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006-1057-60-100
St. Croix County Zoning Tuesday, October 12, 2004 at 7:51:51 AM Detail Sanitary Information Page 1 of I Computer #: 006-1057-60-100 Sub/Plat: NA Section: 26 Parcel #: 26.31.16.395A 10 Lot: 1 TN/RNG: T31N R16W Municipality: Cylon Township CSM: Vol. 15 Pg. 4161 1/4 1/4: NW 1/4 NW 1/4 Owner: Schachtner, Matthew & Janel 2419 200th Ave Deer Park, WI 54007 State Permit: 399605 Issued: 11/30/2001 POWTS Dispersal: Mound Permit: New County Permit: 0 Installed: 12/07/2001 POWTS Detail: Mound Bedrooms: 3 WI Fund: POWTS Pretreatment: Unknown Notes Inspector As Built Plumber Other Requirements Additional Notes Monev Owed Kevin Grabau NA Rogers, Mike setbacks from well not completed -needs In Kevin's Office box $0.00 Signed Off: No signature Maintenance Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 12/7/2004 Wisconsin D'T;1 rtment of ,'ommerce PRIVATE SEWAGE SYSTEM Sa`ety and B+.~ilding Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15:04 (1)(m)j. 'ermit Holder's Name: City Village X Township Schachtner, Matthew & Janel C Ion Townshi :ST BM Elev: // insp. BM Elev: BM Description: i'~.or/1"f•S'4r I°b•o~ h/•so' Ss~tf. 4tu~f rrg,w.#2 w.~cQ 1 ANK INtUKMA I IUN TYPE MANUFACTURER CAPACITY Septic CJ ~-tS~t. crt3p 6 ov Dosing ~/tt Vi LO•w~,fpp . ~ t Aeration Holding TANK SETBACK INFORMATION TANK TO P(L WELL BLDG. Vent to Air Intake ROAD Septic A ~O f ~ ~ e r Dosing 1. ~+ cc r.. Zc,f f Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ,fJ p~ ~ - Demand t L 't`t / 1~.tY M GPM ~ Model Number Sttr~ - `t"C 2° • DH Lift O Friction Loss System Head TDH Ft Forcemain Length r Dia, tt Dist. to Well ° -Ibo z ~ ~c r~ SOIL A~,St,ORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 399605 0 S to Plan ID No: ~~s~ y T.b,rs. le.~ Parcel Tax No: 006-1057-60-100 Sectiontrown/Range/Map No: 26.31.16.395A 10 STATION BS HI FS ELEV. Benchmark •p 1- ~ • ~ s I (o (,4S f tI~ • O Alt. BM ~. Bldg. Sewer 9•jo q~-d t t Inlet 4 9• ~ 9Y• tor,' SUHt Outlet Dt Inlet Dt Bottom ~ ~z.9s ql• rs r HeaderlMan. 2. n q8 ~a Dist. Pipe Z 2 •~' `jg. 6a Bot. System 3• Z- 3 •~~ .LS' • 3 9 r l~'Of Final Grade St Cover ~-{. s ~.~ ~f•I~ 9~•oof RENCH idth I Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DI ~' f Itz.so SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHIN Manufact INFORMATION CHAMBER OR Type Of Sys ^ _ UNIT / ~ _ DISTRIBUTION SYSTEM ader/ an~td,,,Q Distribution f x Hole Size x Hole Spacing Vent to Air Intake ~ _~ ~ Pipe{s) ~ /f S b r ~ ngth Dia Length ~D9''~ Dia pacing S/32 2• Z(o '-`-' SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only t Depth Over Depth Over xx Depth of xx SeededlSodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil [~ Yes No ~ Yes C Nq' COMMENTS: (Include code discrepencies, persons present, etc.) Inspe~tjn #C 1~i ~'~~ o ,_ Inspection #2: +rt^"'~ Location: 2419 200th Ave Deer Park`, Wt 54007 (NW 114 NW 114 26 T31N R16W) NA Lot 1 Parcel No: A~•1E 3 1.) Alt BM Description C 3~ = -~sw.,~[ ~ 5~ alNa~e ~~ ~ .r~~(~',~`~ ~ tJ 2.) Bldg sewer length = 2~ ~'~ - amount of cover Z`f `+gpi~Ge~wr = 3.) Contour =(q~•p r Plan revision Required? (J Yes No i 1 ~ Use other side for additional information. ~ ~ L~-~- -' ~ ---- _..------------ --- - - SBD-6710 (R.3/97) Date Insepctots Signature Cert. No. Safety and Buildings Division County ~ D ~ ~ 201 W. Washington Ave., P.O. Box 7162 I ~SCOI'fSlfl Madison, WI 53707 - 7162 Site Address f~ Dep;3rtment of Commerce ~., ~' Zy mil/'"-' Je, Sanitary Permit Application Sa"tta''' P 3 ~ 9""'ber ~~~ In accord with Cotnnt 83.21, Wis. Adm. Code, personal information you provide ^ Check if Revision ma be used for second oses Privac Law, s15.04 1)(m) I. Application Information -Please Print All Information State Pl LD ,bed jrA,r. S 1 S Property O//wyyner's Name /1~ f/~ ~ ~ ``~\y,~~/~ /~ Y ~l/~vt ~~ `eJIA l~~l ~ Parcel Number -~~i Property Owner's Mailing Address Property Location //~~ r'~ ',4; SoG T 1 N, R' ~ City, State Zip Code Phone Ntimbef Lot Number Block Number ~~ nn ~~, D r Q1z I~ l ~l ~ ~ ~~ ° R Subdivision Name CSM Number - ._ , LCC,~ED rum.. ~S II. ~`ype of Building (check all that apply) _ -~' s (} 2 cV-! (~itC.° yr ~ ~ 3 O~ ttY 1 or 2 Family Dwelling -Number of Bedrooms r ~ illage ST CflOIX ^ Public/Commercial -Describe Use Township ^ Stau Owned l~ ZOtVINGpFFlCE ~ Barest Road J ., lII. Type of Permit: (Check only one box on line A (ntmbering sch eft in~C 1 .Complete line B if applicable) A' 1 New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use S stem Tank Onl Existin S stem B • ^ Check. if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that appl )(numbering scheme is for internal use) 44 ^ Non -Pressurized In-Ground 21~MoundLy x //Z -~) 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 Ci Recirculating 30 ^ Other V. Dis ersal/Treatment Area Informati on: = S 3 Design Flow (gpd) Dispersal Area Dispersal ea Soil Application Percolation Rate System Elevation Final Grade Required y Proposed o ~ Rate(Gals./Day Sq.Ft.) ~ / (Min./Inch) Elevation ~~o sO / Ks ~ ° ~ ,6~~ ~©g . ~. y~, g JDD. ~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank _ Dosing Chamber x VII. Responsibility Statement- I, the undersigned, asstttne respo for installation of the POWTS shown on the attached plans. Plumber's Name (P ' t) Plumber's Si to MP/MPRS Number Business Phone Number ~1'1a.~ ~0 9 l5- ~-ll~~.. Plumber's Address (S City, Sta Zip Code) N~15 ~~`~ S~, Q,r1Dm-0~ ~tJZ 54~?5 i VIII. Cotmt /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) ^ Owner Given Initial Adverse . Surcharge Fee) 3 ~ Determination 77' Z S, ~ ~~ try ions of App 1X. Co n dit rovaUReas ons for Disapproval ~ l / /~ 1 / ~ ' )'O ~ lkS~a,l~e0~G~ ~MLI~t\,Z(rrn ~ ~~'` ltlav~ ( ~'+ ~/Gt ey~` -t-: r~G ~~acJ r r , , , ~ k r ~ VCGOUnH~ V1 Attach complete plans (to the County ody) for the system on paper not less than 81/2 x 11 Inches In size SBD-6398 (R. OS/Ol) ,. y --_ ~ wl ~ ~~~G.v.+ 4 c] t9lv.d\ ~G~ Ac.N'tN~- 1 ~o t 1 ~a•. Z.~~a c~. ~M ~a~.~ ... s~~.' ~.. zft ~4. "' G ~ ~a c so q.~. 2/w ~~g,l~~ t,.~ - N W -2,10. 3 1 1 la ~ ---. 1 n ....M; G o,,~ S ~ ~ ~ ~".g3R) CaliA) ~.4,y~t 1 ~ ulS H w Z ~94.4~ V'3 66JI~IV) ~t t'f~ zts~~4- _ `. ll a ~' ~` I~t.S~ roc K, ~: s ~. ~. ~ ~,nnc~.~_n , ~n p~ aL[..~ le~~c„S1 Sa~.Y~ ~;M { ,~,~ ~an.a ~~ 1•y G w~ y 0~.~ 4' V~ ~oHya:l 1 r., Q.t ~ o w Sl.b°~' ti R~L al =.. ,,,,,0 ~• p.o~, U ~ s.s `~ e U r Z.. `PVC w, ~ s ~„~ ~. dL. w ~ 4 x-4.3 a ~ ~~<< ~ ~~ ~~ o~. w+w. 4e. L ~x.+; ~ «...L~ S` ~~44.LJ °b 3: ~..~.1~b1 ~ -~- _ _ 4' ~ ~w 4s ~ z r y:1L,.~ w % °-t ~+ ~' d. •, bo 1 1 tT{yQ " ~ vc~ Gow SQ~v:cp 5..,,IG W d~~ 3 ~ .Z ~ 13 ~`h'l 4(..1 a1-l. o w ~ ~ v ~ ~ .,,,+-~ 1 ~ v ~'~ ~' ~a:..~ ~.\ ~s~m .O 13 b a~ 1~ h ~ 2 ~ : 't ~ ~4 ~e utJ~ ( .~ e~y % ~ ~ a..X Q'~+ Na g3 SaJ bs.~~c ~o rb\~i o~~ ` T ,/ ~isconsinDep`artmeh;of~ommerce PRIVATE SEWAGE SYSTEM Sa`ety and Bl.iilding Division INSPECTION REPORT GENERAL INFORMATION (ATTfkCH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ermit Holder's Name: City Village X Township Schachtner, Matthew & Janel C Ion Townshi .ST BM Elev: Insp. BM Elev: BM Description: (uo.o r//el•So r l°b•o r /o/.Se r ~s~ 4w`~I Eg"""#Z ~~ I AN!'( INtUKMATIUN TYPE MANUFACTURER CAPACITY Septic Dosing V' ~`~.~. i t Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic / ~ r Dosing ~ ~ , , ~ ~ .~ Z ~ / Aeration Holding PUMP/SIPHON INFORMATION M$ a 1,M~' Manufacturer ~ -- ~` ? Demand t c. ) ti~Qt1 M GPM ~ Model Number Sttr~ - `~o 20.50 ~DH Lift $ .O Friction Loss z ( c System Head ~ TDH Ft . ~ 3•s 13.12 Forcemain Length r Dia. fr Dist. to well ~ t 60 2 ,~' SOIL A~ORPTION SYSTEM ELEVATION DATA County: St. CrDIX sanitary Permit No: 399605 0 State Plan ID No: ~~S`f~s l ' -t-ro,,,s . Ile. Parcel Tax No: 006-1057-60-100 Section/Town/Range/Map No: 26.31.16.395A 10 STATION BS HI FS ELEV. Benchmark •p 4~ (~~s t ~oc.ls /ao •o Alt. BM #.Z O•~ 1D1•~f Bldg. Sewer q,~o t qs.o t Inlet ~ 9•~ 9Y•I'eor St/Ht Outlet Dt Inlet Dt Bottom j2-9s `l~,fs~ Header/Man. 2. ~ g8.6o Dist. Pipe 2 z -s-5- qg. 60 Bot. System 3. Z 3 .'ZG . *~ o r Final Grade -- a St Cover ~ ~ ~' SE'S ~ l~ , e~~ 3 t • ~° RENCH idth I Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DI '~ / Itz.so SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHIN Manufact INFORMATION CHA OR Type Of System: ^ ~ UN T odel r: MOVVY ~I I c ~. ~ ~ "' { ~ ' "~ , ` . p DISTRIBUTION SYSTEM ader/ ani Id Distribution f x Hole Size x Hole Spacing ~__ ~, ngth Dia .--. Pipe(s) /f Length ~D9'S~ Dia 2 Spacing / r/ S 3z r 2.7(0 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded Bed/Trench Center Bed/Trench Edges Topsoil ~ Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspe tion #1: 12 / ~ ~ C ~ Location: 2419 200th Ave Deer Park`, WnI~54007 (NW 1/4 NW 1/4 26 T31N R16W) NA Lot 1 ~/~N V ` - .- 1.) Alt BM Description ~~3) ~ -~St..ertC ~ S~ ~G•~a~ ~a"'r 2.) Bldg sewer length = Z~F ~ u -amount of cover 2~ -hgy~Cp~o~ 3.) Contour =(q~•p ~ ~ _ _. Plan revision Required? [~'=j Yes ~ No ~ O~Q ~ /~ ~(~ I, Use other side for additional information. I___-~-- d-J--V-O--~ ' --~~~~~Z!~~/~ --- Date Insepctor's Signat e SBD-6710 (R.3/97) Vent to Air Intake r f ~-- f ~ V xx Mulched I ~~ [ [~ No ~ Yes C Nq' ~ . Inspec Cert. No. ~~ 3 <~W 1f„c.c~ i'~- ~ ~/~ '711 /~, ~~~ ~ ~ Safety and Buildings Division County 6 ~ s 241 W. Washington Ave., F.O. Box 7162 ~ , I ~C®I1 SII ~ Madison, WI 53707 - 7162 Site Addre~ Department of Commerce ~ ~~ ~ C I -tt- Sanitar Permit A lication Y PP Sanitary Permit Number 3 ~ 9~0~ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ^ Check if Revision ma be used for second oses Privac Law, s15.04 1)(m) I. Application Information -Please Print All Information State Pl I.D ~ ~y~,,~ 6 Property Owner's Name ~ ~ ' ~ ~ Parcel Number ~` lA/l l ~l IKX~ ll~U.~ lt, 1 ~ V U l, , j/ • /b. 35S ~ Property Owner's Mailing Address Proper t y Location /~ ( / ~ d lr'k 'k ; 5oL T 1 N, R I S~ City, State Zip Code Ph Ntlmbef ~~~~ Lot Number Block Number `~C~ ~ ~~ 1 ~~ ;.:~ ~ \`> Subdivision Name CSM Number nor. (s_ „~ .KXf(, . / I ll~ ' 1L vED n~.~.. GS II. ape of Building (check all that apply) '~ ~ § ~ ~i(~ ~ O i ty ~ .,:; .~ 1 or 2 Family Dwelling - Ntunber of Bedrooms ~~. 1 a~ illage ST CRplx ^ Public/Commercial -Describe Use Township ^ State Owned !! ZONING OFFfCP ~ Barest Road .~ 1 III. Type of Permit: (Check only one box on line A (numbering sch fo ~ 1 .Complete line B if applicable) A' 1 New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use S stem Tank Onl Existin S stem B • ^ Check, if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that appl )(numbering scheme is for internal use) 44 ^ Non -Pressurized In-Ground 21~Mound~~ K ~(2, _l, 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass Sl ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. Dis ersal/Treatment Area Informat ion: = S 3 Design Flow (gpd) Dispersal Area Dispersal ea Soil Application Percolation Rate System Elevation Final Grade ~~~ Required y~ / Proposed Ks0 ~ Rate(Gals./Day Sq.Ft.) ~•`' / (Min./Inch) Elevation /Go7 ~,og - ~ ~7, g ~ /oD. ~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Construc[ed Glass New Existing Tanks Tanks Septic or Holding Tank _ Dosing Chamber x VII. Responsibility Statement- I, the undersigned, ass[tme respo for installation of the POWTS shown on the attached plans. Plumbe ~~e ( Plumber's Si tur MP/MPRS Number Busi/Hess Phone Number ~ ~ Plumber's Address (Sire C~~ijry~~Sta Zip Code) n ~ j~J ~~ D ~ l ~ ~-j'' /~'f VIII. Count /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) ^ Owner Given Initial Adverse . Surcharge Fee) ~ 3 r t Determination Z S O . A 3p ~. IX. Conditions of ApprovaUReasons for Disapproval tc ~r5 VCGaGtnN~ Y accacn cump~eie puns tto me t;oun[y only) Ior the system on paper not less than 711/2 x 11 Inches In size ~~ /O SBD-6398 (R. OS/Ol) ' c isconsin Department of Commerce Safety and Buildings 4003 N KiNNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary October 30, 2001 CUST ID No.225094 MICHAEL P ROGERS N4563 320TH ST MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/30/2003 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SP[A 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Matthew & Janel Schachtner 200TH Ave Town of Cylon St Croix County NWl/4, NW1/4, S26, T31N, R16W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 817617 Identification Numbers Transaction ID No. 684651 Site ID No. 634778 Please refer to both identification numbers, above, in all cones ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P ITI.01/O1). [n the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and section VI of the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, the owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. C 1 (. MICHAEL P ROGERS Page 2 10/30/Ol • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec, 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/insta t lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~~~~~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce. state. w i. us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Matthew Schachtner ,~. , , ,_.rs.. r . , _ . Matthew & Janel Schachtner -Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/O1) Location: Lot 1, Schachtner CSM NW 1/4, NW 1/4, Sec. 26, T 31 N, R 16 W Town: Cylon County: St. Croix Date: Owner: Address: Plumber: Signature: r License # Attachments: October 17, 2001 Matthew & Janel Schachtner 2457 200th Ave. Deer Park, WI 54007 Mike Ro ers ~.- __ - MP 225094 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management 9.~- ~ t~` o ~C>, ~~ ~~ ~~ l0 ~ooj O ~~ ~G Conditionally APPROVED PART~IHIT OF COMMER~ ~ ~~ o 8EE CORRESP page 1 of 8 t i ~ ' ~ .. I Design Criteria ~~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~b gallons/day hydraulic load Design Calculations In situ designed loading rate `~ •~- `8 gallons/sq. ft. per day Depth to estimated high ground water '~ Zb in. Depth to bedrock ~ 4 ° in. Cross slope at system ~ % '"` "" Force main length ~ ~~ ft. of Z in. Manifold/header length N ~ ft. of _ in. Drain-back 30•~ gallons Lateral length 1 @ ~ °`t •~ ft. of z in. Lateral elevation `Z `g' 3 ft. @ bottom of lateral ~ Lateral hole size ~3Z- in. @ 3~'~ Z in. ( ~'`t b ft.) Spacing ~~ holes/lateral 3 ~ holes total Lateral volume ~ ~`' ~ S~ gallons Total lateral discharge rate _ ~°'s Z gallons/minute @ 3'~ ft. head Network pressure compensation losses ~ • ° s~ ft. r Elevation difference ~' d ~ ft. `.o~~~~Friction loss ~' ~°t ft. @ Z ~ gallons/minute Total dynamic head , 3.4 °' ft. Pump/si~ron ~• 3 gpm @ } t° ft. of head Manufacturer ~~ ~ ~ w «- ~z Model # S ~ ~` ~ 3 Dose volume ~z-a gallons Lift/sip~on tank ~ ~ ~~ ~ ~ - ~ ~ ~ w-~ ~ ~'`° gallons Septic tank ~~ ~' ~`~'O gallons Effluent filter ~ ~-~' ~ ~~ `'~ Measurement pump on and off ~ °' ~- in. Height alarm from tank bottom ~ g' ~ in. Reserve capacity 3 g~.~ gallons ~. specs.calcs.res Page ~ of b' ,~ w! 4.4 y`Q.w. 4 c] t~l~.G,~ ~e.~/\ Ac~~~k2v- 1 \o -t ~~a•ti Z.~g t~. ~N ~¢~...~ (~ 4V SSb~' ~,. 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M p If ~ ~1 M ~ w• J i4. `~M.1 ' S! 3 t L. u 1 ''~ o ~• , ,.~ ct-~. «X ca..~. 1r ~•r ~O o~ o M.. 1: ,~. t ~ 3 s • S 2 a, v.-~ ~z .q l~ ` , 3~ ~a~ ~ ~-~ ~.~ (~ ~~ 2~ s o~ g ~~ i L k ~; ~ ~S,;~ral~ LOCKING~GOVfiR -\ lt/An'NiAJG ~ /f BE~C . aWGIC DI~CDyvtGT--~ Cr.--4.~ ~1~' ---j ~'- Pvc ~~~, ' DIP6 3' no NO-STua8E0 SOIL 24`' I.D. r~4xuo>~ ~~ r ~pWa.wi.R A SKET 3~1~R'J _~_ +. o~ - a ~WECTIOKS C Elev, g ~, 2~ D ~~~. ~ ~ ~ 4~ ~FLE: + ., Z.8 AEA ON I,O.2~~ OCR ~„ 2 " __ 11 ~o'QcEr r'~.A•Iw WEA'fNERPROJF ~.nNCT10N 8cnc i'w~:o HU:r ~1 ~~ Pur(P COKURFTC 6~oCK 12' JI/~~7r~y7 ~ 4~ 4 0 VEnIT .1 K ¢' 4" P~ 5...~ 40 3' ono W~ca-:,11xa. G cou-+o ~;ti SCPTIC E ~ SPEG~FI•GATI~FJS . DOS [ ~./.9 ~ ~~~ .- S~ ~ 4 TA1.1~.5 MA-JUF/~GTURCR: IJUMBCa OF DOSCS: PEK 0~~ TA1JK SIZC; ~~~D~~'~ `GALLOIJS •.DOSC VOLUME ,~~ ALARh !1/WUFACTUiICR: S `~ ~'~~ °t-i-rs IWCLU DIIJG 6AGKFLOW: (.A~~O-~S noocL uuv~[R: • ~ ° ~ ~'~ ``' CAPAC ITIES: A= 3t.~2 IucNcs oK ~~~`'} wLLOuS SWITCH TyPC: ~-Q,-•~.`~ wl`O B t Z' -uc-+ES oa Z'S'V ~1' GAI.LOUS PUMP MAWUFAGTURCR: t~ ~ ° `'""~'~ C ^ 1o~Z iuLMES OH ~i~~O G~I.~ouS :;~ '' MODEL 1.1UMOCR: S\s~ ~ ~~ D~ ~ INCHES OR ~OiQZ GA~~ouS ~W-TCN T!lPQ: ~Q'~""Y ~`' IJOTE; PUMP A1J0 ALARM ARC TO 8L M11.11MUM pISCHARGA RATE ~"`~'~~ (,-/~{ INSTALLED OIJ SEP~RATC C-KC~~T~ }'~~/ VCRTILAL D-iFC0.CIJCFi DCTWC[1J PUMP OFf I-UO OIJT1tI~UTIOA! PIDC.. FECT + M-AIIMUM AICTWORK SUPPLY PRCCSUR E 3'~~ FCCT }~'`'~ + ~~~ //. ~~ FEET OF FORC[ MAIIJ X ~.~1 F~ioorcFRICT1o1J FACTOR FEET ~ ?1 . 1 ~ Y'`^^ TOTAI. Dyf`1AMIC HfAp FEET IIJTERAIAI. DIMEAJ510AJ4 'OF TA-JK: LEAIC,TN \~~}~~ ~~`1 S 1„ ;w~DTH ~; Llqu-o p[PY H ~Au~ 6 u F -~ S ~ ~ ~ •• 1 Puma Charatterrishcs P®rformonce Doto r ,a vas eAvtor Udt Sabatars~lkl. AsEentitk Modsl~ SNEF8OA1 }~Spawer .30 c~ 40 Shef40 30 F- W 20 > 1~.\2 -------- r o.'~ • 10 o~ ,~ ~1 ce & Dimensional Data 0 10 2 30 40 50 60 70 - ~ ~t~oRar~t' humps, Ashland, Ql+~o. AI! R' R~rwved~ _~ HYD RCS MAT t ~ ~ - Y~~ ~~,hor,xee ~~d D~srribu,or - ~ . .o 1840 8nney Recd AsNon6, Oho 44E~5 iel: 419.189.3041 Fax; 419.81 A087 ~~ Weh Si,e: wwtv.pentarpump.toro ns SALES OFFKES IN A!1 MiA1OA CITIES ANO C4UN7RIEi ;~f.~ Tj'; y ~- p~ horn N: W-O:-6350 t20t3 >rJ ,"'~ ~ ~ ~ ii - ~ r 1 ` if ~ System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Rogers Plumbing, 715-235-1132, or theSt. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required ifthe combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. Ifthe alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. ] 0. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 r~RIGINAL _ f SOIL EVALUATION REPORT Wisconsin Department of Commerce j `~, ' Division of Safety and Buildings in accordance with Corditr$5f Wis. AI~'h..f~de '" ~`a g~~ 1421 ~ • Page 1 of 3 Certified Soil Testing •~ ti Attach complete site plan on paper not less than 8%: x 11 inches in st er~Plen must~~~~-''°` ~ ~ W St. Croix include, but not limited to: vertical and horizontal reference point (BM ercent slo e scale or dimemsions north arrow and location and di direction and ~ 7 `- farice to near ad ' arcs! .p< p p , , , . _._ ~~~ ~ ~~, , CSM Pending Please print all information, .~- ~ 5~ 04 (1) (m)) Personal information rovide ma be used for seconda ur oses (Privac ~5 ou ~evie / By . Rate . y y ry p p . p y ~ J rope caner r e ca ion , - Schachtner, Matthew & Janel : ~o ~~ _ \ N 1/4 NW 1!4 S 26 31 N R 16 W roperty wners at tng ress Lot Subd. Name or CSM 2457 200th Ave. 1 Schachtner CSM City tats Zip ode hone umber Cit ~ Village ~ Town Nearest Road Deer Park I WI 54007 715-265-4721 Cylon 200Th Ave. ~~ ~~ ~. N `~ ~ n ~~,~ 0 v 3 ~~ C~ H et New Construction Use: Residential /Number of bedrooms 3 Code derived design flow rate Replacement Public or commercial -Describe: Parent material tiN Flood plain elevation, if applicable General comments and recommendations: install 4' x 112.5' rock unit mound on 96.9 contour as upslope edge of rock w/ 0.9' sand fill NA GPD a Boring # Boring ' Pit Ground Surface elev. 96.9 ft . Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft~ in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-8 7.5YR 2.5/1 - sl 2 m gr mvfr cs 1f/m .5 ~ .9 f 2 8-14 10YR 4/3 - sl 2 m gr ds gs 1 m .5 .9 / 3 14-27 10YR 4/4 - sl 3 f sbk mvfr cs 1 m .5 / .9 / 4 27-40 7.5YR 4/4 c2p 7.5YR 5!8,5!3 scl 0 m mfr - - 0 0 Boring # Boring Pit Ground Surtace elev. 96.9 ft. Depth to limiting factor ~ 29 in. Soil Appligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/it' in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-8 7.5YR 2.5/1 - sl 2 m gr mvfr cs 1f/m .5 r .9 / 2 8-12 10YR 4/3 - sl 2 m gr ds gs 1 m .5 / .9 ~ 3 12-29 10YR 4/4 - sl 3 f sbk mvfr cs 1 m .5 / .9 / 4 29-36 7.5YR 4/4 c2p 7.5YR 5/8,5/3 scl 0 m mfr - - 0 0 ` Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L ame ease not tgna ur : um er Henry F. Grote ~ ~ 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 10/11/2001 715-233-0398 ~ ~ .}~ ~ ~ °' n ~~ r v~ ~~ Vi ~ 1 'O A ~ SJ ~` ~ o ~~ ~~~ `F `~ o- Property Owner Schachtner, Matthew & ]anel Parcel ID # CSM Pending • •. ( w ... + Page 2 of 3 ~ ^ g Boring 3 Borin # pit Ground Surface elev. 95.9 ft• Depth to limiting factor , 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 1 0-6 7.5YR 2.5/1 - sl 2 m gr mvfr cs 1f/m .5 / .g / 2 6-12 10YR 4/3 - sl 2 m gr ds gs 1 m .5 ~ .9 ~ 3 12-26 1 OYR 4/4 - sl 3 f sbk mvfr cs 1 m .5 / .9 4 26-36 7.5YR 4/4 c2p 7.5YR 5/8,5/3 sc( 0 m mfr - - 0 0 common gy si coats on pe s n Boring # ~ Boring ~,Qj Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Applicetion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in• Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ' Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 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.07/00) Certified Soil Testing t ~ '' ~.. SSb~' ~,. Le ~ 1 ~ ~~ad„~ ~.~.a,v GLMV ct, ~_ ~ ~ ~ (~ \ .~ O Zo 40. S '' '7 W r., ~ --j t~ ~~(., o~i~~~ N h 1 T v. y~W~r ~~ o - a !1 ... tt ~~t~,Z~' > ld i ~••~~R~ ~QLR) ; (.4SK S ~ ~lS N w I l ~.qa.n~ t~~ _~ ` z, ~ bla.:~v ~ ~° ~ ~~7 ~ , '--~ ~~ { N8 -a •S •3 S9o ~~ / 3 ~~o c.. ~e~.uwl,c, l0~-w' 1 ~..~.~~ ~qa.~ z~ >r y: ~.~ I 3 1~ ~ ob \~ h e Q ~ : ~ ~ (j it ~ ~RJ~ ~ ~,y O'Yi % ~ ~ Q'~+ Na $3 Sa~ ~~.~ ~a rb\AK _ ~- wQ~~ ~'~?.3q' ~~ L ~ ~,~qs~s ~o. 3 a~3 ~ a ~scons~n .. Department of Commerce G~\~-~ ~f ~ 4~ n 1 ~~ Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www. com merce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary September 26, 2001 CUST ID No.220527 BYRON BIRD JR\ 896 68TH AVE AMERY WI 54001 CONDITIONAL APPRO PLAN APPROVAL EXP • 09/26/2003 SITE: MATTHEW SCHACHTNER 200TH AVE TOWN OF CYLON ST CROIX COUNTY NW1/4, NW1/4, S26, T31N, R16W FOR: OBJECT TYPE: POWT SYSTEM MOUNDlDWE The submittal described above has been and Wisconsin Statutes. The submitt chapter 101.01(10), Wisconsin Sta s, ZONING ICE ST CRO COUNTY SP1A 1101 ICHAEL RD ON WI 54016 Identification Numbers Transaction ID No. 669955 Site II3 P1o. 634773 Please refer to both identification numbers,: above, in all'"comes ondence with the a enc . UL ED OBJECT ID NO.: 808355 LL G 450 viewed for c ormance with applicable Wisconsin Administrative Codes as been CONDI NALLY APPROVED. The owner, as defined in is responsible for c liance with all code requirements. • All system components sh conform to the setback re 'rements specified and referenced in Ch. Comm 83 Wis. Adm. Code. Not .Soil absorption system shall ocated at least 50 feet from the system perimeter to the well. A copy of the approve laps, specifications and this letter shall be on-sit uring construction and open to inspection by autho ' d representatives of the Department, which may incl local inspectors. All permits required by the stat r the local municipality shall be obtained prior to comm ement of In granting this proval the Division of Safety & Buildings reserves the right to req ' e changes or additions should conditions ari making them necessary for code compliance. As per state stats 101.12 ,nothing in this review shall relieve a designer of the responsibility for designing a safe building, structure, or onent. Inquiries c cerning this correspondence maybe made to me at the telephone number listed ow, or at the address on this le rhead. Sincer },.~ FEE REQUIRED $ 5.00 FEE RECEIVED $ 1 .00 BALANCE DUES 0.00 RQBERT KANTER POWTS PLAN REVIEWER ,INTEGRATED SERVICES WiSMART code: 7633 (608)261-7735 ,MONDAY-FRIDAY B:OOAM - 4:45PM RKANTER@COMMERCE. STATE. W LUS ~/ ~~~ 1 f_~ _~~~'~:' ATTN: POWTS cc: MATTHEW SCHACHTNER aIF • *; p Wisconsin Department of erce ~L EVALUATION REPORT Divisiotl of Safety and Bui dPR .1 ~ ?t1A1 ..i ~~ 1 Page of gT Cii01X~,...., . ~, ,,,,, ,,,,, ,,,~. ~..,,,..,,,,,~ Attach complete site pla o per not frt(8 1/2 x 'n es in size. Plan must County ~. GrB ~ include, but not limited to: drti I anj~~j¢•~6fere int (BM), direction and Parcel I.D. percent slope, scale or dim si north arrow, an ti and distance to nearest road. 4 b (c -l ©5 ?-- (o Q -O o 6 ~a ~' ~ ~~ ~~p,,z, Plea i t tioR. ~. ~~6 ~~'~~ Reviewed by Date Personal in rmation you provide may be use or secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location h S ~ j,. Govt. Lot /~~? 1 /4 ~Lv?'l4 ~~ T ~ f N R ~~ E ( W Property Owner's Mai Address ~ ` Lot # Block # Subd. Name or CSM# ~' Cit S e Zip Code Phone Number ^ City [] Village Town Nearest Road ^ New Construction User,, sidential /Number of bedrooms Code derived esign flow rate GPD ~[ Replacement ^ P is or commercial - De tribe: Parent material Flood Plain a ation if applicable ft. General comments and recommendations: ~~ ~ ~/ ,~ ~%~ ~,~~ yam, y ® Boring # ^ Boring ® pit Ground surface elev. ft. Depth to limiting factor ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Descriptio exture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 ~ O /O O aL r - ~/,~/^ Gf ~ '' a - o ~ ~ ~-~. G~ Boring # ^ Boring Pit Gr d surface elev. ~~ ft. Depth to limitin factor v? © in. Soil Application Rate Horizon Depth Dominant for Redox Description Texture Structure nsistence Boundary Roots GPD/ftz in. Muns Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 r~.~~ di x.~ ~ ~~- ~ ,~~ 4 ~ ~~ x CST l ~ trrwenr ~~ _ ~svu5 > 3u < zzu mglL and 155 >3U < 15U mglL Na a Please Print f Si na i ss tttlueni ~Z = t3UU5 < 30 mglL antl "S < 30 mglL .. CS Number ~'+~- ~~,`J` Date Evaluation Conducted Telephone Number enn_QZZn inn~inm ~„ ~ ~._ ~Jf ,~. Property Owner Parcel ID # Page of © Boring # ^ Boring c,/ ,~ Pit Ground surface elev. / ~P ft. Depth to limiting factor ~_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDift2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 l l~' ~ l .~ J`~ l /~ ..5 a ~~ o .~- , ~ ~ ~~ `o ~L ~ ~~.~ ~ ~ ~ ~ ~ ^ Boring Boring # ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ^ Boring # ^ Boring ^ Pit Ground surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = 8OO5•~2'~L~~n~~T~6~i0'1150 mg/l;: ` ~ ~ . ~ ` * Efflu~t~2 =~3Ob5 < 30 mg/L and TSS < 30 mglL: 'The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) r ~ ~~ ~ ~ ~ • .F _ Soil Test Plot Plan Project Name John Schachtner Byro Bird Jr. Address ` 2457 200th ave DeerPark Wi. 54007 C M #220527 Lot--- S division ------- Date 4/16/0 NW 1 /4 NW 1 /4S 6 T S1 N/R~ 6 W TownsfiipCYlon Boring 0 Well Property Line COUnty ST. CROIX ,BM or VRP Assume levation 100 ft.nail in eiec pole #altBMbase of elec pole System Elevation 89.7 ~•R•P• NE PL~?OOth ave'` 200' PL Pro 3 bed PL 200' drainfield ca B3 _~ 25' ~~ 4% slop 360' ~~ B3 well 10' drivev~ay 60' S~~t d~;~~~1 W•~ * HRP • . • r %~~ • Soll Test Plot Plan Project Name John Schachtner Byro ird Jr. Address c~~ • 2457 200th ave DeerPark Wi. 54007 C M #220527 Lot--- Subdivision ------- Date 4/16/0 / NW 1 /4 NW 1 /4 S 26 T 31 N/q16 W Townsfii pCylon [~ Boring Q Well PL Property Line COUnty ST. CROIX ,BM or VRP Assume Elevation 100 ft.nail in elec pole #altBMbase of elec pole System Elevation 89.7 I.R.P. iVE PL&200th ave ~.~ .~ ~, ~: q~z~~~ fear W aS G~i S'~ // u / h e~ ~Y /~. 5 C,~ /~ s~~ ~ ~~. 3/.1~ . 3 ~s--,~ 6~~~ ~o-s-~- C~ - ~, o~/ ~~ ~ ~t~~.~G- elr 6cP~ P~ r ,. , ~: (Jti~~ner/I3 uyer SEPTIC TANIL ASAITd'i'rT1ANC1~ AGREEMENT ATE O«'NERSHIP CrP~T1TiCATION T;OP~Ivf 1`tisiling Address ~'I ~~ ~I ~~~ t~I~.QJ ~`~ ~~ ~k I'ropert}~ Address (Verification re~~uired from Planning Department for new construction) City/State '~~,_ ~~ ! , ~~IParcel Identification Number ~~ LLG AL DESCRIPTION Property Location ~ '/,, ~ 1/,, Sec. ~, T~N-R~W, Totem of Subdi~7sion ~~.~~ l.sJ~ ,Lot # Certified Surve~~ I1iap # , Vohtme r ~ ,Page # y~ F'4'arrantti~ Deed # .Volume (~'~~ .Page # Z~3 Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTE11i A~AINTENANCE 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 firnctiop of the septic tank as a treatment stage in the waste disposal system. The property o~~~er agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a msst~rplumber, jott.~neymanphunber, resirictedplumber or alicensed pumperverifyingthat (1) the nn-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tan}: is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Cert-ificatiorr stating that your septic s}stem has been maintained must be completed and returned to the St. Croix County Zoning Office witli~ 30 da}'s of the [lose year expirarion date. SIGNATLJP.E OF APPLICANT /v ~~lq o/ DATL~ O~'~'NER CERTIrICATION I (we) certify that ail statements on this form are tnie to the best of my (our) knowledge. f (we) am (are) the o~~~ner{s} of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~!%~c~~j SIGNATURE OF APPLICANT /da?bl°~ DATE '*"*** Any information that is this-represented may result in the sanitary permit being revolved by the Zoning Department, ****** ** Include ttlth this application: a stamped warranty deed from the Register of Deeds office a copy of the certified sun~ey map if reference is made in the warranty deed }' •1 A r ~-.. r- STATE BAR OF WISCONSIN FORM 2 - 1982 .--'~ WARRANTY DEED I DOCUMENT NO. ii Vh! PAGE ~ . " ..1718 2~3 1r--:.-: - ._.._:_ .-.- JOHN 'A SCHACHTNER AND TFR S M ~CHA HTN R conveys and warrants to MATTHEW J SCHACHTNER AND JANEL J SCHACHTNER HUSBAND AND WIFE the following described real estate in ST CROIX County, State of Wisconsin: i65Ea493 I<.il'Ti-ILC:EbI H. WflLSH 1~1~(~IFi7EF: DF UELDa kECEIVED FQk kECQRD 09-13-2001 x:30 API WAkkANTY DEED tXEirIG'f # $ CERT COPY FEE: COPY FEE: TkAtrSFEk FEE: RECtIkDING FEE: 13.00 PaGES: ~ THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS Matthew J Schachtner 2457 200th Ave r Deer Park WI 54007 Part of 006-1057-60-000 PARCEL IDENTIFICATION NUMBER See Addendum This 1 S nOt homestead property. (~) (is not) Exception to warranties: Dated this 7th day of September , A.D., ~ 2001 (SEAL) (SEAL) * JOHN A SCHACHTNER (SEAL) ~~ (SEAL) * * Terese M SCHACHTNER AUTHENTICATION Signature(s) authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY 19 T.M. Schachtner (Signatures may be authenticated or acknowledged.. Both are not necessary.) ACKNOWLEDGMENT State of Wisnonsin, ~ ss. ST CROIX County. Personally came before me this 7th day of September , 12001, the above named to me known to be the person instrument and acknowledge tl Mary Kaye Ohl Notary Public, ST CRC My commission is perm --- _._. ' Names of persons signing in any capacity should be typed or primed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Form No. 2 - 1982 E NOTARY the foregoing unty, Wis. iration date: 19 .) Wisconsin Legal Blank Go., Inc. Mtlwaukee, Wis. ;~ . a _ -~;-~ r .~ v~~i..~?18PAGE 234 LOT 1 OF CERTIFIED SURVEY MAP DATED AUGUST 29, 2001 AND RECORDED AUGUST 29, .2001 HE REGIS OF DEEDS OFFICE OF ST CROIX COUNTY, WISCONSIN, _ DOCUMEN #655117 SCRIBED AS FOLLOWS: A PARCEL OF LAND LOCATED IN F THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF SECTION 26, TOWNSHIP 31 NORTH, RANGE 16 WEST, TOWN OF CYLON, ST CROIX COUNTY, WISCONSIN, DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID SECTION 26, THENCE, ON AN ASSUMED BEARING ALONG THE NORTH LINE OF THE NORTHWEST QUARTER OF SAID SECTION 26, SOUTH 88 DEGREES 29 MINUTES 10 SECONDS EAST A DISTANCE OF 564.42 FEET TO THE POINT OF BEGINNING OF THE PARCEL TO BE DESCRIBED; THENCE, CONTINUING ALONG SAID NORTH LINE, SOUTH 88 DEGREES 29 MINUTES 10 SECONDS EAST A DISTANCE OF 198.37 FEET; THENCE SOUTH 03 DEGREES 30 MINUTES 26 SECONDS WEST A DISTANCE OF 512.41 FEET; THENCE NORTH 89 DEGREES 12 MINUTES 58 SECONDS WEST A DISTANCE OF 197.47 FEET; 'T'HENCE NORTH 03 DEGREES 23 MINUTES 44 SECONDS EAST A DISTANCE OF 514.89 FEET TO THE POINT OF BEGINNING. CONTAINING 101,576 SQUARE FEET (2.33 ACRES). SUBJECT TO 200 AVENUE (A TOWN ROAD) ALONG THE MOST NORTHERLY LINE OF THE ABOVE DESCRIBED PROPERTY. ALSO SUBJECT TO ALL EASEMENTS, RESTRICTIONS, AND COVENANTS OF RECORD. September , 1>~LUU1, the above named ii K ~ 'b ~ ~ ~1x~ ~~~ 0 3 ~, -~-- ~. ~ ;~ `'F~~~~ -s ~ ~. . ~~ , CERTIFIED SURVEY Located in part of the Northwest Quarter of the Northwest quarter of Section 26, Range 16 West, Town of Cylon, St Croix County, Wlsconsln. Prepared for and at the request of: OWNER: John and Terese Schachtner 2457 200th Avenue Deer Park. WI 54007 Grafted by. Ty R. dodge ~SS~ 1 17 KA ~ H, W F;Ei;rSTE ' EEAS ST. CROIX CO. W:[ RECEIVED FUR RECI~RD M A ~ i2:i5 aM UPY FEE: 3.00 Township I~Ctlltbdltl.FEE: 12.00 PAGES: 2 PHIS LOT 15 BE:1NG CREATED UNDER ST. CROIX COUNTY ZONING CODE 17.14 (1) (b) UNI~L.ATT~D LANDS ~~ - ---598~9'1O'E---2657.28'-- ~. ---------------T-..... ~ ~J~L~EN7E)41L1NE S88'29'9O'E 198.3? S88~9`1O'E Y 564.42' ~ ~, ~ A v 588 29 1O'E 198.31' ~ Nd4THl1EST CCtRNER o 0 SE"C7ItaM 26-31-i6 (fYX/ND P!K NA/LW M r'yj f775 7l£S) I b ~a` I~tZ I Q t~ ~p -~ trnl~ ~tp 1 i~ t ~„ -'"r7 , o -- t fn ~uuuwn,.._ ,}- /~ r~ r...: t DODCr _ _ ~ S.`gS4 : 8~2. ~ -- of ni ~ m w LOT 1 TOTAL AREA: 1o1,57s sa. ter. 2.33 ACRES AREA EXC. R-~-- 95,031 Sq. !-T'. 2.1 B ACRES t7ols)~vt; sum 197, UNP~.ATIED LANDS OF _ t Fr~ntn• Section Comer Monument of Record • Set 1" x 24~ Iron Pipe weighing t.13 pounds per ilnear foot • • • • • • • • •E?ulldtng Setback Llne (100' firom R1ght of Way) ~,ih Existing Fencetlne , JO8 ~ WIO75SU37 Prepared by. JEQ Consulting Group, Inc. Phone No. (715) 246-4319 Fox No. (715) 246-3830 P.O. Box 325 New Richmond, Wt 54017 Sheet 1 of 2 Mx27N LAVE dk' n~~- Nw ~/~ . -`- '-t- - - `. t' _ _ ~` N88~9'1O"yV Y 1894.49' NQRTH 1/4 CLIRNER S>rCIILYV 26-.3J~76 (Fd(/ND PK NA1C- f775 nESJ ~Oo~ O x~~~m O N •• , s d~a~ ~ o n N V n pY W: ro ~ ~ ~m- ~ ` - t .- ~ -°. ~ s ~ o b~ ~ ~ ~v n~ .p C p ^ n ~ ~ C S p, O rt J = N ;~ ~ 3 oNa o ~~ v .~ ~ ~ y. O L ~ v, O ~ T~ m j Gl ~ 7 fi ,p ~ o. D Q W ''~' 0 ~ 3 ~`C3cn ma ~ o 6 ~ A ~ C WNER o~ oo ~~`~ o ~ ~~~~yy ~ AP~ ao ~ {nNP - ~ ~ a IrK ~/ a c o SY. t;ROiX COUNTY d ;°, Ptarnting Zoi+igsn@;F'~c~ Co;gmittee ~,~ m ~~ ~, At)f~~~~ Zf~Ot 1f net retarded xllnirt 3U da,s of approval date aPNrrl~al shat! be null arsd ~pid ~np o too NO TH iii" -- ----- - GRAPHIC SCALE SCALE IN FEET: 1 inch = 100 feet BEARINGS ARE REFERENCED TO THE NORTH UNE OF THE NW 1/4 OF SECTION Z6. TOWNSHIP 31 N., RANGE 16 W. WHICH iS ASSUMEQ TO BEAR S88'29'1O"E. Volume y 5 Page 4~ 6l O w 0 tv :s~ N •A l O t~ ~~~ t to 1~ I~tp~ t t y, 1~ I~ t N T00 ~ SQSSQ 30 ?I9.LSI~32I L89ii 98C 5TL XV3 fiT ~ ZT QBA~ TO/t3Z/80 * w ' ~ Y ~- r CERTIFIED SURVEY MAP l.ocgted In pert of the Northwest Quarter of the Northwest Quarter of Section 26. Township 31 North. Range 16 Weat, Tawn of Cylon, St. Croix County. Wlaconaln. SUR'VEYOR'S CERTYFYCAT~: I, Ty R Dodge, a Registered Wisconsin Land Surveyor, do hereby certify that by the direction of John and Terese Sehaehtner, I have surveyed, divided and mapped a parcel of land located in part of the Northwest Quarter of the Northwest Quarter of Section 26, Township 31 North, Range 16 West, Town of Cylon, St. Croix Gounty, Wisconsi~l, described as follows: Commencing at the Northwest corner of said Section 26; thence, on an assumed bearing along the north line of the Northwest Quarter of said Section 26, South 88 degrees 29 minutes 14 seconds East a distance of 564.42 feet to the point of beginning of the parcel to be described; thence, continuing along said north line, South $8 degrees 29 minutes 1 Q seconds East a distance of 198.37 feet; thence South 03 degrees 30 minutes 26 seconds West a distance of 512.41 feet; thence North 89 degrees I2 minutes 58 seconds West a distance of 197.47 feet; thez~Ce North 03 degrees 23 minutes 44 seconds East a distance of 5 i 4.89 feet to the point of beginning. Containing 101,576 square feet (2.33 acres). Subject to 200`x' Avenue (A Town Road) along the most northerly tine of the above described property. Also subject to all easements, restrictions, and covenants of record. I also certify that this map is a correct representation to scale of the exterior boundaries surveyed and described, that I have complied with the provisions of Chapter 236.34 of the Wisconsin State Statutes and the Subdivision Qrdinance of the County of St. Croix and the Town of Cylon in surveying and mapping the same. odge-Registered Wisconsin Land Surveyor No. 2484 JEO Consulting Group, Inc. F.O. Box 325 New Richmond, WI 5401 ~ ,,..~~~ °w~sco ~~~~~•, N ~.~,,, CL $ p 84~ . ~' ~- C,9 ~.' ~ W1CAKt=~ ' ~ ct ~O»aemn,a+,uo~ Sheet 2 of 2 Volume ~ 5 Page 47 67 o~~cj- of Date Z00l~j SQ~~Q d0 2Id.LSI~~2I L89i~ 98~ 9TL XV3 tab:ZT QOM i0/6Z/80