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016-1020-30-100
0. 0 0 o I ~ ,~, p °~ N ~ y M a' { ' o p c n~ V Y ti ti ~ N C N ~ ~ ~ y c ~ ~ ~ _~ ao ~ o E ~ Q N T ~ nY O N V N N ~ >. t] L J ~ O y ~ o ° ~ 'm '', w N l6 ~ c ~ E o Z ~ N 3 0~ i o O ~ N L '~ ° o Z m y c3 > 3 y m o ~ ' LL o c c o E ~ , 3 y ~n yEo ~ ~ c3`-:: a~ m o Q d ao- o c I ' ~ I I ~ I ~ W i ', ' Z y O Z ', ~ a '~ ~ 0 Z ~ a m o ~ Z N N ~ O Z ~ N I d Z d' y c N H ~ ~ O N ~ C _ ~ ~, r N a +- O O O ~ • ~ ,O S_ ~ f6 N ~ V O O ~ Q Q Z Z O o Z 0 N •• ~ I '... M y ~ ~ ~ ~ d a wv C o a ~ E Z ~ > ' ° 0 0 0 a m ' • N R ', 3 a a a y 4. c a~ '~ N f!1 J C,1 ' O '.. C O N O N ~ p} to W ~l ~ > N ~ Z~ N p p + I Q J N N ch •p N ~ vs~ O •p N Q A u`? t9 o M N VI O ~ O r O Q C 3 ~ ~ C rn rn ~ E V W r h v ~ o ~ ~ U o c c ~ v d o° °o o~ _ V L O ~ .a ~ N C C ~ ~ N N N I (D ~ C N o ~ p 0 !~ ~ C C C o o ~ ~' `° ~ 0 3 E M ~ N (n (n c L ao M I ~ O p O E ~ O N CO ~ ~ U ~ ~ ~' ~" ~ r ! ++ ~ I ~ °~ #t n a a i O I _1 A U a ~ I N V , 4 wicconsin Department of Commerce .,Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)l. Permit Holders Name: City Village X Township Timm, Jacob Glenwood Townshi CST BM Elev: Insp. BM Elev: BM Description: O l t~ o ~' -s ~ ,.~ TANK INFORMATION ELEVA ION DATA TYPE MANUFACTURER S,~ ,r ` CAPACITY Septic `n I~ l ~ d ~S~Cr y~ CGtS ¢ ZbQ~j Dosing / 4.J -I~ Aer n Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Se tic p ~ Yo' ~' yS' f ys`' Dosing = ~ p I ~ s~ ~ ~Q! Aeration o ding PUMP/SIPHON INFORMATION Manufacturer ~ ~ Demand k, ¢, GPM Model Number ~ ~'- y0 ~. rte TDH Lift Friction Loss Syste Head `~ TDH Ft 3. z~ y. Z ,s ~. ~ Forcemain Length Dia. Dist, to Well ~/ > 501E A650RPT(ON SYSTEM County: St. Croix Sanitary Permit No: 370357 0 State Plan ID No: Parcel Tax No: 016-1020-30-100 STATION BS HI FS ELEV. Benchmark ~2• Z. Do Alt. BM i I, ss i y~ . Bldg. Sewer t Inlet p}• ~ rll"o ~ ~' ay.,~tr !, . q ~ , ~. St/Ht Outlet Dt Inlet Dt Bottom ~S. 9 t 3/. Header/Man. ,~• bz 1~~5 Dist. Pipe ~. ~Z ~r7 ~, Bot. System ~' to S, ai Final Grade St Cover • ~. 8~ l3°J. Z ~ TEA #~ C~row.r.e~, 7 `r! ~O 3~.y • ~ 3 2, ~ AA~ /~;'~Li tOP Gt • C. s' t' ~ ~ Z•b~ `` 13~• 7~ • ~ • O IH3.Irh BEbITRENCH Width Length ~ No. Of Trenches PI7 DIM SIO S No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / 7 J ~ Q ,J / ( 7 tY SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEAGHI nufacturer. INFORMATION CH R OR Type Of System: } 3s r ~ r~o ~ > ~~ -_ UNIT Mode! Number. UIS 1 KIt3U T IUN 5Y5TEM Header/Manifold < rr n L th ~ 2• ~ Di ~ Distribution Pipe(s) r r .r ~ u h N I 3 L ~ Z '~ x Hole Size /I I x Hole Spacing / Z ~ Vent to Air Intake r ~ G'~ y ~ g e a . engt Dia 2 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 0 Yes ~ No S COMMENTS: (Include code discrepencies, persons present, etc.} Inspection #1:~/~~7L Inspection #2:~1~/~ Location: 3059 170th Avenue Glenwood City, WI 54013 (NW 1/4 NE 1/4 10 T30N R15 /W} N/A Lot 1 Parcel NLo: 10.30.15.157A1,r0^ ,G 1.) Alt BM Description = 'd'ap` °'~ Wc~~ y~1<~s Q-../~ -~~C~nµ/ttr% KQ(~ dPC+~ ~h t~~~~~F Privv Q,/~.eE fOh..v ~~~f ~anf 2.)Bldgsewerlength= Ill ~~ ~tal~ tk~SCn~tr9PC~ •~v-v~w- •ivrCerMa•+~, A Sw~.Q+-~~ t`~~itT[~ otVf0. f~/Q.S -amount of cover= ys SQ,~icrotftG~ aC~' 4kt Sur~atcr~u~ S~opc W~1 9i"~" e-tiOt;~9~ ~ avoit~ 3.)Contour=q.z.~ 9.3~, •Z~ =0360 S~j,s //~~ ( (( / / _J ~ _ f.~ Y 'Fdt,f 2 pej`~276ir" -; ~ u_ O~ D-^ Rrtic/SOtI ! 4r~{" ~/t S -'CIKO1/q~ Plan revision Required? ~ Yes (~ No Use other side for additionaY information. ~ ~ L~ ~ __ _ _ _^__ Dates el Insepctors Si ature Cert. No. SBD-6710 (R.3197) //~~ )) S r~ `~~ OVCf ' TimmjDKS LEGEND PLOT PLAN scale 1"-40' except where indicated no Comm 83 problems .1 n o page 8 'af 8 ELEV. 105.04' on contour 103.54' .. •~ , ~ / R,vcw~ ~~~ n ~ ~ , ,~- ~ m fit s~ ~ ~ ~~ C 'g ~ n .~ ,. " ~ 3 k '~ , a o ,- , -- > ~ _ ~6~r.~ m.4 Via. ha n•s ~~ ,.~ ,% ~ ;' " ~ ~ ;. ~~ _,~ . ~~ ~ o ;i ~ ~ I ``, ~ ~ d, o ~ ~ 3 k ~, o c i __ ___ _.-f _ _____ ~ ~ ~ ~-~i.e. - nee s~ c ~ ~~ 2 o -~?8 ~: ~ z - ~~ ~~8 Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1 j(m)). Permit Holder's Name: City Village X Township Timm, Jacob Glenwood Townshi CST BM Elev: Insp. B)M Elev: BM Description: /~ © l o~ Q 1" C S c {~ TANK INFORMATION ELEVA ION DATA TYPE ( MANUFACTURER CAPACITY Septic `~ I° l (U cS't Cr r~ ~ G0.5 ~ Zb 00 Dosing Asa Aern Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ Yo ~ ~ yS ± ~Y~' Dosing ~ ~ p ~ ~ sv ~ ~ ~D Aeration olding PUMP/SIPHON INFORMATION Manufacturer (~/~[ ~ Demand lt H ¢., GPM Model Number ~ ~' - y0 ~ • It l< TDH LiZft Friction Loss SysteflJ~ He-a-d^ TDH ? Ft .7 . Z ~ ~. Z 10 r ? ~. J Forcemain Length - Dia. ~, Dist, to Well , ~- zy3 z ,~So SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 370357 0 State Plan ID No: Parcel Tax No: 016-1020-30-100 STATION BS HI FS ELEV. Benchmark i2. 2. Oo Alt. BM ss i ys Bldg. Sewer SUHt Outlet Dt Inlet Dt Bottom iS. q l31. Header/Man. ~ .~ fJz ~~/ ~S Dist. Pipe ~.12 ~~5, $' Bot. System ,~ ~ to S, a~ Final Grade St Cover • .~~ 8~ I3? ~ ~ ~d ~Z l ~ ew wd~ 1o•~Y ~~. (o ~ 9~P ~ 3~. y ` l r. ~I~:'KG~ r a e t ~ 1 Z,b~ 13`/• ~f~ dr;.,pr~a.. • y , o / N3.7r~ BED/TRENCH DIMENSIONS Width ~ ~ Length ~ er ~ No. Of Trenches ,J / tr~ 7 PIT DIM SIO S No. OF Pits Inside Dia. Liquid Depth SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHt nufacturer. INFORMATION CH R OR Type Of System: 3~ r ~ ~ r is > , r~ ~_ UNIT Model Number: DISTRIBUTION SYSTEM HeaderlManitold Distribution ~ x Hole Size x Hole Spacing Vent to Air Intake ~ rr Length ~•~ Dia ~ Pipe(s) ~/ ~ , it Length N /•3 Dial 2 Spacing Z'~ I/ ~~ r Z-~ / r y (.~~ SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Ontv 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 discrepencies, persons present, etc.) Inspection #1:~1_~~/~T L Inspection #2:~/~_/~ Location: 3059 170th Avenue Glenwood City, WI 54013 (NW 1/4 NE 114 10 T30N R15W) NA Lot 1 Parcel No: 10.30.15.157A10 1.)AItBMDescription= ~OP s4 Wc~~ ~Gtl~ 6~tr. ri+tY~t(~~F Priov 4-~.c~ SpIti,P ~~~(Cce~ y,><4~s 2x.~ -forC~ev r~~ 1 u 2.) Bldg sewer length = 111 ~~ ~otclt ~iSC~/9vCC~ // tr ~~ •tvaw~- '[OYC~yv~Crc k- ~ Sw~rsa-~~ t `~~~C91 d~Vr!0. k/Q.S J - amount of cover = ~'~ [ 2 ~ 3~ ~ R 0 =~03 ( SQ,~'a, r~t~{ a~ ctVO~ ~/' trtOrr.9~i (/ 4~t• Sur~tcr du~ s~opc Wes fae C . ) - ~ 3. Contour - . 2 }r • i s g ~' ubsli r ace / ~y '~' ~ u ~-~ ®+" t>R r c /.fort l Q y~Y Get S rc~0 d4? en ,, Plan revision Required? ~ Yes ~ No i h id di i f i U f ~ L ~ er s or ad t ons n orma se ot e t on. SBD-6710 (R.3/97) nn Date +I r 5t' Insepctor's Si ature~ Cert. No. , oJ~r 7 S w's t~ D K r~ ~4rotv~ ~~ . r ., Q/CO~- Y ,_ .... c yec~er ~ ~r P~2v~~rn• Cowed ~~ C~e`~~f~..~ -.e {~~c~ ~°~ °~ ~~f .~~~t~--hcr h0~~c C~O~~e~tt,dl (JJOO'1~ pd ~~70' +GItC~Y ~/ G/~ S ~m GK f: (~e0~ ~~a~ j~~ ~~ ~ Cac.c) , La arc ~~- `~c ~~ ~~`~ de+~ ~~ p ~ ~ ~ ~(~!~ sP~Cr tea S g ~.~r~~y P~ ~~~d ~a~ l'V~ ( I ~-u ~oca~ 0~ Gowtn cL~~ vim- ~ ~ra•: t~ / ~~'v~ ~~F ~ ~ ~e%v.~ t 5~~r~~~lc.~ k~_ ~ (- I to• ~~+~w~er (~il~ ~ ~~~~~7 Y"C v i5~ 1~2r~t ~ hJ h,i S ~^-d`'ti'^-~ ~P ~~ ,~- PLOT PLAN Timm/DKS LEGEND scale 1"-40' except where indicated no Comm 83 pooblems SYS ELEV. 105.04' on contour 103.54' ~8 W~__ _~~T ~ ~R, v c w WY ~ T M fo ~a.,~ U .J ~ qa,r,,, rtii,.~. ins mz v.=,~ w - b' ~ _, '& ~ ~ ~ . (3 .±c. ~ ~ 3 k ;f a Co JII-~.. ~- , i -- ~ I~ 1 pl ~ • ~ ,! o 3 ~~ i 1 ~„ 6` ~ 1 try ~'' is ~ ~ ` ~ ~ -~ h~~ ~- ~ ~ ~ ~ ,~ ~' ti d• W r-- l~. ~ __ ~ f ~ ~ s~ ~ ~~ ~'-.~~ G ~"lJ 7 tJl -F ~a page 8 'of 8 L~Cppy `~< Fs~FR ~/ 7 Safety and Buildings Division ty ~ ,r ~ ~ ` 201 W. Washington Ave., P.O. Box 7162 6 ~ Js ~~~~1~ Madison, WI 53707 - 7162 Site Address De artment of Commerce ~3CQ ~ ' `~C~'i"~- 1'~ ~-~. Sanitary Permit cation Sanitary Permit Nitm ber ~ J In accord with Comm 83.21, Wis. Adm. Co !~1'sonal informs 'on you p~o ' ~~ O ( ` ~ 7 ^ Chcck if Revision ma be used for second s s Pt°ivac Law, s 15 '~, .•° I. Application Information -Please Print All prmation~ ~~f, , State Plan I.D. Number Property Owner's Name Sp ~~ :~.~ r _ II ~ ~ ~ ~ Parcel Number + ` ~J0.C~ t t r lr, ~ , G~~-163-~- 3~ -ln~ Property Owner's Mailing Address .cam `r Property Location ~t tiw' ',d 1~1L ik; S l c~ T ~3~ N, R I S l,J City, State Zip Code'- ,. Phonel+(fimber Lot Number flock Number 1 Subdivision Name CSM Number II. Type of Build g (check alI that apply) ^City ;~ 1 or 2 Family Dwelling -Number of Bedrooms ^Villa e ^ Public/Commercial -Describe Use g Townshi ~' r p , ~ ~ ^ State Owned Nearest Road III. Type of Permit: (Check only one box on tine A (numbering scheme for internal use). Complete line B if applicable) A' 1 ~ New 2 ^ Repiacecnent System 3 ^ Replacement of 6 ^ Addition to For County use S stem Tank Onl Existin S stem B. ^ Check, if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal ttse) 44 ^ Non -Pressurized In-Ground 21~ Mound (,~ k 9o r~ 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass Sl ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Reciiculating 30 ^ Other V. Dis ersal/Treatment Area Informati on: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevatio / Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) ~.~'r'~ S"/~ Elevation °~-~ ~ ~ S ~% ~~~0 u / .-~= Ga.2~ u^-- 106- ~Y..3 -t _ ~ ~, ~ VI. Tank Info Capacity in .Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Co»cretc Construcud Glass New F_xiatinY Tanks Tenka Septic o ~ e O ~oe `' ~ ~C~~A ' l/ Dosing Chamber ~ E 5 ~~ J ~ 5 ~ ~ ~ 11e~~~ ~ VII. Responsibility Statement- I, the undersigned, assume responsibility for llatton of the POWTS shown on the attached plans. Pl er's Name (Print) Plumber's S' nature P~ber Business Pho Number .~ P bet's Address (Str eet City, State, Z' ode) ~ ~ ' / VIII. Coun /De artment a Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Surcharge Fee) Date Issued Issuing Agent Signature (No Stamps] / ^ Owner Given Initial Adverse • Determinadon ~~Q ~ ~ ~ ~ 2 ~ ~--- tw IX. Conditions of Approval/Reasons for D isap p r ov al / _/ / _ / / ( / / ! ~' ~:S r~V r S~dr~ ~n/Gt S 5 wpr>tl~T~ll' 7il V'c~~~C r Ot C k~dwQ~ r -~ ,p ~l~rri bttS Q ~P {~ o~t I~4 .. ~Dfa~~-~. / I p Attac!- complete plans (to the County ody) for the system on paper not less than SLZ x it inches In size SBD-6398 (R. OS/01) isconsin Department of Commerce January 23, 2001 CUST ID No.260751 JACK BOWMAN BOWMAN PLUMBING INC 2819 KNAPP ST MENOMONIE WI S47S 1 i~h^~ ~-~--'_ ~ .! ~ ~-' ~~~ ~ ,~ 'ter ~LJ RE: CONDITIONAL APPROVAL'"-f PLAN APPROVAL EXPIRES: Ol/2~~20U3 1~ ``~ ~' ~' ~ ST GAOIXf °~~;~ „ ~. CL7UN'Y SITE: t'"~ `' DING OFFICE , SITE [D: 625798, Jacob Timm/DKS ' St. Croix County, Town of Glenwood / c~ / !~ ~ (, 1 NWI/4, NEl/4, S10, T30N, R1SW FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No c3 ATTN: POWTS Inspector Safety and Buildings 4003 N KINNEY COULEE RD lA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us/SB Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary ZONING OFFICE SST CRO[X COUNTY SP[A l? 1 CARMICHAEL RD WI 54016 __ Identification Numbers` ~~ Transaction ID No. 611847 '~ Site ID No. ~' Please refer to both identification numbers, above, in all correspondence with the a~encv. 778498 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-1OS72-P (R.6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-1OS73-P (R.6/99). • [n the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 14S.13S and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction instal l atio n/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. JACK BOWMAN Page 2 1/23/01 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~~ erard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. to Fri. 7:15 AM to 4:00 PM jswim@commerce.state.wi.us DATE RECEIVED 01/19/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WSMART code: 7633 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Timm/DKS Owner's Name: Jacob Timm ~,~ ~~ ~ ~ tt~~ Owner's Address: 2520 Wilson St. T~, 92 ~~ ~ oo ~ Menomonie, WI 54751 ,,,,r, /~ w~ ~p~ ~f ~O ~ n v~ O Legal Description: NW,NE,10,30,15W ff`, • Township: Glenwood County: St. Croix Subdivision Name: N.A. Lot Number: 1 Block Number: N.A~~~.~•S• (titti(OYla~ly Parcel I.D. Number: N.A. COn. ~~ OV { Plan Transaction No.: N.A. ~~ ~ pF COMMERCE BUIlD1NC~S RS~EN y pEPA E pt~ISloNa~ Page 1 Index and title Page 2 Data entry s Pa e 3 Mound drawin ENCE ORRESP g g SEE C Page 4 Lateral and dose tank Page 5 Pump specifications Page 6 Management plan Page 7 System and maintenance specifications Page 8 Plot Plan Designer: loretta/Jack A.Bowman License Number: MP222839 Date: 01/16/01 Phone Number: (715)235-4634 Signature. ~ ~ ~ ~ ~ i ~-~ ~ -- r Version 2.82 (10/5/00) Page 1 of 8 Mound and Pressure Distribution Component Design Design Worksheet Site Information r Residential or Commercial Design (R or C) 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 12.00 Site Slope (%) 103.54 Contour Line Elevation (ft) 18.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ft2) 240.00 Forcemain Length (ft) ~ • Q ~ ~ 66 Does the forcemain drain back? n 110.00 Pump Tank Elevation (ft) Enter Y or N 0.125 Orifice Diameter (in) (e.g. 0.25) 2.40 Estimated Orifice Spacing (ft) = 6.25 ftz/orifice 2.00 Forcemain Diameter (in) ~ Note: Sand fill (D) calculations assume a Table 83-44-3 in-situ soil treatrr~ent for fecal col'rform of <= 36 inches. Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2} Are the laterals the highest int in the distribution n Pressure Disribution Information network? Enter Y or N C Center or End Manifold (C or E) 2.50 Lateral Spacing (ft) If N above, enter the elevation ft 4 Number of Laterals of the highest point. 117.00 6.50 System Head (ft) x 1.3 6.08 Vertical Lift (ft) 4.55 Friction Loss (ft) 17.14 Total Dynamic Head (ft) Lateral Diameter Selection in. dia. o ions choice 1.00 x 1.25 x 1.50 x x 2.00 x 3.00 x Treatment Tank Information 1000.00 _Septic Tank Capacity (gal) Weiser Manufacturer Dose Tank Information 650.00 Dose Tank Capacity (gal) 16.88 Dose Tank Volume (gal/in) Weiser Manufacturer 0 Forcemain Drainback (gal) 81.25 5x Void Volume (gal) 81.25 Minimum Dose Volume (gal) 29.66 System Demand (gpm) Manifold Diameter Selection in. dia. o tions choice 1.25 x 1.50 x 2.00 x x 3.00 Gallons/Inch Calculator (optional) Total Tank Capacity (gal) Total Working Liquid Depth (in) galrn (enter result in cell 648) Effluent Filter Information Zabel Filter Manufacturer A100 Filter Model Number Project: Timm/DKS Page 2 of 8 Mound Plan View 1_ ------------------------------------- 1 /66 'observation Pipe K ,... ..5. ,; c~,.. :~s<° :~: •F. B 0. -I I L Mound Component Dimensions 1880.86 (ft2) Basal Area Available 15.00 (ft) 1/6B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 106.83 (ft) -- . ,,~, ,.,.. G H I F .. ; ::: ~~ ~~~~•~~~~ 105.54 (ft) Lateral Dispersal •Cell 105.04 (ft)--~ Invert Dispersal Cell ~ 3~ ; : ~ :D ~ ' ~ ~ t Elevation E . ~ ~ ~ . : : : . : . : : : : ... ... . ^ 103.54 (ft) Contour Elevation 12.0 % Site Slope Shading Key m c. Dispersal Cell Geotextile Fabric Cover ^ _ Topsoil Cap c a ••.•• ;q •;;e ;.•;a• See lateral details ~ {{"' Subsoil Cap ~ ~ :+r;t;:"~. • . ' °° page 4 for number of ©~ ASTM C33 Sand ~ ° ~ ' - °~~.~~.~°• F laterals, size, and . ~ ~. Tilled Layer = ~ 0.5 ft .~•,m~, ,e • ,, ,,_: • •• • spacing. Laterals are 5 s:::r: A r ate a ~ ~ . •:it'l~• centered in the AxB A } distribution cell. Project: Timm/DKS Page 3 of 8 A 5.00 ft B 90.00 ft D 18.00 in E 25.20 in F 9.50 in G 0.50 ft -, -+ _fi _l H 1.00 ft K 10.78 ft z 15.90 ft L 111.55 ft J 6.16ft W 27.06ft 450.00 (ft2) Dispersal Cell Area 5.00 (gpd/ft) Linear Loading Rate Lateral Layout Diagram Force mai n oamect~on via tee or cross to manifold at any point. Laterals are idendc al "1 " i P ~ s •= Turn-up vuFball vale®or I#. X---il~xi2 x1231 Laterals ik Force main of PVC Sch 40 ~ cleanoutplug perCOMMT~Ie$4.30-5 i Holes dritled on the bottom of the lateral. Number of Laterals 4 Orifice Diameter 0.125 in Lateral Diameter 1.50 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 4428 ft Orifices per Lateral 18 Lateral Spacing (S) 2.50 ft Orifice Density 6.25 ftz/orifice Lateral Flow Rate 7.41 gpm Manifold Length 2.50 ft System Flaw Rate 29.66 gpm Manifold Diameter 2.00 in Total Dynamic Head 17.14 ft Forcemain Velocity 3.03 ft/sec Dose Tank Information Electrical as per NEC 300 and --- Comm 16.28 WAC Disconnect ~_ Tank corrtporlertt is properly vented Weiser Ca ci 650.00 Volume 16.88 Manufacturer Gallons galrnch A B C D Dimension Inches Gallons A 20.69 349.31 B 2.00 33.76 C 4.81 81.25 D 11.00 185.68 Total 38.51 650.00 Locking cover with warning label and locking device and sealed watertight i 4 in. min. ~~~ E-- Alternate outlet k>cation Forcem~n diameter ~ 2 in. Weep hole or anti- siphon device P• ump off elevation (ft) 110.92 Dose tank ele'uation (ft) 110.00 Alarm Manuafacturer SJ Electro S stems Alarm Model Number S-J1 Pump Manufacturer Blue Angel Pump Model Number BEF-40 ~- Pump Must Deliver 29.66 gpm at 17.14 ft TDH Project: Timm/DKS Page 4 of 8 Bs~eEF sEalEs CAPACITY (U.S. GALLONS/MIN.) z+dru HE/1D PUMP ` (FED 40 50 76 100 ~ 0 10 ~ 1hS 135. 155 160 2t5 -- 15 dt 105 115 150 X165 230 20 43 68 85 120 150 210 25 Z6, - • ~ 65 117 175 30 75 145 .35 - 110 40 60 ELECTRICAL CMARACTEai3TICS sht~~p S ,t P•11SU 60 59 Ibt. 8EF•M! - .0 HP•115V 60 At 601b=. 88E-60 S~ HP-11vV i0 bt i0i Ibs. BSl:•75 1K MP•ZaOY 60 h~ iG51b6. dEE•100 • 1 NP•l90V 60'ht 1071bR 83E•Z00 ' = HP->!80V 60 bt - ` 111 Du. PEIIFORMAl~E iDpltiE MODEL IIEP ~FOIMIAItQEOrISIOE 111E I~TIAIU d MOt ao ?a ~ m fr 1s f0 3 b 0 ?E~DIIMANCS CIN{YI MODEL OtE tiA~ID1ANE6 Of Ifi~E 1111 i~IR tdlEi I! IeO~!' ~ r07~ ~7 f~ a,< ~ ~ ~ ~ ~ sox uwr o so Lao teo mo sso Boa e wir~attr_u.o. ew,aa ~~ wru1~ 0 !0 10 R~ t0 100 1=0 110 NO ~.ANCITr_s~.l.4~t~fDwtr~gwMbfE _ ~ - ---------------------------- ----- • Jlgy 01 ' ~~ 08.56AM S . D . hICCUL,LgJGH - - - - - - - P . 5 of E Mound System Management Pian Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shalt be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shaft be disposed of in accordance with NR 113, Wis. Adm. Code. The opereling 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 enGosure. If the fitter 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 113 the I+quid volume of the tank. ff the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the rraQ service needs to be performed to maintain less than ma~dmum scum and sludge accumulelion in the tank. The addition of biological or chemical additives to enhance septic tank perfomrance is generally not required. However, if such products are used they shall be approved far septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Prr3ssure DistributJon System No trees or shrubs should be planted on the mound. Plantings maybe made around the mound's perirrreler, 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 intiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost prdection. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/LTSS, and 30 mg/L FOG for septic tank effluent or 30 mglL GODS, 30 mg1L TSS, 10 mg1L FOG, and 10' cfu/100 mL for highly treated effluent. Influent flow may not exceed ma~dmum design fk~vv specified in the permit for this installation. The pressure distribution system is provided with a flushirg point at the end ct each lateral, and it is recommended that each lateral be flushed ~ accumulated sdids at least once every 18 months. When a pressure test is peforrred it should be compared to the initial test when the system was installed to determine if aifice clogging has occurred and ff once clanning is required to maintain equal distribution within the dispersal Dell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any IeeRds above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Corrurr 82-84 Wis. Adm. Code, and shall maintained in accordance with its' corrrporrerrt manual [SBD-10572-P (R. 6/99) or SBD-10690-P (N.11/00)) and local or state rules pertaining to system maintence and rrraintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS carrponer-ts. Septic or pump tank manhole risers, access risers and covers should be inspected fa 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. F_~osed 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. Contins~ency Plan ff 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 becorrres defective the defectirne component shall be invnedi~ely repaired or replaced with a compor>ent of the same or equal performance. tf 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 k>r;elion by inc-easirg basal area if tce leakage occurs or by removing bidogicaly clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintemce of this system should be directed to your designer, installer, service provider, county zoning office or local health inspector. See Page 7 for the name and telephone number of your local POWTS regulator. Project: Timm/DKS Page 6 of l3 Mound Svstem Maintenance and Operation Specifications Service Provider's Name BOWMAN PLUMBING INC. Phone 715/235-4634 POWTS Regulator's Name St. Croix County Zoning Phone 715/386-4680 Svstem Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Partite Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other In and/or service once eve 3 ears Should ins once a ear and clean once eve 3 ears Test once eve 3 ears Should test month) Laterals flushed and ure tested once eve 1.5 ears In once eve 3 ears Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted or perforated and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion. Lateral Turn-up Detail Finished •~~~~~~~~~~~~~• ~~i~~ •~~~~~~~~~~~~~~• Grade 6" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Timm/DKS Page 7 of 8 •'.. , ' ~ ' Timm/DKS LEGEND PLOT PLAN page $ `of $ scale 1"-40' except where indicated no Comm 83 pooblems 0 SYS ELEV. 105.04' on contour 103.54' ~~ ~R,vLwaY JJ `~" ~ ~- ~ ~,~~ - 1 ~° C~- ~~ i C7' ~ .r~ 3 3 ~' ? ~ ~ ~~ ~ ~ ~i ,' 3 k rl 0 ~ -~ 2 A -- `~--=. T Mho ~~ 5 Bd"^~ rtil,-~ ha rv.2 ~~ d j~ /%./ i% i ,\ ,i p ~~ ~ ~ 'i ~ ~ (~ ~~.. ~-~ ~ ~~~ ~ ~ ~ ~ z ~'~ r ~ ~ ~ w o w ~ ~ ti ~. ~ ~ ~, ~ ~ ~- ~- i ~~~~ 3 ~ ~ k s~ x ~ - - c .~ v ;~ ~8 JKp ~5 &~s Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~• of ~° Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size- Fian mllsf County ~~ /Y2c, % ~, mGUde, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percent slope, scale or dimensions, north arrow, and location and distance to nearest road. . . Please print all information. R 'ewe by Date Personal information you provide may be used for secondary plfrpo~esl(P'ri~ecy Levy s. 15.04 (1) (m)). ~ Property Crvvner / ~ ~, • ~ -. ~~~ r erty Location / \ ~ ~ uCo ~ ~ ~m rn 1 ~ ~`~.~"~'' ' GdNt~: of ~i ? 1/4 ~I[ 1/4 S /Q T ~b N R /5 ~ (or Property Owner s Mailin Address < ~ ~ i a ` a ~ ~ Lot # .~, Block # Subd. Name or CSM# ~~~ q~ ~ ,:5 ~ Son ~ ~,,Ja _ ` _ i ~t ~; ~ -_ _ ~. ~, V o l ~ l ~ -its ~~' City State Zip Code P ' e Number ,~,~) r ~~Y ~ Village ®Town Nearest Road ~~U~)"~V~~ /~ UU ~ 5~ /~ (fit I~~) r ~)-' 4, f' .~-__~ ~~~17 ~'l,~ ~~ ~~~1 ~ /'Y ~ , , J ® New Construction Use: ® Residential / Num o~ Brooms ode derived design flow rate -'~~~ GPD ^ Replacement Publ ic or commercia '~ie~s~riae ~~~~ ~ ~ 7;'C~ . / _ Parent material iCl r° I' S ~--`-''-- Flood Plain elevation if applicable '- ~, ~ , tt. General commen and recommendations:~u' ~<`Y~2 /1zG ryc±° C• dYJ C Ze~~ ~^9 2Pu,~e7~ ~ ~~ / ~ , x f~i c, ~ ~~-c~-~' c~ n~ Li, r R ,+'-r„ ~ ~~ arc ~. c-~ C~ 5 , .~ II /2~ ~ r; 3.5°~ ~ Boring # ^ Boring ®pit Ground surface elev. ~~~m3.~ ft. Depth to limiting factor • 1~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 j' - ~~ S I rr c~ k m ~r C l~ ` ~ ~ ~ 5 C~ , ~ ~ ~ 43 1-3 .5 ~' %~ ~ (/ /t S ~' ~I -CLAY ~Zr/~G, ~l1 ^ Boring B i ^ or ng # a ~• ®pit Ground surface elev. ~`~i ~LJ7 ft. Depth to limiting factor < < 9 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ ~ ~ 3 ~ ~ 1 ~~ Q~k --N~ ~' C" S t u I . ~ / - ~ ~~~~ ' G` ~ h`/ Q J ~~~ c~5 m-~,-- ~ l rn ~ ~ ~ n l n G (;' 1( ~/ ~ ~ S ~i ~~ ~ 1( ~ d - ~,~ I~ ~ 11 ~ 1 ~' _~ ~ ~' ~ ~~ ~ '~ '~ , / G' f L' ~/~ ~ ~ ~ ~. ~y?, ~ / - ---5 --. - "•i7•~ "••" • "" - _- •••tY~ •~YGIR 1rG ~ L)VLIS ~ JV Illa/L i11W 1 JJ ~ JV mg/L CST Name (Please Print) ~J ignatu CST Number Ms. Loretta A. L _~G~~~ ~~a°~.iCf~~_, CSTM 224580 N2089 Cty. Rd. Y, Menomonie, WI 54751 ~h 715/235-4634 wk •~ ~~ 715/664-8184 hm Property Owner ~i/r~Y)~ Parcel ID # Page ~a of .~~ Boring # ^ Boring `"' ®Pit Ground surface elev. C~~. ft. Depth to IimiGng factor ~_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 C ~ R '~ P ' m ~5 k rn -~~- ~ s _ ¢, ~ ~~~ ~~ ~ , r~ o 9~'1 / Boring # ^ Boring ° ®Pit Ground surface elev. OI ~- ~~ft. Depth to limiting factor -_,~,_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ^ Boring # ^ Boring ^ 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/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R6/00) y '•/ 4• c CSl a f ` •~ r~_~ W ~' ! ~ ~~~~ a H ~ 1 1 ~~. ~~; ~~~ ~~~ ~~~ ,~ ~. ~ { ` _~~ -~~ r'. T~ ,~ <: _~_) ~, ~~`' _ - a ~ ` b ~ .~ _ _~~ .~ ,~~ ~; ~. h '`~ ~~ ~ y ! ~~ \ ,r -. ,~ ~; - r ~ , ~ ~1 1 ~ L 1 '~ f f~` '~C ,r I ,,,, `. ~ .:' A \ ._.__- c] -..,_ ~~ t~ C) ~~~ G ,~.... _.. _Q,,,. ~~ ~ H r{ ~ O O O U ~M.1~ ~ •~ O 'TS •~ E~ ~-+ O O U ~ N U ti~~~ 'J t~ ~~ ~ }~ ~ ~ ~ .~ .-, % - ~ - - _ v ~. ~. ~~~ ~ - ~ --- ~, N .. ~ N b. ~~i ~ is ' ~~ ~" ~.~ ,, ~ .O ~,1 -_ ~~ _ va_ _. ,. 3 ~ , . ~ ~ ~",, ~, ..~ y~~. `~. ~ "~» i-~~i W ~I ri ! )i~ `~ 4 ~ ` O +~ O O S-I O ^^ r VJ d' ~ ~ ~ Q 0 ~ ~ W r -I ' 3 -I ? -~ ~~ a ~ ~ o ~ ~4_~illt:it ~yarr'itllt A) )1tCatiUn ~ Saicty & Buildrrrgs ~:rvrsic ~'~ f'~ E ~ ? ~ } 20? W' Wa~hsngtor,.'~e tr: a~rc~rd ~,u7 Comm 83 ' 1 ~l "• ~dn~. L ~~ae ~ F'G BUS 731 See rc~"erse side i`trr ins!;u~tio+ts t'ur u~mp.euc~g tniti appl cation f~consin ~ Madison. W?:3707.73; f ersona! :rTforn~at;on you provide ma, be ~~~c, iur scc~indan pu~p•.~ses ~ ~, D~apartment of Commerce ( ; i.Subnut cnrrtpleted ,orm to cnu"st). if'r 1Privacy Lae+ S. , 5.t)dtl,),n)i state owner Attach tom fete lany {to the coun;`~ ca ~ oni4)'or the se~stcm• on a er not less than S•Ir`~ s i t ' ches in size, Corot State Sanstary Ae!Ta;! tvumber O Cheri: if revision to previousapplication State. n I . Numbet I- Arnlicrttien Infnrmgtian -Please Prrni sil lnformatian ~, \~ i~oea ~- tt:- ---- - - __ property Owner Name -~~~J"~ ~ ' rapert)• Wcauon ~ ,c. ~i4- ``T~i'1~1 ~ l' `-1 ~ ~~`, 1?4~Glld,s/' T30 .~ Property f~+nar"s Mailing Addlxss m ~ n .. ~ ,.Lo Number Stack AIumbri ~; ; ~~ CI State Z;p i.'cxle Ph n , mtset C qp~ n " , xd ivision Name CSh4 Number - . _ . :--~A,.. -~ ~ , '7~'ti,` t~J~y7~I5~~. S~~' ti~ C ~. ~~• 3860 IL Type of Building: (check one) of bedrooms: --~ thvetltn - Na 2 Famil O ! ~ fem..,-r- .. - .,;-~ • ~ + ~ ~ ,, } J L ",, O T ii , g y or L7 Publlc/Gommercia! (describe use). J _ --L--~-'' ~ ~ ~~ ~0, O State-owned III Type Qf Permit: (~tteck only one bax c+n sins A. Ch ck box on line B if applicable) 'exrest Road D ~ ~ A) 1. New System 2. C.] Raplaces~eat 3. O lacement of " ' A. ^ Addition t Parcel Tax Number(s) C'>/6 - /D - O ,~ S stern artk v i Existin S .c:r U B) O A Senile Permit was re°r;ousl issued Permit N r ~ 30. Is I ;~ \b IV. Type of POW'f 5yateat: (Check a!I that apply) O Non-preasuriz~ [n-ground /'~ - ~ Mound Sand Fltier ' D {:onstructed Wetland D Pressurized tn-$rottnd O At-grade ~ u 0 Holding'£ank Single Pass ^ prip Line E7 Aerobic r tmert Un' , ircul g Outer; ~ ~• St) `'`D ~ o " ~ 0 k ~ Y Dis rsaUTreatmaat Area Intormatioa. 3 ~ } ~ 4 Soit Applic n S. Parcolrttion Rau 6. System Elevuion 7. Final t~ --/llb 1, beslgn Fbw gpd) 2. DtsporsalArea spcrsa ea Fievalion a ttequired proposed }isle (GsIsJ /sq. ft.) tMin.iincitl ' S VI Tsak Capacity in Tani ~ of arit:facturer Prefab 5#te S Fiber P#astic information Gat#cxis Gat#ans Tanks Gam" C`am' glass ~, New Existing ~ Crete I strutted Tanks Tanks Q D © r' ~~ -r--~ ~ p~ IY/i D U~ _ ~ ~ D lvj d - ~ ~ vn g~ponsibility Statement ___. ~ I th+r underai ed assume res nsibilit ~ fcr iststa!! 'son of the PaWT5 shown on the atianc~d cans. Pl s (ptutt)'/~/] ,/~ PI 'a Si turo t t }; MP/MPRS No. 13us+itess Phone> umber ~~r ir"/ e/C s 1 ~~ 1Z~r%O /s G ~~ lurt- s ess ( ireoc, ty. State, ~ e) ~ r ~r ~ ~ i ~"5~ z~ - 3 VIII Caunty/pepstrtment Use On4y Disappro~ San#~' pertntt Fee {Includes Groundwater Dato issued issuing Agent Si store (Na atampai ffiI Approved O Owns' Given Initial Adverse St~r e Fee) 0 Z3- 2.obc~ ` ~`' Deterrrtination ~p ~aS.~ I IX. Coaditioos of Approval !Reasons f r D' approval: ~~~~ ~ ~ I °`'t5 S S~~ ~~ I~ ttiui °° (,~'~ ~.~-' (~,nn.w~.itS~' a~ar.~'(.bl'°~_ SBL1.6398 (R. 0?lOtl) ' ; ~ ~ ~scons~n Department of Commerce Safety and Buildings PO BOX 7162 MADISON WI 53707-7762 TDD #: (608) 264-8777 www. commerce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary October 16, 2000 CUST ID No.227618 ATTN. POWTS INSPECTOR ZONING OFFICE TOM GUSTUM ST CROIX COUNTY SPIA N13450 937TH ST 1101 CARMICHAEL RD NEW AUBURN WI 54757 HUDSON WI 54016 RE: CONDITIONAL APPROVAL ~Vl ~ Identific um rs PLAN APPROVAL EXPIRES: 10/16/2002 Transaction ID No. 42699 SITE• ~ ~ ~~ Site ID No. 200383 MIKE STANDAERT -RESIDENCE Please refer to both identification numbers, ST CROIX County, Town of GLENWOOD; 170TH AVE above, in all correspondence with the agency. NW1/4, NE1/4, 510, T30N, R15W FOR: Description: NEW MOUND SYSTEM / 450 GPD Object Type: POWT System Regulated Object ID No.: 766343 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: 1. On page 2, the actually required "In situ Sail absorption rate" for this site is 0.4 gpd/ft 2 The minimum required basal area is actually 1500 ft Z 2. On page 4, the vertical lift is actually 9.28 ft. The total dynamic head is actually 17.87 ft. 3. On page 4, the pump tank capacity is actually 650 gallons as shown in the Wisconsin Plumbing Products Registry. 4. On page 4, although no defined on the plans, this approval assumes that the "Bottom of Tank Elevation" refers to the inside of the tank. 5. On page 4, the following pump switch settings were adjusted to allow for the actual pump tank dimensions: D =11.7 inches, or 198.9 gallons Total = 38 inches, or 646 gallons 6. On page 5, this approval assumes that the "System Contour" and the "Ground Contour of Mound System" are the same. This was not clearly shown on the plans. 7. On page 5, the actual "Lateral Invert' is 100.83 ft. 8. On page 7, the well was not shown as specified in s. Comm 83.22(2)(a)3.c., Wis. Adm. Code. The well location shall conform to s. Comm 83.43(8)(1)., Wis. Adm. Code. A copy of the approved plans, specif cations and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Ail permits r -- - . ~ ti TOM GUSTUM Page 2 10/16100 required by the state or the local municipality shall be obtained prior to commencement of construction installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely;' ~ ~ ~~ /~ DATE RECEIVED 10/04/2000 ~' ~--~ ~' FEE REQUIRED $ 175.00 ll'~ ~,(,- ( ~~ FEE RECEIVED $ 175.00 PE E PAGEL ,POW PLAN REVIEWER II BALANCE DUE $ 0.00 Integrated Services (608)266-2889 , M - F, 45 - 1630 HRS PEPAGEL@COMMERCE.STATE.Wi.US WSMART code: ?633 cc: MICHAEL A STANDAERT Mound System Cover Page Owner's Name Mike Standaert Owners Address 1690 310th St Glenwood City, WI 54013 Legal Description NW'/<, NE'/., S10, T30N, R15W Township Glenwood County St. Croix Sutxtivision Lot# Parcel ID flan ~p~ `Iy~L9~ Table of Contents ~®s~ ~ Cover page ®~Mound Sizing Calculations p. ~ ~ Pressure Distribution Layout and Dynamics ~~~ ~ 4 Dose Tank Calculations 1201 5 ound System Drawings ,.~` management and Contingency Plan s%(~N~~, 7 of Map 8 Pump Curve Specifications 9 total # of pages: Designer Name: Thomas Gustum License #: D1201 Date: 10/13/2000 Ph. #: 71~5~,.6~5~8.1344 Signature: ! ~~"~ "~ RECEIVED QCT 16 28N sa~ErY & e~o~. acv. pg 1 of 8 ~'o~ ~ h! ~~ ~~14 TS -_°~ R hazy ~£qF T ~' C `~~1 gv~'ti _O CORREC11ON NEEDED SEE CORRESPONDENCE Mound Sizing Calculations page 2 of s Si te Conditio ns Private Dwelling or Commercial (P or C) p Slope 12 °k # of Bedrooms, 1 or 2 family dwelling only 3 Depth to limiting factor 26 inches Absorbtion rate of fill material In Situ Soil absorbtion rate Max BOD effluent value 1 2 al/ft^: gal/ft^: mg Max TSS effluent value 150 mg/I Design Wastewater Flow Design Flow -Private Dwelling 450 gal/day Design of the Distribution Cell Bottom area of Distribution Cell: 450 Ft^2 Distribution Cell Width (A) 5 ft Distribution Cell Length (B) 90 ft Ground Contour Elevation of Mound 99.5 ft Desi n of Entire Fill Depth at upslope edge of cell (D) 10 Inches Depth at downslope edge of cell (E) 17.2 Inches Distribution Cell Depth for Aggregate (F) 9.5 Inches Cover Thickness at Distribution Cell Center (H) 12 Inches Cover Thickness at Distribution Cell Edges (G) 6 Inches End Slope Width (!~ 8.8 Feet Fill Length (L) 107.6 Feet Upslope Width (J) 4.7 Feet Tce (Downslope Width) (I) 12.8 Feet Fill Width (W) 22.5 Feet CORRECIION NEEDED Basa re SEE CORRESPONDENCE Basal Area Requi ft"2 Basal Area Available for Sloping Site 1602 ft"2 Observation Pipes Location from each end of distribution cell (Z) 15 Feet Pressure Distribution Calculations Lateral Layout Lateral Elevation 101 ft # of laterals Center or end manifold (c or e) c Distal Pressure Requirement 5 ft Orifice diameter 0.125 in Lateral Length 44.00 ft Orifice Spacing/Distributior Est. Orifice Spacing in Inches 28 in Est. Orifice Spacing in feet 2.3333 ft Actual Orifice Spacing in Inches 28.54 in Actual Orifice Spacing in Feet 2.38 ft Orifices per Lateral 19 Square feet per orifice 5.92 ft^2 Available Orifice Choices: Fractional 1/8 3116 1/4 Decimal 0.125 0.188 0.250 Lateral/Manifold Design Lateral Diameter 1.5 in Lateral Discharge Rate 7.8266 gpm Manifold length 3 ft Manifold Diameter~in System Discharge Rate 31.307 gpm Lateral SpacingC 3 ft Lateral to Distribution Ce11 Edge 1 ft Force main Friction Loss Forcemain Length 100 ft Forcemain Diameter 2 in Friction Loss from Forcemain 2.098 ft 4 Lateral Center Manifold Plan View Force main connection via tee or cross to maniFold at any point. I.alsral l.enalli Ohlf l:si cn bo4tan d IF lalsral sgpaAq ~*aced 4Alsrala & ~orcereatr d 5~ctia0 ~'lIC 0- t~,--up wf bsAYa~lYs or clsanvn4 7~4 page 3 of 8 ~I Laterals are identic al Center Manifold Lateral Side View Septic, Pump and Dose Tank Calculations page 4 of 8 Total Dynamic Head Calcs. Are laterals highest point in pressure system? y If not, list the highest elevation 0 System Head (distal x 1.3) 6.5 ft Vertical Lift (pump off to lateral) Friction Loss in the Forcemain 2.098 ft Total Dynamic Head (TDH) 19.55 ft Dosage Volume Calcs. Does forcemain drain back to tank? Lateral Void Volume 18.60 gal Lateral Void Volume x 5 93.02 Manifold Volume 0.49 gal Forcemain Volume 17.42 gal Total Dosage: 110.44 gal Tank Information Tank Manufacture cast Tank Capaci 0 Tank Gallo n al/in ottom of Tank .8 anufacturer/Model Hydroma is Shef40 Minimum Septic Tank Capacity Required: 940 Septic Tank Capacity Chosen: 1000 Septic Tank Manufacturer st Effluent Filt :Zabel A100 Pump Tank Diagram WaFerllghD lacknq cortar ~) Inch ~ wlth rrarnhq label Ahnm-m'fr ~ Irnl~had Allcrnala / QulleE 6°raEbn Glaclrleal par Corm 16.28 and tsmab ~+faep Mda ~ NBC ~O req. ~ or ~ntr~phon pa~tea ~ L b Selected pump requires a minimum operating head pressure at 31 GPM Access opening of sufficient size to lie provided to allow removal of filter. Opening to terminate at or above grade. Inches Gallons A= B= D= Total= 17.8 302.6 2.0 34.0 9.0 11 .4 153.0 CORRECTION NEEDED SEE CORRESPONDENCE Mound System Drawings page 5 of 8 Mound Plan View T Ob~ervatlan p~e~ ~ ~ A= 5 Ft. B= 90 Ft. 1= 12.8 Ft. ~ ~tstrlbuttort Cc11 ° J= 4.7 Ft. I~f K= 8.8 Ft. L= 107.6 Ft. ~ I3 ~ K W= _ 22.5 Ft. Z= 15 Ft. k- L ~ Mound Cross Section View (Typical) Co+ner l~atasrlal anal Grade 5gnthetk ~abrlc ~,~-~7bgervatkan pipe pt~trtbutlan Cell G 5qs tem ~l eva tiara ~ ~tll N4aterial .,~ a ~•, ,~~~ U ~~`~ ~ ..eac1 Slope= 12 Fill material consisting of ASTM A33 Sand Distribution cell aggregate to compy with Camm 84.30(6)(q v Lateral Cleanout Detail Clean-aut plug final Grade ~~ ball valve Lawn 5prlnkler [3ax Lang sweep or two ~t5's L~i.#ecal 1'tl{ed Area ~`-Force l~4aln ustem Contour Ground Contour of Synthetic Fabric cornering D= 10 In. E= 17.2 In. F= 9.5 In. G= 61n. H= 12 In. CORRECTION NEEDED SEE CORRESPONDENCE Final Gra Lateral Inv ~ 01.00 ft .em Elevation: 100.33 ft sound System: 99.50 ft Mound System Management Plan pursuant to comm 83.54 W. A. C, page 6 of 8 Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surtace discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical/biological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank volume may be occupied by studge/scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 113 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Pump/Dose Tank If an effluent filter has been instafled in the pump/dose tank, it must be removed & cleaned as necessary, with provisions to keep solids from passing to the mound component during removal. The pump, float switches and alarms must be inspected at least every three years for proper operation. Pump/dose tank should be routinely inspected to be watertight and of good repair. Mound and Lateral System The mound system component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowingJmaintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities andJor possibly cause it to freeze in winter conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the cleanout points at each end of the component to remove scum that may c{og orifices. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by either: extending basal toe to provide added absorbtion area; or by removing the clogged bacterial mat,aggregate cell, and distribution piping within the mound and replacing said components in order to return system to proper working order as required. ~, J J~ tl I -~ ~ I I~ Q t D N i m fi~ U ~ uNi O /~ m ~ '~`~__ r -__~~' O t~ tl M = 4+ ~_~ Q I N ~' u> 0 N ~ ~ J W _ C1 _ S Q N n) F- N ~ ~ ~ G C J _ ` 2_ O (17 CL O ~ S F-- F- ~T n ~ I cn c~ ~ ~ o ~ Q _~ ~ o ~ '- + 0 0 0 L ~' ~ Q [1,. ~ ~~ ~ _,__ - ~~ J Cif ~1 ~ : J w J 2 w \C-J \\ \111 / ~ V II II II JJ1JJ ~, O ~i/1 N s ~ t ~~ r ~ ~ ~,~~ ---- -- a _> oa M OM O V ~ O ~ L ~ ¢ cn .~~, O M M •,r I ~I o ~ ~> z 0 c tO R ~ o a a ~o"' mN~~ v UmW y~ O~~ o ~$~~Z N V N 1 r) ~ O o ~ ~ c o 0 ~ U C U U `~ ~ O ~ rn O cD ~ I rn ~ N~ m ` ~ ;~. m d a I } 0 ~' ~: ~ ~.~~ ,m ""N a ~ g o p u mm ~O ~ CJ `O ~ adolS ~~ ~~ ~ ..~., O N M Page 7 of 8 i '.. ~ ~ P Pumt~ Characteristics Pu Motor Unit Submersible Manual Models SHEF40Ml SHEF40M2 Autonatk Models SHEF40A1 SHEF40A2 Her w~ 4/10 fug Lom1 s 12 6.5 Motor T Shaded Pole (4 Pole) R.P.M. 1550 Phase `' 10 Volt • 115 230 Hertr - - 60 iem atwe 120° F Max. Fluid iem . NEMA Des n A bxulotion Class A Discbar Size 1 1 /2" NPT Solids H 3/4" W t 281bs. Power Cord 18/3, SJTW, 20' std. {30' optical) Materials of Construction HamAe Stairdess Steel lub OR Dielectric Or7 Muter Nou fast iron Pu Casin Casf Iron Shah Steel Mo<fiadcal Shaft Seal See) Fans: Carbon/Ceramic Sect Body: Ano~zed Steel Spring: Stainless Steel BelMws• Buna-N hn ad Thermo lastk t) Bronze Sleeve Bean lower S le Row Bab Beo ' Bottom Plate P ester Coated Steel Fasteners Stahdess Steel legs Engineered lliermoplastic Performance Data 40 SHEF4 ' 30 ~ Zo 10 0 10 20 30 40 50 60 70 GPM Total Head (feet) 10 14 17 21 25 28 30 35 (m) 3.0 4.3 5.Z 6.1 7.6 8.5 8.8 10.7 GPM (US GPM) 70 60 50 40 30 20 10 0 (liters sec) 4.4 3.8 3.Z 2.5 1.9 1.3 .63 0 Dimensional Data «- 3-7f8"-..-s-~e• (,se.z7> 1. Afl dimensions in inches. (Metric for (98.42) ,___5, it27) international use). se z> 2. Component dimensions may ( vary ± 1 JS inch. • 3. Not for construction purpose a7rs DISCHARGE (9e.4z) ~-,r2" NPT unless certified. FLOAT SWITCH 4. Dimensions and weights are approximate. '~ S. We reserve the nght to make isions to our roduct and their re ~~ v p ~ ~ specifications without notice. ~- t 9-~8" 2' (50.8) (92.07) © 1998 Hydromatic" Pumps, Ashland, Ohio. All Rights Reserved. ~~ HYDROMATIC ® -Your Authorized Local Distributor- . -. p g ~ 8 1840 Baney Road Ashland, Ohio 44805 Tel: 419-189.3041 Fax: 419.181.4081 Web Site: www.pentairpump.com own srr,4~ ~ ,.•w•o . SALES OFFICES !N All MAJOR CITIES AND COUNTRIES ~ ~ $ ~ 5r ~~ Refer to Pumps" in the yellow pages of your phone directory for your local Distributor $ ~ L~ s Item#: W-02-6680 1198 SM ~ooaianc~'~~ ~ jP • ' ~VltiscrJnsin ~'epartment of Commerce SOIL AND S~~,UATION Dfyrsion of S~fety and Buildings Page of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Aom Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and ~T, ~r ~ - percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all /nfoMlatiori ',~~~ Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law,~~i5.04 (i) {m))`ti D _Z - Property Owner -:,~~ ~roperty 1oa~ation C ~ ~ ~~~,. ~ c'~ ~'• Govt. Ldt : , 1/4 T/4,S T3~,N,R~~ E (o W Property Owner's ailing Address fr_ Bl k# Su d. Name or CSM# G/ ~ ~s~' 7`-~ '~~.. X~- City ~ State Zip Code Phone Number '~"' ' ' ~ ` Villa e wn Nearest +.jstiiN~i(i~Fi- ~ _ 9 J 1 ~~/! KBD . ~ ~~,~ ~~~.~ ~ `+~~ ~/b'>r ~ _ : ~ ._ ., New Construction Use: idential /Number of bedrooms-'~s__~__ Addition to existing building ^ Replacement ~ U Public or commercial -Describe: Code derived daily flow ~ 9Pd Recommended design loading rate" ~ .bed, 9Pd/fl2_~~ trench. 9Pd/ft2 Absorption area required bed, ft2~~'_trench, ft2 Maximum design loading rate' Z bed, gpolft2 ~ ' L trench, gpd/ft2 Recommended infiltration surface elevations} ~~d. ~ ft (as referred to site plan benchmark) Additional design/site considerations ' Parent material ~ ' ~ Flood plain elevation, if applicable i[/l,~ ft .' .: S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding T~ t1, = Unsuitable for system ^ S u ~ u ^ s ^ s ^ S S SOIL DESCRIPTION REPORT Boring # 1 Ground ~~lev ' ft. Depth to limiting 3a~ ~ . Boring # Ground /~,r lev. (//J ft. Depth to limiting u r ~~ Horizon Depth Dominant Color Mottles T t Structure i C n t B d Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. o s ence s oun ary Bed ,Trench 3Jz. GS" <S~, Remarks; ~.. ~, 5 ~ ~ _ ` e ~f ., S o PROPERTY OWNER PARCEL I.D.# Boring # Ground e~ I' , ft. Depth to limiting ~ac~ m. Boring # Ground elev. ft. Depth to limiting factor in. Boring # ~- SOIL D~~TION REPORT Page ~~ of ___~, j Fler~Z~:i depth Dominant Color Mottles T Structure t C i B d Ro ts 2 in. Munsell Qu. Sz. Cont. Color exture Gr. Sz. Sh. ons ence s oun ary o Bed ,Trench I ~ 2 ~ L' .T' ~- i ~J~ r s ~ ~, ~ ; ,~ -~ ;~ , , Remarks: Remarks: Horizon Depth Dominant Color Mottles T t Structure i C t B und r Roots GPD/ft2 in, Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. ons s enc y o a Bed ,Trench Ground elev. ft. Depth to ~ limiting factor in. Boring # Ground elev. ft. Depth to limiting Remarks: factor 'n' Remarks: SBD-8330 (R. 07/96) s .: ~- +.~ . 170th Ave Soil Test Plot Plan Project Name Mike Standaert Sha i Address 1690 310th St. ~ Glenwood City Wi 54013 #226900 Date 5/20/00 N W 1 i4 NE 1 /4S 10 T 30 N/R 15 W Township Glenwood Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Nail in Large Maple Tree System Elevation 100.7 *HRp Same as Benchmark Alt. BM Base of Maple Tree @ 98.1' Lot 1 Subdivision ------- 330' 75_'B-1 5 ~ B.M. n Alt. I \R.M, 12% Slope 45' _ _ 25 /I Y B-2 ~--_ 10 40' Please note: soil test was done to satisfy zoning requirement, may not be suitable for desired building site FROM :'NORTHLAND PLUMBING, INC. FAX N0. 715-643-2520 Oct. 23 2000 05:24PM P2 . , c ~'~ '~ ' ~ - -- --^---~ VAULTED CEIUNCi .-.. _. __ , „...,___....,.._•.~.,._-. u.,. ....t BM/yrl~ w'in N 0 __ .... Q-... ~ ~ ~ ~- ~~ rr+ru~r~ i BEDR~OOlN2 ~ 1 QE013 ! 4 ° 12'-il' ° $'i' v _a~Vf101 p ~ C' Co ~ i .. sy~ ~ ~/N•4 G ~ C~ ...v. ~ III 1' ~ - u~ , _. __.xYr~•..._..-__ .-•--- •---• srD. ~ 4DAti1ER c r~x ~4-e• o ~r.o~ o zs~~w RL~542 28X$2 3 BSDROdM-2 BATH 1421 Sp. FT. ~~. ' ~ 0 10'-8 n S~ n 1 n ~~ ~~~ ~f~r.~C~,~k~V~~' ~:/ C o >rr.IL7rJ ~ I ~ K ~ 1 M~IMeL!Ntr ~;~ ll ~IL.~I.I T .X,~".r^..wa:~Fia`^--•:c:_ ~ ~ ~ i `• K _ ~ y~'~/~j//~ O/N/NO 1'8 ~A r w.~•'^^M1C~„X~JR//_ ~.UFd1w`.M I~ r~~ 7~~~u ': ...:2: ,..' CCO'CVTKI~F ~ K:ao6i' .M..~ ':j:?cyfgp ~ ~'v/' ~~~ 1 I pp, ~j G'rr~.C++' ~1 .~ ?C^""n^ ~ ~,,,w~ I RVV/II I ~~ ~~ 3Yfi ~ J N ~- .~i ~~ 01~OOM p.G- DOOM ~-C-i- -ii '- .~ ~ ~~ •%-~- --~: 1 WALK STD. 2Q' DONMER ~ •-- - ,py r'~ 6 G ~ ~~\ d IS k NINM~IIiD '--_.- 16'-B' - o _~.. _ 2~'-0' T ~ 12'x' ~ 6'r4' • 108" c ~"~6' 0 10'x' o RL-853. 28X56 3 BEQROOM~2 BATH 1631 SQ. FT. 11'-s- ~ /LLTERNAT7: OPH6L11, TUB/SHOWCR i PLAN RL-553 ~s~.e• OpT Df7U6L10 WALK-IN cLassT PWN Rl-5S3 ,~ W/NDOV~I S/.z~S WIDTH X HEIGHT A 1ax3y K- 46x8a D 30x27 L" 30x68 F SOx53 [i 24f30 Gi 36X63 V 30x39 v,dcer I 46x39 OGT ?3X22 oe~eao •Fa RESS wllur~o w KITCNBN PERSPECTIVE DLAN RL-S4~ KITCHEN PERSPEC'T'IVE PLAN iiL-5E+3 ~~.i'r1C TA.'ti'i~ h1.Alti': ~?'~'AUC:4~ ~,,}~~~.F.'~~i~?tiT AhU t1'~.'i~ER~;~IP C;ER'tIFICAT.tCN rf~F.M ©wner~3fttyer Mailing Addra~ P~~~~il ~~~ AYW ~-~ rr~.a~r:.i~~ ..+r...r~~ ~ v.r~ (Veriffcatiort required fmm Plasttuts~ Aepesttstesst for nea~ City/5tau 0~' ~. _)~~no (,~, G~ ~~ Parcoi Yda~tifir~tian Nurabor D i~ -' /~l' z.y - 30 r,FtYwL D~cRt~'IOiV Froperty I.ocstioa ~, t1<, ~„ :~., Sec. /. ~ ~, T.,~,N-I~.~.,~.,W, Tc~~~n of ..~~' Certified 5arvey Msp # ~z ~ 9..~ 7,,,,,_„~,., . Voltuae . / , Fage # 3 8"8~ W~,rr~tnty Decd # _ _.7~ S_,~ ____!.._,: Volw~c ~~~ Pao # 3 z8 5poc house L7 yes U no Lot liaa# it~sitifisbir ~! yep iwS na ~ us~a tnd stssitdeaawcaaf yon septic sy~ could t~lult it: is ptreoxecure~fiatuire ce tut+dto waste's. Proper teas~ace ooaristz of moping oat the sgapd~c tsanlc ovary Wree yesn or wonac, it ae~ ~y a tweased l~~'. w~at you gat ~~ the sysrc~ pad alteat ~e the tie tta a iaa ttte wAttts ouu : *~ c ~ ~G ~i ~ ,-~rrr ct ~r ~- d_~ f iu ~~e~'e.~r~ ~ ~e~4~E~ .4n' G r-•RS Y C~ ~ e ~ y~e p:npriy owner des to w~ to ~:. t~aix noptrt~ a oa~a-aan zac~, ugtua by sha ovvrrr ~~ ~ waster glutabet, jauraey~plssasher. i,~triigluaatber of t liaestitdpauaper versa tom! ~1) ~ nss~te ouatawsterdiepc~st system ii iII proper gteratit~ tws~ditiom~ t~dl0r (2~ ssA~sz ~ ~ pvs t~ ~OeWry~ ttM >~~ d~tiic it less than 3~9 iWl of ~ir+dtYc. ~wes ~ 3~00~ ~ ~ ~ abate OC~e1Ce ~ S~'n0 ~ t ~~+~~'~VVi1NDC~11s~ iCetl~3i: set fath.l~~, at Bat by ~~ p,~ wit3tis 3~0 t~tt Ydtit ~e ey~'lue bcess maiaataissad s~ ~ coa~pLequt atsd ~turaed so We et. Cron County zatw>g days of the tbsee year ~Sdoo delo SK~tA'ILrItB OP Apt'I,ICAN'i' i ewe) ~~' tfut atZ e4-EestSauts on Wiz fames sxe sate ro tha best of my (sxst)1aac~wkdge. the peoperly+ dezcdbed sbarr~, by virtue of a werrzr-!y deed teccsYlecl is Reg~at of Reds ~ica• Cdr ~ - ,..~. A~ dF APPLICANT _.....L ~ ~Ar~ Y (wrl am (ue} the owner(s) ~°~ ,(S 6d DA'T'E +••••+` Any ittfortsutloet that u miiat+spccaansrsd sway resutt itt tPte ieaisitS+ persait beir>~ rev~lred kry' tl-e ~m1~ pepsr~aer~t ''•••"• "* inoludo with thts •pplketiass: s atsatAed w:trctaty deed frota the ~ of DecQa ~`ico a copy of the c+utified ittn-ey seep i£ hfsrt+mae is made in the warranty dew . t '~ I ~0 1529Pa~t 328 STATE BAR OF WISCONSIN FORM 2 • 1948 627058 WARRANTY DEED YATHLEEN H. WALSH kEGISTEk OF DEEDS Document Number ST. EkOIX CO. WI , This Deed, made between Michael A. Standaert, a single person, kECEIVED FOR RECOkD D7-P6-2000 9;30 AM YARRANTY DEED Grantor, and Jacob M. Timm and Kristi J. DeLong, as joint tenants, EXEMPT N CERT COPY FEE: COPY FEE: TRANSFER FEE: 99.00 kECOkDING FEE: 10.00 Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County County, State of Wisconsin: Name and Rttum Address T. M. Title Services, Inc. Lot 1 of Certified Survey Map, Volume 14, Pa a 3888, being a part of the 239 E. LaSalle Avenue Northwest Quarter of the Northeast uarter of Section 10, Township 30 North, Barron, WI 54812 lenwood), St. Croix County, Wisconsin. Range 15 West (in the T f G s ~ ~ / ~J~~ T 016.1020-30 , j Parce{ identification Number (PIN) C . / ~ This is not homestead property. ~ (is not) Exceptions to warranties: highways, easements, restrictions of record, and any acts and/or omissions committed by grantee. Dated this ~ ~ day of July 2000 ~~ a ~„~.Q..A` . Michael A. Standaert AUTHENTICATION Signature(s) ``t~pn»tfttr;rrrs .~ 2~ P?v. • v~~ '~i `~O authenticated this _ day of__~~__~ A R y '- '~_ 2 ~- TITLE: MEMBER STATE BAR OF WISG~Q~1N . ~G~ (If not, ~'~i,'9TF OF w~ ~~~~ authorized by § 706.06, Wis. Stats.) ~F~fttll ttt~`` THIS INSTRUMENT WAS DRAFTED BY Mark O. Dobbertuhl, Liden & Dobberfuhl, S.C. PO Box 137, Barron, WI 54812 (715)537-5636 (Signatures may be authenticated or acknowledged. Both are not necessary.) ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. Barron County. } Personally came before me this -~~-day of July , 2000 the above named Michael A. Standaert, a single person, o me o be the p an( wh c ecut the for g nst a ackno7~ e e sa, -` ' ~t LI.X_Y..4 0. :J C ~ Y1l1,KJl Notary Public, State of Wisconsin My Cotnmis ion is permanent. (If not, state expiration date: •Names of persons signing in any capacity should be typed or printed below their signatures STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 3 • 1998 MFORMATION PROFESSIONALS COMPANY FOND DU LAC, W f 800-655-3031 ,..t_ /~~ g~t...K. ..,,~~, .~ 1(]HhSUP~ ~ 1 1 I ~ 6 2OOO ~ -- ,~t, ~ JJI- 5 u AMER'f. t(pTHIEcNH.C'ALS1t 625J~ ~~`•• ;; ~ +5T~~~l~, ..~°~ E R T I F I '~, ~~ _, ... V E Y M A P Irre c raw. Loca~e~ In the Northeast Qvarter of the Northeast=&aerYer and the Northwest quarter of the Northeast quarter of Section 10, Township 30 North, Range 15 West, Town of Glenwood, St. Croix County, Wisconsin. UNPLATIEO U1N05 Prepared for and at the request of: ;~ ~ 0 TH S TREE T ~~~ OWNER: __ ---°--- __ ~ Michael A. 5tandaert ,~' E,~sr [/NE p~ `--'-S02'49'25"W 281220'------ Z 2944 S.T.H. 128" North i 7NENEJ/f g02~g'25-yy 1306.10' '~ Glenwood City, WI 54013 e = -`--'- ---,--- -,_- f-~ --_ Orofled 6y. d cd a c -°' m ~ 3c mo m` a o. as ~ U ~ tD O.- C O _ O ~ a E .% N ~~ ~O ~`o "E° ?, V ~ - d C OOOOOOIIIIII o ~ ~ E u UOIAO~ -- -N02'39'S3'E--5253.09'------ NAR7H-SOUTH T/* UNE UNPU117Ep LANDS ~ ~ ~,,~I~ "---q d N U C O « o y N u'S C M ~ O C V ~ U w mE v ~ ~, V7~ a$ ~ E a. c Uq aH v ~ ~ ~oJ:~ '! m u _$.o a -m'3'o o ~ ~ a ' p o `o ~ g°cr t p n ~ « p C a U O O ` ~ d U U NI t 0 YO p O W Q, j! ~2~.s ~i ` ~" °~ o u m- c ~~ ~avU ~1 ~ °o OF aU $h 12 V ~~ J N02'39'S3'~ ~" 3941.51 ~,~ l~"' VOLUME 14 PAGE 3888 JOB ~ A00067 l ~ ` ~ -- Prepared by. A & E j LAND SURVEYING & CIVIL ENGINEERING Phone No. (715) 246-4319 109 East Third Street, P.0. Box 325 BEARINGS ARE REFERENCED TO THE EAST UNE OF THE New Richmond, WI 54017 NE 1 f4 Of SECTION 10. TOWNSHIP 30 N., RANGE 15 W. Sheet 1 of 2 WHICH IS ASSUMED TO BEAR 502'49'25"W.