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HomeMy WebLinkAbout008-1072-70-025;onsir Departi~ient of Commerce PRIVATE SEWAGE SYSTEM ay and Building Divisi~i INSPECTION REPORT =NERAL INFORMATION (ATTACH TO PERMIT) rsonal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. ~rmit Holder's Name: City Village X Township Daffy, Thomas & Charlotte Eau ST BM Elev: Insp. BM Elev: BM Description: , L 'ANK INFORMATION TYPE MANUFACTURER ~: ~ 5 CAPACITY Septic r~ 3 a f~~a~.ti~' F~1.- Z;av Dosing ff ,,~ Z ~ o vwl~ n g~ Aere4+en ~~ c~t2QX. /vv olding TANK SETBACK INFORMATION en o ~r n a e ep Ic 7 01~ ~ ~ ~ ~ ~ Zy osing ~ 7~~ ~ Z4 ~ Z~ era ion o ing PUMP/SIPHON INFORMATION ~ I anu ac urer ~ eman GPM S a l o e um er ~E~r1 zr.~( I ~1~~ nc to oss l~l ys em ea ~•~ ~1,`~ orce I g ~ ia. , ~ ~~d ~ ,UIL AtS:iVKF' 1 IVIV ,TJ I tlVl Town of GS Z" ELEVATION DATA county: St. Croix mit N S it P er an ary o: 488069 0 State Plan ID No: Parcel Tax No: 008-1072-70-025 Section/Town/Range/Map No: 25.28.16.379A STATION BS HI FS ELEV. Benchmark ~ ~ 162 .'-~ / ~ . 3~ Alt. BM ~141~. o~ ~,~+~ qy, 93 Bldg. ewer 9. L 93 •L t t n et ib , I (P `i ?, Zi/ t ut et ~ ~ ne ~ 0 om 13.5 ~S. c~5 ea er an. /. 95 /~ . y 5 Is . Ipe o . ys em Z •Cos `~ . 75 Ina ra e ~,~ /U~.~ over T,n,le,1- ~,o~e~..- ~ 53 q5, g7 G e'~ou.r 4 • ~ ~}p l O DIMENSIONS /~ ~ ~~ ~ ~ ~-~ ~~ INFORMATION CHAMBER OR ~ ~ ~! I p /\ , z / ~ ~ ~ ~--. UNIT ~~ V IJ 1 RI p V 1 I V IY J 1 J 1 C IYI ~/ /1! ~ ~~ ,~ ~~/~ Length b• Yew Dia 1 ~ fs~ ~ Length 5~ ' ~ Dia Spacing ~ • 33 /$ 3 bra G~ / JVIL V V V CR X F'reSSUre SySLemS Ullly Xx mouna Vr H[-brace aysl.t;lns only Bed/Trench Center ~ / ~ Bed/Trench Edges ` Topsoil ` G~' es I'~ No 'es No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~1 _/ G 1 /~ Inspection #2: / / Location: 2603 12th Avenue Woodville, WI 54028 (SW 1/4 SW 1/4 25 T28N R16W) NA Lot 1 ~~ Parcel No: 25.28.16.379A t,Ja,l ~c OJ~4-- E%Z CaJP.~-~ Pls~ ~l K 1.) Alt BM Description = i 2.) Bldg sewer length = Z y - amount of cover = ~ / Plan revision Required? ~ ~ Yes No ! i Use other side for additional Information. ~Q Z ~ -~-Bate -~--~ SBD-6710 (R.3/97) 1 d, o~/ /~ etc ~.~s ~+t- ~~3~ '~-- -1-~-ert~-No--~--- Safety and Bui}din Division County 201 W. Washington A .O. Box 1162 St. Croix j Q/~A~~~~ Madison, WI - 7 62 t Number (to be filled in by Co.} Sanitary P er mi (~ 66-3 p ~ ~ / ~(0 9 Department of Commerce 700 Sanitary Permit Application State Plan I.D. Number ~Z Z 9 q ~3 `-~ In accord with Comm 83.21, Wis. Adm. Code, personal inf rmation O gl? = S ~ maybe used for secondary purposes Privacy La sl 5.04~~ f Project Address (if different than mailing address) 'i 3 ~ I. Application Information -Please Print All Information 12th Avenue Z6(~~ Property Owner s I~gle~~,j_Jp ` ~~ _._.. Parcel # Lot # ~- ' Thomas & c Gaffy ~ L O o o d Property Owner's Mailing Address Property Location 1725 Oakwood Drive SW SW Section 25 Y. ~~~ City, State Zip Code Phone Number , , Shoreview, MN 55126 28 ~ 6(circle one) ?C~ T N; R v r ~ / II. Type of Building (check alt that apply) S o / ~ Q 1 or 2 Family Dwelling -Number of Bedrooms 4 CSM N ter ~~ Z VOI. 19 age 49'~ Pubiic/Commercial -Describe Use ^ State Owned -Describe Use ity ^Village DI'ownship of au Gatle IIL T ype of Permit: (Check only one box on Tine A. Complete tine B if applicable) `t" ~ New S stem y ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System B. i] Permit Renewal ^ Permit Revision ^ Change of 0 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plum r Owner ~ ~ ~ ~~ r/ IV. T of POWTS S stem: Cheek all that a 0 0 = 2D, 0 ^ Non -Pressurized In-('Hound ^ Mound > 24 in. of suitable sor ©Mound < 24 in. of suitable soil ^ At-Grade ^ Single Pass Sand Filter 0 Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unrt ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber 0 Drip Line ^ Gravel-less Pipe ^ O[her (explain) r V. Dis rsaVCreatment Area Information: .c7i~ Design Flow (gpd) Design Soil Application Rat~gpdsf- Dispersal Area Required (sf) Dispersal Area Proposed (sfl System Elevation soa o.s ~~ ~ S ~_..~ soo soo 97.67 VI. Tank Info Capacity in Total umber Manufacxurer Prefab Site Steel Fiber Plastic Gallons Gallons of Units t„~r ~_~vp oncrete Constructed Glass New Existing ~ Tanks Tanks septic °` tlokling Tank 1200 1200 1 ieser x Aerobic Tr~hnent Unit ~;ng cba~ber 800 800 1 ieser x VII. Responsibility Statement- I, the nndersiAlled, assank responsibility fer installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum s Signs MPlMPRS Number Business Phone Number Roger Nelson MP226497 715-273-4444 Plumber's Address (Street, City, State, Zip C 122 East Summit Avenue Ellsworth, WI 54011 VIII. Coun /De artment IIse Oa Approved ^ Di Sanitary Permit Fee i eludes Groundwater Date Issued 1 uin gent Signs o Stamps) ^ Surcharge Fee) ~ '~- p~ / 7 ~ ven Reason for nial •C 0 ~O IX. Conditions pprov ~ 3 ~r`~ SYSTEM OWNER: 1 Septic tank, effluent filter and ~c C.t~.w~ . (:eeQ9..~ ~ Ctav~ dispersal cell must all be serviced /maintained ~-` = nn (n~ " ~ e_ ,~ ~ t ~-- Qt^ ~'i ~ I~fJ~ ~ r dC dd t dSI ~. . . as per management plan provided by plumber. ~ 2. All setback requirements must be maintained CS "C- ~~`~ r ~ .~.~,~~ ~ ~ as per applicable code/ordinances . ~ ~ ~ -2Rnrs . ~o. I~ j~ ~~ Attach complete plain (M the Comfy only) ror the system oa pape~].o~res, s /han stn a 11 inches in iae . ~ SBD-6398 (R. 01/03} S-e't ~S , . . Thomas & Chu Gaf~y 1725 Oakwood Drive Shoreview, M1Y 55126 s~ 12.. Ear S~ Sca We B11~ BAS 54' 0 r ~~ n ~Y Q RT .~ commerce.wi.gov ^ ^ iscansin Department of Commerce Safety and Buildings 4003 N KiNNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (fi08) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary January 09, 2006 CUST ID No. 226497 ROGER D NELSON NELSON PLUMBING 122 E SUMMIT AVE ELLSWORTH WI 54011 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/09/2008 SITE: Thomas & Chic Gaffy 12th Avenue Town of Eau Galle St Croix County SW1/4, SW1/4, S25, T28N, R16W ATT1V.• POYVTS inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1229983 Site ID No. 708683 .Please refer to both. identi'cation numbers, above, in all corres ondence with the a enc . FOR: Description: Proposed Four Bedroom Mound System Object Type: POWTS Component Manual ,Regulated Object ID No.: 1057507 Maintenance required; 600 GPD Flow rate; 16 in Soil minimum depth to limiting factor from original grade System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administzative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. 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 component manual(s) referenced above. • 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 POWTS 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. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. 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 Comm 84 product approval conditions. • Comm 83.22(7) - A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the syst~.(~i'~s~ll receive a copy of the appropriate operation and maintenance manual and/or owner's ~~~g~~Q~V~~j~~scribed in this approval. ~~~~® ROGER D NELSON Page 2 1/9/2006 • Comm 83.52(1)(a) -The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) - A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • 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. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Thomas 8~ Chic Gaffy 4 bedroom Mound system Owner's Name: Thomas & Chic Gaffy Owner's Address: 1725 Oakwood Drive Shoreview, MN 55126 Job address: C.T.H. B & 12th Avenue Legal Description: SW 1/4, SW 1/4, S 25, T 28 N, R 16 W Township: Eau Galle County: St. Croix Subdivision Name: CSM Vol. 19, Page 4917 Lot Number: 1 Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Page 2 RECEIVED Page 3 Page 4 JAN - 6 2~~6 Page 5 Page 6 SAFE'(1(& BUILDINGS Page s Index and title Data entry Mound drawings Lateral and dose tank System maintenance specifications Management and contingency plan Pump curve and specifications Plot Plan Designer: Roger Nelson License Number: Date: 01/02/06 1 Phone Number: r Signature: MP 226497 715-273-4444 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01!01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) IViSI SAF T A BUILDih~GS Version 4.0 (R. 04/03) Page 1 of 8 SEF CORRESPONDENCE Mound and Pressure Distribution Component Design Design Worksheet Site Inform ation (r or c) R Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 15.00 Site Slope (%) 96.00 Contour Line Elevation (ft) 16.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 60.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c ore) a Center or End Manifold 3.33 Lateral Spacing (ft) 3 Number of Laterals 0.125 Orifice Diameter (in) (e.g. 0.25) 3.50 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 50.00 Forcemain Length (ft) 82.00 Pump Tank Elevation (ft) ~`/ ~~ ~l 6.50 System Head (ft) x 1.3 l er 15.33 Vertical Lift (ft) `~ ~ 0.50 Friction Loss (ft) 22.33 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 x x 1.25 x 1.50 x 2.00 x 3.00 x Treatment Tank Information 1200.00 Se tic Tank Capacity (gal) Weiser 800-325-8456 Manufacturer Dose Tank Information 800.00 Dose Tank Capacity (gal) 22.24 Dose Tank Volume (gallin) Weiser Manufacturer Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatment for fecal colifomi of <= 36 inches. 10.00 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N If N above, enter the elevation ft of the highest point. 11.76 ftz/orifice Does the forcemain drain back? Y Enter Y or N 8.16 Forcemain Drainback (gal) 35.82 5x Void Volume (gal) 43.98 Minimum Dose Volume (gal) 21.01 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x x 2.00 3.00 Gallons/Inch Calculator (optional) Total Tank Capacity (gal) Total Working Liquid Depth (in) gallin (enter result in cell 1349) Effluent Filter Information Zabel 1-800-221-5742 Filter Manufacturer A100 Filter Model Number Project: Thomas & Chic Gaffy 4 bedroom Mound system Page 2 of 8 Mound Pian View 1_ ll 1/~1 ~~0 ~~B~~ • 'Observation Pipe ' 0 ' .T.'~' . K : ti.ti.ti.ti~ti~ti~ti~1;1:ti~.,~.~~~~~~.~~:ti•~~~~~~,~ti~~.~ti~~.~~.~~.~ti~ti~ti~ti~ti• .ti~ti~• . . - - 1'~.'~t•t• t•1'•r•1'•1'•1'•1'•1' 1'•1'..r.r`•: •1'•1'•r•r•1'•: ~J~t•.'•l• .r•r• L.•,.ti ti ~ti.ti.ti.ti.•,.ti.ti.• 5 ti.ti,ti,ti,•,,ti,•,,•,,ti,ti,•,,ti,•,,•,. {.ti.. ' r•,••f• l•: •; •,1'.1'•1'•1'• r•1'•1'•r•: •r•r•1'•r`•.••,r•l•,r•r• r•1'•r• '.•ti•,., '. ~'. •'. •'.•,.•ti•,.•ti• ti•ti•ti•ti•,.••.•ti•ti,,.•,.,'. •'L,,.•,. •'. ti••.•ti•• . ' 1',,r,r,,•,,'•,,•. f.,•.r,r,,•,~ , f.; , f. f. f. f. f.r.~ , f. f,,•. j.,..,.,r.,.. f. f. f. j. j. . ~ ~• } '-r. -t Jj - T A I I_ L Mound Component Dimensions A 10.00 ft E 38.00 in H 1.00 ft K 12.50 ft B 60.00 ft F 9.00 in z 24.09 ft L 85.00 ft D 20.00 in G 0.50 ft J 6.03 ft W 40.13 ft 600.00 (ft2) Dispersal Cell Area 2045.45 (ft2) Basal Area Available 10.00 (gpd/ft) Linear Loading Rate 6.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.42 (ft) ~I H I F . • : = : ~ ~~~~~~~~~~ 98.17 (ft) Lateral Dispersal Cell 97.67 (ft)-- - Invert Dispersal Cell :~ : ~ :D : ~' ~ ~ t Elevation E ~ ~~ .. Shading Key 1~ -Topsoil Cap © ~•~f} Subsoil Cap ©~ ASTM C33 Sand ®®Tilled Layer ^5 r~r~f~. Aggregate 15.0 % Site Slope '° c. fr 'ii c ~ 1.5 ft w o so 0.5 ft 0 ~ ~ A (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (AxB). Project: Thomas & Chic Gaffy 4 bedroom Mound system Page 3 of 8 • R End Connection Lateral Layout Diagram Center the laterals over the A & 6 dlmenslon •= Turn-up wlball valvo or oloanoutplug P _I All laterals are identical IE X -:, I Holes drilled on the bottom of the lateral equally spaced Laterals & force main of PYC Soh 40 3 (per COMf:A Table 94.30.5) Force main connection via tee or cross to manifold at any point. Number of Laterals 3 Orifice Diameter Lateral Diameter 1.00 in Orifice Spacing (X) Lateral Length (P) 58.56 ft Orifices per Lateral Lateral Spacing (S) 3.33 ft Orifice Density Lateral Flow Rate 7.00 gpm Manifold Length System Flow Rate 21.01 gpm Manifold Diameter Total Dynamic Head 22.33 ft Forcemain Velocity Dose Tank Information Electrical as per NEC 300 and --- Comm 16.28 WAC ~ Disconnect ~- 3" Bedd Locking cover with warning label and locking device and sealed watertight 4 in. min. --~_ Tank component is properly vented Weiser 800-325-8456 Ca aci 800.00 Volume 22.24 Manufacturer Gallons gal/inch _~ A B C D Dimension Inches Gallons A 21.99 489.14 B 2.00 44.48 C 1.98 43.98 D 10.00 222.40 Total 35.97 800.00 tank. 0.125 in 3.66 ft 11.76 ft` 6.67 ft 1.50 in 2.15 ft/ E- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device Pump off elevation (ft) 82.83 Do• se tank elevation (ft) 82.00 Alarm Manuafacturer S. J. Electro S stems Alarm Model Number 101 HW Pump Manufacturer Goulds Pump Model Number PE 41~ Pump Must Deliver 21.01 gpm at 22.33 ft TDH Project: Thomas 8t Chic Gaffy 4 bedroom Mound system Page 4 of 8 Mound System Maintenance and Operation Specifications Service Provider's Name Installed by Nelson Plumbing Phone 715-273-4444 POWTS Regulator's Name St. Croix Coun Zonin Phone 715-386680 System Flow and Load Parameters Design Flow -Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1200 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frec~uency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect andlor service once eve 3 ears Should ins ect and clean at feast once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for pondin and see a e once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished • ............. ---- .............•• Grade 6-8" Diameter Lawn .. . Threaded Cleanout Sprinkler Valve Box ~ ~ Plug or Ball Valve Distribution Lateral -Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Thomas & Chic Gaffy 4 bedroom Mound system Page 5 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code ral This system shall be operated in accordance with Comm 82-84 Wis_ Adm. Code, and shall maintained in a~rdance wtth its' component manuals [SBD-10691-P (N.01101) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers shoukf be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an indivkiual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at feast once every 3 years by inspection. The outlet fitter shall be Leaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enGosure. If the fitter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumufatian in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. P~rmo Tank The pump (dosing) tank shalt be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank tt shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may tie made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from fr~zing. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mglL FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10' cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and tt is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed tt should be compared to the initial test when the system was installed to determine ff orifice clogging has occurred and if orfice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be cheGced for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan !f the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal arearf tce leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Thomas & Chic Gaffy 4 bedroom Mound system Page 6 of 8 _. _!_, L GOULDS PUMPS APPUGTfONS SpedaNy designed to- the fdbwirtt~ uses: ' Mound Systems • Effluertt/Dosing Systems • I.ow Prrswre Pipe Systems • Basement Draining • D~ ~ Sumpl ng METEFS FEET a, ~ ~_ Submersible Effluent Pump PE SMdFIGTiONS Pump - twrerat: • Disdlarge: 1'h" NPT • Temperature: 104°F (40,~ maximum, tonUnuo~c where fuNy submerged. • Solids handling: 'h• maximum sphere. • Automatic models include a float swftch. • Manual models avaiable, • Pumping range; see performance d:aR a cove. PE31.P1m~t: • Maximum capacity: 50 GPM • Ulaximurn head: 25' TDH PE41 Pump: • Maximum capaciy: li0 GPM • MaxNnum head: 29' TDH PEST Pump: • Maximum capacity: 70 GPM • Msxirtwm head: 37' TDH MOTOR t,el»rai: • Single phase • 60 hertz • 115 wits • Built-kl thentlal overload pro- tEd10n MIDI dUt01r1atIC reSe't. • Ciess B insuladorl. • 0(ifiited design. ` High sttprtgdt carbon steel shaft PE31 Motor: • .33 HP, 3000 RPM 12.0 Maximum amps Shedr+d Pole desigl PE4t Motor: • .40 NP, 3400 RPM • 7.5 Maximum amps • PSt design PE51 Motor: • . SO HP, 3400 RPM • 9.5 Maximum amps • PSC design MATURES ^ Corrosion resistant corutructian. ^ Cast iron body. ^ Thern'wpiastic impeller and COVer. ^ Upper sleeve and lower heavy duty be,i bearing constnrction. ^ Mota is permanently lubric~ed for extended service life. ^ Povverrd fa aorrtinuous ~. ^ AN rstirlgs are Mlftllin the ^ Quick dfsaorulect povMtr~. cad, 20' standard length, heavy duty 11i/3 SlTW with NEMA 5-iSP, three prong, 115 unit grotlrldirKj ping, ^ Complete unk is heavy duty, portable and compact. ^ Mechaniol seal is carbon, ceramic, BUNA and stainless feel. ^ Stainless ~eei fasteners. AC#NCY LISTiNK+S s~~ c us Tied>o UL 778artd aAU~ 1p8St* ~~ ~ rtirapc u+sos~oot wpaend L 2002 uauWs Pumps EfNetiw rvovemba, 2002 speariat pa,~~, 70'8 cot~ds ITT Industries " Thomas & Chic Gaffy 1725 Oakwood Drive Shoreview, MN SS126 SWI/..SW%. S25. T28N.RI6W 12.1 Eat S~ Sca Wei BM BM SO' 0 3 ~~ l 2 Th ~~/in u ~ 'IN ,. •; Wisconsin Department of Comr Division of Safety and Buildings r~ °" _,~SOIL EVALUATION REPORT Page 1 of 3 ~ raancx wnn ~,omm ate, vvrs. rwrn. t,uuC ~~y ST. CROIX Plan must lete site lan on a not less than 8112 x 11 Indies in size Attach com . p p p include, but not limited to: vertical and horizontal reference point (BM), direction and parts( I.p. (Pending) percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print a// /l~- `~/,E ~ ~ ~ Revi by Date Q 5 Z Personal information you provide may be used for nda sBs R acyTaw , s. 15. (1) (m)). ZLl ~ Properly Owner ~ ~ C ~ :~ ZOO Props Location ~ Q THOMAS & CHIC GA FY ~~ ~ _-_- SW 114 SW 1/4 S 25 T 28 N R 16 E (or) W Property Owner's Mailing Address of # Block # Subd. Name or CSM# 1725 Oakwood Driv ST. CROIX COON 1 -- CSM Vol. 19, Pg. 4917 City State Z'ip Code dY ~vllage Town Nearest Road Shoreview, MN 55126 ( ) NK C.T.H. B & 12th Avenue New Construction Use Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD Replacement ~ Public or commeroial -Describe: Parent material glacial till Flood Plain elevation If applit~bte ~ ft. General commer~s Mound System -- 1.67 ft. sand fill -- 0.61oading rate and recommendations: .~--- To bedesigned by Roger Nelson. a Boring # ~ Boring Q pit Ground surface elev. 97.56 ft. Depth to limiting factor 20 / in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 •Eff#2 1 0-10 7.SYR2.5/2 -- sl 2f--mgr mvfr cb 3vf-co 0.6 1.0 2 10-15 7 SYR3/2 -- sl 2fsbk m~T cs 2vf-co 0.6 1.0 3 IS-20 10YR4/3 -- sl lm~l mvfr cb 2vf-co 0.4 0.6 4 20-26 10YR4/3 czd toYxs/6 scl lfsbk mfi as lvf-m 0.2 0.3 5 26-36 10YR4/3 mid toYxs/6 cosl Om mfr -- lvf-f 0.2 0.6 Horizons 3,4 & 5 have some gr. 2 Bori # U BO""g 93.26 20 ,/ n9 ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Stnx;ture Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •Eff#2 1 0-5 7.SYR2.5/2 -- sl 2f--mgr mvfr cs 3vf-co 0.6 1.0 2 5-15 10YR3/3 _ sl 2fsbk mvfr cs 2vf-co 0.6 1.0 3 15-20 IOYR3/4 - sl lfsbk mvfr cs lvf-co 0.4 0.7 4 20-26 10YR4/3 ctd 1oYR5/6 scl lfsbk mfi -- Ivf-m 0.2 0.3 orizons 3&4 have some gr. Effluent #1 = BOD_ > 30 < 220 moll and TSS >30 < 1 50 moll ' Effluent #'Z = BOD. < 30 mglL and TSS _< 30 mglL CST Name (Please Print) gnature CST Number M Jo Hollister ~ 224832 Address ~ Date Evahta6on Conducted Telephone Number W9875 690th Avenue, River Falls, WI 54022 11 - 11 & 12 - 08 - OS (715) 426 - 1775 Property Owner Gaffey, Thomas (Pending) 2 Paroel ID # Page of 3 (;~ Boring / Boring # ^ Pit Ground surface elev. x'76 ft. Depth to limiting factor 16 /n Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Stnutur+e Consistence Boundary Roots GP D/ff° in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ef(#1 *Eff#2 1 0-5 7.SYIZ2.5/2 -- sl 2f--mgr mvfr cs 3vf-co 0.6 1.0 2 5-16 7 SYR3/2 __ sl 2fsbk mvfr cs 2vf-co 0.6 1.0 3 16-20 IOYR4/3 mlf 10YR4l6 scl 2fsbk mfr -- lvf-m 0.2 0.3 orizons 2&3 have some gr. Boring # Bonng pit Ground surface elev. ft. Depth to limiting factor in. Sal lication Rate Horizon Depth Dominant Color Rector Description 'texture Stnn:ture Conalstence Boundary Roots GP D/fP in. MunseH Qu. Sz. CoM. Caor Gr. Sz. Sh. *Eff#1 *Eff#2 Boring Bonng # Ground surface elev. ft. Depth to limiflng factor in. Pit SoH igtion Rate Horizon Depth Dominant Color Redox Description Texthre Stnrc~ure Consistence Boundary Roots GP D/ft= in. Mansell Qu. Sz. Cont Caor Gr. Sz. Sh. "Eff#1 *Eff#2 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent if2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330TH[ (R.07/00) Plot Plan for Site and Soil Evaluartion Page 3 of 3 Property Owner c~~~r, -r~+o~s ~ cr +~ Legal Descripiwn ~r ~~ ~~~->~n IN,~+e swy~ ~ 7ttE SWY'f~ SEC. LsS."rZ`bN. ~tbW ~ TowN o F ~u c~+.~f ~, cRO~x crt. . W ~scSD 1ss~ N z pJ~ Z W 4. d ~' 3 0 P~ Location: ~~~ ~~~~ \O ® ~„~z. , gg,co ~~,:sc' gS,,oo' ~ ~ 01.04 ~.L.9'S.?J.' ~2.Oa' 'Cc~.1teR oFT FvE~o Rao ~40•7~' 1"=4D,f~ 2, f~ contours d = Backhoe pit 0 s H wµo $laRaJcr BM # 1. -(gyp pF pVc p+aE . f.4' R govE C~NO Assn MQ.D 100. ~ 8M~+2,c'tt7Pot sP~K~ IN ?Rfr~s .SO' k80~-~ Glu~u-~os ioaa8' Na~TN IZ .01 A~R~ N ~ s ~ < m y a . ~ r X gt~ ~ ,a ~yo+ ~ Gt~ ~E~p o ~ ~O~.oo 1 ~ c~ ~r' l~l-~- ~ Wisconsin ;+epartment of Commerce Division of°Safety and Buildings SOIL AND ITF~ cordance wi Comm n. r,~ n ~ . Page Of " Attach complete site plan on paper not less than 8 '/: x ] 1 inches in size. a1Hly 1 G LUU1 elude, but County St. Croix n and ence i t (BM) di ti l f d h i t i l c j slo ~ n , rec o p zon re erence po an or a not limited to: vert ca ~ p ~ ~~lX COUNTY' dimensions, north arrow, and location and distance to the nearest road. ZONING OFFICE Parcel ID # ~~,,~ APPLICANT INFORMATION -Please print all information 04 L 15 i 1 1 e ~, .' ~ ( ate: _ 'Z ~ 6 ( )(m)). vacy aw, s. . Persona] information you provide may be used for secondary proposes (Pr J Property owner: Property location ' 7 Kurt and Elizabeth Christensen Gov't lot: E 1/4 SE 1/4 S34 28 N, R16 E (or~ Property owner's mailing address: t.ot # 1 dock # NA subs. N e or CSM# NA j~7 ~5-~ ~C Yt~ ~~ ~ ~~~~ 877 Benoy Road ~ City /State /Zip Code Phone number: city Village Town Nearest Road r--~ ~~~ Hudson /Wisconsin /54016 715-386-6340 Eau Galle 12t'' Avenue ~J~'~~'l.t;"h i_, iltG~ ~ C,• COY Y c/ ® New Construction Use ^ Residential/Number of bedrooms Unknown Addition to existing building: NA ^ Replacement ^ Public or commercial -describe Code Design Flow Rate: Unknown -must be appropriate size for the contour and soil restrictions ~ t :,c~(/~ ~ Parent Material: Glacial Till -ground moraine ~ ~~ ~(?~~G",,~7 ~ ~ ~~~ ~~ r' `~`~L General Comments and Recommendations: Soils are moderately well drained glossoboralfs underlain by very dense gravely sandy loam. Redox features are the result of perching above the dense sandy loam layer. Along narrow mound SAS is recommended for this site with 2.00 feet of sand fill. SO[L DESCRIPTION REPORT' Bonin # g Horizon Depth Dominant Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate Z Pit 1 ~~\ ) in. Munsell Color Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/FT Eff# 1 Eff#2 Ap 0 - 8 l OYR 3/3 NA sil 2fsbk mfr aw 1 f 0.6 0.8 Ground E 8 -12 lOYR 4/3 NA sil lmpl mfr gw if 0.4 0.6 Elev (ft.) 94.82 2C1 12-17 lOYR 4/4 f2f 7.SYR 5/6 gr-scl imsbk mfr aw if 0.2 0.3 Depth to 2C2 17.19 lOYR 5/3 m1d7.5YR 5/8 gr-scl massive limiting factor- in. 12 Ao orbo• 7f'7 ., ~A>,~P aa,ith hinh and lnax, rhrnma rrAnv /Jl.~-X 1 Boring # Ap 0 - 8 l OYR 3/3 NA sl 1 fsbk mfr gw 1 f 0.4 0.7 Pn2 Bw 8-16 7.SYR4/4 NA gr-sl ]fsbk mfr gw if 0.4 0.6 2Bw 16-24 7.SYR 5/4 f2d 7.SYR 5/6 gr-ls lfsbk mfr gw if 0.7 1.6 Ground Elev (ft.) 2C 24-30 7.SYR 4/4 mid 7.SYR 5/8 gr-ls massive 94.82 Depth to limiting factor- in. 16 Remarks: dense Ap horizon; high and low chroma in 2Bw horizon CST Name: Eli M. Gottfried, Gottfried Environmental Signature: ~ ~~. lA~ .?-~-~ .-~i' Tel. No. 715-833-1400 Address: 124-1/2 Graham Ave. Eau Claire, Wl. 54701 Date: 6 November 2004 CST # 221981 SO1L DESCRIPTION REPORT PrnnFrrv nwnr>r C'hrictPncPn Parcel ID# Boring # Pit 3 Horizon l ~~~/ Depth in. Dominant Munsell Color Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/FTZ ~ Eff#1 Eff#2 Ap 0 - 7 l OYR 3/3 NA sl 1 fsbk mfr gw 1 f 0.4 0.7 Ground Elev (ft.) B~, 7 -15 7.SYR 4/4 NA gr-sl 1 fsbk mfr gw if 0.4 0.6 93.82 2Bw 15-23 7.SYR 5/4 fzd 7.SYR 5/6 gr-ls lfsbk mfr gw if 0.7 1.6 Depth to limiting 2C 23-33 7.5YR 4/4 mld 7.SYR 5/8 gr-ls massive factor- in. 15 Remarks: Boring # Horizon Depth in. Dominant Munsell Color Redox description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/FTZ Eff# 1 Eff#2 Ground Elev (ft.) Depth to limiting factor- in. Remarks: Boring # Ground Elev (ft.) Depth to limiting factor-in. Remarks: Boring # Horizon Depth in. Dominant Munsell Color Redox description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots Soil Application Rate GPD/FTZ Eff#1 Effk2 Ground Elev (ft.) Depth to limiting factor- in. Remarks: • r x O = II F- .- X ~ Z N U N c N Q N r ~O U C ~~ X m ca O C O U 0 0 - ~_ X ~ ._... ~` '~ c I N x y N ~ .~ o ,~ I V SIC ~ ~ .X Cfl ~ O O ~~U ~ O c- ~ cast ~ _ LJJ -p 0 ~ CO ~ (~ f0 U ~ ~ c°~ m O M ~ , ~~~ ~ ~ `~ ~ E~=i ~ ti~ Mm ~~ _~ '~ '~ N Q U ~ H U ~ '~ ~C a~i vi i 'b ' v rx n ~ ~~. O ~ •~ ~ ~ x ~ ~ ~ Q ~ cd ^ a~ W ~ -o ~ ci o '~ ~ w o Z ~ ~ ~ ~ ~ .. C7 W W U Q v~ N 1Z O ~-. ~ Q o M r U N ~ .~ ~ i Q Q N ...~ , 0 (6 I .., N ~ Q O , ~ o ~ I I - - V p ~ ~ ~ I I O I ~ I ~ 1 i ~ o w, d I ~ U N O O ~ I I ~ O Q ~ ~ O II ~ ~ I I O N Q~ Q C 0 0 i , I ~ n > ~ I Q ~ °-~ mw i I ~ ~ ~ I ,Oc•,~ ~. ~- , a i , I I ~ ~ ~ I ~ ~ I I I I ~ N I ~ ~ ~ I ~ ~ !? ~ I I ~ I I I I ~ b ~~ ~, '~ N ~ ~_ Q ~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address ~~2~ 0 ~ ~ 5 f~ ~ UIC~ iyt, N S~~/ Property Address L ~~.~ ~Z ~ ~ ~ U~ (Verification required from Planning Department for new construction) City/State Parcel Identification Number ~ /~ ~ Z ~ ~ ~ LEGAL DESCRIPTION .._ ~ ,Qr~,~~ ~' Properly Location ~t^? '/4, S t--1 '/., Sec. 7 ~ , T Z~ N-R /6 W, Town o Subdivision ,Lot # ~ Certified Survey Map # ~g ~~ ~d 2 ,Volume ~_ .Page # ~ q/ ~ Warranty Deed # ~~ fJ Volume ~7 7 Page # Spec house ^ yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM MAIl~ITENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumber or a licensedpumperverifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days o e three year xpiratio date. ~ A ` .~. / / of- SIGNATURE O AP DA OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (aze) the owner(s) of the pro described ab e, by virtue of a warranty deed recorded in Register of Deeds Office. ~- d~c~ Q is ~ 9~ or SIGNATURE F P DATE ****** Any information that is mis-represented may result in the sanitary pemut being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ' State Ba U f W~s ~n ~ 9o P t -0200 0 WARRANTY DEED Document Number Document Name THIS DEED, made between Kurt Christensen and Elizabeth Christensen husband and wife ("Grantor," whether one or more), and Thomas Gaffs and Charlotte Gaffs, husband and wife as ioint tenants ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following ~ diescribed real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of I, -ssensin roperty") (if more space is needed, please attach addendum): Lot 1 o Certified Survey Map recorded in Volume 19 -----,- ~age 4917 as Document No. 785882 being a part of the Southwest Quarter o e Southwest Quarter~($W~ of (SW~), Section 25, Township 28 North, Range 16 West, Town of Eau Gallo *** See Attached Addendum~to Warranty Deed (SEAL) part of 008-1072-70-000 Parcel Identification Number (PI1~ This is not homestead property. (is) (is not) Gtantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Rpadways, Easements, and Restrictions of Record. Date A r 1 5 05 (SEAL) (SEAL) *Kurt Christensen izabeth hristensen AUTHENTICATION Signature(s) autlhenticated on . TITLE: MEMBER STATE BAR OF (If not, authorized by Wis. Stat. § 70b. THIS INSTRUMENT DRAFTED BY: H, Eorecki 79 1 S4S KATHLEEN H. MALSH REGISTER OF DEEDS ST. C'ROIK CO. , NI RECEIVED FOR RECORD 04/06/2005 0I:40PK MARRANTY DEED EXi:MGT tt REC F1;E : 13.00 TRANS FEE: 284.70 COPY FEE: CG FEE: PAGES: 2 Recording Area Name and Retum Address Title One Premier Group 706 19th Street South Hudson, Wisconsin 54016 (SEAL) ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix COUNTY) Personally came before me on April , 5 , 2005 the above-named Kurt Christensen AND Elizabeth Christensen to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. ~~ yGs OZ . NOTARY ennif A. Fe son ~ * Notary Public, State of Wisconsin p ~ My Commission (is permanent) (expires: 03/23/2008 ) or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD .~I ATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WAxtRANTY DEED AR OF WISCONSIN FORM No.1-2003 'Ty)pe name below signatures. Attorney Michael H Forecki 3452 Oakwood Hills Pkwy Ste 1, Eau Claire WI 54701-7928 Phone: (715) 835-3029 Fax'. (715) 835-0I 12 i4215583.ZFX Title One homier Group Produced with ZipFOrmTM by RE FormsNet, LLC 79025 Fifteen Mile RoeQ Cl~ton Townsh~r, Michigan 49035, (900) 3a3-980.5 www.zipform.can ~3 g~ o~ s i~ 7 $5882 VOL 19 PAGE 4917 CERTIFIED SURVEY MAP LOCATED IN PART OP THE SW1/4 OF THE SW7/4 OF SECTION 2S, T28N, R7 6W, TOWN OP EAU GALLE, ST. CROIX COUNTY, WISCONSIN. W1/4 CORNER SECTION 25 PREPARED FOR SURVEYOR KURT AND ELIZABETH EDWIN C FLANUM KATRGEEK H. REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR ~2ECORD 01/26/2005 02:45PH CERTIFIED SURVEY l1AP REC FEE: 13.00 COPY FEE: 3.00 PAGES: 2 CHRISTENSEN NORTHLAND SURVEYING. INC. 877 BENDY DRIVE P.O. BOX 14 SCALE IN FEET 1 " = 200' HUDSON, WI 54016 ROBERTS, WI 54023 200 O 200 ~ ~ ~ ~~p~~- I~-~~ -~_d a~~ 12TH AVENUE _ ~_--- o~--- --~ °~`~ - ` -- - ---- - --~-_ _-~$7°3_$'~~'~~1203 ` NORTH LINE OF THE SW1/4 OF THE SW1/4 ~f--gN ~--~- . ---------- Z ~ -r T x41.06'-~ t~ 425.99' z f 1 ~, $, N ! `c$ c i•, + $ S87°48'11 "E 1203.31' ~ e' ~ 370.20' ~ ~ b S87° S'22"E. '~ ~• .. • ... • • • • `:.I. • • • . • `~~ s~ F~ N~ ~+r r . . 0~ in 6a OB' EAST LINE OF THE of w WEST 120 FEET SOUTH LINE OF THE ~ ~ ~ z z ~ OF THE SW7/4 OF NORTH 1 qOD OF THE ~ _ ~ v ~ ~ ~ ~ ~ c~S X • THE SW1/4 SW7/4 OF THE SW1/4 S2 ~ ~ ~ ~ 55' I ~~ ..: LOT 3 "' w ~ ~ m ~ 5.22 ACRES INC. R/W ~ - ~ 227,251 SQ. FT. o, ,°j SOUTH LINE OF THE • 50' S0' . '~ ~° NORTH 219 FEET OF THE ~ 5.03 ACRES EXC. R/W `~' ~ I SW7/4 OF THE SW1/4 219,209 SO. FT. ~ ~ - _ [_ • U ~ ~ = Ip ~ ~ ~ I ~j o N '. LL' ~ •; - ~O ~I I z~ ~ ~ 8fi zr ~ ~~ ~il ~ ~ = LOT 1 ~ OUTLOT 1 •; ~, _ ~ •• s67"35'z2•E3ss.64' '~ ~~ I '-'~' r 1 ~ ~ 12.59 ACRES INC. R/W ~ ~ Qo I ~ o iOO~ 522,961 SO. FT. ~ w 548,513 SO. FT. •• ~ BENCHMARK QI I b ~ TOP OF 3/4" REBAR +i ~i ELEV. = 1085.85 ill ~~ ! °O 11.81 ACRES EXC. R/VI/ ~ 12.36 ACRES EXC. RM/ - ~ N (r~l ~I ~ 514,455 SO. FT. ~ ~ (~ I =I Z ~ 538.478 SO. FT. d~I f-1 0 ~1 ~? V' I ALL LOTS ARE RESTRICTED TO A ~ ~ Q ~~I LOWEST BUILDING OPENING e ~ ~ ~ (A ~j 110' ELEV. =1074.50 fO w ~ _ • ~ ~- • O ~ Y sz~ o LOT 2 r= N ~ 55' 33 ~$$j°46~a7sE y,'• ~ 8,01 ACRES INC. RNV z'n ~ ~; 22.02' 348,77a sQ. FT. ~ J a ¢3 I~r ^ 7.97 ACRES EXC. R/W O ~ ~ N 347.282 SO FT. z 0 = ~[pT~~. ~ ((/J~~ BENCHMARK ll fill V • Q Z • TOP OF 3/4" REBAR 1 OTH ~ ELEV. = 1078.21 4 5, SOUTH LINE OF THE SW1/4 AVE_ ~ 426.85' 427.80' 4.3' ~ 434.45' 7.3' S87°46'57"E 8T°4Ei rJ7nW •I '288.1 0' i 33.03' LEGEND N87°46'aTVV 2644.26' I ~ ALUMINUM COUNTY SECTION i ~ CORNER MONUMENT FOUND (~Qp 4 ~ ~°~° l~° ~ i ~ N$?° 6'S7•W SW CORNER . - . _ - _ . - - 1322.13' SECTION 25 m MASONRY NAIL FOUND b~~'° 9 ~~ ~° ~~~~ ~ /S1/4 CORNER • 1" O.D. IRON PIPE FOUND ` ~ ~ ~' / w / SECTION 25 O g / / Q 3/4" X 18" IRON REBAR SET WEIGHING 3 1.50 LBS. PER LINEAR FOOT ~ S~lf~C~ w ~ ~ ~ • BUILDING SETBACK LINE ~\aPf~ LL ~ NJ~L ° jJ ~S~ p®° ~~J~ ~ SOIL TEST ~ / ~ w j - -} PROPOSED DRIVE - . _ _ ~ ~ UO X X FENCEUNE ` THIS INSTRUMENT DRAFTED BY SAM ADAMS SHEET ~ OF 2 SHEETS JOB NO. 04-130 DATE 12-6-04 Vol 19 Page 4917