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018-1002-30-025
o N p ~ m e C T c ~ ~ c ? n 3 '* ;, ~. .o `° ~ ~ ~ ~~ 1 I r: 3 '~ ~ C ~ ;~ '.: C ~~ p m m N ° w o o ~ ! i v ° S ~_ ~ ~ a A 3 ~ N G) G) = ~ ~ ~ O M ~ W C\ -~ ~ N N N Q. ~ Cf N f/1 m v 7 ~ N ~' I oo oo ~ o fD m C c o ~ y ° ~I O ~l c 3 O °- ° ~ N K ! ~ in c w ~ i+ c ~ p ~ ! O I ~ v D A i 5 ~ a N ' ! rn m ~ `~ cn ~ W •°•' I I N~ °~ O N M V O O N N z ~ ~ ~ ~ ~ I a 000 ~ 'Y ~ I Z ~ v d n c cn to rn a ° ~ ~ ~ O N ~ !D N N ~ ~ '1 cD C ~ N <D ~ fQ ~ 7 ~ d A O O ~ K i V ° D ` I o D O ~ i s a i ~ A ~ m ~ ~ 3 ~ o m I (D N ~ ~ f/1 I ~ ~ c ~ A Z m ~ ^; ' 6 A 2 O N ~ O .. z -I -' I W ~ ~ ~ a ~ '` ~ ~ z A 717 O •'" V} 3 i m ~ to Z N ~ A ~ A ~ A O N Q to 3 m a c r. ~ I v ~ ° =o °- ~ -gyp A N O N ~1 C a o ° ° y ~ ~ ~ N m x 3 ~° ° T ~o ~ ~' 3 ° ~ . 0 c 0 I N c> n ! `e i •~ ~ ~ ~ ~ ~ ~~ m m ~ ~ ~ ~ ~ ~ N I N N 0 °< v o 0 I t7, o A ~ ~ I ~ N pq t~v I rn O ~ ~ , w v o i ~ a Parcel #: 018-1002-30-025 06/22/2009 08:35 AM PAGE 1 OF 1 Alt. Parcel #: 01.29.17.14A 018 -TOWN OF HAMMOND Current ^X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 10/28/2004 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -PAUL, RANDALL L & LINDA L RANDALL L & LINDA L PAUL 1143 205TH ST BALDWIN WI 54002 Districts: SC =School SP =Special Prope ress( ): ' =Primary Type Dist # Description " 114 250TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 01 T29N R17W NW SE (40AC) Block/Condo Bldg: EZ-U-1501/342 EXC PT TO CSM 19-4870 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 01-29N-17W NW SE Notes: Parcel History: Date Doc # Vol/Page Type 09/12/2005 806172 2886/425 EZ-U 06/16/2004 766004 2596/564 EZ-U 03/22/1994 514379 1070/64 WD 2009 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 11/04/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.000 67,500 324,100 391,600 NO AGRICULTURAL G4 14.000 2,400 0 2,400 NO UNDEVELOPED G5 16.500 25,000 0 25,000 NO AGRICULTURAL FOREST G5M 3.000 8,400 0 8,400 NO Totals for 2009: General Property 37.500 103,300 324,100 427,400 Woodland 0.000 0 0 Totals for 2008: General Property 37.500 103,300 324,100 427,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 05/30/2008 Batch #: 08-09 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 (~# l1 ~3 ~o S~ 5`~-~1(J Wisconsin Department of Commerce _ D>QIVATE •7EWAGE SYSTEM Safety and Building Division c ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township Paul, Rand Hammond Townshi SST BM Elev: Insp. BM Elev: BM Description: ,~~~ ~s ~ ~~ pJ ~ P SANK INFORMATION ELEVA ION DATA TYPE MANUFACTURER CAPACITY Septic S M~•~ Dosing ~ V Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic y `~ /~ ' ` ` ~j _ Dosing « ~,,, 4 Aeration Holding PUMP/SIPHON INFORMATION `~` ~• ~i Manufacturer (~, ~"" Demand GPM ~~ Model Number 32. Lift ~2!~'' Friction s~ .1~ System Head la . so TDH Ft o . fl' Forcemain Length ~ ~- s ~ Dia. ~ ~+ Dist. to Well `, 7'~ SOIL ABSORPTION SYSTEM ED Width Length No.O Trenche NSIONS / + aU + SETBACK SYSTI' fEM TO P/L BLDDG INFORMATION Type Of System: ~ sp 5'Z DISTRIBU_T,FON STEM county St. Croix Sanitary Permit No: 430565 0 State Plan ID No: Ti2~cls. in Parcel Tax No: 018-1002-30-000 Section/Town/Range/Map No: 01.29.17.14 STATION BS HI FS ELEV. Benchmark ~ ,71 J~•'•.7) `f ~~ Alt. BM Bldg. Sewer ~D.~ ~ ~ . ~~q 2 ~~ • ~~ + SUHt Inlet t-•,y3 77 ~' •~+ SUHt Outlet Dt Inlet Dt Bottom ~~• ~~ ~ s,•. "1 Header/Man. ~ 9p. ~ t Q Dist. Pipe p.- 2~ + [ O Bot. System .(' ~, ~ Final Grade w {. ` ~+ St Cover ~~ (1'~ ~ 1 /Rt • ~ ^ ~G / ~[ . ~..~,,~(d~ 7zt a7.5 PIT DIMENSIONS No. Of Pits Inside Dia. iqui th LAKE/STREAM LEACHIN CHAMBER anufacturer: _~~ UN { el Number: I-ibader/Mani Mir U Distribution ~ ~ ++ ~/ x Hole Size ~+ x Hole Spacing Vent to Air Intake + +~'L Pipe(s) fo~ ~ /2 O I + ~~. Length~,~ Dia ` Length 'v ' Dia Spacing ~ ' 1 ~ . s~ SOIL COVER x ressure Systems Onlv xx Mound Or At-Grade Svstems Only %'~ COMAIIEj-IT,~Sv r(Irt~luyFepO a discr pe~~1e~, persons present, etc.) Inspecti #1: ~ / ~ / a ~ Inspection #2:~ 7/ ~ "7~ ~p~~/ ~• IUD ~~e((}}J ~~ 111 Location: 1143 205th Street H mmond, WI 54015 (NW 1/4 SE 1/4 1 T29N R17W) NA Lot ~~,3,,~', ~ ~KParcel No: 01. .17.14 1.) Alt BM Description = ~~~T ~S ' ~-~~.~" ~~ ~`~ 2.) Bldg sewer length = '~ - amount of over = ~ D ~ L3. C/`~~~jnptoy~ur~ " 7 I n eves R Ire es No -^~' ~,/ ~ ~~/ ~ _.__ ` :_ ~ -.- -- -- - Use other side for additional information. ~ 1 / ~ T ~_ ~ -~~ ~! SBD-6710 (R.3/97) Date Insepcto s Signature Cert. No. Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes []. No ~~l Yes t _~ No t ~ • r: Safety and Buildi ' ' ' ~~ 201 W. Washings n Avt~~t~ tY c~ • I ~ I S'C'Qn~~n Madison, I '53707 - 7162 _ S Address. ~ Department of Commerbe 03 ~• ~ II'~3 OS"" Sanitary Permit Applieati n Y sa tary Permit Number ~ ~ In accord with Comm g3.2t, Wis. Adm. Code, personal informs n yon~i~oIX COUNT ZONI G OFFICE j,~ C~~ heck i[ Revision ~/ ~JJ tna be used for second ses Privac Law, s1S. 1 m I. Application Information -Please Print All Information State Plan I.D. Number ' ~a ~~~~ Property Owner's Name Parcel Number Froperty Owner's Ma g Address Property Location / n ~ B~ It : S T e~ 9 N. R i? 8 City, State Zip Code Phone Number Lot Number Block Number r Subdivision Name CSM Number II. Type of Building (cl-eck all that apply) ~ ~ S ,,,,,,: ^City ~1 ar 2 Family bwelling -Number of Bedrooms ~ ~_ ^ Vittage ^ Public/Commercial -Describe Use a ~ tauownship Qwrvyyi,~y-y~~ ^ State Owned Nearest Roa*~ 5 ~ ~r LII. Type of Permit: (Check only one boa on line A (numbering scheme for internal use). Complete line B if applicable) A. ~ I New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use S stem Talk Onl Existin S stem B • ^ Check if Sanitary Permit Previously ]sued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for Internal use) 44 ^ Non -Pressurized In-Ground 21~Mound 47 ^ Sand Filter SO ^ Constructed Wetland , 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculadng 30 ^ Other V. DLs ersal/Treatment Area Informati on: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required ,~ Proposed Days/Sq.Ft.) Rate(Gals./ (Min.flnch) Elevation •~1 [~ © Q VI. Tank In[o Capacity in Total Number Manufacturer Prefab Site Steel Fiber pl9stic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or holding Tank _ ~as~, w ~ ~RO.>•~ ~ - ~~ Dosing Chamber .1 7 VII. Responsibility Statement- I, the undersigned, asstmie respoml6illty for tnstallatton o[ the POWT3 shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP S Numb Business Phone Number: ~ ec~~~~F ~~~' ~~~ 7~ s-~yg -3~~~ Pltunber's Address (Street, City, State, Zip Code) _ 7 ~w ~ S~ /~o~~r~s ~~. ~~ ~~ VIII. Count /De artment Use Ont Approved ^ Disapproved ' Sanitary Permit Fee (includes Groundwater Date Issued Is ing ens Sigoahrre (No Stamps) ^ Owner Given Initial Adverse Surcharge Fee) , ~_ Q ~~' ~ 7 ~~ ' Determination , ix. ~~~ ~yaVReasons for Disapproval ;) 1 Septic tank, effluent filter and ~''~- dispersal cell must all be serviced /maintained ~e'QO ~- JeS < <2.Ot ~ I _ as per management plan provided by plumber. C,~ w.~-- .~,~'.r ~` 2. All setback requirements must be maintained a. Vv~n _ ~_ ' (to the Cotroty only) for the rystem oa~esa th~rt 11 lnchn m she ~z~ ~ 3 ~D-t a.t_,~n,Q a SBD-6398 (R. OS/0>~ C= P.Q-°~~ o~ CS,M..,,,;,~ oy?~u.ot~e~ .-~.~ ~c..~~ ~ / ~oW~ e.Q ~'b ess '3 S o cQC_reS . `~ ° ~ ~ ~ -~ ~ ~c~- ~ ~~~~ StrYGt `Q ;; %" ~ ~.- ~'f Go 3/sl "~.r. e., p,~pe. ~Iej : = 99. so. tt2 R/.C.. p;,oe. f}5sw»LC~ elerl::I O o- ~ ` 4 o a poi/ ¢va /uaf,•o.~ P %~ eJCi Sfi ,~c.n u /,: A I Sca/c •/ ,~, ~- nom : a ! i p~aP~~.y ~i~eS >3co'p'rom sy~, ar2q. ~ >.zs,~ 81 si-o-~ 2"sue. ~o o d.~. Force -vta~r S!<wed -~..ro K9~ ~"sue • ~o at p. ~. proposed 1,2 sa~js~ 5~ w. ~sc~ w rzso/ Aso - M Q ~~- ~abe(,~-~cd elf'/ui~E. a F'~'lfcra~ S.T. ou,tlef. ~5~, ~p P. d. c. bu%~61."~~ s.cwu COPY Proposed /nou~d Qt /R8/;r//s w/ (o 'X /ap~~.1~/.crSa/Ct//. Tt~.~o(ZJ /afcia-Ls a~ /y''x 9B. 67'w/ `8 0/'~~`CeS S~DacGd4E.2•S3: > ~s~ ~'' " 5 loP~ ~, 8 of S - Safety and Buildings ' 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 ~ ~ TDD #: (608) 264-8777 ~scons~n www•commerce.state.wi.us/sb www.wisconsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary September 10, 2003 CUST ID No.222781 HENRY J NICHVILLE 967 HIGHWAY 65 ROBERTS WI 54023-8510 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/10/2005 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Randy Paul 200TH St Town of Hammond St Croix County NW1/4, SE1/4, S1, T29N, R17W FOR: Object Type: POWT System Regulated Object ID No.: 918893 Identification Nuinbers Transaction ID No. 904821 Site ID No. 664409 Please refer`taloth identification numbers, above, in all correspondence with the. agency..: 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) ~~1:&; and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (01/81) - .....x • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. ~~f . ~'~'. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal `~~` ^~' . ~~ ;~ are prohibited. ~~~ `~' ~ =~ L 1 L~J_z • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption F- ~_ area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the 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. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: HENRY J NECHVILLE Page 2 9/10/03 Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to cgmmencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Herman J Delfosse Plumbing Plan Reviewer 2 ,Integrated Services (608)789-5535 ,Mon -thur 6:45 - 4:30 Fri 6:45-10:45 hdelfosse@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART coder 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 ., , .a MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Randy Paul 4 bedroom residential mound Owner's Name: Randy Paul Owner's Address: 2066 110th Ave. Legal Description Township County: Baldwin, WI 54002 NW1/4SW1/4, Sec 1, T.29N., R.17W. Hammond St. Croix Subdivision Name: na Lot Number: na Block Number: na Parcel I.D. Number: 018-1002-30-000 Plan Transaction No.: Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Index and title Data entry Mound drawings Lateral and dose tank System maintenance specifications Management and contingency plan Pump curve and specifications Site Plan Soil Evaluation Report .-~,, ~ ;~ ~ti n::: J2VE ... L~.',~~~ ~7'( ~~tq BUILDINGS y"'Zd .`.ESP NDENCE Designer: Henry Nechville License Number: 222781 Date: 07/22/03 Phone Number: 715-749-3322 c Signature: _l.~ ~- A Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 400.00 Estimated Wastewater Flow (gpd) table s3_aa~-sin-sau so~i treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150%) coliform of <= 36 inches. 600.00 Design Flow (gpd) 9.00 Site Slope (%) 97.50 Contour Line Elevation (ft) 31.00 Depth to Limiting Factor (in) 0.40 In-situ Soil Application Rate (gpd/ft2) Distributio n Cell Information 100.00 Dispersal Cell length Along Contour (ft) = 6.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point - ~ in the distribution Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation (ft) 2 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25)_ 2.50 Estimated Orifice Spacing (ft) = 7.50 ft2/orifice 2.00 Forcemain Diameter (in) 120.00 Forcemain Length (ft) Does the forcemain drain back? (--~ 81.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 16.50 Vertical Lift (ft) , 2.77 Friction Loss (ft) 25.77 Total Dynamic Head (ft) 19.57 Forcemain Drainback (gal) 90.53 5x Void Volume (gal) 110.11 Minimum Dose Volume (gal) 32.95 System Demand (gpm) Lateral Diameter Selection in. dia. o tions choice 0.75 1.00 1.25 1.50 x x 2.00 x 3.00 x Treatment Tank Information W1250/75 Se tic Tank Capacity (gal) Wieser Concrete Manufacturer Dose Tank Information 757.64 Dose Tank Capacity (gal) 16.12 Dose Tank Volume (gal/in) Wieser Concrete Manufacturer Manifold Diameter Selection in. dia. o tions _ choice ~ 1.25 x I ___ ____ 1.50 x _ x _+ 2.00 3.00 , __ _~ I ~ Gallons/Inch Calculator (optional) 757.64 Total Tank Capacity (gal) 47.00 Total Working Liquid Depth (in) 16.12 gal/in (enter result in cell 649) Effluent Filter Information Zabel 'Filter Manufacturer A100 " Filter Model Number Project: Randy Paut 4 bedroom residential mound Page 2 of 9 ,. , Mound Plan View i- 1_ 1/1 10 B :. 'Observation Pipe ~0 ~ . K •. ti~ti•til•-•.••.•ti••.••,••.•ti••.•ti••.••;~•.~ti~•.~•.~•.••.•ti•~• •• ti•ti•••~ti;~~•- ••;••;• •,.•,.•,. ti•ti•ti•ti••.••... 5 ti;. ~ ti;..;•.••.••.•ti ti•ti.. .; ,:{~;;•:. . '~ .B - - . ~ . . L~f .. I L Mound Cross Section View Aggregate Dispersal Area Finished Grade 99.79 (ft)-1 .,//i /.,.. G ~ H /tt/// ! t s ft) Lateral I F , . ; : ; : ~~ Dispersai~Cell 98.50 98.00 (ft)-- - ~:~ Invert Dispersal Cell ;~; ~ ~ ' ~' ~ ~ .. Elevation E. ~ D - ; ~; . .• __ _ _ _ .. ~ Shading Key 1~ Topsoil Cap 0 ///// Subsoil Cap ~ © "• '. ~ ~'. •' .' ASTM C33 Sand ® ~~ >>. Tilled Layer 0 Aggregate Mound Component Dimensions A 6.00 ft E 12.48 in B 100.00 ft F 9.50 in D 6.00 in G 0.50 ft -t -} _I -1 H 1.00 ft K 7.69 ft I 9.58 ft L 115.37 ft J 4.23 ft W 19.81 ft 600.00 (ft2) Dispersal Cell Area 1558.22 (ftz) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 10.00 (ft) 1/10 B Obs. Pipe Placement 9.0 % Site Slope ~ a c 1.5 ft w o ~ ~'; ~° Z c ~ .a ~ o 0.5 ft Dispersal Cell ;: Typical Lateral ~-- A 50 (ft) Contour Elevation Geotextile Fabric Cover See lateral details on Page 4 for number, size, and spacing of laterals. Laterals are equally spaced from the distribution cell's centerline in the distribution cell (AxB). Project: Randy Paul 4 bedroom residential mound Page 3 of 9 End Connection Lateral Layout Diagra L~,,ar'^~ ~~~ ~~ Force main oonnection via tee or cross to maniFold at any point. Laterals are r e rca I P ~. •=Turn-upva'ball valve or IE-x-~~Exl2 I xl2~l Laterals&Forcemain of PVCSch40 cl ea n out pl ug per COMM Table 84.30.5 Holes drilled on the bottom of the lateral. Number of Laterals 2 Orifice Diameter 0.125 in Lateral Diameter 1.5 in Orifice Spacing tX) 2.53 ft Lateral Length (P) 98 Orifices per Lateral 40 Lateral Spacing (S) 3.00 ft Orifice Density 7.50 ft2/orifice Lateral Flow Rate 16.48 gpm Manifold Length 3.00 ft System Flow Rate 32.95 gpm Manifold Diameter 1.50 in Total Dynamic Head 25.77 ft Forcemain Velocity 3.37 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and --- Comm 16.28 WAC ~ 4 in. min. - Dis~ect _.~____ Tank component is property vented Wieser Concrete Ca acit 757.64 Volume 16.12 Manufacturer Gallons gal/inch A B C D Dimension Inches Gallons A 25.31 408.05 B 2.00 32.24 C 7.69 123.91 D 12.00 193.44 Total 47.00 757.64 un7er tank. Alarm Manuafacturer LevelArm ___ _-~ Alarm Model Number DLV Pump Manufacturer Zoeller Pump Model Number BN140 Pump Must Deliver 32.95 gpm at 25.77 ft TDH F- Alternate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device P~ ump off elevation (ft) 82.00 Dom se tank elevation (ft) 81.00 Project: Randy Paul 4 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name H. Nechville,MPRS #22278.1 __ ~ Phone 715-749-3322 POWTS Regulator's Name St. Croix County Zoning ~ Phone~715-386-4680 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 1250/75 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Freauency Septic and Pump Tank Effluerit Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once every 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for ondin and seeps a once ever~r 3 years _____._~ Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted 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 and help reduce frost penetration. , Lateral Turn-up Detail Finished • ............. ............... Grade \ , 6-8" 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: Randy Paul 4 bedroom residential mound Page 5 of 9 Mound System Management Plan pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals (SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. F_xposed 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 fitter 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 fitter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have fts contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. Ii the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to mainrtain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemipl additives to enhance septic tank performance is generalty not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pumo Tank The pump (dosing) tank shall be inspected at least once every 3 years. `All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution 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 BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 10' cfu/100 mL for highly treated effluent. Influent fbw may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided wfth a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dLspersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv 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 tce 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: Randy Paul 4 bedroom residential mound Page 6 of 9 It 12 10 zs~T' . -r. d. ~~ y HEAD CAPACITY CURVE = MODEL 137.139-140140 140,q/140 137.139 J I 6 V_ 3 a i= I S 0 a j 0 10 I 5 TOTAL DYNAMIC HEAD/G1PACtTY DER MINUTE Ef FLUENT AND OEwATERwC IACOELS 137/1 J9 u00E15 1~0/~1t0 rl. Melcn Col. Llrs. Col, Lln. 1 f.ll 1] )57 Ia 151 le )AS A ]M W )al 11 •.)) H 7a1 1) )la ~ 1.10 >• Ix a n1 n l.u 1 to a tx ~ 1,1a - - ]] n]~ a0 11.11 - - w ~ a5 11.)7 - - 1 ]• lass Was )5' a1' 0 009921 us. cv-L to zo ]o •o so so 7o eo 90 loo tlo UiE1tS ~' ~ ~ o~y /Ia~Ec /'c9d. s k T ~ D• ~ ~, m ~ 32~95G . 20•~ T FACTORY FOR SPECIAL APPLICATIONS hree base pumps are available in 200208V or 230V -1371139 Models. Variable level control switches are available for controlling single and three • Electrical aftemators, for duplex systems, are available and supplied with phase systems. an alarm. _ Double piggyback variable level float switches are available for variable level • Mechanical alternators, for duplex systems, are available available with long cycle controls. or without alarm switches. Long cords are available in lengths of 15-25-35-50 feet. (Maximum 25' length • Combination starters are available for 3 phase pumps. for 140/4140 models @ 115V) • Control alarm systems are available for 1 phase pumps. • Over 130'F. (54'C.) special quotation required. • Refer to FM0806 for 200' F applications. 1 t7 ~c+riae . d7 Mx 1'1q SPrir±c _ r,1 the 140 Sxiac _ 53 the 4140 Series - 60 lbs. Sin k Seal Control Selection tisti Model Volts-Ph Mode Am S( x Du kx CSA UL M1371139 115 1 Aub 10.7 tor1,38 - Y Y N 137/139 115 1 Nan 10.7 2 or 2 8 7 3 or 5 6 6 Y Y ' BN137 115 1 Aub 10.7 ~ 2 Y Y D 1371139 230 1 Auto 5.8 1 or t d 8 Y Y E1311139 230 1 Nan 5.8 2or237 3or5d6 Y Y ' H137/139 200-208 1 Auto 5.5 1 8 8 Y N ' 1137/1 39 20C-208 1 Non S.S 2 d 7 3 or S d 6 Y N ' J 137/139 204.208 3 Non 2.6 2 8 4 3d4 or 536 Y Y ' F 137/139 230 3 Non 2.6 2 3 4 3d4 or Sd6 Y Y ' G 137 460 3 Non t o 2 3 4 3d4 or Sd6 N N ' C 139 460 3 Non 1.4 2 3 4 3d4 or Sd6 N N 14014140° MODELS Control Selection - LisBn s Model Model Volts-Ph Mode Am Sim x Ou kx CSA UL N 140 N4140 115 1 Non 15 2 or 2 d 7 3 or 5 3 6 N N E140 E4140 230 1 Non 7.5 2or237 3or536 N N ' ~ nnldeC Dw9 '~ SI~9k D59Y~ sws01 1lclllaeo. '^ DouDb seal pulps are araaabk wth optional moesture sensors. Seal Fal ndiolor fcJJl arailabk n NEMA 1 or NFNJI4X mnaa panek. Purrs must be operated in upright position. Three phase units require a control switch b operate an external magnetic or combination starter. Far ir4omtiation on additional Zoeller products reler b catalog on Combination starter, FM0514; Piggyback Variable level Foal Switches, F M0477: Electrical ANemalor, FM0486; Mechanical Alterna- tor, FM0495; Alarm Package, FM0513; and SumplSewage Basins, FM0481. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, rb external control required. 2. Single piggyback variable level foal switch or double piggyback variable level fk~al switch. Refer to FM0447. 3. Mechanical allemator'M-Pak' 10-0072 or 10-0075. 4. Combination Starter. Refer to FM0514. - 5. See FM0712 for coned model of Electrical ARemator'E-Pak'. 6. Variable level control switch 10-0225 used as a control adivator, speafy duplex (3) or (4) float system. 7. Four(4) hole'J-Pak', jundion box, forwalertight conrledion orwired-in simplex or 2 pump operation, 10-0002. 8. Two (2) hole'J-Pak', for Watertight connedion or splice, 10-0003. CAUTION All installation of controls, protection devices and wiring should be done by a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. -" MAIL T0: P.O. BOX 16347 ie4 +` ~ Louisville, KY 40156-0341 Zo ` ~~ \ t' SHIP T0: 3180 Old Millers Lane '^' / ~' ! .~ ' ~ Louisvrlle, KY 40216 "''` PUMP l0. (502) 778-2731.1(800) 928-PUMP FAX(502)774-3614 I/2- - u I/2 KPI SK]7] A 8 C D E F 1371139 4314 7318 8 1/8 4314 12 314 4 140 4314 85116 8 13!32 4314 15 6 114 4140 4314 85116 8 13/32 4314 18 25/32 6 114 Manulacfurers o! . . Quatirv Pu~c+as SNCE /979 - off' 9 ~O,r~ ~ _~ 3co'Ffo ~ Ad/'tli~op. ~ /: n l~.8. 0 8F' BSI ~lev:z99.so. _, ISa. :Top o,F' Iii` RJ ~. p„oe. f} 5s w»e-d el erl: = Ian, c~D: Q . ° ~°,~ ~ Propose( ~ound 4t /q8/.r'//s Soi/evalua-~~o~ ~ Q` °' c~/!~'x~oo~al,3,ec~sa/ee//Tc,,,e~(z~ p;~ °` /afeia,Ls a~ /y'ir 98.67'w/ E/edti.~-o~-, " S~Oa ctdl~ E 1.5,3: /% e ~E~~ ~ -1 P '; ~ t ~ s~~ ~- nom : A 1 i p~oP~~y _o '~ 1 Pe 1 l%~eS 1 ~~fi/'Qm Syr e~ 1 ~ ` ~ Ctr'2q. ( i ~ ~ I ~ 8l 55/c~~ I~ i ~ :~~I g~ I I~ ~ a~( ,~ 2 sc~.~oP/,~. !~ % 1 ? at R~. proposed 1,zs~ f7s~ ~a.P. / w;escr' w ~zso/7so-MQ ~ eomb~7+a-~;~r. s.r./P.e. a F; /tcr•a~ S.T. Owtlet. 1 , ~, ~,,,, w c~ ` ~- i~ w ~,,'~'~ hy~s~ 9~ •~ grade gtbk;ld~q 5;tC p~otlpose d p~a~ moo/ 'f J,,cdrrzm "~~i veway dwe/%•(/ ~~ Propos¢-cf we(( ~,8 oF9 Wisconsin Deparhnent of Commerce Division ~ Safety and Buildings 301E EVALUATION REPORT ~., ~...v,~~.,~.e..,crr, r....,.., as w~Q nrrr„ rd~ 1663 Page 1 of 3 A.C.E. Soil 8 Site Evaluations Attach com lete site non not less than 8% x 11 inches in size. Plan must p ~ p County St. Crouc ~ include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percent slope, scale or dimemsions, north anow, and location and distance to nearest r . . 018-1002-30-000 Please print all information. .._ - -- Reviewed By Date Persanal irdormation Moir P~~ ~y be used for secondary (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Randy Paul Govt. Lot NW 1/4 SE 1/4 S 1 T 29 N R 17 W Property Owrfef s Hlailing Address Lot # Block # Subd. Name or CSM# 2066 110th Ave. City State Zip Code Phone Nu~rfber ~J j City J village ~ Town Nearest Road 843054 Baldwin ~ WI 54002- 715-6, Hammond 200Th Street V" New Construdi~orf Dom- // Residential /Number of bedrooms 4 Code derived des-gn flow rate Replacement ~] Public or commercial -Describe: Parent material Glacial Till Flood plain elevation, rt applicable General comments and rExammendations: Install mound system at elev. 98.00' at 6" above 97.50' contour. 600 GPD na Pit Ground Surface ekv. 93.55 ft. Depth to limiting factor 47 rn. Soil Application Rate Horizon Depth Dominant Cobr Redox Description Texture Stnrcture Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-6 10yr'3/3 none sil Zfsbk mvfr as Zf,1 m 0.5 0.8 2 6-21 10yr5/4 none Ifs 1msbk mvfr cw 1fm 0.4 0.6 3 21-47 5yr4/4 none scl 2msbk mfr gw 1f 0.4 0.6 4 47-65 7.5yr4/6 m2d 7.Syr5/8 & flf 10yr6/2 scl 1 csbk mfr - - 0.2 0.3 -~ Ong # ~ Boring 1„d Pit Ground Surface elev. 96.11 ft. Depth to limiting factor 31 ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f~ in. Munsell C!u. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0-6 10yr3/2 none sil 2fsbk mvfr as 2f,1m 0.5 0.8 2 6-21 10yr5/4 none sil 2fsbk mvfr cvv 1fm 0.5 0.8 3 21-31 5yr4l4 none sl 2msbk mfr gw 1f 0.5 0.9 4 ~0 5yr4/4 f2d 7.5yr5/8 sl 2msbk mfi cw - 0.5 0.9 5 40-48 7.5yr4/6 f2d 7.5yr5/8 scl 1 csbk mfi - - 0.2 0.3 ` Effluent #1 = BOD ~ 30 <_ 220 mg/L and T S >30 < 1 mg/L 'Effluent #2 = BOD <30 mg/L and TSS <~0 mglL CST Name (Please Print) ' natu CST Number James K. Thompson 3602 Addre~ A.C.E. Soil 8 Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake lane. Osceda. WI 54020 7/102003 715-248-7767 Property Owner Randy Paul Parcel ID # 018-1002-30-000 Page 2 of 3 Pit Ground Surtace elev. 97.54 ft. Depth to limiting factor >45 in. Soil Application Rate ~~ # ~ ~~ • " Horizon Depth Dominant Color Redox Descr~tion Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-8 10yr3/3 none sil 2fsbk mvfr as 2f,1m 0.5 0.8 2 8-18 10yr5/4 none sil 2fsbk mvfr cw 1fm 0.5 0.8 3 18-24 5yr4l4 none sl 2msbk mfr gw 1f 0.5 0.9 4 24-45 7.5yr4~ none scl 2csbk mfr - - 0.4 0.6 o ~;~ # ~ ~~ Pit Ground Surface elev. 98.10 ft. Depth to limiting factor 33" m• Soil Application Rate Horizon Depth Dominant Color Redox Descr~tion Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-7 10yr3l2 none sil 2fsbk mvfr as 2f,1m 0.5 0.8 2 7-19 10yr5/4 none sil 2fsbk mvfr Lw 1fm 0.5 0.8 3 19-33 5yr4/4 none sl 2msbk mfr gw 1f 0.5 0.9 4 3 3 5 r4/4 y t2d 7.Syr5/8 8c t2d 1 /2 ~ 1 msbk mfi cvV 1 f 0.4 0.6 5 43-52 7.5yr4~ m2d 7.5~ yr5 8 - scl 1 csbk mfi - - 0.2 0.3 Boring # -f Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 * Effluent #1 = BOD ~ 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. 4----8°° ~ ~ ~ ~ z~- StrtGt _~ Aa~~k~orop. -_ 3~~"P.d. c, ~O~~Oe. elev. z 99 s~~ !rz RJ c. p, pe. /{ss~d eler/;=icy ce: ~ `~ ~~'° ~~ ~' o o ~ a ~ \ P a~ ^ ,~~ 9,~,AOBrade atb~tld;~,q 5,tc Qa~'~ /6G3 poi/ a va ~uaf,•oq P %~ eXi Sfi ~ u /.:-e, ~~ -'0~0. /i q e . ~C•/a ~, ~ YI o~~ ~ ~ ~ 1 ~o~oper~y ~i7eS >~3C0~~'rorn 5y~~- a,-eq . f~. 3 0{3 .,~'''~ Yj - ' Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Ge era This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/Ot) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. 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 clea0ed as necessary to ensure proper operatan. 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 encbsure. If the filter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent fitter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years.'gll switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the tank tt shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs shoukf be planted on the mound Plantings may be made around the mound's perimeter, and the mound shall be seeded and muk~ed 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 irrto the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly tr~ted effluent. Influent fkwv 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 tt is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed tt should be compared to the inttial 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. O~ervatron Apes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monftoring. Co tin enc Pan 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 cendttion. If the dosing tank, pump, pump controls, alarrrr 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, tt will be repaired or replaced in its' present location by increasing basal area if tce 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: Randy Paul 4 bedroom residential mound Page 6 of 9 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT . AND OWIVERSHII' CERTIFICATION FORM owner uyer f ca,~~ Mailing Address .~~ ~ ~ ~ ~'~ Properly Address 3 ao5 ~ ~f"-. (Verification required from Planning Department for new construction) ~`-~, fate ~~cQc..~-~. ~ Parcel Identification Number m ~ ~ -' ~ ° `' "~' - 3 ©~ a ©U ~" I City LEGAL DESCRIPTION ~ ~`~ ' ` ~ '/,, Sec. ~~ TAN-R / ~7 W, Town of ~ ~~^~'~ Properly Location /4, Subdivision .Lot # Certified Survey Map # Volume ..Page # `PVarranty Deed # S ~ ~ ~ ~ ~ .Volume I ~ 7 0 .Page # ~ Spec house O yes ~ no Lot lines identifiable ~ yes ^ no SYSTEM MAINTENANCE Improper use and maintenaaceof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterPlumber, jouraeymaaplumber, t~estrictedplumber or a licensedputaper verifying that (1) the or~site wastewaterdisposal system is is proper operating condition and/or (2) aRer 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, asset by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 ~ ~yspf the three year expos date. ~~ ~~ ~ ~I ~ ~f X03 ~~ GNATURB OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements oa this foam are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of petty descn'bed above by a of a warranty deed recorded in Register of Deeds Office. r~: ~ l' ~ f f/ 't~ l tS 3 Cz,,,`~ SIGNATURE OF APPLICANT DATE «««««« Aay information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ««««*r «« Include with this application: a stamped wauaaty deed from the Register of Deeds office a copy of the certified survey map if reference is trade in the wauanty deed ~~ ~~ ii DoC1,1MENT NO. ~ WARRANTY DEED ~j ~~STATE BtR OF WISCONSIN FORA[ 2-1981 ~~- __- = 5143'79 ~~ .... ~ ~ir~._ `I +~ Ro~aert 8. Paul and Ei.aine. -J;,•,-Paui~-_t~usband,- ........................................... and wife, as--point tenants., ___,,,-__ •_-„-,.__. '~ Randall L. Pau a d ~, conveys and warrants to ..................................~....TI.....~~))a.4~l..~e~-•--... ........ Pain,.....hu~b.dnd..and...Ki~.e,...hold.ing..as.........--•---...... eurvivorsh.i.P.. marital,-property,,-,said,-grantees .. joi-ning• in..this•,deed,--solely- to,•-qu,~t•.c]~aim--__ '' their,..interest-.ill.-the.•grelnises-from.,jont--_•- ~ i tenancy.-to•.aurvigorshi.g-..ma-rit~.~__g.;op,~rty---.--• ~ the following described real estate in ........St....-CI..Oj1C ..................County, State of Wisconsin: TNIf fIACi a[fU1V[D /OR Rtf.ORDINO DATA 57: CnQiX CO., W! P.ac'd fey F.~_ro~t! Y~ MAR 2 [ 1994 '~ ~- 30 ,,,~? - - ei AIi i.. . h~amrdCee~ !F"f~§~ rational Bank of PO Box 145 Taz Parcel No :.............................. 1) Southwest Quarter of Southwest Quarter (SW~ of SW~) of ~:.ction One (1) EXCEPT Commencing at SB corner of said Southwest Quarter of Southwest Quarter (SW's of SW~)s thence West 362 feet; thence North 515 feet; thence West 100 feet; thence North 550 feet; t•~ence East 462 feet; thence South 1065 feet to Place of Beginning. Northeast Quarter of Southeast Quarter (NE's of SE~) of Section ?'wo (2), Ali in '-bwnsi,ip Twenty-nine (29) North, Range Seventeen (17) West. ~ 1 woQt u>> c .,f e.,.,}~..._..r` ~._-.ter (W~ of SE's) of Section One (1) , TownshiT; Twenty- nteen (17) West. • p~ f Northeast Quarter (NEB of NE;) of Section Twei~~le (12), C~-R.(2.~ eW~YZp plJ orth, Range Seventeen (17) West described as follows: ~ rvey Map filed August 6, 1993 in Vol. "9", page 2667. ~~~R.U lJin ~ ~ :~~ satisfaction of that certain Land Contract between the ~ ~ 9, and recorded on August 2, 1979, in the office of the i-oix Oounty, Wisconsin, in Volume 598 of Records, at ~~ ~~II w ~877a. editions of that certain Farmland Preservation Agreement ~~~CQA1v ~~-,_ ~, Department of Agriculture, dated January 20, 1981, fn volume 625 of Records, at Page 40, as Document No. .. ~~ certain agreement recorded March i8, 1991, in Voi. 895 of Water :ad property. Records, at Page 367, as Doctmrent No. 461.'.71• ~~ • ~ y Oppe ne® rents and restrictions of record, and except any liens or ~S ru'"'~----dun e P oducts -`erect to be created tyy the acts and defaults of the grantee ~~-e ~ ~19~3 tssigns. ~~ i ed is .._ ciao .... day ot -------..__..March.._......-•----- -------- --- ------------ 19-' -.... cl~ / ._--_.__-~~~ ~~ , C~ .- - a".Jle".-- `-~..-.....----•-• ..... . .......(SEAL) ~~- -- ....... ' Randall L. Paul Robert P u I~ ,~-•~^.~CL0.~.. v.:......~f?!-~`^-----•---. (SEAL) ---4-Pkts<.-..e~~ ~- ~~--~G.----•-- -- - _...-. (SEAL) Linda L. Paul ~_ ~~~. -Elaine-, J._-Paui .............._-.._. ---..-.-. y- AIITHSNTICATION 4,'~~- ACSNOWLSD(irAIIBNT 3ignature(e) ....................... _..._. ~~, STATE OF WISCONSIN authenticated this ........day of..._-•--------.---•---•---. 19...... TITLE: MEMBER STATE BAR OF WISCONSIN (If not, --• ............................................•~,~~t~ authorised by ~ 708.06, Wis. State.) fir'[ H THIS INSTRUMENT WAf ORAFTCD 9Y ~ _~NO I ~~ ________ Baidxinl__WI__ 54002____ (Signatures may be authenticated or are not necessarq.) St. Croix 8a' • --° •--•---•------------•---•-•---•---County. Personally came before me this .....-21St .day of _ __ ...March.......----•---_•----, 18.44... the above named •• Randall L. Paul. Linda L. __ ____ Paul, Robert E. Paul and.-___-___•_ - Elaine J. Paul ..................•----°..--••-----•---•--s. ~ .......---9 -........-•---•-• b me known to be the person ..-r7.....__ wh executed the liel G. Schn~it ~ Public .........St.__CroiX_______________County, Wis. nmisaion is permanent. (If not, state expiration -------------------------oct...3.0.....-------... 19.-9_~ -.) LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF HAMMOND COMPUTER NUMBER 018-1002-30-000 Parcel Number 01.29.17.14 OWNER NAME: First RANDALL L & LINDA L Last PAUL PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment SECTION 1 TOWN 29N RANGE 17W'/.160 SE'/<40 NW Line Description Line Description TOTAL ACREAGE 40.000 PLAT LOT BLK 01 SEC 01 T29N R17W NW SE 15 02 40AC EZ-U-1501/342 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit 'Q \g -~ I~oZ- 4~ - ~O C~ ~ . ~~.~-~. ~1~