The URL can be used to link to this page

Home My WebLink About008-1024-70-535 (2)Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and E3,uilding Division ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Stave, Terri Eau Galle, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No: 515084 0 State Plan ID No: Parcel Tax No: 008-1024-70-535 SectionlTown/Range/Map No: 09.28.16.125A65 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet St/Ht Outlet Dt Inlet Dt Bottom Header/Man. Dist. Pipe Bot. System Final Grade St Cover BED/TRENCH DIMENSIONS Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer: Type Of System: UNIT Model Number: r)ISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing snu cnvFR Y ore~~,,.e c.,~ro..,~ n.,t.. YY Mnnnrl w7r A1-C,rada SVSfPmc Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center BedlTrench Edges Topsoil 0 Yes ~ No ~ Yes ~ No COMMENT5: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: / /_ Location: 2341 50th Ave. Woodville, WI 54028 (NE 1/4 NW 1/4 9 T28N R16W) NA Lot 7 Parcel No: 09.28.16.125A65 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes ~ No Use other side for additional information. ~ ___ Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) commercewi.gov Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St Croix i 1 S C O ~,~' ~ Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce' ~J f 5 b~ Sanitary Permit Application S 00 21 nsaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information you provide may be used for secondary u oses in accordance with the Privac Law, s. 15.04(1)(m , Stats. 2341 50th Ave I. A lication Infor 'on -Please Print All Information Woodville, WI.54026 Property Owner's Nam ~ Parcel # 008-102470-535 G a I lp Te Stave JJ" ~ Property Owner's Mailing Address Property Location ~ 2337 50'h Ave Govt. Lot City State Zip Code Phone Number , , 9 iVE /<, NW /,, Section _ _ Woodville WI 54026 715-688-2458 (circle one) N; R W T 28 16 II. Type of Building (check all that apply) t # _ _ _ _ ~ 2 F lli 4 ~ X 1 il D N b f B d 7 Subdivision Name or we ng - er o am y um e rooms #818230 D~,~ c ~ed,.-~r ~ r q..~ Block # ^ Public/Commercial -Describe Use 1 ^ City of ^ State Owned -Describe Use CSM Number ^ Village of 20-5156 X Town of Eau Galle III. Type of Permit: (Check only one box on line A. Complete line B if applicable) ``t' X New S stem y ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System (explain) B• Permit Renewal ^ Permit Revision ^ Change of Plumber ^ Permit Transfer to New List Previous Permit Number and Date Issued Be ore Expiration Owner 506240 June 26 2007 IV. T e of POWTS S stem/Com onent/Device: Check all that a 1 ^ Non-Pressurized In-Ground ^ Pressurized In-Ground ^ At-Grade ^ Mound > 24 in. of suitable soil X Mound < 24 in. of suitable soil ^ Holding Tank ^ Other Dispersal Component (explain) ^ Pretreatment Device (explain) V. Dis ersaUTreatment Area Informati Design Flow d) 600 Design Soil Applicat' n Rate(gpdsf) 4 Dispersal Area Re tred (sf) 1500 ~ Dispersal Area Pro sed (sf) 1750 System Elevation 96 33 . . a.! j VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units :: p °~' to ,'d, o New Tanks Existing Tanks n. ` vv ~ c ~ ~ `~ ,_ / ~~ ~ `~ a `U ~ ~ ~ p ~ u; C7 a W w ti ~ Septic or Holding Tank 1200 Wieser X Dosing Chamber goo Wieser X VII. Responsibility Statement- I, the undersigned, assume responsibility fo installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu e ' Si MP/MPRS Number Business Phone Number Mike Rogers 225 094 715-235-1132 Plumber's Address (Street, City, State, Zip Code) E4457 Hwy 12 Menomonie, WI. 54751 VIII. n /De artment Use Onl Approved tsapprov it Fee Perm Date sued Issuing nt Signature Q ~ ' ~ $ 9 ~~~ ~ teen Reason enial U 1 IX. Condit~l~l~/Reasons for Disapproval \ ^ 1. Septic tank;.effluent f-her and J ~ 2 ~ e ~ 6 ~ e~ t :dispersal cell must all be services / maintaklad • ~~ per management plan .provided by Qlstmt>ar. 2. IIIM ssiDack~uirlelhents muex.be maintained ~r atpplicabl! eAd! ~ otdlfliilCli. Attach to complete plans for the system and submit to the County only on paper not less than 8 1n x 11 inches in size SBD-6398 (R. 02/09) Valid thru 02/11 i 4 Z 17 r~ O ~ ~ ~a a ~ rn ~ CD N O ~ ~ ~ ~ m h a ~ i o c o Z O O ~ C a O ~ C m ~ ~ ~ m m O tD C CD CD O ~C~ y~ ~ Q NO ~ ~ _ ~ p O'O p~j (O ~1 7 ~. O O - y O O A7 ~ ~ F y ~ _ ~. ~c~o- o ~Oo~vc~'o uCD, ~vrn~o~ o ~ F N c w n -• ~ ~ o •? Q N 3 nN. ~ C (~ fn ~p fD ~ F ~ N N ~ O m O c m c c Q O ~Q~3 ~3.mr' ~ ~ ~ m ~vmaa ~Qa~3 o ~o O_Q ~O ? O O O n O O (4 EA C~ O O N O ~- .~i ~ ~ '' Q ~ 'B ~ ~ ~ 'a ~ C ~ ~ ~ w ~ ~ :: 3 ^~ .-: .. '•~ ~ o ~ ' ° ° N ~ , I w ~~ C c D N o ~ A fD ''~''' ~ OD ~ O O ~ O N i ~ A N -I '' O ~ o O W 3 N ~ O J7 ( C 7t ~ m o ', _ ~ a s a D 'I o m rn ~ N N Q ~ i ~ O O C V N ~ ~ .. ~ G I •• ~ 'I Al '. O O O cn , ~L ~ ' -~ -i ~ o N i < ~ Z N fn to m f g D ~ ~ D ~ N _ ~ ~ m ' ! co m ~ N C1 1 ~ 7 ~ ~ Z Z~ 'I D D ~ , a m N N S ~ I N ~ -~ -i U) N c A Z <D ~ ~ A , ~ _ A 3 ~ fD .. N Iz -~ ~ ~ ~ fll N ., i z c 3 e " ~' '~~ Z ~ rn N ~ ~ Z ~ A ' A G T C a d A'+ .C O O ~1 ~• F~ ~V N ~ 4~y !ri ~• A 4 fi m I w N O A n b ~° ~ ~ w I ~ p ~. tq j. Vttisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and I?ui~ding nivision ' INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Stave, Terri Eau Galle, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMMM~ION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer I Model Number ELEVATION DATA county: St. Croix Sanitary Permit No: 506240 0 State Plan ID No: Parcel Tax No: 008-1024-70-535 Section/Town/Range/Map No: 09.28.16.125A65 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer SUHt Inlet ;. SUHt Outlet Dt Inlet Dt Bottom Header/Man. Dist: Pipe Bot. System t-Inal c;raoe St Cover f TDH (Lift (Friction Loss (System Head ITDH' F~ rGnrrcmain I ennth nia. Dist. t0 Well 1 call ARCnRPTt(~N SYSTEM BED/TRENCH Width Length No. Of Tn~nches PIT DIME IONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS "t 4~~, SETBACK SYSTEM TO P/L ,~' BLDG WELL LAKE/STREA LEACHING Manufacturer: INFORMATION A OR T pe Of System: H UNET l b y r er: Mode Num f nrcTnlol ITIlIAI CVCTCIIA ~'" °~ Header/Manifold Distribution ~ x Hole Size ole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing Cnn rnvGQ _. ~___..__ c....a.....~ n..~.. .... 11Ai.~~nr! ~lr O4-rrarlc Svc4ams Orlrv Depth Over pth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ed/Trench Edges Topsoil ~ Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / ! Inspection #2: / / Location: 2341 50th Ave. Woodville, WI 54028 (NE 1/4 NW 1/4 9 T28N R16W) NA Lot 7 Parcel No: 09.28.16.125A65 1.) Alt BM Description = 2.) Bldg sewer length = ' -amount of cover = Plan revision Required? 0 Yes ^ No i Use other side for additional information. _ _ _-. _ ___ _ _ __ ____ _~ ` --- ~--- -' Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division County f o ~ ~, ~ 201 W. Washington Ave., P.O. Box 7162 r , Q 1 ~( ,~~~~~~~ Madison, WI 53707 - 7162 Sanitary ^°•~--~' *'••~'~°°'•^ tiA rnaa ~~ t,~ CoJ l De artment of Commerce (608}266-3151 2( ~ _( Sanitary Permit p is tin RE~~~~ ~~ State Plan 4D. Number in accord with Comm 83.21, Wis. Adm. Code, p ona ' ti you provide ~ f' ~ 2 Z may be used for secondary purposes Priva La s15. 1 xm) r! t t i € iI Fr ect Address (if different than rrrailing address) t.A v s ~1 ~ y /~ ~ ~ / ~ ~ I. Application Information -Please Print Atl Information ST. CROIX C , ~ /`7 ~"~-4 '- ~ / ~ Property Owner's Name ~ OFFICE el # Lot # Block # AJ. A // ~ ' ------ S . X22 C a t/~ t v - ~ - ~~~ Property Owner's Mailing Address Property Location ' mil r /_ ' ' 07.~ -~ ~/ ~ D ~ ~ u-~ ~ ~ / tY ~ N~ ~ l1JuJ ~ ~ / ~ ~ S ti City, State Zip C ode Phone Num ber s ec on I . ' ~DOQV ~ I ~~ (N 1. / / ~Z~~6 ~ ~1~(tj~(J°-Z~{~~ (circle ) / ~- -^ T 2 ~ N R ~~ E ar~ ~ IL Type of Building (check all that apply) p r-S b roo Z _ ; ~ (~ ,t~ ~ ~ ~ S l~divis, __ N~~ne, CSM N~ '} ~ 1 or 2 Family Dwelling -Number of Bedrooms / at, ' e.eS~- d..~.~..~ 15 ~ Y / y Z ~ Q - \ o ^ Publie/Commerciat-Describe Use D ~5}" ~ ~« ~,.; ~~~ l1 ~ i ^ State Owned -Describe Use ~p,n,: v City_^Village Township of -- d --- Ea k. C~ /lam E III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' New System !!! "~'' ^ Replacement System ^ TreatmentlHolding Tank Replacement Only ^ Other Modification to Existing System B. ^ Petmit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. of POWTS S stem: Check all that a 1 ^ Non -Pressurized In-Cnound ^ Mound > 24 in. of suitable soil Mound < 24 in. of suitable sail ^ At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Treatment Unit ^ Recircu ling Sand Filter ^ // Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain} 54, V. Dis rsaUTreatment Area Information: , Design Flow (gpd) ~ Design Soil Application (gpdsf) ~ Dispersal Area Required (s Dispersal Area Proposed (sf) System Elevation ' ' ~©~ ~ ~ i~©~..~ i~sv .~~...~ ~ 9Z ~ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber plc Gallons Gallons of Units Concrete Constructed Glass New Tanks Existing Tanks ~r ~ 1 ~--t scfuc os.t~e)dixg•fa~' !~2 ~ U j~d v t~h. ~.c~ / Aerobic Treatment Unit Daring Chamber ~0 ~ $'00 ~ _ / VII. Responsibility Statement- I, the undersigned, assume res ility for i IaNon of the POWTS shown on the attached plans. Flumber's Name (Print) Plumber' ign _ MP PRS Number ~ Burin s Phone Number x~ ~o ~,~s aas~ ~~ ~~~ 3~ ~- ~~3z Plumber's Address trect, City, State, Zip e} ~ y~~ ~7 ~w ~a ~ eno~or~ ~J L .~Y7s VIII. Coun iDe artment Us nl proved isapp Sanitary Permit Fee includes Groundwater Da Issu Issui Agent Si to o ~ Surcharge Fee) ~ , /~~ ~ ` l ~ 23 ~~ Own en Reason for Denial • f IX. Conditions of pprovaUReasons for Disapproval 3~ ~ /I'~t ~s ~~ ~~Q~ ~oJ /~1 ~ ~~ ~J SYSTEM OWNER: ~J 1.`Septic tank, effluent finer and ~~~. ~ (~ ~ ~ ~~ dispersal cell must all be services /maintained t '~ as per management plan provided oY plurttbet. ~ / L ~ C`4~. ~ ~ 2/ ~2 ~ ~ / . - 1 G®~_ /~ _ 1, __ fJtit~7 ~tu~C~ Lt1 ~ 2. AN setback requiremertits must be maintained p(,(~ A.C.~.LC. / as per applicable cods / ordirtartcss. ~~~ ~ ~~c~. (/1't ~OZ~~~~/ ~ S ~ ~ ~ 27 J> .quacacompiere plans t[o [ne l:ounty onty) xo sye ~jbnpa~r~~I~pa~81/jaytl c4e!'io s' '~,(~,~ ~J/I ~ .~ • SIZE PLAN NE,NW,9,28,16W ~~ Gape township - 5~~ /% „~ ~ ~~ ~~ St. Croix county ~ i Q/ LEGEND Sale 1" - 4t?' ~, except where indicate ~ System Elev. 87.91' an cautaur 46.33' ~/ J ~ t~ i ' q~ ~/ Ubservatian ~ ZQ' fjc~D ~/ I / 1 ~' ` t~~ Na Comm 83 problems ~ ~ ~~^ ~ ~ ~ ( ~~ / / Natb ~~'/~ ,/ ~ ~ ~~. ~ . ~ r l ,~ i~~ ~ x ~ar / lr ~~~ ~~ ~ ~ I ~~ ~ /, _ ~ c Z. ~ c u'-~V C t'2.u ~ c ~ ~ 1 125 ? 5 n 4z .(~c' w 0 b~Qt~ • ~r~~,s~ ~ ~~11 ~ ~O 5 ° ~. " `~app~ r,a...p..;1.U~-.-.~-~) ~f~ o>L~1Cr ~~'C !il1~5 ~ lac? ~ l7'~-bW ~yfl6a~ ~ L~ t ~Gu o,, ~-~T~ ~ a~G'L. n..~. ~~~(Edn_ow~ ~,;a(k - o~.Q- Project: STAGE page 6 of 8 °' commerce.wi.gov ^ ^ isconsin Department of Commerce October 03, 2005 CUST ID No. 225094 ATTN. POWTS Inspector Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary MICHAEL P ROGERS ZONING OFFICE ROGERS PLUMBING ST CROIX COUNTY SPIA E4457 HWY 12 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/03/2007 Identification Numbers Transaction ID No. 1200221 SITE: Site ID No. 705393 Terri Stave Please refer to both identification numbers, 50TH Ave above, iri alI'corres ondence with the a snc Town of Eau Galle St Croix County NE1/4, NW1/4, S9, T28N, R16W Lot: 5, Subdivision: CSM Vol. 15 Pg 4182 FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1042707 Maintenance required; 600 GPD Flow rate; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N,OI/O1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. Conditi0 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: pE RTMENT OF EY ~~ N Of Reminders SEE CORRESI • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (01/81) • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWT5 tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. Stat MICHAEL P ROGERS Page 2 10/3/2005 • 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 ins ecp tors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. 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. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe 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, ~~~~~~~~~1~-- Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@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 t Private On-Site Wastewater Treatment System (POWYS) Mound and Pressure Distribution Component Design New Residential ~ppiication Index and Title Sheet Project Name: Owner: STAVE Ms. Terri Stave Owner's address: 2349 50~' Ave., Woodville, WI 54026 Location: 50~` Ave. Street Address NE,NW,9,28,N/R16W Legal Description Eau Galle township, St. Croix county Township/County Contents: Page 1: index and title Page 2: general information & lateral diagram Page 3: mound drawings Page 4: dose tank ~~CE~VE~ Page 5: pump information Page 6: site plan S E P 2 7.2005 Page 7: management plan Page 8: contingency plan SAFETY & BUILDINGS "~"~~~~'' Attachment: soil test to state plan -tt~ , ~ :~ ,~.,~ :;r" b,, c ~ M 'flN~3EiVCE (designer-Loretta) Plumber: Mike Rogers Signed: Credential Number: MP 225094 Date: September 21, 2005 Mound component manual for POWYS Version 2.0 SDS-10691-P (N.OlI01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (O1/81) page 1 of 8 GENERAL INFORMATION NEW SITE Four bedroom home, 600ga1 DWF 5% slope system area 0.4 soil application rate 17" limiting soil factor 1250/750 Wieser tank with Orenco filter FT-0822 effluent quality #1 Number of laterals Lateral dia. Lateral length (P) Lateral spacing (S) Manifold dia. Forcemain dia. end fed system w/2 laterals dispersal cell design loading rate 1.0 linear rate 6.00 orifice sq/ft. 10.5 LATERAII ~.AYOZIT DIAGRAM (not to scatej End Fed System 2 orifice dia. S/32in. (0.156) 1 1/Z" orifice spacing (X) 40in. (3.5') 98.0 ft. orifice per lateral 29 3.Oft. lateral discharge rate 15.66gpm 1 '/2 in total system rate 31.32gpm 2.airi ~e box \ Pressure plug finish grade P X _.~~ 11 1.0' (1 ") S 3.0' (3 Orifices located on bottom of lateral _ ~ 1.5' (18») I Last orifice next to fitting Force main 2" dia. Project: STAVE page 2 of 8 i,5c~ PLAN VIEW OF MOUND J = 8.0' D= ~' (19") K= 11.0' A = 6.0' E= 1.88' (22 5/8") B= 100.0' I =11.5' F= 0.83' L= 122.0' W=25.5' G- 0.50' H= 1.00' observation pipe @ 20ft. Finished grade elev. 99.74' Lateral invert elev. 98.41' z Dispersal cell elev. 97.9X, (not to scale) required bed 600sq.ft proposed bed 6000sq.ft. required base? area 1500sq.ft. proposed base? area 1750sq.ft. Mound Cross Section View (not to scale) jlllll~ 2 ~lllll l l l l l l li l-rT-~'l I l l l l l l l l l l l //////// 4 //////////////////////// ----- dispersal cell + 2" - -- --- --- O~-lateralsr--j0 -- --- --- 3^ - --- D----- ---- - Aggre ate bed 16" --- --- -- --- --- ---- - - - --- - - - -- 3 ____ _____ w ~ ~ _ E ~`~ tilled layer m Numeral Key 1 topsoil cap 2 subsoil cap 3 ASTM C33 sand 4 synthetic cover over cell 5 aggregate Project: STAVE tilled layer contour 5.0% site slope elev. 96.33' 1.Sft. t O.Sft. 4in. dia. observation pipe with 1/4in slot page 3 of 8 __ L COMflINATION SEPTIC TANKjPUMP CHAMBER (No Scale) Approved Locking Manhole Cover With Warning Label Attached Weatherproof Warning Label Junction Box to cK~ , Final Grade--~ 18" Minimum ~ . _. A pproved Joint Extending 3' p nto Solid Soil Elev. Alarm On Off ,l„ Approved V~nt~,~'" _~ tt~~ 12" Minimum ,~~" Minimum Quick Disconnect i ,_ _ .. i 1/4" Weep ~ Hole i A B Approved Joint w/t~" .510 ~pG C Extending 3` Onto Solid Soil Conc. Block 3" of Bedding Under Tank Note: Pump and Alarm Are On Separate Circuits Tank Manufacturer: ~!~f~S~rC', ~0/7~~~~ Tank Size-Septic/rump : /~5D /` ~7St~ a ons Alarm Manufacturer : ~.~ ~izTd/u ~° ~,, Model Number: ~`- Switch Type: Pump Manufacturer: ~ ~~~R Model Number: -~"' ~ Minimum Discharge ate: .,~~ era v ~ ~" '~' ~ ~ ~ ~ 5"~~?~ - ~a ~ ~~~~ m~~ /~--~... Capacities: A ,2b + B + C ~ + ~ /~, Total.....' ~~ inches or~~L~~Gai 1 ons --inches or 3z.7 Gallons _inches or i~ z. b Gallons inches or l43, `Gallons inches or ~~ allons gal/in ,12 Vertical Difference, Between Pump Off and Distribution Pipe : ~- t'f Feet Minimum Required Supply Pressure:../:~.~.:~.~............ + Feet ~~_Feet of Force Main x ~~ ~ ~ Friction Factor/100 Feet: .+~. q/ eet °„~' Inch Diameter Force Main Total Dynamic Nead:...= $.~ Feet ~.r-Baffle --~'"~ ~'RC3JECT :..S ~/~ ~ ~ Page ~ of 0 a '~ ~ ~L.4L/TY ~r/n-ldS ~~S+L"E ~~i,j~ _ FM0913 ~,,, 0198 Product informaiion~ ,~ __. ~ ~> ~ Supersedes ' presented here reflects u ~ f ~~ cortlit~tins ~[~ tuns ~f ~ ~ '~ n 0!'~i pubiiCation. Gorrsalt factory reg~rdsng discrepancies or ~ `\~;~ „! MACt 70: P.Q. BQX 18:397 • Lou~svs}ie, hY 4025b-fl34i ~ incons~stenc~es. _ - ~___._ _.... Sh'lF' T8: 3549 Caere Rr~n Rvac! ~ Lot+7avibe, KY 4fl2 r i 19C~~ hft~.//~vww,zc~eller.com lSfl2) 778-2731 R i (8fi(7) r323}-PUiv#F > hAX (,5fl~) 7'79 :3fs?4 Nan-clogging engineered pi~sstic vortex impeller design. Durable cast construction. Cast switch case, mater and pump pausing and base. Na sheet metaD parts to rust or corrode. Castings -Ali cast iron class 25-30 25t31JC# tensile strength. Bearings - Upper K lower ail fed cast iron. Stainless steel screws, guard, handle and arrrr and seal assernhiy. . i`loat operated submersible (NEMA fi) 2 pole mechanical switch. Gil filled motor-permeticaliy sealed. Perrrranent spot capacitor mater Entire unit pressure tested afiter assembly. Automatic reset thermal overload protection. Carbon and ceramic shaft sea#. J Watertight neoprene "Ci„ ring betv,+een motor and pump pausing. Maximum temperature fivr effluent or dewatering 13Q° F. - 54° C. z St3 cycles, 1725 RPM. Passes'/z inch sotids (sphere}. Na screens to clc~~t. Standard card lengtp ~ 5' (Ut_ iisted~. 1'li° NPT C3ischarge {1',/~" ~ 2" PVC Adapter included With BN & BE Medals). Can paint - 9%i°` tiff paint ~- ~" Major width - 10'/rt"'. Height - ~ 2" Nate: The sizing t~f effluent systems narntaliy requires variable level float{s) controls and properly sized basins to achieve required pumping cycles. ~~~Q~~~{ ~ ~~T~v C asf lrr~ ~'~ri~s ~~:: @~~, ~~-- (~'t~R 1~U!NP,P~FI~' ~O~N7`lF1~1dT/DP! SEE /NEWS & VIEWS 1JU82) FC1R SEPTIC TANK i..~W PRESSURE. PIKE (LPP} ANa ENHANCEC3 t~LC3W STEP' SYSTEMS SSP,~A _ .FQ ..,F "' ". . gS.~i.~B~PM~EypS/l~B~lg~.lpw~ ~y~a q>Lef 111 1 E/l~srT7MRV~ t: /g 1& MODEL 98 60 CYCLE Feet Conons Meters Liters 5 72 1,5 273 10 61 3.1 131 15 45 4.6 170 20 25 6.1 95 LOCk VoHe: 23' 009971 4 3/16 sKttos Electrical alternators, for duplex systems, are available and Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. k Mechanical alternators, for duplex systems, are available Double piggyback variable level float switches are available with or without alarm switches. for variable level long cycle controls. standard ail modeDs _ 1~'~i~tt~:~:~ I€~ - +;,, 1I.P~ 98 Series Control Selection Model Volts-Ph Mode Simplex Duplex M96 115 1 Auto 9.4 1 w 1& 7 - N98 115 1 Non 9.4 2w286 3or48~5 D98 230 1 Auto 4.7 1 or 1 & 7 - E98 230 1 Non 4.7 2 or 2& 6 3 or 4 8 5 ~r~ ~~11 :;:~; 1. Integral float operated 2 pole mechanical switch, no external conVOl required. 2. Single piggyback variable level float switch or double piggyback variable level, float switch. Refer to FM0477. 3. Mechanical alternator 10-0072 or 10-OO7S. 4. See FM0712, for correct model of Electrical Alternator. 5. Control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. 6. Four (4) hole J-Pak, junction box, for watertight connection or wired-in simplex or duplex operation, 10-0002. 7. Two (2) hole J-Pak, for watertight connection or splice. For information on additional Zoeller products refer to catalog on Piggyback Variable Level Switches, ,: FM0477; EiebUicalARemator, FM0486; MecAianicalAltemafor, FiN0495; Sump/Sewage Basins, FA40487; Single Phase Simplex Pump Control, FM1596; Alarm Systems, FM0732. + ,FL ,, . _ For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. __ __ __ _. _. _ Mas. ro: la.o. Box 1s34~ r.O R ;; Louisville, XY 40256.0347 Manutacturersof. . SHIP T0: 3649 Cane Run Road ® Louisville, KY 40211-1861 V.tL/TYPUMPa SNCE ~~~,9 http://www.zoellercom PUMP ~O (502) 778-?731.1(800) 928-PUMP 'Q FAX (502) 774-3624 `~.`.... 0 BO 160 240 FLOW PER MlNiJTE 1 1/2-11 1/2 NPT F SITE PLAN NE,NW,4,28,16W Eau Galte township 4~ ~ ~ ~ tt Gd g ~{ ~~ St. Cmix county ~ ~, ~~ LEGEND ~t Sale t" - 40' C~ except where indicate ~ ~ ~ System Etev. 47.41' on contour 46.33' ~ ti ~ ~ ~ , p\ 'Y~ t Observation ~ 2d' / ~~~ ' ~ ~ No Comm 83 problems ~ ; ~ 1 ~ ~r Nc~rtb / ~~~~ ~~ 1 !r / / ~ar `- ~ ~~ x . ~r i 3q ~ ~~ 'j --= i = `~(~} ~1 ~~~ ~ ~ L ~~ `_: Lit ~U ____, ; t i J l f: t-A,~Dt. U / V .:~~:. `~ C- 1 ^~ 'y ' O~ O Q~ -~ q,~t1c w( ~~i~ p ~ O ~~1'i {~~ ~~~6J- • "~ y A WGI ~ X05` ~,~~ .~ ~ ~G~..~~--~.- _~ f~ ~l~ ~ 1~~~ 5 ~ fov' ~w~-c_ ~CS.~Ec~-~-o~ i.i o l k - o~~ Project: STAGE. page 6 of 8 ' Mound System Maintenance and Oaeration Saecifications Service Provider's Name: Roger's Plumbing Phone: 7151235-1132 POWTS Regulator's Name: St. Croix County Zoning Phone: 7151386-4680 System Flow and Load Parameters Design Flow -Peak 600gpd Maximum Influent Particles Size 1/Sin Estimated Flow -Average 400gpd Maximum BODS 220mglL Septic tank Capacity 1200ga1s Maximum TSS 150mg/L Soil absorption component Size 6000bed Maximum FOG 34mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100mL Service Frequency Septic and Pump Tank --------Inspect and/or service once every 3 years Effluent Filter-------------------Should inspect and clean at least once every 3 years Pump and Controls ------------Test once every 3 years Alarm----------------------------Should test monthly Pressure System ---------------Laterals should be flushed and pressure tested every 1 '/2 years Moi~ncl -------------------------Inspcet fear ponding and se¢,page +ance every 3 years Other----------------------------Initially fiber should be checked yearly to determine service schedule Miscellaneous Construction and Materials Standards l . Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap and are secured as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6xI), 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 6. Lateral Turn-uu to finish at grade or above, enclosed in a 6-8" diameter lawn sprinkler valve box or similar product. (lateral turn-up consists of a long sweep 90 or two 45degree bends same diameter as lateral) 7. Lateral Turn-up on end of distribution laterals after the last orifice. Project: STEVE page 7 of 8 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code. And shall maintained in accordance with it's component manuals 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 should 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" in diameter shaii 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 individual certified to service septic tanks under s.281.48, Stets. 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 least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slip offthe filer when removed from its enclosure. Ifthe filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessmeth, maintenance personal shall advise the owner of when the next service needs to be done to maintain less than maximum scum and sludge accumulation in the tank. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution Stem No trees or shrubs should be planted on the mound. Plantings maybe 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 surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations dictate that the mound be heavily mulched as protection from freezing. Influent flow may not exceed maximum design flaw specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral and it is recommended that each lateral be flushed at least once every 18months. When a pressure test is performed is should be compared to the initial test when the system was installed to determine if orif ce clogging has occurred, if clogging has ocieurne~cl onificae cleaning is required to maintain equal distribution within the cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the ov.~ner and any levels above 5" cansidered impending failure requi ng additional, more frequent morit :ring. Contingency Plan If the septic tar~lc or arty of its components become defective the tank or components shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank or its components become defective the defective components(s) shall be immediately repaired or replaced with a component of same or equal performance. If the mound fails to accept wastewater or discharges wastewater to the ground surface, it will be repaired or replaced. Increasing basal area if toe leakage or by removing biologically clogged absorption and dispersal media and related piping and replacing components as deemed necessary to bring the system into proper operating condition. See page 7 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: STAVE page 8 of 8 y, . t• . ~.~~i ~~~ Department of Commerce 1'livicinn of C~fw1v ~nr1 Ruilriinns v /~~ ~ i, ~~ 7 SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code #1774 Page 1 of 3 Steel's Soil Service, Inc. ~' Attach complete site plan on paper not less than 8% x 11 inches in si~~must County St. Croix inGude, but not limited to: vertical and horizontal reference point (BM), di~e~ scale or dimensions, north arrow, and location and distan percent slope ibn and rest road. Parcel I.D. 5 3S , 008-1o24-7a Please print a1 lion. Q Re i ed By a Personal information you provide may be used seco~~ Law, C ~ ~ 7 d Property Owner Pro rty L ti Stave, Terri ~ ~` ~> ~ z; Go __ t na NE1/4, NW1/4, S9, T28N, R1 W Properly Owner's Mailing Address ~ of Block # Subd. Name or CSM# 4182 lGl 5 P V 2349 50th Ave na rL g. CSM o1.1 City State Zip a ~}~,rE City ~ Village own Barest Road ~t'!-' f Woodville WI 54028 715-688-2458 Eau Galle 50Th Ave ® New Construction Use: ®Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ^ Replacement ^ Public or commercial -Describe: na Parent material End moraines round morarines, drains ewes 9 9 Y Flood plain elevation, rf applicable na ft. C7 ~/, ~ a ~'°' ~ General comments Mound Design, system elevation 97.88it bas ~ ed on contour line elevation 96.33ft -~ and recommendations: ! ~ ~~~/~ (,~/~,c Boring # ® Ground surface elev. 96.60 fl. De th to limitin factor 20 in. Soil p 9 Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Etf#2 1 0-9 10yr3/1 none sil 2msbk dfr a if .6 .8 2 9-20 10yr4/4 none sicl 2msbk dfr gw na .4 .6 3 20-36 5yr4/4 f2d7.5yr5/6 sl 2msbk mfr na na .6 1.0 Boring # Ground surface elev. 96.60 fl. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/tts in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2 1 0-5 10yr3/1 none sil 2msbk dfr a ivf .8 2 5-1Z 10yr4/4 none sicl 2msbk dfr cs lvf .4 .6 3 12-19 7.5yr4/4 none sl 2msbk dfr cs na .6 i.0 4 19-28 7.5yr4/4 c2d7.5yr5/6 sl 2msbk mfr cs na .6 1.0 5 28-48 7.5yr4/4 f2d 7.5yr5/6 sl 2msbk mfr na na .6 1.0 * Effluent #1 = BODS> 30 < 220 m /Land TSS>30 ~ 150 mg/L * Effluent #2 = GODS ~ 30 mgJL and TSS <_30 mg/L CST Name (Please Print) Signature;,; CST Number David J. Steel 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 8/19/2005 715-760-0347 l~ Property Owner Stave, Terri Parcel ID # 008-1024-70-500 Page 2 of 3 f ' f~'~ Boring # ® Ground surface elev. 94.20 ft. Depth to IimRing factor 17 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr3/1 none sil 2msbk dfr cs ivf .6 .8 2 11-17 10yr4/4 none sicl 2msbk dfr gw 1vf .4 .6 3 17-36 10yr4/4 f2d7.5yr5/6 sicl 2msbk dfr na na .4 .6 ^ Boring # ~ Ground surtace elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Oepth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *EfF#1 *EtT#2 ^ Boring # ~ Ground surtace elev. ft. Depth to limiting factor i». [~ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Co»t. Cotor Gr. Sz. Sh. *EtT#1 *Etf#2 * Effluent #1 = BODS> 30 < 220 mglL and TSS >30 <150 mg/L * Effluent #2 = BODg ~ 30 mg/L and TSS <_30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (8.07/001 SDE21'S Soil Servke. InC. STEEL'S SOIL SERVICE INC. David J. Steel Terri Stave 994 200` St CST-POWTSM NE1/4,NW1/4,s9,T28N,R16w Baldwin, WI 54002 Lic. #248956 Town of Eau Galle, St. Croix Co. Direct 71 ~-760-0347 21 Acres Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend 1"=40' • =Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • =Alt Benchmark Ele. 100.15 ft ^ Top of 3/4" pvc pipe =Borings Boring Elevations B1 = 96.60 ft B2 = 96.60 ft B3 = 94.20 ft B4 = 0.00 ft NE ~~ ~ ~ ~~ ,F ~ ~ ~ ~ ~~ ~ GJ ~ ~ ~'~~ k~ . ~ ~ ~ ~o~~r ~~ ~~ ~ ~ , l o ~ ~~ ~e ~t" ~ ~ ~ ~oQ~ ~u ~ ~ t r~ ~ l ~ ~/~ / ~v i 3of3 N ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address Property Address r S~V~- 9 ~©~. ASE 2 5U~' ~ . (Verification required from Planning & Zoning Department for new construction.) City/State lt~~md!v ~ ~ fQ ~~ Parcel Identification Number ~o~ - 1 a Z~ - 74-' S3~ LEGAL DESCRIPTION Property Location ~ 1/a , N~ 1/a ,Sec. ~, T ~N R ~~ ~ Town of EA i,c. C'A ale Subdivision ,Lot # U ~~~ Certified Survey Map # ~~ ~°`~°~+' ,Volume ~+ ,Page # Warranty Deed # ~ 9 9 Asa ,Volume ~- ~ 3 ~/ ,Page # 3 7 q Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the star:dards set fcrth, her,,. , as set by the Department of Commerce a::d the Departrnert of :Natural Resources, State of W.sc^ ~ ' UraJili. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of be ooms SIGNATURE OF APPLICANT(S) loi 3- l~ DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) POWTS OWNER'S MANUAL MANAGEMENT PLAN FI1t.l~ INFORMATION Owner ~ -F-a Permit # DESIGN PARAMETERS ^-, Number of Bedrooms 100gpd/bedroom ^ NA Number of Commercial Units NA Estimated flow (average)* (~ gaUday Design flow (peak), estimated x 1.5* ~ gallday Soil Application Rate ~ ~~ gaUday In#luent/Effluent Quality (NA^) Monthly Average** Fats. Oil & Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODs) Total Suspended Solids (TSS) ~ 220 mg/L 250 mg/L Pretreated Effluent Quality Monthl Average*** Biochemical Oxygen Demand s) < 30 mg/L ! Total Suspended Solids (T Fecal Coliform (geom •' meant 30 mg/L 51 cfu/IOOmI Maximum Effluent Partacle Size 1/8 inch diameter * Wastewater Flow Verification on and calculations: (Other than bedroom based) * * Values. typical for domestic (non-commercial wastewater and septic tank effluent. * * * Values typical for pretreated wastewater. SYSTEM SPECIFICATIONS Septic Tank Capacity gal ^ NA Septic Tank Manufacturer ~ e ~- ^ NA Effluent Filter Manufacturer a ^ NA Effluent Filter Model ~ p ^ NA Pump Tank Capacity ~ gal ^ NA Pump Tank Manufacturer ; e5 ^ NA Pump Manufacturer ~~ ^ NA Pump Model ^ NA Pretreatment Unit A ^ Sand/Gravel Filter ^ Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Other: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ressurized} ^ At-grade Mound ^ Drip-line Other: ^ Leaching Cha berManufac er Model pproval Stipulation Soil Application Rate d/fl Area Req. Absorption Area Cr it p unit ft2 Minimum Numb of Cham rs ^ Aggregate esign Flow/Loa ' g Rate= min Materials: al aterials must comply with WI Adm. Code COMM84 and be installed per manufacturers specifications and approval letters. DESiC:N ("'R7TFR7A ^ "Wisconsin At-grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.a1.1990) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ ."Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". RJ. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ~ D SBD -10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD -10567 P (8.6/99) "In Ground Absorption Component Manual" ^SBD -10705-P (N.Ol/O1) "In Ground Soil Absorption Component ManuaY' Version 2.0 ^ SBD -10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD -10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" i ^SBD - 10572 P (8.6/99) "Mound Component Manual" CSL~,SBD - 10691-P (N.O1/O1) "Mound Component Manual" Version 2.0 ~j SBD - 10595-P (R.5/99) "Single Pass Saud Filter Component Manual" C] SBD - 10657 P (8.6/99) "Drip-line Effluent Disposal Component Manual" D SBD -10573-P (R 6/99) "Pressure Distribution Component Manual" SBD - 1070b-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units ^ MAINTENANCE AND MANAGEMENT MAINTENANCE MONITORING SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once eve ry ^ months year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (1/3) of tank volume Ins ect dispersal cell{s) At least once every 3 ^ months ~' yeaz(s) (Maximum 3 yrs.) Clean effluent filter At-least once every ^ months yeaz(s) Inspect pump, pump controls & alarm At least once every ^ months year(s) ^ NA Flush laterals and pressure test At least once every j ^ months year(s) ^ NA Valves At least once every 3 ^ months year(s) ^ NA Other: At least once every ^ months ^ year(s) NA Yage~_oi~_ S`'tilltT TJP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the ' tank{s} removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal. units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fiuit peels and seeds, bones, and food solids such as those produced by a gazbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. Valves ~ alves shall be operated in the following manner: Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regulaz operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. INPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hazdwaze, identify any cracks ~r leaks, measurE the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum ;<n any tank exceeds one-third (113) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufachzrer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning maybe necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. ~1'ump ChamberlTreatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hazdware and the condition of the filter. Any service needs or repairs shall be promptly taken caze of. ® In-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or dischazge. Any dischazge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page ~ of i~Ivlound, At-Grade, In-Ground Pressure /// ~~~ i The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - Ali piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of. all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gavel or other inert solid material. CONTINGENCY PLAN if the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing anal proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback andlor soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ^ The site has not been evaluated to identify a suitable replacement azea. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable re 1 lding tank maybe installed last resort t e WTS. at grade soil absorption systems may be reconstructed in place following removal of the biomat at the ' iltrative urface. Reconstructions of such systems must comply with the rules in effect at that time. «w SEPTIC, PUMP AND OTHER TREAT CIENT OXYGEN. DD NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS STALLER POWTS MAINTAINER Name d Name Phone ~-- Z '3 ~ -- ~ 2- Phone SEPTA E SERVICING OPERATOR (Pumper) LOCAL REGUI,A ORY AUTHORITY Name Agency ~ U Phone Phone I{:IWPDATA~EH~POWTS OWNER'S MANUAL.doc Page ~ of J Private On-Site Wastewater Treatment System (POWYS) Index & Title Sheet Owner: rT~er'r"~ ~~(~VE'_ Project Name and System Type: i'b(~ ~'~P ~ ~Z~6 ~M i(1(~a(JL~1 Location: ,~jtj~ ~-u,e ~t (,L.Q Street Address ~ ~ t~~~ ~ w y~~~Tas N , R t ~ ~ L ~f ~~ Legal Description ~.~,c C~ L1~ / S1-. Grp ~~ ~ Township/County Contents: Page 1: Sanitary Permit Application Page 2: Plot Plan Page 3: Soil Test Page 4: State Approved Plans Page 5: Septic Tank Maintenance Agreement Page 6: Warranty Deed Page 7: POWYS Owner's Manual Management Plan Page 8: POWYS Owner's Manual Management Plan Page 9: POWYS Owner's Manual Management Plan Page 10: Certified Survey Map Page 11: Copy of House Plans Attachments: Plumber/Design Credential Number: 225094 Date: ~-~' ~~, a.~ ' ~ ~ U 283 P 379 t ~I State Bar of Wisconsin Form 2-2003 WARRANTY DEED t~acument Number ~~ Document Name T1-IIS DEED, made between Glenda Wertz, aka Clenda M. Wertz, a single 17erson --------- --- -- -- "Grantor," whether one or more), and Terri L. Stave ("Grantee," whether one or more). Grantor for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. -Croix _ County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): T he West 99 feet of the Northwest Quarter of the Northeast Quarter (NW 1/4 of IYE 1/4) of Section Nine (9), Township Twenty-eight (28) North, Range Sixteen (lt) West, Town of Eau Galfe. 'I'he parcel shown on this document is being added to the parcel shown on the document recorded in Volume 1728 of Records, Page 120, as Document No. ti57779, described as Lot 5 of Certified Survey Map filed 9/27101, in Vol. 14 of Certified Survey Maps, page 4182, as Document No. 657533, to create one parcel, and this transaction is thereby exempt from Chapter 18 of the St. Croix County Laud Use Regulations pursuant to Section 18.05(A)(3). ?'9152 t~ ItATHLEEH H. MALSH REGISTER OF DEEDS ST. CRUIX CU. , MI RECEIVED FUR RECORD 07/81!2005 10:i5AlI MARRANTY DEED El(E~1 # REC FEE: 11.. @0 TRAMS FEE: 36. @0 CUPY FEE: CC FEE: PAGE5: 1 Area Name and Re[um Address Thomas A. McCormack 1020 10th Avenue Baldwin, Wi 54002 008-1024-30 Parcel Identification Number (PIN) This is not homestead property. (gs) (is not) Exceptions to warranties: easements and restrictions of record, and to terms and conditions of Farmland Preservation Agreement with State of Wisconsin, Dept. of Agriculture, Trade and Consumer Protection. Dated June 17, 2005 %~ ____________ _ _(SEAL) -(SEAL) ~ Glenda M. Wertz - --- __----7- - - - __-_ - - - -- - ----(SEA1~ ---- - - _-- ---. __ -- -(SEAL) ~x Signatures} AUTHENTICATION authenticated on ~- - TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _ _ _ _ authorized by Wis. Stat. § 706.06) ACKNOWLEDG,i~IEN7' STATE OF WISCONSIN __ _ ) ss. ST. CROIX COUNTY ) ` - 1. Personally came before me on June 17, 2006'"_!' .~ . ~ __ the above-named Glenda Wertz aka en li.. ,g V ~ ~ to me known to be the perso (s) w o ~xec~ed~tl instrument and knowledged e. ,. J i THIS INSTRUMENT I3RAFTED BY: * Thomas A. McCorma k '__ Thomas A. McCormack _ Notary Public, State of WISCONSIN Baldwin, WI 54002 ___ _ __ My commission (is permanent) (xxxxxxxxxxxxxxxxxx ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THlS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED STATE BAR OF WISCONSIN FORM N0.2-2003 *Type name below signatures. ©State Bar of VS~sconsin 2603 +NFO•PRO1° Legal Forms •(8(!0)655-2021 • Infoprofoms com ,. h ! _ .... _. p~-G' c~ ~ ~ r ® ~p~l e ~ .., c~7 F, ' i AEI ~ '~- :.' k r ~' ~ ~ ~.. I _ ~, ~' Ii .~~ ~ I 'l ~ ..~ ~~ ~ ~I i~fl~ l~SL L~ `.~ ,,~'R,~~.~' ~~ ,~ ~' i i , ~ ~ ~~ ,.~.,_ '~ ~rr ~~ ~ t ~` ~ I ~ I I ~ `+.d ! '4~, ~ .w PTV 4 , ' I , ~ ~ 4` ~~ 1 ~ ~ ~ = ~P ~Y r ,~ ... `~.1 Pw I I i ~,~ ~ I ~ ~ ~rl ~ ,~ ~ I ~ r I, -~ ; ~ ~ ..a ~1 e. .~ I i "~ ~ ~-- iP ~ ~ C,C ' ' ~I..~~'N0~?Y' c>G ',,I ~ i l l i I{ w , ~~, a I ~I~~ G ~ ~ ~ ~.. ~~ ~ ~: a, ~ z. ~~ 'W ~r V ~ ']5 ~~s ~ X S ..y ~') S p ~~ r- . fi~` `,~ ~~ ~`'~,. .~ ~~2~d J_93U5£Z~Ul BLU~S9'aSLLL ddNf~l~i~WU~~ 9®=tL ~~32-L~-1'7~J ~ ~ ' Parcel #: 008-1024-70-535 o3i2si2oo~ 03:45 PM PAGE 1 OF 1 ` Alt. Parcel #: 09.28.16.125A-65 008 -TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 02/09/2006 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -STAVE, TERRI L TERRI L STAVE 2349 50TH AVE WOODVILLE WI 54028 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 2341 50TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 21.510 Plat: 5156-CSM 20-5156 008-06 SEC 9 T28N R16W PT NE NW & NW NE FKA CSM Block/Condo Bldg: LOT 0 7 14/3923 LOT 1 (27.530AC) FKA CSM 15/4182 LOT 5 (21.490AC) ALSO THEW 99 FT OF NW Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) NE NKA CSM 20-5156 LOT 7 (21.51 AC) 09-28N-16W NE NW Notes: Parcel History: Date Doc # Vol/Page Type 02/09/2006 818230 CSM 07/01/2005 799153 2834/380 AFF 07/01/2005 799152 2834/379 WD 09/28/2001 657779 1728/120 OC more... 7M7 CI IMMeRV Bill #: Fair Market Value: Assessed with: 0 Valuations: Description Class Acres Land Improve Last Changed: 05/11/2006 Total State Reason Totals for 2007: General Property 0.000 Woodland 0.000 Lottery Credit: Claim Count: 0 Certification Date: Batch #: 0 0 0 0 0 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 f ,., ~ECEiv~o r 8 1 8 2 3 0 AUG ~ 3 ~Ov KaATALEE]~pg GE 5156 REGISTER OF DEEDS ST. CROIX CO. , NI ~' i+RCiX GC}UNl'P 02%09%2006 09E00AM SURVEYOR'S RECO~ CERTIFIED SURVEY !!AP . RRC rrr . ~ ~ .a.. urr r~e:t AGES: 2 CERTIFIED SURVEY MAP iNCLUD/NG ALL OF LOT 5 OF CERTIFIED SURVEY MAP RECORDED 1N VOLUME 15, PAGE 4182, LOCATED 1N THE NE 1/4 OF THE NW 1/4 AND 1N THE NW 1/4 OF THE NE 1/4 OF SECTION 9, T28N, R16W, TOWN OF EAU GALLE, ST. CROIX COUNTY, WISCONSIN PREPARED FOR: TERRI STAVE NORTH C7NE OF THE NW 1/4 i I ~ NW COR I NE-NW S I 1 86'48'05 ~ ~ f 909.68 -~ 1 - - - - - r--- -- _ ` - "' -- -o- ~ N c~° I 1 1 --- -a ~~~ I 1 I I :~ 1 ~~ . I I I ~ ~ ~ ~ ' +. I :~ v°c~ o j 1 1 I ~ y ~ ~ ~ ° I I I 'u I :N cp z o I I o z I I I .~ ~ I ~ ~ ~ r----- I ----- I c~ I _ LOT 2, , _ C. S .AL... _ O I I 1 YC)L_ 14, .............. PG. 3923 .............. ~ ..7J i6 5~ O I I------ 1 I --- -- Z -- I I I I I _ LOT_3_ .,C;S.M.. I I I I VIDL •14,• I •PG. 3923 ' I 1 I I ~------- 1 I _.-_'-- -- NOTE: A PORTION OF THIS LAND IS SUBJECT TO A FARMLAND PRESERVATION AGREEMENT. NORTH QUARTER CORNER SECTION 9 - FOUND SURVEY NAIL - - S 86'48'OS'~ 704_30' S 86'49' 12 "~' ~- 99.16' A ___ -I?'~~s-'~ („ J~'8G 18 0S ?517 82 w. ..... o ..492.99:..701.35' ~...:. _ ~ S 8 9 9!a U NfNfiP' Y SE7H4GYf UN£, . • . ' U_NOUSE ~ Z ~' _ ~~ Cn~ SHED LOT 'B ~+ '1-~i 3.01 AC/~ b!~ zoZ ,1 `X N 1 EJCC R ~q. FT, w> w ~ ~ `~ m 120 759C/SW~ F1: ~ ~ o 5 86' 8 O5: e N q O~ LOT 7 : ,~ °o 21.5 f ACRES ~ ~ ° ~' 936, 91 O SO. FT. ~ W Z no :~ 21. 14 AC. EXC. R/W ~, _ -v ~ m 920,644 SOFT. o ~ ~ o'; z ~ ~o.~ :Z x o +. ~ . . LOT 5, .. C S.A/ _ • v, ~ ~' w ' ~ 0 :~ .VbL;..fS, 4?G.••4182e ._ ~ o ~o ' ' a ~ ~ ~ : O ` ~ / ~ ~ o ~ O m ~ ~ ~ °z 6.3' N OF /~E/W F/L SE pR / NECNW~: I I SOUTH LINE OF THE NE7/4 - NW 1/1 I '^ UNPLATTE'O LANDS w I o w z x .................................. ~ o ~ ~ ~ w N ~ ~ SOUTH QUARTER CORNER ~ BEARINGS ARE REFERENCED TO SECTION 9 - FOUNO THE NORTH LINE OF THE NW 1/4 ALUMINUM CAPPED MON MEASURED AS 586'48'05 E. (ST. CRO/X CO. COORD. SYSTEM. I F(~FNi~ • = FOUNO 1 " IRON PIPE o = SET 1 " O.D. X 18" IRON P/PE WEIGHING 1.13 LBS. PER L/NEAR FOOT. 1 "-300' o ~ so soo soo SHEE? 1 OF 2 2005027A THIS INSTRUMENT DRAFTED BY JIM WEBER 818230 1 of 2 Vol 20 Page 5156 8s"36•.g8"H, 99. 18 1 00 1 JAMES M. WEBER 5-1804 LANDMARK LAND SURVEYING, INC. DATED 1-30-0~ •~' " ~° ~ ~ " a ~ p d F L d p ~ I ~ ~ 3 ~ ~ ~ ~ ~ y ~ Q Cn ~ ~ Z T~ Z N ~'' CA ~ Z ~ Z N Z O ~ ~ '. I ~ O O `C~ ~ h p,} N N O ~ (D O fA CF ~ h pg • N N O ~ fD • O N O N O N I, ~ C ~ O I~1 ~ O. 7 d l D p d ~ d ~ A ~ ' _ N@ O C N '~ CD O + N ro O C (D ~ y O 6~ C ~t N N ~ 3 - ~ ~ ' ~ N ~ fD ~ A 1 C~9 0 0 = ' N 3' O O O h 7 O C n ~ ~', N ~ v O ~ O ~ t- O ~ ~ C ~ h O O O C a p O 'p ~ d ~ O ~ N ~ ,, O f ' A7 ~ d O_ 3 . 3 y , fn O ~ N Vi O cn ~! O O O ~ D ~ ~ Z ff> v D ~ U' Z v D m C ~. o I m rci D u:z" ~' N m ~ D ? N a D I s= ~ r ~ ~' ~ o ~ = ~_ ~ _' o ~p C ~ ~ N ~ ~ ~ O r. N 3 yr O i ~ ~ ~ CD ~I ~ ! ~ '" OZ ~ L "' ~ ~ N C` ~~ ~ I O N O O O O. ':' y 0 C I (D c N fD ~ < ~ . ~ .. a. ~ ~ o Z I o Z O O O ' ~ r N o O n ~ N o O n ~ ~ ~ ~ ~ , i C O Z /V~ ~ I ~ c 3 ° d m c 3 fA fA fA N ', o D _ 1 N I m N ~ N N O' (D ~ v v oo i N O O O m 0 ~ ~ ' N ' N ~ A N '. (p ~ fD ~C < ~ N C < d ~ ~ ~ N Q pj N d N' ~p O '~ (Jl ' O \ ., I Z 3 Z ~ ~A\1 0 o Z Z o 0 I ='~ O =h v O D D ~ , '~i I ~ ~ 'i ~ ~ I w cn w m I z m Z m ' ~ 2 A O ~ ~ N : .p ~ N r ~ Z -~ o I W ~ m ~ d ~ -, A z ~ I O :-• I Z ~ o I y ~ ~ Z I ~ ~ ? I w I o ~~°'-' Q om~~v-' ~ I ~ am o~ °• ~~ am o m a ~ i o ° . a ° ~. t i _c n w y ~~ m n c v vi S3 ~ t O y ~ O y ~ a a< y 0~ O a d N N O~ CD O a I ( p ~ O O N N ~ 0 0 O N N ' _ p ~ Cn~y C ~N ~~w '~ Q y ~ N y y= N ~~ 7 ~ '. 4 p r+ N~ O ~ d ~ -d .~ to C 0• ~ a _ ~ '3 m n N •~ m n ~ m a, A .~. in ~ '~ Q~ ::N ~W ~ 7 d , I ~ p p O ~ p xm ~ ~,cn xm ~ a t Ap o ~ ~• ~ o ~ ~ ~• ~ ~~'. O O n (D -O 01 O h tf] 'O N I F• O~ N ' ~ ~. 7~ • ~ N .-. ~ O O p O p _ S ~ O O = O ] ~~' O O (D N p ~ fD N p . ''I A I O O :'•' I CD (D pR~. Vi ~ 69 fA ~ 69 ffl ~ I. v ~ i tv Parcel #: 00$-1024-7~-50U 11/23/2005 03:25 PM • PAGE 1 OF 1 ~~ Alt. Parcel #: 09.28.16.125A-50 008 -TOWN OF EAU GALLE Current ILX~i ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner TERRI L STAVE O -STAVE, TERRI L 2349 50TH AVE WOODVILLE WI 54028 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 2349 50TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 21.490 Plat: 4182-CSM 15/4182 FIG4 CSM 14/3923 01 SEC 9 T28N R16W PT NE NW BEING CSM Block/Condo Bldg: LOT 05 14/3923 LOT 1 27.530AC NIG4 CSM 15/4182 LOT 5 21.490AC Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 09-28N-16W NE NW Notes: Parcel History: Date Doc # Vol/Page Type 09/28/2001 657779 1728/120 QC 07/23/1997 954/527 07/23/1997 948/619 07/23/1997 942/217 9Af1~ CI IMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Description Class RESIDENTIAL G1 AGRICULTURAL G4 UNDEVELOPED G5 Totals for 2005: General Properly Woodland Totals for 2004: General Property Woodland Last Changed: 07/15/2004 Acres Land Improve Total State Reason 2.000 22,500 146,300 168,800 NO 13.490 1,500 0 1,500 NO 6.000 2,700 0 2,700 NO 21.490 26,700 146,300 173,000 0.000 0 0 21.490 26,700 146,300 173,000 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 11/22/2005 Batch #: 05-54 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ' i;f~t fNLEEN H. WALSH kEGIS'TEFf OF DEEDS a7. CkUlX CU. WI RECEIVED FOk REC ~~9-21-'.?001 8:1~ AM ~Or~Y . 0 c:;U:UIhiG FEE: 1;f.00 ,~~iu .,. CER T 1 F 1 ED SURVEY MAP BE 1 NG ALL OF LOT 1 OF CERT 1 F 1 ED SURVEY MAP RECORDED /N VOLUME 14, PAGE 3923, L OCA TED 1 N THE NE I i4 OF THE NW I i4 OF SECTION 9, 7. 28N. , R. 16W. , TOWN OF EAU GALLE, ST. CROIX COUNTY, WISCONSIN PREPARED FOR % NOTE: THE oR 1 G -NAL REBARS FROM RONALD STAVE C. S. M. VOL. 6, PAGE 1515 WERE FOUND, BUT APPEAR TO HAVE BEEN DISTURBED. NORTH LINE OF THE NW l i4 UNPLATTED LANDS NORTHWEST CORNER NORTH QUARTER CORNER SECTION 9 -FOUND SECTION 9 -FOUND ALUMINUM CAPPED MON ALUMINUM CAPPED MON I ~ ~ f PBl3.6a' ) lS89.33'P4'E) I ~ I NE NW ~ 26/3.97' ~ " S86°48' 05"E 15/7.301 ~ lsae aa'Pa EJ ~---ti- - -,- _ _ _ _ _ - - S86 ° 48_05 " E -/ 096_6 7' _ _ _ I _"' _ .~ - - w 392.33 ~ -7~• - - --,. r- ~ C. S., M; I i ~~ 2 w ~+ 704.3 - - - -- - - I ,VOL.,,9 I r I ~p • ......... ...... ~" S86°48'05"E / 5.70' w t I PG P439 I ° p° ~ OR 1 VE-~1 ~ ~ N Il3NIYAY • T6ACK %%y' ' ~ ~ F~L SWTH !.. ~ I" $'.O ~1. cn SHED ~ ~ :~'n ~ ~ HOUSE-I ° , M Ig --__- J I MOl1N0 ~' •~y~ ~ 1~ ° SYSTEM ~~ ( y I r I~• v SHEDS w ~J ~ „C., S; M . III o v m LOT 4 '~ ~ p~ \ ~" 2 C ,PG., , 368 t, I I w w LOT ~ ro ~ ; n I I r N86°48305"W ~ ~ 936, 3 3 S0. FT. r ~ ~ z ~ ~ I I ~ 2 °' 20. 96 AC. EXC. R/W •°f m g : ~ L______~,W O 0 913, 078 S0. FT. w ~ i ~ ,LOT, 2 „ C. S. A~ $ ~~~ N ~ D VOL. 14, PQ. 3923 - ''~ ~ ~ Z NOTE: THE PURPOSE of THIS IgiBl ~ ~ •. ~~ ~• ~ ~, ~ m ~ C. S. M. I S TO SUBD 1 V 1 DE I (- - ~ Q LOT 1 OF CERTIFIED SURVEY I - - - - - ._ MAP RECORDED IN VOLUME 14 - ' PAGE 3923. I i i ~ ~~ w I ..4 ~T. 3... C.,3,,,M., ~ p~.' ti I I p ~ P' E of FiL NORTH i I ,VAL. , ,14, , PG; , 39P3 w a 3. s' N OF Eiw FiL O I 8.8' N of LOT 4 AREAS I - /~E~w F~L ~ NE-NW • 6.04 ACRES (' -----_.-_ 262, 885 S0. FT. I I N86°56' 38"W 705. g /' W-NE 5. 74 AC, ~XC•. R•rW~.. ,.. ~ 249, ~ ;rQ..F~'~~., ~•~_,._~ I~ ~; r. r:;?r ;~~. i;lit": ~ ti` ~~ I SOUTH L I NE OF THE NE 1~4 - NW l i4 i ('.,.,i:.; ~ .' ~ ~ - ' ~ ' ~ ~'~ritry y UNPLATTED LANDS ~ ~ ° ~,~m w o w ~~ ,, ..r . ,. ~;;,,; ,,,, ;, , ,,, ;,_,y ,.r i SOUTH QUARTER CORNER ro I ~ :ir:;,~ ,~ a ,. ,i.: ,,r:;~r, ~,.:u ~~~ ~ SECT ION 9 -FOUND ' ,;,,;~ ,,;, .; ,. ,,.; ALUMINUM CAPPED MON ~ ~ ~~-t ~`~ 4 , ~OLE~ y NOV ` 32040 AUG 0 4 2000 - 62"~6~8 KATHLEEN H. WALSN Ae„ister of Deeds ~~ SY. eR!~IX C~UN~' ~ o. WI cURVEYaR'S RECORD !I '~`~_ N CER T 1 F 1 ED SURVEY MAP L OCATED 1 N THE NE 1 /4 OF THE NW 1 /4 OF SECTION 9, T. 28N. , R. 16W. , TOWN OF EAU GAL L E, ST. CR01 X COUNTY, W 1 SCONS 1 N. NOTE: THE ORIGINAL REBARS FROM PREPARED FOR : c. s. M. va.. s, PAGE 1515 WERE RONALD STAVE FOUND, BUT APPEAR TO HAVE BEEN DISTURBED. NORTH L 1 NE OF THE NW 1 i4 UNPL A T TEQ , •L ANDS NORTHWEST CORNER NORTH ©UARTER CORNE SECTION 9 -FOUND SECTION 9 -FOUND ALUMINUM CAPPED IKON ALUMINUM CAPPED MON I ~ ~ t 2s 13. ss' ~ NW COR. 2613. 9T' f 589.35' 24' f) 11 I NE-NW (S89°35' 24" E S86°48' 05"E 15/7. 30) S86°48_05"E -/096^6T' - I ~---~I~- - -,- - - - - - -~ r _ _ _ _ ..A-o- _ _ _ _- - - -k i . C. S. M. I i I ~ w 392. 35 - - ....... I ~a 2 w •••S86°48' 05'E T~• 35' - ~ 0 // / oss. ro' 'g w I VOL. 9 i I~~ ~,0 w DRIVE~~ •••I•• ••• I PG, 2439 I:~ O ~ SHED HI(3HWigY•SET6.4C1(•LIME -O~n ~ °' ~.. _ _ 1 I ~ I:~. ~ HOUSEJ MOUND -__I I I :~ ~ ~ m SYSTEM I „C.• S, HL• I i ~s :~ w i VQI, 13 I ~ I ~'~' ~ ~ SHEDS ~~ 4.56 ACRES ~,,, p N w_ :~ 198, 815 SO. FT. O p ~p O ~ > 4.31 AC. EXC. R/W - ' ~ c 18T, 800 SO. FT. N ~ ~ _ S86 ° 52' 2 I " E ~ 60~. 65' O ~ W . QQ•...t3.~8 ~. I I •~' 'V oo ~ L7 I (S89°35'24'EJ I ~ I• p ° I S86 ° 48' 05" E I I `" LOT 1 `"- I 2 10. 32' S86 ° 48' 05" E 2T. 53 ACRES ~ aNo~ I 33. 05' 1 T7-?7 392.37 1, 198, 198 S0. FT. al I o 602. 69' ~ 26. TO ACRES EXC. RiW °' R' L _ _ _ _ - ro°lo~oo ~_ -~~ w o r, 163,oos so. Fr. W _ . w .p a rn O, °; O I m~ d8 ~~Q =~~ Qa <~ ~ o o~• °• m ti c >Z 0 F!~ • C '~ y -I v . ~ ,~ `~~A ~~ $ ~' 'C w nx~ v u r ~~ V rnl ( ~~ in k SW COR. I -i NE-NW rn ~ o I I m m ON F/L SOUTH Z N g m r m „f m v 2 .~ ` 33. 05' 569. 80' /~ I :y f Iwrn :~ OT ~ w ~- •> 4.56 ACRES ~+ ~ : v Iwo ;x x88,8/8 S0. FT. p , g 3E5 NFOF E/W FiL O .r 4.31 AC. EXC. R/W I ~ 0O~ : Z 187, 903 SO. FT. ~ W B, 5' N OF $E COR. '^ 602 6l' E/W F/L `NE-NW 33.05' 589.56' $~ 12T5. 17' r 705. 6 I' NW-NE I ~ N86 ° 56' 38" W 1308.22' SfV NE I s. 5' a of I E/W F/L I SOUTH LINE OF THE NEli4 - NW li4 o ,m UNPLATTED LANDS w O Iz ~ ................................ _ ~~ ° cn I I~ ~ ~ ~ w ~ SOUTH QUARTER CORNER ^'_ I w I SECTION 9 -FOUND ' ALUMINUM CAPPED MON ~ (~