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018-1034-10-200
~ o a.°i ° I p ° ~r ~ ~ I a ao a ~ ~ I I I c I N ~ I o ~ I ~ _ I z m ti ~ I ~ I ~ I '~ o I I a~i ~ I v z ~ I C i c I t 3 ~ a ~ E I a' I 0 I! ~ I g I z ~ I ~ w z E Y ° ~ v ~ o ~ I z rn ~ a m I m ~ z I o I c C9 o z c ~ I . ~ ~ ~ ~z~ wf-~ ~ o c ~ z I ~ ~ ~ I N ~ th ~ N O n _~/ ~ y ~ N ~ I I 1 • N N C I C - ~ V O Z ~ Z ~ I N Z rn m '', u I .. ~ c M H ` .. 16 I ~ N ~ N~ ~ O u~ D D a ~ I ~ N 0 ~ o I z •N ~ I~aaa ~ v, a ~ ~ ~ ~ r- I v~JC~ O N ~ N } ENN O M I _ _ ~p O Z N p O _ N_ ~ m <- c d p ( ~ ~ ~ ~ ~ ~ I '~, L 'p ~ Q A fn f0 ~ p , _ '': O 7 a~ ~ I ~ 0 ~I ~ H C O d 0 ~ O m~ '~ ~ ~ _ d p ~! ' ~ C N G c ~ M ', ~ I y m~~ c ~~~ ~ I O ~ M ~~ N ~~ C w 'p O l ' yam H N E ~ N~ ~~ N M O Y = •5 ~ C = ~ • = ) ~l ~p f6 0 .- 2 ~ '' ~ cn o O N N Z ~' Z Y U ~ fn 0 I - U ~ - ~ d ~ ~a f a `I i ~+ a w 'c :: ~ ~' c ~' ~ r~ t + or ~ A ciao nci Parcel #: 018-1034-10-200 01/05/2006 11;53 AM PAGE 1 OF 1 __ -- - Alt. Parcel #: 16.29.17.2428 018 -TOWN OF HAMMOND Current ' X', ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -RTES, JEFFREY J & RONNIE J JEFFREY J & RONNIE J RTES 1775 100TH AVE HAMMOND WI 54015 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 1775 100TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 3.880 Plat: 3896-CSM 14/3896 SEC 16 T29N R17W PT NW NE BEING CSM Block/Condo Bldg: LOT 1 14/3896 LOT 1 3.880AC EZ-U-1620/269 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 16-29N-17W NW NE Notes: Parcel History: Date Doc # Vol/Page Type 03/16/2001 640667 1603/02 AFF 08/16/2000 628286 1535/38 WD 06/19/2000 625007 1520/093 TD 07/23/1997 978/89 111 D m re... 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 90308 270,400 Valuations: Last Changed: 08/24/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.880 31,600 191,900 223,500 NO Totals for 2005: General Property 3.880 31,600 191,900 223,500 Woodland 0.000 0 0 Totals for 2004: General Property 3.880 31,600 190,800 222,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 10/10/2005 Batch #: 05-30 Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 60.00 Special Assessments Special Charges Delinquent Charges Total 60.00 0.00 0.00 /* Wisco~~;n Department of Commerce PRIVATE SEWAGE SYSTEM S~f~ty and ~4yildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, X15.04 (1)(m)]. 1~~3;t I~~I~r's Name: ^ City ^ V'J,~~dR1an'Ptjwnshl CST BM Elev.: ` Insp. BM Elev.: BM Description: cs9 • ~ t~ . a ' r,~- :~F't+eJC she-Qze,. = ~T" i~ TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic I~ (~ Dosing L~j Aeration Holding TANK SETBACK {NFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic '~ 5~r g ~ ^. NA Dosing ~~` } $'D~ `~ I $ ~ NA Aeration NA Holding PUMP /SIPHON fNFORMATION Manufacturer ~,~ ~~,~ Model Number ~ !S TDH Lift ~.fl Lriction t•.3y~' / ~~ Forcemain Length w•(pp Dia. SOIL ABSORPTION SYSTEM Demand ?iJ~ GPM TDH?,?,~Ft l! ~ Dist. To Well ELEVA7 IUN UA t A countSt. Croix Sanita~gr~~lo.: tate Plan ID No.: ;6~ ZI rce '$"-9034-10-000 STATION BS HI FS ELEV. Benchmark ~ S, 1~e t~S. ~n (0"C. D ~ ~~~ a .~p~ Bldg. Sewer )$.v ~ 90~ St/Ht Inlet ~.y'S ~(..~S'f St/Ht Outlet Dt Inlet Dt Bottom 21, y0 ~•~~ Header/ Man. 2, °-p ' oZ ,D' Dist. Pipe Z •90 ~ ~ ~ oZ .o Bot. System 3' Tt p . 3 8 ~ Final Grade S`~V e4+( BED /TRENCH width ~ Length ~ f PIT No. f Pits Inside Dia. a th iMEN I N 2~ S DIMEN I SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHIN anu adurer: SETBACK CH ER INFORMATION TypeO ~ n ~ ~~ Mo a Nu System: n tpt~C ~ /~ OR UNIT DISTRIBUTION SYSTEM C9) S ~ ~'~ , s % ~ __ Header / M nifold ~ ~ ~ Distribution Pipe(s) r ~r ~ x Hol Size S/ Hole Spacing f 1 Vent To Air Intake .~- Dia. Length Spacing Length 0 r Dia. ~2 2.Q p SOIL COVER x Pre3sur~ a S~IStems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.~nspection #1: I D/ ID /©( Inspection #2: "fi--~• Location: 1775 100th Ave~~e, Hammond, WI 54015 (NW 1/4 NE 1/4 16 T29N R17W) -1629172426 1.) Alt BM Description = bcffi'ow- ~,ut,~$i'+~ ~. KF' ~ ~w~- ~'~~`'~~ 2.) Bldg sewer length - I1 « ~ l2 }~;~ cou~r d"r -amount of cover - 2~ ~ ~~ "~ ~'''""'Q'r °'0p°'` 3) ~,,,,~,-,,' ,,I' g9• ~ Csl~"°'r ~. ~ro •fi t+~ ~ los.41't) ~.1~. M .. ~, . c,~. ~ {~ sue- S~ S~ .~•~ S a P{3n revise n required? ~s No O~ ~ ~J~ Use ovt-~hreS~r s~id~e fora ditional_inf n ~ n. ~+. ) ` ' SBD-67~td (R'3J97)P ^^~`'"^~e~c.. (Q,U,tst~ D~e_ _ ~ Inspector's Signature Cert. No. • Y Wisconsin Department of Commerce SOIL AND SITE EVALUATION ' Division of Safety and Buildings • Bureau d°.lotegrated services in accordance with s. ILHR 83.09, Wis. Adm. Attach complete site plan on paper not less than 8112 x 11 ' it side; P1~n.r\nust County '' _ '. ',' ~ Page~of~ i ~ OjX /~ ~N ~ include, but not limited to: vertical and horizontal refers ~ t.i;BNt) direction arltt S L percent slope, scale or dimensions, north arrow, and `~5nd dis~nce to nearest~ad. parcel I.D. # 1.` of . ~... / .. RECFovED ~ ~ o~ ~- APPLICANT INFORMATION -Please af't?a/l information. ~ ~ Reviewed by Personal infom~ation you provide may be used for second ry"p:~posei , cyV~a~ s. ~1) (m~.. Property Owner °' ST Propei#y tion ~,`. Od O Oats 6 " e ~~ ovt:,'L' j,~ 1/4 ~I/4,S ~b T~ ,N,R f ~ fir) W Property Owners Mailing Address ~ ..' ,. ~"' ..Lot, •' Block# Subd. Name or CSM# n _ ` . _ ~ ~ A . ____ City / ~ State Zip Code Phnone Num//ber -°~"'" r ~ ^ Ciry ^ Village ~ Town Nearest Road /~ ~~ /V OO ~ /~.`)b~ - O~ ~ ~ ~ v G ,~ New Construction Use: ~ Residential / Number of bedrooms ~~ Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow ~~ gpd Recommended desi n loadin rate !~ ~ ~-- g g bed, gpd/fiz. ~ .trench, gpd/ft2 Absorption area required "' bed, ft2~i L,~trench, ft2 /~ ~ Maximum design loading rate ~~bed, gpd/ft2i..~trench, gpd/fl2 Recommended infiltration surface elevation(s) q ~ . 6 ft (as referred to site plan benchmark) Additional desigNsite considerations 7- Parent material ~ L a-_G~'_1 A ~ / / ~ ~ Flood plain elevation, if applicable ~/ ~ ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank u unsuitable for system ^ s L$ u C~ s ^ u ^ s ~ u ^ s (~ u ^ s I~ u ^ s ® u Boring # Ground elev. q1~..~. Depth to limiting factor ~~in. SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/flz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench ~. ~- ~ - s c .~,~ r ~= ~ w 1, ; , v .3' ~ S 5 ~ C ~ ~ 6 ~ ti ~-- .- ~S`f ofS , Remarks: Boring # Ground elev. 9~ft. Depth to limiting o- v a sb MF S A M ;, d . J~ ~- ~ ~' licf ~ V ~' r r a 5' ~ ' G' My , -~ ..- ~s o ~'S~ CST Name (Please Print) Signature Telephone No. Address Date CST Number _~~.2~ /~~v /7o G~Pn~c~ood ei7'-t~ ~~',3-tio~~ 3-~0-~0 ~a~.~.~~i Y r ~ ~ ~ '~ ~ ~~` ~~ ,,..q ~~ ~~~~~ ~~ ~Y ~ ~or~~"'`j Q_~~ 5ci~~ ~ ~ ~",~~ w ` ~'~' ~~ ~6 / P 1 ~'~ ~r ~~~5 ~ ...~ ~ Le ` OIL DESCRIPTION REPORT:: i ~ PROPERTY OWNER ~p~~ R14Ld G1S~L6 I PARCEL I:D.# (~ ~O ~ ~D ~J .• ~L7 ~!'OD Boring # Ground ~e~tevr~ ~ft.':. - Depth to Limiting factor ~in. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. Page e2 of Horizon Depth ~ Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in: Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed .Trench ©-i is .~ 2 - s ~ S6 ~ ~-~r- N s ~ ~ ,~-~ , ~ /o SC S ~ W v 2 ; , ~sPd~`s~ Remarks: Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots P / in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench Depth to limiting factor in. Remarks: SBD-8330 (R. 07/96) Remarks: e. ~ ,' - O - - o 0 H o ,L a ~ ~~ R N e i i D11 rs - ~ ~ d _ -~ _ ~ _ _ i - - -- -- - - -- - _ --~ - - -- I _ i - - ` ^ - - - -- ~~i- ` ____1 _~i _ I ~ ~ _~ - _ _ _ - _ - --- _ - ---~- i ~ - ~ ~ _--f ~ ~ 1 - - - - - -~' --1 - - r --- __ -- - - ~ a - _ - - -- -- _ ~ -- -- ~- --- - - --- ___ ~ _- --- _ -- ~ ___ -- - --- --- __ __ --- -- - ~ - _ __ ; _~ - _ _. _ - , + . -_ _ __ ~ - - - - _ --- - --- - -- --- - a -- - 4 _- I- -~ - - I ~I I ~ } ~ I , ~ _ _ _ - - -- ---- -- ~ ._- _, ~ ~ ~ -- -- _ - --- --- -- -_ _ -- -- _ - -- _ __ - i _ i _. 1--- I _ -- - - - I -- _ - - . -- + _- ---- -- --- _-. - -- - - _ - ~ ^ - ~ --~-- ~ - - i ' - - - -- { - ~ L '~ -~ ---I-_- i __ - - ~ --- ~ --- i -- i - -- - -- -- - ~ -- - - -- i - ~ - - - - - -- - -- --~ --- - --- -- -- --- --- - -- - -- - - - - 1 -__ _ -_ II ____ I _. - --- -- - - -- - I ~l , _ - - -- - ~ - - -- __ - ~~ G~ O - -- - -- ~ ~ ~ ~ = ~ Wisconsin Department of Commerce Division of Safety and Buildings ~GvS~e~ SOIL EVALUATION REPORT Page l of rn accoraance w¢n Comm oa, vvis. cram. r,oae Plan must lete site lan on er not less than 8 112 x 11 inches in size Attach com a County ~ ,Q ~, f p . p p p inGude, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north anow, and location and distance to nearest road. Parcel I.D. / ~/ ~Q ~ ~- ~~'~ad Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Properly Location GVl3 ~ ~r ~' Govt. Lot ~ 1/4~F 1/4 Sl~j T ,'2 N R /~ ~-) W Property Owner's Mailing Address Lot # Block # Sulxi. Name or CSM# ~~ City State Zip Code Phone Number ^ City ^ Village ~ Town Nearest Road ~i/ 1 /t ~ X02 (7~' cl~ •- ` dl M IV c~ !U"O ~ ,~ v New Construction Use: Q~ Residential /Number of bedrooms ~_ Code derived design flow rate ~/..~j`-Cr^ GPD ^ Replacement ^ Public or commercial -Describe: __.__.___--__ _. _.__. Parent material __ .'f7_~_~__~ ~~~ -- ~/ ~ ~-_ Flood Plain elevation if applicable n/ /~{" ft. General comments and recommendations: %~ f^ Boring # ~ Boring Q~j~ / pit Ground surface elev. / /p ft. Depth to limiting factor f?' in. Sal lication Rate Horizon Depth Dominant Color Redox Desaiptioh Texture Structure Consistence Boundary Roots GP Dlftz in. Munsell Qu. Sz. Cont. Color h. Sz. S Gr . 'Eff#1 •Eff#2 J/ L c ,s /~~ Q C ~ V ~T ~` 1 N .-~ r Q I ~ I Boring # 0 Boring CTI7 /' n -~- h LJ 119 Pit vrouno sunace elev. i i i trrc tt. ueptn ro umiung raaor r ~ ~~• Soi{ ication Rate Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Caor Gr. Sz. Sh. 'Eff#1 'Eff#2 t~ ~- .~ ~ i e ~~d ao~ -- •- ~~ ~ • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Efttuent #2 = eol7 < ~ mg/l. and 7 SS < 3u rrxyt_ CST Name (Please Print) ,, Si na re ,. CST Number L. N/ ~ 31 Address Date Evaluation Conducted Telephone ber ma'y'©/...~ Property Owner L'~'G° /~A~ u ! 1 ~,5~ ~ ~ ~ Parcel ID # ~/ ~ ~~1.3~'' f~G' Page ~ of ~~ Boring # ^ Boring /' pit Ground surface elev. v- © ft. Depth to limiting factor ~~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 o-~ v I ~~ --- G /~ I= S 2 v- t 6 -- S ~ ~~` ~ 1 ~ -~ ~ ~ .~ ..5" C i ~ ~.. tee= .~ P s ] -~~jf ~~ fit Boring # ^ Boring ®pit Ground surface elev. la~~ a.,,~ ft. Depth to limiting factor ~ in. , - Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsefl Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#7 `Eff#2 ~'r Q ...,~1 1 ~ /~ Y ~ v ~ ~ / dY ~ ~ Gd ~ w~y~ ~3 e~' Y / : f ~ t O d C.~ ~~~ _ ~~ # ^ Boring ^ Pit Ground surface elev. ff. Depth to limiting factor in. Soil icetion Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 `Eff#2 `Effluent #1 = 8OD6 > 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 (R.N00) i - - '~ -- I ~ ~ / ~ ~ t o a -_ .. .__._ _~. _.-._. . __.__ ~-__ ~ _~. ._____ .~ __.-. . _ _ __ . -- I ~ . -__ _ __ _._ .. ._,_ _..~._. __~_ _.____.._ _~... _____ .__ .____. ~ ____l _- _ ____ ® ___ / _.~ / _~_ _ _~NT / / -___ _ - I I J ~ j ~ __ -----~ ._._ .- r i __ i -.._. .__ ~. __.__ _ _ --_ ~ ~.._ ~ _ 1 ~ I I ~ ~ ~ ` - -_ -- - ~ ___ _-I ---~ `- -~ ~ -- - - --- - _ - ___ - . - _ ` '~ .J~ _ _I ~ _- l ~ - -- -~- ' --- -- - __l __ _ _-- I - - _-- -- ! -- -- - --~ ~I - --~ --- - --- --- -~ ~_ .. - , ~ - - -_4 - ~~ ~ -- ~ _ -- _ _ ----. --- ~ --J --- -- -- - --- --- - -- ---- - ~~ ____ I -- - I r -- - - - - -- ~ - --- - - - ___ _. -~ - - -- _. _ ___I __ ---- - -- - - _. _____, __ __ __r ___ __ ~ ~ _ i __ _ r- - -- ---. _- -- ___ -- ~ ~ ~ -- --- -- -- \ O - ~ ~ ~ . - --- j - - ; ~ ~ ___ _ - I ---- - -- ~. _ -_ ~ _ - I ~~ .~ - r _~ i . j - - - -- I ~ ~ --~ i I -- - - -- - -- -~ -- J ~- - j - -- ~ -- - ~ --- _- - --~ --- i --- r_. - - - - -- ~ - -- - __ __ t j - -- --- - -- ` - , 4 f j f L Y .- - - ,_. _ _--- , _.. _. am. ~ _) ~_ - - -- ~ - -1 - _. __ _ _ -- . - , 1 ~ ' - -- --- - - ~ ~ _ o . - - - --- -- _ _ _ ___ _- - --- _ -- - - --- - - - -- f - - -- - -- _ -- _ __ -_ - ~ ~ 1 __- _ -- _- __ - - -- ~ - - -- -- --- - - _ - -_ < < ' , I ~ S ~ ~ E Sanft>~Iy Permit Ap~ltfeation Safety & Buildings Division • in accord with Cotm7 83.21, Wis, Adm. COdo 201 W. Washington Ave. .~~~~ See troverae aids fin instnretions for oomplcting this apylioatton ~ Box ~~ baparnnaat at~Co,rimeren Personal h~artaadon you provide wary be used ibY aecontiary p~s~ Madison, WI 53707-7302 (privacy I.ew, s. 15.04{1Xm)) (3abmit oompletcd form to canary if»or :rate owned. Attac com Jere ana to a eosin co om for r e t a tee o Less thaw S-I x m a to size. r t ~ Ot Chee i ~ ~ 'on tats n pS'S• let I ~ (`C s rr ..../ r t CL~~~E 7/~'!l4 IV~110. 8 Ts~9,N,1t~~ rop«ry ,~' J g 5~ `f'et i ~` ~'°f.~ a.~.--.. Bloalc Ciry,Slate p lap CO pI,1011eNu ~~~',,`,'~ ' bdiviaiainDlatnOOrCSAd bcr l~ ~tc~Cl~la~t ~ WL Sip ~ . ' S~~r, r~ y~>3 II. Type of Building: (c>teck onaj ~~ •. . `.~~ pd' l or a Family Aarolllrtp . No, of)3edroonac : ~.~ ?~~:'~ ^ vp~ /t.[dY1 d 4 Mato-Owned ~ (dsserlbevse)` ~`. r' ~ry L l~T'awooS ~ ~•3o N~ue:<xoaa~0 /~l1f a~ ,, 5 '~~~ - O -/o- 'x' o of permit: Chock oml one box on tine A. Ct1ac ox ou line B i a able oZ ~ a +q,) T. New 2. plataspetJC Tani Of 6. ddition to S stem 3 Eem ~ Bxisrl stom B) aauic um ~'~ i A 't issued Y'V. Type of PO~'VT S~stcat: (Check>rll that apply) -iE -I. F ^ Non-pt+esstuiYed In-ground !'Mound ~ O Sand Fillor ^ Coustruc6cd Wetlmd . ~ Pteasurizad Yn-gmortd ^ Floldina Tank ; O Sing1 ^ Drip Line o Ar de ^ Aerobic Tat at unit a oulatlat a other V. Di ersaU'I'xeatment,AUiyalAfotmatlont ! . grl ow uperp 8. A~ 4,t 80i Appl a Ott to stets on t Itequieed Proposal ,lZate (CtalRJday/ . tl:) (Mto ) Plevatioo VII. 'Y'ank Capaclry n 'Corsi of Manufacturer 1'rcfab Sitc Steel FtbCr- Plastic Information Gallons Gallons arks Coe- Con- glass T T ~8 Crete s red ~Fr'~ ~pvo ; ~ ~~~- ~~ ~ ~ ~o%" i ~a ~ o 'VYIY. Responefbility Statoslaont ~ ;, I the undcrsi d nsauma r oasib 1 for llation tlra 1'UWTS shown on the attachod luu. l ame ~'u staunpa): i usmew Number Plumbarc A teas (Sa+oeR G1'ry, State, YX. County/Department Use O D Disapproved ' Sanitary Porrait Fee (Includes Grotutdwatrc Dace Issacd 'ag AQent 9igpaotce tNo sta¢ppsf ~A,pprovad ^ o..vner itialAdvetae s Fec) (b ZOD I 225', O'O X. Canditiorta of Appro canons for Disappzoval: ~E. R-t~ se~~-~.s ~ b,e_. r~na,~tin-4-ax~ne.~L o~a ~. e~aaQa~ ~ .Q„~s ,~'or' ~Q1~. ~ /I~a~ s. -I~ % /ls•c~6+lsijo•Q.e -~ef ~ -~--~ .t?.~I~'!C~ i S rM ti.~t~r~eQ c~ ~c.ts~~` ~6+~t, S . SB3~-6398 R r~ ~l~ s __.: ..~-~_- I00/I00 f~j Z11IS QQO.L Fft .LNIdAIdO'T~Q .I,LAI110~ AIAIIIQ 6601 ZSZ Sil i %V3 S£ ~ fiI dlLL OOOZ/fii/ii ~~, isconsin ~,~' Department of Commerce ~-~ ~1 .' October 09, 2001 OUST ID No.139462 TODD L SINZ E5609 708TH AVE MENOMONIE WI ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD 54751-5520 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/09/2003 SITE: JEFF RIES 100TH AVE TOWN OF HAMMOND ST CROIX COUNTY NW1/4, NEI/4, S16, T29N, R17W FOR: NEW MOUND, 450 GPD DESCRIPTION: REVISION OBJECT TYPE: POWT SYSTEM Identific~ ~ bers Transaction ID o. 674211 Site ID No. 62760 Pleaserefer to both identification numbers, above, in all corres ondence with the a enc .. REGULATED OBJECT ID NO.: 785342 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: General Approval Conditions: • 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-10691-P ( N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10706-P (N.O1/O1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: ~~ ~ _. ~ ~. R~CEI~~EO ~; ~~° ST I~AOtX (~ Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 www.commercestate.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary >, z,,..~~'` .~~%~~'~ KGs il) ~9 • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. TODD L SINZ Page 2 10/9/01 • Surface water drainage shall be diverted away from the system area. • Materials shall conform to the requirements of COMM 84. • Maintain well and waterline set backs per COMM 83.43(8)(1). • Provide frost protection per COMM 83.43(8)(c). • Holes must be drilled with sharp bit and all burrs and foreign matter removed before installation. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of 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 may be made to me at the telephone number listed below, or at the address on this letterhead. 1 Sincerely, ~ .. :, ~._ C-~lt PATRICIA L SH DORF POWTS PLAN REVIEWER TEGRATED SERVICES (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM PSHANDORF @ COMMERCE. STATE. W I.US FEE REQUIRED $ 60.00 FEE RECEIVED $ 60.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: JEFF RIES 03!2511995 23;45 715-634-5150 ,. ~ isconsrn Der~rtmPnt of Commerce Oct~~ber t1V, ?UU l ('(Jti'1' IU N~i.13')462 TUUI) f. SINZ F:56U') 7Ul3'l'1•l ~~VF MEN()M()N1L' Wi 54751-5520 C'nNUI'1'IONAL APPRUVAL PLAN APPROVAL EICPIRES: 10/09/2003 til'l'!:; JFFH' KITS IUO'1'l1 nVE TUwN OF HAMMOND S'I' C'RnIX CO[INTY NW 1/4, Nlit/4, SItS,'1'29N, R17W t''OR; NLW MOUND, d51) GPD h1:Sc:RiP'1'1(~N: REVISION (7R1LCC TYPE: NOWT SYSTEM HAV SAFETY AND BLDGS PAGE 01 _ Saioly and eutldings 10547N RANCH ROAD ~~.(~~~ , HAYWARD WI Sd847 TDD ~: (608j 284-8777 P~ ~ www.commArco,stat®.wi.us/sb I,~~~ D f ~,-' www,wisconsin.gov ~i~` (~ Scott McCallum, Governor ~' ~ ~ S ~ Phlllp Edw. Albert, scting Secretary ~~~ /~ J~y~ A7TN: POWTS Irrapr:ctor ZONING OF1~IC'•E 5T CROIX CO[INTY SP[A 1101 CARMICHAGL RD HUDSON Wl 54016 Identification Numhcrs Transaction 1D No- 674211 • 51tc ID No. 627b1N) .. Please rifer to bath identiticatiun numbers. above. in all comes ndencc with the ate(tic rL. , REGULATED QRJEC!' ID NO-: 785342 •~.'~ /'`~; ~.: ~. The submittal described abcave has betn reviewed for wniflrmance with applicable Wisconsin Administrative Cocks r ~' r • and Wi~ct~nsin Statutes, The submittal has been CONDITIONALLY APPROVED. The owner, as det"incd in '' ` chapter IQ1.U1(10), Wisconsin Statutes, is responsible foreomplisnce with all code requirements- 1,,,•'••• .ti_~ The lUlluwing cc)nditivns shall be met during construction or imtallation and prior to occupancy or u,5c: ~:~~~ ~--• - Cieneral App~+val Conditions: - r • Thir• system is to be constructed and located in accordarlee with the enclosed approved plans and with the "Mount! Component Manual for Septic Tank Etlltutrt for Private Onsite Wastewater Systems SBD-1 D691-P ( N.U I /01 j and the "Pressure Distribution Component Manual for Private Onsite Wasteu+acer Treatment sysrems° S13D-10706-P (N.ol/Ol). • In the event this soil absorption system or any of its cmmponent parts malfunctions so as to create a health hazard, the property owner must follow the contingeoey plan as descnbed to the approved plans. In addition, the t~wner must insole that the operation, matntenarrx old monitoring duties as described in section Viii ul' the mound component manual are complied With. A Copy of this infot7tlation must be given to the owner upon cun,plctian of the project. • n Sanitary Permit must be obtained from the county where his prrsject is located in accordance wilh the requirements of Sec. 145.135 and 145.19, Wis. Stara. • lnspcctiotr r-f the private sewage system installation is required. Arrangements for inspection shall be made with nc~ rle.ignated cuuncy official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Scats. • 1'Ite maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: TI,.: orientation ~f the mound system muse be such that dte longest dimension is vrtiented ajvng the stuface cimrnur per COMM 83.44(6)(a)2. Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. 03~'~25/1995 23:45 715-634-5150 HAV SAFETY AND 13LDGS PAGE 02 TOiSp L SIlVZ . ' '-"' B 1019/01 • Surface water drainage shall be diverted away'1'rom tla~:aystear area. • Materials shall conform tv the requirements of COM1Wf:i~4. • ;' • Maintain well and waterline set backs per COMM 83;43(8)(i)~. • Provide frost protection per COIVI?.VI 83.43($)(c): •~; ~~;:~~ • Holes must be drilled with sharp bit and all burrs' and`ftiteignmatter removed before installation. • ~`• A copy of the approved plans, specifications end this lettt.%~shall`•be An-site during construction and open to inspection by authorized representatives of the Depasxtneia't';!3'hict;may include local inspectors. All permits required by the state or the local municipality shall. be obta~ied•:pFior to Commencement of construction/installation/operation. ' '-<~. Tn o eating this approval the Division of Safety & Buildin'~s,reaetves th~ right to require changes or additions should condirions arise making them necessary for code eoatpliiae~:.: As'ter' state scats 101.12(2), nothing in this review shall relieve the designer of the responsibility for dcgigning,a:safebuiIding, structure, or compoaent- Inquiries concerning this co pOn~C a may be.made to'1Apeat fi~e~teltphone number listed below, or at the address nn this letterhead. :,.;: •. Sincerely, : ;~~ ', FEE REQUIRED ~ 60.00 ;, y, ,. FEE RECEIVED ~ 60.00 .::•'•:. EALAI~TCE DUE $ 0,00 :;;;; . . . ~ 'rRIC1A L 5 O ~~~' ~ '. • POWTS PLAN REVIEWER GRATED SEIi~ICES``:.; ' ,,.: • WiSMA.RT'¢ode: ,763.3 (715) 634-7810, F'A7~: (715) 634-5150 , M-F 7:451~M ~-.d30 PLvi: PSHANDOR'FQCOM1VID.tCI3.STA'I'E•WI.US . • "•' ' ,u . . '..p , 032511995 23:45 715-634-5150 HAV SAFETY AND BLDGS PAGE 03 • ~ :; ;'i. j i ,'~, ~~'Yl.. _ ,{.• . `r ,I . ~Fiv .: ocr o Fn Jeff Riea.=:-:Ma~ind ~ 9 ?UU' ~a 'I'mo ~~; •74211 :t~ Construction 1Vrsterala• s~iird Techaiquea All materials must comply with Comm 84.d b.~•installed in accordance with maut~ufaeturer's specifications. Construction ztaethods must,compZ:yv~it'~i the following Component Manuals: .'A Mound, SBI~=.10691-P (01 /01) Pressure Distributiop.,'~~~$D'~~10706-P (O1/O1) ,~: . .., Location: Lot 1, Bonte CSM~v'.1.4p. 3896 NW 1 /4, NE• 1 /4, fee. 1 ¢. T 29 N, R 17 W Tawn: ~aaimond: . . County. St; Groix r:,' . Datc: October 5, 20:O l F' ••'; :, ~ • Owner: Leff Ries ;:: Address: 1343 1S7 AVe.::`~v~, ~ • New'lZ.i ond,''.;~`5'40,15 • T $' Plumber: Todd S • . ~' Signature: , •- ~`~• ~ r cOMMBR • ':~~ {' .~,;.,: . Y AND License # MP 1 462 ~ . • • ' ~'~' ;f'dNDEN Attachments: 6748-Plan Appro~'aI A~.~.lication SBD-8330 cti;: • .:,: • .:~: ; Via. . page 1: cover 2: design criteria & calculations • 3: plot plan 4: system cross section • .• 5: plan view, lateral detail ~ ' 6: pump tarxk exit detail ~•; - • 7: pump curve is •. 8: systerr~ management ~ ~ ~'~~•~• • • Y• :~ page 1 of 8 . s` . . . . 03/25/1995 23:45 715-634-5150 HAV SAFETY AND BLDGS PAGE 04 „ ::~' } . r,.-~.~' r ~ • .; . r: { . ; YXes~.:C:i~tieria :~. ~ Residential Wastewater Contaminant Load.i ~=`~? ~° ~ `~ ~ 30' mg/L < BODS < 220 m Anticipated septic tank ef!';]uent ~~:r. ~ ~~• . 30 zag/I., < T5S < 150mg/L ~~ ~ ~:~~~~ Fecal Coliform > 10,000 cfu/ 100 mL . ~ r~''~ : ;~ .. ~ Fats, oils, grease < 30 mg/L . ,•~ 3 Bedrooms x 100 gal/bedroom/day x 1.5,.' ~~~. ~~~ gallons/day hydraulic load ,,~ . )QeSign~.~al¢•itilations In situ designed loading rate ~ ...:o,:~-4•~.''_'` ~,,........; . ~ gallons/sq. ft. per day Depth to estimated high ground water .~.; ~ >~~F'~''. ~ ~ ~ in• Depth to bedrock '~~:51'0 ' in• Cross slope at system S ~;~ ~ ' %~ Force main length ~ ~~~~~:~. ft: of Z __ in. Manifold/header length ~"~:;.~~ :: ~'~' ft. of in. Drain-back _ S Lateral length ~ @ t ~~'~~~--"'~<~ . r''• i3. of ~ in, Lateral elevation ~ ~~ ~ t o}.1:<~~ `~" ~ ,=. ;~, ft, @ bottom of lateral Lateral hole size S~3'- in. @ 3~~ in. ( ~ ~~ b ft.) Spacing 3 ~ holes/lateral ~ ~'~~'~~:~ ~•~ holes total Lateral volume ~~''•~~`s~~~'`" gallons Total later2~1 discharge rate ~ ~~~ 1Q"~~l-'```.': gallons/minute @ 3'~ ft. head Network pressure compensation losses t'~~'~~'<< llevation difference ~. , Friction loss :u:; ~ t''~: Total dynamic head ~~'~`:A~~s:.; ' Pump/siphon 3 ° gpm @ ~ ~ ~~~ ~...,: Manufacturer ~ ° s-`~ °'"~ ~ ~ ~_' ~~ Dose volume ~ t ~~ ~~ Lift/si~hon tank ,~ w S-~ ~""~"~ t `'w - tem. (<< ,:: ft. ft: ft. @ 15~ ft'. gallons/minute ft. of head '~ Model # is Z gallonls ~ "~ _ gallons Septic tank ~ '' ~~`~~ 4 "`~____ gallons '> FFiluent filter ~'°' ~ ° ~~ ~ `- ~t Measurement pump on and off ~''°~~` ::'~k: in. .~~ ,;: . Height alarm from tank bottom ~ ~~~ ~x iri: Reserve capacity ~~~~'~' ,;";~ gallons ::~ gpecs.calcs.res '~ ~' ' ,= '.a ~' .. ~'.1'', <`• ," •..~ ,. ''t+i:. 'r:. Page Z of ~ 03/25/1995 23:45 715-634-5150 HAV SAFETY AND BLDGS PAGE 05 4. . Vii. • r t • v l4, ~+ 3 8g 1e lJv~.ty~ 1b~Z~i-1'i w ~+ ~~~ h1t-Wl-lb ,Zq•~~b w, •• ~ ~ ~':...~1••wo~o~ Z ,:, . .• . .., - /^ - 135 ~qY~ ~rw ~~;..: • •.:..~~~ A~•: i ` f~~ C1 ~~~.T7 ~~~~~ S C'~ g ~n ~~ 1 ~ . •y.: ,:.: ~ 1 y l.~R s l o S ~ ~,E~, `" = 3 U ~ ! ~k.: ~` c,v. fir.. ~ 15 3n ~+ia;~ gin' • y • ~4 ` L~ ~5! . r=, .. :q.., , ,•• r t ;:: • ~ l ~ ~h L ~ ~ P % • ~ ~ t i.r 4' L ~ <<:: • ~ ~ ~' .ii 7 `o ~o cQ1ar.~(1 Y r . ~: 2 li.. ~ t t :>~ ~ w >{ (( (~ ,'`, M + r ~l~+ah.S: ~i ~oXt.++ ~ o ~~ 4 • ..4... . '~ ' 3 a S g .iris; • ~~j,~^~T .." 5 ~ (TJ • ~: • ;. C'S .. •~r~~1'•: •.•.. ale: 03/25/1995 23:45 715-634-5150 HAV SAFETY AND BLDGS ~: .. . _ S g ~~N, ~ Mp ! S ~, ~ '~'Q` '„'1 ' ~~.-- _~ ' ~'>'.: PAGE 06 ~1 ~. •~ .. •~. /L' a~ ~Z ~-o.~.vO.i~ y ~n •vil ~o..+. ~ mil, ~ ~''"' ~ o l,'3 ~~ ~~ --- - - ,~ r~ J ~.~ i `r: ' :A.. :i ~~ , `a ~i ... g' . .,4i ~~~1 . i ~ ~~~'<< ~ ~i. ' ^I' • :, `, ~, ~: <:i. _",~ :.i . .. ~: r : •, ~ ~ y; :; • ~T~.. r ~ 'ti :l, r'~ ;~~a ' O.~ '. ` {:.. tk'• ti • . 'q>.. a: `~ • .~,•:. . .. :_~.< ;RBI e. ,~•:tr:r ~ M, N ~ ~D Lr~CO: ~ /~ ~ c 03/2511995 23:45 715-634-5150 HAY SAFETY AND BLDGS ..~_ 1 PAGE 07 4.g' / ~- '-~4~ 1 t,. =`' ~ ~ ~ ~'~r , • "<: 0 ~. ~ ' 1 ~' V L G v fr~ 47 9 S G.4- N L ~~ O~- A~r:~ 4'+ \ \:~S ~O ~ 1 1 O ~^ O } 4' OtiI4 V y ji~• ~~ a • } V `F~~, Qw~-~ ~ oA. ~:.... ~+.5 •~ ~ ~. iar..~ ' :~ eS Y a e.. It ~ W ~: .. Z .qb~ l 2.qt,' ( ~ 2.qb' ~ Z,.qi~' 1 ~.`:. ~..M.l.)r~ +'Y ~~-•+~~14'•,~(s`lrrt.~~,~u ~~-~\q~(/y1r-`~ S ~ \ • /1. t ~. a~ •.~, a •. 1 .,'t w.~ ca...~a+ :~0'1'.~~`-•o,~ l:+t 3 S • S L•• a. ~~ Z ~ b~ J -~ ~ ~ ~ ~ ~ o ~ ~ ~~ ~..5~ c~ ~~~~:~~~~~ :;r. rY: , ,'!' r ~-,, 03f25f1995 23:45 715-634-5150 HAY SAFETY AND BLDGS PAGE 08 ,~ •: ' '~ .a • I*1 w ~ w W E STN E R PQOO c LOCK1rJ0 GOV6R JLwcT;oH ~: awcK a~cw~~,cT~--~ 1 ~.,. ~ , 4~ v, v6 :s' P~ f1U ND-STui+QED „~• SGIL II dw ~G 20" Z.~, , ~ VEh?~ McW1101E .,.. ~ ' ~ S~ inlt/ r ~J ~ ~~~ _ - _ a ,Y~r(rP IA ti _+, gv~.a,ov~D J~ -- 4 ~ S-L.GT 3t~arrf~ ~FFt_s: ~ pl 3' D~rro u P ~ IL 4 ~ ON - 1~+v:.TVa.a ,huvECTIOr~S ~ `~/ ~{`~. ~ .~at~p GGJUwO C~~~~~. - ~ acs ~ t.~~s' Pub p b ~~ Co•vGeEr~ ,; ~,~.•~ b~oC.C SCPTiG i _.$PEGIFI'C~TIOA15 po 5 C ,,. L~ ~w~ 5 , TA-l..S I'~A-IUPAC'TU~CR; ~ (JW'~OE11 O/ DOSCS: ~4 PEh 0..~ T~--JK SIZC : ` ~'~ ~ V~ ti~1l..ubN OSC vO~,uMI: ALAKr+ /t/WUi~CTUt~GQ: S J ~~~ ov~v` 11JCLLIp1AIG 6ACK/LOW' \ ~~ GA~~.o-u~/ noDC~ uuv~BCR: ' ~ ° ~ ~~ "" CAPACITIES: A = ZZ.~ WCHCS OK 4°Z'3 GA~~~/ i {•t.~/~F l1AIJUFAC.TU4CR: ~~~'~~ G r }~,~ iUCMCS ON ~d1 :.~~/::~.: A MOOEU -JUneCR: 1sL ~ D~ ~ IN4ME5 GR ~~~-:,n....::~..:. ~N~TCH TdPC; ~~"`"" ~' COTE; Punv ANO A~Aa-'~ nRC TO Qf 1~ INSTAlLCO 0-J SEP~iiATC GIKC.''o r-lulnun plscN~RC.t R~TK..._.~,~_GrM•~ i vcxT-cAL DtiffllQAIG[ ecTWCCU PuAP OF' quo OISTRIfaUTtOIJ PIvC..2`°~~~~ FELT t M~ulhuM ueTwloaK SUPPI.y -RCC[Wl[ . .. ~'' ~'CC'f + I'o5~ i T ~~ PCET DF t"DItC[ 1'SAIAI X ~.~^ T ~ /-00 IRFRICTIOIJ FACTOR.. ~ :'3 ~ FCC T Z ~ ~ ~ „~ ~--,-~ i = TOTAL OyAlArI1L MCAO ~ A~•~Z'FEET .~ ,Z ., ~ IuTER~AU Oln[1..I6-c-lc •oI 7AUK: LE~,IFiTM `~~,w,pTN ~~' ;LIGuID C)CPTN 03/25/1995 23:45 :, ~ ~ ~n I' 10~ 1 40 17.1 I.',7 ~,.~t~CJ~t30 -- ~ v 1u :~' 1 1U ~~~ 0 715-634-5150 HAY SAFETY AND BLDGS PAGE 09 HFAI) CAP11C11Y CURVE MaUEL 152/ 153 it's :V U~'`u1N+t~ ~+CA` %C•APA^.IIY r-r .Irnlr alv~rN±~~.~.lrhtrl,: - -~~ ~~ f:f%~l ~ ~~ ,~:, (•rr~! Ai~lf'1!. , Mil ~Il:ef( ~. ~!fil I,I r: •:, 1. ~ 57 261 ; i %~a ~ ~ - . 7L /.G J" 121: ';,r+ 4) r 3f, Y ~. L.s I{/ ~/.~ ~~/ L;j .7 -~ I ...~ I I ~n ~ 20 40 G4 80 100 (;r14:.UN~ ~IItKS l 0 9f1 ~ 60 14U 320 "~~OW R -IIN1lTC CONSULT FACTO Y FOR SPECIAL APPLICaT10N3 • Txnad dwirtg penal! eVellaDle, • Ebc4lCel elt[Imalofa, for Duplex ayalema, ere rveilehle and supplied N~lh aA alarm. • Variable level cortlrol switches ere avaYaDle for controlllnp elnpk phase >}yslema, Double vgpf~ack variable level fbaf swltohes ere avaNable for v4rlatale lav.l long end ahoA tyale mn7ola. SeebA QyVilc-Box avaiteb4 for outdoor InetsMeGons~ See FM 1420. • liver 130"F. (54'G.) aperJal quoterlon repulrelf. 1 S?1153 St+4s woar Volu~n Y.a. ... ~. . Drrliw t ~ tt5 t ~-+ ~ t .... . 9nr- t3N151 115 1 . . !.~ Ina-+q~0 2 er J E+SJ 130. + Nvr i.~ t ~urJ 0E ~ Q2 i!0 + ,W1n 4.,Z_• lnclud.E Z a 7 N+a7 +1d t ~+ .... 1 ter 7 Ww].1 n~ ~ rWrp ~ 10.0 Irobd.d 7 ar 7 tE1rJ 7!0 t ~ ~~ 1 ~._ 7ay all n^WNUon or ®Mre{s, pret.dloo d.vtro..M W-bo Moyp ee e4~ ~ e ~WrIMb Nc^n^W ^LetAdrt. NI dresicd .qJ Maly ~Ow .hould t^r roAe~d Ineluetrle NI sled nc vtl f~,an.l [Ir,[V1a Ced. (NFr) and 1h.0oauPaUand aerary ~ W.aYlt 4 (GatrN~ '_Ur,Y vNre: li::I f(. (' I.6nr) r".l1 h t : t t.r rl ~ A':r T ~ 's'/s3 , ~ r ~ . j 1 I 1 I ~ 11 ~ L_~„~ • y t; ~ ,~ ~-•~ %'~ ~._ 1 ~_ I,:y 4 $ELEGTIOM OUID@ 1. ~~ ~plrbenll vwl[4N Yvel Iktel tlwlldt a double pppy4eak verude la>,a Ikal er~dr. Rehr b l~M0171. 2. Rae /IIp71Z ier owned model of Electrical ANerneior f:~eN. a, y~{aye level mnual a<wkeh 10-0125 utted a a cttrlYol eeNvalor, ep+edy a;ploK I s! d l+) Ilo~l ta~tem. RESERVE PQWERED DESIGN For unusual condllbns a reeelvs safety fic~or It ~Agir+l~aa Ihld the design d every 7•oeller pur»p. . ..... laltl, is'Ra /Oa INQ ~~~ ~~ aAa~*Y ~ 11aralacri+rws of. { ~/` L )d `Gi • ~~~ ~~ ~~'rJ~~1'~IJM~ fI^M[IlI ~ .~N6'r /.9.~ • nr~.~a•n«.^,onr f'!!It/IP !D_ f,~~naef• _ ~ ~.. , . .... O CoPy~pht 2000 ZosYer Co. /M rah![ reserved. ~' ~ ~ _ U V x 03/25/1995 23:45 715-634-5150 HAV SAFETY AND BLDGS PAGE 10 ~, ' ,t ~ •. Syst~m• 1VIa~t~ageltaent • Management of this system is critical. As a conditaort of ;approv$1 of these plans this system management section must be reviewed with the owner, and the owner must be provided with a cvgip~:ete'•set of plans including this management section. If problems d~vclop with the adsorption system or any other system cotnponants,°tht installing plumber, T.L. Sinz Plumbing, 715-235.2644, or the St. Croix County Coning ~Ftiee, 715-386-4680, should be co»taeted~~or assistance. ..,.;• a' Geneiral Proper functioning of an on-site disposal system, "septic system,"'issigttifieantly dependent on the volume of water which flows into fire system and flee level of contaminants in that volume. • The lower'=Che Yo'lume of water and the lower the level of contaminants, the better and longet• the system will function. Typical system coatpoii~t`its.include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the'septie taiilc?to retAl•t- •siriall particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and cotttrol~;a?artd •~nally some type Of soil adsorption cell to recycle the water in a manner tv protect ground water quality and public health. ~. • ti ht'. I lI'the septic tank is installed prior to sheet-rock and/or painting, ptiici.p 1:haseptic tank before normal use begins to ensure adherence to contaminant load design criteria. r;.:. 2 Install water-saving appliances whenever and wherever possible::';: j. Repair even small water leaks aS soon as possible. _ 4, Never pour grease or oil down any drain or stool. .~ : ;.%~ ~ ;., • • 5, C.;arbage disposals are not recommended; if you must have•one,;t~t.;it sparingly. 6. No paper products other than tissue should go into the system. r:.', ' 7, No chemicals should go into the system. `~•~ ' ' 8. Avoid surge flows of water; try to spread laundry throughout thcvi!cek. ~.., Y.: Mafnte~agce;~.• . c7. • •. ...a;: I . The septic tank must be inspected every three years•by a propeil~1icerised person. Z. if necessary, the septic tank must be pumped to remove•solids'•and~'~;~rn primping is required ifthe combined scum and solids volume equals one third of the tank volume. ~::' : =' ' ;. When the septic tank is pumped, any solids in the bottom afthe ptiin.p:,tt~nk must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. '' ' '~' >`' :=~:. . a. Periodic observation pipe inspections should be made by the horimi~ow~iei• to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should`lienotified if effluent is consistently ponded in the adsorption cell. •' •~ ~;:<~ •' '°.. 5. If this system contains specific treatment components other~thati`i~}io5g~-rttentioned here, maintenanet requirements will aeco~ttpany their spccitications. ''.5"•:.' • '~ 6. The pumping components for this system include ah alairn .~vhicfK'm'us~:l~e installed and remain on a separate Circuit from the pump. lf'thc alarm is activated, minimize water use and notify a Ii+cBnseeT:pluinl~r for service as soon as possible. The system allows rCServe capacity to accumulate some necessary flow until normalservi~e<~an bcrestored; this volume is minimal, and no more than one or two days should pass before any neeessary repairs can be•rnade:~ <<;;: ~~ ~. Avoid compaction such as vehicle traffe within 15' down-sltiper;cfthe•.~sdsotption system. 8. Avoid disturbing the system itself such that might eneourage:t3ra~gn'o-disturb flee required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling:~v'hictrrit7ight compact snow and lead to increased frost depth. 1 U, Surface drainage must be diverted around the system; ttvoid:1a~~pe.otie[tges which might send surface run-off into the system area. I I . Warttittg: Uo not enter septic, pump or other treatment tariJts; des~i'i••tnisy result because thr~y may contain lethal gases or insufficient :~ ~ ~~~.. oxygen. . ..~ ~; ;~.: Coatingeai`tcy;P°kan Wastewater monitoring of volume and quality is•not>s~.ntiti~at regixirement for low effluent strength systems; such monitoring J „M1: may become necessary if problems develop. Any necessary ir~omtiicin~gs~~+ali be done ~in accord with the requirements of Cotttt» 83,54 ~, .. <•. • (?), Pumping and Itaulino of wastewater may be necessary ivMile atr~frlys.'is7:attd repairs are implemented. Additional testinj, designing. R`'. and/or installation of additional treatment components or cotiverst'otthto 8••Yiglding tank may be necessary. Page S of 8 ~:~. .: i-: . . ~,.3j . `i ~:i ' ~• • "x -~1,~ ~3s.q-a: ~~ 42Q.~a' ~~~ ~ ~~ - ~~ D Lea 9 oh,, S ~a.12 • ulTr"~ Z-tz.'~ ~4 S~~ V t4- ~„ 38~i to ~ wN'. 1~ fig w~.w O hr/'s `emu.. ~~ a- ~.~.~- N~ -~v ~r~ Ito - t9• l~ ~.~~ Cyw '~~a..o~ ~~r ~ (~ .~C.41 LS,~~ ~aw~~ ~4~ s~ ~ ~ ~~_ .~W~ ^''~ S 4"S~*~ `~ ('3 ~e.+v Wt~ d~- w: Q b~c\~Ke~ it ~O • ~' S"~ ~. a ~s.z) S ..~ ~S'G t~(~ '~wy w S`o ~ Jro ((dw~=.ti ~~ ~o ~~` Sa~~ 4z~.1-~ ~- co ~'° ~ ,.,, l ~,o~ w ~ ~ ~scons~n Department of Commerce s~~- ~~~~ Apri105, 2001 CUST ID No.139462 AT17V POWTS Inspector Safety and Buildings 10541 N RANCH ROAD HAYWARD WI 54843 TDD #: (608) 264-8777 ~mmerce.state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor ida J. Blanchard, Secretary ZONING OFFICE TODD L SINZ T CROIX COUNTY SPIA E5609 708TH AVE ~ 101 CARMICHAEL RD MENOMONIE WI 54751-5520 ( DSON WI 54016 ~~ ~~ RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/05/2003 Identifica an Numbers Transaction ID No: 630551 Site ID No. 627600 SITE: Please refer to both identification numbers, SITE ID: 627600, JEFF ES above, in all comes ondence with the. a enc ST CROIX COUNTY, TO OF HAMMOND; 100TH AVE NW1/4, NE1/4, S16, T29N, Rl FOR: NEW MOUND, 450 GPD OBJECT TYPE: POWT SYSTEM GULATED OBJECT ID NO.: 785342 The submittal described above has been reviewed fol~, and Wisconsin Statutes. The submittal has been CON chapter 101.01(10), Wisconsin Statutes, is responsible The following conditions shall be met during construction or General Approval Conditions: ~•~~~, Cap` with applicable Wisconsin Administrative Codes ~. .Y APPROVED. The owner, as defined in ice with all code requirements. `~ „ f 0 Of 'Si'r ation and prior to occupancy or use: ~` SFE • This system is to be constructed and located in accordance with th enclosed approved plans and with e "Mound Component Manual for Septic Tank Effluent for Private On ' e Wastewater Systems" SBD-1069)-P (N.O1/O1) and the "Pressure Distribution Component Manual for Privat Onsite Wastewater Treatment Systems" SBD-10706-P (N.O1/O1). ~, ~ • In the event this soil absorption system or y of its component parts malfuncti s so as to create a health hazard, the property owner must follow a contingency plan as described in the a roved plans. In addition, the owner must insure that the operat' n, maintenance and monitoring duties as desc ' ed in section VIII of the mound component manual are mplied with. A copy of this information must beg en to the owner upon completion of the project. ~J • A Sanitary Permit must be obti{uied from the county where this project is located in accordant with the requirements of Sec. 145.13 ~ and 145.19, Wis. Stats. • Inspection of the private wage system installation is required. Arrangements for inspection shall be made with the designated county o icial in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The maintenance plan for this system must be given to the owner of the POWTS. Site Specific Conditions: • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per COMM 83.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area. 3. ' r TODD L SINZ Page 2 4/5/01 • Maintain well and waterline set backs per COMM 83.43(8)(1). • Bed tank(s) per COMM 83.45(5). A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of 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 ma e~ad~to me at the telephone number listed below, or at the address on this letterhead. Sincerely, PATRICIA L SHANDORF POWTS PLAN REVIEWER, RATED SERVICES (715) 634-7810, FAX: (715) 634-5150 , M-F 7:45 AM - 4:30 PM P SHANDORF@COMMERCE. STATE. WLUS DATE RECEIVED 03/21/2001 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: JEFF RIES ., Jeff Ries -Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (01 /01) Location: Lot 1, Bonte CSM, v 14, p 3896 NW 1/4, NE 1/4, Sec. 16, T 29 N, R 17 W Town: Hammond County: St. Croix Date: Owner: Address: Plumber: Signature: License # Attachments: March 19, 2001 Jeff 'es 1343 ~ 157th Ave. Ne ichmond, Tod inz ~j .l~Y ~ 54015 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management ~~ `~v -~ .:, '':~~ 1 4~{ ._ _,,CE page 1 of 8 j Design Criteria `-'~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL ~~~ Treated Residential Wastewater Contaminant Load: 30 mg/L < BODS Septic tank + "highly treated" effluent 30 mg/L < TSS Fecal Coliform < 10,000 cfu/100 mL ~ Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load In situ designed loading rate Depth to estimated high ground water Depth to bedrock Cross slope at system Force main length Manifold/header length Drain-back Lateral length ~ @ Lateral elevation Lateral hole size 3~~ b in. @ r ~ holesllateral Design Calculations ~ ~ Z- gallons/sq. ft. per day ?. Z~ in. ~ S ~° in. ~ S ~ ft. of ~ in. ~~~~ ft. of -` in. 2 s ~ 1 gallons ss • s~ ft. of `~ 1 ~. in. `t ~•~' Y ft @ bottom of lateral 3b.n ~~ Lateral volume ~ o ~ ~ ~ Total lateral discharge rate ~- g •~4- Elevation difference ~ 3'g Friction loss Z -`~ ~ Total dynamic head Z~'•Z 9 Pump/siphon 3 ° gpm @ zz; - Manufacturer ~~ ~~^• n ~-~~-z Dose volume ~-~ ~~ ~~ ~ Lift/sipl=ion tank ~ ~ K t ~ - c~r~ C.~ Septic tank '' ' ' Effluent filter ~ a- ~ - ~ ~-o Measurement pump on and off S • 2 Height alarm from tank bottom t 3. 2- Reserve capacity ~'Z~t- specs.calcs in. ( 3 • ~ ft.) Spacing holes total gallons gallons/minute @ 3• S~ ~ ft. head ft. ft. @ 3 `' gallons/minute ft. ft. of head Model # ~ ~t ~ 4 0 gallons 1'S~ gallons ~ ~'° gallons in. in. gallons Page Z of $ s .-j1,~ '~3s,q-a' ~~ 4ZQ.sa' S~~"~~`~ L 1 1 1 O Lo 1 ~.~ c.y~. v oc, ~ oc~ ~U~- 9 oh,, S ~e~~ 2 /~-x;.l ch~l Z'~.•'t'i- ~4 S o.~ w~ v «. ~ ~ ~~ ~ ~ ~ hN'. IT fig wow O ~.. r/'s 1 emu,,, (~ ~ A- ~ ~^-~' N ~ - ~y ~s ~ t co - z 9.1} ~ - ~w . ~ 13~, L~ o-e.o~ * (~uS.4) LS,~~ ~aw~~ (,4~ 15 l ~ 6~ i F 6" -~..~s..- ww~ V wq .\Y~ • - ~- ~~ ~~ t `(~ low I z ~o(~... ~ u » mow: Q V 1r4\t~0~ S ~r~ ~ Sv~ i 3.~3 q. S: U o / S w~•~ ~l'~. ~. a ~s.s) l5 fit'` Z-~~ 1'vL S ..~n ~ ~"~ w+.L ti 30~ ~ f ,~-- ,, ' ~ J .., ~ S `~-4+M ~ Y'!~ 1'`, s - J ~.. Q- '}-~ off , - ~. .~ ~~Z.~~~ L t {~ t (~ w~l w~h,o.i~ ~~ ~1 3 ` ` r oe. K ~a ~ w. rt ~~ ` °~~~~ (a~~ `p~f,low Zu ~ t~- nn .. ~.., ~ T~, ~G ~, . ~ ' ` - ~~. ~~.s r o ~ ~ .. ~ ~ ~ , ~ S~ / 1 t>tir-1 Z O~T~~ ~~~' ~ `~11 M ,~„s~ ~ ~° °`~ - ~~w ' C ~ ~~~. ~ e.w~.~-~.~ a ~e.~ z C~ ~ ~ q ~ ___ - i . ~. . _. ., _ ~ , _ _, __, .. ~_ I -- - . i. . .. ~ l : I _ -- - ~. _, .., _ i _. ,_ ~ i ; . _ ,. _ r ,;,. ,_ `i-~ .~ ~ _....~ o _--, ~, -~_ wpm' ~1 a~n, V :G.w~, 4.~' p '. ~ l~ V L c... y~ ys t~ a~ S nom. ~. ti. ~ oy ~.,~ rt \ \ i -~O ~~ o .-. o ~ ~ o ~,~ `~. ('~ (~ 1 ( ...JS ~ ~ ~~ ~ ~~~ ~KVN \ v/ ~~ ~" I ~ Q~c s.l. 40 1 w•~-oM,SZ `t'om ~ ~~~ ~~.~a.o.Q., ., ,'~ z. Qv c t ..~ 4v ~~~ -~ _, I f ~ I S S.J ~ S"s•S"' .~ 1~1,~ ' f , ~ ~~ I ~ ~< ~ b ~i o ! ~ o ti 1 ~. T QJr CQ,y. O ~. ` va.. ~l 3 ~ • C7 ~ ~ ( 3 ' ~ ~ J 4. a.a ~.~.~~t o-V ..: v ~.. 1 G.h.~ ~~ ~r ~-1~ t ho h S~ • ~ ~ "~- _ -~s•~- ~. ~ 21~. ~ ~- IU,c~' -~ ~ o , ~- • ~ ~ ~ 2 • Mn~~- WEATHERPROOF ~---IrOCKING~GOV~R -~ • n ~NCTtaN H i300t ~:, ....Q G-~-~ IQ.., w ~' -~-.~ 4k Pvc ~..~, ~~r, 4'~ GIP6 3~ (1 p ND-STuaBED Solt.. ~~ r /QWROVLD SKET 3bur'J V PtIG ,rw EGTI oNS ~l.ev, ~ 4•~-~ ~~v. ~~ SEPTIC f 005E TA-„I..S ALARh1 •~ w~4i>'N~ ,c ABED . aweK c~•ca,~r<cT-1 6" . -'1 > 4'~ .1 24" I.U. truwuo~ .... A \ 4 D ~FFLES ~?~v : h O w't 1. a.~ ~~wu.~ NG.L 4zn 1 12~ ~~,~;~ Pvt ~ 4" 40 vF NT -~ ~ ~' 4" P~ 5...~1 40 3' a+To WiD~:+zLrta G sau-+c ct~irc~ ,~ -Zg~ ~~~ pN - ~• 2't vcr ~„ _ SPECIFI•GATI~IJS ~ux~ CoKZRFrc bcoCK MA~JUFAGTURCR: ~"y~~~~ g• g (JUM6ER OF DOSES: PEK 0~~ TANK SIZE ; ~ ~~ ~ l.~b CALLOUS • .DOSE VOLUME '~ hIMIUFACTUit.CR; S `~ ~s~ `•~-~'~` IAJCLUOIIJ6 OAGKFLOW: ~ (iAIION$ nooc~ Uu~cR: . ~ ° ~ ~-~ ~ SWITCH TyPf: ~~`~" "'~tO ~~_ PUMP MAAJUFACTURCR: ~ `"~ _ "'"~ Z .~u '' MODEL UUMDCR: S~>~ ~'~ ~WITCN TlJP[' V'~QJvw•v .,. CAPACITIES: A a Zg ~~ UJCHCS OK ~Q'( C,A~t.0u5 8 = Z"' IAJCMES OR -2~4-~g- GA~~OuS C • s•L iuLMES OR T ~ G~~~OUS D~ ~ INCHES OR ~R~GA~LOti,~, ' ~- uOTE: PUMP AUO ALARM ARC TO 6C MI-JIMUM DISCHARGE RAT[ 3 ° GPM INSTALLED OIJ SEP/~RATC cIKCL~T; VERTICAL- D1FFE0.CAlCf ~fTW[fIJ PUM1P Oi/ AlVO OISTRIDUTIOU PIPE.. `~ FEET + MIAIIMUM uETWORK SUPPLY PRECLURE ~ ~ ~ ~ ~ ~ ~ ~ ~ 3'S FCET + ~'~~ FEET OF FORCC MAIIJ X ~• ~I~ ~ Z'~~ ~~ _ Io01LFRICT101J FALTOII. FEET ~ ~~ ~~~ _ TOTAL. OyUAMIC NEAR = 2"O'z"~ FEET IIJTERIJAL DIMEIJStOUC 0/ TAUK: LEAII.TH ~_~W;pTH ~2' ~ LIQUID DEPTH w' • .1 ~ , iDeen~e~ Cl~recteristics P. /Melssr Usi S•ki~rs~le Nioual Me~leb Aelewalfc AAeiele '~iNif40M1 SNEFMi1 i11tf1i1lAZ SNEf10A2 Mer yr 410 F•1l•od 12 i.7 MMw SlMttil hM 4 R.RIA. I ssa ry~ 1! lhls llS 271 INrse ~ • 120' F Nk•. iMOt IfJMA A Msdslw Qes>s A Else 11 tIM S•Ads 3 4' !iii. rorwr Cad III~SITM4M1. Material#>s of Construction d~~.....~.rrw~a bA4ef .....~.. ~0 i 30 ~ 20 )° ° 10 ~ 30 ~o sa sa ~o CiPM T~igl Mood {fine) 10 14 17 Z1 33 4f 30 ,S m 4. t?t.t S .7 GPM {Uf 0?!"M) 70 60 SO 40 30 90 10 0 ,.~ .s r. t pgto e~•rr is c~~t T s rror+ l .Ail dimewfiotls in Ilthes. (Metrk for iltemafbe/f Itle). 2. Coeipoeecit dieseasions mor vary t 1/i inch. 3. Nd for wnsfrodbn purpose unless cer1lNed. 4. f>feullsioes and vreilhfs era approxiriseie. S. Wo reserve 16e ri{~t ro nsoke rerisioas ro our prD+iKi and !heir spedflcafioas lrilflait notke. 1998 MydromatiC" Pump,, As ond, Ohio. Ali Riflhn Reserved. e~j° HVDROMATIC a> -Your Authorlsod irxol Distrib~for .e 1810 Banty good Isfiland, Ohio 4~e05 Td: ~19.2e!•9042 kK: 419.111 •IOeI Wt6 Silo: ww~w.peeieirpunp,rom •i~ • .. SALES OIFl~l41N All MAJOR QiltS AND OO11KrRIE>; ~ ,'~'; c ~, ~ ~ Refar 10 "Pumps' » rlo yelaw pages of yuer phone dlreaary kr your local Oislrlbuiar ~~.,~ /~~~' - --- Inm+B: W04°6680 1198 SM ~ "+!timl~ u O • ,~. ~~. System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the homeowner, and the homeowner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715-235-2644, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . If the septic tank is installed prior to sheet-rock andJor painting, pump the septic tank before normal residential use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended, and a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for residential systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, andlor installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division ot'Safety and Buildings Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County , include, but not limited to: vertical and horizontal reference point (BM), direction and .S C percent slope, scale or dimensions, north arrow, and Location and distance to nearest road. parcel I D # Page ~ of -, D/ - 03 - /d - dao APPLICANT INFORMATION -Pleas iA~~1L:ir~}~ a lli~-. Reviewed by Date Personal information you provide may be used fors ~h~q"purposePrivacy"~5vs.~~15.04 (1) (m)). Property Owner - I F `i°;<-, -~ `Property Location G d ~-~.,~ ~..,. l/ > Govt. Lot ~ ~ 1/4 ~'I/4,S / b T~ ,N,R / ~ +r) W ~~ Property Owner's Mailing Address _~ " ' ~ ciii' ; _ Lot # Block# Subd. Name or CSM# n ~ ~ ~ _ ~_ City State Zip C e ~. ~ Phon : N ~ ^ City ^ Village ~ Town Nearest Road ~~ ~a~~u / ~/ I ~ i 1. h ~ " "t ~".s') 8y ~ H.~ M n~ ®.v ~ i /D c~ 7`~f ~ ~ c ,~ New Construction Use: ~ Residential / Number of bedrooms ~ Addition to existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow ~ gpd Recommended design loading rate ~ ~ bed, gpd/fl2~trench, gpd/ft2 Absorption area required bed, ft23/.J~ trench, ft 2 ~ Maximum design loading rate ~~bed, 9Pd/fl~~trench. 9polit~ Recommended infiltration surface elevation(s) o ft (as referred to site plan benchmark) Additional design/site considerations Parent material ~L ~ G' I A L ~/ ~ ~ Fkx~d plain elevation, if applicable ~ ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ^ S ~ U ~ S ^ U ^ S ~ U ^ S ~ U ^ S ~ U ^ S ® U SDIL DESCRIPTION REPORT ~c.. lf~w~lJn -~~Ti. ' ~.7.0'ZT0 e Boling # Ground elev. 92,~~. Depth to limiting factor ~~in. Boring # Ground elev. 9~ft. Depth to limiting Horizon Depth Dominant Color Mottles T Structure i t C B d Roots GPD/fi2 in. Munsell Qu. Sz. Gont. Color exture Gr. Sz. Sh. ons s ence oun ary Bed ,Trench V '~ ~- I ~~ ~~V ~ ~ I ~ ~ to .~- .S- 5 P e~ d - 6 e ~ -- CSPo7`S , s ' ~. Remarks: r a- v z ~ sb MF S ~N- ;,~ - .~- ~ ~ ~R t.~ rv~' , : , v .~' e ~' My ,~' -- ~s• ° ~-s) factor ~~in. Remarks: CST Name (Please Print) Signature Telephone No. Address ~J // Date CST Number /% ~/ ~' G'~TL l•CJoOv~ ~ / ~ ~C.~ 'J~ Q .~ O ' DO ~~ .2 ,~ PROPERTY OWNER ~~L~ ~,f~g $OIL DESCRIPTION REPORT PARCEL I.D.# v~0 '" /~~~ ~' ~Q ~dOID~ Boring # Ground elev. att. Depth to limiting factor ~in. Boring # Ground elev. tt. Depth to limiting factor in. Boring # Ground elev. ft. Depth to limiting factor in. Boring # Ground elev. ft. Page .sC Hof ~~, Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench 2 Jo -- S~ S M ~ ~' ~ s e ~ c .~ ~6 ~ ~ ~ Lis -- ~- ~~ ,,(~ Remarks: Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench Remarks: IDmPingo L_ ~ I factor 'n' Remarks: SBD-8330 (R. 07/96) ~, ` 1 X ~ ~ o ' - v ' o 0 __ -- _ ___ _ - -__ _ v _. __! H.. _ f __ ~ _ --- - - --- - o --- d ~ _ 1 -- ~ _ `~ _ _. . p 1 ~ ~ ~ --- - - __ _ . -- -- - - -- -- - " P ~ ~' -- - - - -- --- _ _ ~_ _ - _~ _ i ~ ___ _~ - - -- __ -- - _ _- , - -~ __ -- __ -- __ - - --- _ N ~ ~ -- __ ~- -_ - ~ _ -- ~ ~ -- --- ~ -- L __ __-_ _- _ _ ---- a, _ __ _ -- - _ ® ~_ - I - - I _ ~ ~ _- i - _. ---- -- -- -- -_ _ __ _ _, _ __ __ __ - --_ __ _ _- -- --- - - - I _._ _ _ ~ -_ ___ -. ~ i ~- l . -- ~ __ - ~ __ _ , _-- _ _ _ . - - -- --- - ~ -- i -___. ~- -- - -_ __ ~ _I - __ __ ~ _ - - -- ~ ~ ~ --- - ~ - I - ~ ~ _-_ , _ ._-- ___ ___ __ ____ - - _- -- -_ _ ~ _-- -- -_ - I I - _ ~ _- _ ___ __ _ __ _ ~ __ _ __ __ __ _ _ _ ___ __ _ _ __ ___1 _ _,_ -- ~ -- ~ i ~ -- r- ~ ~ - - - - - -- -- -- - - - -- ~ L ~ ~ -- --- - __ -- -- - - _ _ ~ -- - ~- - - M--- - --- ---- - -- - -- - -- -- -- - _- - ~ ~ ~ - __ - -- _ _ _ ~} ~, a 7`" I ~ , -I I- I--- __ -_ ---- i ~__ _ __ ~ - -- ---- - ---_ -- - _ - --rt ~ - ~ - - - ~ _ ~ - - ~ I-- -- ~ -- - ~ -_._ - I -- _ - -- --- ~ f I i ~ _ -- - ,; ST CROIX COUNTY j SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSIiIP CERTIFICATION FORM W. Address ~ 3~ 3 1 ~ ~~~ ~ U C; ~ ~2w I~ `~C.~ -1no I'~, ~l S~~~ ~ y©~ , Address Oc)~ ~ /"t U (Verification required from Planning Department for new constmctioQn) to ~~ Yv~U~ ~ ~ ~ Parcel Identification Number ~~ D ~ ~~3 3 ^ ~ -~ pfg_1v3~~,-~©O Location ~ 'f,,1 ~` ~ '/4, Sec. ~ ~ , T ~ N-R~ ~ W, Town of ~ ~ rn 1'-~~ on Lot # !Survey Map # ~ a~ ~~~ Volume ~ ~ ,Page # 3 ~ 1 `~ . .y Deed # ~ 2 28'~ ,Volume l S~ 3 ~ .Page # 3~ Spec h~use ^ yes ~l no Lot lines identifiable ~ yes ^ no Improper use and maintenance of your septic system could result in its l+rcmature failure to handle wastes. Proper maintenance co~rsists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can aff the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Cmix Zoning pmt a certification form, signed by the owner and by a master umber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I) the on-site wastewaterdisposal system is in operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 113 full of sludge. set fa days undersigned have road the above requirements and agree to maintain the private sewage disposal system with the standards herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Cepcation at y~j~F~' ~tic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 h+d~h~ik~'~ear expiration date. OF APPLICANT .1110 DATE I (we) ce tall statements on this form are true to the best of my (our} knowledge. I (we) am (ate) the owners o the pr above, by virtue of a warranty deed recorded in Register of Deeds Office. ,i1~L firl:t~TA A T.T(`A'NT DATE ;may (information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** '`'` Iac~ude with this application. a stamped waitaiity decd from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ,,.~. i von 1535P~~~ 3~ STATE BAR OF WISCONSIN FORh1 1 - 1998 WARRANTY DEED Document Number This Deed, made between Ronald C. Bonte and Glenn Knudtson _ __, Grantor. and Jeffre"" J. R iS a Rnnnip .7_ Regis, _ --i _ Grantee. Grarttor, for a valuable consideration. conveys to Grantee the toflowing described realestateln St. CTOiX County.Sta[eofWisconsin (the 'Property`): Part of the NE ~ of the NE ~ of Section 16, Township 29 North, Range 17 West, St. Croix County, Wisconsin described as follows: 4t 1 f Certified Survey Map filed 17, 2000 in Volume 14, Page 3896, Document #626526 ~--"~- ~j ; h ~~~ ~~~/,~~, Together with alt appurtenant rights, tale artd interests. 6.282SEs KATHLEEN H. WALSH kEGISTER OF DEEDS 57. EROIX CO., WI RECEIVED fOR RECORD OB-16-2000 11:00 qM YRRRRNTr DEED EXEMPT N CERT COPY FEE: char FEE: TRNIISFER FEE: 111.00 RECORDING FEE: 10.00 PA6E5: 1 (o FIP.c~xi,Imy >tea Name and Rattan Address First National Sank-Baldwin 990 Main Street Baldwin, WI 54002 018-1033-80-000 018-1034-00-100 PefCBi klantificatwn Ntxnber IPIN) This iS not homestead property (is} (is not) l ~1C1v~ ~S / Grantor warrants that the rifle co the Property is good. indefeasible In fee simple and free and clear of encumbrances except EasemeQQni~, licenses, zoning ordinances, and restrictions of record. Dated this ___L_-._ day of ~ ,~A~U,C_tU~S~,t , 2 0 0 0 x ~~v ' `zxxXa' ~ ' _ ~,re~? 't-,"t- ._ (SEAL) (SEAL) t--~-Ronald C. Bonte Glenn Knudtson - AUTHENTICATION Signature(s) (SEAL) authentlcaled this day of Ci'CLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, W1s. Scats.) ThIS INSTRUMENT WAS DRAFTED l3Y ACKNOWLEDGMENT (SEAL) State of Wisconsin, is. St. Croix County. Personally came before me this day of August .2000 ,the above named Ronald C. Bonte Glenn Knudtson _.___ to me known to be the persons who executed the foregoing inst and knowledge the same. -Ronald Bcnte_ =' •t, s •~ 1011 170th St Hammond, WI 54015 •~ •.ofWisconsin y :•i5 perms nt. (Signatures may be authenticated or acknowledged. Both are not ~',~••• r ^tr ~ necessary) " Namas ei perwns vgmng in any cepacrty muss Re typed m pooled Relaw rhetr stgnatare STATE BAR OF WISCONSIN WARRANTY DEED FORM No. 1 - 1998 ~~.._ state expiration date: ~_.._, ~) wwcansn te9a~ Btan4 Co.. vx MYwauk9e. w.c. ,_ iZr,-t.. J s cn ~ o 1..~JW3 p = Q O O Q W p a = r%1N-~ N 3A0. w m w ~ ~- .. W X p [1.1 C=n GWa. W laW. ,SO raj l.~ ~2S~ p p W7C~p,WOC2 W W O w tv .-+ G7 w w .-+ WF-iL .~-+ ~ rW-.ac.~WtVipsu'i V=mot..) u~ 'i sur3irn~.¢~c"'~ ¢WF- 1 CL Ul DESCRIPTION ~•....-~ A parcel of land located in the Northwest'/a of the Northeast'/, and in the 1~lortheast'/, of the Northeast %,, all in Section 16, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin, more fully described as follows: Commencing at the North Quarter Corner of said Section 16; thence, South 87°42'55" East, along the north line of said Northeast 1/,, 1003.70 feet to the POINT OF BEGINNING; thence, continuing South 87°42'55" East, along said north line, 330.00 feet; thence, South 00°35'45" East, 461.08 feet; thence, North 87°43'08" West, 404.41 feet; thence, North 08°37'58" East, 463.37 feet to the POINT OF BEGINNING. Contains 3.88 acres or 169,103 square feet. Subject to right of way for 100"' Avenue as shown. Also subject to any and all additional easements, right of ways or conveyances of record. SURVEYOR'S CERTIFICATE I, James M. Weber, registered land surveyor, hereby certify: That in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes and the provisions of St. Croix County Subdivision Ordinance and under the direction of Ron Bonte, I have surveyed and mapped the above described parcel of land and that this map is a correct representation thereof. ``\`,~~~n~«nuH1Q1~---an,,,~~~~~ Dated this ~~ day of '~`~~~ 200~~~ ~ ~ ~~~. p.~ , -l - ~z.-~ ~ ~ JAMES M. 4 ~,,5-..~-~-~ -,_, ~ ~ WEBER ~ s sisoa = James M. Weber 5-1804 ~ SPRING VAU.EY, NELSEN-WEBER LAND SURVEYING, iNC. '~~ ~~~ Q.~ ~~44j,,~ SUR J~~~~~~~ ~9ti O~ ~~ a`~~ h JUL ~(pTHLEENH.W~ 4~ pepister of Deeds SLCtoixCc.W~ ti ~'T-~-rte ~~ '",~ CERT 1 F 1 ED SURVEY MAP ' LOCATED 1 N THE NW 1 /4 OF THE NE I /4 1 N 1 /4 OF THE NE 1 i4, ALL I N SECTION 16, T. 29N. , R. 1 TW. , TOWN FHA D, . T. CRO I X COUNTY, W I SCONS 1 N PREPARED FOR: RON BONTE i NORTH QUARTER CORNER SECTION 16 -FOUND ALUMINUM MONUMENT l 003. 70' - T w w A „UNPLATTED LANDS .............................. NORTH LINE OF THE NE li4 NORTHEAST CORNER SECT ION 16 -FOUND _ ____ 2659. 9/' ALUMINUM CAPPED MONUMENT w ---_ w S8 7° 42' 55" E 330. 00' Q VENUE w ................ N8T_°42_55"W w _ 1_00 t h °' ' - ~'~ .,,,,,,,,,,_ 1326.2I' __._ S8T ° 44' 14' E 338.43' ~ ,. -- -- w w ca a1 ~,1 a ~ ..................HIGHWAY SETBACK L /NE I ............... ~ ..........a C ~ Z ~ I g Z -p ° W ^~ n ~ LOT 1 y ' ~ ~ ~ -, ~ - :b m ~ ro 3.88 ACRES ~ ~ ~ ;~ p ;0 169, 103 SO. FT. r w 3.63 ACRES EXC. R/W ~ vi "~ :~ Q ~ 157, 936 SO. FT. x ~I ~ ;b ''^ ~ -- . Z ~ v z ~ ~ :~ c~~oZ(3 m~ . V i i l ~~ I m - ~ POND ~ ~~ ~ ~- N ~ D \ N87°4\ 08"W 404.41' ~~ ~ --~ ~ X ~ ~''----- UNPLATTED LANDS ' ~s ~d W A ~-~~ ~~ ~~v ~° ~D' LEGEND ~,~nwt O - SET 1"X24" IRON PIPE WEIGHING ~~SC~NS/~ 1. 13 LBS. PER L 1 NEAR FOOT ~ JAMES M. ~ WEBER swat BEAR 1 NGS REFERENCED TC ,THE PJORTH ~~ ~UR~~~ L 1 NE OF THE NE o /4 ~ SECTION 16. unppluu MEASURED AS S87 42 55 E. f ST. CRO / X COUNTY COORD. SYSTEM)