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008-1011-20-300
/* Wiscor~in Department of Commerce PRIVATE SEWAGE SYSTEM Safely and Buildings Division ~y .• INSPECTION REPORT ~aENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s_j5.04 (1)(m)l. Permit Holder's Name: Anderson, Jeremy ^ City ^ Vi~ge ~;I 7aovy~of: au e 1 ownship CST BM Elev.:- Insp. BM Elev.: r BM Description: (o / . / a /. ( c r ~~Z TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ ~ ~- ~~~ Dosing Aeration Holding TANK SETBACK INFORMATION. TANK TO P/ L WELL BLDG. Vent to Air Intake ROAD Septic }~-•; r ,,,z ~' ----. NA Dosing ?,~-~ ` I~ ~ g 5' NA Aeration NA Holding PUMP / SIPHON INFORMATION Manufacturer ~Q~ Demand v Model Number (,,)gyp ~ p ~.+. ~O GPM ~~ DH Lift ~(p,~ friction q.l~ System2•S TDH 3g `fit Forcemain Length 2J~ Dia. Z " Dist. To Well SOIL ABSORPTION SYSTEM 13.a/ BED ~Il~li Width r Length ,~ ~ No. Of T'~~s PIT No. Of Pits Inside Dia. Liquid Depth EN I N ~S ~a~eraJ~S DIMEN I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Ma acturer SETBACK INFORMATION TypeO n z• ~ ~ CHAMBER o elNum - System: Mb~- [s ~3t~ OR DISTRIBUTION SYSTEM ~~ ~'~.~,,,.k~,,,~- Header / Mani old 2 O~ ~ Distribution Pipe(s) i ^~~ Ir 4 ~~ ' 3 ~ x Hole Size 3 v x Hole Spacing w Vent To Air Intake Length 3 ' Dia. 3~t ia. Length Spacing • /lo SOIL COVER x Pressure Systems Only ELEVATION DATA County~t. Croix Sa n ita ry,P,g~roiJ,No.: StateState PlaJan//IDI ~NI ~oLG.: s io # : ~3/ I ~ rcel T~~~lol'011-20-300 STATION BS HI FS ELEV. Benchmark 3, (0~' ~/, ~ t. ---- Bldg. Sewer C.d ~ O $~. (~ r St/Ht Inlet ~ '~-.~ ~.SI~ St/Ht Outlet -----s Dt Inlet --~ Dt Bottom ~~. Z O ~, - Header /Man. ~ , ~- Dist. Pipe `f 20 00• Bot. System Q~ Final Grade 'sue c S St cover ~ ~ ~.Dsi ~2,I~ xx Mound Or At-Grade Systems Only C.4 9 . Z~ Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) u~~~~('sr0~~ Inspection # 1: to / 1 / W I spection #2: ~'-'-f--~ Location: 2321 55th Avenue, Baldwin, WI 54002 (NW 1/4 SW 1/4 4 T28 R16W) - 0428165 30 -Lot 3 1.) Alt BM Description = 5~",c*w~,t.,`" ~5 ~" 2.) Bldg sewer length - 25 ` u '' nn ~~~~ -amount of cover = > ~'2 `ate Cam` 3.) contour = ~ . I o) ~~-~'`S ' b S" c~` ~ ~ l ~ •~5'' T`~~ = i2 • S-'r1 ~ ~ ~S. Plan revision required? ^ Yes No Use~othe si a for~~~itio 'nfor y->~',~n. p3 ?Z o I ~ ~-- `}~( S~D 697) ~'V`~" Date Inspector's Signature Cert. No. ~r .~ a32~ 5 S~ f{v~•~ Sanitary Permit Apniioation ~ ' la accord ~~a~ Comrt 8x.21 ~t'ts Adm. C`odt ~~~~~~~~~ `; See reverse side for instructions for cortpirtin~, this application ' [laparsmsnt of Cammsre. i Personal inforr.~atior. you provide mad he used for secondan purposes (Privacy La+~. s. 15.04;))(m)) .. ~ Safety & Buildings pivision 203 1k', Washington Avc. PO Sax 730 Madison. Wl S37A7.73C" tSubmi; .ompleted form to county if r;. I. A lies i lniornnation - Piease Print all Information ~ ~ L sztiott: ,`. y Ntms ~~, ~ ~ ~ Ptopeny cation , ^ eY ,Jcp~r54~ _._ ~ lJt14 ll4.S T..?~,l\.Rl or -- f --- Property Owner' tiling Address let Number 9 ock Number u~ ~ 5t CHOix ;',~ 6 ~iC o-d Q ~dC oQa x/ S 3 e O~tC,,~ ty, State Zip Code Subdivision Ntrna or fe4 Number ~ "' ~ s' ~~,~ aLl-e ~~ ~- ~ <s ryr ~ / s"~~~ l<<~ 3gi II Type of $alidin~: (check one) '~~ ~ D csy D Village O 1 or 2 Family Dwelling - No, of Bedrooms: . ti~Town at' 0 Fublic/Cottttttercial (describe use): ~`~ ~ /l O State•ovvtied Ili Type of Permit: (Check only one bax on line A. Check box on itne 9 if applicable) Nearest Road ~ 3 3 ~ ~ s.' A) I. j~Naw System 2. O Replacement 3. D Replacement of 4. Q Addition to Parcel Tax Nurnber(a} S stem Tank On! Sxistin S 'stem - H) D A Sanit Permit wee revioust -issued Pena t Numbai d 4. Z~. I (o. S8A -3~ i'V. Type of P4WT 5ritem: {Check all that apply) Q Non-preasluri:ted !n•ground Mound O Sand Fllter ^ Constructed Wetland © Proaturiznd lrrgtntsnd O Holding Tank O Sixgle Pus O Drip Line ci u t' C Ot r: ~~ D Aa bic Treatment L;nit~ ~ ~ O At- ~ x~ ~' 0 tD/~~C ~r Die eraallTrtstme at Area lttformatiott: t. t3aslga blow (Spd speestlAret 3, isperatl Are: 4. ail App;icaison S. ercolauon 6. System levation 7. in tde Elevation Required Proposed hate (Gals.Idly/sq. A.) I (Min,ftnoh} 9~• ~ ~ ~Sa ~So 4~6`U ~ ~/ .UGC- IO /- Vi<Tank Capacity in Total ~ of Manufacturer Prefab SIte Steel Fiber- ~ Plastic Inforttution Gallons Galkns ~ Tanks Can• Con- glass Now Existing Crete strutted Tanks Tanks s ~ f~`~ x ~d l ~ .~~~~sr>° ~~ i ~w~ ~~.~ .~.~ k ~ ~o~ l ~ ~- ti VII Itespo>ruibility Stskidtastt the ttnd assutttt res onsibility fer inttsliati n of the POWTS aho the attached lane. plurobtr't Nttttte ipcint Plumber's igntture (no sttmps)' o. ButtMtt Phone Number 1,11G`!l~ a ~z-,. S c k n1~~ .!- .~' a ? Q Q ~ '~l ~- 3 ~~ - ! d~ Plttmba~s (Street. ity, tp a) Y P?G3 .Sea ~ ~4 ~ ~ ~t VIII Couatyll)epartmett! Uae Oaly D Disapproved Stnttary Permit Fee (Includes Grou water Data tssued ssuiag Agent Signature n tamps) ~,Appraved O Ownoc Given Initial Adverse Swchtrge Fee; 3~ 5- QD --1 ~-Zd~(?0 c Detertttiination . Y7K. Conditbua oiApprtwsl /lteasoas for Dtaspproval: ~--, .~- ((~~ /'- ~ ~~ t+~~a-~r, " vutu.rtka~M .dpj~ ~ ~~~~' ~t~' ~ ~ ~- S .~t E~y~{1c. S~S-~^^ ~ ~t~,p~+p~.t, , tn~at~w® G~ ~P.t C ~S . 58)'9•b398 (R. Q7lilt}) ` PLOT PLAN '~ ~ Scale 1"=~0 ' _ ~. SS 'Ri ~~e. ~_ J bD ~UUTCd~lt~ReT OS~ pLS~N\~ 3 `RNS A~ ~ ~ ~~,q6 \~ `~ N a•~ --~~ , C oN-rave ~Sv , a q . 0 ~' ~~ ~` ~~/ '` ~~'~T'Or1 O~ LN~L /~ ~i~ ~qa ~~• `19.6' ~ ~ ~? O ~ / o~ Page 3 of ~ 1 ~~ S ~~ i"`.49 3 ICJ 3/~~~IIq RUC 1~lPC a~t~t~l - ~Op.~ o-a ~o'~~ ' SOS 1`111V . 3~~ Y D11q PU C 1~(al. 1~~ tvt.vF.1 PIPS ~~~,Vl~- 1.,lIJC 1 ti'~~z s~TL H U.I~1 q' ~ NOTES :; 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4"observation pipes with approved caps. ( Z required). 3. Septic tank to be ZZOO1$o0 gallon capacity manufactured by `N1 1 h Lv ~S~z`RiV 1~1`~P-~1 S T , ? cv e , w / Z ~lsz. ~f ~u ~~t~7' }=~ c.-`~~rt 4. $ench mark S S~ Ps~oUN 5. Divert surface water around system to prevent ponding at the uphill side. ;, ~ isconsin Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www.commerce.state.wi.us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September O5, 2000 OUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPII2ES: 09/05/2002 ATTN: POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 198007, JEREMY ANDERSON ST CROIX County, Town of EAU GALLE; 55TH AVE NW1/4, SW1/4, S4, T28N, R16W Lot: 3, FOR: Description: NEW MOUND DWELLING 450 GPD Object Type: POWT System Regulated Object ID No.: 759037 Identifica ' ers Transaction ID o. 4 1186 Site ID No. 198007 Please refer to both identification numbers, above, in all correspondence with the agency. 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: • Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the Zabel filter will be required. • A User's Manual shall be provided to the POWTS owner as per Comm 83 Wis. Adm. Code. 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/installation/operation. Inquiries concerning this correspondence may be made to me at the on this letterhead. / Sincerely, ROBERT KANTER , POWTS PLAN REVIEWER Integrated Services (608)261-7735 , 8:OOAM - 4:30PM, MON-FRI RKANTER@COMMERCE.STATE.WLUS number listed below, or at the address DATE RECEIVED 08/23/2000 FEE REQUIltED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 P.C Cone ~~P DEPARTM DIVIS~-~f .._._----~--~--f G_ ./ SE ~ COf cc: JEREMY ANDERSON ,s TITLE SHEET RECEt1~E~ ~ f ~ MOUND SYSTEM FOR AUG 2 2 2008 A 3 BEDROOri RESIDENCE SAFETY 8- BLDGS. OIV. This plan has been prepared in accordance ~~ith the Mound Component P4anual SBD-10572-P and the Pressure Distribution Planual SBD-10573-P LOCATED IN THE NVJ1/4 OF THE SW 1/4 OF SECTION y ,T ZS N,R 16 W, TOWi1 OF ~y GPtt.L~, , ST . e?,c) lk COUNTY, WISCONSIN. INDEX PAGE 1 o f 7 PAGE 2 0 f 7 PAGE 3 of 7 PAGE 4 o f 7 PAGE 5 of 7 PAGE 6 o f 7 PAGE 7 of 7 TITLE SHEET SYSTEP•i riANAGEMENT PLAN PLOT PLAN PLAN VIEtd-CROSS SECTION DISTRIBUTION PIPE LAYOUT PUI.IPING CHAMBER CROSS SECTION PUMP PERFORI4ANCE CURVE PREPARED FOR S Zvq v~P~1Z. Gt~DL_ bZ SP~z-in~G ~~~, wl s`1~67 PREPARED BY WEGEi~ER SO = L . TEST S NG AND . - . DES = GN SIERV S CE P.O. Box 74 421 Id.l'fain St. River Falls, WI 54022 Phone 715-425-0165 Fax 715-425-6864 ~.W.T.S. ditaosaally ~E D ShT OF ~ ERCE AFE A BUILDI ~' ~E~POP~C~ENCE ~, --1~~ ~~ JOB NO . 00 - ZZ9 Mound System Management Plan Page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code - Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent finer alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. . Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. _Mound and Pressure Distribution Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L GODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is .required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to the County Zoning office at ZlS-386-y68o or to the licensed plumber who installed the system. ., Approved Synthetic Covering AST~i C33 Medium. Sand Topsoil -1~ 3 Page ~~ Of` 1 Distribution Fipe y __W G __== F ,, " o. S % Slope Distribution Cell of 2" to 2 Z" Aggregate Force Main From Pump CROSS SECTION OF A MOUND SYSTEM Linear Loading Rate= ~ •0 GPD/I.~*i FT Design Loading Rate= O.y.GPD/SQ FT ~',,,~.t ~' L - U 8 _- --- - - A i --'~6 $--- W .~_~~_~ - --. A ~ Ft. B ~S Ft. I ~ Ft. J S Ft. K d Ft. L q I Ft. W Zo Ft. Eiev. q,Qv(~. Plowed Layer 0 0.6 Ft. E o•9 Ft. F o_a Ft. 6 0.5 Ft. 1-. ~.p Ft. . -Observation Pipe •-- ----- --1 ~Aectss ------ --------------- -------+ ~3oX -~ -- _---_------ ~ ~`t~ _ ~ o~oSt Distribution ~- Cell of %" to 2%" Pipe ~ aggregate z Observa tion ~ Pipe (Aa~or securely) PLAN VIETrl OF A MOUND SYSTE~4 in C L~ Distribution Pipe Layout pace S of ~ Place the holes at the bottom of the distribution pipes • at equal spacing. 8e~tove all burrs from the pipe and holes. Extend the end of each lateral up with the use of Long turn or 4f ° fittin, to a point within six • inches of the final made. Terminate the ends of the Iatezals with a valve;•threaded cap or • ~aded plug. Provide aces from final grade for the vaIye; threaded eap or threaded plug. ' '=,~C:,,SS B~~_ T`-t P 1 C1j L ~,ZOS S .5'~~Z.~}~ 1~j PVC PVC PVC Latera(~ ~ Manifold ~ Laterl x x x x xJZ x!Z x x x x =Lateral Length - Lateral Length - p t~Lt~rN V tEW _.._' o- = ~ F h~~~~ ~_ P 3?. Ft. S 3 Ft. X ?~,InchPs ~ r~cr..;ys sax - -~ ---0 ' Hole Diameter ~~16Int:h•• ~-~~~ • Lateral ~ 1 ~«{. InchEes) Manifold Z• Inches • Force Main " ~ Inches .~. • ~ of holes/pipe 1 °~ Invert Elevation of.Laterals X007 Ft. ~~ M ~~ - _, ~ ~ - Combination Sept~.c~.Tank and - PU~MP• CHAMBER CRO55 SECTION ANO SPECIFICATIOAIS ' PAGE ~ OF ' ._. - f . WEATHER PROOF -VEiJ7 CAP JUUCTIOIJ JjOX . y'C.I. VEAIT PIPC ~ ~IPPROVE-D LOCKIIJG '_lO' fROM DOOR., MAUHOLE [OVER tvl'M :JIAIDOW OR FRESH ~ wARI,)IIJG LI~gFL., u.~3P~1orJ P tPE A.JrR tiJTAKE ~ co~.,cu~r wIPfLCLZ161!'~ li{s'Q ~ t ~ -- • ~ ~. 18'Ntlu. i ~-- _ __ IAJLE i ;`~ PROVIDE I T •'' ~AIRTIGH7 SEAL I III ~ • ~ 2^~ v f ~ ~0.FFt~S I I I APProved Z~~- ~`-'~'~ _.'~ I III APProved joint w/ I ill Joint w/ PVC ALARM PVC pipe pipe 'I II I r I ~ OU C •I I ~1.-LS I . CLEY. FT. PUMP-~ '-~ . ~ OFF D CDUCRETE - ~~L~V ~'J ~. 00 ' ~~ ~ BLOGK RISER EXIT PERMiTI'ED OiJLy IF TAIJK MAWUFACTUR!`R HAS SUCH APPROVAL~3~APf~t<p BE00:N4 SEPTIC F SPEGIFICATIOf.IS 005E TAAJK MJ--IUFACTURCR: ~~~~~~~~ ~~~$T 1JUMIiER OF DOSES: 3 ' 9 TAIJK :,IZC : l t-OQ .~ r('j 00 GALLO-JS DOSE VOLUME PER DAB I • ALARJ"1 MAUUFACTUFZCR: S -S • ~ ~~~5 IAICLU011JG 6ACK/IO W: ,g Q'-S GALLONS MODEL -JUMBER: -~ ~~ ~~ CAPACITIES: A. 1 ~ lA1CHE5 OR 3~7$` 9 GALLONS SWITCH TyPC: - ~~~2'~ g = Z tIJCHES'OR L 2- G(~LLOUS PUMP MAIJUFACTURCR: G~U~--~S C= ~ INCHES OR ~~n1•.S MODEL 1JUMBER: 38 ~ S ~~L D= ~ WtLL0U5 )~"S INCHES OR_ GALLOIJS SWITCH TYPE: ~~Z~CC-- WOTE: PUMP AUO ALAR~ RE TO OC~~ ~ MIAIiMUM DISCHARGE -RAT ~•l6 pM INSTALLED O IJ SEPARATE CIRCUITS yERTiCAL DIFFERENCE DETWfEU PUM A1,10..DISTRIBUTIOIJ PIPE.. ~~i'Ols FEET f KIIJIMUM 1JETWORK SUPPLY PRESSURE ~ ~ ~ 3'~ FEET -I- L/6 ~ FEET OF FORCE MAItJ X S`~~F~oF~FRICT101.1 FACTOR..~3-D9 FEET TOTAL Oy1JAMIC F1E:A0 = ~t5"Z9 FEET As per manufacturer Z~, OS gal/in. Liquid depth 3a.t,t . `. ~Pv'~P Pte-boa-~~Ytvc~. Cv~.ye uouias ~~]~3~']~l'~~~~E ~~~~~~~~ P~m~. 3885 APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluent systems SPECIFICATIONS Pump • Solids handling capabilities: 3/4" maximum. • Discharge size: 2"NPT. • Capacities: up to 128 GPM. • Total heads: up to 123 feet TDH. • Mechanical seal: silicon carbide-rotary seat/silicon carbide-stationary seat, 300 series stainless steel metal parts, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel • Capable of running dry without damage to components. Motor Single phase: •'/ HP,115 V, 200 V, 230 V, 60 Hz, 1750 RPM; %i HP, 115 V, 60 Hz, 3500 RPM; '/z HP -1'/z HP, 230 V, 3$~ 60 Hz, 3500 RPM. /,0• • Built-in overload with automatic reset. • Class B insulation. Three~phase: •'/z HP -1'/z HP 200/230/ 460 V, 60 Hz, 3500 RPM. • Class B insulation. m 1995 Goulds Pumps, Inc. • Overload protection must be provided in starter unit. • Shaft: threaded, 400 series stainless steel • Bearings: ball bearings upper and lower. • Power cord: 20 foot standard length (optional lengths available). Single phase: •''/s and'/z HP =16/3 SJTO .with 115 V or 230 V three prong plug. • 3/4-1'/z HP -14/3 STO with bare leads. Three phase: • Y2-1'/z HP -14/4 STO with bare leads. On CSA listed models - 20 foot length SJTW and STW are standard. FEATURES ^ Impeller: Cast iron, semi- open, non-clog with pump- out vanes for mechanical seal protection. Balanced for METERS FEET r so; 25 80 70 20 m 60 U Q 15 50 Z y 10 30 20 5 10 smooth operation. Silicon bronze impeller available as an option. ^ Casing:_Cast iron volute type for maximum efficiency. 2" NPT discharge adaptable for slide rail systems. ^ Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BUNA-N elastomers. ^ Shaft: Corrosion-resistant stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. ^ Motor: Fully submerged in high-grade turbine oil for lubrication and efficient heat transfer. ^ Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, ~~~o;-Z r~ can be operated continuously without damage. ^ Bearings: Upper and lower heavy duty ball bearing construction. ^ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. ^ 0-ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS SP Canadian Standards Association ~L Underwriters Laboratories SERIES: 3885 SIZE: 3/0' SOLIDS RPM; VARIOUS oL o ~ ~ I I 0 10 20 30 40 0 60 70 80 90 100 110 120 130GPM 0 10 `~ CAPACITY 20 30 m3/h Effective May, 1995 Wisconsin Department oflndustry, SOIL AND SITE EVALUATION REPORT Pa e ~ of_3 Labor and Human Relations 9 - DNisiori of Safety & Buildings in arrnrri with II {-JR RZ n~ w~~ erln, r~a~ r COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must inclad9: but- ~~• C~20 Lx not limited to vertical and horizontal reference point (BM), direction and % of slope, sc f~' or ,,: PARCEL LD. # 'o ~ g _ loll - Z.Q dimensioned, north arrow; and location and distance to nearest road. ' r - • ~ "' , r . APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION ~ R EWED~ D TE j r? , t L g Z PROPERTY OWNER: t PROP OCATION , " <" ~"" 6~U\ZG~ QL1Z.kL'~'7- ! • . . \`1.1.11/da '1I,S ~ T ZS ,N,R !6 E( W PROPERTY OWNER':S MAILING ADDRESS. LOT # f3~ # cSDB!lGNXf61L~3R CSNf#~ 2.2.`13 SS~+ RuF. .3 `,. = l~R.upys~jcS-"1 CITY, STATE tIP CODE PHONE NUMBER []CITY []VILty6GE ~fOWN.~' NEAREST ROAD Z3r~-pw-w wt Sti~oZ (~iS) (~B~F_ z9t.) G~ ~ `_ ~~ SS `rat RV>; , [~ New Construction Use [,x] Residential / Number of bedrooms y [ ] Addition to existing building j ]Replacement [ ] Public or commeraal desaibe Code derived daily flow 600 gpd Recommended design loading rate •• `{ bed, gpd/ft2 •6 trench, gpolft2 Absorption area required S o0 bed, ft2 Soo trench, ft2 Maximum design loading rate • 5 bed, gpolft2 • ~ trench, gpolft2 Recommended infiltration surface elevation(s) °t,q • S ft (as referred to site plan benchmark) Additional design / site wnsiderations w'IOVti~ WlS~xb3 ~ t3t~ . Wl Irvt wruwt \Z" ot= S~'hA ~a ~~ . Parent material Ll\ ~S a ~~iZ 6LR e.~ R-t, 1-~t t-~ Flood plain elevation, if applicable ry tCl ft S =Suitable for system U =Unsuitable fors stem CONVENTIONAL ^ S ®U MOUND ~ S ^ U IN-GROUND PRESSURE ^ S ~ U AT-GRADE ^ S ®U SYSTEM IN FlLL ~ S [~ U HOLDING TANK ^ S [~'U SOIL DESCRIPTION REPORT Boring # . ¢ ; ~ : ; .fix c : \ .y~+. ~'~ ~ ~z3 ~' Ground elev. q--, o ft. Depth to limiting factor 30~ Boring # Ground elev. `1°t•9 ft. Depth to limiting factor Zit y Horizon Depth Dominant Color Mottles Texture Structure Consistence Botxt~ry Roots GPD/ft in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. g~ Trert<h o-to lo~,~~-313 - sil Z~sbk rn`~ c~v zv~- •s -~ Z ~-11 Lu ~ ~. S/! ~ si 1 Z `F sbk 1'n `~~- c1~1 _ • s . b 4 So s ~r ii ~/l ~~ •S `~ 2 s 18 L c~ ~ yh `~' i _ - 3 . y Remarks: 0-9 lo~ttz 3t3 - St.1 z'FS~~ v~`~- ~~ zv~ =s ~.~ Z• a Zo 1 o K 1Z y !4 ~ s i 1 Z'~S bk y-1-fit- C w ~ - S€. b U 24-;11 5 y(i Yly ~ ~~H2 s1t; L ow, ~ ~ l" - -~ ` .y Remarks: Name:-Please Print - Arthur L. We erer Phone: 715-425-0165 rer Soil Testing & Design Service-P.O. Box 74 River.Falls,WI.54022~' ..- r °L°j _ 3 o f3 , 3 Date: ~ CST Number. . __~ - _ ___ ~-Ig-oo 22o2s4 PROPERTY OWNER Rl\Z~t-L,TT SOIL DESCRIPTION REPORT PARCEL I.D. # C~00 - 101 ~ Z.O Boring # 4:};•i~v;t ~xy 3 ~:.. 2,>,k Ground elev. ~~•b ft. Depth to limiting tactor Z. °r " Boring # '~_~ ~'~ •:<a .>. L:;~ Ground elev. f t. Depth to limiting factor Page ? pf ~ Horizon Depth in. Dominant Color Munsell Mottles Qu Sz Cont Color Texture Structure G S Sh Consistence Boundary Roots GPD/ft . . . r. z. . Bed rends o-ro log-t,tL 3(~ _ S~1 ~,`E'sbk ~~1-- cw Z,v~ ..s .b Z r u - t-r l o ~ trz ~t! ~ s i 1 Z- `F sb 1z tin '¢i- e w ~ • s . ~ 29-4y S k2 ~!/ ~~•Sy2 S~f L ~''''- M `Fr' • ~ i -y rsemar-cs: .~ ' ~, ~ 3 f i Remarks: Boring # fi?: fia 2;2 4'~{ is ~~~ f~>E :<ew:.......... Ground elev. f t. Depth to IimiGng factor Remarks: 3oring # v.... _ .. (:T 2}}, iiti around elev. f t. )epth to smiting actor Remarks: PLOT PLAN SCALE 1"= Ll~ ' ~ 7 A v i ?_ ~ J zl' ~I .Q ~p ~ h ~ ~ t_or ? 2,~ _ ~ SS `T2+ !~V L _ Z.'1 S ' '~ TO Z.~'~ tom. 9T. LuT3 -- Page 3 of 3 !! ~~ `lJ Gi ,,5 \~ z~ . OA~NvCt.. ~ ~ 9 G~ ~ O ~ '~ \3u~~"'1 biF QL~~ NZ.tDp.O' /~ / ~ g99 B-Z _ _ eay e ,/ ~~t~tFZ. -~t.lot.\`on~ 84t~t6H~ hp~o 3Jy"ptA PvC ptP~ W/LJ~¢ ~~ D ~~Yv~ '1'tf'13 A-2~ ~~ $t, ~-"10 i ~ B+I / ~y ~~ ~ / ti~ ~ _ ~j S'ri~ tN. \ ~V t3:3 ~t~1R° . • ~'4F-I - ~''1- l00.0 ` p~ t pk t-lt6 H , 3/V" Dtr`1 ~C pt~ it/L~ O~p>J S_LT _ TQ~:BC RT--C-L'~T:_ Z~.-E~~~~i.-U-~9 . _w~TLL ---- -- -- -- k ~ 50' _ _T__Y _ _ I Sp'h1N, • • ~ - ~ ~ • ~Z_o w . F2~ e~ _ s-~y 49-3u8-.3 ~~~~fi~yl,~ I - ,I 9 -0~ z-ZOzsy ~. (7 5 ) 4 s-n~ CST Signature Date Signed Telephone No. CST # Wisconsin Department oflndustry, SOIL AND SITE EVALUATION REPORT Pa e ~ of 3 labor and Human Relations g Division of Safety & Buildings in accord with I! HR R'~ nF Wic Grim r`nrlo ' ~ COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but Sl-• C\2t) ~~(, not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # p ~ 8 ~ toll - 2S;J dimensioned, north arrow; and location and distance to nearest road. ' APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION R I ~ BY ~ ISE l :.ocs6 PROPERTY OWNER: PROPERTY LOCATfON 6 ~Ll\Z6 ~ ~ t21z(~•'1- ~ -661f~-E6~- T~1W 1/4 S W 1/4,S ~j T Z-8 ,N,R 16 E ( W PROPERTY OWNER':S MAILING ADDRESS • Z2 q 3 5S `n+ RuF LOT # 3 BLOCK # SUED. NAME OR CSM # , . .. ~ nSZ.upc~s~ ~ s -~ CITY, STATE ZIP CODE PHONE NUMBER DP~..Dk,t-v, h11 Sy~ooZ (~tS) GBH- Zgl) ^CITY VILLAGE [MOWN ' Ems) G>~. NEAREST ROAD SS Yt} t~VL , [,~ New Construction Use [xJ Residential / Number of bedrooms y [ j Addition to existing building [ ]Replacement [ ] Public or commerdal describe Code derived daily flow b o0 gpd Recommended design loading rate •• `{ bed, gpd/ft2 •6 trench, gpd/ft2 Absorption area required S o0 bed, ft2 Soo trench, ft2 Maximum design loading rate • S bed, gpd/ft2 . ~ trench, gpd/ft2 Recommended infiltration surface elevation(s) °I,q • S ft (as referred to site plan benchmark) Additional design / site wnsiderations w10Uhl~j WlS~xb3 ` Q~ . w1 Ijvt wtuwt ~Z" of S'n'>v0 Fa ~~ . Parent material L~ ~S n v ~Z 6Lr~, f~-t, 1't ~ 'Flood plain elevation, if applicable t~ +~1 ft S =Suitable for system U =Unsuitable fors stem CONVENTIONAL ^ S ®U MOUND E~ S ^ U IN-GROUND PRESSURE ^ S 13 U AT-GRADE ^ S ®U SYSTEM IN FlLL ^ S ®U HOLDING TANK ^ S L~1 SOIL DESCRIPTION REPORT Boring # k PxIAA~dy;Y ~'~ '. ~~ ~ a Ground elev. a-t, o fL Depth to limiting factor 30~ Boring # :, ~, Ground elev. `1°t.9 ft Depth to limiting factor Z9.y. Horizon Depth in Dominant Color Munsell ~ Mottles Q S l C C Texture Structure Consistence Boundary Roots GPD/ft . u. z. ont o or Gr. Sz. Sh. g~ Trerxft 0-10 tp"1.\Z 3 L3 -' Stl 2.'FSbk rn`~• CtN Zv•F • S .~ Z lp-1't tub R y~ ~ Si 1 Z'~sblt lx`~t. ~W _ • 5 .b 3 ~~-3d ~ -S K R y~ - ~ L ~ e sb~ ~~ c g _ • ~t • s 4 3o S o s ~r ti ~l ~~ •S ~ 2 s /a L ~ `^~ `M ~ ~ _ - 3 ; y RDrnorLc.- 0-9 lO~i2.313 - Sit Z-`FS~1Z m~'H Cw Zvi .5~.~ ~.. ~1 2p 10`12 Y yY ~ S t 1 ~Z'~S bk iM '~t- C w - • S ~ . b 3 u,~q ~-S•~tzYl - L l~Sbk h~`F~ c - •y -s U ZQ-~1 s~rtz ~!y 'P~~~t2SJt; L o~, wl~i - •~ ` •y Remarks: Name:-Please Print ~ Phone: • Arthur L. We erer 715-425-0165 ' BSS: _ gerer Soil Testing & Design Service-P.O. Box 74 River.Falls,WI 54022' ature: ~ " ' `19 - 3 o fl , 3 Date: CST Number. - _~ _ _._ ~-Ig-00 220254 PROPERTYOWNER_ C3L~Z~tL.'rT SOIL DESCRIPTION REPORT PARCEL I.D.# C~CO - lp\I -Z.p Boring # C:+Y :..n v...;ti ~: 3 ~:~. }u, .'Stiff Ground elev. 94-n ft. Depth to limiting factor Z °r " Page ? of Horizon Depth in. Dominant Color Munsell Mottles Qu Sz Cont Color Texture Structure G S Sh Consistence Botx>dary Roots GPD/ft . . . r. z. . Bed Trends Z 0-10 ~ u -~~ lo`-ttZ.3(~ l ~ ~t ~ ~r! ~ Sl1 s i 1 Z`4'sbk Z `F 5b -z ~n~t~~. l~vl '~- c~ e w -z,v.F - .s .6 • s . 6 3 ~~-z4 -t.s ~ctz ~[Y - ~ 1 ~Sbk m `Fl- e.S - -~I , s 2.9-ply S ktZ y! ~1•S~l2 S~$ L C' "'~ M `Fr' • 3 € -y Remarks: Boring # .,~ '~~ ;..i tii: f . s Ground i elev. F ft. I Depth to limiting t factor ' f Remarks: Boring # ~:;:: .:~ ..., ~:, ~:::~ Ground elev. ft. Depth to limiting factor 3oring # >~ .... :, ::.. ,..~. ,~ <::. :.>::: around ;lev. )eplh to smiting actor temarks: Remarks: _ ,h a-,.~nin .,r ,.., PLOT PLAN Page 3 of 3 SCALE 1"= `lam ' _ ~. S S `h+ !~y l:. _ 11 j A Z.'1 S ' #+- 1'O 3 Z~3 val. 9T_ ~ F ?_ "' ~ J -~ ~O ~p ~ h ~ LoT z ---- 2~ ~0 UoT C~"1,af}-~-r nR ~ ~STv~.g 'Ctt't~3 q-tZ~ ~- ro -- $L °<~ ~' 8+1 / 11 ~' ~y' ~ 25 .~ S'r~ tN. ~2 B:3 _,. ti5 \\ i~~ ~ ~, 5°~'° LuT 3 v' ~~1v~; ~ ~ 9 G~ ~ p ~ nl ~, r~ ~1 2t 99 9. • ~81"'l'11'Z- -~t.10\,\'OtJ 8"tj'IGH~ 31~/"ptA PVC plP~ W/Irf~ 81•-tF-I - ~1.100.p ` p~ t p'c Fri6 N 3/V'' Dtt-~ wC PtF~ r.J/l.rj~~ W~TLL._~_ ~_ __~ . ±.___._..~Q,_~l__Y ~ I spI'n~u. i ~Z-o .w . F~.- e-~ ~-~y 49-309-3 'zZo2.sy ~~~~ 1- ,19 -oe~ c > > 15 425-n1 ~i5 CST Signature "Date Signed Telephone No. CST # FROP1 F' ~~ ~:~ULLUVH BLliRS, I hJ~~ F'HOhJE hJO. ~ 1c `~~'~ `-•'?11 Sep. t~ i 2~17E1 lftE~: ~~PP1 F ' ST CROIX COUNTY SEPTIC TANK MAINTENANCI7 AGREEMENT AND OWNP,RSI-IIP CERTIFICATION FORM OwnerBuyer ~E' ~ZC-s ~" L . ~,P,t! _ -- - iyp ~p,2j / ,E' ~'TT .. 3~.~ ~ Mailing Address ~~ % C~.~B~ f~G~c ~ l~ S ~'.u ~Lfe ~ ~ ~' .~ `~~~'~ Property Address o13~~~ S_S' (Verification required from Planning Depattmcnt for new construclian) City/State Parcel Idcntiftcation Number LEGA.Ii., DESCRifI''TXON Property Location ~ %,, ~~ %, Sec. ~, T a~ ~ N_R~W, Town of ~~l/~/-~2~F". Subdivision Lot # ~~, Certified Surt+ey Map # ~i ~ ~~ VQllune ~~ page # .1~~ /~ W$rrantty Decd # ..~? ~~'/1/ Volume _ /~3.~ .Page # ~ 73 Spec house ^ yes no Lot lines identifiable ~ yes ^ no S'YS M NANCE Imprgptr use and tnaugtcaa.nce of your septic system could ccsult in its pretnature.failtue to handle Wastes. Proper maintenance cgnsists of pumping out the sepdic tank every duce ycats ac sooner, if needed by a liceascd pumper. What you put into the system can affect the function of the septic tank as a treatment stage in tho waste disposal system. TLc p~P~Y owner agZees to submit to Sk, Gtoix Zoning Dcpartrnmt tt certification form signed by the oaracr and by a masterplttmber, journGyrrtanplutnber, cestrictedplutnberora Licensed pumptrverifyingthat (l) the on-silo wastewaterdisposal system is in proper operating Condition and/or (2) after inspection and pumping (if necessary), tine septic tank is Iess than l/3 full of sludge. Uwe, the turdcr~igned have toad the above requirements and agree W maintain tht private sewage disposal system wiW the standards set forth hettin., as set by the Department of l ommorce atkd the Dcpatt~ncat of Natura(ResatrreGS, Stzte of WisconsitL t;crti~cation slating that your seppic system has been txraintained must be completed. and returned to Ute 5t. Croix Counry Zoning Office within 30 days of the three year expiration date. / / SIQNATU1tL OF APPLIGAN'f DATfi OWNER. CER'~'I<k'ICATION I (we) certify that all statements on this form am true to the best of rtty (out) lanewlcdgc. I (wc) am (arc) the owner(s) of pcopetry des ribe above, by v;~e of a warranty decd recorded ;n Register oE' Deeds Office. ~ ~ /~ /U~ GNA OF APPI:ICANT DATI: •~~"• Any information that is this-represcntcdmay result in the sanitary pettrtit being rovo{CCd by the Zoning Depar~neot. ••«••• j... •• Include with tills applicntton: a stamped warranty deed frem the Register of Deeds office a copy of the Certified survey map if rofceence is mado in Cho warranty deed v~i.1533FA~i:2~3 STATE BAR OF W ISCONS[N FORM 2.1998 WARRANTY DEED DBelrment Number This Aeed, made between Georoe L. Birkett and Doris _ l3irkott, husband and rife Grantor, and Jeremv D Anderson a ainale oeraon Gt:antee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in 8t. Croix County, State of Wisconsin: Lot 3 of Certified Survey Map as recorded in Volume 1_,~qf Certified Survey Maps, Pale 381a~, as Document N~ o• 6187y81, located in the NW 1/4 of 9r 1/4 of Suction 4, Township 28 North, Range 16 West, in thv Town of Eau Galle 6279Q1 KAi'HL_EN H. WALSH RI=GiSTck QF DEEDS 5"f_ CkOIX L"0., WI RECEIVED FOk kECORD 09-i0-200 9:45 AI4 idAAkANFY DEED E {E'kVT 4 CeR? COPY FEE: COG'f FEE: T''.AN5'FE.6: FEE: 91.50 kECOF,'GiNti FEE: lO.OG VAOE5: 1 Ares 7~pg 9TH S REST O TH HUDSON, WI 54016 oae-loll Parcel Identification Number (PIN) Ttis is not homestead property. (is) (is not) Exceptions to warranties: easements, rosdrays and restrictions of record Dated this ~ day of > •Geo o Birkett +DOria Birkett AUTHENTICATION Signature(s) authenticated this day of , TIT4E: MEMBER STATE BAR OF WISCONSIN (lf not, authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Michael H. Forecici Attorney Eau Claire, Wisconsin (Signatures may be authenticated or acknowledged. Both are not necessary.) ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix County. ) Person Ily came before me this day of c above named George L kett and Doris Bi:^kett to me known to be the person who executed the fore 9in,; instru//ment and , knowledged the same. C.i, < *Tracy _. Turner Notary Public, State of Wisconsin My C~m ~ 5~ion i~erm y.(If not, state expiration date: { .) Names oTpersons signing in any capacity mutt be typed a printed lulow their signatlue. "" ~ ' STATE BAR OF WISCONSIN State of Wisconsin WARRANTY DEED FORM Na 2.1998 PrOtlutatl wYh 2pFOrmTM M' Vonuan Inc. 18075 Fiaea+ Mie Roeq Clinlerl Tw.nsfwp, Mrhipan X8005, (BBB) 38}gap5 Anuney Mich.etHForccti I8J0 Bn94W Ave, Er CIdn WI Sl701-G62] P6ur~:Ir15)i15-1039 Fu: (1l,)aJ S./III ~~z~ ~~ ~~~3 S ~ r ~% \ ~~ (!ou F«.ED a1 F E B 2 4 2000 - µTHIEEHH.WALSiI 1 J ~Ctuhd~,MM1 '~ ~~878~ Certified Survey Map George and Doris Birkett Part ofthe Northwest 1/4 of the Southwest 1/4 of Section 4, Township 28 North, Range 16 West, Town of Eau Galle, St. Croix County, Wisconsin. Owner's Address: w' //Q COR, SEC. ~, T?8N, q /6 W, 2243 SJth AVE. a l/I COR, SEC. I, T2BM. R/6 W, /P. K. Nq/~ FD) Baldwin, WI 54002 ///1"/NOH P/PE FQ,/ l/NPL4 TTED LANOS OWNED SY OTHERS -r S B9 • SS'/S"E 5296.79' ~-~. __~'~- , joss/' ''~ 'w ' ST.CROIX000NTY sas•s c~ ~ D.O.T. Approval No. 7•s7'°°"wl k197An4pandPark~CcmmiNea plsa 55-94-2993-2000 " Y--_ Nr ° FEB 2 3 2000 n ' RS_ q ~T E~ INTE - o ~ r If n noWidad within 30 days of This instrument drafted by i.aurence 4/. Murp hy datsapprovalahaMbs ~ nul ~.-- r` Y OTNERS ATTLrO LANDS ~MfNEO 8` --- so' aa' tINAL ~ // a" CAUTION N/GNWgY SETBACK R I ~~) M~ III Nl ESTR/CT/ONS PROM/BIT IMPROVE MEN75 NI /NCERTq/N AREAS. SEE SNEET2 FOR DET4/LS. Legend: ~ olndieates 1" x 24" iron pipe weighing l .:i_'. ~f,~tl~pgp~ ti 3 W lbs./lin. ft. set. -fit- Indicates fence. b ~~~~ ~~~~SC 0 S y~i~ ~~ y ~ i R ('_7.0') Indicates previous l}' recorded data ` , . =~~ ~ :.•' ••••~ ''•., ~~ o ~ . e Indicates soil boring for proposed septic - ~ ~' LA ~iENCE': ~ a a site. ~ ~ + ~ s . UR HY RI it ` ~ SCALE / "=zoo' pared: Dec. 21, 1999 llt h O ay of Feb. , 20 o Ev io O SO' /00' d t ioc 3 = a S 00'G : gIVER FALLS : W m s ° zo o • ~ , , W ` 0 0 • on ~.• ., L A µ ~ ~ i a SHEET 1 OF 3 ~~~~il11aN~` Q J h Vol. ]4 Paoe 3814 ~, ~~ .f ~ ~`, ~~dNNUrN^--- __ rrrri' ~~.~. ' w i _ -~ January 12, 2001 P.C. Collova Builders Attn: Laurie 705 County Trunk E Hudson, WI 54016 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CRO1X COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 Fax (715) 386-4686 RE: Septic Inspection for Jeremy Anderson located at 2321 55th Avenue, CSM Vol. 14 Pg. 3814 (Lot 3), Eau Galle Township, St. Croix County, Wisconsin Dear Laurie: A septic inspection of the above referenced property was conducted on 10/12/2000. This property is located in the NW 1/4 SW 1/4 of Section 4, T28N R16W, CSM Vol. 14 Pg. 3814 (Lot 3), Eau Galle Township, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. If you have any questions regarding this, please contact our office at (715) 386-4680. Sincerely, -Y~,,~ FvhS~ Kevin Grabau Zoning staff /sm cc: file Parcel #: 008-1011-20-300 04/21/2005 10:03 AM PAGE 1 OF 1 Alt. Parcel #_: 4.28.16.58A-30 008 -TOWN OF EAU GALLE Current ! X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' =Current Owner JACOB A HEWETT 'HEWETT, JACOB A 2321 55TH AVE BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 2321 55TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 5.001 Plat: 1012-CSM 14/3814 SEC 4 T28N R16W PT NW SW BEING CSM Block/Condo Bldg: LOT 3 14/3814 LO T 3 5.001 AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-28N-16W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 08/19/2003 736417 2380/240 WD 08/10/2000 627901 1533/273 WD 07/23/1997 349/53 OC 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 45965 188,800 Valuations: Last Changed: 05/13/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.001 28,500 117,200 145,700 NO Totals for 2004: General Property 5.001 28,500 117,200 145,700 Woodland 0.000 0 0 Totals for 2003: General Property 5.001 28,500 117,200 145,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 138.00 Special Assessments Special Charges Delinquent Charges Total 138.00 0.00 0.00 ~TEGERER SOIL TESTING and DESIGN SERVICE SOIL TESTING - SEWER SYSTEM DESIGN ATTN: DATE 1-~-5 ~--~~6C7 CC: SUBJECT: THE FOLLOWING ITEMS ARE ENCLOSED' 0. OF OPIES r SENT TO YOU FOR THE FOLLOWING REASONS: FOR YOUR USE FOR REVIEW AND COMMENT INFORMATION DESIRED ~ ~ G~~L ~~ tz~-r ~ c.~~ t~ ~ ~ ~ J~n~ ~ V ~ ~ L(lT t.., l fy .:~ ~.QL'%l~f ll~ ~ ~~1`n Uh.l ~ 1- l~D ~uU6s i~~~ ~yG aril L.o~ ~ ~ Z , ~~ ~o~ L ~ ~~ LflT 3 ~ B~ a~c~y ~~ su~~~y~ WEGERER SOIL TESTING AND DESIGN SERVICE ~'" ~-~ ~ . ~~~ ,n p ~ u t~ t.= ~` ?CsVINGO~FlC P.O.BOX 74 421 N.MAIN ST. RIVER FALLS,WI 54022 PHONE. -425-0165 ,hsin Department of Industry, I' and Human Relations ~i~sion of Safety i£ Buil~ngs SOIL AND SITE EVALU~~~N^R T ~~ge_1 of 3 T '~ in acenrrt with -I NR A4 n~ ~ie-°'Ar~m f`nrlo ~:, r ,~- - - . ~ , ~, o- LINTY ~ , ~~, Attach complete site plan on paper not less than 81/2 x 11 inches in ze:-Plan mush iftcfttde,~ ST• C2rJ 1K not limited to vertical and horizontal reference point (BM), direction ar~i%of sl ,;sc~e or PAfI~ELLD.# 008- lpll- Z.0 dimensioned, north arrow, and location and distance to neazesY road. + ; . ~-~ .' Q~ - APPLICANT INFORMATION-PLEASE PRINT ALL INFORMAI'lON al" c x F1_ EWEDBY DATE COl1 a .., PROPERTY OWNER: PROPER A G t`D R G E g~ 2~r r ,~~ ~_ ~ t/a,s y T ~.$ ,N,R 16 E (w)~ PROPERTY OWNER':S MAILING ADDRESS • L L BD. NAME OR CSM # z. z. R ~ SS `R~ f~ V E . 3 - [~2oPos~ ~SM-t CITY, STATE ZIP CODE PHONE NUMBER ~~L~w1 w , W t 5~! poL (7tS) 6gy_ Zq 11 ^CITY ^VILLAGE MOWN ' ~ G~w~. NEAREST ROAD 5S `T~+ RUC. (~ New Construction Use [~ _Residen6al ! Number of bedrooms y (J Addition to existing building (J Replacement [ j Public or commeraal describe Code derived dairy flow 600 gpd Recommended design loading rate • 4 bed, gpd/ft2 • 3S trench, gpolft2 Absorption area required Soo bed, ft2 Sam trench, ft2 Ma~omum design loading rate S bed, gpd/ft2 ' ~ trench, gpd/ft2 Recommended infiltration surface elevation(s) t O 1.0 ~ ft (as referred to site plan benchmark) Additional design /site considerations w'1 l1V tV~ w/ s ' x 1 p o' TZgU cL{ wl I ~ t h V w1 lZ ~~ 01= S t~t7\J1j Fi c.t. Parent material 1_p ~S ou~1Z G t_t~t A-t. TZ Lt_ Flood plain elevation,tfapplicable 1J A ft S =Suitable for system U =Unsuitable fors stem CONVENTIONAL ^ S (~U MOUND ~ S ^ U IN-GROUND PRESSURE ^ S ~ U AT-GRADE ^ S ®U SYSTEM IN FlLL ^ S f~ U HOLDING TANK ^ S ®'U SOIL DESCRIPTION REPORT Boring # ~4~ '.~ ., ~ ,~` ;A~;.:,:k,. Ground elev. 99.7 ft Depth to limiting factor 3 ~" Boring # Z .. Ground elev. ~?9.0 n Depth to limiting factor 3 Z.`~ Horizon Depth i Dominant Color M ll Mottles Texture Structure Consistence Botrxltry Roots GPDIft n. unse Du. Sz. Cont Color Gr. Sz. Sh. g~ Trerxfi ~ o-t.o ~p~tZ, 313 - s i 1 z~Fsbk y,~~~. c~.J zU~ - s _6 Z lo-z-I to ~R ply - s,1 3~sbk wL'Q- Cw - • S , 6 3 Zl 30 ~ •S Y2 5/~y - ~ s l 1 ~-.Tb12 1Nt V'Fb- eS - .mil .S y~ 3 0 -S S . S ~-t 2 4/l ~L g y ¢ S/g L c~ ~ ~-~ - ~ 3 :y Rcm~rlre• 0-9 1o~-Lt~3L3 - SLI Z.fSbk m~-~ Cki Z~~ .S .6 ~ q-z6. I.o~1-~yly _ si) 3~sbh wt~'1- c-..~ - ~s €,6 3 2.(, -32 ~ •S ti ~Z yly - g 1 1 ~gb12 im v'~r C-S - .~,( .S ~ 3zc9 5 ~ ~ Yly ~~ S ~r e 518 L o~, m qtr • ~ i •y Remarks: Name:-Please Print Phone: Arthur L. We erer 715-425-0165 gerer Soi Testing & Design Service-P.O. Box 74 River.~'a11s,WT. 54022 . ature: R ~ - ~U a _3 Date: ~ CST Number: . . 1Z-Z-~,9 220254 PROPERTY OWNER ~Y~Z.YrtLl-T SOIL DESCRIPTION REPORT PARCEL I.D. ~ O ~ a - I l~ 11- 2..0 Boring # +•h•+i~j~}v..... .:ax,::ivY ~~`~ ~:.: 3 Ground elev. 1 DO• S ft. Depth to limiting factor 3Z~ `~ x ~-~io Horizon Depth in. Dominant Color Munsell Md~es Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Botxxiaty Roots GPD/tt~ B t o o i ~ L3 1 ~ ed Trench - ti t _ s i 1 Z'fsb k r~~F-- cw ~ z u ~ • s . ~ 2 t'.u Z3 l~`iR ~/ly ~ SY1 2'~Sbk m~H CW - •s •.d 3 Z3-32 ~•S 4R yry ~ s1 tesbh Y~U'FI- CS - •~ .S ~ ~cn ia~ nJ. Boring # ~~.~:»» . :~ :a,..,.:.:<~ t~ ~~> v::iia:~...,.;.. Ground elev. ft. Depth to limiting factor net I tar res: . Boring # <: :> s<:; t> Ground elev. ft. Depth to limiting factor RCl l lal M1J: _ 3oring # .__:.... >z around ;lev. f t. )epth to imiting actor nenlalns. _ •n a•rin~n •,~ ., ~~ PLOT PLAN SCALE 1"= L1 Q ' Page ~ of 3 ~, S S T~ t~U e _ Lo c-PC'C»~- SY~t.I~ s~-~u \ - N~o' ss~+ Pius - - ~ N 3 Z I x~ ~ ~ ~ _ ay~ ' D~Slv\Z-8 '~lt-1S ~C1z-CY1 %,~`~ / ~ tTL qQ1 ~'^'~+~~ - ~,..\OCl•0 oN ~N~ B•~ ~ Q-ti g'"~1tZ - ~Z, °I.q.$'av 8"l~--G14, ~''~~t'tG~4, 31y` Ot~l ~ 1ZZ~ ! 31y"plwl PVC l't1'~ Pv C plP~ w /utter ~\ N ~ w! Im1~ Bolo ~Z~~_ ^/ ~~ coNR)u~Z~'L, ICAO' $-3 So~n1 of `~(~~ e..~ ~. goo s ~-~. i o i.n , ~`4vi,SF ~ _ ~~ PrT -t-C'IF3T-. ZS ~ ~~7~-1--F!1DU~s1Q . ~ --T --- ~= ~i ~! q4-3o8-3 zzoZSy ~, t2-2 °t,~ _(715 ) 425-n71;5 CST Signature Date Signed Telephone No. CST # ~.~pv a r-- ~~ N y `~ s Fl~.EID ~o MAY 102000 ~ FEB 2 4 2000 - - ,~ KpftIIEENH.WALSH ~j Repfster of Deeds ST. CROIX COUNTY SI'CroixCO"~ ~ ~ ~ ~ ~ ~, SURVEYOR'S RECORD ~ c' Certified Survey Map George and Doris Birkett Part of the Northwest 1/4 of the Southwest 1/4 of Section 4, Township 28 North, Range 16 West, Town of Eau Galle, St. Croix County, Wisconsin. Owner's Address: W //4 COR. SEC. 4, r28N, R /s w, 2293 55th Ave. / P. K. NA/L Fo/ Baldwin, WI 54002 o I F E B 2 3 2000 M UNPLq TIED LgNOS OWNED BY OTHERS -r S 89.33'/3"E 3296. 79' -~-- ~" ~ d y~ „~, ;~ 33 TH q V~ ' ~ 300.00' 'o 383.89' -' 2~ 'R, o ~ ~I ~I Q J ~.I 0 0 WI 2 Q ~. Z Q JI W Q 2 nor ~ 5.293 ACRES 230, 33/ SO. FT ~ 3.073 ACRES EXC. ROAD R.O. W. r. 220, 972 SO. FT. 3 ^~ . q v ~ N io M ~p N 2 ~ ~ ~ - -" 928.231- - 299.9T' ~ N89.37'33"E 87/ 78' - M ROAD SETBACK L/N LOT 2 ~ 3, 044 ACRES 2/9,733 SO. FT. m 4.828 ACRES EXC O o ROAD R. O. W. ~ A 2/O, 334 SO. FT. 3 ~ M ~ ~ r. /'~~~ M ~f M N O 2 ,t~ yIGNWAY SET 3' n 300.69' ~ O~ - o If na~ recorded within 30 days of M app oval date approval shall be This instrument drafted by Laurence W. Murphy null oid _ ----- ---' ( ( I _--- -'-~ gY OTHERS ~- ANDS OWN~_ ---- -- so' 33' ~- UNPLATTE~- -- ~ I // 3 I OI NO ACCESS E //4 COR. SEC. 4, T 28 N. R /6 W, / //2"IRON P/PE FD. ! 27/. 8I ~ ~~~ o ©© E ~ v - --iM LOT 3 I l3 3.OO/A RES to 2/7, 83 S0. fT, j% /0 ~ 4.673 CRES 1.~~ m ~ ~ EXC. OA D R. O. ~ ~ +0203 43 SO. FT. I ~ 3 r: :_ ~ ~2\ b M M (~' I M 2 'a- / 00' ~ I o I d A I ICK LINE _ .~- . B2' a ~~ I O' 0) M h~ ONI ~ h N WI M • N I gg~~o h \~ ~ ~ I ~ 30' S0 Q /0 , I a 0 E'/W //4 L/NE ~~ ~ 3982.83' h ~ ? WI 2 1~ I ~ O W AI m W 3I + OI H O 2 ~I J W ~I .' ~ II ~r 4 2I .I APP VED sr. cROlx couMrY ~g Zoning and Parks Cc+mm~++~e ~4'I4""' 307'3/ V D.O.T. Approval No. R8sg7.37'oo"Wl 55-94-2993-2000 N g 4 .~ RSTATE~%GNy y~~ CAUTION I ~I ~~ Mi y~l HIGHWAY SETBACK RESTR/CTIONS PROH/B/T /MPROVEMEN7S N INCERTA/N AREAS. SEE SHEET2 FOR DETA/LS. Legend: oIndicates 1" x 24" iron pipe weighing 1.i3 `,,,N~1t11~~1~p,E lbs./lin. ft. set. ~~ ~/~ W ~k-~'- Indicates fence. `,`~~ w`~rjCi•~ • `S/~~~~~~ W R 10.0' Indicates } , ~•., ~ ~~ x o ( ) previousl' recorded data. ~~ ~ :: •' ~ ~ W a Indicates soil borint; for proposed septic ~ ;' LA iRENCE': ~ site. ~ rn ~ ~° MURPHY °G '` `^ Dated: Dec. 21, 1999 ~ ~ ~" Q SCALE / "= 200' ~ ~ S 173 ~ y ~ "Revised this 11th day of Feb . , 2000' . ' ':RIVER FALLS, .~ ~ `~' 4, O 30' /00' 200' 300' 400' 300' ~'~ ~ J ~ , o d ~ ~- '•. WISC. Q ~ ? ~ h q • ........•••'SJ ~~. ~i,FO LAND ~~~•. O . ~~ ~~f m i ~ SHEET 1 OF 3 ~~e1j1es ' a ~ h _ Vol. 14 Pave 38'14