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008-1046-20-050
I I I I I I ~~ v o y b ~ ~ i ~ ~ ~ ~ O c m ~ N N ~ f7 = ]' (D I o c°n ~ r, ~ n I ~ a o m un v T, I ~ m cci ~ m I ~ ~ ~ o W o - I o ~ C;~ O ~- ~-, O v ~ ... N fD C I a c I ~ ~ c ~ ~ CAD N I ~; I O z 3 ~ o ° I N ~ (7 f1 I N v ~ ~ I ~ _ ~• m ~ ~ C m I ~ m I N I I I I I ~ Q ~ a I I ~ ~_ G1 I ~°- z m a I a m I N I °o A I I I I I I o I o ~ °o ~ 0 c ~ ~ > > ~ 3 ~2 ~ ~ ~ ~ c ~ ~ d ~ A m 3 - 3 st .. '•~ ~ ° A ~ i m ' rn ° n i , o CD pp m A m 3 ~ ~ N ~ ~ ~ O N ~ W O N I O O ~ C _ N N a a ~ ', ' ~ ! o o .~ ' ~ a , N O ' N , ',i N N ~. ''~ Z ~. ~~ y O C N N ~ ' C < ', +y .. Q O .. I ~ 'fl 'D ~ d O1 O O O ~• ' .. ~ O ' Z U! N Ul ~ ,i D ~ v o A ~ N ~ ' ~ ~~ ~ ~ f D ~ ~ N ', O .~i N ~ , ? d ~ O 3 D D D (Q d a fD ~ N A Z K J `A Z O •• ~ 7 W ~ ~ ~ ~ p, ~ Z c 3 ~ ~ O 3 " z m rn ~ y ~ F ' A A T C 3 a d A:. ~. .c 47 O ^S O :y 0 ~y~ • v ~' O • 4 A a a ti ti 0 0 00 a ... :o R 'A hp ;? f0 W +~ N a ~ ~ ~ ~, {{{ € APR I ~ ~Q~S ' '~ ~~ ~ ~ r::,s,-f -~ "yam=~ ~ ~C~Q CERTIFIED SURVEY MAP C. and C. Serier Family Trust Located in part of the Northwest %. of the Northeast '/. and in part of the Southwest '/. of the Northeast '/. of Section 1 b, Township 28 North, Range 1 b West, Town of Eau Galle, St. Croix County, Wisconsin. NORTH t/~ CORNER SECTION 18, T 28 N, R 78 W ALUM~NUM MONUMEN ~' ~% ~~ 2 0 s~ .~; ~ a b N g W v ~ ' r a n ~g ~ 1 I 2't--) ~~ x 3` ~ W cQi O ~ g ~ lQ h$ W~ n y c~ 'v 1 v r R~ ~ a =- N BEARINGS ARE REFERENCED t0 THE NORTNSOUTN 1/4 SECTION UNE OF SECTION 18, T 28 N, R 16 W, ASSUMED AS S 00•fI X01 " E. SCALE 1N FEET 1 ` = 150' 50 0 50 100 150 ~ zQ \ ~~ ~_ ~ g ~ Z ~~ ~ ' ~fo \ \ \ `o' \ ~ X LANDS - ~~~" AO4 .; ~~~~~g VOL 18 PAGE 4820 KA1'RLtEN H. REGISTER Of DEEDS ST. CROIK CO. , MI REGEIVED fOR RECORD 08/26/2004 03:30PM r-ttr s 2 LEGEND ~ INDICATES 1' O.D- x 18"IRON PIPE SET (MIN. WT. - 1. f3 LBJC.F--) (R) RECORDED AS 0 SECTION CORNER MONUMENT {AS NOTED) -"- INDICATES FENCEUNE OWNERS ADDRESS 2352 COUNTY TRUNK HIGHWAY 'IV" WOODVILLE, W/ 54028 TH1S PARCEL IS BE1NG CREATED FOR THE PURPOSE OF FARMLAND CONSOLIDATION. '~t!!.o~ Ss9• ~~A '2'32, °~'~cS' LOT 1 ~ ~ig)2, CONTAINS 217,800 SO. FT. OR 5-000 AC. ((196,579 SQ. FT. OR 4.513 AC. ~; bCCLUDING R1GHT OP WAIF ~; \ _--_ s; ` DOSTING SEPTIC AREA• ~ ~~ - _ SOUTN(_(!~-EN~y/,q~yE1/4 ~i ~; Z \_` ~- ~. ~1 ~~~~ _ N SOUTH 1/4 CORNER SECTION 78, T 28 N, R 18 W ALUMNJNIMI~ ENTJ THIS INSTRUMENT DRAFTED BY JERALD L. l.II730N ~ ~ `LAO U NCE "~ W- RPHY 8 1713 ~ ~ ~BELOENVILLE, • ~ WI. ~ AO r~ ••• ••...••••J~J~ ~~ Lgr~o $ Vol 18 Page 4820 _ NOR7HUNESWfl4-NE1f4 .d~ ~J ex WEIL 1 \ ~. ~~ DATED: JUNE 25, 2004 ~. V$ S ~ ~; a ~ J '_ ~ ~ `~ `•\ \` ~\ 'ro N SHEET 7 OF 2 Parcel #: 008-1046-20-050 04/25/2008 09:48 AM PAGE10F1 Alt. Parcel #: 16.28.16.2346 008 -TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 08(26/2004 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -SERIER, C&C FAM TRUST %BARRY C&C FAM TRUST %BARRY SERIER 2352 CTY RD N WOODVILLE WI 54028 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ' 2150 33RD AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 5.000 Plat: 4820-CSM 18-4820 008-04 SEC 16 T28N R16W PT NW NE & PT SW NE CSM Block/Condo Bldg: LOT 01 18-4820 LOT 1 (5 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-28N-16W Notes: Parcel History: Date Doc # VoUPage Type 12/07/2006 840184 JUD 08/26/2004 772738 18/4820 CSM 01 /06/2003 704612 2100/500 EZ-U 03/01/1991 466865 894/209 QC more... 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/01/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 22,500 217,500 240,000 NO AGRICULTURAL G4 3.000 300 0 300 NO Totals for 2008: General Property 5.000 22,800 217,500 240,300 Woodland 0.000 0 0 Totals for 2007: General Property 5.000 22,800 217,500 240,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 008-1054-70-000 04/25/2008 09:51 AM PAGE10F1 Alt. Parcel #: 18.28.16.274 008 -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 -SERIER, BARRY C & HEATHER BARRY C & HEATHER SERIER 2150 33RD AVE BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description ' 2150 33RD AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 18 T28N R16W 40A NW SE Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 18-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 02/17/1999 597912 1404/121 QC 02/17/1999 597911 1404/120 WD 07/23/1997 1057/428 07/23/1997 901 /284 more... ~nnQ cl IMMea?v Bill #: Fair Market Value: Assessed with: Valuations: Description Class RESIDENTIAL G1 AGRICULTURAL G4 UNDEVELOPED G5 AGRICULTURAL FOREST G5M Totals for 2008: General Property Woodland Totals for 2007: General Property Woodland Use Value Assessment Last Changed: 07/06/2006 Acres Land Improve Total State Reason 2.000 24,000 116,900 140,900 NO 36.000 4,000 0 4,000 NO 1.000 1,000 0 1,000 NO 1.000 800 0 800 NO 40.000 29,800 116,900 146,700 0.000 0 0 40.000 29,800 116,900 146,700 0.000 0 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 Wisconsin Dejartment of Commerce PRIVATE SEWAGE SYSTEM Safety and Building 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 X Township Serier, Charles Eau Galle Townshi CST BPA Elev: Insp. BM Elev: BM Description: '~r i t~v. a c~ . o S-~.~~.e. ~- -~ - ~3 r~ TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic l Dosing // ~ ~ ~ ~ (~,~ ~~ D Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL T BLDG. Vent to Air Intake ROAD Septic / i n~ f ~ / l r` r j J ~ S Dosing , oZ- -7 ~,. Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ _ Demand GPM Model Number / ~~ ~ ~ ,~ TDH Lift Friction Los System H 3 2J TDH Ft Forcemain Len~ttL- t Dia. ~ r r Dist. ty Wb I~ ,~ ~~ cnu AoQnor~Tll~Jln~l CVCTCSI Jv County: St. CrOiX Sanitary Permit No: 420346 0 State Plan ID No: Parcel Tax No: 008-1046-20-000 STATION BS HI FS ELEV. Benchmarly~m ~) ~^ ~ ~il ~®~ ~ O AItAIt. BM ~ ~o~rc. . ~ ~~ 3• SI /03.t Bldg. Sewer SUHt Inlet ,~2 G.~~ SUHt Outlet / ~^ Dt Inlet ,~ Dt Boftorlyf, P j"~f~h u.,~ ,,. r% o o ~ Head Man. Na ~ Dist. Pipe ~ ~ j 3ih ~ ~rh~ .~ /OU.'7/ Bot. Syst ~k ~ L • .v ~,. /aG . S Final Grade S'~" !~/. St Cover -~ 1~~~~ ~ ~~ 3 Boa. ~-~. ~. r /~O~ ~ ~~~ BED/TRENCH DIMENSIONS Width ~' S r Length / _ D / lv No. Of Trenches ` ~~ PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L ~ BLDG WELL LAKE/STREAM EACHING C B R Manufacturer: Tye Of System: /'(1~[~_ _ ~ ~ ~ I ~ r ~ U~~ y r..1 -~ Model Number. DISTRIBUTION SYSTtEM ~fo /k.rt~ ' Headed°Id ,, } / N ~ Length D' Distribution r Pipe(s) /~p ~ f~ ~ ~ Length a Dia ~ Spacing x Hole Size 3 f "1(~ x Hole Spacing 2 ~ Vent to Air Intake ~ SOIL COVER x Pressure Systems Only xz Mound Or At-Grade Systems Only Depth Over ~. Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center ' d7)' - ~~1 Bed/Trench Edges Topsoil ~~ Yes ~ No ~~ Yes ~I No v COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ ~ /~/_~Z Inspection #2:_~ /~/~Z Locatio~ 2368 ounty Road N Woodville, WI 5402$ (NW 1/4 NE 1/4 16 T28N R16W) NA Lot ~Q D~j~, Parcel No: 16.28.16.234~~ 1.) Alt BM Description = ~b~°`~~'' ~~6`r' J~""i"J ^p 2.) Bldg sewer length = ~~'/ ~S~~ d ~~/~~ V?~+.-~ - amount of cover = ~ S ~ -~-- --... - ------- _ - - - I-- _ __.. - - -- ___ Plan revision Required? Yes ', o ~i ~ ~ , ~ L - ; ~ ~ n D_ ~ i ~j Use other side for additional information. ~ O D ~I ~`: ~ _ ~~~YtiW~-~ ~__'_~_ ___ " _ ~ L~ ... _"_~~- --- ; SBD-6710 (R.3/97) Insepctor's Sign ure Cert. No. ~~~~1 C ~" croatplete (ta the County Daly) !or true system oq not lefs slum 8112 x lathes io. doe `~ c( SAD 8 (R. (}Sf 3 /Lla,~.,:~.az-~~~~.1/ , ~3. _ - ~ze_ ~~~- -~'`L• ~ 3/ i ~ ~ ~~~ ~~ Safety and- Buildings Division " Counh• ~ ~~ . 241 W. 4~lashington Ave., P.O. Sox 715s Y~ : k ~~Ci~~~~~ Madison, Vr'I J3707 - 71G2 Siee Address De artm®nt of Commerce Z 2 • ~~ s~ ~ ~ Sanitary Permit Application Satdtary Permit N r ~ !~a o 3 / ~ la accord witl~ Comm 83.4,. Wis. Aden Code, perso ^ Check if Revision / v na be used for second Privtc w s I. AppSeatios Iatarenatio>a - Please Print AH Intotmatlo State I.D Number 7~~ f Tbs. rty Owner's Nataa Q~f ltrcal Nuenber 2 ' 20-- Cab 4Gd'- /b `flo - ~ ~ ti ~,.. 0 Property Cwner'a Mailutg Address ZONING OFFICE ~Pe~ ~d0n ,3 .~ a3l£f ~ ~~ ~ ~ ~ ~ ~•s ~c Tai N ~i~ . City, Stem Zip Code Phone Numbet Lot r 131ock Number ' Subdivision Name CSM Number II. Type of Bulldlag (check all that apply) ,/ -~i~ OCity ^ 1 or 2 Fetnily Dwelling - Number of 13edroort>! [IVinage ^ Public/Commarcial -Describe Use ~ o ~ ~z ~ ~f ~ ^ 3tsto OwPed ~/ ~~ ~,e~ ~ A'earesc Road /~- ~ - X //o f} 2 ~~-, ~1J~ GL~IS~ ~~ L' II3. Type of Peranit: (Check only oxe+ box on Wee A (atambering scheme far internal use). Complete line B it applicable) ~.- A' 1 Now 2 ^ ReQlacement System 3 ^ For Courser wee Replacettunt of b Q Addition W S stem lieilt E ' S steal B. if Sarritary Permit Previously ]sued Permit Number Date Issued IV. Type of Permit: (Check all that apP1Y)(numbet'iu~ scheme is for internal use} as ^ Noc -Pretsuriud Ia-Ground 21a Mound 4? ©Sand Four 54 o Comttucted ~Tedand In~Gmund 41 ^ Holding Tank 48 ^ Sitsgle Pass Sl ^ Drip Lille 4S Atdirade 46 ^ Aerobic Treatment Uait 49 ^ Reci>'culatin 30 i7 Other Informatiots• Desipt Plow (gpd) Dispersal Area Dispersal Area Soil Appllcatioa Percolsdon Rate System Elevation Piasl Grade Requtnd Pt+~ased Raee(Gsis.lDays/Sq.Pt.) {Mia.~lncb) ~- f~v in,rer-~ Elevation /~~• ~C~d ~a ~tJ /2r/t~ ~ S .~ ~~ l©c~ ~ '~ ~lI ~ 7 VY. Tack Tnfo Gpacity la .Total Number Manufacturer Pnfsb Site Steal fii r Plastic tialloss t3alloas of Taaka ' A _ /~ , / _ Coacreta Conaancted Glass New W/ UV ~ H l 6tJ T T Sapdc or Iloldis>s Teak Jtv~ ~ ~ ~ ' L 1)osioj cbaraber 1 ,. VII, osulbilt 5tateaeeat- I, the untkrsi~eed, assume res bility for on of the POWTSshown on the attached PltunbCr's Name (Pritu) Plumber"a Slgaewre MP Number Busatless Phone Number Plumber's Address (Street. City, State, Zip Cods) ~~lf/~ /D ? 4 S~o`t `~/~,~ ~c~ ~S ~ .~ G~ ~ ,~ val. ttnt !De at'tment Use t?nl Approval ^ Disapproved Sanioeey Perestit Fee {ituludea Groundwater Surcharge Poe) Date Issued . Is g Signature Staffs) ^ Owner t3ivea Init'sai Adverse = ~ 3~ 5 d~~ _ ~ ~ ~ Detemaiaadon ` v'_- IIi. Condltloses of App vall easoas for D aggroral ~ ., I' ~~~f 6/~, .,~ ,~~,,~p~~,:tf~,~y,Q..~~1 3 .p~,cc~ sys~ • u-K~ a PowTs /~ ~ ~ ^ 0 g :~ ~ ~s° _./ ~~ ~~ ~ . -1 ~J u •-t ~~ 0. N ,~ ~ ~ o •~ ~~ ~' -~ ~ ~ jj ~..f . ~ ~~ ~`p ~ n ti M ~ ~ ~, . D V+ ~ v ~ ; `- 1 -~ .~ J ~. ;~ N =-~ 0 .fit ~o ,~- /'~ ~ ~ ~• v + 0 0 .. 7 ~ ~, • .~ Y i 0 -i• ~ p ~ ~ d ~! `~ ci ~ ` ~ ~ ~ ~ „~ zo ~ ~~~~ ~ ~ ~ ~ ~~ a ~ ~.- ~ '' ~ J a s v ~ Y ~~ ~ N~ a , ~ .~ ~ .9 ~~ ~ J ~ if ~ / ~ ~ ~ ~ ~ ~~ ~ r ~ ,~-„ :. J .f~ r+' V ,]JNI Sr L v ~O J ti` J f d ~ !~ d' ~ ~ ~ °° 0 ,~1 FJ l =~sf San =--- ~aae~_- :€ ~~Tm~~- «„~,~- n~iwinm `D<r~N ~~P?>' ~Lc~~~c =rr» } 1 isconsin Department of Commerce July 19, 2002 • ~< ~~ CUST ID No.222774 HENRY F GROTE CERTIFIED SOIL TESTING E4366 353RD AVE MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/19/2004 SITE: Charles Serier CTH N Town of Eau Galle St Croix County NW1/4, NE1/4, 516, T28N, R16W ATTN: POWTS Inspector Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 o~ 0 3 ~(o Identification Numbers Transaction ID No. 766617 Site ID No. 647556 Please refer to both identification numbers, above, in all correspondence with the agenc} FOR: Description: Four Bedroom At-Grade System Object Type: POWT System Regulated Object ID No.: 860429 T'he 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: General Approval Requirer.-ents: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "At- grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems" SBD- 10570-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact t e treatment an ispersa Conk APPF RTIfE1M SAM • he well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption rea. chs. NR 811 & 812c ~' • A Sanitary Permit must be obtained~from the county where this project is located in accordance with the requvements of Sec. 145.135 and 145.19, Wis. Stats. ~E ~!T~: ~T-' • Inspection of the private sewage system installation is requued. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) 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. HENRY F GROTE Page 2 7/19/02 Owner Responsibilities: ~J ~ • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and ~~,, maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101,12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerc e. state. wi. us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0,00 WiSMART code> 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 Charles Serier - At-grade System Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: At-grade, SBD-10570-P (6/99) Pressure Distribution, SBD-10573-P (6/99) Location: NW 1/4, NE 1/4, Sec. 16, T 28 N, R 16 W Town: Eau Galle County: St. Croix Date: July 26, 2002 Owner: Charles Serier Address: 2368 CTHW N Woodville, WI 54028 Designer: e Grot Signature: License # D 1699 Attachments: 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: plan view, system cross section 5: lateral detail 6: pump tank exit detail 7: pump curve 8: system management RE~F~~ FD SAF ~~~ ' 2 2002 ET y ~ BLS GS DIV. t ~~ HENRY F• '• GApTE ~;'~ _* ~ D-16 ~NIE OM .. MIEN W1S. ,~ ` '~~~i~~~ESIGN~~`~~ ~rltl~~ iivn~ y ~~vED ~~ CO1MIbERCE NGS ~'ONDENC page 1 of 8 Design Criteria ~' ~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5/ ~~ gallons/day hydraulic load Design Calcula tions In situ designed loading rate ~ ~ gallons/sq. ft. per day--~~ 5i~- soi/ ~21~ ~ 1~ diS~r.~,~ C2Q~ Depth to estimated high ground water - in Depth to bedrock ~ 5~ in. Cross slope at system ~ % ~ ~ Y Force main length ~~ ft. of Z in. Manifold/header length M ~ ft. of in. Drain-back Z• ~ gallons Lateral length Z @ ~ -~ ft. of ~~ in. Lateral elevation ~ `''O • S~ '~ ft. (c~ bottom of lateral tn_v~~" ~~ ~+ p ~ Lateral hole size ~~~ e in. @ Z4-•~ in. ( Z• ~ ft.) Spacing ~ holes/lateral ~ ~ holes total Lateral volume Z-~". }S 4' gallons Total lateral discharge rate S z ~ `g gallons/minute @ Z• ~ ft. head Network pressure compensation losses m'~s~ ft. Elevation difference ~,~'s' ft. Friction loss ~ • ~ 3 ft. @ S ~ • ~ gallons/minute Total dynamic head ~ ~' 8 3 ft. Pump/siphon S ~•8 gprn @ t Z- ft. of head Manufacturer ~ ° ~-<<~• Model # ~ ~ Z- Dose volume ~ 3 z_ gallons Lift/sip}~on tank ~~ w~~ ~..~- ~ to-o - ~s'o C.~>~o ~-~~ gallons Septic tank ~ ~' '' ~zro gallons Effluent filter ~ a,L ~ -~ ~ Measurement pump on and off Height alarm from tank bottom Reserve capacity specs.calcs.res ~.'~ 3 in. ~ ~'~i in. ~ `~ ~ gallons Page Z of g •I, 0 9 w a v ~ /so = ~~ ~~~ ~ , ~, 1 + ~, i~ n~ t, I~'. ,. ~ ~~ f~ ~~ I I A ~' ~r + 9 (`r' 9~ .~. m = ~ ~ -1 ~.J ~ u • 4. ? ~ d' ~ N ~ ~ ~..f ~J ; ,~ ~ a , 1 ~~ -~ `o ~ ~ ~ r ~^ .~ ~ o ~ ? 3 Q .~ V .J~ Q ~ ~./ u ~ ~ ~~ s ~ ~~ n b ,~ N ~ ~ ~ D v• ~ ~ i ~~ ~- d- ~ ~ -~ ., a ~ ~ ~' ~ ~ `~ s n M ~ r- ~• h + v + 0 ~ ~.! ~~ ~ j ~ -; .~ ~ Y i 4 e `~ ~ ~ a ~ L~, d G ~ '" .~ _d .9 1 d~ ~ ~ ~ ~ ~ ~ -c7 p~ ~ / i 1~ ~+V Z a ~ ~ + -~ ~ 3~' sQ~ o ~ od L ~ ~' . ''- ~ .~~~+ a' v ~ ~~ ~ r Y' a u.,~ ~ ~ , ~ .a { .9 f '^ J "~ 1 ~ ~ ~ .fl ~ ~~ e ('7 L N rJ`' N° 4 ,~_~ r - M ~ ~ d -~ J c,/~ ~ ./''~ V ~t ~ ~ d ~' 3~ ~ ~ ~ ~ J tL~ S f 04 0 r~-J f ' ~aas~,: T~NN(/ <T„-- nn~~N', 3=D~>= T= ~~mo'~ ~~~:== ~'T" } "'`y .~ ab- `• 1 lo~.h v.: Q.,w-` 4• S ~'aw ~att Jat~to.^ __ - - _ _. •~• __ _. 1'}~u ~ o ~~ ~~ ' 4 r (o' ~4- ~ ~. ~ '~~ ~' Fabric - Observation W e I I ~c S .o Cl.sc~ ~~<« ~ Distribution Lateral pl-~ ~~ 12~~ ~ ~, , ~~-Soil Cover `'f~ ' ~ ~ ~1,,., ~ ao .~' 2~~ \ .. ~•,.•.~ •• ..•6~i ;, 'i ~~ ~• ~. `_~~ ifs I '~. ~ L 1 av ,, 1 ~.o ~„ ^ 1 ~.~ ~ ~ G \q.S~ u ~M s.~~ U ~' ~ Z... 0' I ~ . 0, 110' '~a.o' ~ ~ sg .~~ Z ,~ `? V c. S.~ r~,~.'.Q ~~` ~ ^'~~ ~ 4 A110 1 ~ y ~ v Q v e bo ~. w ~u....., a,..~ ~~ ~~ o~. T-.Q~v. ~ Y.SL~.-..r.} k... ~ , ~ ~' .Y~ O ~-. QM~ 0 ~ b' t~ e~ Y~ ~'~ r. p -~ ...._. Z ` ~ v c s ~. 4-0 ~. ,.~. ~~~ Fla.., k ~ z ----~ a~ ~~ ~~~ 4° PIPC 3' n0 ND-STuae>IED Sd~L. ,~ r ~ROVLD SKET 3bl~IT'J V D tlG -~W ECTI OKS C~e~, --~. ,~Z.~-~ -LOCKING~GOVCR -~ W~v~N ~,uc .c i/BE~C . G~IGK Di~CDyytGT---~ 6'~ ~. 4,, 24`' Z.D, r~a+ua~ A \ _ ,~_ CAF' F L E 4 .r----- r~ ~~ D v ACS ON ~.'~- 3 •. ~, ~„ r~ R Dater F'in~N WEA'(NERPR~F ~J'UN(,T10N !~ II jl ~~wc,:o H La,L /f ~ 1 t PutlP ~, L. rti~1 . I ` ~ - 1 I 1 1 I C6 c~K ` ,~~ J7/i7!/i~'7 .~ a d" 4 0 vtti~ ~ ~ K~~ q' Q~ ti~~ 40 3' owT o u•i0`.TU~t~ G cou.+~ C1 2 , O SCPTIC E SPEG~FI•CATI~FJS ~.bB D0 S C ~ '~ ~ Q ~ ~ ~ ~ ~- ~.~' h. T^W..S MA-JUFACTURCR: e, r o ox IJUMBCR OF OOSCS: ~~~~ _.PEk p~~ T~-JK SIZC; 1~'~~'}~ CALLOUS •.DOSC VOLUMC `~ Z ALARM M/WUFACTUiICR; S `~ ~7~`t-~~~ IAICLUOIAJC~ OACKFLOW: C,~L~oNS /'~ODCL UU1kbCR: • ~ ° ~ `~ v CAPACITICS; A c2~~~} I-JCHCS OH ~~'~O WLLGUS ~WITCN TyPC: __ ~'~~"'~ "`~' Z-. 34.14 B- IWCMCSOA GALLCI:S ~O~ 11Q~. PUMP /1AIJUFAGTURCR: ~ ~3 ,~~ `~ _ ~S Z ` G a IUCNES OH ' G~~~OuS ;~ MODEL AIUMDCR: O ~ ~ 1ot'~Z JWITCH TbP[; V"~Q'`"""' " IIJCHCS OR GALL0~1: uorE: PUMP A1J0 ALARM ARC TO 6C MIAJIMUM OISCHARCrF RATE ~2"g GPM INSTALLED OU SEPARATC CIKCu~Ta VfRTICI~L DIFfERC-JCf DCTWCCU PUMP pFf AUD OI~TRIDUTIOAJ PIPE., ~-•~S FCCT + MIuIMUM UCTWORK SUPPLY PRCLiuRE ~ ~'~ FCCT'~`o'~'~ + ~ FEET OF FORCC MAItJ X S_ ~S f~ too/tFRICTIOU FACTOR. O.'~3 FEET S?'g . ~~,,,~ ` "- TOTAL Dyt'•JAMIC NCAp r = ~,''$3 fECT • 1.44 ~, IAJTERUAL DIME1J510AJt 0- TAUK~ LE-.IC,TN -----__ ~ g „ ~.., ;W~DTH __.___.. ~ LIQUID DCPT H t >, g ~~ r ~ x v a z r 0 a 0 4 HEAD CAPACITY CURVE MODEL 152/153 W~ ~- w w ~ ~ 50 t53 12 40 152 30 8 20 10 0 20 40 60 80 10 GALLONS LITERS 0 _ _ _ 80 160 240 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. • ElecVical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Owik-Box available for'outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 1511153 Series 1521153 MODELS Control Selection Ir Model ' _ Volts•Ph Mode Am s Sim lex Du lex ^__N 152 115 1 Non 8.5 1 2 or 3 :_BN152 I _115 1 Auto 8.5 Included 2 or 3 r E 152 ~ 230 1 Non 4.3 1 2 or 3 BE 152 1230 1 Auto 4.3 Included 2 or 3 N 153 '' 115 1 Non 10.5 1 2 or 3 BN153 115 1 Auto 10.5 Induded 2 or 3 E 153 230 1 Nan 5.3 1 2 or 3 BE 153 ! 230 1 Auto 5.3 Incuded 2 or 3 O CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Nealth Act (OSHA). TOTAL DYNAMIC HEA~/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODEL 152 153 Feet Meters ~ Gol. i Liters Gol. Liters 5 ?.5 I 69 ~ 261 77 291 , 10 3.'. ~ 61 23t 70 265 15 4.6 53 201 61 23t 20 6.1 44 167 52 I 197 25 7.6 34 129 42 ~ 159 I 30 9.1 23 , 87 33 ~ ,.25 , 35 10.7 i -~ -- ~ 22 85 I Lock Valve: 1 38.0 Ft. (11.6m) 44.0 Ft ('~3.4m)~, ~- 6 !;a y; 3 27/32-i~---~-a 5/8-+-; I 014509 32 -~---- ' I !~ ,_;~-. _-~----- ,. i~ ~I ~-_I_ '4+- I ~ _ _ ~ L sKZOS4 SELECTION GUIDE 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E•Pak. 3. Variable level control switch 10.0225 used as a control activator, specify duplex (3) or (4) float system. d ~` RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. ,, MAIL TO: P.O. BOX 18347 Z • .; i ;`~,~J~~~ ~ Louisville, KY 40256-0347 Manu/acturers of (~~` r '*Lj SHIP TO: 3849 Cane Run Road ~t /- ® Louisville, KY 40211.1981 ~7 http://www.zoeller.com PUMP L O (502) 778.2731. 1(800) 928-PUMP Qvat~rr Put~PS S.YCE ~,5,,/~ FAX (502) 774.3824 © Copyright 2000 Zoeller Co. All rights reserved. .v . ~ s ` System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the homeowner, and the homeowner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the system designer, Henry Grote, 715-233-0398, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same densi as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal residential use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down an drain or stool. ~D ~~T D~S~OS~ D~ ~~~' L!/l/7- ~GV~ ~'D~L~' arbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. [f septic or pump tanks are no longer used, they must be properly abandoned. 1 1. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. ~~~~~/v~~,/~-Maintenance ~A 1. The septic tank must be inspected every three years by a properly licensed person. /V/A- . 3~/es 2. [f necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume/ equals one third of the tank volume. ~ ~~Q{,P.f E,=~jL(/ sin ~ T/~Yr~ 3. When the septic tank is pumped any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove acc mu ulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended, and a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. S. ]f this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within I S' down-slope of the adsorption system. 8. Avoid disturbin the s stem itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as s ~ me or snowmo i me w is depth. 10. Surface drainage must be diverted around the system; avoid Ian sca e c an es w ~c sen surface run-off into the system area. 1 I . Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain e a u ic~ent oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for residential systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 ~~R1G11,!!AL Wisconsin Department of Commerce SOIL EVALUATION REPORT division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Coun 1570 Page 1 of 3 Certified Soil Testing Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. CrOiX include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. ~ b ~ . ' ~~~ _ Z O _ ~ ~.p Please prl c ~_S S a? 7 R ewed y ~ Date Personal information you provide may used fo s es~ Law, .15.04 (t) (m)). $ - Z d Property Owner Property Location Serier, Charles AU G 1 5 2002 Govt. Lot NW 1/4 NE 1/4 S 16 T 28 N R 16 W Property Owner's Mailing Addre$ Lot # Block # Subd. Name or CSM# 2368 CTHW N ST. CROIX COUNTY City State City j Village j Town Nearest Road Woodville ~ WI 54028 715-684-3994 Eau Galle CTHW N /i New Construction Use: _/J Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement _ i Public or commercial -Describe: Parent material till Flood plain elevation, if applicable NA General comments and recommendations: install 7.5' x 160' effective (9.5' x 160' overall) rock at-grade system w/ laterals following 100.0 contour (oversizing for possible future use) a Boring # ~ Boring Pit Ground Surface elev. 100.0 ft . Depth to limiting factor 40 in• Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 1 0-3 10YR 3/3 - sl 2 m gr mvfr cs 1f/m .5 .9 2 3-16 10YR 3/3 - sl 2 m sbk mvfr cs 1f .9 3 16-27 10YR 4/4 - sicl 2 m sbk mvfr cs 1 f .4 .6 4 27-36 7.5YR 4/4 - sl 1 m sbk mvfr cs 1 f .4 .6 5 36-40 1 OYR 4/4 - sl 1 m sbk mvfr cs - .4 .6 6 40-50 10YR 4/4 f3f 10YR 6/2 sl 1 m sbk mvfr - - .4 .6 ^ Boring # -i Boring /! Pit Ground Surface elev. 99.4 ft. Depth to limiting factor 38 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-4 10YR 3/3 - sl 2 m gr mvfr cs 1f/m .5 .9 2 4-15 10YR 3/3 - sl 2 m sbk mvfr cs 1f .5 .9 3 15-20 10YR 4/4 - sl 1 m sbk mvfr gs 1f .4 .6 4 20-38 7.5YR 4/4 - sl 1 m sbk mvfr cs 1 m .4 .6 5 38-50 5YR 4/4 f2d 7.5YR 5/3 scl 0 m mfr - - 0 0 horizon 5 is at field capacity from 45-50" Effluent #1 = BODS> 30 _< 220 mg/L and TSS >30 < 150 mg/L ' E ent 2 = BOD < 30 mg/Land TSS < 30 mgL CST Name (Please Print) Signatur : CST Number Henry F. Grote ~ 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 5/16/2002 715-233-0398 Property Owner Serier, Charles '~ // ~ 2~ ~' r^ S~ Parcel ID # • ~ Page 2 of 3 Boring # ~ Boring /) Pit Ground Surface elev. 99.3 ft. Depth to limiting factor 37 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Cor>sisterxe Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 1 0-3 10YR 3/3 _ sl 2 m gr mvfr cs 1f/m .5 .9 2 3-10 10YR 3/3 _ sl 2 m sbk mvfr cs 1 f .5 .9 3 10- 7 10YR 4/4 _ sl 1 m sbk mvfr cs 1 f .4 .6 4 37-44 5YR 4/4 f2f 7.5YR 5/3 scl 0 m mvfr - 1 m 0 0 ^ Boring # _.~ Boring _,V{ Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ^ 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 in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Certified Soil Testing r~ ~ ~ ~ a ~ `.~ ~ Y ~a r f r ~ ~ ~~ ~ ~, ~, ' ~~ ~ a ~~ ~ ~ I ~1 ~ ~~r /`~~ c--- ~ ~ ~ } 1 a' j u ~ c) ~ ~° s a <- ~ G- s.. T~ Q I ` o y' 1 \ \ n w ~' 9 ~ 0 ~~ ~ N ~; _ -~ 1 ~~ N n ~ ~.. h ~ v + ~: 0 ~:/ 7 9 ~/\ V d 9 j ~~ ~ ~ '~ ~ ~ ri s ~ ~~ d ~ "~ ~ ; ~ ~ ~ ~ 3(` spy o ~ od ~ '' ~ ~ ~ ~ v 1 G~~ ~ N~ ~ ~ 9 '^ J vi I J /_ ~ ~ ~ ~ ~ ~~ ~ M2 fi ~_y1 Nl I - ~~ f J V r~ Z ~--' d ~, J c/~ o ./'`~ fi v ~dv' 3`~ d' ~ ~ ~ J LL~ T f ~l ,~ J L3 I- J 3 l z?`r - -- >>_ =. 7 TsT~my'~ .~^,5~' -`cc »c~ ~ Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 ti ~ ~ TDD #: (608) 264-8777 ~seons~n RECEIVED www.commerce.state.wi.us/sb Department of Commerce www.wisconsin.gov JUL 1 9 2002 Scott McCallum, Governor Philip Edw. Albert, Secretary ST. CROIX COUNTY ZONING OFFICE July 19, 2002 CUST ID No.222774 ATTN: POWTS Inspector HENRY F GROTE ZONING OFFICE CERTIFIED SOIL TESTING ST CROIX COUNTY SPIA E4366 353RD AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/19/2004 SITE: Site ID No. 647556 Charles Serier Please refer to both identification CTH N numbers, above, in all Town of Eau Galle .correspondence with the agency. St Croix County NW1/4, NE1/4, S16, T28N, R16W FOR: Description: Four Bedroom At-Grade System Object Type: POWT System Regulated Object ID No.: 860429 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: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "At-grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems" SBD-10570-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). Identification Numbers Transaction ID No. 766617 • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. HENRY F GROTE Page 2 7/19/02 • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. Stat • Comm 83.22(7) 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. HENRY F GROTE Sincerely, Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us Page 3 7/19/02 Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 ~,f 'f ST CROIX COUNTY SE'P"I'IC 1'A1~K MAtyn'gbl,+lNCE AC,REBMEN~' AND C1V~1NEFt..SHIP CERTIF~CATIC7N CORM n ~ .. ~ ~ ~ Maalant„ A~9c~r+a~5 .~,~..,~~~_.~.~~__ ~ ~'`R c/. ,;r~Jt~~jv_o~\-e~/~!r~~1. ., ~~ ~'/~Nd ~.~.. ~_~. ~^ '~t ~ 0.•m.._ (h. '" - - .~i~/-. ~ ' J ^'4, 'A (Slcrtitoc:atian requtt~d from plauava~ 'tat far new cottstrtae n) ~ ~~'~" -~:` c ~ IU av ~'OOC~O t::ityi~~tZ ,~(~®ed~~~/~~..,.,~~5 r _.._._. P'8rc;a1 I~cnafication Number c9C~S~ ~ '-~ _ L~.p' ~ I,21 'IUIrI ~c~~~est~F ~~or1 _,~Gt1 °;;, ~~ ',., Sac. _.~~i.., T.~~_M-R~W, 'I'owa of ~a4 ~ccllei S~aiid~vtau,t~a __.__~..,_ ..~_ - --- _.._..._.~ - _. Lot p .,.._._._.. C`~t~tldi+~ ut°~a~ey ~~a~ ~ ._._.~, Voltutie .,_. Pagt # _ .. _ ~'v` a r x"~ D t'y t:) ~ _._.,... ~~~ S - - - - - ~ V ntume _tl.r._~_-~ Page # b? 4' ~..~_.. ~poc: iic)vaa ~.1 'yam ' , rao Lot i~nes ielerttifiabla ^ yea ~'no "taxgsx~x+~ t„s+e any ~aoh~a ~f y~rx ~ trysta~ ,:cxald sa~sr ;It is its greaaatusa fs.ituxe to bst3dtc'wsstos pro#xr snstxsf~.nacacr c~a~~~~ of ~zi~ osrt tie septic t evac~ tie ' of st`altst7; it needed by a iicastsed putap+er. W'hst yo~~ peat into tl;s mystesa a3`~ect tic IF~criua :~f tb~e .: teat as a ta~eattaa~ stake m tkae wad dartpcrsal syateea. "?'taaa rt,.,,,. nw~ air to auR~it to Se ~~x ?.cnYi~ ~~t a certi$catian fottai, ei~aed by tht oa~?~e~ and Psy s na;~rr ~+z~.;"ti.:r, c~a~.~t°~4°t f-1,sa~,b~r, rsrttrit:c~1 pD~rer ~r a)icrmmredptamper v~~ng that (1} tl:e on•site wtutt~aterdisposs~ tya~nu is , ~c~~r c.,~~tti ccss~dttrra~: azuL`rs ~~) a~.ec ir~cti~a a~ pum~ia~ (if taects~-r~'). the septic tank is krs Zts:n 1 f3 fa:ll of ahad;~e. I~rya; a~°sfI ~~ rcxd tt~t aI~4,vC ssirets atad agree to tuaintaia the private atwage tliaposal system ws-h t~1t rtaudar+is ~~>r~a, '~Pr~4~, as t ~S;y' ~"}~~o of Ct'~ ate flee ~epat~ent of` :~tat-ual Rcsatarces, S4te of Wir~c~4ssib. Ccwifi~a~ac s~~~~i; t~ru yam' se~rttic s~j°i3ee~i eras !",acne tuaia.tained artist ~ eom~ptcte~I and ttitutncd tv tkkt St. Croix Catasaty Zoairag t~fftcr, wi•J'ain :t`) da~yt of the tlsroc yo.r a icaton dew. m ..._ ......_ ~ ~~~~ .._ .~.t....~. d 5Tirt+i~e'Cx;' uI" A~'I'I.YChN"T`~ DATE i (arc} c~tt'tif}+ tIu-t a!I ata.t~etayx:tsta vn ~'ns,4 fa~rn~ sre ,.,a» tc ttie mat of rry (owr} lcasovvlydge. I ('are) am tn*e) t~sc ovvnery~aj of ~e ~1`~~r~rr2~, ~~-ritxx! ~~t, ~~ w-irtue cif a n~s~~an~y dc~:ti :e.v~oded iu ~tcgistzr of Dteds ~fYice. r to+stsa ~JL°v '.Y~~;.l1Y:UJIt_54)q ~~5"i ;.ry ~''~[b°•t't+'~.~!'N..~k!St",'±"';1~ y' 3\,:B~SS" r,.".. ,r.;: bi~alf.~I"f ~t:3';t:' ~CittB ~-@v(FkCG Ely t]S~C ZAAlQtg ~'}C~8~ZT13cIlC •ayttr "~ ~i~€~~a~~z 'wt#~i ct~l~ ap~tledttuea: t atmm~ru ~.vrr.uty 9cx:~ '.'TUt;1 SGcr.ege~:et of Eh~3s oftiCs - ------ - K .~ _ _ ,. _ _ DocuMErvT No. STATE BAR O: WISCONSIN FORM 3-198H• ~ QWT CLAIM DEED 4.ES8s5 von 894 ~a~E209 Barry C. Serier - 60$ and Kelly A. Serier - 40$, a3--•tenan-ts---in.-common.. quit-claims to Charles-_T,-.-Serer--.and_Carolyn.-J. _Serier. -->±am~;ly- Tzu_st-, .,Barry.-C.--,Serier., _Trus.tee, having full power to sell and encumber ~ ~•- the following described real estate in _.._..-St. CrO1X County, State ~~f Wisconsin: •.+~s srACC wcsc+wco roR ~croemwa OA7q REGISTER'S O~EICE S1. CKOlX CO., WI Reed for Record t+!~1R ~ 11991 ~. 8:30 A. M Rttpi~Nr of Deeds 1lET~;RV ~O Tax Parcel No:...-•----• .................... E 1/2 of RW 1,'4 and S i/2 of Sw 1/4 of SE 1/4 of Section 9; NW 1/4 of NE 1/4 and that part of SW 1/4 of NE 1/4 lying N of Public Highway of Section lb, all in 28-16. ~xerav~r is not This .- ........ . .......• (ia not) Dated this .~~,...-. ..-.-... homestead property. .-......... - -dap of ..... .... .....MaY ------- --.._...._- ----..., 19..89.. -- • - - --- ~ ........................... -(SEAL) - •- ----- --•-----•-- -•- -----•-- - •------- ---- (SEAL) AIITHENTICATION signature(s) •-Barry C. Serier and -Kell A. Serier authent hisn~~•---day o -------- M7 •---•-__---• 19 89 .....-•---• -- ---- --•~f+~--~..----•--- - ---• - ---------- Leo A. Beskar TITLE: MEMBER STATE BAR OF WISCONSIN (If not, •--• ...............•-•-•--•-•-•--...--- - suthorized by ~ 706.06, Wis. Stats.) 7N~5 IN57RUMENT WAS DRAFTED BY ~. `.-.J...P/S~!~r!L-%'(,...._... -....(SEAL) . Barr Serier - -- y -- - ---- --~-- ..... _- - - -.. ~.-~ ~.... .._(SEALI Kelly Aerier ACENOWLSDOMSNT STATE OF WISCONSIN ss. ----------------------Y--._..--------County. ` Personals came before me this ................day of ---------------•-•----•-------------------+ 19...----- the ab.>ve named to me known to be the person ......-...-. who executed the foregoing instrument and acknowledge the same. ' sEE P~oc 38 ,~ ~ . +~ .ire -~' ~ ~ Dardel • DeY ~a ~l.ora, B lynm Charles Gerala ~ 7o.a • 9.7 9a 77 • Petaaon .•M u s ~ a Solaro (•,a.el Y t B ALDW I N idtola Anderson ~ p~etryersar Jam W di~rm, Arthur Donald ~, • • By ~ LkL7 W O VII.~.E ~ Kerr ~4 hO / Jensen 8z Judith • Wadg Y11 Q w~ ~ a,;i, 120 ~~' y ZiBrrter . Tirrrothy w ^ on AK ~ USten 76.4 1 ~ di Pamela 100 k~nnn BB rust RDdel ~ Dawn ea ~ Denn15& 1 • k•a~°~a x _' 140 Moulton .Stare 3 : ,t„aera°n .Christine harry ~ • s~kw Harvey • ..':2 ~ ~nr • ~ ,,,,a,,,•>u na • • taro 2t , 15t.8 c$Olatad ls• key,,, . TI, Hillstead ~ s VanRiPer 662 Fialderson 54 . ~ ,, io r •° ~ $= ~ 3oS Birkdt • e,.d~ ~, 210.5 • 137.3 "~ 7 94 ~~ ~ nn.y • ~ • ...++ I w>yr Arthtu Trapp tort a Udlth 21 B • lkNMielar,e~ pavidkTrudy ker,s o E Y Donald & J Bz Robert k Rid,ard Michael k JoY • M y u l,r^~~+°y" • 60 = y+ __ 68.5 a ~ Rodel 148 oM 20 ~ ~ Torgerson z Ostlie 94 • u`T. m.x • Reinsch 117.7 ` n ~ u ~ PkM ksh'vtryx ~ w es t•rr ~'" Richard E°eere ~ I Jr • ~~„ clench Israel .; " ~ n~br, s M ~ ~ Y~ 'Laurence &rM rY Sy „x 12, sabw7 crya ~r,ry:a • k)oaa kOlive Lund ~• Vandien~ Laaun gr Nancy acobson• • trot ? • I ea Ftertwd~ Heebink 80 Terpsva Pe ~ 3a.7 . ~w•e were 39 K I~ .o eral ae • w z Larson 1 • ~ a l~•+ • ~ •4 ]20.5 P~eredrsrn, • Maby lr 60 Molly .Chris & Arlene Donald : Walter , Country 266.9 • . Harvey & Juaitn • 159.5 k oorene Bptatea kW ~ aes &M~arvLll Q' L~~em• t ~u""K`n ~~ Wen Rodel !• 74. la~9D^ 133.5 ~ G .a •r""a°°n ~ Donald br w.a James k Elinor .a lxlah Randy ~ Sandra 3 ~~ 1"I1e CgrC Harry Lan er vi Wilma ~': Margaret ee~n+at~ • ^A Ne]sort ~ loymson tr•ewrs< Carroll ckr Roquette ~ • '~ k Kevin 71.5 Sevier Schwab ~ RB Ha eseth • 1.7 Zignego • 9A BQ Fern ~ 158.7 `" 154.8 tzo Croamg Trust m ktCyaaa,{a btz ~ 117 as ~38 • 150 ~~ ~~ 19.7 ~ • N ss ~ • 4p5 • • 80 • 100 a . • Tdtord emotl,y • ~ • k kl &Sylvia Victor & 7 N • ~ R&D Lee ~ 70 d Roland r t9 s • Janet Lun Eliza ~dY 50 20 Rerin ~ t.ae ao ~ 76 s°"~d "" sandrig 73 beth bo 144.2 ~ l • t7 rarR ~ Lee ~ Everso e o a~ MkT 102.6 Mazy o: William& . Stone ° 142 ~ 5a Trinko • ,,, ,o.s ~, ~ 38 0 ~ lean Peavey 152 • John ~ • 57.7, Elrl,er ke..d. BM kDryo 98.'1 "' • w Mkt ,o a,+m ~ slow zo oK71< • • d• • 1 Phillips • T1~°l+^ ~ $er1Cr Moltee ~--V^o • "'~ ~ ~na'd 140.5 oM ~ R.ndr a ~ Glen & Hernia efTs ~ "` `" • xas • X41 Jon amry k Gloria ohncon ~ Dennis Duckworth Peolm,as :. 9 N De Pum •>~ Chapin Rugaet>e ~ Hensley J • +0 730.4 Lavern w,rark az.s • 3 • ~ a • 9 ao eAea i & Alice k~arby1° Kurt IK; Robertk Donald RoYk Lyk 77.8 ao k5araa . 69 Aang,roa k°a•a 74S &Rebecr'a a9 iC,mberly ea"~aaama. 80 FarlkMary cadann • Bertelsen • so 9,,,,~u • tk, Larson ~ 100 116 • ~ Gieur,danner 76 • ~ < • = • N Tnre 79 32 35.7 40 ao • • 2 • Brent k s a N • ~. • k 40• Town Marvin 14.6 1B • 102.7 ~ Lynn • `~b.'r'k rag Ged+t•a car O g „ • 12a0~8~ ~a klane to Peter ~• ~°~ k aM Paulk i3 d Nel°p1ga ~ ..~" < ~ l,PS6e Qe Karen Taos k cymlw E^rk°°n Duane • ~5 ao Pamela w,u+an, s7.7 . Gazlend 40 x ~ • ~p~ D, ~ ~•~ ' xambere ~ & Lucinda George ~~ o~d k e«dm,u lr k : & Sharon a, rdbasti~ ` Te118 Lee • O~r ^" Rarrdald< ssaa~a rsakaB Bauer kcr s„,ar, adrrine . Fregine A w etal 81.5 240 Tamara tEkrkc LskTkl 60 • 142.5 100.6 LoJ;ken Hansen A„a®,a, 7is Godein ~ ~ ,,.., ~ y • ao b . b ~ 3 XamberR Ka°~ . • ~ r 103.1 k . 'DfOll18'9 a 19 amp yne ~ w Thomas F~~ Verl &Patrioa ,,l •""'d"`t Mid Amy Casey re.t as Lo:s Y^ A"°"'°" txvo~ms 110 74.8 J~~ & • Johnson Clazk Bathe & Jon a~ • Falde • '~, JT a0 131 m 96.75 75 Ellefson -, • ~ s 80 Walter & Thomas & Janet Ivlanlyn ~ a zoo Rickey ar ~ Linda t','aY ~ ; s I Sandra akEa,o Bueca°r' Jacobson g0 1~^k ,n pcbertk Donald JonJo~'son L~ ~ Sturtevant 1°~P • TH•~~s Fens[ra • ~ C-uis ~ Dianna A Yn pLordh~y 80 LatSOn • ~ Donna • 45 ~ ~ • 80 Albrigtson 90 B . ZC Truy • Scott § g • Kusitek rc s ~mae : ~ s Orville RC 132 • ~ • . iaiF on ~ TmdY ~ 120 Krtstrne Donala w,ansa~ k Darlene 60 ~ Hdaraon Kamet6 Delmar & lean tCielmeyer ~~ Larson 3, Gerald Larson ~ s0 BerkaMh Verlyn & ~ m• • i szs pewrn Zi . 309 ~ • .Rev Living Robert Inv Kevin & Patricia Steven • Brian Ma1S' ~ ~. a ~ _ ~~ Trust arKay s9.a3 Barbara Falde 120. Gedatus Fugate ryakM+rr °°"el ae.a Hovde c k ~ ~ Donald tos Larson Douglas ~~~ :• ~f 190.5 pri,t ~ ~ • Lucille 2 s a ckN m 29 William Werner ~ ~ DrviBe • • Ted 115 Score 74 Lyle ass Sonja n Ni~• 246 & Elena Quam • • >ewr<~rr d• i & Darlene del 75 ~ Gunderson ^"~ Dagner 306.2 279.1 eter & Sheran ~ ' _ Lien 101 a Dgmis so kAtluye L Wayrek Paul • ~$hirley • 282 ~,. 172.6 StarMitis eo•o. • J~y,11e k Janis Aaolpn • to ,o • John & Gerald k • ~ • ~ e 99.6 ytk .evk6Keld • ~ . NbriPtrO^ Nelson k ~' Roche JOlur k Llnda Marline y~~WNa BL ManhaB ~ 40 ~+ ~ • FkC 166 Nb i' : ~ ° ~ p ~ 4 Weber Wellman ~ z,a ~ • z zz ~ w • o sos 7z • 00 60 ^ R y 3s 150.2 • 'o u o~w~ krmd. • Wald x Kevaea • wkl arRUa, • LeUta 29 PkD MuFarla~ • ~ 52 ~ 115 • 160 'G '~ k Paaici, • • • Sr Frtrr 73 l~ E10 JoM~ a Pax 60 Ross • 63 ~~ zv k Reeerca • 50 taveue JI-ickness ~n & "`"'bOrg z • 98.5 lee : Clark • bath m rA I •e.. Brunkow r• Wildwood vadn~. Anderson E' • o~~a'°'^`"ar" Ba9°"168P' S0 Bernice Diane dwood • Kee PksM 12 1 ohn ar JoAnn ~ 170 1 '" Ber er Hat View Inc g0 . 99.7 a 1 laveue • °lVt aX g GgV1C . core 80 • 62.7 Irvin a F 78S 32 Davis • r Ra„dy ~ Steven ar Ion nnhar I+a+ 66.4 Leonard Brooke WoBe2o Anderson i tea ''~'. 100 • •~~ Var,asse Barry ditl, " S • k Doreen Trust xemPea • Mary Q • Bruce k Iu "~ b 40.2 & § Barnes al.s lames ~ Keck 80 Family • pew, Rode ~ w ~ ~ ~~ Merth Marjorie 9 c 120 ~ = F e Kent ac Ann ~ Y SkI L 125 75 clarenre Harry ar Audrey `~ v °: '~ ~ sl • .o ATtC1eTSOn Rudesill ~ Gibbs ~ Richard ~ ~ S • Roger k k Harley Blue • _ ~ T • J ~ °SP M~ • Jeremy ~. L = 110.5 Marsh g ~ TeirY BB 40 Sw ~ ~ .a 3 i ~ ~ : k r x,a~a,nrn' 101 20 ~ 139.2 _. F FPierce 3~ 40, • rr • lancing 27 °o ~'t+~z • Is o ~ • ~2 00 2 00 PIERCE COIA'(IY 2500 2 00 2100 2200 Stampings • Subassemby ~~ ~ ~ Phone: (715) b96-2471 Fax: (715) 698-2335 ® wns.owt PaNruc _ JACOBSON INC. ~®~S 1860 10th Avenue SONS TOOL INCORPORATED Baldwin, WI 54002 715 684-4600 460 THOMPSON ROAD WOODVILLE, WISCONSIN 54028 Walter & Greg Jacobson