HomeMy WebLinkAbout010-1078-70-010
~ ~ o I
° 0 ova I
d
~ o I
o ~ a~ I
O U
N 'a I
M O
E
Q1
x
Its
I
~ € I
a
L I
°
z E I
c
U. c ~p-DO t I
O U N
3 0 a
0
z° E
I
v y Cl)
I
Z y I
cD Z j = c I
z `m m
co U)
o I
c t9
o z d
~ ~ y I
d Z z
U) E o
N M I
~ z z o ~ I
N z
ao ~ N I
R
~y ~p N y ~ y C O
~i coa
CD U) U) (1) El
z
•N ~aaIa v
a c
N J U~ 9 It ~ N
a~ o
00
m y O JE
cc
O o o I' ~ ~ I
r N O E
O U y O d O O O
O 0 > N C CL C A N 01
V co ~ O C C E °
too r- M
v o y °c d
C N 0Dm
0.4 Y
`ry)' CO • ~1 O M W N O Z N
fun)
O ~ I
rig m € a
#t EL
: a I
• a d 2 d
ee c y
~r-ww i
~1 A ciao' ac°~
t
Parcel 010-1078-70-010 03/31/2006 09:55 AM
PAGE 1 OF 1
Alt. Parcel 32.30.16.478B 010 - TOWN OF EMERALD
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - DOUGLAS, BRUCE G & JUDITH A
BRUCE G & JUDITH A DOUGLAS
2264 CTY RD DD
BALDWIN WI 54002
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description ' 2264 CTY RD DD
SC 0231 BALDWIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 25.130 Plat: 4418-CSM 16/4418
SEC 32 T30N R16W LOT 1 CSM 16/4418 Block/Condo Bldg: LOT 1
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
32-30N-16W SE SW
Notes: Parcel History:
Date Doc # Vol/Page Type
09/03/2003 738602 2398/206 WD
12/11/2002 701867 2077/169 QC
1089/589 WD
962/269
2005 SUMMARY Bill Fair Market Value: Assessed with:
80559 161,200
Valuations: Last Changed: 10/19/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 15,000 82,700 97,700 NO
UNDEVELOPED G5 7.000 10,500 0 10,500 NO
PRODUCTIVE FORST LANDS G6 16.130 40,000 0 40,000 NO
Totals for 2005:
General Property 25.130 65,500 82,700 148,200
Woodland 0.000 0 0
Totals for 2004:
General Property 25.130 65,500 82,700 148,200
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 124
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
r..
A r✓
STC - 104
AS BUILT SANITARY SYSTEM REPORT
JO11~
OWNER -2DC2 v/~0/
ADDRESS GZCfy 7•fJ11 -~-J~
SUBDIVISION / CSM# rr /LOT
SECTION .3? T 30 N-R W, Town of Z;i 2erc? /GY
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
tf.
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
i
BENCHMARK' Co
ALTERNATE BM:
SEPTIC TANK / PUMP CHAMBER / HOLDING..TANK INFORMATION
Manufacturer: P,SPr,~ Liquid Capacity: /ob0
Setback from: Well 175 / House ~Q Other
Pump: Manufacturer 611or?/(> Model #Ls)Z- C)3' L Size /
Float seperation Gallons/cycle: 141
Alarm Location j~,~,ale,- Z~g,/,"
:SOIL ABSORPTION SYSTEM >
Width: -7', Length ?V , Number of trenches
Distance & Direction to nearest prop. line:?/o 5ou-7'~
Setback from: well: 2-05'
-o 5House /00 , other
ELEVATIONS
Building Sewer ST Inlet; ST outlet /n ~PC inlet /IQs, PC bottom 4U/.Pump Off
Header/Manifold Bottom of system '7, 75
Existing Grade IDS-715 Final grade
DATE OF INSTALLATION: 1
PLUMBER ON JOB: fYuo,~-ar-
LICENSE NUMBER: Mp ~l
INSPECTOR: ; /fjo/I'J SOI'~
3/93:jt
a v~al JOT
BOLDT'S PLUMBING & HEATING, INC.
820 MAIN STREET BALDWIN, WISCONSIN 54002
(715) 684-3378 FAX (715) 6843144
z9~
y,
/zoo
N~
~y.
3~.
a,
idoo~4/, 391
PC.
SePi' e- 33'
~~X 52
obs10 Nome a
300 'to ~~lL/p
y
WisconsinDepartment of.Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety and Buldings Division
(ATTACH TO PERMIT) Sanitary Permit No_:
GENERAL INFORMATION 224629
Peby H 16,N6Nan)%AVID ❑ City ❑ Village IR Town of: State Plan ID No.:
Emerald
CST BM Elev.: , Insp. BM Elev.: BM Description: Parcel Tax No.:
256
TANK INFORMATION ELEVATION DATA P p AS
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic / - Benchmark
Dosing
Aeration Bldg. Sewer 09
Holding
St/ Inlet
T
TANK SETBACK INFORMATION St/#E Outlet <r d 6,1
'
TANK TO P/L WELL BLDG. AiirIntake ROAD Dt Inlet (j )9
Septic
; NA Dt Bottom /
6; 9
Dosing04- NA Fir/ Man. bpd~'~
/
Aeration NA Dist. Pipe
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade -
Y/
Manufacturer 'CYO Demand 76 Model Number L~JEd~3//G ~GP
TDH Lift Friction I•'~f System TD p~t Ft
Loss Head
Forcemain Length tJ 9, Dia. a " Dist. To Well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width / Leng / No. Of Tr nches PIT No. Of Pits I ia. Liquid Depth
DIMENSION DIM `
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEA nufacturer:
SETBACK MBER
INFORMATION Typeo la--.) , Moe Number:
System: /yam✓?~( ~'<;i / OR UNIT
DISTRIBUTION SYSTEM
Hem/ Manifolda-rd Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length 5L2 / Dia. Spacing 214- yc/ y "1
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Deer Depth Over xx Depth Of / xx Seeded/ Sodded xx Mulched
f-::: ~ch Center xr .B,ed-t-Trench Edges Topsoil ~ C] No E] No
COMMENTS: (Include code discrepancies, persons present, etc.)-µ.cl
I
~LOCATION: E erald.32.30.16W, SW, SE, County Ro~Ld,DD
05 L,-n
9r',
i
Plan revision required? ❑ Yes
Use other side for additional information. 8 1~ /
SBD-6710R 05i91) pector s Sign atu a Cert. NO-
~ ~ ~ - ~ Date Ins'~
ADDITIONAL COMMENTS AND SKETCH
1
s
SANITARY PERMIT NUMBER:
A
W ~~t".':""'._ f~,:`,f.i~=~lC!-[-C...=(~,/} ~ b ~1;~4-t..~',.~ ~ .,~.r-,CG'..-~ fc
i
G~tJC~(`c? C_.4')')'~ %?JG2t/ / Y"`'' `7 aE~<---t'C~,.~--,--. ,~;~~0'r°-J~~ ~ f ~~',1i-' ~l
II
7 DILHR SANITARY PERMIT APPLICATION
E 131 In accord with ILHR 83.05, Wis. Adm. Code COUNTY
TY memo
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than v446 9 /
8% x 11 inches in size. ❑ Check if revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S9 - Z-101116
PROPERTY OWNER PROPERTY LOCATION
~e 01 - :D~ d c~ CJ'/a 5j %4, S 3 Z T 3' , N, R IZ 42 (or)
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NU
Z;ct Ir-),o,'~. 5Z/00Z_ 1(1-1-5 l?y-3N
II. TYPE OF BUILDING: (Check one) CITY / NEAREST ROAD i
❑ State Owned VILLA
=N OF. GE ~G/y,Lo
4Q( /
❑ Public IN1 or 2 Fam. Dwelling-# of bedrooms ~ PAR LTAX NUM ER(
III. BUILDING USE: (If building type is public, check all that apply) -10-7E 16
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
40 Church/School 80 Mobile Home Park 12 ❑ Service station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1.2( 4 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.E1 Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit # - 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 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 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
1~ REQUIRED (sq. ft.) PROPOSED(sq. ft.) (Gals/day/sq. ft.) (Mindinc ELEVATION
/ 50 3 75 3 7e/ 4O 17.Z.-I, Feet 109. ~Z Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New istin Gallons Tanks Manufacturer's Name oncrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holdin Tank OQ /~OC~ ~i C
Lift Pump Tank/Si hon Chamber c7 r 000
Vlll. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps) MP/MPRSW No.: Business Phone Number:
66z-?_ 715 ~,94 337 S
Plumber's Address (Street, City, State, Zip Code):
_f 7yo0 Z_
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved S wtaPit Fee (includes Groundwater [-Date sssLed Jy~ ssuing Agent Signature (No Stamps)
Surcharge Fee) (ji.~] [ l
Approved ❑ Owner Given Initial
Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Pib-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the 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 Sanillary 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 & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in 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 in ##1-7.
VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of
tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all
septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received
experimental product approval from DILHR.
VIII. Responsibility statement. Installing plumber is to fill 'n name, license number with appropriate prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application form.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The
plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of
holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells, water mains/water service;
streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; reply-.ment system
areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater, ground-
water contamination investigations and establishment of standards.
SBD-6398 (R.11/88)
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
March 18, 1994 2226 Rose Street
La Crosse WI 54603
BOLDTS PLUMBING
820 MAIN ST
BALDWIN WI 54002
RE: PLAN S94-40116 FEE RECEIVED: 180.00
DEJONG, DAVID
SW,SE,32,30,16W
TOWN OF EMERALD 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 '
erard Swim
Plan Reviewer
Section of Private Sewage-,V`_
(608) 785-9348
3315R/ 1
se1).642s M. a 1191
Qi D.I L FI R In accord with ILHR 83 05 Wis. Adm. Code COUNTY
Sf, C>^o,x
-
e~te stU anon aper rat less•than 8112 x 11 inches in size. Plain must include, but
AttachrcompY p( p _ . _ A PARCELI.D. 8
not &Tked to jertical w04t0rizontal tetersncst point '(1311, duec!' x (slope b M
-11 11 dmeasioned, north arrow, and location and distance to noaresiv .00--4 REVIEWED BY DATE
APPLICANT'INFORM ATION-PLEASE PRINT ALL INFORM.ATION
GNT.LOTS/,J 114$1'1/4,S3ZT 30 N,R 164(,w
FPROPERMTYYCW NER PROPERTY LOCATION `
NEFVS MAILING ADDRES S LO~~ " :4 SUB-. NAME OR C ZIP CODE PHONE NUMBER ❑cT QVIUAGE TOWN NEAREST ROAD
b~
-ct104 t~. SyooL (7,s)6P5►-3ayZ ~ir,eral~ f✓w
1,0
rcode New Construction Use ~Q Residential / Number of bedrooms 3
Replacement Public or commercial describe
derived daily flow 41550 gpd Recommended design loading rate bed, gVie trench, gpdO
Absorption area required --3- 7 S bed. fl2 3 7 51 - trench, 112 - Ma*num design loading rate • -6 bed. gpdte-, trench. gpd/ft2
Recommended infiltration surface elevation(s) It (as referred to site plan benchmark)
Additional design I site considerations
material /o 4 Flood plain elevation, it applicable
Parent
S =Suitable for system 0ONVENTKINAL MOUNO rlGROUNOPRESSUaE ATr,1uDE SYSTEM IN FU HOLDING TANK
U= Unsuitable fors tem [I S OR U WS ❑ U ❑ S 041 Is Cg U ❑ S [5f U ❑ S NU
SOIL DESCRIPTION REPORT
Depth Nlotdes Texture Structure Consistenceleandary Roots PD/ft
Boring # Ho rizo rri nselt Qu. Sz Cont. Color Gr. Sz. Sh.
/ C 5 Z Y) Z /n CW ZvGround o sl c S6 ~~1' - • y -5
elev.
/o8.8Sf4
Depth to
limiting
factor
Remarks: r j
Boring # f j CS Z7' 1'
ZmS4r: n~~
Idyg~ 3 S/f / .5
Z- 9-/Z .17, 5 ' P ! y Z to
r.Q :S
GfOUr1d I
elev.
~o K IIAR 1
Depth to - -
limi(ng
factor -
> Z8
Remarks:
ICST Name:-Please Print L), /e Z-, L J u 0/r.0 Plane: 7/ j ' Ggy - -3379
_
Address: 8Z0 /'tea,'>^ Sy`'• yso Idw/,Y,- ltd.' 5yooL
Signature: Date: CST Numba:
Boring Horizo Depth Dominant Color MoUles
in. Munsell :Sz Cont. Color Texture Structure Consistence ~G.PO%fl~
Gr. Sz. Sh. ftrday Roots
Z. /f+ /~,~yyy ~I// o Si ~.yl, /y♦~! °ged Tkft:
C3 CS
r A/O V r Y I 2 \~~//h t•
Depth to
liffiting
Wor
Remarks:
Boring #
Ground
elev.
tL
Depth to
fimi6ng
factor
Remarks:
Boring #
yc x„-
~e
Ground
elev.
IL
Depth to
limiting
!actor
Remarks: I
Boring #
Ground
elev.
IL
Depth to - t
limiting
factor 1
Remarks:
94 40116
S
A Mound Using A Trench For The Absorption Area
Cross Section Of
H
O F 6" Topsoil
Medium Sand Fill --il E D
3
Plowed Layer
O~t - 211" Aggregate, D /-D Ft.
pq,4ge Below Covered With Ft.
Ha Or Synthetic Fabric E Ft.
co F •75 Ft. H I_•5 Ft.
~ rrr~sj4F'sa~
~vrsrar+
SSE Go lan View of Mound Using A Trench For The Absorption Area
Force Main Loca~►ow
J Distribution Pipe Observation Pipe
permanent Markers
W $
\Trench Of IM - 2,,2" Aggregate
I
L
W 2 q Ft.
K 1.3 Ft. -
Ft.
Ft. L /2d Ft.
J /O
B ZY Ft.
License ~G 29 Date: -~Z-
Plumber: /y
Signed : 7~`
X94 401 6 2~~ y
Distribution Pipe Detail For Two Lateral Network
Holes Located On Bottom r r, ale, PVC
~
Are Equally Spaced PVC Force Hain ce All
H. Y 1 X 7 -1 7X PVC Distribution Pipe
P P
X
* Last Hole Should Be Next To End Cap T
i
P 92 Ft.~ ALT P Hole Diameter ~ Inch
X Inches Lateral Diameter 2 Inch(es)
Y Inches Force Main Diameter Z Inches
# Of Holes/Pipe ALT = IZ Mc+t~S
Invert Elevation Of Laterals,~t.
Signed:
License Number:
Date:
PRIVATE SEWAGE SYST
If-
Conditionally
„;PrdS
OF 1NDUSTltY ,
DEPT. W1t1 1 OF Sr~rt; k
SEE
PAGE = GF V
PUMP CHAMBER CROSS SECTIOIJ AKJD SPECIFICATIOUS
S94 401 16
VENT CAP
'i••C.I. VENT PIPE
WEATHER PROOF APPROVED LOCKING
> 25' FROM DOOR, JUNCTION BOX MANHOLE COVER
WINDOW OR FRESH 12"MIU.
AIR INTAKE
GRADE
I y" MIN.
(
I I B" /''C11J.
CONDUIT-/--
18"MIN.
' 11~
$Y$~ROVIDE
INLET ASE A
HT SEAL I I i I
APPROVE ~
D JOINT A col, G" I I APPROVED JOIKITS
w/c.2. PIPE p I III W/GI.. PIPE
EXTENDING 3' I II EXTENDING 3'
OWTO SOLID SOIL B w Z ~iS I I I ALARM ONTO SOLID SOIL
p Dot.
ELEV. / FT.
PUMP OFF
CONCRETE BLOCK
RISER EXIT PERMITTED ONLY IF TAIIK MAMUFACTURER HAS SUCH APPROVAL
SEPTIC E SPEC.IFl'CAtl0KJS
DOSE-
TANKS MANUFACTURER: WMBER OF DOSES: L -PER DAy
TANK SIZE: ~U!'O GALLONS DOSE VOLUME
ALARM MAMUFACTUFLER: SL) C lece-11--rO INCLUDING 6ACKFLOW: GALLONS
MODEL NUMBER: 9 CAPACITIES: A=z3'Z31MCAES OR .2/4-09 GALLON5
SWITCH TYPE: ce B= z INCHES OR IL'S GALLONS
PUMP MANUFACTURER: gozw/ C= 5/'771AICHES OR L3-Y-,1-5G ALL0IJS
MODEL NUMBER: 3 /l D - 17- INCHES OR 2 7 GALLONS
SWITCH TYPE: l~iercL~~Y MOTE: PUMP AMD ALARM ARE TO BE
MINIMUM DISCHARGE RATE 8 • o~ GPM INSTALLED ON 5EPARATE CIRCUITS
VERTICAL DIFFERENCE BETWEEU PUMP OFF ARID DISTRIBUTION PIPE.. NXA FEET (O► jZ
+ MIIAJIIMUM NETWORK SUPPLY PRESSUR~~,E/~_ _ , • • . • , • _ 2.5 FEET
+ , FEET OF FORCE MAIN X :9-f F/p~,FRiCTIOM FACT01t_ /"O FEET
TOTAL D9MAMIC. HEAD FEET (4,'Z(; QIti lN.)
IKITERKIAL DIMEWSIONL OF TANK: LENGTH ;WIDTH lO ;LIQUID DEPTH
31GUE0: LICEOSE NUMBER:
DATE:
-3
Performance Submersible Effluent
curVeS. Pumps o~
METERS FEET
90
MODEL 3885
25 80 SIZE 3/4' Solids
G wE,SH
70
= 20 WE10H
J
Fa- 60
- WE07H
15 50
WE05H
40
10 30 WE03M
WE03L
20
5
10
0 0
0 10 20 40 50 60 70 80 90 100 110 120 GPM
I 1 i i
0 10 20 30 m3/h
CAPACITY
HGOULDS PUMPS. INC.
SB'ECA FALLS NEW YOM 13148
METERS FEET
120 MODEL 3885
35 110 WE15HH SIZE 3/4" Solids
30 100
~
90
25 80
Q 70
Z 20-
-i
F 60
0
F
- 50 WE05HH
-147
15
40
10 30
2Q
5
10
0 0
0 10 20 30 40 50 60 70 80 90 100 110 120 GPM
1 , 1 1
0 10 20 30 n-P/h
CAPACITY
81985 Goulds Pumps, Inc. Effective July, 1985
C3885
• • v. • r.,.. v• 1
t: in accord with
ILHR 83 OS. ws. A
dm. Code
Attach _ . - _
COUNTY
~ompTe'te sit®'~`an on y 1 '
P paper not lewhan 8.112 x 11 inches in site
J C r
not Plan rrwst.indude; but
fimited.to ~erticaT aid horizontal reference - O !~C
-
Writ (134 direction Y. dimensioned. north arrow, and location and distance to.nearesf atoad.nd of Slope. scale or PARCELLQ. .
APPLICANTINFO'RUATION P LEASE PRINT ALL INFORM.ATlOH REVIEWED eY
DATE
PROPERTY CWNER
O., t O Y% : e c PROPERTY LOCATION
PROPERTY ONNEWS MAILING A00RESS GOVT. LOTSW 114 S1/4,S jZ T 30 N,R
LOT BLOCK # SU80. /6 W
NAME OR CSM a (
CITY, STATE 21P CODE PHONE NUMBER X14
A~O~Wi~ r• S'SrOOL (71 Cicay ❑VILLAGEMOWN !NEAREST ROADD
16P51-3vy2., ~ Fiy,era /~y/
X New Construction Use H.u
~Q Residential / Number of bedrooms 3
1 1 Replacement Public or commerdal describe
Code derived daily now V50 gpd Recommended design loading rate bed ,
Absorption area required bed fit • 9P trench. gpd/ft2
Recommended infiltration surface elevation(s) trench, Maximum design foadng rate -bed. 9P012 trench, gpd F
Additional design / site considerations ft (as referred to site plan benchmark)
Parent material
od plain elevation, it applicable - N/9 h
S = Storable for system ooNV Motxdo Ro
U = Unsuitable for n tom ❑ S ll PFGIlOt1rIDPRESSURE his °s CRU AT~WDEE 09 1 U SYSTEM IN FILL ❑S - as s
SOIL DESCRIPTION REPORT
Boring # Horizo Depth Dominant Color Howes
in. Munsell Qu• Sz Cont Color Texture Structure Consistence B G P D/ft
S / /O YR y Gr. Sz. Sh. otrtc y Roots
Bed Trend-
aav~...~~ Z- 7-O -7,--5 Ye S 2 m s,~>~' /YI CS Ground sy Z m S /'7 7 C W Z Vf
elev.
•5
Depth to
limiting
factor „
~ 2 (o
Remar
Boring #
4=~ Z s~ Z ms~ r~ _ C S Z ~ 5 . ~ 6
x 9-1 Z /75 Yje
- y.
c~ zv.~ . j ,6
Ground Z~ Sys ~~-7 I/
elev.
Depth to
Gmiling
(actor
Remarks: I
CST Name:-Please Print "
~alf ~N GI CISQY~, ('hone:
Address: 71::5-&`? Y- 3378
signatur.: W ~ I.J.. 5`/0o L -
/y Xt4Y~ Date: CST Nu nb;
- Structure Roots
boring # `.Gf'0
De lh Dominant Munsell Color Si. Mo
Horizo P - Texture . Sz. Sh. Y Bed €Tr~cx:
- Contttles. Color
tau:
-42
Ground _
elev.
Depth to
inviting
factor
- -
Remark's:
Boring #
131
Ground
elev.
t~
Depth to
Gmi6ng
factor
Remark's:
Boring #
Ground
elev.
It.
Depth to
limiting
factor
Remark's:
Boring #
Ground
elev.
tL `
Depth to
fmiting
factor
Remarks:
Wisconsin Department Relations Industry,
).Tabor and Human Relati SOIL AND SITE
Division of EVALUATION REPORT
Safety & Buildings Page _ of
in accord with ILHR 83.05, Wis. Adm. Code
Attach complete site plan on COUNTY
paper not less than 8 1/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.O. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION
REVIEWED BY DATE
PROPERTY LOCATION
FPROPERTY ER:
lGOVT. LOT _5( 114 1/4,S T
ER':S ILING ADDR j N,R E (or) W
LOT # BLOCK # SUBO. NAME OR CSM #
CITY, STATE ZIP CODE PHONE NUMBER
( ) :CITY
VILLAGE (►FeWN NIREST ROAD
rGode w Construc tion Use M-Residential / Number of bedrooms placement Public or commercial describe [ 1 Addition to existing building
erived daily flow gpd Recommended design loading rate bed,
Absorption area required bed, ft2 2 91~ft2 trench, gpd/ft2
Recommended infiltration surface elevation(s) trench, ft Maximum design loading rate bed, 9 2 trench, gpd/ft2
Additional design / site considerations ft (as referred to site plan benchmark)
Parent material
Flood plain elevation, if applicable It
S = Suitable for system CONVENTIONAL MOUND
U =Unsuitable fors stem ❑ $ [IC ❑ S IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL
❑ S El U ❑ S ❑ U ❑ S ❑ U HOLDING TANK
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Motes
in. Munsell Qu, Sz. Cont Color Texture Structure Consistence Bouxl~ry Roots GPD/ft
k Gr. Sz. Sh. Bed rends
Ground _
elev.
ft.~
Depth to
limiting
factor
S E
Initial: Date 16-41
Page - of
PROPER7y0WNER SOIL DESCRIPTION REPORT
PARCEL I'0'
Mottles Texture Structure Consistence Bcux3rY Roots
Depth DominantColor G P D/ft
Gr. Sz. Sh. Bed rer~
Boring # Horizon in Munsell Qu.Sz.Cont. Color
.•:.~b.'~•'~.riitivt
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
a
`'"`';x
Ground
elev.
ft.
Depth to
limiting
factor
soil pit locations
tN
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER _
t Teal , ,
MAILING ADDRESS 2Z 41 q u
PROPERTY ADDRESS Sc3•~
(location of septic system) Please obtain from the Planning Dept.
CITY/STATE
PROPERTY LOCATION -57-t,) 1/4
1/4, Section -fZ T 3U N-R-~~
TOWN OF
ST. CROIX COUNTY, WI
SUBDIVISION
LOT NUMBER
CERTIFIEDSURVEYMAP= VOLUME
PAGE LOT NUMBER//X
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 a ation ate.
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. An inadeacies 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 Dv; j f,nA_ 'I'
Location of property U,) 1/4 SF 1/4, Section 3Z T-_3~9 N_R_Zl,_W
Township ~-y►1a~q~~ Mailing address
V vl ~~M I l 1 1 l.L. ` / t+
Address of site s'
Subdivision name -
Lot no .
other homes on property? Yes
No
Previous owner of property
Total size of property _ % 4CJ"r~S
Total size of parcel
Date parcel was created
Are all corners and lot lines identifiable?,,y-Yes
Is this property being developed for (spec house) ? Yes No No
Volume / and Page Number S90 as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a
certified survey, if available, would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a Certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner (s) of the
property described in this information form,. by virtue of a
warranty deed recorded in the office of the Count Re
Deeds as Document No. Si 9'7 and ( Y gister of we p own the proposed site for the sewage ,disposaltslstem) orr I ently
obtained an easement, to run the above described property, for the
construction of said system, and the same has been duly recorded in
the office of the County Register of Deeds as Document No.
Signature of
pl'cant Co-Applicant
l
Date of Signature
Date of Signature
• CHARLES CUDD CO. P.02
o,5-03-1994 09:59 612 731 4669
~I CO-
THIS SPACE Re59MV90 FOR P90ORDINO DATA
DOCUMENT NO. WARRANTY DEED
STATE BAR OF WISCONSIN FORM 2-1992
519788
REGISTER'S C."
I ST. CROIX C0.,1ti l
and Susan H . DaJ~n
Marion P. pe 7on
hu®band and w f..
Ree'dtorRecord
' AUG 3 1994
M t
{I; 8:45 , A.
v ;;d g• and...'I''err i...... '
I! conveys and warrants to . d6l..... 32 .I'~g. • p
.eUrY.~ I?..MIR ttA.I:..PrO-?e.33y Ij R~Isar~t mom
I'
~
"Pi-F.'rVOIN _T15
the fallowing described real estate in .....5•t•••~
State of Wisconsin: Tax Parcel No
~I
That art of the Southeast Quarter of the Southwest Quarter
SE 1/4 of SW 1/4) and the Southwest Quarter of the Southeast FEE
I, Quarter (SW 1/4 of SE 1/4) of Section Thirty-Two (32), Township
Thirty North (T30N), Range Sixteen Waft (R1bf,aToineof Emerald, as
St. Croix County, Wisconsin, lying Easterly o des
follows:
Commencing at the Southwest corner of said Southeast Quarter of the
Southwest Quarter (SE 1/4 of SW 1/4)E thence S86°42'36° E, assumed
the
bearing, along the South line of said Southeast Quarter osouthwest
Southweet'Quarter (SE 1/4 of SW 1/4),
corner of that certain parcendV recordedMinnVolumee850Sof
Limited Partnership in that warranty deed thence N3017'24"E, '
Records, page 339, as Document No. 451219E
111 783,00 feet along the east line oPOINTdOFaBEGINNINGhofnsaidwliaeE
corner of said parcel., being
thence continuing N3°17'24"E lof9th~ Southeast Quartereoftthene of extension of the li said parcel, to the north line said Section Thirty-Two
;i Southwest Quarter (SE 1/4 of SW 1/4) of rcel in said V' 850 of Records,
ii (32), being the terminus of said line. EXCEPT p
page 339.
This i-A- APtr...... homestead property. II
XAX (is not)
Easements and restrictions of record, and sixbject to the terms '
Exception to warranties: and conditions of that certain Farmland Preservation agreement ii
office of the Register of needs for
(dated June 2, 1981, and recorded .7une 15, 1981, in the I;
St. Croix County, Wis nsin, in vol. 630, page 605, as Document No. 371465 ,1894 I1
l/
Dated" this r,~~.......... day of Vv
I
1'. M;
G'L~G1' ,
(SEAL) (SEAL)
* ,Mairion...p ...p.,....n9 ~
i
f ..........{REAL) 4m...hX.ti (SEAL)
Susan 14.
Delon
AUTHENTICATION AONNOWLEDGM ENT
II
I~ STATE OF V715CONISIN.
aitnaiore (is) - as. day 01
St . Croix
pare.......y came before me
1 this
authenticated this ........day of
19. 4' ` 16.9A.. the above named
Mar.i~ r~.. • .
TITLE -.MEMBER STATE BAR OF WISCONSIN .
.
(It not, . i' • State,) to .me "known to •be the per, n s..... .d'the
autbori:ed by ~ 708,08, R' e• O
foseeo! lrietrument n ra, nowlt~i~
PHIS IN97RUMEN7 WAS CRAFTED BY
" r
Thomas A. McCormack
.
yy~ ' Wia.
'1 Baldwin, WT 54002 Notar Public ..7. Fii. .'ti.; epiration
a...................................................... No t pmblic.. is per manent, (If r+ v
Signatures may be authenticated or acknowledged, Both
are not necessary,) date;
'i
~ r
OakManor(
24/28
Series.
A N`' `Ipj y,tn -1
VV 1 t 1
1 1 ~1 '
YIL YY 1 1 1 aQ' A BEDROOM
•'i D{NING ROOM No. 2
12
o°oe~~' ► It1YCHEN 12
1
C,AIMaIAI Clud
B Awt
Oa Ij
IDIIK
k pipriNlbwlM4MtrnG R00~1 1
I
' CAtMlplµ C~rIhG I
'f
CATHIDRAI CROG I
T LIVING ROOM
BEDROOM r--
MASTER i 18'•B• No. 3,
BEDROOM ; 12'
No. 1
13'•4" --1
f on
3852CT/5228 3BEDROOM • 2BATHS • CATHEDRAL TNRU-OUT (1,369 SO.RT.1
Your Local Oak Manor Dealer is:
yu/cv
Tcr~~,
-:V{~ 54729
S i11~E
BmNGm 1 b WNGlNG KAFK
9AW947
IMP-
r
41
V 16
PAGE 4418
' XATHLEEH H. VALSH
REGISTER OF DEEDS
ST. CROIX CO., VI
FED 2420
I RECEIVED FOR RECORD
12/04/2002 11: 45AN
5T. RDiY. CO
TIFIED SURVEY MAP
LOCATED IN PART OF THE SW1/4 OF THE SE1/4 AND IN RfiC FEE: 13.00
COPY FEE : 3.00
PART OF THE SE1/4 OF THE SW1/4 OF SECTION 329 T30N, PAGES: 2
z z R1 6W, TOWN OF EMERALD, ST. CROD(COUNTY,
id m I WISCONSIN;
MG`JPdLa4GD_dLlMn p~~ Oo ~~IM~ G oD_ -l_ Q1CG3 5.3'
m $ r~ ! _ - -_N00°52'21"E - 753 09 _ S00°52'21 'W 7 4'
283.38' 66 ACCESS EASEMENT 436.62_
33.00' RECORDED IN VOLUME 2049, PAGE 74. iv Z
1 0
7.4 z As M O N .c
-i o cn n:i. z
r i m Z D BEARINGS ARE REFERENCED TO THE m
m i O r 111 SOUTH LINE OF THE SE1/4 OF SECTION ° j : I . Om
i 32, ASSUMED TO BEAR S90°'00"E.
o I z i Z m
i
z OO0 ' v~
l
m 7T
r o. o m
m O ZO~ro~ ct) i TO
m O wD n1
m 2 ~ Z m
A
N ) CD m .
V7 Z
z o vti ~Z~~
= o Q ~zo
i O Q
rm'~ i c ~q?~. m p GUY WIRES IN (n : GJ::: z
i I D \ m z m m FENCED AREA m
n
'103.23'
325.47' 428.70'
:1 1 1. 1
`;S03 OT51 z
N p
o - N03 07 51"14 904.36' - zjO
m j 0 1 0 i t w7 m-0 Z mo N
^lulu~luJ p~ ,,ww::::• y '
C7p 1m in O031~ A~ ~W V. m.•.:•:•.:;. •.:~.~i
m CO
00 2 i o iO mo ~nw 1 ~1 N'I~V? I
z0 1 O x r
wZ ~ -nA~T n ZW ,►D.. ;
cl) i
NM Qm Iii
j. J 1 z L.0Z~
Q" _
n rn l ~ i V'-q b ~P1 O
I F. i 66' ACCESS EASEMENT
0 > •~_Y cn
! RECORDED IN VOLUME 2049, PAGE 74. ldZ~•ggv
. CA
"W 903.00')' ► i
f (S2-25'48
Q 800°00'451 W fi 902.90
$ S00°00'45W- 4. 8':::' I
849.90' i - 1~
O t 27 N0Q°00'45"E 1329.68' Q
- - NO OY45""609' - - - -
1--T M
1 6' Z o Mop 0
QQ 33 53
1\/ 4 v
w v ; r---J
.
1 ~ i ~ N Rl pZ ♦r...........
Y 041
' 'v
i V -I~
3: P
z z c
r~~`~ ♦ O
m Z -4 m cn pn p r.
1-1 106 v$ ~ co z OO i c$ O wx omc m
oo= g ~o O r c c m m C4 X m c o~ ~C
fi Z
I 6 g m
m~ 0 8> 6 Fn m D i- mzo Ozn Z
1p0 p~ o) m 0 F, c)
m O Cb CCO v r-
! T m ccnn n z Z m m Z Z
~m j fJQ rJ Z O n o _0 m
: m52' 60' c) n m Z mo -n m -n
1 J„ 70 O g c~ Z8 m
1 112- ~r p D p = O z
c z
EAST LINE OF THE SW1/4 OF THE SE1/4 z
m m LZ') O A
1269.34' ST. CROIX COUNTY
o m 60.06 02°59'48"W 1329.42' Planning 7.0ninn and Parks Committee x1
N I ~ nn nn ~ s CD O~1[~C D~ ~I 04[~GG°3~ co
33 52 \ VapRA~- - ~ U 4 2002
THIS INSTRUMENT DRAFTED BY MICHAEL ERICKSON JOB Np 01-92 DATE: 1-07-02
if not , ,:corcled wanm 30 days of ,
Vol. 16 Page 4418 approval date approval shall be
null and Vold
L3L ~ Owv~.G r:
Sec. 3Z 1~Qve .:~e Joy...
~ -o S. tt
ao s~~ sr-
4-N 7o/V 40 S J 4 401 16
J ~
R Q
~ 131
j 25 1-7 76
n~ ~ /ooo8al. o Fnce
P C .
0
0 ~ /UOU gAI i ~
1 C! A Set c. 20
o /vo,
1 fG
o~
Prey oSP.~
o O Well
/0000
~
B7-
►
300
s~
. » is
OF
S
/"I P G6 Z 9
35 Acres Cs7'm 3y 13
I~o% 17
/(/of~ .Q 11 1 ~1' ,nes are-