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HomeMy WebLinkAbout012-1048-00-000`-~~. ~~'Ol~ COUnty Planning aid ZOning W'ednesdrg~,ne~enn~r26,zoo7ar8:za:o3aM lletail Sanitary Information Page 2 of 3 Computer #: 012-1048-00-000 SublPlat: 40 acres Section: 21 Parcel #: 21.30.17.322 Lot: TNIRNG: T30N R17W Municipality: Erin Prairie, Town of CSM: 1!4114: NW 114 NW 1/4 Owner: Greiner, Aaron 1717 County Road G New Richmond, WI 54017 State Permit: Issued: 10!30!2002 POWTS Dispersal: Non-Pressurized In-ground Permit: Revision - Change of Plumber County Permit: 324794 Installed: 1112012002 POWTS Detail: Infiltrator - Siandard 12" Bedrooms: 4 WI Fund: POWTS Pretreatment: NA ~E_ Issuer/Inspector As Buifl Plumber Other Requirements Additional Notes Monev Owed Kevin Grabau >411100 -Not Required Utgard, Brady Transferred to Brady from Shaun Bird on $0.00 Pam Quinn Yes 10130!02, but no new state number issued. Initial installation started 10!31102, but soils were not as good as Shaun reported. Utgard to submit a plot plan with new calculations to cover lower loading rate. CST Shaun Bird did not dispute that soils may be mare sandy loam @ .4 gpolsq.ft. and "had planned to put a 4 BR system on a 3 BR house to compensate for it." Dave Steele submitted new soil report 11/14/02 for system. 9/23105 -received new site plan to reflect system location and size for 4 BR in 0.4 gpolsq. ft. soils (1524 sq. ft. total area) Fee not charged due to erroneous CST soil information discovered at installation. 7!14!05 -Brady had to replace their effluent filter with a Polylok 525 due to owner breaking the first concrete ring on riser and removing the Zabel filter after it was damaged from concrete falling into manhole. St. Cron County Planning and Zonin Tuesday, September 27, 2005 at 8:14:1 S AM Detail Sanitary Information Page 1 of 16 Computer #: 012-1048-00-000 SublPlat: 40 acn;s Section: 21 Parcel #: 21.30.17.322 Lot: TNIRNG: T30N R17W Municipality: Erin Prairie, Town of CSM: 114114: NW 114 NW 114 Owner: Greiner, Aaron 1717 Couniy Road G New Richmond, WI 54017 State Permit: 324794 Issued: 0310212001 POWTS Dispersal: Non-Pressurized In•ground Permit: Transfer- Change of Owner County Permit: 0 installed: 11120!2002 POWTS Detail: Infiltrator- Standard Bedrooms: 4 WI Fund: No POWTS Pretreatment: NA Notes Inspector Kevin Grabau Pam Quinn Pam Quinn Pam Quinn Maintenance Scheduled Pump 11120!2005 As Built Plumber NA Bird, Shaun Signed Off: No NA Utgard, Brady Signed Off: No >411100 -Required due Utgard, Brady Signed Off: Yes NA Utgard, Brady Signed Off: No Other Requirements Additional Notes Money Owed Previously owned by Mike Habisch, transferred to $0.00 Date Pumped 1st Notification 2nd Notification 3rd Notification Aaron Greiner on 3(2101 Shaun submitted a new soil test report for new tested area with in-ground system. Transferred to Brady from Shaun Bird on 10130102. 10131102 Plumber to submit a plot plan with new calculations to cover lower loading rate. CST did not dispute that soils may be more sandy loam .4 gpolsq.ft. and had planned to put a 4 BR system on a 3 BR house. Dave Steele submitted new soil report 11114102 for system. 9!23105 -received new site plan to reflect system location and size for 4 BR in 0.4 gpolsq. ft. soils (1524 sq. ft. total area) Fee not charged due to erroneous CST soil information discovered at installation 7114105 -Brady had to replace their effluent filter with a Pdylok 525 due to owner breaking the first concrete ring on riser and removing the Zabel filter after it was damaged from concrete falling into manhole. $0.00 $0.00 $O.OD U~ Z T. O (D U N O ~ lp (D +~ ~ N N fl- ~ Q N O 00 ~ " ~ C n O CJt ~ ~ d O a ~ ~ ~ ~ D ~ W v C 3 C N o o ~ ~ v Z 0 a c s m v c O ~ "?: ? a ~. o n ICj N ~ .~ ~ o ° ( z I ~ 3 m I I ~ ~ N ~ N ~ ~ ~ ~ ~ • A ~ ~ r' C O. . -. 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CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road ~. (Privacy Law. S. 15.04(1xm)] Hudson, WI 54016-7710 (715)386-4680 Fax (715)386-4686 Attach complete plans for the system on pa r not less than 8-1/2 x 11 in ize. County Sanitary Permit # ~ Check if revision to previous application t~6t~~L S FEe 00 i. Application Information -Please Print all Information Location: Property Owner Name N k~ 1/4 /Y4~ 1/4, Sec 2 N, [~-I,tTR E (or Property Owner's Mailing Address ~ Lot Number Block Number City, State Zip Code Pone Numer Subdivision Name or CSM Number W~ o ~ S' Z`fc~ -- b S ~9 b~~ l "ice ~.ir~tM 0 a,~ce~ , . I II Type of Building: (check one) amity ^ illage own of O 1 or 2 Family Dwelling - No. of Bedrooms: ~ ib N p ~ C e use): O Public/Commercial (descr ^ State-owned Nearest Road 2 il. Type of Permit: (Check only one box on line A. Check box on line B if applicable) Parcel Ta Number(s) ^ Repair 2. O Reconnection 3.^Non-plumbing . ^Rejuvenation 1 D (Z ^' ~0~8-. 00 -~D . A) Sanitation 2-[' 30• [~'' 3ZZ Permit Number Date Issued State Sanity Permit was reviousl issued .2 _ N. Type of POWT System: (Check all that apply) ~ ~ ~- ~ (~ Non-pressurized In-ground O Mound ^ Sand Filter ^ Constructed Wetland round ~ , ^ Holding Tank ^ Singie Pass ^ Drip Line ^ Pressurized In-g i O //.~ ng Other O At rade l~r~ 3 ~( 9~ • ~~ O Aerobic Treatment Unit ^ Recirculat . Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade Elevation Required Proposed (Gals./day/sq.ft.) (Min.finch) ~i~" 9"f S/9y.o q~•S(~ ~, ~I,Z~c~ e ~~UD.~z 5~`l~'z. a . , . te ti c VI. Tank Information Capaicty in Gallons Total s of Manufacturer Prefab Site Con- Steel Fiber- Plas Concrete structed glass Gallons Tanks New Existing Tanks Tanks ^ ^ ^ 1 o EIEKS O L ^ ^ ^ ^ ^ II. Responsibility Statement the undersigned, assume responsibility for repair/reconnenction/rejuvenaUonrnstallation of non-plumbing for the POWTS shown on the attached plans. A I , license is not required for terralift repair or the installation of non-plumbing sanitation system. Plumber's Name (print) Plumber' gnature,(n mps): MP/MPRS No. B sines Phone Number 2 ~b - ~fS"( (o o a N Qi t a,>D 2210 Plumber's Address (Str et, City, State, Zip Code) ~ -~ N~ R..I ~~ tyr a ill. County Use Only nitary Permit Fe .. Date Issued Issuing Agent Signature (No stamps) a Disapproved S ~~ f ~$( Approved Owner Given Initial Adverse 4F; I ~i1 • ~ ~'~~ ``Il--ii'' ulJ ~~ 2 2e0 (y Determination IX. Conditions of Approval/Reasons font D-irsapproval: n t S ~ ~ cu~-~ ~ ~ ~~~~~' "'"'rte" ~~~^^~`~ S4-r•uc cane, e~-~ ~ ~ ~~ C-S • o~ Ad.l s~ -~- 1v,~ U,~ ~ ,rR~,Qoi~e~" S ~e I ~.e~w. ~-tsZtlr t~ tom` ~~e(' (s C M~~'~`~•l'~¢(~ dt'° ,. 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N~ OD. fD f<D ~ V d C ~ N fD ~ a< d N U) fop ~~N ~ N N fD << ~ N~ H~ _a 7 O Z v ~ ~y ~ ~ W o ~ a cn 3 0 < ~ w •~ a ~ wQ m n v, g~< m ~<< ~ m ~ ~ c o m ~~cm~3 ~ m w n~ a ~~~ am m 0 3 01 d d w c g ~ N ~ ~ d a ~~ ~ .. _ A a fD ~ 0 ~ .'T 7 W K F ~ 7 fD !/1 ` '~0 fnSO O d~ N y ~ ~_. f=D O ~ ~ d p 3~ a f N o f O O N Efl EA b9 ~ O O O ~ O O O ~- ~ m o ~'A~ m ~ ~ i ~ ~ .. ~~ Z N ~ ! rn~o _' N < ~ ~ n N O I 7 ~ ~ r ~ Q ~ W b ~ N O C N ~ ~ O , ~ O 0 Ln Z u> Z D cn D co D ~' ~ ~ a a O O 0 0 -• -~ Us A ? ~ ~_ ~ w 'p ~ 7 Z -~ N ~ Z a ~ J A d A~ ~'~A ~ ` ~ ~. o~ ~ O O .~7 ~~yy,,~,,~ • V ~ O ~• a A fi `v^ V O w A ~ A N N ~q O N ti ~ a Wr:-., ~nsin Department of Commerce ` PRIVATE SEWAGE SYSTEM Safety and Building Division • ` INSPECTION R ORT GENERAL INFORMATION (ATTACH TO PE IT) 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 Greiner, Aaron Erin Prairie Townshi CST BM Elev: Insp. BM Elev: BM Description: ~i ~~~~~ / , ~d • p /(7 d • a lam" ~/l!_.1. ~ . TANK INFORMATION ELEVATION DAYT'A TYPE MANUFACTURER CAPACITY Septic - -c~-a-Q-~ ~a s~ Dosing w ~-- lt~~ -~,._.~ Aeration „~,,,. Holding .~ TANK SETBACK INFORMATION Model Numkiar .r TDH Lifer ction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ,~jyt BED/TRENCH Width ~ ~,~ Lengths No. Of Trenches DIMENSIONS ~, l(~ ~ SETBACK SYSTEM TO P/L BLDG WEL INFORMATION Ty Of System: DISTRIBUTION SYSTEM ~,~ -rips,) ,0 f ' County: St. CroiX Sanitary Permit No: 324794 0 State Plan ID No: Parcel Tax No: 012-1048-00-000 STATION BS HI FS ELEV. Benchmark ~~ i v l o a . Alt. BMWa ,r I.~D ~A2° E.t1' y ~ r /(//7l Bldg. Sewer 2„8p O2, 5 St/Ht Inlet «O i O/- 3 St/Ht Outlet Dt Inlegk Dt Bottom ( ~, ,,,,~ / n. 5 ~ lPt~ Dist. Pipe ?o n ;f 3 . ~ "1• 6 9 S.qC/ Bot. System Z ~"~ lO Final Grade ~. q 9 . ~ St Cover •~ 0 1•~~ yr I l b "~-~ ~ s ti~~ f~Tb-'R- yJ •S'6Y ~~ >~1'O ~. isZ3 .~ ~ ~- d~~,a. C~ite~ PIT DIMENS~DI& No. Of Pits_ In de Dia. Liquid Depth _AKE/STREAM LEACHING stare CHAMBER OR ~~ -~ ~~~7 Model Number: ~~ ~~ al ~ / ~ ~ Asp. w ~i /lam. i/~h_ Header/Manifold h `~ Distribu/t~ion •..~t~f,•~~~ ~ ~~~ ~ ~ x Hole Size ~ x Hole Spacing ~ / -~ ,' a it n a e / Lengt Dia Length" 6 D a~~Spaci ~ ~~ vv~~ vv v art x Pressure Svctems Anly vv Mnnnrl (lr D4_f_r~rln c..~te.,,~ n..~., oc ~ "-' ~^~'^ °'~r ~ "' Depth Over ~~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~ 3.S Bed/Trench Edges Topsoil Yes ~ No u ~ r -° Yes ~~ No ~~ u COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/_~2 Inspection #2: lr/ /!¢~~''~ Location: 1717 County Road GnN-ew Richmond, 154017 (NW 1/4 NW 1/4 21 T30N R17~,N,.,A,~`Lot Parcel No: 21.310`17„~322~, _ L 1.) Alt BM Description =TOp ~ d`>AM ~~ ~~-- ~ -T~ ~S'~ ~ ~~"' "" " • GV/ ~~~ "~~POl'l~i~l' ~ ~{v(iK'7~'~`~" 2.) Bldg sewer length = ~ r '17 Qy(]~Q /~- -• ~ ` cl~d~-- d~cS +~-~ LSoi ~ i /~ faG ~av~sGl~YtG~y f~i~T7 `7 -amount of cover =~ ~ ~ u iM.o Q,~ -tend! d2.~ I"I~GO~ ~~jY~ ~•• ~'(~"1 •{ T >$'V, S)/s~P/yr. On a.. 3 $~- h~7+~GbQ-. 3.) Contour= ~.. C ~ /,~~,,,,I ~~A ~r~,~..e~• ~'~O~"~,~,j~°~~eC~ ~- - Plan revision Required Yes No , ~ ,/.,.o~' ` ' 9 tC~ ~ Use other side r ditional information. i I/ '~pY ---J __ _ __ _~ I ~~ I _~ _. ~, SBD-6710 (R.3/9~ 5 a ~. ~ ~/~b ~l'~~S- ~~/ Insepctor's Signa re Ce No. lvC~1 1 b-3- tGti.~, Q.c-fu.a.Q ~u"t.~'~° so u.e~ cis-.. G~-a~eZ~o PIrIMP1SIPHON INFORMATION Manufacturer f)amanri yy r ~0 3~ ®~ ~ ~~~ y // l SDi c, D ~ G~f P~ b N ~./CXT ~ ~a-e<~~ t~ l r U'z'l, ~ ~ ]~~ Gl2tf/ 6 (J ~ _ ~ Z ~"' ~ ~ ~' ~ d y ~' ~ /2 GAR//1C s~+~ . -~ $/'''k77~f~+ ~ Y SGti1'rGl~`f ~OGLM ('~` St5 ?0 SC~nl) ~ 2-- Z 3 ~ y ~~ 2 r~ 5~,~/~ ~ n~~ w ~s ~~~,.~-~ sir f ~~ ~y ~~~ s/3 ~~ ~y / _~ ~ 4v a S h¢ d out- - 51~ ~ /~~~ ~ ~ rrn-~.~ bus ~~ ~. ~' ~(%~~ ~U ~ ~ Sys a:~~ .~- L ~,t r . ~....w. ~ 0 92,.._.~~~5 U 1 ._ _ .. w~. _..~.. ~S~ ~~ ___.._._.k~_.._~___ .__~M...._ °~~.~.~-.-,.~.~ _ =.~_~..~~ _.~__. J ~~~ r .,~_ N~' a-,~~-~-gib-~~" iaso ~- 14 -~d ~ z ~-,~- ~~r N /o Sys` 9y"~ ~~~ a'~~~ T~o~ a`~ ~c/L ~~, w ~ ~ ~ ~ ~ ii ~° ~'~ ,3 ,~~ i ~ ~ ~~ ~~ ~ ~ ~ ~ ~,~,~-." `d ~ a~~ ~ ~ ~ .~ ~~ _ ~ ~ ,1. ~~ ~~ of ~~ so, ~ ~~ - ~ -~''~`' 'av+s ~~ -~ ~~ , ~L ~b~~ ~. ~~~ N~ Faso ~- . G7"Jy- 0~ a~'~° ~' -~ ~~ ~,~- ~°~ ,~~ ~~ ~~ 9Y ~~. ~S~ ~~ l~' u~ bow ~w 5~ ~ ~~ 1i~~' ~~~ ~k. ~ ~~ ^J 13~ ~` ~;s s° ~,~ Z 1229 ' Wisconsin Department of Commerce SOIL EVALUATION REPORT page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Steel Soil Service County Attach complete site plan on paper not less than 8%z x 11 inches in s¢e. Plan must St. Groot include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, oath arrow, and location and distance to nearest road. Parcel I.D. 012-1048-00 Please print aN ' • KK ~._ , R ~ Date l ~/ n Flo Persons information you Provide maybe used seconrl~r~ ~tpUSes (f~mracy C,®w,~ s. 15.04 x 1) (m)). li(til'!r-~ Property Owner 4 Proplerty Location Greiner, Aaron § ~r~-if Govt.tiLot NW 1l4 NW 1k S 2t T 30 N R 18 W Property Owner's Mailing Address ~ Lot ~ Block # Subd. Name or CSM# 852 Highway View ~ ~ r~a na 20 Acres City State Zip Cbde•~Phrorret~ltarrtbeT" ' "" _ City Village / Town Nearest Road New Richmond WI 54017 715-246-6579 Erin Prairie Cty Rd. "G" / New Construction Use: / Residential /Number of bedrooms 4 Code derived design fkyuv rate 600 GPD Replacement Public or t~mmercial - Describe: Parent material Ridges of ground moraines Fkxxd plain elevation, if applicable na General comments and recommendations: System elevation 92.70ft, trench es spaced and depth to code 3.25tt bebw grade. C~f3.2 '/ 91' 3ci_ ~u Boring # 'Boring 96 ~/ Pit Ground Surface elev. 95.95 ft. Depth to limiting factor in- Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Cons~tence Boundary Roots GPDfftz *Eff#1 *Eff#2 1 0-9 10yr3/3 none sil 2msbk mfr cs 1f .5 .8 2 9-18 10yr4/4 none sicl 2msbk mfr gw 1vf .4 .6 3 18-27 10yr4/4 none sl 2msbk mfr gw 1vf .4 .6 4 27-96 5yr4/4 none scUsl 2msbk mfr na na ~ 6 . Boring # Boring '' 96 t/ , Pit Ground Surface elev. 95.95 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz *Eff#1 *Eff#2 1 0-8 10yr3/3 none sil 2msbk mfr cs 1f .5 .8 2 8-18 10yr4/4 none sicl 2msbk mfr gw 1 of .4 .6 3 183 7.5yr4/4 none sVls 2msbk mfr di 1 of .5 .9 4 43-60 5yr4/4 none scl 2msbk mfr gw na .4 .6 5 60-96 5yr4/4 none scUsl 2msbk mfr na na ~ .6 tttluent iF1 = t3VU ~ 3U < ZZO mg1L and TSS >30 < 150 mg1L * Effluent #L = BODS< 30 mg/L and TSS < 30 mg/L CST Name (Pl~e Print) Signature: CST Number David J. Steel ~%~~ 248956 4ddress Steel Soil Service`--~'~ Date Evaluation Conducted Telephone Number 1564 CR GG, New Richmond, WI 54017 11/14/2002 715-246-5085 .~ Property Owner Greiner, Aaron Parcel ID # 012-1048-00 Boring # Boring d Pit Ground Surtace elev. 93.35 ft. Depth to limiting factor ~r¢on Depth Dominant Color Redox Description Texture Stricture Consisterx.~ 1 0-8 10yr3/3 none sit 2msbk mfr 2 8-16 10yr4/4 none sicl 2msbk mfr 3 16-32 7.5yr4/4 none sl 2msbk mfr 4 32-9 5yr4/4 none scusl 2msbk mfr R~~~ ~ Boring Page 2 of 3 96 in. Soil Application Rate ~undary Roots GPDlftZ *Eff#1 'EtT#2 cs 1f .5 .8 gw 1 of .4 .6 gw na .5 .9 na 6 ( ~ gw . . " Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS<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 Rnrina # Boring ---__..___..-----_-_____-- Page 3 of 3 STEEL'S SOIL SERVICE David J. Steel 1564 Cty Rd GG CST-POWTSM A2ron Gre+:ner New Richmond, WI 54017 Lic. # 248956 114,NW1/4,S13,T30,R18W (715) 246-6200 T of Erin Prairie, St. Croix Co. (715) 246-5085 20 Acres Legend 3z 1" = 40' • =Benchmark EL 100.00Ft Top of Cement Tank Cover s =Alt Benchmark EL9I.OSFt ~C..,S~ ~,~. Top of%" pvc Pipe )) ^ =Borings Baring Elevations ~~ Bl =95.95Ft B2 =9595Ft B3 =9335Ft ~ _ B4 ~O.OOFt „~ b T~-Nk Co~c~ -NS-rat-t,~~ ~o~3t~ ~- 8~ -- . ~1 ~~ ~ .Q ,rs"Ff ~~~i 4z. i,~Ff ~~ ~QZ 0 ~~"~i ,. (/! ~ l61i~r-~ 33 ~ r ~ ~~ 6 W 6oQP~J' ~Pt~G~ ~t lam. a +- ~S~ F..6~ ~r`itc_ ~ Safety Buildings Division 201 W W ~ .. ' ' . ashington Ave.. P.O. Box 7162 L ,S CO~S ,~ Madison, WI 53707 - 7162 Sine Address De artment of Commerce ~ ~ Sanitary Permit Application s~~y Permit Number ~ ~~~ ~ Ia accord with Comm 83.21. Wis. Adm. Code, personal information you provide ma be used for ses Priva Law, a15. 1 m ~ ~ Q N I. Application Information -Please Print All Information State Plan I.D. Number S ~~ ~ Property Owner's Name Parcel Number o/a -/o g - a o - o00 ~ , ~~ • ~ 7 a a Property Owner's Mailing Address ~ Property Location ' / a s V f +~ J ~^ G~ if (~(•d}f ; S O~ t' T ,~c~N R E City. State Zip Code Phone Number , Lot Number Block Number O "~ Subdivision Name CSM Number w yvi ? 7%~ =ay6 -6~ II. Type of B ding (check all that apply) OCity 1 or 2 Family Dwelling -Number of Bedrooms ^Villa e ^ 1'ubldc/Commercial -Describe Use g t+ , ^ ownship G Stair ~'°~ " Nearest Road - /ov ~ - d -/y 7 ~ III. Type of Permit: (Check only one box on line A (numberitdg scheme for internal use). Complete line B if applicable) A. 1 New 2 ^ lacemem stem ~P SY 3 ^ Replacement of 6 ^ Addition to For Couuty use stem Tank stem B• .Check if Sanitary Permit Previously Issued Permit Number Date Issued 3Z~~ OZ Z.:W~ IV. Type of Permit: (Check all that apply)(numbering scheme is for internal nse) 44 Non -Pressurized In-Groin 21^ Moues 47 ^ Sand Filar 50 ^ Coastmcted Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass Sl ^ Drip Lim 4S ^ At-Grade 46 ^ Aerobic Treatment Unit 49 acing 30 ^ Other V. D tment Area Informat ion: -. Design Flow (gpd) Dispersal Area Dispersal Area So' capon Peioolation Rate System Elevation Fiml Grade Required Proposed te(Gals./Days/Sq.F . (Min./Inch) - ~', . ~ Elevation t/ ~o . 8so Ss? s ©~ ~7y,, ~ y7s~ VI. Tank Info Capacity in .Total N ac ~ .Prefab Site Stcel Fiber p)~c Gallons of T ~o , ~ri5 Concrete Construcoed Glass New Existins V ~ Tanlca Tanks Septic or Holding Tank V I~ _ ~ Dosing Chamber VII. Respollsibd'1tty Statement- I, the undersigned, assimme trslwnslbt'lity for ' tion of the POWTS shown on the attached plans. P r' Name (Print) Plumber's /MFRS Nttmber Business Phone Number ~~ aaa s ~s- ~ 6 Plumber's Address (Street, City, Sta ,Zip Cod . coon me artment Use Onl Approved ^ Disapproved ~~' Permit Fee (includes Groundwater Dace Issued Issuing Agent Signature (No Stamps) ^ Owner Given Initial Adverse Surcharge Fee) ~ ' Deteintination ~ 30 7,op 2 lX. Conditions of Approval/Reasons for Disapproval ~ ~~ U , ~ ~ c yo-... ~ c.P~.s>~~ ~~t.~.v-s (' ~.,e~. ~ia,~,,,,_ g~ ~ \ ~° ~ ~ ~ w~ aQ S~¢ eu ., s . ..~ ~`~'' ~~ ~...~~~......•,r ~~ ..rr Luc q+cem vu p.per qoc usa wan aus : u tnCaea m size C'. ~. S fpm ~~~1 SBD-6398 (R. OS/Ol) !~ ~~ s~--~ /aso . -/OJ Z ~. N~' ~-~ ~~~ ~ j3-1 ~~`"~ ~~ Project Name Aarron Griener Soil Test Plot Plan Shaun ~' Address 852 Highway View Drive Apt. B ~' New Richmond Wi 54017 Lot ----- Subdivision NW1/4NW1/4S21T30 CSTM #226900 °°--- Date 2/28/01 N/R17 W Township Erin Prairie Boring 0 Well PL Property Line County ST. CROIX' BM or VRP Assume Elevation 100 ft. Top of 2" Pipe System Elevation 94.5/94.0 *HRp Same as Benchmark Alt. BM Top of Lath @ 101.5' Countv Road G X00' 30 0' 200' B 1 ~ * .N t. a 6% •~' ~ Slope 0 0 N Please note: soils were found to be a loamy sand/sandy loam. I discussed the condition with a the homeowner and we decided to size the system B- based on a is if he builds a 3 bedroom house ~° and size the system fora 4 bedroom. 00' Pro 4 Bedroom House _ 80' 97' 98' 99' 100' r~ ,,~av ~~~ .f ~~ 2~. ,'~ ~~ ' ' POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE 1NFVRNfE-TivN Owner Per~,n a Z ~ ~ C Number of Bedroo ^ NA Number of Public Facility Units ^ NA Estimated flow leverage) ~ ~ al/da Design flow Ipeakl, (Estimated x 1.5) ~ tJ al/da Soil Application Rate . al/da /ft~ Standard Influent/Effluent Quality Monthly average " Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand IBODS) 5220 mg/L ^ NA Total Suspended Solids (TSS) 5150 mg/L Pretreated Effluent Qual"rtY Monthly average Biochemical Oxygen Demand (RODS) 530 mg/L Total Suspended Solids (TSS) 530 mg/L ^ NA Fecal Coliform (geometric mean) <_10' cfu/100m1 Maximum Effluent Particle Size Y8 in die. ^ NA Other: ^ NA "Values typical for domestic wastewater and septic tank effluent. rue~~NeNt•_F ccNFn~ u F SYSTEM SPECIFICATIONS Septic Tank Capacity SQ al ^ NA Septic Tank Manufacturer ' ^ NA Effluent Filter Manufacturer ~ , ^ NA Effluent Filter Model - ~ ~ ^ NA Pump Tank Capacity al ^ NA Pump Tank Manufacturer ^ NA Pump Manufacturer ^ NA Pump Model ~ ^ NA Pretreatment Unit ^ Sand/Gravel Filter ^ Mechanical Aeration ^ Disinfection ^ Peat Filter ^ Wetland ^ Other: ^ NA Dispersal Celllsl ^ In-Ground (gravity) ^ At-Grade - ^ Drip-Line t ^ NA ^ In-Ground (pressurized) ^ Mound ^ Other. Other: ^ NA Other: ^ NA Other: ^ NA Service Event Service Frequency Inspect condition of tank(s) At least once every: month(s) (Maximum 3 years) earls) ^ NA Pump out contents of tankls) When combined sludge and scum equals one-third (Y3) of tank volume ^ NA Inspect dispersal cell(s) At least once every: a ^ yeas( 11s) (Maximum 3 years) O NA Clean effluent filter At least once every: ^ monthls) yearlsl ^ NA Ins ect um , pum controls & alarm P P P P At least once eve ry~ ^ month(s) ^ year(s) ^ NA Flush laterals and pressure test At least once every: ^ year) lls) ^ NA Other: At least once every: ^monthls) ^ yearls) ^ NA Other: ^ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tankls) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third IY31 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 NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. " ' - Page of ' START UP AND OPERATION For new construction, prig to use of the POWTS check treatment tankls) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal celllsl. If high concentrations are detected have the contents of the tankls) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal celllsl in one large dose, overloading the celllsl and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Oo not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All 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, gravel or another 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 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 and/or 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 area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ^ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO 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 INSTALLER Name l~,~ Phone ^ _. ~ S- POWTS MAINTAINER Name Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name ~. ` Phone ~S" This document was drafted in compliance with chapter Comm 83.221211b11111d1&lfl and 83.54111, 121 & (31, Wisconsin Administrative Code. ( l Name Phone ,County Sanitary Permit Application ST. CROIX COUNTY WISCONSIN s ~ In accord with 15.04 St. Croix County Sanitary Ordinance ZONING OFFICE ' ~ Personal information you provide may be used for secondary purposes ST. CROIX COUNTY GOVERNMENT CENTER ~ [Privacy Law. S. 15.04(1)(m)] 1101 Carmichael Road 9_ Hudson, WI 54016-7710 (715)386-4680 Fax (715)386-4686 Attach complete plans for the system on paper not less than 8-1/2 x 11 in ize. County Sanitary Permit # ~ Check if revision to previous application C-n~6w~41^ S FEe po0 ---- 1. Application Information -Please Print all Information ~-~ Location: Property Owner Name ~` ~i.,,, / ~ ~~ ~"1~ ~ ~[Q ` ~ r ~ V 6th 1/4 /I~4~ 1/4, Sec z . , J,(~fi 2 (-C ~ ~ ,~,~ ~~~~ T N, (~-btTR E (or Property Owner's Mailing Address ~ Lot Number Block Number 2 ~ ~ l3 I~ City, State Zip Code Pone Numer Subdivision Name or CSM Number ~~ ~~-~,~.evi.~ W~ o ~-l S' z~f~ -- 6 S~9 0 a,~ceQ II Type of Building: (check one) Ovity ^Village own of ~ ^ 1 or 2 Family Dwelling - No. of Bedrooms: p ^ Public/Commercial (describe use): Il) ( (Q. ^ State-owned Nearest Roadn R ~ II. Type of Permit: (Check only one box on line A. Check box on line B if applicable) . . ol Parcel Ta Number(s) A) 1.^ Repair 2. ^ Reconnection 3.^Non-plumbing 4. ^Rejuvenation f~ 1 Z -' ~O~'8-- Cf.~ --"~'7~ Sanitation 21. 30. l~. 32Z B) Permit Number ~ D,,at_e.Is-sued qa ~ ~ ~ State Sanita Permit was reviousl issued I I -l IV. Type of POWT System: (Check all that apply) ~ ~ /~- _ f'dp Non-pressurized In-ground ^ Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground ~ , ^ Holding Tank ^ Single Pass ^ Drip Line ^ At- rade L2) 3 k R3 . ~S O Aerobic Treatment Unit ^ Recirculating ^ Other V. Dispersal/Treatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade O 0 ( Required ~ UD-~z Proposed r ;" '~ ~~' _ (Gals./day/sq.ft.) C~. ' 2~ ~ (Min./inch) 9"f•S/9 y 0 Elevation 9~•Sb Q ,> ~ . , Cna, ~. ~t . VI. Tank Information Capaicty in Gallons Total ~ of Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons Tanks Concrete strutted glass Tanks Tanks C. ) 2 o EEKS ^ ^ ^ ^ ^ ^ ^ O ^ VII. Responsibility Statement I, the undersigned, assume responsibility for repair/reconnenction/rejuvenation/installation of non-plumbing for the POWTS shown on the attached plans. A license is not required for terralift repair or the installation of non-plumbing sanitation system. Plumber's Name (print) Plumber' gnature•(n mps): MP/MPRS No. B siness Phone Number ' ' ~fs `~ -v P~, a.~ 221v Qa l b 5 Z ~ Plumber's Address (Stget, City, State, Zip Code) VIII. County Use Only A d Disapproved Sanitary Permit Fe ~ Date Issued (' ~ Issuing Agent Signature (No stamps) pprove Owner Given Initial Adverse ~ I ~ _ ~ \ 50 "' m"~ "`FFFfff '~ ~ Z 2~0 Determination ~ ,~t.f, , ~ IX. pr~l itions of Approval/Reasons for Disapnro~ ~ e~ n „n ~ i ~ uS ~ G~.aV ~ i Gain ~ ' _ ~ (~ ~ ~ -r 1 1 ~'er.5~ S ?TIC, sYs~ , 0+' 1/x.6 ~~ ~ ~ T s ~ ~: ~ t~~o ,a.~.~ k-~P ~., tQ ~ ~-s~ b ~ ~ ~ ~ . , .~.. ~- , ~ ~~ .. ~d' Q~4 ;~~ w~~ S A ~ ~~ ~ . . M l ~J1IC-u.KBU 61 L ~~o,,%s re~w~~et~,-N ~ s .-~----1. ! _ - .. / p ,fir. r ~/~ ~ ~ --~ -c-c..~(~ ~~Q -•~ , , ;..~-ice 1°~~L~-V~~.~ ~•~_Gt ~~^'`'' is ~fS~ `~-~•~ ~~ ~ S' -_" ~~ ~. ~ ~.... I~-T t . ~ p~ d t"' ~" ~ ~Y c~X EVALUATlpN REPORT Page o4-^,_ owe ~Nr Division ~ ~~ i 2Caq~~datn~ce m 88, Wls. Adm. Code Co~Y Attach oompbts Pita plan on ~ n 7 ~ inches in elzs. Plan must ~ ` Irldude, but not {IMted b. vartlca a point (BM), direcdon and Parcel I.o, /i ~/ perpr+i stops, coals or dimensions, n d location and distance to nearest road. C/ ~ ~ ~ 7 "~ 4 b R viewed by Data Plea>QV print all Informatlo». pMOna1 hfartns4ian you prov+ds nwY be ursd for Ncondsry D~Dosad (f7r4vaoy t_~w, s. 15.04 {tf Sml?~ ~ `~ Propsity C1YVrtsr Property Location apt 1 J4 ~I J4 S Q2 T Q N R ~ E _ _ • --..,_ _ . ,..__-- yet a Bioek M Sobel. tVame a CSMIF ~, ~ `~ ~ a City ^ Vipape Town Nearetit Road ~ ~(~~ .~ S'7 r /uvt~~ New GOftstrucdor- 1.19Y~"1Qeaider~tial I Number trt bedrooms ...,... _._.. Cade derived design flaN rate _.___- GPD ~ Replat~mant (~ Public or/commercial - Det:cr~e: _...__.... _.._ __ .. _.______..~_. _. _...__r..,. Parent rrtatetial ©~~ ~-^~ L Flood Main elavatlon ii eppGcable ~ -4i..W~ ~ General oorrrrwnts , and recom ~ one: y/' ~, ~y o ~~ •~L e~ _ G"~~~ ~ Ground surface elev ~ U ft. Depth to 8miting /aCOe~ .~.~SL ~~ ,~ Pit SOU lotion Fiorizort Depth in. borninant C MunavU Redwc DestxlpNon t7tr. Sx. Cont• Color i'exture 8trtx•.twe Cir. Sz. Sh. Cor-sisterrce Boundary Raote "Effpt "E1IN2 ,~ ~ r o ~ ~z ~ ~ ~ a.~- « , ~ a ~- 4`~• ~' 63.6 q't. ~8adng >y ©Barirtg r/ ~~` r ®-' .~ pit Ground sumacs elev./_,/,,L-•~•- R. Depth to Umiting 7`BCta~.,~Q-.,... in• ~ RaN t•torizon Oaplh Dominant Redox Description Yexturo Stnwyure t,,orssisience t~ounda-Y Roots QPD/l'f In. tHunsstl Ou. Sz. cant. Color Gr. Sz. Sh. •L°t'IB1 •61MtZ Z_ ~ ~J •$' ~ °Z S ~~,9 - ~o Z }Q~ " t^1~Itaril pt ^ BOA ~ 30 ~ l1tT mgrt. ana i ~ you ~ ~ ~ ~ - - • •~ - -• _ - _- -rte - - Atidrass mate Evawat~on Conducted Tetspt~or~e t+tumber j ~ 19~...~~J~r/ J c o? o~~~~~ ~ 026 ~ y ry/~ .. `., Parse! !D ~ Paoe of Boring # Q 9orlnp / JG~ Pit Ground surface ele~ - ~ ft. DaQth to srr-itktp factor,!, z~ tn. g~ tlon Rate Horizon t]apth meant Color Redox t]eaarfption Texturo Stnxtuuro Consistence !loundary Rook OP pJf! In. fdunaen t]u. Sz. cont. Cdor fir. sz. Sn. •Eff#1 •EtfJr2 ~' '' r- ~3,~ ~ ~i 8orinp # ~ ~~ Pif arOUrld SUrfaOe eIBV_ R fLn1A M 1:.,.4t.... ss,r... Modzon taaplh ~ .Dominant M Radox Descriptlan 7axture Stnxsure Consistence Boundary Rac>ts ~ GP DfIP Rea . 1mseA Qu. 5z. Cont. Color Cir, Sz. 3h, •ERili7 'EfMtZ ^ ~~ # ° o~nB Ground surface elev. t< n...«.... ~~...~.,.. ~~~. ~_. Horizon Depth in DominarK Color M Redox Description Texture Structure Cansiatenca Boundary Raob Rate . unsek Qu. 8te. Cont. Color Or, 8x. 3h. "EfAK1 •Efpt2 ' EfRuant #1 ^ BOD, > 30,e„ 220 myL and T88 >30 w 1'50 mgA. • Efiluertt tlr2 = 80Df < 30 mglt, and TSS : 30 mpll. Tbt; l7epar'tmattt of Cofnrnetce is an equal opportunity service proviQtr sad employer, if yop need assistance W seeeca servit:es or need material en an ahernate format, please contact the departtrnnt at 608.266.3151 or TTY 608-264-8777. ~n.ea~clt,erool _ ' ~ ~ ' , ~ . LOT PLAN PROJECT Aaron Griener ADDRESS 852 Hiahwav View Drive Aot 13 New Richmond Wi 54017 NW 114 N1N i /4 S 21 /T R 17 W TOWN Erin Prairie COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE2/28/01 BEDROOM 4 CONVENTIONAL XXX IN- OUND PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE 1.2 ABSORPTION AREA 500 # of chambers 30 BENCHMARK V.R.P. Top of 2" Pipe ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark Plans Designed Using SYSTEM ELEVATION 94.5/94.0 Conventional Powts Manual Version 2.0 Alt. BM Top of Lath @ 101.5' Coun Road G Vent > 12" Sidewinder High of Cover Capacity Leaching Chamber 16" 6' Long „ , „ Grade at System Elevation 00' Vents Y, ~ ~, B-3 50' ~_ 200' B-2 =k 10' B. Alt. a 6% .M. ~, Slope 0 0 ~r N Vents 2-3' X 94' Cells with >3' Spacing 00' Pro 4 Bedroom House 50' 30' 8T CR4~X COUNTY 3EP'TIG TAI~TIC ~M'AINTl3YQXNCE AC~RBEMBI*t'i' /tND owNEa.SxiP cERTr~rcaTZOly Forte 4 Midlletg Adtittias ~~-2 /fi~ PrapaRy AddreBt (Varifivitton attylSt~te Parcel Iden~c8tion Numbs ~/~ y„~,~f~-, 6~ ~~ ~~! ~'Y ~ !~ y ~ ~ t/., Sec: . T~~N-1~ W, Town eft„ f ` St~bdfi-i~on v--- Lot # ~~. Certlfled Harvey M>~p # ~ ~._ Vahmne ---_ - pe$a # ~ __'.~... wtrrenty Deed ~ ~ ~..~ vo~u~ ~ P~ # -s ~ ~ ~ y'°e~ Lot lines idatitiSttblh~ee ©ao fi~t+opmc we tmd m~ogoeaatsaeof yonr ttap~e system e~ttid raeult im ib ptta~atnae ~>s" t+e l~s~wswe. PsopsramdcmEeomoe oomdts o!' pttmp6e~ aat drs tieptlc resit aratg truss yams or aooeoer, if aerdesd by a Hoansed pcma~. W'ht~t you pn! ~o tits ttp~Eam can atiiiot t!M llmat~ast of ~ aopHe talc as a aaa-{auat stags in t8-e iaaste disposal syse[ars. Tjrs ptnpart~r owner sprats ao s~tbim~it to S't. Ckoix Zaoning Dep+:mo~eat a otioa ~ t~ipsad i-y ~ oeoina sad bq a ~,~avorawiyeaaapimnbsr, nsaioeadptw~absrara liesaaedpmoperverilyt~ag that(1) et~e aarsite ouas~swtt~mtd~eNlt~y~e0em is is pttiliar apmatiag c~oadit#oa aadla {2) st'lea ia~pectioa ~ gaping (if '). eha tte~o halt b kq t l/3 !lill o~ ~lted~e. i~t, i~t, setae by el+e Dapa>~t sad the ~ of Nam Rettaazoa, ~V#sooaeie. G~'etii~'~atioo stafiag tboat yoar ao~ systaxa ivaa bexa aaaioaw.iued matt be oon:plated sad retrmued to the St. L~roix Cotaaty Z~tiag OiRee ~-itbfn 30 tlRjli t)t tht+ee yea axpiraeion dace, ~~j/ ~~ ~~d ~+~~~ (iNA'ftlRB OF' APPLICANT ~~.-j.,`~,fic~ ~ G2~~~~ DANE d ~~~~ r I (we) o4cttlY ih1-t ati sgtameata as tb~ta fc~ras are teue to the best of xny (our? lae~vlsdga. du deausnbod aborro, by vitae of a wanxuty daodt reeordod to Reriater of Deeds l3lRee. GNA'l'l1ltB LICANT i (we) tat (rota) #+e otraedt) of ~~..L~ RATS •~Rrrr rt bein t+evOlCOd m,0 •M~w~• Auy Gafbcssattiva that is aria-reprasaated msy t+es-s1t is the stmitary p~asxn' q hY ~~$ ~' •v Iaciade with t6ts application: a statrtpad wrarrsaty daed goat the Reguter of Deeds otBCID a copy of ttae certified wrvey rnap if referonoc is me~3e ts- the tvartsaty deed 4oaa Plsemiwg Department far sew aaastxeiatiaa) vOl14O~SPACE5~35 • STATE BAR OF WISCONSIN FORM 2 - 1982 i WARRANTY DEED I! DOCUMENT NO. Michael S. Habisch, a single person, conveys and warrants to Adroit N. Grein -r and hannnn n Falbe both sing?~nersonG a~ joint tenantp the following described real es[a[e in St. of x County, State of Wisconsin: PARCEL IDENTIFICATION NUMBER E1/2 W1/2 NWl/4 Sec. 21-T30N-R17W except the North 50 feet of the NWl/4 NWl/4, St. Croix County, Wisconsin. This i8 riOt homestead property. 7QQ0 Os no0 Exception to warranties. EdsementS, restrictions and rights-of-way of record, if any. ~~ Dated this day of February 4 ' , A.D\,.I9~. 99 (SEAL) ^-~` l~r/ `~--~ (SEAL) Mich el S. Habisch AUTHENTICATION Signature(s) Michael S. Habi (SEAL) authenticated this U ~~ day of February , Ig 99 •Kristina Dal nd TFTLE: MEMBER STATE BAR OF WISCONSIN (If no[, authorized by §706.06, Wis. Scats.) THIS INSTRUMENT WAS DRAFTED 8Y Attorney Kristina Ogland 598945 Y,ATHLEEN H. WALSH kEGTSTEk OF DEEDS ST, CkOIX CO., WI kECEIVED FOk kECORD 03-05-1999 10:30 AM NAkRANTY DEED EXEMPT M CERT COPT FEE: COPY FEE: TkANSFEk FEE: 225.00 RECORDING fEE: k0.00 GAGES: 1 TwS SRACE RESERVED FOR RECORDING DATA .... _.. .I NAME AND RETURN ADDRESS ~~_~- i I ~~ 012 1046-00 IJ (seAU i i' p i ACKNOWLEDGMENT State of Wisconsin, ss. County Personally came before me this day of l9, the above named to me known to be the person who executed the foregoing instrument and acknowledge the same. Hudson, WI 54016 Nola Public, ry County, Wis. (Signa[ures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: necessary) Iq ) tt ly/ • Names o[ persons signing in any apuiiy should be typed or primed below their signawres. ' WARRANTY DEED STATE 8AR OF WISCONSIN Wncrosin lepa~ Blanc Co.. Inc. Form No. 2 - 1982 MNiBW9e. WiB. .... + 1 / ` ~ _ f, `~~ ~y p C, • ~' Sanitary Permit Application ~ S e!`' Buildings Division In accord with Comm 83.21, Wis. Adm. Code ~ ~"~ F~' 'ry ~ ~ ZQO~ • Washington Ave. ~ iSCOris~n See reverse side for instructions for completing this app c"'S n ST CAOIX ° ~' PO Sox 7302 Deportment of Commerce Persona! Information you provide may be used for second ses CUt1iNT~/ son, WI 53707-7302 [Privacy Law, s. 15.04{lxm)] c~l+ili~igo C form t0 COUn ty ifnot ~ Attach complete plans {to the county copy only) for the system on paper not lea e t state owned.) tze County / t , State Sanitary Permit Number ^ Check if revision to previous applicau . umber YD~ I. A lication Information -Please Print all Information Location. Property r Name Property o on ~Q-/' ' l / Lrf 114 b/tl4, S ~~,, T ~!N /~ ( W rty dwner s Mailing Address CAt Number , BioCk um ~i ?5 ~~, /~ Cd / ~,~ c' ~ ~-- ~ City, tau Z p Code Pho Number ub tvts~on eme or S Number T7 T_.. _ _! t~__.. ~.. / r- ~- --..+...'^^s. ~cuccn vucl / D City ~'`~ 1 or 2 Family Dwelling - No. of Bedrooms : ^ Village ^ Public/Commercial {describe use):_ Town of O State-owned ~~ ~ ~i~~~ ~ System S' B) ^ A Sanitary Permit was IV. Type of POWT System: ^ Non-pressurized In-ground ^ Pressurized In-ground ^ At-grade V. Dis~rsaUTregfmnnf Arn one box on Tank sly issued on all that apply) ^ Mound ^ Holding Tank D Aerobic Treatment Unit t0 ^ Sand Filter ^ Constructed Wetland ^ Single Pass ^ Drip Line ^ Recirculating O Other: t, Design Flaw (gpd) ~. ispersal Area Re uired 'spersal Arca P 4. oi] Application 5. Percolation Rats 6. ystem evat on .Final e q roposed Rata (G alsJday/sq. ft.) (Min./inch} E leva tion C dd~ dd , /~ ~ Q / ~~ ~Q G ~ /~ / /• VII. Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crate strutted Tanks Tanks S l1 ~0 ,~-. ^ ^ ^ ^ ^ ^ ^ ^ O V7<ii_ Rnannnct6iti4., Q ~e~e..~.e s I, the undersigned, assume responsibility for install ion of the POWTS shown on the attached lens. Plum r's_ ame (pnnt P um er's S re (no stamps : MP/MPRS o. Business hone um lum is A rasa Street, City, State, i o ^ Approved ^ Owner Given Initial Adverse f Surcharge Fec) Determination X. Conditions of Approvai~/R oneas s for Disannr~ oval: SBD-6398 (R. 07/00) Vu~consin i?`•epartment of Commerce ~ PRIVATE SEWAGE SYSTEM ' °~afetSr and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy L~rv, s.15.04 (1)(m)1. ~/l~ ~- ~ R ~' I N~ ~1~9Y1~ pl~g2~>~wn 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 BLD vent Air Int ke "~R AD'I Septic ';~ A Dosing NA Aeration NAB Holding PUMP /SIPHON INFORMATION Manufacturer [ Model Number TDH Lift Lriction System TDH Forcemain Length Dia. Fi Dist. To well SOIL ABSORPTION SYSTEM Ft . CROIX an -~~~~- ELEVATION DATA A9900057 STATION BS HI FS ELEV. Benchmark Bldg. Sewer t/Ht Inlet S / Ht Outlet D Inlet D ottom H a e / D .P B t. ystem * Final Gr e n i BED /TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N DIMEN I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Manufacturer: SETBACK INFORMATION TypeO CHAMBER ModelNum er: System: OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: ERIN PRAIRIE 21.30.17.322,NW,NW 1717 COUNTY ROAD G Plan revision required? ^ Yes ^ No (~ Use other side for additional information. I SBD-6710 (R.3/97) Date Inspector's Signature Cert. No Wisconsin Department of Commerce SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code Safety and Buildings Division 201 W. Washington Avenue P O Box 7302 Madison, WI 53707-7302 • attach complete plans (to the county copy only) for the system, on paper not less than 8 vz 11 i h i i county j ~ ~ x nc .n s es ze. ~ rd~ • See reverse side for instructions for completing this application. state sanita r y P erm it N m u ber / J ~ ~ ~ ~ ~ Personal information you provide may be used for secondary purposes (Privacy Law 15 04 (1) (m)] s ~ / ^ Check if rirvisior~ to previous application , . . . I. APPLI ATION INFORMATION - PLEASE P NT ALL INFORMATION State Plan I.D. Num er / ~ ~ 3 G Property Owner Name ~ 4 Property Location ~ / 3~ , /a /4 S T N R (or Property Owner's Mailing Addres~ 6 ~O Lot Number Block Number City, S ate ,, Zip Code Phone Number Subdivision Name or CSM N ber YPE F B ILDIN (check one) ^ State Owned ~ it~ crest Road Public 1 or 2 Famil Dwellin - No_ of bedrooms ~ Vown of ,~ ~•~,~ ~, ~ '.~ III. BUILDI ~7 USE: (If building type is public, check all that apply) Parcel Tax Number(s) /~' I ~ 9jd ~ `~7 1^ Apartment/Condo O I L ~. l U~ d ~ d Q~ ~- 2 ^ Assembly Hall 6 ^ Medical Facility/ Nursing Home 10 ^ Outdoor Recreational Facility 3 ^ Campground 7 ^ Merchandise:Saies/Repairs 11 ^ Restaurant/Bar/Dining 4 ^ Church /School 8 ^ Mobite Home Park 12 ^ Service Station /Car Wash 5 ^ Hotel /Motel 9 ^ Office /Factory 13 ^ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1.,~lew 2_ ^ Replacement 3, ^ Replacement of 4. ^ Reconnection of 5_ ^ Repair of an - __~_ _System ________System_____________TankOnly________^_____ Existing System ________ Existing5ystem B) ^ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ^ Seepage Bed 2 and 30 ^ Specify Type 41 ^ Holding Tank 12 ^ Seepage Trench 22 ^ In-Ground Pressure 42 ^ Pit Privy 13 ^ Seepage Pit 43 ^ Vault Privy 14 ^System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. loading Rate 5. Pert. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation ~~~ ~~ ~ 6O !3 Q - Feet /~.S eet VII. TANK Capacity INFORMATION in gallons Total # of Manufacturer s Name Prefab. Site Fiber- Pl ti Ex er. p New Existin Gallons Tanks Concrete con- steel glass as c App. Tanks Tanks strutted Septic Tank ~Q ~./ ^ ^ ^ ^ ^ Lift Pump Tank r /~ ~ ^ ^ ^ ^ ^ ESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for in allation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumb s S~ ature: ( mps) / MP/MPRSW No.: Business Phone Nu tuber. C ~ ~ UD !~ l / ~ O moo" 4 l Plumber's Address (Street, City, State ip Co ~ C ~ / ~~ IX. COUNTY /DEPARTMENT USE ONLY [A d ^ Disapproved Sanitary Permit Fee li"dudesGroundwater Surchargeree) ate ssue Issuin gent Signature (No-Stamps). pprove ^ Owner Given Initial ~~~ ~~ ~ oo l ~ ~~ ~ Adverse Determination ~ ~ "-, X. CONDITIONS OFAPPROVAL/REASONS FOR DISAPPROVAL: ~ ~~L 1 ~BO ac /'G$ . T(~.e. r v ~ 13 ~~ V~LSTdCr,.ct5 ~,v( ~a~ ,M.tit~.Q do r~' ~aGjr'~Z/~ ~/'~ -~c ~/r r SBD- 6398 (R.11/97) DISTRiBU7iON: Original to County, ne copy Ta: safety & uildings Division, Owner, Vlumber t1( t~j INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed: II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from Dl LH R. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. tX. County /Department Use Only. X. County /Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges. are used for monitoring groundwater contamination investigations anc~ establishment of standards. ~_ ~ ~ ~ ~scons~n Department of Commerce February 26, 1999 CUST ID No.226900 SHAUN R BIRD 513 55TH ST CLEAR LAKE WI 54005 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 02/26/2001 Safety and Buildings 15837 USH 63 HAYWARD WI 54843-8107 Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary ATTN.• POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 167167 ST CROIX County, Town of ERIN PRAIRIE; CO RD G NW1/4, NW1/4, 521, T30N, R17W MIKE HABISCH MOUND SYSTEM CO RD G FOR: Object Type: POWT System Regulated Object ID No.: 450741 Identification Numbers Transaction ID No. 210730 Site ID No. 167167 Please refer to both identification numbers, above, in all cones ondence with the a enc . p.0 Condit pppR DEPART SAFI The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes UtV- _~ 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. SEE GORR The following conditions shall be met during construction or installation and prior to occupancy or use: 1. This plan action is subject to designer comments on the plan. 2. The orientation of the mound system must be such that the mound's longest dimension is perpendicular to the direction of mazimum slope. 3. The area 25' below the downslope edge of the mound must remain undisturbed. 4. Maintain well and waterline set backs per COMM 83.10(1) and 83.14(4)(a). 5. The I dimension shall be 12.0'. 6. The lateral length shall be 60.0'and the actual trench length shall be 62.5' each. 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. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. ~~~, Sincerely, PATRICIA L SHANDORF , POW'~S PLAN REVIEWER Integrated Services (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM PSHANDORF@COMMERCE. STATE. W I.US DATE RECEIVED 02/11/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 BALANCE DUE $ 0.00 WiSMART code: 7633 PttOJECT Mike Mabisch PLOT PLAN ADARE55 268 185th St. Star Prdlrie Wt 54026 WVN 1!4 Nt1N tla5 21 /T 30 N!R 17 TOWN ErlnPrairie COUNTY ST.CROIX «_~ 1VlPRS Shaun Bird 22b900 vnTl:i~~ ~-0?.5° ~'$EDROOM ~~ CONVENTIONAL IN-GROUND PRESSURE C:UNYt;N'1'(UNAL LIFT HOLDING TANK MUUND ?0000 SEPTIC TANK S1zE, 1200 Gallons Lllrl' 'TANK SIZE DOSE TANK SYZE 800 ~~ I~10LDINC TANK SIZE L()wv KA.'l'L 1-2 A135URt'TIUN ARLA 500 ~ pQ chamber8 BENCHMAItIi: V.R.P. Top of 1 1/2" pipe ASSUME ELEVATION 100• ^ BOREHOLE Q w,ELL . B,g,p, NE corner of property Road G ,H.lt. B.M. Scale = 1 /4" = 15' natty VED 0 COMM~itCE SYSTEM ELEVATION 103.1 I7I' ~2 System to be installed along the 1 d2, l contour line 1 ~ Area 25' Below System W remain undisturbed ~ ;~/(~7.3C~ Pro 4 Bedroom Well to meet setbacks ouse Septic and Dose Tataks are to be properly bedded and provided with Q ST approved warning labels and dose tank is to have a lockdown cover 4% lope 0 B-3 ~B. M. £d WdbS:bO 8661 90 '6nd A 6' horizontal Separation between trenches in order to install two trenches in one system. A 3" manifold is to be used between the trenches. The separation between the trenches shall be mound sand. 'ON Xdd woa~ Page Of Cross Section Of A Mound Using A Trench For The Absorption Area D (~ ft. E Ft. F . ~}~ Ft. 6" Topsoil Ned Layer r, ~ Ft. ti _~ Ft. Medium San Trench Of ~, - ~.~ nyy~-~ya ~a, 6" Below Pipe. Covered With Straw, Marsh Hay Or Synthetic: fabric T Plan View Of P~iound Using A Trench For The Absorption Area Force Main J Distribution Pipe ~ Permanent Markers Observatfion Pipe 1 "...., ~ Diet ~ 1 j ~~ a~c~ Of ~~~ _ 2~" A99regate ..nQ~~ K I Vw n ~ -t. ~ .,,~~3 Ft b1~ Q ~ Ft. J Ft. ~_~ K . ~Ft. L 1~~:~ Ft. w ~,^ Ft. License Signed: ~ ~ Number: ~~.,~~ (~~ pate: ~c;~ o~'p~.s- 9 td Wd£S:bO 8661 90 '6nti 'ON Xtid ~ WOad Page Of Distribution Pipe Detail For Two Lateral Network ~ ,~ y.zs ,y.a Holes Located On Bottom Are Equally Spaced ~ PVC Force ~4ain End C p ~ Y ~ P ~, ~ * Last Hole Should Be Next To End Cap PVC Distribution Pipe P -~-~.~ ~RR~~~~ ,, ~~ ~•`~ P ~~o~J Ft~,,r' ~ .,~~,b.~~,~~r~,r,.,~ ~/ ~{ Inch ~~ ~'~~'"' Hole Diameter --t_'_ 5° • X ~ ~ Inches Lateral Diameter ~ Inch(es) Y ~ Inches Farce Main Diameter cT Inches # Of Floles/Pipe Invert E1 evation Of Lateral s ~~3 ' ~ Ft. "'~'2 3 Signed: License Number: ~"<~c~~ ~(/(J Date: ~-~" 'I~ PUi•'~P CHA,i~2ER CROSS SEC ~ IOI•.7 A~~JG ~P~CIFICA~rI0~.15 -"" ~--VENT CAP :r -; c. ? ... ' - ~ ~ -- ---•-~ Wf ATNERPK00F ~Q, /~_ _. _ I I JULJCTIOIJ BOX ', ~ ~I AIR t FJ T .~ ~. ~ I I __ GRADE ~ `I I I GOIJDUIT ~-- I G" F~. ~ 11,: i_. E T I ~~j~jH ~'~EV.LZ_~ ~ T .~ 6 C i D 11~ `- li `~ / ICI I I III ALARM ill I I ~ O ~: I o~~ APFROvEL ,_OCKIA;C. MANHOL ~= CC''`dE F. `i~~ MIIJ. V ~`~ \ \~\ 1 PROVIDE I AIRTIGHT SEAL *APPROVED JOINTS WITH APPROVED PIPE 3' OPdTO SOLID SOIL I i I I I PUMP -~ ~ ~ ~ .~ l COrJCRETE BLOCK SEPrIC E DOSE TAAJ KS ALARM PUMP -~ FCISER EXIT PERMITTED OIJLy IF TAAJK MAIJUFAGTURCR HAS SUCH APPRO/V,7~A~,~~ ~ SPECIF_IGATIONS_ ~~~~~~ -^^~A~IUFACTURER: "`~ 'P'O~ NUMBER OF DOSES: ~ PER CAS 1-A1JK SIZE: ,~~U GALLO-JS MA-JUFACTURCR: ~,~~-•/h~~ S,~~S~~',ur~, MODEL -JUMBER: ~/ L [/ ~ SWITCH. TYPE: ~~ u MA-JUFACTURER: G C ~',ODEL NUMBER: /~~OJ ~ ~•. / ~ , DOSE VOLUME %/ f s ) INCLUDIIJG 6ACKFLOW: _52~:-L_C. ~ GAL~oNS CAPACITIES: A ~'-~ IAICNES OR GAlLOA15 ~~ .1~ g c~l CHES OR C - ' IAICHES OR ~ ~ ~L.1L- GALL01J5 ~_ CALLOUS D = ~ INC HES OR ~1L GAl101.15 S'w'ITC H TYPE: '~"- IJOTE: PUMP AIJD ALARM ARE TO 6E ^1t1JIMUM DISCHARGE RATE GPM I//N//STALLED ON SEPARATE CIRCUITS VERTICA'~ C~FFEREIJCC DETWCC-J PUMP OFF A-JD OISTRIBUTIOF.1 PIPE..~I~. FEET + MIF~ir•,~'~~, NETWORK SUPPLY PRESSURE 2.5 FEET GG''~~~~,, ~~ T~// // .,,~,, +~1.~G- rr"EET OF FORCE MAIN X,C,~FiooFTFRICTlo~1 FACTOR..LssLL FEET = TOTAL Qy1JAMIC HEAD = ~ FEET ~~ i ~ IIJTERAJAL, DI•MEIJ510 s OF TA LEAIGTH~_;WIDTH ~~LIQUID DEPTH SIGIJEC: LICEIJSE IJUMBER:C/`~~~~y DATE.~~~~I APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Purnp: EPU4 • Solids handling capability: '/a"maximum. • Capacities: up to 55 GPM. • Total heads: up to 24 feet. • Discharge size: 1'/z"NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: '/a" maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size: 1'/z"NPT. • Meci~anical seal carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 30(. series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: u.5 I1P, 115 V, 60 Hz, 1550 i3PM, built in overload with automatic reset. • Power cord: lO foot standard length, 16/3 SJTO with three prong grounding plug. Optional 20 foot length, 16/3 S•1TW with three prong grounding plug (standard on EP05). METERS FEET _____._ ..... __...I.- to 9 30 -- -.-_ _ _ _.._. g i 25 --- - --- i a w ~ 71 ~_ x U 6 20 a z 5 0 t5 - ~" 3 t 0 -- 2 5 - 1 I__ 0 00 -_-- ;o ~~~_ X90 ~ 0 2 <. 7995 Goulds Pumps. Inc. G~~ulds submersible Effluent Pump C~7 3871 EP05 Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. ,vailable for automatic and ;tanual operation. Automatic lodels include Mechanical loaf Switch assembled and reset at the factory. EAYURES EP04 Impeller: Thermo- ,iastic Semi-open design vith pump out vanes for necflanical seal protection. ~ EF05 Impeller: Thenno- ,lastic enclosed design for ~tiproved performance. ~ Casing and Base: Rugged fen ~oplastic design provides uperior strength and ~orrr~sion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplas- ticcover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ~ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP' Canadian Standards Association (CSA listed model numbers end in "F" or "AC".) ~•f--SGPM _- : -----_ 1 '~. ~% -~----:----- ~ ------y 20 30 .; 6 8 CAPACITY L- 2.5 F7 _ _.... -I _..-.-•--- _._._ i -- - _.__...i --...-._--._.____ __----- 1 --- , EP05 - EP04 -- ._ _ 40 50 GPM 10 t2 m~lh Ellective May, 1995 83871 • WiScnnsinDepartmentoflndustry, SOIL AND SITE EVALUATION REPORT ' Labor and Human Relations flivicinn of Q~fufv R RI lilrlinnc .- ~_ ~_ Page 1 of ~ - III QVI~VIV ~ILII ILI Il l VV.VJ, •11J. /411 ~. vva.~v COUNTY ~~~~ but ch sm'sii~~ Pl~nust include than 8 1/ t l s l t it l Att h 1' St . Croix , an on paper no e s e e s e p ac comp ~ ~n PARCEL LD # not limited to vertical and horizontal reference point irecti~ and % of sfop~„ scale or . dimensioned, north arrow, and location and dista ~~ ea s~`rc>ad:~,1 ;;: ^s;~ _ _ APPLICANT INFORMATION-PLEASE PRI LL I~ORMATIO t~,. s, REVIEWED BY DATE at, :~. PROPERTY OWNER: ~~ t ~`;~ i PR LOCATION L~pIX " ~' ` GO T 1VW 1/4 1NW 1/4,S 21 T 30 ,N,R 17 fir) W Make Habisch ,-- ~ - ~''~ PROPERTY OWNER':S MAILING ADDRESS '" Ca ~~ ~ ~~~~ BLOCK # SUBD. NAME OR CSM # ~ ~ 268 185th. St. na 40 acres CITY, STATE ZIP CODE PHON U ~E ~ ITY ^VILLAGE (MOWN NEAREST ROAD Star Prairie WI. 54026 (71~ ~ Erin Prarie Co. Rd."G" [~] New Construction Use [ ~ Residential / Number of bedrooms 4 [ ]Addition to existing building [ ]Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate • 2 bed, gpd/ft2 •3 trench, gpd/ft2 Absorption area required na bed, ft2 500 trench, ft2 Maximum design loading rate .2 bed, gpd/ft2 .3 trench, gpd/ft2 Recommended infiltration surface elevation(s) 10~ . i 0 ft (as referred to site plan benchmark) Additional design /site considerations system el . based on contour line of el . 102.10' Parent material Witted glacial dg~rft Flood plain elevation, if applicable na ft S =Suitable for system CONVENTIONAL ^S ®U MOUND $7S ^U IN-GROUND PRESSURE ^S ®U AT-GRADE ^S ®U SYSTEM IN FILL ^S ®U HOLDING TANK ^S ®U U=Unsuitable fors stem SOIL DESCRIPTION REPORT Boring # .................. ................. .................. ................. 1 Ground elev. 102.8 ft. Depth to limiting factor II Boring # 2 € Ground elev. 102.8 ft. Depth to limiting factor 41" Depth Dominant Color Mottles T t Structure Consistence Boundar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. y Bed Trends 1 0-11 10 r 3 2 none sil 2msbk mfr cs 2f .5 .6 2 11-20 10 r 4 4 none sicl 2msbk mfr if .4 .5 3 20-44 7.5yr 4/4 none scl lcsbk mfr if .2 .3 4 44-60 7.5 r 4 4 Remarks: 1 0-10 10 r 3 3 none sil 2msbk mfr cs 2f .5 .6 2 10-24 10 r 4 4 none sicl lcs mfr 4 41-60 7.5 r 4 4 het sl 2m r mvfr na na .5 .6 Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 Address: 1554 200th e. New Rich nd WI 54017 Signature: Date: CST Number: m02298 8-5-97 PROPERTYOWNERMike Habisch SOIL DESCRIPTION REPORT PARCEL I.D. ~ 012-1048-00 Boring # 4•:: 3 Ground elev. 100.3 ft. Depth to limiting factor ~~ Page ~, of ~ , H i Depth Dominant Color Mottles Texture Structure Consistence Botx~da Roots GPD/ft or zon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed Trench 1 0-13 1 2 13-22 10 r 4 4 none sic 3 22-34 5 r 4 4 none 4 34-60 5 r 4 4 c2d7. Remarks: Boring # .................. ................. .................. Ground elev. ft. h Dept to limiting f t or ac Remarks: Boring # Ground elev. ft. D h ept to limiting f t or ac Remarks: Boring # .................. ................. ................. .................. ................. Ground elev. ft. D th t ep o limiting f t or ac Remarks: SBD-8330(8. 05/92) .. STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. Mike Habisch CSTM2298 NW4NW4 s21-T30N-R17W New Richmond, WI 54017 MPRSW 3254 town of F.rin Prarie (715) 246-6200 9 N 1"=40' BM.= top of 12" pvc pipe C el. 100' Alt. BM.= top of steel fence post C el. 100.30' 1' 3 ,~-, ~,o Gary L. Steel 8-5-97 • ~f~~ 4. x .i ~- ss463~ Document Numt+~ Return Address ~'tlli.:~f vl~`dc eeldwicl, wl~ X02 Parcel I.D. Ntnnber: o' I REGISTER'S OFFICE ST. CROIX CO.. WI a..ti Irr Il~rr AUG 2 9 1997 12:05 P ~ Carry J Swetlilc and Heidi J. SwetWc, 6nsband and w~ conveys and warrants to Michael S. Habisch, a ain=k perses, the following described teal estate in St. Croix Counh~, State of Wisconsin: The East Half of the West Half of the Northwest Quarter (El/2 of the W1/2 of the NW1/4) of Section 21, Township 30 North, Range 17 West, Town of Erin Prairie, St. Croix County, Wisconsin, according to the Government survey and instruction of 1973. This being 40 acres more or less according to said survey EXCEPT the North 50 feet of the NWl/4 of NWI/4 far highway purposes, all in section 21-30-17. This is not homestead property. Exception to warranties: Easements, restrictions and rights-of-way of record, if any. Dated this <i~'`" day of August, 1997. (SEAL) Casey J. S AUTHENTICATION EAL) Heidi . Sw Signature(s) Carry J owetlik and Heidi J. SwetW~, husband and wife, authenticated this ~ day of August, 199?. Kristine Ogland l - TITLE: MEMBER STATE BAR OF WISCONSIN Y~l 1 ~F~ PO~~f ~7~ WARRANTY DEED ~ '3b "" THIS INSTRUMENT WAS DRAFTED BY: Attorney Kristine Ogland Hudson, WI 54016 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address a~ b`~ / ~~~ ~ ,a~ <--~ ,~~~~ ~ ~~~' ~ 7 ~°~ Property Address ~ ~ I ~ C-T l~ C-s (Verification required from Planning Department for new construction) I~-~J City/State e(~~-cc/ 1~~ ~ Parcel Identification Number ~ / Z _ ~~ ~ ~ ~' ~~ ~ ~ LEGAL DESCRIPTION Property Location ~~/4, ate'/,, Sell , T=om N-R~W, Town of ~~n /~~>~~v~ Subdivision _ ,--- Lot # ~- Certified Survey Map # ~~ ,Volume ~ ,Page # Warranty Deed # ~ > ~~"~~ ~ , Volume ~G" ~ l ,Page # _~~~. Spec house ^ yes ~fio Lot lines identifiable yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year ex ' ation date. /~,y9 SIGNATURE OF APPL CANT DATE OWNER CERTIFICATION ' I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue f a warranty deed recorded in Register of Deeds Office. ~J '°.G.P~/ /~ // IGNATURE OF APPLI DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Parcel #: 012-1048-00-000 Category -- - _ _ __ Alt. Parcel #: 21.30.17.322 012 -TOWN OF ERIN PRAIRIE 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 -GREINER, AARON N AARON N GREINER C -FALBE SHANNON D FALBE SHANNON D 1717CTYRDG NEW RICHMOND WI 54017 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABL E SEC 21 T30N R17W 40 ACE 1/2 W 1/2 NW Block/Condo Bldg: 1/4 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 21-30N-17W Notes: Parcel History: Date Doc # VollPage Type 09/11/2002 689947 1973/522 EZ 03/05/1999 598948 1408/535 WD 08/29/1997 564637 1261/078 WD 08/29/1997 564635 1261/075 WD more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 207905 Use Value Assessment Valuations: Last Changed: 06/07/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 15,000 194,200 209,200 NO AGRICULTURAL G4 12.000 2,500 0 2,500 NO AGRICULTURAL FOREST G5M 27.000 43,200 0 43,200 NO Totals for 2007: General Property 40.000 60,700 194,200 254,900 Woodland 0.000 0 0 Totals for 2006: General Property 40.000 60,600 194,200 254,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 554 Specials: User Special Code 12/26/2007 08:44 AM PAGE 1 OF 1 Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~ e ~C ~ 0 a h O a a `c O O N ti v~ C '~ •~ 0 N .~ V •~ O r`i~i r ~i O C~ W C I~ iii C~ .~ ce A g , Z ~ ~ Z N IM- Z , o z a ._ ~ d Z N F r Z R a M J U 0 C Q O O N H Q N N ~ M o [L N ~? 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