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Home My WebLink About008-1046-80-100Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMA`TIGN ~~ (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ~ermit Holder's Name: City Village X Township Handrahan, Dan & Kath Eau Galle Townshi ST BM Elev: Insp. BM Elev: BM Desc ' lion: p S~ _/~ N~ /~~~ C! 'ANK INFORMATION ELE ATION DATA TYPE MANUFACTURER CAPACITY Septic - W ~A~..~-- /Dr,d Dosing C~h'1/~ . Aeration / Holding TANK SETBACK INFORMATION TANK TO P/L ~~~ WELL BLDG. V~to Air Intake ROAD Septic 7 ~ / ~ ~~~ , ~\/ (~' i ~ Dosing v / 7 -~ Aeration Holding PUMP/SIPHON INFORMATION ~. v- Manufacturer mand GPM d Model Number ~ ~~ D TDH Lift I~~/ Friction Loss System Hea TDH t Forcemain Le~glh Dia. n Dist. to,el],,,_ ~ ~ / SOIL ABSORPTION SYSTEM BED/TRENCH DIMENSIONS Width I Length ~ No. Of Trenches / / I _/ SETBACK INFORMATION SYSTEM TO P/L~ BLDG WELL Type f ystem: / ~ ~ T , DISTRIBUT ION SYSTEM -FY ro•u'• County: $t. CrOIX Sanitary Permit No: 405064 0 State Plan ID No: Parcel Tax No: 008-1046-80-100 STATION BS HI FS ELEV. Benchm W ~ pp . v Alt. B ~ o ~h-• ~t c~ ~ Z 00 • v Bldg. Sewer SUHt Inlet /. D' ~ SUHt Outlet ~~ Dt Inlet ,/ ~ Dt Bottom si ~, , Headgr/M~p~~^ ~~ ` Dist. Pip •9-L~ 9~ B t. System a f .~ ~ O ~'~-b Final ade /~ s .-QS'~- ~ ~- St over ,j ~" ~. oZ•~ 9l0 • Sa Of Pits Ilnside Dia. OR Number: Header/Manifold Distribution ~( ~ ~ x Hole Size x Hole Spacing V Air Intake I tI ~ ~ pipe(s) Q I ~ ~ ~~ ~~ ~ /i 2 3 1 Length_ Dia Length 0 Dia Spacing SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Only / (/ 7 /lf~'~ Depth Over ~. ~/ Bed/Trench Center '`J ~ ~~ Depth Over Bed/Trench Edges xx Depth of Topsoil xx Seeded/Sodded Y N xx Mulched -~ Y s n No , es [~ o e ( , COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / ~~ / d ~ Inspection #2: ~ / ~~ Location: 2330 County Road N Baldwin, WI 54002 (NE 1/4 NW 1/4 16 T28N R16W) NA Lot 3 ~ Parcel No: 16.28.16. 37A 0 1.) Alt BM Description = ~ D~ S ~d.o ~ ~ ~ D~ '" - /D/~/D2 D~ ~ d y ~' no~i~d ~~" O.~rtr~rnn 2.) Bldg sewer length = Q~tS~r-'-`'j P~~r ha~~ no cove,-r/e~s q' ~¢s,/s~/~°"~o~ -amount of cover = '' ~ -J ~~~~5 ar-e. /' Q,66y-~ 50> % Cwt i'ce'-' ritaer /I~ Gt~~t.2~' p c ~ nrK -Rr ~.~lfed u i 3.) Contour = ~`, '/ 2/~ ~ ~ ~ ~n I°Y ~tOf" Plan revision Required? ' Yes [- No ~ l II _i/ O -~ / ~ / T __ - ---------\ --~ ---_- ~ S-- --- j Use other side for additional information. II--_-----i___-~ /_',' , fr~~__~GL- ---- -- - --- ~ ~~~~ SBD-6710 (R.3/97) Da~f Insepctor's Sign lure Cert. No. 1 ~~f/~ 7~-.a~"lrvi~,.l~.rhaf r~.ad.~ r•~u, rs /Ca'"'~°/G~1e°~ f~`°-~.r'y"o/ s~'hi.i.'.` Safety and Buildings Division Cary(.,- ~~ ~ ~ 201 W. Washington Ave., P.O. Box 7162 ,~~On~`'I~ Madison, WI 53707 - 7162 Site Address Department of Commerce / ~ d/ SAD 23~b cTk ~ ,f.~1¢/d~J,r Sanitary Permit Application Sanitary Permit Number/ / /~ US ~ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide / "' ^ Check if Revision ma be used for second ses Privac Law, s15.04(1 (m) L Application Information -Please Print All Information RECEIVED sm~ Plan LD. Numb 7/ 7c)3~- ci Property Owner's Name Parcel Number ~ ~ ~ z d7 ~~ , v23 ~ _A- ,Or~xi ~- I~.,c7~X / la,v p2,a N,4~ MAY U 3 2002 p . io~6 - ~D - ~o ~ Property Owner's Mailing Address ST. CROIX COUNTY Property Location 0~33~ C-T~' /V ZONING OFFICE NG 34 LJ i,4; S T N, R fo City, State Zip Code Phone Number Lot N ~ber Block Number ~37A ,~ OI!> 1 ~ W/. I~dL , $yO~ M b C S N bdi i i N ~} w Yt/ b~ ~ ~u G ~ ~'~'~ er v s on Su _um ame / _ ` / / / ~- ~ / l~' T (o~ II. Type of Building (check all that apply) ^Ciry ~ p~ ~ ~ ~'' S~'`~~ - (~~ /~` 1 or 2 Family Dwelling -Number of Bedrooms ~, Y ^Villa e g ^ Public/Commercial -Describe Use ,t - ownshiP E fb+~t GALL N 5 T7Z(Jf ~ TO t/2 ~L b~ ~~' ~ ~ D ~ 1 C C ^ ~ ~ Z( Nearest Road -~ o ~ . Qr- a n State Owned ( 15 T• L ~ Q ~" ~ _ ~. S ~!- . -}-a ,M.ez~- ~ ~ ~ ~. ra,ti a~ -~ ~t~ +0 1,v1 sa4-. s sr < < a 33 III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A' 1~ New 2 Replacement System 3 ^ Replacement of 6 ^ Addition to For County use S stem Tank Onl Existin S stem B • ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) 1 ~ sT • EZC- ~ x SO ~ (o ~ ~ ~"~ S ' Z 44 ^ Non -Pressurized In-Ground 21~ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 3~SPctG~~-+~ 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. Dis ersaUTreatment Area Informat ion: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grad ~ P, _ Required Proposed Rate(Ga D /Sq.Ft.) (Min./Inch) ~ Elevatio i'n~r~ d / 1 ~ ~~ ~ VI. Tank Info Capacity in Total Number anufacture :Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks ! Concrete Constructed Glass New Existing ~~ ~~ L A - ~.~~f~ N/L1~ Tanks Tanks _ Septic or Holding Tank ~ _ O~ ~~ ~2 CO/f~f Q6 Dosing Chamber / fined, assume responsibility for installation of the POWTS shown on the attached plans. VII. Responsibility Statement- I, the undersi Plumber's Name (Print) Plumber' gnature MP/MPRS Number Business Phone Number GcJ/~i~rn ~2G X G+>.~~• / 339 o q 1 ~5 a62 533 ~ Plumber's Address (Street, City, State, Zip Code) c~~a-s~~ ~~s~~"~o~ ~rz~s a~ w~~ s~oa-( VIII. ount /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater h ) S Date Issued Is ent Signature (No Stamps) ^ Owner Given Initial Adverse urc arge ee ~ ~ ~~ ~ ~, ~ ~~~PPP ~~~/ ~ ~ ~ ~,I Determination 1X. Conditions of Approval/Reasons for Disapproval !/ k//~/ Y1G~- ~~ZO~nrrr~fi~i~~~Ns Re~tl~R~"7++~NTS CoNT1~tn/~ !~ /'. ~i/S~t~/-rltoa~ !Yt</Sr- CeZ-,~PL I ~ ~S ~q<rT~ Pocu73 ~`V i ~ ~ Cu,2,e~7~7' f~ 1JC . sES CeV~-72 ~7~ ~ ~ L I~kT~~' 7' ~v~~^'~E~.Spr ~ ~~ ~!/~ACr~~ ~ , . z, NW~A -~ .3c pc-ow~~ P~~' P~aT P~J, wzTrf Na l,~i-mPA-C.~7Q 1S ~ .(3CZJu~ roE" o ~ CQm Po alEIJ ~ . ~ - - -- -- /t7 t ~4 ~~r ' - Attach complete plans (to the (;ounty oWy) for the system on paper not teas rhea aLS x u mcnes m size`" ~'77G Al~~ c.~ ,~«ia-t;; r t (rT~`1~ r M r~i~v~ ~1"~c-r- Jer.~ ~5s aF S yi'r~.'n~ ~ -XX.. /XA^- U ~ ~ .r - SBD-6398 (R. OS/Ol) f Kot~vn~C~ f,Uo~-k l~Cz [,l F~ ~',~ , % ~,~(o ,for . ~ C~17J isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary March 13, 2002 CUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/13/2004 ATT'N: POW7S Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Dan Handrahan 2330 County N Town of Eau Galle St Croix County NEI/4, NW1/4, S16, T28N, R16W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 832299 Identification Numbers Transaction ID No. 717932 Site ID No. 641978 Please refer to both identification numbers, above, in all comes ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans. • 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. • 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(1)(a) -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. The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. P.O.W.T.S. Conditionally ARTHUR L WEGERER Page 2 3/t3/02 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. Sinjcerely, ~~~7~G~~tiQ~~~ " • Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 TITLE SHEET FOUND SYSTEi~1 FOR A 3 BEDROOrI RESIDENCE Page ~ of ~' This plan has been prepared in accordance with the Mound Component I4anual SBD-1057 P and the Pressure Distribution Manual SBD-10573-P C2. blgq~ Ctz. ~l~q~ LOCATED IN THE )V~ 1/4 OF THE NW 1/4 OF SECTION- 16 ,T Z~N,R 1(, 6d, TOWid OF ~U 6~L,l~E , Sj „ e~jU( COUNTY, WISCONSIId. INDEX PAGE l of 7 PAGE 2 Of 7 PAGE 3 of 7 PAGE 4 of 7 PAGE 5 of 7 PAGE 6 of 7 PAGE 7 of 7 TITLE SHEET SYSTEM rIAI~TAGEMENT PLAN PLOT PLAN PLAN VIEW-CROSS SECTION DISTRIBUTION PIPE LAYOUT PUMPING CHAP~IBER CROSS SECTION PUrlP PERFORI.IANCE CURVE PREPARED FOR ~~~ y~ ~ ~° ~ ~G o~ o~ ~' ~o 2 PREPARED BY WEGEF~ER SL? S L .TESTS !VG AND . . DES = G~V SIERV S CE P.O. Box 74 421 Id.I!lain St. River Falls, idI 54022 Phone 715-425-0165 Fax 715-425-6864 Fem. ~ , ~' ~~ ,.... »~,,,a. ~: ~- ~ •~ti ~, , v:~ : , '} L ; F'. FLL:'h~~fiH, 4 ti I ~, i'+ V .~ ~' p ROVE D 3_ 9=-o z DEPARTMENT OF COMMERCE D YISION O E7 BUILDINGS SEE GORRE NDENCE JOB NO . C7 Z_ 3 ~] - Mound System Management Plan Page Z. of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank I~~m !r ~~D~U(o y The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain.solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if . the alarm is activated continuously. Intermittent 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. Pum° 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 No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine ff orifice clogging has occun'ed and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked fcr 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)] 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 for water tightness and soundness. Access openings used for service and assessment shy!! ~~ ;~~!,~ ~,.ata iy-.a upon t. a compieiion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accjdental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of this system should be directed to: The County Zoning -Office at ~ 1.1S -38'6 - ~l b80 ~ S1'. e ~k1lx ~ ' The system installer at _ `~, ~S -Z~j Z-S3~ ~ ~`{~R-L.~1 The tank manufacturer at ~-pQ- 3ZS_-Sy.S6 1tiJL ~Ls12 The effluent filter manufacturer at ~l?Q - ZZ~~~ 57 ~ Z. ~,.p~~ The pump manufacturer at -- - ~[ 1 g_ Z$q- 11.4 yv~c2 Ll2-S DT !lT D7 T?.7 a ~~~` ~` bdOr b0 `NOT ~PP~C~ Z<<PVC . o ~ D LSTU 2L3 ~` ~''~ - "~ `r~.s 1 ~s. ~ ~ 1 ~ ~,~ J I 11 il~ I X11 I J°~ '~~ a `-~ '~ ~ \ ~i Z~` ~~ /~1 \ ,~ s~ Scale 1 "_ ~jQ' ~% Sr`% 26 , ~ °~C' 4 11 of ~ ~ •° s•Z I i Y ~o o -~. gr~ ll- ~ k~ -~. d a ot~TOwt oF- ~.C~-C. L-'Z~,V q ~. p ~ CP ~ ~ ~. e~ ' N " `3-~1 }!-l __ Lst--~ C-00; 0~_OJV-~i~ -UF-t~J~2L-~~~J • - t3r't ~-2=;- ~Z._ LoU• O.. d,v l3oT~-v6~i C71= S c t~rhrG J d~ P __..._ ' NOTES : ~ ~- 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation apes with approved caps. ( Z required). 3. Septic tank to be Zpo~ ~~sd gallon capacity manufactured by 4. $ench marker = SL ~oV~ _ Page 3 of 7 ~ SLSPTI,C. C Zb SC 'E'i BY~l~ O hJ t~J Z'4~.11-r ~'3 C~ ~ C-0Q~, 3 B~ \~ ~~ ~ 3i")tl-Z 5. Divert surface water around system to prevent ponding at the uphill side. Page ~ • Or 7 Approved Synthetic Covering ASTiK C33 Distribution Fine ~~~~~ Medium Sand Topsoil-" _ H =_'"" ~a -~ -_~~-- + F Elev . G. ~ • -.J - ~- ~~ p . 3 E ~~" - y . % Slope Distribution Cell of ~ Force Moin ~" to 2 2" Aggregate From Pump CROSS SECTION OF A t~i•OUND SYSTEK S~~ >_ 3.v Linear Loading Rate= q- 0 pD/~ FT ~' _ '~ Design Loading Rat -p.u PD/SQ FT • a~ • L • A °1 ~ Ft. B so Ft. I `Z Ft. J S Ft. K B Ft. L ~ 6 Ft. W Z (o Ft . Flowed Layer D o. S Fi. E ~-86 Ft. ~6-~Ft.l(~`~~~ G d- 5 Ft. ~ 1' L- o Ft. ~ .nervation Pipe ' A o--~----~~-$---- --------- ------=------- ------•1 w t--~- --~------- ------- ----------------------~ L-- -- - -- -=----- Distribution ~ ~ 1 „ ,~• Pipe Cell of z to 2 z ~ aggregate • Observation Pipe c~+a~or securely) K (p [fie,-a.ls .Force Moin ~~~ ~ s ~ oPppS~`i~ t;~o . ' •• PLAii VIETrl OF A MOUND SYSTEt4 Distribution Pipe Layout Page S of 7 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 use of long turn or 4~ ° fitting to a point within six . inches of the final made. Terminate the ends of the laterals with a vaIve,.'tlzreaded cap or . threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug. - ~_ -'-=, CC`SS 80X._ - T ~t P.1 Ct~ L . ~,~95 S .. S':t-'t111 F~7 PVC, Lateral ~ ~. Manifold ~'~ C r---Lateral x ~- x P L~p,-N V \ ~j --- o- " P a- -- i o- _ r?cr~~ son ~~~ - -o rrsutw~o ---- PvC'=°Q~ r~r~ - _ ~a P ~~ Ft. ~ ~ Hole Diameter 31~(, Inch - --~ S -3 Ft. - _- Lateral I ~ Inches) ~-3 Inches Manifold Z• Inches - - ~ Force Main " ~ Inches - - ~ of holes/pipe 1 3 - Invert Elevation of.laterais q~-5 Ft.~ . 13~v,b6= ~-~ x~ . sL,~~- 6pyy ` _ _. ~ -~ - Combination Sept~.c~.Tank and • ' PUMP CHAMBER CRO55 SECTIOkI A~10 SPECIFICATIOfJS' PAGE ~ OF ~ .._. - • -VEuT CAP ~~' WEATHER PROOF .IUUCTIOU >jox . ti C.Z. VEIJT PIPE ~ .lPPROVED LOCK11.lG ~ 1Q' FROM DOOR. MAIJHOLE COVER cvi"(1'l :iiAJDOW OR FRESH ~ wAR.-J1U6 LF4gEL, u.~3P~Ct1orJ P IPEr p~~ NJTIIKE ~ cor.~Dutr _ 'w~h1'I.CLT16q"7-i'A'Q ~ ~ f .. ~ I . ._ ~ FlNls~ 6`.~w. ~j.~-• ~6 ~ ~ I `f~HU1. ~~"c~E ~ ~. 18'Mlu. I ~-- ~~`~ _ . _ _ _ IIJLET o ;~• PROVIDE i - -- •'' AIRTIGHT SEAL I III ~ f • ' I"~ v Approved Z~~- uc~ y --A ~ ~~I Approved joint w/ I joint w/ PVC pipe 1(~i ~$~O I I I ALARx PVC pipe e ~I II . ~ I I • I ( ou C •I I LLEY.S ~•-ODfT ~ I PUKP ~ -' pFF • ~ O D CO-JCRETE RISCR EXIT PERMI•frED OIJLy IF TAUK MAUUFACTURER HAS SUGH APPROVAL~3NAP~~FC BFOt~ 1 N 4 SEPTIC F ~ SPEGIFICATIOt\1S DOSE TA-JKS MkaJUFACTURER:~I ~~ ~~C~~ IJUMBER OF DOSES: S' y TA1,IK :,IZL: 1y 00 ~ bS0 GALLOAIS PER DAB DOSE VOLUME r • ALARM MAUUFACTURCR: - S'S• L~-~-~IZ-C~ SLGS~•1S 1NCLUOlA1G 6AtKfLOW: `L3•S (,ALLONS MODEL I.tUMBER: ~ ~~ 1~W CAPACITIES: A= 1v01l~A1CHC5 OR 31'x• SGALLO SWITCH T~PC: ~ ~Z °L~J~Z'~ AIs '' 8 = - iucx>=s`oR 3y• OGpLLOUs PUMP MAUUFAGTURER:_ ~~~~-S ~/~Z~UCHESOR ~~•SG MODEL IJUMHER: ~ ~ ~-) O __ ALLOUS 1 `Z ~!~V,O D= SWITCH TYPE: ~ ~~'~-~1 iTk;ricS uit GALIpIJS -JOTE: PUKP AUD ALARM ASR `TO 6L~6~D M1WlMUM DISCHARGE RATE S~'~$ GPM INSTAlLEObtiI SEPARATE CIRCUITS VERTICAL DIFFEREIJCE DETWCEU PUMP OFF AU .. RIBUTIptJ PIPE.. q__Su FEET I~•~ f KIUtMUM ~tETWORK SUPPLY PRESSURE .. ,~ 3cs~o ,3"~S•FLET ~ Sxl n 2 ~~ 3~~ . . ` . - c~• ~,~ -F .=y_ FEET OF FORCE !'1AltJ X S'Z9 F~oF~,FA CT1ofJ FACTOR.. 3' ~~ FEET ^'. _ _ • TOTAL OyWAMIC HEAD = ~s~ AZ EET As per manufacturer l1•t~ gal/in. Liquid. depth ~ ~~~ per- 6 ~ -1 ti 1= ~ ME40 Series r' 4/10 HP Effluent and Drain Water Pumps Pertormance Curve , MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250. 300 350 40 35 30 ~ 25 20 J ~ 15 H 10 5 0 12 10 N F- W 8 E Z ~r 6 2 J Q 4 H O H 2 0 10 20 30 40 50 60 70 80 90 100 0 • CAPACITY GALLONS PER MINUTE - > _ ~-~~_~- 1101 Myers Parkway, Ashland, Ohio 44805-1923 ,;= 419/289-1144 FAX ~t19/289-8658 Telex 98-7443 r~aaco i/yi Printed in U.S.A. - 12.. 11:09 FAX 651 731 9767 JIUK SALES COMPANY ~ JH CARSON-Iit1DSON X003/003 TOTAL DYNAMIC HEAD/CAPACITY PEf.' MINUTE EF~I DENT AND DEWATERING 0 T CJ `¢ z 0 0 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available, ~cn'ical alternators, for duplex systems, ale available and supplied with ~ alarm. - variable level control switches are available for controlling single phase ~- • Double piggytl2clc variatNe lave! float switches are available for variable level long and short cyde COntrds. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130°F. {54°C.) special quotation required. 1521153 Series 1521153 MODELS Contrd Sd~ . Yoltc.P4 ` J<Wt14- _{y~ SIn _ Du I~ - N15L 115 1 6.5 ~~ 1 2ar3 BN151 115 1 Auld 8.5 Inckded 2or3 E1S2 230 1 Non 4.3 1 2 or 3 13E152 230 1 Aua 4.3 Inducted 2or3 N153 115 i _ Non 10.5 1 2 or 3 8N153 115 1 ~~ AulO 10.5 Mcludrod 2or3 E153. 230 1 Non 5.3 1 2 or 3 8E153 230 1 Auto 5.3 _ Induded~ 2or3 A CAUriON AN inslapalioa or wntrots, t>rotection devices and wttlrlg should he done hY d quaifiad 6unsed electrleiatr. All electrical and safes codes should be rolbvrcd intludmg the moat recent National Electric Code (NEC) aad the Oxupatloaal Barely and Heakh Act (OSHA} MODEL 152 t 5.3 ~e ~t Mears Got. Liters Gol. Liters _` 1.5 69 261 77 29t 1:1 3.1 61 23t 70 ?.65 t:; 4.6 .53 20t 6t 23t 2;7 61 44 107 57 197 2.:i 7.6 34 129 42 159 3(1 9.1 23 87 33 775 3:; 10.7 -- -- 22 85 41i 12.2 -- _ t ] 42 ?.o-k Vplve' _. .. 38.0 R. (11.6m) .. 44.0 Et. (13.4m) ~~ ol45oe s I/a 3 2//37... - ~_ 5/8 1 3 27/3 3 27/32 _~ .... i I 1~ r/a 1_ ~ - -' - - 5 ~ ~ __l. - - - ~ SELECTION GUIDE t. Single plggyba~CVariable level fbat swig double Pi99Y~~ variable level float switch. Reterl~ FM0477. 2 See FM0712 trrr carted mode.] of Efecftfcat Alternator E-Pak 3. Variable level c~ntrd switch 90-0225 used as a corrtrol adNator, Specify duplex (3) or (4) float sys4~m. RESERVE POWERED DESI~;N For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. NAZI 717: P.O BOX 16307 lnuti5vr7te.KY 4!125611347 atanulacruicrsor.. ~O S11lP ra 3649 Carom Run Road •o A • L.OIwSNIk' KY 40211-196! lrtlpJhvwwsOCJJCf:tom /-~~~ `0 (502177tt.2731.1(BtX>) 926Pt144P V•rAeL/7!'PU.NP9 SNCf ~.93„/. FAx~ 774~2d . ~ Copyrigtt2 2000 Zoeller Co. AU rights reser+ed. ~ _ _ LITERS 0 80 160 240 320 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of 3 Di-jsion of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code r,. ..~, Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must vvy ~ S ~ G~) ~. X include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, sple or dimensions, north arrow, and location and distance to nearest road. parcel I.D. Please print all information. Personal information you provide may be used fors n a r'~®, s. 15.4 (1) (m)). Re 'wed y ~ Date G~%~~~ ~~{~~y.v ~'~j Property Owner \ ~p~, ~ ~~ 1,` f 'NL~ ~ N ~ Prop rty Location t N~ 1/4 NW1/4 S 1 ~j T~ N R 16 E (o W Property Owner's Malting Address y ~ ~ 3 ~ ~~.1LU~ ~ ST. CROIX COuN City State Zip Code P ne Nu l3~-D~v~ 1~J -,v S ~ pU Z (~ l S) 6 88 - ZS 1 ~ Lot # Block # Subd. Name or CSM# Y ^ Village ®Town Nearest Road ~ EPrv G~ = ~,ov ' N y ^ New Construction Use: ~ Residential / Number of bedrooms 3 Code derived design flow rate ~ S q GPO (Replacement ^ Public or commercial -Describe: Parent material __ L 0 ~~g D V ~ ~. 1"7 t_~.. Flood Plain elevation if applicable 1~ ~ - ft_ General comments and recommendations:. ~ uU y~ W l ~ r ~ S ~ ~ l7 LS 1 lZC Q V ~C10h) L`.~ZL • i~ L %V L1~lU1M (~ ~r Cpl= S Ft C_L, ~C;h11U v2. ~~ , °l, b , S a Boring # ^ Boring ® pit Ground surface elev. ~ S • S ft. .Depth to limiting factor 3 3 in. ~G Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -8 >-o~ cz~ t - s ` Z~F-s b k ,>~~ ~S - . s _ ~ Z. 8' ~ lOK2 3t6 - s t 1 3`~sb k v~.`~ e w - , s . S 3 3 3 ~l0 ~ S~2 R X116 ~ l`F ~ ~S X2-5 ~~ s~ ~ ~ Z e-s b k »a `~(- - , -Z . 3 ^ Boring # ^ Boring pit Ground surface elev. ~ ~ - Z ft. Depth to limiting factor ~ 6 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I o -g 1.b~-t1~z~Z ~ si 1 Z`~sbt2 -ti1'~1- C,S - , s ~ i3 Z. $-27 l p`~z3~b - s i I 3'('-s6 k ~ rn'F-- eel - ~ S - Y~ 3 z~ -3 b l0 ~2~ Cro _ Sit Z -Y- e b yn ~ et,v - . S ~ 8 y 36 0 ~-s~~z~C6 `~-L~' ~..S~t2S~£~ sicl L°~--Sin yyl'~. - , Z -3 c~~~uo~~~ n ~ - ows ~ vv ~ GLU mgrs ana t 55 Hsu _< i5o mgiL ~ Effluent #Z =GODS < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ~i lure .O ~ - 3~ CST Number Arthur L. iJegerer 220254 Address W e g e r e r. S o i l T e s t i n¢ &, Design S e r v i c e Date Evaluation Conducted Telephone Number 421 J. I~iain St. River Falls, [7I 54022 3-S-oZ 715-425-0165 Property Owner ~1Tl~Ut~H''~t~N Parcel ID # Page ~' of Boring # ^ Boring (.~ 6- 3 - [~ Pit Ground surface elev. ft. Depth to limiting factor ~-+n. 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 -~ lo~trz 3 ~~ - s i l Z.~sb1z v,~,~,.. _ - s - . S • ~ Z z.0 Lp~ttZ~~(~ -- S%I 3'Rsbl~c yyl`fj^. ~ Lv ~ • S •8 3 Zo-~3 lO`ZR3`6 - SiI ZmSb ~,n~. w - . S -L ~l 33 0 ~ SY 1Z~/~ 'Ffi~~ S`-tiZSIB S i C ( ~,c.S k 1m `fit- - . Z. • 3 Boring # ^ Boring ®Pit Ground surface elev. ~ ~ -Z ft. „Depth to limiting factor 3 O in. Soil Appligtion 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 1 0 -~ 1D~tR- ZCZ - si I 2~sb--z wt~Fy- _ c ~ ~ ~ • s .~ Z -30 1~`L2 sl6 ~ si( Z-~s6 m`Fi- c ~ - .5 . g 3 3~ ~ -S~12 yl6 `Fl ASK 2 S~~3 s l~cl l e.~b h~.`Fl- - - Z -3 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limitng factor in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bou! ~dary ~ Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 =GODS > 30 < 220 mg/L and TSS >30 < 150 mglL ' Effluent #2 = BODS < 3t~ 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 1`I'1' G08-264-8777. SBD-8330 (R.6/00) Scale 1' =30 ' ~. e~ ' N " <... ,-.JOT L`-C~^'1 P A-~.T~ ~ SL~~~C. D LSf V 2i3 I .~~- -' ~`1'o wt I 1 ~ ~o ~~ ~ ~ ~ ,S , a -~- e• ,~ ~ ~~ ~~ ~~ ~~ s~ t3r't #'-2=:- ~Z_-_LoU- 0~: _d-~- _ ~oTYvtM _o~=: S c:'D~h?~- . ~: Y/ CST Signature 3 -S-UZ 715-425-0165 220254 Page 3 of• 3 ~, O Z_ 37 Date Telephone Into. CST A1o. Job P10. Wisconsin Department of Commerce SOIL EVALUATION REPORT 1 of 3 Division of Safety and Buildings Page in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County S ~ G~~ 1 X inGude, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, sple or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner ~ p p~-~~ ~ECEIVED Pr perty Location 1~" "" L~~ t 1J~ 1/4 NtV1/4 S 1 6 T ~ N R ~ (~ E (c Property Owner's Mailing Address Lo # Block # Subd. Name or CSM# X330 ~v)v~ ~~, "MAR 1 8 ~n01_~ City State Zip Code hone Nu ~'l~.-~lJi 1 ~ 11.1 ~j ~ ~U Z ( 1 S)T ~~~ NTY ity ^ ~Ilage [Std Town Nearest Road . EP,rU Gr°l1. ~ i Covr~ ' N y ^ New Construction Use: ~ Residential / Number of bedrooms 3 Code derived design flow rate ~ S y GPD Replacement ^ Public or commercial -Describe: Parent material L 0 ~jS O V ~'~ 1-'- 1 ~„ Flood Plain e!evaticn if applicable ~ ~ - ft. General comments and recommendations:. ~UU ~~ W l g r~SO ~ l~ LS 1 1Z1. (3~/`j11~ ~(,., ~ L iV L1v1.UlM (, .r ~i= St~~ Ft LL, ... ~C-~TU vim. NZ~U , °L 6 . S . ,.., r~ I 1 I Boring # L! ~onng _ . I r I ®plt , Ground surface elev. q S • 5 ft. nenth to limitinn faMnr 3 3 Horizon Depth Domi t C l Soil Application Rate i nan o or Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I o -8 ion rZ~ t - ~ s ' z~s b k .vvr~~ ~S - , s _ ~ Z, ~ ~ lD`~2 3Lb - s i 1 3`~sb k y~,`Pr e w - , s • 8 3 33-~10 ~ SLR ~~6 ~C`F ~ •S `~tZS ~~ sic I l ~S b k h1 `f-t- - , •Z ~ 3 Boring # ^ Boring Pit Ground surfarp alPV ~~ - Z w r,,....~, ._ ~:_:.:__ ~_.__ ~ >i-, -r - -- ~~~-~-- ~' --~-~ ~~~~ Horizon Depth Dominant Color Redox Description - Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I 0-g l~`-LR-zLZ ~ ~ Sil' Z~~I~hc ~'1~f- CS - ,S ~~ ~., S-Z-~ 1, p~tZ3l1, - sit 3'~sb k • rn`f,- e~ - ~ s - ~ 3 z~-3b l0`ZtZ-3 L6 - Sit Z wtab y,1'A- C.t,v - •S •8 y 36-SO ~-S~~.s~L6 `FL~1..S~i2SL~ st:cl 1.e-SIB ~~ - , Z -3 'Effluent #1 = BOD, > 30 < 220 mglL and TSS >30 < 150 mg/L ' Effluent #2 = BODs < 30 mg/L and TSS < 30 mglL CST Name (Please Print) i n lure CST Number Arthur L. ~tdegerer ~ ~ ~ - ~ ~ 2= 3~ 220254 Address W e g e r e r. S o i l Testing &, ll e s i g n S e r V i C e Date Evaluation Conducted Telephone Number 421 i~T. Ifain St. River Falls, [•7I 54022 ~ 3-5-b'Z. 715-425-01 b5 . Property Owner ~1~-~ HEN Parcel ID # Page Z of a Boring # ^ Boring ~ 6- [~ Pit Ground surface elev. ft. Depth to limiting factor 3 ~`'~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/itz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 o -~ l0`i'. (Z 3 lz - S 1) Z~sbl2 yyti~. ~g - S • ~ Z -z.o >,o~~~l~ -- s~ i 3 ~sbk yn `fit-- ° ~v - • S • 8 3 Zo-33 lb~R3l6 - sal Zwtsb ~.~ el," - _ S _p, y 33 -~o ~~SY ~4~/6 ~l'F- ~ S~ItZSl8 s i C S LAS hk vat.'Ft.- - • Z.- • 3 Boring # ^ Boring ®Pit Ground surface elev. R 6'z ft. Depth to limiting factor 3c) in. • Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -~ IpH R z.CZ- - si I 2`~'sbtz wt,`Fh ~s - ~ • s - ~ 2. ~-3D li,`t2 sl6 ~ Sil z-~Sb m`Fi- ~r,~ - .S - F3 3 30 3~ -~ .5'x-!2 yl6 `~['~ 1 S ~t 2 S~8 s l~ l 1. e.J b h~ `Fi- - - 2- -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/ft2 in. Munsell Qu. 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 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you raced assistance to access services or need material in an alternate format, please contact the department at 608-26G-3151 or TTY G08-264-8777. SBD-8)30 (R6/00) PLOT PLAid Scale 1' =30 ' Page ~ of• ~ • a~~~` ~ \ b0 YV 0~' C-~'1 P ~1- ~ SL~~~C. o1Z ~~SfU2D r 3 6~ \~ I e-4 ~`tv-~ .o ~ ~o. ~i ~ ~ ? '-~. e.3 o ~~, zb. ,_ cAYV~v2 ~.~ . ~1,6..S' ~~ i~ ~~ s~ ~ ems, N» _ _ ~3-'1~i-1 __--LTL-. 160-D':--~-~T6is_:UF-fi~~-~~_.___-- ~~=--~?-=--LoU.:O,.=ai~r:_~oT~-Uwi. -o~-"sz'p~%~6--- . ~. 3-5- 715- 2 _. _ - --- _ _ - ". ~. UZ 4 5 •1G5 220254 o --L g,~ -~- r ~I P t7 Z_ 37 CST Signature Date Telephone Ito. CST Alo. Job I10. isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD lA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary March 13, 2002 CUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/13/2004 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1 t O 1 CARMICHAEL RD HUDSON WI 54016 SITE: Dan Handrahan 2330 County N Town of Eau Gatle St Croix County NE1/4, NW1/4, S16, T28N, R16W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 832299 / ~~cF/V ~qR FO sr ~ 1 s~o ?oryROi-1' O? C ~COFFOinNTY ~ Identification Numbers Transaction ID No. 717932 Site 1D No. 641978 Please refer to both identification numbers, above, in all comes ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans. • 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. • 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(1)(a) -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. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. ARTHUR L WEGERER s Page 2 3/13/02 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. Sincrrerely, 4~~~w~%~~~~ • Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commercestate.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 ST CROIX COUNTY ~~op~-D~ !~ SEPTIC TANK MAINTENANCE AGREEMENT ~~~~ 1? AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~A hl ~A ~ D,~~`t KR f~ Mailing Address ~ ? ~ C~ ~ ~~ l~ Property Address k~ L ~ w ~ "~ ~ ~ ~da Z (Verification required from Planning Department for new construction) - cityis t A-~ ~.-~ ~ ~ T~~' Pazcel Identification Number DC~~_ fly `~~ ~~ ' /UU /C~-zb'•/~-X37/-~-- /~ LEGAL DESCRIPTION ~ vT _3 properly Location Iyl~ '/., N ~ %s, Sec. ~ T~N-R~_W, Town of /-~1(~ G' CL~ . Subdivision .Lot # / / - ,• Certified Survey Map # ~ ~(~ ~p ~ ~ ,Volume ,Page # ~' ' Warranty Deed # ~ ~ ~ ~~ ~ ,Volume / ~ 1 ~ .Page # ~ ~ ~ Spec house ^ yes [~ n Lot lines identifiable ^ yes ^ no CSryt 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumber or a licensedpumper venfyingthat (1) the on site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. ~~-~ ~ s / 3 ~ ~ L SIGNATURE OF 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 described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~a-N-~-Q ~ ,S ~ 3 ~ o Z~ SIGNATURE OF APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed r~ ~ ~ 3 ~._ i~t AY U ? 2001 ~ ~''~/~ / CERTIFIED SUR VEY MAP Located in the NE '/. of the NW '/e of Section 16, T28N, R16W, Town of Eau Gape, St. Croix County, Wisconsin. OWNER/ SUBDIVLDER SCALE IN FEET I" = 100 10NTRINSO - 2330 C.T.H. "N" BEARINGS REFERENCED TO 0' 50~ 100' 200' Baldwin, WI. 54002 THE NORTH LAVE OF THE NW'/. OF SECTION 16,ASSiJr~D N87'20'44"VU. NORTH LINE OF THE Ntg2/4 N87' 20' 44" w 2 629.00' 1,312.00' 1,312.00' NW CORNER, SECTION 16 I ( FROM TIES OF RECORD ) ~ I Eil ~ N1/9 CORNEA, SECTION lfi .gr Z ~ ( ALUMINUM CAP FOUND ) ,P'i, Q!I N F [F[F[F.~••:::: LOT 3 CONTAINS o I V11 ~ 117, 095 SQUARE FEET ( 2.688 ACRES ) ,n INCLUDING RIGNT-OF-WAY QI ~ h11 M 95,693 SQUARE FEET ( 2.197 ACRES ) y IC7 °o EXCLUDING RIGHT-OF-WAY N ~I~ "IN O O F 33' 33' ~_1NPLATTED LANDS w Scale 1" = 100' ~~ z - e.°3 S 87° 2°' 45" E 373.65' __ ~~~ ,~ ., I n a, 335.62' ~, ~ .a u? I m "r~~ o / /i ~ \\ UI ,,~'~ N a0I YVi APPROVED $T. CROiX COUNTY I ~ w SHED O Planning Zoning and Parks Committee ,~ I O ~o `^ : SEPTIC MAY 0 4 2001 I ~ a - I .r, DWELLING SHED 1 \ I .~''i v N I~ If not recorded w(thin 30 days of , o x o approval date approval shall be ~ ~ o GARAGE o I~ nWlandvold e z WEQ a.. a ~, ~ ~ w IH . 2 ~ '-1 CUR TION ~Irnl I \ 1 h~rcy~~c - ~ Ih CURVE i "'~ ~ "'~ \N sy• ~ .~ttN• b RADIUS- 716.OU' WWI ^°' ~oe, ~~~- ~ ~ ~ m ICn DELTA- 10°17'33" p~ a~~ .~A\ C~ N ~aw CHORD-12s.as' MI ~ w I •L,~a ~ y ~ 9 N59°I7'34.5"W rn I ?, \ oe ? ARC LENGTH- 128.62' h pier ~~O yew s y TANGENTS COI ~ "I '~.~\ +~. ~,, ~' 1N- N54°08'48°W til ~~ l EGEND Os, \.~1, 323 OUT- N64°26'21"W a ~ SECTION CORNER ` _~.~~~ .° CURVE 2 UI ~ i ~ MONUMENT (AS NOTED) \~~~ °' RADIUS- 749.00' DELTA- 8°l6' I S" 1"IRON PIPE WEIGHING ~ `° CHORD- 108.03' 1.68 L13S. /LINEAR FOOT. ~ N58°I6' 55.5"W ~ SF.T. (PIPE SET ARE 24" LONG) CON \ ARCLENGTH-108.12' .Q~ •-••••s~ti ~ TANGENTS IN- N54°08'48" W OUT- N62°25'03"W THIS INSTRUMENT DRAFTED BY: JOSEPH W.GRANBERG PREPARED BY: GRANBERG SURVEYING 1239 C.T.H."E" NEW RICHMOND, W1. 54017 PHONE (715) 246-7529 _ JOE Nn ntsu Vot.15 Page 4079 EPH W'' ,;,\ * lr • NSEA3 i S-22P5 t NEW Fi~CiiM.7!:'i i PVI ~`9~~••S4Hy..~J SFIEET 1 OF 2 vor..1.~~~'FarE 495 STATE BAR OF WISCONSIN FORM 1 -2( Document Number WARRANTY DEED This Deed, made between Jon C. Trinko and Stacey Trinko husband and wife Grantor, and Daniel P. Handrahan and Kathleen L. Handrahan husband and wife as aurvivorahi marital ro er Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property") (ifmore space is needed, please attach addendum): Lot 3 of Certified Survey Map recorded in Volume 15 on page 4079 as Document No. 644641 being a part of the Northeast Quarter of the Northwest Quarter (NE'K of NW;s), Section 16, Township 28 North, Range 16 West, Town of Eau Galle. Together with all appurtenant rights, title and interests. 66 87 6 4 i:aTisl_i EN H. WALSH REi:;ISTER CJr DEcDS :~i~. i:;klli: i:Q., WT kECEiVFD FOk kECDkD 4:-i?1-eoae 9:44 an dAkkANTY DEED iEhPf q CER? COPY FEF.: CUCY FEE: TkANSFEk FEE: 399.04 yECUF'D~iiG r'EE: 1i.44 PAGES: 1 Area Name and Return Address Title One Premier Group, Inc. 706 19th Street South Hudson, Wisconsin 54016 OOB-1046-80-100 being a Part of 008-1046-80-D00 Parcel Identification Number (PIN) This is homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways, Easements, and Restrictions of Record. Dated this 18th day of January 2002 . AUTHENTICATION Signature(s) '~ U authenticated this day of i ~ F T} TITLE: MEMBER STATE BAR OF WI IN ([f not, /b,'9j~~~_~ s authorized by §706.06, Wis. Stets.) "lrlh)Itt"W"` ~~ THIS INSTRUMENT WAS DRAFTED BY Michael H. Forecki Attorney d7ti ~ •J n C. Trinko i ~ I '" Stacey Trinko ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix County. ) Personally came before me this _ 18th day of January 2002 the above named ,L4n C. Trinko to me known to be the person s who executed the fore it stru ent and a ow/ledged the same. - - ~L ~ 1 • Ka~~ P m ~T ~__. Notary Public, State of Wisconsin My Commission is permanent. (If not, state expiration date: 'Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR pF WISCONSIN FORM No. 1-2000 [torney Michael H Forecki 1830 Brackett Ave, Eau Claire W 154701-4627 Phone:(715) R35.3029 Fax: (715) 835.4112 Michael H. Forecki ~ Producse wIM ZipFa,m'• RE FamaNet, LLC 18(125 Fiaeen Mile Roatl, CIMm Towmahip, Michgen 48035, (800) 383-9805 T4537137.ZFX