HomeMy WebLinkAbout002-1016-60-100
~sc~r`~'si ~ ertr rlt f'I ry8 . 29 . 16, N$R1 ATH WA E 9MEM County:
Labor and Human Relations INSPECTION REPORT
Safety and Buildings Division
(ATTACH TO PERMIT) sanitary ermit o.:
` tENERAL INFORMATION
Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan D No.:
ev.: Insp. BM Elev.: BM Description: Parcel Tax No.: W,::: 7 3
TANK INFORMATION ELEVATION DATA A9300049 73 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ZGv Benchmark
Dosing 0GYi 1,0, 13
G%~ a
Aerati r Bldg. Sewer
Holding St/ Inlet %
TANK SETBACK INFORMATION St/Outlet 37i
TANKTO P/L WELL BLDG. ventto ROAD Dt Inlet
Air Intake
Septic NA Dt Bottom/
Dosing 7S' 15 ANA I~Fea c/ M n.
i
NA Dist. Pie 'j i
Aerati p
Holding Bot. System\' 0
PUMP/ SIPHON INFORMATION Final Grade
fir.
Manufacturer Demand 7- Z% i
Model Number 24-4 7 r GPM
q,i ,~45/ Friction (og" System TDH Ft
TDH Lift
ea
Forcemain Length //5" Dia. -9 Dist. To Well
SOIL ABSORPTION SYSTEM
_BW/ TRENCH width i Length,7~/ No. Of Trenches PIT No. Of Pits Inside Dia. TLiquid Depth
DIMENSIONS (I` r 7 DIMENSIONS
LEACHING Manufacturer:
SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM
INFORMATION Type O e~ CHAMBER Model Number:
System: C~ ll~ ~ OR UNIT
DISTRIBUTION SYSTEM
I#mnzlrh~L/ Manif/ Id Distribution Pipe(s) x Hole size i~ x Hole Spacing Vent To Air! take
Length Dia. 02 Length/ Dia. / Spacing 3(~ I ~S
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth Of r xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed/ Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.) [ ~n rs C 6v
LOCATION: BALDWIN 29 16,NW,NW, LOT 1,,107TH t
12
47
f
C'-~'.z.-r» ~.P r
Plan revision required? ❑ Yes 0AFo
Use other side for additional information.
SBD-6710 (R 05/91) D to Inspector's Signatu a Cert. No.
~c~~~" (cl
1
DILHR SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code COUNTY
~~Rv
STATE SANITARY PERMIT
#
Attach complete plans (to the county copy only) for the system, on paper not less than ~sl§~_27 7D'/
8% x 11 inches in size. check 1f rbe ion to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
Jt 4/ G✓ Y. e/Ld'/a, S Ta 9 , N, R J E (Or
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 1( f SW/ •'G k T
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
OF: C NEAREST ROAD
II. TYPE OF BUILDING: (Check one) ❑ State Owned VILLLLAGE
❑ Public 91 or 2 Fam. Dwelling-# of bedrooms 3 PARCEL AX NU Q
III. BUILDING USE: (If building type is public, check all that apply) 0 2 , /d ~C O~/o
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
30 Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 1
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. ® New 2.E] Replacement 3.E] Replacement of 4.0 Reconnection of 5. ❑ 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:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
6o 00 REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
**k 1 S` G .S'G 411 e r bc%- e&-or, -C' Feet Feet
VII. TANK CAPACITY Site
in allons Total # of Prefab. Fiber- Exper.
INFORMATION New ist n Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed L2eld- - -7- _T7_ F] El Q
Septic Tank or Holdin Tank K
Lift Pump Tank/Si hon Chamber X :M I I c ' F-1 . El El I L-1 Ll
VIII. RESPONSIBILITY STATEMENT /0100
the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps) /MPRSW No.: Business Phone Number:
er m P r Gtr- 2--
Plumber's Address (Street, City, State, Zip Code):
/
O A~-
IX. COUNTYIDEPARTM T USE ONLY
❑ Disapproved Sanitary Permit Fee (includes Groundwater a ssue Issuing Agent Sign
Approved ❑ Owner Given Initial Surcharge Fee)
Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
1
INSTRUCTIONS
.
4Y
1'. ZA 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 i.l the Wisconsin Administrative Code will be applicable.
3. All revi 'ores to thi:- permit must be approved by the permit issuing authority.
4. Changrys in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (ST-40 6399) to be
subrni,ted to the county prior to installation.
5. Orlsite sewage systems must be property maintained. The s~wl fi=: tank(s) must be ~ r ~x~p4d by a licensed
pumper whenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system 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. Absorpticn system information. Provide all information requested in #1--7.
Vil. T.aniw >;`<7rtratp;,n. Fill in the capacity of every new and/or exisd,7q tank, list the total ga'„~ s nwfliber of
tanks and :oanufacturer's name. Indicate prefab or site constructed and tank rnaterial. ~'otnp;letP -.ter all
septic, f;u;np%siphon and holding tanks :`or this System. Check ex,:rFrrrr~ ;t 1 npprova'r cniy it tanks received
exp. :a rr ;duct approval frcm DIL.HR
VIII. Responsibility statement. Installing plumber is to fill in name, ipcense c _r rI er with am...)ropriate prefix (e.g.
IMP, etc.), address and phone number. Plumber must sign application term.
IX. County/Dvtpartment Use Only.
X. County/Department Use Only.
Corrpi€:te plans and specifications not smaller than 8% x 11 inches rn:_r:t be subrr!itied to the county. The
wi,Ms r ur; include the following: a'} plot plan, drawn to scale or v vii- cn^ pie e Jirnensicns, loention of
ho1dint, `acrk(s), seotic tank(s) or other `reatment tanks; buil~±:~-~; ,c :;r wt l yatr: ;-iai-s ,,neater service:
;trPafr+rz pied lakes; trump or siphc~n tanks, distribution boxes r ;Q"~ Oi .)J jO ~.yst~rr~5; revlacernert system
ar<.?as' and the locat'on of the bu l "ing served, i) he rizonta levati-;n "eft?rence points;
C) complete specifications for pumps and controls; dose volurrre; ~'.ievafr_~r difference ; fricticn foss; pump
performance curve; pump model and pump manufacturer; D) cro4S section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all vizing information.
- - - - - - - - - - - - - - - - - - - - - - -
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of
regulated practices which can effect grqundwater.
The n;on:es ,-o! ected through, these surcharges ar: rsed ro. ,,3n tur-ing gro indwater, cirr..jnd-
water + ontanririab rn inve0garlons-and establishment of standards.
SBD-6398 (R.11/88)
F SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
PRIVATE SEWAGE PLAN APPROVAL Western Regional Office
2226 Rose Street
LaCrosse, Wisconsin 54603
WEGERER SOIL TESTING & DESIGN Owner: KEVIN ZIMMERMAN
PO BOX 74 501 ERICKSON ST
RIVER FALLS WI 54022 WOODVILLE WI 54028
RE: Plan Number: S92-40443 Date Approved: June 15, 1992
Gallons Per Day: 600 Date Received: June 11, 1992
Project Name: ZIMMERMAN, KEVIN Location: NW,NW,8,29,16W
Town of BALDWIN 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) 785-9348.
EGERAR rely,
D M. SW
Section of Private Sewage
Division of Safety and Buildings
PPP039/0009n/31
cc: KEVIN ZIMMERMAN X Private Sewage Consultant
SBD 64231R. 01/911
i
• Page ! of 6
MOUND SYSTEM 40 4 44,-
FOR
A BEDROOM RESIDENCE
LOCATED IN THE NIA) 1/4 OF THE NW 1/4 OF SECTION 8,T Z4 N, R 16 W,
TOWN OF SI - o$O lX COUNTY, WISCONSIN.
INDEX
PAGE 1 of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
PAGE 3 of 6 PLAN VIEW-CROSS SECTION
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PAGE 5 of 6 PUMPING CHAMBER
PAGE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
~cLV 1 w AN -
S c~ 1 L31~lCkr s 01J ST,
lv-UnDQ1U.~' kik syoZ8
PREPARED BY
1.a~ECEi~ER SQ I L_ TEST I NQ
AND ,tieoet~~te
z)ES I (3P4 sEF;tv I oSCOAISZ
P.O. BOX 74 421 N. MAIN ST. .1%; 't
RIVER FALLS. VI 54022 ` wEGERER
715-425-Oi65 o-915 a t
ELLSWORTH,
Z S was
v
Z
°,°0
JOB NO. of 2 -11 %
PLOT PLAN Page Z of
• Scale 1"= 30
p .'L
%r -L-L.g6.4o)o spike )a"
MaDu~ GI?w~'J'Z> Ukt w es r
S! n e of Ile, a1(tCH
n~ 1vOT c~v'1P 11~T oR ~ ~
~ 3 d
/ y
N
ONSITE SEWAGE SYSTEM
itiona
IVED
V
P.1 n
plyp NU FEI,ATIONS , /
INDUS; LAB"" guIl N fo
DEPR~~ NT RY
ON OF FEY u
Vt`'I ~ r
0
Z"flue-
~~Y
jV
-a' it au SPIka ~
g ^ flaw fi-: rz-zmp J
'M gF. NT LLZAST Sbqty tt-~ wL=sT SIimi' of
I-
I .1MOvk,~ /Otp RT LftST 2. S'FOp i IM)zS , a \:~op L A R 0
vt S Z
v
zv, or- 4"P~c
zo
'jY >n i tQ
NOTES:
1. Elevations shown are existing ground elevations unless ;otherwise noted.
2. Install permanent markers at end of each lateral. ( y required)
3. Install 4" observation pipes with approved caps. ( z required)
4. Septic tank to be Nzoo gallon capacity manufactured by
'F11b►~~S`T'~IV P~~chsr , 1N c.
5. Bench Mark s I~pu P~-~tv
6. Divert surface water around mound to. prevent-ponding at the uphill side.
Page 3 Of L
Approved Synthetic Covering
Distribution Pipe
Medium Sand
H G
Topsoil F Elev. ab• S
\
3 E "
„
ONSITE SEN{AG "
7 % Slope
e0jitioaafil Bed Of 2"- 2 (Force Main Plowed i
Aggregate From Pump Layer
8,M'SOVED A, P F i I{UMAN RELATIONS
DEpAR D X , n Ft .
LABOR AN ILDINGS
Th1EN IOVlSION llSTRS N E ! • Y Ft.
Cross Section Of A Mound System Using
A Bed For The Absorption Area F o.% Ft.
SEE CO NCE G f. O Ft.
A Ft. H 1.5 Ft.
Linear Loading Rate= -7-1 GPD/LN FT B 8Y Ft.
Design Loading Rate= 0.3 GPD/SQ FT 1 ~ 6 Ft.
J 7 Ft.
K \o, S Ft.
L 10S Ft.
W Ft.
L
Observation ipe~
g K
A
Distribution Bed Of 2N- 2 2
Pipe Aggregate
Observation Pipe Permanent Markers
(Anchor securely)
Plan View Of Mound Using A Bed For The Absorption Area
Page -!Of
Perforated Pipe Detail
0
End View
)Perforated
End Cop. PVC Pipe Install permanent-marker
.4 at end of each lateral
Holes Located on Bottom,
Are Equally Spaced
Q s
PVC Force Main
Q
PVC'
Manifold Pipe
Distriution
Pi e
Last Hole Should Be I
Next To End Cap
End Cap
P L4 O Ft.
Distribution Pipe. Layout
S 3 Ft.
ONSITE SEWAGE SYSTEM
D X by Inches
(fpnJitio all y W Inches
Hole Diameter `It/ Inch
AW PPRO%VED Lateral 1 Inch(es)
DEPARTMIENT OF ENDUSTRY, LABOR AND H'JWA~ RELATIONS Manifold Z- Inches
VISION 0 SAFE D BU N
Force Main " Z Inches
SEE CDR E of holes/pipe $
Invert Elevation of Laterals 9'7.0'0 Ft.
Place 1st hole 32q from center of manifold with succeeding holes
at W intervals. Last hole to be next to the end cap.
PUMP CHAMBER CROSS SECTIOU ARID SPECIFICATIOUS ' PAGE S OF E~
VENT CAP
H"C.Z. VENT PIPC
WEATHER PROOF APPROVED LOCKING MANHOLE
25' FROM ODOR JUNCTION 150K COVER WITH WARNING LABEL
~ , 12•MIU.
wimDOW OR FRESH I
AIR INTAKE I
GRADE
v Q6 i 'i"MIN.
'01 k~
le'Mlu.
CONDUIT--
\ 1
1
IMLET ONSITE SEWAGFIWA AL I I -
APPROVED JOIUT A COnjitiOna I I APPROVED JOINTS
aft lift
I I ( ALARM
VED
b
AP mffj
DEPARTMEr F INDUSTRY, LABOR AND REI ATMSI I ON
C IVISION OF BU i I .%AFE`lx w<
cLEV F? SEE CORRE PUMP--` - OFF
y
~ $Y. 50 CONCRETE BLOCK
3" APPRovE~
RISER EXIT PERMITTED OWL'j IF TANK MANUFACTURER HAS SUCH APPROVAL. UOOlNQ
5PECIFICAT IQKJS
DOSE b ll*JE MQ P~+4ST 3- S
TANK MANUFACTURER. NUMBER OF DOSES: PER OAy
TANK 512E : GALLOWS DOSE VOLUME
ALARM MANUFACTURER' S`S• ~L~C~iuj SYST'I?m INCLUDING 6ACKFLOW: GALLONS
MODEL NUMBER: law CAPACITIES: A= INCHES or. LASS' GALLO113
SWITCH TyPC: CA_) ~`r B= INCHES OR SZ'~4LLOL15
PUMP MANUFACTURER: Zo e~-L-0~ CC.OMAAw f Gs 7 INCHES OR GALLOWS
MODEL NUMBER: 131 D= l
INCHESOR 36q-11GALLOWS
SWITCH TYPE' WI CRY MOTE: PUMP AND ALARM ARE TO OE
INSTALLED ON SEPARATE CIRCUITS
MINIMUM DISCHARGE RATE GPM
VERTICAL DIFFERENCE BETWEEN PUMP OFF AGJO..DISTRIBUTIOW PIPE.. FEET
+ MINIMUM NETWORK SUPPLY PRESSURE . . . . 2.50 FEET
♦ SS FEET OF FORCE MAIN X _2t FYofEFRICTIOU FACTOR. !'ZS FEET
TOTAL OtJUAMIC. HEAD FEET
DIAMETER
_ 1/ I
ILITERUAL DIMLWSIOIMi OF TAUK: LENGTH ;WIDTH ;LIQUID DEPTH Y z
BOTTOM AREA - - 231= GAL/INCH
AS PER MANUFACTURER = ~:O GAL/INCH
pp,e a of
41:i =mss 7%
6%
W r
TOTAL 0
HEAD CAPACITY CURVE METERSYNAMICHEADFEET/
MODEL137-139 CAPACITY GALLONS/LITERS o a
30'
CAPACITY
HEAD UNITS/MIN 0 00 + 1'k-11h
g FEET METERS GAL LTRS NPT
25' 5 1.52 104 394 513/a
w 10 3.05 79 300 0
= 15 4.57 64 242
U 20 20 6.10 36 136 1
Z 6 25 7.62 8 30
> 26 7.92 0 0
0
F 15' )S.~\
0
r 4
10' 3 7.
-
2
5' 1
1214 I
0
U.S. 10 20 30 40 50 60 70 80 90 100 110
GALLONS
80 160 240 320 400 4
LITERSI
0 FLOW PER MINUTE
CONSULT FACTORY FOR SPECIAL APPLICATIONS
• Three phase pumps are available in 200/208V or 230V. • Mercury float switches are available for controlling single
• Electrical alternators, for duplex systems, are available and and three phase systems.
supplied with an alarm. • Double piggyback mercury float switches are available for
• Mechanical alternators, for duplex systems, are available variable level long cycle controls.
with or without alarm switches. • Long cords are available in length;; of 15-25-35-50 feet.
• Combination starters are available. • Over 130°F. (54°C.) special quotation required.
Standard All Models - Weight 47 tbs. 1/2 H.P.
SELECTION GUIDE
SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required.
137/139 Series Control Selection 2. Single piggyback mercury float switch or double piggyback mercury float
Model Yolfs-Ph Mode Amps Simplex Duplex switch. Refer to FMO447.
M137/139 115 1 Auto 10.4 1 or 1 & 8 - 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075.
N137/139 115 1 Non 10.4 2 or 2 & 7 3 or 5 & 6 4. Combination Starter. Refer to FM0514.
0137/139 230 1 Auto 5.2 1 or t & 8 - 5. See FM0712 for correct model of Electrical Alternator "E-Pak".
E137/139 230 1 Non 5.2 2 or 2 & 7 3 or 5 & 6 6. Mercury sensor float switch 10-0225 used as a control activator, specify
'H137/139 200-208 1 Auto 8.2 1&8 - duplex (3) or (4) float system.
•1137/139 200-208 1 Non 82 2&7 3 or 5 & 6 7. Four (4) hole "J-Pak", junction box, for water tight connection or wired-in
J137/139 200-208 3 Non 2.2 2&4 3 & 4 or 5 & 6 simplex or 2 pump operation, 10-0002.
F137/139 230 3 Non 3.0 2&4 3 & 4 or 5 & 6 8 Two (2) hole •'J-Pak", for Watertight connection or splice, 10-0003.
G737/139 460 3 Non 1.5 2&4 3& 4 or 5& 6
No molded plug
Three phase units require a control switch to operate an external magnetic or combination
CAUTION
starter. All installation of controls, protection devices and wiring should be done by a qualified
For information on additional Zoeller products refer to catalog on Combination starter, licensed electrician. All electrical and safety codes should be followed including the
FM0514; Piggyback Mercury Float Switches, FM0477; Electrical Alternator. FM0486; most recent National Electric Code (NEC) and the Occupational Safety and Health Act
Mechanical Alternator, FM0495; Alarm Package. FM0513;, and Sump/Sewage Basins. (OSHA).
FM0487.
RESERVE'POWERED DESIGN
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
3280 Old M/pers Lane Manufacturers of...
` ZZ7ZZ-ZM O_ P.O. Box 16347
0 LoufsWNe, Kentucky 40216
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(502) 778-2731 QUAL/TY PUMPS SlNCE ~~YS
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PREPARED FOR:
KEVIN ZIMMERMAN
501 ERICKSON ST.
WOODVILLE, WI. 54028
f v i/
NW CORNER SEC. 8 ,UN PLATTED LANDS NI/4 CORNER SEC.8
(1
IRON PIPE POUND) • k ANDS
MON. FOUND)
S87.26'40"E S87026'40"E
ss,:4 z 658.43' N87026'40"W
1309.85'
V1 :
Z• I
Q' ED w i z:
N N 2
M LOT 1 M J
W• W
i • • 20.00 ACRES
. (871,198 80. FT.) °
Q• W'
I9,84 AC. EXC. R•O•W
; (858,716 80. FT.) .
CL N
Z
• co CY z
o cD
0 0
z 0
0
BUILDING SETBACK
S. LINE b
~NW-NW
N88027-301'W 8_88,06 ro
N870
11'38"W__ ~3Sry.
107TH _AVE. I
,UNPLATT
ED
c =SET 1 x 24" IRON PIPE WEIOHINO • • LANDS
1.13 LBS. PER LINEAR FOOT.
SCALE: 1": 300'
o' 150' 300' P 3 0492 G D~
*'•Y CROIX COUNTY . i
JAMES M.
*d:i3XAls4'Rl1fe Planning WEBER
40"R9 and o S • 1804
a llct ING VALLEY
1
Gammitteo SPR WIS. r
If not rsoarded°~`y~ _ ,,••'~f 4
BEARINGS ARE REFERENCED TO THE
NORTH LINE OF THE NW 1/4 OF SEC. 8 within 30 days of v
(ASSUMED BEARING). s(;Ilroval date S Vk%
3;proval shall be
null & void
SHEET I OF 2
JAMES M. WEBER 6-1804
Plly . q - zA-
92-72 DATED
THIS INSTRUMENT GRAFTED BY J.W.
V01I1ME 9 PAGE 2545
DESCR I PT I CXV
A parcel of land located in the NW 1/4 of the NW 1/4 Section 8,
T 29 N, R 16 W, Town of Baldwin, St.Croix County, Wisconsin, more
fully described as follows:
Comnencing the the Northwest corner of said Section 8: Thence
S 87026'40"E along the north line of the NW 1/4 a distance of 651.42'
to the point of beginning:
Thence continuing S 87026'40"E, 658.43' to the northeast corner
of the NW 1/4 of the NW 1/4;
Thence S 0008'29"E, 1326.06' to the southeast corner of the NW 1/4
of the NW 1/4;
Thence N 87011'38"W, 658.57';
Thence N 0008'29"W, 1323.18' to the point of beginning.
Contains 20.00 acres subject to 107th Avenue right of way. Also
subject to any and all easements, right-of-ways, restrictions or
conveyances of record.
Note: Parcel shown on this map is subject to State and County Laws,
Rules and Regulations (i.e. wetlands', minimum lot size, access to
parcel, etc.). Before purchasing or developing any parcel contact
the St. Croix County Zoning Office for advice.
SURVEYOR'S CERTIFICATE
I, James M. Weber, registered land surveyor, hereby certify: That in
full carpliance with the provisions of Chapter 236.34 of the Wisconsin
Statutes and the provisions of the St.Croix County Subdivision Ordinance
and under the direction of Kurt Al=s, owner, I have surveyed, divided
and mapped the above described parcel of land and that this map is a
correct representation thereof.
1N~1fMq .
Dated this 87`^ day of 1992.
tit GO
N
46- *
James M. Weber S-1804 WEBER JAMES AL
WEBER LAID SURVEYING s - i 80i
SPRING VALLEY
`i_ W13.
S T C - 105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER✓I/v
ADDRESS''' _ 61 G?N 977 FIRE NUMBER
&)Onb//,
CITY/STATE' 60 ?~~01~z
PROPERTY LOCATION : /VU) 1/4, d01/4 , SECTION , T N-R W
TOWN OF St. Croix County,
SUBDIVISIQN LOT NUMBER.
r
Improper use and maintenance of your septic system could
result in'i its premature failure to handle wastes. Proper
maintenances 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 septic tank
as a treatment stage in the waste disposal system.
St. Croix County residents may be eligible to receive a grant
for a anaximum of 60% of the cost of replacement of a failing
s;ystem,lwhich 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
r-'-ertificat'ion 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. I/We,'„ the undersigned have read the above requirements and
agree to maintain the private sewage disposal system in accordance
faith the,s'tandards set forth, herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintained must be
~completled'and returned to the St. Croix Co. Zoning Officer within
13,0 days' of,', the three year expiratio ate.
SIGNED: c
DATE:.
DJ
St Croix co. Zoning Office
911 4th 'St
~14'udson, WI, 54016 '
;i
i
j S T C - 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,(spec
house),'then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
i
Owner of property
/ ~ ~ ~ N~
~
i 1
~ocation of pro l~
perty 1/4 /VIJ~ 1 4
/ , Section , TZ67 N-R ~b W
Township'.. W
Mailing address D/ RJeJ(C0 Ste"
WOO
Address of site
Subdivision name Lot no.
Other homes' on property? yes No
Previous owner of property t '~,(~C~j /~,lj'js
Total size of parcel
Date parcel was created o~
Are all corners and lot lines identifiable? x Yes No
Is this property being developed for (spec house)? Yes -LNo
Volume and Page Number 7-6- as recorded with the Register
of Deeds.
1 1
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 o
warrant Y of a
y deed recorde n e f'ce of the County Register of
Deeds as Document No. o~~,oZand that I (we) presently
own the ;proposed site for th sewage disposal system or I (we)
obtained, an easement, to run the above described property, for
thi e construction of
said
system,
and the same
recor d in t -Ileoeoffice of Count has been duly
~i gl 7 "7Q y Register of deeds as Document
No.
Signature pplicant Co- plicant
Date of ignature Date of ignature
i
i
DOCUMENT No. WARRANTY DEED ,HIS SPA-.t RGfiEn VED FnR R, r,,,t,IN DA IA
STATE BAR OF WISCONSIN FORM 2 - 1982
491103 Vol 9 9PAGE 349
REGISTER'S M-7
Kurt Almos and Eleanor 1. Almos, husband and wife
,Z . CROIX CO., V,'
Reed for Record
C 51992
conveys uui warrants to Kevin G Zimmerman and Sandra G. 8:30 A.
an - -
Z.i.mme.rman,_husband.-and.wi.fe.,_ .as survivorship marital-._
P r op.e-r-t-y - .
. _ - _ _ - Regbte► of Deeds
Y
- -
- _ RLl MIN 10 I
the following described real estate in St-,- CYOix-----
-----County,
II State of Wisconsin:
Ii
i Part of the Northwest Quarter of the Northwest Quarter (NWJ of NWJ) of Section
j Eight (8), Township Twenty-nine (29) North, Range Sixteen (16) West, described
as follows: Lot 1 of Certified Survey Map fil,•, September 30, 1992 in
` Volume "9" of Certified Survey Maps, page 2545 as Document No. 489272.
This 15_ not
homestead property.
(is) (is not)
li
Exception to warranties:
)Dated this day of October - ly 92
(SEAL) (S E' A L)
Kurt Almos
- -_-------(SEAL), (SEAL)
A; Eleanor 1. Almos
AUTHENTICATION ACKNOWLEDGMENT
Signatures) STATE OF WISCONSIN
- County.
'authenticatedthis St. Croix
authenticated this .__-__day of-- - 19._..-- Personally , utne before me this _day of
0_ctOber---. 19-9-Z--- the ab . amed
Kurt- Alttto;;___an-d_.Eleanor_ I-. -Almos__
III,
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not- tztMml -
authorized by § 706.06, Wis. Stats.) me known to he th per,ol who es ~a 41 tile
V ci ~A
1115 rn Cn(Ylt nd "1(`" 'lVje
THIS INSTRUMENT WAS DRAFTED BY
Reinstra, Van Dyk & Needham,S.C
-
! 201 Soutit Knowles Avenue, BgXya27 a iel G. Schmit Y
New I.fehmond-,~ W 54017 Public SC, CroL c'uunt}, Wis.
(Signatures may be authenticated or ackri'swle fed:°13'th ° ' 'r'' not, vt;lto cNl~iration
are not necessary.) ' IC-,,tato of
Of ~ig~p ' as rk ;u, t•: l
*Names of persons signing in any capacity should be tl mint", 'ebnv th, lure:;.
WARRANTY DEED STATE BAR OF WISCONSIN W- Bunk Co, Inc
FORM No. 2 - 1 982 -.:n:, Vvisconsin
ST. CROIX COUNTY
r
r~
y 60~ WISCONSIN
Sr~,Y
f f.ZONING OFFICE
ST. CROIX COUNTY COURTHOUSE
AT WWK"Iwr~FIM 911 FOURTH STREET • HUDSON, WI 54016
(715) 386-4680
May 21, 1992
Division of Safety and Building
Bureau of Plumbing
P.O. Box 7969
Madison, WI 53707
To whom it may concern:
An onsite investigation of the Kurt Almos property,which is being
purchased by Kevin Zimmerman, located in the NW 1/4 of the NW 1/4
of Sec. 8, T29N-R16W, Town of Baldwin, St. Croix County. This
onsite revealed suitable soils at a depth of 24" of suitable soil
requiring 12" of sand fill beneath the mound.
This site should be suitable for a mound septic system.
Should you have any questions, please feel free to contact this
office.
Sin erely,
James K. Thompson
Zoning Administrator
cj