑ New System ~a Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV. T e of POWTS S stem/Com onent/Device: Check all that apply) % 11RNon-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 2 in. of sortable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Treat nt Area Information: o Design Flow (gpd) Design Soil Applic lion Rate(gp sf) Dispersal Area Required (sf) Dispersal Area Prop f) System Elevati 'G> DUD bt s' boa D /U E Vl. Tank Info Capacity in Total # of Manufacturer ^ Gallons Gallons Units W ~Z o Ay ~ak v U New Tanks Existing Tanks C w c c6 / rC1s ~j U rn y rn w C7 P. Septic or Holding Tank Dosing Chamber ©f'j ~ VII. Responsibility Statement- I1,, the undersigned, as responsibility for installation of the POWTS shown on the attached plans. P ember's Name (Print) Plumb r ature MP/MPRS Num r Business Phone Number lumber's A, ddre ss S egt, City, Sta C de) ! Gov ~'~°Io~'~^ VIII. Coun /De ailment Use Only Permit F e Date Issued Issuin gent Signa PPtoved ❑ $ 7dJ. w 6 ❑ O n Reason for Denial L~~ easons for Disapproval IX. Condi"fAp (3) 6U - ~VA^~ n I. `peptic tank, eft tint-MW and tiispersal cell must all ¢e services 1 maintatnsd as per management plan provided by plumber. P 2. A*Se~ ack requirements must.be maintairled _ c to o p a e system and submit the County 1 on pp_r enot less than 81/2 x 11 inches in si a c. t:•. CAc~ I~P4 SBD-6398 (R. 02/09) A/ lei w T~ `hay T-wy ,,Q ' S~ Cra+ C11/110 ,Ne rtip P do NOTE S n a /a c - ¢~.~OM1' rlsown cE.hG QtpraX~',~,Q tc - © --/artel~vs lotcP- C_ } / n o ~ t to ~ - 1r1/e c_`s to c Q /c ~ will +p Sv cc fA O S" V,;77 6;;v v✓ a r ~..f ~ Govt s N cr~ GL y,~ ~ C• fl ~,,1 AO- Ito" S, d•h~., .Ek1 ~Bd~m 1 t~X,:S'fincj St~'tl'c7'~9 k i ~loaK7~3•o c~l+7 I eH ova Xe to CR We's G Pg of Private On-Site Wastewater Treatment System (POWTS) Index and Title Sheet Owner: Project Name and System Type: ~b U 6 10 W l Location: Le a1 U~ ~lb ~r 1 iA /J;.-! Street Atgss_ Legal Des ' tion E Township/Cou Design Criteria (Check one): Holding Tank Component Manual: In-Ground Soil Absorption Component Manual: ❑ SBD-10571-P (6/11/1999) ❑ SBD-10567-P (R. 6/1999) ❑ SBD-10855-P (3/2007) Version 2 0 SBD-10705-P (N. 01/2001) Version 2 Contents: Page 1: C V OS 5 S~Ci►0 31 d S► Page 2: pit P14 3't t Page 3: 1 toDI Page 4: I I ~WfTXAtVd Page 5: 661q d- v S Page 6: nA Page 7: f-molk) ~ G 4 Page 8: Page 9: Attachments: Glu~esigner: Q &~4q Signed: Credential Number: gc? 7 J Date: 5 ZY® Cl-o - S~eI'iDk p7L 1!is~r.'dt~t,ca Ce~T ro% P~' I G J t to/o~ 3 pvc eA Q YS ~7 a w~1~ Qys ~ c bbscmrl t. oh p.j~o S 7~ y'raL. e h,.h~»h~a Ala + t0 aH~ SCa d ~o.~..,, ef=r /076 . 11 s ~r r Cak~u~ 10,0„ fidxL tyrre-w e/ S~st~~•°~4l,~ ~a~~ d Secti A-A si IA16 CA1cu.LATio1" .lo l {ral~loh IPa D ~tA D ya l 6160 ya'~ 7 lb. r x I ~o.~ ~fa l lD~~~ ~d Sh~`~s x = 3 c~a, 3 tre ~ q C.~i~e~^s x 6 Ye W r of o w, f E Ale rro P~,~ a 7 Pay TW yip - S~ Cro ,'x Ct~{/ r----~ - ~S p,.., p L ,•n c ao - oT. ES ass - S~ « e C.r, c = v Ft Ct*•~ONJ r~auvY~ RhG 0 -jarce~~°S /ctcvC d ~ ~6. ~ 'f-v Sv c4 t~ Garas° Ceirtch C.-7~get y.~ 0 sf • d , H~~, .El 1 ~ 8d v•n too we dob eW 4100 44 7 mr l em da to cR ~ ~ 1 a~~i~ -&-buanc co Comm 83.54, His.Adm. Code 7 - Sec--c Tank - T '8P6O'3'* Shag be dg*Sed he septic tank shall be maintained by an k4vWW d to service septic t2rJm under s. 281-48. tats. The contents of the - outlet f~ stiff be Of qt m=rdance vAh NR 113. Wm Adm. Code. The opemWv of the septic tank and audete or 36 owWSOssed n. The at kast one every ! 3 yems by inspecdon. Toe outlet M eha be Coned as necessar, to " EM WO PO aft the lim fiker age stm* not be removed unless provisions are waft b awn solids in the tank that may alto Sko is off Me ed fterwhw removed its 04m m t the ter is a ,atop' ped "M an gars the Stw shah be serves I cadmaudy. doff mayiA strgeIowsoran ' she tank shaft have its =Offlts WMved vin Ste vdurte of pick. The - sttt* and stxutt in in to* 14 ft &W vckxne of 010 tarot. W OM cxftft of the lank are wt reproved at the abut of a ttiertmi"J 0 shy tAMM he ovmerofvAm the f*gswvite needs to be pu mmad io a -,I less t m dmttrn scum surd sbtlge at terolagon in ages io enhance septic tadt oil" is 96"notrequilecL QW shd be4VM"d forso* tank use by the Deaarbm tofCm and Pe~ o Tank pump Wit) bu,*shah be kOPected at lest once OM I years. Al avkhm . and pampa shall be 4dbd b Y PMPer GPwafixL San sa mtt o rla in I mu l vabit to tact itshal be inspedad and serviced as nary At ar,411S.-WEDonent and Pressure Distribut on s stem treesor smraos aetould be anted •or allowed "to grow an the component. Plantings way be made t errovadoaign she and to proven perimeter and the component shall be seeded and mulched as necessary to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the component is not allowed. Cold weather install- ations require the component to be heavhly mulched for frost protection. I 30 nfluent o_ualitr into the at-grade system say not exceed 220ag/L BODS, 150 ag/L TSS and aSIL ZOO. Imflueat flow may not exceed the matimam design flow specified in th permit for this installation. e b>d be Sad ad of arm sus at best q flux and of out and it to each fa mm r Yte etatry 1 18 8 raotttbe. iDdebveteitteHotiBtx d5 has pad fcr 9 is AM equd itte wAhin Obser►ation pipes within the dispersal cell shall be'checked for effluent pondiag- 8oatdiag levels should be reported to the owner and pay levels above 4 inches considered as an 3apMd"s hydraulic failure raquiring additional, more frequent monitoring in accordance with Comm 83.52 (2). 3 s`& s?3rtem shall be operated fn accordance with Comm 12-84 pis.Adm.Code and shall be maintained in accordance with it!s component mammal SID 10570-P (t.6/99)-and -local and state tales pert:iairig to system maintenance and maintenance reporting, , - Nb oat sAould e+tec eaoer a sepBC Orpump btrdt sipce; - ' ` ` . . _ p Ptunicabsadouow~ttsba/beis i ~Y pnteaeWWcoffincatmedw t. Septaand ppWTg cauponerAL cvtwih Ctatatn 83.33 Wie.At#n, faode wbea the taor<s sit oo longer used as GrPWF muktttanhde tdsersaadcmrersshmddbeitapressedfarvlertlghlveasasdmotrdmess. Access fteWd=ftUW awaantrkd~afsett+ Wat MAW pntsmtt aodd~nfit ortiraru~othsd Weftrlm A.in hn Is *d bes d bel3agb det3c~e b is PpP~•apealhq beaxet° detreSva the tamkac_ sbal be tapaited arte~klced b beep b sdefecWefiedeieG'8tetompottentabelbe AAirdwpt■oed t a4ow ertMaled . t oatpo4ettaftbaatttaearttgwtpedotta M= U the at- 7S=WiiR-m=t :#'a33s to a t: last evatas r to -ter Steamd , ;it my be necess" "P 3Qfo his the ? to "Sa l " asteobfe =Pse-l~eawa rnit or • IoMp meat. Additiemai site pad soil•wla► P2849 ' athr need to be a~~aaby t ~ .eo of ~ ' and - prapssed and approved by the Di Department of Carte, Safeh and >It' Difisiara. - Questioms .ahoet t:he - _ - epesat3em or etaiatesarce of this tem - r •~be the tCwmtrAsmin Office at ~ • the S"t" installer at - -1,LS- X125- qq w>~Rf The tank menaf etarer at _ Ft00-32.5-$yS~, vViE'S St The effluent filter'manufacturer at ~flCl - Z+21- S`7t(Z• Zfv;' tsZ, - a~t.~, • i - . _ 6 3 O-.$?A~~Lp t[ P C~tWUI~-.mss - MENNEN VOL 00-ur.:s=NT INO. OF w-ISCONSIM FORM 3_1982 ~r„s SY_ f.EvEPi'J£~ Eoi RF_C.,R~cw,,. r.a,• CIU! a _a_`sr' DEED Kew J!L ~ Beverly N_ Palmquist, Douglas E. Nelson and • DY grit E Nelson, as tenants in common an _ undivided one-third interest each ~;CT 7 1994 - - 4 gz:it ct.: r s :o j3a1e^..w Nelson..Family._ I'rust_f _ SeE~erly ~c _30 A. ~r - Douglas--E. s,_E _,.Ne.Zson- and Dwight $ M_ Palm uilt e q, n .__C.o Trus ses, iZaviF?4.. dull ._E ow e" seZ"1 - - _ - of the followinc deser'.bed re.,? estate in St. Cro],}C._ ~i State of Wisconsin: !i FE To ! Tax P.11-CC-1 No i ~i East 16 rods of South 160 feet of Northwest Quarter of ii Southeast Quarter (NW 1/4 of SE 1/4) of Section Thirty ~I Three (33); Township Twenty Eight (28) North, Range ji Nineteen (19) West. fl u- ti~ ! 1= } I ,a Ir ii I; This _.is ._not homestead property. if . not) ! fi~2sAC is $e l;.embcr......._..__... r_.9~... II ° A. A.t j1 ii 1)nt4d this 1s.t day o I! _(SEAI.) Ya> ,..Z., 'A I,) verly Pal_ ui~ pwi nt E. Nelson I x \ VU 7,1~1--rg I-, A L) m Douglas E. Nelson l AUTHENTYLCATION ACKNOWLEDGMENT if Signature (s) 9t__•824eY1V __t3-.._F311ilCjlllStr STATE or WISCONSIN ly s i? rc las E. Nelson and Dwi ght E. Nelson ---------County. autten• ed thi lst* Se tember 1q_ 94 .._f)y Came )_e tl:'s ,.F ; !I s ♦ o _ 1 th bovc z c) ] t? R. L°4.... --.-.!3PS3car it TITLE: NI MUEr, STATE BAR OF -%V1SCtj-NSI\ i _ - (If not, i, authorized by 706.06. W: -"St to )ne known to be the person who executed the :oregoing instrument and :eknowledr-c the sank. iNSTRUM-NT VIAj f,R4FTEC S, Leo A. Beskar, Attorney RODLI, BESKAR & BOLES, S C.. _ 21.9 No)"t}i~1Mai*1r17 St-.re G \n,ar) P1.117"c Count. lVis. Con)In):,s ion 1 pc~rmanc If not. <~is c expiration ( yri rc•,. F) ' 'is 11'~e'rtl. ni. •i ~r ~ch2,~~?c~c ecel. Both am not rccr - -art•.1 - i} QUIT CLAIM DErL ,Tv nAn M., ~41:~.-Ci\'.~Ih 1''^.:^ L••e::- f+'-.nk c.. PAR No. .1 - 11q'_ AJ1• \..1\Vt11 \~V V1\l l SEPTIC TANK MAINTENANCE AGREEMENT crI AND D OWNERSHIP CERTIFICATION FORM Owner/Buyer 0'1~sf 4 S® Mailing Address C Le ilk 641-f Property Address 96 ` k m Ic &;,)e (Verification required from Planning & Zoning Department for new construction.) City/State L~~ Parcel Identification Number LEGAL DESCRIPTION Property Location 510 '/4 , 1/4, Sec. , T ~N R_,~Y_W, Town of /D Subdivision , Lot Certified Survey Map # , Volume , Page # l Warranty Deed # Volume Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on ~Uis form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a w my deed recorded in Register of Deeds Office. Number of b rooms C~ NT SIGNATURE OF MTEMART(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) Wisconsin mmerce SOIL EVALUATIS R Page Division o Safety Buildings , in a dance with Comm 85, Wis. Adm. Code County Attach co lete siin drS~pa Jib 81/2 x 11 inches in size. Plan must include, but of limit to; . tal reference point (BM), direction and Parcel I.D. 3 percent slop ',scale c 5dihie rth arrow, and location and distance to nearest road. 64 O / - 9S ODO Please print all information. R Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner L G Property Location k/W ~7 / Cy l / /C w r~ S y` O At& " / O ~J Gevk-Eot S1 /4 -5-E 1 /4 S T (5' N R / ! 44w4 W Property Owner's Mailing Address Lot # Block # Subd. NamecCSM# 6 G /err a/4 -0, I ~ULVj2 ? City State Zip Code Phone ❑ City ❑ Village Town Nearest Road (4,± S 2 ( T/S) 4-2- /56 en a~ vG ❑ New,Construction Residential / Number of bedrooms Code derived design flow rate GPD XReplacement ❑ Public or commercial - Describe: AIA Parent material 6-1,q r, ct 7 % / / Flood Plain elevation If applicable ft• General comments 9- and recommendations: * 'F h ' ~s, j S` .Z 6 pr~,~-h7 ♦ -r des ,;y ~d "~{'d ~ t /east Q..~6 ~ o/ro ~h, e. 7`0 //aw r ~~c tK ~ e F11 ;9 ❑ Boring Boring # 0 O ft. Depth to limiting factor > Pit Ground surface elev. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Shxture Consistence Boundary Roots GPDN in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efl#1 `Eff#2 / G-/D S m O Gp 9 a o- laze +/4 S ' rr ✓k S A a r _ . Gk O /V I a Boring # t~ Boring - ICI Pit Ground surface elev. -3 ft. Depth to limiting factor 6- ' in. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 /0'P4 3 d W' a6 S C~. 1-14 A i S-4 0 -5- CL- ' Effluent #1 = BOD > 30:5 220 mg/L and TSS >30:5 150 mg/L ` Effluent #2 = BOD < 30 rng/L and TSS < 30 mg/L CST Name (Please Print) Si nature CST Number Address a luation Conducted Telephone Number 4S` //swo, k-t4 / 1.2 14o.2,oos 7/.S -Z , ..3C) Parcel ID # ge of 3 Property Owner 1/ f/ G',> T,-(4S 600Pa Boring # ❑ Boring ® Pit Ground surfaceelev. /O~ ft. Depth to limiting factor e- in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r' o-7 i A l AC&- 3l ❑ Boring # ❑ Boring in. ❑ pit Ground surface elev. ft. Depth to limiting fa Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 -Eff#2 ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsefl Qu. Sz. Cont. Color Gr. Sz: Sh. 'Eff#1 -Eff#2 Effluent #1 = BODS > 30 < 220 mg/L and TSS >30:5 150 mg/L ' Effluent #2 = BOD$ < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07100) • CAP Ao',e ` hay Twy~p - St Cra,X / C~~ Pop L.ne i NoTr S I ~ta~•t r 4 /O C e~r.~OI~1 r4o"'n Qh~ Qp~prn~•i`,~a to . Q I / RYEG ~i~S f COL C- }/vo t 1b - lr(~e~~ ~`s ~oc R feat! we// oil Gayq„fc / C-k-f c~~gcXi,R e~ C' I gM= B~ tt~m rl' Ho e I a•• ce dry we/~ ~~eH ova % ve t~ c,q ~vj ~ Mar.30.2012 07:39 M4 Webetor Exeavating Ina 7153 7 3 4191 DLCE. 11/ 7 page r - , 4p v f 1 e e. ~ _ _ ._...-sue _ . - • ~ a ' I , r P RF..,1 71- d.. jk AYE 44 J l ' I i j _ - ltra _T i~ 1~ { Cwt-"` --!1 fir L ar gppP,I/ ed Al am ~I g w ~~~•"~~/ear # ~ I On , w,'~,.;~~ 0 /0 -APPROVED Off of'ca~+ek• to JOINTS WITH APPROVED PIPE f D 3' ONTO f SOLID SOIL 1 3" of Bedding Under Tank--/* NDMber of Doses: - )Per Day ual':on, Per Daylooboses ~G~1107 'fL- 'lui.e of Baokflow, ~`'•":i~_ Ga11r ank Manufac Eurer: C:o";, c.p _ Torel Case Volume _ . _F_ OaP s T r e r 'i C ,t t' e s A *"~1 i n c : 1 e r i i f' k l r.: j t t s nrr.u. C3; # - ~LL i f i_ . It ir 7R 1.1~ I rlt I` w Ti Oil, at ❑ r.C 1 . . . . ; ' n ' " wa v Y e,,ence L'LYif. &n Psemi L'.. r- f t IM "eu 2 e t4; 2j ,T~rr;ai Tani; Dimensicr{s: Le,nc~thl q( dth Irr}~' LiQ1j d Depth r~r Mar.20.2012 07:40 AM Webster Excavating Inc 7152734181 PAGE. 2/ 4 P tf t ~ 3871 EP04 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel- grade turbine oil for for efficient heat transfer, • Capable of running lubrication and efficient strength, and durability. • Effluent nuses: dry without damage to treat transfer, • systems components. ~ Motor Cover; Thermoplas- * Homes comp Available for automatic and tic cover with integral handle Motor and float switch attachment • Farms manual operation. Automatic • EP04 Single phase: 0.4 HP, points. * Heavy duty sump 115 or 230 V, 60 Hz, 1550 models include Mechanical Water transfer RPM, built In overload with Float assembled and ■ Power Cable: Severe duty • Dewatering preset at the footory, rated oil and water resistant, automatic reset. ■ Bearings; Upper and lower SPECIFICATIONS ' EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing Pump: EPfJA -I 115 V, 60 H2, 1550 RPM, construction. built in overload with ■ EP04 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi-open design AGENCY LISTIiNO 3/4" ma%IMUM. - Power cord: 10 foot with pump out vanes for - • Capacities: up to 55 GPM- standard length, 16/3 SJTO mechanical seal protection. , Canadian SWWaWsl a9ort * Total heads: up to 24 feet. with three prong grounding s EP05 Impeller: Thermo- • Discharge size: 1lb" NPT. plug. Optional 20 foot for (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design end in F or "AG".) rotary/ceramic-stationary, three prong grounding ping improved performance. BUNA-N elastomers. (standard on EP05). ■ Caging and Base: Hugged • Temperature, thermoplastic design provides 1040F (4011C) continuous superior strength and 140°F (60°C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET i I I~ I stainless steel. 10 * Capable of running i..._._._ dry without damage to s 30 components. Pump: EP05 a I I n 7 25 • Solids handling capability: 114" maximum. * Capacities: up to 60 GPM. • Total heads: up to 31 feet. U ! I 1 - Discharge size:l /z" NPT. s - - * Mechanical seal, carbon- 0 15 ' rotary/ceramic-stationary, _j 4 BUNA-N efastomers. • Temperature: 3 10 I I 104°F (400C) continuous 140°F (60°C) intermittent. `y? Z - ~r 0 0 10 2 30 40 60 GPM 0 2 4 $ S 1 o 12 m3lh CAPACITY cs 1985 Goulds Rumps, Inc. Effective May, 1935 83871 377717 YO- 2jo 6 6 CERTIFIED SURVEY MAP EARL NELSON Part of the Southwest 1/4 of the Southeast 1/4 of Section 33, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin. o Indicates 1" x 24" iron pipe weighing 1.13 lbs./lin. ft. set UNPLATTED L_ANS\8.a O'%E %a ~ 3 N,~~. \9 00 UNPLATTED LANDS ' . Pit t0. 'doe 0 a 0 10 t! 2-1188,2 r a o 33 00, : W 1*41 N d W O ~ N tt W N a LOT 1= 3.669 ACRES W ~ o eh~' 159,81-8 SQ. FT. O 'o 0 0 N E T= 3.267 ACRES N z 142,290 SQ. FT. z Q 5 0 N W I- p 1370 37'00„ N W 0: 30 U W W cr 4 ~hh 3.T~43,I F- 3 _1 N O 0 0 0 UNPLATTED p LANDS M O ti ti C C.7.H. M i^ W N W z N to o Mp to A M ~ Cr. N W M , to z O M V 9 nQ. W v N 9,( ro C. S. M. VO L3,PAGE 806 co N 0 _j o X 0 z 0 50 100 200 300 W SCALE I"n 100' cn _ ~^~p~ `\```\~\\\\1111111111111fl1111//!/~/~/ ROVED W - APP z F7 GO Ns 01 3 S 89. 33'20" W MAY 1 1982 A ;ZF JAMES L. s ST. CROIX COUNTY ~ MURPHY E S LINE SE 1 /4 CoMpXgN {sNe PACKS eLANNIM S- 1 0 4 2 SI/4 COR SEC.33,T28N, SE CDR. SEC. 33,T2aw ZON~NO CON+MhTF RIVER 1 FALLS, R19 W, (COUNTY SURVEYORS R19W, (COUNTY 'SURVEYORS vnsc_ wz MON.) M 0 N CURVE D A TA r(~{gfsffffr,alwu~aaaG~''~'aA CURVE CHORD BEARING CHORD ARC RADIUS CENTRAL ANGLE A S83-1018,:.w 436.38' 446.40' 605.96' 420 12' 32" B S 83° 59' 57W 428.02' 438.65' 572.96' 43° 51' 54" State of Wisconsin) County of Pierce) 1 I, James L. Murphy, Registered Land Surveyor, do hereby certify that by direction of ~J the Owner, Earl Nelson, I have surveyed and divided the lands shown hereon in accord- ance with official records, Chapter 236 of Wisconsin Statutes and the Ordinances of ^ St. Croix County; and that the above map and description are,.q true and correct re- 1 v presentation thereof. Dated: 30 April 1982 Vol. 1E Page 1169 / James L. Murphy Certified Survey Maps Registered Land.Surveyor St. Croix County, Wisconsin ✓ (DESCRIPTION ON REVERSE) ` n 3aLI NNOO 9nla AMC= xlot l:) S 0-40 / 133HS t utsuoostM 'A uno0 xto.z0 •qS sdeyl A@AjnS paTjTgja0 .zoAaA.znS pueZ pa.aagszbag T602-ab2d--T TOA Agd.anL1 • M aouazne7 ~ CD `,,ilstt111//j/,, 1 o0 Ain p N VI J o,s SPeed to is;Bed 'a ••~'OSIM 113NNO3.0 S3YYVf o £lLl _ 2 -w686L 6 T AVW 9 LAJ t cc 686T 'TT uO-TPW : pa'4eQ O JS~ has • • u'T/ • suT CT* T butttbtarl adtd uOJT „bZ x T sageotpuI CJ ZZObS IM 'sTTe3 JOAT2j peog aTepuaTO 8T ssHxQaV s , Hawo , OOF ,OOZ OS/ '00/ OS 0 ,00/ _ „ / 37VJ5 ,66 GF9Z 9h ,ZF •69 N /ON1703 3J//d5 OVOd71VN/ 35 3N/7 5 'N 'Af G/d'N9Z1 '£F 'J35 'HOJ 35 £9~ WON 5, 110.13A t1 /IS .f1NOOJ/ c4 'M 618 '1J9Z! '£F.'.73S ',YOJ t,115 .L4n~ SONb'7 0311 b'7dNn ~ O n '99 4 „ ,GB'9Bb M„FS hh .99 N r ,69'179 b D " Lu3/; s V ~ I rl I 4i ~7 ( ~ I U Ut 20 i r ti ~ v. U3HS ~ Ir I m ---I '!3'05 1.'/9'/Z/ N I~ 53YJV Z6 L'0 . 1JN lO I~ N I 30ji l> '05 6ZJ'OF/ 03N ~ o ~ v ~ U3N5 C L o N 538.7v 666'Z r~ Ir Y6 1 0 -7 (L " Iz O w ti NHV9 O N'r I OFF I ~ 69'96tp 3„ 00,00 •06 N T SONb'7 0311V7dNn W • uzsuoosTM ~ A unoo xioaO • qS 'AOJI JO uMOZ 'qs@M 6T abueg 'uq.zoN 8Z dTgSUMOI I8£ UOT40GS jo [7/T gseaugnoS auk 30 b/T qsaMuqnOS auk 90 4Jed t NOS`IaN i HgaH GM 'IaVa dVW AHAWIS Qaiai L Ia0 7[1 Parcel 040-1126-30-000 12/30/2011 01:45 PAGE 1 OF 1 F 1 Alt. Parcel 33.28.19.526A 040 - TOWN OF TROY Current OX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - NELSON, HELEN W(LE),D E &MARY JO HELEN W(LE),D E &MARY JO NELSON 18 GLENDALE DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address es): Primary Type Dist # Description ` 548 OLD D M SC 4893 SCH DIST RIVER FALLS / SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 24.325 Plat: N/A-NOT AVAILABLE SEC 33 T28N R1 9W SW SE EXC PT S OF HWY Block/Condo Bldg: "M" EXC CSM V 4/1169 & PARCEL 529B AND C & EXC CSM 7/2099 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 33-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1099/271 LC 07/23/1997 913/397 2011 SUMMARY Bill M Fair Market Value: Assessed with: 138583 Use Value Assessment Valuations: Last Changed: 11/09/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 50,000 195,600 245,600 NO AGRICULTURAL G4 9.000 1,700 1,700 NO AGRICULTURAL FOREST G5M 14.325 57,300 0 57,300 NO Totals for 2011: General Property 24.325 109,000 195,600 304,600 Woodland 0.000 0 0 Totals for 2010: General Property 24.325 109,000 195,600 304,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 155 Specials: User Special Code Category Amount i Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 02:00 PM Parcel 040-1126-60-000 12/30/2011 PAGE E 1 1 OF 1 F 1 040 - TOWN OF TROY Alt. Parcel 33.28.19.526D Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O- NELSON, DWIGHT E & MARY JO DWIGHT E & MARY JO NELSON 18 GLENDALE DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 548 OLD CTY RD M SC 4893 SCH DIST RIVER FALLS / SP 0100 CHIP VALLEY VOTECH 016 Legal Description: Acres: 3.669 Plat: 1169-CSM 04-1169 040-82 SEC 33 T28N R19W 3.669A SW SE LOT 1 OF Block/Condo Bldg: LOT 01 CSM V 4/1169 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-28N-19W SW SE Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 655/17 2011 SUMMARY Bill Fair Market Value: Assessed with: 138587 257,700 Valuations: Last Changed: 11/09/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.669 86,700 205,600 292,300 NO Totals for 2011: General Property 3.669 86,700 205,600 292,300 Woodland 0.000 0 0 Totals for 2010: General Property 3.669 86,700 205,600 292,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 132 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 040-1126-30-110 12/30/2011 01:57 PM PAGE 1 OF 1 Alt. Parcel M 33.28.19.526A10 040 - TOWN OF TROY Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner 0 - NELSON FARM SUPPLY INC NELSON FARM SUPPLY INC 18 GLENDALE DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Addre s(es): Primary Type Dist # Description " CTY SC 4893 SCH DIST RIVER FALLS CrIe-0h eVL SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 2.999 Plat: 2099-CSM 07-2099 040-89 SEC 33 T28N R19W 2.999 AC PT SW1/4 SE1/4 Block/Condo Bldg: LOT 01 LOT 1 C.S.M. 7/2099 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 33-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 859/561 2011 SUMMARY Bill M Fair Market Value: Assessed with: 138584 89,000 Valuations: Last Changed: 11/09/2009 K-Description Class Acres Land Improve Total State Reason COMMERCIAL G2 2.999 65,000 35,900 100,900 NO i Totals for 2011: General Property 2.999 65,000 35,900 100,900 Woodland 0.000 0 0 Totals for 2010: General Property 2.999 65,000 35,900 100,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 12/30/2011 11:09 AM Parcel 040-1125-95-000 PAGE 1 OF 1 Alt. Parcel M 33.28.19.5256 040 - TOWN OF TROY ST. CROIX COUNTY, WISCONSIN Current OX Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner 0 - NELSON, HELEN W TRUST%DWIGHT E HELEN W TRUST%DWIGHT E NELSON 18 GLENDALE DR RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 548 C SC 4893 SCH DIST RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acre ~ 1.000 Plat: N/A-NOT AVAILABLE SEC 33 T28N R19W 1 AC IN SE COR NW SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-28N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1099/274 QC 07/23/1997 1099/273 QC 07/23/1997 9131397 2011 SUMMARY Bill M Fair Market Value: Assessed with: 138580 115,500 Valuations: Last Changed: 11/09/2009 Description Class Acres Land f81,000 e Total State Reason RESIDENTIAL G1 1.000 50,000 131,000 NO Totals for 2011: General Property 1.000 50,000 81,000 131,0000 Woodland 0.000 0 Totals for 2010: General Property 1.000 50,000 81,000 131,0000 Woodland 0.000 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M 134 Specials: User Special Code Category Amount Special Assessments Special Charges 00 Delinquent Charges 00 Total 0.00 ry o a°i °O 0 ° Qc N 0 `r O N € L N _ M O ° 0~i c, (n °)Zt a ovi `~o c° M A 0 n U) I, 2g cv a o. 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