HomeMy WebLinkAbout040-1165-20-000
_ s yST~~ iN st~-//gyp . ~o y~ -
STC - 104
• AS BUILT SANITARY SYSTEM REPORT
OWNER _ J bf~•tl ~ Cff~l>.~'C~ .~/4~/.f}NJ~ '
Z G/E.v~rO.v T ~Q
--75# 114.0
ADDRESS
,PVV /i+11-5 Gu I'S • 6 Yo 2. Z
SUBDIVISION / CSM# ` - LOT
SECTION. ZG► T 29'N-R ZO W, Town of Troy
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
i
PLO r
ORIGINAL
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this-form.
Provide 2 dimensions to center of septic tank manhole cover.
TeP o~ pvc s~ r 4 c5 T-1
BENCHMARK : / ~d,~^T/'D a b .
ALTERNATE BM: /3O 7r0 m ,f7-
SEPTIC TANK / PUMP CHAMBER / HOLDING.TANK INFORMATION
Manufacturer: Liquid Capacity: /2-5_0
-
Setback from: Well House Other
Pump: Manufacturer 70&11Ee Model# Size 1157V
Float seperation • L Gallons/cycle: 7
Alarm Location Div S~O~ MV USE -
A-t o v ~U
-:SOIL ABSORPTION SYSTEM
Width: Length Number of trenches
Distance & Direction to nearest ProP• line: } /00
.
/J
Setback from: well: N /9' House 7 Other
ELEVATIONS
Building Sewer 7S ST Inlet. ~~G Z ST outlet S
PC inlet ~J PC bottom 5 7 Pump Off
Header/Manifold Bottom of system /040
Ex' 4 a Final grade 30
DATE OF INSTALLATION: IN)V•
PLUMBER ON JOB: ~~T ~G/3~/•GG~
LICENSE NUMBER:/ ~C S
INSPECTOR:
3/93:jt
y /3EDAM.
0
SOLE ~ "~L d r ~ ~ O
,9iy# 2 - /3077eAl SiPivG- /z SO
SE` A C~ p Wi're'
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o Gbref~ ~1Ai~
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Tor OF /"/00C /0i,oA-2
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' '1 ~ANICS /~c O~oP~~1 ~ I3/9 C K{i /l ED
sI)'f ( po'
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
June 17, 1994 201 East Washington Avenue
P. 0. Box 7969
Madison WI 53707
ULBRICHT & ASSOCIATES
ROBERT ULBRICHT
655 O'NEILL ROAD
HUDSON WI 54016
RE: PLAN S94-02266 REVISION TO PLAN S91-03325 FEE RECEIVED: 120.00
MAILAND, JOHN
NE,NE,26,28,20W
TOWN OF TROY COUNTY OF ST CROIX
MOUND SYSTEM
The Department has reviewed the above-referenced submittal.
Conditional approval is hereby granted for the system plan submittal. All
noted items must be corrected. The review and approval of the system is based
on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin
Administrative Code, and is contingent upon compliance with any stipulations
shown on the plans. This system has not been reviewed for the code
requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin
Administrative Code.
This plan submittal approval will expire two years from the approval date, or
if a sanitary permit is obtained, plan approval will expire on the day the
initial sanitary permit expires. The licensed plumber responsible for this
installation shall keep one set of plans with the Department's stamp of
approval at the construction site. The installer shall notify the appropriate
inspector when inspections can be made.
All permits required by the city, village, township or county shall be
obtained prior to installation.
Inquiries should be directed to me at the number listed below. Please refer
to the plan number shown above.
Sinc ely,
e Page
Plan Reviewe
Section of Private Sewage
(608) 266-2889
SBD-6423 (R. 91/91)
n
J
S-22
3.vr
0
q.G
3.32 f3.oH~
ULBRICHT & ASSOCIATES CO.
655 O'Neil Road • Hudson, Wi 54016 Reg. Designers of Engineering Systems
Private Sewage Consultants
715-3816-8185
PROJECT INDEX feu, 5 p,J -to -S 033 LS 41
DILHR Plan I.D. # s-l 0 2- 2- Ito Date y
A eeq.
Owner To $a C,q,-, DA cE f4 Ai LA.-% D Phone coDE 7i5-
Address 5 111 `+w 3 4L) ~ S . 55'q
Legal Description PA?U- . (e37• [3 PART OF &oo'T. Lort =W 1. Thx. IPARCeL
Town of T[ Z County s5 e- 12 ( C X
C.S.T. Installer RolSepT 2flb Lorckl-
RO(iE12T 24LQ R I' Ct,T- HPRS 3307
Local Authority/ Supervision
s-r.CPO iX c0 v-Aj Ty Z0APT.
PROJECT DESCRIPTION N wYowNER5 vF pe0PcRTy M , S. JA AI LA rsD)
C
SAVE 3)iFFr`'eezr pet) PvSl~D f~O~i Ir S i`T 14,+A-s 5%7'z- ivDi•c~fr o e►.~~
ORe~tAJ PLAO A?f120u4-2. Sfr- a33L5 ~,y~.ht~s_ La~~~Y~ ~n7L. T•~~ks
ta,D E7A.1n IjAoi~FoL-_> I*s p fNsrL,--Ar>
rsA a { ~otr a . s ntA P- e- ~~_~M r~ ~ ~ • 5 CrPf31
Rat 5e~rsoA3AII~ .SAtUQAt-t-JE~v (,Aqej&`1' 1n~t~Gt'AS'U~L t'e -11OA3
~i ll i § f2U ds>=D
S94- 022 66
Pg.l PLOT PLAN VIEWS
Pg.2 SYSTEM CROSS SECTIONS & SYS1F6Is tj%, %
Pg.3 PIPE LATERAL LAYOUT w.
uu3wc~
Pg.4 DOSING CHAMB,F,, jftt§ 1SY$TEM = 5 D1180
KvBCK
WrS.
Pg.5 PUMP PERFORMANCE.,o~ tma~!y E~t4M~'P
CY FO- Ic
ElA p~
OR AND m
DEPARSME`•T Or INDU`' V E U1 1
DIM i0 ETY
SEE CORRE~PON CE-. .
• No • Go r
S94- 022 66
~`I (3EDQM
RECEIVE
SCALE. I"= 20 1+b e5iTE JUN 1T M4
• - /3~LK~toE pi'rS 1 Dtak BUREAU OF BUILDING
i WA Tr t SYSTEMS
i0
I s. T O
.vEw 6
O 76'o
C I
NEB,,
d 3 / o ` 4/0' y-o r, 4L vF 1 „
31 _F
10,
00 10,
7
' ` / ' 01 SAPr 13,V
/ / C6.aevT .N.I.So..~
p y level of
a14S&W& 7-
AM
NO
NO SON
do,
14
.4e 10,
Sod
g M 4#1 Sal-. R y c s r
Top oic /"Pv4 ?ipc
~ " f}/3bUE y~pAOE, _
.00 r
0 EASr
Lpr i-i•vE
ON ITE SEWAGE SY TEM
Prior To Plowing- installer will cP arefully
shift or orient mound position ( toe line OEPARTM T OF IN QA AND t. GS R TIONS
T
and area under bed agaregare) so growid DIVI$ AF D
elevations across slope are as uniform as
possible. Suggested elevations (staked on
site with lathe markera) are shown herein SEE CO ESPO E E
and on pg. 2.
t ,
F67pO-SS SEGTIOrJ ol-' MOU~)D _ wi T'h Q)eD
DEp of % To
I ~1y A55Qc5ATE
~1 ST Ri(3UTto~
Cs , rki cka Fs s PIP to G- ' ~
/ s /srEM
OF TOP SOi L
t IEV,1-~~-J
Uri FORM 70Et H
l Rrt~p - ` MED. • • 1 E • • • • 19
I SAND • ~ 1--•
Fn
uu RM
°7G $10 PE FORCE' h E(EVATxOO UuMR
f3Ev
y 'U Fr. - ELEVADONr S
it /6 2. S.Q..
Fr. INVERT of I y IATERA(S
.
r U` FT. 1-0 p o F R o ck 79
G U FT• l i ~b 2. G 2
H I•S F N*. ' 1-0p OF IArERAIs
594-02266
A -A
F ou .~jD w i r" 131; D
MAW A 10 FT•
~5Q _ • I 4 9() Fr
K 13.65 Fr
L -7-7.3 f= r
i
w
f T Fr
w 33' r
o T. ~-j
F
Be r? of RECEIVED
PVc Wpep A 99 I to
IRE5 hTE JUN 1 7 M4
d!'35ERVhT~o>J
P p E 5 SIT U OF BUIUNNG
WA SYSTEM
1
PeQMA,J ENT M hR KERS
'DAt~ (2~j
REG2uiRED (3As/\L hRtA _ Y whsm-Fl o to Coo U
SVI L ia-F~ Ir►RnTwF r S• 5a. Fr.
C Aphci Ty
pRoposED BASAa AIReN = B X (A t z
C I ZSU
5y X 1U + I S w
s~2• FT,
i 1
y'.:
~ 1
e ~
f
:S
.
r d
` S
4 i
3. ~ ~
'r
E~ s r
t
t~~
~
is F', t
~
V, '1~2t
+4 .e ~
1
D%STRt BuT I oA.3 PIPE IJErWORK L Ayo.u'r
P R
OLQ
MAO~F
0
st Mow foR
l It 5
2, p _Fr
\ At low io R 2
s►~~Irs R o Fr
r X Y8 ,INc
FoRcE MAIN N~5
Fr. ~
Yo, of- Z P v c y I L) C es
VARi*AGLE
TOTAL Vc91c) VoJUrj 6.5 GA15. 'DiST^a cat
594-0226V
. -5,: ~ OCR ~~l4NETE I ff
~ INCHES
L. JlJE RA L I p c lies
MAM IFn p Z
` INCt{ES
FnRc~, AIN 2....
i Nci4ES
f lei)
• E - 13 G , MOVERr E LEVATIo&3
L ATE RAt 5
Ids .
7
O% ` 5Q
~~~~'~p~J~ GO~~~ P► P E T E TA% l.- E u p CAP
PE R Fo R PtTE a] .r-J
• -MOUE' All 7)Ril l ` Y
hl t RURI25 .
NoIES 10CATED 0^3 BoTroM EPI)-AIIY SPACED
2)(STRi 8uTtot,3 1)tSChAR CsE RATE FOR eAch LArERR L
_---PAR - oTi s-_ l S Z I
&AL
TOTAL 1V STR 6OTIorJ V§'CH^R&E7 RATE FOR
NETWDRK 3d•y~-- GA's/1` IA3. a•~ f Mi*1JiMVM
l
PUMP CHAMBER CROSS SECTION AND SPECIFICATIOAls OF S
II
VENT CAP
4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKIPJG
JUNCTION 80X~ MANHOLE COVER A
w~ uiA~N~o(~ fa-rl
~ 25' FROM DOOR, 12"MIN. 'WIMDOW OR FRESH
AIR INTAKE
"IRAD~ 114-r/ON GRADE
IB" /Al W.
o COIJDUIT----__-.--
y5
CIEU~f~ oti 11~
Qya PROVIDE
INLET AIRTIGHT SEAL
I~D I APPROVED JOINTS
APPROVED JOINT A iNy~~~ 1~ I I ~ I W/C.I. PIPE
,~(o I ( ALARM EXTENDING 3'
W/C.I. PIPE tA
EXTENDING 3' ~0 II ONTO SOLID SOIL
OIJTO SOLID SOIL B I
Q o 1 3' LS I I ON
3~f ~ I
c
ELEV. FL PUMP OFF
i
D •7
K 'gkppw 6- I BLOCK
1
4AN f i0 Al
~b•5d RISER EXIT PERMITTED OWLJ IF TANK MANUFACTURER HAS SUCH APPROVAL
SPECIFfCATIOUS S94 --022 6 6
SEPTIC E
DOSE CUE/SE/t? ~.tJGiIT C
TANKS MANUFACTURER YJ WMBER OFIOSES: PER DAB
:
TANK SIZE: , S GALLONS DOSE VOLUME C.•S S 7
f V7E~ hl ~aM INCLUDING BACKFLOW: GALLONS
ALARM MANUFACTURER:
MODEL NUMBER: CAPACITIES: A=2O'g INCHESOR yOO GALLONS
E i2C U
SWITCH TYPE: y F(O A T- B.- 2- INCHES OR loo - GALLONS ZD ~~~E ~ C = INCHES OR 15'7 GALLONS
PUMP MANUFACTURER: Q Q l.S GALLONS
MODEL NUMBER: gU V, ~p V D= INCHES OR
Pi 66V%ACK M~& / OAF MOTE: PUMP AND ALARM ARE TO BE
MISWIJIITCH MUM TYPE: DISCHARGE RATE 35y G P M INSTALLED OW SEPARATE CIRCUITS
In ~ ~'Aak SP~cs
VERTICAL DIFFERENCE 5ETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 2•S FFEET
EET (.CAC(,,,
+ MINIMUM NETWORK SUPPLY PRESSURE RE . . . . . . . .
y0 FEET OF FORCE MAIN X FYloo F-LFRlCT10N FACTOR.. FEET4Ur S R• 2
= ~ 5'$
TOTAL DytJAMIC. HEAD 2- FEET Tf
V 3
ERIJAL DIMEWSIONS OF TANK: LENGTH ;WIDTH - ;LIQUID DEPTH
I NT
A
oWrM SEWAGE SYSTEM
VE 17 10
u ~u
gtylt~~►~
pEp/~R~MENT R A H OF 1NDJS AAfitl1 i'1~fi~tJ1~
a~wsio►v
r
SEE CORRESPOND CE
A h Y
rn
E HEAD CAPACITY CURVE 3 7/86 1/4
MODEL "9€3"
30 4 s/a
a- I 2s . _f..
g 40
I 3 5/8
x 6 m
O f +
15 4 3/16
4 9
1 i/2-11 1/2 NPT
2
5 -
U.S. GALLONS 10 20 30 40 7 60 70 80 2 2 6 6
LITERS I -
80 160 240
0 FLOW PER MINUTE.
TOTAL DYNAMIC HEAD/FLOW PEA 1.%!,iUTE
EFFLUENT AND DEWATEAING
CAPACITY 12
HEAD UNITS/MIN
FEET METERS GALS LiRS
5 1.52 72 773
. 10 3.05 61 81 7
15 4.57 ~~55 t 10
20 6.10 95 - L_J
6
Lock Valve I'
CONSULeI'FACTORY FOR SPECIAL APPLICATIONS ~V~ 1 u~~-pgG
8
• Electrical alternators, for duplex systems,-are av:.iiiable and • Mercury float switches are ,!~Na o~0Single and
supplied with an alarm. three phase systems. B
. ! Mechanical alternators~!! ftll~duplex systems, are available with or • Double piggyback mercury float switches are available for
without. alarm switcQ variable level long cycle controls.
r
' SELECTION GUIDE
Standard all models -Weight 39 lbs. - '/s H.P. 1• Integral float operated 2 pole mechanical switch, no external control required.
2. Single piggyback mercury float switch or double p'ggyback mercury, float
98 Series Control Selection switch. Refer to FM0477.
Model V.,NR-Ph Mode Amps Simplex Duplex 3. Mechanical alternator 10-0072 or 10.0075. '
M98 115 1 Auto 9.0, 1 or 1 & 7 - 4. See FM0712, for correct model of Electrical Ahernator, ••E-Pak".
N98 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor float switch 10.0225 used as a control activator ~pecih•
f]98 230 1 Auto 4.5 1 or 1 & 7 - duplex (3) or (4) float system.
6. Four (4) hole "J-Pak", junction box, for watertight connection or wired-in sim-
E98 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 plex or duplex operation, 10.0002.
7. Two (2) hole "J-Pak", for watertight connection or splice.
Po Iformat` non additional Zoeller roducts refer to Gala CAUTION
p log on Combination Starter, FM0514; All installation of controls, protection deirices and wiring should be dale by a ouall-
Piggybacl. Mercury Switches, FM0477; Electrical Alternator, FM0486; IN~ochanical Alternator, tied licensed electrician. All electrical end safety codes should be followed includ-
FM0495; Alarm Package, FM0513; Sump/Sewage Basins, FM0487; and !3implex Control Box, ing the most recent National Electric Code and the Occupational Sal
FMO732. Health Act (OSHA). (NEC) sty and
RESERVE POWERED DESIGN i
For'unusual conditions a reserve safety factor is f~figineered into the design of every Zoeller pump.
MAIL T0: P.O. 80X 16341 Manufacturers of...
L~ELLE/~' p, P iw,i%• 80 40256lers L
V
0 SHIP T0: 3280 0%:' Millers 1~ P S /9,7.9
~ Col:i:viih~, KY4fi?16 C ,UAL/lY UAIPS /NCf
(502) 778-2731 * FAX (502) 774-3624
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SATISFACTION OF KORTGAGE ~ RCr6S?e f ' OFFICE
Forst Federal Savings Bank La C. Wsse - Hadisen
certifies that the following is fully paid and
:sai:isfied;
a E ,i.•i
Mortgage executed by GERALD R LOWRY AND SANDRA 4: 10
L LOWRY to First Federal Savings Bank [a
afl~ Gs ~6Ra~
Crosse - Madison and recorded in the Office of the Register of Heeds in St. Croix County,.
Wisconsin, Volume 1203, Page 513„ as Do-cument
550854, and described as shown below:
eturn To:
E01NA REALITY TITLE
400 S 2ND ST #115 -),F =y,~
I
HUDSON W1 54016
Parcel w 236-1760-01
S~:g
PART OF GOVERNMENT LOT 4,ASEC. 36-T29N-R20W AND PART OF SWI/4SW1/4 SEC.
31-T29W-R19W, ALL IN THE CITY OF HUDSON, DESCRIBED AS FOi.LOWS: LOT I
OF CERTIFIED SURVEY MAP FILED MARCH 15, 1989 IN VOL. 7, PAGE 2074 AS
DOC. N.O. 446133. ST. CRUI; MUNTY, WISCONSIN.
I
Dated: November 25, 1991 Firs` Federal Savings Bank
La Crosse - Madison
I
(Corporate Seal Not Required- BY:
Sec. 706,03(2), Wis. Stats.) NoA~e1.andpe
Assistant Secretary
I
STATE OF WISCONSIN
i.;~ CMOSSE CuiiliTi
Or the above date, the foregoing instrument was acknowledged before me by the
above named officer.
THIS INSTRUMENT DRAFTED BY
Mary K. Blaschke usan C. Soears, otar Public
First Federal Savings Bank State of Wisconsin
~~~till+Allfr,q
La Crosse,Wisconsin
; °ommi~=ion-expires--I2/26ri1999-----
n n-rnnanna~ ay_t t
i0/28,'Ce
non 7/vtiw~o 17'g{ _ 7
f USAPJ C. Z
SPEARS
`++eeuend6`~'
SGS fl9 ~,~oE (~:t~~Y soy/s
Wiscauin Department of Industry, SOIL DESCKIPTION REPORT P.O. Safety Box Builurngs Division
Box 7969
labor and Human Relations Madison, WI 53707
(Attach Soil Profile Location Map - o Scale -On A Separate. Signed Sheet) of Z-
7i; 3~(^ 33 3 a~T z~t4 ; vEny rol'i of c0oopev page - Soil Evaluation Date urrent Lan Use or Vegetative Cover Parentmaterias /0e%4WI /rl4:rt Ti%/ o
-,e
ust met NQamt j 5, Ci L 9/PiJ~fES Li:4~STOw1 Ei0u~y -
cR >7 ny ~y I ocr.3o,~
stumate a owest Groundwater
,~1f/~/e Pam vatron
ustomsr rest /eQ Ups is a W/-5, ✓rGwdll 2-5 r~ v 4
County ax arce No. System Loa m Rate in a onsPer q. R. Per ay
Lot Legal Description ysum eometry nbD- epth =..A,;
y .61 1 C Z T 2 p L 0 ~ mnspL /
.vr v sw s F
Horizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading
/0 y Boundary ores Hand other GPD/ft.2
In. Munsell u. Sx. Cont. Color Texture Gr. Sz. Sh. Consistence rRo
e 31 ~ si 2,f sbAl ~r,e s . s
0 PO 31 - s/ :2. Uf Sht /M fit Cw • s
5/~T ~Or6Ts
IN, ~ ~~-2G ioy/~ yt/ S~ zllfsh~ ~v~R 2f Cw a,u ~ s • S
132- 75 y,~ e 2 d 3 z $G/ ~UFy,~ ,►~~'~i / Cw h~ssi"vE N. P
1
J=je
R • .ttES TON g- N'
Horizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading
In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bounda ores Hand other GP~h.2
/f o-S /0 Y e 3/2- 5,6e , .e- Z ro s -
/Dye 3/ l 2 ,11,1,Sbe %vfl2 ?~o Ccv S
1C3 I-1D 16 Y4 yl S/ ~ UFs&- nn vf~ zf cw -
j# S fie 51
7/ (e
NQ 20 -P
Horizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading
In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores H and other GPD/h.2
be 3/2- l,f, sbe ~,,,2 z, ~oS .S
a - - !0 Z 31- 5 ? of she 2 ccv
? V~ ShK i1+t v 7{2 2'F C e_1 T
GN S .
fiLT
a 3Z P ~y /o y~ Sl ? f, sdk ye `may ,ads
Ye me
32- ye :5 Z_ 9 ViL
13. R_ fA~~Sr~E- • lam- .
lilt % /O• l
Horizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading
In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores H and other GPD/ft.2
10
_ f Vic; _
to
C~ /V
Horizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading
In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores H and other GPD/ft.=
HQMESITESEPTICPLUbI$INGCO.
i 2b6 O'NEIL RD., HUDSON, WIS. 54016
GG7. 3,0 Q Q f ROBERT ULBRIGHT c s r yd'L
CIS. MASTER PLUMBER LIC. NO. 3307 KRA.&
f -!N. tFfjTALLE't & DESIGNER LIC. W.. ( / wC~
Additional Remarks.
1: (,e fU ~ •gDDr'Tiov~ L ~ ,yiTS ~yt~~ ~,t'~~~:~ ~p -
tLS zJ ti P,t.2 /~i%tpSS 74 Tt7
m o r aotwt Si gp . J30,pi;v~s w ~ tioj ~s r,S'c o -t- s
3 - (31- g ~•v Svij ig ~y ,t° '-Ve vD %s ,~t~T odd -
ii ?gip TO ,ti s/'ZE pos s; ~ ~y U 4 ~3 v~M s
Other Site Features:
/LIdTr~ S ~tT Z~/'" 2 ~ ~aL~ 8 3~6-P10057
Limiting FactorsiDepth: CST Signature Date Signed Telephone No. CST 0
~S
SOD-8130(N 01190) 1• (T-G~ 'P04.cj &)e Z-/,4j
f4AA CC L"A3 &F
7% 7t
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i s wMl
Aj o ~~7 pig
v~~ri0 ll g.M E.~ ~E E r/
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oN ~O,u f~ ,uMG 5 z
I
2
\ Sloes
i
Z
s,\ Is
! \ = 13. M. ,s TOP OF
PUc P r SE 77 2
O Ut- 9.~g 6t"-"d
v
{ y n E lufiiia-c~ /00,0
!
HOi•.,~ESITE SEPTIC PLUMBING CO.
a r 65g b t' "EIL RD., HUDSON, WIS. 54016
SCfj G~ : - 3 ROEERT ULBRIGHT. 3V7 M' ^-~q p UMBER LIC. NOLIC M.P.R.S.
MINN. I",' n DESIGNER IC. N0. W663
i° T
ST. CROIX COUNTY
WISCONSIN
ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
911 FOURTH STREET • HUDSON, WI 54016
r~ .
(715) 386-4680
Dec. 11, 1991
Division of Safety and Building
Bureau of Plumbing
P.O. Box 7969
Madison-, WI 53707
To whom it may concern: /\1,91- vN ~tral' As AS J-1408 aG(J✓~~7Z
An onsite investigation of the Jerry & Sandy Lowry property,
located in the NW 1/4 of the SW 1/4 of Sec. 26, T28N-R20W, Town
of Troy, St. Croix County. This onsite revealed suitable soils
at a depth of 24" to seasonally saturated soil making this site
suitable for a mound septic system.
Should you have any questions, please feel free to contact this
office.
Sames erel
7- ~ ` may-_•__
r
K. Thompson
Assistant Zoning Administrator
i
cj
I
Z3~-160-~~
cs-
1%
y ~
d SAFETY &u BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
PRIVATE SEWAGE PLAN APPROVAL Ottire of Division Codes aria Application
201 Cast Wa,;hIngton Avenue
11.0 Box '196'4
Madison, Wi,,con5in '•13707
ROBERT ULLIPICH-1 Owner. GERRY & SANDEE LOWRY
655 WNE.IL ROAD 1201 MAYFR ROAD
HUDSON WI 54016 HUDSON WI 54016 ,M
U Y1(G kl of o r~rc 1
i
RE: Plan Number: S91-03325 Dates Approved: January 3, 1992
Gallons Per Gay; 600 Date peelrived: January 3, 1992
Project Name: LOWRY, GE100 & SANDEL Location: NE,NE,26,28,20W c%fvY Lo-r
gown of TROY ? County: ST CROIX
The plumbing plans and specifications tot this project have beer, reviewed tot
compliance with applicable code requirements. This approval is based on Chapter
145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are
stamped 'conditionally approved'. This apprc;val is contingent upon compliance with
any stipr.ilations shown on the plans. All items that are noted must be corrected.
All permits required by the city, village, township c:or county shall be obtained
prior to construction. The licen-,ed plumbpr responsil:llr, for this installation
shall keep ono set of plans with the donartwent's approval 5tarrip at the
construction site. The installer shall notity the appropriate inspector when
inspections, can be made.
This approval will expire two vpar s from the date ap:,provpd or it a sanitary
permit is obtained, it will exp'ir(r the day the initial ,anil:ary permit expires.
The Section of Private Sewage has rf3vir_wc:d these plans for private sewage system cod('
requirements only. These plan; have riot been reviewed for the code requirements
set forth in Section IIHR 82 for gerieral plumbing or in Chapters 50.64 of the
Wisconsin AdminiJtrative code.
This, approval is for the tollowing components only,.
NEW MOUND
Inquiries concerning this approval may he, made by callinll (608) 266-2889.
9 10
lea,
sQ ti co0>1. c~
~r ^
SUD 6433 (R. 01/81)
{y i S ~ i
I SAFETY & BUILDINGS DIVISION
tae _
41
1 State of Wisconsin
Department of Industry, Labor and Human Relations
ROURT ULBRTGHT
Page 2
Sin(.e~ Y,
E E.R F. PAGE.
Sectioln of Private, Sr age &
Division of Safety and buildings
PPP0l3/0009n/ 2
cc, GE RRY & SANDEE L.OWRY
Privy e Sewage ! ilT151iltant ,..._CR~un y --Ubl ' `;WMf' l„rnLlA f()rC$/~l liifh;Gr
()v ner i' I wrncr y Environmental Health
a
SKD 04231 K. 01/811
Parcel 236-1760-01-000 05/3012007 12:23
PAGE 1 OF 1
F 1
Alt. Parcel 236 - CITY OF HUDSON
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - NESS, WILLIAM
WILLIAM NESS
1201 MAYER RD
HUDSON WI 54016
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description " 1201 MAYER RD
SC 2611 HUDSON
SP 1700 WITC
Legal Description: Acres: 2.030 Plat: N/A-NOT AVAILABLE
LOT 1 CSM 7/2074 Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
Notes: Parcel History:
Date Doc # Vol/Page Type
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 04/27/2007
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.030 280,000 605,300 885,300 NO 00
Totals for 2007:
General Property 2.030 280,000 605,300 885,300
Woodland 0.000 0 0
Totals for 2006:
General Property 2.030 280,000 605,300 885,300
Woodland 0.000 0 0
i
Lottery Credit: Claim Count: 1 Certification Date: 11/03/2005 Batch 05-48
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
a g ~ 1
. rtn` Rgo-fingtry?8. 20.637YWA~S WXTE ~QT YSTEIrA~LENMUNT Cbdn'ty:
Labor and Human Relations INSPECTION REPORT
Safety and Buildings Division
` (ATTACH TO PERMIT) Sanitary ermit o.:
GENERAL INFORMATION
Permit Holder's Name: ❑ City ❑ Village lk Town of: State Plan D o.:
1~ss '
REIev.' Insp. BM E ev.: BM Description: Parcel Tax No.:
TANK INFORMATION ELEVATION DATA A9400002
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing
Aeration Bldg. Sewer
Holding St/ Ht Inlet
TANK SETBACK INFORMATION St/ Ht Outlet
TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake
Septic NA Dt Bottom
Dosing NA Header / Man.
Aeration NA Dist. Pipe
Holding Bot. System
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer Demand
Model Number GPM
TDH L ift Friction System TDH Ft Loss ead -T-7
Forcemain Length Dia. H Dist. To wen
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSION DIMEN I N
SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manufacturer:
SETBACK
INFORMATION Type O CHAMBER Model Number:
System: OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
l i Length Dia. Length Dia. Spacing
f,
u
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
~f Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
„nl
r LOCATION: TROY 26.28.20.637B,NW,NW,94V'T OTC ~,GLENMONT RD.
JZ '7d
0/ r
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
s J~TZUILHM SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code COUNTY
1 STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less tha
8% x 11 inches in size. ❑ check if re~is on to revious application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S gl 3 3 ZS
PROPERTY OWNER PROPERTY LOCATION
S6+1 N) $ C AoD,4Ct- 144* 1_.4 V NE % NE '/a, S 2-6 T a, N, R 20 E (or) W
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
upSO^1 (,c~!• ~~alC~ 3 ~YG P~Q T of 6-00'r-
II. TYPE OF BUILDING: (Check one) CITY N AREST ROAD
❑ State Owned LAGE : IWOJ/
❑ Public U 1 or 2 Fam. Dwelling-# of bedrooms - PARCEI TAX N
111. BUILDING USE: (If building type is public, check all that apply) 20
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. b4lNew 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.0 Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION: • S PL) t :
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) 500 Z /07_0 ELEVATION
-4,00 7 1114 Feet X03• f Feet
VII. TANK CAPACITY Site
in gallons Total # of Prefab. Fiber- Exper.
INFORMATION New lExisting Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or Holdin Tank /2 G /2-50
Lift Pump Tank/ er -750?Sa 4wca
Vlll. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): P.Wmber's Signature: (No Stamps) VHNMPRSW No.: Business Phone Number:
90607" *&/Atf? r ' kkc.4 3307 7i,~ 3
Plumber's Address (Street, City, State, Zip Code):
&_55 6 , itl,2(e gyp. 11-biP5oA) GCJ/S. ,57`901
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved S itary Permit Fee (includes Groundwater a e sue Issuing Agent Si mps)
~Approved ❑ Owner Given Initial 0^ Surcharge Fee) % x ~ - _
Adverse Determination v (
X. CONDITIONS QF APPROVP i RE ~ ASO FDISAPPROVAL: „ 6e~* con, S' -,Lg
( L g1Q
14 ba ce c.~1J h.o ~ 3 ~n,, U Cm 4,0 ~
I a V O SI, O lt',- LUO 1 in &A
SBD-6398 (formerly Plb-) (R. 11/88) DISTRIBUTION: Original to Coun On Cop o: Safety s Buildings vision, Owner, Plumber d"L
INSTRUCTIONS }
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All. revisions t(-this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a San tary Permit Transfer/Renewal Form i;SE3') 6399) to be
submitted to.the county prior to installation.
5. Onsite sewage systems must be properly maintained. The tank(s) must be Furnped Iny a licensed
pumper wheriever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local. code 'adrn061strator or the
State of Wisconsin, Safety & Buildings Division, 6(18-266-3815.
To be complete and accurate this saaitbiry, permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the svstem is to be installed,`.
II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or
repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-1.
VII. Tank infcorrnation. Fill in the capacity of every new and/or exi: tiny tank, st the total gallons oF.:mber of
tanks and manufacturer's name. Indicate prefab or site constructed and ianK material, ('Sacco. sic= or all
septic, pump/siphon and holding tanks for this system. Check r=xperirm a !pproval ur l';r it tanks received
exper ins,-rtal product approval from Dil_HR.
VIII. Responsib0ity statement. Installing plumber is to fill in name, lir!ense ne-!r.bFtr with approprir.:e prefix (e.g.
MP, etc.!, address and phone number. Plumber must sign applicator: (}rm,.
IX. County/Department Use Only.
X. County/Department Use Only.
Complete plans and specifications not smaller than 8% x 11 inches mu be submitted] to th= County. The
plans rr<t,st include the following: A) plot plan, drawn to scale or with co°11plete dimen_,On,, .:i =,tion of
holding l lr6k(s), septic: tank(s) or other treatment tanks; buildira :=r q ,e.l! water a i - iv,,ter-service;
streams ar}1 lakes;-pump or siphon tanks; distribution boxes, so,l at.so-_,tion systems: -~o ef',t system
areas; and the location of the building served, B) horizontal an.Y . ~rtica' =levation ref r~ ^R ; ~~r s;
C) complete specifications for pumps and controls; close volum?; elevation differences; fricti:r. loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if,
required by the county; E) soil test data on a 115 form; and F) all sizing Tnformation. `
- - - - - - - - - - - - -
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a numi--r Of
regulated practices which can effect groundwater
the monies collected through the,-- surcharges are . Used for nwo tcr0v, parr+~,<_ ~clyveter. r r j.Ene..
water contamination investigations and establishwor''= rf =tar~r.ards.
SBD-6398 (R.11/88)
~%I15.8 x114.6 / x 13
111 C~~u~'S~D PLO-r- PbAto j
1 5 x IE:-
IGt.O
vi S RFlr 2u •~LI ~12i~TE1~
114.0 SuRveyo(2'S 66evA-hoa5
112.5 x x 09.3 i
x 111.2
x I
oo.o
AICiV /250 1
105.6 i
x s
x 112.6
.107.5 5,cz"/ CAI
/ 107.3
O 102.2
x 99.8
i x 4 x 105.1 PRQPOSED HOUS OCATION/
x
/
x os.s
% i
1 x 11.6 Ilos x 101.6
109.6 10
r
x
x 09.7 104.7 / 102.3
/
x 107.0 x 6.4,
110.9 x 1 x
104.5
{-60 FOOT SETBACK x 9
X08.1 107.0 FROM BL 9AFF LINE 100. 1/
folk / x 103.1 x N
y M x 98.7 9
O Ile it x 101.0 NEw
13M Z
i
x 105.7 %
x 107.4/' 103.7 X , x 99.2 /
TP 8 3.,
0010.0
/0 106.1 TP \.2 / x 96.7 /
97.2
/ x 103.6 x .2
x .9 O /
\ 98)7
x 04.2 x 99.7 / . X,,46.3 x 91.7
x 3.6
% 105.5 x 101.7 /
TP
x 10~.- / / 96.0
99.4 ,
X
90. 8.1
~ / i _ x 92
04. %J /
102.1 / /
-J / 9.7.
00,
x 99.2 95.1
/
/ %
A /
-i , -1 bdor !fie 160101e edge of to ` 92.8 89.4
x 101. x
- -/x 97.7
46.1
ULBROff
W
1 / x 94. MUDPIA,
,y WIS.
- ~w,&i 440~SI G11
Z0
9I 5 Q9'.`
80.3 APPROXIMATE LIMIT OF
TOPOGRAPHY ALTERED BY
x 5 Idl
79.6 GRADING WHEN DRIVEWAY
76.8 WAS BUILT
G ' 75.5 cc
- 73:5. t/,} /6 •7 .~i '
f» ` 73.0
Wisconsin Lrcpartmentof Industry, SOIL DESLKIPTION REPORT Satesy 6 Buiw .rgs Di•.:,wn
Labor and Human Relations P.O. sox JWI~53J0J
(Attach Soil Profile Location Map - o Scale - On A Separate, Signed Sheet) Madison,
Page of
3y~ - 33(3 0-77 ze ~Ie7~Y ro of co009ty 111, -
u►t mer Name So I w capon Oats wrsnt Lan Use or Vegetative over arentBAateru t
~C R IE 3 S,} Nn y LGE'v~f ~T. 3 0, / fi~'~1 c - 9iPrES <.:~r~s Tov E.ou~
t Pam vatwn
sumats a owest rou water Nr f •
.414 dip x'10. 1'~Ivosa u wis sia,;; 2.5 ff
Count y ax arcs No. yuem Loa ,n Rate in Gallons Per q. Ft. Per Day ~D
5T eA4 /'X T,C4y T 1/s6ii 5" Xp e qoU v D yrs
ystem eomeuy an Dept ope a^ Alpd
~EOS 1
lot legs D S,eC, 2 Cn . T 2L d w % - ASr&RLY /
wL'r I v 4-
Horizon MDepth Dominant Color Mottles Structure Remarks: clayskins Loading
Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores H and other GPD/ft.2
G fSbK ~►r,2 ~o s - s
~ 10YX 3/~ 2
y~ yl S ? of she v~'R 2 f c w 6147- oa.47-s , s
13Z (r-2 7-5x-1 e' 3 z $G/ ~UFy~o / CGc~ hfSS~uE N. P
R G:R~'tES Teati E N'
,fT ~8rr~
rl o,J /6 -13 / Gam/ 141740,0 r
yHorizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading
In. Munstll u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bounda ores H and other GP~ft.2
o-S ~a ye 2 ,f
/Drx 3W 2,v-,S 9nvf2 2eo Ccv s
`Q~ I ' lb d Y,4 el ~2
51 V~
7/ Q
Fk~~Tu,eEV _ N,
ii
Horizon Depth Dominant Color Mottles - structure--- Remarks: clayskins Loadin, .
In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores H and other GPD/h.2
Hoye 3/2- 2
2L- -
Z -1 /0 315 ? of vf'2 2 ~o ccv - •
~ 2, of < sic r ~a ors
,
a2 4-4 io Y X 11/¢ s/ ? f Sdk f, Y-e `;y ,a~vS
zy-3 o y,.e :z 3/z s c 1, v of y,~ .rr, c~v fssL z M N. P.
• j,Pq ~v Fo ~ • •
1 / 13. R. Tr~E-
SF 11A F10--1
Horizon Depth Dominant Color Mottles - Structu(e----- - Remarks: clayskins Loading
In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores H and other GPD110
Horizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading
In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores H and other GPD/ft.2
ZQ,c,2~ v G HOMESITE SEPTIC PLUI RING CO.
~I',t.l 'j"GtQM~SE-u~ SST- t55O'NEILRD.,HUDSON, WIS. 54016
~r s yd'Z
OC7. 36) 1 4 4 ROBERT ULGRIGHT c -'-r
jlS. MASTER PLULWER LIC. NO. 3307 KPAS.
;,!r4 IWTALLE l 3 DESIGNER LIC. 140.00663 ~YC~ \
Additional Remarks: ~q
LSe W l,,et Q ~GcOSS 7 4 7-O® 0,0 c
t ~ T doew leoxai;v~s ~vt ~ - ,c~oj •g-s Sc~oo -f s
3 - f31-- g %s ,voT o~,D
74 4ee4 ejc- /3 /Se ,t- --veaw.,o
Other Site Features:
112~ 0 L9 '715-
A/ 0rrl_ .1-5 ,rT Z y ,
Limiting Faclors/Depth: CST Signature Date Signed Telephone No. CST 0
Seo•e330(N 01190) (-f 1' ),k I~Ow6 ,c? L~'-c~~'y
ftn ce U/N6-
- <Nn. PRop. [.i.v~'
Ory
4,91,rtrl°~ g.H3s~ 7,pEE /
Ter- 6-
REV 5 z
O• y~
- _j
Q
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\
< s\ i5~`'\ Q. M. I t'S T° P OF
he
H
HOtj.SiTE SEPTIC PLUMBING CO.
SCA G E = ,3 ea UNEIL RD., HUDSON, MS. 54016
ROBERT ULBRiGHT
WAS. My rR PLUMBER LIC. N0.3307 M.P.R.S.
MMN.114 t F1 DESIGNER LIC. N0.00663
_ • _ ,agC.f'hb~ T S
• SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
PRIVATE SEWAGE PLAN APPROVAL Office of Division Codes and Application
201 East Washington Avenue
P.O. Box 7969
Madison, Wisconsin 53707
ROBERT ULBRICHT Owner: GERRY & SANDEE LOWRY
655 O'NEIL ROAD 1201 MAYER ROAD
HUDSON WI 54016 HUDSON WI 54016
RE. Plan Number: S91-03325 Date Approved: January 3, 1992
Gallons Per Day: 600 Date Received: January 3, 1992
Project Name: LOWRY, GERRY & SANDEE Location: NE,NE,26,28,20W
Town of TROY County: ST CROIX
The plumbing plans and specifications for this project have been reviewed for
compliance with applicable code requirements. This approval is based on Chapter
145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are
stamped 'conditionally approved'. This approval is contingent upon compliance with
any stipulations shown on the plans. All items that are noted must be corrected.
All permits required by the city, village, township or county shall be obtained
prior to construction. The licensed plumber responsible for this installation
shall keep one set of plans with the department's approval stamp at the
construction site. The installer shall notify the appropriate inspector when
inspections can be made.
This approval will expire two years from the date approved or if a sanitary
permit is obtained, it will expire the day the initial sanitary permit expires.
The Section of Private Sewage has reviewed these plans for private sewage system code
requirements only. These plans have not been reviewed for the code requirements
set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the
Wisconsin Administrative code.
This approval is for the following components only:
- NEW MOUND
Inquiries concerning this approval may be made by calling (608) 266-2889.
I
i
i
S U D 6423 (N. U P911
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
ROBERT ULBRICHT
Page 2
r
I
Since y,
E . PAG
Section of Private Sewage
Division of Safety and Buildings
PPPO13/0009n/ 2
cc: GERRY & SANDEE LOWRY
-Private Sewage Consultant County UW-SSWMP -Plumbing Consultant
Owner Plumber Environmental Health
S11D 6423 1 N. 111/811
I.L.H.R. 83.08(2)
PROJECT INDEX SHEET
ors = 3.P6 - 35'F3
Owner: 6c2~ r GQ~vti°y
Address : 116( M A ye-2 ~D , H v D So.J w I S. S Oro ~ Co
Site Location:
,~iSEt -~SEG j T'2 9 A), R 2 0 Tow o T jam' O Y
NiE N~ a~ Sr. c(=d1x
Project Description:
I
I
14 NeW /IEP V-1 Flo -.1 IF is ^A"a leo
U E R G E ;t) A i i-1 Lu /F 5 rE /o k.;0 ~o o O sa- s
iL s f4.2C
$at E UAc. vA-T)'OA,)S RE 0t',1 L 50
pc~M ~'.~Qt-E (3 ur wioee L,A its w c~ ck6u" c- &D
4-1 AleS 7-oAia -f 7-
s TuPINTe.a ~2012 c
rT )A dU.VL,-) SysT£~lIr.. ( ,1 o tr Sr4Uv ts
p~opos~-o
Page 1. PLOT PLAN VIEWS
Page 2. MOUND CROSS SECTION & SYSTEM PLAN VIEWS
Page 3. PIPE LATERAL LAYOUT
Page 4. DOSING CHAMBER CROSS SECTION
Page 5. PUMP PERFROMANCF SPECS
PLUMBER: NOP:IFSITE SEPTIC PLUMBING CO.
.r O 'NEIL AD., HUDSON, WIS. 54016
6S~
L
1z Qer=T Z{ L- Q P- 1'r- 11 7- ROBERT ULBRIGHT CS T" 2 ~/8
',NIS. MPSTER PLUMBER LIC. N0.3307 M.P.R.S.
J~ P tZ s J 3 o 7 MINN. IN`)TALLER 8 DESIGNER LTC. N0. 0O603
DATE: R ` SITE EVALUATER/ DESIGMER
NSNTE SF-WAGE SYSTEM
SIGNATURE
.f
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IONS
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SEE ORRESP ENCE
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DEC 3 0 1991 Z S r
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PR~chs?' St PTI4 T~~k 13,M.k ► Y
csr: i" Puc
pipe s E r . "
MAIUEa Rvc.K, cal' ~3o~E 5RAP .
EIEUarloa
Prior To Plowing Installer will carefully
shift or orient ,m!ound position ( toe line
and area under bed aggregare) so grow,u
elevations across slope are as uniform as/~N~ j
possible. Suggested elevations (staked on
site with lathe markers) are shoran herein
and on pg. 2. LL
/0z,B5
AG E Us} Ti'o,y S T-,9 P o F 9 O cI':-- z S
Page Of _
r
Top OF l Chi L- 5 102- 60
Synthetic Covering
Distribution Pipe
Medium Sand
S y trees
Topsoil ==H= - - - fl~vkno~r
F ~oz ,a
3
geov,~,p E/~uM~o.v ,
% Slope ioo.o '
Bed Of Zr Force Main Plowed
Aggregate Layer
T.fNiFoti°M
DoE G.:c>c D Z• y Ft.
is
v rl -0 . E Z • G Ft.
Cross Section Of A Mound System Using
?0 A Bed For The Absorption Area F • -75 Ft.
G /.0 Ft.
A Ft. H I,S Ft.
B ~O Ft.
~3•~5'_ K- Ft.
1~.3'- L Ft.
J /0 Ft.
T / Ft.
Force Main W 3 7 Ft.
i
Observation Pipe
- -'I
w L--T-------- -
Distribution Bed Of 2
Pipe Aggregate
Observation Pipe Permanent Markers i
y " PdG G~~Pc~ > ~E~ L ,PooS
i.
c ~~'v'!1f SYS ► ~M
Plan View Of Mound Using A Bed For TI- Ab a
4 0S
JrC:.
CE
SEE CO~~
. ! i
Page 3 Of VO/ L) o /vtif E wok ZS o` Z /RUC FORGE`
?1i4c€ i4.5 ~U/E Perforated Pipe Detall
Z(~, `1'6~ti T F~,~ IIAI v.ArE
VAC v,4 i l'oN ~
End View
)Perforoled
End Cop) a \e PVC Pipe
~o~,o'o o~co
Des Holes Located On Bottom,
Art Equally Spaced
R
Q
*-R\ PVC Force Main
w
.7
Q PVC
Manifold Pipe
' Alternate Positlon Of
Distribution Force Main
Pipe
Last Hole Should Be
Next To End Cop a'3 ter,
End Cap Distribution Pipe Layout P /f~ Ft.
~5NR (o,p,
a
r
a'
y z~ X Inches
f,.
Y_ Inches y
5
Signe~ Hole Diameter Inch
00 Lateral 1 Inch(es)
p - Manifold Z Inches
Dater Force Main 2 Inches
gc~ # o-f' holes/pipe 7
50
Invert Elevation of Laterals 102-, Ft.
d1S7-1?1'3u7"1oAJ 1~ise~~,P~E ~P,9TE ilk E~}c(1 /Arekll S)1- 2-
T
'P~.. OiS
Y • 7~oT~. ~ ~iST/~i/3UTip,~ c~~'sc~. q,~'GE ~~r~ Fok ,U•e~lvo~Pr~ 3 Z -
has'
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS pAy.E ~oFF S--
VENT CAP
i
4"C.I. VENT PIPE
WEATHER PROOF APPROVED LOCKING
JUNCTION BOX MANHOLE COVER
25' FROM DOOR, (,~/~j~(,vlv(~
WINDOW OR FRESH I2'MIU.
AIR INTAKE
InAD GC~~,(~i17/ON ~D;'o GRADE
`I" MIN. /
IB"Mlu.
CONDUIT
WLET PROVIDE I I -
; ~ rT - ~ AIRTIGHT SEAL I III R
p II v
Q APPROVED JOINT A ~N5 I III APPROVED
W/C.T. PIPE ( AP ,~p1A I I I
ZXTENDING 3' O-\ I II ALARM EXTENDING 3'
ONTO SOLID SOIL 48, 1~ I II ONTO SOLID SOIL
-T 37" oli
t
%•l° c i I
LLEV. FT. PUMP-~
OFF
4AN K I I BLOCK
VAf j0 Al
RISER EXIT PERMITTED O►JLy IF TANK MANUFACTURER HAS SUCH APPROVAL
SEPTIC E 5PEC.IFICATIQUS
DOSE ltJ/~SEe
TANKS MANUFACTURER: IJUMBER OF DOSES: PER DAS
TANK SIZE: 750 GALLOIJS DOSE VOLUME. 150 ALARM MANUFACTURER:
LEUc e- 144k Al ea- • INCLUDIN~ BACKFLOW: TT GALLONS
MODEL NUMBER: D. V. CAPACITIES: A= 2-6, g INCHES OR 7 d~ JALL "!:5
SWITCH TYPE: M E RC 012 Z FI oh r B= z INCHES OR ~ g GALLONS
PUMP MANUFACTURER: Zo III 1t- C = n~ INCHES OR l- GALLONS
MODEL NUMBER: 17 y2 t f f 'IS V D= a -INCHES OR 7S~ GALLONS
5WITCH TYPE: P(6,6yMcx h>^RCL)Ry 'MOAT NOTE: PUMP AND ALARM ARE TO BE
MINIMUM DISCHARGE RATE 3J GPM INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE CETWEEN PUMP OFF AND DISTRIBUTION PIPE.. FEET -rAA)k : IPEcs ; ~y(
-I- MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . 2.5 FEET EACGL, O~ 2)t 1_ I l-,
-I 2'S FEET OF FORCE MAIN X 2.05 F j
ioo Fr.FRlCT1oN FAG70R.. ~ FEET
TOTAL DYNAMIC. HEAD = 9 FEET
OVAL
INTERNAL. DIMENSIONS OF TANK: LENGTH ;WIDTH -~-jLIQUID DEPTH
A
ONS1TE SEWAGE SYSTEM
("At ~J'
f
..45:1 rnw•
. I i'1~~. ~ i i, ♦fI
OEPARTI'1~ir~~T C1= I ~ U a~.F l~i1 lid"'
DIV 0
DENCE
SEE CORRESP
• HEADI LL
I 115 ~
34
CAPACITY 32110
I 105
CUR WE 30 100 -
28
90
26
B5
EFFLUENT 24 --so- MODE
and Q 75 MODEL 169
DEWATERING = 22 70 165
V 20 65
1 ~
a
Z 18
I p 55
16
H ODEL
So-
C 163 MODEL
H 14 45 188
{ 12 40-
35
10 MODEL
30 137, 139 MODEL
SEWAGE and 6 25 165
DEWATERING 6 20 MODEL
15 MODEL 161
4 7
10 -
rit 2 MODEL T.
5 53, 55,
57,59
0
GALLONS 10 20 30 40 50 60 70 60 90 100 110
LITERS 0 00 160 240 320 400
75
FLOW PER MINUTE
70
00
p ?S MODEL
295
V 60
14 MODEL
Z : 294
p 12 40-
J MODEL
J Fa- 10 35 - 293
' Q MODEL
30- 284 - - - - - -
MODEL
6 20 282
1,40F
4 ~i
10 MODEL ZAiZ4
2 267,266
I
0 1 3280 Old Milieu Lane
GALLONS 10 20 30 40 50 60 70 60. 90 100 110 120 130 140 /5p 160 170 180 190 P.O. BOX 18347
LOUlavlge, Kentucky 40218
I LITERS 0 60 160 240 320 400 480 560 640 720 (502) 778-2731
'
FLOW PER MINUTE
r
`97 Cast Iron Serves HEAD CAPACITY
UNITS/MIN
• Automatic or Non-Automatic. Feet Meters Gel. Ltrs.
A l~ • H.P., 1 Ph-, 115V or 230V. 5 1.52 67 216
10 3.05 51 193
• Non-clogging vortex impeller design, 15 4.57 43 163
• Passes'/? -s sphere). 20 6.10 27 104
• 1'r/' NPT discharge. i Lock valve: 24.5• j
• Float operated submersible (Nema 6) mech-
anical switch. 97 Series
• Automatic reset thermal overload prote,.±on. listed SC-2225 i
• Stainless steel screws, guard, handle and arm and
seal assembly.
• Watertight neoprene "C)" ring between motor and
pump housing. canaoanStanaarda '
10 Aswc. Approval
N97, non-aulomafic, available packaged with a piggyback mercury avad•bw
110dt Switch.
y -
I
S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER Tj~N 3h -
ADDRESS l~ 3 S FIRE NUMBE
CITY/STATE l7S(~'✓ ~t7~5 ' ZIP 5-y&l !v
PROPERTY LOCATION: II E,, 6 1/4, LCJ
1/41 SECTION ~ , T Z:N-R W
TOWN OF ?WO1St. Croix County,
SUBDIVISION /V , LOT NUMBER. ~
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 septic tank pumper. What
you put into the system can affect the function of the sep;.ic tank
as a treatment stage in the waste disposal system.
St. Croix County residents may be eligible to receive a grant
for a maximum of 60% of the cost of replacement of a failing
system, which was in operation prior to July 1, 1978. St. Croix
County accepted this program in August of 1980, with the
requirement that owners of all new systems agree to keep their
system properly maintained.
The property owner agrees to submit to St. Croix Zoning a
certification form, signed by the owner and by a mater plumber,
journeyman plumber, restricted plumber or a licensed pumper
verifying that (1) the on-site wastewater disposal system is in
proper operating condition and (2) after inspection and pumping (if
necessary), the septic tank is less than 1/3 full of sludge and
scum.
I/We, the undersigned have read the above requirements and
agree to maintain the private sewage disposal system in accordance
with the standards set forth, herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintained must be
completed and returned to the St. Croix Co. Zoning officer within
30 days of the three year expiration date. _
SIGNED.
DATE:- per., 31 l a 2l
St. Croix co. Zoning Office
911 4th St.
Hudson, WI 54016
STC-100
This application form is to be completed in full and signed by
the owner(s) of the property being developed. Any inadequacies
.will only result in delays of the permit issuance. Should this
development be intended for resale by owner contractor s ec
house), thenla second form should be retained and completed when
the property` is sold and submitted to this office with the
appropriate deed recording.
Owner of property J'b6r~,~ ' G~wQ
Location of ' property y~ 1/4 1/4, Section L~
T N-R W
Township 77'0 Y
Mailing address vy• 3-s
ha-~ Cv S
Address of site
Subdivision name-- V4- Lot no.-.
other homes on property? yes No
Previous owner of property s4'vp
Total size of parcel !
Date parcel was created
Are all corners and lot lines identifiable? v Yes No
Is this property being developed for (spec house)? Yes No
Volume /OQS and Page Number as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER & THE SEAL OF THE REGISTER OF DEEDS. In addition, a
certified survey, if available, would be helpful so as to avoid.
delays of the reviewing process. If the deed description
references to a Certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER-CERTIFICATION
I(we) certify that all statements on this form are true to the
best of my (our) knowledge that I (we) am (are) the owner(s) -of
the property described in this information form, by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. 31,P2-30 , and that I (we) presently
own the proposed site for the sewage disposal system or I (we)
obtained an easement, to run the above described property, for
the construction of said system, and the same has, been duly
recorded in the office of County Register of deeds as Document
No.
S gn t e of applicant Co-applicant
Date of Signature Date of Signature
~QL 1005PAUf 548
DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-1982 THIS SPACE RESERVED FOR RECORDING DATA
LAND ONTRACT
(TO Individual and Corporate
USED FINS E DJ OTH gNON CONSUMER
498230 326,000 I3
ACT TIO?
4 i FE
1ISTER' Ca. WIC'
_ , Sandra ST., *
* R81'.OId
Contract, by and between .C2.....!d_Rs. rY..
lzy,_.a ~i 0-We ..M.d right 0
is Y ("Vendor" _ .R 29•
Mai]and._and.Candace•.Mailan ' .(~l/ rft
- ;
whether one or more) and ....._JQb.0 d.'• at R
._w...M._.1xV-1YQK-1 P. marital..D..ropertY....»_........
sbaz>d...sxld.. Wife.
_ ("Purchaser", whether one or more). i. ; ?1i
Vendor sells and agrees to convey to Purchaser, upon the prompt and full per
formance of this contract by Purchaser, the following property, together with the A
rents, profits, fixtures and other appurtenant interests (all called the "Property'7,
in County, State of Wisconsin: RETURN TO
- Tax Parcel No.
All that part of Government Lot 1 of Sec. 26-T28N-R20W
lying Northerly and Easterly of Town Road.
7'
MAN
This is.natR.:.-:..._ homestead property.
i j (is not)
Purchaser agrees to purchase the Property and to pay to Vendor ai .._..Lhr...resderice• _
.00 _ » » _ _
the sum ot:.~lQaQ~,.QQ...._..___ in the following manner. (a) i ~zaQ......00•.
together with interest from date
at the execution of this Contract; and (b) the balance of 3 49_..._-...».».......
hereof on the balance outstanding from time to time at the rate of......... percent per annum
until paid in fall, as follows 1993 and on the
.Payable in monthly installments of $700.00 commencing on June 1,
same day each month.thereafter.- Said 'payments shall be first applied to interest,
then to principal However, if Purchaser's residence at 511 Highway 35, Hudson,
Wisconsin, is sold, the remaining balance due m this land contract shall be paid
in full within 30 days of the date of closing of said residence. Purchasers agree
M market said residence during the entire term of this contract.
Provided, however, the entire outstanding balance shall be paid in full on or before the ._._:..._._.~8t<-___ - - day of
..199S.- (the maturity date).
Following any default in payment, interest shall accrue at the rate of 10 % per annum on the entire amount
in- default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire
principal balance).
f
Payments shall be applied first to interest on "the unpaid balance at the rate specified and then to princi Asy
]PR)
In the event of any prepayment, this' contract shall not be treated as 4ault with respect to payment so long
as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated
as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been
made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds
of insurance or condemnation, the condemned premises being thereafter excluded herefrom.
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser
for examination except:
None
Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall
be retained by Vendor until the full purchase price is paid.
Purchaser shall be entitled to take possession of the Property on......... da1:e•_ Of ..~~,43~r1g.•..-........ » ....?W
'Cross Out ono
~rtm. STATE BAR OF WISCONSIN } Stock No. 13011
FORM No. II-1982
• vex 100 1PAGE 549
Purchaser promises to pay when due all Laxes and assessments levied on the Property or upon Vendor's interest
in it and to deliver to Vendor on demand receipts showing such payment
Purchaser shall keep the improvements on the Property insured against lose or damage occasioned by fire, ex-
L tended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved
by Vendor, in the sum ofx full . In8..uCab _..va1uP.......• , but Vendor shall not require covers a in an amount more
than the balance owed under this contract. Purchaser shall pay the insurance premiums when due. The policies shall
contain the standard clause in favor of the Vendor's interest and unless Vendor otherwise agrees in writing, the original
of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to
insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall
be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be
economically feasible.
?urchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property
in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and
to comply with all laws, ordinances and regulations affecting the Property.
Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions
shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to
the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, etcept
any liens or encumbrances created by the act or default of Purchaser, and except- ...1)...,st~ CrD>;XJUV.er_&e niC....
zaaing-..reg latims..and.2)..Requixemeni"a..of...P-ioneen..Pire..Department..which.-cmditim........_
issuance-.of.. building--permit,...... Purchasers...ackmw1edge.notice..of...the..ourrent-restricm
tions...iapoaed...wden.-Ibe..abosre...exceptions.. Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or
interest which continues for a period of.._._.30_..._.....days following the specified due date or (b) in the event of a default in
e ormance of an other obligation of Purchaser which continues for a period of .....30 days following written notice
ereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract
shall become immediately due and payable in full,, at Vendor's option and without notice (which Purchaser hereby
waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in
addition to those provided by law or in equit ; (i) Vendor may, at his option, terminate this Contract and Purchaser's
rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of
redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from
the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously
paid by Purchaser shall he forfeited as liquidated damages for failure to fulfill this Contract and as rental for the
Property if purchaser fails to redeem)- or (ii) Vendor may sue for specific performance of this Contract to compel
immediate and full payment of the entire outstanding balance with interest thereon at the rate in effect on the date of
default and other amounts due hereunder, in which event the P6perty shall be auctioned at judicial sale and Purchaser
shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion
thereof, or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title
action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession
of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action
under (i), ii) or (tv) above. Notwithstanding binding any oral or written statements or actions o Vendor an election of any
of the foregoing remedies shall only be upon Vendor it and when pursued in litigation and all code and expenses
including reasonable attorneys fees of Vendor incurred W enforce any remedyy hereunder (whether abated or not) to the
extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as in-
curred, and shall be included to any judgment
Upon the commenfflver nt or during the pendency of any action of foreclosure of this Contracts Purchaser consents
to the appointment of a of the Property, including homestead interest, to collect the rents, tssnee, and profit of
and
the t during the ency of ,riche on. and such rents, issues, and profits when so collected shall be of
applied as the courtshalct
Purchaser shall not transfer sell or convey any legal or equitable interest in the Property, (by assignment of any
of Purchaser's rights under this dontract or by option, long-tern lease or in any other way) vnmout the prior written
consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest
conveyed is a ledge or assignment of Purchaser's interest under this Contract soley as security for an indebtedness of
Purchaser. In the event of an such transfer, sale or conveyance without Vendor's written consent, the entire outstanding
balance payable under this Contract shall become immediately due and payable in full, at Vendor's option without notice.
Vendor shall make all payments wl- n due under any mortgage outstanding against the Property on the date of
this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser
makes timely payment of the amounts then due under this Contract Purchaser may make any such payments directly to
the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on
this Contract
Vendor may waive any default without waiving any other subsequent or prior default of Purchaser.
All terms of this Contract shall be binding u n and inure to the benefits of the heirs legal re presentatives,
successors and assigns of Vendor and Purchaser. (Ifpnot an owner of the Property the spouse ott Vendor for a valuable
consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the
deeds to be made in fulfillment hereof.)
1..~ . t....~........r _ ,199 3........
75n.-~7_... of _
Da . day A...
(SEAL)
3. .
- (SEAL)
• .Gerald R....IArt+uy d...............
a...........-..1_.~__
(SEAL) (SEAL)
.
-I'-Oy'?~' _ _ Carcase.. Mai en4~............. AUTHENTICATION ACKNOWLEDGMENT
Signature(s)........... _ STATE OF WISCONSIN
es.
St...-- Croix County;„..-
Pe onally c me before•t ~y sAto ' N day of
1
authenticated this day of......._...._._.__._. ,19.._..._... . d-1 . .l............. . the qkftmed
fd...
d and e
7x
' , . _ ~ti~,....._. ,
TITLE: MEMBER STATE BAR OF WISCONSIN me now to t the
f g frig i t a ."ft. ~r. r
(If not - a
authorized by 1 706.06, is. Stets.) '•`•w.~»,•''`'
_
THIS INSTRUMENT WAS GRAFTED BY _
Attorney..David--J.-_Estreen ~2P~1(1__.._..........
. d...St....Ah> P3 ._9..-_ Notary Public St......Cxoix........ --._.County, Wis.
(Signatures may be authenticated or acknowledged. Both My Commission is permanent (If not, state expiration
are not necessary.) date: -,19._._.......) 6
- - r~.
'Names of persons signing in any capacity should be typed or pooled
below their signatures. r
t
f
UL•BRICHT & ASSOCIATES CO.
655 O'Neil Road • Hudson WI 54016 Reg. Designers Engineering Systems
Private Sewage Consultants
715-386-8185
3
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