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008-1015-30-100
St. Croix County Planning and Zoning Tlrctrsday, October 30, 2008 at 12:02:50 PM Detail Sanitary Information Page 1 of I Computer #: 008-1015-30-100 Sutr/Plat: NA Section: 5 Parcel #: 05.28.16.78A10 Lot: 2 TNlRNG: T28N R16W Municipality: Eau Galle, Town of CSM: Vol. 13 Pg. 3619 1/4 1/4: NW 1/4 SE 1/4 Owner: Clemens, Matthew 2265 55th Avenue Baldwin, W 154002 , ,/ ,~ . j~ State Permit: 384138 Issued: 02/23/2001 POWTS Dispersal: Mound C '~-t.,/ Permit: New County Permit: 0 Installed: 11/01/2001 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes (suer/Inspector As Buitt Plumber Other Requirements Additional Notes Money Owed Kevin Grabau >4/1/00 -Not Required Myers, Lyle owner fixing cars on-site and may need Carrie Stoltz was investigating in 2007 $0.00 Rod Eslinger Siur~ec! Ciff: Yes major home occupation permit h~aintenance Notifiication Scheduled Pump Date Pumped Notification 11 /1 /2004 04/20/2006 Parcel #: 008-1015-30-100 1o/so/loos 12:01 PM PAGE10F1 Alt. Parcel #: 05.28.16.78A-10 008 -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): O =Current Owner, C =Current Co-Owner O -CLEMENS, MATTHEW J MATTHEW J CLEMENS 2265 55TH AVE BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 2265 55TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 11.900 Plat: 3619-CSM 13-3619 SEC 5 T28N R16W PT NW SE BEING LOT 2 CSM Block/Condo Bldg: LOT 2 13/3619 11.90AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 02/16/2000 618386 1490/319 WD 07/23/1997 1103/255 07/23/1997 696/46 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/07/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 32,400 303,500 335,900 NO 05 PRODUCTIVEFORSTLANDS G6 9.900 40,100 0 40,100 NO 05 Totals for 2008: General Property Woodland Totals for 2007: General Property Woodland 11.900 72,500 303,500 0.000 0 11.900 42,200 268,300 0.000 0 376,000 0 310,500 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 • wiscorsinDeparo„entoflndustry, $OIL AND SITE EVALUATION REPORT Page ~ of 3 Labor and Human Relations ., Division of Safety & Btmldings in ~rrnrri with II 4JR AZ n~ Wie A.im (~..rl~ ~.. a.w............~~ .~ . w , .w. • wn~. wvc COUNTY ~ ~~ l ~ 'Attach complete. site play on paper not less than 81/2 x 11 inches in size Plan must in e t ~; . ~ not limited to vertical and. horizontal reference point (BM), direction and % of sbpe, I `~-~-• P~ LD. # 00$-1l~lS - 3 0 Hn~e dimensioned, north arrow, and location and distance to nearest road. c 7~ ~ jog - l0 ~s -Su APPLICANT fNfORMATtON`-PLEASE PRINT A1L INFORMATION b f -.~ ~ °' ~^' ~~~ REVIEWED Y DATE ~ ~' ~ 31r ~ ~ ~ PROPERTY OWNER: ~' ` ~ P R~LO(1$TIQI~ C~K,°~°j ._ ` 1d~ Sl f ' 2 ~3 ~ ' TObD k1.10t F A~-D cctvopF ~~BtE ~Ft tvl'Z 4,S 5 . 1 t . _ ,N,R l ~, E ( W - PROPERTY'OWNFR':S MAILING ADDRESS ~; `~ ~ BL ~. NAME OR # 13 z.z s 9 ss rEt- Avg- ~ =~ -~ .~,, es 3(al CITY, STATE - ZIP CODE' PHONE NUMBER 34 w ~ S ° ILLA • ~~fO~W~I-~`'~' `' NEAREST ROAD ` cS) (,~y_ oZ l ~ooZ ( cLDwr~v i3y ~, SS i~} ~tV~ , ~ New Construction ~ Use [yd Residential / Number of bedrooms ~ (]Addition to existing twild'mg j [Replacement [) Public or commeraal desaibe Code derived daily flow y SO gpd Recommended design loading rate - bed, gpolft2 •3 trench, gpolft2 Absorption area required 315 bed, ft2 31 S trench, ft2 Maximum design baring rate - bed, gpd/ft2 •3 trench, gpolft2 Recommended infiltration surface elevation(s) °L1- S ft (as referred to site plan benchmark) Additional design /site considerations -`'lU~tvp w/Z '1~25~~.1 C1t't~, ~Z-!~ V'>L~t~' U,~v G ; `tom tN . ~Z." p~ Std F-r t~ Parent material L o t;-s S Flood plain elevation, if applicable N A. ft S = Suitable br System ~~~ MOUND IN-GROUND PRESSURE AT-GRADE SYSTBd W FlLL HOLDING TANK U = Unsuitable br s stem ^ S ~U ®S ^ U ^ S ~ U ^ S ®U ^ S ®U ^ S ® U SOIL DESCRIPTION REPORT Boring # ~;,. .. Ground elev. ab~8 ft. Depth to limiting facto Z-> >, Boring # ~~ hhY 8' ~•. Ground elev. q,6-8 tt Depth to limiting factor Z," Horizon Depth Dominant Color Mottles Texture .Structure ~~~~ Roots GPD/ft in. Munsell tau. Sz. Cast Color Gr. Sz. Sh. Bed rt~tdt o-lo toK~ztZ - sil ~-`¢sb~ wtv~- a.s - •s .b z 6- to to~~.y/ _ st'l 1~p1 w-~r a-S _ uP -3 ~ 10=t.~ \p~-t1Zy~U - sit Z.~sb ~t`~t~ cS _ ~ S .~ ~ z-,-3q .IO~.IZ U/6 ~;.s~~ sip sit ~wisbh w~`~~ - .Z •3 Z Q, ~ ~..y P 'N V`~ 'a l A ~f S e „v ~Z v u ~ pQ-~ PtT W L - ~v~'2_. Z 'F i°-t-L- o1z1•v6S Remarks: ) o-s ~o~R zcz sil Z~ shy ~v~ ~-s _ • s ~. ~ z. s-to. lo~ttZY~y stl 1 ~-~l ~`F~. oLs - N~ .3 3 1p,2,~ 1 U~-rtZ. ylyc - S~ I Z'Fs1~lz ?rr'F~- CS ~ • S ' ~ y z~3S tn~rfLulr; ~I-S~rQ ski; sit lwrsbh ln`~i - •i'•3 Remarks: STN~ne:-Please Print Arthur L. Wegerer Ph°ne' 715-425-0165 ~egerer Soi Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022~~ . >ignadxe: tyL~ ~-7~-~1~~~-~ ~9-09-Z Date:3__Z~`~9 CST Number: 20254 PROPERTY OWNER ~-~5'c'PF SOIL DESCRIPTION REPORT PARCEL LD. # ov ~ -1015 ,3p fl~~p Oo 8 - l0 ~ _ S v Boring # 3 Ground elev. qS-3 ft. Depth to limiting factor ~;Z9 " Boring # ~~ ~~ Ground elev. ft. Depth to limiting factor Boring # Ground elev. ft. z Page Z of 3 '~ Horizon Depth in Dominant Color Munsell Mottles Qu Sz C t l C Texture Structure Consistence Borx>dary Roots GPD/ft . . . on . or o Gr. Sz. Sh. Bed Trend 0-6 ~u Z z,l Z - s,'1 Z~ s~ 1r, v~,- a.s - • s - ~ Z b -- 9 1 o`i R. y! ~ s ,'I 1~~ 1 m ~l- a,.S ua ~ 3 3 4-Z9 L ~'~2. ~! - s; I Z'~Sbh In`Fh CS ~ ° 5 - 6 Z9-31 lp`.iR 4~/~ ~-t,.s~1R s~f; s~- si I 1 ~sbt~ ~ ~~~ - •z- •3 Remarks: Remarks: Depth to limiting factor Remarks: Boring # s Ground elev. ft. Depth to limiting factor Remarks: inn n^~n~~ ^- ` ~ PL4T PLAN SCALE 1"= X1.0' ,~ v • 5 ~y i To 22oTt sr L.u? 1 DoT 2 lxr 3 / l ~,~ ~L ~l ls~' SC k s_ 9y ~-` ~o ~4~.1 s k.~~~t 1- -bo wog- es~-~~t~-T o~z ZS ~,LS' ~ Q ~9• ~ Page 3 of 3 ~ 3oo't ---~- -.- ~to `10~ qb.5 ` CD~jv~R. ~- - ~- .- ~ ~ o~~wt 0 F "1~~U ctY2: S ,~ q'1_S' ~q6 _ z<<z~d --- .~-~. ~_ ~ Wr 3 ~~ uUg ~~ J.. ..., c,b, . GRpuivp ~N ~1" D ~ A . ~'L ~Z _ et ~Oq-o~ ON wc~u~ ~~ pos7 sp~1~ z~"~guvE viza~+~-D ~ N~1Z ,,, tN ~ ` ~~~-• wouD tae posT ~~~H~vf~y ~ 9y ~q-o9-Z r~~~.. ~~j1 ~l~Zy~ .~ -, ~-1--~`j (715 ) 42.5-(17 h5 I100576 CST Signature Date Signe Telephone No. CST # Wiswnsig Department of Commerce PRIVATE SEWAGE SYSTEM ,r~afety and BuRding 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)]. Permit Holder's Name: City Village Township Clements, Matt/Pam Eau Galle Townshi CST BM Elev: Insp. BM Elev: BM Description: lop •~ i OD, GST '~' Z 1~ r\ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic I. j v\./ I l ~ Dosing (D~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic + t D(,~ -f "~v~ •t`~(J 'I' SrJ ~ k Zoo Dosing r~ • ~ .,, ., Aeration H ldi ng o PUMP/SIPHON INFORMATION LIZ,-.o~.,,_ ~,..,n1>vd Manufacturer (~ Deman ~ "~ ~.70Jt(.~- GPM Model Number ~Pc~ -- ~ ~ ~ TDH Li Friction Loss System Head TDH Ft n ~V •Zi 'Z ~J ~' L'O~ vim' D Forcemain Length Dia. Dist. to well l o ' a' -t- ~o ~ SOIL ~46SORPTION SYSTEM "ELEVATION DAT County: $t. CrOIX Sanitary Permit No: 384138 0 State Plan ID No: Parcel Tax No: 008-1015-30-000 STATION BS HI FS ELEV. Benchmark Att. BM !06•~ ~,~}2, t~•~f Bldg. Sewer ]try. l (e 4~b ~~~ SUHt Inlet St/Ht Outlet Dt Inlet l0~)3 C75~ Fs~.(,3 Dt Bottom ~g3 ~S~.3c~ Header/Man. I•~ 1QS~~.~' Dist. Pipe .gib toS.z3 Bot. System y• V Z. / p ~. ~y /brf. Final Grade Cover g~~a ~l8.10 ~ ~~3 .6fi ~( °1 ~ Z ~.z ~~~ tt~o, 1 b~.~3 ~'~~ ~~ • ~o C,o BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ l S'am` ( SETBACK SYSTEM TO P/L WELL LAKE/STR LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of System: y/t av ~ ~ '~"~ ~ ~" loC~ -- `UNIT Mod er. DISTRIBUTION SYSTEM 'F. / ~ Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake // __ ~ u Length V Dia Z Pipe(s) r w ' Length Dia [ Spacing~_ 1 18' I p7 3 „ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ~ No [~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / O / 3(/ o I Inspection #2: ~ I / I /~ Kevin Gr~..'ar~~ ~~-~~Pa'' SBD-6710 (R.3/97) Location: 2265 55th Avenue Baldwin, ~yI 54002 (NW 1/4 SE 1/4 5 T28N R16W) NA Lot 2 Parcel No: 05.28.16.78A 1.) Alt BM Description = ~~~ ~' P /~~-~,5~ pates S~ s~~ `~•~ ~~s ~~ ~ ~ ~ ~ Su'~ 2.) Bldg sewer length = -J~ .~~ s ~~ ~~~ ~~ ~(~ -amount of cover = ~- ~~• 3J Contour = t:-f' .) CO '' ~~ Z1 (01..• ~ ~ IOZ. y Q c~o tNtL)^25 SGI. '' Plan revision Required? ~ Yes ~ No `~ r 6 l ~ ~ ~ - 3 Use other side for additional information. Date Insepcto ignature ~r~No. - y- Z S e o nfavr. /Lbw 5~- lGb~. yg ~ Z2~5 ~5" f~~ ~~,,~~,, , ~~isconsin Department of Commerce Sanitary Permit Application Safety & Buildings Utvtston In accord with Comm 83.21. VVis. Adm. Code 201 W. Washington Ave. See reverse side for instructions for completing this application PO Box 7302 Personal information you provide may be used for secondan~ purposes Madison. WI 53707-730." [Privacy Law, s. 15.04(1)(m)] (Submit completed form to county if r state owne. plete plans (to the county copy only) for the system. on paper not less than 8-1/2 x 11 inches in size. \ State Sanitary Permit Number ^ Check if revision to previous application tai Plan~~D. Nuy~b~ ~IU}NS. 1 I. A lication Information -Please Print all Information Location: Property Owner Name ~ j Property Location ~Y ~ ~ ~ /~ r,G~ 1 /4.SC 1 /4, S~ T.Z~ N, R ~ or Property Owner s Mailing Address Lot Number Block Number f (~ r ._.- c• ~- - ,r - ,2 City, State Zip ode Phone Number Subdivision Name or CSM Number II Type of Building: (check one) ^ City ^ 1 or 2 Family Dwelling - No. of Bedrooms:~_ ^ village ^ Public/Commercial (describe use): ~''Cown of ^ State-owned ~~~ III Type of Permit: (Check only one bex on line A. Check box en line B if applicable) Nearest Road ~ ~, ~ ~ ~ rJ q) I. New System 2. ^ Replacement 3. ^ Replacement of 4. ^ Addition to Parcel Tax Number(s) S stem Tank Only Existin S stem CiC~~ ~ ~ / • ~ 3C? ~ 1 B) Permit Number Date Issued ^ A Sanita Permit was reviousl issued IV. Type of POWT System: (Check all that apply) -~ 5 ~ ~ S • /lo ,? Ig .. /D ^ Non-pressurized In-gr~nd~,~~ ~ Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized I -grounc~:~== ~ I o I S~ ) ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade r nrwn k u ^ Aerobic reatm t~Unrt /~ ^ Recirculating ^ Other: 4 ~ Y 5-O >A A ,e, r ..AL ldlLJC J 1~ ~ I • ~'S t ~2 ~ ~r ~SAMO'C _ V Dis ersaUTreatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. ft.) (Min./inch) Elevation `f~v ` ~ ~l ~- `o:~.~~ 1. r~~ ~~~ ~ y l VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete structed Tanks Tanks 5~-nC- Ocr~~ Q~~~ /~ Lam' ^ ^ ^ ^ GA~mAC l~rnr3 ~t>Ei L ='t "L~ VII Responsibility Statement I, the undersi .ed, as sume res onsibili fcr ir+.sl'allation of the POWTS shown n the attached laps. Name (print) Plumber's Plumb is Signature (n stamps): /MPRS No. e Number Business Ph o n Q e /~/ ( Plu er's Address (Street, C~ •, State, Z e} "~ /: / 5' -~- ~ ~n S~ ~uc '~ ter' ~~-~ ,,, VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued lss ing Agent a re (No stamps) ~(' Approved ^ Owner Given Initial Adverse Surc a Fee) , Determination 3a-5- ~ R~• 23 ~ I IX. •tions o proval /Reasons for Dis~ppro~v~al:~~ ~~~~ ~- SYS~ _ ~_ ~ ^~~ ~~e~t ~ ~ ~.. ~.. - " - "~~_ .M,,,~~p ~y, lam, 1y,~ W 1 U ~ 6~~ QJ~9-LL- ~~' ~~~ ~n~^ w~T~t1~~ (~ ~ p ~7~,n{~/V v~Nt1~ Vim' fir, "7f ~4' ~ ~~i~ ~1 ` , , G..~ ~~" ~tt1GOFF1t;'E ,,~, ,,, ~; . ~ ,,;; ~,,,, cs rn,~- ~eoo /~~( ~C ~. t3+P , 3619 .~ _ Stru.c-~,.. ~`'~ t v~c~.Qst,~2. ~,r.. wa.S ~ o4.~S , S~c,~ 4 S be.~Q-,r66''.t't. -- - ~f rcstil~~, s ~a-c~_f i ~~ r t+v 1 r Ltily /Scale 1 "= L~ Q' SS T!~ ~y~ . Page 3 of ~ O-b h~i To ~ 0 o `3 J A fit( (•w~~- po~E [3`.pG _ 1 ,/ ~~~~/// ~~~ 3 8~2+"'I 1`}01+1 F ~. 1 ~~~ 1O • of ~l ~` P v c TAO r~10T Cpr~ly~t'~tT ~- ~ 0 n ot~ 0 ~ 9 T~+tiZ~3 - ~~~ ~ 101 --`~ tt- ~ ~~ X01 ~~ 14 Z 'Bo'T1br1 OF ~'-Q.~, ~T~-, /03-25' ~ ~ ~Z,.~' J g~Z ~\'J 2 3j'9 _ LSL 100. 0 • C1dV - 8 N Et-l Gl~l ; ~/~''~i h~ ~ R~-~ A'ft. ~~l I-1'i'-'~- 3 f~ - t~ .100 •q' +r S" - „_ ti ~ r • r __. __ -_ -__--_. __-1 -- - - ... _ .. _ .r-~-~ 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 tUOo ~ boo gallon capacity manufactured by 1ti11~ ~Z Co1v c.~~~ P~AV ~ kl/ZPn3L3'i- ~~~ 7' Fi ~7CR 4. $ench markg •. Ste'' pt-gpV~~ •5. Divert surface water around system to prevent ponding at the uphill side. d . • ~ ~ ~~ isconsin Department of Commerce February 08, 2001 CUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL r. "'~~`~~~ ii .~,4.,, ... ._ ~.r~t11 Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. uslSB Scott McCallum, Governor Brenda J. Blanchard, Secretary ! 4 , l ,. ?~ 7~'a~t~`~~ AT~'N.• POWTS/nspector , J.._ •~. ,'~ ~:, ,,,,, 'ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 PLAN APPROVAL EXPIRES: 02/08/2003 Identification Numbers . Transaction ID No. 614267 Site ID No. 626243 SITE: ~ Please refer to both identificatidn numbers, SITE ID: 626243, Matt & Pam Clements above, in all corres ondence with the a enc.... St. Croix County, Town of Eau G R ~ ~~ NW1/4, SEI/4, SS, T28N, R16W FOR: • ' Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 780174 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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 Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10872-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10873-P (R.6/99). • In 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 component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • 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 instal 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. t2(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. • ~ ARTHUR L WEGERER Page 2 2/8/01 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. to Fri. 7:15 AM to 4:00 PM j swim@commerce.state.wi.us DATE RECEIVED 02/05/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiShiART code: 7633 TITLE SHEET FOUND SYSTEM FOR A 3 BEDROOM RESIDENCE Page ~ of ~ This plan has been prepared in accordance with the Mound Component Manual SBD-1057 P and the Pressure Distribution rlanual SBD-10573-P C~~ blgq~ C2. bl~~~ LOCATED IN THE -y~.J 1 /4 OF THE SE 1 /4 OF SECTION S , T z~ N, R / b 6d, TOWid OF _ ~1~ G ~t_L~ ST- C~~tK COUNTY, WISCONSIN. :__.~ ~T _Z::-ar----e Sr-~ ::~rv:-V o c: r3 ~ ~ ~~1:~- INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEPI MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUI~iPING CHAP~SBER CROSS SECTION PAGE 7 of 7 PUMP PERFORI•iANCE CURVE PREPARED FOR _ __ ---- ~ t'rlT T ~ f~lv~ "-FR~I-: ~L-~1-~ro~ ~~ ~. ~ ~~ s ~O `~°oj ~ PREPARED BY v~ WEGE~EFt SL7I L . TEST I tVG ~G AND . . • . DESIGN SERV = CE P.O. Box 74 421 I1.~Iain St. River Falls, IdI 54022 ~~~~~~~~~ Phone 715-425-0165 '~e4 ,~~ !~ ~° Fax- 715-425-6864 & ~ ,, ..••..""••••4yF•~`A7~ a_1 ~Yu ~'~ •'l Y`` w A. r:1 f..,1p ~ r V; Ei;EB7R Z 6-y15 P • _ ~ "{j 61~3YVOgTfi. Cpndi~~ona Y ~ ~sdU~`~ ~ ~ Ep ~~ .~...~•~~ p ~,0 ~ ~_ ~ _ o ~ ~, ~ ~ T pf COMMERCEND pEPARTM~A tY ND BUILDI S~ DNIS-pN DENCE JOB N0. 00 -Z95 SEE CORR~SP Mound System Management Plan Page Z of -] 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 rating condition of.the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. Th ou et filter shall be cleaned as necessary to ensure proper o eration. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may s oug o 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 filter 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. Pumo 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_System Mo 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 testis 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)j arid 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 far 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 faiiure 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. Continoencv 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 ff 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 about the operation or maintenance of this system should be directed to: The County Zoning Office at -11S-~86- ~f6$O ST-C.IZ.fJIK The system .installer st ~ -- 'The tank manufacturer at SOO- 3ZS- 8~SIo t^.ll~`3~12 The effluent filter manufacturer at 8~0-ZZi_S~4.2 ~-P~3~T"L , The pump manufacturer at -- ____ -_._(~30 _ g~__tl$~8___ ___ _GOUt_DS__ • PLOT PLAN /Scale 1 "_ ~~ p'~ Page 3 of ~ _ ~ SS -r~+-_~v~ . _ O - 6 lr~ ` To ~ Zz.o T~+ Sr. a 0 1 3 J Q pot_E t3~pG . 3 8~2''"i ~Owi E l0~ OF4`` pVC ~ ~ C O ~ TAO 1`1 oT CO-'11~ t'}-t.T o~ O ~ 9 Tv~Z~3 ~ ~. ' \ ~~ 2 ' s ' a; X01 - -----t, ri--~ j ~- M .~~_'_ ~ tp~ -~ -_ O ~O ! ~~ !a 2 ~Z'towt OF ~.(., fit, lp3-2S' J ~ oZ ,Y 8aZ ~~j ~- ~ 2 ~''? _ L'Z. IoO.O ~ ~ . g a l~'l Gt~l; ~/~''~1 h1- ~'~ t~ --w~ Lit'('}}- .-- .__ ._ _._-1 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 too boo gallon capacity manufactured by w! ~~ erz Co,v c.~~~ p ~DV STS kJ/zPn3 L~ ~ Lv~ r F1 ~1tsR 4 . $ench mark ~ ~. S ~~' ~+o V ~~ 5. Divert surface-water around system to prevent ponding at the uphill side. Page ~ Of -] Approved Synthetic Covering ASTi!i C33 ' Medium Sand istribution Pipe Topsoil __ `~ ---~~-~ F 3 u / ~~ „ b b. % Stope ~ -. Distribution Cell of ~ Force Main . ~ 2" to 22" Aggregate From Pump CROSS SECTION OF A MOUND SYSTEM Linear Loading Rate=~-o GPD/LN FT Design Loadinc Rate=p.3bGPD/SQ FT n ~ • L ~ ,t B a-~---------------------_- " A a-~----/bB--- --------- A °~ ~ Ft. B 50 Ft. I ~ b Ft. J S Ft. K 1 Z- Ft. L ~ ~ Ft. W 3~ Ft. -Observation Pipe w ~---~-- - ~ -- .------_ _ - --- . ~Oistribution ~ ~ ~ ~ ~~ ~ ~~ Cell of : to 2 = Ptpe aggregate ~ . I Observation Pipe U-achcr sec~relyl --~ PLAi1 DIEM OF A MOUND SYSTE:4 . G Elev. ~ D3 ~ 2S ' Plowed Layer D 1,`15 Ft E Z_Z~ Ft. F t~.8 Ft. G 0- S Ft. H l ~ y Ft . K ,Force Main sa~~ oP~uSt-1'C f=~D • Distribution Pipe Layout page S of Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the vse of long turn or 4~ ° fitting to a point within six -- inches of the final glade. Terminate the ends of the laterals with a valve;~threaded rap or threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug, -~;CC`SS BoX._ T`-tP-1 Ct~ L .. C.~S S.. s~'ri01v PVC FuC Lateral Manifold ~~ C Lateral x x x x xl2 x2 x x x x ' =Lateral Length - Lateral Length - p Oistnbution Line • ~ -~ ~ PrC~S SpjS o-- - ` - -o h~u~~~a S cs- _ _ ' - --o PVC ~=oSZC~ rl p~ I o-- ASR t1JTAKE -i .. ~ . _ 6"•~w . t;TL G3 3 t 1 F ~~ Ft. ~ ~ ~ •Ho1e Diameter !~~ Inch "~- S .3 Ft, - ~. Lateral ) ~ InchEes) . X Z3lnchps Manifold Z-- Inches : ~ ~ " ~ Force Main " ~ Indies ~ of holes/pipe t 3 - ~ ' Invert Elevation of.Laterals1D3~5Ft. ~3x•v.~lt- S-'~3x~_ 3t.9~jGP"'I • .- ~ _ - - Combination Sept,.~.c~•Tank grid ' • PLl•MP CHAMBER CROSS SECTION AIJD SPECIFICATIOtJS ` PAGE ,~ OF 7 ~ WEATHER PROOF • •VEiJT CAP JtlIJCT10N 90X . 'i C.I. VENT PIPC ~ APPROVED LOCKII.IG ~ lO' FROM DOOR. ~MAIJHOLE COVER rvl~lt ~-WOOW OR FRESH ~ wA(2tJItJG £-t+.6EC.. u~sp~QU P tPE • w /rYtczTl s tl~ Gt'P ' Fl IU ls~ ~ -~c© E 18'KII~I. .. IA1LE T s Approved joint w/ . PVC pipe _o .. Lam..--L+ L;"1:S - ~.-_ _ ~ . cor.~tw1T i~ I ~ i .~ ~__ - - ~q Y' Mlu. ~. 19• /yllp. yr ~~ ---------- • \1~~ +•~ •PROVIDE I •• ~^~ AIRTIGHT SEAL I I I I ~~ Ft~~ ". a I I I I III I I I ALARM 6 -, .I II I I f oN c •~ I LLCM. l.7 S F~ ~ I PUJ"lP1 __J ` OFF D COAICRETE ~" ~_ OCR BLOCK S' - Approved joint w/ PVC pipe RISER EXIT PERMITtED OIJLy IF TAUK MAUUFACTURCR HAS SUCH APPROVAL 3"AFPQotitD ~~DO t av4 ScPrtc F ~ ~ SPECIFICATIOt`1S DOSE . TA-JK MA~IUFACTURCR: ~ 1 ~~~ ~-UIIJ C~sTE IJUMBER OF DOSES: • ~ TA1JK SIZC : ~ ~ y U / b0u GALLOAIS PER DAB DOSE VOLUME r - ' ALARM MAIJUFACTUR[R; S•S. ~~.~ 5~3~~"? j IAICWOIAJG 6AtKFiOW: ~ 1 «• 3 GALLOhI,S P10DEL IJClM8ER: IO ~ hIW CAPACITIES: Ac 1 ~ 30 1. 7 IAlCHCS OR GALLOJJS SWITCH TAPE; ~~ZCI,ltZ~'( g . Z IUCFlES'OR -33• S G~.LLO-1S PUMP MAIJUFACTURCR: GOU L-1~S C: ~ WC1iE5 OR ~ ~~' 3WlLL0U5 MODEL IJUMHER: 3`3`~S- w>;os ~-~ ' Q - 0 = I IASCHES OR 1 5 V' ~GA SWITCH TYPE: -_ ~L~~2-~ LLOUS IJOTE: PUMP AUD ALARM RE TO dE3.3 MIUIMUM DISCKAR~E •RATE 3t-98 GpM INSTALLED bAl SEPARATC CIRCUITS VERTIC/~L DIFFEREIJCE DETWCEU PUMP OFF AIJD..DISTRIBUTIp-J PIPE.. Z~'UOFEE7 t KtIJIMUM NETWORK SUPPLY PRESSURE . • . ~ , ~.5p'FLET (S-Oxl_3' ~- ~~~ FEET OF FORCE MA-tJ X 2' [9 F~crr,FRICTIOU FA[rOR.. 3' d7 FEET T07AL Oy1JAMIG HEAP ~ ~- S ~ •FEET • As per rtanufacturer ! G. -1 ~ gal/in. Liquid depth 3 (,•`' .. -. SPECIFICATIONS .~; l~t~o1=~ uuulu„ S~bme~~bl~ ~~~~~~n~ P~~~ ~~ 3885 Pump~~`~~~ ~~`~`~~ . • Solids handling capabilities: 3/<° maximum. f::f • bischarge size: 2" NPT: • Capacities: up to 128 GPM. ,• .Total heads: up to 123 feet • Mechanical seal:-silicon carbiderotary~ eat/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 i:omponents. APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals ~ ,~~ . ~ ~~ • Iritlustry _ ,- • Effluent systems - L ~~ • Overload protection must smooth operation. Silicon - can be operated continuously be provided in starter unit. bronze impeller available as without damage.: • Shaft: threaded, 400 series an option. ^ Bearings: Upper and : ` stainless steel ^ Casing:.Cast iron volute lower heavy duty ball bearing • Bearings: ball bearings type for maximum efficiency. construction. upper and lower. • Power cord: 20 foot 2" NPT discharge adaptable ^ power Cable: Severe duty standard length (optional for slide rail systems. rated, oil and water resistant. lengths available) ^ Mechanical Seal SILICON Epoxy seal on motor end - , Single~phase ~' ~~ ~ ~~ . CARBIDE VS: SILICON provides. secondary moisture _. •'/a and'%z HP 16/3 SJT0 CARBIDE sealing faces. ' barrier in case of outer jacket , . , with 115 V or 230 V three steel.metal :parts, ~ . ~ Stainless :: damage and to prevedt oil,' prong plug. . BUNA N elastomers: wicking. . , • 3/-1'/z HP -- ;14/3 ST0 with -: ,.,~ Shaft„Co,~rroslonresistant _ ^ 0-ring: Assures pos~tlve~~~~ , . x bare leads -`; ~~:~~ : stainless s~eeL Threaded ~ sealing against contamlriants , , . _ : _ _ Three phase: ~ ` ` , design. Locknut on three ,;~.. . and oil leakage.' •'/z-1'/z HP -14/4 STO phase models to guard with bareleads.On,CSA against component damage AGENCY LISTINGS :'.Y~.'` listed models - 20 foot d on accidental reverse rotation. SP Canadian Standanis Association length SJTW an STW ^ Motor Fully submerged in r. ,.q. ; ~ are standard high=gradefurbine oil for `~ `~ ~'~~' lubrication and efficient heat UL Underwriters Laboratories , ` ~ ~ FEATURES transfer ` ~~ ~' ^ impeller: Cast iron , semi- ^'Designed for Cantinuaus - _ open; non-clog with pump- Pump ratings are Operation: ' , out vanes for mechanical seal within the motor manufacturer s protection. Balanced for ~ recommeridetl working limits, METERS FEET - . r so ; i i ! 2s Motor Single phase: "`.: • h HP,115 V, 200 V, 230 V, 60 Hz, -1750 RPM; % HP, 115 V, 60 Hz, 3500 RPM; %z HP -1'r~ HP, 230 V, 60 Hz, 3500 RPM. • Buift=in overload with '>~~ automatic reset: '` • Class B insulation. Three'phase ° ~~ ~= ~m,~ , "~'/z~iP.1'~ P~.2.00/230% -` .460 V, 60 Hz, 3500 RPM. Class B insulation. ®1995 Goulds Pumps, Inc. 20 0 a W S U a 15 Z 0 J a p 10 r 51 of ~Py'N1P P~~z-~02~'P~YyCE Cu~UC _' ~_._I -:.._ - '_ --------- ---,_--- lSERIES:3885 i SIZE '/. SOLIDS 80 E1 i , t. , + RPM VARIOUS ,~ ,~, '! - ~~sGPM' 70 vuc, ~ ! 1 5 Fr F 50 iE0 i *-~ ' ( i ,, 30 I ~ ~ ~ ~ ~ 1`~ I ~ _ __..__ ,; ...._ _ ... 20 I ~~: I 10 nk 31 'g , ;,; I t, x 0 ~" - _- 0 10 20 30 40 50 60 70 80 90 100 110 120 130GPM ~ ~ ,, CAPACITY Effective May, 1995 _ .. ~sconsin Department of Commerce • Divisiori of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85. Wis. Adm. Code Page ~ of 3 Attach complete site plan on paper nct less than 8 1/2 x 11 inches in size. Plan must County ~~, C~ inGude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I O percent slope, scale or dimensions, north arrow, and location and distance to nearest road. . . 0 0 8 - 1 d L$ - 3p - I 0 d Please print all information. R viewed by Date Personal information you provide may be used for.secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~ Z3 Property Owner Property Location ~ ~~ ~)ll~~ ~1'C~ L° ~ t"~~~ ~Gevt-Lbt N1~ 1/4 S~ 1/4 S S T Z~ N R 1 b E (or W~ Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1 b Q 9 E1rvGL.LS N- SZ' . - Z - cSr~ V ot_ 13 ~~ 3~ ~q City State Zip Code Phone Number ^ City _ ^ Village ®Town Nearest Road r't'P~pL~ .,ooh -~I.rv ss X09 (bl2) 61`~ - I ~ 67 E~ G+°c~-L~ S S `f~F Av ~ - New Construction Use: ®. Residential / Number of bedrooms 3 Code derived design flow rate U. S O GPD ^ Replacement ^ Public or commercial -Describe: i . Parent Material LO X59 oU ~ Gtr-I:f1 L ~ t. L Flood Plain elevation if applicable 1V ~"" ~ ' `• ~ ~` ft. General comments r r. and recommendations: i" 1 OU WO W Ct'~4 ~ X S O'~.. ~`~~('~R.LQuI'!. U ~ Ci:'LL . .~, ~; ~ . ~ ~ ~wfuf~ zl k or=~ sPrnr, Ft ~~, ---~.~ , _.. _ w : ~- Boring #. ^ Boring _ .. . _. 100 ~ _. _ . _ - , , F~ 1 .. _. , .. s ® Pif -Ground surface elev. ~ ft. Depth to limiting factor 8 in. - .. _ _._ . _. __ __..., . Horizon Depth Dominant Color Redox Description Texture ~ Structure Consistence Boundary Roots SoihApplication Rate GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 __.t. o_b.. t>j~iiz:.?1Z - . _ _ si l ~:~Psb12 wz`~... a.S . .-1~ S._ ~~.._. Z 6-~ E~ 10 `-[ R 3l 6 - .s i ~ Z Sb1z w~'FI- ~~ 1 v ~ • 5 .3 ,3 ig_~l2 1.S`11Z~6 `Fib' ~~S`-I2 5!8 st:cJ Z~bk ~`~ "' ~ . ~ ~ . ~~ Boring # ^ Boring Z t U ~ 1 -•.' ® Pit ~ Ground surface elev. - ft Depth to limiting factor_ in. T _ Soli Appliption 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 o-- ~ l0`1 rz 2..CZ . _ - s i 1 Z~sb t~ m-Fi- a, s 1. ~ . S.. g.:...; 6- t-7 7 .SYR Y~6 - st'~ I ~.~~~k. ,r--ter-.. eS ~v _, ~` 3 1~ ~L2 Z•SY~ y/ ~!•F ~-~'? R:. slg c l lesbk ~,~ ~~ _ ~ Z , 3 ~u~uau- rr i - ovus ~ ~u < tcv mgrs ana r as Hsu _~ i au mg/~ - trnuent iF1 = Bobs < 30 mg/L and TSS < 30 mg/L . ~• - CST Name (Please Print) _ Sign re CST Number Arthur L' Wegerer ~ ~~- 00=`zalS " 220254 Address 4d e g e r e r S o i l Testing & Design S e r v i c e Date Evaluation Conducted Telephone Number 421 i1. I~iain St. River Falls, t~7I 54022 1- Iq= 0 1 715-425-0165 S Property Owner C `-~ ~''h1T S Parcel ID # a0 8 - ~U ~" 3 O - l U O page Z of 3 Boring # IT^~ Boring Idl Pit Ground surface elev. ~ u Z - ~ ft. Depth to limiting factor ~ ~ ,- in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 o ~~ toti 2 zL L - St I z~'s bk m'F1r ~,S 1`~' a s . . ~ Z ~ -l6 ~.s Y RYl6 - sic 1 2`F'Sbk ri,~Fi- CS 1 V`F • y • ~, 3 l~-mob ~-sYR y16 ~~-~ ~.s ~ i2 sly s L ~ ( l ~stik ~~h _ , Z 3 ©Boring # ^ Boring / ® Pit Ground surface elev. ~ 4. 6 ft. Depth to limiting factor ~. S in. • ~- Soil Applicatlon 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 o- b - •o~ tz z f _ .. s i t sb4c v+rifl~ ~, s 1~ . s . g Z d_~S ~-sy2 yl6 - sic.J ZMsbt~ wt`Fh eS lv~ ,y .~ 3 ~S 31~ ~ •S~R yl6 'Fl`y ~.S `t Q 5l8 e..- 1 e sbk Y>7'fl, - - Z • 3 ^ 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/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Effluent #i. = BODa > 30 < 220 mg/L and TSS >30 < 150 mg/L • EfFluent #2 =BODE < 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.6/00) 1 PLOT PLAPd kale 1' = yp' Page 3 of 3 - - ____~ SS TH-!~V~ O-6 h~i 7a ~ _ +~ a 1~ J Q l3L.DG . Two tv or eo-~ U -'~T ~bn t3• cQ„ O~9'>Z,tiZ~3 gw, x--z. - - - - ~~s~ ~\ ~, 11_ ~ ~~.~,- M `.~~'' ~ _~~ ~' ~^ -~ ~ uZ- $~z ~~J 3 8~2-~ ~ow-E X01 ~' L`owrt~v{~ ~z, lOt_S ' !Q 2 ~o`T'rpwt OK fit.(.. fit, /03.25' 3wJ rE: =:_LSL; too:p, ~ ~ N~;lG1.~; 3/$'R~1-~-~ R~~~.-_ ~:11~.L~'kk-=-_- •_ c:_--?0 8~ _ I~-Y' L~`{~3 r S ~ ' ~zUM _. ~UIJ]L~L7--_ _ 1-1q-01 715-425-0165 220254 00-Zq S CST Signature Date Telephone Ito. CST T~1o. Job PTO. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP' CERTIFICATION FORM Mailing Address _ /~ ~ 5% .~xlL~L iST" ~ T2~„~ ~~''~ G Property Address ~ ~ ~- .~ 4 ~~~ ~ 5 ..'`7 S (Verification required from Planning Department for new City/State ~ ,~r~1~) t Parcel Identification Number , !1E~i~° /[7~~ _~c~--y.~a EGAL DESCRIPTION property Location ~ '/<; St- '/., Sec. S~' •• 'f~`~S N-R~W, Towa of ~r~u ~~~} L./-C Subdivision .Lot # ~ Certified Survey Map # ~~~ - .Volume ~ Page # ~/~ Warranty Deed # ~ ~`~J' ~~ _. Volume Page # Spec house ^ yes ~ no Lot lines identifiable ~l yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system, p~m, gas ent a certification form, signed by the owner and by a The owner a to submit to St. Croix Zoning Departm mast~rplumber, journeymaaplumber, restrictedplumbcr or a licensedpumper verifying that (1) the on site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is loss 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, heroin, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must Jcompleted and returned to the St. Croix County Zoning Office wrthm 30 days of the three year expiration date. ~ ~~ ~l~L-~•t. ~/1.rS/'r'~ ~c'v c~~; i /~/~' ~'~~ eL'~'~'~cD ~ /~ .~r~5' U~c.ic~.~ ~v~~~ 3 ~/~R~2 S .Z lZ/ldl Dil SI ATURE F APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property descn'bed above, by virtue of a warranty deed recorded in Register of Deeds Office. SI APPLICANT DATE revokedb the Zo ' De artment. ****** ****** Any information that is mis-ropresontod may result in the sanitary permit being y n~ng p ** Include with this application: a stamped warranty decd from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty decd /~ • ' ~~1.1490FAfE 319 61 S38Es STATE BAR OF WISCONSIN FORM 2 • 1999 Y,RTHLEEN H. WALSH WARRANTY DEED fiEGI5TEk OF DEEDS Documem Number This Deed, made between Debbie L. Hintz-Knopf, a/Wa Debbie _ kECEIUED FOR RECOk- L. Knopf, f/Wa Debbie L. Hintz, t/Wa Deborah L. Hintz, and 02-16-2000 11:00 AM W. Todd Knopf, wife and husband ,_`__ -- WARkAHTY DEED EJ(EMRT ll ---- Grantor, and Matthew J. Clemens ~,_ CERT COPY FEE: -- ~- - COPY FEE: OC 13B FER FEE -- -~---- . : TkAHS kECOk-ING FEE: 10.00 PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of W isconsin (if more space is needed, please attach addendum): Lot 2 f Certified Survey Map filed March 24, 1999, in Vol. 1~3 of Certified urvey Maps, aP ge~3619~. as DocumettZNn..~00041, located in the NW 1/4 of the SE 114 of Section 5, Township 28 North, Range 16 West, Town of Eau Galle, St. Croix County, Wisconsin. Recording Area Name and Return Address Fa.no.. A.a.at•~'-C•~11t.~ H Op 3: 2 n ~ `-~T~-~' Hudson , wz. sH o tl.p ~~ a$~lloo 008-1015-30-000 __ Parcel Identification Number (PIN) This is not _ homestead property. pf) (is not) Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ day of Februa 2000 _-_ AUTHENTICAT{ON Signature(s) - authenticated this _day of ' ---- T1TLE: MEMBER STATE BAR OF WISCONSIN (If not, - authorized by $ 706.06, Wis. StatsJ THIS INSTRUMENT WAS DRAFTED BY __ KRJSTINA ~~~------ (Signatures may be authenticated or acknowledged. Bo[h arc not necessary.) • Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 - 1999 ~g~ZC C7t - ~ Debbi Hint -Knopf, a/k!a 'e . Knopf, f/Wa a bie L. .W. Todd Knopf -_ ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ---- -~- v ~ P County ) Personally carne before me this ~~ day of February _ 2000 the above named Debbie L. Hintz-Knopf, a/k/a Debbie L. Knopf, t/k!a Debbie L. t{intz, f/Wa Deborah L. Hintz .-. to me known ro he the person(s) who executed the foregoing inst~ynent and acknowledged th~same. ~ ~~, s- ~ ~\ Yl Ivy Notary~ub o, State of Wisc sin ( ~'~ ` My Commissiqq~~t is permanent. (If not, state x~traeion~date: IMOrmallon ProlesSioneenY. Food OV t./K. ~ . eaobss-zoz~ e, •'•...... ._Q~~+STf. !.` . . ~- ° y ~~ 1'~~ [~~ ~ FILED 1 ~11R 2 4 1999 - `'j LATHLEEI{H 17ALSy °~~f°~ ~1 ~ ~."' i coo04~ CERTIFIED SURVEY MAP LOCATED IN THE NW I/4 OF THE SE I/4 OF SECTION 5, T28N, RI6W, TOWN OF EAU GALLE, ST.CROIX COUNTY, WISCONSIN. PREPARED FOR: TODD KNOPF ANO DEBBIE N1NTZ KNOPF ~ ///ppp../~~~ N I/4 CORNER SECTION 5. (SET o `~ `T I' X 24' IRON PIPE). NO7E: BEARfNGS ARE I REFERENCED TO THE ~ y~, i ~ NORTH-SOUTH QUARTER ~ L 1 NE. ! ST. CR01 X COUNTY n ~ _° COORDINATE SYSTEM). `- ~ I m D.O. T. APPROVAL 1153-194-P860-1999 ~ w ~ourm • ~cma m ~ n;~ ro .~NPLgTT.>rR..l,AN4.S.. ~_~~ ~~ A ~ I tp i ...Nn ~~ ~! 5833.04~O.f NORTH l INf OF THE NW-SE I o~ _ 55th , q Y.~KU~ 2624. 06' '- - - -.- ,_ _ , ~ i 586°47' 10"E a ° ^' -w- ro 336.38' ~ ''^' ~ w NB6_°4~~ i m 81 !. 80' '_ ',1'13' ~ w - 1314. 3T ~ DR r VEi ~ s86 ° 4T 25' E 1281. 34' pp_ 313. 16' ..Q ..................... q .. W R ary° .............. ................... N p ~ SETBACK LINF O' '•••"""""'••••• ~ ip •r ~. . ~ ~ HOUSE I Q Z ~ y c i'. ~~ 0 SHED g a cy 'w ~c ;n ~m w GARAGf~ A ~ b ~ y :~ :-' I vfN w !, OT 2 m LOT 3 ~ ~ :n '~^ ' o SHEDS a ' ~ m 11.9O'ACRES G ~ ~ ? i~ ;p ~ q 7.05 ACRES ~ a ~ 518, 533 S0. FT. `~ 307, !9B S0. FT. ;~ ~r' w 11.51 ACRES EXC. R/W B. B5 ACRES LOT ~ ~ ~' 301, 395 S0. FT. ~ EXC. R/W ~ ~ ~r :v 2 ~0 6.61 ACRES m 298, 436 S0. FT. a ~ :z :N 288, 008 S0. FT. 'c 6. 38 ACRES EXC. R/11' T1 IAI ~ y lEf~CK ~ ~ = cai 278, 013 S0. FT. +~ g .......... Bo. oo, ~ m 2 ' B3,..~,,.••• ..r H/o~ySf~ACkL/NE N~816/4~"E g Z • • .....• •• • rn o I ~ N~~rC ~°~ ~ ...... ~............. b m~ ~ NO gC`CfSS3Ut.3® -•.•389.29; ..• r 'z 4; I ~ mi ~ ~ INT RST ~ ~ '__--1_~~--~_.;1~ VAR/ES) ~„=r+roi:~E• __ ____ ~ EAST , ~_~. _ ._,_..._._ BDUND LANE ~ r ~.- S I /4 CORNER OF SECTION 5. ; y lSET !' X 24' fRON PIPE). k:'' K,• LEGEND ~. ~ Vt O • SET !' X 24' IRON PIPE WE1GHlNG , c `'n 1. lSLBS PER L INfAR F00T. ~ 'r ~, -y S ° ~~~~ • 1' •250' n ,i~ C • . ,._ A,,,, "-~i7aa'r`a~"` sir' .~--.- •JAAES M. 11f+Bdl~`~-1804 ,,. ..:. ~•• NELSEN-WEBER_LANQ._SURVEYING 0 50 250 S00 `~" 99014 THIS 1 NSTRUMEN7 DRAFTED BY J 1 M WEBER "" `' "~' SHEET I OF , Vol . i 3 Page 3619 as - ' DESCRIPTION A parcel of land located in the Northwest'/. of the Southeast'/a of Section 5, Township 28 North, Range 16 West, Town of Eau Gape, St. Croix County, Wisconsin, more fully described as follows: Commencing at the North Quarter Corner of said Section 5; thence, South 00°18' 13" West, along the north-south quarter section line, 2619.27 feet to the northwest comer of said Northwest'/. of the Southeast'/.; thence, South 86°47' 10" East, along the north line of said Northwest'/i of the Southeast'/., 33.04 feet to the POINT OF BEGINNING; thence, continuing South 86°47' 10" East> along said north line, 1281.33 feet to the northeast corner of said Northwest'/. of the Southeast'/4; thence, South 00°16'29" West, along the east line of said Northwest'/. of the Southeast'/., 954.69 feet to the northerly right of way line of Interstate-94; thence, North 79°20'09" West, along said northerly right of way line, 1301.38 feet; thence, North 00°18' 13" East, 785.70 feet to the point of beginning. Contains 25.57 acres or 1,113,734 square feet. Subject to right of way for 55`" Avenue as shown. Also subject to any and all additional easements right of ways or conveyances of record. SURVEYOR'S CERTIFICATE I, James M. Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 ofthe Wisconsin Statutes and the provisions of the St. Croix County Subdivision Ordinance and under the direction of Todd Knopf and Debbie Hintz Knopf, I have surveyed, divided and mapped the above described parcel of.land and w f `. that this map is a correct representation thereof. ~1se"~":.~ ' Dated this 2-Z-`-d day of ~~~ `~ _, 1999. ~ w ~ ~ •. _ . ~ ~ ~.: ~ ~ .Cad ri:~.:',: '..:.'... James M. Weber, S-1804 ~, ~~~'~ NELSEN-WEBER LAND SURVEYING, INC. l ~„rq _ ACCESS RESTRICTION CLAUSE ~"~• •~+aa;:.~:::~.~- ' As owner I hereby restrict all lots and blocks, in that no owner, possessor, user, nor licensee, nor other person shall have any right of direct vehicular ingress or egress with Interstate-94, as shown on the map; it being expressly intended that this restriction shall constitute a restriction for the benefit of the public according to Section 236.293, Wisconsin Statutes, and shall be enforceable by the Department of Transportation. ~~"~~~' ®evts or structures ar~'allowed between the highway right of way line and the highway setback line. i~ltado but ate not kmited to ~~s> P~'~ng lots, parallel driveways, wegs,'e ~ drainage facilities, ee~,~t being expressly intended that this restriction shall cn Statutes and shall beeenforceabletby t e lic according to Section 236.293, Wiscons Wisconsin Department of Transportation or its assigns. Contact the Wisconsin 4v Department of Transportation for more information. SH,E13T 2 UF. ~ h Vo1.13 Page 3619 ` ~ . ~"`~ R~