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018-2015-00-001
tment of commerce PRIVATE SEWAGE SYSTEM County: St. Croix ig Division Sa 'ary Permit N INSPECTION REPORT Elm S LA- INFORMATION (ATTACH TO PERMIT) ate PI n ID No: Irtion you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. G Permit Holder's Name: City Village X Township Parcel Tax No: Weidlin , Nicklas & Debra Hammond, Town of 018-2015-00-001 CST BM Elev: Insp. BM Elev: BM Description: Sectionrrown/Range/Map No: yG $ I 35.29.17.1120 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Bench rk /00 D I sr 76 103.q V8 Dosing Alt. BM f~vp, Pe WGt~~ a Aeration / v,- Bldg. Sewer f Ql (P 14-e- it- Y Holding j S t Inlet encA yv / St/Ht Outlet TANK SETBACK INF R TION TANK TO P/L BLDG. Vent to Air Intake ROAD Dt Inlet Sep Dt Botto Se tic I r~f (mI d D 04 uVY1 r Dosing f Head an. Z~ 2 ~ l•7 /oo~~ Aeration Dist. Pipe toz) Holding Bot. Sys~@m V►'wr 2. C// PUMP/SIPHON INFOR ATION 14 K Final Grade Manufacturer J , C-h' T, De n St Cover r GPM Y(N S Z '7 - Model Number ' ~Y a , I 2• 5. 5 cjg, TDH Lift Friction Loss Syste, ead TDH Ft Forcemain Length / iZ o Dist. to _elf f Z SOIL ABSORPTION SYSTEM S 'S 5' S BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. / Liquid Depth DIMENSIONS O C SETBACK SYSTEM TO J P/L BLDG WE LAKE/STREAM L CHING ufacturer. INFORMATION CH!U R OR Typr~Jaf,,System: rw / 1 NI Model Number: DISTRIB N SYSTEM 44 0 ✓"~?t Head anifo /j Distribution r r x A Hole Size x Hole Spacing V to AiryntakeS. D Pipe(s) (o~ 2/ SS LengthDia Z Length 5 Dia Spacing l 1 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems t od t♦k Depth Over Depth Over o xx eeded/Sod Iche Bed/Trench Center Bedrrrench Edge Tepth oil O 1--o 0 Yes No # Yes No M 94;f code d• crepencies, persons present, etc.) Inspection #1: 1 z~ nspection #2: l / Z/~ ( (l W~ All,- d r 1ve L. (0 c u,' s 777rrrl y~~~n o: 35.29171120 arcel N Location: ammond, 1RVf 4015 (SW 1/4rNW 1/4>35 T29N R17W) Croix Hills Lot 1 ctw.-tX U 1.) Alt BM Description P 6`~ Y/ pp(( 2.) Bldg sewer length = l~ / ~~0 U - amount of cover = Plan revision Required? ~ Yes No lQ S~ Use other side for additional information. __r__j Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) , a~ ""'u^r County . of. Safety and Buildings Division Gr0 s X f D ` K 201 W. Washington Ave., P.O. BOX 7162 Sanitary Permit Number (to be filled in by Co.) p Madison, WI 53707-7162 55(4o32-0 '~SIpHR~ Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address( diff ent 1v}~ ad s) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15.04(1 (m , Stats. 1. Application Information - Peas Print All Information u Property O er's Name a 4. Parcel # G f.J 61 201 - 6a 00 Property Owner's Mailing Address Property Location Govt. Lot City, State M INb Zip Code ~6 Phone Number Section 3 -..}}circle one) T N; R -1 circle or W II. Type of Building (check all that apply) Lot # ? Subdivision Name ❑ 1 or 2 Family Dwelling -Number of Bedrooms 3 Ok Od Block # G I'l 9 1 e` ❑ Public/Commercial - Describe Use ❑ City of ❑ State owned - Describe Use CSM Number ❑ Village of A-rown of /V1 40 e__ IT c-J III. Type of Permit: (Check only one box online A. Complete line B if applicable) A. ❑ New System ❑ Replacement S System El Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain) Y B. El Permit Renewal errnit Revision ❑ Change of Plumber 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) d ^Tbj C, 725 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil' ~7 ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) L• / V. Dis ersaVrreatment Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Re uired (sf) Dispersal Area Proposed (sf) System Elevation 45 D• a+ I / Z5 Il g'7 9 • 7 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units U y New Tanks Existing Tanks c a? Y w c~ L✓ 4/CQti. a. U cn y v1 w C7 a, x- Septic or Holding Tank Jym Dosing Chamber 6ao VII. Responsibility Statement- I, the undersigned, assume respo s' il' for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Sign MP/MPRS Number Business Phone Number 5~..~••r,~. ; r z1 o 0 715- 7rJ - 64P 5 Plumber's Address (Street, City, State, Zip Code) VIII. Coun /De artment Use Only Approved is Permit Fee Date Issued Issuing ent Signature $ a 5.. 60 roen Reason TPenial IX. Condi*k08Tffl"prN easons for Disapproval 3, A t~A b o . 4. peptic tank, effluent filter and p ;dispersal cefl must of be services / maintained GLI'L I` G. p¢,c„ ~ - ` • s ~ ! ob per management plan provided by plumber. 2. 7 law"ck requilements must be maiM ndo as per fipple dodo / ohs: Attach to complete plans for the system and submit to the County only on paper not less than 8 1n x 11 inches in size SBD-6398 (R. 11/11) a N O ~ N N M ~ ~ (7 ~I~tO ~etM~ t l 1+1+ l 1+0 0v~vv V4WI v~~t4ir°~ J :t4+10 pnp { I I I I I I I I I E ~m~~~~ A zs l l I W J ~N~ v`Fi t+f N N N I I I H+II I I I °r $ A I 1 I v m V ) Z V a~D° ~(p 1 I I 1 I 1 I 1.1 1 I E vaoar ~vp tNO m W--- 1 E 7 W %a I fn 7 ao to I l cn N {l e1•M N.- I o C LL V'n 13 r W V Ll 2Q M fO M 1 d pp 7 O1 cn tnN s m N I I 1 I I 1 I I t ~o N Ml i l RIM fl. { 1 q a N o - L Lf) 6 °v a co LL CO) v ~ W ~y W v 0 { I I I I I I I I I I E C N N p p ~a E l JMNN.- o I I I I 1 Nam ~rj I i l l t O E c-E J 0 = 7 = O M tp c 7 c C7 OMi r ch M I 1 1 I I I I t I I I N N I I I I I° ~n M rn 1 I I I I I a O U N W (7 a ` V Z M C N N rn I i 1 t I 1 1 i 1 I l E 22 z;; ~n y ~vy (V~ t°v~ o I I 1 I I ~E O a O_ J O J N N N N N N N E C O Q W 42 0 C S LL O W ~y N ~jrp<N I I 1 1 I 1 1 1 1 1 i 1 tM.i ~ 3 G mac $umi in tR s o93 1 I I I 1 m V tNp 11W m I0 V a NN 0 E Z N ~ ~too~~~ 1 I 1 1 I I 1 1 1 1 1 1~ o ~C~NN~rN~ 1 I I I I i 1 E ~ Z O W M n ~ ~ N Q ~Sj .d t l 1 1 i 1 t I i t i 1 N ~mm °m ~n u~i 2 v 2v 1 1 1 1 1 1 1 N~^~ 1 1 t I i 1 I I 1 1 1 E rn ~n c O Y~ ~ ~ u7 ~ M t+I ~ Ki ~I ~ r m I I I I I 1 1 1 E ~ O J r C -181-11 i l l l t l t t l l i 1 1 ao o S c~ ~ rn o N ~n o ~ ~ r•m oN 1 I I 1 1 I I I u~i aN W N I I I I I i l l t t t i i m o "~p+ M J a 8 N i i t l l t l t t l l t l of co m t i I t t i I 1 I E r J i i i t M a N ° I 1 i I t { I 1 i 1 1 1 1 0 W d ~ ! g rn > U m oll 00, N~ t0 ~t0N N MMR V LL')U7 t0 tD ~m MM U J Z_ J M V' t D 19'7 t 71 N LL' J .6 N N N M CMn t~+I M= m ~ O~ W U o 000, A l p °mr°c cOV 'N'> Z 4 0 d LL~o^onooooooooo°t°y~°~r w NNMd'MZFZWM ? -0 0 A 10011 10001, 1 L/0, ^ LL O W - 0 3 w J co =3 0 N LL, a- W d LL CL W M m ol~ 'p r fVart I Tz-lf ~ W M 100 m V .00 N m 00, O O O ma ~<t tOO a< m u'i O O m OOi aOD a°D 1~ r• (°O O s V < N N OJ 133j ~ ~ a F O < N p J 521313W OV3H OIYVVNAO Td101 PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW 1/4 NW 1/4S 35 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 99.7' 1.7' sand lift BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK )00( 1000 gallons DOSE TANK SIZE 630 MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none BENCHMARK V.R.P. Top of 3/4" pipe ASSUME ELEVATION 100' ❑ BOREHOLE O WELL * H. R. P. same as benchmark 66th Ave B-1 Scale = 1/4" = 10' 1 Slope was measured at _ the site, it is a 6% slope Grading is to be not a 3.5% slope ~ 6SIo,pe, done to divert + Pro 3 run-off away from system N 1 . Acre Parc~l bedroom p -house Are 15' below system is to / rem i n undisturbed 98' S B-2 97' ffcutt Combo Tank Tank is to rly bedded and provided with lockdown co ers with approved warning labels el I is to meet all DNR setbacks Alec Town road ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer 11 % Z Mailing Address ,gf -~i (A-.)) Property Address (Verification required from Planning & Zoning Department for new cons c hon.) City/State Parcel Identification Number LEGAL DESCRIPTION Property Location fi,J_ '/a Al(,J !/4, Sec. 3 2-, 7 70 N R W, Town of Subdivision ~ ro ,Lot # Certified Survey Map # 9 Volume Page # Warranty Deed # Volume Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 li.ensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm, 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1.) the on-site wastewater disposal 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- 1/we, 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 tc the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Nu r of bedrooms 7 SIGNATURE OF AP CANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 1 ~ Y 1 ~ W 00 ji LAI C6 CR Pi V) 0 . \ 225.OQ• .W 50.94_ 1'7 .17_ > N 00•'22'47" Vag 403.17' o I O ~ • ~ N~00'22'47" W 403.1' qo ~lpl ♦2 199.69 W t'i j co in C6 U En Auv (n h I / ,f f tr)'.' ,'P CN CL 00 C) U, Luo N am~ab N Vita z r /IN 0 IF) 7 co 00 O W ! ! ! \ LLI C'j INN, Sao cs 0 a _ _ . ~ _ - 32"22' . 42 --W 130fr-92' _ REEr~ ~W 2613.04' ~ ~ UM7~~~ E NORHTWEST 1 /4 ~uol'N- `~.w rx a OWNED BY OTHERS UN.LCATTED LANDS `J AG. RESIDENTIAL Safety and Buildings 141 NW BARSTOW ST FL 4TH r ~ WAUKESHA WI 53188-3789 o~enaxaaF~r~ Contact Through Relay o,~ w.dsps.wi•govlsb/ o~'~' t z~ 5. p www.Wsconsin.gov P) 620~< Scott Walker, Governor v v ~Nty/yG t, Dave Ross, secretary a~kssroc~Py C F September 21, 2012 Inspector A7`TN: POW7'S CUST ID No. 226900 ZONING OFFICE ST CROIX COUNTY SPIA SHAUN R BIRD 1101 CARMICHAEL RD BIRD PLUMBING INC HUDSON WI 54016 1432 120' ST NEW RICHMOND WI 54017 Identil'i CONDITIONAL' APPROVAL Transaction lD o. 2149135 PLAN APPROVAL EXp g; 09/21/2014 Site ID No. 783162 Please refer to both identification numbers, above, in all correspondence with the SITE: Homes a encv_ Oevering 66TH Ave Lot 1 Town of Hammond St Croix County T29N, R17W SW114, NWI/4, 532, Lot: 1, Subdivision: Croix Hills O~ FOR: 3 bedroom 1388275 Description: Mound, lated ON ct ID No.: th to limiting factor from original Distribution object Type'. pOWTS Component Manual Regu ' it Soil Minimum dep ow rate V~ SBD-10691-P (N.01101), Pressure ntenance regwred; 450 GPD Fl i Revision; Mai component Manual - Version grade; System(s): Mound Comp 01/01); Effluent Filter Component Manual - Version 2.0, SBD-10706-P (N. Administrative applicable WisconsiTl stem is to be The submittal described above has been reviewed has for been conformance with s and with any nce CONDITIONALLY APPROVED' oponent man(s) Codes and Wisconsin Statutes. The Wisconsin Statute with the enclose s, is responsible for comp is constructed and located iwerc aordance s defined in chapter 10101(10)' roved plans referenced above. The Ownn Department per s.145.06, with all code requirements- plumbing in the state unless licensed to do so by the No person may engage in or work at or to occupancy or use' stats. construction or installation and prior conditions shall be met during roved plan The following accordance s and with the "Mound 01101) and the 2.0" Wastewater Systems VERSION 2.0" SBD-10691-P (N ION This stem is to' e constructed and located in with the enclose r atment Systems VERSION for Private Onsrte Manual for Private Onsite Wastewater Component Manual "Pressure Distribution Component SBD-10706 P (N.01101). shall be of material listed in Table 38-3 r-O The building sewer and distribution network piping 384.30-5, Wis. Adm. Code. cr a hegith hazard, of its scricomponentbed parts malfunctions; the owner absorption system or any in the approved plan,. the mound in the event this soil plan as de the property owner must follow the contingency duties as described in secfi~n a pro ect. ration, maintenance and Monitoring to the owner upon must comply with the operation, component completion ' 1 manual. A copy of this information must be given All holding/treatment tanks are to comply with SPS 384.25(7)(x). SHAUN R BIRD Page 2 9/21/2012 Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. 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. Owner Responsibilities: • SPS 383.52 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. SPS 383.54(1). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 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. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sin ely, Fee Required $ 85.00 This Amount Will Be Invoiced. When You Receive That Invoice, Julia Lewis-Osborne Please Include a Copy With Your POWTS Reviewer 2, Integrated Services Payment Submittal. (262) 397-6005, Fax: (608) 283-7481 WiSMART code: 7633 julia.lewis@wisconsin. gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Safety& Buildings will be modified. Code references with prefixes starting with "Comm" will be replaced with "SPS" to recognize the relocation of the Division of Safety & Buildings from the former Dept. of Commerce to the Dept. of Safety & Professional Services. Additionally, all S&B codes will be renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. t ' Cover Page RECEIVED SEP 14 2012 Shaun Bird SAFETY & BUILDINGS Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 9/11/12 Owner:Oevering Homes Location:SW1A NW1A S35 T29 N,R17 W Lot 1 Croix Hills Hammond System type: Mound System (Revision) Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve ~a' 7-8. Maintance and Contigency plan 9-12. Soil test 13. Filter Specifications a cr ss section r Shaun Bird Signature License number 00. \ tiC Mound System Cross Section and Plan View Dimension Feet J r A t; E B I 1 T fl, I G Zt E H V r I I c, I L7 I t J - 1 K! 10 K B Z L Sloe a/o I "'`f = Topsoil = ASTM C-33 i = Clean aggregate = 4 in. sch. 40 pvc Cap Material sand fill '/z to 2 %z in. dia. 0 observation pipe ~ otextile G H Fabric Q --?Ft D E 3,0 Ft Contour Plowed Surface' Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a'/4 inch soil wire when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10/07 lgj Page of I I Pressure Lateral Layout Two Laterals End Manifold -d - Threaded Cleanout Lateral Turn-up Plug Manifold M X L Long Force Main ` Sweep 90 Bend j Distribution Network_ Specifications Pressure System Construction Lateral Diameter In. Manifold Diameter In. Laterals are constructed of Schedule 40 PVC; Orifice Diameter 3114 In. pipe. Orifices are drilled perpendicular to X Orifice Spacing) .Z In. the pipe with a sharp drill bit and face down, L Lateral Length) Ft. Lateral turn-ups terminate with a threaded M (Manifold Length) Ft. ceanout plug and are enclosed in a 6-8 inch Fore 2- in. diameter lawn sprinkler valve box accessible orce Main Len th Ft. from finished grade. •.0••• Grade 6-8 Inch Lawn Sprinkler Valve Box Page - of - - 03/OS lgj i Septic-Dose Tank Cross Section And Pump performance Specifications Tank Manufac#urer~ _ Pump Tank Model Number ! 0d) Pum Model Number Total Tank Capacity 3 0 Alarm Maaufaaturcr C ~F 5 yam, Max. Bury Depth Alarm Model Number e/ Switch Type ` Filter Manufacmr E A-9- Total Dynamic Hoed (TDH) - Feet Filtw Model Numb` Elevation Head Distal Pressure Network Loss Minimum Pump eatfcance Required Force Main Loss GPM Z- 1~`t TDH Total Outlet Manhole . 4" Above (3rade With Manhole Min. 4" Above Grade Locking Daiwa. inlet Manhole 'With Looking Device < 6,, Below Glade .ed W atadaht Securely Mounted Weaproof i Junction Sox - - Figishei Grade f.......... Vent Min. IT, Disconnect Above Grade Means With Vent CAP .155 outlet Filter . wat b" Baff 10 WitC}1 ` and Reserve CaPwk weep Tank Vo 7Y' GPI Hole Dimension : Inches Volume Gal. < • (reserve) A off Eievation Y,, •<a alarm ` is- Ft BOttti[ (dose) C Elev ti n (dead) D ~ l • ` fY Ft Tow b~ r: r: < a •a•<{f <f /s„.,,, ♦,.,aaf,<f„ft,a.<aa <,t ,a<„<,aa, {f i, lf„ ' {•f i•:,~:: t>i,t~>,Yi i 4>....Y•Y./tif/,.rYir,s:,:~::: i rr,•/f:t: Y:,iY:,~~:i:,if/iY::::iY,y: ::fY ff:,fitff Yif,>iY,> 1, i~~ 1 ii:i .:.Y,Ys GENERAL INSTALLATION: The septic/dose tok is bedded. and baok died in 8000r ance with the iffcation. Maximum depth of bury as. specified, by the nmufacturer maY not manufacturer's product.ap al specM Manhole covers exposed to grade have an effoc~tive locking device (padlock) be exceeded without prior a)ppnd outlet is of approved material, canned od tie the tank with v a w ight fittings, and installed. Piping at the inlet and end settlixtg or sagging. The fore "U"is awed with *',Sob. 40 PVC to bridge the tank laid an stable soil to pares Eleical,'ice connpros with NEC 300 and Comm 16 28. excavation and the .81"Ve. is sealed watmtigl►t. page,-_ ofd 02/05 U TOTAL DYNAMIC HLAD/CAPACITY j' PER MINOIC HEAD CAPACITY CURVE EFFLUENT AND DEWATERING MODEL 1';2/153 MODEL 152 153 50 Feet Meters Go,. Lifers Gol. Liters 5 1.5 69 2.61 77 291 153 10 3.1 61 231 74 2G5 12 40 152 15 4.6 53T 201 61 231 20 6.1 44 167 52 _ 197 25 7.6 34 129 42 t i9 c. t >5 8 30 9.1 23 87 S 22 35 10.7 i - E5 20 1~.2 11 42 40 _ - Luck wive' 38.0 Ft. (11.6m) 44.0 Ft. (13 4m) 4 - 10 0. 20 40 60 g0 100 1/ GALLONS ~-4 4 160 240 320 a 27/32 5/8 LITERS 0 80 164 - - - FLOW Pi:R MINUTE 3 '27/32 ,,ONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32 Timed dosing panels available. duplex systems- are available and supplied with -.---f- Electrica1 alternators, for dup an alarm. • Variable level control switches are avallat,le for controlling single phew systems. - ^ • Double piggyback variable level float switches are available for variable level long and short cycle controls. TT • Sealed Qwik-BoX available for outdoor in 'tallations. See FM1420. I f • Over 130°F. (549C.) special quotation required. l ~ 1521153 Series IJ 1571153 ODEL5 .ontrol S l on poll Volt Ph diode Am s 5fr,1plex - d l - n 8.5 1 sKM4 N152 Non r' 115 1 BN152 115 1 Auto 8.5 lntiuded 2 or 3 E152 230 '1 Non 4.3 1 Auto 4.3 Mill ed 2 or 3 SE152 230 1 Non 10.5 1 2 or 3 SELECTION tstSIOE N153 115 1 Auto 10.5 Ind uded 2 or 3 back Variable level float nN153 115 1 No 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggy E153 239 1 5.3 1111 ad 2 or 3 switch. Refer to FM0477, t3E153 230 1 Auto 2. See FM0712 for correct model of Electrical Alternator E -Pak. n CAUT1C1N Variable level control switch 1D 0225 used as a control acilvalor• specify duplex (3) AU Instailadon of controls, protection devices and wiring should be done by a qusrdted 3, coues should be followed including the awst or (4) float system. reseed electrician. All eleetdi and safety recent National ElecMie Code (NEC) Eandihe Occr+patlonalSafety and Health Ad (01511A1. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. - MAtL ro: Ao. aox 1634 touisviHe KY 40256-0347 Manulacturot&of.. sH(P T0: 3649 Cane Run Road Louisville. KY 40211-1967 Q!!AL/rY PUMp9 ,7~NCE ~i~~i7 D e (502) 77&2731.1(600) 928-PUMP FAX {502) 774-3624 hnp //yyYyw zoeller corn © Copyright 2000 Zoeller Co. All rights reserved. POWTS OWNER'S MANUAL & MANAGEMENT' PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity- al p NA Permit # - Septic Tank Manufacturer- CI NA DESIGN PARAMETERS Effluent Filter Manufacturer - 0 NA ber of Bedrooms ❑ NA Effluent Filter Model T _ C] NA ber of Public Facility Units A Pump Tank Capacity / - 1 - al ❑ NA F mated fl ow (average) _ 130Z;7 i/da Pump Tank Manufacturer ❑ NA Design flow (peak), (Estimated s 1,5) al/da Pump Manufacturer _ ❑ NA Soil Application Rate gal/day /ft2 Pump Model --6ifr- l -1~ I7 NA Standard Influent/Effluent Quality Monthly average" Pretreatment Unit - Fats, Oil & Grease (FOG) 530 m /L A 9 ❑ Sand/Grave! Filter CI Peat Filter Biochemical Oxygen Demand (BODs) 5220 mg/L ❑ NA 0 Mechanical Aeration 0 Wetiand Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection 13 Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) _ 13iociiemica! Oxygen Demand Total (BODs) 530 m /L NA MG /L In-Ground (gravity) D In-Ground (pressurized) Suspended Solids (TSS) 5301 mg/L A ❑ At-Grade Mound Fecal Coliform (geomei:ric mean) s104 du/100ml ❑ Drip-Line / El -Other: Maximum Effluent Particle Size lk in dia. 0 NA Other: - Other: ❑ NA DNA Other: - - ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other, - ❑ NA MAINTENANCE SCHEDULE rondion ervice Event Service Frequency of tank(s) - At least once every: ❑ onths;s) ear si (Maximum 3 years) p NA s of tank(s) When combined sludge and scum equals one-thlyd of tank volume _ _ t1 NA ell(s) At least once every: ©moears (M aximum 3 years) O NA r At least once every: ❑ ear s~ s) DNA anth g Inspect pump, pump controls & alarm - _ At least once every: ~ E] rnonthi s) Flush laterals and pressure test - year(s) 11 NA At least once every: monthis) other. ear(s) 0 NA At least once every: 0 month) s) - Other: - - - E7 year(s) C1 NA MAINTENANCE INSTRUCTIONS ❑ NA Inspections of tanks and dispersal cells shall be made by an individual carrying. one of the following licenses or certifications: Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer, Septage Servicing Operator, Tank inspections must Master include a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume combined sludge and scum and to check for any back up or visually Inspected to check the effluent levels in the observation pipes and touecnhteck f re anound surface. The dispersal cell(s) shaft e. The ponding of effluent on the ground surface may indicate a failing condition and re uires thq y ponding of effluent on the ground surface. regulatory authority. Q immediate notification of the local When the combined accumulation of sludge and scum in any tank equals one-third ' the tank shall be removed b or more of Via tank volume, the entire contents of the tnistr sha Code, by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, III other services, including but not limited to the servicing of effluent filters, mechanical or ressuri Wisconsin ind any servicing at intervals of 51;2 months, shall be p zed components, performed by a certified POWTS Maintainer, Pretreatment units, service report shall be provided to the local regulatory authority within 10 days of completion of an.v service event. Page START UP AND OPERATION oi_ For new construction, prior to use of the POWTS' check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use, System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Ooerator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal eels. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the hAlowing from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. a After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing arid proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. 4, The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following mmoval of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time, <WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR 114SUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. .DDITIONAL COMMENTS OWTS INSTALLER POWTS MAINTAINER Name Name ` Phone L~- - E -a Phone Ell :t - IPTAGE SERVICING OPERATOR P MPER LOCAL REGULATORY AUTHORITY Name Ej~ Name Phone Phone Is document was dratted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(fl and 383.54(1), (2) & (3), Wisconsin Administrative Code. * RECEIVED $j OIL E TI REPORT #1811 Department of Comm fceante wdh , WA ` dm. Code Page 1 of 3 Division of Safety and dings Steel's Soil Service, Inc. ST. CROIX COUNT``~, County Attach complete site plan aper not less than 8%x 11 in es in size. Plan mus St. Croix include, but not limited to: ~enteF oint (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. Reviewed B Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). /z, Z S Property Owner Property Location French Homes, Inc. G na SW1/4, N 1/4, S35, T29N, R17W Property Owner's Mailing Address of # t Block # Subd. Name or CSM# P.O. Box 350 na Croix Hills City State Zip Code Phone Number City ❑ Village ❑ Town Nearest Road Roberts WI 54023 715-718-2929 Hammond 190Th St New Construction Use: ❑ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: na Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable na ft. General comments MoUnd Design system elevation 99.8 based on contour line elevation 98.20ft. No deviation from site and recommendations: area with out first contacting soil tester due to poor soil conditions /-67 r :5,J G.I' 4- 60A,, O O t"` F-11 M Boring # ❑ Boring pit Ground surface elev. 96.80 ft. Depth to limiting factor 16 V11"in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ I in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10yr3/2 none sil 2msbk mfr Cs ivf .6 .8 2 9-16 10yr4/4 none sid 2msbk mfr gw na .4 .6 3 16-48 10yr4/4 c2d 7.5yr5/6 scl om mfr na na .0 .0 a Boring # ❑ Boring pit Ground surface elev. 96.80 ft. Depth to limiting factor 17 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 1 0-9 10yr3/2 none sil 2msbk mfr fS 1vf .6 .8 2 9-17 10yr4/4 none sid 2msbk mfr gw na .4 .6 3 17-26 10yr4/4 f2d 7.5yr5/6 scl 2msbk mfr gw na .4 .6 - - 4 26-48 10yr5/8 c2d 7.5yr5/6 vfsl om mfr na na .2 .5 * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS <_30 mg/L and TSS s30 mg/L CST Name (Please Print) CST Number David J. Steel rte' - 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 11/22/2005 715-760-0347 SBD-8330 (8.07/00) (?roperty owner French Homes, Inc. Parcel ID # Pending Page 2 of 3 a Boring # LI Boring M Pit Ground surface elev. 98.20 ft. Depth to limiting factor 19 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 `EfW 1 0-10 10yr3/2 none sil 2msbk mfr a 1vf .6 .8 2 10-19 10yr4/4 none sicl 2msbk mfr gw na .4 .6 3 19-30 10yr4/4 f1d 7.5yr5/6 scl 2msbk mfr gw na .4 .6 4 30-48 10yr5/8 c2d 7.5yr5/6 vfsl om mfr na na .2 .5 ❑ Boring # El 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 I ❑ Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 < 30 mglL and TSS <30 mg/L Effluent #1 = BODs > 30 < 220 mg1L and TSS >30 <150 m9/L Effluent #2 = BODs - 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) Steel's Soil Service, Inc. L 3of3 STEEL'S SOIL SERVICE INC. David J. Steel French Homes Inc. 994 200` St. CST-POWTSM SW1/4,NWl/4,S32,T29N,R17W Baldwin, WI 54002 Lic. #248956 Town of Hammond, St Croix Co. Direct 715-760-0347 Croix Hills Lot, 17 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1" = 40' I ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 99.70 ft ❑ Top of 3/4" pvc pipe = Borings Boring Elevations B 1 = 96.80 ft B2 = 96.80 ft B3 = 98.20 ft B4 = 010 ft OOL Fat-,.- ee~ ir E 7, W FILTER CARTRIDGE INSTRUCTIONS ~.'"'es ,1TM InstatfaNon s r`cx' x Dry fit the filter case into the and of the outlet pipe to ensure it is centered under the aeco" opening, If not, then sz Insert more pipe into the tank through the outlet or solrant weld (glue:) additional pipe onto the outlet pipe. STOP 3 Wldk the case i5 still !try fitted an the outlet pipe, measure the length of %-inch pipe needed to brace., the fitter to the tank and wall if ututring the optional supplemental side support. If side support ►nsthad & not utilized, proceed to step faro, '9.7'c.F' Y For installations utNl4ig the optional supplemental side support: Solvent weld the %-inch pipe onto the filter case. If side support "thad is not utilized, proceed to step four, , Solvent Weld the Biter +:ase onto the outlet pipe. Insert the filter Kk rt cartridge into the rasa, pressin.l down until the filter locks into the bottom of the case. If a VRS s witch is utik:cud: insert into the fir and ta y g clockwise 900. luck hturnip(` Maintenance I. The effluent filter should be cleaned every time the septic tank is serviced. 2. open the outlet access oper+laig to Inspect the tank and filter, 3. Pump the septic tank corriplotely, making sure to remove the sludge layer on the bottom of the t;ir'ik and not just the scrim and effluent. 4. once the effluent level has Leon lowered below the invert of the outlet pipe, firmly pull up on the filter handle to dislodge the cartridge from the case. 5. Slide the cartridge up and oiit of the case for cleaning. 6. If a VAS switch connected to em alarm Is present, the switch ` should be removed by turning counterclockwise goo and cleaned with water only. % 7. While holding the cartridge cn Its side (large flat surface facing down) over the access opening, rinse off the cartridge with water ° only, making sure all septaga. uraterial Is rinsed back into the tank. f B. If vRs switch is utilized, replace by inserting into filter and turning clockwise SO 9. Insert the filter cartridge back into the case pressing down until r,• , the fiitar lacks into the bottosn of the case. to. Replace and secure the access opening on the tank. W 3i1- 1' - E! "'.'r t.P , 4el' .'.7?f~~! ' I V . '7 c SreC' r www beamiWte cone 877-MLFILTIERS (653-4583) 1 o~ePNR Safety and Buildings otg~' ros 141 NW BARSTOW ST FL 4TH WAUKESHA WI 53188-3789 Contact Through Relay y www.dsps.wi.gov/sb/ c= cv 2d~ ~4 www.wisconsin.gov osstoNPLS~ Scott Walker, Governor Dave Ross, Secretary August 21, 2012 CUST ID No. 226900 ATTN.• POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/21/2014 Identification Numbers Transaction ID No. 2142093 SITE: Site ID No. 783162 Oevering Homes Please refer to both identification numbers, 66TH Ave Lot 1 above, in all correspondence with the Town of Hammond agency. St Croix County SWI/4, NWl/4, S32, T29N, R17W Lot: 1, Subdivision: Croix Hills FOR: Description: Mound, 3 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1388275 Maintenance required; 450 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD-10691-P (N.01/01), Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01/01); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.01/l 4and the E "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems; SBD-10706-P (N.01/01). z y k" -0 The building sewer and distribution network piping shall be of material list 4.30-3 and 384.30-5, Wis. Adm. Code. tr, a health hazard, In the event this soil absorption system or any of its component parts malfunctions so as t( ate the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must comply with the operation, maintenance and monitoring duties as described in section VIII of the mound component manual. A copy of this information must be given to the owner upon completion of the project. All holding/treatment tanks are to comply with SPS 384.25(7)(a). SHAUN R BIRD Page 2 8/21/2012 Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. 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. Owner Responsibilities: • SPS 383.52 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. SPS 383.54(1). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 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. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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 and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. S' ely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Julia Lewis-Osborne Please Include a Copy With Your POWTS Reviewer 2, Integrated Services Pavment Submittal. (262) 397-6005, Fax: (608) 283-7481 WiSMART-code: 7633 julia.lewis@wisconsin. gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Safety & Buildings will be modified. Code references with prefixes starting with "Comm" will be replaced with "SPS" to recognize the relocation of the Division of Safety & Buildings from the former Dept. of Commerce to the Dept. of Safety & Professional Services. Additionally, all S&B codes will be renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. Cover Page R€CEIV9 o AUQ 16 2012 Shaun Bird SAFETY & BUILDINGS Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 8/ 13/12 Owner:Oevering Homes LLC Location:SW1/4 NW1/4 S32 T29 N,R17 W Lot 1 Croix Hills Hammond System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-12. Soil test 13. Filter Specifications and s section Shaun Bird ,a Signature License number 2269 1C PLOT PLAN PROJECT Oeverina Homes LLC ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 SW 1/4 NW 1/4S 32 /T 29 N/R 17 W TOWN Hammond COUNTY ST. CROIX SYSTEM ELEVATION 99.5' 1.5' sand lift! BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 456 # of chambers none 66 BENCHMARK V.R.P. Top of Stake ASSUME ELEVATION 100' Filter BEST GF10-8 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 191st. St. Scale = 1/4" = 10' 2 Acre Parcel Well is to meet all WDNR standards Pro 3 Bedroom Tank is to be properly House bedded and provided with lockdown covers with approved warning labels Huffcutt Combo Tank Grading is to be done to divert B .M run-off away from system B-1 B-3 7% Slope 98.5' B-2 B-4 98.0' B-5 Area 15' below system is to 96.5' remain undisturbed 66th Ave Property Line (not to scale) Mound System Cross Section and Plan 'View Dimension Feet -A s .T 1 B 7 I D 1 } •J•S,f ••S•hr J J f•f I } ? I. f. }t} ~r r•r r r)r J~} r•r}F• }}fr ♦r•r }'ttr } r•}•r~• •r}}}}}i : I 4. S } {i€ r }L{}{K S L'Y 4 M1 ~'}2 . ♦.M .MG L• M t ' - A I ii !j~j~• { { t L} } .815 . r r.} f. r r }}.r : / u• ♦ . YL . ; \ ; f L{t .L J•}}STJL•}h} .r } r r f} r♦ }L?.{L,~}r .rti i}{fL?{r~,narir. i } S }r-+t .}.r } }i ; }Yr r.;}; f r.f. r } r 'r}?r.kJ.r J 3.JT S . C I W 40 r i l Cr s 1 :Z 1 H / O 1 3.2 'I 1 I J 1 K L K B _L 11d. 0 Sloe L 1- 7 = Topsoil = ASTM C-33 Clean aggregate = 4 in, sch. 40 pvc E I I }t.}•1ifL Cap Material sand fill ~fw.% '/z to 2 `/2 in. dia. 0 L: A observation pipe r Geotextile H Fabric y' ♦ _ . r♦r}}.1f a3rf{•}S."1s4`;r♦J~J F D E ~j Plowed Surface ' / C -?Ft Contour Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x W) is Mowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a '/4 inch soil wire when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil car, is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with reb ar or a closet flange. 10/071gj Page of Pressure Lateral Layout Two Laterals - End Manifold 4- 'Threaded t Cleanout Lateral Turn-up Plug Manifold M - - - - - .I - - Long Force Main j Sweep 90 4- Bend Distribution Network S ecitications Pressure System Construction Lateral Diameter _ ~-Z In. , Manifold Diameter In. Laterals are constructec+ of Schedule 40 PVC Orif ce Diameter In. pipe. Orifices are drilled perpendicular to X~Orifice Spacing) _ In. the pipe with a sharp cb ill bit and face down. :Lateral Length) _ Ft. Lateral turn-ups terminate with a threaded M Manifold Len th Ft. cleanout plug and are c nelosed in a 6-8 inch Force Main. Diameter Z__ In. diameter lawn sprinkle, valve box accessible Force Main. Length from finished grade. • • • • • Grade :0: 6-8 Inch Lawn Sprinkler Valve - Sox o!: o3ios lgj Page Septic-Dose Tank Cross Section And Pump Performance Specifications Tank Manufacturer Pump Manufactumr i` ' r~_ Tank Model Number (f Pump Model Number Total Tank Capacity p Alarm Manufwturer GP Max. Bury Depth Alarm Model Number DL„I,/ i Switch Type ? r rer ~ Total Dynamic Head (TDH) -Feet Filter Manufacturez' Filter' Model Number j Elevation Held Distal Preseure S.10 Loss - Network Minimum PUMP -,e Required Force Main Loss 7 GPM / S~ Ft TDH Total Nutlet Manhole Njin. 4 'Above Grade With Manhole Min. 4" Above Grade Looking Device, Inlet Manhole Securely Moutnted With Locking Device b" Below Grade ~4ealed Watertight Weather-proof 1 Junction Box - ~ ,Y.. +r " s Firiishe,i Grade 'Vent .Min. 12" Disconnect Above Grade Means with vent cap Y•>. 'a>rYaiiYV1.1 iY VYIYlY YV~~ i 1Yi .Yi a1/YrYYYi a~ .1>IY.+YViaYfYfYfYf 'Y.Y lr' ouded Filter a V, {+Y wet ♦ . A Ira ,Y . Switch Reserve Capacity . Weep r i ~1 .a. Tank 'Volumw GPI Bole . Dimension lx~iohes Volume Gal. ~ Y y'fY IV (reserve) off Elevation C ' (alarm B 2. ' U • Ft. . . tom ' `i S Bottom (dose) C 61-5 Elevation It (dead) D D Ft Total V' Y > r,r Y 1 Y Y Y • S. ±.Y Ia Via sl.i ~ i •:>aYf>f y:: >a::.V>iVl!>~::1a:~a'. 1'~►iY+Yti~Y11v ~Yi YiY~Y\~fY \YfY \YVI VY I>( lYaYVYVYlY VI.YS1/ IYi t ~ IYlYi a ~Ya>!1 {YI>{Yf Y iYiYfY {YVYV+i YYfif ~ iYl+~ fYi IY~ {Y~ i {~i ti VYa~ aa•. .sa \ aafaf a1lfa;a., GENERAL INSTALLATION: The septic/dose tank is bedded and beak felled in accordance with the manufacturer's product *Wval specifications. Maximum depth of bury as speaified by the manufacturer may not be exceeded without Prior sppraval. Manhole eot+ers exposed to grade have an, effootive locking device (padlock) installed. Piping at ft inlet and outlet is of approved material, connected to the tank with watertight fittings, and laid on stable soil to pr+d t sotding or sagging. The force mitit1 is slaved with „Such. 40 PVC to bridge the tank excavation and the. slmv6l i a sealed' watertight.:Electrical.so-vice complies With NEC 300 and Comm 16.28. • 02/05 U Page of • . 'iP LaserJet 3100; 1 715 551 mel LP 9 EH SERIES SUMP/EFFLUENT PUMP 11.05 8.95 a ti • ea~tions sN ElMll40M aat~ ~ wacs rrx ~rra tea > as a trq 16x1 111,1 mm H1 Ni41si 6tiflN~t6 y if 1Y 1r w• 2a 84 9.11 1WMIK 1 er. 50°389 ULUA V-8 15 311 41.0 1000 70 54 56 41 32 15,6 13.6 29 >K 8.11 x 11611110/ 8N 314 65 tow 70 64 55 h 32 %K4m 50831° uU1S► 4i•0 73.6 29 2l 911 ~ 111411 f 9ew•Jfs mm mm MO 15 3W 13A 1000 711 ~ ~ 11 ~ f 1 n G~ ;~y~ ~LiphGi~lwaowrsonµumwa•~acw+~waetdwritlb~roaslMitarsNnwlldAtNlV~h~~tarfuwamos• FlOyJ HpI 1 Cm tructlen 1 Fi Xy ~0 low 2000 cast i~rt - 2000 3000 Motor Housing . a Impeller Material Poly Carbory" lm el Tr_ pe Closed Vane ,o to VON to ABS Power Cord g,1TW-A S W Niuilewith carbon and Mel h~wic;af 5haCt Seal ceraanic faces v 20 $iainlexs Steel Steel, _ _ w Shaft q ainteriR z 111 Upper 9feeve and Lower Hearings 1 Asll Bearings - 0 10 6p Be ° FLOU- aat.LaNSiy MAE Little 0110 cct Ptt»p Co. qgv 6,;Z Z RM Z CURVE e1y R*x I-jote cNdh~l~o~. 04% OK IMP PUMP PERFt7r P4~,1tt Ns g17.35U + Fr,:100370 6!!e ~ &nridl= aw1,1pN,~~ v(>yytN.~l~I~~l01~1E~h1RIq+1rfl611 ii:+OWTS OWNER'S MANUAL & MANAGEMENT PLAN Page, of FILE INFORMATION SYSTEM SPECIFICATIONS Owner Septic Tank Capacity t/ al ❑ NA Permit # - - - - - - - - Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms El NA Effluent Filter Model ❑ NA - - Number of Public Facility Units A Pump Tank Capacity al 17 NA Estimated flow (average)~^ J allda pump Tank Manufacturer NA Design flow Estimated x .5 i (peak), ( allda Pump Manufacturer A 77 Soil Application Rate L al/da /ft Pump Model Q' ❑ NA Standard InfluentlEffluent Quality Monthly average" Pretreatment Unit NA Fats, Oil & Grease. (FOG) 530 mg/L ❑ Sand/Gravel Filter FJ Peat Filter Biochemical Oxygen Demand (BODS) 5220 mg/L CI NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solioa ; (TSS) <150 mg/L ❑ Disinfection L7 Other: Pretreated Effluent Quality Monthly average Dispersal Cell(s) 0 NA Biochemical Oxygen Demand (BODs) _<30 mg/L 0 In-Ground (gravity) Ef In-Ground (pressurized) Total Suspended Solid: (TSS) 530 mgfL. :~14A ❑ At-Grade ound Fecal Coliform (geometrin mean) <104 cfu/100m1 ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size - ~ in dies. ❑ NA other: ------.'~---1----------- - NA Other: - A Other: NA *Values typical for domestic wastewater and septic tank effluent. Other: NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: _ El month(s) (Maximum 3 years) El NA Pump out contents of tank(s) When combined sludge and scum equals one-third (16) of tank volume - ❑ NA Inspect dispersal cell(s) At least once every: month; s) _(Maximum 3 years) ❑ NA Clean effluent filter _ At least once every: ❑ month! S) El NA- year s , - Inspect pump, pump controls & alarm At least once every: - El onthi s) 0 NA - - ear(s; Flush laterals and pressure test At least once every: ❑ onthls) 11 NA - ear(s).------------ Other. At least once every-~---_--- ❑manth(s) --------C NA ❑ year(s) - IJ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and disperses cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber RestrictItA Sewer; POWTS Inspector; POWTS Maintainer; Septage Servn:ing Operator, Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cricks or leaks, measure the volume of combined sludge and scum and ti i check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the eff,uent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation if sludge and scum in any tank equals one-third (Y3) or more of ti le tank volume, the entire contents of the tank shall be removed by Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code, All other services, including but no: limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 51 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of an,, service event. START UP AND OPERATION Page of For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(cy► in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Onerator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the Kaump controls to restore normal levels within the pump tank. Do not drive or park vehicles ow r tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the tollowing from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette. butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scrapi ; medications; oil; painting products; pesticides; sanitary napkins; tarnpons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be take=n to insure that the system is properly and safely abandoned in compliaaice with chapter Comm 83,33, Wisconsin Administrative Code: • All piping to tanks and p Is shall be disconnected and the abandoned pipe openings seaie,l. • The contents of all tank::, and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert st tlid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement i trea has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing ai id proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a balding tank may be instilled as a last resort to replace the failed POWTS. *-he site has not been ei aluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as last resort to replace th i failed POWTS. ound and at-grade soil absorption systems may be reconstructed in place following nimoval of the biomat at the infiltrative surface. Reconstruction:: of such systems must comply with the rules in effect at that time. «WARNING>> SEPTIC, PUMP AND OTHER TRa'_ATMENT TANKS MAY CONTAIN LETHAL GASSES AND/Ofd INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name ` y - g- 'L/' Name Phone 2l i _ J Phone T SEPTAGE SERVICING OPERATOR Pl MPER LOCAL REGULATORY AUTHORITY Name Name Phone L',). rln Phone 3 _ This document was drafted in compliance, with chapter SPS 393.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. Wisconsin Department of Commerce Lith SOIL EV TION REPORT Page of Division of Safety and Buildings in r ce wComm 8/Wis. Attach complete site plan on paper not less than 8 1/2 x 11 inche n size. Plan must County Jf71601 include, but not limited to: vertical and horizontal reference point M), dirt' nand I.D. percent slope, scale or dimensions, north arrow, and location d distanctle~rest road. p~ Q ~Q Please print all information`" f 11ri~'!~~ f Revi by Dace Personal information you provide may be used for secondary purposes (Priva u~Wr$Qd1) L6,P,,, Property Owner L tion JAC/ Govt. Lo of 1 /4 /4 S, j T pC r N R j E (0-r e Property Owner's Mailing Address r Lot # BI Subd. Name or MK, S n4 /lam/. X ~ - eiDi ~ krt l7 City State Zip Code Phone N r ❑ City ❑ village wn Ne rest Ro d New Construction Use;W Residential/ Number of bedrooms Code derived design flow rate 49" GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood-PI in eleva 'on if pplicable General comments S.tmy and rooormtendations: QTR" System Type - 41' 7 7 System Elevation Bodng # C] Boring - pit Ground surface elev. 5 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. p •Eff#1 •E-f5f~#2 Z. / `o 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/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 A0 Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mX1 - Effluent #2 = BOD 130 mg/- and TSS < 30 mg/L CST Alamo (Please Print) S' CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 5401 f 715-246-4516 ~f Property Owner _ Parcel ID # Page of a Boring # ❑ Boring 08, b 3 ~ pit Ground surface elev. l ft. Depth to limiting factor ,42 in. Soil I'ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. h*Effff#l 'Eff#2 1 0- I-lL w 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 GPDM in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 7 /0, Boring Q/ a Boring # E) 9 pit Ground surface elev. C v ' ~ft. Depth to limiting factor in. Soil Application Rate Horizon 'lepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 O- Z / 'Z- c S s F-T Effluent #1 = BOD5 > 30 < 220 mg/L and TSS >30:E 150 mg/l_ ' Effluent #2 = BOD5 130 mg/_ and TSS 130 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 (t.W00) Soil Test Plot Plan Project Name JackPollit ShaJB Address 1510 Dutch Heritage Lane Baldwin Wi 54002 CS #226900 Lot 1 Subdivision Croix Hills Date 4/ 4/11 S W 1/4 N W 1/4S 32 T 29 N/R17 W Township Hammond F-I Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Stake System Elevation TBD *HRpSame as Benchmark 191st. St Scale is 1" = 40' unless otherwise noted 60' 7% Slope B.M.* 100' 10' 30' B-1 B-2 5' 98.5' 30' B-4 -3 60 66th ave B-5 20' 96.5' 15' rea of poor soils, keep system upslope as much as possible ldI1N3GIS38'Jb o cn - g(fN-V (1311`dldNfl v ~-Im~ S83M10 )78a3NM0 V/ l 1S3M1H80N 3 10 tot IN toil I cn m `rn O 00 te' f I ue, /or to z rr, f Kj ■ A W.,iS~ CU I . L 0 CA ~C m Ul dlO 1 / I .p ° ry :Er / , f0 r (A Ln co AV V yes O Q A i / i• W~' 1 / %op ~ - - - (0 - - .69'66! _ • ~6 .Q~ pl~ . ` .►1, Ot M ,wLtr.ZZ.00~N mud „L•F.ZZ. P N ;00•SZz` V6 OS fir. S, 41 4% ou 00 > -TI ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address 6'6 O (Verification required from Planning Z& nro g Department for new construction.) City/State Parcel Identification Number LEGAL DESCRIPTION Property Location fLO 1/4 ,/pILA.) % , Sec. 3 o 17W, N' R Town of Subdivision - _r, Lot # Certified Survey Map # _ ~ r Volume Page # Warranty Deed # Volume --,Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 li,ensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 -St. Croix County Sanitary Ordinance, The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (l.) the on-site wastewater disposal 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- [/we, 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 tc the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. 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, Nu r of bedrooms v _ 7- SIGNATtREgd- OF AP CANT DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the P1,4nning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) COUNTY PLAT OF: NW CORNER SEC. 35 FOUND BERNTSEN NAIL ( ) LOT 2 CS» VOL. 270 CROIX HILLS I uI NORTH LINE OF THEPSW51/47- NW 1/4 LOCATED IN THE SW 1/4 OF THE NW 1/4, OF N' R.A. (589'56'44"E) UNPLATT- SECTION 35, T29N, R17W, IN THE TOM OF N 89'28'25" E 1337.28' LANDS HAMMOND, ST. CROIX COUNTY, WISCONSIN. x00. - - I ' 1293.13' g~ ' R.A. (1305.06') f,41196(32.22') LOCATION MAP: aa.' 1305.09' (NOT TO SCALE) SECTION 35, T29N, R17W, 00 HWE-101i9D UTLOT I `gym PLAT 6 6' 1 LOCATION a 9769 S.F. WE 33'I33' I OUTLOT 2 I 0.22 Ac. 0 10 718027 S.F. rNE r , 00 16.48 Ac. 'o a SIR SE NE aAXaa AN ROVIN®m o THE WEST LEE OF DE AN 1/4 ASSIM m BEAR N "W 1.. JS' 6NN AAENX 8 120 I-4 I ~ N6757'091Y f I ~N 86.85' a TO Ou CF IA NNaa+a Aem DRAINAGE EASEMENT NOTE: 0 q~ro - - - - - - --an cArNNa na racer tlaW i atlas IDNfA WIREA If S4Ni W~ ING RE PRO xiP6GE ARM aaAWV ➢E WERAWN OF SIR R THE FLAN 7 COFNDOISIIE 2020TH DRAINAGE AM Ia S0. EROSION P1AN FOR ~ - - - - - - - - - - - - - - INS HAT TIE HmmES BUT IS NOT EMU m MM upok OBSR ue, ALTAK FILLER. OR EXAVATK OR PLANING N 89'42'58 E 468.67' m My POND WATEERI NDRAINAGE a (PASS aASS MISS o _ -66TH STREET "67 mrtB OA4xM s TOWNS GENERAL NOTICE STATEMENT: A c3 S 89'42'58" W 469.34' \ M z N / / s=- - - -225. - - - - 225.08'- - to z ouI PmCK WE a ne as fPUD N um ;Q Wert, o .100' m 00an. Aa mWN9a LAWS ACES 0 AEaUM DE C i o 19.26' o, p IC IET.Npx aNUN Aa x AaESS m PAM Em) OM j aWawaOR OENtnGART PMaEOF (,xgCaurTHE Z7 0; f N8975'10"E 0012 am mNn malt aRla AND THE ANW(iNAa 900 Baw FOR I'D - Or m ALINE gym. pl a I 60.00 ~ Ns50 b7aa~q: / 1 Z . al ~ r ID D o f 6ti~ 5 ~3 o ro m-4 UTILITY EASEMENTS: 10 0 0 0) 1 o o a ° z P4Ea NS0D Aas SImaa NAr ARE CA mL- AmNUWa Nay oGn~ Nn am WAEY m¢ OR OesWUEr "m 0 0 o S 700'34'50" E o ' - S 2111'07" E ! N 0 UI AEacANT LaLAW OR STREET INEnEmWNaNNEOF A UNar ZA N SR3S ~ o 0 I mil STNS INAfm 6 A MAIM CF XCIm1XR 16Ca9X 1 / 5 84 44' ry p STAAB Dun Q41dI5ASNNNAISErM"Ya Nf usE Dm IN OR D N89'2510 E LOT 6 N LOT ! AI LOT U I Q\ IZ OF Mg = A PNaa7PEX mW1a3 XAAWGANpWW Izz„T 0 F f Im a °o a w u , 06 / 1 15448 S.F. a 71647 S.F. u 71889 S.F. m A I°m NOTES: o S 8915'10" W S 62'48'52" W' 1.73 Ac. m 1.64 At. w I \ 146.82- - - 92.49' m N 1.65 Ac. TWarg4nmc"sa(umXaWaaxa1T01 A 'r u• 11 N p ro z I m f ME SEW-125 IaAVAmaart-a-N j~S 00'34'50' E N 2711'07~W ' 0` {,y1 aaar6mc,2s 84.44' 15 , 7 00' n 1 p I - (ARANW RUEAST T AREA ON ~ S 8925'10" W LOT I - I- - - - L __j 41 - 4 83"(4 m 60.00' 220.80' 225.00' 225.84' ~0 l 'DD' 97513 S.F. 6T.CRoluD.WS. 2 - -N 89'31'13' E 671.64'- - - - Wom a Ic - -24 Ac. - - j 11 I z BD=19X.31 -N 8815'55" E 560.22'- - - Ip o LEGEND: Gb ~EK'' I~ FIN'T1'r EASDXN DRANAa Ar N T LOT 2 m - LOT 5 20TH U7 m 153016 S.F. W L D 109143 S.F. o fa - MONO SETBACKS ® PROPOSED MOAT LOCAPOR m U1 " 3.51 Ac m it UTAITY EASEMENT 0 2.51 AC. Z am ~U - - - - SET 3/4' BY 18' POI NN 0,• 1.30=1071.31 I 0 ~p CK WE, BBMU[E EASEMENT LINE AT ALL THEY LOT CORNERS y I N CAN - ,m N MN J 1 FOUND I' NON PIPE HIT MW WATER EIEYAIGN 'r - - a - -N 89713" E 667.30' - - - MIT NDaINENT LBO Lor6sr BUILDING OPENING a Ir - -N 89'59'43" W 559.42- - I m FOUND AS NOTED \ IJyy Nr, " > SET 1110 BY 16' POI PN R.A. RECORDED AS 'ro1r LOT 3 W U LOT 4 F. 4.1721BS/I`T. ! N bar, N 1 4N'+b\ N 0 112682 S.F. m U 149992 S.F. s o a HNf=2069.31 2.59 Ac. I 37 33 L90=IOT.31 N2~54"E I,~95I HIRE-1073.49 ~I J80=1075.`A CURVE DATA TABLE: 9t' a TO CENiR OF 1 4 1 4Cy~ 7.66' 32.19' EASE92ENT 'mw NAOWB (m NC LDGN ITT) DELTA ANGLE CHO LENGTH ITT) M DRECOa TANI W TANOUIT OUT ' L- - 11 11 Y~ / L 665.9]'- - - 11 cI X7.00 I7a42 X7816• IKE N 769r01' E N IMID' E N sr asr E - SS8.69'- - - 600' . -mr - - - E2 43100 20130 265U,06' ELM N 761535• E N 671852• E N 684x58 E 673.63' Q 37.00 ImI 26VOS' 1974 s X15X• N S X42'58 N s 674852• w a wart S 89'31'13" W 1330.51' PLATTED n 4X20 92.58 26N89 M74 slrs'srE smrarE saau4rE "'Pa~ror SOUTH LINE OF THE SW 1/4 - NW 1/4 LANDS IDT6 43x99 I51A6 90552• I5106 SnD99•E 191/4 CORNER SEC. 35 °10°ivAm, UNPLATTED LANDS LOT 5 4X.00 50.95 06'4426' 50.N S Or45'O• E (FOUND 2 3/8" O.D. IRON PIPE) Wa - - - CCK S IT.m 848917x14 N 15XSY N X a7r17' N N tnl'BY W 28.06 26'X'18 199.26 S 16978' N S 67N'sr N S 8975'i8 N DRAFTED BE WAR P" HJBNIIREY EN04NEFF9NC MEET 1 OF 2 i! IIIIIIIIIIIIIIIiNII!III II III i 8 0 x44035454 4 F WARRANTY DEED 949893 BETH PABST REGISTER OF DEEDS Document Name ST. CROIX CO., WI Document Number _ 01/31/2012 12:22 PM THIS DEED, made between Federal Deposit Insurance Corporation as EXEMPTS: NA Receiver of The RiverBank ("Grantor," whether one or more), and Nicklas J REC FEE: 30.00 eid and Debra A Weidling, husband and wife, as survivorship marital TRANS FEE: 96.00 f proper ("Grantee," whether one or more). PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St Croix County, State of Wisconsin ("Property"): Lotlland 2, Plat of Croix Hills in the Town of Hammond, St. Croix County, Name and Return Address Wisconsin. St. Croix County Abstract & Title 219 S. Knowles Ave New Richmond, W154017 119217 4 018-2015-00-002 018-2015-00-001 Parcel Identification Number (PIN) This is not homestead property. a Exception to warranties: Municipal and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded building and use restrictions and covenants, general taxes levied in the year of closing and 's Dated this 19th day of January, 2012. i Federal Deposit Insurance Corporation as Receiver of The RiverBank j By: Z chary R. McBroom, Attorney in Fact E 3 ~ AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF MINNESOTA ) ) as. authenticated on COUNTY ) fr Personally came before me on this 19th day of January, 2012, TITLE: MEMBER STATE BAR OF WISCONSIN the above-named FDIC as Receiver of The RiverBank to me { , known to be the person(s) who executed the foregoing instrument (Ifnot authorized by Wis. Stat. § 706.06) and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Robert L. Lober Notary P lic, State of Minnesota ` , ) Lober Law Office aim/ My commission (is permanent) (expires: a (Signatures may be authenticated or acknowledge(L Both are not necessary.) S *Type naive below signatures - MARIA L. RODLUND Notary Public Minnesota try Carcmw F».laaay 31.2015 R t i ~t 1 I i $ FORM NO. 1-2003 WARRANTY VELD 1 of 1 a R 3