Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
042-1046-50-400
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 569502 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Hamann, Eldo& Marian I Warren, Town of 042-1046-50-400 CST BM Elev: Insp.BM Elev: BM Description: Section/Town/Range/Map No: �O i3 m ,i G`J C 17.29.18.262860 TANK INFORMATION -r^ 7,s ELEVATION DATA 3. O 143.0(p ZI`a TYPE MANUFACTURER L 7 CAPACITY STATION BS HI FS ELEV. 3. 1 103 / iz>n Septic ` Q I Benchmark o� /600 /• 4! /D/• Sao Dosing Z A BM Covr..�c� LSD o,,�4 �" n C Bldg.Sewer ` 4 Holding St/Ht Inlet \ TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent t Air Intake ROAD Dt Inlet \ ca 5 Septic / 7 Dt Bottom Dosing / $,I /Z / f Header/Man. / Aeration Q7. / Dist. Pipe 5•� �7 . G Holding Bot.System q4,4 �7 � Final Grade 4?7� PUMP/SIPHON INFORMATION Manufacturer e.( �- GPM nd St C,gver 57r Model Number "Fig ? �J 7 , >� 7. 1 4 TDH Lift/'. Friction oss System Head TD l 3•z5 7 Forcemain Lengtth�6 Dia. Dist.to Well '77 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length _� No.O,Vs PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 5 /,/�Je SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION /m/qs e�T50 CHAMBER OR Typ/r/ / tem: UNIT Model Number: DISTRIBUTION SYSTEM ea Header/Manifol' / Distribution I // x Hole Size x Hole Spacing Ven it Intak 7 Pipe(s) /.� p Length Dia Z Length 2 3' Dia �' Spacing + SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only It.r. Depth Over Depth Over xx Depth of xx Seeded/Sodded Mulched Bed/Trench Center 1 4 l Bed/Trench Edges \ Topsoil G I ` ' ` �— es I,] No j No COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: � / 5 /1/1 ection#2: / / Location: 1019 100th Av a Roberts,WII55403(NW 1/4 NW 1/4 17 T2T29N RI 8W NA t Q Parcel No: 17.2 18. 2660 1.)Alt BM Description= " ,;. `' I -f!— - e- � �''w`' 2. - a,,.J Bldg sewer length- I Z PI ���$/�, -amount of cover= � � / -7 6� - 4--- Plan revision Required? � Yes No i Use other side for additional Information. SBD-6710(R.3/97) Date Insepctor's Sign re Cert.No. %., N.0 I -- I . Z-I'AJE- Pl..oT PlAiQ L CT k lo/r5 501L T'65r 131,1 Aa 6YI 577 v LL i K) vi 1-4 Ol -rop rF I 5-F- (2, Safety and Buildings Division County 201 W.Washington Ave., P.O. Box 7162 Sanitary Permit Number(to be filled in by Co.) s A, K Madison,WI 53707-7162 L Ktt3Fl- I �/ ction Number Sanitary Permit Application - 1VPr-2 3 3 YO In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS are submitted to j "()S� if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law,s.15.04 1 (m),Stats. CROI)(Colliig I. Application Information-Please Print All Information Parcel# — Property Owner's Name—''// a� Tot,nn Ot a W w Property Location Property Owner's Mailing Address �J Govt.Lot CI Z(p L �e, ©Q� Q b ! - City, tale Zip Code Phone Number 1/, JI() '/<, Section 1 trcle one) d` 1 S �,(,�5 Jr jf�/'�3 T 2 7 N; R E or W II.T e of Building(check all that apply) Lot# won ,�/�� Subdivision Name L'J 1 or 2 Family Dwelling-Number of Bedrooms G 1C ah Block# ❑Public/Commercial-Describe Use ❑ City of CSM Number r .a ❑Village of ❑State Owned-Describe Use ; Town of `III.Type of Permit: (Check only one bog on line A. Complete line B if applicable) A. New System ❑Replacement System ❑Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System(explain) B. ❑Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner IV.Type of POWTS—System/Component/Device: Check all that a 1 ❑Non-Pressurized In Ground 11 Pressurized In-Ground ❑At Grade Mound>24 in.of suitable soil Mound<24 in.of suitable soil ❑Holding Tank ❑Other Dispersal Component(explain) --$Pfeeatme to Device(explain) oe V.Dis ersaVrreatment Ar a Information: - "ern Design Flow(gpd) Designil Applicatio�/Rate(gpdsf) Dispersal Area Required�f) Dispersal Area Proposed(sf) System Elevation / VL Tank Info Capacity in Total #of Manufacturer Gallons Gallons Units °: ° New Tanks Existing Tanks 0 a U iii Z w C7 a Septic or Holding Tank Dosing Chamber AF [ 7tf VII.Responsibility Statement- I,the undersigned,assume responsibility for installation of the POR TS shown on the attached plans. Plumber's Name(Print) Plumber's Signature MP/MPRS Number Business Phone Number >~N h ����v L� -751 7!.�=-7�Q Plumber's Address(Street,City,State,Zip Code) VIII. un /De artmen Use Only Permit Fee Date Issued suing Age tgn r Approved ❑Disapproved ❑ Owner Given Reason for Denial 1 / IX.CfyBWIVI=R; ff�����oval PP /Reasons for Disapproval � 1.Septic tank,effluent fllter and , ! r dispersal cell must be serviced/maintained ` ;'� r Syr' as per management plan provided by plumber.• " /" e" � 2.All setback requirements must be maintained Aot, yuy -))VJT .1 Attach to comp ete plans for the system and submit to the County only on paper not less than 8 12 z 11 inches in size SBD-6398(R. 11/11) �pe� TMy DIVISION OF INDUSTRY SERVICES dos 10541N RANCH ROAD HAYWARD WI 54843 Contact Through Relay ,E P www.dsps.wi.gov/sb/ www.wisconsin.gov SIOIZA�S� Scott Walker,Governor Dave Ross,Secretary I December 09,2013 CUST ID No. 226375 ATTN.-POWTS Inspector ROBERT W ULBRICHT ZONING OFFICE ULBRICHT&ASSOCIATES CO ST CROIX COUNTY SPIA 2812 10TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/09/2015 Identification Numbers Transaction ID No.2334088 SITE: Site ID No. 797909 Eldo Hamann Please refer to both identification numbers, 1019 100TH Ave above,in all correspondence with the agency. Town of Warren St Croix County NWl/4,NW1/4, S17,T29N,R18W Lot:4, Subdivision: CSM#835568 Vol 21 Pg 5279 FOR: Description:Mound,2 bedroom residence Object Type:POWTS Component Manual Regulated Object ID No.: 1459927 Maintenance required; 300 GPD Flow rate; 25 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual-Ver.2.0, SBD-10691-P(N.01/01,R. 10/12),Pressure Distribution Component Manual- Ver.2.0,SBD-10706-P(N.01 101,R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s)referenced above. The owner,as defined in chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code ,-� , ' 'a iC)t� �" requirements. Ap y.-)RpvE0 No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145 -T �y�- SAFES stats. ' PRQ�ESS1�,Np'L �' The following conditions shall be met during construction or installation and prior to occupancy or use: I�,RI�N S, INDUS Key Item(s) • 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 additi e owner must insure that the operation,maintenance and monitoring duties as described in section VIII e SEE CORRcsPO mound component manual are complied with.A copy of this information must be given to the owner upon completion of the project. • The bottom of the distribution cell shall be level per the Mound Component Manual. The"D"dimension shall be a minimum of 11". The maximum finished slope of the mound surface shall not have a slope ratio steeper than 3:1 per the Mound Component Manual Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15'beyond the down slope edge of the mound per Mound Component Manual. ROBERT W ULBRICHT Page 2 12/9/2013 , • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384.10.No fixture,appliance,appurtenance,material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system,unless it III is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • Maintain well and waterline set backs per SPS 383.43(8)(i).Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. A copy of the approved plans,specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department,which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance.As per state stats 101.12(2),nothing in this review shall relieve the designer of the responsibility for designing a safe building,structure,or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation,operation or maintenance of the POWTS. Sincerely, Fee Required$ 250.00 Fee Received$ 250.00 Balance Due $ 0.00 Patrici ando POWTS Plan view ,Integrated Services WiSMART code:76331 (715)634-78 Ol F (715)634-5150,M-F 8:00 a.m.-4:45 p.m. pat.shandorf @� nsin.gov cc: Edwin A Taylor,Wastewater Specialist,(715)634-3484,Monday-Friday 8:00 am To 4:30 pm Note: Effective January 1,2012, all codes under the jurisdiction of the Division of Industry Services(formerly Safety&Buildings)will be modified. Code references with prefixes starting with"Comm"have been replaced with "SPS"to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety&Professional Services.Additionally,all IS(formerly S&B)codes have been renumbered and addressed in a"300"series. For future reference,the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. ULBRICHT & ASSOCIATES CO. KC(>. V W1160 281210th Ave. • Spring Valley, WI 54767 Reg.Designers of Engineering Systems 715-77243*" REUt":J L:.L; Private Sewage Consultants NOV 15 2013 INDUSTRY SERVICES PROJECT INDEX q Plan I .D. # Date • 0 owner EL.-P 0 /A4 IVAJ Phone 715 71-19 - Z/z 2-/4 Address 1017 /00f& AV,6F- TRo13aR-T,5 Wt . Sqo :L3 Legal Description I-cD7- 4/ C!;M 9 3 5 56 82 Vol. 21 ) P5 - 52-75? PPM 0qa- 10V(0150• L/00 Aj W) N W 517, T-a I., R Town of FZ kF-pj County r. C R o i y- C-1-T. !; k.AUM Blp -2-Z 0qC) 0 Installer H- )Q 1=ck v i'l Local Authority/ uoervision -S-r. cp-oty, C1-y. ZOA�o4& bLp-r . PROJECT DESCRIP"UON _715- —qC. 8o NEW C-0USTRVC-Tiokj FOR. A 5Mkil L=rPR M -=�TIREMe:)aT- 4oxje-. eV L 150 A i L-"l IFS I 5Tff r lb to = 3 o o 5A[5 . 0 Appploumrl) Soil / S iT�= >2E�aoRT t N l� t cATk s Sires 50 1'r A-13 L6 Fog. A Corn QeFP,3 -rioMAL MOUK3D 5y 5-rE7-rM -tA 5 1 M G- I ;C' or— S A JO D Fill * fiL-R- -Sc) iL IS '-1-ff R ✓ YZT- y S TE-M Et ar V Ar-rl OA) 5 HA I/ Cie- A T- 9 7. 0 ;L\IICES Wk 0110 I G ID z Pg- 1 PLOT PLAN VIEWS J� Pg. 2 SYSTEM CROSS SECTIONS & SYSTEM PLAN VIEWS (REVERSE SIDE DETAILS INSPECTION PIPES & FABRIC/TOP FILL DETAILS) Pg-3 PIPE LATERAL LAYOUT (REVERSE SIDE SHOWS DETAILS OF LATERAL CLEAN OUTS) Pg.4 DOSING CHAMBER CROSS SECTION & SPECS. Pg- 5 PUMP PERFORMANCE SPECS (REVERSE SIDE SHOWS PUMP DETAILS) Pg. 6-OPERATION, MAINTENANCE REQUIREMENTS (REVERSE SIDE SHOWS SITE & SPECIFIC PROJECT DETAILED IMFORMATION,UNIQUE TO LOCALE AND GOVERNMENTAL UNIT AREA) The attached plans and specifications are based on the following approved manuals: ,Mound Component Manual For Private Onsite Wastewater Treatment 11 Systems f1 (Version 2. 0 S]31)-10691-p(N.01/01) and "Pressure Distribution Component manual For Private Onsite Wastewater Treatment Systems" (version2.0) SBD-10706-P(N0l/01 ) . Np , 4- o T 4-1'IQE E � V ['l,-vT PJAIQ LaT 4' s ,Nl 1 st --- coNfo R L im t- S REVPM 55 5 A GE� _ 98' o 10 a 57—/ 50 ' £x � f Pvc A tl .�A 0 UK)D tz ,s � 0 T3 • _ - ------ --_---------------------------- x :�h G T I O A J O(- M O U AJ E> tU i T ti B E o ` ©`T �Q ' Be D o F `� ro i ` ' DiSTRi(3uTtoN �� A53et•,jATE y�. raickaEas pip f,36- ° o� TtiP s o,(L �,v/ 7��i4t�U�L s ys r t~M O`s• \ EIEVA r oA3 Uui FORM TOE �7 its 0 All; so ti- N RhTiO MED. ., • .• ,. �� TE S r SAmP /III Plowwo P's of �- �f 51 opE I~aRCE UL)t FORM 3 MAW E t WATtoa UAJ VER C3 D ?CO. o q 7 3-d INVERT OF ]ATERMS S FT. " Top OF Rock R 7. 7P ' . � G ! " q.T Coo H /' o FT. TOP °F IATERA IS PLA N VIEW OF MOULD -- Wi r+t 'i3E a �..i 30 «FORCE MAW � � FT. a PVC Fr r �d F T 70 Fr w FT � D O l l �•�' F r ") y_ W = Fr a \ BEL? OF PVC CAPPD TO E 0 3SERVArtOO L' �C�o/Y AND d/� ce l�s �VIIArI/�(VI� PERMA,jft,3T MARKERS (P1*S 6*r' C-ICAA200j Sev�C R E C2 UC R E P BAS A F A R eh 1)At'r_y w hs rE'Flow � 30-0 755-0 SOIL (,)-ft(rPATte,E - CAp/tciry 1p"-/F4? 64. Fr. PR7090SEb BASM AReA x ( A + /o5p l ! I -Y o ' �� 91� --�--- E£ 0 Gr1s 4' -� '? ( ig sadd uopeniesgo--g ajn'Rt3 te!p ltu..Wc)Je8 1ulio:)leseF'J JeIem aae}Jns anpeJilgul 'u! A •ulw UIw»9 ..9 lo1S agweg3 sbulldnatl Jle ati bull al ;o dol 'e1P u!w d>r de3 Ig6g JelepA. IUOIS CS punon a jo u0q3as-ss0za •9 amWr3 4 ,uieu a�in j ado1S_.-> ease paIIIl r 16W IIIA 1eUajew JOAOa- Ilan uognqulsi(]—J adid u o i o f�/ -o S 5001,2 DISTKt5uTtop Pt?E LAYOUT 3 P 9� o f Co CENTP,,NL 'FoRcE MAIM Isr z x X TOTAL VOID VDIVM E of NETwoRK 3 9 �1s ' .�• ,N�ti�s X ' 'TOTAL UdtD Vol uME o F FoRcE MA(m �� y�ts • INVERT EI T .EVPNl0N3 � �• y D OF LATER.Rl5 Holt= PI NMET Ma E5 CAREFuily 'Remove M ER E ORit1Ep C�RfICE •'t3t?RRS "' 1. ;aTLE RP\L_ +' ING��S ROIL-$ 10CATED olll MAN � Fc��.n Z iNCH� s 6wroM, eUSOLY FC)RGE MAIij " 2 SPAcen . # RWE 5 ?F-R 1 ATI:RA L ni s r. ceF[l SEE REVERSE 510E FOR TEP.NINPyL % Vi�TAiL PER C7Tlg , FOR �!'P Ho1E5 , piSCG►RR9tr RATE To 13E - �p �P �NkS . PeR MINt>TE PER t4olE , • �15TR� �vTION Di SchgRc� RRTe FOR EAck IATERAI /Him TOTP L PI STR► BOTIoO 9L5(,krjRgE RATE r0R NJerwo12 K 3A(5 0 @ a• 5 M► N � MUM �e�D IMIN /1- T v ti� of ,C-464, Ff , Gu 1A /� �GSs rte► SGv�17, o 2 F,6�41e5- 19 UC 134// v� /U, G'�726 L. . ... ......_.- 0 r� , `F OF CQ SEPTIC TANK & PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS a P sN �„ 4" CI VENT PIPE 12" MIN. ABOVE GRADE & !► � �I >_ LO ' FROM DOOR , WINDOW OR WEATHER PROOF BOX APPROVED FRESH AIR INTAKE y�0GK!*12 WITH CONDUIT MANHOLE COVER C O V R 5 W/ PADLOCK & — WARNING LABEL 4" MIN . FV �� ,� l I N.LET I _ GAS- ' U sv�rT' POLI �_ TIGHT i � fA A I SEAL PROVED nUG QI Pte; R � ALINTS W/ SOLID ����� ON PE 3 ' ONTO ,2 � � LID SOIL SOIL C PUMP OFF ELEV . I '1 . J� OF1RTSER EXIT 130rT'oM �? 80 /.� f D RMITTED ONL TANK NUFACTURER 3" APPROVED BEDDING UNDER TANK HAS APPROVAL piiopmr NPROkt W t✓P '0014050 4050 M R f CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE wit: C-RfTa '.r PROPUC.� 5 5 ' TANK MANUFACTURER .. NUMBER DOSES PER DAY : . Go S. TANK SIZES : SEPTIC /01:ro GAL. DOSE VOLUME INCLUDING DOSE GAL. Spaq/FLOWBACK: C95 GAL. ALARM MANUFACTURER: L W1 +IA*PM eO• CAPACITIES: A = 11*9 INCHES = ?-Aa GAL. MODEL NUMBER : .v,L, . ,/ — SWITCH TYPE: M-00,14 • FIokr_ B = 2 INCHES = 3V GAL. PUMP MANUFACTURER : Z.oELLER Co 2 (o MODEL NUMBER : zoc:L li Hp 115V . C _ 3. INCHES = GAL. SWITCH TYPE: pffiW10AC K7_FloAf D = Z-n INCHES = 3y O GAL. REQUIRED DISCHARGE RATE 2� GPM PUMP 6 ALARM WIRING AS PER ILHR 16 . 23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE /�, 70 FEET + MINIMUM NETWORK SUPPLY PRESSURE . 3.3,5 FEET + 3.O FEET FORCEMAIN X /.37 FT/100 *FT. •FRICTION FACTOR • . . Z/(p FEET TOTAL DYNAMIC HEAD = 15, y FEET INTERNAL DIMENSIONS OF PUMP 'TANK: LENGTH _6 3 ; WIDTH ; DIAMETER LIQUID DEPTH 39 , SIGNED: CEN lit-1..MBER: DAT . P/c s"PECS 6,R C& IV df= P14- 7, p Srv.Qs -- Q SEPTIC TANK, per Comm. 83.44 (2) (c) shall be equipped with an outlet attached approved filter device ( POLY1.06 fliter) Tank shall have an approved above SZrj ground locking manhole cover for regular (every 12 months or less) inspection & servicing by a licensdd service pumper. "9 OMLM 99jv8-9z2-008 0 anod-lso 00/00/00 Siva 0�949 IM N3�08 0 N�3O IV�W �Ot�MH�S'n 9lLM Z\ iynNdW Old3S 3a LLI o :HnOd-38d .0- L=.4 l :31VOS dOM *A9 NMV80 1311 \ m wi—OS9/OOOIdIM N r' 0 W w J En z g j o: J 0 m O C:3 J It M ne ix U^ ton w w N a an 0 ar0 ir a� W° Q W U U W H J ^ N= F J U Z ce °o H w z tro wot- wa < a ^< H 0 o o z c� O a om ° Q ZZ � W� 0 3 LL ° > Ln c F— W OQ QJU JJ N U �O U a o OQ a° O to mN JW W oU O W Z O� Y a s a .� O = = m J I V-°to N p to O .Zi.Ni z 40Ci '�0 � mwW NO O Q Ud ODO YI- O w ih� N���~�0 ~aU ~Z~ NdU �1Uk QO .. `� J �QW OZ rn U W U W aw rn WU ex 0�ZOZ� jm2 Za Q ZNO U C7 z vWi0 �X 0 Y aooaww Wo'�,.I a�c� a�.. _I N3mU�=J�mo3 Z U Z Z O .. N LLI p Z Z � OQ U OF J Q W V) Q I N W U Z L� Q z a > O C a. .0-V do N I U LL 3 cn � S a t l W LL CL w ° .85 N w V> �Q I �m J U- w9 I N 9ti W (A Q \ svo .� U 1 s p � N FYI qdn ° W U < Z £� • � I W 003N w a Y z Q. of Co d ZOLLER EFFLUENT PUMP MODEL 98 NEAb CAPACITY CURVE MODEL-sq.. )/• a ,/, 2s— ; J s/a ' e la= � p + + e 13/14 la— e_ 1 1/2-11 1/2 NPi 0 1. GALLONS 10 J JO 40 50 tMS an 70 160 240 0 FLOW PER MINUTE r 1o1K"MA010 KAWtoW Flo lb,nr't 1pf"In Otto MWA111W IKAe cArACnr 12 UM11ttAtIN • . Itt/ YtttM pAltw: lrge V to �.w •1 », 1 li I.et li Ito � 11• ZS •S tockVelve 29` J S/la CONSULT FACTORY FOR SPECIAL APPLICATIONS k EMcldcei BAefnalors,for duplex systems,are evapable end 0.OJPPrted with ell slelm. It Mercury 11081 switches are avertable for conliolling sktgle and Msd1el11cat alternators,I&duplex evetsms, a 1 rs rase fyslelns* wAhoMen wNchea. are ovaAabis wth a od piggyback mercury I1081 switches ere available for vallable level long cycle controls. Standard 911 models'Waighl 90 Iba • I/,N.P. sEt•c�N oulne 1 Npw Ibel"reled 2"fnfthw&1 ewltch,no external control'*gutted. q sale• ! "to P1041�eok met sort avllch a doubt tfft V he•Ph Contra selection awllch.Pala to FMOR7. P ieybeek mercury.Goal i._1!____T Mode A • •Im ter tht ter J. Mechuxkel alternator io ceig of 10 00)0 1 Auto w 4. see FM071?.for correct model d Eyc4kal/Utanalor,"E�Pak", 230 1 Auto ��— e. M cury Set"host Switch 1000Zy!'a�tl q e control actlwtor 230 ------------- (?! 141 goal evelem. •Path' t /Lon 45 ? 2 f 0 or 1 1 a .. e,prM NI h41e"d Pail".(urleaorl bc;Am I�dyl9*connection or wired M elm. 7.Twa�q hey`J.Pek",la wYerM•Id earw.__..a ehaoe. Fr iira � /CRY��Y tatdof en fSom6lnAlfon 6ud�r FMOt t I; \� CAUTION I Mt11 t'.Wd AAerna w F Waite;NvthArdctl AMrnua. All klale0atlae of eeabefe,Freloodem 441coe end wk FtY1111 �P�Me 17 e""^t +gate au4y FfAO+l1:eM A fw Ibenead aboftb4a As el.etek t art wl ehsJ1/is dalle ixr a�ea1F e+N+A Cenral am% M f Mla wale meant NAUewd EtK4b C!M(1l'CriI r eod.e e hf cue4 u pN'Iefae.t.aa1 rir 114811% Ad (01111A), nsln/• art For Unusual conditions a reserve RESERVE DESIGN dltgineered Into the design of o' ry ZoeNer pump, ! NAM Ta-;.O.Box 16317 40236-0347 Affarlu/actursrs 01... 6Nll 10 3 60 01'26hrr last r, + :Kr MIN Q�ilurr/ rvs,f'lr/939 1(50W?8-,efJI:w I0j.S01)?'71-3621 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of FILE INFORMATION SYSTEM SPECIFICATIONS Owner IP .+1ilA''N1V Septic Tank Capacity al ❑ NA Permit# '''.-• 0 ?j Septic Tank Manufacturer �•(�/ .��� ON—A DESIGN PARAMETERS Effluent Filter Manufacturer PO C y l0 Cff ❑ NA Number of Bedrooms 2 ❑ NA Effluent Filter Model 5'2 5 ❑ NA Number of Public Facility Units _ -a1IVA Pump Tank Capacity �P,s d al ❑ NA Estimated flow(average) Z Lo 0 q I al/day Pump Tank Manufacturer ❑ NA Design flow(peak),(Estimated x 1.5) 3 0 0 al/day Pump Manufacturer Z.O��/�"/2 ❑ NA Soil Application Rate al/da /f12 Pump Model YZ '`+ ❑ NA Standard Influent/Effluent Quality M ly age* Pretreatment Unit ❑ NA Fats, Oil&Grease (FOG) 30 mg/L ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD5) <_220 mg/L ❑ NA ❑ Mechanical Aeration ❑Wetlan Total Suspended Solids (TSS) <150 mg/ ❑ Disinfection ❑ 0 r: Pretreated Effluent Quality average Dispersal Cell(s) ❑ NA Biochemical Oxygen Demand (BODs) <_30 mg/L ❑ In-Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solids (TSS) <30 mg/L ❑ NA ❑At-Grade ❑ Mound Fecal Coliform(geometric mean) <104 cfu/100m1 ❑ Drip-Line ❑ Other: Maximum Effluent Particle Size X in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: / ❑ month(s) (Maximum 3 years) ❑ NA R4 year(s) Pump out contents of tank(s) When combined sludge and scum equals one-third (36)of tank volume ❑ NA Inspect dispersal cell(s) At least once eve ❑ month(s) ry' IQ years) (Maximum 3 years) ❑ NA Clean effluent filter At least once every: ❑ month(year(s) ) ❑ NA Inspect pump, pump controls&alarm At least once every: y ❑ month(s) ❑ NA Jd year(s) Flush laterals and pressure test At least once every: ❑ month(s) ❑ NA year(s) Other: At least once every: ❑ month(s)❑year(s) ❑ NA Other: 4 ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s)to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the 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 effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (X) or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals 6f<12 months,shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page of START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s)removed by a septage'servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose,overloading the cell(s)and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins;tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter SPS 383.33,Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC,PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name gN14 V E Name Phone 77 • 3 3 12 Phone SEPTAGE SERVICING OPERATOR(PUMPER) LOCAL REGULATORY AUTHORITY Name Name 5f. Cpl$_ cl� • 7-40AJ Phone Phone -715. d i� • 7 LF Q This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f)and 383.54(1),(2)&(3),Wisconsin Administrative Code.Revised 3/29/13 S'1. CI OIX COUNTY SEPTIC TAN-K_-n9AINTENANCE AGREEME'1NTT AND OWNVNERSHIY CERTIFICATION FORM :.-;t}U�s S .tS£� fir._:.� ... �® Iv_��.�� ---�� --�✓���� ---� {�' ri1 cation required from Ylanrl.ing&Zon.irig Department for new constructions Kea T'arccl Iderlt'E,at or N'tunber Sec. W� Lot [: iJ c� �V'Ia r � ��� V olam- Pag e t, - V 1T A-M p � (v �rl4 �� Qa 0efor 2007)Volurne? --' Page'_O-2- <`3t _.i ( £ �'"'es no r Oi Iles r0em.-iIlable/les I�DO .f. l�1_ !0,iJ I� ,��; . � ' vq Iti I 'C c.e 7 .,+ 77�� 9. k 1' 4�' T 5 '' 4� `d`'t'll_)1VT ...nw.....�... r'.,t li . ,a 1 71ir� t ._3nCe O your SeftlC sy Ste�� ,Slat:Il il:S premature failure to hap3le Wastes. P open o1'in inh)li.c out the Septic tank ever?three years or sooner,if n,,°ed,U,by a licensed p�lmpel. �Utiat y0ll put 17]t�J ,i.eC T.' :, lcti--a of the Serftic tank as a treahne-at 3ta?e in the waste disposal s}'stem. Owner rLalIltenallCe arc c ) . ,.11:,Gl 1.1 §S'S. .SSJ.52?(1) and ill Chapi:er 12 o17 i Oi13',t}'Salll ary Ordil].anCe- i M 6 4 2ecs t st lalrrt to St. roi roilnty �>iazu-lir..?&:Zoning Department a certification form,sidled by the 3S t 1?�FTI )(3l° ?U'vlJlii-rlunll r 'r 5 F1 If d plum )ei or a lice:tsWd pnmpeI vBIlfVln�than l}tilt 6n-SI Cal S In pIC)per Ope°,1t1Il� Conditio.c nd'or 1,1)at:er 31SpeCtlon.and pumpLlg(if nE C.esSar`.),the S°l7_1G t 12� IS .... .,., I s ,;•i S1UC��e. have read rdh•;above r qu reuieiitti« .., S is -to mairit�h,,he pKivate st;Wa.,Q1SpOa ll ,VStenl P tth the b'� the 1 epa-r.ujent of 7afeYe -f`)d E�0f SS.(1 i0- Se iC aVCl fine D partni t of�Tar�tral ReSOtiTC�S, J-11 -.t`p.'1?.'�»tiOii Si.at1.11L? L:1 j O-sI-seplac;�Va�.-:::1 Flr„, i.,:rli iTtillli_i1C�Gt.-iji st?w orP;�ieLed ari.:l rewmTled,to the St. Croix �t rt'.?,�1)Upal ne f Withl�l_;1; UaCr.;Ur t�r 1- ,c ,' 6ii ? o��atio: Y. r`` r .e.[ :} hat<'.;_ .ai Llct!'.,s -3n t11s form, aI': c It ri the b!2 i of x,%'oiE l.I'i3`( ed;e. i/w� , am a? ' he Ol'ner 5)O'lilt (C C'r'a iailt}' 7Ued:-mac,,"q jej ul.%Ce-ster of De C(s Lce- � � 131 Inv 4Va---rr = r ------ .'_ 7. S.. i..'1.. Z TT,3t_:.Tt�,A-N ",C, DATE. ;Usent°d'.:.iu res:It it'hi lit•,f<i %penuit being revoked by the Planr`-' 'OnL*ln j E JaI lllerl x S ur j 1.Ci;,1iv?:1 .1 le u ll v,arrallt� dl::, t t'or:!);h.0 IZe lStt l"C?f Deed-7 <.ffCe and a.',op-of.11C cer[1 , _::lire i:n3li 1T �, 4 Wisconsin Department of Commerce 7. s. N REPORT Page—L of J Division of Safety and Buildings 'gg���in actor ance v11RtComdm. ode County C'-Attach complete site plan on paper not less than 1/2 x 1111 ipghen must include,but not limited to:vertical and horizontal r feren nt( n and Parcel I.D.percent slope,scale or dimensions,north arrow,a d location and Barest oad CRT�Please print all inf atFdnR 'ewe by Date Personal information you provide may be used for second ry pu 15.04(1)(m)). Property Owner Property Location F2 Govt.Lot 114 /4 S T C N R E(o W Property Owner's Mailing Address _ iV9CA Lot Block# Subd. Name or CSM# O©q�,► � 1-0T-6- -67)'(-� a 4 019 n L rn City y State Zip Code Phone Number C� ❑Village Town Nearest Road New Construction Use- Residential/Number of bedrooms _ Code derived design flow rate `� J� GPD ❑Replacement ,/�� ❑ Public or commercial-Describe: Parent material Flood Plain elevation if applicable General comments and recommendations: System Type/VUt� System Elevation M Y Boring# E] Boring 3 Pit Ground surface elev.� ft. Depth to limiting factor' in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft= in. Munsell Cu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 •Eff#2 ® ��# Q Boring �- -7 Pit Ground surface elev�S' L ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munseil Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 I •Eff#2 l C� 3 S Effluent#1 =BOD >30:5 220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD 130 mg/L and TSS<30 mg/L CST Name(Please Print) Sign CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducte Telephone Number 1008 192nd Ave, New Richmond, WI 54017 S �� 6 715-246-4516 Property Owner_ Parcel ID# Page of F3_1 Boring Boring i Z ng pit Ground surface ele . ft. Depth to limiting factor �n Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 0_13 D o 3l S ,� Fled Lt"7 F-1 Boring# O Boring pit Ground surface elev. ft. Depth to limiting factor in. -9-o-i—lApplication 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 Boring# E] Boring F-1 pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Iepth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2 Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BODS<30 mg/_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. W4330(RAM) 9 Soil Test Plot Plan Project Name Eldo Hamann ShauABi6---- Address 1019 100th Ave Roberts Wi 54023 CST 226900 Lot Subdivision -------- Date 5/10/06 N W 1/4 N W 1/4S 17 T 29 N/R18 W Township Warren Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Silver Fence Post System Elevation 97.0' *HRPSame as Benchmark Alternate Benchmark Top of steel Fence Post @ 99.3 100th Ave Scale is 1" = 40' Pry unless otherwise Property noted Line -1 96.5' 40' 50' 15' 3% Slope B-2 0' 0' 95.5' B-3 15' Pro Property Line 20' .M. t1.B.M. e 83568 VOL 21 PAGE 5279 KATBL MN H_ REGISTER OF DEEDS RECEIVEDx FOR.RECORD CERTI FI Eta S U RVEV MAP 09/28/2006 03:30PH LOCATED IN THE NW1/4 OF THE NW1/4 OF CERTIFIED SURVEY MAP SECTION 17, T29N, RI 8W, TOWN OF WARREN, COPYFFEE: 3300e ST. CROIX COUNTY, WISCONSIN; BEING PART PAGES: 2 OF LOT 2 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 19, PAGE 4955. OWNERS SURVEYOR ELDO&MARION HAMANN EDWIN C FLANUM 1019 100TH AVENUE NORTHLAND SURVEYING,INC_ ROBERTS,WI 54023 P.O.BOX 14 ROBERTS,WI 54023 c')co s D �p EDWIN C -–– 'rN pV�:�-���. Z FLAN�MA 'ti OD` „E 493.3 o N s S-2457 4448 Z r ^WISY a �' -- CEN RE t-1NE wN� N77°q E5� I C I O m m "'�� •US - - i 5 _ 45.54 . . 0' z n _ f m o Ir cn n 1\ rri m IN leg LOT 4 4 3.99 Q ACRES INC-R/W R",i (f�� 173,840 SOFT. co X Cc jltl l 3.62 ACRES EXC.R/W i 00 5� I I 157,603 SQ.FT I -- O U IO * , ' _ ° — — --� i ' N86°11 FAE 458.69' 'O cn I W �� m N / I tll _ ® �FiI,TC Ii � N �Z T/ 5 t m I �y t� ',, 0 Q� f�1a1 .m d/ 1-$ N O co t I�BINS N I m i� m mcn U ° NW CORNER °/ N p / b 10 SECTION 17 �/ ca cQ .@�D _ 04 * PR DRIVE – – I� ��_ - - _ ._ - - - LOT5 5Q' c 2,4 ACRES 222,4 � � 99 SO.FT. ° M[vJp[�Q44CD dLaMD� S c � ------------------_ � NORTH LINE OF THE SOUTH 14.74' OF THE NWi/4 OF THE NW1/4 N89°29'45"E 835.80' 24 .14' 178.25' M ro 689°29'45'W 421.3 SOUTH LINE OF THE m NW1 14 OF THE NW1/4 M nMpdQ44C5D [�Q[nvJDD LEGEND ------------------- w r m m ALUMINUM COUNTY SECTION DRIVEWAY TO EXISTING O CORNER MONUMENT FOUND HOUSE TO BE DISCONTINUED SOUTH • 1 5116"O.D.IRON PIPE FOUND OF THE NORTH LINE OF W1/4 CORNER z LOT 5 AND A NEW DRIVE SECTION 17 3/4"X 18"IRON REBAR SET WEIGHING CONSTRUCTED OFF OF M A 1.50 LBS.PER LINEAR FOOT 101st STREET. 3/4'IRON REBAR FOUND . . . . . . . . . . 100'ROADWAY SETBACK LINE A BORING LOCATION SCALE IN FEET 1" THIS INSTRUMENT DRAFTED BY KEVIN REED SHEET 1 OF 2 SHEETS JOB NO.06-49 DATE 5-8-06 REVISED 7-21-06 150 O 150 1 of2 Vol 21 Page 5279 t 3 790183 VOL 19 PAGE 4955 KATREM H. NACU'—' REGISTER OF DEEDS CERTI FI EEP SURVEY MAP RECEIVED FOR kECORD LOCATED IN THE NW7/4 OF THE NW1/4 OF 03/30/2005 09:30AK SU SECTION 17, T29N, R1 8W, TOWN OF WARREN, REC CERTIFI 13R00Y liAP ST. CRODC COUNTY, WISCONSIN; INCLUDING COPY FEE: 3.00 PART OF LOT 2 OF CERTIFIED SURVEY MAP PAGES: 2 RECORDED IN VOLUME 12, PAGE 3510. OWNERS SURVEYOR ELDO&MARION HAMANN EDWIN C FLANUM 1019 100TH AVENUE NORTHLAND SURVEYING,INC. ROBERTS,WI 54023 P.O.BOX 14 ROBERTS.WI 54023 xvlaw))- ZE � 7.4 E� 3 30 Z 0 rn H Ags-!�-V C 1N � S O °;� S _ 5 °' O�EN 51Y O m 45.54 .......... F) . .. ... O. .................... LEGEND t...................... ... ALUMINUM COUNTY SECTION CORNER MONUMENT FOUND , I 0 1 51/6"O.D.IRON PIPE FOUND t O 3/4"X 18"IRON REBAR SET WEIGHING t LOT 2 Z 1.50 LBS.PER LINEAR FOOT t 9.24 4 A RE SO.FT 1W z -X-X EXISTING FENCELINE 1 8.87 ACRES EXC. ................... 100'ROADWAY SETBACK LINE j�i t 386,306 SO.FT. m I��i (R=XXXXX) PREVIOUSLY RECORDED DATA Im t t0, Q` QOm m o M t o �m �m N IQ N t� m Q cn -n a j� w tm m A 10-I � m r t 0.0u 2 C.!95. . OM 1:0 m NW CORNER I Q° t � O——— O -n SECTION 17 .02,.02, Pa. o @90 -m I` t -— -- — 50' t A t II INAY' 1"5'- 2M-z � i g m t p `2 ;' N89°29'45"E 835.80 VR0IC'`C00IV m swwyo '$RECO p �^-� (j-SOUTH LINE OF THE N$9°29'45"E 420.30' 9) 1 NW1/4 OF THE NWt/4 cn A UapLaUVe D LZU DQ), m o NOTE: i NO NEW LOTS ARE CREATED BY THIS CERTIFIED SURVEY MAP.THIS W1/4 CORNER MAP REFLECTS THE ADJUSTMENT OF LOTLINES BETWEEN ADJOINING SECTION 17 PARCELS UNDER THE SAME OWNERSHIP. a Approved on 3—3 O—o S by }( Zoning Department , SCALE IN FEET I" = 150' THIS INSTRUMENT DRAFTED BY SAM ADAMS SHEET 1 OF 2 SHEETS iia JOB NO.05-14 DATE 311-05 150 O 150 Vol 19 Page 4955 1 ,3 � I 79973 VOL 20 PAGE 5013 KATRLTU K. VALSH----' REGISTER OF DEEDS RECEIVEDxFOR*hECORD CERTIFIED StJ RVEY MAP x,.56.2555 5><=25P1'[ LOCATED IN THE NW7/4 OF THE NW7/4 OF CERTIFIED SURVEY MAP SECTION 17, T29N, R18W, TOWN OF RNYFFEE 1350 s WARREN, ST. CROIX COUNTY, WISCONSIN; PAGES: 2 INCLUDING LOT 1 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 12, PAGE 3348. \ NW CORNER SECTION 17 OWNERS SURVEYOR DANIEL&MARGARET HAMANN EDWIN C FLANUM \ 1440 HAZEL COURT NORTHLAND SURVEYING,INC. g HUDSON,WI 54016 P.O.BOX 14 ��►`\ ' ROBERTS.WI 54023 7t cr \\��\ 4�(8_ M—GrlP�144C D dGQ fMDD� -�-- �\ S89°4320 VV) C1.CENTERLINE 9°26W'NV 158.68- — — — — �GOTH AVENU 9 c2_- s69°26'as"w 1 69.06''+ 143.47' 15.59'LEGEND ALUMINUM COUNTY SECTION ^ 1064.14 CORNER MONUMENT FOUND _l • 1 5/16"O.D.IRON PIPE FOUND '... El 3/4•X 18"IRON REBAR SET LOT 7 WEIGHING 1.50 LBS.PER 3.35 ACRES INC.R/W i LINEAR FOOT I 145,753 SO.FT. —X—X EXISTING FENCEUNE +�• I c p Q 3.07 ACRES EXC.R/W ` LU j = 133,639 SO.FT. I _r • .•.•••••••• • 100'ROADWAY SETBACK LINE < N L.B.O.=1066.14 w �!1 ?I 69 (R=XXXXX) PREVIOUSLY RECORDED DATA I [1��f-41 6a�olfJllo OGv] p Z H.W.L. PONOING AREA TO HIGH — b�do 91`3p p_®a c c I a i 1054.1 q WATER LINE ELEVATION I EXIS-n 9 i LOWEST BUILDING I I MOUND SYSTEM L.B.O. OPENING ELEVATION Q I NOTE: 4 z �. 3.5'± 300.00' 68.oa UJ NO OWNER OR RESIDENT []p j S89°x4'46"E 386.00' F LL (R=S89°37'32"E) SHALL DO ANYTHING THAT (1_nf] O Cm WOULD INTERFERE WITH OR j z p_e�1!'( DD [IIG�DD_�i CHANGE OPERATION OF THE �a___ _ _ PONDING AREA AS SHOWN ON w p THIS CERTIFIED SURVEY MAP. `+� u w p THIS INCLUDES BUT IS NOT I }' w Ov LIMITED TO BUILDING UPON, 29 i OBSTRUCTING,ALTERING, w FILLING,EXCAVATING OR C 0 PLANTING IN THE PONDING W1/4 CORNER z v AREA. SECTION 17 z 2:5 O cc CURVE DATA TABLE m U NUMBER C1 C2 THIS MAP SHOWS AN EXCHANGE OF LAND BETWEEN ADJOINING LAND RADIUS 1302.00' 1335.00' OWNERS.NO NEW LOTS ARE CREATED BY THIS INSTRUMENT. . CENTRAL ANGLE 9°10'19" 6°5636" Property Owner aquired the original property with document _ CHORD BEARING S84°5U66.5"W S84°5918"W CHORD LENGTH 208.20' 207.76' #567809 and is adding adjoining property from document ARC LENGTH 206.42 207.99' #750807. This map shows the exchange of land between TANGENT IN S80°15'47W S60^3U3(Yw adjoining parcels and has been completed with document TANGENT OUT S89-26'06"W S89-WO6-W #799453(QCD). No new lots are created by this instrument. Approved on �^ O by 14 i{) / 'a[G'I`^� �n Zoning Department SCALE IN FEET 11" = 100' THIS INSTRUMENT DRAFTED AM ADAMS SHEET 1 OF 2 SHEETS 100 O 100 J08 NO.OS-14 DATE 3-10-05 Vol 20 Page 5013 Parcel #: 042-1046-50-400 01/06/2014 02:19 PM PAGE 1 OF 1 Alt. Parcel M 17.29.18.2628-60 042-TOWN OF WARREN Current [X ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 09/28/2006 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner 0-HAMANN, ELDO E& MARION E TR ELDO E&MARION E TR HAMANN 1019 100TH AVE ROBERTS WI 54023 Property Address(es): '=Primary "1019 100TH AVE Districts: SC =School SP= Special Type Dist# Description SC 2422 SCH D ST CROIX CENTRAL SP 1700 WITC Notes: Legal Description: Acres: 3.990 SEC 17 T29N R1 8W PT NW NW FKA LOT 2 CSM 12/3510(7.794AC) FKA CSM 19-4955 LOT 2 Parcel History: AC) BEING CSM 21-5279 LOT 4(3.99 Date Doc# Vol/Page Type C) 11/06/2006 838132 EZ-U 09/28/2006 835568 21/5279 CSM 01/06/2004 750807 2486/027 QC 09/04/1998 586616 1355/252 QC Plat: '=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: "5279-CSM 21-5279 042-2006 17-29N-18W NW NW LOT 04 I 2013 SUMMARY Bill M Fair Market Value: Assessed with: 228133 Use Value Assessment Valuations: Last Changed: 09/30/2013 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 32,000 27,600 59,600 NO 05 AGRICULTURAL G4 1.990 300 0 300 NO 05 Totals for 2013: General Property 3.990 32,300 27,600 59,900 Woodland 0.000 0 0 Totals for 2012: General Property 3.990 24,500 22,500 47,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount 018-RECYCLING SPECIAL CHARGE 39.00 Special Assessments Special Charges Delinquent Charges Total 0.00 39.00 0.00 U 2 4 8 6 P 027 -7 s1a,eIZI_7 STATE BAR OF WISCONSIN FORM 3- 1998 KATHLEEN H. MALSH QUIT CLAIM DEED REGISTER OF DEEDS ST. CROIK CO., NI Document Number This Deed,made between Eldo E.Hamann and Marian E. RECEIVED FOR RECORD Hamann,husband and wife, 01/86/2004 10:00AM QUIT CLAIM DEED EXEMPT • 16 Grantor,and Eldo E.Hamann and Marian E.Hamann as trustees and REC FEE- 11.00 successor trustees of the Eldo E.Hamann and Marian E.Hamann TRANS FEE: Revocable Living Trust Dated December 22,2003, COPY FEE: CC FEE: PAGES:AGES: 1 Grantor, quit claims to Grantee the following described real estate in St.Croix County,State of Wisconsin: Recording Area Name and Return Address Judith A.Remington REMINGTON LAW OFFICES Part of the West half of the Northwest Quarter(W 1/2 of NW I/4)of Section 17, P.O.Box 177 Township 29 North,Range 18 West,except: New Richmond,WI 54017 1.) that part lying North of the road;2.) the East 50 feet of the Northwest 42-1046-50-200; Quarter of the Northwest Quarter(NW 1/4 of NW 1/4);and 3.) Lot 1of 42-1046-70• 42-1046-50 Certified Survey Map filed September 11, 1997,in Volume 12 at page 3348. parcel Identification Number(PIN) This is homestead property. (is)(is not) [Note: Said description includes Lot 2 of Certified Survey Map filed September 1, 1998,in Volume 12,page 3510.] Together with all appurtenant rights,title and interests. Dated this 22 day of December 2003 + . ELDO E.HAMANNN • r MARIAN E.HAMANN AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN 1 Signature(s) )ss. ST.CROIX County.) Personally came before me this 22n of authenticated this day of December ,2003 t � � Eldo E.Hamann and Marian E. n and wife • TITLE:MEMBER STATE BAR OF WISCONSIN � r (If not, to me known to be the person(s)w xehtuttl r ng ftoi instr ent and acknowled a the sa authorized by§706.06,Wis.Stats.) Q �.•: THIS INSTRUMENT WAS DRAFTED BY Judith A.Remington,Remington Law Offices, ' udith A.Remington P.O.Box 177,New Richmond,WI 54017 Notary Public,State of Wisconsin (Signatures may be authenticated or acknowledged.Both are not My Commission is permanent. not,state eTptratton te: necessary.) -Names of persons signing in any capacity should be typed or printed below their signatures QUIT CLAIM DEED STATE BAR OF WISCONSIN FORM No.3-1998 INFORMATION PROFESSIONALS COMPANY FOND DU LAC,WI 800-655-2021