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HomeMy WebLinkAbout010-1075-50-100I I I ~ n At O d. ~ ~ N C -' O m ~„ N N ~ O O O ~ W ~ 3~b I ~ m ~_ C N O ~p O L O I I ~ Z 2 o N O N N G! O ~ 00 O 3 N O N Cs < a c m ~ a~i, ~ N d ~ ~ ~ N CD C n ~~ A tDn (5~;. O W Z .-' --` O_ (D .~ w ~ c m a ~ ~ d L ~ O O CD cD C tD m ~ N N O K fD O. O ,y.' fD O_ CD _ O ~_ 0 a 3 O n ~ O- n~i O Z o n o m ~ a m N N N ~ ~ N O O ~~ f0 O ~ O O n C O N 3 m Qd 0 0. N ~ ~ O ~ O O ~ oa X O fD O Q O Q C1 fA O C .~i .~. ~ ~ ~ ~ 'O ~ m ~ 3 ~ ~ ~ C m O n' rp 'C 'O ~ C d •• fD o w = ', m ~ o A N ~ lD W O ~ a O V N ' 2 ' I O A ~ Ii C p ~ '. 2 " ! ~ N ~ O C1 C ~ Z ', i a a ~ l ~ ', O ', (D (O ~ = O O _ W ~ N O N O 01 ', `G ', o °o w '', ' N ~ a a W ' ' ~ ~ ~ ~ m , a ~ O O O F ~ v v f'D ~ N p ~ .di. y ~ N ~ O ~ O D D ~ ' 7 Q N fA N S N 7 N A _ c A ? c~i J ~ N ~ Q A •• Z ~ O 3 ~ .. N W ~ m m a 0 3 O •'•" 3 N .ZI (D A p~ n CD 3 CC fD G "' C 7 a m w 0 z A ~ Z O d ~. A~ s~ °< O "S A7 0 .7 1 • ~~ (~~ • ~f O • O R .~ a e A `~ ~.. ti N 0 A A ti pp ;~ A ~ ~ r Parcel #: 010-1075-50-100 02/11/2008 05:07 PM PAGE10F1 Alt. Parcel #: 31.30.16.459A-20 010 -TOWN OF EMERALD Current X 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 O -HULSEY, KELLIE M KELLIE M HULSEY 1269 HWY 63 BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description * 1269 HWY 63 SC 0231 BALDWIN-WOODVILLE AREA SP 8020 UPPER WILLOW REHAB DIST SP 1700 WITC Legal Description: Acres: 5.321 Plat: 4000-CSM 14-4000 SEC 31 T30N R16W PT N1/2 NW FRL BEING Block/Condo Bldg: LOT 1 CSM 14/4000 LOT 1 5.321AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 31-30N-16W NW Notes: Parcel History: Date Doc # Vol/Page Type 02/05/2001 638012 1583/270 W D 09/07/2000 629442 1540/548 WD 04/17/2000 621338 1503/155 OC 07/23/1997 420/474 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/19/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.321 30,000 57,000 87,000 NO Totals for 2008: General Property 5.321 30,000 57,000 87,000 Woodland 0.000 0 0 Totals for 2007: General Property 5.321 30,000 57,000 87,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 568 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~1 ~ ~D ~ Fi~~ ~'. ` FEB 1 9 2001 ~ g ~UV 3 0 2/sl - > > E~3~4C1 ,,,,.,..,,„,,~ a KATHLEEN H. WALSH r ~~ : ~ ~ ~',;~~D ~ Register of Deeds .a ._ _ _..~ . ~..,...~.-...,.~ ~ SL Croix Co., WI /c' NW CORNER Of SECT/ON3/, Certified Survey Map ~', tv T30N, R /6W, /?"/RON P/PE FOUNOI Harvey and Suzanne Hielkema Part of the North 1/2 of the Northwest Fractional 1/4 and the South 1/2 of the Northwest Fractional 1/4 of Section 31, Township 30 North, Range 16 West, Town of Emerald, St Croix County, Wisconsin. °o U,NPLATTED LANDS OWNED BY PLATTER ~~ N i W 0 O Q J W v ZI J so' v N b N W O O O 0 0 O 2 B • I .I Z JI SO' I A ~~ O // I ~ ~ ~ 3 2 W t J ~1 3 -q W N 90.00'00"E ?97_66' ao' c M' .,~..,,~ .: . ~. o' a1 ~ I rs.oo' ~ /7. oo' ~ , ~ ~ I_ ~~- ~ 'NOUND SYSTEM N 9 00' 00 "E ~'~ 0.00' ~ Q ~ I r` ~ D.O.T. Approval Nb. 7 7' --~~ • / y 55-63-3156-2000 33' ~ ~ ~, ~" // 7 ~ 3 p ~ ~ O I f= O ~ ~ I 12 O [[[ ~ p h ~ WELL b O V r ~ p Q ~ OWEL L / h fJ SHED •- OR/VEW4Y I ..BARN 33' i I O Z I ~ SNED I 1 N 90•~ 00'00"W 60. ADO' LOT ' /oo' C~ 00' 27.0 12 d.3?/ ACRES ~ 23 /, 79 / SO. FT. 60' ~ ~ ~ S. 000 ACRES ~, y ~ ~ I 2/7, 799 Sp, FT. Mf ~ ~ 1 m I I> W ~3 o = o ; ~ `~° o ~ w •O 30' -~'~ 1W. ~ 2 ~ i~~ ?B9, /p• UN--`'Q T TED L A~OS •. W//f CORNER OF SECT/ON 3/, 730N, R /6W, / P, K. NA/L FOUND/ Hig~hwaQy~setback restrictions prohibit improvements in certain areas. See sheet 2. i O w ~ ~M ill h p W ti 3 Q ~ N O ~. W ~ Q Q W x O g p Q ~ ~ N Z ~ t 3 Q ~ 3 W x m , ~ ~ O ~ Q v O N o J Q ~ Q 0 g Q ~ y This instrument drafted by ~ Laurence W. Murphy Q ~ Dated: August 22, 2000 Z "Revise d~ is 17th day of J ( 2 ~r-er s ~Iddress: 540 Summit Cira;le Baldwin, WI 54002 ~~E~ y ~'L A T TER Legend: O Indicates 1 " x 24"iron pipe weighing 1.93 Ibs.Ain. ft. set. -~---fit- Indicates fence. scacE / " = /oo' O 30' /00' 200' 300' Vo1.14 Page 4000 Sheet 1 of 3 W /* ~IViscon~ri Department of Commerce Safety €. ~d Buildings Division GENERAL INFORMATION ~~~~~~~a~ ~~~~~~~~~a~~.,~~ you N~~~~~C ~~~Qy ~C uaCU w~ ~ecvnoary purposes ~rnvacy Law, s.15.04 (1)(m)]. Permit Holder's Name: ^ City ^ Village ~^ n of: Hielkema, Harvey Emeralc~~ownship CST BM Elev/.: Insp. BM Elev.: BM1Descriptlio'n: '' _ _- Lam? •~ ( '6~ ~ c7 f 2da e M L PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) TAA11l INICAD11/1 ATIAw~ TYPE MANUFACTURER CAPACITY Septic ~~ PK--~~ .~- ~~ Dosing (~ ~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Airlntake ROAD Septic ~ ~f3 ` 2 3 ~ 3 ' ~ NA Dosing > ~D ~ z 3' ~~ 3 3 ' NA Aeration NA Holding PUMP /SIPHON INFORMATION r~ ;,' `D ~ ~1 ' Manufacturer ~~ Demand ~ o Model Number ~ (,~' GPM TDH Lift ~•~ LrictionL 'SO System 2• TDH ~1 boFt Forcemain Length ~ Dii~. hi r' Dist. To Well SQL ABSORPTION SYSTEM ELEVATION DATA County St. Croix Sanitaru Eer~jtNo.: Sta a Plan ID NbboJJ.: 210f~~ °rro«s. ia.~ Parcel Tax No.: 010-1075-60-000 3t • .moo. ~a < </S~j,B STATION BS HI FS ELEV. Benchmark 2, / 6 ~ oZ •~>~ aD. o' Alt. BM 1 ~y,,,, 1T+- -~ Bldg. Sewer ~, /S' ~S- o3r St/Ht Inlet ~~O c~,sg ~` St/Ht Outlet -~ ~' ~'~' ~---- Dt Inlet r-- ,~-, Dt Bottom I Z• 2 ~• ~ Header/Man. 3„Sp ~'S 6~- Dist. Pipe 3, ~..~ ~.,6~t1-''i ct$ , (o$ Bot. System (. ~~ ~8, 0 ~ / Final Grade ~~(~ ~ ~2',r ~~( _~ St cover 3, (Qn ~ $' SAC ~ Width r Length ~ No.Of T p1T No. Of Pits Inside Dia. Liquid Depth N I N (o a'D DIMEN I N SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEAC G uacturer: INFORMATION TypeO ~ ~ CHAMB o e Num er: System: 2o't" •~- (o$ ^' IOZ OR T DISTRIBUTION SYSTEM, ('~~° ~ ~•o.~•) ~ Header / Mani gold ~~ Length 3• ~ Dia ?J istribution Pli rpe~() ~ M ~ Len th ~'` i 1 7~ S i 3'O x Hole Size rr 3~/( x Hole Spacing `•f''r Vent To Air Intake --- . g a. ng pac ~ Z ~-) SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Qb'6 Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center ~ Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) u Jrtow rtv~tt~ I Inspection #1: ©~lZr~/ Inspection #2: -{-f-- •~ Location: 1269 Highway 63, Baldwin WI 54002 (SE 6W) - 313016459B `~ 1.) Alt BM Description = u~ S~% ~n"°.,,~"Q~cr~.er. ,y ~,p` ~, r(o ~, _ ~~ Z 2.) Bldg sewer length = 30` -amount of cover = > 3a `` ya--; ~ C,wel, °t~ ~ ~ ~„~„~~o~L 3.) contour=C~.,~(~`, Plan revision required? ^ Yes (~ No Use other side for additional information. eq Zo 00 ~ ~(SZ6 SBD-6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: L~ t l3' (v g ffw-y_G~ Sanitary Permi Application safety ~ suilaings Division In accord with Comm 83.21. Wis. Adm. Code 201 W. Washington Ave. PO Box 7302 ~~ 0~s ~ See reverse side for instructions for completing this application WI 53707-7302 Madison ' -- fJ n Department of Commerce Personal inforniation you provide may be usea for secondar}• purposes Privacy Law, s. 1~.04(1)(m)] . (Submit completed form to count}' if not state o~timed.) Attach eom fete Tans {to the county eo v onl ~) for the s stem, on a er not less than 8-312 x 11 inches in size. Coun /~' , ~~ ~ t-° ~P G ~ /' State Sanitary Permit Num/b~ern O Check if revision to p~ui ' ~ tio~ / l I State QIaQ L.D_ Nuptber ~d~ / I. A licatian Information -Please Print all Information `:-'% ,: cation Property Owner Name J° ,.~ ~ „;~ •' "` ~ ~ ~~ ~ ~ ~~ ~'~~~ ~~ ~ l ~ ~'~ Pt rty Location ~`~ ~ ~ 1 ~ ~U ~ ~ ~~ er ~ ~ r U e. ~ ~1 r~- T. 1 ,- 4 Nq/a. S N. )Z or) W Property Owner's ailing Address / ~ ~ '~ r ,y ~~~ ~ ~ Lt~t:Nu ber Block umber 5 Lf C~ ~ Lf Ll? r~2 / ~ `-~ l~ Ci '~ ~ a' ry' ~ ~ ¢ ' / Ci.C rl City, State Zip Code er ~~~ ~ Phone ;~ ision Name or C M Number ., II T pe of Building: (check one) ~/`T _.1-~-~c,) ~ ~~ ,. , City O Village tY 1 or 2 Family Dwel3ing - No. of Bedrooms: u'~ ~ TOtYn of _ ^ Public/Commercial ¢describe use): /~ ~ ~ ' ^ State-owned Z ~ III Type of Permit: (Check only o ox on line A. Check box on line B if applicable) Nearest Road ~ S 1_( / 3 f (~ A) I . ^ New Syste ~1 Replacement 3. ^ Replacement of 4. ^ Addition to Parcel TaY Numberls) ' ~' ~'~ r /r' ~~~ '" G S stem Tank Only Existin S stem $) ^ A Sanit ~ Permitwas reviousl ~ issued Permit Number Bow-{sued 31.30 • {~ `ES9 IV. Type of POWT System: (Check all that apply) D Non-pressurized In-ground Ij~Mound D Sand Filter ^ Constructed Wetland ^ Pressurized In-ground D Hotding Tank ^ Single Pass D Drip Line ^ At-grade D Aerobic Treatment 3Jnit D Recirculating ^ Other: V Dis ersaUTreatment Area Information: 1. Design Flow (gpd} 2. DispersalArea 3. Dispersal Area 4. Soil Application a. Percolation Rate b. System Elevation 7. Final Grade ~~S~~U Required ~~~ ~ Proposed ~ ov Rate {Gals./daylsq. ft.) , ~ ~ (Min.~nch) ~ ~!~' 2 ~ Elevation ~~~~, ~. VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing ~a-~,e. ~` Crete structed Tanks Tanks 0~ ° TT ~F" ~~ /~ (J G L ~ ~`~vJeSEer ~ ^ D ^ ^ JE trc~ ~~ ~, • ~w VII Responsibility Statement I> the undersi ned, assume res onsibilrty for ' stallation of t POWTS showtt on the attached fans. Plumber's Name print) Pium Signat4~re {n t ): PR5 Nd Business Phone Number Plumber's Address (Street, ity, State, Zip e} ~- S~G~ ~,`~~~ ~ l~~ ~Zz~c ~~~~' Z 1 ~ ~~-° ~ ~~z VIiI County/Department Use, Only . ~ Disapproved Sanitary Permit Fee {Includes Groundwater Date Issued Issuing Agent Signature t;No stamps) Approved D Owner liven Initial Adverse Surcharge Fee) ~ ~ ~-e~ ~""' (4~ ~ ~ t ~ ~ ~- Q ~, K'37c- Determination IX. Conditions of Approval /Reasons for Disapproval: j F'toezAQlc..tvt-1Je Fryer- MAPS P•P-s=.1wµ~.PMf?Ce.~c C"Of-'tl~t.S`iRoP6a~ J ~'61~~w 1- KG W, 5 l 1 wv-ti 5 ~ yiL rr. . ~~~~ isconsin Department of Commerce August 26, 2000 OUST ID No.691727 ARTHUR L WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/26/2002 Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary• ATTN: POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 197134, Harvey Hielkema St. Croix County, Town of Emerald SE1/4, NWl/4, S31, T30N, R16W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 756135 Identification Numbers Transaction ID No. 421087 Site ID No. 197134 Please refer to both identification numbers, above, in all cones ondence with the a en The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R.6/99). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • Aseptic tank filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. MOUND SYSTEM FOR A ~ BEDROOM RESIDENCE. Page ~ of 7 This plan has been prepared in accordance with the Mound Component P4anual SBD-10572-P and the Pressure Distribution Manual SBD-10573-P LOCATED IN THE S~ 1 /4 OF THE ~1W 1 /4 OF SECTION 31 , T 30 N, R ~ ~, 6d, TOWi1 OF ~'-LZ-~-D ST• ~~UC COUNTY, WISCONSIN. INDEX PAGE l of 7 PAGE 2 0 f 7 PAGE 3 of 7 PAGE 4 of 7 PAGE 5 of 7 PAGE 6 of 7 PAGE 7 of 7 TITLE SHEET TITLE SHEET SYSTEM riANAGEMENT PLAN PLOT PLAN PLAN VIEW-CROSS SECTION DISTRIBUTION PIPE LAYOUT PUI.IPING CHAP•1BER CROSS SECTION PUrIP PERFORI4ANCE CURVE PREPARED FOR s ~~,0 S ~r-ir~ 1T ~-~a.cLE PREPARED BY ~~c ~ 9~c ~~~ ~'!' ~~DO ~~~0 ~so~ WEGERER SOIL . T EST S N G AND . DES = GN SER V = CE JOB NO . 00 ~ ZoS P.O. Box' 74 421 N.Tlain St. River Falls, WI 54022 Phone 715-425-0165 Fax 715-425-6864 P•~•~'on day ~~nazr ~~ ~~~ N1fR~E ~~ ~ FNS 04 ~~~ g4111.QeNGS pEPA Q s f V A p~V N P~N~ENG~ SEE ~~~ $ ~ -00 ARTHUR L WEGERER Page 2 8/26/00 Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, erard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:15 AM to 4:00 PM j swim commerce. state.wi.us DATE RECEIVED 08/08/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 • Mound System Management Plan Page Z. of 7 Pursuant to Comm 83.54, Wis. Adm. Code Seotic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at 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 slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. 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 Svstem No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shalt be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)] 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-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump,. pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to the County Zoning office at ~1S_~~b-y68o or to the licensed plumber who installed the system. T]T (1T DT_21M Scale 1"= ~l0 ' .'• ~ ~i ~~ i \\ ~ ~ ~ `,lL.~ Dp tvDT C°Or1P•~eT ol~ 01,0 \ ~ ~ ~ ~\ 2_ ~ \ ~\ ~~i~ CNv~pt~i_ ` Q ~~~ ~ ~-R,S Z \ ti ~°t6e ~ ~ ~ 4~ L~ ~ .....D xis ~ ~~~ i B 3 ^~ ~` \\ ~ ~ a ~ 1 ~ ~a~ ~ ~3,Z. '~ ~ ' ~ ~_ zc ~ ~ J f'~ O ~ ~ ~ ~ ~ i ~ UR~u~~ ~~ s, o~ v' s 25 '_ ti~ 1,N w~'--x Si~~N ~( B DCz-Y`~1 ~~~ Page 3 of -7 Cp\?l..l ~I ~ Lei-tSZlrv G '~ ?. ~1D $~ ~}$ftUDO -v~p Sfis p~z eo D 2001= ~I ~` 13'~ C ~~--- _ -- i~-S PAZ w1 fYr~)v ~~'1Z- '~f~ : f~ely t}~- ~-5~T1 c ~CUtiZ ~°-R?'~tCl.`M1t _ IS l Z-78 6flt l~lS NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation ppipes with approved caps. ( Z required). 3. Septic tank to be t'Ll~o l$Oe gallon capacity manufactured by V"LI,~jI~~l~~l 1~-1Z~3T,1~C, w~Z~'C$~TL t'YFt_l~~Jl" FILT~"~ 4. $ench mark •~ ~, l~0.0~ c~-v ~~N o~ B~~~~,~~ -°~UU~ Fri ~cr1`nUN 5. Divert surface ,rater around system to .prevent ponding at the uphill side. Pdge ~ OT -] Approved Synthetic Covering ASTiK C33 Medium. Sand ~ Topsail I ~/Z % Slope Distribution Cell of Z" to 2 Z" Aggregate ~ ~ >_ 3 Distribution Fipe D e Force Main From Pump CROSS SECTION OF A MOUND SYSTEM Linear Loading Rate= 6•° GPD/LN FT 8 1 Do Ft. Design Loading Rate= 0.33 GPD/SQ FT j `Z- Ft. ~ _~ Ft. • -( \ ~ Ft . -~~~-~ Position ~ ~Z'Z Ft. or W 2-7 Ft. Force Main + ~' ~ - ~ I ~ +. -Observation Pipe i --- --T-K --7 ~Acctss `--------- -- + goX ~•------- a :.~ A ~ -'/~ ~ ~ ------- --------------------'~ r _.\ Distribution ~ Cell of ~" to 2 z" Pipe aggregate Observation Pipe (Anchor securely) G ;Elev. ~j8. Z I~ Flowed . Layer 0 ~• ~ Ft. E ~ •~ Ft. 'F ~-~Ft. ~ p. S Ft. A b Ft. H 1•~ Fi. PLAN YIETrl OF A MOUND SYSTE:4 Distribution Pipe Layout Place the holes at the bottom of the distribution pipes . at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateaI up with the use of long turn or-4~ ° fitting to a point within six ~- inches of the final grade. Teminate the ends of the late.•als with a valv~,~ threaded cap or . threaded plug. Provide access from final grade for the valve; threaded cap or threaded plug. -L~,c~ss ~ox_ - i `-l P.1 C1~ L ~,ZSJS S 5'~r~-~ l1 ~7 FV C F\1C PV C Latent ~ ~ Manifold r- Laterl x x x x xIZ xll x x z x ~ Lit Praf I PflRtfi _ ~ Lateral Length - P ~LtrN V~~ .-- _~ P o- - c c=- - YncZCtr nt*,w " P ~~ Ft. S 3- Ft. . -X ~_ inches Page ~ of `- r~c~s six - -o - --o Hole Diameter 311 Inch-- ----- Lateral " ~ 1 ~ ~? InchEes) Manifold 3- Inches Force Main " 3 Inches - ~: . ~ of holes/pipe z S ~ .: Invert Elevation of.Laterals q ~ ~ Ft. 2~?< 0:66 - [6-SX4-. 66.0 Gh-`1 _ ~_' _ ~ - Combination Sept~c~.Tank and ' ~ PUMP CHAMBER CRO55 SECTION A~1D SPECIFICATIOlvS ' PAGE ~ . OF 7. . _. . •VEiJT CAP ~ ' WEATHER PROOF . ' Ju1JCT101J 80X . 'i C.I. VENT PIPC ~ APPROVED LOCKIIJG ~ 10' FROM ODOR. MAUHOLE COVER wI"M :IIuDOW OR FRESH ~ wAR.tJ1sJG LF46EC.. u~3P~g1oIJ PtpE A1R IuTAKE s ~ Coraputr ' ~ -- B' I"ll u. -- a• PROVIDE I ----- fA1LET `•:`~ - •• ~~~ AIRTIGHT SEAL I I I • 841~~CS ~ I i~ ~ v zt~s~ H~~ .. A I III APProved Approved 111 joint w/ joint w/ I t1 ALARM PVC pipe PVC pipe o' ~I it i I ' I I ou C 'I I ~£~.~~ I LLEY FY PUMP-~ --~ ~ OFP D COAJCRETE ' cam p O ^ ~ • BLOCK ~-.~~ . 5 ~• RISER EXIT PERMITTED OIJLy IF TAi.IK MAiJUFACTURER HAS SUCH APPROVAL~3~Apf"Ra~FD REDO t rv 4 SEPTIC a ~ SPEC.IFICAT101~15 DOSE TA-JK MA-1UFACTURCR:~~'~W~~~ ~~ IJUMfSER OF DOSES: y'9 PER OAS TAAJK 5I21<: `ZOO L~Od GALLOk15 DOSE VOLUME 2 ALARM MAUUFACTURCR: S'S~~Z~T~-0 S`LS`(~'29 INCLUOlA1G 6AGKFLCW: ~ $q'S GALLOhI: MODEL 1JUM8ER: ~D ~ ~~ CAPACITIES: A=_~_IAICHCS OR LI[1l~'O GALLOrJs SWITCH T7PC: W1~1Ze~I~Z"Y $ _ ~ IUCHES'OR ~~'' ~ G(+LLOl15 PUMP MAIJUFAGTURER: ~A~,L~ ~~ C:~-INCHES OK 1~~'Sl/GALLOIJS MODEL 1JUMBER: ~4O ~ 0=_ $ INCHES OR '16~' 7 GALLOAJS SWITCH TYPE: - ~~~~ IJOTE: PUMP A1J0 ALARM ARf TO 6L0 • 0 66_p INSTALLED OAl SEPARATE CIRCUITS MIAJIMUM DISCHARGE RATE GPM VERTICAL DIFFEREIJCE DETWCEU PUMP OFf A1JO..DISTRIgUT10-J PIPE., 10.03 FEET + MlutFtUM AIETWORK SUPPLY PRESSURE .: .. 3• Z.S FEET -}- ~ ~S FEET OF FORCE MAIM X ~' `b F~o p~FRICTIO-.1 FACTOR.. Z ° l S FEET . TOTAL Oy1JAMIC HEAD = ls'y'~ FEET As per >;tanufacturer Z.I.OS gal/in. Liquid depth 3~`' 14 12 10 e O Q = E U Z 0 J 4 Q O c U.S. I LITER: ~vr1~ ~~R~D~Z~~r~ ~ Cv~Z~~ W ~ W "~ ~ • HEAD CAPACITY CURVE MODELS "140/414011 TOTALDYNAMIGHEAD/CAPACITY EFFLUENTANOOEWATERINQ Ft. I Meters Gal. Ltrs. 45 5 I 1.52 91 344 f0 I 3.05 8a 318 40 15 I 4.57 76 288 140 4140 20 ~ 6.10 se zs7 35 , 25 I 7.62 59 223 30 I 9.ta a9 185 30 35 I 10.67 38 144 a0 12.19 2t 79 25 45 I 13.72 5 19 Lock Vc rve: 46 ' 20 1 143 1s 10 ,~- ~ 66• s GALLONS I 1 10 20 I 1 1 I 1 I I 30 40 50 60 70 60 I 90 100 110 I Ou 160 240 320 400 0 FLOW PER MINUTE 010940 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Mechanical alternators, for duplex systems, are available with orwithout alarms. • Control alarm systems are available for 1 phase pumps used in simplex system. See FM0732. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long cycle controls. • Sealed Owik-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. • Refer to FM0806 for 200° F. applications. 140 Series • 53 lbs. 4140 Series - 73 lbs. 140/4140"' MODELS Control Selection Model Model Volts•Ph Mode Amps Sim lex Duplex N140 N4140 115 1 Nan 15.0 1 or 1& 5 2 br 3 b 4 E140 E4140 230 1 Nan 7.5 1 or 1 & 5 2 or 3 ~ 4 BN140 BN4140 115 1 Non 15.0 1 or 1 & 5 2 or 3 & 4 BE140 BE4140 230 1 Non 7.5 1 or 1& 5 2 or 3 5 4 '^ Double seal pumps are avaaable xdtlt optional mo'sture sensors. Seal FaG ind'~cator Gght ava8able n NEMA 1 or NEMA 4X tontml panels. 1 i6 ~~ ~ o~= ~ SELECTION GUIDE S 11/2 NPT SK1524A 1/2 NPr SK76248 1. Single piggyback variable level float switch or double piggyback variable level float swtch. Refer to FM0447. 2. Mechanical alternator M-Pak 10-0072 or 10-0075. 3. See FM0712 for correct model of Electrical Alternator E•Pak. 4. Variable level control switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. 5. Four (4) hole J-Pak, junction box, for water tight connection or vrired-in simplex or 2 pump operation,10-0002. CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. Ail electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. - ..~, ,, ~ ~~,~, MaL ro: P.o. eox 16347 Z • r ,. ~~~~ Louisville, KY 40256-0347 Manufacturerso/. . ~ SHIPTI7: 3649 Cane Run Road OOO LouisviDe,KY 40211-19s1 QvAUrr PUMP9 S.vcE ~9cJc7 w a '' PL/MP ~~ (502)776.2731.1(800) 928-PUMP FAX (5021774-3624 vvi~cunsur uwpnrunem or ~ommerca Divisiorl~t Safety and Buildings Bureau of Integrated Services SOIL AND SITE EVALUATION in accordance with s. ILHR 83.09, Wis. Adm. Code Page l of _~ Attach complete site plan on paper not less than 6 112 x 11 inches in size. Plan must County ~ ' } bui not limited to: vertical and horizontal reference point {BM), direction and include s CY ~ , percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # ' ~ `'~ti~ APPLICANT INFORMATION -Please pr/nt all ormation. Revi b ~ ~~~--~-! ' Dat j Personal information you provide mey be used for secondary pu ses (Privacy l_a+K,-s. 15.04 (1) {rr$}, \ •4 . Property Owner ~ ~~ Property~L lion % t ~~(~rL~ ~;..~ Govt. Lot-~~ 114 ~ ~q~/S 3~ T3~ ,N,R~~1 E (t~yJ ~® ~ e ~ Property Owner's Mailing Address 1 cL , ~Io~k# Subd. Na 'Clr CS i :1~~:: s~ ~ G3 ~ ~ ~~ :5-; ~s~ Clty State ZI Code Phone Number ~ r Nearest Road t~,t;,u l+~;t~._, / ^ Village `3''o~i - P ,o~~ .}- /,~y~ I I ~) ~ y ~F.+LL /~W f 'N IiPJ ~ C 1 ~ ~ ~, y i ~ ~~; r ~/L ~ ` ~ ~~ ^ New Construction Use: ^ Residential / Number of bedrooms ~`, Additlo~to_~, ilding ~ ~~ '° [~-'Replacement ^ Public or commercial -Describe: '`~. .~ Cods derived daily flow ~.:~ gpd R di~nended design loading rate ~ bed, gpolft2 trench, gpdfflz Absorption area required bed, ft2 _~S ~ S` ~tranch, ft2 -PT~Iaximdfesi~n'iba~l~~te ~ bed, gpd/ftz~ trench, 9Pd/ftz Recommended infiltration surface elevation{s) ?,~ r ~~ ~ ~~~ ~ RC~1as referr~d.t site plan benchmark) ~ COUNTY Additional desigNslte considerations ' ~ ;, ho ~ ~apS ft o' Flood pVgtiii slevation, if appii able ~ "- Parent material G ~ ~- ~ _ . -- ; S - Suitable for system Conventional Mound In-Grount:F . s re' ' -Grade Sy in FiN olding Tank ~ S ^ U ^ S ;~ U ~ ^ S ®U ^ S (,~ U ^ S ~ U U Unsuitable for system ^ S U . ...... wt•A Al11l~T~A\I elGnner Boring # ~/ ii.~.: Ground elev. qG : S ft. Depth to limiting factor 1 b' in. Boring # I~~ ~fi:, i ,~~~u Ground elev. 9~ft. Depth to I)miting l VV.i ~-rrr.• Mottles Structure d R t P ~ Horizon Depth in. or Dominant Co Munsell Du. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence ary Boun oo s ~ ,Trench 3 ~~: a s ~ c ~ S ~s ;`c j r~~ ' ` ~ ~ ` ~~ ; fZcm~rfrc~ ISOWf f~_in. Remarks: CST Name (Please Print) Signature Telephone No. ~; ~lli~ yaz S~ch c.! lye ~~~~ .~~~ ~l5 _~ ~G _ /.z/ Address Date CST Number ., ,, ;1- ~ i . e / ,, . , 1 1 ~' r~ .r- i /_ 1 ~7 ;~ fib /. v~ ~ ~ 11~~~ tJt~f S o'~ l r<.Pait' Fc ~ •~ • ~ PROPERTY OWNER PARCEL I.D.#! Boring # 3 Ground elev. 9~...ft: Depth to limiting factor /~_in. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. fL Depth to Iimiting factor in. Boring # :~,K. SOIL DESCRIPTION REPORT Page ~~- of Horfzon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. ry ref ,Trench l 6- 6 6 5'~ ~/ bk ~ f 1 ~ '~ i', rr GS r- cS' 3 ~~ ~ ' - ~ ~acL ~•s s ;'c~ m • ~ Remarks: Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots D/ft2 in. Mansell Qu. Sz. Cant. Color Gr. Sz. Sh. ry Bed :Trench Ground elev. it. Depth to ilmiting factor in. Remarks: SBD-8330 (R. 07/96y Remarks: r._ ~D 0 -i ~ ~ ~~ ~ \ a~ ~ ~ ~ o~ y~v p ~ ~~ oho a~ ~ ~_ >~ y~\ / Y 2. 1 N a.. ~~ ~,. ~~~ ~, c G ~~ 3a~ _~ ' ~ i~ ~~ ~~ j?-~~~ Gro ~ ~ ~x ~'s~7`~`.~vy /'~u ~ S ~ df's~16 ~ ~ ,dV , ° U ..~ c.•cJ ~ y sT CROrx covN-r~ SEPTIC TANK MAINTENANCE AGREEMENT AND t~WNERSHIP Cg~tT£FICATIQN FORM ~- ~ ~~_ Mailing Address S^~~~ S `` '~ ,t C ~''~ ~. ~e- f~vvxter/Suyer ~~ from. Planaiag Department for uew CitylStats 13 `~ /~G• ~ `' r ~ . Parcel Identif cation Number 0! l> ~ ~ ~ Property Address ~ ~ ~ y ~ l (Verification regal` LEGAL DESCRiP1'IOI~ ~~ .~~ t/{,~,~. Y,, Sec. ~, T 3 G 1''I~R , ~ w, Town of G stir 2 r ~ Property Location Lot # Subdivision _, Voittme ,Page # Certified Survey Map # ~~ ~ ~ _ ~, ~_L~~ Warranty heed # 7 ~ ~ . ~l olwne ~ S~ Page #f Spec house ^ yes L~io I.ot lines idtntiftable C'~as Q no SYSTEM MA,IN'CENANCE Improper use and masntetianceof your septic s~ ar sooaere if In ededby~a icestscd pwnper~. ~ i'~~ you puPiato thetsY~~ consists of pumping out the septic tank. every t3iree y osa? s}~stcm. can affev`t the function of the septic tstik as a treatment stage in the waste disp to submit to St. Croix Zoning Dent a ccrtiticasioII form, signed by the owner and by a The property owner agicees tun rvcrifying ttxa,t ~I) the an-site wastewaterdispnsal system m'isttrptumbcr, jauzacYmas''Ptumber, restrictedpluraber or a licensed p F~ as in proper ogerating condition and/or {2~ a8er inspection and Bumping (ii' necc~try}, ttie septic tank i, less than j13 fait of sludge. cats and agree to malntaim the private sewage disposal system with the standards lta~e, the undersigned have read tba above requircm cation set forth, herein, as set by the ~partntont of Commerce and she I}eparlment ai' Natural Resources, State of Wisconsin. feted and returned to ttic St. Croix County Zoning t)t~ice within 36 stating that year septic sS~stelrt ties been maintaiard must be camp days of the three year exg'ratioa te• / ~ ~-~ DATE SIGMA OF APP 1CA21T OWNEE' CER1'IFIG~-TI4IoI otu r.. ox~led e I (,wa} ari (arej the uwner(s} of I (we) certify that nit statement` on this forar_ are t_ue to t,'re best of 1ny ( } ~~" g . the property descn'bed atsove, by irtuc of a warranty deed recc+rded in Register of Deeds t:)ffice. DATE SIGMA F APPLICANT ,««*««« pay ~{'orinatian that is mis-represented may result in the sanitary Hermit bciug revoked by the Zoning Dcp «e include frith this appticattan: a stamped warranty decd from tl~e fo~iere~ Des made za the .vsrraniy deed a copy of the certified survey map ~ i y --~ ,-- ~__ ___ ,- __ .---~ --_ __ __ ,. ___~ /O u~~ 1.5~.04A~;~ 5~8 N of Wt ~ma Information Professionals Company Fond du lae, Wisconsin 800.855.2021 RECEIVED FOR RECORD ~] Lois A. Rosendal, a single person, conveys and warrants to Harvey N. Hielkema, the following described real estate in St. Croix County, State of Wisconsin: also conveys and warrants to Suzanna H. Hielkema *Lois A. Rosendal Name and Return Address Thomas A. McCormack 102010"' Ave. PO Box 2120 Baldwin, WI 54002 3i.3a Ii6•r{.S1/~ 31.3b• t(o . µSR r3 010-1075-50 10-1075-60 (Parcel Ide fi tion Number) 3B aw.a 39. acJ•-!.o Northwest Fractional Quarter of Section Thirty-one (31), Township Thirty (30) North, Range Sixteen (16) West. Exception to warranties: all easements and restrictions of record. This is homestead property. Dated this 6th day of September , 2000. AUTHENTICATION Signature(s) authenticated this day of signature _.... ~~~~ type or print name ~~~`~~ fii . TITLE: MEMBER STATE BAR OF W (If not, authorized by §706.06, Wis. THIS INSTRUMENT WAS DRAF Thomas A. McCorma~ Baldwin, WI 54002 629442 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI 09-07-2004 9:00 AM YARRANTY DEED EXEMPT q CERT COPY FEE: COPY FEE: TRANSFER FEE: 456.00 RECORDING FEE: 10.00 PAGES: 1 ACKNOWLEDGMENT STATE OF WISCONSIN ST. CROIX COUNTY Personally came before me this 6th day of ~~ 2000 the above named Lois A. Rosendal to me known to be the person(s) who exei:uted the foregoing instrument and acknowledge the same. 1 signature ~~y~~type or print name Daniel G 4chmi t ~•'al•~~~tary Public, St. Croix County, Wisconsin. R Y~ My~commission is permanent. (If not, state expiration date: . . Q~ *_ - ~ n ,20.02-~) R ~ •~ es of persons signing in any capacity should be typed or •,~ p ~ g ~~, C ~p~ ed below their signatures. ~e ~`'~