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HomeMy WebLinkAbout010-1027-30-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 563896 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Melstrom & Blum, Swan H. & Dianne Emerald, Town of 010-1027-30-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: L00 1'n 1 12.30.16.168C TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI 5FS ELEV. (77. /ez Septic P J 4 /Z 56 Benchmark Dosing / ~ (0 7uV Alt. BMI ~ ~ cps ? a o V F; Lo II J A f% io ~ J Bldg. Sewer a2A- Holding r St/Ht Inlet 1 I~J G D / 6• Dz S r ~ yL. Zs St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. V~r Intake ROAD Dt Inlet Septic /da 39 Dt Bottom It AIZ ` Dosing / Header/Man. 746 766 3 . 7 7(p Aeration Dist. Pipe 3 ~ ;~(fo Holding Bot. System q. 6% r~• `7 Final Grade ~7 PUMP/SIPHON INFORMATION Z. 7 Manufacturer Demand St Cover Q GPM 33 Model Number / L/7 TDH Lift Friction Loss System Head y~ TDH t `7 7,01 Forcemain Length Dia. Dist. to Well /46 J* SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of T~nc PIT DIMENSIONS No. Pits Inside Di Liquid Cpth DIMENSIONS 7 /ul ehe 7 11*~ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of S tem: ~w1 CHAMBER OR `Acl ✓ A / UNIT Model Number. tyloo'D 1 DISTRIBUTION SYSTEM Header/ManifolQ 11 Distribution / Ix Hole Siz@ ✓I Ix Hole Spacing ✓ Ve Air I e Pipe Length_~ Dia L ngth ~~'/7 Da Spacing 'a 0 tl~ 2 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over jxx Depth of jxx Seeded/ dde jxx Mul ed Bed/Trench Center 33 Bed/Trench Edges ` Topsoil ~ J ( Yes a~ No es ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 9 / 2-/~ Inspection Location: 2681 170th Avenue erald, WI 54013 (N 1/2 NE 1/4 12 T30N R1 6W) NA Lot 1 -r6,5~ Parcel No: 12.30.16.168C ,6 M 1.) Alt BM Description = e.* ~ A-.1- 2.) Bldg sewer length = 76 - amount of cover rw_c~ Plan revision Required? Fal Yes No Use other side for additional information. SBD-6710 (R.3/97) Date Insepctor's 5 ature Cert. No. J HATA SEPTIC SYSTEMS NV /CS T 824825 (i0o) b,oo, Ica-~-_ _ I y,o' Pv~ z l ZDf C'c`dvLl~L> - 3 a -rb ~a.s •y" ~ i r fey--t ~ ~ r' ~~'t~ NE SE r A VE 265 .47 492.77 338.8- 3 ~~55.11 m LOT 1 °D N LOT 2 co -C:S,M: 1/245 w 168 B-10 168C ~ 168B-20 _ S LOT 3 268.35~'Lj 4~p ' A A I ql r" t~~nJ I \ G' NE 114 NE 114 N \ M ~ s d I i 931-14, 32- W 0 168A II 492.77' 646.42 264.00' I County Safety and Buildings Division C O t )C r 201 W. Washington Ave., P.O. BOX 7162 Sanitary Permit Number (to be filled in by Co.) ®$P r1 Madison, WI 53707-7162 s Y ~1 / State Transaction Number - i it Applicatio, F 2 2 ~ ~ ~ ~ Z In accordance with SPS 3 1( is. A ode, submission of this form to the o governmChl!(l unit is required prior to obtai milt. Note: Application forms for state-owned T//~~/~~r~ submitted to Project Address (if different than mailing address) the Department of Safety to sional Servies. Personal information you pk may be d3ddgr secondary purposes in accordance with the Privacy Law, s. 15.04 1 m , Stats.O/ S- I. Application Information - Please Print All Information ' Property Owner's Name Parcel # 5w4AJ M6LS-MO PA 1,41 ,J 6, _1~, LL4 04 6I0 1027 -b3-ova Property Owner's Mailing Address Property Location tyC a W 1 9 h U k, Govt. Lot ~'/y Section City, State / Zip Code Phone Number Gr<'I.T,c je 14 Lt) 1 SY 3 1 JG'~l 7 I'/ 1 V 7 y N; R (circle or~ II. Type of Building (check all that apply) Lot # Subdivision Name W-1 or 2 Family Dwelling -Number of Bedrooms / Block # ❑ Public/Commercial - Describe Use ❑ City of CSM Nu b r , / ❑ Village of El State Owned -Describe Use 3 r / W'Townof ~iyE2tA L~5 III. Type of Permit: (Check only one b on line A. Complete line B if applicable) A' ❑ New System Replacement Syst ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit N her and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New I~ ",)W • ~ _ ~ I~ n / Before Expiration Owner U N l [ Ss IV. Type of POWTS S stem/Com onent/Device: Check all that a 1 S 90c 40 Art '40 ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade &'Mound> 24 in. of suitable soi ❑ Mound < 24 in. of suitalie soil , a--L, c h Pretreatment Device (explain) a El ❑ Holding Tank ❑ Other Dispersal Component (explain) V. Dis ersat/Treatment Area Information: Xv- Q Design Flow (gpd) Design Soil Appl7/.0 ion Rate( dsf) Dispersal Area Required (sf) Dispersal Area P posed (sf) S stem Elevation SOD • !e / o o p ao 12 <b (o ® gy.G7 Co.:rTO tLe VI. Tank Info Capacity in Total # of Manufac r Gallons Gallons Units U y N New Tanks Existing Tanks A = `e W CJ P. p., U Ln Septic or Holding Tank V,~7e Dosing Chamber -7 ~ 6m-Ae) VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Si tur MP/MPRS Number Business Phone Number q;tq Plumber's Address (Street, City, State, Zip Code) f 7d "F Ai-. -T-%,, 4 t CE LA kt- &d n /De artment Use Onl Permit Fee Date ssue suing Agent Si atu d ❑ Disapproved ~d 2 ❑ Owner Given Reason for Denial $ ~ i3 IX. Conditions of Approval/Reasons for Disapproval 3 OLL~Wyi S V,_ e,-x~Q. SYSTEM OWNER: Y ~l ct/h 1. Septic tank, effluent filter and dispersal cell must be sir d ed / maintained as per management plan provided by plumber. J tbaCk *rAmp 2 All Ssh Rts as per applicable COa2 Olo'C]InB~CeS. tern and submit to the County only on paper not less than S 1/2 x 11 inches in size km' SBD-6398 (R. 11/11) DEVART,1Tg~T DIVISION OF INDUSTRY SERVICES 0 os 10541 N RANCH ROAD 0 HAYWARD WI 54843 3 .S P k Contact Through Relay .S C www.dsps.wi.gov/sb/ www.wisconsin.gov ° 'ssIONScott Walker, Governor Dave Ross, Secretary August 21, 2013 CUST ID No. 824825 ATTN: POWTS Inspector BOB J HARDINA ZONING OFFICE HARDINA SEPTIC SYSTEMS ST CROIX COUNTY SPIA 477 170TH AVE 1101 CARMICHAEL RD TURTLE LAKE WI 54889-9187 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/21/2015 Identification Numbers' Transaction ID No. 2291962 SITE: Site ID No. 793928 Swan Melstrom & Diane Blum Please refer to both identification numbers, 2681 170 Ave above, in all correspondence with the agency. Town of Emerald, 54013 St Croix County NW 1/4, NE 1/4, S12, T3 ON, R16W FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 1442333 Maintenance required; Replacement system; 600 GPD Flow rate; System(s): EZflow Mound Component Manual, (R. 7/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12), SSWMP Pub. 9.6; Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code CondI I requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, APP1% stats. DEPARTMENT 0 O ,$AFE The following conditions shall be met during construction or installation and prior to occupancy or use: • A copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file SEE CO with the Department. Changes to the approved plan must be submitted for review and approval. Failure to properly attach the approval and index page to plans that match the copy on file with the Department may result in enforcement action under s. 145. 10, Stats. • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P (N.01/01). • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01/01). • Prior to construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Smearing and compacting of wet soil will result in reducing the infiltration capacity of the soil. Proper soil moisture content can be determined by rolling a soil sample between the hands. If it rolls into a 1/4- inch wire, the site is too wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries. • Abandon the existing system components per SPS 383.33 BOB J HARDINA a Page 2 8/21/2013 • The system was designed to meet the influent quality defined in SPS 383.44(2)(a) The quality of influent discharged into a POWTS treatment or dispersal component consisting in part of in situ soil shall be equal to or less than all of the following: 1. A monthly average of 30 mg/L fats, oil and grease. 2. A monthly average of 220 mg/L BOD5. 3. A monthly average of 150 mg/L TSS. • SPS 383.54(3)(b) (b) The servicing frequency of an anaerobic treatment tank for a POWTS shall occur at least when the combined sludge and scum volume equals 1/3 of the tank volume. • The inspection, maintenance and servicing reports shall be submitted to the governmental unit within 30 calendar days from the date of inspection, maintenance and servicing. • The owner is responsible for the operation and maintenance of the private onsite wastewater treatment system (POWTS) in accordance with SPS 383 and the approved management plan • The owner of a POWTS shall be responsible for ensuring that access opening covers remain locked or secured except for inspection, evaluation, maintenance or servicing purposes. • Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • Provide a copy of the approved POWTS plans and this letter to the owner. • Prohibit vehicle traffic and soil disturbance within 15 feet of the downslope edge of the mound pursuant to "Mound Component Manual Version 2.0" SBD-10691-P (N.01/01; R. 10/12). • Insulate 4" O conveyance pipe pursuant to SPS 382.30 (3)(c), W.A.C. 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. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 l This Amount Will Be Invoiced. C 6 `V U When You Receive That Invoice, Edwin A Taylor Please Include a Copy With Your Wastewater Specialist, Integrated Services Payment Submittal. (715)634-3484, Monday - Friday 8:00 am To 4:30 pm WiSMART code: 7633 edwin.taylor@wisconsin.gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. EZflow® MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: MELSTROM Owner's Name: SWAN MELSROM & DIANE BLUM Owner's Address: 2681 170th AVE. EMERALD WI 54013 Legal Description: NW,NE,S.12,T.30 N-R16W Township: EMERALD County: ST. CROIX Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: 010-1027-30-0000 Plan Transaction No.: Page 1 Index and title T.S. Page 2 Data entry )nally Page 3 EZflow mound drawings Page 4 Lateral and dose tank Page 5 Distribution media V EE D Page 6 System maintenance specifications core qCE AN U DINGS Page 7 Management and contingency plan Page 8 Pump curve and specifications ' Page 9 Plot Plan OND f G Page 10 Filter Maintenance Page 11 Soil Data Designer: ROBERT HARDINA License Number: 824825 Date: 07/22/13 Phone Number: 715-986-2508 Signature: - ~ Designed Pursuant to the EZflow Mound Component Manual Ver. August 20, 2007, SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01, R. 10/12) EZflow Mound Version 3.0 (R. 3/1/12) Page 1 of 11 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) r Residential or Commercial Design 400.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 600.00 Design Flow (gpd) 3.00 Site Slope 94.67 Installation Contour Line Elevation (ft) 100.00 Contour Length Available (ft) 25.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information 9.00 Cell Width (ft) 3,4,5, 6, 7, 8, 9 or 10 Only 70.00 = Dispersal Cell Length (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution FY~ Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 3 Lateral Spacing (ft) If N above, enter the elevation (ft) 3 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25) 2.00 Estimated Orifice Spacing (ft) = 6.00 ftz/orifice 2.00 Forcemain Diameter (in) 80.00 Forcemain Length (ft) Does the forcemain drain back? r Y 85.00 Inside Pump Tank Elevation (ft) Enter Y or N 0.00 Forcemain Filter Loss (ft) 6.50 System Head (ft) x 1.3 13.05 Forcemain Drainback (gal) 10.09 Vertical Lift (ft) 94.06 5x Void Volume (gal) 3.05 Friction Loss (ft) 107.11 Minimum Dose Volume (gal) 19.64 Total Dynamic Head (ft) 43.25 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 x x 1.25 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons/Inch Calculator (optional) Treatment Tank Information 758.00 Total Tank Capacity (gal) 1250.00 Septic Tank Capacity (gal) 45.00 Total Working Liquid Depth (in) huffcutt Manufacturer 16.84 gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 750.00 Dose Tank Capacity (gal) BEAR Filter Manufacturer 16.84 Dose Tank Volume (gal/in) 10 Filter Model Number huffcutt Manufacturer Project: MELSTROM Page 2 of 11 Mound Plan View 1/10 B .................3 J Observation Pipe.:•; s A B L Mound Component Dimensions A 9.00ft E 14.24 in H 1.00ft K 9.16 ft B 70.00 ft F 12.00 in z 8.86 ft L 88.31 ft D 11.00 in G 0.50 t J 6.65 ft A W 24.51 ft 630.00 (ft2) Dispersal Cell Area 1250.00 (ft) Basal Area Available 8.57 (gpd/ft) Linear Loading Rate 7.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View EZflow Dispersal Area Finished Grade 97.59 (ft) H .J{rf.}ff{J 2 fffff}{{f,.. G ♦ Jfff}{fffr}}frf} r///{rf}/fflJJte. F Dispersal Cell 96.09 (ft) Lateral 95.59 ) • 6" Invert Elevation Dispersal Cell Elevation E D : Q 94.67 (ft) Contour Elevation 3.0 % Site Slope Shading Key Typical Dispersal Cell See Page 5 Q Topsoil Cap > /}ffrff a N Q 2 Subsoil Cap C. c o c Approved Geotextile Fabric Cover ASTM C33 Sand 0 ° 2.0 ft 4 Tilled Layer 0 EZflow Media s = u0) F 0 0 H 0.5 ft - lb A See details on page 4 for number, size, and spacing of laterals. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: MELSTROM Page 3 of 11 End Connection Lateral Layout Diagram • = Turn-up wr' ba I I valve or clean out pl u g IE P pF,r,c,,,jin orifice located at Z IF x )I All laterals identical, with orifices equally spaced. s nnection via tee or cross to manifold at any point. Laterals & Force main of PVC Sch 40 S per SPS Table 384.30fi Orifices point up except every 5th one points down for drainage. Number of Laterals 3 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.01 ft Lateral Length (P) 69.17 ft Orifices per Lateral 35 Lateral End (Z) 0.83 ft Orifice Density 6.00 W/orifice Lateral Spacing (S) 3.00 ft Manifold Length 6.00 ft Lateral Flow Rate 14.42 gpm Manifold Diameter 1.50 in System Flow Rate 43.25 gpm Forcemain Velocity 4.42 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and SPS 316.300 WAC 4 in. min. Disconnect Tank component is properly vented E Alternate outlet location Forcemain diameter huffcutt Manufacturer 2 in. Capacity 750.00 Gallons Volume 16.84 gal/inch A Weep hole or anti- Dimension Inches Gallons B siphon device A 24.13 406.32 B 2.00 33.68 C Pump off elevation (ft) C 6.41 107.92 86.00 D 12.00 202.08 D Total 44.54 750.00 _d Dose tank elevation (ft) Bedding And Backfll As Per Manufacturer 85.00 Alarm Manufacturer SJE RHOMBUS Alarm Model Number 101 Pump Manufacturer ZOELLER _L~ Pump Model Number BN 153 ✓ Pump Must Deliver 43.25 gpm at 19.83 ft T D H Note: Switches containing mercury may not be used in this system. Project: MELSTROM Page 4 of 11 Page 1 of I w uJ UJ PUMP PERFORMANCE CURVE MODEL 151/152/153 50 14 45 153 12 40 a 35 10 152 c3 30 < Z $ 25 151 F © 6- 15 4 10 2 5 0- 10 20 30 40 50 60 70 80 90 100 GALLON Rs 0 40 80 120 160 200 240 280 320 360 FLOW PER MINUTE 014508 i https://app.gleapahead.com/rtp/tools/93928-63.gif 5/6/2013 Uffowo Distribution Cell Media Layout 9.00 Cell Width (ft) 1.50 Sidewali to Lateral (ft) Distribution Cell Cross-section Arrangements 9 ft Wide Component Legend ® SR1-7A Bundle - 5 ft or 10 ft lengths SR1-12A or EZ 1201A in 5 ft or 10 ft lengths SR3-12H or EZ 1201P or @XN8 SR3-12H in 5 ft or 10 ft lengths 0 4" Perforated Distribution Pipe With Pressure Lateral Inside . Tumup Enclosure - - - - - Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical 9.00 Cell Width - A (ft) 70.00 Cell Length - B (ft) Center Connection Lateral Layout Diagram Force Main 9 ft Wide End Manifold Project: MELSTROM Page 5 of 11 Mound System Maintenance and Operation Specifications Service Provider's Name ROBERT HARDINA Phone 715-986-2508 POWTS Regulator's Name IST.CROIX ZONING Phone System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1250 gal Maximum TSS 150 mg/L Soil Absorption Component Size 630 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 ml Service Frequency Septic and Pump Tank Inspect and/or service once eve 3 ears Effluent Filter Inspect and clean as necessary at least once eve 3 years Pump and Controls Test once eve 3 ears Alarm Should test periodically Pressure System Laterals should be flushed and pressure tested eve 3 ears Mound Inspect for ondin and seepage once eve 3 ears Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the EZflow Mound Component Manual Ver. August 20, 2007. 2. Dispersal cell media conforms to EZflow products approved for use with the EZflow Mound Component Manual Ver. August 20, 2007. Media is covered with an approved geotextile fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Tum-up Detail Finished Grade . 6-8" Diameter Lawn/ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice Where Variable Length Cleanout Begins Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral EZflow S nthetic Media 1.96 Feet t-- Distribution Lateral a Lateral Cleanout Project: MELSTROM Page 6 of 11 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [EZflowMound Component Manual 8/20/07, Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33, 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. Septic 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 fitter 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 as to 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 Wisconsin Department of Commerce. Pump Tank The dosing (pump) 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. If the force main has a weep hole, it should be noted if it is functional during pump operation, and if not, it should be cleaned. *****No one should ever enter a septic or dose tank since dangerous gases may be present that could cause death. Mound and Pressure Distribution System 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 as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD5, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 3 years. 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 shall 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. Contingency 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(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: MELSTROM Page 7 of 11 HARDINA SEPTIC SYSTEMS MFRS/CST 824825 _ r A - z Sp~750 Cc i..'30 ~~'-Tb s :70 FILTER CARTRIDGE INSTRUCTIONS iio Installation STEP 1 Dry fit the filter case onto the end of the outlet pipe to ensure it is centered under the access opening. If not, then either insert more pipe into the tank through the outlet or solvent weld (glue) additional pipe onto the outlet pipe. STEP 2 While the case is still dry fitted on the outlet pipe, measure the length of 3/4-inch pipe needed to brace the filter to the tank end wall if utilizing the optional supplemental side support. If side support method is not utilized, proceed to step four. STEP 3 For installations utilizing the optional supplemental side support: solvent weld the 3/4-inch pipe onto the filter case. If side support method is not utilized, proceed to step four, STEP 4 Solvent weld the filter case onto the outlet pipe. Insert the filter cartridge into the case, pressing down until the filter locks into the bottom of the case. STEP 5 If a VRS switch is utilized: insert into the filter and lock by turning clockwise 900. Maintenance 1. The effluent filter should be cleaned every time the septic tank is serviced. n r " 2. Open the outlet access opening to inspect the tank and filter. 3. Pump the septic tank completely, making sure to remove the sludge F? g layer on the bottom of the tank and not just the scum and effluent. 4. Once the effluent level has been lowered below the invert of the outlet pipe, firmly pull up on the filter handle to dislodge the cartridge from the case. 5. Slide the cartridge up and out of the case for cleaning. w , 6. If a VRS switch connected to an alarm is present, the switch should be removed by turning counterclockwise 900 and cleaned n~ with water only. 7. While holding the cartridge on its side (large flat surface facing down) over the access opening, rinse off the cartridge with water only, making sure all septage material is rinsed back into the tank. 8. If VRS switch is utilized, replace by inserting into filter and turning clockwise 900. 9. Insert the filter cartridge back into the case, pressing down untilu the filter locks into the bottom of the case. 10. Replace and secure the access opening on the tank. BEAR ONSITET" FILTER CARTRIDGE - FIVE-YEAR LIMITED WARRANTY Bear Onsite filter cartridges are warranted to be free of defects in material and workmanship for five (5) years from the date of consumer purchase. BEAR ONSITET" Filter Case -Lifetime Limited Warranty Bear Onsite warrants the filter case will be free of defects in material and workmanship during normal use for the period of time the original purchaser owns the product. If a defect is found in normal use, Bear Onsite will, at its election, repair, provide a replacement part or product, or make appropriate adjustment. Damage to a product caused by accident, misuse, or abuse is not covered by this warranty. Improper care or malfunctions resulting from units not installed, operated, or maintained in accordance with instructions provided will void the warranty. Proof of purchase (original sales receipt) must be provided to Bear Onsite with all warranty claims. Bear Onsite is not responsible for labor charges, removal charges, installation,or other incidental or consequential costs. In no event shall the liability of Bear Onsite exceed the purchase price of the product. %vrV1*.beatol) iW Xom 877-MLFILTERS f653•4583~ !v ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Swan Melstrom & Diane Blum Mailing Address 2681 170th ave Emerald, Wi 54013 Property Address Same (Verification required from Planning & Zoning Department for new construction.) City/State Emerald Wi Parcel Identification Number 010-1027-30-000 LEGAL DESCRIPTION NW 4 NE Sec. 12 30 16 Emerald Property Location ' '/4 T N R W, Town of Subdivision Plat: Q , Lott # Certified Survey Map # 3 3 / tJ ~l 1-7 4, , Volume , Page # 7 Warranty Deed # b / Z ty Z, (before 2007)Volume f 2S_( Page # 0 3 Spec house ❑yesEho Lot lines identifiable Elyes❑no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, 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 Safety And Professional Services 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 Planning & Zoning Department within 30 days of the three year expiration date. 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 of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 4 SIGNATURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 04/12) Wis. Dept of Safety and Professional Services SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with SPS 385, Wis. Adm. Code CountyST. CROIX Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 010-1027-30-000 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location SWAN MELSTROM & DIANE BLUM NW NE 12 30 16 Govt Lot 1/4 1/4 S T N R E (or) W® Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2681 170th AVE City State Zip Code Phone Number ity Village own Nearest Road EMERALD WI 54013 715-441-9844 ERALD ® 170th AVE ( ) (jUu New Construction Useo Residential / Number of bedrooms Code derived design flow rate GPD Replacement 17 Public or commercial - Describe: Parent material OUTWASH Flood Plain elevation if applicableN/A ft General comments RECOMMENDED MOUND CONTOUR= 94.67 and recommendations: a Boring # D Boring 92.67 25 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 1 0-13 10YR3/3 -0- SIL 2MSBK MFR GW 2M .6 .8 2 13-23 10YR4/6 -0- IL 2MSBK MFR CW 1 .6 3 23-25 7.5YR4/6 -0- SL 2MSBK MFR CW N/A .6 1.0 25-44 2.5YR4/6 SL 2MSBK N/A N/A N/A /A Boring # © Boring 94.67 28 El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 1 0-12 10YR3/3 -0- SIL 2MSBK MFR GW 2M A .8 2 10YR4/6 -0- SIL MSBK FR CW 1F .6 .8 3 24- .5YR4/6 -0- SL MSBK MFR CW N/A .6 1.0 4 7875- .5YR4/6 C2D5YR4/4SL SL MSBK MFR N/A N/A N/A N/A Effluent #1 - BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) ign re CST Number ROBERT HARDINA 824825 Address Date Evaluation Conducted Telephone Number 77170th AVE TURTLE LAKE WI 54889 7-8-13 715-986-2508 SBD-8330 (RI 1/11) MELSTROM & BLUM 010-1027-30-000 Property Owner Parcel ID # Page of 3 Boring # Boring 94.58 25 F Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 ff#2 1 -13 10YR3/3 0- SIL 2MSBK MFR GW 2M _6 .8 2 - OYR4/6 0- SIL MSBK MFR CW 1F ,6 8 3 22-25 .5YR4/6 -0- SL M SBK MFR CW N/A 6 1.0 4 25-46 .5YR4/6 C2D5YR4/4SL SL MSBK MFR N/A N/A N/A N/A Boring # Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 102 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ' ff#1 ff#2 * Effluent #1 = BOD s > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD s < 30 mg/L and TSS 5 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SBD-8330Test 11/11 HARINNA SEPTIC SYSTEMS NWRS/CST- 824825 ® WA b N z 3 (o o -ra _ o a - RSD Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings i dance with Comm 85, WisAdm. Code CountyST CROIX !1~ Attach complete site plan on pa r le n 8 1/2 x 11 inches in size. Pla I include, but not limited to: ve a zont erence point (BM), direction and /parcel I.D. 010-1027!30-000 percent slope, scale or di s orth w, and location and dis," to nfarest road. S rint all information. CC 9490113 Re ' wed by)/ Date Personal information you provide may be used for secondary purposes (PrivacyavCj~d5.04 (1) (m)). - U, " Z Property Owner Pr3pe ion SWAN MELSTROM & DIANE BLUM N NE 12 30 16 Govt. Lot 1/4 1/4 S T N R E (or) W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 2681 170TH AVE 1 CSM 01-0245 010-76 (p~C City State Zip Code Phone Number City OVillage • Town Nearest Road EMERALD WI 54013 715-441-9844 ERALD 170TH AVE ( ) ® Ne ction UseQ Residential / Number of bedrooms Code derived design flow rate but) GPD . Replacement Public or commercial - Describe: at UTWASH Flood Plain elevation if applicable ft. 'Re General comments ~ p wg b',' AAke alx k and recommendations: l_ C>~tdC47,i7►4 fn jj2VL/ (Sr) -0' Y mlu'Ad . Boring # 11 Boring 92.67 44 El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-13 10YR3/3 -0- SIL 2MSBK MFR W 2M .6 .8 10YR4/6 -0- IL 2MSBK MFR CW 1 .6 3 - 0 7.5YR4/6 C2D5YRSL4/4 SL 2MSBK MFR CW N/A .6 1.0 30-44 7.5YR4/6 SL WMSBK MFFT' NA/ N/A N/A /A F-1 Boring # ® Boring 94.67 45 ' Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-12 10YR3/3 -0- SIL 2MSBK MFR GW 2M .6 .8 2 10YR4/6 -0- SIL MSBK FR CW 1F .6 .8 3 24-2 .5YR4/6 C2D5YRSL4/4 SL MSBK MFR CW N/A .6 .8 4 .5YR4/6 C2D5YRSL4/4 SL MSBK MFR N/A NA/ N/A N/A * Effluent #1 = BOD > 30:5 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sin ie CST Number ROBERT HARDINA 824825 0~ygz"/~- Address Date Evaluation Conducted Telephone Number 77170TH AVE TURTLE LAKE 7-08-2013 715-986-2508 MELSTROM 010-1027-30-0000 Property Owner Parcel ID # Page of 7 19 Boring # Boring 94.58 44 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 -13 10YR3/3 0- SIL 2MSBK MFR GW 2M .6 .8 2 - OYR4/6 0- SIL MSBK MFR CW 1F .6 .8 3 .5YR4/6 C2D5YRSL4//4 SL MSBK MFR CW N/A 6 .8 4 26-44 .5YR C2D5YRSL4/4 St. MSBK MFR N/A N/A N/A N/A ❑ Boring # HBoring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 F-1 Boring # Pit Boring Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD5 > 30:5 220 mg/- and TSS >30:5 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/- The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SM-8330Test (R.07/00) HARDINA SEPTIC SYSTEMS W/CST- 8248.25 go 000 t •,oo.N n .01 oft VOL 1251PA039 562259 II STATE BAR OF WISCONSIN FORM 2 - 1982 II WARRANTY nFF-n DOCUMF14T NO. REGIS I Daniel P. Gold 1 Ind Beni ,D ('lolden,__husband.__ ST. CROIX CTY., .d. 'Jul: s i 199-r conveys and wnrrauts to Swan Fl. Mel.strom and 12:15 P. Ta{.ta.... +A TIUS SPACE RESERVED rotl RECOnown DATA NAME AND nETUnN ,oontiss the following described real estate in - St, CUOiX-___ County, /fir ~a ~f- State of Wisconsin: I / V I $ q~oc 010-1097-30 _ o~. PARCEL IDENTIFICATION NUMBER FEE Part of N112 of NE114 of Section 12-30-16 described as follows: Lot 1 of Certified Survey map filed May 26, 1976, in Vol. "1", page 245. Also that part of N1/2 of NEI/4 of Section 1.2-30-16 described as follows: Commencing at the NW corner of the NEI/4 of Section 12; thence N89°47'11"E 1266.07 feet; thence S02°22'24"E 586.57 feet to the point of beginning; thence continuing South along said line to the South line o the N1/2 of NEI/4, Section 12; thence Eft?along the South line a distance of 492.77 feet; thence or )e corner of Lot I of Certified Survey Maj) in Vol "1", page 245; thence S87°58'16"W 220.64 feet; thence S02°01'44"E 97.82 feet; thence S87°58'16"'W 268.35 feet to the point of beginning, St. Croix County, Wisconsin. I This _ iS homestead property. (la) XX➢CRty(KJC .ExcepUon.townrrantics: Easements, restrictions and rights-of-way of record, if any. Daicd this day of - June- 97 ~/}.i.sZ li~tGS / (SEAL) (SEAL) 1 G l Daniel P. Golden _ Denise Golden (SEAL) (SEAL) AUTHENTICATION ACKNOWI.F.DGIVIENT Signature(s) Statc of Wisconsin, c` St. Croix - County y ` authenticated this clay of i9 Personally came lxfore the this day of June • 19-21- the above named ir _A,auiel__P___G_olden_and Deni s_e_cx1derL,__ husban_d aln~ w TITLE: MEMBER STATE BAR OF wls(z&dMie M Gullmso., - (if not, authorized by §706.06, Wis. StatsJ NUtary Public to me kno,vo to the person $ wlin executed the foregoing State Of Wisconsin instrument an I-knowlcdge the same. THIS INSTRUMENT WAS DnAFTED BY Attorney Kristina Q land 4sfi-~~-- - Hudsont W1 54016 ----'y7,-,', C S, County; Wis. I Notary Public. S (Signatulcs may be authenticated Or ackno,vlcdred. Both arc not My commission is permanent. (if not, state expiratiozi ([ale: II Names of rc'. c VsM. C In xny ea(•xn)• 0-1,1 I')- lyr- nr r -led het-, ihrn -g..... r- STAtF PAR Or WISCONSIN - _ W+:rr cnlnn.+I NM.h f;n.I.v, ~i \\'A aaANT\- DFIA! rnim N,_ 2 - I•)n) AIJw:v b.... vln R16 W NE SEC. _ A VE. 265 .47 _ 492.77 ~ 338.83' pj I SL I~y'la m LOT 1 LOT 2 M ,y a N PIP -C-SM. J/245 W 168 B-10 168C 168B-20 \ LOT 3 e 268.3 I \ i I gtia ~~~n~~ ~ AG m NE 114 ME 114 \ X39 N \ M ~S 41 d. 9 f w IP 168A . - - I 492.77' 646.42 264.00' I I CERTIFIED SURVEY NO. 245 Part of the NZ of the NE-I, of Section 12,T30N, R16W, Town of Emerald, County of St. Croix, State of Wisconsin 3148 UNPLAT TED LANDS • • • • • • • • • • • • • • • • • • • • NORTH LINE NI/4 SEC12,T30N,R16W x - NE I/4, SEC. 12 TOWN w N 890 47' 11" E ROA N 890-47' I" p _ • • • • • • . 1266,07 • • • • • • . 492. 77'(0.36t ROAD ACRES p _ LINE 3.5' EST N >0 43 ` OF FEN E 'o so ~ b o , $ 9 ` o a` Z FL ED ate: MAY X61976 J• LO T I ww f ° r 246,159 SO. FTt 0 03 'SE ~t'cONNELL 5. 65ACRESf a 0 w• ~w or D..a• N • .0 Opp W h 3 0 Z H m Z W GovOtY. m y N • = ZO Q a, Q 0 F,.. N ~ 1-t0 W d - ~y Q N 9O a 0 C z1--0 W> LEGEND: C/ J 0 EXIST. HOUSE o 00 r z_• N.7 0 IC 0- N a C,~j dr'=?M • 3/4%24" ROUND IRON z 0 i n 0011W ROD WEIGHING 1.502 x z I N 220.64 LIN I' WEST W m~wz LBS./ L. F. I t • a~ 90; ! S 87°-58' 16" W x OF ENCE t7 C9 F- D U ry 0, mi m W m I LINE I' WLST 0° m I U) Z x OF FENCE °j 268.35' x S 870 58' 16' No I SCALE: I" = 200' x X UNPLAT T D/0 6 200 100 50 0 200 ~Q I, Leon R. Herrick, registered land surveyor hereby certify: ghat I have surveyed, divided~~and mapped a part of the N2 of the NE-1, of Section 12, T30N, R16W, Town of Emerald, County of St. Croix, State of Wisconsin, more particularly described as follows: Commencing at the N, corner of said Section 12, thence N 89° 47' 11" E 1266.07 feet to the point of beginning; Thence continuing N 890 47' 11" E 492.77 feet; Thence S 02° 01' 44" E 473.13 feet; Thence S 87° 58' 16" W 220-.64 feet; Thence S 020 01' 44" E 97.82 feet; Thence S 870 58' 16" W 268.35 feet; Thence N 02° 22' 24" W 586.57 feet to the point of beginning. Said parcel contains 5.65 acres more or less, or 246,159 sq.ft. more or less. That I have made such survey, land division, and plat by the direction of David Steinert. That such plat is a correct representation of all exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provisions of Chapter 236 of the Wisconsin Statutes and the subdivision regulations of the County of St. Croix, and the Town of Emerald in surveying, dividing and mapping the same. Dated this ay of 1976 ,~~`oalnuaip, APPR VAL OF Tki-VS [M 1OR SUBDIVISIO #1 DOES NOT MEAN APPROVAL FOR SEPTIC X~~,S.CoN`#0 Irok w`0 ~ i~{► SYSTEM. REFER TO H62.20 LEON R. HERRICK, -~X S-1303 f t p 1'31 a APPROVED i T- t MENOMONIE, ~F wIS. I ST. CRO-IX COUNTY Su I, t , A: fit; :r L?+~:. G LCS:vlhilTtEE ifillea-00 Volume 1 Page 245