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HomeMy WebLinkAbout018-1090-51-000~, s~ co sy ' •. .t,' v. 11J NEYJ CHMOND ` 11 ~"~y~• ..... 'y~ ~'~ SUR~~~ Cdr i> 7 0 8 2 5 3 VOL ~ ~ PAGE 4454 KATRLEEII H. REGISTER OF DEEDS ST. CROIX CO.L MI RECEIVED FOR KECORD 02/04/2003 11:10AK REC FEE: 13.00 COPY FEE: 3.00 OWNERS OF OL_T ~l_7 TIM AND SUE KAZMIERCZAK 1015 McCAMMON AVENUE ST. PAUL PARK, MN. 55071 CE9~`T9FIED SURVEY MAP LOCATED IN THE NW1/4 OF THE NE1/4 ANO THE SWS/4 OF THE NE1/4 OF SECTION 16, T29N, R 17W, TOWN OF HAMMOND, ST . CROIX COUNTY, WISCONSIN. BEING LOTS 50 6 51 OF THE PLAT OF PHEASANT HILLS FIRST ADDITION. -~- BEARINGS REFERENCED TO THE NORTH-SOUTH 1/4 SECTION LINE OF SECTION 16, PREVIOUSLY RECORDED A5 AND ASSUMED TO BEAR S00°44'15"E. Ni/4 CORNER, SECTION 16, ( ALUMINUM CAP FOUND. ) N lt7 Z ~ H ~ J aN-~ O W H ~ ~ W ~ ~ v ,~ o ~ O N I Z p O LfI O 51/4 CORNER, SECTION 16 ( 1" STEEL SURVEY MARKER NAIL FOUND. ) SCALE IN FEET i" 150' 0~ 75' 150 300 NOTE: UIVPLATTED N89° 15'45"E 560.00' LOT 49 ~ p~ per. 3 P p ~~ ~ n ~, ~9 tl os9 S~O ~ ~19sS ~,~ 59~~~ ~~ J •~ . NO NEW LOTS HAVE BEEN CREATED. THE PURPOSE OF THIS CERTIFIED SURVEY MAP IS TO ADJUST THE LINE BETWEEN LOTS 50 6 51 BETTER ACCOMMODATE AN EXISTING SEPTIC SYSTEM THAT BELONGS WITH LOT 51 AND AN EXISTING BUILDING SITE THAT BELONGS WITH LOT 50. THE ACREAGES OF THE LOTS HAVE REMAINED EXACTLY THE SAME. (R N89° 15'45"E ) S89° 14'45" 90.00' 100 YR H.W.E ~ 1076.2' SOT 50 ~~ ~° , ~ti 136,692 50UARE FEET i _ /~ ( 3.14 ACRES ) :. i/ r~-~/ /~~ . , p .~~` ~' ~ ,~~ ~o , --; ~s~ ,~60 . LOT 5~ i ~ 'o31~i5' ~ 122,531 SQUARE FEET p ~ ~ (2.81 ACRES ) i i ..~<~ CURVE INFORMATION CURVE 1 RADIUS- 80.00' DELTA- 78° 43'43" CHORD- 101.48 ' S26°12'34.5 "E ARC LENGTH- 109.93' TANGENT. IN- S65°34'26"E TANGENT. OUT- S13°09'17"W CURVE 2 RADIUS- 80.00' DELTA- 45°04'10" CHORD- 61.32' S09° 22'48 "E ARC LENGTH- 62.93' 2 ~ ~ ~ ~ ~. ~ ~. SEPTIC APPROXIMATE HOUSE ~ J~ LOCATION (NOT \\ \ ~ SHOWN IN CETAIL ) ~ ~~'~ 12' WIDE UTILITY 39142 \\ \/~ ~fi "~EASEt4=NT ~.,11'E ~\%~ N~2° 3 ~'• \~ 66' LOT 52 ~ 1 NOTE: THE INFORMATION FOR THE DRAINAGE EASEMENTS SHOWN HEREON ARE TAI[GW FLiCMA TI-IF PI AT 11F Pi-IF'ACAWT OWNERS OF LOT 51 BRUCE A. 6 REBECCA DAVIDSDN 1458 CHARLES AVENUE 5T. PAUL MN. 55104 I J LEGEND SEE NOTE REGARDING DRAINAGE AREAS n -- m 3 Q m ~, LOS 53 o~ Z `' • -INDICATES i" (OUTSIDE ~I ( DIAMETER) IRON PIPE FOUND. ~ -INDICATES 2.25" (OUTSIDE Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Divisicth a ~ t INSPECTION REPORT GENERAL INFORMATION (ATTACI~TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Davidson, Bruce Hammond Townshi SST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing / ~~ ~Q Aeration ` Holding TANK SETBACK INFORMATION TANK TO P/L WELL r- BLDG. Venda-Air Intake ~' ROAD Septic ~ ~-/ / A.l ~ ~ ~'~ / Dosing ~ ~ i Aeration Holding PUMP/SIPHON INFORMATION Manufacturer _ Demand GPM Modet Number S~ ~~ TDH Lift Friction Loss System Head TDcH~ c, Ft - 0%b~ Forcemaln Length,,, ~ Dia y Dis~v~W~ll~ ~ SOIL ABSORPTION SYSTEM ~ ,~~,,, /, on ELEVATION DATA county: St. Croix Sanitary Permit No: 420468 0 State Plan ID No: Parcel Tax No: 018-1090-51-000 STATION BS HI FS ELEV. Benchmark ~ll 1'L/ l ~ t77 • /D17, r~ Alt. BM S7•~O Bldg. Sewer /3. S 3. SUHt Inlet 1 ~ . Z 93. ~ SUHt Outlet ~ ~ Dt Inlet ,~ Dt Bottomn~m ~ f~ ~ / ~Gy Z He er/Man. ~ a. 3 97-ab Dist. Pipe _ D•~ , p Bot. System v, Final Grade g j. ~ St Cover QG~ ~, 3 9~-) U BED/TRENCH' Width ~ ~ Length ~ No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS ~ ~` j/' SETBACK INFORMATION SYSTEM TO P/L BLDG W L LAKE/STREAM EACHING AMBER O Manuf r: ./~ '+ ° ~' Ty Of Sy~~Y„~ I ~~/- ~~ UNIT ,yt L Mo el Number: , 2 ~. DISTRIBUTION SYSTEM ~S~,Gi~.,,,lso~{ /.kei,.,~~ Header/Manifold Len th~ Dia Distribution' I Len th 7 Dia acin x Hole Size x Hole Spacing .p SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Only ~ ~.~ Vent to Air Intake r' ~ ~h Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center 3, ~ Bed/Trench Ed es g To soil p ~ Yes LEI No I Yes [j No COMMENTS: (Inch code discrepencies, persons present, etc.) Inspection #1:_~/ZS /~~,G'~Z~ Inspection #2: / / Location: 961 176th Street Hammond, WI 54015 (SW 1/4 NE 1/4 16 T29N R17W) Pheasant Hills Lot 3t Parcel No: 16.29.17.716 1.) Alt BM Description = .ST, ~2i1/ `7i Q ~ ~S• ~ ~ ~~" ~ ,," " ~ /'f 1,Qi~tv~- 2.) Bldg sewer length = ~'D ~ C j~~~ ~, n~.~l. ..dl~LGt~~'~ O~Q p~~~-r~vCG ~ .5~/.S•-~PiY-, /M ~cf ~~j - amount of cover = ~ W ~,/"~`~ "`.-~ ~p'21~7.Q~1/U ~~il~l_„ ,./ ' Use otherls de foruadd tional~informatio f __ ~~ ZS1UZ; __-- - -~ _ ~uyfn-..~-------- J i r ~ ~LS _~L'1'_ -~ ~. SBD-6710 (R.3/97) Date Insepctor's Signature Cert. No. ' ~ 5afehr and Buildiriga Division .. 301 W, Washinstoa Avt:., P,O, Sax 7162 ,,~,~~`~-, f,~,f~ Madison, wz ss7d? ~ ?163 de artntent Af Cnmmerco p i/-vz.._ ~~FD/3 Stacy hermit A-~plicatian la aceord with Cam>:u 83.21, Was, Adm. Coda, pQeson>il iutbmaadon ypu provide to ba d for sac Haas wac Law, s15. 1 m X. Appiicsttie~ Infacmadon - Pies<se 7Pr$at Ail Iatormtitian ~~ ~~~~ ~ 9~~ 7~= tr~~.~ </ Q ~ ~ i:~~~n ya o y~~ A Imo' L'~.~' - ~! t ~S~r~'I ~~~C' "41 C r~t' ~' ~ v SJt. Type of I3tzittiiag (dtocic all shat 4PpiYI ~~ ,,I ' L~ ~ ~ "- er ~ 1~arailY ~+8 - l~ombar of Hedmou~ ~~"~- " T ~ 1'~rbliclCammarcfai - DesorRrm Use ^ 3iata owaw ~ (</l 3 , 3 ~ X (p2. .mac TYY. '1`ylte o[ Perptdt: (Cbuetk ozsfy ones baaE otti tfa-o A (a~bCring scttcraa for internal usaj, A. 1 Nt:ty 2 ^ Rapiactareat SYsipoc: 8 Q Raspituyemant of 6 ~ AddiriWt to Pbr atra- ~ TtutY t3ul . P.xistin B • ^ Check if Sanitary Permit Ptsvftsusly Issued Peroait Numixr }~ f ~~D ~fJ ' ~~ ~ DU C',) 10rQi 1.r04RtI.OL ~ ~s~~-~4rsl~' rv~`~Nx~l~ ristdn Name CSM Ntm~6tr - ~ry /'7j~~-S S ix Ai~Diicabie) 'Type o JPermit. ~Ctuck ali that apply)(numbering achame is for i~uterttal uae) ~~/D,91ZD i ~/Fic-i"RA'~P~ ~ 3) • l ~}- ~+,~" nro~ -Fe~csw~a m-~t~t al© Motuui a.~ C7 saga ~ so CI coa~rda ~roei~-a ~'1 ~„- C as D xco~ariud ltl~~ si D Roldit~g Tt~x as D s~iG ~ 51 ~ nrip t,;~/j/~ p, ~, ~3 ~ At-Grade 46 ~ .iurobd0 77oatrr-one Uau 49 ~ Roctit~datLfg 3t] ©Otltar 1 ' l l lam. ~ / ~ (/ivr~ ~aOhc 'F / ~d L=~~ a .~r+•.o(~rc4k ~ ~1~La L J1~1.' ~ Rsta(tists.maystSg. ~~ ~ `s ~' ~~' r ~ Total Nunsbar Mrnutacua~ Gallons of T4nlrs ~i 677~~ t F! i (Min.) ~ l~a~n _,--- ~, ~G c~ C r. Prefab Situ Stael >±ibax P7y~,~ y~ Conerox Cansunztrd Glaaa ter fstsGhliatioa of the PQWT,9 shatra on th• auaaitea pitms. MF1iv1pRS Numbar Business Pi-ona Ntu !~~'h~~y~~~ ~- 7/s= s= t eucrrtrer's Aalds+css (5tr+xc. City. Satoe• Cods} ,-- ma ~ eat [Taa d Approved ^ Disapptwved s~ ~} Feo {includes Grouodwauu Dstc Issued Smm~.s) ^ owner ciivata Initial Adwrss . ,~~~ s- • ~ I O/ij s= IR. Cotst'ti~t'ioua ! Apyz+,~URmatona tar Dtta~ppzovai 8 (~ Ci Z ~Ctue..s - 8 <, v,~ u„1 so•~ .~ mica- 3~0 ` , v~ d ct~ ~-tY-+~ 4.~ Syf-l~~ ~`n.s-}cc,lLac~Fc-a*~- b~^ CST on-s~-l~e • 7(0"/3l0'`~(~ar/ sys-~i+-+ 1 ~-!~ :~~r+,.+~~ (.U~C~ o~ ~ae~tr-...~'~ j I ~dGt/73 /j'I~f'~ /~flt~n , /l~Q -ft " ~ src oamglata pl,wu tLs Caunty forth syatns en itaytre pnt tw iLan a 11 {a dte S'B~-6398 (R. aSl4~) ~ ~"~ ~ ~" /'"`~^~ ~~`' d C~~ ~O~`~""a° ~~_,~/~// .F ~u t~r ~-i-~~-. ~ ~ ' - a b~Li~e,~~.~- , -wed ~ ~O w~ TAAiTAOf~j Z11I5 QQ0.L ~*~- .LIddAIdA'IdA~Q ~LLt~L10~ Nl~tt'lQ 66A~ Zit STLST 3t~'3 ~~~'$4 ~i].L TAAZ%bA/ZT gf~c.~ UMJ i Dsdvl N~o T f h-NJ ~ ~~ ~~ a~ ,-t ~ . T:L. Sinz Plumbing Inc. ~,r- s. ~~(-t~-s,,~,,T ~(~ ~ ~ S rla-+~ ~ -fau.~wcv~~ Td~-~srkr~ sT o~u Pd E5609 708th Ave. Phone: (715) 235-2644 Menomonie, WI 54751 Fax: (715) 235-2592 / ~~ GDS ea 13ud `~ I Tod vF ~r. CoN~ ~ ~ T = ~ ~~ r¢wt'~Z ~~(~ ~~~ '/Z No~O~~T = X19,3° ~~v .~,~ s ~~Q~~ o~~ ~lK ~S .~ 6~ ~~ ~g ,~ ~~ a~~ aC~ e,~~ ~ o~~ ~ .~ ~ a F '° C'~ 30 ~ ~~ s Q v ~~ ~~ ..~ gr,,~~ ~ i ~s~ Pao r ~~J T:L. Sinz Plumbing Inc. 1_.~-~ s I ~~~,~-,~,~ ~ ~ ~ 5 ~ S rc'~~ ~ (~t-du.t w~ o~ c/J 7~~r1 s rFc n s r ~D ~ X P_ V . E5609 708th Ave. Phone: (715) 235-2644 Menomonie, WI 54751 Fax: ('715) 235-2592 rd ~,~ ~ I Tod o~ ~L CONS ~ ~ T ~ ~~ aL ~o~ p~c '/z L9o.~Od~T = X9'3° ~> ~i s ~ ~(K ~ ~~ - ~e~t ... ,.. ,..,..,r .,.........,~ .... .•. .~.. ..: . . t1L~CK W~CC~.1ktG~'~'1 ~ •'-~-t ?la..,,. ----~ 4 y r'~'` ~..~, ~'~~'m P1 P6. 3' S, ip NDJSTvR~EO ,,, , ~1L /mss r ~~W fia~ri~.R c~T ab~n-a Plrf• NE6TIO~iS ~e~. 6`~ - 24 u x.'D. ~xuou~ _. ~~ a b ~AFFi..ES >, '4w ~~ ~ ~,LiQ ~+~, : r. ~ ..~~ o....}1...'t .~ R oa "r .~~ i"t l~1 l N W ~J-Tii E ///K~~~...P~~~RC~t= 1 1 .TIJNC.TION l ~ BcAc -I 1, ~~ 6iUrC~' ~. a~ ~aN' are ~.. ~~. r ~~`' d'` 4p v~l~tT "YYf~-~ ~ l1Qr~ 1}"SPr ~ 4a 3' a+To wcL~•sZ1i~:e.- ~Z" Ga`au,~v l ta~rCtFr'~*' "~~' _ T 4tOC~C ssPrlc t T p Dos t ~ ~,~ ~~.ti.~, ThN•. MAIJUFJ-CTUitCR: " lAlL1M6GR pP DOSES: ~ _ TI11JK S{zC : l ~~ - G0~ !~Ala.OlJS PER p~~ • .DOSE VOL4JME ~ AL.AR/+) /hAJUiy/rACTIfI~Gft, S 1 ~fl~~-y... lIJCLUBlI.lCr a.4(.KrLOW' -- I b5 _ GALtONS MQpC L l.IL-Y4dtR: .1 e t 1* ~ CAPACITIES: A a a~ IAiCHES DR ~OZ WLUO~;S SWITCH 'T'yPL; `r`4"~"`'+` `y<<o Z •g SUMP M,~AlU~'ACTLlRER: fDibL 8 = ~uGxES DRS a f,~LLp~,;$ ----77 C~ ~ ' ~, MppEL -UUMDLR: S'~r ~JO ._..L_IUCHG6 Ox", GALt0~.i5 ~ ~R~ ~w1TEN T7dPlG: Vw4.~...~v .~ D._,,, ? I-a~:NESOR GAILG+.i; f"IIW M 3 N~~ PUMP qy0 ALAR1+1 AR£ Ta 6L I UM DlSCMlg1lGC RAT n GPH rNSTALUEO p1~ SE PhFtATC CtKCU~r; ~Erzrrch~ o~r~cRCUC>< O>~Twcru PLlMr pr D1SYRSb{lTi01J PlPC.. ~ FEC7 ~. ~S~ t MirJlMUht ~1ETWoitx Sl1PPL'~ !'Rfis<uR>~ ......... `-~ FeCT i + 40 -"F:E7 OF FORGO MA{N X '~~ ~~ ~`? EET fOPiiFRfCT{OU 1'ACTOit. ~r TOTAL pyAJAMtC NEAP ~ 1b,2 ~^ 0 --~ f f T .~rcRN,~~ oiMCU4~auA •or T11A,lK: LEAtGTH ;W~bTH ~ t awe 6 .,~ Zd WdZ0:6PJ Z00z S_Z 'hpW 86€0 ~~Z S~Z 'ON Xd.~ JNIlSSl BIOS QSIdI12i80 WOdd Deta i I s Pump Characteristics Performance Data Pump/Motor Unit Submersible Automatic Model SHEF30A1 Horsepower .30 Full load Amps 8.0 Motor Type Shaded Pole (4 pole) R.P.M. 1550 Phase 0 1 Voltage 115 Hertz 60 Temperature 120°F Ambient NEMA Design A Insulation Class A Discharge Size 1-1/2" NPT (38mm) Solids Handling 3/4" (19mm) Unit Weight 30 lbs. Power Cord 18/3, SJTVII, 20' std Materials of Construction Handle Stainless Steel lubricating Oil Dielectric Oil Motor HousMg Cast Iron Pump Volute Cast Iron Shaft Steel Mechanical Shah Seal Seal Faces: Carbon/Ceramk Seal Body: Anodized Steel Spring: StaWess Steel Belbws: Buna-N {mpeller Engineered Thermoplastic Upper Bearing Cast Iron Sleeve Lower Bearing Single Row Ball Bearing legs Engineered Thermoplastk Fastener Stainless Steel 9 30 6 10 3 10 o u Capatiry-U.S. G.PAL 0 10 20 30 40 50 tih~/'Seond 0 1 1 3 Dimensional Data iGE t t •a/a (301) 9'-1/2 I (eat) s•a/a 5250) P MP N 3"-3/4 (95) All dimensions in inches. Metric for international use. Component dimensions may vary t 1/8 inch. Dimensional data not for construction purpose unless certified. Dimensions and weights are approximate. ONOff level adjustable. We reserve the right to make revisions to our product and their specifications without notice. ~~ HYDROMATIC Pentair Pump Group USA 1840 Baney Road Ashland, Ohio 44805 Tel: 419-289-3042 Fax: 419-281-4087 - Your'iRuthorized local Diskiburor - CANADA ISO 9001 Certified 269 Trillium Drive Kitchener, Ontario, Canada N2G 4W5 www.hydromatic.com Te1:519-896-2163 Fax:519-896-6337 © 2000 Hydromatic® Ashland, Ohio. All Rights Reserved. Item #: W-02-6350 7/00 8M x Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings ' in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Paroel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. "'`""-- viewed Please print all inforr,~at~o~rr. ( ''~, , Personal information you provide may be used for seco s p+ues (Privacy LaW,s~j4,5.04 (1) (m)). Property Owner ~~,,.~ti:' ~ ~ r, '~Prppe{ty Location ~~r Page ~ of /~' - !o q0- S/-Q'~r~ Date ~~- ~ - I ~a~s~/o a r.:- ~+~~r t Govt~~ t SW 1 /4 ~(j~ 1 /4 S~ T N R~ E (or~V Property Owner's IVlailing Address -- _° ~ 2~0 Lot.~__ Block # Subd. Name or CSM# City State Zip Code ~ e Num COUNTY 6i ^ Village Town Nearest Road I .. ~ ~~,, /I /.~i, ...~ .,._ w r,/Y ~ I. I I ~ ~4n ~ ~' I r sera 7gi~.,MQC~~f1 /`~. rr~ .,n n n/~ I ~ ~/~ ~F . [~ New Construction Use: (L~ Residential / Number~{~`~.dfgorfi~~ Code derived design flow rate (9 UU GPD ^ Replacement Public orcommercial - Desc~i be- Parent material ,~ ~ ~ Flood Plain elevation if applicable ft. General comments s ~/s f ~~Yl G l *G t/' ~G'(J 0 ~ ~ ,ZQ~ ~ /~ and recommendations: ,i/ ~1 t r ~ v` ~~ ~~ 0 ~ p v~Y, `r _ ~~t/ Q~ A~ ~~ loc'a.~o'~ ~° Q~~ ~i~- ~~~-~~ ,.~,~',-, G -L , a ~ Boring ~ ~ v~~ c~-~.~, w.-7 •- - - 9 Borin # ~ pit Ground surface elev. ft. Depth to limiting factor / V in. B Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/f~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 L _ C ~r 2 -- ~ - - 9 ti s--. ~ , Boring # ~ Boring .e- ®Pit Ground surface elev. . /Q ft. Depth to limiting factor ~~7 in. Soil lication 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 1 - Z 31Z 5: r c Ivy . ~ Z .-- L -- * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mglL CST Name (Please Print) Signature CST Number ~~~~-, Soh ~rn er ~• as Address Date Evaluation Conducted Telephone Number a~ Property Owner Parcel ID # Page Z of 3 Boring # ~ Boring ~ pit Ground surface elev. ~. ~/O ft. Depth to limiting factor _~_ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fl? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 3 y :---- LAS m r -- - ` , U-~~` ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIff~ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring Boring # Ground surface elev. ft. Depth to limiting factor in. ^ Pit Soil lication Rate Horizon Depth Dominant Color Redox Desaaption Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) ,. PAGE ~ OF NAME ~ (1T-C LOT#~l LEGAL DESCRIPTIONS-cl'/erUF~l4,S /(oTZ9,N,R ~ ~-E (or)~ SCALE: 1"= /~(~U BM I ELEVATION ~QG ' d ~ BM 1 DESCRIPTION fv®o pO -~' yZ ~ ~ a/! cfiJ / f - - ~-' -~ BM 2 ELEVATION ~ I • ~~ x ~ /,~j ~ ~, BM 2 DESCRIPTION 7/aP y ~// ~ C ~ n~Q ~ ; i-- SYSTEM ELEVATION q (.P/_• ~ ~ ALTERNATE ELEVATION 9 ~ • U CONTOUR ELEVATION .~/~~ 08~28/O1 TLJE 15:11 FAQ 715 586 4686 ST CRx CO ZONING rdxr ~ 001 PQWTS t7WNEl~'s MANUA4 $L /"YAPtAUCI"!e{vi rLAty _.-- FiLfi fNFC1RMATtQN DESI[iN PAi~Ai'1C1r~ - ~ DNA Number of Bedrooms , Number of Commerda[ Units ~~ f~ NA Estimated flow (average) ~~~ cl c2i5 gat/day 4f~ Design flow (Aeak), (Estimated x i.5) ~,~ gai/day Sail Application Rate ~ S" g'aVday/Ft~ intluentl5tfluent Quality Monthly average'' Fars, Oil at Grease (FOG) s30 mg/ti Biochemkal Oxygen Demand {SODS) 1220 mg/t, ToWI Suspended Solids {T55) 51 SO mglL Pretreated Effluent Quality ' ^ NA Mgnthty avera>;e* Biochemical Oxygen Qemand (BODs) s30 mglL Tota[ Suspended Solids (1'SS) X30 mg/L Fecal Conform (eometrlc mean s10'` clot 100m1 Maximum Effluent Parttcle sine ~ inchdiameter MAfNTENANCE SCHEDitLE Service Event inspec~ condition of tank(s) Pump ant contents of tank(s) Inspect dispel cell(s) Clean effluent filter inspect pump, pump controls at:atarm Flush laterals and pressure test Oti~er~ $~STEM SPEC:ittc.Ai ions Septic Tank Capadty ~D(7D I ^ NA Septic Tank M~anufacauer ~E,i,'-~~. i ^ NA Effluent Filter Manufacturer ~ ~~ % Ua~.- ^ NA Effluent Filter Model j--flB~Z~~f1~d~-O NA Pump Tank Capadty gai ^ NA Pump Tank Manufacturer ~~u- r~ Q NA Pump Manufacwrer ~ ,vt ~ ~ ^ Na Pump Model ~~~ Q ~°` Pretreatment Unit ^ Sand/Geavel Filter O Mechantcal Aerztlon ^ gisinfecdon Manufacturer ^ Peat 1=8ter ^ Wetland ^ Other: ^ NA Dispersal Cell(s) ,ill ln-ground {gravity) ^ At-grade t7 Drf -flee Q in-ground (pressurized} ^ Mound ^ gther: +~ Values ryplCa! for domestic (non-commercial) w71tuW~ter and septic tank effluent. • * Values typical for pretreated wastewater. Service Fregnenty At least once every ^ rnanths Year(s) (Maximum 3 yrs. ) When combined siud$e and scum equals one-third ('~) of tank volume At (east ante every ~ ©months J~Year(s) (>t'taximra>:t- 3 yrs.) AL least once every At least once every At Least once every At least once every At least once every ^ months 'Year(s) _ ^ months ear(s) ^ NA ^ months ~!t'year(s) !~` NA ^ months ^ Year(s) NA y_._.-- ^ months 1~ year(s) NA MAft~tTENAAtCb 1NSTR~1CTtONS Snspetgoru of taroks and dlspetsai ~eSSewelr POWTS Inspector; POaW7 M lntalnerf Septage Servicing dperator uTank finspectian! Plumber; Master Plumber Restrict d , must include a vlsraai Inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, manure volume of combined Sludge and scum and to check for any back up or pondlnQ of effluent on fire ground surface. The dispersal cell{s) shall be visually Inspected to check the effluent levels in the observation Pipes and to check for any ponding of effluent on the ground surface. The ponding of efau~ient on the ground surface may tndlcate a failing tondltion and requires the immediate nodflcadon of the Sacs[ regulatory anth ty When the combined accumnl` movedsb da Septage Servtdng Operator and d piosed o)f in accord n eewith ch.1NR 1 ~3, Wiscansl Contents of the tank shall be Y Admia,lsu'atlve Code. The servtcing of effluent filters, mecitanicai ar goressu a~d PQFa,I beoper~ormed by a certified POWTS Ma n~tainer.ny other rnaintenanc~ or monitoring at intervals of 12 m A service report shall fas provided to the fatal resutatory autfierity with[n t 0 days of completion of arty service event. START UP AIdD OPEiI<ATI~N Far new construction, prior to use of the POWTS check treatment tank(s) loll high orticentrations are deotect d havedthe con eln~ that may impede the treatment process and/or damage the dispersal cell(s). nr rtip raM1trfs't rvmovPd by a sentaxc servicing operator pcio* to use. Q~%28~"0l TGE 15:11 Fax 715 586 4686 ST CRx CO ZQNING [~j o02 System ;tart up shall not ocgtr when Sal CondJUons are frOtAn ar cite InfEuatlve >;t+rface. DurtnS ppW+er onto;es pump tanks may ell{ above riortnai hlghwatet travels. When ppwtr !s 1~atOned tits t'XCti~i wascewatfr will tie d'uchargr4 to tht dlscersaJ ecli(c) in one IarYe dose, ovartoadlrs; rite cell(s) arxt may nsuti M tht backup or surface dtschargr u? effluent. ~'o avoid this situation have the cpnulncs of tt~e Ramp tank rerrwveC by a S~w~ ~~InS t~psrator•prior. to rtstactn~ power to the effluent pump or contact a Plumber or PQWTS Mslntakser to axs>st in manssafN operittrK the Dump cvntrois w restore ncrmat levals within the pump tank. Po not drive or park vthtcles over tanks and dl5persal cetJs. Do not drive or park purr, or otherwise diswrt or compact, the area within 15 feet down slope of eny mound or at-;rode salt absorptbn uea. Reducttort pr ttiminaclon of the [oltowing troll file wastewater aWam may irnprovs the pertorrtiance and pro{ols; the ti/c of c'x POWTS: antlbiotla; baoy wipes; tt>iarvt~v butts( condoms; tbttclA swatac; de4reise>s; der+ty- Hors; diapers; dWnfsetiests; (at; foundat.on drain trump pump) water, frsttt ind v~ttablt perpri~ ~iiGtlClQ; Lr'eas~.`l fier#+ti;iQ~s; meH straps; medicatwns; oil; pitntlnR Crodurts: pesck4des; saniwrv napkins: tamcons. and water So[uner brine. A8AT~ip4t+tEM tEN7 When the ?OWTS tails andlar is pemsaner+tty r.lken our of service fire tolfowUiri seeps shat! bo taken to insure tiros thr. system is proprr(y and safety xbandorud M canptlance with ch. Gomm BS.SS, Wt:consin Adrrilnlst~'aM1lw Codes • Ail plptn; tv tanks and pits shall bs 4iscvnrrsCted and else sbastictorssd pipe openings sealed. • The cantenrs csf alt tonics and pits shat! be removed arsd prpper-y d a! by a Sepr~e $etvittn; Oparator. • Ahe~ pumping, a!i tanks and pie shall be excavatxd xnd removed or their covers removed. an4 ttse void s¢ace filled with sail, ;tavYf vt another Inert solid matrrlal. CoN1'iNGicNClf PLaN If the POW'('S facts xnct cannot Jye repaired the (c~ilowlitE mexsurts have peen, or must be taken, to provide a cods cofipNanr realacement system: p ,~ suitable repfaeer»ent area has lsetn cvbiuated and may be utHtud for the {ocatbn of a reptaeemsrit colt ab:sorotlor- system. The rcptatemcnt arei shauid Ix prarkcted from dtsetrrtsanct sad t~omAanlon and should not be tn(rliteed upon br re4ttlreci setbacks from exlstlrt5 and proposed >,tJVC't++i'e, ipt ifries and wells. failure Va protect the rspiacemenc a~*a will result ir- trye need for + hew soil slid site evatuailall to estzbtisJl a atattabte replacemern area. Iteptacement syststrns must comply with the rules In effect it that r1mR. q A 3uttao(c rcptaCement aria ti nOt ivillible due W lttttdtk• and/or Solt I{ntttstiptti. 6crrtf~ adYaricw in POY~S technvJv~~ a haldin; tank may tae ILtstaJleQ as a twat resort W replatx tM tattle PGWTS. D The site his not betel cviluited f4 ldenc{fY a Ss+ttdbie reyslt+temerlt ar~i. Upon facture of the P4WTS a soft and site evaluation must bt ~rtormed to locaoe a swlub{e reptacertsent area I! ts0 l~eplac•menC area is ivaJtalyle a holdinp tank may ba lnstatied as :last resort w rcptacs the failed POWTS, p Mound and at•grade soft absarptfan syaulnv may be reconstrutied In plate foiiowln5 rsnwvaJ of the biomat at the InAluatlve sur(ate. Reconswcrtolts of such rystetns lttljst.evmply With ill Hiles to slfKt at that time. e < WARNING > > SEtrTIG, PUMP AND QT1{ER TREATMENT TANKS MAY.CdNYAfi)d Lfi:YHAL GASSES AN6/OR ITdStd1"rPIGIENT O]{YGtsN. C>'O NOT ENTER A SEPTIC, PUMP UR OTHER TJRIEATMEN7 TA1~tK U?~iDrER A~IY CIRCUMSTANCES. DEATH MAY RESULT JRESGUJE OF A PERSON fRpM T>~rL p+t7ER10R girt A TAI~iK MAY its: DIFPICLtLT OR rl~rDt'1ii1R1 1%. AQt7iTfaNAG GOMM>rJNTS POWTS iNSTAI.LfrR Atame ~ ~' Z- Gig ~ ~~ Phone 5= j~, S~PTAGE SERV{CENG OPERATpR P MPER Name Phnni PQM[TS MAIJNTAIHJiR '.Nurse % [_ ~%~'Zr f~~,~l- R•rt-- ~ti-hvrle ,~~ ZW t;.0 G TaRY Au~r'!Ft S- U 2005P 063 St. Croix County Occupancy Affidavit Brt~ ~ . £ Re.~e~c~ ~-~ ~i0 -~ Name - (Owner) Typed or printed being duly sworn ,states, under oath, that: 1. He/she is the owner/part owner of the following parcel of 1 nd located in St. Croix Coun ,Wisconsin, recorded in Voltune ~_ Page ~ Document Nttmbel(~~~o~St. Croix County Register of Deeds Office: A parcel of land located in then w'/. of the N£'/, of ction ~ ~O , T~ N - R ~_ W, Town of iNammE~t~ , St. Croix County, Wisconsin, being duly described as follows (include lot no. and subdivision/CSM or detailed legal description): 6'93372 KATHLEEA H. NALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED FOR RECORD 10-08-2002 11:00 AM AFFIDAVIt EXERT # REC FEE: 11.00 TRANS FEE: COPY FEE : 2.00 CERT COPY FEE: PAGES: 1 Name and Return Address FJT~t Davic1fOr'7 ru5 51 Ckarles .-~ 5 ~av / /n n 5.7 /D ©~ -' Q9 _S Parr•nl 1'lantifir~tinn NumharlPlN\ •~. As owner of the above described grope I acknowledge that the septic system serving this residence is sized for a bedroom home, or a design flow of~ d. The design flow is calculated by assuming 150 gpd for 2 individuals per bedroom. There are currently ~ occupants living in this residence; ~ occupants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However, 1 understand that if there are intentions to exceed the number of permitted occupants, the system will need to be modified to accomodate any increased wastewater flows and/or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. Dated this day of 'JG~~'r Boa . * r v n * RP_bPLCi~. ~ S~In AUTHENTICATION Signature(s) authenitcated this day of ACKNOWLEDGMENT STATE OF WISCONSIN ) )ss. S . r I County. ) {~ personally came before me this ~ day of ~~_ the above named ,t TITLE: MEMBER STATE BAR OF WISCONSIN (It not, authorized by § 706.06, Wis. Stats.) THIS INSTRy~MENT WAS DRAFTED BY t, C . )~o,n~, l l 1?ort~` Ste'` (Signatures may be authenticated or acknowledged. Both are not necessary.) "THIS PAGE IS PART OF THIS LEGAL DOCUMENT - DO NOT REMOVE" to me known to be the person(s) who executed the instrument and acknowledge the same. Notary Public, State of Wlsconsln My Commission is permanent. If not, state expiration Date: L ~ (-0..5-' This inlormation must be completed by submltter. document title. name b return address. and ~ (if required). Other information such as granting clauses, leegal description, etc. maybe placed on thJs first page o/ the document or may be placed on addRlonal pages o/the document. Note: Use o/this cover page adds one page to your document and 52.00 to the recorcllna fee. wsconsin Statutes, 59.517. ST CROIX COUN'T'Y SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHII' CERTIFICATION FORM OwnerBuyer f~ r ~ z~ D c~ ~- d s a n Mailing Address Property Address ~ t P ~ `i `" I ~ s ~ Ad `~ (Verificati required from Planning Department for new construction) City/State ~a~Kcr~ ~ , ~ Parcel Identification Number ~ ~ ~~ - t ~ ~- ~ - s t - ~' ° ~, LEGAL DESCRIPTION property Location ~.'^~ '/., ry ~ 1/., Sec. 16 , T~_N-RAW, Towa of H ~ M~ r ~ Subdivision Phca ~ «~+ N, 11 s is+ Add ;kti vn .Lot # ~ 1 Certified Survey Map # ~ `i `~ ~ s Z _, Volume ~ ,Page # `4 Y Warranty Deed # ,Volume .Page # Spec house ^ yes ~( no Lot Lines identifiable ~ yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a mastCr plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition andJor (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of t;ommerre and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the roperty described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~ / ~Z/ .~~ SIGNATURE OF APPL CANT DATE «««* * s ermit bein revoked b the Zonin De aranent. * * * * * * Any information that is mis-represented may result in the sanitary p t; Y g p ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed u Isoa~ oso • I VTATE EAROF WISCONSIN FORM 2- 1999 :;occmentNpmber WARRANTY D>EEA This Deed, made between Ronald C. Bonte and Glenn Knudtsoo _.._ _ ~ - -.-..ar, and Bruea A. Davidson and Rebecca Davidson, habaad a»d Grantor, for a valuable consideration, conveys to Grantee the - '"g described rte) estate in St. Croix County, a:e =Wisconsin (if more space is needed, phase anach addendum): Lot 51, ' easant Hiils First Addition. St. Croix County, Wisconsin. 68 1 407 KATHLEEN H. li)ALSH REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 06-10-2002 2:50 PM NARRRMY DEED EXEMPT # , REC FEE• 11.00 TRANS FEE: 237.70 COPY FEE: CERT COPY FEE: PAGES: 1 Rccordin~ Ama Nwncaad Returry/~1'1~INA OGLAND ~ E^STREEN & OGLAND 304 locust Hudson, WI 54018 Parcel Idend}ication Number (PIN) This ~ f6 not homestead pMpany. i Oi;) (ia not) I Exceptions to wemsnties; Easements, restrictions and rigJtts-of way of record, if any. - :~:a ~ day of June 2002 _ ~ (~~ - J~~~T' `rc.c~ ~ . ~ Ron o e + Gknn Kaudtson AUTHENTICATION -cr:re(s) Ronald C. eoate sad Glcnr Knud4on - "' '~t^ ay of June 2002 ...~_?~ "d .. °'-_:= '~7EMBER STATE BAR OF WISCONSIN c:a:~orimd by ~ 706.06, Wis- Stars.) 7'FII¢ INSTRUMENT WAti DFAFTED gY ' _±_ v^-aev TCrtstina land . ~>'I 5401 -±.~ ~c authenticated or acknowledged, Both arc nol nccesaaryJ ACKNOWLEDGMENT STATE OF WISCONSIN ss. _ County ) Personally came before me this _ day of the about named to lne known to be rho person(s) who cxectaed the for'ogpiny instrutnent and acknowledged the same. Y ~~ Notary public, State of Wisconsin My Commission is permanent. {If not, state expimtion data: ~. ~) (D~'d-s1-C~d . -;; s: rt s;grtmg in any capacity must be ryptd or printed below their signature.- ~dmmdlan vreh.wnalo Compenr, rod au tea wi STATk bAR OF Wl9C.OlYSJN erosss-ze;+ `%~ARRANTY OEEq FORM No.2.1999 HAVING THE R 1 GHT TO SERVE TO AREA. i I SHEET LEGEND , _ _ _ _ _ ~ FOUND 1 " 1 RON P 1 PE ~ Ev. ^ r 127. 78 ~ FOUND 2' IRON PIPE o SET 2' X 30" 1 RON PIPE WE 1 GH 1 NG ~ 'n' 3. 65 L BS. PER LINEAR FOOT ~2 ~ ~ ~ NOTE: SET 1" X 24' IRON PIPE WEIGHING 1. 13 LBS. PER LINEAR FOOT AT ALL ~~' ~~ _ _ OTHER LOT CORNERS '2' _L_. 43' `' ~ • UT 1 L 1 TY EASEII~NT ! TYP. ) ••••••••••• - SETBACKS ® • OR 1 VEWAY LOCATIONS ! ) RECORD DATA ~ HWE - HIGH WATER ELEVATION 10/0-YR 100-YEAR FLOOD ELEVATION ~I 1.~ O G ~ ~o mot' ~ -! S o2, Rt~1~.1~R~5 (yFl~'-Z~ 1.0T 6 1 ~r",,c~tar~ •"~. ~ Rssf~axJt #~~ _. $' .da ~-~,~ ------- ~A . ~QQ 2 ~~~ _ __._____. . ~r~~~`-9`'0C`~Is BEARINGS REFERENCED TO THE EAST-WEST QUARTER LINE OF SECTION 16. MEASURED AS S88°2T' 1 T" E. ! ST. CRO I X COUNTY COORD 1 NATE SYSTEM) 100 0 100 200 300 GRAPHIC SCALE -FEET ,TIED LANDS ' 45" E ._._rr 440. 650.. 00' DRAINAGE AREA LOT. 49 ~' 2.48 ACRES a ~8 , r 6 o s 0. F T. ,~~~ a so. lfWE~• 1b7~.2 / / ~0 . ~ / / ~- .. .... ~'~~H ~j/' /~ ~°` +~ h ti LOT 50 a 3. t 4 ACRES ~`~ 136, 692 S0. FT. . F. .., ~0 ® ~0 2~ ----., ~a ,- f1 1 Y L) ~ ~V .s 6~~ \S 9~ DRA 1 NA(fE ~°~ 62~ ti ai -O \® G~ 2. 8 t CRES i® ~ 122, 31 ~ SO. FT. `~ ~ ~ ~. ~~ 6 "~ s~ ~ ®'~~ y 'a ~ ©~ ~e ~,~~~ ~ 39~,aZ' ~ s s ~~~ ' ~~~~ 6+ s ~. ~` N7,Zo p6 t4. u~,~ ~ DRAINAGE AREA 0 ` ~ ~ ~ ~ ~ ~ ~1 ~ / / ~; ~; D' ~® L O7 52 ~ ~' go, ~ 33' 133 , 2. 34 ACRES / / o o ~ ao~ 101, 983 SQ. F / _ , . ~ ~ / A ~ ~ _~ ..LINE ~ A ' ~ .............. Oo Go 4t 1~1 ~ . .... ~? QWi ~ 1 ....................................................... ~ • i X0.83'------------~ ~ ~ ~ L---------------® __-------------9 9. 33' P UBL 1 C sae°2S' 24"E 352. T8' ~1 i ~ A P ~ W ~ - _ _.___.._ ..__ _.. ti ti m M 0 0 0 ~3~ J9 A LOT 53 4. 49 ACRES 195, 6 15 S0. FT~ %i! %i% goo-rR . SE TBAC -- 226. 55'--- S8.3°s~~ ,.„„