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HomeMy WebLinkAbout018-2003-09-000S ~ 3 C~ I n fll m tlr O ? Q, O O ~ ~ fD N ~ C ~ O lo -~ ~ ~ ~ ~ cn Z D I m cfl D y I ~ a _W I ~ O ~. ~. N I I O W -Q SP1? a I C o~ a I v 3 N ~. .Z 0 I o ~• 7 ? ~ ,Zl C I W °- fD ~ O ~ =ti w I o. I I W 7 N N O fD N ~~ (D d d I v cn as o.~ a Q~~-G~°xc(1~~.a ' a I o ~ 3 y`< ~ \~~ w n~~ p o, o Z~ ~ c ~ ' 7 m I - o er o o c o -•m ~c~rm a~ ~ vc~ Z ~ y 0 7 C .N~ N N N ~ Ol ~ N ~ ~_ N• d~ N ~ y y~ S O " C fD O fit O.~ n~~~ N N 7 N~< O O -O N~ a X D. ~ N md~>>'3a v~,am ~ ~ N ~ ~ 7 ~p C -O -O S I '~ a~•X < v m a~ ~ ~ ~ ~ ~ N ~ ? 7 (~D ~ z o m •~ ~ N 3 y I °- v N ~° y ~ 3 ~ . ~ doQ+~ -o °' m ~> > m 7 fD 0 ~ N j O ~p d I o (D ~ O I p f. f 3 ~D ID ~ ~ ~ w I O W ~ O (7 i ~ O I c c °-' a v, a 5 ~ N v I i ~ O CO pp _v i A A ~ '' I ~ ', CSC Cq~ CSC fD ''. i y y O ~i ~n cn cn 3 ~ovv3 ^. ~ o a N d ~ ~ m o_ e ao z "' ~~~ (~ N C ~ N -~ fD ,~ a ~~ D a A ~ a 3 O :" ~! Z f w T c 3 a 3 d o ~ ~ 3 n ~ ~ ~ ~ f"D _ -+ O 3 tO o V O. (O O oW~ 0 ~ ° y O S v y O C r M Q •!'• d CO C7 '' 0 3 O 1 8 A Z n "' ~ ~ z o .. ~ cNp ~ .~ Z A ~ Z m .p d ~I d O 0 ~7 T O • 4 O ~• 1 O A ba ti oa 0 .q ~A 0'q Otio f0 N 'v .~ ~°,, b ArcIMS Viewer ~ .~iC~? T r .~ i~i ~~.~' NcC2 ~~ --- ~~ ,._ ti ~ov Page 1 of 1 T PJ H .", AQ 1~~,~ N [~ ;~ NcB r' AIL http://www.landinfo.co.saint-Croix.wi.us/website/LRPortal/ARCIMS/MapFrame.asp?PIN= 3/3/2009 ' ~ vViscons~ Department of Commerce Safety and E wilding Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. 'ermit Holder's Name: City Village X Township P.C. Collova Builders, Inc. Hammond Townshi SST BM Elev: Insp. BM Elev: BM De cription: `D j}, a ~ ~~a ` S-lu~- fANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic 1~0 Dosing / _ ~ 6 Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic / 2-a Dosing ' ~ / ~ s ,~, Aeration Holding PUMPISIPHON INFORMATION Manufacturer Demand GPM Model Number ~ ~ ~~ TDH L~ ~ Frictio ~ Los System FJea ~ TDH / Z Ft t ~•J Forcemain Lelo~th'# ~ Dia. 7~ Dist. t \ ell S[~II GRS(~RPTI(~N SYSTFNI f ~// ,.e,..._ /. en „/ /~~ County: St. CroiX Sanitary Permit No: 430678 0 State Plan ID No: Parcel Tax No: r- Section/Town/Range/Map No: 18.29.17. STATION BS HI FS ELEV. Benchmark 2.5~ ~02~ ,o o . ~ Alt. BM ~ A ,L- ^ r `+S St~Qrlq 3 , Bldg. Se er - .. ~3 l0"7 SUHt Inlet .~ SUHt Outlet _~ ~~ Dtlnlet / ~~ Dt Bottom a.s r3-S He~/Man. ~ 3 ~6.-z~ Dist. Pipe • ~l ~• Bot. System , Cj ,~ Final Grade . 3 ~ b'- Z St over ~~ ~~ ,f~l.~' V'7 BED/TRENCH Width ~ ` Length No. Of Trenches PIT DIMENSIONS No. Of Pits I de Dia. Liquid Depth DIMENSIONS ~ / ~ (~ _I ^~ _~. O ~ SETBACK SYSTEM TO P/L BL DG WE LAKE/STREAM LEACHING Map cturer. r INFORMATION CHAMBER OR 1 ~ /- S T py e Of System: , ~ , I ~ t \ I ~ I ~ I ~y Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution / x Hole Size x Hole SK ? h Pipe(s) /~ / / ~/ ~/~( ~T"~ -.-7 / Length_~_ Dia__. Length '"/ `f Dia_ Spacing 1 ~~- SOIL COVER Y Precaure Svctems l7nly YY Mnund Or At-Grade Systems Only Vent to Air Intake ~~ , Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil Yes No Yes No h COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ a ~ Inspection #2: / / Location: 1576 97th Arv~e~n~ue~H~amK~l°nd/, CSI ~54,0/1~5~(SW 1/4 NE 1/4 18/T~29N R17W) Cricyk,~BottomOverook 9 Parcel No: 18.29.17. ~ ,., 1.) Alt BM Description =17u r16G,~/Jy/l~ /~'l;v~---~---f-'v~fiYl~ `"' ~ !/ ~ ~ ~'',~~:~''1 c^' i~- 2.) Bldg sewer length = Z ~ Vf'~`' "' ~'"~ Vyt„f ~ ~ ~ ~Yr-~-U-~ - amount of cover = ~. 's~ l/ ~~• ~~~_ e~ , ~"~._ ~C?X~C,~'LL) r+~~,~,yti,CZhB> ~.firso !~ p v y L/ ~2~ d u~c~t~ ~'S 0 Use otheris de far additional information. No / ~ __~ SBD-6710 (R.3/97) Date Z i- Insepctor's ignature Cert. No. PL T PLAN PROJECT P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 1/4 NE 1/4S 18 /T 29 /R 17 W TOWN Hammond COUNTY ST.CROIX 4/20/04 w> "` BEDROOM 3 MPRS Shaun Bird 226900 DATE CONVENTIONAL IN-GROUND RESSURE CONVENTIONAL LIFT )OOC HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE630 gallons DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE •5 ABSORPTION AREA 933 # of chambers 30 ,BENCHMARK V.R.P. Top of Survey Iron ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H,R,p, Same as Benchmark SYSTEM ELEVATION 93.4/93.7 Atilt. BM Top of 2" Pipe @ 100.0' I ~ ., ..~ 205' Property Line ~b Vents Well is to meet all Plans Designed Using B-1 0' setbacks required by Conventional Powts WDNR Manual Version 2.0 50' Vent 100' 13-3 ~% >6„ Standard Biodiffuser Slope ~ Leaching Chamber of Cover with 31.1 ft2 of Area Vents ~6' Long jl l " B 2 Grade at System Elevation 34" 2-3' X 94' Cells with >3' Spacing ~' Line n -.~ Huffcutt Combo Tank ~>~(;~~VEj~ 2 tib ~ P{? 2 1 2004 sr. ~ROlxcouNr~- \ ZONING OFFIC[= Pro 3 Bedroom Ouse r SHPT _ ----- ~ AND S~~tr ICA?TO,r r CRASS 5£CT..G. K ~ Ft3M? C~~AMB..R ~lIN . ABOVE GRADE ~ ~» G~ ~i£NT PIPE I4tIWi}0~ 4R y ~.~` FROH D 44R . • ~ , , UE s ,~ FIri~_- , ~D GRA ~ ~ i(D ~e° I~~-. ~ ~__-- _.._.= INLET .. trATER TIGHT 5 EALS A F ~ L? ~R - -~-- a ~pp~yEp C ¢ CIO ~ ~. FT - ..~""' p~}2QP 4FF ELEY - D SOT! ; ~tEaTH£RPRtiDF Ji3AtCTIfli~ BflX wI'Ti~ C~*~;DUIT s. ~~ :1 _. I ~ '. GAS- ~ TZGHT~ ^ ~~~ f •, . r ~, i T LM AFFROV ~D ~{pLE COY E3~ ~/ PAALOCK ~ SdARHZPTG ~-BEL - ~,tfs+ HIN • - ;~~ Mf M• .~I1~1'fS 1iITR ppPROVW PIPE 3~LIQ 50It ~ ~ APPROY ED BEDDING V bA~~. TA3+~K r/ CO BETE PAfl gpECZFICATIaNS /- i~3BER O05E5 ?~ DAY = ~-------' I rN ~ SEPTIC ~ DQ5£ ~ x ME Z PtC y~DI N~ 9' "~, .~ GAL - K 24ANUFAC~R£R : GAi, - DOSE V f5 ~.l g LayJgACK : /~.----•-"'~ TAN .~ 2~, / ,~ GAL TAIiK SIZES : SEPTIC ~ ~, GAE- L, , ,S INCHES = s.z.:..~-~- DQSE CAFACITI~S= A GAL- ~~, rY e `.f 8 = ~ 2 INCHES = -(-^'~"i ~~R1fAC1~R~~` ~, .Y - ~~ ~ 7 C~ J GAL. ALA, MODEL NUI~iBER - Y , C = • ;~ INCHES _..--~- s~Z1'Cti TYPE ~ ~i ~ tiES = /~ ~L D = Z1QC FACZ'itR£R = Z ~g 15.23 LJAC PU t4P MAC ~~gEg : ~ ; ~ '', ~ i^T ZR Z ~ ~ PER ____ KQDEL . ~I~g TYPE= ~-~ Gpt~i PvriP £ A~ ~ D FEET BATE f- ?IFE _.--~--„r_Z-__6~._~'EET REQI3ZR~ DISCt'~'+RG~ DZSTRZB~3'CZON - _...~~-- FEET CE B£'i`HEEl+~ pV]~4P OFF ARg FACTQR FEET v~;ZCAL DI~1'f~it?i~K S{3PPLY PRE~~c,~'EFT110i3-£'T. •FgI~~~~IC ~~a,D ~/~~'~.,~== X ~ M I1+lUI'i N I~ ~ TO`fAL i ~ DIAMETER r-- + ~__4 ____ FEET FORCETIA. ~ ~ ~ ~ZDTH~......- LENG ~ MENSIOt~~ CF £IQi3ID ~ TNTEiZ~AL DI a Gf.~d ~~ ~ ~~~ d y~ aAT~ / SFGP~ED= :1~8 w w HEAD CAPACITY CURVE ~ ~ MODELS 53/55/57/59 25 6 20 0 Q ~ 1F a 4 z r 0 -' 10 a 0 2 5 0 -1- U.S. GALLONS 10 20 30 LITERS 80 0 FLOW PER MINUTE 40 50 160 ooses7 " - ~~.~ _ Y~ . ~ ,y __. ate, ~. ~~. -; ~ YS:. „ Variable level float switches available. Variable level long cycle systems available. Available with special cord lengths of 15', 25', 35' and 50'. Alarm systems available. Duplex systems available. Single Seal Control Selection Listings Model Volts Phase Mode Amps Simplex Duplex CSA UL ~ M53/55 8 M57/59 115 1 Auto 9.7 1 ----- Y Y N53/55 & N57/59 115 1 Non 9.7 2 3 or 4& 5 Y Y ' BN53 115 1 Auto 9.7 ' ---- Y Y ' BN57 115 1 Auto 9.7 ----- N Y ' BE53/57 230 1 Auto 4.8 ----- Y Y D53/55 & D57/59 230 1 Auto 4.8 1 ----- Y Y E53/55 & E57/59 230 1 Non 4.8 2 3 or 4& 5 Y Y TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING i Model 53/55/57/59 Ft. Meters Gal. Ltrs. 5 1.5 43 163 10 3.1 34 129 15 4.6 19 72 I Shut -off Head 19.25 ft. (5.9m) 1c 32 T 1/2 -11 1/2 NPT i/16 16 SK858 ~EI~I`C € 4CEN ~UI~'E 1. Integral float operated mechanical switch, no external control required. 2. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FM0477, 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075. 4. See FM0712 for correct model of Electrical Alternator. 5. Variable level control switch 10-0225 used as a control activator, with Electrical Alternator (3) or (4) float system. * Single piggyback switch included. O CAUTION ForintormationonadditionalZoellerprodudsrefertocatalogonPiggybackValtableLevelFloatSwitches,FM0477 _ ~~% ~ ra?s,f,o~~.t~o;.dwicesandvJ :~~,sl;ou3dcedc:^ehy.,gi.ai#ied Electrical Aftemator, FM0486; Mechanical Aftemator, FM0495; Sump/Sewage Basins, FM0487; and Single Phase .~ ~ .n A,i elzetr ^aC anv safety cedes should 5e °a?iowed ncEUding the mast Simplex Pump ComroVAlarm Systems, FM0732. r ..~~_9 - _ e .:. C;aas ~ =C ~r•.d the 13c~ura .,~a a~?ety anu trtea#in, Act {t551~,~}. For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. n~fafL ro: P.o. Box is347 " ; ~ ^'°' ~~~~- Louisville; KY 40256-0347 ~ r SHIP Tt): 3649 Cane Aun Road Manufacturers of . . ~~ Louisvlle, KV 40211-1961 [JlL4L7TY~UMP6,JiNCE ~~~~~ ® ~ (502) 778-2731. 1(800) 928-PUMP http//www.zoeller.com PUMP ~O F,4X{502) 774-3624 © Copyright 2002 Zoeller Co. All rights reserved. ~E~~~~~~ . 04 Sa and Buildings Division CUt~ W. ashington Ave., P.O. Box 7082 ~s~jOn , NNG F~1G~ t 1608)261-6546 7082 O Department of Com arc Sani ary Permit Application 1n accord with Comm 83.21, Wis. Adm. Code, personal infomtation you provide may be used for secondary PuRp~ Privacy Law, s 15.04(1)(m) I. Application Information -Please Print All Information Mailing Addt~ess ' sr~ be State Play Lu. 1~umoer Project Address i t than mailing addre i-- ~ I•~ ~~ l~~r6. Parcel # t # 13lesiEN ~~ ~/., / ~ ~'/., Section ~~ ~~ N; Ii~~Ecle W ) II. Type of Building (check all that apply) $ u--b ~^^~~'C°~- -~"^~'~ Subdivision N e CSM Number or 2 Family Dwelling -Number of Bedrooms ~~l ~~ (~ L ~^ publidCommercial-Describe Use ~ 2 X c13. .S ^City ^Villagy''~`ownship of ^ State Owned - Describe Use 0 I of ermlt: only one box on line .Complete line B If applicable ~ ~ : d ( - /035 - Zo - o ~ 2~- A~ A ^ Other Modification to Existing System New System Replacement System ^ TreatmmdHolding Tank Replace Y List Previous Permit Number and Date Issued ewal ^ Permit Revision ^ Change of ^ Permit Transfer to New Before Expiration Plumber Owner i~Non -Pressurized it--Oround ^ Mo Constructed Wetland ^ P ln~ Reeirculating Synthetic M is Filter V. Disveraal/Treatmen ea In orm Design Flow (gpd) Design o lic ~~ ~ -~" Tank Into ~~ ~1D New Exising Teaks Tanks Septic ar Holding Teak Aerobic Treatment Unit Rosier` Chamber x VII. ReaponalbtUty Statement- I, the Plumba'a Name (Prior) 1 .-o€sttitable soil Mound < 24 in. of suitable soil ^ At-Orado ^ Single Pass Sand Filter ^ ^ Holding Tactic ^ t Filter ^ Aerobic Treatment Unit ^ Recirculating Fil~ ~ 1 , ^ , `hamber ^ DriD Line ~ Gravel less Pipe ^ Other (ex la~_ u~r/ ~~(~ - i ~ Q 9 Gallons I of Units ,~~~' ~ /~i~~t~~~t/'~/ /Urn VIII. Coun /D artment Use Onl Sanitary Pertni~ ~. Approved ^ Disapproved Surcharge Fee) ^ Owner Given Reason for Dmial IX. Conditions of ApprovaVReasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances Attaeb eompkte plans (to the County oa ~ ~, .~, ~ , prefab Site I Fiber Concrete Constructed Glass for installation of the POWTS shown on the attached plans. MP/MPRS Number Business Phone Number ~~~ p~ ~i~ -Z~~~y~~ S ~Ol ~ 25`D ~ . 0 2t~ L ~ s ~ ~~ _ ~~~.~a~~ l~ ~- ~--~ / lvl for tba system oa Paper not las than 81R s l l inchet in sift ! \ SBD-6398 (R. 08102) PLOT PLAN PRCjJECT •P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 Iia NE lids 29 /T 1 N/R W TOWN Hammond COUNTY ST. CROIX MPRS Shaun Bird 226900 DA,~ 2/2/04 BEDROOM 3 CONVENTIONAL XXX IN-GROU RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 ,BENCHMARK V.RP. Top of Survey Iron ~ gHn# ~ ASSUME ELEVATION 100° Filter Zabel A-100 ^ BOREHOLE O WELL *H.RP. Same as Benchmark SYSTEM ELEVATION 93.4/92.7 Alt. BM Top of 2" Pipe C 100.0' * Alt. 205' Property Line ~, a~ 20' Vents B-1 30' Well is to meet all -~ setbacks required by WDNR 2-3' X 94' Cells with 0 >3' Spacing 100' B-3 7% Slope Plans Designed Using Conventional Powts Manual Version 2.0 ~~5 ~PJY~,S B-2 Vents Vent ,.~, X66-~~``"~ - , ~ ~ ~ ~» Standard Biodiffuser J~ of Cover Leaching Chamber with 31.1 ft2 of Area ST 11" 6' Long Grade at System Elevatioi 30' Fro 3 Bedroom House COPY PLOT PLAN PROJECT ~P.C. Collova Bldrs. Inc. ADDRESS P.O. Box 489 Somerset Wi 54025 174 NE li4S 29 /I' 1 N/R W TOWN Hammond COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 2/2/04 BEDROOM 3 CONVENTIONAL XXX IN-GROU RESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE ~ 000 gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 ,BENCHMARK V.R.P. Top of Survey Iron g,nn# ( ~ ASSUME ELEVATION 100° Filter Zabel A-lOo ^ BOREHOLE O WELL *H.R.P. Same as Benchmark •--, SYSTEM ELEVATION 93.4192.7 Alt. BM Top of 2" Pipe @ 100.0' n~k_ Alt. I~ ,~ ,~,~ 205' Pronertv Line t~ a. 0 a 20' Vents B-1 30' Well is to meet all setbacks required by WDNR ,Vent 30' 2-3' X 94' Cells with 0 >3' Spacing 100' B-3 7% Slope B-2 Vents 40' >6" of Cover 6' Long Il l„ Plans Designed Using Conventional Powts Manual Version 2.0 Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area at System Elevatiol Pro 3 Bedroom House ' •,~ Vlrsoonsin D~arb-nent of Commerce Division of Safety and (3uiidinas SOIL EVALUATION REPORT Page of in accordance rivitn wmm ~, vvis. Pwm. woe Courtly ~ ~ r ' Attach oomple~ site plan on paper not less than 8112 x 11 inches in size. Plan must include, but not Urrdted to: vertical and horizontal reference point (BM}, direction and scale or dimensions. north arrow. and i percent slope p~ce1 I.D. , Please prfnt all irN~'orm Per~nal itdotmafion you provide mey be used for aeoondary tion. (Privacy Law. s. 15.04 (1) (m)) Re by Date ~ .O PtopertyOwner ~, ~OI Q~~.-- P 1/4 ~1/4 S ~ T N R E( W Property Owner Mailing Address ZONING # Name or CSMa ~ ~ ~"' G r!G City Zip Code Phone Number ~j ( ) City ^ Village Town Nearest Raad .7I'll~. taw CorrsWdiorr Use: ntial / Number of bedrooms ^ Replacement ^ ~ or„ - Descn'be: Parent material i'^ ~: S J ~f~.~ e l2 ~.a,~,..~ J J~'P.~.. ~m ? Code derived design fbw rate ~ ~ ~'D - t-lood Plain elevation 'rf applicable I'`~) ~' tt. f',~~ y'~~ ~ C:~~ ~ ~ B(.c~ ~9 # ~ Pit Ground surface elev. ~l% r tt. Oepth tD limit~g facer ~ in. Sol ~fion Rate Horizon De th Dominant tiort Redox Descxi Texture StruclLxe Cansistenoe Bocmdary Roots p in. Mures p l]I,r. Sz Coat. Color Gr. Sz. Sh. 'E1i#1 'EtY#2 1 ~~ `'C~ r f ~ ~' 02 (¢6 ( `~0 ~~ BacMg # Pit Ground surface elev. ~ R Depth to firriiting factor ~_ ~. Sot Ram Horzon Depth Domir-~rt Redox Desdiption Texture Stnxiure C.or>sistence Boundary Roots GP D)ftr ~. Mtarse& Qu. Sz. Cont Color r. Sz. Sh. G 'Elf#1 (#2 'Et ~r c / ~ y ~'~ ~~~- /1~..--~~ ~ S ~ ~/ Cry- n1~ ~rl~ ' S ~ ¢. ~ _ , t¢~D o s~ ~ • Eflluettt #'! = BOD, > 30 a 220 rtrgil and TSS ( ~) /) ~~~~ ~i°~ 7 ~,~ • Effluent #2 = BOD _< 30 mglL and TSS _< 30 mglL ~ CST Number Date Evaluation Conducted Telephone Number ~nr9 Property Owner Parcel ID # Page ~ ~9 Boring # ~~ it Gnxmd surface elev ~ R. Depth to limiting factor.== in. Soti Rate Horizon Depth Dominant Redox Description Texture Stnx~re Cain Boundary Roots GP DIf~ in. Munseti Qu. Sz. Cont. Cdor Gr. Sz. Sh. •EN#'l 'Eff#Z D-i z, lO -~ 3/ --` 5 L a m r ~'- ~ cs a m , S'- ~- r' Zr Y 5 ~-- L L M~ W f F' Cs r y/~v ~-' a m Y ~'yt ~ n ~- n r.~ ~ # ^ ^ Pit Ground swface elev. 8. Depth ro factor ~. Sod Horizon Depth Dominant Redox Description Texture Struchxe Consistence BouMary Roots GP DIf~ in. Munseti Qu 5z. Cont. Color Gr. Sz. Sh. 'ER#1 •Eti#2 ^ ^ Pit Ground surface elev. ft. Depth tD g factor in. # ° ~"~ Soti Rate Horizon Depth Dondnant Redox Desaipticn. Texture SUrx~ue Cor~tertce Botmd~r Roots GPD/fl~ in. Murrse6 ~. Sz. Cont Color Gr. Sz Sh. 'Eff#1 •Eff#2 • Efliuent #1 = BODs > 30 : 710 mglL and TSS >30 ,150 mg/r_ ` Etlluern #2 = BODa < 30 mgA_ and TSS _< 30 rrgJl The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an altennate format, please contact We department at 608-266-3151 or TTY 608-264-8777. s ~ ~ ,- ~' ~ Soil Test Plot Plan Project Name P.C. Collova Bldrs. Inc. Shaun Address P.O. Box 487 ~ Somerset Wi 54025 Lot ~ Subdivision Crick Bolton 1/4 NE 1/4S 18 T 29 N/R17 W Boring Q Well PL Property Line BM or VRP Assume Elevation 100 ft. Township Hammond County ST. CROIX Top of Survey Iron System Elevation 93.4/92.7 *HRpSame as Benchmark Alt. BM Top of 2" Pipe @ 100.0' M #226900 Date 12/4/02 Maintenance and Contingency Ptan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4.Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 C cy Plan Option # If system fails, determine cause of failure, use alternate area and install new system in tested replacement area. Option #2. Install system at a lower elevation, by removing chambers, removing biomat, and install new system. Option#3. No adequate area is suitable for replacement area, and system elevation cannont be lowered. Install holding tank as last resort. 3. Replace any other failing components as needed. Plumber: Shaun Bird 715-246-4516 St. Croix County Zoning 715-386-4680 Pumper Tom Mondor 715-246-5148 Shaun Bird #226900 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer P. C. Collova Builders, Inc. P O Box 489 Somerset, WI 54025 Mailing Address Property Address /~ ~~ ~i ~ ~ Ave. (Verification required from Planning Department for new City/State _ ~~~,,.~ ~'~ Parcel Identification Number LEGAL DESCRIPTION Property Location %., (~) W %,, Sec. ~~ . T ~-`~' N-R~LW, Town of ~rw~wo~1 Subdivision ~~^ ; r ~~ ~ O ~ ~c3D~ Lot # y Certified Survey Map # .Volume .Page # Warranty Deed # ~"~7 ~ 4'a Volume ~ gS7~ .Page # ~ ~ Spec house yes ^ no Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE Improper use and maintenanceof 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 is the wash disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterplumber, journeymanplumber, restrictedplumberor a licensedpumperverifying that (1) the oa-site wastewaterdisposal system is in proper operating condition and/or (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 Commerce and the Department of Natural Resources, State of Wisconsin. Certification stn ' that your sep 'c system has been maintained must be completed and rctumcd to the St. Croix County Zoning Office within 30 da a expiration date. P. C. COLLOVA BUILDERS, INC. ~ / /~ (715) 247-2742 DATE SIGNA OF APPLICANT P.O. Box 489 SOMERSET, WISCONSIN 54025 OWNER CERTIFICATION (we) certify tall statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of th de hove, by virtue of a warranty deed recorded in Register of Deeds Office. P. C. COLlOVA BUILDERS, INC. ~ ~~ ~~ (715) 247-2742 SIG A F APPLICANT P.O. Box 489 DATE SOMERSET, WISCONSIN 54025 •***** Any information that is mis-represented may result in the sanitary pernut being revoked by the Zoning Department. **«ss• r.. ** 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 - ~~ 28 U 1950P 5 I STATE BAR OF WISCONSIN FORM 1-1998 KATRLEER H. MALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO.. YI RECEIYED FOR RECORD C~,[~ pocumertt Number Dalton and Carotin G. Da ton, John J 08-16-2002 9:00 A~ K . This Deed, made between ,_ hjhand and wife .Grantor, and P. C. Col B tld In Grantee. s to Grantee the following orne ti ilftRRAHfY 11® ptp~pj ~ OU ~ ~Lb p t' on c Grantor, for a valuabie considera lY County State of C ro described real estate In St ' REC FEE: 13.00 ~ 0 F ): Wisconsin (the "Property TRANS FEE: 1155.00 COPY FEE: CERT COPY FEE: • PAGES: 2 Rewrdin Area Retum AOdresa P Cdbva tiuUdera, Inc x Avenue mood , 4y1 54015 /~~~f~-9~o 9 078-1039-20-000 / 018-1039-10 OC 018 1039 80 000 Psrcal WentlOcetlon Numbar(PIN) Thls Is not homestead DmD~Y• (4v) (IS not) See Exhibit A attached hereto Together with all appurtenant rights, title and Interests. none Grantor warrants that the title to the Properties good, indefeasible in simple fee and free and clear of encumbrances except Dated this 15th day of Auoust• 2002. (SEAL} • hn J. Iton ~ (SEAL) AIU~~1C i~~ of wtsc~'~ Signature(s) ~ ~„ d ~uc• atrthentlcated thf~A~~-~ -- TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.08, Wis. Stats) (SEAL) arolyn G.Aalton (SEAL) AC}CNOWLEDGMENT State of Wlsconetn, } ss. SL Croix County Personally came before me this ~ day of AuawL ~ the above amed J a nand arol n D It n ban nd Wif . w W ~..~Z !`~ Notary Public. State of Wisconsin THIS INSTRUMENT WAS DRAFTED BY My cammbsion U pe anent (If not, state expiratlon date: Coldwell Banker eumet 11J-~--.---,~~ •} 1301 Coulee Road `~- Hudson, WI 54016 22470 (Signatures may be authentlgted or acknovtAedged. Both are not necessary) Ntames of one a In in caoeeity must be ar arinted beta++ their s nature. STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. Milwaukee, Wis. wARRANrs ot:Efl FaRn~ No. ! -1998 A part of the NE'/. of the NE '/• and In part of the NW '/. of the NE'/, and fn part of the SV1f'~ of the NE '/. of Section 18, Township 29 Noah. Range 17 Weat, Town of Hammond, St.Croix County, Wisconsin and more partlarlarty described as; Begi~rting at the Northeast comer of said Section 18; thence S89'33'31 "W 372:01 feet along the North llne of the NE Y. of said Section 18; thence S89'33'31°W along the North line of the NE '/. of said Sec>jan 18 775.94 test; thence S00'S2'23"E 250.00 feet; thence S89.33'31'W 966.24 feet! thence S00°52'23'E 420.00 feet; thence S89'33'31'W 528.00 feet: thenx S00°52'23'E along the North~outh Quarter 8ectlo~ i}ne of said Sedlon 18 1311.77 feet; thence N89'33'39°E 626.33 fast; thence N00°31'25°W 330.23 feet; thence N89'33'24'E 692.76 feet thence N00'52'23"W along the East line of the SW '/. mf the NE '/. 330.31 feet; thence N89.33'24'E along the South line o1'the NE '/. of the NE '/s 949.09 feet; thence N00'S2'24'V1/ 1321.19 feet to the Point of 8eginnfnQ. 6V~-~v~ 2 or- ~. ~: > ,:~: .. ~ ~ . , .; , , \ O j Q O ~ ~ ~ \ a r7 N 'S~` / / / ~ ~ N m \ \\ ~ / / ~ N ~~~,- ~ S 00'05'13" E \ o <v 215.29 _ S \ Q N r b M O ~\ ~ ~_ Z ,£S't8 O ,LO'SOl D~ / ~ O 0~ '.09'982 3- - -~- ~ O Q .~~' O ~ M ~o~.to s a .Ld'La ~ per' ~J 4 boi~0 h~O ,0 3 »bo.ss; \ i \ ~ ,99 ^ .LS~sea M h~ ~ »£~,9v.£o s t~, ~n 6h ~ r ~~04,~ ~ ~ of moo, 4pO~ F8 G, ,~~ E-, rn ~ r ~O^0 Z s ~' ~ I o O l O "~ - o ff ~ ~ ~\~ ~ ~ ~ ~ / ~ ~ N ~ E-+ a0 ~ o N F ~ ~ \ Pd, ~ ~' a ~o \ w ~\ ~ S 01'01'42" E 421.39' ~ \ \ ~ / / ~ U i'7 \ \ \ / i..~ Q o ~ ~ n \\ \ [--~ ~ M N -''~ O Z ° o° \ \~ O p N C° Y ~ a ~--~ uj ~ \ ~~ ~ S 00'52'23" ~- (D ~ LaJ v Q 1 N QZ ~ \ N w p2 0 ~ (D In ~ ~ o \ \ ~ ~Q `, `~ ~ I E-+ rn cfl N 01'01'42" W 477.02`t` ~ ~ ~ ~ ~ ~_ `` N n M ~ S 00'52'23" ;} I 33' 33 ~ ~ ~ ~ nl .-~ ~ 6 , w ~ ,--i ~ Q ~ ~ I I I o ~~ N co o ~ ~ ~ -I ~ ~ o O W N ~ NI ~ N ~ a r ~ M o N a ao N ~~ ~ cc ;~ N ~' , I ~_ S 00'52'23" amp ~ S 01'01'42" E 478.57' _, ; w - _ ~I Z ~ -^ M M I M I ~ ~ ~ ~ ^ n CV m I Of ~ cfl E" ~ C ~' V io ~" O ~ S 02'0 25" ~ ~ 0 ~ o ~ (n Q s o N r- p O 95.36 ~N Z I ~, a cs L.. 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